Older Adults’ Awareness of Community Health and Support Services for Dementia Care

The article examines where older adults seek help in caring for a parent with dementia and the factors associated with their identification of community health and support services as sources of assistance. The authors conducted telephone interviews, using random digit dialing, of 1,152 adults aged 50 and over in the city of Hamilton. Respondents received a vignette that raised issues related to parental dementia. In identifying support sources, over 37 per cent of respondents identified their physician, 33 per cent identified informal support such as family and neighbors, and 31 per cent identified home health services. Only 18 per cent identified community support services. Female participants having higher levels of education were more likely to identify their physician as a source of support. Knowing where to find information about community support services was associated with an increased likelihood of mentioning physicians and home health services as sources of assistance.community support services , awareness , dementia , caregivers , vignette methodology

Older Adults’ Awareness of Community Health and Support Services for Dementia Care

The article examines where older adults seek help in caring for a parent with dementia and the factors associated with their identification of community health and support services as sources of assistance. The authors conducted telephone interviews, using random digit dialing, of 1,152 adults aged 50 and over in the city of Hamilton. Respondents received a vignette that raised issues related to parental dementia. In identifying support sources, over 37 per cent of respondents identified their physician, 33 per cent identified informal support such as family and neighbors, and 31 per cent identified home health services. Only 18 per cent identified community support services. Female participants having higher levels of education were more likely to identify their physician as a source of support. Knowing where to find information about community support services was associated with an increased likelihood of mentioning physicians and home health services as sources of assistance.community support services , awareness , dementia , caregivers , vignette methodology

Where Would You Turn for Help? Older Adults’ Awareness of Community Support Services

Previous findings on older adults’ awareness of community support services (CSSs) have been inconsistent and marred by acquiescence or over-claiming bias. To address this issue, this study used a series of 12 vignettes to describe common situations faced by older adults for which CSSs might be appropriate. In telephone interviews, 1,152 adults aged 50 years and over were read a series of vignettes and asked if they were able to identify a community organization or agency that they may turn to in that situation. They were also asked about their most important sources of information about CSSs. The findings show that, using a vignette methodology, awareness of CSSs is much lower than previously thought. The most important sources of information about CSSs included information and referral sources, the telephone book, doctors’ offices, and word of mouth.aging, community support services, awareness, knowledge, acquiescence bias, vignette methodology

Where Would You Turn for Help? Older Adults’ Awareness of Community Health and Support Services for Dementia Care

Previous findings on older adults’ awareness of community support services (CSSs) have been inconsistent and marred by acquiescence or over-claiming bias. To address this issue, this study used a series of 12 vignettes to describe common situations faced by older adults for which CSSs might be appropriate. In telephone interviews, 1,152 adults aged 50 years and over were read a series of vignettes and asked if they were able to identify a community organization or agency that they may turn to in that situation. They were also asked about their most important sources of information about CSSs. The findings show that, using a vignette methodology, awareness of CSSs is much lower than previously thought. The most important sources of information about CSSs included information and referral sources, the telephone book, doctors’ offices, and word of mouth.aging, community support services, awareness, knowledge, acquiescence bias, vignette methodology

Clinical features of resistant and refractories hypertensives submitted to 24-hour ABPM

Ten to twenty percent of patients with hypertension are considered resistant to treatment. Resistant hypertension is one in which the patient cannot be controlled with the use of three drugs at maximum doses, including a diuretic, or when blood pressure (BP) is controlled with the use of four or more anti-hypertensive drugs. Refractory hypertension is an extreme phenotype of resistant hypertension, when the BP cannot be controlled despite the usage of four anti-hypertensives,. PURPOSE- evaluate the clinical profile of resistant and refractory hypertensives by ABPM. METHODS- From January of 2019 to June of 2022, a total of 669 ABPMs were performed at Unicordis., in which three or more drugs were used in the therapy. We divided these patients into three groups: I) patients who achieved BP control with three drugs; II) patients with resistant hypertension  III) patients with refractory hypertension . RESULTS- We observed that 317 had their BP controlled with three drugs (47%), 275 patients (41%) were considered to have resistant hypertension, and 77 patients were in the refractory hypertension group (12%). When we divided the number of patients with refractory hypertension(77) by the sum of patients with resistant and refractory SAH (352), we have that refractory hypertension was present in 21% of the total cases of resistant SAH. CONCLUSIONS- Older ages, male gender, and higher BMI were more present in the resistant group than in the control group. Older ages and higher incidence of DM and COPD were more frequent in the refractory group than in the control group

Long-term effects of evolocumab in participants with HIV and dyslipidemia: results from the open-label extension period

