Life Of Elderly People Research Articles

Comparison of Voice-Related Quality of Life for the Elderly with and without Voice Disorders According to Genders by Aging Voice Index-Korean Version

Objectives: The present study was performed to investigate the effect of voice problems on voice related quality of life in the elderly with, without voice disorders, according to genders by using the Aging Voice Index-Korean version (AVI-KR).Methods: The AVI-KR, a translated original version of the Aging Voice Index (AVI) into Korean and verified for reliability and validity, was implemented with 50 elderly people without voice disorders (normal group) and 76 elderly people with voice disorders (patient group). Statistical difference according to the group (normal and patient group) and gender (male and female) were analyzed by using a 2-way ANOVA.Results: The mean total score of the AVI-KR of the normal group was significantly higher than that of the patient group. All of the normal group participants showed under 11.00, the cut-off score of AVI-KR, but 17.1% of the patient group appeared under the cut-off score. The female group showed higher scores than the male group, but the difference was not significant. Also, the gender difference of patient groups did not show a statistical significance.Conclusion: The voice-related quality of life in elderly people showed significant difference according to presence/absence of pathological vocal fold status, but the gender difference due to aging did not cause a difference in voice-related quality of life. Even pathological status of vocal fold did not guarantee a bad influence on voice-related quality of life. Therefore, the assessment of elderly people’s voice problems should be carried out not only with an examiner or expert-centered objective tools; but also patient-centered ones, including self-reporting questionnaires and evaluation tools specialized for the elderly, should be developed continuously.

Znaczenie opieki nad wnukami w jakości życia osób w podeszłym wieku

<b>Wprowadzenie.</b> Rodzina jest pierwszą grupą społeczną, w jakiej funkcjonuje człowiek. Większość osób starszych odczuwa silną potrzebę posiadania dobrych więzów rodzinnych. Jeśli pozwala im na to stan zdrowia, mogą oni odpowiadać za wiele obowiązków domowych. Dziadkowie wyręczają młodsze pokolenie, które jest aktywne zawodowo, co daje im poczucie użyteczności w funkcjonowaniu rodziny. Rodzice często decydują się na oddanie potomstwa pod opiekę dziadków z wielu różnych powodów, często nie zastanawiając się, jaki wpływ ma to na zdrowie osób starszych. <b>Cel.</b> Celem teoretycznym artykułu jest przedstawienie wyników badań polskich i międzynarodowych z zakresu pozytywnych i negatywnych stron opieki nad wnukami przez osoby powyżej 65. roku życia oraz ich wpływu na relacje rodzinne. Celem praktycznym artykułu jest natomiast poszukiwanie rozwiązań uzyskania satysfakcji w opiece nad wnukami, które nie wpływają negatywnie na jakość życia osób starszych. <b>Materiały i metody.</b> Przegląd i analiza literatury przedmiotu. <b>Wyniki.</b> Dziadkowie w wielu rodzinach są angażowani do pomocy przy dzieciach; może to być ich własna inicjatywa, lecz także mogą być do tego nakłaniani przez rodzinę wywierającą na nich presję. Opieka nad wnukami może mieć wpływ zarówno pozytywny, jak i negatywny. <b>Wnioski.</b> Osoby starsze często podejmują się opieki nad swoimi wnukami, niekoniecznie licząc się z konsekwencjami. Ograniczenie negatywnych skutków może odbywać się poprzez tworzenie akcji edukacyjnych, które miałby za zadanie ukazywanie właściwych form tej opieki.

Oral health-related quality of life of elderly people and associated sociodemographic factors

