Demographic Age Research Articles

A Retrospective Evaluation of Mandibular Fracture in Kabul, Afghanistan.

The mandible, a key bone in the lower face, is prone to trauma. Although mandibular fractures are widely recognized as common and costly, there is a research gap on this topic in Afghanistan. This study explores the causes of lower jaw fractures and their link to demographic factors in the Afghan population. A retrospective analysis of 535 medical records from a Kabul tertiary hospital (March 2021 to March 2022) examined lower jaw fractures, patient demographics (age, sex), and injury causes. Statistical methods, including chi-square tests and Pearson's contingency coefficient, were employed to explore correlations between mandibular fractures and demographic factors. In this study, we analyzed 579 mandibular fractures in 535 patients, with road accidents (33.08%), falls (22.61%), and interpersonal conflicts being the leading causes. Most patients were aged 21-30, with single fractures being the most common (92.3%) and parasymphyseal fractures being the most prevalent (28.5%). Although certain fracture types were significantly correlated with age, no notable association was found between age and injury cause. This study reveals that road accidents, falls, and interpersonal conflicts are the main causes of lower jaw fractures in Kabul, with the highest incidence in individuals aged 21-30. These findings highlight the necessity for targeted public health interventions, such as improved road safety campaigns and stricter traffic regulation enforcement, to lower injury rates. Incorporating these insights into clinical practice can also help healthcare providers more effectively manage lower jaw fractures in affected populations.

Influence of Social Deprivation on Patient-Reported Outcomes in Foot and Ankle Patients.

The impact of social health on patient-reported outcomes (PROs) is gaining increasing attention within the orthopaedic community. Few studies have explored any relationship between social deprivation levels and PROs in orthopaedic foot and ankle patients. We retrospectively identified patients who presented to an orthopaedic foot and ankle clinic for new evaluation. Patients completed PROs including PROMIS physical function (PF), PROMIS pain interference (PI), and the Foot and Ankle Ability Measure (FAAM). Social deprivation was measured using the Area Deprivation Index (ADI), a metric that incorporates various domains of poverty, education, housing, and employment. The ADI score quantifies the degree of social deprivation based on the 9-digit home zip code but is not a specific measure to an individual patient. Briefly, a lower ADI indicates less deprivation whereas a higher score denotes greater deprivation. Patient characteristics and outcomes were summarized and stratified by the nationally defined median ADI. Multivariable linear regression models assessed the relationships between PROs and continuous ADI controlling for demographics (age, sex, race/ethnicity, marital status, and employment status). Our cohort consisted of 1565 patients with PRO and appropriate zip code data. Patients in the most-deprived median ADI split had more pain (median PROMIS-PI 62.7 vs 61.2, P = .001) and less function (median PROMIS-PF 37.1 vs 38.6, P = .021) compared with the least-deprived median ADI split. The clinical significance of these findings is unclear, though, given the minimal differences between groups for PROMIS measures. There was no relationship between ADI and FAAM scores. More socially deprived patients presented to the clinic with marginally less function and greater pain. Although statistically significant, the clinical significance of these relationships is unclear and merits further exploration. We plan to continue to study the connection between social deprivation and patient outcomes in specific clinical conditions as well as before/after surgical interventions. Level IV, retrospective cases series.

Resilience and Hassles Trajectories Among Older Adults During the COVID-19 Pandemic.

Despite higher physical vulnerability to coronavirus disease 2019 (COVID-19), older adults reported less psychological stress than younger and midlife adults during the pandemic. However, little is known about age differences in stress within later life, and most COVID-19 studies have been cross-sectional. We examined weekly hassles exposure and severity trajectories and whether these trajectories differed by age, resilience factors (higher trait resilience and education), and vulnerability factors (identifying as a woman, being a person of color, and having chronic health conditions). Community-dwelling adults aged 50+ in Oregon (Mage = 71.1, standard deviation = 7.3; 74% women, 89% non-Hispanic White) completed weekly online surveys across 8 weeks (April 28-June 22, 2020) during the COVID-19 stay-at-home mandate. A 2-part model estimated how age, resilience, and vulnerability factors predicted weekly odds of any hassle exposure and level of severity. Across time, hassles exposure decreased and the rate of severity declined, but these patterns differed by age and other demographics. The old-old (estimated at age 78) remained stable in odds of any exposure, whereas the young-old (estimated at age 64) evidenced a J-shaped curve; age did not moderate the severity slopes. Furthermore, both resilience factors were associated with exposure trajectories, whereas vulnerability factors (race/ethnicity and chronic illness) were associated with levels of hassles severity. There were age differences in patterns of hassles during the COVID-19 pandemic. Furthermore, resilience and vulnerability factors also showed complex patterns, underscoring the need for future studies to focus on age differences in well-being in later life.

