scholarly journals Middle-aged people and the elderly have the similar risk of death from Covid-19: considering background mortality

2020 ◽  
Author(s):  
ZHONGNENG XU

In USA, middle-aged people might be evaluated as having a low risk of Covid-19 death, but if the natural mortality is considered, the age distribution of death risk from Covid-19 changes. The proportions of Covid-19 deaths in total deaths among middle-aged and elderly people are in the same cluster. This shows that the increase rates in deaths caused by Covid-19 to middle-aged people is similar to that of the elderly, and it is necessary to pay the same attention to the risk of Covid-19 death in middle-aged people.

2020 ◽  
Vol 25 (2) ◽  
pp. 97-100
Author(s):  
A. K. Iordanishvili ◽  
V. A. Guk ◽  
A. A. Golovko

Relevance. The success of treatment of periodontal diseases directly depends on the patient’s response to the therapy, therefore, the characteristics of the person’s personal characteristics can affect both the effectiveness of treatment and the prevention of relapse of the disease.Purpose. To study the features of the internal picture of the disease in the process of complex treatment of adult patients suffering from chronic generalized periodontitis.Materials and methods. The generally accepted comprehensive treatment of chronic generalized periodontitis in 69 middle-aged and elderly men was carried out taking into account the personal response of patients Solovyov «Psychosensory-anatomical-functional maladaptation syndrome».Results. When patients were discharged from the hospital, there was a difference in the phenomena of maladaptation among the elderly and middle-aged: in middle-aged people, sufficient adaptation to the conditions of existence was determined; in elderly people, due to the existing comorbid pathology, a state of maladaptation was diagnosed, which was caused by the presence of complaints of defects in the dentition.Conclusion. In elderly people, as soon as possible after completion of treatment in a hospital, dental rehabilitation cannot be considered completed, which requires the adoption of organizational measures for their timely provision of dentures.


Designs ◽  
2019 ◽  
Vol 3 (3) ◽  
pp. 35
Author(s):  
Yeh Po-Chan

Body function begins to decline in middle age, with changes becoming increasingly noticeable over time. With the popularization of educational and information technology, people know more about healthcare and are becoming accustomed to self-testing using health equipment. Technological changes are reflected in products, which present innovations including the switch from traditional to touch-controlled interface designs. This can cause difficulties in the interpretation and interface operation for older adults, who may be facing physiological and psychological alterations. Understanding users’ physiological limitations has become an important aspect of product design. This study explored the effects of physiological limitations on touch-screen operation in middle-aged and elderly people, specifically regarding button type, display position, and button size. A total of 64 participants were included in the study: 32 middle-aged people (aged 45–64 years) and 32 elderly people (65 years of age and older). Each participant was asked to complete 32 tasks (two button categories × four button sizes × four presentation positions). The results revealed no differences between the elderly and the middle-aged groups with regard to the interpretation of image buttons and text buttons; however, button size affected the operation and interpretation time. Middle-aged participants demonstrated good interpretation performance when the buttons were displayed in the upper or lower part of the screen, whereas elderly participants only had a good interpretation performance when the buttons were in the upper part. For both groups, the ideal image button size was 16 mm with a text font size of 22.


2021 ◽  
Vol 21 (suppl 2) ◽  
pp. 445-451
Author(s):  
Tiago Pessoa Ferreira Lima ◽  
Gabrielle Ribeiro Sena ◽  
Camila Soares Neves ◽  
Suely Arruda Vidal ◽  
Jurema Telles Oliveira Lima ◽  
...  

