Assisted Housing - Public Housing Authorities - National Geospatial Data Asset (NGDA)

Data.gov (United States)

Department of Housing and Urban Development — Public Housing was established to provide decent and safe rental housing for eligible low-income families, the elderly, and persons with disabilities. Public housing...

Elder Abuse; Joint Hearing Before the Special Committee on Aging, United States Senate and the Select Committee on Aging, House of Representatives, Ninety-Sixth Congress, Second Session.

Science.gov (United States)

Congress of the U.S., Washington, DC. Senate Special Committee on Aging.

This report of a joint hearing before the Senate and House Committees on Aging examines elder abuse as a growing problem in America. The testimony considers the benefits of community-based services for the elderly living with relatives, explores other forms of long-term care, and investigates ways to aid victims of elder abuse. An overview of the…

[Considering housing arrangements in elderly life: factors influencing plans concerning future housing arrangements and preferences in a representative sample of 45+ year olds].

Science.gov (United States)

Spangenberg, L; Glaesmer, H; Brähler, E; Kersting, A; Strauß, B

2013-04-01

Providing care and support for the elderly is a future challenge. Using regression analysis, a representative population-based sample (n = 1,445) was examined with respect to whether they had considered future housing and which variables influenced their thoughts and preferences. The majority of the sample reported thinking about housing in old age and preferred to stay at home in old age. Thoughts about future housing and housing preferences were predicted by different factors in the age groups analyzed. Thinking about future housing was positively associated with increasing age and depression. Other relevant predictors were gender, living with a partner, images of old age (especially negative ones), and anticipated subjective health. These variables also predicted housing preferences. Thoughts about future living arrangements are widespread, and their importance increases with age. The wishes reported do contrast to a certain extent with reality. Planning future care as well as developing consultation guidelines should address these issues while considering the reported influences.

[Systematic review of fall-related factors among the house-dwelling elderly in Japan].

Science.gov (United States)

Ueno, Megumi; Kawai, Sachio; Mino, Tairai; Kamoshita, Hiroshi

2006-01-01

Fall-related factors and individual characteristics of the elderly who have had fall are necessary to develop practical fall prevention programs, and life support management. However, no nation-wide meta-analysis of the fall-related factors of elderly has been performed in Japan. To conduct a meta-analysis concerning fall-related factors among the house-dwelling elderly in Japan. Japana Centra Revuo Medicina, version 3 (systematic literature search system for Japanese literature), and Pub Med (a service of the National Library of Medicine) from January 1994 to December 2003. Study search terms included the following: retrograde case-control, prospective cohort, and retrospective cohort study with falls. Search terms included older adults (60 years and over), falls and humans. Thirty-two fall-related factors were meta-analyzed. Among 32 fall-related factors, only nine factors were statistically proven to be related to falls. These factors were female gender, age over 70 years old, fall experience, past history of cerebrovascular disease, grip strength, knee extensor strength, one foot standing time with eyes open, one foot standing time with eyes closed, and skinfold thickness (female). Eleven factors: presence of a spouse, past medical history of hypertension, complaints of dizziness, numbness of the extremities, 10 meter maximum walking velocity, tendency to stumble, use of supportive equipment, standing postural sway. sitting trunk flexion, skinfold thickness (male), and body mass index, were not statistically proven to be related to falls. More studies are necessary to determine the efficacy of fall-related factors among the Japanese elderly.

24 CFR 888.305 - Amount of the retroactive Housing Assistance Payments.

Science.gov (United States)

2010-04-01

... DIRECT LOAN PROGRAM, SECTION 202 SUPPORTIVE HOUSING FOR THE ELDERLY PROGRAM AND SECTION 811 SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES PROGRAM) SECTION 8 HOUSING ASSISTANCE PAYMENTS PROGRAM-FAIR MARKET..., Section 202 Elderly or Handicapped, and Special Allocations Projects § 888.305 Amount of the retroactive...

A before and after study of medical students' and house staff members' knowledge of ACOVE quality of pharmacologic care standards on an acute care for elders unit.

Science.gov (United States)

Jellinek, Samantha P; Cohen, Victor; Nelson, Marcia; Likourezos, Antonios; Goldman, William; Paris, Barbara

2008-06-01

The Assessing Care of Vulnerable Elders (ACOVE) comprehensive set of quality assessment tools for ill older persons is a standard designed to measure overall care delivered to vulnerable elders (ie, those aged > or =65 years) at the level of a health care system or plan. The goal of this research was to quantify the pretest and posttest results of medical students and house staff participating in a pharmacotherapist-led educational intervention that focused on the ACOVE quality of pharmacologic care standards. This was a before and after study assessing the knowledge ofACOVE standards following exposure to an educational intervention led by a pharmacotherapist. It was conducted at the 29-bed Acute Care for Elders (ACE) unit of Maimonides Medical Center, a 705-bed, independent teaching hospital located in Brooklyn, New York. Participants included all medical students and house staff completing a rotation on the ACE unit from August 2004 through May 2005 who completed both the pre-and posttests. A pharmacotherapist provided a 1-hour active learning session reviewing the evidence supporting the quality indicators and reviewed case-based questions with the medical students and house staff. Educational interventions also occurred daily through pharmacotherapeutic consultations and during work rounds. Medical students and house staff were administered the same 15-question, patient-specific, case-based, multiple-choice pre-and posttest to assess knowledge of the standards before and after receiving the intervention. A total of 54 medical students and house staff (median age, 28.58 years; 40 men, 14 women) completed the study. Significantly higher median scores were achieved on the multiple-choice test after the intervention than before (median scores, 14/15 [93.3%] vs 12/15 [80.0%], respectively; P = 0.001). A pharmacotherapist-led educational intervention improved the scores of medical students and house staff on a test evaluating knowledge of evidence

Feasibility of the iPad as a hub for smart house technology in the elderly; effects of cognition, self-efficacy, and technology experience.

Science.gov (United States)

Alvseike, Hilde; Brønnick, Kolbjørn

2012-01-01

Smart house technology using tablet computers may help older people to master activities of daily living by making it easier to perform daily tasks like controlling lights and indoor temperature throughout the house with a few keystrokes. The aim of this study was to investigate the impact of age, cognition, self-efficacy, and technology experience on the ability of older people to perceive and use iPad tablet computers for this purpose. Twenty-eight participants were interviewed using a structured interview guide and questionnaires, and a practical test of how to use the iPad was performed. The Mini-Mental State Examination (MMSE) was used to assess cognition. Cognitive deficits and low self-efficacy significantly reduced the ability of the subjects to use the smart house technology and to perceive the smart house technology service as provided. Age was unrelated to the outcome variables. Finally, technology experience had an effect on technology perception. If further research supports these findings, it should influence smart-house implementation in an elderly population, raising awareness of usability problems in older people with low self-efficacy and cognitive problems.

A room of one's own: the SRO and the single elderly.

Science.gov (United States)

Crystal, S; Beck, P

1992-10-01

A survey of 485 single-room occupancy housing (SRO) residents in New York City found elderly residents strongly preferred to remain in centrally located neighborhoods where apartment housing was beyond their means; did not wish to share a housing unit; and had little confidence that they could find acceptable housing if they lost their present unit. For many elderly residents, SROs meet needs not easily met by available alternatives. Results suggest the need to maintain this housing option for older persons and replace losses that have accompanied gentrification in many central city areas.

Elderly long-stay institutions: possibilities contemporary housing

Directory of Open Access Journals (Sweden)

Eliana Novaes Procopio de Araujo

2011-09-01

Full Text Available The elderly process proposes new challenges. The elderly living will be discussed. The overload in family nucleous direct for the necessity in institutions service. The work about management in psycogerontology services in institutions aimed the humanization of elderly care, families and health professionals. The construction of a new project of life in institutions promotes a better quality of life to elderly, as well as to their families and health professionals.  

24 CFR 5.350 - Mandatory pet rules for housing programs.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Mandatory pet rules for housing programs. 5.350 Section 5.350 Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development GENERAL HUD PROGRAM REQUIREMENTS; WAIVERS Pet Ownership for the Elderly or...

Ageing in place, an overview for the elderly in Malaysia

Science.gov (United States)

Tobi, S. U. Mohd; Fathi, M. S.; Amaratunga, D.

2017-10-01

Population ageing is a worldwide phenomenon experienced by developed and developing countries. It occurs when the median age of a country rises and shifts the distribution of that country's population towards older ages. Malaysia is experiencing a dramatic increase in the number of elderly people. Recent medical advances and improvements in hygiene and food supply have led to the people of Malaysia having a longer life expectancy. This paper comprehensively reviews articles and journals to discover the concepts, definitions and issues regarding the ageing population globally and in Malaysia, particularly looking at how elderly people can age in place. The concern over ageing is not just about the size of the old age population but, more importantly, about their health, welfare, care and living arrangements as well as the implications for infrastructure, housing, income and economic growth. The built environment plays a role in defining the conditions for people to live healthy lives, and older people require high-quality built environments that suit their needs across the whole life course - a building stock and infrastructure that supports independent living and enhances quality of life for the ageing population. Lifetime houses which fulfil the desires and vital requirement of most households whilst considering the changing essentials of households with elderly and aged people require careful consideration. This paper will review the key areas of housing for elderly people to support the concept of ageing in place as an independent living lifestyle.

24 CFR 888.111 - Fair market rents for existing housing: Applicability.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Fair market rents for existing... DIRECT LOAN PROGRAM, SECTION 202 SUPPORTIVE HOUSING FOR THE ELDERLY PROGRAM AND SECTION 811 SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES PROGRAM) SECTION 8 HOUSING ASSISTANCE PAYMENTS PROGRAM-FAIR MARKET...

24 CFR 888.113 - Fair market rents for existing housing: Methodology.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Fair market rents for existing... DIRECT LOAN PROGRAM, SECTION 202 SUPPORTIVE HOUSING FOR THE ELDERLY PROGRAM AND SECTION 811 SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES PROGRAM) SECTION 8 HOUSING ASSISTANCE PAYMENTS PROGRAM-FAIR MARKET...

House of Generations

DEFF Research Database (Denmark)

Geert Jensen, Birgitte

2017-01-01

only the benefits of living close to the family. The Aarhus Municipality project "House of Generations" is a vision for creating a framework for relationships across all generations, for meaningful encounters and for rewarding neighbourliness. Three of Aarhus Municipality's magistrate departments...... participate in the project: Health and Care, Children and Youth, and Social Conditions and Employment. A public housing association that provides student dorms also participates in the project. The physical framework will be a building with a total area of approx. 25,000 m², located at Pier 4, at Aarhus......' harbour areas. The building will be a multi-generational house comprising a mixture of flexible public housing units for students, the elderly and residents who require care (elderly disabled people and people with acquired brain injuries). The building will be connected with common areas located in close...

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

The bishops and housing.

Science.gov (United States)

Shellabarger, Thomas

2005-01-01

According to Catholic social teaching, housing is not a commodity but a human right. To ensure that all people--especially low-income elderly and other vulnerable populations--have access to affordable housing, the church has established a variety of programs, services, and advocacy efforts. Much of this work is based on key concepts: preserving existing housing stock, creating new programs to provide more options for the underserved, empowering residents and communities to deal with housing issues, establishing partnerships to make organizations' efforts more successful, making housing affordable, and ending discrimination in housing. Although church ministries, community groups, the private sector, and other players must work together to find solutions to the housing crisis, federal leadership is essential. Especially with the housing affordability gap growing and the U.S. population aging, the federal government must provide the resources, leadership, and direction for effective housing solutions.

Housing wealth and household portfolios in an aging society

NARCIS (Netherlands)

Rouwendal, J.

2009-01-01

Housing is one of the most important consumption goods, also for the elderly. For owner-occupiers, housing equity is moreover usually the most important asset in their investment portfolio, and hence, household wealth of the elderly is extremely sensitive to developments on the housing market. This

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,

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

24 CFR 5.363 - Housing programs: Protection of the pet.

Science.gov (United States)

2010-04-01

... pet. 5.363 Section 5.363 Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development GENERAL HUD PROGRAM REQUIREMENTS; WAIVERS Pet Ownership for the Elderly or Persons With Disabilities Pet Ownership Requirements for Housing Programs § 5.363 Housing programs...

24 CFR 888.405 - Amount of the retroactive Housing Assistance Payments.

Science.gov (United States)

2010-04-01

... DIRECT LOAN PROGRAM, SECTION 202 SUPPORTIVE HOUSING FOR THE ELDERLY PROGRAM AND SECTION 811 SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES PROGRAM) SECTION 8 HOUSING ASSISTANCE PAYMENTS PROGRAM-FAIR MARKET...

Acessibility in collective housing for the elderly: a case study in Portugal.

Science.gov (United States)

Paiva, Marie Monique Bruère; Villarouco, Vilma

2012-01-01

Physical spaces need to be adjusted to suit the changes of a physical, cognitive and emotional order occasioned by the natural aging of people. Ergonomics of the built environment contributes to improving the interaction of the user and physical environment, with a view to their comfort and safety. By thinking through the influence that environments have on the quality of life of the elderly, this article presents an assessment of accessibility in private units--bedrooms and bathrooms--of a Long-Stay Institution for the Elderly (ILPI in Portuguese) in Portugal. The analysis of the physical and spatial conditioning factors by means of the Ergonomics Methodology for the Built Environment (EMBE), proposed by VILLAROUCO (2008), gave evidence of the need for interventions to suitably adapt physical infrastructure, with the objective of promoting the physical well-being of the elderly, and thus, enhancing the autonomy and independence of a wider range of users.

24 CFR 5.353 - Housing programs: Procedure for development of pet rules.

Science.gov (United States)

2010-04-01

... development of pet rules. 5.353 Section 5.353 Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development GENERAL HUD PROGRAM REQUIREMENTS; WAIVERS Pet Ownership for the Elderly or Persons With Disabilities Pet Ownership Requirements for Housing Programs § 5.353 Housing...

24 CFR 982.606 - Congregate housing: Who may reside in congregate housing.

Science.gov (United States)

2010-04-01

... Special Housing Types Congregate Housing § 982.606 Congregate housing: Who may reside in congregate housing. (a) An elderly person or a person with disabilities may reside in a congregate housing unit. (b... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Congregate housing: Who may reside...

Residential Mobility of the European Elderly

NARCIS (Netherlands)

Angelini, V.; Laferrère, A.

With the ageing of the European population, the housing choices of the large elderly cohorts will have consequences on the whole housing market. This article combines micro data from two waves of the Survey of Health, Ageing and Retirement in Europe (SHARE) with macro data on housing policy to

Assessment of private homes as spaces for the dying elderly

Directory of Open Access Journals (Sweden)

Tulika Bhattacharyya

2017-01-01

Full Text Available Aim: This study makes an assessment of end-of-life care of the elderly in private homes in Kolkata, West Bengal, India. Participants and Methods: Primary data were collected from private homes which supported elder care through observation and semi-structured interviews with primary family caregivers of the elderly. Results: The study finds that the major factors preventing private homes from providing adequate care to the elderly were architecturally inadequate housing conditions, paucity of financial support, and scarcity of skilled caregivers. Besides, considerable neglect and domestic abuse of the elderly was also found in some private homes. In addition, the peripheral location of private homes within public health framework and inadequate state palliative policy, including stringent narcotic regulations, accentuated the problems of home care. Conclusion: The study concludes by questioning the rhetoric of private homes as spaces for the dying elderly in Kolkata and suggests remedial measures to improve their capacity to deliver care.

24 CFR 5.380 - Public housing programs: Procedure for development of pet rules.

Science.gov (United States)

2010-04-01

... for development of pet rules. 5.380 Section 5.380 Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development GENERAL HUD PROGRAM REQUIREMENTS; WAIVERS Pet Ownership for the Elderly or Persons With Disabilities Pet Ownership Requirements for Public Housing...

Development of a Health Care Information System for the Elderly at Home

Directory of Open Access Journals (Sweden)

Wang Dong

2016-01-01

Full Text Available The growing population aging is a serious social problem in the world today. Accidental death at home is increasing because abnormal conditions can not be discovered in time, especially to the elderly who live alone. Besides, according to statistics, over 80 percent of the elderly need the service of home care in China. A health care information system for the elderly at home is developed to monitor the real–time state of the elderly remotely in this thesis. The system can show the current positions of the elderly in the house and judge whether they are in dangerous locations or have dangerous activities. In the case of emergency, the elderly can press the emergency button. The system also provides some help for the elderly’s daily life. The system offers the advantage for living at home more safely and more comfortably, and has better application prospect

Better housing and living conditions for older people

DEFF Research Database (Denmark)

housing stock and local neighbourhood facilites be made more responsive to the demands of older people? How can housing and planning measures contribute to the integration of older people in local communities? How can urban renewal be implemented in elderly-friendly forms? What forms of coordination......There is an increasing emphasis on strategies designed to combat the exclusion of older people from society. The development of social policies oriented towards community care and community living has important consequences for housing policies and urban planning policies. How can the general...

The Design of Smart Home for the Elderly Based on ZigBee

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He Junhan

2016-01-01

Full Text Available In recent years, as the pace of people’s life is speeding up, more young people working far from their parents, the elderly have to live alone. With the increase of age, they tend to forget things which may create safety accidents. Therefore, a smart home system for the elderly will have good application prospects. In this paper, a smart system based on ZigBee wireless network is proposed. This system uses wireless network for transmitting information between sensor nodes and uses embedded technology to analyse the data. Once an emergency occurs, the system will send an alarm to notify the elderly. At the same time, the young people can know the situation of the house through mobile phone

Electrical lighting for improved wellbeing of elderly citizens

DEFF Research Database (Denmark)

Markvart, Jakob; Agnes Sander, Birgit; Kessel, Line

2015-01-01

Healthy elderly citizens living in their own homes may benefit from having replaced their existing indoor lighting with a lighting being superior in stimulating their circadian rhythm to improve sleep and general wellbeing. This was hypothesised in the presented study. We replaced the existing...... indoor lighting in the main living room of elderly citizens in 20 uniform private houses in a suburb of Copenhagen. In a randomized cross-over design 29 healthy participants over 65 years were exposed over 3 weeks to blue-enriched and 3 weeks to blue-deprived light with similar corneal photopic...... illuminances from 8 am to 13 pm. The two light epochs were separated by one week neutral indoor light. Daylight factors were measured for each of the houses. The pre-experimental lighting conditions were documented by pictures and the experimental light was measured on location using portable photometers...

A longitudinal study of cerebral blood flow and intelligences in normal elderly people living in retirement house

International Nuclear Information System (INIS)

Kobayashi, Shotai; Yamaguchi, Shuhei; Kitani, Mitsuhiro; Okada, Kazunori; Arimoto, Satao

1986-01-01

It is well known that the number of the neuron in the brain gradually reduced with advancing age, but speed of decline of brain functions differs among individuals. We have reported that social environmental factors had significant influences to cerebral blood flow (CBF) and mental function. In this paper, we report 2.5 years longitudinal study concerning with CBF and intelligences in twenty normal elderly people, mean age of 76 years old at the first measurement, living in retirement house. 1) Mean CBF measured by Xe 133 inhalation method did not alter significantly during the observation period. 2) Performance intelligence evaluated by Kohs' block design test had reduced at the point of begining but no more reduction was observed during the period. 3) Verbal intelligence evaluated by Hasegawa's intelligence scale for aged which was within normal range at the begining, slightly (-7.5 %) but significantly (p < 0.05) reduced during the period. 4) Performance intelligence tended to reduce in subjects who showed reduction of CBF. There were no significant correlation between both intelligences and CBF. CBF could be maintained even in elderly people living in retirement house which has less social stimuli during relatively short observation period in so far as they maintain active daily life. The speed of reduction of performance intelligence may be getting slow after certain age and verbal intelligence gradually decreases perhaps by disuse of the mental function. (author)

Relationships and Community Risk Factors for Elder Abuse and Neglect: Findings from the First National Prevalence Study on Elder Maltreatment

Directory of Open Access Journals (Sweden)

Dimitrinka Jordanova Peshevska

2014-06-01

Full Text Available OBJECTIVES: The objective of the study was to mesaure the 12-months prevalence of elder abuse and neglect in private huousehold and to examine the relationship and community level risk factors for elder abuse and neglect. METHOD: Total of 960 respondents aged 65 years and above in private households, from all eight statistical regions participated in the study.  Nationally stratified quota sampling procedure was applied, through four stages. Information was collected in face-to face interview on socio-demographic, healthy life style, physical and mental health, and abuse and neglect types characteristics of elder population. Data were examined using descriptive statistics, binary logistic regression, and odd ratios (OR. Statistical significance was set up at p < 0.05. RESULTS: The respondents reported prevalence of psychological abuse 25.7%, followed by financial abuse 12 %, neglect 6.6%, physical abuse 5.7%, physical injury 3.1%, and sexual abuse 1.3% (reported only in female respondents in the previous 12-months. Living with close relatives, dissatisfaction with the household income, less equipped households, lacking property of house/flat are associated risk factors for elder maltreatment on relationship level. Living in the northeast, southeast, and Polog region are associated risk for elder maltreatment. CONCLUSION: Study findings emphasised the previous data obtained with regards to the community and relationships risk factors for elder maltreatment.

24 CFR 888.115 - Fair market rents for existing housing: Manner of publication.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Fair market rents for existing..., SECTION 202 DIRECT LOAN PROGRAM, SECTION 202 SUPPORTIVE HOUSING FOR THE ELDERLY PROGRAM AND SECTION 811... MARKET RENTS AND CONTRACT RENT ANNUAL ADJUSTMENT FACTORS Fair Market Rents § 888.115 Fair market rents...

The relationship of the elderly toward their home and living environment

Directory of Open Access Journals (Sweden)

Boštjan Kerbler

2017-12-01

Full Text Available Housing is a basic human good and right. It plays a versatile role, allowing people to fulfil a number of needs, and it is not limited only to one’s immediate living space, but also includes an individual’s wider living environment. People’s relationship toward housing and their living environment changes over the course of their lives. Especially in old age, housing becomes more important. Research shows that the elderly want to remain in their home environments as long as possible because they are closely attached to them. In order to determine whether these findings also apply to Slovenia, this article analyses how attached the elderly in Slovenia are to their homes and wider living environment and how satisfied they are with living there. The elderly’s views were obtained with a survey, and a statistical analysis was carried out using SPSS software, based on the calculation of various statistical correlation tests. The analysis confirmed the assumption that the Slovenian elderly are also very attached to their homes or home environments and are satisfied with living there. In addition, the analysis showed some differences among the elderly in this regard depending on their age, where they live and how long they have been living in their current homes.

HEALTH STATUS OF ELDERLY A COMMUNITY BASED STUDY

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Vartika Saxena

2013-01-01

Full Text Available Background: People at or over the age of 60, constitute above 7.7% of total population. Traditionally this segment of population depends on their children for their health and social welfare, However owing to the social and cultural changes that are taking place within the Indian society, this support may not be as readily available, as it is believed. With the changing demography of India, there is urgent need to look at the health status of elderly for planning appropriate health facilities for them. Objectives: To study biosocial, nutritional and chronic disease risk factor profile of elderly population. Methods: Cross-sectional Study was conducted in Doiwala block of Dehradun district, Uttarakhand. 122 elderly persons of age 60 years and above were interviewed on predesigned questionnaire by house to house visit in the selected village. Results: Overall prevalence of risk factors found to be higher amongst elderly females. Unutrition was higher amongst elderly males. In all, 48.6% elderly were underweight ,10.3% were overweight and 5.6% cases were in obese category. As per the Waist and hip ratio 47.2% elderly belonged to the moderate to high risk category. 30.8% people were hypertensive. Conclusions: Prevalence of high-risk factors for chronic diseases is quite high amongst elderly population, especially amongst elderly females.

Multisensor system and artificial intelligence in housing for the elderly.

Science.gov (United States)

Chan, M; Bocquet, H; Campo, E; Val, T; Estève, D; Pous, J

1998-01-01

To improve the safety of a growing proportion of elderly and disabled people in the developed countries, a multisensor system based on Artificial Intelligence (AI), Advanced Telecommunications (AT) and Information Technology (IT) has been devised and fabricated. Thus, the habits and behaviours of these populations will be recorded without disturbing their daily activities. AI will diagnose any abnormal behavior or change and the system will warn the professionals. Gerontology issues are presented together with the multisensor system, the AI-based learning and diagnosis methodology and the main functionalities.

Senior housing in Sweden: a new concept for aging in place.

Science.gov (United States)

Henning, Cecilia; Ahnby, Ulla; Osterstrom, Stefan

2009-01-01

Demographic projections of elder care in Sweden necessitate new and creative approaches to accommodate this rapidly growing population. This article describes a unique aging-in-place care and housing policy initiative for the elderly. Using a case example in Eksjo, Sweden, the authors used a future workshop (FW) method to help seniors plan their future housing in the community. The FW is based on a collective democratic process involving full participation, open communication, organizational development, and leadership. The process steps of the three-stage FW method are described. Results indicated that empowerment, collaboration, autonomy, social education, and decision making can be achieved in a community-network-based policy model. This demonstrates the devolution of national policy and how, at the grass roots level, local participation and public accountability can take root. Devolution created an opportunity for creatively addressing local needs.

