简介:Inthecomingyearslifeexpectancyisexpectedtoincreaseandwiththisthepercentageofthepopulationaboveage65willgrow.Patientsabove65makeupmorethantwothirdsofthosecurrentlydiagnosedwithgastrointestinalmalignancies.Availableevidencebasedmedicinedoesnotfocusontheaveragepatient,abovetheage70,encounteredineverydaypractice.Mostguidelinesandclinicaltrialsarenotdesignedtotakeintoaccountthespecialconsiderationsneededwhentreatingtheelderlysuchasfunctionalstatus,comorbidities,polypharmacy,lifeexpectancy,andsocialsupport.Themajorityofavailabledataisbasedonretrospectivereviewsorsubsetanalysesoflargerstudieswheretheelderlyrepresentafractionofthestudiedpopulation.Thisreviewfocusesonthetoxicitiesandtolerabilityofcurrentstandardtherapiesfornoncolorectalgastrointestinalmalignancies,includinggastroesophageal,pancreatic,bileductandhepatocellularcancersintheelderly.Withcarefulpatientselectionandgeriatricassessmenttheelderlycansafelybenefitfromstandardtherapiesofferedtoyoungerpatients.
简介:Themostimportantriskfactorforstrokeandneurodegenerationisaging.Infact,survivalafterstrokediminisheslargelywithaging.Infact,recoveryafterbrainarteryocclusionisdramaticallyworsenedbyaging,evennormalagingisassociatedwithneurondamageandcognitivedecline.Mechanismsinvolvedinaging-related,cognitivedeclineandsusceptibilitytoneurondamageinstrokeandneurodegenerationarelargelyunknown.Oneofthemostimportant
简介:AVolunterSuportstheElderlyOnFebruary13,1997,Mr.YuXinhua,managerofachain-storeinQingdaoCity,ShandongProvince,decidedtosupport1...
简介:tatusoftheElderlyinFamilyThesupportandrespectfortheelderlyhavebeenregardedastraditionalvirtuesoftheChinesepeoplesincetheancie...
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.
简介:Advancedagebringsahigherincidenceofthrombosis-relateddiseases.Althoughantithrombotictherapysignificantlyreducestheriskofischemicevents,relativelyhigherbleedingratesresultinincreasedmortalityandworseprognosisintheelderly.Thusthebenefitsandharmsofantithromboticdrugsshouldtobecarefullyevaluated.Inthisreview,wesummarizecurrentevidenceandupdatedguidelinesregardingantithrombotictherapyintheagingpopulation.
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.
简介:Epithelialovariancancerisprimarilyadiseaseofolderwomen.Advancedageisriskfactorfordecreasedsurvival.Optimalsurgeryandthesafeandeffectiveadministrationofchemotherapyareessentialforprolongedprogression-freeandoverallsurvival(OS).Inthisarticle,theavailableregimensinboththeprimarytreatmentandrelapsedsettingarereviewed.
简介:OnNovember19,2014,theFirstNationalCulturalForumonRespectingtheElderlyheldbyGeneralOfficeofChinaNationalCommitteeonAgeingwassuccessfullyconvenedinBeijing.ThethemeoftheforumwasInheritanceofChineseVirtuesandInnovationofRespectingtheElderlyCulture.SpeechesweredeliveredbyWuCangping,ProfessorandDoctoralSupervisor
简介:Modernizationtheorypredictslooseningfamilytiesandthegradualdeclineoffamilysupportsfortheelderly.Inatransitionaleconomy,wearguethattherapidlygrowingincomeforadultchildrenhelpstomaintainfamilysupportsfortheelderlyatahighlevel.Datafrom2005China's1%populationsurveyshowsthathalfofelderlypeopleintownsorruralareasreliedonfamilysupportsasthemainsourceforliving.Theodds-ratiofromLogisticregressionshowsthatfamilysupportswerefargreaterforfemalesthanmalesandfargreaterforruralthanforurbanresidents.Labormigrationbyaruralhouseholdmembergreatlyenhancedtheoddsoffamilysupportsfortheelderlyinruralareas.Inthecities,wefoundthattheoddsoffamilysupportswerethehighestinthewell-developedregionsalongthecoast.Asthepopulationisrapidlyaging,moregovernmenteffortsareneededtoexpandsocializedsupportsfortheelderly,especiallytotheweakest.
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.