Home About us Contact
|
Home About us Contact | ||
|
|
||
Younger Counterparts (younger + counterpart)
Selected AbstractsGlycated Hemoglobin Levels and Intellectual Activity in an Aged PopulationJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 12 2005Hidenori Amano MHSc Objectives: To examine the association between glycated hemoglobin (GHb) and aspects of daily activities in an elderly population. Design: Cross-sectional population-based survey. Setting: Nangai village, an agricultural community with a population of about 5,000 located in Akita prefecture in the north of Japan. Participants: Nine hundred thirty-five people aged 65 and older. Measurements: GHb percentages, self-reported measures of activities of daily living (ADLs) and instrumental activities of daily living (IADLs), intellectual activity (IA), and social role (SR). Results: An exploratory analysis indicated that nondiabetic subjects in the lowest tertile of GHb tend to have lower IA than those in the middle tertile, if they were aged 70 and older. No consistent association appeared between GHb and ADLs, IADLs, or SR. Linear and logistic regression analyses, controlling for other risk factors, indicated significantly lower IA scores in the low and high GHb tertiles (P<.001 and P=.04, respectively) than in the middle in nondiabetic subjects aged 70 and older and without stroke history or IADL impairments. The value of GHb related to the maximal IA score was 5.0% to 5.2% as the middle tertile; or 5.2%, assuming a logistic regression model including a squared term with GHb as a continuous variable. A similar relationship was observed in the whole nondiabetic sample aged 70 and older but not in the younger counterpart. Conclusion: There is an inverted U-shaped relationship between GHb and intellectual activity in older people without diabetes mellitus. One possible interpretation is that suboptimal blood glucose could contribute to intellectual inactivity in older people. [source] Sledding Injuries in Patients Presenting to the Emergency Department in a Northern CityACADEMIC EMERGENCY MEDICINE, Issue 6 2001Donald C. Voaklander PhD Abstract. Objectives: Sledding is a common recreational activity in northern communities. The objective of this study was to examine the frequency and nature of sledding injuries (SIs) in patients presenting to emergency departments (EDs). Methods: The data were derived from a cohort of patients treated at all five EDs in an urban Canadian health region over a two-year period. Following chart review, consenting patients were interviewed by telephone about their sledding activities and the circumstances surrounding the injury. Results: Three hundred twenty-eight patients were correctly coded as having SIs, with 212 patients (65%) reached during the follow-up survey. The median age of those with SIs was 12 years (IQR = 8, 21), and 206 (59%) were male. Injury rates peaked in the 10-14-year age group (87/100,000) for boys and in the 5-9-year age group (75/100,000) for girls. Most patients stated they were drivers (75%), fewer than half were thrown from the sled (42%), and fewer than half (44%) were sledding on community-designated sledding hills at the time of injury. Injuries to the lower extremity (32%), upper extremity (31%), and head (13%) were most common. Thirty-seven (11%) patients with SIs were admitted to hospital vs 4% of patients with other sports/recreation injuries (p < 0.05). Conclusions: Sledding injuries are common and potentially serious wintertime injuries in northern communities, involving primarily younger patients, with a large pre-adolescent group. However, older sledders (>20 years) have poorer outcomes (hospitalization, lost time from work/school) than their younger counterparts. The SIs treated in the ED appear to lead to hospitalization more frequently than other types of sport/recreation injury, and injury prevention strategies appear warranted. [source] Aging per se does not influence postprandial glucose levels in type 2 diabetesGERIATRICS & GERONTOLOGY INTERNATIONAL, Issue 3 2005Yumiko Magata Background: It is well known that postprandial glucose increases with aging in non-diabetic subjects. The question we addressed is whether elderly type 2 diabetic patients with definite fasting hyperglycemia (, 126 mg/dL) also display increased postprandial hyperglycemia relative to their younger counterparts. Methods: Diurnal plasma glucose profiles were measured in 162 overt type 2 diabetic patients treated by diet alone (diet group) or with sulfonylureas as monotherapy (SU group). Plasma glucose concentrations were measured at 08.00 hours (before breakfast), 10.00, 12.00 (before lunch), 14.00, 18.00 (before dinner), 20.00, 24.00, 03.00, 06.00 and 08.00 hours the next morning. The postprandial glucose area under the curve (AUC) from 08.00 to 24.00 hours was calculated above the baseline level equal to the 08.00-hours plasma glucose value, and the relationships with clinical variables, including age, were assessed. Results: There were no differences in diurnal plasma glucose profiles between the middle-aged (< 65 years) and elderly (, 65 years) groups either the diet group or the SU group. Univariate analysis showed that the postprandial glucose area under the curve was related to the 08:00-hours plasma glucose value (R = 0.583, P < 0.001) in the diet alone group and to the duration of diabetes (R = 0.220, P < 0.05), SU dose (R = 0.330, P = 0.001) and urine CPR (R = ,0.229, P < 0.05) in the SU group. In multivariate analysis, postprandial glucose area under the curve