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Situational analysis of osteoradionecrosis of the jaw management in older adults among dentists in community hospitals 社区医院牙科医生中老年人颌骨放射性骨坏死处理情况分析
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2025-08-23 DOI: 10.1111/ajag.70081
Somjet Phaisri, Patcharawan Srisilapanan, Warit Powcharoen

Objective

Older patients undergoing radiotherapy for head and neck cancers may develop osteoradionecrosis (ORN) of the jaw. Dentists in community hospitals serve as primary health-care providers and play a vital role in early detection and initial management for ORN in older patients. This study aimed to investigate current situations, barriers, knowledge and attitudes relating to ORN management, and to identify factors associated with adequate knowledge and positive attitudes among dentists working at community hospitals in Thailand.

Methods

A cross-sectional survey was conducted among community hospital dentists in Thailand, utilising a semi-structured questionnaire addressing the current situation or barriers, knowledge and attitudes related to ORN management. Necessary support was also assessed. The Fisher’s exact test was performed to identify factors related to the development of adequate knowledge and positive attitudes towards ORN management. The level of significance was set at p < .05.

Results

One hundred and seventy dentists responded to the questionnaire (21% response rate). Notably, a high immediate referral rate to specialists upon ORN diagnosis (86%) was found. The barriers reported were mostly ageing-related. Most dentists demonstrated knowledge of ORN pathophysiology by Marx and recognised that ORN could be observed during dental procedures. Additional education about ORN showed a significant association with adequate knowledge and a positive attitude towards ORN management.

Conclusions

Osteoradionecrosis in older patients remains challenging to manage by dentists in community hospital settings. Strengthening management requires improved emerging knowledge and confidence through ongoing training, and a national policy framework is necessary to support timely referral and coordinated care.

目的老年头颈部肿瘤放疗患者可发生颌骨放射性骨坏死(ORN)。社区医院的牙医是初级卫生保健提供者,在老年患者的ORN的早期发现和初步管理中发挥着至关重要的作用。本研究旨在调查与ORN管理有关的现状、障碍、知识和态度,并确定与泰国社区医院牙医的充分知识和积极态度相关的因素。方法对泰国社区医院牙医进行横断面调查,采用半结构化问卷调查,解决与ORN管理相关的现状或障碍、知识和态度。还评估了必要的支助。进行Fisher精确检验,以确定与发展足够的知识和对ORN管理的积极态度有关的因素。显著性水平为p <; 0.05。结果共有170名牙医回复问卷,回复率为21%。值得注意的是,发现ORN诊断后立即转诊给专家的比率很高(86%)。报告的障碍大多与年龄有关。大多数牙医都展示了马克思关于ORN病理生理学的知识,并认识到ORN可以在牙科手术中观察到。有关ORN的额外教育与足够的知识和对ORN管理的积极态度显着相关。结论老年患者放射性骨坏死在社区医院牙科医生的治疗中仍然具有挑战性。加强管理需要通过持续的培训提高新出现的知识和信心,并需要一个国家政策框架来支持及时转诊和协调护理。
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引用次数: 0
Haiku competition ANZSGM 2025 俳句大赛ANZSGM 2025
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2025-08-12 DOI: 10.1111/ajag.70080
Sue Ogle
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引用次数: 0
Tribute to Professor Gerald Anthony (Tony) Broe AM MB BS FRACP FACRM 向Gerald Anthony (Tony) Broe AM MB BS FRACP FACRM教授致敬
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2025-08-05 DOI: 10.1111/ajag.70075
Sue Ogle, John Cullen, Bill Brooks
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引用次数: 0
A feasibility study on embedding the usual Chinese iSupport and tailored Chinese iSupport programs in aged care services 在养老服务中嵌入中国常规养老和定制养老方案的可行性研究
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2025-08-05 DOI: 10.1111/ajag.70072
Lily Xiao, Ada Cheng, Candy Xie, Kam Chiu, Ying Yu, Shahid Ullah, Jing Wang, Rujun Hu, Dingxin Xu, Xiaoying Pan, Angela Rong Yang Zhang

Objective

To: (1) compare the effectiveness of the ‘Usual iSupport’ and ‘Tailored iSupport’ programs on carers' quality of life (QoL); self-efficacy; and their care recipients' QoL; and (2) explore carers' acceptance of and adherence to the programs, satisfaction with the support, recruitment and retention rates, and staff training rate in a 6-month trial.

