scholarly journals Scar and Scarring in the Elderly

2020 ◽  
pp. 379-384
Author(s):  
Hester Colboc ◽  
Sylvie Meaume

AbstractDespite the aging of the population, little attention is paid to the development of specific care protocols appropriate to the skin and even less to the scars in the elderly. The purpose of this chapter is to highlight common clinical problems with scar and scarring in older adults and provide appropriate advices on protocols for managing them. The literature review was carried out to look for the evidence-based elements, but, if the subject of scars is sometimes found, the elements relating specifically to scars in old age are nonexistent. Unsurprisingly, practices vary widely and are carried out according to habit rather than science. Based on our clinical experience of dermatologist and geriatrician and some literature data, some pathways for future research on scars in elderly are proposed.

10.3823/2456 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Sidney Medeiros de Oliveira ◽  
Marianna Leite Barroso ◽  
Vânia Barbosa do Nascimento ◽  
Gislene Farias de Oliveira

Evidence-based research, tend to encourage the development and / or use of the results found, in the clinical practice. The amount and complexity of information in health, requires the production of literature review methods, such as integrative review, which provide a support in the form of synthesis. The aim of this study was to analyze the scientific literature available on midwifery in SciELO database from 2010 to 2015. It presents general concepts and stages of development of the integrative review, as well as relevant aspects of the applicability of this method for research in nursing and health in general. The integrative review is a research method that allows a systematic search, critical assessment and the promotion of a synthesis of the available evidence on the subject investigated.The publications reviewed here, have shown how it is relevant to clinical practice, the participation of nursing in all stages of the gestational cycle, including childbirth and the postpartum period. Also provided to identify gaps that that will direct the development of future research, such as those relating to liability issues of the nursing area hardly contemplated in studies of care in obstetrics.  Keywords: Research. obstetric nursing. Health.


GeroPsych ◽  
2015 ◽  
Vol 28 (2) ◽  
pp. 67-76
Author(s):  
Grace C. Niu ◽  
Patricia A. Arean

The recent increase in the aging population, specifically in the United States, has raised concerns regarding treatment for mental illness among older adults. Late-life depression (LLD) is a complex condition that has become widespread among the aging population. Despite the availability of behavioral interventions and psychotherapies, few depressed older adults actually receive treatment. In this paper we review the research on refining treatments for LLD. We first identify evidence-based treatments (EBTs) for LLD and the problems associated with efficacy and dissemination, then review approaches to conceptualizing mental illness, specifically concepts related to brain plasticity and the Research Domain Criteria (RDoc). Finally, we introduce ENGAGE as a streamlined treatment for LLD and discuss implications for future research.


Author(s):  
Muhammad Yousaf ◽  
Petr Bris

A systematic literature review (SLR) from 1991 to 2019 is carried out about EFQM (European Foundation for Quality Management) excellence model in this paper. The aim of the paper is to present state of the art in quantitative research on the EFQM excellence model that will guide future research lines in this field. The articles were searched with the help of six strings and these six strings were executed in three popular databases i.e. Scopus, Web of Science, and Science Direct. Around 584 peer-reviewed articles examined, which are directly linked with the subject of quantitative research on the EFQM excellence model. About 108 papers were chosen finally, then the purpose, data collection, conclusion, contributions, and type of quantitative of the selected papers are discussed and analyzed briefly in this study. Thus, this study identifies the focus areas of the researchers and knowledge gaps in empirical quantitative literature on the EFQM excellence model. This article also presents the lines of future research.


2016 ◽  
Vol 12 (1) ◽  
pp. 40-60 ◽  
Author(s):  
Abdoulkadre Ado ◽  
Zhan Su

Purpose – The purpose of this paper is to critically assesses the major contributions to the academic literature on China’s increased focus on Africa, from 2001 to 2011. It discusses the key trends concerning China’s presence in Africa and draws conclusions on the significance of the studies by emphasizing and contrasting the prevailing positions. Design/methodology/approach – Based on a qualitative approach using an integrative and comprehensive literature review, the authors performed a content analysis of high-impact, peer-reviewed papers. Findings – The paper questions and repositions some of the existing controversies. The results from existing studies remain questionable, requiring further clarification and more theoretical backing. It, moreover, highlights the notion that behind the explicit neutrality views of China’s presence in Africa, implicit assumptions may exist. These are often the differences in narratives conveyed by Western and Southern stakeholders. Research limitations/implications – Most of the conclusions drawn from this paper need to be re-explored and supported by additional research. This could be done by widening the scope of the analysis. Studies need to provide more empirical support for their assertions through quantitative data and evidence-based qualitative analyses – all within a framework that considers more cultural, social and historical dimensions. The paper also suggests that an institutionally based view appears most relevant in better explaining China in Africa. Originality/value – This paper reviews a decade of research on China in Africa and presents a snapshot of the current state of knowledge. It also raises concerns to be analyzed by future research and proposes new avenues for better understanding China’s presence in Africa.


