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Author: Axel Molin
Publisher:
ISBN:
Category :
Languages : fr
Pages : 166
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Book Description
La perte de mobilité, par la fragilité et la dépendance qu'elle engendre, est primordiale à dépister chez les personnes âgées en ambulatoire. Cela représente un enjeu médical, social, et économique. Tous les facteurs psycho-socio-somatiques sont important dans ce dépistage. Dans ce sens, la sensation de solitude semble avoir un impact sur le vieillissement. L'hypothèse de l'étude était de montrer une association entre la sensation de solitude et la perte de mobilité des personnes âgées de plus de 65 ans vivant en ambulatoire. Pour cela, nous avons étudié la base de données de l'étude FRAGILE de 2009 de 651 patients âgés de plus de 65 ans et présentant un GIR (Groupe iso ressource) strictement supérieur à 4. Nous avons réalisé une étude transversale en comparant une échelle de solitude et le SPPB (Short Physical Performance Battery) représentant la perte de mobilité. Pour le score SPPB total, la moyenne est significativement plus basse dans le groupe avec un score à l'échelle de sensation d'isolement inférieur ou égal à 6 par rapport à ceux dont le score est strictement supérieur à 6 (6,01 avec écart type 2,95 contre 7,63 avec écart type 3,3, p 0,01). En analyse de régression linéaire univariée, l'échelle de solitude et le SPPB sont significativement associés (OR 0,241 [0,086 - 0,164], p
Author: Axel Molin
Publisher:
ISBN:
Category :
Languages : fr
Pages : 166
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Book Description
La perte de mobilité, par la fragilité et la dépendance qu'elle engendre, est primordiale à dépister chez les personnes âgées en ambulatoire. Cela représente un enjeu médical, social, et économique. Tous les facteurs psycho-socio-somatiques sont important dans ce dépistage. Dans ce sens, la sensation de solitude semble avoir un impact sur le vieillissement. L'hypothèse de l'étude était de montrer une association entre la sensation de solitude et la perte de mobilité des personnes âgées de plus de 65 ans vivant en ambulatoire. Pour cela, nous avons étudié la base de données de l'étude FRAGILE de 2009 de 651 patients âgés de plus de 65 ans et présentant un GIR (Groupe iso ressource) strictement supérieur à 4. Nous avons réalisé une étude transversale en comparant une échelle de solitude et le SPPB (Short Physical Performance Battery) représentant la perte de mobilité. Pour le score SPPB total, la moyenne est significativement plus basse dans le groupe avec un score à l'échelle de sensation d'isolement inférieur ou égal à 6 par rapport à ceux dont le score est strictement supérieur à 6 (6,01 avec écart type 2,95 contre 7,63 avec écart type 3,3, p 0,01). En analyse de régression linéaire univariée, l'échelle de solitude et le SPPB sont significativement associés (OR 0,241 [0,086 - 0,164], p
Author: Alberto Pilotto
Publisher: Springer
ISBN: 3319625039
Category : Medical
Languages : en
Pages : 182
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Book Description
This book offers an up-to-date review on the principles and practice of multidimensional assessment and management of the older individual, which represents the cornerstone of modern clinical practice in the elderly. The early chapters cover the main elements and scope of the comprehensive geriatric approach and explain the pathways of care from screening and case finding through to in-depth assessment and treatment planning. Subsequent chapters review the evidence of how best to apply the multidimensional assessment and management approach in defined healthcare settings and within specific clinical areas, such as cancer and surgery. Finally, the education and training challenges are reviewed and the prospects for future clinical service and research in this important field are examined. The book is very timely given the recent advances in application of this approach, which reflect the growing international realization that older people are “core business” in many clinical areas where the role of specialist geriatric medicine has hitherto been limited. Accordingly, the book will be relevant to a wide range of clinicians. The authorship comprises many of the best known and widely published experts in their respective fields.
Author: Joel Sadavoy
Publisher: American Psychiatric Publishing
ISBN:
Category : Medical
Languages : en
Pages : 792
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Book Description
This text brings together a group of experts in this emerging sub-speciality in order to offer a review of the field. Beginning with a breif historical overview, this volume addresses the ageing process, evaluation and diagnosis, and provides an overview of the major psychiatric disorders and their treatments. A section on medical, ethical and financial issues covers areas of practical concern to psychiatrists who treat elderly patients. This text aims to be useful to those psychiatrists working with the elderly and for those preparing to test for certification in this sub-speciality.
