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Arthroscopic Cool Medical procedures vs . Conventional Treatment on Femoroacetabular Impingement Malady: The Meta-Analysis regarding RCTs.
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The article presents a detailed structure of cancer pathology in Rectal cancer. The leading role of the 3 specified categories belongs to the rectal malignant tumors (C20) - 75,4%, 19,8% falls on the malignant tumors of the rectosigmoid department (C19) and only 4,7% on the C21 - malignant tumors of the anus and anal canal. For all these categories, the dynamics of the structure is presented, which proved to be quite stable.Representation of the emotional characteristics of elderly and old person is considered in the article as one of the conditions for the effective interaction of social workers with their clients. The respondents were social workers with various professional backgrounds, who works in the service departments of elderly citizens and people with disabilities. The content of the representations was investigated by using the author's psychosemantic technique, which was developed on the basis of the Kelly's Repertory Grid Technique (n=534). It is shown that professional experience has little effect on the perception of the emotional characteristics of clients in general the characteristics of an elderly person are not highly rated, negative assessments dominate in the image of an old person. The exception is social workers with experience of 20 years or more, whose estimates of both the elderly and the old person are close to the estimate of an adult.The aim of the research was to study the quality of life in hearing impaired patients of different age. 100 patients referred to the city audiology centre because of their hearing disorders were examined 50 patients from 34 to 59 years old and 50 patients from 60 years and older, from which 32 patients were of older age (60 to 74 years old) and 18 of oldest age (75 to 86 years old). A degree of hearing loss was assessed according to results of pure tone audiometry. To study the quality of life all patients filled in the questionnaire MOS SF-36, which evaluates physical and psychological components of health, and the questionnaire HHIA(E)-S, designed specifically for patients with hearing disorders. The HHIA(E)-S scale was found to show high correlation with hearing loss degree in patients younger than 60 years old (R2=0,98 with statistically significant difference, p less then 0,05), with decreasing correlation in patients from 60 years and older (R2=0,98; no significant difference while assessing various hearing loss degrees). Considerable difficulties in this age group may be explained by the fact, that older and especially oldest patients have a challenge with hearing aids usage (or they are of low efficiency for them) and with assessing theirs difficulties on the questionnaire scales. The HHIA(E)-S scale is useful as a screening tool for early detection of hearing loss, referral of patients to an audiologist and prompt hearing aid fitting.The paper belongs to the general field of nutritional sociology. It presents the data of a study of everyday nutrition practices of older people. Inavolisib purchase Based on an empirical study, held in St. Petersburg and the Leningrad Oblast Region (telephone survey of 516 respondents; in-depth interviews), information is given on the following thematic blocks the purchase of food items by older people; proper nutrition, the consumption of healthy foods; eating out and tastes; alcohol consumption and unhealthy eating habits; diets and dietary restrictions, physical activity; visiting cafes and restaurants; daily menus and gastronomic preferences. As part of the discussion, a gastronomic portrait of an elderly person is presented. A comparative analysis of nutrition practices of the elderly, young people and middle-aged people is held. Inavolisib purchase The main problems in the nutrition of the elderly are identified; ways to solve them are outlined as well.The article discusses the features of care and care for the older in two cases, which are private nursing homes for people over sixty years of age. In particular, is the creation of concern in terms of great opportunities, the organization of alternative care for older people in such institutions and how such concerns. The study examines the relationship between formal (institutional) norms of social care for the older and informal rules that are created by employees of private nursing homes for the older who have limited professionalization in the field of work with people over sixty years of age. The role of informal rules in creating care for older people is important in terms of including the agency of older people and their inclusion in society. The study analyzes the combination of features of formal and informal rules for the implementation of care. Using the example of two cases, semi-structured interviews with employees and administration, volunteers of private nursing homes (n=30), the author shows that the care that is formed in private nursing homes for the older can differ quite significantly depending on the location of the institution, the characteristics of employees and their professionalization For a more global space of a large city of regional significance care for the elderly is clearly regulated by various norms and standards. Features of care of a private nursing homes in rural areas consist in personalized care and creating greater opportunities for the activities of older people.This article discusses the economic consequences of demographic aging. The relevance of this topic is substantiated. Inavolisib purchase The research problem of this article is to assess the strength of the influence of demographic aging on the financial condition of the pension system in the world. Abstracts of the «macroeconomics of aging» theses are reviewed with respect to the financial condition of pension systems with an increase in the share of people over working age. A geographical analysis of