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Academic literature on the topic 'Delirium in old age Japan'

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Published: 10 December 2022
Last updated: 29 January 2023

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Journal articles on the topic "Delirium in old age Japan"

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Igarashi, Masakazu, Kotoba Okuyama, Naoya Ueda, Hideki Sano, Kanae Takahashi, Zaina P Qureshi, Shigeru Tokita, Asao Ogawa, Yasuyuki Okumura, and Shoki Okuda. "Incremental medical cost of delirium in elderly patients with cognitive impairment: analysis of a nationwide administrative database in Japan." BMJ Open 12, no. 12 (December 2022): e062141. http://dx.doi.org/10.1136/bmjopen-2022-062141.

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ObjectivesDelirium is a neuropsychiatric disorder that commonly occurs in elderly patients with cognitive impairment. The economic burden of delirium in Japan has not been well characterised. In this study, we assessed incremental medical costs of delirium in hospitalised elderly Japanese patients with cognitive impairment.DesignRetrospective, cross-sectional, observational study.SettingAdministrative data collected from acute care hospitals in Japan between April 2012 and September 2020.ParticipantsHospitalised patients ≥65 years old with cognitive impairment were categorised into groups—with and without delirium. Delirium was identified using a delirium identification algorithm based on the International Classification of Diseases 10thRevision codes or antipsychotic prescriptions.Outcome measuresTotal medical costs during hospitalisation were compared between the groups using a generalised linear model.ResultsThe study identified 297 600 hospitalised patients ≥65 years of age with cognitive impairment: 39 836 had delirium and 257 764 did not. Patient characteristics such as age, sex, inpatient department and comorbidities were similar between groups. Mean (SD) unadjusted total medical cost during hospitalisation was 979 907.7 (871 366.4) yen for patients with delirium and 816 137.0 (794 745.9) yen for patients without delirium. Adjusted total medical cost was significantly greater for patients with delirium compared with those without delirium (cost ratio=1.09, 95% CI: 1.09 to 1.10; p<0.001). Subgroup analyses revealed significantly higher total medical costs for patients with delirium compared with those without delirium in most subgroups except patients with hemiplegia or paraplegia.ConclusionsMedical costs during hospitalisation were significantly higher for patients with delirium compared with those without delirium in elderly Japanese patients with cognitive impairment, regardless of patient subgroups such as age, sex, intensive care unit admission and most comorbidities. These findings suggest that delirium prevention strategies are critical to reducing the economic burden as well as psychological/physiological burden in cognitively impaired elderly patients in Japan.
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Kimura, Yutaka, Osamu Shiraishi, Hisato Kawakami, Hiroto Ueda, Mitsuru Iwama, Hiroaki Kato, Tatsuya Okuno, et al. "PS02.112: A RETROSPECTIVE STUDY OF NEOADJUVANT 5-FU, DOCETAXEL, AND NEDAPLATIN (UDON) COMBINATION CHEMOTHERAPY FOR ADVANCED ESOPHAGEAL CANCER." Diseases of the Esophagus 31, Supplement_1 (September 1, 2018): 152–53. http://dx.doi.org/10.1093/dote/doy089.ps02.112.

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Abstract Background In Japan, pre-operative5-FU and cisplatin (CDDP) (FP) combination therapy has been the standard neoadjuvant chemotherapy (NAC) for advanced resectable esophageal cancer (EC), whereas the efficacy of docetaxel (DTX)-containing triplet regimen, FP plus DTX has been reported (Yamasaki M, et al, Ann Oncol 2017). However, for frail patients, such as patients with old age, chronic renal failure, poor performance status, severe commodities or malnutrition, high dose CDDP is not generally recommended in terms of toxicity. We have been developing non-CDDP-containing triplet regimen, 5-FU, DTX, and nedaplatin (NED) (UDON) on a phase I/II trial basis. This retrospective study aimed to investigate the safety and efficacy of NAC with UDON combination for advanced EC. Methods Eleven patients with advanced resectable EC who were unsuitable for the administration of high dose CDDP were enrolled in this study. Patients received two cycles of NAC with UDON (5-FU, 640 or 800 mg/m2, day1–5, DTX, 28 or 35 mg/m2, day1 and 15 and NED, 72 or 90 mg/m2, day1, q28) followed by esophagectomy. Primary endpoint was response rate and secondary endpoint was adverse event (AE). Results The median age was 73 years (range: 58–80) with eight patients being aged 70 or older. ECOG PS was 1/2: 7/4. The main location of the tumor was Ce/Ut/Mt/Lt/Ae: 1/1/7/1/1 and cStage was IIA/IIB/IIIA/IIIB/IIIC/IV: 2/2/4/0/2/1. The RR (CR + PR) was 82% (CR/PR/SD/PD: 1/8/2/0). The pathological response was grade 0/1a/1b/2/3: 2/3/3/2/1. Major grade 3 or 4 adverse events included neutropenia (27%), febrile neutropenia (27%), diarrhea (18%), enteritis (9%) and hyponatremia (27%). The postoperative morbidity included recurrent nerve palsy (36%), aspiration (27%), pneumonia (18%), anastomotic leakage (9%) and delirium (36%). There was no treatment-related death and no reoperation. Conclusion NAC with UDON for advanced resectable EC unsuitable for the administration of high dose CDDP might be feasible and effective. We are planning a phase II clinical study based on the present results. Disclosure All authors have declared no conflicts of interest.
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Bostwick, John Michael. "Delirium in old age." Clinical Neurophysiology 115, no. 6 (June 2004): 1487–88. http://dx.doi.org/10.1016/j.clinph.2004.01.024.

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Jellinger, K. A. "Delirium in old age." European Journal of Neurology 10, no. 2 (March 2003): 194–95. http://dx.doi.org/10.1046/j.1468-1331.2003.05484.x.

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DaPonte, G., M. Lobo, S. Fernandes, V. VilaNova, and A. Paiva. "P-1020 - Delirium in old age." European Psychiatry 27 (January 2012): 1. http://dx.doi.org/10.1016/s0924-9338(12)75187-8.