Introduction: Oral health plays a key role in people's quality of life. This is especially relevant in vulnerable groups such as the elderly. Objective: To determine how the sociodemographic characteristics of the elderly in a city of Arequipa (Peru) are associated with Oral Health-related Quality of Life (OHRQoL). Material and Methods: A descriptive, prospective, cross-sectional study consisting of 240 older adults, was carried out between October and December of 2019. Sociodemographic characteristics were assessed by means of a questionnaire, while oral health-related quality of life was evaluated using the Oral Health Impact Profile (OHIP-14). A descriptive analysis was performed to study the distribution of oral health-related quality of life and sociodemographic characteristics. An inferential analysis was performed to determine the association between the study variables. Results: Most of the older adults were aged between 60-65 years (32.1%). Female participants were the most prevalent group accounting for 60.8%; 42.5% had completed secondary education; 45.4% were married; and 46.7% were covered by a Comprehensive Health Insurance system (SIS, for its acronym in Spanish); 42.9% lived in a extended-family household; and more than half of the respondents reported an income below the minimum living wage (64.2%). Most of the older adults perceived that their oral health did not have a negative impact on their quality of life, with excellent (45.4%) and moderate (34.6%) assessments of their oral health-related quality of life. The most affected dimensions were psychological discomfort (84.2%) and functional limitation (72.1%). Age, educational level, marital status, type of insurance, and level of income had a statistically significant relationship with oral health-related quality of life (p<0.05). Conclusion: Most of the sociodemographic characteristics analyzed are indeed related to the perception of older adults in this study as to how oral health impacted their quality of life.

Empowering quality of life for elderly people during crisis and epidemics in Saudi Arabia

Crisis and epidemics have been known to affect quality of life for people across all ages. Several literatures have reported increasing prevalence and higher fatalities among older people. The study aims to evaluate the relationship between elderly people and their caregivers; impact of the crisis and epidemics on the elderly psychologically and behaviourally; the impact of the crisis of epidemics on the health and economic health of the elderly; mechanisms for activating awareness of the role of governmental, civil, voluntary and charitable organizations in them; and the first, second, and third axes have a correlation.. The study also aims to provide suggestions and recommendation to enhance quality of life and care of elderly people. Most of the respondents were female which were represented by 62.8% of the respondents, while 37.2% of the respondents were male elders. 71.6% of the respondents were Saudi Arabians while the remaining 28.4% respondents were Non-Saudi Arabians. A strong positive correlation (r = 0.650, p = 0.000) exists between the impact of the epidemic and crisis on the health and economic health of the elderly (second axis) and mechanisms for activating awareness of the role of governmental, civil, voluntary and charitable organizations in them (third axis), which is statistically significant at p<0.05. The study recommends that the elderly, who is infected by the epidemic and crisis, s which is significant statistically hould be well taken care of; sick elders should be provided with moral, emotional and material support; entertainment should be provided for the infected elders. Other suggestions included financial aids/supports for the elderly; support of children/family members; health awareness among the elderly; and societal/community awareness; and also not forgetting to reintegrate rejuvenated elderly into the society.

A Scalable Solution to Detect Behavior Changes of Elderly People Living Alone

As the world population is ageing rapidly and old age comes with multiple health issues, the need for medical services is likely to increase in a couple of decades beyond the limits of the medical systems of almost any country. In response to this trend, a variety of technologies have been developed with the aim of helping older people live independently as long as possible and reduce the burden on caregivers. In this paper, we propose a solution to encode the information about the activity of the monitored person, captured by a set of binary sensors, in the form of activity maps that reflect not only the intensity, but also the spatial distribution of the activity between a set of behaviorally meaningful places. Then, we propose a method for automatic analysis of the activity maps in order to detect deviations from the previously recorded routine. We have tested the method on two public activity recognition datasets and found that the proposed solution is not only feasible, but also has several important advantages (it is low cost, scalable, adaptable, requires little expert knowledge for setup and protects the privacy of the monitored persons) that make it applicable on a large scale, including for people with low socio-economic status.

Monthly Disposable Income Is a Crucial Factor Affecting the Quality of Life in Patients with Knee Osteoarthritis

Knee osteoarthritis (OA) affects the quality of life (QOL) of elderly people; this study examines the demographic characteristics and QOL of patients with knee OA and identifies demographic characteristics that affect the QOL of these patients. In this cross-sectional study, 30 healthy controls and 60 patients with mild-to-moderate bilateral knee OA aged between 55 and 75 years were enrolled. All participants completed a questionnaire containing questions on 10 demographic characteristics and the Medical Outcome Study 36-Item Short-Form Health Survey (SF-36), and their QOL scores in the eight dimensions of the SF-36 were evaluated. In the OA group, significant correlations were observed between monthly disposable income and physical and mental health components. Monthly disposable income was found to considerably affect the QOL of patients with bilateral knee OA (i.e., it is a crucial factor affecting these patients). The findings of this study may provide a reference for formulating preventive strategies for healthy individuals and for future confirmatory research.

Health care professionals and use of digital technologies in patients with dementia and related disorders.

Digital technologies (digiTech) enhance benefits in healthcare and are present in elderly people lives. Healthcare professionals (HCP) who deal with dementia and related disorders face enormous challenges in delivering healthcare using digital devices, and Covid-19 pandemic showed these pitfalls should be addressed. Technology solutions in elder people are being developed, not every HCP is heard, and we lack information about what these professionals think about this. Using structured questionnaires and asynchronous electrotonic data capture, we asked experienced (84.3% postgraduate degrees) HCP with different backgrounds (8 practice areas) about what they think of technology use among their patients and carers. The average person in our sample (N = 51) was a highly skilled (22.2 study-years) female (70.6%) medical doctor (62.8%) aged 39.1 years old (27 to 77 years), highly exposed to digiTech (68.6% mobile devices usage ≥4 hours/day). Neurologists (37.3%), neuropsychologists (15.7%), psychiatrists (13.7%), geriatricians (11.8%) were the most represented groups. This observational cross-sectional study is part of a Brazilian pilot study to explore technology usage in higher risk dementia adults (DigiTAU Project). Although HCP consider asking patients and carers about technology use to be theoretically important (90.2%) and useful in practice (94.2%), they often do not do it (45.1%). There is incongruity when they feel safe to offer interventions by digital means (58.8%) but commonly agree, on average, that HCP are not prepared to use digiTech (51.0%). Despite having positive views towards benefits in adopting digiTech for patients (98.1%), they think they bring more benefits to families and caregivers than to patients themselves (56.9%). HCP consider digiTech will change their practice in the short term within 1 year (58.8%) and within 5 years (88.3%). None of the 8 options suggested as the most "promising" technology in 10 years reaches more than 25% of the choices. HCP have conflicting views about the usage of technologies by their patients and caregivers but expect some positive changes in their work practice. It suggests new digiTech must be submitted to scrutiny so that its applicability overcomes the challenges. Further studies and analysis are needed to understand better this data.

Effects of lifestyle on the health, depression, and quality of life of middle‐aged and elderly before and after COVID‐19: Structural equation modeling

BackgroundThe purpose of this study is to identify the effects of the lifestyle (physical activity, activity participation, and nutrition) of middle‐aged and elderly people on health, depression, and quality of life, and to identify changes before and after COVID‐19. In addition, it is intended to establish a structural equation model to confirm the influence coefficients for each path.MethodAmong those aged 55 and older, the study measured lifestyle, subjective health, depression, and quality of life for a total of 327 people. We used SPSS 25 for general characteristics of subjects, descriptive statistical analysis of variables, and AMOS 20 for validation of variables, affirmative factor analysis, and effectiveness analysis on paths.ResultIn the case of physical activity, there were significant differences between the two groups in moderate exercise (p<0.001) and walking (p<0.01) before and after COVID‐19. The results of participation in activities showed significant differences between leisure activities, social activities and education before and after COVID‐19 (p<0.001). For eating habits, significant differences were found in the two observations: carbohydrate (p<0.05) and protein (p<0.05). Comparing the overall mean, there were significant differences between health (p<0.05), depression (p<0.001), and quality of life (p<0.001) before and after COVID‐19. The final model was built through normality test and confirmatory factor analysis, and the fit of the final study model was x²=3.306, GFI=0.902, RMR=0.049, RMSEA=0.059, IFI=0.928, TLI=0.917, CFI=0.928, which was appropriate compared to each criterion, showed significance for each path.ConclusionThrough this research, it was confirmed that lifestyle affects health, depression, and quality of life for middle‐aged elderly people, which is in the same context as prevention‐oriented policies currently in place worldwide. In addition, the results of this study show the importance of a healthy lifestyle, suggesting that lifestyle education for middle and high‐aged people and customized lifestyle interventions for individual lives are needed. Comparisons between the two periods before and after COVID‐19 show that the social isolation caused by COVID‐19 has a negative impact on each factor. Through these results, health care is essential for middle‐aged and elderly people, and measures should be taken to resolve restrictions on participation in activities caused by social isolation.

Quality of some domains of the life of elderly people who work

Aging is an idiosyncratic phenomenon in each individual that converges in a series of physical and psychological changes. However, it is possible for the elderly to live well and with quality even if their organic performance is deficient. Therefore, the problem of this article is related to the growth of the appreciation of the quality of life in old age. Therefore, the objective was to verify the quality of some domains of the life of elderly people who work. Thirty-six elderly people from the city of São Paulo participated in the study, with a mean age of 71.5 and ± 5.4. Data was collected accidentally. For this, 36 identical WHOQOL questionnaires were used. To verify if there is a statistically significant difference, the non-parametric chi-square test was applied. The result was: 83.33% of seniors say they Totally Disagree with the premise that they have an unsatisfactory relationship with God and also Totally Agree that their relationship with God eliminates their feeling of loneliness; 63.33% Totally Agree with the existence of a true purpose for humanity and 47.22% of the elderly Completely accept their physical appearance. Thus, it was observed that the elderly workers are satisfied with their quality of life.

Effects of Hearing Impairment, Quality of Life and Pain on Depressive Symptoms in Elderly People: A Cross-Sectional Study.

Reduction of the incidence of depression and improvement of quality of life (QOL) of elderly people have become important subjects. Various factors are related to depressive symptoms in elderly people, and sensory impairment is a key to health, QOL, and depressive symptoms. In this cross-sectional study, a visual acuity test and audiometry were used to examine the relationships of visual and hearing impairment and other factors with depressive symptoms in elderly people. A group of 490 community-dwelling people aged over 65 years old underwent vision and hearing tests, the Center for Epidemiologic Studies Depression Scale (CES-D), Mini-Mental State Examination (MMSE), and questionnaires on social isolation, QOL, and physical condition. Logistic regression analysis was used to examine factors affecting CES-D. Multivariate logistic regression analysis indicated that hearing impairment, pain score, and satisfaction with human relationships and activities of daily living (ADL) were independent predictors of CES-D scores. Satisfaction with human relationships and ADL can reduce depressive symptoms in elderly people. Hearing impairment, pain, and social contact are also important. Therefore, improvement of social networks, interpersonal relationships, ADL, and hearing impairment may be effective in improving these symptoms in elderly people.

КОМПЛЕКСНОЕ ИЗУЧЕНИЕ СТОМАТОЛОГИЧЕСКОЙ ОРТОПЕДИЧЕСКОЙ ЗАБОЛЕВАЕМОСТИ ЛЮДЕЙ ПОЖИЛОГО ВОЗРАСТА И СПОСОБЫ ЕЕ УСТРАНЕНИЯ

Social longevity of elderly people is largely determined by their dental health. The ability to talk freely without feeling socially awkward due to bad breath or visible absence of teeth greatly facilitates the lives of elderly people engaged in work. &#x0D; Unfortunately, the majority of elderly people have compromised dentitions, restored by dental prosthetic structures that meet social and functional requirements to varying degrees. &#x0D; The high need of elderly people in stomatological orthopedic treatment and the demand for comprehensive dental rehabilitation determined the relevance and purpose of this publication.&#x0D; Research methods. The object of the study was elderly people aged 60-74 years who sought dental orthopedic care in dental medical organizations, the sample size was 408 persons. &#x0D; Results. The maximum number of patients in the 60-74 age group was found to have complete absence of teeth – 26.5%, the total number of patients with the first, second, third and fourth classes according to Kennedy classification was 13,3%, 24,7%, 24,9%, 10,6% accordingly. The total number of patients with the first Kennedy subclasses (class 1-3) was 135 persons (33.1%), with the second subclasses – 69 persons (16.9%), with the third subclasses – 53 persons (13.0%). &#x0D; Conclusions. All types of orthopedic dental structures were manufactured for elderly patients. The choice of the dental prosthetic design used in orthopedic dental rehabilitation was determined by the type of dentition defect and met the principles of rational prosthetics.

Effects of 5A Model-based Intervention on Self-care and Quality of Life in Elderly People With Hypertension

Objectives: Hypertension is one of the most common chronic diseases in old age. The self-care and quality of life of older people can improved by appropriate interventions. This study aims to assess the effects of an intervention based on 5A model on self-care and quality of life in the elderly with hypertension. Methods &amp; Materials: This quasi-experimental study was conducted on 80 older people with hypertension. They were randomly assigned into two groups of intervention and control. The intervention group received the 5A model-based treatment for two months, while the control group received only the routine care from community health centers. Before and after the intervention, data were collected using a demographic form, behavior subscale of the Hypertension Self-Care Profile questionnaire, and the Control, Autonomy, Self-Realization and Pleasure (CASP-19) questionnaire. The collected data were analyzed using independent t-test, paired t-test, Mann-Whitney U test, Chi-square test, and Fisher’s exact test in SPSS v. 20 software. Results: The Mean±SD self-care scores of the intervention group significantly increased (P&lt;0.001) after the intervention (50.95±4.77) compared to pre-intervention score (46.67±5.83) and compared to the control group (40.92±4.86). The Mean±SD quality of life scores of the intervention group also significantly increased (P&lt;0.001) after the intervention (39.02±6.76) compared to pre-intervention score (33.65±8.03) and compared to the control group (24.97±7.19). Conclusion: The intervention based on 5A model can improve self-care and quality of life of the elderly. This intervention, as a fast, accessible and easy method can be used in the health system to improve the health of the elderly.

Long-term Care Hospitals and Changing Elderly Care in South Korea

Until recently in South Korea, the central dilemma facing children with ageing parents was how and by whom their parents should be cared for. In accordance with the norm of filial piety, the eldest son used to take responsibility. However, with the recent proliferation of long-term care hospitals, this arrangement is changing. These institutions, which play the combined role of rehabilitative hospital, long-term care centre, and nursing home, admit elderly people who do not require active medical intervention. The government’s promotion of these hospitals, centred on deregulation, ambiguity around their function, and the lack of alternative care facilities, has led to an expansion of the sector and consequently to the ‘nursing hom(e)fication’ of many of these institutions. While these hospitals ease the pressures associated with an ageing population, their mainstreaming has had an impact on healthcare, medicine, and the lives of elderly people. The hospital field has become commercialised, medical practice is being transformed, and the dignity of elderly people is being lost through hospitalisation. In this new care regime, filial piety itself is undergoing transformation—from an ideology underpinning the domestication of care, to the market idiom of service compliance. In this article, I introduce these hospitals and investigate how their growth has brought about a Korean style of elderly care commodification, revealing the undercurrents of healthcare privatisation and the neoliberalisation of welfare.

Combination of Thresholds of Vascular Function Tests for Prediction of Continuation of Independent Living in Elderly People in Okinawa's Longevity Region

<h3>Research Objectives</h3> To clarify the standard values of the combination of factors for estimating healthy life expectancy, including the Advanced Glycation Endproducts (AGEs), and the Pulse Wave Velocity (PWV) as factors for estimating the "independent living impossible" among elderly people living independently in Ogimi Village who are over 85 years old. <h3>Design</h3> The study design was a short-term longitudinal study within a cohort study. The time period used for the analysis was for the follow-up period from September 2019 to December 2020. <h3>Setting</h3> The setting is the general community where is a traditional lifestyle in rural Okinawa Japan. <h3>Participants</h3> 20 participants.The subjects were older than 85 years of age who had a traditional lifestyle and continued to live independently as of 2019. <h3>Interventions</h3> Measurements of AGEs and PWV were conducted at the community center and at home. <h3>Main Outcome Measures</h3> Numbers of Independent living people, AGEs, and aortic-radial PWV. For statistical analysis, the optimal cutoff values for AGEs and PWV were determined from ROC curves for the two values of unable to live independently or able to live independently. The value with the maximum and the estimation performance was evaluated. <h3>Results</h3> The cutoff value for PWV for those in the R90 group who were no longer able to live independently (n=4) was 350 au (AUC=0.532), and AGEs was 11.0 m/sec (AUC=0.567). In 75% of the cases, both factors exceeded this cutoff value. No one reached the end of independent living in the category range of lower values for both factors than this cutoff value. <h3>Conclusions</h3> The existence of a category consisting of a combination of an AGEs and PWV was suggested as a factor for estimating "cases in which independent living becomes impossible" among elderly people aged 85 years or older in Ogimi Village. It is necessary to examine the possibility of extending independent living even in the very elderly by using further time-lapsed results to examine their cumulative effects. <h3>Author(s) Disclosures</h3> No conflicts of interest to be disclosed.

IoT-Based Activities of Daily Living for Abnormal Behavior Detection: Privacy Issues and Potential Countermeasures

Activities of daily living (ADL) systems have been playing an important role in assessing and monitoring the quality of life of elderly people for many years. With the recent advancement and integration of Internet of Things (IoT) devices within ADL systems, the number and quality of services offered has increased significantly. One of these vital services is abnormal behaviour detection based on the data collected from IoT devices within smart homes. However, the IoT data collected could have enormous privacy implications for smart home users if the data is not handled properly. We address this issue by analyzing a generic ADL system for abnormal behaviour detection, including its entities and their interactions. We highlight three major privacy issues: (i) identity privacy, (ii) data confidentiality, and (iii) metadata data leakage. These issues are particularly relevant to ADL systems, and we propose potential countermeasures to tackle them. Finally, we sketch a privacy-preserving version of an example ADL system to demonstrate the effectiveness of our proposed countermeasures, before suggesting future research directions.

The Social Housing Crisis and the Barriers to Developing Dementia-Friendly Communities in Chile.

Interaction with living place and neighbourhood is one of the cornerstones for creating dementia-friendly communities (DFC). Chile has one of the largest proportions of older adults in Latin America and is currently facing an increase in the number of people with dementia. In this context, the Chilean government has launched a national strategy that involves actions in the health and social care system, including the promotion of DFC. From a multisectoral approach, social and environmental aspects involving engagement with local communities and access to social connections and services are directly related to urban policies. This perspective article focuses on urban aspects of social housing policy, such as placement, networks, affordability and the relationship between subsidy structure and adequate housing provision in a country with a qualitative housing deficit of around 1,200,000 units and where a large proportion of people with dementia and their families live in poverty. We identified several barriers to delivering appropriate environments for people living with dementia in relation to a two-fold problem: (a) the social housing subsidy displaces caregivers and/or older adults to satellite towns where social connections and access to services and urban equipment are lost; and (b) people resisting displacement live in overcrowded neighbourhoods where dementia is a common problem. In both scenarios, a detrimental environment and social conditions directly affect the quality of life of elderly people living with dementia and their caregivers.

Multiple-Factor Analyses of Futile Recanalization in Acute Ischemic Stroke Patients Treated With Mechanical Thrombectomy.

Background and Purpose: Acute ischemic stroke (AIS) is a serious threat to the life and health of middle-aged and elderly people. Mechanical thrombectomy offers the advantages of rapid recanalization, but the response of patients to this treatment varies greatly. This study investigated the risk factors for futile recanalization in AIS patients after thrombectomy through multivariate analyses.Methods: A retrospective study was conducted in AIS patients with anterior circulation occlusion from a derivation cohort and a validation cohort who underwent thrombectomy and reperfusion defined as a modified Thrombolysis in Cerebral Infarction (mTICI) score of 2b/3. Using the modified Rankin Scale (mRS) at 90 days after the operation, the patients were divided into two groups, the meaningful recanalization group (mRS ≤ 2), and the futile recanalization group (mRS > 2). Multivariate logistic regression analyses were performed, and the receiver operating characteristic (ROC) curve was used to construct a risk prediction model for futile recanalization. The performance of prediction model was evaluated on the validation cohort.Results: A total of 140 patients in the derivation cohort were enrolled, 46 patients in the meaningful recanalization group and 94 patients in the futile recanalization group. The two groups were significantly different in age, preoperative National Institute of Health Stroke Scale (NIHSS) score, and collateral circulation ASITN/SIR grade (P < 0.05). In multivariate regression analyses, patients' age ≥ 71, NIHSS ≥ 12, and ASITN/SIR ≤ 3 were risk factors for futile recanalization. Hence, an ANA (Age-NIHSS-ASITN/SIR) score scale consisting of age, NIHSS score, and ASITN/SIR grade factors can effectively predict the risk for futile recanalization (area under curve 0.75, 95% CI 0.67–0.83, specificity 67.4%, and sensitivity 73.4%). The proportion of patients with futile recanalization in ANA groups 0, 1, 2, and 3 were 21.05, 56.76, 79.03, and 90.91%, respectively. Furthermore, ANA score scale had also a good performance for predicting futile recanalization on the validation cohort.Conclusions: Old age, high baseline NIHSS, and poor collateral circulation are risk factors for futile recanalization in AIS patients treated with thrombectomy. An ANA score that considers age, NIHSS, and collateral ASITN/SIR can effectively predict the risk for futile recanalization. Further studies with a larger sample size are needed to validate the prognostic value of this combined score for futile recanalization.

Improving the Quality of Life for the Elderly with Degenerative Diseases through to the Charitas Group Virtual Health Education Program during the Pandemic of the COVID-19

Background: In the era of the COVID-19 pandemic, various problems were experienced by the elderly, especially those with degenerative diseases, as the population most at risk of being exposed to COVID-19. The elderly are vulnerable to decreased physical, mental and social health; therefore, a new and effective strategy is needed to improve healthy living behavior in this population. This study aimed to analyze the effect of the Charitas Group virtual health education program on improving the quality of life of the elderly with degenerative diseases in the era of the COVID-19 pandemic.&#x0D; Methods: The One Group Pretest-Posttest Pre-Experimental study was with a sample of 33 patients selected by purposive sampling in May - July 2021. The data collection was taken using the World Health Organization Quality of Life – Bref (WHOQOL-Bref) form, translated and validated into Bahasa Indonesia. The data was then compared before and after the intervention and analyzed using the Paired Samples T-Test.&#x0D; Results: The T-Test showed a significant difference between the pre-test and post-test results (p-value 0.041 &lt; 0.05). At the same time, the other T-Test results showed a significant influence on the quality of life of the elderly in the specific domains, namely: Psychological (p-value 0.025), Social Relationship (p-value 0.033) and Environmental (p-value 0.034).&#x0D; Conclusions: The Charitas Group virtual health education program significantly influences the quality of life of elderly people with degenerative diseases in the COVID-19 pandemic era.

Improving the Quality of Life for the Elderly with Degenerative Diseases through to the Charitas Group Virtual Health Education Program during the Pandemic of the COVID-19

Background: In the era of the COVID-19 pandemic, various problems were experienced by the elderly, especially those with degenerative diseases, as the population most at risk of being exposed to COVID-19. The elderly are vulnerable to decreased physical, mental and social health; therefore, a new and effective strategy is needed to improve healthy living behavior in this population. This study aimed to analyze the effect of the Charitas Group virtual health education program on improving the quality of life of the elderly with degenerative diseases in the era of the COVID-19 pandemic.&#x0D; Methods: The One Group Pretest-Posttest Pre-Experimental study was with a sample of 33 patients selected by purposive sampling in May - July 2021. The data collection was taken using the World Health Organization Quality of Life – Bref (WHOQOL-Bref) form, translated and validated into Bahasa Indonesia. The data was then compared before and after the intervention and analyzed using the Paired Samples T-Test.&#x0D; Results: The T-Test showed a significant difference between the pre-test and post-test results (p-value 0.041 &lt; 0.05). At the same time, the other T-Test results showed a significant influence on the quality of life of the elderly in the specific domains, namely: Psychological (p-value 0.025), Social Relationship (p-value 0.033) and Environmental (p-value 0.034).&#x0D; Conclusions: The Charitas Group virtual health education program significantly influences the quality of life of elderly people with degenerative diseases in the COVID-19 pandemic era.

Instituições geriátricas e negligência odontológica

Elderly abuse represents a whole of actions that include mistreatment, intentionally or not, or neglect against elder people. Mistreatment and neglect may be presence as restrictions, lack of basic care, poor hygiene, poor work conditions and lack of qualificated careers. Poor hygiene is the most serious problem of oral health on clependent elderly. In this population, oral hygiene must be provided. However, it has been constantly neglected, resulting in oral health collapse. Thc aim of this work is discuss some concepts and classify elderly abuse and neglect, list hypothesis of risk factors, review the legislation and identify the difficulties of caregivers. Furthermore, this study wants to stress the necessity of dentist's attention and responsibility of this issue. Dentists must be aware on this reality due to the high prevalence of oral health problems and needs in this group, emphasizing their social responsibility. Oral health care must be joined with the whole health attention, considering that quality of life of elderly people is strongly influenced by oral health conditions.