Gastroenteritis in older people living in the community: results of two Australian surveys

2012 ◽  
Vol 140 (11) ◽  
pp. 2028-2036 ◽  
Author(s):  
M. D. KIRK ◽  
G. V. HALL ◽  
N. BECKER
Keyword(s):  
Food Safety ◽  
Confidence Interval ◽  
Older People ◽  
Elderly People ◽  
Odds Ratio ◽  
Multivariable Analysis ◽  
The Elderly ◽  
The State ◽  
National Surveys

SUMMARYWe analysed two large national surveys conducted in 2001 and 2008 to examine incidence and outcomes of gastroenteritis in older Australians. A case was someone reporting ⩾3 loose stools or ⩾1 episode of vomiting in 24 h, excluding non-infectious causes. We compared cases arising in the elderly (⩾65 years) and in other adults (20–64 years). Elderly people experienced 0·33 [95% confidence interval (CI) 0·24–0·42] episodes of gastroenteritis/person per year, compared to 0·95 (95% CI 0·74–1·15) in other adults. Elderly cases reported less stomach cramps, fever and myalgia than younger cases, and were more likely to be hospitalized, although this was not statistically significant. In multivariable analysis, gastroenteritis in elderly people was associated with travelling within the state (odds ratio 1·35, 95% CI 1·07–1·71). Elderly people were less concerned about food safety than other adults. Older Australians were less likely to report gastroenteritis and experienced different symptoms and outcomes from other adults.

Primary Uterine Cancer in Maryland: Impact of Distance on Access to Surgical Care at High-Volume Hospitals

2013 ◽  
Vol 23 (7) ◽  
pp. 1244-1251 ◽  
Author(s):  
Camille C. Gunderson ◽  
Ana I. Tergas ◽  
Aimee C. Fleury ◽  
Teresa P. Diaz-Montes ◽  
Robert L. Giuntoli
Keyword(s):  
Confidence Interval ◽  
Odds Ratio ◽  
Uterine Cancer ◽  
Multivariable Analysis ◽  
Community Setting ◽  
Surgical Care ◽  
High Volume ◽  
High Volume Hospital ◽  
To Receive ◽  
Zip Code

ObjectiveTo evaluate the influence of distance on access to high-volume surgical treatment for patients with uterine cancer in Maryland.MethodsThe Maryland Health Services Cost Review Commission database was retrospectively searched to identify primary uterine cancer surgical cases from 1994 to 2010. Race, type of insurance, year of surgery, community setting, and both surgeon and hospital volume were collected. Geographical coordinates of hospital and patient’s zip code were used to calculate primary independent outcomes of distance traveled and distance from nearest high-volume hospital (HVH). Logistic regression was used to calculate odds ratios and confidence intervals.ResultsFrom 1994 to 2010, 8529 women underwent primary surgical management of uterine cancer in Maryland. Multivariable analysis demonstrated white race, rural residence, surgery by a high-volume surgeon and surgery from 2003 to 2010 to be associated with both travel 50 miles or more to the treating hospital and residence 50 miles or more from the nearest HVH (allP< 0.05). Patients who travel 50 miles or more to the treating hospital are more likely to have surgery at a HVH (odds ratio, 6.03; 95% confidence interval, 4.67–7.79) In contrast, patients, who reside ≥50 miles from a HVH, are less likely to have their surgery at an HVH. (odds ratio, 0.37; 95% confidence interval, 0.32–0.42).ConclusionIn Maryland, 50 miles or more from residence to the nearest HVH is a barrier to high-volume care. However, patients who travel 50 miles or more seem to do so to receive care by a high-volume surgeon at an HVH. In Maryland, Nonwhites are more likely to live closer to an HVH and more likely to use these services.

scholarly journals The Determining Factors of Elderly People to Continue their Work Activities in Palembang

2019 ◽  
Vol 8 (4) ◽  
pp. 2008-2014
Keyword(s):  
Social Security ◽  
Elderly People ◽  
Odds Ratio ◽  
Elderly Population ◽  
Tertiary Education ◽  
The Elderly ◽  
Work Activities ◽  
Social Security Program ◽  
Security Education ◽  
Education And Health