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J, Dr Nimitha K., and Dr Jini Thomas. "A Study of Old Age Delirium and Quality of Life of Family Caregivers." SAR Journal of Psychiatry and Neuroscience 3, no. 3 (October 15, 2022): 45–54. http://dx.doi.org/10.36346/sarjpn.2022.v03i03.004.

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Objectives: To study the aetiology of patients of delirium in old age, to study the severity of delirium in old age and to study the quality of life of family caregivers of delirium patients. Design: Prospective, observational, and cross sectional. Setting: Inpatient tertiary care hospital setting. Participants: Subjects with the diagnosis of Delirium qualifying according to ICD-10 (international classification of disease-10) and confirmed with CAM scale aged >60 years and Patient or patient’s family members willing to give consent. Measurements: Socio-demographic questionnaire, Confusion assessment method, Delirium index, Delirium aetiology check list, ICD -10 DCR, WHO QOL BREF and the Barthel index. Results: There is no significant association between delirium severity and WHOQoL. There is no significant association between Barthel index and WHOQoL. There is no significant association between WHOQoL and delirium aetiologies. There is no significant association between gender and WHOQoL. There is no significant association between marital status and WHOQoL. There is no significant association between religion and WHOQoL. There is no significant association between WHOQol and education. There is significant association between WHOQoL and occupation. Emloyed subjects have better quality of life than unemployed. There is no significant association between WHO QoL and residence. There is no significant association between WHOQoL and duration of delirium. There is no significant association between WHOQoL and medical comorbidities. There is no significant association between WHOQoL and substance use. There is no significant association between medical comorbidities and delirium aetiology. There is significant association between delirium severity and duration of delirium. As duration of delirium increases severity of delirium increases. There is no significant association between duration of delirium and delirium aetiology. There is no significant association between delirium severity and medical comorbidities. Conclusions: In this study results showed that there is significant association between delirium is an acute illness with sudden onset with maximum percentage of duration 2-4 weeks, delirium is more in males than females, majority of the care givers are spouses and parents, multiple aetiologies, diminished psychological QoL are associated with increased care giver burden. Family history of delirium is associated with better care giver burden. Employed subjects with delirium have better overall QoL. As duration of delirium increases, delirium severity increases.
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Singler, K., U. Thiem, M. Christ, P. Zenk, R. Biber, C. C. Sieber, and H. J. Heppner. "Aspects and assessment of delirium in old age." Zeitschrift für Gerontologie und Geriatrie 47, no. 8 (April 13, 2014): 680–85. http://dx.doi.org/10.1007/s00391-014-0615-z.

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Cole, Martin G. "Subsyndromal delirium in old age: conceptual and methodological issues." International Psychogeriatrics 25, no. 6 (April 11, 2013): 863–66. http://dx.doi.org/10.1017/s1041610213000434.

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Delirium is a cognitive disorder characterized by acute onset, fluctuating course, altered level of consciousness, inattention, disorganized thinking, disorientation, memory impairment, and perceptual and motor disturbances (American Psychiatric Association, 2000; World Health Organization, 2010). It occurs in hyperactive, hypoactive, or mixed forms in up to 42% of older hospital inpatients (Siddiqi et al., 2006) and 70% of older long-term care residents (McCusker et al., 2011). In both settings, delirium is independently associated with poor outcomes (Siddiqi et al., 2006; McCusker et al., 2010; Witlox et al., 2010).
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Gondo, Yasuyuki. "Technology and old age in Japan." Angewandte GERONTOLOGIE Appliquée 1, no. 1 (January 2016): 28–30. http://dx.doi.org/10.1024/2297-5160/a000017.

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Abstract. The population of older people has been increasing in the last few decades in Japan. This larger demographical shift provided new business opportunities to companies. Innovative technologies and services for older people have been developing. Some of these are already at work; further technological revolution seems to promise “successful” aging for the future super-aging society. This report provides an overview of technologies currently applied with older people and introduces some examples of new technologies developing in Japan.
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Han, Jin H., Candace D. McNaughton, William B. Stubblefield, Peter S. Pang, Phillip D. Levy, Karen F. Miller, Sarah Meram, et al. "Delirium and its association with short-term outcomes in younger and older patients with acute heart failure." PLOS ONE 17, no. 7 (July 26, 2022): e0270889. http://dx.doi.org/10.1371/journal.pone.0270889.

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Younger patients (18 to 65 years old) are often excluded from delirium outcome studies. We sought to determine if delirium was associated with short-term adverse outcomes in a diverse cohort of younger and older patients with acute heart failure (AHF). We conducted a multi-center prospective cohort study that included adult emergency department patients with confirmed AHF. Delirium was ascertained using the Brief Confusion Assessment Method (bCAM). The primary outcome was a composite outcome of 30-day all-cause death, 30-day all-cause rehospitalization, and prolonged index hospital length of stay. Multivariable logistic regression was performed, adjusting for demographics, cognitive impairment without delirium, and HF risk factors. Older age (≥ 65 years old)*delirium interaction was also incorporated into the model. Odds ratios (OR) with their 95% confidence intervals (95%CI) were reported. A total of 1044 patients with AHF were enrolled; 617 AHF patients were < 65 years old and 427 AHF patients were ≥ 65 years old, and 47 (7.6%) and 40 (9.4%) patients were delirious at enrollment, respectively. Delirium was significantly associated with the composite outcome (adjusted OR = 1.64, 95%CI: 1.02 to 2.64). The older age*delirium interaction p-value was 0.47. In conclusion, delirium was common in both younger and older patients with AHF and was associated with poorer short-term outcomes in both cohorts. Younger patients with acute heart failure should be included in future delirium outcome studies.
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Dissertations / Theses on the topic "Delirium in old age Japan"

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King, Christopher, and mikewood@deakin edu au. "Images of embodied old age in contemporary Japan." Deakin University. School of Social Inquiry, 1999. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20060719.155237.

