Acute Effects of Combining Weight and Elastic Resistance Exercise on Vascular Function in Older Adults.

Prior research has suggested that resistance exercise may result in a temporary decrease in vascular function, as measured by flow-mediated dilation (FMD), among untrained young individuals. However, the immediate impact of combined elastic and weight resistance training on older adults remains insufficiently explored. We assessed vascular function before, after, and 30 min after acute exercise under three resistance conditions to evaluate whether a combination of weight and elastic resistance exercises has an acute effect on vascular function in older adults. Fourteen older adults (65.6 ± 2.9 years) executed three sets of 12 repetitions at 65% of one repetition maximum (1 RM) of the bench press (BP) exercise. Testing was performed on three separate days as follows: (1) barbell alone (BA); (2) barbell plus elastic bands (10% of 65% 1 RM) (BE10); and (3) barbell plus elastic bands (20% of 65% 1 RM) (BE20). A two-way (time × condition) repeated measures analysis of variance was employed to assess the time and condition effects on flow-mediated dilation (FMD) and pulse wave velocity (PWV). At 0 min post-exercise, FMD was significantly higher during BE10 than during BA (p < 0.05); however, at 30 min post-exercise, no significant difference (p ≥ 0.05) was observed between the three conditions. In each condition, FMD results did not differ significantly at different times (p ≥ 0.05). For FMD, the main effect of the condition (F[2,26] = 3.86, p = 0.034) and that of the time and condition (F[4,52] = 3.66, p = 0.011) were significant. For PWV, only the difference between the BA and BE10 conditions was significant at 0 min (p < 0.05). PWV increased from baseline in the BA condition (p < 0.05) but not significantly in the BE10 and BE20 conditions (p ≥ 0.05). Therefore, BA, BE10, and BE20 demonstrated various changes in vascular function. Long-term training intervention studies are needed to validate these findings.

Analysis of factors influencing fall risk among elderly people in rural of China.

Falls can cause serious health problems in the elderly. China is gradually entering a moderately aging society. In rural areas of China, the elderly are at a higher risk of falling. This study aims to explore and analyze the factors affecting the fall risk of elderly people in rural areas of China, and provide theoretical basis for reducing the fall risk of elderly people. M County, Anhui Province, China was selected as the survey site by the typical field sampling method, and the elderly people in rural areas were selected as the research objects. A total of 1187 people were investigated. Mann-Whitney U test and Kruskal-Wallis H test were used for univariate analysis, and multiple linear regression was used for multivariate analysis. Chronic diseases, multimorbidity, daily living ability, mental health, working status and family doctors are the factors that influence falls among elderly people in rural areas of China (P < 0.05, Adjusted R2 = 0.395). The falls risk of the elderly in rural areas of China is influenced by multiple factors. Therefore, comprehensive measures should be taken to reduce the fall risk by comprehensively evaluating the influencing factors.

Risk factors of multimorbidity among older adults in India: A systematic review and meta-analysis.

Background: Multimorbidity among older adults is a growing concern in India. Multimorbidity is defined as the coexistence of two or more chronic health conditions in an individual. Primary studies have been conducted on risk factors of multimorbidity in India, but no systematic review has been conducted on this topic. This systematic review aimed to synthesize the existing evidence on risk factors of multimorbidity among older adults in India. Methods: The JBI and Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines were followed. Several databases were searched for published and unpublished studies until August 03, 2022. The screening of titles and abstracts and full texts, data extraction, and quality assessment were conducted by two independent reviewers. Any disagreements were resolved through discussion or by involving a third reviewer. Data synthesis was conducted using narrative synthesis and random effects meta-analysis, where appropriate. Results: Out of 8781 records identified from the literature search, 16 and 15 studies were included in the systematic review and meta-analysis, respectively. All included studies were cross-sectional, and 10 met a critical appraisal score of more than 70%. Broadly, sociodemographic, lifestyle, and health conditions-related factors were explored in these studies. The pooled odds of multimorbidity were higher in people aged ≥70 years compared to 60-69 years (odds ratio (OR) 1.51; 95% confidence interval (CI) 1.20-1.91), females compared to males (1.38; 1.09-1.75), single, divorced, separated, and widowed compared to married (1.29; 1.11-1.49), economically dependent compared to economically independent (1.54; 1.21-1.97), and smokers compared to non-smokers (1.33; 1.16-1.52) and were lower in working compared to not working (0.51; 0.36-0.72). Conclusion: This systematic review and meta-analysis provided a comprehensive picture of the problem by synthesizing the existing evidence on risk factors of multimorbidity among older adults in India. These synthesized sociodemographic and lifestyle factors should be taken into consideration when developing health interventions for addressing multimorbidity among older adults in India.

