In improving the total coverage of elderly healthcare, public health centers (puskesmas) provide services off-building, one of which is elderly posyandu. In Semarang city, the average elderly ...attendance rate to posyandu was still meager. It impacted healthcare's low coverage and decreased elderlies' health status quality. This study aimed to analyze factors affecting the elderly posyandu utilization in working areas of six puskesmas of Semarang city. This study was quantitative with a cross-sectional design. The population was 42.679 elderlies with 70 elderly samples. The sampling technique was accidental sampling using questionnaires. The univariate analysis used a frequency distribution, while the relationship analysis used the rank spearman test. The study results showed relationships of attitude (p= 0.048), trust (p= 0.000), access (p= 0.000), cadres role (p=0.000), healthcare workers role (p=0.000), family support (p=0.015), facility (p=0.000), and disease susceptibility perception (0.002) to elderly posyandu utilization in working areas of six puskesmas of Semarang city. It is necessary to maximize funding for activities and facilities, innovate the development of gymnastics, conduct a singing together activity, and provide an understanding of disease risk factors.
La evolución demográfica de América Latina, y especialmente Chile, muestra un creciente envejecimiento de la población: ya en el 2050, uno de cada cuatro latinoamericanos y uno de cada tres chilenos ...tendrán más de 60 años. Entre los elementos que contribuyen al bienestar de las personas mayores, las posibilidades de movilidad y acceso juegan un rol fundamental y debieran entonces constituirse como prioridad en la formulación de planes y políticas de movilidad. Sin embargo, las tradicionales metodologías de la planificación de trasporte no logran capturar adecuadamente las formas en que las personas mayores se mueven y logran acceder a oportunidades urbanas. El artículo discute el valor de integrar diferentes métodos de análisis para una mejor representación de la movilidad de las personas mayores. Analizando la movilidad y la accesibilidad de una comunidad de personas mayores en el barrio San Eugenio, en Santiago de Chile, el artículo compara los resultados de entrevistas y encuestas por hogares, observando en qué medida contribuyen a la descripción de las prácticas de movilidad y acceso de la población examinada. Los resultados muestran la relevancia de enfoques cualitativos que, a escala barrial, examinan específicamente la población mayor, considerando que estos métodos hacen emerger prácticas de movilidad y patrones de accesibilidad difíciles de observar a través de análisis más agregados. La aproximación a la movilidad de las personas mayores permitida por las herramientas cualitativas requiere considerar las condiciones de su adopción por parte de la planificación de la movilidad al nivel barrial y urbano.
The general retirement age is 50-60 year old related to the assumption that, as people get older, a person will experience degeneration of brain cells which results in cognitive function decrease ...that affects work quality and productivity. Physical activity is believed to help reduce the cognitive function decrease in elderlies and provide opportunities to extend the productive period. This study was aimed at finding out the cognitive function differences in physically active elderlies and physically inactive elderlies, as well as the relationship between the level of daily physical activity and cognitive function of the elderlies. This study was an observative analytic study involving 90 elderlies ( 50 years) grouped into 2 groups based on the intensity of their daily physical activities. The instrument used for measuring physical activity level was GPAQ and the cognitive function measurement instrument was MMSE. The data obtained were analyzed by independent t-test and correlation test. The results showed a significant cognitive function difference (p 0.05) in the high physical activity group (KT) and the low physical activity group (KR). Correlation test showed a strong relationship (p 0.05) between the intensity of daily physical activity and cognitive function of the elderlies.
We sought to assess and compare the prediction power of the PRECISE-DAPT and PARIS risk scores with regards to bleeding events in elderly patients suffering from acute coronary syndromes (ACS) and ...undergoing invasive management.
Our external validation cohort included 1883 patients older >74 years admitted for ACS and treated with PCI from 3 prospective, multicenter trials.
After a median follow-up of 365 days, patients in the high-risk categories according to the PRECISE-DAPT score experienced a higher rate of BARC 3–5 bleedings (p = 0.002) while this was not observed for those in the high-risk category according to the PARIS risk score (p = 0.3). Both scores had a moderate discriminative power (c-statistics 0.70 and 0.64, respectively) and calibration was accurate for both risk scores (all χ2 > 0.05), but PARIS risk score was associated to a greater overestimation of the risk (p = 0.02). Decision curve analysis was in favor of the PRECISE-DAPT score up to a risk threshold of 2%.
In the setting of older adults managed invasively for ACS both the PARIS and the PRECISE-DAPT scores were moderately accurate in predicting bleeding risk. However, the use of the PRECISE-DAPT is associated with better performance.