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Since the late 1980s, representations of Japanese national identity and Japanese old age have been deconstructed. Images of the resilience of traditional cultural and social institutions are shown to have over-emphasized social and cultural homogeneity, elided social differentiation and inequality and minimized the significance of historical transformation. Key institutions of the postwar modernization project, including the patriarchal seniority system and household structure, are being transformed through globalization and feminization. This thesis focuses on the problem of representing individual and collective ageing in Japan in the context of modernization. Research is focussed on the contradictions, within essentialist representations of Japanese collective and individual identity, between socially constructed policy forms of old age and collective identities. Contemporary trends towards individualization and diversification of identities, and discourses on the ageing/information society, indicate cultural distance between an instrumentally rational administration and the life world of old people. Research explores the concept of embodiment through its significance in debates on postmodernization of the lifecourse in accordance with the structural shifts towards a postindustrial structure. This study examines representations of old age in broader social and cultural processes. Images of the social and cultural trajectory of the lifecourse draw attention to the embodiment of individual identities and ultimately generational cultures in contemporary social and cultural spaces. This research is the result of analyses of old age, which have been informed by postmodern theory. It in turn informs sociological theorizations of cultural representations of old age in contemporary societies.
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Hon, Suet, and 韓雪. "Effectiveness of multi-factorial interventions in reducing post-operative delirium among elderly patients with hip fracture." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193053.

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According to the World Health Organisation, hip fracture among elderly people is a global public health problem, with 1.7 million cases worldwide in 1991, a figure due to the aging population and believed likely to increase. Post-operative delirium is a common complication following hip-fracture surgery, and occurs in 25% to 65% of cases (Gustafson 1988). It not only affects the rehabilitation progress of the elderly, but also prolongs hospitalisation, which in turn increases the financial burden on the government. There are different ways of managing post-operative delirium among the elderly, including pharmacological and multifactorial interventions and education programmes. However, there is no standard nursing management of post-operative delirium in Hong Kong, and this affects both patient care and nursing standards. According to the National Institute for Health and Clinical Excellence (2011), multifactorial intervention is cost-effective and an effective method of reducing postoperative delirium, where nurses play an important role as gatekeepers, and thus allow such intervention to be introduced into the clinical setting. With this in mind, translational nursing research was performed by a review of four studies, to introduce the concept of multifactorial intervention to nurses, to formulate the implementation for the intervention, and finally to obtain feedback from colleagues.
published_or_final_version
Nursing Studies
Master
Master of Nursing
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Kavedžija, Iza. "Meaning in life : tales from aging Japan." Thesis, University of Oxford, 2012. http://ora.ox.ac.uk/objects/uuid:feac1aa8-f74f-44d2-a089-8fcf5eee6d6d.

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Amidst widespread concerns about aging on several levels ranging from the personal to the societal, this dissertation examines the construction of meaning in life and older age in contemporary Japan. Based on an ethnographic account of a community salon in Southern Osaka, it explores the experiences of older people and their ideas of the good and meaningful life, while arguing that than an anthropology of the elderly can reveal a far wider scope of issues than aging alone. Drawing on a socio-narratological approach, I show how stories connect people, form a shared body of knowledge, inform our understanding of the everyday, and provide frameworks for our choices. I argue that the capacity of narratives to create coherence and make sense of seemingly random and unconnected events can help to reveal existential issues, and that narrative analysis may therefore be a powerful tool for creating an existential anthropology capable of elucidating and understanding deeply personal dilemmas in their social and cultural context. The ethnography and life stories of elderly salon goers, volunteers and others involved in a local Non-Profit Organisation raise important issues of autonomy and dependence, sociality and isolation, care and concern. People express concern for others through practices ranging from gift-giving, visiting, balanced forms of polite yet friendly discourse, the provision of information, and volunteering in the salon and beyond. I argue that older Japanese are as much providers of care as recipients of it, thereby challenging the constructed image of the elderly as frail and dependent, even though maintaining independence relies paradoxically on cultivating multiple dependencies on others. Navigating the tensions between the benefits of rich social ties and a desired level of separation in which the burden imposed is minimised, or between dependence and freedom, emerges as central to the balancing acts required for living well.
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Danely, Jason Allen. "Departure and return abandonment, memorial and aging in Japan /." Diss., Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC campuses, 2008. http://wwwlib.umi.com/cr/ucsd/fullcit?p3324442.

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Thesis (Ph. D.)--University of California, San Diego, 2008.
Title from first page of PDF file (viewed October 3, 2008). Available via ProQuest Digital Dissertations. Vita. Includes bibliographical references (p. 364-391).
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Tran, Michael. "Factors associated with postoperative delirium in the geriatric population : implications for nursing intervention." Honors in the Major Thesis, University of Central Florida, 2001. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/306.

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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.
Bachelors
Health and Public Affairs
Nursing
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Young-Zen, Chou, and 鄒永仁. "A study of The Old-age Pension of Japan." Thesis, 1995. http://ndltd.ncl.edu.tw/handle/31454416435122270299.

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Shen, Yiwen. "The Female Body, Motherhood, and Old Age: Representations of Women in Hell in Sixteenth and Seventeenth Century Japan." Thesis, 2021. https://doi.org/10.7916/d8-eb4v-jh61.