Impact of short abstinence versus testicular sperm on sperm DNA fragmentation: a systematic review and meta-analysis.

Optimal sperm DNA integrity is essential for fertilization and embryo health. Research indicates that testicular sperm (TS), obtained via TESA or TESE, typically show lower sperm DNA fragmentation (SDF) than ejaculated sperm after standard abstinence. Shortening abstinence to less than 2days might reduce SDF, offering a less invasive and more cost-effective alternative to surgical sperm retrieval. Yet, no studies have directly compared the efficacy of shorter abstinence against TS extraction for lowering SDF. Our meta-analysis aims to address this gap by comparing SDF levels in TS to those in ejaculated sperm after a short abstinence period. Meta-analysis of 16 randomized controlled and prospective observational studies included 4 on TS and 12 on short abstinence ejaculation. The meta-analysis followed MOOSE guidelines, scrutinizing databases including Cochrane Library, Web of Science, Embase, MEDLINE(R), and PUMBED up to November 16, 2023. The analysis was conducted using RevMan. The observational studies' methodological quality was assessed using the Newcastle-Ottawa Scale, and the overall evidence quality was evaluated following the GRADE criteria. To compare short ejaculation duration and TS (are not directly compared in the literature) for SDF levels, we analyzed relevant data from studies of each method. We adjusted the participant numbers in the TS group by 1/3 and included each TS study three times, to perform a comparison against the short duration studies which were in a ratio of 1:3. This approach maintained an unaltered cumulative subject count for the meta-analysis of TS studies. A total of 641 patients were included, comprising 120 and 521 patients with SDF measurements following TS and ejaculation after a short abstinence period, respectively. The studies had varied inclusion criteria, with not all patients having an initial elevated SDF. Some studies had incomplete details on age and other demographics. However, the mean ± SD age of 93 TS patients was 38.15 ± 5.48 years vs. 37.7 ± 6.0 years of 444 short abstinence patients, demonstrating no significant difference (P = 0.544). Short abstinence durations ranged from 1 to 48h. Diverse DNA fragmentation tests were used: TUNEL assay in three testicular sperm studies, SCD assay in one, and in the short abstinence group, four used TUNEL and six used SCD assays, along with one each using SCSA and Halosperm. The mean ± SD SDF was lower in the TS group than in the short abstinence group (mean difference - 9.48, 95%CI -12.45 to -6.52, P < 0.001, I2 = 85%). Sensitivity analysis revealed that no single study significantly influenced the results. Employing the GRADE criteria, the initial assessment categorized the overall quality of evidence as low due to the observational nature of the acquired data. All studies were of medium to high quality. This study suggests testicular sperm may be better than ejaculated sperm for improving SDF in infertility cases. Direct comparisons are needed, before deeming short abstinence less effective. Future research should directly compare reproductive outcomes using both methods.

Investigating the Psychometric Properties of a Personality Questionnaire among University Lecturers in Malaysia

This study investigates the psychometric properties of a personality questionnaire developed for university lecturers in Malaysia, assessing the Big Five personality traits: extraversion, conscientiousness, agreeableness, neuroticism, and openness to experience. A sample of 30 lecturers from Universiti Teknologi MARA (UiTM) and Universiti Malaysia Sarawak (UNIMAS) was examined, with the questionnaire showing strong internal consistency, reflected in a Cronbach’s Alpha of 0.959. Demographic variables, including gender, age, marital status, and academic qualifications, were analyzed to provide further context for the findings. The results validate the questionnaire as an effective tool for assessing personality traits among Malaysian academics, offering valuable insights into how these traits may influence teaching effectiveness and professional behavior. This study contributes to the development of tailored psychometric tools in the Malaysian academic context and provides a foundation for further research into personality and its role in higher education.

