scholarly journals Clinical Characteristics Associated with Physical Violence in the Elderly: A Retrospective Multicenter Analysis

2022 ◽  
Author(s):  
Dong Hoon Lee ◽  
Sang Soo Han ◽  
Duk Ho Kim ◽  
Eui Chung Kim ◽  
Eun Hae Lee ◽  
...  
Keyword(s):  
Elder Abuse ◽  
Physical Violence ◽  
Traumatic Injury ◽  
Age Groups ◽  
The Elderly ◽  
Control Group ◽  
Body Parts ◽  
Prevention Policy ◽  
Workplace Injuries ◽  
Violent Injury

Background: Elder abuse is predicted to increase with the rapid population ageing in many countries. Violent injury is influenced by individual factors as well as interpersonal and social relationships, with different manifestations based on changes in the socioeconomic position of older adults. We comparatively investigated the clinical and injury characteristics of physical violence in the elderly with those in another age group. Methods: We included elderly patients (age ≥65 years) who visited six emergency departments (ED) with violence-induced injuries in 2017. The control group comprised patients aged 45–64 years, selected by 1:2 matching based on hospital and sex. Data were extracted from the National Emergency Department Information System and electronic medical records. Both groups were compared for injury mechanism, injury location, activity during injury, diagnosis, and clinical outcomes. Results: Among the 316,944 patients who presented to the 6 ED, 89,178 (28.1%) had traumatic injuries, and 1.6% and 4.5% of injuries were sustained due to violence in the ≥65 and 45–64 year age groups, respectively. There were no significant intergroup differences in the perpetrator (P=0.27), body parts affected (P=0.63), and diagnosis (P=0.23), whereas the older adult group had a significantly higher proportion of traumatic injury by fall (P=0.01), at road and traffic facilities (P=0.01), during work (P=0.01), and multiple injuries (P<0.01). Conclusion: The increase in non-regular workers in the elderly after retirement may have increased the risk of traumatic workplace injuries. As workplace injuries may be a new risk factor for physical violence in the elderly, institutional workplace injury prevention policy is needed.

scholarly journals FEATURES OF DIAGNOSIS AND TREATMENT OF PATIENTS WITH REDUCED BITE HEIGHT

2021 ◽  
pp. 66-70
Author(s):  
А. B. Kostushun
Keyword(s):  
High Efficiency ◽  
Age Groups ◽  
The Elderly ◽  
Pathological Process ◽  
Control Group ◽  
Orthopedic Treatment ◽  
Degree Of Reduction ◽  
Height Reduction ◽  
Hard Tissues ◽  
Group 2

