Association between urinary incontinence and frailty : a systematic review and meta-analysis

Purpose: Urinary incontinence (UI) and frailty are common geriatric syndromes. Although literature increasingly supports a relationship between these two conditions, no systematic review and meta-analysis has been performed on this topic. Therefore, we aimed to investigate the potential association between UI and frailty, through a meta-analytic approach. Methods: A systematic search in major databases was undertaken until 15th March 2018 for studies reporting the association between UI and frailty. The prevalence of UI in people with frailty (vs. those without) was pooled through an odds ratio (OR) and 95% confidence intervals (CIs), with a random-effects model. The other outcomes were summarized descriptively. Results: Among 828 papers, 11 articles were eligible, including 3784 participants (mean age 78.2 years; 55.1% women). The prevalence of UI was 39.1% in people with frailty and 19.4% in those without. A meta-analysis with five studies (1540 participants) demonstrated that UI was over twice as likely in frail people versus those without (OR 2.28; 95% CI 1.35–3.86; I2 = 61%). One cross-sectional study, adjusting for potential confounders and one longitudinal study confirmed that UI is significantly associated with frailty. In two cross-sectional studies, using adjusted analyses, frailty was more common in people with UI. Conclusion: Urinary incontinence is twice as common in older people with frailty compared to older people without frailty. Screening and the development of interventions for UI and frailty could prove useful for this common comorbidity

Association between urinary incontinence and frailty: a systematic review and meta-analysis

Purpose: Urinary incontinence (UI) and frailty are common geriatric syndromes. Although literature increasingly supports a relationship between these two conditions, no systematic review and meta-analysis has been performed on this topic. Therefore, we aimed to investigate the potential association between UI and frailty, through a meta-analytic approach. Methods: A systematic search in major databases was undertaken until 15th March 2018 for studies reporting the association between UI and frailty. The prevalence of UI in people with frailty (vs. those without) was pooled through an odds ratio (OR) and 95% confidence intervals (CIs), with a random-effects model. The other outcomes were summarized descriptively. Results: Among 828 papers, 11 articles were eligible, including 3784 participants (mean age 78.2\ua0years; 55.1% women). The prevalence of UI was 39.1% in people with frailty and 19.4% in those without. A meta-analysis with five studies (1540 participants) demonstrated that UI was over twice as likely in frail people versus those without (OR 2.28; 95% CI 1.35\u20133.86; I2 = 61%). One cross-sectional study, adjusting for potential confounders and one longitudinal study confirmed that UI is significantly associated with frailty. In two cross-sectional studies, using adjusted analyses, frailty was more common in people with UI. Conclusion: Urinary incontinence is twice as common in older people with frailty compared to older people without frailty. Screening and the development of interventions for UI and frailty could prove useful for this common comorbidity. \ua9 2018, European Geriatric Medicine Society

Tomatoes

IPM has been developed and successfully applied in greenhouse tomatoes in several regions of the world since the 1970s. As an alternative to the exclusive application of pesticides, the cornerstone of this strategy is to use Natural Enemies (NE) to control some of the crop’s key pests (whiteflies, tomato leafminer) and other pests (spider mites, dipteran leafminers, thrips, aphids and noctuid moths). Along with the development of varieties with reduced susceptibility to viral diseases transmitted by insects, such as TYLCV, TICV, ToCV and ToTV (by whiteflies), TSWV (by thrips) and PVY (by aphids), management of these problems in many affected areas has been enhanced by the use of screens in greenhouses and the use of NE to reduce vector populations region-wide (both inside and outside greenhouses). Until recently, fungicides were the only available solution for control of airborne diseases (Botrytis, Oidium, Phytophtora and Alternaria) and soilborne diseases (Verticillium, Fusarium, Rhizoctonia). A number of biological products and biostimulants now available offer a more sustainable solution, but there is yet no effective solution to some pest problems, such as russet mites, and their presence limits wider application of the programme

ESICM LIVES 2016: part two : Milan, Italy. 1-5 October 2016.

Meeting abstrac