2017 ◽  
Vol 1 (2) ◽  
Author(s):  
Marc A Garcia ◽  
Brian Downer ◽  
Michael Crowe ◽  
Kyriakos S Markides

Abstract Background and Objectives Hispanics are the most rapidly aging minority population in the United States. Our objective is to provide a summary of current knowledge regarding disability among Hispanics, and to propose an agenda for future research. Research Design and Methods A literature review was conducted to identify major areas of research. A life course perspective and the Hispanic Paradox were used as frameworks for the literature review and for identifying future areas of research. Results Four research areas were identified: (1) Ethnic disparities in disability; (2) Heterogeneity of the U.S. older Hispanic population; (3) Risk factors for disability; and (4) Disabled life expectancy. Older Hispanics are more likely than non-Hispanic whites to be disabled or to become disabled. Disability varied by country of origin, nativity, age of migration, and duration in the United States. Important risk factors for disability included chronic health conditions, depression, and cognitive impairment. Protective factors included positive affect and physical activity. Older Hispanics have longer life expectancy than non-Hispanic whites but spend a greater proportion of old age disabled. Future research should continue to monitor trends in disability as younger generations of Hispanics reach old age. Attention needs to be given to regional variation within the United States for disability prevalence, early-life risk factors, and factors that may contribute to variation in disabled life expectancy. There is also an urgent need for interventions that can effectively prevent or delay the onset of disability in older Hispanics. Discussion and Implications Considerable research has examined disability among older Hispanics, but continued research is needed. It is important that research findings be used to inform public policies that can address the burden of disability for older Hispanic populations.


2020 ◽  
Vol 28 (2) ◽  
pp. 160-201
Author(s):  
Payam Hanafizadeh ◽  
Ahad Zareravasan

During the recent decades, some academic research on the subject of information technology outsourcing (ITO) decision has appeared in different outlets, which may impede the use of such resources and as a result, repetition of research by various researchers is very likely. The purpose of this paper is then to conduct a systematic literature review (SLR) pertaining to research on ITO decision. Then, this review intends to 1) classify ITO decision literature, 2) provide a list of factors affecting ITO decision, and 3) identify ITO strategies. To this end, 91 ITO articles published between 2000 and 2018 in 51 unique journals were reviewed. The results yielded three kinds of descriptive, relational, and comparative ITO decision studies. The determinants of ITO decisions are classified into technological, organizational, environmental and user adoption factors. Furthermore, the trend of studied ITO strategies in the reviewed literature is analyzed, and future sourcing varietals are proposed. Finally, some insights and future research directions are proposed based on the review results.


Hematology ◽  
2016 ◽  
Vol 2016 (1) ◽  
pp. 339-347 ◽  
Author(s):  
Arati V. Rao

Abstract Acute myeloid leukemia (AML) is a disease of the elderly, but less than half of these patients are offered therapy despite the evidence of better survival with treatment in this patient population. Assessing fit, vulnerable, and frail older adults with AML remains a challenge for the treating oncologist. A majority of AML patients are elderly and often have significant comorbidities, lack of social support, and older caregivers. Performance status (PS), a subjective measure of how a patient will tolerate cancer chemotherapy, has been strongly correlated with mortality in older AML patients. However, a large portion of older adults have poor PS as a result of their underlying AML, and these patients may end up being undertreated. Conversely, some patients with excellent PS unexpectedly end up with excessive toxicity and mortality. The treating physician thus needs a more objective and comprehensive method to differentiate patients along the fit-frail spectrum irrespective of their chronological age. For more than a decade, comprehensive geriatric assessment has been shown to improve routine oncology assessment by adding information about the functional, emotional, cognitive, and social status of older patients with cancer. In addition to the chronological and functional age, there is an attempt to quantify a patient’s biological age to aid in better decision making. This chapter attempts to review the clinical challenges of AML treatment in the elderly population and to highlight the current literature and future research required to be able to assess fitness and maximize therapeutic options in this heterogeneous patient population.


