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The Association Between Daily Physical Activity and Risk of Hypertension in Middle-Aged and Older Adults:A Nationwide Cohort Study in China
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作者 Junhua Zhang Jie Rong +1 位作者 Hui Zhang Yongmei Yan 《Journal of Clinical and Nursing Research》 2024年第9期83-92,共10页
Physical activity (PA) plays a key role in the treatment of hypertension, and moderate to vigorous PA has been documented to lower the risk of developing hypertension. However, dose-response relationships between PA a... Physical activity (PA) plays a key role in the treatment of hypertension, and moderate to vigorous PA has been documented to lower the risk of developing hypertension. However, dose-response relationships between PA and hypertension are not consistent, and little is known about this relationship within the Chinese middle-aged and older people. We investigated the relationship between PA and hypertension within this population using China Health and Nutrition Survey 1991-2015 data. Physical activity was expressed in terms of the metabolic equivalent task (MET) and participants were divided into groups according to quartiles, namely, Q1 (< 32.97 METs-h/w), Q2 (32.97-60.38 METs-h/ w), Q3 (60.38-98.95 METs-h/w), and Q4 (> 98.95 METs-h/w). Compared with the Q1 group, the odds ratio of risk with hypertension (95% CIs) after adjusting for confounding factors were 0.63 (0.35, 1.12), 0.49 (0.28, 0.86), and 0.62 (0.35, 1.09) for those in Q2, Q3, and Q4, respectively. Restricted cubic spline functions were used and a U-shaped relationship between physical activity and hypertension risk was found, indicative of an optimal level of physical activity, which was found to be 112 METs-h/w. Our data suggest maintenance of optimal levels of total daily physical activity may be important for preventing hypertension in Chinese adults over the age of 40. 展开更多
关键词 Physical activity HYPERTENSION middle age Older adults
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Effects of Warm Needling at Zusanli(ST 36)on NO and IL-2 Levels in the Middle-Aged and Old People 被引量:2
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作者 李苏 陈开阳 +3 位作者 吴英 焦健慧 陶立富 王友京 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2003年第2期127-128,共2页
42 middle-aged and old people at the age between 55-70 years were selected and given the warm needling at Zusanli (ST 36), and their IL-2 and NO contents of peripheral blood before and after acupuncture were determine... 42 middle-aged and old people at the age between 55-70 years were selected and given the warm needling at Zusanli (ST 36), and their IL-2 and NO contents of peripheral blood before and after acupuncture were determined. The results showed that IL-2 and NO contents increased significantly after the warm needling (P<0.01). 展开更多
关键词 Acupuncture therapy Acupuncture Points aged Female Humans Hypertension INTERLEUKIN-2 Male middle aged MOXIBUSTION Nitric Oxide Sleep Initiation and Maintenance Disorders
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Analysis of the Variations of Body Build of Middle-and Old-aged and Research on the Prototype
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作者 李兴刚 沈卫勤 《Journal of China Textile University(English Edition)》 EI CAS 2000年第4期61-65,共5页
The characteristics of body build of middle - and old -aged women and its rule of variations as well as the basic sizes of various parts are discussed. All these are based on the body measurements of this age group, a... The characteristics of body build of middle - and old -aged women and its rule of variations as well as the basic sizes of various parts are discussed. All these are based on the body measurements of this age group, and also on the statistical studies of the measurement data. By setting the regression equation, the calculating formulae of various control parts are obtained, thus establishing the prototype of this age group for women. 展开更多
关键词 middle - and old - aged characteristics of BODY BUILD APPAREL sizes and types PROTOTYPE
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Study on Body Form and Garment Size Series of the Middle Age and Aged People
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作者 刘瑜 郁进明 《Journal of Donghua University(English Edition)》 EI CAS 2003年第4期60-63,共4页
