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Incarcerated Brazilian Elderly: Memories about Family 被监禁的巴西老人:关于家庭的回忆
Pub Date : 2022-11-30 DOI: 10.3390/jal2040024
Pollyanna Lima, A. Oliveira, L. Reis, A. Lopes, E. Santana, T. Nobre, L. Reis
This article aims to analyze the memories of incarcerated elderly people about family. This is an exploratory and analytical study, with a qualitative approach, carried out in three prison units in Bahia, with 31 incarcerated elderly people, through semi-structured interview. Most are male (30), between 60 to 65-years-old (21), married (12) and with three to four children (10). The results show that the 10 most evoked words were: family; sons; mom; father; women; life; cry; today; brothers; and longing. The study showed that the family constitution is maintained because the experiences that are symbolized in it have socially crystallized definitions as references. Anchored by social frames of memories that remain, since they remain alive in the groups and are permanently maintained. It was also found that the family plays an extremely important role in their lives and that the mother is the central point of this family.
本文旨在分析被监禁的老年人对家庭的记忆。这是一项探索性和分析性研究,采用定性方法,通过半结构化访谈,在巴伊亚的三个监狱单元对31名被监禁的老年人进行了研究。大多数是男性(30岁),60至65岁(21岁),已婚(12岁),有三至四个孩子(10岁)。结果表明,诱发最多的10个词是:家庭;儿子;妈妈父亲妇女;生活哭泣今天兄弟;和渴望。研究表明,家庭构成之所以得以维持,是因为其中所象征的经历具有社会明确的定义作为参考。由留下的记忆的社会框架锚定,因为它们在群体中仍然存在,并被永久地维护着。研究还发现,家庭在他们的生活中扮演着极其重要的角色,母亲是这个家庭的中心。
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引用次数: 0
Multivariate Analysis of Risk Factors for Cerebral Infarction Based on Specific Health Checkups in Japan 基于日本特定健康体检的脑梗死危险因素多因素分析
Pub Date : 2022-11-12 DOI: 10.3390/jal2040023
Y. Tamaki, Y. Hiratsuka, T. Kumakawa
Stroke is a progressive disease with remissions and exacerbations; it significantly reduces the quality of life of patients and their family and caregivers. Primary prevention is necessary to reduce the growing incidence of stroke globally. In this study, we determined the risk factors for cerebral infarction in elderly Japanese residents and proposed a primary care strategy to prevent cerebral infarction. We investigated the relationship between the incidence of cerebral infarction and the results of checkups 10 years ago. Multivariate logistic regression analysis was performed to determine the variables related to the occurrence of cerebral infarction in biochemical tests and questionnaires administered ten years ago. Hypertension and abnormal creatinine levels were related to increased risk of cerebral infarction based on our findings of the health checkups conducted 10 years previously. Furthermore, weight gain or loss of >3 kg over the last year and habit of eating an evening meal within 2 h before going to bed were associated with an increased risk of cerebral infarction based on the questionnaire results from the specific health checkups. Long-term, large-scale prospective studies are required to determine the specific health items related to increased risk of cerebral infarction.
中风是一种进行性疾病,有缓解和恶化;它显著降低了患者及其家属和护理人员的生活质量。一级预防对于降低全球日益增长的卒中发病率是必要的。在本研究中,我们确定了日本老年居民脑梗死的危险因素,并提出了预防脑梗死的初级保健策略。我们调查了10年前脑梗死发生率与体检结果之间的关系。采用多变量logistic回归分析,确定10年前生化试验和问卷调查中与脑梗死发生相关的变量。根据10年前的健康检查结果,高血压和肌酐水平异常与脑梗死风险增加有关。此外,根据特定健康检查的问卷调查结果,过去一年中体重增加或减少30公斤以及睡前2小时内吃晚餐的习惯与脑梗死风险增加有关。需要进行长期、大规模的前瞻性研究,以确定与脑梗死风险增加相关的具体健康项目。
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引用次数: 0
Death Education among Social Science College Students: The Good, the Bad, and the Unchanged 社科大学生的死亡教育:好、坏、不变
Pub Date : 2022-10-22 DOI: 10.3390/jal2040022
J. Zorotovich, A. Cohen
Personal identity is often dictated by the social roles a person fulfills (e.g., mother, son, partner, employee, etc.) and these social roles are defined by the greater family unit and surrounding social environments. Monumental events, such as death, often change a person’s social roles and demand a reorganization of the family unit. To provide comprehensive end-of-life care, human services professionals become an integral piece of care provisions as they are trained in serving the mothers, fathers, and children of the world, more so than treating the biological aspects of illness. It is for this reason that understanding the impacts of education on social science majors is important. To date, research on the effects of end-of-life education has largely focused on the negative affect among those in healthcare-related programs, leaving gaps in the literature surrounding the impacts, both negative and positive, of death education on future human services professionals. The current study explores pre–post semester changes in negative and positive affect among social science students (n = 92) enrolled in courses focused on end-of-life compared to those in an aging and human services-focused courses. Using paired and individual samples t-tests, within- and between-group changes were explored. Students in the experimental group reported lower death anxiety scores post-semester (M = 4.34, 95% CI [2.60, 6.08], t(74) = 4.97, p < 0.05), but this was not the case for the control group. Between group differences revealed that students in the experimental group displayed a greater decrease in fear of others dying (x = 4.08, sd = 6.23) than those in the control group (x = 1.24, sd = 0.95) and they reported larger increases in subjective happiness by an average of 0.61 points (sd = 2.42) when compared to those in the control group who reported an average increase of 0.10 points (sd = 2.45). Findings are discussed in terms of within- and between-group differences and suggestions for future research are provided.
