Neurological diseases, epidemiology, and public health

2021 ◽  
pp. 143-162
Author(s):  
Walter A. Kukull ◽  
Kumeren Govender ◽  
James Bowen
Keyword(s):  
Public Health ◽  
Young Adulthood ◽  
Chronic Traumatic Encephalopathy ◽  
Neurological Diseases ◽  
Age Groups ◽  
Later Life ◽  
Older Individuals ◽  
Economic Productivity ◽  
Diagnostic Potential ◽  
Lost Productivity

This chapter presents information for selected neurological conditions by referring to current or classic research papers. Conditions such as headache especially migraines have substantial public health impact because of the high prevalence, age groups affected, the associated lost economic productivity and the increase in disability-adjusted life years. Multiple sclerosis, a relatively common neurological disease, can affect individuals in young adulthood, decrease their productivity, and ultimately make them dependent on others. Traumatic brain injury occurring in youth or young adulthood can cause years of extra medical care in addition to lost productivity among those who survive the immediate event; in addition, repetitive trauma may cause chronic traumatic encephalopathy leading to dementia in later life. Epilepsy may have onset throughout one’s life course. While most causes are unknown, some may result from trauma or may be caused by specific genes, among other causes. While there are intractable forms of epilepsy, great strides have been made in preventing and managing seizures enabling patients to lead relatively full and normal lives. Neurodegenerative diseases, such as Parkinson’s disease and Alzheimer’s disease, are now acknowledged to begin 10–30 years prior to symptom onset. This will influence how risk factor studies are conducted and interpreted, which may offer earlier diagnostic potential. Effective treatments for the resulting clinical dementias that reduce productivity, functional ability, and independence from older individuals have not yet been realized. Without question, neurological diseases have substantial public health as well as grave personal impact.

scholarly journals (Non-)Stereotypical representations of older people in Swedish authority-managed social media

2020 ◽  
pp. 1-22
Author(s):  
Wenqian Xu
Keyword(s):  
Social Media ◽  
Older People ◽  
Age Groups ◽  
Later Life ◽  
Media Representations ◽  
Media Content ◽  
Older Individuals ◽  
Care Needs ◽  
Local Authorities ◽  
Negative Stereotypes

Abstract Social media facilitates the sharing of ideas, thoughts and information about older people and later life through online networks and communities in contemporary society. Social media content about older people has become important for understanding media representations of older people, but it has not been sufficiently studied. Recent studies suggest that older people are predominantly represented as a disempowered, vulnerable and homogeneous group on social media sites, such as Facebook and Twitter. Because local authorities in many countries have begun using Facebook to reach out to and interact with citizens, they are seen as a significant producer of media content about older people and later life. The purpose of this study is to examine the ways in which Swedish local authorities have visually portrayed older people in their use of Facebook compared with other age groups. This research performed a visual content analysis of 1,000 Facebook posts posted by 33 Swedish local authorities, employing ten analytical aspects to describe and interpret the signs, activities and contexts associated with older people and other age groups (infants, children, adolescents and adults). The study found that the representations of older people on the Facebook pages of local authorities appeared to be not very diverse; specifically, older people (including those in residential care homes) were mainly portrayed as remaining socially engaged and moderately physically capable. This media representation destabilised the prevalent negative stereotypes of older people as being out of touch and dependent; however, it collided with the reality of older individuals with care needs. Additionally, this study argues that older people are represented as inferior to the young in terms of physical and technological competence, based on the connotations of the signs. Given that local authorities have progressively incorporated social media into their daily work, it is expected that this study will contribute to a greater understanding of the ways in which local authorities produce (non-)stereotypical representations of older people on social media.

Examining the Feasibility of Supine-to-Stand as a Measure of Functional Motor Competence

2018 ◽  
Vol 6 (2) ◽  
pp. 267-286 ◽  
Author(s):  
Danielle Nesbitt ◽  
Sergio Molina ◽  
Ryan Sacko ◽  
Leah E. Robinson ◽  
Ali Brian ◽  
...  
Keyword(s):  
Young Adulthood ◽  
Age Groups ◽  
Later Life ◽  
Standing Position ◽  
Motor Competence ◽  
Cross Sectional ◽  
Standing Long Jump ◽  
Long Jump ◽  
Screen Approach ◽  
Product Measures

