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Entdecken Sie tatsächlich neu veröffentlichte Arbeiten aus Medizin, Pflege, Therapie, Public Health und Life Sciences. Sortiert nach Publikationsdatum, nicht nach Zitierhäufigkeit.

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24 neue Nachweise auf dieser Seite Publiziert in den letzten 30 Tagen Neueste zuerst Crossref DOI
14.08.2026journal-article

JMIR Serious Games

User-Centered Design and Evaluation of a “Lehuo Pingpang” Exergame for Older Adults With Mild Cognitive Impairment: Cross-Sectional Convergent Mixed Methods Study

Xi Chen, Hongting Ning, Lin Peng, Chi Zhang, Jiaji Zhang, Dian Jiang, Xiaoyang Li, Xiao Wan, Jundan Huang, Qi Xie, Weiping Huang, Juanfang Jiang, Hui Feng

Abstract Background Physical activity is one of the preferred interventions for mild cognitive impairment (MCI); however, the physical activity levels and adherence of older adults with MCI are particularly limited. Exergames are expected to be a key strategy to address these issues. However, existing exergames lack usability among the older adult population. Objective We aimed to design and develop an MCI-centered exergame for older adults and test its usability. Methods We used a cross-sectional, convergent mixed …

14.08.2026journal-article

British Journal of Clinical Psychology

Exploring the relationship between external shame and perceived social rank in people who hear voices

Amy Lewins, Charlotte Thomas‐Carmichael, Emmeline Goodby, Craig Steel

Abstract Objectives People who hear voices commonly experience high levels of shame. This study builds on evolutionary theories by investigating how feelings of shame are associated with the nature of the voice–person relationship. Researchers aim to understand whether increased feelings of external shame are associated with voice‐hearers adopting a subordinating relationship to the voice(s), assigning the voice a higher social rank. The research also explored whether voice content, operationalized as the ways in w …

14.08.2026journal-article

Nutrition Today

The Next Frontier

Anna Picard, Johanna T. Dwyer, Mary B. Arensberg, Judy Simon, Shirley Chao, Laura Borth

Malnutrition is a serious condition impacting the health, functionality, and quality of life of older adults living in the community. This article provides the history, context, and suggestions for better addressing it in the United States. It briefly reviews the prevalence of malnutrition associated with undernutrition in the American older adult population and why it is of concern. Malnutrition screening and assessment tools are then described. Next, it turns to how Older Americans Act (OAA) nutrition programs ar …

14.08.2026journal-article

American Journal of Hospice and Palliative Medicine®

Perspectives of Simulated Patients Who Portray People Living With Serious Illness, a Qualitative Study

Laura T. Director, Christine Mallar, Martha S. Barbour, Mary H. Becker, Rachael Burgess, Leah Mallory, Rebecca N. Hutchinson

Background Many clinicians lack the skills and training necessary to have goals of care conversations. Training to develop these skills often uses simulated patients (SPs) who are asked to portray patients living with serious illness. The psychological impact of portraying a patient with serious illness has not been well studied. Objective The aim of this study was to explore the perspectives, motivations, and experiences of SPs portraying patients living with serious illness. Methods In this single center qualitat …

14.08.2026journal-article

Frontiers in Public Health

Technology anxiety and digital health literacy as structural determinants of mHealth engagement among older adults: a SEM study in Saudi Arabia

Haitham Alzghaibi

Background Digital health services hold real promise for older adults managing chronic conditions, yet this population consistently struggles to engage with them meaningfully. In Saudi Arabia, the national Sehhaty mHealth platform has been deployed at scale under Vision 2030, but there is limited evidence on why older users do or do not engage, and what structural factors drive those patterns. Aim This study examined the structural determinants of digital health service engagement among Saudi adults aged 55 and abo …

14.08.2026journal-article

Journal of Clinical Medicine

Management of Syncope in Geriatric Patients: Are 2018 European Society of Cardiology Guidelines Still Relevant?

