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Sample records for billion years older

  1. 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.

  2. 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...... the GreatOxidation Event2,3.Geochemical indications of transient atmospheric oxygenation, however, date back to 2.6–2.7 billion years ago4–6. Here we examine the distribution of chromium isotopes and redox-sensitive metals in the approximately 3-billionyear- old Nsuze palaeosol and in the near......-contemporaneous Ijzermyn iron formation fromthe Pongola Supergroup, South Africa.We find extensivemobilization of redox-sensitive elements through oxidative weathering. Furthermore, using our data we compute a best minimumestimate for atmospheric oxygen concentrations at that time of 331024 times present levels...

  3. 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.

  4. Life: the first two billion years.

    Science.gov (United States)

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

    2016-11-01

    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'. PMID:27672146

  5. 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 productivit...... 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....

  6. Conservation of protein structure over four billion years.

    Science.gov (United States)

    Ingles-Prieto, Alvaro; Ibarra-Molero, Beatriz; Delgado-Delgado, Asuncion; Perez-Jimenez, Raul; Fernandez, Julio M; Gaucher, Eric A; Sanchez-Ruiz, Jose M; Gavira, Jose A

    2013-09-01

    Little is known about the evolution of protein structures and the degree of protein structure conservation over planetary time scales. Here, we report the X-ray crystal structures of seven laboratory resurrections of Precambrian thioredoxins dating up to approximately four billion years ago. Despite considerable sequence differences compared with extant enzymes, the ancestral proteins display the canonical thioredoxin fold, whereas only small structural changes have occurred over four billion years. This remarkable degree of structure conservation since a time near the last common ancestor of life supports a punctuated-equilibrium model of structure evolution in which the generation of new folds occurs over comparatively short periods and is followed by long periods of structural stasis. PMID:23932589

  7. Conservation of protein structure over four billion years

    OpenAIRE

    Ingles-Prieto, Alvaro; Ibarra-Molero, Beatriz; Delgado-Delgado, Asuncion; Perez-Jimenez, Raul; Fernandez, Julio M.; Gaucher, Eric A.; Sanchez-Ruiz, Jose M.; Gavira, Jose A.

    2013-01-01

    Little is known with certainty about the evolution of protein structures in general and the degree of protein structure conservation over planetary time scales in particular. Here we report the X-ray crystal structures of seven laboratory resurrections of Precambrian thioredoxins dating back up to ~4 billion years before present. Despite considerable sequence differences compared with extant enzymes, the ancestral proteins display the canonical thioredoxin fold while only small structural cha...

  8. A SWIRE Picture is Worth Billions of Years

    Science.gov (United States)

    2005-01-01

    [figure removed for brevity, see original site] Figure 1: SWIRE View of Distant Galaxies [figure removed for brevity, see original site] [figure removed for brevity, see original site] [figure removed for brevity, see original site] Figure 2Figure 3 Figure 4 These spectacular images, taken by the Spitzer Wide-area Infrared Extragalactic (SWIRE) Legacy project, encapsulate one of the primary objectives of the Spitzer mission: to connect the evolution of galaxies from the distant, or early, universe to the nearby, or present day, universe. The Tadpole galaxy (main image) is the result of a recent galactic interaction in the local universe. Although these galactic mergers are rare in the universe's recent history, astronomers believe that they were much more common in the early universe. Thus, SWIRE team members will use this detailed image of the Tadpole galaxy to help understand the nature of the 'faint red-orange specks' of the early universe. The larger picture (figure 2) depicts one-sixteenth of the SWIRE survey field called ELAIS-N1. In this image, the bright blue sources are hot stars in our own Milky Way, which range anywhere from 3 to 60 times the mass of our Sun. The fainter green spots are cooler stars and galaxies beyond the Milky Way whose light is dominated by older stellar populations. The red dots are dusty galaxies that are undergoing intense star formation. The faintest specks of red-orange are galaxies billions of light-years away in the distant universe. Figure 3 features an unusual ring-like galaxy called CGCG 275-022. The red spiral arms indicate that this galaxy is very dusty and perhaps undergoing intense star formation. The star-forming activity could have been initiated by a near head-on collision with another galaxy. The most distant galaxies that SWIRE is able to detect are revealed in a zoom of deep space (figure 4). The colors in this feature represent the same objects as those in the larger field image of ELAIS-N1. The observed SWIRE

  9. 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.

  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 6.5luminosity function becomes steeper (α≃‑2.0 at z≃7‑8), revealing a dominant population of low-luminosity galaxies. Analysis of multiwavelength imaging from HST and the Spitzer Space Telescope demonstrates that z>6 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 6luminosity function extends ≃4 mag below current surveys and a moderate fraction ([Formula: see text]) of ionizing radiation escapes from galaxies.

  14. Hunan Xinshao Non-ferrous Metals Expect Break Through RMB0.2 Billion This Year

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    <正>According to official sources,in the first half of this year,the non-ferrous metal industry of Xinshao,Hunan’s main business income will achieve RMB0.15 billion,up by 11.23%over the same period the previous year.Expert analysis shows that based on this growth pattern,

  15. 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,

  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 predo...

  17. 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 ...

  18. Electron microscopy reveals unique microfossil preservation in 1 billion-year-old lakes

    International Nuclear Information System (INIS)

    Electron microscopy was applied to the study of 1 billion-year-old microfossils from northwest Scotland in order to investigate their 3D morphology and mode of fossilization. 3D-FIB-SEM revealed high quality preservation of organic cell walls with only minor amounts of post-mortem decomposition, followed by variable degrees of morphological alteration (folding and compression of cell walls) during sediment compaction. EFTEM mapping plus SAED revealed a diverse fossilizing mineral assemblage including K-rich clay, Fe-Mg-rich clay and calcium phosphate, with each mineral occupying specific microenvironments in proximity to carbonaceous microfossil cell walls

  19. 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.

  20. Decimetre-scale multicellular eukaryotes from the 1.56-billion-year-old Gaoyuzhuang Formation in North China.

    Science.gov (United States)

    Zhu, Shixing; Zhu, Maoyan; Knoll, Andrew H; Yin, Zongjun; Zhao, Fangchen; Sun, Shufen; Qu, Yuangao; Shi, Min; Liu, Huan

    2016-01-01

    Fossils of macroscopic eukaryotes are rarely older than the Ediacaran Period (635-541 million years (Myr)), and their interpretation remains controversial. Here, we report the discovery of macroscopic fossils from the 1,560-Myr-old Gaoyuzhuang Formation, Yanshan area, North China, that exhibit both large size and regular morphology. Preserved as carbonaceous compressions, the Gaoyuzhuang fossils have statistically regular linear to lanceolate shapes up to 30 cm long and nearly 8 cm wide, suggesting that the Gaoyuzhuang fossils record benthic multicellular eukaryotes of unprecedentedly large size. Syngenetic fragments showing closely packed ∼10 μm cells arranged in a thick sheet further reinforce the interpretation. Comparisons with living thalloid organisms suggest that these organisms were photosynthetic, although their phylogenetic placement within the Eukarya remains uncertain. The new fossils provide the strongest evidence yet that multicellular eukaryotes with decimetric dimensions and a regular developmental program populated the marine biosphere at least a billion years before the Cambrian Explosion. PMID:27186667

  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 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. 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 (

  3. 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.

  4. States' Spending on Colleges Rises 19 Pct. in 2 Years, Nears $31-Billion for'85-86.

    Science.gov (United States)

    Evangelauf, Jean

    1985-01-01

    The U.S. states' expenditures to nearly $31 billion in tax money mark a continuing recovery in support for higher education. Shaping this year's appropriations levels were concerns about tuition and efforts to promote economic development. (MLW)

  5. 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 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 Hat Block collided at ~1.8 Ga. Rutile U-Pb data from multiple xenoliths, each exhumed from a different depth within the crustal column reveal a range of dates that varies as a function of xenolith residence depth. The shallowest mid- to lower crustal xenoliths (~25 km) cooled first, yielding the youngest dates and yet cooled at rates between 0.1-0.25 °C/Ma over 500 My or

  6. 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.

  7. Exploring the Impact of Galaxy Interactions over Seven Billion Years with CAS

    CERN Document Server

    Miller, Sarah H; Conselice, C; Penner, K; Bell, E; Zheng, X; Papovich, C; Skelton, R; Somerville, R; Rix, H; Barazza, F; Barden, M; Borch, A; Beckwith, S; Caldwell, J; Haeussler, B; Heymans, C; Jahnke, K; McIntosh, D; Meisenheimer, K; Peng, C; Robaina, A; Sanchez, S; Wisotzki, L; Wolf, C

    2008-01-01

    We explore galaxy assembly over the last seven billion years by characterizing "normal" galaxies along the Hubble sequence, against strongly disturbed merging/interacting galaxies with the widely used CAS system of concentration (C), asymmetry (A), and 'clumpiness' (S) parameters, as well as visual classification. We analyze Hubble Space Telescope (HST) ACS images of ~4000 intermediate and high mass (> 10^9 solar masses) galaxies from the GEMS survey, one of the largest HST surveys conducted to date in two filters. We explore the effectiveness of the CAS criteria [A>S and A>~0.35] in separating normal and strongly disturbed galaxies at different redshifts, and quantify the recovery and contamination rate. We also compare the average star formation rate and the cosmic star formation rate density as a function of redshift between normal and interacting systems identified by CAS.

  8. The VIRMOS-VLT Deep Survey: the last 10 billion years of evolution of galaxy clustering

    CERN Document Server

    Pollo, A; Lefèvre, O; Meneux, B; Cappi, A; McCracken, H J; Iovino, A; Marinoni, C; Bottini, D; Garilli, B; Le Brun, V; MacCagni, D; Picat, J P; Scaramella, R; Scodeggio, M; Tresse, L; Vettolani, G; Zanichelli, A; Adami, C; Arnouts, S; Bardelli, S; Bolzonella, M; Charlot, S; Ciliegi, P; Contini, T; Foucaud, S; Franzetti, P; Gavignaud, I; Ilbert, O; Marano, B; Mazure, A; Merighi, R; Paltani, S; Pellò, R; Pozzetti, L; Radovich, M; Zamorani, G; Zucca, E; Bondi, M; Bongiorno, A; Brinchmann, J; Cucciati, O; De la Torre, S; Lamareille, F; Mellier, Y; Merluzzi, P; Temporin, S; Vergani, D; Walcher, C J

    2006-01-01

    We discuss the evolution of clustering of galaxies in the Universe from the present epoch back to z ~ 2, using the first-epoch data from the VIMOS-VLT Deep Survey (VVDS). We present the evolution of the projected two-point correlation function of galaxies for the global galaxy population, as well as its dependence on galaxy intrinsic luminosities and spectral types. While we do not find strong variations of the correlation function parameters with redshift for the global galaxy population, the clustering of objects with different intrinsic luminosities evolved significantly during last 8-10 billion years. Our findings indicate that bright galaxies in the past traced higher density peaks than they do now and that the shape of the correlation function of most luminous galaxies is different from observed for their local counterparts, which is a supporting evidence of a non-trivial evolution of the galaxy vs. dark matter bias.

  9. 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...

  10. An anoxic, Fe(II)-rich, U-poor ocean 3.46 billion years ago

    Science.gov (United States)

    Li, Weiqiang; Czaja, Andrew D.; Van Kranendonk, Martin J.; Beard, Brian L.; Roden, Eric E.; Johnson, Clark M.

    2013-11-01

    The oxidation state of the atmosphere and oceans on the early Earth remains controversial. Although it is accepted by many workers that the Archean atmosphere and ocean were anoxic, hematite in the 3.46 billion-year-old (Ga) Marble Bar Chert (MBC) from Pilbara Craton, NW Australia has figured prominently in arguments that the Paleoarchean atmosphere and ocean was fully oxygenated. In this study, we report the Fe isotope compositions and U concentrations of the MBC, and show that the samples have extreme heavy Fe isotope enrichment, where δ56Fe values range between +1.5‰ and +2.6‰, the highest δ56Fe values for bulk samples yet reported. The high δ56Fe values of the MBC require very low levels of oxidation and, in addition, point to a Paleoarchean ocean that had high aqueous Fe(II) contents. A dispersion/reaction model indicates that O2 contents in the photic zone of the ocean were less than 10-3 μM, which suggests that the ocean was essentially anoxic. An independent test of anoxic conditions is provided by U-Th-Pb isotope systematics, which show that U contents in the Paleoarchean ocean were likely below 0.02 ppb, two orders-of-magnitude lower than the modern ocean. Collectively, the Fe and U data indicate a reduced, Fe(II)-rich, U-poor environment in the Archean oceans at 3.46 billion years ago. Given the evidence for photosynthetic communities provided by broadly coeval stromatolites, these results suggests that an important photosynthetic pathway in the Paleoarchean oceans may have been anoxygenic photosynthetic Fe(II) oxidation.

  11. Searching for Organics Preserved in 4.5 Billion Year Old Salt

    Science.gov (United States)

    Zolensky, Michael E.; Fries, M.; Steele, A.; Bodnar, R.

    2012-01-01

    Our understanding of early solar system fluids took a dramatic turn a decade ago with the discovery of fluid inclusion-bearing halite (NaCl) crystals in the matrix of two freshly fallen brecciated H chondrite falls, Monahans and Zag. Both meteorites are regolith breccias, and contain xenolithic halite (and minor admixed sylvite -- KCl, crystals in their regolith lithologies. The halites are purple to dark blue, due to the presence of color centers (electrons in anion vacancies) which slowly accumulated as 40K (in sylvite) decayed over billions of years. The halites were dated by K-Ar, Rb-Sr and I-Xe systematics to be 4.5 billion years old. The "blue" halites were a fantastic discovery for the following reasons: (1) Halite+sylvite can be dated (K is in sylvite and will substitute for Na in halite, Rb substitutes in halite for Na, and I substitutes for Cl). (2) The blue color is lost if the halite dissolves on Earth and reprecipitates (because the newly-formed halite has no color centers), so the color serves as a "freshness" or pristinity indicator. (3) Halite frequently contains aqueous fluid inclusions. (4) Halite contains no structural oxygen, carbon or hydrogen, making them ideal materials to measure these isotopic systems in any fluid inclusions. (5) It is possible to directly measure fluid inclusion formation temperatures, and thus directly measure the temperature of the mineralizing aqueous fluid. In addition to these two ordinary chondrites halite grains have been reliably reported in several ureilites, an additional ordinary chondrite (Jilin), and in the carbonaceous chondrite (Murchison), although these reports were unfortunately not taken seriously. We have lately found additional fluid inclusions in carbonates in several additional carbonaceous chondrites. Meteoritic aqueous fluid inclusions are apparently relatively widespread in meteorites, though very small and thus difficult to analyze.

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

    Science.gov (United States)

    Lowenstern, Jacob B.; Evans, William C.; Bergfeld, D.; Hunt, Andrew G.

    2014-01-01

    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 continents1. 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 hotspot2. 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.

  13. 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. PMID:25883353

  14. Breast Cancer in Women Older Than 80 Years.

    Science.gov (United States)

    Shachar, Shlomit Strulov; Hurria, Arti; Muss, Hyman B

    2016-02-01

    Breast cancer is the most common cancer in women, with an incidence that rises dramatically with age. The average age at diagnosis of breast cancer is 61 years, and the majority of woman who die of breast cancer are age 65 years and older. Major improvements in public health and medical care have resulted in dramatic increases in longevity. The oldest old (those age 80 years and older) are a rapidly expanding group and now comprise 9 million members of the US population. The treatment of individuals who are age 80 years and older is complex and involves clearly defining the goals and value of treatment while also weighing risks, such as the potential effects of treatment on functional loss and quality of life. Limited evidence-based treatment guidelines exist for the caring of this older cohort of patients with breast cancer. Data from clinical trials that enroll primarily younger patients lack the information needed to estimate the likelihood of toxicities that can be life changing in older adults. Clinicians who make treatment recommendations should place the available evidence in the context of the patient's life expectancy and geriatric assessment results that include an evaluation of a patient's functional status, comorbidities, cognition, social support, nutritional status, and psychological state. Furthermore, these decisions should be placed in the context of the patient's goals for treatment, preferences, and values. This review summarizes the current literature and focuses on the role of geriatric assessment in treatment recommendations for patients age 80 years and older with early and metastatic breast cancer. PMID:26869650

  15. 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.

  16. The 18O/16O Ratio of 2-Billion-Year-Old Seawater Inferred from Ancient Oceanic Crust.

    Science.gov (United States)

    Holmden, C; Muehlenbachs, K

    1993-03-19

    An oxygen isotope profile of the 2-billion-year-old Purtuniq ophiolite overlaps with similar profiles of younger ophiolites and the modern oceanic crust. This overlap implies (i) that there was a similar style of seawater-ocean crust interaction during the past 2 billion years; (ii) that the oxygen isotope composition of early Proterozoic seawater was similar to the modern value; (iii) that early Proterozoic sea-floor spreading rates were similar to, or greater than, average modern rates; and (iv) that early Proterozoic carbonate rocks and cherts with low (18)O/(16)O ratios do not reflect global-scale (18)O depletion of early Proterozoic oceans. PMID:17816892

  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. PMID:14985754

  18. 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.

  19. 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 ...

  20. 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.

  1. 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...

  2. 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.

  3. Precambrian crustal evolution of Peninsular India: A 3.0 billion year odyssey

    Science.gov (United States)

    Meert, Joseph G.; Pandit, Manoj K.; Pradhan, Vimal R.; Banks, Jonathan; Sirianni, Robert; Stroud, Misty; Newstead, Brittany; Gifford, Jennifer

    2010-11-01

    The Precambrian geologic history of Peninsular India covers nearly 3.0 billion years of time. India is presently attached to the Eurasian continent although it remains (for now) a separate plate. It comprises several cratonic nuclei namely, Aravalli-Bundelkhand, Eastern Dharwar, Western Dharwar, Bastar and Singhbhum Cratons along with the Southern Granulite Province. Cratonization of India was polyphase, but a stable configuration between the major elements was largely complete by 2.5 Ga. Each of the major cratons was intruded by various age granitoids, mafic dykes and ultramafic bodies throughout the Proterozoic. The Vindhyan, Chhattisgarh, Cuddapah, Pranhita-Godavari, Indravati, Bhima-Kaladgi, Kurnool and Marwar basins are the major Meso to Neoproterozoic sedimentary repositories. In this paper we review the major tectonic and igneous events that led to the formation of Peninsular India and provide an up to date geochronologic summary of the Precambrian. India is thought to have played a role in a number of supercontinental cycles including (from oldest to youngest) Ur, Columbia, Rodinia, Gondwana and Pangea. This paper gives an overview of the deep history of Peninsular India as an introduction to this special TOIS volume.

  4. 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...

  5. 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.

  6. 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...

  7. 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...

  8. The formation of submillimetre-bright galaxies from gas infall over a billion years.

    Science.gov (United States)

    Narayanan, Desika; Turk, Matthew; Feldmann, Robert; Robitaille, Thomas; Hopkins, Philip; Thompson, Robert; Hayward, Christopher; Ball, David; Faucher-Giguère, Claude-André; Kereš, Dušan

    2015-09-24

    Submillimetre-bright galaxies at high redshift are the most luminous, heavily star-forming galaxies in the Universe and are characterized by prodigious emission in the far-infrared, with a flux of at least five millijanskys at a wavelength of 850 micrometres. They reside in haloes with masses about 10(13) times that of the Sun, 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 that simultaneously satisfies the broad range of observed physical constraints. We find that groups of galaxies residing in massive dark matter haloes have increasing rates of star formation that peak at collective rates of about 500-1,000 solar masses per year at redshifts of two to three, by which time the interstellar medium is sufficiently enriched with metals that the region may be observed as a submillimetre-selected system. The intense star formation rates are fuelled in part by the infall of a reservoir gas supply enabled by stellar feedback at earlier times, not through major mergers. With a lifetime of nearly a billion years, our simulations show that the submillimetre-bright phase of high-redshift galaxies is prolonged and associated with significant mass buildup in early-Universe proto-clusters, and that many submillimetre-bright galaxies are composed of numerous unresolved components (for which there is some observational evidence). PMID:26399829

  9. 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.

  10. 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.

  11. 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

  12. 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

  13. Shoulder dislocation in patients older than 60 years of age

    OpenAIRE

    Rapariz Jose; Martin-Martin Silvia; Pareja-Bezares Antonio; Ortega-Klein Jose

    2010-01-01

    Purpose: Recurrent anterior shoulder dislocation in elderly patients is a little studied condition. The goal of this paper is to clarify the role of associated injuries with respect to loss of function and recurrence of dislocation. Materials and Methods: We have conducted a retrospective, descriptive study on 29 patients older than 60 years at the moment they suffered their first dislocation episode. All patients were assessed clinically (Constant test) and by imaging testing (X-ray, MRI). ...

  14. 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.

  15. 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.

  16. Patients Aged 80 Years or Older are Encountered More Potentially Inappropriate Medication Use

    Directory of Open Access Journals (Sweden)

    Li Mo

    2016-01-01

    Conclusions: The finding from this study revealed that inpatients aged 80 years or older encountered more PIM use than those aged 65-79 years. Anticholinergic properties, megestrol, antipsychotics, theophylline, and aspirin are medications that often prescribed to inpatients aged 80 years or older. Doctors should carefully choose drugs for the elderly, especially the elderly aged 80 years or older.

  17. Screening mammography in women 65 years old and older

    International Nuclear Information System (INIS)

    This paper compares the results of mammographic screening in women aged 65 years and older to those of women aged 50--64 years, to define risk factors and prior use of mammography in these women, and to determine whether mammographic abnormalities are managed differently in the two age groups. Historical data, mammographic findings, and biopsy results were analyzed for all women over 50 years of age screened during 1988 (2,862 patients) at a university hospital-based outpatient center and mobile van, excluding those referred by oncologists. The following factors were determined for patients screened at the outpatient center and the mobile van, with both groups divided according to patient age (50--64 vs ≥ 65 years): presence of risk factors, previous biopsy, exogenous hormones, percentage of black patients, previous mammography, biopsy rate, cancer detection rate, positive nodes, and presence of tumors smaller than 1 cm or ductal carcinoma in-situ

  18. 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

  19. 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...

  20. $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.

  1. 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.

  2. Decimetre-scale multicellular eukaryotes from the 1.56-billion-year-old Gaoyuzhuang Formation in North China

    OpenAIRE

    Zhu, Shixing; Zhu, Maoyan; Knoll, Andrew H.; YIN, ZONGJUN; Zhao, Fangchen; Sun, Shufen; Qu, Yuangao; Shi, Min; Liu, Huan

    2016-01-01

    Fossils of macroscopic eukaryotes are rarely older than the Ediacaran Period (635–541 million years (Myr)), and their interpretation remains controversial. Here, we report the discovery of macroscopic fossils from the 1,560-Myr-old Gaoyuzhuang Formation, Yanshan area, North China, that exhibit both large size and regular morphology. Preserved as carbonaceous compressions, the Gaoyuzhuang fossils have statistically regular linear to lanceolate shapes up to 30 cm long and nearly 8 cm wide, sugg...

  3. 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.

  4. 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.

  5. Shoulder dislocation in patients older than 60 years of age

    Directory of Open Access Journals (Sweden)

    Rapariz Jose

    2010-01-01

    Full Text Available Purpose: Recurrent anterior shoulder dislocation in elderly patients is a little studied condition. The goal of this paper is to clarify the role of associated injuries with respect to loss of function and recurrence of dislocation. Materials and Methods: We have conducted a retrospective, descriptive study on 29 patients older than 60 years at the moment they suffered their first dislocation episode. All patients were assessed clinically (Constant test and by imaging testing (X-ray, MRI. Results: Nine (31.03% out of 29 patients had a recurrent dislocation. Four of them required reconstructive surgery to maintain joint stability. Injury to the anterior support (anterior labrum, anterior glenoid rim showed a statistically significant relation to the recurrence of dislocations. The occurrence or non-occurrence of a rotator cuff tear does have an impact on the shoulder function. The degree of rotator cuff involvement on the coronal plane does not significantly affect the shoulder′s functional outcome. The tear extension on the sagittal plane does cause impairment on the Constant test. Conclusions: Labrum and/or anterior glenoid involvement should be suspected in elderly patients presenting with recurrent shoulder dislocation. Recurrence is due to an injury in the anterior support or both (anterior and posterior, even though shoulder function gets impaired when a rotation cuff tear occurs with anterior extension on the sagittal plane. Evidence level: IV Case series.

  6. States' Tax Funds for Colleges Top $28-Billion, Up 16 Pct. in 2 Years.

    Science.gov (United States)

    Evangelauf, Jean

    1984-01-01

    The results of an annual national survey of state appropriations for higher education are analyzed and discussed and it is suggested that the 16 percent increase in a two-year period may mark the beginning of a recovery for tax support of higher education. (MSE)

  7. 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). PMID:25763949

  8. 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 $\\Delta\\mu/\\mu=(-9.5\\pm5.4_{\\textrm{stat}} \\pm 5.3_{\\textrm{sys}})\\times 10^{-6}$.

  9. 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.

  10. 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.

