Reasons and frequency of visits to the ship's doctor by passengers and crew members of cruise ships in polar waters

Polar Record ◽  
2010 ◽  
Vol 47 (1) ◽  
pp. 80-85 ◽  
Author(s):  
Helmut W. Hoyme ◽  
Victor Benno Meyer-Rochow
Keyword(s):  
Medical Equipment ◽  
The Elderly ◽  
Cold Weather ◽  
Medical Attention ◽  
Cruise Ship ◽  
Polar Climate ◽  
Good Physical Condition ◽  
Cruise Ships ◽  
The Difference ◽  
Board Ship

ABSTRACTOver a period of 142 days of polar cruising, all visits and reasons for those visits to the on board ship doctor's surgery by 360 crew members and 497 passengers were recorded and analysed. Despite the difference in age structure (passengers were mostly 60 years of age or older, while the crew were predominantly 20–30 years old), typically geriatric problems were seen in only a few passengers. While common cold related complaints dominated in the crew members, the passengers suffered more frequently from sea- and motion sickness and had slightly more respiratory and orthopaedic complaints. Typically cold weather related problems like hypothermia and frostbite were hardly seen at all and total prostheses of hips and knees (which involved several passengers) stood up surprisingly well to the polar climate and terrain. The surprisingly good physical condition of the elderly passengers suggests that the clientele of polar cruises represents an overall ‘fitter’ and healthier sub-population of elderly people. The on board preparatory lectures, warning the passengers of possible risks ashore and on board, must also have helped to keep down incidences requiring medical attention. A doctor, serving as an on-board physician on a cruise ship in polar waters, needs to be aware that the majority of his/her potential patients will be elderly folk. Familiarisation with facilities, medical equipment and drugs on board prior to departure is essential. The cruise ship doctor in addition to emergency experience needs experience in treating dermal disorders and orthopaedic conditions. Skills in chiropractic measures and/or acupuncture are an advantage and a thorough knowledge of cold weather induced conditions is a must.

PENGARUH TERAPI TERTAWA TERHADAP PENURUNAN TEKANAN DARAH LANSIA DI UPT PANTI WREDHA BUDHI DHARMA YOGYAKARTA

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Niken Setyaningrum ◽  
Andri Setyorini ◽  
Fachruddin Tri Fitrianta
Keyword(s):  
Blood Pressure ◽  
Data Analysis ◽  
The Elderly ◽  
Control Group ◽  
Group Comparison ◽  
Control Blood Pressure ◽  
Men And Women ◽  
Treatment Of Hypertension ◽  
Before And After ◽  
The Difference

ABSTRACTBackground: Hypertension is one of the most common diseases, because this disease is suffered byboth men and women, as well as adults and young people. Treatment of hypertension does not onlyrely on medications from the doctor or regulate diet alone, but it is also important to make our bodyalways relaxed. Laughter can help to control blood pressure by reducing endocrine stress andcreating a relaxed condition to deal with relaxation.Objective: The general objective of the study was to determine the effect of laughter therapy ondecreasing elderly blood pressure in UPT Panti Wredha Budhi Dharma Yogyakarta.Methods: The design used in this study is a pre-experimental design study with one group pre-posttestresearch design where there is no control group (comparison). The population in this study wereelderly aged over> 60 years at 55 UPT Panti Wredha Budhi Dharma Yogyakarta. The method oftaking in this study uses total sampling. The sample in this study were 55 elderly. Data analysis wasused to determine the difference in blood pressure before and after laughing therapy with a ratio datascale that was using Pairs T-TestResult: There is an effect of laughing therapy on blood pressure in the elderly at UPT Panti WredhaBudhi Dharma Yogyakarta marked with a significant value of 0.000 (P <0.05)

scholarly journals Elderly’s preferences towards rehabilitation robot appearance using electroencephalogram signal

2021 ◽  
Vol 2021 (1) ◽  
Author(s):  
Xinxin Sun ◽  
Wenkui Jin
Keyword(s):  
Assisted Living ◽  
The Elderly ◽  
Rehabilitation Robots ◽  
Subjective Evaluations ◽  
Analysis Experiment ◽  
Prefrontal Region ◽  
Important Means ◽  
The Difference ◽  
Robot Appearance ◽  
The Right

