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The process of selecting a patient for a specific procedure should be performed by the Interventional Radiologist but should be validated in a multidisciplinary approach. Moreover, the objective of a procedure, including the expected outcome and possible adverse events and complications should clearly be explained to the patient.Percutaneous osteoplasty techniques include cement injection either solely performed or in combination to hardware such as cannulated screws, peek implants or other metallic hardware including micro-needles and Kirschner wires. Depending on bone and local forces applied, fracture and osseous defect characteristics as well as symptoms and operator's preference percutaneous osteoplasty techniques include cementoplasty, fixation by internal cemented screw and augmented osteoplasty. Literature data support efficacy and safety of these techniques, focusing mainly on the minimal invasive nature of these approaches along with minimum overall morbidity and mortality and an impressive pain reduction effect. Percutaneous osteoplasty techniques in the peripheral skeleton are indicated for pain palliation or for prevention of impeding pathologic fractures. Although safe, osteoplasty techniques are not without risk of complications and adverse events. Complications are classified based either upon clinical impact or timing of occurrence; complications' reviewing and grading should be performed on terms of a uniform and accurate reproducible and validated categorization system. Significant factors for avoiding complications in percutaneous osteoplasty techniques include proper training, patient- and lesion-tailored approach, high-quality imaging guidance, sterility as well as appropriate selection of technique and materials. The present article reports the possible complications of percutaneous osteoplasty techniques and reviews the prerequisites necessary for avoiding and managing these adverse events.Osteoplasty is a minimally invasive imaging-guided intervention providing mechanical stabilization, bone consolidation and pain relief in oncologic patients presenting with non-osteoblastic bone metastases or with insufficiency fractures. The intervention relies on the injection of an acrylic substance (ie, polymethylmethacrylate; PMMA) into the target bone. PMMA is very resistant to axial compressive loads but much less to bending, torsional and shearing stresses. Accordingly, from a biomechanical standpoint osteoplasty is adapted for the palliative treatment of small painful lytic bone defects located in the epiphyseal region of long bones in patients with clear surgical contraindications; or for increasing the anchoring of the osteosynthesis material into the target bone. Although pain relief is rapid and effective following osteoplasty, secondary fractures have been reported in up to 8-9% of long bone tumors undergoing such intervention; and following such event, fixation with endomedullary osteosynthetic material (eg, nailing) is not practicable any more. Accordingly, careful patients' selection is critical and should happen with a multidisciplinary approach.

Previous studies show that persons with a migration background (PwM) caring for a family member with dementia often experience access barriers to formal care services, and that family carers often perform the lion's share of care. Yet research offering a detailed account on their experiences of dementia care-sharing is sparse. In this paper, we respond to this knowledge gap by exploring how different social categories impact on practices of care-sharing in our participants and their families.

A qualitative study of six PwM who provide care for a family member with dementia was conducted through two methods semi-structured, life-story interviews followed by "shadowing" our participants in their daily lives. We were guided by intersectionality as an analytical lens in exploring the multifaceted experiences of care-sharing.

Throughout our analysis, intersections of migration history and social class stood out the most. We elucidate how they influence the attainment of necessary skills to organize and share care-tasks as well as perceptions of "good care." Additionally, our findings illustrate how one's position within the family, the presence or absence of supportive social networks, religion, gendered care norms, and relationship to the care-recipient are relevant to experiences of care-sharing.

Rather than overemphasizing ethnicity and culture, practice and policy should take into account that intersections of various social categories affect care-sharing and the type of support that is (or is not) organized.

