Cross Sectional Analysis Of Frailty Status And Heart Rate Variability At Rest And During Exercise In Older Adult Females
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Cross Sectional Analysis Of Frailty Status And Heart Rate Variability At Rest And During Exercise In Older Adult Females
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Author : Nicole Johnston
language : en
Publisher:
Release Date : 2020
Cross Sectional Analysis Of Frailty Status And Heart Rate Variability At Rest And During Exercise In Older Adult Females written by Nicole Johnston and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020 with categories.
Frailty is related to an imbalance of homeostasis within the body, accompanied by an accumulation of health deficits. A possible way to measure this imbalance, is with a non-invasive measure of the autonomic nervous system through heart rate variability (HRV). This study utilized a secondary, cross-sectional analysis of data collected in the Women's Advanced Risk-Assessment in Manitoba (WARM) Hearts study. The purpose was to determine if there is a difference in HRV depending on frailty level measured by the WARM Hearts HRV Frailty Index (WH-HRV FI) and the Standardized Frailty Phenotype measured at rest and during moderate exercise; and to determine if there is an association between HRV and frailty when measuring frailty on a continuous scale both at rest and during moderate exercise. Data analysis included 125 females in the resting cohort, and 102 in the exercise cohort. Frailty was measured using two separate methods (WH-HRV FI and the Standardized Frailty Phenotype). HRV was measured using a Polar H7 heart rate monitor with a 5-minute sample at rest and a 2-minute sample during exercise. This analysis included various HRV indices including mean RR intervals (Mean RR), standard deviation of normal-normal intervals (SDNN), root mean square of successive intervals (RMSSD), low frequency (LF), high frequency (HF), total power (TP), low frequency to high frequency ratio (LF/HF), and approximate entropy (ApEn). Resting analysis revealed a trend towards a reduction in SDNNlog, TPlog, and LF/HFlog and a significant positive association in LFlog in those who were frail with no changes of RMSSDlog or HFlog indicating an impaired sympathetic nervous system (SNS). Exercise analysis revealed a significant difference and positive association between frailty and mean RRlog, and an inverse relationship between frailty and TPlog. This indicates a reduced ability to adapt to changes and a reduced global HRV for both frailty measures. There were inconsistent results regarding the direction of the association between LFlog and SDNNlog between frailty tools. Overall, there may be an impairment in SNS activity at rest and a reduced ability to adapt, along with decreased global HRV (TPlog) during exercise in those who have increased levels of frailty.
Frailty Risks And Management
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Author : Leonardo Bencivenga
language : en
Publisher: Frontiers Media SA
Release Date : 2023-02-24
Frailty Risks And Management written by Leonardo Bencivenga and has been published by Frontiers Media SA this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-02-24 with Medical categories.
Families Caring For An Aging America
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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2016-11-08
Families Caring For An Aging America written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-11-08 with Medical categories.
Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.
Geriatric Gastroenterology
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Author : C. S. Pitchumoni
language : en
Publisher: Springer Science & Business Media
Release Date : 2012-07-26
Geriatric Gastroenterology written by C. S. Pitchumoni and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-07-26 with Medical categories.
As aging trends in the United States and Europe in particular are strongly suggestive of increasingly older society, it would be prudent for health care providers to better prepare for such changes. By including physiology, disease, nutrition, pharmacology, pathology, radiology and other relevant associated topics, Geriatric Gastroenterology fills the void in the literature for a volume devoted specifically to gastrointestinal illness in the elderly. This unique volume includes provision of training for current and future generations of physicians to deal with the health problems of older adults. It will also serve as a comprehensive guide to practicing physicians for ease of reference. Relevant to the geriatric age group, the volume covers epidemiology, physiology of aging, gastrointestinal physiology, pharmacology, radiology, pathology, motility disorders, luminal disorders, hepato-biliary disease, systemic manifestations, neoplastic disorders, gastrointestinal bleeding, cancer and medication related interactions and adverse events, all extremely common in older adults; these are often hard to evaluate and judge, especially considering the complex aging physiology. All have become important components of modern medicine. Special emphasis is be given to nutrition and related disorders. Capsule endoscopy and its utility in the geriatric population is also covered. Presented in simple, easy to read style, the volume includes numerous tables, figures and key points enabling ease of understanding. Chapters on imaging and pathology are profusely illustrated. All chapters are written by specialists and include up to date scientific information. Geriatric Gastroenterology is of great utility to residents in internal medicine, fellows in gastroenterology and geriatric medicine as well as gastroenterologists, geriatricians and practicing physicians including primary care physicians caring for older adults.
Who Guidelines On Physical Activity And Sedentary Behaviour
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Author :
language : en
Publisher: World Health Organization
Release Date : 2020-11-20
Who Guidelines On Physical Activity And Sedentary Behaviour written by and has been published by World Health Organization this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-11-20 with Medical categories.
