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Sample records for elderly europeans seneca

  1. Consumption of unfiltered coffee brews in elderly Europeans. SENECA Investigators.

    Science.gov (United States)

    Urgert, R; de Groot, C P

    1996-07-01

    To quantify the consumption of unfiltered coffee brews, which contain the cholesterol-raising diterpenes cafestol and kahweol, in elderly subjects. Interviews of randomly selected elderly in the 1993 SENECA Study on Nutrition and the Elderly in Europe. Nine towns in eight European countries (Denmark, France, Italy, the Netherlands, Portugal, Switzerland, Poland, and Northern Ireland/United Kingdom). 962 relatively healthy elderly persons (460 men, 502 women) born between 1913 and 1918. Daily coffee consumption, classified by brewing technique. About 90 percent of the examinees were daily coffee users in Roskilde/Denmark (population means; men 530 ml/d, women 425 ml/d) and Culemborg/the Netherlands (men 513 ml/d, women 285 ml/d), against only 12% in Marki/Poland (population means; men 14 ml/d, women 36 ml/d) and 7% in Coimbra/Portugal (men 8 ml/d, women 0 ml/d). Drip-filtered and instant coffee, which are poor in diterpenes, were the prevalent types in most survey towns. Espresso and mocha coffee, which contain intermediate amounts of diterpenes, were consumed daily by 31% of the coffee drinkers in Switzerland and by all coffee drinkers in Italy, but intake was too low to substantially affect serum cholesterol levels. Consumption of brews that are rich in diterpenes, such as cafetiere, boiled, or Turkish/Greek coffee, was negligible in all survey towns. Coffee drinking is common among elderly people in some European countries, but intake of cafestol and kahweol with unfiltered coffee brews is low.

  2. Dietary carbohydrates and change in physical performance of elderly Europeans. SENECA 1993 and 1999

    DEFF Research Database (Denmark)

    Kynde, I; Schroll, K; Tetens, Inge

    2010-01-01

    scores indicate a better physical performance. Habitual diets were measured using diet history interviews and dietary GI and GL were estimated from table values. Setting Eight towns/centres from the Survey in Europe on Nutrition and the Elderly, a Concerted Action (SENECA) in 1993 and 1999. Subjects...

  3. Dietary quality and lifestyle factors in relation to 10-year mortality in older Europeans - The SENECA study

    NARCIS (Netherlands)

    Haveman-Nies, A.; Groot, de C.P.G.M.; Burema, J.; Amorim Cruz, J.A.; Osler, M.; Staveren, van W.A.

    2002-01-01

    The single and combined effects of three healthy lifestyle behaviors—nonsmoking, being physically active, and having a high-quality diet—on survival were investigated among older people in the SENECA Study. This European longitudinal study started with baseline measurements in 1988–1989 and lasted

  4. European Elder (Elderberry)

    Science.gov (United States)

    ... Resources CME/CEU and Online Lectures Online Continuing Education Series Distinguished Lecture Series Integrated Medicine Research Lecture ... berries, and other plant parts of the elder tree contain a toxic substance and, if not properly ... provider. We encourage you to discuss any decisions about treatment or care with your health care ...

  5. Nutritional risk of European elderly.

    Science.gov (United States)

    de Morais, C; Oliveira, B; Afonso, C; Lumbers, M; Raats, M; de Almeida, M D V

    2013-11-01

    The elderly constitute a population group with a high prevalence of non-communicable chronic diseases and high risk of malnutrition. The aim of this study was to identify factors associated to nutritional risk in free-living European elderly. The sample included 644 European citizens, free living in the community, aged 65 years or more. The sample was quota controlled for age groups (65-74, ≥75 years), gender (male/female) and living circumstances (living alone/with others). Logistic regression was performed to identify factors associated with nutritional risk. Several variables regarding socio-demographic characteristics, food choice, health status and the satisfaction with food-related life were included in the analysis. According to the recoded score of the 'Determine your nutritional health' (NSI checklist), 53% of the elderly were at nutritional risk. Nutritional risk was more likely to occur in elderly who considered that it was more important to choose foods 'easy to chew'; with lower average number of fruit and vegetables (F&V) intake episodes and lower score for general health. It was also found in non-married participants; those that did not identify changes in their appetite; and those that felt changes in health status. In this sample, the lowest nutritional risk was found for body mass index (BMI) around 18.5 kg/m(2). Country of residence, gender and age were not found to have a significant effect on nutritional risk. Attention should be drawn to the living circumstances, changes in appetite or health, the general heath perception, F&V intake, choice of foods easy to chew and having a low or high BMI.

  6. The SENECA study: potentials and problems in relating diet to survival over 10 years

    NARCIS (Netherlands)

    Staveren, van W.A.; Groot, de C.P.G.M.; Haveman-Nies, A.

    2002-01-01

    Objective: To give an overview of the evaluation of the modified diet history applied in the SENECA study (Survey in Europe on Nutrition and the Elderly; a Concerted Action). Design: Nineteen centres in 12 countries participated at baseline. Nine of these SENECA centres conducted a repeat

  7. Relation of dietary quality, physical activity, and smoking habits to 10-year changes in health status in older europeans in the SENECA Study

    NARCIS (Netherlands)

    Haveman-Nies, A.; Groot, de C.P.G.M.; Staveren, van W.A.

    2003-01-01

    Objectives. This study investigated the effect of healthy lifestyle behaviors on self-rated health and self-care ability over a 10-year follow-up period in older persons in the SENECA study. Methods. Health status and lifestyle behaviors were examined in 1988/1989, 1993, and 1999 in 216 men and 264

  8. The SENECA study: potentials and problems in relating diet to survival over 10 years

    OpenAIRE

    Staveren, van, W.A.; Groot, De, Julie; Haveman-Nies, A.

    2002-01-01

    Objective: To give an overview of the evaluation of the modified diet history applied in the SENECA study (Survey in Europe on Nutrition and the Elderly; a Concerted Action). Design: Nineteen centres in 12 countries participated at baseline. Nine of these SENECA centres conducted a repeat measurement scheme in elderly people born between 1913 and 1918. These longitudinal centres included 100 subjects per sex per site. Methods: The relative validity of the method was tested by comparing result...

  9. In Defence of Seneca's Phaedra

    DEFF Research Database (Denmark)

    Bloch, David Kristian

    2007-01-01

    In this article I present two arguments concerning Seneca's tragedy Phaedra: (1) The character Phaedra is not simply a scheming, manipulative and evil woman, but rather a woman torn apart by love and fear; (2) Phaedra in the play is not a badly and incoherently portrayed character, but a convincing...

  10. Seneca's theology in its philosophical context

    NARCIS (Netherlands)

    van Houte, M.S.A.|info:eu-repo/dai/nl/304835862

    2010-01-01

    This study aims at a better understanding of the theological views of the Roman Stoic Seneca and the status of these views in relation to those of the earlier Stoics, and in the context of various other factors, such as the views of other philosophical schools and the purpose of Seneca's work.This

  11. Seneca Compressed Air Energy Storage (CAES) Project

    Energy Technology Data Exchange (ETDEWEB)

    None

    2012-11-30

    This document provides specifications for the process air compressor for a compressed air storage project, requests a budgetary quote, and provides supporting information, including compressor data, site specific data, water analysis, and Seneca CAES value drivers.

  12. Ten-year changes in anthropometric characteristics of elderly Europeans

    NARCIS (Netherlands)

    Groot, de C.P.G.M.; Enzi, G.; Matthys, C.; Moreiras, O.; Roszkowski, W.; Schroll, M.

    2002-01-01

    OBJECTIVE: Assess longitudinal (10-y) changes in height, body weight and circumferences in elderly Europeans. DESIGN: Longitudinal assessments including baseline measurements taken in 1988/1989 which were repeated in 1993 (follow-up) and in 1999 (Finale). SETTING: Longitudinal data were collected in

  13. Recognition and the character of Seneca's Medea.

    OpenAIRE

    Bexley, E. M.

    2016-01-01

    This article examines the character and identity of Seneca's Medea. Focusing on the recognition scene at the end of the play, I investigate how Medea constructs herself both as a literary figure and as an implied human personality. The concluding scene of Seneca's Medea raises crucial questions about self-coherence and recognisability: in contrast to other moments of anagnōrisis in Greco-Roman drama, it confirms the pre-existing facets of Medea's identity, rather than revealing new ones. This...

  14. MEDEA AS OTHER OF SENECA FROM ROME

    Directory of Open Access Journals (Sweden)

    Berna FİLDİŞ

    2015-07-01

    Full Text Available Medea based on mythological story of Argonauts was a tragedy written in Ancient Greek by Euripides, and in time of the Roman Empire it was re - written by Seneca. In this tragedy it was told a woman killing her two sons to avenge herself against her husband , why he cheated on his wife. Being “a good wife and a good mother” as an anti - hero in the Roman society was idealized for women, Medea, the daughter of King Ae ë tes of Colchis, was reiterated this idealized Roman woman with words of Seneca, and gave all Ro man women some guidance by an image based on how a Roman woman should not be. In this respect, readers can’t find Medea as a passionate woman in Seneca’s text, but as a pure devil character, and misdeed is often described as something belonged to her perso nality. In this context, Medea as a historical text of Seneca enables to understand the perception codes about outsiders in Greco - Roman culture.

  15. 76 FR 68745 - Seneca Power Partners, L.P.

    Science.gov (United States)

    2011-11-07

    ...] Seneca Power Partners, L.P. v. New York Independent System Operator, Inc.; Notice of Complaint Take... and Procedures, 18 CFR 385.206, Seneca Power Partners, L.P. (Complainant) filed a complaint against... TTY, call (202) 502-8659. Comment Date: 5 p.m. Eastern Time on November 28, 2011. Dated: October 28...

  16. Cultural stereotypes and social representations of elders from Chinese and European perspectives.

    Science.gov (United States)

    Liu, James H; Ng, Sik Hung; Loong, Cynthia; Gee, Susan; Weatherall, Ann

    2003-06-01

    Hierarchical cluster analyses of a trait sorting task were used to investigate social representations (and cultural stereotypes) of elderly New Zealanders (NZers) of Chinese and European origin, held by young (mean age = 17) and middle-aged (mean age = 46) NZers from both ethnic groups. Consistent with cultural theories of aging in Chinese societies, organizational features for NZ Chinese were: evaluative simplicity, role-governed representations (e.g., division between socio-emotional and task-oriented elders), little differentiation as a consequence of the ethnicity of elders or age group of subject, and an overall structure dominated by good/bad. NZ Europeans' social representations were more evaluatively complex, had fewer subtypes and more differences as a consequence of target person ethnicity. The Curmudgeon and the Nurturant were the most consensual stereotypes across the 8 cluster analyses (2 subject ethnicity x 2 target ethnicity x 2 subject age group), with the most power to organize stereotypical perceptions of elders across cultural groups. Only the majority group, NZ Europeans, displayed out-group homogeneity effects by creating more categories of elderly Europeans than Chinese. Both ethnic groups held representations of elderly Europeans as higher status in society, and both had more contact with European than Chinese elders outside the family.

  17. Reporting heterogeneity in self-assessed health among elderly Europeans

    Science.gov (United States)

    2012-01-01

    Introduction Self-assessed health (SAH) is a frequently used measure of individuals’ health status. It is also prone to reporting heterogeneity. To control for reporting heterogeneity objective measures of true health need to be included in an analysis. The topic becomes even more complex for cross-country comparisons, as many key variables tend to vary strongly across countries, influenced by cultural and institutional differences. This study aims at exploring the key drivers for reporting heterogeneity in SAH in an international context. To this end, country specific effects are accounted for and the objective health measure is concretized, distinguishing effects of mental and physical health conditions. Methods We use panel data from the SHARE-project which provides a rich dataset on the elderly European population. To obtain distinct indicators for physical and mental health conditions two indices are constructed. Finally, to identify potential reporting heterogeneity in SAH a generalized ordered probit model is estimated. Results We find evidence that in addition to health behaviour, health care utilization, mental and physical health condition as well as country characteristics affect reporting behaviour. We conclude that observed and unobserved heterogeneity play an important role when analysing SAH and have to be taken into account. PMID:23036352

  18. Reporting heterogeneity in self-assessed health among elderly Europeans.

    Science.gov (United States)

    Pfarr, Christian; Schmid, Andreas; Schneider, Udo

    2012-10-05

    Self-assessed health (SAH) is a frequently used measure of individuals' health status. It is also prone to reporting heterogeneity. To control for reporting heterogeneity objective measures of true health need to be included in an analysis. The topic becomes even more complex for cross-country comparisons, as many key variables tend to vary strongly across countries, influenced by cultural and institutional differences. This study aims at exploring the key drivers for reporting heterogeneity in SAH in an international context. To this end, country specific effects are accounted for and the objective health measure is concretized, distinguishing effects of mental and physical health conditions. We use panel data from the SHARE-project which provides a rich dataset on the elderly European population. To obtain distinct indicators for physical and mental health conditions two indices are constructed. Finally, to identify potential reporting heterogeneity in SAH a generalized ordered probit model is estimated. We find evidence that in addition to health behaviour, health care utilization, mental and physical health condition as well as country characteristics affect reporting behaviour. We conclude that observed and unobserved heterogeneity play an important role when analysing SAH and have to be taken into account.

  19. Beaver Census in the Erie National Wildlife Refuge: Seneca Division

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The main objective of this internship project was to approximately determine the population of beaver ( castor canadensis) in the Seneca division of the Erie...

  20. Energy Efficiency, Water Efficiency, and Renewable Energy Site Assessment: Seneca Rocks Discovery Center, Seneca Rocks, West Virginia

    Energy Technology Data Exchange (ETDEWEB)

    Kiatreungwattana, Kosol [National Renewable Energy Lab. (NREL), Golden, CO (United States); Salasovich, James [National Renewable Energy Lab. (NREL), Golden, CO (United States); Kandt, Alicen [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2016-03-22

    As part of ongoing efforts by the U.S. Forest Service to reduce energy use and incorporate renewable energy technologies into its facilities, the Department of Energy's National Renewable Energy Laboratory performed an energy efficiency and renewable energy site assessment of the Seneca Rocks Discovery Center in Seneca Rocks, West Virginia. This report documents the findings of this assessment, and provides site-specific information for the implementation of energy and water conservation measures, and renewable energy measures.

  1. Personalised nutritional powder for elderly developed in OPTIFEL European Project

    Directory of Open Access Journals (Sweden)

    Monica TRIF

    2016-11-01

    Developing innovative food and services tailored to elderly populations is a new challenge for key players involved in food industry and catering. The population targeted by the OPTIFEL project is elderly cooking at home or making use of meal-on-wheels services for whom the project will develop food products adapted to their taste, habits, needs and constraints.

  2. Seneca Compressed Air Energy Storage (CAES) Project

    Energy Technology Data Exchange (ETDEWEB)

    None, None

    2012-11-30

    Compressed Air Energy Storage (CAES) is a hybrid energy storage and generation concept that has many potential benefits especially in a location with increasing percentages of intermittent wind energy generation. The objectives of the NYSEG Seneca CAES Project included: for Phase 1, development of a Front End Engineering Design for a 130MW to 210 MW utility-owned facility including capital costs; project financials based on the engineering design and forecasts of energy market revenues; design of the salt cavern to be used for air storage; draft environmental permit filings; and draft NYISO interconnection filing; for Phase 2, objectives included plant construction with a target in-service date of mid-2016; and for Phase 3, objectives included commercial demonstration, testing, and two-years of performance reporting. This Final Report is presented now at the end of Phase 1 because NYSEG has concluded that the economics of the project are not favorable for development in the current economic environment in New York State. The proposed site is located in NYSEG’s service territory in the Town of Reading, New York, at the southern end of Seneca Lake, in New York State’s Finger Lakes region. The landowner of the proposed site is Inergy, a company that owns the salt solution mining facility at this property. Inergy would have developed a new air storage cavern facility to be designed for NYSEG specifically for the Seneca CAES project. A large volume, natural gas storage facility owned and operated by Inergy is also located near this site and would have provided a source of high pressure pipeline quality natural gas for use in the CAES plant. The site has an electrical take-away capability of 210 MW via two NYSEG 115 kV circuits located approximately one half mile from the plant site. Cooling tower make-up water would have been supplied from Seneca Lake. NYSEG’s engineering consultant WorleyParsons Group thoroughly evaluated three CAES designs and concluded that any

  3. The Women's Rights Convention at Seneca Falls: A Lesson Plan.

    Science.gov (United States)

    OAH Magazine of History, 1988

    1988-01-01

    Uses the text of the Declaration of Sentiments, written at the 1848 women's rights convention in Seneca Falls, New York. Familiarizes students with key personalities and organizations in the women's movement and illustrates the significance of the history of women's rights. Provides discussion questions and related activities. (LS)

  4. SENECA NATION FINAL REPORT Installation of a 1.5MW WIND TURBINE

    Energy Technology Data Exchange (ETDEWEB)

    Giacobbe, Anthony [Seneca Nation, Salamanca, NY (United States)

    2017-09-21

    In February 2014, Seneca Energy and the Seneca Nation officially kicked off the Cattaraugus wind turbine project. The project began with a nine month NEPA study, which resulted in a Finding of No Significant Impact on 10/5/2015. The Seneca Construction Management Company was responsible for the oversight of the civil and foundation construction which commenced shortly after the FONSI was finalized. In April 2017, the Seneca Nation paid its first $25 credit to residents enrolled in the “Seneca Electricity Credit Program”. The $25 credit is applied directly to resident’s utility invoices and will total $300 of savings every year and ~$8,000 of savings over the project lifecycle. The Seneca Nation has already paid $40,000 towards resident’s electricity bills since the commissioning of the wind turbine in April 2017. The Seneca Electricity Credit Program was one of the primary driving factors for the project and we continue to have additional residents enroll for the program each month. Our goal is to continue to add residents to our credit program and assist them in keeping electricity rates down, so that they can use their money for other necessary living expenses. The Seneca Nation and Seneca Energy are extremely proud of the Cattaraugus wind turbine as well as all of the other exciting energy projects taking place on territory. We are continuing to follow our Strategic Energy Plan as we move forward towards achieving energy self-sufficiency.

  5. Treatment of high blood pressure in elderly and octogenarians: European Society of Hypertension statement on blood pressure targets.

    Science.gov (United States)

    Kjeldsen, Sverre E; Stenehjem, Aud; Os, Ingrid; Van de Borne, Philippe; Burnier, Michel; Narkiewicz, Krzysztof; Redon, Josep; Agabiti Rosei, Enrico; Mancia, Giuseppe

    2016-12-01

    The European Society of Hypertension recommend the following main rules for treatment of hypertension in elderly and octogenarians: 1) In elderly hypertensives with SBP ≥ 160 mmHg there is solid evidence to recommend reducing SBP to between 140 mmHg and 150 mmHg. 2) In fit elderly patients less than 80 years old treatment may be considered at SBP ≥ 140 mmHg with a target SBP hypertensive agents are recommended and can be used in the elderly, although diuretics and calcium antagonists may be preferred in isolated systolic hypertension.

  6. 78 FR 19000 - Montezuma National Wildlife Refuge, Cayuga, Seneca, and Wayne Counties, NY; Final Comprehensive...

    Science.gov (United States)

    2013-03-28

    ... Leader, 413-253-8575 (phone); email: [email protected] . SUPPLEMENTARY INFORMATION: Introduction... ADDRESSES, and at the following location: Public Library: the Seneca Falls Library, located at 47 Cayuga Street, Seneca Falls, NY 13148, during regular library hours. Dated: February 21, 2013. Deborah Rocque...

  7. 77 FR 30312 - Montezuma National Wildlife Refuge, Cayuga, Seneca, and Wayne Counties, NY; Draft Comprehensive...

    Science.gov (United States)

    2012-05-22

    ... Leader, 413-253-8575 (phone); [email protected] (email). SUPPLEMENTARY INFORMATION: Introduction... locations: Our Web site: http://www.fws.gov/northeast/planning/Montezuma/ccphome.html . Public Library: the Seneca Falls Library, located at 47 Cayuga Street, Seneca Falls, NY 13148, during regular library hours...

  8. Weeping verse : Jasper Heywood's translation of Seneca's Troades and the politics of vicarious compassion

    NARCIS (Netherlands)

    Steenbergh, K.

    2016-01-01

    Jasper Heywood's Troas (1559) was the first English translation of one of Seneca's tragedies. Although Heywood's and later Tudor translations of Seneca's tragic corpus have predominantly been studied for their influence on Elizabethan revenge tragedy, recent criticism has focused on the way they

  9. A EUropean study on effectiveness and sustainability of current Cardiac Rehabilitation programmes in the Elderly

    DEFF Research Database (Denmark)

    Prescott, Eva; Meindersma, Esther P; van der Velde, Astrid E

    2016-01-01

    BACKGROUND: Cardiac rehabilitation (CR) is an evidence-based intervention to increase survival and quality of life. Yet studies consistently show that elderly patients are less frequently referred to CR, show less uptake and more often drop out of CR programmes. DESIGN: The European study...... home-based programme while the control group will receive no advice or coaching throughout the study period. Outcomes will be assessed after the end of CR and at 12 months follow-up. The primary outcome is VO2peak and secondary outcomes include variables describing CR uptake, adherence, efficacy...

  10. Oncolytic Seneca Valley Virus: past perspectives and future directions

    Directory of Open Access Journals (Sweden)

    Burke MJ

    2016-09-01

    Full Text Available Michael J Burke Department of Pediatrics, Division of Pediatric Oncology, Medical College of Wisconsin, MACC Fund Research Center, Milwaukee, WI, USA Abstract: Seneca Valley Virus isolate 001 (SVV-001 is an oncolytic RNA virus of the Picornaviridae family. It is also the first picornavirus discovered of the novel genus Senecavirus. SVV-001 replicates through an RNA intermediate, bypassing a DNA phase, and is unable to integrate into the host genome. SVV-001 was originally discovered as a contaminant in the cell culture of fetal retinoblasts and has since been identified as a potent oncolytic virus against tumors of neuroendocrine origin. SVV-001 has a number of features that make it an attractive oncolytic virus, namely, its ability to target and penetrate solid tumors via intravenous administration, inability for insertional mutagenesis, and being a self-replicating RNA virus with selective tropism for cancer cells. SVV-001 has been studied in both pediatric and adult early phase studies reporting safety and some clinical efficacy, albeit primarily in adult tumors. This review summarizes the current knowledge of SVV-001 and what its future as an oncolytic virus may hold. Keywords: oncolytic, virus, oncology, Seneca, valley

  11. Elders

    National Research Council Canada - National Science Library

    Geller, Jeffrey L; Crandell, Allan E

    2014-01-01

    ... is a bildungsroman, a classic coming-of-age progression, although the two primary characters, Elder McLeod and Elder Passos, devise two very different solutions to the developmental question. In the process they are often seen as alienated and anxious as they traverse the anticipated territory of late adolescence, with its sexual energy, long...

  12. Elder

    National Research Council Canada - National Science Library

    Arroyo, Pedro; Gutiérrez-Robledo, Luis Miguel

    2016-01-01

    ...´s milk and dairy products intake in adults, with emphasis on the elderly. The role of milk and dairy products as part of the regular diet, as well as their contribution to a healthy diet for the aged population is described...

  13. Coffee consumption is inversely associated with cognitive decline in elderly European men: the FINE Study

    National Research Council Canada - National Science Library

    Gelder, van, B.M; Buijsse, B; Tijhuis, M.J; Kalmijn, S; Giampaoli, S; Nissinen, A; Kromhout, D

    2007-01-01

    Objective: To investigate whether coffee consumption is associated with 10-year cognitive decline in elderly men, as results of previous studies obtained hitherto have been controversial and prospective...

  14. The Fountain of Age: A Remarkable 3D Shape that Portrays Health and Functional Differences among the European Elderly

    Directory of Open Access Journals (Sweden)

    Stef van Buuren

    2014-04-01

    Full Text Available There are very few norms to evaluate and monitor the health and functioning of the elderly. This paper proposes a compact spatial representation of 25 health measurements of European citizens older than 50 years. Data from 44,285 unique individuals were obtained from the EU-wide Survey of Health, Ageing and Retirement in Europe(SHARE data collected in 2004–2007 and were analyzed by homogeneity analysis, a form of non-linear principal components analysis. The resulting configuration of persons shows a remarkable three-dimensional shape that resembles a fountain. The three components explain 13.7, 5.8 and 4.6 percent of the total variation, respectively. Component 1 is driven by age and by the disabilities that come with old age. Component 2 portrays differences in health that are independent of age, with the high scores in relatively good health, given age. Component 3 distinguishes specific types of functional decline from general complaints that impact on daily life. The shape suggests that the elderly keep on maturing as they grow older, actually becoming more diverse as a group. We show how the solution may be used to develop and support profiles for the elderly. Another potential application is to track the individual development of the elderly, thereby objectifying personalized medicine.

  15. Comparative assessment of study groups of elderly female computer users from four European countries: questionnaires used in the NEW study

    DEFF Research Database (Denmark)

    Sandsjö, L; Larsman, P; Vollenbroek-Hutten, M M R

    2006-01-01

    There is a lack of consistent and comprehensive questionnaire forms for the studies of factors associated with work-related musculoskeletal disorders at the European level. One of the results of the EU-funded project, neuromuscular assessment in the elderly worker (NEW), is a set of questionnaires...... for the screening of musculoskeletal status and the studies of factors that are believed to affect musculoskeletal health. The questionnaires have been used among elderly women (45+) in different occupations and organisations in Denmark, The Netherlands, Sweden and Switzerland. The aim of this short communication...... is to present the questionnaires used in the NEW study and to evaluate the appropriateness of pooling data gathered in each participating country into a common database. It is concluded that although differences exist among the study samples, these are not of such a magnitude or pattern that data from the four...

  16. Dietary quality, lifestyle factors and healthy ageing in Europe: the SENECA study

    NARCIS (Netherlands)

    Haveman-Nies, A.; Groot, de C.P.G.M.; Staveren, van W.A.

    2003-01-01

    Objective: to identify dietary and lifestyle factors that contribute to healthy ageing. Subjects: for the analyses, data of the longitudinal SENECA study were used. The study population consisted of 1091 men and 1109 women aged 70-75 years from Belgium, France, Denmark, Italy, The Netherlands,

  17. An Overview of Language Preservation at Ohi: Yo'., the Seneca Allegany Territory

    Science.gov (United States)

    Borgia, Melissa E.

    2010-01-01

    This project seeks to discover and disseminate information pertaining to the language practices and values of a selected group of "Onodowa'ga:'" (Seneca) at "Ohi:yo'", or the Allegany Territory, in upstate New York. The goal is to find where the current practices and values are situated in the larger picture of Seneca…

  18. Aliquid and mores : the prefaces and epilogues of Seneca's Naturales Quaestiones

    NARCIS (Netherlands)

    Limburg, Florence Julia Gabriella

    2007-01-01

    In the Naturales Quaestiones, the Roman philosopher Seneca discusses several natural phenomena in different books. These books are introduced and concluded by mainly moralizing prefaces and epilogues. Scholars disagree about the question how, and to what extent, the different parts of the work are

  19. WHO guidelines for a healthy diet and mortality from cardiovascular disease in European and American elderly: the CHANCES project12

    Science.gov (United States)

    Jankovic, Nicole; Geelen, Anouk; Streppel, Martinette T; de Groot, Lisette CPGM; Kiefte-de Jong, Jessica C; Orfanos, Philippos; Bamia, Christina; Trichopoulou, Antonia; Boffetta, Paolo; Bobak, Martin; Pikhart, Hynek; Kee, Frank; O’Doherty, Mark G; Buckland, Genevieve; Woodside, Jayne; Franco, Oscar H; Ikram, M Arfan; Struijk, Ellen A; Pajak, Andrzej; Malyutina, Sofia; Kubinova, Růžena; Wennberg, Maria; Park, Yikyung; Bueno-de-Mesquita, H Bas; Kampman, Ellen; Feskens, Edith J

    2015-01-01

    Background: Cardiovascular disease (CVD) represents a leading cause of mortality worldwide, especially in the elderly. Lowering the number of CVD deaths requires preventive strategies targeted on the elderly. Objective: The objective was to generate evidence on the association between WHO dietary recommendations and mortality from CVD, coronary artery disease (CAD), and stroke in the elderly aged ≥60 y. Design: We analyzed data from 10 prospective cohort studies from Europe and the United States comprising a total sample of 281,874 men and women free from chronic diseases at baseline. Components of the Healthy Diet Indicator (HDI) included saturated fatty acids, polyunsaturated fatty acids, mono- and disaccharides, protein, cholesterol, dietary fiber, and fruit and vegetables. Cohort-specific HRs adjusted for sex, education, smoking, physical activity, and energy and alcohol intakes were pooled by using a random-effects model. Results: During 3,322,768 person-years of follow-up, 12,492 people died of CVD. An increase of 10 HDI points (complete adherence to an additional WHO guideline) was, on average, not associated with CVD mortality (HR: 0.94; 95% CI: 0.86, 1.03), CAD mortality (HR: 0.99; 95% CI: 0.85, 1.14), or stroke mortality (HR: 0.95; 95% CI: 0.88, 1.03). However, after stratification of the data by geographic region, adherence to the HDI was associated with reduced CVD mortality in the southern European cohorts (HR: 0.87; 95% CI: 0.79, 0.96; I2 = 0%) and in the US cohort (HR: 0.85; 95% CI: 0.83, 0.87; I2 = not applicable). Conclusion: Overall, greater adherence to the WHO dietary guidelines was not significantly associated with CVD mortality, but the results varied across regions. Clear inverse associations were observed in elderly populations in southern Europe and the United States. PMID:26354545

  20. WHO guidelines for a healthy diet and mortality from cardiovascular disease in European and American elderly: the CHANCES project.

    Science.gov (United States)

    Jankovic, Nicole; Geelen, Anouk; Streppel, Martinette T; de Groot, Lisette Cpgm; Kiefte-de Jong, Jessica C; Orfanos, Philippos; Bamia, Christina; Trichopoulou, Antonia; Boffetta, Paolo; Bobak, Martin; Pikhart, Hynek; Kee, Frank; O'Doherty, Mark G; Buckland, Genevieve; Woodside, Jayne; Franco, Oscar H; Ikram, M Arfan; Struijk, Ellen A; Pajak, Andrzej; Malyutina, Sofia; Kubinova, Růžena; Wennberg, Maria; Park, Yikyung; Bueno-de-Mesquita, H Bas; Kampman, Ellen; Feskens, Edith J

    2015-10-01

    Cardiovascular disease (CVD) represents a leading cause of mortality worldwide, especially in the elderly. Lowering the number of CVD deaths requires preventive strategies targeted on the elderly. The objective was to generate evidence on the association between WHO dietary recommendations and mortality from CVD, coronary artery disease (CAD), and stroke in the elderly aged ≥60 y. We analyzed data from 10 prospective cohort studies from Europe and the United States comprising a total sample of 281,874 men and women free from chronic diseases at baseline. Components of the Healthy Diet Indicator (HDI) included saturated fatty acids, polyunsaturated fatty acids, mono- and disaccharides, protein, cholesterol, dietary fiber, and fruit and vegetables. Cohort-specific HRs adjusted for sex, education, smoking, physical activity, and energy and alcohol intakes were pooled by using a random-effects model. During 3,322,768 person-years of follow-up, 12,492 people died of CVD. An increase of 10 HDI points (complete adherence to an additional WHO guideline) was, on average, not associated with CVD mortality (HR: 0.94; 95% CI: 0.86, 1.03), CAD mortality (HR: 0.99; 95% CI: 0.85, 1.14), or stroke mortality (HR: 0.95; 95% CI: 0.88, 1.03). However, after stratification of the data by geographic region, adherence to the HDI was associated with reduced CVD mortality in the southern European cohorts (HR: 0.87; 95% CI: 0.79, 0.96; I(2) = 0%) and in the US cohort (HR: 0.85; 95% CI: 0.83, 0.87; I(2) = not applicable). Overall, greater adherence to the WHO dietary guidelines was not significantly associated with CVD mortality, but the results varied across regions. Clear inverse associations were observed in elderly populations in southern Europe and the United States.

  1. Changes in food patterns and health in Europeans in their 8th decade

    NARCIS (Netherlands)

    Schroll Bjoernsbo, K.

    1997-01-01

    Knowledge of specific food patterns of elderly people is important for relating diet to nutritional status and disease and for the identification of groups at risk of under- or over-consumption of specific nutrients. The standardised methodology employed in the SENECA surveys (Survey in Europe on

  2. Dietary patterns, biological risk factors and survival in elderly European men and women

    NARCIS (Netherlands)

    Knoops, K.T.B.

    2007-01-01

    Background: The percentage of the population aged 65 and over, which started to rise sharply in the last decades of the past century, is continuing to rise. However, up until now, little is known about dietary factors and diet-related biological factors in elderly in relation to survival in

  3. What family support will dependent elders have in 2030? European projections

    NARCIS (Netherlands)

    Gaymu, J.; Beets, G.C.N.; Ekamper, P.; van Wissen, L.J.G.

    2008-01-01

    The ageing of the population raises the alarming prospect of a considerable increase in the number of elders with disabilities and in need of care. How many such people will there be in the future? How will they live? Will they have partners or children able to take care of them? To find out what

  4. Comparative assessment of study groups of elderly female computer users from four European countries: Questionnaires used in the NEW-study

    NARCIS (Netherlands)

    Sandsjö, L.; Larsman, P.; Vollenbroek-Hutten, Miriam Marie Rosé; Läubli, T.; Juul-Kristensen, B.; Klipstein, A.; Hermens, Hermanus J.; Sogaard, K.

    There is a lack of consistent and comprehensive questionnaire forms for the studies of factors associated with work-related musculoskeletal disorders at the European level. One of the results of the EU-funded project, neuromuscular assessment in the elderly worker (NEW), is a set of questionnaires

  5. A EUropean study on effectiveness and sustainability of current Cardiac Rehabilitation programmes in the Elderly: Design of the EU-CaRE randomised controlled trial

    NARCIS (Netherlands)

    Prescott, E.; Meindersma, E.P.; Velde, A.E. van der; Gonzalez-Juanatey, J.R.; Iliou, M.C.; Ardissino, D.; Zoccai, G.B.; Zeymer, U.; Prins, L.F.; Hof, A.W. van 't; Wilhelm, M.; Kluiver, E.P. de

    2016-01-01

    BACKGROUND: Cardiac rehabilitation (CR) is an evidence-based intervention to increase survival and quality of life. Yet studies consistently show that elderly patients are less frequently referred to CR, show less uptake and more often drop out of CR programmes. DESIGN: The European study on

  6. Medical and economic burden of influenza in the elderly population in central and eastern European countries.

    Science.gov (United States)

    Kovács, Gábor; Kaló, Zoltán; Jahnz-Rozyk, Karina; Kyncl, Jan; Csohan, Agnes; Pistol, Adriana; Leleka, Mariya; Kipshakbaev, Rafail; Durand, Laure; Macabeo, Bérengère

    2014-01-01

    Influenza affects 5-15% of the population during an epidemic. In Western Europe, vaccination of at-risk groups forms the cornerstone of influenza prevention. However, vaccination coverage of the elderly (> 65 y) is often low in Central and Eastern Europe (CEE); potentially because a paucity of country-specific data limits evidence-based policy making. Therefore the medical and economic burden of influenza were estimated in elderly populations in the Czech Republic, Hungary, Kazakhstan, Poland, Romania, and Ukraine. Data covering national influenza vaccination policies, surveillance and reporting, healthcare costs, populations, and epidemiology were obtained via literature review, open-access websites and databases, and interviews with experts. A simplified model of patient treatment flow incorporating cost, population, and incidence/prevalence data was used to calculate the influenza burden per country. In the elderly, influenza represented a large burden on the assessed healthcare systems, with yearly excess hospitalization rates of ~30/100,000. Burden varied between countries and was likely influenced by population size, surveillance system, healthcare provision, and vaccine coverage. The greatest burden was found in Poland, where direct costs were over EUR 5 million. Substantial differences in data availability and quality were identified, and to fully quantify the burden of influenza in CEE, influenza reporting systems should be standardized. This study most probably underestimates the real burden of influenza, however the public health problem is recognized worldwide, and will further increase with population aging. Extending influenza vaccination of the elderly may be a cost-effective way to reduce the burden of influenza in CEE.

  7. Alcohol consumption in elderly people across European countries: Results from the Food in Later Life project

    DEFF Research Database (Denmark)

    Vaz De Almeida, Maria Daniel; Davidson, Kate; De Morais, Cecilia

    2005-01-01

    The aim of this paper is to identify social and cultural aspects of alcohol consumption in a sample of older people living in their own homes, in eight different European countries. We explore several aspects of alcohol consumption, establishing comparisons between genders, age groups and living...... circumstances. The phenomenon of alcohol consumption within these countries and cultures is compared in order to gain a better understanding of similarities and differences....

  8. A systematic review of economic evaluations of seasonal influenza vaccination for the elderly population in the European Union.

    Science.gov (United States)

    Shields, Gemma E; Elvidge, Jamie; Davies, Linda M

    2017-06-10

    The Council of the European Union (EU) has recommended that action should be taken to increase influenza vaccination in the elderly population. The aims were to systematically review and critically appraise economic evaluations for influenza vaccination in the elderly population in the EU. Electronic searches of the NHS Economic Evaluation, Health Technology Assessment, MEDLINE and Embase databases were run to identify full economic evaluations. Two levels of screening were used, with explicit inclusion criteria applied by two independent reviewers at each stage. Prespecified data extraction and critical appraisal were performed on identified studies. Results were summarised qualitatively. Of the 326 search results, screening identified eight relevant studies. Results varied widely, with the incremental cost-effectiveness ratio ranging from being both more effective and cheaper than no intervention to costing €4 59 350 per life-year gained. Cost-effectiveness was most sensitive to variations in influenza strain, vaccination type and strategy, population and modelling characteristics. Most studies suggest that vaccination is cost-effective (seven of eight studies identified at least one cost-effective scenario). All but one study used economic models to synthesise data from different sources. The results are uncertain due to the methods used and the relevance and robustness of the data used. Sensitivity analysis to explore these aspects was limited. Integrated, controlled prospective clinical and economic evaluations and surveillance data are needed to improve the evidence base. This would allow more advanced modelling techniques to characterise the epidemiology of influenza more accurately and improve the robustness of cost-effectiveness estimates. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  9. Association of Adherence to a Healthy Diet with Cognitive Decline in European and American Older Adults: A Meta-Analysis within the CHANCES Consortium

    NARCIS (Netherlands)

    Berendsen, A.A.; Kang, J.H.; Rest, O. van de; Jankovic, N.; Kampman, E.; Kiefte-de Jong, J.C.; Franco, O.H.; Ikram, M.A.; Pikhart, H.; Nilsson, L.M.; Brenner, H.; Boffetta, P.; Rafnsson, S.B.; Gustafson, D.; Kyrozis, A.; Trichopoulou, A.; Feskens, E.J.M.; Grodstein, F.; Groot, L.C. de

    2017-01-01

    AIM: To examine the association between a healthy diet, assessed by the Healthy Diet Indicator (HDI), and cognitive decline in older adults. METHODS: Data from 21,837 participants aged >/=55 years from 3 cohorts (Survey in Europe on Nutrition and the Elderly, a Concerted Action [SENECA],

  10. Active Aging and Elderly's Quality of Life: Comparing the Impact on Literature of Projects Funded by the European Union and USA.

    Science.gov (United States)

    Kirilov, I; Atzeni, M; Perra, A; Moro, D; Carta, M G

    2018-01-01

    The objective of this research is to verify whether European projects on Active Aging (AA) and Elderly Quality of Life (Qol) funded by the Seventh Framework Programme (FP7) produce an impact on literature similar to projects funded by the National Health Institute (NHI) of the United States on international literature using well-known bibliometric indicators. This effort may be useful in developing standardized and replicable procedures. Fifteen randomly selected projects on AA and Elderly Qol concluded in August 2017 and funded by FP7 were compared to similar projects funded by the US NHI with reference to papers published (Scopus and Scholar), papers published in Q1 journals, and the number of citations of the papers linked to the projects. In all the indicators considered, the European projects showed no difference with the US NHI projects. The EU-funded AA and Qol Elderly projects have an impact on scientific literature comparable to projects funded in the United States by the NHI Agency.Our results are consistent with the data on general medical research, which indicates that, European research remains at a high level of competitiveness.In this experimental study, our methodology appeared to be convincing and reliable and it could be applied to the extent of the impact of more extensive research areas.Our research did not evaluate the relationship between funding required by research and scientific productivity.

  11. [EMPLOYMENT OF THE ELDERLY PEOPLE IN THE EUROPEAN UNION AND UKRAINE: REALITIES, PROBLEMS AND PROSPECTS].

    Science.gov (United States)

    Prokopenko, N A

    2016-01-01

    The study focuses on the issue of older people employment in the European Union and Ukraine. We analyzed the relationship of employment for older people and their income, of employment and of the value of index of social capital, life expectancy and income after retirement. It is shown that the employment rate of older people increased even during the economic crisis. The author has outlined the main causes of employment and the fields of activity of retirees. The basic reasons of employment are financial motives. However, motivation does not come from financial necessity, but because of work satisfaction in countries such as Denmark, Austria, Sweden. The main scope of employment of retirees in Ukraine is the industrial sector, but in the EU working retirees 65+ are engaged in agriculture, forestry and fishing sector, self-employment widespread among retirees. The author has outlined the basic directions of pension policy.

  12. [Work environment and patient safety: data comparison between Seneca and RN4CAST projects].

    Science.gov (United States)

    Escobar-Aguilar, Gema; Gómez-García, Teresa; Ignacio-García, Emilio; Rodríguez-Escobar, José; Moreno-Casbas, Teresa; Fuentelsaz-Gallego, Carmen; González-María, Esther; Contreras-Moreira, Mónica

    2013-01-01

    To analyze the relationship between the work environment and burnout of nurses and the quality of care for patient safety at the Spanish National Health System Hospitals included in SENECA and RN4CAST studies. Descriptive study with a secondary analysis that compares data of 984 patient records, 1469 patient, and 1886 professional surveys from SENECA project, with 2139 nurses' surveys from RN4CAST study, in 24 hospitals. Adverse events data related to care, and patient's and professional's perception of safety were compared with work environment (measured by the Nursing Work Index) and burnout (measured by Maslach Burnout Inventory). There was a statistically significant relation of pain with «Staffing and resource adequacy» (r=-0,435, p=0,03) and nosocomial infection with «Nursing foundations for quality of care» (r=-0,424; p=0,04) and «Nurse participation in hospital affairs» (r=-0,516, p=0,01) of the Nursing Work Index. The hospital classification obtained from the Nursing Work Index was associated with the patients' perception of safety (r=0,66, pWork Index (r ∈ [|0,41|-|0,78 |], pwork environment will have patients that perceive safer care. In addition, proper resource management could decrease the occurrence of adverse events such as pain. Copyright © 2012 Elsevier España, S.L. All rights reserved.

  13. The Seneca effect why growth is slow but collapse is rapid

    CERN Document Server

    Bardi, Ugo

    2017-01-01

    The essence of this book can be found in a line written by the ancient Roman Stoic Philosopher Lucius Annaeus Seneca: "Fortune is of sluggish growth, but ruin is rapid". This sentence summarizes the features of the phenomenon that we call "collapse," which is typically sudden and often unexpected, like the proverbial "house of cards." But why are such collapses so common, and what generates them? Several books have been published on the subject, including the well-known "Collapse" by Jared Diamond (2005), "The collapse of complex societies" by Joseph Tainter (1998) and "The Tipping Point," by Malcom Gladwell (2000). Why The Seneca Effect? This book is an ambitious attempt to pull these various strands together by describing collapse from a multi-disciplinary viewpoint. The reader will discover how collapse is a collective phenomenon that occurs in what we call today "complex systems," with a special emphasis on system dynamics and t he concept of "feedback." From this foundation, Bardi applies the...

  14. Stakeholders' relationships with the USDA Forest Service at the Spruce Knob-Seneca Rocks National Recreation Area, West Virginia

    Science.gov (United States)

    Katherine A. Thompson; Chad D. Pierskalla; Steven W. Selin

    2007-01-01

    The Spruce Knob-Seneca Rocks National Recreation Area (NRA) is developing a collaborative management plan. To develop a public involvement strategy, it is necessary to assess the social conditions in the area. The purpose of this study was to determine the relationship local stakeholders in the NRA have with the USDA Forest Service (USFS) with regard to the...

  15. Ar galime priskirti pretekstą Oktaviją Senekai? Can we attribute the Praetexta Octavia to Seneca?

    Directory of Open Access Journals (Sweden)

    Jovita Dikmonienė

    2011-01-01

    Full Text Available The article explores the problems of the authorship of the Roman tragedy Octavia. The aim of the article is to introduce and analyse research carried out by scientists on the problems of the authorship of Octavia and to answer to the question on whether this praetexta could have been written by Seneca.For literary critics the greatest doubt about the authorship of Seneca’s Octavia raises the shadow of Agrippina, Nero’s dead mother, who correctly foretells the death of Nero – the emperor will become a victim of revenge and be killed by being stabbed in the neck. The doubt stems from the fact that Seneca had died three years before Nero. However, the future revenge is defined using typical words (iugulum dare – jab to the throat, which are used by Seneca in his other tragedies to describe non-heroic death, such as in Agamemnon (43, Oedipus (1036–1037, Thyestes (721–723, etc. So iugulum dare can be treated as locus communis in Seneca’s tragedies, meaning revenge, violent death. On the other hand, according to historians (Tacitus, Dio Cassius, Seneca was aware of the planned assassination of Nero in 65 CE by Piso’s conspirators. At the beginning of a conspiracy, conspirators would gather to talk about Nero’s crimes and Seneca maintained close relationships with many of them. Therefore, Seneca could have written Octavia at the beginning of 65 CE and read it at the gathering of Piso’s circle, where everyone spoke of Nero’s crimes supporting the need for a conspiracy.Nero’s dethronement was also predicted by astrologers. Rolando Ferri doubts whether astrologers could have predicted to the Princeps that he would become a criminal (animam nocentem sceleribus (Octavia, 630 and fugitive (turpem fugam (Octavia, 620. It is these two lines of Octavia, according to Ferri, that do not allow attributing Octavia to Seneca. The author of the article argues Ferri’s claims. If Seneca wrote the praetexta in the spring of 65 CE when Piso

  16. The Seneca Falls Convention: Teaching about the Rights of Women and the Heritage of the Declaration of Independence. ERIC Digest.

    Science.gov (United States)

    Osborn, Elizabeth R.

    Different groups at different times have turned to founding documents of the United States to meet their needs and to declare their entitlement to the promises of the Revolution of 1776. At Seneca Falls, New York in the summer of 1848, a group of U.S. men and women met to discuss the legal limitations imposed on women during this period. Their…

  17. The effect of social relationships on survival in elderly residents of a Southern European community: a cohort study

    Directory of Open Access Journals (Sweden)

    Otero Angel

    2007-08-01

    Full Text Available Abstract Background Comparative evidence regarding the effects of social relationships on mortality in Mediterranean communities will increase our knowledge of their strengths and the ways in which they influence longevity across cultures. Men and women may benefit differently from social relationships because of cultural differences in gender roles. Psychosocial mechanisms such as social support, which may explain the effects of social networks, may also vary by culture. Methods Detailed information on the social relationships of a representative sample of 1,174 community-dwelling older adults was collected in Leganés, a city in central Spain. Mortality over a 6-year follow-up period was ascertained. Information on socio-demographic, health and disability variables was also collected. Cox proportional hazards models were fitted separately for men and women and for the combined sample. Results Having a confidant was associated with a 25% (95% CI 5–40% reduction in the mortality risk. The hazard ratio for lack of social participation was 1.5 (95% CI 1.3–1.7. Being engaged in meaningful roles protected against mortality, while receipt of emotional support did not affect survival. These results were comparable for men and women. Having contact with all family ties was associated with reduced mortality only in men. Structural aspects of social networks make a unique contribution to survival, independently of emotional support and the role played in the lives of significant others. Conclusion In this elderly Southern European population, the beneficial effects of social networks, social participation, engagement in the life of significant others and having a confidant call for public policies that foster intergenerational and community exchanges.

  18. Home care robot for socially supporting the elderly: focus group studies in three European countries to screen user attitudes and requirements.

    Science.gov (United States)

    Zsiga, Katalin; Edelmayer, Georg; Rumeau, Pierre; Péter, Orsolya; Tóth, András; Fazekas, Gábor

    2013-12-01

    The growing number of elderly individuals presents new challenges for society. Many elderly individuals have physical or cognitive impairments and require support from caregivers. An attempt to overcome the limitations caused by the lack of human caregivers is the inclusion of assistive technology such as socially active robots. The Domeo-project of the Ambient Assisted Living Joint Programme of the European Union aims to develop a new companion robotic system that would allow assistance to the elderly. The requirements and attitude of the potential users and caregivers have been assessed in Austria, France and Hungary. The robot functions were demonstrated to the participants. Three focus groups were formed: potential end users, older caregivers and younger caregivers. The discussions were recorded and processed according to six aspects: (i) acceptability and privacy, (ii) pertinence of services, (iii) possible obstacles, (iv) motivation level to use the proposed services, (v) organizational issues and (vi) recommendations. Minor differences were observed between the countries, but there were considerable differences regarding the age of the participants. The younger caregivers want to be assured of the safety of their client and to receive immediate notification in case of an emergency. As for the elderly, the most important aspect is to gain a companion and a physical helper. Many of the recommendations can be taken into consideration during robot development, but some of them are not realistic at present.

  19. WHO guidelines for a healthy diet and mortality from cardiovascular disease in European and American elderly: The CHANCES project

    NARCIS (Netherlands)

    N. Jankovic; A. Geelen (A.); M.T. Streppel (M.); L.C.P.G.M. de Groot (Lisette); J.C. Kiefte-de Jong (Jessica); P. Orfanos (Philippos); C. Bamia (Christina); A. Trichopoulou (Antonia); P. Boffetta (Paolo); M. Bobak (Martin); H. Pikhart (Hynek); F. Kee (F.); M.G. O'Doherty (Mark G.); G. Buckland (Genevieve); J.V. Woodside (J.); O.H. Franco (Oscar); M.A. Ikram (Arfan); E.A. Struijk (Ellen A.); A. Pajak (Andrzej); S. Malyutina; R. Kubinova; M. Wennberg (Maria); Y. Park (Yikyung); H.B. Bueno-De-Mesquita (H. Bas); E. Kampman (Ellen); E.J.M. Feskens (Edith)

    2015-01-01

    textabstractBackground: Cardiovascular disease (CVD) represents a leading cause of mortality worldwide, especially in the elderly. Lowering the number of CVD deaths requires preventive strategies targeted on the elderly. Objective: The objective was to generate evidence on the association between

  20. WHO guidelines for a healty diet and mortality from cardiovascular disease in European and American elderly: the CHANCES project

    NARCIS (Netherlands)

    Jankovic, N.; Geelen, A.; Streppel, M.T.; Groot, de C.P.G.M.; Kiefte-de Jong, J.C.; Bueno-de Mesquita, H.B.; Kampman, E.; Feskens, E.J.M.

    2015-01-01

    Background: Cardiovascular disease (CVD) represents a leading cause of mortality worldwide, especially in the elderly. Lowering the number of CVD deaths requires preventive strategies targeted on the elderly. Objective: The objective was to generate evidence on the association between WHO dietary

  1. Bottle profile data collected aboard the USCGC SENECA in the Atlantic Ocean from 2 April 1915 to 20 May 1915 (NODC Accession 9700096)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 9700096 contains temperature and salinity profile data from bottle casts collected aboard the USCGC Seneca in the Grand Banks of Newfoundland and...

  2. The Eldicus prospective, observational study of triage decision making in European intensive care units. Part II: Intensive care benefit for the elderly

    DEFF Research Database (Denmark)

    Sprung, Charles L; Artigas, Antonio; Kesecioglu, Jozef

    2012-01-01

    accepted to the intensive care unit, 1,194 (18%) rejected; 3,795 (49%) were =65 yrs. Refusal rate increased with increasing patient age (18-44: 11%; 45-64: 15%; 65-74: 18%; 75-84: 23%; >84: 36%). Mortality was higher for older patients (18-44: 11%; 45-64: 21%; 65-74: 29%; 75-84: 37%; >84: 48%). Differences......RATIONALE:: Life and death triage decisions are made daily by intensive care unit physicians. Admission to an intensive care unit is denied when intensive care unit resources are constrained, especially for the elderly. OBJECTIVE:: To determine the effect of intensive care unit triage decisions...... on mortality and intensive care unit benefit, specifically for elderly patients. DESIGN:: Prospective, observational study of triage decisions from September 2003 until March 2005. SETTING:: Eleven intensive care units in seven European countries. PATIENTS:: All patients >18 yrs with an explicit request...