  11. Hematite formation by oxygenated groundwater more than 2.76 billion years ago

    Science.gov (United States)

    Kato, Yasuhiro; Suzuki, Katsuhiko; Nakamura, Kentaro; Hickman, Arthur H.; Nedachi, Munetomo; Kusakabe, Minoru; Bevacqua, David C.; Ohmoto, Hiroshi

    2009-02-01

    Geoscientific drilling in the Marble Bar area of the Pilbara Craton, Western Australia, resulted in the discovery of locally abundant hematite in Archean basalts ~ 200 m below the present land surface. The hematized basalts occurring along a bedding-parallel shear zone are cross-cut by pyrite veinlets (< 3 mm in width) and contain euhedral pyrite grains (10-500 µm in diameter) with sharp crystal edges, indicating that the hematite formed before the pyrite. We have dated the pyrite in the veinlets at 2.763 ± 0.016 Ga using the Re-Os method. Therefore, the hematite formed prior to 2.763 Ga. The basalts containing the hematite belong to the Apex Basalt of the Warrawoona Group, and were erupted onto the Archean seafloor at 3.46 Ga. Due to 2.9 Ga orogenic deformation and subsequent deep erosion, the Apex Basalt was exposed at the surface of a continental landmass prior to 2.77 Ga. Sometime in the period between ~ 2.9 Ga and 2.77 Ga, the basalt section we describe was less than 200 m below the Late Archean land surface, and within range of groundwater percolation through the shear zone in the basalts. Geological, mineralogical and geochemical lines of evidence strongly suggest that the infiltration of O 2-rich groundwater through the bedding-parallel shear in the basalts formed hematite prior to 2.76 Ga, and hence oxygenated surface environments, at least localized and/or short-lived, emerged more than 300 million years before the widely accepted Great Oxidation Event during 2.45 and 2.32 Ga.

  12. [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.

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

    International Nuclear Information System (INIS)

    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 [National Development and Reform Commission (NDRC), 2006. Overview of the 11th Five Year Plan for National Economic and Social Development. NDRC, Beijing]. 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 the most significant carbon mitigation efforts 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

  14. Patients Aged 80 Years or Older are Encountered More Potentially Inappropriate Medication Use

    Institute of Scientific and Technical Information of China (English)

    Li Mo; Ding Ding; Shi-Yun Pu; Qin-Hui Liu; Hong Li; Bi-Rong Dong; Xiao-Yan Yang

    2016-01-01

    Background: Polypharmacy and potentially inappropriate medications (PIMs) are prominent prescribing issues in elderly patients.This study was to investigate the different prevalence of PIM use in elderly inpatients between 65-79 years of age and 80 years or older, who were discharged from Geriatric Department in West China Hospital.Methods: A large-scale cohort of 1796 inpatients aged 65 years or over was recruited.Respectively, 618 patients were 65-79 years and 1 178 patients were 80 years or older.Updated 2012 Beers Criteria by the American Geriatric Society was applied to assess the use of PIM among the investigated samples.Results: A review of the prescribed medications identified 686 patients aged 80 years or older consumed at least one PIM giving a rate of 58.2%.Conversely, 268 (43.4%) patients aged 65-79 years consumed at least one PIM (x2 =40.18, P < 0.001).Patients aged 80 years or older had higher hospitalization expenses, length of stay, co-morbidities, medical prescription, and mortality than patients aged 65-79 years (all with P < 0.001).Patients aged 80 years or older were prescribed with more benzodiazepines, drugs with strong anticholinergic properties, megestrol, antipsychotics, theophylline, and aspirin.In multiple regression analysis, PIM use was significantly associated with female gender, age, number of diagnostic disease, and number of prescribed medication.Conclusions: The finding from this study revealed that inpatients aged 80 years or older encountered more PIM use than those aged 65-79 years.Anticholinergic properties, megestrol, antipsychotics, theophylline, and aspirin are medications that often prescribed to inpatients aged 80 years or older.Doctors should carefully choose drugs for the elderly, especially the elderly aged 80 years or older.

  15. 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.

  16. 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.

  17. 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. PMID:22901282

  18. "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.

  19. Asthma Prevalence, Adults (18 and older) by Year, 1995 to 2010

    Data.gov (United States)

    U.S. Department of Health & Human Services — This dataset contains the estimated percent of California adults (18 and older) with lifetime and current asthma (asthma prevalence), by year. The data are derived...

  20. 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)

  1. 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....

  2. Deposition of 1.88-billion-year-old iron formations as a consequence of rapid crustal growth.

    Science.gov (United States)

    Rasmussen, Birger; Fletcher, Ian R; Bekker, Andrey; Muhling, Janet R; Gregory, Courtney J; Thorne, Alan M

    2012-04-26

    Iron formations are chemical sedimentary rocks comprising layers of iron-rich and silica-rich minerals whose deposition requires anoxic and iron-rich (ferruginous) sea water. Their demise after the rise in atmospheric oxygen by 2.32 billion years (Gyr) ago has been attributed to the removal of dissolved iron through progressive oxidation or sulphidation of the deep ocean. Therefore, a sudden return of voluminous iron formations nearly 500 million years later poses an apparent conundrum. Most late Palaeoproterozoic iron formations are about 1.88 Gyr old and occur in the Superior region of North America. Major iron formations are also preserved in Australia, but these were apparently deposited after the transition to a sulphidic ocean at 1.84 Gyr ago that should have terminated iron formation deposition, implying that they reflect local marine conditions. Here we date zircons in tuff layers to show that iron formations in the Frere Formation of Western Australia are about 1.88 Gyr old, indicating that the deposition of iron formations from two disparate cratons was coeval and probably reflects global ocean chemistry. The sudden reappearance of major iron formations at 1.88 Gyr ago--contemporaneous with peaks in global mafic-ultramafic magmatism, juvenile continental and oceanic crust formation, mantle depletion and volcanogenic massive sulphide formation--suggests deposition of iron formations as a consequence of major mantle activity and rapid crustal growth. Our findings support the idea that enhanced submarine volcanism and hydrothermal activity linked to a peak in mantle melting released large volumes of ferrous iron and other reductants that overwhelmed the sulphate and oxygen reservoirs of the ocean, decoupling atmospheric and seawater redox states, and causing the return of widespread ferruginous conditions. Iron formations formed on clastic-starved coastal shelves where dissolved iron upwelled and mixed with oxygenated surface water. The

  3. 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.

  4. 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.

  5. 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

  6. 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...

  7. Patients Aged 80 Years or Older are Encountered More Potentially Inappropriate Medication Use

    OpenAIRE

    Li Mo; Ding Ding; Shi-Yun Pu; Qin-Hui Liu; Hong Li; Bi-Rong Dong; Xiao-Yan Yang; Jin-Han He

    2016-01-01

    Background: Polypharmacy and potentially inappropriate medications (PIMs) are prominent prescribing issues in elderly patients. This study was to investigate the different prevalence of PIM use in elderly inpatients between 65-79 years of age and 80 years or older, who were discharged from Geriatric Department in West China Hospital. Methods: A large-scale cohort of 1796 inpatients aged 65 years or over was recruited. Respectively, 618 patients were 65-79 years and 1178 patients were 80 y...

  8. 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.

  9. Changes in Older Adult Loneliness : Results From a Seven-Year Longitudinal Study

    NARCIS (Netherlands)

    Dykstra, Pearl A.; Tilburg, Theo G. van; Jong Gierveld, Jenny de

    2005-01-01

    This study examines loneliness and its correlates—health, residential care, partner status, and network size—over a seven-year period among adults born between 1908 and 1937. The four waves of data are from the Dutch “Living Arrangements and Social Networks of Older Adults” and the “Longitudinal Agi

  10. Geriatric Conditions in Acutely Hospitalized Older Patients: Prevalence and One-Year Survival and Functional Decline

    NARCIS (Netherlands)

    B.M. Buurman; J.G. Hoogerduijn; R.J. de Haan; A. Abu-Hanna; A.M. Lagaay; H.J. Verhaar; M.J. Schuurmans; M. Levi; S.E. de Rooij

    2011-01-01

    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 b

  11. 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...

  12. 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,…

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

    OpenAIRE

    Martin, Beth A.; 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.

  14. 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...

  15. Five years later: resiliency among older adult survivors of Hurricane Katrina.

    Science.gov (United States)

    Hrostowski, Susan; Rehner, Timothy

    2012-01-01

    The purpose of this study was to examine the resilience of older adult survivors of Hurricane Katrina in light of their traumatic experiences and multiple losses. Ten Mississippi Gulf Coast residents who have survived Hurricane Katrina and its aftermath were interviewed. The participants were 65 years old or older. Their responses were audiotaped and transcribed. The transcripts were analyzed using phenomenological methodology and NVivo 2.5 software. Three major themes emerged. Participants described finding personal gratification, realizing their ability to cope, and developing a new interest in life through their novel experiences. PMID:22574866

  16. 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

  17. Health-Engagement Control Strategies and 2-Year Changes in Older Adults’ Physical Health

    Science.gov (United States)

    Wrosch, Carsten; Schulz, Richard

    2009-01-01

    This study examined the associations between older adults’ daily physical symptoms (e.g., chest pain or difficulty breathing) and 2-year changes in chronic health problems (e.g., cardiovascular disease or cancer) and in functional problems (e.g., difficulty dressing or moving around at home). We reasoned that these associations depend on a person’s active control processes aimed at counteracting physical health problems (i.e., health-engagement control strategies, or HECS). In particular, we hypothesized that high levels of HECS buffer the adverse effect of daily physical symptoms on increases in chronic and functional health problems. We found that daily physical symptoms were associated with declines in chronic and functional health among older adults who were not engaged in addressing their health problems, but not among their counterparts who reported high levels of HECS. These findings suggest that active control strategies play an important role in the maintenance of older adults’ physical health. PMID:18578842

  18. 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.

  19. 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

  20. Long-Term Exercise in Older Adults: 4-Year Outcomes of Music-Based Multitask Training

    OpenAIRE

    Hars, Mélany; Herrmann, François R.; Fielding, Roger A.; Reid, Kieran F.; Rizzoli, René; Trombetti, Andrea

    2014-01-01

    Prospective controlled evidence supporting the efficacy of long-term exercise to prevent physical decline and reduce falls in old age is lacking. The present study aimed to assess the effects of long-term music-based multitask exercise (i.e., Jaques-Dalcroze eurhythmics) on physical function and fall risk in older adults. A 3-year follow-up extension of a 1-year randomized controlled trial (NCT01107288) was conducted in Geneva (Switzerland), in which 134 community-dwellers aged ≥65 years at i...

  1. Health-Engagement Control Strategies and 2-Year Changes in Older Adults’ Physical Health

    OpenAIRE

    Wrosch, Carsten; Schulz, Richard

    2008-01-01

    This study examined the associations between older adults’ daily physical symptoms (e.g., chest pain or difficulty breathing) and 2-year changes in chronic health problems (e.g., cardiovascular disease or cancer) and in functional problems (e.g., difficulty dressing or moving around at home). We reasoned that these associations depend on a person’s active control processes aimed at counteracting physical health problems (i.e., health-engagement control strategies, or HECS). In particular, we ...

  2. 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.

  3. Long-Term Mortality in HIV-Infected Individuals 50 Years or Older

    DEFF Research Database (Denmark)

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

    2016-01-01

    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......, when compared with an individually-matched cohort from the background population. METHODS: Population-based cohort-study including HIV-infected individuals ≥ 50 years, who were alive 1 year after HIV-diagnosis (n = 2440) and a comparison cohort individually-matched by age and gender extracted from...... 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...

  4. 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 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...... the age. In 37 of 46 feet the overall result was found satisfactory by the patients. The authors find that McBride's operation can be used for hallux valgus, also in patients above 30 years, in spite of the generally accepted restriction to younger individuals....

  5. State Funds for Higher Education Total $34-Billion; 11-Pct. Biennial Rise Equals Lowest in 29 Years.

    Science.gov (United States)

    Jaschik, Scott

    1987-01-01

    Tight state budgets and regional economic difficulties have prompted a sharp drop in the rate that state appropriations for higher education have increased over the past two years. New England fares well while farm and oil states suffer. (MLW)

  6. 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.

  7. 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

  8. Effects of integrated dental care on oral treatment needs in residents of nursing homes older than 70 years

    NARCIS (Netherlands)

    Gerritsen, Paul; Cune, Marco; van der Bilt, Andries; Abbink, Jan; de Putter, Cornelis

    2015-01-01

    Aim: To determine effects of integrated dental care in older nursing home residents. Methods: In three nursing homes offering integrated dental care, we studied the oral treatment need of 355 residents older than 70 years. To determine effects of integrated care, we discriminated between short-stay

  9. Luzhou Grid to Invest Nearly 2.5 Billion Yuan in the "Twelfth Five Year Plan" Period

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    <正>According to preliminary plan,during the "Twelfth Five Year Plan" period,Luzhou Grid will newly add 2,400,000 KVA of transforming capacity at 35 KV and above grade,with 912 km line distance,newly add 360,000 KVA in

  10. Efficacy of the Herpes Zoster Subunit Vaccine in Adults 70 Years of Age or Older.

    Science.gov (United States)

    Cunningham, Anthony L; Lal, Himal; Kovac, Martina; Chlibek, Roman; Hwang, Shinn-Jang; Díez-Domingo, Javier; Godeaux, Olivier; Levin, Myron J; McElhaney, Janet E; Puig-Barberà, Joan; Vanden Abeele, Carline; Vesikari, Timo; Watanabe, Daisuke; Zahaf, Toufik; Ahonen, Anitta; Athan, Eugene; Barba-Gomez, Jose F; Campora, Laura; de Looze, Ferdinandus; Downey, H Jackson; Ghesquiere, Wayne; Gorfinkel, Iris; Korhonen, Tiina; Leung, Edward; McNeil, Shelly A; Oostvogels, Lidia; Rombo, Lars; Smetana, Jan; Weckx, Lily; Yeo, Wilfred; Heineman, Thomas C

    2016-09-15

    Background A trial involving adults 50 years of age or older (ZOE-50) showed that the herpes zoster subunit vaccine (HZ/su) containing recombinant varicella-zoster virus glycoprotein E and the AS01B adjuvant system was associated with a risk of herpes zoster that was 97.2% lower than that associated with placebo. A second trial was performed concurrently at the same sites and examined the safety and efficacy of HZ/su in adults 70 years of age or older (ZOE-70). Methods This randomized, placebo-controlled, phase 3 trial was conducted in 18 countries and involved adults 70 years of age or older. Participants received two doses of HZ/su or placebo (assigned in a 1:1 ratio) administered intramuscularly 2 months apart. Vaccine efficacy against herpes zoster and postherpetic neuralgia was assessed in participants from ZOE-70 and in participants pooled from ZOE-70 and ZOE-50. Results In ZOE-70, 13,900 participants who could be evaluated (mean age, 75.6 years) received either HZ/su (6950 participants) or placebo (6950 participants). During a mean follow-up period of 3.7 years, herpes zoster occurred in 23 HZ/su recipients and in 223 placebo recipients (0.9 vs. 9.2 per 1000 person-years). Vaccine efficacy against herpes zoster was 89.8% (95% confidence interval [CI], 84.2 to 93.7; P50 and ZOE-70 (16,596 participants), vaccine efficacy against herpes zoster was 91.3% (95% CI, 86.8 to 94.5; PHZ/su recipients than among placebo recipients (79.0% vs. 29.5%). Serious adverse events, potential immune-mediated diseases, and deaths occurred with similar frequencies in the two study groups. Conclusions In our trial, HZ/su was found to reduce the risks of herpes zoster and postherpetic neuralgia among adults 70 years of age or older. (Funded by GlaxoSmithKline Biologicals; ZOE-50 and ZOE-70 ClinicalTrials.gov numbers, NCT01165177 and NCT01165229 .). PMID:27626517

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

    OpenAIRE

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

    2007-01-01

    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 percent 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 percent energy intensity target also translates into an a...

  12. 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.

  13. 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.

  14. 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.

  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. Paravertebral block for patients older than 80 years in one day surgery elective mastectomy.

    Science.gov (United States)

    Compagnone, Christian; Schiappa, Eleonora; Bellantonio, Daniele; Ghirardi, Gianluca; Rossini, Elisabetta; Tagliaferri, Fernanda; Fanelli, Guido

    2013-12-01

    Paravertebral block (PVB) has been proposed as an alternative to General anaesthesia (GA) for breast surgery. It provides good operative anaesthesia, good pain control with little adverse effects. Six women older than 80 year were selected. All patients were post-operatively interviewed about the presence of pain, nausea and vomiting. All patients declared absence of pain and nausea and that they were satisfied with the procedure. The use of PVB allows elderly patients to undergo ambulatory surgery for the treatment of breast cancer with satisfaction. This technique allows a short recovery and adequate postoperative pain relief with reduced hospital costs. PMID:24458169

  17. Long-term exercise in older adults: 4-year outcomes of music-based multitask training.

    Science.gov (United States)

    Hars, Mélany; Herrmann, François R; Fielding, Roger A; Reid, Kieran F; Rizzoli, René; Trombetti, Andrea

    2014-11-01

    Prospective controlled evidence supporting the efficacy of long-term exercise to prevent physical decline and reduce falls in old age is lacking. The present study aimed to assess the effects of long-term music-based multitask exercise (i.e., Jaques-Dalcroze eurhythmics) on physical function and fall risk in older adults. A 3-year follow-up extension of a 1-year randomized controlled trial (NCT01107288) was conducted in Geneva (Switzerland), in which 134 community-dwellers aged ≥65 years at increased risk of falls received a 6-month music-based multitask exercise program. Four years following original trial enrolment, 52 subjects (baseline mean ± SD age, 75 ± 8 years) who (i) have maintained exercise program participation through the 4-year follow-up visit ("long-term intervention group", n = 23) or (ii) have discontinued participation following original trial completion ("control group", n = 29) were studied. They were reassessed in a blind fashion, using the same procedures as at baseline. At 4 years, linear mixed-effects models showed significant gait (gait speed, P = 0.006) and balance (one-legged stance time, P = 0.015) improvements in the long-term intervention group, compared with the control group. Also, long-term intervention subjects did better on Timed Up & Go, Five-Times-Sit-to-Stand and handgrip strength tests, than controls (P music-based multitask exercise program is a promising strategy to prevent age-related physical decline in older adults. They also highlight the efficacy of sustained long-term adherence to exercise for falls prevention. PMID:25148876

  18. 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. PMID:24567416

  19. 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

  20. 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 organs from donors younger than 80 years of age and 17 with organs from older donors. The 2 recipient groups did not significantly differ in weight, height, gender, body mass index (BMI), CHILD or MELD score, intensive care unit (ICU) or hospital stay, need for intraoperative hemoderivatives, postreperfusion syndrome, biliary or vascular complications, ischemic cholangiopathy, number of repeat surgeries, 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.

  1. 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.

  2. Factors affecting dental utilization of elders aged 75 years or older.

    Science.gov (United States)

    Wilson, A A; Branch, L G

    1986-11-01

    Data collected from 496 elders aged 75 years or older participating in the Massachusetts Health Care Panel Study were analyzed by means of multiple regression to determine the principal predictors of perceived need for care and of dental users. The relationship between perceived need and use of services also was examined. The significant variables influencing perceived need in elders were poorer self-perceived oral health, having some teeth, and reporting a dental visit within two years. Dental users were best predicted by dentate status, a history of alcohol consumption, and perceived need for care. Although the variables of perceived need and being a user each influenced the other, both were more influenced by a common significant predictor variable, dentate status. PMID:3464632

  3. Outcomes and Tolerability of Chemoradiation Therapy for Pancreatic Cancer Patients Aged 75 Years or Older

    International Nuclear Information System (INIS)

    Purpose: To review the outcomes and tolerability of full-dose chemoradiation in elderly patients aged 75 years or older with localized pancreatic cancer. Methods and Materials: We retrospectively reviewed patients aged 75 years or older with nonmetastatic pancreatic cancer treated with chemoradiation therapy at two institutions from 2002 to 2007. Patients were analyzed for treatment toxicity, local recurrences, distant metastases, and survival. Results: A total of 42 patients with a median age of 78 years (range, 75-90 years) who received chemoradiation therapy for pancreatic cancer were identified. Of the patients, 24 had locally advanced disease treated with definitive chemoradiation, and 18 had disease treated with surgery and chemoradiation. Before chemoradiotherapy, the mean Eastern Cooperative Oncology Group performance status was 1.0 ± 0.8, and the mean 6-month weight loss was 5.3 ± 3.8 kg. The mean radiation dose delivered was 48.1 ± 9.2 Gy. All patients received fluoropyrimidine-based chemotherapy concurrently with radiotherapy. In all, 8 patients (19%) were hospitalized, 7 (17%) had an emergency room visit, 15 (36%) required a radiation treatment break, 3 (7%) required a chemotherapy break, 9 (21%) did not complete therapy, and 22 (49%) had at least one of these adverse events. The most common toxicities were nausea, pain, and failure to thrive. Median overall survival was 8.6 months (95% confidence interval, 7.2-13.1) in patients who received definitive chemoradiation therapy and 20.6 months (95% confidence interval, 9.5-∞) in patients who underwent resection and chemoradiation therapy. Conclusions: In this dataset of very elderly patients with pancreatic cancer and good Eastern Cooperative Oncology Group performance status, outcomes after chemoradiotherapy were similar to those among historic controls for patients with locally advanced and resected pancreatic cancer, although many patients experienced substantial treatment-related toxicity.

  4. 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. PMID:18310793

  5. 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.].

  6. 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.]. PMID:27286050

  7. 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.

  8. Sarcopenia, but not sarcopenic obesity, predicts mortality for older old men: A 3-year prospective cohort study

    OpenAIRE

    Li-Kuo Liu, MD; Liang-Yu Chen, MD; Kuo-Ping Yeh, MD; Ming-Hsien Lin, MD; An-Chun Hwang, MD; Li-Ning Peng, MD; Liang-Kung Chen, MD, PhD

    2014-01-01

    Background: The prognostic significance of sarcopenia and sarcopenic obesity (SO) among older people remains controversial. The main aim of this study was to evaluate the mortality risk of sarcopenia and SO among men aged 75 years and older in Taiwan. Methods: This prospective cohort study recruited all residents of the Banciao Veterans Home, a veterans retirement community in Taipei City in northern Taiwan. For all study participants, the demographic profile, comorbid medical conditions, ...

  9. 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....

  10. [The 50-year-old women or older: preventive actions to the HIV infection].

    Science.gov (United States)

    Rodrigues, Daniela Angelo de Lima; Praça, Neide de Souza

    2010-06-01

    The present study is a qualitative research which aimed to verify the adoption of preventive measures on the transmission of HIV in 50-year-old women or older, who lived in poor communities and were assisted by the Family Health Program in São Paulo, Brazil. Medical Anthropology has been adopted as a theoretical reference, as well as the Discourse of the Collective Individual for data analysis. Thirteen women were interviewed and three discourses were presented: prevention appreciation, invisibility of HIV/AIDS and the rejection of the use of condom. The analysis showed that the group did not realize the risk of contamination through sexual intercourse due to their trust in the partner's loyalty. The casual use of condoms was taken into consideration just out of curiosity. The preventive actions adopted need more scientific support. The results point out the necessity of planning and implementing interventions which are culturally based and directed to the studied segment. PMID:21500513

  11. Physical Inactivity Among Adults Aged 50 Years and Older - United States, 2014.

    Science.gov (United States)

    Watson, Kathleen B; Carlson, Susan A; Gunn, Janelle P; Galuska, Deborah A; O'Connor, Ann; Greenlund, Kurt J; Fulton, Janet E

    2016-01-01

    Physical activity can help delay, prevent, or manage many of the chronic diseases for which adults aged ≥50 years are at risk (1-3). These diseases can impact the length and quality of life, as well as the long-term ability to live independently.* All adults aged ≥50 years, with or without chronic disease, gain health benefits by avoiding inactivity (2,3). To examine the prevalence of inactivity by selected demographic characteristics and chronic disease status in mid-life and older adults, CDC analyzed data on adults aged ≥50 years from the 2014 Behavioral Risk Factor Surveillance System (BRFSS). Overall, 27.5% of adults aged ≥50 years reported no physical activity outside of work during the past month. Inactivity prevalence significantly increased with increasing age and was 25.4% among adults aged 50-64 years, 26.9% among those aged 65-74 years, and 35.3% among those aged ≥75 years. Inactivity prevalence was significantly higher among women than men, among Hispanics and non-Hispanic blacks than among non-Hispanic whites, and among adults who reported ever having one or more of seven selected chronic diseases than among those not reporting one. Inactivity prevalence significantly increased with decreasing levels of education and increasing body mass index. To help adults with and without chronic disease start or maintain an active lifestyle, communities can implement evidence-based strategies, such as creating or enhancing access to places for physical activity, designing communities and streets to encourage physical activity, and offering programs that address specific barriers to physical activity. PMID:27632143

  12. Lipids and All-Cause Mortality among Older Adults: A 12-Year Follow-Up Study

    Directory of Open Access Journals (Sweden)

    Marcos Aparecido Sarria Cabrera

    2012-01-01

    Full Text Available This is a 12-year follow-up cohort study with 800 people (60–85 years old. The association between lipid disorders and mortality was analysed by Cox proportional hazard adjusted model. All-cause mortality was considered the dependent variable, and lipid disorders as independent variables: total cholesterol (TC >200 and 100 and 130, and triglycerides (TG >50. An initial analysis of all subjects was performed and a second was carried out after having excluded individuals with a body mass index (BMI <20 kg/m2 or mortality in ≤2 years. The mortality showed a positive association with low TC and a negative association with high TC and high LDL-c. After the exclusion of underweight and premature mortality, there was a positive association only with TC <170 mg/dl (HR = 1.36, CI95%: 1.02–1.82. The data did not show a higher risk with high levels of TC, LDL-c, and TG. However, they showed higher mortality among older adults with low TC.

  13. 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). PMID:27573083

  14. Vulnerabilities in Older Patients when Cancer Treatment is Initiated: Does a Cognitive Impairment Impact the Two-Year Survival?

