MyMedR

The rapid aging of populations worldwide demands major changes across all aspects of health care for older persons. Geriatric medicine which is that branch of of medicine which is concerned with the clinical, preventive and rehabilitative aspects of care of older persons, has much to offer in relieving the suffering and increasing the disability free years they can enjoy. Recent advances in Geriatric Medicine based on well designed randomised trials and meta-analysis that are clinically significant to the practicing physician are reviewed in this article. KEYWORDS: Recent advances, Geriatric Medicine, Older persons.

Matched MeSH terms: Geriatrics

[Structural analysis of acute chemical poisoning in persons over 60 years of age.]

Simonova AY, Ilyashenko KK, Belova MV, Potskhveriya MM, Kareva MV, Asanova LR, et al.

Adv Gerontol, 2023;36(4):532-538.

PMID: 38010182

The population of developed countries is aging. Along with an increase in the proportion of people over 60 years of age among the population, their number is also increasing among patients with acute poisoning of chemical etiology. Analysis of the structure of acute poisoning in elderly and senile people for the period 2020-2022. It has been established that the proportion of patients of gerontological age in the overall structure of acute poisonings averages 13,5%, of which the largest group is persons aged 60-74 years (60,2%), women - 64,5%, men - 35,5%. It was found that in 61.5% of cases the cause of poisoning was suicide, 38,5% of poisonings were random. In the structure of acute poisoning in geriatric patients, psychopharmacological drugs are in the lead - 34,1%, corrosive substances - 15,9%, drugs acting on the cardiovascular system - 12,7%. These same toxicants are the main etiological cause of death. Patients over 60 years of age have a high mortality rate from 13,2 to 22,3%. Acute chemical poisoning in patients over 60 years of age is an urgent medical problem at the present stage, due to a significant incidence and high mortality, and require detailed study in order to improve the effectiveness of their treatment.

Matched MeSH terms: Geriatrics*

Preparing the young to look after the old

Nordin R, Hamid AM, Adnan WA

World Health Forum, 1992;13(4):300-2.

PMID: 1466724

In Malaysia the steady rise in the proportion of people aged 60 or more, and an awareness of their complex psychosocial, economic and health care needs, have led medical faculties to introduce geriatrics as an essential subject in their curricula. The efforts made in this field by the School of Medical Sciences of the Universiti Sains Malaysia are outlined in the present article.

Matched MeSH terms: Geriatrics/education*

Geriatric training in problem-based learning: an Asian perspective

Majumder MA, Rahim AF, Rahman S

J Am Geriatr Soc, 2004 Jun;52(6):1038-9.

PMID: 15161490

Matched MeSH terms: Geriatrics/education*

Trends in geriatrics-related translational research and funding in the "big 4" medical journals

Ch'ng ASH, Yong KTW, Ng DWH, Heyzer L, Lim WS

J Am Med Dir Assoc, 2017 06 01;18(6):544-545.

PMID: 28431910 DOI: 10.1016/j.jamda.2017.02.018

Matched MeSH terms: Geriatrics*

An elderly man with right hand tremor: Is he having Parkinson's Disease?

Teng CL

Family Physician, 2003;12:22-22.

Matched MeSH terms: Geriatrics

Depression in the elderly - the diagnostic dilemma

Lau BWK

Family Physician, 1991;3:53-56.

Matched MeSH terms: Geriatrics

Fulltext Geriatric practice in Malaysia: issues and challenges

Poi PJH

Med J Malaysia, 1997 Sep;52(3):202-5.

PMID: 10968085

Matched MeSH terms: Geriatrics*

Fulltext The elderly Malaysian

Chen PCY

Med J Malaysia, 1984 Dec;39(4):254-6.

PMID: 6544929

Matched MeSH terms: Geriatrics/education

MANAGEMENT OF PROSTATIC OBSTRUCTION IN THE ELDERLY MALE

MENON KA

Med J Malaysia, 1963 Dec;18:91-4.

PMID: 14117287

Matched MeSH terms: Geriatrics*

Brief Challenges on Medicinal Plants: An Eye-Opening Look at Ageing-Related Disorders

Bjørklund G, Dadar M, Martins N, Chirumbolo S, Goh BH, Smetanina K, et al.

Basic Clin Pharmacol Toxicol, 2018 Jun;122(6):539-558.