  3. Population Aging in the European Information Societies: Towards a Comprehensive Research Agenda in eHealth Innovations for Elderly.

    Science.gov (United States)

    Vancea, Mihaela; Solé-Casals, Jordi

    2016-08-01

    Population ageing is one of the major social and economic challenges of our contemporary societies. With the advent of the information society, new research and technological developments have been promoted in the field of assistive technologies and information and communication technologies of benefit to elderly people. This article examines the potentialities of new informatics developments in generating solutions to better address elderly people's daily-life, especially those with chronic illness and/or low autonomy. The authours attempt to propose a research agenda, by exposing various strengts and weaknesses of eHealth innovations for elderly, mainly grounded in secondary sources analysis.

  4. Depressive symptoms as risk factor of cardiovascular mortality in older European men: the Finland, Italy and Netherlands elderly (FINE) study

    NARCIS (Netherlands)

    Kamphuis, M.H.; Kalmijn, S.; Tijhuis, M.A.R.; Geerlings, M.I.; Giampaoli, S.; Nissinen, A.; Grobbee, D.E.; Kromhout, D.

    2006-01-01

    BACKGROUND: Depressive symptoms have been suggested to increase the risk of cardiovascular diseases, but this may reflect reversed causality. We investigated to what extent depressive symptoms are a true risk factor for cardiovascular mortality in elderly men. DESIGN: The Finland, Italy and

  5. Hierarchy levels, sum score, and worsening of disability are related to depressive symptoms in elderly men from three European countries

    NARCIS (Netherlands)

    van den Brink, Carolien L.; van den Bos, Geertrudis A. M.; Tijhuis, Marja; Aijanseppa, Sinikka; Nissinen, Aulikki; Giampaoli, Simona; Kromhout, Daan

    2006-01-01

    Objectives: The objectives were to investigate the predictive value of hierarchy levels and sum score of disability and change in disability on depressive symptoms. Method: Longitudinal data of 723 men age 70 and older from the Finland, Italy, and the Netherlands Elderly Study were collected in 1990

  6. The Se.Ko.Ph. study: a European multicentre study on falls in elderly subjects living in residential homes

    Directory of Open Access Journals (Sweden)

    Aladar Bruno Ianes

    2017-05-01

    Full Text Available The aim was to investigate risk factors for falls in elderly people living in residential nursing homes. An observational, prospective, multicentre study was conducted between March 2010 and March 2011 investigating falls in elderly residents living in residential nursing homes (4 Italian¸ 4 French and 5 German nursing homes. A number of risk factors were assessed as well as details of the fall (dynamics, reasons, location and time of occurrence. Differences were observed between the countries related to different nursing practices. Fallers comprised 36.5% of all residents and approximately 40% were injured as a consequence. Six logistic regression models were created to assess which fallrelated variables had the most impact, and showed subjects with faecal incontinence had a lower risk of falling, while subjects afflicted with dementia and visual impairment showed an increased risk of falling. Higher Tinetti scores were found to be related to an increased fall risk. Falls in the elderly occur due to complex interactions between demographic, physical, behavioural and environmental risk factors. Differences between countries in fall rates were seen, probably due to different medical practices, use of aids and restraints, and characteristics of the populations (i.e. the Italian residents tended to be more cognitively impaired and more impaired in balance and gait compared to the French and German residents. There was evidence that subjects with a better clinical status fall more frequently, whereas non-fallers had a worse clinical status and therefore tended to be more bedridden.

  7. Comparison of three different dietary scores in relation to 10-year mortality in elderly European subjects: the HALE project

    NARCIS (Netherlands)

    Knoops, K.T.B.; Groot, de C.P.G.M.; Fidanza, F.; Alberti-Fidanza, A.; Kromhout, D.; Staveren, van W.A.

    2006-01-01

    Objective: To investigate and compare the associations between dietary patterns and mortality using different European indexes of overall dietary quality. Design, Setting and Participants: The HALE (Healthy Ageing: a Longitudinal study in Europe) population includes 2068 men and 1049 women, aged

  8. Comparison of three different dietary scores in relation to 10-year mortality in elderly European subjects: the HALE project.

    NARCIS (Netherlands)

    Knoops, K T B; Groot, L C de; Fidanza, F; Alberti-Fidanza, A; Kromhout, Daan; Staveren, W A van

    2006-01-01

    OBJECTIVE: To investigate and compare the associations between dietary patterns and mortality using different European indexes of overall dietary quality. DESIGN, SETTING AND PARTICIPANTS: The HALE (Healthy Ageing: a Longitudinal study in Europe) population includes 2,068 men and 1,049 women, aged

  9. Next Evolution of the Seneca College Outdoor Recreation Program: One Year of High Level Professional Outdoor Training and Development for Post-Diploma/Post-Degree Students.

    Science.gov (United States)

    Magee, Clare

    1998-01-01

    Describes the steps in utilizing fast-tracking to phase out the overloaded two-year Outdoor Recreation Technician Co-op program at Seneca College (Ontario) and phase in a one-year graduate Outdoor Recreation Certificate program with a lower teacher-student ratio. A concept model relates generalist core skills to specializations and outdoor…

  10. Developmental hemostasis: A lifespan from neonates and pregnancy to the young and elderly adult in a European white population.

    Science.gov (United States)

    Nowak-Göttl, Ulrike; Limperger, Verena; Kenet, Gili; Degenhardt, Frauke; Arlt, Roman; Domschikowski, Justus; Clausnizer, Hartmut; Liebsch, Jürgen; Junker, Ralf; Steppat, Dagmar

    2017-09-01

    Absolute values of reference ranges for coagulation assays in humans vary within the entire lifespan and confirm the concept of developmental hemostasis. It is known that physiologic concentrations of coagulation factors (F) gradually increase over age: they are lower in premature infants as compared to full-term babies, healthy children or adults. Here we demonstrate in a cohort of 1011 blood donors and in a group of 193 healthy pregnant women, that the process of developmental hemostasis proceeds in adults. During the course of pregnancy F and activation markers steadily increase until delivery with a parallel decrease noticed for protein S. From adolescents, young adults to the elderly there is a further increase of F, reaching significance starting between 35 and 50years of age compared to younger subjects. Covering the entire lifespan FVIII and von-Willebrand-factor showed the lowest values in carriers of blood group "O". Apart from pregnancy differences related to gender, pill users, smoking habits or the presence of thrombophilic variants were reported. Laboratory test results should be compared to age-related reference intervals when hemostatic defects are suspected to avoid misclassifications as being "healthy", prone to "bleeding" or vice versa to "thrombosis". Copyright © 2016 Elsevier Inc. All rights reserved.

  11. Health care usage among immigrants and native-born elderly populations in eleven European countries: results from SHARE

    Science.gov (United States)

    Guillén, Montserrat; Crimmins, Eileen M.

    2013-01-01

    Differences in health care utilization of immigrants 50 years of age and older relative to the native-born populations in eleven European countries are investigated. Negative binomial and zero-inflated Poisson regression are used to examine differences between immigrants and native-borns in number of doctor visits, visits to general practitioners, and hospital stays using the 2004 Survey of Health, Ageing, and Retirement in Europe database. In the pooled European sample and in some individual countries, older immigrants use from 13 to 20% more health services than native-borns after demographic characteristics are controlled. After controlling for the need for health care, differences between immigrants and native-borns in the use of physicians, but not hospitals, are reduced by about half. These are not changed much with the incorporation of indicators of socioeconomic status and extra insurance coverage. Higher country-level relative expenditures on health, paying physicians a fee-for-service, and physician density are associated with higher usage of physician services among immigrants. PMID:21660564

  12. The interpretation practice of The European Court of Justice while judging the conflict between labelling applied as trademark with elderly right of another person

    Directory of Open Access Journals (Sweden)

    Hana Kelblová

    2010-01-01

    Full Text Available The article deals with the verification of the starting hypothesis of complementariness of the law of consumer protection and the law of intellectual property. In order to achieve that goal the author analyzes individual the Czech Trade Marks Act from the standpoint of protection of rights and interests of consumers.The article follows the categorical requirement of a public law rule, the Consumer Protection Act, which prohibits deceiving consumers and establishes that deceiving may also consist in offering products and services unjustified designated by misleading trade mark.The consumer is deceived most frequently when trade marks are used for designation of products and their promotion. The Trade Marks Act may be analyzed in relation to consumer protection first from the standpoint of consumer protection against trade marks misleading someone about the origin and quality of products and services designated by them. Then it is possible to examine the question whether requirements of a designation for being registered as a trade mark are at the same time those attributes of the trade mark which meet the declared intention of the lawmaker, i.e. that the trade mark should be a source of information for the consumer about the origin and quality of the product de­sig­na­ted by it.Especially, the article deals with an interpretation of the conception „Likelihood of Confusion“ as the fundamental conception while judging the conflict with elderly trademarks applying for the re­gi­stra­tion into the list of The Patent Office.A perception of an average consumer is a fundamental factor for a judgement of „Likelihood of Confusion“ as results from the decision practice of The Czech Patent Office, Czech courts and The European Court of Justice. This is proof of the conclusion that rules of the Trademark Law are rules of the Consumer protection Law.

  13. Ageing under unequal circumstances: a cross-sectional analysis of the gender and socioeconomic patterning of functional limitations among the Southern European elderly.

    Science.gov (United States)

    Serrano-Alarcón, Manuel; Perelman, Julian

    2017-10-03

    In a context of population ageing, it is a priority for planning and prevention to understand the socioeconomic (SE) patterning of functional limitations and its consequences on healthcare needs. This paper aims at measuring the gender and SE inequalities in functional limitations and their age of onset among the Southern European elderly; then, we evaluate how functional status is linked to formal and informal care use. We used Portuguese, Italian and Spanish data from the Survey of Health, Ageing and Retirement in Europe (SHARE) of 2011 (n = 9233). We constructed a summary functional limitation score as the sum of two variables: i) Activities of Daily Living (ADL) and ii) Instrumental Activities of Daily Living (IADL). We modelled the functional limitation as a function of age, gender, education, subjective poverty, employment and marital status using multinomial logit models. We then estimated how functional limitation affected informal and formal care demand using negative binomial and logistic models. Women were 2.3 percentage points (pp) more likely to experience severe functional limitation than men, and overcame a 10% probability threshold of suffering from severe limitation around 5 years earlier. Subjective poverty was associated with a 3.1 pp. higher probability of severe functional limitation. Having a university degree reduced the probability of severe functional limitation by 3.5 pp. as compared to none educational level. Discrepancies were wider for the oldest old: women aged 65-79 years old were 3.3 pp. more likely to suffer severe limitations, the excess risk increasing to 15.5 pp. among those older than 80. Similarly, educational inequalities in functional limitation were wider at older ages. Being severely limited was related with a 32.1 pp. higher probability of receiving any informal care, as compared to those moderately limited. Finally, those severely limited had on average 3.2 hospitalization days and 4.6 doctor consultations more

  14. The prevalence of self-reported underuse of medications due to cost for the elderly: results from seven European urban communities.

    Science.gov (United States)

    Stankuniene, Aurima; Stankunas, Mindaugas; Avery, Mark; Lindert, Jutta; Mikalauskiene, Rita; Melchiorre, Maria Gabriella; Torres-Gonzalez, Francisco; Ioannidi-Kapolou, Elisabeth; Barros, Henrique; Savickas, Arūnas; Radziunas, Raimondas; Soares, Joaquim J F

    2015-09-26

    The aim of this study was to evaluate the prevalence of self-reported underuse of medications due to procurement costs amongst older persons from seven European urban communities. The data were collected in a cross-sectional study ("ABUEL, Elder abuse: A multinational prevalence survey") in 2009. Randomly selected people aged 60-84 years (n = 4,467) from seven urban communities: Stuttgart (Germany), Athens (Greece), Ancona (Italy), Kaunas (Lithuania), Porto (Portugal), Granada (Spain) and Stockholm (Sweden) were interviewed. Response rate - 45.2%. Ethical permission was received in each country. The results indicate that 3.6% (n = 162) of the respondents self-reported refraining from buying prescribed medications due to cost. The highest prevalence of this problem was identified in Lithuania (15.7%, n = 99) and Portugal (4.3%, n = 28). Other countries reported lower percentages of refraining from buying medications (Germany - 2.0%, Italy - 1.6%, Sweden - 1.0%, Greece - 0.6%, Spain - 0.3%). Females refrained more often from buying medications than males (2.6% vs. 4.4%, p increase with economic hardship. These differences between countries can be only partly described by the financing of health-care systems. In spite of the presence of cost reimbursement mechanisms, patients need to make co-payments (or in some cases to pay the full price) for prescribed medications. This indicates that the purchasing power of people in 10.1186/s12913-015-1089-4 the particular country can play a major role and be related with the economic situation in the country. Lithuania, which has reported the highest refrain rates, had the lowest gross domestic product (at the time of conducting this study) of all participating countries in the study. Refraining from buying the prescribed medications due to cost is a problem for women and men in respect to ageing people in Europe. Prevalence varies by country, sex, and economic hardship.

  15. A proposed adaptation of the European Foundation for Quality Management Excellence Model to physical activity programmes for the elderly - development of a quality self-assessment tool using a modified Delphi process

    Directory of Open Access Journals (Sweden)

    Marques Ana I

    2011-09-01

    Full Text Available Abstract Background There has been a growing concern in designing physical activity (PA programmes for elderly people, since evidence suggests that such health promotion interventions may reduce the deleterious effects of the ageing process. Complete programme evaluations are a necessary prerequisite to continuous quality improvements. Being able to refine, adapt and create tools that are suited to the realities and contexts of PA programmes for the elderly in order to support its continuous improvement is, therefore, crucial. Thus, the aim of this study was to develop a self-assessment tool for PA programmes for the elderly. Methods A 3-round Delphi process was conducted via the Internet with 43 national experts in PA for the elderly, management and delivery of PA programmes for the elderly, sports management, quality management and gerontology, asking experts to identify the propositions that they considered relevant for inclusion in the self-assessment tool. Experts reviewed a list of proposed statements, based on the criteria and sub-criteria from the European Foundation for Quality Management Excellence Model (EFQM and PA guidelines for older adults and rated each proposition from 1 to 8 (disagree to agree and modified and/or added propositions. Propositions receiving either bottom or top scores of greater than 70% were considered to have achieved consensus to drop or retain, respectively. Results In round 1, of the 196 originally-proposed statements (best practice principles, the experts modified 41, added 1 and achieved consensus on 93. In round 2, a total of 104 propositions were presented, of which experts modified 39 and achieved consensus on 53. In the last round, of 51 proposed statements, the experts achieved consensus on 19. After 3 rounds of rating, experts had not achieved consensus on 32 propositions. The resulting tool consisted of 165 statements that assess nine management areas involved in the development of PA programmes for

  16. Seneca Valley Virus 3Cpro Substrate Optimization Yields Efficient Substrates for Use in Peptide-Prodrug Therapy.

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    Linde A Miles

    Full Text Available The oncolytic picornavirus Seneca Valley Virus (SVV-001 demonstrates anti-tumor activity in models of small cell lung cancer (SCLC, but may ultimately need to be combined with cytotoxic therapies to improve responses observed in patients. Combining SVV-001 virotherapy with a peptide prodrug activated by the viral protease 3Cpro is a novel strategy that may increase the therapeutic potential of SVV-001. Using recombinant SVV-001 3Cpro, we measured cleavage kinetics of predicted SVV-001 3Cpro substrates. An efficient substrate, L/VP4 (kcat/KM = 1932 ± 183 M(-1s(-1, was further optimized by a P2' N→P substitution yielding L/VP4.1 (kcat/KM = 17446 ± 2203 M(-1s(-1. We also determined essential substrate amino acids by sequential N-terminal deletion and substitution of amino acids found in other picornavirus genera. A peptide corresponding to the L/VP4.1 substrate was selectively cleaved by SVV-001 3Cpro in vitro and was stable in human plasma. These data define an optimized peptide substrate for SVV-001 3Cpro, with direct implications for anti-cancer therapeutic development.

  17. Management of Hypertension in the Elderly and Frail Elderly.

    Science.gov (United States)

    Ferri, Claudio; Ferri, Livia; Desideri, Giovambattista

    2017-03-01

    An elevated systolic but not diastolic blood pressure level represents a common finding in elderly patients and is associated with an increased risk for developing coronary artery disease, cerebrovascular disease, peripheral artery disease, progressive cognitive decline and renal failure. Although less frequently, elderly patients manifest not only with systolic but also diastolic hypertension. Also in this case, the elderly patient will present an increased risk for developing hypertension-related abnormalities. Based on several trials conducted in patients ≥65 years and one single trial in patients ≥80 years the most recent European guidelines recommend antihypertensive treatment in elderly hypertensive patients with a systolic blood pressure ≥60 mmHg, with a systolic target between 140 and 150 mmHg. In fit elderly patients elderly hypertensive patients. This review will critically review the evidence available so far on these important issues as well as the position of current guidelines and consensus statements.

  18. Vitamin D supplementation in elderly or postmenopausal women: a 2013 update of the 2008 recommendations from the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO).

    Science.gov (United States)

    Rizzoli, R; Boonen, S; Brandi, M-L; Bruyère, O; Cooper, C; Kanis, J A; Kaufman, J-M; Ringe, J D; Weryha, G; Reginster, J-Y

    2013-04-01

    Vitamin D insufficiency has deleterious consequences on health outcomes. In elderly or postmenopausal women, it may exacerbate osteoporosis. There is currently no clear consensus on definitions of vitamin D insufficiency or minimal targets for vitamin D concentrations and proposed targets vary with the population. In view of the potential confusion for practitioners on when to treat and what to achieve, the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) convened a meeting to provide recommendations for clinical practice, to ensure the optimal management of elderly and postmenopausal women with regard to vitamin D supplementation. Vitamin D has both skeletal and extra-skeletal benefits. Patients with serum 25-hydroxyvitamin D (25-(OH)D) levels 50 nmol/L. Similar relationships have been reported for frailty, nonvertebral and hip fracture, and all-cause mortality, with poorer outcomes at health. Below this threshold, supplementation is recommended at 800 to 1000 IU/day. Vitamin D supplementation is safe up to 10,000 IU/day (upper limit of safety) resulting in an upper limit of adequacy of 125 nmol/L 25-(OH)D. Daily consumption of calcium- and vitamin-D-fortified food products (e.g. yoghurt or milk) can help improve vitamin D intake. Above the threshold of 50 nmol/L, there is no clear evidence for additional benefits of supplementation. On the other hand, in fragile elderly subjects who are at elevated risk for falls and fracture, the ESCEO recommends a minimal serum 25-(OH)D level of 75 nmol/L (i.e. 30 ng/mL), for the greatest impact on fracture.

  19. Elderly Suicide

    Science.gov (United States)

    Elderly Suicide Fact Sheet Based on 2012 Data (2014) Overview • The elderly (ages 65 and older) made up 13. ... population; they accounted for 16.37% of all suicides in the US. • The rate of suicides for ...

  20. Prevalence and possible causes of anemia in the elderly: a cross-sectional analysis of a large European university hospital cohort

    Science.gov (United States)

    Bach, Veronika; Schruckmayer, Guenter; Sam, Ines; Kemmler, Georg; Stauder, Reinhard

    2014-01-01

    Background Anemia in later life is associated with increased morbidity and mortality. The purpose of this study was to evaluate the prevalence and possible causes of anemia in the elderly in a well defined hospital cohort. Methods Participants in this cross-sectional, retrospective analysis included all inpatients and outpatients aged ≥64 years with complete blood counts treated at Innsbruck Medical University Hospital between October 1, 2004 and September 29, 2005 (n=19,758, median age 73 years). Results According to World Health Organization criteria, 21.1% of these patients were anemic, ie, 30.7% and 37.0% at 80+ years and 90+ years, respectively. The prevalence of anemia was significantly correlated with advanced age (r=0.21; Panemia was multifactorial, with decreased renal function (glomerular filtration rate anemia subtypes. Cytopenias and morphologic alterations suggestive of underlying myelodysplastic syndromes were found in a substantial proportion of anemic patients, including thrombocytopenia (5.4%), leukopenia (8.26%), and macrocytic alterations (18.4%). Conclusion Anemia was frequently diagnosed in this series of elderly patients. Partly treatable nutritional deficiencies, such as iron or folate deficiency, were identified as possible causes. A complex and heterogeneous interplay of chronic inflammation, functional iron deficiency, and renal impairment was identified in a large proportion of patients. A hitherto undiagnosed myelodysplastic syndrome can be assumed in a relevant proportion of patients. Morphologic classification based on mean corpuscular volume is inadequate from the standpoint of pathogenesis. New parameters are needed to differentiate the multifactorial pathogenesis of anemia in the elderly. PMID:25092968

  1. Criteria for and Appropriateness of Renal Transplantation in Elderly Patients With End-Stage Renal Disease: A Literature Review and Position Statement on Behalf of the European Renal Association-European Dialysis and Transplant Association Descartes Working Group and European Renal Best Practice.

    Science.gov (United States)

    Segall, Liviu; Nistor, Ionuţ; Pascual, Julio; Mucsi, Istvan; Guirado, Lluis; Higgins, Robert; Van Laecke, Steven; Oberbauer, Rainer; Van Biesen, Wim; Abramowicz, Daniel; Gavrilovici, Cristina; Farrington, Ken; Covic, Adrian

    2016-10-01

    During the last 20 years, waiting lists for renal transplantation (RT) have grown significantly older. However, elderly patients (ie ≥65 years of age) are still more rarely referred or accepted to waiting lists and, if enlisted, have less chances of actually receiving a kidney allograft, than younger counterparts. In this review, we looked at evidence for the benefits and risks of RT in the elderly trying to answer the following questions: Should RT be advocated for elderly patients? What should be the criteria to accept elderly patients on the waiting list for RT? What strategies might be used to increase the rate of RT in waitlisted elderly candidates? For selected elderly patients, RT was shown to be superior to dialysis in terms of patient survival. Virtually all guidelines recommend that patients should not be deemed ineligible for RT based on age alone, although a short life expectancy generally might preclude RT. Concerning the assessment of comorbidities in the elderly, special attention should be paid to cardiac evaluation and screening for malignancy. Comorbidity scores and frailty assessment scales might help the decision making on eligibility. Psychosocial issues should also be evaluated. To overcome the scarcity of organ donors, elderly RT candidates should be encouraged to consider expanded criteria donors and living donors, as alternatives to deceased standard criteria donors. It has been demonstrated that expanded criteria donor RT in patients 60 years or older is associated with higher survival rates than remaining on dialysis, whereas living donor RT is superior to all other options.

  2. The relationship between sarcopenia,undernutrition, physical mobility and basic activities of daily living in a group of elderly women of Mexico City.

    Science.gov (United States)

    Velázquez Alva, María del Consuelo; Irigoyen Camacho, Maria Esther; Delgadillo Velázquez, Jaime; Lazarevich, Irina

    2013-01-01

    Sarcopenia is a geriatric syndrome, which affects the functional status and mobility of individuals. To identify the prevalence of sarcopenia and undernutrition, and to assess the association between sarcopenia and mobility, and sarcopenia and basic activities of daily living (ADL) in a group of elderly women. A cross-sectional study was performed in patients attending a geriatric service at a government hospital in Mexico City. Sarcopenia was identified applying Baumgartner's equation by obtaining skeletal muscle mass index (SMI) and undernutrition was diagnosed using mini-nutritional assessment instrument (MNA). The SENECA questionnaire and Katz index were used to evaluate mobility and ADL, respectively. lineal regression models were constructed fitting SMI as a dependent variable and SENECA, and ADL scores as independent variables, adjusted for age. 90 women with a mean age of 78.2 (± 6.8) were studied. Undernutrition was identified in 15.5% of the patients. The prevalence of sarcopenia was 41.1%. Patients with sarcopenia presented a high prevalence of undernutrition (p elder women with sarcopenia had a higher prevalence of undernutrition. Sarcopenia was associated with difficulties in mobility, particularly difficulties in climbing stairs. Copyright © AULA MEDICA EDICIONES 2013. Published by AULA MEDICA. All rights reserved.

  3. Prevalence and possible causes of anemia in the elderly: a cross-sectional analysis of a large European university hospital cohort

    Directory of Open Access Journals (Sweden)

    Bach V

    2014-07-01

    Full Text Available Veronika Bach,1 Guenter Schruckmayer,1 Ines Sam,1 Georg Kemmler,2 Reinhard Stauder11Department of Internal Medicine V (Hematology and Oncology, 2Department of Biological Psychiatry, Innsbruck Medical University, Innsbruck, AustriaBackground: Anemia in later life is associated with increased morbidity and mortality. The purpose of this study was to evaluate the prevalence and possible causes of anemia in the elderly in a well defined hospital cohort.Methods: Participants in this cross-sectional, retrospective analysis included all inpatients and outpatients aged ≥64 years with complete blood counts treated at Innsbruck Medical University Hospital between October 1, 2004 and September 29, 2005 (n=19,758, median age 73 years.Results: According to World Health Organization criteria, 21.1% of these patients were anemic, ie, 30.7% and 37.0% at 80+ years and 90+ years, respectively. The prevalence of anemia was significantly correlated with advanced age (r=0.21; P<0.001 and male sex (P<0.001. In anemic patients, renal insufficiency with a glomerular filtration rate <30 mL/min/1.73 m2 (11.3% versus 2.1%, hyperinflammation (62.1% versus 31.4%, absolute (14.4% versus 6.9% or functional (28.2% versus 11.8% iron deficiency, and folate deficiency (6.7% versus 3.0% were observed significantly more often than in nonanemic subjects (P<0.001. The pathogenesis of anemia was multifactorial, with decreased renal function (glomerular filtration rate <60 mL/min/1.73 m2, signs of inflammation, and functional iron deficiency detected in 11.4% of anemic patients. Hemoglobin was significantly correlated with elevated C-reactive protein (r=–0.296; P<0.001 and low transferrin saturation (r=0.313; P<0.001. Mean corpuscular volume correlated only weakly with the various anemia subtypes. Cytopenias and morphologic alterations suggestive of underlying myelodysplastic syndromes were found in a substantial proportion of anemic patients, including thrombocytopenia (5

  4. Structural Features of the Seneca Valley Virus Internal Ribosome Entry Site (IRES) Element: a Picornavirus with a Pestivirus-Like IRES

    DEFF Research Database (Denmark)

    Willcocks, Margaret M.; Locker, Nicolas; Gomwalk, Zarmwa

    2011-01-01

    The RNA genome of Seneca Valley virus (SVV), a recently identified picornavirus, contains an internal ribosome entry site (IRES) element which has structural and functional similarity to that from classical swine fever virus (CSFV) and hepatitis C virus, members of the FLAVIVIRIDAE: The SVV IRES...... has an absolute requirement for the presence of a short region of virus-coding sequence to allow it to function either in cells or in rabbit reticulocyte lysate. The IRES activity does not require the translation initiation factor eIF4A or intact eIF4G. The predicted secondary structure indicates...... that the SVV IRES is more closely related to the CSFV IRES, including the presence of a bipartite IIId domain. Mutagenesis of the SVV IRES, coupled to functional assays, support the core elements of the IRES structure model, but surprisingly, deletion of the conserved IIId2 domain had no effect on IRES...

  5. Understanding the value of social networks in life satisfaction of elderly people: a comparative study of 16 European countries using SHARE data.

    Science.gov (United States)

    Tomini, Florian; Tomini, Sonila M; Groot, Wim

    2016-12-01

    Networks of family and friends are a source of support and are generally associated with higher life satisfaction values among older adults. On the other hand, older adults who are satisfied with their life may be more able to develop and maintain a wider social network. For this reason, the causal link between size and composition of the social networks and satisfaction with life is yet to be explored. This paper investigates the effect of the 'size', (number of family and friends, and network) and the 'composition' (the proportion of friends over total number of persons) of the social network on life satisfaction among older adults (50+). Moreover, we also investigate the patterns of this relation between different European countries. Data from the 4th wave of Survey of Health, Ageing and Retirement in Europe and an instrumental variable approach are used to estimate the extent of the relation between life satisfaction and size and composition of social networks. Respondents in Western and Northern European (WNE) countries report larger networks than respondents in Eastern and Southern European (ESE) countries. However, the positive relationship between network size and life satisfaction is consistent across countries. On the other hand, the share of friends in the network appears to be generally negatively related to satisfaction with life, though results are not statistically significant for all countries. Apparently, a larger personal network is important for older adults (50+) to be more satisfied with life. Our results suggest that this relation is particularly positive if the network is comprised of family members.

  6. Emergency surgery and Limitation of therapeutic effort in relation to neurologic deterioration in elderly patients – a survey of European surgeons

    Directory of Open Access Journals (Sweden)

    Mihai Păduraru

    2017-10-01

    Full Text Available Background. In emergency surgery, a very heterogeneous approach is required in the decision making process, especially when considering the patient’s postoperative quality of life as well as medical, ethical, and legal factors. In some cases, the presence of an Advance Directive (AD form may potentially help resolve the surgeon’s dilemma. Objectives. The primary objective of this survey was to investigate the opinions of surgeons across a representative cross-section of European countries regarding the decision making process using a specific case scenario so as to identify similarities and differences in practice. A secondary objective was to identify the possibility of establishing a more uniform approach and best practice. Method. A survey was conducted of surgeons from a range of European countries. Questionnaires were designed to obtain an overview of decision making in relation to the Limitation of Therapeutic Effort (LTE using a specific case study and the level of awareness and practical use of ADs. Surveys were distributed via email to the members of the ESTES (European Society for Trauma and Emergency Surgery and AEC (Association of Spanish surgeons, with voluntary, anonymous participation. Conclusions. Clear and additional support in the form of legal and ethical guidance with clinical protocols for surgical practice in such case scenarios is necessary. Wider use of ADs, together with education about their role and support for patients and relatives, would benefit the type of patient described in our scenario. A multidisciplinary team should play a more active role in decision making in order to avoid surgical procedures that are potentially futile. The concepts of LTE and Quality of life need a broader understanding among surgeons as well as more consistent application.

  7. Assessing Posttraumatic Stress Disorder's Latent Structure in Elderly Bereaved European Trauma Victims: Evidence for a Five Factor Dysphoric and Anxious Arousal Model

    DEFF Research Database (Denmark)

    Armour, Cherie; O'Connor, Maja; Elklit, Ask

    2013-01-01

    to provide superior fit over the existing four-factor models. The present study investigated the fit of the five-factor model against the existing four-factor models and assessed the resultant factors association with depression in a bereaved European trauma sample (N=325). Participants were assessed...... for PTSD via the Harvard Trauma Questionnaire and depression via the Beck Depression Inventory. The five-factor model provided superior fit to the data compared to the existing four-factor models. In the Dysphoric Arousal model depression was equally related to both Dysphoric Arousal and Emotional Numbing...... whereas depression was more related to Dysphoric Arousal than to Anxious Arousal....

  8. FLOODPLAIN, SENECA COUNTY, USA

    Data.gov (United States)

    Federal Emergency Management Agency, Department of Homeland Security — The Floodplain Mapping/Redelineation study deliverables depict and quantify the flood risks for the study area. The primary risk classifications used are the...

  9. Elder inmates

    Directory of Open Access Journals (Sweden)

    Kostić Miomira

    2014-01-01

    Full Text Available The criminological literature underscores that criminal offences committed by senior citizens are directly related to their age and entering a new stage of life. In elder offenders, we may observe a distinctive pattern in the development of their criminal activities, the structure of crime, gender-specific criminal offences, their previous criminal records and their social status. The former criminological studies on the elderly population have most frequently focused on examining the senior citizens' fear of crime and their victimization within the family; the studies on criminal offences committed by the elderly seem to be rather scarce. The prior research into the criminal activity of elder offenders has largely addressed the needs and difficulties encountered by elderly inmates, particularly in case they were sentenced to long-term imprisonment and subject to strict parole rules. Some researchers have also extended criticism on the lack of special correctional facilities specifically designed for elder inmates. In general, crime rate drops with aging. In developed countries, there is a constant increase of elder population as opposed to the marked decrease of younger population. Yet, the percentage of convicted offenders among the persons over the age of 55 is still significantly lesser as compared to the percentage of younger convicts. Namely, different issues pertaining to 'elder people behind bars' have eventually become the subject matter of interest of criminologists and penologists, public administration authorities and international organizations advocating the observance of human rights. The incarcerated men and women face many physical and psychological problems which are generally encountered by all people at large but usually at a later age, when they are at least 10 years older than the inmates. Violence, anxiety and distress caused by the immediate prison environment, separation from their friends and families, and the awareness

  10. Assessing posttraumatic stress disorder's latent structure in elderly bereaved European trauma survivors: evidence for a five-factor dysphoric and anxious arousal model.

    Science.gov (United States)

    Armour, Cherie; O'Connor, Maja; Elklit, Ask; Elhai, Jon D

    2013-10-01

    The three-factor structure of posttraumatic stress disorder (PTSD) specified by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, is not supported in the empirical literature. Two alternative four-factor models have received a wealth of empirical support. However, a consensus regarding which is superior has not been reached. A recent five-factor model has been shown to provide superior fit over the existing four-factor models. The present study investigated the fit of the five-factor model against the existing four-factor models and assessed the resultant factors' association with depression in a bereaved European trauma sample (N = 325). The participants were assessed for PTSD via the Harvard Trauma Questionnaire and depression via the Beck Depression Inventory. The five-factor model provided superior fit to the data compared with the existing four-factor models. In the dysphoric arousal model, depression was equally related to both dysphoric arousal and emotional numbing, whereas depression was more related to dysphoric arousal than to anxious arousal.

  11. Dimensions of health among the elderly in Poland and Croatia

    NARCIS (Netherlands)

    Knurowski, T.; Lazic, D.; van Dijk, J.P.; Geckova, Andrea; Tobiasz-Adamczyk, B.; van den Heuvel, W.J.A.

    2004-01-01

    On the basis of the WHO definition of health, we aimed at exploring the model of health and identifying the most important dimensions of health among the elderly in two Central European countries: Poland and Croatia. Randomly chosen elderly aged 65-85 from Krakow (Poland) and from Zagreb and some

  12. Big Cities, Big Problems: Reason for the Elderly to Move?

    NARCIS (Netherlands)

    Fokkema, T.; de Jong-Gierveld, J.; Nijkamp, P.

    1996-01-01

    In many European countries, data on geographical patterns of internal elderly migration show that the elderly (55+) are more likely to leave than to move to the big cities. Besides emphasising the attractive features of the destination areas (pull factors), it is often assumed that this negative

  13. Perceptions and Attitudes toward Sexuality of the Elderly during the Middle Ages.

    Science.gov (United States)

    Covey, Herbert C.

    1989-01-01

    Examines literature, art, and historical works to identify major historical themes from European Middle Ages regarding sexuality of the elderly. Proposes that thoughts on the ages of life excluded the elderly from having normal sex lives. Suggests that the church of the Middle Ages defined sexual behavior by the elderly as immoral. (Author)

  14. Elderly\\'s Leisure Times

    Directory of Open Access Journals (Sweden)

    Ali Zarei

    2007-04-01

    Full Text Available Objectives: Daily hours" by the word means times. Leisure is the concept of comfort, rest, relation and free of any working situations. And technically; it consists of times and opportunity that have reminded after daily job and performance of any types of activity. Sociologists leisure has anew conceptuality in compare to do believe society in which such phenomenon can't be considered as classical unemployment, as was in the past. Methods & Materials: This research is about needs in elderlies' leisure times. This research shows that all leisure programs are sum of nearly all complete practical programs in domination of adult's leisure times. A performed with careful planning and programming and multifactorial rather than expansion of accomplishment's are beneficial is our country. We distributed special research questionnaires as accidental mode among adults, in general parks of qzvin province. We assessed archive information by use of unparametric statistics of expansion. In addition, we used piraloon coefficient of correlation too. Results: According to achieve result of research among elderlies' leisure programs which consist of" film showing", sport and art programs which have allocated extended portion for their own. Elderlies' views about sport were very positive. Exercise of sport has been considered as effective to their heath and their soul and society cultural promotions. Conclusion: All keeping centers of elderlies have t.v, radio and other facilities for showing video-films which consist of sports, also complete installation of sports, arts used as human drives, were very useful in optimizing elderlies' leisure times objectives.

  15. America's elderly.

    Science.gov (United States)

    Soldo, B J; Agree, E M

    1988-09-01

    The older population in the US has grown twice as fast as the rest of the population in the last 20 years. This growth is expected to accelerate early in the next century as the large baby boom cohorts move through middle age and become elderly. Today, about 1 in 8 Americans is 65 years of age or older. By 2030, 1 out of every 4 persons will be in older person. Substantial improvements in life expectancy at all ages, particularly at extreme old age, mean that not only will there be a greater proportion of elderly in the population, but the more will be the "oldest-old," over 85. By 2050, they will be more than 1/4 of the population. As people live longer, many are active and healthy well past retirement. However, many individuals living into their 80s have to cope with chronic disabilities affecting their capacity to perform day-to-day activities. Modern medicine has made great inroads against mortality from such illnesses as heart disease and stroke, but has not eliminated all the effects of these diseases. As the population ages, the issues of health care funding and availability, particularly long-term care, increase in importance. Contrary to widespread belief, the elderly are not abandoned by their families to nursing home care. The vast majority--95%--live in the community. Those needing assistance generally receive help from family and friends. This has created a tremendous demand for federal subsidies to support community-based long-term care services. 1/4 of the federal budget is now spent on the elderly--$270 billion in 1986. Medicaid and Medicare are among the government's success stories, but these programs are threatened by their very success. Economists estimate that government expenditures are 3 times greater for the elderly than for children, raising the issue of "intergenerational equity"--how to balance the amount of care society provides to those who have already contributed with what is provided to those who will contribute in the future. The

  16. Inappropriate prescribing in the elderly.

    LENUS (Irish Health Repository)

    Gallagher, P

    2012-02-03

    BACKGROUND AND OBJECTIVE: Drug therapy is necessary to treat acute illness, maintain current health and prevent further decline. However, optimizing drug therapy for older patients is challenging and sometimes, drug therapy can do more harm than good. Drug utilization review tools can highlight instances of potentially inappropriate prescribing to those involved in elderly pharmacotherapy, i.e. doctors, nurses and pharmacists. We aim to provide a review of the literature on potentially inappropriate prescribing in the elderly and also to review the explicit criteria that have been designed to detect potentially inappropriate prescribing in the elderly. METHODS: We performed an electronic search of the PUBMED database for articles published between 1991 and 2006 and a manual search through major journals for articles referenced in those located through PUBMED. Search terms were elderly, inappropriate prescribing, prescriptions, prevalence, Beers criteria, health outcomes and Europe. RESULTS AND DISCUSSION: Prescription of potentially inappropriate medications to older people is highly prevalent in the United States and Europe, ranging from 12% in community-dwelling elderly to 40% in nursing home residents. Inappropriate prescribing is associated with adverse drug events. Limited data exists on health outcomes from use of inappropriate medications. There are no prospective randomized controlled studies that test the tangible clinical benefit to patients of using drug utilization review tools. Existing drug utilization review tools have been designed on the basis of North American and Canadian drug formularies and may not be appropriate for use in European countries because of the differences in national drug formularies and prescribing attitudes. CONCLUSION: Given the high prevalence of inappropriate prescribing despite the widespread use of drug-utilization review tools, prospective randomized controlled trials are necessary to identify useful interventions. Drug

  17. National profiling of elder abuse referrals.

    Science.gov (United States)

    Clancy, Marguerite; McDaid, Bridget; O'Neill, Desmond; O'Brien, James G

    2011-05-01

    and follow-up procedures. The provision of services to a wide range of referrals demonstrated a therapeutic added benefit of specialist elder abuse services. The national database on elder abuse referrals provides valuable insight into patterns of elder abuse and the nature of classification and response. The pooling of such data between European states would allow for helpful comparison in building research and services in elder abuse.

  18. Elderly mental health: needs

    National Research Council Canada - National Science Library

    Parkar, Shubhangi R

    2015-01-01

    ... of functional status related to common mental disorders in the elderly patients. Overlap of depression and anxiety is very common with up to almost half of the elderly patients reporting significant depressive and anxiety symptoms...

  19. Elder Abuse - Multiple Languages

    Science.gov (United States)

    ... Are Here: Home → Multiple Languages → All Health Topics → Elder Abuse URL of this page: https://medlineplus.gov/ ... V W XYZ List of All Topics All Elder Abuse - Multiple Languages To use the sharing features ...

  20. The Elderly Helper.

    Science.gov (United States)

    Kahana, Eva; Midlarsky, Elizabeth

    The elderly have generally been portrayed as needy recipients of services; only recently has attention been paid to their contributory role. To explore the nature and characteristics of helping behavior among urban elderly, 117 residents of senior citizens' housing sites in Detroit completed the Altruism Scale for the Elderly and a second measure…

  1. Pro-Elderly Welfare States within Child-Oriented Societies

    DEFF Research Database (Denmark)

    Gal, Robert Ivan; Vanhuysse, Pieter; Vargha, Lili

    care for older persons as a generation, but invest private resources to raise their own children, often with large social returns. This results in asymmetric statistical visibility. Elderly transfers are near-fully observed in National Accounts; those to children much less. Analysing ten European......). Europe is a continent of pro-elderly welfare states and strongly child-oriented parents. Since children are public goods, why has investment in them not been socialized more?...

  2. European communion

    DEFF Research Database (Denmark)

    Manners, Ian James

    2013-01-01

    Political theory of European union, through an engagement between political concepts and theoretical understandings, provides a means of identifying the EU as a political object. It is argued that understanding the projects, processes and products of European union, based on ‘sharing’ or ‘communion......’, provides a better means of perceiving the EU as a political object rather than terms such as ‘integration’ or ‘co-operation’. The concept of ‘European communion’ is defined as the ‘subjective sharing of relationships’, understood as the extent to which individuals or groups believe themselves to be sharing...... relations (or not), and the consequences of these beliefs for European political projects, processes and products. By exploring European communion through an engagement with contemporary political theory, using very brief illustrations from the Treaty of Lisbon, the article also suggests that European...

  3. European Institutions?

    NARCIS (Netherlands)

    Meacham, Darian

    2016-01-01

    The aim of this article is to sketch a phenomenological theory of political institutions and to apply it to some objections and questions raised by Pierre Manent about the project of the European Union and more specifically the question of “European Construction”, i.e. what is the aim of the

  4. Selective Europeanization

    DEFF Research Database (Denmark)

    Hoch Jovanovic, Tamara; Lynggaard, Kennet

    2014-01-01

    political contexts at the European level. We further show how the “translation” of international norms to a domestic context has worked to reinforce the original institutional setup, dating back to the mid-1950s. The translation of European-level minority policy developed in the 1990s and 2000s works most...

  5. Bipolar disorder in the elderly; different effects of age and of age of onset

    NARCIS (Netherlands)

    Oostervink, Frits; Boomsma, Maarten M.; Nolen, Willem A.

    Background: Information about differences between younger and elderly patients with bipolar disorder and between elderly patients with early and late age of onset of illness is limited. Method: The European Mania in Bipolar Longitudinal Evaluation of Medication (EMBLEM) study was a 2-year

  6. Immunotherapy in the Elderly.

    Science.gov (United States)

    Lalani, Aly-Khan A; Bossé, Dominick; McGregor, Bradley A; Choueiri, Toni K

    2017-11-25

    Immunotherapy has historic and contemporary presence in prostate, urothelial (UC), and renal cell (RCC) carcinomas. However, robust data on utility and generalizability of these treatments in older patients are lacking. To systematically evaluate evidence regarding the efficacy and safety of immunotherapy in elderly patients with prostate cancer, UC, or RCC. PubMed/Medline, Embase, Web of Knowledge, and Cochrane Library databases were searched up to October 2017 and according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement. A narrative review of studies was performed. Twenty-one reports were included regarding prostate cancer (four studies), UC (eight), and RCC (nine). In prostate cancer, sipuleucel-T improves survival (median age >70 yr) and similar results were seen in the PROSTVAC phase 2 trial. Ipilimumab has not improved survival independent of age; data for programmed cell death 1 inhibition is evolving. In metastatic UC, ≥50% of patients enrolled in pivotal checkpoint inhibitor studies were aged ≥65 yr. Three studies reported similar objective response rates (ORRs) in patients aged <65 versus ≥65 yr, whereas one study reported comparable ORRs in patients <80 versus ≥80 yr. In metastatic RCC, cytokine studies showed no efficacy difference by age; one study reported more ≥grade 3 toxicity in patients aged ≥65 yr. One vaccine-based study suggests that older age was associated with shorter survival. The benefit of nivolumab in second-line therapy was more apparent for patients aged 65-<75 yr than for those aged ≥75 yr. Across tumor subtypes, immunotherapy was well tolerated with minimal data stratifying toxicity by age. Contemporary immunotherapy has informed practice in genitourinary malignancies independent of patient age. Trial reporting of outcomes by age will be important to understand the generalizability of ongoing investigations for elderly patients. With the growing use of immunotherapy in genitourinary

  7. Elderly mental health: needs.

    Science.gov (United States)

    Parkar, Shubhangi R

    2015-01-01

    This paper highlights the mental health needs of the elderly. It tackles the issues of their institutionalisation and community care. Rapid urbanisation in Indian society throws up special problems in elderly care. There is great evidence of a raise in morbidity, mortality, hospitalisation and loss of functional status related to common mental disorders in the elderly patients. Overlap of depression and anxiety is very common with up to almost half of the elderly patients reporting significant depressive and anxiety symptoms. Also, depression is the most common psychiatric disorder in late life. Growth in the elderly population means a direct increase in age related diseases such as dementia and poor mental health outcomes such as depression, anxiety, suicide and serious constraints on the quality of life among elderly individuals. The need to identify new and unmet problem areas and develop efficient therapeutic outcomes for this special population is stressed.

  8. The elderly patients' dignity

    DEFF Research Database (Denmark)

    Høy, Bente; Hall, E.O.C.; Wagner, L.

    2007-01-01

    This study shows how care providers in hospital practice perceive the elderly patient's dignity as a core value in health promoting care towards the elderly. Fifteen focus group interviews were conducted with care providers who told about their nursing practice experience. The interviews were...... analysed using a phenomenological hermeneutical approach. The results disclose that when caring for the elderly patient's health potential, care providers saw dignity as the core value of health. Dignity was found to capture three themes: autonomy, identity, and worthiness. These themes reflect...... the principles of nursing practice, protecting, enhancing and promoting the elderly patient's health potential. It is suggested that these themes of dignity provide a frame of reference in elder care; they shape the understanding of when health issues become a concern for health-promoting care for the elderly...

  9. European Whiteness?

    DEFF Research Database (Denmark)

    Blaagaard, Bolette

    2008-01-01

    Born out of the United States’ (U.S.) history of slavery and segregation and intertwined with gender studies and feminism, the field of critical whiteness studies does not fit easily into a European setting and the particular historical context that entails. In order for a field of European...... critical whiteness studies to emerge, its relation to the U.S. theoretical framework, as well as the particularities of the European context need to be taken into account.. The article makes a call for a multi-layered approach to take over from the identity politics so often employed in the fields of U...

  10. European Security

    DEFF Research Database (Denmark)

    Møller, Bjørn

    Theoretical chapters on "Security", "Organisations" and "Regions," Historical Chapters on "Europe and Its Distinguishing Features" and on "The United Nations," "NATO," "The CSCE/OSCE and the Council of Europe" and "The European Union"......Theoretical chapters on "Security", "Organisations" and "Regions," Historical Chapters on "Europe and Its Distinguishing Features" and on "The United Nations," "NATO," "The CSCE/OSCE and the Council of Europe" and "The European Union"...

  11. HFE mutations in the elderly.

    Science.gov (United States)

    Willis, Gavin; Wimperis, Jennie Z; Smith, Katy; Fellows, Ian W; Jennings, Barbara A

    2003-01-01

    Most individuals diagnosed with hereditary hemochromatosis have mutations in both copies of the HFE gene, with such mutations being common in populations of north European origin. The number of individuals currently diagnosed and treated for hemochromatosis is small relative to the number carrying two HFE mutations. Studies searching for undiagnosed hemochromatosis cases among disease cohorts have generally failed to find the number of cases that would be expected if disease were the commonest outcome for individuals with two C282Y HFE mutations. Our aim was to test the hypothesis that individuals with two HFE mutations would be under-represented in an elderly population because many would have died from disease caused by hemochromatosis before they reached old age. This is a cross-sectional study of elderly patients referred for full blood counts at the Norfolk and Norwich University Hospital. We screened blood samples from 1,000 elderly men (aged 85 and over) and women (aged 89 and over) for the C282Y, H63D, and S65C mutations of the HFE gene. We also analyzed any recent laboratory data relevant to signs of hemochromatosis. None of the ten possible genotypes was significantly under- or over-represented compared to the expected frequency calculated from the Hardy-Weinberg equation. Four C282Y homozygotes were found. There were few significant differences in the laboratory findings between the genotypes. Our data suggest that most people with HFE mutations survive to old age and do not suffer from signs of iron overload and hemochromatosis.

  12. Adapting Web Information to Disabled and Elderly Users.

    Science.gov (United States)

    Kobsa, Alfred

    This paper describes work aimed at catering the content of World Wide Web (WWW) pages to the needs of different users, including elderly people and users with vision and motor impairments. An overview is provided of the AVANTI system, a European WWW-based tourist information system that adapts Web pages to each user's individual needs before…

  13. European visit

    CERN Multimedia

    2006-01-01

    The European Commissioner for Science and Research, Janez Potočnik, (on the right) visited the CMS assembly hall accompanied by Jim Virdee, Deputy Spokesman of CMS (on the left), and Robert Aymar, Director-General of CERN. The European Commissioner for Science and Research, Janez Potočnik, visited CERN on Tuesday 31 January. He was welcomed by the Director-General, Robert Aymar, who described the missions and current activities of CERN to him, in particular the realisation of the LHC with its three components: accelerator, detectors, storage and processing of data. The European Commissioner then visited the CMS assembly hall, then the hall for testing the LHC magnets and the ATLAS cavern. During this first visit since his appointment at the end of 2004, Janez Potočnik appeared very interested by the operation of CERN, an example of successful scientific co-operation on a European scale. The many projects (30 on average) that CERN and the European Commission carry out jointly for the benefit of res...

  14. [Anemia in the elderly].

    Science.gov (United States)

    Maerevoet, M; Sattar, L; Bron, D; Gulbis, B; Pepersack, T

    2014-09-01

    Anaemia is a problem that affects almost 10% over 65 years and 20% over 85 years. There is no physiological anaemia in the elderly. Any anaemia expresses the existence of a pathological process, regardless of its severity. Anaemia in the elderly is always associated with a poor prognosis that is in terms of mortality, morbidity and risk of fragility. The diagnostic approach to anemia in the elderly is the same as in younger individual. There are many causes of anaemia; anaemia balance is a complex diagnostic process. Most anaemias are due to a deficiency, chronic inflammation or comorbidity. However, in the elderly, the etiology of anaemia is often multifactorial. In a number of cases remain unexplained anaemia. In a number of cases, anemia remain unexplained. Treatment of anaemia is the treatment of the cause, but specific therapeutic aspects to the elderly should be considered, as among other martial substitution or use of erythropoietin (EPO).

  15. European Cinema

    NARCIS (Netherlands)

    Elsaesser, Thomas

    2005-01-01

    In the face of renewed competition from Hollywood since the early 1980s and the challenges posed to Europe's national cinemas by the fall of the Wall in 1989, independent filmmaking in Europe has begun to re-invent itself. European Cinema: Face to Face with Hollywood re-assesses the different

  16. Elder Abuse and Neglect

    Directory of Open Access Journals (Sweden)

    Muge Gulen

    2013-06-01

    Full Text Available Abuse and neglect are preventable societal problems that influence elderly individuals physically, spiritually and socially. Elder abuse is neglected for many years and is a growing problem all over the world. The aim of this article is to review the evaluation of elderly individuals who are exposed to abuse and neglect with systematic detailed history and physical examination and to describe individual, familial, and social measures that should be taken to prevent these abuses. [Archives Medical Review Journal 2013; 22(3.000: 393-407

  17. Determinants Of Healthy Ageing For Older People In European Countries – A Spatio-Temporal Approach

    Directory of Open Access Journals (Sweden)

    Suchecka Jadwiga

    2016-12-01

    Full Text Available The European Commission (EC has identified active and healthy ageing (AHA as a major societal challenge mutual to European countries. This issue has increased in importance due to the progressive ageing observed in European societies, that force authorities to take initiatives for support the activity of the elderly. One of the initiatives, widely recognised is The European Innovation Partnership on Active and Healthy Ageing, which strive to enabling EU citizens to lead healthy, active and independent lives while ageing.

