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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
Justification and design of the BOCADOS-IC study: Nutritional management in adults followed in Spanish hospitals for heart failure BOCADOS-IC 研究的理由和设计:在西班牙医院接受随访的心力衰竭成人的营养管理。
Q3 Medicine Pub Date : 2024-10-18 DOI: 10.1016/j.regg.2024.101566
Alberto Esteban-Fernández , Juan Luis Bonilla-Palomas , Ana Ayesta-López , José Ángel Pérez-Rivera , on behalf of the BOCADOS-IC study researchers

Introduction and objectives

Malnutrition is common in patients with heart failure (HF) and is associated with increased mortality and hospital admissions. There is evidence that nutritional intervention in the inpatient setting improves the prognosis, but evidence in the outpatient setting is limited. This study aims to assess whether a nutritional intervention in outpatients with HF and malnutrition produces a benefit in their morbidity and mortality.

Methods

BOCADOS-IC (Nutritional Assessment in Adults followed in Spanish hospitals for Heart Failure) is a randomised, controlled, masked, prospective, multicentre, clinical trial that includes patients with HF followed on an outpatient basis and who present malnutrition by the screening Mini Nutritional Assessment-Short Form (MNA-SF) scale. Patients are randomised to a control group (standard follow-up) or the intervention group (multifactorial nutritional intervention). A sample size of 266 patients has been estimated, with a follow-up of 6 months. The primary endpoint is time to death from any cause or admission for HF. The analysis is performed on an intention-to-treat basis.

Conclusions

The BOCADOS-IC trial aims to evaluate the impact of nutritional intervention in malnourished patients with HF in the outpatient setting.
导言和目标:营养不良是心力衰竭(HF)患者的常见病,与死亡率和住院率的增加有关。有证据表明,住院病人的营养干预可改善预后,但门诊病人的证据却很有限。本研究旨在评估对患有高血压和营养不良的门诊患者进行营养干预是否能降低其发病率和死亡率:BOCADOS-IC(西班牙医院随访的心力衰竭成人营养评估)是一项随机、对照、蒙面、前瞻性、多中心临床试验,对象包括门诊随访的心力衰竭患者,这些患者通过迷你营养评估-简表(MNA-SF)量表筛查发现营养不良。患者被随机分配到对照组(标准随访)或干预组(多因素营养干预)。估计样本量为 266 名患者,随访时间为 6 个月。主要终点是患者死于任何原因或因高血压入院的时间。分析以意向治疗为基础:BOCADOS-IC试验旨在评估营养干预对门诊高血压营养不良患者的影响。
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引用次数: 0
Efectos de la intergeneracionalidad (relaciones, contactos y programas) en la reducción del edadismo: una revisión sistemática (2013-2023) ["代际关系(关系、联系和计划)对减少老龄歧视的影响:系统回顾(2013-2023 年)"]。
Q3 Medicine Pub Date : 2024-10-18 DOI: 10.1016/j.regg.2024.101540
Esther Sánchez Sánchez, Inmaculada Montero García
Discrimination against people on the basis of age, ageism, is one of the most latent forms of discrimination in today's society. In this systematic review we analysed the impact of intergenerationality (relationships, contacts and programmes) on reducing ageism. Eighteen articles were selected following the PRISMA protocol, searching three major databases (Scopus, WoS and ERIC). The results of the studies highlight how intergenerational interventions reduce ageism by fostering understanding and contact between generations, with an emphasis on technology and youth programmes. Shared housing and the duration of interventions are also key factors. As a proposal, an approach to ageism from a socio-educational perspective is proposed that favours the creation of inclusive environments, creating synergies to break the stigma of chronological age.
对人的年龄歧视,即年龄歧视,是当今社会最隐蔽的歧视形式之一。在这篇系统性综述中,我们分析了代际关系(关系、联系和计划)对减少年龄歧视的影响。我们按照 PRISMA 协议,搜索了三个主要数据库(Scopus、WoS 和 ERIC),筛选出 18 篇文章。研究结果强调了代际干预如何通过促进代际之间的理解和接触来减少老龄歧视,重点是技术和青年计划。共用住房和干预措施的持续时间也是关键因素。作为一项建议,提出了一种从社会教育角度解决老龄歧视问题的方法,这种方法有利于创造包容性的环境,产生协同作用,打破按时间计算的年龄所带来的耻辱感。
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引用次数: 0
Síndrome poliglandular autoinmune tipo 2: reporte de un caso [自身免疫性多腺体综合征 2 型:病例报告]。
Q3 Medicine Pub Date : 2024-10-18 DOI: 10.1016/j.regg.2024.101541
Myrian González Álvarez , Beatriz Suárez Rodríguez , Patricia Dieguez Pena
{"title":"Síndrome poliglandular autoinmune tipo 2: reporte de un caso","authors":"Myrian González Álvarez ,&nbsp;Beatriz Suárez Rodríguez ,&nbsp;Patricia Dieguez Pena","doi":"10.1016/j.regg.2024.101541","DOIUrl":"10.1016/j.regg.2024.101541","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101541"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477074","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
Puesta en marcha de una unidad de fragilidad en Osakidetza-Servicio Vasco de Salud [在Osakidetza--巴斯克医疗服务机构设立虚弱科]。
Q3 Medicine Pub Date : 2024-10-18 DOI: 10.1016/j.regg.2024.101542
Laura García Ortiz de Uriarte, Nancy Janette Gonzales Montejo, Nerea Lorente del Rio, Aitor Garcia Rodriguez
{"title":"Puesta en marcha de una unidad de fragilidad en Osakidetza-Servicio Vasco de Salud","authors":"Laura García Ortiz de Uriarte,&nbsp;Nancy Janette Gonzales Montejo,&nbsp;Nerea Lorente del Rio,&nbsp;Aitor Garcia Rodriguez","doi":"10.1016/j.regg.2024.101542","DOIUrl":"10.1016/j.regg.2024.101542","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101542"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477078","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
La importancia del diagnóstico precoz en el pseudohipoparatiroidismo. Revisión del tema y hallazgos clínico-radiológicos en un caso de pseudohipoparatiroidismo 1 A de presentación tardía [假性甲状旁腺功能亢进症早期诊断的重要性。回顾一例晚期出现的假性甲状旁腺功能亢进症1 A的主题和临床-放射学发现]。
Q3 Medicine Pub Date : 2024-10-18 DOI: 10.1016/j.regg.2024.101563
María José Vallejo Herrera , Verónica Vallejo Herrera , María Cruz Almaraz Almaraz
{"title":"La importancia del diagnóstico precoz en el pseudohipoparatiroidismo. Revisión del tema y hallazgos clínico-radiológicos en un caso de pseudohipoparatiroidismo 1 A de presentación tardía","authors":"María José Vallejo Herrera ,&nbsp;Verónica Vallejo Herrera ,&nbsp;María Cruz Almaraz Almaraz","doi":"10.1016/j.regg.2024.101563","DOIUrl":"10.1016/j.regg.2024.101563","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101563"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477080","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
期刊
Revista Espanola de Geriatria y Gerontologia
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