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Terapia antineoplásica en el adulto mayor con cáncer de mama metastásico triple negativo: elección del régimen terapéutico, tolerabilidad y nuevas dianas. A propósito de un caso 老年患者三阴性转移性乳腺癌的治疗:治疗方法、耐受性和新的靶向治疗。关于一个病例报告]。
Q3 Medicine Pub Date : 2024-12-16 DOI: 10.1016/j.regg.2024.101579
Claudia G. Álvarez Pinheiro, Celia Corral Tuesta, Elisabet Sánchez García
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引用次数: 0
El desafío del envejecimiento saludable: brechas entre las necesidades de las personas mayores y las políticas implementadas en Argentina [健康老龄化的挑战:阿根廷老年人的需求与已实施政策之间的差距]。
Q3 Medicine Pub Date : 2024-11-09 DOI: 10.1016/j.regg.2024.101583
Carolina Prado , María Victoria López , Ana Cavallo , Milagros García Díaz , Fabián Ortiz , Juan Manuel Serna , Diego Caruso , Vilma Irazola

Background and objectives

While the concept of healthy aging tends to be homogenized, differential characteristics are observed among regions and even within the same country. There are policies aimed at promoting healthy aging; however, it is essential to understand the needs of the population so that these policies can be effective. The objective of this project was to identify gaps between the needs of individuals over 60 years old to achieve healthy aging and the policies implemented in Argentina to support this purpose.

Materials and methods

Descriptive study with a mixed qualitative–quantitative approach was employed in three stages: 1. Documentary review of current programs in Argentina. 2. Visualization of the needs of individuals over 60 years old. 3. Identification of gaps between the stated needs and the proposals of the programs.

Results

Twenty-eight programs were identified with components such as entertainment, peer relationships, social inclusion, and health care and promotion. When evaluating needs for healthy aging, the most frequent responses were maintaining good physical health, keeping the mind active, and continuing to engage in activities. In the gap analysis, it was observed that needs such as continuing activities, family support, and positive attitudes were prioritized more by participants than by the surveyed programs.

Conclusions

There were gaps between the needs identified by adults aged 60 and over and the evaluated programs. This study represents an initial contribution to identify priorities and contribute to aligning government policies with the specific needs of this population group.
背景和目标:虽然健康老龄化的概念趋于单一化,但在不同地区,甚至在同一国家内,也存在着不同的特点。目前已有一些旨在促进健康老龄化的政策,但必须了解人口的需求,才能使这些政策行之有效。本项目旨在找出 60 岁以上老年人实现健康老龄化的需求与阿根廷为支持这一目标而实施的政策之间的差距:采用定性与定量相结合的方法,分三个阶段进行描述性研究:1.对阿根廷现行计划进行文献回顾。2.对 60 岁以上老年人的需求进行可视化分析。3.确定所述需求与计划建议之间的差距:结果:确定了 28 项计划,其内容包括娱乐、同龄人关系、社会包容、保健和宣传。在评估健康老龄化的需求时,最常见的回答是保持良好的身体健康、保持思维活跃和继续参与活动。在差距分析中,我们注意到参与者对持续活动、家庭支持和积极态度等需求的重视程度高于受调查计划:结论:60 岁及以上成年人提出的需求与接受评估的计划之间存在差距。这项研究为确定优先事项做出了初步贡献,有助于使政府政策与这一人口群体的具体需求相一致。
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引用次数: 0
[Consent and sexual rights of people with dementia: A challenge for care professionals]. [痴呆症患者的同意和性权利:护理专业人员面临的挑战]。
Q3 Medicine Pub Date : 2024-11-07 DOI: 10.1016/j.regg.2024.101584
Feliciano Villar
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引用次数: 0
Geriatría y la atención intermedia: socios estratégicos en los hospitales de agudos [老年医学和中级护理:急症护理医院的战略伙伴]。
Q3 Medicine Pub Date : 2024-11-07 DOI: 10.1016/j.regg.2024.101577
Javier Gómez Pavón
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引用次数: 0
Importancia de la Revista Española de Geriatría y Gerontología en Latinoamérica [西班牙老年医学和老年学杂志在拉丁美洲的重要性]。
Q3 Medicine Pub Date : 2024-11-01 DOI: 10.1016/j.regg.2024.101574
Eduardo Gallegos Chávez
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引用次数: 0
The validity of Turkish version of Social Frailty Index in older adults: An index of social attributes predictive of mortality 土耳其版老年人社会虚弱指数的有效性:预测死亡率的社会属性指数。
Q3 Medicine Pub Date : 2024-10-19 DOI: 10.1016/j.regg.2024.101556
Elif Gur Kabul , Cihan Caner Aksoy , Bilge Basakci Calik