On a Symmetry-Based Structural Deterministic Fractal Fractional Order Mathematical Model to Investigate Conjunctivitis Adenovirus Disease

In the last few years, the conjunctivitis adenovirus disease has been investigated by using the concept of mathematical models. Hence, researchers have presented some mathematical models of the mentioned disease by using classical and fractional order derivatives. A complementary method involves analyzing the system of fractal fractional order equations by considering the set of symmetries of its solutions. By characterizing structures that relate to the fundamental dynamics of biological systems, symmetries offer a potent notion for the creation of mechanistic models. This study investigates a novel mathematical model for conjunctivitis adenovirus disease. Conjunctivitis is an infection in the eye that is caused by adenovirus, also known as pink eye disease. Adenovirus is a common virus that affects the eye’s mucosa. Infectious conjunctivitis is most common eye disease on the planet, impacting individuals across all age groups and demographics. We have formulated a model to investigate the transmission of the aforesaid disease and the impact of vaccination on its dynamics. Also, using mathematical analysis, the percentage of a population which needs vaccination to prevent the spreading of the mentioned disease can be investigated. Fractal fractional derivatives have been widely used in the last few years to study different infectious disease models. Hence, being inspired by the importance of fractal fractional theory to investigate the mentioned human eye-related disease, we derived some adequate results for the above model, including equilibrium points, reproductive number, and sensitivity analysis. Furthermore, by utilizing fixed point theory and numerical techniques, adequate requirements were established for the existence theory, Ulam–Hyers stability, and approximate solutions. We used nonlinear functional analysis and fixed point theory for the qualitative theory. We have graphically simulated the outcomes for several fractal fractional order levels using the numerical method.

Have later state pensions made people less connected? The effects of older female pension ages in England on social capital

Abstract Many countries have increased their state pension ages (SPAs) to offset demographic ageing and to increase numbers of older people remaining in paid work. Most research attention has focused on the economic outcomes whereas little attention has been paid to impacts on social capital, including rates of volunteering and care-giving. Prior research suggests that these are sensitive to retirement decisions. Using nine waves of individual longitudinal data from the English Longitudinal Study of Ageing, this study examines the effects of increased SPA on volunteering, group membership and providing care. Our results show that higher SPAs have a negative impact on rates of volunteering and providing care, particularly for women in couples. Single women are not affected, and there are not significant effects on group membership and childcare provision. The more work-like aspects of social capital are affected by the increased SPA.

Retracted: The Geographical Location Of Nursing Homes: How Accessible Is Care In Our Ageing Society

Abstract Background With ageing demographics, the demand for residential nursing care is increasing. Some evidence and anecdotal experience suggests that nursing home care is often not available locally, resulting in individuals moving from their homes, communities and psychosocial support systems. Methods To evaluate if residential care in Ireland meets demand the number of residential care beds per 1000 adults&amp;gt;65years were estimated from publicly available data. Persons who sought access to the nursing home support scheme over a 6month period were reviewed. Their home location and nursing home location were analysed with respect to locality (city/suburban/town/rural), distance (km), travel time (minutes) and public service networks. Ethically approved. Results Nationally, the lowest availability of nursing home beds was Wicklow and highest Longford. Galway has 0.90 nursing home beds per1000 adults &amp;gt;65years. Of 262 consecutive cases presented to one local placement forum between July–December2023, 133 availed of the scheme and were resident in a nursing home at 3month follow-up. Exclusions included remained at home, deceased, or unknown. Nursing home location was city 6%(n=8), suburb 21%(n=28), town 16.5%(n=22) or rural 56%(n=75). All city placements were public. Drving distance from home to nursing home was 15km (IQR7,31) with a car driving time of 18mins (IQR11,35). No public transport service link from home to nursing home for visiting purposes was available to 38%(n=51), and when available incurred more than one bus change in 65.2%. City dweller was residing in a city located nursing home in 13%(n=5). Of the 87%(n=33) relocated out of the city, over half (n=19) were to rural locations (p&amp;lt;0.001). Conclusion Nursing home availability is insufficient to meet demands. The location of public and private nursing homes is creating deficits in accessing care close to home and community. Current public transport services to nursing home locations is poor.

