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Hi all
I'm starting to research rating scales to assess symptoms of agitation or anxiety in patients with dementia. If you know any papers or resources Id be very grateful for suggestions
Kind regards
P.J.
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Many thanks for this. This is really useful!
P.J.
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Hi All, I am looking at compiling a wide list of papers or resources on reminiscence therapy for dementia for older people. The positive and negative results, Creative approaches, ICT interventions, standard procedures, etc. I'm interested in perspectives from differing disciplines. All resources/ papers/ leads welcome Thank you!
P.J.
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It feels great to share it. Hope you find it useful P.J. White
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What do you think about the following questions:
Please kindly share your ideas.
Thank you.
  1. How will Japan train displaced workers for a new type of society?
  2. How will Society 5.0 provide care for an aging population?
  3. How will Japan get people to completely rethink the meaning of work?
  4. How will Japan create a framework for Big Data sharing and security?
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Hello
Japanese society:
( scientificو Organizerو sincerelyو developedو they work hard, Committed to not cheat, But he has no religion.
Good Nigth
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Hi all I'm a final year student and studying about the relationship between ageing population and welfare effect. Though I looked for many articles still couldn't find proper econometrics based article to follow as my based study. If anyone interest on this topic or know about econometrics analysis with ageing population and welfare effect, please send me. Your favor is highly appreciated for my further studies. Thank You.
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Altough not exactly related to your research question, you may find Acemoglu & Restrepo (2017) useful as a first reference. You can check the paper here https://www.nber.org/papers/w23077
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I'm a final year student of University of Sri Jayewardenepure. I intend to do a research on Aging population and welfare effect of a country. therefore If you aware some articles related to this topic please share those with me. It is really appreciated.
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dear Yohan,
I suggest to follow Michael Marmot on ResearchGate
best, Mauro C
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Firing one person, you’re firing an entire research group ? Senior Professorship is the answer for mandatory retirement.
In the latest issue of the scientist (Mar 1, 2019), Katarina Zimmer, a freelance science writer living in New York City is discussing the issue, if mandatory retirement is the answer-to an-aging workforce. This question is specific to the US, because across Europe there are already mandatory retirements in place and many young junior professorships programs. In fact already discussion should rather go in the opposite direction. Katarina Zimmer is citing Professor Hagan Bayley from the UK Oxford University, who has pointed that mandatory retirement is “dismissing experienced researchers at the height of their careers isn’t just unfair—it would do more harm than good for science. “ and “it’s also not good for young people,” as lab members will have to find alternative posts after their PI leaves. “You’re not firing one person, you’re firing an entire research group.” I agree with his point. However there are also other solution. In some countries like Germany, already programs are developed to keep qualified senior faculty in the workforce and allow younger colleagues to get this positions. THE SOLUTION is SENIOR PROFESSORSHIP. He/she is retired and within the Senior Professorship is allowed to continue research projects and/or teaching (you can chose for both or one option). The payment is only the difference between the pension (which is much lower) and the “normal salary”. It also allows the Universities to save money for additional (mostly missing) money for additional faculty. On the other hand it may allow experienced scientists like Professor Barley to continue his projects.
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Mandatory retirement can be looked at from at least two aspects:
1. It is a necessary right to people to relax a while after long service
2. But it might deprive institutions from a big expertise. Usually expertise develops with time and might become very effective late in services practice. Thus a person who is about to retire is probably the most experienced in a group or an institution in his/her field.. It might be useful to keep some sort of respectable link with retired people " at least some of them for some additional time".
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The phrase "geriatric profanity disorder", together with its initialization "GPD", has become somewhat of a meme, being mentioned in TV shows like the Simpsons and receiving an entry in the Urban Dictionary. Is it an actual recognized condition or area of research (perhaps under another name)?
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Any form of disinhibition from drugs or dementia for example will release hitherto suppressed profanities. This is clearly seen nowadays with the phenomenon of the Midnight Tweeter. See my RG question Do drugs release racist comments?
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We are planning to assess elderly health and sociodemographic profile telephonically on the Indian population. Any suggestion about methodology and validated scale.
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How are you defining "health"?
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Hello, I have a question for demographers. I am working on population change in municipalities in Italy. Are there in demography single measures or indexes that combine and can be used to express population aging AND population contraction (growth) over time? In other words a single index that integrates how population get older (or younger) and shrinks (or expands)?
Thank you in advance!  
