An original mathematical model,previously tested by the authors on other non-demographic objects,is proposed for describing and forecasting demographic systems—the population of the countries of the World using the e...An original mathematical model,previously tested by the authors on other non-demographic objects,is proposed for describing and forecasting demographic systems—the population of the countries of the World using the examples of the USA,China and Russia,as well as the number of mice in the“mouse paradise”experiment of the American scientist John Calhoun.The proposed approach allows us to describe the stages and features of this dynamics:population growth in the USA,growth and possible decrease in the population in China,loss of a part of the population of the Russian Empire and the USSR due to two world wars and the collapse of the USSR,biological degradation of the“mouse paradise”up to its complete extinction.The use of the kinetic model of aging of various types of living systems to predict the development of the number of demographic systems is based on the assumptions that the aging and development processes are related to each other and have the same statistical regularity,reflecting the fractal principle of Nature-the unity of structure and function.The results obtained suggest that a person,a population of the World,humanity and other biological species develop and simultaneously age like each other under the conditions of the always existing syndrome of general adaptation(stress)and according to the same pattern corresponding to the mathematical model proposed here.展开更多
Background:An elderly was closed to some medical problem,especially hypertension.Problems that occur in elderly patients with hypertension not only involve the patient itself but also involve the family as the closest...Background:An elderly was closed to some medical problem,especially hypertension.Problems that occur in elderly patients with hypertension not only involve the patient itself but also involve the family as the closest person to the patient.One important aspect of family nursing is the family itself.To achieve good treatment outcomes,implementation of evidence-based nursing is needed.The purpose of this study is to present the implementation of evidence-based nursing to an eldelry in a family bu using coconut water to reduce high blood pressure and progressive muscle relaxation therapy to reduce pain intensity in hypertensive patients,as well as acupressure therapy in stopping smoking that is applied 1 week each other.Method:In the implementation,complementary therapy is applied to hypertensive patients by given young coconut water and progressive muscle relaxation therapy,and acupressure therapy in an effort to stop smoking.Results:showed significant results in the reduction of high blood pressure before being given an intervention was TD:200/100 mmHg and after being given the intervention obtained TD:140/80 mmHg and decreased pain intensity in hypertensive patients using relaxation therapy,as well as a decrease in the number of cigarettes smoked with acupressure therapy for 1 week.Conclusion:The application of complementary therapy carried out showed improvement in elderly patients suffering from hypertension and smoking behaviour,therefore,the application of evidence based nursing in providing nursing care is recommended.Suggestion:Complementary Nursing Case Study this is expended to be a reference material to improve health services and provide an overview in carrying out complementary nursing care to families,especially an elderly with comprehensive cases of hypertension(bio,psycho,social and spiritual).展开更多
Objective:To explore the the status of happiness and social support of empty nesters in Guangdong Province and analyze the relationship between the above two variables.Method:Totally 1148 empty nesters(776 males,734 f...Objective:To explore the the status of happiness and social support of empty nesters in Guangdong Province and analyze the relationship between the above two variables.Method:Totally 1148 empty nesters(776 males,734 females)from 5 cities in Guangdong province are selected by stratified random sampling and conducted with Memorial University of Newfoundland Scale of Happiness(MUNSH),Social Support Rating Scale(SSRS),Mini-Mental State Examination(MMSE)and a self-edited questionnaire on the general information.Results:The total score of MUNSH is(10.20±6.37).The total score and the scores of the 3 dimensions of objective support,subject support,the use of support in SSRS are(30.79±5.51),(9.24±2.37),(19.38±4.95)and(9.22±2.15)respectively.Multiple variable linear regression show that are positively associated with the total scores of MUNSH(B=.227,.115,.098,.158,.082,respectively,P<.05).was negatively associated with total score of MUNSH(B=-.097,P<.05).Conclusion:It suggests that the sort of leisure,gender,progress rank,family characteristics,such as family economic condition and father’s career may be related factors of undergraduates life satisfaction.展开更多
Objective: To analyze and discuss the quality of life of elderly patients with chronic diseases and its influencing factors. The aim of this study was to provide a theoretical basis for targeted intervention of influe...Objective: To analyze and discuss the quality of life of elderly patients with chronic diseases and its influencing factors. The aim of this study was to provide a theoretical basis for targeted intervention of influencing factors of chronic diseases and improvement of the quality of life of patients. Methods: A total of 1000 elderly patients with chronic diseases in our health center were randomly selected as the study subject. Questionnaire survey was conducted by self-designed questionnaire. The SF-36 quality of life scale was used to evaluate their quality of life;and linear regression model was used to explore the relevant influencing factors. Result: The SF-36 score showed that there was a correlation between the six dimensions, including overall health, physiological function, somatic pain, vitality, social function and mental health, and the number of chronic diseases in elderly patients. With the increase of chronic diseases, the scores of each dimension showed a downward trend. Linear regression analysis showed that age, anxiety and poor sleep quality were the main factors affecting the quality of life in elderly patients with chronic diseases. Conclusion: The quality of life of elderly patients with chronic diseases in our city is poor. In community work, targeted nursing and intervention should be given according to the types of diseases suffered by the elderly.展开更多
Objective: To investigate blood pressure variability of Elder hypertensives with type 2 diabetes and its relationship with cognition. Methods: A total of 143 elderly hypertensives were enrolled and divided into diabet...Objective: To investigate blood pressure variability of Elder hypertensives with type 2 diabetes and its relationship with cognition. Methods: A total of 143 elderly hypertensives were enrolled and divided into diabetic group (59 cases) and non-diabetic group (84 cases). The difference of general clinical characteristics, biochemical parameters, carotid ultrasound, a neuropsychological Scales and 24-hour ambulatory blood pressure (24hABPM) parameters between the two groups of subjects were compared. Then, the two groups (diabetic group and non-diabetic group) were further divided into (Mild cognitive dysfunction) subgroup (MMSE>26) and normal cognition subgroup (MMSE≤26), respectively. On the basis of MMSE scores, the difference of the parameters of ABPM between the two subgroups was analyzed. Results: Compared with the control group, 24hSBP, 24hPP, dSBP, dPP, nSBP, nPP, 24hSSD, dSSD, nSSD, 24hSCV, dSCV and nSCV were significantly higher in the diabetic group (p<0.05). However, cognition was lower in the diabetic group. No significant difference was found in the circadian pattern of blood pressure between the two groups. 24hSSD, dSSD, nSSD, 24hSCV, dSCV, nSCV were significantly higher in the MCI subgroup than normal cognition subgroup in both diabetic and non-diabetic groups(p<0.05), and they were negatively associated with scores of MMSE, the correlation coefficient were -0.235,-0.246,-0.341,-0.158,-0.222,-0.238 (0.001≤P<0.05). Conclusion: The study showed that in the elderly with hypertension, the mean systolic blood pressure and blood pressure variability were both higher in the diabetic group, and the cognition was lower instead. Whether or not with diabetes, blood pressure variability was always higher in the MCI subgroup. Blood pressure variability increased in patients with diabetes, and was associated with cognitive decline.展开更多
