two hundred thirty - four ( 91 % ) reported ablation was offered at their institution , although only 140 ( 54 % ) ever participated in this procedure . 0 ###LEFT-WALL### 3 thirty 0 ###LEFT-WALL### 10 reported 0 ###LEFT-WALL### 30 . 1 two 2 hundred 2 hundred 3 thirty 3 thirty 5 four 3 thirty 10 reported 4 - 5 four 5 four 8 % 5 four 9 ) 6 ( 8 % 7 91 8 % 8 % 9 ) 10 reported 11 ablation 10 reported 26 participated 11 ablation 12 was 12 was 13 offered 13 offered 14 at 13 offered 18 although 14 at 16 institution 15 their 16 institution 17 , 18 although 18 although 20 140 19 only 20 140 20 140 23 % 20 140 26 participated 21 ( 23 % 22 54 23 % 23 % 24 ) 25 ever 26 participated 26 participated 27 in 27 in 29 procedure 28 this 29 procedure of these , 80 ( 57 % ) were involved in fewer than five procedures . 0 ###LEFT-WALL### 4 80 0 ###LEFT-WALL### 10 involved 0 ###LEFT-WALL### 16 . 1 of 2 these 1 of 3 , 1 of 4 80 4 80 7 % 4 80 9 were 5 ( 7 % 6 57 7 % 7 % 8 ) 9 were 10 involved 10 involved 11 in 11 in 15 procedures 12 fewer 13 than 13 than 14 five 14 five 15 procedures experience with ablation did not increase at higher levels of training ( u3 - 61 % , u4 - 66 % , and u5 - 63 % ) . 0 ###LEFT-WALL### 1 experience 0 ###LEFT-WALL### 6 increase 0 ###LEFT-WALL### 29 . 1 experience 2 with 1 experience 4 did 2 with 3 ablation 4 did 5 not 4 did 6 increase 6 increase 7 at 7 at 9 levels 8 higher 9 levels 9 levels 10 of 10 of 11 training 11 training 13 u3 11 training 23 and 12 ( 13 u3 13 u3 16 % 13 u3 17 , 14 - 16 % 15 61 16 % 16 % 17 , 17 , 23 and 18 u4 21 % 18 u4 23 and 19 - 21 % 20 66 21 % 21 % 22 , 23 and 24 u5 23 and 28 ) 24 u5 27 % 25 - 27 % 26 63 27 % 27 % 28 ) two hundred twenty - four ( 87 % ) [residents] noted exposure to surveillance for managing srms , increasing from 70 % in u1 to 94 % in u5 . 0 ###LEFT-WALL### 3 twenty 0 ###LEFT-WALL### 11 noted 1 two 2 hundred 2 hundred 3 twenty 3 twenty 5 four 3 twenty 11 noted 4 - 5 four 5 four 8 % 5 four 9 ) 6 ( 8 % 7 87 8 % 8 % 9 ) 11 noted 12 exposure 11 noted 13 to 11 noted 19 increasing 13 to 14 surveillance 14 surveillance 15 for 15 for 16 managing 16 managing 17 srms 18 , 19 increasing 19 increasing 20 from 19 increasing 23 in 19 increasing 25 to 19 increasing 30 . 20 from 22 % 21 70 22 % 23 in 24 u1 25 to 27 % 26 94 27 % 27 % 28 in 28 in 29 u5 when considering case scenarios , management strategy shifted significantly from extirpation to ablation or surveillance as patient age and comorbidity profile increased . 0 ###LEFT-WALL### 7 strategy 0 ###LEFT-WALL### 8 shifted 0 ###LEFT-WALL### 23 . 1 when 2 considering 1 when 5 , 1 when 7 strategy 2 considering 4 scenarios 3 case 4 scenarios 6 management 7 strategy 7 strategy 8 shifted 8 shifted 9 significantly 8 shifted 10 from 8 shifted 16 as 10 from 11 extirpation 11 extirpation 12 to 12 to 14 or 13 ablation 14 or 14 or 15 surveillance 16 as 19 and 17 patient 18 age 18 age 19 and 19 and 21 profile 19 and 22 increased 20 comorbidity 21 profile in particular , almost 50 % of respondents advocated ablation for srms in a comorbid 75 - [year] - old patient . 0 ###LEFT-WALL### 6 % 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 22 . 1 in 2 particular 2 particular 3 , 2 particular 6 % 4 almost 5 50 5 50 6 % 6 % 7 of 6 % 9 advocated 7 of 8 respondents 9 advocated 10 ablation 9 advocated 11 for 9 advocated 13 in 9 advocated 17 - 11 for 12 srms 13 in 15 comorbid 14 a 15 comorbid 16 75 17 - 17 - 19 - 19 - 21 patient 20 old 21 patient conclusions : although most residents are adequately exposed to surveillance strategies for srms , only 54 % participated in an ablative procedure . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 17 % 2 : 18 participated 3 although 5 residents 3 although 8 exposed 3 although 14 , 3 although 17 % 4 most 5 residents 5 residents 6 are 6 are 7 adequately 6 are 8 exposed 8 exposed 9 to 8 exposed 12 for 9 to 11 strategies 10 surveillance 11 strategies 12 for 13 srms 15 only 16 54 16 54 17 % 17 % 18 participated 18 participated 19 in 19 in 22 procedure 20 an 22 procedure 21 ablative 22 procedure nonetheless , almost 50 % of residents recommended ablation to manage srms in the aging , comorbid patient . 0 ###LEFT-WALL### 5 % 0 ###LEFT-WALL### 8 recommended 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 19 . 1 nonetheless 2 , 1 nonetheless 5 % 3 almost 4 50 4 50 5 % 5 % 6 of 5 % 8 recommended 6 of 7 residents 8 recommended 9 ablation 8 recommended 10 to 10 to 11 manage 11 manage 12 srms 11 manage 13 in 13 in 15 aging 14 the 15 aging 16 , 18 patient 17 comorbid 18 patient this suggests a [disconnect] [between] training and future practice pattern . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 suggests 0 ###LEFT-WALL### 11 . 1 this 2 suggests 2 suggests 10 pattern 3 a 10 pattern 6 training 7 and 7 and 8 future 7 and 10 pattern 9 practice 10 pattern introduction : we evaluated the association between serum sex hormone levels and prostate volume in taiwanese men . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 evaluated 2 : 18 . 3 we 4 evaluated 4 evaluated 6 association 4 evaluated 7 between 4 evaluated 15 in 5 the 6 association 7 between 12 and 8 serum 11 levels 9 sex 11 levels 10 hormone 11 levels 11 levels 12 and 12 and 14 volume 13 prostate 14 volume 15 in 17 men 16 taiwanese 17 men methods : a cross - sectional study was conducted in 505 men ( aged 40 - 79 years , mean age 58 years ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 - 1 methods 2 : 2 : 4 cross 3 a 4 cross 5 - 7 study 5 - 9 conducted 5 - 25 . 6 sectional 7 study 7 study 8 was 8 was 9 conducted 9 conducted 10 in 10 in 12 men 11 505 12 men 12 men 14 aged 12 men 18 years 13 ( 14 aged 14 aged 15 40 14 aged 16 - 16 - 18 years 17 79 18 years 18 years 23 years 18 years 24 ) 19 , 23 years 20 mean 21 age 21 age 23 years 22 58 23 years 23 years 24 ) serum total testosterone ( tt ) , free testosterone ( ft ) , dihydrotestosterone ( dht [ )(and estradiol ( e2 ) levels were measured . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 26 . 1 serum 2 total 2 total 3 testosterone 3 testosterone 5 tt 4 ( 5 tt 5 tt 6 ) 7 , 23 levels 7 , 24 were 8 free 23 levels 9 testosterone 11 ft 9 testosterone 13 , 9 testosterone 23 levels 10 ( 11 ft 11 ft 12 ) 14 dihydrotestosterone 18 )(and 14 dihydrotestosterone 23 levels 15 ( 18 )(and 16 dht 18 )(and 18 )(and 19 estradiol 18 )(and 21 e2 18 )(and 22 ) 20 ( 21 e2 21 e2 22 ) 23 levels 24 were 24 were 25 measured total prostate volume ( tpv ) and transition zone volume ( tzv ) were measured by transrectal ultrasonography . 0 ###LEFT-WALL### 1 total 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 19 . 1 total 3 volume 2 prostate 3 volume 3 volume 5 tpv 4 ( 5 tpv 5 tpv 6 ) 7 and 10 volume 7 and 14 were 8 transition 10 volume 9 zone 10 volume 10 volume 12 tzv 10 volume 14 were 11 ( 12 tzv 12 tzv 13 ) 14 were 15 measured 15 measured 16 by 16 by 18 ultrasonography 17 transrectal 18 ultrasonography body [mass] [index] ( bmi ) , dht/tt and e2/tt were calculated . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 12 calculated 0 ###LEFT-WALL### 13 . 1 body 5 bmi 4 ( 5 bmi 5 bmi 6 ) 5 bmi 7 , 7 , 8 dht/tt 7 , 9 and 9 and 10 e2/tt 9 and 11 were 11 were 12 calculated correlations were determined using univariate and multivariate regression analyses . 0 ###LEFT-WALL### 1 correlations 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 10 . 1 correlations 2 were 2 were 9 analyses 3 determined 4 using 3 determined 6 and 4 using 5 univariate 6 and 7 multivariate 6 and 8 regression 8 regression 9 analyses results : apart from dht , an age - dependent change of sex hormone levels were observed . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 observed 1 results 2 : 2 : 4 from 2 : 10 dependent 3 apart 4 from 4 from 5 dht 5 dht 8 age 6 , 8 age 7 an 8 age 8 age 9 - 11 change 12 of 11 change 17 observed 12 of 13 sex 13 sex 15 levels 13 sex 16 were 14 hormone 15 levels 15 levels 16 were 17 observed 18 . on univariate analyses , age , bmi , serum dht level and dht/tt ratio , as well as serum e2 level and e2/tt ratio , but not serum tt and ft levels showed a significant association with prostate volume . 0 ###LEFT-WALL### 30 and 0 ###LEFT-WALL### 33 showed 0 ###LEFT-WALL### 40 . 1 on 12 and 1 on 30 and 2 univariate 3 analyses 3 analyses 4 , 4 , 5 age 4 , 6 , 6 , 7 bmi 6 , 8 , 8 , 11 level 8 , 12 and 9 serum 11 level 10 dht 11 level 12 and 14 ratio 12 and 15 , 12 and 18 as 13 dht/tt 14 ratio 15 , 18 as 16 as 17 well 17 well 18 as 18 as 22 and 18 as 25 , 19 serum 21 level 20 e2 21 level 21 level 22 and 22 and 24 ratio 22 and 25 , 23 e2/tt 24 ratio 26 but 27 not 26 but 28 serum 26 but 30 and 29 tt 30 and 30 and 32 levels 30 and 33 showed 31 ft 32 levels 33 showed 36 association 33 showed 37 with 34 a 36 association 35 significant 36 association 37 with 39 volume 38 prostate 39 volume on multivariate analysis , however , only serum dht level and dht/tt ratio remained significant . 0 ###LEFT-WALL### 7 only 0 ###LEFT-WALL### 14 remained 0 ###LEFT-WALL### 16 . 1 on 3 analysis 1 on 4 , 1 on 7 only 2 multivariate 3 analysis 4 , 5 however 5 however 6 , 5 however 7 only 7 only 11 and 8 serum 10 level 9 dht 10 level 10 level 11 and 11 and 13 ratio 11 and 14 remained 12 dht/tt 13 ratio 14 remained 15 significant conclusions : higher serum dht level and dht/tt ratio were associated with larger prostate volume and higher prevalence of bph in taiwanese men . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 4 serum 2 : 11 associated 3 higher 4 serum 4 serum 7 and 4 serum 10 were 4 serum 11 associated 5 dht 6 level 6 level 7 and 7 and 9 ratio 7 and 10 were 8 dht/tt 9 ratio 11 associated 12 with 12 with 18 prevalence 13 larger 18 prevalence 14 prostate 15 volume 15 volume 16 and 16 and 17 higher 16 and 18 prevalence 18 prevalence 19 of 19 of 20 bph 20 bph 21 in 21 in 23 men 22 taiwanese 23 men benign prostatic hyperplasia ( bph ) is a medical condition affecting a wide range of the aging male population resulting in various degrees of lower urinary tract symptoms ( luts ) . 0 ###LEFT-WALL### 3 hyperplasia 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 32 . 1 benign 3 hyperplasia 2 prostatic 3 hyperplasia 3 hyperplasia 5 bph 3 hyperplasia 7 is 4 ( 5 bph 5 bph 6 ) 7 is 10 condition 7 is 21 in 8 a 9 medical 8 a 10 condition 9 medical 10 condition 10 condition 11 affecting 10 condition 15 of 11 affecting 14 range 12 a 13 wide 12 a 14 range 13 wide 14 range 15 of 19 population 16 the 19 population 17 aging 18 male 18 male 19 population 19 population 20 resulting 21 in 28 symptoms 22 various 23 degrees 23 degrees 24 of 23 degrees 28 symptoms 24 of 28 symptoms 25 lower 27 tract 26 urinary 27 tract 27 tract 28 symptoms 28 symptoms 30 luts 29 ( 30 luts 30 luts 31 ) today , a variety of medical therapies and minimally invasive bph treatment modalities are available . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 14 are 0 ###LEFT-WALL### 16 . 1 today 2 , 1 today 8 and 3 a 4 variety 4 variety 5 of 4 variety 8 and 5 of 7 therapies 6 medical 7 therapies 8 and 13 modalities 8 and 14 are 9 minimally 10 invasive 10 invasive 13 modalities 11 bph 13 modalities 12 treatment 13 modalities 14 are 15 available medical therapy includes α ( 1 ) blockers , 5 ( )α reductase inhibitors and combination therapy . 0 ###LEFT-WALL### 2 therapy 0 ###LEFT-WALL### 3 includes 1 medical 2 therapy 2 therapy 3 includes 3 includes 8 blockers 4 α 6 1 4 α 8 blockers 5 ( 6 1 6 1 7 ) 8 blockers 10 5 9 , 10 5 10 5 15 and 10 5 18 . 11 ( 15 and 12 )α 14 inhibitors 13 reductase 14 inhibitors 14 inhibitors 15 and 15 and 17 therapy 15 and 18 . 16 combination 17 therapy when these options fail , surgery is indicated . 0 ###LEFT-WALL### 6 surgery 0 ###LEFT-WALL### 8 indicated 0 ###LEFT-WALL### 9 . 1 when 3 options 1 when 4 fail 1 when 5 , 1 when 6 surgery 2 these 3 options 3 options 4 fail 6 surgery 7 is 7 is 8 indicated transurethral resection of the prostate ( turp ) is still considered the gold standard surgical treatment for bph . 0 ###LEFT-WALL### 2 resection 0 ###LEFT-WALL### 11 considered 0 ###LEFT-WALL### 19 . 1 transurethral 2 resection 2 resection 3 of 2 resection 9 is 3 of 5 prostate 4 the 5 prostate 5 prostate 7 turp 6 ( 7 turp 7 turp 8 ) 9 is 11 considered 10 still 11 considered 11 considered 16 treatment 12 the 16 treatment 13 gold 16 treatment 14 standard 16 treatment 15 surgical 16 treatment 16 treatment 17 for 17 for 18 bph nevertheless , numerous minimally invasive treatment alternatives are [available] that [are] comparable in effectiveness to turp , with significantly less morbidity . 0 ###LEFT-WALL### 7 alternatives 0 ###LEFT-WALL### 8 are 1 nevertheless 2 , 1 nevertheless 7 alternatives 3 numerous 6 treatment 4 minimally 5 invasive 5 invasive 6 treatment 6 treatment 7 alternatives 7 alternatives 8 are 8 are 12 comparable 10 that 12 comparable 12 comparable 13 in 12 comparable 15 to 13 in 14 effectiveness 15 to 16 turp 16 turp 18 with 17 , 18 with 18 with 21 morbidity 18 with 22 . 19 significantly 20 less 20 less 21 morbidity in this article , current treatment options for bph are reviewed with respect to their indications , long - term safety and efficacy in relieving bph related luts . 0 ###LEFT-WALL### 7 options 0 ###LEFT-WALL### 11 reviewed 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 29 . 1 in 3 article 1 in 4 , 1 in 7 options 2 this 3 article 5 current 7 options 6 treatment 7 options 7 options 8 for 7 options 10 are 8 for 9 bph 10 are 11 reviewed 11 reviewed 12 with 11 reviewed 17 , 11 reviewed 18 long 12 with 13 respect 13 respect 14 to 14 to 16 indications 15 their 16 indications 19 - 22 and 19 - 27 related 20 term 21 safety 21 safety 22 and 22 and 23 efficacy 22 and 24 in 22 and 27 related 24 in 25 relieving 25 relieving 26 bph 27 related 28 luts the selection of the type of bph treatment should be based on the physician 's experience , patient 's co - morbidities as well as the prostate size and clinical disease progression . 0 ###LEFT-WALL### 2 selection 0 ###LEFT-WALL### 19 's 0 ###LEFT-WALL### 33 . 1 the 2 selection 2 selection 3 of 2 selection 19 's 3 of 7 bph 4 the 5 type 5 type 6 of 5 type 7 bph 6 of 7 bph 7 bph 8 treatment 7 bph 10 be 7 bph 11 based 8 treatment 9 should 9 should 10 be 11 based 12 on 11 based 17 , 11 based 18 patient 12 on 16 experience 13 the 14 physician 14 physician 15 's 15 's 16 experience 19 's 22 morbidities 19 's 25 as 20 co 21 - 20 co 22 morbidities 22 morbidities 23 as 23 as 24 well 25 as 29 and 26 the 28 size 27 prostate 28 size 28 size 29 and 29 and 32 progression 30 clinical 31 disease 31 disease 32 progression objective : to investigate in vivo the impact of age on nigrostriatal dopamine dysfunction in parkinson 's disease ( pd ) . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 17 's 0 ###LEFT-WALL### 22 . 1 objective 2 : 2 : 3 to 2 : 17 's 3 to 4 investigate 4 investigate 6 vivo 5 in 6 vivo 7 the 8 impact 8 impact 9 of 8 impact 15 in 8 impact 17 's 9 of 10 age 10 age 11 on 11 on 14 dysfunction 12 nigrostriatal 13 dopamine 13 dopamine 14 dysfunction 15 in 16 parkinson 17 's 18 disease 18 disease 20 pd 19 ( 20 pd 20 pd 21 ) results : the study comprised 438 pd scans and 241 control scans ( [679] [scans] in total ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 comprised 2 : 9 and 2 : 19 . 3 the 4 study 4 study 5 comprised 5 comprised 6 438 6 438 7 pd 6 438 8 scans 7 pd 8 scans 9 and 11 control 9 and 12 scans 10 241 11 control 11 control 12 scans 12 scans 17 total 13 ( 17 total 16 in 17 total 17 total 18 ) [at] symptom onset , the loss of putamen dtbz binding was substantially greater in younger compared [to] older pd patients ( p = 0.015 ) . 0 ###LEFT-WALL### 3 onset 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 26 . 2 symptom 3 onset 4 , 6 loss 4 , 11 was 5 the 6 loss 6 loss 7 of 6 loss 11 was 7 of 9 dtbz 8 putamen 9 dtbz 9 dtbz 10 binding 11 was 13 greater 12 substantially 13 greater 13 greater 14 in 14 in 20 patients 15 younger 20 patients 16 compared 20 patients 18 older 20 patients 19 pd 20 patients 20 patients 23 = 21 ( 23 = 22 p 23 = 23 = 24 0.015 23 = 25 ) remarkably , however , the rate of progression of dtbz binding loss was significantly slower in younger patients ( p < 0.05 ) . 0 ###LEFT-WALL### 6 rate 0 ###LEFT-WALL### 13 was 0 ###LEFT-WALL### 24 . 1 remarkably 2 , 1 remarkably 6 rate 2 , 3 however 3 however 4 , 3 however 6 rate 5 the 6 rate 6 rate 7 of 6 rate 13 was 7 of 8 progression 8 progression 9 of 9 of 10 dtbz 10 dtbz 11 binding 11 binding 12 loss 13 was 14 significantly 13 was 15 slower 15 slower 16 in 16 in 18 patients 17 younger 18 patients 18 patients 21 < 19 ( 21 < 20 p 21 < 21 < 22 0.05 21 < 23 ) the estimated presymptomatic phase of the disease spanned more than 2 decades in younger patients , compared to 1 decade in older patients . 0 ###LEFT-WALL### 4 phase 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 24 . 1 the 4 phase 2 estimated 4 phase 3 presymptomatic 4 phase 4 phase 5 of 4 phase 16 , 5 of 7 disease 6 the 7 disease 8 spanned 12 decades 8 spanned 13 in 8 spanned 16 , 9 more 10 than 10 than 11 2 11 2 12 decades 13 in 15 patients 14 younger 15 patients 16 , 17 compared 16 , 18 to 16 , 21 in 18 to 20 decade 19 1 20 decade 21 in 23 patients 22 older 23 patients interpretation : our results suggest that , compared to older patients , younger pd patients progress more slowly [and] are able to endure more damage to the dopaminergic system before the first motor symptoms appear . 0 ###LEFT-WALL### 1 interpretation 0 ###LEFT-WALL### 2 : 2 : 4 results 2 : 5 suggest 2 : 7 , 2 : 23 endure 2 : 36 . 3 our 4 results 4 results 5 suggest 5 suggest 6 that 7 , 15 patients 7 , 20 are 8 compared 9 to 8 compared 12 , 8 compared 15 patients 9 to 11 patients 10 older 11 patients 13 younger 15 patients 14 pd 15 patients 15 patients 16 progress 17 more 20 are 18 slowly 20 are 20 are 21 able 21 able 22 to 22 to 23 endure 23 endure 25 damage 23 endure 26 to 23 endure 30 before 24 more 25 damage 26 to 29 system 27 the 29 system 28 dopaminergic 29 system 30 before 34 symptoms 30 before 35 appear 31 the 32 first 31 the 34 symptoms 33 motor 34 symptoms 34 symptoms 35 appear these observations suggest that younger pd patients have more efficient compensatory mechanisms . 0 ###LEFT-WALL### 2 observations 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 13 . 1 these 2 observations 2 observations 3 suggest 3 suggest 4 that 4 that 7 patients 4 that 8 have 5 younger 7 patients 6 pd 7 patients 7 patients 8 have 8 have 12 mechanisms 9 more 10 efficient 10 efficient 12 mechanisms 11 compensatory 12 mechanisms introduction [:] diverse evidences have shown that the process of natural aging causes a decline in different cognitive functions , including among them the attentional process . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 6 shown 1 introduction 3 diverse 1 introduction 4 evidences 1 introduction 5 have 3 diverse 4 evidences 5 have 6 shown 6 shown 7 that 7 that 9 process 7 that 13 causes 8 the 9 process 9 process 10 of 9 process 13 causes 10 of 12 aging 11 natural 12 aging 13 causes 15 decline 13 causes 16 in 14 a 15 decline 16 in 19 functions 17 different 19 functions 18 cognitive 19 functions 19 functions 21 including 20 , 21 including 21 including 22 among 21 including 26 process 21 including 27 . 22 among 23 them 24 the 26 process 25 attentional 26 process aim : to determine how the healthy aging affects to the different attentional networks . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 determine 2 : 15 . 3 to 4 determine 4 determine 5 how 5 how 8 aging 5 how 9 affects 6 the 8 aging 7 healthy 8 aging 8 aging 9 affects 9 affects 10 to 9 affects 14 networks 10 to 12 different 11 the 12 different 13 attentional 14 networks subjects and methods : two groups : young subjects ( 32.5 ± 9.7 years [ )(and an elderly group ( 62.7 ± 4.7 years ) . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 subjects 2 and 2 and 3 methods 4 : 6 groups 4 : 7 : 4 : 26 . 5 two 6 groups 7 : 9 subjects 8 young 9 subjects 9 subjects 16 )(and 10 ( 16 )(and 11 32.5 14 years 12 ± 14 years 13 9.7 14 years 14 years 16 )(and 16 )(and 19 group 16 )(and 24 years 16 )(and 25 ) 17 an 18 elderly 17 an 19 group 18 elderly 19 group 20 ( 24 years 21 62.7 24 years 22 ± 24 years 23 4.7 24 years 24 years 25 ) [as] instrument to evaluate the attention process the ant ( attention network test ) was used . 0 ###LEFT-WALL### 2 instrument 0 ###LEFT-WALL### 17 . 2 instrument 3 to 2 instrument 7 process 3 to 4 evaluate 4 evaluate 6 attention 5 the 6 attention 7 process 9 ant 7 process 15 was 7 process 16 used 8 the 9 ant 9 ant 13 test 9 ant 15 was 10 ( 13 test 11 attention 12 network 12 network 13 test 13 test 14 ) results : highly significant differences were observed for all conditions involved in the ant ( no cue , center cue , spatial cue , congruent and incongruent ) between both groups ( p < 0.001 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 involved 0 ###LEFT-WALL### 37 . 2 : 5 differences 2 : 7 observed 3 highly 4 significant 4 significant 5 differences 5 differences 6 were 6 were 7 observed 7 observed 8 for 8 for 9 all 9 all 10 conditions 9 all 11 involved 10 conditions 11 involved 11 involved 12 in 11 involved 29 between 12 in 14 ant 13 the 14 ant 14 ant 26 and 15 ( 26 and 16 no 17 cue 17 cue 18 , 18 , 20 cue 18 , 21 , 19 center 20 cue 21 , 23 cue 21 , 24 , 22 spatial 23 cue 24 , 25 congruent 24 , 26 and 26 and 27 incongruent 26 and 28 ) 29 between 31 groups 30 both 31 groups 31 groups 34 < 32 ( 34 < 33 p 34 < 34 < 35 0.001 34 < 36 ) as for the analysis of network effects , no one showed differences between the two groups . 0 ###LEFT-WALL### 10 one 0 ###LEFT-WALL### 11 showed 0 ###LEFT-WALL### 17 . 1 as 2 for 1 as 8 , 1 as 10 one 2 for 4 analysis 3 the 4 analysis 4 analysis 5 of 5 of 7 effects 6 network 7 effects 9 no 10 one 10 one 11 showed 11 showed 12 differences 11 showed 13 between 13 between 16 groups 14 the 15 two 15 two 16 groups considering the block variable , the post [hoc] analysis showed that the orienting network for the young subjects exhibited a normal benefit in the first block while the elderly group don't show that benefit caused by the deficiency using spatial cues . 0 ###LEFT-WALL### 9 analysis 0 ###LEFT-WALL### 10 showed 0 ###LEFT-WALL### 42 . 1 considering 4 variable 1 considering 5 , 1 considering 9 analysis 2 the 4 variable 3 block 4 variable 6 the 9 analysis 7 post 9 analysis 9 analysis 10 showed 10 showed 11 that 11 that 14 network 11 that 19 exhibited 12 the 14 network 13 orienting 14 network 14 network 15 for 14 network 19 exhibited 15 for 18 subjects 16 the 18 subjects 17 young 18 subjects 19 exhibited 22 benefit 19 exhibited 23 in 19 exhibited 27 while 19 exhibited 36 by 20 a 21 normal 20 a 22 benefit 21 normal 22 benefit 23 in 26 block 24 the 26 block 25 first 26 block 27 while 30 group 27 while 32 show 28 the 30 group 29 elderly 30 group 30 group 31 don't 31 don't 32 show 32 show 34 benefit 33 that 34 benefit 34 benefit 35 caused 36 by 38 deficiency 37 the 38 deficiency 38 deficiency 39 using 39 using 41 cues 40 spatial 41 cues moreover , the alerting network showed a bigger effect in the first block regarding the second one in the older adults and the opposed effect for the executive and orienting network was observed . 0 ###LEFT-WALL### 5 network 0 ###LEFT-WALL### 6 showed 0 ###LEFT-WALL### 34 . 1 moreover 2 , 1 moreover 5 network 3 the 5 network 4 alerting 5 network 5 network 6 showed 6 showed 9 effect 6 showed 33 observed 7 a 9 effect 8 bigger 9 effect 9 effect 10 in 9 effect 14 regarding 9 effect 18 in 9 effect 32 was 10 in 13 block 11 the 12 first 11 the 13 block 14 regarding 17 one 15 the 17 one 16 second 17 one 18 in 22 and 19 the 21 adults 20 older 21 adults 21 adults 22 and 22 and 25 effect 22 and 26 for 23 the 25 effect 24 opposed 25 effect 26 for 29 and 27 the 28 executive 28 executive 29 and 29 and 31 network 30 orienting 31 network 32 was 33 observed conclusions : the obtained data show that a decrease exists in the speed processing in the elderly group . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 1 conclusions 2 : 2 : 6 show 3 the 6 show 4 obtained 5 data 5 data 6 show 6 show 7 that 6 show 14 processing 7 that 9 decrease 7 that 10 exists 8 a 9 decrease 9 decrease 10 exists 10 exists 11 in 11 in 13 speed 12 the 13 speed 13 speed 14 processing 14 processing 15 in 15 in 18 group 16 the 18 group 17 elderly 18 group in the orienting network [seems] that the older adults require [a] bigger training period to use the spatial cues , although later on , they can benefit from the same cues almost at the same level that [the] young subjects . 0 ###LEFT-WALL### 27 benefit 0 ###LEFT-WALL### 41 . 1 in 4 network 1 in 27 benefit 2 the 4 network 3 orienting 4 network 4 network 6 that 4 network 10 require 4 network 12 bigger 4 network 13 training 6 that 9 adults 6 that 10 require 7 the 9 adults 8 older 9 adults 9 adults 10 require 13 training 14 period 13 training 15 to 13 training 26 can 15 to 16 use 16 use 19 cues 16 use 21 although 17 the 19 cues 18 spatial 19 cues 20 , 21 although 21 although 25 they 22 later 23 on 23 on 24 , 23 on 25 they 25 they 26 can 27 benefit 28 from 27 benefit 32 almost 28 from 31 cues 29 the 30 same 29 the 31 cues 32 almost 33 at 33 at 40 subjects 34 the 35 same 35 same 40 subjects 36 level 40 subjects 37 that 39 young 39 young 40 subjects the search for the holy grail in facial rejuvenation is an ongoing quest . 0 ###LEFT-WALL### 2 search 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 14 . 1 the 2 search 2 search 3 for 2 search 10 is 3 for 6 grail 4 the 6 grail 5 holy 6 grail 6 grail 7 in 7 in 9 rejuvenation 8 facial 9 rejuvenation 10 is 13 quest 11 an 12 ongoing 11 an 13 quest 12 ongoing 13 quest perhaps the reason the " ideal " [face] - lift has yet to be discovered is a result of three factors . 0 ###LEFT-WALL### 3 reason 0 ###LEFT-WALL### 16 is 0 ###LEFT-WALL### 22 . 1 perhaps 3 reason 2 the 3 reason 3 reason 10 lift 3 reason 11 has 3 reason 16 is 4 the 5 " 4 the 10 lift 6 ideal 7 " 6 ideal 9 - 6 ideal 10 lift 10 lift 11 has 11 has 13 to 11 has 15 discovered 12 yet 13 to 13 to 14 be 14 be 15 discovered 16 is 18 result 17 a 18 result 18 result 19 of 19 of 21 factors 20 three 21 factors first , the term face - lift has never been adequately defined . 0 ###LEFT-WALL### 7 lift 0 ###LEFT-WALL### 12 defined 0 ###LEFT-WALL### 13 . 1 first 2 , 1 first 7 lift 3 the 4 term 4 term 7 lift 5 face 7 lift 6 - 7 lift 7 lift 8 has 8 has 10 been 9 never 10 been 10 been 12 defined 11 adequately 12 defined second , fads and trends play a role in [how] the operation is taught and performed . 0 ###LEFT-WALL### 6 play 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 17 . 1 second 2 , 1 second 6 play 3 fads 4 and 4 and 5 trends 4 and 6 play 6 play 8 role 6 play 13 is 6 play 15 and 7 a 8 role 8 role 9 in 8 role 13 is 9 in 12 operation 11 the 12 operation 14 taught 15 and 15 and 16 performed third , surgeons searching for the prototypic technique have not had a way to index the physical signs of facial aging . 0 ###LEFT-WALL### 3 surgeons 0 ###LEFT-WALL### 11 had 0 ###LEFT-WALL### 22 . 1 third 2 , 1 third 3 surgeons 3 surgeons 4 searching 3 surgeons 9 have 4 searching 5 for 5 for 8 technique 6 the 8 technique 7 prototypic 8 technique 9 have 10 not 9 have 11 had 11 had 13 way 12 a 13 way 13 way 14 to 13 way 15 index 14 to 15 index 15 index 18 signs 16 the 18 signs 17 physical 18 signs 18 signs 19 of 19 of 21 aging 20 facial 21 aging after 37 years of practicing facial plastic surgery and performing more than 5000 face - lifts , the author determined that replacing chaos with order is long overdue . 0 ###LEFT-WALL### 19 author 0 ###LEFT-WALL### 20 determined 0 ###LEFT-WALL### 29 . 1 after 2 37 1 after 19 author 2 37 3 years 2 37 14 face 2 37 16 lifts 3 years 4 of 3 years 14 face 4 of 5 practicing 5 practicing 9 and 5 practicing 11 more 5 practicing 12 than 6 facial 8 surgery 7 plastic 8 surgery 8 surgery 9 and 9 and 10 performing 12 than 13 5000 15 - 16 lifts 16 lifts 17 , 18 the 19 author 19 author 20 determined 20 determined 21 that 21 that 22 replacing 21 that 26 is 22 replacing 23 chaos 22 replacing 26 is 23 chaos 24 with 24 with 25 order 26 is 27 long 26 is 28 overdue to achieve this goal , he developed a classification system that is designed to match each potential patient 's problems with the most appropriate facial rejuvenation treatment plan and a " language " by which facial rejuvenation surgeons can communicate . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 achieve 0 ###LEFT-WALL### 5 , 1 to 2 achieve 2 achieve 4 goal 3 this 4 goal 5 , 6 he 5 , 7 developed 6 he 7 developed 7 developed 10 system 8 a 9 classification 8 a 10 system 9 classification 10 system 10 system 13 designed 11 that 12 is 12 is 13 designed 13 designed 14 to 13 designed 21 with 14 to 15 match 15 match 20 problems 16 each 18 patient 17 potential 18 patient 18 patient 19 's 19 's 20 problems 21 with 29 and 22 the 28 plan 23 most 24 appropriate 24 appropriate 25 facial 25 facial 28 plan 26 rejuvenation 28 plan 27 treatment 28 plan 28 plan 29 and 29 and 32 language 29 and 41 . 30 a 31 " 30 a 32 language 32 language 33 " 32 language 34 by 34 by 35 which 34 by 37 rejuvenation 34 by 38 surgeons 34 by 40 communicate 35 which 37 rejuvenation 36 facial 37 rejuvenation 38 surgeons 39 can 39 can 40 communicate five progressive stages of aging have been identified and matched with recommended courses of face - lifting , blepharoplasty , volume augmentation , and skin resurfacing techniques . 0 ###LEFT-WALL### 1 five 0 ###LEFT-WALL### 15 face 0 ###LEFT-WALL### 16 - 0 ###LEFT-WALL### 28 . 1 five 3 stages 1 five 14 of 1 five 15 face 2 progressive 3 stages 3 stages 4 of 3 stages 6 have 4 of 5 aging 6 have 7 been 7 been 9 and 8 identified 9 and 9 and 10 matched 10 matched 11 with 11 with 13 courses 12 recommended 13 courses 13 courses 14 of 16 - 24 and 17 lifting 18 , 18 , 19 blepharoplasty 18 , 20 , 20 , 22 augmentation 20 , 24 and 21 volume 22 augmentation 23 , 24 and 24 and 27 techniques 25 skin 26 resurfacing 26 resurfacing 27 techniques ancillary procedures have also been included when indicated . 0 ###LEFT-WALL### 2 procedures 0 ###LEFT-WALL### 6 included 0 ###LEFT-WALL### 9 . 1 ancillary 2 procedures 2 procedures 3 have 3 have 5 been 4 also 5 been 5 been 6 included 6 included 7 when 7 when 8 indicated it is the author 's hope that a new classification system will bring order to mounting confusion within the aesthetic surgery professions as well as within the public sector . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 30 . 1 it 2 is 2 is 6 hope 2 is 7 that 2 is 13 bring 2 is 25 as 3 the 4 author 4 author 5 's 5 's 6 hope 7 that 11 system 7 that 13 bring 8 a 9 new 8 a 11 system 9 new 10 classification 10 classification 11 system 11 system 12 will 12 will 13 bring 13 bring 14 order 14 order 15 to 15 to 16 mounting 16 mounting 17 confusion 16 mounting 23 as 17 confusion 18 within 18 within 22 professions 19 the 22 professions 20 aesthetic 21 surgery 21 surgery 22 professions 23 as 24 well 25 as 26 within 26 within 29 sector 27 the 29 sector 28 public 29 sector there is an unprecedented acceptance of rhytidectomy by today 's society . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 12 . 1 there 2 is 2 is 5 acceptance 3 an 4 unprecedented 3 an 5 acceptance 4 unprecedented 5 acceptance 5 acceptance 6 of 6 of 7 rhytidectomy 7 rhytidectomy 8 by 8 by 11 society 9 today 10 's 10 's 11 society no longer limited to the affluent few , middle class citizens are devoting their expendable income to achieve a more youthful appearance that is natural and inconspicuous . 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 28 . 1 no 2 longer 2 longer 3 limited 3 limited 4 to 3 limited 7 few 3 limited 8 , 4 to 6 affluent 5 the 6 affluent 8 , 18 achieve 9 middle 11 citizens 10 class 11 citizens 11 citizens 12 are 12 are 13 devoting 13 devoting 16 income 13 devoting 17 to 14 their 16 income 15 expendable 16 income 17 to 18 achieve 18 achieve 22 appearance 19 a 22 appearance 20 more 21 youthful 21 youthful 22 appearance 22 appearance 23 that 22 appearance 24 is 23 that 24 is 24 is 26 and 25 natural 26 and 26 and 27 inconspicuous despite recent difficult economic times , the mindset of the working population continues to be welcoming of rhytidectomy as a way to achieve a refreshed look while expecting minimal downtime and morbidity . 0 ###LEFT-WALL### 8 mindset 0 ###LEFT-WALL### 13 continues 0 ###LEFT-WALL### 33 . 1 despite 5 times 1 despite 6 , 1 despite 8 mindset 2 recent 5 times 3 difficult 5 times 4 economic 5 times 7 the 8 mindset 8 mindset 9 of 8 mindset 13 continues 9 of 12 population 10 the 12 population 11 working 12 population 13 continues 14 to 13 continues 19 as 14 to 15 be 15 be 16 welcoming 16 welcoming 17 of 17 of 18 rhytidectomy 19 as 21 way 20 a 21 way 21 way 22 to 21 way 23 achieve 22 to 23 achieve 23 achieve 26 look 23 achieve 27 while 24 a 26 look 25 refreshed 26 look 27 while 28 expecting 28 expecting 31 and 29 minimal 30 downtime 30 downtime 31 and 31 and 32 morbidity to achieve these results , the current literature has described an array of techniques ; however , there is no consensus on a preferred method , which reflects limitations and advantages inherent to every style of face [-] lifting . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 40 . 1 to 2 achieve 2 achieve 4 results 3 these 4 results 5 , 8 literature 5 , 10 described 5 , 15 ; 6 the 8 literature 7 current 8 literature 8 literature 9 has 9 has 10 described 10 described 12 array 11 an 12 array 12 array 13 of 13 of 14 techniques 15 ; 18 there 15 ; 19 is 15 ; 26 , 16 however 17 , 16 however 18 there 18 there 19 is 19 is 21 consensus 19 is 22 on 20 no 21 consensus 22 on 25 method 23 a 25 method 24 preferred 25 method 26 , 27 which 26 , 28 reflects 27 which 28 reflects 28 reflects 30 and 29 limitations 30 and 30 and 31 advantages 31 advantages 32 inherent 31 advantages 36 of 32 inherent 33 to 33 to 35 style 34 every 35 style 36 of 39 lifting 37 face 39 lifting each individual patient will have specific needs , and it is key for the facial plastic surgeon to select a technique that can address those areas most affected by the aging process . 0 ###LEFT-WALL### 3 patient 0 ###LEFT-WALL### 5 have 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 33 . 1 each 3 patient 2 individual 3 patient 3 patient 4 will 4 will 5 have 5 have 7 needs 6 specific 7 needs 8 , 9 and 8 , 28 affected 9 and 10 it 9 and 24 address 10 it 11 is 11 is 12 key 12 key 13 for 12 key 21 technique 13 for 17 surgeon 14 the 17 surgeon 15 facial 17 surgeon 16 plastic 17 surgeon 17 surgeon 18 to 17 surgeon 19 select 18 to 19 select 20 a 21 technique 22 that 23 can 23 can 24 address 24 address 26 areas 25 those 26 areas 26 areas 27 most 26 areas 28 affected 27 most 28 affected 28 affected 29 by 29 by 32 process 30 the 32 process 31 aging 32 process whichever method used , an emphasis on safety is of the utmost importance . 0 ###LEFT-WALL### 6 emphasis 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 14 . 1 whichever 3 used 1 whichever 4 , 1 whichever 6 emphasis 2 method 3 used 5 an 6 emphasis 6 emphasis 7 on 6 emphasis 9 is 7 on 8 safety 9 is 10 of 10 of 13 importance 11 the 13 importance 12 utmost 13 importance a solid understanding of the relevant anatomy is imperative as [is] the awareness of how to best avoid complications . 0 ###LEFT-WALL### 2 solid 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 20 . 1 a 2 solid 2 solid 3 understanding 2 solid 4 of 2 solid 8 is 4 of 7 anatomy 5 the 7 anatomy 6 relevant 7 anatomy 8 is 9 imperative 9 imperative 10 as 10 as 13 awareness 12 the 13 awareness 13 awareness 14 of 14 of 15 how 15 how 16 to 15 how 18 avoid 16 to 18 avoid 17 best 18 avoid 18 avoid 19 complications rhytidectomy can be a challenging procedure , and although complications are fortunately rare , they can be cosmetically devastating and poorly accepted by the elective cosmetic patient . 0 ###LEFT-WALL### 1 rhytidectomy 0 ###LEFT-WALL### 3 be 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 28 . 1 rhytidectomy 2 can 2 can 3 be 3 be 6 procedure 4 a 5 challenging 4 a 6 procedure 5 challenging 6 procedure 7 , 8 and 8 and 15 they 8 and 20 and 9 although 10 complications 9 although 11 are 9 although 14 , 9 although 15 they 10 complications 11 are 11 are 12 fortunately 11 are 13 rare 15 they 20 and 16 can 17 be 16 can 20 and 17 be 18 cosmetically 17 be 19 devastating 20 and 22 accepted 20 and 23 by 21 poorly 22 accepted 23 by 27 patient 24 the 27 patient 25 elective 27 patient 26 cosmetic 27 patient this article aims at providing a summary of the history , the anatomy , and the currently accepted methods in rhytidectomy , emphasizing principles and practices of safety . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 29 . 1 this 2 article 2 article 3 aims 3 aims 4 at 4 at 5 providing 5 providing 7 summary 5 providing 20 in 6 a 7 summary 7 summary 8 of 8 of 15 and 9 the 10 history 10 history 11 , 11 , 13 anatomy 11 , 15 and 12 the 13 anatomy 14 , 15 and 15 and 19 methods 16 the 19 methods 17 currently 18 accepted 18 accepted 19 methods 20 in 25 and 21 rhytidectomy 22 , 22 , 24 principles 22 , 25 and 23 emphasizing 24 principles 25 and 26 practices 25 and 27 of 27 of 28 safety whereas traditional concepts of facial aging focus on the descent of soft tissue secondary to gravitational effects , it is now well established that volumetric changes involving different levels of soft tissue loss reveal craniofacial skeletal deficiencies [that] , together , contribute to the changes evident in the aging face . 0 ###LEFT-WALL### 19 it 0 ###LEFT-WALL### 51 . 1 whereas 3 concepts 1 whereas 19 it 2 traditional 3 concepts 4 of 7 focus 4 of 18 , 4 of 19 it 5 facial 7 focus 6 aging 7 focus 7 focus 8 on 7 focus 14 secondary 8 on 10 descent 9 the 10 descent 10 descent 11 of 11 of 13 tissue 12 soft 13 tissue 14 secondary 15 to 15 to 17 effects 16 gravitational 17 effects 19 it 20 is 20 is 21 now 20 is 23 established 22 well 23 established 23 established 24 that 24 that 26 changes 24 that 42 contribute 25 volumetric 26 changes 26 changes 29 levels 26 changes 34 reveal 26 changes 42 contribute 27 involving 29 levels 28 different 29 levels 29 levels 30 of 29 levels 34 reveal 30 of 33 loss 31 soft 33 loss 32 tissue 33 loss 34 reveal 37 deficiencies 34 reveal 40 together 35 craniofacial 37 deficiencies 36 skeletal 37 deficiencies 39 , 40 together 40 together 41 , 42 contribute 43 to 43 to 45 changes 44 the 45 changes 45 changes 46 evident 46 evident 47 in 47 in 50 face 48 the 50 face 49 aging 50 face thus , effective facial rejuvenation requires a comprehensive paradigm that identifies and addresses all anatomic elements involved in the aging process . 0 ###LEFT-WALL### 5 rejuvenation 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 22 . 1 thus 2 , 1 thus 5 rejuvenation 3 effective 5 rejuvenation 4 facial 5 rejuvenation 5 rejuvenation 12 and 6 requires 9 paradigm 6 requires 12 and 7 a 8 comprehensive 7 a 9 paradigm 8 comprehensive 9 paradigm 9 paradigm 10 that 9 paradigm 11 identifies 10 that 11 identifies 12 and 13 addresses 12 and 18 in 13 addresses 16 elements 14 all 16 elements 15 anatomic 16 elements 16 elements 17 involved 18 in 21 process 19 the 21 process 20 aging 21 process contemporary practices in facial rejuvenation have expanded far beyond the rhytidectomy procedure to involve deeper and more fundamental levels of dissection for the purpose of elevating and replacing volume . 0 ###LEFT-WALL### 2 practices 0 ###LEFT-WALL### 7 expanded 0 ###LEFT-WALL### 30 . 1 contemporary 2 practices 2 practices 3 in 2 practices 6 have 3 in 5 rejuvenation 4 facial 5 rejuvenation 6 have 7 expanded 7 expanded 8 far 8 far 9 beyond 8 far 13 to 8 far 14 involve 9 beyond 12 procedure 10 the 12 procedure 11 rhytidectomy 12 procedure 13 to 14 involve 14 involve 19 levels 15 deeper 16 and 16 and 17 more 16 and 19 levels 18 fundamental 19 levels 19 levels 20 of 20 of 21 dissection 21 dissection 22 for 21 dissection 25 of 22 for 24 purpose 23 the 24 purpose 25 of 27 and 26 elevating 27 and 27 and 29 volume 28 replacing 29 volume alloplastic implants [offer] a long - term , multidimensional solution [to] facial rejuvenation by concomitantly augmenting skeletal deficiency , restoring lost soft tissue volume , and smoothing irregularities in the facial contour . 0 ###LEFT-WALL### 1 alloplastic 0 ###LEFT-WALL### 2 implants 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 33 . 1 alloplastic 2 implants 2 implants 7 term 4 a 5 long 4 a 7 term 5 long 6 - 5 long 7 term 8 , 26 and 9 multidimensional 13 rejuvenation 10 solution 12 facial 12 facial 13 rejuvenation 13 rejuvenation 14 by 13 rejuvenation 26 and 14 by 16 augmenting 15 concomitantly 16 augmenting 16 augmenting 18 deficiency 16 augmenting 20 restoring 17 skeletal 18 deficiency 19 , 20 restoring 20 restoring 24 volume 20 restoring 25 , 21 lost 24 volume 22 soft 24 volume 23 tissue 24 volume 26 and 28 irregularities 27 smoothing 28 irregularities 28 irregularities 29 in 29 in 32 contour 30 the 32 contour 31 facial 32 contour facial augmentation using implants represents a straightforward , simple procedure with minimal risks and long - lasting benefits . 0 ###LEFT-WALL### 2 augmentation 0 ###LEFT-WALL### 5 represents 0 ###LEFT-WALL### 19 . 1 facial 2 augmentation 2 augmentation 3 using 2 augmentation 4 implants 2 augmentation 5 represents 3 using 4 implants 5 represents 10 procedure 5 represents 11 with 6 a 7 straightforward 6 a 10 procedure 7 straightforward 8 , 7 straightforward 10 procedure 9 simple 10 procedure 11 with 14 and 12 minimal 13 risks 13 risks 14 and 14 and 18 benefits 15 long 16 - 15 long 18 benefits 17 lasting 18 benefits by applying accurate and judicious techniques for preoperative analysis , selecting the appropriate [implant] , and with correct surgical placement [of] [the] implants , the facial plastic surgeon can achieve successful facial volumization and restore the youthful appearance of the aging patient . 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 43 . 1 by 2 applying 1 by 24 , 2 applying 6 techniques 3 accurate 4 and 4 and 5 judicious 4 and 6 techniques 6 techniques 16 and 7 for 9 analysis 7 for 16 and 8 preoperative 9 analysis 9 analysis 11 selecting 10 , 11 selecting 11 selecting 13 appropriate 11 selecting 15 , 12 the 13 appropriate 16 and 17 with 17 with 20 placement 18 correct 20 placement 19 surgical 20 placement 23 implants 24 , 24 , 34 and 25 the 28 surgeon 26 facial 28 surgeon 27 plastic 28 surgeon 28 surgeon 29 can 29 can 34 and 30 achieve 33 volumization 30 achieve 34 and 31 successful 33 volumization 32 facial 33 volumization 34 and 35 restore 35 restore 38 appearance 36 the 38 appearance 37 youthful 38 appearance 38 appearance 39 of 39 of 42 patient 40 the 42 patient 41 aging 42 patient the most significant factor contributing to the overall change in the appearance of an individual 's facial features over time is age . 0 ###LEFT-WALL### 4 factor 0 ###LEFT-WALL### 22 age 0 ###LEFT-WALL### 23 . 1 the 4 factor 2 most 3 significant 3 significant 4 factor 4 factor 5 contributing 4 factor 21 is 5 contributing 6 to 6 to 9 change 7 the 9 change 8 overall 9 change 9 change 10 in 9 change 13 of 10 in 12 appearance 11 the 12 appearance 13 of 18 features 14 an 15 individual 15 individual 16 's 16 's 18 features 17 facial 18 features 18 features 19 over 19 over 20 time 21 is 22 age this process of gradual structural weakening of the face begins during the third decade and continues to worsen during the remainder of an individual 's lifetime . 0 ###LEFT-WALL### 2 process 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 27 . 1 this 2 process 2 process 3 of 2 process 15 and 3 of 6 weakening 4 gradual 6 weakening 5 structural 6 weakening 6 weakening 7 of 7 of 9 face 8 the 9 face 10 begins 11 during 10 begins 15 and 11 during 14 decade 12 the 14 decade 13 third 14 decade 15 and 16 continues 16 continues 17 to 16 continues 18 worsen 17 to 18 worsen 18 worsen 19 during 19 during 21 remainder 20 the 21 remainder 21 remainder 22 of 22 of 26 lifetime 23 an 24 individual 24 individual 25 's 25 's 26 lifetime here , we discuss how the approach to midface rejuvenation has evolved over time owing to our increased understanding of the aging process . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 discuss 0 ###LEFT-WALL### 24 . 1 here 2 , 1 here 3 we 3 we 4 discuss 4 discuss 5 how 5 how 7 approach 5 how 12 evolved 6 the 7 approach 7 approach 8 to 7 approach 12 evolved 8 to 9 midface 9 midface 10 rejuvenation 9 midface 11 has 10 rejuvenation 11 has 12 evolved 13 over 13 over 14 time 14 time 15 owing 15 owing 16 to 15 owing 23 process 16 to 19 understanding 17 our 19 understanding 18 increased 19 understanding 19 understanding 20 of 20 of 22 aging 21 the 22 aging in addition , we discuss specific techniques that we use that [have] helped us achieve more natural and lasting results . 0 ###LEFT-WALL### 2 addition 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 15 achieve 0 ###LEFT-WALL### 21 . 1 in 2 addition 3 , 4 we 3 , 13 helped 4 we 5 discuss 5 discuss 7 techniques 6 specific 7 techniques 7 techniques 8 that 7 techniques 10 use 8 that 9 we 8 that 10 use 9 we 10 use 11 that 13 helped 13 helped 14 us 13 helped 15 achieve 15 achieve 20 results 16 more 20 results 17 natural 18 and 18 and 19 lasting 18 and 20 results a patient presenting to a facial plastic surgeon with lower eyelid aging often has accompanying midface descent . 0 ###LEFT-WALL### 17 descent 0 ###LEFT-WALL### 18 . 1 a 2 patient 1 a 17 descent 2 patient 3 presenting 3 presenting 4 to 3 presenting 14 has 4 to 8 surgeon 5 a 6 facial 5 a 8 surgeon 6 facial 8 surgeon 7 plastic 8 surgeon 8 surgeon 9 with 9 with 12 aging 10 lower 11 eyelid 11 eyelid 12 aging 13 often 14 has 14 has 16 midface 15 accompanying 16 midface many surgical options exist to address these deformities . 0 ###LEFT-WALL### 3 options 0 ###LEFT-WALL### 4 exist 0 ###LEFT-WALL### 9 . 1 many 3 options 2 surgical 3 options 3 options 4 exist 4 exist 5 to 5 to 6 address 6 address 8 deformities 7 these 8 deformities blepharoplasty techniques include [both] the transcutaneous [skin] - muscle flap as well as the transconjunctival approach . 0 ###LEFT-WALL### 2 techniques 0 ###LEFT-WALL### 3 include 0 ###LEFT-WALL### 17 . 1 blepharoplasty 2 techniques 2 techniques 3 include 3 include 10 flap 5 the 10 flap 6 transcutaneous 8 - 6 transcutaneous 9 muscle 9 muscle 10 flap 10 flap 13 as 11 as 12 well 12 well 13 as 13 as 16 approach 14 the 16 approach 15 transconjunctival 16 approach the midface can be addressed via a multitude of techniques , including percutaneous suspension of the malar fat pad , deep plane dissections , subperiosteal and endoscopic midface lifts , and transorbital approaches . 0 ###LEFT-WALL### 3 can 0 ###LEFT-WALL### 5 addressed 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 34 . 1 the 3 can 2 midface 3 can 3 can 4 be 4 be 5 addressed 5 addressed 6 via 5 addressed 12 including 6 via 10 techniques 7 a 8 multitude 8 multitude 9 of 8 multitude 10 techniques 9 of 10 techniques 11 , 12 including 12 including 14 suspension 12 including 20 , 13 percutaneous 14 suspension 14 suspension 15 of 15 of 19 pad 16 the 19 pad 17 malar 19 pad 18 fat 19 pad 20 , 23 dissections 20 , 24 , 21 deep 22 plane 22 plane 23 dissections 24 , 31 and 25 subperiosteal 26 and 26 and 29 lifts 26 and 30 , 26 and 31 and 27 endoscopic 29 lifts 28 midface 29 lifts 31 and 33 approaches 32 transorbital 33 approaches [patients] who have some midface ptosis but do not meet the standard criteria for formal midface lifting , or who want to avoid the extended recovery associated with such techniques , could benefit from less invasive procedures . 0 ###LEFT-WALL### 2 who 0 ###LEFT-WALL### 17 lifting 0 ###LEFT-WALL### 19 or 0 ###LEFT-WALL### 38 . 2 who 7 but 2 who 17 lifting 3 have 6 ptosis 3 have 7 but 4 some 6 ptosis 5 midface 6 ptosis 7 but 8 do 8 do 9 not 8 do 10 meet 10 meet 13 criteria 10 meet 14 for 11 the 13 criteria 12 standard 13 criteria 14 for 16 midface 15 formal 16 midface 16 midface 17 lifting 18 , 19 or 19 or 20 who 19 or 31 , 20 who 31 , 21 want 22 to 21 want 23 avoid 21 want 31 , 22 to 23 avoid 23 avoid 26 recovery 24 the 26 recovery 25 extended 26 recovery 26 recovery 27 associated 26 recovery 28 with 28 with 30 techniques 29 such 30 techniques 31 , 32 could 31 , 34 from 32 could 33 benefit 34 from 37 procedures 35 less 36 invasive 36 invasive 37 procedures we propose the extended skin muscle blepharoplasty to address midface descent and lower lid aging to patients as an alternative to formal midface lifting . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 propose 0 ###LEFT-WALL### 25 . 1 we 2 propose 2 propose 7 blepharoplasty 3 the 7 blepharoplasty 4 extended 5 skin 5 skin 7 blepharoplasty 6 muscle 7 blepharoplasty 7 blepharoplasty 8 to 7 blepharoplasty 15 aging 7 blepharoplasty 16 to 8 to 12 and 9 address 11 descent 10 midface 11 descent 11 descent 12 and 12 and 14 lid 13 lower 14 lid 16 to 17 patients 17 patients 18 as 18 as 20 alternative 19 an 20 alternative 20 alternative 21 to 21 to 24 lifting 22 formal 23 midface 23 midface 24 lifting the extended skin muscle blepharoplasty is an excellent technique for patients [with] orbicularis hypertrophy , skin redundancy , a tear trough deformity , and premalar ptosis , as it addresses each of these deformities with minimal downtime . 0 ###LEFT-WALL### 5 blepharoplasty 0 ###LEFT-WALL### 30 addresses 0 ###LEFT-WALL### 38 . 1 the 5 blepharoplasty 2 extended 3 skin 3 skin 5 blepharoplasty 4 muscle 5 blepharoplasty 5 blepharoplasty 6 is 6 is 9 technique 7 an 8 excellent 7 an 9 technique 8 excellent 9 technique 9 technique 10 for 9 technique 13 orbicularis 9 technique 15 , 10 for 11 patients 13 orbicularis 15 , 14 hypertrophy 15 , 15 , 16 skin 15 , 30 addresses 16 skin 24 and 16 skin 28 as 17 redundancy 18 , 18 , 22 deformity 18 , 24 and 19 a 22 deformity 20 tear 22 deformity 21 trough 22 deformity 23 , 24 and 24 and 26 ptosis 25 premalar 26 ptosis 27 , 28 as 28 as 29 it 28 as 30 addresses 29 it 30 addresses 30 addresses 34 deformities 30 addresses 35 with 31 each 32 of 31 each 34 deformities 32 of 34 deformities 33 these 34 deformities 35 with 37 downtime 36 minimal 37 downtime results for patients with mild but visible midface descent are gratifying . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 10 are 0 ###LEFT-WALL### 12 . 1 results 2 for 1 results 10 are 2 for 3 patients 3 patients 4 with 4 with 9 descent 5 mild 6 but 6 but 7 visible 6 but 9 descent 8 midface 9 descent 10 are 11 gratifying blepharoplasty is one of the most popular and common procedures in facial plastic surgery . 0 ###LEFT-WALL### 1 blepharoplasty 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 15 . 1 blepharoplasty 2 is 2 is 3 one 3 one 4 of 4 of 10 procedures 5 the 6 most 6 most 10 procedures 7 popular 8 and 8 and 9 common 8 and 10 procedures 10 procedures 11 in 11 in 14 surgery 12 facial 14 surgery 13 plastic 14 surgery initially performed in 1818 for eyelid reconstruction , blepharoplasty has evolved to become a cosmetic or functional operation . 0 ###LEFT-WALL### 9 blepharoplasty 0 ###LEFT-WALL### 13 become 0 ###LEFT-WALL### 19 . 1 initially 2 performed 2 performed 3 in 2 performed 8 , 2 performed 9 blepharoplasty 3 in 4 1818 4 1818 5 for 5 for 7 reconstruction 6 eyelid 7 reconstruction 9 blepharoplasty 10 has 10 has 11 evolved 11 evolved 12 to 12 to 13 become 13 become 18 operation 14 a 18 operation 15 cosmetic 16 or 16 or 17 functional 16 or 18 operation although the surgical approaches are relatively straightforward , achieving natural and predictable results require precision and judgment . 0 ###LEFT-WALL### 13 results 0 ###LEFT-WALL### 14 require 0 ###LEFT-WALL### 18 . 1 although 4 approaches 1 although 5 are 1 although 13 results 2 the 4 approaches 3 surgical 4 approaches 4 approaches 5 are 5 are 6 relatively 5 are 9 achieving 7 straightforward 8 , 7 straightforward 9 achieving 10 natural 11 and 11 and 12 predictable 11 and 13 results 13 results 14 require 14 require 16 and 15 precision 16 and 16 and 17 judgment after performing more than 3500 blepharoplasties , the senior author has learned that the " art of blepharoplasty " has less to do with [how] much skin or fat is removed and is more about understanding the anatomic changes associated with aging , developing an individualized surgical plan , and anticipating postoperative outcomes or complications . 0 ###LEFT-WALL### 10 author 0 ###LEFT-WALL### 12 learned 1 after 2 performing 1 after 7 , 1 after 10 author 2 performing 5 3500 2 performing 6 blepharoplasties 3 more 4 than 4 than 5 3500 5 3500 6 blepharoplasties 8 the 10 author 9 senior 10 author 10 author 11 has 11 has 12 learned 12 learned 13 that 13 that 16 art 13 that 20 has 14 the 15 " 14 the 16 art 16 art 17 of 16 art 20 has 17 of 18 blepharoplasty 18 blepharoplasty 19 " 20 has 21 less 20 has 22 to 20 has 28 or 22 to 28 or 23 do 24 with 23 do 28 or 24 with 27 skin 26 much 27 skin 28 or 32 and 29 fat 30 is 30 is 32 and 31 removed 32 and 32 and 33 is 33 is 34 more 33 is 35 about 35 about 36 understanding 36 understanding 39 changes 37 the 39 changes 38 anatomic 39 changes 39 changes 40 associated 39 changes 41 with 41 with 42 aging 42 aging 44 developing 43 , 44 developing 44 developing 54 or 44 developing 56 . 45 an 48 plan 46 individualized 48 plan 47 surgical 48 plan 48 plan 50 and 49 , 50 and 50 and 53 outcomes 50 and 54 or 51 anticipating 53 outcomes 52 postoperative 53 outcomes 54 or 55 complications forehead lifting serves to restore a more youthful appearance as well as [a] more functional and aesthetically pleasing brow position . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 21 . 1 forehead 2 lifting 1 forehead 16 and 2 lifting 3 serves 2 lifting 11 well 2 lifting 12 as 3 serves 4 to 3 serves 5 restore 4 to 5 restore 5 restore 9 appearance 6 a 9 appearance 7 more 8 youthful 8 youthful 9 appearance 10 as 11 well 12 as 15 functional 14 more 15 functional 16 and 20 position 17 aesthetically 18 pleasing 18 pleasing 19 brow 19 brow 20 position the purpose of this review is to describe the pertinent anatomy and forehead aesthetics , then to discuss the patient evaluation , surgical approaches , complications , and nonsurgical adjuncts . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 31 . 1 the 2 purpose 2 purpose 3 of 2 purpose 6 is 3 of 5 review 4 this 5 review 6 is 7 to 6 is 8 describe 7 to 8 describe 8 describe 12 and 9 the 12 and 10 pertinent 11 anatomy 11 anatomy 12 and 12 and 14 aesthetics 12 and 17 to 13 forehead 14 aesthetics 15 , 17 to 16 then 17 to 17 to 18 discuss 17 to 22 , 18 discuss 21 evaluation 19 the 21 evaluation 20 patient 21 evaluation 22 , 28 and 23 surgical 24 approaches 24 approaches 25 , 25 , 26 complications 25 , 28 and 27 , 28 and 28 and 30 adjuncts 29 nonsurgical 30 adjuncts anatomic features reviewed include the layers of the forehead and scalp , blood supply , innervation , musculature , and the temporal branch of the facial nerve anatomy . 0 ###LEFT-WALL### 2 features 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 29 . 1 anatomic 2 features 2 features 3 reviewed 2 features 12 , 4 include 6 layers 4 include 12 , 5 the 6 layers 6 layers 7 of 7 of 10 and 8 the 9 forehead 9 forehead 10 and 10 and 11 scalp 12 , 13 blood 13 blood 14 supply 15 , 20 and 15 , 27 nerve 16 innervation 17 , 17 , 18 musculature 17 , 20 and 19 , 20 and 20 and 23 branch 20 and 24 of 20 and 27 nerve 21 the 23 branch 22 temporal 23 branch 24 of 26 facial 25 the 26 facial 27 nerve 28 anatomy forehead aesthetics described include the aging process , with its contributing factors and consequences , and the ideal brow position in women and men . 0 ###LEFT-WALL### 2 aesthetics 0 ###LEFT-WALL### 4 include 1 forehead 2 aesthetics 2 aesthetics 3 described 2 aesthetics 4 include 4 include 7 process 4 include 9 with 5 the 7 process 6 aging 7 process 8 , 9 with 9 with 16 and 9 with 25 . 10 its 12 factors 11 contributing 12 factors 12 factors 13 and 13 and 14 consequences 13 and 16 and 15 , 16 and 16 and 20 position 16 and 21 in 17 the 20 position 18 ideal 20 position 19 brow 20 position 21 in 23 and 22 women 23 and 23 and 24 men key aspects of the patient evaluation include assessment of skin type ; ptosis [;] [hairline] , brow , and lid position ; symmetry [;] and bony contours . 0 ###LEFT-WALL### 2 aspects 0 ###LEFT-WALL### 11 type 0 ###LEFT-WALL### 12 ; 0 ###LEFT-WALL### 28 . 1 key 2 aspects 2 aspects 3 of 2 aspects 11 type 3 of 8 assessment 4 the 8 assessment 5 patient 8 assessment 6 evaluation 8 assessment 7 include 8 assessment 8 assessment 9 of 9 of 10 skin 12 ; 19 and 12 ; 22 ; 13 ptosis 16 , 16 , 17 brow 16 , 19 and 18 , 19 and 19 and 21 position 20 lid 21 position 22 ; 25 and 23 symmetry 25 and 25 and 27 contours 26 bony 27 contours pertinent past medical/surgical history as well as family history [are] reviewed , and the need for ophthalmology [evaluation] is discussed . 0 ###LEFT-WALL### 4 history 0 ###LEFT-WALL### 20 discussed 0 ###LEFT-WALL### 21 . 1 pertinent 4 history 2 past 4 history 3 medical/surgical 4 history 4 history 7 as 4 history 19 is 5 as 6 well 6 well 7 as 7 as 13 and 8 family 9 history 9 history 11 reviewed 9 history 13 and 12 , 13 and 13 and 15 need 13 and 16 for 14 the 15 need 16 for 17 ophthalmology 19 is 20 discussed surgical indications and approaches , including direct , coronal , mid - forehead , endoscopic , and trans - blepharoplasty , are reviewed . 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 23 reviewed 0 ###LEFT-WALL### 24 . 1 surgical 2 indications 2 indications 3 and 3 and 4 approaches 3 and 5 , 5 , 13 forehead 5 , 14 , 6 including 13 forehead 7 direct 8 , 7 direct 13 forehead 9 coronal 10 , 9 coronal 13 forehead 11 mid 12 - 11 mid 13 forehead 14 , 15 endoscopic 14 , 17 and 16 , 17 and 17 and 18 trans 17 and 20 blepharoplasty 17 and 22 are 19 - 20 blepharoplasty 20 blepharoplasty 21 , 22 are 23 reviewed the advantages and disadvantages of each approach [are] discussed and techniques briefly described . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 14 . 1 the 2 advantages 2 advantages 3 and 3 and 4 disadvantages 3 and 5 of 5 of 10 and 6 each 7 approach 7 approach 9 discussed 7 approach 10 and 10 and 11 techniques 10 and 13 described 12 briefly 13 described complications are mentioned , and the article concludes [with] a review of nonsurgical adjuncts . 0 ###LEFT-WALL### 1 complications 0 ###LEFT-WALL### 3 mentioned 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 15 . 1 complications 2 are 2 are 3 mentioned 4 , 5 and 5 and 7 article 5 and 8 concludes 6 the 7 article 7 article 8 concludes 8 concludes 11 review 10 a 11 review 11 review 12 of 12 of 14 adjuncts 13 nonsurgical 14 adjuncts the currently available methods for resurfacing will be addressed in this article , which has been divided into three areas of focus : chemical [peels] , lasers , and dermabrasion . 0 ###LEFT-WALL### 8 be 0 ###LEFT-WALL### 23 : 0 ###LEFT-WALL### 31 . 1 the 4 methods 2 currently 3 available 3 available 4 methods 4 methods 5 for 4 methods 7 will 5 for 6 resurfacing 7 will 8 be 8 be 9 addressed 9 addressed 10 in 10 in 12 article 11 this 12 article 12 article 14 which 13 , 14 which 14 which 15 has 14 which 23 : 15 has 16 been 16 been 17 divided 17 divided 18 into 18 into 20 areas 19 three 20 areas 20 areas 21 of 21 of 22 focus 23 : 29 and 24 chemical 26 , 24 chemical 27 lasers 27 lasers 29 and 28 , 29 and 29 and 30 dermabrasion emphasis will be placed on [chemical] peels , a technique with a long history that provides a very reliable method of resurfacing and that every facial plastic surgeon should be familiar with . 0 ###LEFT-WALL### 1 emphasis 0 ###LEFT-WALL### 7 peels 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 33 . 1 emphasis 2 will 1 emphasis 5 on 1 emphasis 7 peels 2 will 3 be 3 be 4 placed 4 placed 5 on 8 , 23 and 9 a 10 technique 10 technique 11 with 10 technique 21 of 10 technique 23 and 11 with 14 history 12 a 13 long 12 a 14 history 13 long 14 history 14 history 15 that 14 history 16 provides 15 that 16 provides 16 provides 20 method 17 a 18 very 17 a 20 method 18 very 19 reliable 19 reliable 20 method 21 of 22 resurfacing 23 and 24 that 23 and 28 surgeon 23 and 32 with 25 every 28 surgeon 26 facial 28 surgeon 27 plastic 28 surgeon 28 surgeon 29 should 29 should 30 be 30 be 31 familiar 31 familiar 32 with the optimal health [and] appearance of the skin is the result of several factors : extrinsic aging ( uv damage ) , intrinsic aging [(] genetics , lifestyle ) , and hormonal aging ( primarily estrogen loss ) . 0 ###LEFT-WALL### 5 appearance 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 15 : 0 ###LEFT-WALL### 39 . 1 the 5 appearance 2 optimal 3 health 3 health 5 appearance 5 appearance 6 of 5 appearance 9 is 6 of 8 skin 7 the 8 skin 9 is 11 result 10 the 11 result 11 result 12 of 12 of 14 factors 13 several 14 factors 15 : 17 aging 16 extrinsic 17 aging 17 aging 20 damage 17 aging 31 and 18 ( 20 damage 19 uv 20 damage 20 damage 21 ) 22 , 31 and 23 intrinsic 24 aging 23 intrinsic 31 and 24 aging 26 genetics 26 genetics 28 lifestyle 27 , 28 lifestyle 28 lifestyle 29 ) 30 , 31 and 31 and 32 hormonal 31 and 33 aging 31 and 37 loss 31 and 38 ) 34 ( 35 primarily 34 ( 37 loss 36 estrogen 37 loss 37 loss 38 ) this article intends to take an antiaging and regenerative medicine approach to the aging skin and focus on both the hormonal causes and the intrinsic causes of aging [;] [namely] , hormones , diet , and lifestyle . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 intends 0 ###LEFT-WALL### 31 , 0 ###LEFT-WALL### 38 . 1 this 2 article 2 article 3 intends 3 intends 4 to 3 intends 5 take 4 to 5 take 5 take 11 approach 5 take 18 on 6 an 11 approach 7 antiaging 8 and 8 and 9 regenerative 8 and 11 approach 10 medicine 11 approach 11 approach 12 to 12 to 16 and 13 the 15 skin 14 aging 15 skin 15 skin 16 and 16 and 17 focus 18 on 23 and 19 both 23 and 20 the 22 causes 21 hormonal 22 causes 22 causes 23 and 23 and 26 causes 23 and 27 of 24 the 26 causes 25 intrinsic 26 causes 27 of 28 aging 31 , 36 and 32 hormones 33 , 33 , 34 diet 33 , 36 and 35 , 36 and 36 and 37 lifestyle by taking a functional approach to the evaluation and treatment of the skin , we hope to elucidate the causation of the condition of the skin and provide targeted treatments to improve its quality . 0 ###LEFT-WALL### 15 we 0 ###LEFT-WALL### 27 and 0 ###LEFT-WALL### 35 . 1 by 2 taking 1 by 14 , 1 by 15 we 2 taking 5 approach 3 a 4 functional 3 a 5 approach 4 functional 5 approach 5 approach 6 to 5 approach 11 of 6 to 9 and 7 the 8 evaluation 8 evaluation 9 and 9 and 10 treatment 11 of 13 skin 12 the 13 skin 15 we 27 and 16 hope 17 to 16 hope 18 elucidate 16 hope 27 and 17 to 18 elucidate 18 elucidate 20 causation 19 the 20 causation 20 causation 21 of 20 causation 24 of 21 of 23 condition 22 the 23 condition 24 of 26 skin 25 the 26 skin 27 and 28 provide 28 provide 30 treatments 28 provide 31 to 29 targeted 30 treatments 31 to 32 improve 32 improve 34 quality 33 its 34 quality we will sequentially cover the topics of hormonal [decline] and the skin , understanding hormone replacement , aging and the skin , and key nutrients for youthful skin . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 29 . 1 we 23 and 2 will 4 cover 2 will 23 and 3 sequentially 4 cover 4 cover 6 topics 4 cover 14 understanding 5 the 6 topics 6 topics 7 of 7 of 10 and 8 hormonal 10 and 10 and 12 skin 11 the 12 skin 13 , 14 understanding 14 understanding 19 and 14 understanding 22 , 15 hormone 16 replacement 16 replacement 17 , 17 , 18 aging 17 , 19 and 19 and 21 skin 19 and 22 , 20 the 21 skin 22 , 23 and 23 and 24 key 24 key 25 nutrients 25 nutrients 26 for 26 for 28 skin 27 youthful 28 skin we hope to provide a more comprehensive approach to treating the aging face and skin that will provide patients with more long - lasting and youthful results . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 hope 0 ###LEFT-WALL### 28 . 1 we 2 hope 2 hope 3 to 2 hope 16 that 2 hope 18 provide 3 to 4 provide 4 provide 8 approach 5 a 8 approach 6 more 7 comprehensive 7 comprehensive 8 approach 9 to 10 treating 9 to 16 that 10 treating 14 and 11 the 13 face 12 aging 13 face 13 face 14 and 14 and 15 skin 16 that 17 will 17 will 18 provide 18 provide 19 patients 18 provide 20 with 20 with 25 and 21 more 24 lasting 22 long 23 - 22 long 24 lasting 24 lasting 25 and 25 and 27 results 26 youthful 27 results a thorough knowledge of the anatomy of the aging face is essential to a safe and effective operation . 0 ###LEFT-WALL### 3 knowledge 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 19 . 1 a 2 thorough 1 a 3 knowledge 2 thorough 3 knowledge 3 knowledge 4 of 3 knowledge 11 is 4 of 6 anatomy 5 the 6 anatomy 6 anatomy 7 of 7 of 10 face 8 the 10 face 9 aging 10 face 11 is 12 essential 12 essential 13 to 13 to 16 and 14 a 15 safe 15 safe 16 and 16 and 18 operation 17 effective 18 operation over time , the face undergoes changes in skin and subcutaneous tissues evidenced by rhytides and thinning . 0 ###LEFT-WALL### 5 face 0 ###LEFT-WALL### 6 undergoes 0 ###LEFT-WALL### 18 . 1 over 2 time 1 over 3 , 1 over 5 face 4 the 5 face 5 face 6 undergoes 6 undergoes 7 changes 6 undergoes 8 in 6 undergoes 14 by 8 in 10 and 9 skin 10 and 10 and 12 tissues 10 and 13 evidenced 11 subcutaneous 12 tissues 14 by 16 and 15 rhytides 16 and 16 and 17 thinning there are also changes in the tone and character of facial muscles . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 13 . 1 there 2 are 2 are 3 also 2 are 4 changes 4 changes 5 in 5 in 8 and 6 the 7 tone 7 tone 8 and 8 and 9 character 8 and 10 of 10 of 12 muscles 11 facial 12 muscles changes in fat structures in the face cause aesthetic changes that can be addressed surgically . 0 ###LEFT-WALL### 1 changes 0 ###LEFT-WALL### 8 cause 0 ###LEFT-WALL### 16 . 1 changes 2 in 1 changes 8 cause 2 in 4 structures 3 fat 4 structures 4 structures 5 in 5 in 7 face 6 the 7 face 8 cause 10 changes 9 aesthetic 10 changes 10 changes 11 that 10 changes 12 can 11 that 12 can 12 can 13 be 13 be 14 addressed 14 addressed 15 surgically knowledge of the anatomy of the face and neck will aid in understanding the changes that occur with aging and will allow for a more complete strategy in rejuvenating the aging face . 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 23 for 0 ###LEFT-WALL### 33 . 1 knowledge 2 of 1 knowledge 8 and 2 of 4 anatomy 3 the 4 anatomy 4 anatomy 5 of 5 of 7 face 6 the 7 face 8 and 11 aid 8 and 12 in 8 and 16 that 8 and 17 occur 8 and 20 and 9 neck 10 will 10 will 11 aid 12 in 13 understanding 13 understanding 15 changes 14 the 15 changes 16 that 17 occur 17 occur 18 with 18 with 19 aging 20 and 21 will 20 and 23 for 22 allow 23 for 23 for 27 strategy 23 for 28 in 24 a 27 strategy 25 more 26 complete 26 complete 27 strategy 28 in 29 rejuvenating 29 rejuvenating 32 face 30 the 32 face 31 aging 32 face advances in health , increased awareness of preventative medicine , and evolution have led to an increasingly older population worldwide . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 14 led 0 ###LEFT-WALL### 21 . 1 advances 2 in 1 advances 11 and 2 in 3 health 3 health 6 awareness 4 , 6 awareness 5 increased 6 awareness 6 awareness 7 of 6 awareness 10 , 7 of 9 medicine 8 preventative 9 medicine 10 , 11 and 11 and 12 evolution 11 and 13 have 13 have 14 led 14 led 15 to 14 led 20 worldwide 15 to 19 population 16 an 19 population 17 increasingly 18 older 18 older 19 population surgical aesthetic facial rejuvenation has become [increasingly] popular , more accessible , and has lost much of the stigma that it once carried . 0 ###LEFT-WALL### 4 rejuvenation 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 24 . 1 surgical 4 rejuvenation 2 aesthetic 4 rejuvenation 3 facial 4 rejuvenation 4 rejuvenation 13 and 5 has 6 become 5 has 13 and 6 become 9 , 8 popular 9 , 9 , 10 more 9 , 11 accessible 12 , 13 and 13 and 14 has 14 has 15 lost 15 lost 16 much 16 much 17 of 17 of 19 stigma 18 the 19 stigma 19 stigma 20 that 19 stigma 23 carried 20 that 21 it 20 that 23 carried 21 it 23 carried 22 once 23 carried this review will discuss proper patient analysis and selection for aging face surgery , including medical , anatomic , and psychosocial factors that are involved . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 4 discuss 1 this 2 review 2 review 3 will 3 will 4 discuss 4 discuss 8 and 5 proper 6 patient 6 patient 7 analysis 7 analysis 8 and 8 and 9 selection 8 and 10 for 10 for 11 aging 11 aging 13 surgery 11 aging 15 including 12 face 13 surgery 14 , 15 including 15 including 20 and 15 including 22 factors 15 including 26 . 16 medical 17 , 17 , 18 anatomic 17 , 20 and 19 , 20 and 20 and 21 psychosocial 22 factors 23 that 22 factors 24 are 23 that 24 are 24 are 25 involved although the novice facial plastic surgeon typically focuses on facial analysis and operative techniques in aging face surgery , we caution that the patient 's expectations , psychosocial comorbidities , and perioperative interpersonal experiences are the most important factors that yield patient satisfaction , which is the prime outcome that is meaningful in elective cosmetic surgery . 1 although 6 surgeon 1 although 8 focuses 2 the 6 surgeon 3 novice 4 facial 4 facial 6 surgeon 5 plastic 6 surgeon 7 typically 8 focuses 8 focuses 9 on 8 focuses 35 are 9 on 12 and 10 facial 11 analysis 11 analysis 12 and 12 and 14 techniques 12 and 19 , 12 and 20 we 12 and 21 caution 13 operative 14 techniques 14 techniques 15 in 15 in 16 aging 16 aging 18 surgery 17 face 18 surgery 20 we 21 caution 21 caution 22 that 22 that 24 patient 22 that 25 's 23 the 24 patient 24 patient 25 's 25 's 31 and 26 expectations 27 , 27 , 29 comorbidities 27 , 31 and 28 psychosocial 29 comorbidities 30 , 31 and 31 and 34 experiences 32 perioperative 34 experiences 33 interpersonal 34 experiences 35 are 39 factors 36 the 39 factors 37 most 38 important 38 important 39 factors 39 factors 40 that 39 factors 41 yield 40 that 41 yield 41 yield 43 satisfaction 42 patient 43 satisfaction 43 satisfaction 45 which 44 , 45 which 45 which 46 is 45 which 57 . 46 is 49 outcome 46 is 53 in 47 the 49 outcome 48 prime 49 outcome 49 outcome 50 that 49 outcome 51 is 50 that 51 is 51 is 52 meaningful 53 in 56 surgery 54 elective 56 surgery 55 cosmetic 56 surgery none [earlier] , we showed that the offspring from exceptionally long - [lived] families have [a] more favorable glucose metabolism when compared with controls . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 25 . 3 , 4 we 3 , 5 showed 4 we 5 showed 5 showed 6 that 6 that 8 offspring 6 that 15 have 7 the 8 offspring 8 offspring 9 from 8 offspring 15 have 9 from 14 families 10 exceptionally 11 long 11 long 12 - 11 long 14 families 15 have 20 metabolism 15 have 21 when 17 more 18 favorable 18 favorable 19 glucose 19 glucose 20 metabolism 21 when 22 compared 22 compared 23 with 23 with 24 controls we found no difference between the two groups in c - reactive protein levels or in the distribution of c - reactive protein haplotypes . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 11 - 1 we 2 found 2 found 4 difference 2 found 5 between 2 found 9 in 3 no 4 difference 5 between 8 groups 6 the 7 two 7 two 8 groups 9 in 10 c 11 - 13 protein 11 - 14 levels 11 - 15 or 11 - 25 . 12 reactive 13 protein 13 protein 14 levels 15 or 23 protein 15 or 24 haplotypes 16 in 18 distribution 16 in 21 - 16 in 23 protein 17 the 18 distribution 18 distribution 19 of 19 of 20 c 22 reactive 23 protein 23 protein 24 haplotypes however , among controls higher levels of c - reactive protein were related to higher glucose levels , whereas among offspring levels of c - reactive protein were unrelated to glucose levels . 0 ###LEFT-WALL### 11 protein 0 ###LEFT-WALL### 28 were 0 ###LEFT-WALL### 33 . 1 however 2 , 1 however 11 protein 2 , 3 among 3 among 6 levels 3 among 9 - 3 among 11 protein 4 controls 6 levels 5 higher 6 levels 6 levels 7 of 7 of 8 c 10 reactive 11 protein 11 protein 12 were 12 were 13 related 13 related 14 to 13 related 19 whereas 14 to 17 levels 15 higher 16 glucose 16 glucose 17 levels 18 , 19 whereas 19 whereas 27 protein 20 among 22 levels 20 among 25 - 20 among 27 protein 21 offspring 22 levels 22 levels 23 of 23 of 24 c 26 reactive 27 protein 27 protein 28 were 28 were 29 unrelated 29 unrelated 30 to 30 to 32 levels 31 glucose 32 levels it is a limitation of the current study that its cross [-] sectional nature does not allow for assessment of cause [-] effect relationships . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 25 . 1 it 2 is 2 is 4 limitation 2 is 9 that 3 a 4 limitation 4 limitation 5 of 5 of 8 study 6 the 8 study 7 current 8 study 9 that 14 nature 9 that 18 for 10 its 14 nature 11 cross 14 nature 13 sectional 14 nature 14 nature 15 does 15 does 16 not 15 does 18 for 17 allow 18 for 18 for 19 assessment 19 assessment 20 of 20 of 24 relationships 21 cause 24 relationships 23 effect 24 relationships one possible interpretation of these data is [that] the offspring [from] long - [lived] families might be able to regulate glucose levels more tightly under conditions of low - grade inflammation . 0 ###LEFT-WALL### 3 interpretation 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 32 . 1 one 3 interpretation 2 possible 3 interpretation 3 interpretation 4 of 3 interpretation 7 is 4 of 6 data 5 these 6 data 7 is 10 offspring 9 the 10 offspring 10 offspring 15 families 10 offspring 20 regulate 12 long 13 - 12 long 15 families 15 families 16 might 16 might 17 be 17 be 18 able 18 able 19 to 19 to 20 regulate 20 regulate 22 levels 20 regulate 24 tightly 20 regulate 25 under 21 glucose 22 levels 23 more 24 tightly 25 under 26 conditions 26 conditions 27 of 27 of 31 inflammation 28 low 29 - 28 low 31 inflammation 30 grade 31 inflammation to test this hypothesis , our future research will be focused on assessing the robustness of insulin sensitivity in response to various challenges in offspring from long - [lived] families and controls . 0 ###LEFT-WALL### 9 will 0 ###LEFT-WALL### 31 and 0 ###LEFT-WALL### 33 . 1 to 2 test 1 to 5 , 1 to 9 will 2 test 4 hypothesis 3 this 4 hypothesis 6 our 9 will 7 future 9 will 8 research 9 will 9 will 31 and 10 be 11 focused 10 be 31 and 11 focused 12 on 11 focused 21 to 11 focused 24 in 11 focused 26 from 12 on 13 assessing 13 assessing 15 robustness 14 the 15 robustness 15 robustness 16 of 16 of 18 sensitivity 17 insulin 18 sensitivity 19 in 20 response 20 response 21 to 21 to 23 challenges 22 various 23 challenges 24 in 25 offspring 26 from 30 families 27 long 28 - 27 long 30 families 31 and 32 controls [the] [non] - pharmacological treatment of osteoarthritis ( oa ) includes exercise therapy ; however , little is known about the specific effect of exercise on the joint per se . 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 11 includes 0 ###LEFT-WALL### 14 ; 0 ###LEFT-WALL### 31 . 3 - 5 treatment 4 pharmacological 5 treatment 5 treatment 6 of 5 treatment 11 includes 6 of 7 osteoarthritis 7 osteoarthritis 9 oa 8 ( 9 oa 9 oa 10 ) 11 includes 13 therapy 12 exercise 13 therapy 14 ; 17 little 14 ; 19 known 15 however 16 , 15 however 17 little 17 little 18 is 18 is 19 known 19 known 20 about 19 known 26 on 19 known 30 se 20 about 23 effect 21 the 23 effect 22 specific 23 effect 23 effect 24 of 24 of 25 exercise 26 on 28 joint 27 the 28 joint 29 per 30 se the purpose of the present study was to investigate the direct effects of a load - bearing exercise upon cartilage in a single , human osteoarthritic joint determined by biochemical markers of cartilage [turnover] and inflammation in the synovial fluid ( sf ) , serum and urine . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 28 determined 1 the 2 purpose 2 purpose 3 of 2 purpose 7 was 3 of 6 study 4 the 6 study 5 present 6 study 7 was 8 to 7 was 9 investigate 8 to 9 investigate 9 investigate 12 effects 10 the 12 effects 11 direct 12 effects 12 effects 13 of 13 of 15 load 14 a 15 load 16 - 28 determined 17 bearing 18 exercise 17 bearing 21 in 17 bearing 28 determined 18 exercise 19 upon 19 upon 20 cartilage 21 in 27 joint 22 a 23 single 22 a 27 joint 23 single 24 , 23 single 27 joint 25 human 27 joint 26 osteoarthritic 27 joint 28 determined 29 by 28 determined 37 in 28 determined 48 . 29 by 35 and 30 biochemical 31 markers 31 markers 32 of 31 markers 35 and 32 of 33 cartilage 35 and 36 inflammation 37 in 46 and 38 the 45 serum 39 synovial 45 serum 40 fluid 42 sf 40 fluid 44 , 40 fluid 45 serum 41 ( 42 sf 42 sf 43 ) 45 serum 46 and 46 and 47 urine workload : 60 % of 1 rm ( repetition maximum ) . 0 ###LEFT-WALL### 1 workload 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 . 1 workload 2 : 2 : 4 % 3 60 4 % 4 % 5 of 5 of 7 rm 6 1 7 rm 7 rm 10 maximum 8 ( 10 maximum 9 repetition 10 maximum 10 maximum 11 ) determination of cartilage oligomeric matrix protein ( comp ) , aggrecan , c - terminal collagen ii [peptide] ( ctx - ii ) and interleukin ( il ) - 6 were performed in synovial fluid ( sf ) , serum and urine . 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 29 - 0 ###LEFT-WALL### 43 . 1 determination 2 of 1 determination 24 and 2 of 6 protein 3 cartilage 6 protein 4 oligomeric 5 matrix 5 matrix 6 protein 6 protein 8 comp 6 protein 11 aggrecan 7 ( 8 comp 8 comp 9 ) 10 , 11 aggrecan 11 aggrecan 14 - 11 aggrecan 22 ii 11 aggrecan 23 ) 12 , 14 - 13 c 14 - 14 - 16 collagen 14 - 21 - 15 terminal 16 collagen 16 collagen 17 ii 16 collagen 20 ctx 19 ( 20 ctx 20 ctx 21 - 21 - 22 ii 22 ii 23 ) 24 and 25 interleukin 24 and 27 il 26 ( 27 il 27 il 28 ) 29 - 30 6 29 - 32 performed 30 6 31 were 31 were 32 performed 32 performed 33 in 33 in 41 and 34 synovial 40 serum 35 fluid 37 sf 35 fluid 39 , 35 fluid 40 serum 36 ( 37 sf 37 sf 38 ) 40 serum 41 and 41 and 42 urine a significant decrease was found in sf concentration of comp following exercise , whereas aggrecan , ctx [-] ii and il - 6 remained unchanged . 0 ###LEFT-WALL### 3 decrease 0 ###LEFT-WALL### 5 found 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 26 . 1 a 2 significant 1 a 3 decrease 2 significant 3 decrease 3 decrease 4 was 4 was 5 found 5 found 6 in 5 found 8 concentration 6 in 7 sf 8 concentration 9 of 9 of 10 comp 10 comp 11 following 11 following 12 exercise 13 , 23 6 13 , 24 remained 14 whereas 15 aggrecan 14 whereas 23 6 15 aggrecan 21 il 16 , 21 il 17 ctx 19 ii 17 ctx 20 and 20 and 21 il 21 il 22 - 23 6 24 remained 24 remained 25 unchanged no differences in any of the tested markers were found in serum and urine between baseline and post - exercise . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 10 found 0 ###LEFT-WALL### 19 - 1 no 2 differences 2 differences 3 in 2 differences 5 of 2 differences 9 were 3 in 4 any 5 of 8 markers 6 the 8 markers 7 tested 8 markers 9 were 10 found 10 found 11 in 10 found 15 between 11 in 13 and 12 serum 13 and 13 and 14 urine 15 between 17 and 16 baseline 17 and 17 and 18 post 19 - 20 exercise 19 - 21 . thirty minutes of mechanical loading of a single knee joint in human subjects with knee oa resulted in a reduced comp concentration in sf . 0 ###LEFT-WALL### 2 minutes 0 ###LEFT-WALL### 17 resulted 0 ###LEFT-WALL### 25 . 1 thirty 2 minutes 2 minutes 3 of 2 minutes 17 resulted 3 of 5 loading 4 mechanical 5 loading 5 loading 6 of 6 of 9 knee 7 a 8 single 7 a 9 knee 8 single 9 knee 9 knee 10 joint 10 joint 11 in 10 joint 14 with 11 in 13 subjects 12 human 13 subjects 14 with 16 oa 15 knee 16 oa 17 resulted 18 in 17 resulted 23 in 18 in 22 concentration 19 a 22 concentration 20 reduced 22 concentration 21 comp 22 concentration 23 in 24 sf during voluntary contractions , motor neurone activity is modulated by descending input and sensory feedback . 0 ###LEFT-WALL### 7 activity 0 ###LEFT-WALL### 9 modulated 0 ###LEFT-WALL### 16 . 1 during 3 contractions 1 during 4 , 1 during 7 activity 2 voluntary 3 contractions 5 motor 7 activity 6 neurone 7 activity 7 activity 8 is 8 is 9 modulated 9 modulated 10 by 10 by 13 and 11 descending 12 input 12 input 13 and 13 and 15 feedback 14 sensory 15 feedback impaired excitatory afferent feedback with ageing may , therefore , alter motor control . 0 ###LEFT-WALL### 4 feedback 0 ###LEFT-WALL### 11 alter 0 ###LEFT-WALL### 14 . 1 impaired 4 feedback 2 excitatory 4 feedback 3 afferent 4 feedback 4 feedback 5 with 4 feedback 7 may 5 with 6 ageing 7 may 11 alter 8 , 9 therefore 9 therefore 10 , 9 therefore 11 alter 11 alter 13 control 12 motor 13 control this study investigated the age - related changes in afferent feedback through the recording of reflex responses during voluntary muscle activation . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 investigated 0 ###LEFT-WALL### 7 related 0 ###LEFT-WALL### 22 . 1 this 2 study 2 study 3 investigated 3 investigated 5 age 4 the 5 age 6 - 7 related 7 related 8 changes 7 related 9 in 7 related 12 through 7 related 18 during 9 in 11 feedback 10 afferent 11 feedback 12 through 14 recording 13 the 14 recording 14 recording 15 of 15 of 17 responses 16 reflex 17 responses 18 during 21 activation 19 voluntary 21 activation 20 muscle 21 activation short - and long - latency components of the stretch reflex and hoffmann reflex ( h - reflex ) were recorded during voluntary [contractions] ( 10 % of maximal voluntary contraction [;] mvc ) of the ankle dorsiflexor muscles of young and elderly adults ( ≥70 years [ )( 1 short 3 and 2 - 3 and 3 and 7 components 3 and 12 and 4 long 5 - 4 long 7 components 6 latency 7 components 7 components 8 of 8 of 11 reflex 9 the 11 reflex 10 stretch 11 reflex 12 and 14 reflex 12 and 17 - 12 and 20 were 13 hoffmann 14 reflex 15 ( 17 - 16 h 17 - 17 - 18 reflex 17 - 19 ) 20 were 21 recorded 21 recorded 22 during 22 during 23 voluntary 23 voluntary 27 % 23 voluntary 35 of 25 ( 27 % 26 10 27 % 27 % 28 of 27 % 34 ) 28 of 33 mvc 29 maximal 30 voluntary 30 voluntary 33 mvc 31 contraction 33 mvc 35 of 39 muscles 36 the 39 muscles 37 ankle 39 muscles 38 dorsiflexor 39 muscles 39 muscles 40 of 39 muscles 47 years 40 of 42 and 41 young 42 and 42 and 44 adults 43 elderly 44 adults 45 ( 47 years 46 ≥70 47 years 47 years 49 )( furthermore , the modulation of spinal reflex excitability was analyzed at different torque levels ( 10 - 50 % mvc ) . 0 ###LEFT-WALL### 4 modulation 0 ###LEFT-WALL### 10 analyzed 0 ###LEFT-WALL### 22 . 1 furthermore 2 , 1 furthermore 4 modulation 3 the 4 modulation 4 modulation 5 of 4 modulation 9 was 5 of 8 excitability 6 spinal 8 excitability 7 reflex 8 excitability 9 was 10 analyzed 10 analyzed 11 at 11 at 14 levels 12 different 13 torque 13 torque 14 levels 14 levels 20 mvc 15 ( 20 mvc 16 10 17 - 17 - 18 50 17 - 20 mvc 19 % 20 mvc 20 mvc 21 ) however , the area of the [h] [-] reflex increased linearly with the level of contraction up to 50 % mvc in young adults , whereas it slightly increased to 30 % mvc and plateaued thereafter in elderly adults . 0 ###LEFT-WALL### 4 area 0 ###LEFT-WALL### 10 increased 1 however 2 , 1 however 4 area 3 the 4 area 4 area 5 of 4 area 10 increased 5 of 9 reflex 6 the 9 reflex 10 increased 11 linearly 10 increased 12 with 10 increased 22 in 10 increased 26 whereas 12 with 14 level 13 the 14 level 14 level 15 of 15 of 21 mvc 16 contraction 21 mvc 17 up 18 to 18 to 19 50 19 50 20 % 20 % 21 mvc 22 in 24 adults 23 young 24 adults 25 , 26 whereas 26 whereas 27 it 26 whereas 34 and 26 whereas 40 . 27 it 34 and 28 slightly 29 increased 29 increased 30 to 29 increased 34 and 30 to 33 mvc 31 30 33 mvc 32 % 33 mvc 34 and 35 plateaued 34 and 36 thereafter 34 and 37 in 37 in 39 adults 38 elderly 39 adults the absence of age - related changes in the short - latency stretch reflex [and] h - reflex areas suggests that the reflex circuitry and the sensitivity of the muscle spindles are not substantially affected by ageing . 0 ###LEFT-WALL### 2 absence 0 ###LEFT-WALL### 20 suggests 0 ###LEFT-WALL### 38 . 1 the 2 absence 2 absence 3 of 2 absence 20 suggests 3 of 4 age 5 - 6 related 6 related 7 changes 6 related 20 suggests 7 changes 8 in 8 in 19 areas 9 the 19 areas 10 short 14 reflex 10 short 19 areas 11 - 14 reflex 12 latency 13 stretch 13 stretch 14 reflex 14 reflex 16 h 14 reflex 17 - 18 reflex 19 areas 20 suggests 21 that 21 that 25 and 21 that 35 affected 22 the 24 circuitry 23 reflex 24 circuitry 24 circuitry 25 and 25 and 27 sensitivity 25 and 28 of 25 and 32 are 26 the 27 sensitivity 28 of 31 spindles 29 the 31 spindles 30 muscle 31 spindles 32 are 33 not 32 are 34 substantially 32 are 35 affected 35 affected 36 by 36 by 37 ageing the modest increase in [the] h - reflex area with the contraction intensity in elderly adults , however , indicates that the modulation of afferent feedback is reduced with advancing age . 0 ###LEFT-WALL### 3 increase 0 ###LEFT-WALL### 20 indicates 0 ###LEFT-WALL### 32 . 1 the 3 increase 2 modest 3 increase 3 increase 4 in 3 increase 9 area 3 increase 20 indicates 4 in 6 h 7 - 9 area 8 reflex 9 area 9 area 10 with 9 area 14 in 9 area 17 , 10 with 13 intensity 11 the 13 intensity 12 contraction 13 intensity 14 in 16 adults 15 elderly 16 adults 17 , 18 however 18 however 19 , 18 however 20 indicates 20 indicates 21 that 21 that 23 modulation 21 that 28 reduced 22 the 23 modulation 23 modulation 24 of 23 modulation 27 is 24 of 26 feedback 25 afferent 26 feedback 27 is 28 reduced 28 reduced 29 with 29 with 30 advancing 30 advancing 31 age this observation , associated with a greater long - latency stretch reflex , suggests that elderly adults rely more on central than peripheral mechanisms to regulate motor output of the dorsiflexor muscles . 0 ###LEFT-WALL### 2 observation 0 ###LEFT-WALL### 14 suggests 0 ###LEFT-WALL### 33 . 1 this 2 observation 2 observation 4 associated 2 observation 14 suggests 3 , 4 associated 4 associated 5 with 4 associated 13 , 5 with 12 reflex 6 a 12 reflex 7 greater 10 latency 8 long 9 - 8 long 10 latency 10 latency 12 reflex 11 stretch 12 reflex 14 suggests 15 that 15 that 17 adults 15 that 18 rely 16 elderly 17 adults 17 adults 18 rely 18 rely 19 more 18 rely 20 on 18 rely 25 to 20 on 24 mechanisms 21 central 24 mechanisms 22 than 23 peripheral 23 peripheral 24 mechanisms 25 to 26 regulate 26 regulate 28 output 27 motor 28 output 28 output 29 of 29 of 32 muscles 30 the 32 muscles 31 dorsiflexor 32 muscles purpose : to evaluate whether retention loss of class v restorations can be simulated in the laboratory and to compare these results with those from clinical trials . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 3 to 2 : 4 evaluate 3 to 4 evaluate 4 evaluate 5 whether 5 whether 7 loss 5 whether 18 and 6 retention 7 loss 7 loss 8 of 7 loss 12 can 8 of 11 restorations 9 class 10 v 9 class 11 restorations 12 can 18 and 13 be 14 simulated 13 be 18 and 14 simulated 15 in 15 in 17 laboratory 16 the 17 laboratory 18 and 19 to 18 and 20 compare 19 to 20 compare 20 compare 22 results 20 compare 23 with 21 these 22 results 23 with 24 those 24 those 25 from 25 from 27 trials 26 clinical 27 trials materials and methods : nonretentive [v] - shaped class v cavities were prepared on the lingual and buccal side of extracted premolars , half in dentin and [half] in enamel . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 materials 2 and 2 and 3 methods 4 : 11 cavities 4 : 12 were 5 nonretentive 7 - 5 nonretentive 11 cavities 8 shaped 11 cavities 9 class 10 v 9 class 11 cavities 11 cavities 12 were 12 were 13 prepared 13 prepared 14 on 14 on 19 side 15 the 19 side 16 lingual 17 and 17 and 18 buccal 17 and 19 side 19 side 20 of 20 of 22 premolars 21 extracted 22 premolars 22 premolars 24 half 23 , 24 half 24 half 27 and 24 half 31 . 25 in 26 dentin 25 in 27 and 27 and 29 in 29 in 30 enamel the comparison groups were the composite without adhesive and a 2 [-] step [etch] - and [-] rinse as ( prime [&] bond nt ) without etching of enamel and dentin . 0 ###LEFT-WALL### 3 groups 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 32 . 1 the 3 groups 2 comparison 3 groups 3 groups 16 and 4 were 6 composite 4 were 16 and 5 the 6 composite 6 composite 7 without 7 without 9 and 8 adhesive 9 and 9 and 13 step 9 and 15 - 10 a 13 step 11 2 13 step 16 and 18 rinse 18 rinse 30 and 19 as 24 nt 19 as 26 without 19 as 28 of 19 as 30 and 20 ( 24 nt 21 prime 24 nt 23 bond 24 nt 24 nt 25 ) 26 without 27 etching 28 of 29 enamel 30 and 31 dentin the restored teeth were submitted to an aging process involving 18 months of water storage , three intermittent phases of thermocycling ( tc 10,000 times ) , and two phases of thermomechanical loading ( 1 x 640,000 chewing cycles after 12 months , 1 x 1,200,000 chewing cycles after 18 months ; 100 n sine - wave force profile , pressing with steel ball without lifting ) . 0 ###LEFT-WALL### 3 teeth 0 ###LEFT-WALL### 5 submitted 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 68 . 1 the 3 teeth 2 restored 3 teeth 3 teeth 4 were 4 were 5 submitted 5 submitted 6 to 6 to 9 process 7 an 9 process 8 aging 9 process 9 process 10 involving 10 involving 12 months 11 18 12 months 12 months 13 of 13 of 15 storage 14 water 15 storage 16 , 28 and 16 , 52 ; 17 three 19 phases 18 intermittent 19 phases 19 phases 20 of 19 phases 28 and 20 of 21 thermocycling 21 thermocycling 25 times 22 ( 25 times 23 tc 24 10,000 23 tc 25 times 25 times 26 ) 27 , 28 and 28 and 30 phases 28 and 31 of 29 two 30 phases 31 of 33 loading 32 thermomechanical 33 loading 33 loading 39 cycles 33 loading 48 cycles 34 ( 39 cycles 35 1 36 x 36 x 37 640,000 36 x 38 chewing 38 chewing 39 cycles 39 cycles 40 after 39 cycles 43 , 40 after 42 months 41 12 42 months 43 , 48 cycles 44 1 45 x 45 x 46 1,200,000 45 x 47 chewing 47 chewing 48 cycles 48 cycles 49 after 48 cycles 52 ; 49 after 51 months 50 18 51 months 52 ; 55 sine 52 ; 56 - 53 100 54 n 54 n 55 sine 56 - 57 wave 57 wave 58 force 57 wave 59 profile 59 profile 61 pressing 60 , 61 pressing 61 pressing 62 with 61 pressing 67 ) 62 with 64 ball 63 steel 64 ball 64 ball 65 without 65 without 66 lifting retention loss of the restorations was evaluated after every 1000 thermocycles [and] every 120,000 cycles of thermomechanical loading . 0 ###LEFT-WALL### 2 loss 0 ###LEFT-WALL### 7 evaluated 0 ###LEFT-WALL### 19 . 1 retention 2 loss 2 loss 3 of 2 loss 6 was 3 of 5 restorations 4 the 5 restorations 6 was 7 evaluated 7 evaluated 8 after 8 after 10 1000 8 after 11 thermocycles 9 every 10 1000 10 1000 11 thermocycles 11 thermocycles 15 cycles 13 every 14 120,000 14 120,000 15 cycles 15 cycles 16 of 16 of 18 loading 17 thermomechanical 18 loading the databases medline and iadr abstracts were used to search for clinical studies on retention loss involving the adhesive systems that were included in the present study . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 28 . 1 the 2 databases 2 databases 3 medline 3 medline 4 and 4 and 6 abstracts 4 and 7 were 5 iadr 6 abstracts 7 were 8 used 8 used 9 to 8 used 11 for 8 used 14 on 9 to 10 search 11 for 13 studies 12 clinical 13 studies 14 on 16 loss 15 retention 16 loss 16 loss 17 involving 17 involving 20 systems 17 involving 24 in 18 the 20 systems 19 adhesive 20 systems 20 systems 21 that 20 systems 22 were 21 that 22 were 22 were 23 included 24 in 27 study 25 the 27 study 26 present 27 study results : retention loss was only observed in the following groups : composite without adhesive ( 100 % after first 1000 tc ) , glass ionomer without conditioner [(] 8 [%] after 6 [months] [;] [33] % after 12 months , 100 % after 18 months [ )(, adhesive without etching ( 17 % after 6 months , 42 % after 12 months ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 retention 2 : 7 observed 2 : 12 : 3 retention 4 loss 3 retention 5 was 3 retention 7 observed 4 loss 5 was 5 was 6 only 7 observed 8 in 7 observed 11 groups 8 in 10 following 9 the 10 following 12 : 13 composite 13 composite 14 without 14 without 26 ionomer 15 adhesive 18 % 15 adhesive 24 , 15 adhesive 25 glass 16 ( 18 % 17 100 18 % 18 % 19 after 18 % 23 ) 19 after 22 tc 20 first 22 tc 21 1000 22 tc 25 glass 26 ionomer 26 ionomer 27 without 26 ionomer 32 after 27 without 28 conditioner 28 conditioner 30 8 32 after 37 % 33 6 37 % 37 % 38 after 37 % 49 adhesive 38 after 40 months 39 12 40 months 40 months 43 % 41 , 43 % 42 100 43 % 43 % 44 after 43 % 48 )(, 44 after 46 months 45 18 46 months 49 adhesive 50 without 50 without 51 etching 51 etching 54 % 52 ( 54 % 53 17 54 % 54 % 55 after 54 % 65 . 55 after 57 months 56 6 57 months 57 months 60 % 58 , 60 % 59 42 60 % 60 % 61 after 60 % 64 ) 61 after 63 months 62 12 63 months the laboratory results , however , matched with the clinical results only for three adhesive systems ( futurabond nr , hybrid bond , xeno iv , 0 % retention loss , 5 studies , observation period between 1.5 and 2 years ) . 0 ###LEFT-WALL### 3 results 0 ###LEFT-WALL### 7 matched 0 ###LEFT-WALL### 43 . 1 the 3 results 2 laboratory 3 results 3 results 7 matched 4 , 5 however 5 however 6 , 5 however 7 matched 7 matched 8 with 7 matched 12 only 7 matched 13 for 8 with 11 results 9 the 11 results 10 clinical 11 results 13 for 16 systems 14 three 16 systems 15 adhesive 16 systems 16 systems 19 nr 16 systems 22 bond 16 systems 25 iv 17 ( 19 nr 18 futurabond 19 nr 19 nr 20 , 20 , 22 bond 21 hybrid 22 bond 22 bond 23 , 23 , 25 iv 24 xeno 25 iv 25 iv 30 loss 25 iv 33 studies 25 iv 42 ) 26 , 30 loss 27 0 28 % 28 % 30 loss 29 retention 30 loss 30 loss 31 , 31 , 33 studies 32 5 33 studies 33 studies 41 years 33 studies 42 ) 34 , 41 years 35 observation 41 years 36 period 39 and 36 period 41 years 37 between 39 and 38 1.5 39 and 39 and 40 2 41 years 42 ) conclusions : if the materials were applied according to the manufacturer 's instructions , no retention loss was observed in the laboratory model . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 24 . 1 conclusions 2 : 2 : 3 if 2 : 9 to 3 if 5 materials 3 if 7 applied 4 the 5 materials 5 materials 6 were 6 were 7 applied 8 according 9 to 9 to 13 instructions 10 the 11 manufacturer 11 manufacturer 12 's 12 's 13 instructions 14 , 17 loss 14 , 19 observed 15 no 17 loss 16 retention 17 loss 17 loss 18 was 18 was 19 observed 19 observed 20 in 20 in 23 model 21 the 23 model 22 laboratory 23 model the laboratory model did not reflect the clinical findings . 0 ###LEFT-WALL### 3 model 0 ###LEFT-WALL### 6 reflect 0 ###LEFT-WALL### 10 . 1 the 3 model 2 laboratory 3 model 3 model 4 did 4 did 5 not 4 did 6 reflect 6 reflect 9 findings 7 the 9 findings 8 clinical 9 findings neuroprotectin d1 ( npd1 ) is a stereoselective mediator derived from the omega - 3 essential fatty acid docosahexaenoic acid ( dha ) with potent inflammatory resolving and neuroprotective bioactivity . 0 ###LEFT-WALL### 2 d1 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 31 . 1 neuroprotectin 2 d1 2 d1 4 npd1 2 d1 6 is 3 ( 4 npd1 4 npd1 5 ) 6 is 28 and 7 a 8 stereoselective 7 a 9 mediator 8 stereoselective 9 mediator 9 mediator 10 derived 9 mediator 11 from 9 mediator 24 with 9 mediator 28 and 11 from 13 omega 12 the 13 omega 13 omega 20 acid 14 - 20 acid 15 3 20 acid 16 essential 18 acid 17 fatty 18 acid 18 acid 20 acid 19 docosahexaenoic 20 acid 20 acid 22 dha 20 acid 23 ) 21 ( 22 dha 22 dha 23 ) 24 with 27 resolving 25 potent 27 resolving 26 inflammatory 27 resolving 28 and 30 bioactivity 29 neuroprotective 30 bioactivity npd1 reduces aβ42 peptide release [from] aging human brain cells and is severely depleted in alzheimer 's disease ( ad ) [brain] . 0 ###LEFT-WALL### 1 npd1 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 23 . 1 npd1 11 and 2 reduces 10 cells 2 reduces 11 and 3 aβ42 7 aging 4 peptide 7 aging 5 release 7 aging 7 aging 9 brain 8 human 9 brain 9 brain 10 cells 11 and 12 is 11 and 15 in 12 is 14 depleted 13 severely 14 depleted 15 in 18 disease 16 alzheimer 17 's 17 's 18 disease 18 disease 20 ad 19 ( 20 ad 20 ad 21 ) we also show that npd1 downregulates aβ42 - triggered expression of the pro - inflammatory enzyme cyclooxygenase - 2 ( cox - 2 ) and of b - 94 ( a tnf - α - inducible pro - inflammatory element [ )( apoptosis in hng cells . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 8 - 1 we 3 show 2 also 3 show 3 show 4 that 4 that 5 npd1 4 that 6 downregulates 5 npd1 6 downregulates 6 downregulates 7 aβ42 8 - 10 expression 8 - 14 - 9 triggered 10 expression 10 expression 11 of 11 of 13 pro 12 the 13 pro 14 - 17 cyclooxygenase 14 - 18 - 14 - 35 - 15 inflammatory 17 cyclooxygenase 16 enzyme 17 cyclooxygenase 18 - 21 cox 18 - 25 and 19 2 21 cox 20 ( 21 cox 21 cox 23 2 22 - 23 2 23 2 24 ) 25 and 29 94 25 and 34 α 26 of 27 b 26 of 29 94 28 - 29 94 29 94 32 tnf 29 94 34 α 30 ( 32 tnf 31 a 32 tnf 32 tnf 33 - 35 - 37 pro 35 - 38 - 35 - 47 . 36 inducible 37 pro 38 - 43 apoptosis 39 inflammatory 40 element 40 element 43 apoptosis 43 apoptosis 44 in 44 in 46 cells 45 hng 46 cells moreover , npd1 suppresses aβ42 peptide shedding by down - regulating β - secretase - 1 ( bace1 ) while activating the α - secretase adam10 and up - regulating sappα , thus shifting the cleavage of βapp holoenzyme from an amyloidogenic [into] [the] [non] - amyloidogenic pathway . 0 ###LEFT-WALL### 3 npd1 0 ###LEFT-WALL### 39 holoenzyme 0 ###LEFT-WALL### 49 . 1 moreover 2 , 1 moreover 3 npd1 3 npd1 4 suppresses 4 suppresses 7 shedding 4 suppresses 20 while 5 aβ42 7 shedding 6 peptide 7 shedding 7 shedding 8 by 7 shedding 16 1 8 by 14 secretase 9 down 12 β 9 down 13 - 9 down 14 secretase 10 - 12 β 11 regulating 12 β 12 β 13 - 15 - 16 1 16 1 18 bace1 16 1 19 ) 17 ( 18 bace1 18 bace1 19 ) 20 while 21 activating 21 activating 25 secretase 22 the 25 secretase 23 α 24 - 23 α 25 secretase 25 secretase 27 and 25 secretase 39 holoenzyme 26 adam10 27 and 27 and 31 sappα 27 and 32 , 27 and 34 shifting 27 and 37 of 27 and 39 holoenzyme 28 up 29 - 28 up 31 sappα 30 regulating 31 sappα 33 thus 34 shifting 34 shifting 36 cleavage 35 the 36 cleavage 37 of 38 βapp 39 holoenzyme 40 from 40 from 48 pathway 41 an 48 pathway 42 amyloidogenic 46 - 42 amyloidogenic 48 pathway 47 amyloidogenic 48 pathway use of the thiazolidinedione peroxisome proliferator - activated receptor gamma ( pparγ ) agonist rosiglitazone , the irreversible pparγ antagonist gw9662 , [and] overexpressing pparγ suggests that the npd1 - mediated down - regulation of bace1 and aβ42 peptide release is pparγ - dependent . 0 ###LEFT-WALL### 24 overexpressing 0 ###LEFT-WALL### 41 is 0 ###LEFT-WALL### 43 - 0 ###LEFT-WALL### 45 . 1 use 24 overexpressing 2 of 6 proliferator 2 of 13 ) 2 of 24 overexpressing 3 the 6 proliferator 4 thiazolidinedione 6 proliferator 5 peroxisome 6 proliferator 6 proliferator 10 gamma 7 - 10 gamma 8 activated 9 receptor 9 receptor 10 gamma 10 gamma 12 pparγ 10 gamma 13 ) 11 ( 12 pparγ 12 pparγ 13 ) 14 agonist 24 overexpressing 15 rosiglitazone 21 gw9662 15 rosiglitazone 24 overexpressing 16 , 21 gw9662 17 the 20 antagonist 18 irreversible 20 antagonist 19 pparγ 20 antagonist 20 antagonist 21 gw9662 21 gw9662 22 , 24 overexpressing 25 pparγ 24 overexpressing 40 release 24 overexpressing 41 is 25 pparγ 26 suggests 26 suggests 27 that 27 that 39 peptide 27 that 40 release 28 the 39 peptide 29 npd1 31 mediated 29 npd1 34 regulation 30 - 31 mediated 31 mediated 32 down 31 mediated 33 - 34 regulation 35 of 34 regulation 37 and 35 of 36 bace1 37 and 38 aβ42 37 and 39 peptide 41 is 42 pparγ 43 - 44 dependent in conclusion , npd1 bioactivity potently [down] regulates inflammatory signaling , amyloidogenic app cleavage and apoptosis , underscoring the potential of this lipid mediator to rescue human brain cells in early stages of neurodegenerations . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 35 . 1 in 2 conclusion 3 , 5 bioactivity 3 , 8 regulates 4 npd1 5 bioactivity 5 bioactivity 8 regulates 6 potently 8 regulates 8 regulates 15 and 8 regulates 25 to 9 inflammatory 10 signaling 9 inflammatory 11 , 11 , 14 cleavage 11 , 15 and 12 amyloidogenic 14 cleavage 13 app 14 cleavage 15 and 16 apoptosis 15 and 17 , 15 and 18 underscoring 15 and 21 of 18 underscoring 20 potential 19 the 20 potential 21 of 24 mediator 22 this 24 mediator 23 lipid 24 mediator 25 to 26 rescue 26 rescue 29 cells 27 human 29 cells 28 brain 29 cells 29 cells 30 in 30 in 32 stages 31 early 32 stages 32 stages 33 of 33 of 34 neurodegenerations none none purpose : age related [cataract] is the leading cause of blindness in the world today . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 18 . 1 none 2 none 1 none 6 related 1 none 8 is 2 none 3 purpose 2 none 5 age 2 none 6 related 3 purpose 4 : 4 : 5 age 8 is 11 cause 9 the 11 cause 10 leading 11 cause 11 cause 12 of 12 of 13 blindness 13 blindness 14 in 13 blindness 17 today 14 in 16 world 15 the 16 world the association between dna damage to the lens epithelium and the development of lens opacities has been reported in many studies . 0 ###LEFT-WALL### 2 association 0 ###LEFT-WALL### 18 reported 0 ###LEFT-WALL### 22 . 1 the 2 association 2 association 3 between 2 association 6 to 2 association 16 has 3 between 5 damage 4 dna 5 damage 6 to 10 and 7 the 9 epithelium 8 lens 9 epithelium 9 epithelium 10 and 10 and 12 development 10 and 13 of 11 the 12 development 13 of 15 opacities 14 lens 15 opacities 16 has 17 been 17 been 18 reported 18 reported 19 in 19 in 21 studies 20 many 21 studies polymorphisms of dna repair enzymes may affect repair efficiency and thereby lead to the development of age related [cataract] . 0 ###LEFT-WALL### 1 polymorphisms 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 20 . 1 polymorphisms 2 of 1 polymorphisms 5 enzymes 1 polymorphisms 7 affect 1 polymorphisms 10 and 2 of 3 dna 4 repair 5 enzymes 5 enzymes 6 may 6 may 7 affect 8 repair 9 efficiency 8 repair 10 and 10 and 12 lead 11 thereby 12 lead 12 lead 13 to 13 to 15 development 14 the 15 development 15 development 16 of 16 of 17 age 17 age 18 related xpd [genotype] was determined by amplification refractory mutation system ( arms ) while xrcc1 was genotyped using the pcr - rflp method . 0 ###LEFT-WALL### 1 xpd 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 23 . 1 xpd 3 was 3 was 4 determined 4 determined 5 by 4 determined 13 while 5 by 11 arms 6 amplification 7 refractory 7 refractory 8 mutation 8 mutation 9 system 9 system 11 arms 10 ( 11 arms 11 arms 12 ) 13 while 14 xrcc1 13 while 16 genotyped 14 xrcc1 15 was 15 was 16 genotyped 16 genotyped 17 using 17 using 22 method 18 the 22 method 19 pcr 21 rflp 20 - 21 rflp 21 rflp 22 method results : there was a significant difference between frequencies for xpd - 312 asn/asn [genotype] in cataract patients ( 21.6 % ) and healthy controls ( 13.2 % ; p=0.03 [,] or=1.97 , 95 % ci=1.06 - 3.63 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 p=0.03 2 : 3 there 2 : 4 was 2 : 29 ; 3 there 4 was 4 was 7 difference 4 was 8 between 5 a 7 difference 6 significant 7 difference 8 between 9 frequencies 9 frequencies 10 for 10 for 25 controls 11 xpd 14 asn/asn 11 xpd 23 and 12 - 14 asn/asn 13 312 14 asn/asn 14 asn/asn 16 in 14 asn/asn 22 ) 16 in 18 patients 17 cataract 18 patients 18 patients 21 % 19 ( 21 % 20 21.6 21 % 21 % 22 ) 23 and 24 healthy 23 and 25 controls 25 controls 28 % 26 ( 28 % 27 13.2 28 % 28 % 29 ; 29 ; 30 p=0.03 30 p=0.03 32 or=1.97 32 or=1.97 36 ci=1.06 33 , 36 ci=1.06 34 95 36 ci=1.06 35 % 36 ci=1.06 36 ci=1.06 38 3.63 36 ci=1.06 40 . 37 - 38 3.63 38 3.63 39 ) considering the types of cataract , xpd - 312 asn/asn [genotype] was found to be significantly different in patients with cortical ( 29 % ) type [in] comparison to controls ( 13.2 % ; p=0.03 , or=2.39 , 95 % ci=1.11 - 5.12 [ )( 0 ###LEFT-WALL### 1 considering 0 ###LEFT-WALL### 15 be 0 ###LEFT-WALL### 34 ; 0 ###LEFT-WALL### 45 )( 1 considering 4 of 1 considering 10 asn/asn 1 considering 12 was 2 the 4 of 3 types 4 of 4 of 5 cataract 4 of 7 xpd 6 , 7 xpd 7 xpd 8 - 9 312 10 asn/asn 12 was 13 found 13 found 14 to 14 to 15 be 15 be 16 significantly 15 be 17 different 17 different 18 in 17 different 20 with 18 in 19 patients 20 with 28 comparison 20 with 29 to 21 cortical 24 % 21 cortical 26 type 22 ( 24 % 23 29 24 % 24 % 25 ) 26 type 28 comparison 29 to 30 controls 30 controls 33 % 31 ( 33 % 32 13.2 33 % 33 % 34 ; 34 ; 37 or=2.39 34 ; 38 , 35 p=0.03 36 , 35 p=0.03 37 or=2.39 38 , 41 ci=1.11 38 , 42 - 39 95 41 ci=1.11 40 % 41 ci=1.11 42 - 43 5.12 no statistically significant difference was found for the genotypic and allelic distributions of the polymorphism in xrcc1 . 0 ###LEFT-WALL### 4 difference 0 ###LEFT-WALL### 6 found 0 ###LEFT-WALL### 18 . 1 no 4 difference 2 statistically 3 significant 3 significant 4 difference 4 difference 5 was 5 was 6 found 6 found 7 for 6 found 16 in 7 for 12 distributions 8 the 12 distributions 9 genotypic 10 and 10 and 11 allelic 10 and 12 distributions 12 distributions 13 of 13 of 15 polymorphism 14 the 15 polymorphism 16 in 17 xrcc1 the mdr interaction analysis revealed weak synergism between the markers xpd - asp312asn and xrcc1 - arg399gln contributing [to] cataract . 0 ###LEFT-WALL### 4 analysis 0 ###LEFT-WALL### 5 revealed 0 ###LEFT-WALL### 16 - 1 the 4 analysis 2 mdr 4 analysis 3 interaction 4 analysis 4 analysis 5 revealed 5 revealed 7 synergism 5 revealed 8 between 6 weak 7 synergism 8 between 11 xpd 9 the 10 markers 10 markers 11 xpd 11 xpd 14 and 12 - 14 and 13 asp312asn 14 and 14 and 15 xrcc1 14 and 16 - 16 - 20 cataract 16 - 21 . 17 arg399gln 18 contributing 18 contributing 20 cataract it also showed that the aa [genotype] of xpd - asp312asn polymorphism [when] present in combination with the ga [genotype] of xrcc1 [-] arg399gln had [a] fivefold and [with] [aa] [had] a fourfold risk for developing cataract . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 10 - 1 it 3 showed 2 also 3 showed 3 showed 4 that 3 showed 6 aa 5 the 6 aa 6 aa 8 of 8 of 9 xpd 10 - 12 polymorphism 11 asp312asn 12 polymorphism 12 polymorphism 14 present 12 polymorphism 17 with 14 present 15 in 15 in 16 combination 17 with 28 and 18 the 19 ga 19 ga 21 of 19 ga 28 and 21 of 22 xrcc1 22 xrcc1 24 arg399gln 22 xrcc1 25 had 24 arg399gln 25 had 25 had 27 fivefold 28 and 34 risk 28 and 38 . 32 a 34 risk 33 fourfold 34 risk 34 risk 35 for 35 for 36 developing 36 developing 37 cataract conclusions : the present study suggests that a polymorphism in xpd codon 312 may be associated with the development [of] maturity onset cataract . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 5 study 2 : 6 suggests 2 : 24 . 3 the 5 study 4 present 5 study 5 study 6 suggests 6 suggests 7 that 7 that 9 polymorphism 7 that 16 associated 8 a 9 polymorphism 9 polymorphism 10 in 9 polymorphism 14 may 10 in 12 codon 11 xpd 12 codon 12 codon 13 312 14 may 15 be 15 be 16 associated 16 associated 17 with 17 with 23 cataract 18 the 23 cataract 19 development 23 cataract 21 maturity 23 cataract 22 onset 23 cataract this is the first report on the association [of] xpd asp312asn polymorphism [with] maturity onset cataract . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 17 . 1 this 2 is 2 is 5 report 3 the 4 first 3 the 5 report 5 report 6 on 6 on 16 cataract 7 the 16 cataract 8 association 12 polymorphism 10 xpd 11 asp312asn 11 asp312asn 12 polymorphism 12 polymorphism 16 cataract 14 maturity 16 cataract 15 onset 16 cataract many families considering posthospital care options are ill - prepared [and] in need of guidance . 0 ###LEFT-WALL### 2 families 0 ###LEFT-WALL### 7 are 1 many 2 families 2 families 3 considering 2 families 7 are 3 considering 5 care 3 considering 6 options 4 posthospital 5 care 7 are 8 ill 8 ill 10 prepared 9 - 10 prepared 10 prepared 12 in 10 prepared 16 . 12 in 13 need 13 need 14 of 14 of 15 guidance they may not know the range of available options , the relative benefits of each , or have considered their therapeutic goals . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 17 or 0 ###LEFT-WALL### 23 . 1 they 17 or 2 may 3 not 2 may 4 know 2 may 17 or 4 know 6 range 5 the 6 range 6 range 7 of 7 of 9 options 8 available 9 options 9 options 13 benefits 10 , 13 benefits 11 the 13 benefits 12 relative 13 benefits 13 benefits 14 of 13 benefits 16 , 14 of 15 each 16 , 17 or 17 or 18 have 18 have 19 considered 19 considered 22 goals 20 their 22 goals 21 therapeutic 22 goals physicians should be informants , advocates , and facilitators of this big leap for their patients . 0 ###LEFT-WALL### 1 physicians 0 ###LEFT-WALL### 3 be 0 ###LEFT-WALL### 17 . 1 physicians 2 should 2 should 3 be 3 be 8 and 4 informants 5 , 5 , 6 advocates 5 , 8 and 7 , 8 and 8 and 9 facilitators 8 and 10 of 10 of 13 leap 11 this 13 leap 12 big 13 leap 13 leap 14 for 14 for 16 patients 15 their 16 patients making a good long - term care decision requires information and structure , but such decisions are often made under great time pressure as part of a hospital discharge . 0 ###LEFT-WALL### 1 making 0 ###LEFT-WALL### 9 requires 0 ###LEFT-WALL### 14 but 0 ###LEFT-WALL### 30 . 1 making 8 decision 1 making 9 requires 2 a 3 good 2 a 8 decision 3 good 6 term 4 long 5 - 4 long 6 term 6 term 8 decision 7 care 8 decision 9 requires 11 and 10 information 11 and 11 and 12 structure 13 , 14 but 14 but 16 decisions 14 but 19 made 15 such 16 decisions 16 decisions 17 are 17 are 19 made 18 often 19 made 19 made 20 under 19 made 24 as 20 under 23 pressure 21 great 23 pressure 22 time 23 pressure 24 as 25 part 25 part 26 of 26 of 29 discharge 27 a 29 discharge 28 hospital 29 discharge professional intervention and guidance by an informed [but] disinterested facilitator may be needed , but hospital discharge planners may not be well suited for this role because their mandate is a rapid discharge . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 12 be 0 ###LEFT-WALL### 15 but 0 ###LEFT-WALL### 34 . 1 professional 2 intervention 2 intervention 3 and 3 and 4 guidance 3 and 5 by 3 and 11 may 5 by 10 facilitator 6 an 10 facilitator 7 informed 10 facilitator 9 disinterested 10 facilitator 11 may 12 be 12 be 13 needed 14 , 15 but 15 but 18 planners 15 but 21 be 16 hospital 17 discharge 17 discharge 18 planners 18 planners 19 may 19 may 20 not 19 may 21 be 21 be 22 well 22 well 23 suited 23 suited 24 for 23 suited 27 because 24 for 26 role 25 this 26 role 27 because 29 mandate 27 because 30 is 28 their 29 mandate 29 mandate 30 is 30 is 33 discharge 31 a 32 rapid 31 a 33 discharge 32 rapid 33 discharge physicians have 2 crucial roles in these transitions : to ensure the seamless delivery of primary care and [to] advocate [for] and facilitate , however possible , better decision making . 0 ###LEFT-WALL### 1 physicians 0 ###LEFT-WALL### 2 have 0 ###LEFT-WALL### 9 : 1 physicians 2 have 2 have 5 roles 2 have 6 in 3 2 5 roles 4 crucial 5 roles 6 in 8 transitions 7 these 8 transitions 9 : 10 to 9 : 22 and 9 : 24 , 9 : 31 . 10 to 22 and 11 ensure 14 delivery 11 ensure 22 and 12 the 14 delivery 13 seamless 14 delivery 14 delivery 15 of 15 of 18 and 16 primary 17 care 17 care 18 and 18 and 20 advocate 22 and 23 facilitate 24 , 28 better 25 however 26 possible 26 possible 27 , 26 possible 28 better 28 better 30 making 29 decision 30 making physicians need at least a rudimentary knowledge of the array of options and the implications of each . 0 ###LEFT-WALL### 1 physicians 0 ###LEFT-WALL### 2 need 0 ###LEFT-WALL### 18 . 1 physicians 2 need 2 need 4 least 2 need 7 knowledge 3 at 4 least 5 a 6 rudimentary 5 a 7 knowledge 6 rudimentary 7 knowledge 7 knowledge 8 of 8 of 10 array 9 the 10 array 10 array 11 of 11 of 13 and 12 options 13 and 13 and 15 implications 13 and 16 of 14 the 15 implications 16 of 17 each even if the physician cannot serve as the planning facilitator , the physician should ensure that this task is done well . 0 ###LEFT-WALL### 13 physician 0 ###LEFT-WALL### 15 ensure 0 ###LEFT-WALL### 22 . 1 even 2 if 1 even 13 physician 2 if 4 physician 2 if 6 serve 3 the 4 physician 4 physician 5 cannot 5 cannot 6 serve 7 as 10 facilitator 7 as 11 , 7 as 13 physician 8 the 10 facilitator 9 planning 10 facilitator 12 the 13 physician 13 physician 14 should 14 should 15 ensure 15 ensure 16 that 16 that 18 task 16 that 19 is 17 this 18 task 18 task 19 is 19 is 20 done 20 done 21 well this review describes the range of options and the implications of each option for long - term care in the united states . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 describes 0 ###LEFT-WALL### 23 . 1 this 2 review 2 review 3 describes 3 describes 5 range 3 describes 14 for 3 describes 19 in 4 the 5 range 5 range 6 of 5 range 11 of 6 of 8 and 7 options 8 and 8 and 10 implications 9 the 10 implications 11 of 13 option 12 each 13 option 14 for 18 care 15 long 16 - 15 long 17 term 17 term 18 care 19 in 22 states 20 the 22 states 21 united 22 states it suggests the need for evaluating each patient 's care goals , family circumstances and resources , and clinical status to determine if more aggressive medical care might improve an individual 's clinical trajectory . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 suggests 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 35 . 1 it 2 suggests 2 suggests 4 need 2 suggests 5 for 3 the 4 need 5 for 6 evaluating 6 evaluating 11 goals 7 each 8 patient 8 patient 9 's 9 's 11 goals 10 care 11 goals 12 , 14 circumstances 12 , 15 and 13 family 14 circumstances 15 and 18 and 15 and 29 improve 16 resources 18 and 17 , 18 and 18 and 20 status 18 and 21 to 18 and 22 determine 18 and 29 improve 19 clinical 20 status 21 to 22 determine 22 determine 23 if 23 if 27 care 23 if 28 might 24 more 25 aggressive 25 aggressive 27 care 26 medical 27 care 27 care 28 might 29 improve 34 trajectory 30 an 31 individual 31 individual 32 's 32 's 34 trajectory 33 clinical 34 trajectory bace1 ( β - site β - amyloid precursor protein ( app ) - cleaving enzyme 1 ) mediates the first proteolytic cleavage of app , leading to amyloid β - [peptide] ( aβ ) production . 0 ###LEFT-WALL### 1 bace1 0 ###LEFT-WALL### 19 mediates 0 ###LEFT-WALL### 37 . 1 bace1 16 enzyme 1 bace1 19 mediates 2 ( 16 enzyme 3 β 6 β 3 β 16 enzyme 4 - 6 β 5 site 6 β 6 β 10 protein 6 β 14 - 7 - 10 protein 8 amyloid 10 protein 9 precursor 10 protein 10 protein 12 app 10 protein 13 ) 11 ( 12 app 12 app 13 ) 15 cleaving 16 enzyme 16 enzyme 17 1 16 enzyme 18 ) 19 mediates 23 cleavage 20 the 23 cleavage 21 first 23 cleavage 22 proteolytic 23 cleavage 23 cleavage 24 of 24 of 36 production 25 app 27 leading 25 app 34 aβ 25 app 36 production 26 , 27 leading 27 leading 28 to 27 leading 31 - 28 to 29 amyloid 29 amyloid 30 β 33 ( 34 aβ 34 aβ 35 ) it has been reported that [bace1] intracellular trafficking , in particular endosome - to [-] tgn sorting , is mediated by adaptor complexes , such as retromer and golgi - localized [γ] - ear - containing arf - binding proteins ( ggas ) . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 been 0 ###LEFT-WALL### 9 , 1 it 2 has 2 has 3 been 3 been 8 trafficking 4 reported 8 trafficking 5 that 7 intracellular 7 intracellular 8 trafficking 9 , 12 endosome 9 , 20 mediated 10 in 11 particular 11 particular 12 endosome 12 endosome 14 to 12 endosome 19 is 13 - 14 to 14 to 17 sorting 14 to 18 , 16 tgn 17 sorting 19 is 20 mediated 20 mediated 21 by 21 by 22 adaptor 22 adaptor 23 complexes 22 adaptor 34 ear 23 complexes 26 as 23 complexes 31 localized 23 complexes 34 ear 24 , 26 as 25 such 26 as 26 as 28 and 26 as 30 - 27 retromer 28 and 28 and 29 golgi 28 and 30 - 30 - 31 localized 31 localized 33 - 34 ear 36 containing 35 - 36 containing 36 containing 37 arf 36 containing 44 . 37 arf 39 binding 38 - 39 binding 39 binding 40 proteins 39 binding 43 ) 40 proteins 42 ggas 41 ( 42 ggas 42 ggas 43 ) here we investigated whether sortilin , a vps10p domain [-] sorting receptor believed to participate in retromer - mediated transport of select membrane cargoes , contributes to the subcellular trafficking and activity of bace1 . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 investigated 0 ###LEFT-WALL### 35 . 1 here 2 we 2 we 3 investigated 3 investigated 4 whether 4 whether 5 sortilin 4 whether 25 , 5 sortilin 12 receptor 5 sortilin 25 , 6 , 12 receptor 7 a 12 receptor 8 vps10p 9 domain 9 domain 12 receptor 11 sorting 12 receptor 12 receptor 13 believed 12 receptor 16 in 12 receptor 18 - 13 believed 14 to 13 believed 15 participate 14 to 15 participate 16 in 17 retromer 19 mediated 20 transport 19 mediated 25 , 20 transport 21 of 21 of 24 cargoes 22 select 23 membrane 23 membrane 24 cargoes 25 , 26 contributes 25 , 27 to 27 to 31 and 28 the 30 trafficking 29 subcellular 30 trafficking 30 trafficking 31 and 31 and 32 activity 31 and 33 of 33 of 34 bace1 our initial studies revealed increased levels of sortilin in post - [mortem] brain tissue of ad patients and that overexpression of sortilin leads to increased bace1 - mediated cleavage [of] app in cultured cells . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 4 revealed 0 ###LEFT-WALL### 35 . 1 our 3 studies 2 initial 3 studies 3 studies 4 revealed 4 revealed 6 levels 4 revealed 28 mediated 5 increased 6 levels 6 levels 7 of 6 levels 18 and 6 levels 28 mediated 7 of 8 sortilin 8 sortilin 9 in 9 in 10 post 11 - 18 and 13 brain 14 tissue 14 tissue 15 of 14 tissue 18 and 15 of 17 patients 16 ad 17 patients 18 and 20 overexpression 18 and 21 of 18 and 27 - 19 that 20 overexpression 21 of 23 leads 22 sortilin 23 leads 23 leads 24 to 24 to 26 bace1 25 increased 26 bace1 28 mediated 31 app 29 cleavage 31 app 31 app 32 in 32 in 34 cells 33 cultured 34 cells in contrast , rnai suppression of sortilin results in decreased bace1 - mediated cleavage [of] app . 0 ###LEFT-WALL### 2 contrast 0 ###LEFT-WALL### 13 mediated 0 ###LEFT-WALL### 17 . 1 in 2 contrast 2 contrast 5 suppression 2 contrast 13 mediated 3 , 5 suppression 4 rnai 5 suppression 5 suppression 6 of 5 suppression 12 - 6 of 8 results 7 sortilin 8 results 8 results 9 in 9 in 11 bace1 10 decreased 11 bace1 13 mediated 16 app 14 cleavage 16 app we also found that sortilin interacts with bace1 and that a sortilin construct lacking its cytoplasmic domain , which contains putative retromer sorting motifs , remains bound to bace1 . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 found 0 ###LEFT-WALL### 30 . 1 we 3 found 2 also 3 found 3 found 9 and 4 that 5 sortilin 4 that 6 interacts 4 that 9 and 5 sortilin 6 interacts 6 interacts 7 with 7 with 8 bace1 9 and 10 that 10 that 13 construct 10 that 26 remains 11 a 13 construct 12 sortilin 13 construct 13 construct 14 lacking 13 construct 26 remains 14 lacking 17 domain 15 its 17 domain 16 cytoplasmic 17 domain 17 domain 19 which 18 , 19 which 19 which 20 contains 19 which 25 , 20 contains 22 retromer 21 putative 22 retromer 22 retromer 23 sorting 23 sorting 24 motifs 26 remains 27 bound 27 bound 28 to 28 to 29 bace1 however , expression of this truncated sortilin redistributes bace1 from the trans - golgi network to the endosomes and substantially reduces the retrograde trafficking of bace1 . 0 ###LEFT-WALL### 3 expression 0 ###LEFT-WALL### 8 redistributes 0 ###LEFT-WALL### 13 - 1 however 2 , 1 however 3 expression 3 expression 4 of 3 expression 8 redistributes 4 of 7 sortilin 5 this 6 truncated 6 truncated 7 sortilin 8 redistributes 9 bace1 9 bace1 10 from 10 from 12 trans 11 the 12 trans 13 - 19 and 13 - 27 . 14 golgi 19 and 15 network 16 to 15 network 19 and 16 to 18 endosomes 17 the 18 endosomes 19 and 21 reduces 20 substantially 21 reduces 21 reduces 24 trafficking 22 the 24 trafficking 23 retrograde 24 trafficking 24 trafficking 25 of 25 of 26 bace1 site - directed mutagenesis and chimera experiments reveal that the cytoplasmic tail of sortilin , but not those from other vps10p domain receptors ( e.g [.] sorcs1b and sorla ) , plays a unique role in bace1 trafficking . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 8 reveal 0 ###LEFT-WALL### 39 . 1 site 2 - 1 site 5 and 3 directed 4 mutagenesis 4 mutagenesis 5 and 5 and 7 experiments 5 and 8 reveal 6 chimera 7 experiments 8 reveal 9 that 9 that 12 tail 9 that 32 plays 10 the 12 tail 11 cytoplasmic 12 tail 12 tail 13 of 12 tail 16 but 12 tail 32 plays 13 of 14 sortilin 15 , 16 but 16 but 17 not 16 but 18 those 16 but 31 , 18 those 19 from 18 those 28 and 19 from 23 receptors 20 other 23 receptors 21 vps10p 23 receptors 22 domain 23 receptors 24 ( 28 and 25 e.g 27 sorcs1b 27 sorcs1b 28 and 28 and 29 sorla 28 and 30 ) 32 plays 35 role 32 plays 36 in 33 a 35 role 34 unique 35 role 36 in 38 trafficking 37 bace1 38 trafficking our studies suggest a new function for sortilin as a modulator of bace1 retrograde trafficking and subsequent generation of aβ . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 21 . 1 our 2 studies 2 studies 3 suggest 3 suggest 6 function 3 suggest 14 retrograde 4 a 5 new 4 a 6 function 5 new 6 function 6 function 7 for 6 function 9 as 7 for 8 sortilin 9 as 11 modulator 10 a 11 modulator 11 modulator 12 of 12 of 13 bace1 14 retrograde 18 generation 15 trafficking 16 and 16 and 17 subsequent 16 and 18 generation 18 generation 19 of 19 of 20 aβ limited joint mobility is frequently observed in elderly people and in patients suffering from diabetes , who represent a growing segment of the population of western countries . 0 ###LEFT-WALL### 3 mobility 0 ###LEFT-WALL### 6 observed 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 28 . 1 limited 3 mobility 2 joint 3 mobility 3 mobility 4 is 4 is 5 frequently 4 is 6 observed 6 observed 10 and 6 observed 14 from 7 in 9 people 7 in 10 and 8 elderly 9 people 10 and 11 in 11 in 12 patients 12 patients 13 suffering 14 from 15 diabetes 16 , 17 who 16 , 18 represent 17 who 18 represent 18 represent 21 segment 19 a 21 segment 20 growing 21 segment 21 segment 22 of 22 of 24 population 23 the 24 population 24 population 25 of 25 of 27 countries 26 western 27 countries our review wishes to offer the state of art about this interesting topic , which may have important clinical implications , leading to impairment of both basic and instrumental activities of daily living . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 wishes 1 our 2 review 2 review 3 wishes 3 wishes 4 to 3 wishes 5 offer 4 to 5 offer 5 offer 7 state 5 offer 10 about 5 offer 22 leading 6 the 7 state 7 state 8 of 8 of 9 art 10 about 13 topic 11 this 13 topic 12 interesting 13 topic 13 topic 15 which 14 , 15 which 15 which 16 may 15 which 21 , 16 may 17 have 17 have 20 implications 18 important 20 implications 19 clinical 20 implications 21 , 22 leading 22 leading 23 to 22 leading 30 activities 22 leading 34 . 23 to 24 impairment 24 impairment 25 of 25 of 26 both 27 basic 28 and 28 and 29 instrumental 28 and 30 activities 30 activities 31 of 31 of 33 living 32 daily 33 living the main causes of a reduced range of motion are degenerative joint diseases and increased stiffness of collagen tissue . 0 ###LEFT-WALL### 3 causes 0 ###LEFT-WALL### 10 are 0 ###LEFT-WALL### 20 . 1 the 2 main 1 the 3 causes 3 causes 4 of 3 causes 10 are 4 of 7 range 5 a 7 range 6 reduced 7 range 7 range 8 of 8 of 9 motion 10 are 14 and 11 degenerative 13 diseases 12 joint 13 diseases 13 diseases 14 and 14 and 16 stiffness 14 and 17 of 15 increased 16 stiffness 17 of 19 tissue 18 collagen 19 tissue the main biochemical abnormality , common to aging and diabetes , is the [non] [-] enzymatic glycosilation of collagen , with advanced glycation end product ( age ) formation , which in turn leads to an increase of collagen cross - links . 0 ###LEFT-WALL### 4 abnormality 0 ###LEFT-WALL### 5 , 1 the 2 main 1 the 4 abnormality 3 biochemical 4 abnormality 5 , 9 and 5 , 11 , 6 common 7 to 6 common 9 and 7 to 8 aging 9 and 10 diabetes 11 , 12 is 12 is 17 glycosilation 12 is 18 of 13 the 17 glycosilation 16 enzymatic 17 glycosilation 18 of 19 collagen 19 collagen 21 with 19 collagen 31 which 20 , 21 with 21 with 25 product 21 with 29 formation 21 with 30 , 22 advanced 23 glycation 23 glycation 25 product 24 end 25 product 25 product 27 age 26 ( 27 age 27 age 28 ) 30 , 31 which 31 which 33 turn 31 which 34 leads 31 which 43 . 32 in 33 turn 34 leads 35 to 34 leads 40 cross 35 to 37 increase 36 an 37 increase 37 increase 38 of 38 of 39 collagen 40 cross 42 links 41 - 42 links 42 links 43 . the most extensive accumulation of ages occurs in tissues that contain proteins with low [turnover] , such as the collagen in the extracellular matrix of articular [capsule] , ligaments and muscle - tendon units . 0 ###LEFT-WALL### 2 most 0 ###LEFT-WALL### 14 low 0 ###LEFT-WALL### 35 . 1 the 2 most 2 most 4 accumulation 2 most 13 with 2 most 14 low 3 extensive 4 accumulation 4 accumulation 5 of 4 accumulation 7 occurs 5 of 6 ages 7 occurs 8 in 7 occurs 13 with 8 in 9 tissues 9 tissues 10 that 9 tissues 11 contain 10 that 11 contain 11 contain 12 proteins 14 low 18 as 14 low 34 units 16 , 18 as 17 such 18 as 18 as 30 and 18 as 32 - 19 the 20 collagen 20 collagen 21 in 20 collagen 30 and 21 in 24 matrix 22 the 24 matrix 23 extracellular 24 matrix 24 matrix 25 of 25 of 29 ligaments 26 articular 28 , 26 articular 29 ligaments 30 and 31 muscle 33 tendon 34 units the increase in collagen [cross] - linking alters the mechanical properties of these tissues with a decrease in elasticity and tensile strength , and an increase in mechanical stiffness . 0 ###LEFT-WALL### 2 increase 0 ###LEFT-WALL### 8 alters 0 ###LEFT-WALL### 30 . 1 the 2 increase 2 increase 3 in 2 increase 8 alters 3 in 7 linking 4 collagen 6 - 4 collagen 7 linking 8 alters 11 properties 8 alters 18 in 8 alters 27 in 9 the 11 properties 10 mechanical 11 properties 11 properties 12 of 12 of 14 tissues 13 these 14 tissues 14 tissues 15 with 15 with 17 decrease 16 a 17 decrease 18 in 24 and 19 elasticity 20 and 20 and 22 strength 20 and 24 and 21 tensile 22 strength 23 , 24 and 24 and 26 increase 25 an 26 increase 27 in 29 stiffness 28 mechanical 29 stiffness besides this , ages react with specific cell surface receptors ( rages ) . 0 ###LEFT-WALL### 4 ages 0 ###LEFT-WALL### 5 react 0 ###LEFT-WALL### 14 . 1 besides 2 this 1 besides 3 , 1 besides 4 ages 4 ages 5 react 5 react 6 with 6 with 10 receptors 7 specific 8 cell 8 cell 10 receptors 9 surface 10 receptors 10 receptors 12 rages 11 ( 12 rages 12 rages 13 ) the engagement of the [ligand] [by] rages triggers cell - [specific] signalling , resulting in enhanced generation of reactive oxygen species and sustained up - regulation of pro [-] inflammatory mediators and adhesion molecules . 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 35 . 1 the 2 engagement 2 engagement 3 of 2 engagement 14 resulting 2 engagement 22 and 3 of 9 cell 4 the 9 cell 7 rages 9 cell 8 triggers 9 cell 9 cell 12 signalling 10 - 12 signalling 12 signalling 13 , 14 resulting 15 in 15 in 17 generation 16 enhanced 17 generation 17 generation 18 of 18 of 21 species 19 reactive 20 oxygen 20 oxygen 21 species 22 and 26 regulation 22 and 27 of 23 sustained 26 regulation 24 up 25 - 24 up 26 regulation 27 of 32 and 28 pro 31 mediators 30 inflammatory 31 mediators 31 mediators 32 and 32 and 34 molecules 33 adhesion 34 molecules an appropriate control of the glucose levels and a diet rich in antioxidant agents are recommended in patients with diabetes . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 16 recommended 0 ###LEFT-WALL### 21 . 1 an 2 appropriate 1 an 3 control 2 appropriate 3 control 3 control 4 of 3 control 8 and 4 of 7 levels 5 the 7 levels 6 glucose 7 levels 8 and 10 diet 8 and 11 rich 8 and 15 are 9 a 10 diet 11 rich 12 in 12 in 14 agents 13 antioxidant 14 agents 15 are 16 recommended 16 recommended 17 in 16 recommended 19 with 17 in 18 patients 19 with 20 diabetes stretching and strengthening programmes are widely used , in order to prevent [and] to reduce joint stiffness , but the improvements with physiotherapy are little and short - lasting . 0 ###LEFT-WALL### 4 programmes 0 ###LEFT-WALL### 7 used 0 ###LEFT-WALL### 19 but 1 stretching 2 and 2 and 3 strengthening 2 and 4 programmes 4 programmes 5 are 5 are 6 widely 5 are 7 used 7 used 9 in 8 , 9 in 9 in 10 order 9 in 18 , 10 order 11 to 10 order 12 prevent 11 to 12 prevent 12 prevent 14 to 14 to 15 reduce 15 reduce 17 stiffness 16 joint 17 stiffness 18 , 19 but 19 but 21 improvements 19 but 24 are 20 the 21 improvements 21 improvements 22 with 21 improvements 24 are 22 with 23 physiotherapy 24 are 26 and 25 little 26 and 26 and 27 short 27 short 29 lasting 28 - 29 lasting 29 lasting 30 . several drugs , which can interfere with age formation and removal , or with the cellular effects of ages [,] are under study [(] among [them] pyridoxamine , an active form of vitamin b6 , age - breaker compounds , glucosamine , rutin and derivatives , soluble rage isoforms , and statins ) . 0 ###LEFT-WALL### 2 drugs 0 ###LEFT-WALL### 3 , 1 several 2 drugs 3 , 4 which 3 , 12 , 4 which 5 can 5 can 6 interfere 6 interfere 7 with 7 with 10 and 8 age 9 formation 9 formation 10 and 10 and 11 removal 12 , 13 or 12 , 21 are 13 or 17 effects 14 with 16 cellular 14 with 17 effects 15 the 16 cellular 17 effects 18 of 17 effects 21 are 18 of 19 ages 21 are 22 under 21 are 25 among 22 under 23 study 25 among 27 pyridoxamine 27 pyridoxamine 31 form 27 pyridoxamine 37 - 28 , 31 form 29 an 31 form 30 active 31 form 31 form 32 of 31 form 35 , 32 of 34 b6 33 vitamin 34 b6 35 , 37 - 36 age 37 - 37 - 44 and 38 breaker 39 compounds 39 compounds 40 , 40 , 41 glucosamine 40 , 42 , 42 , 43 rutin 42 , 44 and 44 and 45 derivatives 44 and 46 , 44 and 51 and 46 , 51 and 47 soluble 49 isoforms 48 rage 49 isoforms 49 isoforms 51 and 50 , 51 and 51 and 52 statins 51 and 53 ) 51 and 54 . in experimental animal models , these drugs are effective in reducing diabetic complications due to age formation ; however , further study is necessary before their extensive use in the clinical setting . 0 ###LEFT-WALL### 7 drugs 0 ###LEFT-WALL### 8 are 0 ###LEFT-WALL### 18 ; 0 ###LEFT-WALL### 33 . 1 in 4 models 1 in 5 , 1 in 7 drugs 2 experimental 3 animal 3 animal 4 models 6 these 7 drugs 7 drugs 8 are 8 are 9 effective 9 effective 10 in 9 effective 15 to 10 in 11 reducing 11 reducing 13 complications 12 diabetic 13 complications 14 due 15 to 15 to 17 formation 16 age 17 formation 18 ; 22 study 18 ; 23 is 19 however 20 , 19 however 22 study 21 further 22 study 22 study 23 is 23 is 24 necessary 24 necessary 25 before 24 necessary 29 in 25 before 28 use 26 their 28 use 27 extensive 28 use 29 in 32 setting 30 the 32 setting 31 clinical 32 setting background [:] [falls] in the elderly is nowadays a major concern because of their consequences on elderly general health and moral states . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 23 . 1 background 4 in 1 background 7 is 4 in 6 elderly 5 the 6 elderly 7 is 8 nowadays 7 is 11 concern 7 is 13 of 7 is 16 on 9 a 10 major 9 a 11 concern 10 major 11 concern 12 because 13 of 13 of 15 consequences 14 their 15 consequences 16 on 20 and 17 elderly 19 health 18 general 19 health 19 health 20 and 20 and 22 states 21 moral 22 states moreover , the aging [of] the population and the increasing life expectancy make the prediction of falls more and more [important] . 0 ###LEFT-WALL### 4 aging 0 ###LEFT-WALL### 17 falls 0 ###LEFT-WALL### 22 . 1 moreover 2 , 1 moreover 4 aging 3 the 4 aging 4 aging 8 and 4 aging 16 of 4 aging 17 falls 6 the 7 population 7 population 8 and 8 and 12 expectancy 8 and 13 make 9 the 12 expectancy 10 increasing 11 life 11 life 12 expectancy 13 make 15 prediction 14 the 15 prediction 15 prediction 16 of 17 falls 19 and 18 more 19 and 19 and 20 more the analysis presented in this article makes a first step in this direction providing a way to analyze [gait] and classify hospitalized elderly fallers and [non] - faller . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 7 makes 0 ###LEFT-WALL### 25 and 0 ###LEFT-WALL### 29 . 1 the 2 analysis 2 analysis 3 presented 2 analysis 7 makes 3 presented 4 in 4 in 6 article 5 this 6 article 7 makes 9 first 7 makes 20 and 8 a 9 first 10 step 11 in 10 step 20 and 11 in 13 direction 12 this 13 direction 13 direction 14 providing 14 providing 16 way 15 a 16 way 16 way 17 to 16 way 18 analyze 17 to 18 analyze 20 and 21 classify 21 classify 24 fallers 22 hospitalized 24 fallers 23 elderly 24 fallers 25 and 27 - 25 and 28 faller 27 - 28 faller this tool , based on an accelerometer network and signal processing , gives objective informations about the gait and does not need any special gait laboratory as optical analysis do . 0 ###LEFT-WALL### 2 tool 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 31 . 1 this 2 tool 2 tool 4 based 2 tool 19 and 3 , 4 based 4 based 5 on 4 based 12 , 5 on 9 and 6 an 8 network 7 accelerometer 8 network 8 network 9 and 9 and 11 processing 10 signal 11 processing 13 gives 15 informations 13 gives 16 about 13 gives 19 and 14 objective 15 informations 16 about 18 gait 17 the 18 gait 19 and 20 does 20 does 21 not 20 does 22 need 22 need 30 do 23 any 30 do 24 special 30 do 25 gait 26 laboratory 26 laboratory 30 do 27 as 28 optical 28 optical 29 analysis 29 analysis 30 do the tool is also simple to use by a [non] expert [and] can therefore [be] widely used on a large set of patients . 0 ###LEFT-WALL### 2 tool 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 24 . 1 the 2 tool 2 tool 3 is 3 is 4 also 3 is 5 simple 5 simple 6 to 5 simple 7 use 6 to 7 use 7 use 8 by 7 use 18 on 8 by 13 can 9 a 13 can 11 expert 13 can 13 can 17 used 14 therefore 17 used 16 widely 17 used 18 on 21 set 19 a 20 large 19 a 21 set 20 large 21 set 21 set 22 of 22 of 23 patients method : a population of 20 hospitalized elderlies was asked to execute several classical clinical tests evaluating their risk of falling . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 4 population 2 : 12 execute 3 a 4 population 4 population 5 of 4 population 9 was 5 of 8 elderlies 6 20 8 elderlies 7 hospitalized 8 elderlies 9 was 10 asked 10 asked 11 to 11 to 12 execute 12 execute 16 tests 13 several 16 tests 14 classical 16 tests 15 clinical 16 tests 16 tests 17 evaluating 16 tests 20 of 17 evaluating 19 risk 18 their 19 risk 20 of 21 falling they were also asked if they experienced any fall in the last 12 months . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 4 asked 0 ###LEFT-WALL### 15 . 1 they 2 were 2 were 4 asked 3 also 4 asked 4 asked 5 if 5 if 6 they 5 if 7 experienced 6 they 7 experienced 7 experienced 9 fall 7 experienced 10 in 8 any 9 fall 10 in 14 months 11 the 12 last 11 the 13 12 13 12 14 months the accelerations of the limbs were recorded during the clinical tests with an accelerometer network distributed on the body . 0 ###LEFT-WALL### 2 accelerations 0 ###LEFT-WALL### 7 recorded 0 ###LEFT-WALL### 20 . 1 the 2 accelerations 2 accelerations 3 of 2 accelerations 6 were 3 of 5 limbs 4 the 5 limbs 6 were 7 recorded 7 recorded 8 during 7 recorded 12 with 8 during 11 tests 9 the 11 tests 10 clinical 11 tests 12 with 15 network 13 an 14 accelerometer 13 an 15 network 14 accelerometer 15 network 15 network 16 distributed 16 distributed 17 on 17 on 19 body 18 the 19 body a total of 67 features were extracted from the accelerometric signal recorded during a simple 25 m [walking] test at comfort speed . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 7 extracted 0 ###LEFT-WALL### 23 . 1 a 2 total 2 total 3 of 2 total 6 were 3 of 5 features 4 67 5 features 6 were 7 extracted 7 extracted 8 from 8 from 11 signal 9 the 11 signal 10 accelerometric 11 signal 11 signal 12 recorded 12 recorded 13 during 12 recorded 20 at 13 during 19 test 14 a 15 simple 14 a 19 test 15 simple 19 test 16 25 17 m 17 m 19 test 20 at 22 speed 21 comfort 22 speed a feature selection algorithm was used to select those able to classify subjects at risk and not at risk for several classification algorithms types . 0 ###LEFT-WALL### 4 algorithm 0 ###LEFT-WALL### 6 used 0 ###LEFT-WALL### 25 . 1 a 4 algorithm 2 feature 3 selection 3 selection 4 algorithm 4 algorithm 5 was 5 was 6 used 6 used 7 to 6 used 8 select 7 to 8 select 8 select 9 those 8 select 20 for 9 those 10 able 10 able 11 to 10 able 12 classify 11 to 12 classify 12 classify 13 subjects 13 subjects 16 and 14 at 15 risk 14 at 16 and 16 and 17 not 16 and 18 at 18 at 19 risk 20 for 24 types 21 several 24 types 22 classification 24 types 23 algorithms 24 types results : the results showed that several classification algorithms were able to discriminate people from the two groups of interest : fallers and [non] - fallers hospitalized elderlies . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 results 2 : 13 discriminate 2 : 21 : 2 : 29 . 3 the 4 results 4 results 5 showed 5 showed 6 that 6 that 9 algorithms 6 that 10 were 7 several 9 algorithms 8 classification 9 algorithms 9 algorithms 10 were 10 were 11 able 11 able 12 to 12 to 13 discriminate 13 discriminate 14 people 13 discriminate 15 from 15 from 18 groups 16 the 17 two 17 two 18 groups 18 groups 19 of 19 of 20 interest 21 : 22 fallers 21 : 23 and 23 and 25 - 23 and 26 fallers 23 and 27 hospitalized 26 fallers 27 hospitalized 27 hospitalized 28 elderlies the classification performances of the used algorithms were compared . 0 ###LEFT-WALL### 3 performances 0 ###LEFT-WALL### 9 compared 0 ###LEFT-WALL### 10 . 1 the 3 performances 2 classification 3 performances 3 performances 4 of 3 performances 8 were 4 of 7 algorithms 5 the 7 algorithms 6 used 7 algorithms 8 were 9 compared moreover a subset of the 67 features was considered to be significantly different between the two groups using a [t] [-] test . 0 ###LEFT-WALL### 3 subset 0 ###LEFT-WALL### 9 considered 0 ###LEFT-WALL### 23 . 1 moreover 3 subset 2 a 3 subset 3 subset 4 of 3 subset 8 was 4 of 7 features 5 the 6 67 6 67 7 features 8 was 9 considered 9 considered 10 to 9 considered 11 be 10 to 11 be 11 be 12 significantly 11 be 13 different 13 different 14 between 14 between 17 groups 15 the 16 two 16 two 17 groups 17 groups 18 using 18 using 22 test 19 a 22 test conclusions : this study gives a method to classify a population of hospitalized elderlies in two groups [:] at risk of falling or not at risk based on accelerometric data . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 2 : 4 study 2 : 9 classify 3 this 4 study 4 study 5 gives 5 gives 7 method 5 gives 8 to 6 a 7 method 8 to 9 classify 9 classify 11 population 9 classify 15 in 9 classify 23 or 9 classify 28 on 10 a 11 population 11 population 12 of 12 of 14 elderlies 13 hospitalized 14 elderlies 15 in 17 groups 16 two 17 groups 19 at 20 risk 19 at 23 or 20 risk 21 of 21 of 22 falling 23 or 24 not 23 or 25 at 25 at 26 risk 26 risk 27 based 28 on 30 data 29 accelerometric 30 data this is a first step to design a risk of falling assessment [system] that could be used to provide the right treatment as soon as possible before the fall and its consequences . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 33 . 1 this 2 is 2 is 5 step 2 is 6 to 3 a 5 step 4 first 5 step 6 to 7 design 7 design 9 risk 7 design 18 to 7 design 19 provide 8 a 9 risk 9 risk 10 of 10 of 12 assessment 11 falling 12 assessment 12 assessment 14 that 12 assessment 15 could 14 that 15 could 15 could 16 be 16 be 17 used 18 to 19 provide 19 provide 22 treatment 19 provide 24 soon 19 provide 25 as 20 the 22 treatment 21 right 22 treatment 23 as 24 soon 25 as 30 and 26 possible 27 before 26 possible 30 and 27 before 29 fall 28 the 29 fall 30 and 32 consequences 31 its 32 consequences this tool could also be used to evaluate the risk several times during the revalidation procedure . 0 ###LEFT-WALL### 2 tool 0 ###LEFT-WALL### 6 used 0 ###LEFT-WALL### 17 . 1 this 2 tool 2 tool 3 could 3 could 5 be 4 also 5 be 5 be 6 used 6 used 7 to 6 used 8 evaluate 7 to 8 evaluate 8 evaluate 10 risk 8 evaluate 12 times 8 evaluate 13 during 9 the 10 risk 11 several 12 times 13 during 16 procedure 14 the 16 procedure 15 revalidation 16 procedure background : mesenchymal stem cells derived from adipose tissue ( adsc ) are multipotent stem cells , originated from the vascular - stromal compartment of fat tissue . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 14 multipotent 3 mesenchymal 4 stem 4 stem 5 cells 5 cells 6 derived 5 cells 7 from 5 cells 11 adsc 5 cells 13 are 7 from 9 tissue 8 adipose 9 tissue 10 ( 11 adsc 11 adsc 12 ) 13 are 14 multipotent 14 multipotent 16 cells 14 multipotent 18 originated 15 stem 16 cells 17 , 18 originated 18 originated 19 from 18 originated 28 . 19 from 24 compartment 20 the 24 compartment 21 vascular 22 - 21 vascular 24 compartment 23 stromal 24 compartment 24 compartment 25 of 25 of 27 tissue 26 fat 27 tissue adsc are used as an alternative cell source for many different cell therapies , however in ischemic cardiovascular diseases the therapeutic benefit was modest . 0 ###LEFT-WALL### 1 adsc 0 ###LEFT-WALL### 3 used 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 25 . 1 adsc 2 are 2 are 3 used 3 used 4 as 4 as 8 source 5 an 6 alternative 5 an 8 source 6 alternative 7 cell 7 cell 8 source 8 source 9 for 9 for 13 therapies 10 many 13 therapies 11 different 12 cell 12 cell 13 therapies 14 , 22 benefit 14 , 23 was 15 however 22 benefit 16 in 19 diseases 16 in 22 benefit 17 ischemic 19 diseases 18 cardiovascular 19 diseases 20 the 22 benefit 21 therapeutic 22 benefit 22 benefit 23 was 23 was 24 modest one of the reasons could be the use of autologous aged adsc , which recently were found to have impaired functions . 0 ###LEFT-WALL### 1 one 0 ###LEFT-WALL### 6 be 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 22 . 1 one 2 of 1 one 5 could 2 of 4 reasons 3 the 4 reasons 5 could 6 be 6 be 8 use 7 the 8 use 8 use 9 of 9 of 12 adsc 10 autologous 12 adsc 11 aged 12 adsc 13 , 14 which 13 , 17 found 14 which 16 were 15 recently 16 were 16 were 17 found 17 found 18 to 18 to 19 have 19 have 20 impaired 20 impaired 21 functions we therefore analysed the effects of age on age markers and angiogenic properties of adsc . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 analysed 0 ###LEFT-WALL### 16 . 1 we 3 analysed 2 therefore 3 analysed 3 analysed 5 effects 3 analysed 8 on 4 the 5 effects 5 effects 6 of 6 of 7 age 8 on 11 and 9 age 10 markers 10 markers 11 and 11 and 13 properties 11 and 14 of 12 angiogenic 13 properties 14 of 15 adsc hypoxic conditioning was investigated as a form of angiogenic stimulation . 0 ###LEFT-WALL### 2 conditioning 0 ###LEFT-WALL### 4 investigated 0 ###LEFT-WALL### 11 . 1 hypoxic 2 conditioning 2 conditioning 3 was 3 was 4 investigated 4 investigated 5 as 5 as 7 form 6 a 7 form 7 form 8 of 8 of 10 stimulation 9 angiogenic 10 stimulation methods : adsc were harvested from young ( 1 - 3 month ) , adult [(] 12 [month] [ )(and aged ( 18 - 24 month ) mice and cultured under normoxic ( 20 % ) [and] hypoxic ( 1 % ) conditions for 48 h . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 adsc 2 : 29 and 3 adsc 29 and 4 were 5 harvested 4 were 29 and 5 harvested 6 from 6 from 20 )(and 7 young 9 1 7 young 14 , 7 young 15 adult 8 ( 9 1 9 1 12 month 9 1 14 , 10 - 12 month 11 3 12 month 12 month 13 ) 15 adult 17 12 15 adult 20 )(and 20 )(and 28 mice 21 aged 23 18 21 aged 28 mice 22 ( 23 18 23 18 26 month 23 18 27 ) 24 - 26 month 25 24 26 month 26 month 27 ) 29 and 30 cultured 29 and 31 under 29 and 44 for 31 under 43 conditions 32 normoxic 35 % 32 normoxic 43 conditions 33 ( 35 % 34 20 35 % 35 % 36 ) 38 hypoxic 41 % 38 hypoxic 42 ) 38 hypoxic 43 conditions 39 ( 41 % 40 1 41 % 41 % 42 ) 44 for 46 h 45 48 46 h 46 h 47 . differences in proliferation [,] apoptosis and telomere length were assessed in addition to angiogenic properties of adsc . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 10 assessed 0 ###LEFT-WALL### 18 . 1 differences 2 in 1 differences 6 and 2 in 5 apoptosis 3 proliferation 5 apoptosis 6 and 8 length 6 and 9 were 7 telomere 8 length 9 were 10 assessed 10 assessed 11 in 10 assessed 13 to 11 in 12 addition 13 to 15 properties 14 angiogenic 15 properties 15 properties 16 of 16 of 17 adsc results : proliferation potential and telomere length were decreased in aged adsc compared to young adsc . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 17 . 1 results 2 : 2 : 4 potential 3 proliferation 4 potential 5 and 6 telomere 5 and 11 aged 6 telomere 7 length 6 telomere 10 in 6 telomere 11 aged 7 length 8 were 8 were 9 decreased 9 decreased 10 in 11 aged 12 adsc 12 adsc 13 compared 13 compared 14 to 14 to 16 adsc 15 young 16 adsc frequency of apoptotic cells was higher in aged adsc . 0 ###LEFT-WALL### 1 frequency 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 10 . 1 frequency 2 of 1 frequency 5 was 2 of 4 cells 3 apoptotic 4 cells 5 was 6 higher 6 higher 7 in 7 in 9 adsc 8 aged 9 adsc gene expression [of] pro - angiogenic factors including vascular endothelial growth factor ( vegf ) , placental growth factor ( plgf [ )(and hepatic growth factor ( hgf ) were down - regulated with age , which could be restored by hypoxia . 0 ###LEFT-WALL### 4 pro 0 ###LEFT-WALL### 5 - 1 gene 4 pro 2 expression 4 pro 5 - 12 factor 5 - 16 , 6 angiogenic 7 factors 7 factors 12 factor 8 including 12 factor 9 vascular 12 factor 10 endothelial 12 factor 11 growth 12 factor 12 factor 14 vegf 13 ( 14 vegf 14 vegf 15 ) 16 , 19 factor 17 placental 19 factor 18 growth 19 factor 19 factor 26 factor 19 factor 30 were 20 ( 26 factor 21 plgf 23 )(and 23 )(and 24 hepatic 23 )(and 25 growth 25 growth 26 factor 26 factor 28 hgf 26 factor 29 ) 27 ( 28 hgf 28 hgf 29 ) 30 were 31 down 30 were 33 regulated 32 - 33 regulated 33 regulated 34 with 33 regulated 41 by 33 regulated 43 . 34 with 35 age 34 with 40 restored 35 age 37 which 36 , 37 which 37 which 38 could 38 could 39 be 41 by 42 hypoxia transforming growth factor ( tgf - β ) increased in the old adsc but was reduced by hypoxia.expression of anti - angiogenic factors including thrombospondin - 1 ( tbs1 ) and plasminogen activator inhibitor - 1 ( pai - 1 ) did [increase] in old adsc , [but] [could] [be] reduced by hypoxic stimulation . 