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My dissertation, The Female Body, Motherhood, and Old Age: Representations of Women in Hell in Sixteenth and Seventeenth Century Japan, examines the literary and visual representations of women in hell in late medieval and early modern Japan, with particular attention to the female body, motherhood, and old age. My focus is the late Muromachi and early Edo periods, when a constellation of new hells began to be conceptualized that had serious ramifications for representation of women. I examine a group of otogizōshi texts and hell paintings of the sixteenth and seventeenth centuries, which were disseminated widely through different media (picture scrolls, screen paintings, and narrative texts) and which generated a set of motifs representing women in the afterlife. I relate the emergence of these motifs to the larger history of the discursive construction of the female body and the evolution of representations of hell in premodern Japan. I argue that in the sixteenth and seventeenth centuries, representations of women in hell in these texts and paintings shifted in their focus to domestic relationships, specifically mother-child and wife-husband relationships. This change is best exemplified by the late medieval set of gendered hells (The Hell of Barren Women, The Hell of Two Wives, and Children’s Limbo), which represent the body of the woman from three perspectives: 1) as infertile (as in the Hell of Barren Women), 2) as related to animals (such as the serpentine queen in Daibutsu no go-engi (The Venerable Origins of the Great Buddha) and the serpent-women in the Hell of Two Wives), and 3) as stigmatized or punished for excess desire/attachment in their mother-child and wife-husband relationships (as in the Hell of Two Wives). This dissertation also analyzes woman as erotic object, as mother, and as aging body from a comparative Japan-China perspective. By comparing similar motifs that emerged at approximately the same historical moments—the snake queen falling into hell in Daibutsu no go-engi with the snake queen in “Empress Xi turning into a python,” and Datsueba (Clothes-snatching Hag) with Meng Po (Lady of Forgetfulness)—I am able to highlight distinctive features of these new hells for women as well as compare the differing functions of hell shown by these Japanese and Chinese examples. In Chapter 1, “Women Falling Into Hell in Early Medieval Japan,” I analyze three early medieval tales of women journeying to and from Tateyama hell in the eleventh-century Dai Nihonkoku Hokkekyō genki and twelfth-century Konjaku monogatari shū in order to provide background for my later discussion on the new concerns for women that emerged in the sixteenth and seventeenth centuries. I show how the salvation of the deceased female protagonists depended on the proper rituals being performed by family members and I make clear the significance that motherhood was accorded in early medieval Buddhist tales of women in hell. I then examine how representations of women evolved and became more complex in the sixteenth and seventeenth centuries with the emergence of the Hell of Barren Women, where childless women are punished, and the Hell of Two Wives, in which two serpent women coil their bodies around a man with whom they had become involved in a triangular relationship. In Chapter 2, “Barren Women Hells and Daibutsu no go-engi (The Venerable Origins of the Great Buddha),” I show how the Hell of Barren Women stresses the reproductive responsibilities of women. The representations of the Hell of Barren Women, reflecting a growing female audience in the late Muromachi and early Edo periods, are clear evidence of a belief that it is motherhood that is a woman’s passport to salvation. In Chapter 3, I examine “The Serpentine Queen and the Chinese Tale of Empress Xi Hui Turning Into a Python.” A comparison with Daibutsu no go-engi shows that the Chinese stories about Empress Xi focus more on the feelings and observations of the living, while Daibutsu no go-engi stresses the accumulation and elimination of negative karma. Chapter 4, “The Hell of Two Wives: Transformed Women and the Jealousy of Joint-Wives,” examines the motif of the “transformed woman” found in the Lotus Sutra, the eleventh-century Hokke genki, and the mid-sixteenth century Dōjōji engi, showing how a negative connection between women and the dragon-serpent body was established, and how the animalized female body relates to the question of desire. The entwined threesome in the Hell of Two Wives not only exemplifies a domestic narrative of betrayal and resentment; it also shows a transition from a general stigmatization of the female body towards a more specific condemnation of lust, jealousy, and resentment—which are all gendered female. In the sixteenth and seventeenth centuries, women’s roles evolved to reflect a desire to maintain the stability of family. At the same time, these representations began focusing more on situations in which women’s efforts to control body or mind met with failure. Chapter 5, “Old Women as Keepers of the Borders: Datsueba and Meng Po,” analyzes two figures of hags in hell: Datsueba in Japan and Meng Po in China. While Datsueba watches over the dead as they descend to the depths of hell to receive judgment, Meng Po cares for them as they make their way out of hell to achieve reincarnation. I argue that both Datsueba and Meng Po reinforce the border of hell by depriving the deceased of their social identities, but while Datsueba punishes and purifies the deceased, Meng Po focuses on the transitional stage between death and the next life, and her memory-erasing function shows that, paradoxically, in Chinese hell deceased souls are not liberated from the basic Confucian relationships that are so important to the living.
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Tsukada, Noriko. "Factors that affect implementation of the health and welfare plan for the elderly in Japan a variance model of policy implementation /." 1997. http://catalog.hathitrust.org/api/volumes/oclc/41253697.html.

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Ouellette, Nadine. "Changements dans la répartition des décès selon l'âge : une approche non paramétrique pour l'étude de la mortalité adulte." Thèse, 2011. http://hdl.handle.net/1866/5055.