Food anaphylaxis in the elderly: Analysis of allergy vigilance network data from 2002 to 2021.

BACKGROUND: Few studies have focused on food allergies in the elderly, even though it may persist or appear de novo. METHODS: We reviewed data for all cases of food-induced anaphylaxis in people age ≥ 60 reported to the French "Allergy Vigilance Network" (RAV) between 2002 and 2021. RAV collates data reported by French-speaking allergists regarding cases of anaphylaxis graded II to IV according to the Ring and Messmer classification. RESULTS: In total, 191 cases were reported, with an even sex distribution and mean age was 67.4 years (range 60 to 93). The most frequent allergens were mammalian meat and offal (31 cases, 16.2%), often associated with IgE to α-Gal. Legumes were reported in 26 cases (13.6%), fruits and vegetables in 25 cases (13.1%), shellfish 25 cases (13.1%), nuts 20 cases (10.5%), cereals 18 cases (9.4%), seeds 10 cases (5.2%), fish 8 cases (4.2%) and anisakis 8 cases (4.2%). Severity was grade II in 86 cases (45%), grade III in 98 cases (52%) and grade IV in 6 cases (3%) with one death. Most episodes occurred at home or in a restaurant and in most cases adrenaline was not used to treat the acute episode. Potentially relevant cofactors such as beta-blocker, alcohol or non-steroidal anti-inflammatory drug intake were present in 61% of cases. Chronic cardiomyopathy, present in 11.5% of the population, was associated with greater, grade III or IV reaction severity (OR 3.4; 1.24-10.95). CONCLUSION: Anaphylaxis in the elderly has different causes to younger people and requires detailed diagnostic testing and individualized care plans.

Relationship between the Engel Coefficient, Life Satisfaction, and Subjective Health for Senior Citizens in Korea: Moderating Effect of COVID-19.

The purpose of this study was to explore the determinants of life satisfaction for Korean senior citizens. Subjective health and the Engel coefficient were used as the explanatory variables. This research also aimed to examine the moderating effect of Coronavirus disease 2019 (COVID-19) on the relationship between the Engel coefficient and life satisfaction for Korean senior citizens. Archival data (Korean longitudinal study of aging) were used for this work. The study period is 2018 and 2020; the number of observations was 3879. Multiple linear regression analysis was performed to test the research hypotheses. To examine further, this research performed additional analyses: sub-sample analysis, median split, and independence tests. The results indicated that the Engel coefficient is negatively associated with life satisfaction, while subjective health is positively related to life satisfaction. Moreover, Korean senior citizens' life satisfaction was higher during the COVID-19 pandemic. This research provides information for building policy for senior Korean citizens.

Technology: Saving and Enriching Life During COVID-19.

The pandemic of COVID-19 has arrested the life of 7.8 million people living on this earth. However, some people are more vulnerable to the risk of this deadly virus. The frailty of senior citizens put them at the top of this list. The past 6 months have not only presented a threat to their physical health but to mental health also. Although lockdown was necessary to check the spread of the coronavirus it culminated in an exponential rise in the problems of loneliness, anxiety, fear, helplessness, and depression. The present paper reviews the role of social networking sites, apps, and other digital platforms in saving and enriching the lives of the elderly, especially those who spent the lockdown alone and were devoid of a regular support system due to unavailability of transport and administrative restrictions on the movement of people. It also analyzes the efficiency of the virtual world in reducing their anxiety of being alone by connecting them with others and also make them feel empowered. The review is based on the online data collected about the insurgence in the percentage of elderly people using such platforms, recent studies analyzing the effects of the COVID 19 pandemic on senior citizens. Besides this personal telephonic discussions were conducted with some elderly people who spent their lockdown alone in their homes. The study was primarily focused on three objectives. Firstly it attempts to understand the ways in which senior citizens made use of social networking sites and various digital platforms for managing life better. Secondly, it analyses the process of adopting technology, and finally, it examined the width and depth of the impact technology created in their life and also the permanence of this change. The analysis clearly suggests an increase in the digital life of elderly people. The process moved in distinct stages from utter confusion to relative ease in using technology, thereby significantly reducing the loneliness, and bringing relatively stable change in the way they lead their life.