AbstractRehabilitation robots are becoming an important means of assisted living for the elderly, and the appearance of rehabilitation robots directly affects the willingness of the elderly to interact with the robots. Much of the current research on robot appearance preferences relies solely on subjective evaluations, which are relatively cheap, but do not reach deep into the brain to get an accurate grasp of how humans respond to robot appearance. Using electroencephalogram signal and questionnaire survey, we studied the preference of the elderly for abstract and figurative robots. The experimental materials are derived from the pictures of 10 robots in the market. The electroencephalogram signal are collected by BrainVision Recorder and processed by BrainVision Analyzer, as well as SPSS statistical analysis. Experiment shows that the peak of figurative robot pictures is higher and the fluctuation is more intense from 350 ms to 600 ms in the central region and the right half of parietal region. While the peak of abstract robot pictures is higher and the fluctuation is more intense in the prefrontal region, and the difference between abstract robot and figurative robot is not obvious in the occipital region. Based on the electroencephalogram signal and experimental results, it provides the possibility for objective preference evaluation of the elderly to the robot designed features.

scholarly journals Differential Influence of Age on the Relationship between Genetic Mismatch and A(H1N1)pdm09 Vaccine Effectiveness

Viruses ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 619
Author(s):  
Lirong Cao ◽  
Shi Zhao ◽  
Jingzhi Lou ◽  
Hong Zheng ◽  
Renee W. Y. Chan ◽  
...  
Keyword(s):  
Age Groups ◽  
The Elderly ◽  
Vaccine Effectiveness ◽  
Amino Acid Mutation ◽  
Epidemic Season ◽  
Vaccine Component ◽  
Linear Relationships ◽  
The Difference ◽  
Middle Aged Adults ◽  
The Relationship

Assessment of influenza vaccine effectiveness (VE) and identification of relevant influencing factors are the current priorities for optimizing vaccines to reduce the impacts of influenza. To date, how the difference between epidemic strains and vaccine strains at genetic scale affects age-specific vaccine performance remains ambiguous. This study investigated the association between genetic mismatch on hemagglutinin and neuraminidase genes and A(H1N1)pdm09 VE in different age groups with a novel computational approach. We found significant linear relationships between VE and genetic mismatch in children, young adults, and middle-aged adults. In the children’s group, each 3-key amino acid mutation was associated with an average of 10% decrease in vaccine effectiveness in a given epidemic season, and genetic mismatch exerted no influence on VE for the elderly group. We demonstrated that present vaccines were most effective for children, while protection for the elderly was reduced and indifferent to vaccine component updates. Modeling such relationships is practical to inform timely evaluation of VE in different groups of populations during mass vaccination and may inform age-specific vaccination regimens.

scholarly journals Prevalence of health services usage and associated factors in the Amazon region of Brazil: a population-based cross-sectional study

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e017966 ◽  
Author(s):  
Maria Elizete A Araujo ◽  
Marcus T Silva ◽  
Tais F Galvao ◽  
Mauricio G Pereira
Keyword(s):  
Health Services ◽  
Associated Factors ◽  
Prevalence Ratio ◽  
The Elderly ◽  
Population Based ◽  
Cross Sectional Study ◽  
Metropolitan Region ◽  
Medical Attention ◽  
Cross Sectional ◽  
Physician Visits

ObjectivesTo estimate the prevalence of healthcare use and associated factors in the Manaus metropolitan region and to describe the reasons for lack of access.DesignCross-sectional population-based study.SettingA survey conducted between May and August of 2015 in eight cities from Manaus metropolitan region, Amazonas, Brazil.Participants4001 adults ≥18 years of age.Primary outcomes measuresPhysician visits, dentist visits and hospitalisations in the last 12 months were the primary outcomes. Associated factors were investigated through the calculation of prevalence ratio (PR) obtained by hierarchical Poisson regression modelling.Results4001 adults were included in the study, 53% of whom were women. The self-reported prevalence of medical visits was 77% (95% CI 75% to 77%); dentist visits, 36% (95% CI 34% to 37%) and hospital admission, 7% (95% CI 6% to 7%). Physician visits were higher in women PR=1.18 (95% CI 1.14 to 1.23), the elderly PR=1.18 (95% CI 1.10 to 1.26) and people with health insurance PR=1.14 (95% CI 1.10 to 1.19). Dentist visits declined with older age PR=0.38 (95% CI 0.30 to 0.49), lower education level PR=0.62 (95% CI 0.51 to 0.74) and lower economic class PR=0.65 (95% CI 0.57 to 0.75). Hospitalisations were found to be twice as frequent for women than for men and three times as frequent among those who reported very poor health status. Among the individuals who did not receive medical attention in the previous 2 weeks, 58% reported lack of facilities or appointment unavailable and 14% reported lack of doctors.ConclusionWhile more than half visited the doctor in the last year, a lower proportion of people with socioeconomic inequities visited the dentist. Organisational and service policies are needed to increase equity in health services in the region.

