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What will I be like at eighty? How human values contribute to expected real and ideal self-images in old age in a Germanic/Austrian cultural context

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Advances in Aging Research 2014年第1期3卷 35-42页

作者： Walter Renner Brigitte Jenull Irene Strasser Department of Psychology Alpen-Adria-Universitat KlagenfurtKlagenfurtAustria

According to Grawe’s Consistency Theory, congruence between an individual’s aims and reality is fundamental for psychological health. We examined the real and ideal self-images of N = 440 participants in a Germanic/Austrian cultural context as perceived in presence and as anticipated for an age of 80 years and examined their relationship to value orientations as a coping resource. From adjective ratings on the Semantic Differential for the real self-image at presence, two dimensions were extracted, one representing Warmth (W) and one representing Competence (C) in the sense of the Stereotype Content Model. Cluster analysis yielded one type of respondents with a cautiously optimistic, and one with a moderately pessimistic view of the present and the future. A third cluster devalued W and C in favor of Religiosity and Conservatism and had the highest degree of congruence between real and ideal self-images. Thus, hypotheses with regard to Religiosity and Conservatism as coping resources were confirmed.

关键词： old age Real vs Ideal Self-Image Stereotype Content Model Human Values Consistency Theory

Pondering over Some Chinese And Western Poems about old age

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读与写(教育教学刊) 2007年第12期4卷 1-2+7页

作者：夏宏鈡吴春容四川理工学院四川理工学院四川自贡643000

Through a comparative appreciation of Chinese and Western poems about old age,the present article tends to present a general convey of the western and eastern poets’ attitudes and feelings towards old age,which is an aspect of human *** main themes are almost the same:reminiscence(sweet or bitter) ,solitude,contentment,detachment,sorrow and *** the Western are more optimistic and admire youth,regard old age as a natural stage of *** Chinese,more conservative and perfectionist,show much more respect to the old,and think more about the past unfulfilled.

关键词： Poems old age Main themes Optimistic Conservative Perfectionist

Building up a program to improve quality of life in old age in China

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校园英语 2018年第43期 254-254页

作者： Lu Xia Urban Vocational College of Sichuan

When it comes to health issues, no one can deny that there is an increasing number of elderly individuals worldwide,the topic of how to properly take care of elderly people in China garners wide public attention. I worked as a volunteer in a homecare company in US, so I am very interested in a program in China that provides an excellent platform for elderly people spending their twilight years.

关键词： quality of life old age in China

3omorbidity and survival of patients selected for radica prostatectomy at an age of 75 years or older

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Asian Journal of Andrology 2013年第5期15卷 667-671页

作者： Michael Froehner Rainer Koch Manfred P Wirth Departments of Urology University Hospital 'Carl Gustav Carus' Dresden University of Technology Dresden D-01307 Germany Department of Medical Statistics and Biometry University Hospital 'Carl Gustav Carus' Dresden University of Technology Dresden D-01307 Germany

Radical prostatectomy in elderly patients is controversial. To identify very old candidates for radical prostatectomy with the highest probability of long-term survival, we studied 47 consecutive men who underwent radical prostatectomy between 1992 and 2005 at an age of 75 years or older. A heuristic approach was used to search for subgroups with particularly high long-term survival. Several two-sided comorbidity measures and combinations of these measures were investigated to find classifications best identifying healthy, long-living elderly candidates for radical prostatectomy. Four of the 25 two-sided comorbidity classifications or combinations reached the significance level with hazard ratios between 4.00 and 4.80. After 10 years, patients identified as healthy patients according to these comorbidity measurements had exhibited relative survival rates between 129% and 137% and overall survival rates between 86% and 95%, whereas those with comorbidities had exhibited relative survival rates of only 66%-84% and overall survival rates of 44%-58%. In conclusion, classifying comorbidity may identify a meaningful proportion of men selected for radical prostatectomy at an age of 75 years or older with an excellent long-term survival probability superseding that of the general population.