•In a validation cohort of 1883 subjects older ≥75 y, the PRECISE-DAPT and PARIS risk scores had similar, moderate performance in terms of calibration and discrimination.•The PRECISE-DAPT risk score had a better performance in stratifying patients into bleeding risk categories with a significant increase in terms of major bleeding in the high-risk category.•An overestimation bias is present for both risk scores, but this appears significantly higher in the PARIS risk score.
Traumatic brain injury (TBI) is the leading cause of death and permanent impairment over the last decades. In both the severe and mild TBI, diffuse axonal injury (DAI) is the most common pathology. ...Computation of axon elongation by using finite element (FE) head model in numerical simulation can enlighten the DAI mechanism and help to establish advanced head injury criteria. The main objective of this study is to propose a brain injury criterion per age-class based on multiscale computation of axonal elongation of real world head trauma. The implementation of advanced skull mechanical properties and new medical imaging data such as fractional anisotropy and axonal fiber orientation from Diffuse Tensor Imaging (DTI) into the FE brain model was performed to improve the brain constitutive material law with more efficient heterogeneous anisotropic visco-hyper-elastic material law and enables it to compute axon elongation at the time of impact .Further, well-documented head trauma cases were simulated by using this finite element head model in order to derive head injury criteria for different injury mechanisms. Coming to brain injury, the head trauma database was divided into three different groups depending on victims’ age: under 30 years old, between 30 to 50 years old and over 50 years old. An extensive real-world head trauma simulation exercise including age-class analysis was performed on an advanced head FE model including the computation of axonal elongation. Based on the statistical analysis, axonal strain was the most relevant candidate parameter to predict moderate DAI. It was showed that the threshold value in terms of axonal strain for a 50% risk of moderate DAI decrease with the increase of victim’s age. Senior people seem to be more sensitive to moderate DAI than the other age-classes.
The decrease of physical fitness contributes to the morbidity and mortality rates of elderlies. Physical fitness of a person aged 60 years is determined by the level of physical fitness examined ...through a six minute test. Efforts to improve physical fitness level through sport are needed, one of which is Senam Jantung Sehat Seri-I (Healthy Heart Gymnastics Series-I) with the accurate exercise frequency. The purpose of this study was to analyze the frequency of Senam Jantung Sehat Seri-I that could improve cardiorespiratory fitness in elderlies. This study used pre-experimental method with pre-test and post-test design approach involving 27 healthy elderlies who followed a routine Senam Jantung Sehat Seri-I exercise at the Nursing Home. The research subjects were divided into 3 groups based on the frequency of gymnastics activity per week including 3, 4, and 5 times a week for 6 weeks. Improved physical fitness was determined through the distance traveled by the participants on the 6-minute test at week 1 and week 6. The traveled distance difference was analyzed by using Independent t-test with a p-value 0.05. The elderly group who did Senam Jantung Sehat Seri-I three times a week had a significant mean difference (-106.0; p = 0.009), while groups who performed 4 and 5 times a week exercises did not show significant results. In conclusion, this study provides evidence that Senam Jantung Sehat Seri-I three times a week could improve cardiorespiratory fitness.
This study conducted an empirical investigation of life satisfaction of residents living in super high-rise housings. We investigated life satisfaction of residents, and households with small ...children and elderlies who live on upper floors. Depending on the residential floors, home satisfaction, health status, and stress frequency differ. The degree of life satisfaction of child-rearing households is influenced by "the home satisfaction", "view from home", "health condition" and other factors. Elderly people's life satisfaction is influenced by "the home satisfaction", "view from home", "health condition", "stress frequency", and "the long chat time" has a negative effect.
Early detection of physical frailty and infectious diseases in seniors is important to avoid any fatal drawback and promptly provide them with the necessary healthcare. One of the major symptoms of ...viral infections is elevated body temperature. In this work, preparation and implementation of multi-age thermal faces dataset is done to train different "You Only Look Once" (YOLO) object detection models (YOLOv5,6 and 7) for eye detection. Eye detection allows scanning for the most accurate temperature in the face, which is the inner canthus temperature. An approach using an elderly thermal dataset is performed in order to produce an eye detection model specifically for elderly people. An application of transfer learning is applied from a multi-age YOLOv7 model to an elderly YOLOv7 model. The comparison of speed, accuracy, and size between the trained models shows that the YOLOv7 model performed the best (Mean average precision at Intersection over Union of 0.5 (mAP@.5) = 0.996 and Frames per Seconds (FPS) = 150). The bounding box of eyes is scanned for the highest temperature, resulting in a normalized error distance of 0.03. This work presents a fast and reliable temperature detection model generated using non-contact infrared camera and a deep learning approach.
PDF
