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  • 简介:Inthecomingyearslifeexpectancyisexpectedtoincreaseandwiththisthepercentageofthepopulationaboveage65willgrow.Patientsabove65makeupmorethantwothirdsofthosecurrentlydiagnosedwithgastrointestinalmalignancies.Availableevidencebasedmedicinedoesnotfocusontheaveragepatient,abovetheage70,encounteredineverydaypractice.Mostguidelinesandclinicaltrialsarenotdesignedtotakeintoaccountthespecialconsiderationsneededwhentreatingtheelderlysuchasfunctionalstatus,comorbidities,polypharmacy,lifeexpectancy,andsocialsupport.Themajorityofavailabledataisbasedonretrospectivereviewsorsubsetanalysesoflargerstudieswheretheelderlyrepresentafractionofthestudiedpopulation.Thisreviewfocusesonthetoxicitiesandtolerabilityofcurrentstandardtherapiesfornoncolorectalgastrointestinalmalignancies,includinggastroesophageal,pancreatic,bileductandhepatocellularcancersintheelderly.Withcarefulpatientselectionandgeriatricassessmenttheelderlycansafelybenefitfromstandardtherapiesofferedtoyoungerpatients.

  • 标签: 恶性肿瘤 结直肠癌 消化系统 老年人 胃肠道 治疗
  • 简介:Themostimportantriskfactorforstrokeandneurodegenerationisaging.Infact,survivalafterstrokediminisheslargelywithaging.Infact,recoveryafterbrainarteryocclusionisdramaticallyworsenedbyaging,evennormalagingisassociatedwithneurondamageandcognitivedecline.Mechanismsinvolvedinaging-related,cognitivedeclineandsusceptibilitytoneurondamageinstrokeandneurodegenerationarelargelyunknown.Oneofthemostimportant

  • 标签: 神经保护 非甾体类抗炎药 中老年人 线粒体 神经元损伤 谷氨酸受体
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  • 简介:AVolunterSuportstheElderlyOnFebruary13,1997,Mr.YuXinhua,managerofachain-storeinQingdaoCity,ShandongProvince,decidedtosupport1...

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  • 简介:tatusoftheElderlyinFamilyThesupportandrespectfortheelderlyhavebeenregardedastraditionalvirtuesoftheChinesepeoplesincetheancie...

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  • 作者: Zheng Thomas Q. Yang Hui-Xia
  • 学科: 医药卫生 >
  • 创建时间:2020-08-10
  • 出处:《母胎医学杂志(英文)》 2020年第01期
  • 机构:Department of Obstetrics and Gynecology, Guangzhou Women and Children’s Medical Center, Guangdong 510623, China; Department of Obstetrics and Gynecology, Maricopa Integrated Health System/District Medical Group, Phoenix AZ 85008, USA; Department of Obstetrics and Gynecology, University of Arizona College of Medicine-Phoenix, Phoenix AZ 85008, USA,Department of Obstetrics and Gynecology, Peking University First Hospital, Beijing 100034, China
  • 简介:AbstractThe obstetric issues and management styles in China are different from that in Western countries. Chinese medical education, residency training, obstetric care structure, and management of common obstetric complications are briefly reviewed and compared to the United States. Maternal-fetal medicine (MFM) is rapidly developing in China, but the development of MFM may not follow the same trajectory as in the West. Understanding the difference between China and the West may facilitate communication and foster mutual development.

  • 标签: Education Internship and residency Maternal fetal medicine Medical Obstetric care Prenatal care
  • 简介:Advancedagebringsahigherincidenceofthrombosis-relateddiseases.Althoughantithrombotictherapysignificantlyreducestheriskofischemicevents,relativelyhigherbleedingratesresultinincreasedmortalityandworseprognosisintheelderly.Thusthebenefitsandharmsofantithromboticdrugsshouldtobecarefullyevaluated.Inthisreview,wesummarizecurrentevidenceandupdatedguidelinesregardingantithrombotictherapyintheagingpopulation.