Physical performance deterioration of temporary housing residents after the Great East Japan Earthquake

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Takeaki Ishii

2015-01-01

We revealed that standing stability was impaired among elderly temporary housing residents 1.5 years after the disaster. Disaster responders should take into account the health risks associated with living in temporary housing.

Architecture for the Elderly and Frail People, Well-Being Elements Realizations and Outcomes

DEFF Research Database (Denmark)

Knudstrup, Mary-Ann

2011-01-01

-being elements in the nursing home environments that contribute to enhancing the well-being of the elderly and how these elements is ensured attention during a decision making process related to the design and the establishing of nursing homes. With basis in four Danish representative case studies, various case...... data from the decision making process are collected, covering the planning, the design and the realization of four newly built nursing homes in Denmark. The case studies clearly shows that the architectural well-being elements appear weak in the decision making process, when they are conflicting......The relationship between architecture, housing and well-being of elderly and frail people is a topic of growing interest to consultants and political decision makers working on welfare solutions for elderly citizens. The objective of the research presented here is to highlight which well...

Connection between competence, usability, environment and risk of falls in elderly adults

Directory of Open Access Journals (Sweden)

José Alex Leiva-Caro

2015-12-01

Full Text Available Objective: to determine connections between competence, usability, environment and risk of falls in elderly adults. Method: correlational descriptive study, 123 elderly adults, both male and female, aged 70 years and older were included. Data was collected via the Tinetti Scale, CESD-7 Scale, Montreal Cognitive Assessment, Usability Questionnaire on Housing and Housing Enabler; and sociodemographic and health background certificate data. For data analysis, descriptive and inferential statistics were used, multivariate linear and logistic regression models were adjusted. Results: 42.0% of the elderly adults had presented with falls, with a higher prevalence in women, and in the group of 70-75 years. The physical environment of the house, gait, and usability were set as risk factors for falls. A negative relationship between usability and depressive symptoms, cognitive health, balance, gait, the social and physical environment was found, p <0.05; and a strong positive correlation between walking and balance, p <0.05. Conclusion: this study helps to better understand the phenomenon of falling, to find a connection between usability with the risk of falls, and other variables.

Assertive community treatment for elderly people with severe mental illness.

Science.gov (United States)

Stobbe, Jolanda; Mulder, Niels C L; Roosenschoon, Bert-Jan; Depla, Marja; Kroon, Hans

2010-10-19

Adults aged 65 and older with severe mental illnesses are a growing segment of the Dutch population. Some of them have a range of serious problems and are also difficult to engage. While assertive community treatment is a common model for treating difficult to engage severe mental illnesses patients, no special form of it is available for the elderly. A special assertive community treatment team for the elderly is developed in Rotterdam, the Netherlands and tested for its effectiveness. We will use a randomized controlled trial design to compare the effects of assertive community treatment for the elderly with those of care as usual. Primary outcome measures will be the number of dropouts, the number of patients engaged in care and patient's psychiatric symptoms, somatic symptoms, and social functioning. Secondary outcome measures are the number of unmet needs, the subjective quality of life and patients' satisfaction. Other secondary outcomes include the number of crisis contacts, rates of voluntary and involuntary admission, and length of stay. Inclusion criteria are aged 65 plus, the presence of a mental disorder, a lack of motivation for treatment and at least four suspected problems with functioning (addiction, somatic problems, daily living activities, housing etc.). If patients meet the inclusion criteria, they will be randomly allocated to either assertive community treatment for the elderly or care as usual. Trained assessors will use mainly observational instruments at the following time points: at baseline, after 9 and 18 months. This study will help establish whether assertive community treatment for the elderly produces better results than care as usual in elderly people with severe mental illnesses who are difficult to engage. When assertive community treatment for the elderly proves valuable in these respects, it can be tested and implemented more widely, and mechanisms for its effects investigated. The Netherlands National Trial Register NTR1620.

Interventions for preventing abuse in the elderly.

Science.gov (United States)

Baker, Philip R A; Francis, Daniel P; Hairi, Noran N; Othman, Sajaratulnisah; Choo, Wan Yuen

2016-08-16

independently extracted data and assessed the studies' risk of bias. Studies were categorised as: 1) education on elder abuse, 2) programmes to reduce factors influencing elder abuse, 3) specific policies for elder abuse, 4) legislation on elder abuse, 5) programmes to increase detection rate on elder abuse, 6) programmes targeted to victims of elder abuse, and 7) rehabilitation programmes for perpetrators of elder abuse. All studies were assessed for study methodology, intervention type, setting, targeted audience, intervention components and intervention intensity. The search and selection process produced seven eligible studies which included a total of 1924 elderly participants and 740 other people. Four of the above seven categories of interventions were evaluated by included studies that varied in study design. Eligible studies of rehabilitation programmes, specific policies for elder abuse and legislation on elder abuse were not found. All included studies contained a control group, with five of the seven studies describing the method of allocation as randomised. We used the Cochrane 'Risk of bias' tool and EPOC assessment criteria to assess risk of bias. The results suggest that risk of bias across the included body of research was high, with at least 40% of the included studies judged as being at high risk of bias. Only one study was judged as having no domains at high risk of bias, with two studies having two of 11 domains at high risk. One study was judged as being at high risk of bias across eight of 11 domains.All included studies were set in high-income countries, as determined by the World Bank economic classification (USA four, Taiwan one, UK two). None of the studies provided specific information or analysis on equity considerations, including by socio-economic disadvantage, although one study was described as being set in a housing project. One study performed some form of cost-effectiveness analysis on the implementation of their intervention programmes

Enhancing resiliency for elderly populations : Shelter-in-place planning and training at facilities serving elderly populations through the Rhode Island Senior Resiliency Project.

Science.gov (United States)

Smith, Richard; Mozzer, Michael; Albanese, Joseph; Paturas, James; Gold, Julia

2017-06-01

Elderly populations are disproportionately affected by disasters. In part, this is true because for many older adults, special assistance is needed to mitigate the consequences of disasters on their health and wellbeing. In addition, many older adults may reside in diverse living complexes such as long-term care facilities, assisted living facilities and independent-living senior housing complexes. Planning for each type of facility is different and the unique features of these facilities must be considered to develop readiness to deal with disasters. Based on this, the Rhode Island Department of Health established the Senior Resiliency Project to bolster the level of resiliency for the types of living facilities housing older adults. The project involves performing onsite assessments of energy resources, developing site-specific sheltering-inplace and energy resiliency plans, and educating and training facility employees and residents on these plans and steps they can take to be better prepared. Based on the feasibility of conducting these activities within a variety of facilities housing older adults, the project is segmented into three phases. This paper describes survey findings, outcomes of interventions, challenges and recommendations for bridging gaps observed in phases 1 and 2 of the project.

Demand-based provision of housing, welfare and care services to elderly clients: from policy to daily practice through operations management.

Science.gov (United States)

de Blok, Carolien; Meijboom, Bert; Luijkx, Katrien; Schols, Jos

2009-03-01

Practical implementation of notions such as patient-orientation, client-centredness, and demand-driven care is far from straightforward in care and service supply to elderly clients living independently. This paper aims to provide preliminary insights into how it is possible to bridge the gap between policy intent, which reflects an increasing client orientation, and actual practice of care and service provision. Differences in personal objectives and characteristics generate different sets of needs among elderly clients that must have an appropriate response in the daily routines of care and service providers. From a study of the available literature and by conceptual reasoning, we identify several important operational implications of client-oriented care and service provision. To deal with these implications the authors turn to the field of operations management. This field has deepened the understanding of translating an organisation's policy into daily activities and working methods. More specifically, we elaborate on the concept of modularity, which stems from the field of operations management. With respect to elderly people who live independently, this concept, among others, seems to be particularly useful in providing options and variation in individual care and service packages. Based on our line of reasoning, we propose that modularity provides possibilities to enhance the provision of demand-based care and services. Furthermore, our findings offer direction on how organisations in housing, welfare and care can be guided in translating demand-based care to their operational processes.

24 CFR 882.403 - ACC, housing assistance payments contract, and lease.

Science.gov (United States)

2010-04-01

... DIRECT LOAN PROGRAM, SECTION 202 SUPPORTIVE HOUSING FOR THE ELDERLY PROGRAM AND SECTION 811 SUPPORTIVE... contracted for is the total of the Moderate Rehabilitation Fair Market Rents for all the units. The fee for...

Providing housing and care to elderly homeless men and women in Australia.

Science.gov (United States)

Lipmann, Bryan

2003-01-01

People who are unemployed and who lack the resources to buy adequate food, shelter, or basic health care services face an endless struggle to survive. It is frequently a degrading and humiliating experience. The elderly homeless, who are often frail and sick, are particularly disadvantaged in this struggle. Yet resources are often available to welfare providers to care for the aged homeless. All that is needed is a willingness for providers and government agencies to acknowledge the existence of homelessness among the elderly and be prepared to alleviate the problem.

24 CFR 886.334 - Execution of housing assistance payments contract.

Science.gov (United States)

2010-04-01

... DIRECT LOAN PROGRAM, SECTION 202 SUPPORTIVE HOUSING FOR THE ELDERLY PROGRAM AND SECTION 811 SUPPORTIVE... Market Rent or the exception rent provided in § 886.310 in effect at the time of execution of the...

Comparison of morbidity of elderly patients in August and November in Attica, Greece: a prospective study.

Science.gov (United States)

Theocharis, G; Mavros, M N; Vouloumanou, E K; Peppas, G; Barbas, S G; Spiropoulos, T; Falagas, M E

2012-01-01

In our clinical practice, we have experienced a consistent increase in the morbidity of elderly in Greece during August. We prospectively analysed and compared the morbidity of elderly patients (≥ 75 years old) between August and November of the same year (2010), using data from the SOS Doctors (a network of physicians performing house call visits). We analysed data on 739 and 738 elderly patient house-calls in August and November, respectively. Overall, the most common diagnoses were cardiovascular (17.6%), musculoskeletal (10.7%), gastrointestinal (9.5%), respiratory (8.5%), renal/genitourinary (8.1%), and neurologic/psychiatric (7.9%). In August, patients were older (p elderly visited in August was significantly higher compared to November (5% vs. 2%, p bedridden status [adjusted odds ratio (OR) = 5.59, 95% confidence intervals (CI) 2.83-11.06, p bedridden status [OR = 1.45 (1.07, 1.97), p elderly patients was significantly higher in August compared with November, substantiating the informal term 'Augustitis' for the Greek elderly. Large, prospective population-based studies are warranted to further enlighten this field. © 2011 Blackwell Publishing Ltd.

Assertive community treatment for elderly people with severe mental illness

Directory of Open Access Journals (Sweden)

Mulder Niels CL

2010-10-01

Full Text Available Abstract Background Adults aged 65 and older with severe mental illnesses are a growing segment of the Dutch population. Some of them have a range of serious problems and are also difficult to engage. While assertive community treatment is a common model for treating difficult to engage severe mental illnesses patients, no special form of it is available for the elderly. A special assertive community treatment team for the elderly is developed in Rotterdam, the Netherlands and tested for its effectiveness. Methods We will use a randomized controlled trial design to compare the effects of assertive community treatment for the elderly with those of care as usual. Primary outcome measures will be the number of dropouts, the number of patients engaged in care and patient's psychiatric symptoms, somatic symptoms, and social functioning. Secondary outcome measures are the number of unmet needs, the subjective quality of life and patients' satisfaction. Other secondary outcomes include the number of crisis contacts, rates of voluntary and involuntary admission, and length of stay. Inclusion criteria are aged 65 plus, the presence of a mental disorder, a lack of motivation for treatment and at least four suspected problems with functioning (addiction, somatic problems, daily living activities, housing etc.. If patients meet the inclusion criteria, they will be randomly allocated to either assertive community treatment for the elderly or care as usual. Trained assessors will use mainly observational instruments at the following time points: at baseline, after 9 and 18 months. Discussion This study will help establish whether assertive community treatment for the elderly produces better results than care as usual in elderly people with severe mental illnesses who are difficult to engage. When assertive community treatment for the elderly proves valuable in these respects, it can be tested and implemented more widely, and mechanisms for its effects

Energy efficiency of housing for older citizens: Does it matter?

International Nuclear Information System (INIS)

Miller, Wendy; Vine, Desley; Amin, Zakaria

2017-01-01

Global population ageing has significant implications for public policy in areas such as health, housing and economic security. The notion of housing as a public health issue is not new, yet very little research has examined the links between housing specifically built for older people, energy performance and occupant health and economic security. Utilising a case study approach, this research examined the interplay between the energy efficiency of housing explicitly designed for this demographic, the thermal efficiency of their dwellings, and the impact on internal temperatures and monthly energy costs. The study shows that the thermal efficiency of the dwellings is not the same across all dwellings, impacting the internal temperatures experienced by the elderly occupants and their finances. This has implications for energy efficiency policy, policy governing the energy performance of buildings specifically designed for older people, as well as the mandatory disclosure of building performance. The study highlights in particular the need for energy policy to be further refined to link the thermal performance requirements of buildings to the broader health care plan and specific needs of older people. - Highlights: • Housing quality impacts on the health and economic wellbeing of older people. • This demographic can have limited capacity to manage and pay for thermal comfort. • Building thermal performance is not disclosed or linked to occupants' health care. • Energy and health policies need to be much more closely aligned. • This can be through building regulations, mandatory disclosure and heat wave plans.

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

What implies the good work for registered nurses in municipal elderly care in Sweden?

Science.gov (United States)

Josefsson, Karin; Aling, Jenny; Östin, Britt-Louise

2011-08-01

The aim was to describe registered nurses' perceptions of what the good work implies to them in municipal elderly care. A descriptive design and a structured questionnaire specifically designed for this study were used. Sixty housing units for older people and 213 nurses participated, with a response rate of 62%. The good work included the following aspects: intellectually stimulating without guilt feelings; freedom and independence with the possibility to influence; having appreciative and pleasant fellow workers and a fair and understanding manager; a good physical and risk-free environment; work security and a steady income with the possibility of improving salary through work effort; work effort should be beneficial to others; innovative thinking and initiative should be highly valued; and pride in work without compromising personal values. Employers must take this into consideration to retain those nurses already employed and recruit nurses to municipal elderly care.

A review on the prevalence and measurement of elder abuse in the community.

Science.gov (United States)

Sooryanarayana, Rajini; Choo, Wan-Yuen; Hairi, Noran N

2013-10-01

Aging is a rising phenomenon globally and elder abuse is becoming increasingly recognized as a health and social problem. This review aimed to identify the prevalence of elder abuse in community settings, and discuss issues regarding measurement tools and strategies to measure elderly abuse by systematically reviewing all community-based studies conducted worldwide. Articles on elder abuse from 1990 to 2011 were reviewed. A total of 1,832 articles referring to elders residing at home either in their own or at relatives' houses were searched via CINAHL and MEDLINE electronic databases, in addition to a hand search of the latest articles in geriatric textbooks and screening references, choosing a total of 26 articles for review. Highest prevalence was reported in developed countries, with Spain having 44.6% overall prevalence of suspicion of abuse and developing countries exhibiting lower estimates, from 13.5% to 28.8%. Physical abuse was among the least encountered, with psychological abuse and financial exploitation being the most common types of maltreatment reported. To date, there is no single gold standard test to ascertain abuse, with numerous tools and different methods employed in various studies, coupled with varying definitions of thresholds for age. Current evidences show that elder abuse is a common problem in both developed and developing countries. It is important that social, health care, and legal systems take these findings into consideration in screening for abuse or reforming existing services to protect the health and welfare of the elderly.

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

The Special Importance of Housing Policy for the Housing Situation of Ethnic Minorities

DEFF Research Database (Denmark)

Andersen, Hans Skifter; Magnusson Turner, Lena; Søholt, Susanne

The purpose of this article is to uncover, whether housing policy has a special importance for immigrants, compared with the whole population, by comparing housing policies and immigrants’ housing outcomes in four Nordic countries: Denmark, Finland, Norway and Sweden. There are substantial...... population varies much. These differences can only to some extent be explained by income inequalities on the housing markets in the countries, inequalities that affect immigrants. Other important explanations of why immigrants perform worse on the housing market is the shortage of rental housing (Norway......’ housing options are strict needs test for social/public housing (Finland)....

The Special Importance of Housing Policy for the Housing Situation of Ethnic Minorities

DEFF Research Database (Denmark)

Andersen, Hans Skifter; Turner, Lena Magnusson; Søholt, Susanne

2013-01-01

The purpose of this article is to uncover, whether housing policy has a special importance for immigrants, compared with the whole population, by comparing housing policies and immigrants’ housing outcomes in four Nordic countries: Denmark, Finland, Norway and Sweden. There are substantial...... population varies much. These differences can only to some extent be explained by income inequalities on the housing markets in the countries, inequalities that affect immigrants. Other important explanations of why immigrants perform worse on the housing market is the shortage of rental housing (Norway......’ housing options are strict needs test for social/public housing (Finland)....

Risk Factors for new accidental falls in elderly patients at traumatology ambulatory center.

Science.gov (United States)

Porto Gautério, Daiane; Zortea, Bruna; Costa Santos, Silvana Sidney; da Silva Tarouco, Bárbara; Lopes, Manoel José; João Fonseca, Cesar

2015-01-01

To identify the risks factors for new accidental falls in elderly patients attended in the Traumatology Ambulatory of a University hospital in Rio Grande do Sul, Brazil. Quantitative study of the type of multiple cases. Performed at the traumatology ambulatory, amongst fifteen elders that attended the inclusion criteria: age of sixty or more; patient at the traumatology ambulatory because of a fall motivated by accident, oriented and in conditions of answer an interview of data collectors. The data collection was made between April and June, 2013, with the Elderly Nursing Core Set scale (Lopes & Fonseca). The data analysis was made by a descriptive structure, which helped identify the existence of relation patterns among the cases. The risk factors for new accidental falls identified with larger incidence amongst the elders studied were: impaired balance (15/15), age above 65 (11/15), use of antihypertensive drugs (9/15), absence of non-slip material at home environment (7/15), in seven cases; rugs scattered at the floor of the house (6/15). The combination of intrinsic and extrinsic factors that include the environmental risks is considered a much more relevant cause to occur the new falls. The minimization of the home dangers, allied to the control of the elder intrinsic factors, may reduce the risks of causes. In that sense, is necessary that the nursing team make available more attention to the elderly assisted at the ambulatories, mainly those with sequelae due to fall accidents.

78 FR 1224 - Supportive Housing for the Elderly; Advance Notice of Senior Preservation Rental Assistance...

Science.gov (United States)

2013-01-08

..., and for new very low income tenants (50 percent of AMI) upon unit turnover; and (2) Pool Two--those... low income tenants (50 percent of AMI) upon unit turnover, but rather for tenants at or below 80... Act of 1973, or Section 109 of the Housing and Community Development Act of 1974; iv. Has received a...

Living independently as an ethnic minority elder: a relational perspective on the issues of aging and ethnic minorities.

Science.gov (United States)

Shin, Jung-Hye

2014-06-01

This study examines the residential experiences of Korean ethnic elders in affordable housing in the greater Chicago area, focusing on how patterns of social relationships that evolved around a geographical location and its urban infrastructure enabled the elders to achieve their desire for residential independence. Based on the theoretical concept of activity settings and social capital, the study suggests an integrated theoretical model where social capital is understood as an embedded asset of an activity setting. Methodologically, this study uses a combined method of qualitative interviews with 138 Korean elders in affordable housing in the greater Chicago area and a geographic analysis of their social relationships in order to present associations among social relationships, urban infrastructures, and the shared value of independence within their residential communities. The study findings indicate that the elders mobilized ethnic businesses, urban infrastructures, and the collective efficacy of groups to achieve the shared goal of maintaining residential independence. In each community, a cultural broker acted as an important bridge between the community of ethnic minorities and the larger social networks coexisting within the community boundary. The relational perspective as a potent ground for understanding and further solving the issues of aging and ethnicity is highlighted.

The Canadian elder standard - pricing the cost of basic needs for the Canadian elderly.

Science.gov (United States)

MacDonald, Bonnie-Jeanne; Andrews, Doug; Brown, Robert L

2010-03-01

We determined the after-tax income required to finance basic needs for Canadian elders living with different circumstances in terms of age, gender, city of residence, household size, homeowner or renter status, means of transportation, and health status. Using 2001 as our base year, we priced the typical expenses for food, shelter, medical, transportation, miscellaneous basic living items and home-based long-term care for elders living in five Canadian cities. This is the first Canadian study of basic living expenses tailored to elders instead of adults in general, prepared on an absolute rather than a relative basis. We also accounted for an individual's unique life circumstances and established the varying effect that they have on the cost of basic expenses, particularly for home care. We found that the maximum Guaranteed Income Supplement and Old Age Security benefit did not meet the cost of basic needs for an elder living in poor circumstances.

Domotics in existing houses for elderly people. Evaluation of the project Lidwinahof. People, Planet, Profit; Domotica in bestaande seniorenwoningen. Evaluatie project Lidwinahof. People, Planet, Profit

Energy Technology Data Exchange (ETDEWEB)

Schouw, J.; Corpeleijn, M.; Poiesz, E. [CEA, Rotterdam (Netherlands)

2003-08-01

Domotics is applied in 49 houses for elderly people of the building complex Lidwinahof in Best, Netherlands. The domotics application concerns the functions safety (burglary, control of access, fire), care (emergency call, measurement of activity) and comfort (lighting). Among all residents an evaluation has been carried out from the perspective of sustainable development. A precondition for sustainable development is a balance between social, ecological and economical benefits (People, Planet and Profit). Results before and after the application of domotics are compared. [Dutch] De afgelopen jaren hebben diverse woningcorporaties een pilot-project met domotica uitgevoerd, met name met toepassingen op het gebied van wonen en zorg. Domein (woningcorporatie in Eindhoven, Best en Son en Breugel) was in het voorjaar van 2002 de eerste woningcorporatie die domotica heeft toegepast in de bestaande bouw (49 seniorenwoningen van het complex Lidwinahof in Best). Het systeem bevatte de functies veiligheid (inbraak, toegangscontrole, brand), zorg (noodoproep, activiteitsmeting) en comfort (verlichting). Onder alle bewoners is een evaluatie uitgevoerd vanuit het perspectief van duurzame ontwikkeling. Voorwaarde voor duurzame ontwikkeling is een balans tussen sociale, ecologische en economische opbrengsten (People, Planet en Profit). De resultaten op deze drie gebieden voor en na toepassing van domotica zijn vergeleken.

Cutting energy costs in multifamily housing: Practical case studies for the builder and developer

Energy Technology Data Exchange (ETDEWEB)

Whiddon, W.I.

1986-01-01

This book is based on an expert evaluation of nine existing and three proposed multifamily housing projects across the US. The existing buildings include three lowrise projects (three to four stories), six midrises (five to seven stories), and three highrise buildings (nine to thirty-nine stories). Two projects were designed and built in the late 1950's, two in the late 1960's, and five late in the ''energy-crisis'' of the 1970's. The existing projects range from municipally subsidized elderly housing, to HUD Section-8 suburban developments, to luxury urban highrise buildings. The three ''future'' buildings, designed by the NAHB research team, were based on trends anticipated in the multifamily industry by IREM and NAHB leaders, over the next five years. The key trends identified were: downsizing of units (by 10 to 20%); increased project size (in number of units), denser developments (more midrise and highrise projects), and increased amenities - all in the context of more affordable housing.

Risk Factors for new accidental falls in elderly patients at traumatology ambulatory center

Directory of Open Access Journals (Sweden)

Daiane Porto Gautério

2015-04-01

Full Text Available Objective. To identify the risks factors for new accidental falls in elderly patients attended in the Traumatology Ambulatory of a University hospital in Rio Grande do Sul, Brazil. Methodology. Quantitative study of the type of multiple cases. Performed at the traumatology ambulatory, amongst fifteen elders that attended the inclusion criteria: age of sixty or more; patient at the traumatology ambulatory because of a fall motivated by accident, oriented and in conditions of answer an interview of data collectors. The data collection was made between April and June, 2013, with the Elderly Nursing Core Set scale (Lopes & Fonseca. The data analysis was made by a descriptive structure, which helped identify the existence of relation patterns among the cases. Results. The risk factors for new accidental falls identified with larger incidence amongst the elders studied were: impaired balance (15/15, age above 65 (11/15, use of antihypertensive drugs (9/15, absence of non-slip material at home environment (7/15, in seven cases; rugs scattered at the floor of the house (6/15. Conclusion. The combination of intrinsic and extrinsic factors that include the environmental risks is considered a much more relevant cause to occur the new falls. The minimization of the home dangers, allied to the control of the elder intrinsic factors, may reduce the risks of causes. In that sense, is necessary that the nursing team make available more attention to the elderly assisted at the ambulatories, mainly those with sequelae due to fall accidents.

Pet Ownership by Elderly People: Two New Issues.

