Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo最新文献_第9页

[The trace of microplastics in gerontology: A meta-analysis of their role in modulating longevity.] [微塑料在老年学中的踪迹：它们在调节寿命中的作用的荟萃分析。]

Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo Pub Date : 2025-01-01 DOI: 10.34922/AE.2025.38.5.007

A V Martynenko, A N Ilnitskii, A V Reznik, A E Chuprin, O V Davidyan

引用次数: 0

[Development of digital services for the elderly in St. Petersburg: Advantages and disadvantages. The «Silver unified card».] [圣彼得堡老年人数字化服务的发展：利弊。]“银联卡”。

Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo Pub Date : 2025-01-01

I A Grigoryeva

{"title":"[Development of digital services for the elderly in St. Petersburg: Advantages and disadvantages. The «Silver unified card».]","authors":"I A Grigoryeva","doi":"","DOIUrl":"","url":null,"abstract":"Currently, the discourse of aging is moving away from the once popular idea of de-socialization, mirroring the socialization of youth, in the direction of preserving the achieved social statuses and diversity of roles for the elderly. At the same time, legislation on the elderly, even the relatively new Law on Social Services, which entered into force on 01.01.20215, sees them as needing care, weak, and lacking the necessary information skills. The social group of the elderly makes up a significant part of the population of St. Petersburg (more than 20% according to 2023/2024). Understanding the importance of this social group for the city of the region is reflected in infrastructure development plans and social policy aimed at improving conditions for the elderly in St. Petersburg, including access to services in digital form. The most in-demand digital service today is the Unified Map of St. Petersburg, which was used to conduct a survey of older users in the summer of 2024. The number of elderly people using a variety of digital information resources is growing rapidly, and at the same time, the number of elderly people who are excluded from the digital world or have only minimal digital skills. Their concerns are quite reasonable in the current situation, so comparing the pros and cons of accelerated digitalization in the daily lives of the elderly is the task of this article.","PeriodicalId":35293,"journal":{"name":"Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo","volume":"38 4","pages":"472-479"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Automated system for personalization of therapeutic management tactics for comorbid elderly patients with type 2 diabetes mellitus.] 老年2型糖尿病合并症患者个性化治疗管理策略的自动化系统

Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo Pub Date : 2025-01-01

N A Pervyshin

{"title":"[Automated system for personalization of therapeutic management tactics for comorbid elderly patients with type 2 diabetes mellitus.]","authors":"N A Pervyshin","doi":"","DOIUrl":"","url":null,"abstract":"The aim of the study was to develop and clinically test a comprehensive automated system for personalizing therapeutic management tactics for comorbid elderly patients with type 2 diabetes mellitus (T2DM). Research design: longitudinal, non-interventional; type: case study; duration 6,5 years. The general sample included patients of all ages (n=1261) with impaired carbohydrate metabolism registered in the specialized local registry of the developed software Automated Workplace of an Endocrinologist for outpatient admission of patients with DM (AWPE DM). A group of elderly patients with T2DM with comorbid pathology (n=462) was selected from the sample in order to develop modules for a medical decision support system based on an analysis of clinical and metabolic parameters. In the course of the study, the following elements of the personalization system were developed: a formalized protocol for outpatient consultation of a patient with diabetes; AWPE DM is a computer program that allows the collection and storage of primary patient medical information in digital format in an outpatient setting.; a database (local registry) that provides the systematization and accumulation of medical information in the form of structured electronic medical documents; a comprehensive medical decision support system that allows you to personalize the therapeutic tactics of managing comorbid elderly patients with T2DM based on embedded algorithms. Various ways of applying the modules of the medical decision support system in daily outpatient practice during clinical approbation are considered.","PeriodicalId":35293,"journal":{"name":"Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo","volume":"38 4","pages":"510-519"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Vascular dysfunction: processes due to aging, approaches to restorative therapy and prevention (part 1).] [血管功能障碍：衰老过程，修复治疗和预防方法（第1部分）]

Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo Pub Date : 2025-01-01

T V Shushpanova, N A Bokhan, I N Smirnova, E V Gameeva, A M Stepanova, T P Novozheeva, T V Kazennykh, O V Shushpanova, S M Safronov, R G Boev, N P Garganeeva, V V Udut

