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1دورية أكاديمية
المؤلفون: Fischlein, Theodor, Caporali, Elena, Asch, Federico M., Vogt, Ferdinand, Pollari, Francesco, Folliguet, Thierry, Kappert, Utz, Meuris, Bart, Shrestha, Malakh L., Roselli, Eric E., Bonaros, Nikolaos, Fabre, Olivier, Corbi, Pierre, Troise, Giovanni, Andreas, Martin, Pinaud, Frederic, Pfeiffer, Steffen, Kueri, Sami, Tan, Erwin, Voisine, Pierre, Girdauskas, Evaldas, Rega, Filip, García-Puente, Julio, De Kerchove, Laurent, Lorusso, Roberto
المصدر: Frontiers in Cardiovascular Medicine ; volume 9 ; ISSN 2297-055X
الوصف: Objective Sutureless aortic valves are an effective option for aortic valve replacement (AVR) showing non-inferiority to standard stented aortic valves for major cardiovascular and cerebral events at 1-year. We report the 1-year hemodynamic performance of the sutureless prostheses compared with standard aortic valves, assessed by a dedicated echocardiographic core lab. Methods Perceval Sutureless Implant vs. Standard Aortic Valve Replacement (PERSIST-AVR) is a prospective, randomized, adaptive, open-label trial. Patients undergoing AVR, as an isolated or combined procedure, were randomized to receive a sutureless [sutureless aortic valve replacement (Su-AVR)] ( n = 407) or a stented sutured [surgical AVR (SAVR)] ( n = 412) bioprostheses. Site-reported echocardiographic examinations were collected at 1 year. In addition, a subgroup of the trial population (Su-AVR n = 71, SAVR = 82) had a complete echocardiographic examination independently assessed by a Core Lab (MedStar Health Research Institute, Washington D.C., USA) for the evaluation of the hemodynamic performance. Results The site-reported hemodynamic data of stented valves and sutureless valves are stable and comparable during follow-up, showing stable reduction of mean and peak pressure gradients through one-year follow-up (mean: 12.1 ± 6.2 vs. 11.5 ± 4.6 mmHg; peak: 21.3 ± 11.4 vs. 22.0 ± 8.9 mmHg). These results at 1-year are confirmed in the subgroup by the core-lab assessed echocardiogram with an average mean and peak gradient of 12.8 ± 5.7 and 21.5 ± 9.1 mmHg for Su-AVR, and 13.4 ± 7.7 and 23.0 ± 13.0 mmHg for SAVR. The valve effective orifice area was 1.3 ± 0.4 and 1.4 ± 0.4 cm 2 at 1-year for Su-AVR and SAVR. These improvements are observed across all valve sizes. At 1-year evaluation, 91.3% ( n = 42) of patients in Su-AVR and 82.3% in SAVR ( n = 51) groups were free from paravalvular leak (PVL). The rate of mild PVL was 4.3% ( n = 2) in Su-AVR and 12.9% ( n = 8) in the SAVR group. A similar trend is observed for central leak occurrence in both ...
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2دورية أكاديمية
المؤلفون: Kusumo, Nicola, Tan, Erwin Rediono
المصدر: Seminar Nasional Ilmu Terapan (SNITER); Vol. 5 No. 1 (2021): Seminar Nasional Ilmu Terapan (SNITER) 2021; B05 ; Seminar Nasional Ilmu Terapan; Vol 5 No 1 (2021): Seminar Nasional Ilmu Terapan (SNITER) 2021; B05 ; 2597-7067
مصطلحات موضوعية: Bukti Fisik, Keandalan, Jaminan, Kualitas Layanan, Kepuasan Konsumen
الوصف: Penelitian ini bertujuan untuk menguji dan menganalisis pengaruh dari kualitas layanan terhadap kepuasan konsumen pada RS Mata Undaan Surabaya. Dalam penelitian ini terdapat dua variable independent yaitu kualitas layanan, persepsi harga, dan variable dependen yaitu kepuasan konsumen. Sampel yang digunakan dalam penelitian ini sebanyak 125 dengan menggunakan Teknik pengambilan sampel non-probability sampling dengan metode purposive sampling. Program yang digunakan untuk mengolah data yaitu SPSS 23.Hasil penelitian membuktikan telah ditemukannya faktor-faktor baru yang dipertimbangkan konsumen dalam memilih Rumah Sakit Mata Undaan Surabaya, antara lain adalah Bukti fisik, Keandalan dan Jaminan.