    Science.gov (United States)

    Borghgraef, Cindy; Etienne, Anne-Marie; Merckaert, Isabelle; Paesmans, Marianne; Reynaert, Christine; Roos, Myriam; Slachmuylder, Jean-Louis; Vandenbossche, Sandrine; Bron, Dominique; Razavi, Darius

    2016-01-01

    Introduction Dementia is a known predictor of shorter survival times in older cancer patients. However, no empirical evidence is available to determine how much a cognitive impairment shortens survival in older patients when cancer treatment is initiated. Purpose To longitudinally investigate how much a cognitive impairment detected at the initiation of cancer treatment influences survival of older patients during a two-year follow-up duration and to compare the predictive value of a cognitive impairment on patients survival with the predictive value of other vulnerabilities associated with older age. Methods Three hundred and fifty-seven consecutive patients (≥65 years old) admitted for breast, prostate, or colorectal cancer surgeries were prospectively recruited. A cognitive impairment was assessed with the Montreal Cognitive Assessment (MoCA<26). Socio-demographic, disease-related, and geriatric vulnerabilities were assessed using validated tools. Univariate and subsequent multivariate Cox proportional hazards models stratified for diagnosis (breast/prostate cancer versus colorectal cancer) and disease status (metastatic versus non-metastatic) were used. Results A cognitive impairment was detected in 46% (n = 163) of patients. Survival was significantly influenced by a cognitive impairment (HR = 6.13; 95% confidence interval [CI] = 2.07–18.09; p = 0.001), a loss in instrumental autonomy (IADL ≤7) (HR = 3.06; 95% CI = 1.31–7.11; p = 0.009) and fatigue (Mob-T<5) (HR = 5.98; 95% CI = 2.47–14.44; p <0.001). Conclusions During the two years following cancer treatment initiation, older patients with a cognitive impairment were up to six times more likely to die than patients without. Older patients should be screened for cognitive impairments at cancer treatment initiation to enable interventions to reduce morbidity and mortality. Further studies should address processes underlying the relationship between cognitive impairments and an increased risk of dying

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

    Science.gov (United States)

    McDonald, Cameron Keith; Ankarfeldt, Mikkel Z; Capra, Sandra; Bauer, Judy; Raymond, Kyle; Heitmann, Berit Lilienthal

    2016-05-01

    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 adult Danes. Dietary leucine intake was assessed at baseline and after 6 years in men and women, aged 35-65 years, participating in the Danish cohort of the WHO-MONICA (Multinational MONItoring of trends and determinants in CArdiovascular disease) study (n 368). Changes in LBM over the 6 years were measured by bioelectrical impedance using equations developed for this Danish population. The association between leucine and LBM changes was examined using multivariate linear regression and ANCOVA analyses adjusted for potential confounders. After adjustment for baseline LBM, sex, age, energy intake and physical activity, leucine intake was associated with LBM change in those older than 65 years (n 79), with no effect seen in those younger than 65 years. Older participants in the highest quartile of leucine intake (7·1 g/d) experienced LBM maintenance, whereas lower intakes were associated with LBM loss over 6 years (for trend: β=0·434, P=0·03). Sensitivity analysis indicated no effect modification of sex or the presence of CVD. Greater leucine intake in conjunction with adequate total protein intake was associated with long-term LBM retention in a healthy older Danish population. This study corroborates findings from laboratory investigations in relation to protein and leucine intakes and LBM change. A more diverse and larger sample is needed for confirmation of these results. PMID:26979049

  16. Foreign trade likely to exceed US$1,600 billion this year%今年中国外贸总额可能超过16000亿美元

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    @@ Import and export of commodities will continue to grow rapidly this year, according to a forecast made by the Report on China's Foreign Trade (Spring 2006)published by the Ministry of Commerce at the recent Guangzhou Import and Export Commodities Fair.The report forecast that China's total import and export will exceed US($)1,600 billion this year, and the growth will be more than 15%.

  17. 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.

  18. 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

    adult Danes. Dietary leucine intake was assessed at baseline and after 6 years in men and women, aged 35-65 years, participating in the Danish cohort of the WHO-MONICA (Multinational MONItoring of trends and determinants in CArdiovascular disease) study (n 368). Changes in LBM over the 6 years were...... measured by bioelectrical impedance using equations developed for this Danish population. The association between leucine and LBM changes was examined using multivariate linear regression and ANCOVA analyses adjusted for potential confounders. After adjustment for baseline LBM, sex, age, energy intake...... and physical activity, leucine intake was associated with LBM change in those older than 65 years (n 79), with no effect seen in those younger than 65 years. Older participants in the highest quartile of leucine intake (7·1 g/d) experienced LBM maintenance, whereas lower intakes were associated with LBM loss...

  19. 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.

  20. 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

  1. 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

  2. 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.

  3. Stable Isotope Geochemistry of Extremely Well-Preserved 2.45-Billion-Year-Old Hydrothermal Systems in the Vetreny Belt, Baltic Shield: Insights into Paleohydrosphere

    Science.gov (United States)

    Zakharov, D. O.; Bindeman, I. N.

    2015-12-01

    The early Paleoproterozoic was an eventful period in the Earth's history. The first portions of free oxygen emerged in the atmosphere, Snowball Earth glaciations happened several times and the first supercontinent broke up due to extensive rifting. These events should have affected the stable isotopic composition of the hydrosphere. In this study, we use rocks that were altered in underwater hydrothermal systems to investigate the stable isotopic composition of the hydrosphere 2.39-2.45 billion years ago (hereinafter, Ga). Extremely low-δ18O (down to -27.5‰ SMOW) rocks from 2.39 Ga metamorphosed subglacial hydrothermal systems of the Belomorian belt, Baltic Shield formed at near-equatorial latitudes suggesting a Snowball (or Slushball) Earth glaciation. These results motivated us to look at temporally and geographically close hydrothermal systems from the unmetamorhposed 2.45 Ga Vetreny Belt rift. The length of the rift is 250 km and it is composed of high-Mg basalts, mafic-ultramafic intrusions and sedimentary successions. We examined several localities of high-Mg basalt flows that include astonishingly fresh pillow lavas, often with preserved volcanic glass, eruptive breccias, and hydrothermal alteration zones. Collected samples serve a great textural evidence of water-rock interaction that occurred in situ while basalts were cooling. The preliminary results from coexisting quartz and epidote (T, D18O=311°C), and from coexisting calcite and quartz (T, D18O=190°C) yield values of δ18O of involved water between -1.6 and -0.9 ‰. The values of δ13C in calcites vary between -4.0 and -2.3 ‰. It is likely that hydrothermal fluids operated in the Vetreny Belt rift were derived from seawater that is no different from modern oceanic water in terms of δ18O. Apparently, the rift was a Paleoproterozoic analog of the modern Red Sea, filled with oceanic water. The result is important because the Vetreny Belt rift predates the onset of Snowball Earth glaciation at 2

  4. 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

  5. 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

  6. Body Image, self-esteem, and clothing of men and women aged 55 years and older

    OpenAIRE

    Hwang, Jinsook

    1993-01-01

    Although there are many studies regarding body image of younger people, there have been few studies on that of older people. Since today's culture considers the young, thin body image ideal, it is important to investigate body image of older people and the relationships between their body image, self esteem, and clothing behavior. The purpose of this study was to determine the relationships between 1) body-cathexis and self-esteem, 2) body-cathexis and clothing behavio...

  7. Arthroscopic Findings After Traumatic Shoulder Instability in Patients Older Than 35 Years

    OpenAIRE

    Robinson, Elisabeth C.; Thangamani, Vijay B.; Kuhn, Michael A.; Ross, Glen

    2015-01-01

    Background: Shoulder instability in the older patient traditionally has received less attention in the literature than in the younger patient population. However, when traumatic dislocation does occur, these patients often still have frequent pain, disability, and even continued instability. Purpose: To characterize the pathoanatomy of traumatic anterior shoulder instability in the older patient population and to discuss the correlating symptoms that ultimately led to operative treatment. Stu...

  8. 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.

  9. 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.

  10. 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...

  11. 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.

  12. Long-Term Outcomes for Older Patients with Papillary Thyroid Carcinoma: Should Another Age Cutoff Beyond 45 Years Be Added?

    OpenAIRE

    Lo, CY; Wan, KY; Lang, HHB; Wong, KP

    2014-01-01

    © 2014, Society of Surgical Oncology. Background: Although an age cutoff of 45 years has often been adopted to stratify cancer risk in papillary thyroid carcinoma (PTC), both cancer-specific survival (CSS) and disease-specific survival (DFS) continue to worsen beyond this cutoff. This study aimed to determine whether advanced age (i.e., >60 years) at diagnosis was an independent predictor of CSS and DFS in older (≥45 years) patients. Methods: This study analyzed 407 PTC patients with a minima...

  13. The Effects of Acupressure Training on Sleep Quality and Cognitive Function of Older Adults: A 1-Year Randomized Controlled Trial.

    Science.gov (United States)

    Zeng, Hui; Liu, Mengjiao; Wang, Ping; Kang, Jiaxun; Lu, Fenghua; Pan, Lu

    2016-10-01

    We explored the effects of acupressure training on older adults' sleep quality and cognitive function. Ninety older adults with impaired sleep quality were selected from screened volunteers and randomly divided into equal control and experimental groups; 82 completed the 1-year follow-up. Participants in the control group were given instructions on sleep health, while those in the experimental group received sleep health instructions plus individual and small group acupressure training sessions and support to practice the intervention on their own each day. All participants were assessed by trained assistants blind to study group allocation using Chinese versions of the Pittsburgh Sleep Quality Index, the Epworth Sleepiness Scale, the Mini-Mental State Examination, and four subscales from the revised Chinese version of the Wechsler Memory Scale, at baseline and at 3, 6, and 12 months. Repeated measures analysis of variance showed that acupressure training improved older adults' sleep quality and cognitive function, but the mediating effect of sleep on the relationship between acupressure training and cognitive function was not supported. Given the ease, simplicity, and safety of acupressure training observed with community-dwelling older adults in China, attempts should be made to replicate these preliminary positive findings with larger samples. © 2016 Wiley Periodicals, Inc. PMID:27327537

  14. 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

  15. Life styles related to coronary artery disease in Saudi Males older than 12 years of age

    International Nuclear Information System (INIS)

    The present study highlighted life styles related to coronary artery disease risk factors among patients attending a primary care clinic at King Khalid University Hospital, in Riyadh, Saudi Arabia. We conducted a cross-sectional study at a primary care clinic at King Khalid University Hospital, Riyadh, Saudi Arabia, during the period from 18/4/2006 to 13/6/2006. All adult male patients older than 12 years of age who attended one consultant primary care clinic were included in the study. All patients were interviewed by one consultant in family medicine during the study period. The patients were asked about dietary habits, physical activity and type of exercise, and smoking habits. Weight and height was taken for all patients by the nurse in the clinic and body mass index (BMI) were calculated for all patients. The total number of participants was 246 patients. The data were analyzed using the Statistical Package of Social Science (SPSS) version 11.5. A p value of less than 0.05 was considered statistically significant. Of the 246 male adult patients, 45.4% always consumed vegetables and fruits in their diet, 21.5% exercised on a daily basis, 51.2% exercised sometimes and 26% did not exercise at all. The type of exercise practiced by active participants was walking (76.5%) and sports (22.9%). Sports included football, basketball, swimming and other sports club activity. Only 20.7% of the participants had an ideal body weight (BMI=30). 8.9% of the participants were current smokers. Overweight and obesity is a common health problem among male adult patients attending a primary care setting. Improved dietary habits (consumption of vegetables and fruits and minimization of fat and suits) encouraging exercise and walking and helping current smokers to quit smoking are essential steps towards improving life styles in the community. It is an important health plan priority to concentrate on improving life styles in the Saudi community, to prevent cardiovascular risk factors

  16. Prospective Associations Between Leisure-Time Physical Activity and Cognitive Performance Among Older Adults Across an 11-Year Period

    OpenAIRE

    Ku, Po-Wen; Stevinson, Clare; Chen, Li-Jung

    2012-01-01

    Background Few studies have explored the relations between naturally occurring changes in physical activity and cognitive performance in later life. This study examined prospective associations between changes in physical activity and cognitive performance in a population-based sample of Taiwanese older adults during an 11-year period. Methods Analyses were based on nationally representative data from the Taiwan Health and Living Status of the Elderly Survey collected in 1996, 1999, 2003, and...

  17. 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.

  18. Improved Race Times in Marathoners Older than 75 Years in the Last 25 Years in the World's Largest Marathons.

    Science.gov (United States)

    Ahmadyar, Baschir; Rosemann, Thomas; Rüst, Christoph Alexander; Knechtle, Beat

    2016-06-30

    Performance trends of elite marathoners are well investigated. However, performance of elderly marathoners (> 75 years) competing in the world's largest city marathons is not well-known. We examined marathon race data of 1,691 marathon finishes (i.e. 218 women and 1,473 men) competing between 1990 and 2014 in 5-year age groups 75-79, 80-84, 85-89, and 95-99 years in four races (Berlin, New York, Chicago and Boston) of the 'World Marathon Majors'. The number of female (r² = 0.50, P race times. Women and men in age group 75-79 years improved race times. In age groups 80-84 to 90-94 years, women and men were not able to reduce race times. In summary, participation increased and performance improved in female and male marathoners competing in age groups 75-79 to 95-99 years where the largest increases in participation and the largest improvements in performance were found in women and men in age group 75-79 years. PMID:27188466

  19. Book review: 10 billion

    OpenAIRE

    Saffin, Kate

    2013-01-01

    10 Billion aims to take a dramatic look at the challenges we face today, from over-population to energy wars, to melting ice caps to civil conflict, presented in an eye-catching infographic style. Stephen Emmott has attempted to obtain reach and for all the criticism of his method and writing, it is not as though he is pretending that this would make it in to a journal, an article for which he is more than capable of writing. Science communication is never easy, writes Kate Saffin, and if Emm...

  20. 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.

  1. 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.

  2. 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.

  3. 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.

  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...... the two groups were found regarding bone marrow toxicity or mean percentage changes in lung- or renal function. Patients aged ≥40 year had increased cancer specific mortality, HR = 4.8 (P = 0.005). In particular patients with disease progression after first line chemotherapy had increased mortality (P = 0.......015). Moreover, the 5-year overall survival for patients aged ≥40 years was 82.5% compared to the expected 5-year survival of the background population of 96.3% (P

  5. 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......-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...

  6. 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.

  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. 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. PMID:27235850

  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. 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 plot. Poor self-rated health, physical inactivity, being 55 to 65 years of age, overweight/obesity, and IFG were significant predictors of incident diabetes. Early prevention with a goal of achieving optimal

  11. 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.

  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. PMID:26458776

  13. 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.

  14. Prognosis of primary care patients aged 80 years and older with lower respiratory tract infection

    NARCIS (Netherlands)

    van de Nadort, Christiana; Smeets, Hugo M; Bont, Jettie; Zuithoff, N Peter A; Hak, Eelko; Verheij, Theo J M

    2009-01-01

    BACKGROUND: Predictors for a complicated course of a lower respiratory tract infection (LRTI) episode among patients aged > or =80 years are unknown. AIM: To determine prognostic factors for hospital admission or death within 30 days after first onset of LRTI among primary care patients aged > or =8

  15. [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.

  16. 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

  17. 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

  18. Barriers to eye care among people aged 40 years and older with diagnosed diabetes, 2006-2010.

    Science.gov (United States)

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

    2014-01-01

    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 logistic regression to control for race/ethnicity, education, income, and other selected covariates. RESULTS Among adults with diagnosed diabetes, nonadherence to the recommended annual eye examinations was 23.5%. The most commonly reported reasons for not receiving eye care in the preceding 12 months were "no need" and "cost or lack of insurance" (39.7 and 32.3%, respectively). Other reasons were "no eye doctor," "no transportation" or "could not get appointment" (6.4%), and "other" (21.5%). After controlling for covariates, adults aged 40-64 years were more likely than those aged ≥65 years (relative risk ratio [RRR] = 2.79; 95% CI 2.01-3.89) and women were more likely than men (RRR = 2.33; 95% CI 1.75-3.14) to report "cost or lack of insurance" as their main reason. However, people aged 40-64 years were less likely than those aged ≥65 years to report "no need" (RRR = 0.51; 95% CI 0.39-0.67) as their main reason. CONCLUSIONS Addressing concerns about "cost or lack of insurance" for adults under 65 years and "no perceived need" among those 65 years and older could help improve eye care service utilization among people with diabetes. PMID:24009300

  19. 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.

  20. Clinical outcome, and survival between primary percutaneous coronary intervention versus fibrinolysis in patients older than 60 years with acute myocardial infarction

    Directory of Open Access Journals (Sweden)

    H Falsoleiman

    2012-01-01

    Conclusion: The higher rates of heart failure and need for revascularization in the fibrinolysis group reinforces benefits of PPCI in patients older than 60 years. PPCI in those who are 60 years and above with AMI is safe and cost effective.

  1. 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…

  2. Various distinctive cytogenetic abnormalities in patients with acute myeloid leukaemia aged 60 years and older express adverse prognostic value : results from a prospective clinical trial

    NARCIS (Netherlands)

    van der Holt, Bronno; Breems, Dimitri A.; Beverloo, H. Berna; van den Berg, Eva; Burnett, Alan K.; Sonneveld, Pieter; Lowenberg, Bob

    2007-01-01

    Diagnostic cytogenetic abnormalities are considered important prognostic factors in patients with acute myeloid leukaemia (AML). However, the prognostic assessments have mainly been derived from patients with AML aged <60 years. Two recent studies of AML patients of 60 years and older proposed progn

  3. Long-term effects of antihypertensive medications on bone mineral density in men older than 55 years

    Directory of Open Access Journals (Sweden)

    Ağaçayak KS

    2014-03-01

    Full Text Available Kamil Serkan Ağaçayak,1 Sedat Güven,2 Mahmut Koparal,1 Nedim Güneş,1 Yusuf Atalay,3 Serhat Atilgan11Department of Oral and Maxillofacial Surgery, 2Department of Prosthodontics, School of Dentistry, University of Dicle, Diyarbakir, Turkey; 3Department of Oral and Maxillofacial Surgery, School of Dentistry, University of Afyon Kocatepe, Afyon, TurkeyIntroduction: In this study, we investigated the effects of long-term antihypertensive treatment with calcium channel blockers or beta blockers on the bone mineral density of maxilla, as determined by cone-beam computed tomography (CBCT.Material and methods: This retrospective study was conducted on CBCT images of men older than 55 years who had received different dental indications. Data were grouped into three categories according to the antihypertensive medication history of the patients: group A included patients who had been taking beta-blocker treatment for more than 5 years, group B included patients who had been taking calcium channel blocker treatment for more than 5 years, and the control group included patients who had never used any hypertensive medications before.Results: Statistically significant differences were observed between the beta blocker and calcium channel blocker groups.Conclusion: In hypertension treatment, beta blockers may be preferred to calcium channel blockers in patients at high risk for osteoporosis and bone resorption.Keywords: bone mineral density, CBCT, beta blockers, calcium channel blockers

  4. [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.

  5. 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

  6. 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.

  7. 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

  8. 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.

  9. 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.

  10. [Health in peril: repercussions of ageism on the psychological disengagement of male nurses aged 45 years and older].

    Science.gov (United States)

    Lagacé, Martine; Tougas, Francine; Laplante, Joelle; Neveu, Jean-François

    2008-01-01

    These two studies are designed to evaluate the reactions of male nurses aged 45 years and older toward ageism. The goal of the first study is to test the prestigious work domain model of psychological disengagement resulting from a previous study conducted among female nurses. This model has been confirmed through path analyses conducted on a sample of 236 male nurse technicians; by the same token, it has been shown to apply in the case of lower-status employees working in a prestigious field. In particular, the more a male nurse aged 45 and older experiences relative personal deprivation, the more he discredits feedback from his co-workers and superiors; such discrediting, in turn, leads to devaluation of the domain of work, which in turn lowers self-esteem. The goal of the second study is three-fold, namely: (a) testing the disengagement model among 419 male nurse clinicians; (b) extending this model through the addition of ageist communication as a variable triggering personal relative deprivation; and (c) constructing a scale of ageist communication. Path analyses have again confirmed that the way a domain is appreciated influences the negative impact that devaluation can produce on self-esteem, regardless of the gender or status of the employee working in that field. In addition, these results demonstrate the central role played by communication in the workplace as a vehicle of ageism and as a precursor of ageing employees' discomfort. The discussion covers the implications of ageing employees' reactions toward ageism as well as the consequences of depreciatory language and exclusionary communication practices in the workplace. PMID:19158044

  11. 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.

  12. Assessment of universal health coverage for adults aged 50 years or older with chronic illness in six middle-income countries

    OpenAIRE

    Goeppel, Christine; Frenz, Patricia; Grabenhenrich, Linus; Keil, Thomas; Tinnemann, Peter

    2016-01-01

    Abstract Objective To assess universal health coverage for adults aged 50 years or older with chronic illness in China, Ghana, India, Mexico, the Russian Federation and South Africa. Methods We obtained data on 16 631 participants aged 50 years or older who had at least one diagnosed chronic condition from the World Health Organization Study on Global Ageing and Adult Health. Access to basic chronic care and financial hardship were assessed and the influence of health insurance and rural or u...

  13. 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

  14. 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.

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

    Science.gov (United States)

    Lêng, Chhian Hūi; Wang, Jung-Der

    2016-01-01

    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. Conclusion Daily gardening for pleasure was associated with reduced mortality for Taiwanese >50 years old with mobility limitations but without depression. PMID:27486315

  16. Sex, Race, and Age Differences in Observed Years of Life, Healthy Life, and Able Life among Older Adults in The Cardiovascular Health Study

    OpenAIRE

    Thielke, Stephen M.; Diehr, Paula H.; Yee, Laura M.; Arnold, Alice M.; Quiñones, Ana R.; Whitson, Heather E.; Mini E. Jacob; Newman, Anne B.

    2015-01-01

    Objective: Longevity fails to account for health and functional status during aging. We sought to quantify differences in years of total life, years of healthy life, and years of able life among groups defined by age, sex, and race. Design: Primary analysis of a cohort study. Setting: 18 years of annual evaluations in four U.S. communities. Participants: 5888 men and women aged 65 and older. Measurements: Years of life were calculated as the time from enrollment to death or 18 years. Years of...

  17. 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

  18. Oxygen - A Four Billion Year History

    DEFF Research Database (Denmark)

    Canfield, Donald Eugene

    The air we breathe is twenty-one percent oxygen, an amount higher than on any other known world. While we may take our air for granted, Earth was not always an oxygenated planet. How did it become this way? Oxygen is the most current account of the history of atmospheric oxygen on Earth. Donald...... Canfield--one of the world's leading authorities on geochemistry, earth history, and the early oceans--covers this vast history, emphasizing its relationship to the evolution of life and the evolving chemistry of the Earth. With an accessible and colorful first-person narrative, he draws from a variety...... 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...

  19. Dairy Consumption and the Risk of 15-Year Cardiovascular Disease Mortality in a Cohort of Older Australians

    Directory of Open Access Journals (Sweden)

    Timothy P. Gill

    2013-02-01

    Full Text Available The effects of habitual dairy consumption and the risk of 15-year cardiovascular disease (CVD mortality in a cohort of older Australians were investigated. Participants (n = 2900 completed a validated 145-item semi-quantitative food frequency questionnaire. Cox proportional hazards regression models were used to investigate associations between tertiles of the dairy consumption, including low/reduced fat dairy, whole fat dairy and their ratio (ratioLF/WF, and risk of mortality from coronary heart disease (CHD, stroke or combined CVD. There were 548 recorded cases of CVD mortality in this cohort. For total dairy intake, a reduction in risk of CVD was only seen in tertile 2 (adjusted hazard ratio, AHR: 0.71; 95% CI: 0.55–0.93, and for CHD both tertile 2 and tertile 3 were associated with a reduced risk (both with AHR: 0.71. However there were no linear trends between total dairy consumption and any of the three outcomes. There were no associations or trends between low/reduced fat dairy or whole fat dairy consumption, or ratioLF/WF and any of the three outcomes in the fully adjusted model (all p > 0.05. This study found no consistent association between baseline consumption of dairy foods and the risk of CHD, stroke and combined CVD mortality.

  20. 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…

  1. 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...

  2. Association between serum vitamin D status and functional mobility in memory clinic patients aged 65 years and older

    OpenAIRE

    Gschwind, Yves J; Bischoff-Ferrari, Heike A; Bridenbaugh, Stephanie A; Härdi, Irene; Kressig, Reto W

    2014-01-01

    Background: Recent studies have shown that vitamin D status may be relevant for physical and cognitive performance in the older population. This association may be of particular interest to older people at risk for cognitive impairment and functional decline. Objective: The aim of this study was to determine the association between serum 25-hydroxyvitamin D [25(OH)D] status and functional mobility in seniors assessed in a memory clinic. Methods: We conducted a cross-sectional study of outpati...

  3. 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

    -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......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...... 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...

  4. 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

  5. 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.

  6. 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.

  7. 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. PMID:26033045

  8. 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.

  9. Influenza Vaccination Among Adults 65 Years or Older: A 2009–2010 Community Health Survey in the Honam Region of Korea

    Directory of Open Access Journals (Sweden)

    Hyung Su Park

    2011-11-01

    Full Text Available The present study examined the rates and related factors for influenza vaccination among the elderly Korean population during the 2008/09 influenza seasons. We obtained data for 6,391 adults aged 65 years or older from Community Health Surveys conducted in 2009 and 2010 in 13 communities in the Honam region of Korea. A multiple logistic regression analysis was used to identify the factors associated with self-reported influenza vaccinations. In this elderly population, 81.7% reported to having received an influenza vaccination in the past year. The main contributing factors were older age, lower economic status, lower educational level, married, non-smoking, regular alcohol consumption, regular walking exercise, receiving a health check-up during the past two years, not stressed, and having comorbid conditions. The influenza vaccination coverage rate among elderly Koreans was relatively high, but improvements in vaccination rates are required.

