6 results
Search Results
2. Social engagement for mental health: An international survey of older populations.
- Author
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Yen, Hsin‐Yen, Chi, Mei‐Ju, and Huang, Hao‐Yun
- Subjects
SOCIAL participation ,GENDER role ,STATISTICS ,CONFIDENCE ,CROSS-sectional method ,SOCIAL networks ,MENTAL health ,POPULATION geography ,SATISFACTION ,REGRESSION analysis ,SURVEYS ,COMPARATIVE studies ,PHYSICAL activity ,T-test (Statistics) ,LONELINESS ,MENTAL depression ,QUESTIONNAIRES ,DESCRIPTIVE statistics ,PEOPLE with disabilities ,SOCIODEMOGRAPHIC factors ,DATA analysis ,DATA analysis software ,SECONDARY analysis ,EDUCATIONAL attainment ,OLD age - Abstract
Background and purpose: Social engagement is an important active aging strategy to promote older adults' mental health. The purposes of this study were to compare social engagement in older populations around the world and explore associations with mental health outcomes. Materials and methods: An international cross‐sectional survey was conducted from 2017 to 2019. Data were retrieved from The International Social Survey Programme for a secondary data analysis across 30 countries. This study applied the Taxonomy of Social Activities and its six levels as operational definitions for a consistent concept of social engagement for international comparisons. Results: In total, 9403 older adults with a mean age of 72.85 ± 6.40 years responded. The highest levels of older adults' social engagement were found in Switzerland, Thailand, and New Zealand. Older adults of a higher age, with a lower educational level, who were permanently sick or disabled, who had no partner, who were widowed or whose civil partner had died, who lived alone, and who had lower self‐placement in society had significantly lower social engagement than did their counterparts. In the regression model, older adults' social engagement positively predicted general health, self‐accomplishment, and life satisfaction, but negatively predicted loneliness and depression. Conclusions: In aging societies worldwide, encouraging older adults' social engagement would be beneficial to promote mental health. Implications for nursing practice and health policies: Community professional nurses can develop strategies of social engagement based on the needs and sociodemographic factors of older adults to improve their mental health. Developing efficient strategies and local policies by learning from successful experiences in other countries is important to promote social engagement in aging societies. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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3. Intensive care in an older population: Influence of age, comorbidities and sex in 304 plastic and reconstructive surgical patients older than 75 years.
- Author
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Staud, Clement J., Zaussinger, Maximilian, Holzbauer, Matthias, Christ, Alexandra, Beiglböck, Hannes, Unterberger, Karin, and Radtke, Christine
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TREATMENT for burns & scalds ,WOUND care ,INTENSIVE care units ,LENGTH of stay in hospitals ,ACADEMIC medical centers ,AGE distribution ,CRITICALLY ill ,MULTIPLE regression analysis ,PLASTIC surgery ,POSTOPERATIVE care ,SURGERY ,PATIENTS ,RETROSPECTIVE studies ,SEX distribution ,RISK assessment ,COMPARATIVE studies ,HOSPITAL mortality ,TREATMENT effectiveness ,CRITICAL care medicine ,HOSPITAL care of older people ,DESCRIPTIVE statistics ,SURVIVAL analysis (Biometry) ,ODDS ratio ,COMORBIDITY ,ELDER care ,NECROTIZING fasciitis ,LONGITUDINAL method ,EVALUATION ,OLD age - Abstract
Aim: An aging population will lead to an increasing demand for critical care resources. Hence, we evaluated the potential influence of age, comorbidities and sex in plastic and reconstructive patients ≥75 years that were admitted to the intensive care unit (ICU). Methods: We included 304 patients who required intensive care between 2000 and 2019. Besides patient demographics, medical case characteristics were statistically evaluated. Results: In this study, 184 patients were female (61%) (120 male), the median age was 81.8 years (25th and 75th percentiles: 77.4–87.2) with a range of 75.0–98.9 years. The median length of stay in the ICU was 12 days (25th and 75th percentiles: 3–28) with a range of 0–382 days. The reasons for admission were burn injury (n = 230, 76%), necrotizing fasciitis (n = 34, 11%), non‐combustion‐related traumas (n = 22, 7%) and postoperative observation after plastic surgery procedures (n = 18, 6%). In total, 108 patients (36%), who were significantly older (P = 0.005) and had a significantly shorter stay (P < 0.001) compared with the surviving cohort, died during their stay in the ICU. Our multivariable logistic regression model revealed that age (odds ratio: 1.05 [1.01, 1.09]; P = 0.017) and number of operations (odds ratio: 0.75 [0.60, 0.96]; P = 0.023) were significant predictors for death in the ICU. Discussion: Age plays a critical role in determining fatal outcome of old patients requiring intensive care. In contrast, sex and number of comorbidities shows no significant influence. Geriatr Gerontol Int 2022; 22: 597–602. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