1 transforming 2 growth 2 growth 3 factor 3 factor 5 tgf 3 factor 14 but 4 ( 5 tgf 5 tgf 7 β 5 tgf 8 ) 6 - 7 β 7 β 8 ) 9 increased 10 in 9 increased 13 adsc 9 increased 14 but 10 in 12 old 11 the 12 old 14 but 15 was 15 was 16 reduced 16 reduced 17 by 17 by 18 hypoxia.expression 18 hypoxia.expression 19 of 19 of 31 and 20 anti 21 - 20 anti 23 factors 22 angiogenic 23 factors 23 factors 24 including 23 factors 31 and 24 including 25 thrombospondin 25 thrombospondin 27 1 26 - 27 1 27 1 29 tbs1 27 1 30 ) 28 ( 29 tbs1 29 tbs1 30 ) 31 and 34 inhibitor 31 and 35 - 31 and 36 1 31 and 42 did 32 plasminogen 33 activator 33 activator 34 inhibitor 36 1 38 pai 36 1 42 did 37 ( 38 pai 38 pai 40 1 38 pai 41 ) 39 - 40 1 40 1 41 ) 42 did 44 in 42 did 51 reduced 44 in 46 adsc 45 old 46 adsc 47 , 51 reduced 51 reduced 52 by 51 reduced 55 . 52 by 54 stimulation 53 hypoxic 54 stimulation endostatin ( ends ) was the highest in aged adsc and was also down - regulated by hypoxia . 0 ###LEFT-WALL### 3 ends 0 ###LEFT-WALL### 11 and 1 endostatin 3 ends 2 ( 3 ends 3 ends 4 ) 3 ends 11 and 5 was 7 highest 5 was 11 and 6 the 7 highest 7 highest 8 in 8 in 10 adsc 9 aged 10 adsc 11 and 12 was 12 was 13 also 12 was 14 down 14 down 16 regulated 15 - 16 regulated 16 regulated 17 by 16 regulated 19 . 17 by 18 hypoxia we noted higher gene expression of proteases system factors like urokinase - type plasminogen activator receptor [(] upar ) , matrix metalloproteinases ( mmp2 and mmp9 ) and pai - 1 in aged adsc compared to young adsc , but they decreased in old adsc . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 noted 0 ###LEFT-WALL### 40 but 0 ###LEFT-WALL### 46 . 1 we 2 noted 2 noted 3 higher 2 noted 5 expression 2 noted 10 like 4 gene 5 expression 5 expression 6 of 6 of 9 factors 7 proteases 9 factors 8 system 9 factors 10 like 11 urokinase 11 urokinase 18 upar 11 urokinase 22 metalloproteinases 12 - 18 upar 13 type 16 receptor 14 plasminogen 16 receptor 15 activator 16 receptor 16 receptor 18 upar 18 upar 19 ) 20 , 22 metalloproteinases 21 matrix 22 metalloproteinases 22 metalloproteinases 28 and 22 metalloproteinases 39 , 23 ( 28 and 24 mmp2 25 and 25 and 26 mmp9 25 and 27 ) 25 and 28 and 28 and 29 pai 28 and 34 adsc 28 and 35 compared 28 and 39 , 30 - 31 1 31 1 32 in 32 in 34 adsc 33 aged 34 adsc 34 adsc 35 compared 35 compared 36 to 36 to 38 adsc 37 young 38 adsc 40 but 41 they 40 but 42 decreased 41 they 42 decreased 42 decreased 43 in 43 in 45 adsc 44 old 45 adsc tube formation on matrigel was higher in the presence of conditioned medium from young adsc in comparison [to] aged adsc . 0 ###LEFT-WALL### 1 tube 0 ###LEFT-WALL### 19 aged 0 ###LEFT-WALL### 21 . 1 tube 2 formation 1 tube 10 of 1 tube 11 conditioned 1 tube 19 aged 2 formation 3 on 2 formation 5 was 3 on 4 matrigel 5 was 6 higher 6 higher 7 in 7 in 9 presence 8 the 9 presence 9 presence 10 of 11 conditioned 12 medium 12 medium 13 from 12 medium 16 in 13 from 15 adsc 14 young 15 adsc 16 in 17 comparison 19 aged 20 adsc conclusions : adsc isolated from older animals show changes , including impaired proliferation and angiogenic stimulation . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 1 conclusions 2 : 2 : 3 adsc 2 : 5 from 3 adsc 4 isolated 5 from 14 and 6 older 7 animals 7 animals 9 changes 8 show 9 changes 9 changes 10 , 10 , 13 proliferation 10 , 14 and 11 including 12 impaired 12 impaired 13 proliferation 14 and 16 stimulation 15 angiogenic 16 stimulation angiogenic gene expression can be partially be improved by hypoxic preconditioning , however the effect is age - dependent . 0 ###LEFT-WALL### 3 expression 0 ###LEFT-WALL### 8 improved 0 ###LEFT-WALL### 20 . 1 angiogenic 3 expression 2 gene 3 expression 3 expression 4 can 4 can 5 be 5 be 7 be 6 partially 7 be 7 be 8 improved 8 improved 9 by 8 improved 13 however 8 improved 19 dependent 9 by 11 preconditioning 10 hypoxic 11 preconditioning 12 , 13 however 13 however 15 effect 13 however 16 is 13 however 18 - 14 the 15 effect 15 effect 16 is 16 is 17 age this supports the hypothesis that autologous adsc from aged subjects might have an impaired therapeutic potential . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 supports 0 ###LEFT-WALL### 17 . 1 this 2 supports 2 supports 4 hypothesis 3 the 4 hypothesis 4 hypothesis 5 that 5 that 7 adsc 5 that 12 have 6 autologous 7 adsc 7 adsc 8 from 7 adsc 11 might 8 from 10 subjects 9 aged 10 subjects 11 might 12 have 12 have 16 potential 13 an 16 potential 14 impaired 16 potential 15 therapeutic 16 potential objective : to study the alterations in hba ( 1c ) with advancing age in subjects with normal glucose tolerance . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 study 2 : 21 . 3 to 4 study 4 study 6 alterations 4 study 12 with 5 the 6 alterations 6 alterations 7 in 6 alterations 10 1c 7 in 8 hba 9 ( 10 1c 10 1c 11 ) 12 with 13 advancing 13 advancing 14 age 13 advancing 15 in 13 advancing 17 with 15 in 16 subjects 17 with 20 tolerance 18 normal 19 glucose 19 glucose 20 tolerance methods : community - based cross - sectional study involving 2368 subjects aged ≥ 20 years from chandigarh , india . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 21 . 1 methods 2 : 2 : 3 community 4 - 6 cross 4 - 7 - 4 - 19 , 5 based 6 cross 7 - 9 study 7 - 13 aged 8 sectional 9 study 9 study 10 involving 9 study 13 aged 10 involving 12 subjects 11 2368 12 subjects 13 aged 14 ≥ 13 aged 17 from 15 20 16 years 16 years 17 from 17 from 18 chandigarh 19 , 20 india all the subjects underwent an oral glucose tolerance test with 75 g anhydrous glucose and were classified as having normal glucose tolerance , pre - diabetes or diabetes according to world health organization 1999 criteria . 0 ###LEFT-WALL### 1 all 0 ###LEFT-WALL### 36 . 1 all 2 the 1 all 3 subjects 2 the 3 subjects 3 subjects 15 and 4 underwent 9 test 4 underwent 10 with 4 underwent 15 and 5 an 6 oral 5 an 9 test 6 oral 9 test 7 glucose 8 tolerance 8 tolerance 9 test 10 with 14 glucose 11 75 12 g 12 g 14 glucose 13 anhydrous 14 glucose 15 and 16 were 15 and 30 to 16 were 17 classified 17 classified 18 as 18 as 27 or 19 having 22 tolerance 20 normal 21 glucose 21 glucose 22 tolerance 22 tolerance 23 , 23 , 26 diabetes 23 , 27 or 24 pre 25 - 24 pre 26 diabetes 27 or 28 diabetes 29 according 30 to 30 to 35 criteria 31 world 32 health 32 health 35 criteria 33 organization 34 1999 33 organization 35 criteria hba ( 1c ) was measured on a national glycohemoglobin standardization program - certified bio - rad d - 10 system and the data were available for 1972 subjects . 0 ###LEFT-WALL### 1 hba 0 ###LEFT-WALL### 6 measured 0 ###LEFT-WALL### 13 - 1 hba 3 1c 1 hba 5 was 2 ( 3 1c 3 1c 4 ) 5 was 6 measured 6 measured 7 on 7 on 12 program 8 a 12 program 9 national 10 glycohemoglobin 10 glycohemoglobin 11 standardization 11 standardization 12 program 13 - 15 bio 13 - 16 - 13 - 30 . 14 certified 15 bio 16 - 21 system 16 - 22 and 17 rad 21 system 18 d 19 - 19 - 20 10 19 - 21 system 22 and 24 data 22 and 25 were 23 the 24 data 24 data 25 were 25 were 26 available 26 available 27 for 27 for 29 subjects 28 1972 29 subjects results : out of 1972 subjects , 1317 ( 67 % ) subjects had normal glucose tolerance . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 13 subjects 2 : 14 had 2 : 18 . 3 out 4 of 4 of 6 subjects 4 of 13 subjects 5 1972 6 subjects 6 subjects 8 1317 7 , 8 1317 8 1317 11 % 8 1317 12 ) 9 ( 11 % 10 67 11 % 11 % 12 ) 13 subjects 14 had 14 had 17 tolerance 15 normal 16 glucose 16 glucose 17 tolerance there was a significant positive correlation between mean hba ( 1c ) and age in these subjects ( r = 0.308 , p [(] [trend] [ )(< 0.001 ) . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 30 . 1 there 2 was 2 was 13 and 3 a 4 significant 3 a 6 correlation 4 significant 6 correlation 5 positive 6 correlation 6 correlation 7 between 6 correlation 13 and 7 between 9 hba 8 mean 9 hba 9 hba 11 1c 10 ( 11 1c 11 1c 12 ) 13 and 14 age 13 and 15 in 13 and 20 = 13 and 27 )(< 15 in 17 subjects 16 these 17 subjects 18 ( 20 = 19 r 20 = 20 = 21 0.308 22 , 27 )(< 23 p 27 )(< 27 )(< 28 0.001 27 )(< 29 ) the increase in hba ( 1c ) with each advancing year was 0.01 % above the age of 20 years and corrected hba ( 1c ) ( % [ )( age [was] 5.09 + 0.01 ( age ) . 0 ###LEFT-WALL### 2 increase 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 39 . 1 the 2 increase 2 increase 3 in 2 increase 8 with 2 increase 21 and 3 in 4 hba 4 hba 6 1c 5 ( 6 1c 6 1c 7 ) 8 with 11 year 9 each 11 year 10 advancing 11 year 12 was 14 % 12 was 21 and 13 0.01 14 % 14 % 15 above 15 above 17 age 16 the 17 age 17 age 18 of 18 of 20 years 19 20 20 years 21 and 22 corrected 21 and 23 hba 23 hba 25 1c 23 hba 34 + 24 ( 25 1c 25 1c 26 ) 27 ( 34 + 28 % 31 age 31 age 33 5.09 31 age 34 + 34 + 35 0.01 34 + 38 ) 35 0.01 37 age 36 ( 37 age 37 age 38 ) the 95th percentile of hba ( 1c ) exceeded 6.5 % ( 48 mmol/mol ) ( the american diabetes association cut - [off] for diagnosis of diabetes ) in subjects aged ≥ 70 years . 0 ###LEFT-WALL### 2 95th 0 ###LEFT-WALL### 32 ≥ 0 ###LEFT-WALL### 35 . 1 the 2 95th 2 95th 3 percentile 2 95th 9 exceeded 2 95th 32 ≥ 3 percentile 4 of 3 percentile 7 1c 3 percentile 9 exceeded 4 of 5 hba 6 ( 7 1c 7 1c 8 ) 9 exceeded 11 % 9 exceeded 29 in 10 6.5 11 % 11 % 14 mmol/mol 11 % 20 association 12 ( 14 mmol/mol 13 48 14 mmol/mol 14 mmol/mol 15 ) 16 ( 20 association 17 the 18 american 18 american 20 association 19 diabetes 20 association 20 association 21 cut 20 association 28 ) 21 cut 24 for 22 - 24 for 24 for 25 diagnosis 24 for 28 ) 25 diagnosis 26 of 26 of 27 diabetes 29 in 30 subjects 30 subjects 31 aged 32 ≥ 34 years 33 70 34 years on multivariate regression analysis , after adjusting for bmi , fasting plasma glucose and 2 - h plasma glucose post - glucose [load] , the correlation of hba ( 1c ) with age still remained significant ( r = 0.241 , p < 0.01 ) . 0 ###LEFT-WALL### 26 correlation 0 ###LEFT-WALL### 35 remained 0 ###LEFT-WALL### 46 . 1 on 4 analysis 1 on 24 , 1 on 26 correlation 2 multivariate 3 regression 3 regression 4 analysis 4 analysis 6 after 5 , 6 after 6 after 7 adjusting 6 after 24 , 7 adjusting 8 for 7 adjusting 20 post 8 for 14 and 9 bmi 10 , 10 , 13 glucose 10 , 14 and 11 fasting 12 plasma 12 plasma 13 glucose 14 and 18 plasma 15 2 16 - 16 - 17 h 16 - 18 plasma 19 glucose 20 post 20 post 22 glucose 21 - 22 glucose 22 glucose 24 , 25 the 26 correlation 26 correlation 27 of 26 correlation 32 with 26 correlation 35 remained 27 of 28 hba 28 hba 30 1c 29 ( 30 1c 30 1c 31 ) 32 with 33 age 34 still 35 remained 35 remained 36 significant 36 significant 39 = 36 significant 43 < 37 ( 39 = 38 r 39 = 39 = 40 0.241 39 = 41 , 42 p 43 < 43 < 44 0.01 43 < 45 ) conclusion : hba ( 1c ) increases with advancing age [independent] of glycaemia , suggesting caution when seeking to achieve the recommended hba ( 1c ) targets in the elderly population . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 32 . 1 conclusion 2 : 2 : 3 hba 3 hba 7 increases 4 ( 7 increases 5 1c 6 ) 5 1c 7 increases 7 increases 8 with 7 increases 12 of 7 increases 14 , 8 with 9 advancing 9 advancing 10 age 12 of 13 glycaemia 14 , 15 suggesting 14 , 27 targets 15 suggesting 16 caution 15 suggesting 17 when 15 suggesting 27 targets 17 when 18 seeking 18 seeking 19 to 18 seeking 20 achieve 19 to 20 achieve 20 achieve 23 hba 21 the 23 hba 22 recommended 23 hba 23 hba 25 1c 24 ( 25 1c 25 1c 26 ) 27 targets 28 in 27 targets 31 population 28 in 30 elderly 29 the 30 elderly the pathogenesis of alzheimer 's disease involves the progressive accumulation of amyloid β - protein ( aβ ) . 0 ###LEFT-WALL### 2 pathogenesis 0 ###LEFT-WALL### 12 amyloid 0 ###LEFT-WALL### 19 . 1 the 2 pathogenesis 2 pathogenesis 3 of 2 pathogenesis 6 disease 2 pathogenesis 11 of 2 pathogenesis 12 amyloid 3 of 5 's 4 alzheimer 5 's 6 disease 7 involves 7 involves 10 accumulation 8 the 10 accumulation 9 progressive 10 accumulation 10 accumulation 11 of 12 amyloid 15 protein 13 β 14 - 13 β 15 protein 15 protein 17 aβ 16 ( 17 aβ 17 aβ 18 ) recent studies using synthetic aβ peptides , a cell culture model , aβ precursor protein transgenic mice models suggest that pre - fibrillar forms of aβ are more deleterious than extracellular fibril forms . 0 ###LEFT-WALL### 1 recent 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 12 , 1 recent 2 studies 2 studies 3 using 2 studies 6 peptides 3 using 5 aβ 4 synthetic 5 aβ 6 peptides 11 model 7 , 11 model 8 a 11 model 9 cell 10 culture 10 culture 11 model 11 model 12 , 12 , 18 models 12 , 21 pre 12 , 22 - 13 aβ 18 models 14 precursor 15 protein 15 protein 18 models 16 transgenic 17 mice 17 mice 18 models 18 models 19 suggest 19 suggest 20 that 19 suggest 21 pre 22 - 24 forms 22 - 27 are 22 - 34 . 23 fibrillar 24 forms 24 forms 25 of 24 forms 27 are 25 of 26 aβ 27 are 28 more 27 are 29 deleterious 29 deleterious 30 than 30 than 33 forms 31 extracellular 33 forms 32 fibril 33 forms recent findings obtained using synthetic aβ peptides and human samples indicated that low - [n] oligomers ( from dimers to octamers ) may be proximate toxins [for] [neuron] and synapse . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 11 indicated 0 ###LEFT-WALL### 31 . 1 recent 2 findings 2 findings 3 obtained 2 findings 4 using 2 findings 8 and 4 using 7 peptides 5 synthetic 7 peptides 6 aβ 7 peptides 8 and 10 samples 8 and 11 indicated 9 human 10 samples 11 indicated 12 that 12 that 16 oligomers 12 that 29 and 13 low 14 - 13 low 16 oligomers 16 oligomers 18 from 16 oligomers 29 and 17 ( 18 from 18 from 19 dimers 18 from 22 ) 19 dimers 20 to 20 to 21 octamers 23 may 24 be 23 may 29 and 24 be 26 toxins 25 proximate 26 toxins 29 and 30 synapse here , we review the recent studies on the soluble oligomers , especially low - [n] oligomers in alzheimer 's disease . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 review 0 ###LEFT-WALL### 15 - 0 ###LEFT-WALL### 22 . 1 here 2 , 1 here 3 we 3 we 4 review 4 review 7 studies 4 review 8 on 5 the 7 studies 6 recent 7 studies 8 on 11 oligomers 9 the 11 oligomers 10 soluble 11 oligomers 11 oligomers 14 low 12 , 14 low 13 especially 14 low 14 low 15 - 15 - 17 oligomers 17 oligomers 18 in 18 in 21 disease 19 alzheimer 20 's 20 's 21 disease advancing age is the major risk factor for the development of cvd ( cardiovascular diseases ) . 0 ###LEFT-WALL### 1 advancing 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 17 . 1 advancing 2 age 1 advancing 3 is 3 is 7 factor 4 the 7 factor 5 major 7 factor 6 risk 7 factor 7 factor 8 for 8 for 10 development 9 the 10 development 10 development 11 of 11 of 12 cvd 12 cvd 15 diseases 13 ( 15 diseases 14 cardiovascular 15 diseases 15 diseases 16 ) this is attributable , in part [,] to the development of vascular endothelial dysfunction , as indicated by reduced peripheral artery edd ( endothelium - dependent dilation ) in response to chemical [ typically ach [(] [acetylcholine] ) ] [or] mechanical [(] intravascular [shear] ) stimuli . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 47 . 1 this 2 is 2 is 3 attributable 3 attributable 8 to 3 attributable 31 to 4 , 6 part 4 , 8 to 5 in 6 part 8 to 10 development 8 to 28 ) 9 the 10 development 10 development 11 of 10 development 18 by 11 of 14 dysfunction 12 vascular 14 dysfunction 13 endothelial 14 dysfunction 14 dysfunction 17 indicated 15 , 17 indicated 16 as 17 indicated 18 by 22 edd 19 reduced 22 edd 20 peripheral 21 artery 21 artery 22 edd 22 edd 24 endothelium 22 edd 27 dilation 23 ( 24 endothelium 24 endothelium 25 - 25 - 27 dilation 26 dependent 27 dilation 27 dilation 28 ) 29 in 30 response 30 response 31 to 31 to 46 stimuli 32 chemical 35 ach 32 chemical 39 ] 32 chemical 46 stimuli 33 [ 34 typically 33 [ 35 ach 35 ach 38 ) 41 mechanical 46 stimuli 43 intravascular 45 ) 43 intravascular 46 stimuli reduced bioavailability of the endothelium - synthesized dilating molecule no ( nitric oxide ) as a result of oxidative stress is the key mechanism mediating reduced edd with aging . 0 ###LEFT-WALL### 2 bioavailability 0 ###LEFT-WALL### 21 is 0 ###LEFT-WALL### 30 . 1 reduced 2 bioavailability 2 bioavailability 3 of 2 bioavailability 15 as 2 bioavailability 18 of 2 bioavailability 21 is 3 of 5 endothelium 4 the 5 endothelium 5 endothelium 10 no 6 - 10 no 7 synthesized 9 molecule 8 dilating 9 molecule 9 molecule 10 no 10 no 13 oxide 10 no 14 ) 11 ( 13 oxide 12 nitric 13 oxide 13 oxide 14 ) 15 as 17 result 16 a 17 result 18 of 20 stress 19 oxidative 20 stress 21 is 24 mechanism 22 the 24 mechanism 23 key 24 mechanism 24 mechanism 25 mediating 24 mechanism 29 aging 25 mediating 26 reduced 26 reduced 27 edd 26 reduced 28 with 28 with 29 aging vascular oxidative stress increases with age as a consequence of greater production of reactive oxygen species ( e.g [.] superoxide ) without a compensatory increase in antioxidant defences . 0 ###LEFT-WALL### 3 stress 0 ###LEFT-WALL### 4 increases 0 ###LEFT-WALL### 29 . 1 vascular 3 stress 2 oxidative 3 stress 3 stress 4 increases 4 increases 5 with 4 increases 7 as 4 increases 22 without 5 with 6 age 7 as 9 consequence 8 a 9 consequence 9 consequence 10 of 10 of 12 production 11 greater 12 production 12 production 13 of 12 production 20 superoxide 13 of 16 species 14 reactive 15 oxygen 15 oxygen 16 species 17 ( 20 superoxide 18 e.g 20 superoxide 20 superoxide 21 ) 22 without 25 increase 23 a 24 compensatory 23 a 25 increase 24 compensatory 25 increase 25 increase 26 in 26 in 28 defences 27 antioxidant 28 defences sources of increased superoxide production include up - regulation of the oxidant enzyme nadph oxidase , uncoupling of the [normally] no - producing enzyme , enos ( endothelial no synthase ) ( due to reduced availability of the cofactor tetrahydrobiopterin ) and increased mitochondrial synthesis during oxidative phosphorylation . 0 ###LEFT-WALL### 1 sources 0 ###LEFT-WALL### 49 . 1 sources 2 of 1 sources 42 and 2 of 5 production 3 increased 4 superoxide 4 superoxide 5 production 6 include 17 uncoupling 6 include 23 producing 6 include 42 and 7 up 9 regulation 7 up 16 , 7 up 17 uncoupling 8 - 9 regulation 9 regulation 10 of 9 regulation 16 , 10 of 15 oxidase 11 the 15 oxidase 12 oxidant 15 oxidase 13 enzyme 15 oxidase 14 nadph 15 oxidase 17 uncoupling 18 of 18 of 21 no 19 the 21 no 22 - 23 producing 23 producing 24 enzyme 23 producing 41 ) 24 enzyme 26 enos 25 , 26 enos 26 enos 30 synthase 26 enos 34 to 26 enos 41 ) 27 ( 30 synthase 28 endothelial 30 synthase 29 no 30 synthase 30 synthase 31 ) 32 ( 34 to 33 due 34 to 34 to 36 availability 34 to 41 ) 35 reduced 36 availability 36 availability 37 of 37 of 40 tetrahydrobiopterin 38 the 40 tetrahydrobiopterin 39 cofactor 40 tetrahydrobiopterin 42 and 43 increased 42 and 46 during 43 increased 45 synthesis 44 mitochondrial 45 synthesis 46 during 48 phosphorylation 47 oxidative 48 phosphorylation several lifestyle and biological factors modulate vascular endothelial function with aging , including regular aerobic exercise , dietary factors [(] e.g [.] processed compared [with] [non] - processed foods [ )(, body weight/fatness , vitamin d status , menopause/oestrogen deficiency and a number of conventional and [non] [-] conventional risk factors for cvd . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 6 modulate 0 ###LEFT-WALL### 12 , 1 several 2 lifestyle 2 lifestyle 3 and 3 and 5 factors 3 and 6 modulate 4 biological 5 factors 6 modulate 9 function 7 vascular 9 function 8 endothelial 9 function 9 function 10 with 10 with 11 aging 12 , 16 exercise 12 , 17 , 13 including 16 exercise 14 regular 16 exercise 15 aerobic 16 exercise 17 , 19 factors 17 , 24 compared 17 , 27 - 18 dietary 19 factors 19 factors 21 e.g 19 factors 23 processed 19 factors 24 compared 21 e.g 23 processed 27 - 29 foods 28 processed 29 foods 29 foods 33 weight/fatness 29 foods 37 status 29 foods 39 menopause/oestrogen 31 )(, 33 weight/fatness 32 body 33 weight/fatness 33 weight/fatness 34 , 34 , 37 status 35 vitamin 36 d 35 vitamin 37 status 37 status 38 , 39 menopause/oestrogen 41 and 40 deficiency 41 and 41 and 43 number 42 a 43 number 43 number 44 of 44 of 46 and 45 conventional 46 and 46 and 51 factors 46 and 54 . 49 conventional 51 factors 50 risk 51 factors 51 factors 52 for 52 for 53 cvd given the number of older adults now [and] in the future , more information is needed on effective strategies for the prevention and treatment of vascular endothelial aging . 0 ###LEFT-WALL### 14 information 0 ###LEFT-WALL### 16 needed 0 ###LEFT-WALL### 29 . 1 given 6 adults 1 given 7 now 1 given 9 in 1 given 12 , 1 given 14 information 2 the 3 number 3 number 4 of 3 number 6 adults 4 of 6 adults 5 older 6 adults 9 in 11 future 10 the 11 future 13 more 14 information 14 information 15 is 15 is 16 needed 16 needed 17 on 16 needed 20 for 17 on 19 strategies 18 effective 19 strategies 20 for 23 and 21 the 22 prevention 22 prevention 23 and 23 and 24 treatment 23 and 25 of 25 of 28 aging 26 vascular 28 aging 27 endothelial 28 aging although two main hypotheses of mitochondrial origin have been proposed , i.e . [,] the autogenous and the endosymbiotic , only the second is being seriously considered currently . 0 ###LEFT-WALL### 4 hypotheses 0 ###LEFT-WALL### 10 proposed 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 12 i.e 0 ###LEFT-WALL### 13 . 1 although 2 two 1 although 4 hypotheses 3 main 4 hypotheses 4 hypotheses 5 of 4 hypotheses 8 have 5 of 7 origin 6 mitochondrial 7 origin 8 have 9 been 9 been 10 proposed 11 , 12 i.e 13 . 17 and 13 . 20 , 13 . 27 considered 13 . 29 . 15 the 16 autogenous 16 autogenous 17 and 17 and 19 endosymbiotic 18 the 19 endosymbiotic 20 , 21 only 20 , 24 is 21 only 23 second 22 the 23 second 23 second 24 is 24 is 25 being 25 being 27 considered 26 seriously 27 considered 27 considered 28 currently the ['] hydrogen hypothesis ['] invokes metabolic symbiosis as the driving force for a symbiotic association [between] [an] anaerobic , [strictly] hydrogen - dependent ( the host ) [and] [an] eubacterium ( the symbiont [ )(that was able to respire , [but] which generated molecular hydrogen as an end product of anaerobic metabolism . 1 the 4 hypothesis 3 hydrogen 4 hypothesis 4 hypothesis 6 invokes 6 invokes 8 symbiosis 6 invokes 13 for 7 metabolic 8 symbiosis 8 symbiosis 9 as 9 as 12 force 10 the 12 force 11 driving 12 force 13 for 16 association 14 a 16 association 15 symbiotic 16 association 16 association 19 anaerobic 19 anaerobic 23 - 20 , 23 - 22 hydrogen 23 - 23 - 31 eubacterium 24 dependent 27 host 24 dependent 31 eubacterium 25 ( 27 host 26 the 27 host 27 host 28 ) 31 eubacterium 34 symbiont 31 eubacterium 43 which 32 ( 34 symbiont 33 the 34 symbiont 34 symbiont 36 )(that 34 symbiont 37 was 34 symbiont 38 able 34 symbiont 41 , 36 )(that 37 was 38 able 39 to 39 to 40 respire 41 , 43 which 43 which 44 generated 43 which 54 . 44 generated 46 hydrogen 44 generated 47 as 45 molecular 46 hydrogen 47 as 50 product 48 an 50 product 49 end 50 product 50 product 51 of 51 of 53 metabolism 52 anaerobic 53 metabolism the resulting proto - eukaryotic cell would have acquired the essentials of eukaryotic energy metabolism , evolving not only aerobic respiration , but also the physiological cost of the oxygen consumption , i.e . [,] generation of reactive oxygen species ( ros ) and the associated oxidative damage . 0 ###LEFT-WALL### 6 cell 0 ###LEFT-WALL### 9 acquired 0 ###LEFT-WALL### 32 , 0 ###LEFT-WALL### 33 i.e 0 ###LEFT-WALL### 34 . 1 the 6 cell 2 resulting 6 cell 3 proto 4 - 3 proto 6 cell 5 eukaryotic 6 cell 6 cell 7 would 7 would 8 have 8 have 9 acquired 9 acquired 11 essentials 10 the 11 essentials 11 essentials 12 of 12 of 15 metabolism 13 eukaryotic 14 energy 14 energy 15 metabolism 15 metabolism 17 evolving 16 , 17 evolving 17 evolving 24 also 17 evolving 32 , 18 not 19 only 19 only 24 also 20 aerobic 21 respiration 21 respiration 24 also 22 , 24 also 23 but 24 also 24 also 27 cost 25 the 27 cost 26 physiological 27 cost 27 cost 28 of 28 of 31 consumption 29 the 31 consumption 30 oxygen 31 consumption 32 , 33 i.e 34 . 44 and 34 . 49 . 36 generation 37 of 36 generation 44 and 37 of 40 species 38 reactive 39 oxygen 39 oxygen 40 species 40 species 42 ros 41 ( 42 ros 42 ros 43 ) 44 and 48 damage 45 the 48 damage 46 associated 48 damage 47 oxidative 48 damage this is not the only price to pay for respiring oxygen : mitochondria [possess] nitric oxide ( no· ) for regulatory purposes but , in some instances it may react with superoxide anion radical to produce the toxic reactive nitrogen species ( rns ) , i.e . peroxynitrite anion , and the subsequent nitrosative damage . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 47 . 0 ###LEFT-WALL### 48 peroxynitrite 1 this 2 is 2 is 3 not 2 is 6 price 2 is 7 to 4 the 5 only 4 the 6 price 7 to 8 pay 8 pay 9 for 8 pay 46 i.e 9 for 10 respiring 10 respiring 11 oxygen 10 respiring 23 but 10 respiring 25 in 11 oxygen 12 : 12 : 16 oxide 12 : 20 for 12 : 23 but 13 mitochondria 16 oxide 15 nitric 16 oxide 16 oxide 18 no· 17 ( 18 no· 18 no· 19 ) 20 for 22 purposes 21 regulatory 22 purposes 24 , 25 in 25 in 27 instances 25 in 45 , 26 some 27 instances 27 instances 28 it 27 instances 36 produce 27 instances 43 rns 28 it 29 may 29 may 30 react 30 react 31 with 31 with 33 anion 31 with 34 radical 32 superoxide 33 anion 34 radical 35 to 35 to 36 produce 36 produce 41 species 37 the 41 species 38 toxic 40 nitrogen 39 reactive 40 nitrogen 40 nitrogen 41 species 42 ( 43 rns 43 rns 44 ) 47 . 48 peroxynitrite 48 peroxynitrite 51 and 49 anion 51 and 50 , 51 and 51 and 55 damage 51 and 56 . 52 the 55 damage 53 subsequent 55 damage 54 nitrosative 55 damage new [mitochondria] contain their own genome with a modified genetic code that is highly conserved among mammals . 0 ###LEFT-WALL### 3 contain 0 ###LEFT-WALL### 18 . 1 new 3 contain 3 contain 6 genome 3 contain 7 with 4 their 5 own 4 their 6 genome 7 with 11 code 8 a 11 code 9 modified 11 code 10 genetic 11 code 11 code 15 conserved 12 that 13 is 13 is 15 conserved 14 highly 15 conserved 15 conserved 16 among 16 among 17 mammals the transcription of certain mitochondrial genes may depend on the redox potential of the mitochondrial membrane . 0 ###LEFT-WALL### 2 transcription 0 ###LEFT-WALL### 8 depend 0 ###LEFT-WALL### 17 . 1 the 2 transcription 2 transcription 3 of 2 transcription 7 may 3 of 6 genes 4 certain 6 genes 5 mitochondrial 6 genes 7 may 8 depend 8 depend 9 on 9 on 12 potential 10 the 12 potential 11 redox 12 potential 12 potential 13 of 13 of 16 membrane 14 the 16 membrane 15 mitochondrial 16 membrane mitochondria [are] related to the life and death of cells . 0 ###LEFT-WALL### 1 mitochondria 0 ###LEFT-WALL### 3 related 0 ###LEFT-WALL### 11 . 1 mitochondria 3 related 3 related 4 to 4 to 7 and 5 the 6 life 6 life 7 and 7 and 8 death 7 and 9 of 9 of 10 cells they are involved in energy production and conservation , having an uncoupling mechanism to produce heat instead of atp , but they are also involved in programmed cell death . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 3 involved 0 ###LEFT-WALL### 21 but 0 ###LEFT-WALL### 30 . 1 they 2 are 2 are 3 involved 3 involved 4 in 4 in 7 and 5 energy 6 production 6 production 7 and 7 and 8 conservation 7 and 10 having 9 , 10 having 10 having 13 mechanism 10 having 14 to 10 having 20 , 11 an 13 mechanism 12 uncoupling 13 mechanism 14 to 15 produce 15 produce 16 heat 15 produce 18 of 17 instead 18 of 18 of 19 atp 21 but 22 they 21 but 25 involved 22 they 23 are 23 are 24 also 23 are 25 involved 25 involved 26 in 26 in 29 death 27 programmed 28 cell 28 cell 29 death [increasing] [evidence] suggest the participation of mitochondria in neurodegenerative and neuromuscular diseases involving alterations in both nuclear ( ndna ) [and] mitochondrial ( mtdna ) dna . 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 27 . 3 suggest 5 participation 3 suggest 15 in 4 the 5 participation 5 participation 6 of 6 of 7 mitochondria 7 mitochondria 8 in 7 mitochondria 13 involving 8 in 12 diseases 9 neurodegenerative 10 and 10 and 11 neuromuscular 10 and 12 diseases 13 involving 14 alterations 15 in 26 dna 16 both 26 dna 17 nuclear 19 ndna 17 nuclear 20 ) 17 nuclear 26 dna 18 ( 19 ndna 19 ndna 20 ) 22 mitochondrial 24 mtdna 22 mitochondrial 25 ) 22 mitochondrial 26 dna 23 ( 24 mtdna 24 mtdna 25 ) melatonin is a known powerful antioxidant and anti - inflammatory and increasing experimental and clinical evidence shows its beneficial effects against oxidative/nitrosative stress status , including that involving mitochondrial dysfunction . 0 ###LEFT-WALL### 1 melatonin 0 ###LEFT-WALL### 7 and 1 melatonin 2 is 2 is 6 antioxidant 3 a 6 antioxidant 4 known 6 antioxidant 5 powerful 6 antioxidant 7 and 16 evidence 7 and 17 shows 8 anti 9 - 8 anti 16 evidence 10 inflammatory 11 and 11 and 12 increasing 11 and 16 evidence 13 experimental 14 and 14 and 15 clinical 14 and 16 evidence 16 evidence 17 shows 17 shows 20 effects 17 shows 24 status 18 its 20 effects 19 beneficial 20 effects 20 effects 21 against 21 against 23 stress 22 oxidative/nitrosative 23 stress 24 status 26 including 25 , 26 including 26 including 27 that 26 including 31 . 27 that 28 involving 28 involving 30 dysfunction 29 mitochondrial 30 dysfunction this review summarizes the data and mechanisms of action of melatonin in relation to mitochondrial pathologies . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 summarizes 0 ###LEFT-WALL### 17 . 1 this 2 review 2 review 3 summarizes 3 summarizes 6 and 3 summarizes 14 to 4 the 5 data 5 data 6 and 6 and 7 mechanisms 6 and 8 of 8 of 9 action 9 action 10 of 10 of 11 melatonin 12 in 13 relation 13 relation 14 to 14 to 16 pathologies 15 mitochondrial 16 pathologies one early and prominent pathologic feature of alzheimer 's disease ( ad ) is the appearance of activated microglia in the vicinity of developing β - amyloid deposits . 0 ###LEFT-WALL### 6 feature 0 ###LEFT-WALL### 14 is 0 ###LEFT-WALL### 29 . 1 one 6 feature 2 early 3 and 3 and 4 prominent 3 and 6 feature 5 pathologic 6 feature 6 feature 7 of 6 feature 14 is 7 of 10 disease 8 alzheimer 9 's 9 's 10 disease 10 disease 12 ad 11 ( 12 ad 12 ad 13 ) 14 is 16 appearance 14 is 20 in 15 the 16 appearance 16 appearance 17 of 17 of 19 microglia 18 activated 19 microglia 20 in 22 vicinity 21 the 22 vicinity 22 vicinity 23 of 23 of 24 developing 24 developing 28 deposits 25 β 26 - 25 β 28 deposits 27 amyloid 28 deposits however , the precise role of microglia during the course of ad is still under discussion . 0 ###LEFT-WALL### 5 role 0 ###LEFT-WALL### 13 is 0 ###LEFT-WALL### 17 . 1 however 2 , 1 however 5 role 3 the 5 role 4 precise 5 role 5 role 6 of 5 role 13 is 6 of 7 microglia 7 microglia 8 during 8 during 10 course 9 the 10 course 10 course 11 of 11 of 12 ad 13 is 14 still 14 still 15 under 15 under 16 discussion microglia have been reported to degrade [and] clear β - amyloid , but they also can exert deleterious effects due to overwhelming inflammatory reactions . 0 ###LEFT-WALL### 13 but 0 ###LEFT-WALL### 25 . 1 microglia 13 but 2 have 3 been 2 have 13 but 3 been 4 reported 4 reported 5 to 4 reported 6 degrade 5 to 6 degrade 6 degrade 9 β 8 clear 9 β 9 β 11 amyloid 10 - 11 amyloid 11 amyloid 12 , 13 but 17 exert 14 they 16 can 15 also 16 can 16 can 17 exert 17 exert 19 effects 18 deleterious 19 effects 19 effects 20 due 20 due 21 to 21 to 22 overwhelming 22 overwhelming 24 reactions 23 inflammatory 24 reactions here , we demonstrate the occurrence of developing plaque populations with distinct amounts of associated microglia using time - dependent analyses of plaque morphology and the spatial distribution of microglia in an app/ps1 mouse model . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 demonstrate 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 36 . 1 here 2 , 1 here 3 we 3 we 4 demonstrate 4 demonstrate 6 occurrence 4 demonstrate 11 with 5 the 6 occurrence 6 occurrence 7 of 7 of 8 developing 8 developing 10 populations 9 plaque 10 populations 11 with 16 microglia 12 distinct 13 amounts 13 amounts 14 of 13 amounts 16 microglia 14 of 16 microglia 15 associated 16 microglia 16 microglia 17 using 17 using 18 time 19 - 25 and 20 dependent 21 analyses 21 analyses 22 of 21 analyses 25 and 22 of 24 morphology 23 plaque 24 morphology 25 and 28 distribution 25 and 29 of 25 and 31 in 26 the 28 distribution 27 spatial 28 distribution 29 of 30 microglia 31 in 35 model 32 an 35 model 33 app/ps1 34 mouse 34 mouse 35 model in addition to a population [of] larger plaques ( >700µm ( 2 ) ) [that] are occupied by a moderate contingent of microglial cells across the course of aging , a second type of small β - amyloid deposits [develops] ( ≤400µm ( 2 ) ) [in] [which] [the] plaque core is enveloped by a relatively large number of microglia . 1 in 2 addition 1 in 8 plaques 2 addition 3 to 3 to 5 population 4 a 5 population 7 larger 8 plaques 8 plaques 10 >700µm 8 plaques 16 are 9 ( 10 >700µm 10 >700µm 12 2 10 >700µm 14 ) 11 ( 12 2 12 2 13 ) 16 are 17 occupied 17 occupied 18 by 17 occupied 25 across 18 by 21 contingent 19 a 21 contingent 20 moderate 21 contingent 21 contingent 22 of 22 of 24 cells 23 microglial 24 cells 25 across 27 course 26 the 27 course 27 course 28 of 28 of 29 aging 29 aging 37 - 30 , 37 - 31 a 34 of 32 second 34 of 33 type 34 of 34 of 36 β 34 of 37 - 35 small 36 β 37 - 39 deposits 38 amyloid 39 deposits 39 deposits 50 plaque 41 ( 50 plaque 42 ≤400µm 44 2 42 ≤400µm 46 ) 42 ≤400µm 50 plaque 43 ( 44 2 44 2 45 ) 50 plaque 51 core 50 plaque 52 is 50 plaque 53 enveloped 50 plaque 54 by 50 plaque 61 . 51 core 52 is 54 by 60 microglia 55 a 58 number 56 relatively 57 large 57 large 58 number 58 number 59 of 58 number 60 microglia 59 of 60 microglia our analyses [indicate] that microglia are strongly activated early in the emergence of senile plaques , but that activation is diminished in the later stages of plaque evolution ( >150 days ) . 0 ###LEFT-WALL### 2 analyses 0 ###LEFT-WALL### 8 activated 0 ###LEFT-WALL### 17 but 0 ###LEFT-WALL### 33 . 1 our 2 analyses 2 analyses 4 that 2 analyses 5 microglia 2 analyses 6 are 4 that 5 microglia 6 are 7 strongly 6 are 8 activated 8 activated 9 early 9 early 10 in 10 in 12 emergence 11 the 12 emergence 12 emergence 13 of 13 of 15 plaques 14 senile 15 plaques 16 , 17 but 17 but 19 activation 17 but 21 diminished 18 that 19 activation 19 activation 20 is 20 is 21 diminished 21 diminished 22 in 22 in 25 stages 23 the 25 stages 24 later 25 stages 25 stages 26 of 26 of 28 evolution 27 plaque 28 evolution 28 evolution 31 days 29 ( 31 days 30 >150 31 days 31 days 32 ) these findings support the view that microglia serve to restrict the growth of senile plaques , and do so in a way that minimizes local inflammatory damage to other components of the brain . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 34 . 1 these 2 findings 2 findings 17 and 3 support 8 serve 3 support 9 to 3 support 17 and 4 the 8 serve 5 view 8 serve 6 that 7 microglia 7 microglia 8 serve 9 to 10 restrict 10 restrict 12 growth 11 the 12 growth 12 growth 13 of 13 of 15 plaques 14 senile 15 plaques 16 , 17 and 17 and 19 so 17 and 28 to 18 do 19 so 19 so 20 in 20 in 22 way 21 a 22 way 22 way 23 that 22 way 24 minimizes 23 that 24 minimizes 24 minimizes 27 damage 25 local 27 damage 26 inflammatory 27 damage 28 to 30 components 29 other 30 components 30 components 31 of 31 of 33 brain 32 the 33 brain none although religiousness [may] , to a certain extent , be expected to alleviate emotional suffering in the last week of life , some religious beliefs might also provoke emotional distress . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 12 expected 0 ###LEFT-WALL### 32 . 1 none 3 religiousness 1 none 11 be 1 none 12 expected 2 although 3 religiousness 3 religiousness 6 to 3 religiousness 11 be 5 , 6 to 6 to 9 extent 6 to 10 , 7 a 8 certain 7 a 9 extent 8 certain 9 extent 12 expected 13 to 12 expected 23 , 13 to 23 , 14 alleviate 16 suffering 14 alleviate 17 in 14 alleviate 23 , 15 emotional 16 suffering 17 in 20 week 18 the 20 week 19 last 20 week 20 week 21 of 21 of 22 life 23 , 29 provoke 24 some 26 beliefs 25 religious 26 beliefs 26 beliefs 27 might 27 might 29 provoke 28 also 29 provoke 29 provoke 31 distress 30 emotional 31 distress for the current study , after [-] death interviews with proxy respondents [of] deceased sample members of the longitudinal aging study amsterdam provided information on depressive mood [and] anxiety in the last week of life , as well as on the presence of a sense of peace at the approaching end of life . 0 ###LEFT-WALL### 12 respondents 0 ###LEFT-WALL### 14 deceased 1 for 4 study 1 for 5 , 1 for 12 respondents 2 the 4 study 3 current 4 study 6 after 8 death 6 after 9 interviews 6 after 12 respondents 8 death 9 interviews 9 interviews 10 with 10 with 11 proxy 12 respondents 14 deceased 14 deceased 16 members 14 deceased 37 as 15 sample 16 members 16 members 17 of 16 members 22 amsterdam 16 members 23 provided 17 of 21 study 18 the 21 study 19 longitudinal 20 aging 20 aging 21 study 22 amsterdam 23 provided 23 provided 24 information 24 information 25 on 24 information 30 in 24 information 34 of 25 on 29 anxiety 26 depressive 29 anxiety 27 mood 29 anxiety 30 in 33 week 31 the 33 week 32 last 33 week 34 of 35 life 36 , 37 as 37 as 38 well 37 as 54 . 38 well 39 as 38 well 48 at 38 well 52 of 39 as 40 on 40 on 42 presence 41 the 42 presence 42 presence 43 of 43 of 45 sense 44 a 45 sense 45 sense 46 of 46 of 47 peace 48 at 51 end 49 the 51 end 50 approaching 51 end 52 of 53 life proxy respondents also were asked about serious physical symptoms in the last week of life of the respondent , the respondent 's cognitive decline , and their estimate of the salience of religion for the sample member . 0 ###LEFT-WALL### 1 proxy 0 ###LEFT-WALL### 5 asked 0 ###LEFT-WALL### 38 . 2 respondents 4 were 3 also 4 were 4 were 5 asked 5 asked 6 about 5 asked 10 in 6 about 9 symptoms 7 serious 9 symptoms 8 physical 9 symptoms 10 in 13 week 11 the 12 last 11 the 13 week 13 week 14 of 13 week 16 of 13 week 29 of 14 of 15 life 16 of 26 and 17 the 18 respondent 18 respondent 19 , 19 , 24 decline 19 , 26 and 20 the 21 respondent 21 respondent 22 's 22 's 24 decline 23 cognitive 24 decline 25 , 26 and 26 and 28 estimate 27 their 28 estimate 29 of 31 salience 30 the 31 salience 31 salience 32 of 32 of 33 religion 33 religion 34 for 34 for 37 member 35 the 37 member 36 sample 37 member other characteristics were derived from the last interviews with the sample members [when] still alive : depressive symptoms , chronic diseases , religious affiliation , church attendance , belief in heaven , belief in hell , and salience of religion . 0 ###LEFT-WALL### 2 characteristics 0 ###LEFT-WALL### 4 derived 0 ###LEFT-WALL### 16 : 1 other 2 characteristics 2 characteristics 3 were 3 were 4 derived 4 derived 5 from 4 derived 9 with 4 derived 15 alive 5 from 8 interviews 6 the 7 last 6 the 8 interviews 9 with 12 members 9 with 14 still 10 the 12 members 11 sample 12 members 16 : 37 and 16 : 41 . 17 depressive 18 symptoms 18 symptoms 19 , 19 , 21 diseases 19 , 22 , 20 chronic 21 diseases 22 , 24 affiliation 22 , 25 , 23 religious 24 affiliation 25 , 27 attendance 25 , 28 , 26 church 27 attendance 28 , 29 belief 28 , 37 and 29 belief 30 in 30 in 31 heaven 31 heaven 33 belief 32 , 33 belief 33 belief 34 in 33 belief 36 , 34 in 35 hell 37 and 38 salience 37 and 39 of 39 of 40 religion none of the characteristics of religiousness was significantly associated with depressive mood [or] anxiety , as estimated by the proxy respondent . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 9 associated 0 ###LEFT-WALL### 22 . 1 none 2 of 1 none 7 was 2 of 4 characteristics 3 the 4 characteristics 4 characteristics 5 of 5 of 6 religiousness 7 was 9 associated 8 significantly 9 associated 9 associated 10 with 9 associated 18 by 10 with 14 anxiety 11 depressive 12 mood 12 mood 14 anxiety 14 anxiety 17 estimated 15 , 17 estimated 16 as 17 estimated 18 by 21 respondent 19 the 21 respondent 20 proxy 21 respondent a sense of peace , however , was predicted by higher church attendance , belief in hell ( among church - members ) , and the proxy 's estimate of the salience of religion . 0 ###LEFT-WALL### 2 sense 0 ###LEFT-WALL### 9 predicted 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 35 . 1 a 2 sense 2 sense 3 of 2 sense 8 was 3 of 4 peace 5 , 6 however 6 however 7 , 6 however 8 was 8 was 9 predicted 9 predicted 10 by 10 by 13 attendance 11 higher 12 church 12 church 13 attendance 14 , 25 and 15 belief 16 in 15 belief 25 and 16 in 17 hell 17 hell 19 among 18 ( 19 among 19 among 20 church 19 among 24 , 20 church 22 members 21 - 22 members 22 members 23 ) 24 , 25 and 25 and 29 estimate 25 and 30 of 26 the 27 proxy 27 proxy 28 's 28 's 29 estimate 30 of 32 salience 31 the 32 salience 32 salience 33 of 33 of 34 religion it can be concluded that religiousness did not affect depressive mood [or] anxiety in the last week of life in the current sample . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 4 concluded 0 ###LEFT-WALL### 24 . 1 it 2 can 2 can 3 be 3 be 4 concluded 4 concluded 5 that 5 that 6 religiousness 5 that 9 affect 6 religiousness 7 did 7 did 8 not 7 did 9 affect 9 affect 13 anxiety 9 affect 14 in 9 affect 20 in 10 depressive 11 mood 11 mood 13 anxiety 14 in 17 week 15 the 17 week 16 last 17 week 17 week 18 of 18 of 19 life 20 in 23 sample 21 the 23 sample 22 current 23 sample it is possible that religiousness supports a sense of peace , which may be a more [-] existential facet [of] mood and is [discussed] as relevant in the last phase of life and in palliative care . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 37 . 1 it 2 is 2 is 3 possible 3 possible 4 that 4 that 5 religiousness 4 that 6 supports 5 religiousness 6 supports 6 supports 8 sense 7 a 8 sense 8 sense 9 of 9 of 10 peace 11 , 12 which 11 , 22 and 12 which 22 and 13 may 14 be 13 may 22 and 14 be 21 mood 15 a 21 mood 16 more 18 existential 18 existential 21 mood 19 facet 21 mood 22 and 23 is 23 is 26 relevant 25 as 26 relevant 26 relevant 33 and 27 in 30 phase 27 in 33 and 28 the 30 phase 29 last 30 phase 30 phase 31 of 31 of 32 life 33 and 34 in 34 in 36 care 35 palliative 36 care objective : to determine the relative importance of familial , dietary , behavioral , psychological and social risk factors for predicting body mass index [(] bmi [ )(change , and onset of overweight and obesity among adolescent girls . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 determine 2 : 39 . 3 to 4 determine 4 determine 6 relative 5 the 6 relative 6 relative 7 importance 6 relative 19 factors 7 importance 8 of 7 importance 19 factors 8 of 18 risk 9 familial 10 , 9 familial 18 risk 11 dietary 12 , 12 , 13 behavioral 12 , 14 , 14 , 15 psychological 14 , 16 and 16 and 17 social 16 and 18 risk 19 factors 20 for 19 factors 36 among 20 for 21 predicting 21 predicting 30 and 22 body 23 mass 23 mass 24 index 24 index 28 )(change 26 bmi 28 )(change 28 )(change 30 and 29 , 30 and 30 and 31 onset 30 and 32 of 32 of 34 and 33 overweight 34 and 34 and 35 obesity 36 among 38 girls 37 adolescent 38 girls methods : data from the nhlbi growth and health study ( n = 2 150 [ )(, a longitudinal cohort of girls , were used to identify the most important predictors of change in bmi percentile between the ages of 9 and 19 years , and second [,] risk for becoming overweight and obese . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 data 3 data 4 from 4 from 8 and 5 the 7 growth 6 nhlbi 7 growth 7 growth 8 and 8 and 10 study 8 and 13 = 9 health 10 study 11 ( 13 = 12 n 13 = 13 = 14 2 14 2 15 150 14 2 24 were 14 2 25 used 15 150 20 cohort 15 150 24 were 17 )(, 20 cohort 18 a 20 cohort 19 longitudinal 20 cohort 20 cohort 21 of 20 cohort 23 , 21 of 22 girls 25 used 26 to 26 to 27 identify 27 identify 29 most 27 identify 31 predictors 28 the 29 most 30 important 31 predictors 31 predictors 32 of 32 of 33 change 33 change 34 in 33 change 40 of 34 in 35 bmi 35 bmi 36 percentile 36 percentile 37 between 37 between 39 ages 38 the 39 ages 40 of 46 and 41 9 42 and 42 and 43 19 42 and 44 years 44 years 46 and 45 , 46 and 46 and 49 risk 47 second 49 risk 49 risk 50 for 50 for 51 becoming 51 becoming 53 and 52 overweight 53 and 53 and 54 obese 53 and 55 . forty - one baseline predictors were assessed using a tree - based regression method ( random forest ) to rank the relative importance of risk factors . 0 ###LEFT-WALL### 1 forty 0 ###LEFT-WALL### 12 based 0 ###LEFT-WALL### 27 . 1 forty 4 baseline 1 forty 12 based 2 - 4 baseline 3 one 4 baseline 4 baseline 5 predictors 4 baseline 6 were 4 baseline 7 assessed 4 baseline 11 - 5 predictors 6 were 7 assessed 8 using 8 using 10 tree 9 a 10 tree 12 based 14 method 12 based 19 to 13 regression 14 method 14 method 17 forest 15 ( 17 forest 16 random 17 forest 17 forest 18 ) 19 to 20 rank 20 rank 23 importance 21 the 23 importance 22 relative 23 importance 23 importance 24 of 24 of 26 factors 25 risk 26 factors results : the five factors that best predicted change in bmi percentile ( p < 0.05 ) were related to family socio - economic position [(] income and parent education ) and drive to restrict eating and weight ( body dissatisfaction , drive for thinness and unhappiness [with] physical appearance ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 factors 2 : 9 change 2 : 19 related 2 : 23 - 3 the 5 factors 4 five 5 factors 5 factors 6 that 5 factors 8 predicted 5 factors 9 change 6 that 8 predicted 7 best 8 predicted 9 change 10 in 11 bmi 12 percentile 11 bmi 18 were 11 bmi 19 related 12 percentile 15 < 12 percentile 18 were 13 ( 15 < 14 p 15 < 15 < 16 0.05 15 < 17 ) 19 related 20 to 19 related 23 - 20 to 22 socio 21 family 22 socio 23 - 32 and 23 - 43 drive 23 - 52 . 24 economic 25 position 25 position 27 income 27 income 28 and 28 and 30 education 28 and 31 ) 28 and 32 and 29 parent 30 education 32 and 33 drive 32 and 34 to 32 and 35 restrict 32 and 43 drive 34 to 35 restrict 35 restrict 37 and 36 eating 37 and 37 and 38 weight 37 and 41 dissatisfaction 39 ( 41 dissatisfaction 40 body 41 dissatisfaction 41 dissatisfaction 42 , 43 drive 44 for 44 for 46 and 45 thinness 46 and 46 and 50 appearance 46 and 51 ) 47 unhappiness 50 appearance 49 physical 50 appearance the factors that were statistically significant ( p < 0.05 ) predictors of both [onset] of overweight and obesity were income , ineffectiveness and race . 0 ###LEFT-WALL### 2 factors 0 ###LEFT-WALL### 20 were 0 ###LEFT-WALL### 26 . 1 the 2 factors 2 factors 3 that 2 factors 4 were 2 factors 20 were 3 that 4 were 4 were 5 statistically 4 were 12 predictors 6 significant 9 < 6 significant 12 predictors 7 ( 9 < 8 p 9 < 9 < 10 0.05 9 < 11 ) 12 predictors 13 of 13 of 14 both 14 both 16 of 16 of 18 and 17 overweight 18 and 18 and 19 obesity 20 were 24 and 21 income 22 , 22 , 23 ineffectiveness 22 , 24 and 24 and 25 race conclusions : family socio - economic position and emotion regulation appeared as the top predictors of both bmi change and onset of overweight and obesity . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 - 1 conclusions 2 : 2 : 4 socio 3 family 4 socio 5 - 8 and 5 - 11 appeared 5 - 26 . 6 economic 7 position 7 position 8 and 8 and 10 regulation 8 and 11 appeared 9 emotion 10 regulation 11 appeared 12 as 12 as 15 predictors 13 the 14 top 13 the 15 predictors 15 predictors 16 of 15 predictors 22 of 16 of 20 and 17 both 20 and 18 bmi 19 change 19 change 20 and 20 and 21 onset 22 of 24 and 23 overweight 24 and 24 and 25 obesity our results build upon prior findings that policies to prevent the onset of obesity during adolescence be targeted towards girls from lower socio - economic position households . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 build 0 ###LEFT-WALL### 28 . 1 our 2 results 2 results 3 build 3 build 4 upon 4 upon 6 findings 5 prior 6 findings 6 findings 7 that 7 that 8 policies 7 that 18 targeted 8 policies 9 to 8 policies 10 prevent 8 policies 17 be 9 to 10 prevent 10 prevent 12 onset 10 prevent 15 during 11 the 12 onset 12 onset 13 of 13 of 14 obesity 15 during 16 adolescence 17 be 18 targeted 18 targeted 19 towards 18 targeted 21 from 19 towards 20 girls 21 from 27 households 22 lower 26 position 23 socio 24 - 23 socio 26 position 25 economic 26 position 26 position 27 households our findings also suggest several novel psychological factors including ineffectiveness as predictors of obesity during adolescence . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 4 suggest 0 ###LEFT-WALL### 17 . 1 our 2 findings 2 findings 4 suggest 3 also 4 suggest 4 suggest 8 factors 4 suggest 15 during 5 several 8 factors 6 novel 8 factors 7 psychological 8 factors 8 factors 9 including 9 including 10 ineffectiveness 9 including 11 as 11 as 12 predictors 12 predictors 13 of 13 of 14 obesity 15 during 16 adolescence these predictive findings offer a direction for future inquiry into adolescent obesity etiology using causal methods . 0 ###LEFT-WALL### 3 findings 0 ###LEFT-WALL### 4 offer 0 ###LEFT-WALL### 17 . 1 these 3 findings 2 predictive 3 findings 3 findings 4 offer 4 offer 6 direction 4 offer 10 into 5 a 6 direction 6 direction 7 for 7 for 9 inquiry 8 future 9 inquiry 10 into 13 etiology 11 adolescent 13 etiology 12 obesity 13 etiology 13 etiology 14 using 14 using 16 methods 15 causal 16 methods the present study examined the role of controlled attention in age differences in event [-] based prospective memory performance across adolescence . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 examined 0 ###LEFT-WALL### 22 . 1 the 3 study 2 present 3 study 3 study 4 examined 4 examined 6 role 4 examined 10 in 4 examined 13 in 5 the 6 role 6 role 7 of 7 of 9 attention 8 controlled 9 attention 10 in 12 differences 11 age 12 differences 13 in 19 performance 14 event 16 based 16 based 18 memory 17 prospective 18 memory 18 memory 19 performance 19 performance 20 across 20 across 21 adolescence the researchers tested whether presenting the prospective memory cue [in] or out of focal awareness of the ongoing task ( resulting in low [versus] high demands for controlled attention , respectively ) might affect age - related prospective memory performance . 0 ###LEFT-WALL### 2 researchers 0 ###LEFT-WALL### 3 tested 0 ###LEFT-WALL### 37 related 0 ###LEFT-WALL### 41 . 1 the 2 researchers 2 researchers 3 tested 3 tested 4 whether 4 whether 5 presenting 4 whether 34 affect 5 presenting 11 or 5 presenting 21 resulting 5 presenting 33 might 6 the 9 cue 7 prospective 8 memory 8 memory 9 cue 9 cue 11 or 11 or 12 out 11 or 13 of 13 of 15 awareness 14 focal 15 awareness 15 awareness 16 of 16 of 19 task 17 the 19 task 18 ongoing 19 task 20 ( 21 resulting 21 resulting 22 in 21 resulting 30 , 22 in 26 demands 23 low 26 demands 25 high 26 demands 26 demands 27 for 27 for 29 attention 28 controlled 29 attention 30 , 31 respectively 31 respectively 32 ) 31 respectively 33 might 33 might 34 affect 34 affect 35 age 36 - 37 related 37 related 40 performance 38 prospective 39 memory 39 memory 40 performance in total , 119 chinese participants ages 13 to 20 took part in this study ( 60 adolescents : age m = 13.26 years , sd = 0.50 ; 23 boys ; 59 young adults : age m = 19.70 years , sd = 0.87 ; 19 men [ )( 0 ###LEFT-WALL### 6 participants 0 ###LEFT-WALL### 12 part 0 ###LEFT-WALL### 19 : 1 in 2 total 2 total 3 , 2 total 6 participants 4 119 6 participants 5 chinese 6 participants 6 participants 7 ages 6 participants 11 took 6 participants 12 part 7 ages 9 to 7 ages 11 took 8 13 9 to 9 to 10 20 12 part 13 in 13 in 15 study 14 this 15 study 15 study 18 adolescents 16 ( 18 adolescents 17 60 18 adolescents 18 adolescents 19 : 19 : 20 age 19 : 25 , 20 age 22 = 21 m 22 = 22 = 24 years 22 = 25 , 23 13.26 24 years 25 , 26 sd 25 , 27 = 25 , 29 ; 26 sd 27 = 27 = 28 0.50 29 ; 31 boys 29 ; 32 ; 30 23 31 boys 32 ; 35 adults 32 ; 36 : 33 59 35 adults 34 young 35 adults 36 : 37 age 36 : 39 = 36 : 42 , 36 : 50 )( 37 age 39 = 38 m 39 = 39 = 41 years 40 19.70 41 years 42 , 43 sd 42 , 44 = 42 , 46 ; 43 sd 44 = 44 = 45 0.87 46 ; 48 men 47 19 48 men findings demonstrated a significant interaction [,] f ( 1 , 114 ) = 6.41 , p < [.] 05 . 0 ###LEFT-WALL### 1 findings 0 ###LEFT-WALL### 2 demonstrated 0 ###LEFT-WALL### 20 . 1 findings 2 demonstrated 2 demonstrated 5 interaction 2 demonstrated 13 = 3 a 4 significant 3 a 5 interaction 4 significant 5 interaction 5 interaction 7 f 5 interaction 9 1 5 interaction 11 114 5 interaction 13 = 8 ( 9 1 9 1 10 , 10 , 11 114 11 114 12 ) 13 = 14 6.41 14 6.41 17 < 15 , 17 < 16 p 17 < 17 < 19 05 no effect of age on prospective memory performance was revealed when a focal cue was used ( f < 1 ) , whereas there was a reliable age effect between adolescents and young adults when nonfocal prospective memory cues were presented , [f] ( 1 , 59 ) = 16.13 , p < [.] 01 . 0 ###LEFT-WALL### 2 effect 0 ###LEFT-WALL### 10 revealed 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 56 . 1 no 2 effect 2 effect 3 of 2 effect 8 performance 2 effect 9 was 2 effect 10 revealed 3 of 4 age 4 age 5 on 5 on 7 memory 6 prospective 7 memory 8 performance 9 was 10 revealed 11 when 10 revealed 19 < 11 when 14 cue 11 when 15 was 12 a 13 focal 12 a 14 cue 13 focal 14 cue 14 cue 15 was 15 was 16 used 17 ( 19 < 18 f 19 < 19 < 20 1 19 < 21 ) 22 , 29 effect 22 , 49 = 23 whereas 24 there 23 whereas 25 was 23 whereas 29 effect 24 there 25 was 25 was 28 age 26 a 27 reliable 26 a 28 age 27 reliable 28 age 29 effect 30 between 29 effect 35 when 29 effect 45 1 29 effect 49 = 30 between 32 and 31 adolescents 32 and 32 and 34 adults 33 young 34 adults 35 when 39 cues 35 when 41 presented 36 nonfocal 38 memory 37 prospective 38 memory 38 memory 39 cues 39 cues 40 were 40 were 41 presented 41 presented 42 , 44 ( 45 1 45 1 47 59 45 1 48 ) 46 , 47 59 47 59 48 ) 49 = 50 16.13 50 16.13 53 < 51 , 53 < 52 p 53 < 53 < 55 01 this pattern of results suggests that the interplay of both available resources of controlled attention and working memory , along with specific task demands , may contribute to possible age differences in prospective memory performance across adolescence . 0 ###LEFT-WALL### 2 pattern 0 ###LEFT-WALL### 5 suggests 0 ###LEFT-WALL### 38 . 1 this 2 pattern 2 pattern 3 of 2 pattern 5 suggests 3 of 4 results 5 suggests 6 that 6 that 8 interplay 6 that 27 contribute 7 the 8 interplay 8 interplay 9 of 8 interplay 13 of 8 interplay 21 with 8 interplay 26 may 9 of 12 resources 10 both 12 resources 11 available 12 resources 13 of 16 and 14 controlled 15 attention 15 attention 16 and 16 and 18 memory 17 working 18 memory 19 , 21 with 20 along 21 with 21 with 24 demands 21 with 25 , 22 specific 23 task 23 task 24 demands 26 may 27 contribute 27 contribute 28 to 27 contribute 32 in 28 to 31 differences 29 possible 30 age 30 age 31 differences 32 in 35 performance 33 prospective 35 performance 34 memory 35 performance 35 performance 36 across 36 across 37 adolescence results are discussed in the context of the multiprocess theory of prospective memory . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 3 discussed 0 ###LEFT-WALL### 14 . 1 results 2 are 2 are 3 discussed 3 discussed 4 in 4 in 6 context 5 the 6 context 6 context 7 of 7 of 10 theory 8 the 10 theory 9 multiprocess 10 theory 10 theory 11 of 11 of 13 memory 12 prospective 13 memory young children 's ability to tell a strategic lie by making it consistent with the physical evidence of their transgression was investigated along with the sociocognitive correlates [of] such lie [-] telling behaviors . 0 ###LEFT-WALL### 4 ability 0 ###LEFT-WALL### 27 correlates 0 ###LEFT-WALL### 34 . 1 young 2 children 2 children 3 's 3 's 4 ability 4 ability 5 to 4 ability 6 tell 4 ability 27 correlates 5 to 6 tell 6 tell 9 lie 6 tell 22 investigated 7 a 8 strategic 7 a 9 lie 8 strategic 9 lie 9 lie 10 by 9 lie 18 of 9 lie 21 was 10 by 11 making 11 making 12 it 11 making 13 consistent 13 consistent 14 with 14 with 17 evidence 15 the 17 evidence 16 physical 17 evidence 18 of 20 transgression 19 their 20 transgression 21 was 22 investigated 22 investigated 24 with 23 along 24 with 24 with 26 sociocognitive 25 the 26 sociocognitive 27 correlates 33 behaviors 29 such 33 behaviors 30 lie 33 behaviors 32 telling 33 behaviors in experiment 1 , 247 chinese children between 3 and 5 years of age ( 126 boys ) were left alone in a room and asked not to lift a cup to see the contents . 0 ###LEFT-WALL### 7 children 0 ###LEFT-WALL### 25 and 0 ###LEFT-WALL### 36 . 1 in 2 experiment 1 in 4 , 1 in 7 children 2 experiment 3 1 5 247 7 children 6 chinese 7 children 7 children 8 between 7 children 17 boys 7 children 19 were 8 between 12 years 9 3 10 and 10 and 11 5 10 and 12 years 12 years 13 of 13 of 14 age 15 ( 17 boys 16 126 17 boys 17 boys 18 ) 19 were 25 and 20 left 21 alone 20 left 22 in 20 left 25 and 22 in 24 room 23 a 24 room 25 and 26 asked 26 asked 28 to 26 asked 32 to 26 asked 33 see 27 not 28 to 28 to 29 lift 29 lift 31 cup 30 a 31 cup 32 to 33 see 33 see 35 contents 34 the 35 contents if children lifted up the cup , the contents would be spilled and evidence of their transgression would be left behind . 0 ###LEFT-WALL### 9 contents 0 ###LEFT-WALL### 12 spilled 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 22 . 1 if 2 children 1 if 3 lifted 1 if 7 , 1 if 9 contents 2 children 3 lifted 3 lifted 4 up 3 lifted 6 cup 5 the 6 cup 8 the 9 contents 9 contents 10 would 10 would 11 be 11 be 12 spilled 13 and 14 evidence 13 and 19 be 14 evidence 15 of 14 evidence 18 would 15 of 17 transgression 16 their 17 transgression 18 would 19 be 19 be 20 left 20 left 21 behind upon returning to the room , the experimenter asked children whether they peeked and how the contents of the cup ended up on the table . 0 ###LEFT-WALL### 17 contents 0 ###LEFT-WALL### 21 ended 0 ###LEFT-WALL### 26 . 1 upon 2 returning 1 upon 17 contents 2 returning 3 to 3 to 14 and 4 the 5 room 5 room 6 , 6 , 8 experimenter 6 , 14 and 7 the 8 experimenter 8 experimenter 9 asked 9 asked 10 children 9 asked 11 whether 11 whether 12 they 11 whether 13 peeked 12 they 13 peeked 14 and 15 how 16 the 17 contents 17 contents 18 of 17 contents 21 ended 18 of 20 cup 19 the 20 cup 21 ended 22 up 22 up 23 on 23 on 25 table 24 the 25 table experiment 1 revealed that young children are able to tell strategic lies to be consistent with the physical evidence by about 4 or 5 years of age , and this ability increases in sophistication with age . 0 ###LEFT-WALL### 14 be 0 ###LEFT-WALL### 29 and 0 ###LEFT-WALL### 37 . 1 experiment 2 1 1 experiment 3 revealed 3 revealed 4 that 4 that 6 children 4 that 7 are 5 young 6 children 6 children 7 are 7 are 8 able 8 able 9 to 9 to 10 tell 10 tell 12 lies 10 tell 13 to 11 strategic 12 lies 13 to 14 be 14 be 15 consistent 15 consistent 16 with 16 with 19 evidence 16 with 20 by 17 the 19 evidence 18 physical 19 evidence 20 by 25 years 21 about 23 or 22 4 23 or 23 or 24 5 23 or 25 years 25 years 26 of 26 of 27 age 28 , 29 and 29 and 31 ability 29 and 32 increases 30 this 31 ability 31 ability 32 increases 32 increases 33 in 32 increases 35 with 33 in 34 sophistication 35 with 36 age experiment 2 , which included 252 chinese 4 - year [-] olds ( 127 boys ) , identified 2 sociocognitive factors related to children 's ability to tell strategic lies . 0 ###LEFT-WALL### 1 experiment 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 31 . 1 experiment 2 2 3 , 4 which 3 , 17 , 4 which 17 , 5 included 7 chinese 5 included 17 , 6 252 7 chinese 7 chinese 8 4 7 chinese 12 olds 9 - 12 olds 10 year 12 olds 12 olds 15 boys 12 olds 16 ) 13 ( 15 boys 14 127 15 boys 15 boys 16 ) 17 , 18 identified 17 , 23 to 18 identified 21 factors 19 2 21 factors 20 sociocognitive 21 factors 21 factors 22 related 23 to 26 ability 24 children 25 's 25 's 26 ability 26 ability 27 to 26 ability 28 tell 27 to 28 tell 28 tell 30 lies 29 strategic 30 lies specifically , both children 's theory [-] of [-] mind understanding and inhibitory control skills were significantly related to their ability to tell strategic lies in the face of physical evidence . 0 ###LEFT-WALL### 6 theory 0 ###LEFT-WALL### 18 related 0 ###LEFT-WALL### 32 . 1 specifically 2 , 1 specifically 6 theory 3 both 4 children 4 children 5 's 5 's 6 theory 6 theory 8 of 6 theory 16 were 8 of 12 and 10 mind 11 understanding 10 mind 12 and 12 and 15 skills 13 inhibitory 14 control 14 control 15 skills 16 were 17 significantly 16 were 18 related 18 related 19 to 18 related 26 in 19 to 21 ability 20 their 21 ability 21 ability 22 to 21 ability 23 tell 22 to 23 tell 23 tell 25 lies 24 strategic 25 lies 26 in 28 face 27 the 28 face 28 face 29 of 29 of 31 evidence 30 physical 31 evidence the present investigation reveals that contrary to the prevailing views , even young children are able to tell strategic lies in some contexts . 0 ###LEFT-WALL### 3 investigation 0 ###LEFT-WALL### 4 reveals 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 24 . 1 the 3 investigation 2 present 3 investigation 3 investigation 4 reveals 4 reveals 6 contrary 5 that 6 contrary 6 contrary 7 to 7 to 10 views 8 the 10 views 9 prevailing 10 views 11 , 14 children 11 , 15 are 12 even 14 children 13 young 14 children 14 children 15 are 15 are 16 able 16 able 17 to 16 able 18 tell 17 to 18 tell 18 tell 20 lies 19 strategic 20 lies 20 lies 21 in 21 in 23 contexts 22 some 23 contexts perceived control and health are often closely linked in adulthood and old age . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 8 linked 0 ###LEFT-WALL### 14 . 1 perceived 2 control 2 control 3 and 3 and 4 health 3 and 5 are 5 are 6 often 5 are 8 linked 7 closely 8 linked 8 linked 9 in 9 in 11 and 10 adulthood 11 and 11 and 13 age 12 old 13 age little is known , however , about their time - ordered interplay at various phases of adult life . 0 ###LEFT-WALL### 1 little 0 ###LEFT-WALL### 3 known 0 ###LEFT-WALL### 11 ordered 1 little 2 is 2 is 3 known 3 known 5 however 3 known 7 about 4 , 5 however 5 however 6 , 6 , 7 about 7 about 9 time 7 about 10 - 8 their 9 time 10 - 11 ordered 11 ordered 12 interplay 11 ordered 13 at 11 ordered 19 . 13 at 15 phases 14 various 15 phases 15 phases 16 of 16 of 18 life 17 adult 18 life by applying dynamic models to four waves of data over 15.5 years from the americans ' changing lives study , we examined time - ordered relations between perceived control and health in midlife and old age . 0 ###LEFT-WALL### 21 we 0 ###LEFT-WALL### 22 examined 0 ###LEFT-WALL### 25 ordered 1 by 2 applying 1 by 20 , 1 by 21 we 2 applying 4 models 2 applying 10 over 3 dynamic 4 models 4 models 5 to 5 to 7 waves 6 four 7 waves 7 waves 8 of 8 of 9 data 10 over 12 years 11 15.5 12 years 12 years 13 from 13 from 19 study 14 the 15 americans 15 americans 16 ' 16 ' 19 study 17 changing 18 lives 18 lives 19 study 21 we 22 examined 22 examined 23 time 24 - 25 ordered 25 ordered 30 and 25 ordered 32 in 25 ordered 37 . 26 relations 27 between 26 relations 30 and 27 between 29 control 28 perceived 29 control 30 and 31 health 32 in 34 and 33 midlife 34 and 34 and 36 age 35 old 36 age results revealed that levels of perceived control predict subsequent changes in health over time in old age ( 65+ years of age [;] n = 1,238 ) but not in midlife ( 25 - 64 years of age [;] n = 2,364 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 revealed 0 ###LEFT-WALL### 44 . 1 results 2 revealed 2 revealed 3 that 3 that 4 levels 3 that 8 predict 4 levels 5 of 4 levels 8 predict 5 of 7 control 6 perceived 7 control 8 predict 10 changes 8 predict 34 - 9 subsequent 10 changes 10 changes 11 in 11 in 12 health 12 health 13 over 12 health 28 but 13 over 14 time 15 in 17 age 15 in 28 but 16 old 17 age 17 age 20 years 18 ( 20 years 19 65+ 20 years 20 years 21 of 20 years 25 = 20 years 27 ) 21 of 22 age 24 n 25 = 25 = 26 1,238 25 = 27 ) 28 but 29 not 28 but 30 in 30 in 31 midlife 32 ( 34 - 33 25 34 - 34 - 36 years 34 - 43 ) 35 64 36 years 36 years 37 of 36 years 41 = 37 of 38 age 40 n 41 = 41 = 42 2,364 41 = 43 ) no evidence was found for predictive effects of health for changes in perceived control in either age group . 0 ###LEFT-WALL### 2 evidence 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 19 . 1 no 2 evidence 2 evidence 3 was 3 was 4 found 4 found 5 for 4 found 12 in 4 found 15 in 5 for 7 effects 6 predictive 7 effects 7 effects 8 of 8 of 9 health 9 health 10 for 10 for 11 changes 12 in 14 control 13 perceived 14 control 15 in 18 group 16 either 18 group 17 age 18 group these age - differential findings were corroborated with [nested] [-] model comparisons . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 3 - 1 these 2 age 3 - 5 findings 3 - 7 corroborated 3 - 13 . 4 differential 5 findings 5 findings 6 were 6 were 7 corroborated 7 corroborated 8 with 8 with 12 comparisons 11 model 12 comparisons predictive effects of perceived control for health were attenuated to the null in models covarying for sociodemographic and psychosocial factors ( physical activity , memory , emotional support , and depressive symptoms ) , suggesting that these variables play an important role in control - health relations . 1 predictive 2 effects 2 effects 3 of 2 effects 8 were 3 of 5 control 4 perceived 5 control 5 control 6 for 6 for 7 health 8 were 9 attenuated 9 attenuated 10 to 9 attenuated 13 in 9 attenuated 35 suggesting 10 to 12 null 11 the 12 null 13 in 14 models 14 models 15 covarying 14 models 23 activity 14 models 30 and 15 covarying 16 for 16 for 20 factors 17 sociodemographic 18 and 18 and 19 psychosocial 18 and 20 factors 21 ( 23 activity 22 physical 23 activity 23 activity 24 , 24 , 30 and 25 memory 26 , 26 , 28 support 26 , 30 and 27 emotional 28 support 29 , 30 and 30 and 32 symptoms 30 and 33 ) 30 and 34 , 31 depressive 32 symptoms 34 , 35 suggesting 35 suggesting 36 that 35 suggesting 48 . 36 that 38 variables 36 that 39 play 37 these 38 variables 39 play 42 role 40 an 41 important 40 an 42 role 41 important 42 role 42 role 43 in 43 in 44 control 44 control 47 relations 45 - 47 relations 46 health 47 relations 47 relations 48 . our discussion focuses on the importance of perceived control for healthy living in old age and the differential implications of perceived control for health in midlife and old age . 0 ###LEFT-WALL### 2 discussion 0 ###LEFT-WALL### 3 focuses 0 ###LEFT-WALL### 30 . 1 our 2 discussion 2 discussion 3 focuses 3 focuses 4 on 3 focuses 13 in 3 focuses 23 for 3 focuses 25 in 4 on 6 importance 5 the 6 importance 6 importance 7 of 6 importance 10 for 7 of 9 control 8 perceived 9 control 10 for 12 living 11 healthy 12 living 13 in 16 and 14 old 15 age 15 age 16 and 16 and 19 implications 16 and 20 of 17 the 19 implications 18 differential 19 implications 20 of 22 control 21 perceived 22 control 23 for 24 health 25 in 29 age 26 midlife 27 and 27 and 28 old 27 and 29 age normative adult age - related decrements [are] well documented for many diverse forms of effortful cognitive processing . 0 ###LEFT-WALL### 3 age 0 ###LEFT-WALL### 4 - 1 normative 2 adult 2 adult 3 age 4 - 5 related 4 - 6 decrements 4 - 18 . 5 related 6 decrements 6 decrements 8 well 8 well 9 documented 8 well 10 for 10 for 13 forms 11 many 13 forms 12 diverse 13 forms 13 forms 14 of 14 of 17 processing 15 effortful 17 processing 16 cognitive 17 processing however , it is currently unclear whether each of these [decrements] reflects a distinct and independent developmental phenomenon , or [,] in part [,] a more global phenomenon . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 29 . 1 however 2 , 1 however 3 it 3 it 4 is 4 is 5 currently 4 is 6 unclear 6 unclear 7 whether 7 whether 8 each 7 whether 12 reflects 8 each 9 of 8 each 12 reflects 9 of 10 these 12 reflects 20 or 13 a 18 phenomenon 14 distinct 15 and 15 and 16 independent 15 and 18 phenomenon 17 developmental 18 phenomenon 18 phenomenon 20 or 19 , 20 or 20 or 23 part 20 or 28 phenomenon 22 in 23 part 25 a 28 phenomenon 26 more 27 global 27 global 28 phenomenon a number of studies have recently been published that [show] moderate to large magnitudes of positive relations among individual differences in rates of changes in different cognitive variables during adulthood . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 8 published 0 ###LEFT-WALL### 31 . 1 a 2 number 2 number 3 of 2 number 4 studies 3 of 4 studies 4 studies 5 have 5 have 7 been 6 recently 7 been 7 been 8 published 8 published 11 moderate 9 that 11 moderate 11 moderate 12 to 11 moderate 18 among 11 moderate 21 in 12 to 14 magnitudes 13 large 14 magnitudes 14 magnitudes 15 of 15 of 17 relations 16 positive 17 relations 18 among 20 differences 19 individual 20 differences 21 in 22 rates 22 rates 23 of 22 rates 25 in 23 of 24 changes 25 in 28 variables 26 different 28 variables 27 cognitive 28 variables 28 variables 29 during 29 during 30 adulthood this suggests that a small number of common dimensions or [even] a single common dimension may underlie substantial proportions of individual differences in aging - related cognitive declines . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 26 related 1 this 2 suggests 2 suggests 3 that 3 that 10 or 3 that 17 underlie 4 a 5 small 4 a 6 number 5 small 6 number 6 number 7 of 6 number 10 or 7 of 9 dimensions 8 common 9 dimensions 10 or 15 dimension 10 or 16 may 12 a 15 dimension 13 single 15 dimension 14 common 15 dimension 16 may 17 underlie 17 underlie 19 proportions 17 underlie 23 in 18 substantial 19 proportions 19 proportions 20 of 20 of 22 differences 21 individual 22 differences 23 in 24 aging 25 - 26 related 26 related 28 declines 26 related 29 . 27 cognitive 28 declines this possibility was directly examined using data from 1,281 adults 18 - 95 years of age who were followed longitudinally over up to 7 years on 12 different measures of effortful processing . 0 ###LEFT-WALL### 2 possibility 0 ###LEFT-WALL### 5 examined 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 33 . 1 this 2 possibility 2 possibility 3 was 3 was 5 examined 4 directly 5 examined 5 examined 6 using 5 examined 8 from 6 using 7 data 8 from 10 adults 9 1,281 10 adults 10 adults 11 18 12 - 14 years 13 95 14 years 14 years 15 of 14 years 17 who 14 years 18 were 15 of 16 age 17 who 18 were 18 were 19 followed 19 followed 20 longitudinally 19 followed 21 over 19 followed 26 on 21 over 25 years 22 up 23 to 23 to 24 7 24 7 25 years 26 on 29 measures 27 12 29 measures 28 different 29 measures 29 measures 30 of 30 of 32 processing 31 effortful 32 processing multivariate growth curve models were applied to examine the dimensionality of individual differences in longitudinal changes . 0 ###LEFT-WALL### 4 models 0 ###LEFT-WALL### 6 applied 0 ###LEFT-WALL### 17 . 1 multivariate 4 models 2 growth 4 models 3 curve 4 models 4 models 5 were 5 were 6 applied 6 applied 7 to 6 applied 14 in 7 to 8 examine 8 examine 10 dimensionality 9 the 10 dimensionality 10 dimensionality 11 of 11 of 13 differences 12 individual 13 differences 14 in 16 changes 15 longitudinal 16 changes results supported a hierarchical structure of aging - related changes , with an average of 39 % of individual differences in change in a given variable attributable to global ( domain - general ) developmental processes , 33 % attributable to domain - specific developmental processes ( abstract reasoning , spatial visualization , episodic memory , and processing speed ) , and 28 % attributable [to] test - specific developmental processes . 1 results 2 supported 2 supported 5 structure 2 supported 12 with 3 a 4 hierarchical 3 a 5 structure 4 hierarchical 5 structure 5 structure 6 of 6 of 7 aging 7 aging 10 changes 8 - 10 changes 9 related 10 changes 10 changes 11 , 12 with 14 average 13 an 14 average 14 average 15 of 15 of 17 % 16 39 17 % 17 % 18 of 17 % 21 in 18 of 20 differences 19 individual 20 differences 21 in 22 change 22 change 23 in 22 change 27 attributable 23 in 26 variable 24 a 26 variable 25 given 26 variable 27 attributable 28 to 28 to 36 processes 29 global 31 domain 29 global 36 processes 30 ( 31 domain 31 domain 33 general 31 domain 34 ) 32 - 33 general 35 developmental 36 processes 36 processes 43 - 37 , 43 - 38 33 39 % 39 % 40 attributable 39 % 43 - 40 attributable 41 to 41 to 42 domain 43 - 52 visualization 44 specific 52 visualization 45 developmental 50 , 45 developmental 52 visualization 46 processes 49 reasoning 47 ( 49 reasoning 48 abstract 49 reasoning 49 reasoning 50 , 51 spatial 52 visualization 52 visualization 62 and 53 , 62 and 54 episodic 55 memory 55 memory 57 and 56 , 57 and 57 and 59 speed 57 and 60 ) 57 and 62 and 58 processing 59 speed 61 , 62 and 62 and 67 test 62 and 68 - 62 and 71 processes 62 and 72 . 63 28 67 test 64 % 67 test 65 attributable 67 test 68 - 71 processes 69 specific 71 processes 70 developmental 71 processes 71 processes 72 . the acceptance model of intuitive eating ( avalos & tylka , 2006 ) posits that body acceptance by others helps women appreciate their body and resist adopting an observer 's perspective of their body , which contribute to their eating intuitively/adaptively . 0 ###LEFT-WALL### 3 model 0 ###LEFT-WALL### 14 posits 0 ###LEFT-WALL### 35 , 0 ###LEFT-WALL### 42 . 1 the 3 model 2 acceptance 3 model 3 model 4 of 3 model 14 posits 4 of 6 eating 5 intuitive 6 eating 6 eating 10 tylka 6 eating 12 2006 7 ( 10 tylka 8 avalos 9 & 9 & 10 tylka 10 tylka 11 , 11 , 12 2006 12 2006 13 ) 14 posits 15 that 15 that 17 acceptance 15 that 20 helps 16 body 17 acceptance 17 acceptance 18 by 17 acceptance 20 helps 18 by 19 others 20 helps 21 women 20 helps 25 and 22 appreciate 24 body 22 appreciate 25 and 23 their 24 body 25 and 26 resist 26 resist 27 adopting 27 adopting 31 perspective 28 an 29 observer 29 observer 30 's 30 's 31 perspective 31 perspective 32 of 32 of 34 body 33 their 34 body 35 , 36 which 35 , 37 contribute 36 which 37 contribute 37 contribute 38 to 37 contribute 41 intuitively/adaptively 38 to 40 eating 39 their 40 eating multiple - group analysis revealed that this model fit the data for all age groups . 0 ###LEFT-WALL### 4 analysis 0 ###LEFT-WALL### 5 revealed 0 ###LEFT-WALL### 16 . 1 multiple 2 - 1 multiple 3 group 3 group 4 analysis 4 analysis 5 revealed 5 revealed 6 that 6 that 8 model 6 that 9 fit 7 this 8 model 8 model 9 fit 9 fit 11 data 10 the 11 data 11 data 12 for 12 for 15 groups 13 all 15 groups 14 age 15 groups body appreciation [and] resistance to adopt an observer 's perspective mediated the body acceptance by others - intuitive eating link . 0 ###LEFT-WALL### 4 resistance 0 ###LEFT-WALL### 11 mediated 0 ###LEFT-WALL### 17 - 1 body 4 resistance 2 appreciation 4 resistance 4 resistance 5 to 4 resistance 6 adopt 4 resistance 11 mediated 5 to 6 adopt 6 adopt 10 perspective 7 an 8 observer 8 observer 9 's 9 's 10 perspective 11 mediated 14 acceptance 11 mediated 15 by 12 the 14 acceptance 13 body 14 acceptance 15 by 16 others 17 - 20 link 17 - 21 . 18 intuitive 20 link 19 eating 20 link body acceptance by others mediated the social support - body appreciation and bmi - body appreciation links . 0 ###LEFT-WALL### 2 acceptance 0 ###LEFT-WALL### 5 mediated 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 18 . 1 body 2 acceptance 2 acceptance 3 by 2 acceptance 5 mediated 3 by 4 others 5 mediated 8 support 6 the 8 support 7 social 8 support 8 support 12 and 9 - 12 and 10 body 11 appreciation 11 appreciation 12 and 12 and 13 bmi 12 and 14 - 14 - 17 links 15 body 17 links 16 appreciation 17 links early and middle adult women had stronger negative bmi - body acceptance by others and bmi - intuitive eating relationships and a stronger positive body acceptance by others - body appreciation relationship than emerging adult women . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 6 had 0 ###LEFT-WALL### 17 - 1 early 2 and 2 and 5 women 2 and 6 had 3 middle 5 women 4 adult 5 women 6 had 9 bmi 7 stronger 9 bmi 8 negative 9 bmi 9 bmi 15 and 10 - 15 and 11 body 12 acceptance 12 acceptance 13 by 12 acceptance 15 and 13 by 14 others 15 and 16 bmi 15 and 17 - 17 - 21 and 18 intuitive 20 relationships 19 eating 20 relationships 20 relationships 21 and 21 and 26 acceptance 22 a 26 acceptance 23 stronger 25 body 24 positive 25 body 25 body 26 acceptance 26 acceptance 27 by 27 by 28 others 28 others 36 women 29 - 36 women 30 body 32 relationship 31 appreciation 32 relationship 32 relationship 36 women 33 than 34 emerging 34 emerging 36 women 35 adult 36 women 36 women 37 . early adult women had a stronger positive resistance to adopt observer ['s] perspective - body appreciation [relationship] than emerging and middle adult women . 0 ###LEFT-WALL### 3 women 0 ###LEFT-WALL### 4 had 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 24 . 1 early 2 adult 2 adult 3 women 3 women 4 had 4 had 8 resistance 5 a 8 resistance 6 stronger 8 resistance 7 positive 8 resistance 8 resistance 9 to 8 resistance 10 adopt 9 to 10 adopt 10 adopt 13 perspective 11 observer 13 perspective 14 - 20 and 15 body 16 appreciation 16 appreciation 19 emerging 16 appreciation 20 and 18 than 19 emerging 20 and 23 women 21 middle 23 women 22 adult 23 women syllable frequency has been shown to facilitate production in some languages but has yielded inconsistent results in english and has never been examined in older adults . 0 ###LEFT-WALL### 2 frequency 0 ###LEFT-WALL### 5 shown 0 ###LEFT-WALL### 27 . 1 syllable 2 frequency 2 frequency 3 has 3 has 4 been 4 been 5 shown 5 shown 6 to 5 shown 24 in 6 to 12 but 7 facilitate 8 production 7 facilitate 12 but 8 production 9 in 9 in 11 languages 10 some 11 languages 12 but 19 and 13 has 14 yielded 13 has 19 and 14 yielded 16 results 14 yielded 17 in 15 inconsistent 16 results 17 in 18 english 19 and 20 has 20 has 22 been 21 never 22 been 22 been 23 examined 24 in 26 adults 25 older 26 adults tip - [of] - the [-] tongue ( tot ) states represent a unique type of production failure where the phonology of a word is unable to be retrieved , suggesting that the frequency of phonological forms , like syllables , [may] influence the occurrence of tot states . 0 ###LEFT-WALL### 1 tip 1 tip 2 - 1 tip 12 represent 4 - 11 states 5 the 7 tongue 7 tongue 9 tot 7 tongue 11 states 8 ( 9 tot 9 tot 10 ) 11 states 12 represent 12 represent 18 failure 13 a 15 type 14 unique 15 type 15 type 16 of 15 type 18 failure 16 of 18 failure 17 production 18 failure 18 failure 19 where 19 where 21 phonology 19 where 25 is 20 the 21 phonology 21 phonology 22 of 21 phonology 25 is 22 of 24 word 23 a 24 word 25 is 26 unable 26 unable 27 to 27 to 28 be 28 be 38 , 29 retrieved 31 suggesting 29 retrieved 34 frequency 29 retrieved 38 , 30 , 31 suggesting 31 suggesting 32 that 33 the 34 frequency 34 frequency 35 of 35 of 37 forms 36 phonological 37 forms 38 , 39 like 39 like 40 syllables 40 syllables 43 influence 41 , 43 influence 43 influence 45 occurrence 43 influence 48 states 43 influence 49 . 44 the 45 occurrence 45 occurrence 46 of 45 occurrence 48 states 46 of 47 tot in the current study , we investigated the role of first - syllable frequency on tot [incidence] and resolution in young ( 18 - 26 years of age ) , young - old ( 60 - 74 years of age ) , and old - old ( 75 - 89 years of age ) adults . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 investigated 0 ###LEFT-WALL### 45 - 1 in 4 study 1 in 5 , 1 in 6 we 2 the 4 study 3 current 4 study 6 we 7 investigated 7 investigated 9 role 7 investigated 31 young 7 investigated 43 and 8 the 9 role 9 role 10 of 9 role 18 and 10 of 11 first 12 - 18 and 13 syllable 14 frequency 14 frequency 15 on 14 frequency 18 and 15 on 16 tot 18 and 19 resolution 18 and 20 in 18 and 29 ) 20 in 26 years 21 young 23 18 21 young 24 - 21 young 26 years 22 ( 23 18 23 18 24 - 25 26 26 years 26 years 27 of 27 of 28 age 30 , 31 young 31 young 32 - 33 old 36 - 33 old 43 and 34 ( 36 - 35 60 36 - 36 - 38 years 36 - 41 ) 37 74 38 years 38 years 39 of 39 of 40 age 42 , 43 and 43 and 44 old 45 - 55 adults 45 - 56 . 46 old 51 years 46 old 54 ) 46 old 55 adults 47 ( 51 years 48 75 49 - 49 - 50 89 49 - 51 years 51 years 52 of 51 years 54 ) 52 of 53 age data from 3 published studies were compiled , where tots were elicited by presenting definition - like questions and asking participants to respond with " know , " " [don't] know , " or " tot . " 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 7 compiled 1 data 2 from 1 data 6 were 2 from 5 studies 3 3 5 studies 4 published 5 studies 6 were 7 compiled 7 compiled 9 where 7 compiled 17 like 8 , 9 where 9 where 10 tots 9 where 12 elicited 9 where 16 - 10 tots 11 were 11 were 12 elicited 12 elicited 13 by 13 by 14 presenting 14 presenting 15 definition 16 - 17 like 17 like 19 and 17 like 37 . 18 questions 19 and 19 and 20 asking 19 and 21 participants 19 and 26 know 19 and 34 or 21 participants 22 to 21 participants 24 with 21 participants 26 know 22 to 23 respond 23 respond 24 with 24 with 25 " 27 , 28 " 27 , 34 or 28 " 29 " 31 know 34 or 32 , 33 " 32 , 34 or 34 or 35 " 34 or 36 tot 34 or 37 . 37 . 38 " young - old and old - old adults , but not young adults , experienced more tots for words beginning with low - frequency first syllables relative to high - frequency first syllables . 0 ###LEFT-WALL### 3 old 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 34 . 1 young 2 - 1 young 3 old 4 and 10 but 4 and 15 experienced 5 old 6 - 5 old 7 old 7 old 8 adults 8 adults 10 but 9 , 10 but 10 but 11 not 10 but 13 adults 10 but 14 , 10 but 15 experienced 11 not 12 young 12 young 13 adults 15 experienced 17 tots 15 experienced 21 with 16 more 17 tots 17 tots 18 for 17 tots 20 beginning 18 for 19 words 21 with 24 frequency 21 with 26 syllables 22 low 23 - 22 low 24 frequency 25 first 26 syllables 26 syllables 27 relative 27 relative 28 to 28 to 33 syllables 29 high 30 - 29 high 31 frequency 31 frequency 33 syllables 32 first 33 syllables furthermore , age differences in tot [incidence] occurred only for words with low - frequency first syllables . 0 ###LEFT-WALL### 4 differences 0 ###LEFT-WALL### 8 occurred 0 ###LEFT-WALL### 18 . 1 furthermore 2 , 1 furthermore 4 differences 3 age 4 differences 4 differences 5 in 4 differences 8 occurred 5 in 6 tot 8 occurred 9 only 8 occurred 12 with 9 only 10 for 10 for 11 words 12 with 17 syllables 13 low 14 - 13 low 15 frequency 15 frequency 17 syllables 16 first 17 syllables in contrast , when a prime word with the same first syllable as the target was presented during tot states , all age groups resolved more tots for words beginning with low - frequency syllables . 0 ###LEFT-WALL### 24 groups 0 ###LEFT-WALL### 25 resolved 0 ###LEFT-WALL### 36 . 1 in 2 contrast 1 in 24 groups 3 , 4 when 4 when 7 word 4 when 17 presented 4 when 21 , 4 when 24 groups 5 a 6 prime 5 a 7 word 6 prime 7 word 7 word 8 with 7 word 13 as 7 word 16 was 8 with 12 syllable 9 the 10 same 10 same 12 syllable 11 first 12 syllable 13 as 15 target 14 the 15 target 16 was 17 presented 17 presented 18 during 18 during 20 states 19 tot 20 states 22 all 24 groups 23 age 24 groups 24 groups 25 resolved 25 resolved 27 tots 25 resolved 28 for 26 more 27 tots 28 for 29 words 29 words 30 beginning 29 words 31 with 31 with 35 syllables 32 low 33 - 32 low 34 frequency 34 frequency 35 syllables these findings support speech production models that allow for bidirectional activation between conceptual , lexical , and phonological forms of words . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 support 0 ###LEFT-WALL### 22 . 1 these 2 findings 2 findings 3 support 3 support 6 models 3 support 12 between 4 speech 6 models 5 production 6 models 6 models 7 that 6 models 9 for 7 that 9 for 8 allow 9 for 9 for 11 activation 10 bidirectional 11 activation 12 between 19 forms 13 conceptual 14 , 14 , 15 lexical 14 , 17 and 16 , 17 and 17 and 18 phonological 17 and 19 forms 19 forms 20 of 20 of 21 words furthermore , the age - specific effects of syllable frequency [provide] insight into the progression of age - linked changes to phonological processes . 0 ###LEFT-WALL### 4 age 0 ###LEFT-WALL### 19 linked 0 ###LEFT-WALL### 24 . 1 furthermore 2 , 1 furthermore 4 age 3 the 4 age 4 age 7 effects 4 age 19 linked 5 - 7 effects 6 specific 7 effects 7 effects 8 of 7 effects 18 - 8 of 12 insight 9 syllable 12 insight 10 frequency 12 insight 12 insight 13 into 13 into 15 progression 14 the 15 progression 15 progression 16 of 16 of 17 age 19 linked 20 changes 19 linked 21 to 21 to 23 processes 22 phonological 23 processes ( psycinfo database record [(] [c] ) 2010 apa [,] all rights reserved ) . 0 ###LEFT-WALL### 9 apa 0 ###LEFT-WALL### 15 . 1 ( 2 psycinfo 2 psycinfo 9 apa 3 database 9 apa 4 record 7 ) 4 record 9 apa 8 2010 9 apa 9 apa 11 all 9 apa 12 rights 9 apa 13 reserved 11 all 12 rights 13 reserved 14 ) unlabelled : the isolated systolic hypertension is a distinct entity concerning evolving , pathological , diagnosis and treatment particularities . 0 ###LEFT-WALL### 1 unlabelled 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 2 : 6 hypertension 2 : 7 is 3 the 6 hypertension 4 isolated 6 hypertension 5 systolic 6 hypertension 6 hypertension 7 is 7 is 10 entity 8 a 10 entity 9 distinct 10 entity 10 entity 11 concerning 11 concerning 17 and 12 evolving 13 , 13 , 16 diagnosis 13 , 17 and 14 pathological 15 , 14 pathological 16 diagnosis 17 and 19 particularities 18 treatment 19 particularities the present study analyzed the behavior of the blood pressure by continuous ambulatory monitoring of a group of patients diagnosed with isolated systolic hypertension [by] office measurement . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 analyzed 0 ###LEFT-WALL### 28 . 1 the 3 study 2 present 3 study 3 study 4 analyzed 4 analyzed 6 behavior 4 analyzed 11 by 4 analyzed 21 with 5 the 6 behavior 6 behavior 7 of 7 of 10 pressure 8 the 10 pressure 9 blood 10 pressure 11 by 14 monitoring 12 continuous 14 monitoring 13 ambulatory 14 monitoring 14 monitoring 15 of 14 monitoring 20 diagnosed 15 of 19 patients 16 a 17 group 17 group 18 of 17 group 19 patients 18 of 19 patients 21 with 27 measurement 22 isolated 24 hypertension 23 systolic 24 hypertension 24 hypertension 26 office 26 office 27 measurement material and method : one hundred and twenty nine patients [with] isolated systolic hypertension [at] office [were] included . 0 ###LEFT-WALL### 3 method 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 19 . 1 material 2 and 2 and 3 method 3 method 4 : 4 : 10 patients 5 one 6 hundred 6 hundred 7 and 7 and 8 twenty 8 twenty 10 patients 9 nine 10 patients 10 patients 12 isolated 12 isolated 18 included 13 systolic 14 hypertension 14 hypertension 18 included 16 office 18 included they were subjected to continuous ambulatory monitoring of blood pressure , then the treatment was started . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 3 subjected 0 ###LEFT-WALL### 12 then 0 ###LEFT-WALL### 17 . 1 they 2 were 2 were 3 subjected 3 subjected 4 to 3 subjected 12 then 4 to 7 monitoring 5 continuous 7 monitoring 6 ambulatory 7 monitoring 7 monitoring 8 of 8 of 10 pressure 9 blood 10 pressure 11 , 12 then 12 then 14 treatment 12 then 16 started 13 the 14 treatment 14 treatment 15 was 15 was 16 started after six months the patients were reassessed . 0 ###LEFT-WALL### 1 after 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 8 . 1 after 3 months 1 after 6 were 2 six 3 months 4 the 5 patients 5 patients 6 were 6 were 7 reassessed results : continuous ambulatory monitoring better indicates the increase of systolic tension and the reduction of the diastolic tension by aging . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 monitoring 2 : 7 indicates 2 : 22 . 3 continuous 5 monitoring 4 ambulatory 5 monitoring 5 monitoring 7 indicates 6 better 7 indicates 7 indicates 9 increase 7 indicates 20 by 8 the 9 increase 9 increase 10 of 9 increase 16 of 10 of 13 and 11 systolic 12 tension 12 tension 13 and 13 and 15 reduction 14 the 15 reduction 16 of 19 tension 17 the 19 tension 18 diastolic 19 tension 20 by 21 aging the pulse pressure is significantly higher at the over sixty - five group . 0 ###LEFT-WALL### 3 pressure 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 11 - 1 the 3 pressure 2 pulse 3 pressure 3 pressure 4 is 4 is 6 higher 5 significantly 6 higher 6 higher 7 at 7 at 10 sixty 8 the 10 sixty 9 over 10 sixty 11 - 12 five 11 - 13 group 11 - 14 . 12 five 13 group the systolic tension is directly correlated with the pulse pressure and [indirectly] with the diurnal index [.] ( r = 0.36 ) . 0 ###LEFT-WALL### 3 tension 0 ###LEFT-WALL### 6 correlated 0 ###LEFT-WALL### 23 . 1 the 3 tension 2 systolic 3 tension 3 tension 4 is 4 is 6 correlated 5 directly 6 correlated 6 correlated 11 and 7 with 10 pressure 7 with 11 and 8 the 10 pressure 9 pulse 10 pressure 11 and 13 with 13 with 16 index 14 the 16 index 15 diurnal 16 index 16 index 20 = 18 ( 20 = 19 r 20 = 20 = 21 0.36 20 = 22 ) after six months of treatment the reevaluation shows a statistically significant reduction of the pathological parameters [although] without achieving tensional control . 0 ###LEFT-WALL### 7 reevaluation 0 ###LEFT-WALL### 8 shows 0 ###LEFT-WALL### 22 . 1 after 3 months 1 after 7 reevaluation 2 six 3 months 3 months 4 of 4 of 5 treatment 6 the 7 reevaluation 7 reevaluation 8 shows 8 shows 12 reduction 8 shows 18 without 9 a 10 statistically 9 a 12 reduction 10 statistically 11 significant 11 significant 12 reduction 12 reduction 13 of 13 of 16 parameters 14 the 16 parameters 15 pathological 16 parameters 18 without 19 achieving 19 achieving 21 control 20 tensional 21 control conclusions : the ambulatory monitoring better highlights the values [of] hypertension and assesses the load and day index values . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 1 conclusions 2 : 2 : 5 monitoring 3 the 5 monitoring 4 ambulatory 5 monitoring 5 monitoring 12 and 6 better 7 highlights 7 highlights 11 hypertension 7 highlights 12 and 8 the 11 hypertension 9 values 11 hypertension 12 and 13 assesses 12 and 19 values 13 assesses 17 day 14 the 17 day 15 load 16 and 16 and 17 day 18 index 19 values achieving the therapeutic goal regarding systolic hypertension proves difficult . 0 ###LEFT-WALL### 1 achieving 0 ###LEFT-WALL### 8 proves 0 ###LEFT-WALL### 10 . 1 achieving 7 hypertension 1 achieving 8 proves 2 the 7 hypertension 3 therapeutic 4 goal 4 goal 7 hypertension 5 regarding 7 hypertension 6 systolic 7 hypertension 8 proves 9 difficult objective : the ratio of psychological [to] organic ed changes with aging . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 . 1 objective 2 : 2 : 4 ratio 3 the 4 ratio 4 ratio 5 of 5 of 10 changes 6 psychological 10 changes 8 organic 10 changes 9 ed 10 changes 10 changes 11 with 11 with 12 aging this study aimed to analyze the results of nocturnal electrobioimpedance volumetric assessment ( neva ) for ed patients of different age groups and their significance in the diagnosis of ed . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 aimed 0 ###LEFT-WALL### 31 . 1 this 2 study 2 study 3 aimed 3 aimed 4 to 3 aimed 5 analyze 4 to 5 analyze 5 analyze 7 results 5 analyze 16 for 5 analyze 26 in 6 the 7 results 7 results 8 of 7 results 14 neva 8 of 12 assessment 9 nocturnal 10 electrobioimpedance 10 electrobioimpedance 12 assessment 11 volumetric 12 assessment 13 ( 14 neva 14 neva 15 ) 16 for 23 and 17 ed 18 patients 18 patients 19 of 18 patients 23 and 19 of 22 groups 20 different 21 age 21 age 22 groups 23 and 25 significance 24 their 25 significance 26 in 28 diagnosis 27 the 28 diagnosis 28 diagnosis 29 of 29 of 30 ed methods : a total of 83 ed patients were divided into 4 age groups ( < [or] = 29 yr [,] 30 - 39 yr , 40 - 49 yr [and] > [or] = 50 yr ) and detected for nocturnal penile tumescence ( npt ) by neva . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 total 2 : 38 and 2 : 49 . 3 a 4 total 4 total 5 of 4 total 38 and 5 of 8 patients 6 83 8 patients 7 ed 8 patients 9 were 10 divided 9 were 38 and 10 divided 11 into 10 divided 32 > 11 into 14 groups 12 4 14 groups 13 age 14 groups 14 groups 25 yr 15 ( 25 yr 16 < 23 - 18 = 19 29 19 29 20 yr 19 29 23 - 20 yr 22 30 23 - 24 39 23 - 25 yr 25 yr 26 , 27 40 32 > 28 - 32 > 29 49 30 yr 30 yr 32 > 32 > 34 = 32 > 37 ) 34 = 36 yr 35 50 36 yr 38 and 39 detected 38 and 40 for 38 and 47 by 40 for 43 tumescence 41 nocturnal 43 tumescence 42 penile 43 tumescence 43 tumescence 45 npt 44 ( 45 npt 45 npt 46 ) 47 by 48 neva results : thirty - four of the cases were diagnosed as organic ed , and the other 49 as psychological ed . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 4 - 2 : 10 diagnosed 3 thirty 4 - 4 - 5 four 4 - 6 of 4 - 9 were 6 of 8 cases 7 the 8 cases 9 were 10 diagnosed 10 diagnosed 11 as 11 as 15 and 12 organic 13 ed 13 ed 15 and 14 , 15 and 15 and 21 ed 16 the 17 other 17 other 18 49 18 49 21 ed 19 as 20 psychological 20 psychological 21 ed with the increase of age , the former was increased from 30.3 % in the < [or] = 29 yr group to 60.0 % in [the] [>] or = 50 yr group , while the latter decreased from 69.7 % to 40.0 % . 0 ###LEFT-WALL### 28 or 0 ###LEFT-WALL### 32 group 1 with 3 increase 1 with 6 , 1 with 28 or 2 the 3 increase 3 increase 4 of 4 of 5 age 7 the 8 former 8 former 9 was 9 was 10 increased 10 increased 11 from 10 increased 14 in 11 from 13 % 12 30.3 13 % 14 in 22 to 15 the 22 to 16 < 22 to 18 = 19 29 19 29 20 yr 19 29 22 to 20 yr 21 group 22 to 23 60.0 23 60.0 25 in 24 % 25 in 25 in 28 or 28 or 31 yr 28 or 32 group 29 = 30 50 30 50 31 yr 32 group 34 while 33 , 34 while 34 while 36 latter 34 while 37 decreased 34 while 44 . 35 the 36 latter 36 latter 37 decreased 37 decreased 38 from 37 decreased 41 to 38 from 40 % 39 69.7 40 % 41 to 43 % 42 40.0 43 % conclusion : the percentage of organic ed tends to grow with the increase of age , while that of psychological ed is just the opposite . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 percentage 2 : 8 tends 3 the 4 percentage 4 percentage 5 of 4 percentage 8 tends 5 of 7 ed 6 organic 7 ed 8 tends 9 to 8 tends 10 grow 9 to 10 grow 10 grow 11 with 10 grow 17 while 11 with 13 increase 12 the 13 increase 13 increase 14 of 14 of 15 age 16 , 17 while 17 while 18 that 17 while 22 is 17 while 26 . 18 that 19 of 18 that 22 is 19 of 21 ed 20 psychological 21 ed 22 is 23 just 22 is 25 opposite 24 the 25 opposite sirt1 is a member of the sir2 family of nad [(] [+] [ )(- dependent protein deacetylases . 0 ###LEFT-WALL### 1 sirt1 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 14 )(- 1 sirt1 2 is 2 is 4 member 2 is 8 family 3 a 4 member 4 member 5 of 5 of 7 sir2 6 the 7 sir2 8 family 9 of 9 of 10 nad 14 )(- 16 protein 14 )(- 17 deacetylases 14 )(- 18 . 15 dependent 16 protein 16 protein 17 deacetylases the central role of sirt1 in multiple metabolic and age - related pathways has pushed sirt1 to the forefront to discover small - molecule activators . 0 ###LEFT-WALL### 3 role 0 ###LEFT-WALL### 15 pushed 0 ###LEFT-WALL### 26 . 1 the 3 role 2 central 3 role 3 role 4 of 3 role 14 has 4 of 5 sirt1 5 sirt1 6 in 6 in 13 pathways 7 multiple 13 pathways 8 metabolic 9 and 9 and 10 age 9 and 11 - 9 and 12 related 12 related 13 pathways 14 has 15 pushed 15 pushed 16 sirt1 15 pushed 20 to 16 sirt1 17 to 17 to 19 forefront 18 the 19 forefront 20 to 21 discover 21 discover 25 activators 22 small 23 - 22 small 24 molecule 24 molecule 25 activators promising compounds , including resveratrol and srt1720 have been reported , however , whether these compounds are direct activators and the mechanism by which they activate remains poorly defined . 0 ###LEFT-WALL### 1 promising 0 ###LEFT-WALL### 10 reported 0 ###LEFT-WALL### 30 . 1 promising 6 and 1 promising 9 been 1 promising 10 reported 2 compounds 3 , 3 , 5 resveratrol 3 , 6 and 4 including 5 resveratrol 6 and 7 srt1720 6 and 8 have 8 have 9 been 10 reported 12 however 10 reported 14 whether 11 , 12 however 12 however 13 , 14 whether 16 compounds 14 whether 17 are 15 these 16 compounds 16 compounds 17 are 17 are 20 and 18 direct 19 activators 19 activators 20 and 20 and 22 mechanism 21 the 22 mechanism 22 mechanism 23 by 22 mechanism 29 defined 23 by 24 which 23 by 25 they 23 by 26 activate 25 they 26 activate 26 activate 27 remains 26 activate 28 poorly this review examines the current debate surrounding [purported] activators , and will focus on the assays used in screening compounds , sirtuin catalysis , and the mechanistic basis for their actions . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 32 . 1 this 2 review 2 review 11 and 3 examines 7 surrounding 3 examines 9 activators 3 examines 11 and 4 the 7 surrounding 5 current 6 debate 6 debate 7 surrounding 7 surrounding 9 activators 10 , 11 and 11 and 12 will 11 and 14 on 12 will 13 focus 14 on 25 and 15 the 16 assays 16 assays 17 used 16 assays 18 in 16 assays 21 , 18 in 19 screening 19 screening 20 compounds 21 , 23 catalysis 21 , 25 and 22 sirtuin 23 catalysis 24 , 25 and 25 and 28 basis 25 and 29 for 26 the 28 basis 27 mechanistic 28 basis 29 for 31 actions 30 their 31 actions we discuss the potential pathways of sirt1 activation that could be exploited for the development of novel therapeutics for treating type ii diabetes , neurodegeneration , and diseases associated with aging . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 31 aging 0 ###LEFT-WALL### 32 . 1 we 2 discuss 2 discuss 5 pathways 2 discuss 19 for 3 the 5 pathways 4 potential 5 pathways 5 pathways 6 of 6 of 8 activation 7 sirt1 8 activation 8 activation 9 that 8 activation 10 could 9 that 10 could 10 could 11 be 11 be 12 exploited 12 exploited 13 for 13 for 15 development 14 the 15 development 15 development 16 of 16 of 18 therapeutics 17 novel 18 therapeutics 19 for 20 treating 20 treating 21 type 21 type 22 ii 21 type 27 and 21 type 31 aging 23 diabetes 24 , 24 , 25 neurodegeneration 24 , 27 and 26 , 27 and 27 and 28 diseases 27 and 29 associated 29 associated 30 with 30 with 31 aging connectedness , maintaining active engagement with life , is crucial to successful aging . 0 ###LEFT-WALL### 1 connectedness 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 14 . 1 connectedness 3 maintaining 1 connectedness 9 is 2 , 3 maintaining 3 maintaining 5 engagement 3 maintaining 6 with 3 maintaining 8 , 4 active 5 engagement 6 with 7 life 9 is 10 crucial 10 crucial 11 to 11 to 13 aging 12 successful 13 aging yet , no instruments were found to measure connectedness . 0 ###LEFT-WALL### 4 instruments 0 ###LEFT-WALL### 6 found 0 ###LEFT-WALL### 10 . 1 yet 2 , 1 yet 4 instruments 3 no 4 instruments 4 instruments 5 were 5 were 6 found 6 found 7 to 7 to 8 measure 8 measure 9 connectedness the purpose of this study was to develop and test a connectedness scale for older adults . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 17 . 1 the 2 purpose 2 purpose 3 of 2 purpose 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 9 and 7 to 9 and 8 develop 9 and 9 and 10 test 10 test 13 scale 11 a 12 connectedness 11 a 13 scale 12 connectedness 13 scale 13 scale 14 for 14 for 16 adults 15 older 16 adults a 72 [-] item instrument was administered to 428 community [-] dwelling older adults . 0 ###LEFT-WALL### 5 instrument 0 ###LEFT-WALL### 7 administered 0 ###LEFT-WALL### 15 . 1 a 5 instrument 2 72 5 instrument 4 item 5 instrument 5 instrument 6 was 6 was 7 administered 7 administered 8 to 8 to 14 adults 9 428 14 adults 10 community 12 dwelling 12 dwelling 14 adults 13 older 14 adults the sample was largely female , white widows/widowers , with a mean age of 76 ( sd [6.95] ) years . 0 ###LEFT-WALL### 2 sample 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 21 . 1 the 2 sample 2 sample 3 was 3 was 4 largely 3 was 20 years 5 female 8 widows/widowers 5 female 20 years 6 , 8 widows/widowers 7 white 8 widows/widowers 8 widows/widowers 10 with 8 widows/widowers 19 ) 9 , 10 with 10 with 13 age 10 with 19 ) 11 a 12 mean 11 a 13 age 12 mean 13 age 13 age 14 of 14 of 15 76 15 76 17 sd 16 ( 17 sd 17 sd 19 ) the instrument was reduced to 45 items representing five factors with loadings ranging from [.] 40 to ..y 86 . 0 ###LEFT-WALL### 2 instrument 0 ###LEFT-WALL### 18 ..y 0 ###LEFT-WALL### 20 . 1 the 2 instrument 2 instrument 3 was 3 was 4 reduced 4 reduced 5 to 4 reduced 11 with 4 reduced 17 to 5 to 7 items 6 45 7 items 7 items 8 representing 8 representing 10 factors 9 five 10 factors 11 with 12 loadings 11 with 13 ranging 14 from 17 to 16 40 17 to 17 to 18 ..y 18 ..y 19 86 the factor labels and their reliability estimates were : ( a [ )(self - regulating ( [.] 86 ) , [(] [b] [ )(facing aging ( [.] 85 ) [,] ( [c] [ )(being part of a family ( [.] 87 ) [,] ( [d] [ )(having friends ( [.] 87 [ )(, [and] ( [e] [ )(being spiritual ( [.] 88 ) . 0 ###LEFT-WALL### 2 factor 0 ###LEFT-WALL### 9 : 1 the 2 factor 2 factor 4 and 2 factor 8 were 2 factor 9 : 3 labels 4 and 4 and 7 estimates 4 and 8 were 5 their 7 estimates 6 reliability 7 estimates 9 : 14 - 10 ( 14 - 11 a 13 )(self 13 )(self 14 - 14 - 15 regulating 15 regulating 18 86 15 regulating 24 )(facing 16 ( 18 86 18 86 19 ) 20 , 24 )(facing 24 )(facing 25 aging 25 aging 28 85 25 aging 34 )(being 26 ( 28 85 28 85 29 ) 31 ( 34 )(being 34 )(being 35 part 35 part 36 of 36 of 38 family 37 a 38 family 38 family 41 87 38 family 47 )(having 39 ( 41 87 41 87 42 ) 44 ( 47 )(having 47 )(having 48 friends 48 friends 51 87 48 friends 58 )(being 49 ( 51 87 51 87 53 )(, 55 ( 58 )(being 58 )(being 59 spiritual 58 )(being 64 . 59 spiritual 62 88 60 ( 62 88 62 88 63 ) this promising instrument may advance the science of successful aging . 0 ###LEFT-WALL### 3 instrument 0 ###LEFT-WALL### 5 advance 0 ###LEFT-WALL### 11 . 1 this 3 instrument 2 promising 3 instrument 3 instrument 4 may 4 may 5 advance 5 advance 7 science 6 the 7 science 7 science 8 of 8 of 10 aging 9 successful 10 aging the immune system is affected by the aging process and undergoes significant age - related changes , termed immunosenescence . 0 ###LEFT-WALL### 3 system 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 20 . 1 the 3 system 2 immune 3 system 3 system 10 and 4 is 5 affected 4 is 10 and 5 affected 6 by 6 by 9 process 7 the 9 process 8 aging 9 process 10 and 11 undergoes 10 and 13 age 12 significant 13 age 13 age 18 termed 14 - 15 related 15 related 16 changes 15 related 17 , 15 related 18 termed 18 termed 19 immunosenescence different [t] cell subsets are affected by this process . 0 ###LEFT-WALL### 4 subsets 0 ###LEFT-WALL### 6 affected 0 ###LEFT-WALL### 10 . 1 different 3 cell 3 cell 4 subsets 4 subsets 5 are 5 are 6 affected 6 affected 7 by 7 by 9 process 8 this 9 process alterations within the bone marrow and thymus lead to a shift in the composition of the [t] cell repertoire from naïve [to] antigen - experienced [t] cells , thereby compromising the diversity of the [t] cell pool . 0 ###LEFT-WALL### 1 alterations 0 ###LEFT-WALL### 8 lead 0 ###LEFT-WALL### 38 . 1 alterations 2 within 1 alterations 8 lead 2 within 6 and 3 the 5 marrow 4 bone 5 marrow 5 marrow 6 and 6 and 7 thymus 8 lead 9 to 8 lead 12 in 8 lead 32 diversity 9 to 11 shift 10 a 11 shift 12 in 14 composition 13 the 14 composition 14 composition 15 of 15 of 19 repertoire 16 the 19 repertoire 18 cell 19 repertoire 19 repertoire 20 from 19 repertoire 30 compromising 20 from 23 antigen 21 naïve 23 antigen 23 antigen 27 cells 24 - 27 cells 25 experienced 27 cells 27 cells 28 , 29 thereby 30 compromising 31 the 32 diversity 32 diversity 33 of 33 of 37 pool 34 the 37 pool 36 cell 37 pool additional infection with latent pathogens such as cytomegalovirus aggravates this process . 0 ###LEFT-WALL### 2 infection 0 ###LEFT-WALL### 9 aggravates 0 ###LEFT-WALL### 12 . 1 additional 2 infection 2 infection 3 with 2 infection 9 aggravates 3 with 5 pathogens 4 latent 5 pathogens 5 pathogens 7 as 6 such 7 as 7 as 8 cytomegalovirus 9 aggravates 11 process 10 this 11 process in this review , we focus on the major age - related changes that occur in the naïve and the antigen - experienced t cell population . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 focus 0 ###LEFT-WALL### 27 . 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 6 focus 6 focus 7 on 6 focus 26 population 7 on 9 major 8 the 9 major 9 major 10 age 9 major 23 experienced 10 age 23 experienced 11 - 12 related 12 related 13 changes 12 related 22 - 12 related 23 experienced 13 changes 14 that 13 changes 15 occur 14 that 15 occur 15 occur 16 in 16 in 19 and 17 the 18 naïve 18 naïve 19 and 19 and 21 antigen 20 the 21 antigen 23 experienced 24 t 25 cell 26 population we discuss the mechanisms responsible for the generation and maintenance of these subsets and how age - related changes can be delayed or prevented by clinical interventions . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 28 . 1 we 9 and 2 discuss 4 mechanisms 2 discuss 9 and 3 the 4 mechanisms 4 mechanisms 5 responsible 5 responsible 6 for 6 for 8 generation 7 the 8 generation 9 and 23 or 9 and 25 by 10 maintenance 11 of 10 maintenance 14 and 11 of 13 subsets 12 these 13 subsets 14 and 15 how 14 and 16 age 16 age 20 can 17 - 18 related 18 related 19 changes 18 related 20 can 20 can 23 or 21 be 22 delayed 21 be 23 or 23 or 24 prevented 25 by 27 interventions 26 clinical 27 interventions micrornas ( mirnas ) are involved in almost every aspect of a mammalian cell 's functionality , from stem cell differentiation to aging and pathogenesis ; however , their role in immediate cell signaling is less defined . 0 ###LEFT-WALL### 1 micrornas 0 ###LEFT-WALL### 6 involved 0 ###LEFT-WALL### 26 ; 0 ###LEFT-WALL### 38 . 1 micrornas 3 mirnas 1 micrornas 5 are 2 ( 3 mirnas 3 mirnas 4 ) 5 are 6 involved 6 involved 7 in 6 involved 18 from 7 in 10 aspect 8 almost 9 every 9 every 10 aspect 10 aspect 11 of 11 of 16 functionality 12 a 14 cell 13 mammalian 14 cell 14 cell 15 's 15 's 16 functionality 17 , 18 from 18 from 24 and 18 from 26 ; 19 stem 20 cell 20 cell 21 differentiation 21 differentiation 22 to 21 differentiation 24 and 22 to 23 aging 24 and 25 pathogenesis 26 ; 30 role 26 ; 35 is 27 however 28 , 27 however 30 role 29 their 30 role 30 role 31 in 30 role 35 is 31 in 34 signaling 32 immediate 33 cell 33 cell 34 signaling 35 is 37 defined 36 less 37 defined conversely , akt induces rapid downregulation of mir - 199a - 5p to effect upregulation of hypoxia - inducible factor 1α and sirtuin 1 . 0 ###LEFT-WALL### 3 akt 0 ###LEFT-WALL### 4 induces 0 ###LEFT-WALL### 25 . 1 conversely 2 , 1 conversely 3 akt 3 akt 4 induces 4 induces 6 downregulation 4 induces 13 to 4 induces 14 effect 5 rapid 6 downregulation 6 downregulation 7 of 7 of 12 5p 8 mir 9 - 8 mir 12 5p 10 199a 11 - 10 199a 12 5p 13 to 14 effect 14 effect 15 upregulation 15 upregulation 16 of 16 of 22 and 17 hypoxia 18 - 17 hypoxia 20 factor 19 inducible 20 factor 20 factor 21 1α 21 1α 22 and 22 and 23 sirtuin 23 sirtuin 24 1 this suggests that posttranscriptional mechanisms regulate mirnas ' processing [and/or] stability to induce the rapid fluctuation in their levels . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 suggests 0 ###LEFT-WALL### 20 . 1 this 2 suggests 2 suggests 3 that 3 that 5 mechanisms 3 that 6 regulate 4 posttranscriptional 5 mechanisms 5 mechanisms 6 regulate 6 regulate 11 stability 7 mirnas 8 ' 8 ' 11 stability 9 processing 11 stability 11 stability 12 to 11 stability 13 induce 12 to 13 induce 13 induce 16 fluctuation 13 induce 17 in 14 the 16 fluctuation 15 rapid 16 fluctuation 17 in 19 levels 18 their 19 levels in support , a growing number of studies are showing specific posttranscriptional regulation of mirnas . 0 ###LEFT-WALL### 8 studies 0 ###LEFT-WALL### 9 are 0 ###LEFT-WALL### 16 . 1 in 2 support 1 in 3 , 1 in 8 studies 4 a 6 number 5 growing 6 number 6 number 7 of 6 number 8 studies 7 of 8 studies 8 studies 9 are 9 are 10 showing 10 showing 13 regulation 11 specific 13 regulation 12 posttranscriptional 13 regulation 13 regulation 14 of 14 of 15 mirnas the data potentially explain how akt , and [plausibly] other signaling pathways , can specifically [and] promptly modulate a gene 's translation while circumventing the need for transcription during transient signaling events . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 4 explain 0 ###LEFT-WALL### 33 . 1 the 2 data 2 data 4 explain 3 potentially 4 explain 4 explain 5 how 5 how 8 and 5 how 18 modulate 6 akt 8 and 7 , 8 and 8 and 12 pathways 8 and 13 , 8 and 14 can 10 other 12 pathways 11 signaling 12 pathways 14 can 18 modulate 15 specifically 18 modulate 17 promptly 18 modulate 18 modulate 22 translation 18 modulate 23 while 19 a 20 gene 20 gene 21 's 21 's 22 translation 23 while 24 circumventing 24 circumventing 26 need 24 circumventing 27 for 24 circumventing 29 during 25 the 26 need 27 for 28 transcription 29 during 32 events 30 transient 32 events 31 signaling 32 events there is a growing call for civic engagement , largely in the form of formal volunteering , among older adults in america . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 23 . 1 there 2 is 2 is 5 call 3 a 5 call 4 growing 5 call 5 call 6 for 5 call 18 among 6 for 8 engagement 7 civic 8 engagement 8 engagement 11 in 9 , 10 largely 9 , 11 in 11 in 13 form 11 in 17 , 12 the 13 form 13 form 14 of 14 of 16 volunteering 15 formal 16 volunteering 18 among 20 adults 19 older 20 adults 20 adults 21 in 21 in 22 america this call is a response to the aging of the baby boom population , believed to be the healthiest and wealthiest cohort of older adults to date . 0 ###LEFT-WALL### 2 call 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 28 . 1 this 2 call 2 call 14 , 3 is 5 response 3 is 6 to 3 is 14 , 4 a 5 response 6 to 8 aging 7 the 8 aging 8 aging 9 of 9 of 13 population 10 the 13 population 11 baby 12 boom 12 boom 13 population 14 , 15 believed 14 , 16 to 14 , 22 cohort 16 to 17 be 18 the 20 and 18 the 22 cohort 19 healthiest 20 and 20 and 21 wealthiest 22 cohort 23 of 23 of 25 adults 24 older 25 adults 25 adults 27 date 26 to 27 date it also coincides with the devolution of welfare programs . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 coincides 0 ###LEFT-WALL### 10 . 1 it 3 coincides 2 also 3 coincides 3 coincides 4 with 4 with 6 devolution 5 the 6 devolution 6 devolution 7 of 7 of 9 programs 8 welfare 9 programs we argue that current discussions of civic engagement are too narrow and may exclude important informal contributions that older adults make to civic society , and put undue stress on , and devalue those who may not contribute to society due to poor health , poverty or other barriers . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 50 . 1 we 12 and 2 argue 3 that 2 argue 12 and 3 that 5 discussions 3 that 9 are 4 current 5 discussions 5 discussions 6 of 5 discussions 9 are 6 of 8 engagement 7 civic 8 engagement 9 are 11 narrow 10 too 11 narrow 12 and 26 and 12 and 39 to 13 may 14 exclude 13 may 26 and 14 exclude 17 contributions 15 important 17 contributions 16 informal 17 contributions 17 contributions 18 that 17 contributions 21 make 18 that 20 adults 18 that 21 make 19 older 20 adults 20 adults 21 make 21 make 22 to 22 to 24 society 23 civic 24 society 25 , 26 and 26 and 32 and 27 put 29 stress 27 put 30 on 27 put 32 and 28 undue 29 stress 31 , 32 and 32 and 33 devalue 33 devalue 34 those 34 those 35 who 34 those 36 may 35 who 36 may 36 may 37 not 36 may 38 contribute 39 to 47 or 40 society 42 to 40 society 45 , 41 due 42 to 42 to 44 health 43 poor 44 health 45 , 46 poverty 45 , 47 or 47 or 49 barriers 48 other 49 barriers we draw on data collected from older adults of lower socio - economic status and diverse ethnic backgrounds in baltimore city using focus groups to explore their definitions of volunteering and barriers which they face . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 draw 1 we 2 draw 2 draw 3 on 3 on 4 data 4 data 5 collected 4 data 9 of 4 data 15 and 5 collected 6 from 6 from 8 adults 7 older 8 adults 9 of 11 socio 10 lower 11 socio 12 - 15 and 13 economic 14 status 14 status 15 and 15 and 18 backgrounds 15 and 19 in 15 and 36 . 16 diverse 18 backgrounds 17 ethnic 18 backgrounds 19 in 31 and 20 baltimore 21 city 21 city 22 using 21 city 29 of 21 city 31 and 22 using 24 groups 22 using 25 to 23 focus 24 groups 25 to 26 explore 26 explore 28 definitions 27 their 28 definitions 29 of 30 volunteering 31 and 32 barriers 31 and 33 which 31 and 35 face 33 which 34 they 33 which 35 face 34 they 35 face through a discussion of existing barriers and motivators for engagement , we critically assess the use of these terms and advance discussions on how to facilitate and value contributions of all older adults . 0 ###LEFT-WALL### 12 we 0 ###LEFT-WALL### 27 and 0 ###LEFT-WALL### 34 . 1 through 3 discussion 1 through 11 , 1 through 12 we 2 a 3 discussion 3 discussion 4 of 4 of 7 and 5 existing 6 barriers 6 barriers 7 and 7 and 8 motivators 7 and 9 for 9 for 10 engagement 12 we 27 and 13 critically 14 assess 14 assess 16 use 14 assess 27 and 15 the 16 use 16 use 17 of 16 use 25 to 16 use 26 facilitate 17 of 20 and 18 these 19 terms 19 terms 20 and 20 and 22 discussions 21 advance 22 discussions 22 discussions 23 on 23 on 24 how 25 to 26 facilitate 27 and 28 value 28 value 29 contributions 29 contributions 30 of 30 of 33 adults 31 all 33 adults 32 older 33 adults we conclude that civic engagement includes more than formal volunteering and that significant barriers need to be removed to facilitate greater participation of all elders in both formal and informal activities . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 32 . 1 we 11 and 2 conclude 6 includes 2 conclude 7 more 2 conclude 8 than 2 conclude 11 and 3 that 4 civic 4 civic 5 engagement 5 engagement 6 includes 8 than 10 volunteering 9 formal 10 volunteering 11 and 20 facilitate 11 and 26 in 12 that 13 significant 13 significant 14 barriers 14 barriers 15 need 15 need 16 to 15 need 19 to 16 to 17 be 17 be 18 removed 19 to 20 facilitate 20 facilitate 22 participation 21 greater 22 participation 22 participation 23 of 23 of 25 elders 24 all 25 elders 26 in 31 activities 27 both 31 activities 28 formal 29 and 29 and 30 informal 29 and 31 activities type 2 diabetes is hallmarked by insulin resistance and insufficient β - cell function . 0 ###LEFT-WALL### 3 diabetes 0 ###LEFT-WALL### 5 hallmarked 0 ###LEFT-WALL### 15 . 1 type 3 diabetes 2 2 3 diabetes 3 diabetes 4 is 4 is 5 hallmarked 5 hallmarked 6 by 6 by 9 and 7 insulin 8 resistance 8 resistance 9 and 9 and 14 function 10 insufficient 13 cell 11 β 12 - 11 β 13 cell 13 cell 14 function islets of type 2 diabetes patients have been shown to have decreased hypoxia - inducible [factor] ( hif ) - 1α/β expression . 0 ###LEFT-WALL### 1 islets 0 ###LEFT-WALL### 12 decreased 0 ###LEFT-WALL### 23 . 1 islets 2 of 1 islets 6 patients 1 islets 10 to 1 islets 11 have 2 of 3 type 3 type 4 2 5 diabetes 6 patients 6 patients 7 have 7 have 8 been 8 been 9 shown 9 shown 10 to 11 have 12 decreased 12 decreased 22 expression 13 hypoxia 14 - 13 hypoxia 22 expression 15 inducible 18 hif 15 inducible 20 - 15 inducible 22 expression 17 ( 18 hif 18 hif 19 ) 21 1α/β 22 expression target genes of the hif pathway are involved in angiogenesis , survival , proliferation , and energy metabolism , and von hippel - lindau protein ( vhl ) is a negative regulator of this pathway . 0 ###LEFT-WALL### 2 genes 0 ###LEFT-WALL### 8 involved 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 36 . 1 target 2 genes 2 genes 3 of 2 genes 7 are 3 of 6 pathway 4 the 6 pathway 5 hif 6 pathway 7 are 8 involved 8 involved 9 in 9 in 10 angiogenesis 10 angiogenesis 16 and 11 , 16 and 12 survival 13 , 13 , 14 proliferation 13 , 16 and 15 , 16 and 16 and 18 metabolism 16 and 19 , 17 energy 18 metabolism 20 and 22 hippel 20 and 29 is 21 von 22 hippel 22 hippel 25 protein 22 hippel 29 is 23 - 25 protein 24 lindau 25 protein 25 protein 27 vhl 25 protein 28 ) 26 ( 27 vhl 27 vhl 28 ) 29 is 32 regulator 30 a 32 regulator 31 negative 32 regulator 32 regulator 33 of 33 of 35 pathway 34 this 35 pathway we hypothesized that increased hif - mediated gene transcription by vhl deletion in the β - cells would increase β - [cell] mass and function . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 hypothesized 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 26 . 1 we 2 hypothesized 2 hypothesized 3 that 2 hypothesized 4 increased 3 that 4 increased 4 increased 5 hif 6 - 9 transcription 6 - 19 increase 6 - 21 - 7 mediated 8 gene 8 gene 9 transcription 9 transcription 10 by 9 transcription 18 would 10 by 12 deletion 11 vhl 12 deletion 12 deletion 13 in 13 in 17 cells 14 the 17 cells 15 β 16 - 15 β 17 cells 18 would 19 increase 19 increase 20 β 21 - 24 and 23 mass 24 and 24 and 25 function we generated β - cell - specific vhl - knockout mice using the cre - loxp recombination [system] driven by the rat insulin promoter to assess the role of vhl in glucose homeostasis and β - cell function . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 generated 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 26 assess 0 ###LEFT-WALL### 39 . 1 we 2 generated 2 generated 3 β 4 - 5 cell 4 - 6 - 6 - 8 vhl 6 - 16 loxp 7 specific 8 vhl 8 vhl 11 mice 8 vhl 16 loxp 9 - 11 mice 10 knockout 11 mice 11 mice 12 using 11 mice 15 - 12 using 14 cre 13 the 14 cre 16 loxp 17 recombination 16 loxp 20 by 16 loxp 25 to 17 recombination 19 driven 20 by 24 promoter 21 the 24 promoter 22 rat 24 promoter 23 insulin 24 promoter 25 to 26 assess 26 assess 28 role 26 assess 31 in 27 the 28 role 28 role 29 of 29 of 30 vhl 31 in 34 and 32 glucose 33 homeostasis 33 homeostasis 34 and 34 and 38 function 35 β 36 - 35 β 37 cell 37 cell 38 function vhl deletion in the pancreatic β - cells led to impaired glucose tolerance due to defects in glucose - stimulated insulin secretion and β - cell mass with age . 0 ###LEFT-WALL### 2 deletion 0 ###LEFT-WALL### 20 stimulated 0 ###LEFT-WALL### 30 . 1 vhl 2 deletion 2 deletion 3 in 2 deletion 20 stimulated 3 in 6 β 4 the 6 β 5 pancreatic 6 β 6 β 8 cells 7 - 8 cells 8 cells 9 led 8 cells 15 to 8 cells 17 in 8 cells 19 - 9 led 10 to 10 to 13 tolerance 11 impaired 12 glucose 12 glucose 13 tolerance 14 due 15 to 15 to 16 defects 17 in 18 glucose 20 stimulated 23 and 20 stimulated 28 with 21 insulin 22 secretion 22 secretion 23 and 23 and 27 mass 24 β 25 - 24 β 26 cell 26 cell 27 mass 28 with 29 age vhl - knockout islets had decreased glut2 , but increased glucose transporter 1 and vascular endothelial growth factor expression . 0 ###LEFT-WALL### 4 islets 0 ###LEFT-WALL### 9 but 0 ###LEFT-WALL### 20 . 1 vhl 2 - 1 vhl 4 islets 3 knockout 4 islets 4 islets 9 but 5 had 6 decreased 5 had 9 but 6 decreased 7 glut2 8 , 9 but 9 but 10 increased 10 increased 14 and 11 glucose 12 transporter 12 transporter 13 1 12 transporter 14 and 14 and 19 expression 15 vascular 17 growth 16 endothelial 17 growth 17 growth 19 expression 18 factor 19 expression furthermore , there were significant aberrations in islet morphology in the vhl - knockout mice , likely due to increased islet vasculature . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 23 . 1 furthermore 2 , 1 furthermore 3 there 3 there 4 were 4 were 6 aberrations 5 significant 6 aberrations 6 aberrations 7 in 6 aberrations 17 likely 7 in 9 morphology 8 islet 9 morphology 9 morphology 10 in 9 morphology 15 mice 10 in 12 vhl 11 the 12 vhl 13 - 15 mice 14 knockout 15 mice 15 mice 16 , 17 likely 19 to 18 due 19 to 19 to 22 vasculature 20 increased 22 vasculature 21 islet 22 vasculature given that erythropoietin ( epo ) is a target gene of the hif pathway , which is not expressed in islets , we tested whether activating epo signaling by systemic administration with recombinant human epo ( rhuepo ) can overcome the β - cell defects that occurred with vhl loss . 0 ###LEFT-WALL### 1 given 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 22 , 1 given 3 erythropoietin 1 given 7 is 2 that 3 erythropoietin 3 erythropoietin 5 epo 4 ( 5 epo 5 epo 6 ) 7 is 10 gene 8 a 10 gene 9 target 10 gene 10 gene 11 of 10 gene 16 which 11 of 14 pathway 12 the 14 pathway 13 hif 14 pathway 15 , 16 which 16 which 17 is 16 which 22 , 17 is 18 not 17 is 19 expressed 19 expressed 20 in 20 in 21 islets 22 , 23 we 22 , 24 tested 23 we 24 tested 24 tested 25 whether 25 whether 26 activating 25 whether 40 overcome 26 activating 27 epo 26 activating 39 can 27 epo 28 signaling 27 epo 29 by 27 epo 32 with 29 by 31 administration 30 systemic 31 administration 32 with 35 epo 33 recombinant 35 epo 34 human 35 epo 35 epo 37 rhuepo 36 ( 37 rhuepo 37 rhuepo 38 ) 39 can 40 overcome 40 overcome 42 β 41 the 42 β 42 β 45 defects 43 - 45 defects 44 cell 45 defects 45 defects 46 that 45 defects 47 occurred 45 defects 48 with 45 defects 51 . 46 that 47 occurred 48 with 50 loss 49 vhl 50 loss we observed improved glucose tolerance and restoration of glut2 expression in vhl - deficient β - cells in response to rhuepo . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 observed 0 ###LEFT-WALL### 22 . 1 we 2 observed 2 observed 6 and 2 observed 20 to 3 improved 4 glucose 4 glucose 5 tolerance 5 tolerance 6 and 6 and 7 restoration 6 and 8 of 8 of 10 expression 9 glut2 10 expression 10 expression 11 in 11 in 17 cells 12 vhl 15 β 12 vhl 17 cells 13 - 15 β 14 deficient 15 β 15 β 16 - 18 in 19 response 19 response 20 to 20 to 21 rhuepo contrary to our hypothesis , loss of vhl and increased transcription of hif - target genes resulted in impaired β - cell function and mass , which can be overcome with exogenous epo . 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 26 , 0 ###LEFT-WALL### 34 . 1 contrary 2 to 1 contrary 5 , 2 to 4 hypothesis 3 our 4 hypothesis 5 , 23 function 5 , 24 and 6 loss 7 of 6 loss 9 and 7 of 8 vhl 9 and 11 transcription 9 and 14 - 9 and 16 genes 9 and 18 in 9 and 19 impaired 10 increased 11 transcription 11 transcription 12 of 12 of 13 hif 15 target 16 genes 16 genes 17 resulted 17 resulted 18 in 19 impaired 23 function 20 β 21 - 20 β 22 cell 22 cell 23 function 24 and 25 mass 26 , 27 which 26 , 30 overcome 27 which 28 can 28 can 29 be 29 be 30 overcome 30 overcome 31 with 31 with 33 epo 32 exogenous 33 epo our results indicate a critical role for vhl in β - [cell] [function] and mass , and that epo administration improved β - cell function making it a potential strategy for diabetes treatment . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 34 . 1 our 2 results 2 results 3 indicate 3 indicate 6 role 3 indicate 9 in 4 a 6 role 5 critical 6 role 6 role 7 for 7 for 8 vhl 9 in 17 and 10 β 14 and 11 - 14 and 14 and 15 mass 14 and 17 and 16 , 17 and 17 and 25 function 18 that 25 function 19 epo 25 function 20 administration 25 function 21 improved 24 cell 22 β 23 - 22 β 24 cell 24 cell 25 function 25 function 26 making 26 making 27 it 26 making 30 strategy 26 making 31 for 28 a 29 potential 28 a 30 strategy 29 potential 30 strategy 31 for 33 treatment 32 diabetes 33 treatment this article , co - authored by a functional therapist and a neuroradiologist , proposes a definition as well as a general overview of epidemiological , legal and clinical concerns related to the handicap followed by a [more] in - depth study of subjects with cerebral palsy or other brain motor handicap . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 15 proposes 0 ###LEFT-WALL### 31 related 0 ###LEFT-WALL### 40 - 1 this 2 article 2 article 4 co 2 article 15 proposes 3 , 4 co 4 co 6 authored 4 co 14 , 5 - 6 authored 6 authored 7 by 6 authored 14 , 7 by 11 and 8 a 9 functional 8 a 10 therapist 9 functional 10 therapist 10 therapist 11 and 11 and 13 neuroradiologist 12 a 13 neuroradiologist 15 proposes 17 definition 15 proposes 19 well 15 proposes 20 as 16 a 17 definition 18 as 19 well 20 as 23 overview 20 as 31 related 21 a 22 general 21 a 23 overview 22 general 23 overview 23 overview 24 of 23 overview 31 related 24 of 30 concerns 25 epidemiological 26 , 25 epidemiological 30 concerns 27 legal 28 and 28 and 29 clinical 28 and 30 concerns 31 related 32 to 31 related 40 - 32 to 34 handicap 33 the 34 handicap 34 handicap 35 followed 35 followed 36 by 36 by 39 in 37 a 39 in 40 - 52 handicap 40 - 53 . 41 depth 52 handicap 42 study 43 of 42 study 48 or 43 of 44 subjects 44 subjects 45 with 45 with 47 palsy 46 cerebral 47 palsy 48 or 49 other 48 or 50 brain 50 brain 52 handicap 51 motor 52 handicap this patient population contains an increasing number of adults . 0 ###LEFT-WALL### 3 population 0 ###LEFT-WALL### 4 contains 0 ###LEFT-WALL### 10 . 1 this 2 patient 2 patient 3 population 3 population 4 contains 4 contains 9 adults 5 an 7 number 6 increasing 7 number 7 number 8 of 7 number 9 adults 8 of 9 adults the effects of aging and the increased incidence of letal malignancies in this population will be reviewed.the [role] of imaging in the management of these patients , its key features and related pitfalls are discussed . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 27 , 0 ###LEFT-WALL### 36 . 1 the 2 effects 2 effects 3 of 2 effects 5 and 3 of 4 aging 5 and 8 incidence 5 and 9 of 5 and 12 in 5 and 15 will 5 and 20 imaging 6 the 8 incidence 7 increased 8 incidence 9 of 11 malignancies 10 letal 11 malignancies 12 in 14 population 13 this 14 population 15 will 16 be 16 be 17 reviewed.the 17 reviewed.the 19 of 19 of 20 imaging 20 imaging 21 in 21 in 23 management 22 the 23 management 23 management 24 of 24 of 26 patients 25 these 26 patients 27 , 31 and 27 , 35 discussed 28 its 30 features 29 key 30 features 30 features 31 and 31 and 33 pitfalls 31 and 34 are 32 related 33 pitfalls 34 are 35 discussed finally , the role of mr imaging of the brain in patients with cerebral palsy is discussed with emphasis on the relation between lesion type [and] impairment , imaging characteristics and injury mechanism . 0 ###LEFT-WALL### 4 role 0 ###LEFT-WALL### 17 discussed 0 ###LEFT-WALL### 34 . 1 finally 2 , 1 finally 4 role 3 the 4 role 4 role 5 of 4 role 16 is 5 of 7 imaging 6 mr 7 imaging 7 imaging 8 of 8 of 10 brain 9 the 10 brain 10 brain 11 in 11 in 12 patients 12 patients 13 with 13 with 15 palsy 14 cerebral 15 palsy 16 is 17 discussed 17 discussed 18 with 17 discussed 20 on 17 discussed 23 between 18 with 19 emphasis 20 on 22 relation 21 the 22 relation 23 between 31 and 24 lesion 25 type 25 type 27 impairment 27 impairment 28 , 28 , 30 characteristics 28 , 31 and 29 imaging 30 characteristics 31 and 33 mechanism 32 injury 33 mechanism purpose : to investigate ct densities of orbital soft tissue volumes in patients with graves orbitopathy ( go ) and to [compare] these with the densities of controls . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 3 to 2 : 4 investigate 3 to 4 investigate 4 investigate 6 densities 4 investigate 12 in 4 investigate 20 and 4 investigate 24 with 5 ct 6 densities 6 densities 7 of 7 of 11 volumes 8 orbital 10 tissue 9 soft 10 tissue 10 tissue 11 volumes 12 in 13 patients 14 with 16 orbitopathy 14 with 20 and 15 graves 16 orbitopathy 16 orbitopathy 18 go 17 ( 18 go 18 go 19 ) 20 and 21 to 21 to 23 these 24 with 26 densities 25 the 26 densities 26 densities 27 of 27 of 28 controls methods : observational case series . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 . 1 methods 2 : 2 : 5 series 3 observational 4 case 4 case 5 series of 95 patients with go and 150 controls , soft tissue volumes , mean densities , and ratios of fat volume to orbital volume and muscle volume to orbital volume were calculated with software . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 14 mean 0 ###LEFT-WALL### 35 . 1 of 2 95 1 of 6 and 3 patients 4 with 3 patients 6 and 4 with 5 go 6 and 8 controls 6 and 12 volumes 6 and 14 mean 7 150 8 controls 9 , 12 volumes 10 soft 11 tissue 11 tissue 12 volumes 12 volumes 13 , 14 mean 25 and 14 mean 32 calculated 15 densities 17 and 16 , 17 and 17 and 18 ratios 17 and 19 of 17 and 25 and 19 of 21 volume 20 fat 21 volume 21 volume 22 to 22 to 24 volume 23 orbital 24 volume 25 and 27 volume 25 and 28 to 25 and 31 were 26 muscle 27 volume 28 to 30 volume 29 orbital 30 volume 31 were 32 calculated 32 calculated 33 with 33 with 34 software the 95 % confidence intervals of the controls were used as reference values . 0 ###LEFT-WALL### 5 intervals 0 ###LEFT-WALL### 10 used 0 ###LEFT-WALL### 14 . 1 the 2 95 2 95 5 intervals 3 % 4 confidence 4 confidence 5 intervals 5 intervals 6 of 5 intervals 9 were 6 of 8 controls 7 the 8 controls 9 were 10 used 10 used 11 as 11 as 13 values 12 reference 13 values the densities were plotted against age and volume ratios . 0 ###LEFT-WALL### 2 densities 0 ###LEFT-WALL### 4 plotted 0 ###LEFT-WALL### 10 . 1 the 2 densities 2 densities 3 were 3 were 4 plotted 4 plotted 5 against 5 against 7 and 6 age 7 and 7 and 9 ratios 8 volume 9 ratios for statistical analysis spss 16.00.2 was used . [p] values were calculated with the following tests : analysis of variance , pearson correlation , kruskal - wallis , mann - whitney , and linear regression . 0 ###LEFT-WALL### 1 for 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 8 . 1 for 3 analysis 1 for 6 was 2 statistical 3 analysis 4 spss 5 16.00.2 4 spss 6 was 6 was 7 used 8 . 10 values 8 . 12 calculated 8 . 17 : 10 values 11 were 11 were 12 calculated 12 calculated 13 with 13 with 16 tests 14 the 15 following 14 the 16 tests 17 : 33 and 17 : 36 . 18 analysis 19 of 18 analysis 21 , 19 of 20 variance 21 , 23 correlation 21 , 24 , 22 pearson 23 correlation 24 , 25 kruskal 24 , 33 and 25 kruskal 27 wallis 26 - 27 wallis 27 wallis 29 mann 27 wallis 32 , 28 , 29 mann 29 mann 31 whitney 29 mann 32 , 30 - 31 whitney 31 whitney 32 , 33 and 35 regression 34 linear 35 regression results : the main outcome measurements were differences in orbital soft tissue densities . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 measurements 2 : 7 were 2 : 14 . 3 the 4 main 3 the 6 measurements 5 outcome 6 measurements 6 measurements 7 were 7 were 8 differences 8 differences 9 in 9 in 13 densities 10 orbital 12 tissue 11 soft 12 tissue 12 tissue 13 densities in go patients the mean orbital fat density was significantly higher than in controls ( [p] ≤ 0.001 [ )(and independent of age ( p = 0.23 ) . 0 ###LEFT-WALL### 1 in 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 29 . 1 in 3 patients 1 in 9 was 2 go 3 patients 4 the 8 density 5 mean 8 density 6 orbital 8 density 7 fat 8 density 8 density 9 was 9 was 10 significantly 9 was 11 higher 11 higher 12 than 12 than 13 in 13 in 14 controls 14 controls 20 )(and 15 ( 20 )(and 17 ≤ 18 0.001 17 ≤ 20 )(and 20 )(and 21 independent 20 )(and 22 of 20 )(and 26 = 20 )(and 28 ) 22 of 23 age 24 ( 26 = 25 p 26 = 26 = 27 0.23 the mean extraocular muscle density of go patients was within the range of controls and did not decrease with age ( p = 0.16 ) as it did in controls ( [p] ≤ 0.001 ) . 0 ###LEFT-WALL### 4 muscle 0 ###LEFT-WALL### 28 did 0 ###LEFT-WALL### 36 . 1 the 4 muscle 2 mean 4 muscle 3 extraocular 4 muscle 4 muscle 5 density 4 muscle 9 was 4 muscle 28 did 5 density 6 of 5 density 9 was 6 of 8 patients 7 go 8 patients 9 was 10 within 9 was 26 as 10 within 12 range 11 the 12 range 12 range 13 of 13 of 15 and 14 controls 15 and 15 and 16 did 16 did 17 not 16 did 18 decrease 18 decrease 19 with 19 with 20 age 20 age 23 = 21 ( 23 = 22 p 23 = 23 = 24 0.16 23 = 25 ) 26 as 27 it 28 did 29 in 29 in 30 controls 30 controls 33 ≤ 31 ( 33 ≤ 33 ≤ 34 0.001 33 ≤ 35 ) mean fat density increased with decreasing fat volume ( p = 0.001 ) . 0 ###LEFT-WALL### 1 mean 0 ###LEFT-WALL### 14 . 1 mean 3 density 2 fat 3 density 3 density 4 increased 4 increased 5 with 5 with 6 decreasing 6 decreasing 8 volume 7 fat 8 volume 8 volume 11 = 9 ( 11 = 10 p 11 = 11 = 12 0.001 11 = 13 ) mean extraocular muscle density increased slightly with increasing muscle volume ( p = 0.09 ) . 0 ###LEFT-WALL### 1 mean 0 ###LEFT-WALL### 16 . 1 mean 4 density 2 extraocular 3 muscle 3 muscle 4 density 4 density 5 increased 5 increased 6 slightly 5 increased 7 with 7 with 8 increasing 8 increasing 10 volume 9 muscle 10 volume 10 volume 13 = 11 ( 13 = 12 p 13 = 13 = 14 0.09 13 = 15 ) muscle density correlated with fat density in both controls and go patients . 0 ###LEFT-WALL### 1 muscle 0 ###LEFT-WALL### 13 . 1 muscle 2 density 1 muscle 7 in 2 density 3 correlated 3 correlated 4 with 4 with 6 density 5 fat 6 density 7 in 10 and 8 both 10 and 9 controls 10 and 10 and 12 patients 11 go 12 patients conclusions : orbital fat density in go patients is significantly higher than in controls and negatively correlated to fat volume but positively correlated to muscle volume and muscle density . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 5 density 2 : 15 and 3 orbital 5 density 4 fat 5 density 5 density 6 in 5 density 15 and 6 in 8 patients 7 go 8 patients 9 is 10 significantly 9 is 11 higher 9 is 15 and 11 higher 12 than 12 than 13 in 13 in 14 controls 15 and 21 but 15 and 24 to 15 and 27 and 16 negatively 17 correlated 17 correlated 18 to 17 correlated 21 but 18 to 20 volume 19 fat 20 volume 21 but 23 correlated 22 positively 23 correlated 24 to 25 muscle 26 volume 27 and 27 and 29 density 28 muscle 29 density background : older adults frequently experience pressure ulcers ( prus ) and suffer the risks of the ulceration . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 adults 2 : 12 and 2 : 19 . 3 older 4 adults 4 adults 12 and 5 frequently 6 experience 6 experience 8 ulcers 6 experience 12 and 7 pressure 8 ulcers 8 ulcers 10 prus 9 ( 10 prus 10 prus 11 ) 12 and 13 suffer 13 suffer 15 risks 14 the 15 risks 15 risks 16 of 16 of 18 ulceration 17 the 18 ulceration risk factors for prus remain unclear in a community population . 0 ###LEFT-WALL### 2 factors 0 ###LEFT-WALL### 5 remain 0 ###LEFT-WALL### 11 . 1 risk 2 factors 2 factors 3 for 2 factors 5 remain 3 for 4 prus 5 remain 6 unclear 6 unclear 7 in 7 in 10 population 8 a 10 population 9 community 10 population objective : the objective of this study was to determine the risk factors for future pressure ulceration in a community sample . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 4 objective 2 : 21 sample 2 : 22 . 3 the 4 objective 4 objective 5 of 4 objective 8 was 5 of 7 study 6 this 7 study 8 was 9 to 8 was 10 determine 9 to 10 determine 10 determine 12 risk 11 the 12 risk 12 risk 13 factors 12 risk 21 sample 13 factors 14 for 13 factors 21 sample 14 for 17 ulceration 15 future 17 ulceration 16 pressure 17 ulceration 17 ulceration 18 in 18 in 20 community 19 a 20 community design : this was a retrospective cohort study . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 2 : 3 this 2 : 4 was 2 : 9 . 3 this 4 was 4 was 8 study 5 a 6 retrospective 5 a 8 study 6 retrospective 7 cohort 7 cohort 8 study patients : all patients older than 60 years in a primary care panel in olmsted county , minnesota , on january 1 , 2005 , were enrolled ( n = 12,650 ) . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 4 patients 2 : 25 , 3 all 4 patients 4 patients 5 older 4 patients 25 , 5 older 6 than 6 than 8 years 6 than 9 in 7 60 8 years 9 in 12 care 10 a 12 care 11 primary 12 care 13 panel 14 in 13 panel 20 on 13 panel 24 2005 13 panel 25 , 14 in 16 county 15 olmsted 16 county 16 county 18 minnesota 17 , 18 minnesota 18 minnesota 19 , 19 , 20 on 20 on 21 january 20 on 23 , 21 january 22 1 25 , 26 were 26 were 27 enrolled 27 enrolled 30 = 28 ( 30 = 29 n 30 = 30 = 31 12,650 30 = 32 ) methods and outcomes : the primary outcome was a new diagnosis of pressure ulceration within 40 months [of] index [date] . 0 ###LEFT-WALL### 3 outcomes 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 19 index 0 ###LEFT-WALL### 21 . 1 methods 2 and 2 and 3 outcomes 4 : 7 outcome 4 : 8 was 5 the 7 outcome 6 primary 7 outcome 7 outcome 8 was 8 was 11 diagnosis 9 a 10 new 9 a 11 diagnosis 10 new 11 diagnosis 11 diagnosis 12 of 11 diagnosis 17 months 11 diagnosis 19 index 12 of 14 ulceration 13 pressure 14 ulceration 14 ulceration 15 within 15 within 16 40 17 months 19 index the predictor risk variables included demographic and comorbid health risk factors . 0 ###LEFT-WALL### 4 variables 0 ###LEFT-WALL### 5 included 0 ###LEFT-WALL### 12 . 1 the 4 variables 2 predictor 4 variables 3 risk 4 variables 4 variables 5 included 5 included 11 factors 6 demographic 7 and 7 and 8 comorbid 7 and 9 health 9 health 11 factors 10 risk 11 factors the data were analyzed using univariable and multivariable logistic regression . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 4 analyzed 0 ###LEFT-WALL### 11 . 1 the 2 data 2 data 3 were 3 were 4 analyzed 4 analyzed 5 using 5 using 10 regression 6 univariable 7 and 7 and 8 multivariable 7 and 10 regression 9 logistic 10 regression the authors created a final model based on multivariable risk factors . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 3 created 0 ###LEFT-WALL### 12 . 1 the 2 authors 2 authors 3 created 3 created 6 model 4 a 5 final 4 a 6 model 5 final 6 model 6 model 7 based 7 based 8 on 8 on 11 factors 9 multivariable 11 factors 10 risk 11 factors main results : of 12,650 patients , 366 patients developed an incident [pru] ( 2.9 % ) . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 18 . 1 main 2 results 2 results 3 : 3 : 4 of 4 of 6 patients 5 12,650 6 patients 7 , 9 patients 7 , 10 developed 8 366 9 patients 9 patients 10 developed 10 developed 12 incident 11 an 12 incident 12 incident 16 % 14 ( 16 % 15 2.9 16 % 16 % 17 ) in the final model , age , male sex , and long - term - care facility admission were significant factors . 0 ###LEFT-WALL### 18 admission 0 ###LEFT-WALL### 19 were 0 ###LEFT-WALL### 22 . 1 in 11 and 1 in 15 - 1 in 18 admission 2 the 4 model 3 final 4 model 4 model 5 , 5 , 6 age 5 , 7 , 7 , 9 sex 7 , 11 and 8 male 9 sex 10 , 11 and 11 and 14 term 12 long 13 - 12 long 14 term 16 care 17 facility 17 facility 18 admission 18 admission 19 were 19 were 21 factors 20 significant 21 factors prior pressure ulceration with an odds ratio of 5.60 ( 95 % confidence [interval] , 3.86 - 8.14 ) was the largest risk factor . 0 ###LEFT-WALL### 3 ulceration 0 ###LEFT-WALL### 20 was 0 ###LEFT-WALL### 25 . 1 prior 2 pressure 2 pressure 3 ulceration 3 ulceration 4 with 3 ulceration 8 of 3 ulceration 20 was 4 with 7 ratio 5 an 7 ratio 6 odds 7 ratio 8 of 9 5.60 9 5.60 13 confidence 9 5.60 17 - 10 ( 13 confidence 11 95 12 % 12 % 13 confidence 13 confidence 15 , 15 , 17 - 16 3.86 17 - 17 - 18 8.14 17 - 19 ) 20 was 24 factor 21 the 22 largest 21 the 24 factor 23 risk 24 factor diabetes [,] falls , cataracts , renal insufficiency , and peripheral vascular disease were also associated with pru development . 0 ###LEFT-WALL### 1 diabetes 0 ###LEFT-WALL### 3 falls 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 20 . 1 diabetes 3 falls 4 , 10 and 4 , 16 associated 5 cataracts 6 , 6 , 8 insufficiency 6 , 10 and 7 renal 8 insufficiency 9 , 10 and 10 and 13 disease 10 and 14 were 11 peripheral 13 disease 12 vascular 13 disease 14 were 16 associated 15 also 16 associated 16 associated 17 with 17 with 19 development 18 pru 19 development conclusion : pru development involves important risk factors of prior pru development and long - term - care facility placement as the 2 largest risk factors . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 - 0 ###LEFT-WALL### 27 . 1 conclusion 2 : 2 : 3 pru 3 pru 4 development 3 pru 5 involves 3 pru 9 of 4 development 5 involves 5 involves 8 factors 6 important 8 factors 7 risk 8 factors 9 of 13 and 10 prior 12 development 11 pru 12 development 12 development 13 and 13 and 16 term 14 long 15 - 14 long 16 term 17 - 20 placement 18 care 20 placement 19 facility 20 placement 20 placement 21 as 21 as 26 factors 22 the 23 2 23 2 24 largest 23 2 26 factors 25 risk 26 factors both factors are easily determined by history . 0 ###LEFT-WALL### 2 factors 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 8 . 1 both 2 factors 2 factors 3 are 3 are 4 easily 3 are 5 determined 5 determined 6 by 6 by 7 history increasing age and comorbid medical conditions also impact pru development as important risk factors for pru development . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 18 . 1 increasing 2 age 2 age 3 and 3 and 4 comorbid 3 and 6 conditions 3 and 14 factors 5 medical 6 conditions 6 conditions 8 impact 7 also 8 impact 8 impact 10 development 8 impact 11 as 9 pru 10 development 11 as 13 risk 11 as 14 factors 12 important 13 risk 13 risk 14 factors 14 factors 15 for 15 for 17 development 16 pru 17 development background : the longitudinal cognitive course in parkinson 's disease ( pd ) [with] and without dementia remains undefined . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 1 background 2 : 2 : 6 course 2 : 15 and 3 the 6 course 4 longitudinal 6 course 5 cognitive 6 course 7 in 10 disease 7 in 15 and 8 parkinson 9 's 9 's 10 disease 10 disease 12 pd 11 ( 12 pd 12 pd 13 ) 15 and 16 without 16 without 18 remains 17 dementia 18 remains 18 remains 19 undefined we compared cross [-] sectional models of cognition in pd ( both [with] and [without] dementia ) , alzheimer 's disease ( ad ) , and nondemented aging and followed the participants over time . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 26 and 0 ###LEFT-WALL### 35 . 1 we 26 and 2 compared 6 models 2 compared 26 and 3 cross 6 models 5 sectional 6 models 6 models 7 of 6 models 21 disease 7 of 8 cognition 8 cognition 9 in 9 in 10 pd 10 pd 14 and 11 ( 14 and 12 both 14 and 14 and 16 dementia 14 and 17 ) 18 , 21 disease 19 alzheimer 20 's 20 's 21 disease 21 disease 23 ad 21 disease 25 , 22 ( 23 ad 23 ad 24 ) 25 , 26 and 26 and 29 and 26 and 33 over 27 nondemented 28 aging 27 nondemented 29 and 29 and 30 followed 30 followed 32 participants 31 the 32 participants 33 over 34 time method : previously validated models of cognitive performance in ad and nondemented aging were extended to individuals with pd ( with dementia , n = 71 [;] without dementia , n = 47 ) . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 35 . 2 : 5 models 2 : 15 extended 3 previously 4 validated 4 validated 5 models 5 models 6 of 5 models 14 were 6 of 11 and 7 cognitive 8 performance 8 performance 9 in 8 performance 11 and 9 in 10 ad 11 and 13 aging 12 nondemented 13 aging 14 were 15 extended 15 extended 16 to 15 extended 18 with 15 extended 28 without 16 to 17 individuals 18 with 19 pd 19 pd 21 with 19 pd 25 = 20 ( 21 with 21 with 22 dementia 21 with 23 , 24 n 25 = 25 = 26 71 28 without 29 dementia 29 dementia 32 = 30 , 32 = 31 n 32 = 32 = 33 47 32 = 34 ) confirmatory factor analysis and piecewise regression were used to compare the longitudinal course of participants with pd with 191 cognitively healthy subjects and 115 individuals with autopsy [-] confirmed ad . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 8 used 0 ###LEFT-WALL### 31 . 1 confirmatory 4 and 2 factor 3 analysis 3 analysis 4 and 4 and 6 regression 4 and 7 were 5 piecewise 6 regression 7 were 8 used 8 used 9 to 8 used 10 compare 9 to 10 compare 10 compare 23 and 10 compare 26 with 11 the 13 course 12 longitudinal 13 course 13 course 14 of 13 course 23 and 14 of 15 participants 15 participants 16 with 15 participants 18 with 16 with 17 pd 18 with 22 subjects 19 191 22 subjects 20 cognitively 21 healthy 21 healthy 22 subjects 23 and 25 individuals 24 115 25 individuals 26 with 30 ad 27 autopsy 30 ad 29 confirmed 30 ad results : a factor analytic model with one general factor and three specific factors ( verbal memory , visuospatial memory , working memory ) fit demented and nondemented pd . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 11 and 2 : 25 fit 3 a 6 model 4 factor 6 model 5 analytic 6 model 6 model 7 with 6 model 11 and 7 with 10 factor 8 one 10 factor 9 general 10 factor 11 and 14 factors 11 and 17 memory 11 and 20 memory 11 and 23 memory 11 and 25 fit 12 three 14 factors 13 specific 14 factors 15 ( 17 memory 16 verbal 17 memory 17 memory 18 , 18 , 20 memory 19 visuospatial 20 memory 20 memory 21 , 21 , 23 memory 22 working 23 memory 23 memory 24 ) 25 fit 27 and 26 demented 27 and 27 and 29 pd 28 nondemented 29 pd longitudinal change indicated that individuals with pd with dementia declined significantly more rapidly on visuospatial and verbal memory tasks than ad alone . 0 ###LEFT-WALL### 2 change 0 ###LEFT-WALL### 19 tasks 0 ###LEFT-WALL### 23 . 1 longitudinal 2 change 2 change 3 indicated 2 change 4 that 2 change 10 declined 2 change 19 tasks 4 that 5 individuals 4 that 10 declined 5 individuals 6 with 5 individuals 10 declined 6 with 7 pd 7 pd 8 with 8 with 9 dementia 10 declined 13 rapidly 10 declined 14 on 11 significantly 12 more 12 more 13 rapidly 14 on 18 memory 15 visuospatial 16 and 16 and 17 verbal 16 and 18 memory 19 tasks 20 than 19 tasks 21 ad 19 tasks 22 alone cognitive declines across all factors in ad and pd dementia accelerated several years prior to clinical dementia diagnosis . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 11 accelerated 0 ###LEFT-WALL### 19 . 1 cognitive 2 declines 2 declines 3 across 2 declines 8 and 3 across 5 factors 4 all 5 factors 5 factors 6 in 6 in 7 ad 8 and 10 dementia 8 and 11 accelerated 9 pd 10 dementia 11 accelerated 13 years 11 accelerated 15 to 12 several 13 years 14 prior 15 to 15 to 18 diagnosis 16 clinical 18 diagnosis 17 dementia 18 diagnosis conclusion : both specific and global cognitive changes are witnessed in pd and ad . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 8 changes 2 : 10 witnessed 3 both 8 changes 4 specific 5 and 5 and 6 global 5 and 8 changes 7 cognitive 8 changes 8 changes 9 are 9 are 10 witnessed 10 witnessed 11 in 11 in 14 ad 12 pd 13 and 13 and 14 ad 14 ad 15 . longitudinal profiles of cognitive decline [in] pd and ad differed . 0 ###LEFT-WALL### 2 profiles 0 ###LEFT-WALL### 10 differed 0 ###LEFT-WALL### 11 . 1 longitudinal 2 profiles 2 profiles 3 of 2 profiles 10 differed 3 of 8 and 4 cognitive 5 decline 5 decline 7 pd 7 pd 8 and 8 and 9 ad pd [with] or [without] dementia has a core feature [of] longitudinal decline in visuospatial abilities . 