ABSTRACT
Demographic aging has led to an increase in the prevalence of different diseases, including the so-called geriatric syndromes (GS), like depression, disability and frailty phenotype (FP). Spirituality and religious practices (RP) have been associated with positive health outcomes and could be a protective factor against the development of some GS. Study aims was to determine the frequency of spirituality and RP, and their associations between some GS in adults 60 years of age or older, who attended a geriatric clinic in a university hospital in Mexico. Cross-sectional study in adults aged ≥ 60 years, recruited in 2018, was performed. Participants underwent a comprehensive geriatric assessment, with which spirituality and religious practices model and the diagnosis of GS were obtained. Linear regression analyses were determined to establish the association between RP and GS. We included 128 subjects; mean age was 79 years (SD ± 8). Lowers scores for mass and communion assiduity were associated with worst disability and FP scores (b = - 0.35, P = 0.02; b = - 0.37, P = 0.03). The RP model explained 8% (R2 = 0.083) of the total variance of the depressive symptoms score (P = 0.03). This study showed that the prevalence of RP is higher in Mexican older adults. The RP model can explain 8 and 9% of the variation in dependent variables (depressive symptoms and disability). These results suggest the importance of monitoring RP, as they seem to have a positive impact on health status of the elderly.
Subject(s)
Aging/psychology , Geriatric Assessment/methods , Religion and Psychology , Religion , Spirituality , Aged , Aged, 80 and over , Cross-Sectional Studies , Female , Hospitals , Humans , Male , Mexico , Middle Aged , SyndromeABSTRACT
BACKGROUND Angiocentric centrofacial lymphomas, now known as nasal-type extranodal natural killer T-cell lymphomas, are neoplasms of highly destructive characteristics that mainly affect the nasal cavity and palate. The most frequent clinical presentation includes fever, weight loss, nasal obstruction, epistaxis, nasal or facial edema, as well as necrotic ulcers in the nasal cavity, gums, and palate. It has been found to have an important association with the Epstein-Barr virus. Diagnostic pathology could be difficult due to the typical widespread tissue necrosis. CASE REPORT A 72-year-old Caucasian male sought medical attention with a chief complaint of nasal obstruction for the past 3 years, which only responded partially to unspecific treatment. He also presented with intermittent fever and nocturnal hyperhidrosis. Physical examination with rhinoscopy demonstrated a deviated septum, congestive turbines, and fragile and pale mucous membrane with yellowish, thick mucus. The pathology report described an angiocentric centrofacial lymphoma and a positive serology for Epstein-Barr virus. CONCLUSIONS The objective of this case report was to show that this illness represents a diagnostic challenge for the treating physician. It may be concluded that despite the poor prognosis of the disease, this particular case showed slower evolution and the patient remained stable despite multiple consecutive complications.
Subject(s)
Lymphoma, Extranodal NK-T-Cell/diagnosis , Nose Neoplasms/diagnosis , Aged , Epstein-Barr Virus Infections/diagnosis , Fever/etiology , Humans , Hyperhidrosis/etiology , Lymphoma, Extranodal NK-T-Cell/virology , Male , Nasal Obstruction/etiology , Nose Neoplasms/virologyABSTRACT
RESUMEN Antecedentes: A nivel mundial la población envejecida está aumentando y esto es seguido por un aumento en resultados negativos llamados síndromes geriátricos (SG). Un elemento clave del envejecimiento exitoso es la salud oral (SO). La alteración en los componentes de OH, como la presencia de xerostomía, se ha asociado con una mayor probabilidad de desarrollar algunos SG. Objetivos: Determinar la prevalencia de la xerostomía y sus asociaciones entre las características sociodemográfi cas, el estado de salud y algunos GS en adultos de 60 años o más, que asisten a consulta de primer nivel en México. Material y métodos: Estudio transversal en participantes de 60 años o más, reclutados en 2016. Los participantes se sometieron a una evaluación geriátrica integral (EGI), con la que se obtuvo el diagnóstico de xerostomía y SG. Se determinaron los análisis de regresión ajustados por las variables de confusión para establecer la asociación entre la xerostomía, las características sociodemográfi cas y algunos SG. Resultados: Se incluyeron 264 sujetos; la edad media fue de 73 años (DE ± 6), las mujeres representaron el 60%. En general, el 33% informó la presencia de xerostomía. Después de ajustar por edad, sexo y lectoescritura, los análisis de regresión logística múltiple mostraron una asociación signifi cativa entre la xerostomía y algunos SG (depresión y dolor). Conclusión: Este estudio mostró que la prevalencia de xerostomía es mayor en ancianos mexicanos. Estos resultados sugieren la importancia de monitorear el deterioro de la salud oral, ya que la xerostomía parece tener una infl uencia negativa en el estado de salud de los ancianos, y que la evaluación de la xerostomía debe incluirse en la evaluación geriátrica para prevenir los SG.
ABSTRACT Background: Worldwide aged population is increasing and this is followed by an increase a in negative outcome called geriatric syndromes (GS). A key element of a successful aging is oral health (OH). Alteration of OH components, such as the presence of xerostomia, have been associated with a higher probability of develop some GS. Objectives: Determine the prevalence of xerostomia and its associations between the sociodemographic characteristics, the state of health and some GS in adults of 60 years or older, who attend fi rst level consultation in Mexico. Material and methods: Transverse study in participants of 60 years or more, recruited in 2016. The participants underwent an integral geriatric evaluation (IGE), with which the diagnosis of xerostomia and GS was obtained. The adjusted regression analysis were determined by the confounding variables to establish the association between xerostomia, sociodemographic characteristics and some GS. Results: 264 subjects were included; the average age was 73 years (SD ± 6), women accounted for 60%. In general, 33% reported the presence of xerostomia. After adjusting for age, sex and literacy, multiple logistic regression analysis showed a signifi cant association between xerostomia and some GS (depression and pain). Conclusion: This study showed that the prevalence of xerostomia is higher in mexican elderly. These results suggest the importance of monitoring the deterioration of oral health, since xerostomia seems to have a negative infl uence on the state of health of the elderly and that the evaluation of xerostomia should be included in the geriatric assessment to prevent GS.
