Articoli di riviste: "Older people Health and hygiene"

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Michalik - Marcinkowska, Urszula, e Aleksandra Kiełtyka-Słowik. "Limited adherence to personal hygiene of school-aged children and people over 60 as a continuing challenge for health educators". Przeglad Epidemiologiczny 78, n. 1 (5 giugno 2024): 94–106. http://dx.doi.org/10.32394/pe/188802.

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BackgroundHygienic behavior as such belongs to health behavior, acquired at home, at school, at workplace or through the mass-media.ObjectiveThe aim of the study was to analyze the perception of personal hygiene among different age groups and the sociodemographic factors related to hygiene behavior.Material and methodsThe author’s questionnaire for children and seniors concerning selected hygienic behavior was used. The questionnaire was conducted in two groups: 200 primary school children in age: 8-11 years; 109 girls and 91 boys and 200 older people: young-old (60-74 years) and old-old (75+); 110 women and 90 men.ResultsGirls longer than boys take morning hygiene behavior, but statistically boys spend more time on evening washing, cleaning and brushing. Seniors hygienic behavior depend on age: young-old are more likely take a shower every day (51.79%) than seniors in the old-old group (29.86%). The same statistically significant difference was noticed in case of washing hands before a meal.ConclusionsChildren care more about personal hygiene than older people. Age, not gender, is a factor determining the frequency of hygiene practices among older people. Young-old care more about personal hygiene than old-old.

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Rodas Avellaneda, Claudia Patricia, María del Pilar Angarita Díaz, Luis Francisco Nemocon Ramírez, Luis Alexys Pinzón Castro, Yenny Tatiana Robayo Herrera, Ines Leonilde Rodriguez Baquero e Rocio del Pilar González Sanchez. "Oral health strategy for the older people in social protection centers in Villavicencio, Colombia". Working with Older People 21, n. 3 (11 settembre 2017): 167–77. http://dx.doi.org/10.1108/wwop-04-2017-0010.

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Purpose The purpose of this paper is to design and to implement an oral health educational strategy that targeted an older population residing in three social protection centers (SPC) in Villavicencio, Colombia. Design/methodology/approach The first phase consisted in determining the oral health of older citizens in the SPC. To do this, the research group gathered patients’ personal information and indices. The second phase consisted in the development of an educational strategy based on the population’s requirements. The educational strategy, focusing on oral hygiene and denture care, was implemented for the older people and their caregivers. The third and final phase consisted in the research group measuring the effect of the designed strategy by repeating oral diagnoses for the older people six months after strategy implementation. Findings The results of the assessment indicated that implementing a strategy to strengthen oral hygiene care was positive, given that statistically significant reductions were observed in the soft plaque index and the Gingival Index (p<0.05). Research limitations/implications As a result of the complexity of the population, the data obtained after the strategy was implemented were significantly reduced. However, these results indicate that an educational strategy can have an effect on this type of population. Originality/value Implementing a strategy that promotes oral hygiene education and brushing skills, fosters good oral behavior and helps the older people in SPC to remember the information taught, thus contributing to their oral hygiene.

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Grönbeck Lindén, I., C. Hägglin, L. Gahnberg e P. Andersson. "Factors Affecting Older Persons’ Ability to Manage Oral Hygiene: A Qualitative Study". JDR Clinical & Translational Research 2, n. 3 (15 maggio 2017): 223–32. http://dx.doi.org/10.1177/2380084417709267.

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A great challenge for the dental service is to support the growing group of elderly people with preserving good oral health throughout their lives. Limitations in the ability to manage oral hygiene and an increased number of risk factors are often reflected by poor oral health. Thus, the need for individualized support and oral health procedures based on the older person’s condition is significant. Deficiencies in the motor skills needed to manage oral hygiene are well known, but other factors that affect the ability are not well studied. The aim of the present study was to identify factors that may affect an elderly person’s ability to perform oral hygiene self-care, which is the first step to develop a more comprehensive “oral hygiene ability index.” The design of the study was qualitative. Data were collected from 4 focus group interviews with a total of 23 participants. Three of the groups consisted of dental hygienists, occupational therapists, and assistant nurses, all working with elderly persons. The fourth group was made up of elderly people (72–89 years). Content analysis was used to analyze the data. The latent content was formulated into the core category, “oral hygiene—a complex activity.” Three categories emerged: “psychological,” “environmental,” and “functional” dimensions. The psychological dimension described attitude/motivation, emotions, and cognitive factors. The environmental dimension included practical conditions and social context. The functional dimension dealt with bodily and oral function as well as the senses. In conclusion, self-care with respect to oral hygiene is a complex activity for elderly persons and includes a large number of factors. These factors should be taken into consideration when developing a future oral hygiene ability index. Knowledge Transfer Statement: Various factors may affect the ability to manage oral hygiene self-care. Impaired ability to manage oral hygiene, in combination with an increased number of risk factors, often results in deteriorating oral health and impaired quality of life in older persons. Factors necessary to manage oral hygiene were identified in a qualitative study of dental hygienists, occupational therapists, and assistant nurses, all working with elderly patients, and a group of elderly persons. The results of this study may be important for clinical oral health work with older patients and for the planning of oral health and social care interventions for the growing group of older people.

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Alba, Cristiano Regis, Crhis Netto de Brum, Rafaela Lasta, Michele Gassen Kellermann, Vanessa da Silva Corralo, Otávio Pereira D'Ávila, Clodoaldo Antônio de Sá e Sinval Adalberto Rodrigues-Junior. "Oral health care of hospitalized elderly in a Southern Brazilian public hospital". Research, Society and Development 11, n. 3 (28 febbraio 2022): e38711326565. http://dx.doi.org/10.33448/rsd-v11i3.26565.

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Oral health care plays a part in the integral recovery of hospitalized older people. Based on that, this study characterized the oral health care of hospitalized older people in a Brazilian public hospital. Through application of questionnaires, this cross-sectional study assessed oral health care practice by hospital nursing staff (n=31), companions (n=134) and hospitalized older people (n=200) of a public hospital in Southern Brazil. Clinical examination was conducted by two previously calibrated examiners to screen the oral health condition of the patients, considering the presence of cavitated lesions, residual roots, visible biofilm, calculus, gum inflammation and bleeding. Data were analysed descriptively. Nursing staff limits oral health assessment to surgical procedures; 55% of nurses and 58% of companions do not supervise the oral hygiene, but 81% and 96%, respectively, claim to perform oral hygiene of elderly with difficulties to do so. The elderly (51%) claimed to brush their teeth 3x/day or more; yet, their oral health was characterized by the presence of visible biofilm, calculus, gingival inflammation and bleeding and decayed teeth. Oral health advisory or assessment is not part of the hospital routine. Companions and hospital nursing staff are willing to receive oral health care information. Poor oral health was observed in hospitalized older people, which would probably be enhanced by an interdisciplinary educational approach towards oral health care to older patients.

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Ribeiro Gaião, Luciene, Maria Eneide Leitão de Almeida, José Gomes Bezerra Filho, Peter Leggat e Jorg Heukelbach. "Poor Dental Status and Oral Hygiene Practices in Institutionalized Older People in Northeast Brazil". International Journal of Dentistry 2009 (2009): 1–6. http://dx.doi.org/10.1155/2009/846081.

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In this study we describe the dental status and oral hygiene practices in institutionalized older people and identify factors associated with poor dental status. A cross-sectional study was performed in a nursing home in Fortaleza, the capital of Ceará State (northeast Brazil). The number of decayed, missing, and filled teeth (DMFT) was assessed in the residents of the nursing home (; mean age = 76.6 years). The mean DMFT value was 29.7; the mean number of missing teeth was 28.4. Ninety-three (58.1%) were edentulous. Almost 90% practiced oral hygiene, but only about half used a toothbrush. Only 8% had visited a dentist in the preceding three months. Most of the variables regarding oral hygiene habits (such as the use of toothbrush, frequency of oral hygiene per day, regular tooth brushing after meals) did not show any significant association with the DMFT. In multivariate regression analysis, age, general literacy level, and practice of oral hygiene were independently associated with the DMFT (). Institutionalized older people in northeast Brazil have poor dental status, and oral hygiene practices are insufficient. Dental health education is needed focusing on the special needs of this neglected and socioeconomically deprived population to improve their quality of life.

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Manckoundia, Patrick, e France Mourey. "Cognition Impairment and Gait Disorders in Older Adults". International Journal of Environmental Research and Public Health 19, n. 12 (15 giugno 2022): 7347. http://dx.doi.org/10.3390/ijerph19127347.

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Thanks to the increase in life expectancy linked to scientific and medical progress and improvements in hygiene conditions, the population of people aged 75 years and over continues to grow worldwide, particularly in industrialized countries [...]

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Wong, Florence M. F., Henry W. H. Shie, Enoch Kao, Hoi Mei Tsoi e Wai Keung Leung. "Educational Programme on Knowledge, Attitudes, and Practice of Oral Care/Hygiene Provision by Healthcare Providers to Older Residents in Long-Term Care Institutions: A Case-Control Study". Geriatrics 9, n. 1 (29 gennaio 2024): 16. http://dx.doi.org/10.3390/geriatrics9010016.

