Disability and contact with services in very elderly people

2000 ◽  
Vol 10 (3) ◽  
pp. 291-309 ◽  
Author(s):  
Tom Dening ◽  
Rhian Gabe

IntroductionAcross the world, population structures are changing, with particularly rapid growth in the numbers of very old people. For example, in the USA, the number of people aged 85 or over is now around 4.6 million, having grown at nearly 4% per annum since 1980.1 It appears that human longevity has been increasing gradually over many years, with centenarians only appearing as a relatively recent phenomenon about 1800,2 the age of 110 being reached in the mid-20th century and 115 only by 1990. There is no sign of this extension of longevity slowing down towards a presumed biological maximum. In addition to the increase in the maximum age, there is a decrease in mortality rates in almost all age groups, and there has been a considerable rise in the chances of surviving from age 60 to 80 over the last century, which will further increase the numbers of very old people. Furthermore, the death rate in England and Wales for people aged 85 or over has decreased throughout the twentieth century.3

2021 ◽  
Author(s):  
Peter Bauer ◽  
Jonas Brugger ◽  
Franz König ◽  
Martin Posch

SummaryCOVID-19 mortality, the number of reported COVID-19 deaths per 100,000 persons observed so far, is described in 15 European countries and the USA depending on age groups and sex for the full year 2020. It is contrasted to the corresponding historic all-cause mortality per year depending on age and sex observed in these countries. Although there are substantial differences in the age and sex dependency of COVID-19 mortality between countries, there are some common features: Exponential increase with age is a good model to describe and analyse both COVID-19 and all-cause mortality above an age of 40 years, where almost all COVID-19 death occur. Age dependency is stronger for COVID-19 mortality than for all-cause mortality, males have an excess risk compared to women which flattens off with increasing age. Also with regard to calendar time, there were differences in the age and sex dependency between countries with the common tendency that male excess risk of COVID-19 mortality was smaller in the second half of the year.


GeroPsych ◽  
2021 ◽  
Author(s):  
Clara De Paula Couto ◽  
Ronja Ostermeier ◽  
Klaus Rothermund

Abstract. We examined the domain-specific views of young and old people held by young (18–30 years, n = 278) and older adults (60–85 years, n = 289) in Germany, the USA, and India. Views about old and young people differed between life domains but were mostly similar across age groups and countries. Older adults in the USA and Germany – but not in India – held slightly less negative views about old people than did young people in some domains, possibly indicating a projection of better-than-expected own aging experiences of older adults into their in-group stereotypes in Western countries. The findings of our study can be explained by socialization processes, supporting mostly a developmental perspective regarding the acquisition and endorsement of age stereotypes.


1990 ◽  
Vol 34 (1) ◽  
pp. 97-105
Author(s):  
Robert Zimmermann

AbstractWe are witnessing a dramatic increase of the percentage of old people in our population- this is what we call the aging of society. The basic question involved in this matter concerns the relationship of the different age groups to each other. What kind of solidarity is demanded from the younger generation and to what extent are they willing to provide it? Many old people, especially the very old ones, have to rely upon help from others for Ionger periods of time. To give them support may be a tough job with only little reward. The people involved are often unable to cope with the situation and it is not uncommon that mutual violence occurs. A prerequisite for real help and support is human attention and a conscious affirmation of life even if it is a dependent one in its last phase. In Switzerland -like in other countries- we only have homes and therapeutical institutions for long-term patients, but not enough people who are really willing to provide true care and counsel. It is necessary to accept that others are individuals and to be aware of alle the facets of life.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Peter Bauer ◽  
Jonas Brugger ◽  
Franz König ◽  
Martin Posch

AbstractThe number of reported coronavirus disease (COVID-19) deaths per 100,000 persons observed so far in 2020 is described in 15 European countries and the USA as dependent on age groups and sex. It is compared with the corresponding historic all-cause mortality per year depending on age and sex observed in these countries. Some common features exist although substantial differences in age and sex dependency of COVID-19 mortality were noted between countries. An exponential increase with age is a good model to describe and analyze both COVID-19 and all-cause mortality above 40 years old, where almost all COVID-19 deaths occur. Moreover, age dependency is stronger for COVID-19 mortality than for all-cause mortality, and males have an excess risk compared with women, which is less pronounced in the higher age groups. Additionally, concerning calendar time, differences in the age and sex dependency between countries were noted with the common tendency that male excess risk for COVID-19 mortality was smaller in the second half of the year.


Author(s):  
Claes von Hofsten ◽  
Katarina Johansson
Keyword(s):  

Abstract. Hand adjustments of 6- and 10-month-old infants and adults were studied as they reach to grasp a rotating rod. It was found that the subjects in all three age groups adjusted the hand prospectively to the rotating rod during the approach of it. They also adjusted the reaches to the rotating rod in such a way that almost all of the grasps were overhand ones as predicted by the endpoint comfort hypothesis. Finally, it was found that the rotation of the hand was made up of movement units as translational movements are, and that the approach units were relatively independent of the rotational ones.


