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Sample records for billion years older

  1. Atmospheric oxygenation three billion years ago

    DEFF Research Database (Denmark)

    Crowe, Sean; Døssing, Lasse Nørbye; Beukes, Nicolas J.;

    2013-01-01

    It is widely assumedthat atmospheric oxygen concentrations remained persistently low (less than 1025 timespresent levels) for about the first 2 billion years of Earth’s history1. The first long-term oxygenation of the atmosphere is thought tohave taken place around2.3 billion years ago, during th...

  2. Atmospheric oxygenation three billion years ago.

    Science.gov (United States)

    Crowe, Sean A; Døssing, Lasse N; Beukes, Nicolas J; Bau, Michael; Kruger, Stephanus J; Frei, Robert; Canfield, Donald E

    2013-09-26

    It is widely assumed that atmospheric oxygen concentrations remained persistently low (less than 10(-5) times present levels) for about the first 2 billion years of Earth's history. The first long-term oxygenation of the atmosphere is thought to have taken place around 2.3 billion years ago, during the Great Oxidation Event. Geochemical indications of transient atmospheric oxygenation, however, date back to 2.6-2.7 billion years ago. Here we examine the distribution of chromium isotopes and redox-sensitive metals in the approximately 3-billion-year-old Nsuze palaeosol and in the near-contemporaneous Ijzermyn iron formation from the Pongola Supergroup, South Africa. We find extensive mobilization of redox-sensitive elements through oxidative weathering. Furthermore, using our data we compute a best minimum estimate for atmospheric oxygen concentrations at that time of 3 × 10(-4) times present levels. Overall, our findings suggest that there were appreciable levels of atmospheric oxygen about 3 billion years ago, more than 600 million years before the Great Oxidation Event and some 300-400 million years earlier than previous indications for Earth surface oxygenation.

  3. 10 billion years of massive Galaxies

    NARCIS (Netherlands)

    Taylor, Edward Nairne Cunningham

    2009-01-01

    The most massive galaxies in the local universe are not forming new stars -- but we don’t know why. As a step towards figuring out why big galaxies stop forming stars, we set out to measure when they stop forming stars. By looking at the colors of massive galaxies have changed over 10 billion year

  4. Origins fourteen billion years of cosmic evolution

    CERN Document Server

    Tyson, Neil deGrasse

    2004-01-01

    Origins explores cosmic science's stunning new insights into the formation and evolution of our universe--of the cosmos, of galaxies and galaxy clusters, of stars within galaxies, of planets that orbit those stars, and of different forms of life that take us back to the first three seconds and forward through three billion years of life on Earth to today's search for life on other planets. Drawing on the current cross-pollination of geology, biology and astrophysics, Origins explains the thrilling daily breakthroughs in our knowledge of the universe from dark energy to life on Mars to the mysteries of space and time. Distilling complex science in clear and lively prose, co-authors Neil deGrasse Tyson and Donald Goldsmith conduct a galvanising tour of the cosmos revealing what the universe has been up to while turning part of itself into us.

  5. Life: the first two billion years.

    Science.gov (United States)

    Knoll, Andrew H; Bergmann, Kristin D; Strauss, Justin V

    2016-11-05

    Microfossils, stromatolites, preserved lipids and biologically informative isotopic ratios provide a substantial record of bacterial diversity and biogeochemical cycles in Proterozoic (2500-541 Ma) oceans that can be interpreted, at least broadly, in terms of present-day organisms and metabolic processes. Archean (more than 2500 Ma) sedimentary rocks add at least a billion years to the recorded history of life, with sedimentological and biogeochemical evidence for life at 3500 Ma, and possibly earlier; phylogenetic and functional details, however, are limited. Geochemistry provides a major constraint on early evolution, indicating that the first bacteria were shaped by anoxic environments, with distinct patterns of major and micronutrient availability. Archean rocks appear to record the Earth's first iron age, with reduced Fe as the principal electron donor for photosynthesis, oxidized Fe the most abundant terminal electron acceptor for respiration, and Fe a key cofactor in proteins. With the permanent oxygenation of the atmosphere and surface ocean ca 2400 Ma, photic zone O2 limited the access of photosynthetic bacteria to electron donors other than water, while expanding the inventory of oxidants available for respiration and chemoautotrophy. Thus, halfway through Earth history, the microbial underpinnings of modern marine ecosystems began to take shape.This article is part of the themed issue 'The new bacteriology'.

  6. Cosmic rays and the biosphere over 4 billion years

    DEFF Research Database (Denmark)

    Svensmark, Henrik

    2006-01-01

    Variations in the flux of cosmic rays (CR) at Earth during the last 4.6 billion years are constructed from information about the star formation rate in the Milky Way and the evolution of the solar activity. The constructed CR signal is compared with variations in the Earths biological productivity...... as recorded in the isotope delta C-13, which spans more than 3 billion years. CR and fluctuations in biological productivity show a remarkable correlation and indicate that the evolution of climate and the biosphere on the Earth is closely linked to the evolution of the Milky Way....

  7. The nuclear interaction at Oklo 2 billion years ago

    CERN Document Server

    Fujii, Y; Fukahori, T; Ohnuki, T; Nakagawa, M; Hidaka, H; Oura, Y; Møller, P; Fujii, Yasunori; Iwamoto, Akira; Fukahori, Tokio; Ohnuki, Toshihiko; Nakagawa, Masayuki; Hidaka, Hiroshi; Oura, Yasuji; Moller, Peter

    2000-01-01

    We re-examine Shlyakhter's effort to constrain the time-variability of the coupling constants of the fundamental interactions by studying the anomalous isotopic abundance of Sm observed at the remnants of the natural reactors which were in operation at Oklo about 2 billion years ago. We rely on new samples that were carefully collected to minimize natural contamination and also on a careful temperature estimate of the operating reactor. We find that our result almost re-establishes the original conclusion; the upper bounds on the fractional rate of change of the strong and electromagnetic interaction coupling constants are 10^{-18}-10^{-19} y^{-1} and 10^{-17} y^{-1}, respectively. To reinforce the results obtained from Sm, we also applied our analysis to Gd, for which it was essential to take into account the effect of contamination.

  8. Increased subaerial volcanism and the rise of atmospheric oxygen 2.5 billion years ago.

    Science.gov (United States)

    Kump, Lee R; Barley, Mark E

    2007-08-30

    The hypothesis that the establishment of a permanently oxygenated atmosphere at the Archaean-Proterozoic transition (approximately 2.5 billion years ago) occurred when oxygen-producing cyanobacteria evolved is contradicted by biomarker evidence for their presence in rocks 200 million years older. To sustain vanishingly low oxygen levels despite near-modern rates of oxygen production from approximately 2.7-2.5 billion years ago thus requires that oxygen sinks must have been much larger than they are now. Here we propose that the rise of atmospheric oxygen occurred because the predominant sink for oxygen in the Archaean era-enhanced submarine volcanism-was abruptly and permanently diminished during the Archaean-Proterozoic transition. Observations are consistent with the corollary that subaerial volcanism only became widespread after a major tectonic episode of continental stabilization at the beginning of the Proterozoic. Submarine volcanoes are more reducing than subaerial volcanoes, so a shift from predominantly submarine to a mix of subaerial and submarine volcanism more similar to that observed today would have reduced the overall sink for oxygen and led to the rise of atmospheric oxygen.

  9. Gamma-ray blazars within the first two billion years

    Science.gov (United States)

    Ajello, Marco; Paliya, Vaidehi; Gasparrini, Dario; Ojha, Roopesh; Fermi-LAT Collaboration

    2017-01-01

    MeV blazars, with a high-energy peak in the MeV band, are the most powerful persistent sources in the Universe, exhibiting larger-than-average jet powers, accretion luminosities, and black hole masses. Their detection above redshift 3 has the power to constrain the formation mechanism of heavy black holes. Here we report the first detection with the Fermi Large Area Telescope of gamma-ray emitting blazars beyond redshift 3. The newly detected objects have black-hole masses in excess of 1 billion solar masses and very prominent disk and gamma-ray emission. We will discuss the new finding within the context of blazar evolution and the disk-jet connection in powerful jetted AGN.

  10. Fiscal Deficit Will Be Cut Down RMB19.8 Billion This Year

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

      When delivering the government work report on March5, Premier Wen Jiabao said,"China will carry out the stable fiscal policy this year and cut down the fiscal deficit accordingly, plan to arrange a central fiscal deficit of RMB300 billion,which is RMB19.8 billion less than last year."……

  11. Fiscal Deficit Will Be Cut Down RMB19.8 Billion This Year

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    @@ When delivering the government work report on March5, Premier Wen Jiabao said,"China will carry out the stable fiscal policy this year and cut down the fiscal deficit accordingly, plan to arrange a central fiscal deficit of RMB300 billion,which is RMB19.8 billion less than last year."

  12. A Billion-Year Facelift and Cleaner Air

    Directory of Open Access Journals (Sweden)

    2001-01-01

    Full Text Available Science leads the first (or is it second? year of the millennium with a story about a facelift for Jupiter’s moon, Ganymede. Nature leads with a story about new regulations on diesel-powered vehicles in the U.S.

  13. Galaxies in the First Billion Years After the Big Bang

    Science.gov (United States)

    Stark, Daniel P.

    2016-09-01

    In the past five years, deep imaging campaigns conducted with the Hubble Space Telescope (HST) and ground-based observatories have delivered large samples of galaxies at 6.546 UV-selected galaxies are relatively compact with blue UV continuum slopes, low stellar masses, and large specific star formation rates. In the last year, ALMA (the Atacama Large Millimeter Array) and ground-based infrared spectrographs have begun to complement this picture, revealing minimal dust obscuration and hard radiation fields, and providing evidence for metal-poor ionized gas. Weak low-ionization absorption lines suggest a patchy distribution of neutral gas surrounds O and B stars, possibly aiding in the escape of ionizing radiation. Gamma ray burst afterglows and Lyman-α surveys have provided evidence that the intergalactic medium (IGM) evolves from mostly ionized at z≃6-6.5 ([Formula: see text]) to considerably neutral at z≃7-8 ([Formula: see text]). The reionization history that emerges from considering the UV output of galaxies over 64 mag below current surveys and a moderate fraction ([Formula: see text]) of ionizing radiation escapes from galaxies.

  14. XNMG’s Reserves Increase over RMB 230 Billion in 4 Years

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    <正>The 100 million tons of proven iron ore in south Xinjiang marks the successful conclusion of mineral exploration of Xinjiang Nonferrous Metals Group (XNMG) this year. It enables XNMG’s potential economic value of newlyincreased resources to exceed RMB 230 billion since implementation of the strategy of geological prospecting and resource consolidation,

  15. Two billion years of magmatism recorded from a single Mars meteorite ejection site

    Science.gov (United States)

    Lapen, Thomas J.; Righter, Minako; Andreasen, Rasmus; Irving, Anthony J.; Satkoski, Aaron M.; Beard, Brian L.; Nishiizumi, Kunihiko; Jull, A. J. Timothy; Caffee, Marc W.

    2017-01-01

    The timing and nature of igneous activity recorded at a single Mars ejection site can be determined from the isotope analyses of Martian meteorites. Northwest Africa (NWA) 7635 has an Sm-Nd crystallization age of 2.403 ± 0.140 billion years, and isotope data indicate that it is derived from an incompatible trace element–depleted mantle source similar to that which produced a geochemically distinct group of 327- to 574-million-year-old “depleted” shergottites. Cosmogenic nuclide data demonstrate that NWA 7635 was ejected from Mars 1.1 million years ago (Ma), as were at least 10 other depleted shergottites. The shared ejection age is consistent with a common ejection site for these meteorites. The spatial association of 327- to 2403-Ma depleted shergottites indicates >2 billion years of magmatism from a long-lived and geochemically distinct volcanic center near the ejection site. PMID:28164153

  16. Spatial variability in oceanic redox structure 1.8 billion years ago

    DEFF Research Database (Denmark)

    Poulton, Simon W.; Fralick, Philip W.; Canfield, Donald Eugene

    2010-01-01

    The evolution of ocean chemistry during the Proterozoic eon (2.5-0.542 billion years ago) is thought to have played a central role in both the timing and rate of eukaryote evolution(1,2). The timing of the deposition of iron formations implies that, early in the Earth's history, oceans were...... to reconstruct oceanic redox conditions from the 1.88- to 1.83-billion-year-old Animikie group from the Superior region, North America. We find that surface waters were oxygenated, whereas at mid-depths, anoxic and sulphidic (euxinic) conditions extended over 100 km from the palaeoshoreline. The spatial extent...... of euxinia varied through time, but deep ocean waters remained rich in dissolved iron. Widespread euxinia along continental margins would have removed dissolved iron from the water column through the precipitation of pyrite, which would have reduced the supply of dissolved iron and resulted in the global...

  17. Exploring for Galaxies in the First Billion Years with Hubble and Spitzer - Pathfinding for JWST

    Science.gov (United States)

    Illingworth, Garth D.

    2017-01-01

    Hubble has revolutionized the field of distant galaxies through its deep imaging surveys, starting with the Hubble Deep Field (HDF) in 1995. That first deep survey revealed galaxies at redshift z~1-3 that provided insights into the development of the Hubble sequence. Each new HST instrument has explored new regimes, through the peak of star formation at z~2-3, just 2-3 billion years after the Big Bang, to our first datasets at a billion years at z~6, and then earlier to z~11. HST's survey capabilities were enhanced by 40X with ACS, and then similarly with the WFC3/IR, which opened up the first billion years to an unforeseen degree. I will discuss what we have learned from the remarkable HST and Spitzer imaging surveys (HUDF, GOODS, HUDF09/12 and CANDELS), as well as surveys of clusters like the Hubble Frontier Fields (HFF). Lensing clusters provide extraordinary opportunities for characterizing the faintest earliest galaxies, but also present extraordinary challenges. Together these surveys have resulted in the measurement of the volume density of galaxies in the first billion years down to astonishingly faint levels. The role of faint galaxies in reionizing the universe is still much-discussed, but there is no doubt that such galaxies contribute greatly to the UV ionizing flux, as shown by deep luminosity function studies. Together Hubble and Spitzer have also established the stellar-mass buildup over 97% of cosmic history. Yet some of the greatest surprises have come from the discovery of very luminous galaxies at z~8-11, around 400-650 million years after the Big Bang. Spectroscopic followup by Keck of some of these very rare, bright galaxies has confirmed redshifts from z~7 to z~9, and revealed, surprisingly, strong Lyα emission near the peak of reionization when the HI fraction in the IGM is high. The recent confirmation of a z=11.1 galaxy, just 400 million years after the Big Bang, by a combination of Hubble and Spitzer data, moved Hubble into JWST territory

  18. Evidence for arsenic metabolism and cycling by microorganisms 2.7 billion years ago

    Science.gov (United States)

    Sforna, Marie Catherine; Philippot, Pascal; Somogyi, Andrea; van Zuilen, Mark A.; Medjoubi, Kadda; Schoepp-Cothenet, Barbara; Nitschke, Wolfgang; Visscher, Pieter T.

    2014-11-01

    The ability of microbes to metabolize arsenic may have emerged more than 3.4 billion years ago. Some of the modern environments in which prominent arsenic metabolism occurs are anoxic, as were the Precambrian oceans. Early oceans may also have had a relatively high abundance of arsenic. However, it is unclear whether arsenic cycling occurred in ancient environments. Here we assess the chemistry and nature of cell-like globules identified in salt-encrusted portions of 2.72-billion-year-old fossil stromatolites from Western Australia. We use Raman spectroscopy and X-ray fluorescence to show that the globules are composed of organic carbon and arsenic (As). We argue that our data are best explained by the occurrence of a complete arsenic cycle at this site, with As(III) oxidation and As(V) reduction by microbes living in permanently anoxic conditions. We therefore suggest that arsenic cycling could have occurred more widely in marine environments in the several hundred million years before the Earth’s atmosphere and shallow oceans were oxygenated.

  19. The Interstellar Medium In Galaxies Seen A Billion Years After The Big Bang

    CERN Document Server

    Capak, P L; Jones, G; Casey, C M; Riechers, D; Sheth, K; Carollo, C M; Ilbert, O; Karim, A; LeFevre, O; Lilly, S; Scoville, N; Smolcic, V; Yan, L

    2015-01-01

    Evolution in the measured rest frame ultraviolet spectral slope and ultraviolet to optical flux ratios indicate a rapid evolution in the dust obscuration of galaxies during the first 3 billion years of cosmic time (z>4). This evolution implies a change in the average interstellar medium properties, but the measurements are systematically uncertain due to untested assumptions, and the inability to measure heavily obscured regions of the galaxies. Previous attempts to directly measure the interstellar medium in normal galaxies at these redshifts have failed for a number of reasons with one notable exception. Here we report measurements of the [CII] gas and dust emission in 9 typical (~1-4L*) star-forming galaxies ~1 billon years after the big bang (z~5-6). We find these galaxies have >12x less thermal emission compared with similar systems ~2 billion years later, and enhanced [CII] emission relative to the far-infrared continuum, confirming a strong evolution in the interstellar medium properties in the early u...

  20. Oxygen and hydrogen isotope evidence for a temperate climate 3.42 billion years ago.

    Science.gov (United States)

    Hren, M T; Tice, M M; Chamberlain, C P

    2009-11-12

    Stable oxygen isotope ratios (delta(18)O) of Precambrian cherts have been used to establish much of our understanding of the early climate history of Earth and suggest that ocean temperatures during the Archaean era ( approximately 3.5 billion years ago) were between 55 degrees C and 85 degrees C (ref. 2). But, because of uncertainty in the delta(18)O of the primitive ocean, there is considerable debate regarding this conclusion. Examination of modern and ancient cherts indicates that another approach, using a combined analysis of delta(18)O and hydrogen isotopes (deltaD) rather than delta(18)O alone, can provide a firmer constraint on formational temperatures without independent knowledge of the isotopic composition of ambient waters. Here we show that delta(18)O and deltaD sampled from 3.42-billion-year-old Buck Reef Chert rocks in South Africa are consistent with formation from waters at varied low temperatures. The most (18)O-enriched Buck Reef Chert rocks record the lowest diagenetic temperatures and were formed in equilibrium with waters below approximately 40 degrees C. Geochemical and sedimentary evidence suggests that the Buck Reef Chert was formed in shallow to deep marine conditions, so our results indicate that the Palaeoarchaean ocean was isotopically depleted relative to the modern ocean and far cooler (

  1. The evolution in the stellar mass of brightest cluster galaxies over the past 10 billion years

    Science.gov (United States)

    Bellstedt, Sabine; Lidman, Chris; Muzzin, Adam; Franx, Marijn; Guatelli, Susanna; Hill, Allison R.; Hoekstra, Henk; Kurinsky, Noah; Labbe, Ivo; Marchesini, Danilo; Marsan, Z. Cemile; Safavi-Naeini, Mitra; Sifón, Cristóbal; Stefanon, Mauro; van de Sande, Jesse; van Dokkum, Pieter; Weigel, Catherine

    2016-08-01

    Using a sample of 98 galaxy clusters recently imaged in the near-infrared with the European Southern Observatory (ESO) New Technology Telescope, WIYN telescope and William Herschel Telescope, supplemented with 33 clusters from the ESO archive, we measure how the stellar mass of the most massive galaxies in the universe, namely brightest cluster galaxies (BCGs), increases with time. Most of the BCGs in this new sample lie in the redshift range 0.2 < z < 0.6, which has been noted in recent works to mark an epoch over which the growth in the stellar mass of BCGs stalls. From this sample of 132 clusters, we create a subsample of 102 systems that includes only those clusters that have estimates of the cluster mass. We combine the BCGs in this subsample with BCGs from the literature, and find that the growth in stellar mass of BCGs from 10 billion years ago to the present epoch is broadly consistent with recent semi-analytic and semi-empirical models. As in other recent studies, tentative evidence indicates that the stellar mass growth rate of BCGs may be slowing in the past 3.5 billion years. Further work in collecting larger samples, and in better comparing observations with theory using mock images, is required if a more detailed comparison between the models and the data is to be made.

  2. Dust production 0.7-1.5 billion years after the Big Bang

    CERN Document Server

    Michałowski, Michał J

    2015-01-01

    Cosmic dust is an important component of the Universe, and its origin, especially at high redshifts, is still unknown. I present a simple but powerful method of assessing whether dust observed in a given galaxy could in principle have been formed by asymptotic giant branch (AGB) stars or supernovae (SNe). Using this method I show that for most of the galaxies with detected dust emission between z=4 and z=7.5 (1.5-0.7 billion years after the Big Bang) AGB stars are not numerous and efficient enough to be responsible for the measured dust masses. Supernovae could account for most of the dust, but only if all of them had efficiencies close to the maximal theoretically allowed value. This suggests that a different mechanism is responsible for dust production at high redshifts, and the most likely possibility is the grain growth in the interstellar medium.

  3. Geodynamo, solar wind, and magnetopause 3.4 to 3.45 billion years ago.

    Science.gov (United States)

    Tarduno, John A; Cottrell, Rory D; Watkeys, Michael K; Hofmann, Axel; Doubrovine, Pavel V; Mamajek, Eric E; Liu, Dunji; Sibeck, David G; Neukirch, Levi P; Usui, Yoichi

    2010-03-05

    Stellar wind standoff by a planetary magnetic field prevents atmospheric erosion and water loss. Although the early Earth retained its water and atmosphere, and thus evolved as a habitable planet, little is known about Earth's magnetic field strength during that time. We report paleointensity results from single silicate crystals bearing magnetic inclusions that record a geodynamo 3.4 to 3.45 billion years ago. The measured field strength is approximately 50 to 70% that of the present-day field. When combined with a greater Paleoarchean solar wind pressure, the paleofield strength data suggest steady-state magnetopause standoff distances of < or = 5 Earth radii, similar to values observed during recent coronal mass ejection events. The data also suggest lower-latitude aurora and increases in polar cap area, as well as heating, expansion, and volatile loss from the exosphere that would have affected long-term atmospheric composition.

  4. The habitability of the Universe through 13 billion years of cosmic time

    CERN Document Server

    Dayal, Pratika; Cockell, Charles

    2016-01-01

    The field of astrobiology has made tremendous progress in modelling galactic-scale habitable zones which offer a stable environment for life to form and evolve in complexity. Recently, this idea has been extended to cosmological scales by studies modelling the habitability of the local Universe in its entirety (e.g. Dayal et al. 2015; Li & Zhang 2015). However, all of these studies have solely focused on estimating the potentially detrimental effects of either Type II supernovae (SNII) or Gamma Ray Bursts (GRBs), ignoring the contributions from Type Ia supernovae (SNIa) and active galactic nuclei (AGN). In this study we follow two different approaches, based on (i) the amplitude of deleterious radiation and (ii) the total planet-hosting volume irradiated by deleterious radiation. We simultaneously track the contributions from the key astrophysical sources (SNII, SNIa, AGN and GRBs) for the entire Universe, for both scenarios, to determine its habitability through 13.8 billion years of cosmic time. We find...

  5. Prodigious degassing of a billion years of accumulated radiogenic helium at Yellowstone.

    Science.gov (United States)

    Lowenstern, J B; Evans, W C; Bergfeld, D; Hunt, A G

    2014-02-20

    Helium is used as a critical tracer throughout the Earth sciences, where its relatively simple isotopic systematics is used to trace degassing from the mantle, to date groundwater and to time the rise of continents. The hydrothermal system at Yellowstone National Park is famous for its high helium-3/helium-4 isotope ratio, commonly cited as evidence for a deep mantle source for the Yellowstone hotspot. However, much of the helium emitted from this region is actually radiogenic helium-4 produced within the crust by α-decay of uranium and thorium. Here we show, by combining gas emission rates with chemistry and isotopic analyses, that crustal helium-4 emission rates from Yellowstone exceed (by orders of magnitude) any conceivable rate of generation within the crust. It seems that helium has accumulated for (at least) many hundreds of millions of years in Archaean (more than 2.5 billion years old) cratonic rocks beneath Yellowstone, only to be liberated over the past two million years by intense crustal metamorphism induced by the Yellowstone hotspot. Our results demonstrate the extremes in variability of crustal helium efflux on geologic timescales and imply crustal-scale open-system behaviour of helium in tectonically and magmatically active regions.

  6. Cooling and exhumation of continents at billion-year time scales

    Science.gov (United States)

    Blackburn, T.; Bowring, S. A.; Perron, T.; Mahan, K. H.; Dudas, F. O.

    2011-12-01

    The oldest rocks on Earth are preserved within the continental lithosphere, where assembled fragments of ancient orogenic belts have survived erosion and destruction by plate tectonic and surface processes for billions of years. Though the rate of orogenic exhumation and erosion has been measured for segments of an orogenic history, it remains unclear how these exhumation rates have changed over the lifetime of any terrane. Because the exhumation of the lithospheric surface has a direct effect on the rate of heat loss within the lithosphere, a continuous record of lithosphere exhumation can be reconstructed through the use of thermochronology. Thermochronologic studies have typically employed systems sensitive to cooling at temperatures <300 °C, such as the (U-Th)/He and 40Ar/39Ar systems. This largely restricts their application to measuring cooling in rocks from the outer 10 km of the Earth's crust, resulting in a thermal history that is controlled by either upper crustal flexure and faulting and/or isotherm inflections related to surface topography. Combining these biases with the uplift, erosion and recycling of these shallow rocks results in a poor preservation potential of any long-term record. Here, an ancient and long-term record of lithosphere exhumation is constructed using U-Pb thermochronology, a geochronologic system sensitive to cooling at temperatures found at 20-50 km depth (400-650 °C). Lower crustal xenoliths provide material that resided at these depths for billions of years or more, recording a thermal history that is buried deep enough to remain insensitive to upper crustal deformation and instead is dominated by the vertical motions of the continents. We show how this temperature-sensitive system can produce a long-term integrated measure of continental exhumation and erosion. Preserved beneath Phanerozoic sedimentary rocks within Montana, USA, the Great Falls Tectonic Zone formed when two Archean cratons, the Wyoming Province and Medicine

  7. Analogues of primeval galaxies two billion years after the Big Bang

    Science.gov (United States)

    Amorín, Ricardo; Fontana, Adriano; Pérez-Montero, Enrique; Castellano, Marco; Guaita, Lucia; Grazian, Andrea; Fèvre, Olivier Le; Ribeiro, Bruno; Schaerer, Daniel; Tasca, Lidia A. M.; Thomas, Romain; Bardelli, Sandro; Cassarà, Letizia; Cassata, Paolo; Cimatti, Andrea; Contini, Thierry; Barros, Stephane De; Garilli, Bianca; Giavalisco, Mauro; Hathi, Nimish; Koekemoer, Anton; Le Brun, Vincent; Lemaux, Brian C.; Maccagni, Dario; Pentericci, Laura; Pforr, Janine; Talia, Margherita; Tresse, Laurence; Vanzella, Eros; Vergani, Daniela; Zamorani, Giovanni; Zucca, Elena; Merlin, Emiliano

    2017-03-01

    Deep observations are revealing a growing number of young galaxies in the first billion years of cosmic time1. Compared to typical galaxies at later times, they show more extreme emission-line properties2, higher star formation rates3, lower masses4, and smaller sizes5. However, their faintness precludes studies of their chemical abundances and ionization conditions, strongly limiting our understanding of the physics driving early galaxy build-up and metal enrichment. Here we study a rare population of ultraviolet-selected, low-luminosity galaxies at redshift 2.4 frame properties expected from primeval galaxies. These low-mass, highly compact systems are rapidly forming galaxies able to double their stellar mass in only a few tens of millions of years. They are characterized by very blue ultraviolet spectra with weak absorption features and bright nebular emission lines, which imply hard radiation fields from young hot massive stars6,7. Their highly ionized gas phase has strongly sub-solar carbon and oxygen abundances, with metallicities more than a factor of two lower than that found in typical galaxies of similar mass and star formation rate at z≤2.58. These young galaxies reveal an early and short stage in the assembly of their galactic structures and their chemical evolution, a vigorous phase that is likely to be dominated by the effects of gas-rich mergers, accretion of metal-poor gas and strong outflows.

  8. Rapid oxygenation of Earth's atmosphere 2.33 billion years ago.

    Science.gov (United States)

    Luo, Genming; Ono, Shuhei; Beukes, Nicolas J; Wang, David T; Xie, Shucheng; Summons, Roger E

    2016-05-01

    Molecular oxygen (O2) is, and has been, a primary driver of biological evolution and shapes the contemporary landscape of Earth's biogeochemical cycles. Although "whiffs" of oxygen have been documented in the Archean atmosphere, substantial O2 did not accumulate irreversibly until the Early Paleoproterozoic, during what has been termed the Great Oxygenation Event (GOE). The timing of the GOE and the rate at which this oxygenation took place have been poorly constrained until now. We report the transition (that is, from being mass-independent to becoming mass-dependent) in multiple sulfur isotope signals of diagenetic pyrite in a continuous sedimentary sequence in three coeval drill cores in the Transvaal Supergroup, South Africa. These data precisely constrain the GOE to 2.33 billion years ago. The new data suggest that the oxygenation occurred rapidly-within 1 to 10 million years-and was followed by a slower rise in the ocean sulfate inventory. Our data indicate that a climate perturbation predated the GOE, whereas the relationships among GOE, "Snowball Earth" glaciation, and biogeochemical cycling will require further stratigraphic correlation supported with precise chronologies and paleolatitude reconstructions.

  9. Galaxy evolution. Evidence for mature bulges and an inside-out quenching phase 3 billion years after the Big Bang.

    Science.gov (United States)

    Tacchella, S; Carollo, C M; Renzini, A; Förster Schreiber, N M; Lang, P; Wuyts, S; Cresci, G; Dekel, A; Genzel, R; Lilly, S J; Mancini, C; Newman, S; Onodera, M; Shapley, A; Tacconi, L; Woo, J; Zamorani, G

    2015-04-17

    Most present-day galaxies with stellar masses ≥10(11) solar masses show no ongoing star formation and are dense spheroids. Ten billion years ago, similarly massive galaxies were typically forming stars at rates of hundreds solar masses per year. It is debated how star formation ceased, on which time scales, and how this "quenching" relates to the emergence of dense spheroids. We measured stellar mass and star-formation rate surface density distributions in star-forming galaxies at redshift 2.2 with ~1-kiloparsec resolution. We find that, in the most massive galaxies, star formation is quenched from the inside out, on time scales less than 1 billion years in the inner regions, up to a few billion years in the outer disks. These galaxies sustain high star-formation activity at large radii, while hosting fully grown and already quenched bulges in their cores.

  10. Constraining the last 7 billion years of galaxy evolution in semi-analytic models

    CERN Document Server

    Mutch, Simon J; Croton, Darren J

    2012-01-01

    We investigate the ability of the Croton et al. (2006) semi-analytic model to reproduce the evolution of observed galaxies across the final 7 billion years of cosmic history. Using Monte-Carlo Markov Chain techniques we explore the available parameter space to produce a model which attempts to achieve a statistically accurate fit to the observed stellar mass function at z=0 and z~0.8, as well as the local black hole-bulge relation. We find that in order to be successful we are required to push supernova feedback efficiencies to extreme limits which are, in some cases, unjustified by current observations. This leads us to the conclusion that the current model may be incomplete. Using the posterior probability distributions provided by our fitting, as well as the qualitative details of our produced stellar mass functions, we suggest that any future model improvements must act to preferentially bolster star formation efficiency in the most massive halos at high redshift.

  11. The evolution in the stellar mass of Brightest Cluster Galaxies over the past 10 billion years

    CERN Document Server

    Bellstedt, Sabine; Muzzin, Adam; Franx, Marijn; Guatelli, Susanna; Hill, Allison R; Hoekstra, Henk; Kurinsky, Noah; Labbe, Ivo; Marchesini, Danilo; Marsan, Z Cemile; Safavi-Naeini, Mitra; Sifon, Cristobal; Stefanon, Mauro; van de Sande, Jesse; van Dokkum, Pieter; Weigel, Catherine

    2016-01-01

    Using a sample of 98 galaxy clusters recently imaged in the near infra-red with the ESO NTT, WIYN and WHT telescopes, supplemented with 33 clusters from the ESO archive, we measure how the stellar mass of the most massive galaxies in the universe, namely Brightest Cluster Galaxies (BCG), increases with time. Most of the BCGs in this new sample lie in the redshift range $0.2billion years ago to the present epoch is broadly consistent with recent semi-analytic and semi-empirical models. As in other recent studies, tentative evidence indicates that the stellar mass growth rate of BCGs may be slowing in the past 3.5 billi...

  12. Large Molecular Gas Reservoirs in Ancestors of Milky Way-Mass Galaxies 9 Billion Years Ago

    CERN Document Server

    Papovich, Casey; Glazebrook, Karl; Quadri, Ryan; Bekiaris, Georgios; Dickinson, Mark; Finkelstein, Steven; Fisher, David; Inami, Hanae; Livermore, Rachael; Spitler, Lee; Straatman, Caroline; Tran, Kim-Vy

    2016-01-01

    The gas accretion and star-formation histories of galaxies like the Milky Way remain an outstanding problem in astrophysics. Observations show that 8 billion years ago, the progenitors to Milky Way-mass galaxies were forming stars 30 times faster than today and predicted to be rich in molecular gas, in contrast with low present-day gas fractions ($<$10%). Here we show detections of molecular gas from the CO(J=3-2) emission (rest-frame 345.8 GHz) in galaxies at redshifts z=1.2-1.3, selected to have the stellar mass and star-formation rate of the progenitors of today's Milky Way-mass galaxies. The CO emission reveals large molecular gas masses, comparable to or exceeding the galaxy stellar masses, and implying most of the baryons are in cold gas, not stars. The galaxies' total luminosities from star formation and CO luminosities yield long gas-consumption timescales. Compared to local spiral galaxies, the star-formation efficiency, estimated from the ratio of total IR luminosity to CO emission,} has remained...

  13. Potentially biogenic carbon preserved in a 4.1 billion-year-old zircon.

    Science.gov (United States)

    Bell, Elizabeth A; Boehnke, Patrick; Harrison, T Mark; Mao, Wendy L

    2015-11-24

    Evidence of life on Earth is manifestly preserved in the rock record. However, the microfossil record only extends to ∼ 3.5 billion years (Ga), the chemofossil record arguably to ∼ 3.8 Ga, and the rock record to 4.0 Ga. Detrital zircons from Jack Hills, Western Australia range in age up to nearly 4.4 Ga. From a population of over 10,000 Jack Hills zircons, we identified one >3.8-Ga zircon that contains primary graphite inclusions. Here, we report carbon isotopic measurements on these inclusions in a concordant, 4.10 ± 0.01-Ga zircon. We interpret these inclusions as primary due to their enclosure in a crack-free host as shown by transmission X-ray microscopy and their crystal habit. Their δ(13)CPDB of -24 ± 5‰ is consistent with a biogenic origin and may be evidence that a terrestrial biosphere had emerged by 4.1 Ga, or ∼ 300 My earlier than has been previously proposed.

  14. Survival of pure disk galaxies over the last 8 billion years

    CERN Document Server

    Sachdeva, Sonali

    2016-01-01

    Pure disk galaxies without any bulge component, i.e., neither classical nor pseudo, seem to have escaped the affects of merger activity inherent to hierarchical galaxy formation models as well as strong internal secular evolution. We discover that a significant fraction (15 - 18 %) of disk galaxies in the Hubble Deep Field (0.4 < z < 1.0) as well as in the local Universe (0.02 < z < 0.05) are such pure disk systems (hereafter, PDS). The spatial distribution of light in these PDS is well described by a single exponential function from the outskirts to the centre and appears to have remained intact over the last 8 billion years keeping the mean central surface brightness and scale-length nearly constant. These two disk parameters of PDS are brighter and shorter, respectively, than of those disks which are part of disk galaxies with bulges. Since the fraction of PDS as well as their profile defining parameters do not change, it indicates that these galaxies have not witnessed either major mergers or ...

  15. The First Billion Years project: birthplaces of direct collapse black holes

    CERN Document Server

    Agarwal, Bhaskar; Johnson, Jarrett L; Khochfar, Sadegh; Paardekooper, Jan-Pieter

    2014-01-01

    We investigate the environment in which direct-collapse black holes may form by analysing a cosmological, hydrodynamical simulation that is part of the First Billion Years project. This simulation includes the most relevant physical processes leading to direct collapse of haloes, most importantly, molecular hydrogen depletion by dissociation of $H_2$ and $H^-$ from the evolving Lyman-Werner radiation field. We selected a sample of pristine atomic cooling haloes that have never formed stars in their past, have not been polluted with heavy elements and are cooling predominantly via atomic hydrogen lines. Amongst them we identified six haloes that could potentially harbour massive seed black holes formed via direct collapse (with masses in the range of $10^{4-6} M_{sun}$). These potential hosts of direct-collapse black holes form as satellites and are found within 15 physical kpc of proto-galaxies, with stellar masses in the range $10^{5-7} M_{sun}$ and maximal star formation rates of 0.1 Msun/yr over the past 5...

  16. Enhanced cellular preservation by clay minerals in 1 billion-year-old lakes.

    Science.gov (United States)

    Wacey, David; Saunders, Martin; Roberts, Malcolm; Menon, Sarath; Green, Leonard; Kong, Charlie; Culwick, Timothy; Strother, Paul; Brasier, Martin D

    2014-01-01

    Organic-walled microfossils provide the best insights into the composition and evolution of the biosphere through the first 80 percent of Earth history. The mechanism of microfossil preservation affects the quality of biological information retained and informs understanding of early Earth palaeo-environments. We here show that 1 billion-year-old microfossils from the non-marine Torridon Group are remarkably preserved by a combination of clay minerals and phosphate, with clay minerals providing the highest fidelity of preservation. Fe-rich clay mostly occurs in narrow zones in contact with cellular material and is interpreted as an early microbially-mediated phase enclosing and replacing the most labile biological material. K-rich clay occurs within and exterior to cell envelopes, forming where the supply of Fe had been exhausted. Clay minerals inter-finger with calcium phosphate that co-precipitated with the clays in the sub-oxic zone of the lake sediments. This type of preservation was favoured in sulfate-poor environments where Fe-silicate precipitation could outcompete Fe-sulfide formation. This work shows that clay minerals can provide an exceptionally high fidelity of microfossil preservation and extends the known geological range of this fossilization style by almost 500 Ma. It also suggests that the best-preserved microfossils of this time may be found in low-sulfate environments.

  17. A large neutral fraction of cosmic hydrogen a billion years after the Big Bang.

    Science.gov (United States)

    Wyithe, J Stuart B; Loeb, Abraham

    2004-02-26

    The fraction of ionized hydrogen left over from the Big Bang provides evidence for the time of formation of the first stars and quasar black holes in the early Universe; such objects provide the high-energy photons necessary to ionize hydrogen. Spectra of the two most distant known quasars show nearly complete absorption of photons with wavelengths shorter than the Lyman alpha transition of neutral hydrogen, indicating that hydrogen in the intergalactic medium (IGM) had not been completely ionized at a redshift of z approximately 6.3, about one billion years after the Big Bang. Here we show that the IGM surrounding these quasars had a neutral hydrogen fraction of tens of per cent before the quasar activity started, much higher than the previous lower limits of approximately 0.1 per cent. Our results, when combined with the recent inference of a large cumulative optical depth to electron scattering after cosmological recombination therefore suggest the presence of a second peak in the mean ionization history of the Universe.

  18. A Massive Galaxy in its Core Formation Phase Three Billion Years After the Big Bang

    CERN Document Server

    Nelson, Erica; Franx, Marijn; Brammer, Gabriel; Momcheva, Ivelina; Schreiber, Natascha Förster; da Cunha, Elisabete; Tacconi, Linda; Bezanson, Rachel; Kirkpatrick, Allison; Leja, Joel; Rix, Hans-Walter; Skelton, Rosalind; van der Wel, Arjen; Whitaker, Katherine; Wuyts, Stijn

    2014-01-01

    Most massive galaxies are thought to have formed their dense stellar cores at early cosmic epochs. However, cores in their formation phase have not yet been observed. Previous studies have found galaxies with high gas velocity dispersions or small apparent sizes but so far no objects have been identified with both the stellar structure and the gas dynamics of a forming core. Here we present a candidate core in formation 11 billion years ago, at z=2.3. GOODS-N-774 has a stellar mass of 1.0x10^11 Msun, a half-light radius of 1.0 kpc, and a star formation rate of 90[+45-20]Msun/yr. The star forming gas has a velocity dispersion 317+-30 km/s, amongst the highest ever measured. It is similar to the stellar velocity dispersions of the putative descendants of GOODS-N-774, compact quiescent galaxies at z~2 and giant elliptical galaxies in the nearby Universe. Galaxies such as GOODS-N-774 appear to be rare; however, from the star formation rate and size of the galaxy we infer that many star forming cores may be heavil...

  19. A Massive Galaxy in Its Core Formation Phase Three Billion Years After the Big Bang

    Science.gov (United States)

    Nelson, Erica; van Dokkum, Pieter; Franx, Marijn; Brammer, Gabriel; Momcheva, Ivelina; Schreiber, Natascha M. Forster; da Cunha, Elisabete; Tacconi, Linda; Bezanson, Rachel; Kirkpatrick, Allison; Leja, Joel; Rix, Hans-Walter; Skelton, Rosalind; van der Wel, Arjen; Whitaker, Katherine; Wuyts, Stijn

    2014-01-01

    Most massive galaxies are thought to have formed their dense stellar cores at early cosmic epochs. However, cores in their formation phase have not yet been observed. Previous studies have found galaxies with high gas velocity dispersions or small apparent sizes but so far no objects have been identified with both the stellar structure and the gas dynamics of a forming core. Here we present a candidate core in formation 11 billion years ago, at z = 2.3. GOODS-N-774 has a stellar mass of 1.0 × 10 (exp 11) solar mass, a half-light radius of 1.0 kpc, and a star formation rate of 90 (sup +45 / sub -20) solar mass/yr. The star forming gas has a velocity dispersion 317 plus or minus 30 km/s, amongst the highest ever measured. It is similar to the stellar velocity dispersions of the putative descendants of GOODS-N-774, compact quiescent galaxies at z is approximately equal to 2 (exp 8-11) and giant elliptical galaxies in the nearby Universe. Galaxies such as GOODS-N-774 appear to be rare; however, from the star formation rate and size of the galaxy we infer that many star forming cores may be heavily obscured, and could be missed in optical and near-infrared surveys.

  20. Archean rocks in antarctica: 2.5-billion-year uranium-lead ages of pegmatites in enderby land.

    Science.gov (United States)

    Grew, E S; Manton, W I

    1979-10-26

    Uranium-lead isotopic data indicate that the granulite-facies Napier complex of Enderby Land, Antarctica, was cut by charnockitic pegmatites 2.5 billion years ago and by pegmatites lacking hypersthene 0.52 billion years ago. The 4-bil-lion-years lead-lead ages (whole rock) reported for the Napier complex are rejected since these leads developed in three stages. Reconstructions of Gondwanaland suggest that the Napier complex may be a continuation of the Archean granulitic terrain of southern India.

  1. The transition to a sulphidic ocean approximately 1.84 billion years ago.

    Science.gov (United States)

    Poulton, Simon W; Fralick, Philip W; Canfield, Donald E

    2004-09-09

    The Proterozoic aeon (2.5 to 0.54 billion years (Gyr) ago) marks the time between the largely anoxic world of the Archean (> 2.5 Gyr ago) and the dominantly oxic world of the Phanerozoic (Proterozoic has traditionally been explained by progressive oxygenation of the deep ocean in response to an increase in atmospheric oxygen around 2.3 Gyr ago. This postulated rise in the oxygen content of the ocean is in turn thought to have led to the oxidation of dissolved iron, Fe(II), thus ending the deposition of banded iron formations (BIF) around 1.8 Gyr ago. An alternative interpretation suggests that the increasing atmospheric oxygen levels enhanced sulphide weathering on land and the flux of sulphate to the oceans. This increased rates of sulphate reduction, resulting in Fe(II) removal in the form of pyrite as the oceans became sulphidic. Here we investigate sediments from the approximately 1.8-Gyr-old Animikie group, Canada, which were deposited during the final stages of the main global period of BIF deposition. This allows us to evaluate the two competing hypotheses for the termination of BIF deposition. We use iron-sulphur-carbon (Fe-S-C) systematics to demonstrate continued ocean anoxia after the final global deposition of BIF and show that a transition to sulphidic bottom waters was ultimately responsible for the termination of BIF deposition. Sulphidic conditions may have persisted until a second major rise in oxygen between 0.8 to 0.58 Gyr ago, possibly reducing global rates of primary production and arresting the pace of algal evolution.

  2. Preservation of hydrocarbons and biomarkers in oil trapped inside fluid inclusions for >2 billion years

    Science.gov (United States)

    George, Simon C.; Volk, Herbert; Dutkiewicz, Adriana; Ridley, John; Buick, Roger

    2008-02-01

    Oil-bearing fluid inclusions occur in a ca. 2.45 Ga fluvial metaconglomerate of the Matinenda Formation at Elliot Lake, Canada. The oil, most likely derived from the conformably overlying deltaic McKim Formation, was trapped in quartz and feldspar during diagenesis and early metamorphism of the host rock, probably before ca. 2.2 Ga. Molecular geochemical analyses of the oil reveal a wide range of compounds, including CH 4, CO 2, n-alkanes, isoprenoids, monomethylalkanes, aromatic hydrocarbons, low molecular weight cyclic hydrocarbons, and trace amounts of complex multi-ring biomarkers. Maturity ratios show that the oil was generated in the oil window, with no evidence of extensive thermal cracking. This is remarkable, given that the oils were exposed to upper prehnite-pumpellyite facies metamorphism (280-350 °C) either during migration or after entrapment. The fluid inclusions are closed systems, with high fluid pressures, and contain no clays or other minerals or metals that might catalyse oil-to-gas cracking. These three attributes may all contribute to the thermal stability of the included oil and enable survival of biomarkers and molecular ratios over billions of years. The biomarker geochemistry of the oil in the Matinenda Formation fluid inclusions enables inferences about the organisms that contributed to the organic matter deposited in the Palaeoproterozoic source rocks from which the analysed oil was generated and expelled. The presence of biomarkers produced by cyanobacteria and eukaryotes that are derived from and trapped in rocks deposited before ca. 2.2 Ga is consistent with an earlier evolution of oxygenic photosynthesis and suggests that some aquatic settings had become sufficiently oxygenated for sterol biosynthesis by this time. The extraction of biomarker molecules from Palaeoproterozoic oil-bearing fluid inclusions thus establishes a new method, using low detection limits and system blank levels, to trace evolution through Earth's early history

  3. Four billion years of ophiolites reveal secular trends in oceanic crust formation

    Institute of Scientific and Technical Information of China (English)

    Harald Furnes; Maarten de Wit; Yildirim Dilek

    2014-01-01

    We combine a geological, geochemical and tectonic dataset from 118 ophiolite complexes of the major global Phanerozoic orogenic belts with similar datasets of ophiolites from 111 Precambrian greenstone belts to construct an overview of oceanic crust generation over 4 billion years. Geochemical discrimi-nation systematics built on immobile trace elements reveal that the basaltic units of the Phanerozoic ophiolites are dominantly subduction-related (75%), linked to backarc processes and characterized by a strong MORB component, similar to ophiolites in Precambrian greenstone sequences (85%). The remaining 25%Phanerozoic subduction-unrelated ophiolites are mainly (74%) of Mid-Ocean-Ridge type (MORB type), in contrast to the equal proportion of Rift/Continental Margin, Plume, and MORB type ophiolites in the Precambrian greenstone belts. Throughout the Phanerozoic there are large geochemical variations in major and trace elements, but for average element values calculated in 5 bins of 100 million year intervals there are no obvious secular trends. By contrast, basaltic units in the ophiolites of the Precambrian greenstones (calculated in 12 bins of 250 million years intervals), starting in late Paleo-to early Mesoproterozoic (ca. 2.0e1.8 Ga), exhibit an apparent decrease in the average values of incom-patible elements such as Ti, P, Zr, Y and Nb, and an increase in the compatible elements Ni and Cr with deeper time to the end of the Archean and into the Hadean. These changes can be attributed to decreasing degrees of partial melting of the upper mantle from Hadean/Archean to Present. The onset of geochemical changes coincide with the timing of detectible changes in the structural architecture of the ophiolites such as greater volumes of gabbro and more common sheeted dyke complexes, and lesser occurrences of ocelli (varioles) in the pillow lavas in ophiolites younger than 2 Ga. The global data from the Precambrian ophiolites, representative of nearly 50% of all known

  4. Four billion years of ophiolites reveal secular trends in oceanic crust formation

    Directory of Open Access Journals (Sweden)

    Harald Furnes

    2014-07-01

    Full Text Available We combine a geological, geochemical and tectonic dataset from 118 ophiolite complexes of the major global Phanerozoic orogenic belts with similar datasets of ophiolites from 111 Precambrian greenstone belts to construct an overview of oceanic crust generation over 4 billion years. Geochemical discrimination systematics built on immobile trace elements reveal that the basaltic units of the Phanerozoic ophiolites are dominantly subduction-related (75%, linked to backarc processes and characterized by a strong MORB component, similar to ophiolites in Precambrian greenstone sequences (85%. The remaining 25% Phanerozoic subduction-unrelated ophiolites are mainly (74% of Mid-Ocean-Ridge type (MORB type, in contrast to the equal proportion of Rift/Continental Margin, Plume, and MORB type ophiolites in the Precambrian greenstone belts. Throughout the Phanerozoic there are large geochemical variations in major and trace elements, but for average element values calculated in 5 bins of 100 million year intervals there are no obvious secular trends. By contrast, basaltic units in the ophiolites of the Precambrian greenstones (calculated in 12 bins of 250 million years intervals, starting in late Paleo- to early Mesoproterozoic (ca. 2.0–1.8 Ga, exhibit an apparent decrease in the average values of incompatible elements such as Ti, P, Zr, Y and Nb, and an increase in the compatible elements Ni and Cr with deeper time to the end of the Archean and into the Hadean. These changes can be attributed to decreasing degrees of partial melting of the upper mantle from Hadean/Archean to Present. The onset of geochemical changes coincide with the timing of detectible changes in the structural architecture of the ophiolites such as greater volumes of gabbro and more common sheeted dyke complexes, and lesser occurrences of ocelli (varioles in the pillow lavas in ophiolites younger than 2 Ga. The global data from the Precambrian ophiolites, representative of nearly 50

  5. Strongly baryon-dominated disk galaxies at the peak of galaxy formation ten billion years ago

    Science.gov (United States)

    Genzel, R.; Schreiber, N. M. Förster; Übler, H.; Lang, P.; Naab, T.; Bender, R.; Tacconi, L. J.; Wisnioski, E.; Wuyts, S.; Alexander, T.; Beifiori, A.; Belli, S.; Brammer, G.; Burkert, A.; Carollo, C. M.; Chan, J.; Davies, R.; Fossati, M.; Galametz, A.; Genel, S.; Gerhard, O.; Lutz, D.; Mendel, J. T.; Momcheva, I.; Nelson, E. J.; Renzini, A.; Saglia, R.; Sternberg, A.; Tacchella, S.; Tadaki, K.; Wilman, D.

    2017-03-01

    In the cold dark matter cosmology, the baryonic components of galaxies—stars and gas—are thought to be mixed with and embedded in non-baryonic and non-relativistic dark matter, which dominates the total mass of the galaxy and its dark-matter halo. In the local (low-redshift) Universe, the mass of dark matter within a galactic disk increases with disk radius, becoming appreciable and then dominant in the outer, baryonic regions of the disks of star-forming galaxies. This results in rotation velocities of the visible matter within the disk that are constant or increasing with disk radius—a hallmark of the dark-matter model. Comparisons between the dynamical mass, inferred from these velocities in rotational equilibrium, and the sum of the stellar and cold-gas mass at the peak epoch of galaxy formation ten billion years ago, inferred from ancillary data, suggest high baryon fractions in the inner, star-forming regions of the disks. Although this implied baryon fraction may be larger than in the local Universe, the systematic uncertainties (owing to the chosen stellar initial-mass function and the calibration of gas masses) render such comparisons inconclusive in terms of the mass of dark matter. Here we report rotation curves (showing rotation velocity as a function of disk radius) for the outer disks of six massive star-forming galaxies, and find that the rotation velocities are not constant, but decrease with radius. We propose that this trend arises because of a combination of two main factors: first, a large fraction of the massive high-redshift galaxy population was strongly baryon-dominated, with dark matter playing a smaller part than in the local Universe; and second, the large velocity dispersion in high-redshift disks introduces a substantial pressure term that leads to a decrease in rotation velocity with increasing radius. The effect of both factors appears to increase with redshift. Qualitatively, the observations suggest that baryons in the early

  6. THE SOUTHERN FRAGMENT OF THE SIBERIAN CRATON: “LANDSCAPE” HISTORY OVER TWO BILLION YEARS

    Directory of Open Access Journals (Sweden)

    Arkady M. Stanevich

    2015-09-01

    background of sub-continental sedimentation. In the Late Paleozoic, the geologic development was marked by major transformation of the pattern of tectonic structures, that was most likely related to inside-plate extension and thinning of the continental crust. In the Mid and Late Carbon (Fig. 4A, the integrated Tungusskiy sedimentation basin was formed as a result of continuous and uniform bending. In the Early Permian (see Fig. 4Б, positive tectonic movements led to significant dewatering of the Paleozoic basins, so that they turned into a washed-out area. Overall raising of the Siberian Platform preconditioned climate changes, such as aridization and climate cooling. In the Mesozoic, landscapes were presented by a combination of flat uplands, wide river valleys with swampy plains and lakes wherein carbonous sediments were accumulated. Basic volcanism with shield eruptions and sub-volcanic rocks was typical then. In the Jurassic (see Fig. 4B, elements observed in the recent topography of the Siberian Platform were formed. In that period, major structural transformation occurred in association with the largest diastrophic cycles in the territory of the Eastern Asia, including formation of the Baikal rift and its branches.From the analyses of the available data which are briefly presented above, it is obvious that the period of two billion years in the Earth history includes numerous epochs of diastrophic processes of tremendous destructive capacity. Unconformities of formations differing in ages by millions and even hundreds of million years, as those dating back to the Pre-Cambrian, suggest quite realistic yet astounding visions. At the background of scenarios of floods, rock up-thrusts, volcanic explosions and earthquakes evidenced from the very remote past, the current geological and climatic phenomena may seem quite trivial.

  7. Evidence for Oxygenic Photosynthesis Half a Billion Years Before the Great Oxidation Event

    Science.gov (United States)

    Planavsky, Noah; Reinhard, Chris; Asael, Dan; Lyons, Tim; Hofmann, Axel; Rouxel, Olivier

    2014-05-01

    Despite detailed investigations over the past 50 years, there is still intense debate about when oxygenic photosynthesis evolved. Current estimates span over a billion years of Earth history, ranging from prior to 3.7 Ga, the age of the oldest sedimentary rocks, to 2.4-2.3 Ga, coincident with the rise of atmospheric oxygen ("The Great Oxidation Event" or GOE). As such, a new, independent perspective is needed. We will provide such a perspective herein by using molybdenum (Mo) isotopes in a novel way to track the onset of manganese(II)oxidation and thus biological oxygen production. The oxidation of Mn(II) in modern marine setting requires free dissolved oxygen. Mn is relatively unique in its environmental specificity for oxygen as an electron acceptor among the redox-sensitive transition metals, many of which, like Fe, can be oxidized under anoxic conditions either through a microbial pathway and/or with alternative oxidants such as nitrate. There are large Mo isotope fractionations associated with the sorption of Mo (as a polymolybdate complex) onto Mn-oxyhydroxides, with an approximately -2.7‰ fractionation in d98Mo associated with Mo sorption onto Mn-oxyhydroxides (e.g., birnessite, vernadite). In contrast, sorption of Mo onto the Fe-oxyhydroxide (e.g., ferrihydrite) results in a fractionation of only -1.1‰ or less. Because of this difference in Mo isotope fractionation, Mo isotope values should become lighter with increasing Mn content, if Mn oxidation occurred during deposition and is an important vector of Mo transfer to the sediment. We find a strong positive correlation between d98Mo values and Fe/Mn ratios in iron formations deposited before and after the Great Oxidation Event. Most strikingly, Mo isotope data and Fe/Mn ratios correlate over a 2.5‰ range in d98Mo values in the Mn-rich (0.1 - 6%) iron formation of the 2.95 Ga Sinqeni Formation, South Africa. The large isotopic shifts occur over a relatively thin (3 meter thick) horizon, reflecting

  8. $17 billion needed for population programme to year 2000: Dr. Nafis Sadik launches State of World Population Report.

    Science.gov (United States)

    1995-01-01

    Dr. Nafis Sadik, Executive Director of the United Nations Population Fund (UNFPA), in her address on July 11 to the Foreign Press Association in London on the occasion of the release of the "1995 State of the World Population Report," stated that governments needed to invest in people, and that the estimated amount needed to reduce population numbers in developing countries was $17 billion for the year 2000. Two-thirds of the cost would be supplied by the developing countries. She said that coordinating population policies globally through such documents as the Programme of Action from the Cairo Conference would aid in slowing population growth. World population, currently 5.7 billion, is projected to reach 7.1-7.83 billion in 2015 and 7.9-11.9 billion in 2050. She also noted that certain conditions faced by women bear upon unsustainable population growth. The cycle of poverty continues in developing countries because very young mothers, who face higher risks in pregnancy and childbirth than those who delay childbearing until after the age of 20, are less likely to continue their education, more likely to have lower-paying jobs, and have a higher rate of separation and divorce. The isolation of women from widespread political participation and the marginalization of women's concerns from mainstream topics has resulted in ineffective family planning programs, including prevention of illness or impairment related to pregnancy or childbirth. Women, in most societies, cannot fully participate in economic and public life, have limited access to positions of influence and power, have narrower occupational choices and lower earnings than men, and must struggle to reconcile activities outside the home with their traditional roles. Sustainable development can only be achieved when social development expands opportunities for individuals (men and women), and their families, empowering them in the attainment of their social, economic, political, and cultural aspirations.

  9. ESA's billion star surveyor - Flight operations experience from Gaia's first 1.5 Years

    Science.gov (United States)

    Milligan, D.; Rudolph, A.; Whitehead, G.; Loureiro, T.; Serpell, E.; di Marco, F.; Marie, J.; Ecale, E.

    2016-10-01

    This paper details the initial in-flight mission operations experience from ESA's ultra-precise Gaia spacecraft. Tasked with mapping the positions and movements of 1 billion stars to unprecedented precision (to the 10 s of micro-arc-second level, comparable to the width of a coin on the Moon as viewed from Earth). ESA's Science cornerstone mission is expected to also discover and chart 100,000's of new objects including near Earth Asteroids, exoplanets, brown dwarfs and Quasars. After a flawless launch 19 Dec 2013, Gaia was brought the circa 1.5 million kms into L2 via a sequence of technically demanding orbit transfer manoeuvres using onboard thrusters in thrust vectoring mode. Starting in parallel to this, and lasting 6 months, the full spacecraft was commissioned and brought gradually up to the highest operational mode. A number of problems were detected and tackled during commissioning and early routine phase operations. An apparent dimming of the on-board laser and imaged stars, was tracked down to water ice building up inside the telescope enclosure. Also apparent was more straylight than expected. Elsewhere, a micro-propulsion thruster developed unexpected performance levels and a back-up chemical thruster suffered a failed latch valve. These issues, like several others, were dealt with and solved in a series of review meetings, in-orbit special operations and newly developed procedures and on-board software changes. After commissioning Gaia was working so well that it was producing approximately 45% more science data than originally foreseen, primarily since it was able to see stars fainter than required. The mission operations concept was quickly adapted to partially automate ground operations and increase ground station time to allow the full scientific potential of Gaia to be realised.

  10. 1.8 Billion Years of Detrital Zircon Recycling Calibrates a Refractory Part of Earth's Sedimentary Cycle.

    Science.gov (United States)

    Hadlari, Thomas; Swindles, Graeme T; Galloway, Jennifer M; Bell, Kimberley M; Sulphur, Kyle C; Heaman, Larry M; Beranek, Luke P; Fallas, Karen M

    2015-01-01

    Detrital zircon studies are providing new insights on the evolution of sedimentary basins but the role of sedimentary recycling remains largely undefined. In a broad region of northwestern North America, this contribution traces the pathway of detrital zircon sand grains from Proterozoic sandstones through Phanerozoic strata and argues for multi-stage sedimentary recycling over more than a billion years. As a test of our hypothesis, integrated palynology and detrital zircon provenance provides clear evidence for erosion of Carboniferous strata in the northern Cordillera as a sediment source for Upper Cretaceous strata. Our results help to calibrate Earth's sedimentary cycle by showing that recycling dominates sedimentary provenance for the refractory mineral zircon.

  11. Tracing the effects of an enormous meteorite impact 3 billion years ago

    Science.gov (United States)

    Wendel, JoAnna

    2014-07-01

    The most well-known and popularized meteorite impact occurred 65 million years ago and left behind the Chicxulub crater, a feature more than 110 miles in diameter. Dust kicked up by the impact, which lingered in the atmosphere for years, may have helped kill all the nonavian dinosaurs along with three quarters of the world's plant and animal species.

  12. Earth's air pressure 2.7 billion years ago constrained to less than half of modern levels

    Science.gov (United States)

    Som, Sanjoy M.; Buick, Roger; Hagadorn, James W.; Blake, Tim S.; Perreault, John M.; Harnmeijer, Jelte P.; Catling, David C.

    2016-06-01

    How the Earth stayed warm several billion years ago when the Sun was considerably fainter is the long-standing problem of the `faint young Sun paradox'. Because of negligible O2 and only moderate CO2 levels in the Archaean atmosphere, methane has been invoked as an auxiliary greenhouse gas. Alternatively, pressure broadening in a thicker atmosphere with a N2 partial pressure around 1.6-2.4 bar could have enhanced the greenhouse effect. But fossilized raindrop imprints indicate that air pressure 2.7 billion years ago (Gyr) was below twice modern levels and probably below 1.1 bar, precluding such pressure enhancement. This result is supported by nitrogen and argon isotope studies of fluid inclusions in 3.0-3.5 Gyr rocks. Here, we calculate absolute Archaean barometric pressure using the size distribution of gas bubbles in basaltic lava flows that solidified at sea level ~2.7 Gyr in the Pilbara Craton, Australia. Our data indicate a surprisingly low surface atmospheric pressure of Patm = 0.23 +/- 0.23 (2σ) bar, and combined with previous studies suggests ~0.5 bar as an upper limit to late Archaean Patm. The result implies that the thin atmosphere was rich in auxiliary greenhouse gases and that Patm fluctuated over geologic time to a previously unrecognized extent.

  13. Association of dietary patterns and weight change in rural older adults 75 years and older

    Science.gov (United States)

    Little is known about the relationship between weight change and dietary patterns (DP) in older adults, especially in those of advanced age (_75 years). We examined the association of DP with obesity and five-year weight change in community-dwelling older adults (n=270; mean±SD age: 78.6±3.9 years)....

  14. CPR - adult and child 9 years and older

    Science.gov (United States)

    Cardiopulmonary resuscitation - adult; Rescue breathing and chest compressions - adult; Resuscitation - cardiopulmonary - adult; Cardiopulmonary resuscitation - child 9 years and older; Rescue breathing ...

  15. Plate tectonics 2.5 billion years ago: evidence at kolar, South India.

    Science.gov (United States)

    Krogstad, E J; Balakrishnan, S; Mukhopadhyay, D K; Rajamani, V; Hanson, G N

    1989-03-10

    The Archean Kolar Schist Belt, south India, is a suture zone where two gneiss terranes and at least two amphibolite terranes with distinct histories were accrted. Amphibolites from the eastern and western sides of the schist belt have distinct incompatible element and isotopic characteristics sugesting that their volcanic protoliths were derived from dint mantle sources. The amphibolite and gneiss terranes were juxtaposed by horizontal compression and shearing between 2530 and 2420 million years ago (Ma) along a zone marked by the Kolar Schist Belt. This history of accretion of discrete crustal terranes resembles those of Phanerozoic convergent margins and thus suggests that plate tectonics operated on Earth by 2500 Ma.

  16. Plate tectonics 2.5 billion years ago - Evidence at Kolar, south India

    Science.gov (United States)

    Krogstad, E. J.; Hanson, G. N.; Balakrishnan, S.; Rajamani, V.; Mukhopadhyay, D. K.

    1989-01-01

    The Archean Kolar Schist Belt, south India, is a suture zone where two gneiss terranes and at least two amphibolite terranes with distinct histories were accreted. Amphibolites from the eastern and western sides of the schist belt have distinct incompatible element and isotopic characteristics suggesting that their volcanic protoliths were derived from different mantle sources. The amphibolite and gneiss terranes were juxtaposed by horizontal compression and shearing between 2530 and 2420 million years ago (Ma) along a zone marked by the Kolar Schist Belt. This history of accretion of discrete crustal terranes resembles those of Phanerozoic convergent margins and thus suggests that plate tectonics operated on earth by 2500 Ma.

  17. 4.6 billion year old aragonite and its implications for understanding the geological record of Ca-carbonate

    OpenAIRE

    Lee, Martin R.; Lindgren, Paula

    2015-01-01

    Owing to its diagenetic instability, aragonite is rare in the geological record and almost entirely absent from pre-carboniferous sedimentary rocks. The former presence of this mineral in older deposits has to be inferred from petrographic, chemical or isotopic proxies. Crystals of aragonite that formed around 4563 million years ago occur in carbonaceous chondrite meteorites, showing that under certain conditions, the orthorhombic polymorph of Ca-carbonate can survive essentially indefinitely...

  18. Illuminating the past 8 billion years of cold gas towards two gravitationally lensed quasars

    Science.gov (United States)

    Allison, J. R.; Moss, V. A.; Macquart, J.-P.; Curran, S. J.; Duchesne, S. W.; Mahony, E. K.; Sadler, E. M.; Whiting, M. T.; Bannister, K. W.; Chippendale, A. P.; Edwards, P. G.; Harvey-Smith, L.; Heywood, I.; Indermuehle, B. T.; Lenc, E.; Marvil, J.; McConnell, D.; Sault, R. J.

    2017-03-01

    Using the Boolardy Engineering Test Array of the Australian Square Kilometre Array Pathfinder (ASKAP BETA), we have carried out the first z = 0-1 survey for H I and OH absorption towards the gravitationally lensed quasars PKS B1830-211 and MG J0414+0534. Although we detected all previously reported intervening systems towards PKS B1830-211, in the case of MG J0414+0534, three systems were not found, indicating that the original identifications may have been confused with radio frequency interference. Given the sensitivity of our data, we find that our detection yield is consistent with the expected frequency of intervening H I systems estimated from previous surveys for 21-cm emission in nearby galaxies and z ∼ 3 damped Lyman α absorbers. We find spectral variability in the z = 0.886 face-on spiral galaxy towards PKS B1830-211 from observations undertaken with the Westerbork Synthesis Radio Telescope in 1997/1998 and ASKAP BETA in 2014/2015. The H I equivalent width varies by a few per cent over approximately yearly time-scales. This long-term spectral variability is correlated between the north-east and south-west images of the core, and with the total flux density of the source, implying that it is observationally coupled to intrinsic changes in the quasar. The absence of any detectable variability in the ratio of H I associated with the two core images is in stark contrast to the behaviour previously seen in the molecular lines. We therefore infer that coherent opaque H I structures in this galaxy are larger than the parsec-scale molecular clouds found at mm-wavelengths.

  19. A constraint on a varying proton--electron mass ratio 1.5 billion years after the Big Bang

    CERN Document Server

    Bagdonaite, J; Murphy, M T; Whitmore, J B

    2015-01-01

    A molecular hydrogen absorber at a lookback time of 12.4 billion years, corresponding to 10$\\%$ of the age of the universe today, is analyzed to put a constraint on a varying proton--electron mass ratio, $\\mu$. A high resolution spectrum of the J1443$+$2724 quasar, which was observed with the Very Large Telescope, is used to create an accurate model of 89 Lyman and Werner band transitions whose relative frequencies are sensitive to $\\mu$, yielding a limit on the relative deviation from the current laboratory value of $\\Delta\\mu/\\mu=(-9.5\\pm5.4_{\\textrm{stat}} \\pm 5.3_{\\textrm{sys}})\\times 10^{-6}$.

  20. Taking out one billion tones of carbon: the magic of China's 11thFive-Year Plan

    Energy Technology Data Exchange (ETDEWEB)

    Lin, Jiang; Zhou, Nan; Levine, Mark D.; Fridley, David

    2007-05-01

    China's 11th Five-Year Plan (FYP) sets an ambitious targetfor energy-efficiency improvement: energy intensity of the country sgross domestic product (GDP) should be reduced by 20 percent from 2005 to2010 (NDRC, 2006). This is the first time that a quantitative and bindingtarget has been set for energy efficiency, and signals a major shift inChina's strategic thinking about its long-term economic and energydevelopment. The 20 percent energy intensity target also translates intoan annual reduction of over one billion tons of CO2 by 2010, making theChinese effort one of most significant carbon mitigation effort in theworld today. While it is still too early to tell whether China willachieve this target, this paper attempts to understand the trend inenergy intensity in China and to explore a variety of options towardmeeting the 20 percent target using a detailed endues energymodel.

  1. Constraint on a varying proton-electron mass ratio 1.5 billion years after the big bang.

    Science.gov (United States)

    Bagdonaite, J; Ubachs, W; Murphy, M T; Whitmore, J B

    2015-02-20

    A molecular hydrogen absorber at a lookback time of 12.4 billion years, corresponding to 10% of the age of the Universe today, is analyzed to put a constraint on a varying proton-electron mass ratio, μ. A high resolution spectrum of the J1443+2724 quasar, which was observed with the Very Large Telescope, is used to create an accurate model of 89 Lyman and Werner band transitions whose relative frequencies are sensitive to μ, yielding a limit on the relative deviation from the current laboratory value of Δμ/μ=(-9.5 ± 5.4(stat)± 5.3(syst))×10(-6).

  2. Mobile hydrocarbon microspheres from >2-billion-year-old carbon-bearing seams in the South African deep subsurface.

    Science.gov (United States)

    Wanger, G; Moser, D; Hay, M; Myneni, S; Onstott, T C; Southam, G

    2012-11-01

    By ~2.9 Ga, the time of the deposition of the Witwatersrand Supergroup, life is believed to have been well established on Earth. Carbon remnants of the microbial biosphere from this time period are evident in sediments from around the world. In the Witwatersrand Supergroup, the carbonaceous material is often concentrated in seams, closely associated with the gold deposits and may have been a mobile phase 2 billion years ago. Whereas today the carbon in the Witwatersrand Supergroup is presumed to be immobile, hollow hydrocarbon spheres ranging in size from 50 μm were discovered emanating from a borehole drilled through the carbon-bearing seams suggesting that a portion of the carbon may still be mobile in the deep subsurface. ToF-SIMS and STXM analyses revealed that these spheres contain a suite of alkane, alkenes, and aromatic compounds consistent with the described organic-rich carbon seams within the Witwatersrand Supergroup's auriferous reef horizons. Analysis by electron microscopy and ToF-SIMS, however, revealed that these spheres, although most likely composed of biogenic carbon and resembling biological organisms, do not retain any true structural, that is, fossil, information and were formed by an abiogenic process.