Gender disparity regarding the impact of retirement on marital satisfaction: Evidence from a longitudinal study of older Korean adults.

To investigate the impact of retirement on marital satisfaction by gender on Koreans aged >45 years in a large, nationally representative cohort. Retirement status and marital satisfaction data of 5867 individuals were analysed. Marital dissatisfaction was defined as a satisfaction score reduction of more than 10 points versus the previous wave. Lagged generalised estimating equation (GEE) models adjusted for demographics (age, sex, education level and household income), health-related habits (smoking and drinking status) and comorbidities (obesity, hypertension, type 2 diabetes, and depression and frailty) were used to confirm the relationship between retirement and marital dissatisfaction. The final GEE model adjusted for covariates revealed sex-specific differences in marital satisfaction after retirement. Whereas male retirees reported higher satisfaction than non-retired men, female retiree responses revealed lower satisfaction than non-retired women. Furthermore, these trends were consistent regardless of the time elapsed after retirement. Marital satisfaction should be screened in women during the transition to retirement.

Mobility Matters: The Association Between Current Level Of Frailty And The Elderly Mobility Scale In An Acute Older Population

Abstract Background Evidence has shown that the 4Ms What Matters most?, Mentation, Medication and Mobility are essential elements of the provision of high-quality care for older adults. The Elderly Mobility Scale (EMS) is a standardised and validated scale for the assessment of mobility in frail older adults in an acute hospital. In addition, frailty has shown a strong predictive ability for adverse health outcomes, demonstrating a higher risk of mortality, disability, institutionalisation and hospitalisation in frail older persons. This study aimed to examine the relationship between current Clinical Frailty Scores (CFS) and EMS scores in order to enhance its interpretation in clinical practice and become more patient centered. Methods A convenience sample of acute older adults undergoing physiotherapy was used in this study. Baseline demographics of age, gender, level of assistance required to mobilise and if the participants were at their baseline mobility was recorded. The participants CFS and EMS was measured a one single time point during their admission. The correlation between these was examined. Results A total of 21 participants were examined, of which 52.4% (n= 11) were male and 47.6% (n=10) were female. The median age of the population was 82 years and 14.3% (n=3) were independent with their mobility. The median CFS was 6 (moderately frail) and EMS was 8 points. A Spearman’s rank correlation showed a strong negative correlation (r=-0.88, p=0) between current CFS and their current EMS. Conclusion Although this study has a small sample, it gives an insight into the use of the CFS and EMS in clinical practice. A better knowledge of the interaction of frailty on mobility among the acute older population is essential for understanding the healthcare needs and delivery of age friendly healthcare services.

Age, Sex, and Clinical Characteristics of Juvenile Open-Angle Glaucoma Patients in a Saudi Tertiary Hospital: A Retrospective Study of Surgical and Non-Surgical Outcomes.

Background/Objectives: Juvenile Open Angle Glaucoma (JOAG) is a condition that presents peculiar issues because it starts at a very early age and, in the end, causes substantial vision loss. This study aimed to analyze the age and gender distribution and treatment outcomes in JOAG patients. Methods: We carried out a retrospective study at King Abdul Aziz University Hospital, Riyadh, Saudi Arabia, from 2015 to 2022. We extracted data from the medical records. Visual acuity data were converted to the logarithm of the minimum angle resolution (LogMAR) for standardized analysis. The CARL ZEISS Humphrey 745i Field Analyzer/HFA II-i Visual Field Analyzer was used to perform visual field examinations under the 24-2 program SITA standard. Results: The study involved 45 JOAG patients (87 affected eyes) with a mean age of 26.91 years. Myopia was the prevailing trait (93%), and a family history of glaucoma was found in 51.1% of cases. Most of the patients presented with severe visual field defects in both eyes (right-57.1%, left-44.4%). Regarding visual acuity, we found that the majority of affected categories belonged to either mild or moderate in both eyes. Initial and final Intraocular pressure (IOP) measurements together showed a significant reduction (p < 0.001) and clearly demonstrated the need for IOP control. Surgical and non-surgical treatments significantly reduced IOP, with no gender or eye differences Conclusions: This research offers important data concerning JOAG demographics (age and gender), clinical picture, and treatment results. Though early-onset presents challenges, multidimensional therapeutic methods have great potential to get JOAG under control and maintain visual function. Additional research is needed to study the genetic causes of JOAG and assess the long-term treatment outcomes.