Science.gov (United States)

Smith, David W. E.; And Others

1992-01-01

Examined two issues of pet ownership in mail questionnaire and interview survey of 1,595 older adults over age 60, 377 of whom had a pet. Found evidence that pets were important determinant of housing choice. Many elderly pet owners had made no arrangements for pet if they predecease it or become unable to care for it. (Author/NB)

A method for analyzing changing prison populations: explaining the growth of the elderly in prison.

Science.gov (United States)

Luallen, Jeremy; Kling, Ryan

2014-12-01

For the past several decades, the U.S. prison system has witnessed a steady and persistent increase in the ages of prison populations. Given the additional costs and burdens placed on prisons as they house older inmates, this aging trend has generated intense interest among policy makers and academics who seek to understand why prison populations are getting older. This article presents a method for evaluating drivers influencing the change in age distributions among prisoners. We define a methodological approach and demonstrate its application using prison data from four states reporting to the Bureau of Justice Statistics' National Corrections Reporting Program. We find that since 2000, the primary driver of overall growth in the elderly populations in prison (defined as inmates over 50) is the increasing admission age of offenders entering prison. Moreover, changes in offense mix and sentence length/time served over the last decade have had significantly less influence on the age composition of prison populations. We also find that the impact of explanatory factors varies across states and offense types. For example, prison admission and exit rates explain much of the change in elderly drug offenders in New York, but not elderly violent offenders, where admission age plays a much stronger explanatory role. Our analysis offers an effective demonstration that supports the use of this method as an important and informative first step toward understanding components of change that affect the problem of prison aging. © The Author(s) 2014.

An Elderly Employment Model For The Thai Automotive Industry

Directory of Open Access Journals (Sweden)

Pornrat Sadangharn

2017-10-01

Full Text Available This research aims at studying an elderly employment model for the Thai automotive industry. Mixed methods with a sequential exploratory strategy were utilized. Grounded theory was employed by using in-depth interviews to investigate the characteristics of elderly employment in the Thai automotive industry. For this stage of the research, theoretical and purposive sampling was used to select 32 key informants from four groups of stakeholders: (1 elderly workers, (2 employers or human resource managers, (3 government officers, and (4 academics. The findings were then validated using a quantitative approach with structural equation modelling (SEM. A total of 308 elderly workers and human resource managers were surveyed regarding their opinion about elderly employment. Based on the survey, the elderly employment model in the Thai automotive industry, which is comprised of the approach to elderly employment, elderly employment preparation, and key success factors for elderly employment, was revealed to be a good fit. 

Improving outpatient services for elderly patients in Taiwan: a qualitative study.

Science.gov (United States)

Kuo, Ren-Jieh; Wu, Yung-Hung; Hsu, Tsung-Shin; Chen, Liang-Kung

2011-01-01

The rapid pace of population aging poses significant importance of establishing an age-friendly health care system, including outpatient, inpatient, intermediate, and long-term care. The main purpose of this study is to evaluate the quality of outpatient services for elderly patients in Taiwan. Quality function deployment (QFD) is a tool effectively shortening the research-and-development period, reducing costs, and fulfilling customer needs (CNs). This study applied Kano's model and the analytic network process (ANP) to improve the basic framework of QFD. Kano's model enables a thorough understanding of elderly patients' needs and problems with regard to medical care services, so that appropriate outpatient services can be offered to them from the outset. In addition, adapting the supermatrix of ANP to the calculation of the house of quality (HoQ) will reduce subjective judgments. Using Kano's model and an integrated ANP-QFD approach, we extracted five needs of elderly patients and calculated their priorities: 'Professional medical care services convincing patients' (27%), 'With sufficient knowledge to answer patients' questions' (23.5%), 'Providing fast services to solve patients' problems' (19.3%), 'Voluntarily serving patients' (19.1%), and 'Providing proper medical equipment to patients' (11.1%). We then identified six outpatient service attributes deserving of improvement and their priorities: 'Physician with a high level of professionalism and giving clear interpretation of patient's condition' (25%), 'Staff with good communication skills and assistance to patients' (22%), 'High standardization of operating procedures' (18%), 'Staff getting on-the-job training periodically' (15%), 'Facilities sufficient and fitting for elderly patients' (10%), and 'Applying IT (internet) to help patients to receive medical care' (10%). In conclusion, we reconstructed an integrated QFD model which will not only reduce costs but also reveal the crucial outpatient service items

24 CFR 92.258 - Elder cottage housing opportunity (ECHO) units.

Science.gov (United States)

2010-04-01

... designed to be installed adjacent to existing single-family dwellings. (b) Eligible owners. The owner of a HOME-assisted ECHO unit may be: (1) The owner-occupant of the single-family host property on which the... elderly or disabled family as defined in 24 CFR 5.403 and must also be a low-income family. (d) Applicable...

The Elder Problem

Directory of Open Access Journals (Sweden)

John W. Elder

2017-03-01

Full Text Available This paper presents an autobiographical and biographical historical account of the genesis, evolution and resolution of the Elder Problem. It begins with John W. Elder and his autobiographical story leading to his groundbreaking work on natural convection at Cambridge in the 1960’s. His seminal work published in the Journal of Fluid Mechanics in 1967 became the basis for the modern benchmark of variable density flow simulators that we know today as “The Elder Problem”. There have been well known and major challenges with the Elder Problem model benchmark—notably the multiple solutions that were ultimately uncovered using different numerical models. Most recently, it has been shown that the multiple solutions are indeed physically realistic bifurcation solutions to the Elder Problem and not numerically spurious artefacts. The quandary of the Elder Problem has now been solved—a major scientific breakthrough for fluid mechanics and for numerical modelling. This paper—records, reflections, reminiscences, stories and anecdotes—is an historical autobiographical and biographical memoir. It is the personal story of the Elder Problem told by some of the key scientists who established and solved the Elder Problem. 2017 marks the 50 year anniversary of the classical work by John W. Elder published in Journal of Fluid Mechanics in 1967. This set the stage for this scientific story over some five decades. This paper is a celebration and commemoration of the life and times of John W. Elder, the problem named in his honour, and some of the key scientists who worked on, and ultimately solved, it.

[Reflections on the topic of good housing conditions and growing old: Not everybody has a choice].

Science.gov (United States)

Jann, A

2015-04-01

The variety of options with regard to housing for elderly people has increased. This study was carried out to understand how individuals reflect on their own options within this growing market. In a qualitative study design 26 single person households (65+ years) were interviewed. The aim of the study was to understand what influences the individual ideas about moving residence or staying put. A great majority of the elderly seem to reflect on their own living situation. There are not just spatial and constructional reasons that make people consider moving residence but also the financial situation, the possibility to spend the day with meaningful activities and the existence of a social network. The individual need for security and autonomy for the present and the future influences the interpretation of a given situation. The reflection on ones own housing situation is interlinked with the person's ability and capacity. One can only find solutions if one can think of them and one can only act if one has the potential.

Elder Abuse. Hearing before the Subcommittee on Health and Long-Term Care of the Select Committee on Aging. House of Representatives, Ninety-Ninth Congress, First Session.

Science.gov (United States)

Congress of the U.S., Washington, DC. House Select Committee on Aging.

This document contains testimony and prepared statements from a Congressional hearing called to examine the issue of elder abuse. Chairman Claude Pepper's opening statement discusses the horror of elder abuse and calls for federal legislation, similar to the child abuse legislation, for combating elder abuse. Elder abuse is defined as physical…

Japanese Social Exclusion and Inclusion from a Housing Perspective

Directory of Open Access Journals (Sweden)

Yoshihiro Okamoto

2016-10-01

Full Text Available This paper examines conditions of social exclusion and attempts at social inclusion in Japan from a housing perspective. Companies, households and the government have previously supported housing in Japan. However, corporate welfare was withdrawn following the globalization of the economy from the 1990s onwards, support from families and communities declined due to a reduction in household size, and governmental housing support has shifted away from direct support. A reduction in income and unstable work left many people with unstable housing. Certain workers, such as foreigners performing dispatched labour, could not maintain continuous work under the influence of the Lehman Brothers’ bankruptcy in 2008. Household size has shrunk according to changes in the industrial structure, and the number of households that cannot sustain housing is increasing. Such vulnerable households—elderly people, the handicapped, low-income earners and single parents—can become excluded from the rental housing market. On the other hand, governmental measures are promoting local dwellings and maintaining the condition for a dwelling service. Activities, such as local community support of the homeless have been initiated by various Non-profit Organisations (NPOs and NPO activities are increasingly exemplifying measures to achieve social inclusion.

Energy Consumption and Indoor Climate Measurements in New Low-Energy Houses

DEFF Research Database (Denmark)

Mørck, Ove; Andersen, Karen Holmegaard; Bergsøe, Niels Christian

2013-01-01

The CLASS1 project commenced in 2007 and involves 5 countries: Denmark, Estonia, France, Italy and Romania. Originally, 442 dwellings, a kindergarten and an activity centre for elderly people were to be designed and constructed as "low-energy class 1" houses according to requirements set by the M......The CLASS1 project commenced in 2007 and involves 5 countries: Denmark, Estonia, France, Italy and Romania. Originally, 442 dwellings, a kindergarten and an activity centre for elderly people were to be designed and constructed as "low-energy class 1" houses according to requirements set...... dwellings and a CO2-neutral district heating network will not be constructed within the timeframe of the project Therefore, a contingency plan was developed introducing the renovation of public buildings and large-scale implementation of solar cells on public buildings of the municipality. The CLASS 1...... project used the requirements to low-energy buildings as a driving force for the technological development of 6 different key building components/technologies: windows, slab and foundation insulation systems, bio-mass gasification, local district heating distribution networks, ventilation heat recovery...

Prevalence of depression, anxiety and stress disorders in elderly people residing in Khoy, Iran (2014-2015

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Towhid Babazadeh

2016-05-01

Full Text Available Introduction: Psychiatric disorders such as depression, stress, and anxiety are factors that affect the quality of life, suicide and many physical problems, and socioeconomic in elders. Considering the importance of the issue and increasing the number of elderly people in this County, researchers decided to investigate the levels of stress, anxiety, and depression in the elderly health centers of Khoy, Iran. Methods: This cross-sectional study was done on 383 elderly people referred to health centers in Khoy County. A random cluster sampling was used in this study where each health care is considered as a cluster. The Depression, Anxiety, Stress Scale 21 (DASS-21 standard questionnaire was used for data collection. The SPSS software was used for all computations. Data were analyzed using descriptive statistic, t-test, and one-way ANOVA. P < 0.050 was determined to be significant. Results: The results of this study showed that 1.3% of the elderly people suffer from very severe stress, 1.3% from severe depression, and 3.1% from severe anxiety. Likewise, the comparison between anxiety, stress, and depression disorders with demographic variables showed that there is a significant association between these disorders and sex, education, marital status, medical condition, as well as their housing conditions (P < 0.050. Conclusion: The results of this study indicated anxiety disorders, depression, and stress prevail among the elderly. In addition, some factors such as education, housing, medical condition, and marital status had significant effects on anxiety disorders, depression, and stress. Therefore, more attention is deserved in these aspects. Moreover, appropriate measures need to be taken to improve the mental health of elderly people.

A vision of long-term care. To care for tomorrow's elderly, hospitals must plan now, not react later.

Science.gov (United States)

Kodner, D L

1989-12-01

In the next two decades, rapid, fundamental changes will take place in the way we finance, organize, and provide long-term care services. Because the elderly make up such a large portion of the patient population, America's hospitals should be concerned--and involved. There are six keys to the future of long-term care: a sharp increase in elderly population, a new generation of elderly, restrained government role, intergenerational strains, growing corporate concern, and the rise of "gerotechnology." These trends and countertrends will result in a new look in the long-term care landscape. By the year 2010, changes will include a true public-private financing system, provider reimbursement on the basis of capitation and prospective payment, coordinated access to services, dominant alternative delivery systems, a different breed of nursing homes, fewer staffing problems, patient-centered care, a new importance in housing, and an emphasis on prevention. For hospitals, this future vision of long-term care means that significant opportunities will open up to meet the needs of the elderly-at-risk and to achieve a competitive position in the burgeoning elderly care industry.

Perceived reasons for, opinions about, and suggestions for elders considering suicide: elderly outpatients' perspectives.

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Chen, Ying-Jen; Tsai, Yun-Fang; Ku, Yan-Chiou; Lee, Shwu-Hua; Lee, Hsiu-Lan

2014-07-01

The purposes of this study were to explore elderly outpatients' perceived reasons for, opinions of, and suggestions for elderly people considering suicide in Taiwan. Elderly outpatients (N = 83) were recruited in 2011-2012 by convenience sampling from three randomly selected medical centers in Taiwan. Data were collected in individual interviews using a semi-structured guide and analyzed by content analysis. Findings revealed that most participants had heard of elderly suicide, with television news as the main source for their information. Their opinions about elderly suicide reflected judgmental attitudes, negative emotional reactions, expectations of social welfare, and could happen after losing one's meaning in life. Their suggestions for elderly people considering suicide fell into four major themes: give up suicidal ideas, seek help, enhance social welfare, and attend religious activities. Since television news was the main source for participants' information about elderly suicide, this mass medium should be used in suicide prevention to disseminate suicide knowledge, increase access to help, and strengthen suicide-protective factors among the elderly. Furthermore, no participants mentioned depression as a reason for attempted or completed suicide among older people despite depression being a well-known suicide-risk factor. Future suicide-prevention programs should emphasize the role of depression in suicide among older people. Participants also did not suggest that older people considering suicide seek help from the health system. Thus, older people should be educated about the role of the health system in suicide prevention and trained as gatekeepers to recognize signs of suicide ideation and respond appropriately.

Investing in health: is social housing value for money? A cost-utility analysis.

Science.gov (United States)

Lawson, K D; Kearns, A; Petticrew, M; Fenwick, E A L

2013-10-01

There is a healthy public policy agenda investigating the health impacts of improving living conditions. However, there are few economic evaluations, to date, assessing value for money. We conducted the first cost-effectiveness analysis of a nationwide intervention transferring social and private tenants to new-build social housing, in Scotland. A quasi-experimental prospective study was undertaken involving 205 intervention households and 246 comparison households, over 2 years. A cost-utility analysis assessed the average cost per change in health utility (a single score summarising overall health-related quality of life), generated via the SF-6D algorithm. Construction costs for new builds were included. Analysis was conducted for all households, and by family, adult and elderly households; with estimates adjusted for baseline confounders. Outcomes were annuitised and discounted at 3.5%. The average discounted cost was £18, 708 per household, at a national programme cost of £ 28.4 million. The average change in health utility scores in the intervention group attributable to the intervention were +0.001 for all households, +0.001 for family households, -0.04 for adult households and -0.03 for elderly households. All estimates were statistically insignificant. At face value, the interventions were not value for money in health terms. However, because the policy rationale was the amenity provision of housing for disadvantaged groups, impacts extend beyond health and may be fully realised over the long term. Before making general value-for-money inferences, economic evaluation should attempt to estimate the full social value of interventions, model long-term impacts and explicitly incorporate equity considerations.

Mental health first aid for the elderly: A pilot study of a training program adapted for helping elderly people.

Science.gov (United States)

Svensson, Bengt; Hansson, Lars

2017-06-01

Epidemiological studies have shown a high prevalence of mental illness among the elderly. Clinical data however indicate both insufficient detection and treatment of illnesses. Suggested barriers to treatment include conceptions that mental health symptoms belong to normal aging and lack of competence among staff in elderly care in detecting mental illness. A Mental Health First Aid (MHFA) training program for the elderly was developed and provided to staff in elderly care. The aim of this study was to investigate changes in knowledge in mental illness, confidence in helping a person, readiness to give help and attitudes towards persons with mental illness. Single group pre-test-post-test design. The study group included staff in elderly care from different places in Sweden (n = 139). Significant improvements in knowledge, confidence in helping an elderly person with mental illness and attitudes towards persons with mental illness are shown. Skills acquired during the course have been practiced during the follow-up. The adaption of MHFA training for staff working in elderly care gives promising results. Improvements in self-reported confidence in giving help, attitudes towards persons with mental illness and actual help given to persons with mental illness are shown. However, the study design allows no firm conclusions and a randomized controlled trail is needed to investigate the effectiveness of the program. Outcomes should include if the detection and treatment of mental illness among the elderly actually improved.

The complexities of elder abuse.

Science.gov (United States)

Roberto, Karen A

2016-01-01

Elder abuse is a growing societal concern, affecting at least 1 in 10 older Americans. Researchers and practitioners alike consistently assert that a dramatic discrepancy exists between the prevalence rates of elder abuse and the number of elder abuse cases reported. As a field of study, recognition and understanding of elder abuse is still emerging. Comparing findings of a small, but growing, body of literature on perceived and substantiated cases of elder abuse is challenging because there is no uniform term or agreed-upon definition used among state governments, researchers, health care and service providers, and advocates. This article summarizes current understanding of elder abuse, including what constitutes elder abuse, risk factors for elder abuse, perpetrators of elder abuse, and outcomes of elder abuse. Issues associated with the detection of elder abuse and intervention strategies for victims of abuse are addressed. In the final section, potential roles and contributions of psychologists for advancing elder abuse research, professional practice, and policy development are highlighted. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

[Fall risk assessment in regular exercising elderly women].

Science.gov (United States)

Kikuchi, Reiko; Kozaki, Koichi; Kawashima, Yumiko; Iwata, Akiko; Hasegawa, Hiroshi; Igata, Akihiro; Toba, Kenji

2008-09-01

Fall prevention is important for elderly people to maintain their functional independence. We made a longitudinal fall-risk assessment using our "Fall-predicting score" of women who are 60 years or older and who exercised regularly. We sent "fall-predicting questionnaires" to 632 elderly women aged 60 years or older (mean 65.0+/-4.3), members of "Miishima gymnastics program", and asked about their fall history of falling in the past year in 2004 and 2005. We performed a logistic regression analysis to determine the future risk factor of falling in 2005. The number of people who fell was 134 (21.2%) in 2004 and 121 (19.1%) in 2005. The number of people who fell decreased in the seventh decade, but increased in the eighth decade, and members for 6-10 years showed most decreased fall rates. Logistic regression analysis revealed that age, falls in 2004, "tripping", "cannot squeeze a towel", and "walk steep slope around the house" were significant independent risk factors of "falls in 2005". Logistic regression analysis of non-fallers in 2004 showed that age and "tripping" were the significant independent risk factors of "falls in 2005", and the analysis of people who fell in 2004 showed that age, "tripping", "cannot squeeze a towel", "walk steep slope around the house", and "taking more than 5 medicines" were significant independent risk factors for falls in 2005. In regular exercising elderly women, exercise appears to prevent falls in people in the seventh decade and in the members of 6-10 years. Age, past history of falls, and fall-predicting questionnaire were important risk predictors of future falls.

The elderly patients' dignity

DEFF Research Database (Denmark)

Høy, Bente; Hall, E.O.C.; Wagner, L.

2007-01-01

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...... patient and what goals should be defined. Key words: Dignity, elderly patient, phenomenological hermeneutical method....

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 333 ... NCPEA The National Committee for the Prevention of Elder Abuse (NCPEA ) is the national association for professionals, practitioners, ...

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....

[Prevalence of anemia and associated factors in elderly residing in peruvian households].

Science.gov (United States)

Tarqui-Mamani, Carolina; Sanchez-Abanto, José; Alvarez-Dongo, Doris; Espinoza-Oriundo, Paula; Jordan-Lechuga, Teresa

2015-10-01

To estimate the prevalence of anemia and associated factors in elderly residing in Peruvian households. the study deals with a cross-sectional design and was conducted in 2011. The sample was probabilistic, stratified and multistage independent in department of Peru. The required sample housing was 5792, we included 2172 elderly. We asked informed consent of all elderly. The anemia was defined as hemoglobin 23 to anemia was 23,3% (mild anemia 17.1%, moderate: severe 5,7% and 0,5%). The age 70 to 79 years (OR 1.5; CI 95%:1.1; 2.0),> 80 years (OR 2.1; CI 95%: 1.4; 3.0) and thinness (OR 1.7; CI 95%: 1.2, 2.3) associated with anemia. Ayacucho, Ancash, Lambayeque and Apurimac were the departments with the highest prevalence of anemia. Approximately one quarter of elderly were anemic, being more prevalent in the illiterate, rural and poor. Older age and thinness are associated with anemia in elderly Peruvians.

Robots in Elderly Care

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Alessandro Vercelli

2018-03-01

Full Text Available Low birth rate and the long life expectancy represent an explosive mixture, resulting in the rapid aging of population. The costs of healthcare in the grey society are increasing dramatically, and soon there will be not enough resources and people for care. This context requires conceptually new elderly care solutions progressively reducing the percentages of the human-based care. Research on robot-based solutions for elderly care and active ageing aims to answer these needs. From a general perspective, robotics has the power to completely reshape the landscape of healthcare both in its structure and its operation. In fact, the long-term sustainability of healthcare systems could be addressed by automation powered by digital health technologies, such as artificial intelligence, 3D-printing or robotics. The latter could take over monotonous work from healthcare workers, which would allow them to focus more on patients and to have lesser workload. Robots might be used in elder care with several different aims. (i Robots may act as caregivers, i.e. assist the elderly, (ii they can provide remainders and instructions for activities of daily life and safety, and/or assist their carers in daily tasks; (iii they can help monitor their behaviour and health; and (iv provide companionship, including entertainment and hobbies, reminiscence and social contact. The use of Robots with human subjects/patients raise several sensitive questions. First of all, robots may represent information hubs, and can collect an incredible amount of data about the subjects and their environment. In fact, they record habits such as sleeping, exercising, third persons entering in the house, appointments. Communications may be continuously recorded. Moreover, by connecting with medical devices, they can store medical data. On one hand, this represents a very powerful tool to collect information about the single subject (precision medicine, about disease (thus eventually finding

Food insecurity among the elderly: cross-sectional study with soup kitchen users

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Bruna Fernanda do Nascimento Jacinto de Souza

2013-12-01

Full Text Available OBJECTIVE: To investigate whether food insecurity is associated with the demographic, socioeconomic, lifestyle, and health conditions of the elderly. METHODS: This cross-sectional study included 427 elderly (³60 years from Campinas, São Paulo; half were users of a government-run soup kitchen and the others, their neighbors of the same sex. Food insecurity was measured by the Brazilian Food Insecurity Scale. Univariate multinomial logistic regression was used for calculating the odds ratio and 95% confidence interval to measure the association between the independent variables and food insecurity. Variables with p<0.20 were included in a multinomial model, and only those with p<0.05 remained. RESULTS: Most respondents (63.2% were males; 15.2% and 6.6% were experiencing mild and moderate/severe food insecurity, respectively. The final model, adjusted for sex and age, showed that elderly with a total family income ≤2 minimum salaries (OR=3.41, 95%CI=1.27-9.14, who did not have a job (OR=2.95, 95%CI=1.23-7.06, and who were obese (OR=2.01, 95%CI=1.04-3.87 were more likely to be mildly food insecure. Elderly with cancer (OR=4.13, 95%CI=1.21-14.0 and those hospitalized in the past year (OR=3.16, 95%CI=1.23-8.11 were more likely to be moderately/severely food insecure. Finally, elderly living in unfinished houses (OR=2.71; and OR=2.92 and who did not consume fruits (OR=2.95 and OR=4.11 or meats daily (OR=2.04 and OR=3.83 were more likely to be mildly and moderately/severely food insecure. CONCLUSION: Food insecure elderly are more likely to have chronic diseases, poor nutritional status, and poor socioeconomic condition. Therefore, the welfare programs should expand the number of soup kitchens and develop other strategies to assure adequate nutrition to these elderly.

Housing and Health: The relationship between housing conditions ...

African Journals Online (AJOL)

okanlawon

2011-10-22

Oct 22, 2011 ... Housing and Health: The relationship between housing ... The authors in chapter one, deal extensively with historical context of housing and health chronologically ... Housing and Health: Time Again for Public Health Action.

Housing Stakeholder Preferences for the "Soft" Features of Sustainable and Healthy Housing Design in the UK.

Science.gov (United States)

Prochorskaite, Agne; Couch, Chris; Malys, Naglis; Maliene, Vida

2016-01-07

It is widely recognised that the quantity and sustainability of new homes in the UK need to increase. However, it is important that sustainable housing is regarded holistically, and not merely in environmental terms, and incorporates elements that enhance the quality of life, health and well-being of its users. This paper focuses on the "soft" features of sustainable housing, that is, the non-technological components of sustainable housing and neighbourhood design that can impact occupants' health and well-being. Aims of the study are to ascertain the relative level of importance that key housing stakeholders attach to these features and to investigate whether the opinions of housing users and housing providers are aligned with regards to their importance. An online survey was carried out to gauge the level of importance that the key stakeholders, such as housing users, local authorities, housing associations, and developers (n = 235), attach to these features. Results revealed that while suitable indoor space was the feature regarded as most important by all stakeholders, there were also a number of disparities in opinion between housing users and housing providers (and among the different types of providers). This implies a scope for initiatives to achieve a better alignment between housing users and providers.