  18. Asthma in the Elderly

    Directory of Open Access Journals (Sweden)

    Domenico Lorenzo Urso

    2009-01-01

    Full Text Available Bronchial asthma is a common problem with enormous medical and economics impacts. It is an inflammatory disease of the airways associated with intermittent episodes of bronchospasm. Asthma is not uncommon in the elderly patients. Prevalence of asthma is similar in older and younger adults. Asthma in the elderly patient is underdiagnosed because of false perceptions by both patient and physician. The high incidence of comorbid conditions in the elderly patient makes the diagnosis and management more difficult. Correct diagnosis is demonstrated with spirometry. The goals of asthma treatment are to achieve and maintain control of symptoms and to prevent development of irreversible airflow limitation. Asthma drugs are preferably inhaled because this route minimizes systemic absorption and, thus, improves the ratio of the therapeutic benefit to the potential side-effects in elderly patients.

  19. Anticoagulation in the Elderly

    Directory of Open Access Journals (Sweden)

    Helia Robert-Ebadi

    2010-12-01

    Full Text Available Management of anticoagulation in elderly patients represents a particularly challenging issue. Indeed, this patient population is at high thromboembolic risk, but also at high hemorrhagic risk. Assessment of the benefit-risk balance of anticoagulation is the key point when decisions are made about introducing and/or continuing such treatments in the individual elderly patient. In order to maximise the safety of anticoagulation in the elderly, some specific considerations need to be taken into account, including renal insufficiency, modified pharmacodynamics of anticoagulants, especially vitamin K antagonists, and the presence of multiple comorbidities and concomitant medications. New anticoagulants could greatly simplify and possibly increase the safety of anticoagulation in the elderly in the near future.

  20. Elderly Labor and Unemployment

    OpenAIRE

    Watanabe, Minoru; Yasuoka, Masaya

    2017-01-01

    Economically developed countries are confronting the aging of society. Especially, their respective shares of elderly people among the total population in Japan are highest in the world. Moreover, the labor participation rates of older people in Japan are higher than in other OECD countries. Several reasons underlie the increased labor participation of older people in Japan. One reason is the subsidy for the labor supply of elderly people. This paper presents an examination of how this subsid...

  1. Benzodiazepine poisoning in elderly.

    Science.gov (United States)

    Vukcević, Natasa Perković; Ercegović, Gordana Vuković; Segrt, Zoran; Djordjević, Snezana; Stosić, Jasmina Jović

    2016-03-01

    Benzodiazepines are among the most frequently ingested drugs in self-poisonings. Elderly may be at greater risk compared with younger individuals due to impaired metabolism and increased sensitivity to benzodiazepines. The aim of this study was to assess toxicity of benzodiazepines in elderly attempted suicide. A retrospective study of consecutive presentations to hospital after self-poisoning with benzodiazepines was done. Collected data consisted of patient's characteristics (age, gender), benzodiazepine ingested with its blood concentrations at admission, clinical findings including vital signs and Glasgow coma score, routine blood chemistry, complications of poisoning, details of management, length of hospital stay and outcome. According the age, patients are classified as young (15-40-year old), middle aged (41-65-year old) and elderly (older than 65). During a 2-year observational period 387 patients were admitted because of pure benzodiazepine poisoning. The most frequently ingested drug was bromazepam, the second was diazepam. The incidence of coma was significantly higher, and the length of hospital stay significantly longer in elderly. Respiratory failure and aspiration pneumonia occurred more frequently in old age. Also, flumazenil was more frequently required in the group of elderly patients. Massive benzodiazepines overdose in elderly may be associated with a significant morbidity, including deep coma with aspiration pneumonia, respiratory failure, and even death. Flumazenil is indicated more often to reduce CNS depression and prevent complications of prolonged unconsciousness, but supportive treatment and proper airway management of comatose patients is the mainstay of the treatment of acute benzodiazepine poisoning.

  2. Epilepsy in the Elderly

    Directory of Open Access Journals (Sweden)

    Lu-An Chen

    2012-06-01

    Full Text Available Elderly people are the largest and continuously fastest growing population among patients with epilepsy. Elderly patients with epilepsy are very different from other age groups in many respects and clinicians shouldn’t treat them in the same way as younger adults. Accurate diagnosis of epilepsy in the elderly is much more difficult and atypical manifestations and misdiagnoses are certainly not the exception. Syncope is probably the most important differential diagnosis. High clinical suspicion and proper investigation are the best tools for prompt diagnosis. Etiologies of late-onset epilepsy are mainly symptomatic and cerebrovascular diseases are the most common causes in this age group, followed by degenerative diseases such as Alzheimer’s disease. It is appropriate to consider starting antiepileptic drug (AED treatment at the first-ever seizure in elderly patients who have remote symptomatic causes such as stroke and dementia. According to the high recurrence rate of seizure and the good response to AEDs in elderly patients, the proper choice from various AEDs for seizure control is very important. Decision-making for AED choice depends on many different factors, including pharmacological properties, efficacy, tolerability from side effects, drug interactions, and medical comorbidities. The newer AEDs with lesser adverse effects and fewer drug interactions appear to be reasonable treatment options for elderly patients. However, more evidence from clinical trials in this specific age group is warranted.

  3. Suicidal Behavior in Elderly

    Directory of Open Access Journals (Sweden)

    Murat Aslan

    2014-09-01

    Full Text Available The size of the elderly population is expected to increase dramatically in the next decades worldwide, also in Turkey. In accordance with these demographic changes, psychiatric disorders in late life, including suicide becomes much important. Elderly suicide is a very serious public health problem. Suicide rates in both males and females generally increase with age. However, the pattern is different in every nation. Suicidal behaviour in old age exists as a spectrum ranging from death wishes to completed suicide. Risk factors for suicide in old age are male sex, lower socioeconomic status, social isolation, having personality traits like hopelessness and dependency on others etc., the presence of psychiatric and physical disorders and previous suicidal behaviour. The most common cause for elderly suicide, as for all suicides, is untreated depression. Thus, elderly depression needs to be recognized and treated. The treatment of depressive disorder and other psychiatric diorders in late life, counselling in crisis situations and prevention of social isolation in elderly people are the major points for the prevention of suicide in old age. In this review article is to investigate the relationship between elderly and suicidal behavior. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2014; 6(3.000: 294-309

  4. Elder Abuse in a Developing Area in Bolivia.

    Science.gov (United States)

    Carmona-Torres, Juan Manuel; López-Soto, Pablo Jesús; Coimbra-Roca, Ana Isabel; Gálvez-Rioja, Ruth Mary; Goergen, Thomas; Rodríguez-Borrego, M Aurora

    2015-10-06

    In many parts of the world, elder abuse happens almost unnoticed. Until recently, this serious social problem was hidden from public view and was regarded as an essentially private matter. However, there is growing evidence that elder abuse is an important problem of public health and in the society. The objective of this study is to determine the degree of abuse of elder and vulnerable people in the families and communities of Eastern Bolivia. With this end in mind, we conducted a cross-sectional descriptive study with a sample size of 210 60-year-old people coming from different health care areas. Elder Abuse Suspicion Index (EASI) and Yaffe's Evaluation Form of Social Work were used. An abuse rate of 39% of the older adults was identified. The most common type of abuse observed was psychological abuse (32.4% of cases), followed by neglect (21.9%). Children were identified as triggers of the abuse in 66.7% of cases of abuse. The prevalence of elder abuse was similar to the prevalence of other types of abuse that exist in Bolivia, such as the gender-based abuse. Also, this prevalence is comparable to other developing countries and European countries. The profile of abused older adult is as follows: woman, widow, 70 years old, incomplete primary education, without an occupation, and an average of 4.59 children. The information obtained shows that dysfunctional families have a higher percentage of elder abuse. © The Author(s) 2015.

  5. Anemia in the elderly.

    Science.gov (United States)

    Pang, Wendy W; Schrier, Stanley L

    2012-05-01

    There have been several large-scale epidemiologic studies, including the National Health and Nutrition Examination Survey III (NHANES III), which have described the prevalence and impact of anemia in the elderly. The information derived has been critically important. However, given the large number of patients surveyed, these reports necessarily relied substantially on the laboratory-based screening evaluations. There are now two recent reports describing the cause of anemia in elderly outpatients, and although the numbers are smaller than the large scale surveys, they constitute comprehensive hematologic evaluations with therapeutic interventions and clinical follow-up. The purpose of this review is to compare these different analyses. There are distinct differences and similarities in the two types of studies, which are derived from patients seen in hematology clinics. Despite comprehensive hematologic evaluation, the puzzling entity of unexplained anemia of the elderly is confirmed and found to account for 30-46% of patients. NHANES III classified iron-deficiency anemia with other nutritional anemias, a classification that might be correct in the developing third world, but in North America and Western Europe, iron deficiency is more often caused by blood loss and the cause must be sought and dealt with. The myelodysplastic syndromes are an important cause of anemia in the elderly, with a prevalence of at least 4%. Large-scale screening studies of anemia in the elderly are of great importance, and when complemented by comprehensive hematologic evaluations, provide a more accurate picture of the clinical situation.

  6. National Center on Elder Abuse

    Science.gov (United States)

    ... State Resources Tribal Resources NCEA Publications NCEA Databases Elder Rights Resources Calendar of Events Make a Difference ... Research Synthesize and disseminate high quality research on elder abuse to encourage the translation of research into ...

  7. Elder Abuse and Substance Abuse

    Science.gov (United States)

    ... Culture in Elder Abuse Mental capacity, consent, and undue influence The relationship between elder abuse and substance abuse ... older person's financial resources and to wield significant ... financially or, in the case of illegal drug use, less likely to report. ...

  8. The elderly and general anesthesia

    DEFF Research Database (Denmark)

    Steinmetz, J; Rasmussen, L S

    2010-01-01

    Due to the aging population, the number of elderly patients taking advantage of healthcare services is increasing. A general physical decline of all organ systems and a high frequency of chronic disease accompanying aging.Comorbidity and polypharmacy are therefore common in the elderly. Hence, th......, the administration of general anesthesia to the elderly can be a very challenging task. This paper aims to highlight some of the important issues presented to the elderly undergoing surgery and to suggest some strategies for management....

  9. The elderly and general anesthesia

    DEFF Research Database (Denmark)

    Steinmetz, J; Rasmussen, L S

    2010-01-01

    Due to the aging population, the number of elderly patients taking advantage of healthcare services is increasing. A general physical decline of all organ systems and a high frequency of chronic disease accompanying aging.Comorbidity and polypharmacy are therefore common in the elderly. Hence......, the administration of general anesthesia to the elderly can be a very challenging task. This paper aims to highlight some of the important issues presented to the elderly undergoing surgery and to suggest some strategies for management....

  10. Robot Games for Elderly

    DEFF Research Database (Denmark)

    Hansen, Søren Tranberg

    2011-01-01

    improve a person’s overall health, and this thesis investigates how games based on an autonomous, mobile robot platform, can be used to motivate elderly to move physically while playing. The focus of the investigation is on the development of games for an autonomous, mobile robot based on algorithms using...... spatio-temporal information about player behaviour - more specifically, I investigate three types of games each using a different control strategy. The first game is based on basic robot control which allows the robot to detect and follow a person. A field study in a rehabilitation centre and a nursing...... home shows how the robot operates autonomously in in a real-world scenario although the elderly use different assistive tools. The elderly express a low degree of rejection of playing with the robot and tend to treat it as a living creature, i.e. talking to it as if it was a young boy or a dog...

  11. Poverty among Elderly in India

    Science.gov (United States)

    Srivastava, Akanksha; Mohanty, Sanjay K.

    2012-01-01

    Using consumption expenditure data of the National Sample Survey 2004-2005, this paper estimates the size of elderly poor and tests the hypotheses that elderly households are not economically better-off compared to non-elderly households in India. Poverty estimates are derived under three scenarios--by applying the official cut-off point of the…

  12. Benzodiazepine poisoning in elderly

    Directory of Open Access Journals (Sweden)

    Perković-Vukčević Nataša

    2016-01-01

    Full Text Available Background/Aim. Benzodiazepines are among the most frequently ingested drugs in self-poisonings. Elderly may be at greater risk compared with younger individuals due to impaired metabolism and increased sensitivity to benzodiazepines. The aim of this study was to assess toxicity of benzodiazepines in elderly attempted suicide. Methods. A retrospective study of consecutive presentations to hospital after self-poisoning with benzodiazepines was done. Collected data consisted of patient's characteristics (age, gender, benzodiazepine ingested with its blood concentrations at admission, clinical findings including vital signs and Glasgow coma score, routine blood chemistry, complications of poisoning, details of management, length of hospital stay and outcome. According the age, patients are classified as young (15-40-year old, middle aged (41-65-year old and elderly (older than 65. Results. During a 2-year observational period 387 patients were admitted because of pure benzodiazepine poisoning. The most frequently ingested drug was bromazepam, the second was diazepam. The incidence of coma was significantly higher, and the length of hospital stay significantly longer in elderly. Respiratory failure and aspiration pneumonia occurred more frequently in old age. Also, flumazenil was more frequently required in the group of elderly patients. Conclusion. Massive benzodiazepines overdose in elderly may be associated with a significant morbidity, including deep coma with aspiration pneumonia, respiratory failure, and even death. Flumazenil is indicated more often to reduce CNS depression and prevent complications of prolonged unconsciousness, but supportive treatment and proper airway management of comatose patients is the mainstay of the treatment of acute benzodiazepine poisoning.

  13. Involving elderly users in design: techniques to collect preferences for Interactive Digital Television.

    Science.gov (United States)

    Spagnolli, Anna; Gamberini, Luciano; Ibanez, Francisco; Fabregat, Maria Elena; Debelic, Tijana; Orso, Valeria

    2012-01-01

    SeniorChannel is a European project that explores the potential of using an Interactive Digital Television (IDTV) to turn elderly people at home into an active audience. Techniques to involve elderly users in the requirement collection during the design phase should take into account the decrease in perception, cognition and motor abilities associated with aging. The paper describes the specific solutions adopted here to elicit users' contribution, as well as the contributed preferences in terms of IDTV content and interaction modalities.

  14. Physical Activity in Elderly

    Science.gov (United States)

    Tirpakova, Veronika; Sedliak, Milan; Kern, Helmut; Mayr, Winfried; Hamar, Dušan

    2015-01-01

    Aging is a multifactorial irreversible process associated with significant decline in muscle mass and neuromuscular functions. One of the most efficient methods to counteract age-related changes in muscle mass and function is physical exercise. An alternative effective intervention to improve muscle structure and performance is electrical stimulation. In the present work we present the positive effects of physical activity in elderly and a study where the effects of a 8-week period of functional electrical stimulation and strength training with proprioceptive stimulation in elderly are compared. PMID:26913164

  15. Cholecystectomy for the elderly

    DEFF Research Database (Denmark)

    Nielsen, Liv Bjerre Juul; Harboe, Kirstine Moll; Bardram, Linda

    2014-01-01

    The number of Danish inhabitants older than 65 years is increasing, and cholecystectomy is one of the most common surgical procedures performed for this age group. This study aimed to analyze the role of age as an independent predictor of outcome for elderly cholecystectomy patients.......The number of Danish inhabitants older than 65 years is increasing, and cholecystectomy is one of the most common surgical procedures performed for this age group. This study aimed to analyze the role of age as an independent predictor of outcome for elderly cholecystectomy patients....

  16. Indoor air quality, ventilation and respiratory health in elderly residents living in nursing homes in Europe

    DEFF Research Database (Denmark)

    Bentayeb, Malek; Norback, Dan; Bednarek, Micha

    2015-01-01

    cough. Elderly subjects aged ≥80 years were at higher risk. Pollutant effects were more pronounced in the case of poor ventilation. Even at low levels, indoor air quality affected respiratory health in elderly people permanently living in nursing homes, with frailty increasing with age. The effects were......Few data exist on respiratory effects of indoor air quality and comfort parameters in the elderly. In the context of the GERIE study, we investigated for the first time the relationships of these factors to respiratory morbidity among elderly people permanently living in nursing homes in seven...... European countries. 600 elderly people from 50 nursing homes underwent a medical examination and completed a standardised questionnaire. Air quality and comfort parameters were objectively assessed in situ in the nursing home. Mean concentrations of air pollutants did not exceed the existing standards...

  17. Strategy for care for the elderly persons in Slovenia

    OpenAIRE

    Mojca Zvezdana Dernovšek; Lilijana Šprah

    2009-01-01

    Introduction The size and age-structure of Europe?s population is undergoing dramatic changes due to low fertility rates, continuous increases in life expectancy and the retirement of the baby-boom generation. ?The Strategy for care for the elderly till 2010?Solidarity, good intergenerational relations and quality ageing of the population?, prepared by Ministry of Labour, Family and Social Affairs, is the response of the Republic of Slovenia to the ageing society and to the European demands f...

  18. [Dignity of the elderly].

    Science.gov (United States)

    Ribera Casado, José Manuel

    2015-01-01

    A discussion is presented on what is understood by «dignity» when applied to the elderly, highlighting it universal character and contrasting it with the greater risks of suffering «indignities» to which the elderly are exposed. The discussion is divided into 3 sections. In the first, the risk factors in this sense could lead to physiological losses and illnessess, which in in the physical, mental and social sense are associated with ageing. In the second, the question of discrimination of the elderly as a form of aggression due to age, and is so widespread and infrequently studied. Lastly, it is discussed how to interpret the advice of the United Nations on how to promote active ageing as a defence system against indignities. It concludes with the message that neither the limitations that accompany the ageing process, nor the different forms of aggression that the elderly may be subjected to, provide sufficient argument neither for a loss of individual nor collective dignity. This is something which we all must endeavour to achieve and which must be maintained and be respected by individuals and by society at all times. Copyright © 2015 SEGG. Published by Elsevier Espana. All rights reserved.

  19. Lucas Cranach the Elder

    NARCIS (Netherlands)

    Heydenreich, Gunnar

    2007-01-01

    This study provides the first exhaustive description of the materials, techniques and studio practices of Lucas Cranach the Elder. The author describes the characteristic elements of the painter's production, drawing on results of technical examination, as well as an evaluation of documentary

  20. Community Options for Elders.

    Science.gov (United States)

    Poulsen, Joyce G.

    This paper describes the Winnebago County (Wisconsin) Community Options Program, begun in January, 1982, which provides for a comprehensive assessment of all elderly persons within the target area who are at risk of becoming institutionalized. The paper focuses on the planning activities for the first year of the pilot program including community…

  1. Hardiness among Elderly Women.

    Science.gov (United States)

    Wagnild, Gail; Young, Heather

    Hardiness has been defined as a mediator in life stress and, within the health/illness context, has been conceptualized as a personality characteristic. This study used a descriptive exploratory design to examine the concept of hardiness among elderly women. The Stress, Appraisal, and Coping model developed by Lazarus and Folkman (1986) was the…

  2. Alcoholism and Elder Abuse.

    Science.gov (United States)

    Anetzberger, Georgia J.; And Others

    1994-01-01

    A comparison group study of abusing and nonabusing caregivers suggested a correlation between alcohol use and violence against elderly parents. Findings reveal that abusers were more likely than nonabusers to drink, to become intoxicated, and to be identified as having a drinking problem. Policy and practice implications are discussed. (Author)

  3. Nutrition in the elderly.

    Science.gov (United States)

    Pirlich, M; Lochs, H

    2001-12-01

    Malnutrition is more common in elderly persons than in younger adults. Ageing itself, however, neither leads to malabsorption nor to malnutrition with the exception of a higher frequency of atrophic gastritis in older persons. Malnutrition in elderly people is therefore a consequence of somatic, psychic or social problems. Typical causes are chewing or swallowing disorders, cardiac insufficiency, depression, social deprivation and loneliness. Undernutrition is associated with a worse prognosis and is an independent risk factor for morbidity and mortality. Awareness of this problem is therefore important. For the evaluation of nutritional status, it must be remembered that most normal values are derived from younger adults and may not necessarily be suitable for elderly persons. Suitable tools for evaluating the nutritional status of elderly persons are e.g. the body mass index, weight loss within the last 6 months, the Mini Nutritional Assessment (MNA) or the Subjective Global Assessment (SGA). An improvement in the nutritional status can be achieved by simple methods such as the preparation of an adequate diet, hand feeding, additional sip feeding or enteral nutrition. Copyright 2001 Harcourt Publishers Ltd.

  4. Struggles in (Elderly) Care

    DEFF Research Database (Denmark)

    Dahl, Hanne Marlene

    concern. Emerging discourses such as neoliberalism have also reframed elderly care to increase existing tensions at the individual, national, and transnational level. Dahl argues that in order to grasp these new realities of care we need a new analytical framework that redirects us to new sites...

  5. Vaccines for the elderly.

    Science.gov (United States)

    Del Giudice, Giuseppe; Weinberger, Birgit; Grubeck-Loebenstein, Beatrix

    2015-01-01

    The aging of the human population is posing serious challenges to research and to public health authorities in order to prevent diseases that more frequently affect the elderly, a portion of the population that will increase more and more in the coming years. While some vaccines exist and are used in the elderly to effectively fight against some infections (e.g. influenza, pneumococci, varicella-zoster virus, diphtheria, and tetanus), still a lot of work remains to be done to better adapt these vaccines and to develop new ones for this age group. The prevention of infectious diseases affecting the elderly can be successful only through a holistic approach. This approach will aim at the following: (1) a deeper understanding of the mechanisms leading to the senescence of the immune system, (2) a better and broader use of vaccines recommended for the elderly, (3) the use of vaccines currently considered only for other age groups and (4) actively priming the population when they are immunological competent, before the physiological waning of immune responsiveness may affect the beneficial effects of vaccination. © 2014 S. Karger AG, Basel

  6. Urticaria in the elderly.

    Science.gov (United States)

    Ramos-Romey, Cristina; López-Malpica, Fernando; Nazario, Sylvette; Jiménez-Velázquez, Ivonne Z

    2008-01-01

    Urticaria is a common disorder affecting approximately 15-25% of the population at some point in their life. We can assume that with the advancement of medical therapeutics, which have in turn prolonged the duration of life, the incidence of drug induced urticaria will increase in the geriatric population. Other common causes that need to be considered are allergy, autoimmune conditions and stress. Urticaria is characterized by transient pruritic wheals or erythematous patches on the skin. The signs and symptoms usually resolve in less than 24 hrs, leaving no residual scar or discoloration. Generally, the etiology of urticaria remains unknown in 75-90% of patients. In this article we discuss pathogenesis, clinical presentation, and treatment of urticaria in the elderly. A complete medical evaluation and age appropriate screening should be performed in all elderly patients in a primary care setting. We should also weigh risk versus benefits of each prescribed medication to decrease morbidity and improve the quality of life.

  7. Tremor in the elderly

    DEFF Research Database (Denmark)

    Deuschl, Günther; Petersen, Inge; Lorenz, Delia

    2015-01-01

    Isolated tremor in the elderly is commonly diagnosed as essential tremor (ET). The prevalence of tremor increases steeply with increasing age, whereas hereditary tremor is becoming less common. Moreover, late-manifesting tremor seems to be associated with dementia and earlier mortality. We...... hypothesize that different entities underlie tremor in the elderly. Two thousand four hundred forty-eight subjects from the Longitudinal Study of Aging Danish Twins older than 70 y answered screening questions for ET in 2001. Two thousan fifty-six (84%) participants drew Archimedes spirals to measure...... their tremor severity, and classical aging phenotypes were assessed. A subgroup of 276 individuals fulfilling either screening criteria for ET or being controls were personally assessed. Medications and mortality data are available. The spiral score increased with age. The spiral score correlated with tremor...

  8. [Suicide in the Elderly].

    Science.gov (United States)

    Velásquez Suarez, Juliana María

    2013-01-01

    Suicide is a public health problem worldwide, with multiple features and risk factors. It has some common and unique trends in each phase across the lifespan. To review the medical literature related to suicide in the elderly, in order to determine the current status of this problem in the world, and especially in Colombia. Literature review. There is a high volume of articles about suicide in general, even in Colombia, with many papers describing the problem in a comprehensive manner, but there is a need for more studies and publications on the scope of this problem in the elderly. Copyright © 2013 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

  9. Alcoholism in the Elderly

    OpenAIRE

    Cohen, Saul

    1988-01-01

    This article concentrates on the identification confrontation, and treatment of the elderly with late-onset alcohol-abuse problems. The author reviews signs and symptoms that are common both to the aging process and to late-onset problem drinking. He also provides a list of laboratory “markers” that may be helpful for the diagnosis and follow-up of this not infrequent problem.

  10. [Elderly women and alcohol].

    Science.gov (United States)

    Moscato, Alba

    It is important to understand the reasons for alcohol abuse in elderly people and in particular women. Psychological suffering must be envisaged. This behaviour can be considered as a necessary narcissistic retreat when ageing. The mental health of these women should be taken into account when providing them with help when they want it. This involves understanding them and supporting them as they adjust to the passage of time. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  11. PHARMACOTHERAPY IN ELDERLY NEUROPATHIC PAIN

    OpenAIRE

    Thomas Eko P

    2013-01-01

    The incidence of pain increases with age. Neuropathic pain are common in elderly patients and pose challenges in both their diagnosis and treatment. The most common neuropathic pain in elderly are radiculopathy due to foraminal or spinal stenosis, diabetic neuropathy, and postherpetic neuralgia. Pain in the elderly is often unrecognized and undertreated. The main problem with pain in older adults relates to impaired quality of life secondary to pain which may be expressed by depression (in...

  12. Young Children's Contact with the Elderly

    Science.gov (United States)

    Sheehan, Robert

    1978-01-01

    This research investigates frequency and type of contact young children have had with elderly persons. It also examines the relationship between this contact and children's frequency of contact with elderly persons and their ability to identify the elderly. (Author)

  13. Alcohol and the elderly.

    Science.gov (United States)

    Dufour, M C; Archer, L; Gordis, E

    1992-02-01

    Moderate drinking for the elderly of both genders is no more than one drink per day, where a drink is defined as 12 oz of beer, 5 oz of wine, or 1.5 oz of spirits. Age does not affect the rate of absorption or elimination of alcohol. Lean body mass decreases and adipose tissue increases with age, however, resulting in a corresponding decrease in the volume of total body water. With a smaller volume of distribution, an alcohol dose identical to that administered to a younger individual of the same size and gender will produce a higher blood alcohol concentration in the elderly. Low-dose alcohol stimulates appetite and promoters regular bowel function. In the well-nourished nonalcoholic elderly, the negative impact of alcohol consumption on nutrition is minimal. Alcohol consumption improves mood by increasing feelings of happiness and freedom from care while lessening inhibitions, stress, tension, and depression. Although in the laboratory low-dose alcohol improves certain types of cognitive function in young men, in other types of task performance, alcohol induces impairment, which worsens with age. The effects of alcohol on sleep are primarily detrimental, worsening both insomnia and breathing disturbances during sleep. Although the role of alcohol consumption in mortality from heart disease has not been investigated in the elderly, moderate drinking appears safe. Under some circumstances low-dose alcohol may produce analgesia whereas in others it may worsen pain. The elderly use a significant proportion of both prescription and over-the-counter medication, a large variety of which interact with alcohol. Alcoholic beverage consumption may exacerbate cognitive impairment and dementias of other etiology. Although some studies suggest that moderate use of alcohol by institutionalized senior citizens appears to produce benefits including improved socialization, separation of the effects of the social situation from those specifically attributable to alcohol remains to

  14. EUROPEAN AUSTERITY WITHOUT GROWTH? EUROPEAN GROWTH WITHOUT EUROPEAN DEMOCRACY?

    Directory of Open Access Journals (Sweden)

    Montani Guido

    2011-07-01

    Full Text Available The European project is facing a crisis. Citizens no longer understand what the EU is about. Young people and the new ruling class have forgotten the clear message of the European project launched just after the Second World War "No wars ever again among Europeans." The founding fathers of the European Union are mentioned in history textbooks, but today Europe is felt as an irritating bureaucracy. In Europe, peace and economic stability are considered as a natural state, a gift from above. Why keep a useless EU alive? The state of the European Union is swiftly degenerating. In almost all the member states, the anti-European forces are gaining ground. Populism is not a new ideology and is not necessarily European: let's recall Peronism. In today's Europe populism is the new manifestation of nationalism. In Italy the Lega Nord is in Berlusconi's eurosceptic government. In France, the National Front is endangering UMP's hegemony. In Belgium the rows between the Flemish and the Walloons threatens the state's unity. In the Netherlands, Hungary, the Czech Republic, Austria and Finland, populist forces are either in the government or strongly influencing the government. National-populism is different from the nationalism of the past. De Gaulle's nationalism was an ideology founded on the "grandeur" of France's history and on a certain idea of Europe, which was "l'Europe de patrie", a kind of European unity accepting French leadership in world politics. Today national-populism is a form of micro-nationalism: it opposes the European project but without having a serious alternative. This is why populism is dangerous. Its real goal is not only the breaking down of the European Union but also the disintegration of the old nation states into micro-ethnic states, as what happened in former Yugoslavia.

  15. Attitudes of Dutch general practitioners towards vaccinating the elderly : less is more?

    NARCIS (Netherlands)

    Eilers, Renske; Krabbe, Paul F. M.; de Melker, Hester E.

    2015-01-01

    Background: In many European countries, vaccinations are offered to the elderly. Expanding the programme to include routine vaccination against pneumococcal disease, herpes zoster, and pertussis, for example, could reduce disease burden amongst the growing population of persons aged 50 years and

  16. Report on the Elderly 1998

    NARCIS (Netherlands)

    M.M.Y. de Klerk; J.M. Timmermans

    1999-01-01

    Original title: Rapportage ouderen 1998. The Report on the Elderly 1998 (Rapportage ouderen 1998) describes various aspects of the life situation of the elderly: labour market position, financial situation, housing conditions, health status and use of care services. Extensive attention is

  17. Report on the Elderly 2006

    NARCIS (Netherlands)

    Alice de Boer

    2006-01-01

    The Report on the Elderly 2006 presents an overview of the changes in the life situation and life course of the elderly. Key themes are participation in education and employment, leisure time use, financial position, health and care provisions. Attention is also given to the end of working life,

  18. Oral health in frail elderly

    NARCIS (Netherlands)

    Hoeksema, Albert

    2016-01-01

    Ageing points towards increasing health problems and rising costs for the society. One of these health problems is the deteriorating oral health in care dependent elderly. The latter is related to the high need for care on many levels in these elderly. The lack of attention for oral care can be

  19. Tax Expenditures for the Elderly.

    Science.gov (United States)

    Nelson, Gary M.

    1983-01-01

    Examines federal tax expenditures or subsidies directed toward enhancing the retirement income of the elderly. Charges that such expenditures annually target benefits to the wealthiest segment of the elderly population. Examines equity issues and recommends that these tax expenditures be examined on a case-to-case basis. (JAC)

  20. Kids and Elders: Forever Friends.

    Science.gov (United States)

    Dallman, Mary Ellen; Power, Sharon

    1996-01-01

    Describes "Forever Friends," an intergenerational program linking second graders with elderly residents of an independent living facility. Describes monthly sessions involving group and partnership activities; how elders participate in classroom activities, musical programs, creative writing projects, and school field trips; and how…

  1. ENDOCRINE DISORDERS IN THE ELDERLY

    African Journals Online (AJOL)

    Enrique

    Healthy elderly patients should be encouraged to con- tinue with their existing exercise pro- grammes. However, sedentary elderly diabetics need cardiovascular assess- ment, including exercise stress test- ing, before starting exercise. Emphasise improving flexibility, strength, co-ordination and balance in those unable to ...

  2. Report on the Elderly 2001

    NARCIS (Netherlands)

    M.M.Y. de Klerk; J.M. Timmermans

    2001-01-01

    (Full translation from the Dutch: Rapportage Ouderen 2001) Report on the Elderly 2001 presents an overview of the position of the elderly in Dutch society. The central themes of the Report are participation in education and the labour market, financial status, housing situation,

  3. Report on the Elderly 1998

    NARCIS (Netherlands)

    M.M.Y. de Klerk; J.M. Timmermans

    2000-01-01

    Report on the Elderly 1998 describes various aspects of the living circumstances of the elderly: the labour market position, financial situation, housing circumstances, health and uptake of health care. Extensive attention is also devoted to the scale and consequences of psychiatric disorders

  4. [Sleep disturbance in the elderly].

    Science.gov (United States)

    Mori, A

    1990-01-01

    Sleep structure is qualitatively and quantitatively changed by aging. The elderly usually go to bed in early evening and wake up in early morning, and they also take several naps in the day time. The polyphasic sleep is one of the typical sleep patterns found in the elderly. Comparing the sleep of the elderly with that of young adults by the method of polysomnography, the characteristics of the sleep of the elderly are in the prolongation of sleep latency, shortening of total sleep time, increase of Stage W and Stage 1, decrease of Stage 3 and 4, and also decrease of Stage REM and the advance of REM phase. Insomnia is a frequently observed symptom in the elderly. The so-called psychophysiological insomnia due to transient psychological or situational stress is common in the elderly. However, insomnia following the mental disturbance (depression), chronic use of drug or alcohol, dementia (vascular or Alzheimer type) are also important in the elderly. Sleep apnea syndrome is recently found as an important cause of insomnia. Concerning the treatment and prevention of insomnia, it is necessary to exclude the causes of insomnia, to improve the environmental conditions and to keep the regular rhythm of sleep-wake cycle. It is also important to carefully select and use the adequate hypnotics considering the pharmacokinetics and adverse effects of the drugs in the elderly.

  5. Elder care in Japan.

    Science.gov (United States)

    Nakane, Junko; Farevaag, Mariko

    2004-01-01

    The social and health care issues surrounding the elderly in Japan have been described focussing on the long-term care issues and the LTCI System. Because the Japanese have traditionally held a strong sense of family, they have believed that the family should look after a family member. The burden of caregiving had become so serious to many families that the situation has been called "caregiving hell". In those situations, the LTCI System seems to be succeeding in releasing the families from the unbearable burden of caregiving. However, there are many problems associated with the LTCI System. The system adopted the social insurance system because of its clearly defined relationships between the provision of services and the insured persons' share of the costs of services. Keeping with the system's principle, the insured persons' rights must be respected and the system must continually be improved so that they could choose the necessary and the most appropriate services to meet their needs. Japan has been experiencing the aging of its society at an unprecedented rate, which no other nation in the world has experienced. The world is watching Japan with interest to see how it responds to the grave issues of an aged society. The necessary systems and services should not be provided because the funding is available. Rather, the funding should be arranged so that the necessary systems and services can be provided. It is said that some countries intend to study the merit of Japan's strong sense of family ties and to utilize the strength of family ties to enhance their elder care. Considering such an idea it is hoped that, with collective efforts, the health care and the social welfare services for the elderly in Japan will continue to improve in the future.

  6. Dysphagia in the elderly.

    Science.gov (United States)

    Khan, Abraham; Carmona, Richard; Traube, Morris

    2014-02-01

    Dysphagia, or difficulty swallowing, is a common problem in the elderly. Based on the initial clinical history and physical examination, the dysphagia is assessed as either primarily oropharyngeal or esophageal in origin. Most oropharyngeal dysphagia is of neurologic origin, and management is coordinated with a clinical swallow specialist in conjunction with an ear, nose, and throat (ENT) physician if warning signs imply malignancy. Several structural and functional esophageal disorders can cause dysphagia. If a patient has likely esophageal dysphagia, a video barium esophagram is a good initial test, and referral to a gastroenterologist is generally warranted leading to appropriate treatment. Copyright © 2014 Elsevier Inc. All rights reserved.

  7. Elder abuse and neglect.

    Science.gov (United States)

    Muehlbauer, Melissa; Crane, Patricia A

    2006-11-01

    Elder abuse and neglect is a critical health care issue that must be brought to the attention of health care providers and older adults' family members. Adults older than 65 who live at home or in long-term care facilities may be at risk for abuse. Nurses should be aware of the causes, screening questions, symptoms of abuse, and resources in the community. Armed with information and a better understanding about the issue, nurses can minimize the devastating effects of abuse on older adults and their families.

  8. [Crisis intervention with elderly people].

    Science.gov (United States)

    Etzersdorfer, E

    2008-02-01

    This paper gives an overview about the most important aspects of crisis intervention, with special emphasis on crisis intervention with elderly people. First a review of the development of crisis intervention is given, including of some of the major concepts, with particular emphasis on psychoanalytic aspects of crisis intervention. Then a clinical case example of a crisis intervention with an elderly woman following a suicide attempt is given and discussed. The focus lies on the description of the transference-countertransference relationship, with attempts of pressing the therapist to comply with superficial, denying and minimizing fantasies. Peculiarities of crisis intervention with elderly people are highlighted: it is necessary to emphasize that elderly people are underrepresented in most crisis services, whereby they represent the group with the highest suicide risk. Peculiarities of elderly people still are not sufficiently met and they are created by a particularly wide range of aspects.

  9. Anaemia in the elderly.

    Science.gov (United States)

    Gómez Ramírez, Susana; Remacha Sevilla, Ángel Francisco; Muñoz Gómez, Manuel

    2017-12-07

    Anaemia is common in the elderly and is associated with an increased risk of physical, functional, and cognitive impairment, hospitalisation and mortality. Although it is unknown whether anaemia is a causal factor or a subrogated marker of worse health status, its correction can improve the patients' physical and functional capacity. Detection, classification, and treatment of anaemia should be a priority for the health system. The main causes of anaemia in the elderly are nutritional deficiencies and chronic disease, with or without kidney failure, although some cases are of indeterminate origin. Medical history and physical examination help to clarify its aetiology. A diagnostic algorithm based on data from the lab allows anaemia classification with a therapeutic orientation. Supplements of iron and maturation factors, as well as erythropoiesis-stimulating agents, constitute the mainstay of treatment, along with that of the underlying disease, whereas red blood cell transfusion should be reserved for severe cases. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  10. Spirituality in elderly people

    Directory of Open Access Journals (Sweden)

    Cecilia San Martín Petersen

    2015-09-01

    Full Text Available Spirituality may be understood as a group of feelings, beliefs and actions that suppose a search for the transcendent, sacred or divine. As representations about an ultimate power, they contribute to the sense and purpose in life and orient peoples behavior, relationships, and ways to feel and think about reality and about themselves. Since either in the growing old process and in the evaluation of life that occurs when approaching to death it may emerge conflicts, confusion and suffering, people beliefs about what is beyond death, or the answers to the questions about what for and why of life, become determinants in elders well-being. Furthermore, considering that life expectancy has significantly increased, and that the ways of growing old are changing as well as what being old means, and this process advantages and disadvantages or problems, in it ́s different contexts, it ́s necessary to think old age over again, as well as the policies that affect the quality of life of this group of people. Therefore, every professional who assist elderly, specially mental health professionals, must consider the spiritual referents of the individual in order to give the best assistance in whatever problems may appear in the growing old process. 

  11. Obesity and the Elderly

    NARCIS (Netherlands)

    Mathus-Vliegen, Elisabeth M. H.

    2012-01-01

    The prevalence of obesity is rising progressively, even among older age groups. By the year 2030 to 2035 over 20% of the adult US population and over 25% of the Europeans will be aged 65 years or older. The predicted prevalence of obesity in Americans, 60 years and older was 37% in 2010. The

  12. Supplement use and mortality: the SENECA study

    NARCIS (Netherlands)

    Brzozowska, A.; Kaluza, J.; Knoops, K.T.B.; Groot, de C.P.G.M.

    2008-01-01

    Background It is hypothesis that in relatively healthy older people supplement usage can be consider as healthy life style habit and as such can positively influence longevity. Aim of the study To determine whether supplement use was associated with all-cause mortality in the participants of the

  13. Seneca Compressed Air Energy Storage (CAES) Project

    Energy Technology Data Exchange (ETDEWEB)

    None, None

    2012-11-30

    This report provides a review and an analysis of potential environmental justice areas that could be affected by the New York State Electric & Gas (NYSEG) compress air energy storage (CAES) project and identifies existing environmental burden conditions on the area and evaluates additional burden of any significant adverse environmental impact. The review assesses the socioeconomic and demographic conditions of the area surrounding the proposed CAES facility in Schuyler County, New York. Schuyler County is one of 62 counties in New York. Schuyler County’s 2010 population of 18,343 makes it one of the least populated counties in the State (U.S. Census Bureau, 2010). This report was prepared for WorleyParsons by ERM and describes the study area investigated, methods and criteria used to evaluate this area, and the findings and conclusions from the evaluation.

  14. SENECA ON SLAVERY: AN AFRICAN PERSPECTIVE By ...

    African Journals Online (AJOL)

    2007-10-17

    . Moral letters Lucillius .... Lucilius administers and in the familial slavery of ancestral Rome. (47.14). Here, the relation between the .... egalitarianism, which creates a foundation for social friendship, foster human and societal ...

  15. Elderly from lower socioeconomic groups are more vulnerable to mental health problems, but area deprivation does not contribute : A comparison between Slovak and Dutch cities

    NARCIS (Netherlands)

    Behanova, Martina; Katreniakova, Zuzana; Nagyova, Iveta; van Ameijden, Erik J. C.; van Dijk, Jitse P.; Reijneveld, Sijmen A.

    2017-01-01

    BACKGROUND: Little is known about factors associated with mental health problems (MHP) of the elderly in socioeconomically deprived neighbourhoods, and comparisons between Central European and Western European countries on this topic are lacking. We examined whether MHP occurred more frequently in

  16. Educating in European Identity?

    National Research Council Canada - National Science Library

    Enrique Banús

    2007-01-01

    In the last decades, the claim for a "European identity" has been manifested sometimes as a solution for the citizens' distance to the European project, sometimes also as a precondition for a further...

  17. [Antidepressants in the elderly].

    Science.gov (United States)

    Cortajarena García, M C; Ron Martin, S; Miranda Vicario, E; Ruiz de Vergara Eguino, A; Azpiazu Gomez, P J; Lopez Aldana, J

    2016-10-01

    Depression in the elderly is a changing, difficult and common disorder. At this age, there are more relapses and more long-life treatment is required. The pharmacology approach is a challenge because of concurrent factors that make their treatment more difficult. It is very important to have a basic antidepressant scheme, in order to help treat this disorder with efficiency and success from Primary Care. There are no drugs without side effects, and their characteristics have to be known in order to make the right selection depending on effectiveness, safety and tolerance. Copyright © 2015 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.

  18. Meals for the Elderly

    Science.gov (United States)

    1980-01-01

    The aim of Skylab's multi-agency cooperative project was to make simple but nutritious space meals available to handicapped and otherwise homebound senior adults, unable to take advantage of existing meal programs sponsored by federal, state and private organizations. As a spinoff of Meal Systems for the Elderly, commercial food processing firms are now producing astronaut type meals for public distribution. Company offers variety of freeze dried foods which are reconstituted by addition of water, and "retort pouch" meals which need no reconstitution, only heating. The retort pouch is an innovative flexible package that combines the advantage of boil-in bag and metal can. Foods retain their flavor, minerals and vitamins can be stored without refrigeration and are lightweight for easy transportation.

  19. Elderly Sexual Offenders.

    Science.gov (United States)

    Booth, Brad D

    2016-04-01

    With the ever-aging population, the number of elderly sexual offenders are also on the rise. The courts and correctional system are increasingly faced with older individuals who have offended sexually. Previously, these older offenders were thought to be similar to younger sexual offenders. However, closer analysis suggests that many of these individuals pose a much lower risk to recidivate than the risk to recidivate of their younger counterparts. Still, an individualized approach to manage the risk of older offenders is required, as some may have particular risk factors relevant for their treatment and future stability, such as dementia or other mental health issues. Further, this population often has particular physical health issues and requires special consideration when being placed in the community. Assessment, treatment, and risk management in this special population of sexual offenders are discussed.

  20. Elders Health Empowerment Scale

    Science.gov (United States)

    2014-01-01

    Introduction: Empowerment refers to patient skills that allow them to become primary decision-makers in control of daily self-management of health problems. As important the concept as it is, particularly for elders with chronic diseases, few available instruments have been validated for use with Spanish speaking people. Objective: Translate and adapt the Health Empowerment Scale (HES) for a Spanish-speaking older adults sample and perform its psychometric validation. Methods: The HES was adapted based on the Diabetes Empowerment Scale-Short Form. Where "diabetes" was mentioned in the original tool, it was replaced with "health" terms to cover all kinds of conditions that could affect health empowerment. Statistical and Psychometric Analyses were conducted on 648 urban-dwelling seniors. Results: The HES had an acceptable internal consistency with a Cronbach's α of 0.89. The convergent validity was supported by significant Pearson's Coefficient correlations between the HES total and item scores and the General Self Efficacy Scale (r= 0.77), Swedish Rheumatic Disease Empowerment Scale (r= 0.69) and Making Decisions Empowerment Scale (r= 0.70). Construct validity was evaluated using item analysis, half-split test and corrected item to total correlation coefficients; with good internal consistency (α> 0.8). The content validity was supported by Scale and Item Content Validity Index of 0.98 and 1.0, respectively. Conclusions: HES had acceptable face validity and reliability coefficients; which added to its ease administration and users' unbiased comprehension, could set it as a suitable tool in evaluating elder's outpatient empowerment-based medical education programs. PMID:25767307

  1. Europeanization and transnational states

    DEFF Research Database (Denmark)

    Jacobsson, Bengt; Lægreid, Per; Pedersen, Ove K.

    This work investigates what happens to an organized political unit when it becomes part of a larger entity and, in particular, how increased European integration and the tentative moves towards a transnational state will affect the European Union's nation state. Europeanization and the transforma......This work investigates what happens to an organized political unit when it becomes part of a larger entity and, in particular, how increased European integration and the tentative moves towards a transnational state will affect the European Union's nation state. Europeanization...... in central government agencies. It concludes that the consequences of Europeanization can be described as the growth of a transnational administration where identities as well as loyalties are created in processes that transcend the borders of states....

  2. VIDEO GAMES AND THE ELDERLY

    National Research Council Canada - National Science Library

    Goldstein, Jeffrey; Cajko, Lara; Oosterbroek, Mark; Michielsen, Moniek; Van Houten, Oscar; Salverda, Femke

    1997-01-01

    This study examined the effects of playing video games (Super Tetris) on the reaction time, cognitive/perceptual adaptability, and emotional well-being of 22 noninstitutionalized elderly people aged 69 to 90...

  3. [Nutritional anemias in elderly patients].

    Science.gov (United States)

    Serraj, Khalid; Federici, Laure; Kaltenbach, Georges; Andrès, Emmanuel

    2008-09-01

    Nutritional deficiencies cause one third of the cases of anemia in the elderly. The urgency of anemia management in elderly patients depends on tolerance and repercussions, rather than only on the hemoglobin level. Iron, vitamin B12 and folate are the most common deficiencies, and their levels should be tested. Chronic gastrointestinal bleeding is the principal cause of iron-deficiency anemia. Management is based on supplementation combined with effective etiological treatment.

  4. Aichi virus infection in elderly people in Sweden.

    Science.gov (United States)

    Jonsson, Nina; Wahlström, Kristin; Svensson, Lennart; Serrander, Lena; Lindberg, A Michael

    2012-07-01

    Aichi virus (AiV), genus Kobuvirus, family Picornaviridae, is associated with gastroenteritis in humans. Previous studies have shown high seroprevalence but low incidence (0.9-4.1%) in clinical samples. We report here the first detection of AiV in Sweden. Two hundred twenty-one specimens from hospitalized patients with diarrhea, who were negative for other enteric viruses, were included in the study. AiV were detected in three specimens, all from elderly patients. Phylogenetic analysis revealed that the three Swedish isolates belonged to genotype A and were genetically closest to European and Asian strains of AiV.

  5. Phenomenology of ELDER dark matter

    Science.gov (United States)

    Kuflik, Eric; Perelstein, Maxim; Lorier, Nicolas Rey-Le; Tsai, Yu-Dai

    2017-08-01

    We explore the phenomenology of Elastically Decoupling Relic (ELDER) dark matter. ELDER is a thermal relic whose present density is determined primarily by the cross-section of its elastic scattering off Standard Model (SM) particles. Assuming that this scattering is mediated by a kinetically mixed dark photon, we argue that the ELDER scenario makes robust predictions for electron-recoil direct-detection experiments, as well as for dark photon searches. These predictions are independent of the details of interactions within the dark sector. Together with the closely related Strongly-Interacting Massive Particle (SIMP) scenario, the ELDER predictions provide a physically motivated, well-defined target region, which will be almost entirely accessible to the next generation of searches for sub-GeV dark matter and dark photons. We provide useful analytic approximations for various quantities of interest in the ELDER scenario, and discuss two simple renormalizable toy models which incorporate the required strong number-changing interactions among the ELDERs, as well as explicitly implement the coupling to electrons via the dark photon portal.

  6. Melanoma in the elderly.

    Science.gov (United States)

    Manganoni, Ausilia M; Pizzatti, Laura; Pavoni, Laura; Consoli, Francesca; Damiani, Enrico; Manca, Giorgio; Gualdi, Giulio; Calzavara-Pinton, Piergiacomo

    2017-06-01

    Among older patients, melanoma in general presents biological features related to a more aggressive biology, such as more locally advanced tumor. Management of melanoma in elderly may be difficult, mainly due to comorbidities. We report the experience of the Melanoma Unit of ASST Spedali Civili in Brescia, Italy. Study subjects were drawn from 3444 patients with histological confirmed melanoma. Data were extracted from electronic database of the Melanoma Unit of ASST Spedali Civili in Brescia, Italy. Patients who received diagnosis of cutaneous melanoma at age of 65 years or older were retrospectively evaluated. For each diagnosed melanoma, histological characteristics, treatment, and outcomes were evaluated. Of the 805 patients described in this study, 444 were males and 361 females. Statistically significant differences were found between patients aged 65-80 years and those aged >80 years considering melanoma prognostic factors, such as Breslow thickness, number of mitoses/mm2 and ulceration. Older age is recognized as an independent poor prognostic factor in melanoma patients, and melanoma in older patients have a distinct natural history. It was found that management of cancer in old person represents a major challenge to medical practice. We believe that the choice of therapy should be individualized and based upon the individual's overall health and that, particularly in these cases, management often requires interdisciplinary cooperation between dermatologist, surgical specialist, oncologist and geriatrician.

  7. Diabetes mellitus in elderly

    Directory of Open Access Journals (Sweden)

    Farida Chentli

    2015-01-01

    Full Text Available Diabetes mellitus (DM frequency is a growing problem worldwide, because of long life expectancy and life style modifications. In old age (≥60–65 years old, DM is becoming an alarming public health problem in developed and even in developing countries as for some authors one from two old persons are diabetic or prediabetic and for others 8 from 10 old persons have some dysglycemia. DM complications and co-morbidities are more frequent in old diabetics compared to their young counterparts. The most frequent are cardiovascular diseases due to old age and to precocious atherosclerosis specific to DM and the most bothersome are visual and cognitive impairments, especially Alzheimer disease and other kind of dementia. Alzheimer disease seems to share the same risk factors as DM, which means insulin resistance due to lack of physical activity and eating disorders. Visual and physical handicaps, depression, and memory troubles are a barrier to care for DM treatment. For this, old diabetics are now classified into two main categories as fit and independent old people able to take any available medication, exactly as their young or middle age counterparts, and fragile or frail persons for whom physical activity, healthy diet, and medical treatment should be individualized according to the presence or lack of cognitive impairment and other co-morbidities. In the last category, the fundamental rule is "go slowly and individualize" to avoid interaction with poly medicated elder persons and fatal iatrogenic hypoglycemias in those treated with sulfonylureas or insulin.

  8. [Diabetes mellitus in the elderly].

    Science.gov (United States)

    Górska, Maria

    2002-01-01

    The prevalence of diabetes increase in the elderly. Ageing is one of the most important factors contributing to development of glucose intolerance (insuline resistance). NHANES II data showed that in the poppulation over 65 years 18.7% has got overt diabetes and 22.8% glucose intolerance. Similar data were obtained among ageing inhabitants of the city of Bialystok (downtown). The criteria of diagnosis of diabetes in the elderly are the same like in the younger population. However, in the elderly the clinical symptoms are not characteristic and scanty (limited). The period without symptoms is long. Very often, the diabetes is diagnosed for the first time in patient with the heart infarct, brain stroke, diabetic foot or even hyperosmolar coma. There may occur two critical situations in the elderly diabetic persons, namely non-ketotic hyperosmolar coma and hypoglycameia. The non-ketotic hyperosmolar coma is a result of a considerable elevation in the blood concentration of glucose, sodium and urea. This, in turn, is a consequence of osmotic diuresis which is non balanced by elevation in the volume of water intake. Factors facilitating development of the coma include: nontreated diabetes, infirmity, inadequate care, diuretics, stroke, hyperthermia. Hypoglycaemia in the elderly is a very serious problem. It can cause arrhythmia, a rise in the blood pressure, unconsciousness, falls and injuries. The most often reason of hypoglycaemia in the elderly are: long-acting derivatives of sulphonylurea, treatment with insulin and irregular meals. The major aims of treatment of diabetes in the elderly are: reduction of hyperglycaemia, reduction in the development of complications and minimizing of the risk of hypoglycaemia. An elderly patient with diabetes should have each year a check-up which would include examination of the eyes, kidneys, feet. The elderly patient with diabetes is often crippled, indolent and lives often alone. Therefore, such a patient should be taken care of

  9. Elderly Turkish Migrants in Denmark

    DEFF Research Database (Denmark)

    Blaakilde, Anne Leonora; Petersen, Signe Sofia Gronwald; Yazici, Suzan

    Elderly Turkish migrants in Denmark: Health in a life course perspective Objective According to Statistics Denmark, Turkish immigrants constitute the largest immigrant group in Denmark with 1.1% of the population (60,390 people) in 2012. They account for a higher rate of chronic ailments and a hi......Elderly Turkish migrants in Denmark: Health in a life course perspective Objective According to Statistics Denmark, Turkish immigrants constitute the largest immigrant group in Denmark with 1.1% of the population (60,390 people) in 2012. They account for a higher rate of chronic ailments...... elderly people by studying the every day life of elderly Turkish migrants. Methods Qualitative interviews were carried out with 12 Turkish men and 18 women aged 54-80. The interviews had a focus on their health practices and health perceptions in a life history perspective. The interviews were...... histories, we learned that the interviewees had not only encountered unskilled and physical demanding work, but many of them had experienced very bad and unhealthy living conditions during their stay in Denmark. Conclusions A life course approach to the study of Elderly Turkish migrants in Denmark suggests...