Vulneración a la integridad física de personas mayores: prevalencia del maltrato y factores asociados / Violation of the Physical Integrity of the Elderly: Prevalence of Abuse and Related Factors

Resumen El envejecimiento poblacional que experimenta actualmente América Latina trae consigo retos para la sociedad, como la prevención de la vulneración a los derechos humanos y libertades de las personas mayores y la eliminación de todas las formas de maltrato. La prevalencia de maltrato físico a personas mayores fue de 4,1%. Se presentó principalmente en mujeres, personas sin pareja y con ingreso económico. Además, fue más prevalente en personas mayores con riesgo de depresión, ante cedentes de pensamientos suicidas, insatisfacción con la salud y que convivían con familias disfuncionales. Los hallazgos de esta investigación muestran como las re laciones familiares pueden ser un factor clave a la hora de abordar la problemática del maltrato; además, las graves repercusiones que generan estos hechos sobre la víctima, como afectaciones no solo a la salud física sino también mental.

Abstract The ageing population currently experienced by Latin America brings with it cha llenges for society, such as the prevention of human rights violation and freedoms of the elderly, and the elimination of all forms of abuse. The prevalence of physical abuse for the elderly was 4.1%. It was mainly presented in women, people without a partner, and with financial income. In addition, it was more prevalent in older people at risk of depression, a history of suicidal thoughts, dissatisfaction with health, and living with dysfunctional families. The findings of this research show how family re lationships can be a key factor in addressing the problem of abuse. In addition, the serious impact of these facts on the victim, such as affectations not only to physical health, but also to mental health.

Analysis of the status quo of the Elderly's demands of medical and elderly care combination in the underdeveloped regions of Western China and its influencing factors: a case study of Lanzhou.

BACKGROUND: This study aims to analyse the current demand by senior citizens in Lanzhou, China for a combination of medical and elderly care services and to identify the factors influencing their needs. METHODS: 7500 participants aged 60 or above living in Lanzhou, China, were recruited, a unified questionnaire concerning elderly people's demand for a service combining medical and elderly care has been adopted to survey these subjects. The status quo of the demand of the service combining medical and elderly care and its influencing factors were analysed with the single-factor Chi-square test and multi-factor binomial logistic regression method. RESULTS: 3772 of 7320 older people have the demand for the service combining medical and elderly care, accounting for 53.15% of survey respondents. Many factors are in play, including gender, marital status, degree of education, occupation before retirement, number of children, monthly income, health self-assessment status, endowment insurance type, medical insurance type, current nursing arrangements, old-age demands, self-care ability and the knowledge of combining medical and elderly care and the willingness to pay for the combination of medical and elderly care have statistical significance (P < 0.05) with the elderly's needs, different ages, living styles and the prevalence of chronic diseases, have no statistical significance (P > 0.05) with the elderly's care needs in Lanzhou. The number of children, type of medical insurance and willingness to pay for the combination of medical treatment and nursing care are major influencing factors among the complex factors influencing the elderly's demand for the proposed service. CONCLUSIONS: The low knowledge rate and demand rate, the number of children, the type of medical insurance, and the willingness to pay for the medical-nursing combination service for the elderly in Lanzhou have a great impact on the elderly's demand rate for combining medical and elderly care. Meanwhile, relevant government departments should focus more on the promotion of the endowment model of combining medical and elderly care and provide integrated medical care services by integrating multiple resources, and improving social security.

Adults and Social Supports for Older Parents in Peri-Urban Ibadan, Nigeria.