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Au cours du siècle dernier, nous avons pu observer une diminution remarquable de la mortalité dans toutes les régions du monde, en particulier dans les pays développés. Cette chute a été caractérisée par des modifications importantes quant à la répartition des décès selon l'âge, ces derniers ne se produisant plus principalement durant les premiers âges de la vie mais plutôt au-delà de l'âge de 65 ans. Notre étude s'intéresse spécifiquement au suivi fin et détaillé des changements survenus dans la distribution des âges au décès chez les personnes âgées. Pour ce faire, nous proposons une nouvelle méthode de lissage non paramétrique souple qui repose sur l'utilisation des P-splines et qui mène à une expression précise de la mortalité, telle que décrite par les données observées. Les résultats de nos analyses sont présentés sous forme d'articles scientifiques, qui s'appuient sur les données de la Human Mortality Database, la Base de données sur la longévité canadienne et le Registre de la population du Québec ancien reconnues pour leur fiabilité. Les conclusions du premier article suggèrent que certains pays à faible mortalité auraient récemment franchi l'ère de la compression de la mortalité aux grands âges, ère durant laquelle les décès au sein des personnes âgées tendent à se concentrer dans un intervalle d'âge progressivement plus court. En effet, depuis le début des années 1990 au Japon, l'âge modal au décès continue d'augmenter alors que le niveau d'hétérogénéité des durées de vie au-delà de cet âge demeure inchangé. Nous assistons ainsi à un déplacement de l'ensemble des durées de vie adultes vers des âges plus élevés, sans réduction parallèle de la dispersion de la mortalité aux grands âges. En France et au Canada, les femmes affichent aussi de tels développements depuis le début des années 2000, mais le scénario de compression de la mortalité aux grands âges est toujours en cours chez les hommes. Aux États-Unis, les résultats de la dernière décennie s'avèrent inquiétants car pour plusieurs années consécutives, l'âge modal au décès, soit la durée de vie la plus commune des adultes, a diminué de manière importante chez les deux sexes. Le second article s'inscrit dans une perspective géographique plus fine et révèle que les disparités provinciales en matière de mortalité adulte au Canada entre 1930 et 2007, bien décrites à l'aide de surfaces de mortalité lissées, sont importantes et méritent d'être suivies de près. Plus spécifiquement, sur la base des trajectoires temporelles de l'âge modal au décès et de l'écart type des âges au décès situés au-delà du mode, les différentiels de mortalité aux grands âges entre provinces ont à peine diminué durant cette période, et cela, malgré la baisse notable de la mortalité dans toutes les provinces depuis le début du XXe siècle. Également, nous constatons que ce sont précisément les femmes issues de provinces de l'Ouest et du centre du pays qui semblent avoir franchi l'ère de la compression de la mortalité aux grands âges au Canada. Dans le cadre du troisième et dernier article de cette thèse, nous étudions la longévité des adultes au XVIIIe siècle et apportons un nouvel éclairage sur la durée de vie la plus commune des adultes à cette époque. À la lumière de nos résultats, l'âge le plus commun au décès parmi les adultes canadiens-français a augmenté entre 1740-1754 et 1785-1799 au Québec ancien. En effet, l'âge modal au décès est passé d'environ 73 ans à près de 76 ans chez les femmes et d'environ 70 ans à 74 ans chez les hommes. Les conditions de vie particulières de la population canadienne-française à cette époque pourraient expliquer cet accroissement.
Over the course of the last century, we have witnessed major improvements in the level of mortality in regions all across the globe, in particular in developed countries. This remarkable mortality decrease has also been characterized by fundamental changes in the mortality profile by age. Indeed, deaths are no longer occurring mainly at very young ages but rather at advanced ages such as above age 65. Our research focuses on monitoring and understanding historical changes in the age-at-death distribution among the elderly population. We propose a new flexible nonparametric smoothing approach based on P-splines leading to detailed mortality representations, as described by actual data. The results are presented in three scientific papers, which rest upon reliable data taken from the Human Mortality Database, the Canadian Human Mortality Database, and the Registre de la population du Québec ancien. Findings from the first paper suggest that some low mortality countries may have recently reached the end of the old-age compression of mortality era, where deaths among the elderly population tend to concentrate into a progressively shorter age interval over time. Indeed, since the early 1990s in Japan, the modal age at death continues to increase while reductions in the variability of age at death above the mode have stopped. Thus, the distribution of age at death at older ages has been sliding towards higher ages without changing its shape. In France and Canada, women show such developments since the early 2000s, whereas men are still boldly engaged in an old-age mortality compression regime. In the USA, the picture for the latest decade is worrying because for several consecutive years in that timeframe, women and men have both recorded important declines in their modal age at death, which corresponds to the most common age at death among adults. The second paper takes a look within national boundaries and examines regional adult mortality differentials in Canada between 1930 and 2007. Smoothed mortality surfaces reveal that provincial disparities among adults in general and among the elderly population in particular are substantial in this country and deserve to be monitored closely. More specifically, based on modal age at death and standard deviation above the mode time trends, provincial disparities at older ages have barely reduced during the period studied, despite the great mortality improvements recorded in all provinces since the early XXth century. Also, we find that women who have reached the end of the old-age compression of mortality era in Canada are respectively those of Western and Central provinces. The last paper focuses on adult longevity during the XVIIIth century in historical Quebec and provides new insight on the most common adult age at death. Indeed, our analysis reveals that the modal age at death increased among French-Canadian adults between 1740-1754 and 1785-1799. In 1740-1754, it was estimated at 73 years among females and at about 70 years among males. By 1785-1799, modal age at death estimates were almost 3 years higher for females and 4 years higher for males. Specific living conditions of the French-Canadian population at the time could explain these results.
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Books on the topic "Delirium in old age Japan"

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1947-, Macdonald Alastair, and Starke Ian, eds. Delirium in the elderly. Oxford: Oxford University Press, 1990.

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Getreuer-Kargl, Ingrid. Old age in Japan: Long-term statistics. Wien: Institut für Japanologie, Universität Wien, 1987.

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Byrne, Eleanor Jane. Confusional states in older people. London: E. Arnold, 1994.

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Byrne, Eleanor Jane. Confusional states in older people. London: E. Arnold, 1994.

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Kargl, Ingrid. Old age in Japan: Long-term statistics /Ingrid Kargl. Wien: Institut für Japanologie der Universität Wien, 1987.

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A, Bass Scott, Morris Robert 1910-, and Oka Masato, eds. Public policy and the old age revolution in Japan. New York: Haworth Press, 1996.

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Clark, Robert Louis. Retirement systems in Japan. Homewood, IL: Published for the Pension Research Council of the Wharton School by Irwin, 1991.

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Maderdonner, Megumi. Old age in Japan: An annotated bibliography of Japanese books. Wien: Institut für Japanologie, Universität Wien, 1987.

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Murakami, Kiyoshi. Retirement benefits and pension plans in Japan. Tokyo: Sophia University, 1985.

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1927-, Butler Robert N., and Kiikuni Kenzō 1933-, eds. Who is responsible for my old age? New York: Springer Pub. Co., 1993.

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Book chapters on the topic "Delirium in old age Japan"

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Nagaratnam, Kujan. "Delirium in the Oldest of Old." In Advanced Age Geriatric Care, 287–96. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-96998-5_32.

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Hiramatsu, Makoto, Mari Ishida, Yukio Tonozuka, Hiroko Mikami, Toshio Yamanari, Noriya Momoki, Akifumi Onishi, and Keisuke Maruyama. "Application of Peritoneal Dialysis in Elderly Patients by Classifying the Age into Young-Old, Old, and Oldest-Old." In Home Dialysis in Japan, 48–56. Basel: S. KARGER AG, 2012. http://dx.doi.org/10.1159/000336935.

