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Fatih district-geriatrics study: mood and cognition of old people

who live in community

O. Bulut


, O. Albayrak


, G. Bahat


, C. K






, F. Tufan


, S. Avc




M.A. Karan




Department of Internal Medicine, Division of Geriatric,

Faculty of Istanbul Medicine, Istanbul University,


Department of Internal

Medicine, Division of Geriatric, Faculty of Cerrahpasa Medicine, Istanbul



Faculty of Istanbul Medicine, Istanbul University, Istanbul,



In this abstract, we aimed to investigate the mood and cognitive

problems of old population living in Fatih/Istanbul province.

Material and Method:

Elder people who live in addresses specified

with cluster sampling method were included in the study. Third and

fourth year students of


stanbul Medicine Faculty worked as pollsters.

Pollsters took standart training for related evaluations. Elder people

whose ages between 65 and 101 were included in the study. Cognitive

condition scanning was done with mini-cog test and depression

scanningwas donewith GDS-SF. Life qualitymeasurement with EQ-5D

life quality survey, functional capacity evaluation with 6-items KATZ

Daily Life Activities Skale and 8-items LAWTON-BRODY Instrumental

Daily Life Activities Scale were evaluated accordingly. Number of

illness and drug, present dementhia, hypertension, diabetes and

hyperlipidemia diagnosis were noted.

Results and Discussion

: This study includes 204 old cases (94male,110

female). Average age: 75.4 ± 7.3 year. Table 1 summarizes demographic,

cognitive and mood, functuality and life quality evaluation data and

distribution between genders.While depression scanning pozitiveness

is meaningfully high in women (%22.6 vs %4.3; p < 0.001), mini-cog

scanning test and present dementhis diagnosis are similar in both

genders. Life quality measurement was meaningfully low; chronic

disease and the number of drugs were higher. There is no meaningful

difference between two genders about age about basic GYA point,

present HT, DM, HL diagnoses and subjective health status score.


Old people in society have significant levels of cognitive

dysfuncion and depressive mood. Depressive mood, low-life quality,

multidisease and drug usage are more and education level and

functionality is less than men for women.

Key words:

geriatri, cognition, mood


Unmet needs in Portuguese primary care services: a focus on

dementia and other disabling conditions in old age

C. Balsinha


, M.J. Marques


, M. Gonçalves-Pereira


, S. Iliffe





NOVA Medical School/Faculdade de Ciências Médicas, Universidade Nova

de Lisboa, Portugal;


University College London, London, UK


Older people are a heterogeneous group in terms of

multimorbidity and dependence, and amongst chronic diseases

dementia is a major cause of disability.

In Portugal, the primary care gatekeeper role ensures that older people

make large use of these services, often with (frequently undiagnosed)

dementia. Moreover, there are no effective national policies/strategies

regarding the primary care of older people or of dementia.

Little is known about older people

s perspectives/satisfaction regard-

ing primary care, although higher stages of activity limitation may be

associated with less satisfaction with medical services. On the other

hand, from the health professionals

points of view, GPs find taking

care of older people difficult, and specifically of people with dementia.

Recognizing the challenge of health services to meet long-term needs

of older people with complex chronic health problems, we aim to

explore patients

and professionals

perspectives regarding the

delivery of primary care services in Portugal, focused on disabling

conditions in general, and dementia in particular.


This is a mixed-methods study with quantitative and

qualitative components. In the former, needs for care, quality of life,

and patient

s satisfaction will be measured. The latter explores the

perspectives of stakeholders (physicians, nurses, patients, carers)

through focus groups and in-depth individual interviews.


Here, we focus on the construction of the qualitative study

protocol, guided by literature reviews. Main areas include: patient-

centered care, primary care and older people.


By exploring unmet needs, we hope to provide evidence-

base to best practice recommendations for older populations with

disabling conditions, including dementia, in Portuguese primary care.



when the diagnosis goes beyond

S. Barbosa, P. Fernandes.

USF São Miguel Arcanjo

ACES Vale do Sousa

Sul, Paredes, Portugal


Syphilis is caused by the Treponema pallidum and is

spread first through sexual contact. It has predictable stages and awell

established diagnostic and treatment strategies.

Primary syphilis is a solitary nontender genital chancre. The charac-

teristic exanthema of secondary syphilis involves trunk, face and

extremities. The latent stage is further divided into early and late

latency. Three presentations of tertiary syphilis are neurosyphilis,

cardiovascular syphilis and late benign syphilis.


Classic review and case report of Secondary Syphilis.


We present a case of a 73 year-old man, with Type 2 Diabetes,

Hypertension, Obstructive Pulmonary Disease and Duodenal Ulcer.

In April, 2014, he developed a story of weakness, fatigue, behavior

changes as irritability, abnormal gait and dysarthria. A dementia

screening study had been requested. After no significant results and

progressive worsening, he was sent to Neurology, whose main

diagnostic hypothesis was a vascular dementia and started treatment

with Carbidopa+Levodopa. In February, 2015, besides incontinence of

sphincters, he presented a generalized rash characterized by multiple

erythematous, scaly and pruritic lesions, that extended to the face,

trunk and members. Then it was requested VDRL, TPHA and FTA-Abs,

which were positive. Secondary Syphilis was confirmed and he began

treatment with Penicillin benzathine.

Currently treated with Carbidopa+Levodopa, he remains clinically

stable, keeping follow-up by Neurology and Dermatology.


A high index of suspicion is required because of various

clinical manifestations of the disease. Attention to the history and

physical examination, testing of high-risk populations and appropriate

monitoring can keep this disease under control.


Promoting successful aging in chronic illness: a study protocol of a

randomized intervention program on physical activity in vascular

cognitive impairment

H. Bárrios


, M. Gonçalves-Pereira


, A. Verdelho





School, Universidade Nova de Lisboa,


Department of Neurosciences

(Neurology), Hospital de Santa Maria/ CHLN, Universidade de Lisboa,



Primary prevention in young adults will improve health

in successive cohorts of older people, but much of the potential to

reduce disease burden will come from more effective primary,

secondary and tertiary prevention targeting older people. This is

especially important for age-dependent disorders like dementia.

Epidemiological studies suggest that physical activity can potentially

prevent functional decline and promote successful aging (SA) in

healthy elderly. However data on randomized trials of physical activity

on SA of people with vascular cognitive impairment is lacking.


Our aim is to evaluate the effect of physical activity on the

components of SA (engagement, personal resources, cognitive

function and functional abilities) of subjects with vascular cognitive

impairment without functional deficit at baseline. As secondary

objectives, we intend to identify determinants of SA in a population

with vascular cognitive impairment, and study the impact of the

intervention on health resources utilization. Three hundred commu-

nity dwelling participants will be recruited, and randomized to

intervention (walking 45 minutes/day, 5 times/week, for six months)

or control group. Besides demographic variables, SA, cognitive and

Poster presentations / European Geriatric Medicine 7S1 (2016) S29