Objectives: People with HIV (PWH) are at an increased risk of atherosclerotic cardiovascular disease. Suboptimal responses to statin therapy in PWH may result from antiretroviral therapies (ARTs). This open-label extension study aimed to evaluate the long-term safety and efficacy of evolocumab up to 52\u200aweeks in PWH. Design: This final analysis of a multinational, placebo-controlled, double-blind, randomized phase 3 trial evaluated the effect of monthly subcutaneous evolocumab 420\u200amg on low-density lipoprotein cholesterol (LDL-C) during the open-label period (OLP) following 24\u200aweeks of double-blind period in PWH with hypercholesterolemia/mixed dyslipidemia. All participants enrolled had elevated LDL-C or nonhigh-density lipoprotein cholesterol (non-HDL-C) and were on stable maximally tolerated statin and stable ART. Methods: Efficacy was assessed by percentage change from baseline in LDL-C, triglycerides, and atherogenic lipoproteins. Treatment-emergent adverse events (TEAEs) were examined. Results: Of the 467 participants randomized in the double-blind period, 451 (96.6%) received at least one dose of evolocumab during the OLP (mean age of 56.4\u200ayears, 82.5% male, mean duration with HIV of 17.4\u200ayears). By the end of the 52-week OLP, the overall mean (SD) percentage change in LDL-C from baseline was -57.8% (22.8%). Evolocumab also reduced triglycerides, atherogenic lipid parameters (non-HDL-C, apolipoprotein B, total cholesterol, very-low-density lipoprotein cholesterol, and lipoprotein[a]), and increased HDL-C. TEAEs were similar between placebo and evolocumab during the OLP. Conclusion: Long-term administration of evolocumab lowered LDL-C and non-HDL-C, allowing more PWH to achieve recommended lipid goals with no serious adverse events. Trail registration: NCT02833844. Video abstract: http://links.lww.com/QAD/C441

Soil tillage to reduce surface metal contamination – model development and simulations of zinc and copper concentration profiles in a pig slurry-amended soil

Long-term applications of organic amendments, such as pig slurry (PS), may represent environmental risk of soil and water pollution by trace metals (TM). Our objective was to examine different soil and manure management scenarios that enhance the long-term agricultural use of soils under repetitive PS applications while avoiding environmental risk. Firstly, we developed a new module for simulating the impacts of soil tillage frequencies in Hydrus-1D. Secondly, we used a previously validated modeling approach to predict the surface accumulation and movement of the TM during the next 100-year in the soil under different PS doses (80 and 40m3ha-1cultivation-1) and tillage frequencies (no-tillage and 20, 10, and 5-year tillage). No-tillage simulations revealed consistent TM surface accumulations, reaching the soil threshold value for Cu in the 0-20cm layer after 86 years of PS amendments at high doses, but in layers 0-5, 0-10, and 5-10cm, this concentration was already reached after 17, 38, and 75 years, respectively. While soil tillage reduced TM concentrations over the top 20cm of the soil profile, it increased their transfer to deeper layers. Periodical soil tillage each 5, 10, and 20 years was found to allow PS applications without reaching the Cu threshold value in soil during 100 years. However, soil solution concentrations of Zn reached the threshold values for groundwater. Therefore, the best manure management practice for the long-term PS disposal with respect to Zn and Cu concentrations in soil is the application of moderate PS rates. © 2014 Elsevier B.V

� Departamento de Matemática Aplicada, Universidade Federal de Rio de Janeiro, Caixa

We dedicate this paper with great admiration and affection to our friend and teacher Steve Smale on his seventy-fifth birthday. We prove a linear bound on the average total curvature of the central path of linear programming theory in terms on the number of independent variables of the primal problem, and independent of the number of constraints

Kinematic factors associated with start performance in World-class male sprinters

The aim was to investigate the kinematic factors associated with successful performance in the initial acceleration phase of a sprint in the best male athletes in the World at the 2018 World Indoor Athletics Championships. High speed video (150 Hz) was captured for eight sprinters in the men's 60 m final. Spatio-temporal and joint kinematic variables were calculated from the set position to the end of the first ground contact post-block exit (GC1). Normalised average horizontal external power (NAHEP) defined performance and was the dependent variable for a series of regression analyses. Clear relationships were found between GC1 NAHEP and 10-m time, 60-m time, change in velocity, acceleration and contact time in the first ground contact (r = –0.74, –0.64, 0.96, 0.91 and –0.56, respectively). Stepwise multiple linear regression of joint kinematic variables in the first ground contact revealed that trunk angle at take-off and thigh separation angle at take-off explained nearly 90% of variation in GC1 NAHEP (R2 = 0.89). The athletes’ projection at take-off with a forward leaning trunk and large thigh separation is characteristic therefore of excellent initial acceleration performance and this will be a good visual guide for technical coaching instruction. This was the first study of its kind to adopt such a research design in a World-class sample in a representative environment. Future studies that combine detailed kinematic and kinetic data capture and analysis in such a setting will add further insight to the findings of this investigation.</p