Senior study travel,as an emerging form of tourism,combines the dual characteristics of educational learning and leisure travel.It not only meets the elderly’s desire for spiritual and cultural life and self-fulfillm...Senior study travel,as an emerging form of tourism,combines the dual characteristics of educational learning and leisure travel.It not only meets the elderly’s desire for spiritual and cultural life and self-fulfillment but also promotes the construction of a healthy aging society.This study comprehensively uses methods such as literature analysis,interviews,and case studies to analyze the current status and existing problems of the senior study travel market.Based on the 7Ps service marketing model,it explores service marketing strategies for the senior study travel market,aiming to provide reference and guidance for related tourism enterprises to supply more attractive senior study travel services.展开更多
This article will firstly discuss the context overview of English teaching and learning in China. Under thiscircumstance, a problematic element will be examined of the New Senior English for China Student’s Book 1 an...This article will firstly discuss the context overview of English teaching and learning in China. Under thiscircumstance, a problematic element will be examined of the New Senior English for China Student’s Book 1 and critical appraisal ofhow this element relates to other elements of curriculum development will be analyzed. The recommended changes and demonstrationmechanisms for evaluating the changes are put forward in the last two parts.展开更多
With the increasing proportion of the middle aged and elderly people,the aging of society has become a worldwide issue.Life experience and sufficient leisure time of the elderly are treasures of families and the whole...With the increasing proportion of the middle aged and elderly people,the aging of society has become a worldwide issue.Life experience and sufficient leisure time of the elderly are treasures of families and the whole society.The study focuses on improving life value and quality of the elderly,aims at ensuring them to enjoy highquality leisure life.Taking Hailing Island for example,health tourism resources on the island were analyzed,and health tourism development strategies summarized,and the elderly’leisure was explored from the perspective of health tourism,which is a brand-new perspective concerning the seniors and development of coastal tourism destinations.展开更多
AIM:To investigate the actual injury situation of seniors in traffic accidents and to evaluate the different injury patterns.METHODS:Injury data,environmental circumstances and crash circumstances of accidents were co...AIM:To investigate the actual injury situation of seniors in traffic accidents and to evaluate the different injury patterns.METHODS:Injury data,environmental circumstances and crash circumstances of accidents were collected shortly after the accident event at the scene.With these data,a technical and medical analysis was performed,including Injury Severity Score,Abbreviated Injury Scale and Maximum Abbreviated Injury Scale.The method of data collection is named the German InDepth Accident Study and can be seen as representative.RESULTS:A total of 4430 injured seniors in traffic accidents were evaluated.The incidence of sustaining severe injuries to extremities,head and maxillofacial region was significantly higher in the group of elderly people compared to a younger age(P<0.05).The number of accident-related injuries was higher in the group of seniors compared to other groups.CONCLUSION:Seniors are more likely to be involved in traffic injuries and to sustain serious to severe injuries compared to other groups.展开更多
Managing memory deficits is a central problem among older adults with mild cognitive impairment (MCI). This study examined the effects of memory training on memory performance in an understudied “oldest-old” populat...Managing memory deficits is a central problem among older adults with mild cognitive impairment (MCI). This study examined the effects of memory training on memory performance in an understudied “oldest-old” population ranging in age from 90 to 99 years. Eighteen mild to moderately cognitive-impaired older seniors, 90 years and older were recruited from memory clinics established in senior living communities. Treatment sessions took place, on average, twice weekly, for 55 minutes. Memory intervention included nineteen computer-based exercises customized to focus on memory loss. The specificity of memory training was very clear;memory training produced significant effects (F(3,51) = 2.81, p = 0.05) on memory performance, especially after 6 months of training, while other outcome measures showed no effects as predicted. Based on the results, it can be concluded that interventions targeting cognition and memory in the oldest-old MCI population can significantly improve memory function and reduce cognitive deficits.展开更多