Introduction: The absence of comprehensive supports systems for older persons in Nigeria has put them on psychosocial challenges at old age. Thus, this study profiled the social supports provided by the adults to older persons in Ibadan, Southwestern Nigeria. Methods: This cross-sectional study utilized mixed method approach to administer a standardized questionnaire among 460 consented adults who had older parents, and conducted twelve in-depth interviews (IDIs) among male and female participants in Apete, a peri-urban community in Ibadan, Nigeria. Quantitative and qualitative data were analyzed respectively using SPSS ver. 20 and content analysis. Results: Most (67.2%) of the respondents were females, and 77.2% were not living with their older parents. Older parents of 32.4% of the respondents relied on children as a source of income, whereas nearly half (47.0%) of the respondents perceived the care of the elderly as government responsibility. Financial care (48.5%) from significant others was perceived the most unmet social needs of the elderly, while lack of money (44.6%) was perceived the cause of the unmet social needs of the elderly. There was significant relationship (χ2 = 0.056) between the average monthly income and the time frame the children give money to older parents. Conclusion: There exist social supports to the elderly in peri-urban Nigeria. The social support systems available to the elderly were influenced by the culture, blessing/prayer-needs from parents, and reciprocity factors.

[Relevance of a catheter team for short stays with elderly people]. / Pertinence d'une équipe cathéters en court séjour auprès des personnes âgées.

Elderly patients hospitalized in acute care service very often have a weakened venous tissue which, in the case of medium-term intravenous treatment, leads to multiple painful punctures. In order to alleviate this major inconvenience, within the framework of a cooperation protocol, a catheter team was trained in the ultrasound-guided insertion of the appropriate catheter for the management of geriatric patients.

Factors associated with the functional capacity of elderly individuals with hypertension and/or diabetes mellitus / Factores asociados a la capacidad funcional de ancianos con hipertensión y/o diabetes mellitus / Fatores associados à capacidade funcional de pessoas idosas com hipertensão e/ou diabetes mellitus

Abstract Objective: To identify the association of sociodemographic and clinical factors with the functional capacity of elderly individuals with hypertension and/or diabetes mellitus. Method: An outpatient, non-probabilistic cross-sectional study, performed in two Health Units in a city from the inland of Bahia, Brazil, with a population of 100 elderly individuals monitored through the HIPERDIA Program. Data was collected using a questionnaire covering socio-demographic data, the Katz index and the Mini Mental State Examination. Results: The analysis showed that 45% of the respondents had some degree of dependence. In the multivariate analysis it as observed that the elderly individuals aged 70 years old or more presented 1.9 times more chances to develop some degree of dependence in relation to those under 70 years old. Considered the same age group, it was shown that those with concomitant comorbidities (hypertension and diabetes) were 1.7 times more likely to develop some dependence compared to those who only had hypertension. Conclusion and implications for practice: It was possible to conclude that functional capacity as a multifactorial condition in this population was determined by age and by the presence of comorbidities (hypertension and diabetes). Identifying these disability-conditioning factors allows for a better planning of nursing care based on promoting a healthy, independent and autonomous aging process.

Resumen Objetivo: Identificar la asociación de factores sociodemográficos y clínicos con la capacidad funcional de ancianos con hipertensión y/o diabetes mellitus. Método: Estudio transversal, no probabilístico y ambulatorio realizado en dos Unidades de Salud de un municipio del interior de Bahía, Brasil, con una población de 100 personas mayores monitoreadas a través del Programa HIPERDIA. Los datos se recolectaron utilizando una encuesta en la que se contemplaron datos sociodemográficos, el índice de Katz y el mini examen de Estado mental. Resultados: El análisis demostró que el 45% de los encuestados presentaron algún grado de dependencia. En el análisis multivariado, se observó que los ancianos de al menos 70 años de edad presentan 1,9 veces más probabilidades de desarrollar algún grado de dependencia en relación a los menores de 70 años. Considerada la misma franja etaria, se evidenció que aquellos que poseen comorbilidades concomitantes (hipertensión y diabetes) presentan 1,7 veces más probabilidades de desarrollar alguna dependencia en relación a aquellos que solo padecen hipertensión. Conclusión e implicaciones para la práctica: A partir de los resultados se pudo concluir que la capacidad funcional como condición multifactorial, en esta población, quedó determinada por factores como la edad y la presencia de comorbilidades (hipertensión y diabetes). Identificar estos factores que condicionan la incapacidad hace posible planificar mejor la asistencia de enfermería pautada en la promoción de un proceso de envejecimiento sano, independiente y autónomo.