Aesthetic and hygienic requirements of patients with reduced bite height necessitate the use of modern orthopedic constructions. The main cause of this disease is pathological abrasion of the hard tissues of the teeth, the prevalence of which ranges from 4 to 57% at a young age, reaches 91% in the elderly and is accompanied by both morphological and functional disorders of the dental-maxillary system. The aim of the research. Research the features of the diagnosis of dental status in patients with reduced bite height and timing of their treatment. Materials and methods of research. Determine the degree of reduction in the height of the bite in persons with pathological abrasion of the hard tissues of the teeth of varying severity compared with the norm and features of its recovery. Research results and their discussion. In order to prepare for orthopedic treatment, we determined the height of the bite in 123 patients. Accordingly, they were divided into three groups. Group 1 consisted of 32 patients with included dentition defects with reduced bite height up to 2 mm (n = 32), group 2 - examined with included dentition defects with reduced bite height 2-4 mm (n = 31), group 3 are patients with included dentition defects with reduced bite height of 4-6 mm (n = 30). All persons of the main groups belonged to the second and third age groups according to the WHO, aged 35-55 years, who required orthopedic treatment with fixed constructions of dentures. The control group (n = 30) are young people who belonged to the 1st WHO age group (age - 18-34 years) with intact dentition, without concomitant somatic and dental pathology, were examined in one visit. In order to study the degree of dependence of bite height reduction between incisors, canines, premolars and molars, we studied 30 gypsum models of supergypsum of the upper and lower jaws without reduction of bite height and 93 - with varying degrees of pathological abrasion of tooth hard tissues of all examined people. The models were fixed in a standard articulator in the central occlusion position. Using a caliper, we determined the size of the tooth crowns and compared it with standard sizes. In this research, we found the dependence of the degree of reduction in the height of the bite in the area of molars - premolars - incisors and canines in the ratio 1: 1,25: 1,5. We performed orthopedic treatment and subsequent clinical observation for each patient for 6 months, examining their condition after fixation of prostheses in 1 week and in 1, 3 and 6 months after orthopedic treatment. Based on the diagnosis of bite height reduction, we provided practical recommendations on the terms of use of fixed pharmacy bridges prostheses according to the degree of bite height reduction in the examined people. In the case of patients with a decrease in bite height by 3-4 mm, permanent orthopedic treatment is possible in 90 days after fixation of temporary orthopedic constructions in the oral cavity, and in patients with a reduced bite height of more than 4 mm - in 180 days. Conclusions. According to the results of the research, a high efficiency of determining the degree of reduction in bite height in preparing patients for permanent orthopedic treatment depending on the severity of the pathological process.

scholarly journals THE FORENSIC ASSESSMENT OF DOMESTIC VIOLENCE CASES DURING THE START OF ISOLATION DUE TO THE COVID-19 PANDEMIC

2020 ◽  
Vol 5 (3) ◽  
Author(s):  
Angelita Rios
Keyword(s):  
Domestic Violence ◽  
Intimate Partner Violence ◽  
Family Violence ◽  
Partner Violence ◽  
Physical Violence ◽  
Age Groups ◽  
The Elderly ◽  
Intimate Partner ◽  
Forensic Assessment ◽  
Close Relatives

Introduction: social isolation is an important resource to slow down the speed of contamination during the COVID-19 pandemic, however it can intensify abusive behavior among couples or family members. Objective: to present demographic and criminal data of victims of domestic violence assessed at the Clinic of Forensics and Psychosocial Service of the Medical-Legal Department of Porto Alegre. Method: retrospective survey of data, which analyzed interviews of 47 victims of domestic violence, between April and May 2020. The sample consisted of 30 cases of intimate partner violence (IPV) and 17 cases of family violence (VF). Sociodemographic and criminal variables and the opinion on the dynamics of violence in quarantine were analyzed. Result: domestic violence predominantly affected female victims (96.6% of intimate partner violence and 58.8% of family violence). The male gender was a victim of family violence in extreme age groups. Women suffered violence throughout their life cycle, but aggressions by intimate partners showed peaks in adolescence and youth. Children were abused by close relatives and victims over 60 years of age suffered physical violence from their children or sons-in-law. In intimate partner violence, 53% of the sample reported aggression by ex-partners, between 15 days and two years’ timeframe. In the opinion of 90.3% of women, quarantine did not change the frequency or intensity of abusive acts. Conclusion: violence in the domestic environment predominantly affects people in vulnerable situations such as children, women and the elderly.

scholarly journals Fatores de risco para a ocorrência de violência contra a pessoa idosa: revisão sistemática

2018 ◽  
Vol 6 (2) ◽  
pp. 58
Author(s):  
Coralie Sandrine Alves ◽  
Carla Serrão
Keyword(s):  
Risk Factors ◽  
Elder Abuse ◽  
Physical Violence ◽  
Scientific Evidence ◽  
The Elderly ◽  
Cochrane Library ◽  
Medical Subject Headings ◽  
Scientific Databases ◽  
Definition Of ◽  
Forms Of Violence