  • 标签: ELDERLY ANTIPLATELET ANTICOAGULANT BLEEDING
  • 简介:AbstractFractures of the acetabulum in elderly patients were often caused by low energy trauma. Fractures involving anterior column are more common and often associated with impaction and comminution. Osteoporosis further complicates the management. Percutaneous fracture fixation has low morbidity but it is a technically demanding procedure. Open reduction and fracture fixation is done with or without simultaneous total hip replacement. Delayed total hip replacement is considered in posttraumatic arthritis patients. Patients with minimal displaced fractures, associated both-column fractures with secondary congruence of joint and patients who are medically unfit for surgery can be managed non-operatively. Whatever be the method of management, these elderly patients should be mobilised as early as possible.

  • 标签: Acetabulum Elderly Fracture Osteoporosis Hip Arthroplasty
  • 简介:Epithelialovariancancerisprimarilyadiseaseofolderwomen.Advancedageisriskfactorfordecreasedsurvival.Optimalsurgeryandthesafeandeffectiveadministrationofchemotherapyareessentialforprolongedprogression-freeandoverallsurvival(OS).Inthisarticle,theavailableregimensinboththeprimarytreatmentandrelapsedsettingarereviewed.

  • 标签: 化疗药物 卵巢癌 老年 危险因素 操作系统 生存期
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  • 简介:OnNovember19,2014,theFirstNationalCulturalForumonRespectingtheElderlyheldbyGeneralOfficeofChinaNationalCommitteeonAgeingwassuccessfullyconvenedinBeijing.ThethemeoftheforumwasInheritanceofChineseVirtuesandInnovationofRespectingtheElderlyCulture.SpeechesweredeliveredbyWuCangping,ProfessorandDoctoralSupervisor

  • 标签: 文化创新 论坛 中国人民大学 凝聚力 党委书记 博士生导师
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  • 简介:Modernizationtheorypredictslooseningfamilytiesandthegradualdeclineoffamilysupportsfortheelderly.Inatransitionaleconomy,wearguethattherapidlygrowingincomeforadultchildrenhelpstomaintainfamilysupportsfortheelderlyatahighlevel.Datafrom2005China's1%populationsurveyshowsthathalfofelderlypeopleintownsorruralareasreliedonfamilysupportsasthemainsourceforliving.Theodds-ratiofromLogisticregressionshowsthatfamilysupportswerefargreaterforfemalesthanmalesandfargreaterforruralthanforurbanresidents.Labormigrationbyaruralhouseholdmembergreatlyenhancedtheoddsoffamilysupportsfortheelderlyinruralareas.Inthecities,wefoundthattheoddsoffamilysupportswerethehighestinthewell-developedregionsalongthecoast.Asthepopulationisrapidlyaging,moregovernmenteffortsareneededtoexpandsocializedsupportsfortheelderly,especiallytotheweakest.

  • 标签: 老人 中国 家庭关系 市场 理论预测 数据显示
  • 简介:Accordingtothedifferentelderlycare-givers,wedividedelderlycareintofivemodels.Theyarerelative-care-givermodel,friend-care-givermodel,volunteer-care-givermodel,market-supply-caremodelandwelfaremodel.WithanalysisofthesamplesurveyaboutelderlycareinruralHubeiProvince,wefindthattherearesomeseriousproblemsaboutdailycarefortheoldpeople,suchassingleelderlycaremodel,ahugegapofdemandandsupplyofdailycareforoldpeople,anddeterioratingelderlycareproblem.Thecausesoftheproblemsaretheweakeningoffamilysupportfortheold,theinsufficientofwelfaremodelandmarket-supply-caremodel.Tosolvetheproblems,theformalsupportfortheoldpeopleshouldbeincreased,andthefunctionofmarketshouldbestrengthened.Atthesametime,familysupportshouldcontinuetoplayanimportantroleintheelderlycare.

  • 标签: 日常护理 独居老人 中国农村 市场供应 抽样调查 老年人