  10. 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

  11. Life styles related to coronary artery disease in Saudi males older than 12 years of age life styles related to coronary artery disease in Saudi males older than 12 years of age

    International Nuclear Information System (INIS)

    The present study highlighted life styles related to coronary artery disease risk factors among patients attending a primary care clinic at King Khalid University Hospital, in Riyadh, Saudi Arabia Methods: We conducted a cross-sectional study at a primary care clinic at King Khalid University Hospital, Riyadh, Saudi Arabia, during the period from 18/4/2006 to 13/6/2006. All adult male patients older than 12 years of age who attended one consultant primary care clinic were included in the study. All patients were interviewed by one consultant in family medicine during the study period. The patients were asked about dietary habits, physical activity and type of exercise, and smoking habits. Weight and height was taken for all patients by the nurse in the clinic and body mass index (BMI) was calculated for all patients. The total numbers of participants were 246 patients. The data were analyzed using the Statistical Package of Social Science (SPSS) version 11.5. A p value of less than 0.05 was considered statistically significant. Results: Of the 246 male adult patients, 45.4% always consumed vegetables and fruits in their diet, 21.5% exercised on a daily bases, 51.2% exercised sometimes, and 26% did not exercise at all. The type of exercise practiced by active participants was walking (76.5%) and sports (22.9%). Sports included football, basketball, swimming, and other sport club activity. Only 20.7% of the participants had an ideal body weight (BMI<25), 37.4% were overweight (BMI 25 to <30), while 37.7% of the participants were obese (BMI ? 30). 8.9% of the participants were current smokers. Conclusion and recommendation: Overweight and obesity is a common health problem among male adult patients attending a primary care setting. Improved dietary habits (consumption of vegetables and fruits, and minimization of fat and sweets), encouraging exercise and walking, and helping current smokers to quit smoking are essential steps towards improving life styles in the

  12. Role of physical activity, physical fitness, and chronic health conditions on the physical independence of community-dwelling older adults over a 5-year period.

    Science.gov (United States)

    Pereira, Catarina; Baptista, Fátima; Cruz-Ferreira, Ana

    2016-01-01

    The variability in the individual characteristics and habits could help determine how older adults maintain independence. The impact of the variability in physical activity, physical fitness, body composition, and chronic health conditions (co-morbidities) on the independence of older adults, especially over time, is seldom examined. This study aims to analyze quantitatively the impact of baseline values and changes in physical activity, physical fitness, body composition, and co-morbidities on the physical independence of community-dwelling, older adults over a 5-year period. Data from 106 and 85 community-dwelling adults (≥60 years) were collected at baseline and after five years, respectively. Linear regression selected the main predictors of changes in physical independence as follows: the baseline physical independence (β=0.032, R(2)=9.9%) and co-morbidities (β=-0.191, R(2)=6.3%) and the changes in co-morbidities (β=-0.244, R(2)=10.8%), agility (β=-0.288, R(2)=6.7%), aerobic endurance (β=0.007, R(2)=3.2%), and walking expenditure (β=0.001, R(2)=5.1%) (pindependence, baseline co-morbidities, and changes in co-morbidities, walking, agility, and aerobic endurance predicted physical independence over five years regardless of age and gender. Gains of up to 8.3% in physical independence were associated with improvements in these variables, which corresponds to regaining independence for performing one or two activities of daily living. PMID:26966842

  13. 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.

  14. 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.

  15. IQ and blood lead from 2 to 7 years of age: are the effects in older children the residual of high blood lead concentrations in 2-year-olds?

    Science.gov (United States)

    Chen, Aimin; Dietrich, Kim N; Ware, James H; Radcliffe, Jerilynn; Rogan, Walter J

    2005-05-01

    Increases in peak blood lead concentrations, which occur at 18-30 months of age in the United States, are thought to result in lower IQ scores at 4-6 years of age, when IQ becomes stable and measurable. Data from a prospective study conducted in Boston suggested that blood lead concentrations at 2 years of age were more predictive of cognitive deficits in older children than were later blood lead concentrations or blood lead concentrations measured concurrently with IQ. Therefore, cross-sectional associations between blood lead and IQ in school-age children have been widely interpreted as the residual effects of higher blood lead concentrations at an earlier age or the tendency of less intelligent children to ingest more leaded dust or paint chips, rather than as a causal relationship in older children. Here we analyze data from a clinical trial in which children were treated for elevated blood lead concentrations (20-44 microg/dL) at about 2 years of age and followed until 7 years of age with serial IQ tests and measurements of blood lead. We found that cross-sectional associations increased in strength as the children became older, whereas the relation between baseline blood lead and IQ attenuated. Peak blood lead level thus does not fully account for the observed association in older children between their lower blood lead concentrations and IQ. The effect of concurrent blood level on IQ may therefore be greater than currently believed. PMID:15866769

  16. Supervision of care networks for frail community dwelling adults aged 75 years and older: Protocol of a mixed methods study

    NARCIS (Netherlands)

    D. Verver; H. Merten (Hanneke); P.B.M. Robben (Paul); C. Wagner (Cordula)

    2015-01-01

    textabstractIntroduction: The Dutch healthcare inspectorate (IGZ) supervises the quality and safety of healthcare in the Netherlands. Owing to the growing population of (community dwelling) older adults and changes in the Dutch healthcare system, the IGZ is exploring new methods to effectively super

  17. 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

  18. 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

  19. Dietary quality and lifestyle factors in relation to 10-year mortality in older Europeans - The SENECA study

    NARCIS (Netherlands)

    Haveman-Nies, A.; Groot, de C.P.G.M.; Burema, J.; Amorim Cruz, J.A.; Osler, M.; Staveren, van W.A.

    2002-01-01

    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 u

  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

    with the variables that were found to be significant in the univariate analysis. Health economy and cost analysis for the two groups were estimated. Out of 72 open repairs of RAAA, 44 patients (61%) were under 75 years of age and 28 (39%) were 75 years or older. The average age of the patients was 71 years......We evaluated early mortality (variables that may be predictive of 30-day mortality in elderly patients compared to younger patients after emergency open repair of ruptured abdominal aortic aneurysm (RAAA). The survey is a retrospective analysis based...

  1. Sleep duration and mortality among older adults in a 22-year follow-up study: an analysis of possible effect modifiers

    OpenAIRE

    Zawisza, Katarzyna; Tobiasz-Adamczyk, Beata; Galas, Aleksander; Brzyska, Monika

    2014-01-01

    The aim of this study was to assess the relationship of sleep duration and all-cause mortality among 2,449 Polish community-dwelling older citizens of Krakow observed during 22 years of follow-up. In particular, the role of some demographic, psychosocial and health-related conditions were investigated in terms of modification effect. In the prospective study, background information was gathered by face-to-face interview. Vital data were obtained from the population registry. Cox regression mo...

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

    OpenAIRE

    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...

  3. 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...

  4. Qualitative Assessment of the Impact of Implementing Reiki Training in a Supported Residence for People Older Than 50 Years with HIV/AIDS

    OpenAIRE

    Mehl-Madrona, Lewis; Renfrew, Nita M; Mainguy, Barbara

    2011-01-01

    Introduction: Reiki is a Japanese form of energy healing that has become popular in the US. Reiki training involves three stages—levels I, II, and III—to a master practitioner level and requires both giving and receiving Reiki. We set out to implement a program to train clients of a supported residence in Brooklyn, NY. They were all older than age 50 years and had HIV/AIDS and substance-abuse and/or mental-health disorders.

  5. 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

  6. In patients older than 55 years with AML in first CR, should we search for a matched unrelated donor when an old sibling donor is available?

    DEFF Research Database (Denmark)

    Peffault de Latour, R; Labopin, M; Cornelissen, J;

    2015-01-01

    Allogeneic hematopoietic transplantation is increasingly used in patients aged 55 years or more with AML. The question of whether outcomes can be improved with an allele-level 8/8 HLA-matched unrelated donor (MUD) rather than an older HLA-matched sibling (MSD, more than 55 years) is still...... unanswered. We thus analyzed outcomes in 714 patients aged 55 years and older with AML in first CR (CR1) who received PBSCs after a reduced-intensity conditioning hematopoietic cell transplant from a MUD (n=310) or a MSD (n=404) in a recent period (2005-2010). The 3-year cumulative incidences (CIs) of non......-relapse mortality were 17% and 23% with MSD and MUD, respectively (P=0.17). The 3-year CIs of relapse were 37% and 30%, respectively (P=0.12), resulting in a 3-year CI of leukemia-free survival of 46% and 47%, respectively (P=0.51). The 3-year overall survival was 49% with both MSD and MUD. In conclusion, HLA...

  7. 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

  8. 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

  9. The frequency of atheromas in panoramic radiographs of patients with periodontal disease, 40 year and older attending the University Dental Clinic

    International Nuclear Information System (INIS)

    The aim of the present study was to determine the frequency of atheromas in panoramic radiographic in patients 40 years and older with periodontal diseases attending the Dental School 'Roberto Beltran Neira' in the Universidad Peruana Cayetano Heredia, during the period 2000 and 2004. The sample consisted of 217 random panoramic radiographic with no systematically selected subjects. Variables were analyzed using frequency tables and the chi-square test. Results showed the frequency of atheromas was of 17.1% and the highest number of atheromas appeared between the ages of 40 and 59 years, mostly of feminine sex. (author)

  10. 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.

  11. 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."

  12. Older Drivers

    Science.gov (United States)

    ... be more older drivers on the road. A Complex Task Click for more information Driving is a ... common for people to have declines in visual, thinking, or physical abilities as they get older. As ...

  13. “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".

  14. 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. PMID:27115487

  15. 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.

  16. 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

  17. Faster cognitive decline in the years prior to MR imaging is associated with smaller hippocampal volumes in cognitively healthy older persons

    Directory of Open Access Journals (Sweden)

    Debra A Fleischman

    2013-06-01

    Full Text Available Early identification of persons at risk for cognitive decline in aging is critical to optimizing treatment to delay or avoid a clinical diagnosis of mild cognitive impairment (MCI or dementia due to Alzheimer’s disease (AD. To accomplish early identification, it is essential that trajectories of cognitive change be characterized and associations with established biomarkers of MCI and AD be examined during the phase that older persons are considered cognitively healthy. Here we examined the association of rate of cognitive decline, in the years leading up to structural magnetic resonance imaging, with an established biomarker, hippocampal volume. The sample comprised 211 participants of the Rush Memory and Aging Project who had an average of 5.5 years of cognitive data prior to structural scanning. Results showed that there was significant variability in the trajectories of cognitive change prior to imaging and that faster cognitive decline was associated with smaller hippocampal volumes. Domain-specific analyses suggested that this association was primarily driven by decline in working memory. The results emphasize the importance of closely examining cognitive change and its association with brain structure during the years in which older persons are considered cognitively healthy.

  18. 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

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

    Science.gov (United States)

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

    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. 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 could create bias

  20. 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.

  1. 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.

  2. 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

  3. Executive function and falls in older adults: new findings from a five-year prospective study link fall risk to cognition.

    Directory of Open Access Journals (Sweden)

    Anat Mirelman

    Full Text Available Recent findings suggest that executive function (EF plays a critical role in the regulation of gait in older adults, especially under complex and challenging conditions, and that EF deficits may, therefore, contribute to fall risk. The objective of this study was to evaluate if reduced EF is a risk factor for future falls over the course of 5 years of follow-up. Secondary objectives were to assess whether single and dual task walking abilities, an alternative window into EF, were associated with fall risk.We longitudinally followed 256 community-living older adults (age: 76.4±4.5 yrs; 61% women who were dementia free and had good mobility upon entrance into the study. At baseline, a computerized cognitive battery generated an index of EF, attention, a closely related construct, and other cognitive domains. Gait was assessed during single and dual task conditions. Falls data were collected prospectively using monthly calendars. Negative binomial regression quantified risk ratios (RR. After adjusting for age, gender and the number of falls in the year prior to the study, only the EF index (RR: .85; CI: .74-.98, p = .021, the attention index (RR: .84; CI: .75-.94, p = .002 and dual tasking gait variability (RR: 1.11; CI: 1.01-1.23; p = .027 were associated with future fall risk. Other cognitive function measures were not related to falls. Survival analyses indicated that subjects with the lowest EF scores were more likely to fall sooner and more likely to experience multiple falls during the 66 months of follow-up (p<0.02.These findings demonstrate that among community-living older adults, the risk of future falls was predicted by performance on EF and attention tests conducted 5 years earlier. The present results link falls among older adults to cognition, indicating that screening EF will likely enhance fall risk assessment, and that treatment of EF may reduce fall risk.

  4. 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.

  5. 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.

  6. 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...

  7. Smoking, Antioxidant Supplementation and Dietary Intakes among Older Adults with Age-Related Macular Degeneration over 10 Years

    OpenAIRE

    Gopinath, Bamini; Flood, Victoria M; Kifley, Annette; Liew, Gerald; Mitchell, Paul

    2015-01-01

    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 yea...

  8. Endemic Cardiovascular Diseases of the Poorest Billion.

    Science.gov (United States)

    Kwan, Gene F; Mayosi, Bongani M; Mocumbi, Ana O; Miranda, J Jaime; Ezzati, Majid; Jain, Yogesh; Robles, Gisela; Benjamin, Emelia J; Subramanian, S V; Bukhman, Gene

    2016-06-14

    The poorest billion people are distributed throughout the world, though most are concentrated in rural sub-Saharan Africa and South Asia. Cardiovascular disease (CVD) data can be sparse in low- and middle-income countries beyond urban centers. Despite this urban bias, CVD registries from the poorest countries have long revealed a predominance of nonatherosclerotic stroke, hypertensive heart disease, nonischemic and Chagas cardiomyopathies, rheumatic heart disease, and congenital heart anomalies, among others. Ischemic heart disease has been relatively uncommon. Here, we summarize what is known about the epidemiology of CVDs among the world's poorest people and evaluate the relevance of global targets for CVD control in this population. We assessed both primary data sources, and the 2013 Global Burden of Disease Study modeled estimates in the world's 16 poorest countries where 62% of the population are among the poorest billion. We found that ischemic heart disease accounted for only 12% of the combined CVD and congenital heart anomaly disability-adjusted life years (DALYs) in the poorest countries, compared with 51% of DALYs in high-income countries. We found that as little as 53% of the combined CVD and congenital heart anomaly burden (1629/3049 DALYs per 100 000) was attributed to behavioral or metabolic risk factors in the poorest countries (eg, in Niger, 82% of the population among the poorest billion) compared with 85% of the combined CVD and congenital heart anomaly burden (4439/5199 DALYs) in high-income countries. Further, of the combined CVD and congenital heart anomaly burden, 34% was accrued in people under age 30 years in the poorest countries, while only 3% is accrued under age 30 years in high-income countries. We conclude although the current global targets for noncommunicable disease and CVD control will help diminish premature CVD death in the poorest populations, they are not sufficient. Specifically, the current framework (1) excludes deaths of

  9. Seven-year results of a press-fit, hydroxyapatite-coated double mobility acetabular component in patients aged 65 years or older.

    Science.gov (United States)

    Fresard, Pierre-Luc; Alvherne, Charles; Cartier, Jean-Loup; Cuinet, Patrick; Lantuejoul, Jean-Pierre

    2013-05-01

    One hundred and thirty-four THA were done between 1998 and 2002 with AVANTAGE(®) Press-Fit double mobility cup. The mean age of patients was 74 ± 6 years (range 65-94 years). The mean follow-up was 5.4 years (range, 0.15-10 years). The mean preoperative Harris Hip Score was 51.3 ± 14 versus 88 ± 12, at the latest follow-up, and the mean Merle d'Aubigné hip functional score was 8 ± 3 versus 16.3 ± 2.91; patients (68 %) were alive at a mean of 7.2 years postoperatively (range, 5-10 years). Three revisions were documented for aseptic loosening. The overall survival rate at 7.2 years was 96.3 % (95 % confidence interval 92.2-100) using cup revision for aseptic loosening as the end point. PMID:23412297

  10. Associations of Sarcopenic Obesity and Dynapenic Obesity with Bone Mineral Density and Incident Fractures Over 5-10 Years in Community-Dwelling Older Adults.

    Science.gov (United States)

    Scott, David; Chandrasekara, Sahan D; Laslett, Laura L; Cicuttini, Flavia; Ebeling, Peter R; Jones, Graeme

    2016-07-01

    The purpose of this study is to determine whether low muscle mass (sarcopenia) or strength (dynapenia), in the presence of obesity, are associated with increased risk for osteoporosis and non-vertebral fracture over 5-10 years in community-dwelling older adults. N = 1089 volunteers (mean ± SD age 62 ± 7 years; 51 % female) participated at baseline and 761 attended follow-up clinics (mean 5.1 ± 0.5 years later). Total body, total hip and spine BMD, and appendicular lean and total fat mass were assessed by DXA. Sarcopenic obesity and dynapenic obesity were defined as the lowest sex-specific tertiles for appendicular lean mass or lower-limb strength, respectively, and the highest sex-specific tertile for total fat mass. Fractures were self-reported on three occasions over 10.7 ± 0.7 years in 563 participants. Obese alone participants had significantly higher BMD at all sites compared with non-sarcopenic non-obese. Sarcopenic obese and dynapenic obese men had lower spine and total body BMD, respectively, and sarcopenic obese women had lower total hip BMD, compared with obese alone (all P Sarcopenic obese men had higher non-vertebral fracture rates compared to non-sarcopenic non-obese (incidence rate ratio: 3.0; 95 % CI 1.7-5.5), and obese alone (3.6; 1.7-7.4). Sarcopenic obese women had higher fracture rates compared with obese alone (2.8; 1.4-5.6), but this was non-significant after adjustment for total hip BMD. Sarcopenic and dynapenic obese older adults may have increased risk of osteoporosis and non-vertebral fracture relative to obese alone counterparts. Sarcopenic and dynapenic obese individuals potentially represent a subset of the obese older adult population who require closer monitoring of bone health during ageing. PMID:26939775

  11. 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.

  12. Who uses glucosamine and why? A study of 266,848 Australians aged 45 years and older.

    Directory of Open Access Journals (Sweden)

    David Sibbritt

    Full Text Available OBJECTIVES: There has been a dramatic increase in the use of complementary medicines over recent decades. Glucosamine is one of the most commonly used complementary medicines in Western societies. An understanding of glucosamine consumption is of significance for public health and future health promotion. This paper, drawing upon the largest dataset to date with regards to glucosamine use (n = 266,844, examines the use and users of glucosamine amongst a sample of older Australians. DESIGN: Analysis of the self-reported data on use of glucosamine, demographics and health status as extracted from the dataset of the 45 and Up Study, which is the largest study of healthy ageing ever undertaken in the Southern Hemisphere involving over 265,000 participants aged 45 and over. RESULTS: Analysis reveals that 58,630 (22.0% participants reported using glucosamine in the 4 weeks prior to the survey. Use was higher for those who were female, non-smokers, residing in inner/outer regional areas, with higher income and private health insurance. Of all the health conditions examined only osteoarthritis was positively associated with use of glucosamine, while cancer, heart attack or angina and other heart disease were all negatively associated with glucosamine use. CONCLUSIONS: This study suggests that a considerable proportion of the Australia population aged 45 and over consume glucosamine. There is a need for health care practitioners to enquire with their patients about their use of glucosamine and for further attention to be directed to providing good quality information for patients and providers with regards to glucosamine products.

  13. Evaluating the effectiveness of a home-based exercise programme delivered through a tablet computer for preventing falls in older community-dwelling people over 2 years: study protocol for the Standing Tall randomised controlled trial

    OpenAIRE

    Delbaere, K.; T. Valenzuela; Woodbury, A.(?) (?); Davies, T.; Yeong, J; D. Steffens; Miles, L; Pickett, L; Zijlstra, G.A.R.; Clemson, L; Close, J C T; Howard, K; Lord, S. R.

    2015-01-01

    Introduction In order to prevent falls, older people should exercise for at least 2 h per week for 6 months, with a strong focus on balance exercises. This article describes the design of a randomised controlled trial to evaluate the effectiveness of a home-based exercise programme delivered through a tablet computer to prevent falls in older people. Methods and analysis Participants aged 70 years or older, living in the community in Sydney will be recruited and randomly allocated to an inter...

  14. 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

  15. 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

  16. Indicators of "Healthy Aging" in older women (65-69 years of age. A data-mining approach based on prediction of long-term survival

    Directory of Open Access Journals (Sweden)

    Swindell William R

    2010-08-01

    Full Text Available Abstract Background Prediction of long-term survival in healthy adults requires recognition of features that serve as early indicators of successful aging. The aims of this study were to identify predictors of long-term survival in older women and to develop a multivariable model based upon longitudinal data from the Study of Osteoporotic Fractures (SOF. Methods We considered only the youngest subjects (n = 4,097 enrolled in the SOF cohort (65 to 69 years of age and excluded older SOF subjects more likely to exhibit a "frail" phenotype. A total of 377 phenotypic measures were screened to determine which were of most value for prediction of long-term (19-year survival. Prognostic capacity of individual predictors, and combinations of predictors, was evaluated using a cross-validation criterion with prediction accuracy assessed according to time-specific AUC statistics. Results Visual contrast sensitivity score was among the top 5 individual predictors relative to all 377 variables evaluated (mean AUC = 0.570. A 13-variable model with strong predictive performance was generated using a forward search strategy (mean AUC = 0.673. Variables within this model included a measure of physical function, smoking and diabetes status, self-reported health, contrast sensitivity, and functional status indices reflecting cumulative number of daily living impairments (HR ≥ 0.879 or RH ≤ 1.131; P Conclusions The multivariate model we developed characterizes a "healthy aging" phenotype based upon an integration of measures that together reflect multiple dimensions of an aging adult (65-69 years of age. Age-sensitive components of this model may be of value as biomarkers in human studies that evaluate anti-aging interventions. Our methodology could be applied to data from other longitudinal cohorts to generalize these findings, identify additional predictors of long-term survival, and to further develop the "healthy aging" concept.

  17. 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

  18. A randomized study of clofarabine versus clofarabine plus low-dose cytarabine as front-line therapy for patients aged 60 years and older with acute myeloid leukemia and high-risk myelodysplastic syndrome

    OpenAIRE

    Faderl, Stefan; Ravandi, Farhad; Huang, Xuelin; Garcia-Manero, Guillermo; Ferrajoli, Alessandra; Estrov, Zeev; Borthakur, Gautam; Verstovsek, Srdan; Thomas, Deborah A.; Kwari, Monica; Kantarjian, Hagop M.

    2008-01-01

    We previously reported the feasibility of clofarabine and cytarabine combinations in AML. Questions remain as to (1) the therapeutic advantage of this combination and (2) the role of lower doses of clofarabine and cytarabine in older patients. We have conducted an adaptively randomized study of lower-dose clofarabine with or without low-dose cytarabine in previously untreated patients with AML aged 60 years and older. Patients received 30 mg/m2 clofarabine intravenously daily for 5 days with ...

  19. 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.

  20. Urban Poor Receive RMB7.1 Billion Cash Help

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    All levels of government have teamed up to dole out more than RMB7.1 billion (US$855.42 million) during the ilrst half of this year to help more than 21 million Chinese urban residents who are living below the minimum standard of living.

  1. 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…

  2. 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

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

    OpenAIRE

    Mohamed Fadel Shaltout; Sallam, Hassan N.; Maged AbouSeeda; Fady Moiety; Hossam Hemeda; Ahmed Ibrahim; Moutaz E.L. Sherbini; Helmy Rady; Kusuma Gopala; Rodrigo DeAntonio

    2014-01-01

    Objectives: Persistent infection with high-risk (HR) human papillomavirus (HPV) is associated with premalignant lesions and cervical cancer, the third most common cancer amongst women globally and the second most frequent in Egypt. We studied the prevalence and type distribution of HPV and documented HPV infection awareness and health-related behaviours for HPV infection. Methods: This was a multicenter, hospital-based observational study of women ≥18 years of age who attended for a gynaec...

  4. 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

  5. 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.

  6. 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.

  7. 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.

  8. 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

    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......-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...... follow-up period of 2.42 years (SD 0.97, median 2.94 years), information on the main outcome was available for 633 patients. The annual rate of transition or death was 10.5%, 15.1%, and 29.5%, respectively, for patients with mild, moderate, or severe age related changes in white matter (Kaplan-Meier log...

  9. 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

  10. Neurodegenerative changes in the brainstem and olfactory bulb in people older than 50 years old: a descriptive study

    Directory of Open Access Journals (Sweden)

    Francine Hehn de Oliveira

    2015-07-01

    Full Text Available With the increase in life expectancy in Brazil, concerns have grown about the most prevalent diseases in elderly people. Among these diseases are neurodegenerative diseases, such as Alzheimer’s and Parkinson’s diseases. Protein deposits related to the development of these diseases can pre-date the symptomatic phases by years. The tau protein is particularly interesting: it might be found in the brainstem and olfactory bulb long before it reaches the limbic cortex, at which point symptoms occur. Of the 14 brains collected in this study, the tau protein was found in the brainstems of 10 (71.42% and in olfactory bulbs of 3 out 11. Of the 7 individuals who had a final diagnosis of Alzheimer’s disease (AD, 6 presented tau deposits in some region of the brainstem. Our data support the idea of the presence of tau protein in the brainstem and olfactory bulb in the earliest stages of AD.