This paper was designed to analyze on the data, which was obtained from 'National Physique Fitness Investigation Report (2000)'. In order to get the typical body form and figure type of the middle age and aged... This paper was designed to analyze on the data, which was obtained from 'National Physique Fitness Investigation Report (2000)'. In order to get the typical body form and figure type of the middle age and aged people, it was focused on the body form data of this group (age 40 - 60). After calculation and analyzing, the distinguishing feature of body form and the distribution of figure type were deduced. Finally, the re-classification of body form for Chinese middle age and aged people was suggested. It as also suggested that a new garment size series especially for the middle age and aged should be built to fit for these people. This conclusion would be useful and significant to design and production for clothing company, especially that who take the aged people as their target consumer. 展开更多
关键词 Body form body form classification garment size and series middle age and aged people
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Georgia and Europe in the Early Middle Ages
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作者 Bejan Javakhia 《Journal of Literature and Art Studies》 2018年第12期1702-1712,共11页
The article deals with relations of Georgia to Europe in the late antique period and the early Middle Ages.The analyses rests on the Byzantium and the Western European,as well as on Georgian written sources:historical... The article deals with relations of Georgia to Europe in the late antique period and the early Middle Ages.The analyses rests on the Byzantium and the Western European,as well as on Georgian written sources:historical chronicles,hagiographic texts and other information,reflecting political relations of the Iberia and Lazika—those-days kingdoms,located on the territory of Georgia—to the Western European and Byzantine space.The offered analysis will concentrate on the shared characteristics of European space in the Middle Ages and will compare them to the general tendencies of development of Georgia in the same period.This enables to draw conclusion that Georgia was the part of the unified Christian space of the early Middle Ages. 展开更多
关键词 Georgia EUROPE middle ageS LATE ANTIQUE
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The Issue of Genealogy of Armenians, Georgians and Other Caucasian Nations in the Historiography of the Middle Ages
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作者 Manana Sanadze 《Journal of Literature and Art Studies》 2017年第2期207-225,共19页
The paper shows that the story about the origin of Armenians, Georgians and other Caucasians from a common ancestor, namely, from Targamos (Togormah)—The Life of the Fore-Patriarchs and Ancestors of the Georgian King... The paper shows that the story about the origin of Armenians, Georgians and other Caucasians from a common ancestor, namely, from Targamos (Togormah)—The Life of the Fore-Patriarchs and Ancestors of the Georgian Kings, which is represented in the introductory part of The Georgian Chronicles and is dated back to the end of the11th, is a compiled work that mainly contains, on the one hand, an old Georgian genealogical-geographical story about Tarshish’s son Kartlos (Iber) and his six brothers ( Egros, Movakan, Heros, Bardos, Lekan and Caucas)created at the end of the 6th c.-first half of the 8th c. based on Byzantine works, and on the other hand, a genealogical story created in old Armenian historiography about Targamos and his son Hayk that went through certain steps of development as well. In the process of synthesizing, Togormah (Targamos) and his son Hayk (Haos)were inserted between Tarsish and his son Kartlos (Iber), which violated the Biblical scheme as well as the structure of the sentence in which the insertion was made. The goal of developing the synthesized scheme was to bring evidence of the common origin of Georgians and Armenians, as long as quite a large number of Armenians,because of the incorporation of a large part of Armenian territories within Georgian borders, became citizens of Georgia. At the same time, the story also offers a justification in the eyes of the Muslim world for the claims of Georgia for Armenian territories. According to the newly-created synthesized scheme, Georgia was “the successor brother” of Armenia(Haos//Hayk) and considering the absence of Armenian states, i.e., “the elder brother”,Georgia was the only legal heir of Armenian territories. 展开更多
