Prevalence of chronic skin aging (dermatoporosis) in institutionalized elderly in social-health centers in Valencia

Objetivo: Conocer la prevalencia y características de la dermatoporosis en ancianos institucionalizados de centros sociosanitarios de la provincia de Valencia y el nivel de conocimientos de los profesionales de enfermería sobre el tema. Metodología: Estudio analítico observacional prospectivo de tres meses de duración (enero-marzo de 2018). Las poblaciones fueron mayores de 60 años institucionalizados y profesionales de enfermería de centros sociosanitarios de la provincia de Valencia. Estadística descriptiva. Resultados: Muestra de 473 pacientes y 104 profesionales, la mayoría fueron mujeres, el 72% y 88% respectivamente. La media de edad fue de 83 años en los ancianos y 36 años en los profesionales. Las enfermedades crónicas más fre-cuentes fueron hipertensión arterial, diabetes mellitus e insuficiencia renal. El fototipo con mayor presencia fue el tipo III. Respecto los cuidados de la piel, el 37% refería usar crema hidratante y un 23% crema solar. La prevalencia de dermato-porosis fue del 21,14%, presentando úlceras un 12%. Conclusiones: La prevalencia de dermatoporosis en nuestro estudio (>21%) es baja respecto a la literatura. La clínica más frecuente es la púrpura senil y las pseudocicatrices, que coinciden con el estadio I de la patología. El conocimiento de la dermatoporosis por parte de los profesionales sanitarios fue escaso. La formación al respecto permitirá identificar de forma precoz las lesiones y aplicar los cuidados más adecuados de forma preventiva.Objective: To know the prevalence and characteristics of dermatoporosis in institutionalized elderly people of social-health centers in the province of Valencia and the level of knowledge of nursing professionals on the subject. Methodology: Prospective observational analytical study three month (January-March 2018). The populations were over 60 years institutionalized and nursing professionals of social and health centers in the province of Valencia. Descrip-tive statistics. Results: Sample of 473 patients and 104 professionals, the majority were women, 72% and 88% respectively. The aver-age age was 83 years in the elderly and 36 years in the professionals. The most frequent chronic diseases were hy-pertension, diabetes melli-tus and renal failure. The phototype with the greatest presence was type III. Regarding skin care, 37% reported using moisturizer and 23% sunscreen. The prevalence of dermatoporosis was 21.14%, with ulcers pre-senting 12%. Conclusions: The prevalence of dermatoporosis in our study (>21%) is low compared to the literature. The most frequent clinic is the senile purpura and the pseudo-scars, which coin-cide with the stage I of the pathology. Knowledge of dermato-porosis by health professionals is scarce. Training in this regard will allow early identification of injuries and apply the most appropriate care preventively.Enfermerí

Clinical case of patient with venous ulcer treated with multilayer therapy

se presenta un caso de lesión vascular de origen venoso de 18 meses de evolución, instaurada sobre una zona previamente afectada por dermatitis secundaria a insuficiencia venosa crónica. se desarrolla la pauta de tratamiento, su evolución y las medidas de prevención que se le recomiendan para evitar recidivas.It presents a case of vascular injury of venous origin of 18 months of development, established on an area previously affected by dermatitis secondary to chronic venous insufficiency. It develops a treatment regimen, evolution and the preventive measures that are recommended to avoid recurrences.Enfermerí

Estudio del uso de dispositivos absorbentes en pacientes incontinentes institucionalizados aplicando una escala de valoración de dermatitis de pañal por humedad

