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Letteratura scientifica selezionata sul tema "Pain in old age"

Autore: Grafiati

Pubblicato: 4 giugno 2021

Ultima modifica: 29 luglio 2024

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Articoli di riviste sul tema "Pain in old age"

Roy, Ranjan. "Old Age, Pain, and Loss." Topics in Geriatric Rehabilitation 16, no. 3 (March 2001): 66–76. http://dx.doi.org/10.1097/00013614-200103000-00009.

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Hardy, Paul AJ. "Pain management in old age." Reviews in Clinical Gerontology 5, no. 3 (August 1995): 259–73. http://dx.doi.org/10.1017/s0959259800004317.

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Scott, Robert B. "Chronic Pain in Old Age." Clinical Journal of Pain 11, no. 3 (September 1995): 248. http://dx.doi.org/10.1097/00002508-199509000-00016.

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Schiller, D., M. Gschwendtner, and R. Schofl. "Does old age cause abdominal pain?" Gut 58, no. 4 (March 18, 2009): 500. http://dx.doi.org/10.1136/gut.2008.166975.

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Sutherland, Stephani. "Endocannabinoids mediate age-old pain suppression." Drug Discovery Today 10, no. 18 (September 2005): 1209–10. http://dx.doi.org/10.1016/s1359-6446(05)03602-0.

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Brattberg, Gunilla, Marti G. Parker, and Mats Thorslund. "A Longitudinal Study of Pain: Reported Pain from Middle Age to Old Age." Clinical Journal of Pain 13, no. 2 (June 1997): 144–49. http://dx.doi.org/10.1097/00002508-199706000-00008.

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Hardy, Paul A. J. "Pain management in old age: an update." Reviews in Clinical Gerontology 10, no. 4 (November 2000): 341–47. http://dx.doi.org/10.1017/s0959259800010443.

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Abstract (sommario):

A previous review dealt with the management of chronic pain in old age and attempted to provide an up-to-date account of management at that time. The present review will try to avoid going over the same ground but will discuss more recent developments in pain medicine, with an emphasis on those aspects relevant to the management of older patients.

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Balfour, Andrew. "The couple in old age." Psychoanalysis and Psychotherapy in China 5, no. 1 (June 20, 2022): 80–92. http://dx.doi.org/10.33212/ppc.v5n1.2022.80.

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With longer life, many people reach ages that were rarely achieved even a generation ago. But psychology and psychoanalysis have not fully engaged with the travails of old age. This article describes the difficulties many couples and individuals have facing the loss of physical and mental health in old age. By examining three clinical cases, it explores the difficulties couples have facing their inevitable losses, the particular difficulties for a couple when one partner has dementia, and the pain of an elderly patient facing the inevitability of her own death whilst full of regret for a compromised marriage and loss of opportunities in her life. The article describes how psychotherapy for couples and individuals lessens the sense of being alone and inscribes a sense of "being accompanied" externally and internally that soothes the pain of loss.

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Jones, R. M. "Anaesthesia in old age." Anaesthesia 44, no. 5 (May 1989): 377–78. http://dx.doi.org/10.1111/j.1365-2044.1989.tb11329.x.

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Craddock, Anita. "Old Age is New." Journal of Vascular Access Devices 6, no. 1 (January 2001): 1–12. http://dx.doi.org/10.1016/s1083-0081(01)70641-3.

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Tesi sul tema "Pain in old age"

Becker, Bettina. "Narratives of pain in old age : challenging 'ordinary' pain." Thesis, University of Winchester, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.311849.

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This thesis is based on narrative interviews with older people who live with pain and explores the meanings they develop. From their stories it emerged that constructions of ageing shape the meaning of pain. Pain is consequently constructed as `ordinary', non-disruptive pain that is a natural consequence of ageing. However, the narrators also developed alternative meanings. They constructed their pain as unique and disruptive, contested age-based definitions of their pain, and resisted medical intervention. The thesis explores the conflicts and contradictions that arise out of these multiple constructions.

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Wood, Bradley Mitchell. "Evaluating the mediating role of catastrophizing in the relationship between pain intensity and depressed mood in older adults with persistent pain." Thesis, The University of Sydney, 2012. https://hdl.handle.net/2123/29279.

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Abstract (sommario):