Objective: To investigate the effect of evidence-based nursing intervention in elderly patients with arrhythmia after acute myocardial infarction. Methods: 146 elderly patients with arrhythmia after acute myocardial i...Objective: To investigate the effect of evidence-based nursing intervention in elderly patients with arrhythmia after acute myocardial infarction. Methods: 146 elderly patients with arrhythmia after acute myocardial infarction treated in our hospital from February 2016 to March 2017 were selected as research objects. According to the random number method, patients were divided into control group (73 cases, traditional nursing) and observation group (73 cases, evidence-based nursing intervention). The clinical effects and nursing satisfaction of the two groups were compared. Results: The hospital stay, average bed rest time, hospitalization cost, and incidence of arrhythmia complications in the observation group were significantly lower than those in the control group. The difference was statistically significant (P<0.05). After nursing, the four grades of heart function and satisfaction of nursing in the observation group were significantly higher than those in the control group. The difference was statistically significant (P<0.05). Conclusions: In elderly patients with arrhythmia after acute myocardial infarction, evidence-based nursing intervention was adopted. The patient's health has been greatly improved and the doctor-patient relationship has been significantly improved. This method is worth promoting.展开更多
Neurosurgical treatment for psychiatric disorders features a long and controversial history.This article explores a“spectrum of psychosurgery”,describing how old-fashioned and controversial prefrontal lobotomy gradu...Neurosurgical treatment for psychiatric disorders features a long and controversial history.This article explores a“spectrum of psychosurgery”,describing how old-fashioned and controversial prefrontal lobotomy gradually evolved into modern day,mainstream scientific deep brain stimulation(DBS).We focus on the rise,fall and possible re-emergence of psychosurgery as a therapeutic intervention today.We journey through historic indiscriminate use of prefrontal lobotomy,which evoked stern criticism from both public and professionals,through to the development of modern day DBS-performed for patients suffering from severe,treatment resistant symptoms of obsessive-compulsive disorder(OCD),epilepsy and movement disorders.We hope this article will provide a basis for understanding the availability of existing treatment options and potential future opportunities,whilst simultaneously challenging any public/professional preconceptions of psychosurgery,which may indirectly be obstructing patient care.Additionally,we carried out a qualitative survey displayed in WordCloud Format,capturing the intellection of 38 mental health professionals working for North West Boroughs NHS Healthcare Foundation Trust,on“psychosurgery”,“prefrontal lobotomy”and“DBS”,which may well reflect wider public opinion.In summary,the article provides a brief,yet comprehensive overview of the controversial history of psychosurgery,present-day practice,and future trends of neurosurgery for psychiatric disorders.展开更多
Five theories shed lights on the potential mechanisms of aging:somatic mutations,telomere loss,mitochondrial defects,and accumulation of altered proteins inside proteasomes.The existence of a program of aging is not y...Five theories shed lights on the potential mechanisms of aging:somatic mutations,telomere loss,mitochondrial defects,and accumulation of altered proteins inside proteasomes.The existence of a program of aging is not yet identified,but overlaps with a program for risks of death.On the other hand,organisms are programmed for survival,which ultimately fails.This failure results in aging,notabily,focusing on alterations of specific genes.Irregular examinations,dysfunctions,insufficient use of fluoride,and removable partial dentures,are favoring the formation of caries and periodontal pathologies.Oral lesions are due to local trauma,related gingival recession,and formation of pockets.They are associated to insufficient removal of food/plaque.Epithelial thinning,and reduction of extracellular matrix components,lead to plications and foldings of the mucosal surface,and subsequently to bacterial colonization.Geriatric dentistry(or gerodontology)is an increasing field of dentistry,mostly associated with the growing percentage of patients over 80+years.展开更多
The growth of the ageing population and the desires for ageing-in-place have resulted in an ever-increasing need for housing that can support the independent living of the elderly with care needs.As impairments and ca...The growth of the ageing population and the desires for ageing-in-place have resulted in an ever-increasing need for housing that can support the independent living of the elderly with care needs.As impairments and care needs increase,spatial use typically changes.However,there is limited information on how to accommodate leisure activities and spatial use in private dwellings to inform housing design.Through an ethnographic investigation of 30 high-needs elderly people living independently,patterns of spatial use for personal leisure activities were established.Seven key themes for residents’perceptions were revealed,which include;comfort in posture,access to sunshine and warmth,facilitating activities to occupy residents,views to outside,control for doing everything from one space,and keeping active.In the design of housing for the high-needs elderly,greater attention should be given to the micro-environment of the main sitting space,to improve occupant control while enhancing comfort and warmth.This paper provides key considerations for housing design,which will help elderly people continue their fulfilled life in their own home as long as possible.展开更多
This quasi-experimental study compared the results of a traditional model of physical therapy(PT)care to a PT wellness model known as GroupHab.The traditional model included discharge from PT with a home exercise prog...This quasi-experimental study compared the results of a traditional model of physical therapy(PT)care to a PT wellness model known as GroupHab.The traditional model included discharge from PT with a home exercise program(HEP)to be self-administered with or without the addition of a community-based exercise program.The wellness model included participation in a PT-designed and supervised group exercise program(GroupHab class)in an outpatient clinical setting following discharge from PT.Independent t-tests were used to compare the number of falls,exercise frequency,and exercise duration between the two groups.A repeated measures,analysis of variance(RM-ANOVA)compared changes in balance confidence scores both within and between groups,and a multivariate analysis of variance(MANOVA)analyzed group differences across multiple quality of life ratings using the SF-20.All data were analyzed at the 0.05 alpha level using SPSS 24 statistical software.Our results showed a significantly greater reduction in recurrent falls among the GroupHab wellness group compared to the HEP group(t=2.811,p=0.009).The resulting odds ratio for subsequent falls was 2.2 among HEP participants and 0.2 among GroupHab participants.Exercise adherence was also greater for those who participated in the GroupHab class.They documented greater exercise frequency(t=-3.253,p=0.002)and more exercise minutes(t=-7.188,p<0.001)than those who participated in the HEP.When comparing changes in the participants’balance confidence,we found an average increase of 5%among GroupHab participants compared to a 6%decrease among HEP participants(F=16.877,p<0.001,power=0.981).Although our multivariate analysis of the SF-20 scores revealed no significant difference overall(F=0.768,p=0.73),the univariate analyses showed significantly greater improvements among GroupHab participants in selected areas of physical function.These results suggest that at-risk older adults who are discharged into a functionally-based group exercise class are less likely to experience recurrent falls and are more likely to have more confidence in their balance than those who are discharged with a standard HEP and/or use of community-based exercise classes.展开更多