Methods

An internal pilot randomised controlled trial nested in a large effectiveness implementation trial.

Results

In total, 78 carers enrolled in the trial. Most carers were female (66% or 85%), with a mean age of 65.6 years. We detected a statistically significant difference of mean score in mental health-related QoL (3.44 [95% CI: .53, 6.35]; p = .02); self-efficacy for responding to changed behaviours (9.02 [95% CI: 1.24, 16.81], p = .02); and self-efficacy for controlling upsetting thoughts (8.83 [95% CI: 1.14, 16.51]; p = .03) between the ‘Usual iSupport’ group and the ‘Tailored iSupport’ group at 6 months post-intervention. The recruitment and retention rates were 17% and 100%, respectively. Carers in the ‘Tailored iSupport’ group completed 16.5 iSupport units, attended 4.5 peer support meetings and rated their satisfaction with the support highly. The staff training rate was 36%.

Conclusions

This internal pilot study identified improved mental health-related QoL, self-efficacy for controlling upsetting thoughts, and for responding to changed behaviours in the ‘Tailored iSupport’ group. The recruitment rate was low, but the retention rate was high, and carers showed adherence to the intervention.

目的:(1)比较“常规智能支持”与“量身定制智能支持”对照护者生活质量的影响;自我效能感;受照顾者的生活质量;(2)通过为期6个月的试验,探讨护理人员对项目的接受度和依从性、对支持的满意度、招聘率和留任率以及员工培训率。方法采用内部先导随机对照试验,嵌套于大型疗效实施试验中。结果:共有78名护理人员参加了试验。大多数照顾者为女性(66%或85%),平均年龄为65.6岁。我们发现心理健康相关生活质量的平均得分差异有统计学意义(3.44 [95% CI: 0.53, 6.35];p = .02);自我效能对行为改变的反应(9.02 [95% CI: 1.24, 16.81], p = 0.02);自我效能感在控制烦心事方面的差异(8.83 [95% CI: 1.14, 16.51];p = .03)干预后6个月,“常规issupport”组和“量身定制issupport”组之间的差异。招聘率为17%,留用率为100%。“量身定制的自我支持”组的护理人员完成了16.5个自我支持单元,参加了4.5次同伴支持会议,并对支持的满意度评价很高。员工培训率为36%。这项内部试点研究发现,“量身定制的issupport”组改善了心理健康相关的生活质量、控制不安想法的自我效能,以及对改变的行为做出反应。招募率低,但保留率高,护理人员对干预表现出坚持性。
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引用次数: 0
Artificial Intelligence and the AJA 人工智能和AJA
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2025-08-05 DOI: 10.1111/ajag.70074
Mark Hughes
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引用次数: 0
A systematic, integrative review exploring supports that promote the retention of employees working in the aged care sector 一个系统的,综合的审查探索支持,促进员工保留在老年护理部门工作
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2025-07-31 DOI: 10.1111/ajag.70070
Britt O'Keefe, Eva Yuen, Susan Perlen, Alison M. Hutchinson

Objective

To systematically synthesise existing literature and identify supports to promote employee retention in the aged care sector.

Methods

A systematic integrative review was conducted following Whittemore and Knafl's (2005) methodology framework and guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A comprehensive search for studies published between 1997 and 2024 was undertaken across Business Source Complete, CINAHL Complete, Medline Complete and APA PsycInfo (via administration, pastoral and ancillary care workers influencing employee retention in the aged care sector were included), with qualitative findings and statistically significant quantitative data extracted. Methodological quality was assessed using the Mixed Methods Appraisal Tool, and the data were analysed inductively using a thematic approach.