  11. 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

  12. The effects of pharmacist intervention on emergency department visits in patients 80 years and older: subgroup analyses by number of prescribed drugs and appropriate prescribing.

    Directory of Open Access Journals (Sweden)

    Anna Alassaad

    Full Text Available Clinical pharmacist interventions have been shown to have positive effect on occurrence of drug-related issues as well as on clinical outcomes. However, evidence about which patients benefiting most from the interventions is limited. We aimed to explore whether pharmacist intervention is equally effective in preventing emergency department (ED visits in patients with few or many prescribed drugs and in those with different levels of inappropriate prescribing.Patient and outcome data from a randomized controlled trial exploring the clinical effects of a ward-based pharmacist intervention in patients, 80 years and older, were used. The patients were divided into subgroups according to the number of prescribed drugs (<5 or ≥5 drugs and the level of inappropriate prescribing [using the Screening Tool Of Older People's potentially inappropriate Prescriptions (STOPP and the Screening Tool to Alert doctors to Right Treatment (START with a score of ≥2 (STOPP and ≥1 (START as cutoff points]. The effect of the intervention on the number of times the different subgroups visited the ED was analyzed.The pharmacist intervention was more effective with respect to the number of subsequent ED visits in patients taking <5 drugs on admission than in those taking ≥5 drugs. The rate ratio (RR for a subsequent ED visit was 0.22 [95% confidence interval (CI 0.09-0.52] for <5 drugs and 0.70 (95% CI 0.47-1.04 for ≥5 drugs (p = 0.02 for the interaction. The effect of intervention did not differ between patients with high or low STOPP or START scores.In this exploratory study, the pharmacist intervention appeared to be more effective in preventing visits to the ED for patients who were taking fewer drugs before the intervention. Our analysis of STOPP and START scores indicated that the level of inappropriate prescribing on admission had no effect on the outcomes of intervention with respect to ED visits.

  13. Three-year changes in leisure activities are associated with concurrent changes in white matter microstructure and perceptual speed in individuals aged 80 years and older.

    Science.gov (United States)

    Köhncke, Ylva; Laukka, Erika J; Brehmer, Yvonne; Kalpouzos, Grégoria; Li, Tie-Qiang; Fratiglioni, Laura; Bäckman, Lars; Lövdén, Martin

    2016-05-01

    Accumulating evidence suggests that engagement in leisure activities is associated with favorable trajectories of cognitive aging, but little is known about brain changes related to both activities and cognition. White matter microstructure shows experience-dependent plasticity and declines in aging. Therefore, we investigated the role of change in white matter microstructure in the activities-cognition link. We used repeated assessments of engagement, perceptual speed, and white matter microstructure (probed with diffusion tensor imaging) in a population-based sample of individuals over 80 years without dementia (n = 442, Mage = 85.1; n = 70 for diffusion tensor imaging; 2 occasions 3 years apart). Using multivariate latent change modeling, we observed positive correlations among changes in predominantly social activities, white matter microstructure, and perceptual speed. Interindividual differences in change in white matter microstructure statistically accounted for the association between change in leisure activities and change in perceptual speed. However, as analyses are based on observational data from 2 measurement occasions, causality remains unclear.

  14. 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

  15. The association between orthostatic hypotension and cognitive state among adults 65 years and older who underwent a comprehensive geriatric assessment.

    Science.gov (United States)

    Punchick, Boris; Freud, Tamar; Press, Yan

    2016-07-01

    The prevalence of cognitive impairment and orthostatic hypotension (OH) increases with age, but the results of studies that assessed possible associations between them are inconsistent.The aim of this study is to assess possible associations between cognitive impairment and OH in patients ≥65 years of age who underwent a comprehensive geriatric assessment.A retrospective analysis was conducted of the computerized medical records of the study population from 2005 to 2013. Data collected included blood pressure measurements that enabled the calculation of OH, results of the mini-mental state examination (MMSE), results of the Montreal cognitive assessment (MoCA) test, and cognitive diagnoses that were determined over the course of the assessment.The rate of OH in the study population of 571 adults was 32.1%. The mean MMSE score was 22.5 ± 5.2 among participants with OH and 21.6 ± 5.8 among those without OH (P = 0.09). The absence of a significant association between OH and MMSE remained after adjusting the MMSE score for age and education level. The mean MoCA score was 16.4 ± 5.0 among participants with OH and 16.4 ± 4.8 among those without (P = 0.33). The prevalence of OH was 39% among participants without cognitive impairment, 28.9% among those with mild cognitive impairment (MCI), and 30.6% among those with dementia (P = 0.13).There was no association between OH and cognitive impairment in adults who underwent a comprehensive geriatric assessment. PMID:27442658

  16. Prevalence of passive smoking in the community population aged 15 years and older in China: a systematic review and meta-analysis

    Science.gov (United States)

    Zeng, Jing; Yang, Shanshan; Wu, Lei; Wang, Jianhua; Wang, Yiyan; Liu, Miao; Zhang, Di; Jiang, Bin; He, Yao

    2016-01-01

    Objectives To estimate the prevalence and distribution of passive smoking in the community population aged 15 years and older in China. Design A systematic review and meta-analysis of cross-sectional studies reporting the prevalence of passive smoking in China and a series of subgroup, trend and sensitivity analyses were conducted in this study. Data source The systematic review and meta-analysis, which included 46 studies with 381 580 non-smokers, estimated the prevalence and distribution of passive smoking in China. All studies were published between 1997 and 2015. Results The pooled prevalence of passive smoking was 48.7% (95% CI 44.8% to 52.5%) and was relatively stable from 1995 to 2013. The prevalence in the subgroups of gender, area, age and time varied from 35.1% (95% CI 31.8% to 38.3%) in the elderly (≥60 years) to 48.6% (95% CI 42.9% to 54.2%) in urban areas. The prevalence was lower in the elderly (≥60 years) than in those between 15 and 59 years of age (OR 1.61, 95% CI 1.44 to 1.81). The difference between females and males in urban and rural areas was not statistically significant (OR: 1.27, 95% CI 0.93 to 1.74 and OR: 1.14, 95% CI 0.82 to 1.58, respectively). In addition, a significantly increasing trend was found among males from 2002 to 2010. Heterogeneity was high in all pooled estimates (I2>98%, p<0.001). Conclusions The high and stable prevalence of passive smoking in China is raising increasing national concern regarding specific research and tobacco control programmes. Attention should be focused on young, middle-aged and male non-smokers regardless of region. PMID:27059465

  17. 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

  18. 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

  19. Somatic complaints and refrain from buying prescribed medications. Results from a cross-sectional study on people 60 years and older living in Kaunas (Lithuania)

    Science.gov (United States)

    2012-01-01

    Background The use of medicines by elderly people is a growing area of concern in social pharmacy. A significant proportion of older people do not follow the recommendations from physicians and refrain from buying prescribed medications. The aim of this study is to evaluate associations between self-rated health, somatic complaints and refraining from buying prescribed medications by elderly people. Findings Data was collected in a cross-sectional study in 2009. We received 624 completed questionnaires (response rate – 48.9%) from persons aged 60–84 years living in Kaunas (Lithuania). Somatic complaints were measured with the 24 item version of the Giessen Complaint List (GBB-24). Logistic regression (Enter model) was used for evaluation of the associations between refraining from buying medications and somatic complaints. These associations were measured using odds ratio (OR) and calculating the 95% confidence interval (CI). The mean scores in total for the GBB scale and sub-scales (exhaustion, gastrointestinal and cardiovascular) were lowest among respondents who did not refrain from buying prescribed medications (means for GBB-24 scale: 21.04 vs. 24.82; p=0.001). Logistic regression suggests that somatic complaints were associated with a increased risk of refraining from buying prescribed medications (OR=1.35, 95% CI=1.15-1.60). Conclusions Somatic complaints were significantly associated with the decision to refrain from buying prescribed medications. PMID:23351159

  20. ALMA imaging of gas and dust in a galaxy protocluster at redshift 5.3: [C II] emission in 'typical' galaxies and dusty starbursts ≈1 billion years after the big bang

    Energy Technology Data Exchange (ETDEWEB)

    Riechers, Dominik A. [Department of Astronomy, Cornell University, 220 Space Sciences Building, Ithaca, NY 14853 (United States); Carilli, Christopher L. [National Radio Astronomy Observatory, PO Box O, Socorro, NM 87801 (United States); Capak, Peter L.; Yan, Lin [Spitzer Science Center, California Institute of Technology, MC 220-6, 1200 East California Boulevard, Pasadena, CA 91125 (United States); Scoville, Nicholas Z. [Astronomy Department, California Institute of Technology, MC 249-17, 1200 East California Boulevard, Pasadena, CA 91125 (United States); Smolčić, Vernesa [University of Zagreb, Physics Department, Bijenička cesta 32, 10002 Zagreb (Croatia); Schinnerer, Eva [Max-Planck-Institut für Astronomie, Königstuhl 17, D-69117 Heidelberg (Germany); Yun, Min [Department of Astronomy, University of Massachusetts, Amherst, MA 01003 (United States); Cox, Pierre [ALMA Santiago Central Office, Alonso de Cordova 3107, Vitacura, Santiago (Chile); Bertoldi, Frank; Karim, Alexander, E-mail: dr@astro.cornell.edu [Argelander-Institut für Astronomie, Universität Bonn, Auf dem Hügel 71, Bonn, D-53121 (Germany)

    2014-12-01

    We report interferometric imaging of [C II]({sup 2} P {sub 3/2}→{sup 2} P {sub 1/2}) and OH({sup 2}Π{sub 1/2} J = 3/2→1/2) emission toward the center of the galaxy protocluster associated with the z = 5.3 submillimeter galaxy (SMG) AzTEC-3, using the Atacama Large (sub)Millimeter Array (ALMA). We detect strong [C II], OH, and rest-frame 157.7 μm continuum emission toward the SMG. The [C II]({sup 2} P {sub 3/2}→{sup 2} P {sub 1/2}) emission is distributed over a scale of 3.9 kpc, implying a dynamical mass of 9.7 × 10{sup 10} M {sub ☉}, and a star formation rate (SFR) surface density of Σ{sub SFR} = 530 M {sub ☉} yr{sup –1} kpc{sup –2}. This suggests that AzTEC-3 forms stars at Σ{sub SFR} approaching the Eddington limit for radiation pressure supported disks. We find that the OH emission is slightly blueshifted relative to the [C II] line, which may indicate a molecular outflow associated with the peak phase of the starburst. We also detect and dynamically resolve [C II]({sup 2} P {sub 3/2}→{sup 2} P {sub 1/2}) emission over a scale of 7.5 kpc toward a triplet of Lyman-break galaxies with moderate UV-based SFRs in the protocluster at ∼95 kpc projected distance from the SMG. These galaxies are not detected in the continuum, suggesting far-infrared SFRs of <18-54 M {sub ☉} yr{sup –1}, consistent with a UV-based estimate of 22 M {sub ☉} yr{sup –1}. The spectral energy distribution of these galaxies is inconsistent with nearby spiral and starburst galaxies, but resembles those of dwarf galaxies. This is consistent with expectations for young starbursts without significant older stellar populations. This suggests that these galaxies are significantly metal-enriched, but not heavily dust-obscured, 'normal' star-forming galaxies at z > 5, showing that ALMA can detect the interstellar medium in 'typical' galaxies in the very early universe.

  1. 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

  2. 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

  3. A qualitative geographical information systems approach to explore how older people over 70 years interact with and define their neighbourhood environment.

    Science.gov (United States)

    Milton, Sarah; Pliakas, Triantafyllos; Hawkesworth, Sophie; Nanchahal, Kiran; Grundy, Chris; Amuzu, Antoinette; Casas, Juan-Pablo; Lock, Karen

    2015-11-01

    A growing body of literature explores the relationship between the built environment and health, and the methodological challenges of understanding these complex interactions across the lifecourse. The impact of the neighbourhood environment on health and behaviour amongst older adults has received less attention, despite this age group being potentially more vulnerable to barriers in their surrounding social and physical environment. A qualitative geographical information systems (QGIS) approach was taken to facilitate the understanding of how older people over 70 in 5 UK towns interact with their local neighbourhood. The concept of neighbourhood changed seasonally and over the lifecourse, and was associated with social factors such as friends, family, or community activities, rather than places. Spaces stretched further than the local, which is problematic for older people who rely on variable public transport provision. QGIS techniques prompted rich discussions on interactions with and the meanings of 'place' in older people. PMID:26513597

  4. Financial access to health care for older people in Cambodia: 10-year trends (2004-14) and determinants of catastrophic health expenses

    OpenAIRE

    Jacobs, Bart; de Groot, Richard; Fernandes Antunes, Adélio

    2016-01-01

    Background Older people make up an increasing proportion of the population in low- and middle-income countries. This brings a number of challenges, as their health needs are greater than, and different from, those of younger people. In general, these health systems are not geared to address their needs, and traditional support systems tend to erode, potentially causing financial hardship when accessing health care. This paper provides an overview of older Cambodians’ financial access to healt...

  5. Daye Non-ferrous Metal Plans 2 Billion Investment in Xianning Resources

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    <正>Recently Daye Non-ferrous Metal signed a cooperation contract with Xianning Municipal Government on a 5-year RMB2-billion project for the development and intensive processing of non-ferrous metal.

  6. 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

  7. 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

  8. Coaching Older

    Directory of Open Access Journals (Sweden)

    Stacey Masters

    2012-08-01

    Full Text Available BackgroundFrail older people who are considering movement into residential aged care or returning home following a hospital admission often face complex and difficult decisions. Despite research interest in this area, a recent Cochrane review was unable to identify any studies of interventions to support decision-making in this group that met the experimental or quasi-experimental study design criteria. AimsThis study tests the impact of a multi-component coaching intervention on the quality of preparation for care transitions, targeted to older adults and informal carers. In addition, the study assesses the impact of investing specialist geriatric resources into consultations with families in an intermediate care setting where decisions about future care needs are being made. Method This study was a randomised controlled trial of 230 older adults admitted to intermediate care in Australia. Masked assessment at 3 and 12 months examined physical functioning, health-related quality of life and utilisation of health and aged care resources. A geriatrician and specialist nurse delivered a coaching intervention to both the older person and their carer/family. Components of the intervention included provision of a Question Prompt List prior to meeting with a geriatrician (to clarify medical conditions and treatments, medications, ‘red flags’, end of life decisions and options for future health care and a follow-up meeting with a nurse who remained in telephone contact. Participants received a printed summary and an audio recording of the meeting with the geriatrician.ConclusionThe costs and outcomes of the intervention are compared with usual care. Trial registration: Australian New Zealand Clinical Trials Registry.

  9. Older workers

    OpenAIRE

    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 European Union. The way in which several factors, including health, working conditions, skills and knowledge, and social and financial factors influence sustainable employability and the early retirem...

  10. 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.

  11. Billion silicon-disc markets in solar cells

    International Nuclear Information System (INIS)

    The generation of solar power is estimated to increase ten times higher than it is at present. The nominal power is estimated to be 150 MW by the year 2010. The capacity of a solar cell (100 cm2; efficiency 15%) is 1.5W under good illumination conditions. So the growth estimate, given by the Swiss Saras Bank, requires the processing of over one billion silicon discs in ten years to pn-junction solar cells. The researches, carried out at Helsinki University of Technology and VTT Electronics are presented in the article

  12. 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. PMID:27056358

  13. 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.

  14. 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

  15. 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;

    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...

  16. 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

  17. 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

  18. 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 ...

  19. 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…

  20. Associations of Work-Related Factors and Work Engagement with Mental and Physical Health: A 1-Year Follow-up Study Among Older Workers

    NARCIS (Netherlands)

    F.R.M. Leijten (Fenna); S.G. van den Heuvel (Swenneke); A.J. van der Beek (Allard); J.F. Ybema (Jan Fekke); S.J.W. Robroek (Suzan); A. Burdorf (Alex)

    2014-01-01

    textabstractPurpose 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-relate

  1. 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.

  2. 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.

  3. 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...

  4. Galaxy Evolution Over the Past Eleven Billion Years

    DEFF Research Database (Denmark)

    Man, Wing Shan

    Galaxy evolution studies have been revolutionized by the advent of near-infrared observations over the last decade. An intriguingly population of distant red galaxies, only visible at near-infrared wavelengths, was discovered. They were previously overlooked, since they are invisible even in the ...... on state-of-the-art observations as well as theoretical models....

  5. Orbital forcing of climate 1.4 billion years ago

    DEFF Research Database (Denmark)

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

    2015-01-01

    Fluctuating climate is a hallmark of Earth. As one transcends deep into Earth time, however, both the evidence for and the causes of climate change become difficult to establish. We report geochemical and sedimentological evidence for repeated, short-term climate fluctuations from the exceptional...... 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....... 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...

  6. Redefining racial residential segregation and its association with physical activity among African Americans 50 years and older: a mixed methods approach.

    Science.gov (United States)

    Armstrong-Brown, Janell; Eng, Eugenia; Hammond, Wizdom Powell; Zimmer, Catherine; Bowling, J Michael

    2015-04-01

    Physical inactivity is one of the factors contributing to disproportionate disease rates among older African Americans. Previous literature indicates that older African Americans are more likely to live in racially segregated neighborhoods and that racial residential segregation is associated with limited opportunities for physical activity. A cross-sectional mixed methods study was conducted guided by the concept of therapeutic landscapes. Multilevel regression analyses demonstrated that racial residential segregation was associated with more minutes of physical activity and greater odds of meeting physical activity recommendations. Qualitative interviews revealed the following physical activity related themes: aging of the neighborhood, knowing your neighbors, feeling of safety, and neighborhood racial identity. Perceptions of social cohesion enhanced participants' physical activity, offering a plausible explanation to the higher rates of physical activity found in this population. Understanding how social cohesion operates within racially segregated neighborhoods can help to inform the design of effective interventions for this population. PMID:24812201

  7. A qualitative geographical information systems approach to explore how older people over 70 years interact with and define their neighbourhood environment

    OpenAIRE

    Milton, S.; Pliakas, T; Hawkesworth, S; Nanchahal, K.; Grundy, C.; Amuzu, A; Casas, JP; Lock, K.

    2015-01-01

    A growing body of literature explores the relationship between the built environment and health, and the methodological challenges of understanding these complex interactions across the lifecourse. The impact of the neighbourhood environment on health and behaviour amongst older adults has received less attention, despite this age group being potentially more vulnerable to barriers in their surrounding social and physical environment. A qualitative geographical information systems (QGIS) appr...

  8. 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. PMID:26250870

  9. 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.

  10. Accelerated partial breast irradiation using intensity-modulated radiotherapy technique compared to whole breast irradiation for patients aged 70 years or older: subgroup analysis from a randomized phase 3 trial

    OpenAIRE

    Meattini, Icro; Saieva, Calogero; Marrazzo, Livia; Di Brina, Lucia; Pallotta, Stefania; Mangoni, Monica; Meacci, Fiammetta; Bendinelli, Benedetta; Francolini, Giulio; Desideri, Isacco; De Luca Cardillo, Carla; Scotti, Vieri; Furfaro, Ilaria Francesca; Rossi, Francesca; Greto, Daniela

    2015-01-01

    The purpose of this study was to report the efficacy and the safety profile on the subset of selected early breast cancer (BC) patients aged 70 years or older from a single-center phase 3 trial comparing whole breast irradiation (WBI) to accelerated partial breast irradiation (APBI) using intensity-modulated radiation therapy technique. Between 2005 and 2013, 520 patients aged more than 40 years old were enrolled and randomly assigned to receive either WBI or APBI in a 1:1 ratio. Eligible pat...

  11. 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

  12. Four billion people facing severe water scarcity

    OpenAIRE

    Mesfin M. Mekonnen; Arjen Y. Hoekstra

    2016-01-01

    Freshwater scarcity is increasingly perceived as a global systemic risk. Previous global water scarcity assessments, measuring water scarcity annually, have underestimated experienced water scarcity by failing to capture the seasonal fluctuations in water consumption and availability. We assess blue water scarcity globally at a high spatial resolution on a monthly basis. We find that two-thirds of the global population (4.0 billion people) live under conditions of severe water scarcity at lea...

  13. TOU' rates hold out $13-billion prize

    Energy Technology Data Exchange (ETDEWEB)

    Slaboszewicz, C.

    1994-03-15

    By 2000, U.S. electric utilities will add 90,000 MW of generating capacity to meet peaking needs. Rather than spend $45 billion on these power plants, which will be used only a couple of hundred hours each year, electric utilities could use incentive pricing-residential time-of-use (TOU) rates-to save consumers up to $13 billion. The combination of market forces and new technology to support automatic meter reading and other applications makes these savings not only possible but practical. Unlike prices at other capacity-constrained industries such as airlines or telephone companies, electric utility prices usually do not vary by time of day. The result is average capacity factors of 43.8 percent (based on 1989 data), compared to a U.S. airlines average of 63.2 percent. Significantly, the airline average use to be below 50 percent in 1970, when they, like electric utilities, were closely regulated. Through incentive pricing, airlines were able to achieve almost a 30-percent increase in efficiency. According to studies by the Electric Power Research Institute (EPRI) and Edison Electric Institute (EEI), TOU pricing could increase the efficiency of U.S. power plant use by nearly 15 percent. Power plant needs for the next seven years offer an excellent opportunity to use TOU pricing to save consumers billions of dollars. According to Burns McDonnell, an engineering firm, new electric generation resources will not be needed before the turn of the century to prevent to projected deficit of peaking capacity. Indeed, Burns McDonnell estimates a current excess of 152,000 MW in nation-wide baseload capacity. TOU pricing, according to EPRI and EEI, causes residential consumers to reduce their onpeak electricity consumption by 20 percent. With a residential peak load of 183,000 MW, this reduction translates into over 36,000 MW of capacity.

  14. Utilization of cognitive support in episodic free recall as a function of apolipoprotein E and vitamin B12 or folate among adults aged 75 years and older

    OpenAIRE

    Bunce, D; Kivipelto, M.; Wahlin, A

    2004-01-01

    Apolipoprotein E (APOE), vitamin B12, and folate were examined in relation to free recall among 167 community-based older adults. Cognitive support at encoding and retrieval was also taken into account. Participants were classified as APOE e4 or non-e4 allele carriers and as either low or normal vitamin B12 or folate status. A significant association was identified between low vitamin B12 and the e4 genotype in respect to free recall, but only in circumstances of low cognitive support. This r...

  15. Empowering billions with food safety and food security

    International Nuclear Information System (INIS)

    Full text: There are virtually millions of people -who die needlessly every year due to contaminated water and food. There are virtually many millions more who are starving due to an inadequate supply of food. Billions of pounds of food are unnecessarily wasted due to insect and other damage. Deaths and illness due to contaminated food or inadequate food are at catastrophic levels in many regions of the world. A majority of the food and water borne illnesses and deaths are preventable. It can be prevented by improved food production methods, improved food processing technologies, improved food distribution systems and improved personal hygiene. Food irradiation technology is over 100 years old. Yet, this technology is poorly understood by governments and corporate decision makers all around the world. Many consumers also are unfortunately misinformed of this technology. There is an urgent need for nations and people around the world to empower themselves with the knowledge and the expertise to harness this powerful technology. Widespread and sensible adoption of this technology can empower billions around the world with clean and abundant food supplies. It is unconscionable in the 21st century for governments to allow people to die or go hungry when the technology to prevent them is readily available

  16. Performance in Older Adults

    Directory of Open Access Journals (Sweden)

    David Predovan

    2012-01-01

    Full Text Available Growing evidence supports the use of physical training interventions to improve both physical and cognitive performances in healthy older adults. Few studies have examined the impact of aerobic exercise on Stroop task performance, a measure of executive functions. In the current 3-month aerobic training study, 50 older adults (mean age = 67.96 ± 6.25 years were randomly assigned to either a three-month physical training group or to a control group (waiting list. Training sessions were 3 times per week for 60 minutes. All participants completed pre- and post-test measures of cognitive performance using the modified Stroop task and physical performance (Rockport one-mile test. Compared to controls, the training group showed significant improvements in physical capacity (P<0.001 and enhanced Stroop performance, but only in the inhibition/switching condition (P<0.03. Furthermore, the increase in aerobic capacity induced by the training regimen correlated negatively with reaction time in the inhibition/switching condition of the Stroop task at posttest (r=−0.538; P=0.007. Importantly, the reported gains in cognitive performance were observed after only three months of physical training. Taken together, the results suggest that even short-term physical interventions can enhance older adults’ executive functions.

  17. 75岁以上老年人胆石症手术治疗临床分析%Clinical analysis of cholelithiasis surgerical threatment in patients 75 years of age and older

    Institute of Scientific and Technical Information of China (English)

    殷国贤

    2012-01-01

      Objective To investigate the experience of chololithiasis surgical threatmena in patients 75 years of age and older. Methods Retrospectively analyze the clinical characteristics of cholelithiasis, surgical methods and treatment effects in 28 cases of 75 years of age and older. Results Twenty-three cases(82.1%) coexisted with other diseases,2Twenty-two cases(78.6%) went to hospital as a result of acute attack. Eleven cases(39.3%) were performed emergency operations. One case(3.6%) coexisted with gallbladder carcinoma. Surgical methods included holecystectomy, exploratory of biliary tract. However, one cases(3.7%) died in perioperative period. Conclusion Basing on sufficient preoperative preparation, and more attention paid to other diseases coexisted with cholelithiasis, the operation is still relatively safe and effective way of treating cholelithiasis in patients 75 years of age and older.%  目的探讨75岁以上老年人胆石症手术治疗经验.方法回顾性分析28例75岁以上老年人胆石症的临床特点、手术方式及疗效.结果23例(82.1%)患者并存其他疾病,22例(78.6%)以急性发作就诊,11例(39.3%)行急诊手术,1例(3.6%)并存胆囊癌.术式以胆囊切除术、胆道探查术为主.围手术期死亡1例(3.6%).结论经过充分术前准备及围手术期并存症的合理处理,手术仍是治疗75岁以上老年人胆石症相对安全、有效的治疗方法.