Author: Mortimer Powell Lawton
Publisher:
ISBN:
Category : Science
Languages : en
Pages : 200
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Book Description
Author: Yogesh Dwivedi
Publisher: CRC Press
ISBN: 143983881X
Category : Medical
Languages : en
Pages : 485
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Book Description
With recent studies using genetic, epigenetic, and other molecular and neurochemical approaches, a new era has begun in understanding pathophysiology of suicide. Emerging evidence suggests that neurobiological factors are not only critical in providing potential risk factors but also provide a promising approach to develop more effective treatment and prevention strategies. The Neurobiological Basis of Suicide discusses the most recent findings in suicide neurobiology. Psychological, psychosocial, and cultural factors are important in determining the risk factors for suicide; however, they offer weak prediction and can be of little clinical use. Interestingly, cognitive characteristics are different among depressed suicidal and depressed nonsuicidal subjects, and could be involved in the development of suicidal behavior. The characterization of the neurobiological basis of suicide is in delineating the risk factors associated with suicide. The Neurobiological Basis of Suicide focuses on how and why these neurobiological factors are crucial in the pathogenic mechanisms of suicidal behavior and how these findings can be transformed into potential therapeutic applications.
Author: Neil L. Schechter
Publisher: Lippincott Williams & Wilkins
ISBN: 9780781726443
Category : Medical
Languages : en
Pages : 924
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Book Description
This Second Edition is a significant revision of the leading text and clinical reference on pediatric pain. Written by an international group of experts from all relevant disciplines, this new edition is a vital reference for all pain practitioners, and for nurses, psychologists, PTs, anesthesiologists, and pediatricians dealing with acute and chronic pediatric pain. This edition includes new and expanded information on NSAIDs, opioids, and regional anesthesia. New chapters cover sedation, pain in the ICU, multidisciplinary pain services, palliative care, and the long-term consequences of pain. User-friendly new features include many more illustrations of techniques.
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241549602
Category : Medical
Languages : en
Pages : 203
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Book Description
First published in March 2014 under the title "Clinical management of patients with viral haemorrhagic fever: a pocket guide for front-line health workers: interim emergency guidance for West Africa".
Author: Michael Duffy
Publisher: John Wiley & Sons
ISBN:
Category : Medical
Languages : en
Pages : 754
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Book Description
With the graying of society, therapists are seeing more and more older clients. In this book, editor Michael Duffy brings together leading experts to explain the unique problems of older adults and describe effective treatment techniques.
Author: Daisy Fancourt
Publisher:
ISBN: 9789289054553
Category :
Languages : en
Pages : 142
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Book Description
Over the past two decades, there has been a major increase in research into the effects of the arts on health and well-being, alongside developments in practice and policy activities in different countries across the WHO European Region and further afield. This report synthesizes the global evidence on the role of the arts in improving health and well-being, with a specific focus on the WHO European Region. Results from over 3000 studies identified a major role for the arts in the prevention of ill health, promotion of health, and management and treatment of illness across the lifespan. The reviewed evidence included study designs such as uncontrolled pilot studies, case studies, small-scale cross-sectional surveys, nationally representative longitudinal cohort studies, community-wide ethnographies and randomized controlled trials from diverse disciplines. The beneficial impact of the arts could be furthered through acknowledging and acting on the growing evidence base; promoting arts engagement at the individual, local and national levels; and supporting cross-sectoral collaboration.
Author: Beatriz Caiuby Labate
Publisher: LIT Verlag Münster
ISBN: 3643901488
Category : Health & Fitness
Languages : en
Pages : 447
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Book Description
This is a fascinating compilation of medical, psychological and sociological papers on the spread of ayahuasca use...in Brazil and in several European countries (Germany, France, Italy, Spain, Netherlands), as well as the USA....highly recommended for serious students of this subject. - Ralph Metzner, Ph.D, psychologist and author of Sacred Vine of Spirits: Ayahuasca *** ...provides reliable information that has never before appeared in print, ranging from the rain forests of the Amazon to the churches in Western Europe....like it or not, ayahuasca has left the jungle and is here to stay! Read this book and you will understand the importance of its arrival on the global scene. - Dr. Stanley Krippner, Ph.D., Alan Watts Professor of Psychology, Saybrook U. *** ...a detailed consideration of the legal situation of ayahuasca...as well as a multidisciplinary assessment of the health implications of its use...a must-read for anyone attempting to understand the global implications of ayahuasca today. ~ Dr. Michael Winkelman, M.P.H., Ph.D., author of Shamanism: A Biopsychosocial Paradigm of Consciousness and Healing (Series: Performances: Intercultural Studies on Ritual, Play and Theatre - Performanzen: Interkulturelle Studien zu Ritual, Spiel und Theater - Vol. 16)