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Background: Much attention has been paid to advocate proper oral care/hygiene provision by healthcare providers in long-term care institutions (LTCIs). This study aimed to evaluate the effects of an oral health education (OHE) programme (intervention) on knowledge, attitudes, and practice (KAP) of healthcare providers in providing oral care/hygiene to older residents in LTCIs. Methods: A case control study was conducted at two LTCIs, with one assigned as the intervention group and the other as the control group. A KAP survey was administered before and after the intervention, and oral status was assessed by standardized clinical photographs taken before and after oral hygiene provision on three older residents. Results: A total of 40 healthcare providers (20 in intervention and 20 in control groups) participated, with the attitudes and overall KAP significantly improved in the intervention group after the OHE programme. Interestingly, the knowledge of those in the control LTCI was significantly declined at re-evaluation (mean scores were from 17.25 to 14.30), indicating inadequate oral health and care training despite having more experience in taking care of older people. Significant differences in practice were observed between the two groups after the OHE programme (p = 0.006). The three older residents exhibited poor oral health and multiple oral problems. Conclusions: This study revealed that the OHE programme effectively improved attitudes of the healthcare providers and provided a sustaining effect on attitude towards oral health and oral care. However, there were still inadequacies in oral hygiene provision by some healthcare providers, possibly due to unattended oral diseases and hygiene needs, as well as personal and environmental barriers that merit further investigation. Regular evaluation and enforcement of oral care/hygiene provision in LTCIs are necessary to maintain oral health and prevent dental and gum diseases in older residents. Immediate referral for dental treatment is recommended for older people with signs of dental/oral disease(s).

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Kwon, Jenny, Michael Hughes e Anh Vo. "ASSOCIATION BETWEEN ANXIETY ABOUT AGING AND AGEISM TOWARD OLDER ADULTS AMONG KOREAN DENTAL HYGIENE WORKFORCE". Innovation in Aging 7, Supplement_1 (1 dicembre 2023): 835–36. http://dx.doi.org/10.1093/geroni/igad104.2694.

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Abstract Ageism toward older people is prevalent in Korean healthcare settings, where older adults are likely to encounter other age groups of people. However, not many studies took close attention to ageism in the dental hygiene field. Considering the increase in dental care demand among the older population, this study aims to investigate the level of ageism and the factors associated with ageism among Korean dental hygiene undergraduates and dental hygienists. Based on the convenience sampling strategy, a total of 146 online surveys were collected from July to September 2022 in Seoul and Daejeon, Korea. Aging anxiety, ageist attitude, intergenerational contact measures, demographic characteristics, and geriatric-related experiences of participants were asked. Higher scores indicate lower aging anxiety and higher ageism. The mean (±SD) age of participants was 24 (±6.05) years. The mean score of aging anxiety was 2.97 (±.52) out of 5 and the mean score of ageism was 2.10 (±.31) out of 7. In the multiple regression model, aging anxiety is significantly associated with ageism (β = −0.257, p < 0.001). Participants feeling more anxious about aging have a more ageist attitude toward older people. The results suggest that well-designed gerontological education and intergenerational programs are necessary. In the short term, these efforts will decrease the fear of aging among dental hygiene field workers. In the long term, these will help them have the right understanding of aging and a positive attitude toward older people which can affect the quality of dental care service.

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Vandenbulcke, Patricia, Johanna De Almeida Mello, Emilie Schoebrechts, Anja Declercq, Dominique Declerck e Joke Duyck. "Perceptions of care-dependent older people in nursing homes about their oral health and oral care". International Journal of Integrated Care 23, S1 (28 dicembre 2023): 335. http://dx.doi.org/10.5334/ijic.icic23461.

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Background: Oral health is associated with general health but often remains neglected in residential care settings. Integration of oral care into general care is necessary, but literature shows that appropriate oral care is hampered by multiple barriers. Among older people, attitudes towards oral health and oral care are poor, as they are often unaware of the importance of oral health. The lack of ability to perform their own oral care, due to ageing, is also a perceived barrier. This study is part of research on the implementation of the new Oral Health Section (OHS) in the interRAI assessment of general care needs of nursing home residents. The aim of the study is to identify older people’s experiences with their own oral health, with the oral care performed, their perception of the importance of oral care, as well as their meaning about the assessment of their oral health using. Setting and participants: Care-dependent older people living in 3 Flemish nursing homes. Methods: In-depth interviews were performed and the Oral Health-Related Quality of Life 14 (OHIP-14) instrument was completed. This validated instrument measures the degree of self-rated oral health and satisfaction with the oral health status. The OHS was also filled out, which assesses whether they need assistance with daily oral hygiene care (Oral Hygiene CAP) and whether they need to be referred to a dentist (Dentist CAP). Interviews were coded, validated and discussed by 2 researchers and analysed in the software Nvivo1.7. Results: A total of 22 care-dependent older people were interviewed. The mean age of the sample was 84.5 (± 8.2 SD) and 63.6% were female. A total of 11 participants (50%) had no teeth but wore dentures; the others still had their natural teeth. The mean score of the OHIP-14 was 3.9 (range 0-56), indicating good scores for oral health-related quality of life. All older people who still had their natural teeth found it important to keep them in the future. Most older people were satisfied with their own oral health (81.8%), although, according to the results of the CAPs, 86.4% of them scored poorly on the assessment of oral hygiene and 68.2% needed immediate referral to a dentist. This shows that older people tend to overestimate their own oral health and are often satisfied, despite having several oral health problems. Conclusions/implications: The study provided information about the perceptions and experiences of older people regarding their oral health and oral care. Learning about their experiences and perceptions can help to identify their wishes and needs, making it possible to improve daily oral care and proactively develop strategies to provide effective dental care for the future older population. Policy makers can use these results to foster the integration of oral care guidelines into care protocols within nursing homes, as well as support collaboration with dentists and dental hygienists within care facilities.

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Lopez-Jornet, Pia, Carmen Zamora Lavella, Eduardo Pons-Fuster Lopez e Asta Tvarijonaviciute. "Oral Health Status in Older People with Dementia: A Case-Control Study". Journal of Clinical Medicine 10, n. 3 (27 gennaio 2021): 477. http://dx.doi.org/10.3390/jcm10030477.

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Dementia is characterized by a range of cognitive defects with impaired activities of daily living that have implications for patient oral health. Objectives. A case-control study was made of the impact of dementia upon oral health. A total of 152 patients were included: 69 with dementia and 83 controls from the region of Murcia (Spain). The Global Deterioration Scale (GDS) was used to classify the patients and an oral exploration was carried out. Odds ratios (ORs) and confidence intervals (CIs) were estimated using regression models. The patients with more severe disease were significantly more likely to have fewer natural teeth (OR 11.00, 95%CI 1.28–23.22; p = 0.001), a higher plaque index (p = 0.001), and a greater bleeding index (p = 0.001) than the control group. These findings suggest that older adults with dementia have deficient oral health. A higher bleeding index increases the risk of deterioration of cognitive function. The oral hygiene and health of older people with dementia need to be improved.

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Kurylo, I. O. "Elderly in Ukraine during the war: situation, needs, examples of resilience". Ukrainian society 87, n. 4 (30 dicembre 2023): 9–20. http://dx.doi.org/10.15407/socium2023.04.009.

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The paper investigates the Ukrainian older adults’ social, economic, and humanitarian circumstances in the context of the russian war against Ukraine. It mainly analyses the challenges and needs of the elderly residing in regions affected by active hostilities, those who have experienced occupation, and internally displaced older persons. The main problems for older people in the areas of active hostilities and those who have been in the occupied territories are loss and (or) damage of housing; difficulties in evacuating, especially lonely people and those who lost social (family) support; destruction of institutions for the elderly and disabled as well as medical infrastructure; increased poverty and limited access to basic food, hygiene, and medicine, poor health; vulnerability to war crimes by the occupiers. For internally displaced older persons, the following problems are determined: the shortage of housing in slightly safer regions; limited financial opportunities for rental housing and meeting other basic needs (food, medicine, etc.); significant deterioration of health conditions forced by the physical and psychological trauma experienced and displacement during the war; living in temporary shelters with an increased risk of being placed in institutions for the elderly. There are some of the most urgent needs of older people in Ukraine in the context of war: various medicines and hygiene products; food and its delivery to the affected regions; transporting older people, including transferring them to the bomb shelters; increased need for medical care, psychological and social rehabilitation; help with home care and household chores. The paper underlines the resilience of older adults to the hardships they face, their high level of self-organisation and mutual assistance during russia’s war against Ukraine.

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Piyakhunakorn, Panat, e Nithimar Sermsuti-anuwat. "The Relationship between Periodontitis and Oral Health Literacy among the Older People in Thailand". Global Journal of Health Science 13, n. 6 (14 maggio 2021): 103. http://dx.doi.org/10.5539/gjhs.v13n6p103.

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OBJECTIVE: The purpose of this study was to evaluate the relationship between periodontitis and oral health literacy among the older population in Thailand. MATERIAL & METHODS: This cross-sectional study was performed between July 1 and September 30, 2020, in Panare district, Pattani province, Thailand. The inclusion criteria were older individuals more than 60 years of age who had at least six remaining teeth. Information on sociodemographic characteristics and oral health-related behaviors were collected using a self-reported questionnaire. Oral health literacy was categorized using the Thai version of the Health Literacy in Dentistry scale (HeLD‐Th). A trained examiner performed clinical periodontal examinations. The data were analyzed using the Mann-Whitney U test, Fisher's exact test, and binary logistic regression analysis. RESULTS: A total of 216 independently living older adults participated and completed the study protocol. The initial analyses indicated significant associations between severe periodontitis and low oral health literacy (p = 0.029) and insufficient toothbrushing duration (p < 0.001). However, in multivariate analysis, only toothbrushing duration showed significant association (p = 0.003). CONCLUSIONS: Oral health literacy interventions and oral hygiene practices for improving periodontal health status among the Thai older adults are necessary.

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Kim, Jung Ki, e Eileen Crimmins. "How Age Affects Personal and Social Reactions to COVID-19: Results from the National Understanding America Survey". Innovation in Aging 4, Supplement_1 (1 dicembre 2020): 948. http://dx.doi.org/10.1093/geroni/igaa057.3470.