deviations of the place of countries in the rating of sufficiency of retirement income and the rating of the Melbourne mercer global pension index from the place of countries in the ranking of demographic aging is carried out. The retirement income sufficiency rating for 48 countries, the Melbourne mercer global pension index rating for 25 countries and the UN developed Old age dependency ratio (OADR) are used as the information base. link2 It is concluded that there is no significant correlation between the aging of the population on the one hand and the financial condition of pension systems on the other. Additionally, it was concluded that there is a certain pattern between the strength of the influence of demographic aging and the economic and geographical region. A possible theoretical justification of the thesis of the thesis «macroeconomics of aging» is given. Non-demographic factors of influence on the financial condition of pension systems are considered.The article reveals little-known scientific data on the traditional risk factors of cardiovascular diseases in relation to social groups of the elderly, old people and centenarians. Some of metabolism associated signs of ageing are considering. link2 In the article some biochemical markers in seniors are evaluated (lipids, fibrinogen, uric acid etc.). link3 Some particularities about atherosclerotic lesions of coronary arteries in seniors are discovering, as well as relationships between coronary heart disease (CHD) and fatty liver degeneration. One more topic of the article is the lipid spectrum characteristics in senior patients with different types of heart diseases and psychological features and behavioral personality types of the seniors with cardiovascular pathology. Special attention payed on so-called preventive paradox in men older than 60 years with different forms of CHD, when the influence of traditional risk factors is critically decreased, and as important prognostic factors low levels of high-density lipoprotein cholesterol, reduced APO-A1, an increasing of APO-B/APO-A1 ratio and low physical activity play a significant role.The review, dedicated to the anniversary of the brilliant gerontologist, endocrinologist and oncologist Vladimir M. Dilman, provides a historical analysis of the hypotheses of immunocooperative interactions, which have been given a prominent place in his original concept of aging. The history of various T-cell populations and sub-populations is reviewed, and their functions are briefly analyzed in relation to age-specific changes in immunity. Also considered is the theory of inflammaging in the light of the concept of V.M.Dilman.The article examines the outlook and challenges relating to the provision of system-based support of healthcare providers and social services in the course of delivering their healthcare, mental health and social services to elderly people, in particular amidst a crisis, such as the COVID-19 pandemic. link2 The article gives the definition of integrated health and social care, its structure and the algorithm of delivering integrated health and social care to elderly people. The article argues that a system of integrated health and social care will improve the quality of life of older populations and extend their active longevity through a person-centered social services plan offered according to an older person's needs. The article gives the definition and a detailed description of the goals of system-based support of integrated health and social care for older populations. link3 It describes the conditions for providing such system-based support in one specific region of the country. The article analyses the structure, aims and type of entity of the Geriatric Service which is viewed by the authors as a building block of the system of integrated health and social care for elderly people, and discusses the issues relating to coordination of activities among various divisions of the Geriatric Service and their cooperation with social services and healthcare providers. The article explains why it is important to establish a special research and methodological unit - the Center for System-Based Support - within the Geriatric Service.The article examines the challenges of creating a system of integrated health and social care for elderly people (the System) in Russia, these challenges being of particular significance in the light of the negative effects of the COVID-19 pandemic on the quality of life and mental and general health of elderly people, which need to be mitigated with due consideration of the dynamics of progression of age-associated chronic diseases of elderly people. link3 The article describes the structure of the System, and the conditions and background of its establishment. It also looks at the components of system-based support of improvement of quality of life of elderly people. The article argues that it is essential to use the positive and negative experiences of different regions, to implement the practical and scientific expertise in the field of gerontology and geriatrics made so far in Russia, and to establish a meaningful and equal partnership among the state, research organizations, communities of professionals and non-public organizations. The authors suggest to look on Saint-Petersburg as a model region when establishing the System. The article contains a list of the major projects and events in the city from 2012 to 2020 aimed to provide system-based support for integrated health and social care for elderly people, not affiliated with any federal programs. Unbiased evaluation of the experience and expertise of Saint-Petersburg and other regions of Russia will allow to use them when establishing similar systems in other Russia's regions that do not possess sufficient resources. The authors suggest to establish the System in a step-wise manner at the federal district level. For example, a pilot project may be launched in the North-Western Federal District using the experience and expertise of Saint-Petersburg.
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