The combination of an ageing population in most western societies with an increase in the prevalence of persistent pain with age, has led to a call for more effective pain management for older adults. While there has been a consistent increase in research into the pain experience of older adults in recent years, relatively little of that research has examined specific psychological factors in relation to pain and pain impact. Cognitive-behavioural models hypothesize that the relationship between persistent pain and depression is mediated by cognitive factors, such as catastrophizing, but this relationship has not been confirmed in older adults, with most studies in this area using participants aged less than 65 years. It has also been found that depression is less common in older adults with persistent pain compared to younger adults, but the reason for this difference is unknown. Furthermore, this uncertainty is complicated by methodological shortcomings in the limited existing research on psychological factors in older adults with persistent pain, including: small sample sizes, the lack of use of a well-established method of mediation analysis, the use of measures not validated for use with older adults, and the paucity of patients in the oldest old category (>80 years). As pointed out by the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials (IMMPACT) group and others, assessment measures should be psychometrically sound, standardized in older adult populations, time efficient, and not an excessive burden on the patient. In order to better understand the pain experience of older adults and hence provide more effective pain management for this population, this thesis examined the mediating role of catastrophizing in the relationship between pain intensity and depressed mood in older adults with persistent pain living in the community. The overall aim of the thesis was to fill a gap in the understanding of the mediating role of cognitive factors in the persistent pain experience of older adults. This thesis consists of a series of four studies. The first three studies evaluated the utility of a number of measures that were used in the evaluation of the mediating role of catastrophizing in the relationship between pain intensity and depressed mood. The third study also evaluated the mediating role of catastrophizing using cross-sectional data from a consecutive sample of older adult patients (age> 60 years) attending a pain management centre for assessment. The fourth study evaluated the mediating role of catastrophizing using longitudinal data from a separate sample of older adults with persistent pain participating in a larger study of an evaluation of a pain selfmanagement program. The first study examined the utility of the Numerical Rating Scale (NRS) as a measure of pain intensity and pain distress in a sample of older adults with persistent pain. A consecutive sample of 800 patients aged over 60 years attending a pain management centre were categorized by age into three groups: 61 to 70 years, 71 to 80 years, and 81 years and over. Patients completed three NRS assessing current pain intensity, and both the usual level of pain and average pain distress in the preceding week at initial assessment. The failure to complete rate was low for all age groups but was significantly higher in the oldest old (2!81 years) group compared to the youngest old (61-70 years) group. The NRS was shown to be a reliable and valid measure of these two constructs across all age groups. However, pain-related distress appeared to be specific to the pain experience and was only weakly related to generalized affective distress. This study provides evidence from a large sample, which included a significant number of patients in the oldest old category (n=126), that pain intensity and pain distress can be reliably and validly measured in community living older adults with persistent pain. The large sample size increases confidence in the psychometric soundness of the NRS with this population. The second study examined the assessment of the negative emotional constructs of depression, anxiety and stress with the short version of the Depression Anxiety Stress Scales (DASS-21) in older adults with pain. The same sample of 800 patients aged over 60 years attending a pain management centre, used in study one, completed the DASS-21 at initial assessment. The results of study two showed that the DASS-21 is a reliable and valid measure of depression, anxiety and stress symptom severity in older adults with persistent pain and overcomes a number of challenges to the assessment of these constructs in this population. Confirmatory factor analysis established a three factor structure and is consistent with previous studies. Age differences in depression, anxiety and stress scores were also examined by comparing scores from the older adult sample with DASS-21 scores from a sample of 1,245 younger adults aged 60 years and under also attending the same pain management centre. Younger patients had significantly higher depression and stress scores compared to all patients aged over 60 years. Additionally, younger patients had significantly higher anxiety scores compared to patients aged 61-70 years. These findings help clarify the research on age differences in depression, anxiety and stress in patients with persistent pain. Some studies have found no effect of age on the relationship between pain and depression/anxiety, while other research has found an association between age and mood with symptoms of depression and anxiety decreasing as age increases. The first part of study three examined the reliability and validity of a measure of catastrophizing, the Pain-Related Self Statements scale (PRSS), in a consecutive sample of 669 elderly patients aged over 60 years attending a pain management centre. The PRSS-Catastrophizing was found to be a reliable measure of pain-related catastrophizing in older adults with persistent pain. Exploratory factor analysis on a split-half sample identified a two factor solution (magnification, helplessness), which was replicated with confirmatory factor analysis. Analysis of the mediating role of these two factors in the relationship between pain intensity and depressed mood was then conducted on both the whole sample (n=669) and additionally on a subset of patients aged over 80 years (n=98). The main finding of this study was to show that both magnification and helplessness partially and significantly mediated the relationship between pain intensity and depressed mood in community living older adults with persistent pain. This was also shown to be the case in the subset of patients over 80 years. These findings support a cognitive-behavioural mediation model. The final study used longitudinal data in a two-wave design with the aim of examining whether changes in catastrophizing over 6 months mediated the relationship between changes in pain intensity and depressed mood over the same period. The aim of this study was to strengthen the existing evidence of the mediating role of catastrophizing in the relationship between pain intensity and depressed mood in older adults with persistent pain found in study three. The use of longitudinal data overcomes some of the limitations of a cross-sectional analysis. Participants were from a separate sample than that used in the previous studies (i.e. one, two and three) and included 141 older adults, aged 65 years and over, with persistent non-cancer pain who were part of a larger study evaluating a pain self-management program. This study showed that change over 6 months in the two factors of the catastrophizing subscale of the PRSS (magnification, helplessness) totally mediated the change in the relationship between pain intensity and depressed mood over the same time period. These findings also add support to a cognitive-behavioural mediation model. The studies contained in this thesis are the first to formally evaluate the mediating role of catastrophizing in the relationship between pain intensity and depressed mood in older adults with persistent pain using a well-established mediation analysis method and add to the literature on the role of cognitive factors in the pain experience of this population. Confidence in these findings is enhanced by the methodological rigour of the four studies, which included: the use of a large sample, the inclusion of patients aged over 80 years, and the use of measures that have been validated for use in this population. Additionally, the use of both cross-sectional and longitudinal data from separate samples strengthens the findings. The overall findings suggest that cognitive factors, in this case catastrophizing, play a significant role in the pain experience of older adults with persistent pain. They also highlight the need for further research into the mediating role of other cognitive factors, which may also influence the pain experience in older adults. These findings also highlight age differences in psychological functioning, in this case depression, anxiety and stress, which need to be taken into account when assessing pain related mood disturbance in older populations. Finally, the findings support a cognitive-behavioural mediation model, which hypothesizes the mediating role of cognitive factors in the pain-depression relationship and have implications for the role of treatments such as cognitive-behaviour therapy in this population.