  3. Taking out 1 billion tons of CO2: The magic of China's 11th Five-Year Plan?

    Energy Technology Data Exchange (ETDEWEB)

    Zhou, Nan; Lin, Jiang; Zhou, Nan; Levine, Mark; Fridley, David

    2007-07-01

    China's 11th Five-Year Plan (FYP) sets an ambitious target for energy-efficiency improvement: energy intensity of the country's gross domestic product (GDP) should be reduced by 20% from 2005 to 2010 (NDRC, 2006). This is the first time that a quantitative and binding target has been set for energy efficiency, and signals a major shift in China's strategic thinking about its long-term economic and energy development. The 20% energy intensity target also translates into an annual reduction of over 1.5 billion tons of CO2 by 2010, making the Chinese effort one of most significant carbon mitigation effort in the world today. While it is still too early to tell whether China will achieve this target, this paper attempts to understand the trend in energy intensity in China and to explore a variety of options toward meeting the 20% target using a detailed end-use energy model.

  4. Shandong Plans to Cultivate Two Aluminum Industry Groups with Sales Income Topping 100 billion yuan Within Three Years

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    Recently,Shandong Province unveiled"Nonferrous Industry Transition and Upgrading Plan",which proposed that by 2017 it would cultivate 2 ultra large aluminum industry groups with sales income topping 100 billion yuan,aluminum capacity will be reduced to 9million tonnes;before 2020 it will no longer add new capacity.

  5. The journey begins at 8am. Destination: unknown Time machine launches quest of discovery: how existence began 13.7 billion years ago.

    CERN Multimedia

    Henderson, Mark

    2008-01-01

    A story that began 13.7 billion years ago will start a new chapter this morning. Since the big bang threw space and time into being, no living creature of which we know has been able to discern just what happened in the moments at which existence began. (2 pages)

  6. Dipolar geomagnetic field and low orbital obliquity during the last two billion years: Evidence from paleomagnetism of evaporite basins

    Science.gov (United States)

    Evans, D. A.

    2006-05-01

    Paleomagnetism of climatically sensitive sedimentary rock types, such as glacial deposits and evaporites, can test the uniformitarianism of ancient geomagnetic fields and paleoclimatic zones. Precambrian glacial deposits laid down in near-equatorial paleomagnetic latitudes indicate a paleoclimatic paradox that can be explained either by Snowball Earth episodes, or high orbital obliquity, or dramatically non-uniformitarian geomagnetic fields. Here I present the first global paleomagnetic compilation of the Earth's entire basin-scale evaporite record. Evaporation exceeds precipitation in today's subtropical desert belts, generally within a zone of 15-35° from the equator. Assuming a geocentric axial dipole (GAD) magnetic field for Cenozoic- Mesozoic time, evaporite basins of the past 250 Myr have a volume-weighted mean paleolatitude of 23±4°, also squarely within the subtropics. Carboniferous-Permian evaporites have an indistinguishable weighted-mean paleolatitude of 22±4°, which does not change significantly when recently hypothesized octupolar field components are included in the calculations. Early Paleozoic (including late Ediacaran) evaporites are lower-latitude (weighted mean 10±5°), but detailed analyses of individual examples show this cannot be attributed solely to nondipolar field components or sedimentary inclination biases; the cause may be due to particular paleogeographic effects on regional tropical climates, or incomplete sampling by the paleomagnetic data. Proterozoic (pre-Ediacaran) evaporite basins have a volume- weighted mean inclination of 33±4°, which would correspond to a mean paleolatitude of 18±3° for a pure GAD field. This latter mean is indistinguishable, within error, from the Cenozoic-Mesozoic mean and demonstrates the success of the GAD model as a first-order description of the geomagnetic field for the last two billion years. Also, general circulation climate models of a high-obliquity Earth predict either no strong zonal

  7. Anterior cruciate ligament reconstruction in patients older than 35 years.

    Science.gov (United States)

    El-Sallakh, Sameh; Pastides, Philip; Thomas, Panos

    2014-12-01

    Anterior cruciate ligament (ACL) reconstruction is an increasingly established method even in patients older than 35 years. Our hypothesis is that functional outcome after ACL reconstruction is comparable in patients younger and older than 35 years. A total of 28 patients (5 women and 23 men) with average age of 41.5 years (36-68) were retrospectively evaluated. The average follow-up period was 33 months. All of them were treated operatively with arthroscopic single-bundle four-strand hamstring tendon autograft. The functional outcome was determined by clinical scores (Tegner activity scale and Lysholm knee score). The median values for the Lysholm knee score were preoperatively 77 and postoperatively 96 points (range, 90-100) with significant improvement (p pre- and postoperatively with an overall return to baseline for all patients. No significant correlation between functional outcome and patients' age was present and no reported significant complications. The good results and a high level of patient satisfaction show that ACL reconstruction is justified even in patients (older than 35 years) with symptomatic anterior knee instability. We commonly propose surgical treatment in symptomatic patients who express the need to restore their preinjury activity levels, regardless of their age.

  8. Maxillofacial intervention in trauma patients aged 60 years and older

    Directory of Open Access Journals (Sweden)

    Subhashraj K

    2008-01-01

    Full Text Available The purpose of this study was to evaluate the incidence of trauma victims of age 60 years and older who required maxillofacial intervention. The study analyses the pattern of injuries and the various factors that predict the treatment plan of these patients. A retrospective study was carried out in 1820 trauma patients who reported to the Sri. Ramachandra Dental College and Hospital and required maxillofacial intervention, over a period of 5 years (October 2000 and September 2005. Of the total trauma victims, 185 patients were found to be aged 60 years more. In the majority of the patients, the injury was due to road traffic accidents (79.4%. Males (72.4% sustained more injuries than females (27.6%. Soft tissue injuries were seen in 49.1% of the patients, while 14% had mandibular fractures. People in their early 60s were injured more often than their older counterparts. The findings of this study highlight the present situation with regard to maxillofacial trauma in patients aged 60 years and older and its management in this part of the country.

  9. Verbal expressive personality testing with older adults: 25+ years later.

    Science.gov (United States)

    Panek, Paul E; Jenkins, Sharon Rae; Hayslip, Bert; Moske, Amanda Kay

    2013-01-01

    This review builds on those conducted over 25 years ago by Panek and Hayslip in examining the literature dealing with the use of verbal expressive techniques with older adults. Such findings based on the Rorschach Ink Blot Test, Holtzman Inkblot Technique, Hand Test, Sentence Completion methods, and the Thematic Apperception Test and kindred thematic apperceptive techniques are presented and evaluated regarding the evidence for age differences, differential diagnosis, extraneous individual differences in performance, and adequacy of normative data. Although available evidence appears to warrant the continued use of verbal expressive techniques with older adults, more adequately designed studies are necessary to fully support the potential of these assessment tools for decision making with this population: assisting in diagnosis, recommending the appropriateness of various living arrangements, facilitating supportive care choices, and aiding in treatment planning.

  10. Transplantation With Livers From Deceased Donors Older Than 75 Years

    DEFF Research Database (Denmark)

    Thorsen, Trygve; Aandahl, Einar Martin; Bennet, William

    2015-01-01

    BACKGROUND: The availability of donor organs limits the number of patients in need who are offered liver transplantation. Measures to expand the donor pool are crucial to prevent on-list mortality. The aim of this study was to evaluate the use of livers from deceased donors who were older than 75...... years. METHODS: Fifty-four patients who received a first liver transplant (D75 group) from 2001 to 2011 were included. Donor and recipient data were collected from the Nordic Liver Transplant Registry and medical records. The outcome was compared with a control group of 54 patients who received a liver...

  11. Naturalistic speeding data: Drivers aged 75 years and older

    Directory of Open Access Journals (Sweden)

    Anna Chevalier

    2016-09-01

    Full Text Available The data presented in this article are related to the research article entitled “A longitudinal investigation of the predictors of older drivers׳ speeding behavior” (Chevalier et al., 2016 [1], wherein these speed events were used to investigate older drivers speeding behavior and the influence of cognition, vision, functional decline, and self-reported citations and crashes on speeding behavior over a year of driving. Naturalistic speeding behavior data were collected for up to 52 weeks from volunteer drivers aged 75–94 years (median 80 years, 52% male living in the suburban outskirts of Sydney. Driving data were collected using an in-vehicle monitoring device. Global Positioning System (GPS data were recorded at each second and determined driving speed through triangulation of satellite collected location data. Driving speed data were linked with mapped speed zone data based on a service-provider database. To measure speeding behavior, speed events were defined as driving 1 km/h or more, with a 3% tolerance, above a single speed limit, averaged over 30 s. The data contains a row per 124,374 speed events. This article contains information about data processing and quality control.

  12. Naturalistic speeding data: Drivers aged 75 years and older.

    Science.gov (United States)

    Chevalier, Anna; Chevalier, Aran John; Clarke, Elizabeth; Wall, John; Coxon, Kristy; Brown, Julie; Ivers, Rebecca; Keay, Lisa

    2016-09-01

    The data presented in this article are related to the research article entitled "A longitudinal investigation of the predictors of older drivers׳ speeding behavior" (Chevalier et al., 2016) [1], wherein these speed events were used to investigate older drivers speeding behavior and the influence of cognition, vision, functional decline, and self-reported citations and crashes on speeding behavior over a year of driving. Naturalistic speeding behavior data were collected for up to 52 weeks from volunteer drivers aged 75-94 years (median 80 years, 52% male) living in the suburban outskirts of Sydney. Driving data were collected using an in-vehicle monitoring device. Global Positioning System (GPS) data were recorded at each second and determined driving speed through triangulation of satellite collected location data. Driving speed data were linked with mapped speed zone data based on a service-provider database. To measure speeding behavior, speed events were defined as driving 1 km/h or more, with a 3% tolerance, above a single speed limit, averaged over 30 s. The data contains a row per 124,374 speed events. This article contains information about data processing and quality control.

  13. Quarter One:36.25 Billion USD

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    From January to March,2007,China’s total international trade value was 457.74 billion US dollars,and the rise was 23.3% compared with last year.The import made to 205.65 billion US dollars and the export was 252.09 billion US dollars,up

  14. Naturalistic rapid deceleration data: Drivers aged 75 years and older

    Directory of Open Access Journals (Sweden)

    Anna Chevalier

    2016-12-01

    Full Text Available The data presented in this article are related to the research manuscript “Predictors of older drivers’ involvement in rapid deceleration events”, which investigates potential predictors of older drivers’ involvement in rapid deceleration events including measures of vision, cognitive function and driving confidence (A. Chevalier et al., 2016 [1]. In naturalistic driving studies such as this, when sample size is not large enough to allow crashes to be used to investigate driver safety, rapid deceleration events may be used as a surrogate safety measure. Naturalistic driving data were collected for up to 52 weeks from 182 volunteer drivers aged 75–94 years (median 80 years, 52% male living in the suburban outskirts of Sydney. Driving data were collected using an in-vehicle monitoring device. Accelerometer data were recorded 32 times per second and Global Positioning System (GPS data each second. To measure rapid deceleration behavior, rapid deceleration events (RDEs were defined as having at least one data point at or above the deceleration threshold of 750 milli-g (7.35 m/s2. All events were constrained to a maximum 5 s duration. The dataset provided with this article contains 473 events, with a row per RDE. This article also contains information about data processing, treatment and quality control. The methods and data presented here may assist with planning and analysis of future studies into rapid deceleration behaviour using in-vehicle monitoring.

  15. The Evolution of the Galaxy Rest-Frame Ultraviolet Luminosity Function Over the First Two Billion Years

    CERN Document Server

    Finkelstein, Steven L; Papovich, Casey; Dickinson, Mark; Song, Mimi; Somerville, Rachel; Ferguson, Henry C; Salmon, Brett; Giavalisco, Mauro; Koekemoer, Anton M; Ashby, Matthew L N; Behroozi, Peter; Castellano, Marco; Dunlop, James S; Faber, Sandy M; Fazio, Giovanni G; Fontana, Adriano; Grogin, Norman A; Hathi, Nimish; Jaacks, Jason; Kocevski, Dale D; Livermore, Rachael; McLure, Ross J; Merlin, Emiliano; Mobasher, Bahram; Newman, Jeffrey A; Rafelski, Marc; Tilvi, Vithal; Willner, S P

    2014-01-01

    We present a robust measurement and analysis of the rest-frame ultraviolet (UV) luminosity function at z=4-8. We use deep Hubble Space Telescope imaging over the CANDELS/GOODS fields, the Hubble Ultra Deep Field and the Year 1 Hubble Frontier Field deep parallel observations. These surveys provides an effective volume of 0.6-1.2 x 10^6 Mpc^3 over this epoch, allowing us to perform a robust search for bright (M_UV 1000 galaxies at z~6-8. We measure the luminosity function using a Markov Chain Monte Carlo analysis to measure robust uncertainties. At the faint end our results agree with previous studies, yet we find a higher abundance of UV-bright galaxies at z>6, with M* ~ -21 at z>5, different than that inferred based on previous trends at lower redshift. At z=8, a single power-law provides an equally good fit to the UV luminosity function, while at z=6 and 7, an exponential cutoff at the bright-end is moderately preferred. We compare to semi-analytical models, and find that the lack of evolution in M* is cons...

  16. Alcohol use in women 65 years of age and older.

    Science.gov (United States)

    Sedlak, C A; Doheny, M O; Estok, P J; Zeller, R A

    2000-01-01

    The purpose of this study was to examine the relationships between depression, codependency, self-coherence, and alcohol use and health outcomes in women 65 years of age and older. The framework is Erikson's ego-development theory. A convenience sample of 238 women was obtained from women attending flu shot clinics. This cross-sectional field study used survey methodology. Measures included the Beck Depression Inventory, Codependency Assessment Tool, Self-Coherence Survey Form C, Alcohol Use Disorders Identification Test, Alcohol Use Questionnaire, Self-Rated Health Tool, Quality of Life Visual Analogue Scale, Functional Ability Scale, Illness Prevention Screening Behaviors Checklist, and Sociodemographic Data. Results indicate a low consumption and little variation in use of alcohol. There were no significant associations between alcohol consumption and the dependent variables. Depression was significantly related to all the health outcomes; codependency was significantly related to all health outcomes except perceived quality of life; and self-coherence was significantly related to all health outcomes except illness prevention behavior. These findings have important implications for those providing care for older women.

  17. [Dissertations 25 year after date 41. Older people's adaptability].

    Science.gov (United States)

    de Baat, C; Gerritsen, A E; van der Putten, G J; van der Maarel-Wierink, C D

    2015-09-01

    In 1990, the thesis 'Removable complete dentures in older people, an issue dealing with adaptability?' was published. Among other things, this thesis aimed at finding a method of measuring older people's adaptability to removable complete dentures. Its conclusion was that a subscale of the "Beoordelingsschaal voor Oudere Patiënten" (Rating scale for older patients) had predictive value. Subsequently, only a few research projects on this topic have been carried out. They dealt with demonstrated adaptation achieved after treatment, the realised adaptation. The results were disappointing. Ever since the availability of endosseous oral implants, research into adaptability to conventional removable complete dentures seems less relevant. During the last decades, inquiries into a method of measuring treatment effectiveness has focused on older people's quality of life and general health condition. However, to assess with respect to oral health care an older person's general health condition and load-taking capacity adequately, some experience is indispensable.

  18. Ten years of integrated care for the older in France

    Directory of Open Access Journals (Sweden)

    Dominique Somme

    2011-12-01

    Full Text Available Background: This paper analyzes progress made toward the integration of the French health care system for the older and chronically ill population. Policies: Over the last ten years, the French health care system has been principally influenced by two competing linkage models that failed to integrate social and health care services: local information and coordination centers, governed by the social field, and the gerontological health networks governed by the health field. In response to this fragmentation, Homes for the Integration and Autonomy for Alzheimer patients (MAIAs is currently being implemented at experimental sites in the French national Alzheimer plan, using an evidence-based model of integrated care. In addition, the state's reforms recently created regional health agencies (ARSs by merging seven strategic institutions to manage the overall delivery of care. Conclusion: The French health care system is moving from a linkage-based model to a more integrated care system. We draw some early lessons from these changes, including the importance of national leadership and governance and a change management strategy that uses both top-down and bottom-up approaches to implement these reforms.

  19. Bone mineral density in Brazilian men 50 years and older

    Directory of Open Access Journals (Sweden)

    C.A.F. Zerbini

    2000-12-01

    Full Text Available Bone mineral density (BMD in the lumbar spine (LSBMD, femoral neck (FNBMD and whole body (WBBMD and whole body tissue composition were evaluated in 288 Brazilian men 50 years and older, 80% white and 20% Mulattoes. Age was inversely correlated with WBBMD (r = -0.20 and FNBMD (r = -0.21 but not with LSBMD (r = 0.03. Body mass index and weight showed a strong positive correlation with WBBMD (r = 0.48 and 0.54, LSBMD (r = 0.37 and 0.45 and FNBMD (r = 0.42 and 0.48. Correlation with height was positive but weaker. No significant bone loss at the lumbar spine level was observed as the population aged. FNBMD and WBBMD decreased significantly only in the last decade (age 70-79 studied. BMD was higher for Brazilian men as compared to Brazilian women at all sites. No significant differences were observed between Brazilian and the US/European male population for BMD in the femoral neck. BMD measured by dual-energy X-ray absorptiometry in South American men is reported here for the first time. A decrease in FNBMD was detected only later in life, with a pattern similar to that described for the US/European male population.

  20. [Coronary artery disease in patient 80 years and older].

    Science.gov (United States)

    Hanon, Olivier

    2008-09-30

    The prevalence of coronary artery disease increases with age. Its clinical presentation is even less typical and its prognosis even more severe that it occurs in frail subjects with several co-morbidities. These atypical symptoms are often associated with a delayed diagnosis and therapy. The presence of comorbidities requires a comprehensive geriatric assessment to detect the existence of "frailty". Evidence based medicine available for coronary artery disease is based on studies that involve very few subjects over 80 years and recommendations are extrapolated from data based on evidence obtained in younger populations. Basically the strategy of treatments of coronary artery disease in octogenarians remains identical to the youngest subject. However, epidemiological studies indicate an under-prescription of recommended drugs whereas this older population is likely to derive the greatest benefit because of its elevated cardiovascular risk. Cautions for use of cardio-vascular therapies are necessary in octogenarian people because of comorbidities and pharmacokinetic and pharmacodynamic changes related to aging. Globally, the therapeutic strategy of coronary artery disease should be based not on the age but on an individual analysis that takes into account the severity of coronary artery disease, the existence of comorbidities, the iatrogenic risk, the expectancy and the quality of life of the patient.

  1. [Competent and diverse. Portrayal of older adults in Dutch television commercials ten years later].

    Science.gov (United States)

    van Selm, M; Westerhof, G J; de Vos, B

    2007-05-01

    The present study replicates our study of older adults' portrayal in Dutch television commercials conducted in 1993. The central question is whether older adults are being portrayed more visibly in Dutch television commercials and whether this portrayal has become more diverse compared to ten years ago. Based on a list of descriptions of all commercials broadcasted by public television channels in 2003 (N= 4767) 117 commercials featuring older adults were selected. By means of a quantitative content analysis it was examined whether and how older men and women are portrayed. It was concluded that although older adults are not more prevalent compared to ten years ago, their portrayal is more diverse with respect to their roles and the advertised products. Older adults were portrayed as more competent and less age-stereotypical in television commercials.

  2. Personal Strength and Finding Meaning in Conjugally Bereaved Older Adults: A Four-Year Prospective Analysis

    Science.gov (United States)

    Kim, Su Hyun; Kjervik, Diane; Belyea, Michael; Choi, Eun Sook

    2011-01-01

    This study was performed to identify the patterns and mechanisms of the development of personal strength of bereaved older adults over a 4-year period after spousal death. The findings showed that while bereaved older adults, on average, experienced a moderate level of personal strength at 6 months post-spousal death with a slight increase over a…

  3. "Older is always better": Age-related differences in vocabulary scores across 16 years.

    Science.gov (United States)

    Ben-David, Boaz M; Erel, Hadas; Goy, Huiwen; Schneider, Bruce A

    2015-12-01

    Cross-sectional studies of cognitive aging compare age groups at 1 time point. It is unclear from such studies whether age-related cognitive differences remain stable across time. We present a cross-sectional investigation of vocabulary scores of 2,000 younger and older adults collected across 16 years, using the same laboratory and protocol. We found a steady decrease with year of testing and an advantage for older adults. An additive relation between age group and year of testing implied that age-related differences in vocabulary are independent of changes over time, suggesting that younger and older adults are similarly affected by changes in word usage.

  4. Lamellar magnetism and exchange bias in billion-year-old titanohematite with nanoscale ilmenite exsolution lamellae: I. Mineral and magnetic characterization

    Science.gov (United States)

    McEnroe, Suzanne A.; Robinson, Peter; Miyajima, Nobuyoshi; Fabian, Karl; Dyar, Darby; Sklute, Elizabeth

    2016-07-01

    Recent high-resolution aeromagnetic surveys in South Norway have revealed numerous remanent anomalies over Mesoproterozoic metamorphic rocks. Studies on the nature of the minerals that are the remanent carriers has led to discoveries of titanohematite samples with unusual magnetic properties caused by nanoscale exsolution lamellae with their related lamellar magnetism. Here we focus on a rock unit dominated by quartz-plagioclase-biotite granulite containing titanohematite grains with a strong lattice-preferred orientation parallel to regional foliation. When samples with their natural remanent magnetization (NRM), acquired nearly 1 billion years ago, are cooled to 10 K and hysteresis loops measured, these loops show bi-modal exchange bias caused by the magnetism induced within the ilmenite by antiferromagnetic coupling with the adjacent lamellar NRM. By contrast when the samples are cooled in a strong magnetic field (1.5 Tesla), this results in unimodal lamellar magnetism, and, below the TN of ilmenite it adopts a consistent negative orientation, giving rise to unimodal negative exchange bias of >500 mT. The results presented here cover the chemical and magnetic properties, Mossbauer results and transmission electron microscopy of the titanohematite and ilmenite lamellae. Initial magnetic experiments indicated the shifts found in the exchange-bias experiments were directly related to the orientation of the sample to the applied field and the initial state of the NRM. In most samples with these unusual magnetic properties, ilmenite lamellae could not be seen in an optical or a scanning electron microscope. However magnetic experiments gave proof of the presence of ilmenite, later confirmed by Mössbauer spectroscopy. Several attempts were made to identify ilmenite in TEM studies, finally successful in showing ilmenite lamellae parallel to (001) of hematite with thicknesses ˜1.2 to 1.7 nm and aspect ratios 7-13. Here we compare new TEM images and the magnetic

  5. Interaction, at Ambient Temperature and 80 °C, between Minerals and Artificial Seawaters Resembling the Present Ocean Composition and that of 4.0 Billion Years Ago

    Science.gov (United States)

    Carneiro, Cristine E. A.; Stabile, Antonio C.; Gomes, Frederico P.; da Costa, Antonio C. S.; Zaia, Cássia T. B. V.; Zaia, Dimas A. M.

    2016-10-01

    Probably one of the most important roles played by minerals in the origin of life on Earth was to pre-concentrate biomolecules from the prebiotic seas. There are other ways to pre concentrate biomolecules such as wetting/drying cycles and freezing/sublimation. However, adsorption is most important. If the pre-concentration did not occur—because of degradation of the minerals—other roles played by them such as protection against degradation, formation of polymers, or even as primitive cell walls would be seriously compromised. We studied the interaction of two artificial seawaters with kaolinite, bentonite, montmorillonite, goethite, ferrihydrite and quartz. One seawater has a major cation and anion composition similar to that of the oceans of the Earth 4.0 billion years ago (ASW 4.0 Ga). In the other, the major cations and anions are an average of the compositions of the seawaters of today (ASWT). When ASWT, which is rich in Na+ and Cl-, interacted with bentonite and montmorrilonite structural collapse occurred on the 001 plane. However, ASW 4.0 Ga, which is rich in Mg2+ and SO4 2-, did not induce this behavior. When ASW 4.0 Ga was reacted with the minerals for 24 h at room temperature and 80 °C, the release of Si and Al to the fluid was below 1 % of the amount in the minerals—meaning that dissolution of the minerals did not occur. In general, minerals adsorbed Mg2+ and K+ from the ASW 4.0 Ga and these cations could be used for the formation of polymers. Also, when the minerals were mixed with ASW 4.0 Ga at 80 °C and ASWT at room temperature or 80 °C it caused the precipitation of CaSO4•2H2O and halite, respectively. Finally, further experiments (adsorption, formation of polymers, protection of molecules against degradation, primitive cell wall formation) performed under the conditions described in this paper will probably be more representative of what happened on the prebiotic Earth.

  6. Aluminum Giant China Hongqiao Recorded 3.65 Billion Net Profit Last Year, Down By 30% On Y-O-Y Basis

    Institute of Scientific and Technical Information of China (English)

    2016-01-01

    As bulk commodity faces winter,the performance of China Hongqiao,the world’s biggest aluminum manufacturer,also received impact from low aluminum price.According to the financial statement for 2015 published by the company on March 14,the company’s net income attributed to shareholders in 2015dropped sharply by 31.3%to 3.65 billion yuan

  7. Demand for new aeroplanes in next 20 years Worth US $144 billion%未来20年中国需要飞机总值 1440亿美元

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    @@ The 2001 Estimate of the Chinaese Market released byBoeing Company of the United States predicted that in thenext 20 years, starting this year, China′s need for civilaeroplanes would be 1,764 worth US 144 billion. By theyear 2020 China′s airlines will have more than 2, 200 aero-planes and become one of fhe largest civil aviation markets,second only to the US.

  8. Impact of Social Capital on 8-year Mortality Among Older People in 34 Danish Municipalities

    DEFF Research Database (Denmark)

    Poulsen, Tine; Siersma, Volkert Dirk; Christensen, Ulla;

    2012-01-01

    To analyze the impact of social capital measures (bonding, bridging, and linking) on all-cause mortality at 8-year follow-up among older people aged 75 and 80 at baseline.......To analyze the impact of social capital measures (bonding, bridging, and linking) on all-cause mortality at 8-year follow-up among older people aged 75 and 80 at baseline....

  9. Social participation reduces depressive symptoms among older adults: An 18-year longitudinal analysis in Taiwan

    Directory of Open Access Journals (Sweden)

    Botticello Amanda L

    2011-05-01

    Full Text Available Abstract Background Relatively little empirical attention has focused on the association between social participation and depressive symptoms amongst older adults in Asian nations, where persons over the age of 65 represent a rapidly growing segment of the population. This study explores the dynamic relationship between participation in social activities and trajectories of depressive symptomatology among older Taiwanese adults surveyed over 18 years. Methods Data are from a nationally representative sample of 1,388 adults aged 60-64 first surveyed in 1989 and followed over an 18-year time period for a total of six waves. Individual involvement in social activities was categorized into continuous participation, ceased participation before age 70, initiating participation in older adulthood, never participated, and dropped out before age 70. Two domains of depressive symptoms--negative affect and lack of positive affect--were measured using a 10-item version of the Center for Epidemiologic Studies-Depression Scale. Results Analyses using growth curve modeling showed that continuously participating or initiating participation in social activities later life is significantly associated with fewer depressive symptoms among older Taiwanese adults, even after controlling for the confounding effects of aging, individual demographic differences, and health status. Conclusions These findings suggest that maintaining or initiating social participation in later life benefits the mental health of older adults. Facilitating social activities among older adults is a promising direction for programs intended to promote mental health and successful aging among older adults in Taiwan.

  10. Quality of life one year post myocardial revascularization and aortic valve replacement in patients aged 70 year or older

    NARCIS (Netherlands)

    Markou, A L; Selten, K; Krabbe, P F; Noyez, L

    2011-01-01

    AIM: The aim of this study was to investigate changes of health-related quality of life (HRQOL) at one year post myocardial revascularization (CABG) and post aortic valve replacement (AVR) in patients aged 70 years or older. METHODS: Of 102 CABG patients and 69 AVR patients preoperative and follow-u

  11. Road safety effect of obligatory eye test for 45 year olds and older.

    NARCIS (Netherlands)

    2006-01-01

    Some years ago, the introduction of an obligatory eye test for drivers 45 years old and older was (once more) brought to discussion. We expect that the introduction of such a measure will only have a very slight positive effect on road safety. This measure, in which only visual acuity is tested, wil

  12. McBride's operation for hallux valgus can be used in patients older than 30 years

    DEFF Research Database (Denmark)

    Gebuhr, Peter Henrik; Soelberg, M; Larsen, T;

    1992-01-01

    . In patients older than 30 years there were significant reductions. In patients younger than 30 years, the reduction was not significant. The rate of problems with daily footwear was reduced from 36 of 46 feet to 13 of 38 feet. The authors noted few problems and a high rate of satisfied patients, despite...

  13. Arthroscopically assisted osteosynthesis of tibial plateau fractures in patients older than 55 years

    NARCIS (Netherlands)

    Roerdink, WH; Oskam, J; Vierhout, PAM

    2001-01-01

    Purpose: To evaluate the end results of arthroscopically assisted osteosynthesis of tibial plateau fractures in patients older than 55 years of age. Type of Study: Case series. Methods: Over a 5-year period, 201 consecutive patients presented with tibial plateau fracture; 131 of these patients were

  14. Comparing Years of Healthy Life, Measured in 16 Ways, for Normal Weight and Overweight Older Adults

    Directory of Open Access Journals (Sweden)

    Paula Diehr

    2012-01-01

    Full Text Available Introduction. The traditional definitions of overweight and obesity are not age specific, even though the relationship of weight to mortality is different for older adults. Effects of adiposity on aspects of health beside mortality have not been well investigated. Methods. We calculated the number of years of healthy life (YHL in the 10 years after baseline, for 5,747 older adults. YHL was defined in 16 different ways. We compared Normal and Overweight persons, classified either by body mass index (BMI or by waist circumference (WC. Findings. YHL for Normal and Overweight persons differed significantly in 25% of the comparisons, of which half favored the Overweight. Measures of physical health favored Normal weight, while measures of mental health and quality of life favored Overweight. Overweight was less favorable when defined by WC than by BMI. Obese persons usually had worse outcomes. Discussion. Overweight older adults averaged as many years of life and years of healthy life as those of Normal weight. There may be no outcome based reason to distinguish Normal from Overweight for older adults. Conclusion. The “Overweight paradox” appears to hold for nonmortality outcomes. New adiposity standards are needed for older adults, possibly different by race and sex.

  15. Geriatric conditions in acutely hospitalized older patients: prevalence and one-year survival and functional decline.

    Directory of Open Access Journals (Sweden)

    Bianca M Buurman

    Full Text Available BACKGROUND: To study the prevalence of eighteen geriatric conditions in older patients at admission, their reporting rate in discharge summaries and the impact of these conditions on mortality and functional decline one year after admission. METHOD: A prospective multicenter cohort study conducted between 2006 and 2008 in two tertiary university teaching hospitals and one regional teaching hospital in the Netherlands. Patients of 65 years and older, acutely admitted and hospitalized for at least 48 hours, were invited to participate. Eighteen geriatric conditions were assessed at hospital admission, and outcomes (mortality, functional decline were assessed one year after admission. RESULTS: 639 patients were included, with a mean age of 78 years. IADL impairment (83%, polypharmacy (61%, mobility difficulty (59%, high levels of primary caregiver burden (53%, and malnutrition (52% were most prevalent. Except for polypharmacy and cognitive impairment, the reporting rate of the geriatric conditions in discharge summaries was less than 50%. One year after admission, 35% had died and 33% suffered from functional decline. A high Charlson comorbidity index score, presence of malnutrition, high fall risk, presence of delirium and premorbid IADL impairment were associated with mortality and overall poor outcome (mortality or functional decline. Obesity lowered the risk for mortality. CONCLUSION: Geriatric conditions were highly prevalent and associated with poor health outcomes after admission. Early recognition of these conditions in acutely hospitalized older patients and improving the handover to the general practitioner could lead to better health outcomes and reduce the burden of hospital admission for older patients.

  16. Oral nutritional support of older (65 years+) medical and surgical patients after discharge from hospital

    DEFF Research Database (Denmark)

    Beck, Anne Marie; Holst, Mette; Rasmussen, Henrik Højgaard

    2013-01-01

    To estimate the effectiveness of oral nutritional support compared to placebo or usual care in improving clinical outcome in older (65 years+) medical and surgical patients after discharge from hospital. Outcome goals were: re-admissions, survival, nutritional and functional status, quality of life...

  17. Development of health over four years among middle-aged and older Europeans

    DEFF Research Database (Denmark)

    Vestergaard, Sonja; Eriksen, Mette Lindholm; Andersen-Ranberg, Karen

    2013-01-01

    Older adults in Eastern and Central European countries have a higher risk of developing poor self-rated health over four years. The same geographical pattern is seen for a higher risk of developing hypertension and diabetes. Low educational level significantly increases the risk of developing poor...

  18. Changes in Leisure Styles and Satisfaction of Older People: A Five Years Follow-Up

    Science.gov (United States)

    Gagliardi, Cristina; Spazzafumo, Liana; Papa, Roberta; Marcellini, Fiorella

    2012-01-01

    The present study examines the leisure style and leisure satisfaction of a sample of older people at baseline and after a period of 5 years. Three groups were identified by factorial and cluster analyses and labelled under the headings of: Organised Style, Surrounding Style and Indoor Style. Each group represented a different typology of leisure,…

  19. Somatic chronic diseases and 6-year change in cognitive functioning among older persons

    NARCIS (Netherlands)

    Comijs, H.; Kriegsman, D.M.W.; Dik, M.G.; Deeg, D.J.H.; Jonker, C.; Stalman, W.A.B.

    2009-01-01

    The influence of seven highly prevalent somatic chronic diseases on changes in cognitive functioning is investigated in older persons in a prospective design covering a 6-year follow-up period. The data were collected as part of the Longitudinal Aging Study Amsterdam (LASA). The associations between

  20. Two-Year Follow-Up of Bibliotherapy and Individual Cognitive Therapy for Depressed Older Adults

    Science.gov (United States)

    Floyd, Mark; Rohen, Noelle; Shackelford, Jodie A. M.; Hubbard, Karen L.; Parnell, Marsha B.; Scogin, Forrest; Coates, Adriana

    2006-01-01

    This study examined the stability of treatment gains after receiving either cognitive bibliotherapy or individual cognitive psychotherapy for depression in older adults. A 2-year follow-up of 23 participants from Floyd, Scogin, McKendree-Smith, Floyd, and Rokke (2004) was conducted by comparing pre- and posttreatment scores with follow-up scores…

  1. Sexual risk behaviors and HIV risk among Americans aged 50 years or older: a review

    Directory of Open Access Journals (Sweden)

    Pilowsky DJ

    2015-04-01

    Full Text Available Daniel J Pilowsky,1,2 Li-Tzy Wu3,41Columbia University Medical Center, Department of Epidemiology, Mailman School of Public Health New York City, NY, USA; 2Division of Epidemiology, New York State Psychiatric Institute, New York City, NY, USA; 3Department of Psychiatry and Behavioral Sciences, School of Medicine, 4Center for Child and Family Policy, Duke University, Durham, NC, USAAbstract: Although HIV-related sexual risk behaviors have been studied extensively in adolescents and young adults, there is limited information about these behaviors among older Americans, which make up a growing segment of the US population and an understudied population. This review of the literature dealing with sexual behaviors that increase the risk of becoming HIV-infected found a low prevalence of condom use among older adults, even when not in a long-term relationship with a single partner. A seminal study by Schick et al published in 2010 reported that the prevalence of condom use at last intercourse was highest among those aged 50–59 years (24.3%; 95% confidence interval, 15.6–35.8 and declined with age, with a 17.1% prevalence among those aged 60–69 years (17.1%; 95% confidence interval, 7.3–34.2. Studies have shown that older Americans may underestimate their risk of becoming HIV-infected. Substance use also increases the risk for sexual risk behaviors, and studies have indicated that the prevalence of substance use among older adults has increased in the past decade. As is the case with younger adults, the prevalence of HIV infections is elevated among ethnic minorities, drug users (eg, injection drug users, and men who have sex with men. When infected, older adults are likely to be diagnosed with HIV-related medical disorders later in the course of illness compared with their younger counterparts. Physicians are less likely to discuss sexual risk behaviors with older adults and to test them for HIV compared with younger adults. Thus, it is

  2. Etiology of Overt or Subclinical Hyperthyroidism and Iodine Status in Older Than Sixty Years

    Directory of Open Access Journals (Sweden)

    Oguzhan Aksu

    2016-04-01

    Full Text Available Aim: Thyroid dysfunction is common among older people associated with morbidity and mortality. Overall, the most common cause of hyperthyroidism is Grave%u2019s Disease (GD. In the older population however, Toxic Multinodular Goitre (TMG is more common. Iodine is an essential molecule for thyroid hormone synthesis. This may be due to the presence of autonomic areas with a higher sensitivity to iodine in the thyroid gland. The aim of this study was to detect the etiology of hyperthyroidism among cases older than 60 years.Material and Method: The study included 100 patients %u226560 years or older with hyperthyroidism. Demographic and clinical features of the patients were recorded. All patients were tested for anti-thyroid autoantibodies and underwent thyroid ultrasonographic (USG and scintigraphic examination. Iodine exposure was detected in 24-hour urine specimens. Results: Eighty-one patients (81% had overt and the remaining 19 (19% had subclinical hyperthyroidism and the mean age was 70.48 ± 6.16 (range 60-88. Thirteen patients had recent exposure to iodine and 11 had Jod Basedow Phenomenon (JBP. The most common disease was TMNG (29.2% and 8 patients had no definitive diagnosis; they were designated nondiagnostic (ND. Discussion: This is the first study that investigates the causes of thyrotoxicosis amoung older people in our country. The results indicated that TMNG was the most common cause. JBP cases had a history of exposure to iodine. For this reason, radiocontrast use in older people should be carefully evaluated with this respect.

  3. State Companies Invest Billions in Coastal Areas

    Institute of Scientific and Technical Information of China (English)

    Liu Weiqiang

    2010-01-01

    @@ East China's Fujian Province has emerged as a hot destination for several giant State companies including national oil conglomerates,despite the financial crisis,attracting investments worth billions of yuan.Late last year,China's largest offshore oil producer CNOOC launched two major projects in the province-one at Ningde Industrial Zone and the other the construction of the second phase of natural gas pipeline in the West Straits Economic Zone.The latter will secure safe,stable,efficient and sustainable supply of energy to the province.So far,CNOOC has invested 15 billion yuan(US$2.2billion)in the province,with the money going to projects such as liquefied natural gas(LNG)receiving stations,natural gas networks and LNG cold energy projects.

  4. Arthroscopic treatment of femoroacetabular impingement in patients older than 60 years

    Science.gov (United States)

    Mardones, Rodrigo; Via, Alessio Giai; Rivera, Alvaro; Tomic, Alexander; Somarriva, Marcelo; Wainer, Mauricio; Camacho, Daniel

    2016-01-01

    Summary Background The indications of hip arthroscopy increased over the past decade. Although mostly recommended for treatment of femoroacetabular impingement (FAI) in young patients, well-selected older patients (> 60 years old) may benefit from this surgery. However, the role of hip arthroscopy for the management of older patients is controversial. The aim of the study is to evaluate the clinical outcomes of a series of patients aged 60 years and older who underwent hip arthroscopy for FAI at mid-term follow-up. Materials and methods Sixty-year-old patients and older, with a joint space greater than 2 mm, and a grade I and II hip osteoarthrosis (OA) according Tönnis scale were included into the study. Twenty-three patients (28 hips) met the inclusion criteria. The T-Student test was used to detect for differences between variables (p<0.05). Results The mean age of the patients was 63.4 years, and the mean follow-up was 4.4 years (2–9 years). We found an improvement in mHHS and VAS score from the baseline to the final follow-up in 87% of patients (p<0.05). Three patients (13%) were submitted to a THA at a mean of 12 months, while the survivorship rate at the final follow-up was 75%. No major complications have been reported. Conclusion Arthroscopic treatment of FAI in patients over 60 years old, with no signs of advanced osteoarthrosis, showed a significant improvement of functional score and pain in most of cases, and it can be consider a reasonable option in well selected patients. Level of evidence: IV case series. PMID:28066746

  5. Changes in community mobility in older men and women. A 13-year prospective study.

    Directory of Open Access Journals (Sweden)

    Sofi Fristedt

    Full Text Available Community mobility, defined as "moving [ones] self in the community and using public or private transportation", has a unique ability to promote older peoples' wellbeing by enabling independence and access to activity arenas for interaction with others. Early predictors of decreased community mobility among older men and women are useful in developing health promoting strategies. However, long-term prediction is rare, especially when it comes to including both public and private transportation. The present study describes factors associated with community mobility and decreased community mobility over time among older men and women. In total, 119 men and 147 women responded to a questionnaire in 1994 and 2007. Respondents were between 82 and 96 years old at follow-up. After 13 years, 40% of men and 43% of women had decreased community mobility, but 47% of men and 45% of women still experienced some independent community mobility. Cross-sectional independent community mobility among men was associated with higher ratings of subjective health, reporting no depression and more involvement in sport activities. Among women, cross-sectional independent community mobility was associated with better subjective health and doing more instrumental activities of daily living outside the home. Lower subjective health predicted decreased community mobility for both men and women, whereas self-reported health conditions did not. Consequently, general policies and individual interventions aiming to improve community mobility should consider older persons' subjective health.

  6. Walking with a rollator and the level of physical intensity in adults 75 years of age or older

    NARCIS (Netherlands)

    Eggermont, LH; van Heuvelen, MJ; van Keeken, BL; Scherder, EJ; Hollander, A.P

    2006-01-01

    Objective: To determine whether walking with a rollator by persons 75 years of age or older is of sufficient intensity to improve aerobic fitness. Design: A cross-sectional cohort study. Setting: University movement laboratory. Participants: Fifteen subjects 75 years of age or older (mean age, 83.7y

  7. In the First Two Months of This Year Nonferrous Metals Mining and Dressing Industry Invested 7.5 Billion Yuan,Up by 15.3%

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    According to relevant economic operation data for the period from January to February this year released by the National Bureau of Statistics,in the first two months the added value of industrial enterprises above designated size actually grew by 6.8%on Y-o-Y basis.Wherein,added value of mining and dressing industry grew by 4.2%)on Y-o-Y basis,slightly

  8. SURGICAL TREATMENT OF GYNECOLOGIC MALIGNANCES IN PATIENTS 70 YEARS OF AGE AND OLDER

    Institute of Scientific and Technical Information of China (English)

    潘凌亚; 黄惠芳; 连丽娟; 吴鸣; 沈铿; 郎景和

    2003-01-01

    Objective. To assess the viability of surgical procedures on gynecologic malignant patients of 70 years age and older. Methods. Between September 1,1983 to June 30, 1999, 57 gynecologic malignant patients aged 70 years and older (mean age 73.5 years) were treated by surgical procedures. A retrospective study was performed. All patients were analyzed for preexisting medical conditions, length of hospital stay, morbidi-ty, and mortality. Results. Thirty-four patients had an extensive surgical procedure, while a local surgical procedure was done in 23 patients. Forty-one patients (71.9%) had one or more preexisting medical illnesses. Minor surgical morbidity occurred in 24 patients (31.6%) and major surgical morbidity occurred in 6 patients (10.5%). There were no differences in the types of surgical procedures, mean hospital stay, preexisting medical illness and postoperative complications between the two groups of patients 70 to 75 year older and over age 75. The major postoperative complications all occurred in the extensive surgical procedure group that were higher as compared with local operation and postoperative mean stay was also significantly length in former group. Conclusions. The extensive surgical procedure can be performed for elderly patients with gynecologic malignances. Careful preoperative evaluation, monitoring, and meticulous postoperative care are vital to the success.

  9. Exercise Modality Choices One Year After Intervention in Previously Inactive Older Men and Women.

    Science.gov (United States)

    Stathokostas, Liza; Jones, Gareth R

    2016-07-01

    A convenience sample of 176 healthy, community-dwelling, inactive older adults (mean age 70 ± 5 years; 62 males, 114 females) were tracked for one year. The purpose was to describe the exercise modality choices older adults make one year following participation in an exercise and education intervention. Telephone follow-up contacted 137 participants (78%, men = 50, women = 87) and 62% of the men and 69% of the women reported to be "currently exercising." Exercising independently was the most common type of exercise reported by 81% and 64% of men and women, respectively. Walking was the most commonly reported modality by both genders. The setting of exercise was most often reported to be at home or outside for both men and women. The main reason for continued participation at 12 months was for overall health (50% of men and 40% of women). Little variation was observed for exercise modality choice. Future interventions should consider a variety of exercise and physical activity opportunities for older adults.

  10. Three-dimensional preservation of cellular and subcellular structures suggests 1.6 billion-year-old crown-group red algae

    Science.gov (United States)

    Bengtson, Stefan; Sallstedt, Therese; Belivanova, Veneta; Whitehouse, Martin

    2017-01-01

    The ~1.6 Ga Tirohan Dolomite of the Lower Vindhyan in central India contains phosphatized stromatolitic microbialites. We report from there uniquely well-preserved fossils interpreted as probable crown-group rhodophytes (red algae). The filamentous form Rafatazmia chitrakootensis n. gen, n. sp. has uniserial rows of large cells and grows through diffusely distributed septation. Each cell has a centrally suspended, conspicuous rhomboidal disk interpreted as a pyrenoid. The septa between the cells have central structures that may represent pit connections and pit plugs. Another filamentous form, Denaricion mendax n. gen., n. sp., has coin-like cells reminiscent of those in large sulfur-oxidizing bacteria but much more recalcitrant than the liquid-vacuole-filled cells of the latter. There are also resemblances with oscillatoriacean cyanobacteria, although cell volumes in the latter are much smaller. The wider affinities of Denaricion are uncertain. Ramathallus lobatus n. gen., n. sp. is a lobate sessile alga with pseudoparenchymatous thallus, “cell fountains,” and apical growth, suggesting florideophycean affinity. If these inferences are correct, Rafatazmia and Ramathallus represent crown-group multicellular rhodophytes, antedating the oldest previously accepted red alga in the fossil record by about 400 million years. PMID:28291791

  11. Long-term mortality in HIV-infected individuals 50 years or older

    DEFF Research Database (Denmark)

    Legarth, Rebecca; Ahlström, Magnus G; Kronborg, Gitte;

    2016-01-01

    , when compared to an individually-matched cohort from the background population. METHODS: Population-based cohort-study including HIV-infected individuals ≥ 50 years, who were alive one year after HIV-diagnosis (n=2,440) and a comparison cohort individually-matched by age and gender extracted from......BACKGROUND: Although the prevalence of HIV-infection among individuals ≥ 50 years of age has increased, the impact of HIV-infection on risk of death in this population remains to be established. Our aim was to estimate long-term mortality among HIV-infected individuals who were 50 years or older...... the background population (n=14,588). Cumulative survival was evaluated using Kaplan-Meier method and Mortality Rate Ratios (MRRs) were estimated using Cox Regression Models. Study period 1996-2014. RESULTS: Estimated median survival time from age 50 years for HIV-infected individuals increased from 11.8 years...

  12. Is prosthodontic treatment age-dependent in patients 60 years and older in Public Dental Services?

    Science.gov (United States)

    Hiltunen, K; Vehkalahti, M M; Mäntylä, P

    2015-06-01

    Prosthodontic treatment is a common procedure for the elderly as tooth loss is a reality in old age. Dentists take care of increasingly older patients with physiological age manifesting as cognitive impairment, frailty or multiple chronic diseases or who have side effects of medicines. We evaluated how patients' age affects prosthodontic treatment choice and whether we could identify the age when a change in practice occurs. In addition, we determined how common the treatment method of fixed prostheses is among patients aged 60 years or over in Public Dental Services (PDS) and how common rehabilitation of dentition with new dentures is compared with repair of existing dentures. Our data cover all patients aged 60 years and older (n = 130,060) treated in Helsinki PDS in 2007-2012. Data were aggregated into seven groups: 60-64, 65-69, 70-74, 75-79, 80-84, 85-89, and 90 years and over. During the 6-year period, the mean annual number of the population was about 114,000 and the mean annual number of patients treated with prosthodontics 1700. Prosthodontic treatment choices (repair, removable prosthodontics, fixed prostheses, fibre-reinforced composite fixed prostheses) vary by age; the older the patient, the rarer fixed or fibre-reinforced composite fixed prostheses and removable prostheses and the more frequent repairs (P < 0.001). Denture repair was virtually the only treatment that patients over 90 years received. Based on our results, the age at which prosthodontic treatment practices in PDS change is around 70 years. Beyond this age, fixed prosthodontic treatment modalities are very rare and repairs are more common.

  13. Obesity and mortality among older Thais: a four year follow up study

    Directory of Open Access Journals (Sweden)

    Prasartkul Pramote

    2010-10-01

    Full Text Available Abstract Background To assess the association of body mass index with mortality in a population-based setting of older people in Thailand. Methods Baseline data from the National Health Examination Survey III (NHES III conducted in 2004 was linked to death records from vital registration for 2004-2007. Complete information regarding body mass index (BMI (n = 15997 and mortality data were separately analysed by sex. The Cox Proportional Hazard Model was used to test the association between BMI and all-cause mortality controlling for demographic, socioeconomic, and health risk factors. Results During a mean follow-up time of 3.8 years (60545.8 person-years, a total of 1575 older persons, (936 men and 639 women had died. A U-shaped and reverse J-shaped of association between BMI and all-cause mortality were observed in men and women, respectively. However there was no significant increased risk in the higher BMI categories. Compared to those with BMI 18.5-22.9 kg/m2, the adjusted hazard ratios (HR of all-cause mortality for those with BMI Conclusions The results of this study support the obesity paradox phenomenon in older Thai people, especially in women. Improvement in quality of mortality data and further investigation to confirm such association are needed in this population.

  14. Lean body mass change over 6 years is associated with dietary leucine intake in an older Danish population

    DEFF Research Database (Denmark)

    McDonald, Cameron Keith; Ankarfeldt, Mikkel Z; Capra, Sandra

    2016-01-01

    Higher protein intake, and particularly higher leucine intake, is associated with attenuated loss of lean body mass (LBM) over time in older individuals. Dietary leucine is thought to be a key mediator of anabolism. This study aimed to assess this relationship over 6 years among younger and older...

  15. Total elbow arthroplasty in distal humerus fracture in patients older than 65 years.

    Directory of Open Access Journals (Sweden)

    Gerardo Gallucci

    2016-05-01

    Full Text Available Objective To report the clinical-functional results of the treatment of humeral distal fractures with a total elbow prosthesis in patients older than 65 years old. Material and methods This retrospective paper was performed in two surgical centers. Criteria inclusion were: patients with humeral distal fractures, > 65 years, operated on with Coonrad-Morrey prostheses, and with a follow-up of  >1 year. Twenty-one patients were included. Twenty were women with an average age of 79 years old. According to AO classification, 13 fractures were type C3, 7 C2 and 1 A2. All patientes were operated on without desinsertion of the extensor mechanism. Average follow-up was 40 months. Results Flexo-extension was 123-17°, with a total arc of mobility of 106° (80 % of the contralateral side. Pain according to AVE was 1. The MEPI was 83 points: 8 patients had excellent results, 11 good, 1 regular and 1 bad. Average DASH score was 24 points. Conclusion Treatment of humeral distal fractures with total elbow arthoplasty in patients older than 65 years old, may lead to a good option of treatment, but indications must be limited to patients with complex fractures, bad bone quality, with osteoporosis and low functional demands.

  16. Palaeoclimates: the first two billion years

    Science.gov (United States)

    Kasting, James F; Ono, Shuhei

    2006-01-01

    Earth's climate during the Archaean remains highly uncertain, as the relevant geologic evidence is sparse and occasionally contradictory. Oxygen isotopes in cherts suggest that between 3.5 and 3.2 Gyr ago (Ga) the Archaean climate was hot (55–85 °C); however, the fact that these cherts have experienced only a modest amount of weathering suggests that the climate was temperate, as today. The presence of diamictites in the Pongola Supergroup and the Witwatersrand Basin of South Africa suggests that by 2.9 Ga the climate was glacial. The Late Archaean was relatively warm; then glaciation (possibly of global extent) reappeared in the Early Palaeoproterozoic, around 2.3–2.4 Ga. Fitting these climatic constraints with a model requires high concentrations of atmospheric CO2 or CH4, or both. Solar luminosity was 20–25% lower than today, so elevated greenhouse gas concentrations were needed just to keep the mean surface temperature above freezing. A rise in O2 at approximately 2.4 Ga, and a concomitant decrease in CH4, provides a natural explanation for the Palaeoproterozoic glaciations. The Mid-Archaean glaciations may have been caused by a drawdown in H2 and CH4 caused by the origin of bacterial sulphate reduction. More work is needed to test this latter hypothesis. PMID:16754607

  17. Oxygen - A Four Billion Year History

    DEFF Research Database (Denmark)

    Canfield, Donald Eugene

    guides readers through the various lines of scientific evidence, considers some of the wrong turns and dead ends along the way, and highlights the scientists and researchers who have made key discoveries in the field. Showing how Earth's atmosphere developed over time, Oxygen takes readers...... of fields, including geology, paleontology, geochemistry, biochemistry, animal physiology, and microbiology, to explain why our oxygenated Earth became the ideal place for life. Describing which processes, both biological and geological, act to control oxygen levels in the atmosphere, Canfield traces...

  18. Effects of Organized Physical Activity on Selected Health Indices among Women Older than 55 Years

    Directory of Open Access Journals (Sweden)

    Piotr Zmijewski

    2015-01-01

    Full Text Available The main aim of this study was to determine health benefits among women older than 55 years who participated in organized, group-based physical activity (OPA. Thirty-five women aged 65.0 ± 7.3 years volunteered for this study. The classical and nonclassical cardiovascular (CVD risk factors were measured before and after a 2-week OPA camp in a remote location and 3 months of OPA. Self-guided physical activity was analyzed 18 months after OPA. Two-week effects included significant decreases in body mass index, waist and hip circumferences, resting systolic and diastolic blood pressure (BP and resting heart rate, improved exercise capacity (EC, improved low-density lipoprotein and high-density lipoprotein (HDL-C, cholesterol, and other atherogenic lipid indices (ALI, and a reduction in 10-year estimated risk of death from CVD. Three-month effects included a further decrease in systolic BP, improvements in EC and HDL-C, and maintenance of lower levels of ALI, as well as lower CVD risk. The implementation of the OPA programme had a positive impact on somatic features, exercise capacity, biochemical indices, and risk for death from CVD. The presented programme can be regarded as an effective element of primary prevention of cardiovascular diseases among women older than 55 years.

  19. [Aortic valve replacement in patients older than 75 years of age].

    Science.gov (United States)

    Shimamoto, M; Yamazaki, F; Nakamura, T; Yoshimura, T; Ueno, T; Shinozaki, T

    1994-12-01

    From 1988 to 1992, 16 patients older than 75 years underwent AVR (14 cases) or AVR+MVR (two cases). All patients were followed up for an average of 2.4 years after the operation and follow-up totaled to 38 patient-years. There were no hospital death and one late death. The survival rate was 93.8% through 1 to 5 years and 15 patients are now in NYHA class I or II. The problems of AVR for elderly patients were calcification and small annulus. Decalcification using CUSA was effective technique and supraannular fixing of bioprosthetic valve avoided from aortic annular enlargement. The improved quality of life after AVR supports the aggressive surgery in elderly population.

  20. The nonprofit sector's $100 billion opportunity.

    Science.gov (United States)

    Bradley, Bill; Jansen, Paul; Silverman, Les

    2003-05-01

    Imagine what an extra $100 billion a year could do for philanthropic and other nonprofit institutions. According to a new study, the nonprofit sector could free that amount--maybe even more--by making five changes in the way it operates. The study asked two central questions: Does the sector's money flow from its source to its ultimate use as efficiently and effectively as possible? If not, where are the big opportunities to increase social benefit? According to former senator Bill Bradley and McKinsey's Paul Jansen and Les Silverman, nonprofits could save roughly $25 billion a year by changing the way they raise funds. By distributing funds more quickly, they could put an extra $30 billion to work. Organizations could generate more than $60 billion a year by streamlining and restructuring the way in which they provide services and by reducing administrative costs. And they could free up even more money--an amount impossible to estimate--by better allocating funds among service providers. The authors admit that making those changes won't be easy. The nonprofit world, historically seen as a collection of locally focused charities, has become an enormous sector, but it lacks the managerial processes and incentives that help keep the for-profit world on track. And when the baby boomers start to retire in less than a decade, public budgets will be squeezed even more than they are today. If the nonprofit sector is to help the nation cope with the stresses ahead, it must become more efficient and challenge its traditional concepts of stewardship.

  1. Adiposity predicts cognitive decline in older persons with diabetes: a 2-year follow-up.

    Directory of Open Access Journals (Sweden)

    Angela Marie Abbatecola

    Full Text Available BACKGROUND: The mechanisms related to cognitive impairment in older persons with Type 2 diabetes (DM remains unclear. We tested if adiposity parameters and body fat distribution could predict cognitive decline in older persons with DM vs. normal glucose tolerance (NGT. METHODOLOGY: 693 older persons with no dementia were enrolled: 253 with DM in good metabolic control; 440 with NGT (age range:65-85 years. Longitudinal study comparing DM and NGT individuals according to the association of baseline adiposity parameters (body mass index (BMI, waist-hip-ratio (WHR, waist circumference (WC and total body fat mass to cognitive change (Mini Mental State Examination (MMSE, a composite score of executive and attention functioning (CCS over time. FINDINGS: At baseline, in DM participants, MMSE correlated with WHR (beta = -0.240; p = 0.043, WC (beta = -0.264; p = 0.041 while CCS correlated with WHR (beta = -0.238; p = 0.041, WC (beta = -0.326; p = 0.013 after adjusting for confounders. In NGT subjects, no significant correlations were found among any adiposity parameters and MMSE, while CCS was associated with WHR (beta = -0.194; p = 0.036 and WC (beta = -0.210; p = 0.024. Participants with DM in the 3(rd tertile of total fat mass showed the greatest decline in cognitive performance compared to those in 1(st tertile (tests for trend: MMSE(p = 0.007, CCS(p = 0.003. Logistic regression models showed that 3(rd vs. 1(st tertile of total fat mass, WHR, and WC predicted an almost two-fold decline in cognitive function in DM subjects at 2(nd yr (OR 1.68, 95%IC 1.08-3.52. CONCLUSIONS: Total fat mass and central adiposity predict an increased risk for cognitive decline in older person with DM.

  2. Percutaneous balloon compression for primary trigeminal neuralgia in patients older than 80 years

    Institute of Scientific and Technical Information of China (English)

    Yuanfeng Du; Qiao Gu; Dingbo Yang; Xiaoqiao Dong; Quan Du; Hao Wang; Wenhua Yu

    2015-01-01

    Background: It has been demonstrated that the incidence of trigeminal neuralgia in elderly patients is higher and thus, neurosurgeons often encounter elderly patients with this disorder.However, for those with poor basic condition, the optimal surgical treatment remains controversial.In this study, the authors aimed to evaluate the safety and efficacy of percutaneous balloon compression (PBC) for primary trigeminal neuralgia in elderly patients older than 80 years.Methods: From September 2009 to March 2013, a total of 68 patients older than 80 years underwent PBC, and a retrospective study of the clinical data of these patients was performed.Results: After PBC, pain relief was immediate in 66 (97.0 %) patients, 1 (1.5 %) patient had no pain relief, and 1 (1.5 %) patient had some pain that could be controlled with medication.With a mean length of follow-up of 40.1 months, ranging from 24 to 66 months after surgery, 55 (80.9 %) patients were still pain free.Of the 11 patients with recurrence, 9 cases had mild recurrence and 2 cases suffered severe recurrence.The mean time to recurrence was 18.9 months (1-64 months).Postoperative morbidity included common side effects such as facial numbness in 66 (97.1%) patients, masseter muscle weakness in 19 (27.9 %) patients, paresthesia in 7 (10.3 %) patients, and diplopia secondary to abducens nerve weakness in 1 (1.5 %) patient.No corneal anesthesia, subarachnoid hemorrhage, or other serious surgical complications occurred in this study.Conclusions: In this study, the authors reviewed data on a cohort of patient older than 80 years.The PBC procedure has advantages in that it is minimally invasive, safe, effective, and could be performed under general anesthesia.This makes it an optimized choice for elderly patients.

  3. Liver Transplantation Outcomes Using Grafts From Donors Older Than the Age of 80 Years.

    Science.gov (United States)

    Rabelo, A V; Alvarez, M J; Méndez, C S M; Villegas, M T; MGraneroa, K; Becerra, A; Dominguez, M; Raya, A M; Exposito, M; Suárez, Y F

    2015-11-01

    We performed a retrospective cohort study between 2002 and 2014 to compare liver transplantation outcomes between recipients of grafts from donors older than and younger than the age of 80 years. Numerical variables were compared with the Student t test when their distribution was normal and the Mann-Whitney test when it was not, whereas categorical variables were compared with Pearson chi-squared test or Fisher test, as appropriate; P graft rejection, retransplantation, or survival at 6 months. Although earlier studies considered livers from elderly donors to be suboptimal, our results support the proposition that octogenarian donors can be an excellent source of liver grafts.

  4. Utility of urine cytology in evaluating hematuria with sonographically suspected bladder lesion in patients older than 50 years

    Directory of Open Access Journals (Sweden)

    Hussam Eldin Helmy Mady

    2014-01-01

    Conclusion: Hematuria in patients older than 50 years with sonographically suspected bladder lesion mandates cystoscopy and biopsy. UC does not add more significant information in this group of patients.

  5. A Model for Partnering First-Year Student Pharmacists With Community-Based Older Adults

    Science.gov (United States)

    Porter, Andrea L.; Shawl, Lauren; Motl Moroney, Susannah E.

    2012-01-01

    Objectives. To design, integrate, and assess the effectiveness of an introductory pharmacy practice experience intended to redefine first-year student pharmacists’ views on aging and medication use through their work with a healthy, community-based older-adult population. Design. All students (N = 273) completed live skills training in an 8-hour boot camp provided during orientation week. Teams were assigned an independently living senior partner, completed 10 visits and reflections, and documented health-related information using an electronic portfolio (e-portfolio). Assessment. As determined by pre- and post-experience survey instruments, students gained significant confidence in 7 skill areas related to communication, medication interviews, involving the partner in health care, and applying patient-care skills. Student reflections, in-class presentations, and e-portfolios documented that personal attitudes toward seniors changed over time. Senior partners enjoyed mentoring and interacting with students and many experienced health improvements as a result of the interaction. Conclusions. The model for partnering first-year student pharmacists with community-based older adults improved students’ skills and fostered their connections to pharmacist roles and growth as person-centered providers. PMID:22761526

  6. Gait patterns in a community-dwelling population aged 50 years and older.

    Science.gov (United States)

    Verlinden, V J A; van der Geest, J N; Hoogendam, Y Y; Hofman, A; Breteler, M M B; Ikram, M A

    2013-04-01

    Poor gait is an important risk factor for falls and associated with higher morbidity and mortality. It is well established that older age is associated with worse gait, but it remains unclear at what age this association is first seen. Moreover, previous studies focused mainly on normal walking, but gait also encompasses turning and tandem walking. In a large study of community-dwelling middle-aged and elderly persons we investigated the association of age with gait, focusing on normal walking, turning and tandem walking. In 1500 persons aged 50 years and over, we measured gait using an electronic walkway. Participants performed normal walks, turning and a tandem walk. With principal components analysis of 30 variables we summarized gait into five known gait factors: Rhythm, Variability, Phases, Pace and Base of Support; and uncovered two novel gait factors: Tandem and Turning. The strongest associations with age were found for Variability (difference in Z-score -0.29 per 10 years increase (95% confidence interval: -0.34; -0.24)), Phases (-0.31 per 10 years (-0.36; -0.27)) and Tandem (-0.25 per 10 years (-0.30; -0.20)). Additionally, these factors already showed association with the youngest age groups, from 55 to 60 years of age and older. Our study shows that Variability, Phases and Tandem have the strongest association with age and are the earliest to demonstrate a poorer gait pattern with higher age. Future research should further investigate how these gait factors relate with gait-related diseases in their earliest stages.

  7. Residential relocations among older people over the course of more than ten years

    Science.gov (United States)

    Buurman, Bianca M.; Trentalange, Mark; Nicholson, Nicholas; McGloin, Joanne M.; Gahbauer, Evelyne A.; Allore, Heather G.; Gill, Thomas M.

    2014-01-01

    Objective To describe the rates of residential relocations over the course of 10.5 years and evaluate differences in these relocation rates according to gender and decedent status. Design Prospective, longitudinal study with monthly telephone follow-up for up to 126 months. Setting Greater New Haven, Connecticut. Participants 754 persons, aged 70 years or older, who were initially community-living and nondisabled in their basic activities of daily living. Measurements Residential location was assessed during monthly interviews and included: community, assisted living facility (AL) and nursing home (NH). A residential relocation was defined as a change of residential location for at least one week and included relocations within (e.g. community-community) or between (community-assisted living) locations. We calculated the rates of relocations/1000 patient-months and evaluated differences by gender and decedent status. Results Sixty-six percent of participants had at least one residential relocation (range 0–12). Women had lower rates of relocations from NH to community (rate ratio (RR) 0.59, p=.02); otherwise, there were no gender differences. Decedents had higher rates of relocation from community to AL (RR 1.71, p=0.002), from community to NH (RR 3.64, p<.001), between ALs (RR 3.65, p<.001) and from AL to NH (RR 2.5, p<0.001). In decedents, relocations from community to NH (RR 3.58, p<.001) and from AL to NH (RR 3.3, p<.001) were most often observed in the last year of life. Conclusions A majority of older people relocated at least once during 10.5 years follow-up. Women had lower rates of relocation from NH to community. Decedents were more likely to relocate to a residential location providing a higher level of assistance, compared with non-decedents. Residential relocations were most common in the last year of life. PMID:24794829

  8. Factors influencing Internet usage in older adults (65 years and above) living in rural and urban Sweden.

    Science.gov (United States)

    Berner, Jessica; Rennemark, Mikael; Jogréus, Claes; Anderberg, Peter; Sköldunger, Anders; Wahlberg, Maria; Elmståhl, Sölve; Berglund, Johan

    2015-09-01

    Older adults living in rural and urban areas have shown to distinguish themselves in technology adoption; a clearer profile of their Internet use is important in order to provide better technological and health-care solutions. Older adults' Internet use was investigated across large to midsize cities and rural Sweden. The sample consisted of 7181 older adults ranging from 59 to 100 years old. Internet use was investigated with age, education, gender, household economy, cognition, living alone/or with someone and rural/urban living. Logistic regression was used. Those living in rural areas used the Internet less than their urban counterparts. Being younger and higher educated influenced Internet use; for older urban adults, these factors as well as living with someone and having good cognitive functioning were influential. Solutions are needed to avoid the exclusion of some older adults by a society that is today being shaped by the Internet.

  9. Profile and outcome of neuroblastoma with convertional chemotherapy in children older than one year: a 15-years experience.

    Science.gov (United States)

    Bansal, Deepak; Marwaha, R K; Trehan, Amita; Rao, K L N; Gupta, Vishal

    2008-02-01

    The clinical profile and outcome of neuroblastoma in 103 children, older than one-year is presented. 74 had Stage IV, 27 Stage III and one patient each had Stage I or II disease. Treatment included chemotherapy followed by surgical resection/debulking. Radiotherapy was administered to those with residual tumor. Chemotherapy consisted of OPEC (vincristine, cyclophosphamide, cisplatin and etoposide). The caretakers of 54 (52.4%) children either did not opt for or defaulted therapy, whilst 3 patients died before chemotherapy could be initiated. Of the remaining 46 patients, the tumor progressed during therapy in 19 (41.3%). Relapse of disease was documented in 22 (47.8%) cases. Merely 4 (8.7%) children are disease free for a period of 16.5+/-6.7 months. Majority of children presented with advanced disease and the outcome was dismal with conventional non-myloablative chemotherapy.

  10. To reactivate or not to reactivate: nature and varied behavior of structural inheritance in the Proterozoic basement of the Eastern Colorado mineral belt over 1.7 billion years of earth history

    Science.gov (United States)

    Caine, Jonathan Saul; Ridley, John; Wessel, Zachary R.

    2010-01-01

    The eastern central Front Range of the Rocky Mountains in Colorado has long been a region of geologic interest because of Laramide-age hydrothermal polymetallic vein-related ores. The region is characterized by a well-exposed array of geologic structures associated with ductile and brittle deformation, which record crustal strain over 1.7 billion years of continental growth and evolution. The mineralized areas lie along a broad linear zone termed the Colorado Mineral Belt. This lineament has commonly been interpreted as following a fundamental boundary, such as a suture zone, in the North American Proterozoic crust that acted as a persistent zone of weakness localizing the emplacement of magmas and associated hydrothermal fluid flow. However, the details on the controls of the location, orientation, kinematics, density, permeability, and relative strength of various geological structures and their specific relationships to mineral deposit formation are not related to Proterozoic ancestry in a simple manner. The objectives of this field trip are to show key localities typical of the various types of structures present, show recently compiled and new data, offer alternative conceptual models, and foster dialogue. Topics to be discussed include: (1) structural history of the eastern Front Range; (2) characteristics, kinematics, orientations, and age of ductile and brittle structures and how they may or may not relate to one another and mineral deposit permeability; and (3) characteristics, localization, and evolution of the metal and non–metal-bearing hydrothermal systems in the eastern Colorado Mineral Belt.

  11. Prevalence of osteoporosis in women older than 50 years old in Bushehr port

    Directory of Open Access Journals (Sweden)

    Seyed Sajad Eghbali

    2009-02-01

    Full Text Available Background: Osteoporosis is characterized by low bone mass and microarchitectural deterioration of bone, leading to enhanced bone fragility. Prevalence of osteoporosis increases with age. The aim of this study was to estimate the prevalence of osteoporosis in women older than 50 years old in Bushehr port, irrespective of osteoporosis risk factors. Methods: A total of 406 women over 50 years old were selected from 13 cluster areas of Bushehr port using random sampling method. We used dual x-ray absorptimetry (DXA for measuring bone mineral density of femoral neck and lumbar areas. Demographic data, smoking, physical activity, daily intake of vitamin D and calcium, body mass index and waist to hip ratio were recorded for each women. Results: Mean BMDs of lumbar spine and femoral area were 0.944 (±0.844 g/cm2 and 0.842 (± 0.181 g/cm2, respectively. BMDs had a trend to decrease with increasing age (P<0.0001. The prevalence of osteopenia and osteoporosis in lumbar spine were 32.0% and 7.4%, respectively and the prevalence of osteopenia and osteoporosis in femur were 29.6% and 3.9%, respectively. No significant differences were observed between normal women and osteoporotic women in secondary osteoporosis risk factors. But osteoporotic women had more history of present or past smoking in comparison to normal women (P<0.05. Conclusion: Prevalence of osteopenia and osteoporosis in women older than 50 years old in Bushehr port is less than USA, Europe and Tehran populations.