Abstract Objectives: train a Random Forest (RF) classifier to estimate death risk in elderly people (over 60 years old) diagnosed with COVID-19 in Pernambuco. A "feature" of this classifier, called feature importance, was used to identify the attributes (main risk factors) related to the outcome (cure or death) through gaining information. Methods: data from confirmed cases of COVID-19 was obtained between February 13 and June 19, 2020, in Pernambuco, Brazil. The K-fold Cross Validation algorithm (K=10) assessed RF performance and the importance of clinical features. Results: the RF algorithm correctly classified 78.33% of the elderly people, with AUC of 0.839. Advanced age was the factor representing the highest risk of death. The main comorbidity and symptom were cardiovascular disease and oxygen saturation ≤ 95%, respectively. Conclusion: this study applied the RF classifier to predict risk of death and identified the main clinical features related to this outcome in elderly people with COVID-19 in the state of Pernambuco.


1983 ◽  
Vol 6 (2) ◽  
pp. 221-231 ◽  
Author(s):  
Mary A. Luszcz

Attitudes toward the elderly were considered in a life-span context relative to adolescents and the middle-aged. These groups were chosen based on theorized commonalities linking adolescents and the elderly in contrast to the middle-aged. Undergraduate students used a semantic differential to rate the extent to which adjectives corresponded to their conceptions of ideal, real, and typical adolescents, middle-aged, and elderly people. Four subscales of Autonomy, Instrumentality, Acceptability, and Integration were assessed. When students considered their ideal conceptions of each age group, no age-related differences were evidenced on any dimensions. Further, across age, typical individuals were considered to be less acceptable and less well-integrated than people known by students. However, autonomy and instrumentality varied with age as well as the type of individuals being rated. Typical old people as well as old people known to students were viewed to be less instrumental than adolescents. These elderly people were also viewed as less instrumental than real but not typical middle-aged people. Adolescents and the elderly alike were seen as less autonomous than real or typical middle-aged people. Results were discussed in terms of Chellam's notion of symmetry that suggests that balance, likeness, and oppositeness each characterize relations among adolescents, the middle-aged, and the elderly.


Geriatrics ◽  
2018 ◽  
Vol 3 (4) ◽  
pp. 93 ◽  
Author(s):  
Tadashi Ito ◽  
Yoshihito Sakai ◽  
Kazunori Yamazaki ◽  
Reiya Nishio ◽  
Yohei Ito ◽  
...  

Proprioceptive input may greatly affect postural stability. However, the proprioceptive postural strategy in elderly, middle-aged, and young people has not been investigated sufficiently. Hence, in this study, we aimed to investigate differences in proprioceptive postural strategies of elderly, middle-aged, and young people. The center of pressure displacement was determined in 23 elderly, 23 middle-aged, and 23 young people during upright stance on a balance board with their eyes closed. Vibratory stimulations at 30, 60, and 240 Hz were applied to the lumbar multifidus (LM) and gastrocnemius (GS) muscles to evaluate the contributions of different proprioceptive signals used in balance control. Compared with middle-aged and young people, elderly people showed a high dependence on postural control of the GS at 30 Hz (p-values: Young and elderly: 0.033; middle-aged and elderly: 0.001). Moreover, compared with young people, elderly people were more dependent on postural control of the LM at 240 Hz (p = 0.016). There were no significant differences with respect to the GS at 60 and 240 Hz, and with respect to the LM at 30 and 60 Hz between the elderly, young, and middle-aged people. Thus, the postural control strategy of elderly people depends on the GS at 30 Hz.