Introduction: The senior population is projected to continue to increase dramatically for the foreseeable future and cognitive issues associated with aging have become a major concern as they affect people’s abilit...Introduction: The senior population is projected to continue to increase dramatically for the foreseeable future and cognitive issues associated with aging have become a major concern as they affect people’s ability to carry on activities of daily living. One area of daily living, which has often been cited as a key problem area for seniors is the detection of risks in the home, especially in the kitchen. The kitchen is the place where most domestic accidents occur and the oven is the main source. Methods: We propose a safety kitchen solution, InOvUS, which focuses on safety and reducing the risk of fire, burn and intoxication. We present the evaluation of the soundness of the method we designed to evaluate the adoption intention and interest of a safety kitchen system from a senior user’s perspective. Results: We develop a conceptual model utilizing several existing scales such as the CAI (consumer adoption intention), CI (consumer innovativeness), TAM (technology acceptance model), PEOU (perceived ease of use) and PU (perceived usefulness) scales, but specific to the senior 65+ segment. Conclusion: The evaluation results of InOvUS through the application of our model show a clear buying intention toward InOvUS and also a clear intent to use it.展开更多
To date, there has been limited research carried out to better understand seniors' needs and purchase motivations related to mobile devices. To that end, this research enabled an exploratory assessment of the intrins...To date, there has been limited research carried out to better understand seniors' needs and purchase motivations related to mobile devices. To that end, this research enabled an exploratory assessment of the intrinsic and extrinsic needs/motives to consider in future research and development of ubiquitous mobile devices and related applications, specifically for seniors. The 65+ population is expected to double by 2025 (WHO, 2013) from 390 million to 800 million. The results demonstrate specific needs/motives which should be considered during the development of new mobile attributes and apps for this segment. For both attributes of devices themselves and the applications found on them, three tiers of priority for development were determined.展开更多
The elderly population is growing rapidly in Taiwan. Eating is an important part for this group. The purpose of this study is to adapt the push and pull theory in order to investigate what would motivate the elderly t...The elderly population is growing rapidly in Taiwan. Eating is an important part for this group. The purpose of this study is to adapt the push and pull theory in order to investigate what would motivate the elderly to consume food away from home. Based on the results of a literature review and an expert panel, a valid questionnaire was developed. The participants in this study were aged above 55 who live in Taichung district. A total of 265 samples were collected. Statistical Package for the Social Sciences (SPSS) and Analysis of Moment Structures (AMOS) were used to analyze the data. The findings revealed that the data fit the model moderately well. Push and pull variables had a significant influence on intention and behavior. Recommendations like marketing strategies that can attract senior citizens and restaurateurs should focus on the key factors when seniors consume food away from home.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
When Li Weiping boarded the flight from New York to Beijing in April, it heralded her independence. The 75 year-old Chinese had stayed in the United States for two years after her husband died.
