Geriatric Care 2019-02-22T17:21:34+01:00 Paola Granata Open Journal Systems <p><strong>Geriatric Care</strong> is the official journal of <a href="" target="_blank" rel="noopener">SIGOT</a> (<em>Società Italiana di Geriatria Ospedale e Territorio</em>), it is a recently-launched Open Access journal that seeks to publish high quality, peer-reviewed manuscripts dealing with the Geriatric Care in the different settings including the hospitals, residential services, nursing homes and home-care services for the elderly. The aim of the journal is to stimulate debate and dissemination of knowledge in the geriatric field in order to ameliorate efficacy, effectiveness and efficiency of interventions to improve health outcomes of the elderly people. <strong>Geriatric Care</strong> publishes contributions of epidemiology, pathophysiology and clinical assessment, management and treatments of the diseases of the older people, as well as health education and environmental health, hospital-residential-homecare management of the elderly including ethics, social and communication sciences, e-health and health technology assessment. Contributions on innovative topics of biological and genetics research, gender and disparity issues, as well as high-technology supports, i.e. domotics and robotics for the elderly, are welcome. <strong>Geriatric Care</strong> publishes <em>Original Articles</em>, <em>Review Articles</em>, <em>Brief Reports</em>, <em>Case Reports</em>, <em>Statement Reports</em> and <em>Editorials</em>.</p> <p>This journal does not apply charge for publication to Authors as it is supported by institutional funds.</p> Chances and challenges of comprehensive geriatric assessment training for healthcare providers 2019-02-22T17:21:31+01:00 Maria Cristina Polidori Regina Elisabeth Roller-Wirnsberger <p>Geriatrics is the medical specialty that deals with physical, psychological, social and functional aspects of the older adult and represents a most authentic form of personalized medicine. As such, it is successfully performed through its cornerstone instrument, the comprehensive geriatric assessment (CGA), which consistently shows its significant benefits since over 30 years. However, the high speed at which the world population ages and gets affected by chronic conditions, multimorbidity and functional impairment is not yet accompanied by a strong, competent and self-conscious geriatric culture. This unmet need contributes to the further exponential increase of disability and lack of well-being in older persons. In this paper, we give an overview of the possible reasons for the lack of adequate CGA implementation across settings and highlight the likely benefits of consequent training and education of two groups of (future) professionals in the field of aging medicine: medical students and residents on one hand and multiprofessional healthcare providers, particularly nurses and physiotherapists, on the other hand.</p> 2018-12-14T16:30:59+01:00 ##submission.copyrightStatement## Role of pulmonary ultrasound in the diagnosis of acute respiratory failure 2019-02-22T17:21:34+01:00 Marcello Romano Roberto Risicato Enzo Vicari Giulia Romano <p>Dyspnea is the main clinical manifestation of acute respiratory failure; however, it can be induced by different causes that require differential diagnosis. In elderly patients, the medical examination is limited by cognitive and physical deficits and the genesis of dyspnea is often multifactorial; therefore, the definition of the causes is more complex. In recent years, among the various diagnostic methods, pulmonary ultrasonography has found increasing interest and the main patterns of ultrasound semeiotics have been described, specially in the emergency and critical care setting, as for pneumonia, pleural effusion, pneumothorax, pulmonary infarction, interstitial pathology. The most recent Literature emphasizes the role of multi-organ ultrasound (pleuro-pulmonar; cardiac; caval and iliac-femoral venous), to diagnose with good accuracy the causes of dyspnea. In this review we report the lung ultrasound semeiotic patterns, useful for the bedside or pointof- care detection of the cause of dyspnea, particularly respiratory and/or cardiac, during the medical examination.</p> 2018-11-28T13:05:03+01:00 ##submission.copyrightStatement## New trends in drug treatment of heart failure in old age 2019-02-22T17:21:32+01:00 Klara Komici Leonardo Bencivenga Angela Spezzano Pierangela Nocella Graziamaria Corbi Nicola Ferrara Giuseppe Rengo <p>Heart failure (HF) is a complex clinical syndrome, with high prevalence in the elderly. The World Heath Organization (WHO) predicts that by 2050 the population aged over 80 years will account around 400 million, reflecting that HF will still represent a major public health concern. Improved management of cardiovascular diseases and HF, together with the increased life expectancy explains, at least in part, the high prevalence of HF especially in the elderly. Beside the canonical therapy for HF failure, including angiotensin converting enzyme inhibitors, angiotensin receptor blockers, beta-blockers and aldosterone antagonists, new potential and promising therapies, such as sacubitril/valsartan, iron deficiency treatment and serelaxine, are emerging also in elderly HF patients. In this review we focus on the classical recommended HF therapy and the possible application of new trends in elderly.</p> 2018-11-29T09:45:32+01:00 ##submission.copyrightStatement## Pattern of morbidity among elders attending general practice: health needs assessment of geriatric patients in Oman 2019-02-22T17:21:33+01:00 Shaikh Muhammad Naeem Firdous Jahan Muhammad Asadullah Siddiqui Muhammad Moazzam Khan <p>The main purpose of this study was to identify specific problems and pattern of morbidities that is common in the elderly. A cross sectional study surveying the health status and needs of targeted population was conducted in selected primary health care (PHC) outpatient settings. All consenting individuals aged 60 years and above who visited the selected PHC clinics were interviewed. Information was collected using face-to-face interviews based on a structured, pre-tested questionnaire. A total of 185 people were evaluated in this study. About 75% of participants were age 60-70 years. Overall, male predominance was noted with 137 (74.1%) males and among all participant’s 80% were married. The mean BMI was 26.47±4.98 kg/m2 and mean waist circumference was 90.16±12.97 cm. The prevalence of smoking, DM, HTN, dyslipidaemia and history of IHD among participants were 7.6%, 37.8%, 49.7%, 27.6% and 8.1%, respectively and males showed a significantly higher prevalence than females in smoking and HTN (p&lt;0.05). Hypertension was common comorbid ailment with 29.2% of stage I and 19.5% of stage II hypertension among 60-70 age groups. The majority of the participants were taking shower; using toilet, feeding and get dressed independently, 88.6%, 87.6%, 87% and 87.6% respectively. These findings provide important information on high prevalence of overweight, hypertension, diabetes, smoking and dyslipidaemia among elders. The other common morbidities were impaired vision, walking difficulty, and hearing problems. The activity of daily living (bathing dressing toileting feeding) is preserved in most of older people.</p> 2018-11-28T13:16:11+01:00 ##submission.copyrightStatement## Dementia in the old age: a gloomy wood later in life 2019-02-22T17:21:33+01:00 Virginia Boccardi Lucia Paolacci Patrizia Mecocci <p>Dementia incidence is growing at an impressive rate worldwide, mostly affecting old age subjects. Looking and considering the disease as the same in younger adult does not seem the successful way to find a proper solution regarding prevention and therapy this since there are too many differences between these two forms from biological to clinical aspects. Three question arises from a deep reflection on dementia in the oldest old: i) if it is a continuum with physiological brain aging; ii) what are the linking mechanisms underlining the disease and brain normal aging; iii) if or how it is possible to prevent or manage the disease differently in this population. We strongly believe that dementia is not an inevitable result of ageing, but when it appears in the oldest olds, it assumes distinctive characteristics of a <em>geriatric syndrome</em> where etiology, pathogenesis, clinical manifestations, course of the disease and management require a patient-tailored approach that can not be separated from a careful multidimensional evaluation.</p> 2018-11-28T13:10:40+01:00 ##submission.copyrightStatement##