  18. Short-term prognostic value of forced expiratory volume in 1 second divided by height cubed in a prospective cohort of people 80 years and older

    OpenAIRE

    Turkeshi, Eralda; Vaes, Bert; Andreeva, Elena; Matheï, Cathy; Adriaensen, Wim; Van Pottelbergh, Gijs; Degryse, Jean-Marie

    2015-01-01

    Spirometry-based parameters of pulmonary function such as forced expiratory volume in 1 second (FEV1) have prognostic value beyond respiratory morbidity and mortality. FEV1 divided by height cubed (FEV1/Ht(3)) has been found to be better at predicting all-cause mortality than the usual standardization as percentage of predicted "normal values" (FEV1%) and its use is independent of reference equations. Yet, limited data are available on the very old adults (80 years and older) and in associati...

  19. Short-term prognostic value of forced expiratory volume in 1 second divided by height cubed in a prospective cohort of people 80 years and older

    OpenAIRE

    Turkeshi, Eralda; Vaes, Bert; Andreeva, Elena; Matheï, Catharina; Adriaensen, Wim; Van Pottelbergh, Gijs; Degryse, Jean-Marie

    2015-01-01

    Background Spirometry-based parameters of pulmonary function such as forced expiratory volume in 1 second (FEV1) have prognostic value beyond respiratory morbidity and mortality. FEV1 divided by height cubed (FEV1/Ht3) has been found to be better at predicting all-cause mortality than the usual standardization as percentage of predicted "normal values" (FEV1%) and its use is independent of reference equations. Yet, limited data are available on the very old adults (80 years and older) and in ...

  20. 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

  1. 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.

  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

    OpenAIRE

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

    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 multi...

  3. 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

  4. 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.

  5. 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.

  6. 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.

  7. Fitness for Those with Disabilities and Older Adults | NIH MedlinePlus the Magazine

    Science.gov (United States)

    ... New Year Fitness for Those with Disabilities and Older Adults Past Issues / Winter 2016 Table of Contents Fitness ... activity is always better than none. Exercise for Older Adults Exercise is safe for almost everyone, and older ...

  8. 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

  9. 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…

  10. 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…

  11. Sleep Changes in Older Adults

    Science.gov (United States)

    ... might get sleepy earlier in the evening. Older adults may have insomnia, which makes it hard to fall asleep when they go to bed or stay asleep all night. They might wake up very early in the ... sleep problems. By the time an adult is over 65 years old, his or her ...

  12. Older Adults and Depression

    Science.gov (United States)

    ... Older Adults and Depression Share Older Adults and Depression Download PDF Download ePub Download Mobi Order a ... If so, you may have depression. What is depression? Everyone feels down or sad sometimes, but these ...

  13. Violence against older women.

    Science.gov (United States)

    2016-07-01

    Domestic abuse is widespread and indiscriminate. Older women living with domestic abuse experience a number of health-related concerns and significant mental health issues. Research suggests that the needs of older women experiencing domestic abuse are not being met by existing services. This article examines the issues that older women face as a result of abusive relationships and the barriers to seeking help. Research suggests that a stepped approach, tailored to suit older women's needs, could be beneficial. PMID:27384810

  14. 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)

  15. Cancer costs projected to reach at least $158 billion in 2020

    Science.gov (United States)

    Based on growth and aging of the U.S. population, medical expenditures for cancer in the year 2020 are projected to reach at least $158 billion (in 2010 dollars) – an increase of 27 percent over 2010. If newly developed tools for cancer diagnosis, treatme

  16. 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

  17. Chongqing Bosai plans to make an investment of RMB 10 billion in bauxite

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    <正>Following the acquisition of Guyana bauxite mine with USD 600 million,Chongqing Bosai Group has planned to make an investment of RMB 10 billion in expansion of bauxite pro- duction in the coming 5 years and to purchase a

  18. 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).

  19. 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.

  20. 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.

  1. Sexuality in Older Adults

    Science.gov (United States)

    MENU Return to Web version Sexuality in Older Adults Sexuality in Older Adults What are the benefits of a healthy sex life for older adults? Sex is ... concerns, and acknowledge new relationships with respect. Bibliography Sexuality in Later Life by National Institute on Aging ( ...

  2. ZTE Records 21.52% Increase in Revenue to RMB37.3 Billion in the First Half of 2011%ZTE Records 21.52% Increase in Revenue to RMB37.3 Billion in the First Half of 2011

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    On August 30, 2011, ZTE Corporation announced a 21.52% increase in operating revenue to RMB37.337 billion for the half year ended June 30, 2011. Based on HKFRS, interim net profit fell 12.33% to RMB769 million. Basic earnings per share were RMB0.27. Applying PRC ASBEs, operating revenue for the first half rose 21.52% to RMB37.34 billion.

  3. Five-year alendronate treatment outcome in older postmenopausal Japanese women with osteoporosis or osteopenia and clinical risk factors for fractures

    Directory of Open Access Journals (Sweden)

    Jun Iwamoto

    2009-09-01

    Full Text Available Jun Iwamoto1, Atsushi Miyata2, Yoshihiro Sato3, Tsuyoshi Takeda1, Hideo Matsumoto11Institute for Integrated Sports Medicine, Keio University School of Medicine, Tokyo, Japan; 2Department of Internal Medicine, Yahata Clinic, Tokyo, Japan; 3Department of Neurology, Mitate Hospital, Fukuoka, JapanAbstract: A retrospective study was conducted to evaluate the outcome of treatment with alendronate (ALN for 5 years in postmenopausal Japanese women with an increased risk of fractures. Forty postmenopausal Japanese women with osteoporosis or osteopenia and clinical risk factors for fractures (mean age: 75.4 years were analyzed; 33 patients were treated with alendronate and 7 were treated with alfacalcidol (ALF, controls in an outpatient clinic run by general practitioners. The metacarpal bone mineral density (BMD measured using a computed X-ray densitometer, urinary levels of cross-linked N-terminal telopeptides of type I collagen (NTX, and serum levels of alkaline phosphatase (ALP were monitored during the 5-year treatment period. The urinary NTX and serum ALP levels decreased significantly in the ALN group, compared with the ALF group. The metacarpal BMD was sustained in the ALN group but decreased significantly in the ALF group; the difference between these two groups was also significant. The present study evaluated the outcome of treatment with ALN for 5 years in postmenopausal Japanese women with osteoporosis or osteopenia and clinical risk factors for fractures. ALN successfully suppressed bone turnover and sustained the metacarpal BMD over the 5-year period of treatment in postmenopausal Japanese women with an increased risk of fractures.Keywords: alendronate, osteoporosis, osteopenia, risk factors for fractures, postmenopausal women

  4. 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...

  5. Prevalence of symptomatic knee, hand and hip osteoarthritis among individuals 40 years or older: a study conducted in İzmir city

    OpenAIRE

    Yesil, Hilal; Hepguler, Simin; Ozturk, Cihat; Capaci, Kazım; Yesil, Murat

    2013-01-01

    Objective: This cross-sectional study was conducted to determine the prevalence of symptomatic knee, hand and hip osteoarthritis among men and women at or over 40 years of age, living in the Bayraklı Adalet district of İzmir. Methods: The study included a sample size of 522 people calculated using the Epi Info™ software. Demographic information, weight, height and body mass index were recorded. Patients were physically examined for evidence of osteoarthritis, such as joint tenderness, ran...

  6. The Association between the Consumption of Fish/Shellfish and the Risk of Osteoporosis in Men and Postmenopausal Women Aged 50 Years or Older

    OpenAIRE

    Eunjin Choi; Youngsoon Park

    2016-01-01

    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 ...

  7. 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).

  8. Economic toll of AIDS put at $10 billion in Canada.

    Science.gov (United States)

    1996-11-29

    John McCallum, Chief economist at the Royal Bank of Canada, announced that AIDS has cost the nation's economy $10 billion since 1981. These calculations included losses in both direct medical care and human capital. This monetary figure is expected to rise to $36 billion by 2010. An estimated 42,500 to 45,000 Canadians are infected with HIV. PMID:11364044

  9. 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...

  10. 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

  11. 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. PMID:27479624

  12. 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.

  13. 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.

  14. 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 earthquake, the increase of disability prevalence from before the GEJE continued to be higher in the disaster-stricken areas.

  15. 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.

    Directory of Open Access Journals (Sweden)

    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

  16. 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

    -resistant prostate cancer. Overall survival (OS) and radiographic progression-free survival (rPFS) were coprimary end points. Subgroup analysis of men aged ≥75 years (elderly) and men aged ... 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....

  17. 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

  18. 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.

  19. 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

  20. Accelerated partial breast irradiation using intensity-modulated radiotherapy technique compared to whole breast irradiation for patients aged 70 years or older: subgroup analysis from a randomized phase 3 trial.

    Science.gov (United States)

    Meattini, Icro; Saieva, Calogero; Marrazzo, Livia; Di Brina, Lucia; Pallotta, Stefania; Mangoni, Monica; Meacci, Fiammetta; Bendinelli, Benedetta; Francolini, Giulio; Desideri, Isacco; De Luca Cardillo, Carla; Scotti, Vieri; Furfaro, Ilaria Francesca; Rossi, Francesca; Greto, Daniela; Bonomo, Pierluigi; Casella, Donato; Bernini, Marco; Sanchez, Luis; Orzalesi, Lorenzo; Simoncini, Roberta; Nori, Jacopo; Bianchi, Simonetta; Livi, Lorenzo

    2015-10-01

    The purpose of this study was to report the efficacy and the safety profile on the subset of selected early breast cancer (BC) patients aged 70 years or older from a single-center phase 3 trial comparing whole breast irradiation (WBI) to accelerated partial breast irradiation (APBI) using intensity-modulated radiation therapy technique. Between 2005 and 2013, 520 patients aged more than 40 years old were enrolled and randomly assigned to receive either WBI or APBI in a 1:1 ratio. Eligible patients were women with early BC (maximum diameter 2.5 cm) suitable for breast conserving surgery. This study is registered with ClinicalTrials.gov, NCT02104895. A total of 117 patients aged 70 years or more were analyzed (58 in the WBI arm, 59 in the APBI arm). At a median follow-up of 5-years (range 3.4-7.0), the ipsilateral breast tumor recurrence (IBTR) rate was 1.9 % in both groups. No significant difference between the two groups was identified (log-rank test p = 0.96). The 5-year disease-free survival (DFS) rates in the WBI group and APBI group were 6.1 and 1.9 %, respectively (p = 0.33). The APBI group presented significantly better results in terms of acute skin toxicity, considering both any grade (p = 0.0001) and grade 2 or higher (p = 0.0001). Our subgroup analyses showed a very low rate and no significant difference in terms of IBTR, using both WBI and APBI. A significant impact on patients compliance in terms of acute and early late toxicity was shown, which could translate in a consistent improvement of overall quality of life. PMID:26350524

  1. 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.

  2. 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. PMID:15177835

  3. 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.

  4. The Association between the Consumption of Fish/Shellfish and the Risk of Osteoporosis in Men and Postmenopausal Women Aged 50 Years or Older

    Directory of Open Access Journals (Sweden)

    Eunjin Choi

    2016-02-01

    Full Text Available 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.

  5. 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

  6. Normal Values of the Maximal Respiratory Pressures in Healthy People Older than 20 Years Old in the City of Manizales – Colombia

    Directory of Open Access Journals (Sweden)

    Lida Maritza Gil Obando

    2012-06-01

    Full Text Available The Maximal Inspiratory Pressure (MIP and Maximal Expiratory Pressure (MEP are global measures of the maximal strength of the respiratory muscles. Objectives :To determine the values of MIP and MEP in healthy subjects aged 20 years old from the urban area of Maniza­les, Colombia and to correlate them with sociodemographic and anthropometric variables. Methods: This is an observational descriptive study. The population of the study was 203.965 healthy people from Ma­nizales, a Colombian city located at 2150 meters above sea level. The sample size was 308 subjects, selected using simple random sampling. The maximal respiratory pressures were determined in the sample chosen and were then considered according to the variables of age, gender, size, weight, Body Mass Index (BMI, and BMI classification. Finally a predictive model was created. Results: The average MIP value among the subjects of the study was 75±27cmH20 and the MEP value was 96.4±36cmH20. Both averages were higher in men than in women. Predictive equations were established for the normal values of MIP and MEP in healthy subjects; the best model for MIP was the resultant one among age, gender and BMI classification and for the MEP among gender, weight and height. Conclusion: Maximal respiratory pressure values were lower among the population of Manizales than those found in in­ternational studies. Gender and anthropometric characteristics (weight, height and BMI classification are the explanatory variables that better support the average values of MIP and MEP in the predictive models proposed. 14.00 800x600 Normal 0 21 false false false ES-CO X-NONE X-NONE MicrosoftInternetExplorer4

  7. Medications and Older Adults

    Science.gov (United States)

    ... older adults and often require the use of antihistamines. Antihistamines are divided into two classes: first generation antihistamines and second generation antihistamines. First generation antihistamines, while ...

  8. 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.

  9. 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. PMID:24856057

  10. 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. PMID:27501494

  11. 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

  12. 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.

  13. Academic Pork Barrel Tops $2-Billion for the First Time.

    Science.gov (United States)

    Brainard, Jeffrey; Borrego, Anne Marie

    2003-01-01

    Describes how, despite the growing budget deficit, Congress directed a record $2 billion to college projects in 2003, many of them dealing with security and bioterrorism. Includes data tables on the earmarks. (EV)

  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. Perceived age discrimination in older adults

    OpenAIRE

    Rippon, Isla; Kneale, Dylan; de Oliveira, Cesar; Demakakos, Panayotes; Steptoe, Andrew

    2013-01-01

    Objectives: to examine perceived age discrimination in a large representative sample of older adults in England. Methods: this cross-sectional study of over 7,500 individuals used data from the fifth wave of the English Longitudinal Study of Ageing (ELSA), a longitudinal cohort study of men and women aged 52 years and older in England. Wave 5 asked respondents about the frequency of five everyday discriminatory situations. Participants who attributed any experiences of discrimination to their...

  16. 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

  17. 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.

  18. 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

  19. 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

  20. 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

  1. Mining survival in parts per billion

    International Nuclear Information System (INIS)

    The paper discusses the economic situation in the coal industry of Utah. Coal prices are down for the tenth year in a row, Utah is isolated from major markets and freight rates are high, and the state legislature has not dropped the issue of a coal severance tax. The author believes the only potential for increased use of Utah coal is the Pacific Rim countries. Environmental issues are also discussed

  2. Older people without children

    OpenAIRE

    Reynolds, Jill

    2009-01-01

    In a recent discussion about government proposals on care for older people (July 2009), the Radio 4 news presenter referred to a possible need to return to the attitude that it's the family's responsibility to look after its older members. Yet there is often already an expectation that the family – by which is usually meant children or grandchildren – can be relied upon to take an active part in the social life and any care arrangements for their older members. Indeed, social policy in much o...

  3. Medication for older patients.

    Science.gov (United States)

    2016-09-01

    A growing body of literature documents multiple morbidities and multiple medication use among older people with intellectual disabilities. In Ireland in 2012, 8.6% of all medication-related adverse events were reported from the disability sector. PMID:27581916

  4. The older adult driver.

    Science.gov (United States)

    Carr, D B

    2000-01-01

    More adults aged 65 and older will be driving in the next few decades. Many older drivers are safe behind the wheel and do not need intensive testing for license renewal. Others, however, have physiologic or cognitive impairments that can affect their mobility and driving safety. When an older patient's driving competency is questioned, a comprehensive, step-by-step assessment is recommended. Many diseases that impair driving ability can be detected and treated effectively by family physicians. Physicians should take an active role in assessing and reducing the risk for injury in a motor vehicle and, when possible, prevent or delay driving cessation in their patients. Referral to other health care professionals, such as an occupational or physical therapist, may be helpful for evaluation and treatment. When an older patient is no longer permitted or able to drive, the physician should counsel the patient about using alternative methods of transportation. PMID:10643955

  5. Depression - older adults

    Science.gov (United States)

    ... these steps do not help, medicines to treat depression and talk therapy often help. Doctors often prescribe lower doses of antidepressants to older people, and increase the dose more slowly than in ...

  6. 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

  7. Cycling strategies of young and older cyclists.

    Science.gov (United States)

    Bulsink, Vera E; Kiewiet, Hielke; van de Belt, Dorien; Bonnema, G Maarten; Koopman, Bart

    2016-04-01

    This study concentrates on the cycling strategies of older cyclists (54-62year olds) in comparison to young cyclists (20-30year olds). While cycling in a safe laboratory set-up, controlled lateral perturbations are applied to the rear of the bicycle. Three possible strategies to keep balance are analysed for a young and older aged group: steering, lateral trunk movement and outward knee movement. Older subjects appear to rely more on knee movement as a control mechanism than young subjects. Furthermore, the frequency domain analysis revealed that the older adults need more effort to counteract high frequency perturbations. Increased inter-individual variation for the older adults subject group suggests that this group can be seen as a transition group in terms of physical fitness. This explains their increased risk in single-sided bicycle accidents (i.e. accidents involving the cyclist only). Therefore, older cyclists could benefit from improving the stability of cycling at lower speeds. PMID:26796419

  8. Depression in Older Adults

    OpenAIRE

    Fiske, Amy; Wetherell, Julie Loebach; Gatz, Margaret

    2009-01-01

    Depression is less prevalent among older adults than among younger adults but can have serious consequences. Over half of cases represent a first onset in later life. Although suicide rates in the elderly are declining, they are still higher than in younger adults and more closely associated with depression. Depressed older adults are less likely to endorse affective symptoms and more likely to display cognitive changes, somatic symptoms, and loss of interest than are younger adults. Risk fac...

  9. 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%)

  10. 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

  11. Tendances Carbone no. 75 'The CDM: let's not discard a tool that raised over US$ 200 billion'

    International Nuclear Information System (INIS)

    Among the publications of CDC Climat Research, 'Tendances Carbone' bulletin specifically studies the developments of the European market for CO2 allowances. This issue addresses the following points: Everyone wonders which miraculous instrument will enable the Green Climate Fund to mobilize the pledged US$100 billion per year in climate finance by 2020. Developing countries are now asking for interim targets to quench their mounting skepticism that this level of commitment can be reached. In the meantime paradoxically, the Clean Development Mechanism (CDM) - a tool that managed to leverage over US$200 billion of mostly private investment for climate change mitigation - is left dying without much regret

  12. 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

  13. Older African American Women’s Lived Experiences with Depression

    OpenAIRE

    Ward, Earlise C.; Mengesha, Maigenete; Issa, Fathiya

    2013-01-01

    Little is known about older African American women’s lived experiences with depression. What does depression mean to this group? What are they doing about their depression? Unfortunately, these questions are unanswered. This study examined older African American women’s lived experiences with depression and coping behaviours. The common sense model provided the theoretical framework for present study. Thirteen community-dwelling African American women aged 60 and older (M =71 years) participa...

  14. Older adults and sport and physical activity professionals in Spain

    OpenAIRE

    María Martín-Rodríguez; María Dolores González-Rivera; José Emilio Jiménez-Beatty; Antonio Campos-Izquierdo; David del Hierro-Pinés

    2010-01-01

    Presence of monitors in physical activities and sports practiced by adults older than 64 years of age in Spain is analyzed in this research. The objective of this study is to determine the existence of monitors in relation to the sociodemographic features of older adults, the size of municipalities, the activities practiced, and the organizations where they are performed. The methodology used included a cross-sectional survey applied to a sample of older adults in Spain. The most relevant ...

  15. SAME-SEX PARTNERSHIPS AND THE HEALTH OF OLDER ADULTS

    OpenAIRE

    Williams, Mark Edward; Fredriksen-Goldsen, Karen I.

    2014-01-01

    While extensive research has examined associations between marriage, cohabitation, and the health of heterosexual adults, it remains unclear whether similar patterns of health are associated with same-sex partnerships for lesbian, gay, and bisexual (LGB) older adults. This article examines whether having a same-sex partner is associated with general self-reported health and depressive symptoms for LGB older adults. Based on survey data collected from LGB adults 50 years of age and older, havi...

  16. China’s Foreign Trade of Metals Exceeded US$65 Billion in 2006

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    <正>China’s foreign trade of nonferrous metals kept increasing in 2006 with the total trade value reaching US$65.43 billion, which is an increase of US$18,585 billion or 39.68 per cent over that in 2005. Export in 2006 was US$23.98 billion, up by 45.4 per cent or US$7.493 billion over that in 2005, and import was US$41.45 billion, up by 36.5 per cent or US$11.09 billion. The total foreign trade value showed an unfavorable value of US$17.47 billion.

  17. 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. PMID:27049949

  18. 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.

  19. 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.

  20. 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.

  1. 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.……

  2. 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.

  3. 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.

    2015-01-01

    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

  4. 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)

    van der Meer, Laudry; Leijten, Fenna R M; Heuvel, Swenneke G; Ybema, J.F.; de Wind, Astrid; Burdorf, Alex; Geuskens, Goedele 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

  5. 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.

  6. 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.

  7. 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.

  8. 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

  9. 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.

  10. 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.

  11. 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.

  12. ATHEROSCLEROTIC CARDIOVASCULAR DISEASE IN OLDER ADULTS WITH DIABETES MELLITUS

    OpenAIRE

    Barzilay, Joshua I.; Mukamal, Kenneth J.; Kizer, Jorge R.

    2014-01-01

    Diabetes Mellitus exerts a strong effect on atherosclerotic cardiovascular disease risk into older age (beyond ages 70 to 74 years). This effect is particularly noticeable with regard to coronary artery disease and cerebral microvascular disease. Thus Diabetes Mellitus in older age deserves the same careful medical attention as it does in middle age.

  13. Emotional Wellness Needs: Older Adults in Rural Communities

    Science.gov (United States)

    Russ, Randall

    2009-01-01

    The importance of emotional wellness for rural older adults is a topic of growing significance. Older adults, now the fastest growing United States population sector, have special wellness needs. By the year 2030, about 70 million people will be over the age of 65. A low or declining sense of control over one's life increases depression. Emotional…

  14. 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…

  15. 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…

  16. Assessment of Anxiety in Older Home Care Recipients

    Science.gov (United States)

    Diefenbach, Gretchen J.; Tolin, David F.; Meunier, Suzanne A.; Gilliam, Christina M.

    2009-01-01

    Purpose: This study determined the psychometric properties of a variety of anxiety measures administered to older adults receiving home care services. Design and Methods: Data were collected from 66 adults aged 65 years and older who were receiving home care services. Participants completed self-report and clinician-rated measures of anxiety and…

  17. 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…

  18. 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…

  19. 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

  20. 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.

  1. Zooming the Zoomers : The portrayal of older consumers in printed adverts and the perceptions of this portrayal of younger and older consumers

    OpenAIRE

    Holkko Lafourcade, Johanna; Josefsson, Lisa

    2010-01-01

    Purpose: The purpose of this thesis is two folded: firstly to do a content analysis on how consumers older than 55 years (Zoomers) are portrayed in advertisements in the largest Swedish magazines, and secondly, to uncover what perceptions of this portrayal that older and younger consumers have. Background: The population of the world is growing older, and thus older consumers (+55) are a large and rapidly growing group of the population which also are strong in purchasing power. Research ind...

  2. 40岁以上成年骨肉瘤患者的外科治疗及预后因素%Surgical treatment and prognostic analysis of osteosarcoma in adults older than 40 years

    Institute of Scientific and Technical Information of China (English)

    唐顺; 郭卫; 杨荣利; 汤小东; 李大森; 董森

    2015-01-01

    Objective: To determine the prognostic factors of primary osteosarcoma in adults . Methods:This is a review of 54 patients older than 40 years (24 men and 30 women) who were treated between 1998 and 2011 at the authors ’ institution .Demographic information and follow-up data were obtained and statistically analyzed .Results: Tumors involved the limbs in 30 patients ( 55 .5%) and axial skeleton in 17 patients (31.5%), and arose from soft tissue in 7 patients (13%).And 6 patients (11.1%) had synchronous metastasis .According to our review , tumors were treated surgically in 52 patients (96.3%).Local recurrence was documented in 14 patients (26.9%).Metastasis after diagno-sis appeared in 21 patients (38.9%).In the 52 patients who received the surgical treatment , the 5 year disease-free survival and overall survival rates were 43.7% and 50.4%, respectively.Conclusion:Adult patients with primary osteosarcoma had a poor clinical outcome .Inadequate surgical margins , more tumors in the axial location due to high recurrence rates , metastatic disease at presentation , and large tumor volumes were associated with significantly lower survival rates .Aggressive multi-agent treatment regimens might improve survival .%目的:确定原发成人骨肉瘤患者的相关预后因素。方法:对1998年10月到2011年10月在北京大学人民医院骨肿瘤中心接收治疗的54例年龄超过40岁的成年骨肉瘤患者(其中男性24例,女性30例)的临床资料进行回顾性分析。结果:肿瘤位于肢体骨30例(55.5%)、中轴骨17例(31.5%)、骨外软组织7例(13%),6例患者(11.1%)在诊断时伴有其他部位转移,52例患者(96.3%)接受了手术治疗,14例患者局部复发(26.9%),21例患者(38.9%)诊断后出现转移。52例接受手术治疗的骨肉瘤患者5年的无病生存率和总体生存率分别为43.7%和50.4%。结论:造成成人骨肉瘤患者预后较

  3. Erectile Dysfunction in the Older Adult Male.

    Science.gov (United States)

    Mola, Joanna R

    2015-01-01

    Erectile dysfunction (ED) in the older adult male is a significant problem affecting more than 75% of men over 70 years of age in the United States. Older men have an increased likelihood of developing ED due to chronic disease, comorbid conditions, and age-related changes. Research has demonstrated that while the prevalence and severity of ED increases with age, sexual desire often remains unchanged. This article discusses the clinical picture of ED, including relevant pathophysiology, clinical presentation, and evaluation and treatment options. PMID:26197627

  4. Diabetes Resources for Older Adults

    Science.gov (United States)

    ... Follow Us Health Information > Health Communication Programs > National Diabetes Education Program > Living With Diabetes > Diabetes in Older Adults | ... it's more common in older adults. The National Diabetes Education Program offers access to a range of resources ...