Objective: To investigate the epidemiobgical characteristics of the elderly with atrial fibrillation (AF) in age, gender, the types of AF and relative causes. And To analyze the risk factors of persistent AF (PeAF), t...Objective: To investigate the epidemiobgical characteristics of the elderly with atrial fibrillation (AF) in age, gender, the types of AF and relative causes. And To analyze the risk factors of persistent AF (PeAF), then use them to guide to prevent and treat for AF in the elderly.Methods: Collect the data of elderly patients with AF who were admitted to Liaoning People's Hospital from September 1, 2016 to September 30, 2017, and summarize the epidemiological characteristics of AF in the elderly. The risk factors for PeAF were analyzed by Spearman correlation analysis and mltivariate logistic regression analysis. Result: 1. In the elderly, the number of AF cases increase with age. The group of 75-84 years old was the largest part. The number of older females was larger than male in all ages. It was important to pay more attention to old woman with AF. 2.In the elderly, nonvalvular atrial fibrillation is popular. The top three causes of AF in the elderly were CHD, hypertension and heart failure. In the elderly, comorbidities were frequent, and the management was a major therapeutic objective. 3.CRP, 1eft atria diameter were the independent risk factors for PeAF in the elderly.展开更多
Objective: This study was designed to get epidemiological characteristics, etiology characteristics, prognosis assessment and prognostic factors of hospital-acquired bloodstream infection (HABSI) in the elderly in Chi...Objective: This study was designed to get epidemiological characteristics, etiology characteristics, prognosis assessment and prognostic factors of hospital-acquired bloodstream infection (HABSI) in the elderly in Chinese PLA General Hospital and aimed at providing a reference for HABSI in the elderly on clinical diagnosis and treatment to improve the prognosis. Methods: The clinical data and pathology data of 210 cases of the elderly patients with HABSI from 2009 to 2012 in geriatric wards were retrospectively analyzed. Compare the clinical assessment effects of APACHE-II score, SAPS-II score and SOFA score to HABSI prognosis in the elderly by plotting the receiver operating characteristic curve. Use univariate and multivariate logistic regression analysis to get prognostic factors of HABSI in the elderly. Results: Univariate analysis of mortality: Day 1 apache -> 18 II score, lung infection, invasive ventilation, chronic hepatic insufficiency, chronic renal insufficiency, substantive organ malignant tumor, deep venipuncture, indwelling gastric tube indwelling ureter, complicated with shock and acquired bloodstream infections in the elderly patients with 7 days survival state association is significant. Day- 1 SOFA score>7, chronic liver dysfunction, chronic renal insufficiency, concurrent shock, hemodialysis and 28-day survival status of patients with acquired bloodstream infection in elderly hospitals were significantly associated. Multivariate unconditioned logistic regression analysis related to death: Day-1APACHE-II score>18, parenchymal malignant tumors, and concurrent shock are independent risk factors for 7-day death in elderly patients with acquired bloodstream infection. Day-1 SOFA score>7, chronic renal insufficiency, and concurrent shock are independent risk factors for 28-day mortality in elderly patients with acquired bloodstream infection. Conclusion: The incidence of acquired bloodstream infections in the elderly was 1.37%. The 7-day and 28-day mortality rates were 8.10% and 22.38%, respectively. Concurrent shock is 26.7%. The 28- day mortality rate of concurrent shock patients was 48.21%. The best outcome score for the 7-day prognosis of elderly patients with acquired bloodstream infection was the Day-1APACHE-II score, followed by the Day-1 SOFA score. The best score for the 28-day prognostic assessment was the Day-1 SOFA score.展开更多
Gerontology is not only an interdisciplinary and intra disciplinary study,but also an international and inter-professional study.Gerontology is a study to create awareness on the concept among people,throughout the wo...Gerontology is not only an interdisciplinary and intra disciplinary study,but also an international and inter-professional study.Gerontology is a study to create awareness on the concept among people,throughout the world.The philosophy of Gerontology is a lively active philosophy to explore the nature of humanity itself and to practice learning.Moreover,Gerontology is considered as a science as well as human philosophy.This paper introduces philosophy of Gerontology in Japan from the past to the present.It explains that Zen has fundamental philosophy of Gerontology.展开更多
Few studies examine the benefits from geriatric telepsychiatry in rural retirement communities.Objectives:1.To demonstrate that using telepsychiatry(a)standard approaches to psychiatric evaluation would yield diagnose...Few studies examine the benefits from geriatric telepsychiatry in rural retirement communities.Objectives:1.To demonstrate that using telepsychiatry(a)standard approaches to psychiatric evaluation would yield diagnoses in Diagnostic and Statistical Manual of Mental Disorders(DSM-V);(b)psychotherapies and pharmacotherapy could be effectively administered.2.To examine the relationships among cognition,mood,agitation and functions at baseline and the response to treatment over time.Design:Prospective longitudinal study.Measures:Geriatric Depression scale(GDS),Mini Mental State Exam(MMSE),Barthel Index(BI),Pittsburgh Agitation Scale(PAS).Setting:Video Teleconferencing.Interventions:Psychotherapy,psychopharmacology.Participants:428 Seniors over 55,met criteria for at least one DSM-V diagnosis.Results:Treatments were administered for a full range of psychiatric diagnoses and age-related medical conditions.The most frequently prescribed pharmacological agents were:antidepressants(78%)antipsychotics(64%),memory enhancers(38%).Participants(66%)received psychotherapy:individual(31%),couple(7%),family(13%).Variation in the MMSE scores were observed:55%remained stable,11%declined,18%improved.GDS Scores improved from baseline to 26 weeks(p=0.02,d=0.99:95%CI 0.39-1.56).PAS scores declined from baseline to 52 weeks(McNemar’s S=11.27,p=0.0008,d=1.17:95%CI 0.63-1.68).Function(BI)at week 26 was not statistically significantly different from baseline(t(26)=1.66,p=0.11,d=0.65:95%CI-0.16-1.42).Participants maintained independence(64.5%)at 52 weeks(McNemar’s S=6.23,p=0.013,d=0.79:95%CI 0.19-1.36)Conclusion:This study demonstrates the feasibility and benefit of providing a full complement of services via telepsychiatry to seniors and provides a rationale for more comprehensive reimbursement plans.展开更多