关键词： comorbidity old age overall survival prostate cancer radical prostatectomy relative survival

Dexmedetomidine-induced anesthesia in elderly patients undergoing hip replacement surgery

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World Journal of Clinical Cases 2023年第16期11卷 3756-3764页

作者： Jun-Qing Li Hao Yuan Xiao-Qiang Wang Meng Yang Department of Anesthesiology Fuyang Hospital Affiliated to Anhui Medical UniversityFuyang 236000Anhui ProvinceChina

BACKGROUND A femoral neck fracture is a common and frequently reported issue in orthopedics, with a greater rate of incidence among the elderly. Due to their advanced age and the presence of some primary diseases, both anesthesia and surgery are increasingly difficult in elderly patients with a femoral neck fractures. In fact,general anesthesia can easily induce complications such as cognitive dysfunction,which is not conducive to postoperative *** To analyze the efficacy of dexmedetomidine in inducing anesthesia for elderly patients undergoing hip replacement *** A total of 98 elderly patients undergoing hip replacement in our hospital from June 2020 to June 2021 were randomly divided into control group(49 cases) and observation group(49 cases). The control group was given general anesthesia, and the observation group was combined with dexmedetomidine for anesthesia on the basis of the control group. Both groups were observed until the patients were discharged. The vital signs, serum inflammatory factors and renal function indexes of the two groups were compared before, during and 6 h after *** postoperative recovery and adverse events of the two groups were statistically *** Compared with the mean arterial pressure of the two groups, the intraoperative and postoperative 6 h was higher than that before the operation, the intraoperative was lower than the postoperative 6 h(P < 0.05);the blood oxygen saturation of the two groups was higher than that before operation and 6 h after operation, and the observation group was higher than the control group 6 h after operation(P < 0.05). The heart rate of the two groups was lower during and 6 h after operation than that before operation, and higher at 6 h after operation than that during operation(P < 0.05).The levels of serum C-reactive protein, tumor necrosis factor-α, interleukin-1β and kidney injury molecule-1 in the two groups were higher during operation and 6 h after operati

关键词： Hip replacement old age Dexmedetomidine Anesthetic effect Vital signs

Importance of serum phosphate in elderly patients with diabetes mellitus

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World Journal of Diabetes 2020年第10期11卷 416-424页

作者： Vaia D Raikou Despina Kyriaki Sotiris Gavriil Department of Nephrology Doctors’HospitalAthens 11257Greece Department of Nuclear Medicine General Hospital“LAΪKO”Athens 11527Greece Department of Bariatric Surgery Doctors’HospitalAthens 11257Greece

BACKGROUND Metabolic disturbances including changes in serum calcium,magnesium or phosphate(P)influence the prevalence of type 2 diabetes mellitus(DM).We assessed the importance of serum P in elderly patients with type 2 DM vs nondiabetes mellitus(non-DM)in relation to renal *** To determine the association between serum P and serum glucose or insulin resistance in diabetic and non-diabetic *** One hundred-ten subjects with a mean age of 69.02±14.3 years were ***-nine of the participants had type 2 DM(26.4%).The incidence of hypertension,smoking and receiving vitamin D(vitD)derivates were *** participants were classified by both estimated glomerular filtration rate(eGFR)and albuminuria categories according to the Kidney Disease Improving Global Outcomes 2012 *** We divided the patients in two groups according to the P cut-off point related to DM value.A comparison between high and low P showed that body mass index 30.2±6.3 vs 28.1±4.6(P=0.04),mean glucose 63.6 vs 50.2(P=0.03),uric acid 6.7±1.6 vs 6.09±1.7(P=0.05),mean intact-parathyroid hormone 68.06 vs 47.4(P=0.001),systolic blood pressure 147.4±16.7 vs 140.2±16.1(P=0.02),mean albuminuria 63.2 vs 50.6(P=0.04)and eGFR 45.6±22.1 vs 55.4±21.5(P=0.02)were significantly different.χ^2 tests showed a significant association between high P and DM,hypertension,receiving vitD,smoking and eGFR stage(χ^2=6.3,P=0.01,χ^2=3.9,P=0.03,χ^2=6.9,P=0.009,χ^2=7.04,P=0.01 andχ^2=7.36,P=0.04,respectively).The adjusted model showed that older age,female gender and increased body mass index were significant predictors of type 2 DM when entering the *** High serum P contributes to vascular and metabolic disturbances in elderly patients with type 2 DM and renal impairment.