4. The Reflecting Team approach: convergent results of two exploratory studies.
- Author
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Höger, Christoph, Temme, Marita, Reiter, Ludwig, and Steiner, Egbert
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OUTPATIENT services in psychiatric hospitals ,SYSTEMIC family therapy ,FAMILY research ,FAMILY psychotherapy ,FAMILY relations ,COMPARATIVE studies ,PSYCHIATRY - Abstract
This paper presents results of two exploratory investigations concerning the effectiveness of the Reflecting Team (RT) approach; conducted in Vienna and in Göttingen. Fifty-nine families/couples participated in the RT approach in the two outpatient settings. Follow-up reports from 35 families – obtained on average 15 months after closure – indicated that this model may be considered effective as well as efficient: two thirds of all clients (who made up a heterogeneous group with regard to diagnostic criteria and stage of development of the identified patient) reported symptom improvement, and about 80% said they were very satisfied; these results were obtained with a fairly small number of sessions. [ABSTRACT FROM AUTHOR]
- Published
- 1994
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5. Efficacy and safety of very early medical termination of pregnancy: a cohort study.
- Author
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Bizjak, I, Fiala, C, Berggren, L, Hognert, H, Sääv, I, Bring, J, Gemzell‐Danielsson, K, Sääv, I, and Gemzell-Danielsson, K
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ABORTION ,FETAL development ,PREGNANCY complications ,OBSTETRICAL emergencies ,WOMEN'S health ,ABORTIFACIENTS ,COMPARATIVE studies ,RESEARCH methodology ,MEDICAL cooperation ,PATIENT safety ,FIRST trimester of pregnancy ,RESEARCH ,TIME ,EVALUATION research ,TREATMENT effectiveness ,RETROSPECTIVE studies ,MISOPROSTOL - Abstract
Objective: To assess the efficacy and safety of medical termination of pregnancy (MTOP) when no intrauterine pregnancy (IUP) is confirmed on ultrasound.Design: Retrospective case-note review.Setting: Two gynaecological clinics in Vienna, Austria, and Gothenburg, Sweden.Population: All women with gestations of ≤49 days undergoing an MTOP during 2004-14 (Vienna) and 2012-15 (Gothenburg).Methods: Two study cohorts were created: women with and women without a confirmed IUP. An IUP was defined as the intrauterine location of a yolk sac or fetal structure visible by ultrasound. Women with an IUP were selected randomly and included in the IUP cohort.Main Outcome Measures: Efficacy of MTOP, defined as no continuing pregnancy and with no need of surgery for incomplete TOP.Results: After excluding 11 women diagnosed with an extra-uterine or molar pregnancy, 2643 cases were included in the final analysis; 1120 (98.2%) had a successful TOP in the no-IUP group, compared with 1458 (97.1%) in the IUP group, with a risk difference of 1.09% (95% confidence interval, 95% CI, -0.14, 2.32%; P = 0.077). Significantly more women with confirmed IUP were diagnosed with incomplete TOP, and were treated with either surgery or additional medical treatment of misoprostol [64 (4.3%) versus 21 (1.8%); risk difference -2.42%; 95% CI -3.9, -1.1%; P < 0.001].Conclusions: There was no difference between the groups in efficacy of MTOP, whereas early treatment resulted in significantly fewer interventions for incomplete TOP. The risk of ectopic pregnancy needs to be considered if treatment is initiated before an IUP is confirmed, but with structured clinical protocols the possibility of the early detection of an ectopic pregnancy in an asymptomatic phase may increase.Tweetable Abstract: MTOP before confirmed intrauterine pregnancy is as effective as at later gestation with less incomplete TOP. [ABSTRACT FROM AUTHOR]- Published
- 2017
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6. Ferenczi and Jung: some parallel lines?
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Haynal, André and Falzeder, Ernst
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PSYCHOANALYSIS ,JUNGIAN psychology ,INTERPERSONAL relations ,PSYCHIATRISTS ,HISTORY of psychoanalysis ,COMPARATIVE studies ,HISTORY ,RESEARCH methodology ,MEDICAL cooperation ,PSYCHOANALYTIC interpretation ,RESEARCH ,EVALUATION research - Abstract
In the complexity of the entangled interactions within the group of psychoanalytical pionneers, their divergent interests and views, the Ferenczi-Jung relationship is of particular interest given the importance that both had in the field of the history of ideas. It is striking to discover some parallel lines, but interpersonal, institutional and socio-cultural factors contributed to the fact that this peaceful and complementary collaboration was not possible in the long run. Perhaps for the present generation, in retrospective, it is easier to notice seminal strokes and also some deficiencies in all these thinkers. [ABSTRACT FROM AUTHOR]
- Published
- 2003
- Full Text
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