was only related to 08.00 hours plasma glucose value in the diet group (R2 of the model = 0.340, P < 0.001) and to the SU dose in SU group (R2 of the model = 0.145, P < 0.001). Conclusion: These results suggest that aging, per se, does not influence postprandial glucose levels in overt type 2 diabetic patients. [source] Differences between young adults and elderly in thermal comfort, productivity, and thermal physiology in response to a moderate temperature drift and a steady-state conditionINDOOR AIR, Issue 4 2010L. Schellen Abstract, Results from naturally ventilated buildings show that allowing the indoor temperature to drift does not necessarily result in thermal discomfort and may allow for a reduction in energy use. However, for stationary conditions, several studies indicate that the thermal neutral temperature and optimum thermal condition differ between young adults and elderly. There is a lack of studies that describe the effect of aging on thermal comfort and productivity during a moderate temperature drift. In this study, the effect of a moderate temperature drift on physiological responses, thermal comfort, and productivity of eight young adults (age 22,25 year) and eight older subjects (age 67,73 year) was investigated. They were exposed to two different conditions: S1-a control condition; constant temperature of 21.5°C; duration: 8 h; and S2-a transient condition; temperature range: 17,25°C, duration: 8 h, temperature drift: first 4 h: +2 K/h, last 4 h: ,2 K/h. The results indicate that thermal sensation of the elderly was, in general, 0.5 scale units lower in comparison with their younger counterparts. Furthermore, the elderly showed more distal vasoconstriction during both conditions. Nevertheless, TS of the elderly was related to air temperature only, while TS of the younger adults also was related to skin temperature. During the constant temperature session, the elderly preferred a higher temperature in comparison with the young adults. Practical Implications ,Because the stock of fossil fuels is limited, energy savings play an important role. Thermal comfort is one of the most important performance indicators to successfully apply measures to reduce the energy need in buildings. Allowing drifts in indoor temperature is one of the options to reduce the energy demand. This study contributes to the knowledge concerning the effects of a moderate temperature drift and the age of the inhabitants on their thermal comfort. [source] Burnout, psychosomatic symptoms and job satisfaction among Dutch nurse anaesthetists: a surveyACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 5 2010V. MEEUSEN Background: To meet the increasing demand for healthcare providers, it is crucial to recruit and retain more nurse anaesthetists (NAs). The majority of NAs in the Netherlands are >45 years old, and retaining them in their jobs is very important. This study investigates the relationships among burnout, physical health and job satisfaction among Dutch NAs. Methods: Two thousand NAs working in Dutch hospitals were invited to participate in this online questionnaire. We tested the relationships among burnout, psychosomatic symptoms, sickness absence, perceived general health and job satisfaction. Results: Nine hundred and twenty-three questionnaires were completed and analysed (46% response rate). Burnout and psychosomatic symptoms were negatively associated with job satisfaction, and predicted 27% of job satisfaction. Perceived general health was positively and sickness absence was negatively related to job satisfaction. Older NAs had a higher incidence of burnout than their younger counterparts. Conclusions: The results confirmed the importance of a healthy psychosocial work environment for promoting job satisfaction. To prevent burnout, further research is necessary to determine the factors causing stress. These findings may also apply to anaesthesiologists who share many tasks and work in close cooperation with NAs. [source] Subjective side effects of antipsychotics and medication adherence in people with schizophreniaJOURNAL OF ADVANCED NURSING, Issue 3 2009Terence V. McCann Abstract Title., Subjective side effects of antipsychotics and medication adherence in people with schizophrenia. Aim., This paper is a report of a study conducted to describe the prevalence of antipsychotic medication side effects in individuals with schizophrenia, and to assess if a relationship existed between side effects and medication-taking. Background., Non-adherence to antipsychotics is common in people with schizophrenia. There is a direct relationship between non-adherence and relapse, but it is unclear if an association exists between side effects and non-adherence. Method., The Liverpool University Neuroleptic Side-effect Rating Scale was used with a convenience sample of 81 mental health service users with schizophrenia. Participants were recruited from one urban and one rural area in Australia in 2004. Data were analysed using Statistical Package for Social Science and nonparametric statistical methods based on the nature of data. Findings., Around 20% of participants had missed taking their medication at least once in the week before data collection. About half experienced one or more side effects, but the level of accumulated side effects was not associated with medication omission. Older participants were more likely to experience anticholinergic and allergic side effects than their younger counterparts. Younger women were more likely to experience hormone-related side effects than older