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Introduction Of A Waterless Alcohol-Based Hand Rub In A Long-Term Care Facility, Lona Mody, Mcneil A. Shelly, Rongjun Sun, Bradley Suzanne, Carol A. Kauffman
Introduction Of A Waterless Alcohol-Based Hand Rub In A Long-Term Care Facility, Lona Mody, Mcneil A. Shelly, Rongjun Sun, Bradley Suzanne, Carol A. Kauffman
Rongjun Sun
OBJECTIVE: To examine the impact of introduction of an alcohol-based hand rub on hand hygiene knowledge and compliance and hand colonization of healthcare workers (HCWs) in a long-term-care facility (LTCF). METHODS: Two floors of an LTCF participated. Ward A used the hand rub as an adjunct to soap and water; ward B was the control. HCWs' hands were cultured using the bag-broth technique for Staphylococcus aureus, gram-negative bacilli (GNB), Candida, and vancomycin-resistant enterococci (VRE). HCWs completed a questionnaire at baseline and after an educational intervention and introduction of rub. RESULTS: Hand hygiene practices, knowledge, and opinions did not change after …
Air Pollution, Economic Development Of Communities, And Health Status Among The Elderly In Urban China., Rongjun Sun, Danan Gu
Air Pollution, Economic Development Of Communities, And Health Status Among The Elderly In Urban China., Rongjun Sun, Danan Gu
Rongjun Sun
In Western societies, the impact of air pollution on residents' health is higher in less wealthy communities. However, it is not clear whether such an interaction effect applies to developing countries. The authors examine how the level of community development modifies the impact of air pollution on health outcomes of the Chinese elderly using data from the third wave of the Chinese Longitudinal Health Longevity Survey in 2002, which includes 7,358 elderly residents aged 65 or more years from 735 districts in 171 cities. The results show that, compared with a 1-point increase in the air pollution index in urban …
Mortality Of The Oldest Old In China, Rongjun Sun, Yuzhi Liu
Mortality Of The Oldest Old In China, Rongjun Sun, Yuzhi Liu
Rongjun Sun
Objective: This study investigates the role of customary activities, both social and solitary, in mortality among the oldest old in China. Methods: The data come from the Chinese Longitudinal Healthy Longevity Survey.Weibull hazard models analyze the mortality risk of those 80 years of age and older within a 2-year period between 1998 and 2000. Results: Results show that solitary activities, either active or sedentary, are significantly associated with lower mortality risk. The effect of social activities on mortality gradually diminishes with age and is reversed at very old ages when physical exercise, health status, and sociodemographic characteristics are controlled. Discussion: …
Worry About Medical Care, Family Support, And Depression Of The Elders In Urban China, Rongjun Sun
Worry About Medical Care, Family Support, And Depression Of The Elders In Urban China, Rongjun Sun
Rongjun Sun
This study examines the role of family support in reducing the elders’s depression in the face of the perceived inadequate public medical care in urban China. Using data from the Survey on Aging and Intergenerational Relations in Baoding City, this article investigates the overall depression level, somatic symptoms, and affective symptoms, respectively. The findings suggest that perceived inadequate public medical care, which results from dramatic changes in China’s socioeconomic transformation, has a stressful impact on all measures of depression. Family support, by its structure and function, shows both direct and moderating effects in counteracting such stress from the public domain. …
Old Age Support In Contemporary Urban China From Both Parents’ And Children’S Perspectives, Rongjun Sun
Old Age Support In Contemporary Urban China From Both Parents’ And Children’S Perspectives, Rongjun Sun
Rongjun Sun
This article explores the links between old age support and the characteristics of both parents and children drawing on survey data collected in Baoding, China, in 1994. Three specific forms of support are examined: monetary transfers, in-kind gifts, and help with daily activities. Hierarchical modeling is applied to the analysis from children’s perspective to control for the unobserved family heterogeneity. Results indicate that intergenerational support within families is currently the major source of old age security in Chinese society. Analyses from both parents’ and children’s perspectives support the corporate group/mutual aid model, which largely sees the provision of help as …
