RESUMEN
Urinary incontinence (UI) is frequent in older women but remains often neglected when they consult their physician. It is associated with numerous health and social consequences that impact on these older persons' quality of life, as well as on their health care costs. Primary care physicians should become more familiar with this frequent condition. A clinical pathway is proposed to guide them in diagnosing and managing of this debilitating condition.
Asunto(s)
Medicina General , Incontinencia Urinaria/terapia , Anciano , Femenino , HumanosRESUMEN
2012 brought additional evidence regarding the benefits of exercise in older persons in showing morbidity compression in those most active. Several studies invite to revise therapeutic targets in older diabetics, especially those with cognitive impairment or dementia where a value of 8 to 9% for HbAlc might be a good compromise. On the dementia side, a study suggests that biological and structural abnormalities associated with Alzheimer's disease might occur as early as 25 years before its first clinical manifestations. On the therapeutic side, ginkgo and the double therapy with memantine and donepezil did not make it in RCTs, and two studies about treatments for behavioral symptoms of dementia showed that interruption could be deleterious.
Asunto(s)
Geriatría/tendencias , Anciano , Demencia/epidemiología , Demencia/etiología , Demencia/prevención & control , Demencia/terapia , Diabetes Mellitus Tipo 2/sangre , Diabetes Mellitus Tipo 2/complicaciones , Diabetes Mellitus Tipo 2/epidemiología , Diabetes Mellitus Tipo 2/terapia , Geriatría/métodos , Hemoglobina Glucada/metabolismo , Humanos , Actividad Motora/fisiología , Factores de TiempoRESUMEN
Brucellosis, an "anthropophitic" disease of worldwide distribution can involve several organs and tissues but the osteoarticular disease is the most common complication. It can occur as sacroiliitis, bursitis, tenosynovitis or osteomyelitis. Prosthetic joint infection is a serious complication of total joint arthroplasty, with coagulase negative staphylococci and Staphylococcus aureus accounting for 50% of cases. Treatment of prosthetic infections remains complex. Prosthetic infections caused by Brucella spp are rarely described in the literature. We report a patient with a prosthetic joint infection due to Brucella spp, documented by a polymerase chain reaction. The patient has been cured after two-stage exchange of the prosthesis and long-term antimicrobial therapy.