  12. Three-Year Follow-up of Conservative Treatments of Shoulder Osteoarthritis in Older Patients.

    Science.gov (United States)

    Guo, Jiong Jiong; Wu, Kailun; Guan, Huaqing; Zhang, Lei; Ji, Cheng; Yang, Huilin; Tang, Tiansi

    2016-07-01

    Little is known about the mid-term results of nonsurgical treatment for shoulder osteoarthritis (OA), especially in a Chinese population. This study sought to determine the efficacy of nonsurgical management in older patients with shoulder OA. A total of 129 conservatively treated unilateral shoulder OA patients who were older than 65 years were evaluated prospectively at the initial office visit and then subsequently at 3, 6, 12, 18, 24, and 36 months later. During the 36-month follow-up period, all patients could receive conventional therapy, such as nonsteroidal anti-inflammatory medication, corticosteroid injection, sodium hyaluronate, and education, at the discretion of treating physicians. Some patients received physiotherapy, rehabilitation training, and a shoulder strap to improve the range of motion and muscular strength training from a physical therapist. Parameters measured included comparative effectiveness of each therapeutic method, visual analog scale (VAS), Simple Shoulder Test (SST), and Short Form (36) Health Survey (SF-36) scores. At 3-year follow-up, most patients had a significant increase from their pretreatment values in pain, self-assessed shoulder function, mental health, and 5 of 8 SF-36 domains. The study showed a decline in SST and VAS at 6 and 12 months after an initial ascent at 3 months, and then it was rescued and continued at 3-year follow-up. Combined therapy could improve symptoms significantly. This study suggests that a conservative approach may be more appropriate and can produce satisfactory mid-term outcomes in selected cases. The findings of this study suggest that conservative treatments should be extended for longer than 12 months before the decision regarding shoulder arthroplasty is made. [Orthopedics. 2016; 39(4):e634-e641.].

  13. Clinical experience with kidney transplantation in patients older than 65 years

    Institute of Scientific and Technical Information of China (English)

    YU Li-xin; LIU Xiao-you; DENG Wen-feng; YE Gui-rong; MIAO Yun; YAO Bing

    2002-01-01

    Objective:To explore the peculiarities of kidney transplantation in elderly patients and define the perioperative managements. Methods: The clinical data of kidney transplantation in 29 patients older than 65years were reviewed, the eldest being 84 years old and the mean age 68. 1 years. Results: Four episodes of acute rejection (13. 80%) were encountered. FK506 toxicity occurred in one case (3.40%) and lung infection in another (3.40%), who (along with the former 4 patients) all were cured subsequently. In one case, the kidney graft was removed for thrombogenesis of the renal artery. The 1- and 3-year patients/grafts survival of 100% and 96.5% respectively was achieved, with the longest survival exceeding 5 years. Conclusions:Old age was not the absolute contraindication for kidney transplantation. Strict observance of the indications of kidney transplantation and donor selection with well-matched tissue-typing are crucial in elderly patients.Adequate application of immunosuppressants and effective long-term follow-up are also major factors for long-term allograft survival.

  14. Factors influencing survival in hemodialysis patients aged older than 75 years: 2.5-year outcome study.

    Science.gov (United States)

    Chauveau, P; Combe, C; Laville, M; Fouque, D; Azar, R; Cano, N; Canaud, B; Roth, H; Leverve, X; Aparicio, M

    2001-05-01

    The incidence of malnutrition is widely held to be greater in the elderly, but this specific factor has not been extensively studied in elderly dialysis patients. In a 30-month follow-up prospective study, we evaluated the role of nutrition on the outcome of 290 stable hemodialysis (HD) outpatients aged older than 75 years followed up in 20 French HD centers (167 men, 123 women; age, 79.8 +/- 4.2 years; previous time on dialysis, 41 +/- 38 months). On the same day in January 1996, predialysis and postdialysis blood samples were collected according to recommended procedures for dialysis quantification. Normalized protein catabolic rate, dialysis adequacy parameters, and estimation of lean body mass (LBM; expressed as observed/expected LBM values [obs/exp LBM]) were computed from predialysis and postdialysis urea and creatinine levels. Overall survival rates were 80% and 65% after 1 and 2 years of follow-up, respectively, and were significantly less in patients with the lower quartile of obs/exp LBM. In univariate analysis using the Cox proportional hazards model, survival was significantly influenced by age, albumin level, prealbumin level, body mass index, and diabetes, but not by sex, Kt/V, duration of dialysis, cholesterol level, hemoglobin level, or obs/exp LBM. In multivariate analysis, no variable remained significant. Cardiovascular mortality accounted for 52.1% of the patient deaths. We conclude that in elderly HD patients, malnutrition influences overall survival despite adequate dialysis treatment.

  15. Influenza vaccine effectiveness in adults 65 years and older, Denmark, 2015/16

    DEFF Research Database (Denmark)

    Emborg, H.; Krause, T. G.; Nielsen, L.;

    2016-01-01

    In Denmark, both influenza A(H1N1)pdm09 and influenza B co-circulated in the 2015/16 season. We estimated the vaccine effectiveness (VE) of the trivalent influenza vaccine in patients 65 years and older using the test-negative case-control design. The adjusted VE against influenza A(H1N1)pdm09...... was 35.0% (95% confidence interval (CI): 11.1-52.4) and against influenza B 4.1% (95% CI: -22.0 to 24.7). The majority of influenza A(H1N1)pdm09 circulating in 2015/16 belonged to the new genetic subgroup subclade 6B.1....

  16. Fractures of the acetabulum in patients aged 60 years and older: an epidemiological and radiological study.

    Science.gov (United States)

    Ferguson, T A; Patel, R; Bhandari, M; Matta, J M

    2010-02-01

    Using a prospective database of 1309 displaced acetabular fractures gathered between 1980 and 2007, we calculated the annual mean age and annual incidence of elderly patients > 60 years of age presenting with these injuries. We compared the clinical details and patterns of fracture between patients > 60 years of age (study group) with those 60 years of age and the remaining 1074 were fractures increased by 2.4-fold between the first half of the study period and the second half (10% (62) vs 24% (174), p Fractures characterised by displacement of the anterior column were significantly more common in the elderly compared with the younger patients (64% (150) vs 43% (462), respectively, p fractures in the study group included a separate quadrilateral-plate component (50.8% (58)) and roof impaction (40% (46)) in the anterior fractures, and comminution (44% (30)) and marginal impaction (38% (26)) in posterior-wall fractures. The proportion of elderly patients presenting with acetabular fractures increased during the 27-year period. The older patients had a different distribution of fracture pattern than the younger patients, and often had radiological features which have been shown in other studies to be predictive of a poor outcome.

  17. China's Textile Export Reached 140 billion USD in 2006

    Institute of Scientific and Technical Information of China (English)

    LIU Shuang

    2007-01-01

    @@ Statistics released by China Customs shows that the export value of the Chinese textile and apparel in 2006 totaled over 144 billion US dollars. Among them, the export value of garments was 95.19 billion US dollars, with a rise of 28.9% compared with the previous year. The export value of yarns, fabrics and finished products was 48.8 billion US dollars, and it went up 18.7%. If small volume trades were accounted, the total value would be around 146 US dollars.

  18. GENES Y EVOLUCIÓN EL DELGADO HILO QUE NOS CONECTA POR MILES DE MILLONES DE AÑOS Genes and Evolution, the Thin Thread that Connects Us for Billions of Years

    Directory of Open Access Journals (Sweden)

    LUIS FERNANDO GARCÍA

    Full Text Available La escala temporal en nuestra cotidianidad refleja una pequeña fracción de la historia evolutiva de los organismos, incluidos los humanos. La edad del planeta se estima en 4.500 millones de años, donde ocurrieron profundos cambios en la posición de los continentes y en el clima del planeta. Sin embargo, los cambios más drásticos surgen solo en los últimos 500 millones de años. La genética ha sido una herramienta fundamental para inferir el cambio de los organismos a lo largo de millones de años, por ejemplo, mediante la estimación de tiempos de divergencia. Los seres vivos comparten el material genético como huellas moleculares para rastrear cambios en el pasado. Así, mediante el uso de secuencias de ADN y proteínas, los científicos estudian cómo los organismos han evolucionado, cuándo surgieron importantes novedades evolutivas, cómo interaccionan los genes, y determinan las relaciones evolutivas entre las formas del pasado y las contemporáneas. Las relaciones entre organismos son inferidas por simple similaridad (fenéticas, por compartir características únicas y mediante modelos matemáticos que describen como evolucionan las secuencias de ADN y las proteínas (filogenéticas. La genética también evidencia la dinámica de los genomas (duplicación, transposición, recombinación, inversiones, que resulta en ganancia y pérdida de genes, nuevas funciones, y transferencia horizontal de genes, mecanismos que incrementan la diversidad existente hoy. Aunque el ambiente es fundamental en la evolución de los organismos, es imprescindible reconocer que hay un hilo conductor muy fino y fuerte que nos conecta inevitablemente a esas primeras moléculas que se formaron en el pasado distante.The temporal scale of our daily life is a small fraction of the evolutionary history of organisms, including the humans. The planet age is estimated in 4.5 billion years, in which profound changes in the position of continents and the climate of

  19. Clinical significance of benign endometrial cells found in papanicolaou tests of Turkish women aged 40 years and older

    Directory of Open Access Journals (Sweden)

    Gozde Kir

    2013-01-01

    Conclusions: According to our study, reporting BEC for women aged between 40 and 50 years has minor clinical significance but is significant for women older than 50 years, regardless of menopausal status. Larger sample size would be appropriate to confirm the results of the current study.

  20. Coronary angioplasty in patients 75 years and older; comparison with coronary bypass surgery.

    Science.gov (United States)

    Metzger, J P; Tabone, X; Georges, J L; Gueniche, C; Detienne, J P; Le Feuvre, C; Vacheron, A

    1994-02-01

    From November 1988 to May 1992, 108 patients (79 men, 29 women) 75 years or older (mean 78 +/- 3, range 75-90 years) underwent coronary angioplasty (group I: n = 62) or coronary bypass surgery (group II: n = 46). Group II patients were younger (76 +/- 2 vs 79 +/- 4, P = 0.002) and had a higher proportion of multivessel disease. The two groups were comparable with regard to the presence of unstable angina, left ventricular ejection fraction and Q wave infarction. In-hospital mortality was similar in the two groups (6.4% vs 4.3%). Complete revascularization (72% vs 47%, P < 0.05) and left anterior descending artery revascularization (100% vs 45%, P < 0.01) were more frequent in group II. Two-year infarction-free survival was similar (group I: 76 +/- 6%; group II: 79 +/- 6%) but recurrent class III or IV angina (36% vs 9%, P < 0.05) and repeat procedures (26% vs 0%, P < 0.05) were more frequent in group I.

  1. Outcome and quality of life after surgically treated ankle fractures in patients 65 years or older

    Directory of Open Access Journals (Sweden)

    Ekdahl Charlotte

    2007-12-01

    Full Text Available Abstract Background Despite high incidence of ankle fractures in the elderly, studies evaluating outcome and impact of quality of life in this age group specifically are sparse. The aim of this study was to evaluate outcome and quality of life 6 and 12 months after injury in patients 65 years or older who had been operated on due to an ankle fracture. Methods Sixty patients 65 years or older were invited to participate in the study. 6 and 12 months after the injury a questionnaire including inquiry to participate, the Olerud-Molander Ankle Score (OMAS, Short-Form 36 (SF-36, Linear Analogue Scale (LAS, Self-rated Ankle Function and some supplementary questions was sent home to the patients. The supplementary questions concerned subjective experience of ankle instability, sporting and physical activity level before injury and recaptured activity level at follow-ups, need of walking aid before injury, state of living before injury and at follow-ups and co-morbidities. After the 12-month follow-up the patients were also called for a radiological examination. Results Fifty patients (83% answered the questionnaire at 6-month and 46 (77% at the 12-month follow-up. Although, 45 (90% fractures were low-energy trauma 44 (88% were bi- or trimalleolar and post-operative reduction results were complete in 23 (46% ankles. The median OMAS improved from 60 (Interquartile range (IQR 36 at 6-month to 70 (IQR 35 at 12-month (p = 0.002, but at 12-month still sixty percent or more of the patients reported pain, swelling, problems when stair-climbing and reduced activities of daily life. Twenty (40% rated their ankle function as 'good' or 'very good' at 6-month and 30 (60% at 12-month. Forty-one (82% were physically active before injury but still one year after only 18/41 had returned to their pre-injury physical activity level. According to SF-36 four dimensions differed from the age- and gender matched normative data of the Swedish population, 'physical function

  2. Personal networks and mortality risk in older adults: a twenty-year longitudinal study.

    Directory of Open Access Journals (Sweden)

    Lea Ellwardt

    Full Text Available Research on aging has consistently demonstrated an increased chance of survival for older adults who are integrated into rich networks of social relationships. Theoretical explanations state that personal networks offer indirect psychosocial and direct physiological pathways. We investigate whether effects on and pathways to mortality risk differ between functional and structural characteristics of the personal network. The objective is to inquire which personal network characteristics are the best predictors of mortality risk after adjustment for mental, cognitive and physical health.Empirical tests were carried out by combining official register information on mortality with data from the Longitudinal Aging Study Amsterdam (LASA. The sample included 2,911 Dutch respondents aged 54 to 85 at baseline in 1992 and six follow-ups covering a time span of twenty years. Four functional characteristics (emotional and social loneliness, emotional and instrumental support and four structural characteristics (living arrangement, contact frequency, number of contacts, number of social roles of the personal network as well as mental, cognitive and physical health were assessed at all LASA follow-ups. Statistical analyses comprised of Cox proportional hazard regression models. Findings suggest differential effects of personal network characteristics on survival, with only small gender differences. Mortality risk was initially reduced by functional characteristics, but disappeared after full adjustment for the various health variables. Mortality risk was lowest for older adults embedded in large (HR = 0.986, 95% CI 0.979-0.994 and diverse networks (HR = 0.948, 95% CI 0.917-0.981, and this effect continued to show in the fully adjusted models.Functional characteristics (i.e. emotional and social loneliness are indirectly associated with a reduction in mortality risk, while structural characteristics (i.e. number of contacts and number of social roles have

  3. Recommendations for Serogroup B Meningococcal Vaccine for Persons 10 Years and Older.

    Science.gov (United States)

    2016-09-01

    This policy statement provides recommendations for the prevention of serogroup B meningococcal disease through the use of 2 newly licensed serogroup B meningococcal vaccines: MenB-FHbp (Trumenba; Wyeth Pharmaceuticals, a subsidiary of Pfizer, Philadelphia, PA) and MenB-4C (Bexsero; Novartis Vaccines, Siena, Italy). Both vaccines are approved for use in persons 10 through 25 years of age. MenB-FHbp is licensed as a 2- or 3-dose series, and MenB-4C is licensed as a 2-dose series for all groups. Either vaccine is recommended for routine use in persons 10 years and older who are at increased risk of serogroup B meningococcal disease (category A recommendation). Persons at increased risk of meningococcal serogroup B disease include the following: (1) persons with persistent complement component diseases, including inherited or chronic deficiencies in C3, C5-C9, properdin, factor D, or factor H or persons receiving eculizumab (Soliris; Alexion Pharmaceuticals, Cheshire, CT), a monoclonal antibody that acts as a terminal complement inhibitor by binding C5 and inhibiting cleavage of C5 to C5A; (2) persons with anatomic or functional asplenia, including sickle cell disease; and (3) healthy persons at increased risk because of a serogroup B meningococcal disease outbreak. Both serogroup B meningococcal vaccines have been shown to be safe and immunogenic and are licensed by the US Food and Drug Administration for individuals between the ages of 10 and 25 years. On the basis of epidemiologic and antibody persistence data, the American Academy of Pediatrics agrees with the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention that either vaccine may be administered to healthy adolescents and young adults 16 through 23 years of age (preferred ages are 16 through 18 years) to provide short-term protection against most strains of serogroup B meningococcal disease (category B recommendation).

  4. Dietary B Vitamins and a 10-Year Risk of Dementia in Older Persons

    Directory of Open Access Journals (Sweden)

    Sophie Lefèvre-Arbogast

    2016-11-01

    Full Text Available B vitamins may lower the risk of dementia, yet epidemiological findings, mostly from countries with folic acid fortification, have remained inconsistent. We evaluated in a large French cohort of older persons the associations between dietary B vitamins and long-term incident dementia. We included 1321 participants from the Three-City Study who completed a 24 h dietary recall, were free of dementia at the time of diet assessment, and were followed for an average of 7.4 years. In Cox proportional hazards models adjusted for multiple potential confounders, including overall diet quality, higher intake of folate was inversely associated with the risk of dementia (p for trend = 0.02, with an approximately 50% lower risk for individuals in the highest compared to the lowest quintile of folate (HR = 0.47; 95% CI 0.28; 0.81. No association was found for vitamins B6 and B12. In conclusion, in a large French cohort with a relatively low baseline folate status (average intake = 278 µg/day, higher folate intakes were associated with a decreased risk of dementia.

  5. Selective fine needle aspiration of parotid masses. FNA should be performed in all patients older than 60 years.

    LENUS (Irish Health Repository)

    Kieran, S M

    2012-02-01

    OBJECTIVES: The exact role of fine needle aspiration in the pre-operative assessment of patients presenting with parotid masses is controversial. Some surgeons propose that fine needle aspiration be performed only selectively in those patients with likely malignant disease, whilst others recommend it for all patients presenting with such a mass. Intuitively, one would expect older patients to be more likely to suffer from primary malignant parotid tumours and secondary deposits of malignant skin tumours. Therefore, we hypothesised that older patients with a parotid mass should undergo fine needle aspiration regardless of their medical history. DESIGN: We retrospectively reviewed 197 consecutive parotidectomies to test this hypothesis. RESULTS: One hundred and twenty-one patients (61.4 per cent) were diagnosed with benign disease, whilst 76 (38.6 per cent) were diagnosed with malignant disease. Eighty-three per cent of patients aged 60 years or younger had benign disease, as opposed to 35.6 per cent of patients aged more than 60 years. Malignant disease occurred more commonly in patients older than 60 years (odds ratio 8.962, 95 per cent confidence interval 4.607-17.434). CONCLUSION: In patients with a parotid mass, fine needle aspiration should be performed on all those aged 60 years or older.

  6. Influenza vaccine effectiveness in adults 65 years and older, Denmark, 2015/16 - a rapid epidemiological and virological assessment

    DEFF Research Database (Denmark)

    Emborg, Hanne Dorthe; Krause, Tyra Grove; Nielsen, Lene;

    2016-01-01

    In Denmark, both influenza A(H1N1)pdm09 and influenza B co-circulated in the 2015/16 season. We estimated the vaccine effectiveness (VE) of the trivalent influenza vaccine in patients 65 years and older using the test-negative case-control design. The adjusted VE against influenza A(H1N1)pdm09 wa...

  7. Early Hospital Readmission is a Predictor of One-Year Mortality in Community-Dwelling Older Medicare Beneficiaries

    NARCIS (Netherlands)

    Lum, H.D.; Studenski, S.A.; Degenholtz, H.B.; Hardy, S.E.

    2012-01-01

    BACKGROUND: Hospital readmission within thirty days is common among Medicare beneficiaries, but the relationship between rehospitalization and subsequent mortality in older adults is not known. OBJECTIVE: To compare one-year mortality rates among community-dwelling elderly hospitalized Medicare bene

  8. Life with Four Billion Atoms

    Energy Technology Data Exchange (ETDEWEB)

    Knight, Thomas [Ginkgo Bioworks, Inc.

    2013-04-10

    Today it is commonplace to design and construct single silicon chips with billions of transistors. These are complex systems, difficult (but possible) to design, test, and fabricate. Remarkably, simple living systems can be assembled from a similar number of atoms, most of them in water molecules. In this talk I will present the current status of our attempts at full understanding and complexity reduction of one of the simplest living systems, the free-living bacterial species Mesoplasma florum. This 400 nm diameter cell thrives and replicates every 40 minutes with a genome of only 800 kilobases. Our recent experiments using transposon gene knockouts identified 354 of 683 annotated genes as inessential in laboratory culture when inactivated individually. While a functional redesigned genome will certainly not remove all of those genes, this suggests that roughly half the genome can be removed in an intentional redesign. I will discuss our recent knockout results and methodology, and our future plans for Genome re-engineering using targeted knock-in/knock-out double recombination; whole cell metabolic models; comprehensive whole cell metabolite measurement techniques; creation of plug-and-play metabolic modules for the simplified organism; inherent and engineered biosafety control mechanisms. This redesign is part of a comprehensive plan to lay the foundations for a new discipline of engineering biology. Engineering biological systems requires a fundamentally different viewpoint from that taken by the science of biology. Key engineering principles of modularity, simplicity, separation of concerns, abstraction, flexibility, hierarchical design, isolation, and standardization are of critical importance. The essence of engineering is the ability to imagine, design, model, build, and characterize novel systems to achieve specific goals. Current tools and components for these tasks are primitive. Our approach is to create and distribute standard biological parts

  9. Lamellar magnetism and exchange bias in billion-year-old metamorphic titanohematite with nanoscale ilmenite exsolution lamellae: II. Exchange-bias at 5 K after field-free cooling of NRM and after cooling in a +5 T field

    Science.gov (United States)

    Robinson, Peter; McEnroe, Suzanne A.; Jackson, M.

    2016-11-01

    This is the second of three papers investigating properties of titanohematite-bearing quartzo-feldspathic rocks that create a significant remanent magnetic anomaly in the Modum District, South Norway. The first paper provided initial magnetic results, mineralogical characterization and evidence for the presence of lamellar magnetism. In this paper, knowledge of lamellar magnetic properties is explored through experiments where ilmenite lamellae were magnetized below 57 K, and interact magnetically along interfaces with the titanohematite host. Samples with known NRM directions were placed in specific orientations in an MPMS then cooled in zero field to 5 K, where hysteresis loops were measured in fields up to 5 Tesla. This assured that results were ultimately related to the natural lamellar magnetism produced during cooling ˜ 1 billion years ago. In a second set of experiments the same oriented samples, were subjected to a +5 Tesla field then field cooled to 5 K before hysteresis experiments. The first experiments consistently produced asymmetric shifted hysteresis loops with two loop separations, one in a positive field and one in a negative field. Without exception, when the NRM was oriented toward the negative field end of the MPMS, the bimodal loop showed a dominant loop separation in a positive field. By contrast, when the NRM was oriented toward the positive field end of the MPMS, the bimodal loop showed a dominant loop separation in a negative field. Both observations are consistent with antiferromagnetic coupling between the hard magnetization of ilmenite and the more easily shifted lamellar magnetism of the hematite. The bimodal nature of the loops indicates that the NRMs are vector sums of natural lamellar moments, which are oriented both positively and negatively, and that these opposite moments control the orientations of ilmenite magnetizations when cooling through 57 K. Here, extreme exchange biases up to 1.68 Tesla were measured. The second set of

  10. Lamellar magnetism and exchange bias in billion-year-old metamorphic titanohematite with nanoscale ilmenite exsolution lamellae - II: exchange-bias at 5 K after field-free cooling of NRM and after cooling in a +5 T field

    Science.gov (United States)

    Robinson, Peter; McEnroe, Suzanne A.; Jackson, Mike

    2017-02-01

    This is the second of three papers investigating properties of titanohematite-bearing quartzo-feldspathic rocks that create a significant remanent magnetic anomaly in the Modum District, South Norway. The first paper provided initial magnetic results, mineralogical characterization and evidence for the presence of lamellar magnetism. In this paper, knowledge of lamellar magnetic properties is explored through experiments where ilmenite lamellae were magnetized below 57 K, and interact magnetically along interfaces with the titanohematite host. Samples with known NRM directions were placed in specific orientations in an MPMS then cooled in zero field to 5 K, where hysteresis loops were measured in fields up to 5 Tesla. This assured that results were ultimately related to the natural lamellar magnetism produced during cooling ˜1 billion years ago. In a second set of experiments the same oriented samples, were subjected to a +5 Tesla (T) field then field cooled to 5 K before hysteresis experiments. The first experiments consistently produced asymmetric shifted hysteresis loops with two loop separations, one in a positive field and one in a negative field. Without exception, when the NRM was oriented toward the negative field end of the MPMS, the bimodal loop showed a dominant loop separation in a positive field. By contrast, when the NRM was oriented toward the positive field end of the MPMS, the bimodal loop showed a dominant loop separation in a negative field. Both observations are consistent with antiferromagnetic coupling between the hard magnetization of ilmenite and the more easily shifted lamellar magnetism of the hematite. The bimodal nature of the loops indicates that the NRMs are vector sums of natural lamellar moments, which are oriented both positively and negatively, and that these opposite moments control the orientations of ilmenite magnetizations when cooling through 57 K. Here, extreme exchange biases up to 1.68 T were measured. The second set of

  11. Interaction, at Ambient Temperature and 80 °C, between Minerals and Artificial Seawaters Resembling the Present Ocean Composition and that of 4.0 Billion Years Ago.

    Science.gov (United States)

    Carneiro, Cristine E A; Stabile, Antonio C; Gomes, Frederico P; da Costa, Antonio C S; Zaia, Cássia T B V; Zaia, Dimas A M

    2016-10-25

    Probably one of the most important roles played by minerals in the origin of life on Earth was to pre-concentrate biomolecules from the prebiotic seas. There are other ways to pre concentrate biomolecules such as wetting/drying cycles and freezing/sublimation. However, adsorption is most important. If the pre-concentration did not occur-because of degradation of the minerals-other roles played by them such as protection against degradation, formation of polymers, or even as primitive cell walls would be seriously compromised. We studied the interaction of two artificial seawaters with kaolinite, bentonite, montmorillonite, goethite, ferrihydrite and quartz. One seawater has a major cation and anion composition similar to that of the oceans of the Earth 4.0 billion years ago (ASW 4.0 Ga). In the other, the major cations and anions are an average of the compositions of the seawaters of today (ASWT). When ASWT, which is rich in Na(+) and Cl(-), interacted with bentonite and montmorrilonite structural collapse occurred on the 001 plane. However, ASW 4.0 Ga, which is rich in Mg(2+) and SO4(2-), did not induce this behavior. When ASW 4.0 Ga was reacted with the minerals for 24 h at room temperature and 80 °C, the release of Si and Al to the fluid was below 1 % of the amount in the minerals-meaning that dissolution of the minerals did not occur. In general, minerals adsorbed Mg(2+) and K(+) from the ASW 4.0 Ga and these cations could be used for the formation of polymers. Also, when the minerals were mixed with ASW 4.0 Ga at 80 °C and ASWT at room temperature or 80 °C it caused the precipitation of CaSO4∙2H2O and halite, respectively. Finally, further experiments (adsorption, formation of polymers, protection of molecules against degradation, primitive cell wall formation) performed under the conditions described in this paper will probably be more representative of what happened on the prebiotic Earth.

  12. Personal networks and mortality risk in older adults: A twenty-year longitudinal study

    NARCIS (Netherlands)

    Ellwardt, L.; Tilburg, van T.G.; Aartsen, M.J.; Wittek, R.; Steverink, N.

    2015-01-01

    Background: Research on aging has consistently demonstrated an increased chance of survival for older adults who are integrated into rich networks of social relationships. Theoretical explanations state that personal networks offer indirect psychosocial and direct physiological pathways. We investig

  13. Personal Networks and Mortality Risk in Older Adults : A Twenty-Year Longitudinal Study

    NARCIS (Netherlands)

    Ellwardt, Lea; van Tilburg, Theo; Aartsen, Marja; Wittek, Rafael; Steverink, Nardi

    2015-01-01

    Background Research on aging has consistently demonstrated an increased chance of survival for older adults who are integrated into rich networks of social relationships. Theoretical explanations state that personal networks offer indirect psychosocial and direct physiological pathways. We investiga

  14. Personal networks and mortality risk in older adults : A twenty-year longitudinal study

    NARCIS (Netherlands)

    Ellwardt, Lea; Tilburg, Theo G. van; Aartsen, Marja; Wittek, Rafael; Steverink, Nardi

    2015-01-01

    Background: Research on aging has consistently demonstrated an increased chance of survival for older adults who are integrated into rich networks of social relationships. Theoretical explanations state that personal networks offer indirect psychosocial and direct physiological pathways. We investig

  15. 境外投资者14年从中国赚取利润2500亿美元%US$250 billion remitted from China by overseas investors in 14 years

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    @@ China has become an important platform for many foreign-financed enterprises' production and sales,handing them fat returns, with about US$250 billion in profits remitted by these investors out of China in 1990-2004, Chen Jinhua, who heads both China Enterprise Confederation and China Enterprise Directors Association said, at the 2005 Conference of Private Business Organisations. The event's theme was "foreign investment in China."

  16. Backlog at December 31, 2007: euro 39,8 billion, up by 55% from year-end 2006. 2007 sales revenue: euro 11.9 billion, up by 9.8% (+10.4% like-for-like); Carnet de commandes au 31 decembre 2007: 39,8 milliards d'euros, en progression de 55% par rapport a fin 2006. Chiffre d'affaires de l'exercice 2007: 11,9 milliards d'euros, en progression de 9,8% (+10,4% en donnees comparables)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2008-01-15

    The AREVA group's backlog reached a record level of euro 39.834 billion as of December 31, 2007, up by 55% from that of year-end 2006. In Nuclear, the backlog was euro 34.927 billion at year-end 2007 (+58%), due in particular to the signature of a contract in a record amount with the Chinese utility CGNPC. The series of agreements concluded provide among other things for the construction of two new-generation EPR nuclear islands and the supply of all of the materials and services needed for their operation through 2027. CGNPC also bought 35% of the production of UraMin, the mining company acquired by AREVA in August 2007. Industrial cooperation in the Back End of the cycle was launched with the signature of an agreement between China and France. In addition, the group signed several long-term contracts in significant amounts, particularly with KHNP of South Korea, EDF and Japanese utilities. The Transmission and Distribution division won several major contracts in Libya and Qatar at the end of the year approaching a total of euro 750 million. For the entire year, new orders grew by 34% to euro 5.816 billion. The backlog, meanwhile, grew by 40% to euro 4.906 billion at year-end. The group cleared sales revenue of euro 11.923 billion in 2007, up by 9.8% (+10.4% like-for-like) in relation to 2006 sales of euro 10.863 billion. Sales revenue for the 4. quarter of 2007 rose to euro 3.858 billion, for growth of 16.7% (+18.8% like-for-like) over one year. Sales revenue for the year was marked by: - Growth of 7.6% (+10.6% like-for-like) in Front End sales revenue, which rose to euro 3.140 billion. The division's Enrichment operations posted strong growth. - Sales were up by 17.5% (+15.2% like-for-like) to euro 2.717 billion in the Reactors and Services division. Sales revenue was driven in particular by the growth of Services operations, after weak demand in 2006, by progress on OL3 construction, and by the start of Flamanville 3, the second EPR. For the Back End

  17. Regional and Gender Differences in Years with and without Mobility Limitation in the Older Population of Thailand.

    Directory of Open Access Journals (Sweden)

    Benjawan Apinonkul

    Full Text Available To examine gender and regional differences in health expectancies based on the measure of mobility.Health expectancies by gender and region were computed by Sullivan's method from the fourth Thai National Health Examination Survey (2009. A total of 9,210 older persons aged 60 years and older were included. Mobility limitation was defined as self-reporting of ability to perform only with assistances/aids at least one of: walking at least 400 metres; or going up or down a flight of 10 stairs. Severe limitation was defined as complete inability to do at least one of these two functions, even with assistances or aids.At age 60, females compared to males, spent significantly fewer years without mobility limitation (male-female = 3.2 years and more years with any limitation (female-male = 6.7 years and with severe limitation (female-male = 3.2 years. For both genders, years lived with severe limitation were remarkably constant across age. Significant regional inequalities in years lived without and with limitation were evident, with a consistent pattern by gender in years free of mobility limitation (Central ranked the best and the North East ranked the worst. Finally, both males and females in the South had the longest life expectancy and the most years of life with severe mobility limitation.This study identifies inequalities in years without and with mobility limitations with important policy implication.

  18. Treatment of patients older than 60 years with symptomatic vertebrobasilar artery stenosis

    Institute of Scientific and Technical Information of China (English)

    WANG Da-ming; CHEN Hai-bo; LIU Jia-chun; LIU Fang; WANG Li-jun; LU Jun

    2008-01-01

    Background Vertebrobasilar artery stenosis is an important cause of ischemic posterior circulation strokes.This study aimed at evaluating the safety and efficacy of treatment including conservative therapy alone and conservative plus endovascular therapy for elderly patients with symptomatic vertebrobasilar artery stenosis.Methods Patients older than 60 years with symptomatic vertebrobasilar artery stenosis (≥50%) confirmed by cerebral angiography were enrolled.All of them were treated with medical therapy and some with additional stent-assisted angioplasty (the stenting subgroup).Their clinical,imaging,intervention and follow-up data were analyzed.Results One hundred and seventeen consecutive elderly patients (100 men,mean age (68.1±5.1) years) were enrolled and followed up for a mean time of 28.4 months:81.7% of fhem were symptomatically resolved or improved;a stroke rate of 5.1% and a stroke-related death rate of 1.7% were found among them during the hospitalization and follow-up.In the stenting subgroup,78 balloon expandable stents were employed in the 70 patients with a technical success rate of 98.7% and the mean degree of stenosis was significantly reduced from (81.7±14.3)% before stenting to(8.3±4.2)% after stenting (P<0.001).Four (5.7%) periprocedural strokes occurred,of whom two Ied to death within 30 days after the procedure.During the follow-up(mean 27.7 months),sixty of the surviving 68 patients in the stenting subgroup were symptomatically resolved or improved.Only one(1.5%) posterior circulation stroke occurred,while duplex ultrasound scan of 34 patients demonstrated 10 (29.4%) in-stent restenosis.Conclusions Appropriate utilization of conservative therapy alone and conservative plus endovascular therapy may improve short-term clinical outcomes for elderly patients with symptomatic vertebrobasilar artery stenosis.Furthermore.stent-assisted angioplasty is technically feasible and relatively safe in elderly patients.

  19. 16 CFR Figure 4 to Part 1203 - Location of Test Lines for Helmets Intended for Persons Five (5) Years of Age and Older

    Science.gov (United States)

    2010-01-01

    ... for Persons Five (5) Years of Age and Older 4 Figure 4 to Part 1203 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION CONSUMER PRODUCT SAFETY ACT REGULATIONS SAFETY STANDARD FOR BICYCLE HELMETS Pt...) Years of Age and Older ER10MR98.004...

  20. Countdown to Six Billion Teaching Kit.

    Science.gov (United States)

    Zero Population Growth, Inc., Washington, DC.

    This teaching kit features six activities focused on helping students understand the significance of the world population reaching six billion for our society and our environment. Featured activities include: (1) History of the World: Part Six Billion; (2) A Woman's Place; (3) Baby-O-Matic; (4) Earth: The Apple of Our Eye; (5) Needs vs. Wants; and…

  1. Better Survival of Total Knee Replacement in Patients Older Than 70 Years: A Prospective Study with 8 To 12 Years Follow-Up

    Directory of Open Access Journals (Sweden)

    Ricardo Fernandez-Fernandez

    2015-01-01

    Full Text Available  Background: Modern knee designs have popularized its use in younger patients due to its better performance. There remains uncertainty whether higher demands of these patients can affect implant survivorship.    Purpose: To assess whether modern knee designs have provided similar results in patients younger than 70 years versus older patients. Methods: We included 203 consecutive patients (236 knees who underwent knee replacement for osteoarthritis with a mean follow-up of 11.4 years (range: 8.8 to 12. The mean age was 70 years (range: 31 to 85. Knee replacements were stratified into two groups: 109 were younger than 70 years and 127 were older than 70 years (70 years of age is the mandatory retirement age. Results: There were no significant pre-operative differences between groups with regards to knee alignment, alpha or beta angles, knee score or function score. Fourteen implants were radiographically loose at last follow up visit. Groups were matched in terms of demographic data. We found that patients older than 70 years had significantly better mean survivorship at 12 years. (97% vs. 88%; P=0.010. Patients under 70 years presented with a higher rate of polyethylene wear which was further associated with radiolucent lines in the femur and tibia as well as the presence of osteolysis. There was also an association between migration and presence of osteolysis. Conclusions: Patients over 70 years old undergoing cemented total knee replacement for osteoarthritis showed better implant survivorship versus patients under 70 years old.

  2. Natural experience modulates the processing of older adult faces in young adults and 3-year-old children.

    Directory of Open Access Journals (Sweden)

    Valentina Proietti

    Full Text Available Just like other face dimensions, age influences the way faces are processed by adults as well as by children. However, it remains unclear under what conditions exactly such influence occurs at both ages, in that there is some mixed evidence concerning the presence of a systematic processing advantage for peer faces (own-age bias across the lifespan. Inconsistency in the results may stem from the fact that the individual's face representation adapts to represent the most predominant age traits of the faces present in the environment, which is reflective of the individual's specific living conditions and social experience. In the current study we investigated the processing of younger and older adult faces in two groups of adults (Experiment 1 and two groups of 3-year-old children (Experiment 2 who accumulated different amounts of experience with elderly people. Contact with elderly adults influenced the extent to which both adult and child participants showed greater discrimination abilities and stronger sensitivity to configural/featural cues in younger versus older adult faces, as measured by the size of the inversion effect. In children, the size of the inversion effect for older adult faces was also significantly correlated with the amount of contact with elderly people. These results show that, in both adults and children, visual experience with older adult faces can tune perceptual processing strategies to the point of abolishing the discrimination disadvantage that participants typically manifest for those faces in comparison to younger adult faces.

  3. Obesity and its relationship with hypertension among adults 50 years and older in Jinan, China.

    Directory of Open Access Journals (Sweden)

    Shu-Kang Wang

    Full Text Available BACKGROUND: The relationship between obesity and hypertension varies with geographical area, race and definitions of obesity. Our study aimed to investigate the prevalence of obesity using standard Chinese criteria based on the body mass index (BMI and the waist circumference (WC and to examine the association between obesity and hypertension among middle-aged and elderly people in Jinan city. METHODS: This cross-sectional study examined 1,870 subjects from the blocks randomly selected from among the 6 communities of Jinan, China in 2011-2012. The Student's t-test was used to compare numerical data, and the χ2 test was used to compare categorical data. Multivariate logistic regression analyses were performed to assess the effects of general and central obesity on hypertension after adjusting for age or for education level, smoking, alcohol consumption, and continuous age. RESULTS: The prevalence of general obesity among people age 50 years and older was 21.1% (17.0% for males and 23.1% for females, and the prevalence of central obesity was 77.8% for men and 78.7% for women. For men, compared with a normal BMI, the ORs and 95% CIs for overweight and general obesity were 1.853 (1.252, 2.744 and 3.422 (1.894, 6.182, respectively, after adjusting for age, smoking, alcohol consumption and educational level. Compared with a normal WC, the ORs and 95% CIs for central obesity were 2.334 (1.573, 3.465 and 2.318 (1.544, 3.479, respectively, for men. For women, compared with a normal BMI, the ORs and 95% CIs were 1.942 (1.473, 2.599 and 4.011 (2.817, 5.712, respectively, after adjusting for age, smoking, alcohol consumption and educational level. Compared with a normal WC, the ORs and 95% CIs for central obesity were 2.488 (1.865, 3.319 and 2.379 (1.773, 3.192, respectively, for women. CONCLUSIONS: The relationship between hypertension and general obesity was stronger than the relationship between hypertension and either overweight or central obesity in

  4. “十二五”末江西增产“50亿斤粮”的出路与对策建议%Solutions and Countermeasures for "Increasing Grain Products by 2.5 Billion Kilogram" of Jiangxi in "Twelfth Five - years"

    Institute of Scientific and Technical Information of China (English)

    杨正威; 陈红萍; 颜龙安; 陆朝梁; 熊大建; 龙丘陵

    2012-01-01

    江西省“十二五”规划纲要中提出“十二五”期间我省“新增粮食产量50亿斤”,以策应国家“十二五”“增加1000亿斤粮食”的目标.本文分析了当前江西粮食综合生产能力及存在的问题、粮食生产中有利条件和面临的挑战,提出了“十二五”末江西增产“50亿斤粮”的出路与对策建议.%In order to support the country's target of "increasing the grain products by 50 billion kilogram" in "Twelfth Five -years" , the "Twelfth Five - years" planning program of Jiangxi province put forward "increasing the grain products by 2.5 billion kilogram" in "Twelfth Five-years". This paper analyzed the overall grain production capability, the existing problems, advantages and faced challenges in grain production of Jiangxi at present, and put forward the solutions and countermeasures for "increasing the grain products by 2.5 billion kilogram" of Jiangxi in "Twelfth Five -years".

  5. Firms' Overseas Investment Jumps to US$6.9 Billion

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    @@ Foreign investment by domestic firms, excluding banks,jumped 26% last year to US$6.9 billion, the Ministry of Commerce said on February 10. The government has been encouraging domestic companies to head overseas to secure resources, build brands and win market share, and it also welcomes the effect an outflow of investment has on the yuan.

  6. Arthroscopic biceps tenodesis compared with repair of isolated type II SLAP lesions in patients older than 35 years.

    Science.gov (United States)

    Denard, Patrick J; Lädermann, Alexandre; Parsley, B K; Burkhart, Stephen S

    2014-03-01

    This study compared arthroscopic biceps tenodesis with biceps repair for isolated type II superior labrum anterior and posterior (SLAP) lesions in patients older than 35 years. The authors identified isolated type II SLAP lesions that were surgically managed over a 5-year period. Minimum 2-year follow-up data were available for 22 patients who underwent biceps repair (repair group) and for 15 patients who underwent a primary biceps tenodesis (tenodesis group). Mean age at surgery was 45.2±5.5 years in the repair group and 52.0±8.0 years in the tenodesis group. In the repair group, functional outcome improved from baseline to final follow-up using the American Shoulder and Elbow Surgeons (ASES) (47.5 to 87.4, respectively; PSLAP lesion had a shorter postoperative recovery, a more predictable functional outcome, and a higher rate of satisfaction and return to activity with a biceps tenodesis compared with a biceps repair. Based on these observations, biceps tenodesis is preferable to biceps repair for isolated type II SLAP lesions in nonoverhead athletes older than 35 years.

  7. Age-related change in sit-to-stand power in Japanese women aged 50 years or older

    OpenAIRE

    Kanehisa, Hiroaki; Fukunaga, Tetsuo

    2014-01-01

    Background This study examined whether the age-related change in power, calculated from the score of a sit-to-stand (STS) test, corresponds to those in knee extension torque and leg lean tissue mass in Japanese women aged 50 years or older. Findings Time for a 10-times-repeated STS test and knee extension torque were determined in 556 Japanese women aged 50 to 94 years. STS power was calculated using an equation reported previously. In addition, leg lean tissue mass was estimated using muscle...

  8. COMPARISONS BETWEEN OLDER MEN AND WOMEN IN THE TRAJECTORY AND BURDEN OF DISABILITY OVER THE COURSE OF NEARLY 14 YEARS

    Science.gov (United States)

    Gill, Thomas M.; Gahbauer, Evelyne A.; Lin, Haiqun; Han, Ling; Allore, Heather G.

    2012-01-01

    Objectives Across the lifespan, women live longer than men but experience higher rates of disability. To more completely evaluate these gender differences, the current study set out to compare the trajectories and burden of disability over an extended period of time between older men and women. Design Prospective, longitudinal study with 13.5 years of follow-up. Setting Greater New Haven, Connecticut. Participants 754 persons, aged 70 years or older, who were initially community-living and nondisabled in their basic activities of daily living. Measurements Disability in 13 basic, instrumental and mobility activities was assessed during monthly interviews, while demographic and clinical covariates were measured during comprehensive assessments every 18 months. Results Five distinct trajectories were identified over successive 18-month intervals: independent, mild disability, mild to moderate disability, moderate disability, and severe disability. Women were more likely than men to experience the moderate and severe disability trajectories, but were less likely to transition from the independent trajectory to a worse disability trajectory during the subsequent 18-month interval. Women were also less likely to die after each of the five trajectories, and these differences were at least marginally significant for all but the independent trajectory. Over the entire duration of follow-up, women suffered from a greater burden of disability than men, but these differences were greatly attenuated after adjustment for the baseline levels of disability. Conclusions Gender differences in disability over an extended period of time can be explained, at least in part, by the higher mortality experienced by older men and the higher initial levels of disability among older women. These results suggest the need to take a life-course approach to better understand gender differences in disability. PMID:23294968

  9. Patterns of Somatic Diagnoses in Older People with Intellectual Disability: A Swedish Eleven Year Case-Control Study of Inpatient Data

    Science.gov (United States)

    Sandberg, Magnus; Ahlström, Gerd; Kristensson, Jimmie

    2017-01-01

    Background: Knowledge about diagnoses patterns in older people with intellectual disabilities is limited. Methods: The case group (n = 7936) comprised people with intellectual disabilities aged 55 years and older. The control group (n = 7936) was age matched and sex matched. Somatic inpatient diagnoses (2002-2012) were collected retrospectively.…

  10. 6.4 Billion Yuan for NSFC Projects in 2008

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    @@ NSFC President Prof.Chen Yiyu announced at NSFC's Sixth Plenary Session of the General Assembly that a budget of 53.59 billon yuan,which is an increased of 25% to that of last year,was approved by the government for the fiscal year 2008.In practice,NSFC,based on the demand of national budgeting reform and the development of basic research,will arrange a funding plan of 6.4 billion yuan.

  11. Hip fracture causes excess mortality owing to cardiovascular and infectious disease in institutionalized older people: a prospective 5-year study.

    Science.gov (United States)

    Cameron, Ian D; Chen, Jian Sheng; March, Lyn M; Simpson, Judy M; Cumming, Robert G; Seibel, Markus J; Sambrook, Philip N

    2010-04-01

    An increasing risk of death after hip fracture has been well documented, but the duration and causes remain unclear, especially in very frail older people. This is a nested case-control study of 229 hip fracture cases and 229 controls matched by age, gender, institution type, and follow-up period from a cohort of 2005 institutionalized older people. The residents were assessed at baseline and followed up for hip fracture and death for at least 5 years. Time to death was measured from the same time for each case (time of the hip fracture) and the matched control. The study sample consisted of 90 males and 368 females with a mean age of 86 years (range 67 to 102 years). The hazard ratio (HR) of death for the cases compared with the controls was 3.09 [95% confidence interval (CI) 1.83-5.22, p < .001] for the first 3 months, 1.99 (95% CI 1.13-3.51, p = .02) for the period of 3 to 9 months, and 0.88 (95% CI 0.64-1.22, p = .46) for the period beyond 9 months following a fracture, after adjusting for age, gender, institution type, weight, immobility, cognitive function, comorbidities, and number of medications. The main causes of the excess mortality in the first 9 months were infections (HR = 6.66, 95% CI 1.95-22.77, p = .002) for females and cardiac disease (HR = 2.68, 95% CI 1.39-5.15, p = .003) for both males and females. Bisphosphonate use was associated with a reduction in mortality after hip fracture (p = .002). Intensive medical supervision to reduce cardiovascular and infective complications should be provided for frail older people with recent hip fracture to reduce mortality.

  12. The heritability of level and rate-of-change in cognitive functioning in Danish twins aged 70 years and older

    DEFF Research Database (Denmark)

    McGue, Matt; Christensen, Kaare

    2002-01-01

    To investigate heritable influences on overall level and rate-of-change in cognitive ability, biometric growth models were fit to cognitive data from nearly 1000 Danish twins age 70 years and older. Twins are participants in the ongoing Longitudinal Study of Aging Danish Twins, a cohort...... was highly heritable (h(2) = .76, 95% confidence interval of .68 to .82), the rate of linear change was not (h(2) = .06, 95% confidence interval of .00 to .57). These findings suggest that the search for specific genes might reasonably focus on average level of cognitive performance, whereas specific...... environmental influences might account for cognitive change....

  13. Visual Function in Older Eyes in Normal Macular Health: Association with Incident Early Age-Related Macular Degeneration 3 Years Later

    OpenAIRE

    Owsley, Cynthia; Clark, Mark E.; Carrie E. Huisingh; Curcio, Christine A.; McGwin, Gerald

    2016-01-01

    Purpose In older eyes in normal macular health, we examined associations between impaired photopic acuity, mesopic acuity, spatial contrast sensitivity, light sensitivity, and the presence of low luminance deficit (difference between photopic and mesopic acuity) at baseline and incident AMD 3 years later. Associations were compared with an association between delayed rod-mediated dark adaptation and incident AMD, previously reported for this cohort. Methods Enrollees were 60 years or older. E...

  14. McBride's operation for hallux valgus can be used in patients older than 30 years

    DEFF Research Database (Denmark)

    Gebuhr, Peter Henrik; Soelberg, M; Larsen, T

    1992-01-01

    Over a 10-year period, 46 feet with hallux valgus in 36 patients were treated with the McBride procedure. The median age was 35 years. At follow-up of 2 to 11 years after operation, a reduction in the hallux valgus angles, the intermetatarsal angles and the width of the forefeet was found. In pat...

  15. Donepezil Adherence, Persistence and Time to First Discontinuation in a Three-Year Follow-Up of Older People

    Directory of Open Access Journals (Sweden)

    Henry C. Ndukwe

    2015-12-01

    Full Text Available Background: Donepezil is indicated for the management of mild to moderate dementia, particularly in Alzheimer's disease. Several studies have described low adherence rates with donepezil. Aim: To examine and measure donepezil adherence, persistence and time to first discontinuation in older New Zealanders. Methods: An inception cohort of 1,999 new users of donepezil, aged 65 years or older, were identified from the Pharmaceutical Collections and National Minimum Dataset from 1 November 2010 to 31 December 2013. Kaplan-Meier curves and Cox regression analysis were used to estimate the cumulative probability and risk of time to first discontinuation of donepezil therapy. Results: The mean age of the cohort was 79.5 ± 6.4 years and included 42.7% females. Adherence was high (89.0%, while the proportion of donepezil dispensings (81.0-32.5% declined between 6 and 36 months. Persistence between the 1st and 6th dispensing visit decreased by 19.0%, and 11.0% of the total cohort had a gap of 31 days or more. The adjusted risk of time to first discontinuation in the non-adherent group was 2.2 times (95% CI 1.9-2.6 that of the adherent group. Conclusions: The non-adherent new donepezil users, on average, discontinued faster than the adherent group. Time to first discontinuation in this study was higher compared to discontinuation rates observed in clinical trials.

  16. Differential aging of cerebral white matter in middle-aged and older adults: A seven-year follow-up.

    Science.gov (United States)

    Bender, Andrew R; Völkle, Manuel C; Raz, Naftali

    2016-01-15

    The few extant reports of longitudinal white matter (WM) changes in healthy aging, using diffusion tensor imaging (DTI), reveal substantial differences in change across brain regions and DTI indices. According to the "last-in-first-out" hypothesis of brain aging late-developing WM tracts may be particularly vulnerable to advanced age. To test this hypothesis we compared age-related changes in association, commissural and projection WM fiber regions using a skeletonized, region of interest DTI approach. Using linear mixed effect models, we evaluated the influences of age and vascular risk at baseline on seven-year changes in three indices of WM integrity and organization (axial diffusivity, AD, radial diffusivity, RD, and fractional anisotropy, FA) in healthy middle-aged and older adults (mean age=65.4, SD=9.0years). Association fibers showed the most pronounced declines over time. Advanced age was associated with greater longitudinal changes in RD and FA, independent of fiber type. Furthermore, older age was associated with longitudinal RD increases in late-developing, but not early-developing projection fibers. These findings demonstrate the increased vulnerability of later developing WM regions and support the "last-in-first-out" hypothesis of brain aging.

  17. Changes of aerobic capacity, fat ratio and flexibility in older TCC practitioners: a five-year follow-up.

    Science.gov (United States)

    Lan, Ching; Chen, Ssu-Yuan; Lai, Jin-Shin

    2008-01-01

    The objective of this study was to evaluate the 5-year changes of aerobic capacity, fat ratio and flexibility in older Tai Chi Chuan (TCC) practitioners and sedentary controls. Sixty-nine community-dwelling elderly individuals (mean age: 68.6 +/- 6.3 years) completed this study. The TCC group (18 M; 17 F) had been practicing TCC regularly for 6.3 +/- 3.7 years at baseline and continued training in the study interval. The control group (16 M; 18 F) did not participate in any regular exercise program. A graded bicycle exercise testing was conducted at the baseline and at 5-year to evaluate the age-related decline in aerobic capacity. Triceps and subscapular skinfolds, and thoracolumbar flexibility were also measured. At baseline, the TCC group displayed higher peak oxygen uptake $({\\dot{\\rm V}}{\\rm O}_{2{\\rm peak}})$ and thoraolumbar flexibility, and lower fat ratio than the control group. At the 5-year follow-up, the TCC group displayed a smaller decrease in $\\dot{\\rm V}{\\rm O}_{2{\\rm peak}}$ than the sedentary group. The annual decrease of $\\dot{\\rm V}{\\rm O}_{2{\\rm peak}}$ in TCC men and women was 0.32 and 0.22 ml . kg(-1) . min(-1), respectively. In the control group, the annual decrease of $\\dot{\\rm V}{\\rm O}_{2{\\rm peak}}$ was 0.50 and 0.36 ml . kg(-1) . min(-1) in men and women, respectively. The TCC group also showed a smaller increase of body fat ratio, and a less decrease of flexibility than the control group. In conclusion, long-term practice of TCC attenuates the age-related decline of aerobic capacity, and it also reduces the increase of body fat ratio in older individuals. TCC may be prescribed as a conditioning exercise for the elderly to maintain their health fitness.

  18. Tracking Parkinson's Disease over One Year with Multimodal Magnetic Resonance Imaging in a Group of Older Patients with Moderate Disease.

    Directory of Open Access Journals (Sweden)

    Tracy R Melzer

    Full Text Available Cross-sectional magnetic resonance imaging (MRI suggests that Parkinson's disease (PD is associated with changes in cerebral tissue volume, diffusion tensor imaging metrics, and perfusion values. Here, we performed a longitudinal multimodal MRI study--including structural, diffusion tensor imaging (DTI, and perfusion MRI--to investigate progressive brain changes over one year in a group of older PD patients at a moderate stage of disease.Twenty-three non-demented PD (mean age (SD = 69.5 (6.4 years, disease duration (SD = 5.6 (4.3 years and 23 matched control participants (mean age: 70.6 (6.8 completed extensive neuropsychological and clinical assessment, and multimodal 3T MRI scanning at baseline and one year later. We used a voxel-based approach to assess change over time and group-by-time interactions for cerebral structural and perfusion metrics.Compared to controls, in PD participants there was localized grey matter atrophy over time in bilateral inferior and right middle temporal, and left orbito-frontal cortices. Using a voxel-based approach that focused on the centers of principal white matter tracts, the PD and control cohorts exhibited similar levels of change in DTI metrics. There was no significant change in perfusion, cognitive, or motor severity measures.In a cohort of older, non-demented PD participants, macrostructural MRI detected atrophy in the PD group compared with the control group in temporal and orbito-frontal cortices. Changes in diffusion MRI along principal white matter tracts over one year were found, but this was not differentially affected by PD.

  19. Smoking, antioxidant supplementation and dietary intakes among older adults with age-related macular degeneration over 10 years.

    Directory of Open Access Journals (Sweden)

    Bamini Gopinath

    Full Text Available We aimed to compare the micronutrient usage and other lifestyle behaviors over 10 years among those with and without age-related macular degeneration (AMD. 1612 participants aged 49+ years at baseline were re-examined over 10 years, west of Sydney, Australia. AMD was assessed from retinal photographs. Dietary data were collected using a semi-quantitative food frequency questionnaire. Smoking status was self-reported. 56 participants had any AMD at baseline, of these 25% quit smoking at 5 years and were still not smoking at 10-year follow-up. Among participants who had below the recommended intake of vitamins A, C or E supplements at baseline, those who did compared to those who did not develop late AMD over 10 years were more likely to report vitamins A (total, C or E supplement intake above the recommended intake at 10-year follow-up: multivariable-adjusted OR 4.21 (95% CI 1.65-10.73; OR 6.52 (95% CI 2.76-15.41; and OR 5.71 (95% CI 2.42-13.51, respectively. Participants with compared to without AMD did not appreciably increase fish, fruit and vegetable consumption and overall diet quality. Adherence to smoking and dietary recommendations was poor among older adults with AMD. However, uptake of antioxidant supplements increased significantly among those with late AMD.

  20. Ubiquitous Supercritical Wing Design Cuts Billions in Fuel Costs

    Science.gov (United States)

    2015-01-01

    A Langley Research Center engineer’s work in the 1960s and ’70s to develop a wing with better performance near the speed of sound resulted in a significant increase in subsonic efficiency. The design was shared with industry. Today, Renton, Washington-based Boeing Commercial Airplanes, as well as most other plane manufacturers, apply it to all their aircraft, saving the airline industry billions of dollars in fuel every year.

  1. The heritability of level and rate-of-change in cognitive functioning in Danish twins aged 70 years and older.

    Science.gov (United States)

    McGue, Matt; Christensen, Kaare

    2002-01-01

    To investigate heritable influences on overall level and rate-of-change in cognitive ability, biometric growth models were fit to cognitive data from nearly 1000 Danish twins age 70 years and older. Twins are participants in the ongoing Longitudinal Study of Aging Danish Twins, a cohort-sequential study of twins assessed every 2 years for up to four waves. Cognitive ability was assessed by five brief cognitive tasks: a fluency measure, forward and backward digit span, and immediate and delayed list recall. Model-fitting results indicated that although the overall level of cognitive functioning was highly heritable (h(2) = .76, 95% confidence interval of .68 to .82), the rate of linear change was not (h(2) = .06, 95% confidence interval of .00 to .57). These findings suggest that the search for specific genes might reasonably focus on average level of cognitive performance, whereas specific environmental influences might account for cognitive change.

  2. RMB26 Billion to Protect Energy Security

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    @@ Rcently, Beijing International Power Develop and Investment Corporation and Beijing Comprehensive Investment Company announced the merge and establishment of Beijing Energy Investment (Group) Co., Ltd.Some insider said this"big cruiser" of total energy worthy RMB26 billion will offer more solid and reliable assurance for capital energy security.

  3. Aging 5 years in 5 minutes: the effect of taking a memory test on older adults' subjective age.

    Science.gov (United States)

    Hughes, Matthew L; Geraci, Lisa; De Forrest, Ross L

    2013-12-01

    How old one feels-one's subjective age-has been shown to predict important psychological and health outcomes. The current studies examined the effect of taking a standard memory test on older adults' subjective age. Study 1 showed that older adults felt older after taking a standard neuropsychological screening test and participating in a free-recall experiment than they felt at baseline. Study 2 showed that the effect was selective to older adults: Younger adults' subjective age was not affected by participating in the memory experiment. Study 3 showed that the subjective-aging effect was specific to memory, as taking a vocabulary test for a similar amount of time did not affect older adults' subjective age. Finally, Study 4 showed that simply expecting to take a memory test subjectively aged older adults. The results indicate that being in a memory-testing context affects older adults' self-perception by making them feel older.

  4. Survival and Toxicity in Patients With Disseminated Germ CellCancer Aged 40 Years and Older

    DEFF Research Database (Denmark)

    Thomsen, Frederik B; Bandak, Mikkel; Thomsen, Maria F

    2014-01-01

    , treatment related toxicity and survival in patients aged ≥40 years treated with standard chemotherapy for GCC compared with a younger control group that received similar treatment during the same period. METHODS: From 1984 to 2011, 135 patients aged ≥40 years with disseminated GCC treated with bleomycin...... followed until death or October 1, 2011. RESULTS: The cumulated doses of BEP were comparable between the two groups, however, more patients aged ≥40 years were reduced in bleomycin doses based on a decrease in carbon monoxide diffusion capacity corrected for haemoglobin (P = 0.03). No differences between...

  5. Detection of oncogenic genital human papillomavirus (HPV) among HPV negative older and younger women after 7 years of follow-up

    DEFF Research Database (Denmark)

    Brogaard, Kim Agerholm; Munk, Christian; Iftner, Thomas;

    2014-01-01

    The knowledge on risk factors of being human papillomavirus (HPV)-positive among older women is sparse. The aim was to determine the frequency of oncogenic HPV appearance after 7 years among initially HPV-negative women and to examine potential risk factors that influence the occurrence of HPV...... a gynecological examination at two time points (7 years apart). Cervical samples were tested for HPV using Hybrid Capture 2 (HC2) and only women who tested HC2-negative at baseline were included. The HPV prevalence among older and younger women was 6.4% and 10.7%, respectively, and there was no "second peak......" observed among older women. Recent sexual partners were a strong determinant of HPV appearance irrespective of age. Lifetime number of sexual partners was a significant risk factor for HPV appearance among older women, even after adjustment for recent sexual behavior. In addition, menopause was associated...

  6. Exposure to environmental tobacco smoke and birth outcome: increased effects on pregnant women aged 30 years or older.

    Science.gov (United States)

    Ahluwalia, I B; Grummer-Strawn, L; Scanlon, K S

    1997-07-01

    The purposes of this study were to examine the association between self-reported environmental tobacco smoke (ETS) exposure during pregnancy and birth weight, prematurity, and small-for-gestational age infants and to determine whether these associations differ by maternal age. Data from the Pregnancy Nutrition Surveillance System from two states that collected data on both passive and active smoking for the period 1989-1994 were analyzed. ETS exposure was defined as reported exposure to the cigarette smoke of a household member. Multiple logistic and linear regression analyses were used to evaluate the association between ETS and birth outcomes. The mean adjusted birth weight among infants of nonsmoking mothers age 30 years or older was 90 g less among infants exposed to ETS than among infants not exposed. No significant association was found among infants of younger nonsmoking mothers. Similarly, the risks for low birth weight (adjusted odds ratio (OR) = 2.42, 95% confidence interval 1.51-3.87) and preterm delivery (adjusted OR = 1.88, 95% confidence interval 1.22-2.88) were elevated among older nonsmokers exposed to ETS, but not among younger nonsmokers exposed to ETS (adjusted OR = 0.97, 95% confidence interval 0.76-1.23; adjusted OR = 0.92, 95% confidence interval 0.76-1.13, for low birth weight and preterm delivery, respectively). These findings indicate that the association between ETS exposure and adverse pregnancy outcomes appears to be modified by maternal age.

  7. Physical activity and sedentary behavior among adults 60 years and older: New York City residents compared with a national sample.

    Science.gov (United States)

    Evenson, Kelly R; Morland, Kimberly B; Wen, Fang; Scanlin, Kathleen

    2014-10-01

    This study describes moderate to vigorous physical activity (MVPA) and sedentary behavior among New York City (NYC) residents 60 years and older and compared with national United States' estimates. Adults aged 60 or older living in NYC (n = 760) were compared with similar aged adults from the National Health and Nutrition Examination Survey (NHANES; n = 2,451 adults). Both groups wore an ActiGraph accelerometer for one week. The NYC sample recorded 13.2, 23.8, and 37.8 mean min/day of MVPA and the NHANES sample recorded 10.6, 21.1, and 39.3, depending on the definition. Sedentary behavior averaged 9.6 hr/day for the NYC sample and 9.3 hr/day for the NHANES sample. The NYC sample spent a longer proportion of time in sedentary behavior and light activities, but more time in MVPA than the NHANES sample. Urbanicity may explain some of the differences between the two samples.

  8. Treating Urge Incontinence in Older Women: A Cost-Effective Investment in Quality-Adjusted Life-Years (QALY

    Directory of Open Access Journals (Sweden)

    Victoria L. Phillips

    2015-01-01

    Full Text Available Objectives. To conduct cost-effectiveness analyses of urge incontinence treatments for older women. Methods. Decision-analytic models assessed three treatment pathways: (1 limited behavioral therapy (LBT; (2 full behavioral therapy (FBT with biofeedback; and (3 drug (DRUG, with allowances for crossover options following initial treatments. Model inputs were gathered from published data. Cost data were based on third party payer reimbursement. Outcomes were measured as the number of incontinence episodes avoided and quality-adjusted life years gained (QALYs. Results. At baseline values costs per QALY gained ranged from US$3696 to $10609. LBT was the least costly with the lowest benefit. Switching from LBT to FBT, with the greatest gain, was $415 per additional QALY. DRUG was the most expensive option. Sensitivity analyses showed that only small changes in key inputs were required for DRUG to generate greater gains than FBT. Medication costs had to fall substantially for DRUG to be cost competitive. Conclusion. All treatment strategies provide QALYs gains at a bargain price, compared to the standard of US$50,000 per QALY gained. No single treatment strategy dominated under all conditions. Clinicians should offer multiple treatment options to older women with urge incontinence.

  9. What physical performance measures predict incident cognitive decline among intact older adults? A 4.4year follow up study.

    Science.gov (United States)

    Veronese, Nicola; Stubbs, Brendon; Trevisan, Caterina; Bolzetta, Francesco; De Rui, Marina; Solmi, Marco; Sartori, Leonardo; Musacchio, Estella; Zambon, Sabina; Perissinotto, Egle; Crepaldi, Gaetano; Manzato, Enzo; Sergi, Giuseppe

    2016-08-01

    Reductions in physical performance, cognitive impairment (CI) and decline (CD), are common in older age, but few prospective cohort studies have considered the relationship between these domains. In this study we investigated whether reduced physical performance and low handgrip/lower limbs strength, could predict a higher incidence of CI/CD during a 4-year follow-up among a cohort of elderly individuals. From 3099 older community-dwelling individuals initially enrolled in the Progetto Veneto Anziani (PRO.V.A.) study, 1249 participants without CI at the baseline were included (mean age 72.2years, 59.5% females). Physical performance measures included the Short Physical Performance Battery (SPPB), 4m gait speed, chair stands time, leg extension and flexion, handgrip strength, and 6-Minute Walking Test (6MWT), categorized in gender-specific tertiles. CI was defined as a Mini-Mental State Examination (MMSE) score below 24; CD a decline of 3 or more points in the MMSE without CI. At baseline, participants developing CI during follow-up scored significantly worse across all physical performance measures compared to those that retained normal cognitive status. After adjusting for potential confounders, a significant trend for MMSE changes was noted for all physical performance tests, except for the SPPB and chair stands time. Multinomial logistic regression revealed that slow gait speed at baseline significantly predicted CD at follow up. Poor SPPB performance and slower gait speed predicted the onset of CI at the follow-up. In conclusion, slow walking speed appears to be the best independent predictor of poor cognitive status over a 4.4-year follow-up, while other items of SPPB were also significantly associated with CI.

  10. Determinants of telomere attrition over 1 year in healthy older women: stress and health behaviors matter.

    Science.gov (United States)

    Puterman, E; Lin, J; Krauss, J; Blackburn, E H; Epel, E S

    2015-04-01

    Telomere length, a reliable predictor of disease pathogenesis, can be affected by genetics, chronic stress and health behaviors. Cross-sectionally, highly stressed postmenopausal women have shorter telomeres, but only if they are inactive. However, no studies have prospectively examined telomere length change over a short period, and if rate of attrition is affected by naturalistic factors such as stress and engagement in healthy behaviors, including diet, exercise, and sleep. Here we followed healthy women over 1 year to test if major stressors that occurred over the year predicted telomere shortening, and whether engaging in healthy behaviors during this period mitigates this effect. In 239 postmenopausal, non-smoking, disease-free women, accumulation of major life stressors across a 1-year period predicted telomere attrition over the same period-for every major life stressor that occurred during the year, there was a significantly greater decline in telomere length over the year of 35 bp (P<0.05). Yet, these effects were moderated by health behaviors (interaction B=0.19, P=0.04). Women who maintained relatively higher levels of health behaviors (1 s.d. above the mean) appeared to be protected when exposed to stress. This finding has implications for understanding malleability of telomere length, as well as expectations for possible intervention effects. This is the first study to identify predictors of telomere length change over the short period of a year.

  11. Determinants of telomere attrition over one year in healthy older women: Stress and health behaviors matter

    Science.gov (United States)

    Puterman, Eli; Lin, Jue; Krauss, Jeffrey; Blackburn, Elizabeth H.; Epel, Elissa S.

    2014-01-01

    Telomere length, a reliable predictor of disease pathogenesis, can be affected by genetics, chronic stress, and health behaviors. Cross-sectionally, highly stressed post-menopausal women have shorter telomeres, but only if they are inactive. However, no studies have prospectively examined telomere length change over a short period, and if rate of attrition is affected by naturalistic factors such as stress and engagement in healthy behaviors. Here we followed healthy women over one year to test if major stressors that occurred over the year predicted telomere shortening, and whether engaging in healthy behaviors during this period mitigates this effect. In 239 post-menopausal, non-smoking, disease-free women, accumulation of major life stressors across a one-year period predicted telomere attrition over the same period - for every major life stressor that occurred during the year, there was a significantly greater decline in telomere length over the year of 35 base pairs (p < .05). Yet, these effects were moderated by health behaviors (interaction B = 0.19, p = .04). Women who maintained relatively higher levels of health behaviors (one standard deviation above the mean) appeared to be protected when exposed to stress. This finding has implications for understanding malleability of telomere length, as well as expectations for possible intervention effects. This is the first study to identify predictors of telomere length change over the short period of a year. PMID:25070535

  12. Etiology and Incidence of Viral Acute Respiratory Infections Among Refugees Aged 5 Years and Older in Hagadera Camp, Dadaab, Kenya.

    Science.gov (United States)

    Mohamed, Gedi A; Ahmed, Jamal A; Marano, Nina; Mohamed, Abdinoor; Moturi, Edna; Burton, Wagacha; Otieno, Samora; Fields, Barry; Montgomery, Joel; Kabugi, Willy; Musa, Hashim; Cookson, Susan T

    2015-12-01

    We used the Centers for Disease Control and Prevention-Kenya Medical Research Institute Acute Respiratory Infection (ARI) Surveillance System data to estimate severe acute respiratory infection (SARI) hospitalization rates, viral etiology, and associated complaints of influenza-like illnesses (ILI) and SARI conditions among those aged 5 years and older in Hagadera, Dadaab refugee camp, Kenya, for 2010-2012. A total of 471 patients aged ≥ 5 years met the case definition for ILI or SARI. SARI hospitalization rates per 10,000 person-years were 14.7 (95% confidence interval [CI] = 9.1, 22.2) for those aged 5-14 years; 3.4 (95% CI = 1.6, 7.2) for those aged 15-24 year; and 3.8 (95% CI = 1.6, 7.2) for those aged ≥ 25 years. Persons between the ages of 5 and 14 years had 3.5 greater odds to have been hospitalized as a result of SARI than those aged ≥ 25 years (odds ratio [OR] = 3.5, P < 0.001). Among the 419 samples tested, 169 (40.3%) were positive for one or more virus. Of those samples having viruses, 36.9% had influenza A; 29.9% had adenovirus; 20.2% had influenza B; and 14.4% had parainfluenza 1, 2, or 3. Muscle/joint pain was associated with influenza A (P = 0.002), whereas headache was associated with influenza B (P = 0.019). ARIs were responsible for a substantial disease burden in Hagadera camp.

