Structural brain changes and all-cause mortality in the elderly population—the mediating role of inflammation

Demographic shifts towards an aging population are becoming a significant fiscal challenge for governments. Previous research has explored the fiscal consequences of the expanding elderly population, but the impact on the elderly’s health quality is less mentioned. The balanced relationship between elderly population health and public finance is a major concern of the global political agenda on the aging society. This article used cross-country panel data from 2000 to 2019 to examine the fiscal effect of the elderly health burden and the mediating role of healthcare resources. The results are demonstrated: The elderly health burden has a negative impact on fiscal balance, especially in aged society and longevity countries. Moreover, the mediating effect of healthcare resources is significant, whereby various forms of healthcare resources such as funds, labor, and facilities all have significant effects. Thus, the conceptual framework of elderly population health, healthcare resources, and public finance is confirmed that the elderly health burden specifically leads to the growing consumption of healthcare resources, which reduces the fiscal balance. It is concluded that reducing the elderly health burden and improving healthcare resource efficiencies are two feasible strategies to enhance fiscal sustainability.

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Gambaran Kejadian Tindakan Kekerasan pada Lansia : Literature Review

Prosiding Seminar Nasional Kesehatan ◽

10.48144/prosiding.v1i.862 ◽

2021 ◽

Vol 1 ◽

pp. 1425-1436

Author(s):

Dyah Pratiwi ◽

Dyah Putri Aryati

Keyword(s):

Literature Review ◽

Elderly Population ◽

Elder Abuse ◽

The Elderly ◽

Social Changes ◽

Psychological Violence

AbstractThe increasing elderly population in Indonesia continues to grow. The elderly are individuals who experience physiological, psychological, and social changes. Therefore, the elderly is vulnerable to violence. Elder abuse persists in various areas in Indonesia. However, cases of elder abuse are often hidden because they are considered unimportant and the victims do not know where to report it. The purpose of this study was to describe the incidence of acts of violence in the elderly. The methodused in this study was a literature review by searching for articles in the PubMed and Google scolar database with the keyword: Elderly or Aged or Geriatric or Elder and Abuse or Violence with article limits from 2011-2020. There were five articles found. They had been critically reviewed using Strobe instruments. The results based on the five articles analysed showed some characteristics. Most of the respondents were 60-69 years old (50%), female (60%), education literate or primary (63%), married (67%), lived with other (59%), the elderly do not experience violence2.286, elderly experience violence 807, the type of violence that wa soften experienced by the elderly namely psychological violence is found to be (40%). Based on the five articles analysed, it can be concluded that the most violence experienced by the elderly is psychological violence. Therefore, the role of nurses is needed to provide services for families to prevent acts of violence in the elderly.Keywords: Elderly; persecution, violence AbstrakPeningkatan penduduk lansia di Indonesia terus bertambah. Lansia merupakan salah satu individu yang mengalami perubahan secara fisiologis, psikologis dan sosial sehingga lansia rentan mengalami tindakan kekerasan. Kekerasan terhadap lansia masih terjadi diberbagai wilayah di Indonesia. Namun, kasus kekerasan lansia kerap disembunyikan karena dianggap tidak penting dan korban tidak mengetahui lembaga yang dapat menerima laporan. Tujuan penelitian ini untuk mengetahui gambaran kejadian tindakan kekerasan pada lansia. Metode yang digunakan penelitian ini menggunakan literature review dengan mencari artikel pada database Pubmed dan Googlescholar dengan kata kunci :Elderly OR Aged OR Geriatric OR Elder AND Abuse ORViolencedengan batasan artikel dari 2011-2020 didapatkan 5 artikel yang telah dilakukan telaah kritis dengan menggunakan instrument Strobe. Hasil berdasarkan lima artikel yang dianalisa menunjukkan bahwa data karakteristik usia responden mayoritas 60-69 tahun yaitu (50%), berjenis kelamin perempuan sebanyak (60%), pendidikan literate or primarysebanyak (63%), berstatus menikah yaitu (67%), lived with other sebanyak (59%), lansia yang tidak mengalami kekerasan sebanyak 2.286, lansia yang mengalami kekerasan sebanyak 807 dan jenis kekerasan yang sering dialami lansia yaitu kekerasan psikologis didapatkan (40%). Berdasarkan dari kelima artikel yang dianalisa dapat disimpulkan bahwa kekerasan yang paling banyak dialami lansia yaitu kekerasan psikologis. Oleh sebab itu diperlukan peran perawat untuk memberikan pelayanan bagi keluarga untuk mencegah terjadinya tindakan kekerasan pada lansia.Kata kunci: Kekerasan; penganiayaan; usia lanjut

