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Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo最新文献

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[Neuroimaging of cerebral small vessel disease in mild cognitive impairment in older adults.] [老年人轻度认知障碍脑小血管疾病的神经影像学研究。]
I. K. Stulov, N. Gomzyakova, I. D. Plyusnina, L. V. Lukina, N. Zalutskaya, N. Ananyeva
Cerebral small vessel disease (CSVD) - is a clinical and radiological phenomenon characteristic of older adults. Currently, the extent of white matter lesions (WML) in patients with moderate cognitive disorders remains uncertain. Also, the relationship of cognitive impairment with the volume of WML has not been sufficiently studied. The aim of the study was to analyze the WML volumes in patients with subcortical vascular mild cognitive impairment (svMCI) and in the control group according to magnetic resonance imaging (MRI). The study included 50 people: 25 patients with svMCI (average age 75,88±4,04 years) and 25 conditionally healthy volunteers (average age 69,96±3,07 years). Significant differences in the volume of WML between the study groups were obtained. The fraction of hypointense WML was 0,74±0,41 in patients with svMCI and 0,15±0,07 in the control group. In the correlation analysis in the svMCI group, only the function of mental control showed a negative relationship with the fraction of WML. The data obtained suggest that the assessment of the volume of WML is important in patients with svMCI, but does not fully explain the decline in cognitive functions.
脑血管病(CSVD)是一种老年人特有的临床和影像学现象。目前,中度认知障碍患者白质病变(WML)的程度仍不确定。此外,认知功能障碍与脑容量的关系尚未得到充分的研究。本研究的目的是根据磁共振成像(MRI)分析皮层下血管性轻度认知障碍(svMCI)患者和对照组的WML体积。该研究包括50人:25名svMCI患者(平均年龄75,88±4.04岁)和25名条件健康志愿者(平均年龄69,96±3.07岁)。各组间WML体积有显著差异。svMCI组低强度WML分数为0.74±0.41,对照组为0.15±0.07。在svMCI组的相关分析中,只有精神控制功能与WML分数呈负相关。所获得的数据表明,WML容量的评估对svMCI患者很重要,但不能完全解释认知功能的下降。
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引用次数: 0
PHYSICAL REHABILITATION FOR ANKLE JOINT INJURIES IN ELDERLY AND SENILE PEOPLE (STAGE 2) 老年人踝关节损伤的物理康复治疗(第二阶段)
Д.Н. Бобунов, Д.Д. Селезнева, Р.И. Абдульминова, А.А. Шихирина, К.С. Хацукова, Р.А. Шапанов, Я.В. Погодина, А.К. Иорданишвили, В.А. Арутюнов
Основная часть повреждений у пациентов пожилого и старческого возраста в результате повышенной физической нагрузки при движении приходится на нижние конечности. Травмы голеностопного сустава имеют многофакторную этиологию, включающую взаимодействие компенсаторной биомеханики позвоночного столба и ног, внешних факторов среды и выбора обуви. В связи с этим необходим комплекс реабилитационных мер, включающий ЛФК, для осуществления восстановительного процесса не только в амбулаторных условиях, но и на дому, тем самым улучшая качество жизни и предотвращая инвалидизацию. Пациенты группы сравнения получали стандартную комплексную терапию, включающую ортопедические методы, медикаменты, миостимуляцию, массаж. Пациентам основной группы дополнительно к традиционной схеме реабилитации была добавлена методика ЛФК по заявленному способу. В ходе исследования не выявлено значимых осложнений и побочных эффектов при использовании данной методики, что позволяет рекомендовать ее как средство вторичной профилактики травм голеностопного сустава и стопы, особенно при противопоказаниях к консервативной и таргетной терапии. Выявлена существенная разница по показателям гониометрии после восстановительного периода у больных основной и группы сравнения. The main part of the injuries of elderly and senile patients as a result of physical activity falls on the lower limbs, due to the increased load during movement. Ankle injuries have a multifactorial etiology involving the interaction of compensatory spinal and leg biomechanics, environmental factors, and shoe selection. In this regard, it is necessary to prepare a complex of rehabilitation measures, including physical therapy, with the possibility of implementing the recovery process not only on an outpatient basis, but also at home, thereby improving the quality of life and preventing disability. The patients of the comparison group received standard complex therapy, including orthopedic methods of treatment, drug therapy, myostimulation, and massage. For patients of the main group, in addition to the traditional complex, the exercise therapy technique according to the claimed method was added. The study revealed no signifi cant complications and side effects when using this technique, which allows us to recommend it as a means of secondary prevention and injuries of the ankle joint, especially when conservative and targeted therapy is contraindicated. A significant difference was found in goniometry parameters after the recovery period in patients in the main and comparison groups.