Biphenotypic Sinonasal Sarcoma with Orbital Invasion: A Literature Review and Modular System of Surgical Approaches.

Background: Biphenotypic sinonasal sarcoma is a rare low-grade tumor arising from the sinonasal tract, featuring locally aggressive biological behavior, with a tendency to invade the orbit and skull base. There are no defined guidelines of treatment; thus, the management varies among different institutions. The aim of the present study is to provide a modular system of surgical approaches according to the lesion pattern of growth from a literature review. Materials and Methods: A comprehensive and detailed literature review on the PubMed and Embase online electronic databases on biphenotypic sinonasal sarcoma with orbital invasion was conducted. A personal case exhibiting peculiar features was also added. Demographic (patient's sex and age), clinical (presenting symptoms and time to treatment), neuroradiological (anatomical origin and pattern of growth), and treatment (type of treatment, surgical approach, extent of resection, peri- and postoperative complications, and adjuvant therapies) data, as well as clinical outcome, recurrence rates, and overall survival, were analyzed. Results: Thirty-one patients harboring biphenotypic sinonasal sarcoma with orbital invasion were identified. Tumors mainly affected female patients (66.7%) and a middle-aged population (median 55.2 years old). Simultaneous skull base involvement occurred in most cases (80.6%). Surgery was performed in all but one case (97%), as unique treatment (59%) or in association with radio-(23.5%) and/or chemotherapy (5.9%/2.9%), allowing for gross total tumor resection in most cases (66.7%). The endoscopic endonasal approach was the most adopted surgical corridor (51.7%). The local recurrence rate was 19.3%, and only two cases of tumor-related mortality occurred. Conclusions: Surgery is the only curative treatment, with the main goal to restore/improve/arrest progression of clinical manifestations. The endoscopic endonasal route represents the master approach for lesions confined to the midline. Microsurgical transcranial and endoscopic transorbital approaches have a complementary role for addressing the lesion's component with large intracranial extension or affecting the paramedian aspect of the anterior cranial fossa and superior-lateral orbital compartment, respectively. The approach selection should be made case by case according to the tumor pattern of growth.

A Global Decomposition Analysis of the Effect of Population Aging on Disability-Adjusted Life Years Associated with Cardiovascular Disease - 204 Countries and Territories, 1990-2021.

The influence of population aging on the disability-adjusted life years (DALYs) associated with cardiovascular disease (CVD) is acknowledged, yet the magnitude of this impact remains unclear. This research quantified the influence of population aging on CVD DALYs from 1990 to 2021 through decomposition analysis. The findings revealed that the proportion of DALYs attributable to aging varied widely, ranging from ‒77.0% to 148.9% across 204 countries. There was significant variation in the attributed DALY proportions among different countries or territories and types of CVD. Ischemic heart disease and stroke emerged as the leading contributors to DALYs influenced by aging. Globally, the association of population aging with increased CVD DALYs underscores the critical need for enhancing health systems to cater to the needs of older adults. Mitigating the burden of CVD DALYs linked to demographic aging can be achieved by investing in resources and adjusting fertility policies.

Consumer likelihood to purchase farmed marine finfish with potential for commercialization in the United States

Local aquaculture production of marine finfish has potential to meet the domestic seafood demand and contribute to reduction of the United States (U.S.) seafood trade deficit. The United States Department of Agriculture-Agricultural Research Service, along with other research programs, has developed aquaculture production technologies for warmwater marine finfish species with potential for commercial production. To understand the marketing opportunities for the candidate species, an online survey of 818 seafood consumers in the southeastern U.S. was conducted to explore their awareness, familiarity, frequency of consumption, location of purchase, and likelihood of purchasing the species of interest. A binary logit model was specified to explore the factors that influenced consumers likelihood to purchase Atlantic cod, black sea bass, California flounder, California yellowtail, Florida pompano, redfish, red snapper, southern flounder, spotted seatrout, striped bass, summer flounder, and white seabass, the 12 species for which there were at least 100 survey responses. This study focused on consumers likelihood to purchase the candidate species at grocery stores and restaurants. The results show that consumers who placed high importance on source of the fish and quality were more likely to buy various candidate species including red snapper, striped bass, Atlantic cod, southern flounder, Florida pompano, California yellowtail, black sea bass, California flounder, and white seabass. Respondents who considered price to be important were more likely to buy California flounder, redfish, red snapper, white seabass, black sea bass (at grocery stores only), and summer flounder (at grocery stores only). Frequent consumers of Atlantic cod, southern flounder, California flounder, redfish, summer flounder (at grocery stores only) and California yellowtail (at grocery stores only) were more likely to purchase these species. Frequency of consumption, seasonality in consumption, and demographic characteristics, including income, age, race, and state of residence, influenced consumers likelihood to purchase various species of interest.