2021 ◽  
Vol 19 (1) ◽  
pp. 083-114
Author(s):  
楊國柱 楊國柱 ◽  
吳金奇 Yang, Kuo-Chu

<p>嘉義縣民雄鄉山中村1(舊稱牛斗山或牛稠山),因牛稠溪域流經村莊而得此名,早期是全鄉人口最大村。山中村宗教信仰普遍為民間信仰,村莊主廟為廣濟宮,以奉祀池府王爺、媽祖、鄭成功為主,但村莊發展及信仰主體係圍繞池府王爺。本文採用文獻分析、田野調查及立意取樣後進行深度訪談,以探討山中村祭祀圈之形成,以及村民如何理解不同神靈之內涵,進而有助於山中村之社區發展與文化資源保存。</p> <p>藉由祭祀圈概念切入,以理解山中村社區各神靈祭祀圈的範圍與分布,進而探討地方社區信仰中心發展,與山中村民對不同神靈認知及意義之解讀。經研究發現:(一)隨著人口增加及集居地擴大,主廟的祭祀圈變大;由於廟務活動增加,牛斗山土地公廟的祭祀圈擴大;五營中的東、西兩營,未隨著社區的新增而往外遷移,因此祭祀圈無明顯變化。(二)山中村神靈祭祀圈的分布,「五營」與居民輪祀居住的地理範圍有關,原具有分群概念的輪祀傳統逐漸模糊:老者對此模糊;中年人認知些許;青年則不明白為何奉祀,宗教信仰傳承出現斷層的可能。(三)山中村民對不同祭祀圈神靈解讀有所異同,普遍難闡述神靈的由來及背景,較理解者屬老年人;其次為中年人;青年人則對神靈認知不清楚。(四)不同祭祀圈神靈意義與山中村民早期生活環境較有其關聯性,老年人多數提及身體健康及平安;中年人求財運、事業;青年人求課業順利。據此,就結論提出建議以供參考。</p> <p>&nbsp;</p><p>Shanzhong Village (formerly known as Niudou Mountain or Niuhou Mountain) in Minxiong Township, Chiayi County, got its name because the Niuhou Stream passed through the village. In the early days, it was the village with the largest population in the township. For the Guangji Palace, it is mainly dedicated to the worship of Lord Chifu, Mazu and Zheng Chenggong (Cheng Ch&rsquo;eng-Kung), but the village development and belief system surrounds Lord Chifu. This paper uses literature analysis, field investigations, and intentional sampling to conduct in-depth interviews to discuss the formation of the mountain village sacrificial circle and how the villagers understand the connotation of different gods, which can help the community development and cultural resource preservation of the mountain village. </p> <p> Through research, the concept of the religious field was cut in to understand the scope and distribution of the religious fields of the various deities in the Shanzhong Village community, and to discuss the development of local community faith centers and the understanding and meaning interpretation of the different deities of the Shanzhong villagers. The research found: (1) The religious realms become bigger because the population of village was increased;on the other side, Shanshang Viallage&rsquo;s religious realms become wilder due to the increase of temple actives. However, for the &quot;five camps&quot;, the east and west side of the deities&rsquo;s emissary did not extend so the Religious Realms can not protect the new village, (2) The distribution of the spiritual field in the Shanzhong village, the &quot;&quot;five camps&quot;&quot; are more closely related to the geographical scope of the residents&rsquo; rotation worship. The tradition of rotation worship with the concept of grouping is gradually blurring, and the old people are blurring; Understand why there is a possibility that there is a fault in the inheritance of religious beliefs; (3) Villagers in the mountains have different interpretations of deities in different religious fields, and it is generally difficult to understand the origin and background of deities, older than those who understand; older than middle-aged; more young Unrecognizable to the gods; (4) The significance of the gods in different religious fields is more related to the early life environment of the villagers in the mountains. The elderly have significant health and safety; the middle-aged people seek wealth and career; the young people seek smooth schooling .Then refer to the above research results to make research suggestions.</p> <p>&nbsp;</p>


2018 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Irena Canjuga ◽  
Danica Železnik ◽  
Marijana Neuberg ◽  
Marija Božicevic ◽  
Tina Cikac

