scholarly journals Estimating Lifetime Dental Care Expenditure in South Korea: An Abridged Life Table Approach

2020 ◽  
Vol 17 (9) ◽  
pp. 3308
Author(s):  
Minsung Sohn ◽  
Xianhua Che ◽  
Sungwon Lim ◽  
Hee-Jung Park
Keyword(s):  
Life Expectancy ◽  
Life Table ◽  
Dental Care ◽  
Age Groups ◽  
Information Service ◽  
The Elderly ◽  
Average Lifetime ◽  
Men And Women ◽  
Significant Difference ◽  
Per Capita

The aim of this study was to measure the magnitude and distribution of a Korean’s lifetime dental expenses depending on age and sex, by constructing a hypothetical lifetime and life table of survival. Additionally, we estimated the difference in life expectancy between men and women and its impact on dental expenses. We used the 2015 Korea Health Panel Survey to calculate the total dental expenditure, including expenses paid directly by patients and those paid by insurers. We generated survival profiles to simulate dental expenses during a typical lifetime (from birth to age 95) using the abridged life table (five-year intervals for age groups) in 2015 from the South Korean Statistical Information Service. We independently calculated the remaining dental expenses for survivors of all ages. The results showed that an estimate of average lifetime dental expenditure was $31,851 per capita: $31,587 for men and $32,318 for women. Nearly 33% of the average per capita lifetime dental expenditure was attributable to the longer life expectancy of women, with no statistically significant difference in lifetime dental expenditure between men and women. Many survivors incurred 70% of their lifetime dental expenses before age 65. The results highlighted the need for policymakers to address spending on age-specific dental care owing to extended life expectancy, given the disproportionate share of healthcare resources supporting the elderly.

Effect of aging alone on mechanical properties of the normal adult human lung

1977 ◽  
Vol 43 (6) ◽  
pp. 1054-1062 ◽  
Author(s):  
R. J. Knudson ◽  
D. F. Clark ◽  
T. C. Kennedy ◽  
D. E. Knudson
Keyword(s):  
Respiratory Mechanics ◽  
Human Lung ◽  
Age Groups ◽  
The Elderly ◽  
Elastic Recoil ◽  
Lung Volumes ◽  
Men And Women ◽  
Maximum Expiratory Flow ◽  
Alpha1 Antitrypsin ◽  
Adult Human Lung

For plethysmographic studies of respiratory mechanics, we selected, from a general population, 51 subjects, aged 25–75 yr, who had never smoked, had no present or past cardiorespiratory symptoms or disease, were alpha1-antitrypsin MM phenotypes, and were normal by physical examination, vectorcardiography, and chest roentgenography. Approximately equal numbers of men and women were represented in each of three age groups; 25–35, 36–64, and 65–75. Both sexes demonstrated loss of lung elastic recoil with age, most significant at high lung volumes, but the rate of loss was less than previously reported. Males had higher lung recoil than females of comparable age, but if lung size was taken into account, there were no sex differences in bulk elastic properties. Maximum expiratory flow diminished with age only at low volumes, suggesting that equal pressure points are more centrally located at low lung volumes in the elderly.

scholarly journals AGE AND SEXUAL CHANGES STRUCTURE OF GENES CYTOKINES NETWORKS IN RUSSIAN POPULATION

2013 ◽  
Vol 68 (9) ◽  
pp. 15-21 ◽  
Author(s):  
V. I. Konenkov ◽  
V. F. Prokof'ev ◽  
A. V. Shevchenko ◽  
A. M. Chernyavskii ◽  
A. M. Karas'kov
Keyword(s):  
Methodological Approach ◽  
Age Groups ◽  
High Specificity ◽  
The Elderly ◽  
Vascular Endothelial ◽  
Elderly Age ◽  
Men And Women ◽  
Growth Factor Gene ◽  
The Individual ◽  
Endothelial Growth Factor