Barbara Antonazzo, Anna Sirignano, Martina Salvini, Francesca Flavia Rossi, Stefano Ronzoni, Agnese Dorizzi, Kenneth Ellenbogen, Giuseppe Biondi-Zoccai, Simone Calcagno

Syncope in older adults is common, heterogeneous, and frequently misclassified as an unexplained fall, leading to injury, fear of recurrence, and costly, low-yield testing and hospitalization. The 2018 European Society of Cardiology (ESC) Guidelines emphasize structured initial evaluation (history with witnesses, orthostatic blood pressure, and 12-lead ECG), risk-feature-guided disposition, and targeted second-line investigations rather than routine neuroimaging or carotid duplex ultrasound. We performed a structur …

14.08.2026journal-article

Pilot and Feasibility Studies

Protocol for a feasibility study of a self-help resource based on the principles of cognitive behavioural therapy to reduce needle fear in young people aged 11- to 16 years

Fiona Sotir, David White, Gemma Wheeler, Helen Rodd, Zoe Marshman

Abstract Background Needle fear affects up to half of all young people, with the potential to impede their accessing and acceptance of healthcare interventions. There is presently a lack of accessible self-help resources available to support young people in managing needle-based procedures. This feasibility study aims to create a trial protocol for future definitive assessment of a self-help tool co-designed with young people, to manage their fear of needles. Methods This article presents the protocol for a study t …

14.08.2026journal-article

Journal of the American Geriatrics Society

VA Choose Home Program: An Intensive Geriatric Home‐Based Model of Care

Caroline Madrigal, Meghan Makela, Alexandra Nothern, Wendy Abrams, Rebecca Howe, Daniel Harris, Malisa Barber, Christopher Halladay, VA Boston Choose Home Team, James L. Rudolph, Jane A. Driver

ABSTRACT Background The population of Veterans aged 85+ eligible for VA‐financed long‐term care will increase 500% over the next decade. Our team recognized a gap in care for older Veterans at risk of institutionalization between our acute and longitudinal home and community‐based programs. This paper describes Choose Home, an innovative interprofessional home‐based model of care developed to prevent avoidable acute care and long‐term institutionalization. Methods Multicomplex Veterans aged ≥ 65 at imminent risk of …

14.08.2026journal-article

Frontiers in Public Health

Unmet needs for proactive health services among older adults with functional impairment in Chinese long-term care facilities (LTCFs): a qualitative study

Yixin Wang, Lanyue Luo, Liyu Chen, Hong Zhang, Xue Xiong, Dan Huo, Yuan Jia, Jun Shen

Objective Proactive health, as an important strategy for addressing population aging in China, has not yet developed into a systematic service model for the care of older adults with functional impairment in LTCFs. This study aimed to systematically explore the unmet needs of proactive health services among older adults with functional impairment in LTCFs through a qualitative approach, and to provide a theoretical basis for the construction of a capability-based care system. Methods A combination of purposive and …

14.08.2026journal-article

Frontiers in Nutrition

Sex-specific associations between dietary nutrient intake and cardiometabolic biomarkers in older adults with diet-related chronic diseases

Svetlana Plyassovskaya, Olzhas Zhamantayev, Gulmira Zhanalina, Bakhyt Kosherova, Nurbek Yerdessov

Background Older adults presenting with concurrent type 2 diabetes mellitus (T2DM), arterial hypertension (AH), and obesity face a considerable cardiometabolic challenge. There were no recent studies examining the association between their habitual nutrient consumption and circulating biomarkers in Central Asian populations. We aimed to examine sex-stratified associations between daily nutrient consumption and cardiometabolic biomarkers in community-dwelling older adults aged 60–90 years with concurrent T2DM, AH, a …

14.08.2026journal-article

American Journal of Health Studies

Exploring the Health Beliefs of Older African Americans in a Faith-Based Health Education Program

Maria Brown, Luvenia Cowart

Medical mistrust among African Americans is rooted in a history of abuse by unethical researcher and personal and community experiences of discrimination in healthcare. This study explored the relationship between spirituality and health, and health care attitudes of older African Americans in a faith-based health education program in the northeastern United States. The Health Beliefs survey includes combined items from the Spiritual Locus of Control Scale and the Group-Based Medical Mistrust Scale. We collected da …

14.08.2026journal-article

Frontiers in Endocrinology

Sedentary behavior and type 2 diabetes in community-dwelling middle-aged and older adults: indirect cross-sectional correlation of sarcopenic obesity

Wenwen Zhao, Mingjie Meng, Yiheng Geng, Ruyue Qi, Jinjia Zhang, Min Zhang, Meijing Song, Rongying Wang

Background Type 2 diabetes mellitus (T2DM) represents a major public health challenge among middle-aged and older populations worldwide. The underlying mechanisms linking sedentary behavior to T2DM remain incompletely understood. Sarcopenic obesity (SO), a phenotype defined by concurrent low muscle mass and excess adiposity, may represent a key intermediate correlate linking sedentary behavior with T2DM in cross-sectional observations. This study aimed to explore the indirect cross-sectional correlation of SO in th …