Purpose The purpose of this paper is to explore the impact of self-care on the prevalence of loneliness among elderly people living in retirement homes and older people living in their homes/communities. Design/methodology/approach The research was conducted through standardized SELSA-L assessment loneliness questionnaires and the Self Care Assessment Worksheet for self-care assessment. The results were processed using the Kruskal–Wallis test. Findings The obtained results have shown that impaired self-care ability affects the prevalence of loneliness among the elderly almost the same in both groups of participants. However, regarding the relationship between the state of health and self-care, only a statistically significant difference in the prevalence of loneliness is found in the case of the participants living in their homes, with the worst health condition affecting the poorer psychological care. Research limitations/implications It is necessary to point out the limitations of the research, primarily sample limitations and the selected design of the study. The sample consisted of two different and relatively small groups of participants which could adversely affect the representativeness of the sample and reduce the possibility of generalising the results. The next limiting factor is the age distribution the authors used in the research, where the age of the participants as a very important variable was collected by age range and not precisely which consequently resulted in inequality in subgroup sizes. Thus, the middle age (75–85) covers up to ten years, which is a huge range at an older age and can mean major differences in functional ability, and can impact the self-care assessment. Practical implications Nurses are indispensable in care for the elderly and they need to promote and encourage self-care of the elderly through health care. Elderly people living in retirement homes should be allowed to participate equally in health care in order to preserve their own autonomy and dignity. However, to benefit those who live in their homes, nurses should be connected to the local community and thus stimulate various forms of preventative (testing blood sugar levels, blood pressure and educating on the importance of preventive examinations) or recreational activities in the environment of elderly people with the goal of preserving their functional abilities. Originality/value The impact of self-care on loneliness was not sufficiently researched, and this paper contributed to understanding the complexity of loneliness phenomena among the elderly with the aim of developing a model of prevention.


Author(s):  
Fatemeh Kaseb ◽  
Zahra Motavalian ◽  
Hossein Fallahzadeh

Introduction: Water, as one of the most essential nutrients, is involved in almost all biochemical processes of the human body. Although different degrees of dehydration have various symptoms such as physical and mental decline, severe dehydration is associated with decreased survival capacity in the physiological environment of the body that can put individuals, especially the elderly, at the risk of death. The present study aimed to determine the status of fluid intake and its association with cognitive impairments in the elderly people of Naein City in 2018. Methods: This cross-sectional study was conducted among 225 randomly selected elderlies in Naein City. Data collection tools included demographic questionnaire, Mini–Mental State Examination, and 24-hour food recall questionnaire. The obtained data were analyzed using ANOVA, t-test and chi-square via SPSS software. Results: The mean of total fluid intake was 2637.05 ± 772.35 ml / day. Among 225 participants, 36.4%, 37.3%, and 26.2% had normal, mild, and moderate cognitive impairment, respectively. Cognitive impairment had a significant relationship with gender, occupational status, level of education, marital status, and place of residence (p < 0.05). No significant relationship was observed between the mean of water consumption and cognitive impairment (p = 0.6). Conclusion: The amount of fluid intake in elderly people living in Naein City was at a satisfactory level. Since no significant relationship was observed between the amount of fluid intake and cognitive impairments and more than half of the participants had cognitive impairments, we hypothesize that other factors are  involved in  prevalent of cognitive impairment.


2021 ◽  
Vol 5 (3) ◽  
pp. 403-415
Author(s):  
Muso Urinov ◽  
Nigora Alikulova ◽  
Dilfuza Zukhritdinova ◽  
Mekhriddin Usmonov ◽  
Rakhimjon Urinov

280 patients with COVID-19 were examined (average age 53.9±8.1 years; gender index 1.37:1.0 (162 men and 118 women). It was revealed that young people (especially women) were more common with a mild course of the disease (64.2%), middle – aged people-with a moderate-severe variant of COVID-19 (54.8%), In the group of patients with a severe course of coronavirus infection, female patients prevailed among the elderly, and among middle –aged men – 47.8% and 48.4%, respectively. The comorbid background before the disease CAVID-19 and the neurological complications that appeared on the background of CAVID-19 in the percentage ratio prevailed in males. There were no significant differences in the frequency of complications from the severity of the COVID-19 disease. It was revealed that at the time of hospitalization, all the studied markers of coagulation activity were changed and statistically significantly differed from the reference interval, which indicated the activation of the procoagulation potential. In the group of female patients, these indicators were more pronounced. CT examination revealed that the percentage of damage to both lungs was significantly higher in female patients compared to male patients.


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