The 20th National Congress of the Communist Party of China put forward the task to ensure all elderly people enjoy basic senior care services.In an aging society,basic senior care services are key to protecting the ba...The 20th National Congress of the Communist Party of China put forward the task to ensure all elderly people enjoy basic senior care services.In an aging society,basic senior care services are key to protecting the basic human rights of the elderly.The government-society partnership is an ideal model to guarantee basic senior care services.In terms of responsibility distribution,the government and social organizations should follow the principle of subsidiarity.On the one hand,social organizations undertake the responsibility to provide basic senior care services under public constraints with regard to service prices,service content,and service targets;On the other hand,the government is the responsible guarantor for minimum senior care services and the prevention of risks.The government’s responsibility of guaranteeing minimum senior care services lies in the government taking over relevant projects after the occurrence of risks.Constrained by the principle of subsidiarity,the government’s responsibility for risk prevention shifts from ex-ante prevention to interim and ex-post prevention.Emphasis should be placed on the principle of the government and society assuming shared responsibilities for risk prevention and achieving risk prevention through government spending.展开更多
The associations of individual amino acid with non-alcoholic fatty liver disease(NAFLD)risk remained unclear.The present study aimed to investigate the associations between the two in the Chinese elderly.Methods:A com...The associations of individual amino acid with non-alcoholic fatty liver disease(NAFLD)risk remained unclear.The present study aimed to investigate the associations between the two in the Chinese elderly.Methods:A community-based health check-up program was conducted in Qingdao,China.NAFLD was diagnosed by ultrasonography accompanied by epidemiological investigation.The dietary intakes of amino acids were investigated with 3-day,24-h dietary records and calculated by Nutrition Calculator software.Restricted cubic spline model was used to evaluate a nonlinear relationship between amino acid intake and NAFLD risk.Results:400 NAFLD subjects were identified,and 400 participants were randomly selected as controls and matched by gender and age(±3 years)Dose-response analysis showed that 1000 mg increment of aromatic amino acids(AAAs)was associated with reduced 16%risk of NAFLD.Dietary increments of 750 mg/d threonine,950 mg/d valine,or 1700 mg/d lysine were associated with a 20%reduction in the NAFLD risk(all P for linearity<0.05).Conclusion:The present study demonstrated that the dietary increases in milk,eggs and deep-sea fish,which are rich in the amino acids,might contribute to protecting against NAFLD in the elderly.展开更多
Sichuan Academy of Social Sciences is the think tank for the People’s Government of Sichuan Province and the Sichuan Provincial Committee of the CPC,with full financial backing of the Party and the government.The Aca...Sichuan Academy of Social Sciences is the think tank for the People’s Government of Sichuan Province and the Sichuan Provincial Committee of the CPC,with full financial backing of the Party and the government.The Academy consists of 16 institutes,1 graduate school,10 departments of scientific research management services.At the end of 2023 the staff numbered 459.Among the scientific research personnel,79 employees have senior professional titles,and 147 employees have associate senior professional titles;31 employees are experts entitled to special allowances of the State Council,33 employees are provincial academic and technical leaders,20 employees are experts with outstanding contributions at provincial level;and 184 employees have doctorate degrees.展开更多
Objective:To assess the predictive value of systemic immune inflammation index(SII)for sepsis in low-and medium-risk community-acquired pneumonia.Methods:A total of 589 elderly patients with low-and medium-risk commun...Objective:To assess the predictive value of systemic immune inflammation index(SII)for sepsis in low-and medium-risk community-acquired pneumonia.Methods:A total of 589 elderly patients with low-and medium-risk community-acquired pneumonia admitted to the Emergency Department of the Second Affiliated Hospital of Hainan Medical University from January 2020 to January 2023 were included as the research subjects,and the general information and laboratory test results of the patients were collected,and the optimal cut-off value of continuous variables for predicting sepsis in elderly patients with low-and medium-risk community-acquired pneumonia was determined by plotting the receiver work characteristic(ROC)curve,which was converted into dichotomous variables and univariate and multivariate logistic Regression analysis of the influencing factors of sepsis in elderly patients with low-and medium-risk community-acquired pneumonia.Based on this,a nomogram model is constructed to