Satisfaction with housing and housing support for people with psychiatric disabilities.

Science.gov (United States)

Brolin, Rosita; Rask, Mikael; Syrén, Susanne; Baigi, Amir; Brunt, David Arthur

2015-01-01

The aim of this study was to investigate the degree of satisfaction with housing and housing support for people with psychiatric disabilities in Sweden. A total of 370 residents, in supported housing and in ordinary housing with housing support, completed a new questionnaire and reported a high degree of overall satisfaction, but many of them wanted to move somewhere else. Differences were found between the two different types of housing concerning satisfaction with housing support, social life and available choices. Security and privacy, as well as other's influence on the choice of residential area and dwelling proved to be important predictors for satisfaction.

Changes in Cognitive Functions in the Elderly Living in Temporary Housing after the Great East Japan Earthquake.

Directory of Open Access Journals (Sweden)

Aiko Ishiki

Full Text Available On March 11, 2011, Japan experienced an earthquake of magnitude 9.0 and subsequent enormous tsunamis. This disaster destroyed many coastal cities and caused nearly 20,000 casualties. In the aftermath of the disaster, many tsunami survivors who lost their homes were forced to live in small temporary apartments. Although all tsunami survivors were at risk of deteriorating health, the elderly people were particularly at a great risk with regard to not only their physical health but also their mental health. In the present study, we performed a longitudinal cohort study to investigate and analyze health conditions and cognitive functions at 28, 32, and 42 months after the disaster in the elderly people who were forced to reside in temporary apartments in Kesennuma, a city severely damaged by the tsunamis. The ratio of people considered to be cognitively impaired significantly increased during the research period. On the other hand, the mean scores of the Kessler Psychological Distress Scale-6 and Athens Insomnia Scale improved based on the comparison between the data at 24 and 42 months. The multiple logistic regression analysis revealed that frequency of "out-of-home activities" and "walking duration" were independently associated with an increase in the ratio of people with cognitive impairment. We concluded that the elderly people living in temporary apartments were at a high risk of cognitive impairment and "out-of-home activities" and "walking" could possibly maintain the stability of cognitive functions.

Knowledge of the facts and mistaken beliefs with regard to the elderly: Implications for education and work with the elderly

Directory of Open Access Journals (Sweden)

Maja Zupančič

2010-07-01

Full Text Available Knowledge of the characteristics of psychological functioning in the elderly is a precondition for preservation and improvement of their competences, welfare and inclusion in the society. This article presents the findings of the Slovene research study about the knowledge of the facts concerning aging and the characteristics of the elderly, based on an extensive sample of adults of different ages and of different educational backgrounds. Acquaintance with the facts concerning the elderly grows with the level of education; the young during the period of transition into adulthood on the one hand and older people on the other, however, tend to have a lower awareness of the relevant facts. In general, understanding of the psychological aspects of aging, the characteristics of the elderly and their ability to learn, change and work is relatively low. Most adults are familiar with the facts concerning the physical condition, health and some peculiarities of psychological functioning in the elderly. However, mistaken beliefs reflecting negative attitudes to aging and older people are relatively wide­spread, especially with regard to the cognitive, or rather, a wider range of psycho­social functioning of the elderly. Therefore, we believe that both formal and informal education require provision of appropriate information for adults.

Inclusive Development through Providing Vertical Housing for Low Income Family in Yogyakarta Urban Areas

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Rini Rachmawati

2017-12-01

Full Text Available Inclusive development is mean to accommodate the marginalized people, most of whom are the poor with problem of fulfilling their need of housing. The government has tried hard to meet the need of housing by constructing rusunawa. This paper is aimed at describing about the provision and uses of rusunawa, both in cities and peri urban area by studying the cases in the City of Yogyakarta, Sleman Regency, and Bantul Regency. The study was conducted by doing observation and both structured and in-depth interviews. The research results show that rusunawa was viewed as one solutions to help low-income family in fulfilling their need of housing. In some cases in the City of Yogyakarta, rusunawa plays an important role in preventing the settlement along both sides of rivers from becoming slum areas. Rusunawa in both Regencies of Sleman and Bantul are located near the city so it is easy for the settlers to get to their workplace. The construction of rusunawa has also paid attention to the disabled by providing special facilities. The same case is providing playground for children and facilities for early education for young kids. However, there have not been special facilities for the elderly and pregnant women.

Analysis of extrinsic and intrinsic factors that predispose elderly individuals to fall.

Science.gov (United States)

Almeida, Sionara Tamanini de; Soldera, Cristina Loureiro Chaves; Carli, Geraldo Attilio de; Gomes, Irênio; Resende, Thais de Lima

2012-01-01

In a sample of elderly individuals from Porto Alegre - RS, Brazil, to analyze the intrinsic and extrinsic factors that predispose them to the risk of falls and fractures. The study included a random sample of 267 elderly individuals, to whom two balance tests were applied: the Functional Reach Test (FRT) and the Timed Up and Go Test (TUG). The elderly also answered a questionnaire (13 questions divided into four categories) on sociodemographic and health factors. Elderly individuals from both genders (76.8% women), aged between 60 and 90 years (mean = 70.22 years, SD = ± 7.30 years) participated in the study. A statistically significant association (p factors that predispose to the risk of falls and fractures are older age, poor self-perception of eyesight, and poor selfrated health; the extrinsic factors are type of dwelling (living in a house) and a monthly income < one minimum wage.

Meeting the Housing and Care Needs of Older Homeless Adults: A Permanent Supportive Housing Program Targeting Homeless Elders

OpenAIRE

Brown, Rebecca T.; Thomas, M. Lori; Cutler, Deborah F.; Hinderlie, Mark

2013-01-01

The homeless population is aging faster than the general population in the United States. As this vulnerable population continues to age, addressing complex care and housing needs will become increasingly important. This article reviews the often-overlooked issue of homelessness among older adults, including their poor health status and unique care needs, the factors that contribute to homelessness in this population, and the costs of homelessness to the U.S. health care system. Permanent sup...

Designing for the Elderly User: Internet Safety Training

Science.gov (United States)

Appelt, Lianne C.

2016-01-01

The following qualitative study examines the usability of a custom-designed Internet safety tutorial, targeted at elderly individuals who use the Internet regularly, for effectively conveying critical information regarding online fraud, scams, and other cyber security. The elderly population is especially at risk when it comes to fraudulent…

[Trauma in the elderly].

Science.gov (United States)

de Souza, José Antonio Gomes; Iglesias, Antonio Carlos R G

2002-01-01

The populational growth of the elderly, associated to a healthier and more active life, make this group of people more exposed to accidents. In some countries, trauma in the elderly is responsible for a high mortality rate, disproportionately higher than in the adults. This fact consumes a great portion of health care resources and implies in a high social cost. The distinct physiologic characteristics of the elderly and the frequent presence of associated diseases make that these patients behave differently and in a more complex way than patients of other ages. These particularities make that health care to the elderly victims of trauma have to be different. The present revision is about aspects of epidemiology, prevention, physiology, health care and rehabilitation of the elderly victims of trauma.

Housing Stakeholder Preferences for the “Soft” Features of Sustainable and Healthy Housing Design in the UK

Science.gov (United States)

Prochorskaite, Agne; Couch, Chris; Malys, Naglis; Maliene, Vida

2016-01-01

It is widely recognised that the quantity and sustainability of new homes in the UK need to increase. However, it is important that sustainable housing is regarded holistically, and not merely in environmental terms, and incorporates elements that enhance the quality of life, health and well-being of its users. This paper focuses on the “soft” features of sustainable housing, that is, the non-technological components of sustainable housing and neighbourhood design that can impact occupants’ health and well-being. Aims of the study are to ascertain the relative level of importance that key housing stakeholders attach to these features and to investigate whether the opinions of housing users and housing providers are aligned with regards to their importance. An online survey was carried out to gauge the level of importance that the key stakeholders, such as housing users, local authorities, housing associations, and developers (n = 235), attach to these features. Results revealed that while suitable indoor space was the feature regarded as most important by all stakeholders, there were also a number of disparities in opinion between housing users and housing providers (and among the different types of providers). This implies a scope for initiatives to achieve a better alignment between housing users and providers. PMID:26751465

Social learning: medical student perceptions of geriatric house calls.

Science.gov (United States)

Abbey, Linda; Willett, Rita; Selby-Penczak, Rachel; McKnight, Roberta

2010-01-01

Bandura's social learning theory provides a useful conceptual framework to understand medical students' perceptions of a house calls experience at Virginia Commonwealth University School of Medicine. Social learning and role modeling reflect Liaison Committee on Medical Education guidelines for "Medical schools (to) ensure that the learning environment for medical students promotes the development of explicit and appropriate professional attributes (attitudes, behaviors, and identity) in their medical students." This qualitative study reports findings from open-ended survey questions from 123 medical students who observed a preceptor during house calls to elderly homebound patients. Their comments included reflections on the medical treatment as well as interactions with family and professional care providers. Student insights about the social learning process they experienced during house calls to geriatric patients characterized physician role models as dedicated, compassionate, and communicative. They also described patient care in the home environment as comprehensive, personalized, more relaxed, and comfortable. Student perceptions reflect an appreciation of the richness and complexity of details learned from home visits and social interaction with patients, families, and caregivers.

The Value of a Gardening Service for the Frail Elderly and People With a Disability Living in the Community.

Science.gov (United States)

Same, Anne; Lee, Elinda Ai Lim; McNamara, Beverley; Rosenwax, Lorna

2016-11-01

Little is known about the significance of gardening services for frail elderly people. This study explored the value of a gardening service for frail older people and people with a disability living in the community. Using qualitative and quantitative data collected from pre-gardening ( n = 38) and post-gardening service delivery interviews ( n = 35) and the Housing Enabler, the value of a gardening service was examined. Findings suggest that the service had a positive impact on the independence and emotional well-being of frail aged people and younger people with a functional disability, with little impact on physical health. Results indicate that gardening services should be fundamental to planning for these populations to remain or return to living in the community.

Danish Dietary Recommandations for the Elderly

DEFF Research Database (Denmark)

Pedersen, Agnes Nadelmann

1993-01-01

and 2) sick elderly people resident at home and in institutions. The majority of the elderly enjoy generally good health. The diet-related diseases are the same as those affecting the rest of the population, and they are caused by an excessively high energy content of a diet which is poorly balanced...... in terms of macro-nutrients. While Danes receive adequate supplies of most vitamins and minerals, their fat intake is too high. Danish nutritional recommendations for healthy pensioners include a daily vitamin D intake of 10 microgrammes. Sick pensioners or small-eaters should follow the dietary...

Using mobile phones in healthcare management for the elderly.

Science.gov (United States)

Kim, Hun-Sung; Lee, Kye-Hwa; Kim, Hyunah; Kim, Ju Han

2014-12-01

The increasing average life expectancy is simultaneously increasing the incidence of chronic diseases and the number of healthy elderly people, consequently leading to an increased demand for healthcare management methods that do not involve hospital visits. The development of health management services involving mobile phones will change the focus of medical services from hospital visits and treatments to managing the health decisions made by individuals in their daily lives. However, the elderly may experience specific difficulties in adapting to constantly evolving services. This study reviews various health-related devices such as mobile phones that are available for providing healthcare to the elderly, and the different ways of using them. As the use of mobile phone increases, it is expected that elderly mobile phone users will also be able to regularly check their health status at any time and place. The issues of an ageing population pertain to the entire society rather than only to the elderly, which make mobile-phone-based medical informatics as a health management service a worthy goal. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Augmented reality & gesture-based architecture in games for the elderly.

Science.gov (United States)

McCallum, Simon; Boletsis, Costas

2013-01-01

Serious games for health and, more specifically, for elderly people have developed rapidly in recent years. The recent popularization of novel interaction methods of consoles, such as the Nintendo Wii and Microsoft Kinect, has provided an opportunity for the elderly to engage in computer and video games. These interaction methods, however, still present various challenges for elderly users. To address these challenges, we propose an architecture consisted of Augmented Reality (as an output mechanism) combined with gestured-based devices (as an input method). The intention of this work is to provide a theoretical justification for using these technologies and to integrate them into an architecture, acting as a basis for potentially creating suitable interaction techniques for the elderly players.

State tax incentives for persons giving informal care to the elderly

Science.gov (United States)

Hendrickson, Michael C.

1988-01-01

Programs for informal caregivers of frail elderly can be adopted by States to address some of the problems associated with an expanding and costly long-term care system. In this article, highlights are given from a 3-year study of Idaho and Arizona tax incentive programs. Characteristics of informal caregivers and elderly participants are described, and elderly participants are compared with elderly nonparticipants and with the general elderly population. Tax incentives were positively related to the level of service and financial support provided by informal caregivers. Data were inadequate to determine whether the induced informal help substituted for public expenditures. PMID:10312965

State tax incentives for person giving informal care of the elderly.

Science.gov (United States)

Hendrickson, M C

1988-12-01

Programs for informal caregivers of frail elderly can be adopted by States to address some of the problems associated with an expanding and costly long-term care system. In this article, highlights are given from a 3-year study of Idaho and Arizona tax incentive programs. Characteristics of informal caregivers and elderly participants are described, and elderly participants are compared with elderly nonparticipants and with the general elderly population. Tax incentives were positively related to the level of service and financial support provided by informal caregivers. Data were inadequate to determine whether the induced informal help substituted for public expenditures.

Social housing for workers – A new housing model for Ho Chi Minh City, Vietnam

Science.gov (United States)

Ngo, L. M.

2018-04-01

Urbanization in Ho Chi Minh City (HCMC), Vietnam is rapidly increasing. Therefore, social housing for workers who work at industrial park and processing areas, is indispensable. There are difficulties and conflicts which still remain in developing the social housing for those people in HCMC. For example, the demand of social housing is high, however employers and/or business owners did not fully pay their attentions on social houses to support the workers. On another hand, even if they built the houses, these one seem not to be sufficient for the demands and/or unable to be competed to the rental housing market from private landlords. Building a social housing model for those workers is a vital importance, this aims to improve the quality of life for the workers; for examples, healthcare, personal safety, social relationships, emotional well-being, quality of living environment, etc. In this research, we study the investment, management, and operation of the social housing for workers in HCMC. This also seeks a new housing model which will adapt the criteria towards the sustainable economic development of HCMC.

Prevalence of Sarcopenia and Its Association with Socioeconomic Status among the Elderly in Tehran.

Science.gov (United States)

Dorosty, Ahmadreza; Arero, Godana; Chamar, Maryam; Tavakoli, Sogand

2016-07-01

Sarcopenia is a syndrome characterized by progressive and generalized loss of skeletal muscle mass and strength. It imposes significant costs on health care systems. Socioeconomic status is also the root cause of healthy challenges among the elderly. Therefore, investigating the association between sarcopenia and socioeconomic status is very important to improve healthy ageing of the elderly. The aim of this study was to investigate the prevalence of sarcopenia and its association with socioeconomic status among the elderly in Tehran. Cross-sectional and case-control studies were conducted from August 2014-July 2015 among 310 men and 334 women elderly (60 and over years old) in Tehran health centers. Randomization, restriction and matching were setting during study design to minimize selection bias. Then study participants were recruited via phone call. Participants' phone numbers were already recorded in a telephone book electronically. When there were two elderly people in the same house, only one person was invited randomly. Association between sarcopenia and socio-economic status was analyzed by SPSS version 22. The overall prevalence of sarcopenia in the elderly was 16.5%. Prevalenceamong the low-income elderly was relatively higher than (20.5%) that among those with middle income status (18.2%) while in the higher income, the proportion of sarcopenia was very low (12.8%). The findings indicated that 339(52.6%) were in low-income status, 304(47.1%) were in middle-income status and 1(.2%) in high-income class. There was a significant association between socioeconomic status and sarcopenia (P-value sarcopenia was 0.97 times more likely higher in low socioeconomic class than those who were in middle and high income classes.

Respiratory infections in elderly people: Viral role in a resident population of elderly care centers in Lisbon, winter 2013–2014

Directory of Open Access Journals (Sweden)

Maria-Jesus Chasqueira

2018-04-01

Full Text Available Objective: The aim of this study was to analyze the etiology and clinical consequences of viral respiratory infections in 18 elderly care centers (ECC in Lisbon, which housed a total of 1022 residents. Methods: Nasopharyngeal swabs were collected whenever an elderly had symptoms of acute respiratory infections (ARI. PCR and RT-PCR were performed for influenza A/B, human parainfluenza virus 1–4, adenovirus, human metapneumovirus (HMPV, respiratory syncytial virus (RSV, rhinovirus, enterovirus, human coronavirus and human Bocavirus (HBoV. Array cards for atypical bacteria were also used in severe cases. Results: In total, 188 episodes of ARI were reported, being rhinovirus the most frequently detected (n = 53, followed by influenza A(H3 (n = 19 and HBoV (n = 14. Severe infections were reported in 19 patients, 11 of which were fatal, Legionela pneumophila, rhinovirus, HMPV and RSV associated with these fatalities. Nine influenza strains were analyzed, all antigenically dissimilar from vaccine strain 2013/14. “Age”, “HMPV” and “Respiratory disease” showed an association with severe infection. Conclusions: In this study an etiologic agent could be found in 60% of the acute respiratory episodes. These data provides information about the circulating viruses in ECC and highlights the importance of searching both viruses and atypical bacteria in severe ARI. Keywords: Elderly, Respiratory infections, Respiratory viruses, Legionella pneumophila, Elderly care centers, Real time PCR

[The development of public policies for elderly care in Brazil].

Science.gov (United States)

Fernandes, Maria Teresinha de Oliveira; Soares, Sônia Maria

2012-12-01

The objective of this documental analysis is to discuss the legal aspects involved in the development of elderly care policies in Brazil, considering the socio-historical-political context, and in view of the aspects that outline the wellbeing of an aged individual. Data collection was performed between June and September of 2010 via governmental websites. Documents were included if they complied with the proposed objective; were connected with elderly care policies, and lay within the legal accomplishments regarding elderly care policies in 2006 and the Elói Chaves Law of 1923. This analysis indicated that elderly wellbeing depends significantly on resource allocation in sectors other than the healthcare area, with emphasis on the elderly in the labor market and the feminization of old age. It is expected that the community and administrators will discuss the needs of the elderly population and the integration of care networks that remain necessary for the heterogeneity of this population.

Robots for the psychological wellbeing of the elderly

NARCIS (Netherlands)

Gallego Pérez, J.; Lohse, M.; Evers, Vanessa

2014-01-01

The present paper examines the potential robots may have to motivate and support elderly people psychologically. Two short- and long-term research scenarios are proposed where a robot interacts with an elderly person offering psychological support. We describe one experiment that was carried out

Building control automation for retirement homes :a therapeutic opportunity for the elderly

OpenAIRE

Avila, Melinda Plaza

1993-01-01

The therapeutic opportunity for the elderly due to building control automation use in a retirement home was investigated. Previous research suggests that a basic understanding of elderly functional needs and building control automation capabilities is required Ifn order to secure the opportunity for maintaining existing elderly functional abilities. This study explores the extent to which building control automation can be applied in retirement homes. The research questions gen...

Analysis of Home Safety of the Elderly Living in City and Rural Areas

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Nihal Buker

2008-08-01

Full Text Available BACKGROUND: Physiological changes and chronic diseases arising during aging process increase risk of accident of the elderly, especially the elderly living alone at their homes. Home accidents are the most commonly health problem in the elderly. This study was carried out to describe home safety of the elderly living in a city or rural area using a home safety checklist. MEDHODS: 512 living in Turkey (330 in city; 182 in rural area were evaluated via face-to-face interview using a home safety checklist during a period between December and March in 2007. In addition to sociodemographics, a questionnaire including home characteristics and life style of participants was applied. To describe home safety level, Home Safety Checklist was used. RESULTS: 51.8% of the participants living in a city and 42.8% living in rural area were aged 65-69 years. Of the participants living in a city, 59.4% were living with their partners (61.5% of the participants living in rural area. While 63.9% of the participants living in a city reported that they had a private room in their homes, 53.8% of the participants living in rural area reported that they had a private room in their homes. 2.1% of participants living in a city had an excellent home safety score. Percentage for participants living in rural area was 0.5. CONCLUSION: The results obtained from this study show that majority of houses of the elderly living in Turkey were unsafe and hazardous. Therefore, health providers and architects should work together to prevent home accidents. [TAF Prev Med Bull 2008; 7(4.000: 297-300

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.

An integrated approach to Smart House technology for people with disabilities.

Science.gov (United States)

Allen, B

1996-04-01

It is now commonly accepted that 'Smart House' technology can play a significant part in helping both elderly and disabled people enjoy a greater degree of independence in the near future. In order to realize this aspiration, it is necessary to examine a number of factors: the development of the appropriate Home Bus technologies and supported devices; the development of the appropriate user interfaces that will allow people with a range of special needs use the system; the incorporation of the requirements of the 'Smart House' controller with the other technological needs of the user; and the development of mainstream technologies that will affect the cost and availability of devices to the user. This paper will examine the above points and suggest appropriate actions and trends. It will draw upon the work of a four-member consortium currently finalizing a technical development project under the EC TIDE program, the experience of research and commercial organizations engaged in development work in associated areas and the experiences of the Dublin-based, Central Remedial Clinic and in particular, its Client Technical Services Unit. The CTSU have been actively engaged in the development of systems for clients and direct clinical assessments for the last 12 years.

Elder Financial Exploitation: Implications for Future Policy and Research in Elder Mistreatment

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Price, Thomas

2011-07-01

Full Text Available Recent advances in the understanding of elder mistreatment have demonstrated that financial exploitation tends to be one of the most common forms of mistreatment affecting older populations. Agencies such as the World Bank and World Health Organization show significant concern regarding financial exploitation and its connection to physical and emotional injury to victims. The World Bank uses the term “financial violence” as a means of generally describing the harm caused to an individual as a result of financial exploitation or abuse. The proportion of financial exploitation in relation to other forms of elder mistreatment is defined in our research. We discuss the potential impact of elder financial exploitation on victims as well as explore the implications for future research and policy development focused on financial aspects of elder mistreatment and call for further study in the concept of financial exploitation as a violent act. [West J Emerg Med. 2011;12(3:354-356.

Pattern of Ocular Morbidity in the Elderly Population of Northern India.

Science.gov (United States)

Baldev, Vibha Florence; Chopra, Rupali; Batra, Nitin; Singh, Shavinder

2017-08-01

The frequency of eye diseases has been suggested to start increasing around 40 years of age, with an even steeper increase beginning around 60 years of age. Health promotions and curative and rehabilitative services for the visually impaired elderly population should therefore be a priority in the coming years especially in low and middle income countries. To examine the changing pattern of ocular morbidity in the elderly population of Northern India and to determine the socioeconomic status in relation to ocular morbidities. A team from the Department of Ophthalmology and Department of Community Medicine, conducted house visits and did a complete eye examination of 450 elderly subjects. They were selected by systematic random sampling from the data base available in the Department of Community Medicine. A total of 900 eyes were examined. Visual impairment and blindness was seen in 135 (30%) and 36 (8%) individuals respectively. The most common cause of blindness was cataract, followed by corneal opacity, glaucoma, refractive error, diabetic retinopathy, macular scar, age related macular degeneration, retinal detachment, retinitis pigmentosa. Visual impairment was more in individuals with low socioeconomic status. The results of this study suggest that though cataract remains the main cause of blindness, there is an increase in blindness and visual impairment due to corneal diseases and glaucoma which was not seen earlier. The availability and accessibility to eye care facilities particularly for corneal diseases and glaucoma should be increased to reduce blindness in Northern India.

Preventing Elder Abuse: The Texas Plan for a Coordinated Service Delivery System. Collaborative Elder Abuse Prevention Project.

Science.gov (United States)

McDaniel, Garry L.

The Texas Department of Human Services, in collaboration with 13 other public and private organizations, co-sponsored a statewide Collaborative Elder Abuse Prevention project. The goal of this project is to develop a comprehensive, long-range plan for the prevention of elder abuse, a method for achieving a coordinated service delivery system for…

Sustainable solutions for Dutch housing. Reducing the Environmental Impacts of New and Existing Houses

Energy Technology Data Exchange (ETDEWEB)

Klunder, G.

2005-04-12

Sustainable housing construction and management has, to date, been primarily based on an intuitive approach. Numerous measures have been formulated to promote sustainable construction and to reduce the environmental impacts of the built environment. However, little is yet known about the extent of the environmental benefits thereof. Moreover, methods and tools are mainly directed to new construction. This thesis makes clear that short-term environmental benefits in sustainable housing construction are rather limited. Renewal of the post-war housing stock offers excellent changes for improvement of the environmental performance of housing. With a newly developed method it is proven that renovation causes less environmental impacts than demolition followed by new construction. However, at the same time the usefulness of Life Cycle Assessment for buildings is doubted.

Elder Abuse: Systematic Review and Implications for Practice.