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I am writing paper and would need suggestion what is the best consumer behaviour model for ageing (elderly - 60-79 yrs) in Indian context?
in case no model exist, then what is the closest model. i would want to study and want to make recommendation.
Thanks!
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@Monyer - Thanks a ton
@ Sana - Still struggling, i have deadline to finish everything this week and i am far far far behind :(
Any help anyone else.!!
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I want to find out impact of demographic trends in population, particularly emigration of working age population, on economic growth in a country.
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Thank you Jose Miguel Guzman for your help.
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I am starting a research that investigates  the correlation of the reasons for migration befote to move in retirement and the well-being after the change? Could anyone help me with instruments and literature review.
Many thanks
Lucia Franca is professor at The Graduate Program in Psychology at Universidade Salgado de Oliveira - Rio de Janeiro - Brazil
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Lucia, do you mean that your student will write thesis paper on this topic? Good luck for both of you. Merry Christmas!
Best regards, Yuri
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Hello 
I would like to know how to intrepert the constant of a LSDV , given that it´s value its negative.
I am trying to study the determinants of GDP , old age population and life expectnacy on health per capita expenditure and in order to control for hterogeneity i created country dummies variables . Australia was dropped and its coeffiecient its -7. 
Does anyone know how to intrepert this negative value? 
Thank you !
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Dear all, thank you for your answers! I know what is the constant when I am estimatinga standard OLS regression, but I did not know that in the case of a LSDV the same applies, given that the  constant value is associated with Australia and the other country dummies represent the deviations from that value! Thank you so much 
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I am seeking evidence to inform the development of a healthy aging framework for public health (at the local public health unit).  How can we as an organization prepare to meet the needs of an aging population.
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Currently there are some main priorities for an aging population:
1. Emerging role of personal care workers in the care of older adults with transitions across the continuum of care, check summit preview of www.homecaresummit2016.ca
2. Ways/models of healthy behaviors in this population   Check:
Martha K. McClintock, William Dale, Edward O. Laumann, Linda Waite. Empirical redefinition of comprehensive health and well-being in the older adults of the United States. Proceedings of the National Academy of Sciences, 2016; 201514968 DOI: 10.1073/pnas.1514968113
3. Technological advancements for assisting of senior population
Psychosocial Impact of Assistive Technologies for Mobility and Their Implications for Active Ageing  by Anabela Correia Martins , João Pinheiro , Beatriz Farias and Jeffrey Jutai. Published: 2 September 2016 Abstract: Purpose: Active ageing is defined as the process of optimizing opportunities
4.Their present socioeconomic status and affects on those factors
The relations of socioeconomic status to health status, health behaviors in the elderly. Article in Journal of Preventive Medicine and Public Health 38(2):154-62 · June 2005 Source: PubMed
5. Striving with problem of chronic diseases
Global Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lancet, 2015 DOI: 10.1016/S0140-6736(15)60692-4
6. General condition of special health services for aging population in a separate defined country
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I am trying to understand the relationship between the healthy aging process and the development of the blood brain barrier disruption which might lead to several neurodegenerative diseases such as Alzheimer's disease.
Finding a cure for such complicated diseases requires a good understanding of the underlying mechanisms that lead to the development of the disease and a healthy blood brain barrier plays a major role in preventing such diseases.
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Aging and BBB dysfunction is an interesting topic because its a high risk factor for developing neurodegenerative diseases. To my knowledge most of recent studies point at loss of tight junction proteins of the BBB with aging which is likely due to neuroinflammation. Infiltration of circulatory leukocytes and blood borne immunoglobines into the brain is a marker of BBB leakage that happens in aged humans. In aged mice however, only loss of TJ proteins of BBB was observed. I think its not clear which come first, neuroinflammation or BBB leakage. It could be systemic inflammation disrupts the BBB first and lead to infiltration of toxins to the brain that trigger neuroinflammation. Not sure if the brain itself with aging would autonomously initiate inflammation due to certain malfunctioning in metabolic processes and clearance pathways to remove waste byproducts !?.. I would love to here comments from experts in the field..
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Keen to hear if anyone has compared how well Horvaths' DNA methylation-based ‘epigenetic clock’ relates to Blackburn's telomere length, as an assessment of the ageing process in different cultures/peoples.
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DNA methylation age and telomere length have only a weak negative correlation after you correct for chronological age. As an aside I mention that it is important to correct for chronological age before one relates DNAm age to telomere length because chronological age confounds the relationship between the two variables.