0 ###LEFT-WALL### 3 or 0 ###LEFT-WALL### 6 has 0 ###LEFT-WALL### 16 . 1 pd 3 or 3 or 5 dementia 3 or 6 has 6 has 12 decline 6 has 13 in 7 a 12 decline 8 core 12 decline 9 feature 12 decline 11 longitudinal 12 decline 13 in 15 abilities 14 visuospatial 15 abilities our previous study showed that a combination of a plasmid - expressing flt3 [ligand] ( pfl ) and cpg oligodeoxynucleotides ( cpg odn ) as [a] combined nasal adjuvant elicited mucosal immune responses in aged ( 2 - y - old ) mice . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 showed 0 ###LEFT-WALL### 44 . 1 our 3 study 2 previous 3 study 3 study 4 showed 4 showed 5 that 4 showed 7 combination 4 showed 12 expressing 4 showed 25 as 6 a 7 combination 7 combination 8 of 8 of 10 plasmid 9 a 10 plasmid 11 - 12 expressing 12 expressing 18 and 12 expressing 24 ) 13 flt3 16 pfl 13 flt3 18 and 15 ( 16 pfl 16 pfl 17 ) 18 and 20 oligodeoxynucleotides 18 and 23 odn 19 cpg 20 oligodeoxynucleotides 21 ( 23 odn 22 cpg 23 odn 23 odn 24 ) 25 as 33 responses 27 combined 33 responses 28 nasal 33 responses 29 adjuvant 33 responses 30 elicited 33 responses 31 mucosal 33 responses 32 immune 33 responses 33 responses 34 in 34 in 43 mice 35 aged 38 - 35 aged 43 mice 36 ( 38 - 37 2 38 - 38 - 39 y 38 - 40 - 41 old 42 ) 41 old 43 mice in this study , we investigated whether a combination of pfl and cpg odn as a nasal adjuvant for a pneumococcal surface protein a ( pspa ) would enhance pspa - specific secretory - iga ab responses , which could provide protective mucosal immunity against streptococcus pneumoniae infection in aged mice . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 investigated 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 investigated 6 investigated 7 whether 7 whether 12 and 7 whether 29 enhance 8 a 9 combination 9 combination 10 of 9 combination 12 and 10 of 11 pfl 12 and 14 odn 12 and 15 as 12 and 26 pspa 12 and 28 would 13 cpg 14 odn 15 as 17 nasal 16 a 17 nasal 17 nasal 18 adjuvant 18 adjuvant 19 for 19 for 23 protein 20 a 21 pneumococcal 20 a 23 protein 21 pneumococcal 22 surface 22 surface 23 protein 23 protein 24 a 25 ( 26 pspa 26 pspa 27 ) 28 would 29 enhance 29 enhance 30 pspa 30 pspa 37 responses 31 - 37 responses 32 specific 37 responses 33 secretory 34 - 33 secretory 37 responses 35 iga 36 ab 36 ab 37 responses 37 responses 39 which 37 responses 52 . 38 , 39 which 39 which 40 could 39 which 52 . 40 could 41 provide 41 provide 44 immunity 42 protective 44 immunity 43 mucosal 44 immunity 44 immunity 45 against 44 immunity 49 in 45 against 48 infection 46 streptococcus 47 pneumoniae 47 pneumoniae 48 infection 49 in 51 mice 50 aged 51 mice nasal immunization with pspa plus a combination of pfl and cpg odn elicited elevated levels of pspa - specific secretory - iga ab responses in external secretions and plasma in both young adult [and] aged mice . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 14 elevated 0 ###LEFT-WALL### 18 - 0 ###LEFT-WALL### 37 . 1 nasal 2 immunization 2 immunization 3 with 2 immunization 10 and 3 with 4 pspa 4 pspa 5 plus 4 pspa 8 of 5 plus 7 combination 6 a 7 combination 8 of 9 pfl 10 and 12 odn 10 and 13 elicited 10 and 14 elevated 11 cpg 12 odn 14 elevated 15 levels 15 levels 16 of 16 of 17 pspa 18 - 24 responses 19 specific 24 responses 20 secretory 21 - 20 secretory 24 responses 22 iga 23 ab 23 ab 24 responses 24 responses 25 in 25 in 28 and 26 external 27 secretions 27 secretions 28 and 28 and 29 plasma 28 and 30 in 30 in 36 mice 31 both 36 mice 32 young 33 adult 33 adult 35 aged 35 aged 36 mice additionally , increased numbers of mature - type cd8 , cd11b - expressing dendritic cells were detected in mucosal inductive [and] effector lymphoid tissues of aged mice . 0 ###LEFT-WALL### 4 numbers 0 ###LEFT-WALL### 17 detected 0 ###LEFT-WALL### 28 . 1 additionally 2 , 1 additionally 4 numbers 3 increased 4 numbers 4 numbers 5 of 4 numbers 13 expressing 4 numbers 16 were 5 of 9 cd8 6 mature 7 - 6 mature 8 type 8 type 9 cd8 9 cd8 11 cd11b 10 , 11 cd11b 11 cd11b 12 - 13 expressing 15 cells 14 dendritic 15 cells 16 were 17 detected 17 detected 18 in 18 in 24 tissues 19 mucosal 22 effector 20 inductive 22 effector 22 effector 24 tissues 23 lymphoid 24 tissues 24 tissues 25 of 25 of 27 mice 26 aged 27 mice importantly , aged mice given pspa plus a combination of pfl and cpg odn showed protective immunity against nasal s . pneumoniae colonization . 0 ###LEFT-WALL### 4 mice 0 ###LEFT-WALL### 15 showed 0 ###LEFT-WALL### 21 . 1 importantly 2 , 1 importantly 4 mice 3 aged 4 mice 4 mice 5 given 4 mice 7 plus 4 mice 15 showed 5 given 6 pspa 7 plus 9 combination 8 a 9 combination 9 combination 10 of 10 of 12 and 11 pfl 12 and 12 and 14 odn 13 cpg 14 odn 15 showed 17 immunity 15 showed 18 against 16 protective 17 immunity 18 against 19 nasal 19 nasal 20 s 21 . 23 colonization 21 . 24 . 22 pneumoniae 23 colonization these results demonstrate that nasal delivery of a combined dna [adjuvant] offers an attractive possibility for protection against s [.] pneumoniae in the elderly . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 demonstrate 0 ###LEFT-WALL### 25 . 1 these 2 results 2 results 3 demonstrate 3 demonstrate 4 that 4 that 6 delivery 4 that 12 offers 5 nasal 6 delivery 6 delivery 7 of 6 delivery 12 offers 7 of 10 dna 8 a 10 dna 9 combined 10 dna 12 offers 15 possibility 12 offers 21 pneumoniae 13 an 14 attractive 13 an 15 possibility 14 attractive 15 possibility 15 possibility 16 for 15 possibility 18 against 16 for 17 protection 18 against 19 s 21 pneumoniae 22 in 22 in 24 elderly 23 the 24 elderly background : we assessed the tolerability and efficacy of autologous skin cell grafts in older type 2 diabetic patients with chronic foot ulcers . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 3 we 2 : 4 assessed 3 we 4 assessed 4 assessed 7 and 4 assessed 14 in 4 assessed 20 with 5 the 6 tolerability 6 tolerability 7 and 7 and 8 efficacy 7 and 9 of 9 of 13 grafts 10 autologous 11 skin 11 skin 13 grafts 12 cell 13 grafts 14 in 19 patients 15 older 16 type 16 type 19 patients 17 2 18 diabetic 18 diabetic 19 patients 20 with 23 ulcers 21 chronic 22 foot 22 foot 23 ulcers methods : treatment with hyalograft 3 d and laserskin autograft was proposed to a consecutive series of type 2 diabetic patients older than 65 years affected by long - standing ( >6 months ) foot ulcers with an area greater than 15 cm ( 2 ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 26 affected 0 ###LEFT-WALL### 47 . 1 methods 2 : 2 : 3 treatment 2 : 4 with 4 with 5 hyalograft 4 with 7 d 6 3 7 d 8 and 10 autograft 8 and 12 proposed 9 laserskin 10 autograft 10 autograft 11 was 11 was 12 proposed 12 proposed 13 to 13 to 16 series 14 a 16 series 15 consecutive 16 series 16 series 17 of 17 of 18 type 18 type 19 2 18 type 21 patients 18 type 26 affected 20 diabetic 21 patients 21 patients 22 older 21 patients 26 affected 22 older 23 than 23 than 25 years 24 65 25 years 26 affected 27 by 26 affected 37 with 27 by 36 ulcers 28 long 30 standing 28 long 35 foot 29 - 30 standing 30 standing 33 months 30 standing 34 ) 31 ( 33 months 32 >6 33 months 33 months 34 ) 35 foot 36 ulcers 37 with 39 area 38 an 39 area 39 area 40 greater 39 area 45 2 40 greater 41 than 41 than 43 cm 42 15 43 cm 44 ( 45 2 45 2 46 ) ulcer healing rates and measurements of ulcer area were determined monthly for 12 months . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 9 were 0 ###LEFT-WALL### 15 . 1 ulcer 2 healing 1 ulcer 4 and 2 healing 3 rates 4 and 5 measurements 4 and 9 were 5 measurements 6 of 6 of 8 area 7 ulcer 8 area 9 were 10 determined 10 determined 11 monthly 10 determined 12 for 12 for 14 months 13 12 14 months results : seven patients with 12 ulcers , nine of which received the described treatment , were enrolled . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 patients 2 : 18 enrolled 2 : 19 . 3 seven 4 patients 4 patients 5 with 4 patients 9 nine 4 patients 17 were 5 with 7 ulcers 6 12 7 ulcers 8 , 9 nine 9 nine 10 of 9 nine 16 , 10 of 11 which 10 of 12 received 11 which 12 received 12 received 15 treatment 13 the 15 treatment 14 described 15 treatment 17 were 18 enrolled during 12 [-] month follow - up , all of the ulcers healed except one . 0 ###LEFT-WALL### 5 follow 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 16 . 1 during 4 month 1 during 5 follow 2 12 4 month 5 follow 7 up 6 - 7 up 7 up 8 , 8 , 9 all 8 , 13 healed 9 all 10 of 9 all 13 healed 10 of 12 ulcers 11 the 12 ulcers 13 healed 14 except 14 except 15 one in the remaining eight ulcers , the median healing time was 21 weeks ( interquartile range , 4 - 29 weeks ) . 0 ###LEFT-WALL### 8 median 0 ###LEFT-WALL### 11 was 0 ###LEFT-WALL### 23 . 1 in 5 ulcers 1 in 6 , 1 in 8 median 2 the 3 remaining 2 the 4 eight 4 eight 5 ulcers 7 the 8 median 8 median 9 healing 8 median 11 was 9 healing 10 time 11 was 13 weeks 12 21 13 weeks 13 weeks 16 range 13 weeks 21 weeks 14 ( 16 range 15 interquartile 16 range 16 range 18 4 16 range 19 - 17 , 18 4 18 4 19 - 19 - 21 weeks 20 29 21 weeks 21 weeks 22 ) conclusions : autologous skin cell grafts are feasible , well tolerated , and apparently effective in the treatment of diabetic ulcers of the lower limbs in advanced age . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 6 grafts 2 : 7 are 3 autologous 4 skin 4 skin 6 grafts 5 cell 6 grafts 6 grafts 7 are 7 are 13 and 8 feasible 11 tolerated 8 feasible 13 and 9 , 11 tolerated 10 well 11 tolerated 11 tolerated 12 , 12 , 13 and 13 and 14 apparently 13 and 15 effective 14 apparently 15 effective 15 effective 16 in 15 effective 26 in 16 in 18 treatment 17 the 18 treatment 18 treatment 19 of 19 of 21 ulcers 20 diabetic 21 ulcers 21 ulcers 22 of 22 of 25 limbs 23 the 25 limbs 24 lower 25 limbs 26 in 28 age 27 advanced 28 age age did not seem to moderate healing times . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 4 seem 0 ###LEFT-WALL### 9 . 1 age 2 did 2 did 3 not 2 did 4 seem 4 seem 5 to 4 seem 6 moderate 5 to 6 moderate 6 moderate 8 times 7 healing 8 times objectives : to develop a photographic sun damage assessment scale for forearm skin and test its feasibility and utility for consistent classification of sun damage . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 3 to 2 : 14 and 3 to 14 and 4 develop 10 scale 4 develop 14 and 5 a 6 photographic 5 a 10 scale 6 photographic 7 sun 7 sun 10 scale 8 damage 10 scale 9 assessment 10 scale 10 scale 11 for 11 for 13 skin 12 forearm 13 skin 14 and 15 test 14 and 20 for 14 and 25 damage 15 test 18 and 16 its 18 and 17 feasibility 18 and 18 and 19 utility 20 for 22 classification 21 consistent 22 classification 22 classification 23 of 23 of 24 sun design : for a blinded comparison , 96 standardized 8 × 10 digital photographs of participants ' forearms were taken . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 2 : 3 for 2 : 19 were 2 : 21 . 3 for 6 comparison 3 for 19 were 4 a 6 comparison 5 blinded 6 comparison 6 comparison 9 standardized 7 , 9 standardized 8 96 9 standardized 10 8 14 photographs 11 × 14 photographs 12 10 14 photographs 13 digital 14 photographs 14 photographs 15 of 14 photographs 19 were 15 of 18 forearms 16 participants 17 ' 17 ' 18 forearms 19 were 20 taken photographs were graded by an expert dermatologist using an existing 9 [-] category dermatologic assessment scoring scale until all categories contained photographs representative of each of 4 clinical signs . 0 ###LEFT-WALL### 1 photographs 0 ###LEFT-WALL### 3 graded 0 ###LEFT-WALL### 30 . 1 photographs 2 were 2 were 3 graded 3 graded 4 by 3 graded 8 using 3 graded 18 until 4 by 7 dermatologist 5 an 7 dermatologist 6 expert 7 dermatologist 8 using 17 scale 9 an 17 scale 10 existing 17 scale 11 9 13 category 13 category 16 scoring 14 dermatologic 15 assessment 15 assessment 16 scoring 16 scoring 17 scale 18 until 20 categories 18 until 21 contained 19 all 20 categories 20 categories 21 contained 21 contained 23 representative 22 photographs 23 representative 23 representative 24 of 24 of 25 each 25 each 26 of 26 of 29 signs 27 4 29 signs 28 clinical 29 signs triplicate photographs were provided in identical image sets to 5 community dermatologists for blinded rating using the dermatologic assessment scoring scale . 0 ###LEFT-WALL### 2 photographs 0 ###LEFT-WALL### 4 provided 0 ###LEFT-WALL### 22 . 1 triplicate 2 photographs 2 photographs 3 were 3 were 4 provided 4 provided 5 in 4 provided 9 to 4 provided 16 using 5 in 8 sets 6 identical 7 image 7 image 8 sets 9 to 12 dermatologists 10 5 12 dermatologists 11 community 12 dermatologists 12 dermatologists 13 for 13 for 15 rating 14 blinded 15 rating 16 using 21 scale 17 the 21 scale 18 dermatologic 19 assessment 19 assessment 20 scoring 20 scoring 21 scale setting : academic skin cancer prevention [clinic] with high - level experience in assessment of sun - damaged skin . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 1 setting 2 : 2 : 6 prevention 3 academic 4 skin 4 skin 6 prevention 5 cancer 6 prevention 6 prevention 8 with 8 with 19 skin 9 high 12 experience 9 high 19 skin 10 - 12 experience 11 level 12 experience 12 experience 13 in 12 experience 15 of 12 experience 17 - 13 in 14 assessment 15 of 16 sun 18 damaged 19 skin participants : volunteer sample including participants from screenings , chemoprevention , and/or biomarker studies . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 14 studies 0 ###LEFT-WALL### 15 . 1 participants 2 : 2 : 3 volunteer 3 volunteer 6 participants 3 volunteer 12 and/or 4 sample 6 participants 5 including 6 participants 6 participants 7 from 7 from 8 screenings 8 screenings 10 chemoprevention 9 , 10 chemoprevention 10 chemoprevention 11 , 11 , 12 and/or 12 and/or 13 biomarker 13 biomarker 14 studies main outcome measures : reproducibility and agreement of grading among dermatologists by spearman correlation coefficient to assess the correlation of scores given for the same photograph , κ statistics for ordinal data , and variability of scoring among dermatologists , using analysis of variance models with evaluating physician and photographs as main effects and interaction effect variables to account for the difference in scoring among dermatologists [.] 0 ###LEFT-WALL### 3 measures 0 ###LEFT-WALL### 4 : 1 main 3 measures 2 outcome 3 measures 3 measures 4 : 4 : 6 and 4 : 10 among 5 reproducibility 6 and 6 and 7 agreement 6 and 8 of 8 of 9 grading 10 among 11 dermatologists 11 dermatologists 12 by 11 dermatologists 20 of 12 by 15 coefficient 13 spearman 14 correlation 14 correlation 15 coefficient 15 coefficient 16 to 15 coefficient 17 assess 16 to 17 assess 17 assess 19 correlation 18 the 19 correlation 20 of 21 scores 21 scores 22 given 21 scores 23 for 23 for 34 and 24 the 25 same 24 the 26 photograph 26 photograph 27 , 27 , 29 statistics 27 , 34 and 28 κ 29 statistics 29 statistics 30 for 30 for 32 data 31 ordinal 32 data 33 , 34 and 34 and 35 variability 34 and 40 , 34 and 41 using 34 and 46 with 35 variability 36 of 36 of 37 scoring 37 scoring 38 among 38 among 39 dermatologists 41 using 42 analysis 42 analysis 43 of 43 of 45 models 44 variance 45 models 46 with 47 evaluating 47 evaluating 54 and 47 evaluating 56 effect 48 physician 49 and 49 and 50 photographs 49 and 51 as 49 and 54 and 51 as 53 effects 52 main 53 effects 54 and 55 interaction 54 and 56 effect 56 effect 57 variables 57 variables 58 to 57 variables 64 scoring 58 to 59 account 59 account 60 for 60 for 62 difference 61 the 62 difference 62 difference 63 in 63 in 64 scoring 64 scoring 65 among 65 among 66 dermatologists results : correlations ( 73 % to >90 % ) [between] [dermatologists] were [all] statistically significant ( p < [.] 001 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 3 correlations 2 : 13 were 3 correlations 6 % 3 correlations 13 were 4 ( 6 % 5 73 6 % 6 % 7 to 6 % 10 ) 7 to 9 % 8 >90 9 % 13 were 16 significant 15 statistically 16 significant 16 significant 19 < 17 ( 19 < 18 p 19 < 19 < 21 001 19 < 22 ) scores showed good [to] substantial agreement but were significantly different ( p < [.] 001 ) for each of 4 clinical signs and the difference varied significantly ( p < [.] 001 ) among photographs . 0 ###LEFT-WALL### 1 scores 0 ###LEFT-WALL### 7 but 0 ###LEFT-WALL### 36 . 1 scores 7 but 2 showed 6 agreement 2 showed 7 but 3 good 6 agreement 5 substantial 6 agreement 7 but 8 were 8 were 9 significantly 8 were 10 different 10 different 13 < 10 different 17 for 11 ( 13 < 12 p 13 < 13 < 15 001 13 < 16 ) 17 for 23 and 18 each 19 of 18 each 23 and 19 of 22 signs 20 4 22 signs 21 clinical 22 signs 23 and 25 difference 23 and 26 varied 24 the 25 difference 26 varied 27 significantly 26 varied 30 < 26 varied 34 among 28 ( 30 < 29 p 30 < 30 < 32 001 30 < 33 ) 34 among 35 photographs conclusions : with good [to] substantial agreement , we found the development of a photographic forearm sun damage assessment scale highly feasible . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 23 . 1 conclusions 2 : 2 : 3 with 3 with 7 agreement 4 good 7 agreement 6 substantial 7 agreement 8 , 9 we 8 , 10 found 9 we 10 found 10 found 12 development 10 found 21 highly 10 found 22 feasible 11 the 12 development 12 development 13 of 13 of 20 scale 14 a 15 photographic 14 a 20 scale 15 photographic 16 forearm 16 forearm 19 assessment 17 sun 19 assessment 18 damage 19 assessment 19 assessment 20 scale in view of significantly different rating scores , a photographic reference for assessment of sun damage is also necessary . 0 ###LEFT-WALL### 11 reference 0 ###LEFT-WALL### 17 is 0 ###LEFT-WALL### 20 . 1 in 2 view 1 in 8 , 1 in 11 reference 2 view 3 of 3 of 7 scores 4 significantly 5 different 5 different 6 rating 6 rating 7 scores 9 a 10 photographic 9 a 11 reference 10 photographic 11 reference 11 reference 12 for 11 reference 17 is 12 for 13 assessment 13 assessment 14 of 14 of 16 damage 15 sun 16 damage 17 is 18 also 17 is 19 necessary adequate provision of vitamin d has been found , in ecological , cross - sectional , and observational studies , to be associated with reduction in the risk of many types of cancer [,] cardiovascular diseases ( cvds ) , autoimmune diseases , diabetes mellitus types 1 and 2 , [neurological] disorders [,] several bacterial and viral infections , and adverse pregnancy outcomes in addition to the classical bone disorders of rickets and osteomalacia . 0 ###LEFT-WALL### 2 provision 0 ###LEFT-WALL### 9 , 1 adequate 2 provision 2 provision 3 of 2 provision 6 has 3 of 4 vitamin 4 vitamin 5 d 6 has 7 been 7 been 8 found 9 , 17 and 10 in 13 cross 10 in 14 - 10 in 17 and 11 ecological 12 , 11 ecological 13 cross 15 sectional 17 and 16 , 17 and 17 and 19 studies 17 and 20 , 17 and 21 to 17 and 22 be 17 and 23 associated 18 observational 19 studies 21 to 22 be 23 associated 24 with 23 associated 26 in 23 associated 31 types 24 with 25 reduction 26 in 28 risk 27 the 28 risk 28 risk 29 of 29 of 30 many 31 types 32 of 32 of 44 diabetes 33 cancer 44 diabetes 35 cardiovascular 43 , 35 cardiovascular 44 diabetes 36 diseases 38 cvds 36 diseases 42 diseases 37 ( 38 cvds 38 cvds 39 ) 40 , 42 diseases 41 autoimmune 42 diseases 42 diseases 43 , 44 diabetes 45 mellitus 44 diabetes 52 disorders 45 mellitus 50 , 46 types 48 and 46 types 50 , 47 1 48 and 48 and 49 2 50 , 52 disorders 52 disorders 60 and 52 disorders 64 in 54 several 60 and 55 bacterial 56 and 56 and 57 viral 56 and 58 infections 58 infections 60 and 59 , 60 and 60 and 63 outcomes 61 adverse 63 outcomes 62 pregnancy 63 outcomes 64 in 73 and 65 addition 66 to 65 addition 73 and 66 to 70 disorders 67 the 70 disorders 68 classical 70 disorders 69 bone 70 disorders 70 disorders 71 of 71 of 72 rickets 73 and 74 osteomalacia 73 and 75 . furthermore , investigators have found adequate repletion and increased intakes of vitamin d to be associated with reduced all - cause mortality rates . 0 ###LEFT-WALL### 3 investigators 0 ###LEFT-WALL### 18 reduced 1 furthermore 2 , 1 furthermore 3 investigators 3 investigators 8 and 3 investigators 18 reduced 4 have 5 found 4 have 8 and 5 found 7 repletion 6 adequate 7 repletion 8 and 9 increased 8 and 10 intakes 10 intakes 11 of 11 of 12 vitamin 12 vitamin 13 d 12 vitamin 14 to 12 vitamin 17 with 14 to 15 be 15 be 16 associated 16 associated 17 with 18 reduced 19 all 18 reduced 21 cause 20 - 21 cause 21 cause 22 mortality 21 cause 23 rates 21 cause 24 . 22 mortality 23 rates these findings have been supported by the limited number of properly conducted randomized controlled trials ( rcts ) that used more than 400 iu/day of vitamin d ..y this review presents an overview of the role of vitamin d for the promotion of health for the more important vitamin d - related diseases and conditions . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 28 ..y 0 ###LEFT-WALL### 52 related 0 ###LEFT-WALL### 56 . 1 these 2 findings 2 findings 3 have 3 have 4 been 4 been 5 supported 5 supported 6 by 5 supported 21 more 5 supported 22 than 6 by 9 number 7 the 9 number 8 limited 9 number 9 number 10 of 9 number 20 used 10 of 15 trials 11 properly 12 conducted 12 conducted 15 trials 13 randomized 15 trials 14 controlled 15 trials 15 trials 17 rcts 16 ( 17 rcts 17 rcts 18 ) 19 that 20 used 22 than 24 iu/day 22 than 25 of 23 400 24 iu/day 25 of 26 vitamin 26 vitamin 27 d 27 d 28 ..y 28 ..y 30 review 29 this 30 review 30 review 31 presents 31 presents 33 overview 32 an 33 overview 33 overview 34 of 33 overview 40 for 34 of 36 role 35 the 36 role 36 role 37 of 37 of 38 vitamin 38 vitamin 39 d 40 for 42 promotion 41 the 42 promotion 42 promotion 43 of 43 of 44 health 44 health 45 for 45 for 49 vitamin 46 the 49 vitamin 47 more 48 important 48 important 49 vitamin 49 vitamin 50 d 51 - 52 related 52 related 54 and 53 diseases 54 and 54 and 55 conditions serum 25 - hydroxyvitamin d concentrations of 30 - 60 ng/ml , corresponding to oral intake or skin production of 1,000 - 4,000 iu/day of vitamin d , appear necessary in adults for avoidance of hypovitaminosis d - related ill health . 0 ###LEFT-WALL### 2 25 0 ###LEFT-WALL### 29 appear 0 ###LEFT-WALL### 39 related 0 ###LEFT-WALL### 42 . 1 serum 2 25 2 25 6 concentrations 2 25 13 corresponding 2 25 29 appear 3 - 6 concentrations 4 hydroxyvitamin 5 d 4 hydroxyvitamin 6 concentrations 6 concentrations 7 of 6 concentrations 12 , 7 of 8 30 8 30 11 ng/ml 9 - 11 ng/ml 10 60 11 ng/ml 11 ng/ml 12 , 12 , 13 corresponding 13 corresponding 14 to 13 corresponding 28 , 14 to 17 or 15 oral 16 intake 16 intake 17 or 17 or 19 production 17 or 20 of 18 skin 19 production 20 of 24 iu/day 21 1,000 22 - 22 - 23 4,000 22 - 24 iu/day 24 iu/day 25 of 25 of 26 vitamin 26 vitamin 27 d 29 appear 30 necessary 30 necessary 31 in 30 necessary 33 for 31 in 32 adults 33 for 34 avoidance 34 avoidance 35 of 35 of 36 hypovitaminosis 36 hypovitaminosis 37 d 38 - 39 related 39 related 41 health 40 ill 41 health people of all ages are encouraged to obtain more vitamin d from judicious exposure to sunshine ( for ultraviolet [b] [ uvb ] irradiation ) or from regular vitamin d supplements because dietary sources do not provide sufficient vitamin d to prevent any health risks other than those of rickets and osteomalacia . 0 ###LEFT-WALL### 1 people 0 ###LEFT-WALL### 6 encouraged 0 ###LEFT-WALL### 26 or 0 ###LEFT-WALL### 53 . 1 people 2 of 1 people 5 are 2 of 4 ages 3 all 4 ages 5 are 6 encouraged 6 encouraged 7 to 6 encouraged 8 obtain 7 to 8 obtain 8 obtain 9 more 8 obtain 10 vitamin 10 vitamin 11 d 10 vitamin 12 from 10 vitamin 15 to 12 from 14 exposure 13 judicious 14 exposure 15 to 16 sunshine 16 sunshine 18 for 17 ( 18 for 18 for 24 irradiation 18 for 25 ) 19 ultraviolet 22 uvb 19 ultraviolet 24 irradiation 21 [ 22 uvb 22 uvb 23 ] 26 or 32 because 26 or 37 provide 27 from 31 supplements 27 from 32 because 28 regular 31 supplements 29 vitamin 30 d 29 vitamin 31 supplements 32 because 34 sources 33 dietary 34 sources 34 sources 35 do 35 do 36 not 35 do 37 provide 37 provide 39 vitamin 37 provide 41 to 37 provide 47 than 38 sufficient 39 vitamin 39 vitamin 40 d 41 to 42 prevent 42 prevent 45 risks 43 any 45 risks 44 health 45 risks 46 other 47 than 47 than 51 and 48 those 49 of 48 those 51 and 49 of 50 rickets 51 and 52 osteomalacia background : antioxidants might protect [against] oxidative stress , which has been suggested as a cause of aging . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 antioxidants 2 : 5 protect 2 : 9 , 2 : 19 . 3 antioxidants 4 might 4 might 5 protect 5 protect 8 stress 7 oxidative 8 stress 9 , 10 which 9 , 13 suggested 10 which 11 has 11 has 12 been 12 been 13 suggested 13 suggested 14 as 14 as 16 cause 15 a 16 cause 16 cause 17 of 17 of 18 aging methods : the alpha - tocopherol - beta - carotene ( atbc ) study recruited males aged 50 - 69 years who smoked at least five cigarettes per day at the baseline . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 alpha 3 the 4 alpha 4 alpha 6 tocopherol 4 alpha 8 beta 5 - 6 tocopherol 6 tocopherol 7 - 7 - 8 beta 8 beta 16 males 8 beta 33 . 9 - 16 males 10 carotene 12 atbc 11 ( 12 atbc 12 atbc 13 ) 12 atbc 14 study 14 study 15 recruited 15 recruited 16 males 16 males 17 aged 16 males 21 years 16 males 33 . 17 aged 18 50 19 - 21 years 20 69 21 years 21 years 22 who 21 years 23 smoked 21 years 33 . 22 who 23 smoked 23 smoked 27 cigarettes 23 smoked 30 at 24 at 25 least 25 least 26 five 26 five 27 cigarettes 27 cigarettes 28 per 28 per 29 day 30 at 32 baseline 31 the 32 baseline the current study was restricted to participants who were followed up past the age of 65 . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 5 restricted 0 ###LEFT-WALL### 17 . 1 the 3 study 2 current 3 study 3 study 4 was 4 was 5 restricted 5 restricted 6 to 5 restricted 12 past 6 to 7 participants 7 participants 8 who 7 participants 9 were 8 who 9 were 9 were 10 followed 10 followed 11 up 12 past 14 age 13 the 14 age 14 age 15 of 15 of 16 65 deaths were identified in the national death registry ( 1,445 deaths ) . 0 ###LEFT-WALL### 1 deaths 0 ###LEFT-WALL### 3 identified 0 ###LEFT-WALL### 13 . 1 deaths 2 were 2 were 3 identified 3 identified 4 in 4 in 8 registry 5 the 8 registry 6 national 7 death 7 death 8 registry 8 registry 11 deaths 9 ( 11 deaths 10 1,445 11 deaths 11 deaths 12 ) we constructed kaplan - meier survival curves for all participants , and for four subgroups defined by dietary vitamin c intake and level of smoking . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 constructed 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 26 . 1 we 2 constructed 2 constructed 3 kaplan 4 - 22 and 5 meier 7 curves 6 survival 7 curves 7 curves 12 and 7 curves 22 and 8 for 10 participants 8 for 12 and 9 all 10 participants 11 , 12 and 12 and 13 for 13 for 15 subgroups 14 four 15 subgroups 15 subgroups 16 defined 16 defined 17 by 17 by 21 intake 18 dietary 19 vitamin 19 vitamin 20 c 19 vitamin 21 intake 22 and 23 level 22 and 24 of 24 of 25 smoking we also constructed cox regression models allowing a different vitamin e effect for low and high age ranges . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 constructed 0 ###LEFT-WALL### 19 . 1 we 3 constructed 2 also 3 constructed 3 constructed 6 models 3 constructed 13 for 4 cox 5 regression 5 regression 6 models 6 models 7 allowing 7 allowing 12 effect 8 a 12 effect 9 different 10 vitamin 10 vitamin 11 e 10 vitamin 12 effect 13 for 18 ranges 14 low 15 and 15 and 16 high 15 and 18 ranges 17 age 18 ranges results : among all 10,837 participants , vitamin e had no effect on those who were 65 - 70 years old , [but] reduced mortality by 24 % when participants were 71 or older . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 8 vitamin 2 : 10 had 3 among 6 participants 3 among 7 , 3 among 8 vitamin 4 all 5 10,837 5 10,837 6 participants 8 vitamin 9 e 8 vitamin 10 had 10 had 12 effect 10 had 13 on 10 had 24 reduced 11 no 12 effect 13 on 14 those 14 those 15 who 14 those 16 were 14 those 21 old 15 who 16 were 16 were 17 65 18 - 21 old 19 70 20 years 20 years 21 old 21 old 22 , 22 , 24 reduced 24 reduced 33 or 24 reduced 35 . 25 mortality 26 by 25 mortality 33 or 26 by 28 % 27 24 28 % 28 % 29 when 29 when 30 participants 29 when 31 were 30 participants 31 were 31 were 32 71 33 or 34 older among 2,284 men with dietary vitamin c intakes above the median who smoked less than a pack of cigarettes per day , vitamin e extended lifespan by 2 years at the upper limit of the [follow] [-] up age span . 0 ###LEFT-WALL### 23 vitamin 0 ###LEFT-WALL### 25 extended 0 ###LEFT-WALL### 41 . 1 among 3 men 1 among 22 , 1 among 23 vitamin 2 2,284 3 men 3 men 4 with 3 men 18 of 4 with 8 intakes 5 dietary 6 vitamin 6 vitamin 7 c 6 vitamin 8 intakes 8 intakes 9 above 9 above 11 median 10 the 11 median 11 median 12 who 11 median 13 smoked 12 who 13 smoked 13 smoked 14 less 13 smoked 15 than 15 than 17 pack 16 a 17 pack 18 of 19 cigarettes 19 cigarettes 20 per 20 per 21 day 23 vitamin 24 e 23 vitamin 25 extended 25 extended 26 lifespan 25 extended 27 by 25 extended 30 at 27 by 29 years 28 2 29 years 30 at 33 limit 31 the 33 limit 32 upper 33 limit 33 limit 34 of 34 of 40 span 35 the 40 span 38 up 40 span 39 age 40 span in this subgroup , the survival curves of vitamin e and no [-] vitamin e participants diverged at 71 years . 0 ###LEFT-WALL### 7 curves 0 ###LEFT-WALL### 17 diverged 0 ###LEFT-WALL### 21 . 1 in 3 subgroup 1 in 4 , 1 in 7 curves 2 this 3 subgroup 5 the 7 curves 6 survival 7 curves 7 curves 8 of 7 curves 17 diverged 8 of 11 and 9 vitamin 10 e 9 vitamin 11 and 11 and 16 participants 12 no 16 participants 14 vitamin 15 e 14 vitamin 16 participants 17 diverged 18 at 18 at 20 years 19 71 20 years in the other three subgroups covering 80 % of the participants , vitamin e did not affect mortality . 0 ###LEFT-WALL### 13 vitamin 0 ###LEFT-WALL### 17 affect 0 ###LEFT-WALL### 19 . 1 in 5 subgroups 1 in 12 , 1 in 13 vitamin 2 the 3 other 3 other 4 three 4 three 5 subgroups 5 subgroups 6 covering 6 covering 8 % 7 80 8 % 8 % 9 of 9 of 11 participants 10 the 11 participants 13 vitamin 14 e 13 vitamin 15 did 15 did 16 not 15 did 17 affect 17 affect 18 mortality conclusions : this is the first study to strongly indicate that protection against oxidative stress can increase the life expectancy of some initially healthy population groups . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 this 2 : 4 is 2 : 27 . 3 this 4 is 4 is 7 study 4 is 8 to 5 the 6 first 5 the 7 study 8 to 10 indicate 9 strongly 10 indicate 10 indicate 11 that 11 that 12 protection 11 that 17 increase 12 protection 13 against 12 protection 16 can 13 against 15 stress 14 oxidative 15 stress 16 can 17 increase 17 increase 19 life 18 the 19 life 19 life 20 expectancy 19 life 26 groups 20 expectancy 21 of 20 expectancy 26 groups 21 of 25 population 22 some 25 population 23 initially 24 healthy 24 healthy 25 population nevertheless , the lack of effect in 80 % of this male cohort shows that vitamin e is no panacea for extending life expectancy . 0 ###LEFT-WALL### 4 lack 0 ###LEFT-WALL### 14 shows 0 ###LEFT-WALL### 25 . 1 nevertheless 2 , 1 nevertheless 4 lack 3 the 4 lack 4 lack 5 of 4 lack 14 shows 5 of 6 effect 6 effect 7 in 6 effect 10 of 7 in 9 % 8 80 9 % 10 of 13 cohort 11 this 13 cohort 12 male 13 cohort 14 shows 15 that 15 that 16 vitamin 15 that 18 is 16 vitamin 17 e 16 vitamin 18 is 18 is 20 panacea 19 no 20 panacea 20 panacea 21 for 21 for 22 extending 22 extending 24 expectancy 23 life 24 expectancy objective : metabolic [syndrome] ( mets ) and its components accelerate age - associated increases in arterial stiffness and thickness . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 8 and 2 : 11 accelerate 2 : 13 - 3 metabolic 6 mets 3 metabolic 8 and 5 ( 6 mets 6 mets 7 ) 8 and 10 components 8 and 11 accelerate 9 its 10 components 11 accelerate 12 age 13 - 19 and 13 - 21 . 14 associated 15 increases 15 increases 16 in 15 increases 19 and 16 in 18 stiffness 17 arterial 18 stiffness 19 and 20 thickness we investigated whether specific proinflammatory cytokines contribute to arterial aging , independent of age , sex , mets , and other traditional cv risk factors . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 investigated 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 26 . 1 we 2 investigated 2 investigated 3 whether 3 whether 6 cytokines 3 whether 7 contribute 4 specific 6 cytokines 5 proinflammatory 6 cytokines 6 cytokines 7 contribute 7 contribute 8 to 8 to 10 aging 9 arterial 10 aging 11 , 20 and 11 , 24 risk 12 independent 13 of 12 independent 15 , 13 of 14 age 15 , 16 sex 15 , 17 , 17 , 18 mets 17 , 20 and 19 , 20 and 20 and 23 cv 20 and 24 risk 21 other 23 cv 22 traditional 23 cv 24 risk 25 factors research design and methods : mets components ( atp iii criteria ) and arterial properties were assessed in 6148 subjects , aged 14 - 102 in sardinia , italy . 0 ###LEFT-WALL### 4 methods 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 13 and 1 research 2 design 2 design 3 and 3 and 4 methods 4 methods 5 : 5 : 7 components 6 mets 7 components 7 components 11 criteria 8 ( 11 criteria 9 atp 10 iii 9 atp 11 criteria 11 criteria 12 ) 13 and 15 properties 13 and 17 assessed 14 arterial 15 properties 15 properties 16 were 16 were 17 assessed 17 assessed 18 in 18 in 20 subjects 19 6148 20 subjects 20 subjects 22 aged 20 subjects 29 italy 21 , 22 aged 22 aged 24 - 22 aged 26 in 22 aged 28 , 23 14 24 - 24 - 25 102 26 in 27 sardinia 28 , 29 italy 29 italy 30 . common carotid [artery] ( cca ) diameter , intima - media thickness ( imt [ )(, and aortic pulse wave velocity ( pwv ) , adiponectin , leptin , high - sensitivity c reactive protein ( hscrp ) , monocyte chemoattractant protein 1 ( mcp1 ) , and interleukin 6 ( il6 ) were measured . 0 ###LEFT-WALL### 7 diameter 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 56 . 1 common 7 diameter 2 carotid 5 cca 2 carotid 7 diameter 4 ( 5 cca 5 cca 6 ) 8 , 9 intima 8 , 10 - 10 - 12 thickness 10 - 48 and 11 media 12 thickness 12 thickness 17 and 13 ( 17 and 14 imt 17 and 16 )(, 17 and 17 and 21 velocity 17 and 23 pwv 17 and 26 adiponectin 17 and 28 leptin 17 and 47 , 18 aortic 19 pulse 19 pulse 20 wave 20 wave 21 velocity 22 ( 23 pwv 23 pwv 24 ) 25 , 26 adiponectin 26 adiponectin 27 , 27 , 28 leptin 28 leptin 42 protein 28 leptin 46 ) 29 , 42 protein 30 high 35 protein 30 high 40 monocyte 31 - 35 protein 32 sensitivity 33 c 32 sensitivity 35 protein 34 reactive 35 protein 35 protein 37 hscrp 35 protein 39 , 36 ( 37 hscrp 37 hscrp 38 ) 40 monocyte 41 chemoattractant 41 chemoattractant 42 protein 42 protein 43 1 42 protein 45 mcp1 42 protein 46 ) 44 ( 45 mcp1 45 mcp1 46 ) 47 , 48 and 48 and 49 interleukin 48 and 55 measured 49 interleukin 50 6 49 interleukin 52 il6 49 interleukin 54 were 51 ( 52 il6 52 il6 53 ) 54 were 55 measured results : while cytokine levels - except for mcp1 - were significantly higher ( [lower] for adiponectin ) in mets than in control subjects , and the increased pwv and cca imt with aging were associated with mets [,] this association was independent of cytokine levels ( p<0.001 for both pwv and cca imt ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 1 results 2 : 2 : 3 while 2 : 13 higher 3 while 5 levels 3 while 11 were 4 cytokine 5 levels 5 levels 7 except 5 levels 11 were 6 - 7 except 7 except 8 for 7 except 10 - 8 for 9 mcp1 12 significantly 13 higher 13 higher 16 for 13 higher 19 in 13 higher 21 than 13 higher 22 in 14 ( 16 for 16 for 17 adiponectin 16 for 18 ) 19 in 20 mets 22 in 30 and 23 control 24 subjects 24 subjects 26 and 25 , 26 and 26 and 29 pwv 26 and 30 and 27 the 29 pwv 28 increased 29 pwv 30 and 31 cca 30 and 32 imt 30 and 35 were 30 and 36 associated 32 imt 33 with 32 imt 35 were 33 with 34 aging 36 associated 37 with 37 with 38 mets 37 with 43 independent 38 mets 41 association 38 mets 42 was 40 this 41 association 41 association 42 was 43 independent 44 of 43 independent 52 and 44 of 46 levels 45 cytokine 46 levels 47 ( 52 and 48 p<0.001 49 for 48 p<0.001 52 and 49 for 51 pwv 50 both 51 pwv 52 and 54 imt 52 and 55 ) 52 and 56 . 53 cca 54 imt specific cytokines , however , were significantly associated with arterial stiffness ( higher leptin , p<0.001 , and higher hscrp , p<0.001 ) or thickness ( lower adiponectin , p<0.05 , and higher il6 , p<0.001 ) - independent of age , sex , mets and other traditional cv risk factors . 0 ###LEFT-WALL### 2 cytokines 0 ###LEFT-WALL### 8 associated 0 ###LEFT-WALL### 52 . 1 specific 2 cytokines 2 cytokines 6 were 3 , 4 however 4 however 5 , 4 however 6 were 6 were 8 associated 7 significantly 8 associated 8 associated 9 with 9 with 11 stiffness 9 with 46 and 10 arterial 11 stiffness 11 stiffness 24 or 12 ( 24 or 13 higher 14 leptin 14 leptin 15 , 15 , 16 p<0.001 15 , 18 and 17 , 18 and 18 and 20 hscrp 18 and 22 p<0.001 18 and 24 or 19 higher 20 hscrp 21 , 22 p<0.001 22 p<0.001 23 ) 24 or 25 thickness 24 or 32 and 24 or 38 - 26 ( 32 and 27 lower 28 adiponectin 28 adiponectin 29 , 29 , 30 p<0.05 29 , 32 and 31 , 32 and 32 and 34 il6 32 and 35 , 32 and 36 p<0.001 32 and 38 - 33 higher 34 il6 35 , 36 p<0.001 36 p<0.001 37 ) 39 independent 40 of 39 independent 42 , 40 of 41 age 42 , 43 sex 42 , 44 , 44 , 45 mets 44 , 46 and 46 and 51 factors 47 other 51 factors 48 traditional 51 factors 49 cv 51 factors 50 risk 51 factors the co - occurrence of both mets and higher cytokines levels was associated with greater increases in arterial stiffness and thickness . 0 ###LEFT-WALL### 4 occurrence 0 ###LEFT-WALL### 13 associated 0 ###LEFT-WALL### 22 . 1 the 4 occurrence 2 co 3 - 2 co 4 occurrence 4 occurrence 5 of 4 occurrence 12 was 5 of 8 and 6 both 8 and 7 mets 8 and 8 and 11 levels 9 higher 10 cytokines 10 cytokines 11 levels 12 was 13 associated 13 associated 14 with 13 associated 17 in 14 with 16 increases 15 greater 16 increases 17 in 20 and 18 arterial 19 stiffness 19 stiffness 20 and 20 and 21 thickness conclusion : while mets and specific cytokine patterns associated with arterial aging , the increases in arterial stiffness and thickness are greater when both mets and higher cytokine levels are present , suggesting a possible synergistic effect of mets and inflammation on the arterial wall . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 , 1 conclusion 2 : 2 : 3 while 3 while 5 and 3 while 9 associated 4 mets 5 and 5 and 8 patterns 5 and 9 associated 6 specific 7 cytokine 7 cytokine 8 patterns 9 associated 10 with 10 with 12 aging 11 arterial 12 aging 13 , 15 increases 13 , 21 are 14 the 15 increases 15 increases 16 in 15 increases 21 are 16 in 19 and 17 arterial 18 stiffness 18 stiffness 19 and 19 and 20 thickness 21 are 22 greater 22 greater 23 when 22 greater 33 suggesting 23 when 26 and 23 when 30 are 24 both 26 and 25 mets 26 and 26 and 29 levels 26 and 30 are 27 higher 28 cytokine 28 cytokine 29 levels 30 are 31 present 32 , 33 suggesting 33 suggesting 40 and 33 suggesting 42 on 33 suggesting 46 . 34 a 35 possible 34 a 37 effect 35 possible 37 effect 36 synergistic 37 effect 37 effect 38 of 37 effect 40 and 38 of 39 mets 40 and 41 inflammation 42 on 45 wall 43 the 45 wall 44 arterial 45 wall as alterations of the redox homeostasis lie at the root of many pathophysiological processes in human health , redox [proteomics] holds the promise to shed further light on fundamental biological processes . 0 ###LEFT-WALL### 7 lie 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 32 . 1 as 2 alterations 1 as 7 lie 2 alterations 3 of 3 of 6 homeostasis 4 the 6 homeostasis 5 redox 6 homeostasis 7 lie 8 at 7 lie 15 in 8 at 10 root 9 the 10 root 10 root 11 of 11 of 14 processes 12 many 14 processes 13 pathophysiological 14 processes 15 in 17 health 16 human 17 health 18 , 19 redox 18 , 21 holds 19 redox 21 holds 21 holds 23 promise 22 the 23 promise 23 promise 24 to 23 promise 25 shed 24 to 25 shed 25 shed 27 light 25 shed 28 on 26 further 27 light 28 on 31 processes 29 fundamental 31 processes 30 biological 31 processes [from] alzheimer 's to parkinson 's and hungtinton 's disease , from ageing to cancer , oxidative stress ( os ) appears to represent a common trait in so many relevant biological aspects of human health , that further investments in the field of redox proteomics ought to be mandatory . 0 ###LEFT-WALL### 2 alzheimer 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 49 be 0 ###LEFT-WALL### 51 . 2 alzheimer 3 's 3 's 4 to 4 to 6 's 5 parkinson 6 's 7 and 10 disease 7 and 47 ought 8 hungtinton 9 's 9 's 10 disease 10 disease 12 from 10 disease 22 appears 11 , 12 from 12 from 13 ageing 12 from 21 ) 13 ageing 14 to 13 ageing 18 stress 14 to 15 cancer 16 , 18 stress 17 oxidative 18 stress 18 stress 20 os 18 stress 21 ) 19 ( 20 os 20 os 21 ) 23 to 24 represent 23 to 47 ought 24 represent 27 trait 24 represent 28 in 24 represent 41 in 25 a 26 common 25 a 27 trait 26 common 27 trait 28 in 33 aspects 29 so 30 many 30 many 33 aspects 31 relevant 33 aspects 32 biological 33 aspects 33 aspects 34 of 33 aspects 38 that 33 aspects 39 further 34 of 36 health 35 human 36 health 37 , 38 that 38 that 39 further 39 further 40 investments 41 in 43 field 42 the 43 field 43 field 44 of 44 of 46 proteomics 45 redox 46 proteomics 47 ought 48 to 48 to 49 be 49 be 50 mandatory for the foreseeable future , redox proteomics will likely play a pivotal role in the quest for new therapeutical targets and their validation , in the process of determining os - triggered cellular alteration upon drug treatments and thus in the very heart of the design and testing of new drugs and their metabolites against those pathologies relying on altered redox homeostasis . 0 ###LEFT-WALL### 7 proteomics 0 ###LEFT-WALL### 10 play 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 63 . 1 for 6 redox 1 for 7 proteomics 2 the 6 redox 3 foreseeable 6 redox 4 future 5 , 4 future 6 redox 7 proteomics 8 will 8 will 10 play 9 likely 10 play 10 play 13 role 11 a 12 pivotal 11 a 13 role 12 pivotal 13 role 13 role 14 in 14 in 16 quest 15 the 16 quest 16 quest 17 for 17 for 20 targets 18 new 20 targets 19 therapeutical 20 targets 21 and 23 validation 21 and 32 triggered 22 their 23 validation 23 validation 25 in 23 validation 32 triggered 24 , 25 in 25 in 27 process 25 in 31 - 26 the 27 process 27 process 28 of 28 of 29 determining 29 determining 30 os 32 triggered 52 and 32 triggered 55 against 33 cellular 34 alteration 34 alteration 38 and 34 alteration 47 and 35 upon 37 treatments 35 upon 38 and 36 drug 37 treatments 38 and 39 thus 38 and 40 in 40 in 43 heart 41 the 42 very 41 the 43 heart 43 heart 44 of 44 of 46 design 45 the 46 design 47 and 48 testing 47 and 49 of 47 and 52 and 49 of 51 drugs 50 new 51 drugs 52 and 54 metabolites 53 their 54 metabolites 55 against 57 pathologies 56 those 57 pathologies 57 pathologies 58 relying 58 relying 59 on 59 on 62 homeostasis 60 altered 61 redox 61 redox 62 homeostasis biliverdin reductase - [a] is a pleiotropic enzyme involved not only in the reduction of biliverdin - ix - alpha into bilirubin - ix - alpha , but also in the regulation of glucose metabolism and cell growth secondary to its serine/threonine/tyrosine kinase activity . 0 ###LEFT-WALL### 2 reductase 0 ###LEFT-WALL### 3 - 1 biliverdin 2 reductase 3 - 5 is 3 - 17 - 5 is 8 enzyme 5 is 10 not 5 is 11 only 5 is 12 in 6 a 7 pleiotropic 6 a 8 enzyme 7 pleiotropic 8 enzyme 8 enzyme 9 involved 12 in 14 reduction 13 the 14 reduction 14 reduction 15 of 15 of 16 biliverdin 17 - 18 ix 17 - 19 - 17 - 45 . 18 ix 19 - 19 - 36 and 20 alpha 28 but 20 alpha 36 and 21 into 22 bilirubin 21 into 28 but 22 bilirubin 24 ix 23 - 24 ix 24 ix 26 alpha 24 ix 27 , 25 - 26 alpha 26 alpha 27 , 27 , 28 but 28 but 29 also 28 but 30 in 30 in 32 regulation 31 the 32 regulation 32 regulation 33 of 33 of 35 metabolism 34 glucose 35 metabolism 36 and 38 growth 36 and 39 secondary 37 cell 38 growth 39 secondary 40 to 40 to 44 activity 41 its 44 activity 42 serine/threonine/tyrosine 44 activity 43 kinase 44 activity together with heme oxygenase , whose metabolic role is to degrade heme into biliverdin - ix - alpha , it forms a powerful system involved in the cell stress response during neurodegenerative disorders . 0 ###LEFT-WALL### 20 it 0 ###LEFT-WALL### 21 forms 0 ###LEFT-WALL### 34 . 1 together 2 with 2 with 4 oxygenase 2 with 19 , 2 with 20 it 3 heme 4 oxygenase 4 oxygenase 6 whose 4 oxygenase 16 ix 5 , 6 whose 6 whose 8 role 6 whose 15 - 7 metabolic 8 role 8 role 9 is 9 is 10 to 9 is 11 degrade 10 to 11 degrade 11 degrade 12 heme 11 degrade 13 into 13 into 14 biliverdin 15 - 16 ix 16 ix 18 alpha 16 ix 19 , 17 - 18 alpha 18 alpha 19 , 20 it 21 forms 21 forms 24 system 21 forms 26 in 21 forms 31 during 22 a 23 powerful 22 a 24 system 23 powerful 24 system 24 system 25 involved 26 in 30 response 27 the 30 response 28 cell 30 response 29 stress 30 response 31 during 33 disorders 32 neurodegenerative 33 disorders in this paper , an up - regulation of the biliverdin reductase - a protein levels [was] found in the hippocampus of the subjects with alzheimer disease and arguably its earliest form , mild cognitive impairment . 0 ###LEFT-WALL### 16 levels 0 ###LEFT-WALL### 18 found 0 ###LEFT-WALL### 33 , 0 ###LEFT-WALL### 37 . 1 in 3 paper 1 in 4 , 1 in 16 levels 2 this 3 paper 5 an 14 a 6 up 8 regulation 6 up 14 a 7 - 8 regulation 8 regulation 9 of 8 regulation 13 - 9 of 12 reductase 10 the 12 reductase 11 biliverdin 12 reductase 14 a 16 levels 15 protein 16 levels 16 levels 18 found 18 found 19 in 18 found 28 and 20 the 21 hippocampus 21 hippocampus 22 of 21 hippocampus 28 and 22 of 24 subjects 23 the 24 subjects 24 subjects 25 with 25 with 27 disease 26 alzheimer 27 disease 28 and 29 arguably 28 and 32 form 28 and 33 , 30 its 31 earliest 30 its 32 form 33 , 36 impairment 34 mild 36 impairment 35 cognitive 36 impairment moreover a significant reduction in the phosphorylation of serine , threonine and tyrosine residues of biliverdin reductase - [a] was found , and this was paralleled by a marked reduction in its reductase activity . 0 ###LEFT-WALL### 4 reduction 0 ###LEFT-WALL### 21 found 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 35 . 1 moreover 4 reduction 2 a 3 significant 2 a 4 reduction 3 significant 4 reduction 4 reduction 5 in 4 reduction 12 and 4 reduction 20 was 5 in 7 phosphorylation 6 the 7 phosphorylation 7 phosphorylation 8 of 8 of 9 serine 10 , 12 and 11 threonine 12 and 12 and 14 residues 12 and 15 of 12 and 18 - 13 tyrosine 14 residues 15 of 17 reductase 16 biliverdin 17 reductase 20 was 21 found 22 , 23 and 23 and 24 this 23 and 26 paralleled 24 this 25 was 25 was 26 paralleled 26 paralleled 27 by 26 paralleled 31 in 27 by 30 reduction 28 a 30 reduction 29 marked 30 reduction 31 in 34 activity 32 its 34 activity 33 reductase 34 activity interestingly , the levels of both total and phosphorylated biliverdin reductase [-] a were unchanged as well as its enzymatic activity in the cerebella . 0 ###LEFT-WALL### 4 levels 0 ###LEFT-WALL### 14 were 0 ###LEFT-WALL### 25 . 1 interestingly 2 , 1 interestingly 4 levels 3 the 4 levels 4 levels 5 of 4 levels 14 were 5 of 8 and 6 both 8 and 7 total 8 and 8 and 11 reductase 9 phosphorylated 10 biliverdin 10 biliverdin 11 reductase 11 reductase 13 a 14 were 15 unchanged 15 unchanged 17 well 15 unchanged 18 as 16 as 17 well 18 as 21 activity 19 its 21 activity 20 enzymatic 21 activity 21 activity 22 in 22 in 24 cerebella 23 the 24 cerebella these results demonstrated a dichotomy between biliverdin reductase - a protein levels and activity in the hippocampus of subjects affected by alzheimer disease and mild cognitive impairment , and this effect likely is attributable to a reduction in the phosphorylation of serine , threonine and tyrosine residues of biliverdin reductase - a . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 demonstrated 0 ###LEFT-WALL### 9 - 1 these 2 results 2 results 3 demonstrated 3 demonstrated 5 dichotomy 4 a 5 dichotomy 5 dichotomy 6 between 6 between 8 reductase 7 biliverdin 8 reductase 9 - 11 protein 9 - 33 is 9 - 51 - 9 - 53 . 10 a 11 protein 11 protein 13 and 11 protein 20 affected 11 protein 33 is 12 levels 13 and 13 and 14 activity 13 and 15 in 13 and 18 of 13 and 20 affected 15 in 17 hippocampus 16 the 17 hippocampus 18 of 19 subjects 20 affected 21 by 21 by 24 and 22 alzheimer 23 disease 23 disease 24 and 24 and 31 effect 25 mild 27 impairment 26 cognitive 27 impairment 27 impairment 29 and 28 , 29 and 29 and 30 this 29 and 31 effect 32 likely 33 is 33 is 34 attributable 34 attributable 35 to 35 to 45 and 36 a 37 reduction 37 reduction 38 in 37 reduction 43 , 38 in 40 phosphorylation 39 the 40 phosphorylation 40 phosphorylation 41 of 41 of 42 serine 43 , 44 threonine 43 , 45 and 45 and 47 residues 45 and 48 of 46 tyrosine 47 residues 48 of 50 reductase 49 biliverdin 50 reductase 51 - 52 a consequently , not [just] the increased levels of biliverdin reductase [-] a , but also its changed activity and phosphorylation state , should be taken into account when considering potential biomarkers for alzheimer disease and mild cognitive impairment . 0 ###LEFT-WALL### 10 reductase 0 ###LEFT-WALL### 39 . 1 consequently 2 , 1 consequently 10 reductase 3 not 7 levels 3 not 10 reductase 5 the 7 levels 6 increased 7 levels 7 levels 8 of 8 of 9 biliverdin 10 reductase 12 a 10 reductase 14 but 10 reductase 23 should 13 , 14 but 14 but 15 also 14 but 19 and 14 but 22 , 16 its 18 activity 17 changed 18 activity 18 activity 19 and 19 and 21 state 20 phosphorylation 21 state 23 should 24 be 24 be 25 taken 25 taken 27 account 25 taken 28 when 26 into 27 account 28 when 29 considering 29 considering 31 biomarkers 29 considering 32 for 30 potential 31 biomarkers 32 for 35 and 33 alzheimer 34 disease 34 disease 35 and 35 and 38 impairment 36 mild 38 impairment 37 cognitive 38 impairment the protein deacetylase sirt1 , and its activator resveratrol , exert beneficial effects on glucose metabolism . 0 ###LEFT-WALL### 9 resveratrol 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 17 . 1 the 9 resveratrol 2 protein 9 resveratrol 3 deacetylase 9 resveratrol 4 sirt1 6 and 5 , 6 and 6 and 8 activator 6 and 9 resveratrol 7 its 8 activator 10 , 11 exert 11 exert 13 effects 11 exert 14 on 12 beneficial 13 effects 14 on 16 metabolism 15 glucose 16 metabolism different sirt1 targets have been identified , including ptp1b , ampk , foxo , pgc - 1α and irs2 . 0 ###LEFT-WALL### 3 targets 0 ###LEFT-WALL### 6 identified 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 20 . 1 different 3 targets 2 sirt1 3 targets 3 targets 4 have 4 have 5 been 5 been 6 identified 6 identified 8 including 7 , 8 including 8 including 11 ampk 8 including 12 , 9 ptp1b 11 ampk 10 , 11 ampk 11 ampk 12 , 12 , 18 and 13 foxo 15 pgc 14 , 15 pgc 15 pgc 16 - 15 pgc 17 1α 17 1α 18 and 18 and 19 irs2 the latter may underscore a tight link between sirt1 and insulin signaling components . 0 ###LEFT-WALL### 2 latter 0 ###LEFT-WALL### 4 underscore 0 ###LEFT-WALL### 14 . 1 the 2 latter 2 latter 3 may 3 may 4 underscore 4 underscore 7 link 4 underscore 8 between 5 a 6 tight 5 a 7 link 6 tight 7 link 8 between 10 and 9 sirt1 10 and 10 and 11 insulin 10 and 12 signaling 12 signaling 13 components however , whether sirt1 has a direct effect on insulin resistance and whether resveratrol acts directly or indirectly in this context is still a matter of controversy and this question has not been addressed in muscle cells . 0 ###LEFT-WALL### 3 whether 0 ###LEFT-WALL### 22 is 0 ###LEFT-WALL### 28 and 0 ###LEFT-WALL### 38 . 1 however 2 , 1 however 3 whether 3 whether 4 sirt1 3 whether 5 has 3 whether 22 is 4 sirt1 5 has 5 has 8 effect 5 has 9 on 5 has 17 or 5 has 19 in 6 a 7 direct 6 a 8 effect 7 direct 8 effect 9 on 15 acts 10 insulin 15 acts 11 resistance 12 and 12 and 13 whether 12 and 15 acts 14 resveratrol 15 acts 16 directly 17 or 17 or 18 indirectly 19 in 21 context 20 this 21 context 22 is 23 still 22 is 25 matter 24 a 25 matter 25 matter 26 of 26 of 27 controversy 28 and 30 question 28 and 34 addressed 29 this 30 question 30 question 31 has 31 has 32 not 31 has 33 been 33 been 34 addressed 34 addressed 35 in 35 in 37 cells 36 muscle 37 cells here , we show that sirt1 protein expression is decreased in muscle biopsies and primary myotubes derived from type 2 diabetic patients , suggesting a contribution of diminished sirt1 in the determination of muscle insulin resistance . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 show 1 here 2 , 1 here 3 we 3 we 4 show 4 show 5 that 4 show 6 sirt1 4 show 14 and 6 sirt1 7 protein 6 sirt1 13 biopsies 7 protein 8 expression 7 protein 9 is 7 protein 10 decreased 7 protein 13 biopsies 8 expression 9 is 10 decreased 11 in 11 in 12 muscle 14 and 16 myotubes 14 and 22 patients 15 primary 16 myotubes 16 myotubes 17 derived 16 myotubes 18 from 18 from 19 type 19 type 20 2 21 diabetic 22 patients 22 patients 24 suggesting 23 , 24 suggesting 24 suggesting 26 contribution 24 suggesting 30 in 24 suggesting 37 . 25 a 26 contribution 26 contribution 27 of 27 of 29 sirt1 28 diminished 29 sirt1 30 in 32 determination 31 the 32 determination 32 determination 33 of 33 of 36 resistance 34 muscle 36 resistance 35 insulin 36 resistance to investigate the functional impact of sirt1 on the insulin pathway , the activation of insulin downstream effector pkb was evaluated after sirt1 inactivation by rnai , sirt1 overexpression , or resveratrol treatments . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 investigate 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 34 . 1 to 2 investigate 2 investigate 5 impact 3 the 5 impact 4 functional 5 impact 5 impact 6 of 5 impact 8 on 6 of 7 sirt1 8 on 11 pathway 9 the 11 pathway 10 insulin 11 pathway 12 , 14 activation 12 , 21 evaluated 13 the 14 activation 14 activation 15 of 14 activation 20 was 15 of 19 pkb 16 insulin 19 pkb 17 downstream 18 effector 18 effector 19 pkb 20 was 21 evaluated 21 evaluated 22 after 21 evaluated 25 by 22 after 24 inactivation 23 sirt1 24 inactivation 25 by 31 or 26 rnai 27 , 27 , 29 overexpression 27 , 31 or 28 sirt1 29 overexpression 30 , 31 or 31 or 33 treatments 32 resveratrol 33 treatments in muscle cells and hek293 cells , downregulation of sirt1 reduced , while overexpression increased , insulin - induced pkb activatory phosphorylation . 0 ###LEFT-WALL### 6 cells 0 ###LEFT-WALL### 19 induced 0 ###LEFT-WALL### 23 . 1 in 4 and 1 in 6 cells 2 muscle 3 cells 3 cells 4 and 4 and 5 hek293 6 cells 8 downregulation 6 cells 17 insulin 6 cells 19 induced 7 , 8 downregulation 8 downregulation 9 of 8 downregulation 16 , 9 of 10 sirt1 10 sirt1 11 reduced 11 reduced 13 while 12 , 13 while 13 while 15 increased 13 while 16 , 14 overexpression 15 increased 16 , 17 insulin 17 insulin 18 - 19 induced 22 phosphorylation 20 pkb 21 activatory 21 activatory 22 phosphorylation further molecular characterisation revealed that sirt1 interacts in an insulin [-] independent manner with the pi3k adapter subunit p85 . 0 ###LEFT-WALL### 3 characterisation 0 ###LEFT-WALL### 4 revealed 0 ###LEFT-WALL### 20 . 1 further 3 characterisation 2 molecular 3 characterisation 3 characterisation 4 revealed 4 revealed 5 that 5 that 6 sirt1 5 that 7 interacts 6 sirt1 7 interacts 7 interacts 8 in 7 interacts 14 with 8 in 13 manner 9 an 10 insulin 9 an 13 manner 10 insulin 13 manner 12 independent 13 manner 14 with 18 subunit 14 with 19 p85 15 the 18 subunit 16 pi3k 18 subunit 17 adapter 18 subunit we then investigated whether resveratrol may improve insulin signaling in muscle cells via sirt1 , or alternative targets . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 investigated 0 ###LEFT-WALL### 19 . 1 we 3 investigated 2 then 3 investigated 3 investigated 4 whether 4 whether 5 resveratrol 4 whether 7 improve 5 resveratrol 6 may 6 may 7 improve 7 improve 8 insulin 7 improve 13 via 8 insulin 9 signaling 9 signaling 10 in 10 in 12 cells 11 muscle 12 cells 13 via 16 or 14 sirt1 16 or 15 , 16 or 16 or 18 targets 17 alternative 18 targets incubation of muscle cells with resveratrol reverted the insulin [-] resistant state induced by prolonged tnfα or insulin treatment . 0 ###LEFT-WALL### 1 incubation 0 ###LEFT-WALL### 7 reverted 0 ###LEFT-WALL### 20 . 1 incubation 2 of 1 incubation 7 reverted 2 of 4 cells 3 muscle 4 cells 4 cells 5 with 5 with 6 resveratrol 7 reverted 12 state 7 reverted 14 by 8 the 12 state 9 insulin 12 state 11 resistant 12 state 12 state 13 induced 14 by 17 or 15 prolonged 16 tnfα 16 tnfα 17 or 17 or 19 treatment 18 insulin 19 treatment resveratrol - dependent improvement of insulin - resistance occurred through inhibition of serine phosphorylation of irs1/2 , implicating resveratrol as a serine kinase inhibitor . 0 ###LEFT-WALL### 8 resistance 0 ###LEFT-WALL### 9 occurred 1 resveratrol 4 improvement 1 resveratrol 8 resistance 2 - 4 improvement 3 dependent 4 improvement 4 improvement 5 of 4 improvement 7 - 5 of 6 insulin 8 resistance 9 occurred 9 occurred 10 through 10 through 11 inhibition 11 inhibition 12 of 12 of 14 phosphorylation 13 serine 14 phosphorylation 14 phosphorylation 15 of 15 of 16 irs1/2 16 irs1/2 18 implicating 17 , 18 implicating 18 implicating 19 resveratrol 18 implicating 20 as 18 implicating 25 . 20 as 24 inhibitor 21 a 24 inhibitor 22 serine 24 inhibitor 23 kinase 24 inhibitor finally , a functional interaction between pi3k and sirt1 was demonstrated in [c] [.] elegans , [where] constitutively active pi3k - mimicking increased iis signaling - lead to shortened lifespan , while removal of [sir] - 2.1 abolished pi3k - induced lifespan shortening . 0 ###LEFT-WALL### 5 interaction 0 ###LEFT-WALL### 11 demonstrated 1 finally 2 , 1 finally 5 interaction 3 a 4 functional 3 a 5 interaction 4 functional 5 interaction 5 interaction 6 between 5 interaction 10 was 6 between 9 sirt1 7 pi3k 8 and 8 and 9 sirt1 10 was 11 demonstrated 11 demonstrated 12 in 11 demonstrated 22 mimicking 12 in 15 elegans 15 elegans 20 pi3k 16 , 20 pi3k 18 constitutively 19 active 19 active 20 pi3k 20 pi3k 21 - 21 - 22 mimicking 22 mimicking 24 iis 22 mimicking 32 while 23 increased 24 iis 24 iis 25 signaling 24 iis 27 lead 26 - 27 lead 27 lead 28 to 27 lead 31 , 28 to 30 lifespan 29 shortened 30 lifespan 32 while 33 removal 32 while 38 abolished 33 removal 34 of 33 removal 38 abolished 34 of 37 2.1 36 - 37 2.1 38 abolished 39 pi3k 39 pi3k 43 shortening 40 - 43 shortening 41 induced 43 shortening 42 lifespan 43 shortening 43 shortening 44 . our data identify sirt1 as a positive modulator of insulin signaling in muscle cells through pi3k , and this mechanism appears to be conserved from c . elegans through humans . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 identify 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 27 . 1 our 2 data 2 data 3 identify 3 identify 4 sirt1 3 identify 5 as 3 identify 15 through 5 as 8 modulator 6 a 7 positive 6 a 8 modulator 7 positive 8 modulator 8 modulator 9 of 9 of 10 insulin 10 insulin 11 signaling 11 signaling 12 in 12 in 14 cells 13 muscle 14 cells 15 through 16 pi3k 17 , 18 and 18 and 20 mechanism 18 and 21 appears 19 this 20 mechanism 20 mechanism 21 appears 21 appears 22 to 21 appears 24 conserved 22 to 23 be 23 be 24 conserved 24 conserved 25 from 25 from 26 c 27 . 30 humans 27 . 31 . 28 elegans 30 humans 29 through 30 humans gastrointestinal motility disorders often pose a debilitating problem , especially in elderly patients . 0 ###LEFT-WALL### 3 disorders 0 ###LEFT-WALL### 5 pose 1 gastrointestinal 3 disorders 2 motility 3 disorders 3 disorders 5 pose 4 often 5 pose 5 pose 8 problem 6 a 8 problem 7 debilitating 8 problem 8 problem 11 in 9 , 10 especially 9 , 11 in 11 in 13 patients 11 in 14 . 12 elderly 13 patients in addition , they are frequently occurring [co] - morbidities in dementia . 0 ###LEFT-WALL### 4 they 0 ###LEFT-WALL### 5 are 0 ###LEFT-WALL### 9 - 0 ###LEFT-WALL### 13 . 1 in 2 addition 1 in 3 , 1 in 4 they 4 they 5 are 5 are 7 occurring 6 frequently 7 occurring 9 - 10 morbidities 10 morbidities 11 in 11 in 12 dementia whereas a failing enteric nervous system has already been shown to be involved in gastrointestinal motility disorders and in parkinson 's disease , a relationship with the neurodegenerative process of alzheimer 's disease was not yet shown . 0 ###LEFT-WALL### 25 relationship 0 ###LEFT-WALL### 37 shown 0 ###LEFT-WALL### 38 . 1 whereas 6 system 1 whereas 10 shown 1 whereas 25 relationship 2 a 6 system 3 failing 6 system 4 enteric 6 system 5 nervous 6 system 6 system 7 has 7 has 9 been 8 already 9 been 9 been 10 shown 10 shown 11 to 11 to 12 be 12 be 13 involved 14 in 17 disorders 14 in 18 and 15 gastrointestinal 16 motility 16 motility 17 disorders 18 and 19 in 18 and 23 , 18 and 25 relationship 19 in 22 disease 20 parkinson 21 's 21 's 22 disease 24 a 25 relationship 25 relationship 26 with 25 relationship 30 of 25 relationship 34 was 26 with 29 process 27 the 29 process 28 neurodegenerative 29 process 30 of 33 disease 31 alzheimer 32 's 32 's 33 disease 34 was 35 not 34 was 36 yet 34 was 37 shown amyloid deposits were seen in the vasculature , the mucosal and muscle layer of both heterozygous and wild type mice . 0 ###LEFT-WALL### 2 deposits 0 ###LEFT-WALL### 4 seen 0 ###LEFT-WALL### 21 . 1 amyloid 2 deposits 2 deposits 3 were 3 were 4 seen 4 seen 5 in 5 in 11 and 6 the 7 vasculature 7 vasculature 8 , 8 , 10 mucosal 8 , 11 and 9 the 10 mucosal 11 and 13 layer 11 and 14 of 12 muscle 13 layer 14 of 20 mice 15 both 20 mice 16 heterozygous 17 and 17 and 18 wild 17 and 19 type 19 type 20 mice amyloidβ₁₋₄₂ could not be detected , pointing to a different amyloid composition than that found in senile plaques in the mice 's brains . 0 ###LEFT-WALL### 1 amyloidβ₁₋₄₂ 0 ###LEFT-WALL### 5 detected 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 24 . 1 amyloidβ₁₋₄₂ 2 could 2 could 3 not 2 could 4 be 4 be 5 detected 6 , 7 pointing 6 , 15 found 7 pointing 8 to 7 pointing 13 than 7 pointing 15 found 8 to 12 composition 9 a 12 composition 10 different 12 composition 11 amyloid 12 composition 13 than 14 that 15 found 16 in 15 found 18 plaques 17 senile 18 plaques 18 plaques 19 in 19 in 23 brains 20 the 21 mice 21 mice 22 's 22 's 23 brains the finding of an increased density of βiii - tubulin - , substance p - and nos - ir - nerve fibres in heterozygous mice could not undoubtedly be related to amyloid deposition or to [an] activation of glial cells . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 30 related 0 ###LEFT-WALL### 41 . 1 the 2 finding 2 finding 3 of 2 finding 16 and 3 of 6 density 4 an 6 density 5 increased 6 density 6 density 7 of 7 of 8 βiii 8 βiii 10 tubulin 8 βiii 13 substance 9 - 10 tubulin 10 tubulin 11 - 12 , 13 substance 13 substance 14 p 13 substance 15 - 16 and 17 nos 16 and 22 fibres 16 and 29 be 16 and 30 related 17 nos 19 ir 18 - 19 ir 19 ir 20 - 21 nerve 22 fibres 22 fibres 23 in 22 fibres 26 could 23 in 25 mice 24 heterozygous 25 mice 26 could 27 not 26 could 29 be 28 undoubtedly 29 be 30 related 34 or 31 to 33 deposition 31 to 34 or 32 amyloid 33 deposition 34 or 35 to 35 to 37 activation 37 activation 38 of 38 of 40 cells 39 glial 40 cells therefore , the alterations at the level of the enteric nervous system and the deposition of amyloid seem [not] primarily involved in the pathogenesis of alzheimer 's disease . 0 ###LEFT-WALL### 4 alterations 0 ###LEFT-WALL### 18 seem 0 ###LEFT-WALL### 29 . 1 therefore 2 , 1 therefore 4 alterations 3 the 4 alterations 4 alterations 5 at 4 alterations 18 seem 5 at 7 level 6 the 7 level 7 level 8 of 8 of 13 and 9 the 12 system 10 enteric 12 system 11 nervous 12 system 12 system 13 and 13 and 15 deposition 13 and 16 of 14 the 15 deposition 16 of 17 amyloid 18 seem 21 involved 20 primarily 21 involved 21 involved 22 in 22 in 24 pathogenesis 23 the 24 pathogenesis 24 pathogenesis 25 of 25 of 28 disease 26 alzheimer 27 's 27 's 28 disease at most they are secondary [related] to the neurodegenerative process . 0 ###LEFT-WALL### 1 at 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 11 . 1 at 2 most 1 at 4 are 3 they 4 are 4 are 5 secondary 5 secondary 7 to 7 to 10 process 8 the 10 process 9 neurodegenerative 10 process additionally , our data could not show extensive neuronal or glial cell loss associated with aging , in contrast to other reports . 0 ###LEFT-WALL### 4 data 0 ###LEFT-WALL### 7 show 1 additionally 2 , 1 additionally 4 data 3 our 4 data 4 data 5 could 5 could 6 not 5 could 7 show 7 show 13 loss 7 show 14 associated 8 extensive 12 cell 9 neuronal 10 or 10 or 11 glial 10 or 12 cell 12 cell 13 loss 13 loss 14 associated 14 associated 15 with 15 with 16 aging 16 aging 18 in 17 , 18 in 18 in 19 contrast 18 in 23 . 19 contrast 20 to 20 to 22 reports 21 other 22 reports instead [an] increase in s100 - ir was observed in senescent mice . 0 ###LEFT-WALL### 3 increase 0 ###LEFT-WALL### 6 - 1 instead 3 increase 3 increase 4 in 4 in 5 s100 6 - 7 ir 6 - 9 observed 6 - 13 . 7 ir 8 was 8 was 9 observed 9 observed 10 in 10 in 12 mice 11 senescent 12 mice background : when individuals have hearing loss , physiological changes in their brain interact with relearning of sound patterns . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 10 changes 2 : 14 interact 2 : 20 . 3 when 4 individuals 3 when 5 have 3 when 8 , 3 when 10 changes 4 individuals 5 have 5 have 7 loss 6 hearing 7 loss 9 physiological 10 changes 10 changes 11 in 10 changes 14 interact 11 in 13 brain 12 their 13 brain 14 interact 15 with 15 with 16 relearning 16 relearning 17 of 17 of 19 patterns 18 sound 19 patterns some individuals utilize compensatory strategies that may result in successful hearing aid use . 0 ###LEFT-WALL### 2 individuals 0 ###LEFT-WALL### 3 utilize 0 ###LEFT-WALL### 14 . 1 some 2 individuals 2 individuals 3 utilize 3 utilize 5 strategies 4 compensatory 5 strategies 5 strategies 6 that 5 strategies 7 may 6 that 7 may 7 may 8 result 8 result 9 in 9 in 13 use 10 successful 11 hearing 11 hearing 13 use 12 aid 13 use others , however , are not so fortunate . 0 ###LEFT-WALL### 1 others 0 ###LEFT-WALL### 5 are 0 ###LEFT-WALL### 9 . 1 others 5 are 2 , 3 however 3 however 4 , 3 however 5 are 5 are 6 not 5 are 8 fortunate 7 so 8 fortunate modern hearing aids can provide audibility but may not rectify spectral and temporal resolution , susceptibility to noise interference , or degradation of cognitive skills , such as declining auditory memory and slower speed of processing associated with aging . 0 ###LEFT-WALL### 21 or 0 ###LEFT-WALL### 40 . 1 modern 2 hearing 1 modern 15 , 2 hearing 3 aids 2 hearing 7 but 3 aids 7 but 4 can 5 provide 4 can 7 but 5 provide 6 audibility 7 but 8 may 8 may 9 not 8 may 10 rectify 10 rectify 12 and 11 spectral 12 and 12 and 14 resolution 13 temporal 14 resolution 15 , 16 susceptibility 15 , 21 or 16 susceptibility 17 to 17 to 19 interference 18 noise 19 interference 20 , 21 or 21 or 22 degradation 21 or 23 of 23 of 32 and 24 cognitive 25 skills 25 skills 26 , 26 , 31 memory 26 , 32 and 27 such 31 memory 28 as 29 declining 29 declining 31 memory 30 auditory 31 memory 32 and 34 speed 32 and 35 of 33 slower 34 speed 35 of 36 processing 36 processing 37 associated 36 processing 38 with 38 with 39 aging frequently , these deficits are not identified during a typical " hearing aid evaluation . " 0 ###LEFT-WALL### 4 deficits 0 ###LEFT-WALL### 5 are 0 ###LEFT-WALL### 15 . 1 frequently 2 , 1 frequently 4 deficits 3 these 4 deficits 4 deficits 5 are 5 are 6 not 5 are 8 during 6 not 7 identified 8 during 14 evaluation 9 a 10 typical 9 a 14 evaluation 10 typical 11 " 10 typical 12 hearing 12 hearing 14 evaluation 13 aid 14 evaluation 15 . 16 " aural rehabilitation has long been advocated to enhance communication but has not been considered time or cost - effective . 0 ###LEFT-WALL### 1 aural 0 ###LEFT-WALL### 14 considered 0 ###LEFT-WALL### 20 . 1 aural 2 rehabilitation 1 aural 13 been 1 aural 14 considered 2 rehabilitation 3 has 3 has 5 been 4 long 5 been 5 been 6 advocated 6 advocated 7 to 7 to 10 but 8 enhance 9 communication 8 enhance 10 but 10 but 11 has 11 has 12 not 11 has 13 been 14 considered 16 or 14 considered 19 effective 15 time 16 or 16 or 17 cost 16 or 18 - home - based , interactive adaptive computer therapy programs [are] available that are designed to engage the adult hearing - impaired [listener] in the hearing aid fitting process , provide listening strategies , build confidence , and address cognitive changes . 0 ###LEFT-WALL### 1 home 0 ###LEFT-WALL### 29 , 0 ###LEFT-WALL### 41 . 1 home 3 based 1 home 8 therapy 2 - 3 based 3 based 4 , 5 interactive 7 computer 6 adaptive 7 computer 7 computer 8 therapy 8 therapy 9 programs 8 therapy 14 designed 8 therapy 21 impaired 9 programs 11 available 9 programs 12 that 9 programs 13 are 9 programs 14 designed 12 that 13 are 14 designed 15 to 14 designed 16 engage 15 to 16 engage 16 engage 19 hearing 17 the 19 hearing 18 adult 19 hearing 20 - 21 impaired 21 impaired 23 in 21 impaired 29 , 23 in 26 aid 24 the 26 aid 25 hearing 26 aid 26 aid 27 fitting 27 fitting 28 process 29 , 33 , 30 provide 32 strategies 30 provide 33 , 31 listening 32 strategies 33 , 37 and 34 build 35 confidence 34 build 37 and 36 , 37 and 37 and 38 address 38 address 40 changes 39 cognitive 40 changes despite the availability of these programs , many patients and professionals are reluctant to engage [in] and complete therapy . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 12 are 0 ###LEFT-WALL### 20 . 1 despite 3 availability 1 despite 7 , 1 despite 10 and 2 the 3 availability 3 availability 4 of 4 of 6 programs 5 these 6 programs 8 many 9 patients 9 patients 10 and 10 and 11 professionals 10 and 12 are 12 are 13 reluctant 13 reluctant 14 to 13 reluctant 17 and 14 to 17 and 15 engage 17 and 17 and 18 complete 18 complete 19 therapy purpose : the purposes of this article are to discuss the need for identifying auditory and nonauditory factors that may adversely affect the overall audiological rehabilitation process , to discuss important features that should be incorporated into training , and to examine reasons for the lack of compliance with therapeutic options . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 discuss 2 : 4 purposes 2 : 8 are 3 the 4 purposes 4 purposes 5 of 4 purposes 8 are 5 of 7 article 6 this 7 article 8 are 9 to 9 to 10 discuss 10 discuss 12 need 10 discuss 13 for 10 discuss 29 to 11 the 12 need 13 for 14 identifying 14 identifying 16 and 14 identifying 18 factors 15 auditory 16 and 16 and 17 nonauditory 18 factors 19 that 18 factors 20 may 19 that 20 may 20 may 22 affect 21 adversely 22 affect 22 affect 27 process 23 the 27 process 24 overall 27 process 25 audiological 26 rehabilitation 26 rehabilitation 27 process 28 , 29 to 29 to 40 and 29 to 52 . 30 discuss 32 features 30 discuss 37 into 30 discuss 40 and 31 important 32 features 32 features 33 that 32 features 34 should 33 that 34 should 34 should 35 be 35 be 36 incorporated 37 into 38 training 39 , 40 and 40 and 41 to 40 and 42 examine 40 and 49 with 41 to 42 examine 42 examine 43 reasons 43 reasons 44 for 43 reasons 47 of 44 for 46 lack 45 the 46 lack 47 of 48 compliance 49 with 51 options 50 therapeutic 51 options possible solutions to maximizing compliance are explored . 0 ###LEFT-WALL### 2 solutions 0 ###LEFT-WALL### 7 explored 0 ###LEFT-WALL### 8 . 1 possible 2 solutions 2 solutions 3 to 2 solutions 6 are 3 to 4 maximizing 4 maximizing 5 compliance 6 are 7 explored conclusions : only a small portion of audiologists ( fewer than 10 % [ )(offer auditory training to patients with hearing impairment , even though auditory training appears to lower the rate of hearing aid returns for credit . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 39 . 1 conclusions 2 : 2 : 3 only 2 : 6 portion 4 a 5 small 4 a 6 portion 5 small 6 portion 6 portion 7 of 7 of 8 audiologists 8 audiologists 17 training 9 ( 17 training 10 fewer 11 than 11 than 12 10 12 10 13 % 13 % 17 training 15 )(offer 17 training 16 auditory 17 training 17 training 18 to 17 training 23 , 18 to 19 patients 19 patients 20 with 20 with 21 hearing 21 hearing 22 impairment 23 , 35 aid 24 even 25 though 24 even 35 aid 25 though 27 training 25 though 28 appears 26 auditory 27 training 27 training 28 appears 28 appears 29 to 28 appears 30 lower 29 to 30 lower 30 lower 32 rate 31 the 32 rate 32 rate 33 of 33 of 34 hearing 35 aid 36 returns 35 aid 37 for 37 for 38 credit patients to whom auditory training programs are recommended often do not complete the training , however . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 12 complete 1 patients 2 to 1 patients 10 do 2 to 3 whom 2 to 6 programs 2 to 8 recommended 4 auditory 5 training 5 training 6 programs 6 programs 7 are 7 are 8 recommended 9 often 10 do 10 do 11 not 10 do 12 complete 12 complete 14 training 12 complete 16 however 13 the 14 training 15 , 16 however 16 however 17 . compliance for a cohort of home [-] based auditory therapy trainees was less than 30 % . 0 ###LEFT-WALL### 1 compliance 0 ###LEFT-WALL### 12 was 0 ###LEFT-WALL### 17 . 1 compliance 2 for 1 compliance 12 was 2 for 4 cohort 3 a 4 cohort 4 cohort 5 of 5 of 11 trainees 6 home 8 based 8 based 10 therapy 9 auditory 10 therapy 10 therapy 11 trainees 12 was 16 % 13 less 14 than 14 than 15 30 15 30 16 % activities to increase patient compliance to auditory training protocols are proposed . 0 ###LEFT-WALL### 1 activities 0 ###LEFT-WALL### 11 proposed 0 ###LEFT-WALL### 12 . 1 activities 2 to 1 activities 10 are 2 to 5 compliance 3 increase 5 compliance 4 patient 5 compliance 5 compliance 6 to 6 to 9 protocols 7 auditory 8 training 8 training 9 protocols 10 are 11 proposed background : late - life depression may be undiagnosed due to symptom expression . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 6 depression 2 : 8 be 2 : 14 . 3 late 4 - 3 late 5 life 5 life 6 depression 6 depression 7 may 7 may 8 be 8 be 9 undiagnosed 9 undiagnosed 11 to 10 due 11 to 11 to 13 expression 12 symptom 13 expression these analyses explore the structure of depressive symptoms in older patients diagnosed with major depression by identifying clusters of patients based on their symptom profiles . 0 ###LEFT-WALL### 2 analyses 0 ###LEFT-WALL### 3 explore 0 ###LEFT-WALL### 26 . 1 these 2 analyses 2 analyses 3 explore 3 explore 5 structure 3 explore 9 in 3 explore 13 with 3 explore 16 by 4 the 5 structure 5 structure 6 of 6 of 8 symptoms 7 depressive 8 symptoms 9 in 11 patients 10 older 11 patients 11 patients 12 diagnosed 13 with 15 depression 14 major 15 depression 16 by 17 identifying 17 identifying 18 clusters 17 identifying 22 on 18 clusters 19 of 18 clusters 21 based 19 of 20 patients 22 on 25 profiles 23 their 25 profiles 24 symptom 25 profiles methods : the sample comprised 366 patients enrolled in a naturalistic treatment study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 sample 2 : 5 comprised 2 : 14 . 3 the 4 sample 4 sample 5 comprised 5 comprised 7 patients 6 366 7 patients 7 patients 8 enrolled 8 enrolled 9 in 9 in 13 study 10 a 11 naturalistic 10 a 13 study 11 naturalistic 12 treatment 12 treatment 13 study symptom profiles were defined using responses to the center for epidemiologic studies depression scale ( ces - d ) , the hamilton rating scale for depression ( ham - d ) and the depression section of the diagnostic interview schedule ( dis ) administered [at] enrollment . 0 ###LEFT-WALL### 2 profiles 0 ###LEFT-WALL### 4 defined 0 ###LEFT-WALL### 47 . 1 symptom 2 profiles 2 profiles 3 were 3 were 4 defined 4 defined 5 using 5 using 32 and 6 responses 7 to 6 responses 32 and 7 to 9 center 8 the 9 center 9 center 10 for 10 for 14 scale 11 epidemiologic 12 studies 12 studies 13 depression 13 depression 14 scale 14 scale 17 - 14 scale 24 scale 15 ( 17 - 16 ces 17 - 17 - 18 d 17 - 19 ) 20 , 24 scale 21 the 24 scale 22 hamilton 23 rating 23 rating 24 scale 24 scale 25 for 24 scale 29 - 24 scale 31 ) 25 for 26 depression 27 ( 29 - 28 ham 29 - 29 - 30 d 29 - 31 ) 32 and 35 section 32 and 36 of 33 the 35 section 34 depression 35 section 36 of 46 enrollment 37 the 46 enrollment 38 diagnostic 39 interview 39 interview 40 schedule 40 schedule 42 dis 41 ( 42 dis 42 dis 43 ) 42 dis 44 administered 44 administered 46 enrollment latent class analysis ( lca ) was used to place patients into homogeneous clusters . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 8 used 0 ###LEFT-WALL### 15 . 1 latent 2 class 2 class 3 analysis 3 analysis 5 lca 3 analysis 7 was 4 ( 5 lca 5 lca 6 ) 7 was 8 used 8 used 9 to 8 used 10 place 9 to 10 place 10 place 11 patients 10 place 12 into 12 into 14 clusters 13 homogeneous 14 clusters as a final step , we identified a risk profile from representative items across instruments selected through variable reduction techniques . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 identified 0 ###LEFT-WALL### 21 . 1 as 4 step 1 as 5 , 1 as 6 we 2 a 3 final 2 a 4 step 3 final 4 step 6 we 7 identified 7 identified 10 profile 7 identified 11 from 7 identified 14 across 7 identified 17 through 8 a 10 profile 9 risk 10 profile 11 from 13 items 12 representative 13 items 14 across 15 instruments 15 instruments 16 selected 17 through 20 techniques 18 variable 19 reduction 19 reduction 20 techniques results : a model with four discrete clusters provided the best fit to the data for the ces [-] d and the dis depression module , while three clusters best fit the ham - d . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 36 . 2 : 21 and 2 : 26 , 3 a 4 model 4 model 5 with 4 model 9 provided 4 model 12 fit 4 model 21 and 5 with 8 clusters 6 four 8 clusters 7 discrete 8 clusters 9 provided 11 best 10 the 11 best 12 fit 13 to 12 fit 16 for 13 to 15 data 14 the 15 data 16 for 18 ces 17 the 18 ces 18 ces 20 d 21 and 25 module 22 the 25 module 23 dis 25 module 24 depression 25 module 26 , 31 fit 26 , 34 - 27 while 29 clusters 27 while 31 fit 28 three 29 clusters 30 best 31 fit 31 fit 33 ham 32 the 33 ham 34 - 35 d using lca to identify clusters of patients based on their endorsement of seventeen representative symptoms , we found three clusters of patients differing in ways other than severity . 0 ###LEFT-WALL### 17 we 0 ###LEFT-WALL### 18 found 0 ###LEFT-WALL### 29 . 1 using 2 lca 1 using 3 to 1 using 4 identify 1 using 16 , 1 using 17 we 3 to 4 identify 4 identify 5 clusters 4 identify 9 on 5 clusters 6 of 5 clusters 8 based 6 of 7 patients 9 on 11 endorsement 10 their 11 endorsement 11 endorsement 12 of 12 of 15 symptoms 13 seventeen 15 symptoms 14 representative 15 symptoms 17 we 18 found 18 found 20 clusters 19 three 20 clusters 20 clusters 21 of 20 clusters 23 differing 21 of 22 patients 23 differing 24 in 23 differing 27 than 24 in 25 ways 26 other 27 than 27 than 28 severity age , sex , education , marital status , age [of] onset , functional limitations , level of perceived stress and subjective social support were differentially distributed across clusters . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 2 , 0 ###LEFT-WALL### 30 . 2 , 21 and 2 , 27 distributed 3 sex 4 , 4 , 5 education 4 , 6 , 6 , 8 status 6 , 9 , 7 marital 8 status 9 , 12 onset 9 , 13 , 10 age 12 onset 13 , 15 limitations 13 , 16 , 14 functional 15 limitations 16 , 17 level 16 , 21 and 17 level 18 of 18 of 20 stress 19 perceived 20 stress 21 and 24 support 21 and 25 were 22 subjective 24 support 23 social 24 support 25 were 26 differentially 25 were 27 distributed 27 distributed 28 across 28 across 29 clusters conclusions : we found considerable heterogeneity in symptom profiles among older adults with an index episode of major depression . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 2 : 3 we 2 : 4 found 3 we 4 found 4 found 6 heterogeneity 4 found 7 in 4 found 10 among 4 found 13 with 5 considerable 6 heterogeneity 7 in 9 profiles 8 symptom 9 profiles 10 among 12 adults 11 older 12 adults 13 with 16 episode 14 an 16 episode 15 index 16 episode 16 episode 17 of 17 of 19 depression 18 major 19 depression clinical indicators such as depression history may play less [of] a role differentiating clusters of patients than variables such as stress , social support , and functional limitations . 0 ###LEFT-WALL### 2 indicators 0 ###LEFT-WALL### 8 play 0 ###LEFT-WALL### 29 . 1 clinical 2 indicators 2 indicators 4 as 2 indicators 7 may 3 such 4 as 4 as 6 history 5 depression 6 history 7 may 8 play 8 play 9 less 8 play 12 role 8 play 17 than 11 a 12 role 12 role 13 differentiating 13 differentiating 14 clusters 14 clusters 15 of 15 of 16 patients 17 than 18 variables 17 than 20 as 19 such 20 as 20 as 26 and 21 stress 22 , 22 , 24 support 22 , 26 and 23 social 24 support 25 , 26 and 26 and 28 limitations 27 functional 28 limitations these findings can help conceptualize depression and potentially [reduce] misdiagnosis for this age group . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 4 help 0 ###LEFT-WALL### 15 . 1 these 2 findings 2 findings 3 can 3 can 4 help 4 help 5 conceptualize 5 conceptualize 7 and 5 conceptualize 11 for 6 depression 7 and 7 and 8 potentially 7 and 10 misdiagnosis 11 for 14 group 12 this 14 group 13 age 14 group mutations in dkc1 , encoding telomerase associated protein dyskerin , cause x - linked dyskeratosis congenita [(] [dc] ) , a bone [marrow] ( bm ) [failure] , and cancer susceptibility syndrome . 0 ###LEFT-WALL### 29 and 0 ###LEFT-WALL### 33 . 1 mutations 2 in 1 mutations 29 and 2 in 3 dkc1 3 dkc1 9 dyskerin 4 , 9 dyskerin 5 encoding 7 associated 6 telomerase 7 associated 7 associated 9 dyskerin 8 protein 9 dyskerin 9 dyskerin 11 cause 9 dyskerin 16 congenita 9 dyskerin 22 bone 9 dyskerin 28 , 10 , 11 cause 11 cause 12 x 11 cause 13 - 13 - 16 congenita 14 linked 16 congenita 15 dyskeratosis 16 congenita 16 congenita 19 ) 20 , 22 bone 21 a 22 bone 22 bone 25 bm 22 bone 28 , 24 ( 25 bm 25 bm 26 ) 29 and 32 syndrome 30 cancer 31 susceptibility 31 susceptibility 32 syndrome decreased accumulation of telomerase rna resulting in excessive telomere shortening and premature cellular senescence is thought to be the primary cause of disease in x - linked [dc] . 0 ###LEFT-WALL### 14 senescence 0 ###LEFT-WALL### 15 is 1 decreased 2 accumulation 2 accumulation 3 of 2 accumulation 11 and 3 of 5 rna 4 telomerase 5 rna 5 rna 6 resulting 5 rna 7 in 5 rna 10 shortening 7 in 9 telomere 8 excessive 9 telomere 11 and 12 premature 11 and 14 senescence 13 cellular 14 senescence 14 senescence 15 is 15 is 16 thought 15 is 17 to 15 is 21 cause 15 is 27 linked 17 to 18 be 18 be 20 primary 19 the 20 primary 21 cause 22 of 22 of 23 disease 23 disease 24 in 24 in 25 x 26 - 27 linked 27 linked 29 . affected tissues are those that require constant renewal by stem cell activity . 0 ###LEFT-WALL### 2 tissues 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 13 . 1 affected 2 tissues 2 tissues 3 are 3 are 4 those 4 those 5 that 4 those 6 require 5 that 6 require 6 require 8 renewal 6 require 9 by 7 constant 8 renewal 9 by 12 activity 10 stem 12 activity 11 cell 12 activity we now demonstrate the presence of the growth defect in dkc1 ( δ15 ) mouse embryonic fibroblasts in vitro and show that accumulation of dna damage and levels of reactive oxygen species increase with increasing population doublings . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 38 . 1 we 20 and 2 now 3 demonstrate 3 demonstrate 5 presence 3 demonstrate 10 in 3 demonstrate 19 vitro 3 demonstrate 20 and 4 the 5 presence 5 presence 6 of 6 of 9 defect 7 the 9 defect 8 growth 9 defect 10 in 17 fibroblasts 11 dkc1 13 δ15 11 dkc1 17 fibroblasts 12 ( 13 δ15 13 δ15 14 ) 15 mouse 17 fibroblasts 16 embryonic 17 fibroblasts 18 in 19 vitro 20 and 21 show 20 and 34 with 20 and 37 doublings 21 show 22 that 21 show 23 accumulation 23 accumulation 24 of 24 of 25 dna 25 dna 27 and 25 dna 33 increase 26 damage 27 and 27 and 28 levels 27 and 29 of 27 and 33 increase 29 of 32 species 30 reactive 31 oxygen 31 oxygen 32 species 34 with 36 population 35 increasing 36 population treatment with the antioxidant , n - acetyl cysteine ( nac ) , partially rescued the growth disadvantage of mutant cells in vitro and in vivo . 0 ###LEFT-WALL### 1 treatment 0 ###LEFT-WALL### 15 rescued 0 ###LEFT-WALL### 27 . 1 treatment 2 with 1 treatment 15 rescued 2 with 4 antioxidant 3 the 4 antioxidant 4 antioxidant 6 n 4 antioxidant 9 cysteine 5 , 6 n 6 n 7 - 7 - 9 cysteine 8 acetyl 9 cysteine 9 cysteine 11 nac 9 cysteine 13 , 10 ( 11 nac 11 nac 12 ) 14 partially 15 rescued 15 rescued 18 disadvantage 15 rescued 24 and 16 the 18 disadvantage 17 growth 18 disadvantage 18 disadvantage 19 of 19 of 21 cells 20 mutant 21 cells 22 in 23 vitro 23 vitro 24 and 24 and 26 vivo 25 in 26 vivo competitive bm repopulation experiments showed that the dkc1 ( δ15 ) mutation is associated with a functional stem cell defect that becomes more severe with increasing age , consistent with accelerated senescence , a hallmark of [dc] hematopoiesis . 0 ###LEFT-WALL### 1 competitive 0 ###LEFT-WALL### 14 associated 0 ###LEFT-WALL### 39 . 1 competitive 4 experiments 1 competitive 5 showed 1 competitive 13 is 2 bm 4 experiments 3 repopulation 4 experiments 4 experiments 5 showed 5 showed 6 that 5 showed 12 mutation 7 the 12 mutation 8 dkc1 10 δ15 8 dkc1 12 mutation 9 ( 10 δ15 10 δ15 11 ) 13 is 14 associated 14 associated 15 with 15 with 20 defect 16 a 17 functional 16 a 20 defect 17 functional 18 stem 18 stem 20 defect 19 cell 20 defect 20 defect 21 that 20 defect 22 becomes 21 that 22 becomes 22 becomes 24 severe 23 more 24 severe 24 severe 25 with 25 with 27 age 25 with 35 hallmark 26 increasing 27 age 27 age 29 consistent 28 , 29 consistent 29 consistent 30 with 29 consistent 33 , 30 with 32 senescence 31 accelerated 32 senescence 34 a 35 hallmark 35 hallmark 36 of 36 of 38 hematopoiesis this stem cell phenotype was partially corrected by nac treatment . 0 ###LEFT-WALL### 4 phenotype 0 ###LEFT-WALL### 7 corrected 0 ###LEFT-WALL### 11 . 1 this 4 phenotype 2 stem 4 phenotype 3 cell 4 phenotype 4 phenotype 5 was 5 was 7 corrected 6 partially 7 corrected 7 corrected 8 by 8 by 10 treatment 9 nac 10 treatment these results suggest that a pathogenic dkc1 mutation accelerates stem cell aging , that increased oxidative stress might play a role in the pathogenesis of x - linked [dc] , [and] [that] some manifestations of [dc] may be prevented or delayed by antioxidant treatment . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 1 these 2 results 2 results 3 suggest 3 suggest 4 that 4 that 8 mutation 4 that 13 , 5 a 6 pathogenic 5 a 8 mutation 6 pathogenic 8 mutation 7 dkc1 8 mutation 9 accelerates 11 cell 9 accelerates 13 , 10 stem 11 cell 11 cell 12 aging 13 , 19 play 14 that 15 increased 15 increased 17 stress 16 oxidative 17 stress 17 stress 18 might 18 might 19 play 19 play 21 role 20 a 21 role 21 role 22 in 22 in 24 pathogenesis 23 the 24 pathogenesis 24 pathogenesis 25 of 24 pathogenesis 28 linked 24 pathogenesis 34 manifestations 25 of 26 x 27 - 28 linked 28 linked 30 , 30 , 34 manifestations 33 some 34 manifestations 34 manifestations 35 of 34 manifestations 45 . 35 of 40 or 37 may 38 be 37 may 40 or 38 be 39 prevented 40 or 41 delayed 41 delayed 42 by 42 by 44 treatment 43 antioxidant 44 treatment in aging , immune responses are dramatically impaired , specifically [the] [ability] to produce protective antibodies . 0 ###LEFT-WALL### 5 responses 0 ###LEFT-WALL### 8 impaired 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 17 . 1 in 2 aging 1 in 3 , 1 in 5 responses 4 immune 5 responses 5 responses 6 are 6 are 7 dramatically 6 are 8 impaired 9 , 13 to 9 , 14 produce 10 specifically 13 to 13 to 14 produce 14 produce 16 antibodies 15 protective 16 antibodies we previously showed that with age there is a [b] [-] cell intrinsic decrease in class switch recombination ( csr ) because of a decrease in activation - induced cytidine deaminase ( aid ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 showed 1 we 3 showed 2 previously 3 showed 3 showed 4 that 3 showed 5 with 3 showed 7 there 3 showed 8 is 5 with 6 age 7 there 8 is 8 is 14 decrease 8 is 23 of 9 a 14 decrease 12 cell 14 decrease 13 intrinsic 14 decrease 14 decrease 15 in 14 decrease 20 csr 15 in 18 recombination 16 class 18 recombination 17 switch 18 recombination 19 ( 20 csr 20 csr 21 ) 22 because 23 of 23 of 25 decrease 24 a 25 decrease 25 decrease 26 in 26 in 27 activation 27 activation 31 deaminase 28 - 31 deaminase 29 induced 30 cytidine 30 cytidine 31 deaminase 31 deaminase 33 aid 31 deaminase 35 . 32 ( 33 aid 33 aid 34 ) one mechanism we have demonstrated for decreased aid includes increased mrna degradation of the transcription factor e47 , critical for aid transcription . 0 ###LEFT-WALL### 2 mechanism 0 ###LEFT-WALL### 5 demonstrated 1 one 2 mechanism 2 mechanism 3 we 2 mechanism 4 have 2 mechanism 5 demonstrated 3 we 4 have 5 demonstrated 6 for 5 demonstrated 9 includes 5 demonstrated 11 mrna 6 for 8 aid 7 decreased 8 aid 9 includes 10 increased 9 includes 11 mrna 11 mrna 12 degradation 12 degradation 13 of 13 of 17 e47 14 the 16 factor 15 transcription 16 factor 16 factor 17 e47 17 e47 19 critical 18 , 19 critical 19 critical 20 for 19 critical 23 . 20 for 22 transcription 21 aid 22 transcription here , we show by means of a retroviral construct containing the dsred reporter and the 3'utr of e47 that the 3'utr lowers mrna expression , and particularly [in] [b] cells from old mice . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 show 0 ###LEFT-WALL### 35 . 1 here 2 , 1 here 3 we 3 we 4 show 4 show 5 by 4 show 20 that 5 by 15 and 6 means 7 of 6 means 15 and 7 of 10 construct 8 a 10 construct 9 retroviral 10 construct 10 construct 11 containing 11 containing 14 reporter 12 the 14 reporter 13 dsred 14 reporter 15 and 17 3'utr 15 and 18 of 16 the 17 3'utr 18 of 19 e47 20 that 22 3'utr 20 that 23 lowers 21 the 22 3'utr 22 3'utr 23 lowers 23 lowers 27 and 23 lowers 32 from 24 mrna 25 expression 25 expression 27 and 26 , 27 and 27 and 28 particularly 27 and 31 cells 32 from 34 mice 33 old 34 mice this is the first demonstration that the e47 3'utr directly regulates its degradation . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 14 . 1 this 2 is 2 is 5 demonstration 3 the 5 demonstration 4 first 5 demonstration 5 demonstration 6 that 5 demonstration 11 regulates 6 that 9 3'utr 6 that 11 regulates 7 the 9 3'utr 8 e47 9 3'utr 9 3'utr 11 regulates 10 directly 11 regulates 11 regulates 13 degradation 12 its 13 degradation the aid mrna was not differentially regulated by degradation in aging . 0 ###LEFT-WALL### 3 mrna 0 ###LEFT-WALL### 7 regulated 0 ###LEFT-WALL### 12 . 1 the 3 mrna 2 aid 3 mrna 3 mrna 4 was 4 was 5 not 4 was 7 regulated 6 differentially 7 regulated 7 regulated 8 by 7 regulated 10 in 8 by 9 degradation 10 in 11 aging therefore , we have here further established critical components for decreased aid with age . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 15 . 1 therefore 2 , 1 therefore 3 we 3 we 4 have 4 have 5 here 4 have 9 components 4 have 13 with 6 further 7 established 7 established 9 components 8 critical 9 components 9 components 10 for 10 for 12 aid 11 decreased 12 aid 13 with 14 age the major aim of this study was to establish conditions for the rescue of the intrinsic defect of aged [b] cells with retroviral addition of the coding region of e47 in splenic [b] cells to restore their ability to produce optimal aid and class switch to igg . 0 ###LEFT-WALL### 3 aim 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 48 . 1 the 3 aim 2 major 3 aim 3 aim 4 of 3 aim 7 was 4 of 6 study 5 this 6 study 7 was 8 to 7 was 22 with 7 was 35 to 8 to 9 establish 9 establish 10 conditions 9 establish 11 for 11 for 13 rescue 12 the 13 rescue 13 rescue 14 of 14 of 17 defect 15 the 17 defect 16 intrinsic 17 defect 17 defect 18 of 18 of 21 cells 19 aged 21 cells 22 with 24 addition 22 with 31 in 23 retroviral 24 addition 24 addition 25 of 25 of 28 region 26 the 28 region 27 coding 28 region 28 region 29 of 29 of 30 e47 31 in 34 cells 32 splenic 34 cells 35 to 36 restore 36 restore 38 ability 36 restore 39 to 36 restore 46 to 37 their 38 ability 39 to 43 and 40 produce 42 aid 41 optimal 42 aid 42 aid 43 and 43 and 45 switch 44 class 45 switch 46 to 47 igg in this study , we show that young and old primary b cells overexpressing a stable e47 mrna up - regulate e47 , aid , and csr and improve b - cell immune responses in senescent murine b cells . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 show 0 ###LEFT-WALL### 20 - 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 show 6 show 7 that 7 that 13 cells 7 that 18 mrna 8 young 9 and 9 and 10 old 9 and 11 primary 11 primary 12 b 11 primary 13 cells 13 cells 14 overexpressing 13 cells 18 mrna 14 overexpressing 17 e47 15 a 17 e47 16 stable 17 e47 18 mrna 19 up 20 - 28 and 20 - 31 - 20 - 40 . 21 regulate 26 and 21 regulate 28 and 22 e47 24 aid 23 , 24 aid 24 aid 25 , 24 aid 26 and 26 and 27 csr 28 and 29 improve 28 and 30 b 31 - 34 responses 32 cell 34 responses 33 immune 34 responses 34 responses 35 in 35 in 39 cells 36 senescent 37 murine 37 murine 38 b 37 murine 39 cells our results provide a proof of principle for the rescue of intrinsic [b] - cell defects and the humoral immune response in senescence . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 provide 0 ###LEFT-WALL### 24 . 1 our 2 results 2 results 3 provide 3 provide 5 proof 3 provide 22 in 4 a 5 proof 5 proof 6 of 6 of 7 principle 7 principle 8 for 7 principle 11 of 8 for 10 rescue 9 the 10 rescue 11 of 17 and 12 intrinsic 14 - 12 intrinsic 15 cell 15 cell 16 defects 16 defects 17 and 17 and 21 response 18 the 21 response 19 humoral 21 response 20 immune 21 response 22 in 23 senescence argonaute 2 ( ago2 ) has a leading function in mirna - induced rna silencing , a conserved gene regulatory mechanism in cells and organisms . mirnas are critical for stem cell self [-] renewal , development , and other functions . 0 ###LEFT-WALL### 1 argonaute 0 ###LEFT-WALL### 6 has 0 ###LEFT-WALL### 26 . 0 ###LEFT-WALL### 42 . 1 argonaute 2 2 1 argonaute 4 ago2 1 argonaute 6 has 3 ( 4 ago2 4 ago2 5 ) 6 has 9 function 6 has 10 in 7 a 9 function 8 leading 9 function 10 in 24 and 11 mirna 12 - 11 mirna 15 silencing 13 induced 15 silencing 14 rna 15 silencing 15 silencing 16 , 16 , 21 mechanism 16 , 24 and 17 a 21 mechanism 18 conserved 19 gene 19 gene 21 mechanism 20 regulatory 21 mechanism 21 mechanism 22 in 22 in 23 cells 24 and 25 organisms 26 . 27 mirnas 26 . 28 are 27 mirnas 28 are 28 are 29 critical 29 critical 30 for 30 for 39 and 31 stem 35 renewal 32 cell 33 self 33 self 35 renewal 35 renewal 36 , 36 , 37 development 36 , 39 and 38 , 39 and 39 and 41 functions 40 other 41 functions the role of nuclear ago2 has not been previously reported . 0 ###LEFT-WALL### 2 role 0 ###LEFT-WALL### 10 reported 0 ###LEFT-WALL### 11 . 1 the 2 role 2 role 3 of 2 role 6 has 3 of 5 ago2 4 nuclear 5 ago2 6 has 7 not 6 has 8 been 8 been 10 reported 9 previously 10 reported here , we show that human atscs in which ago2 was downregulated underwent apoptosis . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 show 0 ###LEFT-WALL### 15 . 1 here 2 , 1 here 3 we 3 we 4 show 4 show 6 human 4 show 7 atscs 4 show 13 underwent 5 that 6 human 7 atscs 8 in 7 atscs 13 underwent 8 in 9 which 8 in 10 ago2 8 in 12 downregulated 10 ago2 11 was 11 was 12 downregulated 13 underwent 14 apoptosis silencing of ago2 in atscs significantly induces upregulation of mir10b and mir23b expression . 0 ###LEFT-WALL### 1 silencing 0 ###LEFT-WALL### 7 induces 0 ###LEFT-WALL### 14 . 1 silencing 2 of 1 silencing 7 induces 2 of 3 ago2 3 ago2 4 in 4 in 5 atscs 6 significantly 7 induces 7 induces 8 upregulation 8 upregulation 9 of 9 of 11 and 10 mir10b 11 and 11 and 13 expression 12 mir23b 13 expression these mirnas directly interfere with ros - scavenging gene expression , such as txnl1 and gpx3 . 0 ###LEFT-WALL### 2 mirnas 0 ###LEFT-WALL### 4 interfere 0 ###LEFT-WALL### 17 . 1 these 2 mirnas 2 mirnas 4 interfere 3 directly 4 interfere 4 interfere 5 with 4 interfere 13 as 5 with 6 ros 6 ros 10 expression 7 - 10 expression 8 scavenging 9 gene 9 gene 10 expression 10 expression 11 , 12 such 13 as 13 as 15 and 14 txnl1 15 and 15 and 16 gpx3 upregulation of mir10b and mir23b is sufficient to induce atsc cell apoptosis via p38 mapk phosphorylation and caspase 3 activation . 0 ###LEFT-WALL### 1 upregulation 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 21 . 1 upregulation 2 of 1 upregulation 6 is 2 of 4 and 3 mir10b 4 and 4 and 5 mir23b 6 is 7 sufficient 7 sufficient 8 to 8 to 9 induce 9 induce 12 apoptosis 9 induce 13 via 10 atsc 12 apoptosis 11 cell 12 apoptosis 13 via 17 and 14 p38 16 phosphorylation 15 mapk 16 phosphorylation 16 phosphorylation 17 and 17 and 20 activation 18 caspase 19 3 18 caspase 20 activation in addition , ago2 overexpression or interference by mir10b and mir23b expression in atscs partially rescued [h] ( 2 ) [o] ( 2 [ )(/ros - mediated apoptotic cell death by upregulating the expression of txnl2 , junk , caspase [-] 3 , and cytochrome c [.] nuclear ago2 - mediated mir10b and mir23b downregulation also allows cells to escape senescence , which results in telomerase reverse transcriptase , stemness overexpression , and improved self - renewal and differentiation through wnt5a/β - catenin activation . 0 ###LEFT-WALL### 6 or 1 in 2 addition 2 addition 3 , 3 , 5 overexpression 3 , 6 or 4 ago2 5 overexpression 6 or 12 expression 6 or 13 in 7 interference 8 by 7 interference 10 and 8 by 9 mir10b 10 and 11 mir23b 10 and 12 expression 13 in 14 atscs 14 atscs 16 rescued 14 atscs 19 2 14 atscs 26 - 15 partially 16 rescued 18 ( 19 2 19 2 20 ) 22 ( 26 - 23 2 25 )(/ros 25 )(/ros 26 - 26 - 30 death 27 mediated 30 death 28 apoptotic 29 cell 29 cell 30 death 30 death 31 by 30 death 35 of 31 by 32 upregulating 32 upregulating 34 expression 33 the 34 expression 35 of 38 junk 36 txnl2 38 junk 37 , 38 junk 38 junk 39 , 38 junk 50 - 39 , 50 - 40 caspase 42 3 40 caspase 44 and 43 , 44 and 44 and 45 cytochrome 44 and 49 ago2 45 cytochrome 46 c 48 nuclear 49 ago2 49 ago2 50 - 50 - 53 and 51 mediated 52 mir10b 52 mir10b 53 and 53 and 54 mir23b 53 and 55 downregulation 53 and 57 allows 53 and 65 in 55 downregulation 57 allows 56 also 57 allows 57 allows 58 cells 57 allows 59 to 59 to 60 escape 60 escape 61 senescence 61 senescence 63 which 62 , 63 which 63 which 64 results 65 in 73 and 66 telomerase 67 reverse 67 reverse 68 transcriptase 68 transcriptase 69 , 69 , 71 overexpression 69 , 73 and 70 stemness 71 overexpression 72 , 73 and 73 and 75 self 73 and 78 and 74 improved 75 self 76 - 78 and 77 renewal 78 and 78 and 79 differentiation 78 and 84 activation 78 and 85 . 79 differentiation 80 through 80 through 81 wnt5a/β 82 - 84 activation 83 catenin 84 activation 84 activation 85 . argonaute 2 expression is critical for stem cells to escape senescence by downregulating mir10b and mir23b . 0 ###LEFT-WALL### 3 expression 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 17 . 1 argonaute 2 2 1 argonaute 3 expression 3 expression 4 is 4 is 15 and 5 critical 6 for 5 critical 12 by 5 critical 15 and 6 for 8 cells 7 stem 8 cells 8 cells 9 to 9 to 11 senescence 10 escape 11 senescence 12 by 13 downregulating 13 downregulating 14 mir10b 15 and 16 mir23b the ago2 - binding gene selenoprotein n1 ( sepn1 ) was also effectively involved in atsc survival and self - renewal through ros - mediated p38 mapk inactivation . 0 ###LEFT-WALL### 2 ago2 0 ###LEFT-WALL### 14 involved 0 ###LEFT-WALL### 29 . 1 the 2 ago2 2 ago2 4 binding 2 ago2 11 was 3 - 4 binding 4 binding 7 n1 4 binding 10 ) 5 gene 6 selenoprotein 6 selenoprotein 7 n1 7 n1 9 sepn1 8 ( 9 sepn1 9 sepn1 10 ) 11 was 12 also 11 was 14 involved 13 effectively 14 involved 14 involved 15 in 15 in 28 inactivation 16 atsc 17 survival 17 survival 18 and 18 and 19 self 18 and 21 renewal 18 and 25 mediated 20 - 21 renewal 21 renewal 22 through 21 renewal 24 - 22 through 23 ros 25 mediated 28 inactivation 26 p38 28 inactivation 27 mapk 28 inactivation this article sits at the nexus between two bodies of work , gerontology and migration research , both of which have theorised the body as the locus of stigma . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 sits 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 30 . 1 this 2 article 2 article 3 sits 3 sits 4 at 3 sits 7 between 4 at 6 nexus 5 the 6 nexus 7 between 9 bodies 8 two 9 bodies 9 bodies 10 of 10 of 11 work 12 , 29 stigma 13 gerontology 14 and 14 and 16 research 14 and 17 , 14 and 18 both 14 and 28 of 14 and 29 stigma 15 migration 16 research 18 both 19 of 18 both 21 have 19 of 20 which 21 have 22 theorised 22 theorised 24 body 22 theorised 25 as 23 the 24 body 25 as 27 locus 26 the 27 locus 27 locus 28 of gerontologists , [while] acknowledging the significance of perceptions of the ageing body for engagement and participation in society , have often evaded direct engagement with physical and medical understandings of older bodies . 0 ###LEFT-WALL### 1 gerontologists 0 ###LEFT-WALL### 20 have 0 ###LEFT-WALL### 33 . 1 gerontologists 4 acknowledging 1 gerontologists 20 have 2 , 4 acknowledging 4 acknowledging 6 significance 4 acknowledging 13 for 4 acknowledging 19 , 5 the 6 significance 6 significance 7 of 6 significance 9 of 7 of 8 perceptions 9 of 12 body 10 the 12 body 11 ageing 12 body 13 for 15 and 14 engagement 15 and 15 and 16 participation 15 and 17 in 17 in 18 society 20 have 24 engagement 20 have 25 with 21 often 22 evaded 22 evaded 24 engagement 23 direct 24 engagement 25 with 27 and 26 physical 27 and 27 and 29 understandings 27 and 30 of 28 medical 29 understandings 30 of 32 bodies 31 older 32 bodies in parallel , research which focuses on migration , race and the body has focused on how the migrant body is stigmatised both because of its somatic markers [and] because of the status of the frail older people whom they tend . 0 ###LEFT-WALL### 10 race 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 42 . 1 in 4 research 1 in 9 , 1 in 10 race 2 parallel 3 , 2 parallel 4 research 4 research 5 which 4 research 6 focuses 5 which 6 focuses 6 focuses 7 on 7 on 8 migration 11 and 13 body 11 and 15 focused 12 the 13 body 13 body 14 has 14 has 15 focused 15 focused 16 on 15 focused 24 because 15 focused 30 because 16 on 17 how 17 how 20 body 17 how 22 stigmatised 18 the 20 body 19 migrant 20 body 20 body 21 is 21 is 22 stigmatised 22 stigmatised 23 both 24 because 25 of 25 of 28 markers 26 its 28 markers 27 somatic 28 markers 30 because 31 of 31 of 33 status 32 the 33 status 33 status 34 of 34 of 38 people 35 the 38 people 36 frail 38 people 37 older 38 people 38 people 39 whom 38 people 41 tend 39 whom 40 they 39 whom 41 tend 40 they 41 tend drawing on oral history interviews with uk born and south asian overseas - trained geriatricians , the article argues that the two bodies , which are usually seen in negative ways , came together in meaningful ways in the development of the specialty of geriatric medicine . 0 ###LEFT-WALL### 1 drawing 0 ###LEFT-WALL### 5 interviews 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 47 . 1 drawing 2 on 1 drawing 4 history 1 drawing 5 interviews 3 oral 4 history 5 interviews 6 with 6 with 9 and 6 with 15 geriatricians 7 uk 8 born 7 uk 9 and 9 and 11 asian 10 south 11 asian 12 overseas 13 - 12 overseas 15 geriatricians 14 trained 15 geriatricians 16 , 18 article 16 , 19 argues 17 the 18 article 18 article 19 argues 19 argues 20 that 20 that 23 bodies 20 that 33 came 21 the 22 two 22 two 23 bodies 23 bodies 25 which 23 bodies 33 came 24 , 25 which 25 which 26 are 25 which 32 , 26 are 28 seen 27 usually 28 seen 28 seen 29 in 29 in 31 ways 30 negative 31 ways 33 came 34 together 33 came 35 in 33 came 38 in 35 in 37 ways 36 meaningful 37 ways 38 in 40 development 39 the 40 development 40 development 41 of 41 of 43 specialty 42 the 43 specialty 43 specialty 44 of 44 of 46 medicine 45 geriatric 46 medicine thinking of the body as an assemblage with many elements , some of which are stigmatised but which can nevertheless be recuperated , helps us to think beyond [stigma] [in] the context of body work . 0 ###LEFT-WALL### 12 some 0 ###LEFT-WALL### 15 are 0 ###LEFT-WALL### 17 but 0 ###LEFT-WALL### 36 . 1 thinking 2 of 1 thinking 5 as 1 thinking 8 with 1 thinking 11 , 1 thinking 12 some 2 of 4 body 3 the 4 body 5 as 7 assemblage 6 an 7 assemblage 8 with 10 elements 9 many 10 elements 12 some 13 of 12 some 15 are 13 of 14 which 15 are 16 stigmatised 17 but 18 which 17 but 23 , 18 which 19 can 19 can 21 be 20 nevertheless 21 be 21 be 23 , 22 recuperated 23 , 23 , 24 helps 24 helps 25 us 24 helps 26 to 24 helps 27 think 26 to 27 think 27 think 28 beyond 28 beyond 32 context 31 the 32 context 32 context 33 of 33 of 35 work 34 body 35 work health lifestyles are collective patterns of health risk behaviour that develop within a social habitus . 0 ###LEFT-WALL### 2 lifestyles 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 16 . 1 health 2 lifestyles 2 lifestyles 3 are 3 are 5 patterns 4 collective 5 patterns 5 patterns 6 of 5 patterns 10 that 5 patterns 11 develop 6 of 9 behaviour 7 health 9 behaviour 8 risk 9 behaviour 10 that 11 develop 11 develop 12 within 12 within 15 habitus 13 a 14 social 13 a 15 habitus 14 social 15 habitus an important area for research is the extent to which health lifestyles become more individualised over time and as people age , or whether health lifestyles remain socially structured . 0 ###LEFT-WALL### 3 area 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 29 structured 0 ###LEFT-WALL### 30 . 1 an 2 important 1 an 3 area 2 important 3 area 3 area 4 for 3 area 6 is 4 for 5 research 6 is 8 extent 7 the 8 extent 8 extent 9 to 8 extent 16 over 9 to 10 which 9 to 12 lifestyles 9 to 13 become 11 health 12 lifestyles 12 lifestyles 13 become 13 become 15 individualised 14 more 15 individualised 16 over 17 time 18 and 26 lifestyles 18 and 27 remain 19 as 25 health 19 as 26 lifestyles 20 people 25 health 21 age 23 or 22 , 23 or 23 or 24 whether 23 or 25 health 26 lifestyles 27 remain 27 remain 29 structured 28 socially 29 structured this article presents findings from a [multiple] correspondence analysis of the british regional heart study . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 presents 0 ###LEFT-WALL### 16 . 1 this 2 article 2 article 3 presents 3 presents 4 findings 4 findings 5 from 5 from 9 analysis 6 a 9 analysis 8 correspondence 9 analysis 9 analysis 10 of 10 of 15 study 11 the 12 british 12 british 15 study 13 regional 14 heart 14 heart 15 study our findings suggest that smoking and alcohol use retain a strong class patterning as men age ( suggesting some support for the long - term importance of social structures in old age ) . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 34 . 1 our 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 6 and 4 that 9 retain 5 smoking 6 and 6 and 8 use 7 alcohol 8 use 9 retain 12 class 9 retain 18 suggesting 10 a 11 strong 10 a 12 class 11 strong 12 class 12 class 13 patterning 13 patterning 14 as 13 patterning 16 age 14 as 15 men 17 ( 18 suggesting 18 suggesting 20 support 18 suggesting 30 in 18 suggesting 33 ) 19 some 20 support 20 support 21 for 21 for 26 importance 22 the 26 importance 23 long 24 - 23 long 25 term 25 term 26 importance 26 importance 27 of 27 of 29 structures 28 social 29 structures 30 in 32 age 31 old 32 age this indicates that , in later life , some forms of class - related health lifestyles become fixed or ['] locked in ['] . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 indicates 0 ###LEFT-WALL### 14 related 1 this 2 indicates 2 indicates 3 that 2 indicates 5 in 4 , 5 in 5 in 7 life 5 in 13 - 6 later 7 life 7 life 10 forms 8 , 10 forms 9 some 10 forms 10 forms 11 of 10 forms 13 - 11 of 12 class 13 - 14 related 14 related 15 health 14 related 24 . 15 health 16 lifestyles 15 health 21 locked 16 lifestyles 19 or 17 become 18 fixed 17 become 19 or 19 or 21 locked 21 locked 22 in in contrast there is evidence to suggest that , for exercise , class becomes less important as people age ( suggesting either some support for growing individualisation and [or] important ageing effects ) . 0 ###LEFT-WALL### 2 contrast 0 ###LEFT-WALL### 34 . 1 in 2 contrast 2 contrast 3 there 2 contrast 4 is 4 is 5 evidence 5 evidence 6 to 5 evidence 17 as 5 evidence 19 age 5 evidence 21 suggesting 6 to 7 suggest 7 suggest 8 that 8 that 13 class 8 that 14 becomes 9 , 10 for 10 for 11 exercise 10 for 12 , 10 for 13 class 13 class 14 becomes 14 becomes 16 important 15 less 16 important 17 as 18 people 20 ( 21 suggesting 21 suggesting 22 either 21 suggesting 28 and 21 suggesting 33 ) 23 some 28 and 24 support 25 for 24 support 28 and 25 for 26 growing 26 growing 27 individualisation 28 and 32 effects 30 important 31 ageing 31 ageing 32 effects further studies are required to examine different forms of health lifestyle in later life in relation to forms of cultural and economic capital . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 required 0 ###LEFT-WALL### 24 . 1 further 2 studies 2 studies 3 are 3 are 4 required 4 required 5 to 4 required 6 examine 5 to 6 examine 6 examine 8 forms 6 examine 12 in 6 examine 17 to 7 different 8 forms 8 forms 9 of 9 of 11 lifestyle 10 health 11 lifestyle 12 in 14 life 13 later 14 life 15 in 16 relation 16 relation 17 to 17 to 18 forms 18 forms 19 of 19 of 23 capital 20 cultural 21 and 21 and 22 economic 21 and 23 capital this study provides evidence in support of attempts to theorise health lifestyles in terms of collectivities . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 provides 0 ###LEFT-WALL### 17 . 1 this 2 study 2 study 3 provides 3 provides 4 evidence 3 provides 5 in 5 in 6 support 6 support 7 of 6 support 15 of 7 of 8 attempts 8 attempts 9 to 8 attempts 10 theorise 9 to 10 theorise 10 theorise 12 lifestyles 10 theorise 13 in 11 health 12 lifestyles 13 in 14 terms 15 of 16 collectivities furthermore , the concept of [selective] [lifestyle] ['] [lock] - in ['] may be a useful way of understanding the relationship between class and health lifestyles in old age . 0 ###LEFT-WALL### 4 concept 0 ###LEFT-WALL### 14 be 0 ###LEFT-WALL### 30 . 1 furthermore 2 , 1 furthermore 4 concept 3 the 4 concept 4 concept 5 of 4 concept 13 may 5 of 11 in 10 - 11 in 13 may 14 be 14 be 17 way 15 a 17 way 16 useful 17 way 17 way 18 of 18 of 19 understanding 19 understanding 21 relationship 19 understanding 27 in 20 the 21 relationship 21 relationship 22 between 22 between 24 and 23 class 24 and 24 and 26 lifestyles 25 health 26 lifestyles 27 in 29 age 28 old 29 age objectives : according to most existing models , a computer is usually needed [for] predicting stroke outcome . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 18 . 1 objectives 2 : 2 : 4 to 3 according 4 to 4 to 7 models 5 most 6 existing 6 existing 7 models 8 , 17 outcome 9 a 10 computer 10 computer 11 is 11 is 12 usually 12 usually 13 needed 13 needed 17 outcome 15 predicting 17 outcome 16 stroke 17 outcome our purpose was to construct a simple and reliable prognostic scale not requiring the use of a calculating machine . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 20 . 1 our 2 purpose 2 purpose 3 was 3 was 4 to 3 was 5 construct 4 to 5 construct 5 construct 11 scale 6 a 11 scale 7 simple 8 and 8 and 9 reliable 8 and 11 scale 10 prognostic 11 scale 11 scale 12 not 12 not 13 requiring 13 requiring 15 use 14 the 15 use 15 use 16 of 16 of 19 machine 17 a 18 calculating 17 a 19 machine 18 calculating 19 machine materials and methods : the scale [ the bologna outcome algorithm for stroke ( boas ) ] was obtained in 221 patients with ischemic stroke [not] undergoing thrombolysis and was then validated in a test group of 100 different patients . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 materials 2 and 2 and 3 methods 4 : 6 scale 4 : 32 validated 4 : 41 . 5 the 6 scale 6 scale 11 algorithm 6 scale 29 and 7 [ 11 algorithm 8 the 11 algorithm 9 bologna 10 outcome 10 outcome 11 algorithm 11 algorithm 12 for 11 algorithm 17 ] 12 for 13 stroke 13 stroke 15 boas 14 ( 15 boas 15 boas 16 ) 18 was 19 obtained 18 was 29 and 19 obtained 20 in 19 obtained 23 with 20 in 22 patients 21 221 22 patients 23 with 28 thrombolysis 24 ischemic 28 thrombolysis 25 stroke 28 thrombolysis 27 undergoing 28 thrombolysis 29 and 30 was 30 was 32 validated 31 then 32 validated 32 validated 33 in 33 in 36 group 34 a 36 group 35 test 36 group 36 group 37 of 37 of 40 patients 38 100 40 patients 39 different 40 patients outcome was assessed at 9 months as the number of dependent or dead patients ( modified rankin [scale] - mrs [>] 2 ) . 0 ###LEFT-WALL### 1 outcome 0 ###LEFT-WALL### 3 assessed 1 outcome 2 was 2 was 3 assessed 3 assessed 4 at 3 assessed 7 as 4 at 6 months 5 9 6 months 7 as 14 patients 8 the 9 number 9 number 10 of 9 number 14 patients 10 of 14 patients 11 dependent 12 or 12 or 13 dead 12 or 14 patients 14 patients 17 rankin 15 ( 17 rankin 16 modified 17 rankin 17 rankin 20 mrs 17 rankin 24 . 19 - 20 mrs 20 mrs 22 2 20 mrs 23 ) results : by a preliminary systematic univariate analysis , 25 of 415 baseline variables were found to be associated with a mrs > 2 independently of stroke severity and age . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 31 . 1 results 2 : 2 : 3 by 3 by 8 analysis 4 a 5 preliminary 4 a 8 analysis 5 preliminary 8 analysis 6 systematic 8 analysis 7 univariate 8 analysis 9 , 10 25 9 , 29 and 10 25 11 of 10 25 15 were 11 of 14 variables 12 415 13 baseline 13 baseline 14 variables 15 were 29 and 16 found 17 to 16 found 23 > 16 found 29 and 17 to 18 be 17 to 23 > 18 be 19 associated 19 associated 20 with 20 with 22 mrs 21 a 22 mrs 23 > 24 2 23 > 25 independently 25 independently 26 of 26 of 28 severity 27 stroke 28 severity 29 and 30 age subsequent multivariable analyses led to a final model based on five dichotomous risk factors ( rf ) : national institutes of health stroke scale score ≥10 , age ≥78 , need of urinary catheter , oxygen administration , and persistence of upper limb paralysis at discharge [from] stroke unit . 0 ###LEFT-WALL### 3 analyses 0 ###LEFT-WALL### 4 led 0 ###LEFT-WALL### 18 : 0 ###LEFT-WALL### 50 . 1 subsequent 3 analyses 2 multivariable 3 analyses 3 analyses 4 led 4 led 5 to 5 to 8 model 6 a 7 final 6 a 8 model 7 final 8 model 8 model 9 based 8 model 16 rf 9 based 10 on 10 on 14 factors 11 five 14 factors 12 dichotomous 14 factors 13 risk 14 factors 15 ( 16 rf 16 rf 17 ) 18 : 26 ≥10 18 : 27 , 19 national 25 score 20 institutes 21 of 20 institutes 25 score 21 of 24 scale 22 health 23 stroke 23 stroke 24 scale 25 score 26 ≥10 27 , 28 age 27 , 35 , 28 age 31 need 29 ≥78 30 , 29 ≥78 31 need 31 need 32 of 32 of 34 catheter 33 urinary 34 catheter 35 , 49 unit 36 oxygen 37 administration 37 administration 39 and 38 , 39 and 39 and 40 persistence 39 and 45 at 39 and 49 unit 40 persistence 41 of 41 of 44 paralysis 42 upper 43 limb 43 limb 44 paralysis 45 at 46 discharge 48 stroke 49 unit the patients with two or more rf ( 53 % ) had a [mrs] > 2 in 91 % of cases and were dead in 42 % of cases . 0 ###LEFT-WALL### 7 rf 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 30 . 1 the 2 patients 2 patients 3 with 2 patients 5 or 3 with 4 two 5 or 6 more 5 or 7 rf 7 rf 10 % 7 rf 22 and 8 ( 10 % 9 53 10 % 10 % 11 ) 12 had 15 > 12 had 17 in 12 had 22 and 13 a 15 > 15 > 16 2 17 in 19 % 18 91 19 % 19 % 20 of 20 of 21 cases 22 and 23 were 23 were 24 dead 24 dead 25 in 24 dead 28 of 25 in 27 % 26 42 27 % 28 of 29 cases with 0 - 1 rf , the two percentages were 24 [%] and 2 % , respectively [(] overall accuracy of [prediction] 83.9 % , area under roc [curve] [ auc ] [0.891] ) . 0 ###LEFT-WALL### 9 percentages 0 ###LEFT-WALL### 10 were 0 ###LEFT-WALL### 35 . 1 with 5 rf 1 with 6 , 1 with 9 percentages 2 0 3 - 3 - 4 1 3 - 5 rf 7 the 8 two 8 two 9 percentages 9 percentages 10 were 10 were 15 % 11 24 13 and 13 and 14 2 13 and 15 % 15 % 20 accuracy 16 , 17 respectively 16 , 20 accuracy 19 overall 20 accuracy 20 accuracy 21 of 20 accuracy 34 ) 21 of 24 % 23 83.9 24 % 24 % 26 area 25 , 26 area 26 area 27 under 26 area 32 ] 27 under 31 auc 28 roc 31 auc 30 [ 31 auc 31 auc 32 ] in the test group , the accuracy was 79.0 % and the auc was 0.839 . 0 ###LEFT-WALL### 7 accuracy 0 ###LEFT-WALL### 8 was 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 16 . 1 in 4 group 1 in 5 , 1 in 7 accuracy 2 the 4 group 3 test 4 group 6 the 7 accuracy 7 accuracy 8 was 8 was 10 % 9 79.0 10 % 11 and 13 auc 11 and 14 was 12 the 13 auc 13 auc 14 was 14 was 15 0.839 conclusions : the need of urinary catheter , oxygen administration , and persistence of upper limb paralysis , together with stroke severity and advanced age , allow a simple and accurate prediction of dependency or death [after] ischemic stroke . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 12 and 2 : 27 allow 2 : 40 . 3 the 4 need 4 need 5 of 4 need 8 , 5 of 7 catheter 6 urinary 7 catheter 8 , 10 administration 8 , 12 and 9 oxygen 10 administration 11 , 12 and 12 and 13 persistence 12 and 27 allow 13 persistence 14 of 14 of 17 paralysis 15 upper 16 limb 16 limb 17 paralysis 17 paralysis 20 with 18 , 20 with 19 together 20 with 20 with 23 and 20 with 26 , 21 stroke 22 severity 22 severity 23 and 23 and 25 age 24 advanced 25 age 27 allow 35 or 28 a 32 prediction 29 simple 30 and 30 and 31 accurate 30 and 32 prediction 32 prediction 33 of 32 prediction 35 or 33 of 34 dependency 35 or 39 stroke 36 death 39 stroke 38 ischemic 39 stroke the increase in the average lifespan and the consequent proportional growth of the elderly segment of society has furthered the interest in studying ageing processes . 0 ###LEFT-WALL### 2 increase 0 ###LEFT-WALL### 19 furthered 0 ###LEFT-WALL### 26 . 1 the 2 increase 2 increase 3 in 2 increase 12 of 2 increase 18 has 3 in 7 and 4 the 6 lifespan 5 average 6 lifespan 6 lifespan 7 and 7 and 11 growth 8 the 11 growth 9 consequent 11 growth 10 proportional 11 growth 12 of 15 segment 13 the 15 segment 14 elderly 15 segment 15 segment 16 of 16 of 17 society 18 has 19 furthered 19 furthered 21 interest 20 the 21 interest 21 interest 22 in 21 interest 24 ageing 21 interest 25 processes 22 in 23 studying 24 ageing 25 processes ageing may be considered a multifactorial process derived from the interaction between genetic and environmental factors including lifestyle . 0 ###LEFT-WALL### 1 ageing 0 ###LEFT-WALL### 4 considered 0 ###LEFT-WALL### 19 . 1 ageing 2 may 2 may 3 be 3 be 4 considered 4 considered 7 process 4 considered 9 from 4 considered 12 between 5 a 7 process 6 multifactorial 7 process 7 process 8 derived 9 from 11 interaction 10 the 11 interaction 12 between 16 factors 13 genetic 14 and 14 and 15 environmental 14 and 16 factors 16 factors 17 including 17 including 18 lifestyle this review will address the current understanding of the relationship between ageing and several factors both genetics and life style related . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 4 address 0 ###LEFT-WALL### 21 related 0 ###LEFT-WALL### 22 . 1 this 2 review 2 review 3 will 3 will 4 address 4 address 7 understanding 4 address 11 between 5 the 7 understanding 6 current 7 understanding 7 understanding 8 of 8 of 10 relationship 9 the 10 relationship 11 between 13 and 12 ageing 13 and 13 and 15 factors 14 several 15 factors 16 both 17 genetics 17 genetics 18 and 18 and 20 style 18 and 21 related 19 life 20 style firstly we focused on the most reliable and commonly shared theories which attempt to explain the phenomenon of ageing as the genetic , cellular , neuroendocrine , immunological and free - radicals related theories . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 focused 0 ###LEFT-WALL### 31 - 1 firstly 2 we 2 we 3 focused 3 focused 4 on 3 focused 8 and 3 focused 20 as 4 on 6 most 5 the 6 most 7 reliable 8 and 8 and 11 theories 8 and 12 which 8 and 13 attempt 9 commonly 10 shared 10 shared 11 theories 12 which 13 attempt 13 attempt 14 to 13 attempt 17 phenomenon 14 to 15 explain 16 the 17 phenomenon 17 phenomenon 18 of 18 of 19 ageing 20 as 26 neuroendocrine 21 the 26 neuroendocrine 22 genetic 23 , 22 genetic 26 neuroendocrine 24 cellular 25 , 24 cellular 26 neuroendocrine 26 neuroendocrine 29 and 27 , 29 and 28 immunological 29 and 29 and 30 free 29 and 31 - 31 - 32 radicals 31 - 33 related 31 - 35 . 32 radicals 33 related 33 related 34 theories many studies have shown that most of the phenotypic characteristics observed in the aging process are the result of the occurrence , with age , of a low grade chronic pro - inflammatory status called " inflammaging " , partially under genetic control . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 shown 0 ###LEFT-WALL### 44 . 1 many 2 studies 2 studies 3 have 3 have 4 shown 4 shown 5 that 5 that 10 characteristics 5 that 16 are 6 most 7 of 6 most 10 characteristics 7 of 10 characteristics 8 the 10 characteristics 9 phenotypic 10 characteristics 10 characteristics 11 observed 10 characteristics 16 are 11 observed 12 in 12 in 15 process 13 the 15 process 14 aging 15 process 16 are 18 result 16 are 40 partially 16 are 41 under 17 the 18 result 18 result 19 of 19 of 21 occurrence 20 the 21 occurrence 21 occurrence 23 with 21 occurrence 26 of 22 , 23 with 23 with 24 age 23 with 25 , 26 of 31 pro 27 a 28 low 27 a 31 pro 28 low 29 grade 29 grade 31 pro 30 chronic 31 pro 31 pro 34 status 32 - 34 status 33 inflammatory 34 status 34 status 35 called 34 status 39 , 35 called 36 " 35 called 37 inflammaging 37 inflammaging 38 " 41 under 43 control 42 genetic 43 control the term [indicate] that aging is accompanied by a low degree of chronic inflammatory , [an] up - regulation of inflammatory [response] and that inflammatory changes are common to many age - related diseases . 0 ###LEFT-WALL### 2 term 0 ###LEFT-WALL### 31 age 0 ###LEFT-WALL### 32 - 1 the 2 term 2 term 5 aging 2 term 6 is 4 that 5 aging 6 is 7 accompanied 7 accompanied 8 by 8 by 19 regulation 9 a 10 low 9 a 11 degree 10 low 11 degree 11 degree 12 of 11 degree 19 regulation 12 of 19 regulation 13 chronic 19 regulation 14 inflammatory 15 , 14 inflammatory 19 regulation 17 up 18 - 17 up 19 regulation 19 regulation 20 of 19 regulation 30 many 19 regulation 31 age 20 of 23 and 21 inflammatory 23 and 23 and 24 that 23 and 26 changes 23 and 29 to 25 inflammatory 26 changes 26 changes 27 are 27 are 28 common 28 common 29 to 30 many 31 age 32 - 34 diseases 32 - 35 . 33 related 34 diseases in this review special attention was dedicated to diseases related to age as atherosclerosis , cancer and alzheimer disease . 0 ###LEFT-WALL### 5 attention 0 ###LEFT-WALL### 7 dedicated 0 ###LEFT-WALL### 20 . 1 in 3 review 1 in 5 attention 2 this 3 review 4 special 5 attention 5 attention 6 was 6 was 7 dedicated 7 dedicated 8 to 7 dedicated 11 to 8 to 9 diseases 9 diseases 10 related 11 to 12 age 12 age 13 as 13 as 17 and 14 atherosclerosis 15 , 15 , 16 cancer 15 , 17 and 17 and 19 disease 18 alzheimer 19 disease despite the fact that in recent years many theories about ageing have been developed , we are still far from a full understanding of the mechanisms underlying the ageing process . 0 ###LEFT-WALL### 16 we 0 ###LEFT-WALL### 17 are 0 ###LEFT-WALL### 31 . 1 despite 3 fact 1 despite 15 , 1 despite 16 we 2 the 3 fact 3 fact 4 that 4 that 9 theories 4 that 14 developed 5 in 7 years 5 in 9 theories 6 recent 7 years 8 many 9 theories 9 theories 10 about 9 theories 12 have 10 about 11 ageing 12 have 13 been 13 been 14 developed 14 developed 15 , 16 we 17 are 17 are 18 still 17 are 19 far 18 still 19 far 19 far 20 from 20 from 23 understanding 21 a 22 full 21 a 23 understanding 22 full 23 understanding 23 understanding 24 of 24 of 26 mechanisms 25 the 26 mechanisms 26 mechanisms 27 underlying 27 underlying 30 process 28 the 30 process 29 ageing 30 process background and objectives : intravenous paracetamol ( n - acetyl - paraminophenol , acetaminophen ) is a widely used nonopioid analgesic which has become popular in the treatment of pain in many patient groups , including the elderly . 0 ###LEFT-WALL### 3 objectives 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 9 - 1 background 2 and 2 and 3 objectives 3 objectives 4 : 4 : 6 paracetamol 5 intravenous 6 paracetamol 6 paracetamol 8 n 7 ( 8 n 8 n 9 - 9 - 10 acetyl 9 - 16 is 10 acetyl 12 paraminophenol 10 acetyl 14 acetaminophen 10 acetyl 16 is 11 - 12 paraminophenol 12 paraminophenol 13 , 13 , 14 acetaminophen 14 acetaminophen 15 ) 16 is 21 analgesic 16 is 26 in 16 is 31 in 17 a 21 analgesic 18 widely 19 used 19 used 20 nonopioid 20 nonopioid 21 analgesic 21 analgesic 22 which 21 analgesic 23 has 22 which 23 has 23 has 24 become 24 become 25 popular 26 in 28 treatment 27 the 28 treatment 28 treatment 29 of 29 of 30 pain 31 in 34 groups 32 many 34 groups 33 patient 34 groups 34 groups 36 including 35 , 36 including 36 including 38 elderly 36 including 39 . 37 the 38 elderly although intravenous paracetamol has been studied widely in clinical analgesia studies , there is little information on its pharmacokinetics in the elderly . 0 ###LEFT-WALL### 13 there 0 ###LEFT-WALL### 14 is 0 ###LEFT-WALL### 23 . 1 although 3 paracetamol 1 although 6 studied 1 although 12 , 1 although 13 there 2 intravenous 3 paracetamol 3 paracetamol 4 has 4 has 5 been 5 been 6 studied 6 studied 7 widely 6 studied 8 in 8 in 11 studies 9 clinical 10 analgesia 10 analgesia 11 studies 13 there 14 is 14 is 16 information 15 little 16 information 16 information 17 on 17 on 19 pharmacokinetics 18 its 19 pharmacokinetics 19 pharmacokinetics 20 in 20 in 22 elderly 21 the 22 elderly we designed this study to determine the pharmacokinetics of intravenous paracetamol in very old patients and to compare them with that of younger patients . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 25 . 1 we 16 and 2 designed 4 study 2 designed 5 to 2 designed 6 determine 2 designed 16 and 3 this 4 study 5 to 6 determine 6 determine 8 pharmacokinetics 6 determine 12 in 7 the 8 pharmacokinetics 8 pharmacokinetics 9 of 9 of 11 paracetamol 10 intravenous 11 paracetamol 12 in 15 patients 13 very 14 old 14 old 15 patients 16 and 17 to 16 and 18 compare 17 to 18 compare 18 compare 19 them 18 compare 20 with 20 with 21 that 21 that 22 of 22 of 24 patients 23 younger 24 patients we also considered the effect of adenosine triphosphate - binding cassette g2 protein ( abcg2 ) [genotype] and renal function on paracetamol pharmacokinetics in these patients . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 considered 0 ###LEFT-WALL### 27 . 1 we 3 considered 2 also 3 considered 3 considered 18 and 3 considered 23 pharmacokinetics 3 considered 24 in 4 the 5 effect 5 effect 6 of 5 effect 18 and 6 of 8 triphosphate 7 adenosine 8 triphosphate 8 triphosphate 10 binding 9 - 10 binding 10 binding 13 protein 10 binding 16 ) 11 cassette 13 protein 12 g2 13 protein 13 protein 15 abcg2 14 ( 15 abcg2 15 abcg2 16 ) 18 and 20 function 18 and 21 on 19 renal 20 function 21 on 22 paracetamol 24 in 26 patients 25 these 26 patients methods : we compared the pharmacokinetics of intravenous paracetamol in four groups of ten patients , aged 20 - 40 , 60 - 70 , 70 - 80 and 80 - 90 years , undergoing orthopaedic surgery . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 16 , 3 we 16 , 4 compared 6 pharmacokinetics 4 compared 10 in 4 compared 16 , 5 the 6 pharmacokinetics 6 pharmacokinetics 7 of 7 of 9 paracetamol 8 intravenous 9 paracetamol 10 in 12 groups 11 four 12 groups 12 groups 13 of 13 of 15 patients 14 ten 15 patients 16 , 17 aged 16 , 19 - 16 , 23 - 18 20 19 - 19 - 20 40 21 , 23 - 22 60 23 - 23 - 24 70 23 - 38 . 24 70 27 - 24 70 33 years 24 70 35 undergoing 25 , 27 - 26 70 27 - 27 - 29 and 27 - 31 - 28 80 29 and 29 and 30 80 31 - 33 years 32 90 33 years 33 years 34 , 34 , 35 undergoing 35 undergoing 37 surgery 35 undergoing 38 . 36 orthopaedic 37 surgery paracetamol 1000 [mg] was given by infusion over 15 minutes . 0 ###LEFT-WALL### 1 paracetamol 0 ###LEFT-WALL### 5 given 0 ###LEFT-WALL### 11 . 1 paracetamol 2 1000 1 paracetamol 4 was 4 was 5 given 5 given 6 by 5 given 8 over 6 by 7 infusion 8 over 10 minutes 9 15 10 minutes plasma concentrations of paracetamol and its glucuronide and sulphate conjugates were measured for 24 hours with a high - performance liquid chromatographic method and abcg2 genotype was determined . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 12 measured 0 ###LEFT-WALL### 28 determined 0 ###LEFT-WALL### 29 . 1 plasma 2 concentrations 2 concentrations 3 of 2 concentrations 5 and 3 of 4 paracetamol 5 and 7 glucuronide 5 and 8 and 6 its 7 glucuronide 8 and 10 conjugates 8 and 11 were 9 sulphate 10 conjugates 11 were 12 measured 12 measured 13 for 13 for 15 hours 14 24 15 hours 15 hours 20 performance 15 hours 28 determined 16 with 18 high 16 with 19 - 16 with 20 performance 17 a 18 high 20 performance 24 and 20 performance 26 genotype 20 performance 27 was 21 liquid 23 method 22 chromatographic 23 method 23 method 24 and 24 and 25 abcg2 24 and 26 genotype 27 was 28 determined glomerular filtration [rate] ( gfr ) was estimated from age , sex and serum creatinine of the patient . 0 ###LEFT-WALL### 2 filtration 0 ###LEFT-WALL### 8 estimated 0 ###LEFT-WALL### 19 . 1 glomerular 2 filtration 2 filtration 5 gfr 2 filtration 7 was 4 ( 5 gfr 5 gfr 6 ) 7 was 8 estimated 8 estimated 9 from 9 from 13 and 10 age 11 , 11 , 12 sex 11 , 13 and 13 and 15 creatinine 13 and 16 of 14 serum 15 creatinine 16 of 18 patient 17 the 18 patient results : in the group aged 80 - 90 years , the mean value of the area under the plasma concentration - time [curve] extrapolated to infinity ( auc ( ∞ ) ) of paracetamol was 54 - 68 % higher than in the two youngest groups . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 48 . 1 results 2 : 2 : 3 in 2 : 23 time 3 in 5 group 4 the 5 group 5 group 6 aged 5 group 10 years 5 group 14 value 6 aged 7 80 8 - 10 years 9 90 10 years 10 years 11 , 11 , 14 value 12 the 14 value 13 mean 14 value 14 value 15 of 14 value 22 - 15 of 17 area 16 the 17 area 17 area 18 under 18 under 21 concentration 19 the 21 concentration 20 plasma 21 concentration 23 time 25 extrapolated 23 time 34 of 25 extrapolated 26 to 26 to 27 infinity 27 infinity 29 auc 28 ( 29 auc 29 auc 31 ∞ 29 auc 33 ) 30 ( 31 ∞ 31 ∞ 32 ) 34 of 40 % 35 paracetamol 36 was 36 was 38 - 37 54 38 - 38 - 39 68 39 68 40 % 40 % 41 higher 41 higher 42 than 42 than 43 in 43 in 47 groups 44 the 45 two 45 two 46 youngest 45 two 47 groups paracetamol clearance showed a statistically significant dependence on age group , [whereas] volume of distribution during elimination and elimination half - life were associated with age group and sex , respectively . 0 ###LEFT-WALL### 2 clearance 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 21 - 1 paracetamol 2 clearance 2 clearance 3 showed 3 showed 7 dependence 3 showed 20 half 4 a 5 statistically 4 a 7 dependence 5 statistically 6 significant 6 significant 7 dependence 7 dependence 8 on 8 on 18 and 9 age 10 group 10 group 11 , 11 , 13 volume 11 , 18 and 13 volume 14 of 14 of 15 distribution 15 distribution 16 during 16 during 17 elimination 18 and 19 elimination 21 - 22 life 21 - 24 associated 22 life 23 were 23 were 24 associated 24 associated 25 with 24 associated 31 respectively 25 with 28 and 26 age 27 group 27 group 28 and 28 and 29 sex 30 , 31 respectively 31 respectively 32 . based on mean auc ( ∞ ) of paracetamol glucuronide and paracetamol sulphate , the oldest patients had 1.3 - to 1.5 - fold greater exposure to these metabolites than patients aged 20 - 40 years . 0 ###LEFT-WALL### 17 patients 0 ###LEFT-WALL### 18 had 0 ###LEFT-WALL### 37 . 1 based 2 on 1 based 14 , 1 based 17 patients 2 on 13 sulphate 3 mean 13 sulphate 4 auc 6 ∞ 4 auc 8 of 4 auc 11 and 5 ( 6 ∞ 6 ∞ 7 ) 8 of 10 glucuronide 9 paracetamol 10 glucuronide 11 and 12 paracetamol 11 and 13 sulphate 15 the 16 oldest 15 the 17 patients 17 patients 18 had 18 had 36 years 19 1.3 21 to 19 1.3 24 fold 20 - 21 to 21 to 22 1.5 21 to 23 - 24 fold 26 exposure 24 fold 27 to 24 fold 30 than 25 greater 26 exposure 27 to 29 metabolites 28 these 29 metabolites 30 than 31 patients 31 patients 32 aged 32 aged 34 - 33 20 34 - 34 - 35 40 35 40 36 years abcg2 [genotype] did not affect paracetamol pharmacokinetics . 0 ###LEFT-WALL### 1 abcg2 0 ###LEFT-WALL### 5 affect 0 ###LEFT-WALL### 8 . 1 abcg2 3 did 3 did 4 not 3 did 5 affect 5 affect 7 pharmacokinetics 6 paracetamol 7 pharmacokinetics there was a linear correlation between the values of auc ( ∞ ) of paracetamol , its glucuronide and sulphate metabolites and gfr . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 24 . 1 there 2 was 2 was 5 correlation 3 a 4 linear 3 a 5 correlation 4 linear 5 correlation 5 correlation 6 between 5 correlation 9 of 6 between 8 values 7 the 8 values 9 of 22 and 10 auc 12 ∞ 10 auc 14 of 10 auc 16 , 11 ( 12 ∞ 12 ∞ 13 ) 14 of 15 paracetamol 16 , 18 glucuronide 16 , 19 and 17 its 18 glucuronide 19 and 21 metabolites 19 and 22 and 20 sulphate 21 metabolites 22 and 23 gfr conclusion : age and sex are important factors affecting the pharmacokinetics of paracetamol . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 and 2 : 6 are 2 : 14 . 3 age 4 and 4 and 5 sex 4 and 6 are 6 are 8 factors 7 important 8 factors 8 factors 9 affecting 9 affecting 11 pharmacokinetics 10 the 11 pharmacokinetics 11 pharmacokinetics 12 of 12 of 13 paracetamol the higher the age [of] [the] patient , the higher [is] the exposure to paracetamol . 0 ###LEFT-WALL### 2 higher 0 ###LEFT-WALL### 16 . 1 the 2 higher 2 higher 3 the 2 higher 8 , 2 higher 10 higher 3 the 7 patient 4 age 7 patient 9 the 10 higher 10 higher 12 the 10 higher 14 to 12 the 13 exposure 14 to 15 paracetamol female sex is associated with increased paracetamol concentrations but abcg2 genotype does not seem to affect paracetamol pharmacokinetics . 0 ###LEFT-WALL### 1 female 0 ###LEFT-WALL### 14 seem 0 ###LEFT-WALL### 19 . 1 female 2 sex 1 female 3 is 1 female 4 associated 1 female 12 does 2 sex 3 is 4 associated 5 with 5 with 7 paracetamol 6 increased 7 paracetamol 7 paracetamol 8 concentrations 7 paracetamol 11 genotype 8 concentrations 9 but 8 concentrations 11 genotype 9 but 10 abcg2 12 does 13 not 12 does 14 seem 14 seem 15 to 14 seem 16 affect 15 to 16 affect 16 affect 18 pharmacokinetics 17 paracetamol 18 pharmacokinetics trial registration [number] ( eudract ) : 2006 - 001917 - 14 . 0 ###LEFT-WALL### 2 registration 0 ###LEFT-WALL### 7 : 0 ###LEFT-WALL### 13 . 1 trial 2 registration 2 registration 5 eudract 2 registration 7 : 4 ( 5 eudract 5 eudract 6 ) 7 : 8 2006 7 : 11 - 9 - 10 001917 10 001917 11 - 11 - 12 14 [none] none none intervention with interferon [-] β ( ifnβ ) therapy counters early inflammatory damage to myelin and protects axons ; such therapy might demonstrate greater efficacy earlier in the disease course compared [with] later when permanent damage has already occurred . 0 ###LEFT-WALL### 4 intervention 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 22 ; 0 ###LEFT-WALL### 43 . 2 none 3 none 3 none 4 intervention 4 intervention 5 with 4 intervention 19 and 5 with 12 therapy 6 interferon 12 therapy 8 β 10 ifnβ 8 β 11 ) 8 β 12 therapy 9 ( 10 ifnβ 10 ifnβ 11 ) 13 counters 16 damage 13 counters 19 and 14 early 16 damage 15 inflammatory 16 damage 16 damage 17 to 17 to 18 myelin 19 and 20 protects 20 protects 21 axons 22 ; 24 therapy 22 ; 26 demonstrate 23 such 24 therapy 24 therapy 25 might 25 might 26 demonstrate 26 demonstrate 28 efficacy 26 demonstrate 29 earlier 26 demonstrate 30 in 27 greater 28 efficacy 30 in 33 course 31 the 33 course 32 disease 33 course 33 course 34 compared 34 compared 36 later 34 compared 37 when 37 when 39 damage 37 when 42 occurred 38 permanent 39 damage 39 damage 40 has 40 has 42 occurred 41 already 42 occurred clinical trials conducted in patients with clinically isolated syndrome ( cis ) show clinical benefits of early treatment of multiple sclerosis [(] [ms] [ )(, as evidenced by delayed conversion to clinically definite multiple sclerosis and reduced disability 3 years later [;] [however] , statistical significance [is] lost at 5 years . 0 ###LEFT-WALL### 2 trials 0 ###LEFT-WALL### 3 conducted 1 clinical 2 trials 2 trials 3 conducted 3 conducted 4 in 3 conducted 6 with 3 conducted 15 benefits 4 in 5 patients 6 with 9 syndrome 7 clinically 8 isolated 8 isolated 9 syndrome 9 syndrome 11 cis 10 ( 11 cis 11 cis 12 ) 13 show 15 benefits 14 clinical 15 benefits 15 benefits 16 of 16 of 18 treatment 17 early 18 treatment 18 treatment 19 of 18 treatment 28 by 19 of 21 sclerosis 20 multiple 21 sclerosis 21 sclerosis 27 evidenced 25 )(, 27 evidenced 26 as 27 evidenced 28 by 36 and 29 delayed 30 conversion 29 delayed 31 to 29 delayed 36 and 31 to 35 sclerosis 32 clinically 33 definite 33 definite 34 multiple 34 multiple 35 sclerosis 36 and 37 reduced 37 reduced 38 disability 38 disability 41 later 38 disability 46 significance 39 3 40 years 40 years 41 later 44 , 46 significance 45 statistical 46 significance 46 significance 48 lost 46 significance 49 at 46 significance 52 . 49 at 51 years 50 5 51 years moreover , in the cis trials , patients who began treatment later in the course [of] [ms] did not benefit as much as those who began treatment earlier . 0 ###LEFT-WALL### 8 patients 0 ###LEFT-WALL### 20 benefit 0 ###LEFT-WALL### 29 . 1 moreover 2 , 1 moreover 8 patients 2 , 3 in 3 in 6 trials 3 in 7 , 3 in 8 patients 4 the 6 trials 5 cis 6 trials 8 patients 9 who 8 patients 10 began 8 patients 18 did 9 who 10 began 10 began 11 treatment 10 began 12 later 10 began 13 in 13 in 15 course 14 the 15 course 18 did 19 not 18 did 20 benefit 20 benefit 22 much 20 benefit 23 as 21 as 22 much 23 as 24 those 24 those 25 who 24 those 26 began 25 who 26 began 26 began 27 treatment 26 began 28 earlier in the treatment of relapsing - remitting multiple sclerosis ( rrms ) , immunomodulatory [drug] ( imd ) therapy markedly reduced relapse rates and the burden of disease , as assessed by mri . 0 ###LEFT-WALL### 19 therapy 0 ###LEFT-WALL### 21 reduced 0 ###LEFT-WALL### 34 . 1 in 3 treatment 1 in 19 therapy 2 the 3 treatment 3 treatment 4 of 4 of 5 relapsing 6 - 7 remitting 7 remitting 9 sclerosis 7 remitting 13 , 7 remitting 19 therapy 8 multiple 9 sclerosis 9 sclerosis 11 rrms 10 ( 11 rrms 11 rrms 12 ) 14 immunomodulatory 17 imd 14 immunomodulatory 19 therapy 16 ( 17 imd 17 imd 18 ) 19 therapy 21 reduced 20 markedly 21 reduced 21 reduced 24 and 21 reduced 32 by 22 relapse 23 rates 23 rates 24 and 24 and 26 burden 24 and 27 of 25 the 26 burden 27 of 28 disease 28 disease 31 assessed 29 , 31 assessed 30 as 31 assessed 32 by 33 mri ifnβ therapy has demonstrated greater benefits in rrms than in secondary progressive multiple sclerosis ( spms ) . 0 ###LEFT-WALL### 1 ifnβ 0 ###LEFT-WALL### 4 demonstrated 0 ###LEFT-WALL### 18 . 1 ifnβ 2 therapy 1 ifnβ 3 has 1 ifnβ 4 demonstrated 2 therapy 3 has 4 demonstrated 6 benefits 4 demonstrated 7 in 4 demonstrated 9 than 5 greater 6 benefits 7 in 8 rrms 9 than 10 in 10 in 14 sclerosis 11 secondary 14 sclerosis 12 progressive 14 sclerosis 13 multiple 14 sclerosis 14 sclerosis 16 spms 15 ( 16 spms 16 spms 17 ) the spms trials consistently show reduction in relapse rates and accumulation of new mri lesions , but have conflicting results for time to disability progression , which is the primary outcome measure in spms trials . 0 ###LEFT-WALL### 3 trials 0 ###LEFT-WALL### 17 but 0 ###LEFT-WALL### 26 , 0 ###LEFT-WALL### 36 . 1 the 3 trials 2 spms 3 trials 3 trials 17 but 4 consistently 5 show 5 show 6 reduction 5 show 7 in 5 show 17 but 7 in 10 and 8 relapse 9 rates 9 rates 10 and 10 and 11 accumulation 11 accumulation 12 of 12 of 15 lesions 13 new 15 lesions 14 mri 15 lesions 16 , 17 but 17 but 18 have 18 have 20 results 19 conflicting 20 results 20 results 21 for 20 results 23 to 21 for 22 time 23 to 25 progression 24 disability 25 progression 26 , 27 which 26 , 32 measure 27 which 28 is 27 which 32 measure 28 is 31 outcome 28 is 32 measure 29 the 31 outcome 30 primary 31 outcome 32 measure 33 in 33 in 35 trials 34 spms 35 trials current evidence suggests that ifnβ therapy may be more effective in the early stages of spms , characterized by relapsing episodes and mri evidence of greater brain lesion disease activity . 0 ###LEFT-WALL### 2 evidence 0 ###LEFT-WALL### 3 suggests 0 ###LEFT-WALL### 31 . 1 current 2 evidence 2 evidence 3 suggests 3 suggests 4 that 4 that 6 therapy 4 that 17 , 5 ifnβ 6 therapy 6 therapy 7 may 7 may 17 , 8 be 9 more 8 be 10 effective 8 be 17 , 10 effective 11 in 11 in 14 stages 12 the 14 stages 13 early 14 stages 14 stages 15 of 15 of 16 spms 17 , 18 characterized 17 , 19 by 19 by 22 and 20 relapsing 21 episodes 21 episodes 22 and 22 and 24 evidence 22 and 25 of 23 mri 24 evidence 25 of 30 activity 26 greater 29 disease 27 brain 29 disease 28 lesion 29 disease 29 disease 30 activity thus , intervention with ifnβ therapy is appropriate for all stages of ms [except] ppms [or] [non] - relapsing spms . 0 ###LEFT-WALL### 3 intervention 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 18 - 1 thus 2 , 1 thus 3 intervention 3 intervention 4 with 3 intervention 7 is 4 with 6 therapy 5 ifnβ 6 therapy 7 is 8 appropriate 8 appropriate 9 for 9 for 11 stages 10 all 11 stages 11 stages 12 of 12 of 15 ppms 13 ms 15 ppms 18 - 20 spms 18 - 21 . 19 relapsing 20 spms intervention with glatiramer [acetate] is appropriate for rrms . 0 ###LEFT-WALL### 1 intervention 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 9 . 1 intervention 2 with 1 intervention 5 is 2 with 3 glatiramer 5 is 6 appropriate 6 appropriate 7 for 7 for 8 rrms the balance of evidence indicates that early therapy is essential to delay the accumulation of irreversible neurologic damage and consequent disability . 0 ###LEFT-WALL### 2 balance 0 ###LEFT-WALL### 5 indicates 0 ###LEFT-WALL### 22 . 1 the 2 balance 2 balance 3 of 2 balance 5 indicates 3 of 4 evidence 5 indicates 6 that 6 that 8 therapy 6 that 9 is 7 early 8 therapy 8 therapy 9 is 9 is 21 disability 10 essential 11 to 10 essential 19 and 11 to 12 delay 12 delay 14 accumulation 13 the 14 accumulation 14 accumulation 15 of 15 of 18 damage 16 irreversible 18 damage 17 neurologic 18 damage 19 and 20 consequent 19 and 21 disability purpose : an increase in lens thickness is often described as a linear function of age . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 2 : 4 increase 2 : 10 described 2 : 17 . 3 an 4 increase 4 increase 5 in 4 increase 8 is 5 in 7 thickness 6 lens 7 thickness 8 is 10 described 9 often 10 described 10 described 11 as 11 as 14 function 12 a 13 linear 12 a 14 function 13 linear 14 function 14 function 15 of 15 of 16 age however , contradictory opinions exist about whether the lens thickness continues to increase after 50 years of age . 0 ###LEFT-WALL### 4 opinions 0 ###LEFT-WALL### 5 exist 0 ###LEFT-WALL### 19 . 1 however 2 , 1 however 4 opinions 3 contradictory 4 opinions 4 opinions 5 exist 5 exist 6 about 6 about 7 whether 7 whether 10 thickness 7 whether 11 continues 8 the 10 thickness 9 lens 10 thickness 10 thickness 11 continues 11 continues 12 to 11 continues 14 after 12 to 13 increase 14 after 16 years 15 50 16 years 16 years 17 of 17 of 18 age differences in slope exist between this increase in younger and older people , but these findings are inconsistent with the linear behavior of an increase in the lens thickness throughout life . 0 ###LEFT-WALL### 1 differences 0 ###LEFT-WALL### 4 exist 0 ###LEFT-WALL### 14 but 0 ###LEFT-WALL### 32 . 1 differences 2 in 1 differences 4 exist 2 in 3 slope 4 exist 5 between 4 exist 8 in 5 between 7 increase 6 this 7 increase 8 in 12 people 9 younger 10 and 10 and 11 older 10 and 12 people 13 , 14 but 14 but 16 findings 14 but 17 are 15 these 16 findings 16 findings 17 are 17 are 18 inconsistent 18 inconsistent 19 with 18 inconsistent 26 in 18 inconsistent 30 throughout 19 with 22 behavior 20 the 22 behavior 21 linear 22 behavior 22 behavior 23 of 23 of 25 increase 24 an 25 increase 26 in 29 thickness 27 the 29 thickness 28 lens 29 thickness 30 throughout 31 life we investigated among different functions , including slope variation , which would be the best to show the relation between lens thickness and age . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 investigated 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 25 . 1 we 2 investigated 2 investigated 3 among 3 among 5 functions 4 different 5 functions 5 functions 7 including 6 , 7 including 7 including 9 variation 7 including 10 , 8 slope 9 variation 10 , 11 which 10 , 13 be 11 which 12 would 12 would 13 be 13 be 15 best 14 the 15 best 15 best 16 to 15 best 17 show 16 to 17 show 17 show 19 relation 17 show 20 between 18 the 19 relation 20 between 23 and 21 lens 22 thickness 22 thickness 23 and 23 and 24 age an available model portraying lens growth could be advantageous in many practical applications . 0 ###LEFT-WALL### 3 model 0 ###LEFT-WALL### 8 be 0 ###LEFT-WALL### 14 . 1 an 2 available 1 an 3 model 2 available 3 model 3 model 4 portraying 3 model 7 could 4 portraying 6 growth 5 lens 6 growth 7 could 8 be 8 be 9 advantageous 9 advantageous 10 in 10 in 13 applications 11 many 13 applications 12 practical 13 applications the possibility of differences between sexes in lens thickness growth is also analyzed . 0 ###LEFT-WALL### 2 possibility 0 ###LEFT-WALL### 13 analyzed 0 ###LEFT-WALL### 14 . 1 the 2 possibility 2 possibility 3 of 2 possibility 11 is 3 of 4 differences 4 differences 5 between 5 between 6 sexes 6 sexes 7 in 7 in 10 growth 8 lens 10 growth 9 thickness 10 growth 11 is 13 analyzed 12 also 13 analyzed methods : we evaluated 102 eyes of patients aged between 15 and 84 years : 41 men , 61 women . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 3 we 2 : 4 evaluated 2 : 15 : 2 : 18 , 3 we 4 evaluated 4 evaluated 6 eyes 4 evaluated 9 aged 5 102 6 eyes 6 eyes 7 of 6 eyes 9 aged 7 of 8 patients 9 aged 14 years 10 between 12 and 11 15 12 and 12 and 13 84 12 and 14 years 15 : 17 men 16 41 17 men 18 , 20 women 19 61 20 women the biometric measurements were performed with the aid of the ocuscan® ( alcon , usa ) . 