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Ogawa, Reiko. "When Local Meets Global: The Changing Face of Old-Age Care in Japan." In The Global Old Age Care Industry, 31–55. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-16-2237-3_2.

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Kumagai, Fumie. "Late-Life Divorce in Japan Revisited: Effects of the Old-Age Pension Division Scheme." In Family Issues on Marriage, Divorce, and Older Adults in Japan, 119–37. Singapore: Springer Singapore, 2014. http://dx.doi.org/10.1007/978-981-287-185-5_6.

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Saito, Yasuhiko, Futoshi Ishii, and Jean-Marie Robine. "Centenarians and Supercentenarians in Japan." In Demographic Research Monographs, 125–45. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-49970-9_10.

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AbstractIn this chapter, we use censuses, lists of centenarians, and vital statistics to describe the demography of centenarians, defined as the group of people who are 100 years old or older. We also refer to the group of people between the ages of 105 and 109 as semi-supercentenarians. Finally, we refer to those individuals who reach the age of 110 and beyond as supercentenarians. Although our ability to describe centenarians using these data is currently very limited, censuses and the lists of centenarians can be used to determine the number of people who survive to age 100 or older. Moreover, vital statistics provides the number of deaths, by single year of age and by sex, for those who died above the age of 100 since 1899. Our study examines trends in the highest ages at death for each year between 1963 and 2015, and shows increasing trends during this period. Using the number of deaths and applying the extinct cohort method, we estimate the level of mortality of people aged 100 or older, as well as trends in mortality. We observe decreasing trends in mortality levels among people who have reached very high ages, even as mortality continues to increase with age until very high ages.
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Bird, Isabella L. "A Fantastic Jumble—The “Quiver” of Poverty—The Water-shed—From Bad to Worse—The Rice Planter’s Holiday—A Diseased Crowd—Amateur Doctoring—Want of Cleanliness—Rapid Eating—Premature Old Age." In Unbeaten Tracks in Japan, 92–95. (Isabella Lucy), 1831–1904-Correspondence 3.Japan- Description and travel 4.Japan-: Routledge, 2019. http://dx.doi.org/10.4324/9781315788715-15.

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Gondo, Yasuyuki, Nobuyoshi Hirose, Saori Yasumoto, Yoshiko Lily Ishioka, Hiroki Inagaki, Yukie Masui, Yasumichi Arai, and Yasuhiko Saito. "Age Verification of Three Japanese Supercentenarians Who Reached Age 115." In Demographic Research Monographs, 297–316. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-49970-9_21.

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AbstractThis chapter describes the data sources that are available for verifying the ages of the oldest-old in Japan. These sources can be both official and non-official documents. The official documents consist primarily of education and employment records issued by administration offices. The non-official documents include the testimonies of the centenarians themselves, their relatives, and their care workers; as well as media reports. We collected information from these official and non-official sources in order to confirm that three Japanese individuals who had reportedly survived to age 115 were indeed that old. The first of these individuals is Mr. Jiroemon Kimura (J.K.), who spent most of his life in his birth place. In his case, we were able to gather information from various sources, including from official and non-official documents. But for the other two individuals, Mrs. Misao Okawa (M.O.) and Mrs. Chiyo Miyako (C.M.), who relocated several times within urban areas, we were able to collect only a limited amount of information. In particular, we were unable to find many official documents about their original family members. These three cases suggest that the availability of the data needed to verify the ages of individuals who were born around 1900 might differ depending on the following three conditions: whether the person has moved from his/her place of birth, whether the person has been living in rural or urban areas, and whether the person is male or female.
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Bird, Isabella L. "A Simple Nature-Worship—Aino Gods—A Festival Song—Religious Intoxication—Bear-Worship—The Annual Saturnalia—The Future State—Marriage and Divorce—Musical Instruments—Etiquette—The Chieftainship—Death and Burial—Old Age—Moral Qualities." In Unbeaten Tracks in Japan, 273–84. (Isabella Lucy), 1831–1904-Correspondence 3.Japan- Description and travel 4.Japan-: Routledge, 2019. http://dx.doi.org/10.4324/9781315788715-48.

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Sheehan, Bart, Salman Karim, and Alistair Burns. "Delirium." In OSH Old Age Psychiatry, 75–94. Oxford University Press, 2009. http://dx.doi.org/10.1093/med/9780199216529.003.0003.

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Sundram, Fred, David Meagher, and Sachin Jauhari. "Delirium." In Seminars in Old Age Psychiatry, 54–66. Cambridge University Press, 2019. http://dx.doi.org/10.1017/9781108593946.005.

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Conference papers on the topic "Delirium in old age Japan"

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Cenci, Giulia, Daniel Lima Varela, Fábio Pacheco Martins, and Caroline Calice da Silva. "CLINICAL CHARACTERIZATION OF PATIENTS WITH DELIRIUM." In XIII Meeting of Researchers on Alzheimer's Disease and Related Disorders. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1980-5764.rpda081.

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Background: Considering that Delirium is a very common neuropsychiatric disorder, it is very important that the characteristics and clinical evolution of patients who develop the condition are thoroughly known. Objective: Describe the clinical profile of patients with Delirium in order to help in the discernment of the most prevalent risk factors and the characteristics of involvement of Delirium. Methods: Descriptive, quantitative and prospective study, which analyzed epidemiological and medical history data, collected through interviews and data from medical records in a tertiary hospital, from March to June 2021. Results: The sample consisted of 5 individuals, with a mean age of 74.2 years, with a predominance of males. All of them had previous comorbidities and forty percent had previous dementia. Among the interviewees, only one presented the development of the Delirium condition as a reason for admission, the majority (80%) was hospitalized for other clinical conditions and developed Delirium only after admission. It was observed that a large part of the sample (60%) was in polypharmacy, and the only individuals with Delirium under 60 years old used 5 or more medications and had HIV infection. Conclusion: The most effective way to reduce the incidence rates of Delirium, improve the prognosis and assist in early diagnosis is through the recognition of associated factors and the characteristics of the most affected population, in order to identify individuals at risk and be able to promote more targeted prevention strategies.
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Azevedo, Wylson, Eduardo Augusto Schutz, Mayara Menezes Attuy, Thamara Graziela Flores, and Melissa Agostini Lampert. "Prediction model to delirium in hospitalized elderly people." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.478.