{"title":"[Vascular dysfunction: processes due to aging, approaches to restorative therapy and prevention (part 1).]","authors":"T V Shushpanova, N A Bokhan, I N Smirnova, E V Gameeva, A M Stepanova, T P Novozheeva, T V Kazennykh, O V Shushpanova, S M Safronov, R G Boev, N P Garganeeva, V V Udut","doi":"","DOIUrl":"","url":null,"abstract":"Currently, clinical, genetic and environmental factors of aging have been identified; it has been established that signs of human aging can be attributed to diseases due to their compliance with ICD-11 criteria. Causal events leading from endothelial dysfunction to the development of atherosclerosis are associated with age-related changes and aging. In this regard, much attention is paid to the study of biological aging in humans, which will stimulate the development of new therapeutic strategies. The prevalence of cardiovascular diseases (CVD) increases significantly with age. Risk factors and predictors of cardiovascular events, such as hypertension, atherosclerosis, diabetes, are observed with greater frequency in older people. The main factor in vascular aging is endothelial dysfunction, characterized by impaired endothelium-dependent signaling processes. Vascular endothelium plays a fundamental role in the regulation of vascular tone and structure, maintaining vascular homeostasis through complex interactions with cells in the wall and lumen of the vessel, balancing the production of vasodilators, the main one of which is nitric oxide (NO). Endogenously generated NO has, in addition to paracrine, an endocrine function, causes a remote physiological reaction in various organs and stimulates cellular signaling. Endothelial dysfunction is defined as combined changes in the endothelial phenotype that contribute to the development of atherosclerosis and acute coronary syndromes. Activities aimed at eliminating endothelial dysfunction lead to a decrease in the risk of developing CVD.","PeriodicalId":35293,"journal":{"name":"Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo","volume":"38 4","pages":"612-623"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Artificial intelligence in predicting the risk of facial bone osteoporosis: clinical significance and prospects.] 人工智能在面部骨质疏松风险预测中的应用：临床意义与展望。

Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo Pub Date : 2025-01-01

K S Oisieva, R A Rozov, V N Trezubov, M Y Kabanov

引用次数: 0

Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo Pub Date : 2025-01-01

Y V Nesterov

引用次数: 0

[Characteristics of postural balance components in elderly women with fear of falling.] 老年女性摔倒恐惧症的体位平衡成分特征

Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo Pub Date : 2025-01-01 DOI: 10.34922/AE.2025.38.5.016

A V Dyomin, A N Ilnitski, A A Spitsyna, A S Ponomarev, I S Dobrynina, S V Ovsyannikova

{"title":"[Characteristics of postural balance components in elderly women with fear of falling.]","authors":"A V Dyomin, A N Ilnitski, A A Spitsyna, A S Ponomarev, I S Dobrynina, S V Ovsyannikova","doi":"10.34922/AE.2025.38.5.016","DOIUrl":"https://doi.org/10.34922/AE.2025.38.5.016","url":null,"abstract":"The present study was aimed at identifying the characteristics of the components of postural balance in elderly women with a fear of falling (FOF). A total of 150 women aged 63-74 years who had experienced two or more falls within 12 months (postural instability) were examined. The study group included women who were found to have a fear of falling. The comparison group included women without the fear. To assess the components of postural balance, the Sensory Organization Test (SOT) and Motor Control Test (MCT) on the Smart Equitest Balance Manager computer complex of dynamic posturography were performed. Analysis of the SOT and MCT results revealed that elderly women with a fear of falling experienced decreased general postural stability and automatic postural control, reduced vestibular information in balance control, and increased time of coordinated motor reactions. In addition, this group of women showed an increase in the speed and area of oscillatory movements of the center of gravity while maintaining static-dynamic balance. The obtained results of the study indicate that the development of fear of falls in elderly women with postural instability is a consequence of the deterioration of not only their sense of postural stabilization, but also orientation, leading to reduced spatial relationships with the external environment, which significantly increases the risk of subsequent falls. Moreover, the decrease in neuromuscular and vestibular control in postural balance can be considered as important, and possibly even primary factors in the development of this phobia in elderly women with postural instability.","PeriodicalId":35293,"journal":{"name":"Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo","volume":"38 5","pages":"760-769"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[The effect of different methods of sedation on the cognitive functions of elderly patients during knee joint replacement.] [不同镇静方法对老年膝关节置换术患者认知功能的影响]

Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo Pub Date : 2025-01-01 DOI: 10.34922/AE.2025.38.5.005