PMID: 29369521 DOI: 10.1111/bcpt.12972

Several studies have reported that nature-derived antioxidants may prevent free radicals over-production and therefore control the onset and prevent the exacerbation of different kinds of diseases caused by oxidative stress and redox-derived stressors, including ageing, fundamentally by suppressing the oxidative by-products-mediated degradation. Naturally derived antioxidants exert their anti-ageing action via a panoply of signalling systems, many of which engaging reactive oxygen and nitrogen species scavenging, with the Nrf2/Keap1-ARE system and improving the many survival genes and functions (such as the pathway mTOR/Foxo/SIRT1) able to slow cellular senescence. Most of the research in this field has evaluated the regulative effects and even pathways of herbal extracts with antioxidant property in the ageing process, and various age-related disorders such as cardiovascular disease, ischaemia-reperfusion injury, coronary and myocardial circulatory perfusion, peripheral vascular resistance, and even neurodegenerative disorders are prevented plant phytochemicals often via their antioxidant potential. A much more complex ability to interact with survival functions makes these compounds successfully active in preventing ageing-related disorders. This report aimed to discuss in more detail some selected medicinal plants including Allium sativum, Aloe vera, Crataegus spp., Cynara scolymus, Eleutherococcus senticosus, Ginkgo biloba, Hippophae rhamnoides, Panax ginseng, Rosmarinus officinalis, Schizandra chinensis, Vitis vinifera and seaweeds in the prevention of ageing-related pathologies. A systematic overview of the relevant information in the antioxidant function of the many herbal products reviewed here for the control of the ageing process is proposed, to provide a new horizon on the design of anti-ageing herbal medicines.

Matched MeSH terms: Geriatrics*

Fulltext Development of Automatic Reminder System for Geriatric Medicine Intake

Aisyah Rahimi, Hamimi Zakri, Azira Khalil

Malaysian Journal of Science, Health & Technology, 2021;7(1):8-14.

MyJurnal

The consumption of medicine is typical in geriatrics, having many problems related to medications. Geriatrics often forget to take their medicine, and this problem can be overcome by using an automatic reminder system. In this study, an automated reminder system is developed as an improved community element, acting as a system that can help geriatric in taking their medicine on time, thus, boosting their health condition. This reminder system also includes an interaction between the geriatrics and their caretakers. This reminder system includes Arduino UNO as the microcontroller, with the notification system, Blynk Application, a buzzer, and a light-emitting diode (LED) system. To make this reminder system more versatile, the buzzer will alarm during the medicine intake time, giving information to the elderly on which medicine to take. When the time has reached to take medication, the buzzer will produce a sound. Suppose the medicine box opens after the buzzer's sound and is detected by the passive infrared sensor (PIR sensor). In that case, the caretaker will receive a notification through the Blynk application that the geriatric already took medicine. On the contrary, if the medicine box is not open after 3 minutes following the buzzer's sound, which indicates that the geriatric did not take their medicine, the system will not send a notification to their caretakers on the status. This prototype is tested on ten users for its accuracy and effectiveness. It is believed that this system can provide geriatrics more alert in taking their medicine on time, enhancing their health status.

Matched MeSH terms: Geriatrics

A training workshop for community pharmacist workforce: Caring for older adults

Saw PS, Lee SWH

Curr Pharm Teach Learn, 2020 01;12(1):95-102.

PMID: 31843172 DOI: 10.1016/j.cptl.2019.10.018

BACKGROUND AND PURPOSE: The increasing number of older adults worldwide challenges healthcare providers and policy makers to provide high quality care. To our knowledge, there has been little research on educational programs for community pharmacists on the provision of pharmaceutical care-based educational programs for elderly people, especially in Asian regions. The purpose of this study was to develop and describe the implementation of a structured educational program on geriatric care for community pharmacists.

EDUCATIONAL ACTIVITY AND SETTING: Community pharmacists attended a one-day workshop, supplemented with comprehensive training materials which enabled participants to conduct similar sessions with their peers at their own time. The workshop, consisting of case study discussion and role plays, was designed to be an engaging and interactive program that combined traditional didactic sessions and experiential, discussion-based learning. A pre- and post-workshop questionnaire were administered immediately before and after the event to all attending participants.

FINDINGS: Core concepts covered in the workshop included: (1) overview of an ageing population, (2) issues with ageing population, (3) medication review, and (4) dietary requirements and dosage forms in older adults. Participants' (n = 39) noted significant improvements in knowledge (mean score change 0.7, p 

Matched MeSH terms: Geriatrics/education*; Geriatrics/methods

Priorities for the global advancement of care for older adults with cancer: an update of the International Society of Geriatric Oncology Priorities Initiative

Extermann M, Brain E, Canin B, Cherian MN, Cheung KL, de Glas N, et al.

Lancet Oncol, 2021 01;22(1):e29-e36.

PMID: 33387502 DOI: 10.1016/S1470-2045(20)30473-3

In 2011, the International Society of Geriatric Oncology (SIOG) published the SIOG 10 Priorities Initiative, which defined top priorities for the improvement of the care of older adults with cancer worldwide.1 Substantial scientific, clinical, and educational progress has been made in line with these priorities and international health policy developments have occurred, such as the shift of emphasis by WHO from communicable to non-communicable diseases and the adoption by the UN of its Sustainable Development Goals 2030. Therefore, SIOG has updated its priority list. The present document addresses four priority domains: education, clinical practice, research, and strengthening collaborations and partnerships. In this Policy Review, we reflect on how these priorities would apply in different economic settings, namely in high-income countries versus low-income and middle-income countries. SIOG hopes that it will offer guidance for international and national endeavours to provide adequate universal health coverage for older adults with cancer, who represent a major and rapidly growing group in global epidemiology.

Matched MeSH terms: Geriatrics/education; Geriatrics/standards*

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