  10. Eating disorders in the elderly.

    Science.gov (United States)

    Lapid, Maria I; Prom, Maria C; Burton, M Caroline; McAlpine, Donald E; Sutor, Bruce; Rummans, Teresa A

    2010-06-01

    Eating disorders in the elderly are often overlooked. When they occur, significant morbidity and mortality result. In this study we review all existing literature on eating disorders in the elderly and provide practical guidelines for clinicians in recognizing and managing eating disorders in the elderly. A literature search using Medline, PubMed, Web of Knowledge, and PsychINFO revealed 48 published cases of eating disorders in people over the age of 50 years. The mean age was 68.6 years (range 50-94), and the majority (88%) of cases were females. The majority (81%) of cases had anorexia nervosa, and 10% had bulimia nervosa. Late onset eating disorders were more common (69%) than early onset. Comorbid psychiatric conditions existed in 60%, most commonly major depression. Management with a combination of behavioral and pharmacologic interventions was most successful, although only 42% were treated successfully. Mortality was high (21%) secondary to the eating disorder and its complications. Eating disorders do occur in the elderly and should be included in the differential diagnosis of unexplained weight loss in the elderly.

  11. Critical Thinking, Community Elders and Africa's Development

    National Research Council Canada - National Science Library

    Ukhun, C E

    2009-01-01

    ... clichés and traditional modes of analysis of the challenge of Africa's development, we highlight an unarticulated factor of development - 'critical- cum- creative thinking', which has been vitiated by elders (male-elders...

  12. Is Alcoholism a Problem of the Elderly?

    Science.gov (United States)

    Zimering, Stanley; Domeischel, Joseph R.

    1982-01-01

    Reviews the literature indicating that a growing number of the elderly are becoming dependent on alcohol. Presents statistics and characteristics of the elderly alcoholic. Describes diagnosis and treatment programs. Includes recommendations. (RC)

  13. The Elderly Alcoholic: The Counselor's Dilemma.

    Science.gov (United States)

    Gross, Douglas; Capuzzi, Dave

    1981-01-01

    A major problem of the elderly, alcoholism, has received little emphasis in counseling literature. This article presents physiological, sociological, and psychological aspects of alcoholism as they apply to the elderly. Conclusions and recommendations for counselor education programing are discussed. (Author)

  14. Longevity for future Europeans

    DEFF Research Database (Denmark)

    Christensen, K.

    2015-01-01

    A rapidly increasing proportion of individuals in the Europe are surviving into their tenth decade. While there is no doubt that we are doing well in making the elderly survive better than previously, the key questions are whether this will continue, what the underlying mechanisms are, and whethe...

  15. The European Hematology Association Roadmap for European Hematology Research: a consensus document.

    Science.gov (United States)

    Engert, Andreas; Balduini, Carlo; Brand, Anneke; Coiffier, Bertrand; Cordonnier, Catherine; Döhner, Hartmut; de Wit, Thom Duyvené; Eichinger, Sabine; Fibbe, Willem; Green, Tony; de Haas, Fleur; Iolascon, Achille; Jaffredo, Thierry; Rodeghiero, Francesco; Salles, Gilles; Schuringa, Jan Jacob

    2016-02-01

    The European Hematology Association (EHA) Roadmap for European Hematology Research highlights major achievements in diagnosis and treatment of blood disorders and identifies the greatest unmet clinical and scientific needs in those areas to enable better funded, more focused European hematology research. Initiated by the EHA, around 300 experts contributed to the consensus document, which will help European policy makers, research funders, research organizations, researchers, and patient groups make better informed decisions on hematology research. It also aims to raise public awareness of the burden of blood disorders on European society, which purely in economic terms is estimated at €23 billion per year, a level of cost that is not matched in current European hematology research funding. In recent decades, hematology research has improved our fundamental understanding of the biology of blood disorders, and has improved diagnostics and treatments, sometimes in revolutionary ways. This progress highlights the potential of focused basic research programs such as this EHA Roadmap.The EHA Roadmap identifies nine 'sections' in hematology: normal hematopoiesis, malignant lymphoid and myeloid diseases, anemias and related diseases, platelet disorders, blood coagulation and hemostatic disorders, transfusion medicine, infections in hematology, and hematopoietic stem cell transplantation. These sections span 60 smaller groups of diseases or disorders.The EHA Roadmap identifies priorities and needs across the field of hematology, including those to develop targeted therapies based on genomic profiling and chemical biology, to eradicate minimal residual malignant disease, and to develop cellular immunotherapies, combination treatments, gene therapies, hematopoietic stem cell treatments, and treatments that are better tolerated by elderly patients. Copyright© Ferrata Storti Foundation.

  16. Sexuality through the eyes of the elderly.

    OpenAIRE

    Uchôa,Yasmim da Silva; Costa, Dayara Carla Amaral da; Silva Junior, Ivan Arnaldo Pamplona da; Silva,Saulo de Tarso Saldanha Eremita de; Freitas, Wiviane Maria Torres de Matos; Soares,Soanne Chyara da Silva

    2016-01-01

    Abstract Objective: to identify the perception of elderly persons about sexuality. Methods: a quantitative, observational and analytical cross-sectional study was performed in an institution specializing in elderly care in Belém, in the state of Pará. A questionnaire, produced by the authors, was applied to 200 elderly persons, aiming to identify issues related to sexuality both in their youth and today, as well as stimulant strategies and sexuality inhibiting factors among the elderly, amo...

  17. BRAIN GYM IMPROVES COGNITIVE FUNCTION FOR ELDERLY

    OpenAIRE

    Yusuf, Ah.; Indarwati, Retno; Jayanto, Arifudin Dwi

    2017-01-01

    Introduction: The degradation of cognitive function present early dementia in elderly. Brain gym is one of the alternative implementation to improve the cognitive function of elderly. The objective of this study was to analyze the effect of brain gym to the improvement of cognitive function in elderly. Method: This study used Quasy Experimental design. The populations were elderly in Social Service Unit Tresna Werdha Lamongan. The samples were recruited using purposive sampling, consist of 30...

  18. Quality of institutional elderly care in Slovenia

    OpenAIRE

    Habjanič, Ana

    2012-01-01

    Abstract Elderly people, because of the frail health condition and consequent problems, have in most cases substantial difficulties living at home. Despite the need for widened nursing home custody, the field of quality institutional elderly care in Slovenia in the past did not undergo comprehensive research. The purpose of this two-part study was to investigate the quality of institutional elderly care and elderly care offered in Slovenian nursing homes. Additional purpose was to eval...

  19. THE EUROPEAN BUSINESS CYCLE

    Directory of Open Access Journals (Sweden)

    Ignat Ion

    2009-05-01

    Full Text Available The construction of European Monetary Union has raised several questions about the existence of a common business cycle, a European one. The lack of cyclical synchronization would complicate the monetary and fiscal policies in the Union, being a negative

  20. European Home Energy

    DEFF Research Database (Denmark)

    Tommerup, Henrik M.

    2009-01-01

    An important aim of the european energy performance of buildings directive is to improve the overall energy efficiency of new homes......An important aim of the european energy performance of buildings directive is to improve the overall energy efficiency of new homes...

  1. European Industry, 1700 - 1870

    NARCIS (Netherlands)

    Broadberry, Stephen; Fremdling, Rainer; Solar, Peter M.

    2008-01-01

    This paper offers an overview of the development of European industry between 1700 and 1870, drawing in particular on the recent literature that has emerged following the formation of the European Historical Economics Society in 1991. The approach thus makes use of economic analysis and quantitative

  2. The European Programme Manager

    DEFF Research Database (Denmark)

    Larson, Anne; Bergman, E.; Ehlers, S.

    The publication is a result of a cooperation between organisations in six European countries with the aim to develop a common European education for programme managers. It contains of a description of the different elements of the education together with a number of case-studies from the counties...

  3. European works councils

    DEFF Research Database (Denmark)

    Knudsen, Herman Lyhne

    2003-01-01

    The theme adressed by this paper is the opportunities for European Works Councils (EWCs) of gaining influence on corporate decisions in multinational companies.......The theme adressed by this paper is the opportunities for European Works Councils (EWCs) of gaining influence on corporate decisions in multinational companies....

  4. European works councils

    DEFF Research Database (Denmark)

    Knudsen, Herman Lyhne

    2004-01-01

    The theme addressed by this artcle is the opportunities for European Works Councils of gaining influence on corporate decisions in multinational companies.......The theme addressed by this artcle is the opportunities for European Works Councils of gaining influence on corporate decisions in multinational companies....

  5. Introduction: European climate leadership

    NARCIS (Netherlands)

    Wurzel, R.K.W.; Liefferink, J.D.; Connelly, J.

    2017-01-01

    There is no shortage of would-be leaders in EU climate change politics. The EU institutions (e.g. European Council, Council of the EU, Commission and the European Parliament (EP)), member states and societal actors have all, though to varying degrees and at different time periods, tried to offer

  6. Europeanization : A Poststructuralist Approach

    NARCIS (Netherlands)

    Neuman-Stanivukovic, Senka

    2014-01-01

    This dissertation begins from the hypothesis that the direction and extent of Europeanization depends on domestic perception of the European Union and its norms. Accordingly, it was my empirical ambition to study how competing articulations of the EU and its norms constructed debates in EU member

  7. European media law

    NARCIS (Netherlands)

    Castendyk, O.; Dommering, E.; Scheuer, A.

    2008-01-01

    European Union legislation concerning electronic communications media is firmly established as an essential part of the law in the field in Europe. From relevant provisions of the European Convention of Human Rights and the EC Treaty to numerous directives, the most recent being the Audiovisual

  8. Psychiatric disorders in the elderly.

    Science.gov (United States)

    Skoog, Ingmar

    2011-07-01

    Recent research has shown that depression, anxiety disorders, and psychosis are more common than previously supposed in elderly populations without dementia. It is unclear whether the frequency of these disorders increases or decreases with age. Clinical expression of psychiatric disorders in old age may be different from that seen in younger age groups, with less and often milder symptoms. Concurrently, comorbidity between different psychiatric disorders is immense, as well as comorbidity with somatic disorders. Cognitive function is often decreased in people with depression, anxiety disorders, and psychosis, but whether these disorders are risk factors for dementia is unclear. Psychiatric disorders in the elderly are often related to cerebral neurodegeneration and cerebrovascular disease, although psychosocial risk factors are also important. Psychiatric disorders, common among the elderly, have consequences that include social deprivation, poor quality of life, cognitive decline, disability, increased risk for somatic disorders, suicide, and increased nonsuicidal mortality.

  9. [Addictive behavior among the elderly].

    Science.gov (United States)

    Menecier, Pascal; Fernandez, Lydia

    2012-12-01

    Addictive behavior still persists among the elderly, mainly concerning substance abuse, such as alcohol, tobacco or psychotropic drugs and addictive practices such as gambling. Illegal substances or cyber-addictions appear much less often. The environment (place of residence or care) and/or economic factors may influence behavior and practices. The incidence of somatic illness or psychiatric disorders, such as cognitive impairment among the elderly patients, complicates even further the presentation of addictive disorders and their treatment. The age factor does not seem to lessen the suffering felt by the patient and care is required in an equal manner for all ages. Prevention (maintenance of personal autonomy and quality of life throughout the ageing process) plays an essential role along with the offer of care. The lack of scientific data such as the absence of validation for adult care among the elderly, leave wide scope for epidemiological, clinical and theoretical research. Copyright © 2012 Elsevier Masson SAS. All rights reserved.

  10. Challenges in anaesthesia for elderly

    DEFF Research Database (Denmark)

    Strøm, Camilla; Rasmussen, L S

    2014-01-01

    of treatment of an elderly patient is not necessarily to increase human longevity regardless of the consequences, but to increase active longevity free from disability and functional dependence. For older people, deterioration in function can be devastating and is often precipitated by a stressful event...... constant influence by numerous factors, for which reason the way human age is extremely individual. It is important to understand and acknowledge how elderly differ from younger adults, and how management needs to be modified and tailored to the individual patient in order to improve outcomes. The goal...... such as an acute episode of illness or injury. Therefore a mainstay of treatment of the aged is prevention of functional decline. In this review, we will outline the extreme variability in the aging process, and its implications for tailoring the perioperative care for the elderly. We will provide an overview...

  11. [Liver diseases in the elderly].

    Science.gov (United States)

    Bruguera, Miguel

    2014-11-01

    Liver diseases in the elderly have aroused less interest than diseases of other organs, since the liver plays a limited role in aging. There are no specific liver diseases of old age, but age-related anatomical and functional modifications of the liver cause changes in the frequency and clinical behavior of some liver diseases compared with those in younger patients. This review discusses the most important features of liver function in the healthy elderly population, as well as the features of the most prevalent liver diseases in this age group, especially the diagnostic approach to the most common liver problems in the elderly: asymptomatic elevation of serum transaminases and jaundice. Copyright © 2014 Elsevier España, S.L.U. and AEEH y AEG. All rights reserved.

  12. Cancer Surgery in the Elderly

    Directory of Open Access Journals (Sweden)

    Gopal C. Kowdley

    2012-01-01

    Full Text Available The proportions both of elderly patients in the world and of elderly patients with cancer are both increasing. In the evaluation of these patients, physiologic age, and not chronologic age, should be carefully considered in the decision-making process prior to both cancer screening and cancer treatment in an effort to avoid ageism. Many tools exist to help the practitioner determine the physiologic age of the patient, which allows for more appropriate and more individualized risk stratification, both in the pre- and postoperative periods as patients are evaluated for surgical treatments and monitored for surgical complications, respectively. During and after operations in the oncogeriatric populations, physiologic changes occuring that accompany aging include impaired stress response, increased senescence, and decreased immunity, all three of which impact the risk/benefit ratio associated with cancer surgery in the elderly.

  13. Improving mobility for Wisconsin's elderly : brief.

    Science.gov (United States)

    2011-10-01

    By 2035, the number of elderly residents in Wisconsin is expected to nearly double, and one in four drivers on Wisconsin roads will be elderly. According to national statistics, the elderly are more likely to be involved in crashes on a per-mile basi...

  14. Elderly Persons as Intergenerational Child Care Providers.

    Science.gov (United States)

    Miller, Marilyn J.

    1986-01-01

    Programs involving elderly persons in the provision of child care services have evolved as a possible solution to problems identified by working parents and the elderly. Community members must work together on clearly defined objectives if opportunities are to be provided for elderly persons to participate in meaningful intergenerational child…

  15. Frontiers in the Education of the Elderly.

    Science.gov (United States)

    Peterson, James A.

    Demographic trends indicate a continued population rise among the elderly, suggesting an expanded market for adult education efforts. Early retirement, unemployment due to technological change, as well as the need for older workers to stay current in their fields all point in the direction of education of the elderly. The elderly report great…

  16. Elderly deaths in Ankara, Turkey.

    Science.gov (United States)

    Akar, Taner; Karapirli, Mustafa; Akcan, Ramazan; Demirel, Birol; Akduman, Barış; Dursun, Ahmet Zahit; Sari, Serhat; Özkök, Alper

    2014-01-01

    According to World Health Organization, the life expectancy at birth is increasing. An increase in life expectancy might result in increased morbidity and mortality in elderly. The increase in the elderly population also leads to an increase in medico-legal problems, as well. Autopsy is of high importance for determination of cause of death in clinical and forensic cases. The purpose of this study was to find out general characteristics elderly deaths by examining forensic autopsy records. Out of 7033 forensic autopsies performed between years of 2007 and 2011, 1324 were elderly deaths and were included in the scope of the study. The records of public prosecutor office, crime scene investigation and autopsy findings were examined. The majority of victims (70.6%) were male, while 29.4% were female, with a male to female ratio of 2.4/1. Victims' ages ranged between 65 and 96 years, and the mean age was 74.8 years. A great number of presented elderly deaths were due to unnatural causes, followed by natural deaths cases. Out of unnatural deaths, 63.2% were related to accidents, 23.7% were suicides, and remaining 13.1% were homicides. More than half (56.6%) of all suicidal deaths were due to hanging. Of natural deaths, the majority (82.7%) were due to cardiovascular system disease. In the presented series the cause of death was determined in 90.9% of all elderly deaths, which validates the need for a forensic autopsy. Data obtained through autopsy procedures is of high importance for death statistics. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  17. [Oral health among the elderly].

    Science.gov (United States)

    Siukosaari, Päivi; Nihtilä, Annamari

    2015-01-01

    A large proportion of our population is ageing with own teeth in the mouth. Good oral health and an adequate number of teeth improve the functional capacity of an elderly person. Oral diseases are, however, becoming more common among the elderly population with the accumulation of risk factors such as insufficient self-care, cariogenic diet, reduced salivation, smoking and systemic diseases. Dryness of the mouth due to the adverse effects of drugs or systemic diseases makes eating and cleaning of the mouth more difficult. Prevention of oral diseases with good self-care and regular dental examinations is essential.

  18. Brief hospitalizations of elderly patients

    DEFF Research Database (Denmark)

    Strømgaard, Sofie; Rasmussen, Søren Wistisen; Schmidt, Thomas Andersen

    2014-01-01

    BACKGROUND: Crowded departments are a common problem in Danish hospitals, especially in departments of internal medicine, where a large proportion of the patients are elderly. We therefore chose to investigate the number and character of hospitalizations of elderly patients with a duration of less......, swollen or painful leg conditions, dyspnea, suspected parenchyma surgical disease and problems with the urinary system or catheters. The most common diagnoses given at hospital were chronic cardiovascular disease, bacterial infection, symptoms deriving from bone, muscle or connective tissue, liquid...

  19. Sarcopenia and its determinants among Iranian elderly (SARIR: study protocol

    Directory of Open Access Journals (Sweden)

    Hashemi Rezvan

    2012-11-01

    Full Text Available Abstract Background The elderly populations increase in world because of improved health status in communities, so health and independency of seniors has become and will be one of the main priorities of public health systems. Ageing have been associated with changes in body composition, including loss of muscle mass, loss of bone mass and increase fat mass. Involuntary age related loss of muscle mass, sarcopenia,has been linked to functional impairment and physical disability. Several definitions for sarcopenia have been presented based on the method of measuring body composition, but an internationally accepted definition doesn’t presently exist yet. In 2010, the European working group on sarcopenia developed a new definition for sarcopenia according to measure muscle mass and muscle function. Several studies have been done about sarcopenia in world, but to our knowledge this study is the first in Iran which is one of the largest countries of the Middle East that faces a fast growing elderly population. The aim of this study is to evaluate sarcopenia and related risk factors in Iran according new definition of sarcopenia. Methods This study will be conducted in two phase among elderly men and women over 55 years in the 6th district of TehranThe first phase will be a population-based cross-sectional study to determine the frequency of sarcopenia in the study population, and to conduct case finding for the second phase. The second phase will be a case–control study to comparison the metabolic and inflammatory factors in sarcopenic and non sarcopenic groups. The association between sarcopenia and major dietary pattern will be evaluated using factor analysis. Conclusion This study is the first study that evaluates sarcopenia and its risk factor in Iranian elderlies. We discuss details of how we collect the data and appropriate instruments to measure muscle mass, muscle power and muscle strength, and suitable cut- off to define sarcopenia in

  20. Vitamin D and calcium supplementation prevents osteoporotic fractures in elderly community dwelling residents

    DEFF Research Database (Denmark)

    Larsen, Erik Roj; Mosekilde, Leif; Foldspang, Anders

    2004-01-01

    This study of 9605 community-dwelling residents supports that vitamin D and calcium supplementation may prevent osteoporotic fractures in elderly in a northern European region known to be deficient in vitamin D, especially during winter periods. Introduction: We evaluated the effect of two programs...... a prevention program of a daily supplement of 1000 mg of elemental calcium as calcium carbonate and 400 IU (10 μg) of vitamin D3 to a total of 4957 participants. Another program with evaluation and suggestions for the improvement of the domestic environment was offered to a total of 5063 participants. Both.......025) among male and female residents offered the Calcium and Vitamin D Program (intention-to-prevent analysis). Conclusions: This study supports that vitamin D and calcium supplementation may prevent osteoporotic fractures in community-dwelling elderly people in a northern European region known...

  1. Alcoholism in the elderly: a study of elderly alcoholics compared with healthy elderly and young alcoholics.

    Science.gov (United States)

    Shahpesandy, Homayun; Pristásová, Jaroslava; Janíková, Zuzana; Mojzisová, Ruzena; Kasanická, Viera; Supalová, Ol'ga

    2006-10-01

    To test the hypothesis that early-onset alcoholism can be differentiated from alcoholism in the elderly by more severe substance related problems, more frequent family history, higher mortality rate, and antisocial behaviour. 73 elderly (E) alcoholics (mean age 70.2 yrs) were compared with 90 young (Y) alcoholics (mean age 43.9 yrs) and 70 elderly non alcoholics (mean age 76 yrs). We focused on, family history (FH), co morbidity, mortality, biological markers (AST, GGT, MCV), and demographics. Geriatric Scale of Depression, Standardized Mini-Mental State Examination and Munich Alkoholism Test were also used. All results analysed by the SPSS. FH was significantly (palcoholics abstain significantly (p27 months) than Y ones (approximately 11 months). Significantly (p63%) combine spirits with beer and wine than E (>32%). Significantly (palcoholics (E and Y) had elated levels of MCV (>70%), AST and GGT (>60%) than C. We have found significantly (pelderly and young alcoholics than in C subjects. On the other hand, prevalence of cardiovascular, ORL, ophtalmological, endocrine and orthopedic diseases were significantly (pelderly patients with young ones, we found significantly (palcoholics (palcoholics have significantly more often positive FH, drink significantly bigger amounts of alcohol, have more forensic history, and personality disorders in comparison to elderly ones. On the other hand elderly alcoholics tend to have more somatic complication due to alcohol abuse, but drink less alcohol, tend to abstain longer, and have less psychopathic traits. In contrast to literature, the majority of elderly alcoholics are married, have low education and do not belong to high social classes.

  2. Higher education in Gerodontology in European Universities.

    Science.gov (United States)

    Kossioni, Anastassia; McKenna, Gerry; Müller, Frauke; Schimmel, Martin; Vanobbergen, Jacques

    2017-03-28

    The rapid aging of the European population and the subsequent increase in the oral care needs in older adults necessitates adequate training of dental professionals in Gerodontology (Geriatric Dentistry). This study was designed to investigate the current status of Gerodontology teaching amongst European dental schools at the undergraduate, postgraduate and continuing education levels. An electronic questionnaire was developed by a panel of experts and emailed to the Deans or other contact persons of 216 dental schools across 39 European countries. The questionnaire recorded activity levels, contents and methodology of Gerodontology teaching as part of dental education programs. Repeated e-mail reminders and telephone calls were used to encourage non-responders to complete the questionnaire. A total of 123 responses from 29 countries were received (response rate: 56.9%). Gerodontology was taught in 86.2% of schools at the undergraduate level, in 30.9% at the postgraduate level and in 30.1% at the continuing education level. A total of 43.9% of the responding schools had a dedicated Gerodontology program director. Gerodontology was taught as an independent subject in 37.4% of the respondent schools. Medical problems in old age, salivary impairment and prosthodontic management were the most commonly covered topics in Gerodontology teaching. Clinical teaching took place in 64.2% of the respondent schools, with 26.8% offering clinical training in outreach facilities. The vast majority of European dental schools currently teach Gerodontology at the undergraduate level. More training opportunities in oral care of frail elders should be offered, and more emphasis should be placed on interdisciplinary and interprofessional training, educational collaborations, and the use of modern technologies. Dedicated postgraduate Gerodontology courses need to be developed to create a significant number of specialized dentists and trained academics.

  3. Two Principles of good elderly care

    DEFF Research Database (Denmark)

    Dahl, Hanne Marlene; Eskelinen, Leena; Boll Hansen, Eigil

    NPM brings new understandings into elderly care and has recently in Denmark taken a turn towards quality. Quality has, amongst others, been implemented through a general focus upon the self-determination of the elderly and more specifically through various policy tools such as Free Choice (2003......) which is a possibility for the elderly to choose a private provider. Stressing the self-determination of the elderly and the help provided as service is potentially at odds with one of the existing principles of elderly care, namely the professional principle of help-to-self help. It aims at activating...

  4. Pneumonia and hospitalizations in the elderly

    Directory of Open Access Journals (Sweden)

    Francesco Cacciatore

    2017-05-01

    Full Text Available Pneumonia in the elderly is a common and severe problem. In this review we analyze the state of the art for pneumonia in the elderly. Several aspects are discussed: i how common is the disease; signs and symptoms in the elderly; ii the elderly must always be hospitalized and which is the best place - Intensive Care Unit or medical ward?; iii the role of comorbidities; iv etiology and pathogenesis; medical treatment - when and how to start; v antibiotic resistance; vi antibiotics in hospital acquired and ventilator related pneumonia; vii assisted non-invasive ventilation; viii the treatment in the terminally ill elderly patient.

  5. [The evaluation of socio-medical well-being of elderly people in Russia (capability to function and priorities derived from the opinion poll)].

    Science.gov (United States)

    Belokon', O V

    2006-01-01

    Our consideration of data from elder people (health, welfare, style of life, and capability to function--"life quality" in general) presented here as continuation of our research and analysis started in year 2004. The data of elderly capability to function are investigated for seven Russian European areas (Moscow, Zhukovsky, Dubna, five villages of Moscow region, Kursk, Novgorod, Samara). The quality of social and medical service was evaluated among the elderly community with due regard for common needs. This opinion poll results are valuable database in the special projects for the social risk groups. The responding social key factors are ranked firstly.

  6. Update of European bioethics

    DEFF Research Database (Denmark)

    Rendtorff, Jacob Dahl

    2015-01-01

    , the principles of autonomy, dignity, integrity and vulnerability are proposed as the most important ethical principles for respect for the human person in biomedical and biotechnological development. This approach to bioethics and biolaw is presented here in a short updated version that integrates the earlier......This paper presents an update of the research on European bioethics undertaken by the author together with Professor Peter Kemp since the 1990s, on Basic ethical principles in European bioethics and biolaw. In this European approach to basic ethical principles in bioethics and biolaw...... research in a presentation of the present understanding of the basic ethical principles in bioethics and biolaw....

  7. Democratic Citizenship: European referents

    Directory of Open Access Journals (Sweden)

    María PUIG GUTIÉRREZ

    2011-09-01

    Full Text Available Let’s sense beforehand in this article a tour concerning the educational European policies that favors the development of a democratic citizenship. The aim that we chase is to understand the way in which nowadays it is being interpreted and stimulated the Citizenship education from European Union. for it we offer a conceptual delimiting of «Citizenship education» and later, we show an analysis of the principal documents and materials elaborated principally by the Council of Europe that mark the way followed by European Union as for education for Democratic Citizenship (EDC.

  8. Creating aesthetically resonant environments for the handicapped, elderly and rehabilitation: Sweden

    DEFF Research Database (Denmark)

    Brooks, Tony; Hasselblad, Stefan

    2005-01-01

    CARE HERE (Creating Aesthetically Resonant Environments for the Handicapped, Elderly and Rehabilitation) was realised as a full European IST (Information Society Technologies) project, involving adults and children with learning disability, PMLD (Profound and Multiple Learning Disability...... for motion detection that empowered digital painting from gesture that supplemented music creation and its use as a therapeutic supplement. Findings point at the potential use of interactive virtual environments for therapy across dysfunction and age where creativity and/or gameplay are targeted. This paper...

  9. Movement disorders in the elderly

    African Journals Online (AJOL)

    elderly, and in particular, Parkinson's disease (PD) and essential tremor (ET) may be a source of considerable concern and morbidity. Essential tremor (ET). ET is a common condition and is typically of concern to the patient for two major reasons, one relating to the motor disability and embarrassment, and the other out of.

  10. Report on the Elderly 1996

    NARCIS (Netherlands)

    J.M. Timmermans; M.M.Y. de Klerk

    2000-01-01

    The Social and Cultural Planning Office has been asked to asked to provide information on a regular basis about a number of different population groups. This third report on the elderly looks at the following subjects: demographic trends and networks education and

  11. PREVALENCE OF TRITION AMONG ELDERLY

    African Journals Online (AJOL)

    2004-06-01

    Jun 1, 2004 ... INTRODUCTION. Elderly persons have been classified as people above age 65 years while older persons have been categorised as people over 60 years]. Aging is a ... aging, muscular and skeletal changes occur and may contribute to ... There is increasing global interest in issues con- cerning the ...

  12. Rational Suicide among the Elderly.

    Science.gov (United States)

    Humphry, Derek

    1992-01-01

    Contends that old age, in and of itself, should never need to be a cause for self-destruction. Further argues that suicide and assisted suicide carried out in the face of terminal illness causing unbearable suffering should be ethically and legally acceptable. Outlines a perspective on rational suicide among the elderly. (Author/NB)

  13. Studying Emotions in the Elderly

    NARCIS (Netherlands)

    Kremer, Stefanie; Uijl, den Louise

    2016-01-01

    This chapter provides an overview of our current understanding of emotions and their measurement in older people. The first part briefly reviews our current understanding of both "the elderly" in general and various facets of emotional aging, such as emotional experiences, emotion regulation,

  14. Opioid use in the elderly.

    NARCIS (Netherlands)

    Wilder-Smith, O.H.G.

    2005-01-01

    Pain treatment in the elderly is an important challenge to Western societies due to increasing numbers of old persons, their higher incidence of pain, and their greater susceptibility to adverse effects of pain medication. We provide an overview of the factors liable to influence opioid action in

  15. Breast cancer in the elderly

    African Journals Online (AJOL)

    breast cancer at the University of Benin Teaching Hospital, Nigeria. Of these, 27. (25.2%) were aged 60 years ... and physician vigilance are keys to early detection and treatment of breast cancer in the elderly. INTRODUCTION ..... Law TM, Hesketli PJ, Porter KA, Lawn-Tsao L,. McAxiaw R and Lopez MJ. Breast cancer in eld ...

  16. Elderly Persons' Attitudes toward Children.

    Science.gov (United States)

    Seefeldt, Carol; And Others

    1982-01-01

    Developed and administered the Elderly Persons' Attitudes toward Children to a random sample of older adults. Results indicated an overall positive attitude toward children with negative attitudes to some personality characteristics. Discusses implications for intergenerational program planning in school and nonschool settings. (RC)

  17. Suicidal Tendencies in the Elderly.

    Science.gov (United States)

    Achte, Kalle

    1988-01-01

    Claims elderly suicides are more frequent, and more likely to be multifactorial, including loneliness, isolation, depression, somatic illnesses, having suffered numerous losses, and injuries to the self-esteem (concerns regarding emptiness, uselessness, and body image). Aggressive impulses previously neutralized by work and social life now break…

  18. Elderly alcoholics in outpatient treatment

    DEFF Research Database (Denmark)

    Nielsen, Bent; Nielsen, Anette Søgaard; Lolk, Anette

    2010-01-01

    In Denmark, the treatment of alcoholics is provided by public outpatient alcohol clinics. The purpose of this study was to investigate whether elderly patients differ from younger patients with regards to sociodemographic data, drinking pattern and psychiatric comorbidity which may affect...

  19. Sexual counseling in elderly couples.

    Science.gov (United States)

    Bitzer, Johannes; Platano, Giacomo; Tschudin, Sibil; Alder, Judith

    2008-09-01

    Sexual health of the elderly has long been either a taboo or a non-medical life style luxury issue. Increasing longevity of women and men, reconceptualization of sexual health as part of general health, and the development of drugs aiming at improvement of sexual function have contributed to a change in the attitude of the elderly and the medical community, thus increasing the demands for help. To respond to these demands, caregivers need to be informed about the statistics concerning the sex life of the elderly, need to understand the biological, psychological, interaction and social factors that determine the sexual health of the aging population, need a comprehensive diagnostic and therapeutic approach, taking into account the specific characteristics of the aging male, female, and the couple. Diagnostic and therapeutic algorithm integrating the biopsychosocial profile of the aging male and female and the interaction characteristics of the couple. Review of the literature, analysis of cases, and review of multidisciplinary case discussions of elderly couples with sexual problems consulting the Division of Sexual Medicine at the University Hospital of Basel. Sexual dysfunction is highly prevalent in the aging population, with hypoactive sexual desire disorder and pain disorders being the most frequent in women, and premature ejaculation and erectile dysfunction being the most frequent in men. The specific characteristics of the sexual ill health in elderly couples are the interactions of physical and mental morbidity including therapies, multidimensional sexual dysfunctions in both partners, dyssynchrony in personal development and sexual scripts, and a longstanding fixed interactional pattern with rigid "sexual roles." The diagnostic approach has to integrate sexological descriptive diagnoses of both partners, their biopsychosocial profile, and the couple's history and interactional pattern. From this diagnostic framework, caregivers must design specific

  20. CERN welcomes European science

    CERN Multimedia

    2002-01-01

    On 3 and 4 October CERN will host a special workshop for Marie Curie fellows. This programme is a key plank in the EU's strategy for creating a European research area.     With thousands of scientists from all over the continent working together, CERN is already an exemplary European science showcase. On 3 and 4 October, the Laboratory will contribute further to unifying all European science by hosting a special workshop for EU-funded Marie Curie fellows. This scheme gives young researchers from around the continent the mobility to go to wherever Europe's best facilities in their chosen field happen to be. The event that will take place at CERN, entitled 'Special workshop of Marie Curie Fellows on research and training in physics and technology', organised together with the European Commission, is a continuation of a series of workshops with the aim, among others, of promoting young researchers, supporting their training and mobility, and facilitating the interdisciplinary dissemination of knowledge. Dur...

  1. European Economic Integration

    Science.gov (United States)

    Huston, James A.

    1971-01-01

    Recounts the history and problems of European Economic Integration from the first post World War II organization, the OEEC, to the EEC (Common Market) and the EFTA. Suggestions for further reading are included. (JB)

  2. European Molecular Biology Laboratory

    CERN Multimedia

    1973-01-01

    On 10 May an Agreement was signed at CERN setting up a new European Laboratory. It will be concerned with research in molecularbiology and will be located at Heidelberg in the Federal Republic of Germany.

  3. The European University Landscape

    DEFF Research Database (Denmark)

    Daraio, Cinzia; Bonaccorsi, Andrea; Geuna, Aldo

    2011-01-01

    This paper provides a new and systematic characterization of 488 universities, from 11 European countries: Finland, France, Germany, Hungary, Italy, Netherlands, Norway, Portugal, Spain, Switzerland and UK. Using micro indicators built on the integrated Aquameth database, we characterize the Euro...

  4. European mobility cultures

    DEFF Research Database (Denmark)

    Haustein, Sonja; Nielsen, Thomas A. Sick

    2016-01-01

    More targeted European policies promoting green travel patterns require better knowledge on differing mobility cultures across European regions. As a basis for this, we clustered the EU population into eight mobility styles based on Eurobarometer data. The mobility styles - including, for example......-economic resources. In a second step, the 28 EU member countries were clustered into six country clusters based on their representation of mobility styles. The country clusters indicate the existence of considerably different mobility cultures across the EU. Sub-regions can be identified that have highly different...... positions on the path towards sustainable mobility and therefore different requirements towards European platforms and support measures, e.g. for 'Sustainable Urban Mobility Plans'. The country clusters can provide a starting point for future communication and targeting of European efforts in sustainable...

  5. Website design: technical, social and medical issues for self-reporting by elderly patients.

    Science.gov (United States)

    Taylor, Mark J; Stables, Rod; Matata, Bashir; Lisboa, Paulo J G; Laws, Andy; Almond, Peter

    2014-06-01

    There is growing interest in the use of the Internet for interacting with patients, both in terms of healthcare information provision and information gathering. In this article, we examine the issues in designing healthcare websites for elderly users. In particular, this article uses a year-long case study of the development of a web-based system for self-reporting of symptoms and quality of life with a view to examine the issues relating to website design for elderly users. The issues identified included the technical, social and medical aspects of website design for elderly users. The web-based system developed was based on the European Quality of Life 5-Dimensions health-status questionnaire, a commonly used tool for patient self-reporting of quality of life, and the more specific coronary revascularisation outcome questionnaire. Currently, self-reporting is generally administered in the form of paper-based questionnaires to be completed in the outpatient clinic or at home. There are a variety of issues relating to elderly users, which imply that websites for elderly patients may involve different design considerations to other types of websites.

  6. European Cyber Security Policy

    OpenAIRE

    Bendiek, Annegret

    2012-01-01

    The gradually developing European cyber security policy tries to establish minimum standards in all EU member states with regard to prevention, resilience and international cooperation. It aims to foster national security without compromising democratic principles or unduly limiting individual liberties. However, it is hard to find a balance between these goals, and the EU’s measures thus inevitably raise questions about the democratic implications of European cyber security policy. Are the i...

  7. Timetabling on European Corridors

    OpenAIRE

    Lischke, Andreas; Führer, B. (Bernhard); Garavagno, G.

    2005-01-01

    The Path Allocation Re-engineering of Timetable Networks for European Railways (PARTNER) project aims to demonstrate a new way of train path allocation and assembly along international corridors towards a faster and more coordinated railway infrastructure capacity management. PARTNER will assist two neighbour infrastructure managers to develop a common understanding of the effects of international train paths. The results of a survey of European infrastructure managers and railway underta...

  8. European Physical Society awards

    CERN Multimedia

    2004-01-01

    The winners of the 2004 Accelerator Prizes, awarded by the European Physical Society's Interdivisional Group on Accelerators (EPS-IGA), have been announced. Vladmir Shiltsev (Fermilab) and Igor Meshkov (JINR, Joint Institute of Nuclear Research, Dubna) will be presented with their awards during the 9th European Particle Accelerator Conference, EPAC'04, on 8 July 2004 in Lucerne. Both physicists will also give a talk about their work. More details on: http://epac.web.cern.ch/

  9. European Banking Union

    OpenAIRE

    Breuss, Fritz

    2013-01-01

    The ongoing Euro crisis and the worse economic development in Europe than in the USA are grounded, not the least in the delayed implementation of reforms of the banking sector. Whereas the leaks in economic governance of EMU have been fixed the banking sector is still not stabilised, even five years after Lehman Brothers. From the grand solution of a "European Banking Union" (EBU) only the first pillar, the European Bank Supervision with the single supervisory mechanism (SSM) will come into e...

  10. European DHC Research Issues

    Energy Technology Data Exchange (ETDEWEB)

    Wiltshire, Robin; Williams, Jonathan (Building Research Establishment, BRE, Bucknalls Lane, Watford (United Kingdom)); Werner, Sven (Halmstad University, School of Business and Engineering, Halmstad (Sweden))

    2008-09-15

    Euroheat and Power is now working towards a European Technology Platform for District Heating and Cooling. In response to this important European DHC research initiative, a preliminary detailed list of research issues within 18 dimensions was elaborated and communicated to more than 100 people in February 2008. After additions and comments received, an updated list of research issues was again distributed in July 2008. This paper contains the current list of suggested research issues

  11. Angiotensin-converting enzyme deletion allele is beneficial for the longevity of Europeans.

    Science.gov (United States)

    Zajc Petranović, Matea; Skarić-Jurić, Tatjana; Smolej Narančić, Nina; Tomas, Zeljka; Krajačić, Petra; Miličić, Jasna; Barbalić, Maja; Tomek-Roksandić, Spomenka

    2012-06-01

    The human angiotensin converting enzyme (ACE) gene is one of the most investigated candidate genes for cardiovascular diseases (CVD), but the understanding of its role among the elderly is vague. Therefore, this study focuses at: (a) testing the association of ACE polymorphism with CVD risk factors among the elderly, and (b) detecting the possible unequal distribution of ACE genotypes between senescent and younger segments of the European populations. The association of ACE I/D polymorphism with CVD health status [hypertension (HT), obesity, dislypidemia] in 301 very old subjects (88.2 ± 5 years; F/M = 221/80) was tested by means of logistic regression analysis. The meta-analysis of D allele frequency in general vs. elderly (80+ years) groups was conducted using all publicly available data for European populations comprising both age cohorts. Multiple multinomial logistic regression revealed that within this elderly sample, age (younger olds, 80-90 years), female sex (OR = 3.13, 95% CI = 1.59-6.19), and elevated triglycerides (OR = 2.53, 95% CI = 1.29-4.95) were positively associated with HT, while ACE polymorphism was not. It was also established that the DD genotype was twice as high in 80+ cohort compared to general population of Croatia (p < 0.00001). This trend was confirmed by the meta-analysis that showed higher D allele frequencies in olds from nine of ten considered European populations (OR = 1.19, 95% CI = 1.08-1.31). The data in elderly cohort do not confirm previously reported role of ACE DD genotype to the development of HT. Moreover, meta-analysis indicated that ACE D allele has some selective advantage that contributes to longevity in majority of European populations.

  12. Elderly abuse: risk factors and nursing role.

    Science.gov (United States)

    Corbi, Graziamaria; Grattagliano, Ignazio; Ivshina, Evgeniya; Ferrara, Nicola; Solimeno Cipriano, Angela; Campobasso, Carlo Pietro

    2015-04-01

    Elderly abuse is still a hidden problem, often underestimated. It is much more common than the data available suggest. Unfortunately, the incidence is expected to grow with the progressive increase in the elderly population in the future. The aim was to examine the available literature in the last 5 years to define the state of art on this phenomenon, with particular regard to the nursing role in elderly abuse, focusing on the possible types of mistreatment, the motivations and preventive interventions. Articles published in the last 5 years regarding the mistreatment of the elderly were selected, by using scientifically recognized databases such as PubMed, Cochrane Library, Medline, Scopus, and Web of Knowledge. Several keywords were used for the query among which were: "elderly abuse" and "elderly abuse in nursing home". Moreover, to better understand the entity of the phenomenon, we also searched the corresponding keywords for child abuse. Considering the Scopus database, only 78 out of 1,342 published articles in the last 5 years deal with abuse of the elderly in relation to nursing, representing a very small part (5.81%) of the considered sample. Comparing the number of articles, the ratio child/elderly is equal to 1/0.04, underlying the poor interest of research on this phenomenon. Moreover, it was observed that elderly abuse in nursing homes is still underreported in both original articles and reviews. Despite the aging of the population, elderly abuse and neglect still remain hidden problems, overlooked and also underestimated in the literature.

  13. Habermas on European Constitution and European Identity

    Directory of Open Access Journals (Sweden)

    Éva Biró-Kaszás

    2010-12-01

    Full Text Available For the last two decades or so philosophers have been reflecting on a set of practical and political concerns in connection with the new political structural arrangements beyond the nation-state. In this article two essays by Jürgen Habermas shall be examined. An attempt shall be made to tackle Habermas’ philosophical concepts of personal and collective identity as well as the role that a constitution may play in building the post-national constellation. It has been shown that Habermas has normative answers. Firstly, according to him, the fragile balance between the legal order and the particular cultures and traditions of a community has to be protected by the constitutional state. For that reason the political culture has to be “decoupled” from the majority culture. Secondly, the democratically structured attempt to achieve shared meaning has to find the delicate balance between the context-transcending universal normative claims and the claims of particular individual and collective life. Thirdly, it is possible to expand legally mediated civil solidarity trans-nationally, across Europe – we may recognize this development as the emergence of European identity –, since the process of democratic will-formation of citizens may get loose from the structures provided by the state if both shared democratic political cultures as well as a European-wide public sphere exist. The European Constitution may have a catalytic function in materialization of these conditions. It has been shown that in his deliberations Habermas tried to find a reflective equilibrium between the normative and the empirical.

  14. Treatment options and outcomes for glioblastoma in the elderly patient

    Directory of Open Access Journals (Sweden)

    Arvold ND

    2014-02-01

    Full Text Available Nils D Arvold,1 David A Reardon2 1Department of Radiation Oncology, Dana-Farber/Brigham and Women's Cancer Center, Boston, MA, USA; 2Center for Neuro-Oncology, Dana-Farber/Brigham and Women's Cancer Center, Boston, MA, USA Abstract: Age remains the most powerful prognostic factor among glioblastoma (GBM patients. Half of all patients with GBM are aged 65 years or older at the time of diagnosis, and the incidence rate of GBM in patients aged over 65 years is increasing rapidly. Median survival for elderly GBM patients is less than 6 months and reflects less favorable tumor biologic factors, receipt of less aggressive care, and comorbid disease. The standard of care for elderly GBM patients remains controversial. Based on limited data, extensive resection appears to be more beneficial than biopsy. For patients with favorable Karnofsky performance status (KPS, adjuvant radiotherapy (RT has a demonstrated survival benefit with no observed decrement in quality of life. Concurrent and adjuvant temozolomide (TMZ along with RT to 60 Gy have not been prospectively studied among patients aged over 70 years but should be considered for patients aged 65–70 years with excellent KPS. Based on the recent NOA-08 and Nordic randomized trials, testing for O6-methylguanine-DNA-methyltransferase (MGMT promoter methylation should be performed routinely immediately after surgery to aid in adjuvant treatment decisions. Patients aged over 70 years with favorable KPS, or patients aged 60–70 years with borderline KPS, should be considered for monotherapy utilizing standard TMZ dosing for patients with MGMT-methylated tumors, and hypofractionated RT (34 Gy in ten fractions or 40 Gy in 15 fractions for patients with MGMT-unmethylated tumors. The ongoing European Organisation for Research and Treatment of Cancer/National Cancer Institute of Canada trial will help clarify the role for concurrent TMZ with hypofractionated RT. For elderly patients with poor KPS, reasonable

  15. Drug prescription in the elderly

    Directory of Open Access Journals (Sweden)

    Paola Fuentes

    2013-05-01

    Full Text Available The aging process changes the way in which common drugs act in the elderly. Changes in both the pharmacokinetics and pharmacodynamics make prescribing drugs in geriatrics a process very different from that of the young adult. The aim of this article is to review the physiologic changes that occur with aging and that must be considered when indicating drugs in this age group. For this purpose we conducted a literature review of articles from various journals and textbooks devoted to geriatric medicine in order to extract recommendations for appropriate prescribing in the elderly, represented in easy to use listings of potentially inappropriate medications, according to the quality of evidence and rationale for their avoidance in advanced age.

  16. Chronic diseases in elderly men

    DEFF Research Database (Denmark)

    Nielsen, Morten Frost Munk; Wraae, Kristian; Gudex, Claire

    2012-01-01

    OBJECTIVE: prevalence estimates for chronic diseases and associated risk factors are needed for priority setting and disease prevention strategies. The aim of this cross-sectional study was to estimate the self-reported and clinical prevalence of common chronic disorders in elderly men. STUDY......-reported data on risk factors and disease prevalence were compared with data from hospital medical records. RESULTS: physical inactivity, smoking and excessive alcohol intake were reported by 27, 22 and 17% of the study population, respectively. Except for diabetes, all the chronic diseases investigated......: the study showed a high prevalence of detrimental life style factors including smoking, excessive alcohol consumption and physical inactivity in elderly Danish men. Except for diabetes and respiratory disease, chronic diseases were underreported and in particular erectile dysfunction and osteoporosis were...

  17. The nail in the elderly.

    Science.gov (United States)

    Baran, Robert

    2011-01-01

    Treating elderly patients has become common in daily clinical practice. Consequently, it is important to focus our interest on a neglected region: the nail area. Anatomy and physiology are indispensable for a good comprehension of some phenomenons. Histopathology of senile changes may explain some pathologic situations and is indispensable for diagnosing uncommon tumors. Chemical composition shows that a normal nail contains 18% water. The rate of linear nail decreases as age advances. Ridging is a normal finding on fingernails, with color varying from shades of yellow to grey. The most common disorders, however, are linked to repeated trauma, with sometimes ingrowing toenails with different appearances. Tumors in the nail area are relatively frequent. Nail fungal infection may be isolated or associated with conditions such as psoriasis and diabetes. The management of the main nail disorders observed in the elderly are presented. Copyright © 2011 Elsevier Inc. All rights reserved.

  18. Near-fatal asthma in the elderly.

    Science.gov (United States)

    Arjona, Nydia

    2015-01-01

    Asthma affects the elderly as often as other age groups; however, it more often becomes fatal in the elderly. Unfortunately, asthma is often unmanaged or underdiagnosed in the older population. It is important for health care providers to recognize risk factors in the elderly and properly treat them before asthma becomes fatal. This article describes near-fatal asthma and identifies risk factors specifically for the elderly. Symptoms of asthma are reviewed as well as assessments and diagnostic tests to identify asthma severity and complications. Proper management needs to be urgently initiated to prevent worsening respiratory distress; this includes fast-acting drug treatments appropriate for elderly patients. Decompensated acute respiratory failure, secondary to severe asthma, requires the skills of an experienced anesthesiologist because these patients may rapidly deteriorate during induction and intubation. Ventilator management must include strategies to prevent worsening hyperinflation of the lungs. Elderly asthma patients have a higher mortality risk related to ventilator complications and other comorbidities.

  19. Exoskeleton plantarflexion assistance for elderly.

    Science.gov (United States)

    Galle, S; Derave, W; Bossuyt, F; Calders, P; Malcolm, P; De Clercq, D

    2017-02-01

    Elderly are confronted with reduced physical capabilities and increased metabolic energy cost of walking. Exoskeletons that assist walking have the potential to restore walking capacity by reducing the metabolic cost of walking. However, it is unclear if current exoskeletons can reduce energy cost in elderly. Our goal was to study the effect of an exoskeleton that assists plantarflexion during push-off on the metabolic energy cost of walking in physically active and healthy elderly. Seven elderly (age 69.3±3.5y) walked on treadmill (1.11ms2) with normal shoes and with the exoskeleton both powered (with assistance) and powered-off (without assistance). After 20min of habituation on a prior day and 5min on the test day, subjects were able to walk with the exoskeleton and assistance of the exoskeleton resulted in a reduction in metabolic cost of 12% versus walking with the exoskeleton powered-off. Walking with the exoskeleton was perceived less fatiguing for the muscles compared to normal walking. Assistance resulted in a statistically nonsignificant reduction in metabolic cost of 4% versus walking with normal shoes, likely due to the penalty of wearing the exoskeleton powered-off. Also, exoskeleton mechanical power was relatively low compared to previously identified optimal assistance magnitude in young adults. Future exoskeleton research should focus on further optimizing exoskeleton assistance for specific populations and on considerate integration of exoskeletons in rehabilitation or in daily life. As such, exoskeletons should allow people to walk longer or faster than without assistance and could result in an increase in physical activity and resulting health benefits. Copyright © 2016 Elsevier B.V. All rights reserved.

