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Exploring Cultural Similarity and Cultural Diversity: A Cross-National Study of Nine Countries 探索文化相似性与文化多样性:九国的跨国研究
Pub Date : 2019-01-01 DOI: 10.35248/2329-8847.19.07.204
N. Karlin, J. Weil
Population aging is a universal, global issue with each country facing its own challenges to ensure the health of its older persons. We examined information gathered from 363 participants residing in nine societies (Japan, Saudi Arabia, China, Thailand, Botswana, Tunisia, U.S., South Africa, and Italy) about issues related to their self-reported aging experience. Using face-to-face interview and survey methods, information from older adults suggests evidence for both cultural similarity and diversity for these aging older adults. There is uniformity within the countries we studied in older adults’ dislike of health changes and the experiencing financial concerns. Data collected also provides support for noticeable elements of diversity with regard to aging in each country and that divergent paths in aging exist. Findings point to recognition for cultural humility, recognizing the lack of knowledge for specific aging practices within individual societies, and a push toward cultural competence where more data is required to understand the true experiences within a group.
人口老龄化是一个普遍的全球性问题,每个国家在确保老年人健康方面都面临着自己的挑战。我们研究了来自9个社会(日本、沙特阿拉伯、中国、泰国、博茨瓦纳、突尼斯、美国、南非和意大利)的363名参与者关于他们自我报告的衰老经历的信息。通过面对面访谈和调查方法,来自老年人的信息为这些老年人的文化相似性和多样性提供了证据。在我们研究的国家中,老年人不喜欢健康变化和经历经济问题的程度是一致的。所收集的数据还为各国老龄化方面存在明显的多样性因素以及存在不同的老龄化道路提供了支持。研究结果表明,人们认识到文化上的谦逊,认识到在个别社会中缺乏对特定老龄化实践的知识,并推动文化能力的发展,在这种情况下,需要更多的数据来了解一个群体的真实经历。
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引用次数: 2
Acute Effects of Tai Chi Chuan, Coordination and Aerobic Exercise on Attention in Elderly Individuals 太极拳、协调性和有氧运动对老年人注意力的急性影响
Pub Date : 2019-01-01 DOI: 10.35248/2329-8847.19.07.201
Y. Pakzad-Mayer, Jia-Tzer Jang, Yueh-Chi Wang, Chen Chia-Hui, Yuan-Shuo Chan, Peter Karl Mayer
This study examined the effects of 3 different acute exercise modes on sustained attention in elderly adults. Twelve experienced male Tai Chi Chuan (TCC) practitioners were assigned to: TCC, coordination program and ergometer cycling. Each exercise session lasted for 30 minutes. Before and after the exercise a 14 min Continues Performance Test (CPT) was conducted to evaluate sustained attention. Results: After TCC a value for attentiveness (Detectability) improved significantly with p=0.01. Decreasing commission mistakes (p=0.06) and hit reaction time (p=0.09) showed a tendency for higher attention levels. Hit reaction time value (p=0.026) and hit reaction time standard deviation (p=0.002) reduced significantly after the coordination session. Commission mistakes decreased significantly (p=0.031) after ergometer cycling. These results demonstrate that each exercise mode influences attention markers differently; Coordinative challenging exercises are more beneficial for attention; TCC in specific for attentiveness and inhibition; and aerobic training for inhibition.