The present paper analyzes different demographic variables to reach the result of how population become aged in different parts of Asia.Policies and planning of population during the past decades have contributed to m...The present paper analyzes different demographic variables to reach the result of how population become aged in different parts of Asia.Policies and planning of population during the past decades have contributed to more life expectancy,leading to the aging of population in countries like Japan,China,South Korea,Singapore,Taiwan and to some extent Iran.Population in some countries aging without needs gradually emerging,being met.People usually at the age of seventy and over lose their normal strengths and potentialities.Many of their capabilities are lost.They gradually become dependent on other younger age groups.Western countries usually have made better policies and plans earlier,and because of that,their aging people have better immunity as far as their health,social and economic conditions are concerned.Many aging people in Asian countries are concerned about their needs during the age of 70 and over.Decline in birth rate is the most important factor positively affecting the aging of population after a few decades has passed.The same happened to Japan,China,South Korea etc.Many Western countries started narrowing their birth rates in the nineteenth century,whereas Asian countries started that since around 1950.Earlier,women used to give birth to 7-8 children,in which half or more of them died in infancy,and the rest who survived,had to face malnutrition,shortage of education,child-labor from the age of 7-8,maternal fatality of mothers and many more unfavorable conditions that affected their lives.While the average age of marriage is between 26-29 in the West,it is usually the age of 20 or below within many developing countries.展开更多
The growing and evolving use of emerging technology including Artificial Intelligence(AI)and Virtual Reality(VR),has significantly impacted the lives of two specific groups-the elderly and the disabled.This paper inve...The growing and evolving use of emerging technology including Artificial Intelligence(AI)and Virtual Reality(VR),has significantly impacted the lives of two specific groups-the elderly and the disabled.This paper investigates potential reasons for this phenomenon.Clearly,AI and VR Technology alters the everyday lives of people with disabilities and how they navigate the world.Technological developments increasingly work to address the isolation that people with disabilities as well as the elderly experience for they are often unable or limited in how they engage with their communities.This research paper outlines the way technology has improved social communication,information distribution,and day-to-day living for those with disabilities and the elderly.Undoubtedly,the internet has transformed social communication and interaction for most people.Socially isolated individuals with disabilities have gained exposure to social environments through social media.Moreover,the broad range of information available on the internet has increased access to resources such as government services,health services,and social services support.On a related point,assistive devices have enabled disabled people including many seniors to overcome motor,sensory,or cognitive difficulties that may have previously hindered them from performing daily tasks.However,although AI and VR technology has been effectively integrated in the lives of those with disabilities,many such individuals lack access to commonplace technologies,like a personal computer.This paper examines how AI and VR technology has enhanced communication,information access,and everyday activities for the disabled and aging communities despite such socio-economic limitations.展开更多
Our aim was to study the effect of depression and social support on the risk of type 2 diabetes in female population aged 25-64 in Russia/Siberia.Under the screening surveys random representative samples of women aged...Our aim was to study the effect of depression and social support on the risk of type 2 diabetes in female population aged 25-64 in Russia/Siberia.Under the screening surveys random representative samples of women aged 25-64 years were examined in 1994 and 2005.Depression assessment was performed using the MONICA-MOPSY test.Social support was measured using the Berkman-Sim test.From 1994 to 2018 in a cohort of women new-onset cases of diabetes mellitus were detected.The risk of T2DM in persons with depression was 1.844(p<0.01).After adjusting for sociodemographic variables,the risk decreased by 6%but remained significantly significant(p<0.05).The impact of a low level of social relations showed a significant effect on the risk of diabetes mellitus,including the multivariate model adjusted for the social gradient(HR=1.833,p<0.05).The presence of psychosocial factors decreases the protective effect of education in diabetes incidence.The incidence of T2D was higher in the group of manual labor and in executives.Depression and low social support increase the risk of T2DM by 80%.The frequencies of T2DM are determined by the social gradient and are associated with the role conflict“family-work”.展开更多
India is one of the nations in the world where the population is undergoing anomalous demographic changes.The increase in longevity and decrease fertility lead to the boom of older people aged 60 and above both in rel...India is one of the nations in the world where the population is undergoing anomalous demographic changes.The increase in longevity and decrease fertility lead to the boom of older people aged 60 and above both in relative and absolute terms.Due to the rise in number,it creates pressure not only on the family but the responsibility shifts to the government also.This issue becomes a significant social problem not only in India but across the globe.The government had taken action by creating policies and programs to provide services to them.Still,the majority of the elderly population is lacking behind in these areas like health facilities,infrastructure,living arrangements suffering from isolation,loneliness,abuse,crime.Nowadays,smart city initiatives are taken by the government across the country but still in process.To involve and facilitate more cities for“age-friendly”,the World Health Organization develop the Global Age-Friendly Cities Guide and a manual“Checklist of Essential Features of Age-Friendly Cities”.Cooperating with 35 urban communities from developed and developing nations,the WHO oversees eight highlights for age-accommodating urban areas in the space of urban life.This paper had an objective to study and understand exiting literature on age-friendly communities in developed and developing countries and draw attention to the need to create age-friendly cities in India.The realization of the needs and demands of older people,the Indian government should give attention to promote and implement more age-friendly communities all over the country.This initiative till now taken in 3 states,i.e.,Delhi,Udaipur,and Kolkata-which involved in age-friendly community initiatives collaborated with WHO.In this era of a rapid aging sphere,the communities have to enhance in such a manner where the older population can meet their needs quickly without any conflicts and problem.To conclude,the government and policymaker should emphasize the policies into practices to build age-friendly communities across the country and make better living conditions for“allages”.For timely action and productive recommendation,it is an urgent need on the part of the government,policymakers,researchers,social workers to develop and enhance the community’s facilities,which can gain confidence and wellbeing of the elderly in India.展开更多