Purpose

The aim of this study was to examine the validity of Turkish version of Social Frailty Index in older adults.

Material and methods

102 older adults aged 65 and over were included in the study. Hodkinson Mental Test was first applied to older adults. Older adults who scored 6 points or above were included. To evaluate the validity of “Social Frailty Index”, Social Inclusion Scale, Older People's Quality of Life-Brief (OPQOL-Brief) and Lubben Social Network Scale were applied to the participants. To determine the reliability of “Social Frailty Index”, the test was re-tested at one-week intervals on older adults who did not receive any treatment. Confirmatory factor analysis AMOS 23.0 was used to determine the conformity of the structure to the original model. For concurrent validity, the correlation analysis applied. Intraclass correlation coefficient (ICC [2,1], absolute agreement, 2-way random effects model) was used to determine the reliability of the scale.

Results

The fit of the Turkish version of Social Frailty Index to the model described in the original article was determined to be acceptable-excellent (Demographics (DEM), General Resources and Life History (GRLH), Social Activities (SA) and Fulfillment of Basic Social Needs (FBSN)) (CMIN/DF = 1.36, GFI = 0.93, IFI = 0.90, RMSEA = 0.06 and SRMR = 0.07). In the correlation analysis conducted to determine its concurrent validity, Social Frailty Index had a moderate correlation with Social Inclusion Scale (r: −0.47; p < 0.001) and OPQOL-Brief (r: −0.47; p < 0.001). Social Frailty Index had no correlation with Lubben Social Network Scale (r: −0.03; p: 0.81). Test–retest reliability of Social Frailty Index was excellent [ICC(2,1) = 0.90, %95 CI 0.84–0.93, p < 0.001].

Conclusion

The Turkish version of the Social Frailty Index is valid and can be used to predict mortality risk based on the estimated social risk. The adapted Social Frailty Index is not adequately capturing aspects related to the network and social support.
Clinical trials number: NCT06288789.
目的:本研究旨在检验土耳其版社会虚弱指数在老年人中的有效性。首先对老年人进行霍奇金森心理测试。得分在 6 分或以上的老年人被纳入研究范围。为了评估 "社会虚弱指数 "的有效性,对参与者使用了社会包容量表、老年人生活质量简表(OPQOL-Brief)和卢本社会网络量表。为确定 "社会虚弱指数 "的可靠性,每隔一周对未接受任何治疗的老年人进行一次重新测试。使用 AMOS 23.0 进行了确认性因子分析,以确定其结构是否符合原始模型。对于并发有效性,则采用了相关分析。采用类内相关系数(ICC [2,1],绝对一致,双向随机效应模型)来确定量表的可靠性:土耳其版社会虚弱指数与原文所述模型的拟合度被确定为可接受-优秀(人口统计学(DEM)、一般资源和生活史(GRLH)、社会活动(SA)和满足基本社会需求(FBSN))(CMIN/DF=1.36、GFI=0.93、IFI=0.90、RMSEA=0.06 和 SRMR=0.07)。在为确定其并发有效性而进行的相关性分析中,社会虚弱指数与社会包容量表呈中度相关(r:-0.47;p(2,1)=0.90,%95 CI 0.84-0.93,p 结论:土耳其版社会虚弱指数是有效的,可用于根据估计的社会风险预测死亡风险。改编后的社会虚弱指数未能充分捕捉到与网络和社会支持相关的方面:临床试验编号:NCT06288789。
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引用次数: 0
Cien años enseñando medicina mediante el «caso clínico» [通过 "临床病例 "传授医学的一百年]。
Q3 Medicine Pub Date : 2024-10-18 DOI: 10.1016/j.regg.2024.101570
José Manuel Ribera Casado
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引用次数: 0
Envejecer en el país de acogida [东道国的老龄化]
Q3 Medicine Pub Date : 2024-10-18 DOI: 10.1016/j.regg.2024.101555
Oriol Turró Garriga , Glòria Pla Comas , Sandra Devesa Fàbrega , Mariona Gifre Monreal , Roger López Guirao , Pere Plaja Roman , Pilar Monreal Bosch