  5. Dementia: Unique to Older Adults

    Science.gov (United States)

    ... our e-newsletter! Aging & Health A to Z Dementia Unique to Older Adults This section provides information ... Managing Additional Health Problems in Older Adults with Dementia Dementia is rare in adults younger than 60. ...

  6. Spatial navigation in young versus older adults

    Directory of Open Access Journals (Sweden)

    Ivana eGazova

    2013-12-01

    Full Text Available Older age is associated with changes in the brain, including the medial temporal lobe, which may result in mild spatial navigation deficits, especially in allocentric navigation. The aim of the study was to characterize the profile of real-space allocentric (world-centered, hippocampus dependent and egocentric (body-centered, parietal lobe dependent navigation and learning in young vs. older adults, and to assess a possible influence of gender. We recruited healthy participants without cognitive deficits on standard neuropsychological testing, white matter lesions or pronounced hippocampal atrophy: 24 young participants (18-26 years old and 44 older participants stratified as participants 60-70 years old (n=24 and participants 71-84 years old (n=20. All underwent spatial navigation testing in the real-space human analog of the Morris Water Maze, which has the advantage of assessing separately allocentric and egocentric navigation and learning. Of the 8 consecutive trials, trials 2-8 were used to reduce bias by a rebound effect (more dramatic changes in performance between trials 1 and 2 relative to subsequent trials. The participants who were 71-84 years old (p< .001, but not those 60-70 years old, showed deficit in allocentric navigation compared to the young participants. There were no differences in egocentric navigation. All three groups showed spatial learning effect (p´s ≤.01. There were no gender differences in spatial navigation and learning. The linear regression limited to older participants showed linear (β=0.30, p=.045 and quadratic (β=0.30, p=.046 effect of age on allocentric navigation. There was no effect of age on egocentric navigation. These results demonstrate that navigation deficits in older age may be limited to allocentric navigation, whereas egocentric navigation and learning may remain preserved. This specific pattern of spatial navigation impairment may help differentiate normal aging from prodromal Alzheimer

  7. 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)

  8. Frailty and Depression in Older Adults

    DEFF Research Database (Denmark)

    Brown, Patrick J; Roose, Steven P; Fieo, Robert;

    2014-01-01

    was observed for fatigue. CONCLUSION: The confluence of specific characteristics of frailty (fatigue and slow gait speed) and depressive illness is associated with an increased risk of death in older adults; this association is particularly strong in older depressed women. Future research should investigate......OBJECTIVE: To identify salient characteristics of frailty that increase risk of death in depressed elders. METHODS: Data were from the Nordic Research on Ageing Study from research sites in Denmark, Sweden, and Finland. Participants were 1,027 adults aged 75 years (436 men and 591 women). Time...... whether multimodal interventions targeting depressive illness, mobility deficits, and fatigue can decrease mortality and improve quality of life in older depressed individuals with characteristics of the syndrome of frailty....

  9. Optimal breast cancer screening strategies for older women: current perspectives

    Directory of Open Access Journals (Sweden)

    Braithwaite D

    2016-02-01

    Full Text Available Dejana Braithwaite,1 Joshua Demb,1 Louise M Henderson2 1Department of Epidemiology and Biostatistics, University of California, San Francisco, CA, 2Department of Radiology, University of North Carolina, Chapel Hill, NC, USA Abstract: Breast cancer is a major cause of cancer-related deaths among older women, aged 65 years or older. Screening mammography has been shown to be effective in reducing breast cancer mortality in women aged 50–74 years but not among those aged 75 years or older. Given the large heterogeneity in comorbidity status and life expectancy among older women, controversy remains over screening mammography in this population. Diminished life expectancy with aging may decrease the potential screening benefit and increase the risk of harms. In this review, we summarize the evidence on screening mammography utilization, performance, and outcomes and highlight evidence gaps. Optimizing the screening strategy will involve separating older women who will benefit from screening from those who will not benefit by using information on comorbidity status and life expectancy. This review has identified areas related to screening mammography in older women that warrant additional research, including the need to evaluate emerging screening technologies, such as tomosynthesis among older women and precision cancer screening. In the absence of randomized controlled trials, the benefits and harms of continued screening mammography in older women need to be estimated using both population-based cohort data and simulation models. Keywords: aging, breast cancer, precision cancer screening

  10. Rhinitis in Older Adults

    OpenAIRE

    Nyenhuis, Sharmilee; Mathur, Sameer K.

    2013-01-01

    Rhinitis symptoms of rhinorrhea, congestion, sneezing, nasal/ocular pruritis, and postnasal drainage can significantly affect the quality of life for older adults. As the US population ages, it will be increasingly important for healthcare providers to effectively diagnose and manage rhinitis. Rhinitis is categorized broadly into allergic rhinitis and non-allergic rhinitis. Environmental changes and avoidance measures are a primary means of intervention. In addition, there are several topical...

  11. 高龄食管癌患者术后早期肠内营养的临床研究%Early postoperative enteral nutrition with esophageal cancer in patients aged 70 years and older

    Institute of Scientific and Technical Information of China (English)

    夏晓明; 施仁忠; 张亚峰

    2010-01-01

    目的 探讨高龄食管癌患者术后早期肠内营养的意义.方法 选取62例70岁以上食管癌患者,随机分肠内营养(EN)组和肠外营养(PN)组,对术前、术后第1天、术后第8天的血清白蛋白、前白蛋白、外周血淋巴细胞、血清免疫球蛋白(IgG、IgM、IgA)、补体C3和C4进行测定.并观察术后感染性并发症和心血管并发症发生状况.结果 术后第8天2组比较,tALB=2.535、tPA=2.880、t淋巴细胞数=2.720、tIgA=2.166、tIgM=2.065、tC3=4.103、tC4=2.478,P均<0.05,表明EN组在改善营养状况、增强免疫力方面优于PN组.术后并发症比较,x2感染性并发症=4.24、x2心血管并发症=15.55,P均<0.05,表明EN组并发症的发生率低于PN组.结论 高龄食管癌患者术后早期肠内营养能明显改善患者营养状况、增强机体免疫力、减少并发症的发生率.%Objective To investigate the significance of early postoperative enteral nutrition with esophageal cancer in the elderly. Methods A total of 62 cases of esophageal cancer patients aged 70 years and older were randomly divided into the enteral nutrition(EN)group and the parenteral nutrition(PN)group. In preoperative and the first day and eighth day of postoperative serum albumin,prealbumin,peripheral blood lymphocytes,serum immunoglobulin(IgG,IgM,IgA),complement C3 and C4 were measured,and the postoperative infectious complications and cardiovascular complications were observed. Results During the eighth day after operation,the statistic analysis of the data between EN group and PN group showed: tALB = 2. 535,tPA = 2. 880,tLymphocyte =2. 720,tIgA =2. 166,tIgM =2. 065 ,tC3 =4. 103 ,tC4 =2. 478,P <0. 05. The result indicated that the EN group was better than the PN group in improving the nutritional status of patients,strengthened the immune system. The complication comparison between the two groups after operation: x2 Infection = 4. 24,x2 Cardiovascular =15.55,P < 0. 05. The result indicated that

  12. Adaptation of the older worker to occupational challenges.

    Science.gov (United States)

    Moyers, Penelope A; Coleman, Shelley D

    2004-01-01

    The occupational adaptation practice model guided the search for and the analysis of the literature on the older worker. The purpose of this literature review was to: identify the occupational challenges that older workers experience, determine ways in which the occupational therapist can promote the occupational adaptation of older workers, and articulate the research and policy changes implied in the model related to health and improved productivity. The analysis of the worker's personal characteristics, work tasks, and environments highlighted the types of occupational challenges that may overwhelm the older worker's adaptive capacity. Straining adaptive capacity of the older worker leads to degradation in levels of mastery. The occupational therapist and others could assist the older worker to achieve relative mastery in response to occupational challenges through ergonomic solutions, training, assistive devices, management policy, and health promotion. Combined efforts of the employer, of the occupational therapist, and of the older work to capitalize on the older worker's years of experience, existing skills, and knowledge facilitates higher job satisfaction, better performance, and an increased sense of well-being in the older worker. PMID:15004340

  13. Late life gambling: the attitudes and behaviors of older adults.

    Science.gov (United States)

    McNeilly, D P; Burke, W J

    2000-01-01

    For a significant number of retired older adults (aged 65+), gambling has become a new form of recreation and entertainment. While prevalence studies have examined the incidence of problem gambling in other age groups, little research attention has been paid to the impact of gambling on older adults since the increase in availability and accessibility of legalized gambling within the last ten years. This study investigated the prevalence of problem gambling behaviors (SOGS-R), depression (GDS-15), levels of life satisfaction (SWLS), and motivations for gambling among older adults. A total of 315 older adults completed the study questionnaire and were grouped and analyzed according to those sampled from gambling venues and those from within the community. Results of the study found the most frequent accession and spending on several types of gambling occurred among older adults who were sampled at gambling venues. Older adults who were sampled at gambling venues were also found more likely to have higher levels of disordered gambling than older adults from the community, as measured by the SOGS-R. Relaxation, boredom, passing time, and getting away for the day were also the most likely reported motivations for the older adults who were gambling patrons. These findings provide an initial profile of older adults and their attitudes, motivations and gambling behaviors. PMID:14634305

  14. 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

  15. Effects of Service Barriers on Health Status of Older Chinese Immigrants in Canada

    Science.gov (United States)

    Lai, Daniel W. L.; Chau, Shirley B.

    2007-01-01

    The authors examine the effects of service barriers on the health status of older Chinese immigrants in Canada. A survey was completed in seven Canadian cities by a random sample of 2,214 older Chinese immigrants age 55 years or older. Service barriers related to administrative problems, personal attitudes, and circumstantial difficulties were…

  16. The effects of emotional television advertising on older and younger adults

    NARCIS (Netherlands)

    M.J. van der Goot; E.A. van Reijmersdal; M. Kleemans

    2016-01-01

    Understanding older adults’ responses to advertising is vital for the industry because older adults constitute a large and lucrative market: The world population is aging (United Nations, 2012) and consumers of 50 years and older have more disposable income than younger consumers (e.g., Ahmad, 2003;

  17. The effects of emotional television advertising on older and younger adults

    NARCIS (Netherlands)

    Goot, M.J. van der; Reijmersdal, E.A. van; Kleemans, M.

    2016-01-01

    Understanding older adults' responses to advertising is vital for the industry because older adults constitute a large and lucrative market: The world population is aging (United Nations, 2012) and consumers of 50 years and older have more disposable income than younger consumers (e.g., Ahmad, 2003;

  18. Drug-related falls in older patients: Implicated drugs, consequences, and possible prevention strategies

    NARCIS (Netherlands)

    M.R. de Jong (Marlies R.); M. van der Elst (Maarten); K.A. Hartholt (Klaas)

    2013-01-01

    textabstractFalls are the leading cause of injuries among older adults, aged 65 years and older. Furthermore, falls are an increasing public health problem because of ageing populations worldwide due to an increase in the number of older adults, and an increase in life expectancy. Numerous studies h

  19. 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)

  20. Survivability demonstration and characterization of a multi-billion shot, Q-switched, Nd:YAG laser

    Energy Technology Data Exchange (ETDEWEB)

    Dallas, J.L.; Stephen, M.A.; Afzal, R.S. [NASA, Greenbelt, MD (United States)

    1996-12-31

    As part of NASA`s suite of Earth Observing Satellites, Goddard Space Flight Center is developing a laser altimeter for measuring the polar ice sheet mass balance. The Geoscience Laser Altimeter System (GLAS) requires a diode pumped, Q-switched, Nd:YAG laser transmitter producing 150 mJ, 4 ns pulses at a 40 Hz repetition rate in a single transverse mode. The mission lifetime goal is five years (6.3 billion shots). The projected performance of the GLAS laser can be limited by a number of failure sources including optical damage to the components and degradation of the pump laser diodes. To the authors` knowledge, no data exists describing the multi-billion shot accumulative exposure effect Q-switched, 4 ns pulses have on intracavity optical components. To obtain multi-billion shot results in a reasonable time, an accelerated repetition rate (500 Hz) version of the GLAS oscillator was built with modifications for thermal management. An Accelerated GLAS Exposure Station (AGES) was developed to autonomously monitor the laser`s vital signs. Upon analysis of the stored data, the system dynamics were decoupled to identify the sources of degradation. Over 7 billion shots were accumulated during AGES` non-stop 5.5 month operation.

  1. Formerly homeless, older women's experiences with health, housing, and aging.

    Science.gov (United States)

    Waldbrook, Natalie

    2013-01-01

    The perspectives of formerly homeless, older women are absent in the academic literature on aging and homelessness. In this study, a group of formerly homeless women, aged 45 years and older were surveyed (N = 15) and interviewed (n = 11) about their experiences with health, housing, and aging. The qualitative themes to be explored include the women's perceptions of their current health, coping with low incomes, dealing with addictions to alcohol and drugs, and the importance of supportive housing and other community services. The female participants' views on adapting to home, planning for their elderly years, and views on growing older are also explored.

  2. Forearm vascular responses to mental stress in healthy older adults

    OpenAIRE

    Heffernan, Matthew J.; Patel, Hardikkumar M.; Muller, Matthew D.

    2013-01-01

    Abstract Forearm vascular conductance (FVC) increases in response to mental stress (verbal mental arithmetic) in young people. However, the effect of healthy aging and mental stress on FVC is unknown. In this study, we tested the hypothesis that FVC and cutaneous vascular conductance (CVC) would be attenuated in older adults compared to young adults. In 13 young (27 ± 1 year) and 11 older (62 ± 1 year) subjects, we quantified heart rate (HR), mean arterial pressure (MAP), FVC (Doppler ultraso...

  3. Attitudes and Experiences With Older Adults: A Case for Service Learning for Undergraduates.

    Science.gov (United States)

    Obhi, Hardeep K; Woodhead, Erin L

    2016-01-01

    The current study examined whether relationship quality with older adults currently and in childhood, as well as experience with older adults, was associated with biases toward older adults and interest in working with older adults as a possible career area. The authors sampled undergraduate students (N = 753, M = 18.97 years, SD = 2.11 years) from a Northern California university. In hierarchical regression analyses, higher perceived quality of relationships with older adult family members, higher perceived social support, and lower perceived conflict from relationships with older adults was significantly associated with positive attitudes toward older adults. Interest in working with older adults was significantly associated with taking courses in aging, providing care to an older adult, and volunteering with older adults. These results suggest that positive relationships with older adults are useful in reducing biases, though student interactions with older adults are key in helping to promote interest in working with older adults. PMID:26596911

  4. Attitudes and Experiences With Older Adults: A Case for Service Learning for Undergraduates.

    Science.gov (United States)

    Obhi, Hardeep K; Woodhead, Erin L

    2016-01-01

    The current study examined whether relationship quality with older adults currently and in childhood, as well as experience with older adults, was associated with biases toward older adults and interest in working with older adults as a possible career area. The authors sampled undergraduate students (N = 753, M = 18.97 years, SD = 2.11 years) from a Northern California university. In hierarchical regression analyses, higher perceived quality of relationships with older adult family members, higher perceived social support, and lower perceived conflict from relationships with older adults was significantly associated with positive attitudes toward older adults. Interest in working with older adults was significantly associated with taking courses in aging, providing care to an older adult, and volunteering with older adults. These results suggest that positive relationships with older adults are useful in reducing biases, though student interactions with older adults are key in helping to promote interest in working with older adults.

  5. Tuberculosis in Older Adults.

    Science.gov (United States)

    Rajagopalan, Shobita

    2016-08-01

    Tuberculosis (TB) remains one of the world's most lethal infectious diseases. Preventive and control strategies among other high-risk groups, such as the elderly population, continues to be a challenge. Clinical features of TB in older adults may be atypical and confused with age-related diseases. Diagnosis and management of TB in the elderly person can be difficult; treatment can be associated with adverse drug reactions. This article reviews the current global epidemiology, pathogenesis, clinical characteristics, diagnosis, management, and prevention of Mycobacterium tuberculosis infection in community-dwelling and institutionalized aging adults. PMID:27394018

  6. Resilience among older women.

    Science.gov (United States)

    Wagnild, G; Young, H M

    1990-01-01

    This qualitative study was designed to identify and describe characteristics of successfully adjusted older women. The participants reported a recent major loss and were considered successfully adjusted as evidenced by social involvement in a senior center, a mid level to high level of morale and self-report. Using a grounded theory approach, five underlying themes were identified: equanimity, self-reliance, existential aloneness, perseverance and meaningfulness. These themes are thought to constitute resilience. Lateral grounding of the concept resilience is accomplished by comparison with philosophical writings of Frankl, Bettelheim, Frank, May and von Witzleben. Resilience is important in late life as a component of successful psychosocial adjustment. PMID:2292448

  7. Growing older in the context of needing geriatric assessment

    DEFF Research Database (Denmark)

    Esbensen, Bente Appel; Hvitved, Ida; Andersen, Hanne Elkjaer;

    2016-01-01

    experience growing older. METHODOLOGY: A qualitative study was performed. The empirical data consisted of qualitative in-depth interviews with eight older persons referred to geriatric assessment (median age 76, range 65-86). The interviews were analysed based on Giorgi's descriptive phenomenological......AIM: The number of older adults will increase worldwide in the next 30 years, with many expected to develop chronic diseases and consequently require additional medical assessments and adequate care. The aim of this study was to describe how a group of older adults who need geriatric assessment...... of their advancing age. CONCLUSION: Growing older while in need of comprehensive geriatric assessment led to participants feeling they were no longer able to do the same things, they used to do. Consequently, compensation became an essential part of adaption to the altered situation. Aides that helped to overcome...

  8. Older Consumers in Malaysia

    Directory of Open Access Journals (Sweden)

    David R. Phillips

    2007-07-01

    Full Text Available The main objective of this study was to understand the concerns and problems faced by older people in an industrializing middle-income country, Malaysia, in their process of acquiring products to meet their everyday needs. Respondents aged 55 and over were interviewed in eight states throughout Peninsular Malaysia providing 1356 usable questionnaires; two-thirds from urban and one-third from rural areas. Education, health status, and life satisfaction were recorded. Service patronage behaviour was examined for four main categories of commonly-sought consumer goods: groceries, health supplements, apparel, eating outlets, plus selected services (public transport, vacation packages and financial services. The findings showed that older adults in Malaysia are rather discerning consumers. Many respondents are price conscious and have developed consumer attitudes with regard to attitude of staff and assistance rendered. Many display a good ability to discriminate and to select, especially on the basis of price and durability of products and many appear to be acting as effectively as consumers in any other age group.

  9. Scalable in-memory RDFS closure on billions of triples.

    Energy Technology Data Exchange (ETDEWEB)

    Goodman, Eric L.; Mizell, David (Cray, Inc, Seattle, WA)

    2010-06-01

    We present an RDFS closure algorithm, specifically designed and implemented on the Cray XMT supercomputer, that obtains inference rates of 13 million inferences per second on the largest system configuration we used. The Cray XMT, with its large global memory (4TB for our experiments), permits the construction of a conceptually straightforward algorithm, fundamentally a series of operations on a shared hash table. Each thread is given a partition of triple data to process, a dedicated copy of the ontology to apply to the data, and a reference to the hash table into which it inserts inferred triples. The global nature of the hash table allows the algorithm to avoid a common obstacle for distributed memory machines: the creation of duplicate triples. On LUBM data sets ranging between 1.3 billion and 5.3 billion triples, we obtain nearly linear speedup except for two portions: file I/O, which can be ameliorated with the additional service nodes, and data structure initialization, which requires nearly constant time for runs involving 32 processors or more.

  10. Older people's perceptions about symptoms.

    OpenAIRE

    R. Morgan; Pendleton, N; Clague, J E; Horan, M A

    1997-01-01

    BACKGROUND: Little is known of the nature and origins of the attitudes that older people have towards ageing, disease, and medical treatments. Several studies on older people in the community have suggested under-reporting of symptoms. There may be several reasons for this, including the possibility that some older people regard disease processes as a natural feature of ageing and, consequently, feel that medical intervention may have little to offer. AIM: To investigate the perceptions of ol...

  11. Getting older can be exhausting

    OpenAIRE

    Mittal, Rohit; Ford, Mandy L.; Coopersmith, Craig M.

    2014-01-01

    Sepsis is a disease that affects primarily the aged. Although mortality is higher in both older septic patients and aged septic mice, the mechanisms underlying decreased survival in older hosts are incompletely understood. New work by Inoue and colleagues demonstrates persistent inflammation and T-cell exhaustion in older septic patients and aged septic mice. The clinical significance of these findings is manifested not only in increased mortality but also in a marked difference in secondary ...

  12. [Management of older adults with COPD].

    Science.gov (United States)

    Hattori, Kumiko; Kida, Kozui

    2016-05-01

    In older adults, the clinical condition of COPD is complicated and treatment often becomes difficult, because of existence of multimorbidity, such as nutritional deficiencies, thinness, sarcopenia, osteoporosis, cardiovascular disease, depression and cognitive impairment. Consideration based on each of coexistence is needed in the management of older adults with COPD. In end period of COPD, sleep disorder, depressive state and decline of ADL are often shown, in addition to the respiratory symptoms, such as dyspnea, cough and sputum. Financial strain for the nursing cost and medical equipment cost tend to become big year by year, utilization of social resources (i.e. application of respiratory disabilities and an insurance of the elderly care) is need to be considered. PMID:27254959

  13. Addressing violence against older women.

    Science.gov (United States)

    2016-07-01

    Domestic abuse is widespread and indiscriminate, causing health-related concerns and mental health issues in older women. Research suggests their needs are not met by existing services. This article examines physical and mental health issues faced by older women as a result of abusive relationships, and the barriers that exist to seeking help. Healthcare professionals can facilitate therapeutic engagement of older women living with domestic abuse. Refuges and related interventions are limited, but developing a stepped approach, tailored to older women's needs, could help. PMID:27369732

  14. Getting older can be exhausting.

    Science.gov (United States)

    Mittal, Rohit; Ford, Mandy L; Coopersmith, Craig M

    2014-01-01

    Sepsis is a disease that affects primarily the aged. Although mortality is higher in both older septic patients and aged septic mice, the mechanisms underlying decreased survival in older hosts are incompletely understood. New work by Inoue and colleagues demonstrates persistent inflammation and T-cell exhaustion in older septic patients and aged septic mice. The clinical significance of these findings is manifested not only in increased mortality but also in a marked difference in secondary infections in older patients as long as a month following ICU admission. PMID:25184737

  15. Violence against older people: from invisible to visible

    Directory of Open Access Journals (Sweden)

    Terezinha da Silva

    2011-09-01

    Full Text Available It is described in this study, the situation of older people in Mozambique (Africa, mainly manifestations of family and social exclusion experienced by older women. Throughout several life stories, in different contexts, it is shown the abandon face the older people by the family and the community. With few exceptions the older women receive no support, being many times accused of witchcraft and assassinated. In spite of the fact bad treatment also applied to men, it is clear in the study that the major victims are older women. Highlighting violence is showed of various ways and acts in silence and the crimes are not taking into consideration, does the author refer to a study carried out in 2000, year of the great floods in Mozambique in which the older people were affected to the great extent. In this article the author was concerned in contextualizing the causes and the worsening situation of the violence against older people in the HIV/AIDS situation. Although Mozambique has ratified various international and regional instruments and adopted national policies and programmes for protection and defense of Human rights of older people, the current situation is a matter of concern. Finally, launches a call for violence against the elderly are reported and with zero tolerance.

  16. Acute myeloid leukemia in the older patient.

    Science.gov (United States)

    Godwin, John E; Smith, Scott E

    2003-10-15

    Acute myeloid leukemia (AML) is an extremely heterogeneous disorder. The biology of AML is incompletely understood, but much data indicates that older patients have a more biologically diverse and chemotherapy resistant form of AML that is quite different from that seen in the younger patients. Approximately 60% of AML cases are in patients greater than 60 years of age, so the predominant burden is in older patients. This problem will be magnified in the future, because the US population is both growing and aging. When one examines the treatment outcomes of older AML patients over the last three decades, there is little progress in long-term survival. Nine major published randomized placebo controlled trials of myeloid growth factors given during induction for AML have been conducted. All of these trials with one exception demonstrated no significant impact on the clinical outcomes of complete response (CR) rate, disease-free, and overall survival. However, the duration of neutropenia was consistently and uniformly reduced by the use of growth factor in all nine of these trials. Because of the favorable impact of the colony-stimulating factors (CSFs) on resource use, antibiotic days, hospital days, etc., it can be more economical and beneficial to use CSFs in AML than to withhold use. The overall dismal outlook for the older AML patient can only be altered by clinical trials with new therapeutic agents. New cellular and molecularly targeted agents are entering clinical trials and bring hope for progress to this area of cancer therapy. PMID:14563517

  17. 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 ...