With the visual illusion of the mirror,Mirror Therapy,models the primary somatosensory cortex,cortical and muscular excitability,stimulating cortical reorganization and sensorimotor recovery.Studies have shown to be e...With the visual illusion of the mirror,Mirror Therapy,models the primary somatosensory cortex,cortical and muscular excitability,stimulating cortical reorganization and sensorimotor recovery.Studies have shown to be effective in improving motor function in short and medium term,in activities of daily living,in visuospatial neglect and in reducing pain,especially in patients with complex regional pain syndrome.Objective:To report the perception of Occupational Therapists regarding the application of Mirror Therapy in professional practice.Specifically,what factors lead to its application,what are the effects and benefits of the technique,what are its advantages and limitations.Results:In the perception of Occupational Therapists,the Mirror Therapy technique has the following benefits:significant decrease in pain,improved sensitivity and functionality of the upper limb,unblocking movements in the affected limb,decreased phantom pain;as negative aspects:difficulties in spatial/environmental control,patient's perceptual/cognitive skills,high level of concentration/attention,absence of scientific evidence in neurological conditions.Conclusion:For the interviewed Occupational Therapists,the Mirror Therapy is a safe and useful technique to be applied in your professional practice that has been showing positive results in the functional recovery of patients,however,it lacks studies that identify the appropriate time to start its application and the explanation of an intervention protocol.展开更多
Globally,in-home drug-storage compliance is often unsatisfactory,especially among older adults,and can lead to negative health outcomes.This study used a cross-sectional and descriptive design to examine inhome drug-s...Globally,in-home drug-storage compliance is often unsatisfactory,especially among older adults,and can lead to negative health outcomes.This study used a cross-sectional and descriptive design to examine inhome drug-storage compliance among older adults.Convenience sampling was used to recruit 117 older adults in Hong Kong.An in-home drugstorage checklist was used to assess the in-home drug-storage environments(light,temperature,and humidity)and drug-storage methods(drug safety,packaging,information,and expiration)of each older adult.The findings showed that Hong Kong older adults’overall compliance rate in drug storage was 87.25%,and their compliance rate for drug-storage methods(84.59%)was lower than that for drug-storage environments(97.02%).Older adults who were of advanced age,who were less educated or who lived alone demonstrated lower in-home drug-storage compliance.This indicates the need to revise existing health-education strategies to encourage in-home drug-storage compliance.Healthcare professionals should assess older adults’drug-storage compliance to identify less compliant subgroups and deliver specific drug-storage support as required.Family members should also be involved in this process.展开更多
文摘An original mathematical model,previously tested by the authors on other non-demographic objects,is proposed for describing and forecasting demographic systems—the population of the countries of the World using the examples of the USA,China and Russia,as well as the number of mice in the“mouse paradise”experiment of the American scientist John Calhoun.The proposed approach allows us to describe the stages and features of this dynamics:population growth in the USA,growth and possible decrease in the population in China,loss of a part of the population of the Russian Empire and the USSR due to two world wars and the collapse of the USSR,biological degradation of the“mouse paradise”up to its complete extinction.The use of the kinetic model of aging of various types of living systems to predict the development of the number of demographic systems is based on the assumptions that the aging and development processes are related to each other and have the same statistical regularity,reflecting the fractal principle of Nature-the unity of structure and function.The results obtained suggest that a person,a population of the World,humanity and other biological species develop and simultaneously age like each other under the conditions of the always existing syndrome of general adaptation(stress)and according to the same pattern corresponding to the mathematical model proposed here.
文摘Background:An elderly was closed to some medical problem,especially hypertension.Problems that occur in elderly patients with hypertension not only involve the patient itself but also involve the family as the closest person to the patient.One important aspect of family nursing is the family itself.To achieve good treatment outcomes,implementation of evidence-based nursing is needed.The purpose of this study is to present the implementation of evidence-based nursing to an eldelry in a family bu using coconut water to reduce high blood pressure and progressive muscle relaxation therapy to reduce pain intensity in hypertensive patients,as well as acupressure therapy in stopping smoking that is applied 1 week each other.Method:In the implementation,complementary therapy is applied to hypertensive patients by given young coconut water and progressive muscle relaxation therapy,and acupressure therapy in an effort to stop smoking.Results:showed significant results in the reduction of high blood pressure before being given an intervention was TD:200/100 mmHg and after being given the intervention obtained TD:140/80 mmHg and decreased pain intensity in hypertensive patients using relaxation therapy,as well as a decrease in the number of cigarettes smoked with acupressure therapy for 1 week.Conclusion:The application of complementary therapy carried out showed improvement in elderly patients suffering from hypertension and smoking behaviour,therefore,the application of evidence based nursing in providing nursing care is recommended.Suggestion:Complementary Nursing Case Study this is expended to be a reference material to improve health services and provide an overview in carrying out complementary nursing care to families,especially an elderly with comprehensive cases of hypertension(bio,psycho,social and spiritual).
文摘Objective:To explore the the status of happiness and social support of empty nesters in Guangdong Province and analyze the relationship between the above two variables.Method:Totally 1148 empty nesters(776 males,734 females)from 5 cities in Guangdong province are selected by stratified random sampling and conducted with Memorial University of Newfoundland Scale of Happiness(MUNSH),Social Support Rating Scale(SSRS),Mini-Mental State Examination(MMSE)and a self-edited questionnaire on the general information.Results:The total score of MUNSH is(10.20±6.37).The total score and the scores of the 3 dimensions of objective support,subject support,the use of support in SSRS are(30.79±5.51),(9.24±2.37),(19.38±4.95)and(9.22±2.15)respectively.Multiple variable linear regression show that are positively associated with the total scores of MUNSH(B=.227,.115,.098,.158,.082,respectively,P<.05).was negatively associated with total score of MUNSH(B=-.097,P<.05).Conclusion:It suggests that the sort of leisure,gender,progress rank,family characteristics,such as family economic condition and father’s career may be related factors of undergraduates life satisfaction.
文摘Objective: To analyze and discuss the quality of life of elderly patients with chronic diseases and its influencing factors. The aim of this study was to provide a theoretical basis for targeted intervention of influencing factors of chronic diseases and improvement of the quality of life of patients. Methods: A total of 1000 elderly patients with chronic diseases in our health center were randomly selected as the study subject. Questionnaire survey was conducted by self-designed questionnaire. The SF-36 quality of life scale was used to evaluate their quality of life;and linear regression model was used to explore the relevant influencing factors. Result: The SF-36 score showed that there was a correlation between the six dimensions, including overall health, physiological function, somatic pain, vitality, social function and mental health, and the number of chronic diseases in elderly patients. With the increase of chronic diseases, the scores of each dimension showed a downward trend. Linear regression analysis showed that age, anxiety and poor sleep quality were the main factors affecting the quality of life in elderly patients with chronic diseases. Conclusion: The quality of life of elderly patients with chronic diseases in our city is poor. In community work, targeted nursing and intervention should be given according to the types of diseases suffered by the elderly.