  13. Prediction of the 20-year incidence of diabetes in older Chinese

    Science.gov (United States)

    Liu, Xiangtong; Fine, Jason Peter; Chen, Zhenghong; Liu, Long; Li, Xia; Wang, Anxin; Guo, Jin; Tao, Lixin; Mahara, Gehendra; Tang, Zhe; Guo, Xiuhua

    2016-01-01

    Abstract The competing risk method has become more acceptable for time-to-event data analysis because of its advantage over the standard Cox model in accounting for competing events in the risk set. This study aimed to construct a prediction model for diabetes using a subdistribution hazards model. We prospectively followed 1857 community residents who were aged ≥ 55 years, free of diabetes at baseline examination from August 1992 to December 2012. Diabetes was defined as a self-reported history of diabetes diagnosis, taking antidiabetic medicine, or having fasting plasma glucose (FPG) ≥ 7.0 mmol/L. A questionnaire was used to measure diabetes risk factors, including dietary habits, lifestyle, psychological factors, cognitive function, and physical condition. Gray test and a subdistribution hazards model were used to construct a prediction algorithm for 20-year risk of diabetes. Receiver operating characteristic (ROC) curves, bootstrap cross-validated Wolber concordance index (C-index) statistics, and calibration plots were used to assess model performance. During the 20-year follow-up period, 144 cases were documented for diabetes incidence with a median follow-up of 10.9 years (interquartile range: 8.0–15.3 years). The cumulative incidence function of 20-year diabetes incidence was 11.60% after adjusting for the competing risk of nondiabetes death. Gray test showed that body mass index, FPG, self-rated heath status, and physical activity were associated with the cumulative incidence function of diabetes after adjusting for age. Finally, 5 standard risk factors (poor self-rated health status [subdistribution hazard ratio (SHR) = 1.73, P = 0.005], less physical activity [SHR = 1.39, P = 0.047], 55–65 years old [SHR = 4.37, P < 0.001], overweight [SHR = 2.15, P < 0.001] or obesity [SHR = 1.96, P = 0.003], and impaired fasting glucose [IFG] [SHR = 1.99, P < 0.001]) were significantly associated with incident

  14. Nutritional advice in older patients at risk of malnutrition during treatment for chemotherapy: a two-year randomized controlled trial.

    Directory of Open Access Journals (Sweden)

    Isabelle Bourdel-Marchasson

    Full Text Available We tested the effect of dietary advice dedicated to increase intake in older patients at risk for malnutrition during chemotherapy, versus usual care, on one-year mortality.We conducted a multicentre, open-label interventional, stratified (centre, parallel randomised controlled trial, with a 1∶1 ratio, with two-year follow-up. Patients were aged 70 years or older treated with chemotherapy for solid tumour and at risk of malnutrition (MNA, Mini Nutritional Assessment 17-23.5. Intervention consisted of diet counselling with the aim of achieving an energy intake of 30 kCal/kg body weight/d and 1.2 g protein/kg/d, by face-to-face discussion targeting the main nutritional symptoms, compared to usual care. Interviews were performed 6 times during the chemotherapy sessions for 3 to 6 months. The primary endpoint was 1-year mortality and secondary endpoints were 2-year mortality, toxicities and chemotherapy outcomes.Between April 2007 and March 2010 we randomised 341 patients and 336 were analysed: mean (standard deviation age of 78.0 y (4·9, 51.2% male, mean MNA 20.2 (2.1. Distribution of cancer types was similar in the two groups; the most frequent were colon (22.4%, lymphoma (14.9%, lung (10.4%, and pancreas (17.0%. Both groups increased their dietary intake, but to a larger extent with intervention (p<0.01. At the second visit, the energy target was achieved in 57 (40.4% patients and the protein target in 66 (46.8% with the intervention compared respectively to 13 (13.5% and 20 (20.8% in the controls. Death occurred during the first year in 143 patients (42.56%, without difference according to the intervention (p = 0.79. No difference in nutritional status changes was found. Response to chemotherapy was also similar between the groups.Early dietary counselling was efficient in increasing intake but had no beneficial effect on mortality or secondary outcomes. Cancer cachexia antianabolism may explain this lack of effect.ClinicalTrials.gov NCT

  15. Influenza vaccine effectiveness in adults 65 years and older, Denmark, 2015/16 - a rapid epidemiological and virological assessment.

    Science.gov (United States)

    Emborg, Hanne Dorthe; Krause, Tyra Grove; Nielsen, Lene; Thomsen, Marianne Kragh; Christiansen, Claus Bohn; Skov, Marianne Nielsine; Nielsen, Xiaohui Chen; Weinreich, Lenette Sandborg; Fischer, Thea Kølsen; Rønn, Jesper; Trebbien, Ramona

    2016-01-01

    In Denmark, both influenza A(H1N1)pdm09 and influenza B co-circulated in the 2015/16 season. We estimated the vaccine effectiveness (VE) of the trivalent influenza vaccine in patients 65 years and older using the test-negative case-control design. The adjusted VE against influenza A(H1N1)pdm09 was 35.0% (95% confidence interval (CI): 11.1-52.4) and against influenza B 4.1% (95% CI: -22.0 to 24.7). The majority of influenza A(H1N1)pdm09 circulating in 2015/16 belonged to the new genetic subgroup subclade 6B.1.

  16. Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older - United States, 2017.

    Science.gov (United States)

    Kim, David K; Riley, Laura E; Harriman, Kathleen H; Hunter, Paul; Bridges, Carolyn B

    2017-02-10

    In October 2016, the Advisory Committee on Immunization Practices (ACIP) voted to approve the Recommended Adult Immunization Schedule for Adults Aged 19 Years or Older-United States, 2017. The 2017 adult immunization schedule summarizes ACIP recommendations in two figures, footnotes for the figures, and a table of contraindications and precautions for vaccines recommended for adults. These documents are available at https://www.cdc.gov/vaccines/schedules. The full ACIP recommendations for each vaccine can be found at https://www.cdc.gov/vaccines/hcp/acip-recs/index.html. The 2017 adult immunization schedule was also reviewed and approved by the American College of Physicians (https://www.acponline.org), the American Academy of Family Physicians (https://www.aafp.org), the American College of Obstetricians and Gynecologists (http://www.acog.org), and the American College of Nurse-Midwives (http://www.midwife.org).

  17. Cholesteryl Ester Transfer Protein (CETP) genotype and cognitive function in persons aged 35 years or older

    NARCIS (Netherlands)

    Izaks, Gerbrand J.; van der Knaap, Aafke M.; Gansevoort, Ron T.; Navis, Gerjan; Slaets, Joris P. J.; Dullaart, Robin P. F.

    2012-01-01

    Common polymorphisms of the Cholestryl Ester Transfer Protein (CETP) gene may predict lower risk of cognitive decline. We investigated the association of cognitive function with CETP genotype in a population-based cohort of 4135 persons aged 35-82 years. Cognitive function was measured with the Ruff

  18. [Assessment of screening in women cancers and in 75 years older in Loire department].

    Science.gov (United States)

    Swalduz, Aurélie; Guibert, Cyril; Trone, Jane-Chloé; Guichard, Jean-Baptiste; Rivoirard, Romain; Pacaut, Cécile; Méry, Benoîte; Guy, Jean-Baptiste; Eddekkaoui, Houda; Fournel, Pierre; de Laroche, Guy; Merrouche, Yacine; Magné, Nicolas

    2014-09-01

    In France, there is an important interregional disparity concerning participation to cancer screening programs. The aim of this study was to assess oncologic screening practices in Loire, a French rural department, in women and in the elderly (over age 74 years). For this, two surveys were conducted. The first one was regarding screening for breast, cervical and colorectal cancer in women over age 18 years living in Loire. The second survey was regarding onco-geriatric screening through two questionnaires : one for the elderly and the other for general practitioner (GP) of the department, evaluating screening for breast, colorectal, prostate, cervical and lung cancer. One hundred sixty six women were included in the first investigation mean age of 47.6 years. Ninety three point six per cent were screening for breast cancer, 19% received Human Papilloma virus vaccine, 83.1% were screening by Papanicolau smear for cervical cancer and finally, 51.7% were screening for colorectal cancer, among the one entering screening program criteria. In the second survey, 44 patients and 28 GP were included. Thirty-eight point six per cent of patients over 74 years continue screening. Only 11.4% were reluctant to screening and in 80% because of anxiety du to the results. Among GP, 50 % continued screening on two major criteria : life expectancy and performans status. The present study shows heterogeneity of screening in this department both rural and working class and gives us a societo-medical photography.

  19. Preliminary research suggests that the overall UK cost of autism is about £34 billion each year. There needs to be a further evaluation of the economic case for early intervention

    OpenAIRE

    Knapp, Martin

    2012-01-01

    New research by Martin Knapp and colleagues estimates the average lifetime cost of someone with autism, as well as the total economic impact nationally in a single year. Their tentative research results indicates the costs for the UK and the next phase will look to see if there is an economic case for early intervention.\\ud \\ud

  20. Updated recommendations for use of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine in adults aged 65 years and older - Advisory Committee on Immunization Practices (ACIP), 2012.

    Science.gov (United States)

    2012-06-29

    Since 2005, the Advisory Committee on Immunization Practices (ACIP) has recommended a tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine booster dose for all adolescents aged 11 through 18 years (preferred at 11 through 12 years) and for those adults aged 19 through 64 years who have not yet received a dose. In October 2010, despite the lack of an approved Tdap vaccine for adults aged 65 years and older, ACIP recommended that unvaccinated adults aged 65 years and older be vaccinated with Tdap if in close contact with an infant, and that other adults aged 65 years and older may receive Tdap. In July 2011, the Food and Drug Administration (FDA) approved expanding the age indication for Boostrix (GlaxoSmithKline Biologicals, Rixensart, Belgium) to aged 65 years and older. In February 2012, ACIP recommended Tdap for all adults aged 65 years and older. This recommendation supersedes previous Tdap recommendations regarding adults aged 65 years and older.

  1. A 12-year ecological study of hip fracture rates among older Taiwanese adults.

    Science.gov (United States)

    Chan, Ding-Cheng; Lee, Yow-Shan; Wu, Ya-Ju; Tsou, Hsiao-Hui; Chen, Cheng-Ting; Hwang, Jawl-Shan; Tsai, Keh-Sung; Yang, Rong-Sen

    2013-11-01

    Hip fracture rates in Taiwan are among the highest in the world. The aim of this study was to describe the trends of hip fracture hospitalizations among Taiwanese elderly (aged ≥ 65 years) and the trends of antiosteoporosis medication expenditure from 1999 to 2010. We conducted an ecological study using inpatient health care-utilization data from the Department of Health, and medication expenditure data from the IMS Health, Taiwan. The International Classification of Disease, Clinical Modification, 9th version, code 820 was used to identify hip fracture hospitalizations. Medications included alendronate, calcitonin, ibandronate, raloxifene, strontium ranelate, teriparatide, and zoledronic acid. Year 2010 was assigned as the reference point for age-standardized rates, currency exchange (to the US dollar), and discount rates. Over the 12-year study period, age-standardized hip fracture hospitalizations decreased by 2.7 % annually (p for trend < 0.001) for Taiwanese elders. The decline was more obvious among those aged ≥75 years (6.1 %). However, the number of hip fracture hospitalizations increased from 14,342 to 18,023. Total hospitalization costs increased by US$0.6 ± 0.2 million annually (p for trend = 0.002); however, the per capita costs decreased by US$23.0 ± 8.0 (p for trend = 0.017). The total medication expenditure increased 7.2-fold, from US$8.1 million to US$58.9 million, accounting for an increase in the overall pharmaceutical market by fivefold, from 3.4 to 15.9 ‰ (both p for trend < 0.001). From 1999 to 2010, there was a decline in hip fracture rates among elderly Taiwanese adults with a concomitant increase in antiosteoporosis medication expenditure.

  2. Total shoulder replacement for osteoarthritis in patients 80 years of age and older.

    Science.gov (United States)

    Foruria, A M; Sperling, J W; Ankem, H K; Oh, L S; Cofield, R H

    2010-07-01

    This study was performed to review the safety and outcome of total shoulder replacements in patients who are > or = 80 years of age. A total of 50 total shoulder replacements in 44 patients at a mean age of 82 years (80 to 89) were studied. Their health and shoulder status, the operation and post-operative course were analysed, including pain, movement, patient satisfaction, medical and surgical complications, radiographs, the need for revision surgery, and implant and patient survival. A total of 27 patients had an ASA classification of III or IV and medical abnormalities were common. Of the 13 shoulders with bony deficiency of the glenoid, nine required grafting. The duration of hospital stay was prolonged and blood transfusions were common. There were no peri-operative deaths. The mean follow-up was for 5.5 years (2 to 12). Pain was significantly reduced (p shoulders had an excellent or satisfactory result. There were medical or surgical complications in 17 cases. Four shoulders developed radiological evidence of loosened glenoid components, and three of these had a poor outcome. Three other shoulders required revision, two for instability. By the time of this review 39 of the patients had died from unrelated causes at a mean of 7.5 years (0.8 to 16.4) after surgery. Total shoulder replacement is a relatively effective treatment in this elderly group of patients. However, there is a requirement for more intense patient care in the peri-operative period, and non-fatal medical or surgical complications are common. Most of these elderly patients will have a comfortable functional shoulder for the rest of their lives.

  3. Quality of Life in Rural and Urban Adults 65 Years and Older: Findings from the National Health and Nutrition Examination Survey

    Science.gov (United States)

    Baernholdt, Marianne; Yan, Guofen; Hinton, Ivora; Rose, Karen; Mattos, Meghan

    2012-01-01

    Purpose: The proportion of people over 65 years of age is higher in rural areas than in urban areas, and their numbers are expected to increase in the next decade. This study used Andersen's behavioral model to examine quality of life (QOL) in a nationally representative sample of community-dwelling adults 65 years and older according to…

  4. Remaining Life Expectancy With and Without Polypharmacy: A Register-Based Study of Swedes Aged 65 Years and Older

    Science.gov (United States)

    Wastesson, Jonas W.; Canudas-Romo, Vladimir; Lindahl-Jacobsen, Rune; Johnell, Kristina

    2016-01-01

    Objectives To investigate the remaining life expectancy with and without polypharmacy for Swedish women and men aged 65 years and older. Design Age-specific prevalence of polypharmacy from the nationwide Swedish Prescribed Drug Register (SPDR) combined with life tables from Statistics Sweden was used to calculate the survival function and remaining life expectancy with and without polypharmacy according to the Sullivan method. Setting Nationwide register-based study. Participants A total of 1,347,564 individuals aged 65 years and older who had been prescribed and dispensed a drug from July 1 to September 30, 2008. Measurements Polypharmacy was defined as the concurrent use of 5 or more drugs. Results At age 65 years, approximately 8 years of the 20 remaining years of life (41%) can be expected to be lived with polypharmacy. More than half of the remaining life expectancy will be spent with polypharmacy after the age of 75 years. Women had a longer life expectancy, but also lived more years with polypharmacy than men. Discussion Older women and men spend a considerable proportion of their lives with polypharmacy. Conclusion Given the negative health outcomes associated with polypharmacy, efforts should be made to reduce the number of years older adults spend with polypharmacy to minimize the risk of unwanted consequences. PMID:26341036

  5. Trajectories of peripheral interleukin-6, structure of the hippocampus, and cognitive impairment over 14 years in older adults

    Science.gov (United States)

    Metti, Andrea L.; Aizenstein, Howard; Yaffe, Kristine; Boudreau, Robert M.; Newman, Anne; Launer, Lenore; Gianaros, Peter J.; Lopez, Oscar L.; Saxton, Judith; Ives, Diane G.; Kritchevsky, Stephen; Vallejo, Abbe N.; Rosano, Caterina

    2015-01-01

    We aimed to investigate if trajectory components (baseline level, slope and variability) of peripheral IL-6 over time were related to cognitive impairment and smaller hippocampal volume, and if hippocampal volume explained the associations between IL-6 and cognitive impairment. Multivariable regression models were used to test the association between IL-6 trajectory components with change in neuroimaging measures of the hippocampus, and with cognitive impairment among 135 older adults (70–79 years at baseline) from the Healthy Brain Project over 14 years. IL-6 variability was positively associated with cognitive impairment (OR = 5.86, 95% CI:1.24, 27.61) and with greater decrease per year of gray matter volume of the hippocampus (β=−0.008, SE=0.004, p=0.03). After adjustment for hippocampal volume, the odds ratio of cognitive impairment decreased for each unit of IL-6 variability, and confidence intervals widened (OR=4.36, 95% CI: 0.67, 28.29). Neither baseline levels nor slopes of IL-6 were related to cognitive impairment or hippocampal volume. We believe this has potential clinical and public health implications by suggesting adults with stable levels of peripheral IL-6 may be better targets for intervention studies for slowing or preventing cognitive decline. PMID:26279115

  6. [Reliability of the PRISCUS-PAQ. Questionnaire to assess physical activity of persons aged 70 years and older].

    Science.gov (United States)

    Trampisch, U; Platen, P; Burghaus, I; Moschny, A; Wilm, S; Thiem, U; Hinrichs, T

    2010-12-01

    A questionnaire (Q) to measure physical activity (PA) of persons ≥70 years for epidemiological research is lacking. The aim was to develop the PRISCUS-PAQ and test the reliability in community-dwelling people (≥70 years). Validated PA questionnaires were translated and adapted to design the PRISCUS-PAQ. Its test-retest reliability for 91 randomly selected people (36% men) aged 70-98 (76±5) years ranged from 0.47 (walking) to 0.82 (riding a bicycle). The overall activity score was 0.59 as determined by the intraclass correlation coefficient (ICC). Recording of general activities, e.g., housework (ICC=0.59), was in general less reliable than athletic activities, e.g., gymnastics (ICC=0.76). The PRISCUS-PAQ, which is a short instrument with acceptable reliability to collect the physical activity of the elderly in a telephone interview, will be used to collect data in a large cohort of older people in the German research consortium PRISCUS.

  7. Diet quality of urban older adults age 60 to 99 years: the Cardiovascular Health of Seniors and Built Environment Study.

    Science.gov (United States)

    Deierlein, Andrea L; Morland, Kimberly B; Scanlin, Kathleen; Wong, Sally; Spark, Arlene

    2014-02-01

    There are few studies that evaluate dietary intakes and predictors of diet quality in older adults. The objectives of this study were to describe nutrient intakes and examine associations between demographic, economic, behavioral, social environment, and health status factors and diet quality. Cross-sectional data were from black, white, and Hispanic adults, age 60 to 99 years, living independently in New York City and participating in the Cardiovascular Health of Seniors and the Built Environment Study, 2009-2011 (n=1,306). Multivariable log-linear regression estimated associations between selected factors and good diet quality, defined as a Healthy Eating Index score more than 80 (based on the 2005 Dietary Guidelines for Americans [HEI-2005]). Dietary intakes were similar for men and women; intakes of energy, fiber, and the majority of micronutrients were less than recommendations, whereas intakes of fats, added sugar, and sodium were within the upper range or exceeded recommendations. Hispanic ethnicity (relative risk [RR]=1.37; 95% CI 1.07 to 1.75), energy intake <∼ 1,500 kcal/day (RR=1.93; 95% CI, 1.37 to 2.71), adherence to a special diet (RR=1.23; 95% CI: 1.02 to 1.50), purchasing food at supermarkets at least once/week (RR=1.34; 95% CI, 1.04 to 1.74), and being married/living with a partner (RR=1.37; 95% CI, 1.10 to 1.71) were positively associated with HEI-2005 score more than 80. Consuming at least one restaurant meal/day was negatively associated with HEI-2005 score more than 80 (RR=0.69; 95%CI, 0.50-0.94). These findings identify specific groups of older adults, such as blacks or those who live alone, who may benefit from dietary interventions, as well as specific modifiable behaviors among older adults, such as eating restaurant meals or shopping at supermarkets, which may be targeted through interventions.

  8. A 12-year prospective study of stroke risk in older Medicare beneficiaries

    Directory of Open Access Journals (Sweden)

    Pavlik Claire E

    2009-05-01

    Full Text Available Abstract Background 5.8 M living Americans have experienced a stroke at some time in their lives, 780K had either their first or a recurrent stroke this year, and 150K died from strokes this year. Stroke costs about $66B annually in the US, and also results in serious, long-term disability. Therefore, it is prudent to identify all possible risk factors and their effects so that appropriate intervention points may be targeted. Methods Baseline (1993–1994 interview data from the nationally representative Survey on Assets and Health Dynamics among the Oldest Old (AHEAD were linked to 1993–2005 Medicare claims. Participants were 5,511 self-respondents ≥ 70 years old. Two ICD9-CM case-identification approaches were used. Two approaches to stroke case-identification based on ICD9-CM codes were used, one emphasized sensitivity and the other emphasized specificity. Participants were censored at death or enrollment into managed Medicare. Baseline risk factors included sociodemographic, socioeconomic, place of residence, health behavior, disease history, and functional and cognitive status measures. A time-dependent marker reflecting post-baseline non-stroke hospitalizations was included to reflect health shocks, and sensitivity analyses were conducted to identify its peak effect. Competing risk, proportional hazards regression was used. Results Post-baseline strokes occurred for 545 (9.9%; high sensitivity approach and 374 (6.8%; high specificity approach participants. The greatest static risks involved increased age, being widowed or never married, living in multi-story buildings, reporting a baseline history of diabetes, hypertension, or stroke, and reporting difficulty picking up a dime, refusing to answer the delayed word recall test, or having poor cognition. Risks were similar for both case-identification approaches and for recurrent and first-ever vs. only first-ever strokes. The time-dependent health shock (recent hospitalization marker did

  9. Systemic dissemination as a result of oral infection in individuals 50 years of age and older.

    Science.gov (United States)

    Navazesh, M; Mulligan, R

    1995-01-01

    The oral pathosis caused by systemic disorders in middle-aged and elderly adults has been the focus of many publications in recent years. The intraoral soft and hard tissue changes associated with systemic disorders, medications, chemotherapy, and radiation treatment have been well-investigated and -documented. Far less attention has been paid to the role of oral infection as the etiology of systemic disorders. A literature review (1980-1994) is provided here focusing on well-documented cases in which systemic disorders were caused by oral foci of infections. This paper attempts to raise the level of awareness of practitioners in considering possible systemic complications caused by oral infection. It also emphasizes the need for further longitudinal studies in this field involving healthy and medically compromised elderly individuals.

  10. A study of transcranial magnetic stimulation in older (>3 years patients of malnutrition.

    Directory of Open Access Journals (Sweden)

    Karak B

    1999-07-01

    Full Text Available Transcranial magnetic stimulation was performed in 40 subjects. Twenty patients in the age group of 3 to 8 years and having different grades of malnutrition were included in the ′study group′ whereas 20 normal children having no complaints comprised the ′control group′. The coil of the magnetic stimulator was applied tangentially over the vertex to stimulate the cortex. The motor evoked potential (MEP was obtained using root stimulation by applying the coil at the cervical and lumbosacral spines. Recordings were made from the abductor pollicis brevis (APB and extensor digitorum brevis (EDB muscles of both sides. Cortical threshold, latency and amplitude of motor evoked potential and central conduction time were recorded. Malnourished children showed significantly increased cortical threshold, prolonged cortical latency and central conduction time and reduction in amplitude of MEP. Observed delay in central motor conduction in malnourished children suggests asymptomatic involvement of corticospinal pathways.

  11. Falls and cognitive decline in Mexican Americans 75 years and older

    Directory of Open Access Journals (Sweden)

    Padubidri A

    2014-04-01

    Full Text Available Anokha Padubidri,1,2 Soham Al Snih,2,3 Rafael Samper-Ternent,2,4 Kyriakos S Markides,2,5 Kenneth J Ottenbacher,2,3 Mukaila A Raji2,6 1College of Medicine, Northeast Ohio Medical University, Rootstown, OH, USA; 2Sealy Center on Aging, 3Division of Rehabilitation Sciences, School of Health Professions, the University of Texas Medical Branch, Galveston, TX, USA; 4Department of Internal Medicine, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogota, Columbia; 5Department of Preventive Medicine and Community Health, 6Department of Internal Medicine, the University of Texas Medical Branch, Galveston, TX, USA Background: Little is known about long-term emotional and cognitive consequences of falls. We examined the association between falls and subsequent cognitive decline, and tested the hypothesis that depression would mediate any falls–cognition association among cognitively intact Hispanic Elders. Methods: We used data from the Hispanic Established Population for the Epidemiological Study of the Elderly to examine change in Mini Mental State Examination (MMSE scores over the 6-year period according to number of falls. All participants (N=1,119 had MMSE scores ≥21 and complete data on Center for Epidemiologic Studies of Depression Scale, social and demographic factors, medical conditions (diabetes, heart attack, stroke, and hypertension, and hand grip muscle strength. Results: At baseline, participants’ mean age was 80.8 years (range, 74–109, mean ­education was 6.3 years (range, 0–17, and mean MMSE was 25.2 (range, 21–30. Of the 1,119 ­participants, 15.8% experienced one fall and 14.4% had two or more falls. In mixed model analyses, having two or more falls was associated with greater decline in MMSE score (estimate =–0.81, standard error =0.19, P<0.0001 compared to having no fall, after adjusting for age, sex, marital status, and education. The magnitude of the association decreased (estimate

  12. DETERMINATION OF F-WAVE LATENCY IN INDIVIDUALS AGED 20 YEARS AND OLDER

    Directory of Open Access Journals (Sweden)

    H. R. Hatamian M. R. Imamhadi

    2005-06-01

    Full Text Available Determination of F-wave latency is a simple and valuable method in evaluating proximal part of peripheral nerves. The aim of this study was to determine the mean minimal peroneal F wave (F min in healthy individuals. A total of 282 individuals were studied. The mean age was 45.6 years. The F min (± SD for 564 peroneal nerves was 47.09 ± 4.51 ms. The F min for the age group of 20-45 and height group of 160-180 cm were 47.63 ± 4.50 and 49.77 ± 3.76, respectively. This study demonstrates that the mean F min of our samples was not significantly different from other important similar studies. Age and particularly height had a major role in determination of F min value and these two parameters must be considered in clinical evaluation of patients.

  13. Assessment of the cardiovascular effects of electroconvulsive therapy in individuals older than 50 years

    Directory of Open Access Journals (Sweden)

    Takada J.Y.

    2005-01-01

    Full Text Available To evaluate the impact of electroconvulsive therapy on arterial blood pressure, heart rate, heart rate variability, and the occurrence of ischemia or arrhythmias, 38 (18 men depressive patients free from systemic diseases, 50 to 83 years old (mean: 64.7 ± 8.6 underwent electroconvulsive therapy. All patients were studied with simultaneous 24-h ambulatory blood pressure and Holter monitoring, starting 18 h before and continuing for 3 h after electroconvulsive therapy. Blood pressure, heart rate, heart rate variability, arrhythmias, and ischemic episodes were recorded. Before each session of electroconvulsive therapy, blood pressure and heart rate were in the normal range; supraventricular ectopic beats occurred in all patients and ventricular ectopic beats in 27/38; 2 patients had non-sustained ventricular tachycardia. After shock, systolic, mean and diastolic blood pressure increased 29, 25, and 24% (P < 0.001, respectively, and returned to baseline values within 1 h. Maximum, mean and minimum heart rate increased 56, 52, and 49% (P < 0.001, respectively, followed by a significant decrease within 5 min; heart rate gradually increased again thereafter and remained elevated for 1 h. Analysis of heart rate variability showed increased sympathetic activity during shock with a decrease in both sympathetic and parasympathetic drive afterwards. No serious adverse effects occurred; electroconvulsive therapy did not trigger any malignant arrhythmias or ischemia. In middle-aged and elderly people free from systemic diseases, electroconvulsive therapy caused transitory increases in blood pressure and heart rate and a decrease in heart rate variability but these changes were not associated with serious adverse clinical events.

  14. Spherule Beds 3.47-3.24 Billion Years Old in the Barberton Greenstone Belt, South Africa: A Record of Large Meteorite Impacts and Their Influence on Early Crustal and Biological Evolution

    Science.gov (United States)

    Lowe, Donald R.; Byerly, Gary R.; Kyte, Frank T.; Shukolyukov, Alexander; Asaro, Frank; Krull, Alexander

    2003-01-01

    Four layers, S1-S4, containing sand-sized spherical particles formed as a result of large meteorite impacts, occur in 3.47-3.24 Ga rocks of the Barberton Greenstone Belt, South Africa. Ir levels in S3 and S4 locally equal or exceed chondritic values but in other sections are at or only slightly above background. Most spherules are inferred to have formed by condensation of impact-produced rock vapor clouds, although some may represent ballistically ejected liquid droplets. Extreme Ir abundances and heterogeneity may reflect element fractionation during spherule formation, hydraulic fractionation during deposition, and/or diagenetic and metasomatic processes. Deposition of S1, S2, and S3 was widely influenced by waves and/or currents interpreted to represent impact-generated tsunamis, and S1 and S2 show multiple graded layers indicating the passage of two or more wave trains. These tsunamis may have promoted mixing within a globally stratified ocean, enriching surface waters in nutrients for biological communities. S2 and S3 mark the transition from the 300-million-year-long Onverwacht stage of predominantly basaltic and komatiitic volcanism to the late orogenic stage of greenstone belt evolution, suggesting that regional and possibly global tectonic reorganization resulted from these large impacts. These beds provide the oldest known direct record of terrestrial impacts and an opportunity to explore their influence on early life, crust, ocean, and atmosphere. The apparent presence of impact clusters at 3.26-3.24 Ga and approx. 2.65-2.5 Ga suggests either spikes in impact rates during the Archean or that the entire Archean was characterized by terrestrial impact rates above those currently estimated from the lunar cratering record.

  15. 8-year trends in physical activity, nutrition, TV viewing time, smoking, alcohol and BMI: A comparison of younger and older Queensland adults

    Science.gov (United States)

    Duncan, Mitch J.; Schoeppe, Stephanie; Rebar, Amanda L.; Vandelanotte, Corneel

    2017-01-01

    Lifestyle behaviours significantly contribute to high levels of chronic disease in older adults. The aims of the study were to compare the prevalence and the prevalence trends of health behaviours (physical activity, fruit and vegetable consumption, fast food consumption, TV viewing, smoking and alcohol consumption), BMI and a summary health behaviour indicator score in older (65+ years) versus younger adults (18–65 years). The self-report outcomes were assessed through the Queensland Social Survey annually between 2007–2014 (n = 12,552). Regression analyses were conducted to compare the proportion of older versus younger adults engaging in health behaviours and of healthy weight in all years combined and examine trends in the proportion of younger and older adults engaging in health behaviours and of healthy weight over time. Older adults were more likely to meet recommended intakes of fruit and vegetable (OR = 1.43, 95%CI = 1.23–1.67), not consume fast food (OR = 2.54, 95%CI = 2.25–2.86) and be non-smokers (OR = 3.02, 95%CI = 2.53–3.60) in comparison to younger adults. Conversely, older adults were less likely to meet the physical activity recommendations (OR = 0.86, 95%CI = 0.78–0.95) and watch less than 14 hours of TV per week (OR = 0.65, 95%CI = 0.58–0.74). Overall, older adults were more likely to report engaging in 3, or at least 4 out of 5 healthy behaviours. The proportion of both older and younger adults meeting the physical activity recommendations (OR = 0.97, 95%CI = 0.95–0.98 and OR = 0.94, 95%CI = 0.91–0.97 respectively), watching less than 14 hours of TV per week (OR = 0.96, 95%CI = 0.94–0.99 and OR = 0.94, 95%CI = 0.90–0.99 respectively) and who were a healthy weight (OR = 0.95, 95%CI = 0.92–0.99 and OR = 0.96, 95%CI = 0.94–0.98 respectively) decreased over time. The proportion of older adults meeting the fruit and vegetable recommendations (OR = 0.90, 95%CI = 0.84–0.96) and not consuming fast food (OR = 0.94, 95%CI = 0

  16. Dietary quality and lifestyle factors in relation to 10-year mortality in older Europeans: the SENECA study.

    Science.gov (United States)

    Haveman-Nies, Annemien; de Groot, Lisette P G M; Burema, Jan; Cruz, José A Amorim; Osler, Merete; van Staveren, Wija A

    2002-11-15

    The single and combined effects of three healthy lifestyle behaviors-nonsmoking, being physically active, and having a high-quality diet-on survival were investigated among older people in the SENECA Study. This European longitudinal study started with baseline measurements in 1988-1989 and lasted until April 30, 1999. The study population consisted of 631 men and 650 women aged 70-75 years from Belgium, Denmark, Italy, The Netherlands, Portugal, Spain, and Switzerland. A lifestyle score was calculated by adding the scores of the lifestyle factors physical activity, dietary quality, and smoking habits. The single lifestyle factors and the lifestyle score were related to mortality. Even at ages 70-75 years, the unhealthy lifestyle behaviors smoking, having a low-quality diet, and being physically inactive were singly related to an increased mortality risk (hazard ratios ranged from 1.2 to 2.1). The risk of death was further increased for all combinations of two unhealthy lifestyle behaviors. Finally, men and women with all three unhealthy lifestyle behaviors had a three- to fourfold increase in mortality risk. These results underscore the importance of a healthy lifestyle, including multiple lifestyle factors, and the maintenance of it with advancing age.

  17. Clinical-epidemiological features of HIV-infected patients diagnosed at age of 50 years or older

    Directory of Open Access Journals (Sweden)

    V Fink

    2012-11-01

    Full Text Available HIV/AIDS prevention and care efforts are directed to individuals of reproductive age (15–49 yrs. With the extension of sexual life of older people, they became a growing population at risk of HIV infection, usually not included in prevention strategies. In order to evaluate clinical profile of HIV/AIDS pts diagnosed at 50 yrs or older assisted in an HIV outpatient center in Buenos Aires, we retrospectively assessed clinical records of pts initiating care between Jan 1986 and Dec 2011. Age, CD4 cells and viral load (pVL at HIV diagnosis and most recent value, opportunistic infections (OIs, co-morbidities and antiretroviral therapy (ARV were recorded. Of 10,998 pts assisted in the 26-yr period, 495 (4.5% were≥50 yrs old at HIV diagnosis; median annual diagnoses: 18.5 (IQR 3.3–30.3 without significant changes in the last 20 yrs. Demographics: median age 54.7 yrs (IQR 51.8–59.2, rank 50–80, 76.6% male. Risk behavior: HTX 61.4%, MSM 34.1%, others 4.4%. 55.4% of HIV diagnoses occurred during hospitalization or simultaneously with acute OIs. One third (n=176 had AIDS at diagnosis, 24% had history of STDs. HCV co-infection 5.7%, past HBV infection 28.1% and chronic HBV infection 5.1%. Median CD4 cells at HIV diagnosis: 223.5 (13.7% (IQR 98.8–420.3, initial pVL 60,000 cp/mL (IQR 9,995.5–208,391. 69.3% of pts started ARV therapy during follow-up (FU, and the median time between diagnosis and treatment initiation was 3.4 mo (IQR 0.7–14; 56.9% of them started a non-nucleoside-based regimen (ZDV/3TC/EFV, 28.3% a PI-based regimen (ZDV/3TC/IDV and 14.6% a nucleoside-based regimen (ZDV/ddI pre-HAART era. After a year (±6 mo, 63.8% pts achieved undetectable pVL and gained 136 CD4 cells from BSL (IQR 83–204. After 40.6 mo of FU (IQR 6.7-89.8, 66.3% are alive, 7.1% died (68.6% of HIV-related diseases and 26.7% are lost to FU. Co-morbidities were present in 125 (25.3%, mainly hypertension, increased lipids, CVD and DBT. Among treated pts, 70

  18. Lateral shelf acetabuloplasty for severe Legg–Calvé–Perthes disease in patients older than 8 years

    Science.gov (United States)

    Li, Wen-Chao; Xu, Rui-Jiang

    2016-01-01

    Abstract The natural history of Legg–Calvé–Perthes disease (LCPD) in children older than 8 years is usually poor without treatment. The treatment goal is to prevent deformity and incongruity of the hip by achieving a stable spherical femoral head in a deep, congruent, sharp-edged acetabulum, with a good range of hip movement at skeletal maturity. Lateral shelf acetabuloplasty in LCPD can increase the coverage of the femoral head, benefiting the remodeling of the femoral head and acetabulum. The aim of this study was to evaluate the efficacy of lateral shelf acetabuloplasty for severe LCPD in patients older than 8 years. We evaluated 51 patients with severe LCPD who underwent shelf acetabuloplasty between 1994 and 2005. Clinical and radiological examinations were evaluated preoperatively and over a mean follow-up of 132.35 months (range 102–183 months). According to the Catterall classification, the LCPD was classified as grade II in 11 (21.6%) patients, grade III in 15 (29.4%), and grade IV in 25 (49.0%). According to the Herring classification, there were 12 (23.5%) patients in grade B, 24 (47.1%) in grade B/C, and 15 (29.4%) in grade C. The mean ages at the onset of signs and at surgery were 103.39 months and 110.78 months, respectively. By the end of follow-up, all patients had a normal passive range of hip movement without pain. The mean Iowa hip score was improved from 69.5 ± 7.28 to 91.6 ± 5.14 (P hips were classified as grade 1, 19 (37.3%) hips as grade 2, 14 (27.5%) hips as grade 3, and 7 (13.7%) hips as grade 4. The CE angle, Sharp angle, medial joint space ratio, epiphysis height ratio, and percentage of acetabular coverage were significantly improved by shelf acetabuloplasty (P hip. Shelf acetabuloplasty can improve femoral head coverage and reduce subluxation of the hip, with a benefit to the biological remodeling of the femoral head within the acetabulum. PMID:27828848

  19. Does telomere length predict decline in physical functioning in older twin sisters during an 11-year follow-up?

    Science.gov (United States)

    Sillanpää, Elina; Törmäkangas, Timo; Rantanen, Taina; Kaprio, Jaakko; Sipilä, Sarianna

    2016-04-01

    Leukocyte telomere length (LTL) is known to be associated with mortality, but its association with age-related decline in physical functioning and the development of disability is less clear. This study examined the associations between LTL and physical functioning, and investigated whether LTL predicts level of physical functioning over an 11-year follow-up. Older mono- (MZ) and dizygotic (DZ) twin sisters (n = 386) participated in the study. Relative LTL was measured by qPCR at baseline. Physical functioning was measured by 6-min walking distance and level of physical activity (PA). Walking distance was measured at baseline and at 3-year follow-up. PA was assessed by questionnaire at baseline and at 3- and 11-year follow-ups. The baseline analysis was performed with path models, adjusted with age and within-pair dependence of twin pairs. The longitudinal analysis was performed with a repeated measures linear model adjusted for age and longitudinal within-pair dependence. A nonrandom missing data analysis was utilized. At baseline, in all individuals, LTL was associated with PA (est. 0.14, SE 0.06, p = 0.011), but not with walking distance. Over the follow-up, a borderline significant association was observed between LTL and walking distance (est. 0.14, SE 0.07, p = 0.060) and a significant association between LTL and PA (est. 0.19, SE 0.06, p = 0.001). The results suggest that LTL is associated with PA and may, therefore, serve as a biomarker predicting the development of disability. Longitudinal associations between LTL and PA were observed only when nonrandom data missingness was taken into account in the analysis.

  20. Frontline Dasatinib Treatment in a “Real-Life” Cohort of Patients Older than 65 Years with Chronic Myeloid Leukemia

    Directory of Open Access Journals (Sweden)

    Roberto Latagliata

    2016-09-01

    Full Text Available Dasatinib (DAS has been licensed for the frontline treatment in chronic myeloid leukemia (CML. However, very few data are available regarding its efficacy and toxicity in elderly patients with CML outside clinical trials. To address this issue, we set out a “real-life” cohort of 65 chronic phase CML patients older than 65 years (median age 75.1 years treated frontline with DAS in 26 Italian centers from June 2012 to June 2015, focusing our attention on toxicity and efficacy data. One third of patients (20/65: 30.7% had 3 or more comorbidities and required concomitant therapies; according to Sokal classification, 3 patients (4.6% were low risk, 39 (60.0% intermediate risk, and 20 (30.8% high risk, whereas 3 (4.6% were not classifiable. DAS starting dose was 100 mg once a day in 54 patients (83.0%, whereas 11 patients (17.0% received less than 100 mg/day. Grade 3/4 hematologic and extrahematologic toxicities were reported in 8 (12.3% and 12 (18.5% patients, respectively. Overall, 10 patients (15.4% permanently discontinued DAS because of toxicities. Pleural effusions (all WHO grades occurred in 12 patients (18.5% and in 5 of them occurred during the first 3 months. DAS treatment induced in 60/65 patients (92.3% a complete cytogenetic response and in 50/65 (76.9% also a major molecular response. These findings show that DAS might play an important role in the frontline treatment of CML patients >65 years old, proving efficacy and having a favorable safety profile also in elderly subjects with comorbidities.

  1. Gamma-Ray Blazars within the First 2 Billion Years

    Science.gov (United States)

    Ackermann, M.; Ajello, M.; Baldini, L.; Ballet, J.; Barbiellini, G.; Bastieri, D.; Becerra Gonzalez, J.; Bellazzini, R.; Bissaldi, E.; Blandford, R. D.; Bloom, E. D.; Bonino, R.; Bottacini, E.; Bregeon, J.; Bruel, P.; Buehler, R.; Buson, S.; Cameron, R. A.; Caragiulo, M.; Caraveo, P. A.; Cavazzuti, E.; Cecchi, C.; Cheung, C. C.; Chiang, J.; Chiaro, G.; Ciprini, S.; Conrad, J.; Costantin, D.; Costanza, F.; Cutini, S.; D’Ammando, F.; de Palma, F.; Desiante, R.; Digel, S. W.; Di Lalla, N.; Di Mauro, M.; Di Venere, L.; Domínguez, A.; Drell, P. S.; Favuzzi, C.; Fegan, S. J.; Ferrara, E. C.; Finke, J.; Focke, W. B.; Fukazawa, Y.; Funk, S.; Fusco, P.; Gargano, F.; Gasparrini, D.; Giglietto, N.; Giordano, F.; Giroletti, M.; Green, D.; Grenier, I. A.; Guillemot, L.; Guiriec, S.; Hartmann, D. H.; Hays, E.; Horan, D.; Jogler, T.; Jóhannesson, G.; Johnson, A. S.; Kuss, M.; La Mura, G.; Larsson, S.; Latronico, L.; Li, J.; Longo, F.; Loparco, F.; Lovellette, M. N.; Lubrano, P.; Magill, J. D.; Maldera, S.; Manfreda, A.; Marcotulli, L.; Mazziotta, M. N.; Michelson, P. F.; Mirabal, N.; Mitthumsiri, W.; Mizuno, T.; Monzani, M. E.; Morselli, A.; Moskalenko, I. V.; Negro, M.; Nuss, E.; Ohsugi, T.; Ojha, R.; Omodei, N.; Orienti, M.; Orlando, E.; Ormes, J. F.; Paliya, V. S.; Paneque, D.; Perkins, J. S.; Persic, M.; Pesce-Rollins, M.; Piron, F.; Porter, T. A.; Principe, G.; Rainò, S.; Rando, R.; Rani, B.; Razzano, M.; Razzaque, S.; Reimer, A.; Reimer, O.; Romani, R. W.; Sgrò, C.; Simone, D.; Siskind, E. J.; Spada, F.; Spandre, G.; Spinelli, P.; Stalin, C. S.; Stawarz, L.; Suson, D. J.; Takahashi, M.; Tanaka, K.; Thayer, J. B.; Thompson, D. J.; Torres, D. F.; Torresi, E.; Tosti, G.; Troja, E.; Vianello, G.; Wood, K. S.

    2017-03-01

    The detection of high-redshift (z > 3) blazars enables the study of the evolution of the most luminous relativistic jets over cosmic time. More importantly, high-redshift blazars tend to host massive black holes and can be used to constrain the space density of heavy black holes in the early universe. Here, we report the first detection with the Fermi-Large Area Telescope of five γ-ray-emitting blazars beyond z = 3.1, more distant than any blazars previously detected in γ-rays. Among these five objects, NVSS J151002+570243 is now the most distant known γ-ray-emitting blazar at z = 4.31. These objects have steeply falling γ-ray spectral energy distributions (SEDs), and those that have been observed in X-rays have a very hard X-ray spectrum, both typical of powerful blazars. Their Compton dominance (ratio of the inverse Compton to synchrotron peak luminosities) is also very large (> 20). All of these properties place these objects among the most extreme members of the blazar population. Their optical spectra and the modeling of their optical-UV SEDs confirm that these objects harbor massive black holes ({M}{BH}∼ {10}8-10 {M}ȯ ). We find that, at z≈ 4, the space density of > {10}9 {M}ȯ black holes hosted in radio-loud and radio-quiet active galactic nuclei are similar, implying that radio-loudness may play a key role in rapid black hole growth in the early universe.

  2. The First Billion Years of a Warm Dark Matter Universe

    CERN Document Server

    Maio, Umberto

    2014-01-01

    We present results of cosmological N-body hydrodynamic chemistry simulations of primordial structure growth and evolution in a scenario with warm dark matter (WDM) having a mass of 3keV and compare with a model consisting of standard cold dark matter (CDM). We focus on the high-redshift universe ($z>6$), where the structure formation process should better reflect the primordial (linear) differences in terms of matter power spectrum. We find that early epochs are exceptional probes of the dark-matter nature. Non-linear CDM and WDM power spectra differ by up to 2 dex at early times and show spreads of factor of a few persisting in the whole first Gyr. Primordial WDM objects with masses $\\lesssim 10^8\\,\\rm M_\\odot$ are less abundant by $\\gtrsim 1\\,\\rm dex$, both in terms of dark matter and of baryon content. Runaway molecular cooling in primordial WDM mini-haloes results severely inhibited due to the damping of power at large $k$ modes. As a consequence, the cosmic (population III and II-I) star formation activi...

  3. The Growth of Galaxies over the last 12 Billion Years

    Science.gov (United States)

    Mosleh, M.

    2016-09-01

    One of the key unsolved problems in astrophysics is to understand the formation and evolution of galaxies. There are many complementary approaches to study the evolution of galaxies and infer how distant galaxies are connected to galaxies in the present day universe. These canonical ways are either focused on the evolution of luminosity/mass function, star formation rate density, or the evolution of the observed scaling relations of galaxies. Among the scaling relations, the relation between the stellar mass and sizes of galaxies has considerable importance. Evidence is provided by many recent studies that the size of galaxies were smaller at higher redshifts compared to galaxies of similar mass in the local Universe. Studying these galaxy properties at different epochs can place important constrains on the underlying processes assumed for the galaxy mass and structural evolution. I will present the study of the mass-size evolution of galaxies from redshift z=7 to z=1 and the stellar mass-size relation for nearby galaxies (z=0). Also, I will present the stellar mass assembly history of quiescent and star-forming galaxies between z=2 and z=0.5, by studying the radial mass profile of these galaxies.

  4. Orbital forcing of climate 1.4 billion years ago

    DEFF Research Database (Denmark)

    Zhang, Shuichang; Wang, Xiaomei; Hammarlund, Emma U.

    2015-01-01

    in the location of the Xiamaling relative to the position of the Intertropical Convergence Zone. On shorter time scales, and within a precisely calibrated stratigraphic framework, cyclicity in sediment geochemical dynamics is consistent with orbital control. In particular, sediment geochemical fluctuations...... reflect what appear to be orbitally forced changes in wind patterns and ocean circulation as they influenced rates of organic carbon flux, trace metal accumulation, and the source of detrital particles to the sediment....

  5. Galaxy Evolution Over the Past Eleven Billion Years

    DEFF Research Database (Denmark)

    Man, Wing Shan

    mass followed by a short-lived, effective phase of star formation quenching. Curiously, their stellar densities are an order of magnitude higher than their local counterparts, containing 1011 solar masses within a radius of only 1.5 kpc. No similar galaxies exist in the local Universe, therefore...

  6. Trends in hypertension prevalence, awareness, treatment, and control among US adults 80 years and older, 1988-2010.

    Science.gov (United States)

    Bromfield, Samantha G; Bowling, C Barrett; Tanner, Rikki M; Peralta, Carmen A; Odden, Michelle C; Oparil, Suzanne; Muntner, Paul

    2014-04-01

    The authors examined trends in systolic blood pressure (SBP) and diastolic blood pressure (DBP) and the prevalence, awareness, treatment, and control of hypertension in 1988-1994 (n=1164), 1999-2004 (n=1,026), and 2005-2010 (n=1048) among US adults 80 years and older in serial National Health and Nutrition Examination Surveys. Hypertension was defined as SBP ≥140 mm Hg, DBP ≥90 mm Hg, or use of antihypertensive medication. Awareness and treatment were defined by self-report and control as SBP/DBP1988-1994 and 2005-2010. The prevalence, awareness, and treatment of hypertension each increased over time. Controlled hypertension increased from 30.4% in 1988-1994 to 53.1% in 2005-2010. The proportion of patients taking 3 classes of antihypertensive medication increased from 7.0% to 30.9% between 1988-1994 and 2005-2010. Increases in awareness, treatment, and control of hypertension and antihypertensive polypharmacy have been observed among very old US adults.

  7. Socio-demographic, medical and social-cognitive correlates of physical activity behavior among older adults (45-70 years): A cross-sectional study

    NARCIS (Netherlands)

    Mesters, I.; Wahl, S.; Keulen, H.M. van

    2014-01-01

    Background: Present study aimed to identify socio-demographic, medical and social-cognitive correlates of physical activity among Dutch older individuals. Methods. A systematic random sample of 2,568 Dutch participants aged 45-70 years filled out the validated modified Community Healthy Activities M

  8. A Six-Year Follow-Up Study of Social Network Changes among African-American, Caribbean, and U.S.-Born Caucasian Urban Older Adults

    Science.gov (United States)

    Conway, Francine; Magai, Carol; Jones, Samuel; Fiori, Katherine; Gillespie, Michael

    2013-01-01

    This study explores dynamic changes in network size and composition by examining patterns of older adults' social network change over time, that is: types of movements; the reason for the loss of network members; and the relation of movement and composition in concert. This study is a 6-year follow up of changes in the social networks of U.S.-Born…

  9. Insurers Domestic Stock Holdings at US$13 Billion

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    @@ Insurers had invested nearly RMB106 billion (US$13billion) in mainland stock markets by late October, encouraged by officials eager to prop up sagging markets, the Xinhua News Agency said on Dec. 3.

  10. Impact of Tai Chi Chu'an practice on balance and mobility in older adults: an integrative review of 20 years of research.

    Science.gov (United States)

    Hackney, Madeleine E; Wolf, Steven L

    2014-01-01

    Falls in older adults, which often result from decreased balance and mobility, are an important public health issue. The American College of Sports Medicine recommends multidimensional balance and mobility training to prevent falls. In the past 20 years, Tai Chi Chu'an (tai chi) has been found to be effective in improving balance, reducing falls and fear of falling for older adults. Efficient use of time devoted to exercise is critical; therefore, more research is needed into the underlying mechanisms of balance and mobility improvements in older adults as a result of tai chi practice, so that these interventions can be most targeted and efficient. The purpose of this integrative review is twofold. First, evidence is presented to show that balance and mobility have been improved by tai chi in older adults. Second, potential mechanisms of balance improvement from research conducted in longtime tai chi practitioners, and from clinical research conducted in older adults, are offered. A PubMed search with the terms "tai chi" and "balance" entered simultaneously was conducted. Articles were included if they were systematic reviews, pilot or clinical trials, related to both balance and tai chi, and/or specifically related to determining the mechanisms potentially underlying tai chi's effects. The systematic reviews and meta-analyses show that aspects of tai chi research findings remain equivocal. In spite of the inconclusiveness of these review findings, many researchers have considered tai chi worthy of further investigation. Furthermore, practitioners in the clinic and those who deliver exercise in the community have evidently embraced tai chi as an appropriate exercise for older adults. This review, spanning 2 decades, suggests that tai chi has impacted the health and health behaviors of many older adults. Going forward, informing novel balance and mobility rehabilitation by uncovering mechanisms of tai chi's effects definitively may be the most important area of

  11. Daily home gardening improved survival for older people with mobility limitations: An 11-year follow-up study in Taiwan

    Directory of Open Access Journals (Sweden)

    Lêng CH

    2016-07-01

    Full Text Available Chhian Hūi Lêng,1,2 Jung-Der Wang3–5 1Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, 2School of Medical Sociology and Social Work, Chung Shan Medical University, Taichung, 3Department of Public Health, College of Medicine, 4Department of Occupational and Environmental Medicine, 5Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan Aims: To test the hypothesis that gardening is beneficial for survival after taking time-dependent comorbidities, mobility, and depression into account in a longitudinal middle-aged (50–64 years and older (≥65 years cohort in Taiwan.Methods: The cohort contained 5,058 nationally sampled adults ≥50 years old from the Taiwan Longitudinal Study on Aging (1996–2007. Gardening was defined as growing flowers, gardening, or cultivating potted plants for pleasure with five different frequencies. We calculated hazard ratios for the mortality risks of gardening and adjusted the analysis for socioeconomic status, health behaviors and conditions, depression, mobility limitations, and comorbidities. Survival models also examined time-dependent effects and risks in each stratum contingent upon baseline mobility and depression. Sensitivity analyses used imputation methods for missing values.Results: Daily home gardening was associated with a high survival rate (hazard ratio: 0.82; 95% confidence interval: 0.71–0.94. The benefits were robust for those with mobility limitations, but without depression at baseline (hazard ratio: 0.64, 95% confidence interval: 0.48–0.87 when adjusted for time-dependent comorbidities, mobility limitations, and depression. Chronic or relapsed depression weakened the protection of gardening. For those without mobility limitations and not depressed at baseline, gardening had no effect. Sensitivity analyses using different imputation methods yielded similar results and corroborated the hypothesis

  12. A high energy intake from dietary fat among middle-aged and older adults is associated with increased risk of malnutrition 10 years later.

    Science.gov (United States)

    Söderström, Lisa; Rosenblad, Andreas; Adolfsson, Eva T; Wolk, Alicja; Håkansson, Niclas; Bergkvist, Leif

    2015-09-28

    A higher fat content in the diet could be an advantage for preventing malnutrition among older adults. However, there is sparse scientific evidence to determine the optimal fat intake among older adults. This prospective cohort study examined whether a high energy intake of dietary fat among middle-aged and older adults is associated with the risk of malnutrition 10 years later. The study population comprised 725 Swedish men and women aged 53-80 years who had completed a questionnaire about dietary intake and lifestyle factors in 1997 (baseline) and whose nutritional status was assessed when admitted to the hospital in 2008-2009 (follow-up). At the follow-up, 383 (52.8%) participants were identified as being at risk of malnutrition and fifty-two (7.2%) were identified as malnourished. Multinomial logistic regression models were used to analyse the association between previous dietary fat intake and nutritional status later in life. Contrary to what was expected, a high energy intake from total fat, saturated fat and monounsaturated fat among middle-aged and older adults increased the risk of exhibiting malnutrition 10 years later. However, this applied only to individuals with a BMIolder adults should focus on limiting the intake of total fat in the diet by reducing consumption of food with a high content of saturated and monounsaturated fat.

  13. Pregnancy hypertensive disease and risk of dementia and cardiovascular disease in women aged 65 years or older: a cohort study

    OpenAIRE

    Nelander, Maria; Cnattingius, S; Åkerud, Helena; Wikström, Johan; Pedersen, N.L.; Wikström, Anna-Karin

    2016-01-01

    OBJECTIVE: The primary aim was to study pregnancy hypertensive disease and subsequent risk of dementia. The second aim was to study if the increased risks of cardiovascular disease (CVD) and stroke after pregnancy hypertensive disease persist in an elderly population. DESIGN: Cohort study. SETTING: Sweden. POPULATION OR SAMPLE: 3232 women 65 years or older (mean 71 years) at inclusion. METHODS: Cox proportional hazards regression analyses were used to calculate risks of dementia, CVD and/or s...

  14. Does Playing Sports Video Games Predict Increased Involvement in Real-Life Sports Over Several Years Among Older Adolescents and Emerging Adults?

    Science.gov (United States)

    Adachi, Paul J C; Willoughby, Teena

    2016-02-01

    Given the extreme popularity of video games among older adolescents and emerging adults, the investigation of positive outcomes of video game play during these developmental periods is crucial. An important direction for research in this area is the investigation of a link between sports video game play and involvement in real-life sports among youth. Yet, this association has not been examined in the long-term among older adolescents and emerging adults, and thus represents an exciting new area for discovery. The primary goal of the current study, therefore, was to examine the long-term association between sports video game play and involvement in real-life sports clubs among older adolescents and emerging adults. In addition, we examined whether self-esteem was an underlying mechanism of this longitudinal association. We surveyed older adolescents and emerging adults (N = 1132; 70.6 % female; M age = 19.06 years, range of 17-25 years at the first assessment) annually over 3 years about their video game play, self-esteem, and involvement in real-life sports. We found a long-term predictive effect of sports video game play on increased involvement in real-life sports over the 3 years. Furthermore, we demonstrated that self-esteem was an underlying mechanism of this long-term association. Our findings make an important contribution to an emerging body of literature on the positive outcomes of video game play, as they suggest that sports video game play may be an effective tool to promote real-life sports participation and physical activity among older adolescents and emerging adults.

  15. Correlates of 1-year incidence of urinary incontinence in older Latino adults enrolled in a community-based physical activity trial.

    Science.gov (United States)

    Morrisroe, Shelby N; Rodriguez, Larissa V; Wang, Pin-Chieh; Smith, Ariana L; Trejo, Laura; Sarkisian, Catherine A

    2014-04-01

    The prevalence of urinary incontinence (UI) among older urban Latinos is high. Insight into etiologies of and contributing factors to the development of this condition is needed. This longitudinal cohort study identified correlates of 1-year incidence of UI in older community-dwelling Latino adults participating in a senior center-based physical activity trial in Los Angeles, California. Three hundred twenty-eight Latinos aged 60 to 93 participating in Caminemos, a randomized trial to increase walking, were studied. Participants completed an in-person survey and physical performance measures at baseline and 1 year. UI was measured using the International Consultation on Incontinence item: "How often do you leak urine?" Potential correlates of 1-year incidence of UI included sociodemographic, behavioral, medical, physical, and psychosocial characteristics. The overall incidence of UI at 1 year was 17.4%. Incident UI was associated with age, baseline activity of daily living impairment, health-related quality of life (HRQoL), mean steps per day, and depressive symptoms. Multivariate logistic regression models revealed that improvement in physical performance score (odds ratio (OR) = 0.69, 95% confidence interval (CI) = 0.50-0.95) and high baseline physical (OR = 0.60, 95% CI = 0.40-0.89) and mental (OR = 0.62, 95% CI = 0.43-0.91) HRQoL were independently associated with lower rates of 1-year incident UI. An increase in depressive symptoms at 1 year (OR = 4.48, 95% CI = 1.02-19.68) was independently associated with a higher rate of incident UI. One-year UI incidence in this population of older urban Latino adults participating in a walking trial was high but was lower in those who improved their physical performance. Interventions aimed at improving physical performance may help prevent UI in older Latino adults.

  16. Assessment of nutritional risk in community-dwelling older adults (65 to 75 years) in Kolkata, India.

    Science.gov (United States)

    Majumder, Mondrita; Saha, Indranil; Chaudhuri, Debnath

    2014-01-01

    This study was conducted to profile nutritional risk factors in a population of community-dwelling older adults in Kolkata, India. We applied the short version of the Mini Nutritional Assessment-Short Form (MNA-SF) questionnaire among 500 participants (65 to 75 years)--263 males and 237 females. The prevalence of undernutrition was 8.8% in females and 4.9% in males; a risk of undernutrition was found in 24.5% females and 17.5% males. All those with undernutrition or at-risk were studied further using the full version of the MNA. Data regarding education, occupation, socioeconomic status, and food intake pattern were also collected. Females had a significantly lower (P < 0.01) education level than males; 73.4% males were financially independent, whereas 72.7% females were financially dependent on others. Moderate appetite loss was commonly found (64.9%), and in 24.3% of the participants appetite loss was severe. Digestive and chewing problems were present in 32.4% and 21.6% of study participants, respectively. The rate of psychological stress and/or acute disease 3 months prior to study was 47%, and 62.2% of the study population were taking 3 or more medicines per day. Weight loss of greater than 3 kg and of 1 to 3 kg during past 3 months of the study period was observed in 27% and 32.5% of the population, respectively. Undernourished individuals were also found to consume fewer protein-rich foods. We hypothesize that low education levels and lack of financial independence were the strongest underlying causes of high undernutrition in this population, particularly, among females.

  17. Pain reporting, opiate dosing, and the adverse effects of opiates after hip or knee replacement in patients 60 years old or older.

    Science.gov (United States)

    Petre, Benjamin M; Roxbury, Christopher R; McCallum, Jeremy R; Defontes, Kenneth W; Belkoff, Stephen M; Mears, Simon C

    2012-03-01

    Our goal was to determine whether there were age-related differences in pain, opiate use, and opiate side effects after total hip or knee arthroplasty in patients 60 years old or older. We hypothesized that there would be no significant differences between age groups in (1) mean pain score, (2) opiate use after adjusting for pain, or (3) opiate side effects after adjusting for opiate use and pain score. We retrospectively reviewed the electronic and paper charts of all patients undergoing total joint replacements at our institution over 3 years who met the following criteria: (1) 60 years old or older, (2) primary single total knee or total hip replacement, and (3) no preoperative dementia. Preoperative, intraoperative, and postoperative course data were collected using a customized data entry process and database. We divided the patients into 2 age groups, those 60 to 79 years old and those 80 years old or older. Using a marginal model with the panel variable of postoperative day, we investigated the associations between age group and pain, age group and pain adjusting for opiate use, and age group and complications (respiratory depression, naloxone usage as a measure of respiratory arrest, delirium, constipation, and urinary retention) adjusting for opiate use (Xtgee, Stata10, Stata Corp. LP, College Station, Texas). Significance was set at P opiates prescribed yet significantly more side effects, including delirium (odds ratio 4.2), than did the younger group, even after adjusting for opiate dose and pain score.

  18. A randomized trial to evaluate the effectiveness of an individual, education-based safe transport program for drivers aged 75 years and older

    Directory of Open Access Journals (Sweden)

    Keay Lisa

    2013-02-01

    Full Text Available Abstract Background There are concerns over safety of older drivers due to increased crash involvement and vulnerability to injury. However, loss of driving privileges can dramatically reduce independence and quality of life for older members of the community. The aim of this trial is to examine the effectiveness of a safe transport program for drivers aged 75 years and older at reducing driving exposure but maintaining mobility. Methods and design A randomised trial will be conducted, involving 380 drivers aged 75 years and older, resident in urban and semi-rural areas of North-West Sydney. The intervention is an education program based on the Knowledge Enhances Your Safety (KEYS program, adapted for the Australian context. Driving experience will be measured objectively using an in-vehicle monitoring device which includes a global positioning system (GPS to assess driving exposure and an accelerometer to detect rapid deceleration events. Participation will be assessed using the Keele Assessment of Participation (KAP. Data will be analysed on an intention-to-treat basis; the primary outcomes include driving exposure, rapid deceleration events and scores for KAP. Secondary outcomes include self-reported measures of driving, socialisation, uptake of alternative forms of transport, depressive symptoms and mood. A detailed process evaluation will be conducted, including examination of the delivery of the program and uptake of alternative forms of transport. A subgroup analysis is planned for drivers with reduced function as characterized by established cut-off scores on the Drivesafe assessment tool. Discussion This randomised trial is powered to provide an objective assessment of the efficacy of an individually tailored education and alternative transportation program to promote safety of older drivers but maintain mobility. Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12612000543886.

  19. Comparison of transplant outcomes from matched sibling bone marrow or peripheral blood stem cell and unrelated cord blood in patients 50 years or older.

    Science.gov (United States)

    Konuma, Takaaki; Tsukada, Nobuhiro; Kanda, Junya; Uchida, Naoyuki; Ohno, Yuju; Miyakoshi, Shigesaburo; Kanamori, Heiwa; Hidaka, Michihiro; Sakura, Toru; Onizuka, Makoto; Kobayashi, Naoki; Sawa, Masashi; Eto, Tetsuya; Matsuhashi, Yoshiko; Kato, Koji; Ichinohe, Tatsuo; Atsuta, Yoshiko; Miyamura, Koichi

    2016-05-01

    Older recipient and donor age were associated with higher incidences of severe graft-versus-host disease (GVHD) and mortality after allogeneic hematopoietic stem cell transplantation from matched sibling donors (MSDs) and matched unrelated donors. Since a lower incidence of severe GVHD is advantageous in unrelated cord blood transplantation (CBT), a higher incidence of GVHD using older MSDs could be overcome using cord blood for older patients. We retrospectively analyzed Japanese registration data of 2,091 patients with acute myeloid leukemia, acute lymphoblastic leukemia (ALL), and myelodysplastic syndrome aged 50 years or older who underwent MSD bone marrow transplantation (BMT) (n = 319), MSD peripheral blood stem cell transplantation (PBSCT) (n = 462), or unrelated CBT (n = 1,310) between 2007 and 2012. Median age of MSD was 56 (range, 38-74) years. Compared with CBT, the risk of developing extensive chronic GVHD was higher after BMT (hazard ratio [HR], 2.00; P = 0.001) or PBSCT (HR, 2.38; P transplant-related mortality was lower after BMT (HR, 0.61; P < 0.001) or PBSCT (HR, 0.63; P < 0.001). Relapse rates were not significant difference between three groups. Although overall mortality was lower after BMT (HR, 0.67; P < 0.001) or PBSCT (HR, 0.75; P = 0.002) compared with CBT, the rates of a composite endpoint of GVHD-free, relapse-free survival (GRFS) were not significant difference between three groups. These data showed that MSDs remain the best donor source for older patients, but CBT led to similar GRFS to BMT and PBSCT.

  20. Outcome and survival of patients aged 75 years and older compared to younger patients after ruptured abdominal aortic aneurysm repair: do the results justify the effort?

    DEFF Research Database (Denmark)

    Shahidi, S; Schroeder, T Veith; Carstensen, M.

    2009-01-01

    on prospectively registered data. The protocol was an "all-comers" policy. Seventy-two patients, who were operated on for RAAA in our department from January 1, 2005, to December 30, 2005, are included in this study. The follow-up time of survivors was 1 year. We defined 75-year-old patients as elderly because...... the only significant (p believe that treatment for RAAA can be justified in elderly patients. In our experience, surgical open repair has been life-saving in 33% of patients aged 75 years and older, at a relatively low price for each...

  1. Cognitive and Functional Decline among Individuals 50 Years of Age or Older in Cambé, Paraná, Brazil: A Population-Based Study

    Directory of Open Access Journals (Sweden)

    Marcos Aparecido Sarria Cabrera

    2016-05-01

    Full Text Available Aims: To identify the frequency of cognitive and functional decline (CFD among adults 50 years of age and older by a population-based study. Methods: Cognitive function was analyzed by the Mini-Mental State Examination, and the functional conditions were based on instrumental activities of daily living (IADL. Cases of CFD included individuals with cognitive decline and 2 or more compromised IADL. Results: A total of 693 individuals were studied. The frequency of CFD was 16.3%. A low socioeconomic profile was associated with greater CFD independent of gender, age, education, and presence of depression (OR = 2.46; 95% CI: 1.53-3.97. Conclusions: These data show a high frequency of CFD among adults 50 years and older. Individuals with less education and a lower socioeconomic level exhibited poorer cognitive and functional conditions.

  2. Beliefs concerning death, dying, and hastening death among older, functionally impaired Dutch adults : A one-year longitudinal study

    NARCIS (Netherlands)

    Sullivan, M.; Ormel, J.; Kempen, G.I.J.M.; Tijmstra, T.

    1998-01-01

    OBJECTIVES: Population surveys have documented increasing public support for euthanasia and assisted suicide but have not focused on the population of chronically ill older persons, obtained detailed sociocultural or health status information, or performed repeat assessments. This study seeks to des

  3. When the "Golden Years" Turn Blue: Using the Healthy Aging Literature to Elucidate Anxious and Depressive Disorders in Older Adulthood

    Science.gov (United States)

    Green, Jennifer S.; Magee, Joshua C.; Steiner, Amanda R. W.; Teachman, Bethany A.

    2017-01-01

    Current treatments for disorders of emotion, such as pathological anxiety, are often less effective in older adults than in younger adults and have poorly understood mechanisms, pointing to the need for psychopathology models that better account for age-related changes in normative emotional functioning and the expression of disordered emotion.…

  4. Motives of Dutch persons aged 50 years and older to accept vaccination : a qualitative study

    NARCIS (Netherlands)

    Eilers, Renske; Krabbe, Paul F. M.; de Melker, Hester E.

    2015-01-01

    Background: Elderly in several European countries are currently being vaccinated against influenza and pneumococcal disease, and various reasons have been put forward to expand these programs. To successfully immunize the older adult population, however, it is crucial for the target group to accept

  5. Readmission and mortality one year after acute hospitalization in older patients with explained and unexplained anemia - a prospective observational cohort study

    OpenAIRE

    Abrahamsen, Jenny Foss; Monsen, Anne-Lise Bjorke; Landi, Francesco; Haugland, Cathrine; Nilsen, Roy Miodini; Ranhoff, Anette Hylen

    2016-01-01

    Background Few studies have examined whether specific subtypes of anemia in older persons are more related to adverse outcomes such as hospital readmissions and death after acute hospitalization and post-acute care. Methods An observational prospective cohort study was conducted between 2011 and 2014. A total of 884 community-dwelling patients, ≥70 years of age were transferred from acute medical and orthopaedic hospital departments to a skilled nursing home where they were examined by compre...

