geriatrics

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Civilisation Diseases breaking economic growth

More than 63% of all deaths in the world are caused by so- called non-communicable diseases. In the WHO-region of Europe it’s even higher – 86%. The direct and indirect economic costs are huge – to the point of posing a real threat to growth in crisis-hit economies. Therapy alone is not enough, World Bank strategist Dr. Armin Fidler told the European Health Forum Gastein. Effective…

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Lack of dignity for older patients

The Dignity in Practice study followed a number of national reports showing that the NHS does not always treat older people with care, dignity and respect and that the lack of dignified care provided in acute NHS Trusts is a major source of complaint.

Transcatheter aortic valve implants bear risks

Every year thousands of patients with less than one year to live are denied a heart valve replacement because they are too frail to undergo surgery. These patients tend to be over 75 years of age and suffering from multiple health problems, such as respiratory conditions that preclude general anaesthesia, end-stage failure of liver or kidneys, or a history of coronary surgery. Two years ago they…

Blood test to predict rheumatoid arthritis

Researchers from University Hospital in Umea, Sweden, have identified several cytokines, cytokine-related factors, and chemokines that increase significantly prior to rheumatoid arthritis (RA) disease onset. These findings confirm those of earlier studies which suggest that the risk of developing RA can be predicted and disease progression may be prevented. Complete findings of this study are…

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Neuroimaging Technique Identifies Patients at Risk for Alzheimer’s Disease in Healthy Brains

How the brain changes with age is not well-characterized and even less is known about the factors influencing the rate of brain aging. Brain imaging can offer a window into risk assessment into for diseases such as Alzheimer’s disease. A recent study demonstrated that genetic risk is expressed in the brains of even those who are healthy, but carry some risk for AD.

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The role of nutrition in the elderly

At the European Society for Clinical Nutrition and Metabolism (ESPEN) congress in Vienna, experts highlighted the important relationship between nutrition and functionality in the elderly. They discussed the importance of an effective and flexible screening tool for the measurement of nutritional status, the impact of nutritional status on fall and fracture risk, and the role physical exercise…

Elderly care: the future

robuLAB10, a service robot designed to assist the elderly in their own homes, went on show this spring at Robobusiness 2009, in Boston, Mass. Produced by the French firm Robosoft and SRI International in the USA, the robot integrates SRI's Karto navigation software that enables it to navigate, follow, and assist a person from room-to-room.

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The 11th EAPC Congress

Faced with death, what are the wishes of terminally ill patients? Does a request for euthanasia disappear with good palliative care? How invasive should medicine be at this final stage of life? Is comprehensive palliative care financially affordable? Can studies on those who are dying be ethically justified? Difficult questions, but all posed during the 11th European Association of Palliative…

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EFORT 2009

One of the key topics at the EFORT Congress, held recently in Vienna, was on opportunities offered by computer-aided surgery (CAS) to achieve better results for many orthopaedic interventions. Within the next decade CAS will lead to the routine use of minimally invasive surgery (MIS) for knee prosthetics, hip replacement and osteotomy.

Changing approaches to wound management

In recent years wound management has been primarily nurse-led, and not benefited from a multi-disciplinary approach. This must change, said Madeleine Flanagan, Principal Lecturer at the University of Hertfordshire's school of Post Graduate Medicine in the faculty of health and human science, where she runs the MSc in Dermatology and an MSc in Skin Integrity; she is also Principal of the European…

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Personnel deficits

Healthcare in Germany will suffer if doctors and nurses cannot delegate certain tasks to others. So warned Udo Janssen MD MBA, speaking at the recent Gesundheitsnetzwerker (health network) congress held in Berlin. Blaming the inflexibility of new labour models that make them difficult to implement, Dr Janssen believes they need to be reviewed.

Pain control

The availability of a new opioid-based treatment option, has led pain specialists to believe they may at last be able to solve the age-old problem of how to provide effective chronic pain relief without causing opioid-induced constipation (OIC).

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