个人身份通常是由一个人所扮演的社会角色决定的(例如,母亲、儿子、伴侣、雇员等),而这些社会角色是由更大的家庭单位和周围的社会环境决定的。重大事件,如死亡,往往会改变一个人的社会角色,并要求家庭单位重组。为了提供全面的临终关怀,人类服务专业人员成为护理规定中不可或缺的一部分,因为他们接受过服务世界上的母亲、父亲和儿童的培训,而不仅仅是治疗疾病的生物学方面。正是由于这个原因,了解教育对社会科学专业的影响是很重要的。迄今为止,关于临终教育影响的研究主要集中在医疗保健相关项目的负面影响上,而关于死亡教育对未来人类服务专业人员的负面和积极影响的文献存在空白。目前的研究探讨了社会科学专业学生(n = 92)在学期前和学期后的消极和积极影响的变化,这些学生参加了以生命终结为重点的课程,与那些参加了以老龄化和人类服务为重点的课程的学生相比。使用配对和单个样本t检验,探索组内和组间的变化。实验组学生在学期后报告的死亡焦虑得分较低(M = 4.34, 95% CI [2.60, 6.08], t(74) = 4.97, p < 0.05),但对照组的情况并非如此。组间差异显示,实验组学生对他人死亡的恐惧程度(x = 4.08, sd = 6.23)比对照组学生(x = 1.24, sd = 0.95)降低得更多,他们的主观幸福感平均提高了0.61分(sd = 2.42),而对照组学生的主观幸福感平均提高了0.10分(sd = 2.45)。从组内和组间差异的角度讨论了研究结果,并对未来的研究提出了建议。
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引用次数: 1
Sociodemographic Associations of Dementia Literacy in Older Australians 老年澳大利亚人痴呆症扫盲的社会人口统计学协会
Pub Date : 2022-09-27 DOI: 10.3390/jal2040021
J. Siette, L. Dodds
Recent levels of dementia literacy in older Australian adults remains relatively unexplored. Our purpose was to identify whether dementia literacy has changed in older Australians, sociodemographic characteristics associated with better literacy, and barriers to dementia risk reduction. A 32-item adapted British Social Attitudes Survey was administered to 834 community-dwelling older adults (mean age 73.3, SD = 6.0, range 65–94) on dementia awareness and knowledge of dementia risk and protective factors. Descriptive analyses, logistic, and multiple linear regressions were used to examine sociodemographic factors on dementia awareness and literacy. Most respondents (61%) were aware of the relationship between different lifestyle factors and dementia risk, with the majority reporting cognitive (85.0%) and physical inactivity (83.4%) as key risk factors. Few were able to identify less well-known factors (e.g., chronic kidney disease; 15.8%). Individuals with higher educational attainment were more likely to agree that dementia is modifiable (OR 1.228, 95% CI 1.02–1.47). Younger age (β = −0.089, 95% CI −0.736–−0.065, p = 0.019) was significantly associated with a higher number of correctly-identified dementia risk factors. Lack of knowledge was the key barrier to hindering dementia risk reduction. A tailored, evidence-informed, population-based lifespan approach targeting dementia literacy may help alleviate commonly reported barriers and support dementia risk reduction.