关键词 Georgians Armenians CAUCASIANS middle ageS GENEALOGY
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Research on the Gender and Age Differences of Middle School Students' Shame Sense
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作者 Shenghua QI 《International Journal of Technology Management》 2013年第6期64-67,共4页
In order to ensure the existence of the gender and age differences of middle school students' shame, 1258 Shanghai middle school students are surveyed with the help of the Middle school students' shame measurement s... In order to ensure the existence of the gender and age differences of middle school students' shame, 1258 Shanghai middle school students are surveyed with the help of the Middle school students' shame measurement scale with the combination of delaminating and random sampling. The results of questionnaire show that there are significant gender differences in middle school students' shame and the average scores of male students' shame are higher than those of female students. Besides, there does exist significant age differences in middle school students' shame, but it is not simple linear relationship between the feeling of shame and ages. The feeling of shame reaches maximum at the age of 14 and intervention should be given at this age, which young students feel sensitive most. It is suggested that collective remission of the shame should be offered to middle school students with the methods such as physical exercises, persuasion etc. 展开更多
关键词 middle School Student SHAME Gender Difference age Difference
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Research and Exploration on the Teaching of World Medieval History under the Innovative Education Concept
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作者 Haojie WANG Yanni HUANG Minzhang YU 《Asian Agricultural Research》 2023年第3期63-65,共3页
The development of the Middle Ages is an inevitable stage in the development of human history,and it has a very important historical significance.During the Middle Ages,the struggle between religious power and secular... The development of the Middle Ages is an inevitable stage in the development of human history,and it has a very important historical significance.During the Middle Ages,the struggle between religious power and secular kingship became a big driving force for medieval education.While strengthening the Christian worldview,education in the Middle Ages also completed the connection between classical civilization and modern European civilization.Medieval educational developments and explorations have had a major impact on contemporary education,especially medieval universities,cathedrals and parliaments. 展开更多
关键词 middle ages CHRISTIANITY European universities Teaching and research
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Colonoscopic screening and follow-up for coiorectal cancer in the elderly 被引量:14
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作者 Jun Wan Zi-Qi Zhang Cheng Zhu Meng-Wei Wang Dong-Hai Zhao Yong-He Fu Jian-Ping Zhang Ya-Hong Wang Ben-Yan Wu,Department of Gastroenterology,General Hospital of the Chinese PLA,Beijing 100853,China 《World Journal of Gastroenterology》 SCIE CAS CSCD 2002年第2期267-269,共3页
AIM: To improve the prevention and treatment of senile patients with colorectal cancer by evaluating the importance of colonoscopy in clinical screening and follow-up. METHODS: Clinical screening of colonoscopy was pe... AIM: To improve the prevention and treatment of senile patients with colorectal cancer by evaluating the importance of colonoscopy in clinical screening and follow-up. METHODS: Clinical screening of colonoscopy was performed for 2196 patients aged 60-90 years old according to the protocol,and 1740 of them (79.2%) were followed-up. RESULTS: Colorectal cancer was found in 52 patients, and the detectable rate was 2.4%. Among them, 19 were diagnosed as early colorectal cancer, accounting for 36.5% of the detected colorectal cancer. Among the followed-up patients, early colorectal cancer was found in 9, accounting for 45.0% of the detected colorectal cancer. The resectable rate and 5 years survival rate of colorectal cancer were 97.7% and 80.9% respectively. The incidence of complication was 0.05%, and the successful rate of cecum intubation was 98.9%. CONCLUSION: Colonoscopic screening and follow-up of the elderly for colorectal cancer and pre-cancerous lesion (adenomatoid polyp) can increase the detectable rate of early colorectal cancer and improve its prevention and treatment. 展开更多