predict the risk of sepsis.The differentiation,consistency and accuracy of the model were verified by calibration curve and subject operating characteristic(ROC)curve,and the clinical utility of the model was determined by decision curve analysis.Results:A total of 589 elderly patients with low-and intermediate-risk community-acquired pneumonia were included in this study,of which 96(16.30%)developed sepsis.There were significant differences in age,diabetes mellitus and chronic obstructive pulmonary disease,Lac,PCT,SII and other indexes between sepsis and non-sepsis groups(P<0.05).Logistics regression analysis showed that age,diabetes mellitus and chronic obstructive pulmonary disease,Lac,and SII were independent risk factors for sepsis in elderly patients with low-and medium-risk community-acquired pneumonia.The nomogram prediction model was used to verify the results,and the AUC was 0.826(95%CI:0.780-0.872),and the calibration curve tended to the ideal curve with good accuracy.The decision curve shows that when the threshold of the model is between 0.10~0.78,the model has the advantage of clinical benefit.Conclusion:The nomogram prediction model constructed based on SII to predict sepsis in elderly patients with low-and medium-risk community-acquired pneumonia has good accuracy,which can predict the occurrence of sepsis early,help early identification of high-risk groups and timely intervention,and thus improve the prognosis of patients.展开更多
From the perspective of senior citizens,questionnaire survey and field investigation were carried on and analyzed in three parks in Nanjing City.The results showed that outdoor activities are the principal ways for th...From the perspective of senior citizens,questionnaire survey and field investigation were carried on and analyzed in three parks in Nanjing City.The results showed that outdoor activities are the principal ways for the senior citizens to spend their time,the parks near home is their prior choice,and the radiation range of the park and greenbelt mostly is no more than 2 km;most of the senior citizens come to parks on foot and the parks are always within 30 minutes walking distance;the senior citizens always have fixed partners and groups for their exercise-dominant activities.展开更多
Introduction: Life expectancy improvement for people living with Human Immunodeficiency Virus (HIV) is coming up against the problems associated with aging and chronic diseases. Frailty is a concern affecting a growin...Introduction: Life expectancy improvement for people living with Human Immunodeficiency Virus (HIV) is coming up against the problems associated with aging and chronic diseases. Frailty is a concern affecting a growing number of patients, particularly the elderly in this population. Our study aimed to determine the prevalence of frailty and its predictors on people living with HIV aged 50 years and older followed at the Outpatient Treatment Clinic (CTA) in Dakar. Methodology: We conducted a cross-sectional study of descriptive and analytic purposes ranging from November 2022 to August 2023, in CTA, Dakar (Senegal). We included people living with HIV aged 50 years and older under antiretroviral therapy for at least 6 months (≥6 months). Frailty was considered according to Fried criteria with a score ≥3. To identify the predictors of frailty, we performed a multivariate logistic regression analysis using STATA software version 18. Results: We included 199 patients. The median age at the moment of the study was 58 years old [50 - 91] with a sex ratio (M/F) of 0.58. The most representative age group was that of [50 - 59] years (59.3%). HIV-1 profile was most common in 89.45%. The median duration under antiretroviral therapy was 180 months [6 - 284] and 94% of patients received a Tenofovir Disoproxil Fumarate (TDF)-containing regimen with 43% of them for at least 10 years. Viral load was undetectable (≤40 copies/ml) in 98% of cases. WHO Stage III was more common at inclusion and 55.78% had nadir TCD4+ Lymphocyte counts Conclusion: Our study confirms the high prevalence of frailty among older people living with HIV. Its prevention should consider the management of comorbidities and the implementation of non-pharmacological interventions such as nutrition.展开更多
In 2017,China time and again captured the attention of the world.On January 17,President Xi Jinping delivered a keynote speech at Davos entitled Jointly Shoulder Responsibility of Our Times,Promote Global Growth at th...In 2017,China time and again captured the attention of the world.On January 17,President Xi Jinping delivered a keynote speech at Davos entitled Jointly Shoulder Responsibility of Our Times,Promote Global Growth at the opening session of the World Economic Forum Annual Meeting.Then,on May 14-15,the Belt and Road Forum for International Cooperation was convened in Bejing,attended by more than 1,500 delegates,including 29 heads of state or government,more than 70 chiefs or their deputies of international Organisations,and senior representatives from more than 110 countries.展开更多