文摘Objective: To investigate blood pressure variability of Elder hypertensives with type 2 diabetes and its relationship with cognition. Methods: A total of 143 elderly hypertensives were enrolled and divided into diabetic group (59 cases) and non-diabetic group (84 cases). The difference of general clinical characteristics, biochemical parameters, carotid ultrasound, a neuropsychological Scales and 24-hour ambulatory blood pressure (24hABPM) parameters between the two groups of subjects were compared. Then, the two groups (diabetic group and non-diabetic group) were further divided into (Mild cognitive dysfunction) subgroup (MMSE>26) and normal cognition subgroup (MMSE≤26), respectively. On the basis of MMSE scores, the difference of the parameters of ABPM between the two subgroups was analyzed. Results: Compared with the control group, 24hSBP, 24hPP, dSBP, dPP, nSBP, nPP, 24hSSD, dSSD, nSSD, 24hSCV, dSCV and nSCV were significantly higher in the diabetic group (p<0.05). However, cognition was lower in the diabetic group. No significant difference was found in the circadian pattern of blood pressure between the two groups. 24hSSD, dSSD, nSSD, 24hSCV, dSCV, nSCV were significantly higher in the MCI subgroup than normal cognition subgroup in both diabetic and non-diabetic groups(p<0.05), and they were negatively associated with scores of MMSE, the correlation coefficient were -0.235,-0.246,-0.341,-0.158,-0.222,-0.238 (0.001≤P<0.05). Conclusion: The study showed that in the elderly with hypertension, the mean systolic blood pressure and blood pressure variability were both higher in the diabetic group, and the cognition was lower instead. Whether or not with diabetes, blood pressure variability was always higher in the MCI subgroup. Blood pressure variability increased in patients with diabetes, and was associated with cognitive decline.
文摘Objective: To investigate the effect of evidence-based nursing intervention in elderly patients with arrhythmia after acute myocardial infarction. Methods: 146 elderly patients with arrhythmia after acute myocardial infarction treated in our hospital from February 2016 to March 2017 were selected as research objects. According to the random number method, patients were divided into control group (73 cases, traditional nursing) and observation group (73 cases, evidence-based nursing intervention). The clinical effects and nursing satisfaction of the two groups were compared. Results: The hospital stay, average bed rest time, hospitalization cost, and incidence of arrhythmia complications in the observation group were significantly lower than those in the control group. The difference was statistically significant (P<0.05). After nursing, the four grades of heart function and satisfaction of nursing in the observation group were significantly higher than those in the control group. The difference was statistically significant (P<0.05). Conclusions: In elderly patients with arrhythmia after acute myocardial infarction, evidence-based nursing intervention was adopted. The patient's health has been greatly improved and the doctor-patient relationship has been significantly improved. This method is worth promoting.
文摘Neurosurgical treatment for psychiatric disorders features a long and controversial history.This article explores a“spectrum of psychosurgery”,describing how old-fashioned and controversial prefrontal lobotomy gradually evolved into modern day,mainstream scientific deep brain stimulation(DBS).We focus on the rise,fall and possible re-emergence of psychosurgery as a therapeutic intervention today.We journey through historic indiscriminate use of prefrontal lobotomy,which evoked stern criticism from both public and professionals,through to the development of modern day DBS-performed for patients suffering from severe,treatment resistant symptoms of obsessive-compulsive disorder(OCD),epilepsy and movement disorders.We hope this article will provide a basis for understanding the availability of existing treatment options and potential future opportunities,whilst simultaneously challenging any public/professional preconceptions of psychosurgery,which may indirectly be obstructing patient care.Additionally,we carried out a qualitative survey displayed in WordCloud Format,capturing the intellection of 38 mental health professionals working for North West Boroughs NHS Healthcare Foundation Trust,on“psychosurgery”,“prefrontal lobotomy”and“DBS”,which may well reflect wider public opinion.In summary,the article provides a brief,yet comprehensive overview of the controversial history of psychosurgery,present-day practice,and future trends of neurosurgery for psychiatric disorders.
文摘Five theories shed lights on the potential mechanisms of aging:somatic mutations,telomere loss,mitochondrial defects,and accumulation of altered proteins inside proteasomes.The existence of a program of aging is not yet identified,but overlaps with a program for risks of death.On the other hand,organisms are programmed for survival,which ultimately fails.This failure results in aging,notabily,focusing on alterations of specific genes.Irregular examinations,dysfunctions,insufficient use of fluoride,and removable partial dentures,are favoring the formation of caries and periodontal pathologies.Oral lesions are due to local trauma,related gingival recession,and formation of pockets.They are associated to insufficient removal of food/plaque.Epithelial thinning,and reduction of extracellular matrix components,lead to plications and foldings of the mucosal surface,and subsequently to bacterial colonization.Geriatric dentistry(or gerodontology)is an increasing field of dentistry,mostly associated with the growing percentage of patients over 80+years.
文摘The growth of the ageing population and the desires for ageing-in-place have resulted in an ever-increasing need for housing that can support the independent living of the elderly with care needs.As impairments and care needs increase,spatial use typically changes.However,there is limited information on how to accommodate leisure activities and spatial use in private dwellings to inform housing design.Through an ethnographic investigation of 30 high-needs elderly people living independently,patterns of spatial use for personal leisure activities were established.Seven key themes for residents’perceptions were revealed,which include;comfort in posture,access to sunshine and warmth,facilitating activities to occupy residents,views to outside,control for doing everything from one space,and keeping active.In the design of housing for the high-needs elderly,greater attention should be given to the micro-environment of the main sitting space,to improve occupant control while enhancing comfort and warmth.This paper provides key considerations for housing design,which will help elderly people continue their fulfilled life in their own home as long as possible.
基金Charlotte Walter,DPT assisted in creation of the survey used in this study.
文摘This quasi-experimental study compared the results of a traditional model of physical therapy(PT)care to a PT wellness model known as GroupHab.The traditional model included discharge from PT with a home exercise program(HEP)to be self-administered with or without the addition of a community-based exercise program.The wellness model included participation in a PT-designed and supervised group exercise program(GroupHab class)in an outpatient clinical setting following discharge from PT.Independent t-tests were used to compare the number of falls,exercise frequency,and exercise duration between the two groups.A repeated measures,analysis of variance(RM-ANOVA)compared changes in balance confidence scores both within and between groups,and a multivariate analysis of variance(MANOVA)analyzed group differences across multiple quality of life ratings using the SF-20.All data were analyzed at the 0.05 alpha level using SPSS 24 statistical software.Our results showed a significantly greater reduction in recurrent falls among the GroupHab wellness group compared to the HEP group(t=2.811,p=0.009).The resulting odds ratio for subsequent falls was 2.2 among HEP participants and 0.2 among GroupHab participants.Exercise adherence was also greater for those who participated in the GroupHab class.They documented greater exercise frequency(t=-3.253,p=0.002)and more exercise minutes(t=-7.188,p<0.001)than those who participated in the HEP.When comparing changes in the participants’balance confidence,we found an average increase of 5%among GroupHab participants compared to a 6%decrease among HEP participants(F=16.877,p<0.001,power=0.981).Although our multivariate analysis of the SF-20 scores revealed no significant difference overall(F=0.768,p=0.73),the univariate analyses showed significantly greater improvements among GroupHab participants in selected areas of physical function.These results suggest that at-risk older adults who are discharged into a functionally-based group exercise class are less likely to experience recurrent falls and are more likely to have more confidence in their balance than those who are discharged with a standard HEP and/or use of community-based exercise classes.
