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研究 - 病向淺「中醫」: 中西醫療法互補平衡醫療需求, Man Yin Chan, Chun Kiu, Tony Lai

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

婦科病為女士獨有，雖然它的病情一般不太嚴重，但並不容易完全根治。其所引發的病症會長時間干擾患者的正常活動，例如貧血患者經常出現頭暈症狀、患婦科炎症的婦女長期飽受痛症之苦等，對患者之生活素質造成負面影響。

人物專訪 - 服務社群四十載 退而不休勤獻策 : 黎志棠先生Bbs, Mh, Chun Kiu, Tony Lai, Man Yin Chan

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

黎志棠先生為資深社工，退休前從事社會福利工作達四十餘年，期間擔任社會福利機構香港仔坊會主管逾三十年，日常管理約廿個服務單位。他過往的工作涉獵青少年、長者、社區發展和社會企業服務，尤擅於籌辦區域性或全港性大型活動。數十年來，黎先 生積極參與社區義務工作，不遺餘力。現雖退休，但仍繼續擔任不同機構的顧問或其他公職，例如國際性機構亞洲家庭研究聯盟義務司庫、香港特區政府社會福利署之推廣義工服務督導委員會委員等，當中亦包 括嶺南大學亞太老年學研究中心高級顧問。他亦注重 社會工作的知識傳承，其有關社會福利服務的著作不 少，經其主編或領導出版之書籍逾十本之多。

焦點 - 一馬當先 ! 澳門跨部門研養老保障, Chun Kiu, Tony Lai

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

殖民地年代澳蒲政府於城市管理上未有如港英政府般全面，故澳門因其與香港社會狀況接近，而一直以後者之社會制度及政策作為重點參考，直到兩地回歸後，有關以香港為楷模的政策制定方式仍無太大改變。然而，近年香港安老發展滯後，反觀澳門卻已急起直追，甚至是過之而無不及，香港究竟何去何從? 澳門的前瞻又為我們帶來甚麼啟示?

最新動向

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

No abstract provided.

Understanding The Differences Between Defined Benefit Pension And Defined Contribution, Emily G. Brown Jd, Jeanne Medeiros Jd

Pension Action Center Publications

In recent years, more and more employers are offering employees defined contribution plans instead of defined benefit plans. Although, there has been a shift away from the defined benefit pension plan, it is important for employees to understand the difference and value of both pension plans.

Each type of pension plan has both advantages and disadvantages. What may appear as an advantage to one person might seem to be a disadvantage to another person. For example, a person who spends all or most of her career with a single employer will have very different concerns from someone who changes jobs …

Understanding The Specialized Language Of Retirement Plans, Emily G. Brown Jd, Jeanne Medeiros Jd

Pension Action Center Publications

Whether you are a participant in a defined benefit plan or a defined contribution plan, the realm of pension benefits can be tricky and confusing to navigate. Some of the terminology used might be unfamiliar to the average person. This glossary of common terms associated with retirement plans is meant to serve as a helpful resource for plan participants.

Fact Sheet: Cohort Differences In Parents’ Illness And Nursing Home Use, Maximiliane E. Szinovacz

Gerontology Institute Publications

Surviving parents of the war baby and baby boom cohorts are now reaching very old age. Given their increased longevity and postponement of morbidity into very old age (see Fact Sheets on parental mortality and care needs), it is essential to estimate whether and to what extent these parents will require informal or formal care. Such care is typically most burdensome and costly if it involves long-lasting illness prior to death. Furthermore, Medicare and especially Medicaid expenditures will depend on whether or not these parents require nursing home care. To obtain some estimates of the prevalence of long-lasting illness and …

Fact Sheet: Cohort Differences In Parental Care Needs, Maximiliane E. Szinovacz, Linda C. Lieber

Gerontology Institute Publications

There has been considerable concern about the availability of informal and especially family care when the baby boom cohorts reach old age (Ryan and Smith et al., 2012). However, as care needs typically arise in late old age (age 70 or later), a more immediate issue is the care burden faced by the baby boomer cohorts themselves as their parents now reach late old age. To assess the potential care burden faced by baby boom adult children one first needs to assess their parents’ care needs. Such assessment is also essential as research shows that parental care needs do not …

Fact Sheet: Cohort Differences In Parental Survival, Maximiliane E. Szinovacz

Gerontology Institute Publications

Increases in longevity and especially increased survival into very old age have implications not only for individuals’ own life course but also for that of their families. For example, if parents survive into very old age they will have more opportunities not only to become grandparents but also great-grandparents and to experience these family roles for a longer time period (the so-called “beanpole family”). From their adult children’s perspective, longer survival of parents also can mean that needs for companionship arising from one parent’s widow(er)hood will be postponed into their adult children’s later years, possibly after the child’s retirement. Similarly, …

