Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
  1. Home
  2. Search

Refine search

Refine search

Access:
Content type:
Publication date:
Apply   From and To filters
Subject: Show more
Journals Show more
Publishers: Show more
Societies Show more
Series: Show more
Collections: Show more

Actions for selected content:

Select all | Deselect all
  • View selected items
  • Export citations
  • Download PDF (zip)
  • Save to Kindle
  • Save to Dropbox
  • Save to Google Drive

Save Search

You can save your searches here and later view and run them again in "My saved searches".

Please provide a title, maximum of 40 characters.
Cancel
×

5 results

  • Chapter 7 - Physical Activity and Exercise for Older Adults

  • from Section I - General Approach to the Care of the Elderly
  • Edited by Jan Busby-Whitehead, University of North Carolina, Chapel Hill, Samuel C. Durso, The Johns Hopkins University, Maryland, Christine Arenson, Thomas Jefferson University, Philadelphia, Rebecca Elon, The Johns Hopkins University School of Medicine, Mary H. Palmer, University of North Carolina, Chapel Hill, William Reichel
  • Book:
    Reichel's Care of the Elderly
    Published online:
    30 June 2022
    Print publication:
    21 July 2022, pp 64-80

  • Summary

    Physical activity is fundamental for achieving healthy aging. Exercise offers older adults substantial benefits, such as reducing risks of all-cause mortality and chronic disease, preserving functional capacity, improving management of chronic conditions, and reducing health-care costs. Given the prevalence of physical inactivity and sedentary behavior among adults 65 and over, exercise needs to be more thoroughly integrated into care plans and counseling in primary care settings. A practical, three-step approach to exercise counseling is recommended. Older adults should strive to do at least 150 minutes of moderate-intensity aerobic exercise weekly, muscle-strengthening and flexibility activities twice weekly, and for those at risk of falls or with mobility problems, balance activities at least three times per week. Older adults with functional restrictions or chronic conditions should be as physically active as their abilities and conditions allow. Any amount of moderate-to-vigorous physical activity gains some health benefits. Appropriate physical activity counseling, prescription, and referral must be tailored for each patient and must take into account such factors as fitness levels, goals and motivations, access to exercise-related facilities and programs, chronic diseases, prescribed medications, common injuries, and hip and knee arthroplasties.

  • The Role of Academic Partnership in Disaster Risk Management: A Systematic Review

  • Bahar Seifi, Hesam Seyedin, Ghader Ghanizadeh
  • Journal:
    Disaster Medicine and Public Health Preparedness / Volume 13 / Issue 5-6 / December 2019
    Published online by Cambridge University Press:
    06 June 2019, pp. 1047-1058
  • Objective:

    The aim of this systematic review is to investigate the community-based academic partnership roles in disaster risk management.

    Methods:

    The assessment of the documents was conducted by reviewing abstracts and full papers of the available studies, which provided considerable background and promoted knowledge in academic interventional roles in disaster risk management. The articles were searched with a wide range of key words related to the research topic. The studies included the research available between 2000 and September 2017 in the English language. The selection of articles was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist.

    Results:

    Of 997 articles, we selected 12 full-text articles that met the criteria for the final review based on the study objective. The results show that, although universities can play multidirectional roles in disaster risk management phases, the development of the academic partnership potential and collaboration for disaster risk management and disaster risk reduction for stakeholders is necessary.

    Conclusion:

    The universities’ potential in providing sufficient disaster health literacy is not currently considered important enough in communities.Therefore, the proper context-bound models of development based on a community’s skills and universities’ potential should receive more attention.

  • An Effective Risk Minimization Strategy Applied to an Outdoor Music Festival: A Multi-Agency Approach

  • Matt Luther, Fergus Gardiner, Shane Lenson, David Caldicott, Ryan Harris, Ryan Sabet, Mark Malloy, Jo Perkins
  • Journal:
    Prehospital and Disaster Medicine / Volume 33 / Issue 2 / April 2018
    Published online by Cambridge University Press:
    21 March 2018, pp. 220-224
    Print publication:
    April 2018

  • a. Event type: Outdoor music festival.

    b. Event onset date: December 3, 2016.

    c. Location of event: Regatta Point, Commonwealth Park.

    d. Geographical coordinates: Canberra, Australian Capital Territory (ACT), Australia (-35.289002, 149.131957, 600m).

    e. Dates and times of observation in latitude, longitude, and elevation: December 3, 2016, 11:00-23:00.

    f. Response type: Event medical support.