14.08.2026journal-article

Polymer Composites

Hygrothermal Aging and Failure Mechanism of Glass Fiber Reinforced Polyurethane Composite Frames for Offshore Applications

Yanping Huang, Yi Liu, Qingfa Meng, Xiaogang Zhu, Zhengyang Zou

ABSTRACT The durability of glass fiber reinforced polyurethane (GFRPU) composites under harsh marine environments is critical for offshore photovoltaic applications. This paper investigates the hygrothermal aging behavior and failure mechanisms of GFRPU composites by pressure cooking test (PCT) at 121°C and 100% RH for up to 240 h. Moisture absorption increases linearly to 2.42% after 240 h without reaching saturation, deviating from Fickian behavior due to diffusion‐damage coupling. Mechanical properties show a tw …

14.08.2026journal-article

Bioengineering

Deep Learning-Based Temporal Gait Analysis Using a Smartphone IMU in Older Adults with and Without Non-Specific Low Back Pain

Gerome Vivar, Shivam Singh, Tobias Bea, Christian Saal, Victor Munoz-Martel, Lutz Schega

Accurate gait event detection using inertial measurement units (IMUs) is essential for temporal gait analysis, but frame-level detection is challenged by sparse initial contact (IC) and foot-off (FO) events. This study evaluated recurrent neural network architectures and training strategies for simultaneous IC and FO detection using a single shank-mounted smartphone IMU. The internal dataset included 28 healthy older adults and 18 individuals with non-specific low back pain (NSLBP). Temporal label expansion substan …

14.08.2026journal-article

Revista Digital Universitaria

Cuando el corazón afecta la mente: la conexión entre hipertensión y Alzheimer

Elivier García González, Gerardo Iván Gálvez Ortega, José Eduardo Huerta Lépez

La hipertensión arterial y el Alzheimer son dos condiciones que, a simple vista, parecen no tener nada en común. Una afecta el corazón y los vasos sanguíneos; la otra la memoria y funciones mentales. Sin embargo, recientes hallazgos científicos revelan una conexión más profunda entre ambas. Este artículo explora cómo la presión arterial elevada, más allá de sus efectos cardiovasculares, puede dañar lentamente el cerebro al crear un entorno propicio para el desarrollo del Alzheimer. Además, se abordan los procesos f …

14.08.2026journal-article

Health Psychology Research

Development and external validation of an interpretable machine learning model for depressive symptom screening in Chinese adults aged 50 years or older with diabetes

Siheng Ma, Qilong Wang, Rui Qi, Huaning Wang, Min Cai

Background: Depressive symptoms are common among people with diabetes and may impair self-management and quality of life. Objective: This study aimed to develop and externally validate an interpretable machine-learning model for depressive symptom screening in Chinese adults aged 50 years or older with diabetes and translate it into an online assessment tool. Methods: Participants with diabetes from Round 4 of the China Health and Retirement Longitudinal Study (n = 2,187) were randomly divided into training and int …

14.08.2026journal-article

Working with Older People

When compassion meets complexity: managing the psychological contract to reduce turnover in complex elder adult care

Samyak Shah, Sunaina Chetan Kuknor

Purpose This study aims to address why standard human resource (HR) retention strategies fail to reduce staff turnover in elder adult care settings. The introduction of caseload complexity (the coexistence of multiple, interacting physical, cognitive and social needs in residents) explores the conditions for how the psychological contract breach happens in workers. Thereby, reframing turnover as a relational problem, rather than a transactional one. Design/methodology/approach A conceptual methodology is adopted, s …

14.08.2026journal-article

Medicine

Gut microbiota alterations and their correlation with constipation in older adults with Alzheimer’s disease or mild cognitive impairment

Kai-Yong Huang, Yi-Yu Wei, Shu-Ting Zhang, Liu-Chun He, Jing Zhou, Lan-Shu Zhou, Hua-Bin Su, Guo-Dong Lu

Previous studies have suggested a link between gut microbiota, constipation and Alzheimer’s disease (AD) as well as mild cognitive impairment (MCI). In this study, we aimed to investigate the changes in the gut microbiota and their relationship with constipation in patients with AD and MCI. A total of 90 participants (30 with AD, 30 with MCI, and 30 normal controls) were recruited from the community-based Nanning Community Elderly Population cohort. We collected fresh fecal samples for analysis and compared the dif …