关键词 COLONOSCOPY Mass Screening aged aged 80 and over Colorectal Neoplasms Humans middle aged Survival Rate
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Radiometric Dating of Ignimbrite from Inner Mongolia Provides no Indication of a Post-Middle Jurassic Age for the Daohugou Beds 被引量:30
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作者 GAO Ke-Qin REN Dong 《Acta Geologica Sinica(English Edition)》 SCIE CAS CSCD 2006年第1期42-45,共4页
Lacustrine deposits exposed at Daohugou, Inner Mongolia, China, have yielded superbly preserved vertebrate fossils. The fossil beds were first misinterpreted as of Early Cretaceous age, based on alleged occurrences of... Lacustrine deposits exposed at Daohugou, Inner Mongolia, China, have yielded superbly preserved vertebrate fossils. The fossil beds were first misinterpreted as of Early Cretaceous age, based on alleged occurrences of key fossils of the Jehol Biota. Compelling evidence revealed by more rigorous research involving regional biostratigraphy, radiometric dating, and paleontology supports the Middle Jurassic age of the fossil beds. Despite the awesome evidence for the Middle Jurassic age of the Daohugou beds, the age dispute has been resurrected recently by invoking an overturned stratigraphic sequence. A careful review of the data, however, found no evidence that this sequence has been overturned. In addition, many of the assumptions, on which the conjecture of the fossil beds being post- Middle Jurassic is imprudently based, are self-contradictory or otherwise misleading. Thus, the post- Middle Jurassic age of the Daohugou beds as an unfounded conclusion can readily be dismissed. 展开更多
关键词 Daohugou beds Inner Mongolia middle Jurassic age dispute radlometric dating
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Acupuncture and the Elevation Manipulation of Massage for Treatment of Frozen Shoulder 被引量:4
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作者 金东席 李钟泰 毛树章 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2003年第3期212-213,共2页
The authors have treated 50 cases of frozen shoulder in recent years with electro-acupuncture and the elevation manipulation. The results were satisfactory and reported as follows.
关键词 Acupuncture therapy MASSage Shoulder Joint ADULT aged FEMALE Humans Male middle aged PERIARTHRITIS
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Late Mesozoic Ore-forming Events in the Ningwu Ore District, Middle-Lower Yangtze River Polymetallic Ore Belt, East China: Evidence from Zircon U-Pb Geochronology and Hf Isotopic Compositions of the Granodioritic Stocks 被引量:12
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作者 DUAN Chao LI Yanhe +3 位作者 HOU Kejun YUAN Shunda LIU Jialin ZHANG Cheng 《Acta Geologica Sinica(English Edition)》 SCIE CAS CSCD 2012年第3期719-736,共18页
Late Mesozoic volcanic-subvolcanic rocks and related iron deposits, known as porphyry iron deposits in China, are widespread in the Ningwu ore district (Cretaceous basin) of the middle-lower Yangtze River polymetall... Late Mesozoic volcanic-subvolcanic rocks and related iron deposits, known as porphyry iron deposits in China, are widespread in the Ningwu ore district (Cretaceous basin) of the middle-lower Yangtze River polymetallic ore belt, East China. Two types of Late Mesozoic magmatic rocks are exposed: one is dioritic rocks closely related to iron mineralization as the hosted rock, and the other one is granodioritic (-granitic) rocks that cut the ore bodies. To understand the age of the iron mineralization and the ore-forming event, detailed zircon U-Pb dating and Hf isotope measurement were performed on granodioritic stocks in the Washan, Gaocun-Nanshan, Dongshan and Heshangqiao iron deposits in the basin. Four emplacement and crystallization (typically for zircons) ages of granodioritic rocks were measured as 126.1±0.5 Ma, 126.8±0.5 Ma, 127.3±0.5 Ma and 126.3±0.4 Ma, respectively in these four deposits, with the LA-MC-ICP-MS zircon U-Pb method. Based on the above results combined with previous dating, it is inferred that the iron deposits in the Ningwu Cretaceous basin occurred in a very short period of 131-127 Ma. In situ zircon Hf compositions of εHf(t) of the granodiorite are mainly from -3 to -8 and their corresponding 176Hf/177Hf ratio are from 0.28245 to 0.28265, indicating similar characteristics of dioritic rocks in the basin. We infer that granodioritic rocks occurring in the Ningwu ore district have an original relationship with dioritic rocks. These new results provide significant evidence for further study of this ore district so as to understand the ore-forming event in the study area. 展开更多