Results

Eighteen studies were included in the review, comprising 13 quantitative, four qualitative and one mixed-methods study. The factors and strategies were themed into six areas relating to the retention of the aged care workforce: (1) employee characteristics, stability and well-being, (2) workplace relationships, (3) training opportunities and career growth, (4) recognition, incentive and compensation, (5) organisational structure, culture and resources and (6) value-driven and empowered care practice.

Conclusions

This review identified employee, employer and organisational factors and strategies that influence workforce retention within the aged care sector. While there is a paucity of evidence available, these findings are a critical first step to guide further design, implementation and evaluation of retention strategies to address the challenges of workforce retention in the aged care sector.

目的系统地综合现有文献,找出促进养老行业员工留任的支持措施。方法遵循Whittemore和Knafl(2005)的方法框架,并以系统评价和荟萃分析指南的首选报告项目为指导,进行系统综合评价。我们在Business Source Complete、CINAHL Complete、Medline Complete和APA PsycInfo上对1997年至2024年间发表的研究进行了全面的检索(通过影响老年护理部门员工保留的行政、牧师和辅助护理人员进行了检索),并提取了定性结果和具有统计意义的定量数据。使用混合方法评估工具评估方法学质量,并使用主题方法对数据进行归纳分析。结果共纳入18项研究,其中定量研究13项,定性研究4项,混合方法研究1项。这些因素和策略被分为六个方面:(1)员工特征、稳定性和福祉;(2)职场关系;(3)培训机会和职业发展;(4)认可、激励和薪酬;(5)组织结构、文化和资源;(6)价值驱动和赋权的护理实践。本综述确定了影响老年护理部门劳动力保留的员工、雇主和组织因素和策略。虽然缺乏可用的证据,但这些发现是指导进一步设计,实施和评估保留策略以解决老年护理部门劳动力保留挑战的关键的第一步。
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引用次数: 0
Dementia literacy and awareness of risk reduction: A systematic review of South Asian and Southeast Asian regions 痴呆症扫盲和降低风险意识:南亚和东南亚地区的系统回顾
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2025-07-30 DOI: 10.1111/ajag.70071
Amrita Perera, Suraj Samtani, Diana Karamacoska, Joyce Siette

Objectives

Dementia is a growing public health concern in South and Southeast Asia, yet the region's dementia literacy remains poorly understood. This review aimed to synthesise existing research on dementia literacy among South and Southeast Asian populations and diasporas, identifying barriers to literacy and risk reduction.

Methods

Six databases (MEDLINE, PubMED, PsycINFO, EMBASE, CINAHL, Cochrane, ProQuest and Google Scholar) were searched from inception to 2024, with 73 articles from 11 countries identified for inclusion, data extraction and quality appraisal using the Mixed Methods Appraisal Tool.

Results

Most studies demonstrated low levels of general dementia literacy (78%) and awareness of dementia risk factors (32%). There was a prevalent belief that dementia is a normal process of ageing. Lower dementia literacy was reported for individuals from Vietnam compared to individuals from India and Pakistan. Stigma, language barriers, lack of culturally appropriate resources and religious beliefs were common factors hindering dementia awareness and risk reduction.

Conclusions

Targeted interventions are necessary to increase dementia literacy in South and Southeast Asian populations, where awareness is poor and misconceptions continue.

在南亚和东南亚,痴呆症是一个日益严重的公共卫生问题,但该地区对痴呆症的认知仍然知之甚少。本综述旨在综合南亚和东南亚人口和散居者中痴呆症扫盲的现有研究,确定扫盲和降低风险的障碍。方法检索6个数据库(MEDLINE、PubMED、PsycINFO、EMBASE、CINAHL、Cochrane、ProQuest和谷歌Scholar),检索11个国家的73篇文章,采用混合方法评价工具进行纳入、数据提取和质量评价。结果大多数研究表明,人们对痴呆症的总体认知水平较低(78%),对痴呆症危险因素的认识水平较低(32%)。人们普遍认为痴呆是衰老的正常过程。据报道,与印度和巴基斯坦的人相比,越南的痴呆症识字率较低。耻辱感、语言障碍、缺乏文化上适当的资源和宗教信仰是阻碍痴呆症认识和降低风险的常见因素。结论:有针对性的干预措施对于提高南亚和东南亚人群的痴呆症识字率是必要的,这些人群的意识很差,误解仍然存在。
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引用次数: 0
Older Aboriginal and Torres Strait Islander populations living with dementia: State and territory scenario-based projections into the future 老年土著居民和托雷斯海峡岛民患有痴呆症:州和地区对未来的情景预测
IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2025-07-23 DOI: 10.1111/ajag.70068
Joanne Luke, Jeromey Temple, Tom Wilson, Ruth Williams, Sean Taylor, Dina LoGiudice

