scholarly journals Prevalence of Anaemia among the Elderly in Malaysia and Its Associated Factors: Does Ethnicity Matter?

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Muslimah Yusof ◽  
S. Maria Awaluddin ◽  
Maisarah Omar ◽  
Noor Ani Ahmad ◽  
Fazly Azry Abdul Aziz ◽  
...  

Introduction. Anaemia is common among the elderly, yet it remains an underresearched clinical condition. This study investigates ethnic differences in prevalence of anaemia and identifies potential factors associated with anaemia in the elderly. Methods. Data from the National Health & Morbidity Survey (NHMS) 2015 conducted by Ministry of Health was analyzed. Haemoglobin levels were measured using point-of-care testing, HemoCue® Hb 201+ System©, from consenting individuals. Demographic information and other clinical information were obtained through a structured questionnaire. Descriptive and multivariate analyses were conducted and significant results were presented as adjusted odds ratio. Results. A total of 3794 participants aged 60 years and older responded to the anaemia module with a response rate of 93.7%. 64.0% of respondents were of Malay ethnicity, 21.6% were Chinese, 6.1% were Indians, and 8.3% were of other ethnicities. The overall prevalence of anaemia among older people was 35.3%. The highest prevalence of anaemia was found among respondents of Indian ethnicity (45.5%). The Indian (aOR: 1.72; 95% CI 1.26–2.34) and Malay (aOR: 1.25; 95% CI 1.04–1.49) ethnic groups were more likely to be anaemic in comparison to those of Chinese ethnicity. Anaemia in older people was also associated with increasing age, history of hospital admission, and the presence of diabetes mellitus. Conclusion. Anaemia in the elderly is associated with Indian and Malay ethnicities, increasing age, hospitalization, and diabetes. Our study has identified important information on a common condition which will guide and assist future studies in reducing the burden of anaemia.

2021 ◽  
Vol 5 (2) ◽  

The incidence of early onset neonatal GBS(EOGBS) disease in the UK and Ireland is 0.57/1000 births. Intrapartum antibiotic prophylaxis (IAP) reduces the risk. Previous colonisation is associated with 50% carriage in the current pregnancy. In these women, RCOG recommends IAP with a history of neonatal infection, otherwise offering the option of screening at 35-37 weeks. In Ireland, there is no national consensus on IAP in prior GBS colonisation. Currently at University Hospital Waterford (UHW), all women with prior GBS colonisation receive IAP. Studies examining the use of point-of-care testing have shown reduction in the use of IAP and EOGBS rates. We aimed to examine the screening and IAP administration in maternal prior GBS colonisation and the incidence of GBS in this cohort in UHW. Data was collected retrospectively from laboratory, medical records and electronic patient manager systems. Women who received IAP between 1stJuly 2020 and 31stDecember 2020 were identified. Women who received IAP for current and prior GBS colonisation were included. Women who received IAP for preterm labour, preterm prelabour rupture of membranes and pyrexia in labour were excluded. Ninety-two women with current or prior GBS colonisation received IAP, of which only 15(16.30%) were current and 77(83.69%) were prior GBS colonisation. In women with prior GBS colonisation, 49(63.63%) were screened, 3/49(6.12%) were positive, 28 were not screened. Seventy-eight (84.78%) received benzyl-penicillin. Six (6.52%) received clindamycin. Twenty-two (23.91%) babies were admitted to the Neonatal Unit, however, only one cultured positive for gram-positive cocci. The incidence of EOGBS in this cohort is low. A risk-based approach or point-of-care testing should be considered to reduce unnecessary IAP administration.