关键词 Zircon U-Pb age Hf isotope porphyry iron deposit Ningwu ore district middle–Lower Yangtze River polymetallic ore belt
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Basement Characteristics and Crustal Evolution of the Copper-Gold Metallogenic Belt in the Middle and Lower Reaches of the Yangtze River:Some Isotope Constraints 被引量:5
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作者 ZHOU Taofa YUE Shucang 《Acta Geologica Sinica(English Edition)》 SCIE CAS CSCD 2000年第2期207-212,共6页
Studies of the Pb, Sr and Nd isotopic composition of Mesozoic intrusive rocks indicate that the basement of the copper-gold metallogenic belt of the middle and lower reaches of the Yangtze River has “two-layer struct... Studies of the Pb, Sr and Nd isotopic composition of Mesozoic intrusive rocks indicate that the basement of the copper-gold metallogenic belt of the middle and lower reaches of the Yangtze River has “two-layer structure” and partly has “multi-layered structure”, and is inhomogeneous and shows the distinct feature of E-W provincialism. The calculated model lead ages (t1) are mostly greater than 2600 Ma, and the model neodymium ages (TDM) vary from 953 to 2276 Ma and concentrate in two time intervals: 1800–2000 Ma and 1200–1600 Ma. It is concluded that the basement of the MBYR is composed of the Late Archaeozoic to Middle Proterozoic metamorphic series and that the crust was initiated in the Archaean and continued to grow in the Early and Middle Proterozoic, and the proportion of new crust formed by mantle differentiation during the Late Proterozoic is low. 展开更多
关键词 BASEMENT crustal age Pb Sr and Nd isotopes metallogenic belt of the middle and lower reaches of the Yangtze River
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Clinical Study on the Needling and Drug Treatment of Acute Cerebral Hemorrhage 被引量:2
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作者 方邦江 周爽 +2 位作者 王升旭 孙国杰 周永生 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2003年第3期191-192,共2页
Researches in recent years have shown that cellular immune factor plays an important role in the generation and development of cerebral hemorrhage1-3.
关键词 Acupuncture therapy PHYTOtheRAPY aged Cerebral Hemorrhage Drugs Chinese Herbal FEMALE Humans Male middle aged Phosphopyruvate Hydratase Tumor Necrosis Factor-alpha
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Age-specific reference ranges of prostatespecific antigen in the elderly of Amirkola: A population-based study 被引量:1
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作者 Hosseini Seyed Reza Zabihi Ali +1 位作者 Habibian Tara Bijani Ali 《Asian Journal of Urology》 CSCD 2021年第2期183-188,共6页
Objective:To determine the age-specific reference ranges of prostate-specific antigen(PSA)in the older men in the city of Amirkola.Methods:This cross-sectional study is a part of Amirkola Health and Ageing Project(AHA... Objective:To determine the age-specific reference ranges of prostate-specific antigen(PSA)in the older men in the city of Amirkola.Methods:This cross-sectional study is a part of Amirkola Health and Ageing Project(AHAP)which has been conducted as a cohort study since 2011 in Amirkola,a city in northern Iran.The demographic information of all men aged 60 and older were collected through questionnaires and interviews and the PSA measurements were performed using ELISA and Diametra kit.The acquired data were analyzed afterwards.Results:A number of 837 elderly men with a mean age of 69.99±7.72 years participated in this study.The serum PSA level(95th percentile)was determined to be 0.9(0-4.89)ng/mL in the age group of 60-64 years,1.1(0-4.88)ng/mL in the age group of 65-69 years,0.93(0-9.01)ng/mL in the age group of 70-74 years,1.3(0-7.95)ng/mL in the age group of 75-79 years,1.9(0-11.98 ng/mL)in the age group of 80-84 years,and 1.45(0-33.17)ng/mL in the 85 and older group.The serum PSA level was significantly correlated with age(p=0.000).Conclusion:This study indicated that there is a direct correlation between the age and serum PSA levels.The use of age-specific reference range could guide clinicians on the incidence of prostate cancer in this population and perhaps reduce the number of unnecessary tests in this population group. 展开更多