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Abstract The pandemic of COVID-19 has had tremendous impact on Americans’ lives including their personal and social behaviors. While everyone is affected in some way by the pandemic, older persons have been far more likely to suffer the most severe health consequences. For this reason, how people have responded to the COVID-19 outbreak may differ by age. Using a nationally representative sample from the Understanding America Study (UAS), we examined differentials in behavioral responses to COVID-19 by age and how they change over time. At the beginning of the pandemic (March, 2020), older people were less likely than younger ones to engage in preventive behaviors. As the pandemic progressed, however, older people have adopted healthy behavioral changes more than younger people, such that about two months after the pandemic started, older people were more likely to comply with suggested and regulated behaviors including practicing better hygiene, quarantining, and social distancing. Even when considering other potential influences on behavioral responses, older age was significantly related to performing more preventive behaviors, and gender, racial/ethnic minority status, perceived risk for infection and dying and political orientation were also found to be related to people’s behavioral responses.

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O'SULLIVAN, JESSICA, e TONI ASHTON. "A minimum income for healthy living (MIHL) – older New Zealanders". Ageing and Society 32, n. 5 (22 luglio 2011): 747–68. http://dx.doi.org/10.1017/s0144686x11000559.

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ABSTRACTGovernments around the developed world are seeking to meet the challenges of the ageing population through strategies which promote a holistic approach to ageing, captured in catch-phrases such as ‘successful’, ‘active’, ‘positive’ and ‘healthy’ ageing. These strategies are supported by a growing body of research, with a particular emphasis on the prerequisites for health and quality of life. Drawing on that research, and using a methodology developed by the London School of Hygiene and Tropical Medicine, the ‘Minimum Income for Healthy Living (MIHL): Older New Zealanders’ study used a health lens to investigate the retirement income needs of older New Zealanders living independently in the community. The MIHL was estimated for people living alone, couples, renters and debt-free home owners. In each case, the MIHL estimates were appreciably higher than the universal state pension paid to older New Zealanders. People living alone and those renting their homes were shown to be worse off than couples and debt-free home owners, respectively. The results highlight that many older New Zealanders are living on an income which may not be enough to support a healthy life. This has important implications for the demand for health, residential and social services and brings life to the question of what level of income might be needed in retirement.

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Weening-Verbree, Lina F., Annemarie A. Schuller, Sytse U. Zuidema e Johannes S. M. Hobbelen. "A Qualitative Evaluation of the Implementation of an Oral Care Program in Home Care Nursing". International Journal of Environmental Research and Public Health 20, n. 3 (24 gennaio 2023): 2124. http://dx.doi.org/10.3390/ijerph20032124.

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An Oral Care Program (OCP) was implemented in home care nursing teams in a northern province of the Netherlands to improve the oral health and hygiene of older people who make use of formal home care in 2018–2019. The aim of the current study was to evaluate the experiences of the stakeholders involved (older people, home-care nurses and dental hygienists) and to report the experienced impact of OCP, with a qualitative approach. Three dental hygienists, nine home care nurses, and eight older people were interviewed with semi-structured interviews, which were audio recorded, transcribed and analyzed using thematic analysis. The codes derived were grouped into nine main themes. OCP was experienced as mostly positive by all stakeholders involved. The educational part lead to more awareness towards oral care, but should be repeated regularly. Personalized oral care plans for older people were experienced positively, however, obtaining oral care behavior changes appeared to be difficult. Collaboration between dental hygienists and home care nurses lead to a positive experience from both sides The method and intensity of collaboration varied between the teams. To provide better access to oral health care for older people in the community, a long term collaboration between home care nursing teams and dental care professionals in their working area should be established.

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Vinsur, Elizabeth Yun Yun, Nanik Dwi Astutik e Oktavia Indriyani. "Perawatan Mulut (Oral Hygiene) menggunakan Obat Kumur Daun Sirih untuk Mencegah Gangguan Mulut Lansia". KOLABORASI JURNAL PENGABDIAN MASYARAKAT 2, n. 5 (2 ottobre 2022): 397–401. http://dx.doi.org/10.56359/kolaborasi.v2i5.171.

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Introduction: Older people have a complexity of health status, systemic diseases, and the use of certain medications creates oral health problems. Indonesian people, use quite a lot of family medicinal plants, for example a decoction of betel leaves (Piper betle L.). Its compounds are known to have strong potential as an anti-fungal and anti-bacterial. The role of nurses is to increase the knowledge of health cadres through health counseling activities about the basic concepts of oral hygiene and how to make betel leaf-based mouthwashes Objective: The counseling activity aims to increase the knowledge of health cadres about oral hygiene and about how to make mouthwashes made from betel leaves. Method: The implementation has been held in June 2022. The number of participants was 14 people. The participants are health cadres in Wonosari Hamlet. The instruments used to evaluate were ten (10) pre-test and post-test questionnaire questions and a checklist of procedures for how to make betel leaf-based mouthwashes. The data on the results are presented in the form of a table of scores. Result: The average score of knowledge about oral hygiene are increase from 49.29 to 67.27. Procedure evaluation score 97.61%. Conclusion: There was an increase in knowledge about oral hygiene and representatives of cadres were able to make Betel Leaf Mouthwash. It is hoped that it can be done to the elderly so that the optimization of PHC in terms of oral hygiene of the elderly uses betel leaf mouthwash to prevent oral disorders from manifesting.

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Piticar, Evelyn, e Lorena-Mirtala Orellana. "Dental health status and Oral Health-Related Quality of Life in older people of Puerto Montt, Chile." Journal of Oral Research 9, n. 5 (30 ottobre 2020): 372–82. http://dx.doi.org/10.17126/joralres.2020.078.

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Introduction: Older people tend to have poor oral health, which can affect their quality of life. This study aimed to explore the relationship of the Oral Health-Related Quality of Life (OHRQoL) with sociodemographic variables and the dental health status of older people who belong to Elderly Clubs in the district of Puerto Montt, Chile. Material and methods: A cross-sectional study was carried out in 140 elderly people from Elderly Clubs in the district of Puerto Montt, Chile. Sociodemographic and dental variables were studied using a questionnaire and clinical examination. The GOHAI instrument validated in Chile was applied to measure the OHRQoL. Results: The mean of the total GOHAI was 50.8±8.6 points, and the median was 53. Of the 140 elderly people, 87.9% were females, the means of age and years of education were 73.2±6.2 and 7.5±4.4 years, respectively. 30% were edentulous, the number of remaining teeth was 7.8±8.1, the OHI-S was 1.3±1.0. 85.7% wore dentures, and the time of denture wearing was 8.8±9.4 years. Significant associations were found between the total GOHAI and non-belonging to an indigenous people (p=0.024), being edentulous (p=0.006), and the presence of healthy teeth (p=0.039). Conclusion: The GOHAI showed a significant relationship with not-belonging to an indigenous ethnicity, being edentulous, and the number of healthy teeth. The OHRQoL was higher in males, with formal education, edentulous, dentated without teeth mobility, with complete dentures, and moderate denture hygiene.

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Strajnic, Ljiljana, Miodrag Djokic e Predrag Vucinic. "Contemporary methods and mobile denture cleansers and theirs significance for older population". Medical review 64, n. 9-10 (2011): 497–502. http://dx.doi.org/10.2298/mpns1110497s.

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Introduction. A dramatic increase in the number of people living in their seventies, eighties and nineties is associated with a loss of teeth and the use of mobile dentures. The aim of this paper was to highlight the consequences of poor denture hygiene on oral and general health in vulnerable elderly people, in long-term hospitalized elderly patients and in long-term institutionalized elderly in nursing homes. Denture deposits and consequences of poor denture hygiene. The number of bacteria living in the mouth is getting larger after putting denture on. Namely, a small ?space? develops between jaw and denture, creating perfect conditions for bacterial growth. Denture becomes a ?reservoir? of micro-organisms. Denture deposits such as bacterial plaque, fungi, tartar and remnants could be responsible for: stomatitis prothetica, cheilitis angularis, inflammatory fibrous hyperplasia, halitosis (bad breath), dental caries in mobile denture carriers, mucositis and periimplantitis in mobile implant over-dentures carriers, accelerated destruction of denture materials for underlying, such as denture base soft liners, respiratory airways diseases, bacterial endocarditis and gastrointestinal infections. Removal of denture deposits. It is recommendable to combine mechanical and chemical denture cleaning. Denture submersion into a commercial cleansing solution for less than one hour is an effective cleaning method. Commercial cleansers specifically intended for dentures with metal parts should be used for those dentures. Commercial cleansers with a new component of silicon polymer, whose thin layer surrounds all denture surfaces and disables oral bacteria to agglomerate, are effective and useful. Preventive hygienic treatments are very important in hospitals and homes for the aged, bearing in mind that old and ill persons reside here. Those institutions are recommended to get equipped with ultrasound denture cleaners. Importance of written brochure on proper denture hygiene. Patients should be verbally instructed and showed about cleaning techniques, but also written instructions in form of brochure should be distributed in order to achieve better effects.

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Sari, Kartika Indah, Warta Dewi, Tadeus Arufan Jasrin e Taufik Sumarsongko. "Kebersihan Gigi Tiruan pada Lansia, Suatu Tinjauan Metode dan Bahan". Jurnal Material Kedokteran Gigi 7, n. 1 (5 agosto 2018): 1. http://dx.doi.org/10.32793/jmkg.v7i1.274.

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The use of removable dentures is one of the main approach to oral rehabilitation of partially or completely edentulous patient. Denture hygiene is an important things for the elderly as a vulnerable people. The purpose is to discribe both of the literature or recent study that related to denture hygiene in elderly. Removable denture got special attention cause accumulate food residue, bacterial biofilm, and calculus at the mucosa or denture interface. Recently, the presence of bacterial bioflim on denture was considered a risk factor for aspiration pneumonia in frail older people. In general, removable denture that is used acrylic based denture.The microporous surfaces of an acrylic denture provide a wide range of environments to support microorganisms that can threaten the health of patient. Knowing denture cleanser as apart of denture hygiene in elderly is an important things.