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3دورية أكاديمية
المؤلفون: Epel, Elisa, Green, Paige, Jeste, Dilip, Koroukian, Siran, Lee, Sei, Lengerich, Eugene, Marcus, Michele, Marquez, David X, Prohaska, Thomas, Rhodes, Linda, Rudd, Rima, Stone, Robyn, Tan, Erwin, Thorpe, Roland J, Toy, Peggy, Tucker-Seeley, Reginald
المصدر: The Gerontologist, vol 59, iss Supplement_1
مصطلحات موضوعية: Health Services and Systems, Biomedical and Clinical Sciences, Public Health, Health Sciences, Aging, Prevention, Behavioral and Social Science, Cancer, Mental Health, Nutrition, Health Services, Clinical Research, Good Health and Well Being, Aged, Counseling, Environmental Exposure, Female, Health Literacy, Health Promotion, Health Status Disparities, Humans, Male, Mass Screening, Neoplasms, Preventive Health Services, Environment, Preventive healthcare, Psychosocial, Social factors, Cancer Prevention During Older Adulthood Writing Group
جغرافية الموضوع: s94 - s101
الوصف: This paper provides highlights from an expert meeting to explore opportunities to reduce cancer risk and promote health at older ages. Factors that increase cancer risk among older adults include exposure to carcinogens from multiple sources, chronic conditions such as obesity and diabetes, and unhealthy behaviors. Emerging research points to chronic social stressors - social isolation, loneliness, and financial hardship - as being linked to accelerated biological aging and increased cancer risk later in life. Older adults may disproportionately encounter these stressors as well as barriers to preventive health care services, accurate health information, and environments that promote health. Researchers can use existing cohort studies of older adults to deepen our understanding of the relative benefit of modifying specific behaviors and circumstances. The evidence points to the value of comprehensive, transdisciplinary approaches to promote health and reduce cancer risk across the entire lifespan, extending through older adulthood. Clinical encounters with older adults provide opportunities for psychosocial and behavioral screening and counseling. In the presence of multiple morbidities, preventive health services may offer greater health benefits than cancer-screening tests. Strategies that involve families and caregivers, promote positive attitudes about aging, and engage many different community sectors have the potential to prevent or delay the development of cancer at older ages.
وصف الملف: application/pdf
العلاقة: qt8sh8p43t; https://escholarship.org/uc/item/8sh8p43tTest
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4دورية أكاديميةPositive Aging Expectations Are Associated With Physical Activity Among Urban-Dwelling Older Adults.