women. Overall, medication omission was not statistically significantly correlated with any of the seven Liverpool University Neuroleptic Side-effect Rating Scale subscales. Conclusion., Greater attention needs to be paid to age- and gender-specific side effects and to monitoring side effects in people prescribed atypical medication antipsychotics. Service users, case managers and prescribers may need additional training to assist them to identify side effects and to take steps to ameliorate or at least minimize their effects. [source] The Medical Interview: Differences Between Adult and Geriatric OutpatientsJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 1 2001Sandeep Mann MD BACKGROUND: There is a perception that primary care physicians spend less time with older patients and little is known about physician and older patient satisfaction during clinical encounters. OBJECTIVE: To determine how primary care interviews of geriatric patients differ from those of other adults. DESIGN: Descriptive, analytic study. SETTING: Ten primary care sites in the United States and one in Canada, including public, voluntary, and private clinics and practices. PARTICIPANTS: Of the 544 patients, 45.6% were 65 and older and 17.8% were 75 or older. There were 127 participating physicians. MEASUREMENTS: Encounters were audiotaped and analyzed. Patients and physicians also completed exit questionnaires. RESULTS: Interview length increased significantly with age for men but not for women. Physician satisfaction did not change as patient age increased. Patient satisfaction, on the other hand decreased with age among women but not for men. Although physicians' and younger patients' perceptions of health were moderately associated, there was no association for men ages 75 and over. CONCLUSIONS: There is no evidence that physicians spend less time or are more uncomfortable with older patients. Both physician and male patient satisfaction remain stable with increasing patient age, despite greater disparity in patient and physician perceptions of health. Older female patients are less satisfied with physician visits than their younger counterparts, in the absence of changes in interview length or disparities between older female patients and their physicians in health perception. [source] Age Bias in the Workplace: The Impact of Ageism and Causal Attributions,JOURNAL OF APPLIED SOCIAL PSYCHOLOGY, Issue 6 2006Deborah E. Rupp This study considers the roles of managerial ageism and causal attributions in the age bias process. Specifically, we predicted that employee age and manager ageism would interact in predicting the severity of recommendations made about an employee's performance errors, such that ageist managers would be more likely to engage in age bias. Second, we proposed that age bias is caused partially by differential attributions made about the performance errors of older vs. younger workers. Results indicated that older employees received more severe recommendations for poor performance than did their younger counterparts. Also, some ageist attitudes moderated the relationship between age and performance recommendations. Stability attributions mediated the relationship of employee age on endorsement of the more punitive recommendations. [source] Capillary Hemodynamics and Oxygen Pressures in the Aging MicrocirculationMICROCIRCULATION, Issue 4 2006DAVID C. POOLE ABSTRACT Healthy aging acts to redistribute blood flow (Q,) and thus O2 delivery (Q,O2) among and within the exercising muscles such that Q,O2 to highly oxidative muscle fibers may be compromised. Within the microcirculation of old muscles capillary hemodynamics are altered and the matching of Q,O2 to oxidative requirements (V,O2) is impaired such that at exercise onset the microvascular O2 pressure falls below that seen in their younger counterparts. This is important because the microvascular O2 pressure denotes the sole driving force for blood-myocyte O2 transfer and any compromise may slow V,O2 kinetics and reduce exercise tolerance. This review considers the microcirculatory evidence for a reduced perfusive (Q,O2) and diffusive O2 flux within aged muscle and highlights the pressing need for intravital microscopy studies of the muscle microcirculation during exercise. [source] Beyond Access: Persistence Challenges and the Diversity of Low-Income StudentsNEW DIRECTIONS FOR HIGHER EDUCATION, Issue 121 2003Melanie E. Corrigan Public policy often emphasizes access to higher education, but low-income students face more difficult challenges on the path to degree attainment. Adult low-income students have different obligations and goals than their younger counterparts. Institutional leaders and policymakers can encourage persistence among low-income students with flexible policies that accommodate new enrollment patterns, diverse family structures, and differing educational and economic goals. [source] Health, medication use, and agricultural injury: A reviewAMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 11 2009Donald C. Voaklander PhD Abstract Background Agricultural work in the United States and Canada continues to be one of the most dangerous vocations. Surveillance evidence suggests that older farmers (>60 years of age) are at greater risk of serious injury than their younger counterparts. The purpose of this article was to outline illnesses and medications that may contribute to older farmers' increased risk of agricultural injury and to determine a minimum set of health-related covariates that could be used in farm injury