澳大利亚老年人最近的痴呆症识字水平仍然相对未被探索。我们的目的是确定澳大利亚老年人的痴呆症识字率是否发生了变化,与识字率提高相关的社会人口学特征,以及降低痴呆症风险的障碍。对834名居住在社区的老年人(平均年龄73.3,SD=6.0,范围65-94)进行了一项由32项内容改编的英国社会态度调查,内容涉及痴呆症意识以及痴呆症风险和保护因素的知识。使用描述性分析、逻辑和多元线性回归来检验影响痴呆意识和识字率的社会人口学因素。大多数受访者(61%)意识到不同生活方式因素与痴呆症风险之间的关系,大多数受访者报告认知(85.0%)和缺乏运动(83.4%)是关键风险因素。很少有人能够识别出不太为人所知的因素(例如,慢性肾脏疾病;15.8%)。受教育程度较高的个体更有可能同意痴呆症是可以改变的(OR 1.228,95%CI 1.02–1.47)。年龄较小(β=−0.089,95%CI−0.736–−0.065,p=0.019)与更高数量的正确识别的痴呆症风险因素显著相关。缺乏知识是阻碍降低痴呆风险的主要障碍。以痴呆症识字为目标的量身定制的、基于证据的、基于人群的寿命方法可能有助于缓解常见的障碍,并支持降低痴呆症风险。
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引用次数: 0
In-Clinic Measurements of Vascular Risk and Brain Activity 血管风险和脑活动的临床测量
Pub Date : 2022-08-26 DOI: 10.3390/jal2030020
J. Boone, Anna H. Davids, D. Joffe, Francesca Arese Lucini, D. Oakley, Madeleine J. Oakley, Matthew Peterson
Background: Cardiovascular disease and dementia represent two health problems that may be causally connected. Studies have shown patients with dementia to have reduced cardiovascular health measures, where patients with dementia also have reduced electrophysiological brain activity as measured by event-related potentials (ERP’s). Few studies have attempted to correlate the two: cardiovascular health and ERP brain activity. The objective of this study is to determine if there are ERP differences between patients with lower versus higher measures of cardiovascular risk. Methods: For 180 patients ages 53 (16) years, Audio P300 ERP amplitudes and latencies (speeds) were measured upon initial patient visit alongside other clinical evaluations. Cardiovascular risk was categorized into good versus poor levels for blood pressure resting and stressed, E/A Ratio, atherosclerosis, and carotid intima-media thickness. Results: Groups with good levels had lower latencies (faster P300′s) and higher amplitudes than those with poor levels across all cardiovascular risk measures, significant to p < 0.05 for most parameters. While both cardiovascular health and P300 metrics decline with age, poor blood pressure and plaque was seen to affect P300 performance across all age groups in this study. Conclusion: These data suggest correlation between brain activity, as measured by the P300, and five standard measures of cardiovascular health and this correlation may begin at an early age. While further explorations are warranted, these results could have implications on the management of preventative medicine by bringing preventative cardiology and brain health together.
背景:心血管疾病和痴呆是两种可能存在因果关系的健康问题。研究表明,痴呆症患者的心血管健康指标降低,通过事件相关电位(ERP)测量,痴呆症患者的脑电生理活动也减少。很少有研究试图将这两者联系起来:心血管健康和ERP大脑活动。本研究的目的是确定心血管风险较低和较高的患者之间是否存在ERP差异。方法:对180名年龄53(16)岁的患者,在初次就诊时测量Audio P300 ERP振幅和潜伏期(速度)以及其他临床评估。心血管风险根据静息和应激血压、E/A比值、动脉粥样硬化和颈动脉内膜-中膜厚度分为好与差。结果:在所有心血管风险测量中,良好水平组的潜伏期较低(P300 's更快),振幅高于差水平组,大多数参数p < 0.05显著。虽然心血管健康和P300指标都随着年龄的增长而下降,但在这项研究中,低血压和斑块影响了所有年龄组的P300表现。结论:这些数据表明,P300测量的大脑活动与心血管健康的五项标准指标之间存在相关性,这种相关性可能从早期就开始了。虽然需要进一步的探索,但这些结果可能会通过将预防心脏病学和大脑健康结合起来,对预防医学的管理产生影响。
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引用次数: 1
Social Representations of Violence among Brazilian Older People with Functional Dependence 巴西功能依赖老年人暴力行为的社会表征
Pub Date : 2022-08-04 DOI: 10.3390/jal2030019
E. Santana, R. Silva, Joana Bernardo, Ricardo Loureiro, I. Gil, T. Mestre, L. Reis
Elder abuse is a multifactorial public health issue deeply affected by silence and discrimination. This paper aims to analyze the social representations of violence among older people with functional dependence based on the theory of social representations. A qualitative exploratory–descriptive study was conducted with a sample of 21 older people enrolled in a home-based program in Vitória da Conquista, Bahia, Brazil. A sociodemographic survey and an interview script were used for data collection. The data were analyzed using the content analysis technique and QSR NVivo® software. Concerning the social representations of violence, older people’s narratives revealed a broad perception of the phenomenon through the following categories: multivariate phenomenon, ageism, neglect, and denial. The identification of the subtle forms of violence against older people and the exploration of this issue from the perspective of these vulnerable people can contribute to the production of new knowledge and the creation of mechanisms by which to raise awareness of and prevent this issue, as well as to break the silence surrounding it through reporting.