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Gagliese, Lucia. "Age differences in the experience of pain in humans and animals." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0017/NQ44652.pdf.

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Kung, Francis Tat-yan. "Chronic pain in older people." Connect to thesis Connect to thesis, 2001. http://adt1.lib.unimelb.edu.au/adt-root/public/adt-VU2001.0028/index.html.

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Cole, Leonie J. "Pain perception and processing in ageing and Alzheimer's disease /." Connect to thesis, 2009. http://repository.unimelb.edu.au/10187/4543.

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Baker, Erin A. Jenkins. "Evaluation of the effectiveness of a chronic pain management intervention with older adults." Theological Research Exchange Network (TREN), access this title online Theological Research Exchange Network (TREN) Access this title online, 2006. http://www.tren.com.

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Thesis (Psy.D.)--Wheaton College, 2006.<br>The purpose of this study was to evaluate the effectiveness of a cognitive behavioral group therapy intervention for chronic pain with an economically disadvantaged community sample of older adults. Specifically, the study was designed to assess the impact of the intervention on mood, general well-being, and the use of learned coping skills to manage pain. The program was a modified version of Ersek's "Managing Chronic Pain" which incorporated coping skills training in the areas of exercise, relaxation, and cognitive restructuring. The intervention consisted of a six week "class" with a one month follow-up booster session, each session lasting 90 minutes. Twenty-two participants with an average age of 77 living in government subsidized housing completed the program. The program was found to be moderately effective. Participants' pain intensity and interference did not significantly decrease, however scores trended in the predicted direction. Scores in the areas of mood, physical well-being, and coping skills all changed in the predicted directions, however the changes were not statistically significant. Mental health well-being increased significantly following program participation, but returned to initial levels at the one month follow-up booster session assessment. Clinical implications as well as limitations of the study are discussed. Includes bibliographical references (l. 87-96).

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Switzer, Cheryl Pope. "The relationship of coping and pain in institutionalized elderly persons." Virtual Press, 1989. http://liblink.bsu.edu/uhtbin/catkey/562785.

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Circumstances of an increasing proportion of elderly persons in the population of the United States and the incidence of pain among elderly persons established the need for this research project. Significant to nurses was the lack of information regarding responses to the pain experience and evidence of inadequate pain control. The purpose of this study was to explore the relationship between pain and coping strategies used by a group of elderly persons experiencing pain and living in long-term-care facilities. The population included individuals residing in long-termcare facilities in Indiana. A convenience sample of 36 persons from six facilities in central Indiana participated in the study.Gate Control Theory of pain and Lazarus' theory of stress and coping were the theoretical frameworks of the study. The independent variable, pain, was measured by two Parts of the McGill Pain Questionnaire, pain rating index andpain intensity. Coping, the dependent variable, was measured by the Ways of coping checklist; scoring methods yielded coping, problemfocused coping, emotion-focused coping, and eight subscales. Data was collected by the researcher through use of these two instruments and interviews. Pearson product moment correlations were used for statistical analysis.There were no significant correlations between pain intensity and coping measures. There were no significant correlations between pain rating and coping and emotionfocused coping. Additional findings were based on the data analysis with coping subscales. There was a significant positve correlation between pain rating and the coping subscale escape-avoidance. There was a significant negative correlation between pain rating and the coping subscale distancing.Results of the study indicated elderly individuals experiencing pain used several coping strategies. This finding is consistent with research involving elderly persons living in the community.<br>School of Nursing

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Davidson, Adam. "Performing "Hurt" : Aging, Disability, and Popular Music as Mediated Product and Lived-Experience in Johnny Cash's Final Recordings." Scholar Commons, 2018. http://scholarcommons.usf.edu/etd/7139.

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Sitting at a rarely examined intersection between aging, disability, and popular culture, this project explores how the aging body becomes the disabled body in the context of popular music. In what follows, I trouble the distinction between bodies and mediation, between lived-experience and cultural product, and I argue that the voice of the aging artist engages with his lived-experience even as he performs socially-constructed conceptions of aging and disability. I read Johnny Cash’s 2002 cover of Trent Reznor’s “Hurt” on American IV: The Man Comes Around as a performance of the singer’s age and disabled condition. Through pain- saturated lyrics, music filled with unresolved tension, a damaged voice, and a video that puts his aged body on display, Cash performs a disability script that presents his age and personal health as disabling burden. I explore how country music, Cash’s performance past, and strategies pursued by his producer, Rick Rubin, all contribute to a performance that is both successful popular song and a manifestation of the singer’s declining condition. The project invites subsequent explorations of the intersection of age and disability in popular music, and highlights several artists whose voices and performances of old age and disability demand attention. The project aligns with an interactive approach to disability research, breaking down the dialectic between social and individual priorities in disability studies and foregrounding how each influence the overall performance.

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Spring, Noah Z. "Effects of Dialectical Behavior Therapy Mindfulness Skills Training on Older Adults with Chronic Pain." Xavier University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1396715022.

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Davies, A. E. "Neurological normality in old age." Thesis, Queen's University Belfast, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.479275.

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Libri sul tema "Pain in old age"

Roy, Ranjan, ed. Chronic Pain in Old Age. Toronto: University of Toronto Press, 1995. http://dx.doi.org/10.3138/9781487580384.