2020 ◽  
Vol 2 (3) ◽  
Author(s):  
Xiangyu Liu

In recent years, many cognitive care robots have been developed. There is also a form of the companion pet, and there are also robots that can be personified and talk with the elderly. Also, some telecommunications equipment can be replaced to help older people connect to the telecommunications community. However, the need for such robots is still unclear in the focus of this area of being able to interact, talk to, and connect with family and society. Although many studies in the existing literature that tell how to research to verify their efficacy, methods of defining effects can pave the way for future studies. This is what this article will show. The article included qualitative research searches and screenings, effect summaries, and research method analysis. The problem to be solved in this article is how to use and measure the effectiveness of conversational humanoids in nursing elderly patients with cognitive impairment. We also hope to provide some guidance for future research on cognitive impairment.


2019 ◽  
Vol 13 (6) ◽  
pp. 1154-1157 ◽  
Author(s):  
Erna Lenters-Westra ◽  
Emma English

There are a growing number of publications evaluating the performance of HbA1c point-of-care testing (POCT) devices when compared to routine laboratory instruments, but is this what we need from future studies? Here we describe the current understanding of the performance of POCT for HbA1c, which areas need further studies, and the key requirements for future publications based on performance evaluations of these devices. These include studies in clinical settings, performance measured against internationally standardized reference methods, and the need to evaluate new to the market devices that do not currently have a detailed performance history. In addition we highlight the need for external quality assessment schemes that are designed to support POCT in a wide range of clinical settings.


2012 ◽  
Vol 40 (2) ◽  
pp. 293-300 ◽  
Author(s):  
Hossein Matlabi ◽  
Stuart G. Parker ◽  
Kevin McKee

Technological interventions could help older people live independently. In this study with 160 people aged 55 and over who were living in extra care housing in England we aimed to explore awareness of, access to, attitudes towards availability, and use of home-based technological (HBT) devices, and factors that influence the use of devices. A quantitatively designed and structured questionnaire was developed for this study. The majority of new HBT devices were not available in living units or schemes. Moreover, most basic appliances and emergency call systems were used in the living units. We found that in order to increase the use of technological devices among the elderly, their perceptions, capabilities, attitudes, and needs should be assessed in the designing, planning, and supplying process.


2015 ◽  
Vol 40 (02) ◽  
pp. 492-498
Author(s):  
Naomi Cahn

These comments on Hendrik Hartog's Someday All This Will Be Yours: A History of Inheritance and Old Age (2012) examine the delivery of elder care in the nineteenth and early twentieth centuries and the resonance with care practices today. The book's stories of how older people arranged for their care transcend time and place, showing the age‐old difficulties of providing care for the elderly.


2021 ◽  
Vol 2 (2) ◽  
pp. 450-454
Author(s):  
Abil Rudi ◽  
Novin Yetiani

Body Mass Index problem is becoming a double burden in Indonesia, including among older people. Nowadays, the elderly face a high index of BMI due to some risk factors and it is leading to other non-communicable diseases. This research aimed to examine the correlation between some determinants and obesity among older people in Sintang Regency, West Kalimantan. 358 elderly aged 46 to 65 years participated in this study selected by the total sampling method. The independent variables in this study were knowledge, activity, food intake, sex, attitude, age, the history of obesity, and obesity breeds, type contraception, and the duration of sleep. The multivariate analysis was found that knowledge, activity, food intake, age, and duration of sleep were significantly associated with obesity among the elderly. The preventive and promotive approach is needed to treat the obesity prevalence.  


Author(s):  
Pooya Soltani

The population of older people is increasing. In this book chapter, the author reviewed some of the applications of virtual reality (VR) for seniors in form of a strengths, weaknesses, opportunities, and threats (SWOT) analysis. This approach is commonly used to assess and guide internal and external parameters to accomplish a mission. Some of the challenges that the elderly are facing were reviewed and the way VR can help in overcoming those challenges were discussed. A comparison of VR technologies was also presented. The results show that VR's feasibility and concept are linked to existing technologies and the characteristics of each system control immersion, interaction, and stimulation. VR interventions might have the potential to be used as ecologically valid e-health screening systems. Systems should be specifically designed and adapted for seniors and usability issues should be addressed. Ideally, VR interventions work best in addition to traditional methods. Future studies should use more subjects to ensure the efficacy of such interventions for seniors.