Science.gov (United States)

Dong, Xin Qi

2015-06-01

This article is based on the lecture for the 2014 American Geriatrics Society Outstanding Scientific Achievement for Clinical Investigation Award. Elder abuse is a global public health and human rights problem. Evidence suggests that elder abuse is prevalent, predictable, costly, and sometimes fatal. This review will highlight the global epidemiology of elder abuse in terms of its prevalence, risk factors, and consequences in community populations. The global literature in PubMed, MEDLINE, PsycINFO, BIOSIS, Science Direct, and Cochrane Central was searched. Search terms included elder abuse, elder mistreatment, elder maltreatment, prevalence, incidence, risk factors, protective factors, outcomes, and consequences. Studies that existed only as abstracts, case series, or case reports or recruited individuals younger than 60; qualitative studies; and non-English publications were excluded. Tables and figures were created to highlight the findings: the most-detailed analyses to date of the prevalence of elder abuse according to continent, risk and protective factors, graphic presentation of odds ratios and confidence intervals for major risk factors, consequences, and practical suggestions for health professionals in addressing elder abuse. Elder abuse is common in community-dwelling older adults, especially minority older adults. This review identifies important knowledge gaps, such as a lack of consistency in definitions of elder abuse; insufficient research with regard to screening; and etiological, intervention, and prevention research. Concerted efforts from researchers, community organizations, healthcare and legal professionals, social service providers, and policy-makers should be promoted to address the global problem of elder abuse. © 2015, Copyright the Author Journal compilation © 2015, The American Geriatrics Society.

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....

Training of Professionals from the Family Health Strategy for Psychosocial Care for the Elderly

Directory of Open Access Journals (Sweden)

Verônica Lourdes Lima Batista Maia

2017-01-01

Full Text Available Background: Mental disorders of the elderly constitute a public health problem due to their high prevalence, shortage of specialized services offered in Brazil, difficulties of access by the population and deficiency in the training of professionals of the Family Health Strategy for the identification, receptiveness and psychosocial assistance to the elderly. Objectives: To analyze the training of professionals of the Family Health Strategy on psychosocial care for the elderly in the context of the Psychosocial Care Network – RAPS (Rede de Atenção Psicossocial, and to discuss how professional training influences the care provided to the elderly. Methodology: Descriptive, qualitative study carried out with 31 professionals, 13 physicians and 18 nurses, who work at the Family Health Strategy of the city of Picos, Piauí, Brazil. The data were collected in January 2016, through a semi-structured interview guide, processed by the IRAMUTEQ software and analyzed by means of the Descending Hierarchical Classification. Results: The results were presented in three segments, namely: 1. The practice of professionals from the Family Health Strategy in psychosocial care in the family context; 2. Training of specialized professionals, in the attention to the elderly, in the Family Health Strategy; 3. The Psychosocial Attention Network in the care of elderly users of alcohol and other drugs; Conclusion: Health professionals have difficulties in dealing with the elderly with mental disorders in basic care. In order to facilitate access to specialized health services and to develop actions for social reintegration, prevention and harm reduction, it is necessary to implement a policy of ongoing training and education for health professionals to improve care for the elderly. Keywords: Aging; Mental Health; Mental disorders; Family Health Strategy.

Protocols for the Assessment of Elder Abuse.

Science.gov (United States)

Fulmer, Terry; Wetle, Terrie

The fact that many states have passed elder abuse reporting laws has left care providers with a dilemma. If suspected abuse is reported, the relationship between caregiver and patient may change and the family's difficulties may increase. Indicators of abuse are not easy to differentiate from health problems, especially in the frail elderly. An…

Smarter elder care? A cost-effectiveness analysis of implementing technology in elder care.

Science.gov (United States)

Aanesen, Margrethe; Lotherington, Ann Therese; Olsen, Frank

2011-09-01

Whereas in most sectors, technology has taken over trivial and labour consuming tasks, this transformation has been delayed in the healthcare sector. Although appropriate technology is available, there is general resistance to substituting 'warm' hands with 'cold' technology. In the future, this may change as the number of elderly people increases relative to the people in the work force. In combination with an increasing demand for healthcare services, there are calls for efforts to increase productivity in the sector. Based on experience data from previous studies on information and communication technology efforts in the healthcare sector, we quantitatively assess the use of smart house technology and video visits in home care. Having identified healthcare providers, hospitals and relatives as the main affected groups, we show that smart house technology is cost-effective, even if only relatives gain from it. Video visits, which have higher implementation costs, demand effects on both relatives and health care providers in order to be a cost-effective tool in home care. As the analysis is purely quantitative, these results need to be complemented with qualitative effects and with more thorough discussions of the ethical, medical and legal aspects of the use of technology in home care.

The study on development of easily chewable and swallowable foods for elderly.

Science.gov (United States)

Kim, Soojeong; Joo, Nami

2015-08-01

When the functions involved in the ingestion of food occurs failure, not only loss of enjoyment of eating, it will be faced with protein-energy malnutrition. Dysmasesis and difficulty of swallowing occurs in various diseases, but it may be a major cause of aging, and elderly people with authoring and dysmasesis and difficulty of swallowing in the aging society is expected to increase rapidly. In this study, we carried out a survey targeting nutritionists who work in elderly care facilities, and examined characteristics of offering of foods for elderly and the degree of demand of development of easily chewable and swallowable foods for the elderly who can crush foods and take that by their own tongues, and sometimes have difficulty in drinking water and tea. In elderly care facilities, it was found to provide a finely chopped food or ground food that was ground with water in a blender for elderly with dysmasesis. Elderly satisfaction of provided foods is appeared overall low. Results of investigating the applicability of foods for elderly and the reflection will of menus, were showed the highest response rate in a gelification method in molecular gastronomic science technics, and results of investigating the frequent food of the elderly; representative menu of beef, pork, white fish, anchovies and spinach, were showed Korean barbecue beef, hot pepper paste stir fried pork, pan fried white fish, stir fried anchovy, seasoned spinach were the highest offer frequency. This study will provide the fundamentals of the development of easily chewable and swallowable foods, gelification, for the elderly. The study will also illustrate that, in the elderly, food undergone gelification will reduce the risk of swallowing down to the wrong pipe and improve overall food preference.

Viral hepatitis in the elderly.

Science.gov (United States)

Carrion, Andres F; Martin, Paul

2012-05-01

As life expectancy continues to rise, elderly adults represent a rapidly growing proportion of the population. The likelihood of complications of acute and chronic liver disease and overall mortality are higher in elderly populations. Several physiological changes associated with aging, greater prevalence of co-morbid conditions, and cumulative exposure to hepatotropic viruses and environmental hepatotoxins may contribute to worse outcomes of viral hepatitis in the elderly. Although pharmacotherapy for hepatitis B and C continues to evolve, the efficacy, tolerability, and side effects of these agents have not been studied extensively in elderly adults. Immunization against hepatitis A and B in naïve elderly adults is an important public health intervention that needs to be revised and broadened.

Gender discrimination in the elderly and its impact on the elderly health.

Science.gov (United States)

Keskinoglu, Pembe; Ucuncu, Tugba; Yildirim, Idris; Gurbuz, Turgut; Ur, Ismail; Ergor, Gul

2007-01-01

The aim of this study was to determine gender discrimination and risk factors in the elderly population and to assess the impact of that discrimination on elderly health. One hundred and sixty-eight elderly individuals who were selected from the records by simple randomized sampling were enrolled in the study. Data were obtained by face-to-face interviews at the residence of the elderly individuals. Chi(2)-Analysis, t-test, Mann-Whitney U-test, and logistic regression were used for data analysis. 81.1% of the elderly were married and 40.5% were middle or high school graduates, and 93.9% of the subjects had at least one living child. It was determined that 51.7% of the females, and 21.3% of the males were exposed to negative gender discrimination. This discrimination was higher among women in all sub-groups. In fact, older women and elderly individuals with only primary school education or less were significantly more exposed to gender discrimination (p=0.008 and p=0.043, respectively). It was found that only economical variables were related to poor health status, without gender discrimination. Despite the fact that the freedom has been obtained in some areas such as participation in household decision-making and dressing, the patriarchal family structure and sexual inequality continue in older age.

Understanding the Puzzling Risk-Return Relationship for Housing

OpenAIRE

Lu Han

2013-01-01

Standard theory predicts a positive relationship between risk and return, yet recent data show that housing returns vary positively with risk in some markets but negatively in others. This paper rationalizes these cross-market differences in the risk-return relationship for housing, and in so doing, explains the puzzling negative relationship. The paper shows that when the current house provides a hedge against the risk associated with the future housing consumption, households are willing to...

Mortality in relation to the type of household among elderly people living in a community.

Science.gov (United States)

Nakanishi, N; Nakura, I; Nagano, K; Yoneda, H; Takatorige, T; Shinsho, F; Tatara, K

1998-03-01

The objective of this study was to determine whether there is an association of mortality with the type of household in elderly people. A cohort of 1,352 elderly people aged 65 years and over at baseline in October 1992 was followed for 42 months. Follow-up was completed for 1,266 (93.6%) (172 deceased and 1,094 alive). From the analysis using the Kaplan-Meier method and the log-rank test, male sex, older age group (75 years and over), no satisfaction with present dwelling, disability, no use of health checks, no practices of daily preventive health promotion, no participation in social activities, and no finding life worth living (no Ikigai) were univariately statistically significantly related to mortality. Furthermore, elderly people living with their spouse only or living alone had higher survival rates than those living with their spouse and children or living with their children, and the curves among the four subclasses of household were significantly different. From the Cox proportional hazards model, living with a spouse only remained as an independent predictor for survival, and living alone was not an increased risk factor for mortality, controlling for sex, age, housing conditions, disability, use of health management, and psychosocial conditions.

The role of outsourcing in the project house - mining house relationship

OpenAIRE

2008-01-01

M.Phil. The relationship between the Mining House / Owner and Project House can be spectacularly successful for both partners (and has resulted in the emergence of a few successful new project houses and plant operation companies all over the world), but can also be disastrous for both parties, if managed incorrectly. The main requirement for a successful relationship between a Mining- and Project House is that there must be something in it for both parties. This is not only measured in cu...

Burden in family caregivers of the elderly: prevalence and association with characteristics of the elderly and the caregivers

Directory of Open Access Journals (Sweden)

Lara de Sa Neves Loureiro

2013-10-01

Full Text Available A cross-sectional, epidemiological study aimed to estimate the prevalence of burden among family caregivers of impaired elderly residents in the city of João Pessoa, and to identify associations between the mean burden and social and demographic characteristics of the elderly and the caregivers. A total number of 240 elderly residents in a previously drawn census tract participated in this research. The sample was composed of 52 elderly and their caregivers. For data collection, a questionnaire was applied with questions on social and demographic characteristics of elderly and caregivers, and the Burden Interview Scale was used. Results showed a high prevalence of burden among caregivers (84.6%, in which a statistically significant association was found with the following characteristics: retired elderly, elderly as head of family, spousal caregivers, and caregivers with less education. The findings of this study may contribute to the development of activities focused on formal and emotional support for the caregivers.

[Public policies for the elderly in Brazil: an integrative review].

Science.gov (United States)

Andrade, Luana Machado; Sena, Edite Lago da Silva; Pinheiro, Gleide Magali Lemos; Meira, Edmeia Campos; Lira, Lais Santana Santos Pereira

2013-12-01

This paper is an integrative review analyzing the scientific production and legal documents regarding public policies for the elderly in Brazil. Research was conducted in the Virtual Health Library and Scopus databases, examining publications since 2003. Data were collected from June to September of 2011 using the following key words: "elderly" (idosos), "public policies" (políticas públicas), "elderly person" (pessoa idosa), "aging" (envelhecimento) and "civic participation" (participação cidadã). The search resulted in the selection of 15 articles and six legal documents targeted at the elderly in Brazil that were submitted to content analysis by categorization. The results revealed that aging in Brazil has occurred in the midst of adaptations entrenched in cultural biases, social, economic and educational discrepancies and the implementation of public welfare policies. There were few studies that indicated the importance of strengthening social movements that elicit discussion related to the elderly in Brazil. The conclusion reached is that the study will provide material for reflection about the construction of a new reality about aging in Brazil.

Environmental risk assessment using the Persian version of the Home Falls And Screening Tool (HOME FAST in Iranian elderly

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Bahareh Maghfouri

2013-05-01

Full Text Available Introduction: One of the common problems among older people is falling. Falling inside the houses and streets makes up a large incidence between Iranian elderly, then the effort to identify environmental factors at home and home modification can reduce falls and injury in the elderly. The aim of this study is identifying elderly at risk of fall with using screening tool (HOME FAST and define reliability of this tool.Material and Methods: As a reliability, through the health housing of the town councils in five geographical regions of Tehran, 60 old person were selected. Participants aged 60 to 65 years and the HOME FAST tool was used in the two stages (inter rater and test-retest.Results: Test-retest reliability in the study showed that agreement between the items is over than 0.8, which shows very good reliability. The results showed that the relative of the each item in the Agreement between the domain is 1 - 0.65, which shows moderate to high reliability. And the results in this study showed that agreement between the items in Inter rater reliability is over than 0.8, which shows the level of reliability is very good. Also it showed that the relative of the each item in the agreement between the domain is 1 - 0.01, which shows poor to high reliability.Conclusion: This study shows that the reliability of the HOME FAST is high. The findings of these comments have been expected that the test objectives were appropriate to prevent falls and the tools showed acceptable reliability, then this test can be used as a tool for to professionals.

Elderly health and implementation of the Brazilian National Health Policy for Elderly Persons on the performed actions in basic healthcare

Directory of Open Access Journals (Sweden)

SCHMINSKI VIEIRA, Roseli

2016-06-01

Full Text Available The Brazilian National Health Policy for Elderly Persons (PNSPI – in Portuguese was formulated by the Ministry of Health through Ordinance No. 2.528/2006 in line with the 1988 Brazilian Constitution. The study investigated whether municipalities from the South region of the State of Santa Catarina had knowledge and applied the PNSPI, on the performed actions in basic healthcare, especially on the Units of Family Healthcare Services based on what the Constitution and the Statute of the Elderly comprise. A deductive method with a qualitative approach and a descriptive research were used. As a result, some difficulties experienced by the research subjects related to two important points of policies and strategies of PNSPI were identified: the lack of a planned policy and of a continuous health education for the elderly; and the lack of a stimulating exercise of social control, whether in the health sector, or in the Municipal Council of Elderly People.

Psychological Effects of Light Exercise for Elderly Subjects

OpenAIRE

山田, 裕章; 峰松, 修; 冷川, 昭子; 吉川, 和利; 緒方, 道彦

1987-01-01

Psychological effects of light exercise were evaluated in healthy elderly, middle aged women and elderly with borderline hypertension. The exercises were walking and stretching for healthy elderly, elderly with hypertension and playing beginner's tennis for healty middle aged women. The subjects took exercise three hours a day, twice a week during three months period. Psychometric test battery was used Yatabe-Guilford Personality Inventry (Y-G test). Manifest Anxiety Scale (MAS), Maudsely Per...

Elder Abuse and Neglect in Israel: A Comparison between the General Elderly Population and Elderly New Immigrants

Science.gov (United States)

Iecovich, Esther

2005-01-01

The present study investigated differences between the general elderly population and elderly new immigrants from former Soviet Union countries in regard to the incidence of elder abuse and neglect, victims' characteristics, and perpetrators' characteristics. In addition, the study sought to examine predictors of various types of abuse and…

The design and evaluation of psychometric properties for a questionnaire on elderly abuse by family caregivers among older adults on hemodialysis.

Science.gov (United States)

Mahmoudian, Amaneh; Torabi Chafjiri, Razieh; Alipour, Atefeh; Shamsalinia, Abbas; Ghaffari, Fatemeh

2018-01-01

Older adults with chronic disease are more vulnerable to abuse. Early and accurate detection of the elderly abuse phenomenon can help identify health-promoting solutions for the elderly, their family, and society. The purpose of this study was to design and evaluate the psychometric properties of a questionnaire on elderly abuse by family caregivers among older adults on hemodialysis. Qualitative and quantitative research methodologies were used to develop the questionnaire. The item pool was compiled from literature reviews and the Delphi method. The literature reviews comprised 22 studies. The psychometric properties of the questionnaire were verified using face, content, and construct validity, and the reliability was tested using Cronbach's alpha reliability. A 57-item questionnaire was developed after the psychometric evaluation. The Kaiser-Meyer-Olkin index and Bartlett's test of sphericity showed reliable results. Seven components from the exploratory content analysis including psychological misbehavior, authority deprivation, physical misbehavior, financial misbehavior, being abandoned, caring neglect, and emotional misbehavior explained 74.769% of the total variance. Cronbach's alpha was 0.98 and the interclass correlation coefficient was r =0.91 responding to the items twice ( p <0.001), which shows a high level of tool stability. This study developed a questionnaire to assess elderly abuse by family caregivers among older adults on hemodialysis. It is recommended as a mini scale that can be used both in statistical and practical studies, and that is valid and reliable. Nurses or other health care providers can use it in health centers, dialysis centers, or at the house of the patient.

Protecting victims of elder financial exploitation: the role of an Elder Abuse Forensic Center in referring victims for conservatorship.

Science.gov (United States)

Gassoumis, Zachary D; Navarro, Adria E; Wilber, Kathleen H

2015-01-01

The aim of this study was to examine the extent to which an Elder Abuse Forensic Center protects financial exploitation (FE) victims through referral to the Office of the Public Guardian (PG) for investigation and possible conservatorship (called 'guardianship' in many states). Los Angeles County Elder Abuse Forensic Center cases involving adults aged 65 and older (April 2007-December 2009) were matched using one-to-one propensity-score matching to 33,650 usual care Adult Protective Services (APS) cases. The final analysis sample consisted of 472 FE cases. Compared to usual care, Forensic Center cases were more likely to be referred to the PG for investigation (30.6%, n = 72 vs. 5.9%, n = 14, p Elder Abuse Forensic Center conceptual model and contribute to an emerging body of evidence on the role of the Forensic Center in addressing elder abuse.

Strategies for Living in Houses

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Colin Ripley

2017-12-01

Full Text Available The problem of queer housing can never go away because it is a central component of queerness. Queer housing is a contradiction in terms: not even a queer architect can design a queer house. But where does this leave us, as queer people living in a straight hegemony? Where does it leave us as humans with bodies, craving shelter and safety and a place to live that is in accordance with our experience of self and of living in the world? In this article the author proposes eight architectural strategies for re-occupying the Levittown Cape Cod house from 1947 for queer bodies, minds and hearts. These strategies offer modes by which the key programmatic formal and material components of the Cape Cod House can be attacked, made invalid, or détourned for queer uses, to make of the Cape Cod House a site for our pain, our longing, our anger.

Challenges for Large Housing Estates

DEFF Research Database (Denmark)

Vestergaard, Hedvig

This paper examines policies and improvement programmes implemented to improve troubled housing estates during three decades. It is based on evaluations of implemented programmes conducted for the Danish ministry of housing and the National Building Fund as well as similar studies from other...... European countries. Case studies illustrate local developments and outcomes and are the base for questioning the original identification of problems and thus the chosen solutions. Perspectives for current policy initiatives in the field of troubled housing estates are discussed in a general housing market...

78 FR 316 - Order of Succession for the Office of Housing

Science.gov (United States)

2013-01-03

... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5673-D-01] Order of Succession for the Office of Housing AGENCY: Office of the Assistant Secretary for Housing--Federal Housing Commissioner... for Housing designates the Order of Succession for the Office of Housing. This Order of Succession...

A STUDY OF ELDERLY LIVING IN OLD AGE HOMES AND FAMILY IN PUNE DISTRICT OF MAHARASHTRA

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Mahendra KrishnaAhiwale

2017-10-01

Full Text Available BACKGROUND The older generation is caught between the decline in traditional values on one hand and the absence of adequate social security system on the other. The elderly citizens are in need of urgent attention. They don’t need our pity, but the understanding, love and care of their fellow human beings. It is our duty to see that they don’t spend the twilight years of their life in isolation, pain and misery. MATERIALS AND METHODS This study was undertaken in elderly living in two old age homes and some families of general population living in Pune, in July-2017. The data was collected from a sample of hundred and twenty elderly people, after a random selection, sixty from old-age homes (OAHs and sixty were from the families. These data were collected from two OAHs using a specially designed Interview schedule and observation technique through a house to house survey for those residing in the family. These informations thus obtained were collected, analysed, tabulated, and finally presented in the form of numbers and percentages. RESULTS Our present study shows that out of total 60 respondents taken from families, 33.3% belongs to 60-65 yrs. of age group, 47% from 65-70 yrs., 13.3% from 70-75 yrs., and 6.6% were from above 75 yrs. of age group. Out of other 60 respondents living in OAHs, these data were 3.3%, 16.6%, 47%, and 33.3% respectively. Majority of the respondents (43.3% living in the families preferred a company with their family members. Majority of the elderly (53.3% were more comfortable to make their social relationship with their inmates. Among those elderly living in OAHs, 86.6% were visiting religious places, and 3.3% were resorting to meditation. CONCLUSION It could be concluded from our present study that the general feelings of the elderly living in the families had better position than that of the elderly living in OAHs. Older persons are in need of vital support that will keep important aspects of their lifestyles

DINÁMICA FAMILIAR DEL ANCIANO RESIDENTE EN EL BARRIO MODELO DE LA CIUDAD DE BARRANQUILLA - FAMILY DYNAMICS OF THE ELDERLY IN THE RESIDENTIAL URBAN AREA KNOWN AS MODELO IN THE CITY OF BARRANQUILLA

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ANGELICA CASTILLO MARTÍNEZ

2010-06-01

Full Text Available This study proposes an analysis on the aspects that couple families with elderly people and their dynamics, and the way elders are perceived inside the family. The aim of this study is to describe the dynamics in a home housing an elderly individual or individuals within a home situated in an urban area known as “Modelo” in the city of Barranquilla. In order to provide insight and coduct this analysis, a representative sample of citizens older than 60, both men and women, whom live in the “Modelo” urban area in Barranquilla, was taken. The obtained data shows evidence on how the elderly behave in relation to their close relatives; highlighting their social features as a fundamental aspect of their behaviour.

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…

A study on prevalence of depression and associated risk factors among elderly in a rural block of Tamil Nadu.

Science.gov (United States)

Buvneshkumar, M; John, K R; Logaraj, M

2018-01-01

Depression among elderly is an important public health problem responsible for considerable morbidity and disability. Causes of depression are multifactorial and often preventable. As there was dearth of community studies in Tamil Nadu, the present study was undertaken. The objective of this study is to estimate the prevalence of depression and to assess the factors which are associated with depression among elderly. A cross-sectional study was done from July 2014 to July 2015 among elderly in Kattankulathur block with a sample size of 690 by cluster sampling method. House-to-house interview was conducted using a predesigned, pre-tested questionnaire, and depression was assessed using geriatric depression scale-30. Data were analyzed using SPSS version 20 (Trial). The statistical tests used were proportions, Chi-square test. P<0.05 was considered to be statistically significant. The overall prevalence of depression was 35.5% (95% confidence interval: 31.9%-39.0%). Sociodemographic factors such as female sex, nuclear family, being widowed, unemployed status, low socioeconomic status, financially dependent, medical factors such as cardiac disease, visual impairment, arthritis, anemia, life events such as conflicts in family, death of the family member or close relative, and illness of self/family member were significantly associated with depression (P < 0.05). More strength of association for depression was seen with low socioeconomic status, nuclear family, low-intensity work, conflicts in the family, death of family members using multiple logistic regression. These findings show the need for proper care by the family members and counseling for the elderly which are of much importance in preventing depression.

The Cognitive and Functional Profile of the elderly that frequent the Community Center for the Elderly in the municipality of Santos, Sao Paulo state

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Nathalia Barros de Andrade

2015-03-01

Full Text Available Introduction: The growing population must be accompanied by the promotion of healthy aging and maintain maximum functional capacity. Objective: To understand the cognitive and functional profile of the elderly who take part in the Community Center for the Elderly in Santos, Sao Paulo state. Method: Ninety elderly people were evaluated in this study. The following instruments were used: Social-demographic profile Questionnaire, Socialeconomic Questionnaire, Mini Mental State Examination (MMSE, Subjective Memory Complaint Questionnaire (SMC-Q, Independence in Activities of Daily Living Scale (Katz Scale, and Instrumental Activities of Daily Living Scale (Lawton & Brody. Results: The average age of the elderly was 72.5 years old and the predominant gender was female (95.5%. There was a preponderance of participants from 1 to 4 years of education, and Class C was the predominant economic class. In the MMSE scores, 63.33% of the participants were below of the cutoff established for education, and in the SMC-Q, 71.11% of the elderly presented subjective dysfunction of memory. In the performance of Basic Activities of Daily Living (BADL, 84.44% of the participants are independent. As for the Instrumental Activities of Daily Living (IADL, only 33.33% of the participants are independent. In the statistical analyses between cognitive profile and functional performance, associations were found between MMSE and SMC-Q, MMSE and Lawton & Brody Scale, and SMC-Q and Lawton & Brody Scale. Conclusions: A significant portion of the elderly patrons of the Community Center presents functional decline and cognitive decline.