Objective: to study frequencies of occurrence of the combined genetic attributes including different variants of cytokines genotypes (TNFA, IL1B, IL4, IL6, IL10, VEGF), in different on sexual  and age groups in population of Siberia Caucasoid. Material and methods. Frequencies of distribution of variants of structure genes cytokines networks  among 500 representatives of Siberia  Caucasian population, men and women  of  two age groups - more younger than 35 years ("young") and 55 and more years ("elderly") are  investigated. In structure of  investigated genes cytokines net  has come 10 variants of polymorphic sites of cytokines genes and  vascular endothelial growth factor gene: TNFА-863 C→A, TNFА-308 G→A, TNFА-238 G→A, IL1B-31 С→T, IL4-590 С→T, IL6-174 G→C, IL10-1082 G → A, IL10-592 А→С, VEGF-2578 C→A and VEGF+936 С→T. Genotyping are carried out by  restriction fragment length polymorphism method. Processing of results carried out on the basis of the original methodological approach including the complex connected computer analysis of genic circuits of various dimension. Results and conclusions. It is shown, that the significant part of variants genes cytokines networks, which   widely distributed among young people is completely absent in the "elderly" age group. Such variants disappearing with age separately for men and women are established. At the program mathematical analysis it is established, that parameters of the odds ratio  achieve two-place sizes (OR =27, p =0,0004), that testifies to high specificity of complex genetic attributes. Presence in genome such variants of genes cytokines networks  , found out in the childhood or young age, as supposed, is unfavorable personalized prognostic factors of life span of the individual. 

scholarly journals Intersectionality of Age And Air Pollution On The Use of Medical Care: National Data From Taiwan

2021 ◽  
Author(s):  
Hung-Chieh Chang ◽  
Li-Ling Hsu ◽  
Wei-Liang Shih
Keyword(s):  
Air Pollution ◽  
Medical Care ◽  
Quality Index ◽  
Age Groups ◽  
The Elderly ◽  
National Data ◽  
Annual Average ◽  
Significant Difference ◽  
National Databases ◽  
Stratified Analysis

Abstract This study uses an intersectionality lens to understand the inequality of medical use at the intersection of age and air pollution. Using national databases from Taiwan, the results show that the increase of the level of air pollution and age is related to higher percentage of high medical use. Through stratified analysis, we found that there is no significant difference in medical use among different age groups in low AQI (Air Quality Index) areas, Yet, in areas with increasing amounts of polluted air, the elderly have a significantly higher percentage in frequent medical use. Our results show that the elderly people are more susceptible to air pollution, and suggest that, to protect their health and reduce the use of medical care, not only is there a need to reduce air pollution, but also maintain the annual average AQI level to under the value of 50.

Abstract 529: A Modern Large-scale Analysis of Heart Transplantation in Elderly Patients

2020 ◽  
Vol 127 (Suppl_1) ◽  
Author(s):  
Manish Suryapalam ◽  
Mohammed Kashem ◽  
Val Rakita ◽  
Yoshiya Toyoda
Keyword(s):  
Heart Transplantation ◽  
Large Scale ◽  
Age Groups ◽  
The Elderly ◽  
Survival Outcome ◽  
Outcome Analysis ◽  
Survival Outcomes ◽  
Ischemic Time ◽  
Significant Difference ◽  
Chi Squared

Introduction: As the prevalence of heart failure increases among older patients, the potential role of heart transplant (HTx) in this demographic demands further investigation. Survival outcome analysis of the elderly has primarily been analyzed in single-center studies, and the few long term studies performed have included a timeframe to the 1980s, introducing substantial variance from much poorer survival outcomes. We investigated the 5 to 10 year survival outcomes of more modern heart transplantation patients by analyzing the UNOS database. Methods: Heart transplantation data for 32,337 patients (2000-2014) was divided into three different age groups- <60, 60-69, and ≥70 years old. Gender, ethnicity, height, weight, BMI, ICU stay, ischemic time, length of stay (LOS), and creatinine level were evaluated for significance using Chi-Squared and H-Tests as appropriate (p<0.05). Survival outcome was assessed using a Kaplan-Meier Curve and log-rank tests. Results: 23,267 were <60, 8,459 were 60-69, and 611 were ≥70, with mean ages of 38±0.1, 64±0.0, and 72±0.1 respectively. The distribution of gender, ethnicity, ischemic time, BMI, height, and weight was significantly different between the cohorts, with p=0.000 for all. Survival analysis indicated complete pairwise significance at 10 years post-HTx, with overall significance of p=0.000. At 5 years post-HTx, only 60-69 vs ≥70 did not have pairwise significance in survival. Conclusion: Contrary to prior studies, results indicate a statistically significant difference in survival the older and younger cohorts. This difference is especially prominent at the 10 th year post-transplant, but can be seen even at the 5 th year.

scholarly journals Assessment of functional capacity in elderly residents of an outlying area in the hinterland of Bahia/Northeast Brazil

2010 ◽  
Vol 68 (1) ◽  
pp. 39-43 ◽  
Author(s):  
Gilson de Vasconcelos Torres ◽  
Luciana Araújo dos Reis ◽  
Luana Araújo dos Reis
Keyword(s):  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Daily Living ◽  
Age Groups ◽  
The Elderly ◽  
Cross Sectional ◽  
Instrumental Activities ◽  
Significant Difference ◽  
The Difference ◽  
Outlying Area