0 ###LEFT-WALL### 3 measurements 0 ###LEFT-WALL### 5 performed 0 ###LEFT-WALL### 17 . 1 the 3 measurements 2 biometric 3 measurements 3 measurements 4 were 4 were 5 performed 5 performed 6 with 6 with 8 aid 7 the 8 aid 8 aid 9 of 9 of 11 ocuscan® 10 the 11 ocuscan® 11 ocuscan® 13 alcon 11 ocuscan® 15 usa 12 ( 13 alcon 13 alcon 14 , 14 , 15 usa 15 usa 16 ) results : both logarithmic and potential functions provide a good fit for the data ( r2 = 0.905 and 0.906 , respectively ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 7 functions 2 : 8 provide 3 both 7 functions 4 logarithmic 5 and 5 and 6 potential 5 and 7 functions 7 functions 8 provide 8 provide 11 fit 8 provide 22 respectively 9 a 10 good 9 a 11 fit 10 good 11 fit 11 fit 12 for 12 for 14 data 13 the 14 data 14 data 16 r2 15 ( 16 r2 16 r2 19 and 16 r2 21 , 17 = 18 0.905 18 0.905 19 and 19 and 20 0.906 21 , 22 respectively 22 respectively 23 ) the results do not show significant differences between men and women in any age range , nor when the data of the whole sample are considered ( p = 0.29 ) . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 5 show 0 ###LEFT-WALL### 32 . 1 the 2 results 2 results 3 do 3 do 4 not 3 do 5 show 5 show 17 nor 5 show 20 data 5 show 26 considered 6 significant 7 differences 7 differences 8 between 7 differences 10 and 8 between 9 men 10 and 11 women 10 and 16 , 10 and 17 nor 11 women 12 in 12 in 15 range 13 any 15 range 14 age 15 range 17 nor 18 when 19 the 20 data 20 data 21 of 20 data 25 are 21 of 24 sample 22 the 24 sample 23 whole 24 sample 25 are 26 considered 26 considered 29 = 27 ( 29 = 28 p 29 = 29 = 30 0.29 29 = 31 ) conclusions : the best fits for the data are both logarithmic and double logarithmic functions . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 . 2 : 5 fits 2 : 9 are 3 the 4 best 3 the 5 fits 5 fits 6 for 5 fits 9 are 6 for 8 data 7 the 8 data 9 are 15 functions 10 both 15 functions 11 logarithmic 12 and 12 and 13 double 12 and 15 functions 14 logarithmic 15 functions according to this model , lens growth continues throughout life , but after 50 years , age - related thickness variations are lower than statistical variability . 0 ###LEFT-WALL### 7 growth 0 ###LEFT-WALL### 8 continues 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 27 . 1 according 2 to 2 to 4 model 2 to 5 , 2 to 7 growth 3 this 4 model 6 lens 7 growth 7 growth 8 continues 8 continues 9 throughout 9 throughout 10 life 11 , 12 but 11 , 22 are 12 but 13 after 12 but 22 are 13 after 14 50 15 years 17 age 15 years 22 are 16 , 17 age 17 age 18 - 18 - 19 related 19 related 21 variations 19 related 22 are 20 thickness 21 variations 22 are 23 lower 23 lower 24 than 24 than 26 variability 25 statistical 26 variability no differences were found between the sexes . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 8 . 1 no 2 differences 2 differences 3 were 3 were 4 found 4 found 5 between 5 between 7 sexes 6 the 7 sexes the costs and benefits of [arousal] in memory binding have been examined for younger adults but not for older adults . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 12 examined 0 ###LEFT-WALL### 21 . 1 the 2 costs 2 costs 3 and 3 and 4 benefits 3 and 5 of 3 and 10 have 5 of 7 in 7 in 8 memory 8 memory 9 binding 10 have 11 been 11 been 12 examined 12 examined 16 but 13 for 15 adults 13 for 16 but 14 younger 15 adults 16 but 17 not 16 but 18 for 18 for 20 adults 19 older 20 adults the present experiment examined [whether] [arousal] would enhance younger and older adults ' [within] - item [and] [between] - item memory binding . 0 ###LEFT-WALL### 3 experiment 0 ###LEFT-WALL### 8 enhance 0 ###LEFT-WALL### 15 - 0 ###LEFT-WALL### 23 . 1 the 3 experiment 2 present 3 experiment 3 experiment 4 examined 3 experiment 7 would 7 would 8 enhance 8 enhance 13 ' 9 younger 10 and 10 and 11 older 10 and 12 adults 12 adults 13 ' 15 - 16 item 15 - 19 - 19 - 21 memory 20 item 21 memory 21 memory 22 binding the results revealed that arousal improved younger adults ' within [-] item memory binding but not that of older adults . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 revealed 0 ###LEFT-WALL### 21 . 1 the 2 results 2 results 3 revealed 3 revealed 9 ' 3 revealed 10 within 4 that 5 arousal 5 arousal 8 adults 6 improved 8 adults 7 younger 8 adults 8 adults 9 ' 10 within 13 memory 12 item 13 memory 13 memory 14 binding 13 memory 18 of 14 binding 15 but 15 but 16 not 15 but 17 that 18 of 20 adults 19 older 20 adults arousal worsened both groups ' between [-] item memory binding . 0 ###LEFT-WALL### 1 arousal 0 ###LEFT-WALL### 2 worsened 0 ###LEFT-WALL### 11 . 1 arousal 2 worsened 2 worsened 5 ' 2 worsened 6 between 3 both 4 groups 4 groups 5 ' 6 between 9 memory 8 item 9 memory 9 memory 10 binding this research examines the effect of time of testing on adult age differences in resistance to interference , working memory , processing speed , and vocabulary . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 3 examines 0 ###LEFT-WALL### 27 . 1 this 2 research 2 research 3 examines 3 examines 5 effect 3 examines 10 on 3 examines 14 in 4 the 5 effect 5 effect 6 of 5 effect 8 of 6 of 7 time 8 of 9 testing 10 on 13 differences 11 adult 13 differences 12 age 13 differences 14 in 25 and 15 resistance 16 to 15 resistance 25 and 16 to 17 interference 17 interference 19 working 18 , 19 working 19 working 20 memory 19 working 22 processing 19 working 24 , 21 , 22 processing 22 processing 23 speed 22 processing 24 , 25 and 26 vocabulary results show that time of testing modulates age - related differences only in the ability to resist automatic and prepotent responses . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 show 0 ###LEFT-WALL### 10 related 1 results 2 show 2 show 3 that 3 that 4 time 3 that 7 modulates 4 time 5 of 4 time 7 modulates 5 of 6 testing 7 modulates 8 age 9 - 10 related 10 related 11 differences 10 related 12 only 10 related 13 in 10 related 22 . 13 in 15 ability 14 the 15 ability 15 ability 16 to 15 ability 17 resist 16 to 17 resist 17 resist 19 and 17 resist 21 responses 18 automatic 19 and 19 and 20 prepotent older adults tested in the afternoon were more susceptible to interference than young adults tested at the same time of the day , and than their peers tested in the morning . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 32 . 1 older 2 adults 2 adults 3 tested 2 adults 7 were 3 tested 4 in 4 in 6 afternoon 5 the 6 afternoon 7 were 9 susceptible 8 more 9 susceptible 9 susceptible 10 to 9 susceptible 12 than 10 to 11 interference 12 than 24 and 13 young 14 adults 14 adults 15 tested 14 adults 24 and 15 tested 16 at 16 at 19 time 17 the 18 same 17 the 19 time 19 time 20 of 20 of 22 day 21 the 22 day 23 , 24 and 24 and 25 than 24 and 27 peers 26 their 27 peers 27 peers 28 tested 27 peers 29 in 29 in 31 morning 30 the 31 morning in contrast , age - related differences in working memory , processing speed , and vocabulary were not modulated by time of the day . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 17 were 0 ###LEFT-WALL### 25 . 1 in 2 contrast 1 in 5 - 1 in 15 and 2 contrast 4 age 3 , 4 age 4 age 5 - 6 related 7 differences 7 differences 8 in 7 differences 15 and 8 in 9 working 9 working 10 memory 9 working 12 processing 11 , 12 processing 12 processing 13 speed 12 processing 14 , 15 and 16 vocabulary 15 and 17 were 17 were 18 not 17 were 20 by 18 not 19 modulated 20 by 21 time 21 time 22 of 22 of 24 day 23 the 24 day our findings suggest that age - related modulation of performance as a function of the time of the day is specific to resistance to interference . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 26 . 1 our 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 5 age 4 that 20 is 5 age 20 is 6 - 7 related 7 related 8 modulation 7 related 11 as 7 related 20 is 8 modulation 9 of 9 of 10 performance 11 as 13 function 12 a 13 function 13 function 14 of 14 of 16 time 15 the 16 time 16 time 17 of 17 of 19 day 18 the 19 day 20 is 21 specific 21 specific 22 to 21 specific 24 to 22 to 23 resistance 24 to 25 interference young and old subjects were tested on their memory for paired - associate terms when cued with either facilitative or misleading word stems . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 11 paired 0 ###LEFT-WALL### 12 - 1 young 2 and 2 and 3 old 2 and 4 subjects 2 and 10 for 2 and 11 paired 4 subjects 5 were 5 were 6 tested 6 tested 7 on 6 tested 10 for 7 on 9 memory 8 their 9 memory 12 - 13 associate 12 - 24 . 13 associate 14 terms 13 associate 15 when 13 associate 17 with 15 when 16 cued 17 with 23 stems 18 either 20 or 19 facilitative 20 or 20 or 21 misleading 20 or 22 word 22 word 23 stems after studying a long list of pairs [of] unrelated words ( e.g [.] , hair - turtle ) , recall of a particular target term was cued in a facilitative manner ( hair - tu _ _ _ _ [ )(or a misleading manner ( hair - ta _ _ _ _ ) . 1 after 2 studying 1 after 10 words 2 studying 5 list 3 a 4 long 3 a 5 list 4 long 5 list 6 of 7 pairs 6 of 10 words 9 unrelated 10 words 10 words 15 hair 10 words 20 recall 11 ( 15 hair 12 e.g 14 , 12 e.g 15 hair 15 hair 17 turtle 15 hair 19 , 16 - 17 turtle 17 turtle 18 ) 20 recall 25 term 20 recall 27 cued 21 of 24 target 21 of 25 term 22 a 24 target 23 particular 24 target 25 term 26 was 26 was 27 cued 27 cued 28 in 27 cued 34 - 28 in 31 manner 29 a 31 manner 30 facilitative 31 manner 32 ( 34 - 33 hair 34 - 34 - 41 )(or 35 tu 36 _ 36 _ 39 _ 37 _ 39 _ 38 _ 39 _ 39 _ 41 )(or 41 )(or 44 manner 41 )(or 46 hair 42 a 44 manner 43 misleading 44 manner 45 ( 46 hair 46 hair 52 _ 46 hair 54 . 47 - 52 _ 48 ta 52 _ 49 _ 52 _ 50 _ 52 _ 51 _ 52 _ 52 _ 53 ) the effects of these cues were assessed relative [to] [a] baseline condition in which levels of performance lay between the other two ( hair - [t] _ _ _ _ ) . 0 ###LEFT-WALL### 2 effects 0 ###LEFT-WALL### 6 were 1 the 2 effects 2 effects 3 of 2 effects 6 were 3 of 5 cues 4 these 5 cues 6 were 12 condition 7 assessed 12 condition 8 relative 11 baseline 11 baseline 12 condition 12 condition 13 in 13 in 14 which 13 in 15 levels 13 in 18 lay 15 levels 16 of 15 levels 18 lay 16 of 17 performance 18 lay 19 between 18 lay 22 two 19 between 21 other 20 the 21 other 22 two 24 hair 23 ( 24 hair 24 hair 30 _ 24 hair 32 . 25 - 30 _ 27 _ 30 _ 28 _ 30 _ 29 _ 30 _ 30 _ 31 ) to interpret the age - related effects of the facilitative and misleading cues relative to baseline , the variance in differences between the baseline and the experimental conditions related to the overall baseline level was factored out , and age - related differences as a function of cue [were] assessed on the remaining variability . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 5 - 1 to 2 interpret 2 interpret 4 age 3 the 4 age 5 - 11 and 6 related 7 effects 7 effects 8 of 7 effects 11 and 8 of 10 facilitative 9 the 10 facilitative 11 and 13 cues 11 and 14 relative 12 misleading 13 cues 14 relative 15 to 15 to 25 and 16 baseline 17 , 17 , 19 variance 17 , 25 and 18 the 19 variance 19 variance 20 in 20 in 21 differences 21 differences 22 between 22 between 24 baseline 23 the 24 baseline 25 and 28 conditions 26 the 28 conditions 27 experimental 28 conditions 28 conditions 29 related 28 conditions 30 to 30 to 33 baseline 31 the 33 baseline 32 overall 33 baseline 33 baseline 34 level 33 baseline 40 age 33 baseline 43 differences 34 level 35 was 35 was 39 and 36 factored 37 out 36 factored 39 and 38 , 39 and 39 and 40 age 41 - 43 differences 42 related 43 differences 43 differences 44 as 43 differences 47 of 43 differences 51 on 43 differences 55 . 44 as 46 function 45 a 46 function 47 of 48 cue 48 cue 50 assessed 51 on 54 variability 52 the 54 variability 53 remaining 54 variability this analysis revealed that the two age groups differed both in their ability to overcome the adverse effects of the misleading cue and also to take advantage of the benefits afforded by the facilitative cue . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 3 revealed 0 ###LEFT-WALL### 36 . 1 this 2 analysis 2 analysis 3 revealed 3 revealed 4 that 4 that 8 groups 4 that 9 differed 5 the 6 two 6 two 8 groups 7 age 8 groups 8 groups 9 differed 9 differed 10 both 10 both 11 in 11 in 13 ability 12 their 13 ability 13 ability 14 to 13 ability 23 and 14 to 23 and 15 overcome 18 effects 15 overcome 23 and 16 the 18 effects 17 adverse 18 effects 18 effects 19 of 19 of 22 cue 20 the 22 cue 21 misleading 22 cue 23 and 25 to 23 and 31 afforded 23 and 32 by 24 also 25 to 25 to 26 take 26 take 27 advantage 27 advantage 28 of 28 of 30 benefits 29 the 30 benefits 32 by 35 cue 33 the 35 cue 34 facilitative 35 cue this combination of results is consistent with the view that aging results in a loss of general strategic control , and not specifically inhibitory control , over the effects of retrieval cues . 0 ###LEFT-WALL### 2 combination 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 33 . 1 this 2 combination 2 combination 3 of 2 combination 5 is 3 of 4 results 5 is 6 consistent 6 consistent 7 with 6 consistent 27 over 7 with 9 view 7 with 21 and 8 the 9 view 9 view 10 that 10 that 11 aging 10 that 12 results 11 aging 12 results 12 results 13 in 13 in 15 loss 14 a 15 loss 15 loss 16 of 16 of 17 general 18 strategic 19 control 19 control 21 and 20 , 21 and 21 and 22 not 21 and 25 control 21 and 26 , 23 specifically 24 inhibitory 24 inhibitory 25 control 27 over 29 effects 28 the 29 effects 29 effects 30 of 30 of 32 cues 31 retrieval 32 cues this study examined the impact of visually guided weight - shifting training on elderly women 's limits of stability during static leaning and dynamic swaying in different directions . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 examined 0 ###LEFT-WALL### 10 - 1 this 2 study 2 study 3 examined 3 examined 5 impact 4 the 5 impact 5 impact 6 of 6 of 9 weight 7 visually 8 guided 8 guided 9 weight 10 - 23 and 10 - 29 . 11 shifting 12 training 12 training 13 on 12 training 23 and 13 on 17 limits 14 elderly 15 women 15 women 16 's 16 's 17 limits 17 limits 18 of 18 of 19 stability 19 stability 20 during 20 during 22 leaning 21 static 22 leaning 23 and 24 dynamic 23 and 25 swaying 23 and 26 in 26 in 28 directions 27 different 28 directions sixty - three elderly women were assigned into a group that practiced weight shifting ( 30 - min sessions , 3 sessions/week , 4 weeks ) either in the anterior/posterior or medio/lateral direction and a control group . 0 ###LEFT-WALL### 5 women 0 ###LEFT-WALL### 7 assigned 0 ###LEFT-WALL### 31 or 0 ###LEFT-WALL### 38 . 1 sixty 2 - 2 - 3 three 2 - 5 women 4 elderly 5 women 5 women 6 were 6 were 7 assigned 7 assigned 8 into 8 into 10 group 9 a 10 group 10 group 11 that 10 group 12 practiced 11 that 12 practiced 12 practiced 13 weight 13 weight 14 shifting 14 shifting 17 - 14 shifting 27 either 14 shifting 28 in 15 ( 17 - 16 30 17 - 17 - 19 sessions 17 - 26 ) 18 min 19 sessions 19 sessions 25 weeks 20 , 25 weeks 21 3 25 weeks 22 sessions/week 23 , 22 sessions/week 25 weeks 24 4 25 weeks 25 weeks 26 ) 28 in 30 anterior/posterior 29 the 30 anterior/posterior 31 or 34 and 31 or 37 group 32 medio/lateral 33 direction 33 direction 34 and 34 and 36 control 34 and 37 group 35 a 36 control training resulted in a reduction of upper body rotation and an increase of shank rotation and center of pressure displacement . 0 ###LEFT-WALL### 1 training 0 ###LEFT-WALL### 2 resulted 0 ###LEFT-WALL### 21 . 1 training 2 resulted 2 resulted 3 in 3 in 5 reduction 4 a 5 reduction 5 reduction 6 of 6 of 16 and 7 upper 8 body 8 body 9 rotation 9 rotation 10 and 10 and 12 increase 10 and 13 of 10 and 16 and 11 an 12 increase 13 of 15 rotation 14 shank 15 rotation 16 and 17 center 16 and 18 of 18 of 20 displacement 19 pressure 20 displacement it is concluded that weight [-] shifting practice increases the limits of stability and enhances the inverted pendulum pivoting of the human body during leaning and dynamic swaying balance tasks . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 31 . 1 it 2 is 2 is 14 and 3 concluded 8 practice 3 concluded 9 increases 3 concluded 14 and 4 that 8 practice 5 weight 7 shifting 7 shifting 8 practice 8 practice 9 increases 9 increases 11 limits 10 the 11 limits 11 limits 12 of 12 of 13 stability 14 and 15 enhances 14 and 24 during 15 enhances 18 pendulum 16 the 18 pendulum 17 inverted 18 pendulum 18 pendulum 19 pivoting 18 pendulum 20 of 20 of 23 body 21 the 23 body 22 human 23 body 24 during 26 and 25 leaning 26 and 26 and 27 dynamic 26 and 28 swaying 28 swaying 30 tasks 29 balance 30 tasks incidental task structure is consistent , potentially beneficial , information that is not necessary for successful task performance ( i.e [.] , is seemingly unrelated to the task [ )( 0 ###LEFT-WALL### 3 structure 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 30 )( 1 incidental 2 task 2 task 3 structure 3 structure 4 is 4 is 5 consistent 6 , 10 information 6 , 23 is 7 potentially 10 information 8 beneficial 9 , 8 beneficial 10 information 10 information 11 that 10 information 12 is 10 information 23 is 11 that 12 is 12 is 13 not 12 is 14 necessary 13 not 14 necessary 14 necessary 15 for 15 for 18 performance 16 successful 17 task 17 task 18 performance 18 performance 20 i.e 19 ( 20 i.e 20 i.e 22 , 23 is 25 unrelated 24 seemingly 25 unrelated 25 unrelated 26 to 26 to 28 task 27 the 28 task the authors investigated whether incidental task structure was differentially beneficial to younger and older adults . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 3 investigated 0 ###LEFT-WALL### 16 . 1 the 2 authors 2 authors 3 investigated 3 investigated 4 whether 4 whether 7 structure 4 whether 8 was 5 incidental 6 task 6 task 7 structure 7 structure 8 was 8 was 9 differentially 8 was 10 beneficial 10 beneficial 11 to 11 to 15 adults 12 younger 13 and 13 and 14 older 13 and 15 adults across three experiments , 122 participants searched for targets among stimuli laid upon different patterns , such that certain patterns correlated with target location [at] varying degrees of consistency . 0 ###LEFT-WALL### 6 participants 0 ###LEFT-WALL### 7 searched 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 30 . 1 across 3 experiments 1 across 4 , 1 across 6 participants 2 three 3 experiments 5 122 6 participants 6 participants 7 searched 7 searched 8 for 8 for 9 targets 9 targets 10 among 10 among 11 stimuli 11 stimuli 12 laid 11 stimuli 13 upon 13 upon 15 patterns 14 different 15 patterns 16 , 20 patterns 16 , 21 correlated 17 such 20 patterns 18 that 19 certain 19 certain 20 patterns 20 patterns 21 correlated 21 correlated 22 with 22 with 27 degrees 23 target 26 varying 24 location 26 varying 26 varying 27 degrees 27 degrees 28 of 28 of 29 consistency an age [-] related difference was identified in the ability to learn an incidental structure under certain conditions and a strategy explanation for the difference was investigated . 0 ###LEFT-WALL### 5 difference 0 ###LEFT-WALL### 7 identified 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 28 . 1 an 2 age 1 an 5 difference 2 age 4 related 4 related 5 difference 5 difference 6 was 6 was 7 identified 7 identified 8 in 7 identified 16 under 8 in 10 ability 9 the 10 ability 10 ability 11 to 10 ability 12 learn 11 to 12 learn 12 learn 15 structure 13 an 15 structure 14 incidental 15 structure 16 under 18 conditions 17 certain 18 conditions 19 and 22 explanation 19 and 27 investigated 20 a 21 strategy 20 a 22 explanation 21 strategy 22 explanation 22 explanation 23 for 22 explanation 26 was 23 for 25 difference 24 the 25 difference 26 was 27 investigated when older adults ' were encouraged to orient at least some degree of attention toward the predictive information , learning occurred . 0 ###LEFT-WALL### 20 learning 0 ###LEFT-WALL### 21 occurred 0 ###LEFT-WALL### 22 . 1 when 4 ' 1 when 6 encouraged 1 when 19 , 1 when 20 learning 2 older 3 adults 3 adults 4 ' 4 ' 5 were 5 were 6 encouraged 6 encouraged 7 to 6 encouraged 8 orient 7 to 8 orient 8 orient 10 least 8 orient 14 attention 8 orient 15 toward 9 at 10 least 11 some 12 degree 12 degree 13 of 12 degree 14 attention 13 of 14 attention 15 toward 18 information 16 the 18 information 17 predictive 18 information 20 learning 21 occurred older adults are capable of learning incidental , environmental information but their learning was not identical to younger adults ' . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 11 but 0 ###LEFT-WALL### 21 . 1 older 2 adults 2 adults 3 are 3 are 4 capable 4 capable 5 of 5 of 6 learning 6 learning 10 information 7 incidental 8 , 7 incidental 10 information 9 environmental 10 information 11 but 13 learning 11 but 14 was 12 their 13 learning 13 learning 14 was 14 was 15 not 14 was 16 identical 16 identical 17 to 17 to 20 ' 18 younger 19 adults 19 adults 20 ' younger adults showed performance benefits when provided with incidental task structure , but older adults may need to be made explicitly aware before it is useful . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 13 but 0 ###LEFT-WALL### 27 . 1 younger 2 adults 2 adults 3 showed 3 showed 4 performance 3 showed 5 benefits 4 performance 5 benefits 5 benefits 6 when 6 when 7 provided 7 provided 8 with 8 with 11 structure 9 incidental 10 task 10 task 11 structure 12 , 13 but 13 but 15 adults 13 but 17 need 14 older 15 adults 15 adults 16 may 16 may 17 need 17 need 18 to 17 need 20 made 18 to 19 be 19 be 20 made 20 made 21 explicitly 20 made 22 aware 22 aware 23 before 23 before 24 it 23 before 25 is 24 it 25 is 25 is 26 useful research into alzheimer 's disease has long focused on cognitive impairments . 0 ###LEFT-WALL### 1 research 0 ###LEFT-WALL### 8 focused 0 ###LEFT-WALL### 12 . 1 research 2 into 1 research 6 has 2 into 5 disease 3 alzheimer 4 's 4 's 5 disease 6 has 8 focused 7 long 8 focused 8 focused 9 on 9 on 11 impairments 10 cognitive 11 impairments advocates of the person [-] centered approach argue that emotions and interpersonal responses may remain intact . 0 ###LEFT-WALL### 1 advocates 0 ###LEFT-WALL### 8 argue 0 ###LEFT-WALL### 17 . 1 advocates 2 of 1 advocates 8 argue 2 of 7 approach 3 the 7 approach 4 person 6 centered 6 centered 7 approach 8 argue 9 that 9 that 11 and 9 that 15 remain 10 emotions 11 and 11 and 13 responses 11 and 14 may 12 interpersonal 13 responses 14 may 15 remain 15 remain 16 intact the answer to this paradox may derive from the neuropsychology of emotion , demonstrating preserved ability on simple emotion learning tasks , though this may not capture the complex interpersonal interactions that some patients appear able to manage in everyday life . 0 ###LEFT-WALL### 2 answer 0 ###LEFT-WALL### 7 derive 0 ###LEFT-WALL### 42 . 1 the 2 answer 2 answer 3 to 2 answer 6 may 3 to 5 paradox 4 this 5 paradox 6 may 7 derive 7 derive 8 from 7 derive 14 demonstrating 7 derive 23 though 7 derive 31 interactions 7 derive 39 in 8 from 10 neuropsychology 9 the 10 neuropsychology 10 neuropsychology 11 of 11 of 12 emotion 13 , 14 demonstrating 14 demonstrating 16 ability 14 demonstrating 22 , 15 preserved 16 ability 16 ability 17 on 16 ability 20 learning 17 on 19 emotion 18 simple 19 emotion 20 learning 21 tasks 23 though 24 this 23 though 27 capture 24 this 25 may 25 may 26 not 25 may 27 capture 27 capture 29 complex 28 the 29 complex 30 interpersonal 31 interactions 31 interactions 32 that 31 interactions 38 manage 32 that 34 patients 32 that 35 appear 33 some 34 patients 34 patients 35 appear 35 appear 36 able 36 able 37 to 37 to 38 manage 39 in 41 life 40 everyday 41 life this study demonstrates , for the first time , preserved complex emotion - based learning capacity , despite profound episodic memory impairment in alzheimer 's disease . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 demonstrates 0 ###LEFT-WALL### 27 . 1 this 2 study 2 study 3 demonstrates 3 demonstrates 5 for 3 demonstrates 18 despite 3 demonstrates 22 impairment 3 demonstrates 23 in 4 , 5 for 5 for 7 first 5 for 17 , 6 the 7 first 7 first 8 time 7 first 14 based 7 first 15 learning 8 time 12 emotion 8 time 14 based 9 , 12 emotion 10 preserved 12 emotion 11 complex 12 emotion 12 emotion 13 - 15 learning 16 capacity 18 despite 21 memory 19 profound 21 memory 20 episodic 21 memory 23 in 26 disease 24 alzheimer 25 's 25 's 26 disease these findings offer a starting point for the development of a solid neuropsychological and neuroanatomical account for the person - centered approach . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 offer 0 ###LEFT-WALL### 20 - 1 these 2 findings 2 findings 3 offer 3 offer 6 point 4 a 6 point 5 starting 6 point 6 point 7 for 6 point 10 of 7 for 9 development 8 the 9 development 10 of 16 account 11 a 12 solid 11 a 16 account 12 solid 16 account 13 neuropsychological 14 and 14 and 15 neuroanatomical 14 and 16 account 16 account 17 for 17 for 19 person 18 the 19 person 20 - 22 approach 20 - 23 . 21 centered 22 approach this qualitative study of 45 older adults examines how they allocate their resources in the face of chronic health conditions . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 8 examines 0 ###LEFT-WALL### 21 . 1 this 2 qualitative 2 qualitative 3 study 3 study 4 of 3 study 8 examines 4 of 7 adults 5 45 7 adults 6 older 7 adults 8 examines 9 how 9 how 10 they 9 how 11 allocate 10 they 11 allocate 11 allocate 13 resources 11 allocate 14 in 12 their 13 resources 14 in 16 face 15 the 16 face 16 face 17 of 17 of 20 conditions 18 chronic 19 health 19 health 20 conditions participants were recruited from 2 senior centers and interviewed about their repertoire of activities , any changes in those activities in later life , and meanings they ascribed to those changes . 0 ###LEFT-WALL### 25 and 0 ###LEFT-WALL### 32 . 1 participants 8 and 1 participants 13 of 1 participants 25 and 2 were 3 recruited 2 were 8 and 3 recruited 4 from 4 from 7 centers 5 2 7 centers 6 senior 7 centers 8 and 9 interviewed 8 and 10 about 10 about 12 repertoire 11 their 12 repertoire 13 of 14 activities 14 activities 17 changes 15 , 17 changes 16 any 17 changes 17 changes 18 in 17 changes 21 in 17 changes 24 , 18 in 20 activities 19 those 20 activities 21 in 23 life 22 later 23 life 24 , 25 and 25 and 26 meanings 25 and 27 they 25 and 28 ascribed 27 they 28 ascribed 28 ascribed 29 to 29 to 31 changes 30 those 31 changes the selection , optimization , and compensation model guided our analysis and interpretation of participants ' responses . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 9 guided 0 ###LEFT-WALL### 18 . 1 the 2 selection 2 selection 3 , 3 , 4 optimization 3 , 6 and 5 , 6 and 6 and 8 model 6 and 9 guided 7 compensation 8 model 9 guided 12 and 10 our 11 analysis 11 analysis 12 and 12 and 13 interpretation 12 and 14 of 14 of 17 responses 15 participants 16 ' 16 ' 17 responses the findings demonstrate the complexity of participants ' responses to age - related changes , particularly [in] [how] they adapted and negotiated both their perception and life goals when faced with changing social landscapes . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 35 . 1 the 2 findings 2 findings 21 and 3 demonstrate 5 complexity 3 demonstrate 10 to 3 demonstrate 21 and 4 the 5 complexity 5 complexity 6 of 6 of 9 responses 7 participants 8 ' 8 ' 9 responses 10 to 11 age 11 age 20 adapted 12 - 20 adapted 13 related 14 changes 13 related 15 , 13 related 19 they 13 related 20 adapted 16 particularly 19 they 19 they 20 adapted 21 and 22 negotiated 21 and 29 when 22 negotiated 26 and 23 both 26 and 24 their 25 perception 25 perception 26 and 26 and 28 goals 27 life 28 goals 29 when 30 faced 30 faced 31 with 31 with 32 changing 32 changing 34 landscapes 33 social 34 landscapes we discuss some implications and nuances of our findings . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 discuss 0 ###LEFT-WALL### 10 . 1 we 2 discuss 2 discuss 5 and 3 some 4 implications 4 implications 5 and 5 and 6 nuances 5 and 7 of 7 of 9 findings 8 our 9 findings social workers are often the key link between older adults , their families and community - based services . 0 ###LEFT-WALL### 2 workers 0 ###LEFT-WALL### 3 are 1 social 2 workers 2 workers 3 are 3 are 4 often 3 are 7 link 5 the 7 link 6 key 7 link 7 link 8 between 8 between 14 and 9 older 10 adults 10 adults 11 , 11 , 13 families 11 , 14 and 12 their 13 families 14 and 15 community 14 and 18 services 16 - 18 services 17 based 18 services 18 services 19 . thus , knowledge about older adults and community - based care is imperative for social work practice . 0 ###LEFT-WALL### 3 knowledge 0 ###LEFT-WALL### 12 is 0 ###LEFT-WALL### 18 . 1 thus 2 , 1 thus 3 knowledge 3 knowledge 4 about 3 knowledge 12 is 4 about 11 care 5 older 6 adults 6 adults 7 and 7 and 8 community 7 and 9 - 7 and 10 based 7 and 11 care 12 is 13 imperative 13 imperative 14 for 14 for 17 practice 15 social 16 work 16 work 17 practice evaluation data are provided on a national multisite effort ( n = 353 ) from 35 schools to assure graduate social work student ['s] competency related to community services for older adults . 0 ###LEFT-WALL### 1 evaluation 0 ###LEFT-WALL### 26 related 2 data 3 are 3 are 4 provided 4 provided 5 on 4 provided 12 = 4 provided 15 from 4 provided 18 to 5 on 9 effort 6 a 7 national 6 a 9 effort 7 national 8 multisite 8 multisite 9 effort 10 ( 12 = 11 n 12 = 12 = 13 353 12 = 14 ) 15 from 17 schools 16 35 17 schools 18 to 19 assure 19 assure 25 competency 19 assure 26 related 20 graduate 22 work 21 social 22 work 22 work 25 competency 23 student 25 competency 25 competency 26 related 26 related 27 to 26 related 33 . 27 to 29 services 28 community 29 services 29 services 30 for 30 for 32 adults 31 older 32 adults results suggest that the educational model as [described] in this article sets forth positive outcomes in the education of aging savvy social workers . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 suggest 0 ###LEFT-WALL### 24 . 1 results 2 suggest 2 suggest 3 that 3 that 6 model 3 that 12 sets 4 the 6 model 5 educational 6 model 6 model 7 as 6 model 12 sets 7 as 9 in 9 in 11 article 10 this 11 article 12 sets 13 forth 12 sets 15 outcomes 12 sets 16 in 14 positive 15 outcomes 16 in 18 education 17 the 18 education 18 education 19 of 19 of 20 aging 20 aging 23 workers 21 savvy 23 workers 22 social 23 workers ongoing social work education is needed to meet the burgeoning needs of the geriatric population . 0 ###LEFT-WALL### 4 education 0 ###LEFT-WALL### 6 needed 0 ###LEFT-WALL### 16 . 1 ongoing 2 social 2 social 3 work 3 work 4 education 4 education 5 is 5 is 6 needed 6 needed 7 to 7 to 8 meet 8 meet 11 needs 9 the 11 needs 10 burgeoning 11 needs 11 needs 12 of 12 of 15 population 13 the 15 population 14 geriatric 15 population severe mental illness ( smi ) impacts many different facets of individuals ' lives . 0 ###LEFT-WALL### 3 illness 0 ###LEFT-WALL### 7 impacts 0 ###LEFT-WALL### 15 . 1 severe 3 illness 2 mental 3 illness 3 illness 5 smi 3 illness 7 impacts 4 ( 5 smi 5 smi 6 ) 7 impacts 10 facets 8 many 10 facets 9 different 10 facets 10 facets 11 of 11 of 14 lives 12 individuals 13 ' 13 ' 14 lives as they age , those with smi experience increased physical illnesses , functional impairment , cognitive deficits , and social disability . 0 ###LEFT-WALL### 5 those 0 ###LEFT-WALL### 8 experience 0 ###LEFT-WALL### 22 . 1 as 2 they 1 as 3 age 1 as 4 , 1 as 5 those 2 they 3 age 5 those 6 with 5 those 8 experience 6 with 7 smi 8 experience 19 and 9 increased 11 illnesses 10 physical 11 illnesses 11 illnesses 12 , 12 , 14 impairment 12 , 15 , 13 functional 14 impairment 15 , 17 deficits 15 , 19 and 16 cognitive 17 deficits 18 , 19 and 19 and 21 disability 20 social 21 disability to promote more effective social work practice with this population , this article highlights the major biopsychosocial and family issues of aging with a psychiatric diagnosis . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 27 . 1 to 2 promote 2 promote 7 practice 2 promote 8 with 3 more 7 practice 4 effective 6 work 5 social 6 work 6 work 7 practice 8 with 10 population 9 this 10 population 11 , 13 article 11 , 14 highlights 12 this 13 article 13 article 14 highlights 14 highlights 20 issues 14 highlights 23 with 15 the 20 issues 16 major 20 issues 17 biopsychosocial 18 and 18 and 19 family 18 and 20 issues 20 issues 21 of 21 of 22 aging 23 with 26 diagnosis 24 a 25 psychiatric 24 a 26 diagnosis 25 psychiatric 26 diagnosis in addition , intervention approaches that have demonstrated efficacy are summarized along with ways to coordinate services across multiple service delivery sectors . 0 ###LEFT-WALL### 5 approaches 0 ###LEFT-WALL### 11 summarized 0 ###LEFT-WALL### 23 . 1 in 2 addition 1 in 3 , 1 in 5 approaches 4 intervention 5 approaches 5 approaches 6 that 5 approaches 7 have 5 approaches 10 are 6 that 7 have 7 have 8 demonstrated 8 demonstrated 9 efficacy 10 are 11 summarized 11 summarized 13 with 11 summarized 15 to 12 along 13 with 13 with 14 ways 15 to 16 coordinate 16 coordinate 17 services 16 coordinate 18 across 18 across 22 sectors 19 multiple 20 service 20 service 22 sectors 21 delivery 22 sectors finally , future directions in practice and research are presented to develop additional methods of support for older adults with smi and their families . 0 ###LEFT-WALL### 4 directions 0 ###LEFT-WALL### 12 develop 0 ###LEFT-WALL### 25 . 1 finally 2 , 1 finally 4 directions 3 future 4 directions 4 directions 5 in 4 directions 9 are 5 in 7 and 6 practice 7 and 7 and 8 research 9 are 10 presented 10 presented 11 to 11 to 12 develop 12 develop 14 methods 12 develop 17 for 12 develop 20 with 13 additional 14 methods 14 methods 15 of 15 of 16 support 17 for 19 adults 18 older 19 adults 20 with 22 and 21 smi 22 and 22 and 24 families 23 their 24 families the purpose of this article is to report the influence of gender on aging with childhood onset paralytic polio . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 20 . 1 the 2 purpose 2 purpose 3 of 2 purpose 6 is 3 of 5 article 4 this 5 article 6 is 7 to 6 is 8 report 7 to 8 report 8 report 10 influence 8 report 13 on 9 the 10 influence 10 influence 11 of 11 of 12 gender 13 on 14 aging 14 aging 15 with 15 with 19 polio 16 childhood 19 polio 17 onset 19 polio 18 paralytic 19 polio the hermeneutic phenomenological exploration of gender was done using multiple qualitative interviews with 25 women , age 55 to 75 years of age , who had polio since before 14 years of age . 0 ###LEFT-WALL### 4 exploration 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 34 . 1 the 4 exploration 2 hermeneutic 4 exploration 3 phenomenological 4 exploration 4 exploration 5 of 4 exploration 7 was 5 of 6 gender 7 was 8 done 8 done 9 using 8 done 13 with 9 using 12 interviews 10 multiple 12 interviews 11 qualitative 12 interviews 13 with 15 women 14 25 15 women 15 women 21 years 16 , 21 years 17 age 19 to 17 age 21 years 18 55 19 to 19 to 20 75 21 years 22 of 21 years 24 , 22 of 23 age 24 , 25 who 24 , 26 had 25 who 26 had 26 had 27 polio 26 had 28 since 28 since 29 before 29 before 31 years 30 14 31 years 31 years 32 of 32 of 33 age we noted three themes : [(] [a] [ )(the movement of her body , [(] [b] [ )(integrating body and gender , and [(] [c] [ )(gender discrepancies . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 noted 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 29 . 1 we 2 noted 2 noted 4 themes 3 three 4 themes 5 : 10 movement 9 )(the 10 movement 10 movement 11 of 11 of 23 and 12 her 13 body 13 body 14 , 14 , 19 body 14 , 20 and 18 )(integrating 19 body 20 and 21 gender 20 and 23 and 22 , 23 and 23 and 28 discrepancies 27 )(gender 28 discrepancies findings are discussed in the context of gendered expectations and the women 's bodies . 0 ###LEFT-WALL### 1 findings 0 ###LEFT-WALL### 3 discussed 0 ###LEFT-WALL### 15 . 1 findings 2 are 2 are 3 discussed 3 discussed 4 in 4 in 6 context 5 the 6 context 6 context 7 of 7 of 10 and 8 gendered 9 expectations 9 expectations 10 and 10 and 14 bodies 11 the 12 women 12 women 13 's 13 's 14 bodies somatic cellular senescence ( scs ) describes the limited ability of cells to divide . 0 ###LEFT-WALL### 3 senescence 0 ###LEFT-WALL### 7 describes 0 ###LEFT-WALL### 15 . 1 somatic 3 senescence 2 cellular 3 senescence 3 senescence 5 scs 3 senescence 7 describes 4 ( 5 scs 5 scs 6 ) 7 describes 10 ability 8 the 10 ability 9 limited 10 ability 10 ability 11 of 11 of 12 cells 12 cells 13 to 12 cells 14 divide 13 to 14 divide normally , scs is associated with physiological aging , but evidence suggests that it may play a role in disease progression , even in young patients . 0 ###LEFT-WALL### 3 scs 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 10 but 0 ###LEFT-WALL### 27 . 1 normally 2 , 1 normally 3 scs 3 scs 4 is 4 is 5 associated 5 associated 6 with 6 with 8 aging 7 physiological 8 aging 9 , 10 but 10 but 11 evidence 10 but 12 suggests 11 evidence 12 suggests 12 suggests 13 that 13 that 14 it 13 that 22 , 14 it 15 may 15 may 22 , 16 play 18 role 16 play 19 in 16 play 22 , 17 a 18 role 19 in 21 progression 20 disease 21 progression 22 , 23 even 22 , 26 patients 23 even 24 in 25 young 26 patients stressors such as acute injury or chronic inflammation may induce scs , which in turn exhausts organ regenerative potential . 0 ###LEFT-WALL### 6 or 0 ###LEFT-WALL### 10 induce 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 20 . 1 stressors 3 as 1 stressors 6 or 2 such 3 as 3 as 5 injury 4 acute 5 injury 6 or 8 inflammation 6 or 9 may 7 chronic 8 inflammation 9 may 10 induce 10 induce 11 scs 12 , 13 which 12 , 16 exhausts 13 which 16 exhausts 14 in 15 turn 15 turn 16 exhausts 16 exhausts 19 potential 17 organ 19 potential 18 regenerative 19 potential this review summarizes what is known about scs in the kidney with aging and disease . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 summarizes 0 ###LEFT-WALL### 16 . 1 this 2 review 2 review 3 summarizes 3 summarizes 4 what 3 summarizes 7 about 3 summarizes 9 in 4 what 5 is 5 is 6 known 7 about 8 scs 9 in 14 and 10 the 11 kidney 11 kidney 12 with 11 kidney 14 and 12 with 13 aging 14 and 15 disease as most patients with chronic kidney disease ( ckd ) also develop cardiovascular complications , a second focus of this review deals with the role of scs in cardiovascular disease . 0 ###LEFT-WALL### 18 focus 0 ###LEFT-WALL### 22 deals 0 ###LEFT-WALL### 31 . 1 as 3 patients 1 as 12 develop 1 as 15 , 1 as 18 focus 2 most 3 patients 3 patients 4 with 3 patients 9 ckd 3 patients 12 develop 4 with 7 disease 5 chronic 6 kidney 6 kidney 7 disease 8 ( 9 ckd 9 ckd 10 ) 11 also 12 develop 12 develop 14 complications 13 cardiovascular 14 complications 16 a 18 focus 17 second 18 focus 18 focus 19 of 18 focus 22 deals 19 of 21 review 20 this 21 review 22 deals 23 with 22 deals 28 in 23 with 25 role 24 the 25 role 25 role 26 of 26 of 27 scs 28 in 30 disease 29 cardiovascular 30 disease also , as scs seems to accelerate ckd and cardiovascular disease progression , developing strategies for new treatment options that overcome scs or protect a patient from it represents an exciting challenge . 0 ###LEFT-WALL### 14 developing 0 ###LEFT-WALL### 29 represents 0 ###LEFT-WALL### 33 . 1 also 2 , 1 also 14 developing 3 as 4 scs 3 as 5 seems 3 as 13 , 3 as 14 developing 4 scs 5 seems 5 seems 6 to 5 seems 7 accelerate 6 to 7 accelerate 7 accelerate 9 and 8 ckd 9 and 9 and 12 progression 10 cardiovascular 11 disease 11 disease 12 progression 14 developing 15 strategies 14 developing 29 represents 15 strategies 16 for 15 strategies 20 that 15 strategies 23 or 16 for 19 options 17 new 19 options 18 treatment 19 options 20 that 23 or 21 overcome 22 scs 21 overcome 23 or 23 or 24 protect 24 protect 26 patient 24 protect 27 from 25 a 26 patient 27 from 28 it 29 represents 32 challenge 30 an 32 challenge 31 exciting 32 challenge objectives : to examine the circadian pattern of cardiac autonomic modulation ( cam ) and its attributes in general population . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 examine 2 : 21 . 3 to 4 examine 4 examine 15 and 4 examine 18 in 5 the 7 pattern 6 circadian 7 pattern 7 pattern 8 of 7 pattern 15 and 8 of 11 modulation 9 cardiac 11 modulation 10 autonomic 11 modulation 11 modulation 13 cam 12 ( 13 cam 13 cam 14 ) 15 and 17 attributes 16 its 17 attributes 18 in 20 population 19 general 20 population methods : [we] obtained 24 - h beat - [to] - beat rr data using a high resolution 12 - lead holter ecg in a community - dwelling sample [of] 115 [non] - smokers . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 4 obtained 0 ###LEFT-WALL### 9 - 0 ###LEFT-WALL### 35 . 1 methods 2 : 2 : 4 obtained 4 obtained 8 beat 5 24 6 - 6 - 7 h 6 - 8 beat 9 - 11 - 9 - 20 - 9 - 27 - 9 - 33 - 11 - 12 beat 12 beat 14 data 12 beat 15 using 13 rr 14 data 15 using 18 resolution 16 a 18 resolution 17 high 18 resolution 18 resolution 19 12 19 12 20 - 20 - 21 lead 21 lead 23 ecg 21 lead 24 in 22 holter 23 ecg 24 in 26 community 25 a 26 community 27 - 29 sample 28 dwelling 29 sample 29 sample 31 115 31 115 33 - 33 - 34 smokers we performed heart rate variability ( hrv ) [analysis] on the normal rrs from [each] 5 - min segment to obtain time - specific hrv indices [:] high ( hf [;] 0.15 - 0.40 hz ) and low [(] [lf] [;] 0.04 - 0.15 hz [ )(frequency powers [,] standard deviation of rr intervals ( sdnn ) , and the square root of the mean of the sum of the squared differences of the adjacent rr intervals ( rmssd [ )( 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 performed 1 we 2 performed 2 performed 5 variability 2 performed 10 on 3 heart 5 variability 4 rate 5 variability 5 variability 7 hrv 6 ( 7 hrv 7 hrv 8 ) 10 on 13 rrs 11 the 13 rrs 12 normal 13 rrs 13 rrs 14 from 13 rrs 23 - 14 from 16 5 17 - 23 - 18 min 19 segment 19 segment 20 to 19 segment 21 obtain 19 segment 23 - 20 to 21 obtain 21 obtain 22 time 23 - 26 indices 24 specific 26 indices 25 hrv 26 indices 26 indices 37 and 28 high 33 - 28 high 37 and 29 ( 33 - 30 hf 32 0.15 30 hf 33 - 33 - 35 hz 33 - 36 ) 34 0.40 35 hz 37 and 38 low 38 low 43 - 42 0.04 43 - 43 - 44 0.15 44 0.15 45 hz 45 hz 51 deviation 47 )(frequency 51 deviation 48 powers 50 standard 50 standard 51 deviation 51 deviation 52 of 51 deviation 59 and 52 of 54 intervals 53 rr 54 intervals 54 intervals 56 sdnn 55 ( 56 sdnn 56 sdnn 57 ) 58 , 59 and 59 and 61 square 59 and 62 root 60 the 61 square 62 root 63 of 62 root 66 of 63 of 65 mean 64 the 65 mean 66 of 72 differences 67 the 68 sum 68 sum 69 of 68 sum 72 differences 69 of 72 differences 70 the 72 differences 71 squared 72 differences 72 differences 73 of 72 differences 79 rmssd 73 of 77 intervals 74 the 77 intervals 75 adjacent 77 intervals 76 rr 77 intervals 78 ( 79 rmssd 79 rmssd 81 )( for each individual , we fit the segment - specific hrv data to a cosine periodic function , and estimated 3 individual - level cosine function parameters to quantify the circadian variation : the mean ( m ) , amplitude [(] a [ )(, and acrophase [(] [θ] ) . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 33 : 0 ###LEFT-WALL### 50 . 1 for 3 individual 1 for 4 , 1 for 5 we 2 each 3 individual 5 we 19 and 6 fit 8 segment 6 fit 19 and 7 the 8 segment 8 segment 12 data 9 - 12 data 10 specific 12 data 11 hrv 12 data 12 data 13 to 12 data 18 , 13 to 17 function 14 a 17 function 15 cosine 17 function 16 periodic 17 function 19 and 20 estimated 20 estimated 27 parameters 20 estimated 28 to 21 3 27 parameters 22 individual 23 - 22 individual 27 parameters 24 level 27 parameters 25 cosine 26 function 26 function 27 parameters 28 to 29 quantify 29 quantify 32 variation 30 the 32 variation 31 circadian 32 variation 33 : 35 mean 33 : 39 , 34 the 35 mean 35 mean 37 m 36 ( 37 m 37 m 38 ) 39 , 45 and 40 amplitude 42 a 40 amplitude 45 and 44 )(, 45 and 45 and 46 acrophase 45 and 49 ) we then used a random - effects meta - analysis to summarize the m [,] [a] [,] [and] [θ] , and their 95 % confidence intervals ( ci ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 used 0 ###LEFT-WALL### 30 . 1 we 3 used 2 then 3 used 3 used 10 analysis 3 used 11 to 3 used 12 summarize 4 a 5 random 4 a 10 analysis 5 random 6 - 5 random 7 effects 7 effects 10 analysis 8 meta 9 - 8 meta 10 analysis 11 to 12 summarize 12 summarize 21 and 13 the 21 and 14 m 21 and 20 , 21 and 21 and 26 intervals 21 and 28 ci 22 their 23 95 23 95 26 intervals 24 % 25 confidence 25 confidence 26 intervals 27 ( 28 ci 28 ci 29 ) results : the mean age was 56 ( sd 8 [ )(years , with 63 % female and 76 % white . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 5 age 2 : 6 was 2 : 18 and 3 the 5 age 4 mean 5 age 5 age 6 was 6 was 7 56 6 was 14 with 7 56 12 )(years 8 ( 12 )(years 9 sd 12 )(years 10 8 12 )(years 12 )(years 13 , 14 with 16 % 14 with 17 female 15 63 16 % 18 and 20 % 18 and 21 white 19 76 20 % 20 % 21 white the averages of m , [a] and [θ] [(] 95%ci ) of log hf were 3.59 ( 3.43 - 3.76 ) [ms] ( 2 ) , 0.61 ( 0.54 - 0.68 ) [ms] ( 2 ) , [and] [3:10] [(] 2:25 - 3:55 ) am , respectively [,] and that [of] rmssd were 22.3 ( 20.5 - 24.1 [ )(m [s] , [6.5] ( 5.4 - 7.5 [ )( , 3:45 ( 2:55 - 4:35 [ )(am , [respectively] . 1 the 2 averages 2 averages 3 of 2 averages 7 and 3 of 4 m 5 , 7 and 7 and 10 95%ci 7 and 11 ) 7 and 12 of 7 and 15 were 12 of 14 hf 13 log 14 hf 15 were 16 3.59 16 3.59 18 3.43 16 3.59 27 0.61 17 ( 18 3.43 18 3.43 20 3.76 18 3.43 24 2 18 3.43 26 , 19 - 20 3.76 20 3.76 21 ) 23 ( 24 2 24 2 25 ) 26 , 27 0.61 27 0.61 30 - 27 0.61 35 2 27 0.61 37 , 28 ( 30 - 29 0.54 30 - 30 - 31 0.68 30 - 32 ) 34 ( 35 2 35 2 36 ) 37 , 42 - 41 2:25 42 - 42 - 43 3:55 42 - 44 ) 42 - 52 rmssd 45 am 49 and 46 , 47 respectively 46 , 49 and 49 and 50 that 49 and 52 rmssd 52 rmssd 53 were 53 were 54 22.3 54 22.3 57 - 54 22.3 66 - 55 ( 57 - 56 20.5 57 - 57 - 60 )(m 57 - 62 , 58 24.1 60 )(m 64 ( 66 - 65 5.4 66 - 66 - 67 7.5 67 7.5 71 3:45 70 , 71 3:45 71 3:45 77 )(am 71 3:45 80 . 72 ( 77 )(am 73 2:55 74 - 74 - 75 4:35 74 - 77 )(am 77 )(am 78 , older age is associated with lower mean [of] hrv . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 10 . 1 older 2 age 2 age 3 is 3 is 4 associated 4 associated 5 with 5 with 9 hrv 6 lower 7 mean 7 mean 9 hrv males have higher oscillation amplitude than females . 0 ###LEFT-WALL### 1 males 0 ###LEFT-WALL### 2 have 0 ###LEFT-WALL### 8 . 1 males 2 have 2 have 5 amplitude 2 have 6 than 3 higher 4 oscillation 4 oscillation 5 amplitude 6 than 7 females the acrophase of lf/hf was earlier in females than in males , and in younger individuals than in older individuals . 0 ###LEFT-WALL### 2 acrophase 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 21 . 1 the 2 acrophase 2 acrophase 3 of 2 acrophase 5 was 3 of 4 lf/hf 5 was 6 earlier 5 was 7 in 5 was 9 than 5 was 17 than 7 in 8 females 9 than 13 and 10 in 11 males 10 in 13 and 12 , 13 and 13 and 14 in 14 in 16 individuals 15 younger 16 individuals 17 than 18 in 18 in 20 individuals 19 older 20 individuals conclusions : the circadian pattern of cam can be quantified by 3 cosine parameters of hrv , which are correlated with age and gender . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 9 be 2 : 17 , 3 the 5 pattern 4 circadian 5 pattern 5 pattern 6 of 5 pattern 8 can 6 of 7 cam 8 can 9 be 9 be 10 quantified 10 quantified 11 by 11 by 14 parameters 12 3 14 parameters 13 cosine 14 parameters 14 parameters 15 of 15 of 16 hrv 17 , 18 which 17 , 20 correlated 18 which 19 are 19 are 20 correlated 20 correlated 21 with 21 with 23 and 22 age 23 and 23 and 24 gender bloom ['s] [syndrome] ( bs ) and fanconi anemia ( fa ) are autosomal recessive disorders characterized by cancer and chromosomal instability . 0 ###LEFT-WALL### 9 anemia 0 ###LEFT-WALL### 13 are 0 ###LEFT-WALL### 23 . 1 bloom 5 bs 4 ( 5 bs 5 bs 6 ) 5 bs 7 and 7 and 8 fanconi 8 fanconi 9 anemia 9 anemia 11 fa 9 anemia 13 are 10 ( 11 fa 11 fa 12 ) 13 are 16 disorders 13 are 18 by 14 autosomal 16 disorders 15 recessive 16 disorders 16 disorders 17 characterized 18 by 20 and 19 cancer 20 and 20 and 22 instability 21 chromosomal 22 instability bs and fa group j arise from mutations in the blm and fancj genes , respectively , which encode dna helicases . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 6 arise 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 22 . 1 bs 2 and 2 and 4 group 2 and 6 arise 3 fa 4 group 4 group 5 j 6 arise 7 from 6 arise 9 in 6 arise 16 respectively 7 from 8 mutations 9 in 14 genes 10 the 14 genes 11 blm 12 and 12 and 13 fancj 13 fancj 14 genes 15 , 16 respectively 16 respectively 17 , 17 , 18 which 17 , 19 encode 18 which 19 encode 19 encode 21 helicases 20 dna 21 helicases in this work , fancj and blm were found to interact physically and functionally in human cells and co - localize to nuclear foci in response to replication stress . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 9 found 0 ###LEFT-WALL### 20 - 1 in 3 work 1 in 4 , 1 in 6 and 2 this 3 work 5 fancj 6 and 6 and 7 blm 6 and 8 were 8 were 9 found 9 found 10 to 10 to 11 interact 11 interact 13 and 11 interact 15 in 12 physically 13 and 13 and 14 functionally 15 in 18 and 16 human 17 cells 17 cells 18 and 18 and 19 co 20 - 21 localize 20 - 30 . 21 localize 22 to 21 localize 27 to 22 to 24 foci 23 nuclear 24 foci 25 in 26 response 26 response 27 to 27 to 29 stress 28 replication 29 stress the cellular level of blm is strongly dependent upon fancj , and blm is degraded by a proteasome - mediated pathway when fancj is depleted . 0 ###LEFT-WALL### 3 level 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 26 . 1 the 3 level 2 cellular 3 level 3 level 4 of 3 level 6 is 4 of 5 blm 6 is 7 strongly 6 is 8 dependent 8 dependent 9 upon 9 upon 10 fancj 11 , 12 and 12 and 13 blm 12 and 15 degraded 13 blm 14 is 14 is 15 degraded 15 degraded 16 by 15 degraded 22 when 16 by 21 pathway 17 a 18 proteasome 17 a 21 pathway 18 proteasome 19 - 18 proteasome 21 pathway 20 mediated 21 pathway 22 when 23 fancj 22 when 25 depleted 23 fancj 24 is 24 is 25 depleted fancj - deficient cells display increased sister chromatid exchange and sensitivity to replication stress . 0 ###LEFT-WALL### 4 cells 0 ###LEFT-WALL### 5 display 0 ###LEFT-WALL### 15 . 1 fancj 2 - 1 fancj 4 cells 3 deficient 4 cells 4 cells 5 display 5 display 10 and 5 display 12 to 6 increased 7 sister 7 sister 9 exchange 8 chromatid 9 exchange 9 exchange 10 and 10 and 11 sensitivity 12 to 14 stress 13 replication 14 stress expression of a fancj c [-] terminal fragment that interacts with blm exerted a dominant negative effect on hydroxyurea resistance by interfering with the fancj - blm interaction . 0 ###LEFT-WALL### 1 expression 0 ###LEFT-WALL### 13 exerted 0 ###LEFT-WALL### 29 . 1 expression 2 of 1 expression 13 exerted 2 of 8 fragment 3 a 8 fragment 4 fancj 5 c 4 fancj 7 terminal 7 terminal 8 fragment 8 fragment 9 that 8 fragment 10 interacts 9 that 10 interacts 10 interacts 11 with 11 with 12 blm 13 exerted 17 effect 13 exerted 21 by 14 a 15 dominant 14 a 17 effect 15 dominant 17 effect 16 negative 17 effect 17 effect 18 on 18 on 20 resistance 19 hydroxyurea 20 resistance 21 by 22 interfering 22 interfering 23 with 23 with 28 interaction 24 the 28 interaction 25 fancj 27 blm 26 - 27 blm 27 blm 28 interaction fancj and blm synergistically unwound a dna [duplex] substrate with sugar phosphate backbone discontinuity , but not [an] ['] undamaged ['] [duplex] . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 5 unwound 0 ###LEFT-WALL### 23 . 1 fancj 2 and 2 and 3 blm 2 and 5 unwound 4 synergistically 5 unwound 5 unwound 16 but 6 a 9 substrate 7 dna 9 substrate 9 substrate 10 with 9 substrate 16 but 10 with 14 discontinuity 11 sugar 14 discontinuity 12 phosphate 13 backbone 13 backbone 14 discontinuity 15 , 16 but 16 but 17 not 16 but 20 undamaged collectively , the results suggest that fancj catalytic activity and its effect on blm protein stability contribute to preservation of genomic stability and a normal response to replication stress . 0 ###LEFT-WALL### 4 results 0 ###LEFT-WALL### 5 suggest 0 ###LEFT-WALL### 30 . 1 collectively 2 , 1 collectively 4 results 3 the 4 results 4 results 5 suggest 5 suggest 6 that 6 that 10 and 6 that 17 contribute 7 fancj 9 activity 8 catalytic 9 activity 9 activity 10 and 10 and 12 effect 10 and 13 on 10 and 17 contribute 11 its 12 effect 13 on 16 stability 14 blm 16 stability 15 protein 16 stability 17 contribute 18 to 17 contribute 27 to 18 to 19 preservation 19 preservation 20 of 20 of 23 and 21 genomic 22 stability 22 stability 23 and 23 and 26 response 24 a 25 normal 24 a 26 response 25 normal 26 response 27 to 29 stress 28 replication 29 stress [none] inflammation arising from various etiologies , including infection , autoimmune disorders , chronic diseases , and aging , can promote anemia . 0 ###LEFT-WALL### 2 inflammation 0 ###LEFT-WALL### 23 . 2 inflammation 3 arising 2 inflammation 12 disorders 2 inflammation 20 can 3 arising 4 from 3 arising 8 including 4 from 6 etiologies 5 various 6 etiologies 7 , 8 including 8 including 9 infection 8 including 10 , 10 , 12 disorders 11 autoimmune 12 disorders 12 disorders 17 and 12 disorders 19 , 13 , 17 and 14 chronic 15 diseases 15 diseases 17 and 16 , 17 and 17 and 18 aging 17 and 19 , 20 can 21 promote 21 promote 22 anemia the anemia of inflammation ( ai ) is most often normocytic and normochromic and is usually mild . 0 ###LEFT-WALL### 2 anemia 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 18 . 1 the 2 anemia 2 anemia 3 of 2 anemia 14 and 3 of 4 inflammation 4 inflammation 6 ai 5 ( 6 ai 6 ai 7 ) 8 is 10 often 8 is 12 and 8 is 14 and 9 most 10 often 11 normocytic 12 and 12 and 13 normochromic 14 and 15 is 15 is 16 usually 15 is 17 mild 16 usually 17 mild characteristic changes in systemic iron handling , erythrocyte production , and erythrocyte life span all contribute to ai . 0 ###LEFT-WALL### 1 characteristic 0 ###LEFT-WALL### 2 changes 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 19 . 1 characteristic 2 changes 2 changes 3 in 2 changes 6 handling 4 systemic 5 iron 5 iron 6 handling 7 , 11 and 7 , 16 contribute 8 erythrocyte 9 production 9 production 11 and 10 , 11 and 11 and 14 span 11 and 16 contribute 12 erythrocyte 14 span 13 life 14 span 15 all 16 contribute 16 contribute 17 to 17 to 18 ai the preferred treatment is directed at the underlying disease . 0 ###LEFT-WALL### 3 treatment 0 ###LEFT-WALL### 5 directed 0 ###LEFT-WALL### 10 . 1 the 3 treatment 2 preferred 3 treatment 3 treatment 4 is 4 is 5 directed 5 directed 6 at 6 at 9 disease 7 the 9 disease 8 underlying 9 disease however , when the inflammatory insult is intractable , [or] the cause has not been diagnosed , there are limited options for treatment of ai . 0 ###LEFT-WALL### 12 cause 0 ###LEFT-WALL### 16 diagnosed 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 26 . 1 however 12 cause 2 , 3 when 3 when 6 insult 3 when 7 is 3 when 9 , 3 when 12 cause 4 the 6 insult 5 inflammatory 6 insult 6 insult 7 is 7 is 8 intractable 11 the 12 cause 12 cause 13 has 13 has 14 not 13 has 15 been 15 been 16 diagnosed 17 , 18 there 17 , 19 are 18 there 19 are 19 are 21 options 20 limited 21 options 21 options 22 for 22 for 23 treatment 23 treatment 24 of 24 of 25 ai because anemia is a comorbid condition that is associated with poor outcomes in various chronic disease states , understanding its pathogenesis and developing new tools for its treatment should remain a priority . 0 ###LEFT-WALL### 7 that 0 ###LEFT-WALL### 9 associated 1 because 2 anemia 1 because 3 is 1 because 7 that 2 anemia 3 is 3 is 6 condition 4 a 6 condition 5 comorbid 6 condition 7 that 8 is 8 is 9 associated 9 associated 10 with 9 associated 13 in 10 with 12 outcomes 11 poor 12 outcomes 13 in 17 states 14 various 16 disease 15 chronic 16 disease 16 disease 17 states 17 states 19 understanding 18 , 19 understanding 19 understanding 22 and 19 understanding 30 remain 19 understanding 33 . 20 its 21 pathogenesis 21 pathogenesis 22 and 22 and 25 tools 22 and 26 for 22 and 29 should 23 developing 25 tools 24 new 25 tools 26 for 28 treatment 27 its 28 treatment 29 should 30 remain 30 remain 32 priority 31 a 32 priority hepcidin [antimicrobial] [peptide] has taken center stage [in] recent years as a potent modulator of iron availability . 0 ###LEFT-WALL### 1 hepcidin 0 ###LEFT-WALL### 5 taken 0 ###LEFT-WALL### 18 . 1 hepcidin 4 has 4 has 5 taken 5 taken 10 years 5 taken 11 as 6 center 10 years 7 stage 10 years 9 recent 10 years 11 as 14 modulator 12 a 13 potent 12 a 14 modulator 13 potent 14 modulator 14 modulator 15 of 15 of 17 availability 16 iron 17 availability as the technology for quantitative hepcidin analysis improves , hepcidin 's role in various disease states is also being revealed . 0 ###LEFT-WALL### 12 role 0 ###LEFT-WALL### 17 is 0 ###LEFT-WALL### 21 . 1 as 3 technology 1 as 8 improves 1 as 9 , 1 as 12 role 2 the 3 technology 3 technology 4 for 3 technology 8 improves 4 for 7 analysis 5 quantitative 6 hepcidin 6 hepcidin 7 analysis 10 hepcidin 11 's 11 's 12 role 12 role 13 in 12 role 17 is 13 in 16 states 14 various 15 disease 15 disease 16 states 17 is 18 also 17 is 20 revealed 19 being 20 revealed recent insights concerning the regulatory pathways that modify hepcidin expression have identified novel targets for drug development . 0 ###LEFT-WALL### 2 insights 0 ###LEFT-WALL### 12 identified 0 ###LEFT-WALL### 18 . 1 recent 2 insights 2 insights 3 concerning 2 insights 11 have 3 concerning 6 pathways 4 the 6 pathways 5 regulatory 6 pathways 6 pathways 7 that 6 pathways 8 modify 7 that 8 modify 8 modify 10 expression 9 hepcidin 10 expression 11 have 12 identified 12 identified 14 targets 13 novel 14 targets 14 targets 15 for 15 for 17 development 16 drug 17 development as the field advances with such therapeutics , the analysis of the impact of normalized hemoglobin on disease outcomes will confirm whether anemia is a reversible independent contributor to the morbidity and mortality associated with inflammatory diseases . 0 ###LEFT-WALL### 32 and 0 ###LEFT-WALL### 34 associated 0 ###LEFT-WALL### 38 . 1 as 3 field 1 as 4 advances 1 as 8 , 1 as 32 and 2 the 3 field 3 field 4 advances 4 advances 5 with 5 with 7 therapeutics 6 such 7 therapeutics 9 the 10 analysis 10 analysis 11 of 10 analysis 32 and 11 of 13 impact 12 the 13 impact 13 impact 14 of 13 impact 29 to 14 of 16 hemoglobin 15 normalized 16 hemoglobin 16 hemoglobin 17 on 17 on 18 disease 18 disease 19 outcomes 18 disease 21 confirm 19 outcomes 20 will 20 will 21 confirm 21 confirm 22 whether 22 whether 23 anemia 22 whether 24 is 23 anemia 24 is 24 is 28 contributor 25 a 28 contributor 26 reversible 28 contributor 27 independent 28 contributor 29 to 31 morbidity 30 the 31 morbidity 32 and 33 mortality 32 and 34 associated 34 associated 35 with 35 with 37 diseases 36 inflammatory 37 diseases anemia is a significant problem in elderly patients . 0 ###LEFT-WALL### 1 anemia 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 9 . 1 anemia 2 is 2 is 5 problem 3 a 4 significant 3 a 5 problem 4 significant 5 problem 5 problem 6 in 6 in 8 patients 7 elderly 8 patients although many anemic elderly patients can be diagnosed with nutritional deficiency , anemia of chronic inflammation or comorbid diseases that explain their decreased hematocrit , the etiology of anemia in a significant fraction remains obscure . 0 ###LEFT-WALL### 5 patients 0 ###LEFT-WALL### 8 diagnosed 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 36 . 1 although 2 many 1 although 5 patients 3 anemic 5 patients 4 elderly 5 patients 5 patients 6 can 6 can 7 be 7 be 8 diagnosed 8 diagnosed 9 with 9 with 11 deficiency 10 nutritional 11 deficiency 11 deficiency 13 anemia 12 , 13 anemia 13 anemia 14 of 13 anemia 25 , 14 of 17 or 15 chronic 16 inflammation 16 inflammation 17 or 17 or 19 diseases 17 or 20 that 17 or 21 explain 18 comorbid 19 diseases 20 that 21 explain 21 explain 24 hematocrit 22 their 24 hematocrit 23 decreased 24 hematocrit 25 , 27 etiology 25 , 34 remains 26 the 27 etiology 27 etiology 28 of 27 etiology 34 remains 28 of 29 anemia 29 anemia 30 in 30 in 33 fraction 31 a 32 significant 31 a 33 fraction 32 significant 33 fraction 34 remains 35 obscure there is evidence to suggest that the hematopoietic stem cell displays increasing erythropoietin ( epo ) [resistance] with age . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 20 . 1 there 2 is 2 is 3 evidence 3 evidence 4 to 3 evidence 11 displays 4 to 5 suggest 5 suggest 6 that 6 that 10 cell 6 that 11 displays 7 the 10 cell 8 hematopoietic 10 cell 9 stem 10 cell 10 cell 11 displays 11 displays 13 erythropoietin 11 displays 18 with 12 increasing 13 erythropoietin 13 erythropoietin 15 epo 14 ( 15 epo 15 epo 16 ) 18 with 19 age epo levels rise in elderly , nonanemic patients , and it is hypothesized that there is an interplay between this rising demand for epo and the decreasing ability of the aging kidney [to] produce adequate hormone to meet that need . 0 ###LEFT-WALL### 2 levels 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 41 . 1 epo 2 levels 2 levels 10 and 3 rise 4 in 3 rise 10 and 4 in 8 patients 5 elderly 6 , 5 elderly 8 patients 7 nonanemic 8 patients 9 , 10 and 10 and 38 meet 11 it 12 is 12 is 13 hypothesized 13 hypothesized 14 that 14 that 15 there 14 that 16 is 15 there 16 is 16 is 28 ability 16 is 37 to 17 an 28 ability 18 interplay 19 between 18 interplay 25 and 19 between 22 demand 20 this 22 demand 21 rising 22 demand 22 demand 23 for 23 for 24 epo 25 and 27 decreasing 25 and 28 ability 26 the 27 decreasing 28 ability 29 of 29 of 36 hormone 30 the 36 hormone 31 aging 32 kidney 32 kidney 36 hormone 34 produce 36 hormone 35 adequate 36 hormone 37 to 38 meet 38 meet 40 need 39 that 40 need there is further considerable evidence that aging is associated with increased proinflammatory cytokine expression and that many of these cytokines can contribute to epo insensitivity . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 26 . 1 there 2 is 2 is 5 evidence 3 further 5 evidence 4 considerable 5 evidence 5 evidence 15 and 6 that 7 aging 6 that 9 associated 6 that 15 and 7 aging 8 is 8 is 9 associated 9 associated 10 with 10 with 14 expression 11 increased 14 expression 12 proinflammatory 14 expression 13 cytokine 14 expression 15 and 16 that 16 that 20 cytokines 16 that 22 contribute 17 many 18 of 17 many 20 cytokines 18 of 20 cytokines 19 these 20 cytokines 20 cytokines 21 can 21 can 22 contribute 22 contribute 23 to 23 to 25 insensitivity 24 epo 25 insensitivity consequently , genetic variation in the expression of these proinflammatory cytokines may influence the development of anemia in elderly patients , both through induction of hepcidin expression ( anemia of inflammation ) and through cytokine suppression of erythroid colony formation . 0 ###LEFT-WALL### 4 variation 0 ###LEFT-WALL### 13 influence 0 ###LEFT-WALL### 41 . 1 consequently 2 , 1 consequently 4 variation 3 genetic 4 variation 4 variation 5 in 4 variation 8 of 4 variation 12 may 5 in 7 expression 6 the 7 expression 8 of 11 cytokines 9 these 11 cytokines 10 proinflammatory 11 cytokines 12 may 13 influence 13 influence 15 development 13 influence 33 and 14 the 15 development 15 development 16 of 16 of 17 anemia 18 in 20 patients 18 in 33 and 19 elderly 20 patients 20 patients 22 both 21 , 22 both 22 both 23 through 22 both 32 ) 23 through 24 induction 24 induction 25 of 24 induction 29 anemia 25 of 27 expression 26 hepcidin 27 expression 28 ( 29 anemia 29 anemia 30 of 29 anemia 32 ) 30 of 31 inflammation 33 and 34 through 34 through 36 suppression 35 cytokine 36 suppression 36 suppression 37 of 37 of 40 formation 38 erythroid 39 colony 39 colony 40 formation the impact of inflammatory mediators , epo insensitivity , and other factors that may act on the hematopoietic stem cell to decrease erythropoiesis are under active study and should serve to elucidate the pathophysiology of this important cause of morbidity and mortality in elderly individuals . 0 ###LEFT-WALL### 41 and 0 ###LEFT-WALL### 46 . 1 the 2 impact 2 impact 3 of 2 impact 10 and 3 of 5 mediators 4 inflammatory 5 mediators 5 mediators 8 insensitivity 6 , 8 insensitivity 7 epo 8 insensitivity 8 insensitivity 9 , 9 , 10 and 10 and 12 factors 10 and 13 that 10 and 14 may 10 and 41 and 11 other 12 factors 13 that 14 may 14 may 28 and 15 act 16 on 15 act 21 to 15 act 25 under 15 act 28 and 16 on 20 cell 17 the 20 cell 18 hematopoietic 19 stem 19 stem 20 cell 21 to 22 decrease 22 decrease 23 erythropoiesis 22 decrease 24 are 23 erythropoiesis 24 are 25 under 27 study 26 active 27 study 28 and 29 should 29 should 30 serve 30 serve 31 to 31 to 32 elucidate 32 elucidate 34 pathophysiology 33 the 34 pathophysiology 34 pathophysiology 35 of 34 pathophysiology 39 of 35 of 38 cause 36 this 38 cause 37 important 38 cause 39 of 40 morbidity 41 and 42 mortality 41 and 43 in 43 in 45 individuals 44 elderly 45 individuals a better understanding of the pathophysiology of anemia in elderly patients should provide critical entry points for interventions that will improve survival and quality of life in the aging population . 0 ###LEFT-WALL### 3 understanding 0 ###LEFT-WALL### 13 provide 0 ###LEFT-WALL### 31 . 1 a 3 understanding 2 better 3 understanding 3 understanding 4 of 3 understanding 7 of 3 understanding 12 should 4 of 6 pathophysiology 5 the 6 pathophysiology 7 of 8 anemia 8 anemia 9 in 9 in 11 patients 10 elderly 11 patients 12 should 13 provide 13 provide 16 points 13 provide 17 for 13 provide 27 in 14 critical 16 points 15 entry 16 points 17 for 18 interventions 18 interventions 19 that 18 interventions 20 will 19 that 20 will 20 will 21 improve 21 improve 23 and 22 survival 23 and 23 and 24 quality 24 quality 25 of 25 of 26 life 27 in 30 population 28 the 30 population 29 aging 30 population conventional allogeneic hematopoietic cell transplantation ( allo - hct ) is a potentially curative treatment option for various hematological diseases due , in part to high - dose conditioning [and] , in part [,] to graft [-] versus [-] tumor effects . 0 ###LEFT-WALL### 5 transplantation 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 42 . 1 conventional 5 transplantation 2 allogeneic 4 cell 3 hematopoietic 4 cell 4 cell 5 transplantation 5 transplantation 7 allo 5 transplantation 9 hct 5 transplantation 11 is 6 ( 7 allo 7 allo 8 - 8 - 9 hct 9 hct 10 ) 11 is 16 option 12 a 16 option 13 potentially 14 curative 14 curative 15 treatment 15 treatment 16 option 16 option 17 for 17 for 20 diseases 18 various 20 diseases 19 hematological 20 diseases 20 diseases 21 due 21 due 25 to 21 due 33 part 22 , 24 part 22 , 25 to 23 in 24 part 25 to 29 conditioning 25 to 31 , 26 high 27 - 26 high 28 dose 28 dose 29 conditioning 32 in 33 part 33 part 35 to 35 to 36 graft 36 graft 38 versus 38 versus 41 effects 40 tumor 41 effects reduced - intensity [or] [non] [-] myeloablative conditioning regimens have relied mostly on graft - [versus] [-] tumor effects for disease control , and their advent has allowed relatively older [and] medically infirm patients to be offered allo - hct . 0 ###LEFT-WALL### 9 regimens 0 ###LEFT-WALL### 11 relied 0 ###LEFT-WALL### 15 - 0 ###LEFT-WALL### 37 offered 0 ###LEFT-WALL### 41 . 1 reduced 2 - 1 reduced 9 regimens 3 intensity 9 regimens 7 myeloablative 9 regimens 8 conditioning 9 regimens 9 regimens 10 have 10 have 11 relied 11 relied 12 mostly 12 mostly 13 on 13 on 14 graft 15 - 19 effects 15 - 24 and 18 tumor 19 effects 19 effects 20 for 20 for 22 control 21 disease 22 control 23 , 24 and 24 and 26 advent 24 and 28 allowed 25 their 26 advent 26 advent 27 has 27 has 28 allowed 28 allowed 34 patients 28 allowed 35 to 29 relatively 30 older 30 older 34 patients 32 medically 33 infirm 33 infirm 34 patients 35 to 36 be 36 be 37 offered 37 offered 40 hct 38 allo 39 - 38 allo 40 hct however , both hct modalities have been associated with organ toxicities and graft - [versus] - host disease , resulting in substantial [non] - relapse mortality . 0 ###LEFT-WALL### 5 modalities 0 ###LEFT-WALL### 8 associated 0 ###LEFT-WALL### 27 . 1 however 2 , 1 however 5 modalities 3 both 5 modalities 4 hct 5 modalities 5 modalities 6 have 6 have 7 been 7 been 8 associated 8 associated 9 with 9 with 12 and 9 with 20 resulting 10 organ 11 toxicities 11 toxicities 12 and 12 and 13 graft 12 and 14 - 12 and 18 disease 16 - 18 disease 17 host 18 disease 18 disease 19 , 20 resulting 21 in 21 in 26 mortality 22 substantial 24 - 22 substantial 25 relapse 25 relapse 26 mortality it has become [increasingly] important to optimize pre - transplant risk assessment in order to improve hct decision making and clinical trial assignments . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 become 0 ###LEFT-WALL### 24 . 1 it 2 has 2 has 3 become 3 become 23 assignments 5 important 6 to 5 important 7 optimize 5 important 20 and 6 to 7 optimize 7 optimize 12 assessment 7 optimize 13 in 8 pre 9 - 8 pre 10 transplant 10 transplant 12 assessment 11 risk 12 assessment 13 in 14 order 14 order 15 to 14 order 16 improve 15 to 16 improve 16 improve 19 making 17 hct 19 making 18 decision 19 making 20 and 21 clinical 20 and 23 assignments 22 trial 23 assignments single - organ comorbidity involving liver , lung , heart , or kidney before hct has been traditionally found to cause organ toxicity after hct . 0 ###LEFT-WALL### 12 or 0 ###LEFT-WALL### 19 found 0 ###LEFT-WALL### 26 . 1 single 2 - 1 single 4 comorbidity 3 organ 4 comorbidity 4 comorbidity 5 involving 4 comorbidity 7 , 5 involving 6 liver 7 , 8 lung 7 , 9 , 9 , 10 heart 9 , 12 or 11 , 12 or 12 or 13 kidney 12 or 14 before 12 or 16 has 14 before 15 hct 16 has 17 been 17 been 19 found 18 traditionally 19 found 19 found 20 to 20 to 21 cause 21 cause 23 toxicity 21 cause 24 after 22 organ 23 toxicity 24 after 25 hct recent efforts have resulted in the advent of a weighted scoring system that could sensitively capture multiple - organ comorbidities prior to hct . 0 ###LEFT-WALL### 1 recent 0 ###LEFT-WALL### 4 resulted 0 ###LEFT-WALL### 24 . 1 recent 2 efforts 1 recent 3 have 1 recent 4 resulted 2 efforts 3 have 4 resulted 5 in 4 resulted 22 to 5 in 7 advent 6 the 7 advent 7 advent 8 of 8 of 12 system 9 a 12 system 10 weighted 12 system 11 scoring 12 system 12 system 13 that 12 system 16 capture 13 that 14 could 14 could 16 capture 15 sensitively 16 capture 16 capture 20 comorbidities 17 multiple 18 - 17 multiple 19 organ 19 organ 20 comorbidities 21 prior 22 to 22 to 23 hct the hct - comorbidity [index] ( hct - ci ) has provided better prediction of hct - related morbidity and mortality than [other] [non] - hct - specific indices . 0 ###LEFT-WALL### 2 hct 0 ###LEFT-WALL### 12 provided 0 ###LEFT-WALL### 18 related 1 the 2 hct 2 hct 4 comorbidity 2 hct 11 has 3 - 4 comorbidity 4 comorbidity 7 hct 4 comorbidity 10 ) 6 ( 7 hct 7 hct 9 ci 7 hct 10 ) 8 - 9 ci 9 ci 10 ) 11 has 12 provided 12 provided 14 prediction 13 better 14 prediction 14 prediction 15 of 15 of 16 hct 17 - 18 related 18 related 20 and 18 related 22 than 18 related 27 - 19 morbidity 20 and 20 and 21 mortality 25 - 27 - 26 hct 27 - 27 - 29 indices 27 - 30 . 28 specific 29 indices subsequent studies , with the exception of a few studies with modest numbers of patients , have confirmed the prognostic importance of the hct - ci . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 18 confirmed 0 ###LEFT-WALL### 25 - 1 subsequent 2 studies 2 studies 4 with 2 studies 17 have 3 , 4 with 4 with 6 exception 4 with 11 with 4 with 16 , 5 the 6 exception 6 exception 7 of 7 of 10 studies 8 a 9 few 9 few 10 studies 11 with 15 patients 12 modest 13 numbers 13 numbers 14 of 13 numbers 15 patients 14 of 15 patients 17 have 18 confirmed 18 confirmed 21 importance 19 the 21 importance 20 prognostic 21 importance 21 importance 22 of 22 of 24 hct 23 the 24 hct 25 - 26 ci 25 - 27 . further , the hct [-] ci has been consolidated with various disease - specific and patient - specific risk factors to refine assignments of patients to the appropriate hct setting . 0 ###LEFT-WALL### 6 ci 0 ###LEFT-WALL### 9 consolidated 0 ###LEFT-WALL### 31 . 1 further 2 , 1 further 6 ci 3 the 6 ci 4 hct 6 ci 6 ci 7 has 7 has 8 been 8 been 9 consolidated 9 consolidated 10 with 9 consolidated 21 to 10 with 12 disease 10 with 20 factors 11 various 12 disease 12 disease 15 and 13 - 15 and 14 specific 15 and 15 and 16 patient 15 and 17 - 18 specific 20 factors 19 risk 20 factors 21 to 22 refine 22 refine 23 assignments 23 assignments 24 of 23 assignments 26 to 24 of 25 patients 26 to 30 setting 27 the 30 setting 28 appropriate 30 setting 29 hct 30 setting ongoing studies are addressing prospective validation of the hct - ci , furthering our understanding of biological aging , and enhancing the applicability of the hct - ci comorbidity coding . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 are 1 ongoing 2 studies 2 studies 3 are 3 are 4 addressing 4 addressing 6 validation 4 addressing 13 furthering 5 prospective 6 validation 6 validation 7 of 7 of 9 hct 8 the 9 hct 9 hct 11 ci 10 - 11 ci 11 ci 12 , 12 , 13 furthering 13 furthering 20 and 13 furthering 23 applicability 13 furthering 31 . 14 our 15 understanding 15 understanding 16 of 15 understanding 20 and 16 of 18 aging 17 biological 18 aging 19 , 20 and 20 and 21 enhancing 22 the 23 applicability 23 applicability 24 of 24 of 26 hct 25 the 26 hct 26 hct 29 comorbidity 27 - 29 comorbidity 28 ci 29 comorbidity 29 comorbidity 30 coding 29 comorbidity 31 . future knowledge of the impacts of multiple comorbidities on post [-] hct toxicities might guide new prophylactic and therapeutic interventions to lessen the procedure 's mortality . 0 ###LEFT-WALL### 2 knowledge 0 ###LEFT-WALL### 15 guide 0 ###LEFT-WALL### 27 . 1 future 2 knowledge 2 knowledge 3 of 2 knowledge 14 might 3 of 5 impacts 4 the 5 impacts 5 impacts 6 of 5 impacts 12 hct 5 impacts 13 toxicities 6 of 8 comorbidities 7 multiple 8 comorbidities 8 comorbidities 9 on 9 on 10 post 12 hct 13 toxicities 14 might 15 guide 15 guide 20 interventions 15 guide 21 to 16 new 20 interventions 17 prophylactic 18 and 18 and 19 therapeutic 18 and 20 interventions 21 to 22 lessen 22 lessen 26 mortality 23 the 24 procedure 24 procedure 25 's 25 's 26 mortality many of the complications of hemophilia , including intracranial hemorrhage , joint disease , and inhibitor development , increase with increasing age . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 23 . 1 many 2 of 1 many 5 of 1 many 15 and 2 of 4 complications 3 the 4 complications 5 of 6 hemophilia 6 hemophilia 8 including 7 , 8 including 8 including 10 hemorrhage 8 including 14 , 9 intracranial 10 hemorrhage 10 hemorrhage 13 disease 11 , 13 disease 12 joint 13 disease 13 disease 14 , 15 and 17 development 16 inhibitor 17 development 18 , 19 increase 19 increase 20 with 20 with 21 increasing 21 increasing 22 age hepatocellular carcinoma and end - stage liver disease [are] increasing in the older hemophilia population due to infection with hepatitis c ( hcv ) and hcv/hiv coinfection . 0 ###LEFT-WALL### 25 and 0 ###LEFT-WALL### 28 . 1 hepatocellular 2 carcinoma 2 carcinoma 3 and 3 and 4 end 3 and 8 disease 3 and 25 and 5 - 8 disease 6 stage 7 liver 7 liver 8 disease 8 disease 10 increasing 8 disease 11 in 8 disease 23 hcv 8 disease 24 ) 11 in 15 population 12 the 15 population 13 older 14 hemophilia 14 hemophilia 15 population 15 population 17 to 16 due 17 to 17 to 18 infection 18 infection 19 with 19 with 20 hepatitis 20 hepatitis 21 c 22 ( 23 hcv 23 hcv 24 ) 25 and 27 coinfection 26 hcv/hiv 27 coinfection older hemophilia patients also now face the same medical conditions associated with aging in the general population , including cardiovascular disease and cancer . 0 ###LEFT-WALL### 3 patients 0 ###LEFT-WALL### 6 face 0 ###LEFT-WALL### 24 . 1 older 2 hemophilia 2 hemophilia 3 patients 3 patients 6 face 4 also 6 face 5 now 6 face 6 face 22 and 7 the 8 same 8 same 10 conditions 9 medical 10 conditions 10 conditions 11 associated 10 conditions 12 with 10 conditions 18 , 12 with 13 aging 13 aging 14 in 14 in 17 population 15 the 17 population 16 general 17 population 18 , 21 disease 18 , 22 and 19 including 21 disease 20 cardiovascular 21 disease 22 and 23 cancer complex hemostatic management , sometimes in conjunction with antithrombotic management , [with] extensive [cross] - specialty clinical and laboratory coordination may be required for the care of the older hemophilia patient . 0 ###LEFT-WALL### 1 complex 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 32 . 1 complex 3 management 2 hemostatic 3 management 4 , 20 coordination 4 , 23 required 5 sometimes 20 coordination 6 in 7 conjunction 7 conjunction 8 with 8 with 10 management 8 with 11 , 8 with 20 coordination 9 antithrombotic 10 management 13 extensive 15 - 13 extensive 20 coordination 16 specialty 20 coordination 17 clinical 18 and 18 and 19 laboratory 18 and 20 coordination 20 coordination 21 may 21 may 22 be 22 be 23 required 23 required 24 for 24 for 26 care 25 the 26 care 26 care 27 of 27 of 31 patient 28 the 31 patient 29 older 30 hemophilia 30 hemophilia 31 patient because elderly hemophilia patients currently represent a small portion of the overall hemophilia population , there is little in the way of clinical data to guide recommendations . 0 ###LEFT-WALL### 16 there 0 ###LEFT-WALL### 17 is 0 ###LEFT-WALL### 28 . 1 because 4 patients 1 because 6 represent 1 because 15 , 1 because 16 there 2 elderly 4 patients 3 hemophilia 4 patients 4 patients 6 represent 5 currently 6 represent 6 represent 9 portion 7 a 9 portion 8 small 9 portion 9 portion 10 of 10 of 14 population 11 the 14 population 12 overall 13 hemophilia 13 hemophilia 14 population 16 there 17 is 17 is 18 little 18 little 19 in 19 in 21 way 20 the 21 way 21 way 22 of 21 way 25 to 21 way 26 guide 22 of 24 data 23 clinical 24 data 25 to 26 guide 26 guide 27 recommendations registry databases and cooperative group studies are needed for the development of evidence - based guidelines for the older hemophilia population , which is anticipated to expand in the future . 0 ###LEFT-WALL### 1 registry 0 ###LEFT-WALL### 2 databases 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 31 . 1 registry 2 databases 3 and 6 studies 3 and 27 expand 4 cooperative 5 group 5 group 6 studies 6 studies 7 are 7 are 8 needed 8 needed 9 for 8 needed 26 to 9 for 11 development 10 the 11 development 11 development 12 of 11 development 23 which 11 development 24 is 12 of 13 evidence 13 evidence 16 guidelines 14 - 16 guidelines 15 based 16 guidelines 16 guidelines 17 for 16 guidelines 22 , 17 for 21 population 18 the 21 population 19 older 20 hemophilia 20 hemophilia 21 population 23 which 24 is 24 is 25 anticipated 26 to 27 expand 27 expand 28 in 28 in 30 future 29 the 30 future acute lymphoblastic leukemia ( all ) [in] [adults] is a rare disease . 0 ###LEFT-WALL### 3 leukemia 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 13 . 1 acute 3 leukemia 2 lymphoblastic 3 leukemia 3 leukemia 5 all 3 leukemia 9 is 4 ( 5 all 5 all 6 ) 9 is 12 disease 10 a 11 rare 10 a 12 disease 11 rare 12 disease the results of therapy remain unsatisfactory , and progress has been relatively slow . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 5 remain 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 14 . 1 the 2 results 2 results 3 of 2 results 5 remain 3 of 4 therapy 5 remain 6 unsatisfactory 7 , 8 and 8 and 9 progress 8 and 11 been 9 progress 10 has 10 has 11 been 11 been 13 slow 12 relatively 13 slow this article will focus on curative therapy in patients aged 30 to 60 years , but will also discuss the management of elderly patients with all . 0 ###LEFT-WALL### 4 focus 0 ###LEFT-WALL### 16 but 0 ###LEFT-WALL### 27 . 1 this 4 focus 2 article 3 will 3 will 4 focus 4 focus 5 on 4 focus 16 but 5 on 7 therapy 6 curative 7 therapy 7 therapy 8 in 8 in 9 patients 10 aged 14 years 10 aged 16 but 11 30 12 to 12 to 13 60 12 to 14 years 15 , 16 but 16 but 17 will 17 will 19 discuss 18 also 19 discuss 19 discuss 21 management 19 discuss 25 with 20 the 21 management 21 management 22 of 22 of 24 patients 23 elderly 24 patients 25 with 26 all recent large trials have increased our knowledge of [the] factors that [determine] outcome , and have clarified the role of blood and marrow transplantation in the management of this disease . 0 ###LEFT-WALL### 1 recent 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 31 . 1 recent 3 trials 1 recent 8 of 1 recent 15 and 2 large 3 trials 3 trials 4 have 4 have 5 increased 5 increased 7 knowledge 6 our 7 knowledge 7 knowledge 8 of 10 factors 13 outcome 10 factors 15 and 11 that 13 outcome 14 , 15 and 15 and 16 have 16 have 17 clarified 17 clarified 19 role 17 clarified 25 in 18 the 19 role 19 role 20 of 20 of 22 and 21 blood 22 and 22 and 24 transplantation 23 marrow 24 transplantation 25 in 27 management 26 the 27 management 27 management 28 of 28 of 30 disease 29 this 30 disease these trials have also highlighted the major issues we need to focus on if we are to improve outcomes . 0 ###LEFT-WALL### 2 trials 0 ###LEFT-WALL### 10 need 0 ###LEFT-WALL### 20 . 1 these 2 trials 2 trials 3 have 3 have 5 highlighted 4 also 5 highlighted 5 highlighted 8 issues 6 the 8 issues 7 major 8 issues 8 issues 9 we 8 issues 10 need 9 we 10 need 10 need 11 to 10 need 12 focus 11 to 12 focus 12 focus 13 on 13 on 14 if 14 if 15 we 14 if 16 are 15 we 16 are 16 are 17 to 17 to 18 improve 18 improve 19 outcomes this article describes the results of chemotherapy and blood and marrow transplantation for philadelphia chromosome negative and positive adult all in the " older " adult patient , but also critically examines the major controversies and [suggests] how they might be resolved . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 29 but 0 ###LEFT-WALL### 42 resolved 0 ###LEFT-WALL### 43 . 1 this 2 article 2 article 29 but 3 describes 10 and 3 describes 13 for 3 describes 21 in 3 describes 29 but 4 the 10 and 5 results 6 of 5 results 10 and 6 of 8 and 7 chemotherapy 8 and 8 and 9 blood 10 and 12 transplantation 11 marrow 12 transplantation 13 for 20 all 14 philadelphia 20 all 15 chromosome 20 all 16 negative 17 and 17 and 18 positive 17 and 19 adult 19 adult 20 all 21 in 27 patient 22 the 23 " 22 the 27 patient 24 older 25 " 24 older 27 patient 26 adult 27 patient 28 , 29 but 29 but 32 examines 30 also 32 examines 31 critically 32 examines 32 examines 36 and 32 examines 42 resolved 33 the 35 controversies 34 major 35 controversies 35 controversies 36 and 36 and 38 how 36 and 39 they 36 and 41 be 36 and 42 resolved 39 they 40 might 40 might 41 be the role of allografting in adult all is comprehensively discussed . 0 ###LEFT-WALL### 2 role 0 ###LEFT-WALL### 10 discussed 0 ###LEFT-WALL### 11 . 1 the 2 role 2 role 3 of 2 role 8 is 3 of 4 allografting 4 allografting 5 in 5 in 7 all 6 adult 7 all 8 is 10 discussed 9 comprehensively 10 discussed results of recent studies on t - cell all and reduced [-] intensity allografting are reviewed . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 16 reviewed 0 ###LEFT-WALL### 17 . 1 results 10 and 2 of 4 studies 2 of 7 - 2 of 10 and 3 recent 4 studies 4 studies 5 on 5 on 6 t 8 cell 9 all 9 all 10 and 10 and 14 allografting 10 and 15 are 11 reduced 13 intensity 13 intensity 14 allografting 15 are 16 reviewed a better understanding of the biology of the disease ( including gene profiling ) may allow individualization of therapy [and] , in time , targeted therapy . 0 ###LEFT-WALL### 3 understanding 0 ###LEFT-WALL### 16 allow 0 ###LEFT-WALL### 27 . 1 a 3 understanding 2 better 3 understanding 3 understanding 4 of 3 understanding 15 may 4 of 6 biology 5 the 6 biology 6 biology 7 of 7 of 9 disease 8 the 9 disease 9 disease 11 including 10 ( 11 including 11 including 13 profiling 11 including 14 ) 12 gene 13 profiling 15 may 16 allow 16 allow 17 individualization 16 allow 26 therapy 17 individualization 18 of 17 individualization 25 targeted 18 of 19 therapy 19 therapy 22 in 21 , 22 in 22 in 23 time 22 in 24 , the availability of dermal fillers for multiple cosmetic indications has led to a dramatic increase in their application . 0 ###LEFT-WALL### 2 availability 0 ###LEFT-WALL### 11 led 0 ###LEFT-WALL### 19 . 1 the 2 availability 2 availability 3 of 2 availability 10 has 3 of 5 fillers 4 dermal 5 fillers 5 fillers 6 for 6 for 9 indications 7 multiple 9 indications 8 cosmetic 9 indications 10 has 11 led 11 led 12 to 11 led 16 in 12 to 15 increase 13 a 14 dramatic 13 a 15 increase 14 dramatic 15 increase 16 in 18 application 17 their 18 application although fillers are generally regarded as safe tools for soft tissue augmentation , complications can occur . 0 ###LEFT-WALL### 14 complications 0 ###LEFT-WALL### 16 occur 0 ###LEFT-WALL### 17 . 1 although 2 fillers 1 although 5 regarded 1 although 13 , 1 although 14 complications 2 fillers 3 are 3 are 4 generally 3 are 5 regarded 5 regarded 6 as 6 as 8 tools 7 safe 8 tools 8 tools 9 for 9 for 12 augmentation 10 soft 11 tissue 11 tissue 12 augmentation 14 complications 15 can 15 can 16 occur therefore , [to] describe [and] review the complications associated with the currently [-] available dermal filling agents , the authors conducted [a] literature review in peer - reviewed journals and present the reported complication rates . 0 ###LEFT-WALL### 4 describe 1 therefore 2 , 1 therefore 4 describe 4 describe 6 review 4 describe 10 with 6 review 8 complications 6 review 9 associated 7 the 8 complications 8 complications 9 associated 10 with 17 agents 11 the 17 agents 12 currently 14 available 14 available 16 filling 15 dermal 16 filling 16 filling 17 agents 17 agents 24 review 18 , 24 review 19 the 24 review 20 authors 21 conducted 21 conducted 23 literature 23 literature 24 review 24 review 25 in 24 review 30 and 24 review 36 . 25 in 26 peer 27 - 30 and 28 reviewed 29 journals 29 journals 30 and 30 and 31 present 30 and 34 complication 30 and 35 rates 30 and 36 . 32 the 34 complication 33 reported 34 complication 34 complication 35 rates they also describe current strategies to avoid , diagnose , [and] manage complications if they do occur . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 18 . 1 they 8 , 2 also 3 describe 3 describe 5 strategies 3 describe 8 , 4 current 5 strategies 5 strategies 6 to 5 strategies 7 avoid 6 to 7 avoid 8 , 9 diagnose 10 , 12 manage 12 manage 13 complications 12 manage 14 if 14 if 15 they 14 if 17 occur 15 they 16 do 16 do 17 occur background : characteristics of the aging face include soft tissue atrophy , loss of skin elasticity resulting in excess facial skin , and gravitational descent or ptosis of facial soft tissues . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 1 background 2 : 2 : 26 or 3 characteristics 4 of 3 characteristics 23 and 4 of 11 atrophy 5 the 11 atrophy 6 aging 7 face 7 face 11 atrophy 8 include 11 atrophy 9 soft 10 tissue 10 tissue 11 atrophy 11 atrophy 13 loss 12 , 13 loss 13 loss 14 of 13 loss 17 resulting 13 loss 22 , 14 of 16 elasticity 15 skin 16 elasticity 17 resulting 18 in 18 in 21 skin 19 excess 21 skin 20 facial 21 skin 23 and 25 descent 23 and 26 or 24 gravitational 25 descent 26 or 27 ptosis 26 or 28 of 28 of 31 tissues 29 facial 31 tissues 30 soft 31 tissues poly - l - lactic acid ( plla ) is a synthetic biodegradable polymer that provides soft tissue augmentation through stimulation of an inflammatory tissue response with subsequent collagen deposition . 0 ###LEFT-WALL### 1 poly 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 31 . 1 poly 3 l 1 poly 6 acid 1 poly 10 is 2 - 3 l 3 l 4 - 4 - 6 acid 5 lactic 6 acid 6 acid 8 plla 6 acid 9 ) 7 ( 8 plla 8 plla 9 ) 10 is 14 polymer 11 a 12 synthetic 11 a 14 polymer 12 synthetic 14 polymer 13 biodegradable 14 polymer 14 polymer 15 that 14 polymer 16 provides 15 that 16 provides 16 provides 19 augmentation 16 provides 20 through 16 provides 27 with 17 soft 18 tissue 18 tissue 19 augmentation 20 through 21 stimulation 21 stimulation 22 of 22 of 26 response 23 an 26 response 24 inflammatory 26 response 25 tissue 26 response 27 with 30 deposition 28 subsequent 29 collagen 29 collagen 30 deposition objective : the authors discuss the special considerations inherent in facial aging , describe the mechanism of action and indications for a new plla filler under consideration for food and drug administration ( fda ) approval ( sculptra aesthetic , sanofi - aventis us , bridgewater , new jersey ) , and detail [the] results of a two [-] year [off] - label pilot study with the product . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 4 authors 3 the 4 authors 4 authors 13 , 5 discuss 8 considerations 5 discuss 13 , 6 the 8 considerations 7 special 8 considerations 8 considerations 9 inherent 8 considerations 12 aging 9 inherent 10 in 10 in 11 facial 13 , 14 describe 13 , 21 for 13 , 25 filler 14 describe 16 mechanism 15 the 16 mechanism 16 mechanism 17 of 17 of 19 and 18 action 19 and 19 and 20 indications 21 for 24 plla 22 a 23 new 22 a 24 plla 23 new 24 plla 25 filler 26 under 26 under 36 approval 27 consideration 28 for 27 consideration 30 and 28 for 29 food 30 and 31 drug 30 and 36 approval 32 administration 34 fda 33 ( 34 fda 34 fda 35 ) 34 fda 36 approval 36 approval 39 aesthetic 36 approval 42 - 37 ( 39 aesthetic 38 sculptra 39 aesthetic 39 aesthetic 40 , 40 , 42 - 41 sanofi 42 - 42 - 52 and 43 aventis 44 us 44 us 45 , 45 , 46 bridgewater 45 , 52 and 46 bridgewater 49 jersey 47 , 49 jersey 48 new 49 jersey 49 jersey 50 ) 51 , 52 and 52 and 55 results 53 detail 55 results 55 results 56 of 56 of 60 year 57 a 60 year 58 two 60 year 60 year 65 study 62 - 65 study 63 label 64 pilot 64 pilot 65 study 65 study 66 with 65 study 69 . 66 with 68 product 67 the 68 product methods : the senior author ( lac ) treated 106 patients with plla in an [off] [-] label indication , as part of a pilot study while sculptra aesthetic was being evaluated for fda approval for cosmetic indications . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 evaluated 0 ###LEFT-WALL### 39 . 2 : 5 author 2 : 9 treated 2 : 20 , 3 the 5 author 4 senior 5 author 5 author 7 lac 5 author 9 treated 6 ( 7 lac 7 lac 8 ) 9 treated 11 patients 9 treated 12 with 9 treated 14 in 10 106 11 patients 12 with 13 plla 14 in 19 indication 15 an 19 indication 18 label 19 indication 20 , 29 aesthetic 20 , 30 was 21 as 22 part 21 as 29 aesthetic 22 part 23 of 23 of 26 study 24 a 26 study 25 pilot 26 study 27 while 28 sculptra 27 while 29 aesthetic 29 aesthetic 30 was 30 was 31 being 31 being 32 evaluated 32 evaluated 33 for 33 for 35 approval 34 fda 35 approval 35 approval 36 for 36 for 38 indications 37 cosmetic 38 indications all patients were followed up for two years to help develop a protocol for injection technique . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 4 followed 0 ###LEFT-WALL### 17 . 1 all 2 patients 2 patients 3 were 3 were 4 followed 4 followed 5 up 4 followed 6 for 4 followed 9 to 6 for 8 years 7 two 8 years 9 to 10 help 10 help 11 develop 11 develop 13 protocol 12 a 13 protocol 13 protocol 14 for 14 for 16 technique 15 injection 16 technique results : the age range of patients in this series was 40 to 78 years . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 range 2 : 11 was 2 : 16 . 3 the 5 range 4 age 5 range 5 range 6 of 5 range 11 was 6 of 7 patients 7 patients 8 in 8 in 10 series 9 this 10 series 11 was 15 years 12 40 13 to 13 to 14 78 13 to 15 years three patients were male and 103 were female . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 9 . 1 three 2 patients 2 patients 3 were 3 were 4 male 5 and 6 103 5 and 7 were 6 103 7 were 7 were 8 female patients received an average injection of 1.6 vials per session , over an average of 2.3 sessions , to achieve volume restoration in the tear trough , midface , malar region , nasolabial folds , prejowl area , mandibular border , and mandibular angle . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 2 received 0 ###LEFT-WALL### 27 , 0 ###LEFT-WALL### 45 . 1 patients 2 received 2 received 5 injection 2 received 12 over 2 received 19 to 3 an 5 injection 4 average 5 injection 5 injection 6 of 6 of 8 vials 7 1.6 8 vials 8 vials 9 per 9 per 10 session 11 , 12 over 12 over 14 average 12 over 18 , 13 an 14 average 14 average 15 of 15 of 17 sessions 16 2.3 17 sessions 18 , 19 to 19 to 20 achieve 19 to 27 , 20 achieve 22 restoration 20 achieve 23 in 21 volume 22 restoration 23 in 26 trough 24 the 26 trough 25 tear 26 trough 27 , 42 and 28 midface 29 , 29 , 31 region 29 , 32 , 30 malar 31 region 32 , 34 folds 32 , 35 , 33 nasolabial 34 folds 35 , 37 area 35 , 38 , 36 prejowl 37 area 38 , 40 border 38 , 42 and 39 mandibular 40 border 41 , 42 and 42 and 44 angle 43 mandibular 44 angle the authors we achieved 100 % follow - up with 99.1 % patient satisfaction . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 7 follow 0 ###LEFT-WALL### 8 - 1 the 2 authors 2 authors 3 we 2 authors 4 achieved 2 authors 7 follow 3 we 4 achieved 4 achieved 6 % 5 100 6 % 8 - 9 up 8 - 15 . 9 up 10 with 9 up 14 satisfaction 10 with 12 % 11 99.1 12 % 13 patient 14 satisfaction the rate of nodule formation was 4.7 % at a minimum follow - [up] [of] two years . 0 ###LEFT-WALL### 2 rate 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 18 . 1 the 2 rate 2 rate 3 of 2 rate 6 was 3 of 5 formation 4 nodule 5 formation 6 was 17 years 7 4.7 8 % 7 4.7 13 - 8 % 9 at 8 % 12 follow 9 at 11 minimum 10 a 11 minimum 13 - 16 two 13 - 17 years conclusions : because of its unique mechanism of action , plla for nonsurgical facial rejuvenation requires meticulous injection technique with special considerations for optimizing outcomes and minimizing adverse events . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 30 . 1 conclusions 2 : 2 : 4 of 3 because 4 of 4 of 7 mechanism 5 its 7 mechanism 6 unique 7 mechanism 7 mechanism 8 of 8 of 9 action 10 , 11 plla 10 , 16 requires 11 plla 12 for 11 plla 16 requires 12 for 15 rejuvenation 13 nonsurgical 15 rejuvenation 14 facial 15 rejuvenation 16 requires 19 technique 17 meticulous 18 injection 18 injection 19 technique 19 technique 20 with 19 technique 23 for 20 with 22 considerations 21 special 22 considerations 23 for 24 optimizing 24 optimizing 26 and 25 outcomes 26 and 26 and 29 events 27 minimizing 29 events 28 adverse 29 events background : hollow temples are a common sign of aging , contributing to the upper face appearing " pinched " and the brows appearing short and ptotic . 1 background 2 : 2 : 3 hollow 3 hollow 4 temples 3 hollow 10 aging 4 temples 5 are 5 are 8 sign 6 a 8 sign 7 common 8 sign 8 sign 9 of 9 of 10 aging 10 aging 12 contributing 11 , 12 contributing 12 contributing 13 to 12 contributing 28 . 13 to 21 and 14 the 16 face 15 upper 16 face 16 face 17 appearing 16 face 19 pinched 16 face 21 and 17 appearing 18 " 19 pinched 20 " 21 and 23 brows 22 the 23 brows 23 brows 24 appearing 24 appearing 26 and 25 short 26 and 26 and 27 ptotic many treatments have been described for this area [,] including fat injections and implants . 0 ###LEFT-WALL### 2 treatments 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 15 . 1 many 2 treatments 2 treatments 13 and 3 have 4 been 3 have 13 and 4 been 5 described 5 described 6 for 6 for 8 area 7 this 8 area 8 area 10 including 10 including 12 injections 11 fat 12 injections 13 and 14 implants however , traditional injection techniques have not proven entirely satisfactory in correcting the problem without resulting irregularities . 0 ###LEFT-WALL### 5 techniques 0 ###LEFT-WALL### 8 proven 0 ###LEFT-WALL### 18 . 1 however 2 , 1 however 5 techniques 3 traditional 4 injection 4 injection 5 techniques 5 techniques 6 have 6 have 7 not 6 have 8 proven 8 proven 9 entirely 8 proven 10 satisfactory 10 satisfactory 11 in 11 in 12 correcting 12 correcting 14 problem 12 correcting 15 without 13 the 14 problem 15 without 17 irregularities 16 resulting 17 irregularities objectives : the author describes a technical refinement wherein diluted hyaluronic acid ( ha ) fillers are injected into the temple . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 4 author 2 : 5 describes 2 : 22 . 3 the 4 author 4 author 5 describes 5 describes 8 refinement 5 describes 9 wherein 6 a 7 technical 6 a 8 refinement 7 technical 8 refinement 9 wherein 16 fillers 9 wherein 18 injected 10 diluted 16 fillers 11 hyaluronic 16 fillers 12 acid 14 ha 12 acid 16 fillers 13 ( 14 ha 14 ha 15 ) 16 fillers 17 are 17 are 18 injected 18 injected 19 into 19 into 21 temple 20 the 21 temple methods : thus far , a series of 40 patients has been treated over 18 months with the author 's technique , which involves diluting the ha filler by a ratio of approximately two to one ( diluent to filler ) [and] injecting the temple as evenly as possible . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 , 1 methods 2 : 2 : 3 thus 2 : 4 far 5 , 7 series 5 , 13 treated 6 a 7 series 7 series 8 of 7 series 11 has 8 of 10 patients 9 40 10 patients 11 has 12 been 12 been 13 treated 13 treated 14 over 13 treated 17 with 14 over 16 months 15 18 16 months 17 with 21 technique 18 the 19 author 19 author 20 's 20 's 21 technique 21 technique 23 which 22 , 23 which 23 which 24 involves 23 which 50 . 24 involves 25 diluting 25 diluting 28 filler 26 the 28 filler 27 ha 28 filler 28 filler 29 by 29 by 31 ratio 30 a 31 ratio 31 ratio 32 of 32 of 34 two 33 approximately 34 two 34 two 35 to 34 two 43 injecting 35 to 36 one 36 one 38 diluent 37 ( 38 diluent 38 diluent 39 to 38 diluent 41 ) 39 to 40 filler 43 injecting 45 temple 43 injecting 47 evenly 43 injecting 49 possible 44 the 45 temple 46 as 47 evenly 48 as 49 possible as the saline component absorbs [,] the filling material is distributed more evenly in the temple than with undiluted filler . 0 ###LEFT-WALL### 9 material 0 ###LEFT-WALL### 11 distributed 0 ###LEFT-WALL### 21 . 1 as 4 component 1 as 5 absorbs 1 as 9 material 2 the 4 component 3 saline 4 component 4 component 5 absorbs 5 absorbs 8 filling 7 the 8 filling 9 material 10 is 10 is 11 distributed 11 distributed 13 evenly 11 distributed 14 in 11 distributed 17 than 12 more 13 evenly 14 in 16 temple 15 the 16 temple 17 than 18 with 18 with 20 filler 19 undiluted 20 filler results : patients experienced improved results , with a smoother appearance to the brow . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 patients 2 : 5 improved 3 patients 4 experienced 3 patients 5 improved 5 improved 6 results 6 results 8 with 7 , 8 with 8 with 11 appearance 8 with 15 . 9 a 11 appearance 10 smoother 11 appearance 11 appearance 12 to 12 to 14 brow 13 the 14 brow there were no instances of complications requiring dissolution of the product with hyaluronidase . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 14 . 1 there 2 were 2 were 4 instances 3 no 4 instances 4 instances 5 of 5 of 6 complications 6 complications 7 requiring 7 requiring 8 dissolution 7 requiring 12 with 8 dissolution 9 of 9 of 11 product 10 the 11 product 12 with 13 hyaluronidase irregularities proved minor and easily correctable ; no intravascular complications were noted in this series of patients . 0 ###LEFT-WALL### 1 irregularities 0 ###LEFT-WALL### 2 proved 0 ###LEFT-WALL### 7 ; 0 ###LEFT-WALL### 18 . 1 irregularities 2 proved 2 proved 4 and 3 minor 4 and 4 and 6 correctable 5 easily 6 correctable 7 ; 10 complications 7 ; 12 noted 8 no 10 complications 9 intravascular 10 complications 10 complications 11 were 11 were 12 noted 12 noted 13 in 13 in 15 series 14 this 15 series 15 series 16 of 16 of 17 patients clinical photographs demonstrate improvement in the " pinched " upper face and an apparent elongation of the brows . 0 ###LEFT-WALL### 2 photographs 0 ###LEFT-WALL### 3 demonstrate 0 ###LEFT-WALL### 19 . 1 clinical 2 photographs 2 photographs 3 demonstrate 3 demonstrate 4 improvement 3 demonstrate 5 in 5 in 12 and 6 the 7 " 6 the 11 face 8 pinched 9 " 8 pinched 11 face 10 upper 11 face 11 face 12 and 12 and 15 elongation 12 and 16 of 13 an 14 apparent 13 an 15 elongation 14 apparent 15 elongation 16 of 18 brows 17 the 18 brows the author estimates , based on prior experience , that duration of effect will be approximately two to three years . 0 ###LEFT-WALL### 2 author 0 ###LEFT-WALL### 3 estimates 0 ###LEFT-WALL### 21 . 1 the 2 author 2 author 3 estimates 3 estimates 5 based 3 estimates 10 that 4 , 5 based 5 based 6 on 5 based 9 , 6 on 8 experience 7 prior 8 experience 10 that 11 duration 10 that 15 be 11 duration 12 of 11 duration 14 will 12 of 13 effect 14 will 15 be 15 be 20 years 16 approximately 18 to 17 two 18 to 18 to 19 three 18 to 20 years conclusions : dilution of the ha fillers administered for brow treatment results in a more even distribution of the product and a lower morbidity than previously described techniques , making temple treatment far easier than in the past . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 dilution 2 : 12 results 2 : 21 and 3 dilution 4 of 3 dilution 12 results 4 of 7 fillers 5 the 7 fillers 6 ha 7 fillers 7 fillers 8 administered 8 administered 9 for 9 for 11 treatment 10 brow 11 treatment 12 results 13 in 13 in 17 distribution 14 a 17 distribution 15 more 16 even 16 even 17 distribution 17 distribution 18 of 18 of 20 product 19 the 20 product 21 and 24 morbidity 21 and 27 described 22 a 24 morbidity 23 lower 24 morbidity 24 morbidity 27 described 25 than 27 described 26 previously 27 described 27 described 28 techniques 28 techniques 30 making 29 , 30 making 30 making 32 treatment 30 making 38 past 30 making 39 . 31 temple 32 treatment 32 treatment 34 easier 33 far 34 easier 34 easier 35 than 35 than 36 in 37 the 38 past advancing age is a major risk factor for coronary artery disease . 0 ###LEFT-WALL### 1 advancing 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 12 . 1 advancing 2 age 1 advancing 3 is 3 is 7 factor 4 a 7 factor 5 major 7 factor 6 risk 7 factor 7 factor 8 for 8 for 11 disease 9 coronary 10 artery 10 artery 11 disease endothelial dysfunction accompanied by increased oxidative stress and inflammation with aging may predispose older arteries to greater ischemia - reperfusion ( i/r ) injury . 0 ###LEFT-WALL### 2 dysfunction 0 ###LEFT-WALL### 13 predispose 0 ###LEFT-WALL### 25 . 1 endothelial 2 dysfunction 2 dysfunction 3 accompanied 2 dysfunction 12 may 3 accompanied 4 by 3 accompanied 10 with 4 by 8 and 5 increased 7 stress 6 oxidative 7 stress 7 stress 8 and 8 and 9 inflammation 10 with 11 aging 12 may 13 predispose 13 predispose 15 arteries 13 predispose 16 to 14 older 15 arteries 16 to 24 injury 17 greater 24 injury 18 ischemia 20 reperfusion 18 ischemia 23 ) 18 ischemia 24 injury 19 - 20 reperfusion 20 reperfusion 22 i/r 20 reperfusion 23 ) 21 ( 22 i/r 22 i/r 23 ) because coronary artery ischemia cannot be induced safely , the effects of age and habitual endurance exercise on endothelial i/r injury have not been determined in humans . 0 ###LEFT-WALL### 11 effects 0 ###LEFT-WALL### 25 determined 0 ###LEFT-WALL### 28 . 1 because 4 ischemia 1 because 7 induced 1 because 11 effects 2 coronary 3 artery 3 artery 4 ischemia 4 ischemia 5 cannot 5 cannot 6 be 6 be 7 induced 8 safely 9 , 8 safely 11 effects 10 the 11 effects 11 effects 12 of 11 effects 22 have 12 of 14 and 13 age 14 and 14 and 17 exercise 14 and 18 on 15 habitual 16 endurance 16 endurance 17 exercise 18 on 21 injury 19 endothelial 21 injury 20 i/r 21 injury 22 have 23 not 22 have 24 been 24 been 25 determined 25 determined 26 in 26 in 27 humans [using] the brachial artery [as] [a] surrogate model of the coronary arteries , endothelial function , assessed by brachial artery flow - mediated dilation ( fmd ) , was measured before and after 20 min of continuous forearm occlusion in young sedentary ( n = 10 , 24 ± 2 [yr] [ )( middle - aged ( n = 9 , 48 ± 2 yr [ )(sedentary adults [to] gain insight into the effects of primary aging on endothelial i/r injury . 2 the 8 model 3 brachial 8 model 4 artery 7 surrogate 7 surrogate 8 model 8 model 9 of 8 model 17 assessed 9 of 12 arteries 10 the 12 arteries 11 coronary 12 arteries 12 arteries 15 function 13 , 15 function 14 endothelial 15 function 15 function 16 , 17 assessed 21 flow 17 assessed 29 was 18 by 20 artery 18 by 21 flow 19 brachial 20 artery 21 flow 24 dilation 21 flow 29 was 22 - 24 dilation 23 mediated 24 dilation 24 dilation 26 fmd 24 dilation 28 , 25 ( 26 fmd 26 fmd 27 ) 29 was 30 measured 30 measured 32 and 30 measured 40 in 31 before 32 and 32 and 33 after 33 after 35 min 34 20 35 min 35 min 36 of 36 of 39 occlusion 37 continuous 38 forearm 38 forearm 39 occlusion 40 in 49 ± 41 young 49 ± 42 sedentary 45 = 42 sedentary 47 , 42 sedentary 49 ± 43 ( 45 = 44 n 45 = 45 = 46 10 45 = 47 , 48 24 49 ± 49 ± 50 2 49 ± 54 middle 50 2 54 middle 54 middle 56 aged 55 - 56 aged 56 aged 59 = 57 ( 59 = 58 n 59 = 59 = 60 9 60 9 71 insight 61 , 71 insight 62 48 70 gain 63 ± 68 adults 64 2 65 yr 65 yr 68 adults 67 )(sedentary 68 adults 68 adults 70 gain 70 gain 71 insight 71 insight 72 into 71 insight 75 of 71 insight 82 . 72 into 74 effects 73 the 74 effects 75 of 77 aging 76 primary 77 aging 77 aging 78 on 78 on 81 injury 79 endothelial 81 injury 80 i/r 81 injury young ( n = 9 , 25 ± [1] yr ) and middle - aged endurance - trained ( n = 9 , 50 ± 2 yr [ )(adults were also studied to determine whether habitual exercise provides protection from i/r injury . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 15 aged 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 43 . 1 young 4 = 1 young 10 yr 1 young 12 and 2 ( 4 = 3 n 4 = 4 = 5 9 6 , 10 yr 7 25 10 yr 8 ± 10 yr 10 yr 11 ) 12 and 13 middle 12 and 14 - 12 and 15 aged 15 aged 16 endurance 16 endurance 18 trained 17 - 18 trained 18 trained 21 = 18 trained 23 , 19 ( 21 = 20 n 21 = 21 = 22 9 21 = 23 , 23 , 24 50 23 , 34 determine 24 50 29 )(adults 24 50 33 to 24 50 34 determine 25 ± 29 )(adults 26 2 27 yr 27 yr 29 )(adults 29 )(adults 30 were 30 were 32 studied 31 also 32 studied 32 studied 33 to 34 determine 35 whether 34 determine 40 from 35 whether 37 exercise 35 whether 38 provides 36 habitual 37 exercise 37 exercise 38 provides 38 provides 39 protection 40 from 42 injury 41 i/r 42 injury fifteen minutes after ischemic injury , fmd decreased significantly by 37 % in young sedentary , 35 % in young endurance - trained , 68 % in middle - aged sedentary , and 50 % in middle - aged endurance - trained subjects . 0 ###LEFT-WALL### 7 fmd 0 ###LEFT-WALL### 24 , 1 fifteen 2 minutes 2 minutes 3 after 3 after 5 injury 3 after 6 , 3 after 7 fmd 4 ischemic 5 injury 7 fmd 8 decreased 7 fmd 21 endurance 7 fmd 23 trained 8 decreased 9 significantly 8 decreased 10 by 8 decreased 14 young 8 decreased 15 sedentary 10 by 13 in 11 37 13 in 12 % 13 in 16 , 21 endurance 17 35 19 in 18 % 19 in 19 in 21 endurance 20 young 21 endurance 21 endurance 22 - 24 , 28 middle 24 , 29 - 25 68 27 in 26 % 27 in 27 in 28 middle 29 - 43 subjects 29 - 44 . 30 aged 43 subjects 31 sedentary 33 and 32 , 33 and 33 and 37 middle 33 and 40 endurance 33 and 42 trained 34 50 36 in 35 % 36 in 36 in 37 middle 38 - 40 endurance 39 aged 40 endurance 40 endurance 41 - 42 trained 43 subjects fmd returned to baseline levels within 30 min in young sedentary and endurance - trained subjects but remained depressed in middle [-] aged sedentary and endurance - trained subjects . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 19 depressed 0 ###LEFT-WALL### 30 . 1 fmd 2 returned 1 fmd 12 and 2 returned 3 to 2 returned 6 within 2 returned 11 sedentary 3 to 5 levels 4 baseline 5 levels 6 within 9 in 7 30 9 in 8 min 9 in 10 young 11 sedentary 12 and 13 endurance 14 - 17 but 15 trained 16 subjects 15 trained 17 but 17 but 18 remained 18 remained 19 depressed 19 depressed 20 in 20 in 29 subjects 21 middle 23 aged 23 aged 29 subjects 24 sedentary 25 and 25 and 26 endurance 25 and 27 - 25 and 28 trained 25 and 29 subjects circulating markers of antioxidant capacity and inflammation were not related to fmd . 0 ###LEFT-WALL### 2 markers 0 ###LEFT-WALL### 8 were 0 ###LEFT-WALL### 13 . 1 circulating 2 markers 2 markers 3 of 2 markers 8 were 3 of 6 and 4 antioxidant 5 capacity 5 capacity 6 and 6 and 7 inflammation 8 were 9 not 8 were 11 to 9 not 10 related 11 to 12 fmd in conclusion , advancing age is associated with a greater magnitude and delayed recovery from endothelial i/r injury in humans . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 21 . 1 in 2 conclusion 3 , 4 advancing 3 , 12 and 4 advancing 5 age 4 advancing 12 and 6 is 7 associated 6 is 12 and 7 associated 8 with 8 with 11 magnitude 9 a 11 magnitude 10 greater 11 magnitude 12 and 13 delayed 13 delayed 14 recovery 13 delayed 19 in 14 recovery 15 from 15 from 18 injury 16 endothelial 18 injury 17 i/r 18 injury 19 in 20 humans habitual endurance exercise may provide partial protection to the endothelium against this form of i/r injury with advancing age . 0 ###LEFT-WALL### 3 exercise 0 ###LEFT-WALL### 5 provide 0 ###LEFT-WALL### 20 . 1 habitual 2 endurance 2 endurance 3 exercise 3 exercise 4 may 4 may 5 provide 5 provide 7 protection 5 provide 8 to 5 provide 11 against 6 partial 7 protection 8 to 10 endothelium 9 the 10 endothelium 11 against 13 form 12 this 13 form 13 form 14 of 14 of 16 injury 15 i/r 16 injury 16 injury 17 with 17 with 18 advancing 18 advancing 19 age two longitudinal studies showed that if adults confront low opportunities to overcome regrets , [downward] social comparisons can exert self - protective functions across the adult life span , irrespective of age ( study 1 n = 104 young and older adults , study 2 n = 51 older adults ) . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 4 showed 1 two 3 studies 2 longitudinal 3 studies 3 studies 4 showed 4 showed 5 that 4 showed 6 if 4 showed 11 to 6 if 7 adults 6 if 8 confront 7 adults 8 confront 8 confront 10 opportunities 9 low 10 opportunities 11 to 14 , 12 overcome 13 regrets 12 overcome 14 , 14 , 19 exert 16 social 17 comparisons 17 comparisons 18 can 18 can 19 exert 19 exert 20 self 19 exert 31 of 20 self 23 functions 21 - 23 functions 22 protective 23 functions 23 functions 24 across 23 functions 29 , 24 across 28 span 25 the 28 span 26 adult 27 life 27 life 28 span 30 irrespective 31 of 31 of 32 age 32 age 42 adults 33 ( 42 adults 34 study 37 = 34 study 42 adults 35 1 37 = 36 n 37 = 37 = 38 104 39 young 40 and 40 and 41 older 40 and 42 adults 42 adults 44 study 42 adults 52 . 43 , 44 study 44 study 45 2 44 study 47 = 44 study 51 ) 46 n 47 = 47 = 50 adults 48 51 50 adults 49 older 50 adults both studies [found] that [downward] relative to upward social comparisons were associated with improvements in participants ' positive ( but not negative ) [affect] , if they perceived low as opposed [to] high opportunities to overcome regrets . 1 both 2 studies 2 studies 4 that 2 studies 11 were 2 studies 12 associated 4 that 6 relative 4 that 11 were 6 relative 7 to 7 to 10 comparisons 8 upward 10 comparisons 9 social 10 comparisons 12 associated 13 with 12 associated 26 if 13 with 14 improvements 13 with 18 positive 14 improvements 15 in 15 in 17 ' 16 participants 17 ' 18 positive 20 but 19 ( 20 but 20 but 21 not 20 but 23 ) 21 not 22 negative 25 , 26 if 26 if 27 they 26 if 28 perceived 26 if 38 . 27 they 28 perceived 28 perceived 34 opportunities 28 perceived 35 to 28 perceived 36 overcome 29 low 33 high 30 as 31 opposed 31 opposed 33 high 33 high 34 opportunities 35 to 36 overcome 36 overcome 37 regrets moreover , study 2 showed that this beneficial effect on change in positive [affect] mediated [the] experience of fewer cold symptoms over time . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 24 . 1 moreover 2 , 1 moreover 3 study 3 study 4 2 3 study 5 showed 5 showed 9 effect 5 showed 10 on 5 showed 12 in 5 showed 22 over 6 that 9 effect 7 this 8 beneficial 8 beneficial 9 effect 10 on 11 change 12 in 17 experience 13 positive 17 experience 15 mediated 17 experience 17 experience 18 of 18 of 21 symptoms 19 fewer 21 symptoms 20 cold 21 symptoms 22 over 23 time supplemental analyses further indicated [that] the mechanism linking social comparison processes and opportunities [with] [positive] ( but not negative ) [affect] was associated with the capacity for goal reengagement . 0 ###LEFT-WALL### 2 analyses 0 ###LEFT-WALL### 4 indicated 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 30 . 1 supplemental 2 analyses 2 analyses 4 indicated 3 further 4 indicated 4 indicated 11 processes 6 the 11 processes 7 mechanism 11 processes 8 linking 10 comparison 9 social 10 comparison 10 comparison 11 processes 12 and 17 but 12 and 23 associated 13 opportunities 17 but 16 ( 17 but 17 but 18 not 17 but 19 negative 17 but 20 ) 17 but 22 was 22 was 23 associated 23 associated 24 with 24 with 26 capacity 25 the 26 capacity 26 capacity 27 for 27 for 29 reengagement 28 goal 29 reengagement in addition , these analyses showed that the obtained effects were largely unrelated to the severity of regret - related consequences and thus ruled out an alternative explanation of the findings . 0 ###LEFT-WALL### 5 analyses 0 ###LEFT-WALL### 6 showed 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 32 . 1 in 2 addition 1 in 3 , 1 in 5 analyses 4 these 5 analyses 5 analyses 6 showed 6 showed 7 that 7 that 10 effects 7 that 11 were 8 the 10 effects 9 obtained 10 effects 10 effects 11 were 11 were 13 unrelated 12 largely 13 unrelated 13 unrelated 14 to 14 to 16 severity 15 the 16 severity 16 severity 17 of 17 of 18 regret 19 - 22 and 20 related 21 consequences 20 related 22 and 22 and 24 ruled 23 thus 24 ruled 24 ruled 25 out 24 ruled 28 explanation 26 an 27 alternative 26 an 28 explanation 27 alternative 28 explanation 28 explanation 29 of 29 of 31 findings 30 the 31 findings the interest in skeletal muscle metabolism and insulin signalling has increased exponentially in recent years as a consequence of their role in the development of type 2 diabetes mellitus . 0 ###LEFT-WALL### 2 interest 0 ###LEFT-WALL### 11 increased 0 ###LEFT-WALL### 30 . 1 the 2 interest 2 interest 3 in 2 interest 9 signalling 2 interest 10 has 3 in 7 and 4 skeletal 5 muscle 5 muscle 6 metabolism 6 metabolism 7 and 7 and 8 insulin 10 has 11 increased 11 increased 12 exponentially 11 increased 13 in 11 increased 16 as 11 increased 22 in 11 increased 29 mellitus 13 in 15 years 14 recent 15 years 16 as 18 consequence 17 a 18 consequence 18 consequence 19 of 19 of 21 role 20 their 21 role 22 in 24 development 23 the 24 development 24 development 25 of 25 of 26 type 26 type 27 2 28 diabetes 29 mellitus despite this , the exact mechanisms involved in the regulation of skeletal muscle glycogen metabolism and insulin signalling transduction remain elusive . 0 ###LEFT-WALL### 6 mechanisms 0 ###LEFT-WALL### 20 remain 0 ###LEFT-WALL### 22 . 1 despite 2 this 1 despite 3 , 1 despite 6 mechanisms 4 the 6 mechanisms 5 exact 6 mechanisms 6 mechanisms 7 involved 6 mechanisms 11 of 6 mechanisms 20 remain 7 involved 8 in 8 in 10 regulation 9 the 10 regulation 11 of 16 and 12 skeletal 13 muscle 13 muscle 15 metabolism 14 glycogen 15 metabolism 15 metabolism 16 and 16 and 17 insulin 16 and 18 signalling 18 signalling 19 transduction 20 remain 21 elusive we believe that one of the reasons is that the role of intracellular compartmentalization as a regulator of metabolic pathways and signalling transduction has been rather ignored . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 believe 0 ###LEFT-WALL### 28 . 1 we 2 believe 2 believe 3 that 3 that 4 one 3 that 8 is 4 one 5 of 4 one 8 is 5 of 7 reasons 6 the 7 reasons 8 is 21 and 9 that 21 and 10 the 11 role 11 role 12 of 11 role 21 and 12 of 14 compartmentalization 13 intracellular 14 compartmentalization 14 compartmentalization 15 as 15 as 17 regulator 16 a 17 regulator 17 regulator 18 of 18 of 20 pathways 19 metabolic 20 pathways 21 and 22 signalling 21 and 23 transduction 21 and 25 been 21 and 27 ignored 23 transduction 24 has 24 has 25 been 26 rather 27 ignored this paper briefly reviews the literature to discuss the role of intracellular compartmentalization in the regulation of skeletal muscle glycogen metabolism and insulin signalling . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 4 reviews 0 ###LEFT-WALL### 25 . 1 this 2 paper 2 paper 4 reviews 3 briefly 4 reviews 4 reviews 6 literature 4 reviews 7 to 4 reviews 14 in 5 the 6 literature 7 to 8 discuss 8 discuss 10 role 9 the 10 role 10 role 11 of 11 of 13 compartmentalization 12 intracellular 13 compartmentalization 14 in 22 and 15 the 16 regulation 16 regulation 17 of 16 regulation 22 and 17 of 21 metabolism 18 skeletal 19 muscle 19 muscle 21 metabolism 20 glycogen 21 metabolism 22 and 23 insulin 22 and 24 signalling as a result [,] a hypothetical regulatory mechanism is proposed by which cells could direct glycogen resynthesis towards different pools of glycogen particles depending on the metabolic needs . 0 ###LEFT-WALL### 15 direct 0 ###LEFT-WALL### 29 . 1 as 3 result 1 as 15 direct 2 a 3 result 3 result 8 mechanism 3 result 9 is 3 result 10 proposed 3 result 11 by 5 a 6 hypothetical 5 a 8 mechanism 6 hypothetical 8 mechanism 7 regulatory 8 mechanism 8 mechanism 9 is 11 by 12 which 11 by 13 cells 11 by 14 could 13 cells 14 could 15 direct 17 resynthesis 15 direct 18 towards 16 glycogen 17 resynthesis 18 towards 20 pools 19 different 20 pools 20 pools 21 of 21 of 23 particles 22 glycogen 23 particles 23 particles 24 depending 23 particles 25 on 25 on 28 needs 26 the 28 needs 27 metabolic 28 needs furthermore , we discuss the role of skeletal muscle transverse tubules as potential modulators of tissue insulin responsiveness . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 discuss 0 ###LEFT-WALL### 19 . 1 furthermore 2 , 1 furthermore 3 we 3 we 4 discuss 4 discuss 6 role 4 discuss 12 as 5 the 6 role 6 role 7 of 7 of 11 tubules 8 skeletal 9 muscle 9 muscle 11 tubules 10 transverse 11 tubules 12 as 14 modulators 13 potential 14 modulators 14 modulators 15 of 15 of 18 responsiveness 16 tissue 18 responsiveness 17 insulin 18 responsiveness objectives : to examine the relationships between psychosocial resources and deficits , elder mistreatment , and psychological well - being . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 3 to 2 : 4 examine 2 : 12 , 2 : 19 - 3 to 4 examine 4 examine 6 relationships 4 examine 7 between 5 the 6 relationships 7 between 10 and 8 psychosocial 9 resources 9 resources 10 and 10 and 11 deficits 12 , 18 well 13 elder 18 well 14 mistreatment 16 and 15 , 16 and 16 and 17 psychological 16 and 18 well 19 - 20 being methods : we used a representative sample of 2,744 older adults aged 57 - 85 years in the united states from the national social life , health and aging project . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 1 methods 2 : 2 : 16 years 3 we 4 used 4 used 7 sample 5 a 6 representative 5 a 7 sample 6 representative 7 sample 7 sample 8 of 8 of 11 adults 9 2,744 11 adults 10 older 11 adults 11 adults 12 aged 12 aged 14 - 13 57 14 - 14 - 15 85 15 85 16 years 16 years 17 in 17 in 20 states 18 the 20 states 19 united 20 states 20 states 21 from 21 from 28 and 22 the 25 life 23 national 24 social 24 social 25 life 25 life 26 , 26 , 27 health 26 , 28 and 28 and 30 project 29 aging 30 project we examined reports of any mistreatment ( verbal , financial , or physical ) and multiple types of mistreatment . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 20 . 1 we 2 examined 2 examined 15 and 3 reports 4 of 3 reports 15 and 4 of 6 mistreatment 5 any 6 mistreatment 6 mistreatment 12 or 7 ( 12 or 8 verbal 9 , 9 , 10 financial 9 , 12 or 11 , 12 or 12 or 13 physical 12 or 14 ) 15 and 19 mistreatment 16 multiple 17 types 17 types 18 of 17 types 19 mistreatment 18 of 19 mistreatment results : lower levels of positive support , higher levels of criticism from close relationships , and feelings of social isolation are positively associated with self [-] reported mistreatment experience . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 17 and 2 : 24 associated 2 : 31 . 3 lower 4 levels 4 levels 5 of 4 levels 17 and 5 of 7 support 6 positive 7 support 7 support 10 levels 8 , 10 levels 9 higher 10 levels 10 levels 11 of 10 levels 13 from 10 levels 16 , 11 of 12 criticism 13 from 15 relationships 14 close 15 relationships 17 and 18 feelings 17 and 19 of 17 and 22 are 19 of 21 isolation 20 social 21 isolation 22 are 23 positively 22 are 24 associated 24 associated 25 with 25 with 30 experience 26 self 28 reported 28 reported 30 experience 29 mistreatment 30 experience as suggested by the stress process theory , those who reported mistreatment experience also reported lower levels of global happiness and higher levels of psychological distress . 0 ###LEFT-WALL### 9 those 0 ###LEFT-WALL### 15 reported 0 ###LEFT-WALL### 27 . 1 as 2 suggested 1 as 9 those 3 by 7 theory 3 by 8 , 3 by 9 those 4 the 7 theory 5 stress 7 theory 6 process 7 theory 9 those 10 who 9 those 11 reported 9 those 15 reported 10 who 11 reported 11 reported 13 experience 11 reported 14 also 12 mistreatment 13 experience 15 reported 17 levels 16 lower 17 levels 17 levels 18 of 17 levels 24 of 18 of 21 and 19 global 20 happiness 20 happiness 21 and 21 and 23 levels 22 higher 23 levels 24 of 26 distress 25 psychological 26 distress there is also some evidence for the buffering hypothesis -- levels of global happiness are higher and levels of psychological distress are lower for older adults who reported any mistreatment if they also reported more positive social support , social participation , and feelings [of] social connection . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 10 -- 0 ###LEFT-WALL### 30 mistreatment 1 there 2 is 2 is 3 also 2 is 5 evidence 2 is 6 for 4 some 5 evidence 6 for 9 hypothesis 7 the 9 hypothesis 8 buffering 9 hypothesis 10 -- 11 levels 10 -- 15 are 10 -- 17 and 11 levels 12 of 11 levels 15 are 12 of 14 happiness 13 global 14 happiness 15 are 16 higher 17 and 18 levels 17 and 22 are 18 levels 19 of 18 levels 22 are 19 of 21 distress 20 psychological 21 distress 22 are 23 lower 22 are 24 for 24 for 26 adults 25 older 26 adults 26 adults 27 who 26 adults 28 reported 26 adults 30 mistreatment 27 who 28 reported 28 reported 29 any 30 mistreatment 31 if 31 if 32 they 31 if 34 reported 32 they 34 reported 33 also 34 reported 34 reported 38 support 35 more 38 support 36 positive 38 support 37 social 38 support 38 support 43 and 39 , 43 and 40 social 41 participation 41 participation 43 and 42 , 43 and 43 and 47 connection 43 and 48 . 44 feelings 47 connection 46 social 47 connection discussion : older adults with fewer psychosocial resources or more psychosocial deficits seem to be more vulnerable to mistreatment , and mistreatment seems particularly detrimental to psychological well - being for these people . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 2 : 12 deficits 2 : 13 seem 2 : 21 and 2 : 23 seems 3 older 12 deficits 4 adults 5 with 4 adults 9 or 5 with 8 resources 6 fewer 8 resources 7 psychosocial 8 resources 9 or 10 more 9 or 12 deficits 11 psychosocial 12 deficits 12 deficits 13 seem 13 seem 14 to 13 seem 18 to 13 seem 19 mistreatment 14 to 15 be 15 be 17 vulnerable 16 more 17 vulnerable 18 to 19 mistreatment 20 , 21 and 21 and 22 mistreatment 21 and 23 seems 22 mistreatment 23 seems 23 seems 25 detrimental 24 particularly 25 detrimental 25 detrimental 26 to 26 to 28 well 27 psychological 28 well 28 well 30 being 29 - 30 being 30 being 31 for 30 being 34 . 31 for 33 people 32 these 33 people background : recent evidence suggests that the interaction between periods of sedentary and activity behaviour is important for health [;] providing distinctive information to assessment of activity alone . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 evidence 2 : 5 suggests 2 : 29 . 3 recent 4 evidence 4 evidence 5 suggests 5 suggests 6 that 6 that 8 interaction 6 that 16 is 7 the 8 interaction 8 interaction 9 between 8 interaction 16 is 9 between 10 periods 10 periods 11 of 11 of 13 and 12 sedentary 13 and 13 and 15 behaviour 14 activity 15 behaviour 16 is 17 important 17 important 18 for 17 important 24 to 17 important 28 alone 18 for 19 health 19 health 21 providing 21 providing 23 information 22 distinctive 23 information 24 to 25 assessment 25 assessment 26 of 26 of 27 activity this study quantified activity and sedentary behaviour in older , community [-] dwelling adults . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 quantified 0 ###LEFT-WALL### 15 . 1 this 2 study 2 study 3 quantified 3 quantified 5 and 3 quantified 8 in 4 activity 5 and 5 and 7 behaviour 6 sedentary 7 behaviour 8 in 14 adults 9 older 10 , 9 older 11 community 11 community 14 adults 13 dwelling 14 adults methods : fifty - six community - dwelling older adults with an average age 79 ( sd ) years wore an activpal accelerometer for 7 days and were assessed for a range [of] motor , cognitive and affective characteristics . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 40 . 2 : 3 fifty 2 : 4 - 2 : 7 - 4 - 6 community 5 six 6 community 7 - 10 adults 7 - 14 age 8 dwelling 10 adults 9 older 10 adults 10 adults 11 with 10 adults 14 age 11 with 13 average 12 an 13 average 14 age 19 years 14 age 30 for 15 79 17 sd 16 ( 17 sd 17 sd 18 ) 17 sd 19 years 19 years 27 and 20 wore 23 accelerometer 20 wore 27 and 21 an 23 accelerometer 22 activpal 23 accelerometer 23 accelerometer 24 for 24 for 26 days 25 7 26 days 27 and 28 were 28 were 29 assessed 30 for 37 and 31 a 34 motor 32 range 34 motor 34 motor 35 , 35 , 36 cognitive 35 , 37 and 37 and 39 characteristics 38 affective 39 characteristics seven variables derived from accelerometry considered to represent four characteristics of habitual behaviour ( volume , frequency , intensity and variability ) were submitted to principal components factor analysis ( pca ) . 0 ###LEFT-WALL### 2 variables 0 ###LEFT-WALL### 33 . 1 seven 2 variables 2 variables 3 derived 2 variables 15 volume 2 variables 23 were 3 derived 4 from 4 from 5 accelerometry 5 accelerometry 6 considered 5 accelerometry 11 of 6 considered 7 to 6 considered 8 represent 7 to 8 represent 8 represent 10 characteristics 9 four 10 characteristics 11 of 13 behaviour 12 habitual 13 behaviour 14 ( 15 volume 15 volume 20 and 15 volume 22 ) 16 , 20 and 17 frequency 18 , 18 , 19 intensity 18 , 20 and 20 and 21 variability 20 and 22 ) 23 were 24 submitted 24 submitted 25 to 25 to 26 principal 26 principal 27 components 26 principal 28 factor 27 components 28 factor 28 factor 29 analysis 29 analysis 31 pca 30 ( 31 pca 31 pca 32 ) factor scores were retained and used as dependent variables in regression analysis . 0 ###LEFT-WALL### 1 factor 0 ###LEFT-WALL### 13 . 1 factor 2 scores 2 scores 5 and 3 were 4 retained 3 were 5 and 5 and 6 used 5 and 9 variables 5 and 10 in 7 as 8 dependent 8 dependent 9 variables 10 in 12 analysis 11 regression 12 analysis results : three significant orthogonal factors emerged from the pca , accounting for 80 % of the variance in test scores : ['] walking behaviour ['] which accounted for 39 % of variance in the model [;] ['] sedentary behaviour ['] explaining 24.3 % of total variance [;] and ['] postural transitions ' which accounted for 16.7 % of total variance [.] 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 factors 2 : 7 emerged 2 : 11 , 3 three 6 factors 4 significant 6 factors 5 orthogonal 6 factors 6 factors 7 emerged 7 emerged 8 from 8 from 10 pca 9 the 10 pca 11 , 12 accounting 11 , 22 : 12 accounting 13 for 12 accounting 19 in 12 accounting 22 : 13 for 15 % 14 80 15 % 15 % 16 of 16 of 18 variance 17 the 18 variance 19 in 21 scores 20 test 21 scores 22 : 24 walking 24 walking 25 behaviour 24 walking 29 for 24 walking 34 in 25 behaviour 27 which 25 behaviour 28 accounted 27 which 28 accounted 29 for 31 % 30 39 31 % 31 % 32 of 32 of 33 variance 34 in 40 behaviour 35 the 40 behaviour 36 model 40 behaviour 39 sedentary 40 behaviour 40 behaviour 42 explaining 42 explaining 44 % 43 24.3 44 % 44 % 45 of 44 % 54 which 44 % 55 accounted 44 % 56 for 45 of 53 ' 46 total 52 transitions 47 variance 49 and 49 and 51 postural 49 and 52 transitions 52 transitions 53 ' 54 which 55 accounted 56 for 58 % 57 16.7 58 % 58 % 59 of 59 of 61 variance 60 total 61 variance for the regression analysis , younger age and lower body mass index ( bmi ) emerged as significant predictors of physical behaviour , explaining 36 % of the total variance . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 16 emerged 1 for 4 analysis 1 for 5 , 1 for 8 and 2 the 4 analysis 3 regression 4 analysis 6 younger 7 age 7 age 8 and 8 and 12 index 8 and 14 bmi 8 and 16 emerged 9 lower 10 body 10 body 12 index 11 mass 12 index 13 ( 14 bmi 14 bmi 15 ) 16 emerged 17 as 17 as 19 predictors 18 significant 19 predictors 19 predictors 20 of 20 of 22 behaviour 21 physical 22 behaviour 22 behaviour 24 explaining 23 , 24 explaining 24 explaining 26 % 24 explaining 31 . 25 36 26 % 26 % 27 of 27 of 30 variance 28 the 30 variance 29 total 30 variance for postural transitions , lower bmi was the unique contributor , explaining 15 % of total variance . 0 ###LEFT-WALL### 6 bmi 0 ###LEFT-WALL### 7 was 1 for 3 transitions 1 for 4 , 1 for 6 bmi 2 postural 3 transitions 5 lower 6 bmi 6 bmi 7 was 7 was 10 contributor 8 the 10 contributor 9 unique 10 contributor 10 contributor 12 explaining 11 , 12 explaining 12 explaining 14 % 12 explaining 18 . 13 15 14 % 14 % 15 of 15 of 17 variance 16 total 17 variance significant predictors of sedentary behaviours were not identified . 0 ###LEFT-WALL### 2 predictors 0 ###LEFT-WALL### 8 identified 0 ###LEFT-WALL### 9 . 1 significant 2 predictors 2 predictors 3 of 2 predictors 6 were 3 of 5 behaviours 4 sedentary 5 behaviours 6 were 7 not 6 were 8 identified conclusions : walking , sedentary and transitory behaviours are distinct from each other , and together [explain] daily function . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 20 . 1 conclusions 2 : 2 : 3 walking 4 , 8 behaviours 4 , 9 are 5 sedentary 6 and 6 and 7 transitory 6 and 8 behaviours 8 behaviours 9 are 9 are 15 and 10 distinct 11 from 10 distinct 15 and 11 from 13 other 12 each 13 other 14 , 15 and 15 and 19 function 16 together 18 daily 18 daily 19 function further research on a larger sample is indicated to explore the characteristics that explain these behaviours , in [particular] the interplay between sedentary behaviour and periods of physical activity . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 8 indicated 1 further 2 research 2 research 3 on 2 research 7 is 3 on 6 sample 4 a 6 sample 5 larger 6 sample 7 is 8 indicated 8 indicated 9 to 9 to 10 explore 10 explore 12 characteristics 11 the 12 characteristics 12 characteristics 13 that 12 characteristics 14 explain 12 characteristics 18 in 13 that 14 explain 14 explain 16 behaviours 15 these 16 behaviours 17 , 18 in 18 in 21 interplay 18 in 30 . 20 the 21 interplay 21 interplay 22 between 22 between 25 and 23 sedentary 24 behaviour 24 behaviour 25 and 25 and 26 periods 26 periods 27 of 27 of 29 activity 28 physical 29 activity background : recent studies suggest that diet may affect the physical performance of older adults , but the impact of variations in the uk diet on physical performance has not been assessed . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 studies 2 : 5 suggest 2 : 17 but 2 : 33 . 3 recent 4 studies 4 studies 5 suggest 5 suggest 7 diet 5 suggest 9 affect 6 that 7 diet 7 diet 8 may 8 may 9 affect 9 affect 12 performance 10 the 12 performance 11 physical 12 performance 12 performance 13 of 13 of 15 adults 14 older 15 adults 16 , 17 but 17 but 19 impact 17 but 32 assessed 18 the 19 impact 19 impact 20 of 19 impact 29 has 20 of 21 variations 21 variations 22 in 22 in 25 diet 23 the 25 diet 24 uk 25 diet 25 diet 26 on 26 on 28 performance 27 physical 28 performance 29 has 30 not 29 has 31 been 31 been 32 assessed objective : to examine relationships between diet [and] physical performance in community [-] dwelling older men and women . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 examine 2 : 19 . 3 to 4 examine 4 examine 5 relationships 4 examine 6 between 4 examine 11 in 6 between 10 performance 7 diet 10 performance 9 physical 10 performance 11 in 17 and 12 community 14 dwelling 14 dwelling 16 men 15 older 16 men 16 men 17 and 17 and 18 women setting and participants : a total of 628 men and women aged 63 - 73 years who were taking part in the hertfordshire cohort study . 0 ###LEFT-WALL### 3 participants 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 26 . 1 setting 2 and 2 and 3 participants 4 : 10 and 4 : 12 aged 5 a 6 total 6 total 7 of 6 total 10 and 7 of 9 men 8 628 9 men 10 and 11 women 10 and 12 aged 12 aged 16 years 12 aged 21 in 13 63 14 - 14 - 15 73 14 - 16 years 16 years 17 who 16 years 18 were 17 who 18 were 18 were 20 part 19 taking 20 part 21 in 25 study 22 the 25 study 23 hertfordshire 24 cohort 24 cohort 25 study methods : [diet] was assessed using an administered food frequency questionnaire ; physical performance was assessed by the time taken to complete a 3 - m walk , chair [-] rise test and one - legged balance test . 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 12 ; 1 methods 2 : 2 : 4 was 4 was 6 using 4 was 11 questionnaire 5 assessed 6 using 7 an 11 questionnaire 8 administered 9 food 9 food 10 frequency 10 frequency 11 questionnaire 12 ; 14 performance 12 ; 16 assessed 12 ; 35 - 13 physical 14 performance 14 performance 15 was 15 was 16 assessed 16 assessed 17 by 17 by 19 time 18 the 19 time 19 time 20 taken 19 time 21 to 19 time 22 complete 21 to 22 complete 22 complete 33 and 23 a 27 walk 24 3 25 - 25 - 26 m 25 - 27 walk 27 walk 28 , 28 , 32 test 28 , 33 and 29 chair 32 test 31 rise 32 test 33 and 34 one 35 - 38 test 35 - 39 . 36 legged 37 balance 37 balance 38 test results : in women , higher intakes of the antioxidant nutrients , β - carotene and selenium , were associated with shorter 3 - m walk times ; higher β - carotene and vitamin c intakes were associated with shorter chair - rise times ( [all] p < 0.05 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 51 . 2 : 7 intakes 2 : 20 associated 2 : 28 ; 2 : 42 - 3 in 4 women 3 in 5 , 3 in 7 intakes 6 higher 7 intakes 7 intakes 8 of 7 intakes 16 and 7 intakes 19 were 8 of 11 nutrients 9 the 11 nutrients 10 antioxidant 11 nutrients 12 , 16 and 13 β 14 - 13 β 15 carotene 15 carotene 16 and 16 and 17 selenium 16 and 18 , 19 were 20 associated 20 associated 21 with 21 with 27 times 22 shorter 27 times 23 3 24 - 24 - 25 m 24 - 26 walk 26 walk 27 times 28 ; 41 chair 29 higher 32 carotene 30 β 31 - 30 β 32 carotene 32 carotene 33 and 33 and 34 vitamin 33 and 36 intakes 33 and 39 with 33 and 41 chair 34 vitamin 35 c 36 intakes 37 were 37 were 38 associated 38 associated 39 with 40 shorter 41 chair 42 - 44 times 43 rise 44 times 44 times 48 < 45 ( 48 < 47 p 48 < 48 < 49 0.05 48 < 50 ) higher vitamin d intakes and percentage energy from protein were also associated with faster 3 - m walk times ( [both] p < 0.05 ) , but they were not related to chair [-] rise time . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 27 but 0 ###LEFT-WALL### 37 . 1 higher 2 vitamin 2 vitamin 3 d 2 vitamin 4 intakes 4 intakes 5 and 5 and 7 energy 5 and 8 from 5 and 27 but 6 percentage 7 energy 8 from 9 protein 10 were 12 associated 10 were 27 but 11 also 12 associated 12 associated 13 with 13 with 19 times 14 faster 19 times 15 3 16 - 16 - 17 m 16 - 19 times 18 walk 19 times 19 times 23 < 20 ( 23 < 22 p 23 < 23 < 24 0.05 23 < 25 ) 26 , 27 but 27 but 33 chair 28 they 29 were 29 were 30 not 29 were 31 related 31 related 32 to 32 to 33 chair 33 chair 36 time 35 rise 36 time there were no associations between any measure of dietary intake and balance in the women studied . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 17 . 1 there 2 were 2 were 11 and 3 no 4 associations 4 associations 5 between 4 associations 11 and 5 between 10 intake 6 any 7 measure 7 measure 8 of 7 measure 10 intake 8 of 10 intake 9 dietary 10 intake 11 and 12 balance 11 and 13 in 13 in 15 women 14 the 15 women 15 women 16 studied after adjustment for the effects of confounding influences , we found no associations between diet [and] physical performance among men . 0 ###LEFT-WALL### 10 we 0 ###LEFT-WALL### 11 found 0 ###LEFT-WALL### 21 . 1 after 2 adjustment 1 after 9 , 1 after 10 we 2 adjustment 3 for 3 for 5 effects 4 the 5 effects 5 effects 6 of 6 of 7 confounding 7 confounding 8 influences 10 we 11 found 11 found 13 associations 11 found 14 between 11 found 19 among 12 no 13 associations 14 between 18 performance 15 diet 18 performance 17 physical 18 performance 19 among 20 men conclusions : these data indicate that variations in the diets of community [-] dwelling older women may be linked to differences in physical performance , but further work is needed to determine the role of variations in diet [on] physical performance and its decline with age among older adults in the uk . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 53 . 2 : 4 data 2 : 26 but 3 these 4 data 4 data 26 but 5 indicate 6 that 5 indicate 26 but 6 that 7 variations 6 that 19 linked 7 variations 8 in 7 variations 11 of 7 variations 17 may 8 in 10 diets 9 the 10 diets 11 of 16 women 12 community 14 dwelling 14 dwelling 16 women 15 older 16 women 17 may 18 be 18 be 19 linked 19 linked 20 to 19 linked 22 in 20 to 21 differences 22 in 24 performance 23 physical 24 performance 25 , 26 but 26 but 32 determine 27 further 28 work 28 work 29 is 29 is 30 needed 30 needed 31 to 31 to 32 determine 32 determine 34 role 32 determine 37 in 33 the 34 role 34 role 35 of 35 of 36 variations 37 in 42 and 38 diet 41 performance 40 physical 41 performance 41 performance 42 and 42 and 44 decline 42 and 47 among 43 its 44 decline 44 decline 45 with 45 with 46 age 47 among 49 adults 48 older 49 adults 49 adults 50 in 50 in 52 uk 51 the 52 uk few microanatomical measures have been reliably correlated with cognitive measures in aging and alzheimer 's disease ( ad ) , particularly in the early stages of degeneration , such as mild cognitive impairment ( mci ) . 0 ###LEFT-WALL### 3 measures 0 ###LEFT-WALL### 7 correlated 0 ###LEFT-WALL### 37 . 1 few 3 measures 2 microanatomical 3 measures 3 measures 4 have 4 have 5 been 5 been 7 correlated 6 reliably 7 correlated 7 correlated 8 with 7 correlated 30 as 8 with 13 and 9 cognitive 10 measures 10 measures 11 in 10 measures 13 and 11 in 12 aging 13 and 16 disease 13 and 18 ad 13 and 22 in 14 alzheimer 15 's 15 's 16 disease 17 ( 18 ad 18 ad 19 ) 20 , 21 particularly 20 , 22 in 22 in 25 stages 22 in 28 , 23 the 25 stages 24 early 25 stages 25 stages 26 of 26 of 27 degeneration 28 , 30 as 29 such 30 as 30 as 33 impairment 30 as 36 ) 31 mild 33 impairment 32 cognitive 33 impairment 33 impairment 35 mci 34 ( 35 mci 35 mci 36 ) however , cortical minicolumn organization has been shown to correlate with cognitive ability in aging monkeys , and the present study extends this finding to humans . 0 ###LEFT-WALL### 5 organization 0 ###LEFT-WALL### 8 shown 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 27 . 1 however 2 , 1 however 5 organization 3 cortical 5 organization 4 minicolumn 5 organization 5 organization 6 has 6 has 7 been 7 been 8 shown 8 shown 9 to 8 shown 14 in 9 to 10 correlate 10 correlate 11 with 11 with 13 ability 12 cognitive 13 ability 14 in 15 aging 15 aging 16 monkeys 17 , 18 and 18 and 21 study 18 and 22 extends 19 the 21 study 20 present 21 study 21 study 22 extends 22 extends 24 finding 22 extends 25 to 23 this 24 finding 25 to 26 humans we have previously reported that minicolumn spacing of cells in [human] association [cortex] is selectively reduced in normal aging ( minicolumn thinning ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 4 reported 0 ###LEFT-WALL### 24 . 1 we 2 have 2 have 4 reported 3 previously 4 reported 4 reported 5 that 5 that 6 minicolumn 5 that 16 reduced 6 minicolumn 7 spacing 6 minicolumn 8 of 6 minicolumn 14 is 8 of 9 cells 9 cells 12 association 10 in 12 association 14 is 15 selectively 14 is 16 reduced 16 reduced 17 in 17 in 19 aging 18 normal 19 aging 19 aging 21 minicolumn 20 ( 21 minicolumn 21 minicolumn 22 thinning 21 minicolumn 23 ) the present study found that such measures detected early disease changes in mci as well as further minicolumn thinning and disruption in ad . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 24 . 1 the 3 study 2 present 3 study 3 study 4 found 3 study 5 that 3 study 8 detected 3 study 11 changes 5 that 7 measures 5 that 8 detected 6 such 7 measures 7 measures 8 detected 8 detected 10 disease 9 early 10 disease 11 changes 12 in 11 changes 16 as 11 changes 22 in 12 in 13 mci 14 as 15 well 15 well 16 as 16 as 20 and 17 further 18 minicolumn 18 minicolumn 19 thinning 18 minicolumn 20 and 20 and 21 disruption 22 in 23 ad plaques , tangles , and minicolumns [were] quantified , postmortem , for 20 controls , [10] mci , and 20 ad subjects . 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 23 . 1 plaques 2 , 2 , 3 tangles 2 , 5 and 4 , 5 and 5 and 6 minicolumns 5 and 8 quantified 5 and 17 mci 5 and 19 and 8 quantified 9 , 8 quantified 10 postmortem 10 postmortem 12 for 11 , 12 for 12 for 14 controls 12 for 15 , 13 20 14 controls 15 , 17 mci 17 mci 18 , 18 , 19 and 19 and 22 subjects 20 20 21 ad 21 ad 22 subjects minicolumn changes were correlated with premortem cognitive scores ( mini - mental state examination and verbal fluency ) . 0 ###LEFT-WALL### 2 changes 0 ###LEFT-WALL### 4 correlated 0 ###LEFT-WALL### 19 . 1 minicolumn 2 changes 2 changes 3 were 3 were 4 correlated 4 correlated 5 with 5 with 8 scores 6 premortem 8 scores 7 cognitive 8 scores 8 scores 15 and 9 ( 15 and 10 mini 11 - 10 mini 13 state 12 mental 13 state 13 state 14 examination 14 examination 15 and 15 and 17 fluency 15 and 18 ) 16 verbal 17 fluency two regions were studied from each brain [:] association cortex in the planum temporale ( ba22 ) and primary auditory cortex ( ba41 ) . 0 ###LEFT-WALL### 2 regions 0 ###LEFT-WALL### 4 studied 0 ###LEFT-WALL### 25 . 1 two 2 regions 2 regions 3 were 3 were 4 studied 4 studied 5 from 5 from 18 and 6 each 10 cortex 7 brain 10 cortex 9 association 10 cortex 10 cortex 11 in 10 cortex 18 and 11 in 14 temporale 12 the 14 temporale 13 planum 14 temporale 14 temporale 16 ba22 15 ( 16 ba22 16 ba22 17 ) 18 and 21 cortex 18 and 23 ba41 19 primary 21 cortex 20 auditory 21 cortex 22 ( 23 ba41 23 ba41 24 ) the relationship between minicolumns and cognitive function was [strongest] in association [cortex] , [whereas] [in] primary auditory cortex , it appeared to be an epiphenomenon of overall brain atrophy . 0 ###LEFT-WALL### 2 relationship 0 ###LEFT-WALL### 8 was 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 23 be 0 ###LEFT-WALL### 30 . 1 the 2 relationship 2 relationship 3 between 2 relationship 8 was 3 between 5 and 4 minicolumns 5 and 5 and 7 function 6 cognitive 7 function 8 was 11 association 10 in 11 association 13 , 18 cortex 13 , 19 , 16 primary 18 cortex 17 auditory 18 cortex 19 , 20 it 19 , 21 appeared 20 it 21 appeared 21 appeared 22 to 22 to 23 be 23 be 25 epiphenomenon 24 an 25 epiphenomenon 25 epiphenomenon 26 of 26 of 29 atrophy 27 overall 28 brain 28 brain 29 atrophy microanatomical changes reflecting selective regional vulnerability to ad pathology and differential involvement in the cognitive deficit of ad are therefore detectable in the early stage of mci . 0 ###LEFT-WALL### 2 changes 0 ###LEFT-WALL### 19 are 0 ###LEFT-WALL### 28 . 1 microanatomical 2 changes 2 changes 3 reflecting 2 changes 7 to 2 changes 19 are 3 reflecting 6 vulnerability 4 selective 6 vulnerability 5 regional 6 vulnerability 7 to 10 and 8 ad 9 pathology 9 pathology 10 and 10 and 12 involvement 10 and 13 in 10 and 17 of 11 differential 12 involvement 13 in 16 deficit 14 the 16 deficit 15 cognitive 16 deficit 17 of 18 ad 19 are 20 therefore 19 are 21 detectable 21 detectable 22 in 22 in 25 stage 23 the 25 stage 24 early 25 stage 25 stage 26 of 26 of 27 mci recently , in the field of forensic medicine the number of unidentified cadavers has increased due to mass disasters and international terrorism . 0 ###LEFT-WALL### 10 number 0 ###LEFT-WALL### 15 increased 0 ###LEFT-WALL### 23 . 1 recently 2 , 1 recently 10 number 3 in 5 field 3 in 10 number 4 the 5 field 5 field 6 of 6 of 8 medicine 7 forensic 8 medicine 9 the 10 number 10 number 11 of 10 number 14 has 11 of 13 cadavers 12 unidentified 13 cadavers 14 has 15 increased 15 increased 17 to 16 due 17 to 17 to 20 and 18 mass 19 disasters 19 disasters 20 and 20 and 22 terrorism 21 international 22 terrorism in addition to the conventional anthropological methods , a simple and precise method to estimate the age of these unidentified cadavers to assist in the personal identification is necessary . 0 ###LEFT-WALL### 13 method 0 ###LEFT-WALL### 28 is 0 ###LEFT-WALL### 30 . 1 in 2 addition 1 in 8 , 1 in 13 method 2 addition 3 to 3 to 7 methods 4 the 7 methods 5 conventional 7 methods 6 anthropological 7 methods 9 a 13 method 10 simple 11 and 11 and 12 precise 11 and 13 method 13 method 14 to 13 method 15 estimate 13 method 28 is 14 to 15 estimate 15 estimate 17 age 15 estimate 22 to 16 the 17 age 17 age 18 of 18 of 21 cadavers 19 these 21 cadavers 20 unidentified 21 cadavers 22 to 23 assist 23 assist 24 in 24 in 27 identification 25 the 27 identification 26 personal 27 identification 28 is 29 necessary on the other hand , many researchers have reported that mitochondrial respiratory activity decreases with aging because of the production of reactive oxidative species in the process of atp generation . 0 ###LEFT-WALL### 7 researchers 0 ###LEFT-WALL### 9 reported 0 ###LEFT-WALL### 31 . 