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György, Szende-Karolina. "Coping Strategies of the Elderly. Mental Health Intervention Among Old People, Who Live Alone". Erdélyi Társadalom 18, n. 1 (2020): 37–60. http://dx.doi.org/10.17177/77171.240.

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This study provides insight into the intervention results of my dissertation. The main topic of the dissertation is the mental health care for older people, especially in coping and in maintaining their mental health. Right at the start, I briefly present the literature review of the topic: I write about the concept of mental hygiene, aspects of successful aging, coping strategies, tasks of the old age and the role of a mental health professional in their life. In the intervention section, I shortly summarize the conversations with three elderly people, in the end I describe the results, my own experiences, opinion and draw conclusions. Keywords: old age, coping, resources, life story work, mental health care

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Altendorf, Annette, Brian Draper, Chanaka Wijeratne, Jason Schreiber e Daniella Kanareck. "Neglect of Older People: Touching on Forensic and Pathophysiological Aspects". Gerontologist 60, n. 6 (26 luglio 2019): e449-e465. http://dx.doi.org/10.1093/geront/gnz084.

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Abstract Background and Objectives Neglect of older people is common and may result in fatal and nonfatal outcomes. Normal changes of aging and disease-related symptoms may overlap with markers of neglect and lead to under-detection. This review aims to delineate medical, psychiatric, and pathophysiological indicators in the victim—identified in forensic case reports—to point out areas of overlap and raise awareness in Health Care Professionals. Research Design and Methods Medical and forensic databases were searched with the search terms: neglect, elder, elderly, forensic, homicide for detailed case reports on elder neglect. Cases were reviewed as to victim age, sex, medical/psychiatric diagnosis, perpetrator, victim-to-perpetrator relationship, cause of death (if fatal), location of incident, autopsy findings (if fatal), and ancillary studies. A total of 168 publications were retrieved, of these 11 publications, containing a total of 25 cases, yielded sufficient detail on each case to be included in the qualitative analysis. Results Neglect is associated with poor physical, psychological, and mental health. Neglect can be a direct cause of death or contribute to a fatal outcome by exacerbating existing conditions. Red flags of neglect included malnutrition, dehydration, poor hygiene, untreated decubitus ulcers, hypothermia, contractures, and an uncooperative caregiver. However, incontrovertible evidence of neglect is not always easy to obtain due to age and disease-related changes. Discussion and Implications The findings document the extent and seriousness of elder neglect and highlight the importance of detailed documentation as well as collaboration between clinicians, allied health professionals, law enforcement and medical forensic services to improve patient outcomes and reduce the risk of further incidents.

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Gebeyaw, Getachew, Messay Kotecho e Margaret Adamek. "LIFE ON THE STREETS IS HORRIBLE: OLDER RURAL-URBAN MIGRANTS COPE WITH HOMELESSNESS IN ETHIOPIA". Innovation in Aging 6, Supplement_1 (1 novembre 2022): 566. http://dx.doi.org/10.1093/geroni/igac059.2133.

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Abstract The prevalence of homelessness among older adults in Ethiopia is growing. While prior studies examined the push factors and challenges of homeless elders, little is known about how older people in Sub Saharan Africa cope with homelessness. This study explored the coping strategies of homeless older people in Kobo Town, Ethiopia. Purposive sampling was used to identify 10 homeless older people and four key informants. Study participants were homeless for a year or longer. Thematic analysis was used to analyze the data collected through in-depth interviews. To cope with the challenges faced on the street, homeless older people used various strategies including begging, holy water, drying leftover food, using river water for hygiene and sanitation, sleeping in church compounds, and creating their own social networks. Despite their efforts, the coping strategies used by elders were not sufficient. In the absence of family and government support, study participants relied heavily on begging to meet their survival needs. The findings call attention to the need for a national income support program and other supportive services for older adults. Homelessness is the product of a failing support system. Despite Ethiopia having a Plan of Action for Older Persons and Social Protection Policy for Vulnerable Groups, these policies have not been effectively implemented leaving older adults with no safety net. This study calls for the development of new policies to empower older people in Ethiopia and prevent them from turning to begging as their only recourse.

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El Osta, Nada, Amine Wehbe, Nelly Sleiman, Noemie Drancourt, Lana El Osta e Martine Hennequin. "Dental Criteria Could Alert for Malnutrition Risk and Inappropriate Choice of Food Texture in Older Subjects with Dementia: An Analytical Cross-Sectional Study". International Journal of Environmental Research and Public Health 19, n. 22 (16 novembre 2022): 15086. http://dx.doi.org/10.3390/ijerph192215086.

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Oral health indicators are usually collected to alert for the presence of infectious diseases, but the impact of poor oral health on the nutritional status of older people with dementia is often neglected. This study aims to explore the relationship between the number of posterior dental functional units (PFUs) and the anthropometric measure of malnutrition, the mid-upper arm circumference (MUAC), in older people with dementia while controlling for other variables, and to analyze whether the number of PFUs is considered when adjusting the texture of the food provided at mealtimes. A total of 103 individuals who were 70 years or older with dementia were recruited from seven institutions. Cognitive impairment was assessed using the Mini Mental State Examination. Data were collected from medical records (sociodemographic characteristics, presence of chronic diseases, prescribed medications, results of serum albumin level), as well as questionnaires (type of feeding routes, type of food texture, supplements intake, Activity of Daily Living index), clinical examinations (MUAC), and oral health parameters (PFUs, oral dryness, oral hygiene). MUAC was the dependent outcome variable. MUAC was associated with the number of PFUs (p = 0.032); participants with PFU ≤ 4 were 7.5 times more likely to have MUAC < 21 cm than others. Other associations were found between MUAC and albumin level (OR = 12.5; p = 0.001), modified food texture (OR = 4.2; p = 0.035), and length of institutional stay (OR = 5.2; p = 0.033); however, the type of oral feeding was not significantly related to the number of PFUs (p = 0.487) so there is an inadequate correlation between food texture and oral health status. Similar to MUAC, the number of PFUs could be an oral anthropometric criterion that is recorded during routine hygiene care to alert for the risk of malnutrition and the inappropriate choice of food texture in older individuals with dementia.

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Kozhokar, Anastasia S., Sergey V. Kuznetsov, Arina S. Podkhvatilina, Andrey E. Bratus, Yuriy O. Paramonov e Irina A. Paramonova. "Indicators of dental incidence in older populations". Russian Journal of Dentistry 25, n. 1 (15 gennaio 2021): 23–28. http://dx.doi.org/10.17816/1728-2802-2021-25-1-23-28.

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BACKGROUND: The study of dental problems characteristic of geriatric patients is becoming increasingly relevant. As a person ages, the entire dental system undergoes physiological and functional changes. To eliminate the adverse effects of oral diseases, prolong the period of remission, preventive measures, constant monitoring of the level of hygiene, dispensary supervision of elderly and senile persons are necessary. AIM: This study aimed to determine the prevalence and intensity of dental diseases in the following older age groups: young elderly (6574 years old), old elderly (7584 years old), and very old elderly (85 years old and older). MATERIALS AND METHODS: A dental examination of 183 patients was carried out using a modified card for assessing the state of the dental status, according to guidelines of the World Health Organization. RESULTS: Analysis of dental morbidity in the older age group showed that the most common dental diseases in this group were extractions of lossened teeth caused by caries and periodontal diseases. Following a comprehensive dental examination of elderly patients and people with senility, the intensity of KPU and OHI-S was 19.760.52 and 2.710.12, respec-tively, and this indicates the poor hygienic state of the oral cavity of this population. CONCLUSION: Data support the untimeliness and inadequacy of dental care in elderly patients and people with senility. This necessitates the development of special treatment and prophylactic programs for this population, aimed at reducing dental morbidity.

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Mirwald, A., J. Dinkel, V. Foltin, J. Lochmann e A. Czirfusz. "Bridging The Gap Between Dentistry and Chronic Disease Prevention". Clinical Social Work and Health Intervention 15, n. 3 (28 giugno 2024): 42–47. http://dx.doi.org/10.22359/cswhi_15_3_06.

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Over the past few years, oral health has been gaining more attention concerning its connection to overall health and the prevention of chronic diseases. Beijing Health Service Survey research shows that oral health behavior is related to the risk of chronic diseases in middle-aged and older adults living in Beijing, China (Guo et al., 2023). Bad oral hygiene practices are implicated in poor cardiovascular diseases (CVD) as well as endocrine and nutritional metabolic disorders, as stated by the findings. This confirms that oral health behavior is an important modifiable risk factor for chronic illnesses, thereby necessitating integrated intervention programs between oral health and regular disease control. Guo et al. (2023) denote a particular pertinence of the study focusing on middle-aged and older people, considering China’s aging population and the escalating prevalence of chronic diseases. By evaluating the daily frequency of toothbrushing as an oral health behavior index, this research has provided valuable information about how simple oral hygiene practices can impact the risk for chronic conditions. These findings add to a growing evidence base that underscores the significance of oral health in preventive healthcare strategies. This paper aimed to explore paths that would link verbal health behavior with chronic diseases and to develop targeted programs that could enhance middle-aged and older adults’ practices regarding dental management.

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Sumbayak, Ines Augustina, Sri Lelyati C. Masulili, Fatimah Maria Tadjoedin, Benso Sulijaya, Arrum Mutiara, Diana Khoirowati, Yuniarti Soeroso e Boy M. Bachtiar. "Changes in Interleukin-1β, Tumor Necrosis Factor-α, and Interleukin-10 Cytokines in Older People with Periodontitis". Geriatrics 8, n. 4 (10 agosto 2023): 79. http://dx.doi.org/10.3390/geriatrics8040079.