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I, Mostofsky David, and Lomrants Yaakov, eds. Handbook of pain and aging. New York: Plenum Press, 1997.

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Saxon, Sue V. Pain management techniques for older adults. Springfield, Ill., U.S.A: C.C. Thomas, 1991.

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K, Weiner Debra, Herr Keela, and Rudy Thomas E, eds. Persistent pain in older adults: An interdisciplinary guide for treatment. New York: Springer Pub. Co., 2002.

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Brian, Smith R., Gurkowski Mary Ann, and Bracken Christopher A, eds. Anesthesia and pain control in the geriatric patient. New York: McGraw-Hill, Health Professions Division, 1995.

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International Association for the Study of Pain. Task Force on Pain in the Elderly. Pain in the elderly: A report of the Task Force on Pain in the Elderly of the International Association for the Study of Pain. Edited by Ferrell Betty and Ferrell Bruce A. 1954-. Seattle: IASP Press, 1996.

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R, Roy, ed. Chronic pain in old age: An integrated biopsychosocial perspective. Toronto: University of Toronto Press, 1995.

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Kuhlmey, Adelheid. Schmerz. Berlin: Walter de Gruyter GmbH & Co., KG, 2013.

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1941-, Ghose K., ed. Drug management of pain in the elderly. Lancaster: MTP Press, 1987.

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R, Fricton James, and Dubner Ronald, eds. Orofacial pain and temporomandibular disorders. New York: Raven Press, 1995.

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Capitoli di libri sul tema "Pain in old age"

Dunning, Trisha. "Managing pain." In Diabetes in Old Age, 456–69. Chichester, UK: John Wiley & Sons, Ltd, 2017. http://dx.doi.org/10.1002/9781118954621.ch32.

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Harkins, S. W., Belinda T. Lagua, D. D. Price, and Ralph E. Small. "7. Geriatric Pain." In Chronic Pain in Old Age, edited by Ranjan Roy, 127–63. Toronto: University of Toronto Press, 1995. http://dx.doi.org/10.3138/9781487580384-010.

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Thomas, Michael. "3. Pain among Healthy Elderly Individuals." In Chronic Pain in Old Age, edited by Ranjan Roy, 38–55. Toronto: University of Toronto Press, 1995. http://dx.doi.org/10.3138/9781487580384-006.

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Sorkin, Bruce A., and Dennis C. Turk. "4. Pain Management in the Elderly." In Chronic Pain in Old Age, edited by Ranjan Roy, 56–80. Toronto: University of Toronto Press, 1995. http://dx.doi.org/10.3138/9781487580384-007.

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Bakal, Donald, Peter Meiring, and Elaine Stokes. "11. Somatic Awareness and Pain Management." In Chronic Pain in Old Age, edited by Ranjan Roy, 215–30. Toronto: University of Toronto Press, 1995. http://dx.doi.org/10.3138/9781487580384-014.

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Melding, Pamela S. "Coping with Pain in Old Age." In Handbook of Pain and Aging, 167–84. Boston, MA: Springer US, 1997. http://dx.doi.org/10.1007/978-1-4899-0283-2_8.

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Ross, Margaret M., and Joan M. Crook. "1. Pain in Later Life: Present State of Knowledge." In Chronic Pain in Old Age, edited by Ranjan Roy, 1–19. Toronto: University of Toronto Press, 1995. http://dx.doi.org/10.3138/9781487580384-004.

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Cook, Andrew, and Ranjan Roy. "2. Attitudes, Beliefs, and Illness Behaviour." In Chronic Pain in Old Age, edited by Ranjan Roy, 20–37. Toronto: University of Toronto Press, 1995. http://dx.doi.org/10.3138/9781487580384-005.

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Roy, Ranjan. "5. Chronic Pain, the Elderly, and Family Therapy." In Chronic Pain in Old Age, edited by Ranjan Roy, 83–102. Toronto: University of Toronto Press, 1995. http://dx.doi.org/10.3138/9781487580384-008.

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Ferrell, Betit, and Lynne M. Rivera. "6. Cancer Pain: Impact on Elderly Patients and Their Family Caregivers." In Chronic Pain in Old Age, edited by Ranjan Roy, 103–24. Toronto: University of Toronto Press, 1995. http://dx.doi.org/10.3138/9781487580384-009.

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Atti di convegni sul tema "Pain in old age"

Das, Sujata. "Poster Abstract." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685400.

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Haemangiomas of the ovary are very rare neoplasms with a wide age range and present with pain lower abdomen and adenexal mass. Many a times this is an incidental finding on surgery. These neoplasms should be considered in the differential diagnosis of haemorragic ovarian lesion. A 48 yr old female presented to us with pain lower abdomen and adenexal mass. Her routine investigations were normal. Her tumour markers were S. LDH 213, CEA 1.72, CA 125 was 2.3. Ultrasound findings showed a well defined echogenic mass in left ovary measuring 6 x 3.4 cm with no ascitis. Her cervical cytological findings were with in normal limits. Staging laprotomy was done and a bilobed solid ovarian mass was identified on left side. TAH with BSO was done and specimen saved for histopathology that finally showed cavernous haemangioma of ovary. Post op recovery was uneventful with subsequent relief of pain.

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Lemos, Gabrielle Torres Oliveira, Gabriel das Chagas Benevenuto, Gabriela Guy Duarte, Bruno Alves Pinto, and Ivan Magalhães Viana. "The use of Botulinum toxin type A for the treatment of refractory chronic migraine." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.566.

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Background: Chronic migraine is a neurological disorder described as refractory to preventive treatments. Based on the PREEMPT study, the National Institute for Health and Clinical Excellence (NICE) and the FDA approved, in 2010, the use of Botulinum Toxin type A (BoNT/A) to treat refractory chronic migraine. Objectives: To review the effectiveness of the use of BoNT/A in the treatment of refractory migraine. Methods: Bibliographic review based on PubMed database, using the descriptors “migraine” and “botulinum toxin”. Clinical trials, meta-analyzes and randomized controlled tests, from the last five years, were defined as inclusion criteria. Results: Sanz et al., (2016) infiltrated BoNT/A in 69 patients - mean age 43 years old, 88.4% women, mean infiltration rate was 2,0. The reduction of headache days and pain intensity was 48.5% and 20.5%, respectively, both statistically significant (p <0.006). Ion et al., (2018) intervened 61 patients - mean age 50 years old, 87% women, mean infiltration of 3.5. 73% showed a reduction greater than 50% for the frequency of migraine episodes, 48% for headache days and 48% for drug use. Dodick et al., (2019) applied BoNT/A in 688 patients - 696 received placebo. The severity and frequency of pain showed a statistically significant reduction (p < 0.001) after the first week of treatment in relation to the control group. Conclusions: The use of BoNT/A to treat refractory chronic migraine proves to be effective, although there is need for studies with larger samples to ensure its effectiveness.

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Albuquerque, Júlia Elizabeth Nagrad de Farias, Byanka Eduarda Silva de Arruda, Fernando de Paiva Melo Neto, and Francisco Nêuton de Oliveira Magalhães. "Analysis of care in neurosurgery outpatient clinic in Paraíba." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.277.

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Background: Currently the public health system encompasses numerous demands, including in the neurology and neurosurgery sector. The wide outpatient search shows several symptoms, with pain being one of the most prominent. Objectives: To analyze the consultations performed in a neurosurgery clinic, aiming to understand the main demands found at secondary health care. Design and setting: Retrospective and descriptive study, conducted through the analysis of data from a neurosurgery outpatient clinic in the state of Paraíba Methods: Conducted through the analysis of data from 73 patients relative to a neurosurgery outpatient clinic, during the period between 11/24/2020 and 12/15/2020. The variables were: gender, age and diagnostic suspicion. Results: A predominance of females was found (65.7%) and, among all patients, the youngest patient was 8 years old and the oldest was 83 years old. Among the patients, it was possible to observe an important presence of Headache (28.7%), followed by Back Pain (17.7%) and Psychiatric disorders (6.9%), the other patients presented several diagnoses, such as Cerebellar Syndrome (1.37%) and Neoplasms (5.5%). There was found male predominance in Sequelae of Stroke, Parkinson’s Disease, Spinal Pathologies, Autism, Brachial Plexus Injury, Carpal Tunnel Syndrome and Complex Painful Syndrome. Furthermore, it was noted equivalence of occurrence in both sexes of Neuropathic Pain, Convulsion, Post- Herpetic Neuralgia and Trigeminal Neuralgia. Conclusion: The search for regional standards and their comparison to the world scenario is important to assist in clinical diagnosis, besides helping in the allocation of resources and studies.

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Kalla, Dinesh, and Arvind Chandrasekaran. "Heart Disease Prediction using Chi-Square Test and Linear Regression." In 9th International Conference on Artificial Intelligence. Academy and Industry Research Collaboration Center (AIRCC), 2023. http://dx.doi.org/10.5121/csit.2023.130712.

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Heart disease is most common disease reported currently in the United States among both the genders and according to official statistics about fifty percent of the American population is suffering from some form of cardiovascular disease. This paper performs chi square tests and linear regression analysis to predict heart disease based on the symptoms like chest pain and dizziness. This paper will help healthcare sectors to provide better assistance for patients suffering from heart disease by predicting it in beginning stage of disease. Chi square test is conducted to identify whether there is a relation between chest pain and heart disease cases in the United States by analyzing heart disease dataset from IEEE Data Port. The test results and analysis show that males in the United States are most likely to develop heart disease with the symptoms like chest pain, dizziness, shortness of breath, fatigue, and nausea. This test also shows that there is a week corelation of 0.5 is identified which shows people with all ages including teens can face heart diseases and its prevalence increase with age. Also, the tests indicate that 90 percent of the participant who are facing severe chest pain is suffering from heart disease where majority of the successful heart disease identified is in males and only 10 percent participants are identified as healthy. The evaluated p-values are much greater than the statistical threshold of 0.05 which concludes factors like sex, Exercise angina, Cholesterol, old peak, ST_Slope, obesity, and blood sugar play significant role in onset of cardiovascular disease. We have tested the dataset with prediction model built on logistic regression and observed an accuracy of 85.12 percent.

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Chithra, Sravani, Rahul Manchanda, Hena Kausar, Nidhi Jain, and Anshika lekhi. "Dermoid cyst in an 82-year-old woman: Can be non malignant: Its management." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685399.

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Dermoid cyst of ovary is the second most common type of ovarian germ cell tumor which constitutes 30 to 40% among ovarian tumors. It occurs mostly in women of reproductive age group between 20 and 40 years and very rarely in postmenopausal women. Postmenopause has its own set of symptoms and risks. One such risk is the possibility of malignancy of ovarian cyst with an incidence of 0.5 to 2%. We present an unusual and rare case of an 82 year old woman, who presented with complaints of pain abdomen and constipation for one year duration. Colonoscopy revealed diverticulitis. Despite being treated for diverticulitis, her symptoms persisted. CT was done which showed a right ovarian mass. Diagnostic laparoscopy was done and pus seen in the abdominal cavity was collected, bowel was distended, and dermoid cyst of ovary of 12 × 10 cm size which had undergone torsion three and a half times. Detorsion of ovary with right oophorectomy was done. Histopathology confirmed features of dermoid cyst with torsional changes in the wall and focal gangrene with no evidence of malignancy. Dermoid cyst occurs very rarely in postmenopausal women and treatment of choice is oophorectomy. Authors with this case highlight the proper management of ovarian dermoid cyst in symptomatic postmenopausal women.

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Subasinghe, S. M. N., W. D. D. M. Ranasinghe, and C. D. K. Dasanayake. "A Case Report: Nursing Interventions of a Patient with Type B Aortic Dissection." In SLIIT International Conference on Advancements in Sciences and Humanities 2023. Faculty of Humanities and Sciences, SLIIT, 2023. http://dx.doi.org/10.54389/znwl7527.

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Aortic dissection is a rare medical condition in which a tear of the aortic wall occurs. Type B aortic dissection occurs in the descending aorta and is a challenging medical emergency in the human circulatory system and may have serious complications such as renal failure, arterial dilatation or rupture, visceral branch hypo perfusion, and compromise of aneurism exclusion. Elderly patients greater than the age of 70 years with type B aortic dissection have the most striking mortality rate. A seventy-year-old woman with a history of acute aortic aneurysm began her illness with sudden onset generalized abdominal pain and back pain, vomiting, and loose stool and was admitted to the hospital. After careful analysis of the results of diagnostic tests, the patient was diagnosed with type B aortic dissection with kidney failure. Criteria to manage this patient with type B aortic dissection included reducing blood pressure on the aortic walls, relieving pain, and helping prevent tears from worsening. Nursing care provided for this patient included psychological support, close observation of vital signs and other discomforts to identify the signs of complications, administration of IV morphine infusion for relieving pain with the close observation, administration of medicine, and maintaining intake output of the patient to reduce blood pressure and prevent worsening of vascular and renal complications. All recommended management was continued but suddenly, the patient became unconscious and had a cardiac arrest. Even though maximal resuscitation efforts were taken, the patient died.

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Jongprasithporn, Manutchanok, Nantakrit Yodpijit, and Posawat Ketkratuk. "Analysis and Prevention of Office Syndrome of People in Thailand." In Human Systems Engineering and Design (IHSED 2021) Future Trends and Applications. AHFE International, 2021. http://dx.doi.org/10.54941/ahfe1001207.

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Office syndrome is dangerous in long-term health such as headache, eyes soreness, neckache, dizziness, chronic muscle pain, numbness around wrists or feet. In severe cases, it may cause the muscles to contract and hold tight. Therefore, understanding the cause can prevent the danger from this illness. The objectives of this research are to study the behaviors causing Office syndrome in Thai by evaluating the basic knowledge of Office syndrome and inform the useful information to prevent the danger of Office syndrome. 312 participants in the age range of 20-40 years answered the online questionnaire as a tool for data collection. The questionnaire is included 3 sections, 1) personal data, 2) the risks of Office syndrome in each person, and 3) basic knowledge of Office syndrome. The results showed that most of the research participants are female, age between 20-27 years old, and work 5-8 hours a day. 224 people are at a high risk of back pain from Office syndrome and only 83 people have received the basic knowledge of Office syndrome. There are 183 people aware of the Office syndrome symptom. This study found that some participants have well-knowledge about Office syndrome but some still misunderstanding the symptoms of the illness. Therefore, the organizations such as companies or schools should provide basic knowledge and quality Office equipment in workplaces to reduce the risks of Office syndrome and create good habits for their people.

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Savita, Pannu, and Khullar Harsha. "Two interesting cases of granulosa cell tumor: A case report." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685326.

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Introduction: Granulosa cell tumor (GCT) is an ovarian malignancy that arise from granulosa cells of the ovary. This tumour is a type of the sex cord-gonadal stromal tumour. GCT have good prognosis in comparison with other epithelial tumors. Methodology: Two cases of granulosa cell tumors were diagnosed in sir Ganga ram hospital, Rajendernagar, New Delhi in December 2015 and January 2016. The patient’s age, clinical manifestations, radiological and histopathological findings were evaluated. One was in perimenopausal age group and other case was in postmenopausal age group. The clinical manifestations were menorrhagia and abdominal pain. Ultrasonographically, in one case focal hypoechoic zone showing peripheral hypervascularity with possibility of old hemorrhage follicular cyst was seen and in other case of granulosa cell tumors was both solid and cystic areas were seen. Histologically, variety of patterns like diffuse, trabecular, nodular, sheets, nests and fascicular patterns with nuclear grooving in ovarian tissue. In addition endometrial findings were suggestive of simple hyperplasia without atypia. Treatment modalility used was surgery i.e., Total hysterectomy and bilateral salpingo-oophorectomy in both cases. Conclusion: Granulosa cell tumor of the ovary is a rare ovarian malignancy. Endometrial pathology to rule out endometrial carcinomaspecially when postmenopausal bleeding is concomitant finding is advised. Radical surgery is usually not required.