由于运动压力过大,老年人和老年人受到的伤害主要集中在下肢。胫骨损伤有多种因素,包括脊椎和腿部补偿生物力学、环境因素和鞋子选择之间的相互作用。因此,需要全面的康复措施,包括lfc,不仅在门诊条件下,而且在家里进行康复,从而改善生活质量,防止残疾。比较小组的病人接受了标准的综合治疗,包括矫形方法、药物、肌刺激、按摩。主要群体的病人在传统的康复计划中加入了lfk治疗方法。研究没有发现使用这一方法的重大并发症和副作用,这表明它可以作为预防胫骨和足部损伤的第二次预防方法,特别是在防治保守和目标性治疗方面。在恢复后的基本组和比较组中,测谎仪的基线测量显示了显著的差异。《超人前传》和《超人前传》的主要部分是《超人前传》中的物理动作瀑布。Ankle injuries有一个多工厂的想法来启动完整的脊髓和生物机械的交互。在这个regard中,这是一种非必要的体能治疗,由体能治疗治疗,但在家里,由体能治疗治疗。comparison集团的复仇者复仇者,行政者的复仇者,行政者的复仇者,复仇者,复仇者,复仇者。为了主要群体的先入之见,为了实践计算,为了clame医疗的远征,为了added。当我们的技术被重新引入时,当我们的第二次预防性和无知被引入时,当保护和目标therapy被引入时,我们的反应是一致的。在主干和comparison groups进行了一次检索之后,信号干扰是在冈纳的伙伴关系中进行的。
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引用次数: 0
Factors Affecting the Life Satisfaction of the older adult: The Role of Place attachment. 影响老年人生活满意度的因素:地方依恋的作用。
V. Borhaninejad, S. Alizadeh, M. M. Fadakar, M. Saber
This study examined the association between life satisfaction and place attachment in the older adult. A total of 200 subjects of Kerman city, Iran, responded to questionnaires on life satisfaction and place attachment. The data were analyzed using chi-square, analysis of variance, correlation, and hierarchical multiple regression analysis by the SPSS software version 18. Approximately 51,4% of the subjects had intermediate life satisfaction. The Life satisfaction mean was significantly lower in subjects over 80 of the male gender, single marital status, with more than 3 chronic diseases and bad self-rated health. The majority of respondents had intermediate levels of place attachment (56,6%). There was a significant correlation between life satisfaction and place attachment. Independent variables accounted for 34,2% of the variance in life satisfaction. Individuals with higher attachment had higher levels of life satisfaction than those with lower place attachment. Place attachment is an appropriate strategy to increase life satisfaction in aging.