Specific and shared cognitive predictors of drawing and block building in typically developing children.

Spatial construction is a complex ability involving attention, global/local visual processing, mental representation, visuo-motor coordination and, to varying extent, working memory and executive functions, and verbal abilities. In developmental neuropsychology, little attention has been paid to comprehend whether and to what extent the above cognitive processes are involved in two main spatial construction tasks, that is drawing and block building. We used path analysis to test shared and specific effects of verbal and spatial working memory, spatial attention, inhibition, verbal abilities (vocabulary and naming), figure disembedding, mental rotation, and visual-motor coordination, as well as of demographics (sex, age and socio-economic status), on two classical drawing (Rey-Osterrieth Complex Figure; ROCF) and block building (Block design; BD) tasks in a sample of 195 typically developing children (age range: 7-11 years). Figure disembedding and visuo-motor coordination were the only shared predictors of both spatial construction tasks. Moreover, ROCF score was directly related with spatial attention and inhibition, while BD score was directly related with sex, vocabulary, mental rotation and backward spatial working memory. These findings distinguish between abilities involved in spatial construction regardless of the type of task and those specifically related to ROCF or Block Design, thus providing clues relevant to neuropsychological assessment and intervention in children with spatial construction disorders.

Tangible to Non-Tangible Factors: A Cross-Sectional Study on the Life Satisfaction of Farmers in Kerala, India

While Kerala’s transition from an agrarian to a service-oriented economy is widely acknowledged, discussions are most often confined to material domains, overlooking overall life satisfaction, which is critical to pursue any profession. This state-wide community-based cross-sectional survey was conducted to gather data from farmers residing in three geographical zones of Kerala, India, North, South and Central, to understand their life satisfaction and how it correlates to their access to resources and social support. From each zone, we randomly chose two districts, and from each district, two panchayats. From each panchayat, we chose one ward to identify a total of 580 eligible farmers. Structured interviews were conducted using door-knock surveys to elicit information from the respondents using a set of standardized questionnaires. The results suggest that the respondents had a mean age of 54.5, with 19.8% being over 65, indicating demographic ageing in the farming sector. Only 46% chose farming as their full-time occupation. Farmers with higher levels of education who owned large plots of land experienced life satisfaction. Interpersonal relationships and social support were significant determinants of life satisfaction, as these factors were pivotal in their access to formal and informal services. With social support being pivotal in life satisfaction, it is imperative to change the social mindset towards farming. Additionally, the government should promote advanced technologies and high-yielding agricultural practises to transform the economic landscape of Kerala in favour of agriculture, which is imperative for the food security of the state.

Statistical Analysis of the Prevalence and Predictors of Asthma and Allergic Rhinitis in Nigeria

The incidence and prevalence of asthma and allergic rhinitis have increased worldwide over the past ten years and it places a burden on already poorly financed healthcare systems. This article explores the prevalence of asthma and allergic rhinitis in Nigeria, utilizing statistical analyses to investigate the prevalence, demographic predictors, and familial associations. Objectives include determining average ages of diagnosis, identifying significant predictors, examining the relationship between asthma and allergic rhinitis, and investigating familial associations. The study employed the use of statistical tools like logistics regression, chi-square test of independence, cross-tabulation, and descriptive statistics. The analysis reveals an average age of 22 for asthma and 28 for allergic rhinitis. Significant predictors influencing asthma include age, body mass index, years of smoking, level of education, and the number of cigarettes smoked per day. The study establishes a positive correlation between asthma and allergic rhinitis, emphasizing their interconnected nature. Importantly, a highly significant relationship is identified between a family history of asthma and individual diagnoses. The prevalence of asthma and allergic rhinitis in Nigeria is influenced by various demographic factors that should be looked into, emphasizing the importance of considering demographic factors and age in developing effective approaches to address and manage asthma in the Nigerian population.

