BACKGROUND: Concurrent vision and hearing impairment, known as dual sensory impairment (DSI), is associated with increased mortality. We aimed to examine individual and joint associations of DSI and involvement in activities with mortality in a large European nursing home study. METHODS: In total, 2,851 nursing home residents in 59 facilities in eight countries were followed for 1 year in the Services and Health for Elderly in Long TERm Care study. Vision and hearing impairment and average time of involvement in activities were assessed by trained research staff using the interRAI Long Term Care Facilities. Association between DSI and 1-year all-cause mortality was examined using Cox proportional hazards models adjusted for age, sex, facility, diagnoses of coronary heart disease and diabetes mellitus, self-rated health, end-stage disease, and functional and cognitive status. The modifying effect of involvement in activities on the association was investigated by the additive hazard model. RESULTS: DSI, defined as moderate to severe impairment in both senses, was independently associated with a 35% increased risk of 1-year mortality compared with non-DSI. Residents with DSI who were involved in activities did not have higher mortality, while residents with DSI who were not involved in activities had 51% higher mortality than non-DSI residents who were involved in activities, equivalent to approximately 209 additional deaths per 1,000 person-years (p = .012) due to the interaction between DSI and no involvement in activities. CONCLUSIONS: DSI is associated with increased mortality at nursing homes when combined with no involvement in activities.

• Klíčová slova
• Additive hazards model, Dual sensory impairment, Mortality, Nursing home issues,
• MeSH
• časové faktory MeSH
• geriatrické hodnocení MeSH
• lidé MeSH
• lidské činnosti * MeSH
• míra přežití MeSH
• nedoslýchavost komplikace   mortalita   MeSH
• pečovatelské domovy * MeSH
• poruchy zraku komplikace   mortalita   MeSH
• proporcionální rizikové modely MeSH
• rizikové faktory MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• studie případů a kontrol MeSH
• věkové faktory MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH

OBJECTIVES: To examine whether nursing home residents with concurrent vision and hearing impairment, dual sensory impairment (DSI), have a greater cognitive decline over time than do those without sensory impairment and whether social engagement modifies this association. METHODS: Based on the Services and Health for Elderly in Long TERm Care study, 1,989 nursing home residents who were assessed using the interRAI LTCF at 6-month intervals over 1 year were included. Multivariate linear regression models with time-variant exposure variables of sensory impairment and social engagement using generalized estimating equations were performed to predict cognitive function measured by the Cognitive Performance Scale (range 0-6). RESULTS: Residents with DSI had a greater cognitive decline [changes in Cognitive Performance Scale over 1 year = 1.12 (95% confidence interval = 0.81:1.42)] compared to those with either vision or hearing impairment [0.67 (0.53:0.64)] and those without sensory impairment [0.56 (0.48:0.64)]. A lower level of social engagement was also associated with a greater cognitive decline. The combined exposure variable of sensory impairment and social engagement revealed the greatest cognitive decline for socially disengaged residents with DSI [1.87 (1.24:2.51)] and the potential effect modification of social engagement on the association between DSI and cognitive decline; DSI was not associated with a greater cognitive decline among socially engaged residents, while it was associated among socially disengaged residents DISCUSSION: Cognitive function declines faster in nursing home residents with DSI only when residents were not socially engaged. Therefore, residents with DSI might cognitively benefit from interventions to improve involvement in social life at nursing homes.

• Klíčová slova
• Cognitive ageing, Dual sensory impairment, Nursing home., Social engagement,
• MeSH
• časové faktory MeSH
• domovy pro seniory statistika a číselné údaje   MeSH
• geriatrické hodnocení metody   MeSH
• interpersonální vztahy MeSH
• kognice * MeSH
• kognitivní poruchy * diagnóza   etiologie   prevence a kontrola   MeSH
• lidé MeSH
• lineární modely MeSH
• následné studie MeSH
• nedoslýchavost * komplikace   psychologie   MeSH
• pečovatelské domovy statistika a číselné údaje   MeSH
• poruchy zraku * komplikace   psychologie   MeSH
• prognóza MeSH
• senioři MeSH
• sociální opora MeSH
• zapojení do společnosti psychologie   MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• multicentrická studie MeSH
• práce podpořená grantem MeSH
• Geografické názvy
• Evropa MeSH

OBJECTIVES: To investigate if dual sensory impairment (DSI) in the form of a combined visual and hearing impairment is associated with the onset of behavioral symptoms in nursing homes. METHODS: A total of 1524 nursing home residents without behavioral symptoms at baseline followed for 12 months in 59 nursing homes from the Czech Republic, England, Finland, France, Germany, Israel, Italy, and The Netherlands. The interRAI instrument for long-term care facilities was assessed by trained staff at baseline and 12 months later. RESULTS: Altogether, 11% of residents had a new onset of behavioral symptoms (wandering, verbal abuse, physical abuse, socially inappropriate behavior, public disrobing, and resisting care) at 12-month follow-up. In multivariate analyses adjusted for potential confounders, DSI residents had significantly higher incidence of new behavioral symptoms at 12-month follow-up, irrespective of the severity of vision and hearing impairments [odds ratio (OR) = 2.1, 95% confidence interval (CI) = 1.3:3.4 for mild DSI, OR = 2.5, 95% CI = 1.6:4.0 for moderate DSI, and OR = 2.1, 95% CI = 1.2:3.7 for severe DSI] compared with residents without sensory impairment. Among the different types of symptoms, only abusive behaviors were less likely to be associated with DSI. CONCLUSIONS: This study provides evidence that DSI could play a significant role in the development of behavioral symptoms in nursing home residents. More attention should be paid to DSI even when each of vision and hearing function is only minimally impaired.