Upaya Perlindungan Anak Melalui Pelayanan Shelter Anak : Studi Deskriptif Rumah Peduli Anak Tenaga Kerja Indonesia, Dyah Susilowati, Sofyan Cholid

Jurnal Ilmu Kesejahteraan Sosial

This research discussed about the efforts of child protection through the implementation of shelter children service at Rumah Peduli Anak Tenaga Kerja Indonesia (RPA-TKI). The purpose of this research is to describe on the protection of and services provided by RPA-TKI to children who are vulnerable to the TKI neglect and child trafficking. This research is qualitative research with the kind of descriptive research. The results of this research described that the service which is provided by RPA-TKI is child protection services in the form of children’s shelter in order to meet the basic needs of TKI’s children. The service …

Enhancing Equity For An Aging Region, Alan Delatorre, Lee Girard, Bobby Weinstock, Richard Lycan

Institute on Aging Publications

Presentations on "Aging and Equity in the Region" from the Institute on Aging - Drs. Alan DeLaTorre and Richard Lycan - with community partners Bobby Weinstock (NW Pilot Project) and Lee Girard (Multnomah County Aging and Disability Services).

Housing With Services: Year 1 Evaluation, October 2014, Paula C. Carder

Institute on Aging Publications

This report describes the initial findings of an on-going evaluation of the Housing with Services project based in Portland, OR. Housing with Services was supported, in part, with funding from Oregon’s State Innovation Model (SIM) project grant from the Center for Medicare and Medicaid Innovations to Cedar Sinai Park.

Housing with Services, LLC is a collaborative model of supportive services delivered or made available to low-income residents of affordable housing. The SIM grant helped to establish the project and funded the evaluation of the program implementation and resident- and system-level outcomes.

The collaborative model includes partnerships between health plans, coordinated …

Living And Aging In Newton: Now And In The Future, Bernard A. Steinman, Hayley Gleason, Ceara Somerville, Jan E. Mutchler, Center For Social And Demographic Research On Aging, University Of Massachusetts Boston, Gerontology Institute, University Of Massachusetts Boston

Gerontology Institute Publications

This report describes collaborative efforts undertaken by the City of Newton Department of Senior Services, the Newton Council on Aging, The Senior Citizens Fund of Newton, Inc., and the Center for Social and Demographic Research on Aging, within the McCormack Graduate School at the University of Massachusetts Boston. Beginning in Fall 2013, these organizations partnered to conduct a needs assessment study to investigate the needs, interests, preferences, and opinions of the City’s older resident population, with respect to living and aging in Newton. The focus of this report is on two cohorts of Newton residents—those aged 50 to 59 (referred …

Collaborative Treatment Of Late-Life Depression In Primary Care (Germanimpact): Study Protocol Of A Cluster-Randomized Controlled Trial, Iris Wernher, Frederike Bjerregaard, Iris Tinsel, Christiane Bleich, Sigrid Boczor, Thomas Kloppe, Martin Scherer, Martin Härter, Wilhelm Niebling, Hans-Helmut König, Michael Hüll

Institute on Aging Publications

Background: Depression is not a normal side effect of aging, however it is one of the most prevalent mental health issues in later life, imposing a tremendous burden on patients, their families, and the healthcare system. We describe the experimental implementation of a collaborative, stepped-care model for the treatment of late-life depression (GermanIMPACT trial) in the German primary care context. GermanIMPACT was developed as an adaptation of a successful and widely used American model. The aim of the study is to evaluate the model’s applicability to the German primary care setting and its cost-effectiveness.

Methods/Design: The study will be conducted …

Senior Mental Health Specialist Investment, Diana L. White, Linda Dreyer, Julie Reynolds, Alice Updike Scannell, Serena Worthington

Institute on Aging Publications

Participants: Thirty-five informants were interviewed or completed a survey for this report. They represented the Budget Note Workgroup and others identified by workgroup members. Informants represented aging services, mental health, advocacy, and other sectors such as long-term care, quality improvement, and health/medical care. Both those with a statewide focus and those with a local agency or community focus participated, including people from rural areas of the state.