1 on 4 hand 1 on 5 , 1 on 7 researchers 2 the 3 other 3 other 4 hand 6 many 7 researchers 7 researchers 8 have 8 have 9 reported 9 reported 10 that 10 that 13 activity 10 that 14 decreases 11 mitochondrial 13 activity 12 respiratory 13 activity 13 activity 14 decreases 14 decreases 15 with 14 decreases 17 because 14 decreases 25 in 15 with 16 aging 17 because 18 of 18 of 20 production 19 the 20 production 20 production 21 of 21 of 24 species 22 reactive 24 species 23 oxidative 24 species 25 in 27 process 26 the 27 process 27 process 28 of 28 of 30 generation 29 atp 30 generation therefore , it may be possible for us to estimate human age by analyzing mitochondrial activity . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 5 be 0 ###LEFT-WALL### 17 . 1 therefore 2 , 1 therefore 3 it 3 it 4 may 4 may 5 be 5 be 6 possible 6 possible 7 for 6 possible 9 to 6 possible 10 estimate 7 for 8 us 9 to 10 estimate 10 estimate 12 age 10 estimate 13 by 11 human 12 age 13 by 14 analyzing 14 analyzing 16 activity 15 mitochondrial 16 activity in this report we attempted to analyze cytochrome [c] oxidase ( cco ) activity , and the amount of protein and mrna expression in various aged rats . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 attempted 0 ###LEFT-WALL### 28 . 1 in 3 report 1 in 4 we 2 this 3 report 4 we 5 attempted 5 attempted 6 to 5 attempted 21 and 5 attempted 24 in 6 to 7 analyze 7 analyze 10 oxidase 8 cytochrome 10 oxidase 10 oxidase 12 cco 11 ( 12 cco 12 cco 13 ) 14 activity 16 and 15 , 16 and 16 and 20 protein 16 and 21 and 17 the 18 amount 18 amount 19 of 18 amount 20 protein 19 of 20 protein 21 and 23 expression 22 mrna 23 expression 24 in 27 rats 25 various 27 rats 26 aged 27 rats the age of human subjects was estimated through the analysis of human cco activity from 28 actual forensic cases . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 7 estimated 0 ###LEFT-WALL### 20 . 1 the 2 age 2 age 3 of 2 age 6 was 3 of 5 subjects 4 human 5 subjects 6 was 7 estimated 7 estimated 8 through 8 through 10 analysis 9 the 10 analysis 10 analysis 11 of 11 of 14 activity 12 human 14 activity 13 cco 14 activity 14 activity 15 from 15 from 19 cases 16 28 19 cases 17 actual 19 cases 18 forensic 19 cases the cco activity , the amount of protein and the mrna expression increased in the 3rd week and decreased afterwards in rats . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 23 . 1 the 3 activity 2 cco 3 activity 3 activity 4 , 4 , 8 protein 4 , 9 and 5 the 6 amount 6 amount 7 of 6 amount 8 protein 7 of 8 protein 9 and 12 expression 9 and 18 and 10 the 12 expression 11 mrna 12 expression 13 increased 14 in 13 increased 18 and 14 in 17 week 15 the 17 week 16 3rd 17 week 18 and 19 decreased 18 and 20 afterwards 18 and 21 in 21 in 22 rats furthermore , human cco activity was decreased gradually with aging . 0 ###LEFT-WALL### 5 activity 0 ###LEFT-WALL### 7 decreased 0 ###LEFT-WALL### 11 . 1 furthermore 2 , 1 furthermore 5 activity 3 human 5 activity 4 cco 5 activity 5 activity 6 was 6 was 7 decreased 7 decreased 8 gradually 7 decreased 9 with 9 with 10 aging therefore , cco activity analysis may be useful for age estimation in forensic cases . 0 ###LEFT-WALL### 5 analysis 0 ###LEFT-WALL### 7 be 0 ###LEFT-WALL### 15 . 1 therefore 2 , 1 therefore 5 analysis 3 cco 5 analysis 4 activity 5 analysis 5 analysis 6 may 6 may 7 be 7 be 8 useful 8 useful 9 for 8 useful 12 in 9 for 11 estimation 10 age 11 estimation 12 in 14 cases 13 forensic 14 cases the purpose of the present article was to review empirical research on the factors associated with body dissatisfaction and disordered eating in middle - aged women . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 24 - 0 ###LEFT-WALL### 27 . 1 the 2 purpose 2 purpose 3 of 2 purpose 7 was 3 of 6 article 4 the 6 article 5 present 6 article 7 was 8 to 8 to 9 review 9 review 19 and 9 review 23 middle 10 empirical 11 research 11 research 12 on 11 research 19 and 12 on 14 factors 13 the 14 factors 14 factors 15 associated 15 associated 16 with 16 with 18 dissatisfaction 17 body 18 dissatisfaction 19 and 21 eating 19 and 23 middle 20 disordered 21 eating 21 eating 22 in 24 - 26 women 25 aged 26 women all of the factors identified are relevant to both of these significant women 's health issues , suggesting that they are strongly linked . 0 ###LEFT-WALL### 1 all 0 ###LEFT-WALL### 6 are 1 all 2 of 1 all 6 are 2 of 4 factors 3 the 4 factors 4 factors 5 identified 6 are 7 relevant 7 relevant 8 to 8 to 9 both 9 both 10 of 10 of 16 issues 11 these 13 women 12 significant 13 women 13 women 14 's 14 's 16 issues 15 health 16 issues 16 issues 18 suggesting 17 , 18 suggesting 18 suggesting 19 that 18 suggesting 24 . 19 that 20 they 19 that 23 linked 20 they 21 are 21 are 23 linked 22 strongly 23 linked most correlates and risk factors are similar to those found [in] younger women and [encompass] biological ( e.g [.] , body mass index [ )( psychological ( e.g [.] , internalization of the thin ideal [ )(, and sociocultural influences ( e.g [.] , weight - related teasing ) . 0 ###LEFT-WALL### 1 most 0 ###LEFT-WALL### 2 correlates 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 10 found 1 most 2 correlates 3 and 4 risk 4 risk 5 factors 4 risk 6 are 4 risk 7 similar 4 risk 10 found 5 factors 6 are 7 similar 8 to 8 to 9 those 10 found 14 and 10 found 22 mass 12 younger 13 women 13 women 14 and 14 and 21 body 14 and 22 mass 16 biological 18 e.g 16 biological 21 body 17 ( 18 e.g 18 e.g 20 , 22 mass 31 internalization 23 index 31 internalization 26 psychological 28 e.g 26 psychological 30 , 26 psychological 31 internalization 27 ( 28 e.g 28 e.g 30 , 31 internalization 32 of 31 internalization 42 e.g 32 of 38 and 33 the 35 ideal 34 thin 35 ideal 35 ideal 38 and 37 )(, 38 and 38 and 40 influences 39 sociocultural 40 influences 41 ( 42 e.g 42 e.g 46 - 42 e.g 50 . 44 , 46 - 45 weight 46 - 46 - 48 teasing 46 - 49 ) 47 related 48 teasing additional factors of relevance [to] middle [-] aged women are menopausal status and aging anxiety , which reflect the distinct developmental challenges faced by women during midlife . 0 ###LEFT-WALL### 2 factors 0 ###LEFT-WALL### 10 are 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 28 . 1 additional 2 factors 2 factors 3 of 2 factors 10 are 3 of 9 women 4 relevance 6 middle 6 middle 9 women 8 aged 9 women 10 are 13 and 11 menopausal 12 status 12 status 13 and 13 and 15 anxiety 14 aging 15 anxiety 16 , 17 which 16 , 18 reflect 17 which 18 reflect 18 reflect 22 challenges 18 reflect 26 during 19 the 22 challenges 20 distinct 22 challenges 21 developmental 22 challenges 22 challenges 23 faced 23 faced 24 by 24 by 25 women 26 during 27 midlife caspases , initially identified as a family of proteases regulating cell death , have been found to have nonapoptotic functions as well . 0 ###LEFT-WALL### 1 caspases 0 ###LEFT-WALL### 18 have 0 ###LEFT-WALL### 23 . 1 caspases 4 identified 1 caspases 14 have 2 , 4 identified 3 initially 4 identified 4 identified 5 as 4 identified 13 , 5 as 7 family 6 a 7 family 7 family 8 of 8 of 9 proteases 9 proteases 10 regulating 10 regulating 12 death 11 cell 12 death 14 have 15 been 15 been 16 found 16 found 17 to 17 to 18 have 18 have 20 functions 18 have 21 as 19 nonapoptotic 20 functions 21 as 22 well some family members are critical for mediating programmed cell death in development . 0 ###LEFT-WALL### 3 members 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 13 . 1 some 3 members 2 family 3 members 3 members 4 are 4 are 5 critical 5 critical 6 for 6 for 7 mediating 7 mediating 10 death 7 mediating 11 in 8 programmed 9 cell 9 cell 10 death 11 in 12 development after development , caspases are downregulated in the nervous system , [but] continue to perform important nonapoptotic functions relevant for neurogenesis and synaptic plasticity . 0 ###LEFT-WALL### 4 caspases 0 ###LEFT-WALL### 6 downregulated 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 25 . 1 after 2 development 1 after 3 , 1 after 4 caspases 4 caspases 5 are 5 are 6 downregulated 6 downregulated 7 in 7 in 10 system 8 the 10 system 9 nervous 10 system 11 , 13 continue 13 continue 14 to 13 continue 15 perform 14 to 15 perform 15 perform 18 functions 16 important 18 functions 17 nonapoptotic 18 functions 18 functions 19 relevant 19 relevant 20 for 20 for 22 and 21 neurogenesis 22 and 22 and 24 plasticity 23 synaptic 24 plasticity in neurodegenerative diseases , where aberrant neuronal death is an outstanding feature , there is an increase in caspase activity . 0 ###LEFT-WALL### 14 there 0 ###LEFT-WALL### 15 is 0 ###LEFT-WALL### 21 . 1 in 3 diseases 1 in 13 , 1 in 14 there 2 neurodegenerative 3 diseases 3 diseases 5 where 4 , 5 where 5 where 8 death 5 where 9 is 5 where 13 , 6 aberrant 8 death 7 neuronal 8 death 8 death 9 is 9 is 12 feature 10 an 11 outstanding 10 an 12 feature 11 outstanding 12 feature 14 there 15 is 15 is 17 increase 16 an 17 increase 17 increase 18 in 18 in 20 activity 19 caspase 20 activity the specific caspase death pathways leading to dysfunction and death have still not been fully clarified , despite the plethora of scientific literature addressing these issues . 0 ###LEFT-WALL### 5 pathways 0 ###LEFT-WALL### 16 clarified 1 the 5 pathways 2 specific 3 caspase 3 caspase 5 pathways 4 death 5 pathways 5 pathways 6 leading 5 pathways 11 have 6 leading 7 to 7 to 9 and 8 dysfunction 9 and 9 and 10 death 11 have 13 not 11 have 14 been 12 still 13 not 14 been 16 clarified 15 fully 16 clarified 16 clarified 18 despite 17 , 18 despite 18 despite 20 plethora 18 despite 27 . 19 the 20 plethora 20 plethora 21 of 21 of 23 literature 22 scientific 23 literature 23 literature 24 addressing 24 addressing 26 issues 25 these 26 issues in this chapter , we will present the current knowledge of caspase activation and activity pathways , the current tools for examining caspases , and functions of caspases in the nervous system in health and in disease . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 7 present 0 ###LEFT-WALL### 38 . 1 in 3 chapter 1 in 4 , 1 in 5 we 2 this 3 chapter 5 we 6 will 6 will 7 present 7 present 10 knowledge 8 the 10 knowledge 9 current 10 knowledge 10 knowledge 11 of 11 of 25 and 12 caspase 13 activation 13 activation 14 and 14 and 16 pathways 14 and 20 tools 14 and 25 and 15 activity 16 pathways 17 , 20 tools 18 the 20 tools 19 current 20 tools 20 tools 21 for 20 tools 24 , 21 for 22 examining 22 examining 23 caspases 24 , 25 and 25 and 26 functions 25 and 27 of 25 and 29 in 27 of 28 caspases 29 in 32 system 30 the 32 system 31 nervous 32 system 32 system 35 and 33 in 34 health 33 in 35 and 35 and 36 in 36 in 37 disease alzheimer 's disease , the most common neurodegenerative disorder , and cerebral ischemia , the most common cause of neurologic death , are used to illustrate our current understanding of death signaling in neurodegenerative diseases . 0 ###LEFT-WALL### 3 disease 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 36 . 1 alzheimer 2 's 2 's 3 disease 4 , 11 and 4 , 24 used 5 the 6 most 6 most 9 disorder 7 common 9 disorder 8 neurodegenerative 9 disorder 9 disorder 11 and 10 , 11 and 11 and 13 ischemia 11 and 18 cause 11 and 23 are 12 cerebral 13 ischemia 14 , 18 cause 15 the 18 cause 16 most 17 common 17 common 18 cause 18 cause 19 of 18 cause 22 , 19 of 21 death 20 neurologic 21 death 23 are 24 used 24 used 25 to 24 used 26 illustrate 25 to 26 illustrate 26 illustrate 29 understanding 27 our 29 understanding 28 current 29 understanding 29 understanding 30 of 29 understanding 32 signaling 29 understanding 33 in 30 of 31 death 33 in 35 diseases 34 neurodegenerative 35 diseases a better understanding of how caspases function in health and disease would provide appropriate specific targets for the development of therapeutic interventions for these diseases . 0 ###LEFT-WALL### 3 understanding 0 ###LEFT-WALL### 13 provide 0 ###LEFT-WALL### 26 . 1 a 3 understanding 2 better 3 understanding 3 understanding 4 of 3 understanding 12 would 4 of 5 how 5 how 6 caspases 5 how 7 function 6 caspases 7 function 7 function 8 in 8 in 10 and 9 health 10 and 10 and 11 disease 12 would 13 provide 13 provide 16 targets 14 appropriate 16 targets 15 specific 16 targets 16 targets 17 for 17 for 19 development 18 the 19 development 19 development 20 of 20 of 22 interventions 21 therapeutic 22 interventions 22 interventions 23 for 23 for 25 diseases 24 these 25 diseases life and death are exquisitely regulated at the cellular level from development through maturity . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 6 regulated 0 ###LEFT-WALL### 15 . 1 life 2 and 2 and 3 death 2 and 4 are 4 are 5 exquisitely 4 are 6 regulated 6 regulated 7 at 6 regulated 13 through 7 at 10 level 8 the 10 level 9 cellular 10 level 10 level 11 from 11 from 12 development 13 through 14 maturity during development , neuronal death is the major factor shaping the nervous system . 0 ###LEFT-WALL### 5 death 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 14 . 1 during 2 development 1 during 3 , 1 during 5 death 4 neuronal 5 death 5 death 6 is 6 is 9 factor 7 the 9 factor 8 major 9 factor 9 factor 10 shaping 10 shaping 13 system 11 the 13 system 12 nervous 13 system this death is mainly caspase - mediated apoptosis . 0 ###LEFT-WALL### 2 death 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 6 - 1 this 2 death 2 death 3 is 3 is 4 mainly 3 is 5 caspase 6 - 8 apoptosis 6 - 9 . 7 mediated 8 apoptosis once the waves of developmental death have passed [(] death occurs at different times in different parts of the nervous system [ )(, there is downregulation of the death machinery , as the postmitotic neurons should live for the life of the organism . 0 ###LEFT-WALL### 10 death 0 ###LEFT-WALL### 11 occurs 0 ###LEFT-WALL### 23 )(, 0 ###LEFT-WALL### 44 . 1 once 3 waves 1 once 8 passed 1 once 10 death 2 the 3 waves 3 waves 4 of 3 waves 7 have 4 of 6 death 5 developmental 6 death 7 have 8 passed 10 death 11 occurs 11 occurs 12 at 11 occurs 15 in 12 at 14 times 13 different 14 times 15 in 17 parts 16 different 17 parts 17 parts 18 of 18 of 21 system 19 the 21 system 20 nervous 21 system 23 )(, 24 there 23 )(, 25 is 23 )(, 31 , 24 there 25 is 25 is 26 downregulation 26 downregulation 27 of 27 of 30 machinery 28 the 30 machinery 29 death 30 machinery 31 , 37 live 32 as 35 neurons 32 as 36 should 32 as 37 live 33 the 35 neurons 34 postmitotic 35 neurons 35 neurons 36 should 37 live 38 for 38 for 40 life 39 the 40 life 40 life 41 of 41 of 43 organism 42 the 43 organism aberrant neuronal death is a major part of neurodegenerative disorders , but there is still no clear understanding of the processes leading [to] [the] phenotypes of the various diseases . 0 ###LEFT-WALL### 3 death 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 12 but 0 ###LEFT-WALL### 30 . 1 aberrant 3 death 2 neuronal 3 death 3 death 4 is 4 is 6 major 4 is 7 part 5 a 6 major 7 part 8 of 8 of 10 disorders 9 neurodegenerative 10 disorders 11 , 12 but 12 but 13 there 12 but 14 is 13 there 14 is 14 is 15 still 14 is 18 understanding 16 no 18 understanding 17 clear 18 understanding 18 understanding 19 of 18 understanding 22 leading 18 understanding 25 phenotypes 18 understanding 26 of 19 of 21 processes 20 the 21 processes 22 leading 25 phenotypes 26 of 29 diseases 27 the 29 diseases 28 various 29 diseases even the type of death that occurs continues to be debated , whether it is apoptotic , necrotic , or autophagic , or some combination of these death mechanisms . 0 ###LEFT-WALL### 1 even 0 ###LEFT-WALL### 8 continues 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 30 . 1 even 3 type 2 the 3 type 3 type 4 of 3 type 6 that 3 type 7 occurs 3 type 8 continues 4 of 5 death 6 that 7 occurs 8 continues 9 to 8 continues 11 debated 9 to 10 be 10 be 11 debated 11 debated 13 whether 12 , 13 whether 13 whether 14 it 13 whether 15 is 13 whether 17 , 14 it 15 is 15 is 16 apoptotic 17 , 23 or 18 necrotic 20 or 19 , 20 or 20 or 21 autophagic 20 or 22 , 20 or 23 or 22 , 23 or 23 or 25 combination 23 or 26 of 24 some 25 combination 26 of 29 mechanisms 27 these 29 mechanisms 28 death 29 mechanisms here , we will discuss the role that the caspases play in neuronal [function] , dysfunction , and death . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 5 discuss 0 ###LEFT-WALL### 20 . 1 here 2 , 1 here 3 we 3 we 4 will 4 will 5 discuss 5 discuss 7 role 5 discuss 12 in 6 the 7 role 7 role 8 that 7 role 11 play 8 that 10 caspases 8 that 11 play 9 the 10 caspases 10 caspases 11 play 12 in 18 and 13 neuronal 15 , 13 neuronal 16 dysfunction 16 dysfunction 18 and 17 , 18 and 18 and 19 death first , we will discuss the regulation of caspase activation and activity . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 5 discuss 0 ###LEFT-WALL### 13 . 1 first 2 , 1 first 3 we 3 we 4 will 4 will 5 discuss 5 discuss 7 regulation 6 the 7 regulation 7 regulation 8 of 8 of 11 and 9 caspase 10 activation 10 activation 11 and 11 and 12 activity normal aging is accompanied by various cognitive functional declines . 0 ###LEFT-WALL### 1 normal 0 ###LEFT-WALL### 4 accompanied 0 ###LEFT-WALL### 10 . 1 normal 2 aging 1 normal 3 is 3 is 4 accompanied 4 accompanied 5 by 5 by 9 declines 6 various 9 declines 7 cognitive 9 declines 8 functional 9 declines recent studies have revealed disruptions in the coordination of large - scale functional brain networks such as the default mode network in advanced aging . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 revealed 0 ###LEFT-WALL### 25 . 1 recent 2 studies 2 studies 3 have 3 have 4 revealed 4 revealed 5 disruptions 4 revealed 6 in 4 revealed 17 as 6 in 8 coordination 7 the 8 coordination 8 coordination 9 of 9 of 15 networks 10 large 11 - 10 large 12 scale 12 scale 15 networks 13 functional 14 brain 14 brain 15 networks 16 such 17 as 17 as 21 network 18 the 21 network 19 default 21 network 20 mode 21 network 21 network 22 in 22 in 24 aging 23 advanced 24 aging however , organizational alterations of the structural brain network at the system level in aging are still poorly understood . 0 ###LEFT-WALL### 4 alterations 0 ###LEFT-WALL### 19 understood 0 ###LEFT-WALL### 20 . 1 however 2 , 1 however 4 alterations 3 organizational 4 alterations 4 alterations 5 of 4 alterations 10 at 4 alterations 16 are 5 of 9 network 6 the 9 network 7 structural 8 brain 8 brain 9 network 10 at 12 system 11 the 12 system 12 system 13 level 13 level 14 in 14 in 15 aging 16 are 19 understood 17 still 19 understood 18 poorly 19 understood here , using cortical thickness , we investigated the modular organization of the cortical structural networks in 102 young and 97 normal aging adults . 0 ###LEFT-WALL### 7 we 0 ###LEFT-WALL### 8 investigated 0 ###LEFT-WALL### 25 . 1 here 2 , 1 here 7 we 2 , 3 using 3 using 5 thickness 3 using 6 , 3 using 7 we 4 cortical 5 thickness 7 we 8 investigated 8 investigated 11 organization 8 investigated 17 in 9 the 11 organization 10 modular 11 organization 11 organization 12 of 12 of 16 networks 13 the 16 networks 14 cortical 16 networks 15 structural 16 networks 17 in 24 adults 18 102 24 adults 19 young 20 and 20 and 23 aging 20 and 24 adults 21 97 23 aging 22 normal 23 aging brain networks for both cohorts displayed a modular organization overlapping with functional domains such as executive and auditory/language processing . 0 ###LEFT-WALL### 2 networks 0 ###LEFT-WALL### 6 displayed 0 ###LEFT-WALL### 20 . 1 brain 2 networks 2 networks 3 for 2 networks 6 displayed 3 for 5 cohorts 4 both 5 cohorts 6 displayed 9 organization 7 a 9 organization 8 modular 9 organization 9 organization 10 overlapping 9 organization 11 with 11 with 13 domains 12 functional 13 domains 13 domains 15 as 14 such 15 as 15 as 19 processing 16 executive 17 and 17 and 18 auditory/language 17 and 19 processing however , compared with the modular organization of young adults , the aging group demonstrated a significantly reduced modularity that might be indicative of reduced functional segregation in the aging brain . 0 ###LEFT-WALL### 14 group 0 ###LEFT-WALL### 15 demonstrated 0 ###LEFT-WALL### 32 . 1 however 2 , 1 however 14 group 2 , 3 compared 3 compared 4 with 3 compared 11 , 3 compared 14 group 4 with 7 organization 5 the 7 organization 6 modular 7 organization 7 organization 8 of 8 of 10 adults 9 young 10 adults 12 the 14 group 13 aging 14 group 14 group 15 demonstrated 15 demonstrated 19 modularity 15 demonstrated 28 in 16 a 19 modularity 17 significantly 18 reduced 18 reduced 19 modularity 19 modularity 20 that 19 modularity 21 might 19 modularity 24 of 20 that 21 might 21 might 22 be 22 be 23 indicative 24 of 27 segregation 25 reduced 27 segregation 26 functional 27 segregation 28 in 31 brain 29 the 31 brain 30 aging 31 brain more importantly , the aging brain network exhibited reduced [intra] [-] /inter - module connectivity in modules corresponding to the executive function and the default mode network of young adults , which might be associated with the decline of cognitive functions in aging . 0 ###LEFT-WALL### 7 network 0 ###LEFT-WALL### 9 reduced 0 ###LEFT-WALL### 31 , 0 ###LEFT-WALL### 44 . 1 more 2 importantly 2 importantly 3 , 2 importantly 7 network 4 the 7 network 5 aging 6 brain 6 brain 7 network 7 network 8 exhibited 7 network 9 reduced 9 reduced 15 connectivity 9 reduced 16 in 9 reduced 19 to 12 /inter 13 - 12 /inter 15 connectivity 14 module 15 connectivity 16 in 17 modules 17 modules 18 corresponding 19 to 23 and 20 the 22 function 21 executive 22 function 22 function 23 and 23 and 27 network 23 and 28 of 24 the 27 network 25 default 26 mode 26 mode 27 network 28 of 30 adults 29 young 30 adults 31 , 32 which 31 , 35 associated 32 which 33 might 33 might 34 be 34 be 35 associated 35 associated 36 with 36 with 38 decline 36 with 42 in 37 the 38 decline 38 decline 39 of 39 of 41 functions 40 cognitive 41 functions 42 in 43 aging finally , we observed age - associated alterations in the regional characterization in terms of their intra/inter - module connectivity . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 observed 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 21 . 1 finally 2 , 1 finally 3 we 3 we 4 observed 4 observed 5 age 6 - 8 alterations 7 associated 8 alterations 8 alterations 9 in 9 in 12 characterization 10 the 12 characterization 11 regional 12 characterization 12 characterization 13 in 13 in 14 terms 14 terms 15 of 15 of 20 connectivity 16 their 20 connectivity 17 intra/inter 18 - 17 intra/inter 19 module 19 module 20 connectivity our results indicate that aging is associated with an altered modular organization in the structural brain networks and provide new evidence for disrupted integrity in the large - scale brain networks that underlie cognition . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 35 . 1 our 2 results 2 results 18 and 3 indicate 4 that 3 indicate 18 and 4 that 5 aging 4 that 7 associated 5 aging 6 is 6 is 7 associated 7 associated 8 with 7 associated 13 in 8 with 12 organization 9 an 12 organization 10 altered 12 organization 11 modular 12 organization 13 in 17 networks 14 the 17 networks 15 structural 16 brain 16 brain 17 networks 18 and 19 provide 18 and 25 in 19 provide 21 evidence 19 provide 22 for 20 new 21 evidence 22 for 24 integrity 23 disrupted 24 integrity 25 in 31 networks 26 the 31 networks 27 large 28 - 27 large 31 networks 29 scale 31 networks 30 brain 31 networks 31 networks 32 that 31 networks 33 underlie 32 that 33 underlie 33 underlie 34 cognition the organophosphorus insecticide , demeton [-] s - methyl ( dsm ) , is considered as a good surrogate of the highly toxic nerve agent vx for skin absorption studies due to similar physico - chemical properties and in vitro percutaneous penetration profile . 0 ###LEFT-WALL### 2 organophosphorus 0 ###LEFT-WALL### 15 considered 0 ###LEFT-WALL### 44 . 1 the 2 organophosphorus 2 organophosphorus 3 insecticide 2 organophosphorus 14 is 2 organophosphorus 15 considered 3 insecticide 5 demeton 3 insecticide 14 is 4 , 5 demeton 5 demeton 7 s 5 demeton 9 methyl 5 demeton 13 , 8 - 9 methyl 9 methyl 11 dsm 9 methyl 13 , 10 ( 11 dsm 11 dsm 12 ) 15 considered 16 as 15 considered 26 vx 15 considered 32 to 16 as 19 surrogate 17 a 18 good 17 a 19 surrogate 18 good 19 surrogate 19 surrogate 20 of 20 of 25 agent 21 the 25 agent 22 highly 23 toxic 23 toxic 24 nerve 24 nerve 25 agent 26 vx 27 for 27 for 28 skin 28 skin 29 absorption 28 skin 30 studies 29 absorption 30 studies 31 due 32 to 32 to 38 and 33 similar 36 chemical 34 physico 35 - 34 physico 36 chemical 36 chemical 37 properties 37 properties 38 and 38 and 43 profile 39 in 40 vitro 40 vitro 41 percutaneous 41 percutaneous 42 penetration 42 penetration 43 profile but , when skin distribution was estimated by measuring inhibition of cholinesterase activity , the results were poorly reproducible . 0 ###LEFT-WALL### 1 but 0 ###LEFT-WALL### 20 . 1 but 2 , 1 but 16 results 1 but 17 were 2 , 3 when 3 when 5 distribution 3 when 7 estimated 3 when 14 , 3 when 16 results 4 skin 5 distribution 5 distribution 6 was 6 was 7 estimated 7 estimated 8 by 8 by 9 measuring 9 measuring 10 inhibition 10 inhibition 11 of 11 of 13 activity 12 cholinesterase 13 activity 15 the 16 results 16 results 17 were 17 were 18 poorly 17 were 19 reproducible the various grades of commercial dsm solutions were suspected to be the origin of the discrepancies . 0 ###LEFT-WALL### 3 grades 0 ###LEFT-WALL### 9 suspected 0 ###LEFT-WALL### 17 . 1 the 3 grades 2 various 3 grades 3 grades 4 of 3 grades 8 were 4 of 7 solutions 5 commercial 7 solutions 6 dsm 7 solutions 8 were 9 suspected 9 suspected 10 to 10 to 11 be 11 be 13 origin 12 the 13 origin 13 origin 14 of 14 of 16 discrepancies 15 the 16 discrepancies this hypothesis was tested by measuring inhibition of human acetyl - and butyrylcholinesterase by two commercial dsm solutions . 0 ###LEFT-WALL### 2 hypothesis 0 ###LEFT-WALL### 4 tested 0 ###LEFT-WALL### 19 . 1 this 2 hypothesis 2 hypothesis 3 was 3 was 4 tested 4 tested 5 by 5 by 6 measuring 6 measuring 7 inhibition 6 measuring 14 by 7 inhibition 8 of 8 of 12 and 9 human 10 acetyl 10 acetyl 12 and 11 - 12 and 12 and 13 butyrylcholinesterase 14 by 18 solutions 15 two 18 solutions 16 commercial 18 solutions 17 dsm 18 solutions the inhibition rate was independent on the enzyme concentration confirming pseudo - first order conditions . 0 ###LEFT-WALL### 3 rate 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 16 . 1 the 3 rate 2 inhibition 3 rate 3 rate 4 was 4 was 5 independent 5 independent 6 on 6 on 9 concentration 7 the 9 concentration 8 enzyme 9 concentration 9 concentration 10 confirming 10 confirming 15 conditions 11 pseudo 12 - 11 pseudo 15 conditions 13 first 14 order 14 order 15 conditions but complete inhibition of butyrylcholinesterase activity was achieved only when the dsm concentration was at least 1500 - fold higher than the enzyme concentration . 0 ###LEFT-WALL### 6 activity 0 ###LEFT-WALL### 8 achieved 0 ###LEFT-WALL### 18 - 1 but 3 inhibition 1 but 6 activity 2 complete 3 inhibition 3 inhibition 4 of 4 of 5 butyrylcholinesterase 6 activity 7 was 7 was 8 achieved 8 achieved 9 only 8 achieved 10 when 10 when 13 concentration 10 when 14 was 11 the 13 concentration 12 dsm 13 concentration 13 concentration 14 was 14 was 17 1500 15 at 16 least 16 least 17 1500 18 - 19 fold 18 - 25 . 19 fold 20 higher 19 fold 21 than 21 than 24 concentration 22 the 24 concentration 23 enzyme 24 concentration besides , complete inhibition of acetylcholinesterase was never achieved . 0 ###LEFT-WALL### 4 inhibition 0 ###LEFT-WALL### 9 achieved 0 ###LEFT-WALL### 10 . 1 besides 2 , 1 besides 4 inhibition 3 complete 4 inhibition 4 inhibition 5 of 4 inhibition 7 was 5 of 6 acetylcholinesterase 7 was 9 achieved 8 never 9 achieved mass spectrometry analysis of the inhibited butyrylcholinesterase adducts identified monomethoxyphosphorylated - serine , the aged product of inhibition by dsm or a derivative with a modified leaving group . 0 ###LEFT-WALL### 1 mass 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 29 . 1 mass 2 spectrometry 2 spectrometry 3 analysis 2 spectrometry 8 adducts 2 spectrometry 9 identified 2 spectrometry 10 monomethoxyphosphorylated 2 spectrometry 12 serine 3 analysis 4 of 3 analysis 8 adducts 4 of 7 butyrylcholinesterase 5 the 7 butyrylcholinesterase 6 inhibited 7 butyrylcholinesterase 11 - 12 serine 12 serine 13 , 13 , 21 or 14 the 16 product 15 aged 16 product 16 product 17 of 16 product 19 by 16 product 21 or 17 of 18 inhibition 19 by 20 dsm 21 or 23 derivative 21 or 24 with 22 a 23 derivative 24 with 28 group 25 a 28 group 26 modified 28 group 27 leaving 28 group neither spontaneous reactivation nor aging of the dimethoxyphosphorylated [-] serine could account for the inhibition kinetics observed , suggesting an overly complicated kinetic scheme not compatible with the requirement of a titration experiment . 0 ###LEFT-WALL### 4 nor 0 ###LEFT-WALL### 12 account 0 ###LEFT-WALL### 17 observed 1 neither 4 nor 2 spontaneous 3 reactivation 3 reactivation 4 nor 4 nor 5 aging 4 nor 11 could 5 aging 6 of 6 of 10 serine 7 the 10 serine 8 dimethoxyphosphorylated 10 serine 11 could 12 account 12 account 13 for 13 for 15 inhibition 14 the 15 inhibition 16 kinetics 17 observed 17 observed 19 suggesting 17 observed 34 . 18 , 19 suggesting 19 suggesting 24 scheme 19 suggesting 33 experiment 19 suggesting 34 . 20 an 21 overly 20 an 24 scheme 21 overly 22 complicated 23 kinetic 24 scheme 24 scheme 25 not 24 scheme 30 of 25 not 26 compatible 26 compatible 27 with 27 with 29 requirement 28 the 29 requirement 30 of 32 titration 31 a 32 titration in conclusion , cholinesterase - based analytical methods should be avoided for dsm titration in skin penetration studies . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 1 in 2 conclusion 3 , 4 cholinesterase 3 , 5 - 5 - 8 methods 5 - 11 avoided 5 - 19 . 6 based 8 methods 7 analytical 8 methods 8 methods 9 should 9 should 10 be 10 be 11 avoided 11 avoided 12 for 11 avoided 15 in 12 for 14 titration 13 dsm 14 titration 15 in 18 studies 16 skin 18 studies 17 penetration 18 studies forkhead [box] o - class ( foxo ) proteins are evolutionally conserved transcription factors . 0 ###LEFT-WALL### 9 proteins 0 ###LEFT-WALL### 10 are 0 ###LEFT-WALL### 15 . 1 forkhead 3 o 1 forkhead 5 class 1 forkhead 9 proteins 4 - 5 class 5 class 7 foxo 5 class 8 ) 6 ( 7 foxo 7 foxo 8 ) 9 proteins 10 are 10 are 14 factors 11 evolutionally 12 conserved 12 conserved 13 transcription 13 transcription 14 factors they belong to a family of proteins consisting of foxo1 , foxo3a , foxo4 and foxo6 in humans . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 2 belong 0 ###LEFT-WALL### 19 . 1 they 2 belong 2 belong 3 to 2 belong 17 in 3 to 5 family 4 a 5 family 5 family 6 of 6 of 7 proteins 7 proteins 8 consisting 8 consisting 9 of 9 of 15 and 10 foxo1 11 , 11 , 12 foxo3a 11 , 13 , 13 , 14 foxo4 13 , 15 and 15 and 16 foxo6 17 in 18 humans increasing evidence suggests that foxo proteins function as tumor suppressors by transcriptionally regulating expression of genes involved in cell cycle arrest , apoptosis , dna repair and oxidative stress resistance . 0 ###LEFT-WALL### 2 evidence 0 ###LEFT-WALL### 3 suggests 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 31 . 1 increasing 2 evidence 2 evidence 3 suggests 3 suggests 4 that 4 that 6 proteins 4 that 7 function 5 foxo 6 proteins 7 function 8 as 8 as 10 suppressors 9 tumor 10 suppressors 10 suppressors 11 by 10 suppressors 15 of 10 suppressors 18 in 11 by 13 regulating 12 transcriptionally 13 regulating 13 regulating 14 expression 15 of 16 genes 16 genes 17 involved 18 in 21 arrest 19 cell 21 arrest 20 cycle 21 arrest 22 , 27 and 23 apoptosis 24 , 24 , 26 repair 24 , 27 and 25 dna 26 repair 27 and 30 resistance 28 oxidative 29 stress 29 stress 30 resistance activation of various protein kinases , including akt , iκb [kinase] ( ikk ) and erk , leads to phosphorylation of foxo proteins and their ubiquitination mediated by e3 ligases such as skp2 and mdm2 in human primary tumors and cancer cell lines . 0 ###LEFT-WALL### 1 activation 0 ###LEFT-WALL### 18 leads 0 ###LEFT-WALL### 44 . 1 activation 2 of 1 activation 16 erk 1 activation 18 leads 2 of 5 kinases 3 various 4 protein 4 protein 5 kinases 5 kinases 7 including 6 , 7 including 7 including 8 akt 7 including 9 , 9 , 16 erk 10 iκb 13 ikk 12 ( 13 ikk 13 ikk 14 ) 13 ikk 15 and 15 and 16 erk 16 erk 17 , 18 leads 19 to 18 leads 30 ligases 18 leads 32 as 19 to 24 and 20 phosphorylation 21 of 20 phosphorylation 24 and 21 of 23 proteins 22 foxo 23 proteins 24 and 26 ubiquitination 24 and 27 mediated 25 their 26 ubiquitination 27 mediated 28 by 28 by 29 e3 31 such 32 as 32 as 40 and 33 skp2 34 and 34 and 35 mdm2 34 and 40 and 35 mdm2 36 in 36 in 39 tumors 37 human 39 tumors 38 primary 39 tumors 40 and 43 lines 41 cancer 42 cell 42 cell 43 lines as a result , the tumor suppressor functions of foxo proteins are either diminished or abrogated due to their ubiquitination - proteasome degradation , thereby favoring cell transformation , proliferation and survival . 0 ###LEFT-WALL### 8 functions 0 ###LEFT-WALL### 15 or 1 as 3 result 1 as 4 , 1 as 8 functions 2 a 3 result 5 the 8 functions 6 tumor 8 functions 7 suppressor 8 functions 8 functions 9 of 8 functions 12 are 9 of 11 proteins 10 foxo 11 proteins 12 are 15 or 13 either 14 diminished 14 diminished 15 or 15 or 16 abrogated 15 or 18 to 15 or 26 favoring 17 due 18 to 18 to 20 ubiquitination 19 their 20 ubiquitination 20 ubiquitination 23 degradation 21 - 23 degradation 22 proteasome 23 degradation 23 degradation 24 , 24 , 26 favoring 25 thereby 26 favoring 26 favoring 31 and 26 favoring 33 . 27 cell 28 transformation 28 transformation 29 , 29 , 30 proliferation 29 , 31 and 31 and 32 survival thus , ubiquitination and proteasome degradation of foxo proteins play an important role in tumorigenesis and represent a viable target for cancer treatment . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 24 . 1 thus 2 , 1 thus 4 and 3 ubiquitination 4 and 4 and 6 degradation 4 and 7 of 4 and 16 and 5 proteasome 6 degradation 7 of 9 proteins 8 foxo 9 proteins 10 play 13 role 10 play 14 in 10 play 16 and 11 an 12 important 11 an 13 role 12 important 13 role 14 in 15 tumorigenesis 16 and 17 represent 16 and 23 treatment 17 represent 20 target 18 a 19 viable 18 a 20 target 19 viable 20 target 20 target 21 for 21 for 22 cancer this article is part of a special issue entitled : pi3k - akt - foxo axis in cancer and aging . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 9 entitled 0 ###LEFT-WALL### 10 : 0 ###LEFT-WALL### 21 . 1 this 2 article 2 article 3 is 3 is 4 part 3 is 9 entitled 4 part 5 of 5 of 8 issue 6 a 8 issue 7 special 8 issue 10 : 19 and 11 pi3k 13 akt 12 - 13 akt 13 akt 14 - 13 akt 15 foxo 15 foxo 16 axis 16 axis 17 in 16 axis 19 and 17 in 18 cancer 19 and 20 aging brain aging is characterized by cognitive decline [and] memory deficits that could be the result of oxidative stress and impaired cholinergic function . 0 ###LEFT-WALL### 1 brain 0 ###LEFT-WALL### 13 be 0 ###LEFT-WALL### 23 . 1 brain 2 aging 1 brain 3 is 3 is 4 characterized 4 characterized 5 by 5 by 10 deficits 6 cognitive 10 deficits 7 decline 10 deficits 9 memory 10 deficits 10 deficits 11 that 10 deficits 13 be 11 that 12 could 12 could 13 be 13 be 15 result 14 the 15 result 15 result 16 of 16 of 19 and 17 oxidative 18 stress 18 stress 19 and 19 and 22 function 20 impaired 22 function 21 cholinergic 22 function in this study [,] the effects of a daily , 7 - day , intraperitoneal administration of saffron on cognitive functions were examined in both healthy adult ( 4 months old ) and aged ( 20 months old ) [,] male balb - c mice ( n=8/group ) , by passive avoidance test . 0 ###LEFT-WALL### 3 study 1 in 2 this 1 in 3 study 3 study 6 effects 5 the 6 effects 6 effects 7 of 7 of 16 administration 8 a 9 daily 8 a 16 administration 9 daily 11 7 9 daily 16 administration 10 , 11 7 11 7 13 day 11 7 14 , 12 - 13 day 13 day 14 , 15 intraperitoneal 16 administration 16 administration 17 of 17 of 18 saffron 18 saffron 19 on 19 on 21 functions 20 cognitive 21 functions 21 functions 33 and 22 were 23 examined 22 were 33 and 23 examined 24 in 24 in 27 adult 25 both 26 healthy 26 healthy 27 adult 27 adult 29 4 28 ( 29 4 29 4 31 old 29 4 32 ) 30 months 31 old 33 and 34 aged 33 and 45 mice 34 aged 43 - 35 ( 43 - 36 20 37 months 37 months 42 balb 37 months 43 - 38 old 39 ) 38 old 42 balb 41 male 42 balb 42 balb 43 - 43 - 44 c 45 mice 47 n=8/group 45 mice 50 by 46 ( 47 n=8/group 47 n=8/group 48 ) 49 , 50 by 50 by 53 test 50 by 54 . 51 passive 53 test 52 avoidance 53 test whole brain homogenates ( minus cerebellum ) were collected for examination of brain oxidative markers , caspase - [3] and acetylcholinesterase ( ache ) activity . 0 ###LEFT-WALL### 1 whole 0 ###LEFT-WALL### 8 were 0 ###LEFT-WALL### 26 . 1 whole 8 were 2 brain 3 homogenates 3 homogenates 5 minus 3 homogenates 8 were 4 ( 5 minus 5 minus 6 cerebellum 5 minus 7 ) 8 were 9 collected 9 collected 10 for 10 for 11 examination 11 examination 12 of 12 of 25 activity 13 brain 25 activity 14 oxidative 15 markers 15 markers 16 , 16 , 17 caspase 16 , 20 and 18 - 20 and 20 and 21 acetylcholinesterase 20 and 23 ache 20 and 25 activity 22 ( 23 ache 23 ache 24 ) results showed that saffron - treated mice exhibited significant improvement in learning and memory , accompanied by reduced lipid peroxidation products , higher total brain antioxidant activity and reduced caspase - 3 activity in both age groups of mice . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 showed 1 results 2 showed 2 showed 4 saffron 2 showed 27 activity 2 showed 28 and 3 that 4 saffron 4 saffron 13 and 5 - 13 and 6 treated 7 mice 7 mice 8 exhibited 8 exhibited 10 improvement 9 significant 10 improvement 10 improvement 11 in 10 improvement 13 and 11 in 12 learning 13 and 14 memory 13 and 16 accompanied 13 and 22 , 15 , 16 accompanied 16 accompanied 17 by 16 accompanied 22 , 17 by 21 products 18 reduced 19 lipid 19 lipid 20 peroxidation 20 peroxidation 21 products 23 higher 26 antioxidant 24 total 25 brain 25 brain 26 antioxidant 26 antioxidant 27 activity 28 and 30 caspase 29 reduced 30 caspase 30 caspase 33 activity 31 - 33 activity 32 3 33 activity 33 activity 34 in 33 activity 38 of 33 activity 40 . 34 in 37 groups 35 both 37 groups 36 age 37 groups 38 of 39 mice furthermore , salt - and detergent - soluble ache activity was significantly decreased only in adult mice . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 13 decreased 0 ###LEFT-WALL### 18 . 1 furthermore 2 , 1 furthermore 5 and 3 salt 5 and 4 - 5 and 5 and 9 ache 5 and 10 activity 5 and 11 was 5 and 13 decreased 6 detergent 7 - 6 detergent 9 ache 8 soluble 9 ache 10 activity 11 was 11 was 12 significantly 13 decreased 14 only 14 only 15 in 15 in 17 mice 16 adult 17 mice thus , we showed , for the first time , that the significant cognitive enhancement conferred by saffron administration in mice , is more closely related to the antioxidant reinforcement . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 showed 0 ###LEFT-WALL### 31 . 1 thus 2 , 1 thus 3 we 3 we 4 showed 4 showed 6 for 4 showed 11 that 5 , 6 for 6 for 9 time 6 for 10 , 7 the 9 time 8 first 9 time 11 that 15 enhancement 11 that 22 , 12 the 15 enhancement 13 significant 15 enhancement 14 cognitive 15 enhancement 15 enhancement 22 , 16 conferred 17 by 16 conferred 20 in 16 conferred 22 , 17 by 19 administration 18 saffron 19 administration 20 in 21 mice 22 , 23 is 23 is 26 related 24 more 25 closely 25 closely 26 related 26 related 27 to 27 to 30 reinforcement 28 the 30 reinforcement 29 antioxidant 30 reinforcement next , we compared the effect of saffron ( 1 - 250 μg / ml ) , crocetin and safranal ( 1 - 125 μm ) on h ( 2 [ ] ( 2 ) - induced toxicity in human neuroblastoma sh - sy5y cells . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 compared 0 ###LEFT-WALL### 17 , 1 next 2 , 1 next 3 we 3 we 4 compared 4 compared 6 effect 5 the 6 effect 6 effect 7 of 7 of 8 saffron 8 saffron 15 ml 9 ( 15 ml 10 1 11 - 11 - 12 250 11 - 15 ml 12 250 13 μg 13 μg 14 / 15 ml 16 ) 17 , 19 and 17 , 36 - 17 , 42 sh 18 crocetin 19 and 19 and 25 μm 19 and 26 ) 19 and 27 on 19 and 30 2 19 and 36 - 20 safranal 22 1 20 safranal 25 μm 21 ( 22 1 22 1 23 - 24 125 25 μm 27 on 28 h 29 ( 30 2 30 2 33 ( 30 2 35 ) 32 ] 33 ( 33 ( 34 2 36 - 37 induced 36 - 38 toxicity 38 toxicity 41 neuroblastoma 39 in 41 neuroblastoma 40 human 41 neuroblastoma 42 sh 44 sy5y 42 sh 45 cells 43 - 44 sy5y both saffron and crocetin provided strong protection in rescuing cell viability ( mtt [assay] ) , repressing ros production ( dcf [assay] ) and decreasing caspase - 3 activation . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 5 provided 0 ###LEFT-WALL### 27 - 1 both 3 and 2 saffron 3 and 3 and 4 crocetin 3 and 5 provided 5 provided 24 and 6 strong 7 protection 7 protection 8 in 7 protection 24 and 8 in 9 rescuing 9 rescuing 11 viability 10 cell 11 viability 11 viability 13 mtt 11 viability 17 repressing 12 ( 13 mtt 13 mtt 15 ) 16 , 17 repressing 17 repressing 19 production 17 repressing 23 ) 18 ros 19 production 19 production 21 dcf 20 ( 21 dcf 21 dcf 23 ) 24 and 26 caspase 25 decreasing 26 caspase 27 - 29 activation 27 - 30 . 28 3 29 activation these data , together with earlier studies suggest that crocetin is a unique and potent antioxidant , capable of mediating [the] in vivo effects of saffron . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 , 1 these 2 data 3 , 8 suggest 4 together 5 with 5 with 7 studies 5 with 8 suggest 6 earlier 7 studies 8 suggest 9 that 9 that 10 crocetin 9 that 11 is 10 crocetin 11 is 11 is 16 antioxidant 12 a 16 antioxidant 13 unique 14 and 14 and 15 potent 14 and 16 antioxidant 16 antioxidant 18 capable 17 , 18 capable 18 capable 19 of 18 capable 27 . 19 of 20 mediating 20 mediating 23 vivo 20 mediating 24 effects 22 in 23 vivo 24 effects 25 of 25 of 26 saffron parkinson disease ( pd ) is the most common movement disorder . 0 ###LEFT-WALL### 2 disease 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 12 . 1 parkinson 2 disease 2 disease 4 pd 2 disease 6 is 3 ( 4 pd 4 pd 5 ) 6 is 11 disorder 7 the 8 most 8 most 11 disorder 9 common 10 movement 10 movement 11 disorder it is characterized by bradykinesia , postural instability , resting tremor , and rigidity associated with the progressive loss of dopaminergic neurons in the substantia nigra pars compacta . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 28 compacta 0 ###LEFT-WALL### 29 . 1 it 2 is 2 is 3 characterized 3 characterized 4 by 4 by 13 and 5 bradykinesia 6 , 6 , 8 instability 6 , 9 , 7 postural 8 instability 9 , 11 tremor 9 , 13 and 10 resting 11 tremor 12 , 13 and 13 and 14 rigidity 13 and 15 associated 13 and 16 with 13 and 23 in 16 with 19 loss 17 the 19 loss 18 progressive 19 loss 19 loss 20 of 20 of 22 neurons 21 dopaminergic 22 neurons 23 in 26 nigra 24 the 26 nigra 25 substantia 26 nigra 26 nigra 27 pars 26 nigra 28 compacta 27 pars 28 compacta another pathological hallmark of pd is the presence of α - synuclein proteiniacous inclusions , known as lewy bodies and lewy neurites , in some of the remaining dopaminergic neurons . 0 ###LEFT-WALL### 3 hallmark 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 16 known 0 ###LEFT-WALL### 31 . 1 another 3 hallmark 2 pathological 3 hallmark 3 hallmark 4 of 3 hallmark 6 is 4 of 5 pd 6 is 8 presence 7 the 8 presence 8 presence 9 of 8 presence 16 known 9 of 10 α 10 α 14 inclusions 11 - 14 inclusions 12 synuclein 14 inclusions 13 proteiniacous 14 inclusions 14 inclusions 15 , 16 known 17 as 17 as 20 and 18 lewy 19 bodies 19 bodies 20 and 20 and 22 neurites 20 and 23 , 20 and 24 in 20 and 26 of 21 lewy 22 neurites 24 in 25 some 26 of 30 neurons 27 the 30 neurons 28 remaining 30 neurons 29 dopaminergic 30 neurons mounting evidence indicates that both genetic and environmental factors contribute to the etiology of pd . 0 ###LEFT-WALL### 1 mounting 0 ###LEFT-WALL### 3 indicates 0 ###LEFT-WALL### 16 . 1 mounting 2 evidence 1 mounting 3 indicates 3 indicates 4 that 4 that 9 factors 4 that 10 contribute 5 both 9 factors 6 genetic 7 and 7 and 8 environmental 7 and 9 factors 9 factors 10 contribute 10 contribute 11 to 11 to 13 etiology 12 the 13 etiology 13 etiology 14 of 14 of 15 pd for example , genetic mutations ( duplications , triplications or missense mutations ) in the α - synuclein gene can lead to pd , but even in these patients , age - dependent physiological changes or environmental exposures appear to be involved in disease presentation . 0 ###LEFT-WALL### 5 mutations 0 ###LEFT-WALL### 31 age 0 ###LEFT-WALL### 32 - 1 for 2 example 2 example 3 , 2 example 5 mutations 4 genetic 5 mutations 5 mutations 10 or 5 mutations 31 age 6 ( 10 or 7 duplications 8 , 8 , 9 triplications 8 , 10 or 10 or 12 mutations 10 or 13 ) 10 or 25 but 10 or 30 , 11 missense 12 mutations 14 in 21 lead 14 in 25 but 15 the 21 lead 16 α 17 - 16 α 21 lead 18 synuclein 19 gene 19 gene 20 can 20 can 21 lead 21 lead 22 to 22 to 23 pd 24 , 25 but 25 but 26 even 25 but 27 in 27 in 29 patients 28 these 29 patients 32 - 36 or 32 - 39 appear 32 - 46 . 33 dependent 35 changes 34 physiological 35 changes 35 changes 36 or 36 or 38 exposures 36 or 39 appear 37 environmental 38 exposures 39 appear 40 to 39 appear 42 involved 40 to 41 be 41 be 42 involved 42 involved 43 in 43 in 45 presentation 44 disease 45 presentation several additional alterations in many other genes have been established to either cause or increase the risk of parkinson disease . 0 ###LEFT-WALL### 3 alterations 0 ###LEFT-WALL### 14 or 0 ###LEFT-WALL### 21 . 1 several 3 alterations 2 additional 3 alterations 3 alterations 4 in 3 alterations 14 or 4 in 7 genes 5 many 6 other 6 other 7 genes 8 have 9 been 8 have 14 or 9 been 10 established 10 established 11 to 11 to 13 cause 12 either 13 cause 14 or 15 increase 15 increase 17 risk 16 the 17 risk 17 risk 18 of 18 of 20 disease 19 parkinson 20 disease more specifically , autosomal dominant missense mutations in the gene for leucine - rich repeat kinase 2 ( lrrk2/park8 ) are the most common known cause of pd . 0 ###LEFT-WALL### 7 mutations 0 ###LEFT-WALL### 21 are 0 ###LEFT-WALL### 29 . 1 more 2 specifically 2 specifically 3 , 2 specifically 7 mutations 4 autosomal 7 mutations 5 dominant 7 mutations 6 missense 7 mutations 7 mutations 8 in 7 mutations 11 for 7 mutations 16 kinase 7 mutations 21 are 8 in 10 gene 9 the 10 gene 11 for 12 leucine 13 - 16 kinase 14 rich 16 kinase 15 repeat 16 kinase 16 kinase 17 2 16 kinase 19 lrrk2/park8 16 kinase 20 ) 18 ( 19 lrrk2/park8 19 lrrk2/park8 20 ) 21 are 26 cause 22 the 26 cause 23 most 24 common 24 common 26 cause 25 known 26 cause 26 cause 27 of 27 of 28 pd recently it was shown that g2019s , the most common diseasing - causing mutant of lrrk2 , has dramatic effects on the kinase activity of lrrk2 : while activity of wild - type lrrk2 is inhibited by manganese , the g2019s mutation abrogates this inhibition . 0 ###LEFT-WALL### 2 it 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 27 : 1 recently 2 it 2 it 17 , 3 was 4 shown 3 was 17 , 4 shown 14 mutant 5 that 14 mutant 6 g2019s 11 diseasing 6 g2019s 14 mutant 7 , 11 diseasing 8 the 9 most 9 most 11 diseasing 10 common 11 diseasing 11 diseasing 12 - 13 causing 14 mutant 14 mutant 15 of 15 of 16 lrrk2 17 , 18 has 17 , 20 effects 19 dramatic 20 effects 20 effects 21 on 20 effects 25 of 21 on 24 activity 22 the 24 activity 23 kinase 24 activity 25 of 26 lrrk2 27 : 42 mutation 27 : 43 abrogates 27 : 46 . 28 while 29 activity 28 while 36 inhibited 28 while 42 mutation 29 activity 30 of 29 activity 35 is 30 of 34 lrrk2 31 wild 32 - 31 wild 33 type 33 type 34 lrrk2 35 is 36 inhibited 37 by 38 manganese 37 by 39 , 37 by 42 mutation 40 the 42 mutation 41 g2019s 42 mutation 42 mutation 43 abrogates 43 abrogates 45 inhibition 44 this 45 inhibition based on the in vitro kinetic properties of lrrk2 in the presence of manganese , we proposed that lrrk2 may be a sensor of cytoplasmic manganese levels and that the g2019s mutant has lost this function . 0 ###LEFT-WALL### 16 we 0 ###LEFT-WALL### 17 proposed 0 ###LEFT-WALL### 37 . 1 based 2 on 1 based 10 in 1 based 15 , 1 based 16 we 2 on 7 properties 3 the 7 properties 4 in 5 vitro 5 vitro 6 kinetic 6 kinetic 7 properties 7 properties 8 of 8 of 9 lrrk2 10 in 12 presence 11 the 12 presence 12 presence 13 of 13 of 14 manganese 16 we 17 proposed 17 proposed 28 and 18 that 19 lrrk2 18 that 21 be 18 that 28 and 19 lrrk2 20 may 20 may 21 be 21 be 23 sensor 22 a 23 sensor 23 sensor 24 of 24 of 27 levels 25 cytoplasmic 26 manganese 26 manganese 27 levels 28 and 29 that 29 that 32 mutant 29 that 34 lost 30 the 32 mutant 31 g2019s 32 mutant 32 mutant 33 has 33 has 34 lost 34 lost 36 function 35 this 36 function this finding , alongside a growing number of studies demonstrating an interaction between pd - associated proteins and manganese , suggest that dysregulation of neuronal manganese homeostasis over a lifetime can play an important role in the etiology of pd . 0 ###LEFT-WALL### 2 finding 0 ###LEFT-WALL### 16 associated 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 41 . 1 this 2 finding 2 finding 4 alongside 2 finding 16 associated 3 , 4 alongside 4 alongside 9 studies 4 alongside 15 - 5 a 7 number 6 growing 7 number 7 number 8 of 7 number 9 studies 8 of 9 studies 9 studies 10 demonstrating 10 demonstrating 12 interaction 11 an 12 interaction 12 interaction 13 between 13 between 14 pd 16 associated 18 and 17 proteins 18 and 18 and 19 manganese 20 , 21 suggest 21 suggest 22 that 22 that 23 dysregulation 22 that 32 play 23 dysregulation 24 of 23 dysregulation 31 can 24 of 27 homeostasis 25 neuronal 26 manganese 26 manganese 27 homeostasis 27 homeostasis 28 over 28 over 30 lifetime 29 a 30 lifetime 31 can 32 play 32 play 35 role 32 play 36 in 33 an 35 role 34 important 35 role 36 in 38 etiology 37 the 38 etiology 38 etiology 39 of 39 of 40 pd memory deficits associated with aging and alzheimer 's disease have been linked to cholinergic dysfunction . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 12 linked 0 ###LEFT-WALL### 16 . 1 memory 2 deficits 2 deficits 3 associated 2 deficits 6 and 3 associated 4 with 4 with 5 aging 6 and 9 disease 6 and 10 have 7 alzheimer 8 's 8 's 9 disease 10 have 11 been 11 been 12 linked 12 linked 13 to 13 to 15 dysfunction 14 cholinergic 15 dysfunction the present study investigated this hypothesis by comparing the effects of the muscarinic cholinergic receptor antagonist scopolamine on recent memory performance and by examining muscarinic receptor density in aged and young dogs . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 investigated 0 ###LEFT-WALL### 33 . 1 the 3 study 2 present 3 study 3 study 4 investigated 4 investigated 6 hypothesis 4 investigated 28 in 5 this 6 hypothesis 6 hypothesis 7 by 6 hypothesis 11 of 7 by 8 comparing 8 comparing 10 effects 9 the 10 effects 11 of 17 scopolamine 12 the 17 scopolamine 13 muscarinic 15 receptor 14 cholinergic 15 receptor 15 receptor 16 antagonist 16 antagonist 17 scopolamine 17 scopolamine 22 and 18 on 21 performance 18 on 22 and 19 recent 20 memory 20 memory 21 performance 22 and 23 by 23 by 24 examining 24 examining 27 density 25 muscarinic 26 receptor 26 receptor 27 density 28 in 30 and 29 aged 30 and 30 and 32 dogs 31 young 32 dogs scopolamine ( 15 μg / [kg] [;] sc [ )(was administered prior to testing young ( m=2.8 years ) and aged ( m=13.0 years ) dogs [on] [a] delayed - [non] - matching - to [-] position task [(] dnmp ) . 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 42 . 1 scopolamine 5 / 1 scopolamine 20 and 2 ( 5 / 3 15 4 μg 4 μg 5 / 5 / 8 sc 5 / 14 testing 5 / 18 years 5 / 19 ) 8 sc 10 )(was 10 )(was 11 administered 11 administered 12 prior 12 prior 13 to 13 to 14 testing 14 testing 15 young 16 ( 18 years 17 m=2.8 18 years 18 years 19 ) 20 and 26 dogs 20 and 30 - 20 and 33 matching 20 and 35 to 21 aged 24 years 21 aged 26 dogs 22 ( 24 years 23 m=13.0 24 years 24 years 25 ) 26 dogs 29 delayed 32 - 33 matching 33 matching 34 - 34 - 35 to 35 to 37 position 35 to 41 ) 37 position 40 dnmp 38 task 40 dnmp scopolamine significantly impaired performance of aged , but not young dogs . 0 ###LEFT-WALL### 1 scopolamine 0 ###LEFT-WALL### 3 impaired 0 ###LEFT-WALL### 12 . 1 scopolamine 3 impaired 2 significantly 3 impaired 3 impaired 4 performance 4 performance 5 of 5 of 11 dogs 6 aged 8 but 7 , 8 but 8 but 9 not 8 but 10 young 8 but 11 dogs 9 not 10 young muscarinic receptor density was assessed autoradiographically using the [non] [-] selective radioligand [[] ( 3 )h ]quinuclidinylbenzilate . 0 ###LEFT-WALL### 3 density 0 ###LEFT-WALL### 5 assessed 1 muscarinic 2 receptor 2 receptor 3 density 3 density 4 was 4 was 5 assessed 5 assessed 6 autoradiographically 5 assessed 7 using 7 using 12 radioligand 8 the 12 radioligand 11 selective 12 radioligand 12 radioligand 17 ]quinuclidinylbenzilate 14 ( 17 ]quinuclidinylbenzilate 15 3 17 ]quinuclidinylbenzilate 16 )h 17 ]quinuclidinylbenzilate 17 ]quinuclidinylbenzilate 18 . aged dogs ( m=14.1 years ) showed significantly decreased density of muscarinic receptors in all brain regions examined except the cerebellum compared to young dogs ( m=3.7 years ) . 0 ###LEFT-WALL### 2 dogs 0 ###LEFT-WALL### 7 showed 0 ###LEFT-WALL### 30 . 1 aged 2 dogs 2 dogs 5 years 2 dogs 7 showed 3 ( 5 years 4 m=14.1 5 years 5 years 6 ) 7 showed 10 density 7 showed 14 in 7 showed 17 regions 7 showed 22 compared 8 significantly 9 decreased 9 decreased 10 density 10 density 11 of 11 of 13 receptors 12 muscarinic 13 receptors 14 in 16 brain 15 all 16 brain 17 regions 18 examined 17 regions 19 except 17 regions 22 compared 19 except 21 cerebellum 20 the 21 cerebellum 22 compared 23 to 23 to 25 dogs 24 young 25 dogs 25 dogs 28 years 26 ( 28 years 27 m=3.7 28 years 28 years 29 ) the results are consistent with those seen in aged humans and alzheimer 's patients and support the hypothesis of age - dependent cholinergic dysfunction in the dog , although this was not directly determined in the current study . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 39 . 1 the 2 results 2 results 3 are 3 are 4 consistent 4 consistent 5 with 4 consistent 29 although 4 consistent 35 in 5 with 15 and 5 with 18 hypothesis 6 those 7 seen 6 those 11 and 7 seen 8 in 8 in 10 humans 9 aged 10 humans 11 and 14 patients 11 and 15 and 12 alzheimer 13 's 13 's 14 patients 15 and 16 support 17 the 18 hypothesis 18 hypothesis 19 of 18 hypothesis 24 dysfunction 19 of 20 age 21 - 24 dysfunction 22 dependent 24 dysfunction 23 cholinergic 24 dysfunction 24 dysfunction 25 in 24 dysfunction 28 , 25 in 27 dog 26 the 27 dog 29 although 30 this 29 although 34 determined 30 this 31 was 31 was 32 not 31 was 33 directly 31 was 34 determined 35 in 38 study 36 the 38 study 37 current 38 study these findings demonstrate that markers of cholinergic hypofunction , in addition to the natural cognitive decline and amyloid pathology previously noted , are seen in canine aging . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 demonstrate 0 ###LEFT-WALL### 28 . 1 these 2 findings 2 findings 3 demonstrate 3 demonstrate 4 that 4 that 5 markers 4 that 24 seen 5 markers 6 of 5 markers 23 are 6 of 8 hypofunction 7 cholinergic 8 hypofunction 8 hypofunction 10 in 9 , 10 in 10 in 11 addition 10 in 22 , 11 addition 12 to 12 to 17 and 13 the 16 decline 14 natural 16 decline 15 cognitive 16 decline 16 decline 17 and 17 and 19 pathology 17 and 21 noted 18 amyloid 19 pathology 20 previously 21 noted 23 are 24 seen 24 seen 25 in 25 in 27 aging 26 canine 27 aging collectively , this supports the use of the aged dog as a model for examining early pathological events in the development of alzheimer 's disease . 0 ###LEFT-WALL### 3 this 0 ###LEFT-WALL### 4 supports 0 ###LEFT-WALL### 26 . 1 collectively 2 , 1 collectively 3 this 3 this 4 supports 4 supports 6 use 4 supports 11 as 5 the 6 use 6 use 7 of 7 of 10 dog 8 the 10 dog 9 aged 10 dog 11 as 13 model 12 a 13 model 13 model 14 for 13 model 22 of 14 for 15 examining 15 examining 18 events 15 examining 19 in 16 early 18 events 17 pathological 18 events 19 in 21 development 20 the 21 development 22 of 25 disease 23 alzheimer 24 's 24 's 25 disease chemical and nonenzymatic molecular modifications induced by reactive carbonyl species ( rcs ) generated by peroxidation of membrane phospholipids acyl chains play a dual role as signaling molecules [and] as mediators of the aging process . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 14 generated 0 ###LEFT-WALL### 36 . 1 chemical 2 and 2 and 5 modifications 2 and 6 induced 2 and 14 generated 3 nonenzymatic 5 modifications 4 molecular 5 modifications 6 induced 7 by 7 by 10 species 8 reactive 10 species 9 carbonyl 10 species 10 species 12 rcs 11 ( 12 rcs 12 rcs 13 ) 14 generated 15 by 14 generated 25 role 14 generated 26 as 14 generated 30 as 15 by 16 peroxidation 16 peroxidation 17 of 17 of 22 play 18 membrane 20 acyl 19 phospholipids 20 acyl 20 acyl 22 play 21 chains 22 play 23 a 24 dual 23 a 25 role 24 dual 25 role 26 as 28 molecules 27 signaling 28 molecules 30 as 31 mediators 31 mediators 32 of 32 of 35 process 33 the 35 process 34 aging 35 process cytotoxic effects of rcs are due to their capacity to react with cellular constituents , forming advanced lipoxidation end - products ( ales ) . 0 ###LEFT-WALL### 2 effects 0 ###LEFT-WALL### 5 are 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 25 . 1 cytotoxic 2 effects 2 effects 3 of 2 effects 5 are 3 of 4 rcs 5 are 7 to 6 due 7 to 7 to 9 capacity 8 their 9 capacity 9 capacity 10 to 9 capacity 11 react 10 to 11 react 11 react 12 with 12 with 14 constituents 13 cellular 14 constituents 15 , 19 end 15 , 20 - 16 forming 19 end 17 advanced 19 end 18 lipoxidation 19 end 20 - 21 products 21 products 23 ales 22 ( 23 ales 23 ales 24 ) reactive carbonyl compounds are stable and can diffuse [within] or even escape from the cell and attack targets far from the site of formation . 0 ###LEFT-WALL### 3 compounds 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 25 . 1 reactive 3 compounds 2 carbonyl 3 compounds 3 compounds 4 are 4 are 5 stable 6 and 7 can 6 and 16 and 7 can 10 or 7 can 16 and 8 diffuse 10 or 10 or 11 even 12 escape 13 from 12 escape 16 and 13 from 15 cell 14 the 15 cell 16 and 17 attack 16 and 18 targets 18 targets 19 far 19 far 20 from 20 from 22 site 21 the 22 site 22 site 23 of 23 of 24 formation the consequent loss [of] function and structural integrity of modified biomolecules can have a wide range of downstream functional consequences and may be the cause of subsequent cellular dysfunctions and tissue damage . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 33 . 1 the 5 function 2 consequent 3 loss 3 loss 5 function 5 function 6 and 6 and 8 integrity 6 and 9 of 6 and 21 and 7 structural 8 integrity 9 of 11 biomolecules 10 modified 11 biomolecules 12 can 13 have 12 can 21 and 13 have 16 range 14 a 15 wide 14 a 16 range 15 wide 16 range 16 range 17 of 17 of 20 consequences 18 downstream 20 consequences 19 functional 20 consequences 21 and 22 may 21 and 32 damage 22 may 23 be 23 be 25 cause 24 the 25 cause 25 cause 26 of 26 of 30 and 27 subsequent 29 dysfunctions 28 cellular 29 dysfunctions 29 dysfunctions 30 and 30 and 31 tissue current approaches to dissect the molecular neurobiology of complex neuropsychiatric disorders such as schizophrenia and major depression have been rightly criticized for failing to provide benefits to patients . 0 ###LEFT-WALL### 2 approaches 0 ###LEFT-WALL### 21 criticized 0 ###LEFT-WALL### 29 . 1 current 2 approaches 2 approaches 3 to 2 approaches 4 dissect 2 approaches 18 have 3 to 4 dissect 4 dissect 7 neurobiology 4 dissect 13 as 5 the 7 neurobiology 6 molecular 7 neurobiology 7 neurobiology 8 of 8 of 11 disorders 9 complex 11 disorders 10 neuropsychiatric 11 disorders 12 such 13 as 13 as 15 and 14 schizophrenia 15 and 15 and 17 depression 16 major 17 depression 18 have 19 been 19 been 21 criticized 20 rightly 21 criticized 21 criticized 22 for 22 for 23 failing 23 failing 24 to 23 failing 25 provide 24 to 25 provide 25 provide 26 benefits 26 benefits 27 to 27 to 28 patients improving the translational potential of our efforts will require the development and refinement of better disease models that consider a wide variety of contributing factors , such as genetic variation , gene - by [-] environment interactions , endophenotype or intermediate phenotype assessment , cross species analysis , sex differences , and developmental stages . 0 ###LEFT-WALL### 1 improving 0 ###LEFT-WALL### 26 , 1 improving 4 potential 1 improving 8 will 2 the 4 potential 3 translational 4 potential 4 potential 5 of 5 of 7 efforts 6 our 7 efforts 8 will 9 require 9 require 12 and 10 the 11 development 11 development 12 and 12 and 13 refinement 12 and 23 of 13 refinement 14 of 14 of 17 models 15 better 17 models 16 disease 17 models 17 models 18 that 17 models 19 consider 18 that 19 consider 19 consider 22 variety 20 a 22 variety 21 wide 22 variety 23 of 24 contributing 24 contributing 25 factors 26 , 30 variation 26 , 31 , 27 such 30 variation 28 as 29 genetic 29 genetic 30 variation 31 , 32 gene 31 , 33 - 33 - 44 , 33 - 48 , 33 - 55 . 34 by 40 or 34 by 44 , 36 environment 37 interactions 37 interactions 38 , 38 , 39 endophenotype 38 , 40 or 40 or 41 intermediate 42 phenotype 43 assessment 42 phenotype 44 , 44 , 45 cross 45 cross 47 analysis 46 species 47 analysis 48 , 52 and 49 sex 50 differences 50 differences 52 and 51 , 52 and 52 and 54 stages 53 developmental 54 stages during a targeted expert meeting of the european college of neuropsychopharmacology ( ecnp ) in istanbul , we addressed the opportunities and pitfalls of current translational animal models of psychiatric disorders and agreed on a series of core guidelines and recommendations that we believe will help guiding further research in this area . 0 ###LEFT-WALL### 18 we 0 ###LEFT-WALL### 32 and 0 ###LEFT-WALL### 40 and 0 ###LEFT-WALL### 53 . 1 during 5 meeting 1 during 17 , 1 during 18 we 2 a 5 meeting 3 targeted 4 expert 4 expert 5 meeting 5 meeting 6 of 6 of 9 college 7 the 8 european 8 european 9 college 9 college 10 of 10 of 13 ecnp 11 neuropsychopharmacology 13 ecnp 12 ( 13 ecnp 13 ecnp 14 ) 13 ecnp 15 in 15 in 16 istanbul 18 we 32 and 19 addressed 22 and 19 addressed 32 and 20 the 22 and 21 opportunities 22 and 22 and 23 pitfalls 22 and 24 of 22 and 29 of 24 of 28 models 25 current 27 animal 26 translational 27 animal 27 animal 28 models 29 of 31 disorders 30 psychiatric 31 disorders 32 and 33 agreed 33 agreed 34 on 34 on 36 series 35 a 36 series 36 series 37 of 37 of 39 guidelines 38 core 39 guidelines 40 and 41 recommendations 40 and 48 further 41 recommendations 42 that 41 recommendations 47 guiding 41 recommendations 48 further 42 that 43 we 42 that 44 believe 43 we 44 believe 44 believe 46 help 45 will 46 help 46 help 47 guiding 48 further 49 research 49 research 50 in 50 in 52 area 51 this 52 area objective : the objective of this study was to investigate the clinical and radiographic features of osteoarthrosis ( oa ) of the temporomandibular joints ( tmjoa ) in human adolescents and young adults . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 investigate 0 ###LEFT-WALL### 34 . 2 : 4 objective 2 : 8 was 3 the 4 objective 4 objective 5 of 4 objective 8 was 5 of 7 study 6 this 7 study 8 was 9 to 9 to 10 investigate 10 investigate 15 features 10 investigate 28 in 11 the 15 features 12 clinical 13 and 13 and 14 radiographic 13 and 15 features 15 features 16 of 15 features 21 of 15 features 26 tmjoa 16 of 17 osteoarthrosis 17 osteoarthrosis 19 oa 18 ( 19 oa 19 oa 20 ) 21 of 24 joints 22 the 24 joints 23 temporomandibular 24 joints 25 ( 26 tmjoa 26 tmjoa 27 ) 28 in 31 and 29 human 30 adolescents 30 adolescents 31 and 31 and 33 adults 32 young 33 adults study design : patients ( n = 4883 ) with temporomandibular disorders ( age , 11 to 30 years [ )(underwent clinical and radiographic examinations . 0 ###LEFT-WALL### 2 design 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 26 . 1 study 2 design 2 design 3 : 3 : 4 patients 3 : 10 with 4 patients 7 = 5 ( 7 = 6 n 7 = 7 = 8 4883 7 = 9 ) 10 with 12 disorders 11 temporomandibular 12 disorders 12 disorders 14 age 13 ( 14 age 14 age 15 , 15 , 19 years 15 , 21 )(underwent 16 11 17 to 17 to 18 30 17 to 19 years 19 years 21 )(underwent 21 )(underwent 25 examinations 22 clinical 23 and 23 and 24 radiographic 23 and 25 examinations the radiographic findings were classified as erosive bony changes , proliferative changes [mainly] , including flattening with uneven sclerosis , and osteophytes of the condyle , and bilaterally short condylar processes . 0 ###LEFT-WALL### 3 findings 0 ###LEFT-WALL### 27 and 0 ###LEFT-WALL### 32 . 1 the 3 findings 2 radiographic 3 findings 3 findings 27 and 4 were 5 classified 4 were 27 and 5 classified 6 as 5 classified 15 including 6 as 9 changes 7 erosive 9 changes 8 bony 9 changes 9 changes 12 changes 10 , 12 changes 11 proliferative 12 changes 12 changes 14 , 14 , 15 including 15 including 16 flattening 15 including 26 , 16 flattening 17 with 17 with 21 and 18 uneven 19 sclerosis 19 sclerosis 21 and 20 , 21 and 21 and 22 osteophytes 21 and 23 of 23 of 25 condyle 24 the 25 condyle 27 and 29 short 28 bilaterally 29 short 29 short 31 processes 30 condylar 31 processes in addition , we interpreted the reassessment [radiographs] of 156 of the patients . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 interpreted 0 ###LEFT-WALL### 14 . 1 in 2 addition 1 in 3 , 1 in 4 we 4 we 5 interpreted 5 interpreted 7 reassessment 6 the 7 reassessment 7 reassessment 9 of 9 of 10 156 10 156 11 of 11 of 13 patients 12 the 13 patients results : seven hundred eleven patients had radiographic signs of oa . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 patients 2 : 7 had 2 : 12 . 3 seven 4 hundred 4 hundred 5 eleven 5 eleven 6 patients 6 patients 7 had 7 had 9 signs 8 radiographic 9 signs 9 signs 10 of 10 of 11 oa the frequency of oa was higher in women ( 563/3360 , 16.8 % ) than in men ( 148/1523 , 9.7 % ) . 0 ###LEFT-WALL### 2 frequency 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 24 . 1 the 2 frequency 2 frequency 3 of 2 frequency 5 was 3 of 4 oa 5 was 6 higher 6 higher 7 in 6 higher 15 than 7 in 8 women 8 women 10 563/3360 8 women 13 % 9 ( 10 563/3360 10 563/3360 11 , 11 , 13 % 12 16.8 13 % 13 % 14 ) 15 than 16 in 16 in 17 men 17 men 19 148/1523 17 men 22 % 18 ( 19 148/1523 19 148/1523 20 , 20 , 22 % 21 9.7 22 % 22 % 23 ) most patients [(] [541/711] , 76.1 % [ )(with signs of oa showed proliferative changes of oa . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 18 . 1 most 2 patients 5 , 7 % 5 , 13 showed 6 76.1 7 % 7 % 9 )(with 7 % 13 showed 9 )(with 10 signs 10 signs 11 of 11 of 12 oa 13 showed 15 changes 14 proliferative 15 changes 15 changes 16 of 16 of 17 oa moreover , 56.4 % of patients with tmjoa ( 88/156 ) remained stable . 0 ###LEFT-WALL### 4 % 0 ###LEFT-WALL### 12 remained 0 ###LEFT-WALL### 14 . 1 moreover 2 , 1 moreover 4 % 3 56.4 4 % 4 % 5 of 4 % 12 remained 5 of 6 patients 6 patients 7 with 7 with 8 tmjoa 8 tmjoa 10 88/156 9 ( 10 88/156 10 88/156 11 ) 12 remained 13 stable conclusions : these results suggest that although oa is an age - related disease , aging is not the crucial factor in the pathogenesis of oa . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 2 : 4 results 2 : 9 is 2 : 13 related 2 : 15 , 3 these 4 results 4 results 5 suggest 5 suggest 6 that 5 suggest 7 although 7 although 8 oa 8 oa 9 is 9 is 11 age 10 an 11 age 12 - 13 related 13 related 14 disease 13 related 15 , 15 , 16 aging 15 , 17 is 16 aging 17 is 17 is 18 not 17 is 21 factor 17 is 22 in 19 the 21 factor 20 crucial 21 factor 22 in 24 pathogenesis 23 the 24 pathogenesis 24 pathogenesis 25 of 25 of 26 oa recently , an event - related potential ( erp ) study ( lorenzo - lópez et al . , 2008 ) provided evidence that normal aging significantly delays and attenuates the electrophysiological correlate of the allocation of visuospatial attention ( n2pc component [ )(during a feature - detection visual search task . 0 ###LEFT-WALL### 4 event 0 ###LEFT-WALL### 22 provided 0 ###LEFT-WALL### 47 - 0 ###LEFT-WALL### 52 . 1 recently 2 , 1 recently 4 event 3 an 4 event 4 event 11 study 4 event 17 al 4 event 22 provided 5 - 11 study 6 related 11 study 7 potential 9 erp 7 potential 10 ) 7 potential 11 study 8 ( 9 erp 9 erp 10 ) 11 study 13 lorenzo 11 study 14 - 12 ( 13 lorenzo 13 lorenzo 14 - 14 - 17 al 15 lópez 17 al 16 et 17 al 17 al 18 . 17 al 20 2008 17 al 21 ) 19 , 20 2008 20 2008 21 ) 22 provided 23 evidence 23 evidence 24 that 23 evidence 33 correlate 23 evidence 34 of 24 that 26 aging 24 that 33 correlate 25 normal 26 aging 26 aging 29 and 27 significantly 28 delays 28 delays 29 and 29 and 30 attenuates 31 the 32 electrophysiological 32 electrophysiological 33 correlate 34 of 36 allocation 35 the 36 allocation 36 allocation 37 of 37 of 39 attention 38 visuospatial 39 attention 39 attention 41 n2pc 40 ( 41 n2pc 41 n2pc 42 component 41 n2pc 47 - 42 component 44 )(during 44 )(during 46 feature 45 a 46 feature 47 - 51 task 48 detection 51 task 49 visual 50 search 50 search 51 task to further explore the effects of normal aging on the n2pc neural sources , neuromagnetic activity during the execution of a visual search task was recorded in healthy young ( n=14 [ )(and older [(] n=20 ) participants by using magnetoencephalography ( meg ) . 0 ###LEFT-WALL### 16 activity 0 ###LEFT-WALL### 26 recorded 0 ###LEFT-WALL### 45 . 1 to 3 explore 1 to 14 , 1 to 16 activity 2 further 3 explore 3 explore 5 effects 3 explore 9 on 4 the 5 effects 5 effects 6 of 6 of 8 aging 7 normal 8 aging 9 on 13 sources 10 the 13 sources 11 n2pc 13 sources 12 neural 13 sources 15 neuromagnetic 16 activity 16 activity 17 during 16 activity 20 of 16 activity 25 was 17 during 19 execution 18 the 19 execution 20 of 24 task 21 a 22 visual 21 a 24 task 22 visual 23 search 23 search 24 task 25 was 26 recorded 26 recorded 27 in 26 recorded 39 by 27 in 38 participants 28 healthy 38 participants 29 young 33 )(and 29 young 37 ) 29 young 38 participants 30 ( 33 )(and 31 n=14 33 )(and 33 )(and 36 n=20 33 )(and 37 ) 34 older 36 n=20 39 by 40 using 40 using 41 magnetoencephalography 41 magnetoencephalography 43 meg 42 ( 43 meg 43 meg 44 ) the possible relationships between these neural sources and overt performance were explored by assessing the co - variation between the neural n2pc activity and both the task performance and the execution in the trail making test form a ( tmt - a ) . 0 ###LEFT-WALL### 3 relationships 0 ###LEFT-WALL### 12 explored 0 ###LEFT-WALL### 44 . 1 the 3 relationships 2 possible 3 relationships 3 relationships 4 between 3 relationships 8 and 3 relationships 11 were 3 relationships 12 explored 4 between 5 these 6 neural 7 sources 7 sources 8 and 8 and 10 performance 8 and 11 were 9 overt 10 performance 12 explored 13 by 12 explored 29 and 13 by 14 assessing 14 assessing 18 variation 14 assessing 19 between 15 the 18 variation 16 co 17 - 16 co 18 variation 19 between 24 and 20 the 23 activity 21 neural 23 activity 22 n2pc 23 activity 23 activity 24 and 24 and 25 both 26 the 28 performance 27 task 28 performance 28 performance 29 and 29 and 31 execution 29 and 41 - 30 the 31 execution 31 execution 32 in 32 in 37 form 33 the 37 form 34 trail 35 making 35 making 36 test 36 test 37 form 37 form 38 a 39 ( 41 - 40 tmt 41 - 41 - 42 a 41 - 43 ) results revealed that young participants showed greater activity in occipito - temporal regions than older participants during the mn2pc [(] magnetic counterpart of the n2pc component ) latency range ( 190 - 270ms ) . 0 ###LEFT-WALL### 5 participants 0 ###LEFT-WALL### 6 showed 0 ###LEFT-WALL### 35 . 1 results 2 revealed 2 revealed 5 participants 3 that 4 young 4 young 5 participants 5 participants 6 showed 6 showed 8 activity 6 showed 9 in 6 showed 14 than 6 showed 16 participants 6 showed 29 range 7 greater 8 activity 9 in 13 regions 10 occipito 11 - 10 occipito 13 regions 12 temporal 13 regions 15 older 16 participants 16 participants 17 during 16 participants 23 of 16 participants 29 range 17 during 22 counterpart 18 the 22 counterpart 19 mn2pc 22 counterpart 21 magnetic 22 counterpart 23 of 28 latency 24 the 28 latency 25 n2pc 28 latency 26 component 27 ) 26 component 28 latency 29 range 32 - 30 ( 32 - 31 190 32 - 32 - 33 270ms 32 - 34 ) moreover , older participants showed reduced relative activation in the right occipito - temporal source of mn2pc . 0 ###LEFT-WALL### 4 participants 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 18 . 1 moreover 2 , 1 moreover 4 participants 3 older 4 participants 4 participants 5 showed 5 showed 8 activation 5 showed 9 in 6 reduced 8 activation 7 relative 8 activation 9 in 15 source 10 the 15 source 11 right 15 source 12 occipito 13 - 12 occipito 15 source 14 temporal 15 source 15 source 16 of 16 of 17 mn2pc these findings suggest that the previously observed age - related changes in n2pc parameters are associated with a significant hypoactivation of occipito - temporal n2pc sources that is more marked in the right hemisphere . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 23 - 0 ###LEFT-WALL### 35 . 1 these 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 8 age 4 that 16 associated 5 the 8 age 6 previously 7 observed 7 observed 8 age 8 age 16 associated 9 - 10 related 10 related 11 changes 10 related 12 in 10 related 16 associated 12 in 13 n2pc 13 n2pc 14 parameters 13 n2pc 15 are 14 parameters 15 are 16 associated 17 with 17 with 20 hypoactivation 18 a 19 significant 18 a 20 hypoactivation 19 significant 20 hypoactivation 20 hypoactivation 21 of 21 of 22 occipito 23 - 26 sources 23 - 30 marked 24 temporal 26 sources 25 n2pc 26 sources 26 sources 27 that 26 sources 28 is 26 sources 30 marked 27 that 28 is 28 is 29 more 30 marked 31 in 30 marked 34 hemisphere 32 the 34 hemisphere 33 right 34 hemisphere background : lipid - lowering medications ( llms ) and especially statin drugs can delay cognitive decline [and] dementia onset in individuals [with] and without mild cognitive impairment ( mci ) at baseline . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 1 background 2 : 2 : 10 and 2 : 24 and 2 : 32 at 3 lipid 5 lowering 3 lipid 10 and 4 - 5 lowering 5 lowering 6 medications 5 lowering 9 ) 6 medications 8 llms 7 ( 8 llms 8 llms 9 ) 10 and 11 especially 10 and 20 onset 12 statin 14 can 13 drugs 14 can 14 can 20 onset 15 delay 20 onset 16 cognitive 17 decline 17 decline 19 dementia 19 dementia 20 onset 21 in 22 individuals 21 in 24 and 24 and 25 without 25 without 28 impairment 26 mild 28 impairment 27 cognitive 28 impairment 28 impairment 30 mci 29 ( 30 mci 30 mci 31 ) 32 at 33 baseline methods : a longitudinal , observational study was conducted of 3069 cognitively healthy elderly patients ( ≥75 years of age [ )(who were enrolled in the ginkgo evaluation of memory study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 7 study 2 : 9 conducted 3 a 4 longitudinal 3 a 7 study 4 longitudinal 5 , 4 longitudinal 7 study 6 observational 7 study 7 study 8 was 8 was 9 conducted 9 conducted 10 of 10 of 15 patients 11 3069 15 patients 12 cognitively 13 healthy 13 healthy 15 patients 14 elderly 15 patients 15 patients 18 years 16 ( 18 years 17 ≥75 18 years 18 years 19 of 18 years 22 )(who 18 years 23 were 18 years 32 . 19 of 20 age 22 )(who 23 were 23 were 24 enrolled 24 enrolled 25 in 25 in 28 evaluation 26 the 28 evaluation 27 ginkgo 28 evaluation 28 evaluation 29 of 29 of 31 study 30 memory 31 study the primary outcome measure was the time to [adjudicated] all - cause dementia and alzheimer dementia ( ad ) . 0 ###LEFT-WALL### 4 measure 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 20 . 1 the 4 measure 2 primary 3 outcome 3 outcome 4 measure 4 measure 5 was 5 was 7 time 6 the 7 time 7 time 8 to 7 time 14 and 8 to 10 all 11 - 14 and 12 cause 13 dementia 13 dementia 14 and 14 and 16 dementia 14 and 18 ad 14 and 19 ) 15 alzheimer 16 dementia 17 ( 18 ad 18 ad 19 ) the secondary outcome measure was the change [in] global cognitive function over time measured by scores from the modified mini - mental state exam ( 3mse ) and the cognitive subscale of the ad assessment scale ( adas - cog ) . 0 ###LEFT-WALL### 4 measure 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 42 . 1 the 4 measure 2 secondary 3 outcome 3 outcome 4 measure 4 measure 5 was 5 was 28 and 6 the 11 function 7 change 11 function 9 global 11 function 10 cognitive 11 function 11 function 12 over 11 function 14 measured 11 function 28 and 12 over 13 time 14 measured 15 by 14 measured 17 from 15 by 16 scores 17 from 20 mini 18 the 20 mini 19 modified 20 mini 20 mini 24 exam 21 - 24 exam 22 mental 23 state 23 state 24 exam 24 exam 26 3mse 24 exam 27 ) 25 ( 26 3mse 26 3mse 27 ) 28 and 31 subscale 28 and 32 of 29 the 31 subscale 30 cognitive 31 subscale 32 of 38 adas 33 the 38 adas 34 ad 35 assessment 35 assessment 36 scale 36 scale 38 adas 37 ( 38 adas 38 adas 40 cog 39 - 40 cog 40 cog 41 ) in participants who initiated statin therapy , lipophilic statins tended to reduce dementia risk more than nonlipophilic agents . 0 ###LEFT-WALL### 9 statins 0 ###LEFT-WALL### 10 tended 0 ###LEFT-WALL### 19 . 1 in 2 participants 1 in 7 , 1 in 9 statins 2 participants 3 who 2 participants 4 initiated 3 who 4 initiated 4 initiated 6 therapy 5 statin 6 therapy 8 lipophilic 9 statins 9 statins 10 tended 10 tended 11 to 10 tended 12 reduce 11 to 12 reduce 12 reduce 14 risk 12 reduce 15 more 12 reduce 16 than 13 dementia 14 risk 16 than 18 agents 17 nonlipophilic 18 agents in contrast , there was no significant association between llm use ( including statins ) , dementia onset , or cognitive decline in individuals with baseline mci . 0 ###LEFT-WALL### 4 there 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 28 . 1 in 2 contrast 1 in 3 , 1 in 4 there 4 there 5 was 5 was 20 or 6 no 8 association 7 significant 8 association 8 association 9 between 8 association 16 , 9 between 11 use 10 llm 11 use 11 use 13 including 12 ( 13 including 13 including 14 statins 13 including 15 ) 16 , 18 onset 16 , 20 or 17 dementia 18 onset 19 , 20 or 20 or 22 decline 20 or 23 in 21 cognitive 22 decline 23 in 24 individuals 24 individuals 25 with 25 with 26 baseline 26 baseline 27 mci however , in individuals without mci at baseline , there was a trend for a neuroprotective effect [of] statins [on] cognitive decline . 0 ###LEFT-WALL### 10 there 0 ###LEFT-WALL### 11 was 0 ###LEFT-WALL### 23 . 1 however 10 there 2 , 3 in 3 in 4 individuals 3 in 9 , 3 in 10 there 4 individuals 5 without 4 individuals 7 at 5 without 6 mci 7 at 8 baseline 10 there 11 was 11 was 13 trend 12 a 13 trend 13 trend 14 for 14 for 22 decline 15 a 16 neuroprotective 15 a 22 decline 16 neuroprotective 17 effect 17 effect 19 statins 21 cognitive 22 decline conclusions : statins may slow the rate [of] cognitive decline and delay the onset of ad and all - cause dementia in cognitively healthy elderly individuals , whereas individuals with mci may not have comparable cognitive protection from these agents . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 41 . 2 : 3 statins 2 : 11 and 3 statins 11 and 4 may 5 slow 4 may 11 and 5 slow 10 decline 6 the 10 decline 7 rate 10 decline 9 cognitive 10 decline 11 and 12 delay 11 and 38 from 12 delay 14 onset 12 delay 28 whereas 13 the 14 onset 14 onset 15 of 15 of 17 and 16 ad 17 and 17 and 18 all 17 and 21 dementia 19 - 21 dementia 20 cause 21 dementia 21 dementia 22 in 21 dementia 27 , 22 in 26 individuals 23 cognitively 24 healthy 24 healthy 26 individuals 25 elderly 26 individuals 28 whereas 29 individuals 28 whereas 34 have 29 individuals 30 with 29 individuals 32 may 30 with 31 mci 32 may 33 not 32 may 34 have 34 have 37 protection 35 comparable 37 protection 36 cognitive 37 protection 38 from 40 agents 39 these 40 agents to test for the toxicity of bmaa against human neurons , we chose 3 standard human neuronal cell lines for examination and compared the toxicity with the muscle - building nutritional supplement β - alanine , glutamic acid , and the established excitotoxins kainic acid , quisqualic acid , ibotenic acid , domoic acid , and quinolinic acid . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 test 0 ###LEFT-WALL### 29 - 1 to 2 test 2 test 3 for 2 test 12 we 2 test 22 and 3 for 5 toxicity 4 the 5 toxicity 5 toxicity 6 of 6 of 7 bmaa 8 against 10 neurons 8 against 11 , 8 against 12 we 9 human 10 neurons 12 we 22 and 13 chose 19 lines 13 chose 22 and 14 3 16 human 15 standard 16 human 16 human 19 lines 17 neuronal 18 cell 18 cell 19 lines 19 lines 20 for 20 for 21 examination 22 and 23 compared 22 and 26 with 23 compared 25 toxicity 24 the 25 toxicity 26 with 28 muscle 27 the 28 muscle 29 - 56 and 29 - 59 . 30 building 35 alanine 31 nutritional 32 supplement 32 supplement 35 alanine 33 β 34 - 33 β 35 alanine 35 alanine 36 , 36 , 38 acid 36 , 40 and 37 glutamic 38 acid 39 , 40 and 40 and 43 excitotoxins 40 and 48 acid 41 the 43 excitotoxins 42 established 43 excitotoxins 44 kainic 48 acid 45 acid 46 , 45 acid 48 acid 47 quisqualic 48 acid 48 acid 49 , 49 , 54 acid 49 , 56 and 50 ibotenic 54 acid 51 acid 52 , 51 acid 54 acid 53 domoic 54 acid 55 , 56 and 56 and 58 acid 57 quinolinic 58 acid neurotoxicity was measured by the standard lactic dehydrogenase release assay after 5 - day [incubation] of nt - 2 , sk - n - mc , and sh - sy5y cells with bmaa and the comparative substances . 0 ###LEFT-WALL### 1 neurotoxicity 0 ###LEFT-WALL### 3 measured 0 ###LEFT-WALL### 29 - 0 ###LEFT-WALL### 38 . 1 neurotoxicity 2 was 2 was 3 measured 3 measured 4 by 3 measured 24 - 4 by 10 assay 5 the 10 assay 6 standard 9 release 7 lactic 8 dehydrogenase 8 dehydrogenase 9 release 9 release 10 assay 10 assay 11 after 11 after 12 5 12 5 14 day 12 5 21 sk 13 - 14 day 14 day 16 of 14 day 20 , 16 of 17 nt 17 nt 19 2 18 - 19 2 19 2 20 , 20 , 21 sk 21 sk 22 - 22 - 24 - 23 n 24 - 24 - 27 and 24 - 29 - 25 mc 27 and 26 , 27 and 27 and 28 sh 29 - 34 and 30 sy5y 31 cells 31 cells 32 with 31 cells 34 and 32 with 33 bmaa 34 and 37 substances 35 the 37 substances 36 comparative 37 substances the ed ( 50 [ )(of bmaa , corresponding to 50 % death of neurons , varied from 1430 to 1604 μm while that of the nutritional supplement β - alanine was almost as low , varying from 1945 to 2134 μm . 0 ###LEFT-WALL### 2 ed 0 ###LEFT-WALL### 17 varied 1 the 2 ed 2 ed 4 50 2 ed 9 corresponding 2 ed 17 varied 3 ( 4 50 4 50 6 )(of 4 50 8 , 6 )(of 7 bmaa 8 , 9 corresponding 9 corresponding 10 to 9 corresponding 16 , 10 to 13 death 11 50 12 % 12 % 13 death 13 death 14 of 14 of 15 neurons 17 varied 20 to 17 varied 22 μm 17 varied 23 while 18 from 20 to 19 1430 20 to 20 to 21 1604 23 while 24 that 23 while 32 was 24 that 25 of 24 that 32 was 25 of 31 alanine 26 the 31 alanine 27 nutritional 28 supplement 28 supplement 31 alanine 29 β 30 - 29 β 31 alanine 32 was 33 almost 32 was 35 low 34 as 35 low 35 low 37 varying 36 , 37 varying 37 varying 40 to 37 varying 42 μm 37 varying 43 . 38 from 40 to 39 1945 40 to 40 to 41 2134 the ed [(] 50 [ )(for glutamic acid and the 5 established excitotoxins was 200 - to 360 - fold lower , varying from 44 to 70 μm . 0 ###LEFT-WALL### 2 ed 0 ###LEFT-WALL### 14 was 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 28 μm 0 ###LEFT-WALL### 29 . 1 the 2 ed 2 ed 4 50 2 ed 6 )(for 2 ed 14 was 6 )(for 9 and 7 glutamic 8 acid 8 acid 9 and 9 and 13 excitotoxins 10 the 11 5 11 5 13 excitotoxins 12 established 13 excitotoxins 14 was 15 200 15 200 17 to 16 - 17 to 17 to 18 360 17 to 19 - 19 - 20 fold 20 fold 23 varying 21 lower 22 , 21 lower 23 varying 23 varying 26 to 23 varying 28 μm 24 from 26 to 25 44 26 to 26 to 27 70 26 to 28 μm differentiating between parkinson 's disease ( pd ) and atypical parkinsonism ( ap ) is clinically relevant but challenging . 0 ###LEFT-WALL### 1 differentiating 0 ###LEFT-WALL### 4 's 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 20 . 1 differentiating 2 between 1 differentiating 4 's 2 between 3 parkinson 4 's 5 disease 5 disease 7 pd 6 ( 7 pd 7 pd 8 ) 9 and 13 ap 9 and 15 is 10 atypical 13 ap 11 parkinsonism 13 ap 12 ( 13 ap 13 ap 14 ) 13 ap 15 is 15 is 16 clinically 15 is 18 but 17 relevant 18 but 18 but 19 challenging a timely and correct diagnosis might result in better targeted treatment strategies , adequate patient counseling , and early recognition of disease - specific complications . 0 ###LEFT-WALL### 5 diagnosis 0 ###LEFT-WALL### 7 result 0 ###LEFT-WALL### 23 - 1 a 5 diagnosis 2 timely 3 and 3 and 4 correct 3 and 5 diagnosis 5 diagnosis 6 might 6 might 7 result 7 result 8 in 8 in 18 and 9 better 11 treatment 10 targeted 11 treatment 11 treatment 12 strategies 12 strategies 13 , 13 , 16 counseling 13 , 18 and 14 adequate 16 counseling 15 patient 16 counseling 17 , 18 and 18 and 20 recognition 18 and 21 of 19 early 20 recognition 21 of 22 disease 23 - 25 complications 23 - 26 . 24 specific 25 complications we aimed to investigate whether cerebrospinal fluid ( csf ) concentrations of α - synuclein are of additional diagnostic value . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 aimed 0 ###LEFT-WALL### 21 . 1 we 2 aimed 2 aimed 3 to 2 aimed 4 investigate 3 to 4 investigate 4 investigate 5 whether 5 whether 11 concentrations 5 whether 16 are 6 cerebrospinal 11 concentrations 7 fluid 9 csf 7 fluid 11 concentrations 8 ( 9 csf 9 csf 10 ) 11 concentrations 12 of 11 concentrations 16 are 12 of 15 synuclein 13 α 14 - 13 α 15 synuclein 16 are 17 of 17 of 20 value 18 additional 20 value 19 diagnostic 20 value we examined 142 consecutive patients with parkinsonism , mean disease duration 39.7 [mo] ( parkinson 's disease ( pd ) , n = 58 [;] msa , n = 47 [;] dementia with lewy bodies ( dlb ) , n = 3 [;] vap , n = 22 [;] progressive supranuclear palsy ( psp ) , n = 10 [;] cbd , n = 2 [ )( 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 8 , 1 we 2 examined 2 examined 5 patients 3 142 5 patients 4 consecutive 5 patients 5 patients 6 with 6 with 7 parkinsonism 8 , 9 mean 9 mean 11 duration 10 disease 11 duration 11 duration 12 39.7 11 duration 17 disease 11 duration 23 = 14 ( 17 disease 15 parkinson 16 's 16 's 17 disease 17 disease 19 pd 17 disease 20 ) 18 ( 19 pd 19 pd 20 ) 21 , 23 = 22 n 23 = 23 = 26 msa 24 58 26 msa 26 msa 29 = 27 , 29 = 28 n 29 = 29 = 30 47 30 47 32 dementia 32 dementia 33 with 33 with 35 bodies 34 lewy 35 bodies 35 bodies 37 dlb 35 bodies 41 = 36 ( 37 dlb 37 dlb 38 ) 39 , 41 = 40 n 41 = 41 = 44 vap 42 3 44 vap 44 vap 47 = 45 , 47 = 46 n 47 = 47 = 52 palsy 48 22 52 palsy 50 progressive 52 palsy 51 supranuclear 52 palsy 52 palsy 54 psp 52 palsy 58 = 52 palsy 64 = 53 ( 54 psp 54 psp 55 ) 56 , 58 = 57 n 58 = 58 = 61 cbd 59 10 61 cbd 62 , 64 = 63 n 64 = 64 = 65 2 64 = 67 )( gold [standard] was the clinical diagnosis established after 2 years of [clinical] [follow] - up . 0 ###LEFT-WALL### 1 gold 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 16 . 1 gold 3 was 3 was 6 diagnosis 4 the 6 diagnosis 5 clinical 6 diagnosis 6 diagnosis 7 established 6 diagnosis 11 of 7 established 8 after 8 after 10 years 9 2 10 years 11 of 15 up 14 - 15 up csf concentrations of α - synuclein , blood pigments and the erythrocyte count were determined . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 14 were 0 ###LEFT-WALL### 16 . 1 csf 2 concentrations 2 concentrations 3 of 2 concentrations 7 , 3 of 6 synuclein 4 α 5 - 4 α 6 synuclein 7 , 9 pigments 7 , 10 and 8 blood 9 pigments 10 and 13 count 10 and 14 were 11 the 13 count 12 erythrocyte 13 count 14 were 15 determined no differences between csf α - synuclein concentrations of patients with pd with the reference values from our laboratory were observed . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 20 were 0 ###LEFT-WALL### 22 . 1 no 2 differences 2 differences 3 between 2 differences 13 with 2 differences 20 were 3 between 8 concentrations 4 csf 8 concentrations 5 α 6 - 5 α 7 synuclein 7 synuclein 8 concentrations 8 concentrations 9 of 9 of 10 patients 10 patients 11 with 11 with 12 pd 13 with 16 values 14 the 16 values 15 reference 16 values 16 values 17 from 17 from 19 laboratory 18 our 19 laboratory 20 were 21 observed we neither found significant differences between patients with pd and ap [nor] between ap subgroups . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 found 0 ###LEFT-WALL### 16 . 1 we 3 found 2 neither 3 found 3 found 5 differences 3 found 15 subgroups 4 significant 5 differences 5 differences 6 between 6 between 7 patients 7 patients 8 with 7 patients 13 between 8 with 11 ap 9 pd 10 and 10 and 11 ap 13 between 14 ap adjustment for age , disease severity or presence of erythrocytes or blood pigments in csf did not alter these results . 0 ###LEFT-WALL### 7 or 0 ###LEFT-WALL### 18 alter 0 ###LEFT-WALL### 21 . 1 adjustment 2 for 1 adjustment 4 , 2 for 3 age 4 , 6 severity 4 , 7 or 5 disease 6 severity 7 or 8 presence 7 or 9 of 7 or 16 did 9 of 11 or 10 erythrocytes 11 or 11 or 13 pigments 11 or 14 in 12 blood 13 pigments 14 in 15 csf 16 did 17 not 16 did 18 alter 18 alter 20 results 19 these 20 results our results imply that csf α - synuclein is currently unsuitable as biomarker to differentiate between pd and ap . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 imply 0 ###LEFT-WALL### 7 - 1 our 2 results 2 results 3 imply 3 imply 4 that 4 that 5 csf 4 that 6 α 5 csf 6 α 7 - 8 synuclein 7 - 9 is 8 synuclein 9 is 9 is 10 currently 9 is 11 unsuitable 11 unsuitable 12 as 11 unsuitable 14 to 11 unsuitable 15 differentiate 12 as 13 biomarker 14 to 15 differentiate 15 differentiate 16 between 16 between 19 ap 17 pd 18 and 18 and 19 ap 19 ap 20 . oxidative damage to lipoproteins , in particular low density lipoprotein ( ldl ) , is known to play a role in a number of diseases associated with aging such as cardiovascular disease ( cvd ) and dementia . 0 ###LEFT-WALL### 2 damage 0 ###LEFT-WALL### 16 known 0 ###LEFT-WALL### 38 . 1 oxidative 2 damage 2 damage 3 to 2 damage 15 is 3 to 4 lipoproteins 4 lipoproteins 6 in 5 , 6 in 6 in 10 lipoprotein 6 in 14 , 7 particular 10 lipoprotein 8 low 9 density 9 density 10 lipoprotein 10 lipoprotein 12 ldl 11 ( 12 ldl 12 ldl 13 ) 15 is 16 known 16 known 17 to 16 known 21 in 17 to 18 play 18 play 20 role 19 a 20 role 21 in 36 and 22 a 23 number 23 number 24 of 23 number 36 and 24 of 25 diseases 25 diseases 26 associated 25 diseases 27 with 25 diseases 34 cvd 27 with 28 aging 28 aging 32 disease 29 such 32 disease 30 as 31 cardiovascular 31 cardiovascular 32 disease 33 ( 34 cvd 34 cvd 35 ) 36 and 37 dementia exercise can alter the balance of oxidative and anti - oxidative species within the human body and may cause oxidative damage to lipoproteins . 0 ###LEFT-WALL### 1 exercise 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 24 . 1 exercise 17 and 2 can 3 alter 2 can 17 and 3 alter 5 balance 3 alter 13 within 4 the 5 balance 5 balance 6 of 6 of 8 and 7 oxidative 8 and 8 and 12 species 9 anti 10 - 9 anti 12 species 11 oxidative 12 species 13 within 16 body 14 the 16 body 15 human 16 body 17 and 18 may 18 may 19 cause 19 cause 21 damage 19 cause 22 to 20 oxidative 21 damage 22 to 23 lipoproteins the purpose of this study was to assess the effect of a moderate intensity exercise program on markers of oxidative stress in older age adults . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 26 . 1 the 2 purpose 2 purpose 3 of 2 purpose 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 8 assess 7 to 8 assess 8 assess 10 effect 8 assess 17 on 8 assess 22 in 9 the 10 effect 10 effect 11 of 11 of 16 program 12 a 13 moderate 12 a 16 program 13 moderate 14 intensity 14 intensity 16 program 15 exercise 16 program 17 on 18 markers 18 markers 19 of 19 of 21 stress 20 oxidative 21 stress 22 in 25 adults 23 older 24 age 24 age 25 adults parameters of lipoprotein protein and lipid oxidation , and lipoprotein nitration were assessed in aged individuals who undertook a program of moderate physical activity for a period of 8 weeks . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 13 assessed 0 ###LEFT-WALL### 31 . 1 parameters 2 of 1 parameters 5 and 2 of 4 protein 3 lipoprotein 4 protein 5 and 11 nitration 5 and 12 were 6 lipid 7 oxidation 7 oxidation 9 and 8 , 9 and 9 and 10 lipoprotein 9 and 11 nitration 12 were 13 assessed 13 assessed 14 in 13 assessed 25 for 14 in 16 individuals 15 aged 16 individuals 16 individuals 17 who 16 individuals 18 undertook 17 who 18 undertook 18 undertook 20 program 19 a 20 program 20 program 21 of 21 of 24 activity 22 moderate 24 activity 23 physical 24 activity 25 for 27 period 26 a 27 period 27 period 28 of 28 of 30 weeks 29 8 30 weeks [walking] at moderate intensity caused [a] significant weight decrease in the exercise group [,] but did not have any significant effect on vo2max . 0 ###LEFT-WALL### 15 but 0 ###LEFT-WALL### 24 . 2 at 9 decrease 2 at 15 but 3 moderate 4 intensity 4 intensity 5 caused 5 caused 8 weight 7 significant 8 weight 8 weight 9 decrease 9 decrease 10 in 10 in 12 exercise 11 the 12 exercise 13 group 15 but 15 but 16 did 16 did 17 not 16 did 18 have 18 have 21 effect 18 have 22 on 19 any 21 effect 20 significant 21 effect 22 on 23 vo2max exercise at this intensity was not harmful and did not increase risk factors for diseases associated with oxidative stress in the participants of the study . 0 ###LEFT-WALL### 1 exercise 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 26 . 1 exercise 2 at 1 exercise 8 and 2 at 4 intensity 3 this 4 intensity 5 was 6 not 5 was 7 harmful 5 was 8 and 6 not 7 harmful 8 and 9 did 8 and 14 for 9 did 10 not 9 did 11 increase 11 increase 13 factors 12 risk 13 factors 14 for 15 diseases 15 diseases 16 associated 16 associated 17 with 16 associated 20 in 17 with 19 stress 18 oxidative 19 stress 20 in 22 participants 21 the 22 participants 22 participants 23 of 23 of 25 study 24 the 25 study purpose : to determine the cutoffs for the interocular difference in retinal nerve fiber [layer] ( rnfl ) thickness measured with cirrus hd - oct ( carl zeiss meditec , inc ) in normal eyes . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 36 . 2 : 3 to 2 : 4 determine 3 to 4 determine 4 determine 6 cutoffs 5 the 6 cutoffs 6 cutoffs 7 for 7 for 10 difference 8 the 10 difference 9 interocular 10 difference 10 difference 11 in 10 difference 19 thickness 10 difference 20 measured 11 in 14 fiber 12 retinal 13 nerve 13 nerve 14 fiber 14 fiber 17 rnfl 16 ( 17 rnfl 17 rnfl 18 ) 19 thickness 20 measured 20 measured 21 with 20 measured 33 in 21 with 23 hd 22 cirrus 23 hd 23 hd 25 oct 24 - 25 oct 25 oct 31 inc 25 oct 32 ) 26 ( 31 inc 27 carl 28 zeiss 28 zeiss 29 meditec 29 meditec 31 inc 30 , 31 inc 31 inc 32 ) 33 in 35 eyes 34 normal 35 eyes design : observational , clinical study . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 . 1 design 2 : 2 : 6 study 3 observational 4 , 3 observational 6 study 5 clinical 6 study methods : [scans] [were] acquired at 7 academic glaucoma clinics from both eyes of 284 normal subjects using the optic disc cube 200 × 200 protocol . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 5 acquired 0 ###LEFT-WALL### 27 . 1 methods 2 : 2 : 5 acquired 5 acquired 6 at 6 at 10 clinics 7 7 10 clinics 8 academic 10 clinics 9 glaucoma 10 clinics 10 clinics 11 from 11 from 13 eyes 12 both 13 eyes 13 eyes 14 of 14 of 17 subjects 15 284 17 subjects 16 normal 17 subjects 17 subjects 18 using 18 using 26 protocol 19 the 26 protocol 20 optic 26 protocol 21 disc 22 cube 22 cube 23 200 22 cube 26 protocol 24 × 26 protocol 25 200 26 protocol the interocular differences in rnfl thickness were calculated , and normal ranges of interocular differences were determined as the 2.5th and 97.5th percentiles . 0 ###LEFT-WALL### 3 differences 0 ###LEFT-WALL### 8 calculated 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 24 . 1 the 3 differences 2 interocular 3 differences 3 differences 4 in 3 differences 7 were 4 in 6 thickness 5 rnfl 6 thickness 7 were 8 calculated 9 , 10 and 10 and 12 ranges 10 and 16 were 11 normal 12 ranges 12 ranges 13 of 12 ranges 16 were 13 of 15 differences 14 interocular 15 differences 16 were 23 percentiles 17 determined 18 as 17 determined 21 and 18 as 20 2.5th 19 the 20 2.5th 21 and 22 97.5th 21 and 23 percentiles results : the average rnfl in the right eye was 0.52 μm thicker than in the left eye ; the difference was marginally significant ( p = [.] 049 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 rnfl 2 : 10 was 2 : 19 ; 2 : 31 . 3 the 5 rnfl 4 average 5 rnfl 5 rnfl 6 in 5 rnfl 10 was 6 in 9 eye 7 the 9 eye 8 right 9 eye 10 was 13 thicker 11 0.52 12 μm 12 μm 13 thicker 13 thicker 14 than 14 than 15 in 15 in 18 eye 16 the 18 eye 17 left 18 eye 19 ; 21 difference 19 ; 22 was 20 the 21 difference 21 difference 22 was 22 was 23 marginally 22 was 24 significant 24 significant 27 = 25 ( 27 = 26 p 27 = 27 = 29 049 27 = 30 ) the temporal , nasal , and inferior quadrants had significantly thicker rnfl in the right eye , whereas the left eye showed thicker rnfl in the superior quadrant . 0 ###LEFT-WALL### 4 nasal 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 22 showed 0 ###LEFT-WALL### 29 . 1 the 4 nasal 2 temporal 3 , 2 temporal 4 nasal 5 , 6 and 6 and 8 quadrants 6 and 9 had 7 inferior 8 quadrants 8 quadrants 9 had 9 had 12 rnfl 9 had 18 whereas 10 significantly 11 thicker 11 thicker 12 rnfl 12 rnfl 13 in 13 in 16 eye 14 the 16 eye 15 right 16 eye 17 , 18 whereas 18 whereas 21 eye 19 the 21 eye 20 left 21 eye 21 eye 22 showed 22 showed 24 rnfl 22 showed 25 in 23 thicker 24 rnfl 25 in 28 quadrant 26 the 28 quadrant 27 superior 28 quadrant the 2.5th and 97.5th percentile interocular difference tolerance limits for average rnfl thickness were - 7.9 μm and 8.8 μm , respectively . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 5 percentile 0 ###LEFT-WALL### 23 . 1 the 2 2.5th 2 2.5th 3 and 3 and 4 97.5th 3 and 5 percentile 5 percentile 8 tolerance 5 percentile 22 respectively 6 interocular 7 difference 7 difference 8 tolerance 8 tolerance 9 limits 8 tolerance 14 were 8 tolerance 18 and 9 limits 10 for 9 limits 14 were 10 for 13 thickness 11 average 13 thickness 12 rnfl 13 thickness 15 - 18 and 16 7.9 17 μm 17 μm 18 and 18 and 20 μm 18 and 21 , 19 8.8 20 μm although the difference in average rnfl thickness correlated with differences in axial length , disc area , cup [-] to [-] disc ratio , and vertical cup - to [-] disc ratio , only differences in axial length [(] β = - 0.21 [;] p < [.] 001 [ )( disc area [(] β = 0.17 [;] p < [.] 001 ) were associated with an interocular difference of average rnfl thickness after adjustment for each other [.] 1 although 3 difference 1 although 10 differences 2 the 3 difference 4 in 6 rnfl 4 in 10 differences 5 average 6 rnfl 6 rnfl 7 thickness 6 rnfl 9 with 7 thickness 8 correlated 8 correlated 9 with 10 differences 11 in 10 differences 16 area 10 differences 18 cup 11 in 13 length 12 axial 13 length 14 , 16 area 15 disc 16 area 16 area 17 , 18 cup 20 to 18 cup 25 and 20 to 22 disc 23 ratio 25 and 24 , 25 and 25 and 27 cup 25 and 28 - 25 and 29 to 26 vertical 27 cup 29 to 32 ratio 31 disc 32 ratio 32 ratio 42 - 33 , 34 only 33 , 42 - 35 differences 36 in 35 differences 42 - 36 in 38 length 37 axial 38 length 38 length 40 β 38 length 41 = 40 β 41 = 42 - 43 0.21 43 0.21 46 < 45 p 46 < 46 < 52 area 48 001 51 disc 51 disc 52 area 52 area 54 β 52 area 64 associated 54 β 56 0.17 54 β 63 were 54 β 64 associated 55 = 56 0.17 56 0.17 59 < 56 0.17 63 were 58 p 59 < 59 < 61 001 59 < 62 ) 64 associated 65 with 65 with 68 difference 66 an 67 interocular 66 an 68 difference 67 interocular 68 difference 68 difference 69 of 69 of 72 thickness 70 average 72 thickness 71 rnfl 72 thickness 72 thickness 73 after 72 thickness 75 for 73 after 74 adjustment 75 for 77 other 76 each 77 other the interocular difference remained stable despite significant decrease in rnfl thickness with aging . 0 ###LEFT-WALL### 3 difference 0 ###LEFT-WALL### 4 remained 0 ###LEFT-WALL### 14 . 1 the 3 difference 2 interocular 3 difference 3 difference 4 remained 4 remained 5 stable 5 stable 6 despite 5 stable 9 in 5 stable 12 with 6 despite 8 decrease 7 significant 8 decrease 9 in 11 thickness 10 rnfl 11 thickness 12 with 13 aging conclusions : an interocular difference in average rnfl thickness exceeding 9 μm when measured with the cirrus hd - oct in normal eyes may be considered statistically significant asymmetry and may be indicative of early glaucomatous damage . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 38 . 1 conclusions 2 : 2 : 5 difference 2 : 21 in 3 an 5 difference 4 interocular 5 difference 5 difference 6 in 5 difference 15 with 6 in 9 thickness 7 average 9 thickness 8 rnfl 9 thickness 9 thickness 10 exceeding 10 exceeding 12 μm 10 exceeding 13 when 11 9 12 μm 13 when 14 measured 15 with 20 oct 16 the 20 oct 17 cirrus 18 hd 18 hd 20 oct 19 - 20 oct 21 in 23 eyes 22 normal 23 eyes 23 eyes 30 and 23 eyes 34 of 24 may 25 be 24 may 30 and 25 be 26 considered 26 considered 29 asymmetry 27 statistically 28 significant 28 significant 29 asymmetry 30 and 31 may 31 may 32 be 32 be 33 indicative 34 of 37 damage 35 early 37 damage 36 glaucomatous 37 damage deoxyhemoglobin reduces nitrite to nitric oxide ( no ) . 0 ###LEFT-WALL### 1 deoxyhemoglobin 0 ###LEFT-WALL### 2 reduces 0 ###LEFT-WALL### 10 . 1 deoxyhemoglobin 2 reduces 2 reduces 3 nitrite 2 reduces 4 to 4 to 6 oxide 5 nitric 6 oxide 6 oxide 8 no 7 ( 8 no 8 no 9 ) in order to study the effect of the hemoglobin quaternary conformation on the nitrite reaction , we compared t - state deoxyhemoglobin with r - state deoxyhemoglobin produced by reacting hemoglobin with carboxypeptidase - a prior to deoxygenation . 0 ###LEFT-WALL### 17 we 0 ###LEFT-WALL### 18 compared 0 ###LEFT-WALL### 20 - 1 in 2 order 1 in 16 , 1 in 17 we 2 order 3 to 2 order 4 study 3 to 4 study 4 study 6 effect 5 the 6 effect 6 effect 7 of 6 effect 12 on 7 of 11 conformation 8 the 11 conformation 9 hemoglobin 11 conformation 10 quaternary 11 conformation 12 on 15 reaction 13 the 15 reaction 14 nitrite 15 reaction 17 we 18 compared 18 compared 19 t 20 - 22 deoxyhemoglobin 21 state 22 deoxyhemoglobin 22 deoxyhemoglobin 23 with 22 deoxyhemoglobin 27 deoxyhemoglobin 23 with 24 r 25 - 27 deoxyhemoglobin 26 state 27 deoxyhemoglobin 27 deoxyhemoglobin 28 produced 27 deoxyhemoglobin 29 by 27 deoxyhemoglobin 32 with 27 deoxyhemoglobin 39 . 29 by 31 hemoglobin 30 reacting 31 hemoglobin 32 with 33 carboxypeptidase 33 carboxypeptidase 36 prior 34 - 36 prior 35 a 36 prior 36 prior 37 to 36 prior 39 . 37 to 38 deoxygenation the nitrite reaction with deoxyhemoglobin was followed by chemiluminescence , electron paramagnetic resonance and visible spectroscopy . 0 ###LEFT-WALL### 3 reaction 0 ###LEFT-WALL### 7 followed 0 ###LEFT-WALL### 17 . 1 the 3 reaction 2 nitrite 3 reaction 3 reaction 4 with 3 reaction 6 was 4 with 5 deoxyhemoglobin 6 was 7 followed 7 followed 8 by 8 by 14 and 9 chemiluminescence 10 , 10 , 13 resonance 10 , 14 and 11 electron 13 resonance 12 paramagnetic 13 resonance 14 and 16 spectroscopy 15 visible 16 spectroscopy the initial steps in this reaction involve the binding of nitrite to deoxyhemoglobin followed by the formation of an electron delocalized metastable intermediate that retains potential no bioactivity . 0 ###LEFT-WALL### 3 steps 0 ###LEFT-WALL### 7 involve 0 ###LEFT-WALL### 29 . 1 the 3 steps 2 initial 3 steps 3 steps 4 in 3 steps 7 involve 4 in 6 reaction 5 this 6 reaction 7 involve 9 binding 7 involve 12 to 7 involve 15 by 8 the 9 binding 9 binding 10 of 10 of 11 nitrite 12 to 13 deoxyhemoglobin 13 deoxyhemoglobin 14 followed 15 by 17 formation 16 the 17 formation 17 formation 18 of 18 of 23 intermediate 19 an 23 intermediate 20 electron 21 delocalized 21 delocalized 23 intermediate 22 metastable 23 intermediate 23 intermediate 24 that 23 intermediate 25 retains 24 that 25 retains 25 retains 28 bioactivity 26 potential 28 bioactivity 27 no 28 bioactivity this reaction is shown by visible spectroscopy to occur 5.6 times faster in [the] r - [state] than in [the] t - state . 0 ###LEFT-WALL### 2 reaction 0 ###LEFT-WALL### 4 shown 0 ###LEFT-WALL### 23 state 1 this 2 reaction 2 reaction 3 is 3 is 4 shown 4 shown 5 by 4 shown 8 to 4 shown 11 times 4 shown 23 state 5 by 7 spectroscopy 6 visible 7 spectroscopy 8 to 9 occur 10 5.6 11 times 11 times 12 faster 11 times 23 state 12 faster 13 in 12 faster 19 in 13 in 15 r 16 - 18 than 16 - 19 in 19 in 21 t 19 in 22 - 23 state 24 . however , the dissociation of no from the delocalized intermediate is shown to be facilitated by the [t] [-] quaternary conformation with a 9.6 fold increase in the rate constant . 0 ###LEFT-WALL### 4 dissociation 0 ###LEFT-WALL### 12 shown 0 ###LEFT-WALL### 31 . 1 however 2 , 1 however 4 dissociation 3 the 4 dissociation 4 dissociation 5 of 4 dissociation 11 is 5 of 6 no 6 no 7 from 7 from 10 intermediate 8 the 10 intermediate 9 delocalized 10 intermediate 11 is 12 shown 12 shown 13 to 13 to 14 be 14 be 15 facilitated 15 facilitated 16 by 15 facilitated 22 with 15 facilitated 27 in 15 facilitated 30 constant 16 by 21 conformation 17 the 21 conformation 20 quaternary 21 conformation 22 with 26 increase 23 a 26 increase 24 9.6 26 increase 25 fold 26 increase 27 in 29 rate 28 the 29 rate the preferred no - release in [the] t - state , which has a higher affinity for the membrane , can result in the no diffusing out of the rbc and being released to the vasculature at low partial pressures of oxygen . 1 the 10 state 2 preferred 10 state 3 no 5 release 3 no 10 state 4 - 5 release 5 release 6 in 5 release 9 - 6 in 8 t 10 state 12 which 10 state 21 can 11 , 12 which 12 which 13 has 12 which 20 , 13 has 16 affinity 14 a 16 affinity 15 higher 16 affinity 16 affinity 17 for 17 for 19 membrane 18 the 19 membrane 21 can 22 result 22 result 23 in 22 result 28 of 23 in 25 no 24 the 25 no 25 no 26 diffusing 27 out 28 of 28 of 31 and 29 the 30 rbc 30 rbc 31 and 31 and 32 being 31 and 43 . 32 being 33 released 33 released 34 to 33 released 37 at 34 to 36 vasculature 35 the 36 vasculature 37 at 40 pressures 38 low 40 pressures 39 partial 40 pressures 40 pressures 41 of 41 of 42 oxygen the efficiency of somatic energy metabolism is correlated with cognitive change over the lifespan . 0 ###LEFT-WALL### 2 efficiency 0 ###LEFT-WALL### 8 correlated 0 ###LEFT-WALL### 15 . 1 the 2 efficiency 2 efficiency 3 of 2 efficiency 7 is 3 of 6 metabolism 4 somatic 5 energy 5 energy 6 metabolism 7 is 8 correlated 8 correlated 9 with 8 correlated 12 over 9 with 11 change 10 cognitive 11 change 12 over 14 lifespan 13 the 14 lifespan this relationship is bidirectional , with improved overall fitness associated with enhanced synaptic function [and] neuroprotection , and synaptic endangerment occurring in the context of impaired energy metabolism . 0 ###LEFT-WALL### 2 relationship 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 29 . 1 this 2 relationship 2 relationship 3 is 3 is 20 endangerment 4 bidirectional 6 with 4 bidirectional 18 and 5 , 6 with 6 with 9 fitness 6 with 17 , 7 improved 8 overall 8 overall 9 fitness 9 fitness 10 associated 10 associated 11 with 11 with 16 neuroprotection 12 enhanced 14 function 13 synaptic 14 function 14 function 16 neuroprotection 18 and 19 synaptic 18 and 20 endangerment 20 endangerment 21 occurring 21 occurring 22 in 22 in 24 context 23 the 24 context 24 context 25 of 25 of 28 metabolism 26 impaired 27 energy 27 energy 28 metabolism in this review , we discuss recent advancements in the fields of exercise , dietary energy intake and diabetes , as they relate to [neuronal] function in the hippocampus . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 30 . 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 20 , 6 discuss 8 advancements 6 discuss 9 in 6 discuss 20 , 7 recent 8 advancements 9 in 18 and 10 the 11 fields 11 fields 12 of 11 fields 14 , 12 of 13 exercise 14 , 17 intake 14 , 18 and 15 dietary 16 energy 16 energy 17 intake 18 and 19 diabetes 20 , 26 function 21 as 22 they 21 as 23 relate 22 they 23 relate 23 relate 24 to 24 to 26 function 26 function 27 in 27 in 29 hippocampus 28 the 29 hippocampus because hippocampal neurons have energy requirements that are relatively higher than those of other brain regions , they are uniquely poised to benefit from exercise , and to be harmed by diabetes . 0 ###LEFT-WALL### 18 they 0 ###LEFT-WALL### 21 poised 0 ###LEFT-WALL### 33 . 1 because 3 neurons 1 because 4 have 1 because 17 , 1 because 18 they 2 hippocampal 3 neurons 3 neurons 4 have 4 have 6 requirements 5 energy 6 requirements 6 requirements 7 that 6 requirements 8 are 7 that 8 are 8 are 9 relatively 8 are 10 higher 10 higher 11 than 11 than 12 those 12 those 13 of 13 of 16 regions 14 other 16 regions 15 brain 16 regions 18 they 19 are 19 are 20 uniquely 19 are 21 poised 21 poised 22 to 22 to 27 and 23 benefit 24 from 23 benefit 27 and 24 from 25 exercise 26 , 27 and 27 and 28 to 27 and 30 harmed 27 and 31 by 28 to 29 be 31 by 32 diabetes we view exercise and dietary energy restriction as being associated with enhanced hippocampal plasticity at one end of [a] [continuum] [,] with obesity and diabetes accompanied by cognitive impairment at the other end [of] [the] [continuum] . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 view 0 ###LEFT-WALL### 37 . 1 we 2 view 2 view 4 and 2 view 8 as 3 exercise 4 and 4 and 7 restriction 5 dietary 6 energy 6 energy 7 restriction 8 as 9 being 9 being 10 associated 10 associated 11 with 10 associated 15 at 11 with 14 plasticity 12 enhanced 14 plasticity 13 hippocampal 14 plasticity 15 at 17 end 16 one 17 end 17 end 18 of 17 end 26 accompanied 18 of 22 with 22 with 24 and 23 obesity 24 and 24 and 25 diabetes 26 accompanied 27 by 27 by 29 impairment 28 cognitive 29 impairment 29 impairment 30 at 30 at 33 end 31 the 32 other 32 other 33 end understanding the mechanisms for this [continuum] may yield novel therapeutic targets for the prevention and treatment of cognitive decline following aging , disease , or injury . 0 ###LEFT-WALL### 1 understanding 0 ###LEFT-WALL### 8 yield 0 ###LEFT-WALL### 27 . 1 understanding 3 mechanisms 1 understanding 7 may 2 the 3 mechanisms 3 mechanisms 4 for 4 for 5 this 7 may 8 yield 8 yield 11 targets 8 yield 12 for 9 novel 11 targets 10 therapeutic 11 targets 12 for 15 and 13 the 14 prevention 14 prevention 15 and 15 and 16 treatment 15 and 17 of 17 of 25 or 18 cognitive 19 decline 19 decline 20 following 20 following 21 aging 20 following 22 , 22 , 23 disease 22 , 25 or 24 , 25 or 25 or 26 injury background & aims : there is no data to suggest that the size of bile ducts , portal venules , and hepatic arterioles varies according to age in the normal human liver . 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 4 : 1 background 2 & 2 & 3 aims 4 : 5 there 4 : 6 is 4 : 33 . 5 there 6 is 6 is 8 data 7 no 8 data 8 data 9 to 8 data 24 varies 9 to 10 suggest 10 suggest 11 that 11 that 13 size 11 that 24 varies 12 the 13 size 13 size 14 of 13 size 24 varies 14 of 21 and 15 bile 16 ducts 16 ducts 17 , 17 , 19 venules 17 , 21 and 18 portal 19 venules 20 , 21 and 21 and 23 arterioles 22 hepatic 23 arterioles 24 varies 26 to 24 varies 28 in 25 according 26 to 26 to 27 age 28 in 32 liver 29 the 32 liver 30 normal 32 liver 31 human 32 liver we sought to examine whether hepatic arteriolar size , wall thickness , and luminal diameter change with increasing age . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 sought 0 ###LEFT-WALL### 20 . 1 we 2 sought 2 sought 3 to 2 sought 4 examine 3 to 4 examine 4 examine 5 whether 5 whether 13 and 5 whether 16 change 6 hepatic 8 size 7 arteriolar 8 size 8 size 9 , 9 , 11 thickness 9 , 13 and 10 wall 11 thickness 12 , 13 and 13 and 15 diameter 13 and 16 change 14 luminal 15 diameter 16 change 17 with 17 with 18 increasing 18 increasing 19 age methods : histologically normal liver specimens from 90 live and [deceased] donors were separated into three groups of thirty : donor age<30 , 31 - 60 , and>60years old . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 20 : 1 methods 2 : 2 : 6 specimens 2 : 7 from 3 histologically 4 normal 4 normal 5 liver 5 liver 6 specimens 7 from 8 90 8 90 10 and 8 90 13 were 8 90 14 separated 8 90 15 into 9 live 10 and 10 and 12 donors 10 and 13 were 15 into 17 groups 16 three 17 groups 17 groups 18 of 18 of 19 thirty 20 : 22 age<30 20 : 25 - 21 donor 22 age<30 22 age<30 24 31 23 , 24 31 24 31 25 - 25 - 26 60 25 - 27 , 25 - 30 . 27 , 29 old 28 and>60years 29 old trichrome - stained slides were [de] [-] identified and assessed by a liver pathologist blinded to donor age . 0 ###LEFT-WALL### 4 slides 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 19 . 1 trichrome 2 - 1 trichrome 4 slides 3 stained 4 slides 4 slides 5 were 5 were 9 and 8 identified 9 and 9 and 10 assessed 9 and 11 by 11 by 14 pathologist 12 a 13 liver 12 a 14 pathologist 13 liver 14 pathologist 14 pathologist 15 blinded 15 blinded 16 to 16 to 18 age 17 donor 18 age morphometric measurements were [taken] of the hepatic arteriole , the cross - sectional diameter , and its wall thickness . 0 ###LEFT-WALL### 2 measurements 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 20 . 1 morphometric 2 measurements 2 measurements 3 were 3 were 5 of 5 of 16 and 6 the 14 diameter 7 hepatic 14 diameter 8 arteriole 11 cross 8 arteriole 14 diameter 9 , 11 cross 10 the 11 cross 11 cross 12 - 13 sectional 14 diameter 14 diameter 16 and 15 , 16 and 16 and 19 thickness 17 its 19 thickness 18 wall 19 thickness the arteriole was measured at its widest diameter , the arteriolar wall at its thickest portion , and the luminal diameter between its widest points . 0 ###LEFT-WALL### 2 arteriole 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 26 . 1 the 2 arteriole 2 arteriole 3 was 3 was 4 measured 4 measured 5 at 4 measured 22 between 5 at 18 and 6 its 7 widest 6 its 8 diameter 8 diameter 9 , 9 , 12 wall 9 , 18 and 10 the 12 wall 11 arteriolar 12 wall 12 wall 13 at 13 at 16 portion 14 its 15 thickest 14 its 16 portion 17 , 18 and 18 and 21 diameter 19 the 21 diameter 20 luminal 21 diameter 22 between 25 points 23 its 24 widest 23 its 25 points results : there was no difference in number of arterioles or bile ducts or [in] arteriolar cross - sectional diameter among the groups and no correlation with age was found . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 there 2 : 4 was 2 : 24 and 2 : 31 . 3 there 4 was 4 was 6 difference 5 no 6 difference 6 difference 7 in 7 in 11 or 8 number 9 of 8 number 11 or 9 of 10 arterioles 11 or 20 diameter 11 or 21 among 12 bile 20 diameter 13 ducts 14 or 14 or 17 cross 14 or 18 - 14 or 20 diameter 16 arteriolar 17 cross 19 sectional 20 diameter 21 among 23 groups 22 the 23 groups 24 and 26 correlation 24 and 30 found 25 no 26 correlation 26 correlation 27 with 26 correlation 29 was 27 with 28 age 29 was 30 found an increasing arteriolar wall thickness and a decrease [in] luminal diameter with advancing age were noted ; no difference in bile duct size among the groups was found . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 15 were 0 ###LEFT-WALL### 17 ; 0 ###LEFT-WALL### 29 . 1 an 5 thickness 2 increasing 4 wall 3 arteriolar 4 wall 4 wall 5 thickness 5 thickness 6 and 6 and 11 diameter 6 and 15 were 7 a 8 decrease 7 a 11 diameter 8 decrease 11 diameter 10 luminal 11 diameter 11 diameter 12 with 12 with 13 advancing 13 advancing 14 age 15 were 16 noted 17 ; 19 difference 17 ; 28 found 18 no 19 difference 19 difference 20 in 19 difference 24 among 19 difference 27 was 20 in 23 size 21 bile 23 size 22 duct 23 size 24 among 26 groups 25 the 26 groups 27 was 28 found there was a significant difference in wall thickness/total cross - sectional diameter with extremes in age ( 21 - 30 age group [vs] . 71 - 80 age group , p=0.0009 [ )(with an accompanying significant decrease in luminal diameter/cross - sectional diameter between the same groups ( p=0.00002 ) . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 10 - 1 there 2 was 2 was 5 difference 3 a 5 difference 4 significant 5 difference 5 difference 6 in 6 in 9 cross 7 wall 9 cross 8 thickness/total 9 cross 10 - 12 diameter 10 - 19 - 11 sectional 12 diameter 12 diameter 13 with 12 diameter 15 in 13 with 14 extremes 15 in 16 age 16 age 18 21 17 ( 18 21 18 21 19 - 19 - 22 group 19 - 24 . 19 - 26 - 20 30 21 age 21 age 22 group 24 . 25 71 26 - 29 group 26 - 30 , 26 - 31 p=0.0009 27 80 28 age 28 age 29 group 30 , 31 p=0.0009 31 p=0.0009 33 )(with 31 p=0.0009 38 in 33 )(with 37 decrease 34 an 37 decrease 35 accompanying 37 decrease 36 significant 37 decrease 38 in 40 diameter/cross 39 luminal 40 diameter/cross 40 diameter/cross 43 diameter 41 - 43 diameter 42 sectional 43 diameter 43 diameter 44 between 43 diameter 49 p=0.00002 43 diameter 51 . 44 between 47 groups 45 the 46 same 46 same 47 groups 48 ( 49 p=0.00002 49 p=0.00002 50 ) conclusions : increasing hepatic arteriolar wall thickness and decreased arteriolar [cross] - sectional diameter occur with increasing age in the normal human liver . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 8 and 2 : 15 occur 2 : 24 . 3 increasing 6 wall 4 hepatic 6 wall 5 arteriolar 6 wall 6 wall 7 thickness 7 thickness 8 and 8 and 14 diameter 8 and 15 occur 9 decreased 14 diameter 10 arteriolar 12 - 10 arteriolar 14 diameter 13 sectional 14 diameter 15 occur 16 with 16 with 17 increasing 17 increasing 18 age 17 increasing 19 in 19 in 23 liver 20 the 23 liver 21 normal 23 liver 22 human 23 liver we evaluated the effect of aging on the functional activity of naturally acquired anti - pneumococcal antibodies , the function of neutrophils in phagocytic killing of opsonized pneumococci , and the complement activity . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 evaluated 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 34 . 1 we 2 evaluated 2 evaluated 4 effect 3 the 4 effect 4 effect 5 of 5 of 6 aging 6 aging 7 on 7 on 10 activity 8 the 10 activity 9 functional 10 activity 10 activity 11 of 11 of 17 antibodies 12 naturally 13 acquired 13 acquired 17 antibodies 14 anti 15 - 14 anti 17 antibodies 16 pneumococcal 17 antibodies 18 , 30 and 19 the 20 function 20 function 21 of 20 function 23 in 20 function 26 of 20 function 30 and 21 of 22 neutrophils 23 in 25 killing 24 phagocytic 25 killing 26 of 28 pneumococci 27 opsonized 28 pneumococci 29 , 30 and 30 and 33 activity 31 the 33 activity 32 complement 33 activity opsonic activities of antibodies to all tested pneumococcal [serotypes] [were] significantly lower and phagocytic killing of pneumococci by neutrophils was significantly impaired among the elderly , whereas the complement activity was slightly higher in the elderly than in the young adults . 0 ###LEFT-WALL### 2 activities 0 ###LEFT-WALL### 7 tested 0 ###LEFT-WALL### 42 . 1 opsonic 2 activities 2 activities 3 of 2 activities 7 tested 3 of 4 antibodies 4 antibodies 5 to 5 to 6 all 7 tested 15 killing 7 tested 31 was 8 pneumococcal 12 lower 8 pneumococcal 13 and 11 significantly 12 lower 13 and 14 phagocytic 13 and 15 killing 15 killing 16 of 15 killing 18 by 15 killing 20 was 16 of 17 pneumococci 18 by 19 neutrophils 20 was 21 significantly 20 was 22 impaired 22 impaired 23 among 22 impaired 27 whereas 23 among 25 elderly 24 the 25 elderly 26 , 27 whereas 27 whereas 30 activity 28 the 30 activity 29 complement 30 activity 30 activity 31 was 31 was 32 slightly 31 was 33 higher 33 higher 34 in 33 higher 37 than 34 in 36 elderly 35 the 36 elderly 37 than 38 in 38 in 41 adults 39 the 41 adults 40 young 41 adults the reduced functional activity of [serotype] [-] specific antibodies and the [compromised] function of neutrophils in the opsonophagocytosis of pneumococci are likely to contribute to the increased susceptibility of the elderly to pneumococcal diseases . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 21 are 0 ###LEFT-WALL### 35 . 1 the 4 activity 2 reduced 4 activity 3 functional 4 activity 4 activity 5 of 4 activity 10 and 5 of 9 antibodies 8 specific 9 antibodies 10 and 13 function 10 and 14 of 10 and 21 are 11 the 13 function 14 of 15 neutrophils 15 neutrophils 16 in 15 neutrophils 19 of 16 in 18 opsonophagocytosis 17 the 18 opsonophagocytosis 19 of 20 pneumococci 21 are 22 likely 22 likely 23 to 22 likely 24 contribute 23 to 24 contribute 24 contribute 25 to 24 contribute 32 to 25 to 28 susceptibility 26 the 28 susceptibility 27 increased 28 susceptibility 28 susceptibility 29 of 29 of 31 elderly 30 the 31 elderly 32 to 34 diseases 33 pneumococcal 34 diseases aim : to evaluate the impact of [ms] on sexual function [in] middle [-] [to] old - aged women . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 evaluate 2 : 20 . 3 to 4 evaluate 4 evaluate 6 impact 5 the 6 impact 6 impact 7 of 7 of 9 on 9 on 19 women 10 sexual 11 function 11 function 19 women 13 middle 19 women 16 old 17 - 16 old 19 women 18 aged 19 women methods : from may 2009 to january 2010 , we performed a cross - sectional study of sexually active women ( ≥ 40 years old ) who visited a health [-] screening clinic . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 34 . 1 methods 2 : 2 : 3 from 2 : 6 to 3 from 4 may 4 may 5 2009 6 to 7 january 7 january 8 2010 9 , 10 we 9 , 11 performed 9 , 14 - 10 we 11 performed 11 performed 13 cross 12 a 13 cross 14 - 16 study 15 sectional 16 study 16 study 17 of 16 study 27 who 16 study 28 visited 17 of 20 women 18 sexually 19 active 19 active 20 women 20 women 22 ≥ 21 ( 22 ≥ 22 ≥ 23 40 22 ≥ 25 old 22 ≥ 26 ) 24 years 25 old 27 who 28 visited 28 visited 33 clinic 29 a 33 clinic 30 health 33 clinic 32 screening 33 clinic comprehensive history taking , anthropometric measurement , laboratory testing , and questionnaire administration were performed for each of the total 773 women enrolled . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 15 performed 0 ###LEFT-WALL### 24 . 1 comprehensive 2 history 2 history 3 taking 3 taking 4 , 4 , 6 measurement 4 , 7 , 5 anthropometric 6 measurement 7 , 9 testing 7 , 11 and 8 laboratory 9 testing 10 , 11 and 11 and 13 administration 11 and 14 were 12 questionnaire 13 administration 14 were 15 performed 15 performed 16 for 15 performed 23 enrolled 16 for 17 each 17 each 18 of 18 of 22 women 19 the 22 women 20 total 22 women 21 773 22 women main outcome measures : the female sexual function index ( fsfi ) was used to assess the key dimensions [of] female sexual function . 0 ###LEFT-WALL### 3 measures 0 ###LEFT-WALL### 4 : 1 main 2 outcome 2 outcome 3 measures 4 : 11 fsfi 4 : 14 used 4 : 24 . 5 the 11 fsfi 6 female 7 sexual 7 sexual 8 function 8 function 9 index 9 index 11 fsfi 10 ( 11 fsfi 11 fsfi 12 ) 11 fsfi 13 was 13 was 14 used 14 used 15 to 14 used 16 assess 15 to 16 assess 16 assess 23 function 17 the 23 function 18 key 23 function 19 dimensions 23 function 21 female 23 function 22 sexual 23 function results : the median age of enrolled subjects was 48 ( 40 - 65 ) years , and the rates of ms and fsd were 12.2 % ( 94/773 [ )(and 54.7 % ( 423/773 ) , respectively . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 age 2 : 9 was 2 : 18 and 2 : 39 . 3 the 5 age 4 median 5 age 5 age 6 of 5 age 9 was 6 of 8 subjects 7 enrolled 8 subjects 9 was 16 years 10 48 16 years 11 ( 13 - 12 40 13 - 13 - 14 65 13 - 15 ) 13 - 16 years 17 , 18 and 18 and 20 rates 18 and 25 were 19 the 20 rates 20 rates 21 of 20 rates 25 were 21 of 24 fsd 22 ms 23 and 23 and 24 fsd 25 were 27 % 25 were 38 respectively 26 12.2 27 % 27 % 33 % 28 ( 33 % 29 94/773 31 )(and 31 )(and 32 54.7 31 )(and 33 % 33 % 35 423/773 33 % 37 , 34 ( 35 423/773 35 423/773 36 ) after adjusting clinical confounders , we found that only the pain domain score was significantly different between women with ms and [without] ms , while the total fsfi score and other constituent domain scores showed little [difference] between the two groups . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 found 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 42 . 1 after 2 adjusting 1 after 5 , 1 after 6 we 2 adjusting 4 confounders 3 clinical 4 confounders 6 we 7 found 7 found 8 that 8 that 9 only 8 that 13 score 8 that 14 was 10 the 13 score 11 pain 13 score 12 domain 13 score 13 score 14 was 14 was 15 significantly 14 was 16 different 16 different 17 between 16 different 19 with 17 between 18 women 19 with 23 ms 20 ms 21 and 21 and 23 ms 24 , 28 fsfi 24 , 29 score 24 , 30 and 25 while 27 total 25 while 28 fsfi 26 the 27 total 28 fsfi 29 score 30 and 34 scores 30 and 35 showed 31 other 34 scores 32 constituent 33 domain 33 domain 34 scores 34 scores 35 showed 35 showed 36 little 35 showed 38 between 38 between 41 groups 39 the 40 two 40 two 41 groups however , in the multivariate logistic regression model , [ms] and most of its components were not associated with fsd [;] only age , menopausal status , smoking , depression , and symptomatic ui proved to be independent risk factors for fsd ( p < 0.05 ) . 1 however 2 , 1 however 7 regression 3 in 5 multivariate 3 in 7 regression 4 the 5 multivariate 6 logistic 7 regression 7 regression 11 and 7 regression 16 were 7 regression 18 associated 8 model 11 and 9 , 11 and 11 and 12 most 11 and 13 of 11 and 16 were 13 of 15 components 14 its 15 components 16 were 17 not 18 associated 19 with 18 associated 28 smoking 19 with 20 fsd 19 with 22 only 19 with 23 age 23 age 26 status 24 , 26 status 25 menopausal 26 status 26 status 27 , 28 smoking 40 factors 29 , 40 factors 30 depression 32 and 31 , 32 and 32 and 34 ui 32 and 35 proved 32 and 36 to 32 and 37 be 32 and 40 factors 33 symptomatic 34 ui 36 to 37 be 38 independent 40 factors 39 risk 40 factors 40 factors 41 for 40 factors 48 . 41 for 42 fsd 42 fsd 45 < 43 ( 45 < 44 p 45 < 45 < 46 0.05 45 < 47 ) conclusions : our study suggests that [ms] may have little impact on sexual function [in] middle [-] [to] old - aged women . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 suggests 2 : 23 . 3 our 4 study 4 study 5 suggests 5 suggests 6 that 5 suggests 9 have 6 that 8 may 8 may 9 have 9 have 11 impact 9 have 12 on 10 little 11 impact 12 on 22 women 13 sexual 14 function 14 function 22 women 16 middle 22 women 19 old 20 - 19 old 22 women 21 aged 22 women further studies with population - based and longitudinal design should be conducted to confirm this finding . 0 ###LEFT-WALL### 1 further 0 ###LEFT-WALL### 5 - 1 further 2 studies 1 further 3 with 3 with 4 population 5 - 7 and 5 - 17 . 6 based 7 and 7 and 14 confirm 8 longitudinal 9 design 9 design 10 should 10 should 11 be 11 be 12 conducted 12 conducted 13 to 13 to 14 confirm 14 confirm 16 finding 15 this 16 finding objective : to assess the association between the periodontal health status and level of education over [a] 5 - year period among the elderly aged 75 years and older . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 aged 0 ###LEFT-WALL### 30 . 2 : 3 to 2 : 19 - 3 to 4 assess 4 assess 6 association 4 assess 7 between 5 the 6 association 7 between 12 and 8 the 11 status 9 periodontal 11 status 10 health 11 status 11 status 12 and 12 and 13 level 12 and 14 of 14 of 15 education 16 over 18 5 18 5 19 - 19 - 21 period 20 year 21 period 21 period 22 among 21 period 25 aged 22 among 24 elderly 23 the 24 elderly 25 aged 28 and 26 75 27 years 27 years 28 and 28 and 29 older background : oral health among the [higher] educated is known to be better than among [the] less - well educated . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 health 2 : 10 known 3 oral 4 health 4 health 5 among 4 health 9 is 5 among 8 educated 6 the 8 educated 9 is 10 known 10 known 11 to 10 known 12 be 11 to 12 be 12 be 13 better 13 better 14 than 13 better 20 educated 14 than 15 among 15 among 17 less 18 - 20 educated 19 well 20 educated 20 educated 21 . on the other hand , the prevalence and severity [of] periodontal disease has been found to grow with increasing age . 0 ###LEFT-WALL### 12 disease 0 ###LEFT-WALL### 15 found 0 ###LEFT-WALL### 21 . 1 on 8 and 1 on 12 disease 2 the 3 other 3 other 4 hand 4 hand 5 , 5 , 7 prevalence 5 , 8 and 6 the 7 prevalence 8 and 9 severity 11 periodontal 12 disease 12 disease 13 has 13 has 14 been 14 been 15 found 15 found 16 to 15 found 18 with 16 to 17 grow 18 with 19 increasing 19 increasing 20 age methods : the participants were derived from a population - based helsinki aging study , a random sample of 76 - , 81 - and 86 - [year] - old [elderly] . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 participants 2 : 6 derived 2 : 22 , 2 : 32 . 3 the 4 participants 4 participants 5 were 5 were 6 derived 6 derived 7 from 7 from 9 population 8 a 9 population 9 population 14 study 10 - 14 study 11 based 14 study 12 helsinki 13 aging 13 aging 14 study 14 study 18 sample 14 study 21 - 15 , 18 sample 16 a 17 random 16 a 18 sample 17 random 18 sample 18 sample 19 of 18 sample 21 - 19 of 20 76 22 , 23 81 22 , 24 - 23 81 24 - 24 - 25 and 25 and 26 86 25 and 27 - 26 86 27 - 27 - 29 - 29 - 30 old the 170 dentate elderly [who] [underwent] clinical oral examinations at baseline and 71 who participated in [the] [follow] - up were included in this study . 0 ###LEFT-WALL### 2 170 0 ###LEFT-WALL### 3 dentate 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 26 . 1 the 2 170 2 170 3 dentate 3 dentate 9 examinations 3 dentate 10 at 4 elderly 8 oral 7 clinical 8 oral 8 oral 9 examinations 10 at 11 baseline 12 and 13 71 12 and 22 included 13 71 14 who 13 71 15 participated 13 71 21 were 14 who 15 participated 15 participated 16 in 16 in 20 up 19 - 20 up 21 were 22 included 22 included 23 in 23 in 25 study 24 this 25 study the data was collected from intraoral and radiological examinations and from a structured questionnaire . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 15 . 1 the 2 data 2 data 3 was 3 was 4 collected 4 collected 10 and 5 from 9 examinations 5 from 10 and 6 intraoral 7 and 7 and 8 radiological 7 and 9 examinations 10 and 11 from 11 from 14 questionnaire 12 a 14 questionnaire 13 structured 14 questionnaire results : subjects with a higher level of education had more retained teeth than subjects with a lower level of education . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 3 subjects 2 : 10 had 3 subjects 4 with 3 subjects 10 had 4 with 7 level 5 a 7 level 6 higher 7 level 7 level 8 of 8 of 9 education 10 had 13 teeth 10 had 14 than 10 had 16 with 11 more 12 retained 12 retained 13 teeth 14 than 15 subjects 16 with 19 level 17 a 19 level 18 lower 19 level 19 level 20 of 20 of 21 education according to cpitn [index] , better - educated participants had more healthy sextants , but they also had more sextants with periodontal pockets . 0 ###LEFT-WALL### 9 participants 0 ###LEFT-WALL### 10 had 0 ###LEFT-WALL### 15 but 0 ###LEFT-WALL### 24 . 1 according 2 to 2 to 3 cpitn 2 to 5 , 2 to 9 participants 6 better 7 - 6 better 9 participants 8 educated 9 participants 9 participants 10 had 10 had 13 sextants 11 more 12 healthy 12 healthy 13 sextants 14 , 15 but 15 but 16 they 15 but 18 had 16 they 18 had 17 also 18 had 18 had 20 sextants 18 had 21 with 19 more 20 sextants 21 with 23 pockets 22 periodontal 23 pockets radiographic examination showed similar results . 0 ###LEFT-WALL### 2 examination 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 6 . 1 radiographic 2 examination 2 examination 3 showed 3 showed 5 results 4 similar 5 results conclusion : level of education has a clear effect on the periodontal health status in the elderly . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 level 2 : 6 has 2 : 18 . 3 level 4 of 3 level 6 has 4 of 5 education 6 has 9 effect 6 has 10 on 6 has 15 in 7 a 8 clear 7 a 9 effect 8 clear 9 effect 10 on 14 status 11 the 14 status 12 periodontal 13 health 13 health 14 status 15 in 17 elderly 16 the 17 elderly more treatment need seems to polarise into those [elderly] who are better educated as [they] [retain] more teeth into old age . 0 ###LEFT-WALL### 2 treatment 0 ###LEFT-WALL### 22 . 1 more 2 treatment 2 treatment 3 need 2 treatment 6 polarise 2 treatment 13 educated 3 need 4 seems 4 seems 5 to 4 seems 6 polarise 5 to 6 polarise 6 polarise 7 into 7 into 8 those 8 those 10 who 8 those 11 are 10 who 11 are 12 better 13 educated 13 educated 14 as 13 educated 18 teeth 13 educated 19 into 14 as 17 more 19 into 21 age 20 old 21 age with advanced [of] age , production of reactive oxygen species increases in muscle tissues , which causes a continuous elevation of oxidative stress in the muscle . 0 ###LEFT-WALL### 6 production 0 ###LEFT-WALL### 11 increases 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 27 . 1 with 4 age 1 with 5 , 1 with 6 production 2 advanced 4 age 6 production 7 of 6 production 11 increases 7 of 10 species 8 reactive 9 oxygen 9 oxygen 10 species 11 increases 12 in 12 in 14 tissues 13 muscle 14 tissues 15 , 16 which 15 , 17 causes 16 which 17 causes 17 causes 20 elevation 17 causes 24 in 18 a 19 continuous 18 a 20 elevation 19 continuous 20 elevation 20 elevation 21 of 21 of 23 stress 22 oxidative 23 stress 24 in 26 muscle 25 the 26 muscle such oxidative stress brings damage by oxidation of cell components such as lipids , proteins , and dna . 0 ###LEFT-WALL### 3 stress 0 ###LEFT-WALL### 4 brings 0 ###LEFT-WALL### 19 . 1 such 3 stress 2 oxidative 3 stress 3 stress 4 brings 4 brings 5 damage 4 brings 6 by 4 brings 12 as 6 by 7 oxidation 7 oxidation 8 of 8 of 10 components 9 cell 10 components 11 such 12 as 12 as 17 and 13 lipids 14 , 14 , 15 proteins 14 , 17 and 16 , 17 and 17 and 18 dna [growing] [evidences] suggest that oxidative stress affects energy metabolism , protein degradation , and apoptosis in the muscle via transcriptional and posttranslation regulation of key proteins , which results in loss of muscle mass and metabolic dysfunction . 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 38 . 3 suggest 4 that 4 that 6 stress 4 that 7 affects 5 oxidative 6 stress 6 stress 7 affects 7 affects 35 and 8 energy 9 metabolism 9 metabolism 10 , 10 , 12 degradation 10 , 14 and 11 protein 12 degradation 13 , 14 and 14 and 15 apoptosis 14 and 16 in 14 and 35 and 16 in 18 muscle 17 the 18 muscle 18 muscle 19 via 19 via 21 and 20 transcriptional 21 and 21 and 23 regulation 21 and 27 , 21 and 28 which 21 and 34 mass 22 posttranslation 23 regulation 23 regulation 24 of 24 of 26 proteins 25 key 26 proteins 28 which 29 results 28 which 34 mass 29 results 30 in 29 results 32 of 29 results 34 mass 30 in 31 loss 32 of 33 muscle 35 and 37 dysfunction 36 metabolic 37 dysfunction on the other hand , regular exercise and proper nutrition containing some antioxidant can improve the muscle function by a reduction of excessive oxidative stress . 0 ###LEFT-WALL### 11 containing 0 ###LEFT-WALL### 15 improve 0 ###LEFT-WALL### 26 . 1 on 8 and 1 on 11 containing 2 the 3 other 3 other 4 hand 4 hand 5 , 5 , 7 exercise 5 , 8 and 6 regular 7 exercise 8 and 10 nutrition 9 proper 10 nutrition 11 containing 13 antioxidant 11 containing 14 can 12 some 13 antioxidant 14 can 15 improve 15 improve 18 function 15 improve 19 by 16 the 18 function 17 muscle 18 function 19 by 21 reduction 20 a 21 reduction 21 reduction 22 of 22 of 25 stress 23 excessive 25 stress 24 oxidative 25 stress this article describes the influence of oxidative stress on the progress of age - related muscle dysfunction and reviews the effect of countermeasures such as exercise and diet . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 describes 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 29 . 1 this 2 article 2 article 3 describes 3 describes 5 influence 3 describes 9 on 4 the 5 influence 5 influence 6 of 6 of 8 stress 7 oxidative 8 stress 9 on 11 progress 10 the 11 progress 11 progress 12 of 12 of 13 age 14 - 18 and 15 related 17 dysfunction 15 related 18 and 16 muscle 17 dysfunction 18 and 19 reviews 19 reviews 21 effect 20 the 21 effect 21 effect 22 of 22 of 23 countermeasures 23 countermeasures 25 as 24 such 25 as 25 as 27 and 26 exercise 27 and 27 and 28 diet vascular calcification has severe clinical consequences and is considered an accurate predictor of future adverse cardiovascular events . 0 ###LEFT-WALL### 2 calcification 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 18 . 1 vascular 2 calcification 2 calcification 7 and 3 has 6 consequences 3 has 7 and 4 severe 6 consequences 5 clinical 6 consequences 7 and 8 is 8 is 9 considered 9 considered 12 predictor 10 an 11 accurate 10 an 12 predictor 11 accurate 12 predictor 12 predictor 13 of 13 of 17 events 14 future 17 events 15 adverse 17 events 16 cardiovascular 17 events vascular calcification refers to the deposition of calcium phosphate [mineral] , most often hydroxyapatite , in arteries . 0 ###LEFT-WALL### 2 calcification 0 ###LEFT-WALL### 3 refers 0 ###LEFT-WALL### 18 . 1 vascular 2 calcification 2 calcification 3 refers 3 refers 4 to 3 refers 16 in 4 to 6 deposition 5 the 6 deposition 6 deposition 7 of 7 of 9 phosphate 8 calcium 9 phosphate 9 phosphate 14 hydroxyapatite 11 , 14 hydroxyapatite 12 most 13 often 13 often 14 hydroxyapatite 14 hydroxyapatite 15 , 16 in 17 arteries extensive calcification of the vascular system is a key characteristic of aging . 0 ###LEFT-WALL### 2 calcification 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 13 . 1 extensive 2 calcification 2 calcification 3 of 2 calcification 7 is 3 of 6 system 4 the 6 system 5 vascular 6 system 7 is 10 characteristic 8 a 10 characteristic 9 key 10 characteristic 10 characteristic 11 of 11 of 12 aging in this article , we outline the mechanisms governing vascular calcification and highlight its association with cellular senescence . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 19 . 1 in 3 article 1 in 4 , 1 in 5 we 2 this 3 article 5 we 12 and 6 outline 8 mechanisms 6 outline 12 and 7 the 8 mechanisms 8 mechanisms 9 governing 9 governing 11 calcification 10 vascular 11 calcification 12 and 13 highlight 13 highlight 15 association 13 highlight 16 with 14 its 15 association 16 with 18 senescence 17 cellular 18 senescence this review discusses the molecular mechanisms of cellular senescence and its [affect] [on] calcification of vascular cells , the relevance of phosphate regulation and the function of fgf23 and klotho proteins . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 discusses 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 32 . 1 this 2 review 2 review 3 discusses 3 discusses 6 mechanisms 4 the 6 mechanisms 5 molecular 6 mechanisms 6 mechanisms 7 of 7 of 10 and 8 cellular 9 senescence 9 senescence 10 and 10 and 14 calcification 10 and 15 of 11 its 14 calcification 15 of 17 cells 16 vascular 17 cells 18 , 24 and 19 the 20 relevance 20 relevance 21 of 20 relevance 24 and 21 of 23 regulation 22 phosphate 23 regulation 24 and 26 function 24 and 27 of 25 the 26 function 27 of 29 and 28 fgf23 29 and 29 and 31 proteins 30 klotho 31 proteins the association of vascular calcification and cellular senescence with the rare human aging disorder hutchison - gilford progeria syndrome ( hgps ) is highlighted and the mouse models used to try to determine the underlying pathways are discussed . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 29 used 1 the 2 association 2 association 3 of 2 association 6 and 3 of 5 calcification 4 vascular 5 calcification 6 and 8 senescence 6 and 9 with 6 and 29 used 7 cellular 8 senescence 9 with 25 and 10 the 12 human 11 rare 12 human 12 human 13 aging 12 human 24 highlighted 12 human 25 and 13 aging 14 disorder 14 disorder 15 hutchison 14 disorder 23 is 15 hutchison 19 syndrome 15 hutchison 23 is 16 - 19 syndrome 17 gilford 18 progeria 18 progeria 19 syndrome 19 syndrome 21 hgps 19 syndrome 22 ) 20 ( 21 hgps 21 hgps 22 ) 25 and 28 models 26 the 28 models 27 mouse 28 models 29 used 30 to 29 used 31 try 30 to 31 try 31 try 32 to 32 to 33 determine 33 determine 36 pathways 33 determine 38 discussed 34 the 36 pathways 35 underlying 36 pathways 36 pathways 37 are 37 are 38 discussed 38 discussed 39 . by understanding the pathways involved in these processes novel drug targets may be elucidated in an effort to reduce the effects of cellular aging as a risk factor in cardiovascular disease . 0 ###LEFT-WALL### 11 targets 0 ###LEFT-WALL### 14 elucidated 0 ###LEFT-WALL### 32 . 1 by 2 understanding 1 by 11 targets 2 understanding 4 pathways 3 the 4 pathways 4 pathways 5 involved 4 pathways 6 in 6 in 8 processes 7 these 8 processes 9 novel 11 targets 10 drug 11 targets 11 targets 12 may 12 may 13 be 13 be 14 elucidated 14 elucidated 15 in 14 elucidated 18 to 15 in 17 effort 16 an 17 effort 18 to 19 reduce 19 reduce 21 effects 19 reduce 25 as 19 reduce 29 in 20 the 21 effects 21 effects 22 of 22 of 24 aging 23 cellular 24 aging 25 as 28 factor 26 a 28 factor 27 risk 28 factor 29 in 31 disease 30 cardiovascular 31 disease diabetes mellitus ( dm ) is one of the major [non] - genetic risk factors for alzheimer disease ( ad ) . 0 ###LEFT-WALL### 2 mellitus 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 22 . 1 diabetes 2 mellitus 2 mellitus 4 dm 2 mellitus 6 is 3 ( 4 dm 4 dm 5 ) 6 is 7 one 7 one 8 of 7 one 15 factors 8 of 10 major 9 the 10 major 12 - 15 factors 13 genetic 15 factors 14 risk 15 factors 15 factors 16 for 15 factors 20 ad 15 factors 21 ) 16 for 18 disease 17 alzheimer 18 disease 19 ( 20 ad 20 ad 21 ) however , the mechanism by which dm increases the risk of ad has not been elucidated . 0 ###LEFT-WALL### 4 mechanism 0 ###LEFT-WALL### 16 elucidated 0 ###LEFT-WALL### 17 . 1 however 2 , 1 however 4 mechanism 3 the 4 mechanism 4 mechanism 5 by 4 mechanism 13 has 5 by 6 which 5 by 7 dm 5 by 8 increases 7 dm 8 increases 8 increases 10 risk 9 the 10 risk 10 risk 11 of 11 of 12 ad 13 has 14 not 13 has 15 been 15 been 16 elucidated here , we summarize recent findings to address this question . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 summarize 0 ###LEFT-WALL### 11 . 1 here 2 , 1 here 3 we 3 we 4 summarize 4 summarize 6 findings 4 summarize 7 to 5 recent 6 findings 7 to 8 address 8 address 10 question 9 this 10 question whereas neuropathological studies in humans suggest that dm does not increase aβ accumulation in the brain ( a major hallmark of ad ) , earlier works in animal models show that aβ does accumulate . 0 ###LEFT-WALL### 26 works 0 ###LEFT-WALL### 30 show 0 ###LEFT-WALL### 35 . 1 whereas 3 studies 1 whereas 6 suggest 1 whereas 24 , 1 whereas 26 works 2 neuropathological 3 studies 3 studies 4 in 3 studies 6 suggest 4 in 5 humans 6 suggest 7 that 7 that 8 dm 7 that 11 increase 8 dm 9 does 9 does 10 not 9 does 11 increase 11 increase 13 accumulation 11 increase 14 in 12 aβ 13 accumulation 14 in 16 brain 15 the 16 brain 16 brain 20 hallmark 17 ( 20 hallmark 18 a 19 major 18 a 20 hallmark 19 major 20 hallmark 20 hallmark 21 of 20 hallmark 23 ) 21 of 22 ad 25 earlier 26 works 26 works 27 in 26 works 30 show 27 in 29 models 28 animal 29 models 30 show 31 that 31 that 32 aβ 31 that 34 accumulate 32 aβ 33 does 33 does 34 accumulate therefore , alternate mechanisms might exist . 0 ###LEFT-WALL### 4 mechanisms 0 ###LEFT-WALL### 6 exist 0 ###LEFT-WALL### 7 . 1 therefore 2 , 1 therefore 4 mechanisms 3 alternate 4 mechanisms 4 mechanisms 5 might 5 might 6 exist recent studies using the human brain indicate that insulin signaling is impaired in the ad brain . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 7 indicate 0 ###LEFT-WALL### 17 . 1 recent 2 studies 2 studies 3 using 2 studies 7 indicate 3 using 6 brain 4 the 6 brain 5 human 6 brain 7 indicate 8 that 8 that 9 insulin 8 that 12 impaired 9 insulin 10 signaling 9 insulin 11 is 11 is 12 impaired 12 impaired 13 in 13 in 16 brain 14 the 16 brain 15 ad 16 brain in neurons , this insulin signaling plays a key role in modulating synaptic function [and] neuronal senescence besides regulating tau phosphorylation , another hallmark of ad . 0 ###LEFT-WALL### 5 insulin 0 ###LEFT-WALL### 7 plays 1 in 2 neurons 1 in 3 , 1 in 5 insulin 4 this 5 insulin 5 insulin 6 signaling 5 insulin 7 plays 7 plays 10 role 7 plays 18 besides 8 a 10 role 9 key 10 role 10 role 11 in 11 in 17 senescence 12 modulating 17 senescence 13 synaptic 14 function 14 function 17 senescence 16 neuronal 17 senescence 18 besides 19 regulating 19 regulating 21 phosphorylation 20 tau 21 phosphorylation 21 phosphorylation 24 hallmark 22 , 24 hallmark 23 another 24 hallmark 24 hallmark 25 of 24 hallmark 27 . 25 of 26 ad on the other hand , in cerebrovessels , dm causes vascular remodeling , which involves increased rage ( [receptor] for advanced glycation endproducts ) expression , and ad is associated with cerebrovascular amyloid angiopathy ( caa ) . 0 ###LEFT-WALL### 9 dm 0 ###LEFT-WALL### 10 causes 0 ###LEFT-WALL### 27 and 0 ###LEFT-WALL### 38 . 1 on 4 hand 1 on 9 dm 2 the 3 other 3 other 4 hand 5 , 6 in 6 in 7 cerebrovessels 6 in 8 , 6 in 9 dm 9 dm 10 causes 10 causes 12 remodeling 11 vascular 12 remodeling 12 remodeling 14 which 13 , 14 which 14 which 15 involves 14 which 26 , 15 involves 25 expression 16 increased 25 expression 17 rage 20 for 17 rage 25 expression 18 ( 20 for 20 for 23 endproducts 20 for 24 ) 21 advanced 22 glycation 22 glycation 23 endproducts 26 , 27 and 27 and 28 ad 27 and 30 associated 28 ad 29 is 29 is 30 associated 30 associated 31 with 31 with 34 angiopathy 32 cerebrovascular 34 angiopathy 33 amyloid 34 angiopathy 34 angiopathy 36 caa 35 ( 36 caa 36 caa 37 ) our recent study involving ad mice with dm has revealed that a vicious circle underlies the interaction between ad and dm . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 10 revealed 0 ###LEFT-WALL### 22 . 