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Introduction: Delirium has a high prevalence in hospitalized elderly patients. This is due to low hospital detection and the absence of a screening instrument. Objective: evaluate predictive variables in the development of delirium in na in-hospital environment. Methods: Cross-sectional study. Data collection was carried out between 2015-2016, with a sample of 493 elderly people. The variables used were age, sex, the reason for hospitalization, Identification of Elderly at Risk (ISAR), delirium during hospitalization using the Confusion Assessment Method, frailty using the Edmonton Scale, the impact of comorbidities by the Charlson Index and hospital immobility. Predictive variables were identified through logistic regression. Results: 469 elderly people were taken. The presence of delirium during hospitalization was mostly observed between 80 and 89 years old (n = 12), female (n = 16), with the most common reasons for hospitalization due to fractures (n = 6) and accident brain vascular (n = 11), 79% chance of surviving in one year using the Charlson Index (n = 11) and with ISAR> 2 (n = 26). There are important associations for the development of delirium for patients who have a 98% chance of surviving in one year (p = 0.05) and with ISAR <2 (p = 0.027), with a 34% increased chance and 38%, respectively. Conclusion: It is observed that, by the results, the predictive variables of inhospital delirium are patients with a 98% chance of survival and with ISAR <2.
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Costa, Gustavo Carvalho, Carolina Maria Marin, Igor Braga Farias, Bruno de Mattos Lombardi Badia, Emília Correia Souto, Icaro França Navarro Pinto, Roberta Ismael Lacerda Machado, Paulo Victor Sgobbi de Souza, Wladimir Bocca Vieira de Rezende Pinto, and Acary Souza Bulle Oliveira. "Self-mutilation as a clinical manifestation of Cerebrotendinous Xanthomatosis." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.063.

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Introduction: Cerebrotendinous xanthomatosis (CTX) is a rare neurological entity, which consists of an autosomal recessive inherited disorder of bile acid biosynthesis due to CYP27A1 variants, with variable systemic and neurological clinical presentation. Psychiatric signs are also observed at early adulthood and includes behavioral and personality changes, depression and psychosis. However, self-mutilation has not been previously described. Case report: We attend to two sisters with a unique clinical presentation. The first patient, 33 years old, presented epilepsy at 17, in addition to cognitive impairment and tendon xanthomas. A severe depressive condition was established at 25. A year ago, she had frequent bites on his lips and tongue. The second patient, 28 years old, had chronic diarrhea and juvenile cataract in childhood. Axial ataxia has been observed since age 18. After 3 years, she presented psychiatric decline marked by visual, auditory hallucinations and persecutory delirium. Four months ago she showed signs of self-mutilation with a sting in the phalanges of his hands. Both patients had elevated plasma cholestanol and 7-dehydro-cholesterol. The genetic test showed a homozygous c.1183 C>T (p.Arg395Cys) variant in the CYP27A1 gene. Conclusion: The reports illustrate the relevance of self-mutilation in CTX, an unprecedented clinical presentation that should be remembered as another differential diagnosis with this phenomenology.
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Morrone, Michelle Henault, and Yumi Matsuyama. "A CALL FOR DIVERSITY TRAINING FOR CHILDREN IN JAPAN." In International Conference on Education and New Developments. inScience Press, 2022. http://dx.doi.org/10.36315/2022v1end054.

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"Growing diversity in Japan's population has not been matched by changes in attitudes regarding ""difference."" The old notion of racial and cultural homogeneity still holds sway in Japan, especially within the official education system. This has led to a disconnect between classroom realities and government policies which do little to address the changing needs of an increasingly diverse student body. For historical reasons, and as a result of more recent demographic trends, there are now large numbers of Koreans, Brazilians, South Asians and other foreign nationals in Japan. Many of these foreign residents have children attending Japanese public schools that were never intended to educate anyone but Japanese students. Moreover, marginalized groups such as members of the LGBTQ and special needs communities are gaining an increasing presence both in public awareness and within the public school system. Despite these changes, changes that are only accelerating, the official school system has done little to foster changes in attitude toward people who are different from the idealized norm. In addition, studies show that these sorts of attitudes can become fixed at a very early age, effectively at the preschool level. This has led us to produce a children’s book intended to serve as a form of diversity training for young children. In this way we hope to encourage more open and accepting attitudes among those who will grow up in an ever more diverse Japan."
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Suzuki, Kenichi, Hidefumi Kawauchi, and Hiroshi Abe. "Test Programs for Degraded Core Shroud and PLR Piping: Simulated Crack Models and Input Seismic Waves for Shaking Test." In ASME 2006 Pressure Vessels and Piping/ICPVT-11 Conference. ASMEDC, 2006. http://dx.doi.org/10.1115/pvp2006-icpvt-11-93118.

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Since the age-related degradation of structures and components in nuclear power plants has been a key issue regarding assessments of seismic safety, the Japan Nuclear Energy Safety Organization (JNES) initiated seismic test programs in fiscal 2004 for the degraded core shroud and primary loop recirculation (PLR) system piping used in old BWR plants. The objectives were to: i) obtain a better understanding of the vibration characteristics and seismic strength of degraded structures and components having cracks due to aging, ii) ensure a margin of seismic design safety by considering age-related cracking, and iii) verify the JSME Code Rules on Fitness-for-Service for Nuclear Power Plants in Japan. Plans were made to test the components of the core shroud and PLR system piping under quasi-static displacement control of monotonous and cyclic load conditions. Plans were also made to test combined components on a shaking table by using a 1/2.5-scale core shroud model and an approximately 1/3-scale PLR piping model. All test models were designed to contain simulated cracking due to aging, involving cracks assumed to have the maximum allowable size according to the JSME Code Rules. The input seismic waves were prepared for the combined component tests of the scaled models based on a modified envelope of broadened response spectra of all S2 design seismic waves in Japan. Final evaluation of the simulated crack models and input seismic waves used for the tests will be conducted in fiscal 2005.
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Suzuki, Kenichi, and Hidefumi Kawauchi. "Test Programs for Degraded Core Shroud and PLR System Piping: Seismic Test Results and Discussion on JSME Rules Application." In ASME 2008 Pressure Vessels and Piping Conference. ASMEDC, 2008. http://dx.doi.org/10.1115/pvp2008-61070.