文摘Objective: To investigate the epidemiobgical characteristics of the elderly with atrial fibrillation (AF) in age, gender, the types of AF and relative causes. And To analyze the risk factors of persistent AF (PeAF), then use them to guide to prevent and treat for AF in the elderly.Methods: Collect the data of elderly patients with AF who were admitted to Liaoning People's Hospital from September 1, 2016 to September 30, 2017, and summarize the epidemiological characteristics of AF in the elderly. The risk factors for PeAF were analyzed by Spearman correlation analysis and mltivariate logistic regression analysis. Result: 1. In the elderly, the number of AF cases increase with age. The group of 75-84 years old was the largest part. The number of older females was larger than male in all ages. It was important to pay more attention to old woman with AF. 2.In the elderly, nonvalvular atrial fibrillation is popular. The top three causes of AF in the elderly were CHD, hypertension and heart failure. In the elderly, comorbidities were frequent, and the management was a major therapeutic objective. 3.CRP, 1eft atria diameter were the independent risk factors for PeAF in the elderly.
文摘Objective: This study was designed to get epidemiological characteristics, etiology characteristics, prognosis assessment and prognostic factors of hospital-acquired bloodstream infection (HABSI) in the elderly in Chinese PLA General Hospital and aimed at providing a reference for HABSI in the elderly on clinical diagnosis and treatment to improve the prognosis. Methods: The clinical data and pathology data of 210 cases of the elderly patients with HABSI from 2009 to 2012 in geriatric wards were retrospectively analyzed. Compare the clinical assessment effects of APACHE-II score, SAPS-II score and SOFA score to HABSI prognosis in the elderly by plotting the receiver operating characteristic curve. Use univariate and multivariate logistic regression analysis to get prognostic factors of HABSI in the elderly. Results: Univariate analysis of mortality: Day 1 apache -> 18 II score, lung infection, invasive ventilation, chronic hepatic insufficiency, chronic renal insufficiency, substantive organ malignant tumor, deep venipuncture, indwelling gastric tube indwelling ureter, complicated with shock and acquired bloodstream infections in the elderly patients with 7 days survival state association is significant. Day- 1 SOFA score>7, chronic liver dysfunction, chronic renal insufficiency, concurrent shock, hemodialysis and 28-day survival status of patients with acquired bloodstream infection in elderly hospitals were significantly associated. Multivariate unconditioned logistic regression analysis related to death: Day-1APACHE-II score>18, parenchymal malignant tumors, and concurrent shock are independent risk factors for 7-day death in elderly patients with acquired bloodstream infection. Day-1 SOFA score>7, chronic renal insufficiency, and concurrent shock are independent risk factors for 28-day mortality in elderly patients with acquired bloodstream infection. Conclusion: The incidence of acquired bloodstream infections in the elderly was 1.37%. The 7-day and 28-day mortality rates were 8.10% and 22.38%, respectively. Concurrent shock is 26.7%. The 28- day mortality rate of concurrent shock patients was 48.21%. The best outcome score for the 7-day prognosis of elderly patients with acquired bloodstream infection was the Day-1APACHE-II score, followed by the Day-1 SOFA score. The best score for the 28-day prognostic assessment was the Day-1 SOFA score.
文摘Gerontology is not only an interdisciplinary and intra disciplinary study,but also an international and inter-professional study.Gerontology is a study to create awareness on the concept among people,throughout the world.The philosophy of Gerontology is a lively active philosophy to explore the nature of humanity itself and to practice learning.Moreover,Gerontology is considered as a science as well as human philosophy.This paper introduces philosophy of Gerontology in Japan from the past to the present.It explains that Zen has fundamental philosophy of Gerontology.
文摘Few studies examine the benefits from geriatric telepsychiatry in rural retirement communities.Objectives:1.To demonstrate that using telepsychiatry(a)standard approaches to psychiatric evaluation would yield diagnoses in Diagnostic and Statistical Manual of Mental Disorders(DSM-V);(b)psychotherapies and pharmacotherapy could be effectively administered.2.To examine the relationships among cognition,mood,agitation and functions at baseline and the response to treatment over time.Design:Prospective longitudinal study.Measures:Geriatric Depression scale(GDS),Mini Mental State Exam(MMSE),Barthel Index(BI),Pittsburgh Agitation Scale(PAS).Setting:Video Teleconferencing.Interventions:Psychotherapy,psychopharmacology.Participants:428 Seniors over 55,met criteria for at least one DSM-V diagnosis.Results:Treatments were administered for a full range of psychiatric diagnoses and age-related medical conditions.The most frequently prescribed pharmacological agents were:antidepressants(78%)antipsychotics(64%),memory enhancers(38%).Participants(66%)received psychotherapy:individual(31%),couple(7%),family(13%).Variation in the MMSE scores were observed:55%remained stable,11%declined,18%improved.GDS Scores improved from baseline to 26 weeks(p=0.02,d=0.99:95%CI 0.39-1.56).PAS scores declined from baseline to 52 weeks(McNemar’s S=11.27,p=0.0008,d=1.17:95%CI 0.63-1.68).Function(BI)at week 26 was not statistically significantly different from baseline(t(26)=1.66,p=0.11,d=0.65:95%CI-0.16-1.42).Participants maintained independence(64.5%)at 52 weeks(McNemar’s S=6.23,p=0.013,d=0.79:95%CI 0.19-1.36)Conclusion:This study demonstrates the feasibility and benefit of providing a full complement of services via telepsychiatry to seniors and provides a rationale for more comprehensive reimbursement plans.
文摘The present paper analyzes different demographic variables to reach the result of how population become aged in different parts of Asia.Policies and planning of population during the past decades have contributed to more life expectancy,leading to the aging of population in countries like Japan,China,South Korea,Singapore,Taiwan and to some extent Iran.Population in some countries aging without needs gradually emerging,being met.People usually at the age of seventy and over lose their normal strengths and potentialities.Many of their capabilities are lost.They gradually become dependent on other younger age groups.Western countries usually have made better policies and plans earlier,and because of that,their aging people have better immunity as far as their health,social and economic conditions are concerned.Many aging people in Asian countries are concerned about their needs during the age of 70 and over.Decline in birth rate is the most important factor positively affecting the aging of population after a few decades has passed.The same happened to Japan,China,South Korea etc.Many Western countries started narrowing their birth rates in the nineteenth century,whereas Asian countries started that since around 1950.Earlier,women used to give birth to 7-8 children,in which half or more of them died in infancy,and the rest who survived,had to face malnutrition,shortage of education,child-labor from the age of 7-8,maternal fatality of mothers and many more unfavorable conditions that affected their lives.While the average age of marriage is between 26-29 in the West,it is usually the age of 20 or below within many developing countries.