本研究考察了三种不同的急性运动模式对老年人持续注意力的影响。12名有经验的男性太极拳练习者被分配到:太极拳,协调项目和骑脚踏车。每次锻炼持续30分钟。在运动前后进行14分钟持续表现测试(CPT)以评估持续注意力。结果:TCC治疗后,注意力(可检测性)显著提高,p=0.01。减少佣金错误(p=0.06)和击中反应时间(p=0.09)显示出较高的注意水平的趋势。配合会话后,命中反应时间值(p=0.026)和命中反应时间标准差(p=0.002)显著降低。使用测力仪后,委员会错误显著减少(p=0.031)。这些结果表明,不同的练习模式对注意标记的影响是不同的;协调性挑战练习更有利于注意力的集中;TCC对注意力和抑制有特异性;有氧训练的抑制作用。
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引用次数: 0
Evaluation of the Effect of an Independent Support Type Pelvic Fixation System Dining Chair Corresponding to Eating and Drinking Troubles of Elderly People who Continue to Decline in Swallowing Function 独立支撑型盆腔固定系统餐椅对持续吞咽功能下降的老年人饮食困难的效果评价
Pub Date : 2019-01-01 DOI: 10.35248/2329-8847.19.07.205
J. Fukaura, Tetsushi Tamekazu, Hideo Kaneko, Takeshi Nanba, Yasuhiko Takeda
The smooth swallowing posture (neck forward flexion posture) and swallowing function training to correspond to the aspiration are described in the medical literature. How to make neck forward flexion(NFF) posture and how to keep NFF posture is the biggest unresolved problem of dining chair development for researchers and developers in medicine and engineering. A dining chair designed to protect the elderly from aspiration and aspiration pneumonia was developed in Japan. We thought that if the function effect of the dining chair was truly demonstrated, it would be valuable information to all the elderly who have troubles in daily meal. We tried to verify the actual effect of the functional structure of the dining chair with electromyograph. As a result of the verification, it was confirmed that the meal with a new posture fixation system exhibited a smooth swallowing effect. The verification result of the dining chair of the new method is nice information for all the elderly in the world who continue to decline swallowing function.
在医学文献中描述了平滑吞咽姿势(颈部前屈姿势)和吞咽功能训练以对应于吸气。如何使餐椅形成颈部前屈姿势,并保持颈部前屈姿势,一直是医学界和工程界研究和开发人员在餐椅开发中未解决的最大问题。日本发明了一种防止老人吸入和吸入性肺炎的餐椅。我们认为,如果餐椅的功能效果得到真正的展示,对于所有在日常用餐中遇到困难的老年人来说,这将是一个有价值的信息。我们尝试用肌电图来验证餐椅功能结构的实际效果。验证结果证实,采用新姿势固定系统的膳食具有平滑的吞咽效果。新方法餐椅的验证结果对世界上所有吞咽功能持续下降的老年人来说是一个很好的信息。
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引用次数: 0
Stress Check: How Cultural Stress Is Impacting Health and Longevity, and What We Can Do About It 压力检查:文化压力如何影响健康和寿命,以及我们能做些什么
Pub Date : 2019-01-01 DOI: 10.35248/2329-8847.19.07.216
Howard MuradM.D.
Our phones recognize our face shapes better than our friends. Digital consumption is replacing human touch. Even when we’re together, we are texting rather than talking. If personal connection was classified as a sustainable resource, we could hypothesize that it is non-renewable and fleeting—fast. How is it that, in this age of being more connected than ever, we are at our loneliest? Advances in technology, enhanced screen time, and digital interconnectedness have collectively created a false sense of connection and a new type of stress: Cultural Stress (CS) and its pervasive, recognizable syndrome classified as Cultural Stress Anxiety Syndrome (CSAS).
我们的手机比我们的朋友更能识别我们的脸型。数字消费正在取代人类的接触。即使我们在一起,我们也在发短信而不是聊天。如果人际关系被归类为可持续资源,我们可以假设它是不可再生的,转瞬即逝的。为什么在这个联系空前紧密的时代,我们却处在最孤独的时候?科技的进步、屏幕时间的增加和数字互联共同创造了一种虚假的联系感和一种新型的压力:文化压力(CS)及其普遍的、可识别的综合症,被归类为文化压力焦虑综合征(CSAS)。
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引用次数: 2
Prevalence of Frailty among Older Surgical Patients 老年外科患者的虚弱患病率
Pub Date : 2019-01-01 DOI: 10.35248/2329-8847.19.07.217
R. Accardi, S. Ronchi, M. Cesari, Emanuela Racaniello, E. Rosa, DarioLaquintana
The increase of hospital admissions for surgical interventions in subjects aged 65 years and older has raised interest among surgeons about the concept of frailty. The aim of this study is to estimate the prevalence of frailty in a sample of older patients admitted to the surgical departments. Frailty was defined using the model proposed by Robinson and colleagues that reflects the number of deficits an individual has accrued across different domains like gait speed and muscular strength, chronic anemia, comorbidity, cognitive impairments, ability to perform activity of daily living, malnutrition, geriatric syndrome of falls. Results show a high prevalence of frailty (19%) and pre-frailty (34%) in the studied population. Physical impairment (54%), comorbidity burden (29%), cognitive dysfunction (32%) and dependence in Activities of Daily Living (28%) largely characterized the frailty phenotype of our sample. Given its complexity and heterogeneity, a multidisciplinary and integrated care approach is necessary for designing a personalized plan of intervention. This will avoid wasting the benefits brought by the surgical intervention because of a poor supporting network.