    Abstract

    Introduction

    Young adult patrons are vulnerable to risk-taking behavior, including drug taking, at outdoor music festivals. Therefore, the aim of this field report is to discuss the on-site medical response during a music festival, and subsequently highlight observed strategies aimed at minimizing substance abuse harm.

    Method

    The observed outdoor music festival was held in Canberra (Australian Capital Territory [ACT], Australia) during the early summer of 2016, with an attendance of 23,008 patrons. First aid and on-site medical treatment data were gained from the relevant treatment area and service.

    Results

    The integrated first aid service provided support to 292 patients. Final analysis consisted of 286 patients’ records, with 119 (41.6%) males and 167 (58.4%) females. Results from this report indicated that drug intoxication was an observed event issue, with 15 (5.1%) treated on site and 13 emergency department (ED) presentations, primarily related to trauma or medical conditions requiring further diagnostics.

    Conclusion

    This report details an important public health need, which could be met by providing a coordinated approach, including a robust on-site medical service, accepting intrinsic risk-taking behavior. This may include on-site drug-checking, providing reliable information on drug content with associated education.

    LutherM, GardinerF, LensonS, CaldicottD, HarrisR, SabetR, MalloyM, PerkinsJ. An Effective Risk Minimization Strategy Applied to an Outdoor Music Festival: A Multi-Agency Approach. Prehosp Disaster Med. 2018;33(2):220–224.

  • Lifestyle Activities and Memory: Variety May Be the Spice of Life. The Women's Health and Aging Study II

  • Michelle C. Carlson, Jeanine M. Parisi, Jin Xia, Qian-Li Xue, George W. Rebok, Karen Bandeen-Roche, Linda P. Fried
  • Journal:
    Journal of the International Neuropsychological Society / Volume 18 / Issue 2 / March 2012
    Published online by Cambridge University Press:
    15 December 2011, pp. 286-294

  • This study examined whether participation in a variety of lifestyle activities was comparable to frequent participation in cognitively challenging activities in mitigating impairments in cognitive abilities susceptible to aging in healthy, community-dwelling older women. Frequencies of participation in various lifestyle activities on the Lifestyle Activities Questionnaire (LAQ) were divided according to high (e.g., reading), moderate (e.g., discussing politics), and low (e.g., watching television) cognitive demand. We also considered the utility of participation in a variety of lifestyle activities regardless of cognitive challenge. Immediate and delayed verbal recall, psychomotor speed, and executive function were each measured at baseline and at five successive exams, spanning a 9.5-year interval. Greater variety of participation in activities, regardless of cognitive challenge, was associated with an 8 to 11% reduction in the risk of impairment in verbal memory and global cognitive outcomes. Participation in a variety of lifestyle activities was more predictive than frequency or level of cognitive challenge for significant reductions in risk of incident impairment on measures sensitive to cognitive aging and risk for dementia. Our findings offer new perspectives in promoting a diverse repertoire of activities to mitigate age-related cognitive declines. (JINS, 2012, 18, 286–294)

  • Late-Life Social Activity and Cognitive Decline in Old Age

  • Bryan D. James, Robert S. Wilson, Lisa L. Barnes, David A. Bennett
  • Journal:
    Journal of the International Neuropsychological Society / Volume 17 / Issue 6 / November 2011
    Published online by Cambridge University Press:
    08 April 2011, pp. 998-1005

  • We examined the association of social activity with cognitive decline in 1138 persons without dementia at baseline with a mean age of 79.6 (SD = 7.5) who were followed for up to 12 years (mean = 5.2; SD = 2.8). Using mixed models adjusted for age, sex, education, race, social network size, depression, chronic conditions, disability, neuroticism, extraversion, cognitive activity, and physical activity, more social activity was associated with less cognitive decline during average follow-up of 5.2 years (SD = 2.7). A one point increase in social activity score (range = 1–4.2; mean = 2.6; SD = 0.6) was associated with a 47% decrease in the rate of decline in global cognitive function (p < .001). The rate of global cognitive decline was reduced by an average of 70% in persons who were frequently socially active (score = 3.33, 90th percentile) compared to persons who were infrequently socially active (score = 1.83, 10th percentile). This association was similar across five domains of cognitive function. Sensitivity analyses revealed that individuals with the lowest levels of cognition or with mild cognitive impairment at baseline did not drive this relationship. These results confirm that more socially active older adults experience less cognitive decline in old age. (JINS, 2011, 17, 998–1005)