• Klíčová slova
• Older people, behavioral symptoms, dual sensory impairment, nursing home,
• MeSH
• behaviorální symptomy epidemiologie   etiologie   patofyziologie   MeSH
• dlouhodobá péče MeSH
• domovy pro seniory * MeSH
• geriatrické hodnocení metody   MeSH
• hodnocení rizik MeSH
• interval spolehlivosti MeSH
• lidé MeSH
• longitudinální studie MeSH
• monitorování fyziologických funkcí metody   MeSH
• multivariační analýza MeSH
• odds ratio MeSH
• pečovatelské domovy * MeSH
• poruchy senzitivity diagnóza   epidemiologie   MeSH
• poruchy sluchu komplikace   diagnóza   MeSH
• poruchy zraku komplikace   diagnóza   MeSH
• retrospektivní studie MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• stárnutí fyziologie   MeSH
• zdravotní služby pro seniory MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• multicentrická studie MeSH
• práce podpořená grantem MeSH
• srovnávací studie MeSH
• Geografické názvy
• Evropa MeSH

A retrospective ophthalmic analysis 44 of 118 patients with congenital blepharoptosis aged from 2 to 48, who underwent surgical correction at the Department of Plastic Surgery of Lódź between 1977 and 2001, was reviewed. Patients with congenital blepharoptosis were investigated by ophthalmologists in the pre and postoperative period, and their medical ophthalmological notes were also analysed. The aim of this study was to assess the presence, type, and severity of visual disorders coexisting with ptosis. We found in 42 patients (95%) ophthalmologic disorders, of which we noted amblyopia in 19, astigmatism in 30, anisometropia in 5, and strabismus in 30 cases.

• MeSH
• abnormality očí komplikace   chirurgie   MeSH
• blefaroptóza komplikace   chirurgie   MeSH
• dítě MeSH
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• poruchy hybnosti oka komplikace   chirurgie   MeSH
• poruchy zraku komplikace   chirurgie   MeSH
• předškolní dítě MeSH
• refrakční chirurgické výkony MeSH
• refrakční vady komplikace   MeSH
• retrospektivní studie MeSH
• Check Tag
• dítě MeSH
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• předškolní dítě MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

Hearing and eye-sight are very important for the development in children. Early diagnosis of disorders of these organs is therefore essential to ensure the development of affected children from early age, or to provide a correction (hearing aid, glasses) or to enlist these children in special schools. The authors found that in schools for children with impaired eye-sight and schools for children with impaired hearing there were 6.7% children with impairment of both sense organs. The most frequent cause of disorders of both sense organs was intrauterine damage (45.7%), in 25.7% of the investigated children the cause was unknown, in 20% it was genetically conditioned and in 8.6% the cause was postnatal. Therefore when a disorder of one sense organ is revealed, it is necessary to examine on a preventive basis also the other sense organ.

• MeSH
• dítě MeSH
• lidé MeSH
• poruchy sluchu komplikace   vrozené   MeSH
• poruchy zraku komplikace   vrozené   MeSH
• syndrom MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH

• MeSH
• dítě MeSH
• lidé MeSH
• poruchy řeči komplikace   MeSH
• poruchy zraku komplikace   MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

• MeSH
• dítě MeSH
• duševní poruchy komplikace   MeSH
• lidé MeSH
• poruchy zraku komplikace   MeSH
• předškolní dítě MeSH
• strabismus komplikace   MeSH
• vývoj dítěte MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mužské pohlaví MeSH
• předškolní dítě MeSH
• ženské pohlaví MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH

• MeSH
• dospělí MeSH
• extrakce katarakty * MeSH
• katarakta komplikace   MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• pooperační komplikace MeSH
• poruchy zraku komplikace   MeSH
• senioři MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH

• MeSH
• dyslexie * MeSH
• funkční lateralita MeSH
• lidé MeSH
• poruchy zraku komplikace   MeSH
• předškolní dítě MeSH
• Check Tag
• lidé MeSH
• předškolní dítě MeSH
• Publikační typ
• časopisecké články MeSH

• Klíčová slova
• DAY BLINDNESS/complications *, HEPATOLENTICULAR DEGENERATION/manifestations *,
• MeSH
• fyzikální vyšetření * MeSH
• hepatolentikulární degenerace * MeSH
• lidé MeSH
• poruchy zraku komplikace   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH