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Objective To understand the HIV infection status in middle aged and old men and the association between HIV infection and female sex workers in a city in Hubei province and provide evidence for the targeted prevention and control of HIV infection.Methods Ten communities/villages were selected through stratified cluster sampling from the suburban and rural areas of the city.A total of 634 men aged ≥50 years were surveyed by using self-designed questionnaire in December,2014.Results The awareness rate of HIV/AIDS related knowledge was 13.3％ (68/513).Among the men surveyed,63.2％ (371/587) thought they couldn't be infected with HIV,9.1％ (52/573) believed that extramarital sex is acceptable,and 32.4％ (189/583) considered that commercial sexual behavior is just as well.Among the surveyed men reporting sexual behavior in the past 6 months,6.6％ (15/228) had sex with regular sexual partners,in which 63.6％ (7/11) never used condoms,21.8％(128/586) reported that some friends had commercial sexual behaviors.Among 601 men receiving HIV testing,7 were HIV positive (1.2％).The HIV detection rates among the men living at 3 communities near red light district were 4.2％ (5/119),1.1％ (1/95) and 0.5％ (1/192) respectively;while no HIV infections were found in the men living at 2 towns far away from red light district.Seventy seven of 581 men surveyed (13.2％) reported to meet visiting female sex workers and they had higher HIV positive rate (5.2％,4/77) than those without such experiences (0.6％,3/504) (P=0.007).Conclusion The middle aged and old men in this city had low awareness of HIV/AIDs related knowledge,and high-risk sexual behaviors existed among them.HIV positive rate was relatively high in this population,and HIV infection might be associated with sex service.
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Objective To understand the HIV infection status in middle aged and old men and the association between HIV infection and female sex workers in a city in Hubei province and provide evidence for the targeted prevention and control of HIV infection.Methods Ten communities/villages were selected through stratified cluster sampling from the suburban and rural areas of the city.A total of 634 men aged ≥50 years were surveyed by using self-designed questionnaire in December,2014.Results The awareness rate of HIV/AIDS related knowledge was 13.3％ (68/513).Among the men surveyed,63.2％ (371/587) thought they couldn't be infected with HIV,9.1％ (52/573) believed that extramarital sex is acceptable,and 32.4％ (189/583) considered that commercial sexual behavior is just as well.Among the surveyed men reporting sexual behavior in the past 6 months,6.6％ (15/228) had sex with regular sexual partners,in which 63.6％ (7/11) never used condoms,21.8％(128/586) reported that some friends had commercial sexual behaviors.Among 601 men receiving HIV testing,7 were HIV positive (1.2％).The HIV detection rates among the men living at 3 communities near red light district were 4.2％ (5/119),1.1％ (1/95) and 0.5％ (1/192) respectively;while no HIV infections were found in the men living at 2 towns far away from red light district.Seventy seven of 581 men surveyed (13.2％) reported to meet visiting female sex workers and they had higher HIV positive rate (5.2％,4/77) than those without such experiences (0.6％,3/504) (P=0.007).Conclusion The middle aged and old men in this city had low awareness of HIV/AIDs related knowledge,and high-risk sexual behaviors existed among them.HIV positive rate was relatively high in this population,and HIV infection might be associated with sex service.
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@#Objective To explore the effects of strength training on aging muscular atrophy and inflammatory factors levels in old men.Methods 11 old men participated in 12 weeks of strength training. Muscle strength/muscle thickness and serum levels of tumor necrosis factor (TNF)-α, interleukin (IL)-6, high sensitivity C-reactive protein (hsCRP) and adiponectin were measured before and after training. Results After training, the muscle thickness increased, but there was no significantly difference (P>0.05); the levels of hsCRP decreased (P<0.001) and adiponectin increased (P<0.05). Conclusion Strength training may assist in maintaining or improving muscle strength/muscle mass and reducing inflammatory factors levels.