Resumo Objetivo: Identificar a associação de fatores sociodemográficos e clínicos à capacidade funcional de pessoas idosas com hipertensão e/ou diabetes mellitus. Método: Estudo transversal, de base ambulatorial e não probabilístico, realizado em duas Unidades de Saúde de um município do interior da Bahia, Brasil, com uma população de 100 idosos acompanhados no Programa HIPERDIA. Os dados foram coletados a partir de questionário contemplando dados sociodemográfico, o Index de Katz e o Mini Exame do Estado Mental. Resultados: 45% dos entrevistados apresentaram algum grau de dependência. Na análise multivariada observou-se que os idosos com 70 anos ou mais apresentam 1,9 vezes mais chances de desenvolver algum grau de dependência em relação aos menores de 70 anos. Considerado o mesmo recorte etário, aqueles que possuem comorbidades concomitantemente (hipertensão e diabetes) apresentam 1,7 vezes mais chances de desenvolverem alguma dependência em relação àqueles que possuem apenas hipertensão. Conclusão e implicações para a prática: Dos resultados foi possível concluir que a capacidade funcional como condição multifatorial, nesta população, foi determinada pela idade e presença de comorbidades (hipertensão e diabetes). Identificar esses fatores que condicionam a incapacidade possibilita um melhor planejamento da assistência de enfermagem pautada na promoção de um processo de envelhecimento saudável, independente e autônomo.

[Epidemiology of HIV and the situation among older adults]. / Épidémiologie du VIH et situation chez les seniors.

Since the emergence of the human immunodeficiency virus at the beginning of the 1980s, the epidemic has spread extensively in all regions of the world. In France, there is still a significant number of new contaminations each year, mainly among men having sexual relations with men and heterosexuals born in Sub-Saharan Africa. The prevention efforts targeting the most exposed populations must be continued.

Políticas públicas para os idosos portadores do mal de Alzheimer / Public policies for the older carriers of Alzheimer's evil / Políticas públicas para los ancianos portadores del mal de Alzheimer

Objetivo: Conocer y analizar la producción científica en el período de 2011 a 2016 sobre las políticas públicas para los ancianos portadores del mal de Alzheimer. Método: El estudio se caracteriza como una investigación exploratoria, descriptiva con enfoque cuantitativo, realizado a través del método de la revisión integrativa. Resultados: Aunque la DA es una enfermedad progresiva e incurable, mucho se ha avanzado en beneficio del anciano portador, como la creación de instrumentos de evaluación y de criterios diagnósticos más claros, medicamentos que mejoran la cognición y disminuyen la incidencia de cambios conductuales y la la creación de leyes y decretos gubernamentales que disponen específicamente de los derechos de la persona de edad avanzada con la enfermedad de Alzheimer. Conclusión: El conocimiento acerca de los derechos de los pacientes portadores de la enfermedad de Alzheimer es de suma importancia para la promoción de la salud y el mantenimiento de la vida de esas personas

Objective: To know and analyze the scientific production in the period from 2011 to 2016 on public policies for elderly people with Alzheimer's disease. Method: The study is characterized as exploratory, descriptive research with a quantitative approach, performed through the integrative review method. Results: Although AD is a progressive and incurable disease, much has already been advanced for the benefit of the elderly patient, such as the creation of clearer diagnostic tools and criteria, medications that improve cognition and reduce the incidence of behavioral changes, and creating laws and government ordinances that specifically govern the rights of the elderly with Alzheimer's Disease. Conclusion: Knowledge about the rights of patients with Alzheimer's disease is of paramount importance for the promotion of health and maintenance of their lives

Objetivo: Conhecer e analisar a produção científica no período de 2011 a2016 sobre as políticas públicas para os idosos portadores do mal de Alzheimer. Método: O estudo caracteriza-se como pesquisa exploratória, descritiva com abordagem quantitativa, realizado por meio do método da revisão integrativa. Resultados: Embora a DA seja uma doença progressiva e incurável, muito já se avançou em benefício do idoso portador, como a criação de instrumentos de avaliação e de critérios diagnósticos mais claros, medicações que melhoram a cognição e diminuem a incidência de mudanças comportamentais e a criação de leis e portarias governamentais que dispõem especificamente dos direitos da pessoa idosa com a Doença de Alzheimer. Conclusão: O conhecimento acerca dos direitos dos pacientes portadores da Doença de Alzheimer é de suma importância para promoção da saúde e manutenção da vida dessas pessoas

[Therapeutic education, a source of inspiration for students]. / L'éducation thérapeutique, une source d'inspiration pour les étudiants.