虐待老人是一个多因素的公共卫生问题,深受沉默和歧视的影响。本文旨在基于社会表征理论分析功能依赖老年人暴力行为的社会表征。在巴西巴伊亚州Vitória da Conquista,对21名参加家庭项目的老年人进行了定性探索性描述性研究。数据收集采用社会人口学调查和访谈脚本。采用含量分析技术和QSR NVivo®软件对数据进行分析。在暴力的社会表征方面,老年人的叙述通过以下类别揭示了对暴力现象的广泛认知:多元现象、年龄歧视、忽视和否认。识别针对老年人的暴力行为的微妙形式,并从这些弱势群体的角度探讨这一问题,有助于产生新的知识,并有助于建立机制,提高对这一问题的认识和预防,并通过报告打破围绕这一问题的沉默。
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引用次数: 1
The Role of Non-Cognitive Factors in Prospective Memory in Older Adults 非认知因素在老年人前瞻记忆中的作用
Pub Date : 2022-07-29 DOI: 10.3390/jal2030018
Emmanuelle Grob, P. Ghisletta, M. Kliegel
A key neuro-cognitive function that promotes autonomy and everyday functioning in old age is prospective memory (PM), defined as the capacity to remember to carry out intentions in the future. This study aimed at understanding if non-cognitive factors of metacognition and motivation are related to event-based and time-based laboratory PM, as well as to naturalistic PM in older adults, above and beyond the influences of neuropsychological determinants. We applied regression analyses predicting individual differences in classical PM tasks, in a sample of 99 healthy older participants (aged 64–88 years). Results indicated that metacognition, measured as memory self-efficacy and perceived competence in cognitive tasks, was related to laboratory time-based PM. Consistency of interests, a motivational factor, was associated with naturalistic PM. None of the non-cognitive factors related to event-based PM. Our study underlines the importance of considering non-cognitive characteristics when evaluating PM capacity, a key component of cognitive aging.
促进老年人自主性和日常功能的一个关键神经认知功能是前瞻性记忆(PM),它被定义为记忆在未来实现意图的能力。本研究旨在了解元认知和动机的非认知因素是否与基于事件和基于时间的实验室PM以及老年人的自然主义PM有关,是否超出了神经心理决定因素的影响。我们应用回归分析预测了99名健康老年参与者(年龄64-88岁)在经典PM任务中的个体差异。结果表明,元认知(以记忆自我效能和认知任务感知能力衡量)与实验室基于时间的PM有关。兴趣一致性是一个动机因素,与自然主义PM有关。非认知因素均与基于事件的PM无关。我们的研究强调了在评估PM能力时考虑非认知特征的重要性,PM能力是认知衰老的关键组成部分。
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引用次数: 1
Social Isolation and Loneliness in Older Adults: Why Proper Conceptualization Matters 老年人的社会孤立和孤独:为什么正确的概念化很重要
Pub Date : 2022-07-13 DOI: 10.3390/jal2030017
S. Asante, Georgina Tuffour
The problems of social isolation and loneliness in older adults have been widely researched but there are still issues regarding their conceptualizations and use in academic research. The terms social isolation and loneliness have often been used interchangeably in research, but evidence suggests they are not the same and sometimes have different implications for health outcomes in older adults. This paper attempts to highlight why proper conceptualization of these terms in research is important.
