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The population is ageing. Several public and private programs have been addressed to an elderly population. However, there is also the abandonment of care on the elderly. This research analyses the role of social marketing in chan...
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The population is ageing. Several public and private programs have been addressed to an elderly population. However, there is also the abandonment of care on the elderly. This research analyses the role of social marketing in changing the attitudes of the population toward our elderly. To this end, we conducted a survey in Portugal based on a sample distributed by gender and age groups to shed light on the perception of respondents to the problems faced by the elderly and their reaction to the messages of social marketing directed to their care. While most respondents positively understand the importance of social marketing, they say that social marketing messages do little to change their attitudes. While the generation of 17 to 27 years considers that social marketing campaigns are insufficient, the generation of 50 to 60 is more sensitised to the importance of marketing to the problems of the elderly.
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A considerable knowledge has been collected in the last 20 years through retrospective and prospective trials on the medical management of cancer in older patients. Today a better approach to prevention and treatment of chemothera...
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A considerable knowledge has been collected in the last 20 years through retrospective and prospective trials on the medical management of cancer in older patients. Today a better approach to prevention and treatment of chemotherapy-related complications in older patients is provided by specific guide-lines.
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More information is needed about the spectrum of alcohol use among older individuals, and correlates of problem drinking. This study described the alcohol use risk levels of a large convenience sample of patients 65 years and olde...
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More information is needed about the spectrum of alcohol use among older individuals, and correlates of problem drinking. This study described the alcohol use risk levels of a large convenience sample of patients 65 years and older visiting two large California hospital emergency departments (EDs). A personal interview, administered in the ED by a trained health educator, collected sociodemographic information and alcohol use using the Alcohol Use Disorders Identification Test instrument. A total of 476 older patients provided complete interviews. This group equally comprised of men and women. Fifty-four percent were White non-Hispanic, 28% were Hispanic, 11% were African American, and 6% Other/Unknown. About 14% were at risk or above for alcohol misuse. No differences in risk-level distribution were found for young-old (65-74 years of age) and old-old (75+) groups. Higher alcohol risk was associated with male gender and higher income. Results are discussed in terms of intervention approaches for older people.
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More information is needed about the spectrum of alcohol use among older individuals, and correlates of problem drinking. This study described the alcohol use risk levels of a large convenience sample of patients 65 years and olde...
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More information is needed about the spectrum of alcohol use among older individuals, and correlates of problem drinking. This study described the alcohol use risk levels of a large convenience sample of patients 65 years and older visiting two large California hospital emergency departments (EDs). A personal interview, administered in the ED by a trained health educator, collected sociodemographic information and alcohol use using the Alcohol Use Disorders Identification Test instrument. A total of 476 older patients provided complete interviews. This group equally comprised of men and women. Fifty-four percent were White non-Hispanic, 28% were Hispanic, 11% were African American, and 6% Other/Unknown. About 14% were at risk or above for alcohol misuse. No differences in risk-level distribution were found for young-old (65-74 years of age) and old-old (75+) groups. Higher alcohol risk was associated with male gender and higher income. Results are discussed in terms of intervention approaches for older people.
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Cardiovascular disease is the most prevalent and influential comorbidity affecting outcomes in geriatric surgical patients. The unique physiology of the aging cardiovascular system and the impact of these changes during the stress...
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Cardiovascular disease is the most prevalent and influential comorbidity affecting outcomes in geriatric surgical patients. The unique physiology of the aging cardiovascular system and the impact of these changes during the stress of surgery is presented in this article. The necessary response to these changes is discussed with attention to methods of monitoring and recommendations for providing supportive care.
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Mechanical falls are a common cause of facial trauma in the elderly population. It has been shown that the likelihood of sustaining a facial fracture due to a fall or activities of daily life significantly increases with age. Cran...