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El envejecimiento poblacional es un problema mundial, aparejado a elevada prevalencia de Diabetes Mellitus (DM) según avanzan los años. Se realizó un estudio transversal durante un año, para analizar variables epidemiológicas, clínicas y terapéuticas, asociadas a la morbilidad en diabéticos con 65 años y más, de San Antonio de los Baños, Habana. Quedó definido como objetivos: precisar frecuencia por edades y sexo, modalidad terapéutica empleada y control de la glicemia, complicaciones más frecuentes de órganos diana, según tiempo de evolución de la Diabetes Mellitus. Se obtuvo una media global de 86.3 años con una distribución Gaussiana a la derecha, aumentando la frecuencia de DM en mujeres según envejecían, aunque los hombres fueron discreta mayoría (razón 1.4/1). El 37.5 por ciento usaba hipoglicemiantes orales, aunque aquellos que solo cumplían la dieta presentaron mejor control glicémico. La cardiopatía isquémica predominó (33 por ciento) en 94 por ciento de los complicados, aumentando la frecuencia acorde evolucionó en años su enfermedad de base. Envejecidos, hiperglicémicos, con complicaciones de órganos diana y con años de evolución de su enfermedad son los ancianos diabéticos un problema de salud aún sin resolver en San Antonio de los Baños, Habana, Cuba.
Population aging is a world problem, harnessed with high prevalence of diabetes mellitus (DM) according to years advance. It carried out one transversals study during one year determining epidemiology; clinic and therapeutic problems associated a diabetic mobility people with 65 years and more in San Antonio de los Baños, Havana. It was defined as objectives: bigger frequency for ages and sexes, use therapeutics modality and glicemia controls, more frequently complications a reveille organs according the evolutions of diabetes mellitus time. It was obtained global mediates at 86.3 years with right Gaussians distributions, increasing the frequency of DM in women as they aged, although men was discreetly majority (reason1.4/1). 37.5 percent used diabetic's oral treatment, although those that only completed diet presented better blood sugar controls. Ischemic cardiopathy prevailed (33 percent) in a 94 percent of complicated, frequency increasing according Diabetes Mellitus evolved at years. Aged, not blood sugar controls, withy several complications a reveille organ and a long time of evolutions; diabetic's old people are health problem still will not solution at San Antonio de los Baños Town, Havana.
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Los ancianos arriban a la vejez sometidos a un gran número de factores de riesgo y enfermedades bucodentales prevenibles, y una deficiente información higiénico-sanitaria bucal. Objetivo: Aplicar técnicas afectivo-participativas para la promoción de salud bucal en los ancianos. Método: Se realizó un estudio experimental de intervención comunitaria en el círculo de abuelos del Centro Comunitario de Salud Mental del área norte en el período comprendido de Junio del 2005 a Junio del 2007. La muestra estuvo constituida por 35 ancianos, a quienes se les aplicó una entrevista estructurada para determinar el nivel de información higiénico-sanitaria-bucal, factores de riesgo e higiene bucal y protésica. Resultados: La información higiénico-sanitaria-bucal se comportó como satisfactoria en 27 personas, 77,1 por ciento. La eficiencia de la higiene de las prótesis mejoró en más de la mitad de los gerontes. Hubo una percepción favorable de los mismos con respecto a la intervención, pues la mayoría reconoce que incorporaron una acción al observar cambios beneficiosos para su salud, que generó experiencias positivas en el grupo estudiado.
The elderly arrive to the old age submitted to a great number of risk factors and preventive buccodental diseases, and deficient oral hygienic-sanitary information. Objective: To apply affective-participatory techniques for the oral health promotion in the elderly. Method: A community intervention experimental study in the grandparents´ circle of the Mental Health Community justify from the north area was carried out from June 2005 to June 2007. The sample was constituted by 35 old men, to them they were applied a structured interview to determine the level of hygienic-sanitary-oral information, risk factors, oral and prosthetic hygiene. Results: The hygienic-sanitary-oral information behaved as satisfactory in 27 people (77,1percent). The efficiency of the prosthesis´ hygiene improved in more than half of the elderly. There was a favorable perception of them regarding to the intervention, because the majority recognize that they incorporated an action for the action when observing beneficial changes for their health that generated positive experiences in the studied group.
Assuntos
Humanos , Idoso , Saúde Bucal , Higiene Bucal , Ensaio ClínicoRESUMO
Objective To evaluate the surgical treatment of old patients with acute perforated gastroduodenal ulcer. Method The age, complications, duration of the disease history, operative method, systemic inflammatory response syndrome (SISR) and multiple organ dysfunction syndrome (MODS) in 89 old patients with acute perforated gastroduodenal ulcers were analyzed retrospectively. Results Simple closure operation was performed in 78 cases and subtotal gastrectomy in the other 11 cases. Twelve patients died. The mortality and complications rate were significantly lower in the patients less than 70 -year old than those in the patients more than 70-year old (P