The Problem: According to informants, mental health needs of older adults are not being met because:

• Systems are fragmented. The organizations that could address these needs work in silos with different funding priorities, …

"Having Our Say": Exploring The Processes And Feasibility Of A Community-Based Participatory Intergenerational Physical Activity Program For Grandparents Raising Grandchildren, Tiffany Lenell Young

USF Tampa Graduate Theses and Dissertations

Over the past twenty years, the number of grandparents raising grandchildren has increased substantially. In many cases, raising grandchildren can be stressful and may aggravate pre-existing health conditions. Grandchildren in these kinship relationships often experience poor health outcomes as well. Typically, both grandparents and grandchildren do not engage in positive health behaviors. Thus, there is a need to develop intergenerational health promotion interventions for grandparents raising grandchildren. This study used the community-based participatory research approach to develop and implement an eight-week intergenerational program for kinship families. The specific goals of this descriptive study were to understand the process and feasibility …

Balance And Power In Older Adults With And Without A History Of Falls, Stephanie Michelle Gray

Graduate Theses and Dissertations

The purpose of this study was to observe the differences between power and balance in older adults over the age of 65 with and without falls. A total of 62 community dwelling older adults between the ages of 65 and 92 participated in the study. Two groups consisted of 25 fallers and 37 non-fallers. No statistical differences were found between groups on age, height, weight, or BMI. Testing included the Berg Balance Scale (BBS) to test balance, the Tendo Weightlifting Analyzer (TWA) during a sit-to-stand to test lower body power, and the Physical Activity Scale for the Elderly (PASE) to …

Ageism, Honesty, And Trust, Eric Schniter, Timothy W. Shields

ESI Publications

Age-based discrimination is considered undesirable, yet we know little about age stereotypes and their effects on honesty and trust. To investigate this aspect of ageism, we presented older adults (over age 50) and younger adults (under age 25) with incentivized belief elicitation tasks about anticipated interaction behaviors and then a series of same, different, and unknown-aged group interactions in a strategic-communication game. All adults shared consensual stereotypes about uncooperative younger adults and cooperative older adults that demonstrated “wisdom of crowds”. While the out-group was consistently stereotyped as relatively different and more dishonest and suspicious than observed to be, the in-group …

Tracing The Origins Of Success: Implications For Successful Aging, Nora M. Peterson, Peter Martin

French Language and Literature Papers

Purpose of the Study: This paper addresses the debate about the use of the term “successful aging” from a humanistic, rather than behavioral, perspective. It attempts to uncover what success, a term frequently associated with aging, is: how can it be defined and when did it first come into use? In this paper, we draw from a number of humanistic perspectives, including the historical and linguistic, in order to explore the evolution of the term “success.” We believe that words and concepts have deep implications for how concepts (such as aging) are culturally and historically perceived.

Design and Methods: We …

Primetimes Newsletter, Summer 2014, Office Of Lifespan Studies

PrimeTimes Newsletter

PrimeTimes is the newsletter of the Office of Lifespan Studies in the College of Science at Coastal Carolina University.

Social Networks, Decision Aids, And Patient Decisions Regarding Knee-Replacement Surgery, Francis G. Caro, Susanne Hoffmann, Alison Gottlieb, Iris Kesternich, Joachim Winter

Gerontology Institute Publications

Objective: Examine how information from social networks is associated with patient decisions in the presence of information from multiple professional sources including decision aids.

Methods: We conducted a stated-choice experiment in which respondents made recommendations for hypothetical patients about whether full knee-replacement surgery should be performed to treat knee osteoarthritis. In addition, we administered a background questionnaire in which we explicitly asked respondents about the experience of people in their social network with knee osteoarthritis and possible treatment options. We examined the manner in which respondents’ recommendations for vignette persons were associated with the experiences of members of …

Gender, Race, And Ethnic Differences In The Effects Of Education On Depression In Later Life: The Mediating Roles Of Mastery And Stress, Cathy Mae Wong

Graduate Doctoral Dissertations

The central objective of this study was to examine gender, race, and ethnic differences in the effects of education on late-life depression. This study differentiated education from other measures of SES due to the psychosocial resources developed through schooling. Education provides intrinsic resources, such as perceived mastery, that are beyond monetary value. Higher levels of education is hypothesized to increase perceived mastery throughout the life course and result in lower levels of stress, influencing psychological well-being in later life. The Stress Process Paradigm was the conceptual framework used for this study. The Stress Process Paradigm includes elements of Ross and …

The Social Environment, Apoe-E4, And Dementia: The Social Environment As A Moderating Factor Among Individuals Genetically Predisposed To Develop Dementia, Judith L. Poey