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Mechanical falls are a common cause of facial trauma in the elderly population. It has been shown that the likelihood of sustaining a facial fracture due to a fall or activities of daily life significantly increases with age. Craniomaxillofacial fractures are most common during the first three decades of life; however, elderly patients more frequently require lengthy hospital stays and surgical intervention, and have shown increased complication rates compared with younger patients. The objective of this study was to examine the prevalence of facial fractures secondary to mechanical falls in the elderly population to analyze mechanism of injury, comorbidities, and fracture management. A retrospective review of all facial fractures as a result of falls in the elderly population in a level 1 trauma center in an urban environment was performed for the years 2002 to 2012. Patient demographics were collected, as well as location of fractures, concomitant injuries, and surgical management strategies. During the time period examined, 139 patients were identified as greater than 60 years of age and having sustained a fracture of the facial skeleton as the result of a fall. The average age was 75.7 (range, 60-103) years, with no gender predominance of 50.4% female and 49.6% male. There were a total of 205 fractures recorded. The most common fractures were those of the orbit (42.0%), nasal bone (23.4%), zygoma (13.2%), and zygoma-ticomaxillary complex (7.32%). The average Glasgow Coma Scale on arrival was 12.8 (range, 3-15). Uncontrolled hemorrhage was noted on presentation to the trauma bay in five patients. Twenty-one patients were intubated on, or prior to, arrival to the trauma bay, and 44 required a surgical airway. The most common concomitant injury was a long bone fracture (23.5%), followed by cervical spine fracture (18.5%), skull fracture (17.3%), intracerebral hemorrhage (17.3%), rib fracture (17.3%), ophthalmo-logic injuries (6.2%), short bone fracture (4.9%), pelvic fracture (2.9%), thoracic spine fracture (1.2%), and lumbar spine fracture (1,2%). Of the 114 patients admitted to the hospital, 53 were admitted to an intensive care setting. The average hospital length of stay was 8.97 days (range, 0-125). Sixteen patients expired. Surgical management of fractures in the operating room was required in 47 of the 139 patients. Of the patients treated, 36.2% required an open reduction and internal fixation procedure. Facial fractures as a result of falls in the geriatric population represent an increasing number of cases in clinical practice as life expectancy steadily rises. These patients require a specific standard of treatment since they are more susceptible to nosocomial infections, as well as have higher complication rates and longer recovery time. Concomitant injuries such as cervical spine and pelvic fractures can greatly increase risk of mortality. Surgical and soft tissue management must be approached with caution to optimize function and aesthetics while preventing secondary infection. The authors hope that this study can provide some insight and further investigation as there is a dearth of literature to the management of facial fractures in falls in elderly patients.
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The growing number of disabled and elderly citizens, on one side, and the wide spreading of technology in everyday life, on the other, has led to a consistent effort devoted to the research of technological solutions for improving...
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The growing number of disabled and elderly citizens, on one side, and the wide spreading of technology in everyday life, on the other, has led to a consistent effort devoted to the research of technological solutions for improving the quality of life of disabled and elderly people. Technology can actually provide a wide range of solutions, at different levels of complexity and cost. The recent progress of research in advanced robotics allows robotic solutions to be applied to assist disabled and elderly people in everyday life. The MOVAID project, promoted by the European Commission within the TIDE programme, and co-ordinated by the Scuola Superiore Sant'Anna (Pisa, Italy), represents one of the first attempts to propose robotic assistance in such a personal sphere of activities as everyday life at home. Ten partners from five European countries joined the MOVAID Consortium, including Universities, validation centres, and industries. The MOVAID project proposed, applied and validated some innovative concepts for the design and development of a modular robotic solution to the problem of personal assistance, by implementing a mobile robotic system and dedicated interfaces to standard appliances. The final objective of the MOVAID project was to demonstrate two points. First, how mass consumer technological products, when accessible for disabled and elderly people, can enhance their level of autonomy in everyday activities. Second, how a robotic solution is not only technically feasible, but also acceptable from the user's point of view, if integrated in a modular assistance system. The basic philosophy of the project relies on the concepts of `design for all' and `user oriented approach', as key factors for the introduction of technology in everyday activities. Such concepts were realised in the functional and physical distribution of the system in the house, including docking facilities for the mobile robotic unit. The MOVAID system consists of a number of fixed workstations (PCs), located where main activities are carried out at home, such as the kitchen and the bedroom, along with a mobile robotic unit able to navigate in the house avoiding unexpected obstacles, to grasp and manipulate common objects and to dock to the fixed workstations for data exchange and power supply. Commands to the robot are given in a high level language through a graphical interface running on the fixed workstations. On the user interface, a continuous visual feed-back from on-board cameras is also shown to the user, allowing him/her not only to monitor what the robot is doing, but also to collaborate with it, by indicating objects and positions directly on the screen. Moreover, to allow and ease access to standard technological products, interfaces for standard kitchen appliances were studied, and a prototype of a microwave oven interface, offering the oven basic functionality, was developed and tested. Typical tasks for the system, defined on the basis of identified users needs,are: to warm up some food in a microwave oven and serve it at the user's bed;to clean the kitchen work surface; and to remove dirty sheets from a bed. The developed prototype MOVAID system has been successfully validated withpotential users in Italy, France and Switzerland, both through demonstrationsand user trials, carried out in a residential house for disabled people inItaly. The paper summarises the project and its achievements. The basic philosophyand the approach are introduced and a detailed description of the system isthen provided, including the technical aspects related to the componentsdesign and development. Finally, the results of the validation phase on thesystem prototype are reported and discussed.