  6. Achados oculares em pacientes com mais de 99 anos Ocular findings in patients older than 99 years

    Directory of Open Access Journals (Sweden)

    Marcela Colussi Cypel

    2006-10-01

    desenvolvimento de política específica de saúde ocular. Esse estudo demonstrou idosos com maioria do sexo feminino (83,3%, boa saúde geral (35%, hipertensos (40%, com dificuldade para leitura (55% e com baixa visual em decorrência de degeneração macular relacionada à idade.PURPOSE: To determine vision conditions and ocular findings in patients older than 99 years. METHODS: Patients were recruited by media advertisement and examined at the Vision Institute of UNIFESP. The following examinations were performed: visual acuity, ectoscopy, refraction, biomicroscopy, tear film break-up time, Schirmer basal test, tonometry, direct and indirect ophthalmoscopy. Complementary examinations such as optical coherence tomography were performed when indicated. RESULTS: Thirty patients older than 99 years were identified. Mean age of 101.5±1.8, 25 females and 5 males. Most common systemic disease, according to history, was arterial hypertension. In 11 patients (55%, the best corrected far visual acuity was 20/100 or better. The best corrected near visual acuity was J4 or better also in 55% (11 patients and 63.0% (7 patients of these were the ones that had not been submitted to cataract surgery. The most frequent visual complaint was low vision for reading (55% and other 8 patients (40% reported no disturbance (satisfied with their vision. Lens opacity was present in 9 patients (60% and 8 patients (40% had previous cataract surgery (5 aphakic eyes, 9 pseudophakic eyes. Cataract was identified as important for impairment of vision in 5 patients but only 2 of them wanted to be submitted to surgery. The main cause of visual impairment was age-related macular degeneration, present in all patients, 95% with no exudative form. Vision improved with new refractive prescription in 4 patients. CONCLUSION: Once we understand the needs we can plan specific diagnostic and treatment strategies. This sample showed that most were female (83.3%, with good general health (35%, most with systemic arterial

  7. Qijiang Plans to Build 50 Billion Yuan Industrial Cluster for Transport-use Aluminum

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    The reporter learned from the China International Transport-use Aluminum Forum2015 that 5 years later Qijiang District is expected to develop transport-use aluminum industrial cluster with annual output of 50billion yuan.According to statistics,last year 1 in every 9automobile OEM manufacturers nationwide

  8. Depression symptoms and cognitive-deficit in a population aged 60 years and older in a medium-sized city in São Paulo state, Brazil

    Directory of Open Access Journals (Sweden)

    José Evandro Marques Gomes

    2011-05-01

    Full Text Available Introduction: the world population is ageing, and Brazil follows this tendency, which requires the reorganization of society for care provision to older people. In such tendency, an increasing number of cases of depression and dementia is observed in addition to their association with other chronic-degenerative diseases. Objective: to estimate the prevalence of depression and cognitive-deficit symptoms in a population aged 60 years and older, residing in a middle-sized city in São Paulo state and to associate the population with other more prevalent chronic degenerative diseases. Methods: cross-sectional study on 364 older people using the following instruments: socio-demographic and morbidity, Mini Mental State Examination, Yesavage Scale, the Activities of Daily Living Scale, and the Instrumental Activities of Daily Living (IADL Scale. The following were performed: statistical analyses of the instruments’ score frequencies; presentation and summarization of the variables; and the possible associations between depression/dementia by applying the X2 test followed by fitting of a logistic regression model for ordinal data. Results: the suspected depression was found in 44% (160, and cognitive deficit was observed in 38.7% (141 aged. About 75% of the individuals with suspicion of depression or cognitive deficit had at least another chronic pathology. It was possible to establish statistically significant associations between suspected depression and IADL (p<0.0001; OR=7.59; CI=3.361-7.139 and cognitive deficit and IADL (p=0.0007; OR=3.967; CI=1.788-8.799. No associations were found between age, marital status, schooling, placement in the work market, retirement or income. Conclusion: male and female older individuals are vulnerable to diseases, such as depression and dementia. On the other hand, depression symptoms and cognitive deficit were associated with the score of compromised older individuals, according to IADL.

  9. Sneak Peek to the 2016 Billion-Ton Report

    Energy Technology Data Exchange (ETDEWEB)

    None

    2016-06-01

    The 2005 Billion-Ton Study became a landmark resource for bioenergy stakeholders, detailing for the first time the potential to produce at least one billion dry tons of biomass annually in a sustainable manner from U.S. agriculture and forest resources. The 2011 U.S. Billion-Ton Update expanded and updated the analysis, and in 2016, the U.S. Department of Energy’s Bioenergy Technologies Office plans to release the 2016 Billion-Ton Report: Advancing Domestic Resources for a Thriving Bioeconomy.

  10. Occupational therapists in Community Mental Health Teams for older people in England: findings from a five year research programme

    OpenAIRE

    Abendstern, Michele; Tucker, Susan; Wilberforce, Mark; Jasper, Rowan; Challis, David

    2016-01-01

    Introduction: This English study is the first to focus on the contribution of occupational therapists to the work of community mental health teams for older people. Method: A mixed methods study comprising: a national survey of community mental health team managers, caseload audit, qualitative interviews, and a practitioner survey; provided information on team membership and functions, user characteristics, accounts of occupational therapists’ roles and experiences, and work characteristics. ...

  11. Mortality from Unspecified Unintentional Injury among Individuals Aged 65 Years and Older by U.S. State, 1999–2013

    OpenAIRE

    Xunjie Cheng; Yue Wu; Jie Yao; Schwebel, David C; Guoqing Hu

    2016-01-01

    Introduction: Recent changes in unspecified unintentional injury mortality for the elderly by U.S. state remain unreported. This study aims to examine U.S. state variations in mortality from unspecified unintentional injury among Americans aged 65+, 1999–2013; Methods: Using mortality rates from the U.S. CDC’s Web-based Injury Statistics Query and Reporting System (WISQARS™), we examined unspecified unintentional injury mortality for older adults aged 65+ from 1999 to 2013 by state. Specifica...

  12. Relations of sex, age, perceived fitness, and aerobic activity with social physique anxiety in adults sixty years and older.

    Science.gov (United States)

    Lanning, Beth A; Bowden, Rodney G; Owens, Robin; Massey-Stokes, Marilyn

    2004-12-01

    Self-reported physical activity, and perceived fitness were examined to assess their effects on social physique anxiety in a sample of older individuals (N= 249; M age=70.4 yr., SD=8.2). Participants reported their fitness as "average" to "above average." There were no significant effects of perceived fitness or age on social physique anxiety scores. The women had significantly higher social physique anxiety scores than the men.

  13. Prevalence of sarcopenia in Germany and the corresponding effect of osteoarthritis in females 70 years and older living in the community: results of the FORMoSA study

    Directory of Open Access Journals (Sweden)

    Kemmler W

    2015-10-01

    Full Text Available Wolfgang Kemmler,1 Marc Teschler,1 Sabine Goisser,2 Michael Bebenek,1 Simon von Stengel,1 Leo Cornelius Bollheimer,2,3 Cornel C Sieber,2,3 Ellen Freiberger2 1Institute of Medical Physics, University of Erlangen-Nürnberg, Erlangen, Germany; 2Institute for Biomedicine of Aging, University Erlangen-Nürnberg, Nürnberg, Germany; 3Department of General Internal Medicine and Geriatrics, St John of God Hospital, Regensburg, GermanyBackground: Although sarcopenia represents a challenging burden for health care systems around the world, its prevalence in the elderly population varies widely. The primary aim of the study was to determine the prevalence of sarcopenia in community-dwelling (CD German women aged 70 years and older; the secondary aim was to assess the effect of osteoarthritis (OA on sarcopenia prevalence in this cohort.Methods: A total of 689 Caucasian females 18–35 years old and 1,325 CD females 70 years+ living in Northern Bavaria, Germany, were assessed during the initial phase of the FORMoSA research project. Anthropometry, total and regional muscle mass, were assessed by segmental multifrequency Bioelectrical Impedance Analysis. Further 10 m walking speed and handgrip strength were evaluated to apply the European Working Group on Sarcopenia in Older People definition of sarcopenia. Covariates were determined by questionnaires and interviews.Results: Applying the algorithm of the European Working Group on Sarcopenia in Older People of two standard deviations below the mean value for appendicular skeletal muscle mass of a reference cohort of the young cohort (5.66 kg/m2, low gait speed (≤0.8 m/s, and low grip strength (<20 kg, the prevalence of sarcopenia in CD German females 70 years and older was 4.5% (70–79 years: 2.8% vs ≥80 years: 9.9%; P<0.001. Participants with OA at the hip and lower limbs (n=252 exhibited significantly higher rates of sarcopenia (OA: 9.1 vs non-OA: 3.5%. Of importance, anthropometric, demographic

  14. Changes in white matter as determinant of global functional decline in older independent outpatients: three year follow-up of LADIS (leukoaraiosis and disability) study cohort

    DEFF Research Database (Denmark)

    Inzitari, Domenico; Pracucci, Giovanni; Poggesi, Anna;

    2009-01-01

    complaints. SETTING: 11 European centres. PARTICIPANTS: 639 non-disabled older patients (mean age 74.1 (SD 5.0), 45.1% men) in whom brain magnetic resonance imaging showed mild, moderate, or severe age related changes in white matter (Fazekas scale). Magnetic resonance imaging assessment also included...... cerebral infarcts and atrophy. MAIN OUTCOME MEASURE: Transition from no disability (defined as a score of 0 or 1 on the instrumental activities of daily living scale) to disability (score >/=2) or death over three year follow-up. Secondary outcomes were incident dementia and stroke. RESULTS: Over a mean...... suggest that in older adults who seek medical attention for non-disabling complaints, severe age related changes in white matter independently and strongly predict rapid global functional decline....

  15. Regional Feedstock Partnership Summary Report: Enabling the Billion-Ton Vision

    Energy Technology Data Exchange (ETDEWEB)

    Owens, Vance N. [South Dakota State Univ., Brookings, SD (United States). North Central Sun Grant Center; Karlen, Douglas L. [Dept. of Agriculture Agricultural Research Service, Ames, IA (United States). National Lab. for Agriculture and the Environment; Lacey, Jeffrey A. [Idaho National Lab. (INL), Idaho Falls, ID (United States). Process Science and Technology Division

    2016-07-12

    The U.S. Department of Energy (DOE) and the Sun Grant Initiative established the Regional Feedstock Partnership (referred to as the Partnership) to address information gaps associated with enabling the vision of a sustainable, reliable, billion-ton U.S. bioenergy industry by the year 2030 (i.e., the Billion-Ton Vision). Over the past 7 years (2008–2014), the Partnership has been successful at advancing the biomass feedstock production industry in the United States, with notable accomplishments. The Billion-Ton Study identifies the technical potential to expand domestic biomass production to offset up to 30% of U.S. petroleum consumption, while continuing to meet demands for food, feed, fiber, and export. This study verifies for the biofuels and chemical industries that a real and substantial resource base could justify the significant investment needed to develop robust conversion technologies and commercial-scale facilities. DOE and the Sun Grant Initiative established the Partnership to demonstrate and validate the underlying assumptions underpinning the Billion-Ton Vision to supply a sustainable and reliable source of lignocellulosic feedstock to a large-scale bioenergy industry. This report discusses the accomplishments of the Partnership, with references to accompanying scientific publications. These accomplishments include advances in sustainable feedstock production, feedstock yield, yield stability and stand persistence, energy crop commercialization readiness, information transfer, assessment of the economic impacts of achieving the Billion-Ton Vision, and the impact of feedstock species and environment conditions on feedstock quality characteristics.

  16. Proton collider breaks the six-billion-dollar barrier

    CERN Multimedia

    Vaughan, C

    1990-01-01

    The SSC will cost at least 1 billion more than its estimated final price of 5.9 billion dollars. Critics in congress believe the final bill could be double that figure. The director of the SSC blames most of the increase in cost on technical problems with developing the superconducting magnets for the SSC (1/2 page).

  17. Schizophrenia in older adults.

    Science.gov (United States)

    Collier, Elizabeth; Sorrell, Jeanne M

    2011-11-01

    Although the number of people older than 55 with schizophrenia is expected to double during the next 20 years, the research data on older adults with schizophrenia are limited. This appears to be because until the middle of the 20th century, it was assumed that mental illness in older adults was a part of the aging process and because older adults are often excluded from research investigations. Nursing research is needed to explore how people with schizophrenia learn to manage their problems as they age, as well as how those who are first diagnosed with schizophrenia in later life adapt to their illness. Mental health nurses need to be cautious in assigning premature labels to older adults with mental illness that may lead to unsubstantiated assumptions about levels of disability. Instead, nurses should realize individual potential regarding undiscovered strengths and should attempt to create interventions that recognize and foster personal development for older adults with schizophrenia.

  18. Mid-to-long-term follow-up results of transcatheter closure of atrial septal defect in patients older than 40 years.

    Science.gov (United States)

    Wang, Jou-Kou; Chiu, Shuenn-Nan; Lin, Ming-Tai; Chen, Chun-An; Lu, Chun-Wei; Wu, Mei-Hwan

    2016-08-16

    We investigated the mid-to-long-term results of transcatheter closure of atrial septal defect (ASD) in patients ≥40 years since there are issues with patients presenting with pulmonary hypertension and arrhythmia at the time of closure. In an 8.8 year period, transcatheter closure of ASD was successful in 179 patients aged ≥40 years, but failed in 2. Of the 179 patients (44 males, median 53 years), NYHA functional class, presence of arrhythmia and severity of pulmonary hypertension were compared before and after closure. Patients with pulmonary hypertension (n = 43, 24 %) were significantly older (60 ± 11 vs. 52 ± 9 years, p atrial fibrillation (AF), 4 atrial flutter and 5 supraventricular tachycardia. Patients with AF or atrial flutter (n = 26) were significantly older (63 ± 10 vs. 53 ± 10 years, p = 0.048) and had a higher pulmonary artery mean pressure (29.2 ± 12.6 vs. 20.2 ± 7.6 mmHg, p = 0.041) than those without. The mean follow-up period was 3.8 ± 2.1 years. Early new-onset arrhythmia was documented in 23 patients of whom 1 had persistent AF, 1 developed sick sinus syndrome and others were in sinus rhythm at latest visit. There was significant improvement in NYHA functional class after closure (p paroxysmal AF, and 11 had persistent AF. Pulmonary hypertension persisted in 13 patients. Transcatheter closure of atrial septal defect in patients above 40 years is beneficial in terms of NYHA functional class, pulmonary artery pressure and cardiac rhythm.

  19. Xinjiang Hongze Mining Invests 1 billion-1.2 billion yuan in a 20,000-ton Copper Mining Project

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    <正>Xinjiang Hongze Mining Co.,Ltd.plans to invest 1 billion-1.2 billion yuan in a 20,000-ton copper mining project in Wuqia County.So far, it has completed registration,and completed consolidation of 7 mining rights of copper,lead

  20. Association between Cognition and Serum Insulin-Like Growth Factor-1 in Middle-Aged & Older Men: An 8 Year Follow-Up Study.

    Directory of Open Access Journals (Sweden)

    Shankar Tumati

    Full Text Available Low levels of insulin-like growth factor-1 (IGF-1, an essential neurotrophic factor, have been associated with worse cognitive function in older adults. However, few studies have assessed the prospective association of serum IGF-1 with cognitive function. We aimed to determine the association between serum IGF-1 on concurrent and prospective cognitive function in a population sample of men aged 40-80 years. Blood samples were assessed for IGF-1 levels at baseline and neuropsychological assessments were performed at baseline (n = 400 and at follow-up after a mean duration of 8.3 years (n = 286. Linear regression analyses were carried out to determine the associations between quintiles of IGF-1 and cognitive function at the baseline and follow-up visits. Results showed that those in the top quintile of IGF-1 had lower processing capacity and global cognition scores at follow-up after controlling for cognitive function at baseline and other confounding factors. Additional analyses exploring associations with IGF-1 separately in middle-aged and older participants, and with quartiles of IGF-1 produced similar results. In those older than 60 years, high IGF-1 levels were also associated with lower baseline processing capacity. These results suggest that high IGF-1 levels are associated with worse long-term cognition in men. Together with past studies, we suggest that both, high and low levels of IGF-1 may be associated with poor cognitive function and that optimum levels of IGF-1 (quintile 2 and 3 in current study may be associated with better cognitive function.

  1. Association between Cognition and Serum Insulin-Like Growth Factor-1 in Middle-Aged & Older Men: An 8 Year Follow-Up Study.

    Science.gov (United States)

    Tumati, Shankar; Burger, Huibert; Martens, Sander; van der Schouw, Yvonne T; Aleman, André

    2016-01-01

    Low levels of insulin-like growth factor-1 (IGF-1), an essential neurotrophic factor, have been associated with worse cognitive function in older adults. However, few studies have assessed the prospective association of serum IGF-1 with cognitive function. We aimed to determine the association between serum IGF-1 on concurrent and prospective cognitive function in a population sample of men aged 40-80 years. Blood samples were assessed for IGF-1 levels at baseline and neuropsychological assessments were performed at baseline (n = 400) and at follow-up after a mean duration of 8.3 years (n = 286). Linear regression analyses were carried out to determine the associations between quintiles of IGF-1 and cognitive function at the baseline and follow-up visits. Results showed that those in the top quintile of IGF-1 had lower processing capacity and global cognition scores at follow-up after controlling for cognitive function at baseline and other confounding factors. Additional analyses exploring associations with IGF-1 separately in middle-aged and older participants, and with quartiles of IGF-1 produced similar results. In those older than 60 years, high IGF-1 levels were also associated with lower baseline processing capacity. These results suggest that high IGF-1 levels are associated with worse long-term cognition in men. Together with past studies, we suggest that both, high and low levels of IGF-1 may be associated with poor cognitive function and that optimum levels of IGF-1 (quintile 2 and 3 in current study) may be associated with better cognitive function.

  2. Older Drivers

    Science.gov (United States)

    ... in this topic was provided by the National Highway Traffic Safety Administration Topic last reviewed: March 2015 For ... see Traffic Safety Facts 2012: Older Population. (National Highway Traffic Safety Administration). Crashes Down Among Older Drivers Fortunately, ...

  3. Predictors of mortality and short-term physical and cognitive dependence in critically ill persons 75 years and older: a prospective cohort study

    Directory of Open Access Journals (Sweden)

    Ramakers Michel

    2011-05-01

    Full Text Available Abstract Background The purpose of this study was to identify predictors of 3-month mortality in critically ill older persons under medical care and to assess the clinical impact of an ICU stay on physical and cognitive dependence and subjective health status in survivors. Methods We conducted a prospective observational cohort study including all older persons 75 years and older consecutively admitted into ICU during a one-year period, except those admitted after cardiac arrest, All patients were followed for 3 months or until death. Comorbidities were assessed using the Charlson index and physical dependence was evaluated using the Katz index of Activity of Daily Living (ADL. Cognitive dependence was determined by a score based on the individual components of the Lawton index of Daily Living and subjective health status was evaluated using the Nottingham Health Profile (NHP score. Results One hundred patients were included in the analysis. The mean age was 79.3 ± 3.4 years. The median Charlson index was 6 [IQR, 4 to 7] and the mean ADL and cognitive scores were 5.4 ± 1.1 and 1.2 ± 1.4, respectively, corresponding to a population with a high level of comorbidities but low physical and cognitive dependence. Mortality was 61/100 (61% at 3 months. In multivariate analysis only comorbidities assessed by the Charlson index [Adjusted Odds Ratio, 1.6; 95% CI, 1.2-2.2; p p p = 0.04, and cognitive (p = 0.62 dependence in survivors had changed very little at 3 months. In addition, the mean NHP score was 213.1 ± 132.8 at 3 months, suggesting an acceptable perception of their quality of life. Conclusions In a selected population of non surgical patients 75 years and older, admission into the ICU is associated with a 3-month survival rate of 38% with little impact on physical and cognitive dependence and subjective health status. Nevertheless, a high comorbidity level (ie, Charlson index, multi-organ failure, and the need for extra-renal support at the

  4. Determinants of work hours among a cohort of male and female farmers 50 years and older in Kentucky and South Carolina (2002-2005).

    Science.gov (United States)

    Marcum, Jennifer L; Browning, Steven R; Reed, Deborah B; Charnigo, Richard J

    2011-01-01

    The average age of United States farmers has been increasing for 20 years. The objective is to examine the factors associated with hours worked among farmers age 50 and older. A cohort of Kentucky and South Carolina farmers (n = 1394) over age 50 were surveyed annually during 2002-2005. Of those that reported any farm work, males worked 24 mean hours/week and females worked 14 mean hours/week. Greater satisfaction and more experience farming, increased acreage, and presence of animals significantly increased estimated hours farmed, whereas chronic health problems, although prevalent, had a minor role in determining work hours.

  5. Onset and persistence of person-perceived participation restriction in older adults: a 3-year follow-up study in the general population

    Directory of Open Access Journals (Sweden)

    Peat George

    2008-11-01

    Full Text Available Abstract Background Participation restriction is defined as "problems an individual may experience in involvement in life situations" and refers to the personal and societal consequences of health conditions. There is a growing interest in participation restriction because (i problems with work or looking after others may be more concerning to individuals than the signs and symptoms of health conditions and (ii even when poor health persists, participation may still be maintained. The natural history of participation restriction in the general population is unknown and the aim of this report is to describe change in status of person-perceived participation restriction over three years in community-dwelling adults aged 50 years and over. Method Prospective cohort study (baseline and 3-year follow-up using postal questionnaires mailed to a population-based sample of older adults. Responders were included in this study if they completed all items of the Keele Assessment of Participation at baseline (n = 6965. Estimates of onset and persistence of person-perceived participation restriction at 3-year follow-up were calculated for any and for each aspect of life in the sample as a whole, and then by age and gender using attrition re-weighted logistic regression to take account of sample attrition. Results In the whole sample of 6965 persons, overall participation status at three years was unchanged in 69%, and changed in 31%. Of 3431 persons with no restriction at baseline, it is estimated that 29.8% (95% confidence interval: 27.6%, 32.0% would report restriction in at least one aspect of life at 3-year follow-up. Of 3534 persons who had baseline restriction, it is estimated that 68.8% (66.2%, 71.3% would report continuing restriction in at least one aspect of life after 3 years. Onset and persistence both increased with age, and were most frequently recorded for restricted mobility outside the home. Conclusion Although most older persons do not

  6. Evaluation of the use of electronic health data to classify four-year mortality risk for older adults undergoing screening colonoscopies.

    Science.gov (United States)

    Synnestvedt, Marie B; Weiner, Mark G

    2011-01-01

    Current cancer screening recommendations often apply coarse age cutoffs for screening requirements without regard to predicted life expectancy. Using these cutoffs, healthier older patients may be under-screened, and sicker younger patients may be screened too often. Mortality risk classification using EHR data could be used to tailor screening reminders to physicians in ways that better align screening recommendations with patients who are more likely to live long enough to benefit from early detection. We have evaluated the performance of an existing prognostic index for 4-year mortality using data readily available in the electronic health record (EHR), and investigated the effect of the index in retrospective cohorts of adults age 65 and older undergoing screening colonoscopy. Risk scores in this adaptation of a four-year prognostic index were found to be associated with actual death rates and consistent with mortality rates from a national sample. Our results demonstrate that data extracted from electronic health records can be used to classify mortality risk. With improvements, including extension to a 5-year mortality model with inclusion of additional variables and extension of variable definitions, informatics methods to implement mortality models may prove to be clinically useful in tailoring screening guidelines.

  7. U of M seeking $1.1 billion in projects for Soudan Mine lab.

    CERN Multimedia

    2003-01-01

    The University of Minnesota is hoping that groundbreaking research underway at its labs at the Soudan Underground Mine near Tower will help secure up to $1.1 billion in the next 5 to 20 years to expand its work into particle physics (1 page).

  8. Price of next big thing in physics: $6.7 billion

    CERN Multimedia

    Overbye, Dennis

    2007-01-01

    The price of exploring inner space went up Thursday. The machine discusses in a news conference in Beijing, will be 20 miles long and would cost about $6.7 billion and 13'000 person-years of labor to be built. (1,5 page)

  9. Chinalco Plans to Invest 6 Billion Yuan in Guizhou in 2012

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    <正>According to Xiong Weiping,President of Chinalco,Chinalco plans to invest 6 billion yuan in Guizhou this year;it will step up aluminum industrial base projects and co-generation projects in Guiyang and Zunyi,take strong measures to support deep processing of aluminumin Guizhou,extend the industry chain,and

  10. Daily-Life Gait Quality as Predictor of Falls in Older People: A 1-Year Prospective Cohort Study

    Science.gov (United States)

    van Schooten, Kimberley S.; Pijnappels, Mirjam; Rispens, Sietse M.; Elders, Petra J. M.; Lips, Paul; Daffertshofer, Andreas; Beek, Peter J.; van Dieën, Jaap H.

    2016-01-01

    Falls can have devastating consequences for older people. We determined the relationship between the likelihood of fall incidents and daily-life behavior. We used wearable sensors to assess habitual physical activity and daily-life gait quality (in terms of e.g. stability, variability, smoothness and symmetry), and determined their predictive ability for time-to-first-and-second-falls. 319 older people wore a trunk accelerometer (Dynaport MoveMonitor, McRoberts) during one week. Participants further completed questionnaires and performed grip strength and trail making tests to identify risk factors for falls. Their prospective fall incidence was followed up for six to twelve months. We determined interrelations between commonly used gait characteristics to gain insight in their interpretation and determined their association with time-to-falls. For all data -including questionnaires and tests- we determined the corresponding principal components and studied their predictive ability for falls. We showed that gait characteristics of walking speed, stride length, stride frequency, intensity, variability, smoothness, symmetry and complexity were often moderately to highly correlated (r > 0.4). We further showed that these characteristics were predictive of falls. Principal components dominated by history of falls, alcohol consumption, gait quality and muscle strength proved predictive for time-to-fall. The cross-validated prediction models had adequate to high accuracy (time dependent AUC of 0.66–0.72 for time-to-first-fall and 0.69–0.76 for -second-fall). Daily-life gait quality obtained from a single accelerometer on the trunk is predictive for falls. These findings confirm that ambulant measurements of daily behavior contribute substantially to the identification of elderly at (high) risk of falling. PMID:27389583

  11. Mortality from Unspecified Unintentional Injury among Individuals Aged 65 Years and Older by U.S. State, 1999–2013

    Directory of Open Access Journals (Sweden)

    Xunjie Cheng

    2016-07-01

    Full Text Available Introduction: Recent changes in unspecified unintentional injury mortality for the elderly by U.S. state remain unreported. This study aims to examine U.S. state variations in mortality from unspecified unintentional injury among Americans aged 65+, 1999–2013; Methods: Using mortality rates from the U.S. CDC’s Web-based Injury Statistics Query and Reporting System (WISQARS™, we examined unspecified unintentional injury mortality for older adults aged 65+ from 1999 to 2013 by state. Specifically, the proportion of unintentional injury deaths with unspecified external cause in the data was considered. Linear regression examined the statistical significance of changes in proportion of unspecified unintentional injury from 1999 to 2013; Results: Of the 36 U.S. states with stable mortality rates, over 8-fold differences were observed for both the mortality rates and the proportions of unspecified unintentional injury for Americans aged 65+ during 1999–2013. Twenty-nine of the 36 states showed reductions in the proportion of unspecified unintentional injury cause, with Oklahoma (−89%, Massachusetts (−86% and Oregon (−81% displaying the largest changes. As unspecified unintentional injury mortality decreased, mortality from falls in 28 states and poisoning in 3 states increased significantly. Mortality from suffocation in 15 states, motor vehicle traffic crashes in 12 states, and fire/burn in 8 states also decreased; Conclusions: The proportion of unintentional injuries among older adults with unspecified cause decreased significantly for many states in the United States from 1999 to 2013. The reduced proportion of unspecified injury has implications for research and practice. It should be considered in state-level trend analysis during 1999–2013. It also suggests comparisons between states for specific injury mortality should be conducted with caution, as large differences in unspecified injury mortality across states and over time

  12. Daily-Life Gait Quality as Predictor of Falls in Older People: A 1-Year Prospective Cohort Study.

    Directory of Open Access Journals (Sweden)

    Kimberley S van Schooten

    Full Text Available Falls can have devastating consequences for older people. We determined the relationship between the likelihood of fall incidents and daily-life behavior. We used wearable sensors to assess habitual physical activity and daily-life gait quality (in terms of e.g. stability, variability, smoothness and symmetry, and determined their predictive ability for time-to-first-and-second-falls. 319 older people wore a trunk accelerometer (Dynaport MoveMonitor, McRoberts during one week. Participants further completed questionnaires and performed grip strength and trail making tests to identify risk factors for falls. Their prospective fall incidence was followed up for six to twelve months. We determined interrelations between commonly used gait characteristics to gain insight in their interpretation and determined their association with time-to-falls. For all data -including questionnaires and tests- we determined the corresponding principal components and studied their predictive ability for falls. We showed that gait characteristics of walking speed, stride length, stride frequency, intensity, variability, smoothness, symmetry and complexity were often moderately to highly correlated (r > 0.4. We further showed that these characteristics were predictive of falls. Principal components dominated by history of falls, alcohol consumption, gait quality and muscle strength proved predictive for time-to-fall. The cross-validated prediction models had adequate to high accuracy (time dependent AUC of 0.66-0.72 for time-to-first-fall and 0.69-0.76 for -second-fall. Daily-life gait quality obtained from a single accelerometer on the trunk is predictive for falls. These findings confirm that ambulant measurements of daily behavior contribute substantially to the identification of elderly at (high risk of falling.

  13. Falls and Older Adults

    Science.gov (United States)

    ... version of this page please turn Javascript on. Falls and Older Adults About Falls Risk Increases With Age Many people have a ... problems -- rises with age. Click for more information Falls Lead to Fractures, Trauma Each year, more than ...

  14. God particle disappears down 6 billion pound drain

    CERN Document Server

    Henderson, M

    2001-01-01

    An estimated 6 billion pounds has been spent looking for the Higgs particle over the last three decades. Recent results from LEP though, are now causing some scientists to doubt that it exists at all (1 page).

  15. The beneficial effects of exercise on BMD are lost after cessation: a 5-year follow-up in older post-menopausal women.

    Science.gov (United States)

    Englund, U; Littbrand, H; Sondell, A; Bucht, G; Pettersson, U

    2009-06-01

    This study investigates whether the positive effects on bone mineral density (BMD, g/cm(2)) and neuromuscular function following a combined weight-bearing program are sustained in older women, a longer period after cessation of training. Thirty-four women (18 exercisers and 16 controls) aged 73-88 years, who completed a 12-month randomized-controlled trial, were invited to a 5-year follow-up assessment of BMD and neuromuscular function. Both groups sustained significant losses in BMD of the femoral neck, trochanter, and Ward's triangle during the follow-up period. Significant losses were also seen in all neuromuscular function tests. The inter-group change was, however, significant only for maximal walking speed where the exercise group had a significantly greater loss. In conclusion, this study suggests that gains in bone density and neuromuscular functions achieved by training are lost after cessation of training. Continuous high-intensity weight-loading physical activity is probably necessary to preserve bone density and neuromuscular function in older women.

  16. Lifestyle factors and site-specific risk of hip fracture in community dwelling older women – a 13-year prospective population-based cohort study

    Directory of Open Access Journals (Sweden)

    Määttä Mikko

    2012-09-01

    Full Text Available Abstract Background Several risk factors are associated to hip fractures. It seems that different hip fracture types have different etiologies. In this study, we evaluated the lifestyle-related risk factors for cervical and trochanteric hip fractures in older women over a 13-year follow-up period. Methods The study design was a prospective, population-based study consisting of 1681 women (mean age 72 years. Seventy-three percent (n = 1222 participated in the baseline measurements, including medical history, leisure-time physical activity, smoking, and nutrition, along with body anthropometrics and functional mobility. Cox regression was used to identify the independent predictors of cervical and trochanteric hip fractures. Results During the follow-up, 49 cervical and 31 trochanteric fractures were recorded. The women with hip fractures were older, taller, and thinner than the women with no fractures (p  Conclusions Impaired functional mobility, physical inactivity, and low body mass may increase the risk for hip fractures with different effects at the cervical and trochanteric levels.

  17. Summary and Comparison of the 2016 Billion-Ton Report with the 2011 U.S. Billion-Ton Update

    Energy Technology Data Exchange (ETDEWEB)

    None

    2016-06-01

    In terms of the magnitude of the resource potential, the results of the 2016 Billion-Ton Report (BT16) are consistent with the original 2005 Billion-Ton Study (BTS) and the 2011 report, U.S. Billion-Ton Update: Biomass Supply for a Bioenergy and Bioproducts Industry (BT2. An effort was made to reevaluate the potential forestland, agricultural, and waste resources at the roadside, then extend the analysis by adding transportation costs to a biorefinery under specified logistics assumptions to major resource fractions.

  18. Intraoperative and anesthesia-related cardiac arrest and its mortality in older patients: a 15-year survey in a tertiary teaching hospital.

    Directory of Open Access Journals (Sweden)

    Juscimar C Nunes

    Full Text Available BACKGROUND: Little information is known about factors that influence perioperative and anesthesia-related cardiac arrest (CA in older patients. This study evaluated the incidence, causes and outcome of intraoperative and anesthesia-related CA in older patients in a Brazilian teaching hospital between 1996 and 2010. METHODS: During the study, older patients received 18,367 anesthetics. Data collected included patient characteristics, surgical procedures, American Society of Anesthesiologists (ASA physical status, anesthesia type, medical specialty team and outcome. All CAs were categorized by cause into one of four groups: patient's disease/condition-related, surgery-related, totally anesthesia-related or partially anesthesia-related. RESULTS: All intraoperative CAs and deaths rates are shown per 10,000 anesthetics. There were 100 CAs (54.44; 95% confidence intervals [CI]: 44.68-64.20 and 68 deaths (37.02; 95% CI: 27.56-46.48. The majority of CAs were patient's disease-/condition-related (43.5; 95% CI: 13.44-73.68. There were six anesthesia-related CAs (3.26; 95% CI: 0.65-5.87 - 1 totally and 5 partially anesthesia-related, and three deaths, all partially anesthesia-related (1.63; 95% CI: 0.0-3.47. ASA I-II physical status patients presented no anesthesia-related CA. Anesthesia-related CA, absent in the last five years of the study, was due to medication-/airway-related causes. ASA physical status was the most important predictor of CA (odds ratio: 14.52; 95% CI: 4.48-47.08; P<0.001 followed by emergency surgery (odds ratio: 8.07; 95% CI: 5.14-12.68; P<0.001. CONCLUSIONS: The study identified high incidence of intraoperative CAs with high mortality in older patients. The large majority of CAs were caused by factors not anesthesia-related. Anesthesia-related CA and mortality rates were 3.26 and 1.63 per 10,000 anesthetics, with no anesthesia-related CA in the last five years of the study. Major predictors of intraoperative CAs were poorer ASA

  19. Specifying the interrelationship between exposure to violence and parental monitoring for younger versus older adolescents: a five year longitudinal test.

    Science.gov (United States)

    Spano, Richard; Rivera, Craig; Vazsonyi, Alexander T; Bolland, John M

    2012-03-01

    Five waves of longitudinal data collected from 349 African American youth living in extreme poverty were used to examine the interrelationship between exposure to violence and parenting during adolescence. Semi-parametric group based modeling was used to identify trajectories of parental monitoring and exposure to violence from T1 to T5. Results from these analyses revealed: (1) a trajectory of declining parental monitoring for 48% of youth; and (2) four distinct trajectories of exposure to violence. Multivariate findings were largely consistent with the ecological-transactional model of community violence. Youth with stable and/or increasing trajectories of exposure to violence were more likely than youth with stable-low exposure to violence to have declining parental monitoring, but additional analyses revealed a similar pattern of findings for younger adolescents (age 9-11 T1), but no evidence of linkages between trajectories of exposure to violence and parental monitoring for older adolescents (age 12-16 T1). The theoretical and policy implications of these findings as well as areas for future research are also discussed.

  20. Small effect of genetic factors on neck pain in old age: a study of 2,108 Danish twins 70 years of age and older

    DEFF Research Database (Denmark)

    Hartvigsen, Jan; Petersen, Hans Christian; Frederiksen, Henrik;

    2005-01-01

    environmental risk factors (rheumatoid arthritis, osteoarthritis, disc prolapse, and coronary heart disease) showed no significant additive genetic, dominant genetic, or common environmental effects. CONCLUSION: Genetic factors do not play an important role in the liability to neck pain in persons 70 years......STUDY DESIGN: Classic twin study. OBJECTIVES: To determine the heritability of neck pain in persons 70 years of age and older. SUMMARY OF BACKGROUND DATA: Previous studies have shown a moderate effect of genetic factors on back pain in the elderly. Genetic influence on neck pain in old age...... is unknown. METHODS: Data on the 1-month prevalence of neck pain from twin pairs participating in the population based Longitudinal Study of Aging Danish Twins formed the basis of this analysis. To assess twin similarity, probandwise concordance rates, odds ratios, and tetrachoric correlations were...

  1. Evolution of vaccination rates after the implementation of a free systematic pneumococcal vaccination in Catalonian older adults: 4-years follow-up

    Directory of Open Access Journals (Sweden)

    Ansa Xabier

    2006-09-01

    Full Text Available Abstract Background The systematic vaccination with 23-valent polysaccharide pneumococcal vaccine (PPV was introduced as a strategic objective of health for all the people over 65 in Catalonia in 1999. We analysed the evolution of the pneumococcal vaccination rates from 2000 to 2003. Methods We conducted a retrospective population-based study including all the individuals 65 years or older assigned to 8 Primary Care Centres (PCCs in Tarragona (Catalonia, Spain, who figured in the administrative population databases on 31 December 2003 (n = 10,410 persons. We assessed whether every person had received PPV during the last four years (2000 to 2003 or whether they had received it before January 2000. Data sources were the computerised clinical records of the 8 participating PCCs, which included adult vaccination registries and diagnoses coded of International Classification of Diseases 9th Review Results The overall vaccination uptake increased to 38.6% at the end of 2000. Global accumulated coverages increased more slowly the following years: 44.4% in 2001, 50.9% in 2002, and 53.1% at the end of 2003. Vaccine uptake varied significantly according to age (46.7% in people 65–74 years-old, 60.9% in people 75 years or more; p Discussion The pneumococcal vaccination coverage increased quickly after the introduction of the recommendation for free vaccination in all the elderly people (with and without risk factors, but two years after the improvement the coverage became stable and increased slowly.

  2. Risk factors of nocturia (two or more voids per night) in Chinese people older than 40 years

    NARCIS (Netherlands)

    Wen, L.; Wen, Y.B.; Wang, Z.M.; Wen, J.G.; Li, Z.Z.; Shang, X.P.; Liu, Z.S.; Jia, L.H.; Qin, G.J.; Heesakkers, J.P.F.A.; Corcos, J.; Djurhuus, J.C.

    2015-01-01

    AIMS: To explore the risk factors of nocturia in Chinese inhabitants aged >/=40 years. METHODS: A randomized, community-based, cross-sectional study was performed on 10,160 inhabitants >/=40 years old in mainland China, via a stratified sampling approach. A questionnaire, including socio-demog

  3. Does growth hormone therapy in conjunction with resistance exercise increase muscle force production and muscle mass in men and women aged 60 years or older?

    Science.gov (United States)

    Zachwieja, J J; Yarasheski, K E

    1999-01-01

    Improved muscle protein mass and increments in maximum voluntary muscle force have rarely been observed in men and women aged 60 years and older who were treated with rhGH. Although rhGH administration has been reported to increase lean body mass in older men and women, it is doubtful that this increase is localized to skeletal muscle contractile proteins. When rhGH administration was combined with 16 weeks of resistance exercises, increases in muscle mass, muscle protein synthesis, and muscle force were not greater in the rhGH-treated group than in a weight training group that received placebo injections. Side effects of rhGH treatment in elderly people are prevalent, not trivial, and further limit its usefulness as an effective anabolic agent for promoting muscle protein accretion in men and women. In particular, the induction of insulin resistance and carpal tunnel compression reduces the efficacy of rhGH replacement therapy in elderly individuals. The evidence for a GH-induced increase in human skeletal muscle protein and maximum voluntary muscle force is weak. The optimum dose and GH-replacement paradigm (GHRH, GH-secretagogues) have not been identified. Whether rhGH therapy improves muscle protein mass and force in individuals with severe cachexia associated with major trauma, burns, surgery, or muscular dystrophy is controversial and under investigation.

  4. The influence of aerobic fitness on cerebral white matter integrity and cognitive function in older adults: results of a one-year exercise intervention.

    Science.gov (United States)

    Voss, Michelle W; Heo, Susie; Prakash, Ruchika S; Erickson, Kirk I; Alves, Heloisa; Chaddock, Laura; Szabo, Amanda N; Mailey, Emily L; Wójcicki, Thomas R; White, Siobhan M; Gothe, Neha; McAuley, Edward; Sutton, Bradley P; Kramer, Arthur F

    2013-11-01

    Cerebral white matter (WM) degeneration occurs with increasing age and is associated with declining cognitive function. Research has shown that cardiorespiratory fitness and exercise are effective as protective, even restorative, agents against cognitive and neurobiological impairments in older adults. In this study, we investigated whether the beneficial impact of aerobic fitness would extend to WM integrity in the context of a one-year exercise intervention. Further, we examined the pattern of diffusivity changes to better understand the underlying biological mechanisms. Finally, we assessed whether training-induced changes in WM integrity would be associated with improvements in cognitive performance independent of aerobic fitness gains. Results showed that aerobic fitness training did not affect group-level change in WM integrity, executive function, or short-term memory, but that greater aerobic fitness derived from the walking program was associated with greater change in WM integrity in the frontal and temporal lobes, and greater improvement in short-term memory. Increases in WM integrity, however, were not associated with short-term memory improvement, independent of fitness improvements. Therefore, while not all findings are consistent with previous research, we provide novel evidence for correlated change in training-induced aerobic fitness, WM integrity, and cognition among healthy older adults.

  5. Prevalence and type distribution of human papillomavirus among women older than 18 years in Egypt: a multicenter, observational study

    Directory of Open Access Journals (Sweden)

    Mohamed Fadel Shaltout

    2014-12-01

    Conclusions: The overall prevalence of HPV in Egypt was 10.4% and was highest (9.2% amongst women aged 45–54 years. These data provide important reference information for public health authorities considering HPV prevention in Egypt.

  6. First Episode of Self-Harm in Older Age : A Report From the 10-Year Prospective Manchester Self-Harm Project

    NARCIS (Netherlands)

    Voshaar, Richard C. Oude; Cooper, Jayne; Murphy, Elizabeth; Steeg, Sarah; Kapur, Nay; Purandare, Nitin B.

    2011-01-01

    Objective: Self-harm is closely related to completed suicide, especially in older age. As empirical research of self-harm in older age is scarce, with no studies confined to first-ever episodes in older age, we examined the clinical characteristics and the risk of repetition in first-ever self-harm

  7. First episode of self-harm in older age: a report from the 10-year prospective Manchester Self-Harm project

    NARCIS (Netherlands)

    Oude Voshaar, R.C.; Cooper, J.; Murphy, E.; Steeg, S.; Kapur, N.; Purandare, N.B.

    2011-01-01

    OBJECTIVE: Self-harm is closely related to completed suicide, especially in older age. As empirical research of self-harm in older age is scarce, with no studies confined to first-ever episodes in older age, we examined the clinical characteristics and the risk of repetition in first-ever self-harm

  8. The Economic Burden of Vision Loss and Eye Disorders among the United States Population Younger than 40 Years

    Science.gov (United States)

    Wittenborn, John S.; Zhang, Xinzhi; Feagan, Charles W.; Crouse, Wesley L.; Shrestha, Sundar; Kemper, Alex R.; Hoerger, Thomas J.; Saaddine, Jinan B.

    2017-01-01

    add $10.8 billion in additional costs, indicating a total economic burden of $38.2 billion. Relative to previously reported estimates for the population 40 years of age and older, more than one third of the total cost of vision loss and eye disorders may be incurred by persons younger than 40 years. PMID:23631946

  9. Probit Models to Investigate Prevalence of Total Diagnosed and Undiagnosed Diabetes among Aged 45 Years or Older Adults in China

    Science.gov (United States)

    Yin, Minghui; Augustin, Balekouzou; Shu, Chang; Qin, Tingting; Yin, Ping

    2016-01-01

    , central obesity, hypertensive and in urban areas for middle-aged and older in China. PMID:27723833

  10. B-Vitamin Intake and Biomarker Status in Relation to Cognitive Decline in Healthy Older Adults in a 4-Year Follow-Up Study

    Directory of Open Access Journals (Sweden)

    Catherine F. Hughes

    2017-01-01

    Full Text Available Advancing age can be associated with an increase in cognitive dysfunction, a spectrum of disability that ranges in severity from mild cognitive impairment to dementia. Folate and the other B-vitamins involved in one-carbon metabolism are associated with cognition in ageing but the evidence is not entirely clear. The hypothesis addressed in this study was that lower dietary intake or biomarker status of folate and/or the metabolically related B-vitamins would be associated with a greater than expected rate of cognitive decline over a 4-year follow-up period in healthy older adults. Participants (aged 60–88 years; n = 155 who had been previously screened for cognitive function were reassessed four years after initial investigation using the Mini-Mental State Examination (MMSE. At the 4-year follow-up assessment when participants were aged 73.4 ± 7.1 years, mean cognitive MMSE scores had declined from 29.1 ± 1.3 at baseline to 27.5 ± 2.4 (p < 0.001, but some 27% of participants showed a greater than expected rate of cognitive decline (i.e., decrease in MMSE > 0.56 points per year. Lower vitamin B6 status, as measured using pyridoxal-5-phosphate (PLP; <43 nmol/L was associated with a 3.5 times higher risk of accelerated cognitive decline, after adjustment for age and baseline MMSE score (OR, 3.48; 95% CI, 1.58 to 7.63; p < 0.05. Correspondingly, lower dietary intake (0.9–1.4 mg/day of vitamin B6 was also associated with a greater rate of cognitive decline (OR, 4.22; 95% CI, 1.28–13.90; p < 0.05. No significant relationships of dietary intake or biomarker status with cognitive decline were observed for the other B-vitamins. In conclusion, lower dietary and biomarker status of vitamin B6 at baseline predicted a greater than expected rate of cognitive decline over a 4-year period in healthy older adults. Vitamin B6 may be an important protective factor in helping maintain cognitive health in ageing.

  11. Efficacy and safety of enzalutamide in patients 75 years or older with chemotherapy-naive metastatic castration-resistant prostate cancer

    DEFF Research Database (Denmark)

    Graff, J N; Baciarello, G; Armstrong, A J;

    2016-01-01

    for an overall higher incidence of falls among elderly patients than younger patients [84/609 (13.8%) versus 62/1106 (5.6%)] and among elderly patients receiving enzalutamide than those receiving placebo [61/317 (19.2%) versus 23/292 (7.9%)]. CONCLUSIONS: Elderly men benefited from treatment with enzalutamide...... in terms of OS and rPFS. Enzalutamide was well tolerated in the elderly subgroup and those aged falls. CLINICAL TRIAL IDENTIFIER: NCT01212991, ClinicalTrials.gov.......BACKGROUND: Prostate cancer disproportionately affects older men. Because age affects treatment decisions, it is important to understand the efficacy and tolerability of therapies for advanced prostate cancer in elderly men. This analysis describes efficacy and safety outcomes in men aged ≥75 years...

  12. Alcohol Use among Abused and Non-Abused Older Persons Aged 60-84 Years: An European Study

    Science.gov (United States)

    Tredal, Ingrid; Soares, Joaquim J. F.; Sundin, Orjan; Viitasara, Eija; Melchiorre, Maria Gabriella; Torres-Gonzales, Francisco; Stankunas, Mindaugas; Lindert, Jutta; Ioannidi-Kapolou, Elisabeth; Barros, Henrique

    2013-01-01

    Aims: Describing alcohol use by abuse type (e.g. psychological) and considering other factors (e.g. depression). Methods: The respondents were 4467 (2559 women, 57.3%) randomly selected elders (60-84 years) from seven European cities. The cross-sectional data were collected with scales covering various areas and examined with…

  13. Four-year stability of anthropometric and cardio-metabolic parameters in a prospective cohort of older adults

    NARCIS (Netherlands)

    Jackson, S.E.; Jaarsveld, C.H.M. van; Beeken, R.J.; Gunter, M.J.; Steptoe, A.; Wardle, J.

    2015-01-01

    AIM: To examine the medium-term stability of anthropometric and cardio-metabolic parameters in the general population. MATERIALS & METHODS: Participants were 5160 men and women from the English Longitudinal Study of Ageing (age >/=50 years) assessed in 2004 and 2008. Anthropometric data included

  14. Dietary ratio of n-6 to n-3 polyunsaturated fatty acids and periodontal disease in community-based older Japanese: a 3-year follow-up study.

    Science.gov (United States)

    Iwasaki, Masanori; Taylor, George W; Moynihan, Paula; Yoshihara, Akihiro; Muramatsu, Kanako; Watanabe, Reiko; Miyazaki, Hideo

    2011-08-01

    The longitudinal relationship between dietary n-6 to n-3 PUFAs ratio and periodontal disease in 235 Japanese subjects for whom data were available for the years 2003-2006 was investigated. PUFAs intake was assessed at baseline with a brief-type self-administered diet history questionnaire. Full-mouth periodontal status, measured as the clinical attachment level (CAL), was recorded at baseline and once a year for 3 years. The number of teeth with a change in the loss of CAL ≥3 mm at any site over a year was calculated as 'periodontal disease events'. Poisson regression analysis was conducted, with dietary n-6 to n-3 PUFAs ratio as the main predictor, to estimate its influence on periodontal disease events. A high dietary n-6 to n-3 PUFAs ratio was significantly associated with greater number of periodontal disease events. The findings suggest the dietary n-6 to n-3 PUFAs ratio is associated with periodontal disease among older Japanese.

  15. Winglets Save Billions of Dollars in Fuel Costs

    Science.gov (United States)

    2010-01-01

    The upturned ends now featured on many airplane wings are saving airlines billions of dollars in fuel costs. Called winglets, the drag-reducing technology was advanced through the research of Langley Research Center engineer Richard Whitcomb and through flight tests conducted at Dryden Flight Research Center. Seattle-based Aviation Partners Boeing -- a partnership between Aviation Partners Inc., of Seattle, and The Boeing Company, of Chicago -- manufactures Blended Winglets, a unique design featured on Boeing aircraft around the world. These winglets have saved more than 2 billion gallons of jet fuel to date, representing a cost savings of more than $4 billion and a reduction of almost 21.5 million tons in carbon dioxide emissions.

  16. Influence of socioeconomic factors on hospital readmissions for heart failure and acute myocardial infarction in patients 65 years and older: evidence from a systematic review

    Directory of Open Access Journals (Sweden)

    Damiani G

    2015-01-01

    Full Text Available Gianfranco Damiani,1 Eleonora Salvatori,1 Giulia Silvestrini,1 Ivana Ivanova,2 Luka Bojovic,3 Lanfranco Iodice,1 Walter Ricciardi1 1Department of Public Health, Università Cattolica Sacro Cuore, Rome, Italy; 2ERAWEB Project, Faculty of Medicine, Saints Cyril and Methodius University of Skopje, Skopje, Macedonia; 3ERAWEB Project, Faculty of Medicine, University of Nis, Nis, Serbia Purpose: Cardiovascular diseases are the leading cause of death and disability worldwide. Among these diseases, heart failure (HF and acute myocardial infarction (AMI are the most common causes of hospitalization. Therefore, readmission for HF and AMI is receiving increasing attention. Several socioeconomic factors could affect readmissions in this target group, and thus, a systematic review was conducted to identify the effect of socioeconomic factors on the risk for readmission in people aged 65 years and older with HF or AMI.Methods: The search was carried out by querying an electronic database and hand searching. Studies with an association between the risk for readmission and at least one socioeconomic factor in patients aged 65 years or older who are affected by HF or AMI were included. A quality assessment was conducted independently by two reviewers. The agreement was quantified by Cohen’s Kappa statistic. The outcomes of studies were categorized in the short-term and the long-term, according to the follow-up period of readmission. A positive association was reported if an increase in the risk for readmission among disadvantaged patients was found. A cumulative effect of socioeconomic factors was computed by considering the association for each study and the number of available studies.Results: A total of eleven articles were included in the review. They were mainly published in the United States. All the articles analyzed patients who were hospitalized for HF, and four of them also analyzed patients with AMI. Seven studies (63.6% were found for the short

  17. Outcomes of vaginal hysterectomy and constricting colporrhaphy with concurrent levator myorrhaphy and high perineorrhaphy in women older than 75 years of age

    Directory of Open Access Journals (Sweden)

    Töz E

    2015-06-01

    Full Text Available Emrah Töz, Aykut Özcan, Nesin Apaydin, İbrahim Uyar, Betül Kocakaya, Gülin Okay Department of Gynecology and Obstetrics, Tepecik Education and Research Hospital, İzmir, Turkey Objectives: We performed constricting anterior and posterior colporrhaphy, levator myorrhaphy, and high perineorrhaphy with concurrent hysterectomy, and investigated the intraoperative complications, and short-term outcomes of these constricting procedures in patients aged 75 years or older.Methods: We searched our hospital database for cases, between January 2011 and January 2014, of women aged over 75 years who underwent surgery for pelvic organ prolapse of stage 2 or higher, via vaginal hysterectomy, constricting anterior and posterior colporrhaphy, levator myorrhaphy, and high perineorrhaphy, with or without treatment of urinary incontinence. All volunteers were evaluated via pelvic examination using the pelvic organ prolapse quantification system, the modified Decision Regret Scale–Pelvic Floor Disorders form, the Satisfaction Decision Scale–Pelvic Floor Disorders form, and the Pelvic Floor Distress Inventory form.Results: Fifty-four patients were included in the study. The mean follow-up time was 24.4 months after constricting surgery (range: 8–44 months. There were four cases (7% of de novo urge incontinence (the symptoms resolved upon prescription of anticholinergic medication. Two patients developed de novo stress urinary incontinence after the procedure and were treated via transobturator sling surgery using Safyre T® polypropylene monofilament slings. No anatomical or subjective recurrence of prolapse was noted during the follow-up period. No patient required additional surgery for recurrence of prolapse.Conclusion: Constricting anterior and posterior colporrhaphy, levator myorrhaphy, and high perineorrhaphy with concurrent hysterectomy is a feasible, safe, and effective surgical option in elderly patients at low anesthesiological risk. The decision

  18. Association between Frailty, Osteoporosis, Falls and Hip Fractures among Community-Dwelling People Aged 50 Years and Older in Taiwan: Results from I-Lan Longitudinal Aging Study.

    Directory of Open Access Journals (Sweden)

    Li-Kuo Liu

    Full Text Available Association of frailty with adverse clinical outcomes has been reported in Western countries, but data from the Asian population are scarce. This study aimed to evaluate the epidemiology of frailty among community-dwelling middle-aged and elderly population and to explore its association with musculoskeletal health in Taiwan.I-Lan Longitudinal Aging Study (ILAS data were retrieved for this study. Frailty was defined by the Fried's criteria; a comparison of demographic characteristics, physical performance, and body composition, including skeletal muscle mass and bone mineral density (BMD, as well as recent falls, history of hip fractures and the functional status of subjects with different frailty statuses were accomplished.Overall, the data of 1,839 participants (mean age: 63.9±9.3 years, male 47.5% were obtained for analysis. The prevalence of pre-frailty was 42.3% in men and 38.8% in women, whereas the prevalence of frailty was 6.9% and 6.7% in men and women, respectively. Frailty was significantly associated with older age, the male gender, larger waist circumference, lower skeletal muscle index, lower hip BMD, poorer physical function, poorer nutritional status, and poorer cognitive function. Also, frailty was significantly associated with osteoporosis (OR: 7.73, 95% CI: 5.01-11.90, p<0.001, history of hip fractures (OR: 8.66, 95% CI: 2.47-30.40, p = 0.001, and recent falls (O.R: 2.53, 95% CI: 1.35-4.76, p = 0.004.Frailty and pre-frailty, in Taiwan, was closely associated with recent falls, history of hip fractures and osteoporosis among community-dwelling people 50 years of age and older. Furthermore, frailty intervention programs should take an integrated approach towards strengthening both and muscle mass, as well as prevention of falls.

  19. Incident comorbidities and all-cause mortality among 5-year survivors of Stage I and II breast cancer diagnosed at age 65 or older: a prospective-matched cohort study.

    Science.gov (United States)

    Jordan, Jennifer H; Thwin, Soe Soe; Lash, Timothy L; Buist, Diana S M; Field, Terry S; Haque, Reina; Pawloski, Pamala A; Petersen, Hans V; Prout, Marianne N; Quinn, Virginia P; Yood, Marianne Ulcickas; Silliman, Rebecca A; Geiger, Ann M

    2014-07-01

    Five-year breast cancer survivors, diagnosed after 65 years of age, may develop more incident comorbidities than similar populations free of cancer. We investigated whether older breast cancer survivors have a similar comorbidity burden 6-15 years after cancer diagnosis to matched women free of breast cancer at start of follow-up and whether incident comorbidities are associated with all-cause mortality. In this prospective cohort study, 1,361 older 5-year early-stage breast cancer survivors diagnosed between 1990 and 1994 and 1,361 age- and health system-matched women were followed for 10 years. Adjudicated medical record review captured prevalent and incident comorbidities during follow-up or until death as collected from the National Death Index. Older 5-year breast cancer survivors did not acquire incident comorbidities more often than matched women free of breast cancer in the subsequent 10 years [hazard ratio (HR) 1.0, 95 % confidence interval (95 % CI) 0.93, 1.1]. Adjusted for cohort membership, women with incident comorbidities had a higher mortality rate than those without incident comorbidities (HR 4.8, 95 % CI 4.1, 5.6). A breast cancer history continued to be a hazard for mortality 6-15 years after diagnosis (HR 1.3, 95 % CI 1.1, 1.4). We found that older breast cancer survivors who developed comorbidities had an increased all-cause mortality rate even after adjusting for age and prevalent comorbidity burden. Additionally, survivors acquire comorbidities at a rate similar to older women free of breast cancer. These results highlight the association between comorbidity burden and long-term mortality risk among older breast cancer survivors and their need for appropriate oncology and primary care follow-up.

  20. Comparison of Clinicopathological Features and Treatments between Young (≤40 Years) and Older (>40 Years) Female Breast Cancer Patients in West China: A Retrospective, Epidemiological, Multicenter, Case Only Study

    Science.gov (United States)

    Li, Hongyuan; Zheng, Ke; Jiang, Jun; Zou, Tianning; Ma, Binlin; Li, Hui; Liu, Qilun; Ou, Jianghua; Wang, Ling; Wei, Wei; He, Jianjun; Ren, Guosheng

    2016-01-01

    The incidence of young cases of breast cancer is higher in China compared to the western world. We aimed to explore differences in risk factors, clinicopathological features and treatment modes of young female breast cancer compared to older patients in West China. We collected clinical information from 12,209 female breast cancer patients in West China, including risk factors, clinicopathological features and treatment modes, from January 2010 to December 2012. Chi-square tests and the multivariate logistic regression analysis were applied for statistical analysis. There were 2,682 young (≤40 years) cases and 9,527 older cases at the time of breast cancer diagnosis. Young patients had a greater tumor diameter at diagnosis, and a higher probability of axillary lymph node and distant metastasis (P menarche was earlier, they had lower marriage rates, fewer pregnancies and births, and a lower breastfeeding rate (P 40 years) female breast cancer patients in West China. As some of these results differ from those found in the western female population, it is likely that the mechanism of tumorigenesis of young female breast cancer patients in West China may differ from that in western developed countries. Further investigation into the regional differences in breast cancer tumorigenesis is warranted. PMID:27031236

  1. Comparison of Clinicopathological Features and Treatments between Young (≤40 Years and Older (>40 Years Female Breast Cancer Patients in West China: A Retrospective, Epidemiological, Multicenter, Case Only Study.

    Directory of Open Access Journals (Sweden)

    Ke Wang

    Full Text Available The incidence of young cases of breast cancer is higher in China compared to the western world. We aimed to explore differences in risk factors, clinicopathological features and treatment modes of young female breast cancer compared to older patients in West China. We collected clinical information from 12,209 female breast cancer patients in West China, including risk factors, clinicopathological features and treatment modes, from January 2010 to December 2012. Chi-square tests and the multivariate logistic regression analysis were applied for statistical analysis. There were 2,682 young (≤40 years cases and 9,527 older cases at the time of breast cancer diagnosis. Young patients had a greater tumor diameter at diagnosis, and a higher probability of axillary lymph node and distant metastasis (P 40 years female breast cancer patients in West China. As some of these results differ from those found in the western female population, it is likely that the mechanism of tumorigenesis of young female breast cancer patients in West China may differ from that in western developed countries. Further investigation into the regional differences in breast cancer tumorigenesis is warranted.

  2. Comparison of Clinicopathological Features and Treatments between Young (≤40 Years) and Older (>40 Years) Female Breast Cancer Patients in West China: A Retrospective, Epidemiological, Multicenter, Case Only Study.

    Science.gov (United States)

    Wang, Ke; Ren, Yu; Li, Hongyuan; Zheng, Ke; Jiang, Jun; Zou, Tianning; Ma, Binlin; Li, Hui; Liu, Qilun; Ou, Jianghua; Wang, Ling; Wei, Wei; He, Jianjun; Ren, Guosheng

    2016-01-01

    The incidence of young cases of breast cancer is higher in China compared to the western world. We aimed to explore differences in risk factors, clinicopathological features and treatment modes of young female breast cancer compared to older patients in West China. We collected clinical information from 12,209 female breast cancer patients in West China, including risk factors, clinicopathological features and treatment modes, from January 2010 to December 2012. Chi-square tests and the multivariate logistic regression analysis were applied for statistical analysis. There were 2,682 young (≤40 years) cases and 9,527 older cases at the time of breast cancer diagnosis. Young patients had a greater tumor diameter at diagnosis, and a higher probability of axillary lymph node and distant metastasis (P 40 years) female breast cancer patients in West China. As some of these results differ from those found in the western female population, it is likely that the mechanism of tumorigenesis of young female breast cancer patients in West China may differ from that in western developed countries. Further investigation into the regional differences in breast cancer tumorigenesis is warranted.

  3. Barriers to Eye Care Among People Aged 40 Years and Older With Diagnosed Diabetes, 2006–2010

    OpenAIRE

    Chou, Chiu-Fang; Sherrod, Cheryl E.; Zhang, Xinzhi; Barker, Lawrence E.; Bullard, Kai McKeever; Crews, John E.; Saaddine, Jinan B.

    2013-01-01

    OBJECTIVE We examine barriers to receiving recommended eye care among people aged ≥40 years with diagnosed diabetes. RESEARCH DESIGN AND METHODS We analyzed 2006–2010 Behavioral Risk Factor Surveillance System data from 22 states (n = 27,699). Respondents who had not sought eye care in the preceding 12 months were asked the main reason why. We categorized the reasons as cost/lack of insurance, no need, no eye doctor/travel/appointment, and other (meaning everything else). We used multinomial ...

  4. Urodynamics in a community-dwelling population of females 80 years or older: which motive? Which diagnosis?

    Directory of Open Access Journals (Sweden)

    Françoise A. Valentini

    2010-04-01

    Full Text Available PURPOSE: To determine why community-dwelling women aged 80 years or over were referred for urodynamic evaluation despite their advanced age and which urodynamic diagnosis was made. MATERIALS AND METHODS: One hundred consecutive females (80-93 years were referred to our urodynamics outpatient clinic for evaluation of lower urinary tract symptoms (LUTS between 2005 and 2008. Clinical evaluation comprised of a previous history of LUTS, previous medical history of neurological disease or dementia, pelvic floor dysfunction or prior pelvic surgery. Exclusion criteria were complete retention and severe dementia involving failure to understand simple instructions. Assessed items were results of uroflows (free flow and intubated flow, cystometry and urethral pressure profilometry, and final urodynamic diagnosis. RESULTS: The main complaint evoked by the patients was incontinence (65.0% of which 61.5% was "complicated" and urgency was reported by 70.0%. Interpretable free flow at arrival was very low (44.0%. Prevalence of detrusor overactivity was high, found in 45 patients of whom 16 had detrusor hyperactivity with impaired detrusor contractility. Detrusor overactivity and urgency were strongly associated (p = 0.004. Twenty-five patients had intrinsic sphincteric deficiency alone and 15 detrusor underactivity. CONCLUSION: In this particular community-dwelling with an elderly female population, urodynamics is easily feasible. Incontinence, mainly "complicated" is the more frequent complaint and urgency the more frequent symptom. Urodynamic diagnosis underlines the high incidence of detrusor overactivity as well as impaired detrusor function.

  5. Somatic parameters of 17 year old soccer players in the older youth category in relation to sports performance

    Directory of Open Access Journals (Sweden)

    Petr Kutáč

    2013-09-01

    Full Text Available BACKGROUND: Somatic parameters are included not only in the general structure of sporting performance, but also in the structure of sporting performance in soccer. In light of this structure, higher performance players should have better somatic performance prerequisites, and their somatic parameters should differ from players with lower performance levels. OBJECTIVE: The aim of the study is to assess the somatic parameters of players with different performance levels. METHODS: The research included 90 soccer players in the age of 17 years in three performance categories playing in the junior competition in the Czech Republic. Average age of the individual levels – highest performance 17.61 ± 0.48, middle performance 17.50 ± 0.50, lowest performance 17.50 ± 0.50 years. The following was monitored – basic anthropometric parameters (body weight, body height, somatotype (Heath-Carter, representation of body fat (BF, fat free mass (FFM and the total body water (TBW. The Tanita 418 MA tetrapolar bioelectrical impedance (BIA scale was used for the determination of the representation of BF and the TBW. All players were measured at the beginning of the competition period in the same year. All measurements were implemented in the morning hours by the same person with corresponding experience. RESULTS: The average values of somatic parameters measured in the individual performance categories show that we can only consider them to be an indicator of sporting performance up to a particular performance level. The boundary was the middle performance level (teams playing regional competition as their mean values of the monitored somatic parameters significantly differed from the mean values of players at the lowest performance level (teams playing at the district and municipal levels but they did not differ when compared with the mean values of the players at the highest performance level (teams playing the top junior league. CONCLUSIONS

  6. 2016 Billion-Ton Report: Environmental Sustainability Effects of Select Scenarios from Volume 1 (Volume 2)

    Energy Technology Data Exchange (ETDEWEB)

    Efroymson, R. A. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Langholtz, M. H. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Johnson, K. E. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Stokes, B. J. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2017-01-13

    On behalf of all the authors and contributors, it is a great privilege to present the 2016 Billion-Ton Report (BT16), volume 2: Environmental Sustainability Effects of Select Scenarios from volume 1. This report represents the culmination of several years of collaborative effort among national laboratories, government agencies, academic institutions, and industry. BT16 was developed to support the U.S. Department of Energy’s efforts towards national goals of energy security and associated quality of life.

  7. Medicare, Medicaid fraud a billion-dollar art form in the US

    Science.gov (United States)

    Korcok, M

    1997-01-01

    Medicare and Medicaid fraud costs billions of dollars each year in the US. Investigators have shown that fraud is found in all segments of the health care system. Even though the Canadian system has stricter regulations and tighter controls, can regulators here afford to be complacent about believing that such abuse would not happen here? One province has established an antifraud unit to monitor its health insurance scheme; it already has 1 prosecution under its belt. PMID:9141996

  8. Chongqing Hechuan District Plans to Build 10 Billion Yuan Size Aluminum Industry Park

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    Recently,the reporter learned from Chongqing Hechuan District Aluminum Industry Integration Enterprise Discussion Meeting that Hechuan District would build aluminum industrial park at Caojie Development Park,and strive to fulfill 10 billion yuan output value within 3 to 5 years.It has been learned that Hechuan District currently has 29 aluminum product enterprises(including enterprises with aluminum and aluminum products as raw material),in which 9

  9. LLNL's Big Science Capabilities Help Spur Over $796 Billion in U.S. Economic Activity Sequencing the Human Genome

    Energy Technology Data Exchange (ETDEWEB)

    Stewart, Jeffrey S. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2015-07-28

    LLNL’s successful history of taking on big science projects spans beyond national security and has helped create billions of dollars per year in new economic activity. One example is LLNL’s role in helping sequence the human genome. Over $796 billion in new economic activity in over half a dozen fields has been documented since LLNL successfully completed this Grand Challenge.

  10. Bill and Melinda Gates Pledge $1-Billion for Minority Scholarships.

    Science.gov (United States)

    Monaghan, Peter; Lederman, Douglas; van der Werf, Martin; Pulley, John

    1999-01-01

    Reports on a $1 billion dollar grant from Bill and Melinda Gates to send 20,000 low-income minority students to college. The Gates Millenium Scholars Program will require students to demonstrate financial need and maintain a 3.0 grade point average in college. A list of the largest private gifts to higher education since 1967 is also provided. (DB)

  11. With US$5 Billion,China Purchases 42 Boeing Planes

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    @@ On August 8, Air China, China Eastern Airlines, Shanghai Airlines, Xiamen Airlines signed the final Purchase agreement of 42 Boeing planes with Boeing. The price in catalogue is US$5.04 billion. The first plane will be delivered in 2008.

  12. With US$5 Billion,China Purchases 42 Boeing Planes

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

      On August 8, Air China, China Eastern Airlines, Shanghai Airlines, Xiamen Airlines signed the final Purchase agreement of 42 Boeing planes with Boeing. The price in catalogue is US$5.04 billion. The first plane will be delivered in 2008.……

  13. The China-ROK Trade Surpasses US$130 Billion

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    @@ In 2006,the important trade partnership between China and POK was further strengthened and consolidated.By the end of 2005,POK recognized China's status of market economy, making the bilateral trade environment more fair and reasonable.The governments of both sides have strived for the target of increasing the bilateral trade to US$200 billion by 2012.

  14. Four laser companies to exceed $1 billion revenue in 2016

    Science.gov (United States)

    Thoss, Andreas F.

    2017-02-01

    It seems very likely that for first time four companies will exceed the revenue of 1 billion in 2016. This comes along with substantial changes in the market for lasers and laser systems. The article analyzes some of the changes and looks at the individual success strategies of the major players in these markets.