  20. COCHLEAR IMPLANTATION PREVALENCE IN ELDERLY

    Directory of Open Access Journals (Sweden)

    A. V. Starokha

    2014-01-01

    Full Text Available Current paper describes an experience of cochlear implantation in elderly. Cochlear implantation has become a widely accepted intervention in the treatment of individuals with severe-to-profound sensorineural hearing loss. Cochlear implants are now accepted as a standard of care to optimize hearing and subsequent speech development in children and adults with deafness. But cochlear implantation affects not only hearing abilities, speech perception and speech production; it also has an outstanding impact on the social life, activities and self-esteem of each patient. The aim of this study was to evaluate the cochlear implantation efficacy in elderly with severe to profound sensorineural hearing loss. There were 5 patients under our observation. Surgery was performed according to traditional posterior tympanotomy and cochleostomy for cochlear implant electrode insertion for all observed patients. The study was conducted in two stages: before speech processor’s activation and 3 months later. Pure tone free field audiometry was performed to each patient to assess the efficiency of cochlear implantation in dynamics. The aim of the study was also to evaluate quality of life in elderly with severe to profound sensorineural hearing loss after unilateral cochlear implantation. Each patient underwent questioning with 36 Item Short Form Health Survey (SF-36. SF-36 is a set of generic, coherent, and easily administered quality-of-life measures. The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The eight sections are: physical functioning; physical role functioning; emotional role functioning; vitality; emotional well-being; social role functioning; bodily pain; general health perceptions. Our results demonstrate that cochlear implantation in elderly consistently improved quality of life

  1. Property Taxes and Elderly Mobility

    Science.gov (United States)

    Shan, Hui

    2009-01-01

    The 2000–05 housing market boom in the U.S. has caused sharp increases in residential property taxes. Housing-rich but income-poor elderly homeowners often complain about rising tax burdens, and anecdotal evidence suggests that some move to reduce their tax burden. There has been little systematic analysis, however, of the link between property tax levels and the mobility rate of elderly homeowners. This paper investigates this link using household-level panel data from the Health and Retirement Study (HRS) and a newly collected data set on state-provided property tax relief programs. These relief programs generate variation in effective property tax burdens that is not due solely to arguably endogenous local community choices about taxes and expenditure programs. The findings provide evidence suggesting that higher property taxes raise mobility among elderly homeowners. The point estimates from instrumental variable estimation using relief programs to generate instruments suggest that a $100 increase in annual property taxes is associated with a 0.73 percentage point increase in the two-year mobility rate for homeowners over the age of 50. This is an eight percent increase from the baseline two-year mobility rate of nine percent. These results are robust to alternative specifications. PMID:20161617

  2. Rehabilitation strategy in the elderly.

    Science.gov (United States)

    Intiso, Domenico; Di Rienzo, Filomena; Russo, Mario; Pazienza, Luigi; Tolfa, Maurizio; Iarossi, Andrea; Maruzzi, Giuseppe

    2012-01-01

    The population is getting older. Rehabilitation can play an essential strategic role to counteract impairments and disability which characterize the elderly. Correct rehabilitative programmes have to be approached on the functional limitation and residual abilities of elders. Leading a more active lifestyle and regular physical activity including aerobic and resistance exercises have been demonstrated to improve cardiovascular, respiratory, musculoskeletal, and cognitive wellbeing in older adults. Occupational therapy, prescription of assistive devices, environmental, and home living adaptation, and family or caregiver educational training represent an essential rehabilitative strategy in elders developing disability. In these people, falls are dramatic events that lead to hospitalization, functional decline, decreased social activity, and poor quality of life. Rehabilitation incorporating balance, gait, and strength training exercise interventions can reduce the risk of falls. Frailty refers to a condition characterized by a gradual physiologic decline in multiple body systems, loss of physiologic reserve, and increased vulnerability to disease and death. Several therapeutic strategies have been proposed including exercises, multi-component training and approaches, all aimed at decreasing the need for nursing home placement, hospitalization, and reducing dependence and death. In these subjects, geriatric comprehensive assessment and the multi-disciplinary team have recently been demonstrated to be more effective than usual care.

  3. Myocardial infarction in the elderly.

    Science.gov (United States)

    Carro, Amelia; Kaski, Juan Carlos

    2011-04-01

    Advances in pharmacological treatment and effective early myocardial revascularization have -in recent years- led to improved clinical outcomes in patients with acute myocardial infarction (AMI). However, it has been suggested that compared to younger subjects, elderly AMI patients are less likely to receive evidence-based treatment, including myocardial revascularization therapy. Several reasons have been postulated to explain this trend, including uncertainty regarding the true benefits of the interventions commonly used in this setting as well as increased risk mainly associated with comorbidities. The diagnosis, management, and post-hospitalization care of elderly patients presenting with an acute coronary syndrome pose many difficulties at present. A complex interplay of variables such as comorbidities, functional and socioeconomic status, side effects associated with multiple drug administration, and individual biologic variability, all contribute to creating a complex clinical scenario. In this complex setting, clinicians are often required to extrapolate evidence-based results obtained in cardiovascular trials from which older patients are often, implicitly or explicitly, excluded. This article reviews current recommendations regarding management of AMI in the elderly.

  4. Lifestyle medicines and the elderly.

    Science.gov (United States)

    Walley, Tom

    2002-01-01

    Lifestyle medicines are those used to meet patient aspirations rather than traditionally defined medical need. However, in many cases, the boundary between the two is ill defined and a matter of degree or cultural expectation. Such medicines are not yet widely used by the elderly, but this may change in an increasingly consumerist society. There are ethical, clinical and financial issues to be considered around these drugs, which are not independent. The ethical issues relate mainly to the rising consumerism in medicine, and whether these and other medicines are consumer goods available almost on demand. The clinical issues concern the balancing of risk and benefit for these medicines, and how we inform patients of these issues. The financial issues are who should pay and whether third party payers can and should ration these medicines and, if so, how. Lifestyle medicines may provoke a debate on the whole issue of rationing. These issues are not confined to the use of these medicines by the elderly and their resolution will depend on a broader societal debate, in which the elderly need to be active.

  5. Colonic Diverticulitis in the Elderly

    Directory of Open Access Journals (Sweden)

    Chien-Kuo Liu

    2009-03-01

    Full Text Available Diverticular disease of the colon is a disease that mainly affects the elderly and presents in 50–70% of those aged 80 years or older. The most common complication is colonic diverticulitis. Eighty percent of patients who present with colonic diverticulitis are aged 50 years and older. Diagnosis and treatment of colonic diverticulitis in the elderly is more difficult and complicated owing to more comorbid conditions. Computed tomography is recommended for diagnosis when colonic diverticulitis is suspected. Most patients admitted with acute colonic diverticulitis respond to conservative treatment, but 15–30% of patients require surgery. Because surgery for acute colonic diverticulitis carries significant rates of morbidity and mortality, conservative treatment is recommended in the elderly. Conservative treatment of colonic diverticulitis with antibiotics, bowel rest, possibly including parenteral alimentation, is usually applied for 1–2 weeks. In the absence of a response to conservative treatment, frequent recurrence or complications (abscesses, fistulas, bowel obstructions, and free perforations, surgery is indicated.

  6. Health status of Hispanic elders.

    Science.gov (United States)

    Bassford, T L

    1995-02-01

    Hispanic elders living in the United States compose a rapidly increasing population. They are underinsured and more likely to be living in poverty. Health care is hindered in this population by lower access to health services and less use of preventive services. Barriers to access are primarily socioeconomic. Acculturation exerts an effect, primarily through its association with language skills, employment, and education. Cardiovascular disease is the leading cause of mortality for Hispanics, who have a higher prevalence of risk factors for cardiovascular disease, such as diabetes mellitus, obesity, and hyperlipidemia. Although neoplasia is the second most frequent cause of death among Hispanics, as it is in whites who are not Hispanic, Hispanics have an overall lower cancer rate. Cancer rates are increasing, however. Non-insulin-dependent diabetes mellitus is a significant cause of morbidity and mortality in the Hispanic population, affecting nearly a quarter of adult Puerto Ricans and Mexican Americans. Although higher prevalence of obesity in the Hispanic population accounts for some of this difference, some data suggest the possibility of a genetic component as well. Assessment of psychological health in Hispanic elders is impeded by the lack of instruments designed for this population. Distress is often expressed as somatic symptoms. Values traditional to Hispanic culture, such as respeto, allocentrism, and familialism, are important to US Hispanic elders, many of whom were born in rural Mexico. Our knowledge of determinants of healthy aging in this population is still preliminary, but rapidly expanding, in part, because of increased attention to ethnicity in health reporting.

  7. Determinants of Elderly Poverty in Vietnam

    OpenAIRE

    Giang, Thanh Long; Pfau, Wade Donald

    2008-01-01

    By using household data in 2004, this paper identifies the determinants of the elderly poverty in Vietnam. We find that urban and rural elderly are substantially different, and thus they should be analyzed separately. The results for urban areas generally show that higher ages, unmarried status, residential regions, and working status have significant impacts on the likelihood of poverty for the elderly. In rural areas, higher ages, female, unmarried status, ethnic minorities, residential reg...

  8. Elder abuse: speak out for justice.

    Science.gov (United States)

    Olson, Jenna M; Hoglund, Barbara A

    2014-01-01

    It is estimated that 1 in 10 older adults experience abuse, but only 1 in 5 to as little as 1 in 24 cases are reported. Elder abuse is expected to increase as the population ages. Nurses are in a prime position to identify, assess, manage, and prevent elder abuse. This article explores elder abuse and its prevalence, potential causes, and risk factors offering case studies, assessment tools, resources, and interventions.

  9. National profiling of elder abuse referrals.

    LENUS (Irish Health Repository)

    Clancy, Marguerite

    2011-05-01

    there is little consistent data on patterns of reporting of elder abuse in Europe. Between 2002 and 2007, the Irish Health Service Executive developed dedicated structures and staff to support the prevention, detection and management of elder abuse without mandatory reporting. Public awareness campaigns, staff training and management briefings heightened awareness regarding this new service. Central to this process is the development of a national database which could provide useful insights for developing coordinated responses to elder abuse in Europe.

  10. Transnational European Television Drama

    DEFF Research Database (Denmark)

    Bondebjerg, Ib; Redvall, Eva Novrup; Helles, Rasmus

    This book deals with the role of television drama in Europe as enabler of transnational, cultural encounters for audiences and the creative community. It demonstrates that the diversity of national cultures is a challenge for European TV drama but also a potential richness and source of creative...... variation. Based on data on the production, distribution and reception of recent TV drama from several European countries, the book presents a new picture of the transnational European television culture. The authors analyse main tendencies in television policy and challenges for national broadcasters...... coming from new global streaming services. Comparing cases of historical, contemporary and crime drama from several countries, this study shows the importance of creative co-production and transnational mediated cultural encounters between national cultures of Europe....

  11. The Europeanization of Eurosceptics?

    DEFF Research Database (Denmark)

    Dutceac Segesten, Anamaria; Bossetta Jr, Michael Joseph

    with the case of Sweden. Sweden is a good example because it has a high density of internet use, a politically active population as reflected in voter turnout and many politicians and political parties with a web presence. The main research questions of the paper are: Which actors are involved in the Swedish...... of a Europeanized network of anti-European voices for European integration and democracy. We plan to operationalize our research question through the use of webcrawling (i.e. Issue Crawler) and social media analytic softwares (Twitonomy and Bluenod). Using these softwares we will be able to discern whether...... or not non-Swedish Twitter users are participating in and/or affecting the Swedish Eurosceptic dialogue on social media....

  12. European Analytical Column

    DEFF Research Database (Denmark)

    Karlberg, B.; Grasserbauer, M.; Andersen, Jens Enevold Thaulov

    2009-01-01

    The European Analytical Column has once more invited a guest columnist to give his views on various matters related to analytical chemistry in Europe. This year, we have invited Professor Manfred Grasserbauer of the Vienna University of Technology to present some of the current challenges...... for European analytical chemistry. During the period 2002–07, Professor Grasserbauer was Director of the Institute for Environment and Sustainability, Joint Research Centre of the European Commission (EC), Ispra, Italy. There is no doubt that many challenges exist at the present time for all of us representing...... a major branch of chemistry, namely analytical chemistry. The global financial crisis is affecting all branches of chemistry, but analytical chemistry, in particular, since our discipline by tradition has many close links to industry. We have already noticed decreased industrial commitment with respect...

  13. European Universe Awareness

    Science.gov (United States)

    Russo, P.; Miley, G.; Westra van Holthe, F.; Schrier, W.; Reed, S.

    2011-10-01

    The European Universe Awareness (EU-UNAWE) programme uses the beauty and grandeur of the cosmos to encourage young children, particularly those from underprivileged backgrounds, to develop an interest in science and technology and to foster a sense of global citizenship. EU-UNAWE is already active in 40 countries and comprises a global network of almost 500 astronomers, teachers and other educators. The programme was recently awarded a grant of 1.9 million euros by the European Union so that it can be further developed in five European countries and South Africa. The grant will be used to organise teacher training workshops and to develop educational materials, such as an astronomy news service for children and games. During this presentation we will outline some of the biggest achievements of EU-UNAWE to date and discuss future plans for the programme.

  14. Alcohol Use among Abused and Non-Abused Older Persons Aged 60-84 Years: An European Study

    Science.gov (United States)

    Tredal, Ingrid; Soares, Joaquim J. F.; Sundin, Orjan; Viitasara, Eija; Melchiorre, Maria Gabriella; Torres-Gonzales, Francisco; Stankunas, Mindaugas; Lindert, Jutta; Ioannidi-Kapolou, Elisabeth; Barros, Henrique

    2013-01-01

    Aims: Describing alcohol use by abuse type (e.g. psychological) and considering other factors (e.g. depression). Methods: The respondents were 4467 (2559 women, 57.3%) randomly selected elders (60-84 years) from seven European cities. The cross-sectional data were collected with scales covering various areas and examined with…

  15. Comparison of safety and outcomes of shock wave lithotripsy between elderly and non-elderly patients.

    Science.gov (United States)

    Chen, Yi-Zhong; Lin, Wun-Rong; Lee, Chih-Chiao; Sun, Fang-Ju; Chow, Yung-Chiong; Tsai, Wei-Kung; Chiang, Pai-Kai; Lin, Ting-Po; Chen, Marcelo; Chiu, Allen W

    2017-01-01

    This study compared the clinical outcomes of extracorporeal shock wave lithotripsy between elderly (aged $65 years) and non-elderly (aged elderly: 245, elderly: 238) patients with upper urinary tract stones who underwent shock wave lithotripsy between 2007 and 2015. The demographic data, stone parameters, stone-free rate, retreatment rate, and complication rate were analyzed in both elderly and non-elderly patient groups. There was no significant difference between non-elderly and elderly patients in terms of stone-free rate (46.5% vs 41.1%, P>0.05) regardless of stone site or stone size and overall retreatment rate (41.6% vs 37.0%, P>0.05). Elderly patients had a higher complication rate than non-elderly patients (15.5% vs 23.5%, P=0.026). The most common complication was flank pain. Receiver operating characteristic curves predicted that elderly patients (cutoff value: 65 years of age) had a higher risk of complications and that patients with smaller stones (cutoff value: 0.8 cm) had a higher stone-free rate. This study showed that elderly patients with upper urinary tract stones undergoing shock wave lithotripsy had comparable efficacy for stone-free rates and retreatment rates, but higher complication rates.

  16. The European Identity

    Directory of Open Access Journals (Sweden)

    Alberto Martinelli

    2017-09-01

    Full Text Available European identity is not only a scientifically interesting question, but also a politically important issue: in fact, sixty years after the signing of the Treaty of Rome, the European Union finds itself for the first time facing risks that threaten its own existence. The European Union is a limited and incomplete project because Europe’s economic integration has not been accompanied by a genuine supranational political union and greater cultural integration. The deficit of democratic representation and cultural integration is due to the fact that the community process is based only on economic rationality and not on a feeling of common belonging. In the current situation in which the Union faces difficult challenges which threaten to undermine the future, it necessary to affirm the policy of interests with a policy of identity. In this essay, we will first concentrate on the concept of identity – that is on the nucleus of values and common institutions –; then we will discuss how the European identity has changed over time (also in relation to national identities and what are the mechanisms that may favour its taking root in the current situation. The European project of political unification needs to be re-emphasized, finding the way to a European collective identity, not contrasted with but alongside the different national identities, referring to loyalty and shared commitment to a whole collection of cultural values: fundamental human rights, civil liberties, democratic political institutions, rule of law, freedom of movement of people, goods and capital, social justice and non-violent resolution of conflicts.

  17. Elderly from lower socioeconomic groups are more vulnerable to mental health problems, but area deprivation does not contribute: A comparison between Slovak and Dutch cities

    OpenAIRE

    Behanova, Martina; Katreniakova, Zuzana; Nagyova, Iveta; van Ameijden, Erik J. C.; van Dijk, Jitse P.; Reijneveld, Sijmen A.

    2017-01-01

    BACKGROUND: Little is known about factors associated with mental health problems (MHP) of the elderly in socioeconomically deprived neighbourhoods, and comparisons between Central European and Western European countries on this topic are lacking. We examined whether MHP occurred more frequently in deprived neighbourhoods and among deprived people. Next, we examined whether the association of MHP with area deprivation differed by country and whether this could be explained by the socioeconomic...

  18. Communicating effectively with elders and their families

    National Research Council Canada - National Science Library

    Lubinski, Rosemary

    2010-01-01

    .... [...] through communication we create a therapeutic partnership with elders and families to facilitate carryover of intervention strategies and to reinforce their independent ability to problem-solve...

  19. Theories and measures of elder abuse.

    Science.gov (United States)

    Abolfathi Momtaz, Yadollah; Hamid, Tengku Aizan; Ibrahim, Rahimah

    2013-09-01

    Elder abuse is a pervasive phenomenon around the world with devastating effects on the victims. Although it is not a new phenomenon, interest in examining elder abuse is relatively new. This paper aims to provide an overview of the aetiological theories and measures of elder abuse. The paper briefly reviews theories to explain causes of elder abuse and then discusses the most commonly used measures of elder abuse. Based on the reviewed theories, it can be concluded that elder abuse is a multifactorial problem that may affect elderly people from different backgrounds and involve a wide variety of potential perpetrators, including caregivers, adult children, and partners. The review of existing measurement instruments notes that many different screening and assessment instruments have been developed to identify elders who are at risk for or are victims of abuse. However, there is a real need for more measurements of elder abuse, as the current instruments are limited in scope. © 2013 The Authors. Psychogeriatrics © 2013 Japanese Psychogeriatric Society.

  20. European Gas Dependency

    OpenAIRE

    Antonsen, Iben; Bieber, Martin; Gandrup, Tobias; Lehmann, Tina; Weinberger, Ashley

    2008-01-01

    The focal point of the project is, as it is implied in the title, European gas dependency, to be more specific; the dependency of Russian gas. We chose Russia, because the EU's import of gas is mainly supplied by Russia. We present background information and knowledge to describe why the case is of relevance and that a situation of dependency exists. We solely look at the dependency from the European Union's point of view, taking point of departure in the Green Paper. The Green Paper is a pap...

  1. European Values and Globalization

    Directory of Open Access Journals (Sweden)

    Heinz Theisen

    2011-03-01

    Full Text Available Good Governance, Social Market Economy, Culture and Education are the decisive elements for Human Development. We need a third way between the extremes of the Utopian Global Free Market and a new nationalism. A Social Market Economy and the European Model of a Union could be such third way. For a new Social Market Economy we need a renaissance of the European dialectics between culture and society, idealism and materialism, religion and enlightenment, solidarity and profitability. The balancing of those poles is deeply rooted in our best traditions. 

  2. Intrathoracic Goiter in Elderly Patients

    Directory of Open Access Journals (Sweden)

    Wen-Chien Huang

    2013-03-01

    Full Text Available There are few encounters with massive thyromegaly and intrathoracic extension as a result of the general usage of iodized salt and bread, which was an early therapeutic intervention for thyroid disorders. However, cervical goiter enlargement over time may extend into the thoracic space, causing respiratory distress, dysphagia, and vascular compression. Hence, even though it may be asymptomatic, there is potential for sudden enlargement (secondary to hemorrhage, cystic degeneration, or malignant change that can be life threatening and may require surgery. Patients who underwent surgery with curative intent for intrathoracic goiter from January 1970 to July 2002 were included in this retrospective study at the thoracic surgical division of Taipei Veteran General Hospital in Taipei, Taiwan. Data were compared between patients ≥65 years of age (elderly group and patients <65 years of age (younger group. Patient characteristics, hospital course, surgical mortality, morbidity, and survival were compared between patients in these two age groups. Total surgical treatment was given in 153 patients (men, 85; women, 68 with a mean age of 66.9 years (range, 41–86 years who were enrolled in our study. A total of 95 (62.1% patients were at least 65 years of age (mean age, 74.2 years and 58 (37.9% patients were younger than 65 years of age (mean age, 55 years; p < 0.001. Mean hospitalization was 9.5 days (range, 4–115 days, and the mean follow-up period was 4.5 years (range, 4 months–14 years. The elderly group had a significantly higher risk of respiratory syndromes (63.2% versus 34.5%, p < 0.001 and were predominantly men (63.2% versus 43.1%, p < 0.001. However, the elderly group had a significantly lower incidence of malignancy (0% versus 12.1%, p < 0.001. The pathology was generally found to be benign in elderly patients, but seven (12.1% patients presented with carcinoma in the younger group. The mortality and complications were observed

  3. PHARMACOTHERAPY IN ELDERLY NEUROPATHIC PAIN

    Directory of Open Access Journals (Sweden)

    Thomas Eko P

    2013-10-01

    Full Text Available Normal 0 false false false IN X-NONE X-NONE MicrosoftInternetExplorer4 The incidence of pain increases with age. Neuropathic pain are common in elderly patients and pose challenges in both their diagnosis and treatment. The most common neuropathic pain in elderly are radiculopathy due to foraminal or spinal stenosis, diabetic neuropathy, and postherpetic neuralgia. Pain in the elderly is often unrecognized and undertreated. The main problem with pain in older adults relates to impaired quality of life secondary to pain which may be expressed by depression (including increased suicide risk, anxiety, sleep disruption, appetite disturbance, and weight loss, cognitive impairment, and limitations in the performance of daily activities. Pain management in elderly patients requires a different perspective from that of younger patients. Causes, comorbidities, and responses to both pain and its treatment differ between young healthy and older patients. Effective pain management in elderly patients should include both pharmacologic and nonpharmacologic strategies. Pharmacological approaches are the first line of pain management in older person for neuropathic pain. Pharmacologic strategies call for administration of nonopioid analgesics, opioid analgesics, and adjuvant medication. Polypharmacy, drug-drug and drug-disease interactions, age-associated changes in drug metabolism, and the high frequency of adverse drug reactions need to be carefully considered in using medications in this population /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso

  4. Malignant astrocytoma in elderly patients: where do we stand?

    Science.gov (United States)

    Tabatabai, Ghazaleh; Stupp, Roger; Wick, Wolfgang; Weller, Michael

    2013-12-01

    Age is inversely correlated with clinical outcome and a strong prognostic factor for the course of most primary brain tumors including malignant astrocytoma, i.e. anaplastic astrocytoma and glioblastoma. We here review available clinical outcome data and discuss future directions of clinical research. The standard of care in patients with malignant astrocytoma above the range of 65-70 years was considered radiotherapy, preferentially using a hypofractionated regimen (15 × 2.66 Gy). Two phase III clinical trials, the NOA-08 and Nordic trials, demonstrated that temozolomide (TMZ) therapy alone was not inferior to radiotherapy alone, and methylation of the O-methylguanine-DNA-methyltransferase (MGMT) gene promoter was predictive with a methylated MGMT promoter indicating a benefit from TMZ chemotherapy. Ongoing clinical trials in this patient population include the National Cancer Institute of Canada/European Organisation for Research and Treatment of Cancer intergroup trial, investigating the combination of hypofractionated radiotherapy and TMZ chemotherapy, and the Swiss ARTE trial, investigating the combination of bevacizumab and hypofractionated radiotherapy. Recent translational studies indicate that prognostically favorable factors in malignant astrocytoma from younger patients are virtually absent in the elderly. Current standard of care for elderly patients with malignant astrocytoma involves a treatment strategy based on the MGMT gene promoter methylation status. The role of combined radiotherapy and TMZ chemotherapy and a potential role for the addition of anti-VEGF therapy to radiotherapy are currently addressed in ongoing trials. The lack of favorable prognostic factors in tumor tissue might in part explain the poorer clinical outcome of elderly patients.

  5. Long-term clinical outcome of elderly patients with acute coronary syndrome treated with early percutaneous coronary intervention: Insights from the BASE ACS randomized controlled trial: Bioactive versus everolimus-eluting stents in elderly patients.

    Science.gov (United States)

    Nammas, Wail; de Belder, Adam; Niemelä, Matti; Sia, Jussi; Romppanen, Hannu; Laine, Mika; Karjalainen, Pasi P

    2017-01-01

    The BASE ACS trial demonstrated an outcome of titanium-nitride-oxide-coated bioactive stents (BAS) that was non-inferior to everolimus-eluting stents (EES) in patients presenting with acute coronary syndrome (ACS). We performed a post hoc analysis of elderly versus non-elderly patients from the BASE ACS trial. We randomized 827 patients (1:1) presenting with ACS to receive either BAS or EES. The primary endpoint was major adverse cardiac events (MACE): a composite of cardiac death, non-fatal myocardial infarction (MI), or ischemia-driven target lesion revascularization (TLR). Follow-up was planned at 12months and yearly thereafter for up to 7years. Elderly age was defined as ≥65years. Of the 827 patients enrolled in the BASE ACS trial, 360 (43.5%) were elderly. Mean follow-up duration was 4.2±1.9years. MACE was more frequent in elderly versus younger patients (19.7% versus 12.0%, respectively, p=0.002), probably driven by more frequent cardiac death and non-fatal MI events (5.3% versus 1.5%, and 9.7% versus 4.5%, p=0.002 and p=0.003, respectively). The rates of ischemia-driven TLR were comparable (p>0.05). In propensity score-matched analysis (215 pairs), only cardiac death was more frequent in elderly patients (6% versus 1.4%, respectively, p=0.01). Diabetes independently predicted both MACE and cardiac death in elderly patients. Elderly patients treated with stent implantation for ACS had worse long-term clinical outcome, compared with younger ones, mainly due to a higher death rate. Copyright © 2016 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.

  6. Causality in Europeanization Research

    DEFF Research Database (Denmark)

    Lynggaard, Kennet

    2012-01-01

    to develop discursive institutional analytical frameworks and something that comes close to the formulation of hypothesis on the effects of European Union (EU) policies and institutions on domestic change. Even if these efforts so far do not necessarily amount to substantive theories or claims of causality...

  7. Measuring European selves

    DEFF Research Database (Denmark)

    Antalikova, Radka

    Taking the perspective of cross-cultural psychology, the current thesis sets out to investigate self in a European context. For this purpose, the thesis first thoroughly reviews the most prominent conceptualizations of self in cross-cultural psychology, specifically focusing on disentangling...... to the field of cross-cultural psychology, specifically highlighting the utility of autobiographical memories as measures of self....

  8. European Psychology Map

    Directory of Open Access Journals (Sweden)

    DANA SCHÖN

    2009-06-01

    Full Text Available The Institute for Psychology Information (ZPID compiled an extensive list of European psycho-logical organizations, comprised of university departments, research institutions, professional associa-tions and publishing houses. The list is available on the ZPID website, together with a web mapping applet that indicates the exact geographical location of the organizations.

  9. European Pine Shoot Moth

    Science.gov (United States)

    William E. Miller; Arthur R. Hastings; John F. Wootten

    1961-01-01

    In the United States, the European pine shoot moth has caused much damage in young, plantations of red pine. It has been responsible for reduced planting of red pine in many areas. Although attacked trees rarely if ever die, their growth is inhibited and many are, deformed. Scotch pine and Austrian pine (Pinus nigra Arnold) are usually not so badly damaged. Swiss...

  10. Inequalities in European cities

    NARCIS (Netherlands)

    Musterd, S.; Ostendorf, W.; Smith, S.J.; Elsinga, M.; Eng, O.S.; Fox O’Mahony, L.; Wachter, S.

    2012-01-01

    The consequences of inequalities in European cities are a big fear for many governments at the state and urban levels. Journalists, as well as many scholars who are dealing with urban issues, express their fears about the development of social, ethnic, and spatial divisions. Population categories

  11. European 'Stabilisation through Association'

    DEFF Research Database (Denmark)

    Rodt, Annemarie Peen

    ’s success in repeatedly reconciling a divided continent and complemented its efforts to build peace beyond its borders. But does the EU (continue to) deserve such praise? This contribution examines European peacebuilding from the early inte-gration of post-World War Two economies, through the uniting...

  12. European Integration and Globalization

    Directory of Open Access Journals (Sweden)

    Diana Bobica

    2010-06-01

    Full Text Available According to many, the term globalization is able to explain any phenomenon whatsoever, be it positive or negative, that takes place within the global social system. It seems like a sort of magical formula, which is to be found in the speeches of all sorts of people, be they economists, politicians, businessmen or sociologists. However this magical formula of globalization has its limitations, since it encompasses a certain amount of quibbling, beyond which not many can pass. In the context of globalization there appears the question on its role in the process of European integration. Is European integration a part of this global process or, quite on the contrary, does it present certain distinctive features, as it moulds itself differently from the globalization phenomenon? A clear-cut answer seems difficult because of the various aspects involved. Not only the general phenomenon of globalization, but also the economic integration on European level is based on the liberalization of markets and on the opening of national economies towards the exterior,having as direct consequence the intensification of trade exchanges. If from a global point of view one may talk of a market fundamentalism in that the market principles know no boundary, European integration on the other hand implies not only market economy, but also a guided and monitored action of Member Statesaccording to the needs of the whole entity, also taking into consideration - as far as possible – all aspects and consequences on social level.

  13. Becoming Pan-European?

    DEFF Research Database (Denmark)

    Schulz-Forberg, Hagen; Brüggemann, Michael

    2009-01-01

    be platforms of a transnational European discourse. Four ideal-types of transnational media can be distinguished: (1) national media with a transnational mission, (2) international media, (3) pan-regional media and (4) global media. Within this framework the article analyses transnational media in Europe...

  14. European Metals Conference

    CERN Document Server

    Vereecken, Jean

    1991-01-01

    This volume contains the papers that will be presented at 'EMC '91 '-the European Metals Conference-to be held in Brussels, Belgium, from 15 to 20 September 1991, and organized by Benelux Metallurgie, GDMB (Gesellschaft Deutscher Metallhutten­ und Bergleute) and IMM (the Institution of Mining and Metallurgy). 'EMC '91' is the first of an intended major series organized at the European level with the aim of bringing together all those who are involved with the extraction and processing of non-ferrous metals-European metallurgists and their international colleagues-to provide them with the opportunity to exchange views on the state and evolution of their industry. The programme covers all the different aspects of the metallurgy of non-ferrous metals from mining to fabricated products. Particular attention is being paid to the European non -ferrous industry with respect to changes in demand, the technology used, pressures on the environment and the competitive position of manufacturers. The contributions of the...

  15. AND THE EUROPEAN UNION

    African Journals Online (AJOL)

    Regulations governing the production and use of genetically modified organisms have been developed in the United Kingdom since 1976. Regulations covering the release of transgenic organisms into the environment were initially voluntary. Since 1990, the European Economic Commission (EEC) Directive. 90/219 and ...

  16. European Music Year 1985.

    Science.gov (United States)

    Alexanderson, Thomas; And Others

    1984-01-01

    Articles concerning music are included in this newsletter dedicated to cultural venture to be jointly carried out by the Council of Europe and the European communities. Many events will mark Music Year 1985, including concerts, dance performances, operas, publications, recordings, festivals, exhibitions, competitions, and conferences on musical…

  17. Narrative medicine and the personalisation of treatment for elderly patients.

    Science.gov (United States)

    Cenci, C

    2016-07-01

    Healthcare organisations, medical knowledge and clinical practice are among the contexts that have most strongly felt the impact of the over 75 population. This is a population of multimorbidity and polypharmacy patients. They are often seen as a conglomeration of juxtaposed guidelines resulting in the intake of more than 10 drugs a day, with absolutely no certainty of their efficacy. The scientific community is increasingly calling into question the current disease-focused approach. Narrative medicine can provide the tools for a treatment plan which is instead more patient-centred. Narrative medicine can promote the development of a systemic, integrated and multi-disciplinary approach to elderly patients. The stories of patients and caregivers, their representations, perceptions, experiences and preferences can reduce the risk of inappropriate tests and treatments. They can promote deprescribing procedures based on a careful analysis of a specific patient's needs. Narration time is treatment time which does not necessarily create a burden on organisations and caregivers. Quite the contrary since by facilitating adherence and team work, it can significantly reduce time and costs. Given their training and the importance of their relationship with elderly patients, internists, together with geriatricians, can play a key role in promoting and coordinating a narrative medicine approach. Copyright © 2016 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.

  18. Management of muscle-invasive bladder cancer in the elderly.

    Science.gov (United States)

    Basso, Umberto; Bassi, Pierfrancesco; Sava, Teodoro; Monfardini, Silvio

    2004-12-01

    Bladder cancer is rare in patients below the age of 50 years, and most patients are in their 60s and 70s. Radical cystectomy is the preferred approach for patients with localized disease in most European countries and the USA, and evidence is growing in favor of neoadjuvant, platinum-based chemotherapy for patients at high risk of local and systemic relapse. Transurethral resection (TUR) followed by radiotherapy with or without concomitant chemotherapy appears to be a reasonable alternative, particularly in the UK and Canada. However, the elderly pose several treatment dilemmas, including the increased risk of perioperative complications, the management of orthotopic neobladder or different types of urinary diversion, as well as the higher risk of adverse events caused by pelvic radiotherapy and systemic chemotherapy. Multidimensional parameters such as biologic prognostic factors, performance status, functional independence, comorbidities and cognitive function of the patient should be collected in order to tailor treatment to the patient's life expectancy and preferences. Optimized integration of TUR followed by bladder removal (or radiotherapy), with or without adjunctive chemotherapy, can be recommended for otherwise healthy patients. Palliative measures, such as TUR followed by external radiotherapy alone or monochemotherapy, should be reserved for partially impaired patients with moderate comorbidities, in order to maximize the balance of benefits and toxicities. This review summarizes recent data concerning surgery, radiotherapy and systemic chemotherapy for bladder cancer in the elderly, and discusses pros and cons of the currently available therapeutic options.

  19. The Europeanness of European cinema: Identity, meaning, globalization

    OpenAIRE

    Willems, Gertjan

    2015-01-01

    According to its editors, the aim of The Europeanness of European cinema is ‘to revisit the issue of the significance of European cinema as a category in the wake of the recent acceleration in transnational filmmaking and globalization as a whole’ (p. 7). Taking the transnational prominence of European cinema as a starting point, the anthology’s introduction presents some brief reflections about what ‘Europeanness’ – the central, overarching concept for the various chapters – has meant histor...

  20. A comparative appraisal of the relationship of education, income and housing tenure with less than good health among the elderly in Europe

    NARCIS (Netherlands)

    Dalstra, J. A. A.; Kunst, A. E.; Mackenbach, J. P.

    2006-01-01

    The objective of this study was to determine the strength of various socio-economic indicators for predicting less than good health among elderly people aged 60-79 years. Data were obtained from national health surveys from 10 European countries. Education, income and housing tenure were examined in

  1. Erythrocyte seditnentation rate in elderly blacks

    African Journals Online (AJOL)

    Abstract This study inv~tigated the erythrocyte sedimen- tation rate (ESR) in an elderly population with the objective of establishing reference ranges and the diagnostic value of the ESR. Elderly blacks were randomly selected frOIn conununities in the. Orange Free State. ESR determinations were done according to the ...

  2. Helicobacter Pylori Infection in the Elderly

    Directory of Open Access Journals (Sweden)

    Jyh-Ming Liou

    2008-12-01

    Full Text Available The elderly often seek medical attention because of gastroduodenal diseases. Helicobacter pylori (H. pylori infection is associated with several gastroduodenal diseases and its prevalence increases with age worldwide. It is estimated that 10–15% of infected patients will have peptic ulcer disease and 1% of patients will have gastric cancer or mucosa-associated lymphoid tissue lymphoma. Notably, the most severe clinical outcomes, i.e., gastric cancer and complicated peptic ulcer diseases, usually occur in elderly patients. Thus the test-and-treatment strategy is not recommended for elderly patients with uninvestigated dyspepsia. However, biopsy specimens for the rapid urease test and histology should be taken from both the antrum and corpus to increase the detection rate in elderly patients, especially in those with atrophic gastritis. The urea breath test may increase the detection rate if the rapid urease test or histology are negative in elderly patients with atrophic gastritis. Standard triple therapy and sequential therapy can achieve satisfactory eradication rates for H. pylori in elderly patients. Elderly patients with peptic ulcers may have a similar benefit from treatment of H. pylori infection as non-elderly patients. Eradication of H. pylori infection may also lead to improvement in histologic grading of gastritis, but the risk of gastric cancer cannot be completely reduced, especially in patients with existing premalignant lesions.

  3. [Theories of nursing professionals about the elderly].

    Science.gov (United States)

    Erlemeier, N; Weber, G; Nassehi, A; Saake, I; Watermann, R

    1997-08-01

    Our study emphasizes the implicit theories of nursing professionals about the elderly and their influence on nursing behavior styles. According to our central hypothesis we expected a correlation between the differentiation of attitudes towards the elderly and the quality of nursing interventions. By means of a new methodological approach based on Forgas' theory of "social episodes" we investigated attitudes towards the elderly and behavior intentions in specific nursing situations. The sample consists of 133 professionals working in nursing homes for the elderly or in home care services. In a first step the structure of attitudes towards the elderly was examined by employing multivariate techniques, e.g. factor analysis and multidimensional scaling. Three aspects of older patients' competence constitute the images which influence nursing personnel's interactions with the elderly. In the next step a significant correlation between the complexity of attitudes towards the elderly and the quality of nursing behavior could be demonstrated. In general, the findings in our sample support personalized rather than stereotyped perceptions of the elderly. In particular such qualities will be stressed by nursing professionals which facilitate or disturb the nursing process.

  4. Participation of the elderly after vision loss

    NARCIS (Netherlands)

    Alma, M.A.; van der Mei, S.F.; Melis-Dankers, B.J.M.; van Tilburg, T.G.; Groothoff, J.W.; Suurmeijer, T.P.B.M.

    2011-01-01

    Purpose. To assess the degree of participation of the visually impaired elderly and to make a comparison with population-based reference data. Method. This cross-sectional study included visually impaired elderly persons (≥55 years; n = 173) who were referred to a low-vision rehabilitation centre.

  5. Participation of the elderly after vision loss

    NARCIS (Netherlands)

    Alma, M.A.; Mei, van der S.F.; Melis-Dankers, B.J.M.; Tilburg, van T.G.; Groothoff, J.W.; Suurmeijer, T.P.B.M.

    2011-01-01

    Purpose. To assess the degree of participation of the visually impaired elderly and to make a comparison with population-based reference data. Method. This cross-sectional study included visually impaired elderly persons (≥55 years; n=173) who were referred to a low-vision rehabilitation centre.

  6. Participation of the elderly after vision loss

    NARCIS (Netherlands)

    Alma, M.A.; van der Mei, S.F.; Melis-Dankers, B.J.; van Tilburg, T.G.; Groothoff, J.W.; Suurmeijer, T.P.

    2011-01-01

    Purpose. To assess the degree of participation of the visually impaired elderly and to make a comparison with population-based reference data. Method. This cross-sectional study included visually impaired elderly persons (>= 55 years; n = 173) who were referred to a low-vision rehabilitation centre.

  7. Social innovation in public elder care

    DEFF Research Database (Denmark)

    Bilfeldt, Annette; Andersen, John

    2013-01-01

    The chapter addresses the role of action research in social innovation related to elder care work at public nursing homes in Denmark. It is shown how critical utopian action research can contribute to the development of humanity in elder care to the benefit of the residents life quality...

  8. Supportive Networks: Life Ties for the Elderly.

    Science.gov (United States)

    Pilisuk, Marc; Minkler, Meredith

    1980-01-01

    Summarizes data showing the detrimental effects to the health of the elderly that are associated with diminution of supportive interpersonal ties. Describes six programs that illustrate the range of diversity of tasks involved in the provision of supportive associations for the elderly. (Author/GC)

  9. ERP Correlates of Performance Monitoring in Elderly

    Science.gov (United States)

    Schreiber, Melanie; Pietschmann, Maria; Kathmann, Norbert; Endrass, Tanja

    2011-01-01

    Previous studies on performance monitoring repeatedly found attenuated error-related negativities (Ne/ERN) in elderly, while findings for the correct-related negativity (Nc/CRN) are inconsistent. The present study aimed at clarifying inconsistent Nc/CRN results in elderly. Therefore, a refined design was employed to control for potential…

  10. Identifying and Characterizing Elder Abuse. Final Report.

    Science.gov (United States)

    Sengstock, Mary C.; Liang, Jersey

    While the family has traditionally been the preferable alternative to nursing home care for the aged, recent research indicates that some elderly persons are subjected to neglect or abuse by their families. To investigate this problem, elderly abuse victims in Detroit completed questionnaires and interviews; their families and social service and…

  11. High Risk Situations for Elderly Alcohol Abusers.

    Science.gov (United States)

    Dupree, Larry W.; Schonfeld, Lawrence

    The Gerontology Alcohol Project, a treatment/research program investigating the characteristics of the late-life onset elderly alcohol abuser, was used as a model for a new program which emphasized teaching the elderly abusers how to break down their personal drinking behavior chain and deal with the antecedents of drinking behavior, to use…

  12. Counseling the Elderly: A Developmental Perspective.

    Science.gov (United States)

    Pulvino, Charles J.; Colangelo, Nicholas

    1980-01-01

    Reviews research with implications for counselors who work with the elderly, and describes model programs and counselor training issues. The needs of the elderly are common to all people and include developmental issues, sexuality, substance abuse, family problems and widowhood. (JAC)

  13. Understanding and Counseling Elderly Alcohol Abusers.

    Science.gov (United States)

    Kelly, Shirley; Remley, Theodore P., Jr.

    1987-01-01

    Investigated cause of abusive drinking among the elderly and treatment practices and counseling strategies used by professionals who serve them. Structured interviews with six practitioners who were knowledgeable about alcohol abuse among the elderly revealed consensus that alcoholism is a physiological disorder with attendant psychological and…

  14. Children's Attitudes toward the Elderly and Aging.

    Science.gov (United States)

    Page, Sue; And Others

    1981-01-01

    Children (N=144) aged 3-11 were interviewed to determine their attitudes toward the elderly and aging. Results suggested that most of the children had limited contact with elderly persons. Findings confirmed that children accept negative stereotypes of age very early in their development. (RC)

  15. Children's Attitudes toward the Elderly in Thailand.

    Science.gov (United States)

    Seefeldt, Carol; Keawkungwal, Sri-Reun

    1986-01-01

    Examined attitudes of 300 children toward the elderly in Thailand. Indicated no differences between rural and urban children's attitudes toward the elderly in terms of contact, knowledge, and feelings. Urban children, however, responded more positively about their own aging than did rural children. Concludes that Thai children view young people…

  16. East-West Perspectives on Elder Learning

    Science.gov (United States)

    Tam, Maureen

    2012-01-01

    This paper describes and conceptualizes the meaning of lifelong learning from two cultural perspectives--East and West. It examines the different principles underpinning lifelong learning that explain why and how elders in the two cultures engage differently in continued learning. Finally, it discusses the cultural impact on elder learning by…

  17. Perspectives on elder abuse in the Netherlands

    NARCIS (Netherlands)

    Mysyuk, Yuliya

    2015-01-01

    This thesis explores perceptions and views of different groups involved in elder abuse. First chapter provides a general introduction to the topic and current study. In the second chapter of this thesis, definitions of elder abuse and their developments are reviewed. Chapter three explores different

  18. PAIN IN ELDERLY HAS BEEN OFTEN UNDERESTIMATED

    Directory of Open Access Journals (Sweden)

    Nikolay Yanev

    2016-06-01

    Full Text Available The authors surveyed the clinical data and reviewed the literature on the pain management in elderly patients. The conclusion was made that chronic pain in older age is neglected and analgesia is often insufficient. Data for pharmacokinetic and pharmacodynamic characteristics of widely used analgesic drugs are summarized. The authors provide practical guidelines for pain management of elderly people in outpatients departments.

  19. Renal biopsy in the elderly

    Directory of Open Access Journals (Sweden)

    Javier Robaina

    2016-09-01

    Full Text Available Introduction: Kidney disease is very common among the elderly. Over the last decades, the number of renal biopsies performed on these patients has increased. Objective: This study was carried out to examine the frequency and the clinical-pathological correlation of kidney disease in elderly patients who have had a renal biopsy done. Methods: The clinical presentation of kidney disease and the main histological findings were retrospectively analyzed in patients over 65 who had undergone renal biopsy (n=109 for a period of 12 years. Results: The total number of renal biopsies performed during this period was 871, out of which 109 (12.5% corresponded to patients over 65. The main indications for renal biopsies were nephrotic syndrome (37.6% and kidney failure (34.9%. Microscopic hematuria was found in 59.6% of the patients and high blood pressure in 62.4% of them. The most frequent histological diagnosis was membranous glomerulonephritis (21.1%, followed by extracapillary glomerulonephritis (20.2%. When clinical syndromes and histological findings were compared, the nephrotic syndrome was found to be the main feature of membranous nephropathy (78.3%, of focal segmental glomerulosclerosis (55.6% and of diabetic nephropathy (66.7%. Kidney failure was present in 90% of the cases of extracapillary glomerulonephritis (95.5% pauciimmune or type 3. Microscopic hematuria was the main sign of mesangial prolifeative glomerulonephritis (83.3%. Conclusions: Nephrotic syndrome and kidney failure (especially rapidly progressive renal failure were the main renal biopsy results in this group of patients, bearing close relation to histological findings. The most common types of glomerulonephritis were membranous GN and pauciimmune extracapillary GN. Renal biopsy provides useful information for the diagnosis, prognosis and treatment of kidney disease in the elderly.

  20. Interventions to improve social determinants of health among elderly ethnic minority groups: a review.

    Science.gov (United States)

    Pool, Michelle S; Agyemang, Charles O; Smalbrugge, Martin

    2017-12-01

    Like the European general population, ethnic minorities are aging. In this group, important social determinants of health (social participation, social isolation and loneliness) that lead to negative health outcomes frequently occur. Interventions targeting these determinants may decrease negative health outcomes. The goal of this article was to identify effective interventions that improve social participation, and minimise social isolation and loneliness in community dwelling elderly ethnic minorities. An electronic database (PubMed) was systematically searched using an extensive search strategy, for intervention studies in English, French, Dutch of German, without time limit. Additional articles were found using references. Articles were included if they studied an intervention aimed to improve social participation or minimise social isolation or loneliness and were focusing on community dwelling elderly ethnic minorities. Data regarding studies characteristics and results were extracted. Six studies (three randomized controlled trials, three non-controlled intervention studies) were included in the review. All studies were group-based interventions and had a theoretical basis. Five out of six studies showed improvement on a social participation, -isolation or loneliness outcome. Type of intervention included volunteering-, educational- and physical activities. In three studies active participation of the participant was required, these interventions were not more effective than other interventions. Some interventions improved the included social determinants of health in community dwelling elderly ethnic minorities. Investment in further development and implementation of these interventions may help to improve social determinants of health in these populations. It is necessary to evaluate these interventions in the European setting.

  1. AN EMPIRICAL STUDY OF ECONOMIC ALTERNATIVES FOR THE ELDERLY IN ROMANIA

    Directory of Open Access Journals (Sweden)

    Podoabă Lucia

    2013-04-01

    Full Text Available This paper is part of an applied, broad, based popular empirical procedures (such as natural observation scientific research. The positivist research methodology used was based on consensual-inductive system (Locke, which is why we studied different specialists’ opinions on the use of EU funds for the elderly in Romania or employer contributions to voluntary private funds, necessary to formulate the problem of generating relevant information. The used research strategies were the comparative and longitudinal ones, as we analyzed the time evolution in time of the number of pensioners and employees in Romania, in the main time with the EU funding for the elderly, to determine Romania's concrete economic alternatives to support this category of populations. Causality assumptions about the relationship efficient use of EU funds-beneficiaries was inductively built in this paper (by analyzing the European funds management issue in Romania, causally (by cause and effect explanation of the studied phenomenon, deductively, logically and subjectively (on the basis of existence and perpetuation of fund premise conflict between strategic absorption of European funds and regional development. The qualitative approach of the phenomenon studied was made by collecting information (using the mediate data collection technique has allowed relevant findings and practical solutions necessary for all those involved in this concerted action for the elderly, which affects us all.

  2. European core curriculum in neurorehabilitation

    NARCIS (Netherlands)

    Sandrini, G.; Binder, H.; Homberg, V.; Saltuari, L.; Tarkka, I.; Smania, N.; Corradini, C.; Giustini, A.; Katterer, C.; Picari, L.; Diserens, K.; Koenig, E.; Geurts, A.C.; Anghelescu, A.; Opara, J.; Tonin, P.; Kwakkel, G.; Golyk, V.; Onose, G.; Perennou, D.; Picelli, A.

    2017-01-01

    To date, medical education lacks Europe-wide standards on neurorehabilitation. To address this, the European Federation of NeuroRehabilitation Societies (EFNR) here proposes a postgraduate neurorehabilitation training scheme. In particular, the European medical core curriculum in neurorehabilitation

  3. European and Integration Studies

    Directory of Open Access Journals (Sweden)

    N. Yu. Kaveshnikov

    2014-01-01

    Full Text Available Soviet scientific school of pan-European integration studies began to emerge in the 1960s at the Institute of World Economy and International Relations (Russian Academy of Science. Among the leading scientists who have developed methodological approaches of Soviet integration studies were M.M. Maximova, Y.A. Borko, Y. Shishkov, L.I. Capercaillie. Later, a new center for integration studies became the Institute of Europe, created in 1987. It was led by such renowned scientists as Academicians V.V. Zhurkin and N.P. Shmelev. In the 1980s the subject of the integration process in Europe attracted attention of experts from MGIMO. An important role in the development of school of integration research in the USSR was played by a MGIMO professor, head of the chair of history of international relations and foreign policy of the USSR V.B. Knyazhinskiy. His work contributed to the deliverance of the national scientific community from skepticism about the prospects for European integration. Ideas of V.B. Knyazhinsky are developed today in MGIMO by his followers A.V. Mal'gin and T.V. Ur'eva. In the mid-1990s, having retired from diplomatic service, professor Yu. Matveevskiy started to work at MGIMO. With a considerable practical experience in the field, he produced a series of monographs on the history of European integration. In his works, he analyses the development of integration processes in Western Europe from their inception to the present day, showing the gradual maturation of the necessary spiritual and material prerequisites for the start of integration and traces the various stages of the "integration". In the late 1990s, the growing demand from the domestic business and government for professionals who are capable of interacting with the European Union, has produced the necessary supply in the form of educational programs based on accumulated scientific knowledge. Setting up a discipline "European Integration" was a major step in the development

  4. Nutritional status and cognitive impairment in elderly.

    Science.gov (United States)

    Daradkeh, Ghazi; Essa, Musthafa M; Al-Adawi, S Samir; Koshy, Roopa P; Al-Asmi, Abdullah; Waly, Mostafa I

    2014-10-01

    The elderly population is increasing worldwide and it has been suggested that senior citizens will continue to constitute the bulk of the population in many countries. Nutritional status of senior citizens are adversely affected by their frailty, chronic condition and declining cognitive functioning. Conversely, malnourished elderly further deteriorate their frailty, chronic disease and cognitive functioning. The aim of this review article is to recognize the importance of nutritional assessment of elderly population particularly those with cognitive impairment. First part is to highlight characteristic cognitive impairment among senior citizens and the second one highlight t he background in which malnutrition is a factor that leads to increased risk of morbidity and mortality in the elderly. This review also highlight salgorithms for safeguarding nutritional status among senior citizen and focuses on importance of nutritional screening, assessment and early intervention for safeguarding further deterioration of elderly who are likely to prone to cognitive impairment.

  5. Prognosis of depression in the elderly.

    Science.gov (United States)

    Meats, P; Timol, M; Jolley, D

    1991-11-01

    Fifty-six consecutively admitted elderly (65 and over) patients with depression were assessed on mental, physical and social states. They were followed up and assessed at home one year later. A group of 24 depressed in-patients aged under 65 years admitted to the same ward during the same period was also assessed. Outcome was different for the two groups, with 68% of the elderly 'well' at one year, against 50% of the younger group. The younger group were more likely to have 'poor' outcome (41%) than the elderly (16%). However, there were more deaths than expected, particularly in the elderly. These findings differ from some previous studies, and indicate an excellent prognosis for depression in the elderly. Outcome in younger patients is less good.

  6. Development/Testing of a Monitoring System Assisting MCI Patients: The European Project INLIFE.

    Science.gov (United States)

    Kaimakamis, Evangelos; Karavidopoulou, Vaia; Kilintzis, Vassilios; Stefanopoulos, Leandros; Papageorgiou, Valentini

    2017-01-01

    INLIFE is a project cofounded from the European Union aiming in prolonging independent living of elderly people with cognitive impairment based on open, seamless ICT services supporting communication, daily activities, providing health services and professional care to the elderly. The main innovation stems from ICT solutions offering 19 different services adapted on specific characteristics elderly people with mild cognitive impairment, early and later stages of Dementia, cognitive impairment and co-morbid condition, as well as their formal and informal caregivers. All services have different focus areas and are incorporated into a unified system based on cloud architecture implemented in patients of 6 European countries, including Greece. More than 1200 patients, caregivers and healthcare providers participate in the pilot testing of the project. Primary parameter for assessing the effectiveness of the interventions is their impact on the quality of life of the elderly patients and their caregivers, contributing to prolonging independent living of the affected. A special digital platform has been developed in the Greek pilot site aiming to adapt and monitor all the implemented applications. This includes a medical decision support system that receives biosignals from patients and interaction interfaces in which all participants are involved. Recruitment and patients' participation has already started in the pilot site of Thessaloniki for the services that are to be tested in Greece.

