RESUMEN
To identify activity patterns of residents in homes for the elderly in Alexandria, we carried out a study on 188 elderly persons in 4 homes (2 governmental and 2 private). Participants were interviewed individually using a structured interview schedule. Each home was visited daily for 1 week in order to assess the type of activities provided and the participation. Performance of activities was affected by health status, functional ability, lifestyle pattern (including individual practices and personal choices related to health and health risk) and type of home. Private homes, having more resources available, particularly financial resources, tended to involve their residents in physical and social activities more than governmental ones. The majority of the residents tended to be inactive.
Asunto(s)
Actividades Cotidianas , Actitud Frente a la Salud , Evaluación Geriátrica/estadística & datos numéricos , Hogares para Ancianos , Estilo de Vida , Conducta Social , Anciano/fisiología , Anciano/psicología , Anciano/estadística & datos numéricos , Anciano de 80 o más Años , Distribución de Chi-Cuadrado , Conducta de Elección , Egipto , Femenino , Evaluación Geriátrica/métodos , Estado de Salud , Encuestas Epidemiológicas , Hogares para Ancianos/organización & administración , Humanos , Masculino , Método de Montecarlo , Estadísticas no Paramétricas , Encuestas y Cuestionarios , Salud UrbanaRESUMEN
To identify activity patterns of residents in homes for the elderly in Alexandria, we carried out a study on 188 elderly persons in 4 homes [2 governmental and 2 private]. Participants were interviewed individually using a structured interview schedule. Each home was visited daily for 1 week in order to assess the type of activities provided and the participation. Performance of activities was affected by health status, functional ability, lifestyle pattern [including individual practices and personal choices related to health and health risk] and type of home. Private homes, having more resources available, particularly financial resources, tended to involve their residents in physical and social activities more than governmental ones. The majority of the residents tended to be inactive
Asunto(s)
Actividad Motora , Encuestas y Cuestionarios , Estilo de Vida , Actividades Cotidianas , Hogares para AncianosRESUMEN
OBJECTIVE: To identify predictors of delayed therapy with curative intent, an increasingly common option in contemporary patients with prostate cancer who initially choose watchful waiting. PATIENTS AND METHODS: The characteristics of all patients at one institution and diagnosed with T1-4NXM0 prostate cancer between 1993 and 2000 were prospectively recorded. Factors recorded included: age, tumour stage, histological type, Gleason score, serum prostate specific antigen (PSA) level, prostate volume, PSA density (PSAD), percentage of positive biopsy cores, and the initial treatment selection. Outcomes, including all cancer-directed interventions, all serum PSA values, and initial outcomes of all interventions with curative intent, were determined by review of all medical records and cancer registry data. RESULTS: Of 187 patients on watchful waiting, 175 had stage T1 or T2 cancer and were analysed primarily. Thirty-eight (22%) of these patients received delayed intervention with curative intent (15 radical prostatectomy, 17 external beam radiotherapy, six brachytherapy). Age (P < 0.001) and percentage of positive biopsy cores (P = 0.042) were significant independent predictors of intervention with curative intent. When the PSA doubling time was added to the model it became a significant predictor (P = 0.018), with percentage positive biopsy cores (P = 0.022) and age (P < 0.001). CONCLUSIONS: Therapy with curative intent is common in contemporary patients with prostate cancer who initially choose watchful waiting. Age and percentage positive biopsy cores are independent predictors of such intervention, with PSA doubling time also an independent predictor.