  15. Association of Behavioral Risk Factors for Chronic Diseases With Physical and Mental Health in European Adults Aged 50 Years or Older, 2004–2005

    Science.gov (United States)

    Papadaki, Angeliki; Smpokos, Emmanouil; Micheli, Katerina; Vozikaki, Maria; Philalithis, Anastas

    2015-01-01

    Introduction Noncommunicable diseases are the leading cause of illness and death worldwide; behavioral risk factors (BRFs) contribute to these diseases. We assessed the presence of multiple BRFs among European adults according to their physical and mental health status. Methods We used data from 26,026 adults aged 50 years or older from 11 countries that participated in the Survey of Health, Ageing and Retirement in Europe (2004–2005). BRFs (overweight or obesity, smoking, physical inactivity, and risky alcohol consumption) were assessed according to physical health (ie, presence of chronic diseases, disease symptoms, or limitations in activities of daily living) and mental health (depression) through multiple regression estimations. Results Overweight or obesity in men and physical inactivity in women were the most prevalent BRFs. Compared with physically active adults, physically inactive adults had a higher mean number of chronic diseases (1.33 vs 1.26) and chronic disease symptoms (1.55 vs 1.47). Risky alcohol consumption (≥4 servings of an alcohol beverage ≥3 times a week) was associated with a higher mean depression score (2.84 vs 2.47). Compared with adults with 0 or 1 BRF, adults with 2 or more BRFs had significantly higher odds of having 1 or more chronic diseases (men: 1.52; women: 1.73) and functional limitations (men: 1.65; women: 1.79) and higher prevalence of high blood pressure (37.8% vs 28.2). Belgian adults with BRFs had the highest mean number of chronic diseases or functional limitations among those who were overweight or obese and the highest mean number of chronic diseases and disease symptoms among those who smoked and were physically inactive. Conclusion We found revealed significant positive associations between BRFs and poor health among middle-aged and older European adults. Primary health care intervention programs should focus on developing ways to reduce BRF prevalence in this population. PMID:26378895

  16. Low serum albumin and total lymphocyte count as predictors of 30 day hospital readmission in patients 65 years of age or older

    Directory of Open Access Journals (Sweden)

    Robert Robinson

    2015-08-01

    Full Text Available Introduction. Hospital readmission within 30 days of discharge is a target for health care cost savings through the medicare Value Based Purchasing initiative. Because of this focus, hospitals and health systems are investing considerable resources into the identification of patients at risk of hospital readmission and designing interventions to reduce the rate of hospital readmission. Malnutrition is a known risk factor for hospital readmission.Materials and Methods. All medical patients 65 years of age or older discharged from Memorial Medical Center from January 1, 2012 to March 31, 2012 who had a determination of serum albumin level and total lymphocyte count on hospital admission were studied retrospectively. Admission serum albumin levels and total lymphocyte counts were used to classify the nutritional status of all patients in the study. Patients with a serum albumin less than 3.5 grams/dL and/or a TLC less than 1,500 cells per mm3 were classified as having protein energy malnutrition. The primary outcome investigated in this study was hospital readmission for any reason within 30 days of discharge.Results. The study population included 1,683 hospital discharges with an average age of 79 years. The majority of the patients were female (55.9% and had a DRG weight of 1.22 (0.68. 219 patients (13% were readmitted within 30 days of hospital discharge. Protein energy malnutrition was common in this population. Low albumin was found in 973 (58% patients and a low TLC was found in 1,152 (68% patients. Low albumin and low TLC was found in 709 (42% of patients. Kaplan–Meier analysis shows any laboratory evidence of PEM is a significant (p < 0.001 predictor of hospital readmission. Low serum albumin (p < 0.001 and TLC (p = 0.018 show similar trends. Cox proportional-hazards regression analysis showed low serum albumin (Hazard Ratio 3.27, 95% CI [2.30–4.63] and higher DRG weight (Hazard Ratio 1.19, 95% CI [1.03–1.38] to be significant

  17. No H- and L-type cases in Belgium in cattle diagnosed with bovine spongiform encephalopathy (1999-2008 aging seven years and older

    Directory of Open Access Journals (Sweden)

    Van Muylem Patrick

    2010-05-01

    Full Text Available Abstract Background The bovine spongiform encephalopathy (BSE epidemic presented homogeneity of the phenotype. This classical BSE (called C-type was probably due to the contamination of the food chain by a single prion strain. However, due to the active surveillance and better techniques, two rare variants of BSE have been recently reported in different continents without a clear correlation to the BSE epidemic. These emerging types behave as different strains of BSE and were named H-type and L-type according to the high and low molecular mass of the unglycosylated fragment of their proteinase K resistant prion protein (PrPres. In these types, the proportion of the un-, mono- and di-glycosylated fragments of PrP (glycoprofile is also atypical and represents an effective diagnostic parameter. This study evaluated the presence of such types in bovine of 7 years and older in Belgium. Results The Belgian BSE archive contained 41 bovines of at least 7 years of age. The biochemical features of their PrPres were analyzed by Western blot with five antibodies recognising different regions of PrPres, from N- to C-terminus: 12B2, 9A2, Sha31, SAF84 and 94B4. All antibodies clearly detected PrPres except 12B2 antibody, which is specific for N-terminal region 101-105, a PrP region that is only retained in H-types. The glycoprofiles did correspond to that of C-type (with more than 55% of diglycosylated PrPres using antibody 94B4. Therefore, all cases have the features of C-type BSE. Conclusions This study supports that, among the BSE cases of 7 years and older identified in Belgium, none was apparently of the H- or L- type. This is consistent with the very rare occurrence of atypical BSE and the restricted dimension of Belgium. These results shed some light on the worldwide prevalence of atypical BSE.

  18. Incidence and predictors of asymptomatic atrial fibrillation in patients older than 70 years with complete atrioventricular block and dual chamber pacemaker implantation.

    LENUS (Irish Health Repository)

    Radeljic, Vjekoslav

    2012-01-31

    AIM: To evaluate predictors of asymptomatic atrial fibrillation in patients older than 70 years with complete atrioventricular (AV) block, normal left ventricular systolic function, and implanted dual chamber (DDD) pacemaker. METHODS: Hundred and eighty six patients with complete AV block were admitted over one year to the Sisters of Mercy University Hospital. The study recruited patients older than 70 years, with no history of atrial fibrillation, heart failure, or reduced left ventricular systolic function. All the patients were implanted with the same pacemaker. Out of 103 patients who were eligible for the study, 81 (78%) were evaluated. Among those 81 (78%) were evaluated. Eighty one (78%) patients were evaluated. Follow-up time ranged from 12 to 33 months (average +\\/-standard deviation 23 +\\/- 5 months). Primary end-point was asymptomatic atrial fibrillation occurrence recorded by the pacemaker. Atrial fibrillation occurrence was defined as atrial high rate episodes (AHRE) lasting >5 minutes. Binary logistic regression was used to identify the predictors of development of asymptomatic atrial fibrillation. Results. The 81 patients were stratified into two groups depending on the presence of AHRE lasting >5 minutes (group 1 had AHRE>5 minutes and group 2 AHRE<5 minutes). AHRE lasting >5 minutes were detected in 49 (60%) patients after 3 months and in 53 (65%) patients after 18 moths. After 3 months, only hypertension (odds ratio [OR], 17.63; P = 0.020) was identified as a predictor of asymptomatic atrial fibrillation. After 18 months, hypertension (OR, 14.0; P = 0.036), P wave duration >100 ms in 12 lead ECG (OR, 16.5; P = 0.001), and intracardial atrial electrogram signal amplitude >4 mV (OR, 4.27; P = 0.045) were identified as predictors of atrial fibrillation. CONCLUSION: In our study population, hypertension was the most robust and constant predictor of asymptomatic atrial fibrillation after 3 months, while P wave duration >100 ms in 12-lead ECG and

  19. "You're Awfully Old to Have This Disease": Experiences of Stigma and Ageism in Adults 50 Years and Older Living with HIV/AIDS

    Science.gov (United States)

    Emlet, Charles A.

    2006-01-01

    Purpose: Older adults living with HIV infection may be doubly stigmatized, as they are branded by both age as well as HIV status. Through semistructured interviews, this study sought to examine whether older adults with HIV/AIDS experience both ageism and HIV stigma and how those experiences manifest in their lives. Design and Methods: This was a…

  20. Burden of herpes zoster and postherpetic neuralgia in Japanese adults 60 years of age or older: Results from an observational, prospective, physician practice-based cohort study.

    Science.gov (United States)

    Sato, Keiko; Adachi, Koichi; Nakamura, Hiroyuki; Asano, Kazuhiro; Watanabe, Akihiro; Adachi, Riri; Kiuchi, Mariko; Kobayashi, Keiju; Matsuki, Taizo; Kaise, Toshihiko; Gopala, Kusuma; Holl, Katsiaryna

    2016-12-05

    Approximately one in three persons will develop herpes zoster during their lifetime, and it can lead to serious complications such as postherpetic neuralgia. However, evidence on burden of herpes zoster and postherpetic neuralgia in Japan is limited. This prospective, observational, multicenter, physician practice-based cohort study was conducted in Kushiro, Hokkaido, Japan (Clinicaltrials.gov identifier NCT01873365) to assess the incidence and hospitalization rates of herpes zoster, and the proportion, clinical burden and risk factors for postherpetic neuralgia in adults aged 60 years or more. Within the study area, 800 subjects developed herpes zoster and 412 were eligible for the study. Herpes zoster incidence was 10.2/1000 person-years and higher among women and older subjects. Subjects with herpes zoster required on average 5.7 outpatient consultations. Herpes zoster-associated hospitalization rate was 3.4% (27/800). The proportion of postherpetic neuralgia and other complications was 9.2% (38/412) and 26.5% (109/412), respectively. Statistically significant association with the development of postherpetic neuralgia was male sex (odds ratio [OR], 2.51; 95% confidence interval [CI], 1.17-5.38), age of 70-74 years (OR, 3.51; 95% CI, 1.09-11.3), immunosuppressive therapy (OR, 6.44; 95% CI, 1.26-32.9), severe herpes zoster pain at first consultation (OR, 3.08; 95% CI, 1.10-8.62) and rash on upper arms (vs no rash on upper arms; OR, 3.46; 95% CI, 1.10-10.9). Considerable herpes zoster and postherpetic neuralgia burden exists among elderly in Japan, and there may be predictive factors at the first visit which could be indicative of the risk of developing postherpetic neuralgia.

  1. Fatigue as a long-term risk factor for limitations in instrumental activities of daily living and/or mobility performance in older adults after 10 years

    Science.gov (United States)

    Mueller-Schotte, Sigrid; Bleijenberg, Nienke; van der Schouw, Yvonne T; Schuurmans, Marieke J

    2016-01-01

    Objectives Decline in the performance of instrumental activities of daily living (IADL) and mobility may be preceded by symptoms the patient experiences, such as fatigue. The aim of this study is to investigate whether self-reported non-task-specific fatigue is a long-term risk factor for IADL-limitations and/or mobility performance in older adults after 10 years. Methods A prospective study from two previously conducted cross-sectional studies with 10-year follow-up was conducted among 285 males and 249 females aged 40–79 years at baseline. Fatigue was measured by asking “Did you feel tired within the past 4 weeks?” (males) and “Do you feel tired?” (females). Self-reported IADLs were assessed at baseline and follow-up. Mobility was assessed by the 6-minute walk test. Gender-specific associations between fatigue and IADL-limitations and mobility were estimated by multivariable logistic and linear regression models. Results A total of 18.6% of males and 28.1% of females were fatigued. After adjustment, the odds ratio for fatigued versus non-fatigued males affected by IADL-limitations was 3.3 (P=0.023). In females, the association was weaker and not statistically significant, with odds ratio being 1.7 (P=0.154). Fatigued males walked 39.1 m shorter distance than those non-fatigued (P=0.048). For fatigued females, the distance was 17.5 m shorter compared to those non-fatigued (P=0.479). Conclusion Our data suggest that self-reported fatigue may be a long-term risk factor for IADL-limitations and mobility performance in middle-aged and elderly males but possibly not in females. PMID:27877027

  2. National survey on edentulism and its geographic distribution, among Mexicans 18 years of age and older (with emphasis in WHO age groups).

    Science.gov (United States)

    Medina-Solís, C E; Pérez-Núñez, R; Maupomé, G; Avila-Burgos, L; Pontigo-Loyola, A P; Patiño-Marín, N; Villalobos-Rodelo, J J

    2008-04-01

    To determine the prevalence of edentulism in adults aged 18 years and older in Mexico and to describe its distribution in 20 of the 32 States in Mexico, highlighting the experience in the WHO age groups. A secondary analysis of the National Performance Evaluation Survey 2002-2003 (representative at the state level and part of the Word Health Survey) was undertaken. The sample design was probabilistic, stratified and through conglomerates. Data on dental conditions were available only for 20 of the 32 states of Mexico, leading to a total of 24 159 households (N = 54 638 654). The percentage of edentulism was determined as the proportion of subjects that self-reported complete loss of teeth. Data were analyzed using the SVY module for complex surveys in STATA 8.2. The mean age was 41.3 +/- 17.0 years (range 18-99). An estimated 6.3% (N = 3 437 816) of the population > or =18 years was edentulous. Lowest prevalences were observed in the states of Tlaxcala, Puebla and the Estado de Mexico with 3.4%, 3.8% and 4.5%, respectively. Highest prevalences were observed in San Luis Potosí, Colima, and Michoacán with 10.3%, 10.2% and 10.1%, respectively. Following the WHO age groups, the prevalence ranged from 2.4% in the 35-44 group through 25.5% in the 65-74 group. No obvious association between socio-economic and socio-demographic indicators at the state level and prevalence of edentulism was found. The prevalence of complete tooth loss observed in the present study varied greatly across states, although no straightforward association was found with socio-economic and socio-demographic indicators at the state level. This study could serve as a baseline to enable future evaluations of the oral status of Mexican adults and elders, following WHO age groups.

  3. Sensory impairment in hip-fracture patients 65 years or older and effects of hearing/vision interventions on fall frequency

    Directory of Open Access Journals (Sweden)

    Else V Grue

    2008-11-01

    Full Text Available Else V Grue1, Marit Kirkevold2, Petter Mowinchel3, Anette H Ranhoff41Diakonhjemmet University College, Department of Research and Development, Oslo, Norway; 2University of Oslo, Department of Medisin, Institute of Nursing Sciences and Health Profession, Oslo, Norway; 3Department of Paediatrics, Woman-child division, Ullevål University Hospital Oslo, Norway; 4Diakonhjemmet Hospital, Geriatric Unit, Oslo, NorwayAim: Examine the effect of nursing interventions to improve vision and hearing, systematic assessment, and referral to sensory specialists on falling.Methods: Controlled intervention trial targeting hip fracture patients, 65 years and older, living at home and having problems seeing/reading regular print (VI or hearing normal speech (HI. Intervention group = 200, control group = 131. The InterRAI-AcuteCare (RAI-AC and the Combined-Serious-Sensory-Impairment interview guide (KAS-Screen were used. Follow-up telephone calls were done every third month for one year.Results: Mean age was 84.2 years, 79.8% were female, and 76.7% lived alone. HI was detected in 80.7% and VI in 59.8%. Falling was more frequent among the intervention group (P = 0.003 and they also more often moved to a nursing home (P < 0.001 and were dependent walking up stairs (P = 0.003.Conclusions: This study could not document the effect of intervention on falling, possibly because of different base line characteristics (more females, P = 0.018, and more living alone P = 0.011 in the intervention group, differences in nursing care between subjects, and different risk factors. Interventions to improve sensory function remain important in rehabilitation, but have to be studied further.Keywords: vision, hearing, hip fracture, falls, intervention, hospital

  4. The geography of diabetes among the general adults aged 35 years and older in Bangladesh: recent evidence from a cross-sectional survey.

    Directory of Open Access Journals (Sweden)

    Md Mobarak Hossain Khan

    Full Text Available OBJECTIVE: To report geographical variations of sex-specific diabetes by place of residence (large cities/city corporations, small towns/other urban areas, rural areas and region of residence (divided into seven divisions among general adults (35+ years of age in Bangladesh. METHODS: The recent cross-sectional data, extracted from the nationally representative Bangladesh Demographic and Health Survey 2011, was used. A total of 3,720 men and 3,823 women aged 35+ years, who participated in the fasting blood sugar testing, were analysed. Any person with either fasting plasma glucose level (mmol/L ≥7.0 or taking medication for diabetes was considered as a person with diabetes. RESULTS: The prevalence of diabetes was 10.6% in men and 11.3% in women. Bivariable analyses indicated significant variations of diabetes by both geographical variables. The prevalence was highest in city corporations (men 18.0%, women 22.3%, followed by small towns (men 13.6%, women 15.2% and rural areas (men 9.3%, women 9.5%. Regional disparities in diabetes prevalence were also remarkable, with the highest prevalence in Chittagong division and lowest prevalence in Khulna division. Multivariable logistic regression analyses provided mixed patterns of geographical disparities (depending on the adjusted variables. Some other independent risk factors for diabetes were advancing age, higher level of education and wealth, having TV (a proxy indicator of physical activity, overweight/obesity and hypertension. CONCLUSIONS: Over 10% of the general adults aged 35 years and older were having diabetes. Most of the persons with diabetes were unaware of this before testing fasting plasma glucose level. Although significant disparities in diabetes prevalence by geographical variables were observed, such disparities are very much influenced by the adjusted variables. Finally, we underscore the necessities of area-specific strategies including early diagnosis and health education

  5. The Geography of Diabetes among the General Adults Aged 35 Years and Older in Bangladesh: Recent Evidence from a Cross-Sectional Survey

    Science.gov (United States)

    Khan, Md. Mobarak Hossain; Gruebner, Oliver; Kraemer, Alexander

    2014-01-01

    Objective To report geographical variations of sex-specific diabetes by place of residence (large cities/city corporations, small towns/other urban areas, rural areas) and region of residence (divided into seven divisions) among general adults (35+ years of age) in Bangladesh. Methods The recent cross-sectional data, extracted from the nationally representative Bangladesh Demographic and Health Survey 2011, was used. A total of 3,720 men and 3,823 women aged 35+ years, who participated in the fasting blood sugar testing, were analysed. Any person with either fasting plasma glucose level (mmol/L) ≥7.0 or taking medication for diabetes was considered as a person with diabetes. Results The prevalence of diabetes was 10.6% in men and 11.3% in women. Bivariable analyses indicated significant variations of diabetes by both geographical variables. The prevalence was highest in city corporations (men 18.0%, women 22.3%), followed by small towns (men 13.6%, women 15.2%) and rural areas (men 9.3%, women 9.5%). Regional disparities in diabetes prevalence were also remarkable, with the highest prevalence in Chittagong division and lowest prevalence in Khulna division. Multivariable logistic regression analyses provided mixed patterns of geographical disparities (depending on the adjusted variables). Some other independent risk factors for diabetes were advancing age, higher level of education and wealth, having TV (a proxy indicator of physical activity), overweight/obesity and hypertension. Conclusions Over 10% of the general adults aged 35 years and older were having diabetes. Most of the persons with diabetes were unaware of this before testing fasting plasma glucose level. Although significant disparities in diabetes prevalence by geographical variables were observed, such disparities are very much influenced by the adjusted variables. Finally, we underscore the necessities of area-specific strategies including early diagnosis and health education programmes for changing

  6. Cost of solving mysteries of universe: $6.7 billion

    CERN Multimedia

    Overbye, Dennis

    2007-01-01

    "An international consortium of physicists on Thursday released the first detailed design of what they believe will be the next big thing in physics. The machine, 20 miles long, will slam together electrons and their opposites, positrons, to produce fireballs of energy re-creating conditions when the universe was only a trillionth of a second old. It would cost about $6.7 billion." (1 page)

  7. Screening practices and knowledge, attitudes, and beliefs about cancer among Hispanic and non-Hispanic white women 35 years old or older in Nueces County, Texas.

    Science.gov (United States)

    Tortolero-Luna, G; Glober, G A; Villarreal, R; Palos, G; Linares, A

    1995-01-01

    A telephone survey was conducted among women 35 years old or older in Nueces County, Tex., to assess ethnic differences between Hispanic and non-Hispanic white women in self-reported cancer-screening practices and knowledge, attitudes, and beliefs about cancer and to evaluate the effect of ethnicity as a predictor for screening practices. A total of 233 Hispanic and 332 non-Hispanic white women participated in the survey. Hispanics were younger and had lower educational and income levels. Overall, Hispanics had lower rates than did non-Hispanics of lifetime mammography (65% versus 79%), clinical breast examination (86% versus 96%), monthly performance of breast self-examination (37% versus 49%), and lifetime fecal occult blood testing (36% versus 69%). After control for confounding factors, Hispanics were still less likely to have ever had a clinical breast examination and fecal occult blood test. Our results suggest the need for more culturally sensitive health promotion efforts to improve knowledge about cancer and early detection practices among Hispanic women.

  8. Association between the metabolic syndrome and its components and gait speed among U.S. adults aged 50 years and older: a cross-sectional analysis

    Directory of Open Access Journals (Sweden)

    Strine Tara W

    2006-11-01

    Full Text Available Abstract Background To examine the relationship between the metabolic syndrome and its components and gait speed among older U.S. men and women. Whether these associations are independent of physical activity was also explored. Methods Eight hundred and thirty-five men and 850 women aged ≥50 years from the continuous National Health and Nutrition Examination Survey 1999–2002 were examined. We used the definition of the metabolic syndrome developed by the U.S. National Cholesterol Education Program Adult Treatment Panel III. Gait speed was measured with a 6.10-meter timed walk examination. Results The prevalence of the metabolic syndrome was 40.2% in men and 45.6% in women (P = .127. The prevalence of gait speed impairment was 29.3% in men and 12.5% in women (P Conclusion Among women, gait speed impairment is associated with low HDL cholesterol and inversely with abdominal obesity. These associations may be sex-dependent and warrant further research.

  9. Oilsands race: investment intentions at $61 billion and still counting

    Energy Technology Data Exchange (ETDEWEB)

    Wilson, K. L.

    2001-08-06

    Oil sand projects underway and in announced planning stages add up to $61 billion, suggesting that after a two decade struggle to adapt the technology to the market gyrations set off by the energy free trade, mastery of the world's biggest oil deposit appears to be at hand. It is forecast that oil sands production will more than triple by 2010 to 1.9 million barrels per day from the present 580,000. Reduction in production costs to about US$10-12 per barrel, and expectations of as little as US$8 per barrel, also indicate that oilsands production is now a mature industry. There are some 5,000 tradesmen working on Suncor's Project Millennium which will double the Suncor plant's output to 225,000 barrels per day by 2002. The target for 2005 is set at 260,000 barrels. Allied plans call for a $350 million upgrader expansion. Suncor hopes to reach combined mining and in-situ output of 450,000 barrels a day by 2008. Although Suncor's projected cost has risen by 56 per cent to $3.25 billion, the expansion plan has not paused. Company spokespeople estimate that the whole project is competitive at $10 a barrel. Syncrude likewise continues on its $8 billion Syncrude 21 project begun in 1996 and expected to be completed in 2007. The new Aurora Mine helped raise production to 90 million barrels in 2000. This, coupled with improvements to the complex's Mildred Lake processing site and overall production gain of 100,000 barrels per day, promises more than 360,000 barrels per day by 2005. There is also the $1.8 billion Muskeg River Mine project by the Albian Sands partnership (Shell, Chevron and Western Oilsands) and two more in-situ development projects in the planning stages by Petro-Canada in the Fort McMurray area, each rated as a potential 60,000 barrel per day producer. The most ambitious plan by an oilsands newcomer remains the $8 billion package called Horizon, proposed by Canadian Natural Resources, with regulatory applications in 2002, and output

  10. User-Centered Design of Serious Games for Older Adults Following 3 Years of Experience With Exergames for Seniors: A Study Design

    Science.gov (United States)

    2017-01-01

    Background Seniors need sufficient balance and strength to manage in daily life, and sufficient physical activity is required to achieve and maintain these abilities. This can be a challenge, but fun and motivational exergames can be of help. However, most commercial games are not suited for this age group for several reasons. Many usability studies and user-centered design (UCD) protocols have been developed and applied, but to the best of our knowledge none of them are focusing on seniors’ use of games for physical activity. In GameUp, a European cofunded project, some prototype Kinect exergames to enhance the mobility of seniors were developed in a user-centered approach. Objective In this paper we aim to record lessons learned in 3 years of experience with exergames for seniors, considering both the needs of older adults regarding user-centered development of exergames and participation in UCD. We also provide a UCD protocol for exergames tailored to senior needs. Methods An initial UCD protocol was formed based on literature of previous research outcomes. Senior users participated in UCD following the initial protocol. The users formed a steady group that met every second week for 3 years to play exergames and participate in the UCD during the 4 phases of the protocol. Several methods were applied in the 4 different phases of the UCD protocol; the most important methods were structured and semistructured interviews, observations, and group discussions. Results A total of 16 seniors with an average age above 80 years participated for 3 years in UCD in order to develop the GameUp exergames. As a result of the lessons learned by applying the different methodologies of the UCD protocol, we propose an adjusted UCD protocol providing explanations on how it should be applied for seniors as users. Questionnaires should be turned into semistructured and structured interviews while user consultation sessions should be repeated with the same theme to ensure that the

  11. Prolonged-release melatonin improves sleep quality and morning alertness in insomnia patients aged 55 years and older and has no withdrawal effects.

    Science.gov (United States)

    Lemoine, Patrick; Nir, Tali; Laudon, Moshe; Zisapel, Nava

    2007-12-01

    Melatonin, secreted nocturnally by the pineal gland, is an endogenous sleep regulator. Impaired melatonin production and complaints on poor quality of sleep are common among the elderly. Non-restorative sleep (perceived poor quality of sleep) and subsequently poor daytime functioning are increasingly recognized as a leading syndrome in the diagnostic and therapeutic process of insomnia complaints. The effects of 3-weeks prolonged-release melatonin 2 mg (PR-melatonin) versus placebo treatment were assessed in a multi-center randomized placebo-controlled study in 170 primary insomnia outpatients aged > or =55 years. Improvements in quality of sleep (QOS) the night before and morning alertness (BFW) were assessed using the Leeds Sleep Evaluation Questionnaire and changes in sleep quality (QON) reported on five categorical unit scales. Rebound insomnia and withdrawal effects following discontinuation were also evaluated. PR-melatonin significantly improved QOS (-22.5 versus -16.5 mm, P = 0.047), QON (0.89 versus 0.46 units; P = 0.003) and BFW (-15.7 versus -6.8 mm; P = 0.002) compared with placebo. The improvements in QOS and BFW were strongly correlated (Rval = 0.77, P insomnia or withdrawal effects following treatment discontinuation. The incidence of adverse events was low and most side-effects were judged to be of minor severity. PR-melatonin is the first drug shown to significantly improve quality of sleep and morning alertness in primary insomnia patients aged 55 years and older-suggesting more restorative sleep, and without withdrawal symptoms upon discontinuation.

  12. Low serum albumin and total lymphocyte count as predictors of 30 day hospital readmission in patients 65 years of age or older.

    Science.gov (United States)

    Robinson, Robert

    2015-01-01

    Introduction. Hospital readmission within 30 days of discharge is a target for health care cost savings through the medicare Value Based Purchasing initiative. Because of this focus, hospitals and health systems are investing considerable resources into the identification of patients at risk of hospital readmission and designing interventions to reduce the rate of hospital readmission. Malnutrition is a known risk factor for hospital readmission. Materials and Methods. All medical patients 65 years of age or older discharged from Memorial Medical Center from January 1, 2012 to March 31, 2012 who had a determination of serum albumin level and total lymphocyte count on hospital admission were studied retrospectively. Admission serum albumin levels and total lymphocyte counts were used to classify the nutritional status of all patients in the study. Patients with a serum albumin less than 3.5 grams/dL and/or a TLC less than 1,500 cells per mm3 were classified as having protein energy malnutrition. The primary outcome investigated in this study was hospital readmission for any reason within 30 days of discharge. Results. The study population included 1,683 hospital discharges with an average age of 79 years. The majority of the patients were female (55.9%) and had a DRG weight of 1.22 (0.68). 219 patients (13%) were readmitted within 30 days of hospital discharge. Protein energy malnutrition was common in this population. Low albumin was found in 973 (58%) patients and a low TLC was found in 1,152 (68%) patients. Low albumin and low TLC was found in 709 (42%) of patients. Kaplan-Meier analysis shows any laboratory evidence of PEM is a significant (p malnutrition.

  13. Opportunistic detection of atrial fibrillation in subjects aged 65 years or older in primare care: a randomised clinical trial of efficacy. DOFA-AP study protocol

    Directory of Open Access Journals (Sweden)

    Pérula-de-Torres LuisÁ

    2012-10-01

    Full Text Available Abstract Background Clinical Practice Guidelines recommend using peripheral blood pulse measuring as a screening test for Atrial Fibrillation. However, there is no adequate evidence supporting the efficacy of such procedure in primary care clinical practice. This paper describes a study protocol designed to verify whether early opportunistic screening for Atrial Fibrillation by measuring blood pulse is more effective than regular practice in subjects aged 65 years attending primary care centers. Methods/design An cluster-randomized controlled trial conducted in Primary Care Centers of the Spanish National Health Service. A total of 269 physicians and nurses will be allocated to one of the two arms of the trial by stratified randomization with a 3:2 ratio (three practitioners will be assigned to the Control Group for every two practitioners assigned to the Experimental Group. As many as 12 870 patients aged 65 years or older and meeting eligibility criteria will be recruited (8 580 will be allocated to the Experimental Group and 4 290 to the Control Group. Randomization and allocation to trial groups will be carried out by a central computer system. The Experimental Group practitioners will conduct an opportunistic case finding for patients with Atrial Fibrillation, while the Control Group practitioners will follow the regular guidelines. The first step will be finding new Atrial Fibrillation cases. A descriptive inferential analysis will be performed (bivariate and multivariate by multilevel logistic regression analysis. Discussion If our hypothesis is confirmed, we expect Primary Care professionals to take a more proactive approach and adopt a new protocol when a patient meeting the established screening criteria is identified. Finally, we expect this measure to be incorporated into Clinical Practice Guidelines. Trial registration The study is registered as NCT01291953 (ClinicalTrials.gob

  14. A 17-billion-solar-mass black hole in a group galaxy with a diffuse core.

    Science.gov (United States)

    Thomas, Jens; Ma, Chung-Pei; McConnell, Nicholas J; Greene, Jenny E; Blakeslee, John P; Janish, Ryan

    2016-04-21

    Quasars are associated with and powered by the accretion of material onto massive black holes; the detection of highly luminous quasars with redshifts greater than z = 6 suggests that black holes of up to ten billion solar masses already existed 13 billion years ago. Two possible present-day 'dormant' descendants of this population of 'active' black holes have been found in the galaxies NGC 3842 and NGC 4889 at the centres of the Leo and Coma galaxy clusters, which together form the central region of the Great Wall--the largest local structure of galaxies. The most luminous quasars, however, are not confined to such high-density regions of the early Universe; yet dormant black holes of this high mass have not yet been found outside of modern-day rich clusters. Here we report observations of the stellar velocity distribution in the galaxy NGC 1600--a relatively isolated elliptical galaxy near the centre of a galaxy group at a distance of 64 megaparsecs from Earth. We use orbit superposition models to determine that the black hole at the centre of NGC 1600 has a mass of 17 billion solar masses. The spatial distribution of stars near the centre of NGC 1600 is rather diffuse. We find that the region of depleted stellar density in the cores of massive elliptical galaxies extends over the same radius as the gravitational sphere of influence of the central black holes, and interpret this as the dynamical imprint of the black holes.

  15. Hospitalized Older Adults’ Patient Satisfaction

    Directory of Open Access Journals (Sweden)

    Neale R. Chumbler

    2016-04-01

    Full Text Available This article examines the extent to which older adult patients’ perceptions of inpatient dimensions of care experiences are associated with their overall satisfaction. A secondary objective is to determine if these specific care experiences differed between elderly female and male patients. Patient satisfaction data from 6,021 older patients (65 years of age and older were collected by using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS Survey through telephone interviews of older patients who were recently discharged. Multiple linear regression analyses with older patients’ HCAHPS dimensions (Communication With Nurses, Communication With Doctors, Responsiveness of Hospital Staff, Communication About Medicines, Cleanliness of the Hospital Environment, and Quietness of Hospital Environment and gender were conducted while controlling for self-rated health status, age, race, and education. Multiple linear regression analysis showed that all of the HCAHPS dimensions were significantly associated with overall satisfaction. Older female patients reported substantially more positive global evaluations than their male counterparts. However, for older male patients, Communication With Doctors was more influential in their ratings of overall satisfaction than for older female patients. For older female patients, Communication With Nurses was more influential in their ratings of overall satisfaction than for older male patients.

  16. Advocating vaccination of adults aged 60 years and older in Western Europe: statement by the Joint Vaccine Working Group of the European Union Geriatric Medicine Society and the International Association of Gerontology and Geriatrics-European Region.

    Science.gov (United States)

    Michel, Jean-Pierre; Chidiac, Christian; Grubeck-Loebenstein, Beatrix; Johnson, Robert W; Lambert, Paul Henri; Maggi, Stefania; Moulias, Robert; Nicholson, Karl; Werner, Hans

    2009-04-01

    Vaccines are an underused public health strategy for healthy aging. Considering the risks of vaccine-preventable diseases and the current low vaccine coverage rates in older European citizens, the two European geriatric and gerontological societies (European Union Geriatric Medicine Society [EUGMS] and International Association of Gerontology and Geriatrics-European Region [IAGG-ER]) convened a Joint Vaccine Working Group to develop a consensus document advocating routine vaccination of aging populations. The mandate of this Working Group was to improve the uptake of routine vaccinations in adults aged 60 years and over. The consensus statement underlines the need to establish, strengthen, and harmonize European policies that continue routine vaccinations to adulthood and that will include older populations. Improved vaccination rates will promote healthy aging by reducing the burden of vaccine-preventable infectious diseases in older populations, a population that is rapidly increasing in Europe.

  17. Older Adults and Mental Health

    Science.gov (United States)

    ... health in people with conditions like heart disease, diabetes, and stroke. Depression can complicate the treatment of these conditions, including ... an antidepressant was effective in preventing relapse in patients 60 years and older who had had a ... Antipsychotics Use Among Older Adults Increases ...

  18. Effect of Multimorbidity on Health-Related Quality of Life in Adults Aged 55 Years or Older: Results from the SU.VI.MAX 2 Cohort

    Science.gov (United States)

    Perret-Guillaume, Christine; Kesse-Guyot, Emmanuelle; Agrinier, Nelly; Hercberg, Serge; Galan, Pilar; Assmann, Karen E.; Briançon, Serge; Rotonda, Christine

    2016-01-01

    Introduction Multimorbid chronic diseases are usually considered separately in trials. Here, we aimed to describe overall multimorbidity patterns in adults aged 55 years or older and assess their effect on health-related quality of life (HRQoL). Methods We used data for 5,647 participants included in the SUpplémentation en VItamines et Minéraux AntioXydants 2 (SU.VI.MAX 2) population-based trial. HRQoL was assessed by the French versions of the Medical Outcome Study Short Form 36 and the Duke Health Profile. An exploratory factor analysis was used to determine multimorbidity patterns, and a multimorbidity score for each resulting pattern was calculated. Adjusted multiple linear regression was used to examine the association between the identified multimorbidity and HRQoL scores by gender and for each age group (55–59, 60–64, 65–69, ≥ 70 years). Results More than 63% of the sample reported two or more chronic conditions (from 55.8% for those 55–59 years to 74.4% for those ≥ 70 years). Multimorbidity was more common among women than men (67.3% vs 60%). Two different multimorbidity patterns were identified. Pattern A was represented mainly by mental illness and bone impairments. Pattern B was represented mainly by cardiovascular and metabolic disorders. After adjusting for covariates, a high pattern A score was associated with reduced HRQoL for the physical and mental components of each HRQoL questionnaire, and a high pattern B score was associated with reduced HRQoL for only the physical component of each questionnaire. These multimorbidity scores affected HRQoL differently by age group. Conclusion Our study used a novel methodological approach to account for multimorbidity patterns in determining the link with chronic conditions. These multimorbidity scores (counted and weighted) can be used in clinical research to control for the effect of multimorbidity on patients’ HRQoL and may be useful for clinical practice. Clinical Trial Registration

  19. Older workers

    NARCIS (Netherlands)

    Ybema,J.F.; Giesen, F.

    2014-01-01

    Due to an ageing population and global economic competition, there is a societal need for people to extend their working lives while maintaining high work productivity. This article presents an overview of the labour participation, job performance, and job characteristics of older workers in the Eur

  20. Changes in white matter as determinant of global functional decline in older independent outpatients: three year follow-up of LADIS (leukoaraiosis and disability) study cohort

    DEFF Research Database (Denmark)

    Inzitari, Domenico; Pracucci, Giovanni; Poggesi, Anna;

    2009-01-01

    OBJECTIVE: To assess the impairment in daily living activities in older people with age related changes in white matter according to the severity of these changes. DESIGN: Observational data collection and follow-up of a cohort of older people undergoing brain magnetic resonance imaging after non...... suggest that in older adults who seek medical attention for non-disabling complaints, severe age related changes in white matter independently and strongly predict rapid global functional decline.......OBJECTIVE: To assess the impairment in daily living activities in older people with age related changes in white matter according to the severity of these changes. DESIGN: Observational data collection and follow-up of a cohort of older people undergoing brain magnetic resonance imaging after non......-disabling complaints. SETTING: 11 European centres. PARTICIPANTS: 639 non-disabled older patients (mean age 74.1 (SD 5.0), 45.1% men) in whom brain magnetic resonance imaging showed mild, moderate, or severe age related changes in white matter (Fazekas scale). Magnetic resonance imaging assessment also included...

  1. Perceptions of Direct-to-Consumer Advertising and the Older Adult Population.

    Science.gov (United States)

    Bailey, Trista Askins; Fenney, Megan

    2016-04-01

    Direct-to-consumer advertising (DTCA) has become a prominent feature of our society and reaches many consumers through their televisions, radios, and computer screens. In 2004, the average United States citizen was exposed to more than 16 hours of DTCA per year, and the number of hours has steadily increased. Drug advertising is a multi-billion dollar business for pharmaceutical manufacturers and affects public perception of medications, both prescription and over-the counter. Studies have shown advertisements can have both positive and negative effects, including educating consumers, but can harm the patient-physician relationship. This article addresses the perceptions older adults have toward DTCA and discusses how pharmacists can play a role in helping older adults understand and effectively use DTCA.

  2. Promoting mobility after hip fracture (ProMo: study protocol and selected baseline results of a year-long randomized controlled trial among community-dwelling older people

    Directory of Open Access Journals (Sweden)

    Sipilä Sarianna

    2011-12-01

    Full Text Available Abstract Background To cope at their homes, community-dwelling older people surviving a hip fracture need a sufficient amount of functional ability and mobility. There is a lack of evidence on the best practices supporting recovery after hip fracture. The purpose of this article is to describe the design, intervention and demographic baseline results of a study investigating the effects of a rehabilitation program aiming to restore mobility and functional capacity among community-dwelling participants after hip fracture. Methods/Design Population-based sample of over 60-year-old community-dwelling men and women operated for hip fracture (n = 81, mean age 79 years, 78% were women participated in this study and were randomly allocated into control (Standard Care and ProMo intervention groups on average 10 weeks post fracture and 6 weeks after discharged to home. Standard Care included written home exercise program with 5-7 exercises for lower limbs. Of all participants, 12 got a referral to physiotherapy. After discharged to home, only 50% adhered to Standard Care. None of the participants were followed-up for Standard Care or mobility recovery. ProMo-intervention included Standard Care and a year-long program including evaluation/modification of environmental hazards, guidance for safe walking, pain management, progressive home exercise program and physical activity counseling. Measurements included a comprehensive battery of laboratory tests and self-report on mobility limitation, disability, physical functional capacity and health as well as assessments for the key prerequisites for mobility, disability and functional capacity. All assessments were performed blinded at the research laboratory. No significant differences were observed between intervention and control groups in any of the demographic variables. Discussion Ten weeks post hip fracture only half of the participants were compliant to Standard Care. No follow-up for Standard Care or

  3. Fatigue as a long-term risk factor for limitations in instrumental activities of daily living and/or mobility performance in older adults after 10 years

    Directory of Open Access Journals (Sweden)

    Mueller-Schotte S

    2016-11-01

    Full Text Available Sigrid Mueller-Schotte,1–3 Nienke Bleijenberg,1,2,4 Yvonne T van der Schouw,1 Marieke J Schuurmans2,4 1Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, the Netherlands; 2Department for the Chronically Ill, University of Applied Sciences Utrecht, the Netherlands; 3Department of Optometry and Orthoptics, University of Applied Sciences Utrecht, the Netherlands; 4Department of Rehabilitation, Nursing Science and Sports, University Medical Center Utrecht, the Netherlands Objectives: Decline in the performance of instrumental activities of daily living (IADL and mobility may be preceded by symptoms the patient experiences, such as fatigue. The aim of this study is to investigate whether self-reported non-task-specific fatigue is a long-term risk factor for IADL-limitations and/or mobility performance in older adults after 10 years. Methods: A prospective study from two previously conducted cross-sectional studies with 10-year follow-up was conducted among 285 males and 249 females aged 40–79 years at baseline. Fatigue was measured by asking “Did you feel tired within the past 4 weeks?” (males and “Do you feel tired?” (females. Self-reported IADLs were assessed at baseline and follow-up. Mobility was assessed by the 6-minute walk test. Gender-specific associations between fatigue and IADL-limitations and mobility were estimated by multivariable logistic and linear regression models. Results: A total of 18.6% of males and 28.1% of females were fatigued. After adjustment, the odds ratio for fatigued versus non-fatigued males affected by IADL-limitations was 3.3 (P=0.023. In females, the association was weaker and not statistically significant, with odds ratio being 1.7 (P=0.154. Fatigued males walked 39.1 m shorter distance than those non-fatigued (P=0.048. For fatigued females, the distance was 17.5 m shorter compared to those non-fatigued (P=0.479. Conclusion: Our data suggest that self-reported fatigue

  4. CSCEC and Chinalco Joined Hands to Invest 5 Billion Yuan for Making Deployment in Building New Materials

    Institute of Scientific and Technical Information of China (English)

    2016-01-01

    CSCEC-Chinalco New Material Co.,Ltd,a company jointly invested by China State Construction Engineering Corporation(CSCEC)and Chinalco,was inaugurated in Chengdu,Sichuan,on December 15,CSCECChinalco will invest nearly 5 billion yuan capital in the next five years to makedeployment in the building new materials

  5. Shanghai 2010 Apparel Retail Sales Report Top 10 Department Stores Retail Worth CNY5 billion in 2010

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Shanghai – According to Shanghai Apparel Association, CNY5.22 billion was spent in Shanghai top 10 department stores in the whole year of 2010, rising by about 8.7 per cent y/y. We’ve seen distinct growth in the average retail

  6. Year-and-a-Half Old, Dried Echinacea Roots Retain Cytokine-Modulating Capabilities in an in vitro Human Older Adult Model of Influenza Vaccination

    Science.gov (United States)

    Senchina, David S.; Wu, Lankun; Flinn, Gina N.; Konopka, Del N.; McCoy, Joe-Ann; Widrelechner, Mark P.; Wurtele, Eve Syrkin; Kohut, Marian L.

    2007-01-01

    Alcohol tinctures prepared from aged Echinacea roots are typically taken for preventing or treating upper respiratory infections, as they are purported to stimulate immunity in this context. The effects of long-term (> 1 year) dry storage on the capabilities of Echinacea spp. roots from mature individuals to modulate cytokine production are unknown. Using an older human adult model of influenza vaccination, we collected peripheral blood mononuclear cells from subjects 6 months post-vaccination and stimulated them in vitro with the two Type A influenza viruses contained in the trivalent 2004–2005 vaccine with a 50% alcohol tincture prepared from the roots of one of seven Echinacea species: E. angustifolia, E. pallida, E. paradoxa, E. purpurea, E. sanguinea, E. simulata, and E. tennesseensis. Before being processed into extracts, all roots had been stored under dry conditions for sixteen months. Cells were cultured for 48 hours; following incubation, supernatants were collected and assayed for interleukin-2, interleukin-10, and interferon-γ production, cytokines important in the immune response to viral infection. Four species (E. angustifolia, E. purpurea, E. simulata, E. tennesseensis) augmented IL-10 production, diminished IL-2 production, and had no effect on IFN-γ production. Echinacea pallida suppressed production of all cytokines; E. paradoxa and E. sanguinea behaved similarly, although to a lesser extent. The results from these in vitro bioactivity assays indicate that dried Echinacea roots stored for sixteen months maintain cytokine-modulating capacities. Our data support and extend previous research and indicate that tinctures from different Echinacea species have different patterns of immune modulation; further, they indicate that certain species may be efficacious in the immune response to viral infection. PMID:17021999

  7. Induction with lopinavir-based treatment followed by switch to nevirapine-based regimen versus non-nucleoside reverse transcriptase inhibitors-based treatment for first line antiretroviral therapy in HIV infected children three years and older.

    Directory of Open Access Journals (Sweden)

    Gerardo Alvarez-Uria

    Full Text Available The World Health Organization recommends non-nucleoside reverse transcriptase inhibitors (NNRTIs-based antiretroviral therapy (ART for children three years and older. In younger children, starting ART with lopinavir boosted with ritonavir (LPVr results in lower risk of virological failure, but data in children three years and older are scarce, and long-term ART with LPVr is problematic in resource-poor settings.Retrospective cohort of children three years and older who started triple ART including LPVr or a NNRTI between 2007 and 2013 in a rural setting in India. Children who started LPVr were switched to nevirapine-based ART after virological suppression. We analysed two outcomes, virological suppression (HIV-RNA 1000 copies/ml after virological suppression using Cox proportional hazard regression. A sensitivity analysis was performed using inverse probability of treatment weighting (IPTW based of propensity score methods.Of 325 children having a viral load during the first year of ART, 74/83 (89.2% in the LPVr group achieved virological suppression versus 185/242 (76.5% in the NNRTI group. In a multivariable analysis, the use of LPVr-based ART was associated with higher probability of virological suppression (adjusted odds ratio 3.19, 95% confidence interval [CI] 1.11-9.13. After IPTW, the estimated risk difference was 12.2% (95% CI, 2.9-21.5. In a multivariable analysis including 292 children who had virological suppression and available viral loads after one year of ART, children switched from LPVr to nevirapine did not have significant higher risk of virological failure (adjusted hazard ratio 1.18, 95% CI 0.36-3.81.In a cohort of HIV infected children three years and older in a resource-limited setting, an LPVr induction- nevirapine maintenance strategy resulted in more initial virological suppression and similar incidence of virological failure after initial virological suppression than NNRTI-based regimens.

  8. Handgrip strength, quadriceps muscle power, and optimal shortening velocity roles in maintaining functional abilities in older adults living in a long-term care home: a 1-year follow-up study

    Directory of Open Access Journals (Sweden)

    Kozicka I

    2016-05-01

    Full Text Available Izabela Kozicka, Tomasz Kostka Department of Geriatrics, Medical University of Lodz, Lodz, Poland Purpose: To assess the relative role of handgrip strength (HGS, quadriceps muscle power (Pmax, and optimal shortening velocity (υopt in maintaining functional abilities (FAs in older adults living in a long-term care home over a 1-year follow-up. Subjects and methods: Forty-one inactive older institutionalized adults aged 69.8±9.0 years participated in this study. HGS, Pmax, υopt, cognitive function using the Mini-Mental State Examination, depressive symptoms using the Geriatric Depression Scale, nutritional status using the Mini Nutritional Assessment (MNA, and physical activity (PA using the Seven-Day Physical Activity Recall Questionnaire were assessed at baseline and at 1-year follow-up. FAs were assessed with activities of daily living (ADL, instrumental ADL, and Timed Up & Go test. Results: Both at baseline and at follow-up, FAs were related to age, HGS, Pmax/kg, υopt, MNA, and PA. These associations were generally similar in both sexes. As revealed in multiple regression analysis, υopt was the strongest predictor of FA, followed by Pmax/kg, PA, and MNA. FA deteriorated after 1 year as measured by ADL and Timed Up & Go test. Pmax and υopt, but not HGS, also decreased significantly after 1 year. Nevertheless, 1-year changes in FAs were not related to changes in HGS, Pmax, υopt, or PA. Conclusion: The 1-year period of physical inactivity among older institutionalized adults was found to have a negative effect on their FAs, Pmax, and υopt. The present study demonstrates that Pmax and, especially, υopt correlated with FAs of older adults more than HGS, both at baseline and at follow-up. Despite this, 1-year natural fluctuations of PA, Pmax, and υopt are not significant enough to influence FAs in inactive institutionalized older adults. Keywords: aging, handgrip strength, institutionalization, functional status, physical activity

  9. Magnesium (Mg) Supplementation Improves Magnesium Status And Decreases Elevated C-reactive Protein in Adults Older Than 51 Years With Poor Quality Sleep.

    Science.gov (United States)

    NHANES data indicate that two-thirds of U.S. adults consume less than the RDA for Mg. A low Mg intake or status has been associated with poor quality sleep and inflammatory stress. Thus, 100 adults (22 males and 78 females) older than 51 yr with a Pittsburgh Sleep Quality Index (PSQI) higher than 5 ...

  10. Intraindividual Variability Is a Fundamental Phenomenon of Aging: Evidence from an 8-Year Longitudinal Study across Young, Middle, and Older Adulthood

    Science.gov (United States)

    Bielak, Allison A. M.; Cherbuin, Nicolas; Bunce, David; Anstey, Kaarin J.

    2014-01-01

    Moment-to-moment intraindividual variability (IIV) in cognitive speed is a sensitive behavioral indicator of the integrity of the aging brain and brain damage, but little information is known about how IIV changes from being relatively low in young adulthood to substantially higher in older adulthood. We evaluated possible age group, sex, and task…

  11. Associations of Work-Related Factors and Work Engagement with Mental and Physical Health: A 1-Year Follow-up Study Among Older Workers

    NARCIS (Netherlands)

    Leijten, F.R.M.; Heuvel, S.G. van den; Beek, A.J. van der; Ybema, J.F.; Robroek, S.J.W.; Burdorf, A.

    2015-01-01

    Purpose The goals of this study were to determine whether, among older employees, unfavourable physical and psychosocial work-related factors were associated with poorer mental and physical health and whether high work engagement buffered the associations between unfavourable work-related factors an

  12. Why Is Health Literacy Related to Health? An Exploration among U.S. National Assessment of Adult Literacy Participants 40 Years of Age and Older

    Science.gov (United States)

    Ownby, Raymond L.; Waldrop-Valverde, Drenna; Taha, Jessica

    2012-01-01

    Health literacy has emerged as an important factor related to health in older persons. The reason for the link between health literacy and health outcomes is not clear. Possible explanations include common relations among income, education, access to health care, health-promotion behaviors, frequency of reading, and perceptual impairments. In this…

  13. Associations of Work-Related Factors and Work Engagement with Mental and Physical Health : A 1-Year Follow-up Study Among Older Workers

    NARCIS (Netherlands)

    Leijten, Fenna R M; van den Heuvel, Swenne G.; van der Beek, Allard J.; Ybema, Jan Fekke; Robroek, Suzan J W; Burdorf, Alex

    2015-01-01

    Purpose The goals of this study were to determine whether, among older employees, unfavourable physical and psychosocial work-related factors were associated with poorer mental and physical health and whether high work engagement buffered the associations between unfavourable work-related factors an

  14. Ultrarelativistic heavy ion collisions: the first billion seconds

    Science.gov (United States)

    Baym, Gordon

    2016-12-01

    I first review the early history of the ultrarelativistic heavy ion program, starting with the 1974 Bear Mountain Workshop, and the 1983 Aurora meeting of the U.S. Nuclear Science Committtee, just one billion seconds ago, which laid out the initial science goals of an ultrarelativistic collider. The primary goal, to discover the properties of nuclear matter at the highest energy densities, included finding new states of matter - the quark-gluon plasma primarily - and to use collisions to open a new window on related problems of matter in cosmology, neutron stars, supernovae, and elsewhere. To bring out how the study of heavy ions and hot, dense matter in QCD has been fulfilling these goals, I concentrate on a few topics, the phase diagram of matter in QCD, and connections of heavy ion physics to cold atoms, cosmology, and neutron stars.

  15. Company Policies on Working Hours and Night Work in Relation to Older Workers' Work Ability and Work Engagement: Results From a Dutch Longitudinal Study with 2 Year Follow-Up.

    Science.gov (United States)

    van der Meer, Laudry; Leijten, Fenna R M; Heuvel, Swenneke G; Ybema, Jan F; de Wind, Astrid; Burdorf, Alex; Geuskens, Goedele A

    2016-06-01

    Purpose To longitudinally investigate (1) whether lower work ability and work engagement predict the use of company policies on reduced working hours and exemption from evening/night work among older workers, and (2) whether using such policies subsequently contribute to higher work ability and work engagement. Methods In total 6922 employees (45-64 years) participating in the first three waves of the Study on Transitions in Employment, Ability and Motivation were included. Participants yearly filled out an online questionnaires. Regression analyses were applied to study the influence of baseline work ability and work engagement on the incident use of policies during the first year of follow-up, and the incident use of these policies on work ability and work engagement during the second year of follow-up. Results Employees with a higher work ability were less likely to start using the policy 'reduced working hours' [OR 0.91 (95 % CI 0.83-0.98)]. Starting to use this policy was in turn related to lower work ability 1 year later [B -0.28 (95 % CI -0.47 to -0.08)]. Starting to use the policy 'exemption from evening/night work' was related to higher work engagement 1 year later [B 0.23 (95 % CI 0.07-0.39)]. Conclusions Low work ability precedes the use of some company policies aiming to support sustainable employability of older workers. Further research is needed to explore whether company policies result in a (longstanding) improvement, or reduced deterioration, of older workers' employability.

  16. Chronic disease in older adults

    OpenAIRE

    Durán, Adriana; Pontificia Universidad Javeriana; Valderrama, Laura; Pontificia Universidad Javeriana; Uribe, Ana Fernanda; Pontificia Universidad Javeriana; González, Angélica; Pontificia Universidad Javeriana; Máximo Molina, Juan; Agencia de Evaluación de Tecnologías Sanitarias de Andalucía (AETSA)

    2016-01-01

    Methodology: A sample of 500 older adults was selected, between 60 and 96 years of age. A questionnaire of psychosocial factors in older adults designed by Baca, Gonzalez, and Uribe was used. Results: Hypertension, diabetes and osteoporosis were the most frequent diseases in older adults, although the greater percentage of this population did not refer any pathology. Married and widowers individuals presented more diseases as compared to unmarried, separated and people who live together.Concl...

  17. Low-dose amiodarone for the prevention of atrial fibrillation after coronary artery bypass grafting in patients older than 70 years

    Institute of Scientific and Technical Information of China (English)

    GU Song; SU Pi-xiong; LIU Yan; YAN Jun; ZHANG Xi-tao; WANG Tian-you

    2009-01-01

    Background Atrial fibrillation (AF) is one of the most common arrhythmia after coronary artery bypass grafting (CABG), which not only increases the suffering of the patients, but also prolongs hospital stay and enhances cost of care, especially for patients older than 70 years. This study was designed to evaluate the efficacy and safety of low-dose amiodarone in the prevention of AF after CABG, especially for the elderly.Methods Two hundred and ten senile patients undergoing off-pump CABG were included in this prospective, randomized, double-blind and placebo controlled study. Patients were given 10 mg/kg of amiodarone (low-dose amiodarone group, n=100) or placebo (control group, n=110) daily for 7 days before surgery and followed by 200 mg of amiodarone or placebo daily for 10 days postoperatively.Results Postoperative AF occurred in 16 patients (16%) receiving amiodarone and in 36 (37.7%) patients receiving placebo (P=0.006). AF occurred at (58.13±16.63) hours after CABG in the low-dose amiodarone group and at (45.03±17.40) hours in the control group (P=0.018). The maximum ventricular rate during AF was significantly slower in the low-dose amiodarone group ((121.42±28.91) beats/min) than in the control group ((134.11 ±30.57) beats/min, P=0.036). The duration of AF was (10.92±9.56) hours for the low-dose amiodarone group compared with (14.81 ±10.37) hours for the control group (P=0.002). The postoperative left ventricular ejection fraction (LVEF) was significantly improved in the low-dose amiodarone group (from (59.9 ±10.3)% to (63.4±11.4)%, P=0.001), and significantly higher compared with the control group ((58.5±10.7)%, P=0.002). Both groups had a similar incidence of complication other than rhythm disturbances (12.0% vs 16.4%, P=0.368). The low-dose amiodarone group patients had shorter hospital stays ((11.8±3.2) days vs (13.8±4.7) days, P=0.001) and lower cost of care (RMB (79 115±16 673) Yuan vs RMB (84 997±21 587) Yuan, P=0.031) than that of

  18. A 17-billion-solar-mass black hole in a group galaxy with a diffuse core

    CERN Document Server

    Thomas, Jens; McConnell, Nicholas J; Greene, Jenny E; Blakeslee, John P; Janish, Ryan

    2016-01-01

    Quasars are associated with and powered by the accretion of material onto massive black holes; the detection of highly luminous quasars with redshifts greater than z = 6 suggests that black holes of up to ten billion solar masses already existed 13 billion years ago. Two possible present-day dormant descendants of this population of active black holes have been found in the galaxies NGC 3842 and NGC 4889 at the centres of the Leo and Coma galaxy clusters, which together form the central region of the Great Wall - the largest local structure of galaxies. The most luminous quasars, however, are not confined to such high-density regions of the early Universe; yet dormant black holes of this high mass have not yet been found outside of modern-day rich clusters. Here we report observations of the stellar velocity distribution in the galaxy NGC 1600 - a relatively isolated elliptical galaxy near the centre of a galaxy group at a distance of 64 Mpc from Earth. We use orbit superposition models to determine that the ...

  19. Older siblings, pets and early life infections: impact on gut microbiota and allergy prevalence during the first three years of life

    DEFF Research Database (Denmark)

    Laursen, Martin Frederik; Zachariassen, Gitte; Bahl, Martin Iain

    with allergies did not differ substantially from that in children without symptoms. Conclusions: Early life infections might precede childhood respiratory allergy and are associated with low microbial diversity/richness during late infancy. The presence of older siblings affects the gut microbiota composition......, diversity and richness during late infancy and the risk of developing eczema during early childhood. However, gut microbiota in late infancy was not associated with eczema or respiratory allergy in early childhood. Further studies are warranted to assess whether the profound sibling effect on the gut...

  20. Mortality experience, 30-days and 365-days after admission, for the 20 most frequent DRG groups among Medicare inpatients aged 65 or older in Connecticut hospitals, fiscal years 1991, 1992, and 1993.

    Science.gov (United States)

    Hennen, J; Krumholz, H M; Radford, M J

    1995-03-01

    This report presents mortality rates following inpatient admissions for the 20 most frequent DRG categories among Medicare inpatients aged > or = 65 years at Connecticut acute-care hospitals during the three-year period from fiscal year 1991 to fiscal year 1993. We provide frequency distributions of the 30-day and 365-day mortality rates among these 20 DRG categories. Among the 199,680 discharges of elderly Medicare beneficiaries within the 20 most frequent DRG categories in the three-year study period, the crude 30-day mortality rate was 9.51%; the crude 365-day mortality rate was 28.40%. By gender, the crude 30-day mortality rate for women was 8.78%; the corresponding rate for men was 10.48%. This gender mortality differential occurred despite a significant age differential; on average, the females were 2.5 years older than the males. By age group, the crude mortality rates were: age 65-74 years, 6.66%; age 75-84 years, 9.80%; age > or = 85 years, 15.25%. The crude mortality rates for the DRG categories were found to be stable over the three-year study period.

  1. A 10-year follow-up study on subjective well-being and relationships to person-environment (P-E) fit and activity of daily living (ADL) dependence of older Swedish adults.

    OpenAIRE

    Werngren-Elgström, Monica; Carlsson, Gunilla; Iwarsson, Susanne

    2009-01-01

    In order to investigate how well-being and ill health is affected by the process of aging, the main aim was to investigate these self-perceived aspects of health over a 10-year period among older Swedish adults. The aim was also to study how these aspects correlated with objectively assessed functional limitations, use of mobility device, person-environment (P-E) fit (also denoted accessibility), problems in housing, and activity of daily living (ADL) dependence. Using the Swedish national po...

  2. Yichuan Power’s High-precision Aluminum Belt Project Invests RMB2.95 Billion

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    <正>Yichuan Power Group’s continuous casting and rolling aluminum belt project features an annual production capacity of 250,000 tons and commenced construction in April 2009.Total investment in the project will be RMB2.95 billion, and following production,sales income are projected to reach RMB5.2 billion,with profits and taxes amounting to RMB0.6 billion.

  3. User-centered Development of Video telephony for Servicing Mainly Older Users: Review and Evaluation of an Approach Applied for 10 Years

    Directory of Open Access Journals (Sweden)

    Seppo Väyrynen

    2006-01-01

    Full Text Available A research and development (R&D approach has been applied to video telephony (VT in northern Finland since 1994 by broad consortia. The focus has been on the considerable involvement of ergonomics within the engineering and implementation of VT. This multidisciplinary participatory ergonomic R&D approach (PERDA is described briefly, in general and through two cases. The user-centeredness should be discernible in this sociotechnical systemic entity. A consortium—comprising mainly manufacturers, individual and organizational users of technological products, and R&D organizations—serves as a natural context for product development. VT has been considered to have much potential for enhancing (multimedia interaction and effective multimodal communication, thereby facilitating many activities of everyday life and work. An assessment of the VT system, called HomeHelper, involved older citizens, as clients or customers, and the staff of social, health, and other services.

  4. Does Kapandji wiring help in older patients? A retrospective comparative review of displaced intra-articular distal radial fractures in patients over 55 years.

    Science.gov (United States)

    Board, T; Kocialkowski, A; Andrew, G

    1999-12-01

    Forty-six patients aged 55-90 with intra-articular displaced fractures of the distal radius were reviewed retrospectively. All patients were treated with either manipulation and plaster of Paris or Kapandji wiring. Radiographic and functional review was performed by an independent observer a mean of 17 months after the fracture. The results showed superior anatomical and functional results in the group treated with Kapandji wiring. The mean dorsal angle was significantly better in the wired group, and the improvement in dorsal angle, radial angle and radial length from presentation to final result was also significantly better. Functional results were excellent or good in 19/23 of the wired group, compared with 12/23 of the plaster group. There was a strong correlation between functional outcome and both dorsal angle and radial length at union. These results support the use of this method of wire fixation in older patients, as the technique is simple and complications were few.

  5. Areva excellent business volume: backlog as of december 31, 2008: + 21.1% to 48.2 billion euros. 2008 revenue: + 10.4% to 13.2 billion euros; Areva excellent niveau d'activite: carnet de commandes au 31/12/2008: + 21,1% a 48,2 Mds d'euros. Chiffre d'affaires de l'exercice 2008: + 10,4% a 13,2 Mds d'euros

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-07-01

    AREVA's backlog stood at 48.2 billion euros as of December 31, 2008, for 21.1% growth year-on-year, including 21.8% growth in Nuclear and 16.5% growth in Transmission and Distribution. The Nuclear backlog came to 42.5 billion euros at December 31, 2008. The Transmission and Distribution backlog came to 5.7 billion euros at year-end. The group recognized revenue of 13.2 billion euros in 2008, for year-on-year growth of 10.4% (+9.8% like-for-like). Revenue outside France was up 10.5% to 9.5 billion euros, representing 72% of total revenue. Revenue was up 6.5% in the Nuclear businesses (up 6.3% LFL), with strong performance in the Reactors and Services division (+10.9% LFL) and the Front End division (+7.2% LFL). The Transmission and Distribution division recorded growth of 17% (+15.8% LFL). Revenue for the fourth quarter of 2008 rose to 4.1 billion euros, up 5.2% (+1.6% LFL) from that of the fourth quarter of 2007. Revenue for the Front End division rose to 3.363 billion euros in 2008, up 7.1% over 2007 (+7.2% LFL). Foreign exchange (currency translations) had a negative impact of 53 million euros. Revenue for the Reactors and Services division rose to 3.037 billion euros, up 11.8% over 2007 (+10.9% LFL). Foreign exchange (currency translations) had a negative impact of 47 million euros. Revenue for the Back End division came to 1.692 billion euros, a drop of 2.7% (-2.5% LFL). Foreign exchange (currency translations) had a negative impact of 3.5 million euros. Revenue for the Transmission and Distribution division rose to 5.065 billion euros in 2008, up 17.0% (+15.8% LFL)

  6. 上海市60岁以上老年人全血微量元素水平分析%Whole blood trace element level analysis for pelple of 60 years of age or older in Shanghai

    Institute of Scientific and Technical Information of China (English)

    金小玲; 李艳梅

    2013-01-01

    目的 研究上海市60岁以上老年人全血微量元素的水平.方法 选取在该院接受健康体检的60岁以上老年人624例,每例采静脉血4 mL,全血标本经处理后,以原子吸收光谱法检测全血中锰、铁、铜、锌、硒、铅、砷的含量.结果 该市60岁以上老年人铁、锌、铜、硒缺乏率分别为21.63%、15.06%、34.00%、30.12%;其中大于70岁组血清铁含量显著低于60~70岁组(P<0.05).结论 该市60岁以上老年人体内微量元素铁、锌、铜、硒缺乏情况严重,应注意合理补充.%Objective To study the levels of trace element in whole blood of people more then 60 years old. Methods Enrolled 624 cases of health examination for people of 60 years of age or older in the hospital,4 ml. venous blood sample was collected in each case. Whole blood samples were treated before the detection. Manganese, iron, copper, zinc, selenium, lead and arsenic levels were detected by atomic absorption spectrometry method. Results The rate of iron, copper, zinc and selenium deficiency were 21. 63% ,15. 06% ,34. 00% and 30. 12% respectively, for pelple of 60 years of age or older in the city. Serum iron content in >70-years-old group was significantly lower than the 60 — 70 year-old group(P<0. 05). Conclusion Iron, copper, zinc and selenium deficiency are serious for pelple of 60 years of age or older in the city. Attention should be paid to the supplement of those trace element.

  7. Comparison of single-agent chemotherapy and targeted therapy to first-line treatment in patients aged 80 years and older with advanced non-small-cell lung cancer

    Directory of Open Access Journals (Sweden)

    Zhang QQ

    2015-04-01

    Full Text Available Qianqian Zhang,1 Zhehai Wang,2 Jun Guo,2 Liyan Liu,2 Xiao Han,2 Minmin Li,1 Shu Fang,1 Xiang Bi,1 Ning Tang,1 Yang Liu1 1School of Medicine and Life Sciences, Shandong Academy of Medical Sciences, University of Jinan, 2Department of Oncology, Shandong Cancer Hospital, Jinan, People’s Republic of China Purpose: The aim of this study was to compare single-agent chemotherapy with targeted therapy in initial treatment and to explore a better choice of treatment for patients aged 80 years and older with advanced non-small-cell lung cancer (NSCLC.Patients and methods: A retrospective chart review was conducted for 136 patients aged 80 years and older who were cytopathologically diagnosed and staged as advanced (stage IIIB or IV NSCLC. The patient population was divided into two treatment groups: 78 patients were allocated to the chemotherapy group (group A, pemetrexed or gemcitabine or docetaxel as a single agent, and 60 patients were allocated to another group and received epidermal growth factor-receptor tyrosine-kinase inhibitors (group B, erlotinib or gefitinib as a single agent. The primary end points were overall survival (OS and progression-free survival (PFS, and the secondary end points were response rate, disease-control rate, safety, and quality of life.Results: In group A and group B, respectively, the median PFS was 2 versus 4 months (P=0.013, and the median OS was 8 versus 16 months (P=0.025. The 1- and 2-year survival rates of the two groups were 23.7% (group A, 18 of 76 versus 76.7% (group B, 46 of 60 and 13.2% (group A, ten of 76 versus 10% (group B, six of 60, respectively. The response rate and disease-control rate were 28.9% versus 36.7% (P=0.39 and 57.9% versus 76.7% (P=0.022 in group A and group B, respectively.Conclusion: Elders aged 80 years and over with advanced NSCLC in group B had longer PFS and OS compared with group A. It was well tolerated in group B because of the mild adverse effects. Targeted therapy can be

  8. U.S. Health Care Costs from Birth Defects Total Almost $23 Billion a Year

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_163141.html U.S. Health Care Costs From Birth Defects Total Almost $ ... 2017 (HealthDay News) -- About three of every 100 U.S. newborns have a serious birth defect, and health ...

  9. Illuminating the past 8 billion years of cold gas towards two gravitationally lensed quasars

    CERN Document Server

    Allison, J R; Macquart, J -P; Curran, S J; Duchesne, S W; Mahony, E K; Sadler, E M; Whiting, M T; Bannister, K W; Chippendale, A P; Edwards, P G; Harvey-Smith, L; Heywood, I; Indermuehle, B T; Lenc, E; Marvil, J; McConnell, D; Sault, R J

    2016-01-01

    Using the Boolardy Engineering Test Array of the Australian Square Kilometre Array Pathfinder (ASKAP BETA), we have carried out the first $z = 0 - 1$ survey for HI and OH absorption towards the gravitationally-lensed quasars PKSB1830-211 and MGJ0414+0534. Although we detected all previously reported intervening systems towards PKSB1830-211, in the case of MGJ0414+0534 three systems were not found, indicating that the original identifications may have been confused with radio frequency interference. Given the sensitivity of our data, we find that our detection yield is consistent with the expected frequency of intervening HI systems estimated from previous surveys for 21-cm emission in nearby galaxies and $z \\sim 3$ damped Lyman-$\\alpha$ absorbers. We find spectral variability in the $z = 0.886$ face-on spiral galaxy towards PKSB1830-211, from observations undertaken with the Westerbork Synthesis Radio Telescope in 1997/1998 and ASKAP BETA in 2014/2015. The HI equivalent width varies by a few per cent over app...

  10. Intergalactic Lyman continuum photon budget in the past 5 billion years

    CERN Document Server

    Gaikwad, Prakash; Choudhury, Tirthankar Roy; Srianand, Raghunathan

    2016-01-01

    We constrain the H I photoionization rate $(\\Gamma_{\\rm HI})$ at $z \\lesssim 0.45$ by comparing the flux probability distribution function and power spectrum of the Ly-$\\alpha$ forest data along 82 QSO sightlines obtained using Cosmic Origins Spectrograph with models generated from smoothed particle hydrodynamic simulations. We have developed a module named "Code for Ionization and Temperature Evolution (CITE)" for calculating the intergalactic medium (IGM) temperature evolution from high to low redshifts by post-processing the GADGET-2 simulation outputs. Our method, that produces results consistent with other simulations, is computationally less expensive thus allowing us to explore a large parameter space. It also allows rigorous estimation of the error covariance matrix for various statistical quantities of interest. We find that the best-fit $\\Gamma_{\\rm HI}(z)$ increases with $z$ and follows $(4 \\pm 0.1) \\times 10^{-14}\\:(1+z)^{4.99 \\pm 0.12}$ s$^{-1}$. At any given $z$ the typical uncertainties $\\Delta...

  11. The discovery of fullerenes in the 1.85 billion-year-old Sudbury meteorite crater

    Energy Technology Data Exchange (ETDEWEB)

    Becker, L.; Bada, J.L. [Scripps Institution of Oceanography, La Jolla, CA (United States); Winans, R.E.; Hunt, J.E. [Argonne National Lab., IL (United States); Bunch, T.E. [National Aeronautics and Space Administration, Moffett Field, CA (United States). Ames Research Center; French, B.M. [National Aeronautics and Space Administration, Washington, DC (United States)

    1996-02-01

    Fullerenes (C{sub 60}, C{sub 70}) have been identified by laser time-of-flight and electron-ionization mass spectroscopy in rock samples (black tuff in the Onaping formation) from the crater. They were likely synthesized within the impact plume from carbon contained in the meteorite. The isotopic ratios suggest {sup 13}C enrichment. They are associated with sulfur which may have protected them. This is the largest known deposit of naturally occurring fullerenes.