Effect of Saturation Degree on Concrete Deterioration due to Freeze-Thaw Action

2011 ◽  
Vol 477 ◽  
pp. 404-408 ◽  
Author(s):  
Wen Cui Yang ◽  
Yong Ge ◽  
Bao Sheng Zhang ◽  
Jie Yuan
Keyword(s):  
Frost Resistance ◽  
Water Pressure ◽  
High Water ◽  
Frost Damage ◽  
Critical Value ◽  
Cold Weather ◽  
Saturation Degree ◽  
Freeze Thaw ◽  
Air Content ◽  
The Difference

Freezing-thawing durability of cement concrete is extremely important in cold weather, to better understand mechanism of frost damage and air-entraining，saturation degree of pores in concrete and its relation with frost resistance were studied in this paper. Concrete specimens with different saturation degree from 0 to 100% were prepared used a sealed tin with a high water pressure pump. Then these specimens were subjected to six freezing-thawing cycles and the relative dynamic modulus of elasticity was examined. The results showed that critical saturation degree of concrete with water- binder ratio of 0.30 and 0.47, air content of 1%, 4% and 6% were from 0.60 to 0.80. When its saturation degree exceeded the critical value, concrete was deteriorated significantly after only six freeze-thaw cycles. The critical saturation degree was mainly related to the air content of concrete mixture, and it decreased with the increasing of air content. The difference between the saturation degree and the critical value can be used to evaluate potential frost resistance of concrete, and its result was consistent with the result of frost tests very well.

scholarly journals Terapi Musik terhadap Depresi pada Lansia

2019 ◽  
Vol 13 (2) ◽  
pp. 72-81
Author(s):  
Theresia Widyastuti
Keyword(s):  
Music Therapy ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Sampling Technique ◽  
The Elderly ◽  
Rank Test ◽  
A Value ◽  
Before And After ◽  
The Difference ◽  
Quasi Experiment

 Depression is a mood disorder that is generally characterized by hopelessness, excessive helplessness, and lack of enthusiasm for life. Starting from stress that is not overcome, then a person can fall into a phase of depression. This study aims to look at the effect of providing music therapy in reducing depression in the elderly before and after being given a commitment. To achieve this goal, this study uses a quasi-experimental method (Quasi Experiment). The type of research design used is Quasi Experiment with one group pretest and posttest design. The sampling technique was purposive sampling where participants based on population criteria obtained a sample of 16 people. Data collection methods using tests with a scale measuring instrument namely Geriatric Depression Scale (GDS) consisting of 30 item questions, observation methods and interview methods .. Based on data analysis it was concluded that the results obtained were Man Whitney Test U = 0.500 with a value of p = 0.001 ( p <0.01) where the mean ranks on the gain score is 12.44 and the sum of ranks is 99.50, this shows the difference in effectiveness of the effects of music therapy before and after treatment and to test the difference in levels of depression before and after being given music therapy using Wilcoxon Sign Rank test analysis . the results obtained z value = -2.539 with a value of p = 0.11 (p <0.01) so that it can be concluded that there are differences in changes in the level of depression in the elderly before and after given treatment.

scholarly journals A cross-sectional study on interference control: age affects reactive control but not proactive control

PeerJ ◽  
2020 ◽  
Vol 8 ◽  
pp. e8365 ◽  
Author(s):  
Yanfang Peng ◽  
Qin Zhu ◽  
Biye Wang ◽  
Jie Ren
Keyword(s):  
Middle Ages ◽  
Middle Age ◽  
The Elderly ◽  
Efficiency Score ◽  
Interference Control ◽  
Reactive Control ◽  
Cross Sectional ◽  
Age Related ◽  
The Difference ◽  
The Impact