本研究考察了老年人生活满意度与地方依恋的关系。伊朗克尔曼市共200名受试者填写了生活满意度和地方依恋问卷。采用SPSS软件18版对数据进行卡方分析、方差分析、相关分析和层次多元回归分析。约51.4%的受试者生活满意度处于中等水平。80岁以上、单身、患有3种以上慢性疾病、自评健康状况较差的男性生活满意度均值较低。大多数受访者有中等程度的地方依恋(56.6%)。生活满意度与地方依恋存在显著相关。自变量占生活满意度方差的34.2%。依恋程度高的个体比地方依恋程度低的个体有更高的生活满意度。地方依恋是提高老年人生活满意度的一种适当策略。
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引用次数: 1
literature review 文献综述
Д.П. Курмаев, С.В. Булгакова, Е.В. Тренева, И.С. Четверикова, С.А. Башинская
Одним из ведущих гериатрических синдромов, включенным в Международную классификацию болезней МКБ-10 с 2016 г., является саркопения. Саркопения - прогрессирующее генерализованное заболевание, сопровождающееся потерей силы, массы и функции скелетной мускулатуры. Это заболевание может приводить к снижению трудоспособности, нарушению способности к самообслуживанию, инвалидности, увеличению риска преждевременной смерти. Среди хронической неинфекционной патологии у пациентов пожилого и старческого возраста важную роль играет сахарный диабет 2-го типа (СД2). Он представляет собой серьезное бремя для здоровья пожилых людей, поражая примерно 25 % людей старше 65 лет. Ожидается, что эта доля резко возрастет в следующие десятилетия в связи с увеличением продолжительности жизни населения, наблюдаемым в последние годы. Помимо микрососудистых и макрососудистых осложнений, саркопения была описана как новое осложнение сахарного диабета у пожилых людей. На фоне СД2 риск развития саркопении возрастает троекратно. Представляет интерес рассмотрение механизмов взаимосвязи саркопении и СД2 у гериатрических пациентов. One of the leading geriatric syndromes, which has been included in the International Classification of Diseases ICD-10 since 2016, is sarcopenia. Sarcopenia is a progressive generalized disease accompanied by a loss of strength, mass, and skeletal muscle function. This disease can lead to a decrease in working capacity, impaired ability to self-service, disability, and an increased risk of premature death. Type 2 diabetes mellitus (T2DM) plays an important role among the chronic non-infectious pathology of elderly and senile patients. T2DM is a serious health burden for older people, affecting approximately 25 % of people over 65 years of age. This percentage is expected to rise sharply in the coming decades due to the increase in the life expectancy of the population observed in recent years. In addition to microvascular and macrovascular complications, sarcopenia has been described as a new complication of diabetes mellitus in the elderly. T2DM increases the risk of developing sarcopenia threefold. It is of interest to consider the mechanisms of the relationship between sarcopenia and type 2 diabetes mellitus in geriatric patients.
自2016年以来,国际疾病分类icb -10的主要老年综合征之一是sarcopia。sarkopia是一种进行性疾病,伴有骨骼肌肉的力量、质量和功能丧失。这种疾病可能导致残疾、自残、残疾、过早死亡的风险增加。在慢性非传染性病理学中,老年人和老年人的糖尿病(cd2)起着重要作用。它是老年人健康的沉重负担,影响了大约25%的65岁以上的人。由于近年来人口寿命的增加,这一比例预计将在未来几十年大幅上升。除了微血管和大血管并发症,sarkopia被描述为老年人糖尿病的新并发症。在cd2的背景下,sarcopy的风险增加了三倍。在老年患者中,sarcopia和cd2之间的关系机制很有趣。2016年10月10日,在国际分裂经典中,有一个德国人是萨科penia。Sarcopenia是一种先天性疾病,由strength、mass和skeletal musction引起。这是一种无法进入工作状态的状态,一种无法进入自我服务的状态,一种无法忍受的死亡状态。= =游戏玩法= =两款diabetes mellitus (T2DM)是一款电子游戏。T2DM是奥尔德人的系列,约占65岁以上人口的25%。这是一个人在返回的过程中勇敢地面对现实,在留校察看的生活中勇敢地面对现实。在《埃尔德丽》中,萨科佩尼亚·哈斯比德比是《萨科佩尼亚·梅利达斯》中的新编译版。T2DM increases是sarcopenia threefold开发的risk。这是德国爱国主义者中比较萨宾娜和两种diabetus mellitus的interest连接。