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Aging can change the ability to respond to various stimuli and physical conditions. A decreased immune response is a form of deterioration of function in older people, who then become more vulnerable when exposed to pathogens. Periodontitis is an inflammatory disease of the periodontal tissues that often occurs in older people. This study aimed to clinically analyze the periodontal status and cytokine levels of IL-1β, TNF-α, and IL-10 in older people and adults with periodontitis. This clinical study examined 20 persons in a group of older people and 20 persons in a group of adults. The clinical measurements of periodontal status included the Simplified Oral Hygiene Index (OHI-S), Plaque Index (PlI), and Papilla Bleeding Index (PBI). The cytokine levels in gingival crevicular fluid (GCF) were quantified by using ELISA kits. The OHI-S, PlI, and PBI were found to be higher in the older group. The mean values of cytokines were higher in the older group than in adults, although no statistically significant differences were found. A strong correlation was found between the clinical measurements and the cytokine levels in the GCF. There was an increasing tendency of pro-inflammatory and anti-inflammatory cytokines in the older group compared to the adult group.

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Richardson, Barbora, e Martin Orrell. "Home assessments in old age psychiatry". Advances in Psychiatric Treatment 8, n. 1 (gennaio 2002): 59–65. http://dx.doi.org/10.1192/apt.8.1.59.

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“For people to be successfully supported at home, a comprehensive assessment is an essential first step.” (Audit Commission, 2000: p. 43.)Home visits by old age psychiatrists remain popular with elderly patients, their carers and general practitioners (GPs). Home assessments by various disciplines working with older people have been endorsed as a sign of good practice by the Audit Commission (2000) in their recent national report on mental health services for older people: “Assessment at home is often better as people are most likely to behave and communicate in their normal way in familiar surroundings. Staff can also build a more accurate picture of people's needs and learn the views of their carers. Professionals can observe whether there is adequate food in the house, whether people can make themselves a hot drink, and whether there are any likely risks from poor hygiene or fire hazards.” (Audit Commission, 2000: p. 43.)

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Улитовский, С. Б., e О. В. Калинина. "STUDY OF THE FUNCTIONAL STATE OF THE PERIODONTIUM IN OLDER PERSONS AND ITS CORRECTION BY MEANS OF ORAL HYGIENE". Успехи геронтологии, n. 3 (5 settembre 2020): 555–60. http://dx.doi.org/10.34922/ae.2020.33.3.018.

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В исследовании приняли участие 258 лиц старшего возраста с генерализованным хроническим пародонтитом, наблюдение за которыми проводилось на протяжении 1 мес. Для углубленного изучения свойств и эффективности зубных паст, рекомендуемых лицам старшего и преклонного возраста с профилактической противовоспалительной целью, проводили испытания, которые позволили определить истинные характеристики и свойства исследуемых паст. Для изучения противовоспалительного действия зубных паст на стоматологический статус использовали пародонтальные индексы РМА и PI . Наиболее выраженное противовоспалительное действие было выявлено у образцов, активными компонентами которых являлись экстракт овса, тимол, эфирные масла чайного дерева и аниса, а также эвкалипта. Правильный подбор средств индивидуальной гигиены полости рта и разработка «Индивидуальной гигиенической программы профилактики хронического генерализованного пародонтита у лиц старшего и преклонного возраста» позволяют снизить явления воспаления в пародонте, выработки медиаторов воспаления и повысить стоматологическое здоровье лиц старшего и преклонного возраста. The study involved 258 older persons with generalized chronic periodontitis, who were monitored for a month. For an in-depth study of the properties and effectiveness of toothpastes recommended for older and elderly people with preventive anti-inﬂammatory purpose, tests were conducted to determine the true characteristics and properties of the studied pastes. Periodontal indices PMA and PI were used to study the anti-inﬂammatory effect of toothpastes. The most pronounced anti-inﬂammatory effect was revealed in the samples, the active components of which were oat extract, thymol, anise and essential oils of tea tree, as well as eucalyptus. Proper selection of means of individual oral hygiene and the development of «Individual hygienic program of prevention of chronic generalized periodontitis in older and elderly people» can reduce the phenomenon of inﬂammation in the periodontium, the development of mediators of inﬂammation and improve dental health of older and elderly people.

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Улитовский, С. Б., Е. С. Алексеева, А. А. Васянина, О. В. Калинина e Л. А. Ермолаева. "INDICATORS OF ORAL FLUID AND THEIR CORRECTION BY MEANS OF HYGIENE IN ELDERLY PEOPLE WITH GENERAL SOMATIC DISEASES". Успехи геронтологии, n. 3 (2 agosto 2021): 425–30. http://dx.doi.org/10.34922/ae.2021.34.3.012.

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Приведены результаты исследования ротовой жидкости у лиц старшего возраста с соматической патологией, наблюдение за которыми проводили на протяжении 1 мес. Оценивали кислотно-осно' вное состояние ротовой жидкости, определяли вязкость ротовой жидкости. По результатам исследования ротовой жидкости и ее коррекции средствами гигиены у лиц старшего возраста с соматическими заболеваниями отмечали динамику показателей кислотно-осно'вного состояния ротовой жидкости, его сдвиг в щелочную сторону и положительную динамику состояния вязкости ротовой жидкости. Для обеспечения снижения риска неблагоприятных воздействий при изменении состояния ротовой жидкости необходим совместный подход с участием всех медицинских работников, учитывающий детерминанты здоровья и обеспечивающий разработку эффективных методов профилактики стоматологических заболеваний у лиц старшего возраста. The results of the study of oral fluid in older persons with somatic pathology, which was followed for 1 month, are presented. The acid-base state of the oral fluid was evaluated, and the viscosity of the oral fluid was determined. According to the results of the study of oral fluid and its correction by means of hygiene in older persons with somatic diseases, the dynamics of the indicators of the acid-base state of the oral fluid, its shift to the alkaline side and the positive dynamics of the effect of the viscosity of the oral fluid were noted. To ensure that the risk of adverse effects from changes in the state of the oral fluid is reduced, a joint approach involving all health professionals is needed, taking into account the determinants of health and ensuring the development of effective methods for the prevention of dental diseases in older persons.

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Yu, Wenting, e Alan Lewis. "An Empirical Analysis of the Effectiveness of Daycare Centers in Improving the Well-Being of Older People". INQUIRY: The Journal of Health Care Organization, Provision, and Financing 60 (gennaio 2023): 004695802311625. http://dx.doi.org/10.1177/00469580231162534.

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In 2021 the State Council set out a plan to address the challenges posed by China’s aging population, particularly through the consolidation of community home care services, including the provision of daycare centers. This study focuses on the provision of daycare centers in Dalian, a key city in Northeast China, and utilizes Mary Shaw’s “housing and health” model to conceptualize daycare centers as elements in a network that encompasse home and neighborhood. Furthermore, the study considers how daycare centers may affect this network, particularly when it comes to contributing to the well-being of older people and how they adapt to the local culture. A survey was conducted across 19 daycare centers to determine the services they provide. Semi-structured interviews were conducted with 8 older people living in Dalian, and their homes were surveyed using the EVOLVE Tool. Additional interviews were conducted with 11 people in outdoor neighborhood spaces and daycare centers. The interviewees were asked to provide insights about their homes, neighborhoods, and daycare centers. The interview and survey data uncovered themes around socialization, nutrition, and personal hygiene by employing the thematic analysis method. The results revealed that daycare centers theoretically compensated for the missing functions in the community; however, residents’ cultural awareness and consumption habits prevented daycare centers from being used optimally, thereby failing to improve the well-being of older people. Thus, in the process of improving the socialist market economy, the government should enhance the publicity of these facilities and retain welfare as much as possible. Funds should also be allocated to protect older people’s basic needs.

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Mugisha, J. O., A. Edwards, N. Naidoo, S. Chatterji, J. Seeley e P. Kowal. "Longitudinal data resource from the Wellbeing of Older People cohort of people aged >50 years in Uganda and South Africa from 2009 to 2019". South African Medical Journal 113, n. 9 (4 settembre 2023): 36–41. http://dx.doi.org/10.7196/samj.2023.v113i8.16706.

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Background. The population of people aged ≥60 years continues to increase globally, and has been projected by the United NationsPopulation Division to increase to 21% of the total population by 2050. In addition, the number of older people living with HIV hascontinued to increase owing to the introduction of antiretroviral therapy as a treatment for HIV-infected people. Most of the older people living with HIV are in sub-Saharan Africa, an area that faces the biggest burden of HIV globally. Despite the high burden, there are limited reliable data on how HIV directly and indirectly affects the health and wellbeing of older people within this region.Objective. To showcase the availability of data on how HIV directly and indirectly affects the health and wellbeing of older people in Uganda and South Africa (SA).Methods. The World Health Organization Study on global AGEing and adult health (SAGE), in collaboration with Medical ResearchCouncil/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine (MRC/UVRI and LSHTM) UgandaResearch Unit and the Africa Health Research Institute (AHRI) in SA, started the SAGE Wellbeing of Older People Study (WOPS) inUganda and SA in 2009. Since initiation, respondents have been surveyed every 2 years, with four waves of surveys conducted in Uganda and three waves in South Africa.Results. The available datasets consist of two cohorts of people, aged >50 years, who were surveyed every 2 years between 2009 and2018. The prevalence of HIV positivity over this period increased from 39% to 54% in Uganda and 48% to 62% in SA. The datasetsprovide comparisons of variables at a household level and at an individual level. At the individual level, the following measures can becompared longitudinally for a 10-year period for the following variables: sociodemographic characteristics; work history and benefits;health states and descriptions; anthropometrics performance tests and biomarkers; risk factors and preventive health behaviours;chronic conditions and health services coverage; healthcare utilisation; social cohesion; subjective wellbeing and quality of life; andimpact of caregiving.Conclusion. This article describes the WOPS in Uganda and SA, the population coverage of this study, and the survey frequency of WOPS, survey measures, data resources available, the data resource access and the strengths and weaknesses of the study. The article invites interested researchers to further analyse the data and answer research questions of interest to enhance the impact of these data.