La incontinencia es un problema con elevada presencia en la población geriátrica. La lesiones cutáneas que se desarrollan con más frecuencia son las causadas por la humedad y el contacto directo de la orina y/o las heces sobre la piel. Nuestro objetivo fue diseñar una escala de valoración de la dermatitis del pañal por humedad para desarrollar un plan de cuidados sobre el uso adecuado de los dispositivos absorbentes en personas incontinentes y el tratamiento de lesiones producidas por la humedad. Metodología del estudio: Para el diseño de la escala visual iconográfica de la dermatitis del pañal por humedad (DPH) se realizó un estudio retrospectivo, observacional descriptivo sobre 140 Historias Clínicas. Para la aplicación de la escala de humedad y su tratamiento sobre ancianos con uso de dispositivos absorbentes se realizó un estudio prospectivo multicéntrico, durante una semana, sobre 134 pacientes institucionalizados. Los dispositivos absorbentes utilizados fueron proporcionados por el equipo investigador por las características del producto y para evitar el sesgo en la investigación. Resultados: El 45% de la población a estudio era mayor de 80 años y el 87% eran mujeres. El 88% tenía incontinencia mixta y más del 50% riesgo medio-alto de desarrollar úlceras por presión. Para 78% de los casos el dispositivo absorbente utilizado no presentó incidencias por uso. Con relación a los factores relacionados con la humedad las lesiones que más mejoraron fueron el eritema y la sequedad. Conclusiones: La utilización de escalas de valoración cutánea adecuadas al uso de dispositivos absorbentes favorece el cuidado de la integridad de la piel en pacientes incontinentes.Incontinence is a problem with strong presence in geriatric population. The most common skin lesions are the ones caused by the moisture and by the direct contact with urine and/or feces. Our goal was to design a diaper rash scale for developing a care guide about the proper use of absorbent dressings within incontinent elderly and about the treatment of wounds caused by moisture. Methodology: A retrospective, observational, descriptive study was conducted to design the iconographic visual scale of the diaper rash caused by moisture. A total of 140 patients were screened in this study. A multicenter, prospective study was conducted to apply the moisture scale within the treatment of elderlies with the use of absorbents dressings. A total of 134 institutionalized patients were screened in this study during a week. The absorbent dressings were provided by the investigation team in order to avoid bias in the investigation. Results: 45% of studied patients was over 80 years old, and 87% was women. 88% experienced mixed incontinence, and more than 50% ran the risk of developing pressure ulcers. The absorbent dressing used did not have any problem by its use in the 78% of the studied cases. Regarding the humidity-related factors, erythema and dryness were the most improved lesions. Conclusion: The use of skin lesion scales based on absorbent dressings stimulates the care of the skin integrity in incontinent elderlies.Enfermerí

Probiotic and Functional Properties of Limosilactobacillus reuteri INIA P572

Limosilactobacillus reuteri INIA P572 is a strain able to produce the antimicrobial compound reuterin in dairy products, exhibiting a protective effect against some food-borne pathogens. In this study, we investigated some probiotic properties of this strain such as resistance to gastrointestinal passage or to colonic conditions, reuterin production in a colonic environment, and immunomodulatory activity, using different in vitro and in vivo models. The results showed a high resistance of this strain to gastrointestinal conditions, as well as capacity to grow and produce reuterin in a human colonic model. Although the in vitro assays using the RAW 264.7 macrophage cell line did not demonstrate direct immunomodulatory properties, the in vivo assays using a Dextran Sulphate Sodium (DSS)-induced colitic mice model showed clear immunomodulatory and protective effects of this strain.This work was supported by project no. RTA2017-00002-00-00 from the Spanish Ministry of Science and Innovation, by the Junta de Andalucía (CTS 164) and Instituto de Salud Carlos III (PI19/01058) with funds from the European Union.Ye

Heterochronic faecal transplantation boosts gut germinal centres in aged mice

Ageing is a complex multifactorial process associated with a plethora of disorders, which contribute significantly to morbidity worldwide. One of the organs significantly affected by age is the gut. Age-dependent changes of the gut-associated microbiome have been linked to increased frailty and systemic inflammation. This change in microbial composition with age occurs in parallel with a decline in function of the gut immune system, however it is not clear if there is a causal link between the two. Here we report that the defective germinal centre reaction in Peyer’s patches of aged mice can be rescued by faecal transfers from younger adults into aged mice and by immunisations with cholera toxin, without affecting germinal centre reactions in peripheral lymph nodes. This demonstrates that the poor germinal centre reaction in aged animals is not irreversible, and that it is possible to improve this response in older individuals by providing appropriate stimuli

Between-year vocal aging in female red deer (Cervus elaphus)

Objectives: Studying animal vocal aging has potential implication in the feld of animal welfare and for modeling human voice aging. The objective was to examine, using a repeated measures approach, the between-year changes of weight, social discomfort score (bites of other hinds on hind pelt), body condition score (fat reserves) and acoustic variables of the nasal (closed-mouth) and the oral (open-mouth) contact calls produced by farmed red deer hinds (Cervus elaphus) toward their young. Results: Repeated measures ANOVA revealed that with an increase of hind age for 1 year, the acoustic variables of their nasal contact calls (the beginning and maximum fundamental frequencies, the depth of frequency modula‑ tion and the peak frequency) decreased, whereas in their oral contact calls only the end fundamental frequency decreased. Duration and power quartiles did not change in any call type. Body weight and body condition score increased between years, whereas discomfort score decreased. Results of this study revealed directly the short-term efects of aging on the acoustics of the nasal contact calls in the same hinds. This study also confrmed that elevated emotional arousal during emission of the oral contact masks the efects of aging on vocalization in female red dee

Prevalencia de envejecimiento cutáneo crónico (dermatoporosis) en ancianos institucionalizados de centros sociosanitarios de valencia