Short videos shot at a nursing home in the northern Chinese city of Tianjin are aimed at enriching the inner world of its elderly residents and maintaining their optimistic life view.Agroup of senior citizens face the...Short videos shot at a nursing home in the northern Chinese city of Tianjin are aimed at enriching the inner world of its elderly residents and maintaining their optimistic life view.Agroup of senior citizens face the camera and deliver lines from a scripted sketch ending with the homespun homily,“There are some parents who always compare their children with other people’s children,but they never think to compare themselves with other parents.”The occasional bloopers of these senior players make fellow actors fall about laughing.But rather than reproving them,the director joins in the merriment.This is not a stage rehearsal or movie set scenario,but a video shooting taking place at a nursing home in the northern Chinese city of Tianjin.Since last April,Jingya Nursing Home,in an effort to enrich the lives of its elderly residents,has taken the new approach of shooting short videos.These have since attracted nearly a million followers and scored over six million likes on Douyin,the Chinese version of TikTok.展开更多
OBE theory focuses on students’learning outcomes and application ability,which is consistent with the requirements of the new curriculum standard.The paper attempts to apply OBE theory to innovate the construction of...OBE theory focuses on students’learning outcomes and application ability,which is consistent with the requirements of the new curriculum standard.The paper attempts to apply OBE theory to innovate the construction of English classroom teaching mode in senior high schools from aspects of teaching aims,teaching activities,teaching assessments and application activities.Results show that the application of OBE in high schools is beneficial to the development of English teaching and students'learning.展开更多
基金Research Result of the Chongqing University of Science and Technology Graduate Innovation Program Project“Research on the Development of Senior Study Travel Products in Chongqing Based on the Enhancement of Happiness”(Project No.YKJCX2320903)。
文摘Senior study travel,as an emerging form of tourism,combines the dual characteristics of educational learning and leisure travel.It not only meets the elderly’s desire for spiritual and cultural life and self-fulfillment but also promotes the construction of a healthy aging society.This study comprehensively uses methods such as literature analysis,interviews,and case studies to analyze the current status and existing problems of the senior study travel market.Based on the 7Ps service marketing model,it explores service marketing strategies for the senior study travel market,aiming to provide reference and guidance for related tourism enterprises to supply more attractive senior study travel services.
文摘This article will firstly discuss the context overview of English teaching and learning in China. Under thiscircumstance, a problematic element will be examined of the New Senior English for China Student’s Book 1 and critical appraisal ofhow this element relates to other elements of curriculum development will be analyzed. The recommended changes and demonstrationmechanisms for evaluating the changes are put forward in the last two parts.
文摘With the increasing proportion of the middle aged and elderly people,the aging of society has become a worldwide issue.Life experience and sufficient leisure time of the elderly are treasures of families and the whole society.The study focuses on improving life value and quality of the elderly,aims at ensuring them to enjoy highquality leisure life.Taking Hailing Island for example,health tourism resources on the island were analyzed,and health tourism development strategies summarized,and the elderly’leisure was explored from the perspective of health tourism,which is a brand-new perspective concerning the seniors and development of coastal tourism destinations.
基金Supported by Federal Highway Research Institute(BASt)the German Research Association of the Automotive Technology,a department of the VDA(German Association of the Automotive Industry)
文摘AIM:To investigate the actual injury situation of seniors in traffic accidents and to evaluate the different injury patterns.METHODS:Injury data,environmental circumstances and crash circumstances of accidents were collected shortly after the accident event at the scene.With these data,a technical and medical analysis was performed,including Injury Severity Score,Abbreviated Injury Scale and Maximum Abbreviated Injury Scale.The method of data collection is named the German InDepth Accident Study and can be seen as representative.RESULTS:A total of 4430 injured seniors in traffic accidents were evaluated.The incidence of sustaining severe injuries to extremities,head and maxillofacial region was significantly higher in the group of elderly people compared to a younger age(P<0.05).The number of accident-related injuries was higher in the group of seniors compared to other groups.CONCLUSION:Seniors are more likely to be involved in traffic injuries and to sustain serious to severe injuries compared to other groups.