M V Kochetkova, A Zanganeh, A Y Demura, I P Syutkina, D V Mironov, D V Khabarov

{"title":"[The effect of different methods of sedation on the cognitive functions of elderly patients during knee joint replacement.]","authors":"M V Kochetkova, A Zanganeh, A Y Demura, I P Syutkina, D V Mironov, D V Khabarov","doi":"10.34922/AE.2025.38.5.005","DOIUrl":"https://doi.org/10.34922/AE.2025.38.5.005","url":null,"abstract":"The aim of the study was to identify the safest drug for sedation during knee arthroplasty, with minimal impact on cognitive functions and hemodynamics in elderly patients. The prospective, controlled, randomized study included 78 patients diagnosed with primary and secondary gonarthrosis stage III-IV, elderly patients (75-90 years). Surgery - knee arthroplasty, anesthesia during surgery - combined spinal-epidural anesthesia. Randomization was performed into 2 groups - propofol was used as a sedative during the intraoperative period and dexmedetomidine was used as a sedative during the intraoperative period. The degree of sedation depth was assessed using the Ramsey sedation scale, to monitor the depth of drug-induced sleep, we used a bispectral index device - BIS monitoring. Cognitive status was assessed using the Hamilton Depression Scale at admission and on day 2 after surgery. Intraoperative hypotension was more common in the group of patients with propofol sedation, and intraoperative bradycardia was more common in the group of patients with dexmedetomidine sedation. BIS-monitored sedation with both propofol and dexmedetomidine with rates of 82-88% provides a level of 3-4 points of the Ramsey sedation scale and reduces the development of cognitive impairment according to the results of the Hamilton Depression Scale in patients with knee arthroplasty.","PeriodicalId":35293,"journal":{"name":"Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo","volume":"38 5","pages":"672-676"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Happiness as a bridge: Linking living standards to life satisfaction in Tehran's older population. 幸福是一座桥梁：将德黑兰老年人的生活水平与生活满意度联系起来。

Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo Pub Date : 2025-01-01 DOI: 10.34922/AE.2025.38.5.006

M Jahanpour, S H Mohaqeqi Kamal, M Basakha, H Sajjadi, M Golzarpour

{"title":"Happiness as a bridge: Linking living standards to life satisfaction in Tehran's older population.","authors":"M Jahanpour, S H Mohaqeqi Kamal, M Basakha, H Sajjadi, M Golzarpour","doi":"10.34922/AE.2025.38.5.006","DOIUrl":"https://doi.org/10.34922/AE.2025.38.5.006","url":null,"abstract":"This study explores the effect of living standards on life satisfaction, with happiness acting as a mediator, among elderly individuals in Tehran. The cross-sectional study included 150 participants aged 60 and older, selected through stratified random sampling in 2016. Participants were required to have sufficient cognitive abilities and willingness to complete the questionnaires. Data analysis was performed using independent t-tests, ANOVA, and structural equation modeling (SEM) in R software. The findings showed that 54% of participants were male, with an average age of 63,74 years, and most had a primary or middle school education. A significant relationship was found between education level and life satisfaction (p<0,001). Structural equation modeling revealed that happiness had a significant positive effect on life satisfaction (β=0,35; p<0,05). Additionally, living standards had a positive direct effect on both life satisfaction (β=0,46; p<0,001) and happiness (β=0,81; p<0,001). The study concludes that improving access to education, even later in life, can enhance life satisfaction among the elderly. Promoting social and recreational programs to boost happiness and strengthening economic support and living conditions are essential for improving well-being. Integrating these policies can provide a more supportive environment for aging populations. Involving elderly individuals in policymaking and aligning institutions with a strategy tailored to their needs can further improve their welfare.","PeriodicalId":35293,"journal":{"name":"Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo","volume":"38 5","pages":"677-684"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Application of the functional-topical diagnostic method to identify the pathological process in patients with age-related macular degeneration.] [应用功能-局部诊断方法确定老年性黄斑变性患者的病理过程]。

Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo Pub Date : 2024-01-01

G A Merkulova, Y F Pestryakova

{"title":"[Application of the functional-topical diagnostic method to identify the pathological process in patients with age-related macular degeneration.]","authors":"G A Merkulova, Y F Pestryakova","doi":"","DOIUrl":"","url":null,"abstract":"Along with increasing life expectancy and aging of the population, there is an increase in the incidence of age-related macular degeneration (AMD), which often leads to blindness or irreversible vision loss and has a pronounced impact on the quality of life. Application of an extended complex of diagnostic techniques in ophthalmologic practice in order to expand the possibilities of early diagnosis and prognosis of the disease is urgent. Screening examination of patients with AMD was carried out. The technology of registration of global rhythmic activity of the brain with narrow-band filtering and long summation time was applied with the allocation of mainly long-lasting rhythmic oscillations in the frequency spectrum of 0,1-30 Hz. The peculiarities of the state of autonomic receptors of the eye in AMD have been determined. The prognostically significant signs of changes in the spectrum of the brain activating system at early and late stages of AMD were identified. The information characteristic of the weight of the sign of AMD development was obtained; that allowed to distinguish the ophthalmologic status of patients with AMD. The use of functional-topical diagnostics based on spectral analysis of rhythmic brain activity can be used as an additional non-invasive diagnostic screening test for early development of AMD, which will ensure timely and competently prescribed treatment and allow to achieve better long-term clinical outcomes.","PeriodicalId":35293,"journal":{"name":"Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo","volume":"37 4","pages":"436-441"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0