This research study focuses on the determination factors of elderly that still continue their work activities in the city of Palembang. The purpose of this study is to find out how the influence of Social Security, Education and Health on the decision of the elderly people to continue their work activities in Palembang. The method of data analysis in this study uses the binary logistic regression method in which all variables (independent and dependent) use 2 categories (binary). The results of the estimated data, it is known that the variable Social Security, Education and Health has a significant influence on the decision of the elderly people to continue their work activities in Palembang. Odds Ratio value of 0.046 means that the elderly population who have an elderly social security program have a probability of choosing not to work by 0.046 times when compared to the elderly population who does not have an elderly social security program. Odds Ratio value of 12.298 means that the elderly population completing tertiary education has a probability of choosing to continue working 12.298 times compared to the elderly population completing primary and secondary education. Odds Ratio value of 20.153 means that the elderly population who goes to the doctor/clinic for treatment at least once per 3 months has a chance of continuing to work 20,153 times compared to the elderly population who goes to the doctor/clinic for treatment more than once every 3 months. Nagelkerke's R-Square value is 0.524. This implies that 52.4% of the variation in the independent variable can explain the dependent variable, while the remaining 47.6% is explained by non-model factors or by other variables not examined.

scholarly journals Bioethics and the Employment of Elderly People in the State of Hidalgo

2021 ◽  
Vol 2 (4) ◽  
pp. 1-9
Author(s):  
Silvia Lizbeth Aguilar ◽  
Sonia Bass-Zavala
Keyword(s):  
Elderly People ◽  
Current Issue ◽  
Demographic History ◽  
The Elderly ◽  
The State ◽  
Health Needs ◽  
Ageing Population ◽  
Basic Health ◽  
Economic Decisions ◽  
A Current

A current issue of relevance for Mexico is the aging of the population, its demographic history has been strongly related directly to political and economic decisions. The ageing population faces significant income-generating challenges, which are essential to meeting its basic health needs, which are increasing considerably. For what is transcendental to characterize as precarious labour has permeated the elderly of the State of Hidalgo, on the basis of the integration of socio-demographic and economic indicators that allow the exploration of the conditions in which this segment of the population finds itself, which is growing every day and serves as an instrument for the generation of public policies.

Inclusive Design: An Approach to Adapt Homes for the Elderly

2021 ◽  
Vol 15 (5) ◽  
pp. 1599-1603
Author(s):  
Hossein Fallah ◽  
Jalil Nazari ◽  
Alireza Choobineh ◽  
Mohammad Ali Morowatisharifabad ◽  
Mohamad Asghari Jafarabadi
Keyword(s):  
Older People ◽  
Elderly People ◽  
The Elderly ◽  
Inclusive Design ◽  
World Population ◽  
Disabled People ◽  
Homes For The Elderly ◽  
The World ◽  
The Disabled ◽  
Current Design

The aging trend of the world population has increased the number of elderly people. Older people prefer to spend most of their time at home. The problem is that today's homes are often unsuitable for the elderly and the disabled. Thus, problems of the current design approaches, which are based on percentiles as well as the tendency to involve the elderly and disabled people in society, have put the concept of inclusive design into consideration. Application of new design approaches, such as inclusive design allows designers to design products and services to meet the needs of a larger group of users regardless of their age and ability. Given the rapid aging of the world population, more research is needed to design specific products and environments for elderly people. Keywords: Home design, Aging, Ergonomics, Adaptation

scholarly journals Comparing Telephone Counseling With Reminding to Promote On-Time Repeated Mammography: A Randomized Trial in a Cohort With 4 Years Follow-Up

2019 ◽  
Vol 47 (1) ◽  
pp. 37-46
Author(s):  
Mary E. Costanza ◽  
Roger Luckmann ◽  
Christine Frisard ◽  
Mary Jo White ◽  
Caroline Cranos
Keyword(s):  
Confidence Interval ◽  
Randomized Trial ◽  
Odds Ratio ◽  
Multivariable Analysis ◽  
Telephone Counseling ◽  
Long Term Effects ◽  
Time Points ◽  
Reminder Call ◽  
Screening Mammograms