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Jockusch, Julia, Siri Nitschke, Werner Hopfenmüller, Oliver Schierz, Sebastian Hahnel e Ina Nitschke. "Impact of an Oral Hygiene Intervention in People with and without Dementia on Oral Health Parameters—Results from the Oral Health, Bite Force, and Dementia (OrBiD) Pilot Study". Journal of Clinical Medicine 11, n. 5 (1 marzo 2022): 1356. http://dx.doi.org/10.3390/jcm11051356.

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This study aimed to assess the influence of an oral hygiene intervention on oral health, depending on the degree of dementia. A clinical evaluation of oral health parameters (index of decayed, missing, and filled teeth (DMFT-index), periodontal screening index (PSI), oral hygiene index (OHI), and bleeding on probing (BOP)) was performed in 120 subjects assigned to five groups, based on the mini mental state examination (MMSE) at baseline and after 12 months. Each MMSE group (no dementia (noDem, MMSE 28–30), mild cognitive impairment (mCI, MMSE 25–27), mild dementia (mDem, MMSE 18–24), moderate dementia (modDem, MMSE 10–17), and severe dementia (sDem, MMSE ≤ 9)) was split into control (no intervention) and experimental groups (intervention on oral hygiene: increased frequency, daily usage of high-fluoride toothpaste). In total, 99 out of 120 subjects were included in the analysis. The dropout rate was high in subjects with modDem and sDem due to death. In subjects with noDem, mCI, and mDem, no changes in the DMFT were found, but improvements in the OHI, BOP, and PSI were observed. Subjects with modDem or sDem demonstrated a deterioration in DMFT; however, in these patients, OHI improved in all control and experimental groups, BOP improved in the experimental group only, and PSI did not improve at all. The scope of improving oral health parameters by increasing the recall frequency and by continuously using high fluoride toothpaste is at its limits in people with severe dementia. Multidimensional approaches should be sought to improve the oral health of vulnerable older patients.

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Kim, Ji-Eun, Na-Yeong Kim, Choong-Ho Choi e Ki-Ho Chung. "Association between Present Teeth and Muscle Strength in Older People in Korea". Journal of Personalized Medicine 12, n. 7 (18 luglio 2022): 1163. http://dx.doi.org/10.3390/jpm12071163.

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Background: As the world population continues to age, interest in muscle strength loss in older people is increasing. This study aimed to confirm the association between present teeth and muscle strength in older people in Korea. Methods: Using data extracted from the 2014–2019 Korea National Health and Nutrition Examination Survey, we analyzed 5136 older people aged 65–79 years. The present teeth were based on 20 teeth, which is the criteria for comfortable mastication. The association of the risk of low muscle strength according to the present teeth was assessed using multiple logistic regression analysis, and the association was confirmed by dividing into subgroups according to sex. Results: The prevalence of low muscle strength was 17.87% among all participants. Multiple logistic regression analysis confirmed the association between low muscle strength and present teeth; a significant association was found even in the model in which all covariates were adjusted (odds ratios (OR) = 1.35; 95% confidence interval (CI): 1.13–1.61). Subgroup analysis revealed a significant association between present teeth and low muscle strength even in the model in which both covariates were adjusted for sex (Men, OR = 1.41; 95% CI: 1.02–1.95; Women, OR = 1.31; 95% CI: 1.06–1.6). Conclusion: An association between present teeth and low muscle strength was confirmed in older people in Korea. These results indicate that the importance of oral hygiene management should be emphasized to prevent muscle strength loss in older people.

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Malakouti, S. K., M. Foroughan, M. Nojomi e M. Ghalebandi. "Sleep Pattern, Sleep Disturbances and Sleepiness in the Retired Iranian Elderly". European Psychiatry 24, S1 (gennaio 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)71461-0.

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Complaints of sleep disturbance increase with age and many studies have been reported on the relation of sleep problems with greater use of health services, physical and mental morbidity, functional decline and all cause mortality. This study aimed to examine the sleep patterns and sleep disturbances in Iranian older people and to see how their sleep quality relates to their health status. 400 men and women, 60 years or older, interviewed by trained psychiatrist regarding their physical and mental health status, then the Pittsburg Sleep Quality Index, the Epworth Sleepiness Scale, and General Health Questionnaire implemented on them. The gathered data analyzed by chi-square test, t-test, one-way analysis of variance and logistic regression. The results showed that the majority of participants (82.6%) suffered from poor sleep quality and approximately one third had sleepiness (29.2%) during daytime. Difficulty falling (p≤0.001) and maintaining (p≤0.01) sleep and feeling too hot at night sleep (p≤0.005) were significantly more prevalent in women, but men suffered more from leg twitching (p≤0.01). Being female (OR=2.52), and having GHQ scores more than 11 (OR=4.14) increased the risk of poor sleep quality considerably. Promoting sleep hygiene education and screening of mental health problems in primary health care services for older people are recommended.

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Yu, Jingyu, Guixia Ma e Shuxia Wang. "Do Age-Friendly Rural Communities Affect Quality of Life? A Comparison of Perceptions from Middle-Aged and Older Adults in China". International Journal of Environmental Research and Public Health 18, n. 14 (7 luglio 2021): 7283. http://dx.doi.org/10.3390/ijerph18147283.

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The aging population in rural areas of China faces serious challenges due to urban–rural disparities. In order to improve the active aging of rural older adults, the establishment of age-friendly communities is encouraged. However, globally, the focus is on age-friendly communities in urban areas, not reflecting rural communities. Hence, we addressed the importance of age-friendly rural communities (AFRCs) and aimed to investigate their impact on the quality of life (QoL) of older adults. We examined different perceptions of AFRCs among older adults (aged over 60) and middle-aged people (45–60) in rural communities with questionnaire surveys (n = 470 and 393, respectively). Several statistical methods, such as Chi-squared test, t-test, reliability test, and multiple regression, were adopted to investigate and compare the perceptions of these two. The results indicated that (1) middle-aged people were more satisfied with AFRC components and had a higher QoL than older adults; (2) the QoL of middle-aged people was predicted by housing, accessibility, and outdoor spaces; (3) the QoL of older adults was affected by housing, outdoor spaces, social participation, and public transportation. These findings aid in our understanding of rural communities and the QoL of rural residents. They are helpful for urban planners and policymakers to improve the planning of AFRCs and supplement research on age-friendly communities in rural areas. Practical implementations are proposed for the planning of AFRCs, such as the passive design of residential housing, grouping of community facilities together, and improvement in the hygiene of outdoor spaces in rural areas.

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Delwel, Suzanne, Tarik T. Binnekade, Roberto S. G. M. Perez, Cees M. P. M. Hertogh, Erik J. A. Scherder e Frank Lobbezoo. "Oral hygiene and oral health in older people with dementia: a comprehensive review with focus on oral soft tissues". Clinical Oral Investigations 22, n. 1 (15 novembre 2017): 93–108. http://dx.doi.org/10.1007/s00784-017-2264-2.

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Choi, Jin-Sun. "Has the Health Insurance Coverage of Scaling Contributed Positively to Periodontal Health in Korea?" International Journal of Environmental Research and Public Health 17, n. 22 (17 novembre 2020): 8537. http://dx.doi.org/10.3390/ijerph17228537.

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This study aimed to evaluate the effectiveness of the health insurance coverage of dental scaling (introduced in 2013) using the Community Periodontal Index of Treatment Needs parameter among Korean adults aged 20 years or older. We used the Korea National Health and Nutrition Examination Survey data from before and after 2013 to analyze the statistical significance and associations of the covariates with the prevalence of healthy periodontal tissues, prevalence of people in need of scaling, and prevalence of periodontal diseases. The results showed that the prevalence of healthy periodontal tissues increased by 4.9% (from 34.2% to 39.1%), the number of people in need of scaling decreased by 5% (from 65.9% to 60.9%), and the prevalence of periodontal diseases increased by 7.2% (from 23.4% to 30.6%). Moreover, after the scaling coverage policy, the odds ratio of the prevalence of healthy periodontal tissues was 1.10 times higher, the prevalence of the need for scaling was 1.5 times higher, and the prevalence of periodontal diseases was 0.90 times lower. Therefore, the state should formulate policies that provide dental biofilm management through a disclosing agent, impart education about oral hygiene, and develop a health management system that enables the concurrent management of periodontal diseases and systemic diseases.

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Chan, Alice Kit Ying, Manisha Tamrakar, Chloe Meng Jiang, Edward Chin Man Lo, Katherine Chiu Man Leung e Chun-Hung Chu. "Common Medical and Dental Problems of Older Adults: A Narrative Review". Geriatrics 6, n. 3 (6 agosto 2021): 76. http://dx.doi.org/10.3390/geriatrics6030076.

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The advancement of medicine has reduced the rate of mortality and older adult population is increasing. Among the 7,700,000,000 world population in 2019, 1 in 11 people were at the age of 65 or more. The population is expected to increase to 1 in 6 people by 2050. Older adults have degenerative changes that become more severe with age. This study used the World Health Organization’s websites and PubMed and Google Scholar databases to review current global oral and systemic health issues. Studies generally reported that many older adults have no regular dental checkup. Common oral diseases such as dental caries particularly root caries and periodontal disease are highly prevalent among them. These oral diseases are often interrelated with their systemic problems. A meta-analysis reported diabetes increases the incidence and progression of periodontitis by 86%. A decrease in salivary output is common among older adults having polypharmacy. A review reported the caries risk in older adults increases by 60% with low resting pH and low stimulated salivary flow rate. Many older adults suffer from dementia and depression which complicates the delivery of dental treatment. Proper oral hygiene practice and dental care at supine position are often difficult to be carried out if they have rheumatoid arthritis. With the increasing need of elderly dental care, dentists and other dental personnel should understand interlaced oral and general health in order to provide a successful dental care plan for older adults. The aim of this study is to give an overview of the common medical conditions and dental problems and their impacts on older adults.