  18. Polypharmacy among older adults in Tehran

    OpenAIRE

    B. Ahmadi; M. Alimohamadian; Mahmoodi, M

    2006-01-01

    Background: Multiple drug use is frequently considered to be hazardous for the elderly because of their greater vulnerability to the complications. The purpose of this study was to determine the prevalence of polypharmacy in Tehran and to assess the relative demographic characteristics of patients. Methods: In a cross-sectional study 400 persons aging 55 years and older were interviewed in order to determine the presence of polypharmacy (daily intake of three or more drugs). The cases were ra...

  19. Depression among older adults with diabetes mellitus

    OpenAIRE

    Park, Mijung; Reynolds, Charles F.

    2014-01-01

    Depression is among the leading causes of decreased disability-adjusted life years in the world1 and a serious public health problem.2 Older adults with DM experience greater risk for comorbid depression compared to those who do not have DM.3 Having DM increases the risk of subsequent development or recurrence of depression. Conversely, history of depression increases the risk for new onset DM.4 As an unwanted co-traveler of DM, undetected, untreated or undertreated depression impinges an ind...

  20. Emergency Department and Older Adult Motor Vehicle Collisions

    Directory of Open Access Journals (Sweden)

    Lotfipour, Shahram

    2013-11-01

    Full Text Available In 2009, the Center for Disease Control and Prevention reported there were 33 million licensed drivers 65 years and older in the U.S. This represents a 23 percent increase from 1999, number that is predicted to double by 2030. Although, motor vehicle collisions (MVC-related to emergency department (ED visits for older adults are lower per capita than for younger adults, the older-adults MVCs require more resources, such as additional diagnostic imaging and increased odds of admission. Addressing the specific needs of older-adults could lead to better outcomes yet not enough research currently exists. It is important to continue training emergency physicians to treat the increasing older-patient population, but its also imperative we increase our injury prevention and screening methodology. We review research findings from the article: Emergency Department Visits by Older Adults for Motor Vehicle Collisions: A Five-year national study, with commentary on current recommendation and policies for the growing older-adult driving population. [West J Emerg Med.2013;14(6:582–584.

  1. A cohort study on the evolution of psychosocial problems in older patients with breast or colorectal cancer: comparison with younger cancer patients and older primary care patients without cancer

    OpenAIRE

    Deckx, Laura; van Abbema, Doris L.; van den Akker, Marjan; Van Den Broeke, Carine; van Driel, Mieke; Bulens, Paul; Tjan-Heijnen, Vivianne C. G.; Kenis, Cindy; de Jonge, Eric T.; Houben, Bert; Buntinx, Frank

    2015-01-01

    Background Although older cancer survivors commonly report psychosocial problems, the impact of both cancer and ageing on the occurrence of these problems remains largely unknown. The evolution of depression, cognitive functioning, and fatigue was evaluated in a group of older cancer patients in comparison with a group of younger cancer patients and older persons without cancer. Methods Older (≥70 years) and younger cancer patients (50 – 69 years) with breast or colorectal cancer stage I - II...

  2. Clinical Interviewing with Older Adults

    Science.gov (United States)

    Mohlman, Jan; Sirota, Karen Gainer; Papp, Laszlo A.; Staples, Alison M.; King, Arlene; Gorenstein, Ethan E.

    2012-01-01

    Over the next few decades the older adult population will increase dramatically, and prevalence rates of psychiatric disorders are also expected to increase in the elderly cohort. These demographic projections highlight the need for diagnostic instruments and methods that are specifically tailored to older adults. The current paper discusses the…

  3. Back complaints in older adults

    NARCIS (Netherlands)

    J. Scheele (Jantine)

    2013-01-01

    textabstractWith the aging of the Dutch population, the number of older aged back pain patients is also expected to increase. However, information on the course and prognosis of older patients with back pain in general practice is very scarce. Back pain is a common musculoskeletal disorder, also in

  4. Quitting Smoking for Older Adults

    Science.gov (United States)

    ... Related Topics Alcohol Use and Older Adults COPD Lung Cancer The information in this topic was provided by the National Cancer Institute Topic last reviewed: June 2014 For an enhanced version of this page please turn Javascript on. Quitting Smoking for Older ...

  5. Delirium and older people: repositioning nursing care.

    Science.gov (United States)

    Neville, Stephen

    2006-06-01

    Aims.  To critically examine the nursing care offered to older people who have been delirious. Background.  Delirium occurs as a result of physiological imbalances resulting in an alteration in consciousness and cognitive impairment. Delirium is a prevalent and serious cognitive disorder experienced by older people. While there is a vast number of studies published utilizing quantitative methods, there remains a dearth of research relating to delirium in older people from a qualitative perspective. Design.  A qualitative research design that utilized a critical gerontological framework underpinned this study. This framework drew on aspects of postmodernism and Foucault's understanding of discourse. Methods.  Data sources included published documents on delirium, semi-structured taped interviews with people over the age of 65 years who had been delirious (as well as their clinical notes), family members, Registered Nurses and a hospital doctor. A postmodern discourse analytic approach was used to interrogate the 20 sets of data collected. Findings.  Textual analysis revealed the presence of two major discourses impacting on being an older person with delirium. These were identified as a nursing discourse of delirium and a personal discourse of delirium. A nursing discourse of delirium was largely focussed on the biomedical processes that resulted in a delirious episode. Conversely, a personal discourse of delirium highlights that there are other ways of 'knowing' about delirium through considering the narratives of older adults, and their families, when offering a nursing service to this group of people. Relevance to clinical practice.  Nursing needs to critically examine all aspects of nursing care as it applies to older people who have delirium to ensure the rhetorical claims of the profession become the reality for consumers of health services. The use of critical gerontology provides nurses with the tools to challenge the status quo and uncover the

  6. Gender differences in drug use and expenditures in a privately insured population of older adults.

    Science.gov (United States)

    Correa-de-Araujo, Rosaly; Miller, G Edward; Banthin, Jessica S; Trinh, Yen

    2005-01-01

    We examine gender differences in use and expenditures for prescription drugs among Medicare and privately insured older adults aged 65 and over, using data on a nationally representative sample of prescription drug purchases collected for the Medical Expenditure Panel Survey Household Component. Overall, women spent about $1,178 for drugs, about 17% more than the $1,009 in average expenditures by men. Older women constituted 50.7% of the population and had average annual aggregate expenditures for prescribed medicines of $6.93 billion compared to $5.77 billion for men. Women were more likely than men to use drugs from a number of therapeutic classes-analgesics, hormones and psychotherapeutic agents-and therapeutic subclasses-thyroid drugs, COX-2 inhibitors and anti-depressants. Women also had higher average prescriptions per user for a number of therapeutic classes-hormones, psychotherapeutic agents and analgesics-and therapeutic subclasses-anti-diabetic drugs and beta blockers. Prescribed medications are, arguably, the most important healthcare technology in preventing illness, disability, and death in older adults. It is critical that older women and men have proper access to prescribed medicines. Given the financial vulnerability of this priority population, particularly women, the expanded drug coverage available under the Medicare Modernization Act is of particular relevance in meeting this goal.

  7. Exercise imagery and its correlates in older adults

    OpenAIRE

    Thøgersen-Ntoumani, Cecilie; Cumming, Jennifer; Ntoumanis, Nikos; Nikitaras, Nikitas

    2012-01-01

    Objectives The purpose of the present study was to test a structural model examining the interrelationships between exercise imagery, self-reported exercise behaviour and well-being in older adults. Design Cross-sectional survey. Method Participants were 499 older Greek adults (50.10% males) aged between 51 and 84 years (M age = 57.31; SD = 5.52) who completed questionnaires measuring exercise imagery use, exercise behaviour, subjective vitality, and physical self-worth. The ...

  8. Self-Management of Heart Disease in Older Adults

    OpenAIRE

    Huynh-Hohnbaum, Anh-Luu T.; Marshall, Lia; Villa, Valentine M.; Lee, Gi

    2015-01-01

    The American Heart Association estimates that 81% of people who die of coronary heart disease are 65 years old or older. The leading risk health behaviors include physical inactivity, poor diet, smoking and binge drinking. Using the 2011–2012 California Health Interview Survey (CHIS), this study looked at how self-management, which includes a plan developed by a medical professional and the confidence to manage one’s disease, may decrease negative risk behaviors in older adults. The presence ...

  9. Linagliptin use in older individuals with type 2 diabetes

    OpenAIRE

    Pratley RE

    2014-01-01

    Richard E Pratley1–31Florida Hospital Diabetes Institute, 2Translational Research Institute for Metabolism and Diabetes, 3Sanford-Burnham Medical Research Institute, Orlando, FL, USAAbstract: Older people have the highest prevalence of type 2 diabetes mellitus (T2DM) of any age group and are thus frequent users of glucose-lowering agents. Because individuals 65 years or older are underrepresented in clinical studies, there is a lack of information...

  10. Factors associated with falls among older adults living in institutions

    OpenAIRE

    Damián, Javier; Pastor-Barriuso, Roberto; Valderrama-Gama, Emiliana; Pedro-Cuesta, Jesús de

    2013-01-01

    Background Falls have enormous impact in older adults. Yet, there is insufficient evidence regarding the effectiveness of preventive interventions in this setting. The objectives were to measure the frequency of falls and associated factors among older people living institutions. Methods Data were obtained from a survey on a probabilistic sample of residents aged ≥65 years, drawn in 1998-99 from institutions of Madrid (Spain). Residents, their caregivers, and facility physicians were intervie...

  11. Factors associated with falls among older adults living in institutions

    OpenAIRE

    Damián Javier; Pastor-Barriuso Roberto; Valderrama-Gama Emiliana; de Pedro-Cuesta Jesús

    2013-01-01

    Abstract Background Falls have enormous impact in older adults. Yet, there is insufficient evidence regarding the effectiveness of preventive interventions in this setting. The objectives were to measure the frequency of falls and associated factors among older people living institutions. Methods Data were obtained from a survey on a probabilistic sample of residents aged ≥65 years, drawn in 1998-99 from institutions of Madrid (Spain). Residents, their caregivers, and facility physicians were...

  12. Factors associated with excessive polypharmacy in older people

    OpenAIRE

    Walckiers, Denise; Van der Heyden, Johan; Tafforeau, Jean

    2015-01-01

    Background Older people are a growing population. They live longer, but often have multiple chronic diseases. As a consequence, they are taking many different kind of medicines, while their vulnerability to pharmaceutical products is increased. The objective of this study is to describe the medicine utilization pattern in people aged 65 years and older in Belgium, and to estimate the prevalence and the determinants of excessive polypharmacy. Methods Data were used from the Belgian Health Inte...

  13. Social determinants of physical exercise in older men in Jamaica

    OpenAIRE

    Chloe Morris; Bourne, Paul A; Denise Eldemire-Shearer; Donovan A McGrowder

    2010-01-01

    Background : Background: Physical activity interventions have been demonstrated to improve health-related quality of life and to be of special benefit to older adults with specific chronic conditions including arthritis, hypertension, diabetes mellitus, and heart disease. Aim: This study examined the extent and social determinants of physical exercise in elderly men in Jamaica. Materials and Methods : A sample of 2,000 men 55 years of age and older was extracted from a total of 33,674 males i...

  14. Risk factors for septicemia-associated mortality in older adults.

    OpenAIRE

    Salive, M E; Wallace, R B; Ostfeld, A M; Satterfield, S.; Havlik, R J

    1993-01-01

    Septicemia is the 10th leading cause of death among older adults in the United States; its mortality rate has steadily increased over the past decades. Little is known about factors which predispose to septicemia mortality in the elderly. The authors investigated risk factors for septicemia-associated mortality in 10,269 older adults as part of a longitudinal study of three communities (East Boston, MA; New Haven, CT; and Iowa and Washington Counties, IA). During 6 years of followup, 177 pers...

  15. How Older Adults Combine Medical and Experiential Notions of Depression

    OpenAIRE

    Wittink, Marsha N.; Dahlberg, Britt; Biruk, Crystal; Barg, Frances K.

    2008-01-01

    Past research has suggested that patients might not accept depression treatment in part because of differences between patient and doctor understandings of depression. In this article, we use a cultural models approach to explore how older adults incorporate clinical and experiential knowledge into their model of depression. We conducted semistructured interviews about depression with 19 patients aged 65 years and older who were identified by their physicians as depressed. We found that where...

  16. PetroChina to Invest US$60 Billion for Worldwide Expansion

    Institute of Scientific and Technical Information of China (English)

    Liu Geng

    2010-01-01

    @@ PetroChina plans to spend at least US$60 billion in the next decade on overseas acquisitions,challenging ExxonMobil and BP in the race to control oil and gas fields."Ten years ago,PetroChina was a State-owned oil company,but now we aim at becoming an international,integrated energy company,"Jiang Jiemin,chairman of the world's largest company by market value,said in an interview with news media in late March,in which he announced the investment plan.This move aims to secure the company's annual output of oil and natural gas in foreign lands equivalent to 200 million tons of oil.

  17. Tough Year Ahead for Steel

    Institute of Scientific and Technical Information of China (English)

    REN WEI

    2006-01-01

    @@ The steel industry, a top beneficiary of the country's sizzling economic growth, is this year likely to see only a meager profit or even report losses, according to a report by the National Development and Reform Commission. Mounting demand for steel in real estate construction and auto making during the past years resulted in an investment craze into the sector, and has caused a glut on the market. Average steel prices fell by a third last year, though domestic steel makers still managed to post a profit of 127.4 billion yuan (US$15.9 billion) on aggregate.

  18. Food patterns of Polish older people

    DEFF Research Database (Denmark)

    Wadolowska, L.; Danowska-Oziewicz, M.; Niedzwiedzka, E.;

    2006-01-01

    Food patterns of Polish older people were separated and described. The research included 422 people aged 65+ years, living in 5 geographical locations. Participants of the study were selected in quota sampling. Criteria for recruitment included sex, age (65-^74 or 75+ years) and family status...... (living alone or living with other people). Respondents were asked questions about consumption of 55 food products. The factor analysis allowed for separating 21 food patterns. They included from 1 to 3 groups of products, intake of which was mutually dependant. Big number of separated food patterns...

  19. Connecting galaxy and supermassive black hole growth during the last 8 billion years

    Science.gov (United States)

    Juneau, Stephanie

    It has become increasingly clear that a complete picture of galaxy evolution requires a better understanding of the role of Active Galactic Nuclei (AGN). In particular, they could be responsible for regulating star formation and galaxy growth via feedback processes. There are also competing views about the main modes of stellar growth and supermassive black hole growth in galaxies that need to be resolved. With high infrared luminosities (thus star formation rates) and a frequent occurrence of AGN, galaxies selected in the far-infrared wavebands form an ideal sample to search for a connection between AGN and star formation. The first part of this thesis contains a detailed analysis of the molecular gas properties of nearby infrared luminous and ultraluminous infrared galaxies (LIRGs and ULIRGs). We find that the enhanced molecular gas density in the most IR-luminous systems can be explained by major galaxy mergers, and that AGN are more likely to reside in higher-density systems. While the frequent concurrence of AGN and galaxy mergers in ULIRGs was already established, this work provides a coherent framework that explains trends observed with five molecular gas tracers with a broad range of critical densities, and a comparison with simulations that reproduce observed molecular line ratios without invoking AGN-induced chemistry. The second part of the thesis presents an analysis of the AGN content of intermediate redshift galaxies (0.3 < z < 1). However, identifying complete AGN samples at these redshift is challenging because it is difficult to find X-ray weak or absorbed AGN. To alleviate this problem, we developed the Mass-Excitation (MEx) diagram, which is applicable out to redshift of ˜ 1 with existing optical spectra. It improves the overall AGN census by detecting AGN that are missed in even the most sensitive X-ray surveys. The new diagnostic was used to study the concurrence of star formation and AGN in 70 micron-selected galaxies from the Far-Infrared Deep Extragalactic Legacy survey. When multiple AGN diagnostics are combined, we find not only a high AGN fraction in FIR-selected galaxies (as high as for nearby FIR-selected galaxies), but a high incidence of X-ray absorbed AGN. These findings may have considerable implications for current views about the main mode of AGN growth.

  20. 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...

  1. 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...

  2. 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...

  3. 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.

  4. 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.

  5. 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

  6. 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 ...

  7. The role of bars in AGN fueling in disk galaxies over the last seven billion years

    CERN Document Server

    Cisternas, Mauricio; Salvato, Mara; Knapen, Johan H; Civano, Francesca; Santini, Paola

    2014-01-01

    We present empirical constraints on the influence of stellar bars on the fueling of active galactic nuclei (AGN) out to z=0.84 using a sample of X-ray-selected AGN hosted in luminous face-on disk galaxies from the Chandra COSMOS survey. Using high-resolution Hubble Space Telescope imaging to identify bars, we find that the fraction of barred active galaxies displays a similar behavior as that of inactive spirals, declining with redshift from 71% at z~0.3, to 35% at z~0.8. With active galaxies being typically massive, we compare them against a mass-matched sample of inactive spirals and find that the AGN bar fraction is higher, with this enhancement being marginal at z>0.4, but becoming more pronounced at low redshift. The presence of a bar has no influence on the AGN strength, with barred and unbarred active galaxies showing equivalent X-ray luminosity distributions, though barred galaxies on average seem to show higher levels of central star formation. From our results, we conclude that the role of bars is r...

  8. Martian impact cratering rate over the last 3 billions years derived from layered ejecta craters dating

    Science.gov (United States)

    Lagain, Anthony; Bouley, Sylvain; Costard, François; Baratoux, David

    2016-04-01

    All chronology models used in dating planetary surfaces are based on the lunar chronology system. The cratering density of the Moon has been calibrated with absolute ages from Apollo lunar samples. However, there are no lunar samples between 3 Gy and 800 My and only four samples have been dated between 800 My and present. Therefore, the evolution of the cratering rate after the LHB and before 3 Gy is well constrained. The cratering rate between 3 Gy and present has been assumed to be constant [1, 2]. Nevertheless, this assumption is challenged by the analysis of the geological record, such as the frequency of landslide on Mars as a function of time [3, 4]. It is therefore necessary to re-examine the validity of this assumption and place constraints on the cratering rate since the last 3 Gy. For this purpose, we study the rate of impact cratering using small craters on a set of 53 layered ejecta craters larger than 5 km in diameter in Acidalia Planitia, Mars. LECs larger than 5km have large enough surfaces to date their formation by counting craters larger than 100m present on their blankets. Furthermore, limits of their ejecta blankets are clearly defined by a terminal bead. In order to determine the crater emplacement ages, we have applied the methodology dating described in our previous study [6] on all ejecta layers. Errors on measured ages were calculated following [7]. The age of the study area is 2.8±0.2 Gy. Our crater counts on distal ejecta blankets reveal ages younger than the age of the surrounding surface, as expected. It is essential to take into account errors on measured ages. The statistical sample used to build this emplacement frequency distribution and our dating methodology are sufficiently reliable to deduce that a constant impact cratering rate over the last 3 Gy is not a correct approximation. The excessive number of craters emplaced 1Gy ago compared to the cratering rate used suggests a decreased impact cratering rate over the last 1Gy and the presence of one or several peaks of cratering rate (possibly associated with disruption events in the asteroid belt ?). This study confirms that the assumption of a constant cratering rate for the last 3 Gy should be revised. References: [1] Hartmann W.K. (1973) JGR, 78:4096-4116. [2] Hartmann W.K. and Neukum G. (2001) Sp. Sci. Reviews, 96:165-194. [3] Hartmann W.K. (2007). Icarus, 189:274-278. [4] Quantin C. et al. (2007) Icarus, 186:1-10. [5] Hartmann W.K. (2005) Icarus, 174:294-320. [6] Lagain A. et al. (2015) LPS XLVI, Abstract #1920. [7] Levine J. et al. (2005) GRL, 32:L15201.

  9. 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.

  10. Rapid oxygenation of Earths atmosphere 2.33 billion years ago

    OpenAIRE

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

    2016-01-01

    Molecular oxygen (O[subscript 2]) 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. ...

  11. 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.

  12. 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.

  13. Recruiting older people at nutritional risk for clinical trials: what have we learned?

    OpenAIRE

    Piantadosi, Cynthia; Chapman, Ian M; Naganathan, Vasi; Hunter, Peter; Cameron, Ian D.; Visvanathan, Renuka

    2015-01-01

    Background The difficulty of recruiting older people to clinical trials is well described, but there is limited information about effective ways to screen and recruit older people into trials, and the reasons for their reluctance to enrol. This paper examines recruitment efforts for a community-based health intervention study that targeted older adults. Methods One year randomized control trial. Undernourished men and women, aged ≥ 65 years and living independently in the community were recru...

  14. Lived experiences and challenges of older surgical patients during hospitalization for cancer: An ethnographic fieldwork

    OpenAIRE

    Uhrenfeldt, Lisbeth; Høybye, Mette Terp

    2014-01-01

    This paper explores the lived experiences of older surgical patients’ (aged 74 years and older) experienced challenges during a brief admission to hospital. Age, gender, polypharmacy, and the severity of illness are also factors known to affect the hospitalization process. For an ethnographic study using participant observation and interviews, surgical cancer patients (n9, aged 74 years and older) were recruited during admission to a Danish teaching hospital. Using ethnographic strategies of ...

  15. Fatigue and Depressive Symptoms in Older People

    DEFF Research Database (Denmark)

    Mänty, Minna; Rantanen, Taina; Era, Pertti;

    2014-01-01

    different measures of fatigue are associated with depressive symptoms among general older populations. The purpose of this study is to describe the prevalence of depressive symptoms among community-dwelling older adults reporting mobility-related or general feelings fatigue. The study population consisted......Fatigue is considered an important indicator of aging-related declines in health and functional abilities. Previous studies have indicated strong associations between fatigue and depressive symptoms among younger populations and in patient groups with specific diseases. However, it is not known how...... of 75-year-old community-living individuals (n = 561). Both, mobility-related and general fatigue, were associated in a stepwise relationship with depressive symptoms: a higher level of fatigue was related to higher level of depressive symptoms. Especially major general fatigue was strongly associated...

  16. Deliveries of district heat amounted 5.1 billion FIM in 1999

    International Nuclear Information System (INIS)

    The sales of district heat in 1999 was 26.2 TWh, which is about 5% less than in 1998. The decrease was due to milder weather conditions. The year 1999 was more than 1 deg C warmer than the long-term average. The value of the sales was 5.1 billion FIM. The share of residences of the district heat sales was 52%, corresponding to 2.7 billion FIM. The number of district heated residences at the end of 1999 was 1 080 000. Nearly a half of the buildings in Finland were connected to district heating. In largest cities the share is nearly 90%. In total 28 TWh of district heat was generated in 1999, which is nearly 5% less than in 1998. About 77% of the district heat was generated at combined heat and power plants. About 12.2 TWh of electric power was generated at combined heat and power plants. The share of electric power generated at combined heat and power plants decreased by 4% from the year 1998. About 36% of district heat and co-generation power were generated with natural gas. The share of coal was 26%, which is 3.5% less than in 1998. The shares of indigenous fuels remained on the same level as in 1998. A fifth of the fuels was peat. The share of peat decreased by 1%. The share of other indigenous fuels (wood, biogas, and industrial waste heat) was 8%, being the same as the share of oil. The average price of district heat was 19.5 p/kWh, which is about 1% higher than in 1998. The share of taxes of the price of district heat is 30%. The article is based on the preliminary information on generation and delivery of district heat in 1999. The press release is available in URL http://www.energia.fi/sky/eindex.htm

  17. Dextropropoxyphene: safety and efficacy in older patients.

    Science.gov (United States)

    Goldstein, David J; Turk, Dennis C

    2005-01-01

    Dextropropoxyphene, alone or in combination with acetaminophen (paracetamol), is among the most frequently prescribed opioid analgesics in the elderly in the US despite the American Geriatric Society recommendation that its use should be restricted. However, this recommendation is based on expert opinion in an apparent absence of data. Accordingly, we conducted a literature search which identified nine studies that reported efficacy and safety data for dextropropoxyphene in predominantly older patients (> or = 55 years of age). These studies were evaluated to assess the efficacy and safety of dextropropoxyphene compared with other opioids and to evaluate whether safety and tolerability differed in older versus younger patients. The efficacy of dextropropoxyphene appeared to be similar to that of other analgesics, and its safety was comparable to that of other opioid analgesics. Although the adverse event profile suggests that elderly patients might have more frequent gastrointestinal and CNS complaints than younger patients treated with dextropropoxyphene, the frequency of reports appears similar to that of other opioids. The incidences of dizziness and somnolence were not significantly greater in older patients (1-2% and 0-21%, respectively) than in younger patients (8% and 13%, respectively). The absence of clinical studies directly addressing the safety and tolerability of dextropropoxyphene in elderly patients (>65 years of age) versus younger patients encumbers assessment of the validity of restricting its use in the elderly. Careful outcomes research is needed to assess the effectiveness and safety of dextropropoxyphene in older patients and to develop evidence-based risk/benefit prescribing criteria for use of this drug in this age group. PMID:15903354

  18. Another Record Year for Academic Pork.

    Science.gov (United States)

    Brainard, Jeffrey

    2002-01-01

    Discusses how, fueled by the war on terrorism, Congress has awarded a record $1.8 billion in academic earmarks in the 2002 fiscal year. Profiles several recipient programs and includes a campus-by-campus list of projects. (EV)

  19. 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.

  20. Cancer: Unique to Older Adults

    Science.gov (United States)

    ... Tuesday, August 11, 2015 Join our e-newsletter! Aging & Health A to Z Cancer Unique to Older ... effect of your narcotic medications. These include: antidepressants anti-epileptic (anti-seizure) drugs steroids. Radiation for pain ...