We correlated DNAm Age with telomere length in *adipose* tissue (Horvath et al 2014, PNAS, Title: Obesity accelerates epigenetic aging of human liver") and only found a weak and insignificant negative correlation between the two variables after correcting for chronological age (e.g., r = −0.28, P = 0.22). We and others have seen similar correlation coefficients in blood tissue but these appear to be unpublished.
Bottom line: the epigenetic clock relates to a biological process that is largely independent of telomere attrition and cellular senescence. 
In the language of multivariate linear models:
if you fit the following regression model:
lm(DNAmAge~AgeAtBloodDraw+TelomereLength)  then TelomereLength will only have a marginally significant p value.
Conversely, if you fit
lm(TelomereLength~AgeAtBloodDraw+DNAmAge) then DNAmAge will only have a marginally significant p-value. Caveat: bmulti-collinearities between the 2 covariates will make the coefficient estimates unstable.
Best,
Steve
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I would appreciate key reviews/summaries and published/unpublished manuscripts - looking at for example, ageing, expectations, population growth, time-to-death versus inappropriate use of expensive technology, health care practices, etc.
For example, see
Atella, et al. The effect of age and time to death on primary care costs: the Italian experience. Soc Sci Med. 2014;114:10-7. 
Blakely et al. Health system costs by sex, age and proximity to death, and implications for estimation of future expenditure. NZ Med J. 2014;127(1393):12-25.
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Hi Paul,
Like Alan, I think it's a monumental task to come up with a figure - even a range on the impact of demographic change on healthcare spending not least because of the comparability of data even as the OECD try to rectify this matter. There is even debate as to the direction of the impact. Consequently, such an endeavor would be courageous as it would be riveting.
That being said, two references that might be helpful are:
Payne G, Laporte A, Deber R, Coyte PC. Counting backward to health care's future: using time-to-death modeling to identify changes in end-of-life morbidity and the impact of aging on health care expenditures. Milbank Q. 2007 Jun;85(2):213-57.
Reinhardt UE.Does the aging of the population really drive the demand for health care? Health Aff (Millwood). 2003 Nov-Dec;22(6):27-39.
Cheers,
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According to WHO, Active ageing is the process of optimizing opportunities for health, participation and security in order to enhance quality of life as people age. It applies to both individuals and population groups.
With the population ageing world wide, Its necessary to carry out different activites to make active ageing to our senior citizens. From this active ageing it will indirectly save the health expenses and other social support related expenses of the family, society, community and of Nations. While sharing the Policy and Action program carried out in your country or region or community people from developed country or other region can also replicate the program which will be useful for the well being of aging society.
I look forward to get lots of theoretical or empirical study results as well as policy related materis will be shared in this forum related with active ageing. Thank you every one for your kind contribution.
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Thank you Jose and Barbara for adding the information.
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Malaysia is just ONE of the countries with an aging population; there are other such countries.  "Malaysia's population is ageing at a faster rate than many may have realised. The average life expectancy for women and men in Malaysia is 76 and 73 years, respectively."
At the same time, many young Malaysians are working in distant places: Australia, UK, Europe, and the ASEAN region.  What must be put in place to care for aging relatives in a community, when children, the primary care givers, work far from home?
And, how can we ensure that all older adults receive the care and dignity they need to enhance quality of life in old age? 
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This question is partly triggered in my memory when I read the abstract of Helena's paper.  She has just uploaded the full text for me.  Thanks Helena!
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There is a global trend towards an aging population. In this context it is questionable whether the age limit in employment could be a discriminatory criteria.
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Personally I have seen ageism as a swept under the carpet reality. Sure it is against the law but very little is done to stop this widespread practice against older persons actively pursuing employment. There are certain areas where older workers are common, WalMart for example but tactful anti older worker hiring practices are well entrenched norms.
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Relatively little is known about the association between ageing and health care costs in middle- and low-income countries - whereas, in high income countries, available data does not yet point to a clear answer - with income elasticity and patient expectations, time to death, the type of service (inpatient or outpatient), and expensive technology, all possibly contributing more to increased spending than ageing populations.
See for example, Asia in the ageing century: Part III - Health care. www.cepar.edu.au/media/113850/asia_in_the_ageing_century_-_part_iii_-_healthcare.pdf
Any relevant and recent (last 5 years) analyses, published or in the grey literature, would be appreciated.