A person’s ability to rise from the floor to a standing position is seen as a precursor for establishing and maintaining bipedal independence. It also is an important primer for the development of other fundamental movement skills and is associated with functional capacity in later life. Thus, the potential importance of developing this movement capability early in life and understanding how it may relate to global function (i.e., motor competence [MC]) across the lifespan may be underestimated. Therefore, this study examined the validity of supine-to-stand test (STS) as a developmental measure of functional MC across childhood into young adulthood using a pre-longitudinal screen approach and examining associations between movement components. STS time also provided a secondary measure of developmental validity in addition to an examination of the concurrent validity of STS against developmentally valid measures of MC (i.e., throwing, kicking, hopping, and standing long jump) in these age groups. Overall, results indicated that cross-sectional data “curves” for the STS components generally fit Roberton’s hypothetical model curves. STS time demonstrated weak to moderate (r = −.28 to −.64) correlations to MC product measures across all age groups indicating that STS time can be considered a valid and reliable measure of MC across childhood into young adulthood.

scholarly journals Modelling the impact of age-stratified public health measures on SARS-CoV-2 transmission in Canada

2021 ◽  
Vol 8 (11) ◽  
Author(s):  
Vanessa Gabriele-Rivet ◽  
Kelsey L. Spence ◽  
Nicholas H. Ogden ◽  
Aamir Fazil ◽  
Patricia Turgeon ◽  
...  
Keyword(s):  
Public Health ◽  
Vulnerable Populations ◽  
Age Groups ◽  
Older Individuals ◽  
Agent Based Model ◽  
Agent Based ◽  
Avoidable Deaths ◽  
Health Measures ◽  
Large Numbers ◽  
The Impact

Public health measures applied exclusively within vulnerable populations have been suggested as an alternative to community-wide interventions to mitigate SARS-CoV-2 transmission. With the population demography and healthcare capacity of Canada as an example, a stochastic age-stratified agent-based model was used to explore the progression of the COVID-19 epidemic under three intervention scenarios (infection-preventing vaccination, illness-preventing vaccination and shielding) in individuals above three age thresholds (greater than or equal to 45, 55 and 65 years) while lifting shutdowns and physical distancing in the community. Compared with a scenario with sustained community-wide measures, all age-stratified intervention scenarios resulted in a substantial epidemic resurgence, with hospital and ICU bed usage exceeding healthcare capacities even at the lowest age threshold. Individuals under the age threshold were severely impacted by the implementation of all age-stratified interventions, with large numbers of avoidable deaths. Among all explored scenarios, shielding older individuals led to the most detrimental outcomes (hospitalizations, ICU admissions and mortality) for all ages, including the targeted population. This study suggests that, in the absence of community-wide measures, implementing interventions exclusively within vulnerable age groups could result in unmanageable levels of infections, with serious outcomes within the population. Caution is therefore warranted regarding early relaxation of community-wide restrictions.

Aging Without Children: The Link between Parental Status and Tangible Support

2021 ◽  
pp. 0192513X2199320
Author(s):  
Agnete Aslaug Kjær ◽  
Anu Siren
Keyword(s):  
Later Life ◽  
Policy Implications ◽  
Living Alone ◽  
Parental Status ◽  
Older Individuals ◽  
Care And Support ◽  
Major Disadvantage ◽  
Potential Resource ◽  
Tangible Support ◽  
Negative Link

Having children is a potential resource for care and support in later life. However, whether and, if so, under what conditions, childless older individuals risk insufficient support remains unclear. Using the Danish Longitudinal Study of Ageing (2017), restricted to respondents aged 67 years to 97 years ( n = 5,006), our study analyzes the link between availability of tangible support and parental status in a Nordic welfare state. Our results confirm a negative link between childlessness and support mainly among unpartnered individuals. This combined disadvantage is stronger among men than among women, and the support gap intensifies with increased health needs. Taken together, although childlessness in itself is no major disadvantage for support in late life, childless men living alone risk insufficient support, particularly when in poor health. Our findings have important policy implications for future cohorts of older individuals, who will have less access to support from either a spouse or children.

scholarly journals Lockdowns, lives and livelihoods: the impact of COVID-19 and public health responses to conflict affected populations - a remote qualitative study in Baidoa and Mogadishu, Somalia