Helicobacter Pylori Infection in the Elderly

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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.

What housing features should inform the development of housing solutions for adults with neurological disability?: A systematic review of the literature.

Science.gov (United States)

Wright, Courtney J; Zeeman, Heidi; Kendall, Elizabeth; Whitty, Jennifer A

2017-07-01

Despite the recent emphasis in Australian political, academic, and legislative narratives to more actively promote real housing choice for people with high healthcare and support needs, there is a lack of understanding regarding the specific housing features that might constitute better housing solutions for this population. Inclusive housing provision in Australia rightly emphasises safety and accessibility issues but often fails to incorporate factors related to broader psychosocial elements of housing such as dwelling location, neighbourhood quality, and overall design. While the importance of these broader elements appears obvious, it is not yet clear what specific housing features relate to these elements and how they might contribute to housing solutions for people with high healthcare and support needs. For individuals with complex neurological conditions such as brain injury or cerebral palsy, who require maximum support on a daily basis yet want to live independently and away from a primary care hospital or health facility, a more detailed understanding of the housing features that might influence design and development is needed. Thus, in order to clarify the broader factors related to housing solutions for this population, a systematic review was conducted to identify and synthesise the current research evidence (post-2003) and guide future housing design and development opportunities. From the included studies (n=26), 198 unique housing features were identified. From the 198 features, 142 related to housing design (i.e., internal or external characteristics of the dwelling and its land), 12 related to the dwelling's location (i.e., its proximity to available resources), and 54 related to the nature of the surrounding neighbourhood (i.e., the physical, social, and economic conditions of the area). The findings of this review contribute significantly to the literature by reporting a broader scope of relevant housing features for people with neurological

77 FR 37237 - Order of Succession for the Office of Housing

Science.gov (United States)

2012-06-20

... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5557-D-02] Order of Succession for the Office of Housing AGENCY: Office of the Assistant Secretary for Housing-Federal Housing Commissioner, HUD... Housing designates the Order of Succession for the Office of Housing. This Order of Succession supersedes...

Demographics of Fall-Related trauma among the Elderly Presenting to Emergency Department; a Cross-Sectional Study.

Science.gov (United States)

Morteza Bagi, Hamid Reza; Ahmadi, Sajjad; Hosseini, Maryam

2017-01-01

Falling is reported to be the most common cause of mortality due to trauma in individuals over the age of 75 years. The present study is designed with the aim of determining the demographics of fall-related trauma among the elderly presenting to emergency department (ED). The present prospective cross-sectional study was carried out on all elderly patients ≥ 60 years old presenting to ED of a major referral trauma center in North West of Iran during 1 year. Demographic data, location and height of falling, duration of hospitalization, trauma severity and in-hospital outcome of the patients were gathered and reported via descriptive statistics. 228 patients with the mean age of 70.96 ± 5.2 years were studied (53.9% female). Most patients were in the 66-70 years age range (32.6%) and had a history of hypertension (22.3%), who had visited following a fall inside the house (69.3%), due to slipping (73.7%), and from a height equal to or less than 2m (71.9%). 6 (2.6%) patients died in the hospital. Mean trauma severity of patients based on ISS, RTS, and TRISS were 10.65 ± 3.95 (3-19), 7.84 ±.21 (1.4-14.5) and 1.66 ±1.31 (-1.49-3.82), respectively. Regarding need for hospitalization, only ISS shows a significant difference between outpatients and inpatients (p = 0.023). Patients who died had a significantly higher trauma severity based on ISS (p falling in the studied elderly that had mostly happened inside the house and from a height less than 2m. Therefore, most patients were in the mild to moderate range of trauma severity. ISS and RTS were significantly higher in the 6 (2.6%) patients who died.

Avatars and virtual agents - relationship interfaces for the elderly.

Science.gov (United States)

Shaked, Nava A

2017-06-01

In the Digital Era, the authors witness a change in the relationship between the patient and the care-giver or Health Maintenance Organization's providing the health services. Another fact is the use of various technologies to increase the effectiveness and quality of health services across all primary and secondary users. These technologies range from telemedicine systems, decision making tools, online and self-services applications and virtual agents; all providing information and assistance. The common thread between all these digital implementations, is they all require human machine interfaces. These interfaces must be interactive, user friendly and inviting, to create user involvement and cooperation incentives. The challenge is to design interfaces which will best fit the target users and enable smooth interaction especially, for the elderly users. Avatars and Virtual Agents are one of the interfaces used for both home care monitoring and companionship. They are also inherently multimodal in nature and allow an intimate relation between the elderly users and the Avatar. This study discusses the need and nature of these relationship models, the challenges of designing for the elderly. The study proposes key features for the design and evaluation in the area of assistive applications using Avatar and Virtual agents for the elderly users.

[Snijders-Oomen Nonverbal Intelligence Test: useful for the elderly?].

Science.gov (United States)

Gerritsen, M; Berg, I; Deelman, B

2001-02-01

The feasibility of the SON-R 5 1/2-17, a non-verbal intelligence test for deaf children, was investigated in a group of older adults, with a view to the future use of the test in older neurological patients. In a group of 58 healthy elderly persons intelligence was measured with the SON, the Raven Progressive Matrices and a Dutch reading test. The subjects were also asked for their subjective judgements of the tests. The SON-R 5 1/2-17 appears to be a user-friendly test. The high correlations between the subtests, and between the SON and other measures of intelligence suggest that the SON is a valid test for measuring fluid intelligence in elderly persons. The existing norms are not suitable when the SON is used in elderly people, new norms for adults should therefore be developed.

75 FR 5706 - Federal Housing Administration: Insurance for Manufactured Housing: Reopening of Public Comment...

Science.gov (United States)

2010-02-04

... 2502-AI45 Federal Housing Administration: Insurance for Manufactured Housing: Reopening of Public.... ACTION: Proposed rule; reopening of public comment period. SUMMARY: On September 15, 2008, HUD published a proposed rule entitled ``Federal Housing Administration: Insurance for Manufactured Housing.'' The...

The golden opportunities for physiotherapists in frail elderly

NARCIS (Netherlands)

Hobbelen, Hans

2018-01-01

Frailty is a complex phenomenon which is a result of a decline in reserve capacity. Although it is generally known that movement has a positive influence on a diversity of health outcomes in relatively healthy elderly, the effect on frail elderly is less known. Key elements in the clinical

[Municipalities as places for social work for the elderly].

Science.gov (United States)

Rüßler, Harald; Heite, Elisabeth

2017-07-01

Against the background of social and demographic changes, this article addresses the design and organization of processes of aging within municipal contexts. It is assumed that the renaissance of the local communal situation corresponds to processes of individualization and subjectivation, which are characteristic for (post)industrial western societies, and that this development is one of the reasons that community-based social work is regaining importance. A case study of social work for the elderly in a municipality of the Ruhr area, which is imbedded in a municipal senior citizens policy concept, illustrates this assumption. The conclusion identifies the scope of actions for social work for the elderly as well as their limitations.

Pneumonia and hospitalizations in the elderly

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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.

Challenges in anaesthesia for elderly

DEFF Research Database (Denmark)

Strøm, Camilla; Rasmussen, L S

2014-01-01

The segment of elderly individuals comprises a growing proportion of the global population. Health care systems and health care providers worldwide need to understand the specific challenges related to treatment of this heterogeneous patient population. The process of ageing is complex and under...... 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...... 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...

The impact of housing policies and housing markets on ethnic spatial segregation

DEFF Research Database (Denmark)

Andersen, Hans Skifter; Andersson, Roger; Wessel, Terje

2015-01-01

This paper examines how ethnic segregation is connected to an ethnic division of the housing market and a spatial separation of different housing tenures in four Nordic cities. Explanations for the differences across the cities are found by comparing housing markets and housing policies....... The housing markets are in all four cities ethnically segmented with high concentrations of immigrants in some forms of tenures (especially social/public housing) and low concentrations in others. We further discuss the reasons for the observed pattern. The paper shows that the spatial distribution...... housing, while co-operative housing is crucial in the fourth. It is also shown that a policy of neighbourhood tenure mix in one of the cities has resulted in a relatively low degree of segregation in spite of high concentrations of immigrants in social/public housing....

The architects house

DEFF Research Database (Denmark)

Welling, Helen

2007-01-01

The architects house is an article on Edward Heiberg's own house built in 1924. Edward Heiberg was a strong advocate of functionalism, and of the notion that hitherto individualistic and emotional architecture should be replaced by an objective function-based architecture with dwellings...... for everyone. In 1924 he designed a house for himself and his family: one of the first examples of functionalism in Denmark....

[The medical autonomy of elderly in Taiwan].

Science.gov (United States)

Chen, Kai-Li; Chen, Ching-Huey

2014-10-01

The elderly population is increasing rapidly in Taiwan. With the average life expectancy on the rise, the elderly have become major consumers of healthcare products and services. Factors that influence respect for autonomy, a core value of medical ethics, may be related to family, society, and the medical culture. Especially in patients who are already elderly, aging causes declines in physical, mental and societal capacities. Practicing a respect for patient autonomy is particularly challenging for healthcare professionals in Taiwan due the unique culture background of elderly Taiwanese patients. This article reviews and integrates the literature related to the issue of patient autonomy and elaborates on medical decision-making among elderly patients in Taiwan in the contexts of: the disadvantages faced by the elderly, the background of Chinese culture, and the current medical decision-making environment. A few suggestions are proposed to help preserve the medical-decision-making autonomy of elderly patients in Taiwan.

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

Housing Development In Papua For Improved Welfare Of The People

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Thobby Wakarmamu

2015-08-01

Full Text Available Normatively a housing development in Papua is a need that can not be ignored. The relationship between economic progress with the level of economic progress is bidirectional. On one side of the housing development can stimulate economic growth and development. On the other hand economic growth particularly the growth of per capita income will increase growth in demand for home or place of residence. Theoretically the income elasticity of demand for housing is greater than one. When the economy grew 1 percent then the demand for housing will grow larger than 1 percent. In other words the demand for housing is very sensitive to economic growth. Having regard to the economic development of Papua today then greater attention and seriously to the problem of housing especially housing should have become the governments main agenda of both central and local government of Papua. The issue is whether the real problem of public housing in Papua The answer to this question is very important in order to avoid overlapping of activities and housing policy will only be a waste of resources in Papua

Assessing Quality Of Life and related factors in Bushehr,s elders – 1387-8

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Nasrin Zahmatkeshan

2012-06-01

Full Text Available  Background & Objective : Added to human life and achievements of the 21st century is one of the elderly population. Age increase is not disease it is a normal change that affect everybody. Elders should be support due to aging, decrease their abilities and high risk conditions. Their needs will be asses and evaluate in physical, social and spiritual aspects .Therefore this study was done for assess quality of life and related factors in elders population in Bushehr. Methods & Materials: This is descript - analytic study that was done on 360 elders in Bushehr. Method of sampling was cluster random sampling. In this study use of two questionnaires include demographic data questionnaire and SF-36 questionnaire for assess QOL. Data collected through client interview. Data were collected, recoding and analysis by SPSS 13 and descript - analytical statistic tests. Results: Results showed that mean scores of physical and mental health of Bushehr,s elders is below 50. So, results showed that physical and mental health aspects of quality of life have significant statistical correlation with economic status (p<0.001, employment (p<0.001, chronic illness (p<0.001, educational level (p<0,001, insurance service (p<0.001 and owner house (p<0.001 and no significant interrelation with sex, activity daily living and life condition. No significant interrelation between men and women in quality of life aspects. Conclusion: According to mean score of QOL in this study was 0-100, results showed that mean score of Bushehr,s elders population is below 50, and this is need to pay attention . Therefore, managers should be considered suitable plan for better quality of life in elderly.

Passive solar ranch house for the mass market

Energy Technology Data Exchange (ETDEWEB)

Albanes, M.N.

1981-01-01

To promote the building of passive solar housing in the Denver metropolitan area, a solar ranch style house was designed for a builder, Unique Homes, as part of a group of thirteen passive solar houses built for the mass market under SERI's Denver Metro Home Builders Program. The project, process of design, thermal performance analysis, cost and consumer/media response are reviewed. The final design was a direct gain, attached greenhouse system that used brick as interior mass.

The value of public transportation for improving the quality of life for the rural elderly.

Science.gov (United States)

2012-07-01

Transportation for the rural elderly is an increasing concern as baby boomers age and young people continue to exit rural communities. As the elderly are no longer able to drive themselves, they rely on alternate forms of transportation, including pu...

Livable Housing Design: The voluntary provision of inclusive housing in Australia

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Margaret Louise Ward

2014-06-01

Full Text Available This paper reports on a study of the voluntary provision of inclusive housing. The impetus for the study is the Livable Housing Design initiative, an agreement among Australian housing industry and community leaders in 2010 to a national guideline and voluntary strategy with a target to provide minimum access features in all new housing by 2020. Situated in and around Brisbane, Australia, the study problematises the assumption that the housing industry will respond voluntarily; an assumption which this study concludes is unfounded. The Livable Housing Design initiative asks individual agents to consider the needs of people beyond the initial contract, to proceed with objective reasoning and to do the right thing voluntarily. Instead, the study found that interviewees focused on their immediate contractual obligations, were reluctant to change established practices and saw little reason to do more than was legally required of them. This paper argues that the highly-competitive and risk-averse nature of the industry works against a voluntary approach for inclusive housing and, if the 2020 target of the Livable Housing Design.

Stress and optimism of elderlies who are caregivers for elderlies and live with children.

Science.gov (United States)

Oliveira, Nathalia Alves de; Souza, Érica Nestor; Luchesi, Bruna Moretti; Inouye, Keika; Pavarini, Sofia Cristina Iost

2017-01-01

to evaluate the relation between stress and optimism of elderlies who are informal caregivers for elderlies and live with children. cross-sectional study on 50 elderlies who provide care to elderlies, live with children, and are registered in the primary health care. The interviews occurred in the participant's residence and we evaluated characteristics of the care-dependent elderly and of the children, sociodemographic characteristics, stress through the Perceived Stress Scale and optimism through the Pinto and Pais-Ribeiro Spirituality Scale, in the elderly caregiver. For statistical analysis we used the Spearman correlation test. the mean level of stress was 23.9 points and of optimism was 3.3 points. Correlation analysis showed that the higher the level of optimism the significantly lower the level of perceived stress of elderlies who provided care to elderlies and lived with children. inversely proportional correlation was identified between stress and optimism. avaliar a relação entre estresse e otimismo de idosos cuidadores informais de idosos e que residem com crianças. Método: estudo transversal com 50 idosos cuidadores de idosos que residem com crianças e são cadastrados na atenção básica. As entrevistas ocorreram no domicílio do participante e foram avaliadas características do idoso dependente de cuidados e das crianças, características sociodemográficas, estresse por meio da Escala de Estresse Percebido e o otimismo por meio da Escala de Espiritualidade de Pinto e Pais-Ribeiro, no idoso cuidador. Para análise estatística foi utilizado o teste correlação de Spearman. o nível médio de estresse foi de 23,9 pontos e de otimismo foi de 3,3 pontos. A análise de correlação mostrou que quanto maior o nível de otimismo significativamente menor foi o nível de estresse percebido dos idosos cuidadores de idosos que residiam com crianças. foi identificada correlação inversamente proporcional entre estresse e otimismo.

Ageing in Communal Place:Ethnographic studies of social interaction in senior housing communities

OpenAIRE

Aarhus, Rikke; Ballegaard, Stinne Aaløkke; Grönvall, Erik; Larsen, Simon Bo

2009-01-01

In this paper we adopt the position that design of social media for the elderly and virtual senior communities may be informed by studying ‘real’ senior communities. Since current research efforts target the role of social media and virtual communities for supporting seniors ageing in place, i.e. in their homes, housing communities seem a natural place to begin this enquiry. We conducted observations and informal interviews in six different senior dwellings. In this paper we present the key f...

[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).

Body composition as a frailty marker for the elderly community

Directory of Open Access Journals (Sweden)

Falsarella GR

2015-10-01

(P=0.018, and BMI (P=0.003. There was a negative association between fatigue and bone mass (P=0.008.Discussion: Frailty in the elderly was characterized by a BC profile/phenotype with lower muscle mass and lower bone mass and with a higher fat %. The BMI was not effective in evaluating the relationship between BC and frailty. The importance of evaluating the fat % was verified when considering the tissue distribution in the elderly BC.Keywords: elderly, body composition, frailtyA Letter to the Editor has been received and published for this article. 

Brachytherapy for elderly patients with stage II tongue cancer

International Nuclear Information System (INIS)

Kimura, Tomoki; Hirokawa, Yutaka; Fujita, Minoru; Murakami, Yuji; Kenjo, Masahiro; Kaneyasu, Yuko; Ito, Katsuhide

2003-01-01

In treatment choices of stage II (T2N0M0) tongue cancer, brachytherapy is less invasive and superior in function preservation, therefore its role is more important in elderly patients. The aim of this study was to evaluate treatment results and morbidity of brachytherapy for elderly patients with stage II tongue cancer. Between 1980 and 2001, 198 patients with stage II tongue cancer were treated with brachytherapy at Hiroshima University Hospital. Patient ages ranged from 21 to 89 years old (median: 62 years old). Patients were divided into three groups as follows: 119 patients younger than 65 years old (Non-Elderly group), 53 patients between 65 and 75 years old (Junior Elderly group), and 26 patients 75 years or older (Senior Elderly group). Radiotherapy was performed in 101 patients with brachytherapy alone, and in 97 patients with brachytherapy and external radiotherapy. Chemotherapy was also performed in 77 patients. Follow-up period ranged from 4 to 243 months (median: 55 months). The 5-year local control rate was 85% in the Non-Elderly group, 85% in the Junior Elderly group and 81% in the Senior Elderly group. There was no significant difference among these groups. The 5-year cause-specific survival rate was 85%, 81% and 70% respectively. The Senior Elderly group showed poorer cause-specific survival rate than the other two groups (p=0.03). There was also a tendency of higher incidence of neck metastasis and low salvage rate by neck dissection in the Senior Elderly group. Although the Senior Elderly group showed poorer cause-specific survival rate, the local control rate was similar to those of the other two groups. Brachytherapy is an effective treatment option for elderly patients with stage II tongue cancer. (author)

Understanding Housing Delays and Relocations Within the Housing First Model.

Science.gov (United States)

Zerger, Suzanne; Pridham, Katherine Francombe; Jeyaratnam, Jeyagobi; Hwang, Stephen W; O'Campo, Patricia; Kohli, Jaipreet; Stergiopoulos, Vicky

2016-01-01

This study explores factors contributing to delays and relocations during the implementation of the Housing First model in Toronto, Ontario. While interruptions in housing tenure are expected en route to recovery and housing stability, consumer and service provider views on finding and keeping housing remain largely unknown. In-person interviews and focus groups were conducted with 48 study participants, including 23 case managers or housing workers and 25 consumers. The following three factors contributed to housing delays and transfers: (1) the effectiveness of communication and collaboration among consumers and service providers, (2) consumer-driven preferences and ambivalence, and (3) provider prioritization of consumer choice over immediate housing access. Two strategies--targeted communications and consumer engagement in housing searches--supported the housing process. Several factors affect the timing and stability of housing. Communication between and among providers and consumers, and a shared understanding of consumer choice, can further support choice and recovery.

Autonomous houses. Autonomous house

Energy Technology Data Exchange (ETDEWEB)

Tanaka, S. (Tokai University, Tokyo (Japan). Faculty of Engineering)

1991-09-30

Self-sufficiency type houses are outlined. On condition that people gain a certain amount of income in relation with the society, they self-suffice under the given environment, allowing themselves to accept a minimum of industrial products with small environmental load. Ordinary supply from outside of fossil energy and materials which depend on it is minimized. Types are classified into three: energy, energy materials and perfect self-sufficiency. A study project for environment symbiotic houses is progressing which is planned by the Ministry of Construction and Institute of Building Energy Conservation and is invested by a private company. Its target is making a house for halving an environmental load by CO{sub 2}, for the purpose of creating the environment symbiotic house which is nice to and in harmony with the global environment and human beings. As a part of the studies on energy-saving and resource conservation on houses, introduced is a plan of an autonomous house at Izu-Atagawa. The passive method and high thermal-insulation are used for air conditioning, and hot spring water for hot water supply. Electric power is generated by hydroelectric power generation using mountain streams and by solar cells. Staple food is purchased, while subsidiary food is sufficed. 17 refs., 4 figs., 1 tab.

The Opportunistic House for Tehran: A Design Prototype

Directory of Open Access Journals (Sweden)

Sara Khorshidifard

2015-12-01

Full Text Available This article is an advocacy research for Tehran, promoting an implication of architectural design as a tool for citizen empowerment and positive environmental change. In the article, I am offering a fresh look at Tehran’s housing problems by speculating an “opportunistic house” typology as a residential style that would serve much more than just shelter. I am making a case for a new house prototype that applies socially-equitable solutions in design. My study finds applications and significance beyond plain housing design and, mainly, onto the design of ad hoc urban public realm spaces. This is in accord with my overarching mission of supporting new way of thinking about, and ultimately offering, welcoming, safe, and energized places for Tehran’s citizens. These will additionally have important implications for inhospitable public spaces worldwide. This research is grounded in my prior, multidisciplinary doctoral studies. The article itself is an initial step in my ongoing research design, of helping to build and revitalize a wide range of urban communities by nurturing their relationship to their built and natural environments. The article is a discussion around the following questions. How can housing design inventions empower citizens? In what manner can design offer progressive living place options whose services go beyond shelter needs? Particularly, in what ways can domestic spaces be designed to also embody other-than-living capacities, for example, for new kinds of public spaces? And eventually, what could a prototype of the opportunistic house look like in the context of a city like Tehran? The article is structured to first present a brief survey of how Tehran house forms and functions have developed historically, with more emphasis on their current state. It will then offer examples of opportunistic uses of domestic spaces in Tehran. This notion is communicated through narrative analysis and photographic vignettes from a few

Education for the elderly coping with learning in adult years

Science.gov (United States)

Oyedeji, Lekan

1992-07-01

Concern over short life expectancy in developing societies (such as in Nigeria), the generally poor economic plight of the elderly, and the ignorance and hardship being experienced by aging adults prompted an investigation into the determinants of longevity in 1984, with a view to seeking ways of increasing life span through the provision of appropriate education for the elderly. Since 1984 332 elders of 65 years and above in Nigeria have thus been interviewed. A study of 458 retired persons in Lagos State by a doctoral student was used to support the investigation. Observation of the responses shows that longevity is determined by several factors and combinations of factors ranging over closeness to and faith in God, heredity, modest living, moderation in everything, contentment and so on. The investigation also showed that most of the illiterate elders are poor and are going through the aging process in discomfort while the literate ones are experiencing aging gracefully. It was also found that most retirees were ill prepared for retirement and are maladjusting in post-retirement life.

Cognitive Inference Device for Activity Supervision in the Elderly

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Nilamadhab Mishra

2014-01-01

Full Text Available Human activity, life span, and quality of life are enhanced by innovations in science and technology. Aging individual needs to take advantage of these developments to lead a self-regulated life. However, maintaining a self-regulated life at old age involves a high degree of risk, and the elderly often fail at this goal. Thus, the objective of our study is to investigate the feasibility of implementing a cognitive inference device (CI-device for effective activity supervision in the elderly. To frame the CI-device, we propose a device design framework along with an inference algorithm and implement the designs through an artificial neural model with different configurations, mapping the CI-device’s functions to minimise the device’s prediction error. An analysis and discussion are then provided to validate the feasibility of CI-device implementation for activity supervision in the elderly.

Demographics, the housing market, and demand for building materials

Science.gov (United States)

Al Schuler; Craig Adair

2003-01-01

Historically, housing has been critical to the health of the forest products industry since two-thirds or more of our structural lumber and panel products are consumed in new housing and remodeling. Likewise, it is important to the overall economy, accounting for one-fifth of GDP in 2001, and 40 percent of GDP growth in 2001 (Joint Center for Housing Studies 2002). The...

Healthy Eating Exploratory Program for the Elderly: Low Salt Intake in Congregate Meal Service.

Science.gov (United States)

Seo, S; Kim, O Y; Ahn, J

2016-03-01

This study reported on an exploratory program to help the low income elderly improve healthy eating behavior, specifically by reducing salt intake. We conducted an exploratory program for 4 weeks for this study. The exploratory program involved offering menus with reduced salt and providing education on healthy eating. After the exploratory program, a survey of the elderly and in-depth interviews allowed us to evaluate the program for foodservice providers (dietitian, social workers, and volunteer workers). This study included both foodservice workers and elderly who actually used the foodservice in a congregate meal service system. This is a unique approach. A congregate meal service center in Seoul, Korea. Seventy four elderly in a congregate meal service center. Demographics were collected, and the healthy eating program and healthy eating education for elderly respondents were evaluated. The elderly showed high satisfaction with the exploratory program for healthy eating. We found no significant differences in satisfaction with the program between the elderly who attended education sessions and those who did not, but more of the elderly from the education sessions showed positive behavioral change intentions. The exploratory program influenced to reduce the salt intake of the elderly in congregate meal service. This study suggests cooperation of foodservice providers and the support of administrators is critical to the success of such programs.