Background. Long-term continuous adherence to biennial screening mammograms as guidelines recommend remains low. Limited evidence suggests that reminder calls may increase short-term adherence as much as telephone counseling, but research is needed comparing the long-term effects of these two approaches. Purpose. To compare the impacts of two telephone outreach interventions and mailed reminders on 4-year continuous mammography adherence. Method. A cohort of 3,215 women, age 50 to 81 years, was selected from 30,160 women from a 4-year randomized trial of three interventions to promote biennial mammography: reminder letter only (LO), letter plus reminder call (RC), and two letters plus educational material and a counseling call (CC). Women selected remained eligible for the trial all 4 years and received annual interventions as needed. The proportion with a mammogram in the last 24 months was determined at baseline and four annual time points. Results. Continuous adherence at all four time points was higher in the RC (78.8%) and CC arms (78.8%) than in the LO arm (75.1%; p < .001). Multivariable analysis confirmed this finding: CC (odds ratio = 1.27; 95% confidence interval = [1.01, 1.61]) and RC (odds ratio = 1.23; 95% confidence interval = [0.98, 1.56]). Only 27.8% of women eligible for an initial counseling call actually received counseling. Conclusions. Compared with letters alone, outreach calls can modestly increase continuous mammography adherence among insured women with consistent primary care. Telephone counseling was no more effective than a reminder call, possibly due to limited acceptance of counseling calls by women who may find them unwelcome or unnecessary.

scholarly journals Should the family or the state provide support for the elderly people? Findings from a two-generational Finnish study

2019 ◽  
Vol 39 (1/2) ◽  
pp. 138-155 ◽  
Author(s):  
Antti O. Tanskanen ◽  
Johanna Kallio ◽  
Mirkka Danielsbacka
Keyword(s):  
Older Adults ◽  
Elderly People ◽  
Elderly Care ◽  
The Elderly ◽  
The State ◽  
Younger Adults ◽  
Content Type ◽  
Public Opinions ◽  
The Family ◽  
Nationally Representative

Purpose The purpose of this paper is to investigate public opinions towards elderly care. The authors analysed respondents’ opinions towards financial support, practical help and care for elderly people. Design/methodology/approach The authors used nationally representative data collected in Finland in 2012. Respondents represent an older generation (born between 1945 and 1950, n=1,959) and their adult children (born between 1962 and 1993, n=1,652). Findings First, the authors compared the opinions of older and younger Finns but did not find that older adults were more likely than younger adults support the state responsibility, or vice versa. It was also when only actual parent-child dyads (n=779) from same families were included. Next, the authors found that several socioeconomic and family-related variables were associated with public opinions of elderly care in both generations. For instance, in both generations lower-income individuals supported the state’s responsibility more compared to their better-off counterparts. Originality/value The study provides important knowledge on attitudes towards elderly care using unique two-generational data of younger and older adults.

Clinical and socio-economic predictors of work participation in adult CHD patients

2020 ◽  
Vol 30 (8) ◽  
pp. 1081-1085
Author(s):  
Lauren A. Sarno ◽  
Lindsay Cortright ◽  
Tiara Stanley ◽  
Dmitry Tumin ◽  
Jennifer S. Li ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Odds Ratio ◽  
Employment Status ◽  
Heart Defects ◽  
Multivariable Analysis ◽  
Population Based ◽  
Work Participation ◽  
Surveillance Network ◽  
The North ◽  
Economic Predictors

AbstractBackground:Adults with CHD have reduced work participation rates compared to adults without CHD. We aimed to quantify employment rate among adult CHD patients in a population-based registry and to describe factors and barriers associated with work participation.Methods:We retrospectively identified adults with employment information in the North Carolina Congenital Heart Defects Surveillance Network. Employment was defined as any paid work in a given year. Logistic regression was used to examine patients’ employment status during each year.Results:The registry included 1,208 adult CHD patients with a health care encounter between 2009 and 2013, of whom 1,078 had ≥1 year of data with known employment status. Overall, 401 patients (37%) were employed in their most recent registry year. On multivariable analysis, the odds of employment decreased with older age and were lower for Black as compared to White patients (odds ratio = 0.78; 95% confidence interval: 0.62, 0.98; p = 0.030), and single as compared to married patients (odds ratio = 0.50; 95% confidence interval: 0.39, 0.63; p < 0.001).Conclusion:In a registry where employment status was routinely captured, only 37% of adult CHD patients aged 18–64 years were employed, with older patients, Black patients, and single patients being less likely to be employed. Further work is needed to consider how enhancing cardiology follow-up for adults with CHD can integrate support for employment.