65岁及以上老年人住院手术干预的增加引起了外科医生对虚弱概念的兴趣。本研究的目的是估计在外科住院的老年患者样本中虚弱的患病率。虚弱是用Robinson和他的同事提出的模型来定义的,这个模型反映了一个人在不同领域积累的缺陷的数量,比如步态速度和肌肉力量、慢性贫血、合并症、认知障碍、日常生活活动能力、营养不良、老年跌倒综合症。结果显示,在研究人群中,体弱多病(19%)和体弱多病前期(34%)的患病率很高。身体损伤(54%)、合并症负担(29%)、认知功能障碍(32%)和日常生活活动依赖(28%)在很大程度上表征了我们样本的脆弱表型。鉴于其复杂性和异质性,设计个性化的干预计划需要多学科和综合护理方法。这将避免由于不良的支持网络而浪费手术干预带来的好处。
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引用次数: 0
A Mini Review of Astaxhantin and Oxidative Stress in Aging Astaxhantin与衰老过程中氧化应激的研究综述
Pub Date : 2019-01-01 DOI: 10.35248/2329-8847.19.07.211
Gülsüm Deveci, N. Tek
There are more than 300 theories attempting to explain old age or senescence, which is affected by genetic and environmental factors. Of all these theories, with respect to free radical theory, oxygen species occurring in the wake of extrinsic and intrinsic factors may trigger senescence and accelerate the aging process. Another reason for free radical generation is decrement of antioxidants and its components intake in diet. Astaxhantin (ASTX) has more antioxidant activity than other carotenoids. Because of this property, astaxhantin may be a substantial antioxidant source in the diet. In this review, we discuss antioxidant effects of astaxhantin on potential mechanisms in senescence.
有300多种理论试图解释受遗传和环境因素影响的老年或衰老。在所有这些理论中,就自由基理论而言,在外在因素和内在因素的作用下产生的氧可能引发衰老,加速衰老过程。自由基产生的另一个原因是饮食中抗氧化剂及其成分摄入的减少。虾青素(ASTX)比其他类胡萝卜素具有更强的抗氧化活性。由于这一特性,虾青素可能是饮食中重要的抗氧化剂来源。本文就虾青素抗氧化作用在衰老过程中的潜在机制进行综述。
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引用次数: 1
Prescription of the Functional Strength Training for Older People: A Brief Review 老年人功能性力量训练处方:综述
Pub Date : 2019-01-01 DOI: 10.35248/2329-8847.19.07.210
Antônio Gomes de Resende-Neto
Aging is associated with a variety of multisystem changes that influence decreased neuromuscular fitness levels. Such losses decrease physiological resilience and increase vulnerability to chronic diseases. As such, treatment strategies are necessary for health promotion and well-being in older people. Seeking to meet this need, functional strength training is an intervention often used to improve muscle strength and morphology. However, evidence-based doseresponse relationships with key physical training variables (e.g. intensity, volume, speed of movement, frequency and adhesion strategies) are unclear in the scientific literature. Thus, the purpose of this update is to provide an overview of current investigations and to suggest recommendations for the application of functional strength training to elderly. Taking into consideration the conditions of analysis, it may be suggested that a properly designed training program for the elderly should include a functional approach, working with two to three sets in one to two exercises per muscle group, reaching intensities of 70%-85% of one repetition maximum in body movements that resemble daily activities, 2 to 3 weekly sessions, including strength exercises performed at maximum concentric speed also with moderate intensities (40%-60% of one repetition maximum) and having as a basic premise neuromuscular adaptations.