Therapeutic education contributes to improving the health of patients suffering from chronic diseases, their quality of life and that of their loved ones. It is complementary and inseparable from treatment and care, symptom relief and prevention of complications. Inspired by the modalities of this approach towards children suffering from cystic fibrosis, students from a nursing training institute in Ile-de-France share their work on this theme.

[May 68 as seen by the elderly]. / Mai 68, vu par les aînés.

May 68 remains etched in everybody's mind. Fifty years on, many memories remain vivid and those who lived through this turbulent period. Yesterday's adults, today's senior citizens, share their testimonies.

Funcionalidad familiar y autoestima del adulto mayor, en situación de maltrato. Un estudio participativo comunitario / Family functionality and self-esteem of the elderly adult, in situation of maltreatment. A community participatory study / Funcionalidade familiar e auto-estima do adulto idoso, em situação de maltreato. Um estudo participativo comunitário

Resumen Introducción: el envejecimiento poblacional es una temática relevante, de igual manera, la comprensión del entorno a nivel comunitario y familiar, complementan el análisis y relevancia en las indagaciones científicas actuales. La presente investigación tuvo como objetivo, determinar la correlación existente entre la funcionalidad familiar y autoestima, de los adultos y adultas mayores en situación de maltrato del noroeste de Guayaquil, sector Mapasingue, bajo una metodología, de enfoque cuantitativo, alcance correlacional y corte transversal, lo cual permitió recolectar información desde la experiencia In situ; con un muestreo aleatorio simple conformado por 100 adultos y adultas mayores, comprendidos entre los 65 años en adelante, sin deterioro cognitivo. Mediante instrumentos de exploración y evaluación como Test Mini - Mental - State Examination, Inventario de autoestima de Coopersmith, Prueba de Percepción del Funcionamiento Familiar (FF-SIL), entrevista semiestructurada para explorar situaciones de violencia, su procedimiento estuvo estructurado en 4 fases, desde la familiarización hasta los encuentros participativos. Se evidenció como resultados, una correlación significativa entre la autoestima, funcionalidad familiar y las situaciones de maltrato, en complemento de la calidad de vida, principalmente en las mujeres adultas mayores, que bajo la realidad estudiada conllevan situaciones poco favorables. A nivel comunitario, consumo de drogas, condiciones heterogéneas del acceso a los servicios básicos mayores. Conclusión: se demostró mediante la inclusión de investigaciones desde las Universidades y facultades afines al dominio social, una forma eficaz, con bajas inversiones, en intervenciones sobre la salud individual, familiar y comunitaria.

Abstract Introduction: population aging is a relevant topic, in the same way, the understanding of the environment at community and family level, complement the analysis and relevance in current scientific inquiries. The objective of this research was to determine the existing correlation between family functionality and self-esteem of adults and older adults in a situation of mistreatment in the northwest of Guayaquil, the Mapasingue sector, using a methodology of quantitative approach, correlational scope and cross-section, which allowed to collect information from the In situ experience; with a simple random sampling consisting of 100 adults and older adults, between 65 years of age and older, without cognitive impairment. Through exploration and evaluation instruments such as Mini-Mental Test-State Examination, Coopersmith Self-Esteem Inventory, Family Function Perception Test (FF-SIL), semi-structured interview to explore situations of violence, its procedure was structured in 4 phases, from the familiarization until the participative meetings. Results: showed a significant correlation between self-esteem, family functionality and situations of abuse, in addition to the quality of life, mainly in older women, which under the reality studied lead to unfavorable situations. At the community level, drug use, heterogeneous conditions of access to basic services. Conclusion: was demonstrated by the inclusion of research from universities and faculties related to the social domain, an effective way, with low investments, in interventions on individual, family and community health.

