Biggar talks about Generations Journal Guest Editor Rich Browdie. Browdie began his career in the aging sector on the ground, as a rural case worker in Pennsylvania. He quickly progressed to ...executive director of a AAA there, eventually becoming Secretary for Aging for the Commonwealth of Pennsylvania after a couple of years in Washington DC as Executive Director of the National Association of Area Agencies on Aging, and then spending 17 years as president and CEO of the Benjamin Rose Institute on Aging in Cleveland. In total he spent five decades as a leader in the aging network.
Navigating the maze of modern American health care is rarely easy; those who enter it are confronted with a dizzying array of specialists, practitioners, and clinics from which to choose, and are ...forced to make decisions regarding drugs and treatments about which they may know very little. For immigrants, finding their way can be difficult—especially for those to whom Western medicine is itself unfamiliar.In this engaging, accessible, and detail-rich book, Zibin Guo narrates elderly Chinese immigrants' response to contemporary American medicine. Traditional Chinese medicine emphasizes self-care and the medicinal value of foods and herbs; American doctors' responses to the ailments of their Chinese patients can seem impersonal and unnecessarily interventionist. Distrust, expense, and problems of communication and interpretation often frustrate both patient and practitioner.Guo paints a picture of a population that, despite its outward appearance of homogeneity, demonstrates a surprisingly wide variety of health-care knowledge, practice, and belief. Using case materials and interviews, he analyzes the blend of folk treatments and respect for Western science that coexist in the health care regimens of these elderly Chinese immigrants. Navigating the maze of modern American health care is rarely easy; those who enter it are confronted with a dizzying array of specialists, practitioners, and clinics from which to choose, and are forced to make decisions regarding drugs and treatments about which they may know very little. For immigrants, finding their way can be difficult—especially for those to whom Western medicine is itself unfamiliar. In this engaging, accessible, and detail-rich book, Zibin Guo narrates elderly Chinese immigrants' response to contemporary American medicine. Traditional Chinese medicine emphasizes self-care and the medicinal value of foods and herbs; American doctors' responses to the ailments of their Chinese patients can seem impersonal and unnecessarily interventionist. Distrust, expense, and problems of communication and interpretation often frustrate both patient and practitioner. Guo paints a picture of a population that, despite its outward appearance of homogeneity, demonstrates a surprisingly wide variety of health-care knowledge, practice, and belief. Using case materials and interviews, he analyzes the blend of folk treatments and respect for Western science that coexist in the health care regimens of these elderly Chinese immigrants.
Abstract
Background
The unexpected changes caused by the COVID-19 pandemic related to the fear of developing the disease, and the need for social distancing and isolation have had an effect on ...people’s mental health. These drastic changes can result in the development of anxiety, depressive symptoms and sense of loneliness. Elderly and chronically ill individuals are at a particularly high risk of developing COVID-19, suffering severe illness and dying as a result of it.
Aim of the study
The aim of the study was to assess the prevalence of anxiety, depressive symptoms, irritability and loneliness in the elderly aged 60 years and older as a group exposed to the negative impact of the COVID-19 pandemic, and to analyze the relationships between loneliness and mental health of the respondents and sociodemographic variables and chronic diseases.
Materials and methods
The study was conducted in Poland among 221 individuals aged 60+. The study material was collected using a sociodemographic questionnaire, Hospital Anxiety and Depression Scale (HADS-M) and a revised University of California Los Angeles loneliness scale (R-UCLA). Women accounted for 47.51% and men for 52.49% of study participants; the mean age was 65.18 (SD = 4.06).
Results
In total, according to HADS-M, depressive symptoms were present in 19.15% of the participants and borderline states in 14.18% of them. Based on R-UCLA, moderate and moderately high sense of loneliness was present in 58.83% of the participants. Sense of loneliness was significantly correlated with the prevalence of depressive symptoms (
p
< 0.001).
Conclusions
In this study, one in five participants experienced anxiety and depressive symptoms. Two out of three participants experienced a moderate sense of loneliness. Individuals who displayed a higher level of loneliness also had a higher severity of anxiety level depressive symptoms and irritability. Elderly individuals should be under special care due to their high risk of experiencing physical and mental effects of the COVID-19 pandemic.
Billions of shots of China's CoronaVac and Sinopharm vaccines have been given globally, but studies have questioned the length of protection they offer.
Migraine: epidemiology and systems of care Ashina, Messoud; Katsarava, Zaza; Do, Thien Phu ...
The Lancet (British edition),
04/2021, Letnik:
397, Številka:
10283
Journal Article
Recenzirano
Migraine is a neurovascular disorder that affects over 1 billion people worldwide. Its widespread prevalence, and associated disability, have a range of negative and substantial effects not only on ...those immediately affected but also on their families, colleagues, employers, and society. To reduce this global burden, concerted efforts are needed to implement and improve migraine care that is supported by informed health-care policies. In this Series paper, we summarise the data on migraine epidemiology, including estimates of its very considerable burden on the global economy. First, we present the challenges that continue to obstruct provision of adequate care worldwide. Second, we outline the advantages of integrated and coordinated systems of care, in which primary and specialist care complement and support each other; the use of comprehensive referral and linkage protocols should enable continuity of care between these systems levels. Finally, we describe challenges in low and middle-income countries, including countries with poor public health education, inadequate access to medication, and insufficient formal education and training of health-care professionals resulting in misdiagnosis, mismanagement, and wastage of resources.
Written for people making the move in to a care home, or the families and staff about to assist them, this book is an antidote to the psychological stress this transition can have on older people. It ...provides essential tips to guide people along the way from deciding to move to settling in to their new surroundings.
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