Vulnerability Risk Index Profile for Elder Abuse in Community-Dwelling Population

Science.gov (United States)

Dong, XinQi; Simon, Melissa A.

2013-01-01

Objectives Elder abuse is associated with increased morbidity and mortality. This study aims to develop a vulnerability index for elder abuse in a community-dwelling population. Design Population-based study Setting Geographically defined community in Chicago. Participants A population-based study was conducted in Chicago of community-dwelling older adults who participated in the Chicago Health and Aging Project (CHAP). Of the 8,157 participants in the CHAP study, 213 participants were reported to social services agency for suspected elder abuse. Measurements A vulnerability index for elder abuse was constructed from sociodemographic, health-related, and psychosocial factors. The outcomes of interest were reported and confirmed elder abuse. Logistic regression models were used to determine the accuracy of the index with respect to elder abuse outcomes. Results Out of the selected risk index for elder abuse, every one point increase in the 9 item vulnerability index items, there was a two fold increase in the risk for reported elder abuse (OR, 2.19 (2.00–2.40) and confirmed elder abuse (OR, 2.19 (1.94–2.47). Compared to the reference group, older adults with 3–4 vulnerability index items had increased risk for reported elder abuse (OR, 2.98 (1.98–4.49) and confirmed elder abuse (OR, 3.90, (2.07–7.36); and older adults with 5 or more risk index items, there was an 18 fold increase in risk for reported elder abuse (OR, 18.46 (12.15–28.04) and confirmed elder abuse (OR, 26.79 (14.18–50.61). Receiver Operating Characteristic (ROC) statistically derived curves for identifying reported elder abuse ranged between 0.77–0.84 and for predicting confirmed elder abuse ranged between 0.79–0.86. Conclusion The vulnerability risk index demonstrates value for identifying individuals at risk for elder abuse. Additional studies are needed to validate this index in other community dwelling populations. PMID:25180376

Elderly homeless veterans in Los Angeles: chronicity and precipitants of homelessness.

Science.gov (United States)

van den Berk-Clark, Carissa; McGuire, James

2013-12-01

We compared the characteristics of chronically homeless and acutely homeless elderly veterans to better understand precipitants of homelessness. We conducted interviews with 33 chronically and 26 acutely homeless veterans aged 65 years and older receiving transitional housing services in Los Angeles, California, between 2003 and 2005. We asked questions regarding their sociodemographic characteristics and other social status measures. Other precipitants of homelessness were acquired via observation and open-ended and structured questions. Both veterans groups were more similar than different, with substantial levels of physical, psychiatric, and social impairment. They differed significantly in homelessness history, with chronically homeless veterans having more homelessness episodes and more total time homeless. They were also less educated and had smaller social networks. In response to open-ended questioning, elderly homeless veterans revealed how health and substance use issues interacted with loss of social support and eviction to exacerbate homelessness. Assessment of a range of factors is needed to address risk factors and events leading to homelessness. Further research with larger samples is needed to confirm the characteristics and needs of the elderly homeless veteran population.

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. ‎

Quality Affordable Housing: A Theoretical Framework for Planning and Design of Quality Housing

Directory of Open Access Journals (Sweden)

Noor Sharipah Sultan Sidi

2011-10-01

Full Text Available The provision of adequate, good or quality housing for the population has always been a major challenge and task for most nations in the world particularly the developing countries. As such various measures have been undertaken towards this end. However, the major constraint or problem in this respect has always been in defining the criteria for quality housing and establishing the standards of quality housing particularly with respect to the parameters in the determination of quality as some of the parameters are subjective and contextual such as psychological, cultural and environmental aspects. This paper is aimed at discussing the concept of quality housing and establishing the parameters and theoretical framework which can be used by researchers, town planners, architects, policy makers and others in the formulation of criteria / guidelines for the planning and design of quality housing.

Screening for Elder Abuse among Turkish Older People: Validity of the Hwalek-Sengstock Elder Abuse Screening Test (H-S "East")

Science.gov (United States)

Özmete, Emine; Megahead, Hamido A.

2017-01-01

Objective: This study aims to adapt "The Hwalek-Sengstock Elder Abuse Screening Test (H-S "East")" (Neale, Hwalek, Scott, Sengstock, & Stahl, 1991) to Turkish and to assess its validity and reliability while determining the factors that affect elder abuse. Method: The sample of the study is composed of 465 elderly women and…

Surgery of the elderly in emergency room mode. Is there a place for laparoscopy?

Science.gov (United States)

Michalik, Maciej; Dowgiałło-Wnukiewicz, Natalia; Lech, Paweł; Zacharz, Krzysztof

2017-06-01

An important yet difficult problem is qualification for surgery in elderly patients. With age the risk of comorbidities increases - multi-disease syndrome. Elderly patients suffer from frailty syndrome. Many body functions become impaired. All these factors make the elderly patient a major challenge for surgical treatment. Analysis of the possibility of developing the indications and contraindications and the criteria for surgical treatment of the elderly based on our own cases. Discussion whether there is a place for laparoscopy during surgery of the elderly in emergency room (ER) mode. The analysis was performed based on seven cases involving surgical treatment of elderly patients who were admitted to the hospital in emergency room mode. The patients were hospitalized in the General and Minimally Invasive Surgery Clinic in Olsztyn in 2016. Surgical treatment of elderly patients should be planned with multidisciplinary teams. Geriatric surgery centers should be developed to minimize the risk of overzealous treatment and potential complications. Laparoscopy should always be considered in the case of ER procedures or diagnostics. Elderly patients should not be treated as typical adults, but as a separate group of patients requiring special treatment. Due to the existing additional disease in the elderly, the frailty syndrome, any surgical intervention should be minimally invasive. The discussion about therapy should be conducted by a team of specialists from a variety of medical fields.

Rib and sternum fractures in the elderly and extreme elderly following motor vehicle crashes.

Science.gov (United States)

Bansal, Vishal; Conroy, Carol; Chang, David; Tominaga, Gail T; Coimbra, Raul

2011-05-01

As the population ages, the need to protect the elderly during motor vehicle crashes becomes increasingly critical. This study focuses on causation of elderly rib and sternum fractures in seriously injured elderly occupants involved in motor vehicle crashes. We used data from the Crash Injury Research and Engineering Network (CIREN) database (1997-2009). Study case criteria included occupant (≥ 65 years old) drivers (sitting in the left outboard position of the first row) or passengers (sitting in the first row right outboard position) who were in frontal or side impacts. To avoid selection bias, only occupants with a Maximum Abbreviated Injury Scale (MAIS) 3 (serious) or greater severity injury were included in this study. Odds ratios were used as a descriptive measure of the strength of association between variables and Chi square tests were used to determine if there was a statistically significant relationship between categorical variables. Of the 211 elderly (65-79 years old) occupants with thoracic injury, 92.0% had rib fractures and 19.6% had sternum fractures. For the 76 extreme elderly (80 years or older) with thoracic injury, 90.4% had rib fractures and 27.7% had sternum fractures. Except for greater mortality and more rib fractures caused by safety belts, there were no differences between the extreme elderly and the elderly occupants. Current safety systems may need to be redesigned to prevent rib and sternum fractures in occupants 80 years and older. Copyright © 2010 Elsevier Ltd. All rights reserved.

Housing Programs for Homeless Individuals With Mental Illness: Effects on Housing and Mental Health Outcomes.

Science.gov (United States)

Benston, Elizabeth A

2015-08-01

This systematic review analyzed the best available research in the United States on permanent supportive housing programs for homeless individuals with mental illness and the effect of these programs on housing status and mental health. It updates older and broader reviews that included weaker studies or those that did not analyze permanent housing as an input and housing and mental health as primary outcomes. The literature search (1980-2013) yielded 14 studies (randomized controlled trials and quasi-experimental studies). The studies found that a majority of participants placed in experimental housing programs with case management support remained in housing for at least one year or experienced more days housed than homeless relative to a comparison group. Although this finding is in line with previous literature reviews on permanent supportive housing, this analysis found limitations in each of the 14 reviewed studies, such as attrition, selection and response bias, imprecise definitions and implementation of housing programs, and a lack of appropriate controls. Only three of the reviewed studies reported using a housing fidelity assessment tool to test whether the housing intervention was faithful to theoretical standards, and conceptions and implementation of housing varied widely across studies, threatening internal and external validity. Pitfalls in the best available studies on permanent supportive housing programs in the United States limit the ability of research to inform the policy goal of ending chronic homelessness and demonstrate a need for further experimental research upon which to make funding and policy decisions, especially in light of prioritized federal funds.

Are Koreans Prepared for the Rapid Increase of the Single-Household Elderly? Life Satisfaction and Depression of the Single-Household Elderly in Korea

Directory of Open Access Journals (Sweden)

Mi-Ra Won

2013-01-01

Full Text Available Purpose. In Korea, it has been estimated that the number of the single-household elderly increased 45% from 2005 to 2010. This research was conducted to provide empirical resources for development of a community mental health program by an explorative investigation on depression, coping mechanism, and life satisfaction of a single-household elderly population. Design and Methods. This research applied a descriptive survey research design. Participants were 225 single-household elderlies residing in Seoul, Korea. The geriatric depression scale and the satisfaction with life scale were used to check the level of depression and life satisfaction of the participants. Results. Results showed that 46.3 percent of the participants were categorized as having light-to-severe level of depression, and 80.5 percent of the participants responded that they were dissatisfied with their lives. This research demonstrated that the level of depression and life satisfaction of the Korean single-household elderly is statistically significantly related to age and gender as well as coping resources and human resources. Implications. Current public health services in Korea for the single-household elderly are still lacking and require active support, intervention, and research to provide effective programs and services. Case management, counseling, and various programs based on Korean culture including support from family members and community-based assistance are recommended to help the vulnerable population.

Exploring the Housing Needs of Older People in Standard and Sheltered Social Housing.

Science.gov (United States)

Fox, Siobhan; Kenny, Lorna; Day, Mary Rose; O'Connell, Cathal; Finnerty, Joe; Timmons, Suzanne

2017-01-01

Objective: Our home can have a major impact on our physical and mental health; this is particularly true for older people who may spend more time at home. Older people in social (i.e., public) housing are particularly vulnerable. Housing options for older people in social housing include standard design dwellings or specially designed "sheltered housing." The most suitable housing model should be identified, with older people consulted in this process. Method: Survey of older people (aged ≥60) living in standard or sheltered social housing. Data were analyzed using descriptive and inferential statistics in SPSS Version 22. Results: Overall, 380 surveys were returned (response rate = 47.2%). All older people had similar housing needs. Those in sheltered housing were more satisfied with the physical home design and reported more positive outcomes. Older people in standard housing were less likely to have necessary adaptations to facilitate aging-in-place. Discussion: Older people in standard housing reported more disability/illnesses, are worried about the future, and felt less safe at home. However, few wanted to move, and very few viewed sheltered housing as an alternative, suggesting limited knowledge about their housing options. Future social housing designs should be flexible, that is, adaptable to the needs of the tenants over time.

A Place To Call Home. The Crisis in Housing for the Poor.

Science.gov (United States)

Leonard, Paul A.; And Others

For most low-income households, housing has become increasingly unaffordable. High housing cost burdens have serious implications, including the growing problems of homelessness and hunger. Data on national trends and housing conditions suggest that just as the affordable housing problems worsened dramatically for low-income households between the…

A new forensic collection housed at the University of Coimbra, Portugal: The 21st century identified skeletal collection.

Science.gov (United States)

Ferreira, Maria Teresa; Vicente, Ricardo; Navega, David; Gonçalves, David; Curate, Francisco; Cunha, Eugénia

2014-12-01

The purpose of this study is to characterize and contextualize the new collection of identified skeletons housed in the Department of Life Sciences at the University of Coimbra, Portugal. The 21st Century Identified Skeletal Collection, which is still being enlarged, is currently composed of 159 complete adult skeletons (age at death range: 29-99 years) of both sexes. The skeletons consist almost exclusively of Portuguese nationals who died between 1995 and 2008. The state of preservation is good and more detailed antemortem information is presently being collected. This collection constitutes a fundamental tool for forensic anthropology research, including development and validation studies of skeletal aging and sexing methods that target elderly adults. Moreover, this collection can also be used in conjunction with the other reference collections housed in the University of Coimbra to investigate secular trends in skeletal development and aging, among others. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Challenges and opportunities of the passive house concept for retrofit

NARCIS (Netherlands)

Mlecnik, E.

2010-01-01

For newly built houses and renovations European and national ambitions prescribe increasing levels of energy performances, even including achieving the passive house standard, net zero energy or carbon neutral houses. For highly energy-efficient renovation, project information from first

The permanent education protagonized by the elderly in the open university for the third age/UEPG

Directory of Open Access Journals (Sweden)

Rita de Cássia da Silva Oliveira

2017-12-01

Full Text Available The Brazilian age pyramid shows an aging population. The Active Aging Paradigm is now evident, in which education assumes relevance. Brazilian universities have offered specific projects / programs for the elderly, which are Open Universities for the Elderly. They focus on valuing the elderly, placing them at the center of the educational process. This article aims to present the UATI / UEPG Program; explain the objectives and structure of this extensionist action. This research was bibliographical and documentary. The State University of Ponta Grossa created the UATI in 1992. The UATI is based on 4 articulating axes, offers theoretical and practical disciplines in the different areas of knowledge, totaling 240 hours. The UATI program consists of the Open University Courses for the Elderly and the Continuing University Course for the Elderly. UATI is a program of success and social and academic recognition in its 26 years of activities.

What Type of Knowledge Provides Valid Housing Standards Addressing Accessibility?

DEFF Research Database (Denmark)

Helle, Tina; Brandt, Åse; Iwarsson, Susanne

evaluations of task-surface heights in elderly people’s homes. Applied Ergonomics, 31, 109-119. Kohlbacher, F. (2006). The use of qualitative content analysis in case study research. Forum: Qualitative social research sozialforschung (FQS), Open Journal Systems, vol 7, No1. Kozey, J.W. & Das, B. (2004...... accessibility aspects such as either reach, seat height or space requirements • Targeted primarily industrial workstation design and only wheelchair/scooter users • Addressed positions (standing/seated) and sex difference with respect to reach • Was generated in lab-like environments, using methods...... of the validity of housing standards. Therefore, it is reasonable to question what type of knowledge that provides the most valid standards addressing accessibility and explore the consequences of using an alternative approach. The idea was thus to examine the validity of a set of housing standards using a so...

The Nordic Housing Enabler

DEFF Research Database (Denmark)

Helle, Tina; Slaug, Bjørn; Brandt, Åse

2010-01-01

This study addresses development of a content valid cross-Nordic version of the Housing Enabler and investigation of its inter-rater reliability when used in occupational therapy rating situations, involving occupational therapists, clients and their home environments. The instrument was translated...... from the original Swedish version of the Housing Enabler, and adapted according to accessibility norms and guidelines for housing design in Sweden, Denmark, Finland and Iceland. This iterative process involved occupational therapists, architects, building engineers and professional translators......, resulting in the Nordic Housing Enabler. For reliability testing, the sampling strategy and data collection procedures used were the same in all countries. Twenty voluntary occupational therapists, pair-wise but independently from each other, collected data from 106 cases by means of the Nordic Housing...

[Factors influencing the quality of life of elderly living in a pre-fabricated housing complex in the Sichuan earthquake area].

Science.gov (United States)

Guo, Hong-Xia; Chen, Hong; Wong, Teresa Bik-Kwan Tsien; Chen, Qian; Au, May-Lan; Li, Yun

2012-02-01

The 2008 Sichuan Earthquake caused great damage to the environment and property. In the aftermath, many citizens were relocated to live in newly constructed prefabricated (prefab) communities. This paper explored the current quality of life (QOL) of elderly residents living in prefabricated communities in areas damaged by the Sichuan earthquake and identified factors of influence on QOL values. The ultimate objective was to provide evidence-based guidance for heath improvement measures. The authors used the short form WHOQOL-BREF to assess the quality of life of 191 elderly residents of prefabricated communities in the Sichuan Province 2008 earthquake zone. A Student's t-test, variance analysis, and stepwise multivariate regression methods were used to test the impact of various factors on QOL. Results indicate the self-assessed QOL of participants as good, although scores in the physical (average 56.2) and psychological (average 45.7) domains were significantly lower than the norm in China. Marital status, capital loss in the earthquake, number of children, level of perceived stress, income, interest, and family harmony each correlated with at least one of the short form WHOQOL-BREF domains in t-test and one-way analyses. After excluding for factor interaction effects using multivariate regression, we found interest, family harmony, monthly income and stress to be significant predictors of physical domain QOL, explaining 13.8% of total variance. Family harmony and interest explained 15.3% of total variance for psychological domain QOL; stress, marital status, family harmony, capital loss in the earthquake, number of children and interest explained 19.5% of total variance for social domain QOL; and stress, family harmony and interest explained 16.5% of total variance for environmental domain QOL. Family harmony and interest were significant factors across all domains, while others influenced a smaller proportion. Quality of life for elderly living in prefab

Benzodiazepine abuse among the elderly

Directory of Open Access Journals (Sweden)

Shalini Singh

2016-01-01

Full Text Available Benzodiazepines belong to the hypnotic-sedative class of drugs which have anxiolytic, sedative, and hypnotic properties. These drugs have been in clinical use for at least half a century. The propensity for development of dependence, especially on prescription benzodiazepines, coupled with the risk of falls and cognitive impairment due to benzodiazepines makes the elderly population susceptible to adverse outcomes with the use of benzodiazepines, and hence, cautious use is desired in this population. This review discusses the various aspects pertaining to benzodiazepine abuse in the elderly including pharmacology, prevalence of abuse, adverse consequences of benzodiazepine abuse, and subsequently assessment and management of elderly patients with benzodiazepine abuse.

24 CFR 888.310 - Notice of eligibility requirements for retroactive payments.

Science.gov (United States)

2010-04-01

..., SECTION 202 DIRECT LOAN PROGRAM, SECTION 202 SUPPORTIVE HOUSING FOR THE ELDERLY PROGRAM AND SECTION 811... MARKET RENTS AND CONTRACT RENT ANNUAL ADJUSTMENT FACTORS Retroactive Housing Assistance Payments for New..., Section 202 Elderly or Handicapped, and Special Allocations Projects § 888.310 Notice of eligibility...

The Nordic Housing Enabler

DEFF Research Database (Denmark)

Helle, T.; Nygren, C.; Slaug, B.

2014-01-01

This study addresses development of a content-valid cross-Nordic version of the Housing Enabler and investigation of its inter-rater reliability when used in occupational therapy rating situations, involving occupational therapists, clients, and their home environments. The instrument was transla......This study addresses development of a content-valid cross-Nordic version of the Housing Enabler and investigation of its inter-rater reliability when used in occupational therapy rating situations, involving occupational therapists, clients, and their home environments. The instrument...... was translated from the original Swedish version of the Housing Enabler, and adapted according to accessibility norms and guidelines for housing design in Sweden, Denmark, Finland, and Iceland. This iterative process involved occupational therapists, architects, building engineers, and professional translators......, resulting in the Nordic Housing Enabler. For reliability testing, the sampling strategy and data collection procedures used were the same in all countries. Twenty voluntary occupational therapists, pair-wise but independently of each other, collected data from 106 cases by means of the Nordic Housing...

Cognitive Inference Device for Activity Supervision in the Elderly

OpenAIRE

Mishra, Nilamadhab; Lin, Chung-Chih; Chang, Hsien-Tsung

2014-01-01

Human activity, life span, and quality of life are enhanced by innovations in science and technology. Aging individual needs to take advantage of these developments to lead a self-regulated life. However, maintaining a self-regulated life at old age involves a high degree of risk, and the elderly often fail at this goal. Thus, the objective of our study is to investigate the feasibility of implementing a cognitive inference device (CI-device) for effective activity supervision in the elderly....

Housing First or no housing? Housing and homelessness at the end of alcohol and drug treatment.

Science.gov (United States)

Dyb, Evelyn

2016-10-01

The rate of alcohol and drug dependency is high among homeless persons in Norway as well as in other Western societies. National homeless surveys also show a certain correlation between discharge from institutions and homelessness. However, the rate of homelessness versus the rate with fixed abode at the end of specialised alcohol and drug treatment has not been examined using quantitative methods. A cross-sectional survey was conducted in alcohol and drug treatment units in the national health services and private clinics. The survey investigates the housing outcome at the end of treatment compared to the situation at the start of treatment using an individual questionnaire for patients ending treatment in a specific time window. Housing outcome is measured by the odds ratio of having a fixed abode at the end of treatment in relation to main intoxicating substance, type of treatment (in- and outpatient), completing versus cutting short the treatment, housing situation at the start of treatment, socioeconomic capital, mental health problems, individual plan, medical assisted treatment, and a set of background variables. The housing versus homeless situation hardly changes during the treatment period. In both a bivariate analysis and a simple multivariate model, principal intoxicating substance is the strongest predictor of having a fixed abode both before and after treatment. However, a more sophisticated analysis indicates that socioeconomic resources and social capital play along with the preferred intoxicating substance as predictors of having permanent housing. After more than a decade of a housing-led national homeless policy, and wide embracement of Housing First approaches in the European Union, homeless persons entering specialised alcohol and drug treatment are likely to return to the streets and hostels at the end of treatment. Access to housing after treatment is very limited for those lacking resources to solve their housing problem without assistance

Development and reliability testing of the Nordic Housing Enabler – an instrument for accessibility assessment of the physical housing

DEFF Research Database (Denmark)

Helle, Tina

and adapted according to accessibility norms and guidelines for housing design in Sweden, Denmark, Iceland and Finland. This iterative process involved occupational therapists, architects, building engineers and professional translators, resulting in the Nordic Housing Enabler. For reliability testing...... serious deficits when it comes to accessibility. This study addresses development of a content valid cross-Nordic version of the Housing Enabler and investigation of inter-rater reliability, when used in occupational therapy practice. The instrument was translated from the original Swedish version......, the sample strategy and data collection procedures were the same in all countries. In total, twenty voluntary occupational therapists collected data from 106 cases by means of the Nordic Housing Enabler. Inter-rater reliability was calculated by means of percentage agreement and kappa statistics. Overall...

"Conical Hut": A Basic Form of House Types in Timor Island

Science.gov (United States)

Chen, Y. R.; Lim, Y. L.; Wang, M. H.; Chen, C. Y.

2015-08-01

Timor Island situates in the southeast end of Southeast Asia. The island accommodates many ethnic groups, which produce many diverse house types. As visiting East Timor in 2012 and Timor Island in 2014, we found the "Pair- House Type" widely spread over Timor Island. Uma Lulik (holy house), accommodating the ancestry soul, fireplace and elder's bed, and Uma Tidor (house for sleep), containing living, sleeping and working space, compose the pair-house. The research team visited 14 ethnic groups and their houses, some of which were measured and drawn into 3D models as back to Taiwan. Uma Tidors of each ethnic group are quite similar with rectangular volume and hip roof, however, one of the fourteen ethnic groups can build cylinder houses for Uma Tidor. Uma Luliks of different ethnic groups are diversified and special. One group of the Uma Luliks shows a rectangular or square volume sheltered by a hip roof. The other group of Uma Luliks presents a non-specific volume under a conical roof, that we called the "conical hut". Seven ethnic groups, Atoni, Weimua, Makassae, Mambai, Bunaq, Kemak and Bekais, have built "conical huts" for the use of Uma Lulik. People of the seven ethnic groups can construct a reasonable structural system to support the conical roof, and take good advantage of the space under the conical roof to meet their sacred needs and everyday life. "Conical Hut" may be regarded as the basic form of the house types adopted by the seven ethnic groups. It contains the basic spatial limits and the formal properties that the construction systems have to follow. Based on the concise rules of the basic form, people of each ethnic group use their talents, skills and building materials to generate variations of "conical hut", which are different in house scale, spatial layout, construction system and form. The "conical huts" contain the consistency that all the huts come from the basic form, meanwhile, they also present the diversification that each conical hut has

TV-Based Caring Videophone System for the Elderly in the Smart Home Environment

Directory of Open Access Journals (Sweden)

Jingshuang Shen

2013-01-01

Full Text Available A novel videophone system for the elderly-care application is proposed. Based on the detailed analysis of the elderly’s physical and psychological characteristics, a TV-based caring videophone system for the elderly is developed: an embedded multimedia device is designed to implement the interactive video and audio processing and IP-based communication, in which TV is adopted as the display terminal to achieve a low-cost but high-quality service. Considering the user’s convenience, many personalized designs, such as photo-based address book, photo-click-dialing, and touch pad based remote controller, are developed to make the proposed videophone system more intuitive and easy to use for the elderly. Based on Support Vector Machine (SVM algorithms, an evaluation model is also developed with the data collected from the embedded multimedia device. It is useful to evaluate the physical and psychological health of the elderly.

Differential Health and Social Needs of Older Adults Waitlisted for Public Housing or Housing Choice Vouchers.