关键词： Serum phosphate Diabetes mellitus Renal disease old age Albuminuria Vitamin D

Relationship between preoperative psychological stress and shortterm prognosis in elderly patients with femoral neck fracture

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World Journal of Psychiatry 2024年第6期14卷 838-847页

作者： Wen-Hui Fu Zhi-Long Hu Yuan-Jun Liao Ri-Jiang Chen Jian-Bin Qiu Wu-Tang Que Wan-Tao Wang Wei-Hua Li Wei-Bin Lan Department of Orthopedics Longyan First Affiliated Hospital of Fujian Medical UniversityLongyan 361000Fujian ProvinceChina

BACKGROUND older adults are at high risk of femoral neck fractures(FNFs).Elderly patients face and adapt to significant psychological burdens,resulting in different degrees of psychological stress *** hip replacement is the preferred treatment for FNF in elderly patients;however,some patients have poor postoperative prognoses,and the underlying mechanism is *** speculated that the postoperative prognosis of elderly patients with FNF may be related to preoperative psychological *** To explore the relationship between preoperative psychological stress and the short-term prognosis of elderly patients with *** In this retrospective analysis,the baseline data,preoperative 90-item Symptom Checklist score,and Harris score within 6 months of surgery of 120 elderly patients with FNF who underwent total hip arthroplasty were *** analyzed the indicators of poor short-term postoperative prognosis and the ability of the indicators to predict poor prognosis and compared the correlation between the indicators and the Harris *** Anxiety,depression,garden classification of FNF,cause of fracture,FNF reduction quality,and length of hospital stay were independent influencing factors for poor short-term postoperative prognoses in elderly patients with FNF(P<0.05).The areas under the curve for anxiety,depression,and length of hospital stay were 0.742,0.854,and 0.749,*** sensitivities of anxiety,depression,garden classification of FNF,and prediction of the cause of fracture were 0.857,0.786,0.821,and 0.821,*** specificities of depression,FNF quality reduction,and length of hospital stay were the highest at 0.880,0.783,and 0.761,***,depression,and somatization scores correlated moderately with Harris scores(r=-0.523,-0.625,and-0.554;all P<0.001).CONCLUSION Preoperative anxiety,depression,and somatization are correlated with poor short-term prognosis in elderly patients with FNF and warrant consid

关键词： Psychological stress old age Femoral neck fracture Hip replacement Short-term prognosis Correlation

The Prevalence and Risk Factors of Elder Abuse during the COVID-19 Pandemic in the Fayoum Governorate,Egypt

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Journal of Forensic Science and Medicine 2023年第3期9卷 257-263页

作者： Marwa Ali Mwaheb Asmaa Younis Elsary Amal Raouf Saleh Department of Forensic Medicine and Clinical Toxicology Faculty of MedicineFayoum UniversityFaiyumEgypt Department of Public Health and Community Medicine Faculty of MedicineFayoum UniversityFaiyumEgypt

Background: Elder abuse has evolved into a global public health and human rights issue. COVID-19 had a significant impact on Egypt’s economic development and style of life. Aim: This research aimed to estimate the prevalence of elder abuse in the Fayoum Governorate of Egypt during the COVID-19 pandemic and assess the prevalence of different elder abuse subtypes and study the effect of different demographic characteristics on these abuse subtypes. Methods: This study was a cross-sectional, descriptive survey among 201 older adults aged 60 and above in the Fayoum Governorate. The structured questionnaire used in the study had three sections: demographic characteristics, the Hwalek- Sengstock elder abuse screening test, and the Questions to Elicit Elder Abuse screening tool. Results: This research documented that the prevalence of elder abuse was (72.6%) and the most prevalent types were emotional and neglect abuse (71.1% and 64.7%, respectively). In our study, 22.9% of older adults were exposed to a single type of abuse, 29.9% to two types, 26.9% to three types, and 10.4% to four types. Female is significantly higher than male abuse exposure (66.7% vs. 33.3%). 52.4% versus 7.1% were more likely to be abused than elderly persons who earn enough income. Conclusion: According to this study, emotional and neglect abuse were the most common types of elder abuse. Risk factors for elder abuse included being between the ages of 60 and 70 years, being a woman, residing in a rural location, being illiterate, jobless, married, earning little money, and belonging to a middle-class socioeconomic group. For the general public to better comprehend the consequences of elder abuse on their health and human rights, awareness and education must be increased.

关键词： Abuse Egypt elderly mistreatment old age

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英国老年人心理健康服务体系的现状及启示