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Introduction: Granulosa cell tumor (GCT) is an ovarian malignancy that arise from granulosa cells of the ovary. This tumour is a type of the sex cord-gonadal stromal tumour. GCT have good prognosis in comparison with other epithelial tumors. Methodology: Two cases of granulosa cell tumors were diagnosed in sir Ganga ram hospital, Rajender Nagar, New Delhi in December 2015 and January 2016. The patient’s age, clinical manifestations, radiological and histopathological findings were evaluated. One was in perimenopausal age group and other case was in postmenopausal age group. The clinical manifestations were menorrhagia and abdominal pain. Ultrasonographically, in one case focal hypoechoic zone showing peripheral hypervascularity with possibility of old hemorrhage follicular cyst was seen and in other case of granulosa cell tumors was both solid and cystic areas were seen. Histologically, variety of patterns like diffuse, trabecular, nodular, sheets, nests and fascicular patterns with nuclear grooving in ovarian tissue. In addition endometrial findings were suggestive of simple hyperplasia without atypia. Treatment modalility used was surgery i.e. Total hysterectomy and bilateral salpingo-oophorectomy in both cases. Conclusion: Granulosa cell tumor of the ovary is a rare ovarian malignancy. Endometrial pathology to rule out endometrial carcinoma specially when postmenopausal bleeding is concomitant finding is advised. Radical surgery is usually not required.

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Silva, Eliéth Cruz Mágno, Alessandra Cristina de Almeida Romão, and Emmanuele Celina Souza dos Santos. "Physiotherapy intervention in labor: Development and validation of a care protocol." In V Seven International Multidisciplinary Congress. Seven Congress, 2024. http://dx.doi.org/10.56238/sevenvmulti2024-105.

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The Ministry of Health encourages the implementation of public health policies that promote humanized normal birth, such as Rede Cegonha and the National Policy for the Humanization of Childbirth and Birth. Physiotherapeutic intervention in obstetric care values the autonomy of the parturient woman, through the active use of the body, guidance on the pelvic floor muscles, positioning, pain relief methods with transcutaneous electrical stimulation, breathing exercises and pelvic mobility. Therefore, the objective was to develop a physiotherapy care protocol in labor. This is a methodological study with a qualitative approach, of the Convergent Care Research type, which consists of combining research with care practice. The research was carried out at Santa Casa de Misericórdia do Pará, a reference in the care of high-risk pregnant women. The setting was the institution's delivery room. Ten postpartum women in labor, older 18 years old, with a gestational age equal to or greater than 37 weeks, in a usual risk pregnancy. The postpartum women who participated in the protocol reported that the birth experience was better than the previous ones due to the intervention carried out with pelvic exercises and pain relief with the transcutaneous electrical stimulation device, which helped at this time, both for safety and pain relief. pain. And, with the implementation of the protocol in the institution, we sought to strengthen the role of this professional in the birth scenario, where the protocol strengthened and improved the category's practice. The suggested protocol for the humanization of the hospital was related to the elaboration and validation of physiotherapy assistance, which was of quality, defined and publicized the mission and appreciation of this professional.

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Rapporti di organizzazioni sul tema "Pain in old age"

Pereira, João, André Moreira, Joana Azevedo, David Ferreira, Elisabete Ribeiro, Pedro Varanda, and Luís Rodrigues. Application of Tenodesis for an Extremely Rare Hand Extensor Injury in an Athlete: A Case Report. Science Repository, April 2024. http://dx.doi.org/10.31487/j.ijscr.2024.01.03.

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Spontaneous tendon ruptures of the wrist are a rare pathology, usually secondary to rheumatoid arthritis or distal radius fractures and most commonly evolving the extensor pollicis longus. Sport-related etiology is a growing tendency of this pathology. As far as the authors know, this is one of the first sport-related extensor carpi radialis brevis (ECRB) isolated spontaneous rupture described in the literature. We describe a case of a 41 year-old female amateur kickboxer who developed acute dorsal radial pain in the right wrist during practice. After attempting conservative treatment for 4 months with rest and NSAIDs she recurred at our clinic. Local pain at dorsal wrist extension was observed. MRI demonstrated an isolated ECRB rupture with associated fibrous tissue proximal to the extensor retinaculum. Surgical management was proposed and consisted of fibrous tissue debridement and ECRB-ECRL tenodesis. At 3 months of follow-up the patient reported return-to-play with impaired wrist motion and mild pain at maximum wrist extension. At 12 months of follow-up the patient was completely recovered and asymptomatic. Isolated tendon ruptures are a rare pathology, causing extreme pain and disability in the sport setting. Surgical management of this ECRB tendon rupture by tenodesis allowed for appropriate pain control and functional results and early return-to-play.

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Saleem, Athary, Saqer Alenezi, Nimer Al-Shadidi, and Khaleel Mohammad. Pyogenic Hepatic Abscess Formation after Roux-En-Y Gastric Bypass: A Case Report and Literature Review of an Infrequently Encountered Postoperative Complication. Science Repository, April 2024. http://dx.doi.org/10.31487/j.ajscr.2024.01.03.

