Journal of the American Geriatrics Society,
Год журнала:
2024,
Номер
72(4), С. 993 - 1003
Опубликована: Март 18, 2024
Abstract
“Gluing”
together
integrated
Geriatric
Clinical
Service
lines
(GCSL)
within
the
US
healthcare
system
is
a
significant
challenge.
Reasons
encompass
health
professional
workforce
shortages,
inconsistent
requirements
for
geriatric
educational
competencies
among
disciplines,
preconceived
ageist
attitudes
about
older
adults
with
complex
illnesses,
and
infrastructure
that
not
aligned
longitudinal
interdisciplinary
care
needs
adults.
This
review
focuses
on
three
major
characteristics
of
have
impeded
widespread
dissemination
GCSLs:
(1)
US's
historical
fee
service
(FFS)
reimbursement
system;
(2)
increasing
reliance
upon
disease
specific
specialty
services
patients
resulted
from
advances
in
medicine;
(3)
rising
consolidation
systems
over
last
30
years.
Three
options
are
also
provided
might
help
change
current
future
trajectories
local
political
advocacy
to
implement
policy
legislation;
expand
physician
by
nontraditional
means;
reprioritize
expansionist
corporate
behavior.
Each
these
interventions
will
be
hard
achieve,
but
it
time
unite
if
GCSLs
thrive
as
pathways
improve
outcomes
medical,
cognitive
neuropsychiatric
disorders.
Frontiers in Nutrition,
Год журнала:
2025,
Номер
12
Опубликована: Март 14, 2025
Hearing
loss,
a
global
health
burden,
is
closely
associated
with
depression
and
sleep
disorders.
However,
the
combined
effects
of
duration
on
hearing
loss
risk
remain
unclear.
Data
from
China
Health
Retirement
Longitudinal
Study
(CHARLS)
were
analyzed,
including
6,374
adults
aged
45
older.
Cox
proportional
hazards
models
assessed
relationship
between
depression,
duration,
loss.
Mediation
analysis
explored
potential
mediating
roles
CESD-10
score
new-onset
Subgroup
analyses
by
age,
sex,
BMI
also
conducted.
Over
7-year
follow-up,
1,422
participants
developed
Both
short
high
scores
independently
increased
Participants
long
but
had
ratio
(HR)
1.59
(95%
CI:
1.35,
1.87)
for
showed
that
mediated
10.1%
association
while
70.8%
This
study
highlights
significant
interconnected
in
development
Interventions
addressing
both
may
offer
more
effective
strategies
preventing
managing
Australasian Psychiatry,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 19, 2025
Objective
To
conduct
a
quality
assurance
study
assessing
the
implementation
of
Healthy
Ageing
Service
Wellbeing
Skills
Group
Program
(HAS-WSGP),
novel
psychosocial
skills
group
designed
to
support
older
adults’
mental
health.
Methods
Eligible
participants
were
aged
65
years
or
older,
presenting
with
mild-moderate
health
symptoms
interested
in
learning
enhance
their
emotional
wellbeing,
and
living
community
residential
care
settings.
Sessions
conducted
weekly
facilitated
by
clinicians
peer
worker.
Data
collection
involved
combination
demographic
variables,
outcome
measures,
feedback
surveys.
Results
A
total
40
consumers
participated
HAS-WSGP
during
period.
Overall,
demonstrated
improvements
psychiatric,
social,
occupational
functioning,
however
no
depressive
anxiety
observed.
Improvements
self-reported
knowledge
program
topics
observed,
endorsed
as
relevant,
supportive,
helpful
for
improving
overall
wellbeing.
Conclusions
It
is
feasible
run
adults,
adults
report
good
benefits
from
this
form
service
provision.
Further
research
will
be
needed
determine
efficacy
these
programs
on
Frontiers in Psychology,
Год журнала:
2025,
Номер
16
Опубликована: Апрель 9, 2025
Background
Existing
literature
indicates
that
physical
activity
has
a
significant
positive
impact
on
the
emotions
in
older
adults;
however,
mechanism
of
relationship
between
and
remains
unclear.
This
study
aims
to
explore
role
social
capital
among
adults.