1 our 3 study 2 recent 3 study 3 study 4 involving 3 study 9 has 4 involving 6 mice 4 involving 7 with 5 ad 6 mice 7 with 8 dm 9 has 10 revealed 10 revealed 11 that 11 that 14 circle 11 that 15 underlies 12 a 13 vicious 12 a 14 circle 13 vicious 14 circle 14 circle 15 underlies 15 underlies 17 interaction 15 underlies 18 between 16 the 17 interaction 18 between 21 dm 19 ad 20 and 20 and 21 dm interestingly , in our mouse model , ad increased rage expression , and dm worsened caa . 0 ###LEFT-WALL### 8 ad 0 ###LEFT-WALL### 9 increased 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 17 . 1 interestingly 2 , 1 interestingly 8 ad 2 , 3 in 3 in 6 model 3 in 7 , 3 in 8 ad 4 our 6 model 5 mouse 6 model 8 ad 9 increased 9 increased 11 expression 10 rage 11 expression 12 , 13 and 13 and 14 dm 13 and 15 worsened 14 dm 15 worsened 15 worsened 16 caa the contribution of vascular factors such as rage expression and caa to the impairment of insulin signaling will be discussed . 0 ###LEFT-WALL### 2 contribution 0 ###LEFT-WALL### 19 be 0 ###LEFT-WALL### 21 . 1 the 2 contribution 2 contribution 3 of 2 contribution 12 to 2 contribution 18 will 3 of 5 factors 4 vascular 5 factors 5 factors 7 as 6 such 7 as 7 as 10 and 8 rage 9 expression 9 expression 10 and 10 and 11 caa 12 to 14 impairment 13 the 14 impairment 14 impairment 15 of 15 of 16 insulin 16 insulin 17 signaling 18 will 19 be 19 be 20 discussed this impaired insulin signaling might be a possible link between ad and dm . 0 ###LEFT-WALL### 3 insulin 0 ###LEFT-WALL### 6 be 1 this 2 impaired 2 impaired 3 insulin 3 insulin 4 signaling 3 insulin 5 might 5 might 6 be 6 be 9 link 7 a 8 possible 7 a 9 link 8 possible 9 link 9 link 10 between 10 between 13 dm 11 ad 12 and 12 and 13 dm 13 dm 14 . moreover , insulin signaling is also involved in the mechanism of aging , decreasing with an increase in age . 0 ###LEFT-WALL### 3 insulin 0 ###LEFT-WALL### 7 involved 1 moreover 2 , 1 moreover 3 insulin 3 insulin 4 signaling 3 insulin 5 is 5 is 6 also 5 is 7 involved 7 involved 8 in 8 in 10 mechanism 9 the 10 mechanism 10 mechanism 11 of 11 of 12 aging 12 aging 14 decreasing 13 , 14 decreasing 14 decreasing 15 with 14 decreasing 18 in 14 decreasing 20 . 15 with 17 increase 16 an 17 increase 18 in 19 age an identification of the mechanism [whereby] dm modifies the pathological condition of ad through the modulation of insulin signaling is required to develop potential therapeutics for ad [not] only with but also without dm . 0 ###LEFT-WALL### 2 identification 0 ###LEFT-WALL### 8 modifies 0 ###LEFT-WALL### 35 . 1 an 2 identification 2 identification 3 of 2 identification 8 modifies 3 of 7 dm 4 the 7 dm 5 mechanism 7 dm 8 modifies 11 condition 8 modifies 31 but 8 modifies 33 without 9 the 11 condition 10 pathological 11 condition 11 condition 12 of 11 condition 17 of 12 of 13 ad 13 ad 14 through 14 through 16 modulation 15 the 16 modulation 17 of 18 insulin 18 insulin 19 signaling 18 insulin 30 with 19 signaling 20 is 20 is 21 required 21 required 22 to 22 to 23 develop 23 develop 25 therapeutics 23 develop 29 only 23 develop 30 with 24 potential 25 therapeutics 25 therapeutics 26 for 26 for 27 ad 31 but 32 also 33 without 34 dm the nature of knowledge , i.e [.] sensory - dependent or abstract , is controversial . 0 ###LEFT-WALL### 11 or 0 ###LEFT-WALL### 14 is 0 ###LEFT-WALL### 16 . 1 the 2 nature 2 nature 3 of 2 nature 5 , 3 of 4 knowledge 5 , 10 dependent 5 , 11 or 6 i.e 10 dependent 8 sensory 9 - 8 sensory 10 dependent 11 or 12 abstract 11 or 13 , 11 or 14 is 14 is 15 controversial growing evidence supports the existence of sensory - dependent knowledge in young individuals , but this question remains unexplored in elderly individuals . 0 ###LEFT-WALL### 1 growing 0 ###LEFT-WALL### 3 supports 0 ###LEFT-WALL### 15 but 0 ###LEFT-WALL### 23 . 1 growing 2 evidence 1 growing 3 supports 3 supports 5 existence 3 supports 11 in 4 the 5 existence 5 existence 6 of 6 of 10 knowledge 7 sensory 8 - 7 sensory 10 knowledge 9 dependent 10 knowledge 11 in 13 individuals 12 young 13 individuals 14 , 15 but 15 but 17 question 15 but 18 remains 16 this 17 question 17 question 18 remains 18 remains 19 unexplored 19 unexplored 20 in 20 in 22 individuals 21 elderly 22 individuals thus the first objective of this study was to assess sensory - dependent knowledge in normal aging using a cross - modal priming paradigm . 0 ###LEFT-WALL### 4 objective 0 ###LEFT-WALL### 21 - 1 thus 4 objective 2 the 3 first 2 the 4 objective 4 objective 5 of 4 objective 8 was 5 of 7 study 6 this 7 study 8 was 9 to 8 was 10 assess 9 to 10 assess 10 assess 14 knowledge 10 assess 15 in 11 sensory 12 - 11 sensory 14 knowledge 13 dependent 14 knowledge 15 in 17 aging 16 normal 17 aging 17 aging 18 using 18 using 20 cross 19 a 20 cross 21 - 24 paradigm 21 - 25 . 22 modal 23 priming 23 priming 24 paradigm the cross - modal priming is a way to verify the nature of knowledge . 0 ###LEFT-WALL### 2 cross 0 ###LEFT-WALL### 3 - 1 the 2 cross 3 - 5 priming 3 - 6 is 3 - 15 . 4 modal 5 priming 5 priming 6 is 6 is 8 way 7 a 8 way 8 way 9 to 8 way 10 verify 9 to 10 verify 10 verify 12 nature 11 the 12 nature 12 nature 13 of 13 of 14 knowledge however , contradictory results are reported about the existence of a cross - modal priming effect in normal aging . 0 ###LEFT-WALL### 4 results 0 ###LEFT-WALL### 6 reported 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 20 . 1 however 2 , 1 however 4 results 3 contradictory 4 results 4 results 5 are 5 are 6 reported 6 reported 7 about 7 about 9 existence 8 the 9 existence 9 existence 10 of 10 of 12 cross 11 a 12 cross 13 - 16 effect 14 modal 15 priming 15 priming 16 effect 16 effect 17 in 17 in 19 aging 18 normal 19 aging one possible explanation for the controversial findings is the priming task difficulty that would require too much executive resources in elderly participants and would prevent them to obtain a priming effect . 0 ###LEFT-WALL### 3 explanation 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 32 . 1 one 3 explanation 2 possible 3 explanation 3 explanation 4 for 3 explanation 23 and 4 for 7 findings 5 the 7 findings 6 controversial 7 findings 8 is 12 difficulty 8 is 23 and 9 the 12 difficulty 10 priming 12 difficulty 11 task 12 difficulty 12 difficulty 13 that 12 difficulty 14 would 13 that 14 would 14 would 15 require 15 require 17 much 15 require 19 resources 16 too 17 much 18 executive 19 resources 19 resources 20 in 20 in 22 participants 21 elderly 22 participants 23 and 24 would 23 and 27 to 23 and 31 effect 24 would 25 prevent 25 prevent 26 them 27 to 28 obtain 28 obtain 30 priming 29 a 30 priming therefore , the second objective was to assess the executive involvement in the priming task . 0 ###LEFT-WALL### 5 objective 0 ###LEFT-WALL### 16 . 1 therefore 2 , 1 therefore 5 objective 3 the 5 objective 4 second 5 objective 5 objective 6 was 6 was 7 to 6 was 8 assess 7 to 8 assess 8 assess 11 involvement 8 assess 12 in 9 the 11 involvement 10 executive 11 involvement 12 in 15 task 13 the 15 task 14 priming 15 task the method was based on a cross [-] modal priming paradigm with familiar bimodal items . 0 ###LEFT-WALL### 2 method 0 ###LEFT-WALL### 4 based 0 ###LEFT-WALL### 16 . 1 the 2 method 2 method 3 was 3 was 4 based 4 based 5 on 4 based 12 with 5 on 11 paradigm 6 a 11 paradigm 7 cross 11 paradigm 9 modal 10 priming 10 priming 11 paradigm 12 with 15 items 13 familiar 15 items 14 bimodal 15 items first , all the sound primes were presented . 0 ###LEFT-WALL### 3 all 0 ###LEFT-WALL### 8 presented 0 ###LEFT-WALL### 9 . 1 first 2 , 1 first 3 all 3 all 4 the 3 all 6 primes 3 all 7 were 4 the 6 primes 5 sound 6 primes 7 were 8 presented for half of them , a visual abstract mask was presented simultaneously . 0 ###LEFT-WALL### 9 mask 0 ###LEFT-WALL### 11 presented 0 ###LEFT-WALL### 13 . 1 for 2 half 1 for 5 , 1 for 9 mask 2 half 3 of 3 of 4 them 6 a 7 visual 6 a 9 mask 7 visual 9 mask 8 abstract 9 mask 9 mask 10 was 10 was 11 presented 11 presented 12 simultaneously then , all the visual targets were processed . 0 ###LEFT-WALL### 3 all 0 ###LEFT-WALL### 8 processed 0 ###LEFT-WALL### 9 . 1 then 2 , 1 then 3 all 3 all 4 the 3 all 6 targets 3 all 7 were 4 the 6 targets 5 visual 6 targets 7 were 8 processed a battery of neuropsychological tests was administered to assess the involvement of executive functions in the priming paradigm . 0 ###LEFT-WALL### 2 battery 0 ###LEFT-WALL### 7 administered 0 ###LEFT-WALL### 19 . 1 a 2 battery 2 battery 3 of 2 battery 6 was 3 of 5 tests 4 neuropsychological 5 tests 6 was 7 administered 7 administered 8 to 8 to 9 assess 9 assess 11 involvement 9 assess 14 functions 10 the 11 involvement 11 involvement 12 of 11 involvement 14 functions 12 of 13 executive 14 functions 15 in 15 in 18 paradigm 16 the 18 paradigm 17 priming 18 paradigm the results demonstrated a priming effect in the young and elderly participants , but only for the primes presented without the visual mask . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 demonstrated 0 ###LEFT-WALL### 24 . 1 the 2 results 2 results 3 demonstrated 3 demonstrated 6 effect 4 a 6 effect 5 priming 6 effect 6 effect 14 but 7 in 12 participants 7 in 14 but 8 the 12 participants 9 young 10 and 10 and 11 elderly 10 and 12 participants 13 , 14 but 14 but 15 only 14 but 16 for 16 for 18 primes 17 the 18 primes 18 primes 19 presented 19 presented 20 without 20 without 23 mask 21 the 23 mask 22 visual 23 mask the mask interference demonstrated the perceptual nature of the priming effect which supports the sensory - dependent theory of knowledge . 0 ###LEFT-WALL### 3 interference 0 ###LEFT-WALL### 4 demonstrated 0 ###LEFT-WALL### 21 . 1 the 3 interference 2 mask 3 interference 3 interference 4 demonstrated 4 demonstrated 7 nature 5 the 7 nature 6 perceptual 7 nature 7 nature 8 of 8 of 11 effect 9 the 11 effect 10 priming 11 effect 11 effect 12 which 11 effect 13 supports 12 which 13 supports 13 supports 18 theory 14 the 18 theory 15 sensory 16 - 15 sensory 18 theory 17 dependent 18 theory 18 theory 19 of 19 of 20 knowledge the executive functions were correlated with the priming task only in the elderly participants . 0 ###LEFT-WALL### 3 functions 0 ###LEFT-WALL### 5 correlated 0 ###LEFT-WALL### 15 . 1 the 3 functions 2 executive 3 functions 3 functions 4 were 4 were 5 correlated 5 correlated 6 with 5 correlated 10 only 6 with 9 task 7 the 9 task 8 priming 9 task 10 only 11 in 11 in 14 participants 12 the 14 participants 13 elderly 14 participants these results therefore support the task difficulty hypothesis . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 4 support 0 ###LEFT-WALL### 9 . 1 these 2 results 2 results 4 support 3 therefore 4 support 4 support 8 hypothesis 5 the 8 hypothesis 6 task 8 hypothesis 7 difficulty 8 hypothesis the aging process is a universal , intrinsic , progressive accumulation of deleterious changes in cells and tissues that increases morbidity and leads to death . 0 ###LEFT-WALL### 3 process 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 26 . 1 the 3 process 2 aging 3 process 3 process 4 is 4 is 11 accumulation 4 is 15 in 5 a 11 accumulation 6 universal 7 , 6 universal 10 progressive 8 intrinsic 9 , 8 intrinsic 10 progressive 10 progressive 11 accumulation 11 accumulation 12 of 12 of 14 changes 13 deleterious 14 changes 15 in 17 and 16 cells 17 and 17 and 18 tissues 17 and 19 that 17 and 22 and 19 that 22 and 20 increases 21 morbidity 20 increases 22 and 22 and 23 leads 23 leads 24 to 24 to 25 death the heterogeneity of the age - related physiological changes is shown by the " biological age " , which determines the rate of ageing experienced by each individual and therefore his life expectancy . 0 ###LEFT-WALL### 2 heterogeneity 0 ###LEFT-WALL### 11 shown 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 34 . 1 the 2 heterogeneity 2 heterogeneity 3 of 2 heterogeneity 10 is 3 of 5 age 4 the 5 age 6 - 7 related 7 related 9 changes 7 related 10 is 8 physiological 9 changes 10 is 11 shown 11 shown 12 by 12 by 16 age 13 the 14 " 13 the 16 age 15 biological 16 age 16 age 17 " 18 , 19 which 18 , 20 determines 19 which 20 determines 20 determines 29 and 21 the 22 rate 22 rate 23 of 22 rate 25 experienced 22 rate 29 and 23 of 24 ageing 25 experienced 26 by 26 by 28 individual 27 each 28 individual 29 and 30 therefore 29 and 33 expectancy 31 his 33 expectancy 32 life 33 expectancy according to the recent theory of oxidation - inflammation to explain the aging process , the immune system seems to be involved in the chronic oxidative and inflammatory stress conditions of aging . 0 ###LEFT-WALL### 18 system 0 ###LEFT-WALL### 19 seems 0 ###LEFT-WALL### 33 . 1 according 2 to 2 to 5 theory 2 to 18 system 3 the 5 theory 4 recent 5 theory 5 theory 6 of 6 of 7 oxidation 7 oxidation 9 inflammation 8 - 9 inflammation 9 inflammation 10 to 9 inflammation 11 explain 9 inflammation 15 , 10 to 11 explain 11 explain 14 process 12 the 14 process 13 aging 14 process 16 the 18 system 17 immune 18 system 18 system 19 seems 19 seems 20 to 19 seems 22 involved 20 to 21 be 21 be 22 involved 22 involved 23 in 23 in 30 conditions 24 the 30 conditions 25 chronic 30 conditions 26 oxidative 27 and 27 and 28 inflammatory 27 and 29 stress 29 stress 30 conditions 30 conditions 31 of 31 of 32 aging it has been proposed that several age - related changes in immune cell functions , which depend on the redox state of these cells , could be good markers of health , biological age and longevity . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 4 proposed 0 ###LEFT-WALL### 9 related 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 27 be 0 ###LEFT-WALL### 37 . 1 it 2 has 2 has 3 been 3 been 4 proposed 4 proposed 5 that 5 that 6 several 5 that 7 age 6 several 7 age 8 - 9 related 9 related 10 changes 9 related 15 , 10 changes 11 in 11 in 14 functions 12 immune 13 cell 13 cell 14 functions 15 , 16 which 15 , 25 , 16 which 25 , 17 depend 18 on 17 depend 25 , 18 on 21 state 19 the 21 state 20 redox 21 state 21 state 22 of 22 of 24 cells 23 these 24 cells 25 , 26 could 26 could 27 be 27 be 29 markers 28 good 29 markers 29 markers 30 of 30 of 35 and 31 health 32 , 32 , 34 age 32 , 35 and 33 biological 34 age 35 and 36 longevity in order to identify parameters of the functional and redox situation of immune cells as markers of biological age and predictors of longevity , we have studied those parameters in human healthy centenarians , in extreme long - living mice , as models of successful aging , [and] in immune cells from murine models of premature immunosenescence . 0 ###LEFT-WALL### 25 we 0 ###LEFT-WALL### 27 studied 1 in 2 order 1 in 25 we 2 order 3 to 2 order 4 identify 3 to 4 identify 4 identify 5 parameters 5 parameters 6 of 5 parameters 12 of 6 of 11 situation 7 the 11 situation 8 functional 9 and 9 and 10 redox 9 and 11 situation 12 of 14 cells 13 immune 14 cells 15 as 20 and 15 as 24 , 15 as 25 we 16 markers 17 of 16 markers 20 and 17 of 19 age 18 biological 19 age 20 and 21 predictors 20 and 22 of 22 of 23 longevity 25 we 26 have 26 have 27 studied 27 studied 29 parameters 28 those 29 parameters 29 parameters 30 in 29 parameters 35 in 30 in 33 centenarians 31 human 33 centenarians 32 healthy 33 centenarians 34 , 35 in 35 in 40 mice 35 in 58 . 36 extreme 40 mice 37 long 38 - 37 long 40 mice 39 living 40 mice 40 mice 42 as 40 mice 49 in 41 , 42 as 42 as 43 models 42 as 47 , 43 models 44 of 44 of 46 aging 45 successful 46 aging 47 , 49 in 49 in 51 cells 49 in 58 . 50 immune 51 cells 51 cells 52 from 51 cells 55 of 52 from 54 models 53 murine 54 models 55 of 57 immunosenescence 56 premature 57 immunosenescence the aim of the present work is to review the results in humans and rodents on those parameters and their relationship with biological age and longevity , as well as to propose several strategies of lifestyle useful to improve the immune function and thus to increase the mean life span . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 51 . 1 the 2 aim 2 aim 3 of 2 aim 7 is 3 of 6 work 4 the 6 work 5 present 6 work 7 is 8 to 7 is 9 review 8 to 9 review 9 review 25 and 9 review 30 as 10 the 25 and 11 results 12 in 11 results 14 and 12 in 13 humans 14 and 15 rodents 14 and 16 on 14 and 19 and 16 on 18 parameters 17 those 18 parameters 19 and 21 relationship 19 and 25 and 20 their 21 relationship 21 relationship 22 with 22 with 24 age 23 biological 24 age 25 and 26 longevity 25 and 27 , 25 and 28 as 28 as 29 well 30 as 31 to 31 to 32 propose 32 propose 34 strategies 33 several 34 strategies 34 strategies 35 of 34 strategies 37 useful 35 of 36 lifestyle 37 useful 38 to 37 useful 50 span 38 to 43 and 39 improve 42 function 39 improve 43 and 40 the 42 function 41 immune 42 function 43 and 45 to 43 and 50 span 44 thus 45 to 45 to 46 increase 46 increase 49 life 47 the 49 life 48 mean 49 life the current analysis reexamines the relationship between supplemental vitamin e and all - cause mortality . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 4 reexamines 0 ###LEFT-WALL### 13 - 1 the 3 analysis 2 current 3 analysis 3 analysis 4 reexamines 4 reexamines 6 relationship 4 reexamines 7 between 5 the 6 relationship 7 between 11 and 8 supplemental 9 vitamin 9 vitamin 10 e 9 vitamin 11 and 11 and 12 all 13 - 14 cause 13 - 16 . 14 cause 15 mortality all randomized , controlled trials testing the treatment effect of vitamin e supplementation in adults for at least one year were sought . 0 ###LEFT-WALL### 5 trials 0 ###LEFT-WALL### 22 sought 0 ###LEFT-WALL### 23 . 1 all 2 randomized 2 randomized 3 , 2 randomized 5 trials 4 controlled 5 trials 5 trials 6 testing 5 trials 21 were 6 testing 9 effect 6 testing 14 in 7 the 9 effect 8 treatment 9 effect 9 effect 10 of 10 of 13 supplementation 11 vitamin 12 e 11 vitamin 13 supplementation 14 in 15 adults 15 adults 16 for 16 for 20 year 17 at 18 least 18 least 19 one 19 one 20 year 21 were 22 sought medline , the cochrane library , and biological abstracts databases were searched using the terms " vitamin e , " " alpha - tocopherol , " " antioxidants , " " clinical trial , " and " controlled trial " for studies published through april 2010 ; results were limited to english , german , or spanish language articles . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 12 searched 0 ###LEFT-WALL### 23 - 0 ###LEFT-WALL### 60 . 1 medline 2 , 2 , 5 library 2 , 7 and 3 the 5 library 4 cochrane 5 library 6 , 7 and 7 and 9 abstracts 7 and 10 databases 7 and 11 were 7 and 12 searched 8 biological 9 abstracts 10 databases 11 were 12 searched 13 using 13 using 17 vitamin 14 the 17 vitamin 15 terms 16 " 15 terms 17 vitamin 17 vitamin 18 e 17 vitamin 22 alpha 19 , 20 " 19 , 22 alpha 20 " 21 " 22 alpha 23 - 23 - 36 and 23 - 47 ; 23 - 49 were 24 tocopherol 25 , 25 , 26 " 25 , 28 antioxidants 25 , 29 , 26 " 27 " 29 , 30 " 29 , 33 trial 29 , 36 and 30 " 31 " 32 clinical 33 trial 34 , 35 " 34 , 36 and 36 and 37 " 36 and 39 trial 36 and 41 for 38 controlled 39 trial 39 trial 40 " 41 for 42 studies 42 studies 43 published 43 published 44 through 44 through 45 april 45 april 46 2010 47 ; 48 results 48 results 49 were 49 were 50 limited 50 limited 51 to 51 to 56 or 52 english 53 , 52 english 54 german 54 german 56 or 55 , 56 or 56 or 59 articles 57 spanish 58 language 58 language 59 articles studies were also obtained through reference mining . 0 ###LEFT-WALL### 1 studies 0 ###LEFT-WALL### 4 obtained 0 ###LEFT-WALL### 8 . 1 studies 2 were 2 were 4 obtained 3 also 4 obtained 4 obtained 5 through 5 through 6 reference 6 reference 7 mining all randomized controlled trials using vitamin e , with a supplementation period of at least one year , to prevent or treat disease in adults were identified and abstracted independently by two raters . 0 ###LEFT-WALL### 1 all 0 ###LEFT-WALL### 21 or 0 ###LEFT-WALL### 34 . 1 all 2 randomized 1 all 21 or 3 controlled 4 trials 3 controlled 21 or 4 trials 5 using 4 trials 19 to 4 trials 20 prevent 5 using 6 vitamin 5 using 9 with 6 vitamin 7 e 8 , 9 with 9 with 12 period 9 with 18 , 10 a 12 period 11 supplementation 12 period 12 period 13 of 13 of 17 year 14 at 15 least 15 least 17 year 16 one 17 year 19 to 20 prevent 21 or 22 treat 21 or 31 by 22 treat 23 disease 22 treat 24 in 22 treat 30 independently 24 in 25 adults 25 adults 28 and 26 were 27 identified 26 were 28 and 28 and 29 abstracted 31 by 33 raters 32 two 33 raters mortality data from trials with a supplementation period of at least one year were pooled . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 15 pooled 0 ###LEFT-WALL### 16 . 1 mortality 2 data 2 data 3 from 2 data 14 were 3 from 4 trials 4 trials 5 with 5 with 8 period 6 a 8 period 7 supplementation 8 period 8 period 9 of 9 of 13 year 10 at 11 least 11 least 12 one 12 one 13 year 14 were 15 pooled the selected trials ( n = 57 ) were published between 1988 and 2009 . 0 ###LEFT-WALL### 3 trials 0 ###LEFT-WALL### 10 published 0 ###LEFT-WALL### 15 . 1 the 3 trials 2 selected 3 trials 3 trials 6 = 3 trials 9 were 4 ( 6 = 5 n 6 = 6 = 7 57 6 = 8 ) 9 were 10 published 10 published 11 between 11 between 13 and 12 1988 13 and 13 and 14 2009 sample sizes range from 28 to 39,876 ( median [=] 423 ) , yielding 246,371 subjects and [29,295] all - cause deaths . 0 ###LEFT-WALL### 1 sample 0 ###LEFT-WALL### 2 sizes 1 sample 2 sizes 2 sizes 3 range 2 sizes 14 yielding 3 range 6 to 3 range 9 median 4 from 6 to 5 28 6 to 6 to 7 39,876 8 ( 9 median 9 median 11 423 9 median 12 ) 13 , 14 yielding 14 yielding 17 and 14 yielding 23 . 15 246,371 17 and 16 subjects 17 and 17 and 19 all 17 and 22 deaths 20 - 22 deaths 21 cause 22 deaths 22 deaths 23 . duration of supplementation for the 57 trials range from one to 10.1 years ( [median] = 2.6 years ) . 0 ###LEFT-WALL### 7 trials 0 ###LEFT-WALL### 8 range 0 ###LEFT-WALL### 20 . 1 duration 7 trials 2 of 3 supplementation 2 of 7 trials 3 supplementation 4 for 4 for 6 57 5 the 6 57 7 trials 8 range 8 range 9 from 9 from 13 years 10 one 11 to 11 to 12 10.1 11 to 13 years 13 years 18 years 14 ( 18 years 16 = 17 2.6 17 2.6 18 years 18 years 19 ) a random effects meta - analysis produce [an] overall risk ratio of 1.00 [(] 95 % confidence [interval] : 0.98 , 1.02 ) ; additional analyses suggest no relationship between dose [and] risk of mortality . 0 ###LEFT-WALL### 11 ratio 0 ###LEFT-WALL### 19 : 0 ###LEFT-WALL### 24 ; 0 ###LEFT-WALL### 36 . 1 a 2 random 1 a 11 ratio 2 random 7 produce 3 effects 7 produce 4 meta 5 - 4 meta 6 analysis 6 analysis 7 produce 7 produce 11 ratio 9 overall 11 ratio 10 risk 11 ratio 11 ratio 12 of 11 ratio 19 : 12 of 17 confidence 13 1.00 17 confidence 15 95 16 % 16 % 17 confidence 19 : 20 0.98 20 0.98 22 1.02 21 , 22 1.02 22 1.02 23 ) 24 ; 26 analyses 24 ; 27 suggest 25 additional 26 analyses 26 analyses 27 suggest 27 suggest 29 relationship 27 suggest 30 between 28 no 29 relationship 30 between 33 risk 31 dose 33 risk 33 risk 34 of 34 of 35 mortality based on the present meta - analysis , supplementation with vitamin e appears to have no effect on all - cause mortality at doses up to 5,500 iu/d . 0 ###LEFT-WALL### 9 supplementation 0 ###LEFT-WALL### 13 appears 0 ###LEFT-WALL### 20 - 0 ###LEFT-WALL### 29 . 1 based 2 on 1 based 8 , 1 based 9 supplementation 2 on 7 analysis 3 the 7 analysis 4 present 7 analysis 5 meta 6 - 5 meta 7 analysis 9 supplementation 10 with 9 supplementation 13 appears 10 with 11 vitamin 11 vitamin 12 e 13 appears 14 to 13 appears 15 have 14 to 15 have 15 have 17 effect 16 no 17 effect 17 effect 18 on 18 on 19 all 20 - 21 cause 21 cause 22 mortality 21 cause 23 at 21 cause 25 up 21 cause 26 to 23 at 24 doses 26 to 28 iu/d 27 5,500 28 iu/d age is an established major risk factor for glaucoma that can be used along with other data to compute chances of developing glaucoma . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 24 . 1 age 2 is 2 is 7 factor 3 an 7 factor 4 established 5 major 5 major 7 factor 6 risk 7 factor 7 factor 8 for 7 factor 10 that 7 factor 11 can 8 for 9 glaucoma 10 that 11 can 11 can 12 be 12 be 13 used 13 used 15 with 13 used 18 to 13 used 19 compute 14 along 15 with 15 with 17 data 16 other 17 data 18 to 19 compute 19 compute 20 chances 20 chances 21 of 21 of 22 developing 22 developing 23 glaucoma this leading cause of blindness is becoming [increasingly] more prevalent in the aging population . 0 ###LEFT-WALL### 3 cause 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 15 . 1 this 3 cause 2 leading 3 cause 3 cause 4 of 3 cause 6 is 4 of 5 blindness 6 is 7 becoming 7 becoming 10 prevalent 9 more 10 prevalent 10 prevalent 11 in 11 in 14 population 12 the 14 population 13 aging 14 population the characteristic progressive degeneration of the optic nerve in glaucoma is primarily caused by increased intraocular pressure yet the cause for the reduced outflow is not well understood . 0 ###LEFT-WALL### 4 degeneration 0 ###LEFT-WALL### 25 is 0 ###LEFT-WALL### 29 . 1 the 4 degeneration 2 characteristic 4 degeneration 3 progressive 4 degeneration 4 degeneration 5 of 4 degeneration 11 is 5 of 8 nerve 6 the 8 nerve 7 optic 8 nerve 8 nerve 9 in 9 in 10 glaucoma 11 is 13 caused 12 primarily 13 caused 13 caused 14 by 13 caused 18 yet 14 by 17 pressure 15 increased 17 pressure 16 intraocular 17 pressure 18 yet 20 cause 19 the 20 cause 20 cause 21 for 20 cause 25 is 21 for 24 outflow 22 the 24 outflow 23 reduced 24 outflow 25 is 26 not 25 is 27 well 27 well 28 understood early diagnosis of glaucoma remains difficult . 0 ###LEFT-WALL### 2 diagnosis 0 ###LEFT-WALL### 5 remains 0 ###LEFT-WALL### 7 . 1 early 2 diagnosis 2 diagnosis 3 of 2 diagnosis 5 remains 3 of 4 glaucoma 5 remains 6 difficult classic treatment can delay progression of glaucomatous optic neuropathy by lowering intraocular pressure medically [or] surgically . 0 ###LEFT-WALL### 2 treatment 0 ###LEFT-WALL### 4 delay 0 ###LEFT-WALL### 17 . 1 classic 2 treatment 2 treatment 3 can 3 can 4 delay 4 delay 5 progression 4 delay 10 by 5 progression 6 of 6 of 9 neuropathy 7 glaucomatous 9 neuropathy 8 optic 9 neuropathy 10 by 11 lowering 11 lowering 13 pressure 11 lowering 14 medically 11 lowering 16 surgically 12 intraocular 13 pressure recent insights into the age - related molecular changes of the outflow tract and retinal ganglion cells have encouraged search for new treatment approaches . 0 ###LEFT-WALL### 2 insights 0 ###LEFT-WALL### 20 search 0 ###LEFT-WALL### 25 . 1 recent 2 insights 2 insights 3 into 2 insights 20 search 3 into 5 age 4 the 5 age 5 age 19 encouraged 6 - 7 related 7 related 9 changes 7 related 19 encouraged 8 molecular 9 changes 9 changes 10 of 10 of 14 and 11 the 13 tract 12 outflow 13 tract 13 tract 14 and 14 and 16 ganglion 14 and 17 cells 14 and 18 have 15 retinal 16 ganglion 17 cells 18 have 20 search 21 for 21 for 24 approaches 22 new 23 treatment 23 treatment 24 approaches new findings suggest that age related tissue changes themselves [contribute] significantly [and] are not just associated . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 17 . 1 new 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 8 changes 4 that 16 associated 5 age 6 related 6 related 8 changes 7 tissue 8 changes 8 changes 13 are 9 themselves 13 are 11 significantly 13 are 13 are 14 not 13 are 15 just 13 are 16 associated interdisciplinary research will be necessary to advance understanding , diagnosis and treatment of this neurodegenerative disease that has been known for more than [thousand] years but to this date remains a challenge . 0 ###LEFT-WALL### 4 be 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 33 . 1 interdisciplinary 2 research 2 research 3 will 3 will 4 be 4 be 5 necessary 5 necessary 6 to 6 to 7 advance 7 advance 10 diagnosis 8 understanding 9 , 8 understanding 10 diagnosis 11 and 12 treatment 11 and 30 remains 12 treatment 13 of 12 treatment 17 that 12 treatment 18 has 12 treatment 30 remains 13 of 16 disease 14 this 15 neurodegenerative 15 neurodegenerative 16 disease 17 that 18 has 18 has 19 been 19 been 20 known 20 known 21 for 20 known 23 than 21 for 22 more 23 than 25 years 25 years 26 but 26 but 27 to 27 to 29 date 28 this 29 date 30 remains 32 challenge 31 a 32 challenge in the arterial wall nitric oxide ( no ) is the key transmitter for endothelium - dependent regulation of vascular tone . 0 ###LEFT-WALL### 6 oxide 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 16 - 0 ###LEFT-WALL### 22 . 1 in 4 wall 1 in 6 oxide 2 the 4 wall 3 arterial 4 wall 5 nitric 6 oxide 6 oxide 8 no 6 oxide 10 is 7 ( 8 no 8 no 9 ) 10 is 13 transmitter 11 the 13 transmitter 12 key 13 transmitter 13 transmitter 14 for 14 for 15 endothelium 16 - 18 regulation 17 dependent 18 regulation 18 regulation 19 of 19 of 21 tone 20 vascular 21 tone it is produced in intact endothelial cells by endothelial no synthase ( enos ) as the key enzyme from l - arginine . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 produced 0 ###LEFT-WALL### 21 - 1 it 2 is 2 is 3 produced 3 produced 4 in 3 produced 8 by 3 produced 15 as 4 in 7 cells 5 intact 7 cells 6 endothelial 7 cells 8 by 11 synthase 9 endothelial 11 synthase 10 no 11 synthase 11 synthase 13 enos 12 ( 13 enos 13 enos 14 ) 15 as 18 enzyme 16 the 18 enzyme 17 key 18 enzyme 18 enzyme 19 from 19 from 20 l 21 - 22 arginine 21 - 23 . endothelial no generation is highly regulated by mechanical , humoral , and metabolic factors . 0 ###LEFT-WALL### 3 generation 0 ###LEFT-WALL### 6 regulated 0 ###LEFT-WALL### 15 . 1 endothelial 2 no 2 no 3 generation 3 generation 4 is 4 is 5 highly 4 is 6 regulated 6 regulated 7 by 7 by 14 factors 8 mechanical 9 , 9 , 10 humoral 9 , 12 and 11 , 12 and 12 and 13 metabolic 12 and 14 factors released from endothelial cells no is rapidly transported to the neighboring vascular smooth muscle cells ( vsmcs ) , where it induces the production of cgmp as a second messenger . 0 ###LEFT-WALL### 1 released 1 released 2 from 1 released 6 is 1 released 9 to 1 released 20 where 2 from 4 cells 3 endothelial 4 cells 5 no 6 is 6 is 8 transported 7 rapidly 8 transported 9 to 15 cells 10 the 15 cells 11 neighboring 14 muscle 12 vascular 14 muscle 13 smooth 14 muscle 14 muscle 15 cells 15 cells 17 vsmcs 16 ( 17 vsmcs 17 vsmcs 18 ) 19 , 20 where 20 where 21 it 20 where 22 induces 20 where 31 . 21 it 22 induces 22 induces 24 production 22 induces 27 as 23 the 24 production 24 production 25 of 25 of 26 cgmp 27 as 30 messenger 28 a 30 messenger 29 second 30 messenger cgmp in turn increases ca2+ uptake into intracellular calcium stores thereby lowering [[] ca2+ ]i and inducing vsmc relaxation and vasodilation . 0 ###LEFT-WALL### 1 cgmp 0 ###LEFT-WALL### 4 increases 0 ###LEFT-WALL### 22 . 1 cgmp 4 increases 2 in 3 turn 3 turn 4 increases 4 increases 6 uptake 4 increases 7 into 5 ca2+ 6 uptake 7 into 10 stores 8 intracellular 9 calcium 9 calcium 10 stores 10 stores 12 lowering 11 thereby 12 lowering 12 lowering 20 and 14 ca2+ 15 ]i 15 ]i 16 and 16 and 19 relaxation 16 and 20 and 17 inducing 19 relaxation 18 vsmc 19 relaxation 20 and 21 vasodilation on its way to the vsmcs no may be prematurely degraded by reactive oxygen species . 0 ###LEFT-WALL### 7 no 0 ###LEFT-WALL### 11 degraded 0 ###LEFT-WALL### 16 . 1 on 3 way 1 on 7 no 2 its 3 way 3 way 4 to 4 to 6 vsmcs 5 the 6 vsmcs 7 no 8 may 8 may 9 be 9 be 10 prematurely 9 be 11 degraded 11 degraded 12 by 12 by 15 species 13 reactive 14 oxygen 14 oxygen 15 species on the other hand , chronic endurance exercise with regular bouts of increased laminar flow along the endothelium has the potential to increase enos mrna expression and phosphorylation via akt ( protein kinase b ) and to reduce oxidative stress by improving antioxidative protection . 0 ###LEFT-WALL### 8 exercise 0 ###LEFT-WALL### 36 and 0 ###LEFT-WALL### 45 . 1 on 4 hand 1 on 5 , 1 on 8 exercise 2 the 3 other 3 other 4 hand 6 chronic 7 endurance 7 endurance 8 exercise 8 exercise 9 with 8 exercise 12 of 8 exercise 19 has 9 with 11 bouts 10 regular 11 bouts 12 of 15 flow 13 increased 15 flow 14 laminar 15 flow 15 flow 16 along 16 along 18 endothelium 17 the 18 endothelium 19 has 21 potential 19 has 22 to 20 the 21 potential 22 to 36 and 23 increase 27 and 23 increase 29 via 23 increase 36 and 24 enos 26 expression 25 mrna 26 expression 26 expression 27 and 27 and 28 phosphorylation 29 via 30 akt 30 akt 33 kinase 31 ( 33 kinase 32 protein 33 kinase 33 kinase 34 b 33 kinase 35 ) 36 and 37 to 36 and 38 reduce 37 to 38 reduce 38 reduce 40 stress 38 reduce 41 by 39 oxidative 40 stress 41 by 42 improving 42 improving 44 protection 43 antioxidative 44 protection the growing knowledge about the complex regulation of no synthesis and degradation in cardiovascular diseases and its response to exercise has led to a new understanding of the protective effects of long - term habitual physical activity against atherosclerotic heart disease and vascular aging . 0 ###LEFT-WALL### 42 and 0 ###LEFT-WALL### 45 . 1 the 3 knowledge 2 growing 3 knowledge 3 knowledge 4 about 3 knowledge 42 and 4 about 6 complex 5 the 6 complex 6 complex 7 regulation 6 complex 22 led 7 regulation 8 of 7 regulation 13 in 7 regulation 19 to 7 regulation 21 has 8 of 11 and 9 no 10 synthesis 10 synthesis 11 and 11 and 12 degradation 13 in 16 and 14 cardiovascular 15 diseases 15 diseases 16 and 16 and 18 response 17 its 18 response 19 to 20 exercise 21 has 22 led 22 led 23 to 23 to 26 understanding 24 a 26 understanding 25 new 26 understanding 26 understanding 27 of 26 understanding 31 of 26 understanding 38 against 27 of 30 effects 28 the 30 effects 29 protective 30 effects 31 of 37 activity 32 long 33 - 32 long 34 term 34 term 37 activity 35 habitual 37 activity 36 physical 37 activity 38 against 41 disease 39 atherosclerotic 40 heart 40 heart 41 disease 42 and 43 vascular 42 and 44 aging redox [homeostasis] governs a number of critical cellular processes . 0 ###LEFT-WALL### 1 redox 0 ###LEFT-WALL### 3 governs 0 ###LEFT-WALL### 10 . 1 redox 3 governs 3 governs 9 processes 4 a 5 number 5 number 6 of 5 number 9 processes 6 of 9 processes 7 critical 9 processes 8 cellular 9 processes in turn , imbalances in pathways that control oxidative and reductive conditions have been linked to a number of human disease pathologies , particularly those associated with aging . 0 ###LEFT-WALL### 4 imbalances 0 ###LEFT-WALL### 15 linked 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 29 . 1 in 2 turn 2 turn 3 , 2 turn 4 imbalances 4 imbalances 5 in 4 imbalances 13 have 5 in 6 pathways 6 pathways 7 that 6 pathways 8 control 7 that 8 control 8 control 12 conditions 9 oxidative 10 and 10 and 11 reductive 10 and 12 conditions 13 have 14 been 14 been 15 linked 15 linked 16 to 16 to 18 number 17 a 18 number 18 number 19 of 19 of 22 pathologies 20 human 21 disease 21 disease 22 pathologies 23 , 25 those 23 , 26 associated 24 particularly 25 those 25 those 26 associated 26 associated 27 with 27 with 28 aging reduced glutathione is the most prevalent biological thiol and plays a crucial role in maintaining a reduced intracellular environment . 0 ###LEFT-WALL### 2 glutathione 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 20 . 1 reduced 2 glutathione 2 glutathione 9 and 3 is 8 thiol 3 is 9 and 4 the 5 most 5 most 8 thiol 6 prevalent 8 thiol 7 biological 8 thiol 9 and 10 plays 10 plays 13 role 10 plays 14 in 11 a 12 crucial 11 a 13 role 12 crucial 13 role 14 in 15 maintaining 15 maintaining 19 environment 16 a 19 environment 17 reduced 19 environment 18 intracellular 19 environment exposure to reactive oxygen or nitrogen species is causatively linked to the disease pathologies associated with redox imbalance . 0 ###LEFT-WALL### 5 or 0 ###LEFT-WALL### 10 linked 0 ###LEFT-WALL### 19 . 1 exposure 2 to 1 exposure 5 or 2 to 4 oxygen 3 reactive 4 oxygen 5 or 7 species 5 or 8 is 6 nitrogen 7 species 8 is 10 linked 9 causatively 10 linked 10 linked 11 to 10 linked 16 with 11 to 14 pathologies 12 the 14 pathologies 13 disease 14 pathologies 14 pathologies 15 associated 16 with 18 imbalance 17 redox 18 imbalance in particular , reactive oxygen species can differentially oxidize certain cysteine residues in target proteins and the reversible process of s - glutathionylation may mitigate or mediate the damage . 0 ###LEFT-WALL### 6 species 0 ###LEFT-WALL### 26 or 0 ###LEFT-WALL### 30 . 1 in 2 particular 2 particular 3 , 2 particular 6 species 4 reactive 5 oxygen 5 oxygen 6 species 6 species 26 or 7 can 9 oxidize 7 can 26 or 8 differentially 9 oxidize 9 oxidize 12 residues 9 oxidize 13 in 10 certain 11 cysteine 11 cysteine 12 residues 13 in 16 and 14 target 15 proteins 15 proteins 16 and 16 and 19 process 16 and 22 - 16 and 23 glutathionylation 16 and 25 mitigate 17 the 19 process 18 reversible 19 process 19 process 20 of 20 of 21 s 23 glutathionylation 24 may 24 may 25 mitigate 26 or 27 mediate 26 or 29 damage 28 the 29 damage this post - translational modification adds a tripeptide and a net negative charge that can lead to distinct structural and functional changes in the target protein . 0 ###LEFT-WALL### 2 post 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 16 lead 0 ###LEFT-WALL### 27 . 1 this 2 post 3 - 5 modification 3 - 12 negative 4 translational 5 modification 5 modification 6 adds 7 a 8 tripeptide 8 tripeptide 9 and 9 and 11 net 9 and 12 negative 10 a 11 net 12 negative 13 charge 13 charge 14 that 13 charge 16 lead 14 that 15 can 15 can 16 lead 16 lead 17 to 17 to 22 changes 18 distinct 22 changes 19 structural 20 and 20 and 21 functional 20 and 22 changes 22 changes 23 in 23 in 26 protein 24 the 26 protein 25 target 26 protein because it is reversible , s - glutathionylation has the potential to act as a biological switch and [to] be integral in a number of critical oxidative signaling events . 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 30 . 1 because 2 it 1 because 9 has 1 because 18 and 2 it 3 is 3 is 8 glutathionylation 4 reversible 6 s 4 reversible 7 - 4 reversible 8 glutathionylation 5 , 6 s 6 s 7 - 9 has 11 potential 9 has 12 to 9 has 14 as 9 has 18 and 10 the 11 potential 12 to 13 act 14 as 17 switch 15 a 16 biological 15 a 17 switch 16 biological 17 switch 18 and 20 be 20 be 21 integral 21 integral 22 in 22 in 29 events 23 a 24 number 24 number 25 of 24 number 29 events 25 of 29 events 26 critical 29 events 27 oxidative 29 events 28 signaling 29 events the present review provides a comprehensive account of [how] [the] s - glutathionylation cycle influences protein structure/function and cellular regulatory events , and how [these] may impact on human diseases . 0 ###LEFT-WALL### 3 review 0 ###LEFT-WALL### 4 provides 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 27 impact 0 ###LEFT-WALL### 31 . 1 the 3 review 2 present 3 review 3 review 4 provides 4 provides 7 account 5 a 6 comprehensive 5 a 7 account 6 comprehensive 7 account 7 account 8 of 8 of 11 s 12 - 15 influences 13 glutathionylation 14 cycle 14 cycle 15 influences 15 influences 23 and 15 influences 27 impact 16 protein 17 structure/function 17 structure/function 18 and 18 and 21 events 18 and 23 and 19 cellular 21 events 20 regulatory 21 events 22 , 23 and 23 and 24 how 23 and 26 may 26 may 27 impact 27 impact 28 on 28 on 30 diseases 29 human 30 diseases by understanding the components of this cycle , there should be opportunities to intervene in stress - and aging - related pathologies , perhaps through prevention and diagnostic and therapeutic platforms . 0 ###LEFT-WALL### 9 there 0 ###LEFT-WALL### 11 be 0 ###LEFT-WALL### 21 related 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 32 . 1 by 2 understanding 1 by 8 , 1 by 9 there 2 understanding 4 components 3 the 4 components 4 components 5 of 5 of 7 cycle 6 this 7 cycle 9 there 10 should 10 should 11 be 11 be 12 opportunities 12 opportunities 13 to 12 opportunities 14 intervene 13 to 14 intervene 14 intervene 15 in 15 in 18 and 16 stress 18 and 17 - 18 and 18 and 19 aging 20 - 21 related 21 related 22 pathologies 23 , 27 and 24 perhaps 25 through 25 through 26 prevention 26 prevention 27 and 27 and 31 platforms 28 diagnostic 29 and 29 and 30 therapeutic 29 and 31 platforms introduction : apron controllers ( acs ) determine the taxiways for aircraft entering the apron area until they reach their parking positions and vice versa . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 2 : 4 controllers 2 : 8 determine 2 : 26 . 3 apron 4 controllers 4 controllers 6 acs 4 controllers 8 determine 5 ( 6 acs 6 acs 7 ) 8 determine 10 taxiways 8 determine 17 until 9 the 10 taxiways 10 taxiways 11 for 11 for 12 aircraft 12 aircraft 13 entering 13 entering 16 area 14 the 16 area 15 apron 16 area 17 until 18 they 17 until 19 reach 18 they 19 reach 19 reach 23 and 20 their 22 positions 21 parking 22 positions 22 positions 23 and 23 and 25 versa 24 vice 25 versa the aims of this study were to identify age - sensitive job requirements of apron control ( study 1 ) , and to investigate the relationship between age of acs and their workload ( study 2 ) . 0 ###LEFT-WALL### 2 aims 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 38 . 1 the 2 aims 2 aims 3 of 2 aims 22 and 3 of 5 study 4 this 5 study 6 were 7 to 6 were 8 identify 6 were 22 and 7 to 8 identify 8 identify 9 age 9 age 13 requirements 10 - 13 requirements 11 sensitive 12 job 12 job 13 requirements 13 requirements 14 of 13 requirements 18 study 13 requirements 21 , 14 of 16 control 15 apron 16 control 17 ( 18 study 18 study 19 1 18 study 20 ) 21 , 22 and 22 and 23 to 22 and 24 investigate 22 and 27 between 23 to 24 investigate 24 investigate 26 relationship 25 the 26 relationship 27 between 28 age 28 age 29 of 29 of 31 and 30 acs 31 and 31 and 33 workload 31 and 35 study 32 their 33 workload 34 ( 35 study 35 study 36 2 35 study 37 ) methods : study 1 : there were 14 experienced acs who assessed the job requirements of apron control with the fleishman - job analyses survey . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 : 1 methods 2 : 2 : 3 study 3 study 4 1 5 : 6 there 5 : 7 were 5 : 22 - 6 there 7 were 7 were 10 acs 8 14 10 acs 9 experienced 10 acs 10 acs 11 who 10 acs 12 assessed 11 who 12 assessed 12 assessed 15 requirements 12 assessed 19 with 13 the 15 requirements 14 job 15 requirements 15 requirements 16 of 16 of 18 control 17 apron 18 control 19 with 21 fleishman 20 the 21 fleishman 22 - 25 survey 22 - 26 . 23 job 24 analyses 24 analyses 25 survey additionally , during one shift , the number of parallel processed traffic data sets ( indicating memory - load [ )(and the number of [delivered] radio messages ( indicating processing speed requirements ) were assessed . 0 ###LEFT-WALL### 21 )(and 0 ###LEFT-WALL### 36 . 1 additionally 21 )(and 2 , 3 during 3 during 5 shift 3 during 6 , 3 during 21 )(and 4 one 5 shift 7 the 8 number 8 number 9 of 8 number 21 )(and 9 of 13 data 10 parallel 13 data 11 processed 12 traffic 12 traffic 13 data 13 data 14 sets 13 data 19 load 14 sets 17 memory 14 sets 19 load 15 ( 17 memory 16 indicating 17 memory 17 memory 18 - 21 )(and 23 number 21 )(and 24 of 21 )(and 29 indicating 21 )(and 34 were 22 the 23 number 24 of 27 messages 26 radio 27 messages 28 ( 29 indicating 29 indicating 32 requirements 29 indicating 33 ) 30 processing 31 speed 31 speed 32 requirements 34 were 35 assessed study 2 : there were 30 acs ( age : 23 - 51 yr ) [who] volunteered for trials during late shifts at an international airport . 0 ###LEFT-WALL### 1 study 0 ###LEFT-WALL### 3 : 1 study 2 2 3 : 4 there 3 : 5 were 3 : 10 : 3 : 27 . 4 there 5 were 5 were 7 acs 6 30 7 acs 7 acs 9 age 8 ( 9 age 9 age 10 : 10 : 11 23 10 : 17 volunteered 11 23 14 yr 11 23 17 volunteered 12 - 14 yr 13 51 14 yr 14 yr 15 ) 17 volunteered 18 for 17 volunteered 20 during 17 volunteered 23 at 18 for 19 trials 20 during 22 shifts 21 late 22 shifts 23 at 26 airport 24 an 26 airport 25 international 26 airport acs assessed their subjective workload ( nasa - task load index ) at four times during the shift and carried out an attention test ( d2 ) before and after the shift . 0 ###LEFT-WALL### 1 acs 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 33 . 1 acs 19 and 2 assessed 5 workload 2 assessed 13 at 2 assessed 19 and 3 their 5 workload 4 subjective 5 workload 5 workload 7 nasa 6 ( 7 nasa 7 nasa 11 index 7 nasa 12 ) 8 - 11 index 9 task 10 load 10 load 11 index 11 index 12 ) 13 at 15 times 14 four 15 times 15 times 16 during 16 during 18 shift 17 the 18 shift 19 and 20 carried 20 carried 21 out 20 carried 24 test 20 carried 29 and 22 an 24 test 23 attention 24 test 24 test 26 d2 25 ( 26 d2 26 d2 27 ) 28 before 29 and 29 and 30 after 30 after 32 shift 31 the 32 shift moreover , their heart rate was assessed during the shift and in a reference period . 0 ###LEFT-WALL### 5 rate 0 ###LEFT-WALL### 7 assessed 0 ###LEFT-WALL### 16 . 1 moreover 2 , 1 moreover 5 rate 3 their 5 rate 4 heart 5 rate 5 rate 6 was 6 was 7 assessed 7 assessed 11 and 8 during 10 shift 8 during 11 and 9 the 10 shift 11 and 12 in 12 in 15 period 13 a 15 period 14 reference 15 period results : study 1 : results indicate that apron control requires especially high levels of memory - load [and] processing speed . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 : 1 results 2 : 2 : 3 study 3 study 4 1 5 : 6 results 5 : 7 indicate 5 : 17 - 6 results 7 indicate 7 indicate 8 that 8 that 10 control 8 that 11 requires 9 apron 10 control 10 control 11 requires 11 requires 14 levels 12 especially 13 high 13 high 14 levels 14 levels 15 of 15 of 16 memory 17 - 18 load 17 - 22 . 18 load 21 speed 20 processing 21 speed study 2 : hierarchical regression analyses revealed a [u] [-] shaped relationship between age and subjective workload ( beta = 0.59 [ )(as well as heart rate ( [beta] = 0.33 ) . 0 ###LEFT-WALL### 1 study 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 7 revealed 0 ###LEFT-WALL### 33 . 1 study 2 2 3 : 4 hierarchical 4 hierarchical 6 analyses 4 hierarchical 7 revealed 5 regression 6 analyses 6 analyses 7 revealed 7 revealed 15 and 8 a 12 relationship 11 shaped 12 relationship 12 relationship 13 between 12 relationship 15 and 13 between 14 age 15 and 17 workload 15 and 19 beta 16 subjective 17 workload 18 ( 19 beta 19 beta 21 0.59 19 beta 27 rate 19 beta 31 0.33 19 beta 32 ) 20 = 21 0.59 21 0.59 25 as 21 0.59 27 rate 23 )(as 24 well 24 well 25 as 25 as 26 heart 28 ( 31 0.33 30 = 31 0.33 31 0.33 32 ) up to the age of about 35 - 37 yr , workload and heart rate decreased with age , but afterwards the relationship became positive . 0 ###LEFT-WALL### 23 relationship 0 ###LEFT-WALL### 24 became 0 ###LEFT-WALL### 26 . 1 up 23 relationship 2 to 13 and 2 to 23 relationship 3 the 4 age 4 age 5 of 4 age 11 , 5 of 10 yr 6 about 8 - 7 35 8 - 8 - 9 37 8 - 10 yr 11 , 12 workload 11 , 13 and 13 and 15 rate 14 heart 15 rate 16 decreased 17 with 16 decreased 19 , 16 decreased 23 relationship 17 with 18 age 20 but 21 afterwards 20 but 23 relationship 22 the 23 relationship 23 relationship 24 became 24 became 25 positive there was no association between chronological age and attention performance . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 11 . 1 there 2 was 2 was 4 association 3 no 4 association 4 association 5 between 5 between 8 and 6 chronological 7 age 7 age 8 and 8 and 10 performance 9 attention 10 performance discussion : there is a need for age adequate job design in apron control that should especially aim at the reduction of memory - load [and] processing speed . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 2 : 3 there 2 : 4 is 3 there 4 is 4 is 6 need 5 a 6 need 6 need 7 for 6 need 22 of 7 for 11 design 8 age 11 design 9 adequate 10 job 10 job 11 design 11 design 12 in 11 design 19 at 12 in 14 control 13 apron 14 control 14 control 15 that 14 control 16 should 15 that 16 should 16 should 18 aim 17 especially 18 aim 19 at 21 reduction 20 the 21 reduction 22 of 23 memory 23 memory 28 speed 24 - 28 speed 25 load 28 speed 27 processing 28 speed 28 speed 29 . this study assessed the relationship between intake of nutrients and dental caries in preschool children . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 assessed 0 ###LEFT-WALL### 16 . 1 this 2 study 2 study 3 assessed 3 assessed 5 relationship 3 assessed 6 between 3 assessed 13 in 4 the 5 relationship 6 between 7 intake 7 intake 8 of 8 of 10 and 9 nutrients 10 and 10 and 12 caries 11 dental 12 caries 13 in 15 children 14 preschool 15 children one hundred and eighty - two children aged three to six years were recruited from nine day care centers in central taiwan . 0 ###LEFT-WALL### 4 eighty 0 ###LEFT-WALL### 14 recruited 0 ###LEFT-WALL### 23 . 1 one 2 hundred 2 hundred 3 and 3 and 4 eighty 4 eighty 7 children 4 eighty 13 were 4 eighty 14 recruited 5 - 6 two 6 two 7 children 7 children 8 aged 7 children 10 to 7 children 13 were 8 aged 9 three 10 to 12 years 11 six 12 years 14 recruited 15 from 14 recruited 20 in 15 from 19 centers 16 nine 17 day 17 day 19 centers 18 care 19 centers 20 in 22 taiwan 21 central 22 taiwan these children had an oral health examination , and their parents or guardians answered a questionnaire . 0 ###LEFT-WALL### 2 children 0 ###LEFT-WALL### 3 had 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 17 . 1 these 2 children 2 children 3 had 3 had 7 examination 4 an 5 oral 4 an 7 examination 5 oral 6 health 6 health 7 examination 8 , 9 and 9 and 12 or 9 and 14 answered 10 their 11 parents 11 parents 12 or 12 or 13 guardians 12 or 14 answered 14 answered 16 questionnaire 15 a 16 questionnaire each child 's intake of nutrients was estimated using the 24 - hour dietary recall and food frequency questionnaire data . 0 ###LEFT-WALL### 4 intake 0 ###LEFT-WALL### 8 estimated 0 ###LEFT-WALL### 12 - 1 each 2 child 2 child 3 's 3 's 4 intake 4 intake 5 of 4 intake 7 was 5 of 6 nutrients 7 was 8 estimated 8 estimated 9 using 9 using 11 24 10 the 11 24 12 - 16 and 12 - 21 . 13 hour 15 recall 14 dietary 15 recall 15 recall 16 and 16 and 20 data 17 food 20 data 18 frequency 20 data 19 questionnaire 20 data logistic regression analysis was applied to assess the associations between dental caries and intake of each nutrient or food group , with adjustment for potential confounders . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 5 applied 0 ###LEFT-WALL### 27 . 1 logistic 2 regression 2 regression 3 analysis 3 analysis 4 was 4 was 5 applied 5 applied 6 to 5 applied 22 with 6 to 7 assess 7 assess 9 associations 7 assess 10 between 8 the 9 associations 10 between 18 or 11 dental 12 caries 12 caries 13 and 13 and 14 intake 13 and 15 of 13 and 18 or 15 of 17 nutrient 16 each 17 nutrient 18 or 20 group 18 or 21 , 19 food 20 group 22 with 23 adjustment 22 with 24 for 24 for 26 confounders 25 potential 26 confounders the prevalence of dental caries was 73 % and increased with age . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 13 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 9 and 3 of 5 caries 4 dental 5 caries 6 was 8 % 6 was 9 and 7 73 8 % 9 and 10 increased 9 and 11 with 11 with 12 age not being a first - born and having [more] [between] - meal snacks were associated with increased caries risk . 0 ###LEFT-WALL### 13 snacks 0 ###LEFT-WALL### 15 associated 0 ###LEFT-WALL### 20 . 1 not 2 being 1 not 13 snacks 2 being 4 first 3 a 4 first 4 first 7 and 5 - 7 and 6 born 7 and 7 and 8 having 7 and 11 - 12 meal 13 snacks 13 snacks 14 were 14 were 15 associated 15 associated 16 with 16 with 18 caries 16 with 19 risk 17 increased 18 caries after controlling for other important factors , vitamin a intake was significantly associated with fewer dental caries [(] deft , decayed , indicated for extraction , and filled primary teeth [:] ≥ 4 [vs] [.] < 4 ) [,] with an odds ratio of 0.97 ( 95 % confidence interval [:] 0.94 - 0.99 [ )(for an 100 [-] μg increase in vitamin a intake . 1 after 2 controlling 1 after 10 intake 3 for 6 factors 3 for 7 , 3 for 10 intake 4 other 6 factors 5 important 6 factors 8 vitamin 9 a 8 vitamin 10 intake 10 intake 20 , 11 was 13 associated 11 was 20 , 12 significantly 13 associated 13 associated 14 with 13 associated 19 deft 14 with 15 fewer 14 with 17 caries 16 dental 17 caries 20 , 27 and 21 decayed 23 indicated 21 decayed 27 and 22 , 23 indicated 23 indicated 24 for 23 indicated 26 , 24 for 25 extraction 27 and 28 filled 28 filled 30 teeth 29 primary 30 teeth 30 teeth 32 ≥ 32 ≥ 36 < 32 ≥ 40 with 33 4 36 < 36 < 37 4 36 < 38 ) 40 with 43 ratio 41 an 43 ratio 42 odds 43 ratio 43 ratio 44 of 43 ratio 50 interval 43 ratio 54 0.99 44 of 45 0.97 46 ( 50 interval 47 95 50 interval 48 % 50 interval 49 confidence 50 interval 50 interval 52 0.94 50 interval 53 - 53 - 54 0.99 54 0.99 56 )(for 54 0.99 66 . 56 )(for 61 increase 57 an 61 increase 58 100 60 μg 60 μg 61 increase 61 increase 62 in 62 in 65 intake 63 vitamin 64 a 63 vitamin 65 intake there was no significant association between dental caries and energy , macronutrient intake , and ca/p ratio , respectively . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 1 there 2 was 2 was 5 association 2 was 6 between 2 was 19 respectively 3 no 5 association 4 significant 5 association 6 between 9 and 7 dental 8 caries 8 caries 9 and 9 and 10 energy 9 and 15 and 11 , 15 and 12 macronutrient 13 intake 13 intake 15 and 14 , 15 and 15 and 17 ratio 15 and 18 , 16 ca/p 17 ratio 18 , 19 respectively 19 respectively 20 . vegetable intake was also significantly associated with lower dental caries [score] . 0 ###LEFT-WALL### 2 intake 0 ###LEFT-WALL### 6 associated 0 ###LEFT-WALL### 12 . 1 vegetable 2 intake 2 intake 3 was 3 was 4 also 3 was 6 associated 5 significantly 6 associated 6 associated 7 with 7 with 10 caries 8 lower 10 caries 9 dental 10 caries objective : to evaluate retinol and β - carotene serum levels and their relationship with risk factors for cardiovascular disease in individuals with morbid obesity , resident in rio de janeiro . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 evaluate 3 to 4 evaluate 4 evaluate 12 and 4 evaluate 23 with 5 retinol 6 and 6 and 11 levels 6 and 12 and 7 β 8 - 7 β 9 carotene 9 carotene 10 serum 10 serum 11 levels 12 and 14 relationship 12 and 18 for 13 their 14 relationship 14 relationship 15 with 15 with 17 factors 16 risk 17 factors 18 for 20 disease 19 cardiovascular 20 disease 20 disease 21 in 21 in 22 individuals 23 with 25 obesity 24 morbid 25 obesity 25 obesity 27 resident 26 , 27 resident 27 resident 28 in 27 resident 32 . 28 in 31 janeiro 29 rio 30 de 30 de 31 janeiro methodology : blood serum concentrations of retinol and β - carotene of 189 morbidly obese individuals were assessed . 0 ###LEFT-WALL### 1 methodology 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 2 : 8 and 2 : 18 assessed 3 blood 5 concentrations 4 serum 5 concentrations 5 concentrations 6 of 5 concentrations 8 and 6 of 7 retinol 8 and 11 carotene 8 and 17 were 9 β 10 - 9 β 11 carotene 11 carotene 12 of 12 of 16 individuals 13 189 16 individuals 14 morbidly 15 obese 15 obese 16 individuals 17 were 18 assessed the metabolic syndrome was identified according to the criteria of the national cholesterol education program ( ncep ) and world health organization ( who ) . 0 ###LEFT-WALL### 3 syndrome 0 ###LEFT-WALL### 5 identified 0 ###LEFT-WALL### 26 . 1 the 3 syndrome 2 metabolic 3 syndrome 3 syndrome 4 was 4 was 5 identified 5 identified 7 to 6 according 7 to 7 to 19 and 8 the 9 criteria 9 criteria 10 of 9 criteria 19 and 10 of 17 ncep 11 the 17 ncep 12 national 13 cholesterol 13 cholesterol 14 education 14 education 15 program 15 program 17 ncep 16 ( 17 ncep 17 ncep 18 ) 19 and 24 who 20 world 21 health 21 health 22 organization 22 organization 24 who 23 ( 24 who 24 who 25 ) lipid profile , insulin resistance , basal insulin , glycemia , blood pressure , and anthropometry and their correlation with retinol and β - carotene serum levels were evaluated . 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 28 were 0 ###LEFT-WALL### 30 . 1 lipid 2 profile 2 profile 3 , 3 , 5 resistance 3 , 6 , 4 insulin 5 resistance 6 , 8 insulin 6 , 9 , 7 basal 8 insulin 9 , 10 glycemia 9 , 11 , 11 , 13 pressure 11 , 15 and 12 blood 13 pressure 14 , 15 and 15 and 16 anthropometry 15 and 17 and 17 and 19 correlation 17 and 20 with 17 and 28 were 18 their 19 correlation 20 with 22 and 21 retinol 22 and 22 and 27 levels 23 β 24 - 23 β 25 carotene 25 carotene 26 serum 26 serum 27 levels 28 were 29 evaluated results : metabolic syndrome diagnosis was observed in 49.0 % of the sample . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 diagnosis 2 : 7 observed 2 : 14 . 3 metabolic 4 syndrome 4 syndrome 5 diagnosis 5 diagnosis 6 was 6 was 7 observed 7 observed 8 in 8 in 10 % 9 49.0 10 % 10 % 11 of 11 of 13 sample 12 the 13 sample within this percentage the levels of β - carotene were significantly lower [when] body mass index increased . 0 ###LEFT-WALL### 1 within 0 ###LEFT-WALL### 10 were 0 ###LEFT-WALL### 18 . 1 within 3 percentage 1 within 10 were 2 this 3 percentage 4 the 5 levels 5 levels 6 of 5 levels 10 were 6 of 9 carotene 7 β 8 - 7 β 9 carotene 10 were 11 significantly 10 were 17 increased 12 lower 14 body 14 body 17 increased 15 mass 17 increased 16 index 17 increased serum retinol didn't show this behavior . 0 ###LEFT-WALL### 2 retinol 0 ###LEFT-WALL### 4 show 0 ###LEFT-WALL### 7 . 1 serum 2 retinol 2 retinol 3 didn't 3 didn't 4 show 4 show 6 behavior 5 this 6 behavior serum retinol inadequacy in patients with metabolic [syndrome] ( 61.3 % ) , according to who [criterion] [,] was [higher] [(] 15.8 % [ )( when the whole sample was considered ( 12.7 % ) . 0 ###LEFT-WALL### 3 inadequacy 0 ###LEFT-WALL### 19 was 0 ###LEFT-WALL### 36 . 1 serum 3 inadequacy 2 retinol 3 inadequacy 3 inadequacy 4 in 3 inadequacy 6 with 3 inadequacy 19 was 4 in 5 patients 6 with 14 according 7 metabolic 11 % 7 metabolic 13 , 7 metabolic 14 according 9 ( 11 % 10 61.3 11 % 11 % 12 ) 14 according 15 to 15 to 16 who 19 was 23 % 22 15.8 23 % 23 % 26 when 23 % 34 % 26 when 29 sample 26 when 31 considered 27 the 29 sample 28 whole 29 sample 29 sample 30 was 30 was 31 considered 32 ( 34 % 33 12.7 34 % 34 % 35 ) [when] metabolic syndrome [was] diagnosed [by] ncep criterion , β [-] carotene inadequacy was higher ( 42.8 % ) when compared to the total sample ( 37.5 % ) . 0 ###LEFT-WALL### 8 criterion 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 10 β 0 ###LEFT-WALL### 30 . 2 metabolic 3 syndrome 3 syndrome 5 diagnosed 5 diagnosed 8 criterion 7 ncep 8 criterion 9 , 10 β 10 β 12 carotene 10 β 20 when 12 carotene 13 inadequacy 12 carotene 14 was 12 carotene 18 % 13 inadequacy 14 was 14 was 15 higher 16 ( 18 % 17 42.8 18 % 18 % 19 ) 20 when 21 compared 21 compared 22 to 22 to 25 sample 23 the 25 sample 24 total 25 sample 25 sample 28 % 26 ( 28 % 27 37.5 28 % 28 % 29 ) there was a significant difference between average β - carotene values of patients [with] and [without] metabolic syndrome ( p=0.048 ) according to the classification of the ncep . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 29 . 1 there 2 was 2 was 5 difference 2 was 6 between 2 was 23 to 3 a 5 difference 4 significant 5 difference 6 between 8 β 7 average 8 β 8 β 11 values 9 - 11 values 10 carotene 11 values 11 values 12 of 11 values 20 p=0.048 11 values 21 ) 12 of 15 and 13 patients 15 and 15 and 18 syndrome 17 metabolic 18 syndrome 19 ( 20 p=0.048 20 p=0.048 21 ) 22 according 23 to 23 to 25 classification 24 the 25 classification 25 classification 26 of 26 of 28 ncep 27 the 28 ncep lower values were [found] in patients [with] metabolic [syndrome] . 0 ###LEFT-WALL### 2 values 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 10 . 1 lower 2 values 2 values 3 were 3 were 5 in 3 were 8 metabolic 5 in 6 patients conclusion : considering the vitamin a contribution in antioxidant protection , especially when risk factors for cardiovascular disease are present , it is suggested that great attention be [given] [to] morbidly obese . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 22 it 2 : 24 suggested 2 : 33 . 3 considering 7 contribution 3 considering 10 protection 3 considering 13 when 3 considering 21 , 3 considering 22 it 4 the 7 contribution 5 vitamin 6 a 5 vitamin 7 contribution 7 contribution 8 in 8 in 9 antioxidant 11 , 12 especially 11 , 13 when 13 when 15 factors 13 when 19 are 13 when 21 , 14 risk 15 factors 15 factors 16 for 15 factors 19 are 16 for 18 disease 17 cardiovascular 18 disease 19 are 20 present 22 it 23 is 23 is 24 suggested 24 suggested 25 that 25 that 27 attention 25 that 28 be 26 great 27 attention 28 be 32 obese 31 morbidly 32 obese this [could] aid in prevention and treatment of cardiovascular disease , which affects a significant part of the population . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 20 . 1 this 3 aid 3 aid 4 in 3 aid 6 and 4 in 5 prevention 6 and 7 treatment 6 and 8 of 8 of 10 disease 9 cardiovascular 10 disease 11 , 12 which 11 , 13 affects 12 which 13 affects 13 affects 19 population 14 a 15 significant 14 a 16 part 15 significant 16 part 16 part 17 of 16 part 19 population 17 of 19 population 18 the 19 population cognitive [decline] associated with ageing and age - related disorders emerges as one of the greatest health challenges in the next decades . 0 ###LEFT-WALL### 1 cognitive 0 ###LEFT-WALL### 3 associated 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 23 . 1 cognitive 3 associated 3 associated 4 with 4 with 5 ageing 6 and 7 age 6 and 11 emerges 7 age 11 emerges 8 - 9 related 9 related 10 disorders 9 related 11 emerges 11 emerges 12 as 11 emerges 19 in 12 as 13 one 13 one 14 of 14 of 18 challenges 15 the 16 greatest 15 the 18 challenges 17 health 18 challenges 19 in 22 decades 20 the 21 next 20 the 22 decades to date , the molecular mechanisms underlying the onset of neuronal physiological changes in the central nervous system remain unclear . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 date 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 21 . 1 to 2 date 3 , 6 mechanisms 3 , 19 remain 4 the 6 mechanisms 5 molecular 6 mechanisms 6 mechanisms 7 underlying 6 mechanisms 19 remain 7 underlying 9 onset 7 underlying 14 in 8 the 9 onset 9 onset 10 of 10 of 13 changes 11 neuronal 13 changes 12 physiological 13 changes 14 in 18 system 15 the 18 system 16 central 18 system 17 nervous 18 system 19 remain 20 unclear functional mri and pet studies have indicated the decline in working memory performance in older adults . 0 ###LEFT-WALL### 5 studies 0 ###LEFT-WALL### 7 indicated 0 ###LEFT-WALL### 17 . 1 functional 2 mri 2 mri 3 and 3 and 4 pet 4 pet 5 studies 5 studies 6 have 6 have 7 indicated 7 indicated 9 decline 7 indicated 10 in 8 the 9 decline 10 in 11 working 11 working 13 performance 11 working 14 in 12 memory 13 performance 14 in 16 adults 15 older 16 adults similarly , age - related disorders , such as alzheimer 's disease , are associated with changes in the prefontral cortex and related neural circuitry , which underlines the decline of integrative function [between] different brain regions . 0 ###LEFT-WALL### 3 age 0 ###LEFT-WALL### 4 - 1 similarly 2 , 1 similarly 3 age 4 - 6 disorders 4 - 15 associated 4 - 26 , 4 - 38 . 5 related 6 disorders 6 disorders 9 as 6 disorders 14 are 7 , 9 as 8 such 9 as 9 as 12 disease 9 as 13 , 10 alzheimer 11 's 11 's 12 disease 14 are 15 associated 15 associated 16 with 15 associated 25 circuitry 16 with 22 and 16 with 24 neural 17 changes 18 in 17 changes 22 and 18 in 21 cortex 19 the 21 cortex 20 prefontral 21 cortex 22 and 23 related 26 , 27 which 26 , 28 underlines 27 which 28 underlines 28 underlines 30 decline 29 the 30 decline 30 decline 31 of 31 of 37 regions 32 integrative 33 function 33 function 37 regions 35 different 36 brain 36 brain 37 regions this is mainly attributed to the loss of synaptic connectivity , which is a feature commonly observed in neurodegenerative disorders . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 4 attributed 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 21 . 1 this 2 is 2 is 4 attributed 3 mainly 4 attributed 4 attributed 5 to 5 to 7 loss 6 the 7 loss 7 loss 8 of 8 of 10 connectivity 9 synaptic 10 connectivity 11 , 12 which 11 , 13 is 12 which 13 is 13 is 15 feature 14 a 15 feature 15 feature 17 observed 16 commonly 17 observed 17 observed 18 in 18 in 20 disorders 19 neurodegenerative 20 disorders in humans , the morphological and functional changes in neurons , such as reduction of spine numbers and synaptic dysfunction , precede the first signs [of] cognitive decline and likely contribute to pathology progression . 0 ###LEFT-WALL### 8 changes 0 ###LEFT-WALL### 29 and 0 ###LEFT-WALL### 35 . 1 in 2 humans 1 in 3 , 1 in 8 changes 4 the 8 changes 5 morphological 6 and 6 and 7 functional 6 and 8 changes 8 changes 9 in 8 changes 29 and 9 in 10 neurons 10 neurons 13 as 11 , 13 as 12 such 13 as 13 as 18 and 13 as 21 , 14 reduction 15 of 14 reduction 18 and 15 of 17 numbers 16 spine 17 numbers 18 and 20 dysfunction 18 and 21 , 19 synaptic 20 dysfunction 22 precede 28 decline 22 precede 29 and 23 the 24 first 23 the 28 decline 25 signs 28 decline 27 cognitive 28 decline 29 and 31 contribute 29 and 32 to 29 and 34 progression 30 likely 31 contribute 32 to 33 pathology thus , a new scenario emerges in [which] apparently unrelated diseases present common features , such as the remodelling of neuronal circuitries promoted by ageing . 0 ###LEFT-WALL### 5 scenario 0 ###LEFT-WALL### 6 emerges 1 thus 2 , 1 thus 5 scenario 3 a 4 new 3 a 5 scenario 4 new 5 scenario 5 scenario 6 emerges 6 emerges 7 in 7 in 14 features 9 apparently 10 unrelated 10 unrelated 11 diseases 11 diseases 12 present 12 present 14 features 13 common 14 features 14 features 17 as 15 , 17 as 16 such 17 as 17 as 19 remodelling 17 as 26 . 18 the 19 remodelling 19 remodelling 20 of 20 of 22 circuitries 21 neuronal 22 circuitries 22 circuitries 23 promoted 23 promoted 24 by 24 by 25 ageing for many years , ageing was considered a process of slow deterioration triggered by accidental environmental factors . 0 ###LEFT-WALL### 5 ageing 0 ###LEFT-WALL### 7 considered 0 ###LEFT-WALL### 18 . 1 for 3 years 1 for 4 , 1 for 5 ageing 2 many 3 years 5 ageing 6 was 6 was 7 considered 7 considered 9 process 8 a 9 process 9 process 10 of 10 of 12 deterioration 11 slow 12 deterioration 12 deterioration 13 triggered 13 triggered 14 by 14 by 17 factors 15 accidental 17 factors 16 environmental 17 factors conversely , it is now evident that ageing is a biological process tightly controlled by evolutionary highly conserved signalling pathways . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 21 . 1 conversely 2 , 1 conversely 3 it 3 it 4 is 4 is 5 now 4 is 6 evident 6 evident 7 that 7 that 8 ageing 7 that 9 is 8 ageing 9 is 9 is 12 process 10 a 11 biological 10 a 12 process 11 biological 12 process 12 process 14 controlled 13 tightly 14 controlled 14 controlled 15 by 15 by 20 pathways 16 evolutionary 20 pathways 17 highly 18 conserved 18 conserved 20 pathways 19 signalling 20 pathways importantly , genetic mutations that enhance longevity significantly delay the loss of synaptic connectivity and , therefore , the onset of age - related brain disorders . 0 ###LEFT-WALL### 4 mutations 0 ###LEFT-WALL### 9 delay 0 ###LEFT-WALL### 24 related 1 importantly 2 , 1 importantly 4 mutations 3 genetic 4 mutations 4 mutations 5 that 4 mutations 6 enhance 4 mutations 9 delay 5 that 6 enhance 6 enhance 7 longevity 8 significantly 9 delay 9 delay 15 and 10 the 11 loss 11 loss 12 of 11 loss 15 and 12 of 14 connectivity 13 synaptic 14 connectivity 15 and 17 therefore 15 and 20 onset 16 , 17 therefore 17 therefore 18 , 19 the 20 onset 20 onset 21 of 21 of 22 age 23 - 24 related 24 related 26 disorders 24 related 27 . 25 brain 26 disorders accordingly , tweaking ageing might be an attractive approach to prevent cognitive decline caused [by] age - related synaptic dysfunction . 0 ###LEFT-WALL### 3 tweaking 0 ###LEFT-WALL### 6 be 0 ###LEFT-WALL### 18 related 0 ###LEFT-WALL### 21 . 1 accordingly 2 , 1 accordingly 3 tweaking 3 tweaking 4 ageing 3 tweaking 5 might 5 might 6 be 6 be 9 approach 6 be 10 to 7 an 8 attractive 7 an 9 approach 8 attractive 9 approach 10 to 11 prevent 11 prevent 16 age 12 cognitive 13 decline 13 decline 14 caused 14 caused 16 age 17 - 18 related 18 related 20 dysfunction 19 synaptic 20 dysfunction in this brief report , aging in biogerontology science perspective has been discussed based on the turkish literature review with major key recommendations for future studies . 0 ###LEFT-WALL### 6 aging 0 ###LEFT-WALL### 14 based 0 ###LEFT-WALL### 27 . 1 in 4 report 1 in 5 , 1 in 6 aging 2 this 4 report 3 brief 4 report 6 aging 7 in 6 aging 14 based 7 in 9 science 8 biogerontology 9 science 9 science 10 perspective 9 science 12 been 9 science 13 discussed 10 perspective 11 has 11 has 12 been 14 based 15 on 14 based 19 review 14 based 20 with 15 on 18 literature 16 the 18 literature 17 turkish 18 literature 20 with 23 recommendations 21 major 22 key 22 key 23 recommendations 23 recommendations 24 for 24 for 26 studies 25 future 26 studies biogerontology in turkey has focused on general retardation of the aging process giving priority to caloric restriction and oxidative stress mechanisms . 0 ###LEFT-WALL### 1 biogerontology 0 ###LEFT-WALL### 5 focused 0 ###LEFT-WALL### 22 . 1 biogerontology 2 in 1 biogerontology 4 has 2 in 3 turkey 4 has 5 focused 5 focused 6 on 5 focused 15 to 6 on 8 retardation 7 general 8 retardation 8 retardation 9 of 8 retardation 13 giving 9 of 12 process 10 the 12 process 11 aging 12 process 13 giving 14 priority 15 to 18 and 16 caloric 17 restriction 17 restriction 18 and 18 and 21 mechanisms 19 oxidative 20 stress 20 stress 21 mechanisms the most popular investigation area for the scientists has been the oxidant and anti - oxidant systems in different tissues . 0 ###LEFT-WALL### 5 area 0 ###LEFT-WALL### 10 been 0 ###LEFT-WALL### 21 . 1 the 5 area 2 most 3 popular 3 popular 4 investigation 4 investigation 5 area 5 area 6 for 5 area 9 has 6 for 8 scientists 7 the 8 scientists 9 has 10 been 10 been 13 and 10 been 18 in 11 the 12 oxidant 12 oxidant 13 and 13 and 17 systems 14 anti 15 - 14 anti 17 systems 16 oxidant 17 systems 18 in 20 tissues 19 different 20 tissues however , the turkish biogerontology science needs more manpower , economical and infrastructural and other resources for the promising studies in the future . 0 ###LEFT-WALL### 6 science 0 ###LEFT-WALL### 7 needs 0 ###LEFT-WALL### 24 . 1 however 2 , 1 however 6 science 3 the 6 science 4 turkish 5 biogerontology 5 biogerontology 6 science 6 science 7 needs 7 needs 14 and 8 more 9 manpower 9 manpower 10 , 10 , 11 economical 10 , 12 and 12 and 13 infrastructural 12 and 14 and 14 and 16 resources 14 and 17 for 14 and 21 in 15 other 16 resources 17 for 20 studies 18 the 20 studies 19 promising 20 studies 21 in 23 future 22 the 23 future traditional tests used in the clinic to identify dementia , such as the mini - mental state examination ( mmse ) , are useful to identify severe cognitive impairments but might be less sensitive to detect more subtle age - related cognitive changes . 0 ###LEFT-WALL### 2 tests 0 ###LEFT-WALL### 23 are 0 ###LEFT-WALL### 41 related 0 ###LEFT-WALL### 44 . 1 traditional 2 tests 2 tests 3 used 2 tests 23 are 3 used 4 in 3 used 7 to 4 in 6 clinic 5 the 6 clinic 7 to 8 identify 8 identify 9 dementia 8 identify 12 as 10 , 12 as 11 such 12 as 12 as 18 examination 12 as 22 , 13 the 18 examination 14 mini 15 - 14 mini 17 state 16 mental 17 state 17 state 18 examination 18 examination 20 mmse 19 ( 20 mmse 20 mmse 21 ) 23 are 24 useful 24 useful 25 to 24 useful 36 detect 25 to 30 but 26 identify 29 impairments 26 identify 30 but 27 severe 29 impairments 28 cognitive 29 impairments 30 but 31 might 31 might 32 be 32 be 33 less 32 be 34 sensitive 34 sensitive 35 to 35 to 36 detect 36 detect 39 age 37 more 38 subtle 38 subtle 39 age 40 - 41 related 41 related 43 changes 42 cognitive 43 changes previously , the novel [image] - novel location [(] ninl ) object recognition test was shown to be sensitive to detect effects of apolipoprotein e4 , a risk factor for developing age - related cognitive decline and alzheimer 's disease , [in] nondemented [elderly] . 0 ###LEFT-WALL### 14 test 0 ###LEFT-WALL### 16 shown 0 ###LEFT-WALL### 33 - 0 ###LEFT-WALL### 45 . 1 previously 2 , 1 previously 14 test 3 the 14 test 4 novel 10 ninl 4 novel 12 object 6 - 10 ninl 7 novel 10 ninl 8 location 10 ninl 10 ninl 11 ) 12 object 14 test 13 recognition 14 test 14 test 15 was 15 was 16 shown 16 shown 17 to 17 to 18 be 18 be 19 sensitive 19 sensitive 20 to 20 to 21 detect 21 detect 22 effects 22 effects 23 of 22 effects 29 factor 23 of 25 e4 24 apolipoprotein 25 e4 26 , 29 factor 27 a 29 factor 28 risk 29 factor 29 factor 30 for 29 factor 33 - 30 for 31 developing 31 developing 32 age 33 - 36 decline 33 - 37 and 34 related 36 decline 35 cognitive 36 decline 37 and 38 alzheimer 37 and 41 , 38 alzheimer 41 , 39 's 40 disease 39 's 41 , 41 , 43 nondemented in the present longitudinal study , performance on the mmse and the ninl tests were compared over a 4 [-] year period . 0 ###LEFT-WALL### 14 tests 0 ###LEFT-WALL### 16 compared 0 ###LEFT-WALL### 23 . 1 in 11 and 1 in 14 tests 2 the 5 study 3 present 5 study 4 longitudinal 5 study 5 study 6 , 6 , 7 performance 6 , 11 and 7 performance 8 on 8 on 10 mmse 9 the 10 mmse 11 and 13 ninl 12 the 13 ninl 14 tests 15 were 15 were 16 compared 16 compared 17 over 17 over 22 period 18 a 22 period 19 4 21 year 21 year 22 period individual ninl scores over this period were highly correlated . 0 ###LEFT-WALL### 3 scores 0 ###LEFT-WALL### 9 correlated 0 ###LEFT-WALL### 10 . 1 individual 2 ninl 2 ninl 3 scores 3 scores 4 over 3 scores 7 were 4 over 6 period 5 this 6 period 7 were 8 highly 7 were 9 correlated in addition , while mmse scores did not change over the 4 - year period , ninl scores did . 0 ###LEFT-WALL### 6 scores 0 ###LEFT-WALL### 9 change 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 20 . 1 in 2 addition 1 in 3 , 1 in 6 scores 4 while 5 mmse 4 while 6 scores 6 scores 7 did 7 did 8 not 7 did 9 change 9 change 10 over 10 over 12 4 11 the 12 4 12 4 15 period 13 - 15 period 14 year 15 period 15 period 16 , 16 , 18 scores 16 , 19 did 17 ninl 18 scores 18 scores 19 did in a final testing session of a subset of the participants , ninl scores correlated with logical memory and word recall lists , cognitive tasks used to detect dementia in the clinic , as well as clinical dementia rating scales . 0 ###LEFT-WALL### 21 recall 0 ###LEFT-WALL### 41 . 1 in 5 session 1 in 21 recall 2 a 3 final 2 a 5 session 3 final 4 testing 4 testing 5 session 5 session 6 of 6 of 8 subset 7 a 8 subset 8 subset 9 of 9 of 19 and 10 the 11 participants 11 participants 12 , 12 , 14 scores 12 , 19 and 13 ninl 14 scores 14 scores 15 correlated 14 scores 16 with 16 with 18 memory 17 logical 18 memory 19 and 20 word 21 recall 22 lists 21 recall 36 as 22 lists 25 tasks 23 , 25 tasks 24 cognitive 25 tasks 25 tasks 26 used 25 tasks 30 in 25 tasks 33 , 26 used 27 to 26 used 28 detect 27 to 28 detect 28 detect 29 dementia 30 in 32 clinic 31 the 32 clinic 34 as 35 well 35 well 36 as 36 as 40 scales 37 clinical 38 dementia 38 dementia 39 rating 39 rating 40 scales these results [support] that the ninl might be a valuable tool to assess age - related cognitive decline . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 14 age 0 ###LEFT-WALL### 15 - 1 these 2 results 2 results 4 that 2 results 13 assess 2 results 14 age 4 that 6 ninl 4 that 8 be 5 the 6 ninl 6 ninl 7 might 7 might 8 be 8 be 11 tool 8 be 12 to 9 a 10 valuable 9 a 11 tool 10 valuable 11 tool 12 to 13 assess 15 - 18 decline 15 - 19 . 16 related 18 decline 17 cognitive 18 decline the objective of this study is to evaluate the mental healthiness aging initiative , designed to promote community awareness and knowledge about mental health and aging issues . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 28 . 1 the 2 objective 2 objective 3 of 2 objective 14 , 3 of 5 study 4 this 5 study 6 is 7 to 6 is 8 evaluate 6 is 14 , 7 to 8 evaluate 8 evaluate 13 initiative 9 the 13 initiative 10 mental 11 healthiness 11 healthiness 12 aging 12 aging 13 initiative 14 , 15 designed 14 , 16 to 14 , 22 about 16 to 17 promote 17 promote 20 and 18 community 19 awareness 19 awareness 20 and 20 and 21 knowledge 22 about 25 and 23 mental 24 health 24 health 25 and 25 and 27 issues 26 aging 27 issues this study occurred during 2007 - 2009 in 67 of 120 counties in kentucky . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 occurred 0 ###LEFT-WALL### 15 . 1 this 2 study 2 study 3 occurred 3 occurred 4 during 3 occurred 13 in 4 during 6 - 5 2007 6 - 6 - 7 2009 6 - 10 of 7 2009 8 in 8 in 9 67 10 of 12 counties 11 120 12 counties 13 in 14 kentucky a rural region ( 11 counties ) received the intervention , consisting of focus groups , extension agent training , and television [-] based social marketing campaign . 0 ###LEFT-WALL### 3 region 0 ###LEFT-WALL### 8 received 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 28 . 1 a 2 rural 1 a 3 region 2 rural 3 region 3 region 6 counties 3 region 8 received 4 ( 6 counties 5 11 6 counties 6 counties 7 ) 8 received 10 intervention 9 the 10 intervention 10 intervention 12 consisting 11 , 12 consisting 12 consisting 13 of 12 consisting 16 , 13 of 15 groups 14 focus 15 groups 16 , 21 and 16 , 27 campaign 17 extension 18 agent 18 agent 19 training 19 training 21 and 20 , 21 and 21 and 26 marketing 21 and 27 campaign 22 television 24 based 24 based 26 marketing 25 social 26 marketing partial - intervention counties ( 29 counties ) received only the television [-] based social marketing campaign . 0 ###LEFT-WALL### 4 counties 0 ###LEFT-WALL### 9 received 0 ###LEFT-WALL### 18 . 1 partial 2 - 1 partial 3 intervention 3 intervention 4 counties 4 counties 7 counties 4 counties 9 received 5 ( 7 counties 6 29 7 counties 7 counties 8 ) 9 received 10 only 9 received 17 campaign 11 the 17 campaign 12 television 14 based 14 based 15 social 15 social 17 campaign 16 marketing 17 campaign the control counties ( 27 counties ) received no intervention activities . 0 ###LEFT-WALL### 3 counties 0 ###LEFT-WALL### 8 received 0 ###LEFT-WALL### 12 . 1 the 3 counties 2 control 3 counties 3 counties 6 counties 3 counties 8 received 4 ( 6 counties 5 27 6 counties 6 counties 7 ) 8 received 11 activities 9 no 11 activities 10 intervention 11 activities results indicated that the intervention counties agreed more with being able to assist elder adults with a potential mental illness . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 indicated 0 ###LEFT-WALL### 7 agreed 1 results 2 indicated 2 indicated 3 that 3 that 6 counties 3 that 7 agreed 4 the 6 counties 5 intervention 6 counties 6 counties 7 agreed 7 agreed 8 more 7 agreed 9 with 7 agreed 21 . 9 with 10 being 10 being 11 able 11 able 12 to 11 able 13 assist 12 to 13 assist 13 assist 15 adults 13 assist 16 with 14 elder 15 adults 16 with 18 potential 16 with 20 illness 17 a 18 potential 19 mental 20 illness also , the intervention counties understood the risk of consuming alcohol and medications better , but had [a] poorer recognition of drinking problems in elder adults . 0 ###LEFT-WALL### 5 counties 0 ###LEFT-WALL### 17 had 0 ###LEFT-WALL### 27 . 1 also 2 , 1 also 5 counties 3 the 5 counties 4 intervention 5 counties 5 counties 16 but 6 understood 8 risk 6 understood 14 better 6 understood 16 but 7 the 8 risk 8 risk 9 of 9 of 10 consuming 10 consuming 12 and 11 alcohol 12 and 12 and 13 medications 15 , 16 but 16 but 17 had 17 had 20 recognition 19 poorer 20 recognition 20 recognition 21 of 21 of 22 drinking 22 drinking 23 problems 22 drinking 24 in 24 in 26 adults 25 elder 26 adults these findings need to be considered within study limitations , such as measurement error , degree [of] intervention exposure , and regional differences across intervention groups . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 need 1 these 2 findings 2 findings 3 need 3 need 4 to 3 need 6 considered 4 to 5 be 5 be 6 considered 6 considered 7 within 7 within 9 limitations 8 study 9 limitations 9 limitations 12 as 9 limitations 21 and 10 , 12 as 11 such 12 as 12 as 14 error 12 as 15 , 13 measurement 14 error 15 , 21 and 16 degree 19 exposure 18 intervention 19 exposure 19 exposure 21 and 20 , 21 and 21 and 23 differences 21 and 24 across 21 and 27 . 22 regional 23 differences 24 across 26 groups 25 intervention 26 groups the study demonstrates that community interventions on mental health awareness and knowledge are feasible within majority rural regions , with extension agents being gatekeepers , for promoting positive messages about mental health and aging issues . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 demonstrates 1 the 2 study 2 study 3 demonstrates 3 demonstrates 4 that 4 that 6 interventions 4 that 13 are 5 community 6 interventions 6 interventions 7 on 6 interventions 13 are 7 on 11 and 8 mental 9 health 9 health 10 awareness 10 awareness 11 and 11 and 12 knowledge 13 are 14 feasible 14 feasible 15 within 14 feasible 20 with 14 feasible 26 for 15 within 18 regions 16 majority 18 regions 17 rural 18 regions 19 , 20 with 20 with 22 agents 20 with 25 , 21 extension 22 agents 22 agents 23 being 23 being 24 gatekeepers 25 , 26 for 26 for 27 promoting 26 for 36 . 27 promoting 29 messages 27 promoting 30 about 28 positive 29 messages 30 about 33 and 31 mental 32 health 32 health 33 and 33 and 35 issues 34 aging 35 issues this paper focuses on assistance that externally - resident daughters provide for their aging parents in rural tibet , china , to challenge the notion that rapid modernization invariably threatens family - based care systems for the elderly . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 3 focuses 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 33 based 0 ###LEFT-WALL### 39 . 1 this 2 paper 2 paper 3 focuses 3 focuses 4 on 3 focuses 7 externally 4 on 5 assistance 6 that 7 externally 8 - 10 daughters 8 - 11 provide 9 resident 10 daughters 10 daughters 11 provide 11 provide 12 for 12 for 15 parents 13 their 15 parents 14 aging 15 parents 15 parents 16 in 15 parents 20 china 15 parents 22 to 15 parents 33 based 16 in 18 tibet 17 rural 18 tibet 19 , 20 china 20 china 21 , 21 , 22 to 22 to 23 challenge 22 to 32 - 23 challenge 25 notion 24 the 25 notion 25 notion 26 that 25 notion 30 threatens 26 that 28 modernization 26 that 30 threatens 27 rapid 28 modernization 28 modernization 30 threatens 29 invariably 30 threatens 30 threatens 31 family 33 based 35 systems 34 care 35 systems 35 systems 36 for 36 for 38 elderly 37 the 38 elderly the authors discuss social and economic changes associated with modernization that have created new opportunities for parents to send daughters out of their natal households in ways that can benefit them in old age . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 3 discuss 0 ###LEFT-WALL### 35 . 1 the 2 authors 2 authors 3 discuss 3 discuss 5 and 3 discuss 7 changes 3 discuss 22 of 4 social 5 and 5 and 6 economic 7 changes 8 associated 7 changes 9 with 7 changes 11 that 7 changes 12 have 9 with 10 modernization 11 that 12 have 12 have 13 created 13 created 15 opportunities 13 created 16 for 13 created 18 to 14 new 15 opportunities 16 for 17 parents 18 to 19 send 19 send 20 daughters 21 out 22 of 22 of 25 households 23 their 25 households 24 natal 25 households 25 households 26 in 25 households 28 that 25 households 29 can 26 in 27 ways 28 that 29 can 29 can 30 benefit 30 benefit 31 them 30 benefit 32 in 32 in 34 age 33 old 34 age daughters with income and freedom from extended family obligations are now providing elderly parents [with] ( 1 ) leverage against co - resident children who do not treat [them] well , [(] 2 ) temporary places of refuge from ill - treatment at home , ( 3 ) caretaking services and financial support when they require hospitalization , and [(] 4 [ )(financial resources independent of their household which they can use to pursue age - appropriate activities like pilgrimage . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 10 are 1 daughters 2 with 1 daughters 4 and 2 with 3 income 4 and 5 freedom 4 and 10 are 5 freedom 6 from 6 from 9 obligations 7 extended 9 obligations 8 family 9 obligations 10 are 11 now 10 are 12 providing 12 providing 14 parents 12 providing 19 leverage 13 elderly 14 parents 14 parents 17 1 14 parents 19 leverage 16 ( 17 1 17 1 18 ) 19 leverage 20 against 19 leverage 24 children 20 against 23 resident 21 co 22 - 21 co 23 resident 24 children 25 who 24 children 26 do 25 who 26 do 26 do 27 not 26 do 28 treat 28 treat 30 well 28 treat 36 places 30 well 33 2 31 , 33 2 33 2 34 ) 35 temporary 36 places 36 places 37 of 37 of 38 refuge 38 refuge 39 from 38 refuge 49 caretaking 39 from 40 ill 40 ill 42 treatment 40 ill 47 3 41 - 42 treatment 42 treatment 43 at 42 treatment 45 , 43 at 44 home 46 ( 47 3 47 3 48 ) 49 caretaking 51 and 49 caretaking 54 when 50 services 51 and 51 and 53 support 52 financial 53 support 54 when 55 they 54 when 56 require 55 they 56 require 56 require 59 and 57 hospitalization 59 and 58 , 59 and 59 and 65 independent 61 4 65 independent 63 )(financial 64 resources 64 resources 65 independent 65 independent 66 of 66 of 68 household 67 their 68 household 68 household 69 which 68 household 72 use 69 which 70 they 69 which 72 use 70 they 71 can 71 can 72 use 72 use 73 to 72 use 74 pursue 73 to 74 pursue 74 pursue 75 age 75 age 78 activities 76 - 78 activities 77 appropriate 78 activities 78 activities 79 like 78 activities 81 . 79 like 80 pilgrimage the authors conclude that this new form of social capital vested in externally [-] resident daughters is having a positive impact on the lives of the elderly in rural tibet . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 18 having 0 ###LEFT-WALL### 31 . 1 the 2 authors 2 authors 3 conclude 3 conclude 4 that 4 that 7 form 4 that 17 is 5 this 7 form 6 new 7 form 7 form 8 of 7 form 17 is 8 of 10 capital 9 social 10 capital 10 capital 11 vested 11 vested 12 in 12 in 16 daughters 13 externally 15 resident 15 resident 16 daughters 17 is 18 having 18 having 21 impact 18 having 22 on 18 having 28 in 19 a 21 impact 20 positive 21 impact 22 on 24 lives 23 the 24 lives 24 lives 25 of 25 of 27 elderly 26 the 27 elderly 28 in 30 tibet 29 rural 30 tibet a quarter of the human population [with] european background carries at least one allele of the oprd1 gene that encodes the delta opioid receptor with cysteine at the amino acid position 27 ( hδor ( cys27 ) ) instead of the evolutionary conserved phenylalanine ( hδor ( phe27 ) ) . 0 ###LEFT-WALL### 2 quarter 0 ###LEFT-WALL### 10 carries 0 ###LEFT-WALL### 51 . 1 a 2 quarter 2 quarter 3 of 2 quarter 10 carries 3 of 9 background 4 the 9 background 5 human 6 population 6 population 9 background 8 european 9 background 10 carries 14 allele 11 at 12 least 12 least 13 one 13 one 14 allele 14 allele 15 of 15 of 18 gene 16 the 18 gene 17 oprd1 18 gene 18 gene 19 that 18 gene 20 encodes 19 that 20 encodes 20 encodes 24 receptor 20 encodes 25 with 20 encodes 40 of 21 the 24 receptor 22 delta 24 receptor 23 opioid 24 receptor 25 with 26 cysteine 25 with 32 27 26 cysteine 27 at 27 at 31 position 28 the 31 position 29 amino 31 position 30 acid 31 position 32 27 34 hδor 33 ( 34 hδor 34 hδor 36 cys27 34 hδor 38 ) 35 ( 36 cys27 36 cys27 37 ) 39 instead 40 of 40 of 44 phenylalanine 41 the 44 phenylalanine 42 evolutionary 44 phenylalanine 43 conserved 44 phenylalanine 44 phenylalanine 46 hδor 45 ( 46 hδor 46 hδor 48 phe27 46 hδor 50 ) 47 ( 48 phe27 48 phe27 49 ) the two variants have indistinguishable pharmacological properties but , importantly , hδor ( cys27 ) differs from hδor ( phe27 ) in having low maturation efficiency , lower stability at the cell surface and pronounced intracellular location . 0 ###LEFT-WALL### 3 variants 0 ###LEFT-WALL### 4 have 0 ###LEFT-WALL### 8 but 0 ###LEFT-WALL### 23 having 0 ###LEFT-WALL### 38 . 1 the 2 two 2 two 3 variants 3 variants 4 have 4 have 7 properties 5 indistinguishable 7 properties 6 pharmacological 7 properties 8 but 9 , 8 but 12 hδor 8 but 16 differs 9 , 10 importantly 10 importantly 11 , 10 importantly 12 hδor 12 hδor 14 cys27 12 hδor 16 differs 13 ( 14 cys27 14 cys27 15 ) 16 differs 17 from 16 differs 22 in 17 from 18 hδor 18 hδor 20 phe27 19 ( 20 phe27 20 phe27 21 ) 22 in 23 having 23 having 34 and 24 low 25 maturation 25 maturation 26 efficiency 26 efficiency 27 , 27 , 29 stability 27 , 34 and 28 lower 29 stability 29 stability 30 at 30 at 33 surface 31 the 33 surface 32 cell 33 surface 34 and 37 location 35 pronounced 37 location 36 intracellular 37 location both variants were previously shown to interact with the sarco ( endo )plasmic reticulum ca²+ atpase ( serca ) 2b in the early phase of their biosynthesis . 0 ###LEFT-WALL### 2 variants 0 ###LEFT-WALL### 5 shown 1 both 2 variants 2 variants 3 were 3 were 5 shown 4 previously 5 shown 5 shown 6 to 5 shown 8 with 6 to 7 interact 8 with 10 sarco 9 the 10 sarco 10 sarco 20 2b 11 ( 20 2b 12 endo 13 )plasmic 13 )plasmic 20 2b 14 reticulum 15 ca²+ 15 ca²+ 20 2b 16 atpase 18 serca 17 ( 18 serca 18 serca 19 ) 18 serca 20 2b 20 2b 21 in 20 2b 28 . 21 in 24 phase 22 the 24 phase 23 early 24 phase 24 phase 25 of 25 of 27 biosynthesis 26 their 27 biosynthesis we analyzed by pulse [-] chase assays , whether cellular signaling can affect hδor ( cys27 ) maturation . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 analyzed 0 ###LEFT-WALL### 19 . 1 we 2 analyzed 2 analyzed 3 by 2 analyzed 9 whether 2 analyzed 18 maturation 3 by 7 assays 4 pulse 7 assays 6 chase 7 assays 8 , 9 whether 9 whether 11 signaling 9 whether 13 affect 9 whether 17 ) 10 cellular 11 signaling 11 signaling 12 can 12 can 13 affect 13 affect 14 hδor 14 hδor 16 cys27 15 ( 16 cys27 16 cys27 17 ) neither [activation] of the receptor by a δor - specific agonist [leu] - enkephalin , induction of intracellular calcium ( ca²+ ) release by atp [nor] the direct stimulation of serca 2b by protein kinase c activation affected receptor maturation in hek - 293 cells . 0 ###LEFT-WALL### 1 neither 0 ###LEFT-WALL### 23 release 0 ###LEFT-WALL### 46 . 1 neither 3 of 1 neither 23 release 3 of 5 receptor 4 the 5 receptor 5 receptor 6 by 6 by 11 agonist 7 a 11 agonist 8 δor 9 - 8 δor 11 agonist 10 specific 11 agonist 11 agonist 14 enkephalin 11 agonist 16 induction 13 - 14 enkephalin 14 enkephalin 15 , 15 , 16 induction 16 induction 17 of 16 induction 22 ) 17 of 19 calcium 18 intracellular 19 calcium 19 calcium 21 ca²+ 20 ( 21 ca²+ 21 ca²+ 22 ) 23 release 24 by 23 release 41 in 23 release 45 cells 24 by 25 atp 25 atp 29 stimulation 25 atp 38 affected 27 the 29 stimulation 28 direct 29 stimulation 29 stimulation 30 of 29 stimulation 38 affected 30 of 31 serca 31 serca 32 2b 32 2b 33 by 33 by 37 activation 34 protein 35 kinase 35 kinase 36 c 35 kinase 37 activation 38 affected 40 maturation 39 receptor 40 maturation 41 in 42 hek 43 - 44 293 44 293 45 cells no signaling - mediated regulation of receptor maturation could therefore be demonstrated . 0 ###LEFT-WALL### 5 regulation 0 ###LEFT-WALL### 12 demonstrated 0 ###LEFT-WALL### 13 . 1 no 5 regulation 2 signaling 3 - 2 signaling 5 regulation 4 mediated 5 regulation 5 regulation 6 of 5 regulation 9 could 6 of 8 maturation 7 receptor 8 maturation 9 could 11 be 10 therefore 11 be 11 be 12 demonstrated instead , we found by using single cell ca²+ measurements that over [-] expression of hδor ( cys27 ) , but not hδor ( phe27 ) , compromised atp - induced intracellular ca²+ - signaling . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 found 1 instead 2 , 1 instead 3 we 3 we 4 found 4 found 5 by 4 found 11 that 4 found 28 compromised 5 by 6 using 6 using 10 measurements 7 single 10 measurements 8 cell 10 measurements 9 ca²+ 10 measurements 11 that 12 over 11 that 28 compromised 12 over 14 expression 14 expression 15 of 14 expression 21 but 15 of 16 hδor 16 hδor 18 cys27 17 ( 18 cys27 18 cys27 19 ) 20 , 21 but 21 but 22 not 21 but 23 hδor 21 but 27 , 23 hδor 25 phe27 24 ( 25 phe27 25 phe27 26 ) 28 compromised 29 atp 29 atp 33 ca²+ 29 atp 35 signaling 30 - 33 ca²+ 31 induced 33 ca²+ 32 intracellular 33 ca²+ 33 ca²+ 34 - 34 - 35 signaling 35 signaling 36 . furthermore , hδor ( cys27 ) precursors showed slower dissociation from serca2b and hδor ( cys27 ) expression caused down - regulation of the homocysteine - inducible endoplasmic reticulum - resident ubiquitin domain - like member 1 protein ( herp ) . 0 ###LEFT-WALL### 7 precursors 0 ###LEFT-WALL### 8 showed 0 ###LEFT-WALL### 42 . 1 furthermore 2 , 1 furthermore 7 precursors 3 hδor 5 cys27 3 hδor 6 ) 3 hδor 7 precursors 4 ( 5 cys27 5 cys27 6 ) 7 precursors 8 showed 8 showed 10 dissociation 8 showed 11 from 8 showed 35 like 8 showed 38 protein 9 slower 10 dissociation 11 from 13 and 12 serca2b 13 and 13 and 33 domain 13 and 34 - 14 hδor 16 cys27 14 hδor 18 expression 15 ( 16 cys27 16 cys27 17 ) 18 expression 19 caused 19 caused 31 resident 20 down 22 regulation 20 down 31 resident 21 - 22 regulation 22 regulation 23 of 22 regulation 26 - 23 of 25 homocysteine 24 the 25 homocysteine 27 inducible 31 resident 28 endoplasmic 31 resident 29 reticulum 30 - 29 reticulum 31 resident 31 resident 33 domain 32 ubiquitin 33 domain 35 like 36 member 36 member 37 1 38 protein 40 herp 39 ( 40 herp 40 herp 41 ) we suggest that aging individuals with at least one hδor ( cys27 ) encoding allele might have lowered [threshold] for ca²+ dysregulation in neurons expressing hδor . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 suggest 0 ###LEFT-WALL### 27 . 1 we 2 suggest 2 suggest 5 individuals 2 suggest 6 with 2 suggest 20 for 3 that 4 aging 4 aging 5 individuals 6 with 14 encoding 6 with 18 lowered 7 at 8 least 8 least 9 one 9 one 14 encoding 10 hδor 12 cys27 10 hδor 13 ) 10 hδor 14 encoding 11 ( 12 cys27 12 cys27 13 ) 14 encoding 15 allele 14 encoding 17 have 15 allele 16 might 16 might 17 have 20 for 22 dysregulation 21 ca²+ 22 dysregulation 22 dysregulation 23 in 22 dysregulation 25 expressing 23 in 24 neurons 25 expressing 26 hδor introduction : the objective of this article was to estimate the age at death in forensic or anthropologic applications based on human skull investigation . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 4 objective 2 : 20 based 3 the 4 objective 4 objective 5 of 4 objective 8 was 5 of 7 article 6 this 7 article 8 was 9 to 8 was 20 based 9 to 10 estimate 10 estimate 12 age 10 estimate 13 at 10 estimate 15 in 11 the 12 age 13 at 14 death 15 in 19 applications 16 forensic 17 or 17 or 18 anthropologic 17 or 19 applications 20 based 21 on 21 on 24 investigation 22 human 24 investigation 23 skull 24 investigation sex - dependent differences were analyzed . 0 ###LEFT-WALL### 4 differences 0 ###LEFT-WALL### 6 analyzed 0 ###LEFT-WALL### 7 . 1 sex 2 - 1 sex 4 differences 3 dependent 4 differences 4 differences 5 were 5 were 6 analyzed methods : digital , high - resolution , flat - panel - based volumetric computed tomography ( explore locus ultra scanner ) images ( 165,920 [ )(of 244 european human skulls - 163 males , 81 females - were analyzed according to their radiological bone density , based on hounsfield units [(] h [ )(that are directly related to the x - ray attenuation of the scanned material . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 , 1 methods 2 : 2 : 3 digital 4 , 5 high 4 , 13 based 5 high 7 resolution 5 high 13 based 6 - 7 resolution 7 resolution 11 panel 7 resolution 12 - 8 , 11 panel 9 flat 10 - 9 flat 11 panel 11 panel 12 - 13 based 23 images 14 volumetric 23 images 15 computed 23 images 16 tomography 21 scanner 16 tomography 22 ) 16 tomography 23 images 17 ( 21 scanner 18 explore 21 scanner 19 locus 20 ultra 20 ultra 21 scanner 21 scanner 22 ) 23 images 32 - 24 ( 32 - 25 165,920 27 )(of 25 165,920 32 - 27 )(of 31 skulls 28 244 31 skulls 29 european 30 human 30 human 31 skulls 32 - 33 163 33 163 34 males 33 163 39 were 33 163 40 analyzed 33 163 41 according 34 males 37 females 34 males 39 were 35 , 37 females 36 81 37 females 37 females 38 - 41 according 42 to 41 according 49 on 41 according 51 units 42 to 46 density 43 their 46 density 44 radiological 45 bone 45 bone 46 density 46 density 48 based 47 , 48 based 49 on 50 hounsfield 51 units 53 h 51 units 55 )(that 51 units 56 are 51 units 58 related 55 )(that 56 are 56 are 57 directly 58 related 59 to 59 to 61 x 60 the 61 x 61 x 64 attenuation 62 - 64 attenuation 63 ray 64 attenuation 64 attenuation 65 of 64 attenuation 69 . 65 of 68 material 66 the 68 material 67 scanned 68 material data were collected by the department of forensic medicine at the university hospital giessen and marburg during 2007 and 2008 . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 21 . 1 data 2 were 2 were 3 collected 3 collected 4 by 3 collected 10 at 3 collected 17 during 4 by 6 department 5 the 6 department 6 department 7 of 7 of 9 medicine 8 forensic 9 medicine 10 at 15 and 11 the 14 giessen 12 university 13 hospital 13 hospital 14 giessen 14 giessen 15 and 15 and 16 marburg 17 during 19 and 18 2007 19 and 19 and 20 2008 correlation analysis was used for data [description] . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 4 used 0 ###LEFT-WALL### 8 . 1 correlation 2 analysis 2 analysis 3 was 3 was 4 used 4 used 5 for 5 for 6 data results : human skull density estimates are widely scattered as a function of age for both sexes . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 estimates 2 : 9 scattered 2 : 18 . 3 human 4 skull 4 skull 6 estimates 5 density 6 estimates 6 estimates 7 are 7 are 8 widely 7 are 9 scattered 9 scattered 10 as 10 as 12 function 11 a 12 function 12 function 13 of 13 of 14 age 14 age 15 for 15 for 17 sexes 16 both 17 sexes male skull bone density remains constant [during] [lifetime] , whereas female skull bone density decays slowly from approximately 20 years onwards . 0 ###LEFT-WALL### 4 density 0 ###LEFT-WALL### 5 remains 1 male 2 skull 2 skull 4 density 3 bone 4 density 4 density 5 remains 5 remains 6 constant 6 constant 10 whereas 9 , 10 whereas 10 whereas 14 density 10 whereas 15 decays 10 whereas 22 . 11 female 12 skull 12 skull 14 density 13 bone 14 density 14 density 15 decays 15 decays 16 slowly 15 decays 17 from 15 decays 21 onwards 17 from 20 years 18 approximately 19 20 19 20 20 years conclusions : bone density decay only theoretically provides a new method to determine age at death for adult females . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 5 decay 2 : 8 provides 2 : 20 . 3 bone 5 decay 4 density 5 decay 5 decay 8 provides 6 only 8 provides 7 theoretically 8 provides 8 provides 11 method 8 provides 12 to 9 a 10 new 9 a 11 method 10 new 11 method 12 to 13 determine 13 determine 14 age 13 determine 15 at 13 determine 17 for 15 at 16 death 17 for 19 females 18 adult 19 females due to the scattering of the data , an accuracy of approximately ±18 years is found at a confidence interval of 75 % , which is , unfortunately , of limited practical interest . 0 ###LEFT-WALL### 10 accuracy 0 ###LEFT-WALL### 16 found 0 ###LEFT-WALL### 34 . 1 due 2 to 2 to 4 scattering 2 to 8 , 2 to 10 accuracy 3 the 4 scattering 4 scattering 5 of 5 of 7 data 6 the 7 data 9 an 10 accuracy 10 accuracy 11 of 10 accuracy 15 is 11 of 14 years 12 approximately 13 ±18 13 ±18 14 years 15 is 16 found 16 found 17 at 17 at 20 interval 18 a 20 interval 19 confidence 20 interval 20 interval 21 of 20 interval 30 of 21 of 23 % 22 75 23 % 23 % 25 which 24 , 25 which 25 which 26 is 25 which 29 , 26 is 28 unfortunately 27 , 28 unfortunately 28 unfortunately 29 , 30 of 33 interest 31 limited 33 interest 32 practical 33 interest we found new sex differences of bone density decay in the skull that are potentially of [relevance] for the general understanding of bone degradation processes . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 26 . 1 we 2 found 2 found 4 sex 2 found 5 differences 3 new 4 sex 5 differences 6 of 5 differences 10 in 5 differences 13 that 5 differences 14 are 5 differences 16 of 6 of 9 decay 7 bone 9 decay 8 density 9 decay 10 in 12 skull 11 the 12 skull 13 that 14 are 14 are 15 potentially 16 of 18 for 18 for 21 understanding 19 the 21 understanding 20 general 21 understanding 21 understanding 22 of 22 of 25 processes 23 bone 25 processes 24 degradation 25 processes this study investigated the effect of attending pre - school on mucosal immunity . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 investigated 0 ###LEFT-WALL### 14 . 1 this 2 study 2 study 3 investigated 3 investigated 5 effect 4 the 5 effect 5 effect 6 of 6 of 7 attending 7 attending 10 school 7 attending 11 on 8 pre 9 - 8 pre 10 school 11 on 13 immunity 12 mucosal 13 immunity children 3.5 to 5 years of age who attended pre - school were observed for a 10 month period . 0 ###LEFT-WALL### 5 years 0 ###LEFT-WALL### 14 observed 0 ###LEFT-WALL### 20 . 1 children 3 to 1 children 5 years 2 3.5 3 to 3 to 4 5 5 years 6 of 5 years 13 were 6 of 7 age 7 age 8 who 7 age 9 attended 8 who 9 attended 9 attended 12 school 10 pre 11 - 10 pre 12 school 13 were 14 observed 14 observed 15 for 15 for 19 period 16 a 19 period 17 10 18 month 18 month 19 period demographic information was collected on previous childcare experiences , the home environment and clinical information relating to the child and the family . 0 ###LEFT-WALL### 2 information 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 23 . 1 demographic 2 information 2 information 3 was 3 was 4 collected 4 collected 5 on 4 collected 17 to 5 on 13 and 6 previous 8 experiences 7 childcare 8 experiences 8 experiences 9 , 9 , 12 environment 9 , 13 and 10 the 12 environment 11 home 12 environment 13 and 15 information 13 and 16 relating 14 clinical 15 information 17 to 20 and 18 the 19 child 19 child 20 and 20 and 22 family 21 the 22 family a daily illness log was kept for each child . 0 ###LEFT-WALL### 4 log 0 ###LEFT-WALL### 6 kept 0 ###LEFT-WALL### 10 . 1 a 2 daily 1 a 4 log 2 daily 3 illness 3 illness 4 log 4 log 5 was 5 was 6 kept 6 kept 7 for 7 for 9 child 8 each 9 child a multivariate longitudinal analysis of the relation between immunoglobulins in saliva and age , gender , childcare experience , pre - school exposure , number of siblings , environmental tobacco smoke ( ets ) , atopy and hospitalisation [was] conducted . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 41 . 1 a 2 multivariate 1 a 4 analysis 2 multivariate 4 analysis 3 longitudinal 4 analysis 4 analysis 5 of 4 analysis 12 and 5 of 7 relation 6 the 7 relation 7 relation 8 between 7 relation 10 in 8 between 9 immunoglobulins 10 in 11 saliva 12 and 13 age 12 and 15 gender 14 , 15 gender 15 gender 16 , 16 , 37 and 16 , 40 conducted 17 childcare 18 experience 18 experience 19 , 19 , 23 exposure 19 , 24 , 20 pre 21 - 20 pre 23 exposure 22 school 23 exposure 24 , 25 number 24 , 35 , 25 number 26 of 26 of 27 siblings 27 siblings 31 smoke 28 , 31 smoke 29 environmental 30 tobacco 30 tobacco 31 smoke 31 smoke 33 ets 31 smoke 34 ) 32 ( 33 ets 33 ets 34 ) 35 , 36 atopy 35 , 37 and 37 and 38 hospitalisation 37 and 40 conducted there was a positive association of higher iga levels with the winter season and with children being older than 4 years ( p < [.] 001 ) , having attended childcare prior to commencing pre - school ( p < [.] 05 ) , [and] having been exposed to ets at home ( p < [.] 05 ) [.] 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 1 there 2 was 2 was 5 association 3 a 5 association 4 positive 5 association 5 association 6 of 6 of 9 levels 7 higher 9 levels 8 iga 9 levels 9 levels 14 and 9 levels 17 being 10 with 13 season 10 with 14 and 11 the 13 season 12 winter 13 season 14 and 15 with 15 with 16 children 17 being 18 older 18 older 19 than 19 than 20 4 20 4 21 years 20 4 31 childcare 21 years 24 < 21 years 29 having 21 years 31 childcare 22 ( 24 < 23 p 24 < 24 < 26 001 24 < 27 ) 28 , 29 having 29 having 30 attended 31 childcare 33 to 32 prior 33 to 33 to 34 commencing 34 commencing 35 pre 34 commencing 46 having 35 pre 37 school 36 - 37 school 37 school 40 < 37 school 43 ) 38 ( 40 < 39 p 40 < 40 < 42 05 44 , 46 having 46 having 47 been 46 having 58 ) 47 been 48 exposed 48 exposed 49 to 48 exposed 51 at 49 to 50 ets 51 at 52 home 52 home 55 < 53 ( 55 < 54 p 55 < 55 < 57 05 lower iga levels were associated with being atopic ( p < [.] 05 [ )( 0 ###LEFT-WALL### 3 levels 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 15 )( 1 lower 3 levels 2 iga 3 levels 3 levels 4 were 4 were 5 associated 5 associated 6 with 6 with 7 being 7 being 8 atopic 8 atopic 11 < 9 ( 11 < 10 p 11 < 11 < 13 05 higher igg levels were associated with exposure to ets ( p < [.] 001 ) , while lower levels were associated to having atopy . 0 ###LEFT-WALL### 3 levels 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 25 . 1 higher 3 levels 2 igg 3 levels 3 levels 4 were 4 were 5 associated 5 associated 6 with 5 associated 8 to 6 with 7 exposure 8 to 9 ets 9 ets 12 < 10 ( 12 < 11 p 12 < 12 < 14 001 12 < 15 ) 16 , 19 levels 16 , 23 having 17 while 18 lower 17 while 19 levels 19 levels 20 were 20 were 21 associated 21 associated 22 to 22 to 23 having 23 having 24 atopy higher igm levels were associated with previous childcare experience ( [p] < [.] 01 ) whilst having been hospitalised was associated with having low salivary igm levels [(] p < . 01 [ )( 0 ###LEFT-WALL### 2 igm 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 31 . 0 ###LEFT-WALL### 34 )( 1 higher 2 igm 2 igm 3 levels 2 igm 4 were 2 igm 5 associated 3 levels 4 were 5 associated 6 with 5 associated 9 experience 5 associated 16 whilst 6 with 8 childcare 7 previous 8 childcare 9 experience 14 01 10 ( 14 01 12 < 14 01 14 01 15 ) 16 whilst 17 having 16 whilst 23 having 17 having 18 been 17 having 20 was 18 been 19 hospitalised 20 was 21 associated 21 associated 22 with 22 with 23 having 23 having 27 levels 24 low 27 levels 25 salivary 27 levels 26 igm 27 levels 27 levels 29 p 27 levels 30 < 29 p 30 < 31 . 32 01 [lagged] analyses demonstrated that immunological parameters were affected by the number of respiratory infections in the preceding 2 months . 0 ###LEFT-WALL### 2 analyses 0 ###LEFT-WALL### 3 demonstrated 0 ###LEFT-WALL### 20 . 2 analyses 3 demonstrated 3 demonstrated 4 that 4 that 6 parameters 4 that 8 affected 5 immunological 6 parameters 6 parameters 7 were 7 were 8 affected 8 affected 9 by 8 affected 15 in 9 by 14 infections 10 the 11 number 11 number 12 of 11 number 14 infections 12 of 14 infections 13 respiratory 14 infections 15 in 19 months 16 the 19 months 17 preceding 19 months 18 2 19 months background : increased elastic conduit artery stiffness with aging is associated with early wave reflection and increased wasted left [ventricular] pressure energy ( lve ( w ) ) . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 1 background 2 : 2 : 4 elastic 3 increased 4 elastic 4 elastic 7 stiffness 4 elastic 16 and 5 conduit 6 artery 6 artery 7 stiffness 7 stiffness 8 with 7 stiffness 10 is 8 with 9 aging 10 is 16 and 11 associated 12 with 11 associated 16 and 12 with 15 reflection 13 early 14 wave 14 wave 15 reflection 16 and 17 increased 17 increased 22 energy 18 wasted 19 left 19 left 21 pressure 21 pressure 22 energy 22 energy 24 lve 23 ( 24 lve 24 lve 26 w 24 lve 28 ) 25 ( 26 w 26 w 27 ) the effects of aging on central hemodynamics during exercise have not been well characterized . 0 ###LEFT-WALL### 2 effects 0 ###LEFT-WALL### 12 been 0 ###LEFT-WALL### 15 . 1 the 2 effects 2 effects 3 of 2 effects 10 have 3 of 4 aging 4 aging 5 on 4 aging 8 during 5 on 7 hemodynamics 6 central 7 hemodynamics 8 during 9 exercise 10 have 11 not 10 have 12 been 12 been 13 well 13 well 14 characterized this study sought to investigate changes in central hemodynamics during cycle exercise in young , middle [-] aged , and older men . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 sought 0 ###LEFT-WALL### 23 . 1 this 2 study 2 study 3 sought 3 sought 4 to 3 sought 5 investigate 4 to 5 investigate 5 investigate 6 changes 5 investigate 10 during 5 investigate 13 in 6 changes 7 in 7 in 9 hemodynamics 8 central 9 hemodynamics 10 during 12 exercise 11 cycle 12 exercise 13 in 22 men 14 young 15 , 14 young 16 middle 16 middle 22 men 18 aged 20 and 19 , 20 and 20 and 21 older 20 and 22 men results : repeated measures analysis of variance revealed significant group [-] by [-] time interactions for heart rate , central diastolic blood pressure ( dbp ) , central pulse pressure ( pp ) , pp amplification ( ppa ) , central aortic pressure augmentation ( ap ) , aortic augmentation [index] ( ai ( x ) ) , and lve ( w ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 64 . 2 : 4 measures 3 repeated 4 measures 4 measures 5 analysis 4 measures 8 revealed 5 analysis 6 of 5 analysis 8 revealed 6 of 7 variance 8 revealed 59 and 9 significant 10 group 10 group 12 by 10 group 59 and 12 by 14 time 14 time 15 interactions 14 time 18 rate 14 time 23 pressure 15 interactions 16 for 15 interactions 18 rate 16 for 17 heart 19 , 23 pressure 20 central 23 pressure 21 diastolic 22 blood 22 blood 23 pressure 23 pressure 25 dbp 23 pressure 30 pressure 23 pressure 58 , 24 ( 25 dbp 25 dbp 26 ) 27 , 30 pressure 28 central 29 pulse 29 pulse 30 pressure 30 pressure 32 pp 30 pressure 36 amplification 30 pressure 44 augmentation 30 pressure 58 , 31 ( 32 pp 32 pp 33 ) 34 , 36 amplification 35 pp 36 amplification 36 amplification 38 ppa 36 amplification 40 , 37 ( 38 ppa 38 ppa 39 ) 40 , 44 augmentation 41 central 43 pressure 42 aortic 43 pressure 43 pressure 44 augmentation 44 augmentation 46 ap 44 augmentation 50 augmentation 44 augmentation 58 , 45 ( 46 ap 46 ap 47 ) 48 , 50 augmentation 49 aortic 50 augmentation 50 augmentation 53 ai 50 augmentation 58 , 52 ( 53 ai 53 ai 55 x 53 ai 57 ) 54 ( 55 x 55 x 56 ) 59 and 60 lve 60 lve 62 w 61 ( 62 w 62 w 63 ) conclusions : this study suggests that changes in the timing and amplitude of reflected pressure waves during exercise alter the hemodynamic response to exercise with aging . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 suggests 2 : 27 . 3 this 4 study 4 study 5 suggests 5 suggests 6 that 6 that 7 changes 6 that 19 alter 7 changes 8 in 7 changes 13 of 8 in 11 and 9 the 10 timing 10 timing 11 and 11 and 12 amplitude 13 of 16 waves 14 reflected 16 waves 15 pressure 16 waves 16 waves 17 during 17 during 18 exercise 19 alter 22 response 19 alter 23 to 19 alter 25 with 20 the 22 response 21 hemodynamic 22 response 23 to 24 exercise 25 with 26 aging in response to exercise , ap and lve ( w ) increased in older subjects while young and middle - aged subjects exhibited a decline in ap and no change in lve ( w ) . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 20 - 0 ###LEFT-WALL### 36 . 1 in 2 response 2 response 3 to 3 to 4 exercise 3 to 5 , 3 to 7 and 6 ap 7 and 7 and 8 lve 7 and 18 and 8 lve 10 w 9 ( 10 w 10 w 11 ) 12 increased 13 in 12 increased 16 while 12 increased 18 and 13 in 15 subjects 14 older 15 subjects 16 while 17 young 18 and 19 middle 20 - 22 subjects 20 - 23 exhibited 21 aged 22 subjects 22 subjects 23 exhibited 23 exhibited 28 and 23 exhibited 31 in 24 a 25 decline 25 decline 26 in 25 decline 28 and 26 in 27 ap 28 and 30 change 29 no 30 change 31 in 32 lve 32 lve 34 w 33 ( 34 w 34 w 35 ) purpose : the posterior precortical vitreous pocket ( the pocket ) is a premacular liquefied lacuna , the physiologic presence of which was reported in autopsy eyes . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 7 pocket 2 : 12 is 2 : 17 , 3 the 7 pocket 4 posterior 7 pocket 5 precortical 7 pocket 6 vitreous 7 pocket 7 pocket 10 pocket 7 pocket 12 is 8 ( 10 pocket 9 the 10 pocket 10 pocket 11 ) 12 is 16 lacuna 13 a 14 premacular 13 a 16 lacuna 14 premacular 16 lacuna 15 liquefied 16 lacuna 17 , 20 presence 17 , 24 reported 18 the 20 presence 19 physiologic 20 presence 20 presence 21 of 20 presence 23 was 21 of 22 which 23 was 24 reported 24 reported 25 in 25 in 27 eyes 26 autopsy 27 eyes we describe the morphologic features of the pocket in normal individuals . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 describe 0 ###LEFT-WALL### 12 . 1 we 2 describe 2 describe 5 features 2 describe 9 in 3 the 5 features 4 morphologic 5 features 5 features 6 of 6 of 8 pocket 7 the 8 pocket 9 in 11 individuals 10 normal 11 individuals methods : we performed spectral - domain optical coherence tomography in 102 eyes of 51 normal subjects of various ages in a sitting position . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 3 we 2 : 4 performed 3 we 4 performed 4 performed 10 tomography 4 performed 11 in 5 spectral 6 - 5 spectral 7 domain 7 domain 10 tomography 8 optical 9 coherence 9 coherence 10 tomography 11 in 13 eyes 12 102 13 eyes 13 eyes 14 of 13 eyes 18 of 13 eyes 21 in 14 of 17 subjects 15 51 17 subjects 16 normal 17 subjects 18 of 20 ages 19 various 20 ages 21 in 24 position 22 a 24 position 23 sitting 24 position results : the pocket was identified as an optically lucent space anterior to the posterior fundus in 85 of 102 eyes ( 83.3 % ) in the age - group . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 pocket 2 : 6 identified 2 : 29 - 3 the 4 pocket 4 pocket 5 was 5 was 6 identified 6 identified 7 as 6 identified 12 anterior 7 as 11 space 8 an 9 optically 8 an 11 space 9 optically 10 lucent 10 lucent 11 space 12 anterior 13 to 12 anterior 17 in 12 anterior 26 in 13 to 16 fundus 14 the 16 fundus 15 posterior 16 fundus 17 in 18 85 18 85 19 of 19 of 21 eyes 20 102 21 eyes 21 eyes 24 % 22 ( 24 % 23 83.3 24 % 24 % 25 ) 26 in 28 age 27 the 28 age 29 - 30 group 29 - 31 . the vitreous cortex was extremely thin at the central fovea , and it gradually thickened along with age in the perifoveal area . 0 ###LEFT-WALL### 3 cortex 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 23 . 1 the 3 cortex 2 vitreous 3 cortex 3 cortex 4 was 4 was 6 thin 5 extremely 6 thin 6 thin 7 at 7 at 12 and 8 the 10 fovea 9 central 10 fovea 10 fovea 12 and 11 , 12 and 12 and 13 it 12 and 15 thickened 14 gradually 15 thickened 15 thickened 17 with 15 thickened 19 in 16 along 17 with 17 with 18 age 19 in 22 area 20 the 22 area 21 perifoveal 22 area a shallow perifoveal posterior vitreous detachment developed in 16 of 32 eyes ( 50 % ) of subjects aged >51 years . 0 ###LEFT-WALL### 6 detachment 0 ###LEFT-WALL### 19 aged 0 ###LEFT-WALL### 22 . 1 a 2 shallow 1 a 6 detachment 2 shallow 6 detachment 3 perifoveal 6 detachment 4 posterior 6 detachment 5 vitreous 6 detachment 6 detachment 7 developed 6 detachment 19 aged 7 developed 8 in 8 in 9 16 9 16 10 of 9 16 17 of 10 of 12 eyes 11 32 12 eyes 12 eyes 15 % 13 ( 15 % 14 50 15 % 15 % 16 ) 17 of 18 subjects 19 aged 21 years 20 >51 21 years the lamellar structure of the vitreous cortex was seen in 7 of the 32 eyes ( 22 % ) of subjects aged >51 years . 0 ###LEFT-WALL### 3 structure 0 ###LEFT-WALL### 9 seen 0 ###LEFT-WALL### 25 . 1 the 3 structure 2 lamellar 3 structure 3 structure 4 of 3 structure 8 was 4 of 7 cortex 5 the 7 cortex 6 vitreous 7 cortex 8 was 9 seen 9 seen 10 in 10 in 11 7 11 7 12 of 11 7 20 of 12 of 15 eyes 13 the 14 32 14 32 15 eyes 15 eyes 18 % 16 ( 18 % 17 22 18 % 18 % 19 ) 20 of 24 years 21 subjects 24 years 22 aged 23 >51 23 >51 24 years conclusion : spectral - domain optical coherence tomography confirmed the presence of the pocket in all ages . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 1 conclusion 2 : 2 : 3 spectral 4 - 8 tomography 4 - 9 confirmed 4 - 18 . 5 domain 8 tomography 6 optical 7 coherence 7 coherence 8 tomography 8 tomography 9 confirmed 9 confirmed 11 presence 9 confirmed 15 in 10 the 11 presence 11 presence 12 of 12 of 14 pocket 13 the 14 pocket 15 in 17 ages 16 all 17 ages thickened vitreous cortex and perifoveal posterior vitreous detachment were physiologic findings in older individuals . 0 ###LEFT-WALL### 3 cortex 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 15 . 1 thickened 3 cortex 2 vitreous 3 cortex 4 and 8 detachment 4 and 9 were 5 perifoveal 8 detachment 6 posterior 8 detachment 7 vitreous 8 detachment 8 detachment 9 were 9 were 11 findings 10 physiologic 11 findings 11 findings 12 in 12 in 14 individuals 13 older 14 individuals the lamellar structure of the vitreous cortex may be related to the vitreoschisis . 0 ###LEFT-WALL### 3 structure 0 ###LEFT-WALL### 10 related 0 ###LEFT-WALL### 14 . 1 the 3 structure 2 lamellar 3 structure 3 structure 4 of 3 structure 8 may 4 of 7 cortex 5 the 7 cortex 6 vitreous 7 cortex 8 may 9 be 9 be 10 related 10 related 11 to 11 to 13 vitreoschisis 12 the 13 vitreoschisis objectives : the aim of the present study was to evaluate the influence of age , hearing loss , and cognitive ability on the cognitive processing load during listening to speech presented in noise . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 35 . 1 objectives 2 : 2 : 4 aim 3 the 4 aim 4 aim 5 of 4 aim 14 of 5 of 7 present 6 the 7 present 7 present 8 study 7 present 11 evaluate 8 study 9 was 9 was 10 to 9 was 11 evaluate 10 to 11 evaluate 11 evaluate 13 influence 12 the 13 influence 14 of 15 age 16 , 20 and 17 hearing 18 loss 18 loss 20 and 19 , 20 and 20 and 22 ability 20 and 23 on 20 and 28 during 21 cognitive 22 ability 23 on 27 load 24 the 27 load 25 cognitive 27 load 26 processing 27 load 28 during 29 listening 29 listening 30 to 30 to 31 speech 31 speech 32 presented 32 presented 33 in 33 in 34 noise cognitive [load] was assessed by means of pupillometry ( i.e [.] , examination of pupil dilation ) , supplemented with subjective ratings . 0 ###LEFT-WALL### 1 cognitive 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 23 . 1 cognitive 3 was 3 was 4 assessed 4 assessed 5 by 5 by 6 means 6 means 7 of 6 means 19 supplemented 7 of 8 pupillometry 8 pupillometry 10 i.e 9 ( 10 i.e 10 i.e 13 examination 10 i.e 18 , 12 , 13 examination 13 examination 14 of 13 examination 17 ) 14 of 16 dilation 15 pupil 16 dilation 19 supplemented 20 with 20 with 22 ratings 21 subjective 22 ratings design : two groups of subjects participated : 38 middle - aged participants ( mean age [=] 55 [yrs] ) with normal hearing and 36 middle - aged participants ( mean age = 61 yrs [ )(with hearing loss . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 middle 2 : 4 groups 2 : 8 : 3 two 4 groups 4 groups 5 of 4 groups 7 participated 5 of 6 subjects 8 : 9 38 9 38 10 middle 10 middle 12 aged 10 middle 13 participants 10 middle 21 with 11 - 12 aged 13 participants 16 age 14 ( 16 age 15 mean 16 age 16 age 18 55 16 age 20 ) 21 with 24 and 22 normal 23 hearing 23 hearing 24 and 24 and 26 middle 24 and 29 participants 25 36 26 middle 27 - 29 participants 28 aged 29 participants 29 participants 31 mean 29 participants 40 . 30 ( 31 mean 31 mean 32 age 31 mean 37 )(with 31 mean 38 hearing 31 mean 40 . 32 age 33 = 33 = 35 yrs 33 = 37 )(with 34 61 35 yrs 38 hearing 39 loss using three speech reception threshold ( srt ) in stationary noise tests , we estimated the speech - to [-] noise ratios ( snrs ) required for the correct repetition of 50 % , 71 % , [or] 84 % of the sentences ( srt50 [%] , srt71 [%] , and srt84 [%] , respectively ) . 0 ###LEFT-WALL### 14 we 0 ###LEFT-WALL### 15 estimated 0 ###LEFT-WALL### 57 . 1 using 7 srt 1 using 9 in 1 using 13 , 1 using 14 we 2 three 7 srt 3 speech 4 reception 4 reception 5 threshold 5 threshold 7 srt 6 ( 7 srt 7 srt 8 ) 9 in 12 tests 10 stationary 11 noise 11 noise 12 tests 14 we 15 estimated 15 estimated 17 speech 16 the 17 speech 17 speech 19 to 18 - 19 to 19 to 21 noise 19 to 56 ) 21 noise 22 ratios 21 noise 26 required 22 ratios 24 snrs 22 ratios 26 required 23 ( 24 snrs 24 snrs 25 ) 26 required 27 for 26 required 55 respectively 27 for 30 repetition 28 the 30 repetition 29 correct 30 repetition 30 repetition 31 of 30 repetition 36 % 30 repetition 40 % 31 of 33 % 32 50 33 % 34 , 36 % 35 71 36 % 36 % 37 , 37 , 40 % 39 84 40 % 40 % 41 of 40 % 51 and 40 % 54 , 41 of 43 sentences 42 the 43 sentences 44 ( 51 and 45 srt50 47 , 47 , 48 srt71 47 , 51 and 50 , 51 and 51 and 52 srt84 51 and 54 , we examined the pupil response during listening : the peak amplitude , the peak latency , the mean dilation , and the pupil response duration . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 8 : 1 we 2 examined 2 examined 5 response 2 examined 6 during 3 the 5 response 4 pupil 5 response 6 during 7 listening 8 : 21 and 8 : 26 . 9 the 11 amplitude 10 peak 11 amplitude 11 amplitude 12 , 12 , 15 latency 12 , 16 , 13 the 15 latency 14 peak 15 latency 16 , 19 dilation 16 , 21 and 17 the 19 dilation 18 mean 19 dilation 20 , 21 and 21 and 25 duration 22 the 25 duration 23 pupil 25 duration 24 response 25 duration for each condition , participants rated the experienced listening effort and estimated their performance level . 0 ###LEFT-WALL### 5 participants 0 ###LEFT-WALL### 15 level 0 ###LEFT-WALL### 16 . 1 for 3 condition 1 for 4 , 1 for 5 participants 2 each 3 condition 5 participants 11 and 5 participants 15 level 6 rated 10 effort 6 rated 11 and 7 the 10 effort 8 experienced 10 effort 9 listening 10 effort 11 and 12 estimated 11 and 14 performance 13 their 14 performance participants also performed the text reception threshold ( trt ) test , a test of processing speed , and a word vocabulary test . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 3 performed 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 24 . 1 participants 3 performed 2 also 3 performed 3 performed 11 test 4 the 11 test 5 text 6 reception 6 reception 7 threshold 7 threshold 9 trt 8 ( 9 trt 9 trt 10 ) 9 trt 11 test 12 , 19 and 13 a 14 test 14 test 15 of 14 test 19 and 15 of 16 processing 16 processing 17 speed 18 , 19 and 19 and 23 test 20 a 23 test 21 word 23 test 22 vocabulary 23 test data were compared with previously published data from young participants with normal hearing . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 3 compared 0 ###LEFT-WALL### 14 . 1 data 2 were 2 were 3 compared 3 compared 4 with 3 compared 11 with 4 with 7 data 5 previously 6 published 6 published 7 data 7 data 8 from 8 from 10 participants 9 young 10 participants 11 with 13 hearing 12 normal 13 hearing results : hearing loss was related to relatively poor srts , and higher speech intelligibility was associated with lower effort and higher performance ratings . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 25 . 1 results 2 : 2 : 3 hearing 3 hearing 4 loss 3 hearing 6 related 4 loss 5 was 5 was 6 related 6 related 7 to 7 to 10 srts 8 relatively 9 poor 9 poor 10 srts 11 , 12 and 12 and 15 intelligibility 12 and 17 associated 13 higher 15 intelligibility 14 speech 15 intelligibility 15 intelligibility 16 was 16 was 17 associated 17 associated 18 with 18 with 21 and 19 lower 20 effort 20 effort 21 and 21 and 24 ratings 22 higher 23 performance 23 performance 24 ratings for listeners with normal hearing , increasing age was associated with poorer trts and slower processing speed but with larger word vocabulary . 0 ###LEFT-WALL### 7 increasing 0 ###LEFT-WALL### 10 associated 0 ###LEFT-WALL### 23 . 1 for 2 listeners 1 for 6 , 1 for 7 increasing 2 listeners 3 with 3 with 5 hearing 4 normal 5 hearing 7 increasing 8 age 7 increasing 9 was 9 was 10 associated 10 associated 11 with 11 with 14 and 12 poorer 13 trts 13 trts 14 and 14 and 17 speed 14 and 18 but 15 slower 17 speed 16 processing 17 speed 18 but 19 with 19 with 22 vocabulary 20 larger 21 word 21 word 22 vocabulary a multivariate repeated - measures analysis of variance indicated main effects of group and snr and an interaction effect between these factors on the pupil response . 0 ###LEFT-WALL### 2 multivariate 0 ###LEFT-WALL### 3 repeated 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 19 effect 0 ###LEFT-WALL### 27 . 1 a 2 multivariate 2 multivariate 3 repeated 4 - 5 measures 5 measures 6 analysis 5 measures 19 effect 6 analysis 7 of 6 analysis 9 indicated 7 of 8 variance 9 indicated 16 and 9 indicated 19 effect 10 main 11 effects 11 effects 12 of 11 effects 16 and 12 of 14 and 13 group 14 and 14 and 15 snr 16 and 18 interaction 16 and 19 effect 17 an 18 interaction 19 effect 20 between 19 effect 23 on 20 between 22 factors 21 these 22 factors 23 on 26 response 24 the 26 response 25 pupil 26 response the peak latency was relatively short and the mean dilation was relatively small at low intelligibility levels for the middle - aged groups , whereas the reverse was observed for high intelligibility levels . 0 ###LEFT-WALL### 3 latency 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 34 . 1 the 3 latency 2 peak 3 latency 3 latency 4 was 4 was 6 short 5 relatively 6 short 7 and 10 dilation 7 and 11 was 8 the 10 dilation 9 mean 10 dilation 10 dilation 11 was 11 was 13 small 12 relatively 13 small 13 small 14 at 13 small 25 whereas 13 small 30 for 14 at 17 levels 15 low 16 intelligibility 16 intelligibility 17 levels 17 levels 18 for 18 for 20 middle 19 the 20 middle 20 middle 23 groups 21 - 23 groups 22 aged 23 groups 23 groups 24 , 25 whereas 27 reverse 25 whereas 28 was 26 the 27 reverse 27 reverse 28 was 28 was 29 observed 30 for 33 levels 31 high 33 levels 32 intelligibility 33 levels the decrease in the pupil response as a function of increasing snr was relatively small for the listeners with hearing loss . 0 ###LEFT-WALL### 2 decrease 0 ###LEFT-WALL### 13 was 0 ###LEFT-WALL### 22 . 1 the 2 decrease 2 decrease 3 in 2 decrease 13 was 3 in 6 response 4 the 6 response 5 pupil 6 response 6 response 7 as 6 response 10 of 7 as 9 function 8 a 9 function 10 of 11 increasing 11 increasing 12 snr 13 was 15 small 14 relatively 15 small 15 small 16 for 15 small 19 with 16 for 18 listeners 17 the 18 listeners 19 with 20 hearing 20 hearing 21 loss spearman correlation coefficients indicated that the cognitive load was larger in listeners with better trt performances as reflected by a longer peak latency ( normal - hearing participants , srt50 % condition ) and a larger peak amplitude and longer response duration ( hearing - impaired participants , srt50 [%] and srt84 % conditions ) . 0 ###LEFT-WALL### 3 coefficients 0 ###LEFT-WALL### 14 better 0 ###LEFT-WALL### 18 reflected 0 ###LEFT-WALL### 34 and 0 ###LEFT-WALL### 56 . 1 spearman 3 coefficients 2 correlation 3 coefficients 3 coefficients 4 indicated 3 coefficients 5 that 3 coefficients 13 with 3 coefficients 14 better 5 that 8 load 5 that 9 was 6 the 8 load 7 cognitive 8 load 8 load 9 was 9 was 10 larger 10 larger 11 in 10 larger 13 with 11 in 12 listeners 14 better 16 performances 14 better 17 as 15 trt 16 performances 17 as 18 reflected 18 reflected 19 by 19 by 23 latency 20 a 23 latency 21 longer 22 peak 22 peak 23 latency 23 latency 28 participants 24 ( 28 participants 25 normal 26 - 25 normal 28 participants 27 hearing 28 participants 28 participants 32 condition 28 participants 33 ) 29 , 32 condition 30 srt50 32 condition 31 % 32 condition 32 condition 33 ) 34 and 42 duration 34 and 46 impaired 35 a 42 duration 36 larger 42 duration 37 peak 38 amplitude 38 amplitude 39 and 39 and 40 longer 39 and 42 duration 41 response 42 duration 42 duration 44 hearing 42 duration 46 impaired 43 ( 44 hearing 44 hearing 45 - 46 impaired 47 participants 47 participants 54 conditions 48 , 54 conditions 49 srt50 51 and 51 and 52 srt84 52 srt84 54 conditions 53 % 54 conditions 54 conditions 55 ) also , a larger word vocabulary was related to longer response duration in the srt84 % condition for the participants with normal hearing . 0 ###LEFT-WALL### 6 vocabulary 0 ###LEFT-WALL### 8 related 0 ###LEFT-WALL### 24 . 1 also 2 , 1 also 6 vocabulary 3 a 6 vocabulary 4 larger 5 word 5 word 6 vocabulary 6 vocabulary 7 was 7 was 8 related 8 related 9 to 8 related 13 in 8 related 21 with 9 to 12 duration 10 longer 11 response 11 response 12 duration 13 in 17 condition 14 the 17 condition 15 srt84 17 condition 16 % 17 condition 17 condition 18 for 18 for 20 participants 19 the 20 participants 21 with 23 hearing 22 normal 23 hearing conclusions : the pupil response systematically increased with decreasing speech intelligibility . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 . 1 conclusions 2 : 2 : 5 response 3 the 5 response 4 pupil 5 response 5 response 7 increased 6 systematically 7 increased 7 increased 8 with 8 with 9 decreasing 9 decreasing 11 intelligibility 10 speech 11 intelligibility ageing and hearing loss were related to less release from effort when increasing the intelligibility of speech in noise . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 9 release 0 ###LEFT-WALL### 20 . 1 ageing 2 and 2 and 3 hearing 2 and 4 loss 2 and 5 were 2 and 6 related 2 and 9 release 4 loss 5 were 6 related 7 to 7 to 8 less 9 release 10 from 9 release 12 when 9 release 15 intelligibility 9 release 18 in 10 from 11 effort 12 when 13 increasing 14 the 15 intelligibility 15 intelligibility 16 of 16 of 17 speech 18 in 19 noise in difficult listening conditions [,] these factors may induce [cognitive] overload relatively early [or] they may be associated with relatively shallow speech processing . 0 ###LEFT-WALL### 15 they 0 ###LEFT-WALL### 24 . 1 in 3 listening 1 in 15 they 2 difficult 3 listening 3 listening 4 conditions 3 listening 11 overload 4 conditions 7 factors 4 conditions 9 induce 4 conditions 11 overload 6 these 7 factors 7 factors 8 may 8 may 9 induce 11 overload 13 early 12 relatively 13 early 15 they 16 may 16 may 17 be 17 be 18 associated 18 associated 19 with 19 with 22 speech 19 with 23 processing 20 relatively 21 shallow 21 shallow 22 speech more research is needed to elucidate the underlying mechanisms explaining these results . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 4 needed 0 ###LEFT-WALL### 13 . 1 more 2 research 2 research 3 is 3 is 4 needed 4 needed 5 to 5 to 6 elucidate 6 elucidate 9 mechanisms 7 the 9 mechanisms 8 underlying 9 mechanisms 9 mechanisms 10 explaining 10 explaining 12 results 11 these 12 results better trts and larger word vocabulary were related to higher mental processing load across speech intelligibility levels . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 13 load 0 ###LEFT-WALL### 18 . 1 better 2 trts 2 trts 3 and 3 and 5 word 3 and 6 vocabulary 3 and 7 were 3 and 8 related 3 and 13 load 4 larger 5 word 6 vocabulary 7 were 8 related 9 to 9 to 12 processing 10 higher 12 processing 11 mental 12 processing 13 load 14 across 13 load 17 levels 15 speech 17 levels 16 intelligibility 17 levels this indicates that utilizing linguistic ability to improve speech perception is associated with increased listening [load] . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 indicates 0 ###LEFT-WALL### 17 . 1 this 2 indicates 2 indicates 3 that 3 that 4 utilizing 3 that 14 increased 4 utilizing 6 ability 4 utilizing 14 increased 5 linguistic 6 ability 6 ability 7 to 6 ability 8 improve 7 to 8 improve 8 improve 9 speech 9 speech 10 perception 9 speech 13 with 10 perception 11 is 11 is 12 associated 12 associated 13 with 14 increased 15 listening [none] background : the bronchial epithelium and underlying reticular basement membrane ( rbm ) have a close spatial and functional [inter] - relationship [and] are considered an epithelial - mesenchymal trophic unit ( emtu ) . 0 ###LEFT-WALL### 2 background 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 36 . 3 : 7 and 3 : 15 have 4 the 6 epithelium 5 bronchial 6 epithelium 6 epithelium 7 and 7 and 11 membrane 7 and 13 rbm 7 and 15 have 8 underlying 11 membrane 9 reticular 10 basement 10 basement 11 membrane 12 ( 13 rbm 13 rbm 14 ) 15 have 17 close 15 have 26 considered 16 a 17 close 17 close 19 and 17 close 25 are 18 spatial 19 and 19 and 23 relationship 19 and 25 are 20 functional 22 - 20 functional 23 relationship 26 considered 32 unit 27 an 32 unit 28 epithelial 29 - 28 epithelial 32 unit 30 mesenchymal 32 unit 31 trophic 32 unit 32 unit 34 emtu 33 ( 34 emtu 34 emtu 35 ) an understanding of rbm development is critical to understanding the extent and time [of] appearance of its abnormal thickening that is characteristic of asthma . 0 ###LEFT-WALL### 2 understanding 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 25 . 1 an 2 understanding 2 understanding 3 of 2 understanding 6 is 3 of 5 development 4 rbm 5 development 6 is 7 critical 7 critical 8 to 8 to 9 understanding 9 understanding 12 and 10 the 11 extent 11 extent 12 and 12 and 15 appearance 12 and 16 of 12 and 23 of 13 time 15 appearance 16 of 19 thickening 17 its 19 thickening 18 abnormal 19 thickening 19 thickening 20 that 19 thickening 21 is 20 that 21 is 21 is 22 characteristic 23 of 24 asthma methods : rbm thickness and epithelial height were determined in histological sections of cartilaginous bronchi obtained postmortem from 47 preterm babies and infants [(] median age 40 weeks gestation [(] 22 weeks gestation - 8 months [ )( )( 40 children [(] 2 years ( 1 month - 17 years ) ) and 23 adults ( 44 ( 17 - 90 ) years [ )(who had died [from] [non] - respiratory causes , and [had] no history of asthma . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 and 1 methods 2 : 2 : 4 thickness 3 rbm 4 thickness 5 and 7 height 6 epithelial 7 height 7 height 8 were 8 were 9 determined 9 determined 10 in 10 in 22 and 11 histological 12 sections 12 sections 13 of 12 sections 17 postmortem 12 sections 22 and 13 of 15 bronchi 14 cartilaginous 15 bronchi 15 bronchi 16 obtained 17 postmortem 18 from 18 from 21 babies 19 47 21 babies 20 preterm 21 babies 22 and 26 age 23 infants 26 age 25 median 26 age 26 age 34 - 27 40 28 weeks 27 40 34 - 28 weeks 33 gestation 29 gestation 33 gestation 31 22 32 weeks 32 weeks 33 gestation 34 - 35 8 35 8 36 months 36 months 41 children 40 40 41 children 41 children 44 years 43 2 44 years 44 years 47 month 44 years 53 and 45 ( 47 month 46 1 47 month 47 month 50 years 47 month 52 ) 48 - 50 years 49 17 50 years 50 years 51 ) 53 and 55 adults 53 and 57 44 53 and 61 90 53 and 63 years 54 23 55 adults 56 ( 57 44 57 44 59 17 57 44 60 - 58 ( 59 17 59 17 60 - 60 - 61 90 61 90 62 ) 63 years 65 )(who 63 years 66 had 63 years 74 and 65 )(who 66 had 66 had 67 died 70 - 74 and 71 respiratory 72 causes 72 causes 74 and 73 , 74 and 74 and 77 history 74 and 78 of 74 and 80 . 76 no 77 history 78 of 79 asthma results : the rbm was visible by light microscopy at 30 weeks gestation . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 rbm 2 : 5 was 2 : 14 . 3 the 4 rbm 4 rbm 5 was 5 was 6 visible 6 visible 7 by 6 visible 10 at 7 by 9 microscopy 8 light 9 microscopy 10 at 13 gestation 11 30 12 weeks 12 weeks 13 gestation rbm thickness increased in successive age groups in childhood [;] in infants ( r=0.63 , p<0.001 ) and in children between 1 month and 17 years ( r=0.82 , p<0.001 ) . 0 ###LEFT-WALL### 2 thickness 0 ###LEFT-WALL### 3 increased 0 ###LEFT-WALL### 32 . 1 rbm 2 thickness 2 thickness 3 increased 3 increased 4 in 3 increased 8 in 4 in 7 groups 5 successive 6 age 6 age 7 groups 8 in 24 and 9 childhood 18 and 9 childhood 24 and 11 in 12 infants 11 in 18 and 12 infants 16 p<0.001 13 ( 16 p<0.001 14 r=0.63 15 , 14 r=0.63 16 p<0.001 16 p<0.001 17 ) 18 and 19 in 19 in 20 children 20 children 21 between 21 between 23 month 22 1 23 month 24 and 26 years 25 17 26 years 26 years 30 p<0.001 27 ( 30 p<0.001 28 r=0.82 29 , 28 r=0.82 30 p<0.001 30 p<0.001 31 ) after 18 years , rbm thickness decreased with increasing age ( r= - 0.42 , p<0.05 ) . 0 ###LEFT-WALL### 6 thickness 0 ###LEFT-WALL### 7 decreased 0 ###LEFT-WALL### 18 . 1 after 3 years 1 after 4 , 1 after 6 thickness 2 18 3 years 5 rbm 6 thickness 6 thickness 7 decreased 7 decreased 8 with 8 with 10 age 9 increasing 10 age 10 age 12 r= 10 age 14 0.42 11 ( 12 r= 12 r= 13 - 13 - 14 0.42 14 0.42 16 p<0.05 14 0.42 17 ) 15 , 16 p<0.05 16 p<0.05 17 ) epithelial height showed a similar relationship with age , a positive relationship from preterm to 17 years ( r=0.50 , p<0.001 ) and a negative relationship in adulthood ( r= - 0.84 , p<0.0001 ) . 0 ###LEFT-WALL### 2 height 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 36 . 1 epithelial 2 height 2 height 3 showed 3 showed 6 relationship 3 showed 23 and 3 showed 27 in 4 a 5 similar 4 a 6 relationship 5 similar 6 relationship 6 relationship 7 with 6 relationship 12 relationship 6 relationship 21 p<0.001 7 with 8 age 9 , 12 relationship 10 a 11 positive 10 a 12 relationship 11 positive 12 relationship 12 relationship 13 from 12 relationship 15 to 12 relationship 20 , 13 from 14 preterm 15 to 17 years 16 17 17 years 17 years 19 r=0.50 18 ( 19 r=0.50 19 r=0.50 20 , 20 , 21 p<0.001 21 p<0.001 22 ) 23 and 26 relationship 24 a 26 relationship 25 negative 26 relationship 27 in 28 adulthood 28 adulthood 30 r= 29 ( 30 r= 30 r= 32 0.84 30 r= 35 ) 31 - 32 0.84 32 0.84 34 p<0.0001 32 0.84 35 ) 33 , 34 p<0.0001 34 p<0.0001 35 ) there was a direct relationship between epithelial height and rbm thickness ( r=0.6 , p<0.001 ) . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 17 . 1 there 2 was 2 was 5 relationship 2 was 6 between 3 a 4 direct 3 a 5 relationship 4 direct 5 relationship 6 between 9 and 7 epithelial 8 height 8 height 9 and 9 and 11 thickness 9 and 15 p<0.001 10 rbm 11 thickness 12 ( 15 p<0.001 13 r=0.6 14 , 13 r=0.6 15 p<0.001 15 p<0.001 16 ) conclusions : the rbm in these subjects was microscopically identifiable by 30 weeks gestation . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 rbm 2 : 8 was 2 : 15 . 3 the 4 rbm 4 rbm 5 in 4 rbm 8 was 5 in 7 subjects 6 these 7 subjects 8 was 9 microscopically 8 was 10 identifiable 10 identifiable 11 by 11 by 14 gestation 12 30 13 weeks 13 weeks 14 gestation it thickened during childhood and adolescence . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 thickened 0 ###LEFT-WALL### 7 . 1 it 2 thickened 2 thickened 3 during 3 during 5 and 4 childhood 5 and 5 and 6 adolescence in adults , there was either no relationship with age , or a slow reduction in thickness in older age . 0 ###LEFT-WALL### 4 there 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 21 . 1 in 2 adults 1 in 3 , 1 in 4 there 4 there 5 was 5 was 12 or 6 either 12 or 7 no 8 relationship 8 relationship 9 with 8 relationship 12 or 9 with 10 age 11 , 12 or 12 or 15 reduction 12 or 16 in 12 or 18 in 13 a 14 slow 13 a 15 reduction 14 slow 15 reduction 16 in 17 thickness 18 in 20 age 19 older 20 age developmental changes of rbm thickness were accompanied by similar changes in epithelial height , supporting the close relationship between rbm and epithelium within the emtu . 0 ###LEFT-WALL### 2 changes 0 ###LEFT-WALL### 7 accompanied 1 developmental 2 changes 2 changes 3 of 2 changes 6 were 3 of 5 thickness 4 rbm 5 thickness 6 were 7 accompanied 7 accompanied 8 by 7 accompanied 11 in 7 accompanied 15 supporting 8 by 10 changes 9 similar 10 changes 11 in 13 height 12 epithelial 13 height 14 , 15 supporting 15 supporting 18 relationship 15 supporting 19 between 15 supporting 23 within 15 supporting 26 . 16 the 18 relationship 17 close 18 relationship 19 between 21 and 20 rbm 21 and 21 and 22 epithelium 23 within 25 emtu 24 the 25 emtu [none] none none background : advanced glycation end - products ( age ) are pivotal in aging and diabetes . 0 ###LEFT-WALL### 4 background 0 ###LEFT-WALL### 5 : 2 none 3 none 3 none 4 background 5 : 8 end 5 : 9 - 5 : 20 . 6 advanced 7 glycation 7 glycation 8 end 9 - 10 products 9 - 14 are 10 products 12 age 10 products 14 are 11 ( 12 age 12 age 13 ) 14 are 15 pivotal 15 pivotal 16 in 16 in 18 and 17 aging 18 and 18 and 19 diabetes aging and polycystic ovary syndrome , [a] diabetes - associated disease , often cause infertility . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 10 associated 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 16 . 1 aging 2 and 2 and 5 syndrome 2 and 8 diabetes 2 and 10 associated 3 polycystic 4 ovary 4 ovary 5 syndrome 6 , 8 diabetes 8 diabetes 9 - 10 associated 11 disease 12 , 14 cause 13 often 14 cause 14 cause 15 infertility we examined how age accumulation affects assisted reproductive technology ( art ) [outcomes] . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 14 . 1 we 2 examined 2 examined 3 how 3 how 5 accumulation 3 how 6 affects 4 age 5 accumulation 5 accumulation 6 affects 6 affects 9 technology 7 assisted 9 technology 8 reproductive 9 technology 9 technology 11 art 10 ( 11 art 11 art 12 ) methods : in this retrospective analysis , toxic age ( tage ) , pentosidine ( pent [ )(and carboxymethyl lysine ( cml ) in blood and follicular fluid ( ff ) were measured in 157 art - patients . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 and 1 methods 2 : 2 : 3 in 2 : 24 in 3 in 6 analysis 4 this 6 analysis 5 retrospective 6 analysis 6 analysis 11 tage 7 , 11 tage 8 toxic 11 tage 9 age 11 tage 10 ( 11 tage 11 tage 12 ) 11 tage 14 pentosidine 11 tage 23 ) 13 , 14 pentosidine 14 pentosidine 18 )(and 14 pentosidine 23 ) 15 ( 18 )(and 16 pent 18 )(and 18 )(and 20 lysine 18 )(and 22 cml 18 )(and 23 ) 19 carboxymethyl 20 lysine 21 ( 22 cml 22 cml 23 ) 24 in 25 blood 26 and 28 fluid 26 and 33 measured 27 follicular 28 fluid 28 fluid 30 ff 28 fluid 32 were 29 ( 30 ff 30 ff 31 ) 32 were 33 measured 33 measured 34 in 34 in 36 art 35 157 36 art 36 art 38 patients 37 - 38 patients 38 patients 39 . we analyzed associations of age with art outcomes and pre - art clinical factors . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 analyzed 0 ###LEFT-WALL### 11 - 1 we 2 analyzed 2 analyzed 3 associations 2 analyzed 6 with 3 associations 4 of 4 of 5 age 6 with 9 and 7 art 8 outcomes 8 outcomes 9 and 9 and 10 pre 11 - 14 factors 11 - 15 . 12 art 14 factors 13 clinical 14 factors results : tage , pent [and] cml in ff and tage in serum , showed significant negative correlations with estradiol and numbers of follicles larger than 12 mm in diameter , retrieved oocytes , fertilized oocytes and embryos . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 , 1 results 2 : 2 : 3 tage 4 , 10 and 4 , 15 showed 5 pent 7 cml 5 pent 8 in 5 pent 10 and 8 in 9 ff 10 and 11 tage 10 and 14 , 10 and 15 showed 11 tage 12 in 12 in 13 serum 15 showed 21 and 16 significant 17 negative 17 negative 18 correlations 18 correlations 19 with 18 correlations 21 and 19 with 20 estradiol 21 and 22 numbers 21 and 25 larger 21 and 29 in 21 and 33 oocytes 22 numbers 23 of 23 of 24 follicles 25 larger 26 than 26 than 28 mm 27 12 28 mm 29 in 30 diameter 31 , 33 oocytes 32 retrieved 33 oocytes 33 oocytes 37 and 33 oocytes 39 . 34 , 37 and 35 fertilized 36 oocytes 36 oocytes 37 and 37 and 38 embryos 37 and 39 . age , pent in ff and tage in serum showed significant negative correlations with ongoing pregnancy . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 10 showed 0 ###LEFT-WALL### 17 . 1 age 2 , 2 , 3 pent 2 , 6 and 3 pent 4 in 4 in 5 ff 6 and 7 tage 6 and 8 in 6 and 10 showed 8 in 9 serum 10 showed 13 correlations 10 showed 14 with 11 significant 12 negative 12 negative 13 correlations 14 with 16 pregnancy 15 ongoing 16 pregnancy areas under receiver [-] operating characteristic curves for age ( 0.709 ) , pent in ff ( 0.686 ) and tage in serum ( 0.667 ) were significantly larger than for the reference ( 0.5 ) . 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 27 were 0 ###LEFT-WALL### 37 . 1 areas 2 under 1 areas 20 and 2 under 7 curves 3 receiver 5 operating 5 operating 7 curves 6 characteristic 7 curves 7 curves 8 for 7 curves 11 0.709 7 curves 14 pent 8 for 9 age 10 ( 11 0.709 11 0.709 12 ) 13 , 14 pent 14 pent 15 in 14 pent 18 0.686 14 pent 19 ) 15 in 16 ff 17 ( 18 0.686 18 0.686 19 ) 20 and 21 tage 20 and 25 0.667 20 and 27 were 21 tage 22 in 22 in 23 serum 24 ( 25 0.667 25 0.667 26 ) 27 were 29 larger 28 significantly 29 larger 29 larger 30 than 30 than 31 for 31 for 33 reference 32 the 33 reference 33 reference 35 0.5 34 ( 35 0.5 35 0.5 36 ) women with serum tage above 7.24 u/ml showed decreased oocyte numbers and ongoing pregnancy rates , even with younger age or lower day - 3 fsh . 0 ###LEFT-WALL### 1 women 0 ###LEFT-WALL### 8 showed 0 ###LEFT-WALL### 27 . 1 women 2 with 1 women 8 showed 2 with 4 tage 3 serum 4 tage 4 tage 5 above 5 above 7 u/ml 6 7.24 7 u/ml 8 showed 10 oocyte 8 showed 12 and 8 showed 21 or 9 decreased 10 oocyte 11 numbers 12 and 12 and 15 rates 12 and 16 , 12 and 21 or 13 ongoing 15 rates 14 pregnancy 15 rates 17 even 18 with 17 even 21 or 18 with 20 age 19 younger 20 age 21 or 22 lower 21 or 26 fsh 22 lower 23 day 22 lower 25 3 24 - 25 3 serum tage correlated positively with leptin ( r = 0.51 ) , bmi , low - density lipoprotein , triglyceride , glucose , homeostasis model assessment - insulin resistance and insulin . 0 ###LEFT-WALL### 30 and 0 ###LEFT-WALL### 32 . 1 serum 2 tage 2 tage 3 correlated 2 tage 5 with 2 tage 12 , 3 correlated 4 positively 5 with 6 leptin 6 leptin 9 = 7 ( 9 = 8 r 9 = 9 = 10 0.51 9 = 11 ) 12 , 13 bmi 12 , 14 , 14 , 29 resistance 14 , 30 and 15 low 18 lipoprotein 15 low 27 - 15 low 28 insulin 16 - 18 lipoprotein 17 density 18 lipoprotein 18 lipoprotein 20 triglyceride 18 lipoprotein 26 assessment 18 lipoprotein 27 - 19 , 20 triglyceride 20 triglyceride 22 glucose 20 triglyceride 23 , 21 , 22 glucose 22 glucose 23 , 23 , 26 assessment 24 homeostasis 25 model 25 model 26 assessment 26 assessment 27 - 28 insulin 29 resistance 30 and 31 insulin conclusions : serum tage and ff pent accumulations correlated highly with poor follicular and embryonic development and with [a] lower likelihood of ongoing pregnancy . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 25 . 1 conclusions 2 : 2 : 4 tage 3 serum 4 tage 5 and 8 accumulations 5 and 9 correlated 6 ff 7 pent 7 pent 8 accumulations 8 accumulations 9 correlated 9 correlated 10 highly 9 correlated 17 and 11 with 16 development 11 with 17 and 12 poor 16 development 13 follicular 14 and 14 and 15 embryonic 14 and 16 development 17 and 18 with 18 with 21 likelihood 20 lower 21 likelihood 21 likelihood 22 of 22 of 24 pregnancy 23 ongoing 24 pregnancy serum tage predicts poor art outcomes independent of age and day - 3 fsh . 0 ###LEFT-WALL### 2 tage 0 ###LEFT-WALL### 3 predicts 0 ###LEFT-WALL### 15 . 