  7. Use of Local Intelligence to Reduce Energy Consumption of Wireless Sensor Nodes in Elderly Health Monitoring Systems

    Science.gov (United States)

    Lampoltshammer, Thomas J.; de Freitas, Edison Pignaton; Nowotny, Thomas; Plank, Stefan; da Costa, João Paulo Carvalho Lustosa; Larsson, Tony; Heistracher, Thomas

    2014-01-01

    The percentage of elderly people in European countries is increasing. Such conjuncture affects socio-economic structures and creates demands for resourceful solutions, such as Ambient Assisted Living (AAL), which is a possible methodology to foster health care for elderly people. In this context, sensor-based devices play a leading role in surveying, e.g., health conditions of elderly people, to alert care personnel in case of an incident. However, the adoption of such devices strongly depends on the comfort of wearing the devices. In most cases, the bottleneck is the battery lifetime, which impacts the effectiveness of the system. In this paper we propose an approach to reduce the energy consumption of sensors' by use of local sensors' intelligence. By increasing the intelligence of the sensor node, a substantial decrease in the necessary communication payload can be achieved. The results show a significant potential to preserve energy and decrease the actual size of the sensor device units. PMID:24618777

  8. Use of Local Intelligence to Reduce Energy Consumption of Wireless Sensor Nodes in Elderly Health Monitoring Systems

    Directory of Open Access Journals (Sweden)

    Thomas J. Lampoltshammer

    2014-03-01

    Full Text Available The percentage of elderly people in European countries is increasing. Such conjuncture affects socio-economic structures and creates demands for resourceful solutions, such as Ambient Assisted Living (AAL, which is a possible methodology to foster health care for elderly people. In this context, sensor-based devices play a leading role in surveying, e.g., health conditions of elderly people, to alert care personnel in case of an incident. However, the adoption of such devices strongly depends on the comfort of wearing the devices. In most cases, the bottleneck is the battery lifetime, which impacts the effectiveness of the system. In this paper we propose an approach to reduce the energy consumption of sensors’ by use of local sensors’ intelligence. By increasing the intelligence of the sensor node, a substantial decrease in the necessary communication payload can be achieved. The results show a significant potential to preserve energy and decrease the actual size of the sensor device units.

  9. Elderly Parents, Adult Children and the Romanian Transnational Family: An Intergenerational Solidarity Approach

    Directory of Open Access Journals (Sweden)

    Földes Ionuţ

    2016-06-01

    Full Text Available Recent demographic changes such as ageing, low-fertility, and large out-migration from Eastern European countries, brought into discussion the vivid question of the future of intergenerational solidarity within families. In the context of increasing geographical mobility of young people in search for better paid jobs, the unmet need for personal assistance among the elderly, the underdeveloped system of care services, Romania knows new dynamics of intergenerational support. Contrary to perspectives that consider spatial proximity between adult children and their elder parents the indisputable enabling factor for intergenerational support transfers (Rossi and Rossi, 1990, emerging literature on transnational families highlights that such tight kinship relations continue to exist even across borders (Baldassar et al., 2007. Using recent data from the nationwide survey “The Impact of Migration on Older Parents Left Behind in Romania” (2011, this paper examines the complex dynamics of intergenerational solidarity involving adult children as transnational migrants and their elder parents who remain at home. The statistical models used indicate the migrants’ role as providers of remittances, but also the ways in which other forms of support are distributed among the dyads. Despite a possible presupposition that parents who were left at home might only be beneficiaries of support, the data show the opposite: elderly persons, depending on their age, were active providers of help as well.

  10. The Shoah within European identity

    NARCIS (Netherlands)

    van der Poel, Stefan

    2016-01-01

    In the Epilogue of Postwar, titled: From the House ofthe Dead: An essay on Modern European memory, Tony Judt concludes that: ‘those who would become full Europeans in the dawn of the twenty-first century must first assume a new and far more oppressive heritage. Today the pertinent European reference

  11. Patterns of care and the survival of elderly patients with high-risk endometrial cancer: A case-control study from the FRANCOGYN group.

    Science.gov (United States)

    Rousselin, A; Bendifallah, S; Nyangoh Timoh, K; Ouldamer, L; Canlorbe, G; Raimond, E; Hudry, N; Coutant, C; Graesslin, O; Touboul, C; Collinet, P; Bricou, A; Huchon, C; Daraï, E; Ballester, M; Levêque, J; Lavoue, V

    2017-11-01

    The standard of care of endometrial cancer involves complex procedures such as pelvic and para-aortic lymphadenectomy and omentectomy, particularly for high-risk endometrial cancer. Few data are available about these complex surgical procedures and adjuvant therapy in elderly women. We aim to examine treatment and survival of elderly women diagnosed with high-risk endometrial cancer. We performed a case-control study of women diagnosed between 2001 and 2013 with high-risk endometrial cancers. Women older than 70 years (n = 198) were compared with patients Elderly patients had lymphadenectomies less frequently compared with younger patients (76% vs 96%, p elderly women had 57% increased risk of recurrence (hazard ratio 1.57, 95% CI 1.04-2.39) compared with younger patients. Although we found an independently significant lower DFS in elderly patients with high-risk endometrial cancer when compared with young patients, elderly women are less likely to be treated with lymphadenectomy and chemotherapy. Specific guidelines for management of elderly patients with high-risk endometrial cancer are required to improve their prognosis. Copyright © 2017 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.

  12. Future European biogas

    DEFF Research Database (Denmark)

    Meyer, A. K.P.; Ehimen, E. A.; Holm-Nielsen, J. B.

    2017-01-01

    Biogas is expected to play an important role in reaching the future energy policy targets of the European Union (EU). The sustainability of biogas substrates has however been recently critically discussed due to the increasing shares of agricultural land used for energy crop production.The aim...... were animal manure, straw by-products from cereal production, and excess grass from rotational and permanent grasslands and meadows. The biogas energy potential from the investigated biomass was projected to range from 1.2·103 to 2.3·103 PJ y-1 in year 2030 in the EU28, depending on the biomass...... availability. Alone the biogas energy potential projected in the scenario representing low substrate availability corresponds to a doubling of the European biogas production in 2015. The results shows that sustainable alternatives to the use of maize are present in all the member states of the EU28...

  13. European Patterns of Participation

    DEFF Research Database (Denmark)

    Harrebye, Silas Fehmerling; Ejrnæs, Anders

    2015-01-01

    Social Survey (ESS) Round 4 (2008), the article finds that satisfaction/dissatisfaction with the government is an important predictor alongside the institutional macro-level variable. The article combines a critical tradition, which suggests that political participation is motivated by a feeling...... of dissatisfaction with the government and feelings of being member of a discriminated group affect the level of extra-parliamentary participation, and second, how different welfare regimes condition the extend to which these groups chose to act. In a comparative multilevel design, using data from the European...... of dissatisfaction with an institutional perspective in which certain institutional conditions are seen as enablers for citizens to actively participate in political life. Our results show that the overall level of extra-parliamentary activity in the Scandinavian countries is higher than in the other European...

  14. Chestnut, European (Castanea sativa).

    Science.gov (United States)

    Corredoira, Elena; Valladares, Silvia; Vieitez, Ana M; Ballester, Antonio

    2015-01-01

    Development of a system for direct transfer of antifungal candidate genes into European chestnut (Castanea sativa) would provide an alternative approach to conventional breeding for production of chestnut trees that are tolerant to ink disease caused by Phytophthora spp. Overexpression of genes encoding PR proteins (such as thaumatin-like proteins), which display antifungal activity, may represent an important advance in control of the disease. We have used a chestnut thaumatin-like protein gene (CsTL1) isolated from European chestnut cotyledons and have achieved overexpression of the gene in chestnut somatic embryogenic lines used as target material. We have also acclimatized the transgenic plants and grown them on in the greenhouse. Here, we describe the various steps of the process, from the induction of somatic embryogenesis to the production of transgenic plants.

  15. Do Europeans Like Nudges?

    DEFF Research Database (Denmark)

    Reisch, Lucia A.; Sunstein, Cass R.

    2016-01-01

    In recent years, many governments have shown a keen interest in “nudges” — approaches to law and policy that maintain freedom of choice, but that steer people in certain directions. Yet to date, there has been little evidence on whether citizens of various societies support nudges and nudging. We...... report the results of nationally representative surveys in six European nations: Denmark, France, Germany, Hungary, Italy, and the United Kingdom. We find strong majority support for nudges of the sort that have been adopted, or under serious consideration, in democratic nations. Despite the general...... European consensus, we find markedly lower levels of support for nudges in two nations: Hungary and Denmark. We are not, in general, able to connect support for nudges with distinct party affiliations....

  16. Pirating European Studies

    Directory of Open Access Journals (Sweden)

    Natalia Timus

    2016-08-01

    Full Text Available Open Science has gained a lot of attention not only within the academic community but also among policy-makers. Some international publishers have been active in moving towards open access publications and research data, but, overall, modest results have been achieved so far. In this context, the digital piracy engines emerge as vital actors in disseminating and determining the impact of research. This study examines the Sci-Hub downloads data in order to uncover patterns of piracy in European Studies research. We identify journals and the subjects of articles that have been pirated the most. We also study the geographical distribution of download requests. The analysis reveals that the readers are mostly interested in subjects reflecting the current major European challenges, specifically populism and the economic crisis. Both developing countries as well as the ‘old’ EU members are active in illegal downloads.

  17. Stature of early Europeans.

    Science.gov (United States)

    Hermanussen, Michael

    2003-01-01

    The ancestors of modern Europeans arrived in Europe at least 40,000 years before present. Pre-glacial maximum Upper Palaeolithic males (before 16,000 BC) were tall and slim (mean height 179 cm, estimated average body weight 67 kg), while the females were comparably small and robust (mean height 158 cm, estimated average body weight 54 kg). Late Upper Palaeolithic males (8000-6600 BC) were of medium stature and robusticity (mean height 166 cm, estimated average body weight 62 kg). Stature further decreased to below 165 cm with estimated average body weight of 64 kg in Neolithic males of the Linear Band Pottery Culture, and to 150 cm with estimated average body weight of 49 kg in Neolithic females. The body stature of European males remained within the range of 165 to 170 cm up to the end of the 19th century.

  18. European Corporate Law

    DEFF Research Database (Denmark)

    Werlauff, Erik; Dorresteijn, Adriaan; Teichmann, Christoph

    This fully updated new edition provides the best-known practical overview of the law regarding companies, business activities, and capital markets in Europe, at both the European Union (EU) and Member State levels. It incorporates analysis of recent developments including the impact of global......; - a company’s freedom to incorporate in a jurisdiction not its own; - competition among the legal forms of different Member States; and - safeguarding of employee involvement in cross-border transactions. With respect to national law, the laws of Belgium, France, Germany, the Netherlands, Poland, Spain...... initiatives in such aspects of the corporate environment as regulation of financial institutions and non-financial reporting obligations with a view to sustainability and other social responsibility concerns. The authors, all leading experts in European corporate law, describe current and emerging trends...

  19. Telemedicine and European law.

    Science.gov (United States)

    Callens, Stefaan

    2003-01-01

    A Directive of the European Union was first published in 2000, which dealt with telemedicine as part of its provisions. This E-Commerce Directive, as it became known, was subjected to further study which revealed some problems relative to the practice of telemedicine. Among the subjects discussed in this paper are those of privacy, data protection, free movement of services, the impact of electronic communication and ethical issues.

  20. European Automotive Congress

    CERN Document Server

    Clenci, Adrian

    2016-01-01

    The volume includes selected and reviewed papers from the European Automotive Congress held in Bucharest, Romania, in November 2015. Authors are experts from research, industry and universities coming from 14 countries worldwide. The papers are covering the latest developments in fuel economy and environment, automotive safety and comfort, automotive reliability and maintenance, new materials and technologies, traffic and road transport systems, advanced engineering methods and tools, as well as advanced powertrains and hybrid and electric drives.

  1. Treatment options and outcomes for glioblastoma in the elderly patient

    Science.gov (United States)

    Arvold, Nils D; Reardon, David A

    2014-01-01

    Age remains the most powerful prognostic factor among glioblastoma (GBM) patients. Half of all patients with GBM are aged 65 years or older at the time of diagnosis, and the incidence rate of GBM in patients aged over 65 years is increasing rapidly. Median survival for elderly GBM patients is less than 6 months and reflects less favorable tumor biologic factors, receipt of less aggressive care, and comorbid disease. The standard of care for elderly GBM patients remains controversial. Based on limited data, extensive resection appears to be more beneficial than biopsy. For patients with favorable Karnofsky performance status (KPS), adjuvant radiotherapy (RT) has a demonstrated survival benefit with no observed decrement in quality of life. Concurrent and adjuvant temozolomide (TMZ) along with RT to 60 Gy have not been prospectively studied among patients aged over 70 years but should be considered for patients aged 65–70 years with excellent KPS. Based on the recent NOA-08 and Nordic randomized trials, testing for O6-methylguanine-DNA-methyltransferase (MGMT) promoter methylation should be performed routinely immediately after surgery to aid in adjuvant treatment decisions. Patients aged over 70 years with favorable KPS, or patients aged 60–70 years with borderline KPS, should be considered for monotherapy utilizing standard TMZ dosing for patients with MGMT-methylated tumors, and hypofractionated RT (34 Gy in ten fractions or 40 Gy in 15 fractions) for patients with MGMT-unmethylated tumors. The ongoing European Organisation for Research and Treatment of Cancer/National Cancer Institute of Canada trial will help clarify the role for concurrent TMZ with hypofractionated RT. For elderly patients with poor KPS, reasonable options include best supportive care, TMZ alone, hypofractionated RT alone, or whole brain RT for symptomatic patients needing to start treatment urgently. Given the balance between short survival and quality of life in this patient population

  2. Peritoneal dialysis in the elderly.

    Science.gov (United States)

    Brown, Edwina A

    2009-01-01

    The elderly on dialysis have unique needs and characteristics and their outcomes vary from those of their younger counterparts. Comparatively fewer will start or be maintained on peritoneal dialysis (PD) compared to younger patients despite the fact that haemodialysis is often poorly tolerated. A home-based treatment also avoids the need for transport which can be expensive and adversely affect the quality of life of a patient. Barriers to PD for older patients include poor vision, frailty, cognitive dysfunction, accommodation issues and a prejudice from renal teams that older patients cannot do PD. In France, where assistance from community nurses has been available for many years, PD is predominantly a treatment for the elderly and older, sicker patients are often preferentially placed on PD. The use of assisted PD is growing in other countries and where this happens, there is a growth in the prevalent PD population. The ability of older patients to use PD as their dialysis modality should not be determined by whether they live in an area where the nephrologist is a PD enthusiast or not. Patients have the right to receive appropriate non-biased information so they can choose the dialysis modality which gives them the best quality of life and suits their and their family's lifestyle.

  3. Nutritional anemias and the elderly.

    Science.gov (United States)

    Carmel, Ralph

    2008-10-01

    Nutritional anemias are important because they are easily reversed and because their underlying causes, most often unrelated to dietary intake, require individualized assessment. Iron-deficiency anemia (IDA) usually results from iron losses accompanying chronic bleeding, including loss to intestinal parasites, or from gastric disorders or malabsorption in the elderly. Cobalamin-deficiency anemia, the only nutritional anemia with predilection for the elderly, nearly always stems from failure of intrinsic factor (IF)-related absorption. Folate-deficiency anemia, the only nutritional anemia usually caused by poor intake, has nearly disappeared in countries that fortify food with folic acid. Copper-deficiency anemia, which usually results from malabsorptive disorders or from medical or nutritional interventions that provide inadequate copper or excess zinc, is uncommon but increasingly recognized. The prevalences of nutritional anemias, which are not always distinguished from non-anemic deficiency, are uncertain. The mean corpuscular volume (MCV) provides an essential diagnostic tool leading to judicious matching of relevant biochemical changes with relevant anemia. Nutritional anemias usually feature abnormal MCV, whereas the predominant anemias in the aged, especially the anemias of chronic disease/chronic inflammation (ACD/ACI), of renal failure, and of unknown causes, are typically normocytic.

  4. Backward disequilibrium in elderly subjects

    Directory of Open Access Journals (Sweden)

    Patrick Manckoundia

    2008-12-01

    Full Text Available Patrick Manckoundia1,2, France Mourey1,2, Dominic Pérennou2,3, Pierre Pfitzenmeyer1,21Department of Internal Medicine and Geriatrics, University Hospital, Dijon, France; 2INSERM/ERIT-M 0207 Motricity-Plasticity University of Burgundy, Dijon, France; 3Department of Neurological Rehabilitation, University Hospital, Dijon, FranceAbstract: Backward disequilibrium is observed frequently in daily clinical practice. However, there are no epidemiological data concerning this postural disorder. Defined by a posterior position of the centre of mass with respect to the base of support, backward disequilibrium is abnormal postural behavior, usually characterized by a posterior trunk tilt in standing and sitting positions, which predisposes subjects to backward falls. Many afflictions whether they are somatic (degenerative, ischemic and traumatic brain lesions, psychosomatic (psychomotor disadaptation syndrome, confinement to bed, nonuse situations or psychological (depression can cause backward disequilibrium. A vicious circle of falls, and loss of autonomy can arise and this is the main consequence of backward disequilibrium. Thus, in this paper, we review backward disequilibrium in elderly subjects with regard to the causes, consequences, assessment, and management.Keywords: backward disequilibrium, balance, elderly subject, falls, posture

  5. Postoperative Ileus in the Elderly

    Directory of Open Access Journals (Sweden)

    Chih-Peng Tu

    2014-03-01

    Full Text Available Postoperative ileus is among the most common complications after surgery. Aging is associated with an increased colonic transit time, and anesthetic disturbance to colonic motility is often aggravated in the elderly. Postoperative ileus increases morbidity, prolongs the length of hospital stay, and constitutes a significant economic burden on the healthcare system. Multimodal enhanced recovery protocols, or fast-track surgeries, have been developed to improve postoperative recovery. Patient education, avoidance of perioperative fluid overload, selective use of nasogastric decompression, early ambulation, adopting a minimally invasive approach, early initiation of clear fluids, and gum chewing are all possible measures to reduce postoperative ileus. Thoracic epidural anesthesia is a well-established technique to hasten recovery, whereas insufficient data are available to ascertain the safety and efficacy of opioid-sparing analgesia in the elderly. The evidence is clear that traditional prokinetic medications are not helpful in the treatment or prevention of postoperative ileus. Early results suggest that alvimopan is a promising agent to reverse opioid-induced ileus. Since postoperative ileus is a multifactorial condition, a concerted effort is therefore necessary to prevent or decrease the duration of postoperative ileus using multimodal strategies.

  6. Affective robot for elderly assistance.

    Science.gov (United States)

    Carelli, Laura; Gaggioli, Andrea; Pioggia, Giovanni; De Rossi, Federico; Riva, Giuseppe

    2009-01-01

    Recently, several robotic solutions for the elderly have been proposed. However, to date, the diffusion of these devices has been limited: available robots are too cumbersome, awkward, and expensive to become widely adopted. Another key issue which reduces the appeal of assistive robots is the lack of socio-emotional interaction: affective interchanges represent key requirements to create sustainable relationships between elderly and robots. In this paper, we propose a new approach to enhance the acceptability of robotic systems, based on the introduction of affective dimensions in human-robot interaction. This strategy is aimed at designing a new generation of relational and cognitive robots fusing information from embodied unobtrusive sensory interfaces. The final objective is to develop embodied interfaces, which are able to learn and adapt their affective responses to the user's behavior. User and robot will engage in natural interactions, involving verbal and non-verbal communication, improving empathic exchange of moods and feelings. Relevant independent living and quality of life related issues will be addressed: on-going monitoring of health parameters, assistance in everyday's activities, social support and cognitive/physical exercises. We expect that the proposed strategy will enhance the user's acceptance and adoption of the assistive robotic system.

  7. Geography of European Migration

    Directory of Open Access Journals (Sweden)

    Zhitin Dmitry V.

    2016-08-01

    Full Text Available In recent decades, the role of international migration has increased dramatically in most European countries. The growth in migration has made some authors proclaim the beginning of a second Migration Period that could transform the social and cultural identity of Europe. The article presents an analysis of international migration geography in Europe in the last twenty-five years. The authors identify the main trends in migration, provide migration profiles of European countries, and propose a classification based on the recent changes in the migrant stock. Changes in the migrant stock (total emigration and immigration reflect the level of involvement in international and global processes. They can serve as an indicator of a country’s attractiveness for both foreigners and the country’s citizens. The study shows that European countries are increasingly split into ‘immigrant’ and ‘emigrant’ states. The authors describe spatial patterns of migration. The volume and localisation of migration flows in Europe are affected not only by cultural and historical circumstance, such as a colonial past or a common language. The scale of immigrant influx often does not depend on a donor country’s demographic potential or the level of its socio-economic development. The links between the place of origin and destination are often more complex than it might initially seem. The authors stress the importance of a differentiated immigration policy taking into account ethnic and cultural features of host societies.

  8. 49 CFR Appendix A to Part 609 - Elderly and Handicapped

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Elderly and Handicapped A Appendix A to Part 609..., DEPARTMENT OF TRANSPORTATION TRANSPORTATION FOR ELDERLY AND HANDICAPPED PERSONS Pt. 609, App. A Appendix A to Part 609—Elderly and Handicapped The definitions of the term elderly and handicapped as applied under...

  9. European Law in the Making:

    DEFF Research Database (Denmark)

    Rasmussen, Morten

    the legal service of the High Authority from early on promoted a ‘constitutional’ interpretation of European law, but where the member state, as well as most legal experts, still considered European law a subset of international law. How did the Court of Justice of the ECSC manoeuvre between...... on European law in the making.......Traditionally, the Court of Justice of the European Coal and Steel Community (ECSC) has mainly been considered the somewhat dull predecessor to the more famous Court of Justice of the European Communities, which in 1963-64 ‘constitutionalised’ the Treaties of Rome with the seminal judgments of Van...

  10. The violence against the elderly in films

    Directory of Open Access Journals (Sweden)

    Lucy Gomes Vianna

    2015-07-01

    Full Text Available Introduction: With the aging of the population, the issue of violence against the elderly need to be debated, in order to enlighten and educate the população about this issue. The movies utilization is a effective educational resource, contributing to reflection and understanding of these situation. Objective: To collect and analyze images in film productions that express the different types of violence against the elderly. Material and methods: Analysis of the national and international filmography, identifying scenes in commercial films portraying the violence against the elderly. We searched up the sites www.cinema10.com.br, www.adorocinema.com, www.cinemateca.gov.br, www.filmesdecinema.com.br, www.cineplayers, www.interfilmes,  www.cineclick.com.br, and  www.revistaforum.com.br. The films with scenes of violence against the elderly were listed. Results: We listed up 58 films showing scenes displaying different types of violence against the elderly: 24 (41% physical violence; 18 (31% psychological violence; 14 (24% social violence, 10 (17% self-neglect, 10 (17% economic abuse, 6 (10% abandonment, 3 (5% sexual violence, and 3 (5% negligence. Conclusion: Using film imagery, we can diffuse the issue of mistreatment against the elderly, as well as broaden the instances to denounce this violence. Thus, we search  to focus on the elderly citizenship, guaranteeing their rights and attending reframe the context and the images of aging.  

  11. BRAIN GYM IMPROVES COGNITIVE FUNCTION FOR ELDERLY

    Directory of Open Access Journals (Sweden)

    Ah. Yusuf

    2017-04-01

    Full Text Available Introduction: The degradation of cognitive function present early dementia in elderly. Brain gym is one of the alternative implementation to improve the cognitive function of elderly. The objective of this study was to analyze the effect of brain gym to the improvement of cognitive function in elderly. Method: This study used Quasy Experimental design. The populations were elderly in Social Service Unit Tresna Werdha Lamongan. The samples were recruited using purposive sampling, consist of 30 respondents, taken according to the inclusion criteria. Samples then divided into 2 groups, experimental groups and control groups. The independent variable of research this study was brain gym and the dependent variable was cognitive function at elderly. Data were collected by using MMSE score and then analyzed using Wilcoxon Signed Rank Test and Mann Whitney Test with level of significance α ≤ 0.05. Result: Result showed that there is an effect of brain gym to the improvement of cognitive function in elderly (p = 0.001. The difference of cognitive function also seen between experimental groups and control groups (p = 0.001. Discussion: The conclusion of this research is brain gym improve cognitive function in elderly. The simple movement of brain gym able to coordinate the brain function so the brain activity become more optimal hence the improvement of memory function, recall and concentration.

  12. Seasonal influenza vaccination of the elderly.

    Science.gov (United States)

    2011-01-01

    The elderly are at increased risk of the complications of seasonal influenza. Annual vaccination is therefore recommended. However, two systematic reviews published by the Cochrane collaboration have highlighted a number of outstanding issues. This article examines whether annual influenza vaccination of the elderly and their regular contacts is still supported by the available scientific evidence. The randomised trials included in one of the Cochrane reviews suggest that influenza vaccination reduces the incidence of flu-like syndromes and laboratory-confirmed influenza in the elderly. There are no robust randomised trials specifically designed to assess whether vaccination of the elderly prevents influenza complications. Two case-control studies showed a statistical correlation between vaccination and a lower risk of death from influenza complications. Cohort studies have also shown that complications are less frequent when the vaccine strains correspond to circulating strains. Because of a patient selection bias, non-randomised studies seem to overestimate the efficacy of vaccination. Three randomised trials showed that vaccination of care home staff reduced mortality among elderly residents during seasonal flu epidemics. No such effect was observed in another trial, possibly because a large proportion (32%) of staff in the control institutions had also been vaccinated. In practice, influenza vaccination of the elderly with risk factors for complications is justified, especially for care home residents, their regular contacts and healthcare workers. Seasonal flu vaccination of healthy people over 65 provides limited benefit but its harm-benefit balance remains favourable. More studies of routine influenza vaccination of the elderly are needed.

  13. Special considerations for nutritional studies in elderly.

    Science.gov (United States)

    Riobó Serván, Pilar; Sierra Poyatos, Roberto; Soldo Rodríguez, Judith; Gómez-Candela, Carmen; García Luna, Pedro Pablo; Serra-Majem, Lluis

    2015-02-26

    The elderly population is increasing and it is well documented that may present some health problems related to nutritional intake. Both mental and physical impairments in the elderly may need specific adaptations to dietary assessment methods. But all self-report approaches include systematic and random errors, and under-reporting of dietary energy intake is common. Biomarkers of protein intake, as 24 hours urinary Nitrogen, may not be useful in elderly patients because of incontinence problems. Some micronutrients, like vitamin B12, have special importance in the elderly population. Also, measurement of fluid intake is also critical because elderly population is prone to dehydration. A detailed malnutrition status assessment should be included in the geriatric dietary history, and assessment. Body mass index (BMI) is not useful in the elderly, and it is important to evaluate functional status. Gait speed, handgrip strength using hand dynamometry can be used. Body Shape Index (ABSI) appears to be an accurate measure of adiposity, and is associated with total mortality. Further research is needed to clarify the best and simple methods to accurately estimate food and beverage fluid intake in the elderly population, and to evaluate nutritional and hidration status. Copyright AULA MEDICA EDICIONES 2015. Published by AULA MEDICA. All rights reserved.

  14. Eastern Dimension of the European Neighbourhood Policy: Europeanization Mutual Trap

    Directory of Open Access Journals (Sweden)

    V. A. Latkina

    2014-01-01

    Full Text Available The article analyses the Europeanization policy of the European Union towards the Eastern Partnership participant countries. Suffering from the lack of clear strategy and ultimate goal in the European Neighbourhood Policy the European Union enhances external democratization and its governance in post soviet states without immediate Union's membership perspective. Underestimation of common neighbourhood geopolitical duality in the context of growing rivalry between European (EU and Eurasian (Custom Union/Eurasian Economic Union integration gravitation centers presents the Eastern partners of the EU with a fierce dilemma of externally forced immediate geopolitical and civilizational choice while not all of them are well prepared to such a choice. The mutual Europeanization trap here to be studied both for the EU and its Eastern partners (involving Russia is a deficiency of regulating cooperation mechanism in the situation of European and Eurasian free trades zones overlapping. Vilnius Summit 2013 results test the "European aspirations" of the New Independent States and upset the ongoing process of the European Neighbourhood Policy in the context of growing economic interdependence in Wider Europe. Besides, the Ukrainian crisis escalation during 2014 as a new seat of tension provokes unbalance of the whole European security system and creates new dividing lines in Europe from Vancouver to Vladivostok.

  15. DYSELECTROLYTEMIA IN ELDERLY: A HOSPITAL BASED STUDY

    Directory of Open Access Journals (Sweden)

    Tanushree

    2016-03-01

    Full Text Available INTRODUCTION Dyselectrolytemia is a common problem affecting elderly hospitalised patients. Although hypo/hypernatremia is the most common electrolyte abnormality found in elderly, abnormalities in other electrolytes may also occur in various settings. Information regarding the pattern of electrolyte abnormalities in elderly is lacking in this part of the country. With this background the following case control study was taken up with the following aims and objectives. OBJECTIVES • To study the various patterns of dyselectrolytemia in elderly and compare them with young. • To evaluate and compare the various aetiological factors and comorbid conditions involved in the occurrence of electrolyte abnormalities in these groups of patients. RESULTS The mean age of the study population was 66.174 years (SD- 6.512 years and of the control group was 41.94 years (SD - 10.924 years. Hyponatraemia was the most common electrolyte abnormality encountered in both the groups (57% vs. 60%, p- 0.61. The incidence of hyperkalaemia was significantly higher in the older age group (19.5% vs. 11.5%, p-0.03. Also, in the elderly, the presence of abnormalities in more than one electrolyte level was significantly higher than the young (25.5% vs. 14%, p -0.005. The average length of hospital stay in the elderly was 10.05 days (SD- 4.40 days whereas in the young was 6.35 days (SD- 3.27 days, p <0.0001. The mortality rate was also significantly higher in the elderly group (16% vs. 3.5%, p<0.0001. CONCLUSION Dyselectrolytemia is a common pathological condition encountered in the elderly population which is associated with a very high morbidity and mortality when compared with the young. Hence, elderly patients particularly with associated comorbid conditions should be screened routinely for the presence of associated electrolyte disturbances.

  16. The sandwich generation copes with elder care.

    Science.gov (United States)

    Seaward, M R

    1999-01-01

    The "sandwich generation" refers to the demographic age group of individuals who are caring for young children and elder parents at the same time. The increasing number of employees who must care for children and parents alike is a trend that is projected to continue. This is a burdensome responsibility that can cause stress and result in loss of productivity, accompanied by higher cost, to employers. The author discusses elder-care services that employers can offer to enhance productivity and gives case examples of companies that are making elder-care benefits available to employees.

  17. Management of diabetes in the elderly.

    Science.gov (United States)

    Bansal, Nidhi; Dhaliwal, Ruban; Weinstock, Ruth S

    2015-03-01

    Management of diabetes in the elderly necessitates careful consideration of concomitant geriatric syndromes and comorbid conditions that increase the risk of complications, including severe hypoglycemia. Whereas healthy older adults can use therapeutic approaches recommended for their younger counterparts, treatment plans for frail elderly patients need to be simplified and A1c and blood pressure goals relaxed with the development of impairments in function, cognition, vision, and dexterity. The goals of diabetes management in the elderly should be to maintain quality of life and minimize symptomatic hyperglycemia and drug side effects, including hypoglycemia. Copyright © 2015 Elsevier Inc. All rights reserved.

  18. [How to treat an elderly person's cancer?].

    Science.gov (United States)

    Mäkelä, Siru; Nevala, Riikka

    2013-01-01

    Among the elderly having cancer, many are in good condition and wish for active treatment. Although elderly people have been shown to benefit from oncological treatments, they are more susceptible than the young to the adverse effects of treatment. Comprehensive geriatric assessment has been utilized in predicting the capability of an elderly patient to tolerate treatment. A functional status questionnaire completed by the patient her/himself has been used in the oncological unit of Helsinki University Hospital in support of a cancer drug therapy assessment. The consultations with an oncologist have been centralized and the patients have had a possibility to meet a geriatrist.

  19. Comorbidities of Lung Disease in the Elderly.

    Science.gov (United States)

    Scichilone, Nicola

    2017-11-01

    Comorbidities are common in elderly individuals with chronic respiratory diseases. They can affect disease manifestations and severity and can even impact management. Comorbidities can affect the treatment of the lung disease, particularly because of the interaction with the respiratory drugs. Thus, a multidimensional approach with multidisciplinary intervention is suggested for elderly respiratory patients, switching from a disease-oriented scheme to a dysfunction-oriented approach. Unfortunately, older individuals are often excluded from clinical trials because of advanced age and comorbidities. This article reviews the role of comorbidities in the management of respiratory diseases in the elderly. Copyright © 2017 Elsevier Inc. All rights reserved.

  20. [Sleep health education for elderly people].

    Science.gov (United States)

    Miyazaki, Soichiro; Nishiyama, Akiko

    2015-06-01

    Successful aging is characterized by minimal age-associated loss of the physiological functions of sleep and circadian clock. Sleep health education is necessary to have normal, quality nighttime sleep and full daytime alertness. Elderly people show changes of sleep parameters, accompanied by increased napping. Many studies have reported that daytime sleepiness or napping in elderly people could have potentially serious effects such as dementia and life-style related diseases. The main topics of sleep health education for elderly people are as follows: Right knowledge of sleep mechanism, understanding the bad influence of excessive napping, the effects of light on the circadian rhythm and negative effects of caffeine, alcohol and television.

  1. Temporal Lobe Epilepsy in the Elderly

    Directory of Open Access Journals (Sweden)

    L. E. Morillo

    2012-01-01

    Full Text Available The incidence of epilepsy has bimodal distribution peaking at the extremes of life. Incidence is greater in younger and older age groups (Hauser et al., 1993, Sidenvall et al., 1993, Forsgren et al., 1996, and Olafsson et al., 2005. As the world population ages more elders with epilepsy will be identified. In the high-income countries with longer life expectancy, the number of elders with epilepsy will be even higher. CPSs account for 40% of all seizure types in the elderly (Hauser et al., 1992; however, the proportion with temporal lobe epilepsy (TLE is uncertain.

  2. Leukocyte telomere dynamics in the elderly

    DEFF Research Database (Denmark)

    Steenstrup, Troels; Hjelmborg, Jacob V B; Mortensen, Laust Hvas

    2013-01-01

    Limited data suggest that leukocytes of the elderly display ultra-short telomeres. It was reported that in some elderly persons leukocyte telomere length (LTL) shows age-dependent elongation. Using cross-sectional and longitudinal models, we characterized LTL dynamics in participants......, assuming a 340 bp attrition during this period. This was not significantly different from the empirical observation of 7.5 % of individuals showing LTL elongation. We conclude that accumulation of ultra-short telomeres in leukocytes of the elderly reflects a shift toward shorter telomeres in the entire...

  3. Automatic Quiz Generation for the Elderly.

    Science.gov (United States)

    Chen, Weiqin; Samuelsen, Jeanette

    2015-01-01

    According to the literature, ageing causes declines in sensory, perceptual, motor and cognitive abilities. The combination of reduced vision, hearing, memory and mobility contributes to isolation and depression. We argue that memory games have potential for enhancing the cognitive ability of the elderly and improving their life quality. In our earlier research, we designed tangible tabletop games to help the elderly remember and talk about the past. In this paper, we report on our further research in the automatic generation of quizzes based on Wikipedia and other online resources for entertainment and memory training of the elderly.

  4. Exploring Musical Activities and Their Relationship to Emotional Well-Being in Elderly People across Europe: A Study Protocol.

    Science.gov (United States)

    Grau-Sánchez, Jennifer; Foley, Meabh; Hlavová, Renata; Muukkonen, Ilkka; Ojinaga-Alfageme, Olatz; Radukic, Andrijana; Spindler, Melanie; Hundevad, Bodil

    2017-01-01

    Music is a powerful, pleasurable stimulus that can induce positive feelings and can therefore be used for emotional self-regulation. Musical activities such as listening to music, playing an instrument, singing or dancing are also an important source for social contact, promoting interaction and the sense of belonging with others. Recent evidence has suggested that after retirement, other functions of music, such as self-conceptual processing related to autobiographical memories, become more salient. However, few studies have addressed the meaningfulness of music in the elderly. This study aims to investigate elderly people's habits and preferences related to music, study the role music plays in their everyday life, and explore the relationship between musical activities and emotional well-being across different countries of Europe. A survey will be administered to elderly people over the age of 65 from five different European countries (Bosnia and Herzegovina, Czechia, Germany, Ireland, and UK) and to a control group. Participants in both groups will be asked about basic sociodemographic information, habits and preferences in their participation in musical activities and emotional well-being. Overall, the aim of this study is to gain a deeper understanding of the role of music in the elderly from a psychological perspective. This advanced knowledge could help to develop therapeutic applications, such as musical recreational programs for healthy older people or elderly in residential care, which are better able to meet their emotional and social needs.

  5. Malnutrition and associated factors in elderly hospital patients: a Belgian cross-sectional, multi-centre study.

    Science.gov (United States)

    Vanderwee, Katrien; Clays, Els; Bocquaert, Ilse; Gobert, Micheline; Folens, Bert; Defloor, Tom

    2010-08-01

    In Belgium, general data on the prevalence of malnutrition are lacking. Prevalence rates are necessary to gain insight into the magnitude of malnutrition and to establish a nutrition policy that takes the limited health care resources into account. This study aimed to obtain insight into the prevalence of malnutrition in Belgian elderly hospital wards and to identify factors associated with the malnutrition prevalence. A cross-sectional, multi-centre study in elderly wards of Belgian hospitals. The nutritional status was assessed using the Mini Nutritional Assessment. A standardised questionnaire was used to record demographic data and data on potential factors associated with malnutrition. Out of 2329 elderly patients, 33% suffered from malnutrition. Almost 43% of the patients were at risk of malnutrition and 24% were well-nourished. Having swallowing difficulties, taste difficulties, and being transferred from a nursing home were strongly associated with being malnourished. The malnutrition prevalence in Belgian elderly hospitals wards is similar to international figures. Elderly who have swallowing difficulties, taste difficulties, or coming from a nursing home may need adequate nutritional care. Given the negative impact of malnutrition on mortality and morbidity, an emphasis should be placed on an effective nutritional policy. Copyright 2010 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

  6. [Detection and evaluation of the role of sarcopenia in elderly patients with cancer treated with chemotherapy. ONCOSARCO project].

    Science.gov (United States)

    Molina Garrido, Maria José; Guillén Ponce, Carmen; Fernández Félix, Borja Manuel; Muñoz Sánchez, Maria Del Mar; Soriano Rodríguez, Maria Del Carmen; Olaverri Hernández, Amaya; Santiago Crespo, Jose Antonio

    To develop a predictive model of toxicity to chemotherapy in elderly patients with cancer, using the variables associated with sarcopenia, and to identify which of these parameters, sarcopenia or frailty, is the best predictor of toxicity to chemotherapy in the elderly. A prospective observational study with patients ≥70 years treated with chemotherapy in the Cancer Unit for the Elderly, in the Medical Oncology Section of the Hospital Virgen de la Luz de Cuenca. The following tests will be performed by each patient before chemotherapy: muscle strength (handgrip, cylindrical handgrip, pinch gauge, hip flexion, knee extension), muscle mass (skeletal muscle mass index), and physical function (gait speed and 5STS test). The occurrence of severe toxicity will be recorded over a period of 4 months of chemotherapy treatment. It will be evaluated, using logistic regression analysis, whether sarcopenia (defined by the European Working Group on Sarcopenia in Older People) or frailty (defined by the phenotype of frailty) is the best predictor of chemotherapy toxicity. Using a multinomial logistic regression analysis, we will try to create the first model to predict toxicity to chemotherapy in elderly patients with diagnosis of cancer, based on the definition of sarcopenia. It is expected that the final analysis of this project will be useful to detect predictive factors of toxicity to chemotherapy in elderly patients with cancer. Copyright © 2016 SEGG. Publicado por Elsevier España, S.L.U. All rights reserved.

  7. The European populist challenge

    Directory of Open Access Journals (Sweden)

    Yannis Stavrakakis

    2013-01-01

    Full Text Available In today’s Europe, the word ‘populism’ usually refers to right-wing populism or the populist extreme right. Is, however, the concept of ‘populism’ the proper theoreticopolitical instrument through which such identifications should be perceived, categorized and debated? What are the implications (direct and indirect of such a naming? And what are the risks for critical analysis and for democratic politics in the European context? The hypothesis explored in this essay is that sticking to a restrictive association between ‘populism’ and the extreme right poses certain dangers that have to be seriously taken into account, especially in times of crisis. For a start, it is often premised on a rather simplistic euro-centrism that reduces the broad conceptual spectrum covered by the category ‘populism’ in its global use to a very particular European experience and then essentializes the resulting association, over-extending its scope. In addition, the category ‘populism’ is aften used to describe political forces, identities and discourses in which the role of ‘the people’ is only secondary or peripheral, to the extent that it has to coincide with strongly hierarchical and elitist visions of society. What complicates things even further is that, within the context of the European (economic and political crisis, whoever questions/ resists the austerity agenda – especially on the left – is increasingly discredited and denounced as an irresponsible populist. Indeed, it is not by coincidence that doubts are increasingly voiced both in the theoretical and in the political literature regarding the rationale behind such a strong association between populism and the extreme right. A series of points will thus be raised that may help us develop a plausible theoretico-political strategy in the new emerging conditions from a discursive perspective.*

  8. European Network Against Racism

    DEFF Research Database (Denmark)

    Nielsen, Helene Pristed

    of discussions about intersectionality, the article investigates ENAR´s attention and ability to integrate questions of e.g. gender, sexuality or age in their policy input, given the potentially rigid compartmentalisation of discrimination strands within the European Commission´s system of civil society...... consultations. The article therefore overall aims to assess ENAR´s position as potentially hemmed in between 1) the Commission vs. member organisations’ expectations for its focus and modus operandi and 2) attention to intersectional discrimination vs. potential compartmentalisation within the Commission...

  9. Cooperative strategies European perspectives

    CERN Document Server

    Killing, J Peter

    1997-01-01

    Cooperative Strategies: European Perspectives is one of three geographically targeted volumes in which the contributors present the most current research on topics such as advances in theories of cooperative strategies, the formation of cooperative alliances, the dynamics of partner relationships, and the role of information and knowledge in cooperative alliances. Blending conceptual insights with empirical analyses, the contributors highlight commonalities and differences across national, cultural, and trade zones. The chapters in this volume are anchored in a wide set of theoretical approaches, conceptual frameworks, and models, illustrating how rich the area of cooperative strategies is for scholarly inquiry.

  10. European Regional Modernism

    Directory of Open Access Journals (Sweden)

    Vincent Brian Canizaro

    2014-03-01

    Full Text Available In recent years, beginning with the publication in 2003 of Liane Lefaivre and Alexander Tzonis’ 'Critical Regionalism', followed by my 'Architectural Regionalism: Collected Writings on Place, Identity, Modernity and Tradition 'in 2007, there has been a quiet resurgence in the discourse of architectural regionalism.' 'Leuven University Press’s 'Regionalism and Modernity: Architecture in Western Europe 1914–1940 'continues in this direction, with eleven chapters devoted to variations of the regionalist tendency in European architecture focused primarily on Belgium and France, but also Great Britain, Italy, and Germany.

  11. European Union of Memories?

    DEFF Research Database (Denmark)

    Wæhrens, Anne

    After a very brief introduction to history and memory in Europe after 1989, as seen by Aleida Assmann, I will give a short introduction to the EP and to their adoption of resolutions and declarations. Then I will define some concepts central to my study before I proceed to the analysis. Finally I...... these changes have come about. Moreover, I show that there seems to be a political memory split between Left and Right and I suggest that the time might not be ripe for a shared European memory....

  12. European Union Budget Politics

    DEFF Research Database (Denmark)

    Citi, Manuele

    2015-01-01

    The marginal involvement of the European Union (EU) in redistributive policies and its limited fiscal resources have led to a notable lack of attention by EU scholars towards the EU budget and its dynamics. Yet the nature of the budgetary data and their high usability for statistical analysis make...... them an excellent tool for studying and measuring policy change in the EU. In this article, I analyse an original dataset containing yearly data for the main categories of expenditure and how they have changed over the last three decades (1979–2013). Using time-series analysis, I find that the ability...

  13. Perioperative Care of the Elderly

    Directory of Open Access Journals (Sweden)

    Shih-Ping Cheng

    2007-06-01

    Full Text Available The geriatric population is growing in number and complexity in modern surgical practice. This challenging group presents differences in physiology and outcomes that make a more comprehensive and multidisciplinary approach necessary. This review emphasizes the meticulous assessment and preparation in all facets before surgery, including a thorough examination, nutrition evaluation and intervention, and preoperative optimization of pulmonary function and cardiovascular hemodynamics. This article highlights the importance of age-related pharmacokinetic and pharmacodynamic considerations, effective pain control, as well as prevention and treat-ment of hypothermia, fluid and electrolyte imbalance, and postoperative delirium. The vulnerable elderly patient with multiple medical problems and functional impairment is best served by a surgeon with a particular interest and working knowledge of the changes associated with aging and the physiology of surgery and anesthesia.

  14. How campaigns enhance European issues voting during European Parliament elections

    DEFF Research Database (Denmark)

    Beach, Derek; Møller Hansen, Kasper; Larsen, Martin Vinæs

    2017-01-01

    allegiances less important and attitudes about the European project more important by informing voters of and getting them interested in European politics. In effect, we argue that the political campaign leading up to the election makes European Parliament elections less second-order. While previous studies...... have demonstrated that EU attitudes can matter for voting behavior in European Parliament elections, existing research has drawn on post-election surveys that do not enable us to capture campaign effects. Our contribution is to assess the impact of a campaign by utilizing a rolling cross sectional......Based on findings from the literature on campaign effects on the one hand, and the literature on European Parliament elections on the other, we propose a model of European Parliamentary elections in which the campaign shift the calculus of electoral support, making differences in national political...

  15. Does self-reported sleep quality predict poor cognitive performance among elderly living in elderly homes?

    Science.gov (United States)

    Amer, Motassem S; Hamza, Sarah A; El Akkad, Rania M; Abdel Galeel, Yamen I I

    2013-01-01

    Sleep complaints are common among elderly, especially institutionalized elderly, as they experience poorer sleep quality and higher use of sedative hypnotics, when compared to community-dwelling elderly. Recent findings suggest that there may be a relationship between poor quality of sleep and cognitive deficits. This study aimed at studying the relation between sleep quality and cognitive performance in older adults living in elderly homes. 100 elderly living in an elderly home in El Mansoura, Egypt, were recruited in this study, 50 cases with subjective poor quality of sleep and 50 controls with subjective good quality of sleep as assessed by Pittsburgh sleep quality index (PSQI). Each participant went through comprehensive geriatric assessment (CGA), including geriatric depression scale (GDS), assessment of cognitive function by mini mental state examination (MMSE). 52% of poor sleepers showed impaired MMSE, while only 24% of good sleepers had impaired MMSE. Both orientation and (attention and calculation) were more affected (P = 0.027 and 0.035, respectively). Linear correlation coefficient between PSQI and different variables revealed significant negative correlation with total MMSE score, attention and calculation. Poor quality of sleep is related to cognitive impairment among elderly living in elderly homes and this problem should be taken in consideration among this group of elders.

  16. Europeanness: A Path To Unity Within The European Union

    Directory of Open Access Journals (Sweden)

    Piasecki Ryszard

    2016-03-01

    Full Text Available The postwar experience has shown that the implanting of European consciousness, or Europeanness, calls for coordinated efforts among the European institutions, national states, and NGOs. Such consciousness, a key pillar of the European integration, is necessary for the EU to effectively function and motivate member states’ − also the EU’s − citizens. And yet European institutions and EU governments show little interest in promoting the formation of this European consciousness. Pro-European social movements are weak, while anti- European ones gain strength. This désintéressement of the EU countries probably results from the conviction that the goal has been reached and that there is no more need for a widespread pro-European education of their societies. However analysis of the problem, and in particular of the interaction between European and national identities, shows that this is not the case. We fear that this lack of proactive measures mobilizing EU citizens to keep on struggling for a common Europe will lead to the erosion of existing achievements of integration within the EU, and undermine European values. It may threaten the future of the EU, which is not an ordinary integration grouping but a great peaceful, civilizational, social and economic project. Our hypothesis − positively verified in this article − is that the promotion of Europeanness in the EU societies is urgently needed to maintain the unity (and even membership of the Union, and to avert trends unfavorable for all of Europe and therefore for the West as a whole.

  17. Evidence-based dietary guidance and the role of dairy products for appropriate nutrition in the elderly.

    Science.gov (United States)

    van Staveren, Wija A; de Groot, Lisette C P G M

    2011-10-01

    Food consumption surveys in the elderly come to the general conclusions that most elderly people outside institutions eat reasonably well. There is, however, tremendous variation in health status between older adults. The aging process is complex and influenced not only by factors intrinsic to the individual but also by extrinsic factors. The latter includes nutrition. In the various phases in the aging process, nutritional status and thus appropriate nutrition differ. Undernutrition is a great concern. In community-dwelling people older than 70 years, 5%-10% are undernourished, and for institutionalized elderly, this is up to 30%-65%. The cause is often inappropriate food consumption, and treatment is not always evidence based. National evidence-based dietary guidelines are mainly for healthy elderly people and vary between regions and even between institutes within the same region. To understand these differences, insight is required into the paradigm applied for nutritional science and the designs, selection of the older population, methodology, and endpoints of studies supplying the science behind the guidelines. A European project (Eurecca) compiles and harmonizes dietary guidelines. These activities underpin the need for sound evidence to improve the nutrition of older adults in different health phases. For frail elderly, there is also a plea to take into account results of studies on food satisfaction. First studies in this field show the effectiveness of an adapted social context for meals, appropriate nutritional care, and availability of tasty drinks and foods for selected groups of older adults. Because of the nutrient richness of dairy products and their good taste, these foods are helpful in the diet of healthy as well as frail elderly people. Key teaching points: Most elderly people eat reasonably well. There are, however, large differences in health status between elderly people and therefore also in nutrient requirements. Undernutrition is a main

  18. Cancer Outcomes in Low-Income Elders

    Data.gov (United States)

    U.S. Department of Health & Human Services — Cancer Outcomes in Low-Income Elders, Is There An Advantage to Being on Medicaid Because of reduced financial barriers, dual Medicare-Medicaid enrollment of...

  19. The Elderly (Student Book). Value Reasoning Series.

    Science.gov (United States)

    Main, John, Ed.

    The attitudes, emotions, and problems of the elderly are presented in this manual. Activities for students enabling them to more closely emphathize with older adults are outlined. Poems, articles, and interviews are included to illuminate various aspects of aging. (JD)

  20. Flu shots and unvaccinated elderly Medicare beneficiaries

    Data.gov (United States)

    U.S. Department of Health & Human Services — Elderly persons (aged 65 years and older) are at increased risk of complications from influenza, with the majority of influenza-related hospitalizations and deaths...

  1. Addressing elderly mobility issues in Wisconsin.

    Science.gov (United States)

    2011-09-01

    "The aging of baby boomers poses significant challenges to Wisconsins existing transportation infrastructure and specialized transit : programs. From 2010 to 2035, the number of elderly Wisconsinites is projected to grow by 90 percent, an increase...

  2. Management of heart failure in the elderly.

    Science.gov (United States)

    Alghamdi, Faisal; Chan, Michael

    2017-03-01

    Heart failure is a major chronic illness with no definitive cure. With improving healthcare and with an aging population in many countries, heart failure has become a common disease of the elderly. Pharmacological management of heart failure in the elderly remains a challenge. The syndrome of heart failure cannot be isolated from other comorbidities, which are very common in this population. The purpose of this review is to assist practicing clinicians to more effectively make decisions about management of heart failure in the elderly. In this review, we will try to integrate recent research studies, recent guidelines, and new treatment modalities, and discuss some controversies. In general, the elderly patient with heart failure should be treated according to current heart failure guidelines; however, untailored heart failure management may cause untoward effects in this age group and may worsen clinical outcome.

  3. Elder Care for Alzheimer's: Choosing a Provider

    Science.gov (United States)

    ... elder care center for a loved one with Alzheimer's. What should I look for when considering a ... provide an opportunity for your loved one with Alzheimer's to receive assistance and therapeutic activities in a ...