Aims: The aims of this systematic rewiew is to present and systematize the scientific evidence about the risk factors of violence against the elderly, in order to draw up strategic prevention and intervention lines.Source of data: The scientific databases Pubmed / Medline®, EBSCO® and Cochrane Library® were consulted from January 1, 2012 until December 31, 2016 in Portuguese, English, Spanish and French, on the terms Medical Subject Headings: “Elder Abuse” and “Risk Factor”, with the help of Boolean Operators (AND); parentheses for ordering operators and quotation marks for identifying composite words. At the end, 115 documents were considered for the analysis, from which 13 were extracted for the final analysis.Summary of findings: It was found that physical violence is the most prevalent form and that women in advanced age are those most at risk of violence. Family dynamics and conflicts are also risk factors for the occurrence of this phenomenon in the elderly.Conclusions: This review identifies relevant knowledge gaps about the subject of violence against the elderly, demonstrated by the lack of consistency in the definition of violence and forms of violence, the lack of screening studies, and of detecting, intervening and preventing the violence in this age group. Consequently, and despite the privileged position of the family physician/healthprofessional in the community, the absence of guidelines hampers a more efficient action in detection and prevention of the phenomenon.

scholarly journals Risk factors associated with violence against elderly in a family setting

Temida ◽  
2018 ◽  
Vol 21 (3) ◽  
pp. 363-383
Author(s):  
Katarina Risovic ◽  
Silvia Rusac ◽  
Natasa Todorovic
Keyword(s):  
Risk Factors ◽  
Scientific Community ◽  
Elder Abuse ◽  
Age Groups ◽  
The Elderly ◽  
Social Phenomenon ◽  
Societal Factors ◽  
Factors Associated ◽  
The Family ◽  
Family Setting

Violence as a social phenomenon does not know the age of a victim. It is happening at all stages of life and among members of all age groups. Ageing of the population and an increasing emphasis on its problems, among other things, raises the issue of violence against the elderly which is happening in their homes. Incorrect assumptions that violence occurs in institutions rather than in the family contributes to ignoring the problem. A combination of individual, relational, community, and societal factors contribute to the risk of becoming a victim and a perpetrator of elder abuse. Based on the so far research and knowledge, the paper aims to point out to the risk factor for elder abuse in order to sensitize and foster public and scientific community on activism, discovering and solving problems related to elder abuse in the family setting.

scholarly journals MAUS-TRATOS EM IDOSOS: PERFIL DAS VÍTIMAS, VÍNCULO COM O AGRESSOR E ATUAÇÃO DOS PROFISSIONAIS

2015 ◽  
Vol 20 (2) ◽  
Author(s):  
Patricia Medeiros Silva Grilo ◽  
Império Lombardi Júnior
Keyword(s):  
Chronic Diseases ◽  
Health Professionals ◽  
Elder Abuse ◽  
Psychological Abuse ◽  
Physical Violence ◽  
Family Members ◽  
The Elderly ◽  
The People ◽  
Patient Relations ◽  
Professional Patient Relations

Resumo: O envelhecimento populacional vem aumentando nos últimos anos e consequentemente junto a isso estão associados o aumento das doenças crônicas, dependência e os maus tratos aos idosos. Objetivou-se com este estudo identificar quais as causas de maus-tratos em idosos, onde ocorrem e quais as pessoas responsáveis por esses maus-tratos. Estudos apontam que quanto ao perfil das vítimas, as mulheres são as que mais sofrem com os maus-tratos/ violência, a violência física é a mais relatada, seguida da violência psicológica, a pessoa que mais pratica os tipos de maus-tratos/violência contra o idoso são os filhos seguidos pelos demais membros da família, o local onde mais ocorrem os abusos é no domicílio e os profissionais de saúde precisam de qualificação para identificar maus-tratos/violência no idoso. Concluímos que a avaliação dos riscos relacionados aos maus-tratos contra os idosos é imprescindível, pois através dos mesmos poderá ser prestada uma assistência adequada.Descritores: maus-tratos ao idoso, violência, relações profissional-paciente.Abstract: The aging population has increased in recent years and consequently along with it are associated the increase in chronic diseases, addiction and mistreatment of elderly. The objective of this study was to identify the causes of ill-treatment in the elderly, where they occur and what the people responsible for this abuse. Studies indicate that the profile of the victims, women are the most affected by the abuse / violence, physical violence is the most reported, followed by psychological abuse, the person who most practical types of abuse / violence against the elderly are the children followed by other family members, where the abuse is occurring in the home and health professionals need skills to identify abuse / violence in the elderly. We conclude that the assessment of risks related to the maltreatment of the elderly is essential because through them can be given appropriate assistance.Keywords: elder abuse, violence, professional-patient relations.