文摘Managing memory deficits is a central problem among older adults with mild cognitive impairment (MCI). This study examined the effects of memory training on memory performance in an understudied “oldest-old” population ranging in age from 90 to 99 years. Eighteen mild to moderately cognitive-impaired older seniors, 90 years and older were recruited from memory clinics established in senior living communities. Treatment sessions took place, on average, twice weekly, for 55 minutes. Memory intervention included nineteen computer-based exercises customized to focus on memory loss. The specificity of memory training was very clear;memory training produced significant effects (F(3,51) = 2.81, p = 0.05) on memory performance, especially after 6 months of training, while other outcome measures showed no effects as predicted. Based on the results, it can be concluded that interventions targeting cognition and memory in the oldest-old MCI population can significantly improve memory function and reduce cognitive deficits.
文摘Introduction: The senior population is projected to continue to increase dramatically for the foreseeable future and cognitive issues associated with aging have become a major concern as they affect people’s ability to carry on activities of daily living. One area of daily living, which has often been cited as a key problem area for seniors is the detection of risks in the home, especially in the kitchen. The kitchen is the place where most domestic accidents occur and the oven is the main source. Methods: We propose a safety kitchen solution, InOvUS, which focuses on safety and reducing the risk of fire, burn and intoxication. We present the evaluation of the soundness of the method we designed to evaluate the adoption intention and interest of a safety kitchen system from a senior user’s perspective. Results: We develop a conceptual model utilizing several existing scales such as the CAI (consumer adoption intention), CI (consumer innovativeness), TAM (technology acceptance model), PEOU (perceived ease of use) and PU (perceived usefulness) scales, but specific to the senior 65+ segment. Conclusion: The evaluation results of InOvUS through the application of our model show a clear buying intention toward InOvUS and also a clear intent to use it.
文摘To date, there has been limited research carried out to better understand seniors' needs and purchase motivations related to mobile devices. To that end, this research enabled an exploratory assessment of the intrinsic and extrinsic needs/motives to consider in future research and development of ubiquitous mobile devices and related applications, specifically for seniors. The 65+ population is expected to double by 2025 (WHO, 2013) from 390 million to 800 million. The results demonstrate specific needs/motives which should be considered during the development of new mobile attributes and apps for this segment. For both attributes of devices themselves and the applications found on them, three tiers of priority for development were determined.
文摘The elderly population is growing rapidly in Taiwan. Eating is an important part for this group. The purpose of this study is to adapt the push and pull theory in order to investigate what would motivate the elderly to consume food away from home. Based on the results of a literature review and an expert panel, a valid questionnaire was developed. The participants in this study were aged above 55 who live in Taichung district. A total of 265 samples were collected. Statistical Package for the Social Sciences (SPSS) and Analysis of Moment Structures (AMOS) were used to analyze the data. The findings revealed that the data fit the model moderately well. Push and pull variables had a significant influence on intention and behavior. Recommendations like marketing strategies that can attract senior citizens and restaurateurs should focus on the key factors when seniors consume food away from home.
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When Li Weiping boarded the flight from New York to Beijing in April, it heralded her independence. The 75 year-old Chinese had stayed in the United States for two years after her husband died.
基金a phased research result of the 2021 Major Project of the National Human Rights Education and Training Base for Humanities and Social Sciences of the Ministry of Education(No.21JJD820005).
文摘The 20th National Congress of the Communist Party of China put forward the task to ensure all elderly people enjoy basic senior care services.In an aging society,basic senior care services are key to protecting the basic human rights of the elderly.The government-society partnership is an ideal model to guarantee basic senior care services.In terms of responsibility distribution,the government and social organizations should follow the principle of subsidiarity.On the one hand,social organizations undertake the responsibility to provide basic senior care services under public constraints with regard to service prices,service content,and service targets;On the other hand,the government is the responsible guarantor for minimum senior care services and the prevention of risks.The government’s responsibility of guaranteeing minimum senior care services lies in the government taking over relevant projects after the occurrence of risks.Constrained by the principle of subsidiarity,the government’s responsibility for risk prevention shifts from ex-ante prevention to interim and ex-post prevention.Emphasis should be placed on the principle of the government and society assuming shared responsibilities for risk prevention and achieving risk prevention through government spending.