1 serum 2 tage 2 tage 3 predicts 3 predicts 14 fsh 4 poor 14 fsh 5 art 14 fsh 6 outcomes 14 fsh 7 independent 8 of 7 independent 10 and 8 of 9 age 10 and 11 day 10 and 12 - 10 and 14 fsh 13 3 14 fsh background : conflicting results have been reported regarding the use of polarized microscopy as a predictive tool for human oocyte quality . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 1 background 2 : 2 : 3 conflicting 3 conflicting 4 results 3 conflicting 6 been 3 conflicting 7 reported 3 conflicting 8 regarding 4 results 5 have 5 have 6 been 8 regarding 10 use 8 regarding 14 as 9 the 10 use 10 use 11 of 11 of 13 microscopy 12 polarized 13 microscopy 14 as 17 tool 15 a 16 predictive 15 a 17 tool 16 predictive 17 tool 17 tool 18 for 18 for 21 quality 19 human 21 quality 20 oocyte 21 quality methods : oocytes from 121 icsi cycles were analysed with polarized microscopy . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 oocytes 2 : 9 analysed 2 : 13 . 3 oocytes 4 from 3 oocytes 8 were 4 from 7 cycles 5 121 7 cycles 6 icsi 7 cycles 8 were 9 analysed 9 analysed 10 with 10 with 12 microscopy 11 polarized 12 microscopy both qualitative ( spindle presence ) [and] quantitative ( retardance ) data were correlated to the key assisted reproduction technology outcome parameters . 0 ###LEFT-WALL### 12 data 0 ###LEFT-WALL### 14 correlated 0 ###LEFT-WALL### 23 . 1 both 12 data 2 qualitative 5 presence 2 qualitative 12 data 3 ( 5 presence 4 spindle 5 presence 5 presence 6 ) 8 quantitative 10 retardance 8 quantitative 11 ) 8 quantitative 12 data 9 ( 10 retardance 10 retardance 11 ) 12 data 13 were 13 were 14 correlated 14 correlated 15 to 15 to 22 parameters 16 the 22 parameters 17 key 18 assisted 18 assisted 19 reproduction 19 reproduction 22 parameters 20 technology 22 parameters 21 outcome 22 parameters second , polarized microscopy [was] applied [on] in vitro [matured] ( ivm ) oocytes from germinal vesicle oocytes that matured after 24 or 48 h and from metaphase i oocytes matured after 3 or 24 h . 0 ###LEFT-WALL### 4 microscopy 0 ###LEFT-WALL### 14 oocytes 0 ###LEFT-WALL### 26 and 0 ###LEFT-WALL### 37 . 1 second 2 , 1 second 4 microscopy 3 polarized 4 microscopy 4 microscopy 6 applied 4 microscopy 12 ivm 4 microscopy 14 oocytes 6 applied 9 vitro 8 in 9 vitro 11 ( 12 ivm 12 ivm 13 ) 14 oocytes 15 from 15 from 18 oocytes 16 germinal 17 vesicle 17 vesicle 18 oocytes 18 oocytes 19 that 18 oocytes 20 matured 19 that 20 matured 20 matured 21 after 21 after 25 h 22 24 23 or 23 or 24 48 23 or 25 h 26 and 30 oocytes 26 and 31 matured 27 from 28 metaphase 27 from 30 oocytes 28 metaphase 29 i 30 oocytes 31 matured 31 matured 32 after 32 after 36 h 33 3 34 or 34 or 35 24 34 or 36 h these data were correlated with confocal analysis [of] [spindle] - chromosome complex . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 4 correlated 0 ###LEFT-WALL### 10 - 1 these 2 data 2 data 3 were 3 were 4 correlated 4 correlated 5 with 5 with 7 analysis 6 confocal 7 analysis 10 - 12 complex 10 - 13 . 11 chromosome 12 complex results : spindles were detected in 82 % of in [vivo] [matured] oocytes and in 64 % adjacent to the first polar body [(] [pb] [ )( 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 spindles 2 : 5 detected 2 : 27 )( 3 spindles 4 were 4 were 5 detected 5 detected 14 and 6 in 8 % 6 in 14 and 7 82 8 % 8 % 9 of 9 of 10 in 10 in 13 oocytes 14 and 15 in 15 in 17 % 16 64 17 % 17 % 18 adjacent 18 adjacent 19 to 19 to 23 body 20 the 21 first 20 the 23 body 22 polar 23 body fertilization [rate] was higher in oocytes with a visible spindle ( p = 0.0002 ) . 0 ###LEFT-WALL### 1 fertilization 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 16 . 1 fertilization 3 was 3 was 4 higher 4 higher 5 in 4 higher 7 with 5 in 6 oocytes 7 with 10 spindle 8 a 9 visible 8 a 10 spindle 9 visible 10 spindle 10 spindle 13 = 11 ( 13 = 12 p 13 = 13 = 14 0.0002 13 = 15 ) in patients aged over 35 years , the percentage of a visible spindle and mean spindle retardance was lower than in younger patients ( p < 0.03 ) . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 3 aged 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 29 . 1 in 2 patients 2 patients 3 aged 3 aged 6 years 4 over 5 35 5 35 6 years 7 , 14 and 8 the 9 percentage 9 percentage 10 of 9 percentage 14 and 10 of 13 spindle 11 a 12 visible 11 a 13 spindle 12 visible 13 spindle 14 and 15 mean 14 and 17 retardance 14 and 19 lower 14 and 26 < 16 spindle 17 retardance 17 retardance 18 was 18 was 19 lower 19 lower 20 than 20 than 21 in 21 in 23 patients 22 younger 23 patients 24 ( 26 < 25 p 26 < 26 < 27 0.03 26 < 28 ) a higher number of spindles [were] located adjacent to the first [pb] in ivm [matured] oocytes ( 94 % ) [versus] in vivo matured oocytes ( p < 0.0001 ) . 0 ###LEFT-WALL### 5 spindles 0 ###LEFT-WALL### 24 matured 0 ###LEFT-WALL### 31 . 1 a 3 number 2 higher 3 number 3 number 4 of 3 number 5 spindles 4 of 5 spindles 5 spindles 7 located 5 spindles 24 matured 7 located 8 adjacent 8 adjacent 9 to 8 adjacent 13 in 9 to 11 first 10 the 11 first 13 in 16 oocytes 14 ivm 16 oocytes 16 oocytes 19 % 17 ( 19 % 18 94 19 % 19 % 20 ) 22 in 23 vivo 23 vivo 24 matured 24 matured 25 oocytes 25 oocytes 28 < 26 ( 28 < 27 p 28 < 28 < 29 0.0001 28 < 30 ) confocal imaging revealed that spindle absent ivm metaphase ii ( mii ) oocytes had a higher degree of aberrant [spindle] and chromosomal configurations versus ivm mii oocytes with a visible spindle ( p = 0.002 ) . 0 ###LEFT-WALL### 2 imaging 0 ###LEFT-WALL### 37 . 1 confocal 2 imaging 2 imaging 3 revealed 2 imaging 4 that 2 imaging 13 oocytes 2 imaging 14 had 4 that 8 metaphase 4 that 13 oocytes 5 spindle 8 metaphase 6 absent 8 metaphase 7 ivm 8 metaphase 8 metaphase 9 ii 8 metaphase 11 mii 8 metaphase 13 oocytes 10 ( 11 mii 11 mii 12 ) 14 had 23 configurations 15 a 17 degree 16 higher 17 degree 17 degree 18 of 17 degree 23 configurations 18 of 23 configurations 19 aberrant 21 and 21 and 22 chromosomal 21 and 23 configurations 23 configurations 24 versus 23 configurations 26 mii 23 configurations 27 oocytes 23 configurations 34 = 24 versus 25 ivm 26 mii 27 oocytes 27 oocytes 28 with 28 with 31 spindle 29 a 30 visible 29 a 31 spindle 30 visible 31 spindle 32 ( 34 = 33 p 34 = 34 = 35 0.002 34 = 36 ) conclusions : oocytes with absent spindles were associated with lower fertilization rates and advanced female age . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 1 conclusions 2 : 2 : 3 oocytes 3 oocytes 4 with 4 with 6 spindles 5 absent 6 spindles 6 spindles 13 and 7 were 8 associated 7 were 13 and 8 associated 9 with 9 with 12 rates 10 lower 11 fertilization 11 fertilization 12 rates 13 and 14 advanced 13 and 16 age 15 female 16 age other important outcome parameters ( embryo quality , pregnancy rates ) were not correlated to spindle [nor] zona inner layer analysis . 0 ###LEFT-WALL### 4 parameters 0 ###LEFT-WALL### 12 were 0 ###LEFT-WALL### 22 . 1 other 4 parameters 2 important 3 outcome 3 outcome 4 parameters 4 parameters 7 quality 4 parameters 10 rates 4 parameters 12 were 5 ( 7 quality 6 embryo 7 quality 7 quality 8 , 8 , 10 rates 9 pregnancy 10 rates 10 rates 11 ) 12 were 13 not 12 were 15 to 13 not 14 correlated 15 to 21 analysis 16 spindle 21 analysis 18 zona 21 analysis 19 inner 20 layer 20 layer 21 analysis interestingly , confocal imaging showed that polarized microscopy might be used as a qualitative predictive tool of human oocyte quality but no correlation could be demonstrated with quantitative polarized microscopy . 0 ###LEFT-WALL### 4 imaging 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 21 but 0 ###LEFT-WALL### 31 . 1 interestingly 2 , 1 interestingly 4 imaging 3 confocal 4 imaging 4 imaging 5 showed 5 showed 6 that 6 that 8 microscopy 6 that 11 used 7 polarized 8 microscopy 8 microscopy 9 might 9 might 10 be 10 be 11 used 11 used 12 as 12 as 16 tool 13 a 14 qualitative 13 a 16 tool 14 qualitative 16 tool 15 predictive 16 tool 16 tool 17 of 17 of 20 quality 18 human 20 quality 19 oocyte 20 quality 21 but 23 correlation 21 but 26 demonstrated 22 no 23 correlation 23 correlation 24 could 24 could 25 be 25 be 26 demonstrated 26 demonstrated 27 with 27 with 30 microscopy 28 quantitative 30 microscopy 29 polarized 30 microscopy objective : the effect of local immunotherapy with bacille calmette - guérin in elderly patients [with] [non] - muscle - invasive bladder cancer has not yet been fully evaluated . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 4 effect 2 : 29 evaluated 2 : 30 . 3 the 4 effect 4 effect 5 of 4 effect 8 with 4 effect 24 has 5 of 7 immunotherapy 6 local 7 immunotherapy 8 with 23 cancer 9 bacille 23 cancer 10 calmette 12 guérin 10 calmette 19 muscle 10 calmette 23 cancer 11 - 12 guérin 12 guérin 13 in 12 guérin 18 - 13 in 15 patients 14 elderly 15 patients 18 - 19 muscle 19 muscle 20 - 21 invasive 22 bladder 22 bladder 23 cancer 24 has 25 not 24 has 27 been 26 yet 27 been 27 been 28 fully 27 been 29 evaluated the aim of the present study was to evaluate whether patients ' age influences the response to bacille calmette - guérin treatment for the prevention of tumor recurrence and whether the side effects were tolerable . 0 ###LEFT-WALL### 18 bacille 0 ###LEFT-WALL### 20 - 1 the 2 aim 2 aim 3 of 2 aim 7 was 3 of 6 study 4 the 6 study 5 present 6 study 7 was 8 to 7 was 9 evaluate 8 to 9 evaluate 9 evaluate 10 whether 9 evaluate 17 to 10 whether 13 age 10 whether 14 influences 11 patients 12 ' 12 ' 13 age 13 age 14 influences 14 influences 16 response 15 the 16 response 17 to 18 bacille 18 bacille 19 calmette 20 - 29 and 20 - 34 were 20 - 36 . 21 guérin 22 treatment 22 treatment 23 for 22 treatment 29 and 23 for 25 prevention 24 the 25 prevention 25 prevention 26 of 26 of 28 recurrence 27 tumor 28 recurrence 29 and 30 whether 29 and 32 side 29 and 33 effects 29 and 34 were 31 the 32 side 32 side 33 effects 34 were 35 tolerable methods : we reviewed 1252 cases [with] [non] - muscle - invasive bladder cancer treated with transurethral bladder tumor resection , and 447 cases who underwent bacille calmette - guérin immunotherapy were included . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 2 : 3 we 2 : 4 reviewed 2 : 11 - 2 : 29 - 3 we 4 reviewed 4 reviewed 6 cases 5 1252 6 cases 6 cases 10 muscle 9 - 10 muscle 10 muscle 11 - 11 - 14 cancer 11 - 15 treated 11 - 22 and 12 invasive 14 cancer 13 bladder 14 cancer 14 cancer 15 treated 15 treated 16 with 16 with 20 resection 17 transurethral 20 resection 18 bladder 20 resection 19 tumor 20 resection 21 , 22 and 22 and 24 cases 22 and 27 bacille 23 447 24 cases 24 cases 25 who 24 cases 26 underwent 24 cases 27 bacille 25 who 26 underwent 27 bacille 28 calmette 29 - 31 immunotherapy 29 - 33 included 30 guérin 31 immunotherapy 31 immunotherapy 32 were 32 were 33 included the associations between patient age or pathological findings and tumor recurrence were determined . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 12 were 0 ###LEFT-WALL### 14 . 1 the 2 associations 2 associations 3 between 2 associations 6 or 3 between 5 age 4 patient 5 age 6 or 8 findings 6 or 9 and 7 pathological 8 findings 9 and 11 recurrence 9 and 12 were 10 tumor 11 recurrence 12 were 13 determined side effects were classified as minor or major and were analyzed on the basis of their incidences in each age group . 0 ###LEFT-WALL### 2 effects 0 ###LEFT-WALL### 7 or 0 ###LEFT-WALL### 22 . 1 side 2 effects 2 effects 7 or 3 were 4 classified 3 were 7 or 4 classified 6 minor 5 as 6 minor 7 or 9 and 7 or 12 on 8 major 9 and 9 and 10 were 10 were 11 analyzed 12 on 14 basis 13 the 14 basis 14 basis 15 of 15 of 17 incidences 16 their 17 incidences 17 incidences 18 in 18 in 21 group 19 each 21 group 20 age 21 group results : the patients were divided into four age categories [:] younger than 55 ( n= 86 ) , 55 - 64 ( n = 143 ) , 65 - 74 ( n = 132 ) and equal or older than 75 years ( n = 86 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 49 . 2 : 4 patients 2 : 6 divided 3 the 4 patients 4 patients 5 were 5 were 6 divided 6 divided 7 into 6 divided 39 or 6 divided 41 than 6 divided 46 = 7 into 8 four 9 age 10 categories 10 categories 12 younger 10 categories 37 and 12 younger 13 than 12 younger 21 - 12 younger 30 - 12 younger 34 = 13 than 14 55 14 55 16 n= 15 ( 16 n= 16 n= 17 86 16 n= 18 ) 19 , 21 - 20 55 21 - 21 - 22 64 21 - 28 , 22 64 25 = 23 ( 25 = 24 n 25 = 25 = 26 143 25 = 27 ) 29 65 30 - 30 - 31 74 32 ( 34 = 33 n 34 = 34 = 35 132 34 = 36 ) 37 and 38 equal 37 and 39 or 39 or 40 older 41 than 43 years 42 75 43 years 44 ( 46 = 45 n 46 = 46 = 47 86 46 = 48 ) the kaplan - meier curves of recurrence - free survival rates demonstrated that patients aged 55 - 64 had been continuously [tumor] - free than the equal or older than 75 group . 0 ###LEFT-WALL### 2 kaplan 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 33 . 1 the 2 kaplan 3 - 5 curves 3 - 8 - 4 meier 5 curves 5 curves 6 of 6 of 7 recurrence 8 - 9 free 9 free 10 survival 9 free 24 free 9 free 25 than 10 survival 15 aged 11 rates 12 demonstrated 12 demonstrated 13 that 13 that 14 patients 13 that 15 aged 14 patients 15 aged 15 aged 16 55 15 aged 23 - 16 55 18 64 16 55 20 been 17 - 18 64 18 64 19 had 19 had 20 been 20 been 21 continuously 25 than 32 group 26 the 27 equal 27 equal 28 or 28 or 29 older 28 or 32 group 29 older 30 than 30 than 31 75 the presence of previous bladder cancer and grade 3 were independent predictors for tumor recurrence ; however , patients ' age was not selected . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 10 were 0 ###LEFT-WALL### 16 ; 0 ###LEFT-WALL### 25 . 1 the 2 presence 2 presence 3 of 2 presence 7 and 3 of 6 cancer 4 previous 5 bladder 5 bladder 6 cancer 7 and 8 grade 7 and 10 were 8 grade 9 3 10 were 12 predictors 11 independent 12 predictors 12 predictors 13 for 13 for 15 recurrence 14 tumor 15 recurrence 16 ; 21 age 16 ; 22 was 17 however 18 , 17 however 21 age 19 patients 20 ' 20 ' 21 age 21 age 22 was 22 was 23 not 22 was 24 selected 23 not 24 selected the incidence of fever was slightly higher and that of cystitis was lower in the younger group . 0 ###LEFT-WALL### 2 incidence 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 18 . 1 the 2 incidence 2 incidence 3 of 2 incidence 5 was 3 of 4 fever 5 was 6 slightly 5 was 7 higher 8 and 9 that 8 and 12 was 9 that 10 of 9 that 12 was 10 of 11 cystitis 12 was 13 lower 13 lower 14 in 14 in 17 group 15 the 17 group 16 younger 17 group conclusions : age does not certainly affect recurrence in patients with bladder cancer treated with bacille calmette - guérin therapy . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 3 age 2 : 7 affect 2 : 18 - 3 age 4 does 4 does 5 not 4 does 7 affect 6 certainly 7 affect 7 affect 8 recurrence 7 affect 9 in 7 affect 11 with 9 in 10 patients 11 with 13 cancer 11 with 17 calmette 12 bladder 13 cancer 13 cancer 14 treated 14 treated 15 with 15 with 16 bacille 18 - 20 therapy 19 guérin 20 therapy the related side effects in the elderly patients were almost equal to those [in] [the] [younger] . 0 ###LEFT-WALL### 4 effects 0 ###LEFT-WALL### 9 were 0 ###LEFT-WALL### 17 . 1 the 4 effects 2 related 3 side 3 side 4 effects 4 effects 5 in 4 effects 9 were 5 in 8 patients 6 the 8 patients 7 elderly 8 patients 9 were 11 equal 10 almost 11 equal 11 equal 12 to 12 to 13 those with careful monitoring , bacille calmette - guérin therapy is safe even in elderly patients . 0 ###LEFT-WALL### 1 with 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 16 . 1 with 3 monitoring 1 with 10 is 2 careful 3 monitoring 3 monitoring 6 calmette 4 , 6 calmette 5 bacille 6 calmette 6 calmette 7 - 8 guérin 9 therapy 9 therapy 10 is 10 is 11 safe 11 safe 12 even 12 even 13 in 13 in 15 patients 14 elderly 15 patients background : the evidence for 6 - inch tilt sleeping - head - up ( shu ) , [a] common therapy for the treatment of orthostatic hypotension ( oh ) in older people , is unavailable . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 - 1 background 2 : 2 : 4 evidence 3 the 4 evidence 4 evidence 5 for 5 for 6 6 7 - 10 sleeping 7 - 35 is 7 - 37 . 8 inch 10 sleeping 9 tilt 10 sleeping 10 sleeping 12 head 10 sleeping 21 therapy 10 sleeping 35 is 11 - 12 head 12 head 13 - 13 - 21 therapy 14 up 16 shu 14 up 18 , 14 up 21 therapy 15 ( 16 shu 16 shu 17 ) 20 common 21 therapy 21 therapy 22 for 21 therapy 34 , 22 for 24 treatment 23 the 24 treatment 24 treatment 25 of 24 treatment 31 in 25 of 27 hypotension 26 orthostatic 27 hypotension 27 hypotension 29 oh 28 ( 29 oh 29 oh 30 ) 31 in 33 people 32 older 33 people 35 is 36 unavailable objective : to investigate the effects of 6 - inch shu for 6 weeks in community [-] living patients with chronic oh . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 10 inch 3 to 4 investigate 3 to 9 - 3 to 10 inch 4 investigate 6 effects 5 the 6 effects 6 effects 7 of 7 of 8 6 10 inch 11 shu 10 inch 12 for 10 inch 15 in 10 inch 20 with 12 for 14 weeks 13 6 14 weeks 15 in 19 patients 16 community 18 living 18 living 19 patients 20 with 22 oh 21 chronic 22 oh design : open labelled randomised controlled trial . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 2 : 7 trial 2 : 8 . 3 open 7 trial 4 labelled 7 trial 5 randomised 7 trial 6 controlled 7 trial methods : one hundred patients aged ≥60 with chronic oh were randomised into shu or control groups . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 2 : 5 patients 2 : 12 randomised 2 : 15 or 3 one 4 hundred 4 hundred 5 patients 5 patients 6 aged 5 patients 7 ≥60 5 patients 11 were 7 ≥60 8 with 8 with 10 oh 9 chronic 10 oh 11 were 12 randomised 12 randomised 13 into 13 into 14 shu 15 or 16 control 15 or 17 groups 16 control 17 groups primary outcome measures were mean arterial pressure ( map [ )(and symptoms . 0 ###LEFT-WALL### 3 measures 0 ###LEFT-WALL### 4 were 1 primary 2 outcome 2 outcome 3 measures 3 measures 4 were 4 were 7 pressure 5 mean 7 pressure 6 arterial 7 pressure 7 pressure 11 )(and 8 ( 11 )(and 9 map 11 )(and 11 )(and 12 symptoms 11 )(and 13 . repeated measures of orthostatic haemodynamic parameters ( systolic blood pressure , diastolic blood pressure , map , heart [rate] , percentage change of modelflow parameters ) , weight , frequency of dizziness , 24 - h urinary sodium and volume , 24 - h ambulatory blood pressure ( 24 - abpm ) and presence of ankle oedema were collected at baseline and at 6 weeks . 0 ###LEFT-WALL### 53 and 0 ###LEFT-WALL### 66 . 1 repeated 2 measures 2 measures 3 of 2 measures 27 , 3 of 6 parameters 4 orthostatic 6 parameters 5 haemodynamic 6 parameters 6 parameters 10 pressure 6 parameters 14 pressure 6 parameters 18 heart 7 ( 10 pressure 8 systolic 9 blood 9 blood 10 pressure 10 pressure 11 , 11 , 14 pressure 12 diastolic 14 pressure 13 blood 14 pressure 14 pressure 16 map 14 pressure 17 , 15 , 16 map 16 map 17 , 17 , 18 heart 18 heart 22 change 18 heart 26 ) 20 , 22 change 21 percentage 22 change 22 change 23 of 22 change 26 ) 23 of 25 parameters 24 modelflow 25 parameters 27 , 28 weight 27 , 29 , 29 , 30 frequency 29 , 33 , 30 frequency 31 of 31 of 32 dizziness 33 , 38 sodium 33 , 39 and 34 24 35 - 35 - 36 h 35 - 38 sodium 37 urinary 38 sodium 39 and 40 volume 39 and 47 pressure 39 and 51 abpm 39 and 53 and 41 , 47 pressure 42 24 43 - 43 - 44 h 43 - 47 pressure 45 ambulatory 47 pressure 46 blood 47 pressure 47 pressure 49 24 47 pressure 50 - 48 ( 49 24 49 24 50 - 50 - 51 abpm 51 abpm 52 ) 53 and 54 presence 53 and 58 were 54 presence 55 of 55 of 57 oedema 56 ankle 57 oedema 58 were 59 collected 59 collected 62 and 60 at 61 baseline 60 at 62 and 62 and 63 at 63 at 65 weeks 64 6 65 weeks results : symptoms improved , to a similar extent , in both groups . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 . 1 results 2 : 2 : 3 symptoms 3 symptoms 4 improved 4 improved 6 to 4 improved 11 in 5 , 6 to 6 to 9 extent 6 to 10 , 7 a 8 similar 7 a 9 extent 8 similar 9 extent 11 in 13 groups 12 both 13 groups there were no differences in map or other haemodynamic parameters , weight , urinary volume or 24 - abpm between shu and controls . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 24 . 1 there 2 were 2 were 4 differences 2 were 5 in 3 no 4 differences 5 in 7 or 6 map 7 or 7 or 10 parameters 7 or 12 weight 8 other 10 parameters 9 haemodynamic 10 parameters 11 , 12 weight 12 weight 13 , 13 , 22 and 14 urinary 15 volume 15 volume 16 or 16 or 19 abpm 16 or 20 between 16 or 22 and 17 24 19 abpm 18 - 19 abpm 20 between 21 shu 22 and 23 controls shu were more likely to have leg oedema . 0 ###LEFT-WALL### 1 shu 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 9 . 1 shu 2 were 2 were 4 likely 3 more 4 likely 4 likely 5 to 4 likely 6 have 5 to 6 have 6 have 8 oedema 7 leg 8 oedema conclusions : these findings suggested that shu at 6 inches has no additional effects on symptoms or haemodynamic parameters at 6 weeks than existing [non] - pharmacological measures in older patients with oh . 1 conclusions 2 : 2 : 4 findings 2 : 15 on 2 : 20 at 3 these 4 findings 4 findings 5 suggested 4 findings 6 that 6 that 7 shu 6 that 11 has 7 shu 8 at 7 shu 11 has 8 at 10 inches 9 6 10 inches 11 has 14 effects 12 no 14 effects 13 additional 14 effects 15 on 17 or 16 symptoms 17 or 17 or 19 parameters 18 haemodynamic 19 parameters 20 at 22 weeks 21 6 22 weeks 22 weeks 24 existing 22 weeks 28 measures 23 than 24 existing 26 - 28 measures 27 pharmacological 28 measures 28 measures 29 in 28 measures 32 with 28 measures 34 . 29 in 31 patients 30 older 31 patients 32 with 33 oh its use in this group should therefore be discouraged . 0 ###LEFT-WALL### 2 use 0 ###LEFT-WALL### 8 be 0 ###LEFT-WALL### 10 . 1 its 2 use 2 use 3 in 2 use 6 should 3 in 5 group 4 this 5 group 6 should 8 be 7 therefore 8 be 8 be 9 discouraged alzheimer 's disease ( ad ) is generally considered to be a disorder primarily affecting memory . 0 ###LEFT-WALL### 3 disease 0 ###LEFT-WALL### 9 considered 0 ###LEFT-WALL### 17 . 1 alzheimer 2 's 2 's 3 disease 3 disease 5 ad 3 disease 7 is 4 ( 5 ad 5 ad 6 ) 7 is 8 generally 7 is 9 considered 9 considered 10 to 9 considered 11 be 10 to 11 be 11 be 13 disorder 12 a 13 disorder 13 disorder 15 affecting 14 primarily 15 affecting 15 affecting 16 memory it is increasingly recognized that the clinical presentation or " cognitive phenotype " is variable . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 4 recognized 0 ###LEFT-WALL### 16 . 1 it 2 is 2 is 4 recognized 3 increasingly 4 recognized 4 recognized 5 that 5 that 9 or 5 that 14 is 6 the 8 presentation 7 clinical 8 presentation 8 presentation 9 or 9 or 10 " 9 or 12 phenotype 9 or 14 is 11 cognitive 12 phenotype 12 phenotype 13 " 14 is 15 variable the apolipoprotein e ε4 ( apoe ε4 ) allele has been associated with an amnestic presentation , but does not appear to fully explain the high prevalence of family history within this group . 0 ###LEFT-WALL### 9 allele 0 ###LEFT-WALL### 18 but 0 ###LEFT-WALL### 34 . 1 the 9 allele 2 apolipoprotein 3 e 2 apolipoprotein 9 allele 4 ε4 7 ε4 4 ε4 9 allele 5 ( 7 ε4 6 apoe 7 ε4 7 ε4 8 ) 9 allele 18 but 10 has 11 been 10 has 18 but 11 been 12 associated 12 associated 13 with 13 with 16 presentation 14 an 15 amnestic 14 an 16 presentation 15 amnestic 16 presentation 17 , 18 but 18 but 19 does 19 does 20 not 19 does 21 appear 21 appear 22 to 21 appear 24 explain 22 to 24 explain 23 fully 24 explain 24 explain 27 prevalence 24 explain 31 within 25 the 27 prevalence 26 high 27 prevalence 27 prevalence 28 of 28 of 30 history 29 family 30 history 31 within 33 group 32 this 33 group we examined polymorphisms in the genes ace and ide in relation to [cognitive] phenotype . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 15 . 1 we 2 examined 2 examined 3 polymorphisms 2 examined 4 in 2 examined 10 in 4 in 8 and 5 the 6 genes 6 genes 7 ace 7 ace 8 and 8 and 9 ide 10 in 11 relation 11 relation 12 to 11 relation 14 phenotype 12 to 14 phenotype in this study 276 participants with ad were categorized into 1 of 4 cognitive phenotype classifications : typical , amnestic , language , and posterior . 0 ###LEFT-WALL### 5 participants 0 ###LEFT-WALL### 9 categorized 0 ###LEFT-WALL### 17 : 0 ###LEFT-WALL### 26 . 1 in 3 study 1 in 5 participants 2 this 3 study 3 study 4 276 5 participants 6 with 5 participants 8 were 6 with 7 ad 8 were 9 categorized 9 categorized 10 into 10 into 11 1 11 1 12 of 12 of 16 classifications 13 4 16 classifications 14 cognitive 16 classifications 15 phenotype 16 classifications 17 : 24 and 18 typical 19 , 18 typical 22 language 20 amnestic 21 , 20 amnestic 22 language 22 language 24 and 23 , 24 and 24 and 25 posterior family history and possession of the apoe ε4 allele were most prevalent in the amnestic group . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 17 . 1 family 2 history 2 history 3 and 3 and 4 possession 3 and 5 of 3 and 12 prevalent 5 of 7 apoe 6 the 7 apoe 7 apoe 9 allele 7 apoe 10 were 8 ε4 9 allele 9 allele 10 were 11 most 12 prevalent 12 prevalent 13 in 13 in 16 group 14 the 16 group 15 amnestic 16 group of the 10 genetic variants of ide , and the 3 genetic variants of ace studied , only acers4291 and acers1800764 were nominally associated with the amnestic presentation . 0 ###LEFT-WALL### 5 variants 0 ###LEFT-WALL### 16 studied 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 29 . 1 of 3 10 1 of 5 variants 2 the 3 10 4 genetic 5 variants 5 variants 6 of 5 variants 14 of 5 variants 16 studied 6 of 9 and 7 ide 9 and 8 , 9 and 9 and 13 variants 10 the 11 3 11 3 13 variants 12 genetic 13 variants 14 of 15 ace 17 , 18 only 17 , 24 associated 18 only 20 and 19 acers4291 20 and 20 and 21 acers1800764 20 and 22 were 22 were 23 nominally 22 were 24 associated 24 associated 25 with 25 with 28 presentation 26 the 28 presentation 27 amnestic 28 presentation frontotemporal lobar degeneration with neuronal inclusions containing tar dna binding protein 43 ( tdp - 43 ) is associated in most cases with null - mutations in the progranulin gene ( pgrn ) . 0 ###LEFT-WALL### 3 degeneration 0 ###LEFT-WALL### 19 associated 0 ###LEFT-WALL### 34 . 1 frontotemporal 3 degeneration 2 lobar 3 degeneration 3 degeneration 4 with 3 degeneration 7 containing 3 degeneration 16 43 3 degeneration 18 is 4 with 6 inclusions 5 neuronal 6 inclusions 7 containing 9 dna 8 tar 9 dna 9 dna 10 binding 10 binding 11 protein 11 protein 12 43 11 protein 14 tdp 13 ( 14 tdp 14 tdp 15 - 15 - 16 43 16 43 17 ) 18 is 19 associated 19 associated 20 in 19 associated 23 with 20 in 22 cases 21 most 22 cases 23 with 26 mutations 24 null 25 - 24 null 26 mutations 26 mutations 27 in 27 in 30 gene 28 the 30 gene 29 progranulin 30 gene 30 gene 32 pgrn 31 ( 32 pgrn 32 pgrn 33 ) while the mechanisms by which pgrn haploinsufficiency leads to neurodegeneration remained speculative , increasing evidence support the hypothesis that cell cycle reentry of postmitotic neurons precedes many instances of neuronal death . 0 ###LEFT-WALL### 16 support 0 ###LEFT-WALL### 32 . 1 while 3 mechanisms 1 while 16 support 2 the 3 mechanisms 3 mechanisms 4 by 4 by 5 which 4 by 6 pgrn 4 by 11 remained 6 pgrn 7 haploinsufficiency 6 pgrn 8 leads 6 pgrn 11 remained 7 haploinsufficiency 8 leads 8 leads 9 to 9 to 10 neurodegeneration 11 remained 15 evidence 12 speculative 13 , 12 speculative 15 evidence 14 increasing 15 evidence 16 support 18 hypothesis 17 the 18 hypothesis 18 hypothesis 19 that 18 hypothesis 26 precedes 19 that 22 reentry 19 that 26 precedes 20 cell 22 reentry 21 cycle 22 reentry 22 reentry 23 of 22 reentry 26 precedes 23 of 25 neurons 24 postmitotic 25 neurons 26 precedes 28 instances 27 many 28 instances 28 instances 29 of 29 of 31 death 30 neuronal 31 death based in the mitogenic and neurotrophic activities of pgrn , we hypothesized that pgrn deficit may induce cell cycle disturbances and alterations in neuronal vulnerability . 0 ###LEFT-WALL### 11 we 0 ###LEFT-WALL### 12 hypothesized 0 ###LEFT-WALL### 26 . 1 based 2 in 1 based 10 , 1 based 11 we 2 in 7 activities 3 the 7 activities 4 mitogenic 5 and 5 and 6 neurotrophic 5 and 7 activities 7 activities 8 of 8 of 9 pgrn 11 we 12 hypothesized 12 hypothesized 15 deficit 12 hypothesized 17 induce 13 that 15 deficit 14 pgrn 15 deficit 15 deficit 16 may 16 may 17 induce 17 induce 21 and 17 induce 23 in 18 cell 19 cycle 19 cycle 20 disturbances 20 disturbances 21 and 21 and 22 alterations 23 in 25 vulnerability 24 neuronal 25 vulnerability because cell cycle dysfunction is not restricted to neurons , we studied the influence of pgrn haploinsufficiency , on cell cycle control in peripheral cells from patients suffering from frontotemporal dementia , bearing the pgrn mutation c.709 - 1g>a . here we show that progranulin deficit increased cell cycle activity in immortalized lymphocytes . 0 ###LEFT-WALL### 11 we 0 ###LEFT-WALL### 12 studied 0 ###LEFT-WALL### 38 - 0 ###LEFT-WALL### 39 1g>a 0 ###LEFT-WALL### 40 . 1 because 4 dysfunction 1 because 5 is 1 because 10 , 1 because 11 we 2 cell 4 dysfunction 3 cycle 4 dysfunction 4 dysfunction 5 is 5 is 6 not 5 is 8 to 6 not 7 restricted 8 to 9 neurons 11 we 12 studied 12 studied 14 influence 13 the 14 influence 14 influence 15 of 15 of 17 haploinsufficiency 16 pgrn 17 haploinsufficiency 17 haploinsufficiency 19 on 18 , 19 on 19 on 22 control 19 on 38 - 20 cell 22 control 21 cycle 22 control 22 control 23 in 22 control 33 bearing 23 in 25 cells 24 peripheral 25 cells 25 cells 26 from 25 cells 28 suffering 26 from 27 patients 28 suffering 29 from 29 from 31 dementia 30 frontotemporal 31 dementia 32 , 33 bearing 33 bearing 37 c.709 33 bearing 38 - 34 the 37 c.709 35 pgrn 36 mutation 36 mutation 37 c.709 38 - 39 1g>a 40 . 42 we 40 . 43 show 40 . 54 . 41 here 42 we 42 we 43 show 43 show 46 deficit 43 show 47 increased 44 that 46 deficit 45 progranulin 46 deficit 46 deficit 47 increased 47 increased 50 activity 47 increased 51 in 48 cell 49 cycle 49 cycle 50 activity 51 in 53 lymphocytes 52 immortalized 53 lymphocytes this effect was associated with increased levels of cyclin - dependent kinase 6 ( cdk6 ) and phosphorylation of retinoblastoma protein ( prb ) , resulting in [a] g ( 1 )/s regulatory failure . 0 ###LEFT-WALL### 2 effect 0 ###LEFT-WALL### 4 associated 1 this 2 effect 2 effect 3 was 3 was 4 associated 4 associated 5 with 5 with 17 and 5 with 26 resulting 6 increased 7 levels 7 levels 8 of 7 levels 17 and 8 of 9 cyclin 9 cyclin 12 kinase 10 - 12 kinase 11 dependent 12 kinase 12 kinase 13 6 12 kinase 15 cdk6 12 kinase 16 ) 14 ( 15 cdk6 15 cdk6 16 ) 17 and 18 phosphorylation 17 and 25 , 18 phosphorylation 19 of 19 of 21 protein 20 retinoblastoma 21 protein 21 protein 23 prb 22 ( 23 prb 23 prb 24 ) 26 resulting 27 in 26 resulting 34 failure 27 in 29 g 30 ( 34 failure 31 1 34 failure 32 )/s 34 failure 33 regulatory 34 failure 34 failure 35 . a loss [of] function of tdp - 43 repressing cdk6 expression may result from altered subcellular tdp - 43 distribution . 0 ###LEFT-WALL### 4 function 0 ###LEFT-WALL### 15 altered 0 ###LEFT-WALL### 18 - 1 a 2 loss 1 a 4 function 2 loss 4 function 4 function 5 of 4 function 15 altered 5 of 6 tdp 6 tdp 8 43 6 tdp 14 from 7 - 8 43 8 43 9 repressing 8 43 12 may 9 repressing 11 expression 10 cdk6 11 expression 12 may 13 result 13 result 14 from 15 altered 17 tdp 16 subcellular 17 tdp 18 - 20 distribution 18 - 21 . 19 43 20 distribution the distinct functional features of lymphoblastoid cells from c.709 - 1 g>a carriers offer an invaluable , noninvasive tool to investigate the etiopathogenesis of frontotemporal lobar degeneration . 0 ###LEFT-WALL### 4 features 0 ###LEFT-WALL### 21 investigate 0 ###LEFT-WALL### 28 . 1 the 4 features 2 distinct 4 features 3 functional 4 features 4 features 5 of 4 features 21 investigate 5 of 7 cells 6 lymphoblastoid 7 cells 7 cells 8 from 8 from 9 c.709 9 c.709 13 carriers 9 c.709 20 to 10 - 11 1 11 1 13 carriers 12 g>a 13 carriers 13 carriers 14 offer 14 offer 19 tool 14 offer 20 to 15 an 16 invaluable 15 an 19 tool 16 invaluable 17 , 16 invaluable 19 tool 18 noninvasive 19 tool 21 investigate 23 etiopathogenesis 22 the 23 etiopathogenesis 23 etiopathogenesis 24 of 24 of 27 degeneration 25 frontotemporal 27 degeneration 26 lobar 27 degeneration ten percent to 15 % of all human transmissible spongiform encephalopathy are characterized by a mutation [in] prion protein gene ( prnp ) . 0 ###LEFT-WALL### 2 percent 0 ###LEFT-WALL### 13 characterized 0 ###LEFT-WALL### 24 . 1 ten 2 percent 2 percent 3 to 2 percent 12 are 3 to 5 % 4 15 5 % 5 % 6 of 6 of 11 encephalopathy 7 all 11 encephalopathy 8 human 11 encephalopathy 9 transmissible 11 encephalopathy 10 spongiform 11 encephalopathy 12 are 13 characterized 13 characterized 14 by 14 by 20 gene 15 a 16 mutation 15 a 20 gene 16 mutation 20 gene 18 prion 19 protein 19 protein 20 gene 20 gene 22 prnp 21 ( 22 prnp 22 prnp 23 ) they are distinct with respect to clinical signs , disease onset , disease duration , and diagnostic findings . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 19 . 1 they 2 are 2 are 3 distinct 3 distinct 4 with 3 distinct 6 to 4 with 5 respect 6 to 16 and 7 clinical 8 signs 8 signs 9 , 9 , 11 onset 9 , 12 , 10 disease 11 onset 12 , 14 duration 12 , 16 and 13 disease 14 duration 15 , 16 and 16 and 18 findings 17 diagnostic 18 findings during our surveillance activities in germany , we identified 7 patients with the rare mutation e196k in prnp gene , [thereof] 4 patients belonging to 2 families . 0 ###LEFT-WALL### 8 we 0 ###LEFT-WALL### 9 identified 1 during 4 activities 1 during 7 , 1 during 8 we 2 our 4 activities 3 surveillance 4 activities 4 activities 5 in 5 in 6 germany 8 we 9 identified 9 identified 11 patients 9 identified 12 with 10 7 11 patients 12 with 19 gene 13 the 19 gene 14 rare 15 mutation 15 mutation 19 gene 16 e196k 17 in 16 e196k 19 gene 17 in 18 prnp 19 gene 23 patients 20 , 23 patients 22 4 23 patients 23 patients 24 belonging 23 patients 28 . 24 belonging 25 to 25 to 27 families 26 2 27 families the clinical syndromes were characterized by nonspecific and psychiatric symptoms at disease [onset] and progressed to predominant motor signs . 0 ###LEFT-WALL### 3 syndromes 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 20 . 1 the 3 syndromes 2 clinical 3 syndromes 3 syndromes 14 and 4 were 5 characterized 4 were 14 and 5 characterized 6 by 5 characterized 11 at 6 by 10 symptoms 7 nonspecific 8 and 8 and 9 psychiatric 8 and 10 symptoms 11 at 12 disease 14 and 15 progressed 14 and 16 to 16 to 19 signs 17 predominant 18 motor 18 motor 19 signs these patients showed a late median disease onset of 71 years and short disease duration of 6.5 months . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 19 . 1 these 2 patients 2 patients 3 showed 3 showed 8 onset 3 showed 12 and 4 a 5 late 4 a 8 onset 5 late 6 median 6 median 8 onset 7 disease 8 onset 8 onset 9 of 9 of 11 years 10 71 11 years 12 and 14 disease 12 and 15 duration 13 short 14 disease 15 duration 16 of 16 of 18 months 17 6.5 18 months in absence [of] family history , they mimicked sporadic creutzfeldt - jakob disease ( cjd ) . 0 ###LEFT-WALL### 7 they 0 ###LEFT-WALL### 8 mimicked 0 ###LEFT-WALL### 17 . 1 in 5 history 1 in 6 , 1 in 7 they 2 absence 5 history 4 family 5 history 7 they 8 mimicked 8 mimicked 10 creutzfeldt 9 sporadic 10 creutzfeldt 10 creutzfeldt 13 disease 11 - 13 disease 12 jakob 13 disease 13 disease 15 cjd 13 disease 16 ) 14 ( 15 cjd 15 cjd 16 ) in clinical tests they were 100 % positive for 14 - 3 - 3 protein detection in cerebrospinal fluid and less sensitive for magnetic resonance imaging ( mri ) and electroencephalogram ( eeg ) abnormalities . 0 ###LEFT-WALL### 4 they 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 13 - 1 in 3 tests 1 in 4 they 2 clinical 3 tests 4 they 5 were 5 were 7 % 6 100 7 % 7 % 8 positive 8 positive 9 for 9 for 11 - 10 14 11 - 11 - 12 3 13 - 30 and 13 - 36 . 14 3 16 detection 15 protein 16 detection 16 detection 17 in 16 detection 30 and 17 in 26 imaging 18 cerebrospinal 26 imaging 19 fluid 20 and 20 and 21 less 20 and 22 sensitive 20 and 26 imaging 22 sensitive 23 for 23 for 25 resonance 24 magnetic 25 resonance 26 imaging 28 mri 27 ( 28 mri 28 mri 29 ) 30 and 35 abnormalities 31 electroencephalogram 33 eeg 31 electroencephalogram 34 ) 31 electroencephalogram 35 abnormalities 32 ( 33 eeg 33 eeg 34 ) as a secondary magnetic [resonance] [imaging] ( mri ) abnormality , we have seen conspicuous common involvement of the subcortical white matter in 57 % . 0 ###LEFT-WALL### 12 we 0 ###LEFT-WALL### 14 seen 0 ###LEFT-WALL### 26 . 1 as 10 abnormality 1 as 11 , 1 as 12 we 2 a 3 secondary 2 a 10 abnormality 3 secondary 10 abnormality 4 magnetic 8 mri 4 magnetic 10 abnormality 7 ( 8 mri 8 mri 9 ) 12 we 13 have 13 have 14 seen 14 seen 17 involvement 14 seen 23 in 15 conspicuous 17 involvement 16 common 17 involvement 17 involvement 18 of 18 of 22 matter 19 the 22 matter 20 subcortical 22 matter 21 white 22 matter 23 in 25 % 24 57 25 % four patients underwent autopsy - pathological lesions revealed striking similarity to sporadic creutzfeldt - jakob disease but also involvement of the white matter . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 3 underwent 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 24 . 1 four 2 patients 2 patients 3 underwent 3 underwent 10 similarity 3 underwent 11 to 4 autopsy 10 similarity 5 - 8 revealed 6 pathological 7 lesions 7 lesions 8 revealed 8 revealed 9 striking 9 striking 10 similarity 11 to 13 creutzfeldt 12 sporadic 13 creutzfeldt 14 - 16 disease 15 jakob 16 disease 16 disease 17 but 17 but 18 also 17 but 19 involvement 19 involvement 20 of 20 of 23 matter 21 the 23 matter 22 white 23 matter possession of the apoe - ε4 allele is the best established genetic risk factor for sporadic alzheimer 's disease ( ad ) , while the ε2 allele may confer protection against the disease . 0 ###LEFT-WALL### 7 allele 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 34 . 1 possession 7 allele 2 of 4 apoe 2 of 5 - 2 of 7 allele 3 the 4 apoe 6 ε4 7 allele 7 allele 8 is 8 is 14 factor 9 the 10 best 9 the 14 factor 11 established 14 factor 12 genetic 14 factor 13 risk 14 factor 14 factor 15 for 14 factor 21 ad 15 for 19 disease 16 sporadic 17 alzheimer 17 alzheimer 18 's 18 's 19 disease 20 ( 21 ad 21 ad 22 ) 23 , 27 allele 23 , 29 confer 24 while 26 ε2 24 while 27 allele 25 the 26 ε2 27 allele 28 may 28 may 29 confer 29 confer 30 protection 30 protection 31 against 31 against 33 disease 32 the 33 disease previous functional magnetic resonance imaging [(] fmri ) studies have shown an effect of apoe [genotype] on brain [function] , typically by comparing only ε4 carriers with noncarriers . 0 ###LEFT-WALL### 9 studies 0 ###LEFT-WALL### 11 shown 1 previous 4 resonance 2 functional 4 resonance 3 magnetic 4 resonance 4 resonance 9 studies 5 imaging 9 studies 7 fmri 8 ) 7 fmri 9 studies 9 studies 10 have 10 have 11 shown 11 shown 13 effect 12 an 13 effect 13 effect 14 of 14 of 15 apoe 15 apoe 17 on 17 on 18 brain 18 brain 22 by 20 , 21 typically 20 , 22 by 22 by 23 comparing 22 by 29 . 23 comparing 24 only 23 comparing 26 carriers 23 comparing 27 with 25 ε4 26 carriers 27 with 28 noncarriers here we included a wide range of [genotype] groups to determine how closely the effects of apoe on brain [function] are related to differences in relative risk for ad . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 included 0 ###LEFT-WALL### 30 . 1 here 2 we 2 we 3 included 3 included 6 range 3 included 10 to 4 a 5 wide 4 a 6 range 5 wide 6 range 6 range 7 of 7 of 9 groups 10 to 11 determine 11 determine 12 how 12 how 13 closely 13 closely 15 effects 13 closely 22 related 14 the 15 effects 15 effects 16 of 15 effects 21 are 16 of 17 apoe 17 apoe 18 on 18 on 19 brain 21 are 22 related 22 related 23 to 22 related 28 for 23 to 24 differences 24 differences 25 in 25 in 27 risk 26 relative 27 risk 28 for 29 ad we used functional magnetic resonance imaging ( fmri ) to compare the pattern of activation during an episodic encoding task and during a counting stroop task in 76 adults , aged 32 to 55 , with different apoe [genotypes] ( 23 ε2/ε3 , 20 ε3/ε3 , 26 ε3/ε4 , and 7 ε4/ε4 ) . 1 we 30 , 2 used 6 imaging 2 used 10 to 2 used 11 compare 2 used 30 , 3 functional 5 resonance 4 magnetic 5 resonance 5 resonance 6 imaging 6 imaging 8 fmri 7 ( 8 fmri 8 fmri 9 ) 10 to 11 compare 11 compare 13 pattern 12 the 13 pattern 13 pattern 14 of 13 pattern 21 and 14 of 15 activation 16 during 20 task 16 during 21 and 17 an 20 task 18 episodic 19 encoding 19 encoding 20 task 21 and 22 during 22 during 26 task 23 a 26 task 24 counting 26 task 25 stroop 26 task 26 task 27 in 27 in 29 adults 28 76 29 adults 30 , 31 aged 31 aged 33 to 31 aged 36 with 32 32 33 to 33 to 34 55 35 , 36 with 36 with 38 apoe 36 with 50 and 36 with 54 . 37 different 38 apoe 38 apoe 42 ε2/ε3 38 apoe 45 ε3/ε3 40 ( 42 ε2/ε3 41 23 42 ε2/ε3 42 ε2/ε3 43 , 43 , 45 ε3/ε3 44 20 45 ε3/ε3 45 ε3/ε3 46 , 47 26 48 ε3/ε4 48 ε3/ε4 50 and 49 , 50 and 50 and 52 ε4/ε4 50 and 53 ) 51 7 52 ε4/ε4 strikingly , [participants] with an increased risk ( ε4 carriers ) and with a decreased risk ( ε2 carriers ) for ad both showed increased activation , relative to ε3 homozygotes , during both tasks . 0 ###LEFT-WALL### 23 both 0 ###LEFT-WALL### 24 showed 0 ###LEFT-WALL### 36 . 1 strikingly 2 , 1 strikingly 23 both 4 with 7 risk 4 with 12 and 5 an 7 risk 6 increased 7 risk 7 risk 10 carriers 8 ( 10 carriers 9 ε4 10 carriers 10 carriers 11 ) 12 and 13 with 12 and 20 ) 12 and 23 both 13 with 16 risk 14 a 16 risk 15 decreased 16 risk 16 risk 19 carriers 17 ( 19 carriers 18 ε2 19 carriers 19 carriers 20 ) 21 for 22 ad 21 for 23 both 23 both 24 showed 24 showed 26 activation 24 showed 33 during 25 increased 26 activation 26 activation 28 relative 27 , 28 relative 28 relative 29 to 28 relative 32 , 29 to 31 homozygotes 30 ε3 31 homozygotes 33 during 35 tasks 34 both 35 tasks the increased activation was due to decreased deactivation or paradoxical activation of nontask - related regions of the brain , which suggests an intrinsic effect of apoe on the differentiation of functional cortical networks . 0 ###LEFT-WALL### 3 activation 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 15 related 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 35 . 1 the 3 activation 2 increased 3 activation 3 activation 4 was 4 was 11 activation 5 due 6 to 5 due 9 or 6 to 8 deactivation 7 decreased 8 deactivation 9 or 10 paradoxical 9 or 11 activation 11 activation 12 of 12 of 13 nontask 14 - 15 related 15 related 16 regions 15 related 20 , 16 regions 17 of 17 of 19 brain 18 the 19 brain 20 , 21 which 20 , 22 suggests 21 which 22 suggests 22 suggests 25 effect 22 suggests 28 on 23 an 24 intrinsic 23 an 25 effect 24 intrinsic 25 effect 25 effect 26 of 26 of 27 apoe 28 on 30 differentiation 29 the 30 differentiation 30 differentiation 31 of 31 of 34 networks 32 functional 34 networks 33 cortical 34 networks these results question the often assumed link between apoe , the blood oxygenation level dependent ( bold ) response , and ad risk . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 question 0 ###LEFT-WALL### 24 . 1 these 2 results 2 results 3 question 3 question 7 link 3 question 8 between 4 the 7 link 5 often 6 assumed 6 assumed 7 link 8 between 21 and 9 apoe 10 , 10 , 19 response 10 , 21 and 11 the 19 response 12 blood 19 response 13 oxygenation 19 response 14 level 19 response 15 dependent 17 bold 15 dependent 18 ) 15 dependent 19 response 16 ( 17 bold 17 bold 18 ) 20 , 21 and 21 and 23 risk 22 ad 23 risk advanced age is associated with declines in brain structure and in cognitive performance , but it is unclear which aspects of brain aging mediate cognitive declines . 0 ###LEFT-WALL### 1 advanced 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 15 but 0 ###LEFT-WALL### 27 . 1 advanced 2 age 1 advanced 3 is 1 advanced 4 associated 2 age 3 is 4 associated 5 with 5 with 6 declines 6 declines 10 and 7 in 9 structure 7 in 10 and 8 brain 9 structure 10 and 11 in 11 in 13 performance 12 cognitive 13 performance 14 , 15 but 15 but 16 it 15 but 17 is 16 it 17 is 17 is 18 unclear 18 unclear 19 which 19 which 20 aspects 20 aspects 21 of 20 aspects 23 aging 20 aspects 24 mediate 21 of 22 brain 24 mediate 26 declines 25 cognitive 26 declines we inquired if individual differences in white matter integrity contribute to age differences in two cognitive domains with established vulnerability to aging : executive functioning and speed of processing . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 inquired 0 ###LEFT-WALL### 23 : 0 ###LEFT-WALL### 30 . 1 we 2 inquired 2 inquired 3 if 2 inquired 11 to 2 inquired 21 to 3 if 5 differences 3 if 10 contribute 4 individual 5 differences 5 differences 6 in 5 differences 10 contribute 6 in 9 integrity 7 white 8 matter 8 matter 9 integrity 11 to 12 age 12 age 13 differences 13 differences 14 in 13 differences 18 with 14 in 17 domains 15 two 17 domains 16 cognitive 17 domains 18 with 20 vulnerability 19 established 20 vulnerability 21 to 22 aging 23 : 26 and 24 executive 25 functioning 24 executive 26 and 26 and 27 speed 26 and 28 of 28 of 29 processing the participants were healthy volunteers aged 50 - 81 , some of [whom] [had] elevated blood pressure , a known vascular risk factor . 0 ###LEFT-WALL### 2 participants 0 ###LEFT-WALL### 3 were 1 the 2 participants 2 participants 3 were 3 were 5 volunteers 4 healthy 5 volunteers 5 volunteers 6 aged 5 volunteers 17 pressure 6 aged 8 - 7 50 8 - 8 - 9 81 10 , 17 pressure 11 some 12 of 11 some 17 pressure 12 of 17 pressure 15 elevated 16 blood 16 blood 17 pressure 17 pressure 23 factor 17 pressure 24 . 18 , 23 factor 19 a 23 factor 20 known 23 factor 21 vascular 23 factor 22 risk 23 factor 23 factor 24 . using latent variable analyses , we examined whether age differences in regional white matter integrity mediated age - related differences in executive functions and speed of processing . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 examined 0 ###LEFT-WALL### 19 related 0 ###LEFT-WALL### 28 . 1 using 4 analyses 1 using 5 , 1 using 6 we 2 latent 4 analyses 3 variable 4 analyses 6 we 7 examined 7 examined 8 whether 8 whether 10 differences 8 whether 17 age 9 age 10 differences 10 differences 11 in 10 differences 16 mediated 10 differences 17 age 11 in 15 integrity 12 regional 15 integrity 13 white 15 integrity 14 matter 15 integrity 18 - 19 related 19 related 20 differences 19 related 21 in 21 in 24 and 22 executive 23 functions 23 functions 24 and 24 and 25 speed 24 and 26 of 26 of 27 processing although diffusion - related latent variables showed stronger age differences than white matter volumes and white matter hyperintensity volumes , only one of them was significantly associated with cognitive performance . 0 ###LEFT-WALL### 6 variables 0 ###LEFT-WALL### 7 showed 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 31 . 1 although 2 diffusion 1 although 3 - 1 although 6 variables 4 related 6 variables 5 latent 6 variables 6 variables 7 showed 7 showed 9 age 7 showed 10 differences 7 showed 15 and 8 stronger 9 age 10 differences 15 and 11 than 12 white 12 white 14 volumes 12 white 15 and 13 matter 14 volumes 15 and 16 white 16 white 19 volumes 17 matter 19 volumes 18 hyperintensity 19 volumes 20 , 22 one 20 , 27 associated 21 only 22 one 22 one 23 of 22 one 25 was 23 of 24 them 25 was 27 associated 26 significantly 27 associated 27 associated 28 with 28 with 30 performance 29 cognitive 30 performance smaller linear anisotropy partially mediated age - related reduction in speed of processing . 0 ###LEFT-WALL### 3 anisotropy 0 ###LEFT-WALL### 5 mediated 0 ###LEFT-WALL### 8 related 1 smaller 3 anisotropy 2 linear 3 anisotropy 3 anisotropy 5 mediated 4 partially 5 mediated 5 mediated 6 age 7 - 8 related 8 related 9 reduction 8 related 10 in 8 related 14 . 10 in 11 speed 11 speed 12 of 12 of 13 processing the effect [was] significant [in] posterior ( temporal - parietal - occipital [ )(but not anterior [(] frontal [ )( , [and] appeared [stronger] [for] cognitive rather than reaction time measures of processing speed . 0 ###LEFT-WALL### 6 posterior 0 ###LEFT-WALL### 23 appeared 0 ###LEFT-WALL### 35 . 1 the 6 posterior 2 effect 6 posterior 4 significant 6 posterior 6 posterior 8 temporal 6 posterior 10 parietal 6 posterior 14 )(but 6 posterior 23 appeared 7 ( 8 temporal 8 temporal 9 - 9 - 10 parietal 10 parietal 11 - 11 - 14 )(but 12 occipital 14 )(but 14 )(but 15 not 14 )(but 18 frontal 14 )(but 21 , 15 not 16 anterior 23 appeared 26 cognitive 26 cognitive 28 than 27 rather 28 than 28 than 31 measures 29 reaction 31 measures 30 time 31 measures 31 measures 32 of 32 of 34 speed 33 processing 34 speed the presence of hypertensive participants did not affect the results . 0 ###LEFT-WALL### 2 presence 0 ###LEFT-WALL### 8 affect 0 ###LEFT-WALL### 11 . 1 the 2 presence 2 presence 3 of 2 presence 6 did 3 of 5 participants 4 hypertensive 5 participants 6 did 7 not 6 did 8 affect 8 affect 10 results 9 the 10 results we conclude that in healthy adults , deterioration of axonal integrity and ensuing breech of connectivity may underpin age - related slowing of information processing . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 conclude 0 ###LEFT-WALL### 21 related 1 we 2 conclude 2 conclude 3 that 3 that 8 deterioration 3 that 18 underpin 4 in 6 adults 4 in 7 , 4 in 8 deterioration 5 healthy 6 adults 8 deterioration 9 of 8 deterioration 15 of 8 deterioration 17 may 9 of 12 and 10 axonal 11 integrity 11 integrity 12 and 12 and 14 breech 13 ensuing 14 breech 15 of 16 connectivity 17 may 18 underpin 18 underpin 19 age 20 - 21 related 21 related 22 slowing 21 related 26 . 22 slowing 23 of 23 of 25 processing 24 information 25 processing the pathogenetic role of central serotonin transporters ( sert ) in obsessive - compulsive disorder ( ocd ) has been investigated in vivo by positron emission tomography ( pet ) or single - photon emission computed tomography ( spect ) studies with inconsistent results . 0 ###LEFT-WALL### 3 role 0 ###LEFT-WALL### 21 investigated 0 ###LEFT-WALL### 31 or 0 ###LEFT-WALL### 45 . 1 the 3 role 2 pathogenetic 3 role 3 role 4 of 3 role 11 in 3 role 17 ocd 3 role 19 has 4 of 7 transporters 5 central 7 transporters 6 serotonin 7 transporters 7 transporters 9 sert 8 ( 9 sert 9 sert 10 ) 11 in 15 disorder 12 obsessive 13 - 12 obsessive 15 disorder 14 compulsive 15 disorder 16 ( 17 ocd 17 ocd 18 ) 19 has 20 been 20 been 21 investigated 21 investigated 23 vivo 21 investigated 24 by 22 in 23 vivo 24 by 27 tomography 25 positron 27 tomography 26 emission 27 tomography 27 tomography 29 pet 28 ( 29 pet 29 pet 30 ) 31 or 35 emission 31 or 36 computed 32 single 33 - 32 single 34 photon 34 photon 35 emission 35 emission 36 computed 36 computed 41 studies 37 tomography 39 spect 37 tomography 40 ) 37 tomography 41 studies 38 ( 39 spect 39 spect 40 ) 41 studies 42 with 42 with 44 results 43 inconsistent 44 results this might reflect methodological differences but [possibly] also the pathophysiological heterogeneity of the disorder , i.e . [the] age at onset [of] ocd . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 3 reflect 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 16 i.e 0 ###LEFT-WALL### 17 . 1 this 2 might 2 might 3 reflect 3 reflect 6 but 4 methodological 5 differences 5 differences 6 but 6 but 8 also 6 but 11 heterogeneity 9 the 11 heterogeneity 10 pathophysiological 11 heterogeneity 11 heterogeneity 12 of 12 of 14 disorder 13 the 14 disorder 15 , 16 i.e 17 . 19 age 17 . 24 . 19 age 20 at 20 at 23 ocd 21 onset 23 ocd the aim of our study was to compare sert availability in patients with ocd to healthy controls ( hc ) taking into account the onset type , other factors and covariates ( e.g [.] sert [genotype] , age , depression level , gender ) . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 45 . 1 the 2 aim 2 aim 3 of 2 aim 6 was 3 of 5 study 4 our 5 study 6 was 7 to 6 was 8 compare 7 to 8 compare 8 compare 30 and 9 sert 10 availability 10 availability 11 in 10 availability 27 , 11 in 12 patients 12 patients 13 with 13 with 14 ocd 14 ocd 15 to 14 ocd 21 taking 15 to 17 controls 16 healthy 17 controls 17 controls 19 hc 18 ( 19 hc 19 hc 20 ) 21 taking 23 account 21 taking 26 type 22 into 23 account 24 the 26 type 25 onset 26 type 27 , 29 factors 27 , 30 and 28 other 29 factors 30 and 31 covariates 30 and 35 sert 32 ( 35 sert 33 e.g 35 sert 35 sert 38 age 35 sert 44 ) 37 , 38 age 38 age 41 level 38 age 44 ) 39 , 41 level 40 depression 41 level 41 level 43 gender 41 level 44 ) 42 , 43 gender 43 gender 44 ) statistical models indicated that a variety of covariates and their interaction influenced sert availability measured by distribution volume ratios ( dvr ) . 0 ###LEFT-WALL### 2 models 0 ###LEFT-WALL### 15 measured 0 ###LEFT-WALL### 23 . 1 statistical 2 models 2 models 3 indicated 3 indicated 4 that 4 that 6 variety 4 that 12 influenced 5 a 6 variety 6 variety 7 of 6 variety 12 influenced 7 of 9 and 8 covariates 9 and 9 and 11 interaction 10 their 11 interaction 12 influenced 13 sert 13 sert 14 availability 13 sert 15 measured 14 availability 15 measured 15 measured 16 by 16 by 19 ratios 17 distribution 19 ratios 18 volume 19 ratios 19 ratios 21 dvr 20 ( 21 dvr 21 dvr 22 ) these models revealed significant effects of onset type on dvr with lower values in lo - ocd ( starting at age 18 yr ) compared to eo - ocd and hc in limbic ( e.g [.] [the] amygdala ) , paralimbic brain areas [(] the anterior cingulate cortex [ )(, the nucleus accumbens and striatal regions , as well as borderline significance in the thalamus and the hypothalamus . 1 these 2 models 2 models 5 effects 2 models 11 with 2 models 12 lower 3 revealed 5 effects 4 significant 5 effects 5 effects 6 of 5 effects 8 type 6 of 7 onset 8 type 9 on 8 type 11 with 9 on 10 dvr 12 lower 13 values 13 values 14 in 13 values 25 compared 14 in 17 ocd 15 lo 17 ocd 16 - 17 ocd 17 ocd 19 starting 18 ( 19 starting 19 starting 20 at 19 starting 23 yr 19 starting 24 ) 20 at 21 age 22 18 23 yr 25 compared 26 to 26 to 31 hc 27 eo 29 ocd 28 - 29 ocd 29 ocd 30 and 30 and 31 hc 31 hc 32 in 32 in 43 areas 33 limbic 38 amygdala 33 limbic 40 , 33 limbic 42 brain 34 ( 38 amygdala 35 e.g 38 amygdala 38 amygdala 39 ) 41 paralimbic 42 brain 42 brain 43 areas 43 areas 46 anterior 43 areas 47 cingulate 45 the 46 anterior 46 anterior 47 cingulate 47 cingulate 58 as 48 cortex 54 and 50 )(, 54 and 51 the 53 accumbens 52 nucleus 53 accumbens 53 accumbens 54 and 54 and 56 regions 54 and 57 , 55 striatal 56 regions 57 , 58 as 58 as 59 well 58 as 69 . 59 well 60 as 60 as 62 significance 61 borderline 62 significance 62 significance 63 in 63 in 66 and 64 the 65 thalamus 65 thalamus 66 and 66 and 68 hypothalamus 67 the 68 hypothalamus the putamen , nucleus accumbens and hypothalamus were found with significant interaction between two sert gene polymorphisms ( sert - lpr and vntr ) . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 9 found 0 ###LEFT-WALL### 25 . 1 the 5 accumbens 2 putamen 3 , 2 putamen 4 nucleus 4 nucleus 5 accumbens 5 accumbens 6 and 6 and 7 hypothalamus 6 and 8 were 8 were 9 found 9 found 10 with 9 found 13 between 10 with 12 interaction 11 significant 12 interaction 13 between 17 polymorphisms 14 two 17 polymorphisms 15 sert 16 gene 16 gene 17 polymorphisms 17 polymorphisms 22 and 18 ( 22 and 19 sert 21 lpr 20 - 21 lpr 21 lpr 22 and 22 and 23 vntr 22 and 24 ) these findings suggest that late but not early onset of ocd is associated with abnormally low sert availability . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 19 . 1 these 2 findings 2 findings 3 suggest 3 suggest 9 onset 3 suggest 13 associated 4 that 9 onset 5 late 6 but 6 but 7 not 6 but 8 early 6 but 9 onset 7 not 8 early 9 onset 10 of 9 onset 12 is 10 of 11 ocd 12 is 13 associated 13 associated 14 with 14 with 18 availability 15 abnormally 16 low 16 low 18 availability 17 sert 18 availability in part , functional polymorphisms of the sert gene might determine the differences . 0 ###LEFT-WALL### 2 part 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 14 . 1 in 2 part 3 , 5 polymorphisms 3 , 11 determine 4 functional 5 polymorphisms 5 polymorphisms 6 of 5 polymorphisms 10 might 6 of 9 gene 7 the 9 gene 8 sert 9 gene 10 might 11 determine 11 determine 13 differences 12 the 13 differences background : trunk asymmetry and vertebral rotation , at times observed in the normal spine , resemble the characteristics of adolescent idiopathic scoliosis ( ais ) . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 1 background 2 : 2 : 3 trunk 3 trunk 5 and 3 trunk 17 resemble 4 asymmetry 5 and 5 and 7 rotation 5 and 9 at 5 and 17 resemble 6 vertebral 7 rotation 8 , 9 at 9 at 10 times 9 at 16 , 10 times 11 observed 11 observed 12 in 12 in 15 spine 13 the 15 spine 14 normal 15 spine 17 resemble 19 characteristics 18 the 19 characteristics 19 characteristics 20 of 20 of 23 scoliosis 21 adolescent 23 scoliosis 22 idiopathic 23 scoliosis 23 scoliosis 25 ais 24 ( 25 ais 25 ais 26 ) right thoracic curvature has also been reported in the normal spine . 0 ###LEFT-WALL### 3 curvature 0 ###LEFT-WALL### 7 reported 0 ###LEFT-WALL### 12 . 1 right 3 curvature 2 thoracic 3 curvature 3 curvature 4 has 4 has 6 been 5 also 6 been 6 been 7 reported 7 reported 8 in 8 in 11 spine 9 the 11 spine 10 normal 11 spine if it is determined that the features of right thoracic side curvature in the normal spine are the same as those observed in ais , these findings might provide a basis for elucidating the etiology of this condition . 0 ###LEFT-WALL### 19 same 0 ###LEFT-WALL### 22 observed 0 ###LEFT-WALL### 39 . 1 if 2 it 1 if 3 is 1 if 19 same 2 it 3 is 3 is 4 determined 4 determined 5 that 5 that 7 features 5 that 17 are 6 the 7 features 7 features 8 of 7 features 13 in 7 features 17 are 8 of 12 curvature 9 right 12 curvature 10 thoracic 11 side 11 side 12 curvature 13 in 16 spine 14 the 16 spine 15 normal 16 spine 18 the 19 same 19 same 20 as 19 same 22 observed 20 as 21 those 22 observed 23 in 22 observed 25 , 22 observed 27 findings 22 observed 29 provide 23 in 24 ais 26 these 27 findings 27 findings 28 might 28 might 29 provide 29 provide 31 basis 29 provide 32 for 30 a 31 basis 32 for 33 elucidating 33 elucidating 35 etiology 34 the 35 etiology 35 etiology 36 of 36 of 38 condition 37 this 38 condition for this reason , we investigated right thoracic curvature in the normal spine . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 investigated 0 ###LEFT-WALL### 14 . 1 for 3 reason 1 for 4 , 1 for 5 we 2 this 3 reason 5 we 6 investigated 6 investigated 9 curvature 6 investigated 10 in 7 right 9 curvature 8 thoracic 9 curvature 10 in 13 spine 11 the 13 spine 12 normal 13 spine methods : for normal spinal measurements , 1,200 patients who underwent a posteroanterior chest [radiographs] were evaluated . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 18 . 1 methods 2 : 2 : 3 for 3 for 6 measurements 4 normal 6 measurements 5 spinal 6 measurements 7 , 9 patients 7 , 17 evaluated 8 1,200 9 patients 9 patients 10 who 9 patients 11 underwent 9 patients 16 were 10 who 11 underwent 11 underwent 14 chest 12 a 14 chest 13 posteroanterior 14 chest 16 were 17 evaluated these consisted of 400 children ( ages 4 - 9 ) , 400 adolescents ( ages 10 - 19 [ )(and 400 adults ( ages 20 - 29 ) , with each group comprised of both genders . 0 ###LEFT-WALL### 1 these 0 ###LEFT-WALL### 2 consisted 1 these 2 consisted 2 consisted 3 of 3 of 5 children 4 400 5 children 5 children 7 ages 5 children 14 adolescents 6 ( 7 ages 7 ages 9 - 7 ages 11 ) 8 4 9 - 9 - 10 9 12 , 14 adolescents 13 400 14 adolescents 14 adolescents 16 ages 14 adolescents 38 . 15 ( 16 ages 16 ages 17 10 16 ages 23 adults 16 ages 38 . 18 - 23 adults 19 19 21 )(and 21 )(and 22 400 21 )(and 23 adults 23 adults 25 ages 23 adults 31 with 23 adults 38 . 24 ( 25 ages 25 ages 27 - 25 ages 29 ) 26 20 27 - 27 - 28 29 30 , 31 with 31 with 33 group 31 with 38 . 32 each 33 group 33 group 34 comprised 33 group 35 of 35 of 37 genders 36 both 37 genders the exclusion criteria were obvious [chest] and spinal diseases . 0 ###LEFT-WALL### 3 criteria 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 10 . 1 the 3 criteria 2 exclusion 3 criteria 3 criteria 4 were 4 were 9 diseases 5 obvious 7 and 7 and 8 spinal 7 and 9 diseases as side curvature is minimal in normal spines and the range at which curvature is measured is difficult to ascertain , first the typical curvature range in scoliosis patients was determined and then the cobb angle in normal spines was measured using the same range as the scoliosis curve , from t5 to t12 . 0 ###LEFT-WALL### 26 range 0 ###LEFT-WALL### 32 and 1 as 9 and 1 as 17 is 1 as 26 range 2 side 3 curvature 3 curvature 4 is 3 curvature 9 and 4 is 5 minimal 5 minimal 6 in 6 in 8 spines 7 normal 8 spines 9 and 11 range 10 the 11 range 11 range 12 at 11 range 17 is 12 at 13 which 12 at 14 curvature 12 at 16 measured 14 curvature 15 is 15 is 16 measured 18 difficult 19 to 18 difficult 20 ascertain 18 difficult 21 , 18 difficult 26 range 19 to 20 ascertain 22 first 26 range 23 the 26 range 24 typical 25 curvature 25 curvature 26 range 26 range 27 in 26 range 30 was 27 in 29 patients 28 scoliosis 29 patients 30 was 31 determined 32 and 36 angle 32 and 40 was 33 then 36 angle 34 the 36 angle 35 cobb 36 angle 36 angle 37 in 36 angle 40 was 37 in 39 spines 38 normal 39 spines 40 was 41 measured 41 measured 42 using 42 using 45 range 42 using 46 as 43 the 44 same 44 same 45 range 46 as 49 curve 47 the 49 curve 48 scoliosis 49 curve 49 curve 51 from 50 , 51 from 51 from 52 t5 51 from 55 . 52 t5 53 to 53 to 54 t12 right thoracic curvature was given a positive value . 0 ###LEFT-WALL### 3 curvature 0 ###LEFT-WALL### 5 given 0 ###LEFT-WALL### 9 . 1 right 3 curvature 2 thoracic 3 curvature 3 curvature 4 was 4 was 5 given 5 given 8 value 6 a 7 positive 6 a 8 value 7 positive 8 value the curve pattern was organized in each collective three groups : neutral ( from - 1 degree to 1 degree ) , right [(] > +1 [degree] [ )(, and left ( [<] - 1 degree ) . 0 ###LEFT-WALL### 3 pattern 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 11 : 1 the 3 pattern 2 curve 3 pattern 3 pattern 4 was 4 was 5 organized 5 organized 6 in 6 in 10 groups 7 each 8 collective 8 collective 10 groups 9 three 10 groups 11 : 23 right 11 : 25 > 11 : 38 . 12 neutral 14 from 12 neutral 22 , 12 neutral 23 right 13 ( 14 from 14 from 17 degree 14 from 21 ) 15 - 16 1 16 1 17 degree 17 degree 18 to 18 to 20 degree 19 1 20 degree 23 right 25 > 25 > 30 and 26 +1 30 and 29 )(, 30 and 30 and 31 left 30 and 36 degree 32 ( 36 degree 34 - 35 1 35 1 36 degree 36 degree 37 ) results : in child group , cobb angle in left [was] 120 , in neutral [was] 125 [and] in right was 155 . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 group 2 : 6 , 2 : 23 . 3 in 4 child 3 in 5 group 6 , 8 angle 6 , 13 , 7 cobb 8 angle 8 angle 9 in 9 in 10 left 10 left 12 120 13 , 14 in 13 , 21 was 14 in 20 right 14 in 21 was 15 neutral 20 right 17 125 19 in 19 in 20 right 21 was 22 155 in adolescent group , cobb angle in left [was] 70 , in neutral [was] 114 [and] in right was 216 . 0 ###LEFT-WALL### 3 group 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 21 . 1 in 3 group 2 adolescent 3 group 4 , 6 angle 4 , 11 , 5 cobb 6 angle 6 angle 7 in 7 in 8 left 8 left 10 70 11 , 12 in 11 , 19 was 12 in 18 right 12 in 19 was 13 neutral 18 right 15 114 17 in 17 in 18 right 19 was 20 216 in adult group , cobb angle in left [was] 46 , in neutral [was] 102 [and] in right was 252 . 0 ###LEFT-WALL### 3 group 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 21 . 1 in 3 group 2 adult 3 group 4 , 6 angle 4 , 11 , 5 cobb 6 angle 6 angle 7 in 7 in 8 left 8 left 10 46 11 , 12 in 11 , 19 was 12 in 18 right 12 in 19 was 13 neutral 18 right 15 102 17 in 17 in 18 right 19 was 20 252 the curvature pattern shifts to the right side in the adolescent group ( p < 0.01 ) and [in] adult group ( p < 0.001 ) compared to the child group . 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 27 compared 0 ###LEFT-WALL### 32 . 1 the 4 shifts 2 curvature 4 shifts 3 pattern 4 shifts 4 shifts 5 to 4 shifts 18 and 5 to 8 side 6 the 8 side 7 right 8 side 8 side 9 in 9 in 12 group 10 the 12 group 11 adolescent 12 group 12 group 15 < 13 ( 15 < 14 p 15 < 15 < 16 0.01 15 < 17 ) 18 and 21 group 18 and 24 < 18 and 27 compared 20 adult 21 group 22 ( 24 < 23 p 24 < 24 < 25 0.001 24 < 26 ) 27 compared 28 to 28 to 31 group 29 the 31 group 30 child 31 group there was no significant difference [in] curvature pattern between adolescent and adult group . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 14 . 1 there 2 was 2 was 8 pattern 3 no 8 pattern 4 significant 5 difference 5 difference 8 pattern 7 curvature 8 pattern 8 pattern 9 between 9 between 11 and 10 adolescent 11 and 11 and 13 group 12 adult 13 group conclusions : based on standing chest radiographic measurements , a right thoracic curvature was observed in normal spines after adolescence . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 3 based 0 ###LEFT-WALL### 15 observed 1 conclusions 2 : 2 : 3 based 3 based 4 on 4 on 5 standing 5 standing 8 measurements 6 chest 8 measurements 7 radiographic 8 measurements 9 , 15 observed 10 a 11 right 11 right 13 curvature 11 right 14 was 11 right 15 observed 12 thoracic 13 curvature 13 curvature 14 was 15 observed 16 in 15 observed 19 after 15 observed 21 . 16 in 18 spines 17 normal 18 spines 19 after 20 adolescence background : qualitative and quantitative changes in human mitochondrial dna ( mtdna ) have been implicated in various cancer types . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 6 changes 2 : 16 implicated 3 qualitative 4 and 4 and 5 quantitative 4 and 6 changes 6 changes 7 in 6 changes 14 have 7 in 10 dna 8 human 10 dna 9 mitochondrial 10 dna 10 dna 12 mtdna 11 ( 12 mtdna 12 mtdna 13 ) 14 have 15 been 15 been 16 implicated 16 implicated 17 in 17 in 20 types 18 various 19 cancer 19 cancer 20 types a 4,977 bp deletion in the major arch of the mitochondrial genome is one of the most common mutations associated with a variety of human diseases and aging . 0 ###LEFT-WALL### 4 deletion 0 ###LEFT-WALL### 13 is 0 ###LEFT-WALL### 29 . 1 a 4 deletion 2 4,977 3 bp 3 bp 4 deletion 4 deletion 5 in 4 deletion 13 is 5 in 8 arch 6 the 8 arch 7 major 8 arch 8 arch 9 of 9 of 12 genome 10 the 12 genome 11 mitochondrial 12 genome 13 is 14 one 14 one 15 of 15 of 19 mutations 16 the 17 most 17 most 19 mutations 18 common 19 mutations 19 mutations 20 associated 19 mutations 21 with 21 with 27 and 22 a 23 variety 23 variety 24 of 23 variety 27 and 24 of 26 diseases 25 human 26 diseases 27 and 28 aging methods : we conducted a comprehensive study on clinical features and mtdna of 104 colorectal cancer patients in the wenzhou area of china . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 conducted 2 : 24 . 3 we 4 conducted 4 conducted 7 study 4 conducted 8 on 4 conducted 18 in 5 a 6 comprehensive 5 a 7 study 6 comprehensive 7 study 8 on 11 and 9 clinical 10 features 10 features 11 and 11 and 12 mtdna 11 and 13 of 13 of 17 patients 14 104 17 patients 15 colorectal 16 cancer 16 cancer 17 patients 18 in 21 area 19 the 21 area 20 wenzhou 21 area 21 area 22 of 22 of 23 china in particular , using a quantitative real time pcr method , we analyzed the 4,977 bp deletion and mtdna content in tumor tissues and paired [non] - tumor areas from these patients . 0 ###LEFT-WALL### 12 we 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 27 - 0 ###LEFT-WALL### 33 . 1 in 2 particular 2 particular 3 , 2 particular 12 we 3 , 4 using 4 using 10 method 4 using 11 , 4 using 12 we 5 a 6 quantitative 5 a 10 method 6 quantitative 10 method 7 real 10 method 8 time 10 method 9 pcr 10 method 12 we 24 and 13 analyzed 18 and 13 analyzed 24 and 14 the 17 deletion 15 4,977 16 bp 16 bp 17 deletion 17 deletion 18 and 18 and 19 mtdna 18 and 20 content 20 content 21 in 21 in 23 tissues 22 tumor 23 tissues 24 and 25 paired 27 - 29 areas 28 tumor 29 areas 29 areas 30 from 30 from 32 patients 31 these 32 patients results : we found that the 4,977 bp deletion was more likely to be present in patients of younger age ( ≤65 years , p = 0.027 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 3 we 2 : 4 found 3 we 4 found 4 found 5 that 5 that 9 deletion 5 that 10 was 6 the 9 deletion 7 4,977 8 bp 8 bp 9 deletion 9 deletion 10 was 10 was 12 likely 11 more 12 likely 12 likely 13 to 12 likely 14 be 13 to 14 be 14 be 15 present 15 present 16 in 15 present 26 = 16 in 17 patients 17 patients 18 of 17 patients 23 years 18 of 20 age 19 younger 20 age 21 ( 23 years 22 ≤65 23 years 23 years 24 , 25 p 26 = 26 = 27 0.027 26 = 28 ) in patients with the 4,977 bp deletion , the deletion level decreased as the cancer stage advanced ( p = 0.031 ) . 0 ###LEFT-WALL### 11 level 0 ###LEFT-WALL### 12 decreased 0 ###LEFT-WALL### 17 advanced 1 in 2 patients 1 in 8 , 1 in 11 level 2 patients 3 with 3 with 7 deletion 4 the 7 deletion 5 4,977 6 bp 6 bp 7 deletion 9 the 11 level 10 deletion 11 level 11 level 12 decreased 12 decreased 13 as 13 as 16 stage 13 as 17 advanced 14 the 16 stage 15 cancer 16 stage 16 stage 17 advanced 17 advanced 20 = 17 advanced 23 . 18 ( 20 = 19 p 20 = 20 = 21 0.031 20 = 22 ) moreover , mtdna copy number [in] tumor tissues of patients with this deletion increased , both compared with that in adjacent [non] - tumor tissues and with [in] tumors of patients without the deletion . 0 ###LEFT-WALL### 8 tissues 0 ###LEFT-WALL### 17 compared 0 ###LEFT-WALL### 35 . 1 moreover 2 , 1 moreover 8 tissues 3 mtdna 5 number 4 copy 5 number 5 number 8 tissues 7 tumor 8 tissues 8 tissues 9 of 8 tissues 17 compared 9 of 10 patients 10 patients 11 with 10 patients 14 increased 11 with 13 deletion 12 this 13 deletion 14 increased 15 , 14 increased 16 both 17 compared 18 with 17 compared 26 and 17 compared 32 without 18 with 19 that 20 in 25 tissues 20 in 26 and 21 adjacent 23 - 21 adjacent 24 tumor 24 tumor 25 tissues 26 and 27 with 27 with 29 tumors 29 tumors 30 of 30 of 31 patients 32 without 34 deletion 33 the 34 deletion such mtdna content [increase] correlated with the levels of the 4,977 bp deletion and with cancer [stage] ( p < 0.001 ) . 0 ###LEFT-WALL### 3 content 0 ###LEFT-WALL### 5 correlated 0 ###LEFT-WALL### 23 . 1 such 3 content 2 mtdna 3 content 3 content 5 correlated 5 correlated 14 and 6 with 8 levels 6 with 14 and 7 the 8 levels 8 levels 9 of 9 of 13 deletion 10 the 13 deletion 11 4,977 12 bp 12 bp 13 deletion 14 and 15 with 15 with 16 cancer 16 cancer 20 < 18 ( 20 < 19 p 20 < 20 < 21 0.001 20 < 22 ) conclusions : our study indicates that the mtdna 4,977 bp deletion may play a role in the early stage of colorectal cancer , and it is also implicated in alteration of mtdna content in cancer cells . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 indicates 2 : 24 and 2 : 37 . 3 our 4 study 4 study 5 indicates 5 indicates 6 that 6 that 11 deletion 6 that 13 play 7 the 11 deletion 8 mtdna 11 deletion 9 4,977 10 bp 10 bp 11 deletion 11 deletion 12 may 12 may 13 play 13 play 15 role 13 play 16 in 14 a 15 role 16 in 19 stage 17 the 19 stage 18 early 19 stage 19 stage 20 of 20 of 22 cancer 21 colorectal 22 cancer 23 , 24 and 24 and 25 it 24 and 28 implicated 25 it 26 is 26 is 27 also 26 is 28 implicated 28 implicated 29 in 29 in 30 alteration 30 alteration 31 of 31 of 32 mtdna 32 mtdna 33 content 33 content 34 in 34 in 36 cells 35 cancer 36 cells objective : • to study the association between specific clinical symptoms ( e.g [.] low libido and erectile dysfunction ) and testosterone levels and age in order to define symptom - specific testosterone thresholds . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 • 2 : 5 study 2 : 31 - 2 : 35 . 3 • 4 to 4 to 5 study 5 study 21 and 6 the 7 association 7 association 8 between 7 association 21 and 8 between 11 symptoms 9 specific 11 symptoms 10 clinical 11 symptoms 11 symptoms 17 and 12 ( 17 and 13 e.g 16 libido 15 low 16 libido 16 libido 17 and 17 and 19 dysfunction 17 and 20 ) 18 erectile 19 dysfunction 21 and 30 symptom 22 testosterone 23 levels 23 levels 24 and 24 and 25 age 24 and 26 in 24 and 30 symptom 26 in 27 order 27 order 28 to 27 order 29 define 28 to 29 define 31 - 34 thresholds 32 specific 33 testosterone 33 testosterone 34 thresholds materials and methods : • serum samples for testosterone determination were obtained from 675 healthy men . • participants underwent urological examination and completed the aging males symptoms scale , the beck depression index and the international index of erectile function . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 materials 2 and 2 and 3 methods 4 : 5 • 4 : 12 obtained 4 : 17 . 4 : 42 . 5 • 7 samples 6 serum 7 samples 7 samples 8 for 7 samples 11 were 8 for 10 determination 9 testosterone 10 determination 11 were 12 obtained 12 obtained 13 from 13 from 16 men 14 675 16 men 15 healthy 16 men 17 . 18 • 17 . 23 and 18 • 19 participants 19 participants 23 and 20 underwent 22 examination 20 underwent 23 and 21 urological 22 examination 23 and 24 completed 24 completed 35 and 25 the 29 scale 26 aging 27 males 27 males 28 symptoms 28 symptoms 29 scale 29 scale 30 , 30 , 34 index 30 , 35 and 31 the 34 index 32 beck 33 depression 33 depression 34 index 35 and 38 index 35 and 39 of 36 the 38 index 37 international 38 index 39 of 41 function 40 erectile 41 function overall scores and those from individual questions from the questionnaires were evaluated . • testosterone levels in men with symptoms were compared with those in men without symptoms . • the risks of clinical symptoms were evaluated using univariate , multiple multinomial regression analyses and bonferroni correction . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 12 evaluated 0 ###LEFT-WALL### 13 . 1 overall 2 scores 2 scores 3 and 3 and 4 those 3 and 11 were 4 those 5 from 5 from 7 questions 6 individual 7 questions 7 questions 8 from 8 from 10 questionnaires 9 the 10 questionnaires 11 were 12 evaluated 13 . 14 • 13 . 22 compared 13 . 29 . 13 . 48 . 14 • 15 testosterone 15 testosterone 16 levels 15 testosterone 21 were 15 testosterone 22 compared 16 levels 17 in 16 levels 19 with 16 levels 21 were 17 in 18 men 19 with 20 symptoms 22 compared 23 with 23 with 24 those 23 with 25 in 25 in 26 men 26 men 27 without 27 without 28 symptoms 29 . 30 • 29 . 37 evaluated 30 • 32 risks 31 the 32 risks 32 risks 33 of 32 risks 36 were 33 of 35 symptoms 34 clinical 35 symptoms 36 were 37 evaluated 37 evaluated 38 using 38 using 45 and 39 univariate 40 , 40 , 44 analyses 40 , 45 and 41 multiple 44 analyses 42 multinomial 44 analyses 43 regression 44 analyses 45 and 47 correction 46 bonferroni 47 correction conclusion : • in aging males , androgen deficiency symptoms were reported at normal levels of testosterone , but age was an important confounder . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 3 • 2 : 12 reported 2 : 19 but 3 • 10 symptoms 4 in 5 aging 4 in 7 , 4 in 10 symptoms 5 aging 6 males 8 androgen 9 deficiency 9 deficiency 10 symptoms 10 symptoms 11 were 11 were 12 reported 12 reported 13 at 13 at 15 levels 14 normal 15 levels 15 levels 16 of 16 of 17 testosterone 18 , 19 but 19 but 20 age 19 but 21 was 20 age 21 was 21 was 24 confounder 22 an 24 confounder 23 important 24 confounder symptom - specific testosterone thresholds could not be defined . 0 ###LEFT-WALL### 5 thresholds 0 ###LEFT-WALL### 9 defined 0 ###LEFT-WALL### 10 . 1 symptom 2 - 1 symptom 5 thresholds 3 specific 5 thresholds 4 testosterone 5 thresholds 5 thresholds 6 could 6 could 7 not 6 could 8 be 8 be 9 defined aim : this paper is a report of a study exploring possible external and inner sources of the sense of security felt by older people aged 65 and 75 . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 felt 0 ###LEFT-WALL### 30 . 2 : 4 paper 2 : 5 is 3 this 4 paper 4 paper 5 is 5 is 7 report 6 a 7 report 7 report 8 of 8 of 10 study 9 a 10 study 10 study 11 exploring 10 study 16 sources 10 study 22 felt 12 possible 16 sources 13 external 14 and 14 and 15 inner 14 and 16 sources 16 sources 17 of 16 sources 22 felt 17 of 19 sense 18 the 19 sense 19 sense 20 of 20 of 21 security 22 felt 23 by 23 by 25 people 24 older 25 people 25 people 26 aged 26 aged 28 and 27 65 28 and 28 and 29 75 background . the concept of ['] security ['] has been parsimoniously defined and explored , especially as [pertains] to older people , and previous research has primarily focused on risks in relation to individuals ' declining health and functional ability . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 . 2 . 4 concept 2 . 10 been 2 . 23 and 2 . 41 . 3 the 4 concept 4 concept 5 of 4 concept 9 has 5 of 7 security 9 has 10 been 10 been 13 and 11 parsimoniously 12 defined 12 defined 13 and 13 and 14 explored 14 explored 19 to 15 , 16 especially 15 , 19 to 17 as 19 to 19 to 21 people 19 to 22 , 20 older 21 people 22 , 23 and 23 and 25 research 23 and 28 focused 24 previous 25 research 25 research 26 has 26 has 28 focused 27 primarily 28 focused 28 focused 29 on 28 focused 33 to 29 on 30 risks 31 in 32 relation 32 relation 33 to 33 to 38 and 34 individuals 35 ' 35 ' 37 health 36 declining 37 health 37 health 38 and 38 and 40 ability 39 functional 40 ability methods : in 2005 , population - based cross - sectional surveys were carried out in 15 municipalities in västerbotten , sweden and 18 municipalities in ostrobothnia , finland . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 30 . 1 methods 2 : 2 : 3 in 3 in 4 2005 4 2005 6 population 5 , 6 population 6 population 7 - 7 - 9 cross 7 - 10 - 7 - 28 , 8 based 9 cross 10 - 12 surveys 10 - 14 carried 11 sectional 12 surveys 12 surveys 13 were 13 were 14 carried 14 carried 15 out 14 carried 16 in 16 in 18 municipalities 17 15 18 municipalities 18 municipalities 19 in 19 in 20 västerbotten 20 västerbotten 23 and 21 , 23 and 22 sweden 23 and 23 and 25 municipalities 23 and 26 in 23 and 28 , 24 18 25 municipalities 26 in 27 ostrobothnia 28 , 29 finland a [15] - page questionnaire ( 84 questions ) was distributed , with the final total response rate reaching 68· [%] ( n = 3370 ) : 1825 swedish - speaking swedes , 926 swedish - speaking finns and 621 finnish - speaking finns . 0 ###LEFT-WALL### 1 a 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 12 , 1 a 3 - 3 - 5 questionnaire 4 page 5 questionnaire 5 questionnaire 8 questions 5 questionnaire 10 was 6 ( 8 questions 7 84 8 questions 8 questions 9 ) 10 was 11 distributed 12 , 20 68· 13 with 17 response 13 with 20 68· 14 the 17 response 15 final 16 total 16 total 17 response 18 rate 19 reaching 19 reaching 20 68· 20 68· 24 = 20 68· 27 : 22 ( 24 = 23 n 24 = 24 = 25 3370 24 = 26 ) 27 : 39 and 28 1825 38 finns 29 swedish 32 swedes 29 swedish 36 - 29 swedish 38 finns 30 - 32 swedes 31 speaking 32 swedes 32 swedes 35 swedish 32 swedes 36 - 33 , 35 swedish 34 926 35 swedish 35 swedish 36 - 37 speaking 38 finns 38 finns 39 and 39 and 41 finnish 39 and 43 speaking 40 621 41 finnish 42 - 43 speaking 43 speaking 44 finns 43 speaking 45 . the statistical analysis was three - stage , including nominal stepwise regressions . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 6 - 1 the 3 analysis 2 statistical 3 analysis 3 analysis 4 was 4 was 5 three 6 - 7 stage 6 - 8 , 6 - 13 . 8 , 12 regressions 9 including 12 regressions 10 nominal 12 regressions 11 stepwise 12 regressions results : older people who indicate that they are ['] very secure ['] are more likely to consider life meaningful and [are] able to master various life crises . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 people 2 : 25 master 2 : 29 . 3 older 4 people 4 people 5 who 4 people 6 indicate 4 people 14 are 5 who 6 indicate 6 indicate 7 that 7 that 8 they 7 that 9 are 8 they 9 are 9 are 12 secure 11 very 12 secure 14 are 16 likely 15 more 16 likely 16 likely 17 to 17 to 18 consider 18 consider 19 life 18 consider 21 and 20 meaningful 21 and 21 and 23 able 21 and 24 to 21 and 25 master 24 to 25 master 25 master 28 crises 26 various 27 life 27 life 28 crises moreover , they possess confidence in economic institutions and [are] more likely to feel economically secure . 0 ###LEFT-WALL### 3 they 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 17 . 1 moreover 2 , 1 moreover 3 they 3 they 9 and 4 possess 5 confidence 4 possess 6 in 4 possess 9 and 6 in 8 institutions 7 economic 8 institutions 9 and 13 to 9 and 14 feel 11 more 12 likely 12 likely 13 to 13 to 14 feel 14 feel 16 secure 15 economically 16 secure weak trust in family and friends or neighbours and decreased functional ability seem to indicate a subjective feeling of ['] insecurity ['] . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 13 seem 0 ###LEFT-WALL### 23 . 1 weak 2 trust 2 trust 3 in 2 trust 5 and 3 in 4 family 5 and 6 friends 5 and 7 or 7 or 8 neighbours 7 or 9 and 9 and 12 ability 9 and 13 seem 10 decreased 12 ability 11 functional 12 ability 13 seem 14 to 13 seem 15 indicate 14 to 15 indicate 15 indicate 18 feeling 16 a 17 subjective 16 a 18 feeling 17 subjective 18 feeling 18 feeling 19 of 19 of 21 insecurity conclusion : caregivers in health care should focus more on supporting older persons ' meaningfulness in life and how their feelings of security can be strengthened by trusting relationships and activities . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 2 : 18 and 3 caregivers 4 in 3 caregivers 18 and 4 in 5 health 5 health 6 care 5 health 8 focus 6 care 7 should 7 should 8 focus 8 focus 9 more 8 focus 10 on 10 on 11 supporting 11 supporting 15 meaningfulness 12 older 13 persons 13 persons 14 ' 14 ' 15 meaningfulness 15 meaningfulness 16 in 16 in 17 life 18 and 19 how 18 and 21 feelings 18 and 28 trusting 20 their 21 feelings 21 feelings 22 of 21 feelings 24 can 22 of 23 security 24 can 25 be 25 be 26 strengthened 26 strengthened 27 by 27 by 28 trusting 28 trusting 30 and 29 relationships 30 and 30 and 31 activities in nursing , there should be more focus on developing knowledge of inner health resources , including positive life orientation and meaningfulness in life . 0 ###LEFT-WALL### 4 there 0 ###LEFT-WALL### 6 be 0 ###LEFT-WALL### 25 . 1 in 2 nursing 1 in 3 , 1 in 4 there 4 there 5 should 5 should 6 be 6 be 21 and 7 more 21 and 8 focus 9 on 8 focus 16 , 9 on 10 developing 10 developing 11 knowledge 11 knowledge 12 of 12 of 15 resources 13 inner 14 health 14 health 15 resources 16 , 20 orientation 16 , 21 and 17 including 20 orientation 18 positive 20 orientation 19 life 20 orientation 21 and 22 meaningfulness 21 and 23 in 23 in 24 life none background : spectral entropy of [electrocardiogram] ( ecg ) , which was calculated using the memcalc method with a portable bio - signal measurement [instrument] ( pbsm ) , might be a possible parameter for evaluating the quality of sleep . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 32 be 0 ###LEFT-WALL### 42 . 1 none 2 background 1 none 6 of 1 none 9 ecg 1 none 12 which 1 none 31 might 2 background 3 : 3 : 5 entropy 4 spectral 5 entropy 5 entropy 6 of 8 ( 9 ecg 9 ecg 10 ) 11 , 12 which 12 which 13 was 12 which 30 , 13 was 14 calculated 14 calculated 15 using 15 using 18 method 15 using 19 with 16 the 18 method 17 memcalc 18 method 19 with 22 bio 20 a 21 portable 20 a 22 bio 21 portable 22 bio 22 bio 25 measurement 23 - 25 measurement 24 signal 25 measurement 25 measurement 28 pbsm 25 measurement 30 , 27 ( 28 pbsm 28 pbsm 29 ) 31 might 32 be 32 be 35 parameter 33 a 35 parameter 34 possible 35 parameter 35 parameter 36 for 35 parameter 40 of 36 for 37 evaluating 37 evaluating 39 quality 38 the 39 quality 40 of 41 sleep aim : this study assessed the effects of ecg spectral entropy on obstructive sleep apnea/hypopnea [syndrome] ( osahs ) depending on age . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 assessed 2 : 23 . 3 this 4 study 4 study 5 assessed 5 assessed 7 effects 6 the 7 effects 7 effects 8 of 8 of 11 entropy 9 ecg 11 entropy 10 spectral 11 entropy 11 entropy 12 on 11 entropy 20 depending 12 on 15 apnea/hypopnea 13 obstructive 14 sleep 14 sleep 15 apnea/hypopnea 15 apnea/hypopnea 18 osahs 17 ( 18 osahs 18 osahs 19 ) 20 depending 21 on 21 on 22 age study design : ecg was recorded using a pbsm , and the maximum entropy of ecg [every] 9 rr intervals was calculated . 0 ###LEFT-WALL### 2 design 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 23 . 1 study 2 design 3 : 4 ecg 3 : 6 recorded 3 : 11 and 4 ecg 5 was 5 was 6 recorded 6 recorded 7 using 7 using 9 pbsm 8 a 9 pbsm 10 , 11 and 11 and 14 entropy 11 and 22 calculated 12 the 14 entropy 13 maximum 14 entropy 14 entropy 15 of 14 entropy 21 was 15 of 20 intervals 16 ecg 18 9 16 ecg 20 intervals 19 rr 20 intervals 21 was 22 calculated these entropies were compared with the age and sleeping indices obtained with a conventional polysomnography ( psg ) system . 0 ###LEFT-WALL### 2 entropies 0 ###LEFT-WALL### 4 compared 0 ###LEFT-WALL### 20 . 1 these 2 entropies 2 entropies 3 were 3 were 4 compared 4 compared 5 with 5 with 8 and 6 the 7 age 7 age 8 and 8 and 10 indices 8 and 11 obtained 9 sleeping 10 indices 11 obtained 12 with 12 with 19 system 13 a 19 system 14 conventional 19 system 15 polysomnography 17 psg 15 polysomnography 19 system 16 ( 17 psg 17 psg 18 ) setting and participants : seventy - six patients suspected of osahs were recorded from 20:00 to 06:00 using a conventional psg system ( alice iii [ )(and a pbsm ( memcalc - makin2 ) simultaneously . 0 ###LEFT-WALL### 3 participants 0 ###LEFT-WALL### 4 : 1 setting 2 and 2 and 3 participants 4 : 6 - 4 : 13 recorded 4 : 36 . 5 seventy 6 - 6 - 7 six 6 - 8 patients 6 - 12 were 6 - 13 recorded 8 patients 9 suspected 8 patients 10 of 8 patients 12 were 10 of 11 osahs 13 recorded 16 to 14 from 16 to 15 20:00 16 to 16 to 17 06:00 16 to 18 using 18 using 22 system 18 using 35 simultaneously 19 a 22 system 20 conventional 22 system 21 psg 22 system 22 system 27 )(and 23 ( 27 )(and 24 alice 25 iii 24 alice 27 )(and 27 )(and 29 pbsm 27 )(and 31 memcalc 27 )(and 34 ) 28 a 29 pbsm 30 ( 31 memcalc 31 memcalc 33 makin2 31 memcalc 34 ) 32 - 33 makin2 33 makin2 34 ) results : ecg entropy showed correlations to high frequency ( hf , 0.15 - 0.40 hz ) heart rate variability in the cardiac parasympathetic activity index [,] as did the ecg entropy value , and a negative correlation was found with the age ( r = 0.538 , p < 0.0001 ) , [and] positive correlation [with] [the] hf value ( r = 0.810 , p < 0.0001 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 , 1 results 2 : 2 : 3 ecg 2 : 7 to 3 ecg 4 entropy 3 ecg 5 showed 4 entropy 5 showed 5 showed 6 correlations 7 to 9 frequency 8 high 9 frequency 9 frequency 11 hf 10 ( 11 hf 11 hf 12 , 12 , 13 0.15 12 , 18 heart 13 0.15 16 hz 13 0.15 18 heart 14 - 16 hz 15 0.40 16 hz 16 hz 17 ) 18 heart 20 variability 18 heart 21 in 18 heart 28 as 19 rate 20 variability 21 in 26 index 22 the 26 index 23 cardiac 25 activity 24 parasympathetic 25 activity 25 activity 26 index 28 as 29 did 29 did 35 and 30 the 33 value 31 ecg 33 value 32 entropy 33 value 33 value 35 and 34 , 35 and 35 and 37 negative 35 and 38 correlation 35 and 40 found 36 a 37 negative 38 correlation 39 was 39 was 40 found 40 found 41 with 40 found 46 = 41 with 43 age 42 the 43 age 44 ( 46 = 45 r 46 = 46 = 47 0.538 47 0.538 50 < 47 0.538 59 hf 48 , 50 < 49 p 50 < 50 < 51 0.0001 50 < 52 ) 53 , 59 hf 55 positive 56 correlation 56 correlation 59 hf 59 hf 67 < 59 hf 70 . 60 value 63 = 61 ( 63 = 62 r 63 = 63 = 64 0.810 63 = 65 , 65 , 67 < 66 p 67 < 67 < 68 0.0001 67 < 69 ) the ecg entropy value and hf value decreased at [>] [or] = 60 years old [with] statistically significant . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 19 . 1 the 4 value 2 ecg 4 value 3 entropy 4 value 4 value 5 and 5 and 7 value 5 and 8 decreased 6 hf 7 value 8 decreased 9 at 8 decreased 18 significant 9 at 13 60 12 = 13 60 13 60 15 old 14 years 15 old 17 statistically 18 significant conclusion : the value of ecg entropy corresponds to cardiac parasympathetic [function] , and it decreases according to age ( [increase] by the absolute value ) . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 value 2 : 8 corresponds 2 : 27 . 3 the 4 value 4 value 5 of 4 value 8 corresponds 5 of 7 entropy 6 ecg 7 entropy 8 corresponds 9 to 8 corresponds 18 to 9 to 16 decreases 10 cardiac 16 decreases 11 parasympathetic 14 and 13 , 14 and 14 and 15 it 14 and 16 decreases 17 according 18 to 18 to 19 age 19 age 22 by 20 ( 22 by 22 by 25 value 22 by 26 ) 23 the 25 value 24 absolute 25 value a simple technique for imaging the human skeleton with a flatbed scanner is presented using the auricular surface of the ilium as an example . 0 ###LEFT-WALL### 3 technique 0 ###LEFT-WALL### 14 presented 0 ###LEFT-WALL### 25 . 1 a 2 simple 1 a 3 technique 2 simple 3 technique 3 technique 4 for 3 technique 13 is 4 for 5 imaging 5 imaging 8 skeleton 5 imaging 9 with 6 the 8 skeleton 7 human 8 skeleton 9 with 12 scanner 10 a 12 scanner 11 flatbed 12 scanner 13 is 14 presented 14 presented 15 using 15 using 18 surface 15 using 22 as 16 the 18 surface 17 auricular 18 surface 18 surface 19 of 19 of 21 ilium 20 the 21 ilium 22 as 24 example 23 an 24 example a flatbed scanner with resolution capabilities of 600 dpi or greater [allows] [for] images of human bones . 0 ###LEFT-WALL### 10 or 0 ###LEFT-WALL### 18 . 1 a 3 scanner 2 flatbed 3 scanner 3 scanner 4 with 3 scanner 10 or 4 with 6 capabilities 5 resolution 6 capabilities 6 capabilities 7 of 7 of 9 dpi 8 600 9 dpi 10 or 14 images 10 or 15 of 11 greater 14 images 15 of 17 bones 16 human 17 bones the auricular surface of the ilium was selected to demonstrate this technique as it is a fairly [three] [-] dimensional area that can be difficult to record photographically . 0 ###LEFT-WALL### 3 surface 0 ###LEFT-WALL### 8 selected 0 ###LEFT-WALL### 29 . 1 the 3 surface 2 auricular 3 surface 3 surface 4 of 3 surface 7 was 4 of 6 ilium 5 the 6 ilium 7 was 8 selected 8 selected 9 to 8 selected 13 as 9 to 10 demonstrate 10 demonstrate 12 technique 11 this 12 technique 13 as 27 record 14 it 15 is 15 is 21 area 15 is 22 that 15 is 23 can 15 is 26 to 16 a 17 fairly 16 a 21 area 17 fairly 20 dimensional 20 dimensional 21 area 22 that 23 can 23 can 24 be 24 be 25 difficult 26 to 27 record 27 record 28 photographically fifty left ilia of various ages at death from the athens collection were selected from which three observers ( scf , ce , and im ) scored the morphology of the auricular surface using a well - established aging method . 0 ###LEFT-WALL### 1 fifty 0 ###LEFT-WALL### 2 left 0 ###LEFT-WALL### 37 - 1 fifty 2 left 2 left 3 ilia 2 left 34 using 3 ilia 4 of 3 ilia 7 at 3 ilia 12 collection 3 ilia 13 were 3 ilia 14 selected 3 ilia 15 from 4 of 6 ages 5 various 6 ages 7 at 8 death 8 death 9 from 9 from 11 athens 10 the 11 athens 12 collection 13 were 15 from 16 which 15 from 18 observers 15 from 27 scored 17 three 18 observers 18 observers 24 and 18 observers 27 scored 19 ( 24 and 20 scf 21 , 21 , 22 ce 21 , 24 and 23 , 24 and 24 and 25 im 24 and 26 ) 27 scored 29 morphology 28 the 29 morphology 29 morphology 30 of 30 of 33 surface 31 the 33 surface 32 auricular 33 surface 34 using 36 well 35 a 36 well 37 - 40 method 37 - 41 . 38 established 40 method 39 aging 40 method observations were [taken] of the dry bone , of digital photographs of the bone , and [of] scanned images of the bone , and [in] that sequence . 0 ###LEFT-WALL### 1 observations 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 28 . 1 observations 16 and 2 were 4 of 2 were 16 and 4 of 7 bone 5 the 7 bone 6 dry 7 bone 7 bone 9 of 8 , 9 of 9 of 11 photographs 9 of 15 , 10 digital 11 photographs 11 photographs 12 of 12 of 14 bone 13 the 14 bone 16 and 18 scanned 16 and 19 images 19 images 20 of 20 of 24 and 21 the 22 bone 22 bone 24 and 23 , 24 and 24 and 27 sequence 26 that 27 sequence results indicate that scores of scanned images are equivalent or better than digital images of the same ilia . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 10 or 0 ###LEFT-WALL### 12 than 0 ###LEFT-WALL### 19 . 1 results 10 or 2 indicate 3 that 2 indicate 10 or 3 that 7 images 3 that 8 are 4 scores 5 of 4 scores 7 images 5 of 7 images 6 scanned 7 images 7 images 8 are 8 are 9 equivalent 10 or 11 better 10 or 12 than 12 than 14 images 12 than 18 ilia 13 digital 14 images 14 images 15 of 14 images 18 ilia 15 of 17 same 16 the 17 same this technique allows for sharing data electronically with ease . 0 ###LEFT-WALL### 2 technique 0 ###LEFT-WALL### 4 for 0 ###LEFT-WALL### 10 . 1 this 2 technique 2 technique 4 for 3 allows 4 for 4 for 6 data 4 for 7 electronically 4 for 8 with 5 sharing 6 data 8 with 9 ease [none] none [in] this article i report on a research project conducted in perth , western australia , which investigated [how] contemporary women experience physiological and psychosocial midlife transitions . 0 ###LEFT-WALL### 5 article 0 ###LEFT-WALL### 12 conducted 2 none 5 article 4 this 5 article 5 article 6 i 5 article 7 report 5 article 12 conducted 6 i 7 report 7 report 8 on 8 on 11 project 9 a 10 research 9 a 11 project 10 research 11 project 12 conducted 13 in 13 in 14 perth 14 perth 17 australia 15 , 17 australia 16 western 17 australia 17 australia 19 which 17 australia 30 . 18 , 19 which 19 which 24 experience 19 which 30 . 20 investigated 22 contemporary 22 contemporary 23 women 23 women 24 experience 24 experience 29 transitions 25 physiological 26 and 26 and 27 psychosocial 26 and 29 transitions 28 midlife 29 transitions qualitative [in] - depth interviews explored the challenges confronting women during this period . 0 ###LEFT-WALL### 5 interviews 0 ###LEFT-WALL### 6 explored 0 ###LEFT-WALL### 14 . 1 qualitative 3 - 1 qualitative 4 depth 4 depth 5 interviews 5 interviews 6 explored 6 explored 8 challenges 7 the 8 challenges 8 challenges 9 confronting 9 confronting 10 women 9 confronting 11 during 11 during 13 period 12 this 13 period in doing so , continuities and divergences that exist between existing literature on midlife transitions and women 's own perspectives are highlighted . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 21 are 0 ###LEFT-WALL### 23 . 1 in 3 so 1 in 4 , 1 in 6 and 2 doing 3 so 5 continuities 6 and 6 and 7 divergences 6 and 8 that 6 and 9 exist 6 and 21 are 8 that 9 exist 9 exist 10 between 9 exist 13 on 10 between 12 literature 11 existing 12 literature 13 on 16 and 14 midlife 15 transitions 15 transitions 16 and 16 and 20 perspectives 17 women 18 's 18 's 19 own 18 's 20 perspectives 21 are 22 highlighted based on key findings , i suggest that while most women manage the " classic " transitions of menopause and the " empty nest " [relatively] well , the impact of divorce and the aging [and] death of parents present more serious long - term challenges to women . 0 ###LEFT-WALL### 6 i 0 ###LEFT-WALL### 7 suggest 1 based 2 on 1 based 5 , 1 based 6 i 2 on 4 findings 3 key 4 findings 6 i 7 suggest 7 suggest 8 that 7 suggest 9 while 9 while 11 women 9 while 12 manage 10 most 11 women 11 women 12 manage 12 manage 17 transitions 13 the 14 " 13 the 17 transitions 15 classic 16 " 15 classic 17 transitions 17 transitions 18 of 18 of 27 well 19 menopause 20 and 20 and 23 empty 20 and 27 well 21 the 22 " 21 the 23 empty 24 nest 25 " 24 nest 27 well 27 well 37 death 28 , 37 death 29 the 37 death 30 impact 31 of 30 impact 33 and 31 of 32 divorce 33 and 35 aging 33 and 37 death 34 the 35 aging 37 death 38 of 37 death 47 to 37 death 49 . 38 of 40 present 39 parents 40 present 40 present 45 term 40 present 46 challenges 41 more 42 serious 42 serious 45 term 43 long 44 - 43 long 45 term 45 term 46 challenges 47 to 48 women i investigated the association between depression and percent body fat , two major global problems . 0 ###LEFT-WALL### 1 i 0 ###LEFT-WALL### 2 investigated 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 16 . 1 i 2 investigated 2 investigated 4 association 2 investigated 5 between 3 the 4 association 5 between 7 and 6 depression 7 and 7 and 10 fat 8 percent 9 body 9 body 10 fat 11 , 15 problems 12 two 15 problems 13 major 15 problems 14 global 15 problems participants are 1,704 american women , ages 39 - 49 , who responded to a detailed self - administered mailed questionnaire . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 22 . 1 participants 2 are 2 are 5 women 3 1,704 5 women 4 american 5 women 5 women 7 ages 6 , 7 ages 7 ages 9 - 7 ages 11 , 8 39 9 - 9 - 10 49 11 , 12 who 11 , 13 responded 11 , 18 - 12 who 13 responded 13 responded 14 to 14 to 17 self 15 a 17 self 16 detailed 17 self 18 - 21 questionnaire 19 administered 21 questionnaire 20 mailed 21 questionnaire my results showed a positive correlation ; the adjusted or = 1.70 , 95 % ci ( 1.20 , 2.39 ) , p = [.] 002 . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 7 ; 0 ###LEFT-WALL### 27 . 1 my 2 results 2 results 3 showed 3 showed 6 correlation 4 a 5 positive 4 a 6 correlation 5 positive 6 correlation 7 ; 10 or 7 ; 11 = 7 ; 13 , 8 the 10 or 9 adjusted 10 or 10 or 11 = 11 = 12 1.70 13 , 16 ci 13 , 24 = 14 95 16 ci 15 % 16 ci 16 ci 18 1.20 16 ci 24 = 17 ( 18 1.20 18 1.20 20 2.39 18 1.20 22 , 19 , 20 2.39 20 2.39 21 ) 23 p 24 = 24 = 26 002 percent body fat was estimated from age , height , and weight , a cost - free method that may be useful in areas in [which] dual energy x - ray absorptiometry , or other procedures are too costly or unavailable . 0 ###LEFT-WALL### 3 fat 0 ###LEFT-WALL### 16 - 1 percent 2 body 2 body 3 fat 3 fat 4 was 4 was 5 estimated 5 estimated 6 from 6 from 11 and 7 age 8 , 8 , 9 height 8 , 11 and 10 , 11 and 11 and 12 weight 11 and 13 , 11 and 15 cost 13 , 15 cost 14 a 15 cost 15 cost 16 - 16 - 18 method 16 - 21 be 16 - 30 - 16 - 42 . 17 free 18 method 18 method 19 that 18 method 20 may 18 method 21 be 19 that 20 may 21 be 22 useful 22 useful 23 in 22 useful 25 in 23 in 24 areas 25 in 28 energy 27 dual 28 energy 28 energy 29 x 30 - 34 or 31 ray 32 absorptiometry 32 absorptiometry 34 or 33 , 34 or 34 or 35 other 34 or 36 procedures 34 or 37 are 36 procedures 37 are 37 are 38 too 37 are 40 or 39 costly 40 or 40 or 41 unavailable my findings may aid health and mental health care providers in the management and treatment of patients seen in settings with limited resources . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 4 aid 0 ###LEFT-WALL### 24 . 1 my 2 findings 2 findings 3 may 3 may 4 aid 4 aid 6 and 4 aid 11 in 4 aid 19 in 5 health 6 and 6 and 10 providers 7 mental 8 health 8 health 10 providers 9 care 10 providers 11 in 14 and 12 the 13 management 13 management 14 and 14 and 15 treatment 14 and 16 of 14 and 18 seen 16 of 17 patients 19 in 20 settings 20 settings 21 with 21 with 23 resources 22 limited 23 resources in this paper , we analyse the life history narratives of 10 poor gay and bisexual black men over the age of 50 living with hiv/aids in new york city , focusing on experiences [of] [stigma] . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 analyse 1 in 3 paper 1 in 4 , 1 in 5 we 2 this 3 paper 5 we 6 analyse 6 analyse 10 narratives 6 analyse 25 with 6 analyse 27 in 7 the 10 narratives 8 life 9 history 9 history 10 narratives 10 narratives 11 of 11 of 18 men 12 10 18 men 13 poor 18 men 14 gay 15 and 15 and 16 bisexual 15 and 18 men 17 black 18 men 18 men 19 over 18 men 22 of 18 men 24 living 19 over 21 age 20 the 21 age 22 of 23 50 25 with 26 hiv/aids 27 in 30 city 28 new 29 york 29 york 30 city 30 city 32 focusing 31 , 32 focusing 32 focusing 33 on 32 focusing 37 . 33 on 34 experiences three overarching themes are identified . 0 ###LEFT-WALL### 3 themes 0 ###LEFT-WALL### 5 identified 0 ###LEFT-WALL### 6 . 1 three 3 themes 2 overarching 3 themes 3 themes 4 are 4 are 5 identified first , participants described the ways [in] which stigma marks them as ['] [just] one more body ['] within social and medical institutions , emphasising the dehumanisation they experience in these settings . 1 first 2 , 1 first 3 participants 3 participants 4 described 4 described 6 ways 4 described 8 which 5 the 6 ways 8 which 9 stigma 9 stigma 10 marks 10 marks 11 them 10 marks 12 as 10 marks 19 within 12 as 17 body 15 one 16 more 16 more 17 body 19 within 21 and 20 social 21 and 21 and 23 institutions 21 and 24 , 21 and 25 emphasising 22 medical 23 institutions 24 , 25 emphasising 25 emphasising 27 dehumanisation 25 emphasising 30 in 25 emphasising 33 . 26 the 27 dehumanisation 27 dehumanisation 28 they 27 dehumanisation 29 experience 28 they 29 experience 30 in 32 settings 31 these 32 settings second , respondents described the process of ['] knowing your place ['] within social hierarchies as a means through which they are rendered tolerable . 0 ###LEFT-WALL### 3 respondents 0 ###LEFT-WALL### 4 described 0 ###LEFT-WALL### 25 . 1 second 2 , 1 second 3 respondents 3 respondents 4 described 4 described 6 process 5 the 6 process 6 process 7 of 6 process 19 through 7 of 9 knowing 9 knowing 11 place 9 knowing 13 within 9 knowing 16 as 10 your 11 place 13 within 15 hierarchies 14 social 15 hierarchies 16 as 18 means 17 a 18 means 19 through 20 which 19 through 21 they 19 through 23 rendered 21 they 22 are 22 are 23 rendered 23 rendered 24 tolerable finally , interviewees described the dynamics of [stigma] as all - consuming , relegating them to the ['] quagmire of an hiv ghetto ['] . 0 ###LEFT-WALL### 3 interviewees 0 ###LEFT-WALL### 4 described 0 ###LEFT-WALL### 11 - 1 finally 2 , 1 finally 3 interviewees 3 interviewees 4 described 4 described 6 dynamics 5 the 6 dynamics 6 dynamics 7 of 7 of 9 as 9 as 10 all 11 - 12 consuming 12 consuming 14 relegating 13 , 14 relegating 14 relegating 15 them 14 relegating 16 to 14 relegating 25 . 16 to 19 quagmire 17 the 19 quagmire 19 quagmire 20 of 20 of 23 ghetto 21 an 23 ghetto 22 hiv 23 ghetto these findings emphasise that despite advances in treatment and an aging population of persons living with hiv , entrenched social stigmas continue to endanger the well - being of black men who have sex with men . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 emphasise 0 ###LEFT-WALL### 18 , 1 these 2 findings 2 findings 3 emphasise 3 emphasise 4 that 3 emphasise 5 despite 5 despite 9 and 6 advances 7 in 6 advances 9 and 7 in 8 treatment 9 and 12 population 10 an 12 population 11 aging 12 population 12 population 13 of 13 of 14 persons 14 persons 15 living 14 persons 16 with 16 with 17 hiv 18 , 21 stigmas 18 , 22 continue 19 entrenched 20 social 20 social 21 stigmas 21 stigmas 22 continue 22 continue 23 to 22 continue 24 endanger 23 to 24 endanger 24 endanger 26 well 24 endanger 28 being 25 the 26 well 27 - 28 being 28 being 29 of 28 being 35 with 28 being 37 . 29 of 31 men 30 black 31 men 31 men 32 who 31 men 33 have 32 who 33 have 33 have 34 sex 35 with 36 men background : the story recall test ( srt ) is one of the most reliable neuropsychological assessments for evaluating verbal memory function in order to distinguish between individuals with normal aging , mild cognitive impairment ( mci ) , and alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 6 test 2 : 26 distinguish 2 : 47 . 3 the 6 test 4 story 5 recall 5 recall 6 test 6 test 8 srt 6 test 10 is 7 ( 8 srt 8 srt 9 ) 10 is 11 one 11 one 12 of 12 of 14 most 13 the 14 most 14 most 17 assessments 14 most 26 distinguish 15 reliable 17 assessments 16 neuropsychological 17 assessments 17 assessments 18 for 17 assessments 22 function 18 for 19 evaluating 19 evaluating 21 memory 20 verbal 21 memory 22 function 23 in 23 in 24 order 24 order 25 to 24 order 26 distinguish 25 to 26 distinguish 26 distinguish 27 between 27 between 40 and 28 individuals 29 with 28 individuals 40 and 29 with 31 aging 30 normal 31 aging 31 aging 35 impairment 32 , 35 impairment 33 mild 35 impairment 34 cognitive 35 impairment 35 impairment 37 mci 35 impairment 39 , 36 ( 37 mci 37 mci 38 ) 39 , 40 and 40 and 43 disease 40 and 45 ad 41 alzheimer 42 's 42 's 43 disease 44 ( 45 ad 45 ad 46 ) the srt is analogous to the logical memory test in wechsler memory scale - iii , which has recently been developed and standardized to apply to older adults in korea . 0 ###LEFT-WALL### 2 srt 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 31 . 1 the 2 srt 2 srt 22 and 3 is 4 analogous 3 is 22 and 4 analogous 5 to 5 to 9 test 6 the 9 test 7 logical 8 memory 8 memory 9 test 9 test 10 in 9 test 17 which 9 test 18 has 10 in 13 scale 11 wechsler 12 memory 12 memory 13 scale 13 scale 15 iii 14 - 15 iii 15 iii 16 , 17 which 18 has 18 has 20 been 19 recently 20 been 20 been 21 developed 22 and 23 standardized 22 and 24 to 24 to 25 apply 25 apply 26 to 25 apply 29 in 26 to 28 adults 27 older 28 adults 29 in 30 korea the purpose of this study was to examine the usefulness of the srt and its ability to discriminate between normal cognitive aging and patients with mci or ad . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 29 . 1 the 2 purpose 2 purpose 3 of 2 purpose 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 18 discriminate 7 to 8 examine 8 examine 14 and 8 examine 17 to 9 the 14 and 10 usefulness 11 of 10 usefulness 14 and 11 of 13 srt 12 the 13 srt 14 and 16 ability 15 its 16 ability 17 to 18 discriminate 18 discriminate 19 between 19 between 27 or 20 normal 22 aging 21 cognitive 22 aging 22 aging 23 and 23 and 24 patients 23 and 25 with 23 and 27 or 25 with 26 mci 27 or 28 ad methods : one hundred and twelve patients with mci , 97 patients with ad , and 53 healthy elderly adults participated in this study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 25 . 1 methods 2 : 2 : 4 hundred 3 one 4 hundred 5 and 16 and 5 and 21 participated 6 twelve 7 patients 7 patients 8 with 7 patients 16 and 8 with 9 mci 9 mci 12 patients 10 , 12 patients 11 97 12 patients 12 patients 13 with 12 patients 15 , 13 with 14 ad 15 , 16 and 16 and 20 adults 16 and 21 participated 17 53 20 adults 18 healthy 20 adults 19 elderly 20 adults 21 participated 22 in 22 in 24 study 23 this 24 study the srt was compared with the clinical dementia rating ( cdr ) , global deterioration scale ( gds ) , korean [version] of the mini mental state examination ( k - mmse ) , and the korean version of the hopkins verbal learning test ( k - hvlt ) . 0 ###LEFT-WALL### 2 srt 0 ###LEFT-WALL### 4 compared 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 50 . 1 the 2 srt 2 srt 3 was 3 was 4 compared 4 compared 5 with 5 with 9 rating 6 the 9 rating 7 clinical 8 dementia 8 dementia 9 rating 9 rating 11 cdr 9 rating 18 gds 10 ( 11 cdr 11 cdr 12 ) 13 , 18 gds 14 global 15 deterioration 15 deterioration 16 scale 16 scale 18 gds 17 ( 18 gds 18 gds 19 ) 20 , 35 and 21 korean 23 of 21 korean 35 and 23 of 28 examination 24 the 28 examination 25 mini 26 mental 26 mental 27 state 27 state 28 examination 28 examination 30 k 28 examination 32 mmse 29 ( 30 k 30 k 31 - 31 - 32 mmse 32 mmse 33 ) 34 , 35 and 35 and 38 version 35 and 39 of 36 the 38 version 37 korean 38 version 39 of 44 test 40 the 44 test 41 hopkins 42 verbal 42 verbal 43 learning 43 learning 44 test 44 test 46 k 44 test 48 hvlt 45 ( 46 k 46 k 47 - 47 - 48 hvlt 48 hvlt 49 ) results : the srt was well - correlated with the dementia rating scales and [the] k - hvlt . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 srt 2 : 5 was 2 : 17 - 2 : 19 . 3 the 4 srt 4 srt 5 was 5 was 6 well 6 well 8 correlated 7 - 8 correlated 8 correlated 9 with 8 correlated 17 - 9 with 14 and 10 the 11 dementia 11 dementia 12 rating 11 dementia 14 and 12 rating 13 scales 14 and 16 k 17 - 18 hvlt however , the sensitivity [and] specificity of the srt was greatly influenced by the level of education of the subjects . 0 ###LEFT-WALL### 6 specificity 0 ###LEFT-WALL### 12 influenced 0 ###LEFT-WALL### 21 . 1 however 2 , 1 however 6 specificity 3 the 6 specificity 4 sensitivity 6 specificity 6 specificity 7 of 6 specificity 10 was 7 of 9 srt 8 the 9 srt 10 was 11 greatly 10 was 12 influenced 12 influenced 13 by 13 by 15 level 14 the 15 level 15 level 16 of 16 of 17 education 17 education 18 of 18 of 20 subjects 19 the 20 subjects conclusions : the srt is a sensitive measurement [of] verbal memory function that can be used in clinical settings to discriminate between normal memory functioning and the very early and moderate stages of ad in a korean population . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 srt 2 : 5 is 2 : 39 . 3 the 4 srt 4 srt 5 is 5 is 12 function 5 is 17 in 5 is 20 to 6 a 12 function 7 sensitive 8 measurement 8 measurement 12 function 10 verbal 11 memory 11 memory 12 function 12 function 13 that 12 function 14 can 13 that 14 can 14 can 15 be 15 be 16 used 17 in 19 settings 18 clinical 19 settings 20 to 21 discriminate 21 discriminate 22 between 22 between 26 and 23 normal 24 memory 24 memory 25 functioning 24 memory 26 and 26 and 38 population 27 the 28 very 27 the 29 early 29 early 30 and 30 and 32 stages 30 and 33 of 30 and 35 in 30 and 38 population 31 moderate 32 stages 33 of 34 ad 35 in 37 korean 36 a 37 korean moreover , it is important to recognize that the srt is more appropriate for subjects with a high level of education rather than a low level of education to differentiate normal cognitive aging from mci or ad . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 13 appropriate 0 ###LEFT-WALL### 38 . 1 moreover 2 , 1 moreover 3 it 3 it 4 is 4 is 5 important 5 important 6 to 5 important 13 appropriate 6 to 7 recognize 7 recognize 8 that 8 that 10 srt 8 that 13 appropriate 9 the 10 srt 10 srt 11 is 12 more 13 appropriate 13 appropriate 14 for 13 appropriate 23 than 13 appropriate 29 to 14 for 15 subjects 15 subjects 16 with 15 subjects 20 of 16 with 19 level 17 a 19 level 18 high 19 level 20 of 21 education 22 rather 23 than 23 than 26 level 24 a 26 level 25 low 26 level 26 level 27 of 27 of 28 education 29 to 30 differentiate 30 differentiate 36 or 31 normal 33 aging 32 cognitive 33 aging 33 aging 34 from 33 aging 36 or 34 from 35 mci 36 or 37 ad objective : lower urinary tract symptoms ( luts ) are common in aging men [and] are often associated with erectile dysfunction ( ed ) . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 6 symptoms 2 : 10 are 3 lower 5 tract 4 urinary 5 tract 5 tract 6 symptoms 6 symptoms 8 luts 6 symptoms 10 are 7 ( 8 luts 8 luts 9 ) 10 are 11 common 11 common 12 in 12 in 13 aging 13 aging 14 men 13 aging 16 are 13 aging 18 associated 14 men 16 are 16 are 17 often 18 associated 19 with 19 with 21 dysfunction 20 erectile 21 dysfunction 21 dysfunction 23 ed 22 ( 23 ed 23 ed 24 ) the international prostate symptoms score ( ipss ) and the sexual health inventory for men ( shim ) are commonly used validated instruments for luts and ed , respectively . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 19 are 1 the 7 ipss 2 international 3 prostate 3 prostate 4 symptoms 4 symptoms 5 score 5 score 7 ipss 6 ( 7 ipss 7 ipss 8 ) 7 ipss 9 and 9 and 13 inventory 9 and 14 for 9 and 17 shim 9 and 19 are 10 the 13 inventory 11 sexual 12 health 12 health 13 inventory 14 for 15 men 16 ( 17 shim 17 shim 18 ) 19 are 20 commonly 19 are 23 instruments 19 are 24 for 19 are 29 respectively 21 used 23 instruments 22 validated 23 instruments 24 for 26 and 25 luts 26 and 26 and 27 ed 28 , 29 respectively 29 respectively 30 . we explored the correlation between luts ( assessed by ipss ) and ed ( assessed by shim ) in men over 40 years of age . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 explored 0 ###LEFT-WALL### 26 . 1 we 2 explored 2 explored 4 correlation 2 explored 5 between 3 the 4 correlation 5 between 12 and 6 luts 8 assessed 6 luts 12 and 7 ( 8 assessed 8 assessed 9 by 8 assessed 11 ) 9 by 10 ipss 12 and 13 ed 12 and 19 in 12 and 21 over 13 ed 15 assessed 14 ( 15 assessed 15 assessed 16 by 15 assessed 18 ) 16 by 17 shim 19 in 20 men 21 over 23 years 22 40 23 years 23 years 24 of 24 of 25 age methods : a total of 585 men , 40 years [and] above , who [presented] with luts were prospectively enrolled into the study [at] single tertiary academic center . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 1 methods 2 : 2 : 4 total 3 a 4 total 4 total 5 of 5 of 7 men 6 585 7 men 7 men 12 above 7 men 14 who 8 , 12 above 9 40 10 years 10 years 12 above 12 above 13 , 13 , 14 who 14 who 16 with 14 who 18 were 14 who 29 . 16 with 17 luts 18 were 20 enrolled 19 prospectively 20 enrolled 20 enrolled 21 into 21 into 28 center 22 the 28 center 23 study 28 center 25 single 28 center 26 tertiary 27 academic 27 academic 28 center all patients were evaluated using shim and ipss questionnaires . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 4 evaluated 0 ###LEFT-WALL### 10 . 1 all 2 patients 2 patients 3 were 3 were 4 evaluated 4 evaluated 5 using 5 using 9 questionnaires 6 shim 7 and 7 and 8 ipss 8 ipss 9 questionnaires the self - administered ipss and shim questionnaires were translated in the local language ( not validated yet ) as well . 0 ###LEFT-WALL### 2 self 0 ###LEFT-WALL### 3 - 1 the 2 self 3 - 8 questionnaires 3 - 10 translated 3 - 22 . 4 administered 8 questionnaires 5 ipss 6 and 6 and 7 shim 7 shim 8 questionnaires 8 questionnaires 9 were 9 were 10 translated 10 translated 11 in 10 translated 18 yet 10 translated 21 well 11 in 14 language 12 the 14 language 13 local 14 language 15 ( 16 not 15 ( 18 yet 16 not 17 validated 18 yet 19 ) 20 as 21 well the data were analyzed using spss version 13.0 . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 4 analyzed 0 ###LEFT-WALL### 9 . 1 the 2 data 2 data 3 were 3 were 4 analyzed 4 analyzed 5 using 5 using 7 version 6 spss 7 version 7 version 8 13.0 the correlation coefficient between ipss and shim scores were determined , and the scatter diagram was made . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 9 were 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 18 . 1 the 3 coefficient 2 correlation 3 coefficient 3 coefficient 4 between 3 coefficient 6 and 4 between 5 ipss 6 and 8 scores 6 and 9 were 7 shim 8 scores 9 were 10 determined 11 , 12 and 12 and 15 diagram 12 and 17 made 13 the 15 diagram 14 scatter 15 diagram 15 diagram 16 was 16 was 17 made results and limitations : the mean age ( sd ) of the group [was] 59.61 ± 11.75 years . 0 ###LEFT-WALL### 3 limitations 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 19 . 1 results 2 and 2 and 3 limitations 4 : 7 age 5 the 7 age 6 mean 7 age 7 age 9 sd 7 age 11 of 8 ( 9 sd 9 sd 10 ) 11 of 18 years 12 the 18 years 13 group 18 years 15 59.61 18 years 16 ± 18 years 17 11.75 18 years the correlation between age and ed was statistically significant ( p [value] < 0.001 ) with coefficient [of] 0.376 . 0 ###LEFT-WALL### 2 correlation 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 20 . 1 the 2 correlation 2 correlation 3 between 2 correlation 7 was 3 between 5 and 4 age 5 and 5 and 6 ed 7 was 9 significant 8 statistically 9 significant 9 significant 13 < 9 significant 16 with 10 ( 13 < 11 p 13 < 13 < 14 0.001 13 < 15 ) 16 with 17 coefficient 17 coefficient 19 0.376 the correlation between age and luts was statistically significant ( p [value] < 0.001 ) with coefficient [of] 0.312 . 0 ###LEFT-WALL### 2 correlation 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 20 . 1 the 2 correlation 2 correlation 3 between 2 correlation 7 was 3 between 5 and 4 age 5 and 5 and 6 luts 7 was 9 significant 8 statistically 9 significant 9 significant 13 < 9 significant 16 with 10 ( 13 < 11 p 13 < 13 < 14 0.001 13 < 15 ) 16 with 17 coefficient 17 coefficient 19 0.312 additionally , the correlation between ed and luts was statistically significant ( p [value] < 0.001 ) with coefficient [of] 0.336 . 0 ###LEFT-WALL### 4 correlation 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 22 . 1 additionally 2 , 1 additionally 4 correlation 3 the 4 correlation 4 correlation 5 between 4 correlation 9 was 5 between 7 and 6 ed 7 and 7 and 8 luts 9 was 11 significant 10 statistically 11 significant 11 significant 15 < 11 significant 18 with 12 ( 15 < 13 p 15 < 15 < 16 0.001 15 < 17 ) 18 with 19 coefficient 19 coefficient 21 0.336 conclusions : we noted a significant correlation between the severity of luts and ed , while confirming the earlier established correlation between age , luts , and ed . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 3 we 2 : 4 noted 2 : 24 , 3 we 4 noted 4 noted 7 correlation 4 noted 8 between 4 noted 16 while 5 a 6 significant 5 a 7 correlation 6 significant 7 correlation 8 between 10 severity 9 the 10 severity 10 severity 11 of 11 of 14 ed 12 luts 13 and 13 and 14 ed 15 , 16 while 16 while 17 confirming 16 while 24 , 17 confirming 21 correlation 17 confirming 22 between 18 the 21 correlation 19 earlier 21 correlation 20 established 21 correlation 22 between 23 age 24 , 27 and 25 luts 27 and 26 , 27 and 27 and 28 ed the exact nature of this relationship and its pathophysiology needs to be determined by further studies . 0 ###LEFT-WALL### 3 nature 0 ###LEFT-WALL### 10 needs 0 ###LEFT-WALL### 17 . 1 the 3 nature 2 exact 3 nature 3 nature 4 of 3 nature 10 needs 4 of 7 and 5 this 6 relationship 6 relationship 7 and 7 and 9 pathophysiology 8 its 9 pathophysiology 10 needs 11 to 10 needs 12 be 11 to 12 be 12 be 13 determined 13 determined 14 by 14 by 16 studies 15 further 16 studies the aim of this article was to verify the sensitivity and specificity of the body mass index ( bmi ) cut - off points proposed by the world health organization ( who ) and the nutrition screening initiative ( nsi ) for the diagnosis of obesity in the elderly . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 25 proposed 0 ###LEFT-WALL### 50 . 1 the 2 aim 2 aim 3 of 2 aim 6 was 3 of 5 article 4 this 5 article 6 was 7 to 6 was 8 verify 7 to 8 verify 8 verify 11 and 8 verify 25 proposed 9 the 10 sensitivity 10 sensitivity 11 and 11 and 12 specificity 11 and 22 - 11 and 23 off 11 and 25 proposed 12 specificity 13 of 12 specificity 21 cut 13 of 17 index 14 the 17 index 15 body 17 index 16 mass 17 index 17 index 19 bmi 18 ( 19 bmi 19 bmi 20 ) 23 off 24 points 25 proposed 26 by 25 proposed 47 in 26 by 34 and 27 the 32 who 28 world 29 health 29 health 30 organization 30 organization 32 who 31 ( 32 who 32 who 33 ) 32 who 34 and 34 and 40 nsi 34 and 42 for 34 and 45 of 35 the 40 nsi 36 nutrition 37 screening 37 screening 38 initiative 38 initiative 40 nsi 39 ( 40 nsi 40 nsi 41 ) 42 for 44 diagnosis 43 the 44 diagnosis 45 of 46 obesity 47 in 49 elderly 48 the 49 elderly a cross - sectional study was made with 180 healthy elderly subjects from florianópolis , santa catarina state , brazil . 0 ###LEFT-WALL### 2 cross 0 ###LEFT-WALL### 3 - 1 a 2 cross 3 - 5 study 3 - 7 made 3 - 19 , 3 - 21 . 4 sectional 5 study 5 study 6 was 6 was 7 made 7 made 8 with 8 with 12 subjects 9 180 12 subjects 10 healthy 12 subjects 11 elderly 12 subjects 12 subjects 13 from 13 from 14 florianópolis 14 florianópolis 18 state 15 , 18 state 16 santa 17 catarina 17 catarina 18 state 18 state 19 , 19 , 20 brazil body fat [percentage] ( %bf ) was determined using dexa ( dual energy x - ray absorptiometry ) . 0 ###LEFT-WALL### 2 fat 0 ###LEFT-WALL### 8 determined 0 ###LEFT-WALL### 19 . 1 body 2 fat 2 fat 5 %bf 2 fat 7 was 4 ( 5 %bf 5 %bf 6 ) 7 was 8 determined 8 determined 9 using 9 using 10 dexa 10 dexa 13 energy 11 ( 13 energy 12 dual 13 energy 13 energy 14 x 13 energy 17 absorptiometry 13 energy 18 ) 15 - 17 absorptiometry 16 ray 17 absorptiometry 17 absorptiometry 18 ) the bmi cut - off [point] of the nsi offers better sensitivity and specificity for men ( 73.7 [%] and 72.5 % [respectively] ) . 0 ###LEFT-WALL### 3 cut 0 ###LEFT-WALL### 4 - 1 the 3 cut 2 bmi 3 cut 4 - 10 offers 4 - 11 better 4 - 25 . 5 off 7 of 7 of 9 nsi 7 of 10 offers 8 the 9 nsi 10 offers 11 better 11 better 13 and 11 better 15 for 12 sensitivity 13 and 13 and 14 specificity 15 for 16 men 16 men 22 % 17 ( 22 % 18 73.7 20 and 20 and 21 72.5 20 and 22 % 22 % 24 ) for women , the lower [the] cut - [off] point the better [the] sensitivity , with a bmi of 25 [kg] / m² ( sensitivity of 76.3 % and specificity of 100 % ) being the most accurate for diagnosing obesity in elderly women . 0 ###LEFT-WALL### 1 for 0 ###LEFT-WALL### 10 point 1 for 2 women 2 women 7 cut 2 women 10 point 3 , 7 cut 4 the 7 cut 5 lower 7 cut 7 cut 8 - 10 point 14 sensitivity 10 point 16 with 11 the 14 sensitivity 12 better 14 sensitivity 15 , 16 with 16 with 18 bmi 16 with 45 . 17 a 18 bmi 18 bmi 19 of 18 bmi 29 and 19 of 23 m² 20 25 23 m² 22 / 23 m² 24 ( 29 and 25 sensitivity 26 of 25 sensitivity 29 and 26 of 28 % 27 76.3 28 % 29 and 30 specificity 29 and 34 ) 29 and 35 being 29 and 45 . 30 specificity 31 of 31 of 33 % 32 100 33 % 35 being 37 most 36 the 37 most 37 most 38 accurate 38 accurate 39 for 38 accurate 42 in 39 for 40 diagnosing 40 diagnosing 41 obesity 42 in 44 women 43 elderly 44 women the who cut [-] off [point] offered very low sensitivity ( 28.9 % ) . 0 ###LEFT-WALL### 2 who 0 ###LEFT-WALL### 7 offered 0 ###LEFT-WALL### 15 . 1 the 2 who 2 who 3 cut 2 who 7 offered 3 cut 5 off 7 offered 10 sensitivity 8 very 9 low 9 low 10 sensitivity 10 sensitivity 13 % 11 ( 13 % 12 28.9 13 % 13 % 14 ) the results of this investigation lead to the conclusion that the cut [-] off points proposed by the who and the ones adopted by the nsi and by lipschitz are not good indicators of obesity for the elderly of either sex , since they offer low sensitivity . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 6 lead 0 ###LEFT-WALL### 16 proposed 0 ###LEFT-WALL### 20 and 1 the 2 results 2 results 3 of 2 results 6 lead 3 of 5 investigation 4 this 5 investigation 6 lead 7 to 7 to 9 conclusion 8 the 9 conclusion 9 conclusion 10 that 10 that 12 cut 10 that 16 proposed 11 the 12 cut 12 cut 14 off 12 cut 16 proposed 14 off 15 points 16 proposed 17 by 17 by 19 who 18 the 19 who 20 and 22 ones 20 and 30 are 21 the 22 ones 22 ones 23 adopted 22 ones 27 and 22 ones 30 are 24 by 26 nsi 24 by 27 and 25 the 26 nsi 27 and 28 by 28 by 29 lipschitz 30 are 31 not 30 are 33 indicators 30 are 43 since 32 good 33 indicators 33 indicators 34 of 33 indicators 36 for 33 indicators 39 of 34 of 35 obesity 36 for 38 elderly 37 the 38 elderly 39 of 41 sex 40 either 41 sex 42 , 43 since 43 since 44 they 43 since 45 offer 43 since 48 . 44 they 45 offer 45 offer 47 sensitivity 46 low 47 sensitivity aim : the objective of this article is to evaluate the relationship between the changes in prescriptions of antiosteoporotic drugs ( mainly the rapid fall in the use of bisphosphonates [ bps ] ) and standardized hip fracture ( hf ) rates over the period 2005 - 2008 in the australian capital territory ( act ) . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 evaluate 0 ###LEFT-WALL### 57 . 2 : 4 objective 2 : 8 is 3 the 4 objective 4 objective 5 of 4 objective 8 is 5 of 7 article 6 this 7 article 8 is 9 to 9 to 10 evaluate 10 evaluate 42 rates 10 evaluate 43 over 10 evaluate 49 in 11 the 12 relationship 12 relationship 13 between 12 relationship 18 of 12 relationship 35 and 13 between 15 changes 14 the 15 changes 15 changes 16 in 16 in 17 prescriptions 18 of 20 drugs 19 antiosteoporotic 20 drugs 20 drugs 25 fall 21 ( 22 mainly 21 ( 25 fall 23 the 25 fall 24 rapid 25 fall 25 fall 26 in 25 fall 29 of 25 fall 32 bps 25 fall 34 ) 26 in 28 use 27 the 28 use 29 of 30 bisphosphonates 31 [ 32 bps 32 bps 33 ] 35 and 38 fracture 35 and 40 hf 35 and 42 rates 36 standardized 38 fracture 37 hip 38 fracture 39 ( 40 hf 40 hf 41 ) 43 over 45 period 44 the 45 period 45 period 47 - 46 2005 47 - 47 - 48 2008 49 in 55 act 50 the 51 australian 51 australian 55 act 52 capital 53 territory 53 territory 55 act 54 ( 55 act 55 act 56 ) methods : annual sex - and age - specific hf rates [(] per 100,000 population ) were determined and standardized using the australian 2006 population census . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 27 . 1 methods 2 : 2 : 4 sex 3 annual 4 sex 5 - 6 and 6 and 7 age 6 and 19 and 7 age 11 rates 7 age 19 and 8 - 11 rates 9 specific 11 rates 10 hf 11 rates 11 rates 13 per 11 rates 16 ) 13 per 15 population 14 100,000 15 population 17 were 18 determined 17 were 19 and 19 and 20 standardized 19 and 21 using 21 using 26 census 22 the 26 census 23 australian 25 population 24 2006 25 population 25 population 26 census data on the annual prescriptions of bps ( mainly alendronate and risedronate ) , strontium ranelate , and hormone replacement therapy were obtained from the australian pharmaceutical benefits scheme ( pbs ) and repatriation australian pharmaceutical benefits scheme ( rpbs ) databases . 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 23 obtained 0 ###LEFT-WALL### 33 and 0 ###LEFT-WALL### 43 . 1 data 2 on 1 data 6 of 1 data 18 and 2 on 5 prescriptions 3 the 5 prescriptions 4 annual 5 prescriptions 6 of 7 bps 7 bps 11 and 7 bps 16 ranelate 8 ( 9 mainly 8 ( 11 and 10 alendronate 11 and 11 and 12 risedronate 11 and 13 ) 14 , 16 ranelate 15 strontium 16 ranelate 16 ranelate 17 , 18 and 21 therapy 18 and 22 were 19 hormone 21 therapy 20 replacement 21 therapy 22 were 23 obtained 23 obtained 24 from 24 from 31 pbs 25 the 26 australian 26 australian 31 pbs 27 pharmaceutical 28 benefits 28 benefits 29 scheme 29 scheme 31 pbs 30 ( 31 pbs 31 pbs 32 ) 33 and 40 rpbs 33 and 42 databases 34 repatriation 35 australian 35 australian 40 rpbs 36 pharmaceutical 37 benefits 37 benefits 38 scheme 38 scheme 40 rpbs 39 ( 40 rpbs 40 rpbs 41 ) 40 rpbs 42 databases results : in the act , the peak annual number of prescriptions for bps was observed in 2006 . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 10 number 2 : 16 observed 2 : 19 . 3 in 5 act 3 in 6 , 3 in 10 number 4 the 5 act 7 the 10 number 8 peak 10 number 9 annual 10 number 10 number 11 of 10 number 13 for 10 number 15 was 11 of 12 prescriptions 13 for 14 bps 15 was 16 observed 16 observed 17 in 17 in 18 2006 following reports linking osteonecrosis of the jaw with bp use , the number of bp prescriptions dropped by 14 % in 2007 - 2008 compared with 2005 , when the lowest hf rates were recorded . 0 ###LEFT-WALL### 16 prescriptions 0 ###LEFT-WALL### 17 dropped 0 ###LEFT-WALL### 36 . 1 following 2 reports 1 following 8 with 1 following 11 , 1 following 16 prescriptions 2 reports 3 linking 3 linking 4 osteonecrosis 4 osteonecrosis 5 of 5 of 7 jaw 6 the 7 jaw 8 with 9 bp 8 with 10 use 12 the 13 number 13 number 14 of 13 number 16 prescriptions 14 of 16 prescriptions 15 bp 16 prescriptions 16 prescriptions 17 dropped 17 dropped 18 by 17 dropped 29 when 18 by 20 % 19 14 20 % 20 % 21 in 21 in 22 2007 22 2007 24 2008 23 - 24 2008 24 2008 25 compared 24 2008 26 with 24 2008 28 , 26 with 27 2005 29 when 33 rates 29 when 35 recorded 30 the 31 lowest 30 the 33 rates 32 hf 33 rates 33 rates 34 were 34 were 35 recorded the reduction in bp prescriptions coincided with increased hf rates in females in 2007 ( +22.6 [%] ) and in 2008 ( +25.2 [%] ) compared with 2005 ; in males , hf [incidence] declined by 6.6 [%] and 16.7 % , respectively . 0 ###LEFT-WALL### 2 reduction 0 ###LEFT-WALL### 8 increased 0 ###LEFT-WALL### 29 ; 1 the 2 reduction 2 reduction 3 in 2 reduction 8 increased 3 in 4 bp 4 bp 5 prescriptions 4 bp 7 with 5 prescriptions 6 coincided 6 coincided 7 with 8 increased 10 rates 9 hf 10 rates 10 rates 11 in 10 rates 19 and 10 rates 26 compared 11 in 12 females 13 in 14 2007 13 in 19 and 14 2007 16 +22.6 15 ( 16 +22.6 16 +22.6 18 ) 19 and 20 in 20 in 21 2008 21 2008 23 +25.2 22 ( 23 +25.2 23 +25.2 25 ) 26 compared 27 with 27 with 28 2005 29 ; 33 hf 29 ; 35 declined 30 in 31 males 30 in 32 , 30 in 33 hf 33 hf 35 declined 35 declined 36 by 35 declined 43 respectively 36 by 41 % 37 6.6 39 and 39 and 40 16.7 39 and 41 % 42 , 43 respectively 43 respectively 44 . the proportion of filled prescriptions for strontium ranelate , risedronate , and alendronate in 2007 - 2008 was 1:8.4:15.5 , indicating that bps were the dominant antiosteoporotic drugs . 0 ###LEFT-WALL### 2 proportion 0 ###LEFT-WALL### 18 was 1 the 2 proportion 2 proportion 3 of 2 proportion 6 for 2 proportion 18 was 3 of 5 prescriptions 4 filled 5 prescriptions 6 for 12 and 7 strontium 8 ranelate 8 ranelate 9 , 9 , 10 risedronate 9 , 12 and 11 , 12 and 12 and 13 alendronate 12 and 14 in 14 in 16 - 15 2007 16 - 16 - 17 2008 18 was 19 1:8.4:15.5 19 1:8.4:15.5 21 indicating 20 , 21 indicating 21 indicating 22 that 21 indicating 29 . 22 that 23 bps 22 that 24 were 23 bps 24 were 24 were 28 drugs 25 the 28 drugs 26 dominant 28 drugs 27 antiosteoporotic 28 drugs there was an inverse statistically significant relationship between the total annual number of bp prescriptions and standardized hf incidence rates for the 10 - year period 1999 - 2008 . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 30 . 1 there 16 and 2 was 7 relationship 2 was 8 between 2 was 16 and 3 an 4 inverse 3 an 7 relationship 4 inverse 7 relationship 5 statistically 6 significant 6 significant 7 relationship 8 between 12 number 9 the 12 number 10 total 11 annual 11 annual 12 number 12 number 13 of 13 of 15 prescriptions 14 bp 15 prescriptions 16 and 17 standardized 16 and 29 2008 17 standardized 20 rates 18 hf 19 incidence 19 incidence 20 rates 20 rates 21 for 21 for 23 10 22 the 23 10 23 10 26 period 24 - 26 period 25 year 26 period 26 period 27 1999 26 period 28 - conclusion : although currently there is no clear understanding of factors contributing to changing hf epidemiology , the available evidence suggests that much of the decline in hf rates is due to the use of bps . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 20 evidence 2 : 21 suggests 2 : 37 . 3 although 5 there 3 although 6 is 3 although 17 , 3 although 20 evidence 4 currently 5 there 5 there 6 is 6 is 9 understanding 7 no 9 understanding 8 clear 9 understanding 9 understanding 10 of 10 of 11 factors 11 factors 12 contributing 11 factors 13 to 13 to 14 changing 14 changing 16 epidemiology 15 hf 16 epidemiology 18 the 20 evidence 19 available 20 evidence 20 evidence 21 suggests 21 suggests 22 that 22 that 23 much 22 that 30 is 23 much 24 of 23 much 30 is 24 of 26 decline 25 the 26 decline 26 decline 27 in 27 in 29 rates 28 hf 29 rates 30 is 32 to 31 due 32 to 32 to 34 use 33 the 34 use 34 use 35 of 35 of 36 bps the fall in the use of bps is associated with an increase in hf rates in females , indicating that bps should still be considered the first - line medications for the prevention and treatment of osteoporosis . 0 ###LEFT-WALL### 2 fall 0 ###LEFT-WALL### 9 associated 1 the 2 fall 2 fall 3 in 2 fall 8 is 3 in 5 use 4 the 5 use 5 use 6 of 6 of 7 bps 8 is 9 associated 9 associated 10 with 9 associated 13 in 10 with 12 increase 11 an 12 increase 13 in 15 rates 14 hf 15 rates 15 rates 16 in 16 in 17 females 17 females 19 indicating 18 , 19 indicating 19 indicating 20 that 19 indicating 38 . 20 that 21 bps 20 that 25 considered 21 bps 22 should 22 should 24 be 23 still 24 be 24 be 25 considered 25 considered 27 first 26 the 27 first 27 first 34 and 28 - 34 and 29 line 30 medications 30 medications 31 for 30 medications 34 and 31 for 33 prevention 32 the 33 prevention 34 and 35 treatment 34 and 36 of 34 and 38 . 36 of 37 osteoporosis our results need to be confirmed in other populations and countries . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 need 0 ###LEFT-WALL### 12 . 1 our 2 results 2 results 3 need 3 need 4 to 3 need 6 confirmed 4 to 5 be 5 be 6 confirmed 6 confirmed 7 in 7 in 10 and 8 other 9 populations 9 populations 10 and 10 and 11 countries bone remodeling requires a precise balance between resorption and formation . 0 ###LEFT-WALL### 2 remodeling 0 ###LEFT-WALL### 3 requires 0 ###LEFT-WALL### 11 . 1 bone 2 remodeling 2 remodeling 3 requires 3 requires 6 balance 3 requires 7 between 4 a 5 precise 4 a 6 balance 5 precise 6 balance 7 between 9 and 8 resorption 9 and 9 and 10 formation it is a complex process that involves numerous factors : hormones , growth factors , vitamins , and cytokines , and [notably] osteoprotegerin ( opg ) and receptor activator for nuclear [factor] - κb ( rank ) ligand . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 39 . 1 it 2 is 2 is 5 process 2 is 10 : 3 a 4 complex 3 a 5 process 4 complex 5 process 5 process 6 that 5 process 7 involves 6 that 7 involves 7 involves 9 factors 8 numerous 9 factors 10 : 27 and 10 : 38 ligand 11 hormones 12 , 12 , 14 factors 12 , 15 , 13 growth 14 factors 15 , 16 vitamins 15 , 18 and 17 , 18 and 18 and 19 cytokines 18 and 20 , 18 and 21 and 21 and 23 osteoprotegerin 21 and 25 opg 21 and 27 and 24 ( 25 opg 25 opg 26 ) 27 and 29 activator 27 and 30 for 27 and 36 rank 27 and 38 ligand 28 receptor 29 activator 30 for 34 κb 31 nuclear 33 - 31 nuclear 34 κb 35 ( 36 rank 36 rank 37 ) the signaling pathway opg/rank/rankl is key to regulation for maintaining the balance between the activity of osteoblasts and osteoclasts in order to prevent bone loss and ensure a normal bone turnover . 0 ###LEFT-WALL### 3 pathway 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 32 . 1 the 3 pathway 2 signaling 3 pathway 3 pathway 4 opg/rank/rankl 3 pathway 16 of 3 pathway 18 and 4 opg/rank/rankl 5 is 5 is 6 key 6 key 7 to 6 key 9 for 6 key 12 balance 6 key 13 between 7 to 8 regulation 9 for 10 maintaining 11 the 12 balance 13 between 15 activity 14 the 15 activity 15 activity 16 of 17 osteoblasts 18 and 18 and 19 osteoclasts 18 and 20 in 20 in 21 order 21 order 22 to 21 order 26 and 22 to 26 and 23 prevent 25 loss 23 prevent 26 and 24 bone 25 loss 26 and 27 ensure 26 and 31 turnover 28 a 29 normal 28 a 31 turnover 29 normal 30 bone 30 bone 31 turnover in this review , the rank/rankl/opg pathway is described . 0 ###LEFT-WALL### 7 pathway 0 ###LEFT-WALL### 9 described 0 ###LEFT-WALL### 10 . 1 in 3 review 1 in 4 , 1 in 7 pathway 2 this 3 review 5 the 7 pathway 6 rank/rankl/opg 7 pathway 7 pathway 8 is 8 is 9 described the multiple interactions of various factors ( hormones , cytokines , growth factors , and vitamins ) with the opg/rank/rankl pathway are also [commented] on . 0 ###LEFT-WALL### 3 interactions 0 ###LEFT-WALL### 26 . 1 the 3 interactions 2 multiple 3 interactions 3 interactions 4 of 3 interactions 18 with 3 interactions 22 are 4 of 6 factors 5 various 6 factors 6 factors 15 and 7 ( 15 and 8 hormones 9 , 9 , 10 cytokines 9 , 11 , 11 , 13 factors 11 , 15 and 12 growth 13 factors 14 , 15 and 15 and 16 vitamins 15 and 17 ) 18 with 21 pathway 19 the 21 pathway 20 opg/rank/rankl 21 pathway 22 are 23 also 22 are 25 on finally , the effects of denosumab , a human monoclonal antibody that binds to rankl and thereby inhibits the activation of osteoclasts , and [of] strontium ranelate are also described . 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 28 are 0 ###LEFT-WALL### 31 . 1 finally 2 , 1 finally 24 and 3 the 4 effects 4 effects 5 of 4 effects 24 and 5 of 6 denosumab 6 denosumab 11 antibody 7 , 11 antibody 8 a 9 human 8 a 11 antibody 9 human 11 antibody 10 monoclonal 11 antibody 11 antibody 12 that 11 antibody 16 and 11 antibody 23 , 12 that 16 and 13 binds 14 to 13 binds 16 and 14 to 15 rankl 16 and 18 inhibits 17 thereby 18 inhibits 18 inhibits 20 activation 19 the 20 activation 20 activation 21 of 21 of 22 osteoclasts 24 and 27 ranelate 24 and 28 are 26 strontium 27 ranelate 28 are 29 also 28 are 30 described indeed , these two new drugs afford appreciable assistance in daily care practice , helping to prevent bone loss in patients with osteoporosis . 0 ###LEFT-WALL### 6 drugs 0 ###LEFT-WALL### 7 afford 1 indeed 2 , 1 indeed 6 drugs 3 these 4 two 4 two 6 drugs 5 new 6 drugs 6 drugs 7 afford 7 afford 9 assistance 8 appreciable 9 assistance 9 assistance 10 in 10 in 13 practice 11 daily 12 care 12 care 13 practice 13 practice 15 helping 14 , 15 helping 15 helping 16 to 15 helping 17 prevent 15 helping 24 . 16 to 17 prevent 17 prevent 19 loss 17 prevent 20 in 17 prevent 22 with 18 bone 19 loss 20 in 21 patients 22 with 23 osteoporosis colles ' fractures ( fractures of the distal radius ) are extremely common in the elderly . 0 ###LEFT-WALL### 3 fractures 0 ###LEFT-WALL### 11 are 0 ###LEFT-WALL### 17 . 1 colles 2 ' 2 ' 3 fractures 3 fractures 5 fractures 3 fractures 11 are 4 ( 5 fractures 5 fractures 6 of 5 fractures 10 ) 6 of 9 radius 7 the 9 radius 8 distal 9 radius 11 are 13 common 12 extremely 13 common 13 common 14 in 14 in 16 elderly 15 the 16 elderly these fractures tend to result in displacement in elderly people because they have [osteoporotic] bone . 0 ###LEFT-WALL### 2 fractures 0 ###LEFT-WALL### 3 tend 0 ###LEFT-WALL### 16 . 1 these 2 fractures 2 fractures 3 tend 3 tend 4 to 3 tend 5 result 4 to 5 result 5 result 6 in 5 result 8 in 6 in 7 displacement 8 in 10 people 9 elderly 10 people 10 people 11 because 10 people 13 have 11 because 12 they 12 they 13 have 13 have 15 bone fracture displacement in the elderly , however , does not necessarily result in functional impairment . 0 ###LEFT-WALL### 2 displacement 0 ###LEFT-WALL### 12 result 0 ###LEFT-WALL### 16 . 1 fracture 2 displacement 2 displacement 3 in 2 displacement 9 does 3 in 5 elderly 4 the 5 elderly 6 , 7 however 7 however 8 , 7 however 9 does 9 does 10 not 9 does 12 result 11 necessarily 12 result 12 result 13 in 13 in 15 impairment 14 functional 15 impairment this review looks at the current literature on distal radius fractures in the elderly and the treatment options for stabilization of these fractures . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 looks 0 ###LEFT-WALL### 24 . 1 this 2 review 2 review 3 looks 3 looks 4 at 4 at 15 and 5 the 7 literature 6 current 7 literature 7 literature 8 on 7 literature 15 and 8 on 11 fractures 9 distal 10 radius 10 radius 11 fractures 11 fractures 12 in 12 in 14 elderly 13 the 14 elderly 15 and 18 options 15 and 19 for 15 and 21 of 16 the 18 options 17 treatment 18 options 19 for 20 stabilization 21 of 23 fractures 22 these 23 fractures these include conservative management with cast immobilization or surgical options : internal fixation , external fixation , percutaneous pinning , and bone substitutes . 0 ###LEFT-WALL### 1 these 0 ###LEFT-WALL### 2 include 0 ###LEFT-WALL### 11 : 0 ###LEFT-WALL### 24 . 1 these 2 include 2 include 4 management 2 include 5 with 3 conservative 4 management 5 with 8 or 6 cast 7 immobilization 7 immobilization 8 or 8 or 10 options 8 or 11 : 9 surgical 10 options 11 : 21 and 12 internal 13 fixation 13 fixation 14 , 14 , 16 fixation 14 , 17 , 15 external 16 fixation 17 , 19 pinning 17 , 21 and 18 percutaneous 19 pinning 20 , 21 and 21 and 23 substitutes 22 bone 23 substitutes objective : the use of physicians is more common than of behavioral specialists , especially in underserved asian american communities . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 4 use 2 : 7 is 3 the 4 use 4 use 5 of 4 use 7 is 5 of 6 physicians 7 is 9 common 8 more 9 common 9 common 10 than 10 than 11 of 11 of 13 specialists 12 behavioral 13 specialists 13 specialists 16 in 14 , 15 especially 14 , 16 in 16 in 20 communities 16 in 21 . 17 underserved 18 asian 18 asian 20 communities 19 american 20 communities despite a rapidly aging asian american population , research has overlooked older people . 0 ###LEFT-WALL### 9 research 0 ###LEFT-WALL### 11 overlooked 0 ###LEFT-WALL### 14 . 1 despite 7 population 1 despite 8 , 1 despite 9 research 2 a 7 population 3 rapidly 4 aging 4 aging 5 asian 5 asian 7 population 6 american 7 population 9 research 10 has 10 has 11 overlooked 11 overlooked 13 people 12 older 13 people this study examines the way mental health need affects the number of physician contacts by older asian americans . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 examines 0 ###LEFT-WALL### 19 . 1 this 2 study 2 study 3 examines 3 examines 5 way 3 examines 8 need 3 examines 9 affects 4 the 5 way 6 mental 7 health 7 health 8 need 8 need 9 affects 9 affects 14 contacts 9 affects 15 by 10 the 11 number 11 number 12 of 11 number 14 contacts 12 of 14 contacts 13 physician 14 contacts 15 by 18 americans 16 older 17 asian 17 asian 18 americans method : this study uses data on self [-] identified asian americans aged over age 50 years derived from the 2001 california health interview survey . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 4 study 2 : 5 uses 3 this 4 study 4 study 5 uses 5 uses 6 data 6 data 7 on 6 data 13 aged 6 data 17 years 6 data 18 derived 7 on 12 americans 8 self 12 americans 10 identified 11 asian 11 asian 12 americans 13 aged 14 over 14 over 15 age 16 50 17 years 17 years 18 derived 18 derived 19 from 19 from 25 survey 20 the 25 survey 21 2001 22 california 22 california 23 health 23 health 24 interview 24 interview 25 survey a total of 1191 asian americans from chinese , filipino , korean , and vietnamese backgrounds were studied . 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 18 studied 0 ###LEFT-WALL### 19 . 1 a 2 total 2 total 3 of 2 total 9 , 3 of 6 americans 4 1191 6 americans 5 asian 6 americans 6 americans 7 from 7 from 8 chinese 9 , 10 filipino 9 , 11 , 11 , 12 korean 11 , 14 and 13 , 14 and 14 and 16 backgrounds 14 and 17 were 15 vietnamese 16 backgrounds 17 were 18 studied replicate weights [were] applied to account for the survey 's complex sampling methods . 0 ###LEFT-WALL### 1 replicate 0 ###LEFT-WALL### 14 . 1 replicate 2 weights 2 weights 4 applied 4 applied 5 to 5 to 6 account 6 account 7 for 7 for 11 complex 8 the 9 survey 9 survey 10 's 10 's 11 complex 11 complex 12 sampling 12 sampling 13 methods linear regression was used to identify the number of physician contacts . 0 ###LEFT-WALL### 2 regression 0 ###LEFT-WALL### 4 used 0 ###LEFT-WALL### 12 . 1 linear 2 regression 2 regression 3 was 3 was 4 used 4 used 5 to 4 used 6 identify 5 to 6 identify 6 identify 11 contacts 7 the 8 number 8 number 9 of 8 number 11 contacts 9 of 11 contacts 10 physician 11 contacts results : overall , respondents had seen a doctor an average of five times in the previous 12 months ; 7 % perceived that they had a mental health need . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 2 : 3 overall 2 : 4 , 4 , 5 respondents 4 , 7 seen 4 , 20 ; 5 respondents 6 had 6 had 7 seen 7 seen 9 doctor 7 seen 15 in 8 a 9 doctor 9 doctor 11 average 9 doctor 14 times 10 an 11 average 11 average 12 of 11 average 14 times 12 of 13 five 15 in 19 months 16 the 17 previous 16 the 18 12 18 12 19 months 20 ; 22 % 20 ; 23 perceived 21 7 22 % 22 % 23 perceived 23 perceived 24 that 24 that 25 they 24 that 26 had 25 they 26 had 26 had 30 need 27 a 28 mental 27 a 30 need 28 mental 29 health 29 health 30 need perceiving a mental health need was associated with a decreased number of physician contacts for filipino and korean americans . 0 ###LEFT-WALL### 1 perceiving 0 ###LEFT-WALL### 7 associated 0 ###LEFT-WALL### 20 . 1 perceiving 5 need 1 perceiving 6 was 2 a 5 need 3 mental 4 health 4 health 5 need 6 was 7 associated 7 associated 8 with 7 associated 15 for 8 with 14 contacts 9 a 11 number 10 decreased 11 number 11 number 12 of 11 number 14 contacts 12 of 14 contacts 13 physician 14 contacts 15 for 17 and 16 filipino 17 and 17 and 19 americans 18 korean 19 americans conclusion : this study revealed interethnic differences among older asian americans ' contact with physicians . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 revealed 2 : 16 . 3 this 4 study 4 study 5 revealed 5 revealed 7 differences 5 revealed 8 among 5 revealed 14 with 6 interethnic 7 differences 8 among 13 contact 9 older 10 asian 10 asian 11 americans 11 americans 12 ' 12 ' 13 contact 14 with 15 physicians as older filipino and korean americans who perceive a mental health need have fewer contacts with their physician , correctly identifying mental health needs in the health care system for these groups is crucial . 0 ###LEFT-WALL### 21 identifying 0 ###LEFT-WALL### 33 is 0 ###LEFT-WALL### 35 . 1 as 4 and 1 as 13 have 1 as 19 , 1 as 21 identifying 2 older 3 filipino 3 filipino 4 and 4 and 6 americans 4 and 7 who 4 and 8 perceive 4 and 13 have 5 korean 6 americans 7 who 8 perceive 8 perceive 12 need 9 a 10 mental 9 a 12 need 10 mental 11 health 11 health 12 need 13 have 15 contacts 13 have 16 with 14 fewer 15 contacts 16 with 18 physician 17 their 18 physician 20 correctly 21 identifying 21 identifying 24 needs 21 identifying 25 in 21 identifying 30 for 21 identifying 33 is 22 mental 23 health 23 health 24 needs 25 in 29 system 26 the 29 system 27 health 28 care 28 care 29 system 30 for 32 groups 31 these 32 groups 33 is 34 crucial health and mental health professionals can work toward reducing mental health disparities by accounting for older asian americans ' help - seeking patterns when designing evidence - based interventions . 0 ###LEFT-WALL### 1 health 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 28 based 0 ###LEFT-WALL### 30 . 2 and 5 professionals 2 and 7 work 3 mental 4 health 4 health 5 professionals 5 professionals 6 can 6 can 7 work 7 work 8 toward 7 work 13 by 7 work 15 for 8 toward 9 reducing 9 reducing 12 disparities 10 mental 11 health 11 health 12 disparities 13 by 14 accounting 15 for 20 help 16 older 17 asian 17 asian 18 americans 18 americans 19 ' 19 ' 20 help 20 help 22 seeking 20 help 28 based 21 - 22 seeking 22 seeking 23 patterns 22 seeking 24 when 22 seeking 27 - 24 when 25 designing 25 designing 26 evidence 28 based 29 interventions less than half of older adults with depression achieve remission with antidepressant medications , and rates of remission are even poorer for those with comorbid conditions . 0 ###LEFT-WALL### 3 half 0 ###LEFT-WALL### 9 achieve 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 27 . 1 less 2 than 2 than 3 half 3 half 4 of 3 half 9 achieve 4 of 6 adults 5 older 6 adults 6 adults 7 with 7 with 8 depression 9 achieve 10 remission 9 achieve 11 with 11 with 13 medications 12 antidepressant 13 medications 14 , 15 and 15 and 16 rates 15 and 19 are 16 rates 17 of 16 rates 19 are 17 of 18 remission 19 are 20 even 19 are 21 poorer 21 poorer 22 for 21 poorer 24 with 22 for 23 those 24 with 26 conditions 25 comorbid 26 conditions psychosocial interventions have been effective in treating geriatric depression , either alone [or] better yet , in combination [with] antidepressant medications . 