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P2‐051: Cardiovascular autonomic dysfunction in dementia
Author(s) -
Choi Seong H.,
Kim Sung R.,
Kim SoHyun,
Ha ChoongKun
Publication year - 2009
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2009.04.361
Subject(s) - medicine , valsalva maneuver , dysautonomia , orthostatic vital signs , blood pressure , cardiology , heart rate , dementia , dementia with lewy bodies , orthostatic intolerance , anesthesia , disease
Background: Learning digital instruments is to democratize access to daily technology, include elder people in the information society and preserve independence, autonomy and citizenship. Methods: Forty workshops (130 hours) with 46 communities elder people above 60 years using digital instruments in Local Area Network Houses, between 2004 and 2006, in São Paulo city and Florianópolis city, Brazil. Sociodemographic, health, cognitive and functional variables were measured and compared to learning time of: mouse, electronic games, browser and e-mail. Kaplan-Meier curves were plotted to analyze learning time. Statistical differences between the covariates were evaluated by log-rank test. The impact of covariates on learning time was analyzed by Cox proportional risk model, in SPSS software. Results: The average age was 73 years with 4,2 pathologies per person, 9,1 years of scholarship, 26% presented falls in the last 6 months. The mean learning time (in hours) for ‘‘basic use of the mouse’’ was 8,5 (CI95%:6,610,5), for ‘‘game use’’ was 10,0 (CI95%:6,8-13,2), for ‘‘browser use’’ was 16,0 (CI95%:11,8-20,2) and for ‘‘e-mail use’’ was 27,0 (CI95%:24,629,4). Hypertension, diabetes and falls in the last 6 months were not significant variables even in the bivariate analysis. More than 3 pathologies, more than 3 continuous medications, dislipidemia, hypotiroidism, activities of the daily living losses and low scholarship had no independent significance for the outcomes studied. The cognitive status was an independent factor related to learning time of mouse, games and browser. Age above 75 years and cognitive status were independent factors related to e-mail use. Conclusions: Modifiable factors that influence learning time of elder people must be screened and treated to promote access to the information society by elder people. The ability to conquer new proficiencies is a characteristic of healthy elder people.