基金supported by National Natural Science Foundation of China(NSFC:82073538 and 81773433)by the 2018 Chinese Nutrition Society(CNS)Nutrition Research Foundation-DSM Research Fund(CNS-DSM2018A30)。
文摘The associations of individual amino acid with non-alcoholic fatty liver disease(NAFLD)risk remained unclear.The present study aimed to investigate the associations between the two in the Chinese elderly.Methods:A community-based health check-up program was conducted in Qingdao,China.NAFLD was diagnosed by ultrasonography accompanied by epidemiological investigation.The dietary intakes of amino acids were investigated with 3-day,24-h dietary records and calculated by Nutrition Calculator software.Restricted cubic spline model was used to evaluate a nonlinear relationship between amino acid intake and NAFLD risk.Results:400 NAFLD subjects were identified,and 400 participants were randomly selected as controls and matched by gender and age(±3 years)Dose-response analysis showed that 1000 mg increment of aromatic amino acids(AAAs)was associated with reduced 16%risk of NAFLD.Dietary increments of 750 mg/d threonine,950 mg/d valine,or 1700 mg/d lysine were associated with a 20%reduction in the NAFLD risk(all P for linearity<0.05).Conclusion:The present study demonstrated that the dietary increases in milk,eggs and deep-sea fish,which are rich in the amino acids,might contribute to protecting against NAFLD in the elderly.
文摘Sichuan Academy of Social Sciences is the think tank for the People’s Government of Sichuan Province and the Sichuan Provincial Committee of the CPC,with full financial backing of the Party and the government.The Academy consists of 16 institutes,1 graduate school,10 departments of scientific research management services.At the end of 2023 the staff numbered 459.Among the scientific research personnel,79 employees have senior professional titles,and 147 employees have associate senior professional titles;31 employees are experts entitled to special allowances of the State Council,33 employees are provincial academic and technical leaders,20 employees are experts with outstanding contributions at provincial level;and 184 employees have doctorate degrees.
基金Natural Science Foundation of Hainan Province(No.819MS128)。
文摘Objective:To assess the predictive value of systemic immune inflammation index(SII)for sepsis in low-and medium-risk community-acquired pneumonia.Methods:A total of 589 elderly patients with low-and medium-risk community-acquired pneumonia admitted to the Emergency Department of the Second Affiliated Hospital of Hainan Medical University from January 2020 to January 2023 were included as the research subjects,and the general information and laboratory test results of the patients were collected,and the optimal cut-off value of continuous variables for predicting sepsis in elderly patients with low-and medium-risk community-acquired pneumonia was determined by plotting the receiver work characteristic(ROC)curve,which was converted into dichotomous variables and univariate and multivariate logistic Regression analysis of the influencing factors of sepsis in elderly patients with low-and medium-risk community-acquired pneumonia.Based on this,a nomogram model is constructed to predict the risk of sepsis.The differentiation,consistency and accuracy of the model were verified by calibration curve and subject operating characteristic(ROC)curve,and the clinical utility of the model was determined by decision curve analysis.Results:A total of 589 elderly patients with low-and intermediate-risk community-acquired pneumonia were included in this study,of which 96(16.30%)developed sepsis.There were significant differences in age,diabetes mellitus and chronic obstructive pulmonary disease,Lac,PCT,SII and other indexes between sepsis and non-sepsis groups(P<0.05).Logistics regression analysis showed that age,diabetes mellitus and chronic obstructive pulmonary disease,Lac,and SII were independent risk factors for sepsis in elderly patients with low-and medium-risk community-acquired pneumonia.The nomogram prediction model was used to verify the results,and the AUC was 0.826(95%CI:0.780-0.872),and the calibration curve tended to the ideal curve with good accuracy.The decision curve shows that when the threshold of the model is between 0.10~0.78,the model has the advantage of clinical benefit.Conclusion:The nomogram prediction model constructed based on SII to predict sepsis in elderly patients with low-and medium-risk community-acquired pneumonia has good accuracy,which can predict the occurrence of sepsis early,help early identification of high-risk groups and timely intervention,and thus improve the prognosis of patients.