Methods
First,
mood
indicators
elderly
were
constructed
through
Euclidean
distance
method,
descriptive
statistics
correlation
analyses
performed
relevant
variables
involved
this
paper.
Secondly,
structural
equation
(SEM)
was
used
establish
parallel
mediation
model
analyze
mediating
effect
elderly.
Meanwhile,
order
test
potential
influence
gender
path,
Multi-group
SEM
divide
samples
into
two
groups
males
females,
compared
path
coefficients
Likelihood
Ratio
Test
(LRT).
Finally,
average
treatment
ATT,
i.e.,
experimental
group,
obtained
propensity
score
matching
test.
Result
The
results
show
that:
(1)
Physical
(2)
Social
(i.e.,
individual
collective
capital)
significantly
positively
influences
(3)
only
capital,
analysis
reveals
plays
Conclusion
not
directly
enhances
adults,
but
also
exerts
an
indirect
by
strengthening
capital.
Therefore,
it
is
recommended
Chinese
government
promote
connections
interactions
adults
providing
public
spaces,
organizing
community
activities,
interaction
platforms.
These
efforts
could
help
improve
contribute
achievement
healthy
aging
goals.
Medicina Clínica,
Год журнала:
2025,
Номер
164(11), С. 106908 - 106908
Опубликована: Апрель 11, 2025
Atrial
fibrillation
(AF)
is
a
common
cardiac
arrhythmia
that
significantly
impacts
the
cardiopulmonary
function
and
quality
of
life
patients.
Despite
various
treatment
strategies,
non-pharmacological
interventions,
particularly
exercise
have
gained
attention
in
recent
years.
Through
systematic
review
meta-analysis,
this
study
explores
impact
physical
activity
on
capacity
AF
It
assesses
safety,
clinical
outcomes,
physiological
mechanisms
intervention
AF.
The
individual
patient
data
(IPD)
meta-analysis
method
were
employed,
following
PRISMA-IPD
guidelines,
for
literature
selection,
extraction,
assessment.
analysis
focused
patients
randomized
controlled
trials.
A
total
12
trials
involving
287
included.
Meta-analysis
demonstrated
significant
improvement
6-minute
walk
test
(SMD=87.87,
95%
CI
[42.23,
133.51]),
static
heart
rate
(SMD=-7.63,
[-11.42,
-3.85]),
enhancement
(SMD=2.37,
[0.96,
3.77])
due
to
exercise.
There
was
also
(SMD=0.720,
[0.038,
1.402]).
Exercise
has
effect
improving
with
atrial
fibrillation.
Particularly,
high-intensity
training
more
capacity,
emphasizing
importance
personalized
plans
enhancing
health
Further
research
needed
explore
effects
future.
CRD2023493917.
Journal of the American Geriatrics Society,
Год журнала:
2024,
Номер
72(4), С. 993 - 1003
Опубликована: Март 18, 2024
Abstract
“Gluing”
together
integrated
Geriatric
Clinical
Service
lines
(GCSL)
within
the
US
healthcare
system
is
a
significant
challenge.
Reasons
encompass
health
professional
workforce
shortages,
inconsistent
requirements
for
geriatric
educational
competencies
among
disciplines,
preconceived
ageist
attitudes
about
older
adults
with
complex
illnesses,
and
infrastructure
that
not
aligned
longitudinal
interdisciplinary
care
needs
adults.
This
review
focuses
on
three
major
characteristics
of
have
impeded
widespread
dissemination
GCSLs:
(1)
US's
historical
fee
service
(FFS)
reimbursement
system;
(2)
increasing
reliance
upon
disease
specific
specialty
services
patients
resulted
from
advances
in
medicine;
(3)
rising
consolidation
systems
over
last
30
years.
Three
options
are
also
provided
might
help
change
current
future
trajectories
local
political
advocacy
to
implement
policy
legislation;
expand
physician
by
nontraditional
means;
reprioritize
expansionist
corporate
behavior.
Each
these
interventions
will
be
hard
achieve,
but
it
time
unite
if
GCSLs
thrive
as
pathways
improve
outcomes
medical,
cognitive
neuropsychiatric
disorders.