Objective

To explore the perceptions of elderly people from diverse cultures regarding the factors relevant to aging, identifying similarities and differences, and describing elements that facilitate or hinder this process, with a focus on the impact of care services.

Method

Qualitative study with 48 participants over 50 years old, residing in the Alt Empordà region, Catalonia. Seven focus groups were conducted, including one exploratory multicultural group and six stratified by origin: native, Western Europe, Eastern Europe, Latin America, North Africa, and West Africa.

Results

All groups valued health and the desire to remain in their homes or communities for as long as possible. African groups emphasized the importance of free health services, while the Latin American group valued personalized end-of-life care. The native group pointed out deficiencies in home care and residential care services. Western European participants mentioned language barriers and challenges with digitalization as the only means of accessing information, and Eastern European participants highlighted the need for empowerment and social participation. Additionally, the importance of new family models, restrictions on non-Catholic funeral practices, and the need for community integration were mentioned.

Conclusion

While there are differences in perceptions of aging among the different groups, common factors were identified that either facilitate or hinder this process, regardless of whether there is a migration background.
目的:探讨不同文化背景的老年人对老龄化相关因素的看法:探讨来自不同文化背景的老年人对老龄化相关因素的看法,找出异同点,并描述促进或阻碍老龄化进程的因素,重点关注护理服务的影响:定性研究:48 位居住在加泰罗尼亚 Alt Empordà 地区的 50 岁以上的参与者。进行了七个焦点小组讨论,包括一个探索性多元文化小组和六个按原籍分层的小组:本地、西欧、东欧、拉丁美洲、北非和西非:所有小组都重视健康,并希望尽可能长时间地留在自己的家中或社区。非洲群体强调免费医疗服务的重要性,而拉丁美洲群体则重视个性化的临终关怀。土著群体指出了家庭护理和寄宿护理服务的不足。西欧与会者提到了语言障碍和数字化作为获取信息的唯一手段所带来的挑战,而东欧与会者则强调了赋权和社会参与的必要性。此外,与会者还提到了新家庭模式的重要性、对非天主教葬礼习俗的限制以及社区融合的必要性:虽然不同群体对老龄化的看法存在差异,但无论是否有移民背景,都发现了一些促进或阻碍老龄化进程的共同因素。
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引用次数: 0
Organización y planificación de cuidados. La Atención Intermedia [护理的组织与规划。 中级护理]。
Q3 Medicine Pub Date : 2024-10-18 DOI: 10.1016/j.regg.2024.101568
Benito J. Fontecha Gómez
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引用次数: 0
Artritis séptica relacionada con Lactobacillus sakei: a propósito de un caso [与清酒乳杆菌有关的化脓性关节炎:病例报告]。
Q3 Medicine Pub Date : 2024-10-18 DOI: 10.1016/j.regg.2024.101562
Viridiana Cabrera Romero , Raquel Ramírez-Martín , Cecilia Daniella Palacios Revilla , María Inmaculada Quiles Melero , Alicia Rico Nieto
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引用次数: 0
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Revista Espanola de Geriatria y Gerontologia
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