Graduate Doctoral Dissertations

Many studies have shown a relationship between the APOE-e4 allele and dementia, as well as a relationship between the social environment and dementia. However, relatively little investigation into the potential moderating effect of the social environment on the relationship between the APOE-e4 allele and cognitive well-being has been reported. Further, studies that did examine these relationships typically have employed clinical populations, along with regional and non-U.S. samples. This study contributed to the research literature, in part, by using the first U.S. nationally representative sample of older adults that included clinical diagnosis of cognition and dementia (Aging, Demographics, and Memory Study …

Patterns Of Dissaving Among U.S. Elders, Deborah Gray

Graduate Doctoral Dissertations

This paper examined patterns of decumulation and the role that health events and marital disruption play in forming those patterns. Study data were drawn from six biennial waves of the HRS (1998 - 2008), and merged RAND HRS data files for the period 1998 - 2008. The a priori expectation was that there will be variation in drawdown strategies households employ.

Findings suggest that patterns of dissaving are heterogeneous. The five most prevalent patterns were discussed. Households predominantly transitioned between oversaving and overspending. Households are expected to have a goal of on target spending therefore the observed cycle's dissaving will …

Participation In Recreation And Leisure Activities In Long-Term Care Facilities And Health Related Quality Of Life, James Michael Duncan

Graduate Theses and Dissertations

The purpose of this paper was to examine predicted variations in Health Related Quality of Life (HRQoL) among individuals over the age of 65 residing in Long Term Care (LTC) facilities. Variables related to self-care, depression, gender, social support, and leisure activities were examined. Univariate analysis was conducted from data collected from 110 LTC residents from 15 assisted living facilities (ALF) and nursing homes (NH) throughout Arkansas and a standard multiple regression was employed. Linear combinations of independent variables were significantly correlated to variations of HRQoL. More specifically, higher ratings in depression were positively correlated to lower ratings of HRQoL. …

Successful Aging In The United States And China : A Theoretical Basis To Guide Nursing Research, Practice, And Policy., Valerie Lander Mccarthy, Hong Ji, Jiying Ling

Faculty and Staff Scholarship

Successful aging is an idea gaining increasing attention given the exponential growth in the older adult population. Criteria and definitions within multiple disciplines vary greatly in Western literature, with no consensus on its meaning. Moreover, sociocultural, economic and political differences between the Western view of successful aging and its use in China – with the world’s largest older adult population – add to the confusion. Similarities and differences in the meaning of successful aging in the United States and China are examined and the potential for a common definition that is useful to nursing in both countries is explored. Using …

Factors Influencing The Completion Of Advance Directives, Andrea B. Emmanuel

Morehead State Theses and Dissertations

A Thesis Presented to the Faculty of the Caudill College of Arts, Humanities and Social Sciences Morehead State University in Partial Fulfillment of the requirements for the Degree Master of Arts by Andrea B. Emmanuel on April 18, 2014.

Nursing Home Referrals Within The Veterans Health Administration: Variation By Site And Payment For Care, Edward Alan Miller, Stefanie Gidmark, Emily Gadbois, Marylou Guihan, Orna Intrator

Office of Community Partnerships Posters

Background: Veterans may receive Veterans Health Administration (VHA)-paid nursing home (NH) care in VHA Community Living Centers (CLCs), state veterans homes (SVHs), or community NHs; Veterans Affairs Medical Centers (VAMCs) must provide VHA-paid NH care to highly service connected (mandatory) Veterans; VAMCs have discretion to provide VHA-paid care to other Veterans, if resources allow. Study Objective: To examine how Veterans’ eligibility for different types of payment sources—VHA, Medicare, Medicaid, other—informs NH referral within the VHA.

Pension Action Center, Pension Action Center, University Of Massachusetts Boston

Office of Community Partnerships Posters

The Pension Action Center, (PAC) strives to improve retirees’ and workers’ standard of living in retirement through individual case advocacy; referrals to appropriate programs and professionals; and issue analysis and reform of public policy. The center, which is part of the Gerontology Institute at UMass Boston, focuses on the experience of participants in retirement plans throughout its work. The PAC is a one-of-a-kind organization in New England that touches the lives of thousands of people.

Evaluating Needs Of Older Adults In Massachusetts Communities, Hayley P. Gleason, Caitlin Coyle, Bernard A. Steinman, Ceara R. Somerville, Jan Mutchler

Office of Community Partnerships Posters

Throughout Massachusetts, the ongoing demographic shift toward an older population has required most cities and towns to reevaluate the adequacy of services and programs for older adults. By 2030, the vast majority of municipalities in Massachusetts will have unprecedented proportions of people age 60 or over.