OBJECTIVE: To assess the functional capacity and to determine the difference between the means of functional capacity (basic and instrumental activities of daily living) and the age groups of elderly residents in an outlying area in the hinterland of Bahia/Northeast of Brazil. METHOD: Analytical study with cross-sectional design and a sample of 150 elderly individuals enrolled in four Health Units in the municipality of Jequié, Bahia, Brazil. The instrument consisted of sociodemographic and health data, the Barthel Index and the Lawton scale. RESULTS: In all, 78.00% of the elderly were classified as dependent in the basic activities and 65.33% in the instrumental activities of daily living. Using the Kruskal-Wallis test, we found a statistically significant difference between the means of instrumental activities and the age groups (p=0.011). CONCLUSION: An elevated number of elderly were classified as dependent in terms of functional capacity and increased age is related to greater impairment in the execution of instrumental activities of daily living.

scholarly journals Comparison of basic regional cerebral oxygen saturation values in patients of different ages: a pilot study

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052093686
Author(s):  
Chaohui Lian ◽  
Peng Li ◽  
Ning Wang ◽  
Yi Lu ◽  
Wangning Shangguan
Keyword(s):  
Oxygen Saturation ◽  
Elective Surgery ◽  
Age Groups ◽  
The Elderly ◽  
Preschool Age ◽  
Cerebral Oxygen Saturation ◽  
Cerebral Oxygen ◽  
School Age ◽  
Regional Cerebral Oxygen Saturation ◽  
Significant Difference

Objective To explore the basic values of regional cerebral oxygen saturation (rSO2) among different age groups. Methods One hundred twenty patients who were scheduled for elective surgery aged 0 to 80 years (American Society of Anesthesiologists [ASA] physical status I or II) or neonates just after birth via cesarean section were enrolled and divided into the following six groups: infant (0 month and ≤12 months), toddler (>1 and ≤3 years old), preschool (>3 and ≤6 years old), school age (>6 and ≤18 years old), adult (>18 and ≤65 years old), and elderly (>65 and ≤80 years old) groups. There were 20 patients in each group. Results The basic values of rSO2 in infant, toddler, preschool, school age, adults, and elderly groups were 70.41% ± 4.66%, 72.43% ± 3.81%, 70.77% ± 3.27%, 70.62% ± 2.20%, 69.76% ± 6.02%, and 62.69% ± 3.14%, respectively. The basic value in the elderly group was lower compared with other five groups. There was no significant difference among infant, toddler, preschool age, school age, and adult groups. Conclusions The basic value of rSO2 in elderly patients is lower. Age is an important factor that affects the underlying value of rSO2.

Influence of Comorbidity on Outcome after Pulmonary Resection in the Elderly

2007 ◽  
Vol 15 (4) ◽  
pp. 297-302 ◽  
Author(s):  
Morris Beshay ◽  
Patrick Dorn ◽  
Hans-Beat Ris ◽  
Ralph A Schmid
Keyword(s):  
Pulmonary Resection ◽  
Preoperative Evaluation ◽  
Lung Resection ◽  
Survival Rates ◽  
Age Groups ◽  
The Elderly ◽  
Major Complications ◽  
Proper Patient Selection ◽  
Significant Difference ◽  
Group 3

The aim of this study was to determine the influence of comorbidity on outcome after pulmonary resection in patients over 75 years old. Three hundred and thirty-three patients with non-small-cell lung cancer operated on between 1998 and 2002 were divided into 3 age groups: < 60 years (group 1), 60–75 years (group 2), > 75 years (group 3). Overall operative mortality was 0.3%; 30-day mortality was 1%. There were more major complications with re-operation in groups 1 and 2, but minor complications occurred significantly more frequently in group 3 (36% vs 16%). Overall mean hospital stay was 12 days, with no significant difference among groups. Three-year survival rates were: 80%, 70%, and 65% in groups 1, 2, and 3, respectively, with no significant difference among groups. Age or the presence of comorbidity should not be considered contraindications for lung resection. With proper patient selection and careful preoperative evaluation, many major complications after pneumonectomy are avoidable.

scholarly journals Temporal Lobe Epilepsy in the Elderly

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
L. E. Morillo
Keyword(s):  
Life Expectancy ◽  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Age Groups ◽  
The Elderly ◽  
Bimodal Distribution ◽  
Older Age ◽  
World Population ◽  
Epilepsy In The Elderly ◽  
The World