{"title":"literature review","authors":"Д.П. Курмаев, С.В. Булгакова, Е.В. Тренева, И.С. Четверикова, С.А. Башинская","doi":"10.34922/ae.2022.35.6.001","DOIUrl":"https://doi.org/10.34922/ae.2022.35.6.001","url":null,"abstract":"Одним из ведущих гериатрических синдромов, включенным в Международную классификацию болезней МКБ-10 с 2016 г., является саркопения. Саркопения - прогрессирующее генерализованное заболевание, сопровождающееся потерей силы, массы и функции скелетной мускулатуры. Это заболевание может приводить к снижению трудоспособности, нарушению способности к самообслуживанию, инвалидности, увеличению риска преждевременной смерти. Среди хронической неинфекционной патологии у пациентов пожилого и старческого возраста важную роль играет сахарный диабет 2-го типа (СД2). Он представляет собой серьезное бремя для здоровья пожилых людей, поражая примерно 25 % людей старше 65 лет. Ожидается, что эта доля резко возрастет в следующие десятилетия в связи с увеличением продолжительности жизни населения, наблюдаемым в последние годы. Помимо микрососудистых и макрососудистых осложнений, саркопения была описана как новое осложнение сахарного диабета у пожилых людей. На фоне СД2 риск развития саркопении возрастает троекратно. Представляет интерес рассмотрение механизмов взаимосвязи саркопении и СД2 у гериатрических пациентов. One of the leading geriatric syndromes, which has been included in the International Classification of Diseases ICD-10 since 2016, is sarcopenia. Sarcopenia is a progressive generalized disease accompanied by a loss of strength, mass, and skeletal muscle function. This disease can lead to a decrease in working capacity, impaired ability to self-service, disability, and an increased risk of premature death. Type 2 diabetes mellitus (T2DM) plays an important role among the chronic non-infectious pathology of elderly and senile patients. T2DM is a serious health burden for older people, affecting approximately 25 % of people over 65 years of age. This percentage is expected to rise sharply in the coming decades due to the increase in the life expectancy of the population observed in recent years. In addition to microvascular and macrovascular complications, sarcopenia has been described as a new complication of diabetes mellitus in the elderly. T2DM increases the risk of developing sarcopenia threefold. It is of interest to consider the mechanisms of the relationship between sarcopenia and type 2 diabetes mellitus in geriatric patients.","PeriodicalId":35293,"journal":{"name":"Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136041774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The associations between bone mineral density with body composition parameters in postmenopausal women. 绝经后妇女骨密度与身体成分参数之间的关系。
A. Farshbaf‐Khalili, S. Malekian, B. Efteharsadat, P. Ghahremaninasab, S. Pourzeinali
Body composition plays an essential role in bone health among postmenopausal women thus we decided to compare body composition in normal bone mass density, osteopenia and osteoporosis women. In this cross-sectional study, 142 normal, 109 osteoporotic, and 194 osteopenic postmenopausal women were selected. Socio-demographic and anthropometric characteristics were investigated. IPAQ-SF questionnaire was applied for evaluating physical activity. Body composition data were obtained using the bioimpedance analysis (BIA) method. A logistic regression model adjusted for confounders was used to estimate the risk of osteopenia and osteoporosis. The odds of osteopenia decreased by increasing Percent Body Fat, PBF (aOR: 0,922; 95% CI 0,867-0,980), Mass of Body Fat, MBF (aOR: 0,909; 95% CI: 0,872 to 0,947), Soft Lean Mass, SLM (aOR: 0,921; 95% CI 0,880-0,964), Lean Body Mass, LBM (aOR: 0,910; 95% CI 0,871-0,951), Visceral Total Body Water, TBW (aOR: 0,878; 95% CI 0,828-0,933), mineral mass (aOR: 0,356; 95% CI 0,231-0,548), body weight (aOR: 0,955; 95% CI 0,934-0,976), and Body Mass Index, BMI (aOR: 0,896; 95% CI 0,848-0,947). The odds of osteoporosis decreased by increasing PBF (aOR: 0,838; 95% CI 0,773-0,909), MBF (aOR: 0,840; 95% CI 0,792-0,891), SLM (aOR: 0,889; 95% CI 0,839-0,941), LBM (aOR: 0,910; 95% CI 0,871-0,951), Visceral Fat Mass, VFM (aOR: 0,465; 95% CI 0,351-0,615), mineral mass (aOR: 0,163; 95% CI 0,086-0,307), body weight (aOR: 0,907; 95% CI 0,876-0,938), and BMI (aOR: 0,797; 95% CI 0,733-0,867). Increased body composition parameters reduced the risk of low bone mass density.