Resumo Introdução: o envelhecimento populacional é um tema relevante, da mesma forma, a compreensão do ambiente a nível comunitário e familiar, complementam a análise e relevância nas investigações científicas atuais. Este estudo teve como objetivo determinar a correlação entre o funcionamento familiar e auto-estima, adultos e idosos em situações de abuso a noroeste de Guayaquil, o setor Mapasingue sob uma metodologia, abordagem quantitativa, o escopo de correlação e de seção transversal, que permitiu coletar informações da experiência in situ; com amostragem aleatória simples, composta por 100 adultos e idosos, com idade entre 65 e mais anos, sem comprometimento cognitivo. Através de instrumentos de exploração e avaliação como teste Mini-Mental-Exame do Estado, auto-estima Coopersmith inventário, Percepção Teste de funcionamento familiar (FF-SIL), semi-estruturada para explorar situações de entrevista a violência, o seu procedimento foi estruturado em 4 fases de a familiarização até as reuniões participativas. Os resultados: mostraram uma correlação significativa entre autoestima, funcionalidade familiar e situações de abuso, além da qualidade de vida, principalmente em mulheres idosas, que sob a realidade estudada levam a situações desfavoráveis. No nível da comunidade, uso de drogas, condições heterogêneas de acesso a serviços básicos. A conclusão: foi demonstrada pela inclusão de pesquisas de universidades e faculdades relacionadas ao domínio social, de forma efetiva, com baixos investimentos, em intervenções na saúde individual, familiar e comunitária.

Influence of previous work experience and education on Internet use of people in their 60s and 70s.

BACKGROUND: Internet use among the elderly is influenced by various demographic backgrounds, social life and health factors. OBJECTIVE: This study aims to identify the impact of several demographic features on 60- to 79-year-old individuals' intention to use the Internet. METHOD: Finland population data (N = 2508) from the 2012 IKIPOSA project was used with two cohorts: 60s group (n = 1515) and 70s group (n = 990). Descriptive statistic and two binomial logistic regressions have been used with the unadjusted effect and Forward LR method to measure each predictor's contribution to the model. In addition, a preliminary analysis to measure the multicollinearity was performed. RESULT: Of the 18 independent variables, only nine predictors, namely, age, education, financial situation, having children, entrepreneurship, a leadership position, a higher level white-collar worker and a lower level white-collar worker, were significant factors in predicting the Internet use. Meanwhile, gender, having grandchildren, living alone, marital status, house location and type, stay-at-home mother or father, blue-collar worker, agricultural entrepreneur and social relations satisfaction were not significant predictors. The most significant predictors were education and age, which contributed 19% and 10%, respectively, to the model. Other significant predictors, lower level white-collar worker, higher level white-collar worker and financial situation, had less impact with only around 6%. CONCLUSION: Education and age were influential factors among elderly to use the Internet in their later life. Certain work experiences affect elderly people's engagement with the Internet after retirement.

Representación social de la sexualidad de los adultos mayores / Social representation of sexuality in senior citizens

Se realizó una investigación cualitativa, entre octubre de 2015 y junio de 2016, en la Casa de Abuelos No. 2 de Santa Clara con el objetivo de caracterizar la representación social de la sexualidad de los adultos mayores. Se seleccionó una muestra de 24 adultos mayores. Se utilizaron técnicas como: observación, entrevista, debate grupal, asociación de palabras, de cuestionamiento del núcleo central y la triangulación de datos. Como resultados se determinó que en la representación de la sexualidad se observó un campo estructurado y un contenido que se aleja de su significado. Se concluyó que la representación social de la sexualidad de los adultos mayores se identificó con las relaciones sexuales, con el acto sexual. Las informaciones que poseen carecen de calidad y denotan un carácter prejuiciado y estereotipado. Manifestaron actitudes de rechazo hacia la sexualidad lo que se explicó por: el desconocimiento, la inadecuada relación entre sexualidad y reproducción, la existencia de prejuicios sociales y asociar el envejecimiento con la enfermedad.

With the aim of characterizing the social representation of sexuality in senior citizens, a qualitative research was carried out from October 2015 to June 2016 in Grandparents House No. 2 in Santa Clara City. A sample of 24 people was selected. Methods such as observation, interview, group debate, words association, central core questioning technique and data triangulation were used. It was determined that in the representation of sexuality there is a structured field and a content that goes away from its meaning. Social representation of sexuality in senior citizens was identified with sexual relationships and with sexual intercourse. They lack quality information and show a prejudiced and stereotyped character. They expressed rejection attitudes towards sexuality which were based on: ignorance, inadequate connection between sexuality and reproduction, existence of social prejudice and association of aging with disease.