Assessment Of Pneumonia In Older Adults: Effect Of Functional Status, Lona Mody, Rongjun Sun, Suzanne F. Bradley
Assessment Of Pneumonia In Older Adults: Effect Of Functional Status, Lona Mody, Rongjun Sun, Suzanne F. Bradley
Rongjun Sun
OBJECTIVES: Evaluate the effect of preadmission functional status on severity of pneumonia, length of hospital stay (LOS), and all-cause 30-day and 1-year mortality of adults aged 60 and older and to understand the effect of pneumonia on short-term functional impairment. DESIGN: Prospective cohort study. SETTING: University hospital. PARTICIPANTS: One hundred twelve patients with radiograph-proven pneumonia (mean age 74.6) were enrolled. MEASUREMENTS: Functional status and comorbidities were assessed using the Functional Autonomy Measurement System (SMAF) and Charlson Comorbidity Index. Clinical information was used to calculate the Pneumonia Prognostic Index (PPI). RESULTS: Eighty-four (75%) patients were functionally independent (FI) before admission, with …
Diversity And Structure Of Intergenerational Relationships: Elderly Parent–Adult Child Relations In Korea, Keong-Suk Park, Voonchin Phua, James Mcnally, Rongjun Sun
Diversity And Structure Of Intergenerational Relationships: Elderly Parent–Adult Child Relations In Korea, Keong-Suk Park, Voonchin Phua, James Mcnally, Rongjun Sun
Rongjun Sun
Korean society has undergone a rapid demographic transition that has challenged traditional patterns of family exchanges. The structure and directions of support flows have become more complex as multiple generations coexist. This article examines the complexity of contemporary Korean intergenerational relationships. The study analyzed two different samples to address anticipated differences in perceptions of and attitudes toward relationships between adult children and elderly parents. The researchers used maximum likelihood latent structure analysis to discover the latent patterns of the association among three main subdimensions of intergenerational relationships: geographic proximity, exchange of support, and cultural norms of family support. Results show …
Incidence Of Four-Generation Family Lineages: Is Timing Of Fertility Or Mortality A Better Explanation?, Sarah H. Matthews, Rongjun Sun
Incidence Of Four-Generation Family Lineages: Is Timing Of Fertility Or Mortality A Better Explanation?, Sarah H. Matthews, Rongjun Sun
Rongjun Sun
Objectives. This article estimates the percentage of lineages that include four or more generations for a sample of the U.S. population and explores how social status and race are related to lineage depth. Methods. We assembled data from Waves 1 and 2 of the National Survey of Families and Households in order to estimate the proportion of adults in four or more generations for the Wave 2 sample (1992-1994). When necessary, we used various decision rules to overcome an absence of information about specific generations. We examine relationships between lineage depth and sociodemographic variables by using logistic regressions. Results. The …
Community-Acquired Pneumonia In Older Veterans: Does The Pneumonia Prognosis Index Help?, Lona Mody, Rongjun Sun, Suzanne Bradley
Community-Acquired Pneumonia In Older Veterans: Does The Pneumonia Prognosis Index Help?, Lona Mody, Rongjun Sun, Suzanne Bradley
Rongjun Sun
OBJECTIVES: Mortality rates from pneumonia increase steadily with age. Recently, a disease severity model (the Pneumonia Prognosis Index (PPI)) has been developed to predict mortality from community-acquired pneumonia (CAP). PPI ranks severity of pneumonia from 1 to 5, with 5 being most severe. This retrospective study utilizes the PPI to address the prognosis of CAP in older adults. DESIGN: Retrospective review of medical charts. SETTING: Department of Veterans Affairs Medical Center. PARTICIPANTS: All adults aged 60 and older admitted to a Veterans Affairs Medical Center with CAP between January 1 and December 31, 1998. MEASUREMENTS: PPI was calculated using subjects' …