Objective: To know the prevalence and characteristics of dermatoporosis in institutionalized elderly people of socialhealth centers in the province of Valencia and the level of knowledge of nursing professionals on the subject. Methodology: Prospective observational analytical study three month (January-March 2018). The populations were over 60 years institutionalized and nursing professionals of social and health centers in the province of Valencia. Descriptive statistics. Results: Sample of 473 patients and 104 professionals, the majority were women, 72% and 88% respectively. The average age was 83 years in the elderly and 36 years in the professionals. The most frequent chronic diseases were hypertension, diabetes melli-tus and renal failure. The phototype with the greatest presence was type III. Regarding skin care, 37% reported using moisturizer and 23% sunscreen. The prevalence of dermatoporosis was 21.14%, with ulcers presenting 12%. Conclusions: The prevalence of dermatoporosis in our study (>21%) is low compared to the literature. The most frequent clinic is the senile purpura and the pseudo-scars, which coincide with the stage I of the pathology. Knowledge of dermatoporosis by health professionals is scarce. Training in this regard will allow early identification of injuries and apply the most appropriate care preventively.Objetivo: Conocer la prevalencia y características de la dermatoporosis en ancianos institucionalizados de centros sociosanitarios de la provincia de Valencia y el nivel de conocimientos de los profesionales de enfermería sobre el tema. Metodología: Estudio analítico observacional prospectivo de tres meses de duración (enero-marzo de 2018). Las poblaciones fueron mayores de 60 años institucionalizados y profesionales de enfermería de centros sociosanitarios de la provincia de Valencia. Estadística descriptiva. Resultados: Muestra de 473 pacientes y 104 profesionales, la mayoría fueron mujeres, el 72% y 88% respectivamente. La media de edad fue de 83 años en los ancianos y 36 años en los profesionales. Las enfermedades crónicas más frecuentes fueron hipertensión arterial, diabetes mellitus e insuficiencia renal. El fototipo con mayor presencia fue el tipo III. Respecto los cuidados de la piel, el 37% refería usar crema hidratante y un 23% crema solar. La prevalencia de dermatoporosis fue del 21,14%, presentando úlceras un 12%. Conclusiones: La prevalencia de dermatoporosis en nuestro estudio (>21%) es baja respecto a la literatura. La clínica más frecuente es la púrpura senil y las pseudocicatrices, que coinciden con el estadio I de la patología. El conocimiento de la dermatoporosis por parte de los profesionales sanitarios fue escaso. La formación al respecto permitirá identificar de forma precoz las lesiones y aplicar los cuidados más adecuados de forma preventiva

Caso clínico de paciente con úlcera venosa tratada con terapia multicapa

It presents a case of vascular injury of venous origin of 18 months of development, established on an area previously affected by dermatitis secondary to chronic venous insufficiency. It develops a treatment regimen, evolution and the preventive measures that are recommended to avoid recurrences.Se presenta un caso de lesión vascular de origen venoso de 18 meses de evolución, instaurada sobre una zona previamente afectada por dermatitis secundaria a insuficiencia venosa crónica. Se desarrolla la pauta de tratamiento, su evolución y las medidas de prevención que se le recomiendan para evitar recidivas

Between-year vocal aging in female red deer (Cervus elaphus)

[Objectives]: Studying animal vocal aging has potential implication in the field of animal welfare and for modeling human voice aging. The objective was to examine, using a repeated measures approach, the between-year changes of weight, social discomfort score (bites of other hinds on hind pelt), body condition score (fat reserves) and acoustic variables of the nasal (closed-mouth) and the oral (open-mouth) contact calls produced by farmed red deer hinds (Cervus elaphus) toward their young. [Results]: Repeated measures ANOVA revealed that with an increase of hind age for 1 year, the acoustic variables of their nasal contact calls (the beginning and maximum fundamental frequencies, the depth of frequency modulation and the peak frequency) decreased, whereas in their oral contact calls only the end fundamental frequency decreased. Duration and power quartiles did not change in any call type. Body weight and body condition score increased between years, whereas discomfort score decreased. Results of this study revealed directly the short-term effects of aging on the acoustics of the nasal contact calls in the same hinds. This study also confirmed that elevated emotional arousal during emission of the oral contact masks the effects of aging on vocalization in female red deer.This study was supported by the Russian Science Foundation, Grant No 14-14-00237 (to IV, OS and EV) for collection of acoustic data and acoustic analysis, and by Spanish Ministry of Economy (Ministerio de Economía, Industria y Competitividad) within the Estate program of Research, Innovation and Development oriented towards Challenges of Society, co-funded by the European Union (Reference Number RTC-2016-5327-2) (to TL, JPB, AG and LG) for collection of body weight, condition and discomfort data.Peer Reviewe