According to both scales, frailty was strongly associated with cognitive impairment, depressive mood, and malnutrition in the community-dwelling Turkish elderly population.

An adequate muscle mass may not mean a reliable muscle function. Muscle function may describe sarcopenia better compared with muscle mass. The CC, MAMC and 4 m WS cut-offs may be used to assess sarcopenia in certain age groups.

Purpose: To assess cultural competence among nursing students from nine countries to provide an international perspective on cultural competence. Design: A descriptive, cross-sectional design. Methods: A convenience sample of 2,163 nursing students from nine countries was surveyed using the Cultural Capacity Scale from April to November 2016. Results: The study found a moderate range of cultural competence among the students. The ability to teach and guide other nursing colleagues to display culturally appropriate behavior received the highest competence rating, while the ability to discuss differences between the client's health beliefs or behaviors and nursing knowledge with each client received the lowest competence rating. Differences in cultural competence were observed between students from different countries. Country of residence, gender, age, year of study, attendance at cultural-related training, the experience of taking care of patients from culturally diverse backgrounds and patients belonging to special population groups, and living in a multicultural environment were identified as factors affecting cultural competence. Conclusions: The international perspective of cultural competence among nursing students provided by this study serves as a vital preview of where nursing education currently stands in terms of providing the necessary preparatory competence in the cultural aspect of care. The variation of cultural competence among nursing students from different nations should serve as a cue for designing a focused yet multimodal nursing education program in guiding them to be culturally sensitive, culturally adaptive, and culturally motivated.

Background/aim: The increased rate of elderly individuals in the general population leads to functional decline because of cognitive impairment (CImp). We aimed to detect the prevalence of CImp and related risk factors in community-dwelling elders living in an urban area (Kayseri, Turkey).Materials and methods: This is a cross-sectional, population-based study conducted in a sample of 900 community-dwelling elders aged 60 years and older. Cognitive status and depressive symptoms were assessed by standardized Mini Mental State Examination (MMSE) and the Geriatric Depression Scale (GDS), respectively. Results:The mean age of the participants was 71.6 ± 0.18 years, of whom 47.9% were female. Prevalences of CImp and depressive symptoms were 26.1% and 24.9%, respectively. Female sex, illiteracy, low income, increased age, being a housewife, being a nonsmoker, being depressive, being single, and having more than four children were significantly related with CImp based on univariate logistic regression analysis. However, in multivariate logistic regression analysis, it was found that being illiterate, being depressive, and having an increased number of children were determinants of CImp in the elderly. Self-reported chronic diseases were not detected as risk factors for CImp. Conclusion:Increasing socioeconomic status and education levels and preventing depression should be accepted as primary protective measures for CImp.

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