  4. Effectiveness of Pranayama on Depression in Elderly

    National Research Council Canada - National Science Library

    Kannan K; Lalitha.K; Ramachandra; Sailaxmi Gandhi; Naveen Kumar C

    2015-01-01

    The knowledge of Pranayama in elderly is very important in day to day life. In case of mental health problem like depression, the availability of the source of Complementary and Alternative Medicine (CAM...

  5. Sexual Harassment towards Newcomers in Elder Care

    DEFF Research Database (Denmark)

    Krøjer, Jo; Lehn-Christiansen, Sine; Nielsen, Mette Lykke

    2014-01-01

    Sexual harassment is illegal and may have very damaging effects on the people exposed to it. One would expect organizations, employers, and institutions to take very good care to prevent employees from exposure to sexual harassment from anyone in their workplace. And yet, many people, mostly women......, are exposed to sexual harassment at work. In care work, such behaviour is often directed toward their female caregiver by elderly citizens in need of care. Contemporary Nordic studies of working life and work environment have primarily investigated the interpersonal dimensions of sexual harassment, thus...... focusing on the relation between elderly citizens in need of care and their professional caregivers. In this article, we argue that sexual harassment from the elderly toward newcomers in elder care should also be seen as an effect of institutional practices. Based upon a Foucauldian-inspired notion...

  6. Caring for the Elderly: Dealing with Resistance

    Science.gov (United States)

    ... want help. Understand what's causing your loved one's resistance and how you can encourage cooperation. By Mayo ... can face when caring for the elderly is resistance to care. How do you help a loved ...

  7. State Taxes, Tax Exemptions, and Elderly Migration

    National Research Council Canada - National Science Library

    Ali Sina Önder; Herwig Schlunk

    2015-01-01

    .... We show that the elderly prefer to migrate to states with low inheritance taxes, high property taxes, low amounts of federal revenue transfers, low cost of living, and higher average temperatures...

  8. Fall risk in an active elderly population

    DEFF Research Database (Denmark)

    Læssøe, Uffe; Hoeck, Hans C.; Simonsen, Ole

    2007-01-01

    BACKGROUND: Falls amongst elderly people are often associated with fractures. Training of balance and physical performance can reduce fall risk; however, it remains a challenge to identify individuals at increased risk of falling to whom this training should be offered. It is believed that fall...... risk can be assessed by testing balance performance. In this study a test battery of physiological parameters related to balance and falls was designed to address fall risk in a community dwelling elderly population. RESULTS: Ninety-four elderly males and females between 70 and 80 years of age were...... of community dwelling elderly. Falling is a complex phenomenon of multifactorial origin. The crucial factor in relation to fall risk is the redundancy of balance capacity against the balance demands of the individuals levels of fall-risky lifestyle and behavior. This calls for an approach to fall risk...

  9. Sarcopenia and functionality in elderly inpatient

    National Research Council Canada - National Science Library

    Chávez-Moreno, Diana Victoria; Infante-Sierra, Héctor; Serralde-Zúñiga, Aurora E

    2015-01-01

    Sarcopenia is a geriatric syndrome associated with adverse events. The aim of the present study was to assess the sarcopenia prevalence and its association with the functionality in elderly inpatient...

  10. Association between malnutrition and depression in elderly

    National Research Council Canada - National Science Library

    Pérez Cruz, Elizabeth; Lizárraga Sánchez, Diana Cecilia; Martínez Esteves, María Del Rosario

    2014-01-01

    Malnutrition and depression are common geriatric disorders. The aim of this study was determined the prevalence of malnutrition and depression in the elderly, as well as assess the association between depression and malnutrition...

  11. The violence against the elderly in films

    OpenAIRE

    Lucy Gomes Vianna; Hugo Henrique Alves Ferreira; Josiane Aparecida Duarte; Bruna Miclos de Oliveira; Cristina S. Cunha; Norma D’Albuquerque Augusto; Armando José China Bezerra

    2015-01-01

    Introduction: With the aging of the population, the issue of violence against the elderly need to be debated, in order to enlighten and educate the população about this issue. The movies utilization is a effective educational resource, contributing to reflection and understanding of these situation. Objective: To collect and analyze images in film productions that express the different types of violence against the elderly. Material and methods: Analysis of the national and international film...

  12. Loneliness and depression in the institutionalized elderly

    OpenAIRE

    Ribeiro, Maria Isabel; Rodrigues, Cristiana; Gonçalves, Cláudia; Sousa, Vanessa

    2014-01-01

    Institutionalized elderly people often experience feelings of depression and loneliness. However, there are strategies to combat these problems allowinga better quality of life. Objectives To know the feelings of the elderly in relation to their life. To determine the degree of depression. To verify if loneliness is associated with depression. Methods A cross-sectional, quantitative, observational and analytical study was developed. A questionnaire was developed con...

  13. Assessing the nutritional status of hospitalized elderly

    OpenAIRE

    Abd Aziz,Nur Adilah Shuhada; Teng, Nur Islami Mohd Fahmi; Abdul Hamid, Mohd Ramadan; Ismail, Nazrul Hadi

    2017-01-01

    Purpose The increasing number of elderly people worldwide throughout the years is concerning due to the health problems often faced by this population. This review aims to summarize the nutritional status among hospitalized elderly and the role of the nutritional assessment tools in this issue. Methods A literature search was performed on six databases using the terms “malnutrition”, “hospitalised elderly”, “nutritional assessment”, “Mini Nutritional Assessment (MNA)”, “Geriatric Nutrition Ri...

  14. Economic Dependency and Depression in Elderly

    Directory of Open Access Journals (Sweden)

    Charchit P. Mehta

    2016-01-01

    Full Text Available Background: Aging has become greatest challenge globally. In developing countries including India elderly population (persons aged 60 years and above is projected to outpace the rich world resulting in 50-80 percent of them expected to be staying in resource constraint countries. By 2050 of the total population more than 20 percent will be elderly. Depressive illness associated with dementia is one of the important problems in elderly. With increase in longevity there will be sharp rise in old age dependency ratio which can drain the resources in any country due to expenditure on health, social security and education. Aim & Objectives: The present study was carried out to assess the extent of degree of depression in elderly and study the associated factors like economic dependency. Material and Methods: Randomly selected subjects were administered the questionnaire of Geriatric Depression Scale (GDS, in the Geriatric Clinic of a tertiary care hospital, to categorize them based on the scores, into mild, moderate and severe. Some of the factors were studied and analysed to nd out their association with depression like working status, socioeconomic status and economic dependency. Results: Proportion of elderly having depression was 52.4% with females outnumbering males. Depression seems to be more in those elderly who were not working, were from low socioeconomic status and not having pension as 38.6% who had no pension were depressed. Moderate to severe depression was more in economically dependent (20% as compared to those who were independent nancially. Conclusion: Economic dependency seems to be important associated factor responsible for depression in elderly along with other factors like socioeconomic status, pension status etc. Implementation of adequate health services and social security system is needed to prevent the marginalization of elderly.

  15. Characteristics of Falls Among Institutionalized Elderly People

    Directory of Open Access Journals (Sweden)

    Ahmad Ali Akbari Kamrani

    2007-01-01

    Full Text Available Objectives: Falls by elderly people area frequent cause of morbidity and mortality, especially in institutionalized elders. to describe the features of falls among institutionalized elderly people. Methods & Materials: characteristics of falls in the preceding six months (March 2006 - September 2006 that occurred among elder lies (aged over 60years with normal physical function and cognitive status, who lived at Kahrizak Institute, along term nursing home in Tehran, were surveyed and analyzed. Results: The mean age of the patients with falls was 76.9 yrs. These numbers of falls had occurred among 29 elders that 48.3% were women and 51.7% were men. 57.6% off alls were simple and elders could standup immediately independently. 42.4% of falls needed to help for standup, 2 elder person (2.6% had sever consequence of fall and had fractures. (Skull fracture, head trauma & hip fracture 30.3% of falls occurred in yard, 28.9% at room, 18.4%inhallway, 14.5% at WC, .3.9%at bathroom, and 3.9% at lunch saloon. Analysis of the time of falls showed: 45.3% of falls occurred at 7bl2 am, 13.2% at the lunch time (12bI4, 17% at 14b19, 11.3%at night (19b4 am, and 13.2% at 4b7 am. Conclusion: falls among elder lies occur mainly outside of room. And occur at the time of maximum activities, for example at morning; also falls have been happened more in subjects older, and occasionally result in sever injury such as head trauma, skull fracture, femur and pelvis fracture and cause more mortality and morbidity. Control of environmental risk factors could be protective factors against falls.

  16. ANALIZA UNOR PROCESE DE ÎMBĂTRÂNIRE ACTIVĂ LA NIVELUL A 6 ŢĂRI ALE U.E. ŞI ROMÂNIA (International Conference “EUROPEAN PERSPECTIVE OF LABOR MARKET - INOVATION, EXPERTNESS, PERFORMANCE”)

    OpenAIRE

    Gabriela Tudose; Daniela Paşnicu; Cătălin Ghinăraru; Adriana Ana Maria Davidescu

    2015-01-01

    In the EU-28, employment and unemployment among the elderly have experienced changes in the period 2002-2013, which differs significantly from country to country. These changes were mainly due to acute financial crisis. The paper draw a statistical analysis of active aging, active performance measures applied to the 6 member states of the European Union and Romania reflected in labor market outcomes. It was intended to highlight key issues related to the elderly population situation in Romani...

  17. Thymus and adrenal glands in elder abuse.

    Science.gov (United States)

    Hayashi, Takahito; Bunai, Yasuo; Ago, Kazutoshi; Ago, Mihoko; Ogata, Mamoru

    2011-12-01

    Endogenous glucocorticoid-induced thymic involution is generally considered to be an important finding for determining child abuse. The present study investigated the weight of the thymus and the adrenal glands in elder abuse cases to identify a potential marker for elder abuse. There was no significant difference in the thymus and the adrenal weight between elder abuse and control cases. However, the elder abuse cases in which the duration of abuse was less than 3 months showed a significant increase in the adrenal weight in comparison to control cases. In such cases, histopathological findings showed a loss of intracellular light granules from the zona fasciculata, which might indicate a loss of cholesterol due to the overproduction of glucocorticoid. These results might imply that the elderly, who were maltreated for less than 3 months, were in the early phase of a long-term stress state during which stress-induced overproduction of glucocorticoid was observed in adrenal glands as indicated by Selye. Our results suggest that an increase in adrenal weight may be a potential marker for elder abuse of relatively short periods, especially less than a few months.

  18. Planning elderly and palliative care in Montenegro

    Directory of Open Access Journals (Sweden)

    Mark McCarthy

    2009-04-01

    Full Text Available Introduction: Montenegro, a newly independent Balkan state with a population of 650,000, has a health care reform programme supported by the World Bank. This paper describes planning for integrated elderly and palliative care. Description: The current service is provided only through a single long-stay hospital, which has institutionalised patients and limited facilities. Broad estimates were made of current financial expenditures on elderly care. A consultation was undertaken with stakeholders to propose an integrated system linking primary and secondary health care with social care; supporting people to live, and die well, at home; developing local nursing homes for people with higher dependency; creating specialised elderly-care services within hospitals; and providing good end-of-life care for all who need it. Effectiveness may be measured by monitoring patient and carers’ perceptions of the care experience. Discussion: Changes in provision of elderly care may be achieved through redirection of existing resources, but the health and social care services also need to enhance elderly care budgets. The challenges for implementation include management skills, engaging professionals and political commitment. Conclusion: Middle-income countries such as Montenegro can develop elderly and palliative care services through redirection of existing finance if accompanied by new service objectives, staff skills and integrated management.

  19. Factors associated with sarcopenia in institutionalized elderly.

    Science.gov (United States)

    Mesquita, Alice Ferreira; Silva, Emanuelle Cruz da; Eickemberg, Michaela; Roriz, Anna Karla Carneiro; Barreto-Medeiros, Jairza Maria; Ramos, Lílian Barbosa

    2017-03-30

    The sarcopenia is a negative aspect for the health of the elderly, increased the risk for disease and mortality. Additionally can contributes greatly to functional reducing capacity and quality of life. To identify the prevalence and factors associated with sarcopenia in institutionalized elderly. This is a cross-sectional study, conducted with 216 elderly people, aged ≥ 60 years, of both sexes, residents in long-term care facilities in Salvador-Bahia, Brazil. To identify sarcopenia was used the skeletal muscle Index. Covariates were considered: gender, age, time of institutionalization, type of institution, body mass index and functional capacity. The Association between sarcopenia and covariates was evaluated using the Poisson regression model with robust variance. The prevalence of sarcopenia in the elderly was 72.2% and this condition was associated with male sex (PR = 1,33; CI 95% = 1,081,65), thinness (PR = 1,29; CI 95% = 1,16-1,43) and obesity (PR = 0,37; CI 95% = 0,23-0,61). The prevalence of sarcopenia was high among the elderly living in long-term institutions, especially among men. Elderly with thinness showed greater impairment of muscle reserves, while the state of obesity was protective.

  20. EPILEPSY IN ELDERLY PATIENTS (DIAGNOSTIC FEATURES

    Directory of Open Access Journals (Sweden)

    S. A. Gulyaev

    2014-01-01

    Full Text Available Physicians frequently consider that epilepsy is a disease in children and young adults; however, its incidence in elderly patients is not lower and commonly higher than those among children and young people. Among the causes of epilepsy in elderly patients, there is a predominance of acute and chronic cerebral circulatory disorders (50 % of all cases. Other causes of epilepsy (neurodegenerative processes, tumors, etc. are rarely encountered in the elderly. However, there is actually no real pattern of incidence of epilepsy in the elderly since the diversity and features of its clinical manifestations in these patients, as well as difficulties in describing their status make the diagnosis of the disease very hard in this category of patients. Seizures without loss of consciousness, which are especially associated with the development of transient muscle tone disorders and autonomic dysfunction, are commonly regarded as benign vertigo, autonomic or mental disorders. This study has indicated that the development of epilepsy in the elderly, which results from cerebrovascular and neurodegenerative pathology, is not a rare, but relatively common neurological disorder. By taking into account the aging tendency in economically developed countries, the increasing number of elderly patients with epilepsy is an important medical and economic problem that calls for in-depth investigation, timely diagnosis,and treatment.

  1. Elder neglect assessment in the emergency department.

    Science.gov (United States)

    Fulmer, T; Paveza, G; Abraham, I; Fairchild, S

    2000-10-01

    Emergency departments are often the first point of contact for elder neglect victims. The purpose of this article is to describe a pilot study pertaining to the screening of patients and detection of elder neglect conducted in a large metropolitan medical center emergency department. The research question to be answered was, "Is it feasible for ED nurses to conduct accurate screening protocols for elder neglect in the context of their busy practice?" During a 3-week period, 180 patients older than age 70 years (90% of all possible elderly patients during the screening hours) were screened to determine if they met the study criteria and could be enrolled into the protocol. Thirty-six patients met the eligibility criteria to enroll in the study, and 7 patients screened positive for neglect by a home caregiver. The nurses were able to screen and detect elder neglect with more than 70% accuracy, confirming the research question. The true-positive rate was 71%, and the false-positive rate was 7%. Elder neglect protocols are feasible in busy emergency departments, and neglect can be accurately detected in the emergency department when screening procedures are in place.

  2. Assessing the nutritional status of hospitalized elderly.

    Science.gov (United States)

    Abd Aziz, Nur Adilah Shuhada; Teng, Nur Islami Mohd Fahmi; Abdul Hamid, Mohd Ramadan; Ismail, Nazrul Hadi

    2017-01-01

    The increasing number of elderly people worldwide throughout the years is concerning due to the health problems often faced by this population. This review aims to summarize the nutritional status among hospitalized elderly and the role of the nutritional assessment tools in this issue. A literature search was performed on six databases using the terms "malnutrition", "hospitalised elderly", "nutritional assessment", "Mini Nutritional Assessment (MNA)", "Geriatric Nutrition Risk Index (GNRI)", and "Subjective Global Assessment (SGA)". According to the previous studies, the prevalence of malnutrition among hospitalized elderly shows an increasing trend not only locally but also across the world. Under-recognition of malnutrition causes the number of malnourished hospitalized elderly to remain high throughout the years. Thus, the development of nutritional screening and assessment tools has been widely studied, and these tools are readily available nowadays. SGA, MNA, and GNRI are the nutritional assessment tools developed specifically for the elderly and are well validated in most countries. However, to date, there is no single tool that can be considered as the universal gold standard for the diagnosis of nutritional status in hospitalized patients. It is important to identify which nutritional assessment tool is suitable to be used in this group to ensure that a structured assessment and documentation of nutritional status can be established. An early and accurate identification of the appropriate treatment of malnutrition can be done as soon as possible, and thus, the malnutrition rate among this group can be minimized in the future.

  3. Treatment of bladder cancer in the elderly

    Directory of Open Access Journals (Sweden)

    Annette Erlich

    2016-06-01

    Full Text Available As the population ages and life expectancy increases in the human population, more individuals will be diagnosed with bladder cancer (BC. The definition of who is elderly is likely to change in the future from the commonly used cut-off of ≥75 years of age. Physiological rather than chronological age is key. BC care in the elderly is likely to become a very common problem in daily practice. Concerns have been raised that senior BC patients are not given treatments that could cure their disease. Clinicians lack quantitative and reliable estimates of competing mortality risks when considering treatments for BC. Majority of patients diagnosed with BC are elderly, making treatment decisions complex with their increasing number of comorbidities. A multidisciplinary approach to these patients may be a way to incorporate discussion from various disciplines regarding treatment options available. Here we review various treatment options for elderly patients with muscle invasive BC and nonmuscle invasive BC. We include differences in treatments from robotic versus open radical cystectomy, various urinary diversion techniques, chemotherapy, radiation therapy and combination treatments. In clinical practice, treatment decisions for elderly patients should be done on a case-bycase basis, tailored to each patient with their specific histories and comorbidities considered. Some healthy elderly patients may be better candidates for extensive curative treatments than their younger counterparts. This implies that these important, life-altering decisions cannot be solely based on age as many other factors can affect patient survival outcomes.

  4. Elderly inpatients' priorities for acute care service quality.

    Science.gov (United States)

    Clark, Paul Alexander; Kaldenberg, Dennis O; Drain, Maxwell; Wolosin, Robert J

    2004-01-01

    This study examines elderly and advanced elderly inpatients' perceptions of acute care service quality, prioritises opportunities for quality improvement, and assesses variation in patients' satisfaction with care. Psychometrically-validated postal questionnaires were sent to random samplings of patients discharged from the US acute care facilities in 2002 (n = 2,057,164). Quality improvement priorities among non-elderly (elderly (65-74 years), and advanced elderly (> 74 years) were similar but substantial variation was found comparing single items between age groups. Elderly and advanced elderly patients rated the quality of meals and rooms significantly lower than the non-elderly, and the advanced elderly rated treatment decision making involvement significantly lower than the other two age groups. The data reveals specific, actionable areas for quality improvement and a non-linear relationship between age and satisfaction. Findings question assumptions regarding older patients' evaluations of care and indicate directions for quality improvement that account for their unique needs.

  5. A comparative study of the financing, provision and quality of care in nursing homes: the approach of four European countries: Belgium, Denmark, Germany and the Netherlands.

    NARCIS (Netherlands)

    Meijer, A.; Campen, C. van; Kerkstra, A.

    2000-01-01

    As result of an increase in the numbers of frail elderly people, most European countries are facing problems with the financing and provision of services by nursing homes. At the same time, the expectations of quality of these services continue to rise. The main question investigated in this study

  6. Does the health impact of exposure to neighbourhood green space differ between population groups? An explorative study in four European cities.

    NARCIS (Netherlands)

    Ruijsbroek, A.; Droomers, M.; Kruize, H.; Kempen, E. van; Gidlow, C.J.; Hurst, G.; Andrusaityte, S.; Nieuwenhuijsen, M.J.; Maas, J.; Hardyns, W.; Stronks, K.; Groenewegen, P.P.

    2017-01-01

    It has been suggested that certain residents, such as those with a low socioeconomic status, the elderly, and women, may benefit more from the presence of neighbourhood green space than others. We tested this hypothesis for age, gender, educational level, and employment status in four European

  7. MF59-adjuvanted H5N1 vaccine induces immunologic memory and heterotypic antibody responses in non-elderly and elderly adults.

    Directory of Open Access Journals (Sweden)

    Angelika Banzhoff

    Full Text Available Pathogenic avian influenza virus (H5N1 has the potential to cause a major global pandemic in humans. Safe and effective vaccines that induce immunologic memory and broad heterotypic response are needed.Healthy adults aged 18-60 and > 60 years (n = 313 and n = 173, respectively were randomized (1:1 to receive two primary and one booster injection of 7.5 microg or 15 microg doses of a subunit MF59-adjuvanted H5N1 (A/Vietnam/1194/2004 (clade 1 vaccine. Safety was monitored until 6 months after booster. Immunogenicity was assessed by hemagglutination inhibition (HI, single radial hemolysis (SRH and microneutralization assays (MN. Mild injection-site pain was the most common adverse reaction. No serious adverse events relating to the vaccine were reported. The humoral immune responses to 7.5 microg and 15 microg doses were comparable. The rates for seroprotection (HI>40; SRH>25 mm(2; MN > or = 40 after the primary vaccination ranged 72-87%. Six months after primary vaccination with the 7.5 microg dose, 18% and 21% of non-elderly and elderly adults were seroprotected; rates increased to 90% and 84%, respectively, after the booster vaccination. In the 15 microg group, seroprotection rates among non-elderly and elderly adults increased from 25% and 62% after primary vaccination to 92% and 88% after booster vaccination, respectively. A heterologous immune response to the H5N1/turkey/Turkey/05 strain was elicited after second and booster vaccinations.Both formulations of MF59-adjuvanted influenza H5N1 vaccine were well tolerated. The European Union requirement for licensure for pre-pandemic vaccines was met by the lower dose tested. The presence of cross-reactive antibodies to a clade 2 heterologous strain demonstrates that this vaccine may be appropriate for pre-pandemic programs.(ClinicalTrials.gov NCT00311480.

  8. The European Social Survey and European research policy

    DEFF Research Database (Denmark)

    Kropp, Kristoffer

    2017-01-01

    This article analyses the history of the European Social Survey (ESS) and its relationship to changes in European research policy, using Bourdieu’s field-analytical approach. It argues that the success of the ESS relied on three interwoven processes that we can understand theoretically in terms o...

  9. Can the European Central Bank Create a European identity?

    DEFF Research Database (Denmark)

    Ravn Sørensen, Anders

    2014-01-01

    In what ways do central banks construct community, and how may the European Central Bank (ECB) contribute to a supranational European identity? In this paper I seek to answer these two questions by developing a conceptual framework for the ways that central banks construct national identities and...

  10. Perspectives for food research and European collaboration in the European Research Area and the new Framework Programme.

    Science.gov (United States)

    Breslin, L

    2001-08-01

    Since 1987, successive framework programmes have contributed to strengthen European food research through the establishment of networks between research institutions, universities and companies from various European countries. In the FAIR programme (1994-1998), 118 research projects comprising nearly 1,000 participants from the European Union and Associated States have been supported in the food area with a European funding of about [symbol: see text] 108 million. Within the Quality of Life and Management of Living Resources programme (1998-2002), food research is mostly supported within the key action 'food, nutrition and health' with a budget of [symbol: see text] 290 million. After the first four deadlines, 735 eligible research proposals have already been received. Further to their evaluation by a panel of independent experts, 108 proposals have been funded or selected for funding representing a total contribution of about [symbol: see text] 168 million. Among those, several clusters of projects are now running on important topics such as probiotics, coeliac diseases, mycotoxins, GMO, safety and food for the elderly. In addition, technology stimulation measures are largely benefiting SMEs to foster their innovation potential. In January 2000, the European Commission adopted a Communication entitled "Towards the European Research Area (ERA)" with the objective to contribute to developing better framework conditions for research in Europe. On 21 February 2001, the Commission adopted proposals to be submitted to the European Parliament and Council for the next framework programme for research and innovation (2002-2006). The new framework programme that is becoming one of the financial instruments of the ERA aims at catalysing the integration of European research by: strengthening of links between the Community research effort and national and regional research policies; concentrating on a limited number of priority fields or research to which activities at the

  11. Rectors of European universities

    CERN Multimedia

    Maximilien Brice

    2003-01-01

    Several rectors of European universities visited CERN recently while in Geneva for a conference on coordination between their institutions. The visit began with a welcome by Roger Cashmore, CERN Director of Collider Programmes,and continued with tours of CMS, ALICE and the LHC magnet assembly hall. Photos 01, 02: The visitors in the ALICE assembly hall: (left to right) Dr. Raymond Werlen, Deputy Secretary-General of the Conference of Rectors of Swiss Universities; visit guide Prof. Alain Blondel, Department of Nuclear and Corpuscular Physics, University of Geneva; Prof. Adriano Pimpão, Rector of the University of Algarve, President of the Council of Rectors of Portuguese Universities; Prof. Jean-Pierre Finance, Conference of University Presidents, France; Prof. Jean-Paul Lehners, Vice-President of the Centre Universitaire, Luxemburg.

  12. Characterizing European cultural landscapes

    DEFF Research Database (Denmark)

    Tieskens, Koen F.; Schulp, Catharina J E; Levers, Christian

    2017-01-01

    Almost all rural areas in Europe have been shaped or altered by humans and can be considered cultural landscapes, many of which now are considered to entail valuable cultural heritage. Current dynamics in land management have put cultural landscapes under a huge pressure of agricultural...... intensification and land abandonment. To prevent the loss of cultural landscapes, knowledge on the location of different types of cultural landscapes is needed. In this paper, we present a characterization of European cultural landscapes based on the prevalence of three key dimensions of cultural landscapes......: landscape structure, management intensity, and value and meaning. We mapped these dimensions across Europe at a 1-km resolution by combining proxies on management intensity and landscape structure with new indicators such as social media usage and registered traditional food products. We integrated...

  13. Delirium in elderly patients: association with educational attainment.

    Science.gov (United States)

    Martins, Sónia; Paiva, José Artur; Simões, Mário R; Fernandes, Lia

    2017-04-01

    Among cognitive reserve markers, educational attainment is the most widely studied, with several studies establishing a strong association with risk of dementia. However, it has not yet been fully examined in delirium. This study aims to analyse the relationship between educational attainment and delirium. The study included elderly hospitalised patients admitted (≥48 h) into an intermediate care unit (IMCU) of Intensive Care Medicine Service. Exclusion criteria were as follows: Glasgow Coma Scale (total≤11), blindness/deafness, inability to communicate or to speak Portuguese. The European Portuguese Version of the Confusion Assessment Method (CAM) was used for delirium assessment. The final sample (n=157) had a mean age of 78.8 (SD=7.6) the majority being female (52.2%), married (51.5%) and with low educational level (49%). According to CAM, 21% of the patients had delirium. The delirium group presented the fewest years of education (median 1 vs. 4), with statistical significance (p=0.003). Delirium was more frequent among male patients [odds ratio (OR) 0.32; 95% confidence interval (CI) 0.12-0.86; p=0.023], as well as those patients with lower education (OR 0.76; 95% CI 0.62-0.95; p=0.016), and with respiratory disease (OR 3.35; 95% CI 1.20-9.33; p=0.020), after controlling for age and medication. Similar to previous studies, these findings point to a negative correlation between education and delirium. This study appears as an attempt to contribute to the knowledge about the role of cognitive reserve in risk of delirium, particularly because is the first one that has been carried out in an IMCU, with lower educated elderly patients. Further studies are needed to clarify this relationship considering other markers (e.g. cognitive activities), which can contribute to the definition of preventive strategies.

  14. European project ISAWARE

    Science.gov (United States)

    Kaiser, Jochen; Smietanski, Guillaume; Kubbat, Wolfgang

    2001-08-01

    As air traffic is increasing, the probability of encountering 'surveillance' alerts during flight is also increasing. In order to ensure safety, new on board systems need to be developed to provide the crew with a better 'situation awareness' (SA) about its external environment and potential hazards. In addition, the means to manage the data generated by these new systems needs to be build up. Despite the tremendous amount of information, crew workload must not increase. This is where the ISAWARE project comes in with the Integrated Situation Awareness System (ISAS) concept. ISAWARE (Increasing Safety through collision Avoidance WARning intEgration) is a project partly funded by the European Community, executed by a well balanced composition of several European aerospace companies (airframers, a helicopter manufacturer, avionics suppliers, airlines), one research laboratory and one university. The overall objective of the ISAWARE project is to conduct research into the potential improvements to flight safety that can be achieved by providing the pilot with complete predictive situation awareness during all phases of the flight. The Integrated Situational Awareness System (ISAS) merges data from different safety systems concerning terrain, traffic, weather and other. The system ensures the alerts consistency, prioritises alerts and anticipates threats along a predicted trajectory earlier than current systems can provide. The second main axis of the research is the development of synthetic vision displays (PFD, ND and HUD) to enhance the Human-Machine Interface (HMI). The key focus of the project is the development of a ground-based demonstrator rig which is interfaced to a dynamic flight simulator. This rig is used for the evaluation of the ISAWARE concept by a representative range of active airline crews.

  15. Determinants of disease and disability in the elderly: The Rotterdam elderly study

    NARCIS (Netherlands)

    A. Hofman (Albert); D.E. Grobbee (Diederick); P.T.V.M. de Jong (Paulus); F.A. van den Ouweland (F.)

    1991-01-01

    textabstractIn this paper the Rotterdam Elderly Study is presented. The aim of the study is to investigate determinants of disease occurrence and progression in the elderly. In addition to contributing to our understanding of the etiology of geriatric illnesses, the study is expected to lead to

  16. A Model of Active Ageing through Elder Learning: The Elder Academy Network in Hong Kong

    Science.gov (United States)

    Tam, Maureen

    2013-01-01

    This article presents the Elder Academy (EA) Network as the policy and practice in promoting active ageing through elder learning in Hong Kong. First, the article examines how the change in demographics and the prevalent trend of an ageing population have propelled the government in Hong Kong to tackle issues and challenges brought about by an…

  17. Stretching the Limits of Renal Transplantation in Elderly Recipients of Grafts from Elderly Deceased Donors

    NARCIS (Netherlands)

    Peters-Sengers, Hessel; Berger, Stefan P; Heemskerk, Martin B A; Al Arashi, Doaa; Homan van der Heide, Jaap J; Hemke, Aline C; Ten Berge, Ineke J M; Idu, Mirza M; Betjes, Michiel G H; van Zuilen, Arjan D; Hilbrands, Luuk B; de Vries, Aiko P J; Nurmohamed, Azam S; Christiaans, Maarten H; Ernest van Heurn, L W; de Fijter, Johan W; Bemelman, Frederike J

    An increasing number of elderly patients (>= 65 years) receive a donor kidney from elderly donors after brain death (DBD) or after circulatory death (DCD). These organs are allocated within the Eurotransplant Senior Program, but outcomes must be evaluated. From the Dutch Organ Transplantation

  18. Stretching the Limits of Renal Transplantation in Elderly Recipients of Grafts from Elderly Deceased Donors

    NARCIS (Netherlands)

    Peters-Sengers, H.; Berger, S.P.; Heemskerk, M.B.; Arashi, D. Al; Heide, J.J. van der; Hemke, A.C.; Berge, I.J. Ten; Idu, M.M.; Betjes, M.G.; Zuilen, A.D. van; Hilbrands, L.B.; Vries, A.P. de; Nurmohamed, A.S.; Christiaans, M.H.; Heurn, L.W. van; Fijter, J.W. de; Bemelman, F.J.

    2017-01-01

    An increasing number of elderly patients (>/=65 years) receive a donor kidney from elderly donors after brain death (DBD) or after circulatory death (DCD). These organs are allocated within the Eurotransplant Senior Program, but outcomes must be evaluated. From the Dutch Organ Transplantation

  19. Tocopherol in Elder Self-Neglect

    Science.gov (United States)

    Aung, K.; Burnett, J.; Dyer, C.; Smith, S. M.

    2009-01-01

    Although elder self-neglect is the most common form of elder mistreatment, its pathophysiology is not well understood. Alpha-tocopherol is a lipid soluble antioxidant required for the preservation of cell membranes. Since the association between tocopherol and cognitive impairment in older adults has been described, we explored the possibility of its role in elder self-neglect. OBJECTIVE: (1) To determine whether serum tocopherol levels are associated with elder self-neglect, and (2) to assess the association of serum tocopherol levels and cognitive function in elder self-neglect. METHODS: Serum tocopherol levels were measured in a cohort of 67 self-neglecting elders and 67 matched controls, recruited for the Consortium for Research in Elder Self-neglect of Texas. Pearson s correlation tests were performed to assess bivariate associations between serum tocopherol levels and cognitive function. RESULTS: Mean serum alpha-tocopherol levels were 10.8 +/- 4.7 ug/mL in self-neglect group and 13.0 +/- 4.9 ug/mL in control group (p = 0.006, unpaired student s t-test). None of the participants from either group had alpha-tocopherol level lower than the reference range. Mean serum gamma-tocopherol levels were 2.0 +/- 1.0 ug/mL in self-neglect group and 2.0 +/- 1.1 in control group (p=0.83). Proportion of the elders with gamma-tocopherol level lower than the reference range were 4.5% (3/66) in self-neglect group and 10.4% (7/67) in control group (p=0.32, Fisher s Exact Test). Among the self-neglecting elders, no association was found between serum alpha-tocopherol levels and the Mini-Mental State Examination (MMSE) or the Wolf-Klein Clock Drawing Test (CDT) scores (r =-0.42, p=0.75 for MMSE; r=0.08, p=0.54 for CDT). No association was found between serum gamma-tocopherol levels and the MMSE or the CDT (r=-0.12, p=0.35 for MMSE; r=0.05, p=0.68 for CDT). CONCLUSION: In our sample, neither alpha-tocopherol nor gamma-tocopherol appears to have a role in pathophysiology of elder

  20. The problem of Elder Abuse: review of foreign investigations

    Directory of Open Access Journals (Sweden)

    Gorfan Ya.Yu.

    2013-03-01

    Full Text Available The article analyzes the empirical findings obtained by foreign scholars and centered on the problem of Elder Abuse. It also contains the description of some elaborated strategies to resist the criminal victimization of the elderly. The article cites data about the crimes against the elderly persons in different countries. It also describes theoretical approaches to understanding the reasons for Elder Abuse. It then compares and analyzes the risk factors for some crimes committed against the elders which are disclosed by foreign scholars. With reference to conclusions drawn by the foreign investigators the author of the article indicates the possible ways of victimological prophylaxes of crimes against elders.

  1. Dyslipidemia as a risk factor at elderly age.

    Science.gov (United States)

    Wenger, Nanette K

    2004-01-01

    Although the relative risk of high total cholesterol or low high-density lipoprotein cholesterol decreases with advancing age, this is offset by the greater absolute and attributable risk in an elderly population. Abnormal lipid levels are associated with increased coronary risk in an elderly population, and both increased total and decreased high-density lipoprotein cholesterol levels predict coronary death at elderly age. About one third of elderly men and one half of elderly women have cholesterol levels >240 mg/dL. Remediable dyslipidemia is highly relevant at elderly age and should guide recommendations for cardiovascular disease prevention.

  2. Blind, deaf, and dumb: why elder abuse goes unidentified.

    Science.gov (United States)

    Stark, Sharon W

    2011-12-01

    Elder abuse is a growing public health concern that affects elders regardless of residence, socioeconomic status, or geographic locale. Elder abuse includes acts of physical, psychological, verbal, and financial abuses as well as abandonment and neglect. Elder abuse has the potential to occur in multiple settings, whether in the home, rehabilitation centers, long-term care facilities, nursing homes, and/or senior day care centers. Children, family members, friends, and formal caregivers are prospective perpetrators of elder abuse. Public policy changes are necessary to standardize and delineate guidelines and procedures for the detection and prevention of elder abuse in the future. Copyright © 2011 Elsevier Inc. All rights reserved.

  3. Effects of progressive muscle relaxation, guided imagery and deep diaphragmatic breathing on quality of life in elderly with breast or prostate cancer.

    Science.gov (United States)

    Shahriari, Mohsen; Dehghan, Mojtaba; Pahlavanzadeh, Saeid; Hazini, Abdolrahim

    2017-01-01

    Due to the increasing number of elderly and an increase in the number of cases of cancer by age, cancer is a common problem in the elderly. For elderly patients with cancer, the disease and its treatment can have long-term negative effects on their quality of life (QoL). The purpose of this study was to evaluate the effect of progressive muscle relaxation, body image and deep diaphragmatic breathing on the QoL in the elderly with cancer. This study was a randomized controlled trial in which 50 elderly patients with breast or prostate cancer were randomized into study and control groups. Progressive muscle relaxation, guided imagery, and deep diaphragmatic breathing were given to the study group, but not to the control group. The effect of the progressive muscle relaxation, guided imagery and deep diaphragmatic breathing was measured at three different time points. European Organization for Research and Treatment of Cancer and QoL Questionnaire-Core questionnaires was completed before, after and 6 weeks after the intervention for the patients in both groups simultaneously. The data were analyzed by SPSS. There was statistically significant improvement in QoL (P progressive muscle relaxation, guided imagery and deep diaphragmatic breathing intervention. The findings indicated that concurrent application of progressive muscle relaxation, guided imagery, and deep diaphragmatic breathing would improve QoL in the elderly with breast or prostate cancer.

  4. [Cancer treatment in elderly patients: evidence and clinical research].

    Science.gov (United States)

    Repetto, Lazzaro; Luciani, Andrea

    2015-01-01

    showed a good sensibility (87.3%) but a low specificity (62%) with respect to CGA for the diagnosis of patients with disabilities. Overcash et al. proposed an abbreviated form of CGA using a reduced number of items of ADL, IADL, MMSE and GDS. There was a good correlation between complete and reduced scales (coefficient of correlation 0.8). G8 is a screening tool composed of 8 questions that explore functional, cognitive and nutritional status. The score with the best equilibrium between sensibility and specificity was 14 (sensibility 85% and specificity 65%). In the first observational trial age, hystotype, chemotherapy dose, haemoglobin (man: 11 g/dL; women: 10 g/dL), creatinine clearance less than 34 mL/min (Jelliffe formula), earing problems, at least a fall in the last six months, walking problems, low social activity, were related to a major risk of toxicity; in another trial IADL, diastolic blood pressure, LDH and MAX2 index were predictive of haematological toxicity, while performance status, Mini-Mental Status score, Mini-Nutritional Assessment (MNA) score and MAX2 index were predictive of non haematological toxicity. Based on these parameters a 0-2 score was developed. A recent "position article" of EORTC (European organization for Research and Treatment of Cancer) and SIOG analyzed the pro and the contra of the use of some indicators in elderly patients. The overall survival (OS) frequently used in classical clinical trial could give wrong messages as there are some competitive risks of death in elderly patients. Another important indicator is the disease specific survival (DSS). Concerning the design of clinical trials, a possible strategy is to enrol elderly patients without upper age limit and to plan stratification. An interesting trial design is the so called "extended trial" that allow to re-open the arm of a trial in which a too low number of older patients was enrolled.

  5. [European innovation partnership on active and healthy aging: moving from policy to action].

    Science.gov (United States)

    García Lizana, Francisca

    2013-01-01

    Demographic change and aging are a common challenge in Europe. The rising number of elderly people will need support at home, and will consume more healthcare services, putting further pressure on the welfare system. Collaborative, integrated and people-centered care provision, whether in hospitals, homes or in the community, is a way forward to sustainable and efficient care systems. Innovative treatments to address chronic diseases and the functional decline of older people will enable them to live longer in better health and with a better quality of life. To fully unleash the potential of aging in the European Union, the European Commission -within its Innovation Union policy- launched the first European Innovation Partnership on Active and Healthy Ageing (EIP AHA). Promoting engagement and partnerships among all stakeholders in the healthcare chain is essential. This article describes the theoretical foundations, the development and expectations of the initiative, and its first actions. Copyright © 2012 SESPAS. Published by Elsevier Espana. All rights reserved.

  6. Quality of life of elderly persons with cancer: a 3-month follow-up

    DEFF Research Database (Denmark)

    Esbensen, Bente Appel; Østerlind, Kell; Hallberg, Ingalill Rahm

    2006-01-01

    We investigated the quality of life (QoL) of newly diagnosed persons with cancer aged 65 years at baseline and 3 months after, in relation to age, contact with the healthcare system, activities of daily living, hope, social network and support using the European Organization for Research and Trea......We investigated the quality of life (QoL) of newly diagnosed persons with cancer aged 65 years at baseline and 3 months after, in relation to age, contact with the healthcare system, activities of daily living, hope, social network and support using the European Organization for Research......-month follow-up. From the perspective of QoL, nurses need to address more specifically the most vulnerable elderly cancer patients: those who are dependent in instrumental activities of daily living, those who perceive reduced economic ability, and those who need assistance to discover new strategies...

  7. Management of chronic constipation in the elderly.

    LENUS (Irish Health Repository)

    Gallagher, Paul F

    2012-02-03

    Constipation is a significant healthcare problem in the elderly. However, while undoubtedly common in the elderly, data on the prevalence of constipation in general and of its subtypes vary considerably, depending on the nature of the study population and their location. Furthermore, the complexity of the pathophysiology of constipation in this age group is little appreciated. Assumptions regarding \\'age-related changes in colorectal physiology\\' are, for the most part, not supported by scientific evidence and may serve to distract the clinician from uncovering the contributions of co-morbid diseases and the impact of iatrogenic factors. The evidence base from which one can develop recommendations on the management of constipation in the elderly is, for the most part, slim. This becomes most starkly apparent when one attempts to critically assess specific approaches to management. There is insufficient evidence to support the use of many commonly used laxatives both in the general population and in the elderly. Lifestyle interventions have value for some patients but data are lacking on the benefits of these interventions for patients with chronic constipation. Data in the elderly do not exist for most new pharmacological approaches to constipation. Pending the availability of good data, management of constipation in the elderly should be tailored to each individual\\'s needs and expectations, regardless of age or place of residence. In certain situations, constipation may be complicated by the development of impaction; preventive strategies are important in this context. We urge enrolment of many more elderly individuals with chronic constipation in clinical trials designed to address their particular needs.

  8. [Lung cancer in the elderly subject].

    Science.gov (United States)

    Albrand, G; Biron, E; Boucot, I; Couderc, L J; Crestani, B; Dombret, M C; Guenard, H; Grivaux, M; Hervy, M P; Housset, B; Jougon, J; Orvoen-Frija, E; Piette, F; Pignon, T; Pinganaud, G; Puisieux, F; Quoix, E; Sauty, E; Vaylet, F; Wary, B; Weill-Engerer, S; Westeel, V; Wislez, M

    2007-06-01

    In France, the average age for the diagnosis of bronchial carcinoma is 64. It is 76 in the population of over 70. In fact, its incidence increases with age linked intrinsic risk of developing a cancer and with general ageing of the population. Diagnosis tools are the same for elderlies than for younger patients, and positive diagnosis mainly depends on fibreoptic bronchoscopy, complications of which being comparable to those observed in younger patients. The assessment of dissemination has been modified in recent years by the availability of PET scanning which is increasingly becoming the examination of choice for preventing unnecessary surgical intervention, a fortiori in elderly subjects. Cerebral imaging by tomodensitometry and nuclear magnetic resonance should systematically be obtained before proposing chirurgical treatment. An assessment of the general state of health of the elderly subject is an essential step before the therapeutic decision is made. This depends on the concept of geriatric evaluation: Geriatric Multidimensional Assessment, and the Comprehensive Geriatric Assessment which concerns overall competence of the elderly. This is a global approach that allows precise definition and ranking of the patient's problems and their impact on daily life and social environment. Certain geriatric variables (IADL, BADL, MMSE, IMC etc) may be predictive of survival rates after chemotherapy or the incidence of complications following thoracic surgery. The main therapeutic principles for the management of bronchial carcinoma are applicable to the elderly subject; long term survival without relapse after surgical resection is independent of age. Whether the oncological strategy is curative or palliative, the elderly patient with bronchial carcinoma should receive supportive treatments. They should be integrated into a palliative programme if such is the case. In fact, age alone is not a factor that should detract from optimal oncological management. The

  9. Asthma in the elderly: a different disease?

    Directory of Open Access Journals (Sweden)

    Salvatore Battaglia

    2016-03-01

    Asthma is a chronic airway disease that affects all ages, but does this definition also include the elderly? Traditionally, asthma has been considered a disease of younger age, but epidemiological studies and clinical experience support the concept that asthma is as prevalent in older age as it is in the young. With the ever-increasing elderly population worldwide, the detection and proper management of the disease in old age may have a great impact from the public health perspective. Whether asthma in the elderly maintains the same characteristics as in young populations is an interesting matter. The diagnostic process in older individuals with suspected asthma follows the same steps, namely a detailed history supported by clinical examination and laboratory investigations; however, it should be recognised that elderly patients may partially lose reversibility of airway obstruction. The correct interpretation of spirometric curves in the elderly should take into account the physiological changes in the respiratory system. Several factors contribute to delaying the diagnosis of asthma in the elderly, including the age-related impairment in perception of breathlessness. The management of asthma in advanced age is complicated by the comorbidities and polypharmacotherapy, which advocate for a comprehensive approach with a multidimensional assessment. It should be emphasised that older age frequently represents an exclusion criterion for eligibility in clinical trials, and current asthma medications have rarely been tested in elderly asthmatics. Ageing is associated with pharmacokinetic changes of the medications. As a consequence, absorption, distribution, metabolism and excretion of antiasthmatic medications can be variably affected. Similarly, drug-to-drug interactions may reduce the effectiveness of inhaled medications and increase the risk of side-effects. For this reason, we propose the term “geriatric asthma” be preferred to the more generic “asthma in the

  10. Treatment of Newly Diagnosed Elderly Multiple Myeloma.

    Science.gov (United States)

    Fouquet, Guillemette; Gay, Francesca; Boyle, Eileen; Bringhen, Sara; Larocca, Alessandra; Facon, Thierry; Leleu, Xavier; Palumbo, Antonio

    Multiple myeloma (MM) is a disease of the elderly, with a median age at diagnosis of approximately 70 years old, and more than 30 % of patients aged >75 years. This latter and very elderly population is going to significantly rise in the near future given the increase in life expectancy in Western countries, and, most importantly, global health status of elderly patients is improving, justifying appropriate treatments. Changes in treatment paradigm from the old melphalan-prednisone regimen used since the 1970s to its use as a backbone in a nontransplant setting since the late 1990s have highlighted different subgroups in elderly MM. Some "elderly" patients could be treated like transplant eligible patients, more likely those aged between 65 and the early 70; while a second group would rather be referred to current approved treatment regimens for the non-transplant setting. A dose-intensity approach seems reasonable for this group, aiming for the best response, eventually the complete response (CR) or even minimal residual disease (MRD). The advent of novel agents such as thalidomide, bortezomib, and most recently lenalidomide have allowed a major improvement in outcome as compared to historical combinations, and soon the novel class of monoclonal antibodies should help to further improve these patients' survival. Nonetheless, elderly patients are more susceptible to side effects and are often unable to tolerate full drug doses, and thus require lower dose intensity regimens, or novel drugs or combinations with more favourable safety profile. Recent developments in MM have focused on identifying these vulnerable patients through geriatric assessment and novel myeloma scoring system, including the notions of frailty, disability and comorbidities. Eventually, we have reached an era in which we should be able to provide individualized treatment strategies and drug doses-"tailored therapy"-to improve tolerability and optimize efficacy and ultimately survival for most

  11. A toolbox for European judges

    NARCIS (Netherlands)

    Hesselink, M.W.

    2011-01-01

    The forthcoming instrument on European contract law, be it in the shape of an optional code for cross-border contracts or as an official toolbox for the European legislator, is likely to have a spill-over effect on private law adjudication in Europe. Judges will have no great difficulty in finding

  12. Getting European universities into shape

    NARCIS (Netherlands)

    Jacobs, B.; van der Ploeg, F.

    2006-01-01

    Most European universities lag behind the best universities in the Anglo-Saxon world. A key challenge is to raise resources per student in Europe to US levels. The Lisbon agenda demands fundamental reform of the European university system in order to enhance efficiency, yet avoid grade inflation, to

  13. European Industry, 1700-1870

    NARCIS (Netherlands)

    Broadberry, Stephen; Fremdling, Rainer; Solar, Peter M.

    2008-01-01

    This paper offers an overview of the development of European industry between 1700 and 1870, drawing in particular on the recent literature that has emerged following the formation of the European Historical Economics Society in 1991. The approach thus makes use of economic analysis and quantitative

  14. Developments in European Civil Procedures

    NARCIS (Netherlands)

    Cortés, P.; Mańko, R.; Cortés, P.

    2016-01-01

    This chapter is structured as follows. In Section B we explore the legal basis for the creation of European civil procedures and Europeanization of procedural private law in general. In Section C we provide an overview of existing EU instruments on civil procedure, which we propose to divide into

  15. Third European Stroke Science Workshop

    NARCIS (Netherlands)

    Dichgans, Martin; Planas, Anna M.; Biessels, Geert Jan|info:eu-repo/dai/nl/165576367; van der Worp, Bart|info:eu-repo/dai/nl/189855010; Sudlow, Cathie; Norrving, B.; Lees, Kennedy; Mattle, Heinrich P.

    2016-01-01

    Lake Eibsee, Garmisch-Partenkirchen, November 19 to 21, 2015: The European Stroke Organization convened >120 stroke experts from 27 countries to discuss latest results and hot topics in clinical, translational, and basic stroke research. Since its inception in 2011, the European Stroke Science

  16. Carbon accumulation in European forests

    NARCIS (Netherlands)

    Ciais, P.; Schelhaas, M.J.; Zaehle, S.; Piao, S.L.; Cescatti, A.; Liski, J.; Luyssaert, S.; Le-Maire, G.; Schulze, E.D.; Bouriaud, O.; Freibauer, A.; Valentini, R.; Nabuurs, G.J.

    2008-01-01

    European forests are intensively exploited for wood products, yet they also form a sink for carbon. European forest inventories, available for the past 50 years, can be combined with timber harvest statistics to assess changes in this carbon sink. Analysis of these data sets between 1950 and 2000

  17. Adult Education and European Identity

    Science.gov (United States)

    Negt, Oskar

    2008-01-01

    Europe is coming together. This is a historic project; for the first time in modern history, will and consciousness are used for bringing political, social and cultural unity to the European continent. In this process lifelong learning and hence adult education are gaining in importance. The European project takes place in an age characterised by…

  18. Ranking the European armed forces

    NARCIS (Netherlands)

    Beeres, R.J.M.; Bogers, M.

    2012-01-01

    The degree of collectiveness aimed for in European defence policy raises issues such as burden sharing and relative performance measurement of the European Armed Forces (EAF). This paper compares EAF performance rates on three dimensions: input, throughput and output. In order to express

  19. The Ideology of European Dominance.

    Science.gov (United States)

    Richards, Dona

    1979-01-01

    Describes the evolution of anthropology as a particular manifestation of western European culture. Examines the political implications of the discipline's roots in European intellectual, social, and emotional thought, and discusses the role of Black anthropologists in creating a new anthropology for the redefinition of African peoples. (Author/GC)

  20. The Europeanization of National Judiciaries

    DEFF Research Database (Denmark)

    Jaremba, Urszula; Mayoral, Juan A.

    2018-01-01

    The article is underpinned by the idea that the national courts/judges are expected to act as decentralized European Union judges. However, the general knowledge concerning the impact of EU law on the functioning of national courts as EU judges and the process of Europeanization of national judic...

  1. Action Research in European perspective

    DEFF Research Database (Denmark)

    Rasmussen, Lauge Baungaard

    2004-01-01

    The article gives an overview of how different Italian and Danish contributions to action research can be viewed in an European perspective.......The article gives an overview of how different Italian and Danish contributions to action research can be viewed in an European perspective....

  2. Market forces in european soccer

    NARCIS (Netherlands)

    Haan, M.; Koning, Ruud H.; Witteloostuijn, A. van

    2003-01-01

    Recent decades have witnessed major changes in the market for European soccer. The most profound were the Bosman ruling, which lifted restrictions in the European labor market for soccer talent, and the introduction of the Champions' League, a high-profile international competition that generates

  3. Market forces in european soccer

    NARCIS (Netherlands)

    Haan, M.; Koning, Ruud H.; Witteloostuijn, A. van

    2002-01-01

    Recent decades have witnessed major changes in the market for European soccer. The most profound were the Bosman ruling, which lifted restrictions in the European labor market for soccer talent, and the introduction of the Champions' League, a high-profile international competition that generates

  4. [Colorectal cancer in the elderly].