2019 ◽  
Vol 4 (1) ◽  
pp. 376-382
Author(s):  
Puspitasari Puspitasari ◽  
Evi Rinata ◽  
Agus Salim

Improving the level of public health can be started by increasing sufficient knowledge about healthy lifestyles. The period of the elderly is a period of life that needs attention because this period is susceptible to disease. Community service activities aim to broaden the views on the importance of health for the elderly. This activity was carried out at the elderly Posyandu, Jiken Village, Tulangan, Sidoarjo in March to April 2019. The method used was observation, Point of Care Testing (POCT) training for Posyandu cadres, counseling and consultation regarding healthy lifestyles. The result of this activity is that Posyandu cadres can do Point of Care Testing (POCT) and can implement it continuously because the simple medical devices they have are complete. In addition, the elderly people are increasingly enthusiastic to come to the posyandu. This can be seen from the list of visits and activeness of the elderly in participating in the whole series of activities while in the posyandu.  


2020 ◽  
Vol 47 (6) ◽  
pp. 649-667
Author(s):  
Judy H. Hong ◽  
Sascha Hein ◽  
Alexandra M. Slaughter ◽  
Catherine Foley Geib ◽  
Ajit Gopalakrishnan ◽  
...  

This study aims to (a) describe demographic and mental health (MH) differences between truant juvenile justice–involved youth (JJY) and nontruant JJY; (b) classify MH needs of truant JJY; and (c) investigate if the interactions between race, ethnicity, gender, and MH needs predict truancy recidivism. Participants were 10,603 truant JJY (55.4% male; non-Hispanic White, 46.8%; 16.2% with a history of pretrial detention). Of these participants, 2,167 with MH data were included in latent profile analyses and recidivism analyses. Hispanic youth and female youth were more likely to be truant. Non-Hispanic White JJY had a higher likelihood of a repeated truancy charge. Four MH classes emerged: elevated Alcohol/Drug Use (7.9%), elevated Angry–Irritable and Depressed–Anxious symptoms (19.5%), elevated Suicide Ideation (7.1%), and low MH needs (65.5%). Race, ethnicity, gender, and MH needs are informative as potential factors contributing to truancy. These factors should be examined in future studies that compare truant with nontruant non-JJY.


2021 ◽  
Vol 12 ◽  
Author(s):  
Ioanna V. Papathanasiou ◽  
Evangelos C. Fradelos ◽  
Dimitrios Mantzaris ◽  
Anna Rammogianni ◽  
Foteini Malli ◽  
...  

The aim of this study is to investigate the relation between multimorbidity, traumatic events and frailty among older adults in the community. The studied population consisted of 257 older people who were recipients of the services and active members of Open Care Centers for the Elderly (OCCE) of the Municipality of Grevena and meet a set of selection criteria. The collection of the data was carried out using a fully structured questionnaire, which consisted of two sections: a form of individual features and the Tilburg Frailty Indicator (TFI). The sample consisted of 114 men (44.4%) and 143 women (55.6%) aged between 61 and 96 years with an average of 75.12 years. The results showed that the mean scores were 2.70 for the Physical Frailty (standard deviation = 2.16), 1.43 for the Psychological Frailty (standard deviation = 1.21), 1.32 for the Social Frailty (standard deviation = 0.64) and 5.44 for the total Frailty (standard deviation = 3.02). We took into account the cut-off point five of 54.1% (n = 139) in terms of the participants’ frailty. Physical, Psychological, and Total Frailty are related to (a) the presence of two or more chronic diseases or disorders, (b) the experience of a serious illness in the previous year, and (c) the experience of a serious illness of a loved one during the previous year. The outcomes helped to identify frailty syndrome in older people and the factors associated with it.


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