The Effects of Significant International Sports Events on Hungarian Suicide Rates

Crisis ◽  
2016 ◽  
Vol 37 (2) ◽  
pp. 148-154 ◽  
Author(s):  
Karoly Bozsonyi ◽  
Peter Osvath ◽  
Sandor Fekete ◽  
Lajos Bálint
Keyword(s):  
Significant Relationship ◽  
Olympic Games ◽  
Arima Model ◽  
Age Groups ◽  
The Elderly ◽  
Intervention Analysis ◽  
Middle Aged ◽  
Sports Events ◽  
Sport Events ◽  
The Olympic Games

Abstract. Background: Several studies found a significant relationship between important sport events and suicidal behavior. Aims: We set out to investigate whether there is a significant relationship between the raw suicide rate and the most important international sports events (Olympic Games, FIFA World Cup, UEFA European Championship) in such an achievement-oriented society as the Hungarian one, where these sport events receive great attention. Method: We examined suicide cases occurring over 15,706 days between January 1, 1970, and December 31, 2012 (43 years), separately for each gender. Because of the age-specific characteristics of suicide, the effects of these sport events were analyzed for the middle-aged (30–59 years old) and the elderly (over 60 years old) generations as well as for gender-specific population groups. The role of international sport events was examined with the help of time-series intervention analysis after cyclical and seasonal components were removed. Intervention analysis was based on the ARIMA model. Results: Our results showed that only the Olympic Games had a significant effect in the middle-aged population. Neither in the older male nor in any of the female age groups was a relationship between suicide and Olympic Games detected. Conclusion: The Olympic Games seem to decrease the rate of suicide among middle-aged men, slightly but significantly.

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)

Older workers in the Russian labor market: Trends in employment reallocation

2019 ◽  
pp. 5-34
Author(s):  
Anna L. Lukyanova ◽  
Rostislav I. Kapeliushnikov
Keyword(s):  
Older Workers ◽  
Service Sector ◽  
Age Groups ◽  
The Elderly ◽  
Education And Health ◽  
Job Opportunities ◽  
Intellectual Labor ◽  
Market Trends ◽  
Trade Education ◽  
The One

The paper analyzes changes in job opportunities of older workers in Russia in the period 2005—2017. The study uses the data from the Russian Labor Force Survey conducted by Rosstat. Changes in the occupational and industrial composition of elderly workers follow the trends pursued by other age groups: employment shifts from low- to high-skilled occupations, from physical to intellectual labor, and from material production to the service sector. We find a stronger polarization among older workers as their occupational structure is biased in favor of, on the one hand, the most and, on the other hand, the least qualified types of jobs. Employment of the elderly has fallen sharply in agriculture and manufacturing with a significant increase in trade, education, and health. Although the employment structure of older workers is generally more “traditionalist”, recent decades have witnessed its transformation in “progressive” directions, similarly to other age groups. These findings suggest that the legislated increase in the state retirement age is not likely to give rise to sizeable unemployment among the elderly. Most of them will be able to work in the occupations and industries previously dominated by young and prime-age workers.