studies. Methods A review of English language literature in Medline, CINAHL, and NIOSH databases was conducted examining disease and medication factors related to farm injury. Results Health- and disease-related factors most commonly reported as significantly contributing to agricultural injury included previous injury, hearing problems, depression, arthritis, and sleep deprivation. The use of "any medication" was identified as a significant risk factor for injury in a number of studies. The use of sleep medication was significantly related to injury in two studies. Conclusions Based on the findings, it is recommended that at a minimum, researchers collect information on the prevalence of previous injury, hearing problems, depression, arthritis/muscular-skeletal problems and sleep disturbance as these have been identified as significant risk factors in a number of studies. In addition, where subjects that identify any of these afflictions, further information should be sought on any medications used in their treatment which can add data on disease severity. More research and surveillance activities need to be focused on the older farm worker. This population is critical to the maintenance of the agricultural base in North America and health and safety research initiatives need to address this. By integrating research from the fields of gerontology, occupational health and safety, and injury prevention, innovative interventions could be constructed to assist the aging farmer in the continuation of safe farming. Am. J. Ind. Med. 52:876,889, 2009. © 2009 Wiley-Liss, Inc. [source] Injuries and fatalities to U.S. farmers and farm workers 55 years and olderAMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 3 2009John R. Myers MS Abstract Background Previous studies have shown that older farmers and farm workers have been identified at high risk for farm fatalities, most notably involving tractor overturns. Older farmers also incur more severe non-fatal injuries. Methods Data from two national surveillance systems are presented to describe fatal and non-fatal injuries occurring to older farmers 55+ years of age. Tractor-related fatality investigations for older farmers are examined for characteristics of the tractors not available in the injury surveillance systems. Results Older farmers and farm workers averaged 26,573 lost-time injuries annually in 2001 and 2004, with an injury rate of 4.5 injuries/100 workers/year compared to an overall farming injury rate of 4.8 injuries/100 workers/year. Fatality data show that older farmers accounted for over half of all farming deaths between 1992 and 2004 (3,671 of 7,064 deaths), and had a fatality rate of 45.8 deaths/100,000 workers/year compared to the overall farming fatality rate of 25.4 deaths/100,000 workers/year. Most common mechanisms of fatal injury to older farmers were "tractors" (46%), "trucks" (7%), and "animals" (5%). Conclusions Although older farmers and farm workers are at lower risk of overall injury compared to their younger counterparts, injuries to farmers 55 years and older tend to be much more severe. To effectively minimize the risk faced by older farmers, prevention programs must encourage safe work behaviors and practices and the implementation/installation of appropriate safety devices and equipment. Am. J. Ind. Med. 52:185,194, 2009. © 2008 Wiley-Liss, Inc. [source] A randomized controlled trial to reduce delay in older adults seeking help for symptoms of acute myocardial infarction,RESEARCH IN NURSING & HEALTH, Issue 5 2007Dorothy F. Tullmann Abstract Older adults with symptoms of acute myocardial infarction (AMI) have longer pre-treatment delay times than their younger counterparts. A 2-group, randomized controlled sample consisted of 115 adults, 65 years of age or older with a self-reported history of coronary artery disease. A pre-test was given to all participants followed by a structured education and counseling intervention to those in the experimental group. Data were re-collected at 3 months. There was a statistically significant increase in knowledge, beliefs, and perceived control without an increase in anxiety in the intervention group. There was no significant difference in attitudes. Older adults at risk for AMI should be targeted for individualized education and counseling in clinics, physician offices, and community centers. © 2007 Wiley Periodicals, Inc. Res Nurs Health 30:485,497, 2007 [source] Virtual week and actual week: Age-related differences in prospective memoryAPPLIED COGNITIVE PSYCHOLOGY, Issue 7 2000Peter G. Rendell Several previous studies have shown that whereas young adults perform better than older adults on prospective memory (PM) tasks in the laboratory, this superiority is often reversed in real-life PM tasks. The present studies investigated this paradox by creating a laboratory task in the form of a board game (Virtual Week) that mimicked many features of daily living. It was hypothesized that older adults might use strategies derived from their more structured lives to outperform young adults on the board game. However, contrary to our prediction, it was found that younger adults were superior. In Experiment 2 we had participants perform very similar PM tasks in real life (Actual Week), and found that now the older adults were generally superior to their younger counterparts. Possible reasons are discussed for this striking age-related difference between laboratory-based and naturalistic PM tasks. Copyright © 2000 John Wiley & Sons, Ltd. [source] | |||||||||||||||||||||||||