衰老与多种影响神经肌肉健康水平下降的多系统变化有关。这种损失降低了生理弹性,增加了对慢性疾病的脆弱性。因此,治疗战略对于促进老年人的健康和福祉是必要的。为了满足这种需求,功能性力量训练是一种经常用于改善肌肉力量和形态的干预手段。然而,在科学文献中,以证据为基础的剂量反应与关键体能训练变量(如强度、体积、运动速度、频率和粘附策略)的关系尚不清楚。因此,本次更新的目的是提供当前调查的概述,并为老年人功能力量训练的应用提出建议。考虑到分析的条件,可以建议为老年人设计一个适当的训练计划应该包括功能方法,每个肌肉群做一到两个练习,两到三组,在类似日常活动的身体运动中达到70%-85%的最大重复强度,每周2到3次。包括以最大同心速度进行的力量训练,也包括中等强度的训练(最大一次重复的40%-60%),并以神经肌肉适应为基本前提。
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引用次数: 1
Adapting to Dying and Bereavement of Geriatric Palliative Care 老年姑息治疗的死亡与丧亲适应
Pub Date : 2019-01-01 DOI: 10.35248/2329-8847.19.07.213
Mohammed Abduh Al-Shaqi
Palliative care has recognized the power of suffering of life threatening illness and is concerned with helping people to cope and adapt with these chronic illness. Our fear of death and the loss of a loved one are two of the most monumental emotional challenges of human existence and suffering. This is incorporated into a philosophy of care that has resulted in the principles of palliative care. This anxiety is usually suppressed and is only exposed when the reality of a possible death is confronted. Fear of death stems from different sources, for example, the thought of our non-existence and the fear of the unknown of what lies beyond death. By understanding how societies deal with death, it is possible to explore the more specific issues of how patients cope, the problems that can arise and how carers should respond. This includes care of both the patient and those important to them (significant others). Bereavement support of some kind has become a fundamental aspect of palliative care, although there is a view that it continues to be a marginalized service, with reports of inequitable distribution of services. This paper will review how to improve the understanding of the processes involved during dying and bereavement, the damaging consequences that can occur and the role of health professionals in caring for the dying and the bereaved.
姑息治疗认识到威胁生命的疾病带来的痛苦的力量,并关注帮助人们应对和适应这些慢性疾病。我们对死亡的恐惧和失去所爱的人是人类生存和痛苦中最巨大的两个情感挑战。这被纳入了一种护理哲学,从而产生了姑息治疗原则。这种焦虑通常被压抑,只有在面对可能死亡的现实时才会暴露出来。对死亡的恐惧有不同的来源,例如,我们不存在的想法和对死亡之外未知的恐惧。通过了解社会如何处理死亡,有可能探索更具体的问题,如患者如何应对,可能出现的问题以及护理人员应该如何应对。这包括照顾病人和那些对他们重要的人(重要的其他人)。某种形式的丧亲支助已成为姑息治疗的一个基本方面,尽管有人认为它仍然是一项边缘化服务,有报告称服务分配不公平。本文将回顾如何提高对死亡和丧亲过程的理解,可能发生的破坏性后果以及卫生专业人员在照顾死亡和丧亲者方面的作用。
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引用次数: 0
Aging life care managers: Case studies in success 老年生活护理经理:成功案例研究
Pub Date : 2018-08-02 DOI: 10.4172/2329-8847-C1-004
L. Kaufman
Loss of function of mitochondria, the key cell organelle responsible for approximately 90% of cellular energy production, can result in cell death, excess fatigue, pain, and other symptoms that are common problems in almost if not all age-related chronic diseases as well as advanced age. These diseases include neurodegenerative diseases, diabetes and metabolic syndrome, cardiovascular diseases, autoimmune diseases, neurobehavioral and psychiatric diseases, musculoskeletal and gastrointestinal diseases, fatiguing illnesses, cancer and chronic infections, among others. The mitochondrial function also declines in advanced age. At the molecular level reductions in mitochondrial function occur when there is a loss of mitochondrial maintenance of inner membrane transmembrane potential due to oxidative damage by Reactive Oxygen Species (ROS) as well as loss of critical mitochondrial co-factors, resulting in reduced efficiency of the electron transport chain and less generation of ATP. Membrane Lipid Replacement (MLR) using an all-natural nutritional supplement mixture containing membrane glycerolphospholipids can be used to repair mitochondrial inner membrane damage, improve inner mitochondrial membrane trans-membrane potential and mitochondrial function, reverse ROS damage and increase the efficiency of the electron transport chain. Recent clinical trials have shown the benefits of MLR in enhancing mitochondrial