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Vasudevan, Sruthi, Pradeep K. Kumar e Visakh M D. "AN AYURVEDIC APPROACH TO ORODENTAL CARE: A REVIEW". International Journal of Research in Ayurveda and Pharmacy 12, n. 4 (28 agosto 2021): 141–45. http://dx.doi.org/10.7897/2277-4343.1204123.

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Ayurveda being an ancient science of medicine places great emphasis on prevention of disease and encourages the maintenance of health. Now a day’s people are giving more importance to cosmetic care among that dental care plays an inevitable role. Dental care refers to maintenance of healthy teeth and oral hygiene. Good oral and dental hygiene can help to prevent bad breath, tooth decay and can help to keep your teeth as you get older. Your mouth can reflect the overall health of the body, showing signs of infection or disease before you experience other symptoms. Dentistry is included under Shalakya Tantra, which is one among the Ashtangas of Ayurveda. Different regimens which are explained under Dinacharya, various Ayurvedic drugs and Ayurvedic preparation can improve the Orodental health and existing damage can usually be repaired. Dantadhavana, Jivhanirlekha, Kavala, Gandusha, Pratisarana, Nasya and Tambulasevana are highly effective daily procedure for the maintenance of Orodental health. Diet is one of the major aetiological factors for many dental diseases and Ayurveda has explained Pathya Aharas for maintaining proper dental health. An Ayurvedic view of prevention of Orodental diseases through different regimens, Pathyapathyas and drugs are discussed in this article for giving the best possible Orodental health for the individual.

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Kaskova, L. F., O. S. Pavlenkova, M. O. Sadovski e L. I. Amosova. "ASSESSMENT OF CITIZENS'AWARENESS REGARDING ORAL HYGIENE AND PREVENTION OF DENTAL DISEASES". Ukrainian Dental Almanac, n. 4 (23 dicembre 2020): 79–82. http://dx.doi.org/10.31718/2409-0255.4.2020.15.

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Recently, sanitary and educational work for the prevention of dental diseases in children is widely implemented, but the problem of awareness and oral hygiene in young and middle-aged people remains quite relevant. Nowadays, the range of dental items and hygiene products is quite wide, so a person who does not receive the recommendations of a dentist is quite difficult to understand what and why it should be used. Therefore, the aim of the study was to study the preventive knowledge of ordinary passers-by of young and middle age and their awareness of additional subjects and hygiene products. Object and methods of research. To achieve this goal, 100 passers-by in the center of Poltava were interviewed. According to the age classification of the World Health Organization: the young age is from 25 to 44, middle age is 44-60, elderly age is 60-75, senile age is 75-90 and long-livers are after 90. Two age groups were selected for the results: young and middle-aged, as these groups are the most common. Age was determined by survey. 50 people aged 25-44 years and 50 people aged 44-60 years were elected. The gender was not taken into account when choosing a contingent. Passers-by were asked 5 simple questions that characterized both the preventive habits of the respondents and knowledge about hygiene items and products. Research results and their discussion. Analyzing the answers to the questions, we found that young people (25-44 years) are more aware of the rules of oral care than middle-aged respondents (44-60 years). Answering the first question - "How often do you visit the dentist?" respondents answered as follows: only 5 young people visit the dentist as needed, while among middle-aged people this number is seven times higher. When answering the second question - "Do you pay attention to the composition of toothpaste when choosing?" respondents answered as follows: 42% of young people always pay attention to the composition, twice as many people - buy what the dentist advises, and the rest respondents were not interested in the components of the paste. The results of the second group were significantly worse. The third issue concerned the frequency of toothbrush changes, which is very important for the quality of oral hygiene and cleaning efficiency. The results of the survey showed that people from the older age group of the study are less aware of this issue. The answers to the fourth and fifth questions also showed a lower level of knowledge in middle-aged people. Thus, after analyzing the answers of the respondents, it is clear that people of the younger age group (25-44 years) are more aware of oral hygiene and prevention of dental diseases. In our opinion, this situation is associated with the introduction of health education at different levels, available information on the Internet and various social platforms, more responsible attitude to their health and awareness of preventive measures. It is necessary to pay attention to the education of middle-aged people regarding oral hygiene, as it is an integral part of the prevention of dental diseases.

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Costa, Letícia Evelyn Carvalho, Janete Maria Rebelo Vieira e Yan Nogueira Leite de Freitas. "Condição de saúde bucal das pessoas idosas institucionalizadas da cidade de Manaus-AM". Research, Society and Development 11, n. 9 (7 luglio 2022): e22911931609. http://dx.doi.org/10.33448/rsd-v11i9.31609.

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Studies show a worse oral health condition in institutionalized aged, when compared to non-institutionalized aged. Most of older people who residing in Long-Term Institutions for the aged (ILPI) have poorer oral hygiene, periodontal impairment and, therefore, greater tooth loss. This study aimed to investigate the oral health of institutionalized older people in the city of Manaus-AM, through secondary data from the medical records of an ILPI. A total of 117 medical records were investigated, with a predominance of male individuals (58.11%), whose age ranged from 60 to 107 years, who studied, on average, for 3.83 (± 3.85) years. There was a predominance of single individuals (77.7%) and those receiving retirement (55.5%). Regarding oral health, 69.3% of the individuals were edentulous. The mean DMFT-d was 29.3 (± 5.11). Upper and lower denture needs were observed in 77.7% and 82.5% of the sample, respectively. The retirement variable was the only one to present a limit of statistical significance in the association with the CPO-D, indicating that individuals who receive retirement have a lower average of the CPO-D index (p = 0.05).

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Murage, Beth Wangithi, Peterson Njogu Warutere e Judy Wairimu Mugo. "The role of care-giving in the well-being of the older persons in Kirinyaga County, Kenya". International Journal Of Community Medicine And Public Health 8, n. 11 (27 ottobre 2021): 5210. http://dx.doi.org/10.18203/2394-6040.ijcmph20214251.

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Background: The population of the older persons is increasing steadily worldwide. This is secondary to lower fertility rate and increasing longer life. With the increased older person’s population, societies get challenges taking care of the health function of older people. The growth in older person’s population comes with the challenges of taking care of the older persons. As old age sets in, quality of life goes down.Methods: Population based cross-sectional descriptive study was used. Multi-stage sampling method was applied to select participating units starting with Sub County, wards, and then villages. Households with an older person were selected and formed a sampling frame. Systematic random sampling using the sampling frame formed was used at household level to select 333 participating respondents. In case a house hold had more than one older person the eldest or the head of the household/bread winner was selected. Statistical package for social sciences version 25 was used for data analysis. Descriptive analysis was used for social-demographic characteristics. Testing the association between independent variables and dependent variables was done using Chi-square and Odds ratio.Results: The results indicated that age of the older persons respondents (p=0.0001), education (p=0.046), walking with support (p=0.001) and occupation (p=0.020) were significantly associated with care giving in personal hygiene practices. Most of respondents 100 (30.0%) carried out daily activity by themselves, equally by the relative especially on bathing 182 (54.7%) and attending medical appointments 107 (32.1%).Conclusions: The role of care giving in enhancing well-being of the older persons was hygiene, nutrition, environment and older persons abuse whereby feeding and older persons abuse were the most significant.

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Hurst, John R., Andrew Cumella, Camila Nagoda Niklewicz, Keir E. J. Philip, Victoria Singh e Nicholas S. Hopkinson. "Acceptability of hygiene, face covering and social distancing interventions to prevent exacerbations in people living with airways diseases". Thorax 77, n. 5 (21 ottobre 2021): 505–7. http://dx.doi.org/10.1136/thoraxjnl-2021-217981.

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Interventions to prevent the spread of SARS-CoV-2 have been associated with substantial reductions in exacerbations of airways diseases, likely through reduced transmission of other respiratory viruses. We surveyed 4442 people with airways disease (asthma=3627, bronchiectasis=258, chronic obstructive pulmonary disease=557) to gauge attitudes and intentions towards continuing such measures after the COVID-19 pandemic. 47% intended to continue wearing a face mask in indoor public spaces, and 61% thought everyone should be required to do so during the ‘influenza season. Women, those with bronchiectasis, and older people were generally more cautious. Respiratory virus infection control measures should be considered in clinical guidelines and public health recommendations.

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Koh, Wei Qi, Sally Whelan, Pascale Heins, Dympna Casey, Elaine Toomey e Rose-Marie Dröes. "Experiences and perceptions of using a low-cost pet robot for older adults and people with dementia". Innovation in Aging 5, Supplement_1 (1 dicembre 2021): 937–38. http://dx.doi.org/10.1093/geroni/igab046.3390.

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Abstract Pet robots are a practicable substitute for animal-assisted therapy. They have been shown to have positive impacts on older adults, including people with dementia, such as providing companionship and facilitating social interaction. However, the issue of affordability can hinder equal access to such technology. The purpose of our study was to understand the perceptions and experiences of using a low-cost, commercially available pet robot with older adults and people with dementia. We used a novel methodology of analysing a large volume of user reviews that were collected from 15 consumer websites. A total of 1,327 user reviews that met our pre-specified inclusion criteria were included. Descriptive statistics was applied to characterise demographic data, and inductive qualitative content analysis was used to identify themes in the textual data. Most reviews were obtained from consumer sites in the United States, and most reviewers were family members of the users (i.e., older adults and people with dementia). We found that circumstantial reasons, such the inability to own live animals, prompted reviewers to purchase the pet robot. Most reviewers had positive perceptions of the pet robot, and described various activities that users engaged in with it. Impacts of using the pet robot, such as positive emotions, were also described. Finally, experiences about practical aspects of its use, such as durability and hygiene, were discussed. Overall, this study provides useful knowledge that can help researchers, robot developers and clinicians understand the viability of using low-cost pet robots to benefit older adults, including people with dementia.