文摘From the perspective of senior citizens,questionnaire survey and field investigation were carried on and analyzed in three parks in Nanjing City.The results showed that outdoor activities are the principal ways for the senior citizens to spend their time,the parks near home is their prior choice,and the radiation range of the park and greenbelt mostly is no more than 2 km;most of the senior citizens come to parks on foot and the parks are always within 30 minutes walking distance;the senior citizens always have fixed partners and groups for their exercise-dominant activities.
文摘Introduction: Life expectancy improvement for people living with Human Immunodeficiency Virus (HIV) is coming up against the problems associated with aging and chronic diseases. Frailty is a concern affecting a growing number of patients, particularly the elderly in this population. Our study aimed to determine the prevalence of frailty and its predictors on people living with HIV aged 50 years and older followed at the Outpatient Treatment Clinic (CTA) in Dakar. Methodology: We conducted a cross-sectional study of descriptive and analytic purposes ranging from November 2022 to August 2023, in CTA, Dakar (Senegal). We included people living with HIV aged 50 years and older under antiretroviral therapy for at least 6 months (≥6 months). Frailty was considered according to Fried criteria with a score ≥3. To identify the predictors of frailty, we performed a multivariate logistic regression analysis using STATA software version 18. Results: We included 199 patients. The median age at the moment of the study was 58 years old [50 - 91] with a sex ratio (M/F) of 0.58. The most representative age group was that of [50 - 59] years (59.3%). HIV-1 profile was most common in 89.45%. The median duration under antiretroviral therapy was 180 months [6 - 284] and 94% of patients received a Tenofovir Disoproxil Fumarate (TDF)-containing regimen with 43% of them for at least 10 years. Viral load was undetectable (≤40 copies/ml) in 98% of cases. WHO Stage III was more common at inclusion and 55.78% had nadir TCD4+ Lymphocyte counts Conclusion: Our study confirms the high prevalence of frailty among older people living with HIV. Its prevention should consider the management of comorbidities and the implementation of non-pharmacological interventions such as nutrition.
文摘In 2017,China time and again captured the attention of the world.On January 17,President Xi Jinping delivered a keynote speech at Davos entitled Jointly Shoulder Responsibility of Our Times,Promote Global Growth at the opening session of the World Economic Forum Annual Meeting.Then,on May 14-15,the Belt and Road Forum for International Cooperation was convened in Bejing,attended by more than 1,500 delegates,including 29 heads of state or government,more than 70 chiefs or their deputies of international Organisations,and senior representatives from more than 110 countries.
文摘Short videos shot at a nursing home in the northern Chinese city of Tianjin are aimed at enriching the inner world of its elderly residents and maintaining their optimistic life view.Agroup of senior citizens face the camera and deliver lines from a scripted sketch ending with the homespun homily,“There are some parents who always compare their children with other people’s children,but they never think to compare themselves with other parents.”The occasional bloopers of these senior players make fellow actors fall about laughing.But rather than reproving them,the director joins in the merriment.This is not a stage rehearsal or movie set scenario,but a video shooting taking place at a nursing home in the northern Chinese city of Tianjin.Since last April,Jingya Nursing Home,in an effort to enrich the lives of its elderly residents,has taken the new approach of shooting short videos.These have since attracted nearly a million followers and scored over six million likes on Douyin,the Chinese version of TikTok.
文摘OBE theory focuses on students’learning outcomes and application ability,which is consistent with the requirements of the new curriculum standard.The paper attempts to apply OBE theory to innovate the construction of English classroom teaching mode in senior high schools from aspects of teaching aims,teaching activities,teaching assessments and application activities.Results show that the application of OBE in high schools is beneficial to the development of English teaching and students'learning.