The incidence of epilepsy has bimodal distribution peaking at the extremes of life. Incidence is greater in younger and older age groups (Hauser et al., 1993, Sidenvall et al., 1993, Forsgren et al., 1996, and Olafsson et al., 2005). As the world population ages more elders with epilepsy will be identified. In the high-income countries with longer life expectancy, the number of elders with epilepsy will be even higher. CPSs account for 40% of all seizure types in the elderly (Hauser et al., 1992); however, the proportion with temporal lobe epilepsy (TLE) is uncertain.

scholarly journals Association between depressive symptoms and dental care-seeking behavior among elderly Brazilian people

2016 ◽  
Vol 45 (3) ◽  
pp. 132-138 ◽  
Author(s):  
Gabriela Ádima de Camargo ÁVILA ◽  
Aline Blaya MARTINS ◽  
Otávio Pereira D'AVILA ◽  
Matheus NEVES ◽  
Juliana Balbinot HILGERT ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Elderly People ◽  
Dental Care ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Care Seeking ◽  
Significant Difference ◽  
Care Seeking Behavior ◽  
Seeking Behavior

Abstract Background Depressive symptoms are highly prevalent among the elderly population (10%). These symptoms frequently appear when there is a loss of quality of life associated with social exclusion and the appearance of severe diseases. Feelings of sadness, discouragement, despondency and deception, and events such as the loss of close friends and family can also be related to these symptoms. The consequences of depressive symptoms include negative oral health outcomes, such as a decrease in the frequency of toothbrushing, greater prevalence of caries and higher probability of the appearance of periodontitis. Aim This study aimed to evaluate the association between the presence of depressive symptoms and problem-oriented oral healthcare behavior, as well as the absence of healthcare-seeking behavior. Material and method 872 elderly people living in two health districts in Porto Alegre were evaluated. They provided information on socioeconomic variables at an interview, and responded to the Geriatric Depression Scale-15 and to a questionnaire assessing dental care-seeking behavior. In addition, an oral examination was performed. When analyzed using Poisson regression with robust variance, the variables of male sex, less schooling, lower income, reduced number of teeth, presence of root remnants and presence of depressive symptoms were found to be independently associated with the outcome. Result There was a significant difference regarding dental care-seeking behavior in relation to elderly people presenting depressive symptoms and those in low socioeconomic strata having poor oral status. Conclusion It was concluded that these factors need to be taken into consideration when evaluating dental care-seeking behavior.

scholarly journals Prevalence of osteopenia and osteoporosis among the population of southern Kyrgyzstan - A cross-sectional observational study

Biomedicine ◽  
2021 ◽  
Vol 41 (4) ◽  
pp. 742-746
Author(s):  
Tugolbai Tagaev ◽  
Farida Imanalieva ◽  
Sagynali Mamatov ◽  
Yethindra Vityala ◽  
Altynai Zhumabekova
Keyword(s):  
Observational Study ◽  
Normal Values ◽  
Age Groups ◽  
The Elderly ◽  
Similar Data ◽  
Age Group ◽  
Mineral Density ◽  
Cross Sectional ◽  
Significant Difference ◽  
People Group

Introduction and Aim: Osteoporosis is a skeletal disorder characterized by diminished bone strength that increases the risk of fracture in instances of trivial trauma. The objective was to conduct ultrasound bone densitometry in different age groups (18-60 years and older) in southern Kyrgyzstan, to identify and study the prevalence of osteopenia and osteoporosis.   Materials and Methods: In this cross-sectional observational study a total of 1200 participants were included, where 580 men and 620 women were aged between 18-60 years and older. Based on the age, the participants were divided into three groups. Bone mineral density in participants was measured using a SONOST-3000 densitometer model. The study was conducted among the population of the Osh and Jalal-Abad regions.   Results: Among the population of Osh state in the first group, normal values were found in 65.0%, osteopenia in 26.0%, and osteoporosis in 9.0% of participants. In the second group, values were significantly higher than in the first group. In the third age group, values exceeded significantly compared to the first and second groups. Similar data were obtained from the population of Jalal-Abad state, but a significant difference was found in the elderly people group with a higher percentage of osteopenia and osteoporosis.   Conclusion: The results showed the prevalence of osteopenia and osteoporosis in participants of different age categories of Osh and Jalal-Abad states, and especially in the elderly. Depending on the gender distribution, the prevalence of osteopenia and osteoporosis in our study is significantly higher in women than in men.

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