Background Working memory updating (WMU), a controlled process to continuously adapt to the changing task demand and environment, is crucial for cognitive executive function. Although previous studies have shown that the elderly were more susceptible to cognitive interference than the youngsters, the picture of age-related deterioration of WMU is incomplete due to lack of study on people at their middle ages. Thus, the present study investigated the impact of age on the WMU among adults by a cross-sectional design to verify whether inefficiency interference control accounts for the aging of WMU. Methods In total, 112 healthy adults were recruited for this study; 28 old adults (21 female) ranging from 60 to 78 years of age; 28 middle-age adults (25 female) ranging from 45 to 59 years of age; 28 adults (11 female) ranging from 26 to 44 years of age; and 28 young adults (26 female) ranging from 18 to 25 years of age. Each participant completed a 1-back task. The inverse efficiency score was calculated in various sequences of three trials in a row to quantify the performance of WMU for adults of various ages. Results Inverse efficiency score of both young groups (young adult and adult) were significantly shorter than the old group in both Repeat-Alternate (RA, including □□○ and ○○□) and Alternate-Alternate (AA, including ○□○ and □○□) sequential patterns and they were additionally better than the middle-age group in AA sequential pattern. Conclusion With the increase of difficulty in the task, the difference in reactive interference control between young and middle age was gradually revealed, while the difference between young and old remained to apparent. The degradation of WMU aging may begin from middle-age and presents selective impairment in that only reactive interference control, but not proactive interference control, shows pronounced age-related decline. The preliminary results can inform future studies to further explore the whole lifespan trajectories of cognitive functions.

scholarly journals Religiousness Attitude During Adulthood Elderly (Psychology Of Religion Perspectives)

RELIGIA ◽  
2017 ◽  
Vol 20 (1) ◽  
pp. 85
Author(s):  
Muhamad Rifa'i Subhi
Keyword(s):  
Research Method ◽  
Religious Life ◽  
Religious Involvement ◽  
Boarding School ◽  
Psychology Of Religion ◽  
The Elderly ◽  
Qualitative Approach ◽  
The Real ◽  
Study Results ◽  
The Difference

Islam teaches the difference in someone's level of religiosity. The level of human religiosity can change from one moment to another. Humans have evolved a religious life. Including human experience in adulthood elderly in life and face the problems of life. This study focused on the real description of the attitude of religiosity which is owned by the elderly. The study was taken from the students at the boarding school Elderly Islamic boarding school (Pesantren) of Roudlotul Muta'allimin Dracik Kramat Batang. The research method used descriptive qualitative approach to straight dialogue (interview) of the respondents, namely the students of Elderly Islamic Boarding School (Pesantren). The study results showed that each of the students have the different religious involvement in filling elderly period (retirement). The involvement includes Ritual Involvement, Ideological Involvement, Intellectual involvement, experimental involvement, and consequential involvement.

scholarly journals Effects of Line Dancing on Mental Health in Seniors after COVID-19 Pandemic

2021 ◽  
Vol 11 (11) ◽  
pp. 677
Author(s):  
Sara Aliberti ◽  
Gaetano Raiola
Keyword(s):  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Geriatric Depression ◽  
Third Age ◽  
Symptoms Of Depression ◽  
Paired Samples ◽  
The Difference ◽  
Sports Activities ◽  
Training Protocol

Line dancing is one of the most practiced dance styles by adults and seniors due to the ease of execution of choreography. Due to the COVID-19 pandemic prolonging the restrictions of physical and sports activities, the elderly population has been forced into increased sedentariness and social isolation, resulting in the development of symptoms of depression. The aim of this study was to investigate the effects of line dancing practice on the mental state of late second- and third-age dancers. The sample consisted of 14 Italian female dancers with an average age of 65 years old. The Geriatric Depression Scale was used to verify whether 3 months of LD classes were able to produce improvements. Paired Samples T-Test and effect size were performed to test the difference between pre- and post-training protocol. The result was statistically significant (p < 0.05). Dancers improved their state of depression; in particular, they felt a better satisfaction in their life (d = 0.6), a greater interest in activities (d = 1), less boredom (d = 0.8), a good mood most of the time (d = 0.8), greater happiness throughout the day (d = 0.7), and the perception of a wonderful life (d = 0.5). Line dancing has proven to be an effective physical activity for improving the state of depression in late second- and third-age dancers.

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