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Introduction and Importance: Pyogenic liver abscess (PLA) is an uncommon postoperative complication of Roux-en-Y gastric bypass (RYGB). Radiological investigations such as abdominal ultrasonography (USG) and computed tomography (CT) are crucial to evaluate and diagnose intra-abdominal abscesses, especially hepatic collections. Case Presentation: A 66-year-old female patient with multiple comorbidities, including urticaria requiring monoclonal antibody therapy (humera). She underwent an uneventful RYGB to treat her weight regain and reflux after a prior sleeve gastrectomy and presented with diffuse abdominal pain. This occurred on postoperative day 23 after the patient was discharged home. Patient evaluation was initiated by physical examination, laboratory investigations, and radiological diagnostic tools. Chest and abdominal X-rays together with abdominal ultrasonography were unremarkable. Then, abdominal computed tomography (CT) scans with IV contrast were done, and a liver abscess was detected. Image-guided percutaneous transhepatic liver abscess drainage through pigtail drain placement was performed. The patient’s response was evaluated by serial abdominal CT scans. The liver abscess was successfully treated by percutaneous drainage for 5 weeks and IV antibiotic therapy. Clinical Discussion: PLA is a rare entity that might occur after gastro-intestinal surgery such as Roux-en-Y gastric bypass. Patients with a history of immunosuppressive therapy may be at increased risk of this complication. This life-threatening complication can be prevented by treating liver abscesses early on by utilizing imaging-guided drainage and intravenous antibiotics. Conclusion: Due to the unusual etiologic origin of hepatic abscess post-RYGB, we report the case of a 66-year-old female with diffuse abdominal pain, which was found to be caused by PLA.

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Alenezi, Ali, Athary Saleem, Hamad Alajmi, Dalal Al Husainan, Odai Al Shadifat, and Ahmed Bader. Intraoperatively Diagnosed Double Cystic Duct During Laparoscopic Cholecystectomy: A Case Report of a Surgical Dilemma for the Operating Surgeons. Science Repository, April 2024. http://dx.doi.org/10.31487/j.ajscr.2024.01.04.

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Introduction and Importance: A double cystic duct with a single gallbladder is one of the extremely uncommon variations of the cystic duct and only a few cases were reported in literature. Case Presentation: A 33-year-old female, with an unremarkable medical history, presented to the emergency department with a 2-day history of right upper quadrant abdominal (RUQ) pain. The abdominal pain was gradually increasing in intensity radiating to the back and was associated with anorexia and multiple episodes of vomiting. Abdominal examination revealed RUQ pain and tenderness. Abdominal ultrasonography was performed, showing a markedly distended gallbladder with evidence of a few calculi one of which was impacted at the neck. laparoscopic cholecystectomy was done within 2 days of admission during which another luminal structure was identified that suggested a double cystic duct. Clinical Discussion: Anomalies of the biliary tree are common with the classical anatomical picture presenting in only 33% of cholecystectomy cases. However, the presence of a double cystic duct is a rare variation, especially in the case of a single gallbladder. The identification of such anomaly can be achieved preoperatively using imaging modalities or it can be identified during the surgical procedure itself. such identification reduces the chances of postoperative comorbidities. Conclusion: Pre-operative identification of biliary tract anomalies by different imaging modalities is limited. Hence the importance of cautiousness and achieving a proper critical view of safety intra-operatively to prevent possible complications intra- and post-operatively. Our case report emphasizes the diagnostic and surgical challenges of the double cystic duct.

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Kumar, Amit, Sourabh Singh, Rashmi Verma, and Mohd Yunus. Eviscerated Socket Challenge: Managing Orbital Myiasis in Emergency. Science Repository, February 2024. http://dx.doi.org/10.31487/j.ijscr.2024.01.02.

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Maggots, larvae of diptera flies, thrive in environments with feces and decaying matter. They may infest vertebrates, causing myiasis. Human cases are sporadic and prevalent in rural areas. Orbital myiasis is the most severe form, encompassing extensive infestation of orbital tissue and progressing rapidly, potentially destroying orbital tissues within days. A 38-year-old male presented with severe pain and swelling in his right eye for six months, which increased over the past ten days. Ophthalmic examination revealed no light perception in the right eye, with redness, edema, and a 6 × 4 cm wound filled with larvae. CT and MRI scans confirmed orbital myiasis, leading to exenteration and successful removal of 301 larvae-the patient was diagnosed with necrotizing fasciitis. Parasite examination identified chrysomya species. Diverse management in ophthalmomyiasis, with successful single-extraction and oral ivermectin use, underscores tailored approaches. Reported cases aid understanding, emphasizing early identification and vigilance.

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De Nardi, Mariacristina, Eric French, and John Bailey Jones. Medicaid Insurance in Old Age. Cambridge, MA: National Bureau of Economic Research, June 2013. http://dx.doi.org/10.3386/w19151.

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Fetter, Daniel, and Lee Lockwood. Government Old-Age Support and Labor Supply: Evidence from the Old Age Assistance Program. Cambridge, MA: National Bureau of Economic Research, March 2016. http://dx.doi.org/10.3386/w22132.

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De Nardi, Mariacristina, Eric French, and John Bailey Jones. Life Expectancy and Old Age Savings. Cambridge, MA: National Bureau of Economic Research, January 2009. http://dx.doi.org/10.3386/w14653.

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Blundell, Richard, Margherita Borella, Mariacristina De Nardi, and Jeanne Commault. Old age risks, consumption, and insurance. The IFS, March 2023. http://dx.doi.org/10.1920/wp.ifs.2023.1223.

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Zimmer, Zachary, Linda Martin, and Hui-Sheng Lin. Determinants of old-age mortality in Taiwan. Population Council, 2003. http://dx.doi.org/10.31899/pgy6.1087.

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Hardy, Barbara. Reminiscence, Disengagement, and Morale in Old Age. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.1564.

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