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Dorien H. Braam ◽  
Sharath Srinivasan ◽  
Luke Church ◽  
Zakaria Sheikh ◽  
Freya L. Jephcott ◽  
...  
Keyword(s):  
Public Health ◽  
Qualitative Study ◽  
Narrative Analysis ◽  
Grey Literature ◽  
Age Groups ◽  
Research Approach ◽  
Structured Interviews ◽  
Or Education ◽  
Public Health Response ◽  
The Impact

Abstract Background Authorities in Somalia responded with drastic measures after the first confirmed COVID-19 case in mid-March 2020, closing borders, schools, limiting travel and prohibiting most group functions. However, the impact of the pandemic in Somalia thereafter remained unclear. This study employs a novel remote qualitative research method in a conflict-affected setting to look at how some of the most at-risk internally displaced and host populations were impacted by COVID-19, what determined their responses, and how this affected their health and socio-economic vulnerability. Methods We conducted a remote qualitative study, using Katikati, a 1-to-1 conversation management and analysis platform using short message service (SMS) developed by Lark Systems with Africa’s Voices Foundation (AVF), for semi-structured interviews over three months with participants in Mogadishu and Baidoa. We recruited a gender balanced cohort across age groups, and used an analytical framework on the social determinants of health for a narrative analysis on major themes discussed, triangulating data with existing peer-reviewed and grey literature. Results The remote research approach demonstrated efficacy in sustaining trusted and meaningful conversations for gathering qualitative data from hard-to-reach conflict-affected communities. The major themes discussed by the 35 participants included health, livelihoods and education. Two participants contracted the disease, while others reported family or community members affected by COVID-19. Almost all participants faced a loss of income and/or education, primarily as a result of the strict public health measures. Some of those who were heavily affected economically but did not directly experienced disease, denied the pandemic. Religion played an important role in participants’ beliefs in protection against and salvation from the disease. As lockdowns were lifted in August 2020, many believed the pandemic to be over. Conclusions While the official COVID-19 burden has remained relatively low in Somalia, the impact to people’s daily lives, income and livelihoods due to public health responses, has been significant. Participants describe those ‘secondary’ outcomes as the main impact of the pandemic, serving as a stark reminder of the need to broaden the public health response beyond disease prevention to include social and economic interventions to decrease people’s vulnerability to future shocks.

scholarly journals Parasitic fauna of Eurasian beavers (Castor fiber) in Sweden (1997–1998)

2021 ◽  
Vol 63 (1) ◽  
Author(s):  
Per-Arne Åhlen ◽  
Göran Sjöberg ◽  
Margareta Stéen
Keyword(s):  
Age Groups ◽  
Ecological Factors ◽  
Parasite Fauna ◽  
Castor Fiber ◽  
Older Individuals ◽  
Parasitic Fauna ◽  
Eurasian Beaver ◽  
Norwegian Population ◽  
Stichorchis Subtriquetrus ◽  
One Year

Abstract Background The parasitic fauna of beavers (Castor fiber and C. canadensis) has been well studied in many parts of their respective areas of distribution. In Scandinavia there have, however, been limited investigations conducted on the parasites of beavers in recent times. The present study is the first quantitative survey of parasites on beavers living in Sweden and elsewhere in Scandinavia. We investigated the parasitic fauna of the Eurasian beaver (C. fiber) in a North–South gradient in Sweden. The aim of the study was to investigate parasite distribution and prevalence in particular, related to average yearly air temperature and different age groups of beavers. A total of 30 beavers were sampled at eight localities, spanning a 720 km North–South gradient during the springs of 1997 and 1998. Results Five parasite taxa were identified. Four of these were present in all of the examined beavers, Stichorchis subtriquetrus (trematode), Travassosius rufus (nematode), Platypsyllus castoris (coleopteran), and Schizocarpus spp. (arachnid). A higher number of new infections of S. subtriquetrus, and more adults of T. rufus, were seen in beavers in southern Sweden where temperatures are higher. One-year old beavers had a higher infestation of S. subtriquetrus, but not of T. rufus, than older individuals. Conclusions The parasite fauna of Swedish beavers mirrored the impoverished parasite fauna of the original Norwegian population, and the high prevalence of parasites could be due to low major histocompatibility complex (MHC) polymorphism. Young beavers had a higher load of trematodes, probably depending on behavioural and ecological factors. Warmer temperatures in southern localities likely contributed to increased endoparasite loads.