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Kim, Jung Ki, e Eileen M. Crimmins. "How does age affect personal and social reactions to COVID-19: Results from the national Understanding America Study". PLOS ONE 15, n. 11 (10 novembre 2020): e0241950. http://dx.doi.org/10.1371/journal.pone.0241950.

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The COVID-19 pandemic has had tremendous impact on Americans’ lives including their personal and social behaviors. While people of all ages are affected in some way by the pandemic, older persons have been far more likely to suffer the most severe health consequences. For this reason, how people have responded to mitigating behaviors to COVID-19 may differ by age. Using a nationally representative sample from the longitudinal data of the Understanding America Study (UAS), we examined differentials in behavioral responses to COVID-19 by age and how they changed over the first three months of the pandemic. Behavioral responses and changes in behavior over time differed by age, type of behaviors and time reference. At the beginning of the pandemic (March, 2020), older and younger people were similar in their likelihood of engaging in preventive personal behaviors when controlling for other influences. As the pandemic progressed, however, older people adopted mitigating personal behavioral changes more than younger people, such that about 1–2 months after the pandemic started, older people were more likely to comply with suggested behaviors and regulations including practicing better hygiene, quarantining, and social distancing. One month into the pandemic, older people were less likely than younger people to engage in two of four risky behaviors. The change in risky behavior over time did not differ by age; but both younger and older people were more likely to engage in risky behaviors after two months. Being female, a member of a racial/ethnic minority group, higher socioeconomic status, having more COVID-19 cases in one’s state of residence, a higher perceived risk for infection and dying, and a more left-leaning political orientation were related to adopting more pandemic mitigating behaviors.

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Tuominen, Leena, Helena Leino-Kilpi e Riitta Suhonen. "Older people’s experiences of their free will in nursing homes". Nursing Ethics 23, n. 1 (8 dicembre 2014): 22–35. http://dx.doi.org/10.1177/0969733014557119.

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Background: Older people in institutional care should be allowed to live a meaningful life in a home-like environment consistent with their own free will. Research on actualisation of older people’s own free will in nursing home context is scarce. Objectives: The purpose of this study was to describe older people’s experiences of free will, its actualisation, promoters and barriers in nursing homes to improve the ethical quality of care. Research design: Fifteen cognitively intact older people over 65 years in four nursing homes in Southern Finland were interviewed. Giorgi’s phenomenological method expanded by Perttula was used to analyse the data. Ethical considerations: Chief administrators of each nursing home gave permission to conduct the study. Informants’ written informed consent was gained. Findings: Older people described free will as action consistent with their own mind, opportunity to determine own personal matters and holding on to their rights. Own free will was actualised in having control of bedtime, dressing, privacy and social life with relatives. Own free will was not actualised in receiving help when needed, having an impact on meals, hygiene, free movement, meaningful action and social life. Promoters included older people’s attitudes, behaviour, health, physical functioning as well as nurses’ ethical conduct. Barriers were nurses’ unethical attitudes, institution rules, distracting behaviour of other residents, older people’s attitudes, physical frailty and dependency. Discussion: Promoting factors of the actualisation of own free will need to be encouraged. Barriers can be influenced by educating nursing staff in client-orientated approach and influencing attitudes of both nurses and older people. Conclusion: Results may benefit ethical education and promote the ethical quality of older people’s care practice and management.

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Júnior, António, Janeth Dula, Sérgio Mahumane, Olivier Koole, Sónia Enosse, Joseph Nelson Siewe Fodjo e Robert Colebunders. "Adherence to COVID-19 Preventive Measures in Mozambique: Two Consecutive Online Surveys". International Journal of Environmental Research and Public Health 18, n. 3 (26 gennaio 2021): 1091. http://dx.doi.org/10.3390/ijerph18031091.

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We assessed adherence to government recommendations implemented shortly after the introduction of COVID-19 in Mozambique in March 2020, through two online cross-sectional surveys in April and June 2020. We quantified adherence to preventive measures by a composite score comprising of five measures: physical distancing, face mask use, hand hygiene, cough hygiene, and avoidance of touching the face. 3770 and 1115 persons participated in the first and second round respectively. Wearing face masks, regular handwashing and cough hygiene all reached compliance rates of over 90% while physical distancing and avoiding to touch the face reached a compliance rate of 80–90%. A multivariable model investigating factors associated with adherence found that being older, more educated, and belonging to the healthcare sector increased the odds for higher adherence. Private workers and retired people, respondents receiving COVID-19 information through social media, and those who reported flu-like symptoms were less likely to adhere. 6% of respondents reported flu-like symptoms which aligned with the WHO clinical definition of COVID-19, suggesting low level community transmission. In conclusion, most respondents in this online survey in Mozambique complied well with strategies to prevent COVID-19. Whether the good preventive behaviour explains the low grade COVID-19 transmission requires further study.

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Salamone, Kathryn, Elaine Yacoub, Anne-Marie Mahoney e Karen-leigh Edward. "Oral Care of Hospitalised Older Patients in the Acute Medical Setting". Nursing Research and Practice 2013 (2013): 1–4. http://dx.doi.org/10.1155/2013/827670.

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Oral health care is an essential aspect of nursing care. There are many variances in the quality and frequency of the oral care that is delivered to patients by nursing staff, such as oral care being given a low priority when compared to other nursing care elements, oral care being neglected, and oral care delivery being dependent on the nurse’s knowledge of oral hygiene. Additionally, there are some particular patient groups known to be at risk of oral health problems or who have existing oral diseases and conditions. As people age their susceptibility increases to chronic and life-threatening diseases, and they can be at increased risk of acute infections increases compromised by ageing immune systems. The aim of this literature review was to ignite the discussion related to the oral care practices of nurses for older acute medical hospitalised patients. The review revealed that nursing staff know that good nursing includes oral health care, but this knowledge does not always mean that oral health care is administered. Oral health care seems to be separated from other nursing activities and is not discussed when nursing care plans are written, only when oral problems are obvious.

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Kazantzis, Nikolaos, Amber Wakefield, Frank P. Deane, Kevin R. Ronan e Malcolm Johnson. "Public Attitudes Toward People With Mental Illness in New Zealand, 1995–1996". Australian Journal of Rehabilitation Counselling 15, n. 2 (1 novembre 2009): 74–91. http://dx.doi.org/10.1375/jrc.15.2.74.

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AbstractArchival data from a cross-sectional survey of two cohorts of community-residing New Zealand adults (n = 157; n = 141) was analysed to examine social attitudes towards people with mental illness in a historical period associated with the establishment of a community mental health facility. Participants completed the Opinions about Mental Illness (OMI; Cohen & Struening, 1959), and the Comfort in Interaction Scale (CI, Beckwith & Mathews, 1994); the latter a measure of level of prior contact with people with mental illness. Across cohorts, the OMI Mental Hygiene subscale and the CI scale had significant variability. Older participants endorsed more Authoritarian, Social Restrictiveness and Interpersonal Ideology attitudes in their perception of people with mental illness than younger participants. Data supported the hypothesis that attitudes towards people with mental illness were influenced by social attitudes, and by opportunities to interact with people with mental illness in work settings.

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Davey, Christine Horvat, Allison Webel, Suebsarn Ruksakulpiwat, Megan Foradori, Stephanie Griggs, Teresa Ward, Donald Anthony, Barbara Gripshover e Kristine Erlandson. "0749 A Social Ecological Perspective on Sleep Hygiene Habits in Older Adults with HIV". SLEEP 47, Supplement_1 (20 aprile 2024): A321. http://dx.doi.org/10.1093/sleep/zsae067.0749.

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Abstract Introduction Nearly 75% of people with HIV (PWH) report poor sleep quality, a risk factor for impairment in daily activities, poorer quality of life, and declines in physical and mental health. However, little is known about the multifactorial causes of poor sleep, rendering it difficult to treat. We examined sleep hygiene habits in PWH through qualitative and quantitative methods. Methods Using qualitative analyses, we examined sleep hygiene habits in older virally suppressed PWH on antiretroviral therapy who enrolled from December 2021 to September 2022 in this cross-sectional study. Individuals participated in semi-structured telephone interviews regarding sleep hygiene habits. Interviews were recorded, transcribed verbatim, and coded by three independent coders, codes were adjudicated and analyzed for common themes using Dedoose 9.0.82 software. The Social Ecological Model constructed with five levels: individual, interpersonal, organization, community, and policy served as the framework. Self-reported sleep quality data was measured with the Pittsburgh Sleep Quality Index (PSQI). Results Among 50 PWH, the mean age was 54 years, 32% were female (n=16), and 62% identified as African American/Black (n=31). The mean PSQI was 9 (median: 9, interquartile range: 5-14). The individual level themes identified were: 1) Shorter Sleep Duration and the Ripple Effect; 2) Poor Bedtime Habits; 3) The Sleep and Physical Activity Connection; and 4) Late Night Bites. The interpersonal level themes identified were: 1) Family Ties: The Impact of Family on Sleep; 2) Balancing Act: The Interplay between Work and Sleep; and 3) The Impact of Aging and Stimuli on Sleep. The theme at the organizational level identified was Sleep Health Neglect, that refers to a lack of adherence and continuity of sleep health care. Conclusion Poor sleep habits including lack of physical activity and late-night eating, family, work, aging, internal and external stimuli compete with the opportunity to sleep and contribute to inadequate amounts of sleep and/or poor quality sleep. Moreover, the lack of adherence and continuity of sleep health care also negatively impacts the perceived sleep quality of aging PWH. Future studies should consider a multimodal intervention approach to mitigating poor sleep quality in this population. Support (if any) National Institutes of Nursing Research grants: K23NR019744 and R01NR018391.

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