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Decline in rates of clearance of IgG-sensitized erythrocytes with increasing age

Blood ◽

10.1182/blood.v71.6.1726.bloodjournal7161726 ◽

1988 ◽

Vol 71 (6) ◽

pp. 1726-1730

Author(s):

KA Melez ◽

LF Fries ◽

BS Bender ◽

T Quinn ◽

MM Frank

Keyword(s):

Aging Process ◽

Elderly Population ◽

The Elderly ◽

Older Individuals ◽

Immune Functions ◽

Macrophage Function ◽

Normal Volunteers ◽

Age Related ◽

Male Subjects

Decreased immune functions have been suggested as a cause for the increased incidence of autoimmunity, malignancy, and infection in the elderly population. To assess the possible role of changes in macrophage function in the aging process we studied the Fc receptor- mediated clearance of IgG-coated erythrocytes in 56 healthy normal volunteers by following the removal of radiolabeled autologous erythrocytes. An age-related decrease in Fc-mediated clearance rates in both female and male subjects was found, which suggests a physiological decline of this macrophage function in older individuals.

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ROLE OF TRIVIDHA ROGAYATANA IN THE MANIFESTATION OF ESSENTIAL HYPERTENSION W.S.R. TO PRAGYAPARADA - A CONCEPTUAL STUDY

November 2020 - International Ayurvedic Medical Journal ◽

10.46607/iamj2109082021 ◽

2021 ◽

Vol 9 (8) ◽

pp. 1733-1736

Author(s):

Ajay Kumar Nigwal ◽

Lajwanti Keswani ◽

Rajesh Kumar Malviya ◽

Arvind Kumar Yadav

Keyword(s):

Elderly Population ◽

Antihypertensive Drugs ◽

Adult Population ◽

The Elderly ◽

Elevated Blood ◽

The World ◽

Causes Of Disease ◽

Conceptual Study ◽

Day By Day

Cardiovascular disease such as hypertension will be the largest cause of death and disability in India by 2020. The prevalence of hypertension is increasing globally and currently, more than 1 billion people have hypertension. About 26.4% of the world adult population in 2000 had hypertension and 29.2% were projected to have this con- dition by 2025. Elevated blood pressure affects 1 billion individuals and causes an estimated 10.4 million deaths per year. Thus, hypertension is needed to be studied. Though a lot of potent antihypertensive drugs are available today none of them is free from untoward adverse effects. Especially the elderly population poorly tolerates these drugs. The global incidence of hypertension is increasing day by day and is a very common problem nowadays. Ayurveda has classified the causes of disease into three main categories: - 1. Asatmendriyartha Samyoga 2. Pragyaparada and 3. Parinama (Kaala), these three main causes of disease enable different kinds of diseases to manifest. Firstly, they lead to the imbalance of body /or mind by vitiation the Tridosha. The consequence of the imbalance is a disturbance of the basic biological principles. Hypertension is a lifestyle disorder. Ayurveda causes of lifestyle disorders are mainly Pragyaparada. Pragyaparadha is the main cause of all noncommunicable dis- eases (NCDs) such as diabetes, cancer, hypertension etc. Keywords: Asatmendriyartha, Pragyaparada, Parinama, Trividha Rogaayatanas, Hypertension.