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Since the age-related degradation of structures and components in NPPs has been a key issue regarding assessments of seismic safety, JNES initiated seismic test programs in fiscal 2004 for the degraded core shroud and PLR system piping used in old BWR plants. The objectives were to: i) obtain a better understanding of the vibration characteristics and seismic strength of degraded structures and components having cracks due to aging; ii) ensure a margin of seismic design safety by considering age-related cracking; and iii) verify the JSME Rules on Fitness-for-Service for NPPs in Japan. The quasi-static displacement or load control testing of the components of the core shroud and PLR system piping were conducted. The dynamic load testing of combined components were also performed on a shaking table by using an approximately 1/3 scale PLR system piping specimen and a 1/2.5 scale core shroud specimen. All test specimens were designed to contain simulated cracking due to aging, involving cracks assumed to have the maximum allowable size according to the JSME Rules. These test results were discussed by focusing on the effects of cracking on vibration characteristics and seismic strength, and the margin of seismic safety under the JSME Rules.
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Lowe, G. D. O. "EPIDEMIOLOGY AND RISK PREDICTION OF VENOUS THROMBOEMBOLISM." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1642965.

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Uses of epidemiology. Venous thromboembolism continues to be an important cause of death and disability in Western Countries. Its epidemiology may provide clues to etiology, e.g. the increased incidence in oral contraceptive users, and the low prevalence at autopsy in Central Africa or Japan compared to the U.S.A. A second use is the monitoring of time-trends: the diagnosis of pulmonary embolism increased during the 1970s, although the case fatality decreased. A third use is the identification and quantification of risk factors: these could be modified in the hope of prevention, or else used to select high risk groups for selective prophylaxis, e.g. during acute illness. Prevention is the only feasible approach to reducing the burden of venous thromboembolism, since most cases are not diagnosed, and since the value of current treatment is debatable.Case definition. Presents problems: clinical diagnosis is unreliable, and should if possible be supported by objective methods. Autopsy studies are performed on selected populations, at a decreasing rate; the frequency of thromboembolism depends on technique; and pathologists cannot be blinded and are open to bias. It can also be difficult to judge whether a patient dying with pulmonary embolism died from pulmonary embolism. 125I-fibrinogen scans indicate minimal disease, and now present ethical problems in screening due to risks of viral transmission. Venography is invasive and is not readily repeatable, which limits its use as a screening method. Plethysmography merits wider evaluation, since it is non-invasive, and sensitive to major thrombosis.Community epidemiology. Data on the community epidemiology are limited. The risk increases with age. When age is taken into account, there is little sex difference. Overweight in women, use of oral contraceptives and blood group A increase the risk: smoking, varicose veins, blood pressure, cholesterol and glucose do not, on current evidence. Long-term follow-up of patients with proven thromboembolism shows an increased risk of malignancy, hence occult cancer may also be a risk factor. Polycythaemia and certain congenital deficiencies (e.g. antithrombin III) are also well-recognised risk factors, although uncommon.Hospital epidemiology. Data on hospital epidemiology are derived largely from autopsy prevalence, and from short-term incidence of minimal thrombosis detected by 125I—fibrinogen scanning. Old, immobile and traumatised patients are most at risk. Previous thromboembolism, polycythaemia, antithrombin III deficiency, hip and leg fractures, elective hip and leg surgery, hemiplegia, paraplegia, and heart failure carry high risks, and merit consideration for routine prophylaxis. The risk in elective surgery precedes the operation, and increases with age, overweight, malignancy, varicose veins, non-smoking, and operative factors (duration, approach, general anaesthesia, intravenous fluids). Diabetics appear to have no extra risk. Combinations of clinical variables can be used to predict high risk groups for selective prophylaxis, but combination indices require further study. Laboratory variables may increase the predictability of deep vein thrombosis, but the results of published studies are conflicting, and the cost-effectiveness of laboratory prediction should be evaluated.
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Reports on the topic "Delirium in old age Japan"

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Ehrlich, Isaac, and Yong Yin. A Cross-Country Comparison of Old Age Financial Readiness in Asian Countries vs. the United States: The Case of Japan and the Republic of Korea. Cambridge, MA: National Bureau of Economic Research, January 2022. http://dx.doi.org/10.3386/w29649.

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Bhushan, Sandeep, Xin Huang, Zongwei Xiao, and Yuanqiong Duan. The impact of regional versus general anesthesia on postoperative neurocognitive outcomes in elderly patients undergoing hip fracture surgery: a systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, June 2022. http://dx.doi.org/10.37766/inplasy2022.6.0110.

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Review question / Objective: To investigate the prevalence of postoperative delirium (POD) or postoperative cognitive dysfunction (POCD) between regional and general anesthesia in older patients undergoing hip fracture surgery. Condition being studied: About 1.6 million people suffer hip fractures each year globally1. The risk of hip fracture-related postoperative mortality within 30 days approximately was 8.2% in December 2020, up 1.5% from December 2016. Across the world, the aging population is growing, and a significant number of elderly patients are undergoing various kinds of orthopedic surgeries. Age as an important independent high-risk factor is associated with perioperative neurocognitive disorders (PNDs), which not only increases the rate but also causes a serious economic and social burden. One previous study investigated that between 2012 and 2016, the absolute total number of hip fractures in people aged 55 and older increased by about 4 times due to an aging population12. In addition, Bhushan et al. reported that along with the increasing aging of society, the incidence rate of POCD is 5% to 56% in the elderly over 55 years old after surgery morbidity and mortality but also causes a serious economic and social burden.
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