Employing Gamma Ray Irradiated Giardia lamblia as Trialed Vaccine in Experimental Animal

2019 ◽  
Vol 9 (02) ◽  
Author(s):  
Amal Kamil Abdul Sada ◽  
Amany Mohamed Al-Kaysi
Keyword(s):  
Giardia Lamblia ◽  
Gamma Ray ◽  
Age Groups ◽  
Active Phase ◽  
Study Groups ◽  
Negative Control ◽  
Control Group ◽  
High Dose ◽  
Histopathological Changes ◽  
Gamma Irradiated

This is an experimental trial to prepare a vaccine from gamma-irradiated Giardia lamblia which is evaluated in experimental animals. The study was conducted from December 2015 to April 2016. The field survey of the parasite was conducted from those patients attending the laboratories of the Alawi Children's Hospital in Rusafa and the Al-Yarmouk Teaching Hospital in Karkh, through which 1250 stool samples of different age groups were examined. Five groups of mice were used in the study; the first was injected with normal saline and considered as a negative control group, the second was injected with cystic form of non-irradiated Giardia lamblia and considered as a positive control group, whereas the other three groups were injected with gamma irradiated Giardia lamblia at three different doses 10, 15 and 25 rad respectively. Giardia lamblia was primarily cultivated in liver infusion agar for ten days to obtain the active phase. On the sixth day, the cystic phase was purified and standardized to be used in the infection of mice with or without the exposure of gamma rays. Mice showed high sensitivity to parasitic infestation, in the gamma non-irradiated and the irradiated with gamma 10 rad, and 15 rad irradiated groups which was 100%. The results expressed an excystation process of the depleted phases and the release of the feeder phases. The results of the three irradiated groups consisted of histopathological changes of the small, and the rectum by dissection after two weeks of infection, with intestine amputation lesions, as well as ulceration and inflammation of the inflammatory cells represented in small numbers of neutrophil, lymphocytes, and eosinophils. The presence of ulceration and fall of epithelial cells in the intestinal cavity has been shown, and different forms of the parasite have been observed. Mice which was injected with irradiated G lamblia at high dose (25 rad), not show and sensitivity to the challenge infection and no excystation of thy parasite had been done. After 2 wreaks, a comparison was achieved between all study groups in which no histopathological changes were noticed in the mice irradiated with dose of25 rad. After another two weeks, a challenge dose was given (un-attenuated G lamblia) and mice were dissected after another two weeks, no changes on the level of histopathology of intestinal tissue were noticed the results suggested that mice acquire an immunity against the parasite infection.

The effect of brain vitalization activity on dementia incidence in elderly at Budi Luhur Nursing Home of Yogyakarta, Kasongan, Bantul

2020 ◽  
Vol 1 (3) ◽  
pp. 43-50
Author(s):  
Firstyono Miftahul Aziz ◽  
Suratini Suratini
Keyword(s):  
Nursing Home ◽  
The Elderly ◽  
Control Group ◽  
P Value ◽  
Sampling System ◽  
Randomized Sampling ◽  
Care For The Elderly ◽  
Dementia Incidence ◽  
The Family ◽  
The Impact

For some people, dementia is considered as a disease that is common in elderly, regardless the impact of dementia. Taking care for the elderly with dementia brings stress for the family. It can cause and increase the family burden. Brain vitalization gymnastics is one of the methods to improve memory. The study aims to investigate the effect of brain vitalization activity on dementia incidence in elderly at Budi Luhur Nursing Home of Yogyakarta. The study used Quasi Experimental with Pretest-Posttest control group and randomized sampling system. The samples were taken randomly as many as 26 respondents and were divided into two groups namely 13 respondents of experimental group and 13 respondents of control group. The statistical test used Wilcoxon Match Pairs Test. The result showed that Wilcoxon Match pairs test obtained p value 0,003, which is smaller than 0,005. There is an effect of brain vitalization activity on dementia incidence in elderly at Budi Luhur Nursing Home of Yogyakarta

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