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Dear Jose-Ignacio and Sandra,
Do appreciate your responses. What I am looking for is recent published or unpublished literature/data on health systems responses to population ageing, the determinants and drivers in LMICs. The NCD burden will certainly be one component of health system expenditures unless we can change the trajectory of ageing at an earlier stage in life.
Sincerely, Paul
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For example, in India there is a growing demand of better places, support, and homes for aged.
What is being done for the elderly and aging population in your corner of the globe?
A friend of mine from India feels called to work the rest of his life on the project of creating in his homeland better facilities, structures, and support systems, institutions, and networks for the aging millions in India. The need is particularly strong historically there for widows, but others who do not wish to move across the country to relatives need help, too. I told him that Denmark and other countries in Europe have great continuing education and training programs for aged. Such focus on adult education and support in more developed lands is a resource for developing ones.
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Most of the developing countries do not have significant aging populations (let's not consider China a developing country as they already surpassed the developed world in many areas). But most likely, extending productive longevity in these countries will boost economic growth. And in poor countries it may be easier to motivate people to work and study longer. And there should be at least some attempts to improve their level of well being while providing additional incentives to establish a life long learning and life long career planning mindset. This would be a very neat experiment to perform on a small population group. 
Here is one of my papers on the subject concerning developed countries:
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any studies to share on productive aging?
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These articles discuss aspects of productivity in aging. I hope they help!!!
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As part of an effort to explore the epigenetics of ageing, we have collected matched saliva and peripheral blood via fingerprick. Understanding patterns across different tissues may be similar, the literature on the equivalence of DNA from saliva and DBS is sparse, and would appreciate any unpublished/published data/results.
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Hi Paul, I don't know if this will help you, but my company was looking at using saliva to measure diabetic markers found in plasma.
There is diffusion of proteins from plasma to saliva.
Anyway, we found that most saliva samples are contaminated by bacterial proteins and bacterial DNA.   
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Is it a helpful method to use with older people? Are there any issues to bare in mind? I am specifically thinking about indoors (home) walking interviews and if anyone had any similar experience?
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Former colleague of mine at the University of British Columbia is just writing a up her dissertation and she conducted walking interviews with older adults - I don't think she has publications out on it yet but has published extensive on older adults and mobility devices. http://scholar.google.co.uk/citations?user=bj5M46IAAAAJ&hl=en
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I am currently studying the effects of population aging on the structural and economic conditions of a given country.
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Dear Hussnain
I can answer to you with a summary of a report published by the European Agency for Economic and Financial Affairs (ECFIN):
Main Impacts of an Ageing Population
1. Increase in the dependency ratio. If the retirement age remains fixed, and the life expectancy increases, there will be relatively more people claiming pension benefits and less people working and paying income taxes. The fear is that it will require high tax rates on the current, shrinking workforce.
2. Increased government spending on health care and pensions. Also, those in retirement tend to pay lower income taxes because they are not working. This combination of higher spending commitments and lower tax revenue is a source of concern for Western governments – especially those with existing debt issues and unfunded pension schemes.
3. Those in work may have to pay higher taxes. This could create disincentives to work and disincentives for firms to invest, therefore there could be a fall in productivity and growth.
4. Shortage of workers. An ageing population could lead to a shortage of workers and hence push up wages causing wage inflation. Alternatively, firms may have to respond by encouraging more people to enter the workforce, through offering flexible working practices.
5. Changing sectors within the economy. An increase in the numbers of retired people will create a bigger market for goods and services linked to older people (e.g. retirement homes)
6. Higher savings for pensions may reduce capital investment. If society is putting a higher % of income into pension funds, it could reduce the amount of savings available for more productive investment, leading to lower rates of economic growth.
I also attach  the reference document, and Budgetary projections that can help you better understand the economic dynamics related to population aging. It is not a simple challenge!
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Diabetes Mellitus is one of the key health factor which has crippled India for a long time. Although as days pass by there are more advanced medicines and techniques to effectively neutralise its ill effects on overall mortality/morbidity of an individual it still remains one of the highest killers in the sub continent along with smoking. What are the factors taken by other countries be it from government or otherwise to raise awareness or campaign for cheaper effective controls -
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Dear Sandeepan, lifestyle related diseases like diabetes, hypertension, overweight are an increasing burden all over the world. Early intervention will save costs by avoiding complications. So sceening programs to diagnose as early as possible are essential. Disease Management Programs tailored to the cultural environment (extremely important) can then be implemented to motivate the patient to change his lifestyle and at the same time can monitor whether the treatment offered by physicians is appropriate. We have experience with these programs in Middle East and we could evaluate the success. Unfortunately cost-effectiveness can only be seen after years.
