Domestic injuries among geriatric population: a study in a rural community of Bankura district

Background: Domestic injury is an injury, which takes place in the home or in its immediate surroundings and more generally, all injury not connected with traffic, vehicles or sport. It is a worldwide public health problem. Geriatric population is more vulnerable to domestic injury. Objectives of this study are to estimate the incidence and to identify the correlates, if any, of domestic injuries among geriatric population and to study the consequences of domestic injuries among study subjects.Methods: Community-based descriptive study with longitudinal design. Multistage random sampling was adopted in the study. One block was selected by simple random sampling method then cluster sampling method (30/7) was used considering village as cluster. Three cross-sectional surveys were conducted in study subjects. Data was collected with the help of pre-designed, pre-tested, semi-structured schedule by paying house-to-house visits and review of records.Results: The subjects under study comprised of 210 elderly individuals, out of which 27 faced domestic injuries and three study subjects faced injury twice in study period. So, total number of injured was 30. Incidence rate was calculated to be 142.85 injuries per thousand persons per year. Fall was most common type of domestic injury. According to the consequence of injury, impairment was found in 13 cases out of them two injured cases were suffered from permanent disability.Conclusions: Incidence was estimated to be higher than what was found in other studies. Fall was the most common type of domestic injury. Marital status, use of central nervous system depressant drugs and co-morbidities were found to have positive association with injury.

Influencia de la Diabetes mellitus en la salud bucal del adulto mayor / Influence of the Diabetes mellitus in the buccal health care

Introducción: Debido al rápido crecimiento del grupo de adultos mayores y diabéticos en la población cubana, es posible predecir que los requerimientos en la atención odontológica serán mayores en los próximos años, por lo que la prevención y atención en Odontogeriatria se considera una necesidad del presente y futuro inmediatos. Objetivo: Determinar la influencia de la Diabetes mellitus en el estado de salud bucal del adulto mayor. Material y Métodos: Se realizó un estudio descriptivo de corte transversal en la clínica estomatológica del policlínico universitario Dr. Mario Muñoz Monroy del Wajay, en el período de 2015 a 2016. La muestra fue de 634 adultos mayores de los tres consultorios seleccionados por un sistema de conglomerado monoetápico. Se realizó examen bucal y se completó un formulario para la recolección de la información. Las variables estudiadas fueron:Diabetes mellitus, edad, sexo, factores de riesgos y enfermedades bucales. Resultados: En la población diabética, predominó el grupo de 60-74 años y sexo femenino; los factores de riesgo que prevalecieron fueron las prótesis desajustadas (60 por ciento), la xerostomía (58 por ciento) (p=0,001) y el hábito de fumar (32 por ciento); las enfemedades más frecuentes, la periodontal (58,3 por ciento), las úlceras traumáticas (13,3 por ciento) y la queilitis angular (7.9 por ciento); solo existió significación en las dos últimas. Conclusiones: En la población diabética prevaleció el grupo de 60 a 74 años y sexo femenino. Las prótesis desajustadas fue el factor de riesgo más representado; seguido por la xerostomía, el hábito de fumar y la enfermedad periodontal y las úlceras traumáticas las enfermedades bucales que predominaron(AU)

Introduction: Due to the fast growth of the group of elderly and diabetics in the Cuban population, it is possible to predict that the requirements in the odontology attention will be greater in the next years. For that reason the prevention and attention in the Odontogeriatry is considered a necessity of the present and future Immediate. Objective: To determine the influence of the Diabetes mellitus in the state of the buccal health care of the senior citizens in the dentistry clinic in Wajay through 2015 to 2016. Material and Methods: A cross-sectional descriptive study was carried out in the stomatology clinic of the Polyclinic Dr. Mario Muñoz Monroy in the period from 2015 to 2016. The sample was 634 older adults from the three clinics selected by a single-stage conglomerate system. A mouth exam was performed and a form for collecting the information was completed. The variables studied were: Diabetes mellitus, age, sex, risk factors and oral diseases. Results: In the diabetic population, the group of 60-74 years and female gender predominated. The risk factors that prevailed were maladaptive prostheses (60 percent), xerostomia (58 percent) (p = 0.001) and smoking (32 percent); Periodontal disease (58.3 percent), traumatic ulcers (13.3 percent) and angular cheilitis (7.9 percent); There was only meaning in the last two. Conclusions: In the population studied prevailed the group of 60 to 74 years and female sex. The maladaptive prostheses were the most represented risk factor; Followed by xerostomia, smoking and periodontal disease and traumatic ulcers predominant oral diseases(AU)

Investigation and Analysis of Medication Situation and Need for Pharmaceutical Services of Geriatric Peo-ple from Some Communities in Guangzhou / 中国药房

OBJECTIVE:To explore the ways and methods for pharmacists to participate in community pharmaceutical care, and to provide reference for guaranteeing safe use of drugs in the elderly. METHODS:Questionnaire survey about medication situa-tions and pharmaceutical care demands was conducted among the elderly randomly selected from some communities of Guangzhou Yuexiu District and Liwan District. The investigation data was analyzed statistically. RESULTS:Totally 300 questionnaires were sent out,and 283 were recycled with effective recovery rate of 94.33%. Among respondents,64.66% geriatric people had a high school education or above and 87.99% elderly people enjoyed medical insurance for urban residents;the major health problems of the elderly were chronic diseases like hypertension,osteoporosis,hyperlipidemia,diabetes. 55.48% interviewees preferred to pur-chasing drugs from governmental hospitals and 40.28% interviewees used to purchase drugs from community hospitals;in terms of understanding of drug information,72.08% interviewees tended to consult doctors about drug use but only 12.72% intervieweestended to consult hospital pharmacists about drug use. Interviewees often took various kinds of drugs,there were 72.44%interview-ees taking drugs according to the doctor's advice. 44.88%interviewees accustomed to storing drugs at discretion. 68.20%interview-ees deemed that the responsibilities of the pharmacists were drug dispensing,but only 28.27% interviewees thought that pharma-cists could provide medication guidance and consultation;in terms of community pharmaceutical care,interviewee had much great-er demands to daily care and rational drug use of lectures. CONCLUSION:Geriatric people take many different drugs to treat their diseases in those communities,there are many problems that are not conducive to safe drug use. Those reflected urgent need for community pharmaceutical care,and then higher requirements are put forward for the professional quality of pharmacists.