2018 ◽  
Vol 5 (1) ◽  
pp. 1-4
Author(s):  
Sunita Menezes ◽  
Tissy Mariam Thomas

There has been a rapid ageing of the earth's population and in a few decades, Asia could become the oldest region in the world. In India, due to the reorganization of the family system, the traditional joint family system is on the decline. Due to the emergence of the nuclear family and the high cost of living, family members who previously cared for the elderly need to find employment outside the home. A rapid increase in nuclear families and an exceptional increase in the number of ‘older adults’ in the country have compelled them to live in old age homes. Literature has accentuated the difficulties and apprehensions experienced by older adults during the ageing process and the need for old age homes in order to create an environment that fosters a meaningful existence for them in their twilight years. India's old age homes are trying to uphold the needs, desires and values of older adults. There is a lack of studies that attempt to give older adults a chance to communicate their experiences in a care home. Older adults are an invaluable resource for younger generations and change is needed in society's attitude towards ageing. This review can help psychologists, social workers and caregivers gain insight into the needs of older adults in terms of mental wellbeing, economic and social security and elder abuse and create awareness among the people.   Int. J. Soc. Sc. Manage. Vol. 5, Issue-1: 1-4


2016 ◽  
Vol 6 (2) ◽  
pp. 21
Author(s):  
Byanca Eugênia Duarte Silva ◽  
Maria José Nunes Gadelha ◽  
Maria Mabel Nunes de Morais ◽  
Raiany Augusto Carvalho ◽  
Samara Pereira de Sousa ◽  
...  

Sabe-se que a homossexualidade existe desde os primórdios, sendo vivenciada de forma livre. Entretanto, a sociedade atual é composta subjetivamente de muito preconceito, considerando a homossexualidade, uma afronta às normas sociais. Quando a homossexualidade atrela-se ao idoso, o tabu e discriminação intensificam-se, principalmente devido ao julgamento social de que pessoas idosas não sentem atratividade ou não são mais aptas a praticar o sexo. Assim, torna-se importante analisar as dificuldades enfrentadas pelos idosos que são homossexuais, problemática essa que gera muita polêmica, preconceito e estereótipos. A homossexualidade no idoso é um assunto pouco estudado, partindo do pressuposto da escassez de referenciais bibliográficos. Portanto, faz-se necessário a realização de mais pesquisas e estratégias, no intuito de ampliar o grau de conhecimento em relação ao tema. Nesse sentido, este estudo trata-se de uma pesquisa bibliográfica, a partir de artigos científicos, na expectativa de tentar entender o surgimento dessa problemática, como também, tentar encontrar as explicações relacionadas ao estigma da sexualidade no idoso, tendo em vista, que esta era vista de forma natural na antiguidade. Os resultados confirmaram a existência de um tabu em relação à homossexualidade na terceira idade agregado a dois fatores: a homossexualidade e o envelhecimento. Dois temas carregados de preconceitos advindos de uma sociedade heterossexista. Brand expression and repression: Reflections on homosexuality in old age Abstract: It is known that homosexuality has existed since the early days, and lived freely. However, today's society is made up of a lot of prejudice subjectively considering homosexuality an affront to social norms. When homosexuality harnesses to the elderly, the taboo and discrimination intensify if, mainly due to social judgment that older people do not feel attractive or are no longer able to have sex. Thus, it becomes important to analyze the difficulties faced by older people who are homosexual, this issue that generates much controversy, prejudice and stereotypes. Homosexuality in the elderly is a subject little studied, assuming the lack of bibliographical references. Therefore, it is necessary to further research and strategies in order to increase the level of knowledge on the subject. In this sense, this study it is a bibliographic research, from scientific papers, hoping to try to understand the emergence of this problem, but also try to find the explanations regarding the sexuality of stigma in the elderly, given that this it was seen naturally in antiquity. The results confirmed the existence of a taboo about homosexuality in old age added to two factors: homosexuality and aging. Two themes loaded with prejudices arising from a heterosexist society. 


Revista CEFAC ◽  
2019 ◽  
Vol 21 (3) ◽  
Author(s):  
Evelyn Alves Spazzapan ◽  
Viviane Cristina de Castro Marino ◽  
Vanessa Moraes Cardoso ◽  
Larissa Cristina Berti ◽  
Eliana Maria Gradim Fabron

ABSTRACT Purpose: to carry out an integrative literature review about the acoustic characteristics of healthy voice production, from childhood to old age. Methods: a bibliographic survey was conducted on the databases PubMed, SciELO, MEDLINE and LILACS, covering the last 10 years. Nineteen studies were found, meeting the proposed criteria, on acoustic measurements: F0 (fundamental frequency), jitter, shimmer and/or noise measurements, in males and females, with normal voices in their different stages of life. Results: the analysis showed that F0 is the most changing acoustic parameter as people grow up and grow old. Its values present gradual fall from childhood to old age in the female population, whereas among men such decrease lasts until adulthood. Jitter, shimmer and noise remain stable throughout childhood and adulthood, while shimmer and noise measurements increase in old age. In the literature, there is no consensus regarding increase of jitter measurements in the elderly. Conclusion: from childhood to old age, in both genders, vocal changes take place which are reflected, especially by F0. There is a scarcity of information on acoustics related to specific populations with ample age range, using the same methodology. The information in this study may guide future investigations aiming to understand natural changes occurring in the human voice, in addition to guiding in the clinical practice.


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