المؤلفون: Andrews, Ryan M, Tan, Erwin J, Varma, Vijay R, Rebok, George W, Romani, William A, Seeman, Teresa E, Gruenewald, Tara L, Tanner, Elizabeth K, Carlson, Michelle C
المصدر: The Gerontologist, vol 57, iss suppl_2
مصطلحات موضوعية: Behavioral and Social Science, Aging, Clinical Research, Basic Behavioral and Social Science, Prevention of disease and conditions, and promotion of well-being, 3.1 Primary prevention interventions to modify behaviours or promote wellbeing, Cancer, Black or African American, Aged, Attitude to Health, Baltimore, Exercise, Female, Humans, Linear Models, Longitudinal Studies, Male, Middle Aged, Surveys and Questionnaires, Urban Population, African American older adults, Attitudes & perception toward aging, Epidemiology, Analysis-hierarchical linear modeling, Clinical Sciences, Gerontology
جغرافية الموضوع: s178 - s186
الوصف: PurposeRegular physical activity is a key component of healthy aging, but few older adults meet physical activity guidelines. Poor aging expectations can contribute to this lack of activity, since negative stereotypes about the aging process can be internalized and affect physical performance. Although prior cross-sectional studies have shown that physical activity and aging expectations are associated, less is known about this association longitudinally, particularly among traditionally underrepresented groups. It is also unclear whether different domains of aging expectations are differentially associated with physical activity.Design and methodsThe number of minutes/week of physical activity in which Baltimore Experience Corps Trial participants (N = 446; 92.6% African American) engaged were measured using the CHAMPS questionnaire, while their aging expectations were measured using the ERA-12 survey. Linear mixed effects models assessed the association between physical activity and aging expectations over 2 years, both in full and sex-stratified samples. Separate models were also fit for different ERA-12 domains.ResultsWe found that higher overall expectations regarding aging are associated with higher engagement in moderate- to high-intensity physical activity over a 2-year period of time for women only. When the ERA-12 domains were examined separately, only the physical domain was associated with physical activity, both in women and overall.ImplicationsLow expectations regarding physical aging may represent a barrier to physical activity for older adults. Given that most older adults do not meet recommended physical activity guidelines, identifying factors that improve aging expectations may be a way to increase physical activity levels in aging populations.
وصف الملف: application/pdf
العلاقة: qt2q8863v4; https://escholarship.org/uc/item/2q8863v4Test
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5دورية أكاديميةExperience Corps: A dual trial to promote the health of older adults and children's academic success
المؤلفون: Fried, Linda P., Carlson, Michelle C., McGill, Sylvia, Seeman, Teresa, Xue, Qian-Li, Frick, Kevin, Tan, Erwin, Tanner, Elizabeth K., Barron, Jeremy, Frangakis, Constantine, Piferi, Rachel, Martinez, Iveris, Gruenewald, Tara, Martin, Barbara K., Berry-Vaughn, Laprisha, Stewart, John, Dickersin, Kay, Willging, Paul R.
المصدر: All Faculty
الوصف: Background As the population ages, older adults are seeking meaningful, and impactful, post-retirement roles. As a society, improving the health of people throughout longer lives is a major public health goal. This paper presents the design and rationale for an effectiveness trial of Experience Corps?, an intervention created to address both these needs. This trial evaluates (1) whether senior volunteer roles within Experience Corps? beneficially impact children's academic achievement and classroom behavior in public elementary schools and (2) impact on the health of volunteers. Methods Dual evaluations of (1) an intention-to-treat trial randomizing eligible adults 60 and older to volunteer service in Experience Corps?, or to a control arm of usual volunteering opportunities, and (2) a comparison of eligible public elementary schools receiving Experience Corps? to matched, eligible control schools in a 1:1 control:intervention school ratio. Outcomes For older adults, the primary outcome is decreased disability in mobility and Instrumental Activities of Daily Living (IADL). Secondary outcomes are decreased frailty, falls, and memory loss; slowed loss of strength, balance, walking speed, cortical plasticity, and executive function; objective performance of IADLs; and increased social and psychological engagement. For children, primary outcomes are improved reading achievement and classroom behavior in Kindergarten through the 3rd grade; secondary outcomes are improvements in school climate, teacher morale and retention, and teacher perceptions of older adults. Summary This trial incorporates principles and practices of community-based participatory research and evaluates the dual benefit of a single intervention, versus usual opportunities, for two generations: older adults and children.