Objective

To produce plausible estimates of the number of Aboriginal and/or Torres Strait Islander people living with dementia within Australia disaggregated by state and territory to mid-century.

Methods

The Wilson–Grossman variation of the Hamilton–Perry projection model was used to prepare state and territory projections of the Aboriginal and/or Torres Strait Islander population, 2021–2051. Data from the Australian Bureau of Statistics Census (2021) and Australian Institute of Health and Welfare 2021 were used to estimate the number of people living with dementia 2021–2051.

Results

From 2021 to 2051, the Australian Aboriginal and/or Torres Strait Islander population is projected to grow across all states and territories. By 2051, there will be an increasing number and proportion of the population aged over 45, 65 and 80 years, with this increase varying by jurisdiction. This pattern of ageing will see an increase in the number of Aboriginal and/or Torres Strait Islander people living with dementia, regardless of assumptions about future dementia prevalence. This increase will vary in magnitude by juristiction, doubling in the Northern Territory and increasing more than fivefold in the Australian Capital Terrritory, New South Wales, Tasmania and Queensland. Sensitivity analyses of alternative dementia scenarios produce highly similar results.

Conclusions

Between 2021 and 2051, the estimated number of Aboriginal and/or Torres Strait Islander people living with dementia is projected to increase. Combined with regional demographic variations, this trend highlights the urgent need for targeted responses at both local and national levels.

目的对澳大利亚的土著和/或托雷斯海峡岛民患痴呆症的人数进行合理的估计,并按州和地区分类,直至本世纪中叶。方法采用Hamilton-Perry预测模型的Wilson-Grossman变异,编制2021-2051年原住民和/或托雷斯海峡岛民人口的州和地区预测。来自澳大利亚统计局人口普查(2021年)和澳大利亚健康和福利研究所2021年的数据用于估计2021 - 2051年痴呆症患者的人数。从2021年到2051年,澳大利亚原住民和/或托雷斯海峡岛民人口预计将在所有州和地区增长。到2051年,年龄在45岁、65岁和80岁以上的人口数量和比例将不断增加,这一增幅因司法管辖区而异。这种老龄化模式将导致土著居民和/或托雷斯海峡岛民患痴呆症的人数增加,无论对未来痴呆症发病率的假设如何。这一增长将因管辖范围的不同而有所不同,在北领地增加一倍,在澳大利亚首都领地、新南威尔士州、塔斯马尼亚州和昆士兰州增加五倍以上。对不同痴呆情景的敏感性分析得出了高度相似的结果。2021年至2051年间,预计土著和/或托雷斯海峡岛民患痴呆症的人数将增加。这一趋势与区域人口差异相结合,突出表明迫切需要在地方和国家两级采取有针对性的应对措施。
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引用次数: 0
Care through catering: Finding the huggerholics 餐饮关怀:寻找拥抱狂
IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2025-07-21 DOI: 10.1111/ajag.70069
Thi Xuan Dieu Phan
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引用次数: 0
How to age against the machine: An empowering guide for women ageing on their own terms By M. Doyle, N. Brown, Collingwood, Vic.: Hardie Grant Books. 2023. 319 pp. $45.00 (soft cover). ISBN 9781743798584 如何与机器对抗衰老:女性按自己的方式衰老的赋权指南作者:M.道尔,N.布朗,科林伍德,维克。: Hardie Grant Books. 2023。319页,$45.00(软装)。ISBN 9781743798584
IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2025-07-21 DOI: 10.1111/ajag.70067
Maria O'Reilly
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引用次数: 0
期刊
Australasian Journal on Ageing
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