Rather than overemphasizing ethnicity and culture, practice and policy should take into account that intersections of various social categories affect care-sharing and the type of support that is (or is not) organized.Research has established the importance of understanding the dynamic relationship between older adults and the environments in which they are embedded. However, the meaning of place for unhoused older adults amidst an increasingly contested urban landscape is largely unknown. This exploratory study aims to further include unhoused older adults' experiences in the scholarship on aging and place by asking how unhoused adults over age 50 (1) describe their spatial patterns and experiences and (2) negotiate their relationship with common urban places. Through iterative mapping conducted in focus groups and interviews at Seattle senior centers, respondents identified how they interacted with their communities and environment. Using inductive and deductive coding of both textual and geospatial data, thematic analysis indicated that respondents (1) experienced confinement to the downtown corridor and expulsion from surrounding areas- a phenomenon compounded by physical and subjective aging; (2) created routines amidst geographic and temporal restrictions to maximize comfort and security; (3) attempted to create residential normalcy in public places through adaptive and accommodative practices; and (4) experienced identities shaped by movement through and access to place. Current social, spatial, and political contexts of city living present many challenges for older unhoused adults. Supports that ignore people's identification with the places that are important to them are unlikely to be successful. Findings from this paper call for service, policy, and design strategies that facilitate personal agency and connection to place among unhoused people midlife and beyond.This article explores how older Canadian LGBTQ+ persons' gender and sexual identities evolved over time and were influenced by language, role models, and significant others. We draw on data from a qualitative interview study with 30 LGBTQ+ older adults. We analyze our data thematically, finding three overarching themes, namely a) Lacking language and role models, b) Drawn and pushed out of the closet, and c) Current fluidities and future concerns. Our participants reported that, earlier in life, they had lacked language or positive frameworks with which to make sense of their identities. Upon finding language and role models, all but one eventually came out or transitioned, often after consulting trusted others, experimenting in secret, leading double lives, and/or finding same-sex love. Many were fearful that as they aged, they might once again lose their abilities to openly claim their gender and sexual identities. We discuss our findings in relation to queer theory and the LGBTQ+ aging literature.It is well recognized that transportation is a barrier to healthcare access for rural-dwelling residents, particularly older adults. Healthcare restructuring initiatives seldom take into consideration the complexity of transportation, which acts as a barrier to appropriate and timely access to healthcare services for older adults in rural communities. This article presents findings of a qualitative research study that explored the complex nature of transportation challenges that rural-dwelling older adults experience in Western Canada when trying to access primary and community care services. Data were derived from a larger study of service user views on a healthcare restructuring initiative intended to facilitate aging-in-place. We conducted 15 focus groups and 9 interviews with a diverse sample of 83 older adults living in one urban centre and nine rural and small rural towns in British Columbia (BC)'s interior. We used content analysis to determine codes and derive themes. Study findings showed that transportation was a top priority for improving primary and community care. Older adult participants identified a range of transportation challenges in trying to get to healthcare services and care providers getting to them. Transportation was a social determinant of health (SDOH) for all participants, regardless of whether they lived in the urban centre or in a rural or small rural town. Our study provides more evidence to support that transportation is a key SDOH for rural-dwelling older adults. As such, transportation should be specifically addressed in healthcare restructuring initiatives that aim to support aging-in-place. Service providers need to advocate for system-wide solutions such as integrating transportation into the healthcare system, while it is imperative that decision-makers act on these solutions.This paper presents a critique and proposes a reformulation of the concept of subjective age. It questions the nature of 'subjectivity' used in framing the concept and the consequent failure to distinguish between 'subjectivity' and 'self-identity'. I argue that age is not easily framed as a phenomenal (for-me) experience and that it is at least questionable whether aging or agedness possess what might be termed a 'first-person' subjectivity. What is usually referred to as 'subjective age' can be better understood as an aspect of an individual's self-categorisation or self-schema, derived less from its experiential aspect than from its widespread use as an identifier of people's social being - their they-self. Understood as part of a person's self-schema, 'subjective age' is less a subjective than an inter-subjective construct, reflecting one's place in society. Many of the correlates and consequences of 'subjective age' reflect a more general self-evaluation, derived from the network of inter-subjective relations in both system and life world experience, rather than the phenomenal experiences of embodied age. find more Integrating research on self-categorisation and social identity with 'self-perceived' age offers a clearer conceptual base from which to study subjective age, leaving the thornier question of the subjectivity of age to students of aging in the humanities and human sciences.Negative messages about aging dominate public discourse about the COVID-19 pandemic as older adults have been classified as members of a "vulnerable" population due to their chronological age. To explore young adults' feelings about aging before and after the emergence of COVID-19, we collected 794 qualitative questionnaires during the fall of 2017 and another 463 responses during the fall of 2020. We drew on the concepts of age-based stereotypes and future selves to guide our thematic analysis of the data. Findings captured young adults' feelings about aging at two distinct points in time and demonstrate the complex ways the communication contributed to shifting feelings about aging. In doing so, we highlight the role that portrayals of aging play in shaping young adults' feelings about aging and their perception of their future selves. These findings offer conceptual contributions about communication, context, and aging.