身体成分在绝经后妇女的骨骼健康中起着重要作用,因此我们决定比较正常骨量密度、骨质减少和骨质疏松妇女的身体成分。在这项横断面研究中,选择了142名正常、109名骨质疏松和194名骨质疏松的绝经后妇女。调查了社会人口统计和人体测量特征。采用IPAQ-SF问卷对体育活动进行评价。使用生物阻抗分析(BIA)方法获得身体成分数据。采用经混杂因素调整的逻辑回归模型来估计骨质减少和骨质疏松的风险。通过增加体脂百分比、PBF(aOR:0922;95%CI 0867-0980,体重(aOR:9955;95%CI 0934-0976),以及体重指数,BMI(aOR:0896;95%CI 0848-0947)。通过增加PBF(aOR:8088;95%CI 0773-0909)、MBF(aOR:0840;95%CI 07 92-0891)、SLM(aOR:00889;95%CI 0839-0941 33-0867)。身体成分参数的增加降低了低骨量密度的风险。
{"title":"The associations between bone mineral density with body composition parameters in postmenopausal women.","authors":"A. Farshbaf‐Khalili, S. Malekian, B. Efteharsadat, P. Ghahremaninasab, S. Pourzeinali","doi":"10.34922/ae.2022.35.6.010","DOIUrl":"https://doi.org/10.34922/ae.2022.35.6.010","url":null,"abstract":"Body composition plays an essential role in bone health among postmenopausal women thus we decided to compare body composition in normal bone mass density, osteopenia and osteoporosis women. In this cross-sectional study, 142 normal, 109 osteoporotic, and 194 osteopenic postmenopausal women were selected. Socio-demographic and anthropometric characteristics were investigated. IPAQ-SF questionnaire was applied for evaluating physical activity. Body composition data were obtained using the bioimpedance analysis (BIA) method. A logistic regression model adjusted for confounders was used to estimate the risk of osteopenia and osteoporosis. The odds of osteopenia decreased by increasing Percent Body Fat, PBF (aOR: 0,922; 95% CI 0,867-0,980), Mass of Body Fat, MBF (aOR: 0,909; 95% CI: 0,872 to 0,947), Soft Lean Mass, SLM (aOR: 0,921; 95% CI 0,880-0,964), Lean Body Mass, LBM (aOR: 0,910; 95% CI 0,871-0,951), Visceral Total Body Water, TBW (aOR: 0,878; 95% CI 0,828-0,933), mineral mass (aOR: 0,356; 95% CI 0,231-0,548), body weight (aOR: 0,955; 95% CI 0,934-0,976), and Body Mass Index, BMI (aOR: 0,896; 95% CI 0,848-0,947). The odds of osteoporosis decreased by increasing PBF (aOR: 0,838; 95% CI 0,773-0,909), MBF (aOR: 0,840; 95% CI 0,792-0,891), SLM (aOR: 0,889; 95% CI 0,839-0,941), LBM (aOR: 0,910; 95% CI 0,871-0,951), Visceral Fat Mass, VFM (aOR: 0,465; 95% CI 0,351-0,615), mineral mass (aOR: 0,163; 95% CI 0,086-0,307), body weight (aOR: 0,907; 95% CI 0,876-0,938), and BMI (aOR: 0,797; 95% CI 0,733-0,867). Increased body composition parameters reduced the risk of low bone mass density.","PeriodicalId":35293,"journal":{"name":"Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44431932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Characteristics and risk factors for in-hospital mortality in 243 elderly patients with COVID-19 in Santorso, Italy: a retrospective study. 意大利桑托索243名新冠肺炎老年患者住院死亡率的特征和危险因素:一项回顾性研究。
M. Facci, A. Previti