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Geriatric medicine is becoming popular nowadays due to the increase in the patient who need attention/hospice care.
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Dear Sultan,
Thank you for your question. It would seem that the emphasis and importance placed on providing care and resources to elderly people, and the concurrent training of Geriatricians to look after them is going through a "U shaped" curve over the last 50-60 years.
In the early 1900s, work in this area really started in earnest with the formation of the National Health System in UK in 1948 by Aneurin Bevan, and the creation of the British Geriatric Society by Marjorie Warren and colleagues in 1947.
They both complemented each other as the NHS provided the means to enable to delivery of comprehensive Geriatric services to all based on need and funded by central taxation. The importance of this cannot be over emphasised, as often then those whom needs help the most can afford it the least, particularly for a majority of the elderly and very elderly in those days who do not have access to the benefits of pensions, state subsidies not the ability to afford private health care insurance or private health services prior to the second world war.
Services were streamlined across the country and available locally, close to where the elderly patients were. Also, the sheer scale of the NHS (i.e. every citizen and resident of the United Kingdom were it's pateints) brought with it the benefits of the economy of scale and allowed the provision of care to be rolled out on a large scale.
It was fertile land for the development and delivery of geriatric medicine.
With the passage of the NHS Bill (aka Health and Social Care Act) in 2012, the funding landscape will change drastically in the coming years.
 Care of Geriatric patients may still be a moral necessity, but it now carries with it the imperative to reduce costs of care and services. What is "efficient" and what is "necessary" is of course subjective and open to interpretation.
In developed countries, the availability of state pensions, state subsidies and personal savings will allow the access of the elderly and very elderly to services. However, in developing countries, there will likely be a generation whom will not be able to find the funds for these, nor have a sizeable political voice.
However, I believe that when the more well educated and financially more capable "Baby boomer" generation (1946-1964) and beyond joins the rank of the "Geriatric" population (i.e. >65), the importance of providing for an excellent geriatric healthcare service will become a political imperative once again. 
Hence the"curve" and attention will rise once more.
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I am conducting a research focused on the promotion of Active Aging using ICT. One of my points of research is the role of Positive Psychology in such interventions. Does anyone know any studies related to this topic (behind most current topics as self-efficacy and optimism)? And what are the determinants of success/failure in interventions aiming at behavior change based on constructs of Positive Psychology? Thanks for any help.
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Dear Sue,
Thank you very much for your help. I will take a look at these papers and certainly keep you informed about relevant papers I come across in the future.
A recent paper I would definitely recommend is:
Julia K. Wolff, Lisa M. Warner, Jochen P. Ziegelmann & Susanne Wurm (2014) What do targeting positive views on ageing add to a physical activity intervention in older
adults? Results from a randomised controlled trial, Psychology & Health, 29:8,915-932, DOI:10.1080/08870446.2014.896464
Regards,
Miriam Cabrita
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Are there any health-related parameters that you consider totally necessary to follow in a multigenerational aging cohort with a very long follow-up? Thank you very much for the answers.
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I would suggest that balance would be an important element. Include, static balance and rising from a chair.
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I presently hold the opinion, that there is a vast difference between Western and Eastern cultures/European and Non European cultures and how they view their elders.
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I'd read the latest evidence on this as demographic and political changes in societies have affected inter-generational relationships and it is certainly not as simplistic as you suggest. Also, you need to take transnationalism into account and how this has affected family relationships and the care of older people.
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65 years of age seems common practice amongst most Western (developed) countries to apply a diagnoses of 'Dementia'. Prior to 65 years of age, the term 'Younger-onset Dementia' seems to be common.
If '65' years of age was used, due to 65 being a common retirement age amongst most Western (developed) nations, could this mean the age of recognised/accepted diagnosis of Dementia may change in line with current and proposed age of retirement proposals. i.e, Australia is moving from 65 to 67 years of age for retirement and propose to move the age of retirement to 70.