function, reducing fatigue, pain, and other symptoms while improving mood and cognition. For example, mitochondrial function and inner membrane transmembrane potential have been enhanced by 25-35%, resulting in decreases in fatigue by 35-45% in aging chronically ill patients in clinical trials. MLR has also been used to reduce the adverse effects of cancer chemotherapy and improve symptoms other than fatigue in chronic illness patients. Biography Garth L Nicolson is the Founder, President, Chief Scientific Officer and Professor Emeritus of Molecular Pathology at the Institute for Molecular Medicine in Huntington Beach, California. He was formally the David Bruton Jr Chair in Cancer Research and Professor and Chairman at the University of Texas MD Anderson Cancer Center in Houston, and he was Professor of Internal Medicine and Professor of Pathology and Laboratory Medicine at the University of Texas Medical School at Houston. He has published over 650 medical and scientific papers, including editing 20 books, and has served on the Editorial Boards of 30 medical and scientific journals and was Senior Editor of four. Professor Nicolson has won many awards, such as the Burroughs Welcome Medal, Royal Society of Medicine (United Kingdom), Stephen Paget Award, Metastasis Research Society, U.S. National Cancer Institute Outstanding Investigator Award, and the Innovative Medicine Award, Canada. He is also a Colonel (O6, Honorary), U.S. Army Special Forces and a U.S. Navy SEAL (Honorary) for his work on Armed Forces and veterans’ illnesses. This work is
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引用次数: 0
The neglected ‘ISM’: Empowering the old 被忽视的“ISM”:赋予老年人权力
Pub Date : 2018-08-02 DOI: 10.4172/2329-8847-C1-006
Afshana Parveen Hoque
Introduction and purpose: One of the major health problems in old age is chronic pain. There are some evidences showing that elderlys chronic pain is not assessed and relieved adequately. Hence, it is essential to access accurate and sufficient information about chronic pain status to effectively manage the situation. Therefore, this study aimed to assess chronic pain prevalence and its characteristics among elderly. Materials and Methods: This is a cross sectional study conducted among 205 elderly patients with chronic pain using multistage cluster sampling method. Data were collected during a period of 6 months in Ahwaz health care centers. Short version of the McGill Pain Questionnaire was used for chronic pain measurement. The internal consistency was assessed using Cronbach alpha. Data were analyzed using SPSS software (version 21) via Independent sample T test. Findings: Findings from this study showed that the most prevalent chronic pain was knee pain (80%) while, the least one was abdominal pain (13%). Majority of our participants (85%) reported having pain in multiple locations and 15% suffering from pain in a single location. Regarding type of pain, we found that cramping pain (80%) was the most prevalent type and sickening pain (22%) was the least prevalent. In addition, the most intense pain was discomforting pain (33%) and the least one was intolerable pain (19%). Pain was significantly (P less-than 0.05) higher in women, older than 65 years old, singles and under diploma education. There was no significant (P greater-than 0.05) association between pain and home ownership as well as income. Conclusion: This study revealed that prevalence of chronic pain is high among old people. Attention to chronic pain features among elderly is essential for identifying vulnerable groups and delivering better treatments. The findings of this study can be used by researchers and policy makers to plan effective pain management interventions.
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引用次数: 8
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Journal of aging science
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