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Objective: To compare the costs of care and the opportunity of care for the management of grade I-II ankle sprain in two Family Medicine Units, one with rehabilitation service (FMU 13) and one without rehabilitation service (FMU 41)., Method: Observational analytical study, records with diagnosis of grade I-II ankle sprain attended at the FMU were included January-November 2021. Consultations were recorded in the emergency department, family medicine, rehabilitation, cabinet studies and time to grant the appointment in the rehabilitation service (opportunity of care), the Mann-Whitney U test was used to compare costs of care and timeliness of care., Results: In FMU 41, care costs were higher compared to FMU 13 ($13,990 vs $8,063); however, this difference was not significant, as was the cost of care in family medicine, rehabilitation, and opportunity of care., Conclusions: The costs of care and the opportunity of care were similar in both models of care (FMU 13-FMU 41) of grade I-II ankle sprain., (Copyright: © 2024 Permanyer.)

Background: Assessment of muscle strength is of great interest for the study of age-associated pathologies, including frailty and sarcopenia. However, the cost of some of the equipment necessary for its evaluation could be prohibitive for its generalized use in some settings., Objective: The purpose of the present study was to compare two handheld dynamometers to evaluate the measure of concordance between the measurements. Material and methods The study was conducted in the outpatient Geriatrics clinics where 120 community-dwelling participants aged 60 years and more were evaluated using two devices: the JAMAR ® Hydraulic Hand Dynamometer and the digital hand dynamometer CAMRY ® EH101., Results: We observed a positive correlation between the two devices for dominant hand (DH) Pearson r 0.974 (p < 0.001) and a Spearman ρ 0.973 (p < 0.001) for non-dominant hand (NDH) Lin's coefficient for the DH was 0.98 (p < 0.001) and for the NDH 0.97 (p < 0.001). The intraclass correlation coefficient was 0.971 (95% CI, 0.95-0.97; p < 0.001) for DH and 0.975 (95% CI, 0.96-0.98; p < 0.001) for NDH., Conclusions: In this study, the Camry dynamometer was observed to be reliable for measuring hand grip strength in community-dwelling people 60 years or older., (Copyright: © 2024 Permanyer.)

Computerized cognitive training tools are an alternative to preventive treatments related to cognitive impairment and aging. In this study, the transfer of 3D multiple object tracking (3D-MOT) training on manual dexterity concerning fine and gross motor skills in 38 elderly participants, half of them with mild cognitive impairment (MCI) and the other half with mild dementia (MD) was explored. A total of 36 sessions of the 3D-MOT training program were administered to the subjects. The Montreal Cognitive Assessment (MoCA) test was used to assess the baseline cognitive status of the participants. Two batteries of manual motor skills (GPT and MMDT) were applied before and after the 3D-MOT training program. The results showed an interaction effect of training and improvement in manual dexterity tests, from the first training session until the fifteenth session, and after this range of sessions, the interaction effect was lost. However, the training effect continued to the end of the thirty-six-session program. The experimental results show the effect of cognitive training on the improvement of motor skills in older adults. This type of intervention could have a broad impact on the aging population in terms of their attention, executive functions, and therefore, their quality of life.

Background: Fractures in the elderly population are an economic, social and medical challenge. Not much is known about fractures in this population, which makes difficult the selection of an appropriate treatment. Hip fractures (HF) increase the risk of death and morbidity. Patients with midshaft femur fracture (MFF) have less morbidity and risk of death. The objective was to compare HF and MFF's survival., Methods: Observational analytic study. The Hospital General de México database was used to gather patients aged 65 to 94 years with HF and MFF from 2010 to 2014. Patients had an heterogeneous follow-up and their cognitive status was not considered; we had a total of 146 patients. Follow-up was made through phone call., Results: Kaplan-Meier estimate was used to assess survival. We compared survival depending on type of fracture and found no statistically significant difference (p = 0.97). On sub-analysis, we compared type of fracture on male gender (p = 0.21) and female gender (p = 0.316) and found no statistically significant difference on survival. This differs from what has been reported. It was used t test to evaluate survival in months, according to male (39.61 ± 19.1) and female (36.58 ± 23.19) gender; this showed a significant difference in both groups (p = 0.037)., Conclusions: In the presence of fractures, we must consider gender when estimating survival on patients with hip or midshaft femur fracture.