关键词 age elderly POPULATION Prostate-specific antigen Reference value
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Clinical Observation in 45 Cases of Hemorrhagic Apoplexy of the Acute Stage Treated by Promoting Blood Circulation and Removing Blood Stasis 被引量:1
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作者 孙国柱 刘煜 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2003年第2期96-99,共4页
To explore the therapeutic effects of the method of promoting blood circulation and removing blood stasis on hemorrhagic apoplexy of acute stage, 45 cases were treated by the method and observed for their conscious st... To explore the therapeutic effects of the method of promoting blood circulation and removing blood stasis on hemorrhagic apoplexy of acute stage, 45 cases were treated by the method and observed for their conscious state and motor function, which were compared with 40 cases treated with regular western drugs. The results showed that the effective rate in the treated group was 82.2% and that in control group 60% with a significant difference (P<0.05) between the two groups. In the treated group, the scores of the conscious state and the motor function after treatment were elevated dramatically (P<0.01), indicating a much better effect in the treated group than in the control group. 展开更多
关键词 Medicine Chinese Traditional aged aged 80 and over Cerebral Hemorrhage Cerebrovascular Accident Diagnosis Differential Drugs Chinese Herbal Female Humans Male middle aged PHYTOtheRAPY
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Tectonic Environments of the Yan-Liao Rift during Earth's Middle Age(1.7~0.75 Ga): Evidence from Mafic Dyke Swarms in Eastern Hebei, North China 被引量:1
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作者 WANG Chong PENG Peng +1 位作者 WANG Xinping YANG Shuyan 《Acta Geologica Sinica(English Edition)》 SCIE CAS CSCD 2016年第S1期45-46,共2页
During the past decade,generations of Precambrian mafic dykes/sills have been investigated and revealed in the North China Craton(NCC).Researchers identified more than 20 episodes of Precambrian dyke swarms,
关键词 North China Tectonic Environments of the Yan-Liao Rift during Earth’s middle age Evidence from Mafic Dyke Swarms in Eastern Hebei Ga
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Short-and long-term health implications of surgical intensive care in the elderly
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作者 Stefan Utzolino Philipp A Ober +3 位作者 Magnus Kaffarnik Andreas Fischer Ulrich T Hopt Peter K Baier 《Health》 2010年第12期1405-1412,共8页
Background: Treatment of elderly patients on intensive care units is an increasing challenge all over the world. Objectives: To evaluate short- term survival and long-term quality of life im-plications of intensive ca... Background: Treatment of elderly patients on intensive care units is an increasing challenge all over the world. Objectives: To evaluate short- term survival and long-term quality of life im-plications of intensive care for the elderly. Methods: Retrospective analysis of 314 patients 75 years of age or more requiring over 48 hours of intensive care. Results: In multivariate analy-sis, significant risk factors for mortality were chronic renal impairment (OR for survival .30, p 24 h (OR 4.5), hemodialysis (OR 6.8), and vasopressor therapy (OR 2.5, p < 0.001 for each). A health survey questionnaire in an up to 60-month follow-up of 28 patients revealed considerably lower physi-cal subscores of our patients compared to the general elderly population. Conclusions: Elderly patients benefit from intensive care in terms of survival. Complications are frequent, as are severe consequences for long-term quality of life. Short-term mortality in elderly intensive care patients correlates most closely to pre- existing disease, not age. 展开更多
关键词 SURGICAL INTENSIVE Care aged FRAIL elderly Quality of Life General Surgery CONCOMITANT Disease
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The Experiences of the Elderly and Caregivers in Respect of Caring for the Elderly in Windhoek and Rehoboth Namibia: An Exploratory and Descriptive Study
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作者 Joan M. Kloppers Agnes van Dyk Louise Pretorius 《Open Journal of Nursing》 2015年第3期246-259,共14页