2017 ◽  
Vol 3 (3) ◽  
pp. 328-333
Author(s):  
Safia Mehmood ◽  
Sheema Zia ◽  
Nida Aziz ◽  
Omama Sajid

The AIDS is one of the most complicated health problems of the 21st century and it threatens the world population. AIDS spread at an alarming rate. This was a descriptive study to determine the knowledge, awareness, and practice about HIV among different age groups. The study carried out in Karachi, Pakistan during the period of January 2016-april 2016, in which 82 peoples are participated; 65 peoples having age in between 18-30, people’s lies in 31-40 years, while only 4 peoples having age above 40. From which 91% peoples thought HIV is dangerous virus and 51% peoples having misconception that it cause AIDS on initial stage and does not have any effect on CD4+. Majority of peoples aware about transmission of AIDS through intercourse, and during pregnancy. But the study show the high level of misbelieve also in mode of transmission that HIV transmit through sweat, saliva etc. Majority of the peoples have knowledge that HIV-1 is the most common type found worldwide. Also large number of peoples have knowledge that HIV weak immune system by destroying CD4+ and require long exposure to progress AIDS. Less than 15% of peoples strongly agree that AIDS is common in women. This misconception reflex the lack of knowledge and awareness in the HIV transmission and gender relation. Also majority of peoples thought that lack of knowledge is major barrier in the proper cure of disease. So increasing knowledge by awareness programs; sexual prevention; by starting national testing resources and curing poverty will cured AIDS in Pakistan. Newly drugs are introduced which can stop the progression of AIDS.


Author(s):  
Christina Oetzmann von Sochaczewski ◽  
Jan Gödeke

Abstract Purpose Collective evidence from single-centre studies suggests an increasing incidence of pilonidal sinus disease in the last decades, but population-based data is scarce. Methods We analysed administrative case–based principal diagnoses of pilonidal sinus disease and its surgical therapy between 2005 and 2017 in inpatients. Changes were addressed via linear regression. Results The mean rate of inpatient episodes of pilonidal sinus disease per 100,000 men increased from 43 in 2005 to 56 in 2017. In females, the mean rate of inpatient episodes per 100,000 women rose from 14 in 2005 to 18 in 2017. In the whole population, for every case per 100,000 females, there were 3.1 cases per 100,000 males, but the numbers were highly variable between the age groups. There was considerable regional variation within Germany. Rates of inpatient episodes of pilonidal sinus disease were increasing in almost all age groups and both sexes by almost a third. Surgery was dominated by excision of pilonidal sinus without reconstructive procedures, such as flaps, whose share was around 13% of all procedures, despite recommendations of the national guidelines to prefer flap procedures. Conclusion Rates of inpatient episodes of pilonidal sinus disease in Germany rose across almost all age groups and both sexes with relevant regional variation. The underlying causative factors are unknown. Thus, patient-centred research is necessary to explore them. This should also take cases into account that are solely treated office-based in order to obtain a full-spectrum view of pilonidal sinus disease incidence rates.


Vaccines ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 152
Author(s):  
Beatrice Zanella ◽  
Angela Bechini ◽  
Benedetta Bonito ◽  
Marco Del Riccio ◽  
Alessandra Ninci ◽  
...  

Background: Varicella is a well-known infectious disease that can have severe complications, also in young children. The Universal Varicella Vaccination (UVV) program was introduced in Tuscany (Italy) in 2003, with a two-dose vaccine schedule given to children between their 13th and 15th month, and at 5–6 years old, as a monovalent for varicella (V) or tetravalent (measles, mumps, rubella and varicella (MMRV)) formulation. Although varicella notifications have dramatically fallen in the last two decades, varicella disease underreporting remains a challenge. Methods: A qualitative immunoenzymatic test (ELISA) was used to measure the presence of anti-varicella antibodies in 165 sera of subjects aged 1–18 years residing in the province of Florence (Italy). Information regarding the anamnestic and vaccination status (including disease notification) was also collected. Results: Our study showed an overall varicella seropositivity of 75.8% (reaching the maximum at 96.3% in the 15–18 years age group). We found that varicella disease notification had been recorded for only 7/165 subjects; however, since 42/165 recalled having had the disease, we can hypothesize that some of them must have been underreported. Furthermore, our study showed that the presence of antibodies after the varicella vaccination remained over time, lasting up to 12 years. Conclusions: Although varicella seroprevalence is <95% in almost all our age groups (except for the 15–18 years age group), our data are encouraging and reflect the success of the introduction of the UVV program and the vaccination campaigns promoted in the Tuscany region.


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