scholarly journals Public Interest in Neurological Diseases on Wikipedia during Coronavirus Disease (COVID-19) Pandemic

2021 ◽  
Vol 13 (1) ◽  
pp. 59-63
Author(s):  
Stela Rutovic ◽  
Ana Isabel Fumagalli ◽  
Inna Lutsenko ◽  
Francesco Corea
Keyword(s):  
Public Health ◽  
Public Policy ◽  
Public Interest ◽  
Neurological Disease ◽  
General Trend ◽  
Neurological Diseases ◽  
Information Distribution ◽  
Research Discipline ◽  
Online Encyclopedia ◽  
Source Of Information

Infodemiology is a research discipline that investigates parameters of information distribution in order to support public health and public policy. Wikipedia, a free online encyclopedia, is commonly used as a source of information for infodemiological studies. Using Pageviews analysis, we descriptively assessed the total monthly number of views of the Wikipedia articles in English describing main neurological diseases in the period from January 2018 to July 2020. Our results show a general trend of a decrease in interest in neurological disease-related pages throughout years and especially during the burst of interest towards coronavirus. The monitoring of infodemiological indicators shall be prioritized to reshape global campaigns and tailored advocacy programs.

scholarly journals Understanding diversity in later life through images of old age

2020 ◽  
pp. 1-20 ◽  
Author(s):  
Friederike Enßle ◽  
Ilse Helbrecht
Keyword(s):  
Qualitative Research ◽  
Old Age ◽  
Public Discourse ◽  
Social Groups ◽  
Later Life ◽  
Older Individuals ◽  
Starting Point ◽  
Conceptual Debate ◽  
Micro Level ◽  
Images Of Old Age

Abstract This article aims to enhance the conceptual debate on diversity in old age by exploring the interplay of diversity in later life and images of old age. We argue that the analysis of images of old age on the micro-level is a fruitful methodology in order to unravel the meaning of diversity in later life. Drawing on findings from qualitative research in Berlin, we explore how new and diverse imaginations, experiences and lifestyles of old age emerge. The conceptual focus on images of old age enables us to investigate further what diversity in later life comprises and how it simultaneously fosters the genesis of new images of old age. The manifold new images we found in our research suggest that prevalent societal discourses about old age on the macro-level are rather deceptive and represent mostly stereotypes such as ‘active agers’ or ‘frail and dependent elders’. We offer three explanations why alternative images of old age are currently barely present in public discourse: (a) the actors transmitting images of age; (b) the institutionalisation of the images; and (c) the challenge to communicate complexity. We conclude by suggesting that images of old age are a promising starting point to explore and make visible both the diversity of social groups within the older generation as well as the heterogeneity of older individuals.

scholarly journals Evaluation of vaccines against enteric infections: a clinical and public health research agenda for developing countries

2011 ◽  
Vol 366 (1579) ◽  
pp. 2799-2805 ◽  
Author(s):  
John Clemens
Keyword(s):  
Public Health ◽  
Developing Countries ◽  
Age Groups ◽  
Population Level ◽  
Vaccine Safety ◽  
Public Health Research ◽  
Protective Effects ◽  
Vaccine Protection ◽  
Enteric Infections ◽  
Research Questions

Enteric infections are a major cause of morbidity and mortality in developing countries. To date, vaccines have played a limited role in public health efforts to control enteric infections. Licensed vaccines exist for cholera and typhoid, but these vaccines are used primarily for travellers; and there are two internationally licensed vaccines for rotavirus, but they are mainly used in affluent countries. The reasons that enteric vaccines are little used in developing countries are multiple, and certainly include financial and political constraints. Also important is the need for more cogent evidence on the performance of enteric vaccines in developing country populations. A partial inventory of research questions would include: (i) does the vaccine perform well in the most relevant settings? (ii) does the vaccine perform well in all epidemiologically relevant age groups? (iii) is there adequate evidence of vaccine safety once the vaccines have been deployed in developing countries? (iv) how effective is the vaccine when given in conjunction with non-vaccine cointerventions? (v) what is the level of vaccine protection against all relevant outcomes? and (vi) what is the expected population level of vaccine protection, including both direct and herd vaccine protective effects? Provision of evidence addressing these questions will help expand the use of enteric vaccines in developing countries.

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