Implicaciones sociales de la investigación científico-tecnológica en Neurosicología del Adulto Mayor / Social implications of scientific-technological research in Senior Citizens' Neurosurgery

Se realizó una revisión bibliográfica con el objetivo de valorar las implicaciones sociales de la investigación científico-tecnológica en Neurosicología del Adulto Mayor, mediante la caracterización del estado actual del proceso, los condicionantes que favorecen o impiden su desarrollo y los impactos sociales que genera. La investigación científico-tecnológica en esta área está condicionada por necesidades sociales propias del contexto actual. Se han identificado políticas, legislaciones e infraestructuras que la favorecen, aunque, existen algunas limitaciones. La producción tecnológica dirigida a la rehabilitación y estimulación cognitiva continúa en ascenso, utilizando principalmente software y aplicaciones. La investigación del impacto de estas herramientas ha arrojado resultados contradictorios, lo que limita su poder de transformación social. Se pudo concluir que en Cuba es necesario estimular la transferencia de tecnología, la innovación tecnológica y la creación de alternativas de intervención ajustadas a la realidad económico-social de los adultos mayores.

A bibliographical review was conducted with the aim of assessing the social implications of scientific-technological research in Senior Citizens' Neurosurgery through the characterization of the current state of the process, the determining factors that favor or stop its development and the social impact it generates. In this field, scientific-technological research is conditioned on social necessities typical of the current context. Policies, legislations and the infrastructures that favor it have been identified. Nevertheless, there are limitations. Technological production directed towards cognitive rehabilitation and stimulation continues to rise using mainly software and applications. The research on the impact of these tools has produced contradictory results, which limit their social transformation power. It was reached the conclusion that in Cuba, there's a need to stimulate technology transfer, technological innovation and the creation of intervention alternatives adapted to senior citizens' social-economic reality.

Políticas públicas e asilos de velhos: grau de dependência em idosos institucionalizados / Public policies and nursing homes: level of autonomy in institutionalized elderly / Políticas públicas y hogares de enfermería: nivel de autonomía en personas mayores institucionalizadas

A presente pesquisa buscou avaliar a capacidade de realização de atividades básicas e instrumentais de vida diária de idosos residentes em uma instituição de longa permanência localizada no interior do Estado de Mato Grosso. O objetivo da investigação foi avaliar se a condição dos internos era condizente com a modalidade de assistência que estavam recebendo. Para tal análise, foram utilizados o Índex de Katz e a Escala de Lawton, & Brody. A maioria dos internos somaram scores que indicavam independência para realização de atividades básicas da vida diária (ABVDs) como capacidade de tomar banho, vestir-se e alimentar-se. Outros 29% foram considerados independentes para as atividades instrumentais (AIVDs), como fazer compra e utilizar o telefone. Os resultados mostram que a maioria dos internos do asilo poderiam ser assistidos por instituições não-asilares, que possibilitassem maior convivência comunitária, tal como a casa-lar e outras modalidades de atendimento reconhecidas na Política Nacional do Idoso.

The present research sought to assess the capacity of basic and instrumental of daily living activities of seniors living in nursing home located at Mato Grosso State. The research aims to analyze if the elderlies conditions was compatible with the modality of assistance that they was receiving. For this analysis was carried the Index of Independence in Activities of Daily Life (ADL) of Katz and the Instrumental Activities of Daily Life Scale (IADL) of Lawton & Brody as well. Most of the interns climb scores that considered independent for ADL, as take shower, dress and eat. Others 29% was consider independent for IADL, as to make shops and use the phone. The results show that most of the interns could be assist by other institutions than nursing homes, as assisted houses and others provided by the law in Brazil.

La presente investigación buscó evaluar la capacidad básica e instrumental de las actividades de la vida diaria de personas de la tercera edad que viven en una residencia de ancianos ubicada en el estado de Mato Grosso. La investigación tiene como objetivo analizar si las condiciones de los ancianos son compatibles con la modalidad de asistencia que reciben. Para este análisis se llevó a cabo el Índice de Independencia en Actividades de Vida Diaria (ADL) de Katz y la Actividad Instrumental de la Escala de Vida Diaria (IADL) de Lawton & Brody también. La mayoría de los internos suben puntuaciones que se consideran independientes para ADL, como tomar ducha, vestir y comer. Otros 29% consideraron independiente para IADL, como para hacer tiendas y usar el teléfono. Los resultados muestran que la mayoría de los pasantes podrían ser asistidos por otras instituciones que los asilos de ancianos, como casas asistidas y otros proveídos por la ley en Brasil.