文摘The growing and evolving use of emerging technology including Artificial Intelligence(AI)and Virtual Reality(VR),has significantly impacted the lives of two specific groups-the elderly and the disabled.This paper investigates potential reasons for this phenomenon.Clearly,AI and VR Technology alters the everyday lives of people with disabilities and how they navigate the world.Technological developments increasingly work to address the isolation that people with disabilities as well as the elderly experience for they are often unable or limited in how they engage with their communities.This research paper outlines the way technology has improved social communication,information distribution,and day-to-day living for those with disabilities and the elderly.Undoubtedly,the internet has transformed social communication and interaction for most people.Socially isolated individuals with disabilities have gained exposure to social environments through social media.Moreover,the broad range of information available on the internet has increased access to resources such as government services,health services,and social services support.On a related point,assistive devices have enabled disabled people including many seniors to overcome motor,sensory,or cognitive difficulties that may have previously hindered them from performing daily tasks.However,although AI and VR technology has been effectively integrated in the lives of those with disabilities,many such individuals lack access to commonplace technologies,like a personal computer.This paper examines how AI and VR technology has enhanced communication,information access,and everyday activities for the disabled and aging communities despite such socio-economic limitations.
文摘Our aim was to study the effect of depression and social support on the risk of type 2 diabetes in female population aged 25-64 in Russia/Siberia.Under the screening surveys random representative samples of women aged 25-64 years were examined in 1994 and 2005.Depression assessment was performed using the MONICA-MOPSY test.Social support was measured using the Berkman-Sim test.From 1994 to 2018 in a cohort of women new-onset cases of diabetes mellitus were detected.The risk of T2DM in persons with depression was 1.844(p<0.01).After adjusting for sociodemographic variables,the risk decreased by 6%but remained significantly significant(p<0.05).The impact of a low level of social relations showed a significant effect on the risk of diabetes mellitus,including the multivariate model adjusted for the social gradient(HR=1.833,p<0.05).The presence of psychosocial factors decreases the protective effect of education in diabetes incidence.The incidence of T2D was higher in the group of manual labor and in executives.Depression and low social support increase the risk of T2DM by 80%.The frequencies of T2DM are determined by the social gradient and are associated with the role conflict“family-work”.
文摘India is one of the nations in the world where the population is undergoing anomalous demographic changes.The increase in longevity and decrease fertility lead to the boom of older people aged 60 and above both in relative and absolute terms.Due to the rise in number,it creates pressure not only on the family but the responsibility shifts to the government also.This issue becomes a significant social problem not only in India but across the globe.The government had taken action by creating policies and programs to provide services to them.Still,the majority of the elderly population is lacking behind in these areas like health facilities,infrastructure,living arrangements suffering from isolation,loneliness,abuse,crime.Nowadays,smart city initiatives are taken by the government across the country but still in process.To involve and facilitate more cities for“age-friendly”,the World Health Organization develop the Global Age-Friendly Cities Guide and a manual“Checklist of Essential Features of Age-Friendly Cities”.Cooperating with 35 urban communities from developed and developing nations,the WHO oversees eight highlights for age-accommodating urban areas in the space of urban life.This paper had an objective to study and understand exiting literature on age-friendly communities in developed and developing countries and draw attention to the need to create age-friendly cities in India.The realization of the needs and demands of older people,the Indian government should give attention to promote and implement more age-friendly communities all over the country.This initiative till now taken in 3 states,i.e.,Delhi,Udaipur,and Kolkata-which involved in age-friendly community initiatives collaborated with WHO.In this era of a rapid aging sphere,the communities have to enhance in such a manner where the older population can meet their needs quickly without any conflicts and problem.To conclude,the government and policymaker should emphasize the policies into practices to build age-friendly communities across the country and make better living conditions for“allages”.For timely action and productive recommendation,it is an urgent need on the part of the government,policymakers,researchers,social workers to develop and enhance the community’s facilities,which can gain confidence and wellbeing of the elderly in India.
文摘With the visual illusion of the mirror,Mirror Therapy,models the primary somatosensory cortex,cortical and muscular excitability,stimulating cortical reorganization and sensorimotor recovery.Studies have shown to be effective in improving motor function in short and medium term,in activities of daily living,in visuospatial neglect and in reducing pain,especially in patients with complex regional pain syndrome.Objective:To report the perception of Occupational Therapists regarding the application of Mirror Therapy in professional practice.Specifically,what factors lead to its application,what are the effects and benefits of the technique,what are its advantages and limitations.Results:In the perception of Occupational Therapists,the Mirror Therapy technique has the following benefits:significant decrease in pain,improved sensitivity and functionality of the upper limb,unblocking movements in the affected limb,decreased phantom pain;as negative aspects:difficulties in spatial/environmental control,patient's perceptual/cognitive skills,high level of concentration/attention,absence of scientific evidence in neurological conditions.Conclusion:For the interviewed Occupational Therapists,the Mirror Therapy is a safe and useful technique to be applied in your professional practice that has been showing positive results in the functional recovery of patients,however,it lacks studies that identify the appropriate time to start its application and the explanation of an intervention protocol.
文摘Globally,in-home drug-storage compliance is often unsatisfactory,especially among older adults,and can lead to negative health outcomes.This study used a cross-sectional and descriptive design to examine inhome drug-storage compliance among older adults.Convenience sampling was used to recruit 117 older adults in Hong Kong.An in-home drugstorage checklist was used to assess the in-home drug-storage environments(light,temperature,and humidity)and drug-storage methods(drug safety,packaging,information,and expiration)of each older adult.The findings showed that Hong Kong older adults’overall compliance rate in drug storage was 87.25%,and their compliance rate for drug-storage methods(84.59%)was lower than that for drug-storage environments(97.02%).Older adults who were of advanced age,who were less educated or who lived alone demonstrated lower in-home drug-storage compliance.This indicates the need to revise existing health-education strategies to encourage in-home drug-storage compliance.Healthcare professionals should assess older adults’drug-storage compliance to identify less compliant subgroups and deliver specific drug-storage support as required.Family members should also be involved in this process.