Feasibility of Using Natural Rubber (NR) Latex Foam as a Soft Robotic Finger: Role of Foaming Agent in Morphology and Dynamic Properties of NR Latex Foam

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Sunanta Chuayprakong ◽  
Jiraphat Chuchat ◽  
Thorranin Poruksa ◽  
Michelina Soccio
Keyword(s):  
Older People ◽  
Natural Rubber ◽  
Elderly People ◽  
Dynamic Properties ◽  
The Elderly ◽  
Muscle Loss ◽  
Ageing Society ◽  
Foaming Agent

Sarcopenia caused by ageing and muscle loss is mostly found in the elderly people. Since a number of older people have been increased, a device which assists with grasping can play an important role in an ageing society. The purpose of this research is to select the material which is potentially a part of soft robotic actuator. Natural rubber (NR) latex produced locally in Thailand is intentionally chosen and chemically vulcanized by using a conventional vulcanization system into a molded fingered foam. The research focuses on varying the amount of foaming agent (Benzene sulfonyl hydrazide, BSH). Effect of foaming agent quantity on morphology and dynamic properties of the prepared natural rubber foam was elucidated. The suitable foam formula is selected and molded as the human fingers in the structure of a potential soft robotic actuator which were tested for the movement.

scholarly journals The Fears of Elderly People in the Process of Purchasing Food Products

2020 ◽  
Vol 20 (2) ◽  
pp. 298-313
Author(s):  
Magdalena Olejniczak ◽  
Tomasz Olejniczak
Keyword(s):  
Older People ◽  
Elderly People ◽  
Research Methodology ◽  
Important Implication ◽  
Food Products ◽  
The Elderly ◽  
Selection Method ◽  
Quality Requirements ◽  
Research Results ◽  
Elderly Consumers

Abstract Research background: The growing segment of elderly consumers implies the need to permanently explore the needs and expectations of older people in relation to the offer of food products. This is because, as the research results show, the households of the elderly are characterized by the different fulfillment of needs compared to others. Purpose: The survey conducted among people over 60 in 2019 was aimed at determining the selected concerns of senior consumers related to the safety of food products. Research methodology: The research among people over 60 years of age was conducted in the Wielkopolska region (of Poland) in 2019 on a sample of 373 people. The respondents were selected using the quota selection method. Results: The vast majority of seniors point to a variety of concerns about the safety of food products. This is surprising, as the respondents equally often emphasize that food in Poland is safe. Novelty: The observations are an important implication for producers or commercial agents – their task is to prepare messages to confirm that the food products offered meet the quality requirements. The process of educating older people can be made difficult – primarily through their well-established (over the years) nutritional practices related to the purchase and consumption of those products that are essential for life.

scholarly journals Tolerance for uncertainty in elderly people

2020 ◽  
Vol 5 (1) ◽  
pp. 20-27
Author(s):  
Khrystyna Kachmaryk ◽  
Sophia Grabovska ◽  
Kateryna Ostrovska ◽  
Viktor Syniev
Keyword(s):  
Decision Making ◽  
Social Interaction ◽  
Older People ◽  
Elderly People ◽  
The Elderly ◽  
Control Group ◽  
Third Age ◽  
The Third ◽  
Tolerance Of Uncertainty ◽  
The University

The aim of the study. The aim of the paper is a comparison of tolerance to uncertainty in two groups of elderly: the students of the University of the Third Age (UTA) and older people who are not enrolled but help to educate grandchildren. A relation to uncertainty was shown to infl uence on decision making strategy of elderly that indicates on importance of the researches. Methods. To obtain the objectives of the paper the following methods were used: 1) Personal change readiness survey (PCRS) adapted by Nickolay Bazhanov and Galina Bardiyer; 2) Tolerance Ambiguity Scale (TAS) adapted by Galina Soldatova; 3) Freiburg personality inventory (FPI) and 4) The questionnaire of self-relation by Vladimir Stolin and Sergej Panteleev. 40 socially involved elderly people were investigated according the above methods, 20 from UTA and 20 who are not studied and served as control group. Results. It was shown that relations of tolerance to uncertainty in the study group of students of the University of the Third Age substantially differ from relations of tolerance to uncertainty in group of older people who do not learn. The majority of students of the University of the Third Age have an inherent low tolerance for uncertainty, which is associated with an increase in expression personality traits and characteristics in self-relation. The group of the elderly who are not enrolled increasingly shows tolerance of uncertainty, focusing on  the social and trusting relationship to meet the needs of communication, and the ability to manage their own emotions and desires than a group of Third Age university students. Conclusions. The results of experimental research of the third age university student’s peculiarities of the tolerance to uncertainty were outlined. It was found that decision making in the ambiguity situations concerning social interaction is well developed in elderly who do not study. The students of the University of Third Age have greater needs in conversation, social interaction than the control group and should learn to make decisionin ambiguity or uncertainty situations.

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