In many instances, care for the elderly, especially in long-term care institutions, is provided under minimal supervision by caregivers who are lay people. This can lead to poor quality care or neglect of the elderly.... In many instances, care for the elderly, especially in long-term care institutions, is provided under minimal supervision by caregivers who are lay people. This can lead to poor quality care or neglect of the elderly. The research question was: “How competent are lay caregivers for the elderly in old age homes, who often lack the opportunity for training to improve their knowledge and skills, in delivering care to the elderly? The aims of the study were to explore and describe the experiences of both the caregivers and the elderly in respect of caring for the elderly in old age homes. The objectives of the study were to explore and describe the experiences of the caregivers and the elderly with respect to caring for the elderly and in respect of nursing care they received. A qualitative, explorative, descriptive, contextual and phenomenology design was used to perform this study. In the situational analysis, the experiences and needs of the caregivers were described. Themes in terms of interpersonal relationships that could be positive or negative regarding the elderly were identified. These included lack of regular in-service training sessions for caregivers. Likewise, sub-themes like communication, support and caring for elderly people were revealed. Inadequate knowledge of caregivers in caring procedures, a shortage of staff, equipment and absence of policies which should support and guide the work of caregivers impacts negatively on the care of the elderly. From the experiences of the elderly and caregivers, the competencies under scrutiny emerged and were measured qualitatively by the perceptions of the elderly, in respect of the caring they were exposed to. 展开更多
关键词 Caregiver(s) CARING elderly Experiences Old age Home
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Fitness Age Score and the Risk of Long-Term Care Insurance Certification—The Kyoto-Kameoka Longitudinal Study
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作者 Tsukasa Yoshida Misaka Kimura +7 位作者 Yosuke Yamada Keiichi Yokoyama Tatsuro Ishihara Yasuko Yoshinaka Aya Itoi Yuya Watanabe Noriyuki Kida Teruo Nomura 《Open Journal of Epidemiology》 2017年第2期190-200,共11页
Long-Term Care Insurance System has been introduced to provide appropriate care for the elderly who needs nursing care in Japan. Physical function is one of most important function for the elderly to live independentl... Long-Term Care Insurance System has been introduced to provide appropriate care for the elderly who needs nursing care in Japan. Physical function is one of most important function for the elderly to live independently. A previous study had established a Fitness Age Score (FAS) based on a theory for biomarker of aging. This study clarified whether the FAS could be used to predict the need for certification of long-term care (CLTC) in independent elderly people. We included 939 independent, community-dwelling-elderly (average age, 74.4 years) whose physical function was measured and for whom the CLTC was tracked for 24 months. The FAS comprised five physical fitness items: Walking time, grip strength, one-leg standing, vertical jump, and functional reach test. Based on the FAS, we calculated the odds ratio (OR) for the CLTC. Receiver operating characteristic (ROC) curves and the area under the curve (AUC) was used for further analysis. We also used the Youden Index (YI), minimum distance method (MD), and two-graph ROC method (TG) to calculate cutoff values (CVs) for screening. We divided subjects into the low and high physical fitness group with CVs. We developed cumulative CLTC curves using the Kaplan-Meier method. Sixteen people could not be tracked for the full 24 months. The measurement of FAS was completed for 798 people, of whom 28 became CLTC. The measurement of FAS was not completed for 125 people, of whom 21 became CLTC. The CLTC OR for people with incomplete FAS was 5.553. The AUC was 0.72 (p < 0.001). The CVs for the FAS were -0.29 for YI (sensitivity, 92.9% and specificity, 40.4%), -1.23 for MD (57.1% and 73.4%), and -0.81 for TG (60.7% and 60.9%). The cumulative CLTC curves according to CVs all showed significant differences (p = 0.000 - 0.020). In conclusion, the FAS can be used to predict CLTC. 展开更多
关键词 elderly Physical Function Long-Term CARE Screening FITNESS age SCORE (FAS)
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