With retirements moving above 65, can one imagine the potential impacts to a business, society and/or 'Person', as the result of the changing age of retirement (self funded/government supported), being diagnosed with dementia at 65 and due to the expectation of 'Person' having to work until: 67, 68, 69, 70.
I foresee the landscapes of workplace, society and home will change...and maybe not for the better.
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Hi Karl
I think this is an interesting question indeed. I would agree with Marisol to the extent that dementia pathology is dementia pathology, and will not change because of the changing age of retirement and prolonged working life.
However, with people (mostly in the Western world) working longer into old age, potentially the occurrence of dementia may be impacted upon, thus, environmental influences MAY contribute to the rates of dementia diagnosis. Now, I am merely basing this on the fact that staying active for longer, be that working in a supermarket or being an architect, may somewhat contribute to the extent of the cognitive reserve (for a definition of cognitive reserve see Yakuv Stern's papers!) of a person. But then again, this can also be influenced by staying cognitively fit in own's spare time.
So, overall, I don't think that the dementia diagnosis will change as such.
Hope that helps
Clarissa
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It is known that the population is linked to a living space and thus are perfectly observable effects of demographic changes on the territory, whether by demographic pressure on the land (overpopulation), is the scarcity of population (population deficits ) or already by population movements (migration) that cause various territorial consequences, since the population is both a resource and a guy in land management.
From a geographical point of view, it should be noted that the population considers geography with regard to the territory. As FAUS (2002) "The Geography has traditionally been defined as a discipline of synthesis, not because it is a summary of facts, but because he always has to consider the inter-relationships among facts. Therefore systems of geographical interest, as the population, for example, are inseparable from the territory. "
Among the major recent changes in the demographic system in countries around the world, is developed, it is the developing world's population is aging, explained by the vast majority of authors in relation to the demographic transition model. This process has generated enormous consequences in different aspects like economic, social, cultural and territorial also among others.
In this context, it should analyze the impacts of changes in the demographic system, particularly the aging population, in view of a proper organization of the territory or the like could also be planning.
Among the major impacts of an aging population on the territory are the system imbalance demo-territorial and environmental conservation. One of the most significant features of the dynamics of an aging population is increasing the inactive population. Later there is the shortage of population, as the population is not renewed. The low fertility rates and migration output, which characterizes repulsion population, coupled with the absence of return migration, prevent the renewal of the population causing a negative growth and may cause system failure population, the inverse pyramid is unsustainable.
The aging population reduction areas is a phenomenon that helps explain different spatial arrangements as the depopulation of some areas, the appearance of voids population within a given territorial system and migratory dynamics of the area. All this ends up preventing a balanced development of regions and the organization's physical space.
The deficit population imbalances can cause territorial type vertical or horizontal. Vertical towards the use, management and protection of land use that affect the ecosystem and in establishing horizontal relations demographic and socioeconomic unequal portions of territory, or between, for example, field-town. All this can result in a desvertebração territory, since the demographic balance, socio-economic and territorial cohesion is important for sustainable development.
The land management and socio-economic development and sustained imply the need for a minimum population, without which it is difficult to face the future. Results in an aging society in general right gerontocracy, in a social breakdown in a fall in rates of productivity and economic growth rates lower, which raises doubts about the sustainability of development.
The increasing number of elderly and functional difficulties to stay active, contributing also to hinder, an aging population, care for the environment, which in theory leads to a deterioration of cultural and natural heritage. In reality, the progressive aging of the population in certain areas makes it difficult sustainable use of natural resources and environmental protection, among other things, in that it promotes an imbalance in the use of resources of the territory, whether human, economic or natural.
One can see that the interaction between population dynamics and natural objects is the result of this co-interaction between people, society and nature and demographic changes affect the constitution of the environmental conditions of places. Thus the aging population can be seen as an important factor in the process of constitution of differences between places and their environmental conditions, although these conditions also depend on a number of characteristics related to the type of company involved in the production of space and the place.
The depopulation of parts of the territory and the appearance of voids population within certain territorial systems, although not exclusively a result of population aging, but much of the process of redistribution of the population, is strongly aggravated by this process. Thus, there is no doubt about the importance of including among other factors analysis of the impacts that promotes the progressive aging of the population over the territory, in order, especially public policy planning.
Moreover, taking into account the changes in the demographic realities of the country, including changes related to increasing urban concentration, migration and population aging fast and intense, is expected to be increasingly confronted with new challenges in the future with a strong territorial impact. The ongoing demographic change should assume a major territorial impact, for example, the depopulation of certain areas concurrent with a concentration or a ralentização urban economic development.