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The study of mediating role of physical activity in the relationship between the emotional intelligence and psychological well-being in the elderly

Salmand ◽

10.32598/sija.13.10.350 ◽

2017 ◽

Author(s):

Sima Razaghi ◽

Sajad Parsaei ◽

Esmaeel Saemi

Keyword(s):

Physical Activity ◽

Emotional Intelligence ◽

Well Being ◽

The Elderly ◽

Psychological Well Being ◽

Mediating Role ◽

The Relationship

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Significant spike in excess mortality in England in winter 2014/15 – influenza the likely culprit

Epidemiology and Infection ◽

10.1017/s0950268818001152 ◽

2018 ◽

Vol 146 (9) ◽

pp. 1106-1113 ◽

Cited By ~ 13

Author(s):

R. G. Pebody ◽

H. K. Green ◽

F. Warburton ◽

M. Sinnathamby ◽

J. Ellis ◽

...

Keyword(s):

Poisson Regression ◽

Influenza A ◽

Excess Mortality ◽

Extreme Temperature ◽

The Elderly ◽

Health Impact ◽

Poisson Regression Model ◽

Potential Health ◽

All Cause Mortality

AbstractSignificant increases in excess all-cause mortality, particularly in the elderly, were observed during the winter of 2014/15 in England. With influenza A(H3N2) the dominant circulating influenza A subtype, this paper determines the contribution of influenza to this excess controlling for weather. A standardised multivariable Poisson regression model was employed with weekly all-cause deaths the dependent variable for the period 2008–2015. Adjusting for extreme temperature, a total of 26 542 (95% CI 25 301–27 804) deaths in 65+ and 1942 (95% CI 1834–2052) in 15–64-year-olds were associated with influenza from week 40, 2014 to week 20, 2015. This is compatible with the circulation of influenza A(H3N2). It is the largest estimated number of influenza-related deaths in England since prior to 2008/09. The findings highlight the potential health impact of influenza and the important role of the annual influenza vaccination programme that is required to protect the population including the elderly, who are vulnerable to a severe outcome.

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The Role of Novel Bone Forming Agents in the Treatment of Osteoporosis

Journal of Pharmacy Practice ◽

10.1177/0897190020961227 ◽

2020 ◽

pp. 089719002096122

Author(s):

Hansita B. Patel ◽

Lynsie J. Lyerly ◽

Cheryl K. Horlen

Keyword(s):

Elderly Population ◽

Cost Effective ◽

The Elderly ◽

Bisphosphonate Therapy ◽

Evidence Based ◽

First Line ◽

Treatment Of Osteoporosis ◽

Cost Effective Treatment

Osteoporosis is a growing epidemic that leads to significant morbidity and mortality among the elderly population due to associated fractures that lead to disabilities and reduced quality of life. Bisphosphonates are well-established as a first-line and cost-effective treatment for osteoporosis. Unfortunately, clinicians are often uncertain as to how to select treatments when bisphosphonates are ineffective as initial treatment or contraindicated. Romosozumab and abaloparatide are 2 alternative agents that have been recently FDA approved for the treatment of osteoporosis in postmenopausal women at high risk for fracture or patients who have failed or are intolerant to other osteoporosis therapies. Currently, the National Osteoporosis Foundation (NOF) has no formal recommendations in regard to these 2 novel agents. The purpose of this review is to help guide pharmacists on how to ensure appropriate utilization of these 2 novel bone-forming agents as potential alternatives to bisphosphonate therapy by providing evidence-based recommendations according to the current literature and key counseling points.

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Association between all-cause mortality and insurance status transition among the elderly population in a rural area in Korea: Kangwha Cohort Study

Health Policy ◽

10.1016/j.healthpol.2014.10.012 ◽

2015 ◽

Vol 119 (5) ◽

pp. 680-687 ◽

Cited By ~ 4

Author(s):

Sung-In Jang ◽

Sang-Wook Yi ◽

Jae-Woong Sull ◽

Eun-Cheol Park ◽

Jae-Hyun Kim ◽

...