A narrative overview of undergraduate geriatric medicine education worldwide.

There is a mismatch between the healthcare needs of the ageing population worldwide and the amount of education medical students receive in geriatric medicine. In 2014, Mateos-Nozal et al. published a systematic review of all undergraduate education surveys in geriatric medicine-a decade on, it is timely for an up-to-date overview of the state of undergraduate geriatric medicine education globally. In this review, we outline the international evidence in the field, exploring the results of national and multi-national teaching surveys, and discussing the relative strengths and weaknesses of nationally recommended curricula. We set these findings in the context of ageing population demographics, concluding with recommendations for the future of education and educational research in geriatric medicine, that aims to build capacity in the healthcare workforce and improve quality of care for older people.

Unveiling viral pathogens in acute respiratory disease: Insights from viral metagenomics in patients from the State of Alagoas, Brazil.

Respiratory illness affects individuals across all age demographics on a global scale, often precipitated by viral infections. The symptomatic manifestations of these diseases bear clinical resemblance, complicating the accurate determination of their etiological origins. Furthermore, the diagnostic panels for respiratory pathogens used within local medical practices, may not encompass the full spectrum of viral agents responsible for such ailments. Consequently, a significant number of clinically important viral pathogens may remain undetected. In the light of this, we conducted a metagenomic examination of 66 nasopharyngeal swab specimens, obtained from patients presenting with acute respiratory conditions yet tested negative by the standard diagnostic panels available locally. These specimens were obtained from the Public Health Laboratory, Maceio, State of Alagoas. Our findings indicate a predominant diagnostic escape of rhinoviruses and notably enterovirus D68. Moreover, our study identified a substantial quantity of sequence reads attributed to human respirovirus 3 (human parainfluenza 3) along with various herpresviruses including human herpesvirus-1, Epstein-Barr virus (Human herpesvirus-4), Human herpesviruses 6 and 7 and human parvovirus B19 (B19V). Notably, the metagenomic analysis uncovered a widespread presence of the emerging human vientovirus FB in most of sample pools, though its clinical importance remains to be elucidated. The obtained results in this study underscore the invaluable role of viral metagenomics in the identification of underrecognized viruses bearing clinical relevance. Furthermore, it offers insights into the dissemination of these pathogens within the studied area, thereby informing public health strategies aimed at enhancing diagnostic accuracy and improving patient care.

Bevaikystė ir požiūris į rūpinimąsi vyresnio amžiaus tėvais Lietuvoje

In rapidly ageing societies, caring and responsibilities for parents in old age is a widely discussed topic. This is particularly relevant in societies with low fertility and high rates of childlessness. Lithuania is one of the countries where demographic ageing rates have risen sharply in a short period of time. This process has been driven not only by low fertility but also by emigration of middle-aged and young people and increasing life expectancy. There is no lack of research on demographic changes in ageing societies in the country, but very little is known about the attitudes of childless men and women towards caring for their parents in old age. The aim of the study is to determine the attitudes of childless and child-bearing individuals towards parental responsibilities in Lithuania. Our analysis is based on the 2018-2019 ‘Families and Inequality Survey’ dataset collected in Lithuania. The data covers 3,005 individuals aged 34-48 at the time of the survey. The representative sample was obtained by using a stratified sampling method. Face-to-face interviews were carried out with respondents in their homes by using a standardized questionnaire. The data were analysed using descriptive statistics and chi-square methods. We found that the proportion of men (12.0%) who do not want to have children is statistically significantly higher (p=0.003) than the proportion of women (7.6%). We found that childless people were less likely than those with children to agree with the statement that children should look after their parents. In addition, women were more likely than men to agree with these statements. Our findings are important from a practical point of view – when considering social care and pronatalist policy measures. Research project is financially supported by the Research Council of Lithuania (LMTLT), agreement No. P-MIP-22-24.