老年人的社会孤立和孤独问题已经得到了广泛的研究,但它们的概念化和在学术研究中的使用仍然存在问题。社会孤立和孤独这两个术语在研究中经常互换使用,但有证据表明,它们并不相同,有时对老年人的健康结果有不同的影响。本文试图强调为什么在研究中正确概念化这些术语很重要。
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引用次数: 5
Digital Health Solutions for Chronic Illnesses: A Systematic Review of Mobile Health Apps and Quality Analysis with Mobile App Rating Scale 慢性疾病的数字健康解决方案:移动健康应用的系统回顾和移动应用评级量表的质量分析
Pub Date : 2022-07-01 DOI: 10.3390/jal2030016
Gintarė Vaitkienė, Z. Kuzborska, Milda Žukauskienė
Currently, more than half of the adults worldwide have at least one chronic condition; however, poor medication adherence and self-management are observed. Tools, such as mHealth apps, may play a crucial role for millions of people in increasing the patients’ involvement in the treatment process. The purpose of this study is to evaluate the characteristics and quality of the existing mHealth apps for patients with various chronic conditions. The study was conducted from February 1 to March 31, 2022. The mHealth applications’ search was performed on the iOS platform, and 29 apps were included in the final analysis. The quality of apps was evaluated using Mobile App Rating Scale. The majority of the apps had symptom and medication tracking functionality. The mean score of apps’ overall quality was 3.45 (SD = 0.61) out of five, ranging from 2.04 to 4.50. The highest-rated category was the functionality of the app—3.75 (0.61); followed by aesthetics—3.67 (0.62); subjective quality—3.47 (0.88); engagement—3.33 (0.78); and information—3.04 (0.61). The study revealed that only a few high-quality apps for chronic condition management exist, and there is still some space for improvements.
目前,全世界一半以上的成年人至少患有一种慢性病;然而,观察到不良的药物依从性和自我管理。mHealth应用程序等工具可能会对数百万人在增加患者参与治疗过程中发挥至关重要的作用。本研究的目的是评估现有用于各种慢性病患者的mHealth应用程序的特性和质量。该研究于2022年2月1日至3月31日进行。mHealth应用程序的搜索是在iOS平台上进行的,最终分析包括29个应用程序。应用程序的质量使用移动应用程序评分量表进行评估。大多数应用程序都具有症状和药物跟踪功能。应用程序整体质量的平均得分为3.45(SD=0.61)(满分五分),范围从2.04到4.50。评分最高的类别是应用程序的功能——3.75(0.61);其次是美学-3.67(0.62);主观质量-3.47(0.88);参与度-3.33(0.78);和信息——3.04(0.61)。研究表明,只有少数高质量的慢性病管理应用程序存在,仍有一些改进空间。
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引用次数: 2
Enhancing Neuroplasticity Is Urgent: Music and Dance for the UN/WHO Decade of Action for Healthy Ageing for All 加强神经可塑性迫在眉睫:联合国/世界卫生组织全民健康老龄化行动十年的音乐和舞蹈
Pub Date : 2022-06-22 DOI: 10.3390/jal2030015
J. Shaffer
This descriptive overview responds to a rising tide of reviews and RCTs which encourage evidence-based interventions from the first moments of life and across the life course that could increase the Flynn effect and improve global statistics on neurocognitive functioning with a healthspan that approximates longer lifespans. We need to learn more from our centenarians who achieve Healthy Ageing. Evolving neuroscience empowers us to drive neuroplasticity in a positive direction in ways that are associated with enhancing neurocognitive functioning across the entire lifespan for vigorous longevity. Music and Dance could meet these urgent needs in ways that also have physical, emotional, neurobiological, neurochemical, immunological, and social health benefits. Interventions using Music and Dance are likely to have high initial and ongoing use because people are more inclined to do what is fun, easy, free (or low cost), portable, and culturally adaptable.
这一描述性概述回应了越来越多的综述和随机对照试验,这些综述和随机对照试验鼓励从生命的最初时刻到整个生命过程的循证干预,这可能会增加弗林效应,并改善全球神经认知功能统计数据,使健康寿命接近于更长的寿命。我们需要向实现“健康老龄化”的百岁老人学习更多。不断发展的神经科学使我们能够将神经可塑性向积极的方向发展,从而在整个生命周期中增强神经认知功能,从而实现健康长寿。音乐和舞蹈可以满足这些迫切的需求,同时对身体、情感、神经生物学、神经化学、免疫学和社会健康都有好处。使用音乐和舞蹈的干预可能具有较高的初始使用率和持续使用率,因为人们更倾向于做有趣、简单、免费(或低成本)、便携和文化适应性强的事情。
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引用次数: 0
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Journal of ageing and longevity
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