Large proportion of deaths from SARS-CoV-2 infections occurred worldwide, especially in elderly patients. The aim of this research is to investigate the potential risk factors for mortality in the elderly patients with COVID-19. 65 years old or older patients with COVID-19 admitted to the Hospital «Alto Vicentino» of Santorso, Vicenza, from 23th February to 25th May 2020, were enrolled in this retrospective cohort study. Data of demographics, clinical features, comorbidities and blood tests were collected and compared for different outcomes. Charlson Comorbidity Index (CCI), Barthel Index (BI) and Modified Early Warning Score (MEWS) were evaluated. Univariate and multivariate logistic regression analyses were performed to explore risk factors for death. 243 patients with mean age 81,3±8,4 years were enrolled, of which 121 (49,8%) were females. This cohort included 11 (4,5%) mild, 131 (53,9%) moderate, 94 (38,7%) severe, 7 (2,9%) critical cases. CCI and BI were 2,8±2,1 points and 31,3±34,9 points respectively. Lethality rate was 28,4% (69 cases). Univariate logistic regression showed a significant increase in mortality risk with increasing age, CCI, polypharmacy, MEWS, Severity Index and reduced BI. Among blood tests thrombocytopenia, high CRP and elevated LDH showed a significant correlation with mortality. In the multivariate logistic regression high CCI, low BI and thrombocytopenia remained to be predictors of death. Tools, which evaluate functional dependence like BI and multiple morbidity like CCI, can be useful in identifying the elderly patients with COVID-19 at greater risk.
严重急性呼吸系统综合征冠状病毒2型感染导致的死亡在全球范围内占很大比例,尤其是老年患者。本研究的目的是调查新冠肺炎老年患者死亡的潜在危险因素。本回顾性队列研究纳入了2020年2月23日至5月25日入住维琴察省桑托索市Alto Vicentino医院的65岁或以上新冠肺炎患者。收集人口统计学、临床特征、合并症和血液测试的数据,并对不同的结果进行比较。评估Charlson合并症指数(CCI)、Barthel指数(BI)和改良早期预警评分(MEWS)。进行单变量和多变量逻辑回归分析,以探讨死亡的危险因素。入选243例患者,平均年龄81,3±8.4岁,其中121例(49.8%)为女性。该队列包括11例(4.5%)轻度、131例(53.9%)中度、94例(38.7%)重度和7例(2.9%)危重病例。CCI和BI分别为2,8±2,1分和31,3±34,9分。致死率为28.4%(69例)。单变量逻辑回归显示,随着年龄、CCI、多药治疗、MEWS、严重程度指数和BI降低,死亡率显著增加。在血液测试中,血小板减少、高CRP和LDH升高与死亡率显著相关。在多变量逻辑回归中,高CCI、低BI和血小板减少仍然是死亡的预测因素。评估功能依赖性(如BI)和多种发病率(如CCI)的工具可用于识别风险更大的老年新冠肺炎患者。
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引用次数: 0
[Analysis of the real capabilities of the older people through monitoring web resources.] [通过网络资源监测分析老年人的真实能力。]
G A Barysheva, E M Rozhdestvenskaya, A V Khaperskaya

We analyzed the real capabilities for the older generation by monitoring web resources and identifying real user requests via the Internet. As a result, we formed a database containing dataset of the real capabilities for the older generation. We assumes the directions to implement survey results in developing socio-humanitarian technologies for improving the well-being of the older people based on a comparison of ideas about their real needs in scientific literature, state strategy and user web requests. We propose a systematization of the real capabilities of the older people into the following groups: 1) primary needs for financial assistance and medical care, social protection; 2) capabilities for communication, including the digital environment, and autonomy of residence; 3) capabilities for work and self-development; 4) the capability for self-realization. We proposed recommendations to create a simulation model of needs for monitoring socio-economic changes in the aging economy in real time.