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Background Emergency abdominal surgery in the elderly represents a global issue. Diagnosis of AA in old patients is often more difficult. Appendectomy remains the gold standard of treatment and, even though it is performed almost ...
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Background Emergency abdominal surgery in the elderly represents a global issue. Diagnosis of AA in old patients is often more difficult. Appendectomy remains the gold standard of treatment and, even though it is performed almost exclusively with a minimally invasive technique, it can still represent a great risk for the elderly patient, especially above 80 years of age. A careful selection of elderly patients to be directed to surgery is, therefore, fundamental. The primary aim was to critically appraise and compare the clinical-pathological characteristics and the outcomes between oldest old (>= 80 years) and elderly (65-79 years) patients with Acute Appendicitis (AA). Methods The FRAILESEL is a large, nationwide, multicentre, prospective study investigating the perioperative outcomes of patients aged >= 65 years who underwent emergency abdominal surgery. Particular focus has been directed to the clinical and biochemical presentation as well as to the need for operative procedures, type of surgical approach, morbidity and mortality, and in-hospital length of stay. Two multivariate logistic regression analyses were performed to assess perioperative risk factors for morbidity and mortality. Results 182 patients fulfilled the inclusion criteria. Mean age, ileocecal resection, OAD and ASA score >= 3 were related with both overall and major complication. The multivariate analysis showed that MPI and complicated appendicitis were independent factors associated with overall complications. OAD and ASA scores >= 3 were independent factors for both overall and major complications. Conclusions Age >= 80 years is not an independent risk factor for morbidities. POCUS is safe and effective for the diagnosis; however, a CECT is often needed. Having the oldest old a smaller functional organ reserve, an earlier intervention should be considered especially because they often show a delay in presentation and frequently exhibit a complicated appendicitis.
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Aim: The study determined individual lived experiences of the abused elderly in the provinces of Leyte and Biliran. Methods: The study utilized qualitative phenomenology. Interviews are made and recorded, then later transcribed ve...
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Aim: The study determined individual lived experiences of the abused elderly in the provinces of Leyte and Biliran. Methods: The study utilized qualitative phenomenology. Interviews are made and recorded, then later transcribed verbatim. Collaizi’s method is used as method of analysis to obtain themes of the lived experiences of the ten abused key informants. Results: Based from results, most of the abused entities are female, widowed aging 6o to 65 years old, earning less than 2000 pesos per month and are dependently living in a nuclear family structure for 40 years. Based on their responses to the open-ended guide questions, key informants revealed emotional mistreatment being the most extensive type of abuse. Physical and sexual maltreatment are also evident amidst their old age. Family members and employers are the main identified perpetrators of the elderly. Bruises on most covered areas in their body, rope burns, torn undergarments, being touched without consent are some of the objective indicators of abuse. Themes such as family violence and workplace mistreatment are the most common form of abuse experienced. Conclusion: Based from the findings, it is recommended that the local government and concerned stakeholders to timely review existing rules protecting vulnerable adults especially its implementation.
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The purpose of this study is to clarify how to use the wheelchair in elderly residential facilities. For this objective, different types of elderly residential facilities were surveyed by means of observation and deep interview. T...
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The purpose of this study is to clarify how to use the wheelchair in elderly residential facilities. For this objective, different types of elderly residential facilities were surveyed by means of observation and deep interview. The results of the analysis are as follows. 1. The moving speed of the wheelchair that elderly persons operate is about 20-30/100 of that the persons who are not elderly operate. 2. In the facilities, as for the wheelchair that the elderly operates modular type wheelchair is good 3. The moving distance is shortened, and the environment which reduces mental burdens in necessary of the wheelchair user of the elderly.
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