Keyword(s):

Cohort Study ◽

Rural Area ◽

Elderly Population ◽

The Elderly ◽

Insurance Status ◽

Status Transition ◽

All Cause Mortality

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The Role of Spinal Orthoses in Osteoporotic Vertebral Fractures of the Elderly Population (Age 60 Years or Older): Systematic Review

Global Spine Journal ◽

10.1177/2192568220948036 ◽

2020 ◽

pp. 219256822094803

Author(s):

Barry Ting Sheen Kweh ◽

Hui Qing Lee ◽

Terence Tan ◽

Joost Rutges ◽

Travis Marion ◽

...

Keyword(s):

Systematic Review ◽

Elderly Patients ◽

Vertebral Fractures ◽

Postural Stability ◽

Elderly Population ◽

The Elderly ◽

Functional Improvement ◽

Osteoporotic Vertebral Fractures ◽

Spinal Orthoses

Study Design: Systematic review. Objective: Spinal orthoses have been generally used in the management of osteoporotic vertebral fractures in the elderly population with purported positive biomechanical and functional effects. To our knowledge, this is the first systematic review of the literature examining the role of spinal orthoses in osteoporotic elderly patients who sustain low energy trauma vertebral fractures. Methods: A systematic literature review adherent to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was conducted. Methodical searches utilizing MEDLINE, EMBASE, Google Scholar, and Cochrane Databases was performed. Results: Of the 2019 articles initially retrieved, 7 published articles (4 randomized controlled trials and 3 prospective cohort studies) satisfied the inclusion criteria. Five studies reported improvement in quantitative measurements of spinal column stability when either a rigid or semirigid orthosis was used, while 1 study was equivocal. The studies also showed the translation of biomechanical benefit into significant functional improvement as manifested by improved postural stability and reduced body sway. Subjective improvement in pain scores and quality of life was also noted with bracing. Conclusion: The use of spinal orthoses in neurologically intact elderly patients aged 60 years and older with osteoporotic compression vertebral fractures results in improved biomechanical vertebral stability, reduced kyphotic deformity, enhanced postural stability, greater muscular strength and superior functional outcomes.

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Deskripsi Organizational Citizenship Behavior Perawat Untuk Lansia Di Wisma Harapan Asri Yayasan Mardiwijana Semarang”

PRAXIS ◽

10.24167/praxis.v3i2.3149 ◽

2021 ◽

Vol 3 (2) ◽

pp. 120

Author(s):

Yulius Susilo ◽

Rudy Elyadi

Keyword(s):

Qualitative Research ◽

Organizational Citizenship ◽

Organizational Citizenship Behavior ◽

Research Method ◽

Elderly Population ◽

The Elderly ◽

Citizenship Behavior ◽

Five Dimensions

The number of elderly population in Indonesia from year to year is increasing, so it is needed a place and assistance services for elderly citizens. Wisma Harapan Asri Semarang provides services so that the elderly residents feel comfortable and at ease. The nurses for the elderly have the role of assisting and serving elderly citizens. The performance of the nurses has an important role for the quality of the services of the elderly homestead. Improved services will be better if the nurses have the attitude and actions of the Organizational Citizenship Behavior (OCB) at work.This study aimed to determine the OCB of nurses based on five dimensions of OCB. The five dimensions of OCB according to Organ are: altruism, courtesy, conscientiousness, sportmanship, and civic virtue. Descriptive qualitative research method to describe the OCB actions of nurses. The results showed OCB of nurses in the high category. An effort to improve the performance of nurses in accordance with the five dimensions of OCB. Also efforts to improve the services of nurses to meet the needs of the elderly. This research is useful for Wisma Harapan Asri in an effort to shape the behavior of nurses to provide the best service for the elderly.

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