我们通过监控网络资源和通过互联网识别真实用户请求来分析老一代的实际能力。因此,我们形成了一个包含老一代实际能力数据集的数据库。根据科学文献、国家战略和用户网络请求对老年人实际需求的比较,我们假设了在发展社会人道主义技术以改善老年人福祉方面实施调查结果的方向。我们建议将老年人的实际能力系统化分为以下几类:1)经济援助和医疗、社会保护的主要需求;2)通信能力,包括数字环境和居住自主权;3)工作能力和自我发展能力;4)自我实现能力。我们建议建立一个需求模拟模型,以实时监测老龄化经济中的社会经济变化。
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引用次数: 0
[Somatic pathology in elderly and senile persons suffering from Alzheimer's disease and Alzheimer's type dementia.] [老年痴呆症和阿尔茨海默氏型痴呆患者的躯体病理]
V S Myakotnykh, A P Sidenkova, E S Kravchenko, T A Borovkova, O M Khromtsova, V N Meshchaninov

In order to study the prevalence of chronic somatic age-associated pathology in elderly and senile people suffering from Alzheimer's type dementia with the presentation of the hypothesis of somatopsychic pathogenetic comorbidity observation and treatment, 217 patients were observed, conditionally divided into 2 comparable groups: with a definitive diagnosis of Alzheimer's disease (n=73) and with so-called Alzheimer's type dementia (n=144). Distinct differences in the variants of comorbid to the selected types of dementia of somatic pathology were determined, which had a negative impact not only in terms of the occurrence of cognitive disorders, but also in the future, during the formation of the most severe variants of dementia. In cases of Alzheimer's disease, pathological processes in the large intestine turned out to be leading, with Alzheimer's type dementia - diseases of the circulatory system and type 2 diabetes mellitus. Nevertheless, the diagnostic algorithm of patients with dementia should include the most comprehensive somatic examination, and treatment should affect not only the mental, but also the somatic sphere, taking into account the principles of a comprehensive geriatric assessment. With such approaches and under the condition of social well-being in the family, it is possible to achieve not only stabilization, but also some improvement in terms of psychopathological disorders, in particular with Alzheimer's type dementia.

为了研究老年和老年阿尔茨海默氏型痴呆患者慢性躯体年龄相关病理的患病率,在躯体心理疾病共病观察和治疗的假设下,对217例患者进行了观察,有条件地分为2组:明确诊断为阿尔茨海默氏病(n=73)和所谓阿尔茨海默氏型痴呆(n=144)。确定了所选的躯体病理痴呆类型的合并症变体的明显差异,这不仅在认知障碍的发生方面具有负面影响,而且在未来最严重的痴呆变体形成过程中也具有负面影响。在阿尔茨海默病的病例中,大肠的病理过程被证明是主导的,导致阿尔茨海默病型痴呆——循环系统疾病和2型糖尿病。然而,痴呆症患者的诊断算法应包括最全面的躯体检查,治疗应不仅影响精神领域,还应影响躯体领域,同时考虑到综合老年评估的原则。通过这种方法,在家庭社会福利的条件下,不仅可以实现稳定,而且可以在精神病理障碍方面,特别是阿尔茨海默氏型痴呆症方面取得一定程度的改善。
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引用次数: 0
[The study of elemental picture in reliance on age and intensity of physical activity in male inhabitants of Magadan city.] 马加丹市男性居民身体活动强度与年龄关系的基本图研究
E M Stepanova

The study aimed at analyzing the mineral picture of young, middle-aged and elderly men of the city of Magadan having physical activity of a different intensity. The survey involved 235 men aged 18-44, 130 men at the age of 45-59, and 100 men 60-74 years old whose lifestyle varied with the intensity of physical activity. Hair samples were used to assess the content of 25 macro- and microelements (ME) with spectrometric methods on «Optima 2000 DV» and «NexION 300D units» («Perkin Elmer», USA). The analysis showed the so called northern type of ME imbalance experienced by all the examinees regardless of the age and intensity of physical activity with pronounced deficit in essential elements - Ca, Mg, Co, and Se. In case of men 60-74 years old age, we also observed lowered concentrations of Cr, V, and Si. At a younger age, physically active men exhibited significantly higher concentrations of Co, K, and P with lower variables of Cr, Li, V, I, Cd and Pb. The middle-aged subjects were high in P and low in Co, Fe, Mn, Al, Pb, and Sn. As for the elderly males, they tended to show reduced concentrations of As, Be, and Si. The total frequency of elemental deficiency was characteristic of all the age groups with low physical activity, and it was greatest at a younger age regardless of the intensity of physical activity. In addition to preventive measures on maintaining tone, metabolism, training of the heart muscle and blood vessels, the recommended physical activity should be of at least a moderate intensity as a natural physiological corrector to achieve the body bio elemental balance.