وصف الملف: application/pdf
العلاقة: https://digitalcommons.fiu.edu/all_faculty/57Test; https://digitalcommons.fiu.edu/cgi/viewcontent.cgi?article=1277&context=all_facultyTest
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6دورية أكاديمية
المؤلفون: Varma, Vijay R, Tan, Erwin J, Wang, Tao, Xue, Qian-Li, Fried, Linda P, Seplaki, Christopher L, King, Abby C, Seeman, Teresa E, Rebok, George W, Carlson, Michelle C
المصدر: Journal of Applied Gerontology, vol 33, iss 7
مصطلحات موضوعية: Biomedical and Clinical Sciences, Public Health, Health Sciences, Clinical Sciences, Aging, Behavioral and Social Science, Depression, Clinical Research, Rehabilitation, Prevention, Mental Health, Prevention of disease and conditions, and promotion of well-being, 3.1 Primary prevention interventions to modify behaviours or promote wellbeing, Activities of Daily Living, Aged, Cross-Sectional Studies, Female, Health Status, Humans, Male, Middle Aged, Monitoring, Ambulatory, Outcome and Process Assessment, Health Care, Quality of Life, Randomized Controlled Trials as Topic, Walking, mobility
جغرافية الموضوع: 870 - 887
الوصف: Recommended levels of physical activity may represent challenging targets for many older adults at risk for disability, leading to the importance of evaluating whether low-intensity activity is associated with health benefits. We examined the cross-sectional association between low-intensity walking activity (<100 steps/min) and health and physical function in a group of older adults. Participants (N = 187; age = 66.8; 91.4% African American; 76.5% female) wore a StepWatch Activity Monitor to measure components of low-intensity walking activity. Only 7% of participants met physical activity guidelines and moderate-intensity activity (≥100 steps/min) contributed only 10% of the total steps/day and 2% of the total min/day. Greater amount, frequency, and duration of low-intensity activity were associated with better self-report and performance-based measures of physical function, better quality of life, and fewer depressive symptoms (ps < .05). The cross-sectional relationship between low-intensity activity and health outcomes important to independent function suggests that we further explore the longitudinal benefits of low-intensity activity.
وصف الملف: application/pdf
العلاقة: qt8tp6g5xm; https://escholarship.org/uc/item/8tp6g5xmTest
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7دورية أكاديمية
المؤلفون: Epel, Elisa, Green, Paige, Jeste, Dilip, Koroukian, Siran, Lee, Sei, Lengerich, Eugene, Marcus, Michele, Marquez, David X., Prohaska, Thomas, Rhodes, Linda, Rudd, Rima, Stone, Robyn, Tan, Erwin, Thorpe, Roland J., Toy, Peggy, Tucker-Seeley, Reginald, Holman, Dawn M.
المصدر: Clinical Research and Leadership Faculty Publications
مصطلحات موضوعية: Environment, Health promotion, Preventive healthcare, Psychosocial, Social factors
الوصف: © 2019 Published by Oxford University Press on behalf of The Gerontological Society of America 2019. This paper provides highlights from an expert meeting to explore opportunities to reduce cancer risk and promote health at older ages. Factors that increase cancer risk among older adults include exposure to carcinogens from multiple sources, chronic conditions such as obesity and diabetes, and unhealthy behaviors. Emerging research points to chronic social stressors - social isolation, loneliness, and financial hardship - as being linked to accelerated biological aging and increased cancer risk later in life. Older adults may disproportionately encounter these stressors as well as barriers to preventive health care services, accurate health information, and environments that promote health. Researchers can use existing cohort studies of older adults to deepen our understanding of the relative benefit of modifying specific behaviors and circumstances. The evidence points to the value of comprehensive, transdisciplinary approaches to promote health and reduce cancer risk across the entire lifespan, extending through older adulthood. Clinical encounters with older adults provide opportunities for psychosocial and behavioral screening and counseling. In the presence of multiple morbidities, preventive health services may offer greater health benefits than cancer-screening tests. Strategies that involve families and caregivers, promote positive attitudes about aging, and engage many different community sectors have the potential to prevent or delay the development of cancer at older ages.