14.08.2026journal-article

The International Journal of Aging and Human Development

The Shadowy Side of Aging: The Determining Role of Depression in the Development of Frailty

Tuba Geçdi, Emine Derya İster

Frailty and depression are geriatric syndromes commonly seen in older adults that negatively affect quality of life and functional status. This study examined the levels of frailty and depression and the relationship between them in 159 older adults who visited three family health centers. Data were collected using the Edmonton Frailty Scale and Geriatric Depression Scale. Depression was detected in 22.6% of participants, and frailty in 33.4%. Frailty showed a significant relationship with marital status, education …

14.08.2026journal-article

ACS Omega

Topical Menaquinone-7 (Vitamin K2, MK-7) as a Mitochondrial Bioenergetic Activator for Skin Anti-Aging: Mechanistic Evidence in Skin Cells and a Randomized Split-Face/Neck Study

He Huang, Ruijing Wei, Chunxiao Xu, Chen Liu, Shilan Zhao, Yanan Li, Meijing Wang

Abstract Mitochondrial dysfunction contributes to skin aging by limiting cellular energy supply, shifting redox balance, and amplifying oxidative injury, which together favor extracellular matrix breakdown and loss of tissue mechanics. Vitamin K2 (menaquinone-7; MK-7) has been proposed to support mitochondrial electron transport, yet its bioenergetic activity in the skin and its effects on aging-related outcomes remain insufficiently characterized. To evaluate whether MK-7 can improve mitochondrial bioenergetics in …

14.08.2026journal-article

Insects

Insect-Derived Anti-Aging Bioresources: Current Status, Bottlenecks, and Future Directions

Minghui Zhao, Weina Wang, Hongyu Lai, Lixin Zhou, Qi Liao, Jinxin Liu, Hongning Liu, Miao Ouyang, Gang Ren, Zishu Dong

As the global population ages rapidly, demand for safe and effective strategies to promote healthy aging grows markedly. Natural bioactive compounds, with favorable biosafety profiles and multi-target regulatory properties, have become a core focus in developing anti-aging functional foods and nutraceuticals. Amid the search for novel sustainable bioresources, insects emerge as promising anti-aging candidates for their rich species diversity, scalable production, low environmental footprint, and abundant unique bio …

14.08.2026journal-article

The Gerontologist

Older Adults’ End-of-Life Care: Are Retrospective Assessments Patterned by Proxy Relationship to Decedent?

Kafayat Mahmoud, Deborah Carr

Abstract Background and Objectives Understanding the quality of older adults’ end-of-life care is essential for informed decision-making and practitioner accountability. However, retrospective appraisals provided by proxies may be shaped by their relationship to the decedent. Failure to adjust for proxy relationship status may generate misleading characterizations of end-of-life care patterning. We examine how proxy reporters (spouse, daughter, son, other relative, other non-relative, paid caregiver) differ in thei …

14.08.2026journal-article

Journal of Cancer Survivorship

The effect of health behaviour interventions on alcohol consumption among people living with cancer: a systematic review

Manuela Beaty, Wei-Hong Liu, Patsy Yates, Kim Alexander

Abstract Purpose This systematic review synthesises data relating to the effectiveness of behavioural interventions aimed at reducing alcohol consumption among people living with cancer. Methods Five databases were systematically searched for randomised controlled trials (RCTs) published between January 2000 and April 2025 that reported behavioural interventions addressing alcohol consumption among people living with cancer. Evidence was assessed using the Cochrane Risk-of-Bias tool. Meta-analysis was not feasible …

14.08.2026journal-article

Revista ft

Doença renal crônica em cadela geriátrica associada à neoplasia mamária e alterações endócrinas: relato de caso

Vitória Silva Santos, Maysa Mayara de Miranda Falcão, Maria Eduarda Carvalho Mesquita, Marcos Vinícius Lebrego Nascimento, Maria Audileia da Silva Teixeira, Giselle Almeida Couceiro

Chronic kidney disease (CKD) is a progressive and irreversible condition commonly observed in geriatric dogs, often associated with comorbidities that worsen prognosis. This study reports the case of a geriatric female dog with a history of hormonal alterations and mammary neoplasia associated with CKD. The animal presented clinical signs such as polyuria, polydipsia, and marked weight loss. Laboratory findings revealed azotemia, anemia, and systemic arterial hypertension. Abdominal ultrasonography showed findings …