本研究旨在分析马加丹市从事不同强度体力活动的青年、中年和老年男性的矿物质图谱。调查对象包括235名年龄在18-44岁之间的男性、130名年龄在45-59岁之间的男性和100名年龄在60-74岁之间的男性,他们的生活方式随着体育锻炼的强度而变化。头发样品采用“Optima 2000 DV”和“NexION 300D”(“Perkin Elmer”,美国)分光光度法测定25种宏、微量元素(ME)的含量。分析表明,无论年龄和体力活动强度,所有考生都经历了所谓的北方型ME失衡,并明显缺乏必需元素- Ca, Mg, Co和Se。在60-74岁的男性中,我们也观察到Cr、V和Si的浓度降低。在年轻时,体力活动的男性表现出Co, K和P的浓度显著较高,而Cr, Li, V, I, Cd和Pb的变量较低。中年人P含量高,Co、Fe、Mn、Al、Pb、Sn含量低。至于老年男性,他们往往表现出砷、铍和硅的浓度降低。元素缺乏的总频率在所有体力活动低的年龄组中都具有特征,无论体力活动强度如何,年龄越小,缺乏症的发生率越高。除了预防措施保持张力,新陈代谢,心脏肌肉和血管的训练,推荐的体育活动应该至少是一个中等强度的自然生理校正,以实现身体的生物元素平衡。
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引用次数: 0
[Victimological assessment of spontaneous measures adaptation to older age.] [自发措施适应老年的受害者评估。]
T P Budyakova, A N Pronina

The aim of the study was to generalize and assess victimological spontaneous measures to combat victimization and to identify anti-victim means to counteract negative factors in old age. It was found that at present there are no generally recognized theoretically substantiated positive strategies for the functioning of the personality in old age. The dominant tendency is to describe an elderly person not as a subject of activity, but as a passive object of influence, which gives rise to gerontological ageism and forms the position of a victim in an elderly person. The empirical part of the study involved 90 people of different social status: pre-pensioners, working and non-working pensioners. It was found that anti-victim personality traits: anti-victim attitudes, anti-victim life position and internal locus of control allow an elderly person to successfully overcome victimological barriers that arise in old age, while maintaining and protecting the main reserve of his personality: self-esteem and personal dignity. The main generalized anti-victim tools that create conditions for the implementation of positive life strategies in old age are described: complexity, rhythmization of life, compensatory and networking.

研究的目的是总结和评估受害者自发的措施,以打击受害,并确定反受害者的手段,以抵消老年的负面因素。研究发现,目前还没有普遍认可的、有理论依据的积极的老年人格功能策略。主要的倾向是将老年人描述为被动的影响对象,而不是活动的主体,这导致了老年歧视,并在老年人中形成了受害者的地位。研究的实证部分涉及90名不同社会地位的人:未领取养老金的人、在职养老金领取者和不工作养老金领取者。研究发现,反受害者人格特征:反受害者态度、反受害者生活立场和内在控制点使老年人能够成功克服老年时期出现的受害者障碍,同时保持和保护其人格的主要储备:自尊和个人尊严。本文描述了为老年积极生活策略的实施创造条件的主要广义反受害者工具:复杂性、生活节奏化、补偿性和网络化。
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引用次数: 0
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Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo
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