Pathy S Principles And Practice Of Geriatric Medicine
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Author : Alan J. Sinclair
language : en
Publisher: John Wiley & Sons
Release Date : 2012-03-13
Pathy S Principles And Practice Of Geriatric Medicine written by Alan J. Sinclair and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-03-13 with Medical categories.
This new edition of the comprehensive and renowned textbook Principles and Practice of Geriatric Medicine offers a fully revised and updated review of geriatric medicine. It covers the full spectrum of the subject, features 41 new chapters, and provides up-to-date, evidence-based, and practical information about the varied medical problems of ageing citizens. The three editors, from UK, USA and France, have ensured that updated chapters provide a global perspective of geriatric medicine, as well as reflect the changes in treatment options and medical conditions which have emerged since publication of the 4th edition in 2006. The book includes expanded sections on acute stroke, dementia, cardiovascular disease, and respiratory diseases, and features a new section on end-of-life care. In the tradition of previous editions, this all-encompassing text continues to be a must-have text for all clinicians who deal with older people, particularly geriatric medical specialists, gerontologists, researchers, and general practitioners. This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from Google Play or the MedHand Store. Praise for the 4th edition: "...an excellent reference for learners at all clinical and preclinical levels and a useful contribution to the geriatric medical literature." —Journal of the American Medical Association, November 2006 5th edition selected for 2012 Edition of Doody's Core TitlesTM
World Report On Ageing And Health
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Author : World Health Organization
language : en
Publisher: World Health Organization
Release Date : 2015-10-22
World Report On Ageing And Health written by World Health Organization and has been published by World Health Organization this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-10-22 with Family & Relationships categories.
The WHO World report on ageing and health is not for the book shelf it is a living breathing testament to all older people who have fought for their voice to be heard at all levels of government across disciplines and sectors. - Mr Bjarne Hastrup President International Federation on Ageing and CEO DaneAge This report outlines a framework for action to foster Healthy Ageing built around the new concept of functional ability. This will require a transformation of health systems away from disease based curative models and towards the provision of older-person-centred and integrated care. It will require the development sometimes from nothing of comprehensive systems of long term care. It will require a coordinated response from many other sectors and multiple levels of government. And it will need to draw on better ways of measuring and monitoring the health and functioning of older populations. These actions are likely to be a sound investment in society's future. A future that gives older people the freedom to live lives that previous generations might never have imagined. The World report on ageing and health responds to these challenges by recommending equally profound changes in the way health policies for ageing populations are formulated and services are provided. As the foundation for its recommendations the report looks at what the latest evidence has to say about the ageing process noting that many common perceptions and assumptions about older people are based on outdated stereotypes. The report's recommendations are anchored in the evidence comprehensive and forward-looking yet eminently practical. Throughout examples of experiences from different countries are used to illustrate how specific problems can be addressed through innovation solutions. Topics explored range from strategies to deliver comprehensive and person-centred services to older populations to policies that enable older people to live in comfort and safety to ways to correct the problems and injustices inherent in current systems for long-term care.
Patient Safety And Quality
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Author : Ronda Hughes
language : en
Publisher: Department of Health and Human Services
Release Date : 2008
Patient Safety And Quality written by Ronda Hughes and has been published by Department of Health and Human Services this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with Medical categories.
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
The Management Of Pain In Older People
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Author : Patricia Schofield, PhD, RGN
language : en
Publisher: John Wiley & Sons
Release Date : 2007-04-04
The Management Of Pain In Older People written by Patricia Schofield, PhD, RGN and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007-04-04 with Medical categories.
This book will enable readers to understand the principles underpinning the management of pain which a particular emphasis upon the care of the older adult. The chapters will explore concepts that are recognised to be involved in the pain experience but each author will then add their own unique perspective by applying the principles to their specialist area of practice and the care of the older adult. It is structured to include the aims and outcomes of the chapter at the beginning so that readers can track their progress, and provides chapter outlines and further reading suggestions foir this unique topic area.
Geriatric Oncology
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Author : Martine Extermann
language : en
Publisher: Springer
Release Date : 2020-01-30
Geriatric Oncology written by Martine Extermann and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-01-30 with Medical categories.
This book is intended as a comprehensive resource for clinicians and researchers seeking in-depth information on geriatric oncology. The coverage encompasses epidemiology, the biology and (patho)physiology of aging and cancer, geriatric assessment and management, hematologic malignancies, solid tumors, issues in patient care, and research methods. Since cancer is a disease of aging and people are living longer, most cancer patients are now aged 70 and older. Yet the more we age, the more diverse we become in terms of our health, biologic fitness, and cancer behavior. Typically, however, general oncology clinical trials address only a selected healthier and younger population of patients. Geriatric oncology is the area of oncology that addresses these issues but while a wealth of knowledge has been accumulated, information is often difficult to retrieve or insufficiently detailed. The SpringerReference program, in which this book is published, offers an ideal format for overcoming these limitations since it combines thorough coverage with access to living editions constantly updated chapter by chapter via a dynamic peer-review process, ensuring that information remains current and pertinent.