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What worries beyond all this is that our population is aging with unhealthy lifestyle habits. Although there is a slow process of conscientization about the importance of developing healthy lifestyles this has not become a culture among us. So I realize we are getting older and are not investing in the prospect of life with quality of life in our old age.
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I am looking for information regarding what different memory clinics do when they are presented with someone showing signs of subjective cognitive impairment (SCI). Specifically I am looking at people who present at a memory clinic complaining of a problem with their memory but no paper-based measures pick it up. These people will not have any objective cognitive impairment but know that something is not right. All clinics will look at possible alternative explanations for the SCI e.g. depression, but what I am interested in is what happens to that person when they cannot identify an alternative explanation. Some clinics operate an ‘open door policy’, thus they can contact the clinic for an appointment if they feel their impairment has worsened. Other clinics will discharge them from the service, and if their impairment worsens then they have to go back to their GP and be re-referred to the clinic. I welcome any additional thoughts or suggestions on this area.
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Dear Amy,
Approximately one third of the population of our Dementia Service Centers are in the early stages of dementia (Auer et al, 2013). Persons with SCI are worried about their cognitive abilities and we should not send them away with an uncomfortable feeling- or worse telling them that everything is alright (even though they feel differently). We have developed a prevention training program that we offer to persons who would like to do something against their subjectively perceived loss of cognitive functions. In general a health psychological approach is suggested in which a healthy life style is promoted and persons get support to reach their new personal goals. Programs need to be developed and tested for efficacy
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I've done a research on Aging and Substance Misuse among the Iranian elderly.
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Dear friend,
Another paper perhaps will help you " A Review of Existing Treatments for Substance Abuse Among the Elderly and Recommendations for Future Directions " Libertas Academica - open access at http://www.la-press.com.
Best regards.
Jean.
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I can find a lot of information on the number of individuals with dementia, globally, but cannot seem to locate how many informal caregivers there are worldwide.
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To my knowledge the man-hour burden is simply not there. Maybe worth a study? We can start one!
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This tool is supposed to
1.be sentitive
2.needs little training
3.not culturally biased
The aim is to use such a tool in epidemiological study of the prevalence of dementia in an ethnically diverse population.
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There is also the Montreal Cognitive Assessment, or MOCA.
One page. Covers a number of domains memory and other executive functions.
Normative data available and comparisons to other brief assays like the MMSE.
Also available in a number of languages.
See website below.
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Probiotics have shown health benefit. Could they be extensive to elderly living in long term care institutions?
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We use probiotics in all our nursing home residents who receive antibiotics for over 10 years. We rarely see Clostridium difficile diarrhea in nursing home residents treated this way. A recent meta-analysis supports this viewpoint.
Comparative effectiveness of Clostridium difficile treatments: a systematic review.
Drekonja DM, Butler M, MacDonald R, Bliss D, Filice GA, Rector TS, Wilt TJ.
Ann Intern Med. 2011 Dec 20;155(12):839-47.
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I've been looking into this and found that people reminisce about the good old days, but were they always better or is it just that they were physically more able to do things in the past than in the future?
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Reminiscence therapy, a form of narrative therapy, is well suited for older people and has demonstrated efficacy for geriatric depression in evidence-based literature
See below:
Pinquart, M., Duberstein, P. R., & Lyness, J. M (2007). Effects of psychotherapy and other behavioural interventions on clinically depressed older adults: A meta-analysis. Aging & Mental Health, 11, 645-657.
Scogin, F., Welsh, D., Hanson., A., et al. (2005). Evidence-based psychotherapies for depression in older adults. Clinical Psychology: Science and Practice, 12, 222-237.
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Very interested in compression of morbidity - Fries theory vs extension of lifespan and increasing burden of chronic disease research and application to clinical care.
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I think Ken Rockwood's Frailty Index makes much more intuitive sense than the Fried model (DOI, I've worked with Ken). The idea that frailty might 'fit' into 'at least 3 of the following features' just doesn't seem to capture the range of manifestations of frailty (i.e. loss of homeostatic reserve) that I encounter as a geriatrician. Each of the Fried parameters are in themselves probably a marker for a more generalised set of problems, but I find it strange that there is no accounting for cognitive function *at all*.
Definitely worth exploring the Frailty Index more....