    Science.gov (United States)

    Hoch, J; Bláha, M; Malúšková, D

    2016-01-01

    High incidence of colorectal cancer in the Czech Republic is an actual and demographically significant health issue. Half of all of the patients is older than 70 years. Both surgical and non-surgical treatment options in this group of patients depend on factors that are difficult to measure only by current oncological and anesthesiological classifications (cTcNcM, ASA). The objective of this paper is to measure the impact of age on the use of various treatment modalities within the protocol and their results, and also to suggest alternative options for therapy tolerance assessment. Analysis of data over a five-year period from the NOR database prepared by the Institute of Biostatistics and Analyses, Masaryk University. In all parameters a difference was demonstrated between patients below the age of 70 and those above the age of 70 years. Older patients were disadvantaged. Only 11.2% of patients younger than 70 years were not treated, whereas 25.2% over the age of 70 years were not treated. A complex geriatric examination could improve the indication process in various treatment modalities, including surgery. colorectal cancer - elderly - treatment - geriatric assesment.

  5. Acetabular Fractures in the Elderly

    Directory of Open Access Journals (Sweden)

    Joshua L. Gary

    2015-01-01

    Full Text Available As the population ages, the incidence of osteoporotic fractures, including those of the pelvis and acetabulum, continues to rise. Treatment of the elder patients with an acetabular fracture is much more controversial than the treatment of younger patients with similar injuries, where prevention of posttraumatic arthritis and total hip replacement remains optimal to limit need for revision arthroplasty. Arthroplasty for fractures of the proximal femur is commonplace in an older population and is a mainstay of treatment to promote early mobilization and weight-bearing. However, even with acute total hip arthroplasty for a geriatric acetabular fracture, most surgeons do not permit immediate weight-bearing postoperatively. Therefore, controversy regarding optimal treatment of these challenging fractures persists. Four treatment options have emerged: nonoperative treatment with early mobilization, open reduction and internal fixation (ORIF, limited open reduction and percutaneous screw fixation, and acute total hip arthroplasty. The exact indications and benefits of each treatment remain unknown. This article serves as a review of these four treatments and the data existing to support them.

  6. Falls prevention for the elderly.

    Science.gov (United States)

    Balzer, Katrin; Bremer, Martina; Schramm, Susanne; Lühmann, Dagmar; Raspe, Heiner

    2012-01-01

    An ageing population, a growing prevalence of chronic diseases and limited financial resources for health care underpin the importance of prevention of disabling health disorders and care dependency in the elderly. A wide variety of measures is generally available for the prevention of falls and fall-related injuries. The spectrum ranges from diagnostic procedures for identifying individuals at risk of falling to complex interventions for the removal or reduction of identified risk factors. However, the clinical and economic effectiveness of the majority of recommended strategies for fall prevention is unclear. Against this background, the literature analyses in this HTA report aim to support decision-making for effective and efficient fall prevention. The pivotal research question addresses the effectiveness of single interventions and complex programmes for the prevention of falls and fall-related injuries. The target population are the elderly (> 60 years), living in their own housing or in long term care facilities. Further research questions refer to the cost-effectiveness of fall prevention measures, and their ethical, social and legal implications. Systematic literature searches were performed in 31 databases covering the publication period from January 2003 to January 2010. While the effectiveness of interventions is solely assessed on the basis of randomised controlled trials (RCT), the assessment of the effectiveness of diagnostic procedures also considers prospective accuracy studies. In order to clarify social, ethical and legal aspects all studies deemed relevant with regard to content were taken into consideration, irrespective of their study design. Study selection and critical appraisal were conducted by two independent assessors. Due to clinical heterogeneity of the studies no meta-analyses were performed. Out of 12,000 references retrieved by literature searches, 184 meet the inclusion criteria. However, to a variable degree the validity of their

  7. Falls prevention for the elderly

    Directory of Open Access Journals (Sweden)

    Dagmar Lühmann

    2012-04-01

    Full Text Available Background: An ageing population, a growing prevalence of chronic diseases and limited financial resources for health care underpin the importance of prevention of disabling health disorders and care dependency in the elderly. A wide variety of measures is generally available for the prevention of falls and fall-related injuries. The spectrum ranges from diagnostic procedures for identifying individuals at risk of falling to complex interventions for the removal or reduction of identified risk factors. However, the clinical and economic effectiveness of the majority of recommended strategies for fall prevention is unclear. Against this background, the literature analyses in this HTA report aim to support decision-making for effective and efficient fall prevention.Research questions: The pivotal research question addresses the effectiveness of single interventions and complex programmes for the prevention of falls and fall-related injuries. The target population are the elderly (> 60 years, living in their own housing or in long term care facilities. Further research questions refer to the cost-effectiveness of fall prevention measures, and their ethical, social and legal implications. Methods: Systematic literature searches were performed in 31 databases covering the publication period from January 2003 to January 2010. While the effectiveness of interventions is solely assessed on the basis of randomised controlled trials (RCT, the assessment of the effectiveness of diagnostic procedures also considers prospective accuracy studies. In order to clarify social, ethical and legal aspects all studies deemed relevant with regard to content were taken into consideration, irrespective of their study design. Study selection and critical appraisal were conducted by two independent assessors. Due to clinical heterogeneity of the studies no meta-analyses were performed.Results: Out of 12,000 references retrieved by literature searches, 184 meet the

  8. Patterns of Long Term Care in 29 European countries: evidence from an exploratory study

    Directory of Open Access Journals (Sweden)

    Damiani Gianfranco

    2011-11-01

    Full Text Available Abstract Background The challenges posed by the rapidly ageing population, and the increased preponderance of disabled people in this group, coupled with the rising level of public expenditure required to service the complex organization of long term care (LTC delivery are causing increased pressure on LTC systems in Europe. A pan-European survey was carried out to evaluate whether patterns of LTC can be identified across Europe and what are the trends of the countries along them. Methods An ecological study was conducted on the 27 EU Member States plus Norway and Iceland, referring to the period 2003-2007. Several variables related to organizational features, elderly needs and expenditure were drawn from OECD Health Data and the Eurostat Statistics database and combined using Multiple Factor Analysis (MFA. Results Two global Principal Components were taken into consideration given that their expressed total variance was greater than 60%. They were interpreted according to the higher (more than 0.5 positive or negative correlation coefficients between them and the original variables; thus patterns of LTC were identified. High alignment between old age related expenditure and elderly needs characterizes Nordic and Western European countries, the former also having a higher level of formal care than the latter. Mediterranean as well as Central and South Eastern European countries show lower alignment between old age related expenditure and elderly needs, coupled with a level of provision of formal care that is around or slightly above the average European level. In the dynamic comparison, linear, stable or unclear trends were shown for the studied countries. Conclusions The analysis carried out is an explorative and descriptive study, which is an attempt to reveal patterns and trends of LTC in Europe, allowing comparisons between countries. It also stimulates further researches with lower aggregated data useful to gain meaningful policy

  9. Political Psychology of European Integration

    DEFF Research Database (Denmark)

    Manners, Ian James

    2014-01-01

    The chapter engages in a survey of what political psychology and European integration have to say to each other in the understanding of the European Union. The chapter draws on five strands of political psychology as part of this engagement – conventional psychology, social psychology, social...... construction, psychoanalysis, and critical political psychology. Within each strand a number of examples of scholarship at the interface of political psychology and European integration are examined. The chapter argues that the study of the EU has much to benefit from political psychology in terms of theories...... and methods of European identity and integration, but it also argues that political psychology can benefit from the insights of European integration by rethinking the processes that drive the marking of inside and outside, interior and exterior, belonging and otherness....

  10. Denmark and the European Union

    DEFF Research Database (Denmark)

    Manners, Ian

    2011-01-01

    Over the past two decades Morten Kelstrup’s work has been at the centre of three important intellectual innovations in political science – the study of the EU as a regional political system; European security studies; and small states in European integration. Kelstrup’s best known books (Buzan, K...... of this book, two of Kelstrup’s most important intellectual contributions come from his work on Denmark’s relations with the European Union, and his use of systems theory to understand the EU.......Over the past two decades Morten Kelstrup’s work has been at the centre of three important intellectual innovations in political science – the study of the EU as a regional political system; European security studies; and small states in European integration. Kelstrup’s best known books (Buzan...

  11. HARMONIZED EUROPE OR EUROPEAN HARMONY?

    Directory of Open Access Journals (Sweden)

    Cosmin Marinescu

    2007-07-01

    Full Text Available Recent evolutions in Europe raise questions on the viability of the present economic and social model that defines the European construction project. In this paper, the author will try to explain the viability of institutional European model that sticks between free market mechanisms and protectionism. The main challenge for the EU is about the possibility to bring together the institutional convergence and the welfare for all Europeans. This is the result of the view, still dominant, of European politics elite, according to which institutional harmonization is the solution of a more dynamic and prosper Europe. But, economic realities convince us that, more and more, a harmonized, standardized Europe is not necessarily identical with a Europe of harmony and social cooperation. If „development through integration” seems to be harmonization through „institutional transplant”, how could then be the European model one sufficiently wide open to market, which creates the prosperity so long waited for by new member countries?

  12. European environmental stratifications and typologies

    DEFF Research Database (Denmark)

    Hazeu, G.W,; Metzger, M.J.; Mücher, C.A.

    2011-01-01

    A range of new spatial datasets classifying the European environment has been constructed over the last few years. These datasets share the common objective of dividing European environmental gradients into convenient units, within which objects and variables of interest have relatively homogeneous...... characteristics. The stratifications and typologies can be used as a basis for up-scaling, for stratified random sampling of ecological resources, for the representative selection of sites for studies across the continent and for the provision of frameworks for modeling exercises and reporting at the European...... scale. This paper provides an overview of five recent European stratifications and typologies, constructed for contrasting objectives, and differing in spatial and thematic detail. These datasets are: the Environmental Stratification (EnS), the European Landscape Classification (LANMAP), the Spatial...

  13. Stroke prevalence among the Spanish elderly: an analysis based on screening surveys

    Directory of Open Access Journals (Sweden)

    Díaz-Guzmán Jaime

    2006-10-01

    Full Text Available Abstract Background This study sought to describe stroke prevalence in Spanish elderly populations and compare it against that of other European countries. Methods We identified screening surveys -both published and unpublished- in Spanish populations, which fulfilled specific quality requirements and targeted prevalence of stroke in populations aged 70 years and over. Surveys covering seven geographically different populations with prevalence years in the period 1991–2002 were selected, and the respective authors were then asked to provide descriptions of the methodology and raw age-specific data by completing a questionnaire. In addition, five reported screening surveys in European populations furnished useful data for comparison purposes. Prevalence data were combined, using direct adjustment and logistic regression. Results The overall study population, resident in central and north-eastern Spain, totalled 10,647 persons and yielded 715 cases. Age-adjusted prevalences, using the European standard population, were 7.3% for men, 5.6% for women, and 6.4% for both sexes. Prevalence was significantly lower in women, OR 0.79 95% CI 0.68–0.93, increased with age, particularly among women, and displayed a threefold spatial variation with statistically significant differences. Prevalences were highest, 8.7%, in suburban, and lowest, 3.8%, in rural populations. Compared to pooled Spanish populations, statistically significant differences were seen in eight Italian populations, OR 1.39 95%CI (1.18–1.64, and in Kungsholmen, Sweden, OR 0.40 95%CI (0.27–0.58. Conclusion Prevalence in central and north-eastern Spain is higher in males and in suburban areas, and displays a threefold geographic variation, with women constituting the majority of elderly stroke sufferers. Compared to reported European data, stroke prevalence in Spain can be said to be medium and presents similar age- and sex-specific traits.

  14. Road tunnels safety according to European legislation

    Directory of Open Access Journals (Sweden)

    Fedor KÁLLAY

    2008-01-01

    Full Text Available The article deals with safety of European road tunnels in accordance with actual European legislation. Standards and recommendations of European Commission, PIARC and other professional bodies of the European Union define minimal technological requirements for equipment and operation of the tunnels in scope of Trans-European Road Network.

  15. [Psychopharmalogical treatment of delirium in the elderly].

    Science.gov (United States)

    Drach, Lutz M

    2014-04-01

    Delirium is frequent in hospitalized elderly. Treatment of the medical problems causing delirium is paramount. Mostly antipsychotics are used for treatment of psychological and behavioral symptoms in delirium. Increased mortality of elderly and demented patients receiving antipsychotics suggests caution in prescribing antipsychotics for delirium. Standard treatment is low-dose haloperidol. If more sedation is needed, melperone or pipamperone can be used. In delirious Parkinsonian patients or if dementia with Lewy-bodies is suspected quetiapine is better tolerated. Other sedating antipsychotics like prothipendyl, promethazine or levomepromazin are considered inappropriate medication in the elderly due to their anticholinergic and orthostatic side effects. Cholinesterase inhibitors are not effective in delirium, except physostigmine for treatment of anticholinergic intoxication confined to intensive care. Benzodiazepines are effective in alcohol- und benzodiazepine-withdrawal, but may induce delirium (paradox reaction). Clomethiazole is contraindicated in frequent pulmonal conditions in the elderly like COPD. Chloral hydrate is considered inappropriate medication in the elderly due to QTc-prolongation. On intensive care units clonidine and recently dexmedetomidine are useful. At the moment there are no data indicating melatonin being effective for treatment of delirium.

  16. Elder self-neglect: research and practice

    Directory of Open Access Journals (Sweden)

    Dong XQ

    2017-06-01

    Full Text Available XinQi Dong Rush Institute for Healthy Aging, Rush University Medical Center, Chicago, IL, USA Abstract: Elder self-neglect is a global public health and human rights issue that threatens older people’s health and safety. It commonly refers to refusal or failure to provide oneself with care and protection in areas of food, water, clothing, hygiene, medication, living environments, and safety precautions. While prevalent, the status of self-neglecting individuals remains largely unclear, in particular within community-dwelling populations. By reviewing the epidemiology of elder self-neglect (definition, prevalence, risk factors, and consequences to date, the present paper identifies key research gaps such as methodological inconsistency in case identification and measurement, and study designs that are inadequate to determine risk factors of self-neglect. More importantly, in light of the rapidly growing older population, relevant stakeholders (researchers, healthcare providers, social service providers, legal professionals, community organizations, and policymakers must be prepared for an expected increasing number of self-neglect cases and enlarging scope of the problem. Hence, in this article, I present an overview regarding the management issues of elderly self-neglect related to the detection, assessment, reporting and referral, and decision-making capacity. Based on the current literature, the paper is aimed to explore the present knowledge and challenges, and how they can pave the way for solutions to self-neglect research, practice, and policy. Keywords: elderly self-neglect, elder abuse, self-neglect future directions 

  17. Health status of the rural elderly.

    Science.gov (United States)

    Kumar, V; Acanfora, M; Hennessy, C H; Kalache, A

    2001-01-01

    An enormous proportion of the worlds elderly live in rural areas and show wide variations in health status. Many, particularly those in the developing countries, are vulnerable to greater socioeconomic and health marginalization mainly due to inadequate provision of services and economic deprivation. As with the urban elderly, locomotor, visual and hearing disabilities, as well as life-threatening conditions of coronary heart disease, diabetes and hypertension are common among rural elders also. Infections continue to take a heavy toll in many parts of the world. Higher prevalence of health and functioning impairments and of risk factors like sedentarism and current smoking have been reported for the rural elderly in developed countries like the United States, where less frequent use of certain preventive services also has been observed among the rural elderly. The positive association of well-being and health with variables such as living with family, having children, and community involvement, which has been reported from developing countries like Ghana and India, supports the usefulness of the time-honored value of joint family systems and lifelong social and physical activity--all known to foster healthy aging. Such traditional virtues therefore need to be preserved and strengthened. Effective geriatric health care services need to stress a community approach to primary health care, with provision of support and training for both family caregivers and professionals. In addition, emphasis on health promotion, cost-effective indigenous systems of medicine and gender-sensitive programs is needed.

  18. [Depression in the elderly. Clinical aspects].

    Science.gov (United States)

    Barbier, D

    2001-02-24

    DIFFICULT DIAGNOSIS: Depression in the elderly can take on many often misleading aspects. Sadness may be considered legitimate or "normal" for an elderly person. Depression may masquerade as an organic disorder where somatic complaints, pain and anxiety predominate. All these different clinical forms may mislead the clinician. THE MASK OF HYPOCHONDRIA: A tendency to hypochondria, found in more than one-half of all depressed elderly subjects, may be reinforced by bouts of complementary examinations. The patient is convinced of having an unrecognized organic disease. The mask of hypochondria must be considered with special care because it is a major risk factor for attempted and successful suicide. THE MASK OF DELUSIONS: Elderly patients often develop a state of melancolia-like depression with delusions. Delusions may be congruent with the predominant depressed mood, for example a guilt feeling for an act never committed, or inversely, non-congruent with the thymic state (persecution, negation delusin), for example Cotard syndrome where the patient is persuaded that his/her organs are malfunctioning or have disappeared. Despite these impressive mood disorders that often incite prescription of a neuroleptic, these elderly patients respond favorably to antidepressor treatment.

  19. Management of hypertension in the elderly.

    Science.gov (United States)

    Pimenta, Eduardo; Oparil, Suzanne

    2012-03-13

    Hypertension is the most-prevalent modifiable risk factor for cardiovascular morbidity and mortality worldwide. Hypertension is highly prevalent among older adults (≥65 years), and aging of the population will substantially increase the prevalence of this condition. Age-related endothelial dysfunction and increased arterial stiffness contribute to the increased prevalence of hypertension, particularly systolic hypertension, among the elderly. The incidence of some forms of secondary hypertension also increases with age, mainly owing to the use of drugs (especially NSAIDs that have pressor effects) and the presence of chronic kidney disease, obstructive sleep apnea, and renal artery stenosis. Guidelines differ in thresholds and goals for antihypertensive drug therapy in the elderly because of a paucity of high-level evidence from randomized controlled trials and inconsistencies in the definition of 'elderly'. Medical treatment of hypertension reduces cardiovascular morbidity and mortality in the elderly, and all guidelines recommend lifestyle modifications and medical treatment for elderly patients whose blood pressure exceeds prescribed thresholds and who are at moderate or high cardiovascular disease risk. In the absence of comorbidities, which constitute 'compelling indications' for the use of specific antihypertensive drugs or drug classes, no clear evidence exists to support recommendations for the use of particular antihypertensive-drug classes in older adults.

  20. Social risk factors in the elderly.

    Directory of Open Access Journals (Sweden)

    Yanelis Emilia Tabio Henry

    2011-09-01

    Full Text Available There are social risk factors that can rebound negatively in the functional capacity of elder people thus they associate to an enchancement of the vulnerability to have them develop a state of fragility and necessity. A descriptive investigation was done with the objective of determinig the social risk factors of elder people in the dispensaries 28 of policlinic ll from Jatibonico municipality from january 1 st to december 31 st, 2009 .The sample was conformed by 103 older people. Different variables were used like: age, sex, marital status, associated desease and basic components of the family functions disminished or null. It prevailed the 60-64 and 70-74 year old group (24.3%, female sex (60.2%, the elder widow women (20,3 %, the hypertension (60,2% and family comprehension about conduct and elderly points of view (50,4%. There was a high incidence of the social risk factors associated to the presence of old women, alone and widows, the lessen of economic resources, the retirement, the incomprehension of elder people by their families and the presence of non transmisible chronic desease.

  1. The Crossing Speed of Elderly Pedestrians

    Directory of Open Access Journals (Sweden)

    Ana Trpković

    2017-04-01

    Full Text Available The population of elderly people is rapidly growing and in terms of safety, senior pedestrians represent one of the most vulnerable group. The pedestrian crossing speed is a significant input parameter in traffic engineering, which can have effect on pedestrians’ safety, especially of older population. The objective of this study was to determine the value of the crossing speed of elderly pedestrians (65+ for different types of urban crossings. The research was conducted at ten intersections in the city of Belgrade, Serbia, using the method of direct observation and a questionnaire for collecting data. The data were analysed in the statistical software package IBM SPSS Statistics. The results showed that elderly pedestrians walk slower and the crossing type significantly influenced the speed of older population. The order of crossing types in relation to the measured speed is ranked as follows, from the lowest to the highest speed value: unsignalized, signalized, signalized with pedestrian countdown display, signalized with pedestrian island and pedestrian countdown display and finally signalized crossing with pedestrian island. According to the questionnaire results, the elderly recognize the importance of implementing pedestrian counters. This indicates the necessity to provide safe street crossing for the elderly using the corresponding engineering measures.

  2. [Transfusion in elderly: Take account frailty].

    Science.gov (United States)

    Mahmoudi, R; Novella, J-L; Jaïdi, Y

    2017-09-01

    The conjunction of the demographic aging and the increase in the frequency of anemia with the advancing age, mean that the number of globular concentrates delivered each year increases with a consequent heavy pressure on blood collection. The etiologies of anemia in the elderly are often multifactorial and their investigation is an indispensable step and prior to any treatment. Transfusion thresholds, particularly in the elderly, are gradually evolving and a so-called restrictive strategy is now favored. Immediate and delayed complications of transfusion are more frequent in the elderly due to vulnerability factors associated with frailty and the risk of multiple transfusions. The screening of complications related to transfusion of RBCs is essential and makes it possible to avoid their recurrence. The impact of transfusion on the quality of life of elderly patients is not obvious and is a controversial issue. In addition, transfusion of red blood cells (RBCs) is accompanied by an increase in health expenditure and an increase in morbidity and mortality, whose risks can be reduced through alternatives to transfusion. Longitudinal studies, including elderly subjects, would allow a better understanding of the issues involved in the transfusion of RBCs in this population. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  3. Violence on the elderly and Social Work

    Directory of Open Access Journals (Sweden)

    Maria Irene Lopes Carvalho

    2011-09-01

    Full Text Available Violence and abuse of the elderly won expression and visibility across the increase of the number of people aged 65 or over in the total population of developed countries. However, this issue is not only explained by the increase in the elderly population and the longevity, but also by the awareness that the problem exists, especially of professionals working in the social and health area. In this article we first identify the notions of violence upon the elderly statements by international organizations (OMS, EU and some studies in this area. Besides this problematisation, we present the known categories of violence and risk indicators. Here is some statistical data on the phenomenon in Portugal and some guidelines for policies in this area. Secondly, we present the result of a inquiry instrument applied to social work professionals, whose aim was to assess the perception of the risk categories of violence over the elderly. You must create educational programs and prevention campaigns for the general public can identify the signs of abuse and report situations, train health professionals and social area with responsibility to protection of the elderly and introduce guidelines that homogenizing the procedures, develop home care programs to improve the procedures of informal caregivers and develop systems for monitoring and evaluating the quality of care for older people, especially the long-term.

  4. Lipid peroxides level in the Indonesian elderly

    Directory of Open Access Journals (Sweden)

    Purwantyastuti Purwantyastuti

    2005-06-01

    Full Text Available A cross-sectional study was done to see the possible association of plasma lipid peroxides in the elderly with age and other factors. Plasma lipid peroxides is a product of free radical reactions which according to the latest theory of aging is the cause of aging process. Lipid peroxides were also found high in coronary heart disease. Four hundred forty relatively healthy elderly, age 55-85 years, were randomly chosen from free living elderly under guidance of health care centers (PUSKESMAS in Jakarta. Anamnesis and physical examination were done in the morning in the health centers. Blood samples were taken in fasting conditions, plasma lipids and lipid peroxides were measured according to standard methods. There was an age difference of lipid peroxides level in the elderly, which increased with age up to 70 years old. Elderly 70 years old and over had low plasma lipid peroxides. The level was not related to high plasma lipids. Higher level was found when more chronic degenerative diseases were found. (Med J Indones 2005; 14: 71-7Keywords: lipid peroxides, aging

  5. Mealtime habits and meal provision are associated with malnutrition among elderly patients admitted to hospital.

    Science.gov (United States)

    Söderström, Lisa; Thors Adolfsson, Eva; Rosenblad, Andreas; Frid, Hanna; Saletti, Anja; Bergkvist, Leif

    2013-04-01

    Large-scale studies performed in hospitals with the validated Mini Nutritional Assessment (MNA) tool are scarce. However, factors associated with malnutrition are important for identifying individuals at risk. The aims of the present study were to estimate the prevalence of malnutrition and to examine the association between mealtime habits, meal provision, and malnutrition among elderly patients admitted to hospital. This cross-sectional study included patients aged ≥65 years admitted to internal medicine, surgical or orthopaedic wards. The MNA was used for their nutritional assessment, and factors potentially associated with malnutrition were recorded. Of 1771 patients (mean age 78 years), 35.5% were well-nourished, 55.1% were at risk of malnutrition and 9.4% were malnourished. Overnight fasts exceeding 11 h, fewer than four eating episodes a day, and not cooking independently were associated with both malnutrition and risk of malnutrition. The risk of malnutrition was high among elderly patients admitted to hospital, whereas the proportion with fully developed malnutrition was lower than expected. A long overnight fast, few eating episodes, and not cooking independently were associated with an increased risk of malnutrition. Knowledge of these factors when providing care to the elderly may assist health-care professionals to prevent malnutrition. Copyright © 2012 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

  6. Social determinants of death among the elderly: a systematic literature review

    Directory of Open Access Journals (Sweden)

    Vanessa de Lima Silva

    2014-01-01

    Full Text Available OBJECTIVE: This study aims at working on a systematic review of articles published on social determinants associated with the elderly mortality. METHODS: We searched articles published in Portuguese, English and Spanish language periodicals from January 1st 2007 to December 31st 2009, by means of Lilacs and Pubmed databases. Twenty cohort studies were identified, having most of them been developed in European, North-American and Asian countries. RESULTS: The articles analysed provided determinant social factors significantly associated with the elderly mortality: urban/rural and intercontinental variation, be part of ethnic minorities, financial stress, living conditions, schooling, social participation, gender and race discrimination, smoking, alcoholism, physical activities, instrumental activities of daily living, leisure, marital status, equality and healthy lifestyle. CONCLUSION: Mortality amongst the elderly is influenced by social determinants in many levels of reach, from determinants linked to lifestyle to socioeconomic macro-determinants. The actions on these determinants must be guided by the intersectorial perspective and regarded as a priority in the health sector, seeking to provide extended longevity with good quality of life for the population.

  7. Social determinants of death among the elderly: a systematic literature review.

    Science.gov (United States)

    Silva, Vanessa de Lima; Cesse, Eduarda Ângela Pessoa; de Albuquerque, Maria de Fátima Pessoa Militão

    2014-01-01

    This study aims at working on a systematic review of articles published on social determinants associated with the elderly mortality. We searched articles published in Portuguese, English and Spanish language periodicals from January 1st 2007 to December 31st 2009, by means of Lilacs and Pubmed databases. Twenty cohort studies were identified, having most of them been developed in European, North-American and Asian countries. The articles analysed provided determinant social factors significantly associated with the elderly mortality: urban/rural and intercontinental variation, be part of ethnic minorities, financial stress, living conditions, schooling, social participation, gender and race discrimination, smoking, alcoholism, physical activities, instrumental activities of daily living, leisure, marital status, equality and healthy lifestyle. Mortality amongst the elderly is influenced by social determinants in many levels of reach, from determinants linked to lifestyle to socioeconomic macro-determinants. The actions on these determinants must be guided by the intersectorial perspective and regarded as a priority in the health sector, seeking to provide extended longevity with good quality of life for the population.

  8. A replication of the relationship between elderly suicides rates and elderly dependency ratios: a cross-national study.

    Science.gov (United States)

    Shah, Ajit

    2010-01-01

    A positive correlation between elderly dependency ratios and elderly suicide rates has been observed using one-year cross-sectional data on elderly suicide rates. A cross-national study designed to replicate this positive correlation between elderly dependency ratios and elderly suicide rates was undertaken by: (i) using one-year average of five years data on suicide rates; and (ii) using more recent data on both elderly suicide rates and elderly dependency ratios. Data on elderly suicide rates, and the total number of elderly and young people was ascertained from the World Health Organization website. The main findings were of significant positive correlations between elderly dependency ratios and suicide rates in both sexes in both the elderly age-bands (65-74 years and 75+ years). The replication of the positive correlations between elderly dependency ratios and elderly suicide rates by using one-year average of five years data on suicide rates suggests that this relationship is robust and accurate. ‎

  9. A replication of the relationship between elderly suicides rates and elderly dependency ratios: cross-national study

    Science.gov (United States)

    Shah, Ajit

    2010-01-01

    Abstract: Background: A positive correlation between elderly dependency ratios and elderly suicide rates has been observed using one-year cross-sectional data on elderly suicide rates. Methods: A cross-national study designed to replicate this positive correlation between elderly dependency ratios and elderly suicide rates was undertaken by: (i) using one-year average of five years data on suicide rates; and (ii) using more recent data on both elderly suicide rates and elderly dependency ratios. Data on elderly suicide rates, and the total number of elderly and young people was ascertained from the World Health Organization website. Results: The main findings were of significant positive correlations between elderly dependency ratios and suicide rates in both sexes in both the elderly age-bands (65-74 years and 75+ years). Conclusions: The replication of the positive correlations between elderly dependency ratios and elderly suicide rates by using one-year average of five years data on suicide rates suggests that this relationship is robust and accurate. PMID:21483194

  10. Chronic care case management for the frail elderly population in the United States: normative, funding and organizational aspects

    Directory of Open Access Journals (Sweden)

    Antonio Giulio de Belvis

    2004-12-01

    Full Text Available

    In the most developed countries, it is necessary to bring about significant changes to health care delivery through the strengthening of prevention, rehabilitation and the integration of the social and healthcare dimensions.

    This means moving the policy focus from “treating” to “taking care” of the sick in a broader and more integrated way, one which is more closely linked to the World Health Organization’s definition of health as physical, psychological and social well-being. This change involves the delivery of care for the elderly. Developed countries are confronting this issue by using different community-based programs to integrate acute and long-term care services for frail elderly individuals with complex health needs.

    The objective of this health policy article is to give an overview of the most recent initiatives on long-term care management for the elderly including normative, funding and organizational issues in the USA, as their public health system largely differs from those of the Western European countries.

    Particular attention is given to the PACE (Program of All Inclusive Care for the Elderly, which applies a comprehensive approach to managing the care of the frail elderly population and would represent a new framework in geriatric care. By incorporating a central core care team to manage the needs of each elderly individual, this approach recognizes the contributing factors that non-traditional health related functions play in the overall health of the individual.

    Although there is a little knowledge of this program, as it covers a very small percentage of the eligible individuals, and it may be difficult to extrapolate to other sectors of the population, PACE offers many lessons that could be applied to more effective integration of care for individuals and lead to better health outcomes.

  11. Effect of dance video game training on elderly's cognitive function

    National Research Council Canada - National Science Library

    Azman, Nursyairah; SUZUKI, Kota; SUZUKI, Tatsuya; ONO, Yumie; EDANAKA, Yuki; KUNIEDA, Fukuo; NAKATA, Masahiro; WATANABE, Kazuko

    2017-01-01

    We used dance video game (DVG) training as a mean of improving elderly's cognitive function and investigated whether the elderly with MCI could overcome the once affected cognitive function via continuous DVG training...

  12. Quality of life and participation restrictions, a study in elderly

    National Research Council Canada - National Science Library

    Magalhães, Ruth; Iório, Maria Cecilia Martinelli

    2011-01-01

    According to the IBGE, Brazil had 21 million elderly persons in 2008. To study the effects of speech therapy - fitting of hearing aids - on the quality of life of elderly persons and restriction of participation according to sex and age...

  13. Curriculum Development for Instructing the Elderly in Nutrition.

    Science.gov (United States)

    Lasswell, Anita B.; Curry, Katharine R.

    1979-01-01

    Describes a pilot program designed to instruct the elderly in basic nutrition concepts. Results of the program indicate that the elderly are interested in and capable of learning new nutrition information. (MA)

  14. National Committee for the Prevention of Elder Abuse

    Science.gov (United States)

    ... for events. National Committee for the Prevention of Elder Abuse c/o Business of Your Business, LLC ... NCPEA The National Committee for the Prevention of Elder Abuse (NCPEA ) is the national association for professionals, ...

  15. Endoscopic Treatment of Esophageal Foreign Bodies in the Elderly

    Directory of Open Access Journals (Sweden)

    Hsin-Chang Lin

    2013-03-01

    Conclusion: Flexible upper endoscopy is relatively safe and effective for extracting EFB in the elderly. Elderly patients with EFBs had a high rate of underlying diseases. Thus, additional care and considerations must be given to such population.

  16. Utilization of Teeth Replacement Service Among the Elderly ...

    African Journals Online (AJOL)

    . However, its utilization by the elderly has not been extensively studied. Aim: To determine the utilization of tooth replacement services among the elderly. Materials and Methods: This was a retrospective study of 440 patients aged 60 years ...

  17. Characteristics of phenotypes of elderly patients with asthma

    Directory of Open Access Journals (Sweden)

    Hiroyuki Sano

    2016-04-01

    Conclusions: Half of elderly patients with asthma are characterized by asthma-emphysema overlap. Our results showed that elderly patients with asthma who are smokers and have moderate or severe OAD are also likely to have emphysema.

  18. The European XFEL Project

    CERN Document Server

    Trunk, U

    2008-01-01

    The European XFEL project is a 4th generation photon source to be built in Hamburg. Electron bunches, accelerated to 17.5GeV by the XFEL linac, are distributed to three long SASE undulators. There photon pulses with full lateral coherence and wavelengths between 0.1nm and 4.9nm (12.4 keV and 0.8 keV) are generated for three beamlines. It will deliver around 1012photons within each 100 fs pulse, reaching a peak brilliance of 1033photonss−1mm−2mrad−2(0.1%BW)−1. Thus it will offer unprecedented possibilities in photon science research including nano-object imaging and studies (e.g. by coherent X-ray scattering) and ultra fast dynamic analysis of plasma and chemical reactions (e.g. by X-ray photo correlation spectroscopy). The detector requirements for such studies are extremely challenging: position sensitive area detectors have to provide a dynamic range of ≥ 104, with single-photon sensitivity, while withstanding radiation doses up to 1GGy (TID). Furthermore the detectors have to record data from tra...

  19. Adherence to the WCRF/AICR dietary recommendations for cancer prevention and risk of cancer in elderly from Europe and the United States : A meta-Analysis within the CHANCES Project

    NARCIS (Netherlands)

    Jankovic, Nicole; Geelen, Anouk; Winkels, Renate M.; Mwungura, Blaise; Fedirko, Veronika; Jenab, Mazda; Illner, Anne K.; Brenner, Hermann; Ordonez-Mena, Jose M.; De Jong, Jessica C Kiefte; Franco, Oscar H.; Orfanos, Philippos; Trichopoulou, Antonia; Boffetta, Paolo; Agudo, Antonio; Peeters, Petra H.|info:eu-repo/dai/nl/074099655; Tjønneland, Anne; Hallmans, Goran; Bueno de Mesquita, Bas|info:eu-repo/dai/nl/06929528X; Park, Yikyung; Feskens, Edith J.; De Groot, Lisette C.

    2017-01-01

    Background: It is unknown whether dietary recommendations for cancer prevention are applicable to the elderly. We analyzed WCRF/AICR recommendations in cohorts of European and U.S. adults ages 60 years and above. Methods: Individual participant data meta-Analysis included 362,114 participants (43%

  20. Adherence to the WCRF/AICR Dietary Recommendations for Cancer Prevention and Risk of Cancer in Elderly from Europe and the United States: A Meta-Analysis within the CHANCES Project

    NARCIS (Netherlands)

    Jankovic, N.; Geelen, M.M.E.E.; Winkels, R.M.; Franco, O.H.; Feskens, E.J.M.; Groot, de C.P.G.M.; Kampman, E.

    2017-01-01

    Background: It is unknown whether dietary recommendations for cancer prevention are applicable to the elderly. We analyzed WCRF/AICR recommendations in cohorts of European and U.S. adults ages 60 years and above.
    Methods: Individual participant data meta-analysis included 362,114 participants

  1. Fall prevention in the elderly.

    Science.gov (United States)

    Ungar, Andrea; Rafanelli, Martina; Iacomelli, Iacopo; Brunetti, Maria Angela; Ceccofiglio, Alice; Tesi, Francesca; Marchionni, Niccolò

    2013-05-01

    Falls are frequent in the elderly and affect mortality, morbidity, loss of functional capacity and institutionalization. In the older patient the incidence of falls can sometimes be underestimated, even in the absence of a clear cognitive impairment, because it is often difficult to reconstruct the dynamics. It is quite common that forms due to syncope are associated with retrograde amnesia and in 40 to 60% of the cases falls happen in the absence of witnesses. The pathogenesis of falls is often multifactorial, due to physiological age-related changes or more properly pathological factors, or due to the environment. The identification of risk factors is essential in the planning of preventive measures. Syncope is one of major causes of falls. About 20% of cardiovascular syncope in patients older than 70 appears as a fall and more than 20% of older people with Carotid Sinus Syndrome complain of falls as well as syncope. These data clearly state that older patients with history of falls should undergo a cardiovascular and neuroautonomic assessment besides the survey of other risk factors. Multifactorial assessment requires a synergy of various specialists. The geriatrician coordinates the multidisciplinary intervention in order to make the most effective evaluation of the risk of falling, searching for all predisposing factors, aiming towards a program of prevention. In clear pathological conditions it is possible to enact a specific treatment. Particular attention must indeed be paid to the re-evaluation of drug therapy, with dose adjustments or withdrawal especially for antihypertensive, diuretics and benzodiazepines. The Guidelines of the American Geriatrics Society recommend modification of environmental hazards, training paths, hip protectors and appropriate use of support tools (sticks, walkers), which can be effective elements of a multifactorial intervention program. Balance exercises are also recommended. In conclusion, an initial assessment, supported by a

  2. Intersectional perspective in elderly care

    Directory of Open Access Journals (Sweden)

    Marta Cuesta

    2016-05-01

    Full Text Available Earlier research has shown that power relationships at workplaces are constructed by power structures. Processes related to power always influence the working conditions for (in this study in elderly care the working groups involved. Power structures are central for intersectional analysis, in the sense that the intersectional perspective highlights aspects such as gender and ethnicity (subjective dimensions and interrelates them to processes of power (objective dimension. This qualitative study aims to explore in what way an intersectional perspective could contribute to increased knowledge of power structures in a nursing home where the employees were mostly immigrants from different countries. By using reflexive dialogues related to an intersectional perspective, new knowledge which contributes to the employees’ well-being could develop. Narrative analysis was the method used to conduct this study. Through a multi-stage focus group on six occasions over 6 months, the staff were engaged in intersectional and critical reflections about power relationship with the researchers, by identifying patterns in their professional activities that could be connected to their subjectivities (gender, ethnicity, etc.. The result of this study presents three themes that express the staff's experiences and connect these experiences to structural discrimination. 1 Intersectionality, knowledge, and experiences of professionalism; 2 Intersectionality, knowledge, and experiences of collaboration; and 3 Intersectionality, knowledge, and experiences of discrimination. The result demonstrates that an intersectional perspective reinforces the involved abilities, during the conversations, into being clear about, for example, their experiences of discrimination, and consequently developing a better understanding of their professionalism and collaboration. Such deeper reflections became possible through a process of consciousness raising, strengthening the employee

  3. EUROPEAN HARMONIZATION OF CONSOLIDATED FINANCIAL STATEMENTS REGULATIONS?

    National Research Council Canada - National Science Library

    Cirstea Andreea; Baltariu Carmen-Alexandra

    2012-01-01

    ... No. 1606/2002 adopted by the European Parliament and European Council on the 19th of July 2002, which regulates the application of IAS/IFRS regarding the financial reporting of listed European companies...

  4. Experiencing European integration: transnational lives and European identity

    NARCIS (Netherlands)

    Kuhn, T.

    2015-01-01

    European integration has generated a wide array of economic, political, and social opportunities beyond the nation state. Scandinavians spending their retirement at the Mediterranean coast; Germans employing a Polish caretaker; international exchange students staying in Prague; Italian baristas

  5. The Political Construction of elderly care markets

    DEFF Research Database (Denmark)

    Burau, Viola; Zechner, Minna; Dahl, Hanne Marlene

    2017-01-01

    In Europe over the last two decades, marketization has become an important policy option in elder care. Comparative studies predominantly adopt an institutional perspective and analyze the politics and policies of marketization. This analysis takes a step back and examines the fundamental ideas...... to understand the ideas behind the marketization of elder care. Ideas emerge as a key leverage for making policies and practices of marketization acceptable and which decision makers and other influential political/societal actors use in policy and public debates. The importance of ideas is further underlined...... underpinning the policies of marketization, using the ‘What's the problem?’ approach by Carol Bacchi. The central question is how the market was discursively framed as the solution to the perceived problems of three different systems of elder care, and how such processes are similar or different across...

  6. THE SOCIOECONOMIC STATUS OF THE ELDERLY

    Directory of Open Access Journals (Sweden)

    Olga GAGAUZ

    2015-07-01

    Full Text Available Actuality of the study is to extend knowledge on the key issues facing older people. The purpose of the research is to establish the socio-economic position of the elderly, level of respect of their rights in various areas and their vulnerability. The study methodology includes a combination of quantitative and qualitative methods. First, by using the method of social survey based on questionnaire on two target-groups samples (one for people aged 60 and over (1096 respondents and another for employable people aged 20-55 (500 respondents. Second, by conducting individual 10 in-depth interviews with experts and three focus group with elderly (aged 60 and over that live in their own household/housing (38 elderly. The study allowed identifying the main problems faced by older people in various social areas, to identify cases of discrimination, as well as to develop a series of recommendations to improve the situation.

  7. Elderly Onset Celiac Disease: A Narrative Review

    Directory of Open Access Journals (Sweden)

    Maria Cappello

    2016-09-01

    Full Text Available Celiac sprue is a chronic disease, which usually occurs in children and young adults. However, it can develop in any age group, and the prevalence is increasing even in the elderly population. The atypical patterns of clinical presentation in this age group sometimes can cause a delay in diagnosis. Given the lower sensitivity and specificity of serological tests in the aged population, clinical suspect often arises in the presence of complications (autoimmune disorders, fractures, and finally, malignancy and must be supported by endoscopic and imaging tools. In this review, we highlight the incidence and prevalence of celiac disease in the elderly, the patterns of clinical presentation, diagnosis, and the most frequent complications, with the aim of increasing awareness and reducing the diagnostic delay of celiac disease even in the elderly population.

  8. [Mild head injuries in the elderly].

    Science.gov (United States)

    Thaler, Heinrich W; Jung-Schmidsfeld, Jochen; Pienaar, Simon

    2017-07-01

    In the elderly, particularly those over 80 years old, head injuries often occur as a result of falls. The majority suffer from mild head injury. After clarification of the initial symptoms in these patients, the main aim is to recognize or exclude intracranial injuries (bleeding). Demonstration of intracranial bleeding is possible with cranial computed tomography (CCT), which in contrast to magnetic resonance imaging (MRI) can be quickly carried out in most cases; however, most patients with mild head injury show no intracranial bleeding. The performance of CCT and the often necessary hospital admission place a severe physical and psychological burden on the elderly. The plasma parameter S100B, combined with the clinical findings, is a valuable instrument for decision making in the management of elderly patients with mild head injury.

  9. Forecasting the wellness of elderly through SNMS

    Science.gov (United States)

    Wu, Yuan; Li, Lingling; Ma, Chao; Li, Lian; Huang, Bingqing; Liu, Li

    2017-03-01

    Accurate and timely information collection is important for physicians to provide prompt and appropriate treatment for patients. In this paper, a smart nursing home monitoring system which can predict the health conditions of the elderly people who live in the nursing home is presented. A framework integrating temporal and spatial contextual information for evaluating the wellness of an elderly has been modeled. A novel activity detection process based on the location information collects by the RFID technology in performing essential daily activities has been designed and developed. A BP neural network is trained using the activity information of the elderly live in the nursing home, wellness models are tested and the results are encouraging.

  10. Suicide in elderly people: a literature review.

    Science.gov (United States)

    Minayo, Maria Cecília de Souza; Cavalcante, Fátima Gonçalves

    2010-08-01

    A literature review was carried out focusing on the main factors associated with suicidal ideation, attempts and completed suicide in elders. The following databases were searched: MEDLINE, PsychINFO, SciELO and Biblioteca Virtual em Violência e Saúde da BIREME (BIREME's Violence and Health Virtual Library), referring to the period from 1980 to 2008. Fifty-two references were selected and analyzed. They showed a strong relationship among suicide ideation, attempt and completion in elderly individuals, which results from the interaction of complex physical, mental, neurobiological and social factors. Suicide associated with depression in the elderly can be prevented, provided the person is properly treated. In Brazil, it is necessary to invest in research, given the persistent increase in suicide rates among aged people, especially among males.

  11. Nutritional Status in Self-Neglecting Elderly

    Science.gov (United States)

    Oliver, S. Mathews; Kelly, P. A.; Pickens, S.; Burnett, J.; Dyer, C. B.; Smith, S. M.

    2006-01-01

    Elder self-neglect is the most common, and most compelling form of elder mistreatment. Individuals who cannot provide the basic needs for themselves may develop social, functional, and physical deficits. The CREST project has the goal of systematically characterizing these individuals, and the objective of the study reported here is to characterize aspects of their nutritional status. Self-neglect (SN) subjects referred from Adult Protective Services were recruited and consented. Control (CN) subjects were matched for age, gender, race, and socio-economic status when possible. Reported here are data on 47 SN subjects (age 77 +/- 7, mean +/- SD; body weight 76 kg +/- 26) and 40 CN subjects (77 +/- 7, 79 kg +/- 20). Blood samples were analyzed for indices of nutritional status. SN subjects had higher serum concentrations of homocysteine (p elderly population is at risk with respect to several markers of nutritional status.

  12. BARRIERS TO PHYSICAL ACTIVITY IN THE ELDERLY

    Directory of Open Access Journals (Sweden)

    Paulo Matias

    2015-04-01

    Full Text Available The population awareness of the physical exercise’s benefits is widely diffused. These benefits are particularly important in the elderly because, with increasing age, there is a decline of the musculoskeletal system and the maximum oxygen consumption which reduces the functional fitness of the elderly and can often lead to a significant decline in the quality of life. Despite this awareness, a large part of the population remains sedentary. It is important to know what the barriers are, so they can be circumvented in order to increase the engagement of the elderly population in existing physical activity programs.Objectives: This study aims to identify some of the personal, behavioral and environmental barriers that prevent older adults to be physically active.

  13. [Disability among elderly women in Brazil].

    Science.gov (United States)

    Parahyba, Maria Isabel; Veras, Renato; Melzer, David

    2005-06-01

    To estimate disability rates and explore associations, identifying the most significant socioeconomic markers associated with the prevalence of mobility disability among elderly women. National mobility disability rates were estimated based on information from the 1998 National Household Survey (PNAD), conducted by the Instituto Brasileiro de Geografia e Estatística. The present study analyzes the elderly women population, totaling 16,186 subjects. Logistic regression models were constructed considering 'difficulty walking 100 meters' as the dependent variable. The prevalence of markers of mild, moderate and severe disability was greater among women, and increased with age. In logistic regression analysis, markers most strongly associated with increased prevalence of mobility disability were age, gender, low schooling, and low income. Rural residence was also associated with reduced prevalence. Our results suggest potential risk factors for the development of functional decline in elderly women, given that the associations encountered were consistent with those reported by other studies in the literature.

  14. Culturally familiar environment among immigrant Korean elders.

    Science.gov (United States)

    Son, Gwi-Ryung; Kim, Hye-Ryoung

    2006-01-01

    This study's purpose was to describe the concept of familiarity for immigrant Korean elders as expressed through clothing, objects, songs/music, foods, and associated feelings. A descriptive exploratory design with in-depth, face-to-face interviews was used. A convenience sample of 14 immigrant Korean elders, age 63 to 82 years, was recruited from a Korean senior apartment complex. Interviews were tape-recorded and then transcribed in Korean by the first author. Constant comparative analysis was used to derive eight themes related to feelings and practice associated with culturally familiar items: homesickness, comfort, pleasure, mixed feelings, attachment, pride, nostalgic practice, and essentiality. These findings about familiarity could be utilized with ethnic minority elders to enhance their sense of belonging and physical and psychological comfort.

  15. Challenges for vaccination in the elderly

    Directory of Open Access Journals (Sweden)

    Grubeck-Loebenstein Beatrix

    2007-12-01

    Full Text Available Abstract The increased susceptibility of the elderly to infection presents a major challenge to public health services. An aging immune system is well documented as the cause of increased infection rates in elderly people. Such immunosenescence is multi-factorial and incompletely understood. Immunosenescent changes include malfunctioning of innate immune system cellular receptors; involution of the thymus, with consequent reduction of the naïve T cell population; alteration of the T cell population composition; modified phenotypes of individual T cells; and replicative senescence of memory cells expressing naïve markers. Unfortunately, immunosenescence also renders vaccination less effective in the elderly. It is therefore important that the vaccines used against common but preventable diseases, such as influenza, are specifically enhanced to overcome the reduced immune responsiveness of this vulnerable population.

  16. Association of serum lipid components and obesity with genetic ancestry in an admixed population of elderly women.

    Science.gov (United States)

    Lins, Tulio C; Pires, Alause S; Paula, Roberta S; Moraes, Clayton F; Vieira, Rodrigo G; Vianna, Lucy G; Nobrega, Otávio T; Pereira, Rinaldo W

    2012-07-01

    The prevalence of metabolic disorders varies among ethnic populations and these disorders represent a critical health care issue for elderly women. This study investigated the correlation between genetic ancestry and body composition, metabolic traits and clinical status in a sample of elderly women. Clinical, nutritional and anthropometric data were collected from 176 volunteers. Genetic ancestry was estimated using 23 ancestry-informative markers. Pearsons correlation test was used to examine the relationship between continuous variables and an independent samples t-test was used to compare the means of continuous traits within categorical variables. Overall ancestry was a combination of European (57.49%), Native American (25.78%) and African (16.73%). Significant correlations were found for European ancestry with body mass index (r = 0.165; p = 0.037) and obesity (mean difference (MD) = 5.3%; p = 0.042). African ancestry showed a significant correlation with LDL (r = 0.159, p = 0.035), VLDL (r = -0.185; p = 0.014), hypertriglyceridemia (MD = 6.4%; p = 0.003) and hyperlipidemia (MD = 4.8%; p = 0.026). Amerindian ancestry showed a significant correlation with triglyceride levels (r = 0.150; p = 0.047) and hypertriglyceridemia (MD = 4.5%; p = 0.039). These findings suggest that genetic admixture may influence the etiology of lipid metabolism-related diseases and obesity in elderly women.

  17. Association of serum lipid components and obesity with genetic ancestry in an admixed population of elderly women

    Directory of Open Access Journals (Sweden)

    Tulio C. Lins

    2012-01-01

    Full Text Available The prevalence of metabolic disorders varies among ethnic populations and these disorders represent a critical health care issue for elderly women. This study investigated the correlation between genetic ancestry and body composition, metabolic traits and clinical status in a sample of elderly women. Clinical, nutritional and anthropometric data were collected from 176 volunteers. Genetic ancestry was estimated using 23 ancestry-informative markers. Pearsons correlation test was used to examine the relationship between continuous variables and an independent samples t-test was used to compare the means of continuous traits within categorical variables. Overall ancestry was a combination of European (57.49%, Native American (25.78% and African (16.73%. Significant correlations were found for European ancestry with body mass index (r = 0.165; p = 0.037 and obesity (mean difference (MD = 5.3%; p = 0.042. African ancestry showed a significant correlation with LDL (r = 0.159, p = 0.035, VLDL (r = -0.185; p = 0.014, hypertriglyceridemia (MD = 6.4%; p = 0.003 and hyperlipidemia (MD = 4.8%; p = 0.026. Amerindian ancestry showed a significant correlation with triglyceride levels (r = 0.150; p = 0.047 and hypertriglyceridemia (MD = 4.5%; p = 0.039. These findings suggest that genetic admixture may influence the etiology of lipid metabolism-related diseases and obesity in elderly women.

  18. Disrespect and Isolation: Elder Abuse in Chinese Communities

    Science.gov (United States)

    Tam, Sandra; Neysmith, Sheila

    2006-01-01

    Based on a qualitative study of home care workers, this paper aims to understand elder abuse of Chinese Canadians. The findings show disrespect is the key form elder abuse takes in the Chinese community. As a culturally specific form of abuse, disrespect remains invisible under categories of elder abuse derived from a Western cultural perspective.…

  19. Squamous Cell Carcinoma of the Oral Cavity in the Elderly

    Directory of Open Access Journals (Sweden)

    Yi-Shing Leu

    2009-03-01

    Conclusion: Squamous cell carcinoma of the oral cavity did not have a significantly different outcome for elderly patients when compared with younger patients. Elderly patients with stage IVA squamous cell carcinoma of the oral cavity had poorer survival rates. When properly evaluated and monitored, conservative and conventional therapies seemed efficacious in the elderly.

  20. Children's Descriptions of and Attitudes toward the Elderly.

    Science.gov (United States)

    Fillmer, H. Thompson

    1984-01-01

    Investigated whether children (N=144) demonstrate the same stereotypes of the elderly that are depicted in the media. The findings indicated that children generally stereotype the elderly. The children selected favorable adjectives to describe photographs of the elderly but preferred to associate with young rather than old adults. (JAC)