Science.gov (United States)

Carder, Paula; Luhr, Gretchen; Kohon, Jacklyn

2016-01-01

Affordable housing is an important form of income security for low-income older persons. This article describes characteristics of older persons waitlisted for either public housing or a housing choice voucher (HCV; previously Section 8) in Portland, Oregon. 358 persons (32% response rate) completed a mailed survey with questions about demographics, health and housing status, food insecurity, and preference for housing with services. Findings indicate that many waitlisted older persons experienced homelessness or housing instability, poor health, high hospital use, and food insecurity. Public housing applicants were significantly more likely to report lower incomes, homelessness, and food insecurity than HCV applicants. We conclude with policy implications for housing and health agencies that serve low-income older persons.

The mast on the house

DEFF Research Database (Denmark)

Landberg, L.

1997-01-01

An often encountered problem when preparing the basic input data for a wind atlas is the correction for the influence of the house or hut on which the mast - whose data forms the basis of this wind atlas - is placed. The paper will describe an experiment, where this problem has been addressed....... The knowledge gained will be used to give guide-lines as to the use of the WASP program to correct the observations. Should the house/hut simply be treated as an extension of the mast, should the house/hut be treated as a hill with speed-up effects, or should the house/hill be ignored completely? The paper...... will show that the house/hut should indeed be treated as a hill with speed-up effects. Placing meteorological masts on houses or huts is common practice in quite a few countries in the world. The problem is therefore one which most people involved in detailed wind resource assessment will face sooner...

The mast on the house

DEFF Research Database (Denmark)

Landberg, L.

2000-01-01

An often encountered problem when preparing the basic input data for a wind atlas study is the correction for the influence of the house or hut on which the mast—whose data form the basis of this wind atlas—is placed. The article will describe an experiment where this problem has been addressed....... The knowledge gained will be used to give guidelines as to the use of the WAsP program to correct the observations. Should the house/hut simply be treated as an extension of the mast, should the house/hut be treated as a hill with speed-up effects, or should the house/hill be ignored completely? The paper...... will show that the house/hut should indeed be treated as a hill with speed-up effects. Placing meteorological masts on houses or huts is common practice in quite a few countries in the world. The problem is therefore one which most people involved in detailed wind resource assessment will face sooner...

Influence of the type of housing on the quality of life of the elderly with intellectual or development disability

Directory of Open Access Journals (Sweden)

Irene SÁENZ MURGA

2018-03-01

Full Text Available One of the factors that affect the quality of life of people with intellectual or developmental disabilities is the type of housing in which they live. The purpose of this study is to determine the influence of the type of housing on the quality of life of old people with intellectual or developmental disabilities. To obtain the information, a reliable and valid questionnaire was used as instrument, which is the GENCAT Scale, to which a series of items has been added to gather the sociodemographic variables, in an ad hoc questionnaire. The number of participants is 268, aged between 45 and 81 years old, belonging to the Communities of Castilla y León and La Rioja. The results show that the participants present higher quality of life when they live in dwellings in the community. Of the types of housing analyzed, it has been detected that those in which the specific supports and resources are offered to the users, the scores are higher in the dimensions Interpersonal Relations, Personal Development, Self-determination and Physical Wellbeing. Therefore, as stated in the starting hypothesis, in these mentioned areas a higher quality of life is detected.

Marketing and design of residential energy conservation programs for the elderly

Energy Technology Data Exchange (ETDEWEB)

Berry, L.; Schweitzer, M.; Freeman, E.

1988-02-01

This report describes barriers to energy conservation by the elderly. Because of these barriers, they have a greater need for programs that assist with the installation of energy-efficiency improvements. In response to this need, a number of specialized programs are operated for the elderly. This report contains descriptions of 39 energy conservation programs for the elderly. Telephone interviews were conducted with the managers of these programs to identify marketing techniques and organizational structures. Interagency networking, presentations and referrals are the most common methods of recruiting clients. Other marketing techniques in order of the frequency of use are: direct mail, bill inserts, television, radio, printed materials, and telemarketing. Many managers consider word-of-mouth advertising from satisfied clients the most effective form of marketing. Interagency networking and support (financial, structural and in-kind) can offer real advantages in the operation of conservation programs for the elderly. The use of specific marketing techniques is probably less important to success in recruiting clients than the degree of trust potential clients have in the sponsoring organization(s). 4 figs., 10 tabs.

Detecting the Spatially Non-Stationary Relationships between Housing Price and Its Determinants in China: Guide for Housing Market Sustainability

Directory of Open Access Journals (Sweden)

Yanchuan Mou

2017-10-01

Full Text Available Given the rapidly developing processes in the housing market of China, the significant regional difference in housing prices has become a serious issue that requires a further understanding of the underlying mechanisms. Most of the extant regression models are standard global modeling techniques that do not take spatial non-stationarity into consideration, thereby making them unable to reflect the spatial nature of the data and introducing significant bias into the prediction results. In this study, the geographically weighted regression model (GWR was applied to examine the local association between housing price and its potential determinants, which were selected in view of the housing supply and demand in 338 cities across mainland China. Non-stationary relationships were obtained, and such observation could be summarized as follows: (1 the associations between land price and housing price are all significant and positive yet having different magnitudes; (2 the relationship between supplied amount of residential land and housing price is not statistically significant for 272 of the 338 cities, thereby indicating that the adjustment of supplied land has a slight effect on housing price for most cities; and (3 the significance, direction, and magnitude of the relationships between the other three factors (i.e., urbanization rate, average wage of urban employees, proportion of renters and housing price vary across the 338 cities. Based on these findings, this paper discusses some key issues relating to the spatial variations, combined with local economic conditions and suggests housing regulation policies that could facilitate the sustainable development of the Chinese housing market.

75 FR 22437 - Tax Counseling for the Elderly (TCE) Program Availability of Application Packages

Science.gov (United States)

2010-04-28

... DEPARTMENT OF THE TREASURY Internal Revenue Service Tax Counseling for the Elderly (TCE) Program... for the Elderly (TCE) Program. DATES: Application packages are available from the IRS at this time... Elderly (TCE) Program is July 9, 2010. ADDRESSES: Electronic copies of the application package can be...

[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.

Innova House - Ottawa`s advanced house

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-01-31

A pilot program was developed to provide the housing industry with a means to field test innovative technologies, products and building systems, and to evaluate their overall performance. Under Canada`s Advanced House Program, ten demonstration houses were designed, built and monitored. Ottawa`s Innova House, was one of the ten houses built for this program. The innovative energy saving features of the house included (1) air distribution with small diameter ducts and an electronically commutated motor, a 2.6 kW grid-connected photovoltaic system, (3) an energy recovery ventilator (ERV) with free-cooling mode, (4) a 94 per cent efficient integrated gas heating and hot water system, (5) airtight drywall construction, (6) CFC-free exterior insulation, (7) a natural-gas-engine heat pump for air conditioning, (8) a prototype sealed combustion gas range and clothes dryer, and (9) a manifold plumbing system to conserve water. It was designed to consume one half of the energy consumed in an R-2000 home and one third of the energy of a conventional house. Several of the mechanical elements did not perform at expected levels, (lower than expected efficiencies from the heating and cooling systems and a malfunctioning ERV), nevertheless, overall performance of the house was still very close to the targets. The construction and operation of the house was described. tabs., figs.

Design and implementation of an empowerment model to prevent elder abuse: a randomized controlled trial.

Science.gov (United States)

Estebsari, Fatemeh; Dastoorpoor, Maryam; Mostafaei, Davoud; Khanjani, Narges; Khalifehkandi, Zahra Rahimi; Foroushani, Abbas Rahimi; Aghababaeian, Hamidreza; Taghdisi, Mohammad Hossein

2018-01-01

Older adults are more vulnerable to health risks than younger people and may get exposed to various dangers, including elder abuse. This study aimed to design and implement an empowerment educational intervention to prevent elder abuse. This parallel randomized controlled trial was conducted in 2014-2016 for 18 months on 464 older adults aged above 60 years who visited health houses of 22 municipalities in Tehran. Data were collected using standard questionnaires, including the Elder Abuse-Knowledge Questionnaire, Health-Promoting Behavior Questionnaire, Health-Promoting Lifestyle Profile II, Barriers to Healthy Lifestyle, Perceived Social Support, Perceived Self-Efficacy, Loneliness Scale, Geriatric Depression Scale, Multidimensional Health Locus of Control Scale, and the SCARED (stress, coping, argument, resources, events, and dependence) tool. The intervention was done in twenty 45- to 60-minute training sessions over 6 months. Data analysis were performed using χ 2 tests, multiple linear and logistic regression, and structural equation modeling (SEM). The frequency of knowledge of elder abuse, self-efficacy, social support and health promoting lifestyle before the intervention was similar in the two groups. However, the frequency of high knowledge of elder abuse (94.8% in the intervention group and 46.6% in the control group), high self-efficacy (82.8% and 7.8%, respectively), high social support (97.0% and 10.3%, respectively) and high health promoting lifestyle (97.0% and 10.3%, respectively) was significantly higher ( P elder abuse risk (28.0% and 49.6%, respectively) was significantly less in the intervention group after the intervention. SEM standardized beta (Sβ) showed that the intervention had the highest impact on increase social support (Sβ=0.80, β=48.64, SE=1.70, P elder abuse risk was indirect and significant (Sβ=-0.406, β=-0.340, SE=0.03, P elder abuse.

25 CFR 170.128 - Are housing access roads and housing streets eligible for IRR Program funding?

Science.gov (United States)

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false Are housing access roads and housing streets eligible for... INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and Eligibility Irr Housing Access Roads § 170.128 Are housing access roads and housing streets eligible for IRR...

[Diagnosis of gastric ulcer in the elderly].

Science.gov (United States)

Ashida, Kiyoshi; Fukuchi, Takumi; Yamashita, Hiroshi

2010-11-01

It is well known that gastric ulcers are most often found at anglus and upper corpus in the elderly. The number of gastric ulcer found at upper corpus hold half of all cases in the elderly patients with bleeding ulcer. Sixty percent of the elderly patients with bleeding ulcer took NSAIDs including low-dose aspirin in authors' hospital. Now it is easy to treat and cure bleeding ulcers due to development of endoscopic hemostasis and antiulcer drugs such as proton pump inhibitor(PPI). However, the elderly patients sometimes result in fatal outcome on bleeding from gastric ulcer. Therefore, it is important to prevent ulcer complications by PPI for the high-risk group such as elderly patients taking NSAIDs.

["They are enjoying their first holiday ever"--working with the elderly, from the post-war years up to the early 1970s].

Science.gov (United States)

Matron, Kristina

2014-01-01

While, in the post-war years and into the 1950s, the building of old people's and care homes and the allocation of home places in those homes was seen as the main task of municipal care institutions for the elderly in Frankfurt am Main, in the decade that followed their main task shifted towards increasing the possibilities of providing care in people's own homes, delaying the move into old people's homes and breaking through the loneliness that elderly people were presumed to experience. Supported by the state, community housing was provided with flats for elderly people and with carers to look after their needs. The "warm rooms" of the post-war period changed into clubs, where members met and received guidance. In the late 1960s the clubs were extended into day-care centres, offering a range of consultation services, organized day trips and recreational holidays for the elderly. It was hoped that "meals-on-wheels" in combination with age-appropriate living conditions would delay the move into a home. But these plans were not adequately developed in the 1960s and often it was not clear who would pay the bills. The same was true of outpatient medical care which had traditionally been the task of community nurses, but was now increasingly carried out by local authority carers, who also provided household assistance. This kind of care could only ever be given for a limited period of time and, while it was able to delay the move into an old people's home, it could not replace it.

76 FR 30243 - Tax Counseling for the Elderly (TCE) Program Availability of Application Packages

Science.gov (United States)

2011-05-24

... DEPARTMENT OF THE TREASURY Internal Revenue Service Tax Counseling for the Elderly (TCE) Program... for the Elderly (TCE) Program. DATES: Application Packages are available from the IRS on May 23, 2011... Elderly (TCE) Program is June 30, 2011. Electronic copies of the application package can be obtained by...

The relevance of the housing market for the banks’ risk profile in Albania

Directory of Open Access Journals (Sweden)

Erjona REBI

2016-06-01

Full Text Available The housing market is an important sector for Albanian banks. Housing market financing dominates retail loans, and at the same time, houses represent a high share of the pledged collateral. This study aims to evaluate the role that the housing market plays in the Albanian banks’ risk-taking profile. The empirical work confirms the statistically significant difference in the risk profile between real estate and non-real estate banks. The dynamics of the housing market influences both types of banks, but the real estate banks are more sensitive to the housing market conditions. The negative relationship between the housing market developments with specialization of banks in real estate market reflects the high informality of the housing market and handicaps such as governmental interference, institutional shortcomings and flawed enforcement of property rights.

Health-related quality of life of elderly living in the rural community and homes for the elderly in a district of India. Application of the short form 36 (SF-36) health survey questionnaire.

Science.gov (United States)

Varma, G R; Kusuma, Y S; Babu, B V

2010-08-01

The present investigation aimed to assess the health-related QoL (HRQoL) of elderly people living in two settings: (i) rural community and (ii) homes for the elderly in a district of South India. The data are drawn from elderly (>60 years of age) sampled from both settings. The short form 36-item health survey (SF-36) was administered to all respondents. The average scores for several domains, including total physical health, total mental health and overall health (total SF-36 score) were around 50, which can be interpreted as a moderate level of health-related QoL. Residents living in a home for the elderly scored better in all domains except for role-physical and role-emotional. Though univariate analysis revealed some associations between characteristics of elderly SF-36 scores, the multiple regression analysis indicated that working status yields a significant but negative coefficient for total SF-36 score among community dwelling elderly. The elderly report that their lives are better when they are staying in homes for the elderly. Hence, despite the socio-economic conditions, provision of a better and conducive environment by setting up more charity-based homes for the elderly may be one of the options for relative betterment of the QoL of the elderly, particularly those who are socially and economically deprived. Finally, the study warrants the need of normative values of SF-36 for various population groups in India.

Institutional trust in the national social security and municipal healthcare systems for the elderly in Japan.

Science.gov (United States)

Murayama, Hiroshi; Taguchi, Atsuko; Ryu, Shuhei; Nagata, Satoko; Murashima, Sachiyo

2012-09-01

Japanese social security systems and institutions for the elderly, as well as the general attitude toward elderly care services among the Japanese population, have been undergoing a dramatic change. By examining the association between institutional trust, which is a representative element of social capital, and anxiety regarding receiving elderly care, we can uncover clues toward building a more robust social security system for the elderly. This study examines the relationship between institutional trust, in the national social security and municipal healthcare systems for the elderly, and anxiety with respect to receiving elderly care among the general Japanese population. A cross-sectional survey was conducted using a self-administered questionnaire that was returned by mail in January and February 2005. The target population was 4735 community residents aged 20-75 years, who lived in the city of Koka, Shiga, Japan. A total of 2264 questionnaires were included in the analysis. A binominal logistic regression analysis showed that responses of 'trust' [odds ratio (OR): 2.09, 95% confidence interval (95% CI): 1.01-4.30] and 'strongly trust' (OR: 3.80, 95% CI: 1.55-9.31) for the national system were associated with not having anxiety regarding elderly care, compared with the reference category of feeling strongly distrust. However, trust in the municipal system showed no association with this anxiety. These results indicate the importance of developing strategies to increase a common trust in the national care services for the elderly to reduce the anxiety people feel regarding whether they will be able to receive elderly care when required.

Considerations for Sexuality Education and Services for LGB Elders

Science.gov (United States)

Chaya, Julie; Bernert, Donna J.

2014-01-01

Sexuality education and health services for elderly individuals who reside in care settings (e.g., assisted living facilities, nursing homes, retirement communities) have received limited attention in the professional literature. However, the lack of sexual health promotion practices in elder care facilities can be detrimental to older…

Content Analysis of Measures for Identification of Elder Abuse.

Science.gov (United States)

Sengstock, Mary C.; And Others

Measures designed to detect elder abuse lack uniformity as a result of having been designed in isolation. To develop and test a uniform index for the identification of elder abuse victims, an analysis of existing abuse identification instruments was conducted. Initially, seven elder abuse identification measures were content analyzed, resulting in…

Violent Crime Against the Elderly: A New Jersey Perspective. Hearing before the Select Committee on Aging. House of Representatives, Ninety-Ninth Congress, First Session (Plainfield, NJ).

Science.gov (United States)

Congress of the U.S., Washington, DC. House Select Committee on Aging.

This document contains testimony from a Congressional hearing held in New Jersey to examine violent crime against the elderly. Opening statements are presented from committee members Matthew J. Rinaldo, William J. Hughes, Christopher H. Smith, and Dan Mica. Four panels of witnesses testify: (1) two elderly victims of violent crime; (2) federal,…

The new social housing scheme in Nigeria: How beneficial for the ...

African Journals Online (AJOL)

The Nigerian government recently inaugurated a Special Committee on National Social Housing Scheme (NSHS) with a presidential mandate to provide housing for its less privileged citizens. In the pilot phase of the scheme, the committee was to build 18,000 units of houses across the country before the end of 2006.

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 ...

The Influence of Skill Development Training Program for Spiritual Care of Elderly Individual on Elderly Care Technician Students' Perception of Spiritual Support.

Science.gov (United States)

Bulduk, Serap; Usta, Esra; Dinçer, Yeliz

2017-06-01

Spiritual care means helping an individual protect, maintain and gain all the dimensions of his/her existence. Elderly care technicians face numerous cases or crisis situations in which elderly individuals from different backgrounds question the meaning and value of life. Elderly care technicians must acknowledge that the spirituality is an important element in the way an elderly individual receives healthcare and they must be equipped for this matter. This study was conducted in order to examine the influence of "Skill Development Training Program for Spiritual Care of Elderly Individual," which was carried out with students from elderly care program, on the perception of spirituality support in a pretest-posttest quasi-experimental study design with control group. As the data collection form, "Spiritual Support Perception" (SSP) scale was used. The mean scores of the intervention group after the training and after one month are 50.39 ± 5.34 and 51.13 ± 4.98, respectively, and those of the control group are 43.16 ± 4.83 and 42.72 ± 4.48. A statistically significant difference was found between the mean scores of the intervention group from the pretest and the posttests immediately after the training and one month after the training (f = 94.247, p = 0.001). In the control group, however, there was no significant change in the SSP mean scores (f = 0.269, p = 0.77). As a result, this study pointed out the necessity of such training programs for healthcare professionals to make a distinction between their professional duties and their own personalities in order to offer spiritual care to the elderly individual.

Sustainable housing transformations : The housing association as a change agent for environmental innovation and social regeneration - Two case studies

NARCIS (Netherlands)

Hal, van J.D.M. (Anke); Femenías, P.

2009-01-01

The starting point for this study is the central role of the housing association in sustainable transformations of existing post-war housing stocks in Europe. The paper explores the role of the housing association to drive and support transformation processes where the aim is to address both

Administrative and financial responsibilities for sheltered housing for mentally ill and handicapped persons in Germany and its impact on housing supply.

Science.gov (United States)

Bramesfeld, Anke; Holler, Gerhard

2005-06-01

The integration of mentally ill and handicapped persons in the society requires the availability of various forms of sheltered housing in the community, most important ambulatory (supported) housing facilities. In Germany the administrative and financial responsibility for sheltered housing for mental ill and handicapped persons is usually assigned to two authorities: the welfare authorities at Lander (state) level are responsible for hostels, the welfare authorities on community and district level are responsible for ambulatory housing. However some Lander have distributed these responsibilities differently and other Lander offer subsidy programmes to promote the implementation of ambulatory housing. To evaluate the different modes of distributing the responsibilities for administration and financing of sheltered housing for their impact on the supply with ambulatory and stationary housing in the 16 German Lander. (1) Analysis of the practise of distributing the responsibilities for housing between Lander and community welfare-authorities in the 16 Lander. Analysis of the subsidy programmes in the Lander that aim to promote the implementation of ambulatory housing. (2) Assessment of the capacities in housing for mentally ill and handicapped persons in the Lander. (3) Comparing (1) and (2). Lander that have the responsibilities for ambulatory housing and for hostels organised on the same authority-level, offer generally more housing in ambulatory facilities and less in hostels than Lander that do not. However, three Lander, despite having all responsibilities for housing at one authority level, provide accommodation for mentally ill and handicapped persons predominantly in hostels. There are so far no indications whether it would be more favourable to have a unique authority for housing based on Lander or on community level. Subsidy programmes to promote the implementation of supported housing are successful if they sponsor at least 50% of costs and if they exist

Elder Abuse: The Hidden Problem. A Briefing by the Select Committee on Aging, House of Representatives, Ninety-Sixth Congress, First Session (Boston, Massachusetts, June 23, 1979).

Science.gov (United States)

Congress of the U.S., Washington, DC. House Select Committee on Aging.

This briefing by the Congressional Select Committee on Aging was designed to gather information on the physical and psychological abuse of the elderly. A number of witness reports are included, testifying to the seriousness and extent of the problem of elder abuse. It is pointed out that many victims refuse to admit abuse; public discussions of…

Wood-framed houses for earthquake zones

DEFF Research Database (Denmark)

Hansen, Klavs Feilberg

Wood-framed houses with a sheathing are suitable for use in earthquake zones. The Direction describes a method of determining the earthquake forces in a house and shows how these forces can be resisted by diaphragm action in the walls, floors, and roof, of the house. An appendix explains how...

Strategies for sustainable households. The SusHouse project

International Nuclear Information System (INIS)

Vergragt, Ph.J.; Knot, J.M.C.

2001-01-01

The international SusHouse project has developed a strategy design approach that can contribute to major (factor 20) efficiency improvements in household activities. Stakeholder workshops have been held to develop scenarios for a sustainable future (2050). These scenarios were evaluated on their economic consequences, environmental impacts and consumer acceptance. the results were then used as the input for a second round of stakeholder workshops, which aimed at developing short-term strategies and implementation plans. This Research Note reviews the SusHouse approach and its results. It ends with suggestions for further steps to be taken. A SusHouse CD-ROM is available, containing all final project reports as well as a scenario presentation in the form of images and short texts. 22 refs

Research-based standards for accessible housing

DEFF Research Database (Denmark)

Helle, Tina; Iwarsson, Susanne; Brandt, Åse

Since standards for accessible housing seldom are manifestly based on research and vary cross nationally, it is important to examine if there exists any scientific evidence, supporting these standards. Thus, one aim of this study was to review the literature in search of such scientific evidence...... data on older citizens and their housing environment in Sweden, Germany and Latvia (n=1150), collected with the Housing Enabler instrument. Applying statistical simulation we explored how different national standards for housing design influenced the prevalence of common environmental barriers. Kaplan...... by the database search (n= 2,577), resulting in the inclusion of one publication. Contacts to leading researchers in the field identified five publications. The hand search of 22 journals led to one publication. We have exemplified how the prevalence of common environmental problems in housing environments...

New industrialised housing model for young starters in Malaysia : Identifying problems for the formulation of a new business model for the housing industry

NARCIS (Netherlands)

Wamelink, J.W.F.; Gruis, V.; John, L.H.; Zairul, M.N.

2015-01-01

Young people are currently facing a considerable risk when it comes to increasing house prices and interest rates as a substantial portion of their monthly income. This is due to the fact that they now have a responsibility in making monthly repayments of their housing loans. The current housing

Pathophysiologic Response to Burns in the Elderly

Directory of Open Access Journals (Sweden)

Marc G. Jeschke

2015-10-01

Full Text Available Over the last decades advancements have improved survival and outcomes of severely burned patients except one population, elderly. The Lethal Dose 50 (LD50 burn size in elderly has remained the same over the past three decades, and so has morbidity and mortality, despite the increased demand for elderly burn care. The objective of this study is to gain insights on why elderly burn patients have had such a poor outcome when compared to adult burn patients. The significance of this project is that to this date, burn care providers recognize the extreme poor outcome of elderly, but the reason remains unclear. In this prospective translational trial, we have determined clinical, metabolic, inflammatory, immune, and skin healing aspects. We found that elderly have a profound increased mortality, more premorbid conditions, and stay at the hospital for longer, p  0.05, but a significant increased incidence of multi organ failure, p < 0.05. These clinical outcomes were associated with a delayed hypermetabolic response, increased hyperglycemic and hyperlipidemic responses, inversed inflammatory response, immune-compromisation and substantial delay in wound healing predominantly due to alteration in characteristics of progenitor cells, p < 0.05. In summary, elderly have substantially different responses to burns when compared to adults associated with increased morbidity and mortality. This study indicates that these responses are complex and not linear, requiring a multi-modal approach to improve the outcome of severely burned elderly.

Morality in the mundane. Specific Needs for Ethics Support in Elderly Care

NARCIS (Netherlands)

Dauwerse, L.M.; van der Dam, S.; Abma, T.A.

2012-01-01

Ethics support is called for to improve the quality of care in elderly institutions. Various forms of ethics support are presented, but the needs for ethics support remain unknown. Using a mixed-methods design, this article systematically investigates the specific needs for ethics support in elderly