  12. The Buildup of Passive Galaxies in Clusters and the Field Over the Last 7 Billion Years.

    Science.gov (United States)

    Rudnick, Gregory; van der Wel, A.; Moustakas, J.; Jablonka, P.

    2011-01-01

    One of galaxy evolution's most long-standing problems is determining how clusters affect the properties of infalling galaxies. One useful metric for this is how quickly the passive galaxy population in clusters assembles over time. Standard practice has been to assume that all red sequence galaxies are passive and to measure the evolution in the red fraction and red sequence luminosity function over time. This approach, however, neglects the possible contribution of dusty galaxies to the red sequence, which can be significant at intermediate environment and low to intermediate stellar masses. We move beyond a simple red sequence cut by using a new multi-color technique to distinguish red passive galaxies from red dusty star-forming galaxies. Isolating passive galaxies is inherently more physical than studying galaxies selected on one color alone. We track the buildup of passive galaxies in the field and in clusters using the COSMOS data for the former and a large imaging and spectroscopy survey of intermediate redshift clusters for the latter. The fraction of passive galaxies in clusters increases with increasing galaxy mass, increasing cluster velocity dispersion, and with time at a fixed mass and velocity dispersion. We relate the passive fraction in clusters to that for field galaxies of similar masses and use this to constrain the processes that shut off star formation in infalling cluster galaxies. The fraction of dust-obscured star forming galaxies changes with stellar mass and environment and this affects the interpretation of the rapid evolution in the faint red sequence galaxy population and its environmental dependence, as seen in other works.

  13. Evolution of the brain: from behavior to consciousness in 3.4 billion years.

    Science.gov (United States)

    Oró, John J

    2004-06-01

    Once life began as single-cell organisms, evolution favored those able to seek nutrients and avoid risks. Receptors sensed the environment, memory traces were laid, and adaptive responses were made. Environmental stress, at times as dramatic as the collision of an asteroid, resulted in extinctions that favored small predators with dorsal nerve cords and cranially positioned brains. Myelination, and later thermoregulation, led to increasingly efficient neural processing. As somatosensory, visual, and auditory input increased, a neocortex developed containing both sensory and motor neural maps. Hominids, with their free hands, pushed cortical development further and began to make simple stone tools. Tools and increasing cognition allowed procurement of a richer diet that led to a smaller gut, thus freeing more energy for brain expansion. Multimodal association areas, initially developed for processing incoming sensory information, blossomed and began to provide the organism with an awareness of self and environment. Advancements in memory storage and retrieval gave the organism a sense of continuity through time. This developing consciousness eventually left visible traces, which today are dramatically evident on cave walls in France and Spain. We will take this journey from the single cell to human consciousness.

  14. SCORCH I: The Galaxy-Halo Connection in the First Billion Years

    CERN Document Server

    Trac, Hy; Mansfield, Philip

    2015-01-01

    SCORCH (Simulations and Constructions of the Reionization of Cosmic Hydrogen) is a new project to study the Epoch of Reionization (EoR). In this first paper, we probe the connection between observed high-redshift galaxies and simulated dark matter halos in order to better understand the abundance and evolution of the primary source of ionizing radiation. A series of high-resolution N-body simulations is run to quantify the abundance of dark matter halos as a function of mass $M$, accretion rate $\\dot{M}$, and redshift $z$. A new fit for the halo mass function $dn/dM$ is $\\approx 20\\%$ more accurate at the high-mass end where bright galaxies are expected to reside. A novel approach is used to fit the halo accretion rate function $dn/d\\dot{M}$ in terms of the halo mass function. Abundance matching against the observed galaxy luminosity function is used to estimate the luminosity-mass relation and the luminosity-accretion-rate relation. The inferred star formation efficiency is not monotonic with $M$ nor $\\dot{M...

  15. The Last Eight-Billion Years of Intergalactic SiIV Evolution

    CERN Document Server

    Cooksey, Kathy L; Thom, Christopher; Chen, Hsiao-Wen

    2010-01-01

    We identified 24 SiIV absorption systems with z 3 sigma. The absorber line density of the G = 1 doublets was dN_SiIV/dX = 1.4+0.4/-0.3 for log N(Si+3) > 12.9. The best-fit power law to the G = 1 frequency distribution of column densities f(N(Si+3)) had normalization k = (1.2+0.5/-0.4) x 10^{-14} cm^-2 and slope alpha = -1.6+0.3/-0.3. Using the power-law model of f(N(Si+3)), we measured the Si+3 mass density relative to the critical density: Omega(Si+3) = (3.71+2.82/-1.68) x 10^-8. From a simple linear fit to Omega(Si+3) over the age of the Universe, we estimated a slow and steady increase from z = 5.5 --> 0 with dOmega/dt_age = (0.61+/-0.13) x 10^-8 Gyr^-1. We compared our ionic ratios N(Si+3)/N(C+3) to a 2 < z < 4.5 sample and concluded, from survival analysis, that the two populations are similar, with mean N(Si+3)/N(C+3) ~ 0.16.

  16. Intergalactic Lyman continuum photon budget in the past 5 billion years

    Science.gov (United States)

    Gaikwad, Prakash; Khaire, Vikram; Choudhury, Tirthankar Roy; Srianand, Raghunathan

    2017-04-01

    We constrain the H I photoionization rate (Γ _{H I}) at z ≲ 0.45 by comparing the flux probability distribution function and power spectrum of the Lyα forest data along 82 Quasi-Stellar Object (QSO) sightlines obtained using Cosmic Origins Spectrograph with models generated from smoothed particle hydrodynamic simulations. We have developed a module named 'Code for Ionization and Temperature Evolution (CITE)' for calculating the intergalactic medium (IGM) temperature evolution from high to low redshifts by post-processing the GADGET-2 simulation outputs. Our method, that produces results consistent with other simulations, is computationally less expensive thus allowing us to explore a large parameter space. It also allows rigorous estimation of the error covariance matrix for various statistical quantities of interest. We find that the best-fitting Γ _{H I}(z) increases with z and follows (4 ± 0.1) × 10-14 (1 + z)4.99 ± 0.12 s-1. At any given z, the typical uncertainties Δ Γ _{H I} / Γ _{H I} are ∼25 per cent that contains not only the statistical errors but also those arising from possible degeneracy with the thermal history of the IGM and cosmological parameters and uncertainties in fitting the QSO continuum. These values of Γ _{H I} favour the scenario where only QSOs contribute to the ionizing background at z < 2. Our derived 3σ upper limit on average escape fraction is 0.008, consistent with measurements of low-z galaxies.

  17. The Formation of Submillimetre-Bright Galaxies from Gas Infall over a Billion Years

    CERN Document Server

    Narayanan, Desika; Feldmann, Robert; Robitaille, Thomas; Hopkins, Philip; Thompson, Robert; Hayward, Christopher; Ball, David; Faucher-Giguere, Claude-Andre; Keres, Dusan

    2015-01-01

    Submillimetre-luminous galaxies at high-redshift are the most luminous, heavily star-forming galaxies in the Universe, and are characterised by prodigious emission in the far-infrared at 850 microns (S850 > 5 mJy). They reside in halos ~ 10^13Msun, have low gas fractions compared to main sequence disks at a comparable redshift, trace complex environments, and are not easily observable at optical wavelengths. Their physical origin remains unclear. Simulations have been able to form galaxies with the requisite luminosities, but have otherwise been unable to simultaneously match the stellar masses, star formation rates, gas fractions and environments. Here we report a cosmological hydrodynamic galaxy formation simulation that is able to form a submillimetre galaxy which simultaneously satisfies the broad range of observed physical constraints. We find that groups of galaxies residing in massive dark matter halos have rising star formation histories that peak at collective rates ~ 500-1000 Msun/yr at z=2-3, by wh...

  18. A Powerful Toolkit for Synthetic Biology: Over 3.8 Billion Years of Evolution

    Science.gov (United States)

    Rothschild, Lynn J.

    2010-01-01

    The combination of evolutionary with engineering principles will enhance synthetic biology. Conversely, synthetic biology has the potential to enrich evolutionary biology by explaining why some adaptive space is empty, on Earth or elsewhere. Synthetic biology, the design and construction of artificial biological systems, substitutes bio-engineering for evolution, which is seen as an obstacle. But because evolution has produced the complexity and diversity of life, it provides a proven toolkit of genetic materials and principles available to synthetic biology. Evolution operates on the population level, with the populations composed of unique individuals that are historical entities. The source of genetic novelty includes mutation, gene regulation, sex, symbiosis, and interspecies gene transfer. At a phenotypic level, variation derives from regulatory control, replication and diversification of components, compartmentalization, sexual selection and speciation, among others. Variation is limited by physical constraints such as diffusion, and chemical constraints such as reaction rates and membrane fluidity. While some of these tools of evolution are currently in use in synthetic biology, all ought to be examined for utility. A hybrid approach of synthetic biology coupled with fine-tuning through evolution is suggested

  19. Could organic matter have been preserved on Mars for 3.5 billion years?

    Science.gov (United States)

    Kanavarioti, Anastassia; Mancinelli, Rocco L.

    1990-01-01

    About 3.5 Gyr ago, when it is thought that Mars and earth had similar climates, biological evolution on earth had made considerable progress, such that life was abundant. It is therefore surmised that prior to this time period, the advent of chemical evolution and subsequent origin of life occurred on earth and may have occurred on Mars. Analysis for organic compounds in the soil buried beneath the Martian surface may yield useful information regarding the occurrence of chemical evolution and possibly biological evolution. Calculations based on the stability of amino acids lead to the conclusion that remnants of these compounds, if they existed on Mars 3.5 Gyr ago, might have been preserved buried beneath the surface oxidizing layer. For example, if phenylalanine, an amino acid of average stability, existed on Mars 3.5 Gyr ago, then 1.6 percent would remain buried today. Martian soil may exist from remnants of meteoritic and cometary bombardment, assuming that 1 percent of the organics survived impact.

  20. 3.5 billion years of glass bioalteration: Volcanic rocks as a basis for microbial life?

    Science.gov (United States)

    Staudigel, Hubert; Furnes, Harald; McLoughlin, Nicola; Banerjee, Neil R.; Connell, Laurie B.; Templeton, Alexis

    2008-08-01

    Alteration textures in volcanic glass from the seafloor fall into two classes, one suggestive of abiotic/diffusive hydration and chemical exchange, and another likely to be caused by microbial, cavity-forming, congruent dissolution. Glass bioalteration is common in submarine lavas throughout the world's ocean, dominant in the upper 300 m of the oceanic crust, and found in all well-preserved ophiolites and greenstone belts dating back to 3.5 Ga. It may yield a significant fraction of the global biomass and geochemical fluxes and is relevant to the development of the earliest life on Earth. We present a critical review concerning these glass bioalteration textures and present new data on their microchemical environment. We explore arguments for their biogenicity and further develop the prevalent model for their formation by relating corrosion morphology to the mechanism of microbial dissolution. Biological alteration produces conspicuous micron-scale granular and tubular textures. Granular glass alteration is well explained by colonizing microbes that selectively dissolve the glass in their contact area, forming a sponge-like interconnected network of micron-sized cavities along glass surfaces. Tubular alteration meanwhile, is more likely to be caused by filamentous cell extensions in a process similar to fungal tunneling of soil feldspars and marine carbonates. While we see clear functional similarities to fungal dissolution behavior, we do not know whether fungal or prokaryotic organisms are involved. However, this functional constraint may eventually help to identify potential microbes responsible for these features, potentially including eukaryotic or prokaryotic organisms. Yet, we caution that these organisms may be difficult to identify and to study, because they are likely to be sparsely distributed, slow growing, and difficult to cultivate.

  1. Evidence for oxygenic photosynthesis half a billion years before the Great Oxidation Event

    OpenAIRE

    Planavsky, Noah J.; Asael, Dan; Hofman, Axel; Reinhard, Christopher T.; Lalonde, Stefan V; Knudsen, Andrew; Wang, Xiangli; Ossa, Frantz Ossa; Pecoits, Ernest; Smith, Albertus J. B.; Beukes, Nicolas J.; Bekker, Andrey; Johnson, Thomas M.; Konhauser, Kurt O.; Lyons, Timothy W.

    2014-01-01

    The early Earth was characterized by the absence of oxygen in the ocean–atmosphere system, in contrast to the well-oxygenated conditions that prevail today. Atmospheric concentrations first rose to appreciable levels during the Great Oxidation Event, roughly 2.5–2.3 Gyr ago. The evolution of oxygenic photosynthesis is generally accepted to have been the ultimate cause of this rise, but it has proved difficult to constrain the timing of this evolutionary innovation. The oxidation of manganese ...

  2. Atmospheric carbon dioxide concentrations before 2.2 billion years ago

    Science.gov (United States)

    Rye, R.; Kuo, P. H.; Holland, H. D.

    1995-01-01

    The composition of the Earth's early atmosphere is a subject of continuing debate. In particular, it has been suggested that elevated concentrations of atmospheric carbon dioxide would have been necessary to maintain normal surface temperatures in the face of lower solar luminosity in early Earth history. Fossil weathering profiles, known as palaeosols, have provided semi-quantitative constraints on atmospheric oxygen partial pressure (pO2) before 2.2 Gyr ago. Here we use the same well studied palaeosols to constrain atmospheric pCO2 between 2.75 and 2.2 Gyr ago. The observation that iron lost from the tops of these profiles was reprecipitated lower down as iron silicate minerals, rather than as iron carbonate, indicates that atmospheric pCO2 must have been less than 10(-1.4) atm--about 100 times today's level of 360 p.p.m., and at least five times lower than that required in one-dimensional climate models to compensate for lower solar luminosity at 2.75 Gyr. Our results suggest that either the Earth's early climate was much more sensitive to increases in pCO2 than has been thought, or that one or more greenhouse gases other than CO2 contributed significantly to the atmosphere's radiative balance during the late Archaean and early Proterozoic eons.

  3. Detection of Pristine Gas Two Billion Years after the Big Bang

    CERN Document Server

    Fumagalli, Michele; Prochaska, J Xavier

    2011-01-01

    In the current cosmological model, only the three lightest elements were created in the first few minutes after the Big Bang; all other elements were produced later in stars. To date, however, heavy elements have been observed in all astrophysical environments. We report the detection of two gas clouds with no discernible elements heavier than hydrogen. These systems exhibit the lowest heavy-element abundance in the early universe and thus are potential fuel for the most metal poor halo stars. The detection of deuterium in one system at the level predicted by primordial nucleosynthesis provides a direct confirmation of the standard cosmological model. The composition of these clouds further implies that the transport of heavy elements from galaxies to their surroundings is highly inhomogeneous.

  4. Detection of pristine gas two billion years after the Big Bang.

    Science.gov (United States)

    Fumagalli, Michele; O'Meara, John M; Prochaska, J Xavier

    2011-12-02

    In the current cosmological model, only the three lightest elements were created in the first few minutes after the Big Bang; all other elements were produced later in stars. To date, however, heavy elements have been observed in all astrophysical environments. We report the detection of two gas clouds with no discernible elements heavier than hydrogen. These systems exhibit the lowest heavy-element abundance in the early universe, and thus are potential fuel for the most metal-poor halo stars. The detection of deuterium in one system at the level predicted by primordial nucleosynthesis provides a direct confirmation of the standard cosmological model. The composition of these clouds further implies that the transport of heavy elements from galaxies to their surroundings is highly inhomogeneous.

  5. The rapid formation of a large rotating disk galaxy three billion years after the Big Bang.

    Science.gov (United States)

    Genzel, R; Tacconi, L J; Eisenhauer, F; Schreiber, N M Förster; Cimatti, A; Daddi, E; Bouché, N; Davies, R; Lehnert, M D; Lutz, D; Nesvadba, N; Verma, A; Abuter, R; Shapiro, K; Sternberg, A; Renzini, A; Kong, X; Arimoto, N; Mignoli, M

    2006-08-17

    Observations and theoretical simulations have established a framework for galaxy formation and evolution in the young Universe. Galaxies formed as baryonic gas cooled at the centres of collapsing dark-matter haloes; mergers of haloes and galaxies then led to the hierarchical build-up of galaxy mass. It remains unclear, however, over what timescales galaxies were assembled and when and how bulges and disks--the primary components of present-day galaxies--were formed. It is also puzzling that the most massive galaxies were more abundant and were forming stars more rapidly at early epochs than expected from models. Here we report high-angular-resolution observations of a representative luminous star-forming galaxy when the Universe was only 20% of its current age. A large and massive rotating protodisk is channelling gas towards a growing central stellar bulge hosting an accreting massive black hole. The high surface densities of gas, the high rate of star formation and the moderately young stellar ages suggest rapid assembly, fragmentation and conversion to stars of an initially very gas-rich protodisk, with no obvious evidence for a major merger.

  6. A high abundance of massive galaxies 3-6 billion years after the Big Bang.

    Science.gov (United States)

    Glazebrook, Karl; Abraham, Roberto G; McCarthy, Patrick J; Savaglio, Sandra; Chen, Hsiao-Wen; Crampton, David; Murowinski, Rick; Jørgensen, Inger; Roth, Kathy; Hook, Isobel; Marzke, Ronald O; Carlberg, R G

    2004-07-08

    Hierarchical galaxy formation is the model whereby massive galaxies form from an assembly of smaller units. The most massive objects therefore form last. The model succeeds in describing the clustering of galaxies, but the evolutionary history of massive galaxies, as revealed by their visible stars and gas, is not accurately predicted. Near-infrared observations (which allow us to measure the stellar masses of high-redshift galaxies) and deep multi-colour images indicate that a large fraction of the stars in massive galaxies form in the first 5 Gyr (refs 4-7), but uncertainties remain owing to the lack of spectra to confirm the redshifts (which are estimated from the colours) and the role of obscuration by dust. Here we report the results of a spectroscopic redshift survey that probes the most massive and quiescent galaxies back to an era only 3 Gyr after the Big Bang. We find that at least two-thirds of massive galaxies have appeared since this era, but also that a significant fraction of them are already in place in the early Universe.

  7. Oxidative Weathering of Earth's Surface 3.7 Billion Years ago? - A Chromium Isotope Perspective

    Science.gov (United States)

    Frei, R.; Crowe, S.; Bau, M.; Polat, A.; Fowle, D. A.; Døssing, L. N.

    2015-12-01

    The Great Oxidation Event signals the first large-scale oxygenation of the atmosphere roughly 2.4 Gyr ago. Geochemical signals diagnostic of oxidative weathering, however, extend as far back as 3.3-2.9 Gyr ago. 3.8-3.7 Gyr old rocks from Isua, Greenland stand as a deep time outpost, recording information on Earth's earliest surface chemistry and the low oxygen primordial biosphere. We find positive Cr isotope values (average δ53Cr = +0.05 +/- 0.10 permil; δ53Cr = (53Cr/52Cr)sample/(53Cr/52Cr)SRM 979 - 1) x 1000, where SRM 979 denotes Standard Reference Material 979 in both the Fe and Si-rich mesobands of 7 compositionally distinct quartz-magnetite and magnesian banded iron formation (BIF) samples collected from the eastern portion of the Isua BIF (Western Greenland). These postively fractioned Cr isotopes, relative to the igneous silicate Earth reservoir, in metamorphosed BIFs from Isua indicate oxidative Cr cycling 3.8-3.7 Gyr ago. We also examined the distribution of U, which is immobile in its reduced state but mobile when it is oxidized. Elevated U/Th ratios (mean U/Th ratio of 0.70 ± 0.29) in these BIFs relative to the contemporary crust, also signal oxidative mobilization of U. We suggest that reactive oxygen species (ROS) accumulated in Earth's surface environment inducing the oxidative weathering of rocks during the deposition of the Isua BIFs. The precise threshold atmospheric O2 concentrations for the induction of Cr isotope fractionation remain uncertain, but we argue that our data are consistent with the very low levels of oxygen or other ROS indicated by other proxies. Importantly, any trace of Cr that cycled through redox reactions on land would tend both to be heavy, and to mobilize into the contemporaneous run-off more readily than Cr weathered directly as Cr(III). Once having reached the oceans, this fractionated Cr would have been stripped from seawater by Fe (oxy)hydroxides formed during the deposition of BIFs from low oxygen oceans. The reactive oxygen species recorded in Isua sediments may also have been sufficient to support aerobic metabolisms, which are known to occur in extant bacteria at oxygen concentrations as low as 10-8 atm.

  8. The First Billion Years of Martian History as Seen from the SNC Meteorites: A Review

    Science.gov (United States)

    Jones, J. H.

    2004-01-01

    There are currently 28 known, distinct samples of Mars that have been liberated from that planet by impacts and subsequently delivered to the Earth. The formation ages of these samples range from 4.5 b.y. to 180 m.y. Collectively, these samples are called SNC meteorites after the major petrologic subdivisions: Shergottite, Nakhlite, Chassigny. Texturally, most of these meteorites are cumulates or partial cumulates. However, a few may represent real melt compositions: EET79001B, Y9800459, QUE94201, and the groundmass of EET79001A.

  9. The First Half Billion Years (z > 9): Results from the Frontier Fields

    Science.gov (United States)

    Coe, Dan A.; Bradley, Larry D.

    We present z > 9 candidates identified in Hubble Frontier Fields imaging of the first four clusters and blank parallel fields (two-thirds of the complete program). Based on the deeper Hubble imaging, we revise the redshift estimate of the CLASH z ~ 9.6 candidate MACS1149-JD to z = 9.2+0.2 -0.5 (95% C.L.). We identify a new possible fainter z ~ 9 companion 3'' away (~1 kpc in the source plane). And we discover a new z ~ 9.2 candidate in the MACS1149 parallel field. Combined with previously published candidates at z ~ 9.8 and 9.1 (in A2744 and its parallel field, respectively), these five z > 9 candidates fall below our published expectation of 8 - 47 at this stage in the program. We attribute some of this shortfall to incompleteness, which we have yet to quantify. At z ~ 8 (7.5 - 8.5), we detect 26 candidates down to F160W H 9 incompleteness is similar (~68%), our results would support the sharp drop in z > 9 number counts claimed by some (but not all) previous works and supported by several (but not all) theoretical models. Properly quantifying our incompleteness will require adding simulated high-redshift galaxies into the images and testing our recovery rate. Additionally, incorporating the deep Spitzer imaging into our analysis could potentially significantly improve our identification of z > 9 candidates by rejecting low-redshift (z ~ 2) interlopers. Data from the full Frontier Fields program will provide strong evidence for or against accelerated evolution and a sharp drop in the cosmic star formation rate density at z > 9.

  10. Sugar-sweetened beverage intake before 6 years of age and weight or BMI status among older children: systematic review of prospective studies

    Directory of Open Access Journals (Sweden)

    Eugenia Pérez-Morales

    2013-02-01

    Full Text Available The purpose of this study was to conduct a systematic review of prospective studies that examined the association between sugar-sweetened beverage intake before 6y of age and later weight or BMI status among older children. An electronic literature search was conducted in the MEDLINE/PubMed, SciELO, and EBSCO databases of prospective studies published from 2001 to 2011. Seven studies were analyzed. The study population was from 72 to 10,904 children. Three studies showed a consistent association between SSB intake before 6 y of age and increased weight, BMI, or waist circumference later in childhood, one study showed a positive trend of consumption of SSB and childhood obesity and the OR for incidence of overweight by baseline beverage intake was 1.04, another study it was observed that an increase in total sugar intake and sugar from sweets and beverages in children 1-2 y of age and 7-9 y of age have a tendency to increase BMI, and two studies showed no association. In conclusion, although the trend of the reviews studies, indicate an association between sugar-sweetened beverage intake before 6 y of age and increased weight, BMI or waist circumference later in childhood, to date, the results are inconsistent, and the two studies with the higher number of children showed a positive association.

  11. Sugar-sweetened beverage intake before 6 years of age and weight or BMI status among older children; systematic review of prospective studies.

    Science.gov (United States)

    Pérez-Morales, Eugenia; Bacardí-Gascón, Montserrat; Jiménez-Cruz, Arturo

    2013-01-01

    The purpose of this study was to conduct a systematic review of prospective studies that examined the association between sugar-sweetened beverage intake before 6y of age and later weight or BMI status among older children. An electronic literature search was conducted in the MEDLINE/PubMed, SciELO, and EBSCO databases of prospective studies published from 2001 to 2011. Seven studies were analyzed. The study population was from 72 to 10,904 children. Three studies showed a consistent association between SSB intake before 6 y of age and increased weight, BMI, or waist circumference later in childhood, one study showed a positive trend of consumption of SSB and childhood obesity and the OR for incidence of overweight by baseline beverage intake was 1.04, another study it was observed that an increase in total sugar intake and sugar from sweets and beverages in children 1-2 y of age and 7-9 y of age have a tendency to increase BMI, and two studies showed no association. In conclusion, although the trend of the reviews studies, indicate an association between sugar-sweetened beverage intake before 6 y of age and increased weight, BMI or waist circumference later in childhood, to date, the results are inconsistent, and the two studies with the higher number of children showed a positive association.

  12. Older, wiser, and happier? Comparing older adults' and college students' self-defining memories.

    Science.gov (United States)

    Singer, Jefferson; Rexhaj, Blerim; Baddeley, Jenna

    2007-11-01

    The present study compared self-defining memories in adults 50 years of age and older to the self-defining memories of college students. Findings are largely congruent with previous memory and ageing research, but shed additional light on how personal memories are employed to achieve a sense of identity and continuity in older adults. Older adults' self-defining memories, compared to those of younger adults, were more positive in emotional tone, more summarised and less detailed, and more likely to contain integrative meaning. The implications of these findings for assessing normative personal memory in older adults are discussed along with more general observations about narrative identity in older adulthood.

  13. Efficacy and Safety of Abiraterone Acetate in Elderly (75 Years or Older) Chemotherapy Naive Patients with Metastatic Castration Resistant Prostate Cancer

    NARCIS (Netherlands)

    Smith, M.R.; Rathkopf, D.E.; Mulders, P.F.A.; Carles, J.; Poppel, H. Van; Li, J.; Kheoh, T.; Griffin, T.W.; Molina, A.; Ryan, C.J.

    2015-01-01

    PURPOSE: Metastatic castration resistant prostate cancer primarily affects elderly men. In this post hoc analysis we investigated the safety and efficacy of abiraterone acetate in elderly (age 75 years or greater) and younger (less than 75 years) patient subgroups at the prespecified interim analysi

  14. Cognitive function and neurodevelopmental outcomes in HIV-infected Children older than 1 year of age randomized to early versus deferred antiretroviral therapy: the PREDICT neurodevelopmental study.

    OpenAIRE

    Puthanakit, T.; Ananworanich, J.; Vonthanak, S.; Kosalaraksa, P; Hansudewechakul, R; Lugt, J. van der; Kerr, SJ; Kanjanavanit, S.; Ngampiyaskul, C.; Wongsawat, J; Luesomboon, W.; Vibol, U.; Pruksakaew, K; Suwarnlerk, T; Apornpong, T

    2013-01-01

    We previously reported similar AIDS-free survival at 3 years in children who were >1 year old initiating antiretroviral therapy (ART) and randomized to early versus deferred ART in the Pediatric Randomized to Early versus Deferred Initiation in Cambodia and Thailand (PREDICT) study. We now report neurodevelopmental outcomes.Two hundred eighty-four HIV-infected Thai and Cambodian children aged 1-12 years with CD4 counts between 15% and 24% and no AIDS-defining illness were randomized to initia...

  15. Interpretations of Child Behavior by Older Adults.

    Science.gov (United States)

    Forrest, Constance R.; Docherty, Edward M., Jr.

    This study examined sex-role typing in older adults' interpretations of young children's behavior. Participants were 48 older adults averaging 64.7 years of age. Videotapes were made of the play behavior of each of two toddlers, a female and a male matched in body type, hair length, dress (plain tee shirt and shorts), and in the activities in…

  16. Exploring Older Adults' Health Information Seeking Behaviors

    Science.gov (United States)

    Manafo, Elizabeth; Wong, Sharon

    2012-01-01

    Objective: To explore older adults' (55-70 years) health information-seeking behaviors. Methods: Using a qualitative methodology, based on grounded theory, data were collected using in-depth interviews. Participants were community-living, older adults in Toronto, Canada who independently seek nutrition and health information. Interview transcripts…

  17. Intimate Partner Violence in Older Women

    Science.gov (United States)

    Bonomi, Amy E.; Anderson, Melissa L.; Reid, Robert J.; Carrell, David; Fishman, Paul A.; Rivara, Frederick P.; Thompson, Robert S.

    2007-01-01

    Purpose: We describe the prevalence, types, duration, frequency, and severity of intimate partner violence ("partner violence") in older women. Design and Methods: We randomly sampled a total of 370 English-speaking women (65 years of age and older) from a health care system to participate in a cross-sectional telephone interview. Using 5…

  18. Incidence, patterns and severity of reported unintentional injuries in Pakistan for persons five years and older: results of the National Health Survey of Pakistan 1990–94

    Directory of Open Access Journals (Sweden)

    Qureshi Huma I

    2007-07-01

    Full Text Available Abstract Background National level estimates of injuries are not readily available for developing countries. This study estimated the annual incidence, patterns and severity of unintentional injuries among persons over five years of age in Pakistan. Methods National Health Survey of Pakistan (NHSP 1990–94 is a nationally representative survey of the household. Through a two-stage stratified design, 18, 315 persons over 5 years of age were interviewed to estimate the overall annual incidence, patterns and severity of unintentional injuries for males and females in urban and rural areas over the preceding one year. Weighted estimates were computed adjusting for complex survey design using surveyfreq and surveylogistic option of SAS 9.1 software. Results The overall annual incidence of all unintentional injuries was 45.9 (CI: 39.3–52.5 per 1000 per year; 59.2 (CI: 49.2–69.2 and 33.2 (CI: 27.0–39.4 per 1000 per year among males and females over five years of age, respectively. An estimated 6.16 million unintentional injuries occur in Pakistan annually among persons over five years of age. Urban and rural injuries were 55.9 (95% CI: 48.1–63.7 and 41.2 (95% CI: 32.2–50.0 per 1000 per year, respectively. The annual incidence of injuries due to falls were 22.2 (95% CI: 18.0–26.4, poisoning 3.3 (95%CI: 0.5–6.1 and burn was 1.5 (95%CI: 0.9–2.1 per 1000 per year. The majority of injuries occurred at home 19.2 (95%CI: 16.0–22.4 or on the roads 17.0 (95%CI: 13.8–20.2. Road traffic/street, school and urban injuries were more likely to result in handicap. Conclusion There is high burden of unintentional injuries among persons over five years of age in Pakistan. These results are useful to plan further studies and prioritizing prevention programs on injuries nationally and other developing countries with similar situation.

  19. Providing safe drinking water to 1.2 billion unserved people

    Energy Technology Data Exchange (ETDEWEB)

    Gadgil, Ashok J.; Derby, Elisabeth A.

    2003-06-01

    Despite substantial advances in the past 100 years in public health, technology and medicine, 20% of the world population, mostly comprised of the poor population segments in developing countries (DCs), still does not have access to safe drinking water. To reach the United Nations (UN) Millennium Goal of halving the number of people without access to safe water by 2015, the global community will need to provide an additional one billion urban residents and 600 million rural residents with safe water within the next twelve years. This paper examines current water treatment measures and implementation methods for delivery of safe drinking water, and offers suggestions for making progress towards the goal of providing a timely and equitable solution for safe water provision. For water treatment, based on the serious limitations of boiling water and chlorination, we suggest an approach based on filtration coupled with ultraviolet (UV) disinfection, combined with public education. Additionally, owing to the capacity limitations for non-governmental organizations (NGOs) to take on this task primarily on their own, we suggest a strategy based on financially sustainable models that include the private sector as well as NGOs.

  20. Causes and predictors of hospital readmissions in patients older than 65 years hospitalized for heart failure with preserved left ventricular ejection fraction in western Romania

    Directory of Open Access Journals (Sweden)

    Mavrea AM

    2015-06-01

    Full Text Available Adelina Marioara Mavrea,1 Tiberiu Dragomir,1 Diana Aurora Bordejevic,1 Mirela Cleopatra Tomescu,1 Oana Ancusa,1 Iosif Marincu21Cardiology Department, 2Department of Epidemiology and Infectious Diseases, “Victor Babes” University of Medicine and Pharmacy, Timisoara, RomaniaBackground: Heart failure with preserved ejection fraction (HFpEF is more frequent in the elderly and is associated with important economic implications because of repetitive and prolonged hospitalizations, due to both cardiovascular and noncardiovascular causes.Purpose: To identify the causes, as well as the clinical and biological markers, that could be used as predictors of hospital readmissions in HFpEF patients aged ≥65 years.Patients and methods: Consecutive eligible patients hospitalized for a first heart failure (HF episode were prospectively included and divided into one of two age groups (elderly: ≥65 years; and nonelderly: <65 years. The clinical features, therapeutic approaches, and clinical outcomes during the 1-year follow-up period were analyzed.Results: A total of 178 patients were included, with a mean age of 64.6±8.6 years; 80 (45% were women. A total of 98 patients (55% were aged ≥65 years, and 80 (45% were aged <65 years. In the group aged ≥65 years, 58 patients (59% were women, while in the group aged <65 years, 22 patients (28% were women (P=0.0001. During the 1-year follow-up, no patients died or were lost to follow-up. Moreover, 116 (65% of the HFpEF patients experienced hospital readmissions. The elderly patients had a significantly higher readmission rate (73% vs 55%, respectively; P<0.02; readmissions due to aggravated HF were significantly more frequent in this age group (41% vs 18%, respectively; P<0.002. Multivariate logistic regression analysis indicated that the independent predictors of readmission due to HF aggravation included plasma levels of brain natriuretic peptide >450 pg/mL (P<0.01 and N

  1. A high prevalence of carotid artery stenosis in male patients older than 65 years, irrespective of presenting clinical manifestation of atherosclerotic diseases

    NARCIS (Netherlands)

    Kazemi-Bajestani, S.M.; Vlugt, M.J. van der; Leeuw, F.E. de; Blankensteijn, J.D.; Bredie, S.J.H.

    2013-01-01

    This study investigated the prevalence of carotid artery stenosis (CS) and the association with various risk factors in male patients (>65 years) diagnosed with cardiovascular diseases. Duplex sonography of the carotid arteries was performed in 434 of 473 eligible patients of whom 118 (27.8%) pat

  2. Post-remission treatment with allogeneic stem cell transplantation in patients aged 60 years and older with acute myeloid leukaemia : a time-dependent analysis

    NARCIS (Netherlands)

    Versluis, Jurjen; Hazenberg, Carin L. E.; Passweg, Jakob R.; van Putten, Wim L. J.; Maertens, Johan; Biemond, Bart J.; Theobald, Matthias; Graux, Carlos; Kuball, Jurgen; Schouten, Harry C.; Pabst, Thomas; Lowenberg, Bob; Ossenkoppele, Gert; Vellenga, Edo; Cornelissen, Jan J.

    2015-01-01

    Background Acute myeloid leukaemia mainly affects elderly people, with a median age at diagnosis of around 70 years. Although about 50-60% of patients enter first complete remission upon intensive induction chemotherapy, relapse remains high and overall outcomes are disappointing. Therefore, effecti

  3. U.S. Billion-Ton Update: Biomass Supply for a Bioenergy and Bioproducts Industry

    Energy Technology Data Exchange (ETDEWEB)

    Downing, Mark [ORNL; Eaton, Laurence M [ORNL; Graham, Robin Lambert [ORNL; Langholtz, Matthew H [ORNL; Perlack, Robert D [ORNL; Turhollow Jr, Anthony F [ORNL; Stokes, Bryce [Navarro Research & Engineering; Brandt, Craig C [ORNL

    2011-08-01

    The report, Biomass as Feedstock for a Bioenergy and Bioproducts Industry: The Technical Feasibility of a Billion-Ton Annual Supply (generally referred to as the Billion-Ton Study or 2005 BTS), was an estimate of 'potential' biomass based on numerous assumptions about current and future inventory, production capacity, availability, and technology. The analysis was made to determine if conterminous U.S. agriculture and forestry resources had the capability to produce at least one billion dry tons of sustainable biomass annually to displace 30% or more of the nation's present petroleum consumption. An effort was made to use conservative estimates to assure confidence in having sufficient supply to reach the goal. The potential biomass was projected to be reasonably available around mid-century when large-scale biorefineries are likely to exist. The study emphasized primary sources of forest- and agriculture-derived biomass, such as logging residues, fuel treatment thinnings, crop residues, and perennially grown grasses and trees. These primary sources have the greatest potential to supply large, reliable, and sustainable quantities of biomass. While the primary sources were emphasized, estimates of secondary residue and tertiary waste resources of biomass were also provided. The original Billion-Ton Resource Assessment, published in 2005, was divided into two parts-forest-derived resources and agriculture-derived resources. The forest resources included residues produced during the harvesting of merchantable timber, forest residues, and small-diameter trees that could become available through initiatives to reduce fire hazards and improve forest health; forest residues from land conversion; fuelwood extracted from forests; residues generated at primary forest product processing mills; and urban wood wastes, municipal solid wastes (MSW), and construction and demolition (C&D) debris. For these forest resources, only residues, wastes, and small

  4. Mobility Modification Alleviates Environmental Influence on Incident Mobility Difficulty among Community-Dwelling Older People: A Two-Year Follow-Up Study

    OpenAIRE

    Rantakokko, Merja; Portegijs, Erja; Viljanen, Anne; Iwarsson, Susanne; Rantanen, Taina

    2016-01-01

    Background Environmental barriers increase risk for mobility difficulties in old age. Mobility difficulty is preceded by a phase where people try to postpone a difficulty through mobility modification. We studied whether perceived environmental mobility barriers outdoors correlate with mobility modification and mobility difficulty, predict development of mobility difficulty over a two-year follow-up, and whether mobility modification alleviates the risk for difficulty. Methods At ...

  5. Validity of Footprint Analysis to Determine Flatfoot Using Clinical Diagnosis as the Gold Standard in a Random Sample Aged 40 Years and Older

    OpenAIRE

    Pita-Fernández, Salvador; González-Martín, Cristina; Seoane-Pillado, Teresa; López-Calviño, Beatriz; Pértega-Díaz, Sonia; Gil-Guillén, Vicente

    2015-01-01

    Background Research is needed to determine the prevalence and variables associated with the diagnosis of flatfoot, and to evaluate the validity of three footprint analysis methods for diagnosing flatfoot, using clinical diagnosis as a benchmark. Methods We conducted a cross-sectional study of a population-based random sample ≥40 years old (n = 1002) in A Coruña, Spain. Anthropometric variables, Charlson’s comorbidity score, and podiatric examination (including measurement of Clarke’s angle, t...

  6. Complications and clinical outcomes of minimally invasive transforaminal lumbar interbody fusion for the treatment of one- or two-level degenerative disc diseases of the lumbar spine in patients older than 65 years

    Institute of Scientific and Technical Information of China (English)

    WU Wen-jian; LIANG Yu; ZHANG Xin-kai; CAO Peng; ZHENG Tao

    2012-01-01

    Background Minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) has been successfully used to treat degenerative diseases of the lumbar spine.There are few reports comparing the complications and clinical outcomes in older patients who have undergone one- or two-level MIS-TLIF with those of younger patients.The aim of this study was to investigate the clinical outcomes of MIS-TLIF in the treatment of degenerative disc disease of lumbar spine of the patients older than 65 years,with an emphasis on perioperative complications compared to the younger patients.Methods One hundred and fifty-one consecutive cases of one- or two-level degenerative disc disease of lumbar spine treated with MIS-TLIF were reviewed for the radiological and clinical outcomes.They were divided into elderly group (age ≥65 years old) and younger group (age <65 years old),and were followed for at least 6 months.Radiographs were obtained before and after surgery,3 months postoperatively,and at the final follow-up to determine the presence of fusion,hardware-related problems.The clinical outcomes were evaluated using the Oswestry Disability Index (ODI)before and after surgery,and at the final follow-up.The visual analogue scale (VAS) score of back and leg pain were evaluated as well.The intra-operative data and peri-operative complications were recorded.Results The mean age of these patients at operation was (57.7±14.2) years (range 26-82 years).Of 151 patients,62were 65 years or older.The elderly patients had more comorbidities and more porportion of lumbar canal stenosis.The overall fusion rate was 88.4% at the final follow-up,with no significant difference between younger and elderly patients.The ODI,the VAS of back pain and radicular pain of both young and elderly group were significantly improved aftersurgery and at the final follow-up,without significant difference between two groups.There were 16 complications with an incidence of 10.6%,including 7 major complications

  7. The Rise of a 100-Billion-Yuan Copper Industry Cluster in Huangshi, Hubei Province

    Institute of Scientific and Technical Information of China (English)

    2013-01-01

    <正>On 28th,Sep.,Amer(Huangshi)Electronic Information Industrial Park with a total investment of 20 billion Yuan officially broke ground in Huangshi Economic and Technological Development Zone,Hubei,which indicated the rise of a 100-Billion-Yuan Copper Industry Cluster centering on Amer’s Industrial Park project.Amer International Group,a World’s Top 500Company,is a leading global group focusing

  8. Qinghai 100 Billion Yuan Lithium Market Attracts Domestic and Overseas Enterprises

    Institute of Scientific and Technical Information of China (English)

    2016-01-01

    Qinghai,a province whose lithium resource reserve accounts for one third of global total reserve,promises a fertile land of investment for many enterprises in the industry.In 2014,the"Qinghai Province Development Plan of 100 Billion Yuan Grade Lithium Battery Industry"clearly proposed to convert the advantage of Qinghai Province’s lithium battery industry to economic advantage to the maximum degree,construct 100 billion yuan

  9. 1.3 Billion People: A Weighty Responsibility——China's Population Policy

    Institute of Scientific and Technical Information of China (English)

    LURUCAI

    2005-01-01

    A sample survey of the 2004 population increase releasedby the State Statistics Bureau shows that by the end of 2004 the total population of the Chinese mainland was 1.29988 billion, and that it was increasing by 208,000 people per day. According to this data,on January 6, 2005,China's population(excluding HongKong, Macao andTaiwan) reached 1.3 billion.

  10. Sexuality in older adults

    Directory of Open Access Journals (Sweden)

    Adrián Sapetti

    2015-07-01

    Full Text Available Just as the body and its functions undergo changes with age, in the same way sexuality shares this aging process. However, remember a golden rule that we are sexual since we are born until we die; only possibilities are modified with the passage of the years. This article intends to show the changes that occur in the sexual response of the elderly. If sexual life during youth was pleasant and satisfactory this will condition sexuality in the socalled third age and the elderly seek to maintain it, this is not the case for those who had a dysfunctional past. This article briefly describes the andropause and the SIM, vicissitudes, changes and differences in sexual response and chances to maintain eroticism in the older adult. 

  11. Long-term results of total repair of tetralogy of Fallot in adulthood: 35 years follow-up in 104 patients corrected at the age of 18 or older.

    Science.gov (United States)

    Nollert, G; Fischlein, T; Bouterwek, S; Böhmer, C; Dewald, O; Kreuzer, E; Welz, A; Netz, H; Klinner, W; Reichart, B

    1997-08-01

    Long-term survival after surgical repair of tetralogy of Fallot (TOF) is reported to be excellent if the patients are corrected in childhood. However, age at operation has been demonstrated as an important risk-factor. The aim of our study was to investigate whether adult patients also benefit from surgery. From December 1958 to May 1977, 739 patients underwent a correction of their TOF with pulmonary stenosis at our institution. Foreigners (n = 52) and those who moved to a foreign country (n = 13) were excluded from further analysis. Sixteen patients were lost during follow-up (98% complete). Of the remaining patient population (n = 658; mean age: 12.2 +/- 8.6 years; range 2-67 years), 104 patients were 18 years or older at the time of correction. Operative (n = 25) and one-year (n = 8) deaths were excluded for long-term calculations, resulting in a study group of 71 patients. Actuarial 10, 20, 30, and 35-year survival rates were 94%, 93%, 83%, and 72% respectively, and not different from normal life expectancy. The most common cause of death was congestive heart failure (n = 3), followed by myocardial infarction (n = 2) and sudden death (n = 2). Parameters influencing longterm survival could not be detected. At follow-up (mean 27.7 years), more than 80% (n = 48) of the 58 survivors reported themselves to be in NYHA functional class I or II and 95% (n = 55) were in a better condition than before the operation. Repair of tetralogy of Fallot in adulthood shows excellent results with normal life expectancy for the patients.

  12. Environmentally Benign Coal Mining: Target One Billion Tonne Coal Production by CIL by 2019-20

    Directory of Open Access Journals (Sweden)

    Gurdeep Singh1,2 and

    2016-08-01

    Full Text Available Coal is the most abundant fuel resource in India. Coal is the major source of energy and is the principal contributor for the industrial growth of the developing nation like India. Coal is a bridge component in a current, balanced energy group. It is connection for the future as a vital low cost energy solution for achieving sustainability challenges for competing with the developed countries. The largest consumer of coal in India is power sector, and the industrial sector is coming next to power sector. The major consumption of coal in India is in steel plant, cement plant and brick-manufacturing units.52%of primary energy is coal dependent1.About 66% of India's power generation is based upon coal production1. While coal is considered the most significant element for the growth of country, it faces major and massive social and environmental issues. Environmental worries are the most important parameter for the coal industry’s future. In comparison to the other fossil fuels, coal is more pollution causing and less energy efficient. Coal has an important role in fulfillment of current needs. 212.10 Million Tonnes of coal was imported in the financial year 2014-152.The coal demand will be increasing due to increase in electricity demand of the country. Coal India being the largest producer of coal in India has to plan accordingly to fulfill the coal demand of country. A road map for enhancement of coal production up to 1 Billion of coal by 2019-2020 has been prepared by Coal India3. Due to coal mining the key environmental impacts are on air, water, land, forest, biodiversity, and climate etc. The biggest challenge is to put on the innovative technologies in the most efficient and environmentally friendly manner and to solve social issues by taking care of the implementation of rehabilitation and resettlement (R&R.Thrust is now to promote inclusive growth of mining areas by adequate corporate social responsibilities (CSR activities4,5. Thus the

  13. Data Sources Available for Modeling Environmental Exposures in Older Adults

    Science.gov (United States)

    This report, “Data Sources Available for Modeling Environmental Exposures in Older Adults,” focuses on information sources and data available for modeling environmental exposures in the older U.S. population, defined here to be people 60 years and older, with an emphasis on those...

  14. Large data analysis: automatic visual personal identification in a demography of 1.2 billion persons

    Science.gov (United States)

    Daugman, John

    2014-05-01

    The largest biometric deployment in history is now underway in India, where the Government is enrolling the iris patterns (among other data) of all 1.2 billion citizens. The purpose of the Unique Identification Authority of India (UIDAI) is to ensure fair access to welfare benefits and entitlements, to reduce fraud, and enhance social inclusion. Only a minority of Indian citizens have bank accounts; only 4 percent possess passports; and less than half of all aid money reaches its intended recipients. A person who lacks any means of establishing their identity is excluded from entitlements and does not officially exist; thus the slogan of UIDAI is: To give the poor an identity." This ambitious program enrolls a million people every day, across 36,000 stations run by 83 agencies, with a 3-year completion target for the entire national population. The halfway point was recently passed with more than 600 million persons now enrolled. In order to detect and prevent duplicate identities, every iris pattern that is enrolled is first compared against all others enrolled so far; thus the daily workflow now requires 600 trillion (or 600 million-million) iris cross-comparisons. Avoiding identity collisions (False Matches) requires high biometric entropy, and achieving the tremendous match speed requires phase bit coding. Both of these requirements are being delivered operationally by wavelet methods developed by the author for encoding and comparing iris patterns, which will be the focus of this Large Data Award" presentation.

  15. Long-term impact of the 2011 Great East Japan Earthquake and tsunami on functional disability among older people: A 3-year longitudinal comparison of disability prevalence among Japanese municipalities.

    Science.gov (United States)

    Tomata, Yasutake; Suzuki, Yoshinori; Kawado, Miyuki; Yamada, Hiroya; Murakami, Yoshitaka; Mieno, Makiko Naka; Shibata, Yosuke; Ojima, Toshiyuki; Hashimoto, Shuji; Tsuji, Ichiro

    2015-12-01

    It has been unclear whether the prevalence of disability is higher in an area affected by natural disaster than in other areas even if more than one year has passed since the disaster. The aim of this ecological study was to examine whether the rate of increase in disability prevalence among the older population was higher in disaster-stricken areas during the 3 years after the Great East Japan Earthquake (GEJE) and tsunami. This analysis used public Long-term Care Insurance (LTCI) data covering 1570 municipalities. "Disaster areas" were considered to be the three prefectures most affected by the earthquake and tsunami: Iwate, Miyagi, and Fukushima. The outcome measure was the number of aged people (≥65 years) with LTCI disability certification. Rates of change in disability prevalence from January 2011 to January 2014 were used as the primary outcome variable, and compared by analysis of covariance between "coastal disaster areas", "inland disaster areas" and "non-disaster areas". The mean rate of increase in disability prevalence in coastal (14.7%) and inland (10.0%) disaster areas was higher than in non-disaster areas (6.2%) (P disability prevalence from before the GEJE continued to be higher in the disaster-stricken areas.

  16. The North Staffordshire Osteoarthritis Project – NorStOP: Prospective, 3-year study of the epidemiology and management of clinical osteoarthritis in a general population of older adults

    Directory of Open Access Journals (Sweden)

    Dziedzic Krysia

    2004-01-01

    Full Text Available Abstract Background The clinical syndrome of joint pain and stiffness in older people is the commonest cause of disability and health care consultation in this age group. Yet there have been few prospective studies of its course over time and its impact on personal and social life. We plan a cohort study in the general population aged 50 years and over to determine the course and prognosis of hand, hip, knee and foot pain, and the impact of these syndromes on participation levels and health care use. Methods All patients aged 50 years and over registered with 3 local general practices are to be recruited to a population-based cohort study through the use of a two-stage mailing process. Participants will initially complete a "Health Survey" questionnaire. This will collect information on several areas of life including socio-demographics, general health, physical function, participation, and bodily pain. Those who state that they have experienced any hand problem or any pain in their hands, hips, knees, or feet in the previous 12 months, and also give permission to be re-contacted, will be mailed a "Regional Pains Survey" questionnaire which collects detailed information on the four selected body regions (hand, hips, knees, feet. Follow-up data for the three-year period subsequent to cohort recruitment will be collected through two sources: i general practice medical records and ii repeat mailed survey.

  17. Autologous stem cell transplantation for patients aged 60 years or older with refractory or relapsed classical Hodgkin's lymphoma: a retrospective analysis from the French Society of Bone Marrow Transplantation and Cell Therapies (SFGM-TC).

    Science.gov (United States)

    Stamatoullas, A; Brice, P; Gueye, M S; Mareschal, S; Chevallier, P; Bouabdallah, R; Nguyenquoc, S; Francois, S; Turlure, P; Ceballos, P; Monjanel, H; Bourhis, J-H; Guillerm, G; Mohty, M; Biron, P; Cornillon, J; Belhadj, K; Bonmati, C; Dilhuydy, M-S; Huynh, A; Bernard, M; Chrétien, M-L; Peffault de Latour, R; Tilly, H

    2016-07-01

    This report retrospectively analyzed the outcome of 91 patients aged 60 years or older with refractory/relapsed (R/R) classical Hodgkin's lymphoma (cHL) who underwent autologous stem cell transplantation (ASCT) between 1992 and 2013 and were reported to the French Society of Bone Marrow Transplantation and Cell Therapies registry. The median age at transplant was 63 years. The majority of patients exhibited disease chemosensitivity to salvage treatment (57 complete responses, 30 partial responses, 1 progressive disease and 3 unknown). The most frequent conditioning regimen consisted of BCNU, cytarabine, etoposide, melphalan (BEAM) chemotherapy (93%). With a median follow-up of 54 months, 5-year estimates of overall survival (OS) and progression free survival (PFS) for the entire group were 67 and 54%, respectively. Despite the missing data, in univariate analysis, the number of salvage chemotherapy lines (1-2 versus ⩾3) significantly influenced the OS, unlike the other prognostic factors (stage III-IV at relapse, disease status before ASCT and negative positron emission tomography (PET) scan) encountered in younger patients. In spite of its limitations, this retrospective study with a long-term follow-up suggests that ASCT is a valid treatment option for chemosensitive R/R cHL in selected elderly patients, with an acceptable rate of toxicity.

  18. Age-related changes in physical fall risk factors: results from a 3 year follow-up of community dwelling older adults in Tasmania, Australia.

    Science.gov (United States)

    Bird, Marie-Louise; Pittaway, Jane K; Cuisick, Isobel; Rattray, Megan; Ahuja, Kiran D K

    2013-11-11

    As the population ages, fall rates are expected to increase, leading to a rise in accidental injury and injury-related deaths, and placing an escalating burden on health care systems. Sixty-nine independent community-dwelling adults (60-85 years, 18 males) had their leg strength, physical activity levels and their annual fall rate assessed at two timepoints over three years, (summer 2010 and summer 2013) monitoring balance. Force platform measures of medio-lateral sway range increased significantly under conditions of eyes open (mean difference MD 2.5 cm; 95% CI 2.2 to 2.8 cm) and eyes closed (MD 3.2 cm; 95% CI 2.8 to 3.6 cm), respectively (all p 0.26). Physical activity reduced significantly (MD -909 Cal/week; 95% CI -347 to -1,470 Cal/week; p = 0.002) during the course of the study. Participants maintained aerobic activities, however resistance and balance exercise levels decreased non-significantly. The likelihood of falling was higher at the end of the study compared to the first timepoint (odds ratio 1.93, 95% CI 0.94 to 3.94; p = 0.07). Results of this study indicate that despite maintenance of leg strength there was an increase in medio-lateral sway over a relatively short time frame, with higher than expected increases in fall rates.

  19. Relationship between serum ferritin levels and sarcopenia in Korean females aged 60 years and older using the fourth Korea National Health and Nutrition Examination Survey (KNHANES IV-2, 3, 2008-2009.

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    Tae Ho Kim

    Full Text Available CONTEXT: It has been suggested that elevated serum ferritin is associated with several metabolic disorders. However, there is no reported study assessing any association between serum ferritin and sarcopenia despite the close relationship between sarcopenia and metabolic disorders. OBJECTIVE: We investigated whether serum ferritin was associated with sarcopenia in older Koreans. DESIGN AND SETTING: We conducted a cross-sectional study based on data acquired in the second and third years (2008-9 of the fourth Korean National Health and Nutrition Examination Survey. PARTICIPANTS: In total, 952 men (mean age 69.0 years and 1,380 women (mean age 69.3 years aged 60 years and older completed a body composition study using dual energy X-ray absorptiometry. MEASUREMENTS: Serum ferritin levels were measured. Sarcopenia was defined as an appendicular skeletal mass as a percentage of body weight that was less than two standard deviations below the gender-specific mean for young adults. RESULTS: Serum ferritin levels were lower in women than in men. Women with sarcopenia showed a higher level of serum ferritin than women without sarcopenia (men: without sarcopenia 115.7 ng/mL and with sarcopenia 134.4 ng/mL vs. women: without sarcopenia 70.7 ng/mL and with sarcopenia 85.4 ng/mL. The prevalence of sarcopenia increased as the tertile of serum ferritin increased. However, statistical significance was only seen in elderly women (1(st tertile 6.3%, 2(nd tertile 8.0%, 3(rd tertile 12.0%; p = 0.008. Without adjustment, compared with those in the lowest tertile of serum ferritin level, participants in the highest tertile had an odds ratio of 2.02 (95% confidence interval = 1.26-3.23 for sarcopenia in women. After adjusting for known risk factors, the OR for sarcopenia was 1.74 (95% CI = 1.02-2.97 in women. There was no statistically significant association between sarcopenia and serum ferritin tertiles in men. CONCLUSIONS: Elevated serum ferritin levels were

  20. Vision Loss in Older Adults.

    Science.gov (United States)

    Pelletier, Allen L; Rojas-Roldan, Ledy; Coffin, Janis

    2016-08-01

    Vision loss affects 37 million Americans older than 50 years and one in four who are older than 80 years. The U.S. Preventive Services Task Force concludes that current evidence is insufficient to assess the balance of benefits and harms of screening for impaired visual acuity in adults older than 65 years. However, family physicians play a critical role in identifying persons who are at risk of vision loss, counseling patients, and referring patients for disease-specific treatment. The conditions that cause most cases of vision loss in older patients are age-related macular degeneration, glaucoma, ocular complications of diabetes mellitus, and age-related cataracts. Vitamin supplements can delay the progression of age-related macular degeneration. Intravitreal injection of a vascular endothelial growth factor inhibitor can preserve vision in the neovascular form of macular degeneration. Medicated eye drops reduce intraocular pressure and can delay the progression of vision loss in patients with glaucoma, but adherence to treatment is poor. Laser trabeculoplasty also lowers intraocular pressure and preserves vision in patients with primary open-angle glaucoma, but long-term studies are needed to identify who is most likely to benefit from surgery. Tight glycemic control in adults with diabetes slows the progression of diabetic retinopathy, but must be balanced against the risks of hypoglycemia and death in older adults. Fenofibrate also slows progression of diabetic retinopathy. Panretinal photocoagulation is the mainstay of treatment for diabetic retinopathy, whereas vascular endothelial growth factor inhibitors slow vision loss resulting from diabetic macular edema. Preoperative testing before cataract surgery does not improve outcomes and is not recommended.

  1. [From the Cochrane Library: ultrasonographic screening for abdominal aortic aneurysm in men aged 65 years and older: low risk of fatal aneurysm rupture].

    Science.gov (United States)

    Hamerlynck, J V T H; Legemate, D A; Hooft, L

    2008-03-29

    Abdominal aortic aneurysm (AAA) is present in 5-10% of men aged 65-79 years and is often asymptomatic. The major complication is rupture, which requires emergency surgery. The mortality rate after rupture is high: about 80% of those who reach the hospital and 50% of those undergoing emergency surgery will die. Elective surgical repair of AAA aims to prevent death from rupture; the 30-day surgical mortality rate for open surgery is approximately 5%. Currently elective surgical repair is recommended for aneurysms larger than 5-5 cm to prevent rupture. There is interest in population screening to detect, monitor and repair AAA before rupture. A Cochrane systematic review of 4 randomised studies involving 127,891 men and 9,342 women revealed a significant reduction in mortality from AAA in men aged 65-79 years who underwent ultrasonographic screening (odds ratio (OR): 0.60; 95% CI: 0.47-0.78). There was insufficient evidence to demonstrate a benefit in women. Men who had been screened underwent more surgery for AAA (OR: 2.03; 95% CI: 1.59-2.59). These findings should be considered carefully when determining whether a coordinated population-based screening programme should be introduced. A gap in the current research is the balance of benefits and risks in women. Furthermore, detailed studies are needed on how to best provide information on the potential benefits and risks to individuals who are offered screening, and on the psychological effects of screening on patients and their partners.

  2. Relationship between spinal osteoarthritis and vertebral fractures in men older than 50 years: data from the Camargo Cohort Study.

    Science.gov (United States)

    Pariente, Emilio; Olmos, José M; Landeras, Rosa; Nan, Daniel; González-Macías, Jesús; Hernández, José Luis

    2017-01-01

    Spinal osteoarthritis has been suggested as a risk factor for vertebral fractures. However, results are conflicting: most of the data are focused on the lumbar region, and referred to postmenopausal women, whereas data for men are scarce. The aim of this study is to assess the relationship between spinal osteoarthritis and vertebral fractures in men over 50 years of age. We conducted a cross-sectional study, nested in a prospective population-based cohort, including 507 community-dwelling men, 93 of them with at least one vertebral fracture. Vertebral fractures, osteophytosis, and disc space narrowing (DSN) were assessed by lateral thoracic and lumbar radiographs. Anthropometric, clinical, and densitometric variables were also analyzed. A multiple logistic regression model was performed. Eighty-five percent of vertebral fractures were located at the thoracic spine. Osteophytosis and DSN showed a bimodal distribution, with major frequency peaks at mid- and distal lumbar spine. The three distributions overlapped around the T9 vertebra. We did not find any relationship between lumbar osteoarthritis and vertebral fractures. Nevertheless, thoracic osteophytosis (OR, 1.84; 95 % CI, 1.05-3.17; p = 0.03) and DSN (OR, 2.52; 95 % CI, 1.43-4.46; p = 0.001) were found to be independently associated with prevalent vertebral fractures, after adjusting for confounders. Our results suggest a positive relationship between radiologic osteoarthritic changes at the thoracic spine and prevalent vertebral fractures in men more than 50 years of age. Osteoarthritis may act as a local risk factor, in addition to other mechanical factors, resulting in a greater propensity to fracture, especially at the mid-thoracic region.

  3. Cognitive characteristics of older Japanese drivers

    Directory of Open Access Journals (Sweden)

    Susilowati Indri H

    2012-02-01

    Full Text Available Abstract Background Some causes of accidents among older drivers are: not paying attention to traffic signals; missing stop lines; and having to deal with and misjudging emergency situations. These causes of accidents reveal problems with attention and cognition. Such incidents are also related to driver perception and stress-coping mechanisms. It is important to examine the relation of stress reactions to attention and cognition as a factor influencing the causes of accidents commonly involving older drivers. Finding Subjects were 10 young drivers (23.3 ± 3.33 years and 25 older drivers divided into two groups (older1 [60 to 65 years] and older2 [> 65 years]. This study revealed the correlation within driver stress inventory and driver coping questionnaires parameters was observed only in older drivers. They also needed a longer response time for Trail Making Test A and B. The factors affected the attention and cognition of older drivers by age but not driving experience itself, and coping parameters such as emotion focus, reappraisal, and avoidance were not included as stress inventory parameters. Being prone to fatigue was less for younger drivers than older drivers. Because they have shorter distances, shorter drive times, and no need for expressways, older drivers also had a significantly lower risk of thrill-seeking behaviour and more patience. Conclusion The intervention addressing their attention skills, aggressive feelings, and emotion focus should be considered. The technological improvements in cars will make older drivers feel safer and make driving easier which might lower the attention paid to the road, and regular driving training might be needed to assess and enhance their safety.

  4. Prevalence and Predictors of Pre-Diabetes and Diabetes among Adults 18 Years or Older in Florida: A Multinomial Logistic Modeling Approach.

    Directory of Open Access Journals (Sweden)

    Ifechukwude Obiamaka Okwechime

    Full Text Available Individuals with pre-diabetes and diabetes have increased risks of developing macro-vascular complications including heart disease and stroke; which are the leading causes of death globally. The objective of this study was to estimate the prevalence of pre-diabetes and diabetes, and to investigate their predictors among adults ≥18 years in Florida.Data covering the time period January-December 2013, were obtained from Florida's Behavioral Risk Factor Surveillance System (BRFSS. Survey design of the study was declared using SVYSET statement of STATA 13.1. Descriptive analyses were performed to estimate the prevalence of pre-diabetes and diabetes. Predictors of pre-diabetes and diabetes were investigated using multinomial logistic regression model. Model goodness-of-fit was evaluated using both the multinomial goodness-of-fit test proposed by Fagerland, Hosmer, and Bofin, as well as, the Hosmer-Lemeshow's goodness of fit test.There were approximately 2,983 (7.3% and 5,189 (12.1% adults in Florida diagnosed with pre-diabetes and diabetes, respectively. Over half of the study respondents were white, married and over the age of 45 years while 36.4% reported being physically inactive, overweight (36.4% or obese (26.4%, hypertensive (34.6%, hypercholesteremic (40.3%, and 26% were arthritic. Based on the final multivariable multinomial model, only being overweight (Relative Risk Ratio [RRR] = 1.85, 95% Confidence Interval [95% CI] = 1.41, 2.42, obese (RRR = 3.41, 95% CI = 2.61, 4.45, hypertensive (RRR = 1.69, 95% CI = 1.33, 2.15, hypercholesterolemic (RRR = 1.94, 95% CI = 1.55, 2.43, and arthritic (RRR = 1.24, 95% CI = 1.00, 1.55 had significant associations with pre-diabetes. However, more predictors had significant associations with diabetes and the strengths of associations tended to be higher than for the association with pre-diabetes. For instance, the relative risk ratios for the association between diabetes and being overweight (RRR = 2.00, 95

  5. The association of chronic obstructive pulmonary disease, disability, engagement in social activities, and mortality among US adults aged 70 years or older, 1994–2006

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    Liu Y

    2014-01-01

    Full Text Available Yong Liu,1 Janet B Croft,1 Lynda A Anderson,2 Anne G Wheaton,1 Letitia R Presley-Cantrell,3 Earl S Ford11Epidemiology and Surveillance Branch, 2Healthy Aging Program, Division of Population Health, CDC and Rollins School of Public Health, Emory University, 3Program Development and Services Management, Division of Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USAPurpose: To assess associations among chronic obstructive pulmonary disease (COPD, disability as measured by activities of daily living (ADL and instrumental ADL (IADL, engagement in social activities, and death among elderly noninstitutionalized US residents.Materials and methods: A nationally representative sample of 9,415 adults who were aged ≥70 years and responded to the Second Supplement on Aging survey in 1994–1996 and mortality follow-up study through 2006 were assessed. Multiple logistic regression analyses were performed to assess the risk of all-cause mortality in participants with COPD after accounting for age, sex, race/ethnicity, and smoking status.Results: At baseline, approximately 9.6% of study participants reported having COPD. Compared with participants without COPD, those with COPD were significantly more likely (P<0.05 to have difficulty with at least one ADL (44.3% versus [vs] 27.5% and with at least one IADL (59.9% vs 40.2%, significantly less likely to be engaged in social activities (32.6% vs 26.3%, and significantly more likely to die by 2006 (70.7% vs 60.4%; adjusted risk ratio 1.15, P<0.05. The association between COPD and risk for death was moderately attenuated by disability status.Conclusion: COPD is positively associated with disability and mortality risk among US adults aged ≥70 years. The significant relationship between COPD and mortality risk was moderately attenuated, but was not completely explained by stages of ADL and IADL limitations and social activities.Keywords: chronic obstructive pulmonary

  6. RCT of a theory-based intervention promoting healthy eating and physical activity amongst out-patients older than 65 years.

    Science.gov (United States)

    Kelley, Kate; Abraham, Charles

    2004-08-01

    A randomised controlled trial was used to evaluate a theory-based health promotion intervention. The intervention, a healthy living booklet, was designed to promote healthy eating and physical activity amongst people aged over 65 years attending hospital out-patient clinics. The booklet employed persuasive arguments targeting the most proximal cognitive antecedents of behaviour specified by the theory of planned behaviour, as well as goal setting prompts. Participants (N = 252, average age=82) were randomly allocated to a control (patient satisfaction questionnaire) or intervention (healthy living booklet) group. Cognitions and behaviour were measured pre-intervention and at a two week follow up. The intervention group made significantly higher gains in perceived behavioural control, intention and behaviour for both target behaviours, suggesting that the intervention was successful. Sixty three of those invited to set goals to eat more healthily (e.g., "to eat five portions of fruit and vegetables a day") did so, and 67% of those who set such goals reported 100% success in acting on them. By contrast, only 34% of intervention participants set an activity goal (e.g., "a five minute walk everyday"), and only 51% reported 100% success in enacting these goals. Results suggest that the observed behavioural effects of the healthy eating booklet could be attributed to goal setting as well as changes in perceived behavioural control and intention.

  7. Psychological need satisfaction and well-being in adults aged 80 years and older living in residential homes: using a self-determination theory perspective.

    Science.gov (United States)

    Ferrand, Claude; Martinent, Guillaume; Durmaz, Neriman

    2014-08-01

    Based on the self-determination theory (SDT), this study aims to examine the psychological needs satisfaction of the elderly living in residential homes and their relationship with indicators of well-being, and then to test the contribution of each need on these indicators. Participants (N=100; Mage=86.7 years, SD=3.78) completed the measures of psychological needs satisfaction, purpose in life, personal growth and geriatric depression. Cluster analyses showed two distinct profiles: one profile with a high satisfaction of the three basic psychological needs and another profile with a low satisfaction of the three basic psychological needs. These profiles did not differ in terms of residents' characteristics, health problems and functional limitations. Multivariate analysis of variance (MANOVA) results revealed that the participants with the profile of a high satisfaction of psychological needs have significantly higher levels of purpose in life and personal growth than participants with the profile of a low satisfaction of psychological needs, and no effect of cluster membership on depressive feelings was reported. Moreover, for all participants, relatedness need satisfaction was significantly and positively related to personal growth, and autonomy and relatedness needs satisfaction was related to purpose of life. In conclusion, our results offer evidence that old age can be fruitful and, in consistent with SDT, show that autonomy and relatedness need satisfaction is positively associated with indicators of well-being such as purpose in life and personal growth, considered as essential components of optimal functioning.

  8. The Association between the Consumption of Fish/Shellfish and the Risk of Osteoporosis in Men and Postmenopausal Women Aged 50 Years or Older.

    Science.gov (United States)

    Choi, Eunjin; Park, Youngsoon

    2016-02-25

    Fish rich in n-3 polyunsaturated fatty acids have been suggested to have a favorable effect on bone health, but previous epidemiologic studies have shown inconsistent results. The purpose of the present study was to investigate the hypothesis that the consumption of fish and shellfish is positively associated with bone mass and negatively associated with the risk of osteoporosis in Koreans and Americans. Men and postmenopausal women ≥ 50 years old from the Korean National Health and Nutrition Examination Survey 2008-2011 (n = 7154) and the National Health and Nutrition Examination Survey 2007-2010 (n = 2658) were included. There was a positive correlation between the consumption of fish and shellfish and bone mineral density (BMD) of the total femur, femoral neck, and lumbar spine in Koreans. Consistently, multivariate logistic regression analysis showed a significant association between intake of fish and shellfish and the risk of osteoporosis in Koreans but not in Americans. Consumption of fish and shellfish was 4-5 times higher in Koreans than Americans in the present study. In conclusion, intake of fish and shellfish was associated with BMD and the risk of osteoporosis in Koreans but not in Americans, suggesting that a minimum intake level of fish and shellfish might be recommended to protect against bone loss and osteoporosis.

  9. The relationship of alcohol consumption with left ventricular mass in people 35 years old or older in rural areas of Western China.