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8دورية أكاديمية
المؤلفون: Rebok, George W., Parisi, Jeanine M., Barron, Jeremy S., Carlson, Michelle C., Diibor, Ike, Frick, Kevin D., Fried, Linda P., Gruenewald, Tara L., Huang, Jin, McGill, Sylvia, Ramsey, Christine M., Romani, William A., Seeman, Teresa E., Tan, Erwin, Tanner, Elizabeth K., Xing, Li, Xue, Qian-Li
المصدر: Psychology Faculty Articles and Research
مصطلحات موضوعية: academic achievement, school behavior, childhood education, early intervention, older adult volunteers, Child Psychology, Educational Assessment, Evaluation, and Research, Educational Methods, School Psychology, Social Psychology
الوصف: This article reports on the impact of the Experience Corps® (EC) Baltimore program, an intergenerational, school-based program aimed at improving academic achievement and reducing disruptive school behavior in urban, elementary school students in Kindergarten through third grade (K-3). Teams of adult volunteers aged 60 and older were placed in public schools, serving 15 h or more per week, to perform meaningful and important roles to improve the educational outcomes of children and the health and well-being of volunteers. Findings indicate no significant impact of the EC program on standardized reading or mathematical achievement test scores among children in grades 1–3 exposed to the program. K-1st grade students in EC schools had fewer principal office referrals compared to K-1st grade students in matched control schools during their second year in the EC program; second graders in EC schools had fewer suspensions and expulsions than second graders in non-EC schools during their first year in the EC program. In general, both boys and girls appeared to benefit from the EC program in school behavior. The results suggest that a volunteer engagement program for older adults can be modestly effective for improving selective aspects of classroom behavior among elementary school students in under-resourced, urban schools, but there were no significant improvements in academic achievement. More work is needed to identify individual- and school-level factors that may help account for these results.
وصف الملف: application/pdf
العلاقة: https://digitalcommons.chapman.edu/psychology_articles/255Test; https://digitalcommons.chapman.edu/cgi/viewcontent.cgi?article=1249&context=psychology_articlesTest
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9دورية أكاديميةExperience Corps: A dual trial to promote the health of older adults and children's academic success
المؤلفون: Fried, Linda P., Carlson, Michelle C., McGill, Sylvia, Seeman, Teresa, Xue, Qian-Li, Frick, Kevin, Tan, Erwin, Tanner, Elizabeth K., Barron, Jeremy, Frangakis, Constantine, Piferi, Rachel, Martinez, Iveris, Gruenewald, Tara, Martin, Barbara K., Berry-Vaughn, Laprisha, Stewart, John, Dickersin, Kay, Willging, Paul R.
المصدر: All Faculty ; ftfloridaintuniv
الوصف: Background As the population ages, older adults are seeking meaningful, and impactful, post-retirement roles. As a society, improving the health of people throughout longer lives is a major public health goal. This paper presents the design and rationale for an effectiveness trial of Experience Corps?, an intervention created to address both these needs. This trial evaluates (1) whether senior volunteer roles within Experience Corps? beneficially impact children's academic achievement and classroom behavior in public elementary schools and (2) impact on the health of volunteers. Methods Dual evaluations of (1) an intention-to-treat trial randomizing eligible adults 60 and older to volunteer service in Experience Corps?, or to a control arm of usual volunteering opportunities, and (2) a comparison of eligible public elementary schools receiving Experience Corps? to matched, eligible control schools in a 1:1 control:intervention school ratio. Outcomes For older adults, the primary outcome is decreased disability in mobility and Instrumental Activities of Daily Living (IADL). Secondary outcomes are decreased frailty, falls, and memory loss; slowed loss of strength, balance, walking speed, cortical plasticity, and executive function; objective performance of IADLs; and increased social and psychological engagement. For children, primary outcomes are improved reading achievement and classroom behavior in Kindergarten through the 3rd grade; secondary outcomes are improvements in school climate, teacher morale and retention, and teacher perceptions of older adults. Summary This trial incorporates principles and practices of community-based participatory research and evaluates the dual benefit of a single intervention, versus usual opportunities, for two generations: older adults and children.