    Science.gov (United States)

    Yang, Yunjing; Zhang, Nan; Huang, Wei; Feng, Rui; Feng, Panpan; Gu, Jun; Liu, Gang; Lei, Han

    2017-02-20

    The aim of this study was to investigate the association between alcohol intake and left ventricular mass (LVM) independent of the effects of blood pressure and other factors in rural areas of Western China. The present study included 1007 subjects (487 men and 520 women) aged ≥35 years from the Tongan district, Chongqing, China. The quantity and frequency of alcohol consumption were estimated from a validated questionnaire. Echocardiography was used to assess left ventricular dimensions. Drinkers was associated with higher LVM compared with nondrinkers (β = 6.9, 95% confidence interval: 1.3-12.5, P = .015). A dose-dependent higher LVM across increasing alcohol consumption was observed (P consumption (P for interaction = .013) and frequency of alcohol consumption (P for interaction = .025) were strongly associated with higher LVM when stratified by blood pressure. However, interactions linked to age, body mass index, and gender were found to be no significant difference. These results indicate that both quantity and frequency of alcohol consumption are independent predictors of LVM in rural areas of Western China. The effects of alcohol consumption on LVM are enhanced among subjects with hypertension.

  10. Does multicomponent physical exercise with simultaneous cognitive training boost cognitive performance in older adults? A 6-month rando­mized controlled trial with a 1-year follow-up

    Directory of Open Access Journals (Sweden)

    Eggenberger P

    2015-08-01

    Full Text Available Patrick Eggenberger,1 Vera Schumacher,2,3 Marius Angst,1 Nathan Theill,4,5 Eling D de Bruin1,6,7 1Institute of Human Movement Sciences and Sport, Department of Health Sciences and Technology, ETH Zurich, 2Department of Gerontopsychology and Gerontology, 3University Research Priority Program “Dynamics of Healthy Aging”, University of Zurich, Zurich, 4Division of Psychiatry Research, University of Zurich, Schlieren, 5Center for Gerontology, University of Zurich, Zurich, Switzerland; 6CAPHRI School for Public Health and Primary Care, Department of Epidemiology, 7Centre for Evidence Based Physiotherapy, Maastricht University, Maastricht, the Netherlands Background: Cognitive impairment is a health problem that concerns almost every second elderly person. Physical and cognitive training have differential positive effects on cognition, but have been rarely applied in combination. This study evaluates synergistic effects of multicomponent physical exercise complemented with novel simultaneous cognitive training on cognition in older adults. We hypothesized that simultaneous cognitive–physical components would add training specific cognitive benefits compared to exclusively physical training.Methods: Seniors, older than 70 years, without cognitive impairment, were randomly assigned to either: 1 virtual reality video game dancing (DANCE, 2 treadmill walking with simultaneous verbal memory training (MEMORY, or 3 treadmill walking (PHYS. Each program was complemented with strength and balance exercises. Two 1-hour training sessions per week over 6 months were applied. Cognitive performance was assessed at baseline, after 3 and 6 months, and at 1-year follow-up. Multiple regression analyses with planned comparisons were calculated.Results: Eighty-nine participants were randomized to the three groups initially, 71 completed the training, while 47 were available at 1-year follow-up. Advantages of the simultaneous cognitive–physical programs were

  11. Changes in some hematologic variables in a group of women older tan 55 years, after a program of aerobic training Cambios en algunas variables hematológicas, en un grupo de mujeres mayores de 55 años, luego de un programa de entrenamiento aeróbico

    OpenAIRE

    2003-01-01

    Objective: to evaluate changes in some hematologic variables after a four-month program of aerobic physical activity, in a group of healthy women, older than 55 years. Methods: 14 healthy sedentary women, older than 55 years were studied; they participated in a program of aerobic physical activity, three times per week, during four months, with an intensity between 60-85% of the maximal heart rate and with 60 minutes of duration per session. Before and after the program blood specimens were o...

  12. An ultraluminous quasar with a twelve-billion-solar-mass black hole at redshift 6.30.

    Science.gov (United States)

    Wu, Xue-Bing; Wang, Feige; Fan, Xiaohui; Yi, Weimin; Zuo, Wenwen; Bian, Fuyan; Jiang, Linhua; McGreer, Ian D; Wang, Ran; Yang, Jinyi; Yang, Qian; Thompson, David; Beletsky, Yuri

    2015-02-26

    So far, roughly 40 quasars with redshifts greater than z = 6 have been discovered. Each quasar contains a black hole with a mass of about one billion solar masses (10(9) M Sun symbol). The existence of such black holes when the Universe was less than one billion years old presents substantial challenges to theories of the formation and growth of black holes and the coevolution of black holes and galaxies. Here we report the discovery of an ultraluminous quasar, SDSS J010013.02+280225.8, at redshift z = 6.30. It has an optical and near-infrared luminosity a few times greater than those of previously known z > 6 quasars. On the basis of the deep absorption trough on the blue side of the Lyman-α emission line in the spectrum, we estimate the proper size of the ionized proximity zone associated with the quasar to be about 26 million light years, larger than found with other z > 6.1 quasars with lower luminosities. We estimate (on the basis of a near-infrared spectrum) that the black hole has a mass of ∼1.2 × 10(10) M Sun symbol, which is consistent with the 1.3 × 10(10) M Sun symbol derived by assuming an Eddington-limited accretion rate.

  13. 厦门市18岁及以上人群精神障碍现况调查%Epidemiological survey of mental disorders in people aged 18 years and older in Xiamen city

    Institute of Scientific and Technical Information of China (English)

    王文强; 丁丽君; 温程; 廖震华; 洪旭; 陈莹; 张锦黎; 蔡佳; 吴素英

    2013-01-01

    Objective To describe the prevalence and distribution of all type of mental disorders among people aged 18 years and older in Xiamen City.Methods Using multi-stage stratified cluster sampling,12 071 subjects aged 18 years and older were identified in Xiamen City.The subjects were screed with the expanded version of GHQ-12 and classified as high,moderate or low risk of having a mental disorder based on the results.Different proportions of the three groups (100% of the high-,40% of the moderate-,10% of the low-risk) were assessed with the Structured Clinical Interview for DSM-IV-TR,and made a determintation that whether they had mental disorder and specific diagnosis.Results A total of 10 764 subjects completed the screening,the completion was 89.17%.The 1-month overall prevalence of any mental disorder was 3.46% (95%CI:3.13%-3.82%),and the overall lifetime prevalence was 6.35% (95% CI:5.90%-6.83%).The prevalence rates of single disorders were as following:major depressive disorder (0.83%),dysthymic disorder (0.55%),anxiety disorder NOS (0.51%),mood disorder NOS (0.44%),mental retardation (0.40%).The prevalence was higher in rural than in urban (5.99% vs.2.79%) people,higher in Xiamen household register than non-Xiamen household register (4.19% vs.2.21%).higher in ones aged 40-54 years (4.55%) and aged 55 years and older (5.05%) than ones aged 18-39 years (2.30%).Among 226 subjects with a disorder,30.53% were moderately to severely affected due to the disorder,but only 9.30% had ever received any type of mental health treatment.Conclusions Major depressive disorder,dysthymic disorder,non-specific anxiety disorder,nonspecific mood disorder and mental retardation are the most mommon mental disorders in Xiamen.Persons in rural or ones aged 55 years and older or household register have higher prevalence rate.%目的 了解厦门市年龄≥18岁人群各类精神障碍的患病率及分布特点.方法 采用多阶段

  14. Oxytocin improves emotion recognition for older males.

    Science.gov (United States)

    Campbell, Anna; Ruffman, Ted; Murray, Janice E; Glue, Paul

    2014-10-01

    Older adults (≥60 years) perform worse than young adults (18-30 years) when recognizing facial expressions of emotion. The hypothesized cause of these changes might be declines in neurotransmitters that could affect information processing within the brain. In the present study, we examined the neuropeptide oxytocin that functions to increase neurotransmission. Research suggests that oxytocin benefits the emotion recognition of less socially able individuals. Men tend to have lower levels of oxytocin and older men tend to have worse emotion recognition than older women; therefore, there is reason to think that older men will be particularly likely to benefit from oxytocin. We examined this idea using a double-blind design, testing 68 older and 68 young adults randomly allocated to receive oxytocin nasal spray (20 international units) or placebo. Forty-five minutes afterward they completed an emotion recognition task assessing labeling accuracy for angry, disgusted, fearful, happy, neutral, and sad faces. Older males receiving oxytocin showed improved emotion recognition relative to those taking placebo. No differences were found for older females or young adults. We hypothesize that oxytocin facilitates emotion recognition by improving neurotransmission in the group with the worst emotion recognition.

  15. Treatment of periodontal disease in older adults.

    Science.gov (United States)

    Renvert, Stefan; Persson, G Rutger

    2016-10-01

    Within the next 40 years the number of older adults worldwide will more than double. This will impact periodontal treatment needs and presents a challenge to health-care providers and governments worldwide, as severe periodontitis has been reported to be the sixth most prevalent medical condition in the world. Older adults (≥ 80 years of age) who receive regular dental care retain more teeth than those who do not receive such care, but routine general dental care for these individuals is not sufficient to prevent the progression of periodontitis with the same degree of success as in younger individuals. There is a paucity of data on the efficacy of different periodontal therapies for older individuals. However, considering the higher prevalence of chronic medical conditions seen in older adults, it cannot be assumed that periodontal therapy will yield the same degree of success seen in younger individuals. Furthermore, medications can influence the status of the periodontium and the delivery of periodontal care. As an example, anticoagulant drugs are common among older patients and may be a contraindication to certain treatments. Newer anticoagulants will, however, facilitate surgical intervention in older patients. Furthermore, prescription medications taken for chronic conditions, such as osteoporosis and cardiovascular diseases, can affect the periodontium in a variety of ways. In summary, consideration of socio-economic factors, general health status and multiple-drug therapies will, in the future, be an important part of the management of periodontitis in older adults.

  16. Exploring attitudes towards older people's sexuality.

    Science.gov (United States)

    Price, B

    2009-07-01

    Sexuality is an important part of life, for older people as well as for others. Sexual attitudes, beliefs and lifestyles may be as diverse among older people as they are among younger age groups. But for nurses to plan care with patients in ways that take issues of sexuality into account, they need to feel more comfortable talking about sexuality with older people. This article uses case studies to help readers explore their own attitudes and those of colleagues towards sexuality in later years, and prompts discussions on what this might signify for future nursing care so that staff are better equipped to assist patients with this subject.

  17. Multicomponent physical exercise with simultaneous cognitive training to enhance dual-task walking of older adults: a secondary analysis of a 6-month randomized controlled trial with 1-year follow-up

    Directory of Open Access Journals (Sweden)

    Eggenberger P

    2015-10-01

    Full Text Available Patrick Eggenberger,1 Nathan Theill,2,3 Stefan Holenstein,1 Vera Schumacher,4,5 Eling D de Bruin1,6,7 1Department of Health Sciences and Technology, Institute of Human Movement Sciences and Sport, ETH Zurich, 2Division of Psychiatry Research, 3Center for Gerontology, 4Department of Gerontopsychology and Gerontology, 5University Research Priority Program “Dynamics of Healthy Aging”, University of Zurich, Zurich, Switzerland; 6Department of Epidemiology, CAPHRI School for Public Health and Primary Care, 7Centre for Evidence Based Physiotherapy, Maastricht University, Maastricht, the Netherlands Background: About one-third of people older than 65 years fall at least once a year. Physical exercise has been previously demonstrated to improve gait, enhance physical fitness, and prevent falls. Nonetheless, the addition of cognitive training components may potentially increase these effects, since cognitive impairment is related to gait irregularities and fall risk. We hypothesized that simultaneous cognitive–physical training would lead to greater improvements in dual-task (DT gait compared to exclusive physical training.Methods: Elderly persons older than 70 years and without cognitive impairment were randomly assigned to the following groups: 1 virtual reality video game dancing (DANCE, 2 treadmill walking with simultaneous verbal memory training (MEMORY, or 3 treadmill walking (PHYS. Each program was complemented with strength and balance exercises. Two 1-hour training sessions per week over 6 months were applied. Gait variables, functional fitness (Short Physical Performance Battery, 6-minute walk, and fall frequencies were assessed at baseline, after 3 months and 6 months, and at 1-year follow-up. Multiple regression analyses with planned comparisons were carried out.Results: Eighty-nine participants were randomized to three groups initially; 71 completed the training and 47 were available at 1-year follow-up. DANCE/MEMORY showed a

  18. Low-Dose lnterleukin-2 Immunotherapy Does Not Improve Outcome of Patients Age 60 Years and Older with Acute Myeloid Leukemia in First Complete Remission%首次缓解后使用小剂量IL-2免疫治疗不能改善≥60岁老年急性髓性白血病患者预后

    Institute of Scientific and Technical Information of China (English)

    马军; 吴穗晶; 杜欣

    2009-01-01

    @@ 1文献来源 Low-dose Interleukin-2 immunotherapy does not improve outcome of patients age 60 years and older with acute myeloid leukemia in first complete remission: Cancer and Leukemia Group B Study 9720. [J]. J Clin Oncol, 2008,12(26):4934-4939.

  19. Renovating Older Schools: Reusing Older Schools Workshop.

    Science.gov (United States)

    Mississippi State Univ., Mississippi State. Educational Design Inst.

    A slide presentation examines the decisionmaking process behind whether a community should renovate their older school facilities or abandon them for new facilities. Three factors to be considered in this decision are addressed and involve the school's location, the history of the school, and the relationship of the school to the community and the…

  20. Alcohol, tabaco y deterioro cognoscitivo en adultos mexicanos mayores de 65 años Cognitive impairment and alcohol and cigarette consumption in Mexican adults older than 65 years

    Directory of Open Access Journals (Sweden)

    Sara Gloria Aguilar-Navarro

    2007-01-01

    Full Text Available OBJETIVO: Conocer la prevalencia del consumo de alcohol y tabaco y su asociación con deterioro cognoscitivo en la población mexicana mayor de 65 años. MATERIAL Y MÉTODOS: Se incluyeron 4 872 mayores de 65 años en la muestra del Estudio Nacional sobre Salud y Envejecimiento en México (ENASEM 2001. Se interrogó sobre el consumo de alcohol y tabaco. Para la clasificación de los sujetos con deterioro cognoscitivo, se utilizó la escala total de los diferentes dominios cognoscitivos. Se aplicaron ji cuadrada, Mann Whitney U y regresión logística para encontrar asociaciones. RESULTADOS: La prevalencia de alcoholismo según CAGE fue de 2.8% y la del consumo de tabaco de 14 por ciento. Factores asociados con el consumo de alcohol: edad 65-69 años (p OBJECTIVE: To determine the prevalence of the consumption of alcohol and cigarette smoking and their association with cognitive impairment among older Mexican adults. MATERIAL AND METHODS: A total of 4 872 people over 65 years of age included in the sample of the National Mexican Health and Aging Study carried out in 2001 were questioned about their consumption of alcohol and cigarette smoking. For the classification of those subjects with cognitive impairment, the total scale of the different cognitive domains was used. The chi-square, Mann-Whitney U test, and logistical regression were used in order to find associations. RESULTS: The prevalence of alcoholism according to CAGE was 2.8% and the prevalence of the consumption of cigarette smoking was 14%. Factors associated with the consumption of alcohol were:age 65-69 (p <0.001, men (RR 3.17,p <0.001, and high level of education (p <0.001. The association between the consumption of alcohol and cognitive impairment (X2=6.59, p <0.01 was statistically significant. CONCLUSIONS: The prevalence of consumption of alcohol and cigarette smoking in older Mexican adults are similar to that reported in other countries; the consumption of alcohol and its

  1. United States national prevalence of electrocardiographic abnormalities in black and white middle-age (45- to 64-Year) and older (≥65-Year) adults (from the Reasons for Geographic and Racial Differences in Stroke Study).

    Science.gov (United States)

    Prineas, Ronald J; Le, Anh; Soliman, Elsayed Z; Zhang, Zhu-Ming; Howard, Virginia J; Ostchega, Yechiam; Howard, George

    2012-04-15

    A United States national sample of 20,962 participants (57% women, 44% blacks) from the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study provided general population estimates for electrocardiographic (ECG) abnormalities among black and white men and women. The participants were recruited from 2003 to 2007 by random selection from a commercially available nationwide list, with oversampling of blacks and those from the stroke belt, with a cooperation rate of 49%. The measurement of risk factors and 12-lead electrocardiograms (centrally coded using Minnesota code criteria) showed 28% had ≥1 major ECG abnormality. The prevalence of abnormalities was greater (≥35%) for those ≥65 years old, with no differences between blacks and whites. However, among men <65 years, blacks had more major abnormalities than whites, most notably for atrial fibrillation, major Q waves, and left ventricular hypertrophy. Men generally had more ECG abnormalities than women. The most common ECG abnormalities were T-wave abnormalities. The average heart rate-corrected QT interval was longer in women than in men, similar in whites and blacks, and increased with age. However, the average heart rate was greater in women than in men and in blacks than in whites and decreased with age. The prevalence of ECG abnormalities was related to the presence of hypertension, diabetes, blood pressure, and age. In conclusion, black men and women in the United States have a significantly greater prevalence of ECG abnormalities than white men and women at age 45 to 64 years; however, these proportions, although larger, tended to equalize or reverse after age 65.

  2. INTERVENTIONS FOR INCREASING BALANCE & CONFIDENCE IN OLDER ADULTS: A REVIEW

    OpenAIRE

    Foram Dhebar

    2014-01-01

    Elderly is defined as being 65 years of age or older. Geriatrics or geriatric medicine is a specialty that focuses on health care of elderly people. The number of persons above the age of 60 years is fast growing, especially in India. Falls are the leading cause of traumatic brain injury, fractures & the leading cause of emergency department visits by older adults. Low balance confidence is a major health problem among older adults restricting their participation in daily life. Objective of t...

  3. Older Adults (and Oral Health)

    Science.gov (United States)

    ... Health Information Sorted by ... > OlderAdults Older Adults and Oral Health Main Content ​ Is dry mouth a natural part ... from fiction by reading this web page about oral health and growing older. Having the right information can ...

  4. Biomass as Feedstock for a Bioenergy and Bioproducts Industry: The Technical Feasibility of a Billion-Ton Annual Supply, April 2005

    Energy Technology Data Exchange (ETDEWEB)

    None

    2005-04-01

    The purpose of this report is to determine whether the land resources of the United States are capable of producing a sustainable supply of biomass sufficient to displace 30 percent or more of the country’s present petroleum consumption – the goal set by the Biomass R&D Technical Advisory Committee in their vision for biomass technologies. Accomplishing this goal would require approximately 1 billion dry tons of biomass feedstock per year.

  5. Chongqing Clothing Enterprises Grasp 1.3-billion-yuan Orders

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ The Fashion Festival of Chongqing held on Sep. 25th provides the city with a platform for international communication, bringing business opportunities. At the negotiation meeting & the signing ceremony among the firms processing export garment, the signed 1.3-billion-yuan orders attracted people's attention.

  6. Chongqing Clothing Enterprises Grasp 1.3-billion-yuan Orders

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    The Fashion Festival of Chongqing held on Sep. 25th provides the city with a platform for international communication, bringing business opportunities. At the negotiation meeting & the signing ceremony among the firms processing export garment, the signed 1.3-billion-yuan orders attracted people’s attention.

  7. Shangdong Electrc Power,CNOOC-Shell ink 1.51-billion-yuan contract

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    The EPC contract for CNOOC-Shell Petrochemical Complex Project has recently been signed in Huizhou City,Cuangdong Province between Shangdong Electric Power Construction Corporation (SEPCC)and CNOOC-Shell Petrochemical Limited.Under the contract valued at 1.51 billion yuan

  8. 2016 Billion-Ton Report: Advancing Domestic Resources for a Thriving Bioeconomy

    Energy Technology Data Exchange (ETDEWEB)

    None

    2016-07-06

    This product builds on previous efforts, namely the 2005 Billion-Ton Study (BTS) and the 2011 U.S. Billion-Ton Update (BT2).With each report, greater perspective is gained on the potential of biomass resources to contribute to a national energy strategy. Similarly, each successive report introduces new questions regarding commercialization challenges. BTS quantified the broad biophysical potential of biomass nationally, and BT2 elucidated the potential economic availability of these resources. These reports clearly established the potential availability of up to one billion tons of biomass resources nationally. However, many questions remain, including but not limited to crop yields, climate change impacts, logistical operations, and systems integration across production, harvest, and conversion. The present report aims to address many of these questions through empirically modeled energy crop yields, scenario analysis of resources delivered to biorefineries, and the addition of new feedstocks. Volume 2 of the 2016 Billion-Ton Report is expected to be released by the end of 2016. It seeks to evaluate environmental sustainability indicators of select scenarios from volume 1 and potential climate change impacts on future supplies.

  9. Anhui Tongling Invests 1 Billion Yuan to Set up “Copper Industry Fund”

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    <正>On September 12, the signing ceremony for "Anhui Copper Industry Fund" set up by Anhui Tongling Development & Investment Group Co., Ltd. and Shanghai V. Stone Investment Management Co., Ltd. was held in Tongling. The fund is 1 billion yuan.

  10. Guangdong Aluminum to Raise RMB 3 billion for New Production Base in Guizhou

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    <正>On July 7, a loan signing ceremony was held between the Guangdong Aluminum Group, China Construction Bank, Hua Xia Bank and Guangzhou Bank Consortium. It is reported that these banks will provide Guangdong Aluminum Group with RMB 30 billion for an alu-minum oxide and supporting bauxite mining project in Guizhou.

  11. Nickel Ores With a Value More than RMB130billion is Found Out in Nanyang

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    <正>According to the report from Henan Provincial Bureau of Geology and Mineral Resources,it has found out a large copper and nickel mineral deposit in Zhouan,Tanghe county.With a total worth of RMB 130billion,it is the largest nickel

  12. China Gold Group Invested 2.18 billion Yuan to Buy Gold Mine

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    <正>Ministry of Finance recently proclaimed that China Gold Group has invested 2.18 billion Yuan to gain the exploration right on the Yang- shan gold mine in Wen County,Gansu Prov- ince.Yangshan is located at the place where

  13. Estudo de sobrevivência de uma coorte de pessoas de 60 anos e mais no município de Botucatu (SP - Brasil Survival study of a sixty year-old and older cohort in Botucatu (SP - Brazil

    Directory of Open Access Journals (Sweden)

    Tania Ruiz

    2003-09-01

    Full Text Available O aumento proporcional do número de idosos na população tem motivado estudos no sentido de melhorar a qualidade de vida desta faixa etária através de políticas sociais e, entre elas, o planejamento em saúde. Com o objetivo de conhecer riscos de mortalidade para a população de sessenta anos e mais, um estudo de sobrevida foi realizado rastreando, no ano de 1992, os idosos participantes de um inquérito de morbidade referida realizado na cidade de Botucatu em 1983/84. Foram localizados 89,6% destes idosos. Curvas de sobrevivência foram calculadas com o método de Kaplan-Meier e a análise de riscos, utilizando-se a Regressão Múltipla de Cox ajustando-se o modelo agregando as variáveis por blocos. Para o sexo masculino foram encontradas associadas, independentemente, ao aumento da mortalidade as seguintes categorias de variáveis: idade de 70 anos e mais: Hazard Ratio (HR=2,4 (1,6 - 3,7; salário menor que um salário mínimo: HR=2,2 (1,3 - 3,8; ter "outras rendas": HR=2,2 (1,3 - 3,9; ser o chefe da família ou seu cônjuge: HR=2,3 (1,2 - 2,4; referência de doenças do aparelho circulatório: HR=1,6 (1,1 - 2,4; referência de diabetes mellitus: HR=3,0 (1,3 - 7,0. Para o sexo feminino, foram encontradas associadas a idade de 70 anos e mais: HR=4,6 (3,0 - 7,1; referência de diabetes mellitus: HR=3,0 (1,7-5,3 e ter "outras rendas": HR=2,0 (1,1 - 4,0.In order to determine mortality predictors among individuals aged 60 years and over, a survival study was conducted in 1992 by tracking a population of elders who participated in a general self-rated morbidity survey in 1983/84, in Botucatu, SP - Brazil. Kaplan-Meier estimates and the Cox proportional hazards method, available in SPSS and SAS statistical packages (v. 6.12, were used to analyze survival. The following mortality predictors were found for males (p<0.05: being 70 years or older: Hazard Ratio (HR=2.4 (1.6 - 3.7; earning one or less than one minimum wage: HR=2.2 (1.3 - 3.8; having

  14. Cancer Screening in Older Patients.

    Science.gov (United States)

    Salzman, Brooke; Beldowski, Kathryn; de la Paz, Amanda

    2016-04-15

    Although cancer is the second leading cause of death among persons 65 years and older, there is a paucity of clinical trial data about the effectiveness and harms of cancer screening in this population. Given the heterogeneous nature of the older population, cancer screening in these patients should not be based on age alone. Studies suggest that a life expectancy of at least 10 years is necessary to derive a survival benefit from screening for breast and colorectal cancers; therefore, screening for these cancers is not recommended in those with a life expectancy of less than 10 years. Prostate cancer screening, if performed at all, should not be performed after 69 years of age. Cervical cancer screening may be stopped after 65 years of age if the patient has an adequate history of negative screening results. An individualized approach to cancer screening decisions involves estimating life expectancy, determining the potential benefits and harms of screenings, and weighing those benefits and harms in relation to the patient's values and preferences.

  15. The Other Inconvenient Truth: Feeding 9 Billion While Sustaining the Earth System

    Science.gov (United States)

    Foley, J. A.

    2010-12-01

    As the international community focuses on climate change as the great challenge of our era, we have been largely ignoring another looming problem — the global crisis in agriculture, food security and the environment. Our use of land, particularly for agriculture, is absolutely essential to the success of the human race: we depend on agriculture to supply us with food, feed, fiber, and, increasingly, biofuels. Without a highly efficient, productive, and resilient agricultural system, our society would collapse almost overnight. But we are demanding more and more from our global agricultural systems, pushing them to their very limits. Continued population growth (adding more than 70 million people to the world every year), changing dietary preferences (including more meat and dairy consumption), rising energy prices, and increasing needs for bioenergy sources are putting tremendous pressure on the world’s resources. And, if we want any hope of keeping up with these demands, we’ll need to double the agricultural production of the planet in the next 30 to 40 years. Meeting these huge new agricultural demands will be one of the greatest challenges of the 21st century. At present, it is completely unclear how (and if) we can do it. If this wasn’t enough, we must also address the massive environmental impacts of our current agricultural practices, which new evidence indicates rival the impacts of climate change. Simply put, providing for the basic needs of 9 billion-plus people, without ruining the biosphere in the process, will be one of the greatest challenges our species has ever faced. In this presentation, I will present a new framework for evaluating and assessing global patterns of agriculture, food / fiber / fuel production, and their relationship to the earth system, particularly in terms of changing stocks and flows of water, nutrients and carbon in our planetary environment. This framework aims to help us manage the challenges of increasing global food

  16. Cognitive Control and Lexical Access in Younger and Older Bilinguals

    Science.gov (United States)

    Bialystok, Ellen; Craik, Fergus; Luk, Gigi

    2008-01-01

    Ninety-six participants, who were younger (20 years) or older (68 years) adults and either monolingual or bilingual, completed tasks assessing working memory, lexical retrieval, and executive control. Younger participants performed most of the tasks better than older participants, confirming the effect of aging on these processes. The effect of…

  17. Older Patients in the Acute Setting

    DEFF Research Database (Denmark)

    Ekmann, Anette Addy; Nygaard, Hanne; Wejse, Miriam;

    Background: Older patients (>65 years) admitted to the Acute Medical Unit (AMU) at Bispebjerg Hospital count for 53 % of all bed-days. Due to demographical changes this number is expected to rise during the coming years. These patients are often characterized by complex health related and medicat...

  18. How Active Are Older Americans?

    Directory of Open Access Journals (Sweden)

    Judy Kruger, PhD

    2007-07-01

    Full Text Available IntroductionRegular physical activity can reduce age-related functional decline, as well people’s risk for chronic diseases such as coronary heart disease, hypertension, colon cancer, and diabetes. The objective of this study was to estimate the level of participation in aerobic, muscle-strengthening, and flexibility activities among Americans aged 50 years or older.MethodsUsing population-based data from the 2001 National Health Interview Survey, we classified qualified respondents (N = 11,969 according to whether they met the activity criteria used in Healthy People 2010 goals for leisure-time participation in regular aerobic physical activity, vigorous-intensity aerobic activity, strength-training activity, and flexibility activity. We also classified respondents according to their level of aerobic activity (i.e., inactive, insufficiently active, and regularly active.ResultsWe estimated that 46.4% of older Americans engaged in no leisure-time aerobic activity; that 26.1% were regularly active (participated in light- to moderate-intensity aerobic activities at least 5 days per week for at least 30 minutes or vigorous-intensity activities at least 3 days per week for at least 20 minutes; that 16.2% participated in vigorous-intensity aerobic activities at least 3 days per week for at least 20 minutes; that 13.7% participated in strength-training activities at least 2 days per week; and that 24.5% participated in flexibility activities at least 1 day per week. Among the 26.1% of older Americans who were regularly active, 30.5% engaged in strengthen-training activities at least 2 days per week. Overall, only 8.2% of older Americans met the criteria for both aerobic and strength-training activity.ConclusionAs of 2001, the percentage of older Americans who met recommended activity levels of physical activity were well below the goals for U.S. adults in Healthy People 2010. Further efforts are needed to encourage older Americans to engage in

  19. Application of therapeutic ERCP in patients 80 years of age and older%高龄患者进行治疗性逆行胆管造影的经验体会

    Institute of Scientific and Technical Information of China (English)

    邵晓冬; 郭晓钟; 任丽楠; 赵佳均; 梁振东; 林浩

    2013-01-01

    Objective To evaluate the efficacy and the safety of therapeutic ERCP in patients 80 years of age and older with biliary and pancreatic diseases. Methods Patients with biliary and pancreatic diseases treated with therapeutic ERCP in our hospital from December 2005 to December 2011 were retrospectively reviewed. Results Two hundred and thirty seven patients underwent 268 therapeutic ERCP procedures. The indications included choledocholithiasis( 53. 2% ), malignant obstructive jaundice( 20. 2% ), biliary pancreatitis ( 10. 5% ),acute suppurative cholangitis( 9. 7% ),benign biliary stricture( 3. 4% )and others( 3. 0% ). The success rate of therapeutic ERCP was 94. 9% and 14. 6% of all procedures were emergent. Bile duct stones were completely cleared in 95. 4% of patients with cho-ledocholithiasis. Four patients underwent ERBD and two patients were referred for surgical intervention due to unsuccessful clearance of bile duct stone. Metal biliary stents were inserted in 23 patients with malignant obstructive jaundice. Plastic biliary stents were inserted in 34 patients,of which 11 patients underwent stent replacement because of stent occlustion. Unsuccessful ERCP procedures occurred in 12 cases. There were 183( 77. 2% )patients with peripapillary diverticulum. Complications occurred in 6 patients including cholangitis( 2 cases ), pancreatitis( 1 case ), hemorrhage( 2 cases )and perforation( 1 case )and there was no death case in the group. Conclusion For patients 80 years of age and older with biliary and pancreatic diseases, therapeutic ERCP is an effective and safe treatment.%目的 评估在80岁以上高龄患者中经逆行胆管造影(ERCP)进行胆胰疾病治疗的疗效和安全性.方法 回顾性分析该院自2005年12月-2011年12月经ERCP进行胆胰疾病治疗的80岁以上高龄患者的病历资料.结果 237例80岁以上高龄患者共进行了268例次治疗性ERCP.患者行ERCP治疗的原因有:胆管结石(53.2%)、恶性梗阻性黄疸(20.2%)

  20. Older Adults and Depression

    Science.gov (United States)

    ... find more information? Reprints Share Older Adults and Depression Download PDF Download ePub Order a free hardcopy ... depression need treatment to feel better. Types of Depression There are several types of depression. The most ...

  1. Older Adults and Alcohol

    Science.gov (United States)

    ... Problems Certain health problems are common in older adults. Heavy drinking can make these problems worse, including: Diabetes High blood pressure Congestive heart failure Liver problems Osteoporosis Memory problems Mood disorders Bad Interactions with Medications ...

  2. Attitudes and stereotypes regarding older women and HIV risk.

    Science.gov (United States)

    Beaulaurier, Richard; Fortuna, Karen; Lind, Danielle; Emlet, Charles A

    2014-01-01

    Persons aged 50 years and over will soon disproportionately represent the future of the HIV/AIDS epidemic. It is estimated that by 2015 older adults will represent 50% of persons living with HIV in the United States. Despite the HIV/AIDS growing population among older adults, attitudes, beliefs, and stereotypes toward older adults that exist in general society have affected HIV prevention, education, and care. Specifically, ageist attitudes about the sexuality of older adults in general and older women in particular, low clinical HIV suspicion among healthcare providers, lack of knowledge about risk among older women, and differentials in power related to negotiating sexual practices all lead to heightened concerns for the prevention, identification, and treatment of HIV disease in mature women. This article examines common attitudes, beliefs, and stereotypes that exist within general society as well as health and social service providers that place older women at a disadvantage when it comes to HIV prevention, education, and treatment.

  3. Guided and unguided internet-based vestibular rehabilitation versus usual care for dizzy adults of 50 years and older: a protocol for a three-armed randomised trial

    Science.gov (United States)

    van der Wouden, Johannes C; Bosmans, Judith E; Smalbrugge, Martin; van Diest, Willianne; Essery, Rosie; Yardley, Lucy; van der Horst, Henriëtte E; Maarsingh, Otto R

    2017-01-01

    Introduction Dizziness is a common symptom in general practice with a high prevalence among older adults. The most common cause of dizziness in general practice is peripheral vestibular disease. Vestibular rehabilitation (VR) is a safe and effective treatment for peripheral vestibular disease that entails specific exercises to maximise the central nervous system compensation for the effects of vestibular pathology. An internet-based VR intervention has recently been shown to be safe and effective. Online interventions are low cost and easily accessible, but prone to attrition and non-adherence. A combination of online and face-to-face therapy, known as blended care, may balance these advantages and disadvantages. Methods and analysis A single-blind, three-arm, randomised controlled trial among patients aged 50 years and over presenting with dizziness of vestibular origin in general practice will be performed. In this study, we will compare the clinical and cost-effectiveness of stand-alone internet-based VR and internet-based VR with physiotherapeutic support (‘blended care’) with usual care during 6 months of follow-up. We will use a translated Dutch version of a British online VR intervention. Randomisation will be stratified by dizziness severity. The primary outcome measure is the Vertigo Symptoms Scale—Short Form. Intention-to-treat analysis will be performed, adjusting for confounders. The economic evaluation will be conducted from a societal perspective. We will perform an additional analysis on the data to identify predictors of successful treatment in the same population to develop a clinical decision rule for general practitioners. Ethics and dissemination The ethical committee of the VU University Medical Center approved ethics and dissemination of the study protocol. The insights and results of this study will be widely disseminated through international peer-reviewed journals and conference presentations. Trial registration number Pre

  4. Cochlear implantation in older adults.

    Science.gov (United States)

    Lin, Frank R; Chien, Wade W; Li, Lingsheng; Clarrett, Danisa M; Niparko, John K; Francis, Howard W

    2012-09-01

    Cochlear implants allow individuals with severe to profound hearing loss access to sound and spoken language. The number of older adults in the United States who are potential candidates for cochlear implantation (CI) is approximately 150,000 and will continue to increase with the aging of the population. Should CI be routinely recommended for these older adults, and do these individuals benefit from CI? We reviewed our 12-year experience with CI in adults aged ≥60 years (n = 445) at Johns Hopkins Medical Institutions to investigate the impact of CI on speech understanding and to identify factors associated with speech performance. Complete data on speech outcomes at baseline and 1 year post-CI were available for 83 individuals. Our results demonstrate that CI in adults aged ≥60 years consistently improved speech understanding scores, with a mean increase of 60.0% (SD 24.1) on HINT (Hearing in Noise Test) sentences in quiet. The magnitude of the gain in speech scores was negatively associated with age at implantation, such that for every increasing year of age at CI the gain in speech scores was 1.3 percentage points less (95% confidence interval [95% CI], 0.6-1.9) after adjusting for age at hearing loss onset. Conversely, individuals with higher pre-CI speech scores (HINT scores between 40% and 60%) had significantly greater post-CI speech scores by a mean of 10.0 percentage points (95% CI, 0.4-19.6) than those with lower pre-CI speech scores (HINT speech scores obtain the highest speech understanding scores after CI, with possible implications for current United States Medicare policy. Finally, we provide an extended discussion of the epidemiology and impact of hearing loss in older adults. Future research of CI in older adults should expand beyond simple speech outcomes to take into account the broad cognitive, social, and physical functioning outcomes that are likely detrimentally affected by hearing loss and may be mitigated by CI.

  5. Sexuality in Nigerian older adults

    Science.gov (United States)

    Olatayo, Adeoti Adekunle; Kubwa, Ojo Osaze; Adekunle, Ajayi Ebenezer

    2015-01-01

    Introduction Oftentimes the older adults are assumed to be asexual as few studies explore into the sexuality of this age group worldwide and even in Nigeria. It is an important aspect of quality of life which is often neglected by people in this age group, attending physicians and the society as a whole. The study was aimed at determining the perception of older adults about sexuality, identify the factors that could militate against sexuality and fill any void in information in this regard. Methods Descriptive study conducted in one hundred older adults. A semi-structured questionnaire was administered to consenting participants between 1st of September 2013 and 31st of March 2014. Results Mean age of respondents was 66.42± 5.77 years. Seventy-eight percent of the male respondents considered engaging in sexual activity as safe compared to 45.8% of the female respondents. More of the women (33.3%) regarded sexuality in the older adults as a taboo when compared to the men (5.4%). However, the men were more favourably disposed to discussing sexual problems than the women with their spouses (42% vs 20%) and Physicians (23.2% vs 0.0%). Major factors responsible for sexual inactivity were participants’ medical ailments (65%), partners’ failing health (15%) as well as anxiety about sexual performance (25%) in the men and dyspareunia (25%) in women. Conclusion There is an urgent need to correct the misconception about sexuality in this age group especially among the women and for the physicians to explore the sexual history of every patient. PMID:26977224

  6. Inmunogenicidad y tolerancia de una vacuna contra influenza, en una población mexicana mayor de 55 años de edad Immunogenicity and safety of the influenza vaccine, in a population older than 55-years in Mexico

    Directory of Open Access Journals (Sweden)

    Octavio Ayala-Montiel

    2005-04-01

    ños de edad. Se demostró también la producción de anticuerpos de alta afinidad contra el virus, posterior a la vacunación. Además, se identificó una frecuencia de reacciones locales y sistémicas similares a las previamente reportadas. Estos resultados pueden ser extensivos a instituciones de salud que atienden principalmente a adultos mayores de 55 años de edad, para incrementar las tasas anuales de cobertura de vacunación contra influenza.OBJECTIVE: To confirm the immunogenicity and tolerance of the inactivated, fractionated, and purified influenza vaccine, in a Mexican adult population aged 55 and older, medically served at a Petróleos Mexicanos Hospital (Pemex, Mexican Oil Company. MATERIAL AND METHODS: The study was conducted between November and December, 2000, among ninety adult subjects aged 55 years and older who were seen at the Hospital Central Sur Pemex. The primary endpoints regarding immunogenicity were the percentage of individuals with protective antibodies targeting hemagglutinins higher than or equal to 1:40, and the percentage of subjects who seroconverted as measured by a four-fold increase in protective antibody production. Secondary endpoints included the frequency of local and systemic reactions to the vaccine. An additional criterion that was evaluated included antigen-antibody affinity assays to measure the polyclonal antibody response to the vaccine and the specific generation of high-affinity antibodies to viral proteins, before and after vaccination. RESULTS: The antibody protection rate was 95.6% against the H1N1 strain, 98.9% against the H3N2 strain, and a 100% against the B/Yamanashi strain. Seroconversion to the H1N1 strain was elicited in 74.4% of subjects, to the H3N2 strain in 88.9%, and to the B / Yamanashi strain in 82.2%. Eighteen (20% subjects developed local reactions; 17 (18.8% developed a systemic reaction post vaccination at day 5 and nine subjects (10% at day 28. Local reactions consisted of pain in 10 (11.1% subjects

  7. The rapid assembly of an elliptical galaxy of 400 billion solar masses at a redshift of 2.3.

    Science.gov (United States)

    Fu, Hai; Cooray, Asantha; Feruglio, C; Ivison, R J; Riechers, D A; Gurwell, M; Bussmann, R S; Harris, A I; Altieri, B; Aussel, H; Baker, A J; Bock, J; Boylan-Kolchin, M; Bridge, C; Calanog, J A; Casey, C M; Cava, A; Chapman, S C; Clements, D L; Conley, A; Cox, P; Farrah, D; Frayer, D; Hopwood, R; Jia, J; Magdis, G; Marsden, G; Martínez-Navajas, P; Negrello, M; Neri, R; Oliver, S J; Omont, A; Page, M J; Pérez-Fournon, I; Schulz, B; Scott, D; Smith, A; Vaccari, M; Valtchanov, I; Vieira, J D; Viero, M; Wang, L; Wardlow, J L; Zemcov, M

    2013-06-20

    Stellar archaeology shows that massive elliptical galaxies formed rapidly about ten billion years ago with star-formation rates of above several hundred solar masses per year. Their progenitors are probably the submillimetre bright galaxies at redshifts z greater than 2. Although the mean molecular gas mass (5 × 10(10) solar masses) of the submillimetre bright galaxies can explain the formation of typical elliptical galaxies, it is inadequate to form elliptical galaxies that already have stellar masses above 2 × 10(11) solar masses at z ≈ 2. Here we report multi-wavelength high-resolution observations of a rare merger of two massive submillimetre bright galaxies at z = 2.3. The system is seen to be forming stars at a rate of 2,000 solar masses per year. The star-formation efficiency is an order of magnitude greater than that of normal galaxies, so the gas reservoir will be exhausted and star formation will be quenched in only around 200 million years. At a projected separation of 19 kiloparsecs, the two massive starbursts are about to merge and form a passive elliptical galaxy with a stellar mass of about 4 × 10(11) solar masses. We conclude that gas-rich major galaxy mergers with intense star formation can form the most massive elliptical galaxies by z ≈ 1.5.

  8. Complaint Regarding the Use of Audit Results on a $1 Billion Missile Defense Agency Contract

    Science.gov (United States)

    2014-09-12

    our scope and methodology. See Appendix B for the sequence of events. Background Missile Defense Agency MDA is a research , development, and...a $2.07 billion cost-plus-fixed/award-fee1 proposal submitted by a DoD contractor for the Ground-Based Midcourse Defense (GMD) Core Completion...negotiated, DCAA discontinued its audit of the GMD proposal. MDA Did Not Consider the DCAA Preliminary Audit Results DFARS Procedures, Guidance , and

  9. Molycorp to acquire leading rare earth processor Neo Material Technologies in $1.3 Billion Deal

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    Molycorp, Inc. ("Molycorp") and /Neo Material Technologies Inc. ("Neo Materials,' or "Neo") announced on March 8th the signing of a definitive agreement under which Molycorp will acquire Neo Materials for approximately CDN $1.3 billion. This will create one of the most technologically advanced, vertically integrated rare earth companies in the world.

  10. Two ten-billion-solar-mass black holes at the centres of giant elliptical galaxies.

    Science.gov (United States)

    McConnell, Nicholas J; Ma, Chung-Pei; Gebhardt, Karl; Wright, Shelley A; Murphy, Jeremy D; Lauer, Tod R; Graham, James R; Richstone, Douglas O

    2011-12-08

    Observational work conducted over the past few decades indicates that all massive galaxies have supermassive black holes at their centres. Although the luminosities and brightness fluctuations of quasars in the early Universe suggest that some were powered by black holes with masses greater than 10 billion solar masses, the remnants of these objects have not been found in the nearby Universe. The giant elliptical galaxy Messier 87 hosts the hitherto most massive known black hole, which has a mass of 6.3 billion solar masses. Here we report that NGC 3842, the brightest galaxy in a cluster at a distance from Earth of 98 megaparsecs, has a central black hole with a mass of 9.7 billion solar masses, and that a black hole of comparable or greater mass is present in NGC 4889, the brightest galaxy in the Coma cluster (at a distance of 103 megaparsecs). These two black holes are significantly more massive than predicted by linearly extrapolating the widely used correlations between black-hole mass and the stellar velocity dispersion or bulge luminosity of the host galaxy. Although these correlations remain useful for predicting black-hole masses in less massive elliptical galaxies, our measurements suggest that different evolutionary processes influence the growth of the largest galaxies and their black holes.

  11. Company Policies on Working Hours and Night Work in Relation to Older Workers’ Work Ability and Work Engagement: Results From a Dutch Longitudinal Study with 2 Year Follow-Up

    NARCIS (Netherlands)

    Meer, L. van der; Leijten, F.R.; Heuvel, S.G. van den; Ybema, J.F.; Wind, A. de; Burdorf, A.; Geuskens, G.A.

    2016-01-01

    Purpose To longitudinally investigate (1) whether lower work ability and work engagement predict the use of company policies on reduced working hours and exemption from evening/night work among older workers, and (2) whether using such policies subsequently contribute to higher work ability and work

  12. Fifty tumor necrosis factor-based isolated limb perfusions for limb salvage in patients older than 75 years with limb-threatening soft tissue sarcomas and other extremity tumors

    NARCIS (Netherlands)

    B. van Etten (Boudewijn); A.N. van Geel (Albert); J.H.W. de Wilt (Johannes); A.M.M. Eggermont (Alexander)

    2003-01-01

    textabstractBACKGROUND: Isolated limb perfusion (ILP) with tumor necrosis factor (TNF) and melphalan is highly effective in treating limb-threatening soft tissue sarcoma (STS) and other bulky tumors. Because of fear of TNF-associated toxicity, ILP with TNF is not offered to older p

  13. Habits of use of videogames in Spain between older than 35 years / Hábitos de uso de los videojuegos en España entre los mayores de 35 años

    Directory of Open Access Journals (Sweden)

    Joaquín Pérez Martín

    2009-01-01

    Full Text Available Videogames are showing a growing degree of social implantation, mainly in more developed countries. This circumstance is demonstrated because their influence is extended not only to younger groups but to all the society too. Altogether with innovations like television, internet o mobile telephony, videogames are contributing to change the traditional pattern of accessing and transmission of knowledge, that passes from reading written texts to viewing audiovisual and multimedia contents. This article, based in a research referred to more than 900 people, analyzes which is the degree of its penetration in Spain between older than 35 years and which are the habits of use of this technology between this group. In order to do this, the article exams items like habits of playing by ages, daily dedication, range of playing during day and week and aspects more valued in videogames.Los videojuegos demuestran un creciente grado de implantación social, particularmente perceptible en los países más desarrollados. Tal circunstancia se manifiesta porque su influencia ya no se limita exclusivamente a los grupos poblacionales más jóvenes sino que actualmente alcanzan la totalidad de la sociedad. Conjuntamente con innovaciones como la televisión, internet o la telefonía móvil, los videojuegos están contribuyendo a modificar el tradicional proceso de acceso y transmisión del conocimiento, que pasa de basarse en la lectura del texto escrito a la contemplación de contenidos audiovisuales y multimedia. Este artículo, que se basa en una investigación planteada a más de 900 individuos, analiza cuál es su grado de implantación en España entre las personas mayores de 35 años y cuáles son los hábitos de uso de esta tecnología entre dicho grupo poblacional. Para ello examina variables como hábitos de juego por edades, dedicación diaria, franjas del día y de la semana más habituales y aspectos más valorados en los videojuegos.

  14. Relationship between Stage of Chronic Kidney Disease and Sarcopenia in Korean Aged 40 Years and Older Using the Korea National Health and Nutrition Examination Surveys (KNHANES IV-2, 3, and V-1, 2, 2008-2011.

    Directory of Open Access Journals (Sweden)

    Sung Jin Moon

    Full Text Available Protein-energy wasting is common in patients with end-stage kidney disease. However, few studies have examined the relationship between early stages of chronic kidney disease (CKD and sarcopenia.We conducted a cross-sectional study based on data in the Korea National Health and Nutrition Examination Survey, 2008-2011. In total, 11,625 subjects aged 40 years or older who underwent dual-energy X-ray absorptiometry were analyzed. Sarcopenia was defined based on values of appendicular skeletal muscle mass as a percentage of body weight (ASM/Wt two standard deviations below the gender-specific mean for young adults. Estimated glomerular filtration rates (eGFR were calculated using the CKD-EPI equation.Mean age, body mass index (BMI, and HOMA-IR were higher and caloric intake, physical activity, and vitamin D level were lower in the sarcopenia groups in both men and women. As the stage of CKD increased, the prevalence of sarcopenia increased, even in the early stages of CKD (normal and CKD1, 2, and 3-5: 2.6%, 5.6%, and 18.1% in men and 5.3%, 7.1%, and 12.6% in women, respectively; p < 0.001. In addition, a correlation analysis showed that GFR and ASM/Wt had significant correlations in both men and women. Logistic regression analyses, after adjusting for age, BMI, caloric intake, log(physical activity, vitamin D level, and log(HOMA-IR, showed that the odds ratio for sarcopenia with respect to CKD 3-5 was 1.93 (95% CI = 1.02-3.68 in men but was not statistically significant in women.The prevalence of sarcopenia was higher in elderly Korean patients with even mildly reduced kidney function. Stage of CKD was associated with an increased prevalence of sarcopenia in men but not women. Thus, we should evaluate the risk of sarcopenia and work to prevent it, even in patients with early CKD.

  15. Prevalência de dilatação da aorta abdominal em coronariopatas idosos Prevalence of abdominal aortic dilatation in patients aged 60 years or older with coronary disease

    Directory of Open Access Journals (Sweden)

    Guilherme Vieira Meirelles

    2007-06-01

    Full Text Available CONTEXTO: A realização de programas de triagem para o aneurisma da aorta abdominal de forma indiscriminada auxiliará uma pequena porcentagem de indivíduos, mas ao considerarmos grupos com fatores de risco relacionados à dilatação da aorta, aumentando a probabilidade da doença, este permitirá um direcionamento adequado dos recursos e um benefício maior à população. Programas direcionados pelas sociedades médicas, permitindo um diagnóstico precoce das doenças vasculares e conseqüentemente um melhor preparo do doente, promoveriam melhores taxas de sobrevida com menor morbidade. OBJETIVO: Avaliar a prevalência da dilatação da aorta abdominal em uma amostra de pacientes idosos com mais de 60 anos de idade, portadores de coronariopatia aterosclerótica diagnosticada por cineangiocoronariografia. MÉTODOS: Para a seleção dessa amostra, levou-se em consideração o fato de que a avaliação pré-operatória de cirurgia vascular não tenhasido a indicação do cateterismo. Procedeu-se então a avaliação, baseada na anamnese, exame físico e Doppler ultra-som da aorta abdominal. A análise estatística iniciou-se com o teste qui-quadrado, com a posterior análise de regressão logística multivariada e regressão logística univariada, considerando significativo um p BACKGROUND: Indiscriminate screening programs for abdominal aortic aneurysm will help a small percentage of individuals. However, when considering groups with risk factors associated with aortic dilatation, which increases the probability of the disease, such programs will provide an adequate allocation of resources and a greater benefit to the population. Programs guided by medical societies, providing an early diagnosis of vascular diseases and consequently a better preparation of patients, would result in better survival rates with lower morbidity. OBJECTIVE: To evaluate the prevalence of abdominal aortic dilatation in patients aged 60 years or older with

  16. The older worker.

    Science.gov (United States)

    Fulks, J S; Fallon, L F

    2001-01-01

    About one person in eight remains employed past 65, the average age for retirement in the U.S. These persons tend to be highly reliable. They can adapt and learn new technology, but may require extra time to do so. Older workers have particular needs in the workplace due to physiological changes that accompany aging. They may require more lighting, and they may have decreased mobility, physical strength, and dexterity. These factors often have no impact on their ability to accomplish job duties. This chapter underscores the significant contributions that older workers often provide, and also addresses retirement planning.

  17. Chronic Diseases among Older Cancer Survivors

    Directory of Open Access Journals (Sweden)

    Laura Deckx

    2012-01-01

    Full Text Available Objective. To compare the occurrence of pre-existing and subsequent comorbidity among older cancer patients (≥60 years with older non-cancer patients. Material and Methods. Each cancer patient (n=3835, mean age 72 was matched with four non-cancer patients in terms of age, sex, and practice. The occurrence of chronic diseases was assessed cross-sectionally (lifetime prevalence at time of diagnosis and longitudinally (incidence after diagnosis for all cancer patients and for breast, prostate, and colorectal cancer patients separately. Cancer and non-cancer patients were compared using logistic and Cox regression analysis. Results. The occurrence of the most common pre-existing and incident chronic diseases was largely similar in cancer and non-cancer patients, except for pre-existing COPD (OR 1.21, 95% CI 1.06–1.37 and subsequent venous thrombosis in the first two years after cancer diagnosis (HR 4.20, 95% CI 2.74–6.44, which were significantly more frequent (P<0.01 among older cancer compared to non-cancer patients. Conclusion. The frequency of multimorbidity in older cancer patients is high. However, apart from COPD and venous thrombosis, the incidence of chronic diseases in older cancer patients is similar compared to non-cancer patients of the same age, sex, and practice.

  18. Chronic Diseases among Older Cancer Survivors

    Science.gov (United States)

    Deckx, Laura; van den Akker, Marjan; Metsemakers, Job; Knottnerus, André; Schellevis, François; Buntinx, Frank

    2012-01-01

    Objective. To compare the occurrence of pre-existing and subsequent comorbidity among older cancer patients (≥60 years) with older non-cancer patients. Material and Methods. Each cancer patient (n = 3835, mean age 72) was matched with four non-cancer patients in terms of age, sex, and practice. The occurrence of chronic diseases was assessed cross-sectionally (lifetime prevalence at time of diagnosis) and longitudinally (incidence after diagnosis) for all cancer patients and for breast, prostate, and colorectal cancer patients separately. Cancer and non-cancer patients were compared using logistic and Cox regression analysis. Results. The occurrence of the most common pre-existing and incident chronic diseases was largely similar in cancer and non-cancer patients, except for pre-existing COPD (OR 1.21, 95% CI 1.06–1.37) and subsequent venous thrombosis in the first two years after cancer diagnosis (HR 4.20, 95% CI 2.74–6.44), which were significantly more frequent (P < 0.01) among older cancer compared to non-cancer patients. Conclusion. The frequency of multimorbidity in older cancer patients is high. However, apart from COPD and venous thrombosis, the incidence of chronic diseases in older cancer patients is similar compared to non-cancer patients of the same age, sex, and practice. PMID:22956953

  19. INTERVENTIONS FOR INCREASING BALANCE & CONFIDENCE IN OLDER ADULTS: A REVIEW

    Directory of Open Access Journals (Sweden)

    Foram Dhebar

    2014-08-01

    Full Text Available Elderly is defined as being 65 years of age or older. Geriatrics or geriatric medicine is a specialty that focuses on health care of elderly people. The number of persons above the age of 60 years is fast growing, especially in India. Falls are the leading cause of traumatic brain injury, fractures & the leading cause of emergency department visits by older adults. Low balance confidence is a major health problem among older adults restricting their participation in daily life. Objective of this review is to determine what interventions are most effective in increasing balance confidence in older adults. The American Geriatrics Society (AGS published clinical guidelines 2011 that recommended all adults aged 65 years and older be screened for falls. Prevention of the fall can be done by combination of exercise include Strengthening exercise, Balance & co-ordination exercise,Hydrotherapy and allied therapeutics such as tai chi and yoga.

  20. Falls in the community-dwelling older adult: A review for primary-care providers

    Directory of Open Access Journals (Sweden)

    Theresa A Soriano

    2008-01-01

    Full Text Available Theresa A Soriano1, Linda V DeCherrie2, David C Thomas11The Samuel Bronfman Department of Medicine, Mount Sinai School of Medicine, New York, New York, USA; 2Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York, New York, USAAbstract: Falls in the elderly are an important independent marker of frailty. Up to half of elderly people over 65 experience a fall every year. They are associated with high morbidity and mortality and are responsible for greater than 20 billion dollars a year in healthcare costs in the United States. This article presents a review and guide for the primary care provider of the predisposing and situational risk factors for falls; comprehensive assessment for screening and tailored intervention; and discussion of single and multicomponent measures for fall prevention and management in the older person living in the community. Interventions for the cognitively impaired and demented elderly will also be addressed.Keywords: falls, elderly, community-dwelling, review

  1. Pedestrian fatalities and injuries involving Irish older people.

    LENUS (Irish Health Repository)

    Martin, A J

    2012-02-01

    BACKGROUND: It has been established internationally that road traffic accidents (RTAs) involving older drivers follow clearly different patterns of timing, location and outcomes from those of younger age groups. Older pedestrians are also a vulnerable group and fewer analyses have been undertaken of the phenomenology of their injuries and fatalities. We studied the pattern of pedestrian RTAs in Ireland over a five-year period with the aim of identifying differences between older pedestrians (aged 65 or older) and younger adults. METHODS: We examined the datasets of the Irish National Road Authority (now the Road Safety Authority) from 1998-2002. We analysed patterns of crashes involving older pedestrians (aged 65) and compared them with younger adults (aged 18-64). RESULTS: Older people represented 36% (n = 134) of pedestrian fatalities and 23% of serious injuries while they only account for 19% of total RTAs. Mortality in RTA is more than doubled for older pedestrians compared to younger adults (RR 2.30). Most accidents involving older pedestrians happen in daylight with good visibility (56%) and in good weather conditions (77%). CONCLUSIONS: Older pedestrians are particularly vulnerable in RTAs. These occur more frequently during daylight hours and in good weather conditions. This may point to a need for prevention strategies that are targeted at the traffic environment and other road users rather than at older people.

  2. Using Observation for Reflective Practice with Older People

    Science.gov (United States)

    Hughes, Mark; Heycox, Karen

    2008-01-01

    This article discusses the use of observation for reflective practice with older people, particularly the benefits and challenges of this learning tool. It outlines a study with 26 third-year Bachelor of Social Work students who undertook an elective course on reflective practice with older people. Using qualitative document analysis, the authors…

  3. Older Men as Learners: Irish Men's Sheds as an Intervention

    Science.gov (United States)

    Carragher, Lucia; Golding, Barry

    2015-01-01

    To date, little attention has been placed on older men (aged 50+ years) as learners, with much of the literature on adult learning concerned with younger age-groups and issues around gender equity directed mainly at women. This article examines the impact of community-based men's sheds on informal and nonformal learning by older men in Ireland. It…

  4. Gender Differences in Cognition among Older Adults in China

    Science.gov (United States)

    Lei, Xiaoyan; Hu, Yuqing; McArdle, John J.; Smith, James P.; Zhao, Yaohui

    2012-01-01

    In this paper, we model gender differences in cognitive ability in China using a new sample of middle-aged and older Chinese respondents. Modeled after the American Health and Retirement Study (HRS), the CHARLS Pilot survey respondents are 45 years and older in two quite distinct provinces--Zhejiang, a high-growth industrialized province on the…

  5. Evaluation of a Spiritually Focused Intervention with Older Trauma Survivors

    Science.gov (United States)

    Bowland, Sharon; Edmond, Tonya; Fallot, Roger D.

    2012-01-01

    This study evaluated the effectiveness of an 11-session, spiritually focused group intervention with older women survivors (age 55 years and older) of interpersonal trauma (child abuse, sexual assault, or domestic violence) in reducing trauma-related depressive symptoms, posttraumatic stress, and anxiety. Forty-three community-dwelling women…

  6. Education for Older People in Italy

    Science.gov (United States)

    Principi, Andrea; Lamura, Giovanni

    2009-01-01

    This article provides information on trends in formal and informal adult education in Italy, with a particular focus on the older learners (over 65). Main providers, programs, objectives/motivations, and financial and legal framework are described. In general, over-65-year-old people were found to be underrepresented in participation. They were…

  7. Older Workers and VET. At a Glance

    Science.gov (United States)

    Dawe, Susan

    2009-01-01

    Australia, in common with many industrialised countries, must adjust in the coming years to an ageing population. The labour force participation rate is projected to fall and there will be a record number of older people who have retired from work. Thus, there will be fewer workers as a share of the population to generate the income needed to…

  8. Dynamics of Volunteering in Older Europeans

    Science.gov (United States)

    Hank, Karsten; Erlinghagen, Marcel

    2010-01-01

    Purpose: To investigate the dynamics of volunteering in the population aged 50 years or older across 11 Continental European countries. Design and Methods: Using longitudinal data from the first 2 waves of the Survey of Health, Ageing and Retirement in Europe, we run multivariate regressions on a set of binary-dependent variables indicating…

  9. Perioperative care of the older patient

    NARCIS (Netherlands)

    E. Blommers; M. Klimek (Markus); K.A. Hartholt (Klaas); T.J.M. van der Cammen (Tischa); J. Klein (Jan); P. Noordzij (Peter)

    2011-01-01

    textabstractNearly 60% of the Dutch population undergoing surgery is aged 65 years and over. Older patients are at increased risk of developing perioperative complications (e.g., myocardial infarction, pneumonia, or delirium), which may lead to a prolonged hospital stay or death. Preoperative risk s

  10. Skills Development for a Diverse Older Workforce

    Science.gov (United States)

    Ferrier, Fran; Burke, Gerald; Selby Smith, Chris

    2008-01-01

    In the context of aging populations, governments in Australia and in other Western nations fear that slower growth in the numbers of people of working age (15-64 years) will have a dampening effect on economic growth. They are thus considering how to encourage older workers to remain in the workforce beyond the point at which many currently…

  11. Dance for Older Adults.

    Science.gov (United States)

    Pruett, Diane Milhan, Ed.; And Others

    1983-01-01

    Dance programs for older adults that encourage exercise and socializing are described in six articles. Program guidelines of the American Alliance Committee on Aging are explained, and other articles emphasize a movement education approach that may involve intergenerational contact. A dance program held in a worship setting is also discussed. (PP)

  12. Activities for Older People

    Institute of Scientific and Technical Information of China (English)

    1994-01-01

    Along with the improvement of the standard of living and medical care the lifespan of people in China has increased greatly in the 1990s. There are more older people living in Shanghai, Beijing and Tianjin than in the rest of the country. The government and

  13. Updating Older Fume Hoods.

    Science.gov (United States)

    Saunders, G. Thomas

    1985-01-01

    Provides information on updating older fume hoods. Areas addressed include: (1) adjustment of the hood's back baffle; (2) hood air leakage; (3) light level; (4) hood location in relation to room traffic and room air; and (5) establishing and maintaining hood performance. (JN)

  14. Smoking and Older Adults

    Centers for Disease Control (CDC) Podcasts

    2008-10-27

    This podcast discusses the importance of older adults quitting smoking and other tobacco products. It is primarily targeted to public health and aging services professionals.  Created: 10/27/2008 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 11/20/2008.

  15. Economic costs of chronic disease through lost productive life years (PLYs) among Australians aged 45–64 years from 2015 to 2030: results from a microsimulation model

    Science.gov (United States)

    Schofield, Deborah; Shrestha, Rupendra N; Cunich, Michelle M; Tanton, Robert; Veerman, Lennert; Kelly, Simon J

    2016-01-01

    Objectives To project the number of older workers with lost productive life years (PLYs) due to chronic disease and resultant lost income; and lost taxes and increased welfare payments from 2015 to 2030. Design, setting and participants Using a microsimulation model, Health&WealthMOD2030, the costs of chronic disease in Australians aged 45–64 were projected to 2030. The model integrates household survey data from the Australian Bureau of Statistics Surveys of Disability, Ageing and Carers (SDACs) 2003 and 2009, output from long-standing microsimulation models (STINMOD (Static Incomes Model) and APPSIM (Australian Population and Policy Simulation Model)) used by various government departments, population and labour force growth data from Treasury, and disease trends data from the Australian Burden of Disease and Injury Study (2003). Respondents aged 45–64 years in the SDACs 2003 and 2009 formed the base population. Main outcome measures Lost PLYs due to chronic disease; resultant lost income, lost taxes and increased welfare payments in 2015, 2020, 2025 and 2030. Results We projected 380 000 (6.4%) people aged 45–64 years with lost PLYs in 2015, increasing to 462 000 (6.5%) in 2030—a 22% increase in absolute numbers. Those with lost PLYs experience the largest reduction in income than any other group in each year compared to those employed full time without a chronic disease, and this income gap widens over time. The total economic loss due to lost PLYs consisted of lost income modelled at $A12.6 billion in 2015, increasing to $A20.5 billion in 2030—a 62.7% increase. Additional costs to the government consisted of increased welfare payments at $A6.2 billion in 2015, increasing to $A7.3 billion in 2030—a 17.7% increase; and a loss of $A3.1 billion in taxes in 2015, increasing to $A4.7 billion in 2030—a growth of 51.6%. Conclusions There is a need for greater investment in effective preventive health interventions which improve workers’ health

  16. Why Social Exclusion Persists among Older People in Australia

    Directory of Open Access Journals (Sweden)

    Riyana Miranti

    2015-07-01

    Full Text Available The existing literature on social exclusion among older people, though relatively limited, suggests that disadvantage among older people is cumulative in nature. Some aspects of disadvantage starting at early life stages have long-term consequences. As such, older people with disadvantages may be subject to higher risks of persistent social exclusion. This article aims to improve understanding of social exclusion and its persistence among senior Australians in three ways. Firstly, the incidence of social exclusion among older people is analysed using selected indicators. Secondly, the study examines whether an older person experiencing social exclusion at one time is more likely to experience it again (persistence. Thirdly, it investigates what factors may be protecting older people from social exclusion. The analysis is conducted using the first eight waves of the Household, Income and Labour Dynamics in Australia (HILDA Survey. The sample of older people is disaggregated into a younger group (55–64 years at wave 1 and an older group (65+ years. The article suggests that higher education and income, as well as better health conditions and previous employment experiences, are important protective factors from social exclusion for older Australians.

  17. Baikuang Group Invests 5 Billion in Developing An Integrated Coal-power-aluminum Project

    Institute of Scientific and Technical Information of China (English)

    2013-01-01

    <正>Baise Baikuang Group Co.,Ltd.was formally established on September 24.The group is a municipal state-owned enterprise in Baise,formerly known as Guangxi Baise Mining Bureau Co.,Ltd.The Group,with 20 whollyowned and holding enterprises and a total asset of RMB 6 billion,is a major lignite production base in Guangxi,an important manganese carbonate base in China and a benchmark small and medium sized coal mine in China.It’s said

  18. Gemtuzumab ozogamicin (Mylotarg) as single-agent treatment for frail patients 61 years of age and older with acute myeloid leukemia: final results of AML-15B, a phase 2 study of the European Organisation for Research and Treatment of Cancer and Gruppo Italiano Malattie Ematologiche dell'Adulto Leukemia Groups.

    Science.gov (United States)

    Amadori, S; Suciu, S; Stasi, R; Willemze, R; Mandelli, F; Selleslag, D; Denzlinger, C; Muus, P; Stauder, R; Berneman, Z; Pruijt, J; Nobile, F; Cassibba, V; Marie, J-P; Beeldens, F; Baila, L; Vignetti, M; de Witte, T

    2005-10-01

    The therapeutic activity and toxicity profile of gemtuzumab ozogamicin were assessed in 40 patients >60 years of age with acute myeloid leukemia (AML) who were not considered eligible for conventional chemotherapy because of advanced age or poor performance status. The drug was administered at the dose of 9 mg/m2 as a single 2-h i.v. infusion on days 1 and 15. Patients who achieved a complete remission (CR/CRp) were to receive a consolidation with two additional injections of the immunotoxin at the same dose. The overall CR/CRp rate was 17% (95% CI, 8-32%). The CR/CRp rate in patients 61-75 years old was 33% (6/18), and 5% (1/22) in patients older than 75 years. Induction death occurred in seven patients (17%), all aged above 75 years. Overall survival was significantly longer in patients aged 61-75 years than in older individuals (P=0.05), and in CD33+ cases than in CD33- cases (P=0.05). We conclude that the dose/schedule of gemtuzumab ozogamicin used in this trial is too toxic in the age group over 75 years. For these patients, additional studies with reduced doses of the immunotoxin are warranted.

  19. Guided and unguided internet-based vestibular rehabilitation versus usual care for dizzy adults of 50 years and older: a protocol for a three-armed randomised trial

    OpenAIRE

    van Vugt, Vincent A; van der Wouden, Johannes C.; Bosmans, Judith E; Smalbrugge, Martin; van Diest, Willianne; Essery, Rosie; Yardley, Lucy; van der Horst, Henriëtte E.; Maarsingh, Otto R

    2017-01-01

    Introduction Dizziness is a common symptom in general practice with a high prevalence among older adults. The most common cause of dizziness in general practice is peripheral vestibular disease. Vestibular rehabilitation (VR) is a safe and effective treatment for peripheral vestibular disease that entails specific exercises to maximise the central nervous system compensation for the effects of vestibular pathology. An internet-based VR intervention has recently been shown to be safe and effec...

  20. High Stimulus Rate Auditory Brainstem Responses in Presbycusis Patients Older than 80 Years%80岁以上老年性聋患者高刺激速率ABR的临床观察

    Institute of Scientific and Technical Information of China (English)

    徐良慰; 冀飞; 杨仕明

    2016-01-01

    characteristics of auditory brainstem responses in presbycusis patients older than 80 years at high stimulus rates, as diagnostic evidence of posterior circulation ischemia and aging of the central nervous system in the elderly. Methods Fifty-four (108 ears) presbycusis patients older than 80 years participated in this study (mean age=88.17±4.99 years). Clicks-evoked ABRs were tested at stimulus rates of 11.1/s and 51.1/s. The peak latency (PL) of waves I, III and V, inter-peak latencies (IPL) of waves I-III, III-V and I-V in response to the low and high rate stimuli were com-pared. The inter-peak latency differences (ΔIPL) were calculated and compared with normal reference values. Results 1. The ABR waveforms in the presbycusis patients were poorly differentiated, with low signal-to-noise ratios. 2. PLs of waves I, III and V and IPLs of I-III, III-V and I-V were 1.66±0.17, 4.06±0.20, 6.16±0.20, 2.41±0.19, 2.10±0.20 and 4.50±0.19 ms respectively at the stimulus rate of 51.1/s, and 1.57±0.16, 3.87±0.19, 5.86±0.19, 2.30±0.18, 1.99±0.15 and 4.29±0.16 ms, re-spectively, at the stimulus rate of 11.1/s (p<0.05). 3.ΔIPLs of I-III, III-V and I-V were 0.11 ± 0.18, 0.11 ± 0.19 and 22 ± 0.10 ms, respectively, and the I-IIIΔIPL in males was prolonged compared to females. At the stimulus rate of 51.1/s, I-VΔIPL was longer than the normal value (P<0.001). 4. PLs of waves I, III and V in the presbycusis patients, as well as IPLs of I-III, III-V and I-V, at both stimulus rates were distinctly different from those in normal-hearing young subjects (P<0.05). Conclu-sion ABR waveforms in presbycusis patients are poorly differentiated. At high stimulus rate, PLs and IPLs are significantly prolonged, and wave I-VΔIPL is greater than that in normal-hearing young subjects. High stimulus rate ABRs can be an im-portant clinical diagnostic indicator of posterior circulation ischemia and aged central nervous system in the elderly.