0 ###LEFT-WALL### 2 interventions 0 ###LEFT-WALL### 4 been 0 ###LEFT-WALL### 22 . 1 psychosocial 2 interventions 2 interventions 3 have 3 have 4 been 4 been 5 effective 5 effective 6 in 6 in 7 treating 7 treating 9 depression 7 treating 17 in 8 geriatric 9 depression 9 depression 12 alone 10 , 12 alone 11 either 12 alone 12 alone 14 better 12 alone 15 yet 12 alone 16 , 17 in 21 medications 18 combination 21 medications 20 antidepressant 21 medications traditional strategies for nonpharmacological treatment of late - life depression do not specifically address the co - occurring cognitive impairment and disability that is prevalent in this population . 0 ###LEFT-WALL### 2 strategies 0 ###LEFT-WALL### 14 address 0 ###LEFT-WALL### 17 - 1 traditional 2 strategies 2 strategies 3 for 2 strategies 11 do 3 for 5 treatment 4 nonpharmacological 5 treatment 5 treatment 6 of 6 of 10 depression 7 late 8 - 7 late 9 life 9 life 10 depression 11 do 12 not 11 do 14 address 13 specifically 14 address 14 address 16 co 15 the 16 co 17 - 21 and 17 - 29 . 18 occurring 20 impairment 19 cognitive 20 impairment 20 impairment 21 and 21 and 22 disability 21 and 23 that 21 and 24 is 23 that 24 is 24 is 25 prevalent 25 prevalent 26 in 26 in 28 population 27 this 28 population newer therapies are recognizing the need to simultaneously direct treatment efforts in late - life depression towards the triad of depressive symptoms , cognitive dysfunction , and functional disability that is so often found in geriatric depression , and this comprehensive approach holds promise for improved treatment outcomes . 0 ###LEFT-WALL### 2 therapies 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 49 . 1 newer 2 therapies 2 therapies 3 are 3 are 4 recognizing 4 recognizing 6 need 4 recognizing 7 to 5 the 6 need 7 to 9 direct 8 simultaneously 9 direct 9 direct 11 efforts 9 direct 17 towards 10 treatment 11 efforts 11 efforts 12 in 12 in 16 depression 13 late 14 - 13 late 15 life 15 life 16 depression 17 towards 19 triad 18 the 19 triad 19 triad 20 of 20 of 22 symptoms 21 depressive 22 symptoms 23 , 27 and 23 , 44 promise 24 cognitive 25 dysfunction 25 dysfunction 27 and 26 , 27 and 27 and 28 functional 27 and 29 disability 27 and 43 holds 27 and 44 promise 29 disability 34 found 29 disability 43 holds 30 that 31 is 31 is 34 found 32 so 34 found 33 often 34 found 34 found 35 in 35 in 39 and 36 geriatric 37 depression 37 depression 39 and 38 , 39 and 39 and 42 approach 40 this 41 comprehensive 41 comprehensive 42 approach 44 promise 45 for 45 for 48 outcomes 46 improved 47 treatment 47 treatment 48 outcomes purpose : the continual search for new products for soft - tissue augmentation has in recent years led to the introduction of long lasting alternatives to hyaluronic acids and collagen that are composed of other polymers able to improve clinical persistence over time . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 44 . 2 : 29 and 3 the 5 search 4 continual 5 search 5 search 6 for 5 search 9 for 5 search 29 and 6 for 8 products 7 new 8 products 9 for 12 tissue 10 soft 11 - 10 soft 12 tissue 12 tissue 13 augmentation 12 tissue 14 has 13 augmentation 14 has 14 has 15 in 14 has 19 to 15 in 17 years 16 recent 17 years 17 years 18 led 19 to 21 introduction 20 the 21 introduction 21 introduction 22 of 21 introduction 26 to 22 of 25 alternatives 23 long 25 alternatives 24 lasting 25 alternatives 26 to 28 acids 27 hyaluronic 28 acids 29 and 30 collagen 29 and 31 that 29 and 32 are 31 that 32 are 32 are 34 of 33 composed 34 of 34 of 36 polymers 34 of 42 over 35 other 36 polymers 36 polymers 37 able 37 able 38 to 37 able 39 improve 38 to 39 improve 39 improve 41 persistence 40 clinical 41 persistence 42 over 43 time this is the first report in which sodium carboxymethyl cellulose ( cmc ) has been chemically treated by the cross - linking process [and] thus used as a hydrogel for soft - tissue augmentation through injection with thin needles . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 1 this 2 is 2 is 5 report 2 is 22 linking 3 the 4 first 3 the 5 report 5 report 6 in 6 in 7 which 6 in 10 cellulose 6 in 17 treated 8 sodium 10 cellulose 9 carboxymethyl 10 cellulose 10 cellulose 12 cmc 10 cellulose 14 has 11 ( 12 cmc 12 cmc 13 ) 14 has 15 been 15 been 17 treated 16 chemically 17 treated 17 treated 18 by 18 by 20 cross 19 the 20 cross 21 - 22 linking 22 linking 23 process 22 linking 40 . 23 process 26 used 23 process 30 for 25 thus 26 used 26 used 27 as 27 as 29 hydrogel 28 a 29 hydrogel 30 for 36 injection 31 soft 32 - 31 soft 34 augmentation 33 tissue 34 augmentation 34 augmentation 36 injection 35 through 36 injection 36 injection 37 with 37 with 39 needles 38 thin 39 needles the study evaluates , from a clinical point of view , the behavior [of] cross - linked carboxymethyl cellulose hydrogel used in the aesthetic field and its side effects so as to check the safety and performance of the polymer following intradermal injections . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 evaluates 0 ###LEFT-WALL### 16 - 0 ###LEFT-WALL### 44 . 1 the 2 study 2 study 3 evaluates 3 evaluates 5 from 3 evaluates 15 cross 4 , 5 from 5 from 8 point 5 from 11 , 6 a 8 point 7 clinical 8 point 8 point 9 of 9 of 10 view 12 the 15 cross 13 behavior 15 cross 16 - 36 and 17 linked 18 carboxymethyl 18 carboxymethyl 20 hydrogel 19 cellulose 20 hydrogel 20 hydrogel 21 used 20 hydrogel 36 and 21 used 22 in 21 used 32 to 22 in 26 and 23 the 25 field 24 aesthetic 25 field 25 field 26 and 26 and 29 effects 27 its 29 effects 28 side 29 effects 30 so 31 as 31 as 32 to 32 to 33 check 33 check 35 safety 34 the 35 safety 36 and 37 performance 36 and 38 of 38 of 40 polymer 39 the 40 polymer 40 polymer 41 following 41 following 43 injections 42 intradermal 43 injections patients and methods : this work shows the preliminary results of an ongoing clinical study conducted between 2006 and 2009 , performed on 84 healthy volunteers ( 62 females , 22 males ) aged between 18 and 72 years [,] for the treatment of 168 nasolabial folds , 45 perioral wrinkles , and 39 lip volume . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 patients 2 and 2 and 3 methods 4 : 6 work 5 this 6 work 6 work 7 shows 7 shows 10 results 7 shows 16 conducted 8 the 10 results 9 preliminary 10 results 10 results 11 of 10 results 16 conducted 11 of 15 study 12 an 15 study 13 ongoing 15 study 14 clinical 15 study 16 conducted 17 between 16 conducted 22 performed 16 conducted 23 on 17 between 19 and 18 2006 19 and 19 and 20 2009 21 , 22 performed 23 on 24 84 24 84 26 volunteers 24 84 34 aged 25 healthy 26 volunteers 26 volunteers 29 females 26 volunteers 32 males 26 volunteers 34 aged 27 ( 29 females 28 62 29 females 29 females 30 , 30 , 32 males 31 22 32 males 32 males 33 ) 34 aged 35 between 35 between 39 years 36 18 37 and 37 and 38 72 37 and 39 years 39 years 41 for 41 for 53 and 42 the 43 treatment 43 treatment 44 of 43 treatment 48 , 44 of 47 folds 45 168 47 folds 46 nasolabial 47 folds 48 , 51 wrinkles 48 , 53 and 49 45 51 wrinkles 50 perioral 51 wrinkles 52 , 53 and 53 and 56 volume 53 and 57 . 54 39 55 lip 55 lip 56 volume results : study results show an excellent correction of facial defects . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 results 2 : 5 show 2 : 12 . 3 study 4 results 4 results 5 show 5 show 8 correction 6 an 7 excellent 6 an 8 correction 7 excellent 8 correction 8 correction 9 of 9 of 11 defects 10 facial 11 defects tolerance and aesthetic quality of the correction obtained indicate considerable safety features and absence of side effects . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 9 indicate 0 ###LEFT-WALL### 18 . 1 tolerance 2 and 2 and 4 quality 2 and 5 of 2 and 9 indicate 3 aesthetic 4 quality 5 of 7 correction 6 the 7 correction 7 correction 8 obtained 9 indicate 13 and 10 considerable 11 safety 11 safety 12 features 12 features 13 and 13 and 14 absence 13 and 15 of 15 of 17 effects 16 side 17 effects from a clinical point of view , hydrogel is gradually absorbed into the injection site without migration issues . 0 ###LEFT-WALL### 8 hydrogel 0 ###LEFT-WALL### 11 absorbed 0 ###LEFT-WALL### 19 . 1 from 4 point 1 from 7 , 1 from 8 hydrogel 2 a 3 clinical 2 a 4 point 3 clinical 4 point 4 point 5 of 5 of 6 view 8 hydrogel 9 is 9 is 11 absorbed 10 gradually 11 absorbed 11 absorbed 12 into 11 absorbed 16 without 12 into 15 site 13 the 15 site 14 injection 15 site 16 without 18 issues 17 migration 18 issues conclusion : cross - linked cmc hydrogel proves to be an ideal agent for soft tissue augmentation with regard to safety and ease of application . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 26 . 1 conclusion 2 : 2 : 3 cross 4 - 7 hydrogel 4 - 8 proves 5 linked 7 hydrogel 6 cmc 7 hydrogel 7 hydrogel 8 proves 8 proves 9 to 8 proves 10 be 9 to 10 be 10 be 13 agent 11 an 13 agent 12 ideal 13 agent 13 agent 14 for 13 agent 24 of 14 for 22 and 15 soft 16 tissue 16 tissue 17 augmentation 17 augmentation 18 with 17 augmentation 22 and 18 with 19 regard 19 regard 20 to 20 to 21 safety 22 and 23 ease 24 of 25 application it did not cause infection , extrusion , migration , or adverse reactions in the patients who have been followed for two years . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 4 cause 0 ###LEFT-WALL### 24 . 1 it 2 did 2 did 3 not 2 did 4 cause 4 cause 11 or 4 cause 14 in 4 cause 21 for 5 infection 6 , 6 , 7 extrusion 6 , 8 , 8 , 9 migration 8 , 11 or 10 , 11 or 11 or 13 reactions 12 adverse 13 reactions 14 in 16 patients 15 the 16 patients 16 patients 17 who 16 patients 18 have 17 who 18 have 18 have 19 been 19 been 20 followed 21 for 23 years 22 two 23 years delayed aesthetic results on facial wrinkles were very satisfactory . 0 ###LEFT-WALL### 3 results 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 10 . 1 delayed 3 results 2 aesthetic 3 results 3 results 4 on 3 results 7 were 4 on 6 wrinkles 5 facial 6 wrinkles 7 were 9 satisfactory 8 very 9 satisfactory we have identified a novel homozygous nonsense mutation ( w516x ) in the kidney - type electrogenic sodium bicarbonate cotransporter 1 ( nbc1 ) in a patient with isolated proximal renal tubular acidosis ( prta ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 identified 0 ###LEFT-WALL### 37 . 1 we 2 have 2 have 3 identified 3 identified 8 mutation 3 identified 12 in 3 identified 25 in 3 identified 28 with 4 a 5 novel 4 a 8 mutation 5 novel 7 nonsense 6 homozygous 7 nonsense 7 nonsense 8 mutation 8 mutation 10 w516x 9 ( 10 w516x 10 w516x 11 ) 12 in 14 kidney 13 the 14 kidney 14 kidney 20 cotransporter 15 - 20 cotransporter 16 type 19 bicarbonate 17 electrogenic 18 sodium 18 sodium 19 bicarbonate 19 bicarbonate 20 cotransporter 20 cotransporter 21 1 20 cotransporter 23 nbc1 20 cotransporter 24 ) 22 ( 23 nbc1 23 nbc1 24 ) 25 in 27 patient 26 a 27 patient 28 with 33 acidosis 29 isolated 33 acidosis 30 proximal 33 acidosis 31 renal 33 acidosis 32 tubular 33 acidosis 33 acidosis 35 prta 34 ( 35 prta 35 prta 36 ) to specifically address the pathogenesis of this mutation , we created nbc1 w516x [knock] - in mice to match the patient 's abnormalities . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 3 address 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 22 's 0 ###LEFT-WALL### 24 . 1 to 3 address 2 specifically 3 address 3 address 5 pathogenesis 4 the 5 pathogenesis 5 pathogenesis 6 of 6 of 8 mutation 7 this 8 mutation 9 , 10 we 9 , 11 created 9 , 15 - 10 we 11 created 11 created 13 w516x 12 nbc1 13 w516x 15 - 18 to 15 - 22 's 16 in 17 mice 16 in 18 to 18 to 19 match 18 to 22 's 19 match 21 patient 20 the 21 patient 22 's 23 abnormalities the expression of nbc1 mrna and protein in the kidneys of nbc1 ( w516x/w516x ) mice were virtually absent , indicating that nonsense - mediated mrna decay ( nmd ) is involved in the defective transcription and translation of this mutation . 0 ###LEFT-WALL### 37 and 0 ###LEFT-WALL### 42 . 1 the 2 expression 2 expression 3 of 2 expression 6 and 3 of 5 mrna 4 nbc1 5 mrna 6 and 7 protein 6 and 20 , 6 and 21 indicating 6 and 37 and 7 protein 8 in 8 in 10 kidneys 9 the 10 kidneys 10 kidneys 11 of 10 kidneys 16 mice 10 kidneys 19 absent 11 of 12 nbc1 12 nbc1 14 w516x/w516x 13 ( 14 w516x/w516x 14 w516x/w516x 15 ) 16 mice 17 were 17 were 19 absent 18 virtually 19 absent 21 indicating 22 that 22 that 23 nonsense 22 that 32 involved 23 nonsense 27 decay 23 nonsense 31 is 24 - 27 decay 25 mediated 27 decay 26 mrna 27 decay 27 decay 29 nmd 27 decay 30 ) 28 ( 29 nmd 29 nmd 30 ) 31 is 32 involved 32 involved 33 in 33 in 36 transcription 34 the 36 transcription 35 defective 36 transcription 37 and 38 translation 38 translation 39 of 39 of 41 mutation 40 this 41 mutation these mice not only recapitulated [the] phenotypes [of] this patient with growth retardation , prta , and ocular abnormalities , but also showed anemia , volume depletion , prerenal azotemia , and several organ abnormalities , culminating in dehydration and renal failure with early lethality before weaning . 0 ###LEFT-WALL### 2 mice 0 ###LEFT-WALL### 21 but 1 these 2 mice 2 mice 3 not 2 mice 21 but 3 not 5 recapitulated 4 only 5 recapitulated 7 phenotypes 10 patient 7 phenotypes 11 with 7 phenotypes 21 but 9 this 10 patient 11 with 17 and 12 growth 13 retardation 13 retardation 14 , 14 , 15 prta 14 , 17 and 16 , 17 and 17 and 19 abnormalities 18 ocular 19 abnormalities 20 , 21 but 21 but 23 showed 22 also 23 showed 23 showed 26 volume 23 showed 27 depletion 23 showed 32 and 23 showed 37 culminating 24 anemia 25 , 24 anemia 26 volume 27 depletion 30 azotemia 28 , 30 azotemia 29 prerenal 30 azotemia 30 azotemia 31 , 32 and 34 organ 32 and 35 abnormalities 33 several 34 organ 36 , 37 culminating 37 culminating 38 in 37 culminating 43 with 37 culminating 48 . 38 in 40 and 39 dehydration 40 and 40 and 42 failure 41 renal 42 failure 43 with 45 lethality 44 early 45 lethality 45 lethality 46 before 46 before 47 weaning in isolated renal proximal tubules , both nbc1 activity and the rate of bicarbonate absorption were markedly reduced . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 18 reduced 0 ###LEFT-WALL### 19 . 1 in 5 tubules 1 in 6 , 1 in 10 and 2 isolated 5 tubules 3 renal 5 tubules 4 proximal 5 tubules 7 both 10 and 8 nbc1 9 activity 9 activity 10 and 10 and 12 rate 10 and 13 of 10 and 16 were 11 the 12 rate 13 of 15 absorption 14 bicarbonate 15 absorption 16 were 17 markedly 16 were 18 reduced unexpectedly , there was no compensatory increase in mrna of distal acid/base transporters . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 14 . 1 unexpectedly 2 , 1 unexpectedly 3 there 3 there 4 was 4 was 7 increase 5 no 7 increase 6 compensatory 7 increase 7 increase 8 in 8 in 9 mrna 9 mrna 10 of 10 of 13 transporters 11 distal 12 acid/base 12 acid/base 13 transporters sodium bicarbonate but not saline administration to these mutant mice markedly prolonged their survival , decreased their protein catabolism and attenuated organ abnormalities . 0 ###LEFT-WALL### 2 bicarbonate 0 ###LEFT-WALL### 4 not 0 ###LEFT-WALL### 24 . 1 sodium 2 bicarbonate 3 but 4 not 4 not 6 administration 4 not 15 , 5 saline 6 administration 6 administration 7 to 6 administration 15 , 7 to 10 mice 8 these 10 mice 9 mutant 10 mice 11 markedly 12 prolonged 12 prolonged 14 survival 12 prolonged 15 , 13 their 14 survival 15 , 20 and 16 decreased 19 catabolism 16 decreased 20 and 17 their 19 catabolism 18 protein 19 catabolism 20 and 21 attenuated 21 attenuated 23 abnormalities 22 organ 23 abnormalities the prolonged survival time uncovered the development of corneal opacities due to corneal edema . 0 ###LEFT-WALL### 4 time 0 ###LEFT-WALL### 5 uncovered 0 ###LEFT-WALL### 15 . 1 the 4 time 2 prolonged 3 survival 3 survival 4 time 4 time 5 uncovered 5 uncovered 7 development 5 uncovered 12 to 6 the 7 development 7 development 8 of 8 of 10 opacities 9 corneal 10 opacities 11 due 12 to 12 to 14 edema 13 corneal 14 edema thus , nbc1 ( w516x/w516x ) mice with prta represent an animal model for metabolic acidosis and may be useful for testing therapeutic inhibition of nmd in vivo . 0 ###LEFT-WALL### 7 mice 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 29 . 1 thus 2 , 1 thus 7 mice 3 nbc1 5 w516x/w516x 3 nbc1 7 mice 4 ( 5 w516x/w516x 5 w516x/w516x 6 ) 7 mice 8 with 7 mice 17 and 8 with 9 prta 10 represent 13 model 10 represent 17 and 11 an 13 model 12 animal 13 model 13 model 14 for 14 for 16 acidosis 15 metabolic 16 acidosis 17 and 18 may 18 may 19 be 19 be 20 useful 20 useful 21 for 21 for 22 testing 22 testing 24 inhibition 22 testing 28 vivo 23 therapeutic 24 inhibition 24 inhibition 25 of 25 of 26 nmd 27 in 28 vivo background : restoration of cheek volume is recognized as an important part of facial rejuvenation . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 . 2 : 3 restoration 2 : 8 recognized 3 restoration 4 of 3 restoration 7 is 4 of 6 volume 5 cheek 6 volume 7 is 8 recognized 8 recognized 9 as 9 as 15 rejuvenation 10 an 11 important 10 an 12 part 11 important 12 part 12 part 13 of 12 part 15 rejuvenation 13 of 15 rejuvenation 14 facial 15 rejuvenation however , there are no previous studies that have determined whether any soft - tissue technique is effective for achieving lasting malar augmentation . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 24 . 1 however 2 , 1 however 3 there 3 there 4 are 4 are 7 studies 4 are 19 for 5 no 7 studies 6 previous 7 studies 7 studies 8 that 7 studies 9 have 8 that 9 have 9 have 10 determined 10 determined 11 whether 11 whether 16 technique 11 whether 17 is 12 any 16 technique 13 soft 14 - 13 soft 15 tissue 15 tissue 16 technique 16 technique 17 is 17 is 18 effective 19 for 20 achieving 20 achieving 23 augmentation 21 lasting 23 augmentation 22 malar 23 augmentation methods : this study prospectively evaluated a subset of five patients who had deep - plane face lifts with fat injection , and other facial cosmetic procedures . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 4 study 2 : 6 evaluated 3 this 4 study 4 study 6 evaluated 5 prospectively 6 evaluated 6 evaluated 23 and 7 a 8 subset 8 subset 9 of 8 subset 19 with 8 subset 23 and 9 of 11 patients 10 five 11 patients 11 patients 12 who 11 patients 13 had 12 who 13 had 13 had 18 lifts 14 deep 15 - 14 deep 16 plane 16 plane 18 lifts 17 face 18 lifts 19 with 21 injection 20 fat 21 injection 22 , 23 and 23 and 27 procedures 24 other 27 procedures 25 facial 27 procedures 26 cosmetic 27 procedures the mean volumes of fat injected were 9.1 cc [(] range , 4 to 12 cc ) into the right cheek and 8.5 cc [(] range , 4 to 11.5 cc ) into the left cheek . 0 ###LEFT-WALL### 3 volumes 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 37 . 1 the 3 volumes 2 mean 3 volumes 3 volumes 4 of 3 volumes 7 were 4 of 5 fat 5 fat 6 injected 7 were 11 range 7 were 18 into 7 were 33 into 8 9.1 9 cc 9 cc 11 range 11 range 16 cc 12 , 16 cc 13 4 14 to 14 to 15 12 14 to 16 cc 16 cc 17 ) 18 into 22 and 19 the 21 cheek 20 right 21 cheek 21 cheek 22 and 22 and 26 range 22 and 31 cc 23 8.5 24 cc 24 cc 26 range 27 , 31 cc 28 4 29 to 29 to 30 11.5 29 to 31 cc 31 cc 32 ) 33 into 36 cheek 34 the 36 cheek 35 left 36 cheek magnetic resonance imaging scans were obtained before surgery and at intervals after surgery up to 6 months ( and 1 year in one patient ) for a total of 22 studies . 0 ###LEFT-WALL### 2 resonance 0 ###LEFT-WALL### 6 obtained 0 ###LEFT-WALL### 32 . 1 magnetic 2 resonance 2 resonance 3 imaging 2 resonance 4 scans 2 resonance 5 were 3 imaging 4 scans 5 were 6 obtained 6 obtained 9 and 6 obtained 14 up 7 before 8 surgery 7 before 9 and 9 and 10 at 10 at 11 intervals 11 intervals 12 after 12 after 13 surgery 14 up 15 to 14 up 26 for 15 to 19 and 16 6 17 months 17 months 19 and 18 ( 19 and 19 and 21 year 19 and 25 ) 20 1 21 year 21 year 22 in 22 in 24 patient 23 one 24 patient 26 for 28 total 27 a 28 total 28 total 29 of 29 of 31 studies 30 22 31 studies axial , coronal , and sagittal images , t1 - and t2 - weighted , were obtained . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 16 were 0 ###LEFT-WALL### 18 . 1 axial 2 , 1 axial 7 images 3 coronal 5 and 4 , 5 and 5 and 6 sagittal 5 and 7 images 7 images 8 , 8 , 9 t1 8 , 11 and 10 - 11 and 11 and 12 t2 11 and 16 were 12 t2 14 weighted 13 - 14 weighted 14 weighted 15 , 16 were 17 obtained thickness of the malar fat pads was measured . 0 ###LEFT-WALL### 1 thickness 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 9 . 1 thickness 2 of 1 thickness 7 was 2 of 6 pads 3 the 6 pads 4 malar 6 pads 5 fat 6 pads 7 was 8 measured results : malar thicknesses showed significant increases at the time of the 1 [-] month follow - up appointments ( p < 0.01 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 1 results 2 : 2 : 3 malar 3 malar 4 thicknesses 3 malar 5 showed 3 malar 19 appointments 4 thicknesses 5 showed 5 showed 7 increases 5 showed 16 follow 6 significant 7 increases 7 increases 8 at 7 increases 16 follow 8 at 10 time 9 the 10 time 10 time 11 of 11 of 15 month 12 the 13 1 13 1 15 month 17 - 19 appointments 18 up 19 appointments 19 appointments 22 < 19 appointments 24 ) 20 ( 22 < 21 p 22 < 22 < 23 0.01 this increase was maintained at the next [follow] - up appointment ( p < 0.01 ) . 0 ###LEFT-WALL### 2 increase 0 ###LEFT-WALL### 4 maintained 0 ###LEFT-WALL### 17 . 1 this 2 increase 2 increase 3 was 3 was 4 maintained 4 maintained 5 at 5 at 11 appointment 6 the 7 next 6 the 11 appointment 7 next 9 - 10 up 11 appointment 11 appointment 14 < 12 ( 14 < 13 p 14 < 14 < 15 0.01 14 < 16 ) there was no significant difference in thickness between the first postoperative appointment and the second postoperative appointment . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 18 . 1 there 2 was 2 was 5 difference 2 was 6 in 2 was 8 between 3 no 5 difference 4 significant 5 difference 6 in 7 thickness 8 between 13 and 9 the 10 first 9 the 12 appointment 11 postoperative 12 appointment 12 appointment 13 and 13 and 17 appointment 14 the 15 second 14 the 17 appointment 16 postoperative 17 appointment the t1 - and t2 - weighted images revealed that the increase was attributable to tissue with fat density , not fluid . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 23 . 1 the 2 t1 2 t1 4 and 3 - 4 and 4 and 5 t2 6 - 8 images 6 - 9 revealed 7 weighted 8 images 8 images 9 revealed 9 revealed 10 that 10 that 12 increase 10 that 13 was 11 the 12 increase 12 increase 13 was 13 was 20 , 14 attributable 15 to 14 attributable 17 with 14 attributable 20 , 15 to 16 tissue 17 with 19 density 18 fat 19 density 20 , 21 not 20 , 22 fluid 21 not 22 fluid the average increase [in] malar projection was 0.66 cm for the right cheek and [0.60] [cm] for the left cheek . 0 ###LEFT-WALL### 6 projection 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 21 . 1 the 6 projection 2 average 6 projection 3 increase 6 projection 5 malar 6 projection 6 projection 7 was 7 was 9 cm 8 0.66 9 cm 9 cm 14 and 10 for 13 cheek 10 for 14 and 11 the 13 cheek 12 right 13 cheek 14 and 17 for 17 for 20 cheek 18 the 20 cheek 19 left 20 cheek conclusions : fat injection at the time of face [-] lift surgery produces an increase in malar volume that is still present up to 6 months after surgery . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 present 0 ###LEFT-WALL### 29 . 2 : 4 injection 2 : 13 produces 3 fat 4 injection 4 injection 5 at 4 injection 8 of 4 injection 13 produces 5 at 7 time 6 the 7 time 8 of 12 surgery 9 face 12 surgery 11 lift 12 surgery 13 produces 15 increase 13 produces 16 in 14 an 15 increase 16 in 18 volume 17 malar 18 volume 18 volume 19 that 18 volume 22 present 19 that 20 is 20 is 22 present 21 still 22 present 22 present 26 months 23 up 24 to 24 to 25 6 25 6 26 months 26 months 27 after 27 after 28 surgery this study confirms the rationale for injecting fat at the time of face [-] lift surgery . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 confirms 0 ###LEFT-WALL### 17 . 1 this 2 study 2 study 3 confirms 3 confirms 5 rationale 4 the 5 rationale 5 rationale 6 for 6 for 7 injecting 7 injecting 8 fat 7 injecting 9 at 9 at 11 time 10 the 11 time 11 time 12 of 12 of 16 surgery 13 face 16 surgery 15 lift 16 surgery objective : cross - sectional studies suggest an association between hysterectomy and negative [affect] . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 15 . 1 objective 2 : 2 : 3 cross 4 - 6 studies 4 - 7 suggest 5 sectional 6 studies 6 studies 7 suggest 7 suggest 9 association 7 suggest 10 between 8 an 9 association 10 between 12 and 11 hysterectomy 12 and 12 and 13 negative using prospective data , we examined the associations of negative [affect] , attitudes toward aging and menopause , premenstrual symptoms , and vasomotor symptoms with elective hysterectomy in midlife . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 examined 0 ###LEFT-WALL### 30 . 1 using 3 data 1 using 4 , 1 using 5 we 2 prospective 3 data 5 we 6 examined 6 examined 22 and 6 examined 28 in 7 the 22 and 8 associations 9 of 8 associations 16 and 9 of 13 attitudes 10 negative 12 , 10 negative 13 attitudes 13 attitudes 14 toward 14 toward 15 aging 16 and 17 menopause 16 and 20 symptoms 16 and 22 and 18 , 20 symptoms 19 premenstrual 20 symptoms 20 symptoms 21 , 21 , 22 and 22 and 24 symptoms 22 and 25 with 23 vasomotor 24 symptoms 25 with 27 hysterectomy 26 elective 27 hysterectomy 28 in 29 midlife methods : data were from the study of women 's health across the nation , a multisite , community - based prospective cohort study of the menopausal transition ( n = 2,818 ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 2 : 3 data 2 : 4 were 3 data 4 were 4 were 5 from 5 from 7 study 6 the 7 study 7 study 8 of 8 of 12 across 9 women 10 's 10 's 12 across 11 health 12 across 12 across 14 nation 12 across 21 based 12 across 25 of 13 the 14 nation 14 nation 19 community 14 nation 21 based 15 , 19 community 16 a 17 multisite 16 a 19 community 17 multisite 18 , 17 multisite 19 community 19 community 20 - 21 based 24 study 22 prospective 23 cohort 23 cohort 24 study 25 of 28 transition 26 the 28 transition 27 menopausal 28 transition 28 transition 31 = 29 ( 31 = 30 n 31 = 31 = 32 2,818 31 = 33 ) annually reported hysterectomy at visits 2 to 9 was verified with medical records [when] available ( 71 % ) . 0 ###LEFT-WALL### 3 hysterectomy 0 ###LEFT-WALL### 10 verified 0 ###LEFT-WALL### 20 . 1 annually 2 reported 2 reported 3 hysterectomy 3 hysterectomy 4 at 3 hysterectomy 9 was 4 at 5 visits 5 visits 7 to 6 2 7 to 7 to 8 9 9 was 10 verified 10 verified 11 with 11 with 13 records 12 medical 13 records 13 records 15 available 13 records 18 % 16 ( 18 % 17 71 18 % 18 % 19 ) anxiety , perceived stress , depressive symptoms , attitudes toward aging and menopause , vasomotor symptoms , and premenstrual symptoms were assessed at baseline using standardized questions . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 28 . 1 anxiety 2 , 2 , 4 stress 2 , 5 , 3 perceived 4 stress 5 , 7 symptoms 5 , 8 , 6 depressive 7 symptoms 8 , 9 attitudes 8 , 12 and 9 attitudes 10 toward 10 toward 11 aging 12 and 13 menopause 12 and 16 symptoms 14 , 16 symptoms 15 vasomotor 16 symptoms 16 symptoms 17 , 17 , 18 and 18 and 20 symptoms 18 and 22 assessed 19 premenstrual 20 symptoms 20 symptoms 21 were 21 were 22 assessed 22 assessed 23 at 22 assessed 25 using 23 at 24 baseline 25 using 27 questions 26 standardized 27 questions cox proportional hazards models were used to relate these variables to subsequent elective hysterectomy . 0 ###LEFT-WALL### 4 models 0 ###LEFT-WALL### 6 used 0 ###LEFT-WALL### 15 . 1 cox 4 models 2 proportional 3 hazards 3 hazards 4 models 4 models 5 were 5 were 6 used 6 used 7 to 6 used 8 relate 7 to 8 relate 8 relate 10 variables 8 relate 11 to 9 these 10 variables 11 to 14 hysterectomy 12 subsequent 14 hysterectomy 13 elective 14 hysterectomy covariates included demographic variables , menstrual bleeding problems , body mass index , hormone levels , and self - rated health , also assessed at baseline . 0 ###LEFT-WALL### 4 variables 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 27 . 1 covariates 2 included 2 included 4 variables 3 demographic 4 variables 4 variables 17 and 4 variables 22 , 5 , 17 and 6 menstrual 7 bleeding 7 bleeding 8 problems 8 problems 9 , 9 , 12 index 9 , 13 , 10 body 11 mass 11 mass 12 index 13 , 15 levels 13 , 17 and 14 hormone 15 levels 16 , 17 and 17 and 18 self 17 and 19 - 20 rated 21 health 20 rated 22 , 22 , 24 assessed 22 , 25 at 23 also 24 assessed 25 at 26 baseline results : elective hysterectomy was reported by 6 % ( n = 168 ) of participants over an 8 [-] year period . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 1 results 2 : 2 : 3 elective 3 elective 4 hysterectomy 3 elective 5 was 3 elective 6 reported 3 elective 15 of 4 hysterectomy 5 was 6 reported 7 by 7 by 9 % 8 6 9 % 9 % 12 = 10 ( 12 = 11 n 12 = 12 = 13 168 12 = 14 ) 15 of 16 participants 16 participants 17 over 17 over 22 period 18 an 22 period 19 8 21 year 21 year 22 period women with hysterectomy were not higher in negative [affect] or negative attitudes toward aging and menopause compared with women without hysterectomy . 0 ###LEFT-WALL### 1 women 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 22 . 1 women 2 with 1 women 4 were 2 with 3 hysterectomy 4 were 5 not 4 were 6 higher 6 higher 7 in 6 higher 20 without 7 in 15 and 8 negative 10 or 10 or 11 negative 10 or 12 attitudes 12 attitudes 13 toward 12 attitudes 15 and 13 toward 14 aging 15 and 16 menopause 15 and 17 compared 17 compared 18 with 18 with 19 women 20 without 21 hysterectomy menstrual bleeding problems at baseline were the strongest predictor of hysterectomy ( hr , 4.30 ; 95 % ci , 2.05 - 9.05 [ )( 0 ###LEFT-WALL### 3 problems 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 25 )( 1 menstrual 2 bleeding 2 bleeding 3 problems 3 problems 4 at 3 problems 6 were 4 at 5 baseline 6 were 9 predictor 7 the 8 strongest 7 the 9 predictor 9 predictor 10 of 9 predictor 13 hr 10 of 11 hysterectomy 12 ( 13 hr 13 hr 14 , 14 , 15 4.30 14 , 16 ; 16 ; 19 ci 16 ; 20 , 17 95 19 ci 18 % 19 ci 20 , 21 2.05 20 , 22 - 21 2.05 22 - 22 - 23 9.05 conclusions : in this prospective examination , negative [affect] and attitudes were not associated with subsequent hysterectomy . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 18 . 1 conclusions 2 : 2 : 3 in 3 in 6 examination 4 this 6 examination 5 prospective 6 examination 7 , 8 negative 7 , 10 and 10 and 11 attitudes 10 and 12 were 11 attitudes 12 were 12 were 13 not 12 were 15 with 13 not 14 associated 15 with 17 hysterectomy 16 subsequent 17 hysterectomy menstrual bleeding problems were the major determinant of elective hysterectomy . 0 ###LEFT-WALL### 3 problems 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 11 . 1 menstrual 2 bleeding 2 bleeding 3 problems 3 problems 4 were 4 were 7 determinant 5 the 7 determinant 6 major 7 determinant 7 determinant 8 of 8 of 10 hysterectomy 9 elective 10 hysterectomy in modern societies , the proportion of women who delay childbearing beyond the age of 35 years has greatly increased in recent decades . 0 ###LEFT-WALL### 6 proportion 0 ###LEFT-WALL### 20 increased 0 ###LEFT-WALL### 24 . 1 in 3 societies 1 in 4 , 1 in 6 proportion 2 modern 3 societies 5 the 6 proportion 6 proportion 7 of 6 proportion 18 has 7 of 8 women 8 women 9 who 8 women 10 delay 9 who 10 delay 10 delay 11 childbearing 10 delay 12 beyond 12 beyond 14 age 13 the 14 age 14 age 15 of 15 of 17 years 16 35 17 years 18 has 20 increased 19 greatly 20 increased 20 increased 21 in 21 in 23 decades 22 recent 23 decades they are falsely reassured by popular beliefs that advances in new reproductive technologies can compensate for the age - related decline [in] fertility . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 4 reassured 0 ###LEFT-WALL### 20 related 1 they 2 are 2 are 4 reassured 3 falsely 4 reassured 4 reassured 5 by 4 reassured 8 that 5 by 7 beliefs 6 popular 7 beliefs 8 that 9 advances 8 that 15 compensate 9 advances 10 in 9 advances 14 can 10 in 13 technologies 11 new 13 technologies 12 reproductive 13 technologies 14 can 15 compensate 15 compensate 16 for 16 for 18 age 17 the 18 age 19 - 20 related 20 related 23 fertility 20 related 24 . 21 decline 23 fertility yet age remains the single most important determinant of male and female fertility , either natural [or] treated . 0 ###LEFT-WALL### 1 yet 0 ###LEFT-WALL### 3 remains 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 19 . 1 yet 2 age 2 age 3 remains 3 remains 8 determinant 4 the 8 determinant 5 single 8 determinant 6 most 7 important 7 important 8 determinant 8 determinant 9 of 9 of 13 fertility 10 male 11 and 11 and 12 female 11 and 13 fertility 14 , 16 natural 14 , 18 treated 15 either 16 natural 16 natural 18 treated the consequences of advancing maternal age are not only relevant for the risk of natural and assisted conception , but also for the outcome of pregnancy . 0 ###LEFT-WALL### 2 consequences 0 ###LEFT-WALL### 7 are 0 ###LEFT-WALL### 27 . 1 the 2 consequences 2 consequences 3 of 2 consequences 7 are 3 of 4 advancing 4 advancing 6 age 5 maternal 6 age 7 are 8 not 7 are 9 only 7 are 10 relevant 10 relevant 20 but 11 for 13 risk 11 for 20 but 12 the 13 risk 13 risk 14 of 14 of 16 and 15 natural 16 and 16 and 18 conception 17 assisted 18 conception 19 , 20 but 20 but 21 also 20 but 22 for 22 for 24 outcome 23 the 24 outcome 24 outcome 25 of 25 of 26 pregnancy although the absolute rate of poor pregnancy outcomes may be low from an individual standpoint , the impact of delaying childbearing from a public health perspective cannot be overestimated and should be in the agenda of public health policies for the years to come . 0 ###LEFT-WALL### 8 outcomes 0 ###LEFT-WALL### 10 be 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 32 be 0 ###LEFT-WALL### 45 . 1 although 4 rate 1 although 8 outcomes 2 the 4 rate 3 absolute 4 rate 4 rate 5 of 5 of 7 pregnancy 6 poor 7 pregnancy 8 outcomes 9 may 9 may 10 be 10 be 11 low 11 low 12 from 12 from 15 standpoint 13 an 15 standpoint 14 individual 15 standpoint 16 , 18 impact 16 , 30 and 17 the 18 impact 18 impact 19 of 18 impact 27 cannot 19 of 20 delaying 20 delaying 21 childbearing 21 childbearing 22 from 22 from 26 perspective 23 a 24 public 23 a 26 perspective 24 public 26 perspective 25 health 26 perspective 27 cannot 30 and 28 be 29 overestimated 28 be 30 and 30 and 31 should 31 should 32 be 32 be 33 in 32 be 43 to 33 in 35 agenda 34 the 35 agenda 35 agenda 36 of 36 of 39 policies 37 public 38 health 38 health 39 policies 39 policies 40 for 40 for 42 years 41 the 42 years 43 to 44 come this review summarizes available evidence regarding the impact of delaying childbearing on fertility and pregnancy outcomes . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 summarizes 0 ###LEFT-WALL### 17 . 1 this 2 review 2 review 3 summarizes 3 summarizes 5 evidence 4 available 5 evidence 5 evidence 6 regarding 5 evidence 9 of 6 regarding 8 impact 7 the 8 impact 9 of 10 delaying 10 delaying 11 childbearing 10 delaying 12 on 12 on 14 and 13 fertility 14 and 14 and 16 outcomes 15 pregnancy 16 outcomes aging of societies , with increasing life expectancies , results in surging health care expenditures , as older age is closely associated with an increasing number of chronic and [often] resource - consuming diseases . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 22 associated 1 aging 2 of 1 aging 17 as 1 aging 20 is 2 of 3 societies 3 societies 5 with 4 , 5 with 5 with 6 increasing 5 with 16 , 6 increasing 8 expectancies 7 life 8 expectancies 8 expectancies 10 results 9 , 10 results 10 results 11 in 10 results 16 , 11 in 15 expenditures 12 surging 14 care 13 health 14 care 14 care 15 expenditures 17 as 19 age 18 older 19 age 20 is 22 associated 21 closely 22 associated 22 associated 23 with 23 with 26 number 24 an 26 number 25 increasing 26 number 26 number 27 of 27 of 29 and 28 chronic 29 and 29 and 31 resource 29 and 33 consuming 32 - 33 consuming 33 consuming 34 diseases 33 consuming 35 . among those , dementia has the greatest impact on an individual 's quality of life , the level of burden on the family and expenditures to finance nursing . 0 ###LEFT-WALL### 4 dementia 0 ###LEFT-WALL### 5 has 0 ###LEFT-WALL### 29 . 1 among 2 those 1 among 3 , 1 among 4 dementia 4 dementia 5 has 5 has 8 impact 5 has 9 on 5 has 26 to 6 the 7 greatest 6 the 8 impact 9 on 13 quality 10 an 11 individual 11 individual 12 's 12 's 13 quality 13 quality 14 of 14 of 24 and 15 life 16 , 16 , 18 level 16 , 24 and 17 the 18 level 18 level 19 of 19 of 20 burden 20 burden 21 on 21 on 23 family 22 the 23 family 24 and 25 expenditures 26 to 28 nursing 27 finance 28 nursing currently , pharmacological dementia treatment is exclusively focused on neurotransmitter - modulating medicines . 0 ###LEFT-WALL### 5 treatment 0 ###LEFT-WALL### 8 focused 1 currently 2 , 1 currently 5 treatment 3 pharmacological 5 treatment 4 dementia 5 treatment 5 treatment 6 is 6 is 8 focused 7 exclusively 8 focused 8 focused 9 on 9 on 10 neurotransmitter 10 neurotransmitter 12 modulating 11 - 12 modulating 12 modulating 13 medicines 12 modulating 14 . unfortunately , their effectiveness is not interminable , and the effect size limited . 0 ###LEFT-WALL### 4 effectiveness 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 14 . 1 unfortunately 2 , 1 unfortunately 4 effectiveness 3 their 4 effectiveness 4 effectiveness 5 is 5 is 6 not 5 is 9 and 7 interminable 9 and 8 , 9 and 9 and 12 size 9 and 13 limited 10 the 12 size 11 effect 12 size novel approaches such as vaccinations are currently under vigorous investigation , but still far from translation into clinical practice . 0 ###LEFT-WALL### 2 approaches 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 20 . 1 novel 2 approaches 2 approaches 4 as 2 approaches 6 are 3 such 4 as 4 as 5 vaccinations 6 are 7 currently 6 are 12 but 6 are 17 into 8 under 10 investigation 8 under 12 but 9 vigorous 10 investigation 11 , 12 but 12 but 13 still 12 but 15 from 14 far 15 from 15 from 16 translation 17 into 19 practice 18 clinical 19 practice thus , the consequent exploitation of opportunities which are already known is pivotal . 0 ###LEFT-WALL### 5 exploitation 0 ###LEFT-WALL### 12 is 0 ###LEFT-WALL### 14 . 1 thus 2 , 1 thus 5 exploitation 3 the 5 exploitation 4 consequent 5 exploitation 5 exploitation 6 of 5 exploitation 12 is 6 of 7 opportunities 7 opportunities 8 which 7 opportunities 9 are 8 which 9 are 9 are 10 already 9 are 11 known 12 is 13 pivotal dementia prevention can become effective without delay if the vascular components of dementia are aggressively targeted through life style modifications as well as the treatment of vascular risk factors ( e.g [.] [hypertension] ) . 0 ###LEFT-WALL### 2 prevention 0 ###LEFT-WALL### 4 become 0 ###LEFT-WALL### 35 . 1 dementia 2 prevention 2 prevention 3 can 3 can 4 become 4 become 5 effective 5 effective 6 without 5 effective 8 if 5 effective 17 through 5 effective 21 as 5 effective 23 as 6 without 7 delay 8 if 11 components 8 if 16 targeted 9 the 11 components 10 vascular 11 components 11 components 12 of 11 components 14 are 12 of 13 dementia 14 are 15 aggressively 14 are 16 targeted 17 through 20 modifications 18 life 19 style 19 style 20 modifications 21 as 22 well 23 as 25 treatment 24 the 25 treatment 25 treatment 26 of 26 of 29 factors 27 vascular 29 factors 28 risk 29 factors 29 factors 31 e.g 30 ( 31 e.g 31 e.g 34 ) longevity will become a significant burden for developed countries already within the next 10 - 20 years . 0 ###LEFT-WALL### 1 longevity 0 ###LEFT-WALL### 3 become 0 ###LEFT-WALL### 18 . 1 longevity 2 will 2 will 3 become 3 become 6 burden 3 become 10 already 3 become 11 within 4 a 5 significant 4 a 6 burden 5 significant 6 burden 6 burden 7 for 7 for 9 countries 8 developed 9 countries 11 within 17 years 12 the 13 next 12 the 15 - 14 10 15 - 15 - 16 20 15 - 17 years by 2020 , the 80+ generation will increase by at least 30 % and in 2030 by at least 50 % , compared to 2010 . 0 ###LEFT-WALL### 6 generation 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 26 . 1 by 2 2020 1 by 3 , 1 by 6 generation 4 the 6 generation 5 80+ 6 generation 6 generation 22 , 7 will 8 increase 7 will 22 , 8 increase 14 and 8 increase 17 by 9 by 13 % 9 by 14 and 10 at 11 least 11 least 12 30 12 30 13 % 14 and 15 in 15 in 16 2030 17 by 21 % 18 at 19 least 19 least 20 50 20 50 21 % 22 , 23 compared 22 , 24 to 24 to 25 2010 if the associated dementia challenge is not adequately tackled , longevity may no longer remain desirable for aged societies . 0 ###LEFT-WALL### 11 longevity 0 ###LEFT-WALL### 15 remain 0 ###LEFT-WALL### 20 . 1 if 5 challenge 1 if 9 tackled 1 if 10 , 1 if 11 longevity 2 the 5 challenge 3 associated 5 challenge 4 dementia 5 challenge 5 challenge 6 is 6 is 7 not 6 is 9 tackled 8 adequately 9 tackled 9 tackled 10 , 11 longevity 12 may 12 may 15 remain 13 no 14 longer 14 longer 15 remain 15 remain 16 desirable 16 desirable 17 for 17 for 19 societies 18 aged 19 societies numerous recent studies have found that overweight adults experience lower overall mortality than those who are underweight , normal - weight , or obese . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 25 . 1 numerous 3 studies 2 recent 3 studies 3 studies 4 have 4 have 5 found 5 found 6 that 6 that 8 adults 6 that 9 experience 7 overweight 8 adults 8 adults 9 experience 9 experience 12 mortality 9 experience 13 than 10 lower 11 overall 11 overall 12 mortality 13 than 14 those 14 those 15 who 14 those 16 are 15 who 16 are 16 are 17 underweight 18 , 23 or 19 normal 20 - 19 normal 21 weight 21 weight 23 or 22 , 23 or 23 or 24 obese these highly publicized findings imply that [overweight] may be the optimal weight category for overall health via its association with longevity - a conclusion with important public health implications . 0 ###LEFT-WALL### 4 findings 0 ###LEFT-WALL### 5 imply 1 these 4 findings 2 highly 3 publicized 3 publicized 4 findings 4 findings 5 imply 5 imply 6 that 5 imply 9 be 6 that 8 may 8 may 9 be 9 be 13 category 10 the 13 category 11 optimal 12 weight 12 weight 13 category 13 category 14 for 13 category 17 via 14 for 16 health 15 overall 16 health 17 via 19 association 18 its 19 association 19 association 20 with 20 with 21 longevity 21 longevity 24 conclusion 22 - 24 conclusion 23 a 24 conclusion 24 conclusion 25 with 24 conclusion 30 . 25 with 29 implications 26 important 29 implications 27 public 28 health 28 health 29 implications in this study , the authors examined the association between body mass index [(] bmi [;] [(] weight [(] [kg] )/height [(] [m] [ )( 2 [ )( )( )(and 3 markers of health risks using a nationally representative sample of us adults aged 20 - 80 years ( n = 9,255 ) from the national health and nutrition examination survey ( 2005 - 2008 ) . 0 ###LEFT-WALL### 6 authors 0 ###LEFT-WALL### 7 examined 1 in 3 study 1 in 4 , 1 in 6 authors 2 this 3 study 5 the 6 authors 6 authors 7 examined 7 examined 9 association 7 examined 10 between 8 the 9 association 10 between 13 index 11 body 12 mass 12 mass 13 index 13 index 15 bmi 13 index 18 weight 15 bmi 18 weight 18 weight 30 )(and 21 )/height 26 2 21 )/height 30 )(and 30 )(and 32 markers 30 )(and 33 of 30 )(and 36 using 31 3 32 markers 33 of 35 risks 34 health 35 risks 36 using 40 sample 37 a 40 sample 38 nationally 39 representative 39 representative 40 sample 40 sample 41 of 40 sample 44 aged 41 of 43 adults 42 us 43 adults 44 aged 51 = 44 aged 54 from 45 20 46 - 46 - 48 years 46 - 51 = 47 80 48 years 49 ( 51 = 50 n 51 = 51 = 52 9,255 51 = 53 ) 54 from 61 survey 55 the 61 survey 56 national 57 health 57 health 58 and 58 and 59 nutrition 59 nutrition 60 examination 60 examination 61 survey 61 survey 63 2005 62 ( 63 2005 63 2005 65 2008 63 2005 67 . 64 - 65 2008 65 2008 66 ) generalized additive models , a type of semiparametric regression model , were used to examine the relations between bmi and biomarkers of inflammation , metabolic function , and cardiovascular function ( c - reactive protein , hemoglobin a ( 1c ) , and high density lipoprotein cholesterol , respectively ) . 0 ###LEFT-WALL### 3 models 0 ###LEFT-WALL### 13 used 0 ###LEFT-WALL### 51 . 1 generalized 2 additive 2 additive 3 models 3 models 7 of 3 models 12 were 4 , 7 of 5 a 7 of 6 type 7 of 7 of 10 model 7 of 11 , 8 semiparametric 10 model 9 regression 10 model 12 were 13 used 13 used 14 to 13 used 15 examine 14 to 15 examine 15 examine 17 relations 15 examine 18 between 15 examine 49 respectively 16 the 17 relations 18 between 20 and 19 bmi 20 and 20 and 47 cholesterol 21 biomarkers 22 of 21 biomarkers 24 , 22 of 23 inflammation 24 , 26 function 24 , 28 and 25 metabolic 26 function 27 , 28 and 28 and 30 function 28 and 33 - 28 and 37 hemoglobin 28 and 43 and 29 cardiovascular 30 function 31 ( 33 - 32 c 33 - 33 - 35 protein 33 - 36 , 34 reactive 35 protein 36 , 37 hemoglobin 37 hemoglobin 38 a 37 hemoglobin 40 1c 37 hemoglobin 41 ) 39 ( 40 1c 40 1c 41 ) 42 , 43 and 43 and 45 density 43 and 47 cholesterol 44 high 45 density 46 lipoprotein 47 cholesterol 48 , 49 respectively 49 respectively 50 ) the association between bmi and each biomarker was monotonic , with higher bmi being consistently associated with worse health risk profiles at all ages , in contrast to [the] u - shaped relation between bmi and mortality . 0 ###LEFT-WALL### 2 association 0 ###LEFT-WALL### 8 was 0 ###LEFT-WALL### 31 - 1 the 2 association 2 association 3 between 2 association 8 was 3 between 5 and 4 bmi 5 and 5 and 7 biomarker 6 each 7 biomarker 8 was 9 monotonic 9 monotonic 11 with 9 monotonic 26 in 10 , 11 with 11 with 13 bmi 11 with 25 , 12 higher 13 bmi 13 bmi 14 being 14 being 16 associated 15 consistently 16 associated 16 associated 17 with 16 associated 22 at 17 with 19 health 17 with 21 profiles 18 worse 19 health 20 risk 21 profiles 22 at 24 ages 23 all 24 ages 26 in 27 contrast 27 contrast 28 to 28 to 30 u 31 - 36 and 31 - 38 . 32 shaped 33 relation 33 relation 34 between 33 relation 36 and 34 between 35 bmi 36 and 37 mortality prior results suggesting that the overweight bmi category corresponds to the lowest risk of mortality may not be generalizable to indicators of health risk . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 18 be 0 ###LEFT-WALL### 25 . 1 prior 2 results 2 results 3 suggesting 2 results 16 may 3 suggesting 4 that 4 that 8 category 4 that 9 corresponds 5 the 8 category 6 overweight 8 category 7 bmi 8 category 8 category 9 corresponds 9 corresponds 10 to 10 to 13 risk 11 the 12 lowest 11 the 13 risk 13 risk 14 of 14 of 15 mortality 16 may 17 not 16 may 18 be 18 be 19 generalizable 19 generalizable 20 to 20 to 21 indicators 21 indicators 22 of 22 of 24 risk 23 health 24 risk purpose : to examine the relationship between metabolic [syndrome] and its components , diabetes mellitus , high blood pressure ( bp ) , obesity , and dyslipidemia , with age - related cataract . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 2 : 3 to 2 : 4 examine 2 : 31 - 3 to 4 examine 4 examine 6 relationship 4 examine 7 between 4 examine 29 with 5 the 6 relationship 7 between 10 and 8 metabolic 10 and 10 and 12 components 10 and 15 mellitus 10 and 19 pressure 11 its 12 components 13 , 15 mellitus 14 diabetes 15 mellitus 15 mellitus 16 , 16 , 19 pressure 17 high 18 blood 18 blood 19 pressure 19 pressure 21 bp 19 pressure 26 and 19 pressure 28 , 20 ( 21 bp 21 bp 22 ) 23 , 26 and 24 obesity 26 and 25 , 26 and 26 and 27 dyslipidemia 26 and 28 , 29 with 30 age 31 - 33 cataract 32 related 33 cataract methods : a population [-] based sample of 2794 malay adults aged 40 to 80 years in singapore was used for this analysis . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 7 sample 2 : 20 used 3 a 4 population 3 a 7 sample 4 population 6 based 6 based 7 sample 7 sample 8 of 7 sample 19 was 8 of 16 years 9 2794 11 adults 10 malay 11 adults 11 adults 12 aged 12 aged 14 to 13 40 14 to 14 to 15 80 15 80 16 years 16 years 17 in 17 in 18 singapore 19 was 20 used 20 used 21 for 21 for 23 analysis 22 this 23 analysis cataract ( n = 1268 ) was defined as the presence of nuclear , cortical , or posterior subcapsular ( psc ) cataract , from standardized grading of lens photographs or previous cataract surgery . 0 ###LEFT-WALL### 1 cataract 0 ###LEFT-WALL### 8 defined 0 ###LEFT-WALL### 35 . 1 cataract 4 = 1 cataract 7 was 2 ( 4 = 3 n 4 = 4 = 5 1268 4 = 6 ) 7 was 8 defined 8 defined 9 as 9 as 11 presence 10 the 11 presence 11 presence 12 of 11 presence 25 from 12 of 17 or 13 nuclear 14 , 14 , 15 cortical 14 , 17 or 16 , 17 or 17 or 23 cataract 17 or 24 , 18 posterior 23 cataract 19 subcapsular 21 psc 19 subcapsular 23 cataract 20 ( 21 psc 21 psc 22 ) 25 from 27 grading 26 standardized 27 grading 27 grading 28 of 28 of 31 or 29 lens 30 photographs 30 photographs 31 or 31 or 34 surgery 32 previous 33 cataract 33 cataract 34 surgery results : cataract prevalence increased with higher quartiles of blood glucose , systolic bp , and metabolic syndrome components ( p [trend] < 0.0001 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 4 prevalence 3 cataract 4 prevalence 4 prevalence 5 increased 4 prevalence 6 with 4 prevalence 9 of 6 with 8 quartiles 7 higher 8 quartiles 9 of 16 and 10 blood 11 glucose 11 glucose 12 , 12 , 14 bp 12 , 16 and 13 systolic 14 bp 15 , 16 and 16 and 19 components 16 and 23 < 17 metabolic 18 syndrome 18 syndrome 19 components 20 ( 23 < 21 p 23 < 23 < 24 0.0001 23 < 25 ) the multivariable odds ratio ( or ) ( 95 % confidence [interval] [ ci ] ) [of] [cataract] was 1.89 ( 1.42 - 2.40 ) for diabetes , 1.92 ( 1.47 - 2.52 ) for high bp , and 1.27 ( 1.04 - 1.55 ) [for] metabolic syndrome . 0 ###LEFT-WALL### 4 ratio 0 ###LEFT-WALL### 19 was 0 ###LEFT-WALL### 49 . 1 the 4 ratio 2 multivariable 3 odds 3 odds 4 ratio 4 ratio 6 or 4 ratio 11 confidence 4 ratio 19 was 5 ( 6 or 6 or 7 ) 8 ( 11 confidence 9 95 10 % 10 % 11 confidence 11 confidence 14 ci 11 confidence 16 ) 13 [ 14 ci 14 ci 15 ] 19 was 20 1.89 19 was 23 - 19 was 26 for 19 was 35 for 21 ( 23 - 22 1.42 23 - 23 - 24 2.40 23 - 25 ) 26 for 27 diabetes 27 diabetes 29 1.92 28 , 29 1.92 29 1.92 32 - 29 1.92 34 ) 30 ( 32 - 31 1.47 32 - 32 - 33 2.52 32 - 34 ) 35 for 39 and 36 high 37 bp 37 bp 39 and 38 , 39 and 39 and 48 syndrome 40 1.27 48 syndrome 41 ( 43 - 42 1.04 43 - 43 - 44 1.55 43 - 45 ) 43 - 48 syndrome 47 metabolic 48 syndrome of the individual metabolic syndrome components , high bp was associated with all three cataract types ; diabetes was associated with cortical and psc ; low hdl , high bmi , and metabolic syndrome were associated [with] cortical [cataract] . 0 ###LEFT-WALL### 9 bp 0 ###LEFT-WALL### 11 associated 0 ###LEFT-WALL### 17 ; 0 ###LEFT-WALL### 40 . 1 of 6 components 1 of 7 , 1 of 9 bp 2 the 6 components 3 individual 5 syndrome 4 metabolic 5 syndrome 5 syndrome 6 components 8 high 9 bp 9 bp 10 was 10 was 11 associated 11 associated 12 with 12 with 16 types 13 all 14 three 14 three 16 types 15 cataract 16 types 17 ; 18 diabetes 17 ; 20 associated 17 ; 25 ; 18 diabetes 19 was 19 was 20 associated 20 associated 21 with 21 with 23 and 22 cortical 23 and 23 and 24 psc 23 and 25 ; 25 ; 32 and 25 ; 36 associated 26 low 32 and 27 hdl 30 bmi 27 hdl 32 and 28 , 30 bmi 29 high 30 bmi 30 bmi 31 , 32 and 34 syndrome 32 and 35 were 33 metabolic 34 syndrome 35 were 36 associated 36 associated 38 cortical the presence of both high bp and diabetes was associated with fourfold odds of having [cataract] ( or [ 95 % ci ] = 4.73 [ 2.16 - 10.34 ] ) . 0 ###LEFT-WALL### 2 presence 0 ###LEFT-WALL### 10 associated 0 ###LEFT-WALL### 32 . 1 the 2 presence 2 presence 3 of 2 presence 9 was 3 of 7 and 4 both 6 bp 5 high 6 bp 6 bp 7 and 7 and 8 diabetes 9 was 10 associated 10 associated 11 with 11 with 13 odds 11 with 25 4.73 12 fourfold 13 odds 13 odds 14 of 13 odds 18 or 14 of 15 having 17 ( 18 or 18 or 22 ci 18 or 23 ] 19 [ 22 ci 20 95 22 ci 21 % 22 ci 22 ci 23 ] 24 = 25 4.73 25 4.73 27 2.16 26 [ 27 2.16 27 2.16 29 10.34 27 2.16 31 ) 28 - 29 10.34 29 10.34 30 ] conclusions : metabolic syndrome and its two key components , high bp and diabetes were associated with age - related cataract . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 syndrome 2 : 5 and 2 : 10 , 3 metabolic 4 syndrome 5 and 7 two 5 and 8 key 6 its 7 two 7 two 8 key 8 key 9 components 10 , 13 and 10 , 16 associated 10 , 19 - 11 high 13 and 12 bp 13 and 13 and 14 diabetes 13 and 15 were 15 were 16 associated 16 associated 17 with 17 with 18 age 19 - 21 cataract 19 - 22 . 20 related 21 cataract aging is associated with a decline in b - lymphopoiesis in the bone marrow and accumulation of long - [lived] [b] cells in the periphery . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 3 associated 0 ###LEFT-WALL### 9 - 1 aging 2 is 2 is 3 associated 3 associated 4 with 3 associated 7 in 4 with 6 decline 5 a 6 decline 7 in 8 b 9 - 15 and 9 - 26 . 10 lymphopoiesis 11 in 10 lymphopoiesis 15 and 11 in 14 marrow 12 the 14 marrow 13 bone 14 marrow 15 and 16 accumulation 15 and 17 of 17 of 22 cells 18 long 19 - 18 long 22 cells 22 cells 23 in 23 in 25 periphery 24 the 25 periphery these changes decrease the body 's ability to mount protective antibody responses . 0 ###LEFT-WALL### 2 changes 0 ###LEFT-WALL### 3 decrease 0 ###LEFT-WALL### 13 . 1 these 2 changes 2 changes 3 decrease 3 decrease 7 ability 4 the 5 body 5 body 6 's 6 's 7 ability 7 ability 8 to 7 ability 9 mount 8 to 9 mount 9 mount 12 responses 10 protective 11 antibody 11 antibody 12 responses we show here that age - related changes in the [b] lineage [are] mediated by the accumulating long - lived [b] cells . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 show 0 ###LEFT-WALL### 23 . 1 we 2 show 2 show 3 here 2 show 4 that 4 that 5 age 4 that 20 lived 5 age 20 lived 6 - 7 related 7 related 8 changes 7 related 9 in 7 related 19 - 7 related 20 lived 9 in 12 lineage 10 the 12 lineage 12 lineage 14 mediated 14 mediated 15 by 14 mediated 18 long 15 by 17 accumulating 16 the 17 accumulating 20 lived 22 cells thus , depletion of [b] cells in old mice was followed by expansion of multipotent primitive progenitors and common lymphoid progenitors , a revival of b - lymphopoiesis in the bone marrow , and generation of a rejuvenated peripheral compartment that enhanced the animal 's immune responsiveness to antigenic stimulation . 0 ###LEFT-WALL### 3 depletion 0 ###LEFT-WALL### 11 followed 1 thus 2 , 1 thus 3 depletion 3 depletion 4 of 3 depletion 10 was 4 of 6 cells 6 cells 7 in 7 in 9 mice 8 old 9 mice 10 was 11 followed 11 followed 12 by 12 by 13 expansion 13 expansion 14 of 13 expansion 24 revival 13 expansion 28 lymphopoiesis 14 of 18 and 15 multipotent 17 progenitors 16 primitive 17 progenitors 17 progenitors 18 and 18 and 21 progenitors 19 common 21 progenitors 20 lymphoid 21 progenitors 22 , 24 revival 23 a 24 revival 24 revival 25 of 24 revival 27 - 25 of 26 b 27 - 28 lymphopoiesis 28 lymphopoiesis 29 in 28 lymphopoiesis 36 of 28 lymphopoiesis 41 that 28 lymphopoiesis 42 enhanced 28 lymphopoiesis 51 . 29 in 34 and 30 the 32 marrow 31 bone 32 marrow 32 marrow 34 and 33 , 34 and 34 and 35 generation 36 of 40 compartment 37 a 40 compartment 38 rejuvenated 40 compartment 39 peripheral 40 compartment 41 that 42 enhanced 42 enhanced 47 responsiveness 42 enhanced 48 to 43 the 44 animal 44 animal 45 's 45 's 47 responsiveness 46 immune 47 responsiveness 48 to 50 stimulation 49 antigenic 50 stimulation collectively , our results suggest that immunosenescence in [the] b - lineage is not irreversible and that depletion of the long - lived [b] cells in old mice rejuvenates the [b] [-] lineage and enhances immune competence . 0 ###LEFT-WALL### 4 results 0 ###LEFT-WALL### 5 suggest 0 ###LEFT-WALL### 11 - 1 collectively 2 , 1 collectively 4 results 3 our 4 results 4 results 5 suggest 5 suggest 7 immunosenescence 6 that 7 immunosenescence 7 immunosenescence 8 in 8 in 10 b 11 - 12 lineage 11 - 13 is 11 - 14 not 11 - 38 . 12 lineage 13 is 14 not 16 and 14 not 23 lived 15 irreversible 16 and 16 and 18 depletion 16 and 22 - 16 and 23 lived 17 that 18 depletion 18 depletion 19 of 19 of 21 long 20 the 21 long 23 lived 25 cells 25 cells 26 in 25 cells 34 and 26 in 28 mice 27 old 28 mice 29 rejuvenates 33 lineage 29 rejuvenates 34 and 30 the 33 lineage 34 and 35 enhances 34 and 37 competence 36 immune 37 competence background : the paradoxical phenomenon of relative longevity among obese patients with established diseases has been reported for various disease conditions . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 5 phenomenon 2 : 17 reported 2 : 22 . 3 the 5 phenomenon 4 paradoxical 5 phenomenon 5 phenomenon 6 of 5 phenomenon 15 has 6 of 8 longevity 7 relative 8 longevity 8 longevity 9 among 9 among 11 patients 10 obese 11 patients 11 patients 12 with 12 with 14 diseases 13 established 14 diseases 15 has 16 been 16 been 17 reported 17 reported 18 for 18 for 21 conditions 19 various 20 disease 20 disease 21 conditions the authors sought to investigate whether the obesity paradox also applies to intracerebral hemorrhage ( ich ) survivors . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 3 sought 0 ###LEFT-WALL### 19 . 1 the 2 authors 2 authors 3 sought 3 sought 4 to 3 sought 5 investigate 4 to 5 investigate 5 investigate 6 whether 6 whether 9 paradox 6 whether 11 applies 7 the 9 paradox 8 obesity 9 paradox 9 paradox 11 applies 10 also 11 applies 11 applies 12 to 11 applies 18 survivors 12 to 14 hemorrhage 13 intracerebral 14 hemorrhage 14 hemorrhage 16 ich 15 ( 16 ich 16 ich 17 ) methods : a total of 1,604 patients with ich from 33 centers with nationwide coverage were prospectively enrolled to this cohort between october 2002 and march 2004 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 4 total 2 : 18 enrolled 3 a 4 total 4 total 5 of 4 total 16 were 5 of 7 patients 6 1,604 7 patients 7 patients 8 with 8 with 9 ich 9 ich 10 from 9 ich 13 with 10 from 12 centers 11 33 12 centers 13 with 15 coverage 14 nationwide 15 coverage 16 were 18 enrolled 17 prospectively 18 enrolled 18 enrolled 19 to 19 to 25 and 20 this 21 cohort 21 cohort 22 between 21 cohort 25 and 22 between 23 october 23 october 24 2002 25 and 26 march 26 march 27 2004 baseline information including body mass index [(] bmi [ )(was collected at admission , and mortality status was ascertained from the governmental mortality [archive] on december 2006 . 0 ###LEFT-WALL### 8 bmi 0 ###LEFT-WALL### 10 )(was 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 28 . 1 baseline 4 body 2 information 4 body 3 including 4 body 4 body 8 bmi 5 mass 6 index 6 index 8 bmi 8 bmi 10 )(was 10 )(was 11 collected 11 collected 12 at 12 at 13 admission 14 , 15 and 15 and 17 status 15 and 19 ascertained 16 mortality 17 status 17 status 18 was 18 was 19 ascertained 19 ascertained 20 from 19 ascertained 25 on 20 from 23 mortality 21 the 23 mortality 22 governmental 23 mortality 25 on 26 december 26 december 27 2006 associations between obesity and 30 [-] day mortality or long - term risk of death were analyzed . 0 ###LEFT-WALL### 9 or 0 ###LEFT-WALL### 16 were 0 ###LEFT-WALL### 18 . 1 associations 2 between 1 associations 9 or 2 between 4 and 3 obesity 4 and 4 and 8 mortality 5 30 7 day 7 day 8 mortality 9 or 13 risk 9 or 14 of 9 or 16 were 10 long 11 - 10 long 12 term 12 term 13 risk 14 of 15 death 16 were 17 analyzed results : among the 1,356 patients with ich included , the 30 [-] day mortality rate was 7.2 % and the long - term mortality rate was 26.9 % after a mean follow - up [of] 33.6 ± 15.5 months . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 41 . 2 : 16 rate 2 : 17 was 2 : 20 and 2 : 38 ± 3 among 6 patients 3 among 10 , 3 among 16 rate 4 the 5 1,356 5 1,356 6 patients 6 patients 7 with 6 patients 9 included 7 with 8 ich 11 the 16 rate 12 30 14 day 14 day 16 rate 15 mortality 16 rate 16 rate 17 was 17 was 19 % 18 7.2 19 % 20 and 26 rate 20 and 34 - 21 the 26 rate 22 long 23 - 22 long 26 rate 24 term 25 mortality 25 mortality 26 rate 26 rate 27 was 28 26.9 29 % 28 26.9 34 - 29 % 30 after 29 % 33 follow 30 after 32 mean 31 a 32 mean 34 - 37 33.6 35 up 37 33.6 37 33.6 38 ± 38 ± 40 months 39 15.5 40 months neither bmi nor obesity status were associated with 30 - day mortality after ich . 0 ###LEFT-WALL### 3 nor 0 ###LEFT-WALL### 7 associated 0 ###LEFT-WALL### 10 - 0 ###LEFT-WALL### 15 . 1 neither 3 nor 2 bmi 3 nor 3 nor 5 status 3 nor 6 were 4 obesity 5 status 6 were 7 associated 7 associated 8 with 8 with 9 30 10 - 12 mortality 11 day 12 mortality 12 mortality 13 after 13 after 14 ich however , bmi was independently associated with a lower risk of long - term mortality ( hazard ratio [[] hr ] 0.91 per 1 [-] kg / [m] ( 2 ) increase [;] 95 % confidence interval [ ci []] 0.87 - 0.95 ) . 0 ###LEFT-WALL### 3 bmi 0 ###LEFT-WALL### 6 associated 0 ###LEFT-WALL### 45 . 1 however 2 , 1 however 3 bmi 3 bmi 4 was 4 was 6 associated 5 independently 6 associated 6 associated 7 with 6 associated 42 - 7 with 10 risk 7 with 22 0.91 8 a 10 risk 9 lower 10 risk 10 risk 11 of 11 of 15 mortality 12 long 13 - 12 long 14 term 14 term 15 mortality 15 mortality 20 hr 16 ( 20 hr 17 hazard 18 ratio 18 ratio 20 hr 20 hr 21 ] 22 0.91 23 per 23 per 37 interval 24 1 26 kg 26 kg 32 increase 27 / 30 2 27 / 32 increase 29 ( 30 2 30 2 31 ) 32 increase 37 interval 34 95 37 interval 35 % 37 interval 36 confidence 37 interval 38 [ 42 - 39 ci 41 0.87 39 ci 42 - 42 - 43 0.95 42 - 44 ) as compared with patients of normal weight , underweight subjects had a higher risk of death [(] hr 1.64 [;] 95 % ci 1.11 - 2.40 ) , [and] conversely , overweight [(] hr 0.69 [;] 95 % ci 0.49 - 0.96 [ )(or obese ( hr 0.61 [;] 95 % ci 0.43 - 0.88 [ )(subjects showed a lower risk of post - ich death . 0 ###LEFT-WALL### 10 subjects 0 ###LEFT-WALL### 11 had 1 as 2 compared 1 as 8 , 1 as 10 subjects 2 compared 3 with 3 with 4 patients 4 patients 5 of 5 of 7 weight 6 normal 7 weight 9 underweight 10 subjects 10 subjects 11 had 11 had 14 risk 12 a 14 risk 13 higher 14 risk 14 risk 15 of 15 of 23 ci 16 death 23 ci 18 hr 23 ci 19 1.64 23 ci 21 95 23 ci 22 % 23 ci 23 ci 24 1.11 23 ci 32 overweight 24 1.11 26 2.40 24 1.11 32 overweight 25 - 26 2.40 26 2.40 27 ) 28 , 30 conversely 30 conversely 31 , 30 conversely 32 overweight 32 overweight 44 )(or 34 hr 35 0.69 34 hr 39 ci 37 95 39 ci 38 % 39 ci 39 ci 41 - 39 ci 44 )(or 40 0.49 41 - 41 - 42 0.96 44 )(or 45 obese 44 )(or 52 ci 44 )(or 55 0.88 46 ( 52 ci 47 hr 52 ci 48 0.61 52 ci 50 95 52 ci 51 % 52 ci 52 ci 53 0.43 52 ci 54 - 54 - 55 0.88 55 0.88 57 )(subjects 55 0.88 58 showed 55 0.88 66 death 55 0.88 67 . 57 )(subjects 58 showed 58 showed 61 risk 59 a 61 risk 60 lower 61 risk 61 risk 62 of 62 of 63 post 64 - 66 death 65 ich 66 death 66 death 67 . conclusion : in our study , obesity was associated with a lower risk of long - term death but not with 30 - day mortality after ich . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 28 . 1 conclusion 2 : 2 : 3 in 3 in 5 study 4 our 5 study 6 , 7 obesity 6 , 9 associated 6 , 23 - 7 obesity 8 was 8 was 9 associated 9 associated 19 but 10 with 13 risk 10 with 19 but 11 a 13 risk 12 lower 13 risk 13 risk 14 of 14 of 18 death 15 long 16 - 15 long 17 term 17 term 18 death 19 but 20 not 19 but 21 with 21 with 22 30 23 - 25 mortality 24 day 25 mortality 25 mortality 26 after 26 after 27 ich thus , it may be considered that [an] obesity status in a patient with ich be treated as an indication of metabolic reservoir capacity and [an] increased likelihood of survival . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 31 . 1 thus 2 , 1 thus 3 it 3 it 4 may 4 may 5 be 5 be 6 considered 6 considered 10 status 6 considered 11 in 6 considered 14 with 7 that 10 status 9 obesity 10 status 11 in 13 patient 12 a 13 patient 14 with 15 ich 14 with 25 and 16 be 17 treated 16 be 25 and 17 treated 18 as 18 as 20 indication 19 an 20 indication 20 indication 21 of 21 of 24 capacity 22 metabolic 23 reservoir 23 reservoir 24 capacity 25 and 27 increased 27 increased 28 likelihood 28 likelihood 29 of 29 of 30 survival objective : this study aimed to assess the correlation between abdominal subcutaneous adipose tissue ( sat ) and metabolic syndrome ( mets ) in korean adults after adjusting for the effects of visceral adipose tissue ( vat ) . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 aimed 2 : 39 . 3 this 4 study 4 study 5 aimed 5 aimed 6 to 5 aimed 7 assess 6 to 7 assess 7 assess 18 and 7 assess 24 in 7 assess 27 after 8 the 9 correlation 9 correlation 10 between 9 correlation 18 and 10 between 14 tissue 11 abdominal 13 adipose 12 subcutaneous 13 adipose 13 adipose 14 tissue 14 tissue 16 sat 15 ( 16 sat 16 sat 17 ) 18 and 20 syndrome 18 and 22 mets 19 metabolic 20 syndrome 21 ( 22 mets 22 mets 23 ) 24 in 26 adults 25 korean 26 adults 27 after 28 adjusting 28 adjusting 29 for 29 for 31 effects 30 the 31 effects 31 effects 32 of 32 of 35 tissue 33 visceral 35 tissue 34 adipose 35 tissue 35 tissue 37 vat 36 ( 37 vat 37 vat 38 ) research design and methods : the sat/vat ratio ( svr ) was calculated using abdominal computed tomography in 2,655 subjects . 0 ###LEFT-WALL### 4 methods 0 ###LEFT-WALL### 5 : 1 research 2 design 2 design 3 and 3 and 4 methods 5 : 8 ratio 5 : 13 calculated 5 : 21 . 6 the 8 ratio 7 sat/vat 8 ratio 8 ratio 10 svr 8 ratio 12 was 9 ( 10 svr 10 svr 11 ) 12 was 13 calculated 13 calculated 14 using 14 using 17 tomography 14 using 18 in 15 abdominal 17 tomography 16 computed 17 tomography 18 in 20 subjects 19 2,655 20 subjects we used regression analyses to assess whether the svr predicted mets . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 used 0 ###LEFT-WALL### 12 . 1 we 2 used 2 used 4 analyses 2 used 5 to 2 used 6 assess 3 regression 4 analyses 5 to 6 assess 6 assess 7 whether 7 whether 9 svr 7 whether 10 predicted 8 the 9 svr 9 svr 10 predicted 10 predicted 11 mets results : for both sexes , the prevalence of elevated triglycerides , reduced hdl , and elevated fasting glucose significantly decreased with increasing quintiles of svr ( p [for] [trend] < 0.05 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 sexes 2 : 13 reduced 2 : 16 and 2 : 34 . 3 for 4 both 3 for 5 sexes 5 sexes 8 prevalence 5 sexes 13 reduced 6 , 8 prevalence 7 the 8 prevalence 8 prevalence 9 of 8 prevalence 12 , 9 of 11 triglycerides 10 elevated 11 triglycerides 13 reduced 14 hdl 15 , 16 and 16 and 19 glucose 16 and 21 decreased 17 elevated 19 glucose 18 fasting 19 glucose 19 glucose 21 decreased 20 significantly 21 decreased 21 decreased 22 with 21 decreased 31 < 22 with 23 increasing 23 increasing 24 quintiles 24 quintiles 25 of 25 of 26 svr 27 ( 31 < 28 p 31 < 31 < 32 0.05 31 < 33 ) the prevalence and odds ratios of mets significantly decreased as the svr increased ( men : odds ratio 0.5 [ 95 % ci 0.3 - 0.7 ] ; women : 0.2 [ 0.1 - 0.5 []] for comparisons of [lowest] [vs] [.] [highest] quintile [;] p for trend [<] 0.05 ) . 0 ###LEFT-WALL### 5 ratios 0 ###LEFT-WALL### 9 decreased 0 ###LEFT-WALL### 16 : 0 ###LEFT-WALL### 52 . 1 the 5 ratios 2 prevalence 3 and 3 and 4 odds 3 and 5 ratios 5 ratios 6 of 5 ratios 9 decreased 6 of 7 mets 8 significantly 9 decreased 9 decreased 10 as 10 as 12 svr 11 the 12 svr 12 svr 13 increased 12 svr 15 men 14 ( 15 men 15 men 16 : 16 : 18 ratio 16 : 28 ; 17 odds 18 ratio 18 ratio 19 0.5 18 ratio 23 ci 20 [ 23 ci 21 95 23 ci 22 % 23 ci 23 ci 25 - 23 ci 27 ] 24 0.3 25 - 25 - 26 0.7 28 ; 29 women 28 ; 30 : 30 : 31 0.2 31 0.2 34 - 32 [ 34 - 33 0.1 34 - 34 - 35 0.5 34 - 37 for 34 - 47 for 34 - 51 ) 37 for 38 comparisons 38 comparisons 39 of 39 of 44 quintile 44 quintile 46 p 47 for 48 trend 48 trend 50 0.05 conclusions : after adjustment for vat , abdominal sat was inversely correlated with the occurrence of mets . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 18 . 1 conclusions 2 : 2 : 3 after 3 after 4 adjustment 4 adjustment 5 for 5 for 6 vat 7 , 9 sat 7 , 12 correlated 8 abdominal 9 sat 9 sat 10 was 10 was 12 correlated 11 inversely 12 correlated 12 correlated 13 with 13 with 15 occurrence 14 the 15 occurrence 15 occurrence 16 of 16 of 17 mets ['] age ['] is a major risk factor in cardiac surgery , however , the precise risks accompanying ['] age ['] have not been fully analyzed . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 27 . 2 age 4 is 4 is 8 factor 5 a 8 factor 6 major 8 factor 7 risk 8 factor 8 factor 9 in 9 in 11 surgery 10 cardiac 11 surgery 12 , 17 risks 12 , 26 analyzed 13 however 14 , 13 however 17 risks 15 the 17 risks 16 precise 17 risks 17 risks 18 accompanying 17 risks 22 have 18 accompanying 20 age 22 have 23 not 22 have 24 been 24 been 25 fully 24 been 26 analyzed this study aimed to clarify the age - specific risks affecting the short - term outcome after isolated coronary artery bypass grafting ( cabg ) . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 aimed 0 ###LEFT-WALL### 26 . 1 this 2 study 2 study 3 aimed 3 aimed 4 to 3 aimed 5 clarify 4 to 5 clarify 5 clarify 7 age 6 the 7 age 7 age 10 risks 8 - 10 risks 9 specific 10 risks 10 risks 11 affecting 10 risks 24 cabg 10 risks 25 ) 11 affecting 16 outcome 11 affecting 17 after 12 the 16 outcome 13 short 14 - 13 short 15 term 15 term 16 outcome 17 after 22 grafting 18 isolated 19 coronary 19 coronary 21 bypass 20 artery 21 bypass 21 bypass 22 grafting 23 ( 24 cabg 24 cabg 25 ) data of 13488 procedures were obtained from the japan adult cardiovascular surgery database , and the patients were divided into three groups [;] under 65 years of age ( ['] young ' , n=4420 ) , 65 - 75 ( ['] middle ['] , n=5485 ) , [and] over 75 years of age [(] ['] [old] ['] , n=3583 ) . 1 data 2 of 1 data 4 procedures 1 data 5 were 1 data 6 obtained 2 of 3 13488 4 procedures 5 were 6 obtained 7 from 6 obtained 12 surgery 7 from 9 japan 8 the 9 japan 10 adult 11 cardiovascular 11 cardiovascular 12 surgery 12 surgery 15 and 12 surgery 18 were 12 surgery 19 divided 12 surgery 24 under 13 database 15 and 14 , 15 and 15 and 17 patients 15 and 18 were 16 the 17 patients 19 divided 20 into 20 into 22 groups 21 three 22 groups 24 under 26 years 25 65 26 years 26 years 27 of 27 of 28 age 28 age 32 ' 28 age 34 n=4420 28 age 38 - 29 ( 32 ' 31 young 32 ' 32 ' 33 , 33 , 34 n=4420 34 n=4420 35 ) 36 , 38 - 37 65 38 - 38 - 39 75 39 75 42 middle 39 75 45 n=5485 39 75 49 over 40 ( 42 middle 42 middle 44 , 44 , 45 n=5485 45 n=5485 46 ) 47 , 49 over 49 over 51 years 49 over 61 . 50 75 51 years 51 years 52 of 51 years 59 n=3583 52 of 53 age 58 , 59 n=3583 59 n=3583 60 ) as [a] preoperative profile , ['] [old] ['] tended to have extracardiac arteriopathy , left main stenosis , and emergency operation , whereas [,] ['] young ' had more coronary risk factors ( smoking , diabetes , dyslipidemia [ )(and low left [ventricular] ( lv ) function . 0 ###LEFT-WALL### 4 profile 0 ###LEFT-WALL### 5 , 1 as 3 preoperative 3 preoperative 4 profile 5 , 14 , 9 tended 10 to 9 tended 13 arteriopathy 9 tended 14 , 10 to 11 have 12 extracardiac 13 arteriopathy 14 , 15 left 15 left 19 and 15 left 23 whereas 16 main 17 stenosis 17 stenosis 19 and 18 , 19 and 19 and 21 operation 19 and 22 , 20 emergency 21 operation 23 whereas 27 ' 23 whereas 28 had 26 young 27 ' 27 ' 28 had 28 had 32 factors 29 more 32 factors 30 coronary 32 factors 31 risk 32 factors 32 factors 40 )(and 33 ( 40 )(and 34 smoking 35 , 35 , 36 diabetes 35 , 37 , 37 , 38 dyslipidemia 37 , 40 )(and 40 )(and 47 function 40 )(and 48 . 41 low 47 function 42 left 45 lv 42 left 46 ) 42 left 47 function 44 ( 45 lv 45 lv 46 ) the 30 [-] day operative mortality rate increased significantly with age ( ['] young ' : 1.7 % , ['] middle ['] : 2.3 % [,] ['] [old] ['] : 4.3 % , p<0.0001 ) . 0 ###LEFT-WALL### 7 rate 0 ###LEFT-WALL### 8 increased 0 ###LEFT-WALL### 16 : 1 the 7 rate 2 30 4 day 4 day 7 rate 5 operative 6 mortality 6 mortality 7 rate 7 rate 8 increased 8 increased 9 significantly 8 increased 10 with 10 with 11 age 11 age 15 ' 12 ( 15 ' 14 young 15 ' 15 ' 16 : 16 : 18 % 16 : 23 : 17 1.7 18 % 18 % 21 middle 19 , 21 middle 21 middle 23 : 23 : 25 % 23 : 30 : 23 : 36 . 24 2.3 25 % 25 % 30 : 30 : 32 % 31 4.3 32 % 32 % 34 p<0.0001 33 , 34 p<0.0001 34 p<0.0001 35 ) renal dysfunction , arrhythmia , preoperative inotropes , and emergency surgery were the predictors for mortality common to all groups . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 12 were 0 ###LEFT-WALL### 21 . 1 renal 2 dysfunction 2 dysfunction 3 , 3 , 7 inotropes 3 , 9 and 4 arrhythmia 5 , 4 arrhythmia 7 inotropes 6 preoperative 7 inotropes 8 , 9 and 9 and 11 surgery 9 and 12 were 10 emergency 11 surgery 12 were 14 predictors 13 the 14 predictors 14 predictors 15 for 14 predictors 17 common 15 for 16 mortality 17 common 18 to 18 to 20 groups 19 all 20 groups besides these , ['] young ' only had cardiac factors as additional risks , whereas various factors including cardiac parameters , redo sternotomy , peripheral vascular disease , and chronic lung disease were the additional risks in the elderly . 0 ###LEFT-WALL### 6 ' 0 ###LEFT-WALL### 8 had 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 40 . 1 besides 2 these 1 besides 3 , 1 besides 6 ' 5 young 6 ' 6 ' 8 had 7 only 8 had 8 had 10 factors 8 had 11 as 9 cardiac 10 factors 11 as 13 risks 12 additional 13 risks 14 , 22 redo 14 , 24 , 15 whereas 17 factors 15 whereas 21 , 15 whereas 22 redo 16 various 17 factors 17 factors 18 including 18 including 20 parameters 19 cardiac 20 parameters 22 redo 23 sternotomy 24 , 29 and 24 , 33 were 25 peripheral 27 disease 26 vascular 27 disease 27 disease 29 and 28 , 29 and 29 and 32 disease 29 and 33 were 30 chronic 31 lung 31 lung 32 disease 33 were 36 risks 34 the 36 risks 35 additional 36 risks 36 risks 37 in 37 in 39 elderly 38 the 39 elderly thus , the elderly population was vulnerable to any kind of factors , and preoperative systemic evaluation [was] crucial in the elderly to help define the appropriate surgical candidates . 0 ###LEFT-WALL### 5 population 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 30 . 1 thus 2 , 1 thus 5 population 3 the 5 population 4 elderly 5 population 5 population 6 was 6 was 7 vulnerable 7 vulnerable 8 to 8 to 14 and 9 any 11 of 10 kind 11 of 11 of 12 factors 11 of 14 and 13 , 14 and 14 and 17 evaluation 14 and 19 crucial 15 preoperative 17 evaluation 16 systemic 17 evaluation 19 crucial 20 in 19 crucial 23 to 20 in 22 elderly 21 the 22 elderly 23 to 24 help 24 help 25 define 25 define 29 candidates 26 the 29 candidates 27 appropriate 29 candidates 28 surgical 29 candidates background : anti - müllerian [hormone] ( amh ) is a promising marker of ovarian reserve . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 anti 2 : 10 is 2 : 17 . 3 anti 8 amh 3 anti 10 is 4 - 8 amh 5 müllerian 8 amh 7 ( 8 amh 8 amh 9 ) 10 is 13 marker 11 a 12 promising 11 a 13 marker 12 promising 13 marker 13 marker 14 of 14 of 16 reserve 15 ovarian 16 reserve the aim of the study is to assess the circadian variation in amh , and to evaluate its clinical relevance and biological aspects as an effect of age and other endocrine mechanisms involved in the regulation of amh secretion . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 40 . 1 the 2 aim 2 aim 3 of 2 aim 6 is 3 of 5 study 4 the 5 study 6 is 7 to 6 is 15 and 7 to 15 and 8 assess 11 variation 8 assess 15 and 9 the 11 variation 10 circadian 11 variation 11 variation 12 in 12 in 13 amh 14 , 15 and 15 and 16 to 15 and 17 evaluate 16 to 17 evaluate 17 evaluate 29 and 17 evaluate 33 involved 18 its 20 relevance 19 clinical 20 relevance 20 relevance 21 and 21 and 23 aspects 21 and 24 as 21 and 27 of 21 and 29 and 22 biological 23 aspects 24 as 26 effect 25 an 26 effect 27 of 28 age 29 and 32 mechanisms 29 and 33 involved 30 other 32 mechanisms 31 endocrine 32 mechanisms 33 involved 34 in 33 involved 39 secretion 34 in 36 regulation 35 the 36 regulation 36 regulation 37 of 37 of 38 amh blood sampling , initiated at 8:00 a.m . on days 2 - 6 of the menstrual cycle , [was] continued every second hour until 8:00 a.m [.] the following day . 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 8 . 1 blood 2 sampling 1 blood 3 , 3 , 4 initiated 4 initiated 5 at 5 at 7 a.m 6 8:00 7 a.m 8 . 12 - 8 . 26 a.m 8 . 31 . 9 on 10 days 9 on 12 - 11 2 12 - 12 - 13 6 12 - 14 of 12 - 26 a.m 14 of 17 cycle 15 the 17 cycle 16 menstrual 17 cycle 18 , 20 continued 20 continued 23 hour 20 continued 24 until 20 continued 26 a.m 21 every 23 hour 22 second 23 hour 24 until 25 8:00 26 a.m 30 day 28 the 29 following 29 following 30 day serum levels of amh , fsh , lh , progesterone and estradiol were measured . 0 ###LEFT-WALL### 2 levels 0 ###LEFT-WALL### 13 were 0 ###LEFT-WALL### 15 . 1 serum 2 levels 2 levels 3 of 2 levels 13 were 3 of 11 and 4 amh 6 fsh 5 , 6 fsh 6 fsh 7 , 7 , 8 lh 7 , 9 , 9 , 10 progesterone 9 , 11 and 11 and 12 estradiol 13 were 14 measured results : with 8:00 a.m . values at the first day of investigation as a reference , the mean concentrations in the pooled data revealed a significantly lower level at 4:00 a.m . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 . 0 ###LEFT-WALL### 33 . 1 results 2 : 2 : 3 with 2 : 5 a.m 3 with 4 8:00 6 . 7 values 6 . 32 a.m 7 values 8 at 7 values 32 a.m 8 at 11 day 9 the 10 first 9 the 11 day 11 day 20 concentrations 11 day 25 revealed 12 of 13 investigation 12 of 20 concentrations 14 as 16 reference 14 as 17 , 14 as 20 concentrations 15 a 16 reference 18 the 20 concentrations 19 mean 20 concentrations 20 concentrations 21 in 20 concentrations 25 revealed 21 in 24 data 22 the 24 data 23 pooled 24 data 25 revealed 29 level 25 revealed 30 at 26 a 29 level 27 significantly 28 lower 28 lower 29 level 30 at 31 4:00 [(] p = 0.021 [ )(and 6:00 a.m . 0 ###LEFT-WALL### 2 p 0 ###LEFT-WALL### 3 = 0 ###LEFT-WALL### 6 )(and 0 ###LEFT-WALL### 9 . 2 p 3 = 3 = 4 0.021 6 )(and 7 6:00 6 )(and 8 a.m 7 6:00 8 a.m [(] p = 0.005 [ )(with a maximum mean difference of 1.9 pmol/l ( 10.6 % ) . 0 ###LEFT-WALL### 2 p 0 ###LEFT-WALL### 3 = 0 ###LEFT-WALL### 18 . 2 p 3 = 3 = 4 0.005 4 0.005 6 )(with 4 0.005 16 % 6 )(with 10 difference 7 a 8 maximum 7 a 10 difference 8 maximum 10 difference 9 mean 10 difference 10 difference 11 of 11 of 13 pmol/l 12 1.9 13 pmol/l 14 ( 16 % 15 10.6 16 % 16 % 17 ) the same pattern was seen in both the age groups . 0 ###LEFT-WALL### 3 pattern 0 ###LEFT-WALL### 5 seen 0 ###LEFT-WALL### 11 . 1 the 2 same 2 same 3 pattern 3 pattern 4 was 4 was 5 seen 5 seen 6 in 6 in 7 both 7 both 8 the 7 both 10 groups 8 the 10 groups 9 age 10 groups including both the age groups , the overall circadian variation of the amh levels did not reach statistical significance ( p = 0.059 ) . 0 ###LEFT-WALL### 10 variation 0 ###LEFT-WALL### 17 reach 0 ###LEFT-WALL### 25 . 1 including 2 both 1 including 6 , 1 including 10 variation 2 both 3 the 2 both 5 groups 3 the 5 groups 4 age 5 groups 7 the 10 variation 8 overall 10 variation 9 circadian 10 variation 10 variation 11 of 10 variation 15 did 11 of 14 levels 12 the 14 levels 13 amh 14 levels 15 did 16 not 15 did 17 reach 17 reach 19 significance 18 statistical 19 significance 19 significance 22 = 20 ( 22 = 21 p 22 = 22 = 23 0.059 22 = 24 ) a significant positive correlation between amh and lh concentration was seen over the 24 - h period ( p < 0.001 ) . 0 ###LEFT-WALL### 4 correlation 0 ###LEFT-WALL### 11 seen 0 ###LEFT-WALL### 23 . 1 a 2 significant 1 a 4 correlation 2 significant 4 correlation 3 positive 4 correlation 4 correlation 5 between 4 correlation 10 was 5 between 7 and 6 amh 7 and 7 and 9 concentration 8 lh 9 concentration 10 was 11 seen 11 seen 12 over 12 over 17 period 13 the 17 period 14 24 15 - 15 - 16 h 15 - 17 period 17 period 20 < 18 ( 20 < 19 p 20 < 20 < 21 0.001 20 < 22 ) conclusions : a slight decrease in serum amh levels during the late night appears [not] clinically relevant . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 appears 0 ###LEFT-WALL### 18 . 2 : 5 decrease 2 : 14 appears 3 a 5 decrease 4 slight 5 decrease 5 decrease 6 in 5 decrease 10 during 5 decrease 14 appears 6 in 9 levels 7 serum 9 levels 8 amh 9 levels 10 during 13 night 11 the 13 night 12 late 13 night 14 appears 16 clinically 14 appears 17 relevant [co] - variation in the levels of lh and amh might indicate joint regulatory mechanisms for the latter hormone and gonadotrophins . 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 12 indicate 0 ###LEFT-WALL### 22 . 2 - 9 and 3 variation 4 in 3 variation 9 and 4 in 6 levels 5 the 6 levels 6 levels 7 of 7 of 8 lh 9 and 10 amh 9 and 11 might 11 might 12 indicate 12 indicate 15 mechanisms 13 joint 15 mechanisms 14 regulatory 15 mechanisms 15 mechanisms 16 for 16 for 20 and 17 the 19 hormone 18 latter 19 hormone 19 hormone 20 and 20 and 21 gonadotrophins objective : in the elderly , obstructive sleep apnea ( osa ) is frequently under diagnosed . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 16 diagnosed 0 ###LEFT-WALL### 17 . 1 objective 2 : 2 : 3 in 2 : 16 diagnosed 3 in 8 sleep 4 the 8 sleep 5 elderly 6 , 5 elderly 8 sleep 7 obstructive 8 sleep 8 sleep 9 apnea 8 sleep 15 under 9 apnea 11 osa 9 apnea 13 is 10 ( 11 osa 11 osa 12 ) 13 is 14 frequently 13 is 15 under this study was undertaken to assess the accuracy of the berlin questionnaire to diagnose osa in a large healthy elderly population . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 4 undertaken 0 ###LEFT-WALL### 22 . 1 this 2 study 2 study 3 was 3 was 4 undertaken 4 undertaken 5 to 5 to 6 assess 6 assess 8 accuracy 7 the 8 accuracy 8 accuracy 9 of 8 accuracy 13 to 8 accuracy 14 diagnose 9 of 12 questionnaire 10 the 12 questionnaire 11 berlin 12 questionnaire 13 to 14 diagnose 14 diagnose 15 osa 14 diagnose 16 in 16 in 21 population 17 a 18 large 17 a 21 population 18 large 21 population 19 healthy 21 population 20 elderly 21 population patients and methods : six hundred forty - three participants aged 65.6 years were examined . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 16 . 1 patients 2 and 2 and 3 methods 3 methods 4 : 4 : 6 hundred 5 six 6 hundred 6 hundred 10 participants 6 hundred 15 examined 7 forty 8 - 8 - 9 three 8 - 10 participants 10 participants 11 aged 10 participants 13 years 10 participants 14 were 10 participants 15 examined 11 aged 12 65.6 13 years 14 were all subjects completed the berlin questionnaire and underwent [at] - home respiratory recording . 0 ###LEFT-WALL### 2 subjects 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 10 - 1 all 2 subjects 2 subjects 7 and 3 completed 6 questionnaire 3 completed 7 and 4 the 6 questionnaire 5 berlin 6 questionnaire 7 and 8 underwent 10 - 13 recording 10 - 14 . 11 home 13 recording 12 respiratory 13 recording presence of osa was defined by an ahi>15 . 0 ###LEFT-WALL### 1 presence 0 ###LEFT-WALL### 5 defined 0 ###LEFT-WALL### 9 . 1 presence 2 of 1 presence 4 was 2 of 3 osa 4 was 5 defined 5 defined 6 by 6 by 8 ahi>15 7 an 8 ahi>15 results : of the respondents , 202 subjects ( 31.4 % ) were in an osa high - risk group according to the berlin questionnaire . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 26 . 1 results 2 : 2 : 3 of 3 of 5 respondents 4 the 5 respondents 6 , 8 subjects 6 , 13 were 7 202 8 subjects 8 subjects 11 % 8 subjects 13 were 9 ( 11 % 10 31.4 11 % 11 % 12 ) 13 were 14 in 13 were 22 to 14 in 20 group 15 an 20 group 16 osa 20 group 17 high 18 - 17 high 20 group 19 risk 20 group 21 according 22 to 22 to 25 questionnaire 23 the 25 questionnaire 24 berlin 25 questionnaire the high - risk subjects were significantly heavier , had greater [waist] and hip circumferences , higher ahi , and reported more frequently hypertension [and] diabetes . 0 ###LEFT-WALL### 5 subjects 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 27 . 1 the 5 subjects 2 high 3 - 2 high 5 subjects 4 risk 5 subjects 5 subjects 9 , 6 were 8 heavier 6 were 9 , 7 significantly 8 heavier 9 , 20 and 10 had 15 circumferences 10 had 20 and 11 greater 13 and 13 and 14 hip 13 and 15 circumferences 15 circumferences 18 ahi 16 , 18 ahi 17 higher 18 ahi 18 ahi 19 , 19 , 20 and 20 and 21 reported 21 reported 23 frequently 21 reported 26 diabetes 22 more 23 frequently 24 hypertension 26 diabetes habitual snoring was present in 54 % of the sample , sleepiness in 12 % of participants , and a bmi>30 and a history [of] hypertension in 42.1 % . 0 ###LEFT-WALL### 1 habitual 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 12 sleepiness 0 ###LEFT-WALL### 30 . 1 habitual 2 snoring 1 habitual 3 was 3 was 4 present 4 present 5 in 5 in 7 % 6 54 7 % 7 % 8 of 8 of 10 sample 9 the 10 sample 11 , 12 sleepiness 12 sleepiness 13 in 12 sleepiness 27 in 13 in 15 % 14 12 15 % 15 % 16 of 16 of 22 and 17 participants 19 and 18 , 19 and 19 and 21 bmi>30 19 and 22 and 20 a 21 bmi>30 22 and 26 hypertension 23 a 24 history 23 a 26 hypertension 24 history 26 hypertension 27 in 29 % 28 42.1 29 % being in the high - risk group predicted an ahi>15 with a sensitivity of 77 % , a specificity of 39 % , a positive predictive value of 63 % and a negative predictive value of 55 % . 0 ###LEFT-WALL### 1 being 0 ###LEFT-WALL### 8 predicted 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 39 . 1 being 2 in 1 being 8 predicted 2 in 7 group 3 the 7 group 4 high 5 - 4 high 7 group 6 risk 7 group 8 predicted 10 ahi>15 8 predicted 11 with 9 an 10 ahi>15 11 with 13 sensitivity 12 a 13 sensitivity 13 sensitivity 14 of 13 sensitivity 19 specificity 14 of 16 % 15 77 16 % 17 , 19 specificity 18 a 19 specificity 19 specificity 20 of 19 specificity 23 , 20 of 22 % 21 39 22 % 23 , 31 and 24 a 27 value 25 positive 27 value 26 predictive 27 value 27 value 28 of 27 value 31 and 28 of 30 % 29 63 30 % 31 and 35 value 31 and 36 of 32 a 33 negative 32 a 35 value 33 negative 35 value 34 predictive 35 value 36 of 38 % 37 55 38 % among berlin questionnaire categories , snoring correctly classified 61 % of the sample and explained the 5 % variance of ahi . 0 ###LEFT-WALL### 6 snoring 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 22 . 1 among 4 categories 1 among 5 , 1 among 6 snoring 2 berlin 4 categories 3 questionnaire 4 categories 6 snoring 7 correctly 6 snoring 14 and 8 classified 10 % 8 classified 14 and 9 61 10 % 10 % 11 of 11 of 13 sample 12 the 13 sample 14 and 15 explained 15 explained 19 variance 16 the 19 variance 17 5 18 % 18 % 19 variance 19 variance 20 of 20 of 21 ahi conclusions : the berlin questionnaire did not provide a high level of diagnostic specificity to discriminate osa in an elderly population . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 5 questionnaire 2 : 8 provide 3 the 5 questionnaire 4 berlin 5 questionnaire 5 questionnaire 6 did 6 did 7 not 6 did 8 provide 8 provide 11 level 8 provide 18 in 9 a 10 high 9 a 11 level 10 high 11 level 11 level 12 of 12 of 14 specificity 13 diagnostic 14 specificity 14 specificity 15 to 14 specificity 16 discriminate 15 to 16 discriminate 16 discriminate 17 osa 18 in 21 population 19 an 20 elderly 19 an 21 population 20 elderly 21 population [although] not sufficiently accurate , this questionnaire can be used to identify subjects for sleep study assessment . 0 ###LEFT-WALL### 2 not 0 ###LEFT-WALL### 12 identify 0 ###LEFT-WALL### 18 . 2 not 7 questionnaire 2 not 10 used 3 sufficiently 4 accurate 4 accurate 5 , 4 accurate 7 questionnaire 6 this 7 questionnaire 7 questionnaire 8 can 8 can 9 be 9 be 10 used 10 used 11 to 11 to 12 identify 12 identify 13 subjects 13 subjects 14 for 14 for 17 assessment 15 sleep 17 assessment 16 study 17 assessment purpose : to investigate the reliability of a 3 d [-] accelerometry based gait analysis , and [its] correlates with clinical status and fall - risk . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 2 : 3 to 2 : 17 and 3 to 17 and 4 investigate 6 reliability 4 investigate 17 and 5 the 6 reliability 6 reliability 7 of 7 of 15 analysis 8 a 15 analysis 9 3 10 d 10 d 15 analysis 12 accelerometry 13 based 13 based 14 gait 14 gait 15 analysis 16 , 17 and 17 and 19 correlates 17 and 20 with 17 and 26 risk 20 with 23 and 21 clinical 22 status 22 status 23 and 23 and 24 fall 23 and 25 - [intra] - and [inter] - observer reliability of gait speed , step [-] time asymmetry , mediolateral and craniocaudal step and stride regularity were determined by icc and cv of standard error of measurement ( cv ( sem ) ) . 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 41 . 2 - 3 and 3 and 5 - 3 and 24 were 5 - 21 and 6 observer 7 reliability 7 reliability 8 of 7 reliability 11 , 8 of 10 speed 9 gait 10 speed 11 , 15 asymmetry 11 , 16 , 12 step 15 asymmetry 14 time 15 asymmetry 16 , 20 step 16 , 21 and 17 mediolateral 18 and 18 and 19 craniocaudal 18 and 20 step 21 and 23 regularity 21 and 24 were 22 stride 23 regularity 24 were 28 and 25 determined 26 by 25 determined 28 and 26 by 27 icc 28 and 29 cv 28 and 30 of 28 and 36 cv 30 of 32 error 31 standard 32 error 32 error 33 of 33 of 34 measurement 35 ( 36 cv 36 cv 38 sem 36 cv 40 ) 37 ( 38 sem 38 sem 39 ) relationships with cognition ( mmse ) , dependency , grip strength , muscle endurance , and fall - risk ( fall - history , timed - get - up - and - go and tinetti - test [ )( analysed [in] elderly participants . 0 ###LEFT-WALL### 1 relationships 0 ###LEFT-WALL### 31 and 0 ###LEFT-WALL### 44 . 1 relationships 2 with 1 relationships 8 dependency 1 relationships 16 and 1 relationships 31 and 2 with 3 cognition 3 cognition 5 mmse 4 ( 5 mmse 5 mmse 6 ) 7 , 8 dependency 8 dependency 9 , 9 , 16 and 10 grip 11 strength 11 strength 12 , 12 , 14 endurance 12 , 16 and 13 muscle 14 endurance 15 , 16 and 16 and 17 fall 16 and 19 risk 16 and 23 history 16 and 25 timed 16 and 26 - 18 - 19 risk 19 risk 21 fall 19 risk 22 - 20 ( 21 fall 21 fall 22 - 22 - 23 history 23 history 24 , 24 , 25 timed 25 timed 26 - 27 get 29 up 27 get 31 and 28 - 29 up 30 - 31 and 31 and 34 and 32 - 34 and 33 go 34 and 34 and 37 test 35 tinetti 36 - 35 tinetti 37 test 37 test 43 participants 40 analysed 43 participants 42 elderly 43 participants compared to oc , ofr showed significantly [(] p<0.05 ) slower gait speed , and worse step and stride regularity . 0 ###LEFT-WALL### 5 ofr 0 ###LEFT-WALL### 6 showed 0 ###LEFT-WALL### 21 . 1 compared 2 to 1 compared 4 , 1 compared 5 ofr 2 to 3 oc 5 ofr 6 showed 6 showed 18 and 6 showed 20 regularity 7 significantly 9 p<0.05 9 p<0.05 10 ) 9 p<0.05 12 gait 11 slower 12 gait 12 gait 13 speed 13 speed 15 and 14 , 15 and 15 and 17 step 15 and 18 and 16 worse 17 step 18 and 19 stride gait speed , step - time asymmetry , step and stride regularity related significantly ( p<0.05 ) with several functional outcomes . 0 ###LEFT-WALL### 2 speed 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 22 . 1 gait 2 speed 3 , 4 step 3 , 5 - 5 - 6 time 6 time 10 and 6 time 18 with 7 asymmetry 8 , 8 , 9 step 8 , 10 and 10 and 12 regularity 10 and 13 related 10 and 16 p<0.05 11 stride 12 regularity 13 related 14 significantly 15 ( 16 p<0.05 16 p<0.05 17 ) 18 with 21 outcomes 19 several 21 outcomes 20 functional 21 outcomes besides gait speed ( 1.158 m / [s] , 78 % sensitivity and 78 % specificity ) , none of the gait features showed sufficient discriminative capacity according to fall - risk . 0 ###LEFT-WALL### 23 features 0 ###LEFT-WALL### 24 showed 0 ###LEFT-WALL### 31 - 0 ###LEFT-WALL### 33 . 1 besides 3 speed 1 besides 23 features 2 gait 3 speed 3 speed 13 and 4 ( 13 and 5 1.158 6 m 6 m 7 / 7 / 9 , 9 , 12 sensitivity 9 , 13 and 10 78 11 % 11 % 12 sensitivity 13 and 16 specificity 13 and 17 ) 13 and 18 , 14 78 15 % 15 % 16 specificity 19 none 20 of 19 none 23 features 20 of 23 features 21 the 23 features 22 gait 23 features 23 features 24 showed 24 showed 27 capacity 24 showed 29 to 25 sufficient 27 capacity 26 discriminative 27 capacity 28 according 29 to 29 to 30 fall 31 - 32 risk conclusions : in all participants together , 3 d - accelerometry based gait speed and regularity showed high reliability when based on two walks of 18 m . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 - 1 conclusions 2 : 2 : 3 in 3 in 5 participants 4 all 5 participants 5 participants 6 together 5 participants 9 d 7 , 9 d 8 3 9 d 9 d 10 - 10 - 11 accelerometry 10 - 12 based 10 - 15 and 10 - 28 . 11 accelerometry 12 based 12 based 14 speed 13 gait 14 speed 15 and 16 regularity 15 and 17 showed 16 regularity 17 showed 17 showed 19 reliability 17 showed 20 when 18 high 19 reliability 20 when 21 based 21 based 22 on 22 on 24 walks 23 two 24 walks 24 walks 25 of 25 of 27 m 26 18 27 m relationships with functional characteristics support the validity of gait variability features in elderly persons . 0 ###LEFT-WALL### 1 relationships 0 ###LEFT-WALL### 5 support 0 ###LEFT-WALL### 15 . 1 relationships 2 with 1 relationships 5 support 2 with 4 characteristics 3 functional 4 characteristics 5 support 7 validity 5 support 12 in 6 the 7 validity 7 validity 8 of 8 of 11 features 9 gait 11 features 10 variability 11 features 12 in 14 persons 13 elderly 14 persons more fundamental and prospective research is necessary to clarify their clinical value . 0 ###LEFT-WALL### 5 research 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 13 . 1 more 5 research 2 fundamental 3 and 3 and 4 prospective 3 and 5 research 5 research 6 is 6 is 7 necessary 7 necessary 8 to 7 necessary 9 clarify 8 to 9 clarify 9 clarify 12 value 10 their 12 value 11 clinical 12 value previous studies have suggested that arm movements can contribute to preventing the loss of balance or falls , and that aging affects the functions of arm movements . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 suggested 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 28 . 1 previous 2 studies 2 studies 3 have 3 have 4 suggested 4 suggested 5 that 5 that 7 movements 5 that 16 or 6 arm 7 movements 8 can 9 contribute 8 can 16 or 9 contribute 10 to 10 to 11 preventing 11 preventing 13 loss 12 the 13 loss 13 loss 14 of 14 of 15 balance 16 or 17 falls 18 , 19 and 19 and 20 that 19 and 22 affects 20 that 21 aging 20 that 22 affects 22 affects 24 functions 23 the 24 functions 24 functions 25 of 25 of 27 movements 26 arm 27 movements clinical balance and mobility tests may be able to detect such aging effects . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 7 be 0 ###LEFT-WALL### 14 . 1 clinical 2 balance 2 balance 3 and 3 and 5 tests 3 and 6 may 4 mobility 5 tests 6 may 7 be 7 be 8 able 8 able 9 to 8 able 10 detect 9 to 10 detect 10 detect 13 effects 11 such 13 effects 12 aging 13 effects as the first step to approaching this question , the purpose of this pilot study was to investigate the effects of arm movements on the performance of clinical balance and mobility tests . 0 ###LEFT-WALL### 11 purpose 0 ###LEFT-WALL### 33 . 1 as 3 first 1 as 4 step 1 as 9 , 1 as 11 purpose 2 the 3 first 3 first 4 step 4 step 5 to 5 to 6 approaching 6 approaching 8 question 7 this 8 question 10 the 11 purpose 11 purpose 12 of 11 purpose 16 was 12 of 15 study 13 this 15 study 14 pilot 15 study 16 was 17 to 16 was 18 investigate 17 to 18 investigate 18 investigate 20 effects 18 investigate 24 on 19 the 20 effects 20 effects 21 of 21 of 23 movements 22 arm 23 movements 24 on 26 performance 25 the 26 performance 26 performance 27 of 27 of 30 and 28 clinical 29 balance 29 balance 30 and 30 and 32 tests 31 mobility 32 tests ten participants were evaluated in four clinical tests : [(] 1 [ )(maximal [step] [length] [test] [(] [ms] t [ )( [(] [2] [ )(step [test] ( [st] [ )(, [(] [3] [ )(timed up and go test ( tug ) , [and] ( 4 [ )(walk along an elliptical line ( wel ) . 0 ###LEFT-WALL### 2 participants 0 ###LEFT-WALL### 4 evaluated 0 ###LEFT-WALL### 9 : 1 ten 2 participants 2 participants 3 were 3 were 4 evaluated 4 evaluated 5 in 5 in 8 tests 6 four 8 tests 7 clinical 8 tests 9 : 19 t 11 1 19 t 13 )(maximal 19 t 19 t 30 )(, 25 )(step 30 )(, 27 ( 30 )(, 30 )(, 34 )(timed 30 )(, 36 and 35 up 36 and 36 and 40 tug 36 and 42 , 36 and 47 )(walk 37 go 38 test 38 test 40 tug 39 ( 40 tug 40 tug 41 ) 44 ( 47 )(walk 45 4 47 )(walk 47 )(walk 48 along 47 )(walk 53 wel 47 )(walk 55 . 48 along 51 line 49 an 51 line 50 elliptical 51 line 52 ( 53 wel 53 wel 54 ) each test was performed with free and limited arm movement and the outcomes were compared . 0 ###LEFT-WALL### 2 test 0 ###LEFT-WALL### 4 performed 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 16 . 1 each 2 test 2 test 3 was 3 was 4 performed 4 performed 5 with 5 with 10 movement 6 free 7 and 7 and 8 limited 7 and 9 arm 9 arm 10 movement 11 and 13 outcomes 11 and 15 compared 12 the 13 outcomes 13 outcomes 14 were 14 were 15 compared statistical analysis indicated a significant improvement in test performance when arms were used freely for three out of four tests [(] [mst] , st and tug ) , with inconclusive results on wel . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 3 indicated 0 ###LEFT-WALL### 34 . 1 statistical 2 analysis 2 analysis 3 indicated 3 indicated 6 improvement 3 indicated 29 with 4 a 5 significant 4 a 6 improvement 5 significant 6 improvement 6 improvement 7 in 6 improvement 10 when 7 in 9 performance 8 test 9 performance 10 when 11 arms 10 when 13 used 11 arms 12 were 12 were 13 used 13 used 14 freely 13 used 15 for 13 used 18 of 15 for 16 three 17 out 18 of 18 of 20 tests 19 four 20 tests 20 tests 25 and 23 , 25 and 24 st 25 and 25 and 26 tug 25 and 27 ) 25 and 28 , 29 with 31 results 29 with 32 on 30 inconclusive 31 results 32 on 33 wel this pilot study showed improved performance on the clinical balance and mobility tests , suggesting that the contribution of arm movements is sufficiently large to be detected . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 showed 1 this 3 study 2 pilot 3 study 3 study 4 showed 4 showed 6 performance 4 showed 11 and 5 improved 6 performance 6 performance 7 on 7 on 10 balance 8 the 10 balance 9 clinical 10 balance 11 and 12 mobility 11 and 13 tests 13 tests 15 suggesting 14 , 15 suggesting 15 suggesting 16 that 15 suggesting 28 . 16 that 18 contribution 16 that 27 detected 17 the 18 contribution 18 contribution 19 of 18 contribution 22 is 19 of 21 movements 20 arm 21 movements 22 is 23 sufficiently 22 is 24 large 24 large 25 to 25 to 26 be 26 be 27 detected this implies a feasibility for novel usage of clinical balance and mobility tests , i.e [.] , to test the effectiveness of arm usage in balance and mobility . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 implies 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 29 . 1 this 2 implies 2 implies 4 feasibility 2 implies 5 for 3 a 4 feasibility 5 for 7 usage 6 novel 7 usage 7 usage 8 of 7 usage 15 i.e 8 of 11 and 9 clinical 10 balance 10 balance 11 and 11 and 13 tests 12 mobility 13 tests 14 , 15 i.e 15 i.e 17 , 17 , 18 to 17 , 19 test 18 to 19 test 19 test 21 effectiveness 19 test 25 in 20 the 21 effectiveness 21 effectiveness 22 of 22 of 24 usage 23 arm 24 usage 25 in 27 and 26 balance 27 and 27 and 28 mobility prader - willi [syndrome] ( pws ) is characterized by temper tantrums , impulsivity , mood fluctuations , difficulty with change in routine , skinpicking , stubbornness and aggression . 0 ###LEFT-WALL### 1 prader 0 ###LEFT-WALL### 9 characterized 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 30 . 1 prader 6 pws 1 prader 8 is 2 - 6 pws 3 willi 6 pws 5 ( 6 pws 6 pws 7 ) 8 is 9 characterized 9 characterized 10 by 10 by 12 tantrums 11 temper 12 tantrums 12 tantrums 14 impulsivity 12 tantrums 17 fluctuations 13 , 14 impulsivity 14 impulsivity 15 , 15 , 17 fluctuations 16 mood 17 fluctuations 17 fluctuations 18 , 18 , 28 and 19 difficulty 20 with 19 difficulty 24 , 20 with 21 change 21 change 22 in 22 in 23 routine 24 , 25 skinpicking 24 , 26 , 26 , 27 stubbornness 26 , 28 and 28 and 29 aggression many studies on behavior in pws are limited by sample size , age range , a lack of genetically confirmed diagnosis of pws and inconsistent assessment of behavior . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 8 limited 0 ###LEFT-WALL### 29 . 1 many 2 studies 2 studies 3 on 2 studies 7 are 3 on 4 behavior 4 behavior 5 in 5 in 6 pws 7 are 8 limited 8 limited 9 by 9 by 24 and 10 sample 11 size 11 size 12 , 12 , 14 range 12 , 15 , 13 age 14 range 15 , 17 lack 15 , 24 and 16 a 17 lack 17 lack 18 of 17 lack 22 of 18 of 21 diagnosis 19 genetically 20 confirmed 20 confirmed 21 diagnosis 22 of 23 pws 24 and 26 assessment 24 and 27 of 25 inconsistent 26 assessment 27 of 28 behavior the aim of this study was to explore systematically the relation between behavioral problems and age groups , genetic [subtypes] and bmi categories in an adult pws population . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 29 . 1 the 2 aim 2 aim 3 of 2 aim 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 15 and 7 to 15 and 8 explore 9 systematically 8 explore 11 relation 8 explore 12 between 8 explore 15 and 10 the 11 relation 12 between 14 problems 13 behavioral 14 problems 15 and 16 age 16 age 21 and 16 age 24 in 17 groups 18 , 18 , 19 genetic 18 , 21 and 21 and 23 categories 22 bmi 23 categories 24 in 28 population 25 an 28 population 26 adult 28 population 27 pws 28 population participants were contacted via the dutch prader - willi parent association and through physicians specialized in persons with id . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 3 contacted 0 ###LEFT-WALL### 8 - 1 participants 2 were 2 were 3 contacted 3 contacted 4 via 4 via 7 prader 5 the 6 dutch 6 dutch 7 prader 8 - 12 and 8 - 15 specialized 8 - 20 . 9 willi 10 parent 10 parent 11 association 11 association 12 and 12 and 14 physicians 12 and 15 specialized 13 through 14 physicians 15 specialized 16 in 15 specialized 18 with 16 in 17 persons 18 with 19 id behaviors were studied using the developmental behavior checklist for adults ( dbc - a ) . 0 ###LEFT-WALL### 1 behaviors 0 ###LEFT-WALL### 3 studied 0 ###LEFT-WALL### 16 . 1 behaviors 2 were 2 were 3 studied 3 studied 4 using 4 using 8 checklist 5 the 8 checklist 6 developmental 7 behavior 7 behavior 8 checklist 8 checklist 9 for 9 for 10 adults 10 adults 13 - 11 ( 13 - 12 dbc 13 - 13 - 14 a 13 - 15 ) the forms were completed by the main caregivers of 98 adults with a genetically confirmed diagnosis of pws . 0 ###LEFT-WALL### 2 forms 0 ###LEFT-WALL### 4 completed 0 ###LEFT-WALL### 19 . 1 the 2 forms 2 forms 3 were 3 were 4 completed 4 completed 5 by 4 completed 12 with 5 by 8 caregivers 6 the 7 main 6 the 8 caregivers 8 caregivers 9 of 9 of 11 adults 10 98 11 adults 12 with 16 diagnosis 13 a 14 genetically 13 a 16 diagnosis 14 genetically 15 confirmed 15 confirmed 16 diagnosis 16 diagnosis 17 of 17 of 18 pws differences between age groups were statistically significant ( anova , p=0.03 [ )( 0 ###LEFT-WALL### 1 differences 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 13 )( 1 differences 2 between 1 differences 5 were 2 between 4 groups 3 age 4 groups 5 were 6 statistically 5 were 11 p=0.03 7 significant 9 anova 7 significant 10 , 7 significant 11 p=0.03 8 ( 9 anova 9 anova 10 , dbc - a total scores were higher in the consecutive age groups , with the most behavioral problems in the oldest age groups . 0 ###LEFT-WALL### 4 total 0 ###LEFT-WALL### 12 groups 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 24 . 1 dbc 2 - 1 dbc 4 total 3 a 4 total 4 total 5 scores 4 total 6 were 4 total 12 groups 5 scores 6 were 6 were 7 higher 6 were 8 in 8 in 11 age 9 the 11 age 10 consecutive 11 age 13 , 22 age 13 , 23 groups 14 with 18 problems 14 with 22 age 15 the 16 most 16 most 18 problems 17 behavioral 18 problems 18 problems 19 in 19 in 21 oldest 20 the 21 oldest 22 age 23 groups differences [between] [genetic] [subtypes] were also statistically significant ( anova , p<0.01 [ )( 0 ###LEFT-WALL### 1 differences 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 14 )( 1 differences 5 were 5 were 6 also 5 were 7 statistically 5 were 12 p<0.01 8 significant 10 anova 8 significant 12 p<0.01 9 ( 10 anova 10 anova 11 , persons with mupd had higher total scores on the dbc [-] a than persons with a deletion . 0 ###LEFT-WALL### 1 persons 0 ###LEFT-WALL### 4 had 0 ###LEFT-WALL### 18 . 1 persons 2 with 1 persons 4 had 2 with 3 mupd 4 had 7 scores 4 had 8 on 4 had 13 than 4 had 15 with 5 higher 7 scores 6 total 7 scores 8 on 10 dbc 9 the 10 dbc 10 dbc 12 a 13 than 14 persons 15 with 17 deletion 16 a 17 deletion those with a type i deletion showed higher total dbc [-] a scores than persons with a type ii deletion . 0 ###LEFT-WALL### 1 those 0 ###LEFT-WALL### 7 showed 0 ###LEFT-WALL### 21 . 1 those 2 with 1 those 7 showed 2 with 6 deletion 3 a 6 deletion 4 type 5 i 4 type 6 deletion 7 showed 10 dbc 7 showed 13 scores 8 higher 10 dbc 9 total 10 dbc 10 dbc 12 a 10 dbc 13 scores 13 scores 14 than 13 scores 16 with 14 than 15 persons 16 with 20 deletion 17 a 20 deletion 18 type 19 ii 18 type 20 deletion there were no statistically significant differences in dbc - a total scores between the different bmi categories . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 9 - 1 there 2 were 2 were 6 differences 3 no 6 differences 4 statistically 5 significant 5 significant 6 differences 6 differences 7 in 7 in 8 dbc 9 - 11 total 9 - 12 scores 9 - 18 . 10 a 11 total 11 total 12 scores 12 scores 13 between 13 between 17 categories 14 the 17 categories 15 different 17 categories 16 bmi 17 categories individuals with a bmi<25 had higher scores on the self - absorbed subscale compared to persons with a bmi between 25 and 30 . 0 ###LEFT-WALL### 1 individuals 0 ###LEFT-WALL### 5 had 0 ###LEFT-WALL### 11 - 1 individuals 2 with 1 individuals 5 had 2 with 4 bmi<25 3 a 4 bmi<25 5 had 7 scores 5 had 8 on 6 higher 7 scores 8 on 10 self 9 the 10 self 11 - 13 subscale 11 - 14 compared 11 - 24 . 12 absorbed 13 subscale 13 subscale 14 compared 14 compared 15 to 14 compared 17 with 15 to 16 persons 17 with 19 bmi 18 a 19 bmi 19 bmi 22 and 20 between 22 and 21 25 22 and 22 and 23 30 unlike previous descriptions of the behavioral phenotype in adults with pws , we did not find a reduction in behavioral problems in older adults . 0 ###LEFT-WALL### 13 we 0 ###LEFT-WALL### 16 find 0 ###LEFT-WALL### 25 . 1 unlike 3 descriptions 1 unlike 12 , 1 unlike 13 we 2 previous 3 descriptions 3 descriptions 4 of 4 of 7 phenotype 5 the 7 phenotype 6 behavioral 7 phenotype 7 phenotype 8 in 8 in 9 adults 9 adults 10 with 10 with 11 pws 13 we 14 did 14 did 15 not 14 did 16 find 16 find 18 reduction 16 find 19 in 16 find 22 in 17 a 18 reduction 19 in 21 problems 20 behavioral 21 problems 22 in 24 adults 23 older 24 adults therefore , special attention should be paid to behavioral problems as part of general management of adults with pws . 0 ###LEFT-WALL### 4 attention 0 ###LEFT-WALL### 7 paid 0 ###LEFT-WALL### 20 . 1 therefore 2 , 1 therefore 4 attention 3 special 4 attention 4 attention 5 should 5 should 6 be 6 be 7 paid 7 paid 8 to 7 paid 11 as 7 paid 18 with 8 to 10 problems 9 behavioral 10 problems 11 as 15 management 12 part 13 of 12 part 15 management 13 of 15 management 14 general 15 management 15 management 16 of 16 of 17 adults 18 with 19 pws longitudinal studies are warranted to gain more insight into the natural history and course of behavioral problems in adults and older people with pws over the long term and possible risk and preventive factors . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 warranted 0 ###LEFT-WALL### 35 . 1 longitudinal 2 studies 2 studies 3 are 3 are 4 warranted 4 warranted 5 to 4 warranted 9 into 4 warranted 18 in 4 warranted 25 over 5 to 6 gain 6 gain 8 insight 7 more 8 insight 9 into 13 and 10 the 12 history 11 natural 12 history 12 history 13 and 13 and 14 course 13 and 15 of 15 of 17 problems 16 behavioral 17 problems 18 in 22 people 19 adults 20 and 20 and 21 older 20 and 22 people 22 people 23 with 23 with 24 pws 25 over 32 and 26 the 28 term 27 long 28 term 28 term 29 and 29 and 31 risk 29 and 32 and 30 possible 31 risk 32 and 34 factors 33 preventive 34 factors the association between education and good health is well established , but whether the strength of the association depends on other social statuses is not . 0 ###LEFT-WALL### 2 association 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 12 but 0 ###LEFT-WALL### 26 . 1 the 2 association 2 association 3 between 2 association 8 is 3 between 5 and 4 education 5 and 5 and 7 health 6 good 7 health 8 is 9 well 9 well 10 established 11 , 12 but 12 but 13 whether 12 but 24 is 13 whether 15 strength 13 whether 19 depends 13 whether 24 is 14 the 15 strength 15 strength 16 of 15 strength 19 depends 16 of 18 association 17 the 18 association 19 depends 20 on 20 on 23 statuses 21 other 23 statuses 22 social 23 statuses 24 is 25 not we test a theory of resource substitution which predicts a larger correlation between education and health ( measured for physical impairment ) for people who grew up in families with poorly [-] educated parents than for those whose parents were well educated . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 test 0 ###LEFT-WALL### 43 . 1 we 2 test 2 test 4 theory 2 test 36 for 3 a 4 theory 4 theory 5 of 5 of 7 substitution 6 resource 7 substitution 7 substitution 8 which 7 substitution 9 predicts 7 substitution 13 between 7 substitution 23 for 8 which 9 predicts 9 predicts 12 correlation 10 a 12 correlation 11 larger 12 correlation 13 between 15 and 14 education 15 and 15 and 16 health 15 and 18 measured 17 ( 18 measured 18 measured 19 for 18 measured 22 ) 19 for 21 impairment 20 physical 21 impairment 23 for 24 people 24 people 25 who 24 people 26 grew 25 who 26 grew 26 grew 27 up 26 grew 28 in 26 grew 30 with 28 in 29 families 30 with 34 parents 30 with 35 than 31 poorly 33 educated 33 educated 34 parents 36 for 37 those 37 those 38 whose 37 those 42 educated 38 whose 39 parents 39 parents 40 were 40 were 41 well this is supported in the aging , status , and sense of control ( asoc ) survey , a representative national u.s . sample with data collected in 1995 , 1998 , [and] 2001 . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 3 supported 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 23 . 1 this 2 is 2 is 3 supported 3 supported 4 in 4 in 17 survey 5 the 17 survey 6 aging 7 , 7 , 8 status 7 , 10 and 9 , 10 and 10 and 11 sense 10 and 12 of 10 and 15 asoc 10 and 17 survey 12 of 13 control 14 ( 15 asoc 15 asoc 16 ) 18 , 22 u.s 19 a 20 representative 19 a 22 u.s 20 representative 22 u.s 21 national 22 u.s 23 . 24 sample 23 . 35 . 24 sample 25 with 24 sample 34 2001 25 with 26 data 26 data 27 collected 27 collected 28 in 28 in 29 1995 29 1995 31 1998 30 , 31 1998 31 1998 32 , the reason that parental education matters more to people who are poorly educated themselves is due to an unhealthy lifestyle [,] specifically to smoking and being overweight . 0 ###LEFT-WALL### 2 reason 0 ###LEFT-WALL### 28 . 1 the 2 reason 2 reason 3 that 2 reason 15 is 3 that 5 education 3 that 6 matters 4 parental 5 education 5 education 6 matters 6 matters 7 more 6 matters 8 to 6 matters 14 themselves 8 to 9 people 9 people 10 who 9 people 11 are 10 who 11 are 11 are 13 educated 12 poorly 13 educated 15 is 25 and 15 is 27 overweight 16 due 17 to 16 due 22 specifically 16 due 23 to 16 due 25 and 17 to 20 lifestyle 18 an 20 lifestyle 19 unhealthy 20 lifestyle 23 to 24 smoking 25 and 26 being finally , as the poorly educated age , the negative health effects of their parents ' low educational attainment get worse . 0 ###LEFT-WALL### 12 effects 0 ###LEFT-WALL### 20 get 0 ###LEFT-WALL### 22 . 1 finally 2 , 1 finally 12 effects 2 , 3 as 3 as 7 age 3 as 8 , 3 as 12 effects 4 the 7 age 5 poorly 6 educated 6 educated 7 age 9 the 12 effects 10 negative 11 health 11 health 12 effects 12 effects 13 of 12 effects 20 get 13 of 19 attainment 14 their 15 parents 15 parents 16 ' 16 ' 19 attainment 17 low 19 attainment 18 educational 19 attainment 20 get 21 worse in this paper , 14 healthy subjects in two age groups have produced rapid handwriting strokes with a direction reversal . 0 ###LEFT-WALL### 7 subjects 0 ###LEFT-WALL### 13 produced 0 ###LEFT-WALL### 21 . 1 in 3 paper 1 in 4 , 1 in 7 subjects 2 this 3 paper 5 14 7 subjects 6 healthy 7 subjects 7 subjects 8 in 7 subjects 12 have 8 in 11 groups 9 two 11 groups 10 age 11 groups 12 have 13 produced 13 produced 16 strokes 13 produced 17 with 14 rapid 15 handwriting 15 handwriting 16 strokes 17 with 20 reversal 18 a 20 reversal 19 direction 20 reversal the delta [-] lognormal model was used to obtain a detailed description of the velocity of these movements and of the neuromuscular synergy that produces them . 0 ###LEFT-WALL### 5 model 0 ###LEFT-WALL### 7 used 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 27 . 1 the 5 model 2 delta 5 model 4 lognormal 5 model 5 model 6 was 6 was 7 used 7 used 8 to 7 used 9 obtain 8 to 9 obtain 9 obtain 12 description 10 a 11 detailed 10 a 12 description 11 detailed 12 description 12 description 13 of 13 of 15 velocity 14 the 15 velocity 15 velocity 16 of 16 of 18 movements 17 these 18 movements 19 and 24 that 19 and 25 produces 20 of 23 synergy 20 of 24 that 21 the 23 synergy 22 neuromuscular 23 synergy 24 that 25 produces 25 produces 26 them this modeling also allowed the derivation [of] new hypothesis on the nature of the slowing effect due to aging [(] i.e [.] , a direct effect or a coping strategy ) [and] [on] [its] [repartition] on the different steps of the movement production ( i.e [.] , its preparation versus its execution ) . 0 ###LEFT-WALL### 2 modeling 0 ###LEFT-WALL### 4 allowed 1 this 2 modeling 2 modeling 4 allowed 3 also 4 allowed 4 allowed 9 hypothesis 4 allowed 10 on 5 the 9 hypothesis 6 derivation 9 hypothesis 8 new 9 hypothesis 10 on 12 nature 11 the 12 nature 12 nature 13 of 13 of 16 effect 14 the 16 effect 15 slowing 16 effect 16 effect 18 to 17 due 18 to 18 to 27 or 19 aging 21 i.e 21 i.e 23 , 23 , 26 effect 23 , 27 or 24 a 25 direct 24 a 26 effect 25 direct 26 effect 27 or 30 strategy 27 or 31 ) 27 or 36 on 28 a 30 strategy 29 coping 30 strategy 36 on 39 steps 37 the 39 steps 38 different 39 steps 39 steps 40 of 40 of 43 production 41 the 43 production 42 movement 43 production 43 production 45 i.e 44 ( 45 i.e 45 i.e 49 preparation 45 i.e 54 . 47 , 49 preparation 48 its 49 preparation 49 preparation 50 versus 49 preparation 53 ) 50 versus 52 execution 51 its 52 execution our analysis revealed a substantial increase of neuromuscular response delays and a decrease of the command amplitudes with age . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 3 revealed 0 ###LEFT-WALL### 20 . 1 our 2 analysis 2 analysis 3 revealed 3 revealed 6 increase 3 revealed 17 amplitudes 4 a 5 substantial 4 a 6 increase 5 substantial 6 increase 6 increase 7 of 6 increase 17 amplitudes 7 of 11 and 8 neuromuscular 9 response 9 response 10 delays 10 delays 11 and 11 and 13 decrease 11 and 14 of 12 a 13 decrease 14 of 16 command 15 the 16 command 17 amplitudes 18 with 18 with 19 age for the parameters that show a significant decrease in performance , the agonist and antagonist systems were affected similarly . 0 ###LEFT-WALL### 16 systems 0 ###LEFT-WALL### 18 affected 0 ###LEFT-WALL### 20 . 1 for 3 parameters 1 for 16 systems 2 the 3 parameters 3 parameters 4 that 3 parameters 5 show 4 that 5 show 5 show 8 decrease 5 show 9 in 6 a 7 significant 6 a 8 decrease 7 significant 8 decrease 9 in 14 and 10 performance 11 , 11 , 13 agonist 11 , 14 and 12 the 13 agonist 14 and 15 antagonist 16 systems 17 were 17 were 18 affected 18 affected 19 similarly in addition , we observed that the age has a proportional effect on the various time characteristics of the movements and that even in the case of a significant slowing [down] of the neuromuscular systems [,] the elderly can still achieve optimal movement responses , characterized by the use of a single delta - lognormal primitive . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 observed 1 in 2 addition 1 in 3 , 1 in 4 we 4 we 5 observed 5 observed 6 that 6 that 8 age 6 that 9 has 7 the 8 age 8 age 9 has 9 has 12 effect 9 has 16 time 10 a 11 proportional 10 a 12 effect 11 proportional 12 effect 12 effect 13 on 13 on 15 various 14 the 15 various 16 time 21 and 17 characteristics 18 of 17 characteristics 21 and 18 of 20 movements 19 the 20 movements 21 and 22 that 22 that 23 even 22 that 27 of 23 even 24 in 24 in 26 case 25 the 26 case 27 of 30 slowing 28 a 29 significant 28 a 30 slowing 29 significant 30 slowing 30 slowing 32 of 32 of 35 systems 33 the 35 systems 34 neuromuscular 35 systems 35 systems 38 elderly 35 systems 41 achieve 35 systems 46 characterized 37 the 38 elderly 38 elderly 39 can 39 can 41 achieve 40 still 41 achieve 41 achieve 44 responses 42 optimal 44 responses 43 movement 44 responses 45 , 46 characterized 46 characterized 47 by 46 characterized 57 . 47 by 49 use 48 the 49 use 49 use 50 of 50 of 53 delta 51 a 52 single 51 a 53 delta 52 single 53 delta 53 delta 56 primitive 54 - 56 primitive 55 lognormal 56 primitive 56 primitive 57 . this performance might be related to the preservation of some movement timing properties and relationships between the agonist and the antagonist neuromuscular systems . 0 ###LEFT-WALL### 2 performance 0 ###LEFT-WALL### 5 related 0 ###LEFT-WALL### 24 . 1 this 2 performance 2 performance 3 might 3 might 4 be 4 be 5 related 5 related 6 to 5 related 16 between 6 to 14 and 7 the 8 preservation 8 preservation 9 of 8 preservation 14 and 9 of 11 movement 10 some 11 movement 11 movement 12 timing 12 timing 13 properties 14 and 15 relationships 16 between 19 and 17 the 18 agonist 18 agonist 19 and 19 and 23 systems 20 the 23 systems 21 antagonist 23 systems 22 neuromuscular 23 systems objective [:] [to] [identify] and [characterize] cup [to] disc ratio ( cdr ) and related optic nerve head abnormalities in multiple sclerosis ( [ms] [ )(using spectral domain optical coherence tomography ( oct ) . 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 35 . 1 objective 5 and 5 and 10 ratio 5 and 12 cdr 5 and 14 and 7 cup 9 disc 9 disc 10 ratio 11 ( 12 cdr 12 cdr 13 ) 14 and 19 abnormalities 14 and 20 in 14 and 26 )(using 15 related 17 nerve 16 optic 17 nerve 17 nerve 19 abnormalities 18 head 19 abnormalities 20 in 22 sclerosis 21 multiple 22 sclerosis 23 ( 26 )(using 26 )(using 31 tomography 26 )(using 34 ) 27 spectral 31 tomography 28 domain 31 tomography 29 optical 30 coherence 30 coherence 31 tomography 31 tomography 33 oct 32 ( 33 oct 33 oct 34 ) background : while cdr is routinely assessed by ophthalmologists in the evaluation of glaucoma , cdr and related optic nerve head metrics remain largely unexplored in ms [.] design/methods [:] cirrus - hd ( high density ) oct was used to evaluate average cdr , vertical cdr , optic disc area , optic cup volume , and neuro - retinal rim area in 105 ms patients and 88 age - matched healthy individuals . 1 background 2 : 2 : 3 while 2 : 7 assessed 3 while 4 cdr 3 while 5 is 4 cdr 5 is 5 is 6 routinely 7 assessed 8 by 7 assessed 10 in 8 by 9 ophthalmologists 10 in 12 evaluation 11 the 12 evaluation 12 evaluation 13 of 13 of 17 and 14 glaucoma 15 , 15 , 16 cdr 15 , 17 and 17 and 21 head 17 and 22 metrics 17 and 23 remain 17 and 25 unexplored 18 related 21 head 19 optic 21 head 20 nerve 21 head 22 metrics 23 remain 24 largely 25 unexplored 25 unexplored 26 in 26 in 29 design/methods 27 ms 29 design/methods 29 design/methods 38 oct 29 design/methods 39 was 29 design/methods 40 used 31 cirrus 33 hd 31 cirrus 38 oct 32 - 33 hd 33 hd 36 density 33 hd 37 ) 34 ( 36 density 35 high 36 density 36 density 37 ) 38 oct 39 was 40 used 41 to 40 used 42 evaluate 41 to 42 evaluate 42 evaluate 51 area 43 average 51 area 44 cdr 47 cdr 44 cdr 51 area 45 , 47 cdr 46 vertical 47 cdr 47 cdr 48 , 49 optic 51 area 50 disc 51 area 51 area 59 - 52 , 59 - 53 optic 55 volume 54 cup 55 volume 55 volume 57 and 56 , 57 and 57 and 58 neuro 57 and 59 - 59 - 67 and 60 retinal 61 rim 61 rim 62 area 62 area 63 in 62 area 67 and 63 in 66 patients 64 105 65 ms 65 ms 66 patients 67 and 69 age 67 and 73 individuals 68 88 69 age 70 - 73 individuals 71 matched 73 individuals 72 healthy 73 individuals 73 individuals 74 . high - contrast ( 100 % ) visual acuity , 2.5 % low - contrast letter acuity and 1.25 % low - contrast letter acuity were assessed in 77 ms patients . 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 27 assessed 0 ###LEFT-WALL### 32 . 1 high 3 contrast 1 high 9 acuity 2 - 3 contrast 3 contrast 6 % 3 contrast 7 ) 4 ( 6 % 5 100 6 % 6 % 7 ) 8 visual 9 acuity 9 acuity 10 , 10 , 17 acuity 10 , 18 and 11 2.5 12 % 12 % 16 letter 13 low 14 - 13 low 15 contrast 15 contrast 16 letter 16 letter 17 acuity 18 and 25 acuity 18 and 26 were 19 1.25 20 % 20 % 25 acuity 21 low 22 - 21 low 25 acuity 23 contrast 24 letter 24 letter 25 acuity 26 were 27 assessed 27 assessed 28 in 28 in 31 patients 29 77 30 ms 30 ms 31 patients two - sample [t] - tests were used in the analysis of oct - derived optic nerve head measures between healthy controls and [ms] patients . 0 ###LEFT-WALL### 1 two 0 ###LEFT-WALL### 2 - 2 - 3 sample 2 - 5 - 2 - 14 - 5 - 6 tests 5 - 8 used 6 tests 7 were 7 were 8 used 8 used 9 in 9 in 11 analysis 10 the 11 analysis 11 analysis 12 of 12 of 13 oct 14 - 23 and 14 - 26 . 15 derived 17 nerve 16 optic 17 nerve 17 nerve 19 measures 18 head 19 measures 19 measures 20 between 19 measures 23 and 20 between 22 controls 21 healthy 22 controls 23 and 25 patients multivariate regression ( accounting for age and gender ) was used to assess relationships between optic nerve head measures and visual function . 0 ###LEFT-WALL### 2 regression 0 ###LEFT-WALL### 11 used 0 ###LEFT-WALL### 23 . 1 multivariate 2 regression 2 regression 4 accounting 2 regression 10 was 3 ( 4 accounting 4 accounting 5 for 4 accounting 9 ) 5 for 7 and 6 age 7 and 7 and 8 gender 10 was 11 used 11 used 12 to 11 used 13 assess 12 to 13 assess 13 assess 14 relationships 14 relationships 15 between 15 between 20 and 16 optic 17 nerve 17 nerve 18 head 18 head 19 measures 19 measures 20 and 20 and 22 function 21 visual 22 function results : average cdr ( p=0.007 ) and vertical cdr ( p=0.005 ) were greater in [ms] patients compared to healthy controls , while neuro - retinal rim area was decreased in [ms] patients ( p=0.001 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 and 1 results 2 : 2 : 4 cdr 3 average 4 cdr 4 cdr 6 p=0.007 5 ( 6 p=0.007 6 p=0.007 7 ) 8 and 10 cdr 8 and 14 were 9 vertical 10 cdr 10 cdr 12 p=0.005 10 cdr 14 were 11 ( 12 p=0.005 12 p=0.005 13 ) 14 were 15 greater 15 greater 16 in 16 in 18 patients 18 patients 19 compared 19 compared 20 to 19 compared 24 while 20 to 22 controls 21 healthy 22 controls 23 , 24 while 24 while 29 area 24 while 31 decreased 24 while 38 . 25 neuro 26 - 25 neuro 29 area 27 retinal 28 rim 28 rim 29 area 29 area 30 was 30 was 31 decreased 31 decreased 32 in 32 in 34 patients 34 patients 36 p=0.001 35 ( 36 p=0.001 36 p=0.001 37 ) cdr increased with retinal nerve fiber [layer] ( rnfl ) thinning ( r= - 0.29 , p=0.001 ) . 0 ###LEFT-WALL### 1 cdr 0 ###LEFT-WALL### 2 increased 0 ###LEFT-WALL### 19 . 1 cdr 2 increased 2 increased 3 with 3 with 6 fiber 3 with 11 thinning 4 retinal 5 nerve 5 nerve 6 fiber 6 fiber 9 rnfl 8 ( 9 rnfl 9 rnfl 10 ) 11 thinning 14 - 12 ( 14 - 13 r= 14 - 14 - 15 0.29 14 - 18 ) 15 0.29 17 p=0.001 16 , 17 p=0.001 17 p=0.001 18 ) conclusions/relevance : cdr ( as determined by spectral domain oct ) is abnormal [in] [ms] and [correlates] [with] visual function . 0 ###LEFT-WALL### 1 conclusions/relevance 0 ###LEFT-WALL### 2 : 2 : 3 cdr 2 : 12 is 2 : 21 . 3 cdr 6 determined 3 cdr 12 is 4 ( 6 determined 5 as 6 determined 6 determined 7 by 6 determined 11 ) 7 by 10 oct 8 spectral 9 domain 9 domain 10 oct 12 is 16 and 13 abnormal 16 and 16 and 20 function 19 visual 20 function background : the ageing of the worldwide population means there is a growing need for research on the biology of ageing . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 ageing 2 : 11 is 2 : 22 . 3 the 4 ageing 4 ageing 5 of 4 ageing 11 is 5 of 9 means 6 the 9 means 7 worldwide 8 population 8 population 9 means 9 means 10 there 11 is 14 need 12 a 14 need 13 growing 14 need 14 need 15 for 14 need 17 on 15 for 16 research 17 on 19 biology 18 the 19 biology 19 biology 20 of 20 of 21 ageing dna damage is [likely] a key contributor to the ageing process and elucidating the role of different dna repair systems in ageing is of great interest . 0 ###LEFT-WALL### 2 damage 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 27 . 1 dna 2 damage 2 damage 3 is 3 is 7 contributor 5 a 7 contributor 6 key 7 contributor 7 contributor 8 to 8 to 11 process 9 the 11 process 10 ageing 11 process 12 and 13 elucidating 12 and 23 is 13 elucidating 15 role 13 elucidating 21 in 13 elucidating 23 is 14 the 15 role 15 role 16 of 16 of 20 systems 17 different 20 systems 18 dna 20 systems 19 repair 20 systems 21 in 22 ageing 23 is 24 of 24 of 26 interest 25 great 26 interest in this paper we propose a data mining approach , based on classification methods ( decision trees and naive bayes ) , for analysing data about human dna repair genes . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 propose 0 ###LEFT-WALL### 31 . 1 in 3 paper 1 in 4 we 2 this 3 paper 4 we 5 propose 5 propose 9 approach 5 propose 11 based 5 propose 23 for 6 a 7 data 6 a 9 approach 7 data 8 mining 8 mining 9 approach 10 , 11 based 11 based 12 on 11 based 22 , 12 on 14 methods 13 classification 14 methods 14 methods 18 and 15 ( 18 and 16 decision 17 trees 17 trees 18 and 18 and 20 bayes 18 and 21 ) 19 naive 20 bayes 23 for 24 analysing 24 analysing 25 data 24 analysing 26 about 26 about 30 genes 27 human 29 repair 28 dna 29 repair 29 repair 30 genes the goal is to build classification models that allow us to discriminate between ageing - related [and] [non] - ageing - related dna repair genes , in order to better understand their different properties . 0 ###LEFT-WALL### 2 goal 0 ###LEFT-WALL### 12 discriminate 0 ###LEFT-WALL### 22 related 1 the 2 goal 2 goal 3 is 3 is 4 to 3 is 5 build 4 to 5 build 5 build 7 models 5 build 11 to 6 classification 7 models 7 models 8 that 7 models 9 allow 8 that 9 allow 9 allow 10 us 11 to 12 discriminate 12 discriminate 13 between 13 between 14 ageing 14 ageing 16 related 14 ageing 20 ageing 15 - 16 related 16 related 19 - 19 - 20 ageing 20 ageing 21 - 21 - 22 related 22 related 25 genes 22 related 35 . 23 dna 25 genes 24 repair 25 genes 25 genes 27 in 26 , 27 in 27 in 28 order 27 in 35 . 28 order 29 to 28 order 31 understand 29 to 31 understand 30 better 31 understand 31 understand 34 properties 32 their 34 properties 33 different 34 properties conclusions : [the] above patterns are broadly integrated in an analysis discussing relations between ku , the [non] [-] homologous end joining dna repair pathway , ageing and lymphocyte development . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 2 : 5 patterns 2 : 8 integrated 4 above 5 patterns 5 patterns 6 are 6 are 8 integrated 7 broadly 8 integrated 8 integrated 9 in 9 in 11 analysis 10 an 11 analysis 11 analysis 12 discussing 12 discussing 13 relations 12 discussing 14 between 14 between 28 and 15 ku 16 , 16 , 25 pathway 16 , 26 , 17 the 25 pathway 20 homologous 25 pathway 21 end 22 joining 22 joining 25 pathway 23 dna 24 repair 24 repair 25 pathway 26 , 27 ageing 26 , 28 and 28 and 30 development 29 lymphocyte 30 development these patterns and their analysis support [non] - homologous end joining double strand break repair as central to the ageing - relatedness of dna repair genes . 0 ###LEFT-WALL### 3 and 1 these 2 patterns 2 patterns 3 and 3 and 6 support 3 and 15 repair 4 their 6 support 5 analysis 6 support 8 - 15 repair 9 homologous 10 end 10 end 11 joining 11 joining 12 double 12 double 15 repair 13 strand 14 break 14 break 15 repair 15 repair 17 central 15 repair 27 . 16 as 17 central 17 central 18 to 18 to 20 ageing 19 the 20 ageing 20 ageing 22 relatedness 21 - 22 relatedness 22 relatedness 23 of 22 relatedness 27 . 23 of 26 genes 24 dna 25 repair 25 repair 26 genes our work also showcases the use of protein interaction partners to improve accuracy in data mining methods and our approach could be applied to other ageing - related pathways . 0 ###LEFT-WALL### 2 work 0 ###LEFT-WALL### 12 improve 0 ###LEFT-WALL### 18 and 1 our 2 work 2 work 4 showcases 3 also 4 showcases 4 showcases 6 use 4 showcases 11 to 5 the 6 use 6 use 7 of 7 of 10 partners 8 protein 10 partners 9 interaction 10 partners 11 to 12 improve 12 improve 13 accuracy 13 accuracy 14 in 14 in 15 data 15 data 16 mining 16 mining 17 methods 18 and 20 approach 18 and 23 applied 19 our 20 approach 20 approach 21 could 21 could 22 be 22 be 23 applied 23 applied 24 to 24 to 26 ageing 25 other 26 ageing 26 ageing 29 pathways 27 - 29 pathways 28 related 29 pathways 29 pathways 30 . background : systems biological approach [of] molecular connectivity [map] has reached to a great interest to understand the gene functional similarities between the diseases . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 understand 0 ###LEFT-WALL### 25 . 2 : 8 connectivity 2 : 11 reached 3 systems 8 connectivity 4 biological 5 approach 5 approach 8 connectivity 7 molecular 8 connectivity 8 connectivity 10 has 10 has 11 reached 11 reached 12 to 11 reached 16 to 12 to 15 interest 13 a 14 great 13 a 15 interest 14 great 15 interest 16 to 17 understand 17 understand 21 similarities 18 the 21 similarities 19 gene 21 similarities 20 functional 21 similarities 21 similarities 22 between 22 between 24 diseases 23 the 24 diseases in this study , we developed a computational framework to build molecular connectivity maps by integrating mutated and differentially expressed genes of neurological and psychiatric diseases to determine its relationship with aging . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 33 . 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 18 and 6 developed 9 framework 6 developed 18 and 7 a 8 computational 7 a 9 framework 8 computational 9 framework 9 framework 10 to 9 framework 16 integrating 9 framework 17 mutated 10 to 11 build 11 build 14 maps 12 molecular 13 connectivity 13 connectivity 14 maps 14 maps 15 by 15 by 16 integrating 18 and 20 expressed 18 and 27 to 18 and 31 with 19 differentially 20 expressed 20 expressed 21 genes 21 genes 22 of 22 of 26 diseases 23 neurological 24 and 24 and 25 psychiatric 24 and 26 diseases 27 to 28 determine 28 determine 30 relationship 29 its 30 relationship 31 with 32 aging results : the systematic large - scale analyses of 124 human diseases create three classes of molecular connectivity maps . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 8 analyses 2 : 13 create 2 : 20 . 3 the 8 analyses 4 systematic 7 scale 5 large 6 - 5 large 7 scale 7 scale 8 analyses 8 analyses 9 of 8 analyses 13 create 9 of 12 diseases 10 124 12 diseases 11 human 12 diseases 13 create 15 classes 14 three 15 classes 15 classes 16 of 16 of 19 maps 17 molecular 18 connectivity 18 connectivity 19 maps first , molecular interaction of disease protein [network] generates 3632 proteins with 6172 interactions , which determines the common genes/proteins between diseases . 0 ###LEFT-WALL### 4 interaction 0 ###LEFT-WALL### 9 generates 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 23 . 1 first 2 , 1 first 4 interaction 3 molecular 4 interaction 4 interaction 5 of 4 interaction 9 generates 5 of 7 protein 6 disease 7 protein 9 generates 11 proteins 9 generates 12 with 10 3632 11 proteins 12 with 14 interactions 13 6172 14 interactions 15 , 16 which 15 , 17 determines 16 which 17 determines 17 determines 20 genes/proteins 17 determines 21 between 18 the 20 genes/proteins 19 common 20 genes/proteins 21 between 22 diseases second , disease - disease network includes 4845 positively scored disease - disease relationships . 0 ###LEFT-WALL### 7 includes 0 ###LEFT-WALL### 10 scored 0 ###LEFT-WALL### 12 - 1 second 2 , 1 second 7 includes 2 , 3 disease 3 disease 4 - 3 disease 7 includes 5 disease 7 includes 6 network 7 includes 7 includes 8 4845 7 includes 10 scored 9 positively 10 scored 10 scored 11 disease 12 - 14 relationships 12 - 15 . 13 disease 14 relationships the comparison of these disease [-] disease pairs with medical subject headings ( mesh ) [classification] tree suggests 25 % of the disease - disease pairs were in [same] disease area . 0 ###LEFT-WALL### 2 comparison 0 ###LEFT-WALL### 18 suggests 0 ###LEFT-WALL### 24 - 1 the 2 comparison 2 comparison 3 of 2 comparison 18 suggests 3 of 8 pairs 4 these 8 pairs 5 disease 8 pairs 7 disease 8 pairs 8 pairs 9 with 9 with 11 subject 10 medical 11 subject 11 subject 12 headings 11 subject 17 tree 12 headings 14 mesh 12 headings 17 tree 13 ( 14 mesh 14 mesh 15 ) 18 suggests 20 % 19 25 20 % 20 % 21 of 21 of 23 disease 22 the 23 disease 24 - 26 pairs 24 - 27 were 24 - 32 . 25 disease 26 pairs 26 pairs 27 were 27 were 28 in 28 in 31 area 30 disease 31 area the remaining can be a novel [disease] - disease relationship based on gene/protein similarity . 0 ###LEFT-WALL### 3 can 0 ###LEFT-WALL### 4 be 0 ###LEFT-WALL### 15 . 1 the 2 remaining 1 the 3 can 3 can 4 be 4 be 10 relationship 5 a 6 novel 5 a 10 relationship 6 novel 8 - 6 novel 9 disease 9 disease 10 relationship 10 relationship 11 based 10 relationship 12 on 12 on 14 similarity 13 gene/protein 14 similarity inclusion of aging genes set showed 79 neurological and 20 psychiatric diseases have the strong association with aging . 0 ###LEFT-WALL### 1 inclusion 0 ###LEFT-WALL### 6 showed 0 ###LEFT-WALL### 19 . 1 inclusion 2 of 1 inclusion 6 showed 2 of 4 genes 3 aging 4 genes 4 genes 5 set 6 showed 7 79 6 showed 16 association 7 79 9 and 7 79 13 have 8 neurological 9 and 9 and 12 diseases 9 and 13 have 10 20 12 diseases 11 psychiatric 12 diseases 14 the 16 association 15 strong 16 association 16 association 17 with 17 with 18 aging third [and] lastly , a curated disease biomarker network was created by relating the proteins/genes in specific disease contexts , such analysis showed 73 markers for 24 diseases . 0 ###LEFT-WALL### 9 network 0 ###LEFT-WALL### 11 created 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 29 . 1 third 9 network 3 lastly 4 , 3 lastly 9 network 5 a 9 network 6 curated 7 disease 7 disease 9 network 8 biomarker 9 network 9 network 10 was 10 was 11 created 11 created 12 by 12 by 13 relating 13 relating 15 proteins/genes 13 relating 16 in 14 the 15 proteins/genes 16 in 19 contexts 17 specific 18 disease 18 disease 19 contexts 20 , 22 analysis 20 , 23 showed 21 such 22 analysis 22 analysis 23 showed 23 showed 25 markers 24 73 25 markers 25 markers 26 for 26 for 28 diseases 27 24 28 diseases further , the overall quality of the results was achieved by a series of statistical methods , to avoid insignificant data in biological networks . 0 ###LEFT-WALL### 5 quality 0 ###LEFT-WALL### 10 achieved 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 25 . 1 further 2 , 1 further 5 quality 3 the 5 quality 4 overall 5 quality 5 quality 6 of 5 quality 9 was 6 of 8 results 7 the 8 results 9 was 10 achieved 10 achieved 11 by 11 by 13 series 12 a 13 series 13 series 14 of 14 of 16 methods 15 statistical 16 methods 17 , 18 to 17 , 19 avoid 18 to 19 avoid 19 avoid 21 data 19 avoid 22 in 20 insignificant 21 data 22 in 24 networks 23 biological 24 networks conclusions : this study improves the understanding of the complex interactions that occur between neurological and psychiatric diseases with aging , which lead to determine the diagnostic markers . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 4 study 2 : 5 improves 2 : 21 , 3 this 4 study 4 study 5 improves 5 improves 7 understanding 5 improves 14 between 5 improves 19 with 6 the 7 understanding 7 understanding 8 of 8 of 11 interactions 9 the 11 interactions 10 complex 11 interactions 11 interactions 12 that 11 interactions 13 occur 12 that 13 occur 14 between 18 diseases 15 neurological 16 and 16 and 17 psychiatric 16 and 18 diseases 19 with 20 aging 21 , 22 which 21 , 23 lead 22 which 23 lead 23 lead 24 to 24 to 25 determine 25 determine 28 markers 26 the 28 markers 27 diagnostic 28 markers also , the disease [-] disease association results could be helpful to determine the symptom relationships between neurological and psychiatric diseases . 0 ###LEFT-WALL### 8 results 0 ###LEFT-WALL### 10 be 0 ###LEFT-WALL### 22 . 1 also 2 , 1 also 8 results 3 the 8 results 4 disease 6 disease 6 disease 8 results 7 association 8 results 8 results 9 could 9 could 10 be 10 be 11 helpful 11 helpful 12 to 11 helpful 13 determine 12 to 13 determine 13 determine 16 relationships 13 determine 17 between 14 the 16 relationships 15 symptom 16 relationships 17 between 21 diseases 18 neurological 19 and 19 and 20 psychiatric 19 and 21 diseases together , our study presents many research opportunities in post - genomic biomarkers development . 0 ###LEFT-WALL### 4 study 0 ###LEFT-WALL### 5 presents 0 ###LEFT-WALL### 11 - 0 ###LEFT-WALL### 15 . 1 together 2 , 1 together 4 study 3 our 4 study 4 study 5 presents 5 presents 8 opportunities 5 presents 9 in 6 many 8 opportunities 7 research 8 opportunities 9 in 10 post 11 - 14 development 12 genomic 14 development 13 biomarkers 14 development photo - damaged skin is characterized by major alterations of the extracellular matrix and collagen network , leading to clinically obvious signs of skin aging . 0 ###LEFT-WALL### 4 skin 0 ###LEFT-WALL### 6 characterized 1 photo 2 - 1 photo 4 skin 3 damaged 4 skin 4 skin 5 is 5 is 6 characterized 6 characterized 7 by 7 by 9 alterations 8 major 9 alterations 9 alterations 10 of 9 alterations 18 leading 10 of 14 and 11 the 13 matrix 12 extracellular 13 matrix 13 matrix 14 and 14 and 16 network 15 collagen 16 network 17 , 18 leading 18 leading 19 to 18 leading 26 . 19 to 22 signs 20 clinically 21 obvious 21 obvious 22 signs 22 signs 23 of 22 signs 25 aging 23 of 24 skin uv radiation increases the levels of matrix metalloproteinase ( mmp ) [1] , which initiates the cleavage of fibrillar collagen types [i] [and] iii . 0 ###LEFT-WALL### 2 radiation 0 ###LEFT-WALL### 3 increases 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 25 . 1 uv 2 radiation 2 radiation 3 increases 3 increases 5 levels 4 the 5 levels 5 levels 6 of 5 levels 10 mmp 6 of 8 metalloproteinase 7 matrix 8 metalloproteinase 9 ( 10 mmp 10 mmp 11 ) 13 , 14 which 13 , 15 initiates 14 which 15 initiates 15 initiates 17 cleavage 16 the 17 cleavage 17 cleavage 18 of 18 of 21 types 19 fibrillar 21 types 20 collagen 21 types 21 types 24 iii the developing collagen fragments are further degraded by mmps 2 and 9 . 0 ###LEFT-WALL### 4 fragments 0 ###LEFT-WALL### 7 degraded 0 ###LEFT-WALL### 13 . 1 the 4 fragments 2 developing 4 fragments 3 collagen 4 fragments 4 fragments 5 are 5 are 7 degraded 6 further 7 degraded 7 degraded 8 by 8 by 9 mmps 9 mmps 11 and 10 2 11 and 11 and 12 9 various ablative [,] [non] - ablative , thermal and [non] - thermal rejuvenation modalities have been tested for their capacity to reverse epidermal and dermal signs [of] photo - and chronological - aging . 0 ###LEFT-WALL### 8 thermal 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 34 . 1 various 8 thermal 2 ablative 5 - 2 ablative 8 thermal 6 ablative 7 , 6 ablative 8 thermal 9 and 11 - 9 and 17 tested 11 - 14 modalities 12 thermal 14 modalities 13 rejuvenation 14 modalities 14 modalities 15 have 15 have 16 been 16 been 17 tested 17 tested 18 for 17 tested 21 to 18 for 20 capacity 19 their 20 capacity 21 to 22 reverse 22 reverse 30 and 23 epidermal 24 and 24 and 28 photo 24 and 30 and 25 dermal 28 photo 26 signs 28 photo 29 - 30 and 30 and 33 aging 31 chronological 32 - 31 chronological 33 aging light and laser therapies are among the most effective treatment options for skin rejuvenation . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 5 are 0 ###LEFT-WALL### 15 . 1 light 2 and 2 and 4 therapies 2 and 5 are 3 laser 4 therapies 5 are 6 among 5 are 12 for 6 among 11 options 7 the 11 options 8 most 9 effective 9 effective 10 treatment 10 treatment 11 options 12 for 14 rejuvenation 13 skin 14 rejuvenation conventional laser therapy treats entire surface areas by selective photothermolysis or ablation . 0 ###LEFT-WALL### 3 therapy 0 ###LEFT-WALL### 4 treats 0 ###LEFT-WALL### 13 . 1 conventional 2 laser 2 laser 3 therapy 3 therapy 4 treats 4 treats 7 areas 4 treats 8 by 5 entire 6 surface 6 surface 7 areas 8 by 11 or 9 selective 10 photothermolysis 10 photothermolysis 11 or 11 or 12 ablation recently , intervention with a fractional ablative laser leads to fast wound healing , and hence , a substantial amount of the target skin area is left untreated . 0 ###LEFT-WALL### 3 intervention 0 ###LEFT-WALL### 9 leads 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 29 . 1 recently 2 , 1 recently 3 intervention 3 intervention 4 with 3 intervention 9 leads 4 with 8 laser 5 a 6 fractional 5 a 8 laser 6 fractional 8 laser 7 ablative 8 laser 9 leads 10 to 10 to 13 healing 11 fast 12 wound 12 wound 13 healing 14 , 15 and 15 and 25 area 15 and 26 is 16 hence 17 , 16 hence 25 area 18 a 19 substantial 18 a 20 amount 19 substantial 20 amount 20 amount 21 of 20 amount 25 area 21 of 25 area 22 the 25 area 23 target 24 skin 24 skin 25 area 25 area 26 is 26 is 27 left 26 is 28 untreated it is not known if the efficacy of a particular ablative skin rejuvenation treatment depends on the extent of microwounding [and/or] the amount of heat produced . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 4 known 0 ###LEFT-WALL### 27 . 1 it 2 is 2 is 3 not 2 is 4 known 4 known 5 if 5 if 7 efficacy 5 if 15 depends 6 the 7 efficacy 7 efficacy 8 of 7 efficacy 15 depends 8 of 14 treatment 9 a 10 particular 9 a 14 treatment 10 particular 14 treatment 11 ablative 14 treatment 12 skin 14 treatment 13 rejuvenation 14 treatment 15 depends 16 on 16 on 18 extent 17 the 18 extent 18 extent 19 of 19 of 20 microwounding 20 microwounding 23 amount 22 the 23 amount 23 amount 24 of 23 amount 26 produced 24 of 25 heat the underlying molecular changes are not fully understood but have been postulated to be induced by time - dependent changes in heat shock proteins , transforming growth factor β , mmps , hyaluronic acid synthethases , hyaluronidases and ha , among others . 0 ###LEFT-WALL### 4 changes 0 ###LEFT-WALL### 9 but 0 ###LEFT-WALL### 43 . 1 the 4 changes 2 underlying 4 changes 3 molecular 4 changes 4 changes 5 are 5 are 6 not 5 are 9 but 7 fully 9 but 8 understood 9 but 9 but 10 have 10 have 11 been 11 been 12 postulated 12 postulated 13 to 12 postulated 16 by 12 postulated 41 among 13 to 14 be 14 be 15 induced 16 by 17 time 17 time 20 changes 17 time 31 mmps 18 - 20 changes 19 dependent 20 changes 20 changes 21 in 20 changes 26 transforming 20 changes 30 , 21 in 24 proteins 22 heat 23 shock 23 shock 24 proteins 25 , 26 transforming 26 transforming 29 β 26 transforming 30 , 27 growth 29 β 28 factor 29 β 30 , 31 mmps 31 mmps 35 synthethases 31 mmps 40 , 32 , 35 synthethases 33 hyaluronic 34 acid 34 acid 35 synthethases 35 synthethases 38 and 35 synthethases 40 , 36 , 38 and 37 hyaluronidases 38 and 38 and 39 ha 38 and 40 , 41 among 42 others background : forces acting in facial skin have been suggested to show directionality . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 forces 2 : 10 suggested 2 : 14 . 3 forces 4 acting 3 forces 8 have 4 acting 5 in 5 in 7 skin 6 facial 7 skin 8 have 9 been 9 been 10 suggested 10 suggested 11 to 11 to 12 show 12 show 13 directionality [non] - invasive methods of measuring this directionality may thus provide information related to aging processes . 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 11 provide 0 ###LEFT-WALL### 17 . 2 - 4 methods 3 invasive 4 methods 4 methods 5 of 4 methods 9 may 5 of 6 measuring 6 measuring 8 directionality 7 this 8 directionality 9 may 11 provide 10 thus 11 provide 11 provide 12 information 12 information 13 related 13 related 14 to 14 to 15 aging 15 aging 16 processes the reviscometer [(] [®] [ )(rvm600 device is capable of measuring directionality of forces on the skin . 0 ###LEFT-WALL### 7 device 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 18 . 1 the 7 device 2 reviscometer 6 )(rvm600 6 )(rvm600 7 device 7 device 8 is 8 is 9 capable 9 capable 10 of 10 of 11 measuring 11 measuring 12 directionality 11 measuring 15 on 12 directionality 13 of 13 of 14 forces 15 on 17 skin 16 the 17 skin this device has not been used previously in a published study to evaluate changes in directionality of forces on facial skin with aging . 0 ###LEFT-WALL### 2 device 0 ###LEFT-WALL### 6 used 0 ###LEFT-WALL### 24 . 1 this 2 device 2 device 3 has 3 has 4 not 3 has 5 been 5 been 6 used 6 used 7 previously 6 used 8 in 6 used 12 to 6 used 13 evaluate 8 in 11 study 9 a 11 study 10 published 11 study 12 to 13 evaluate 13 evaluate 14 changes 13 evaluate 15 in 13 evaluate 19 on 13 evaluate 22 with 15 in 16 directionality 16 directionality 17 of 17 of 18 forces 19 on 21 skin 20 facial 21 skin 22 with 23 aging aim : the first objective of this pilot study was to investigate relationships between mechanical directionality using the reviscometer ( [®] [ )(rvm600 , the cutometer ( [®] [ )(mpa580 , and aging of the facial skin in a supine position . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 42 . 2 : 5 objective 2 : 10 was 3 the 4 first 3 the 5 objective 5 objective 6 of 5 objective 10 was 6 of 9 study 7 this 9 study 8 pilot 9 study 10 was 11 to 10 was 17 using 11 to 12 investigate 12 investigate 13 relationships 12 investigate 14 between 14 between 16 directionality 15 mechanical 16 directionality 17 using 32 and 18 the 32 and 19 reviscometer 23 )(rvm600 19 reviscometer 32 and 20 ( 23 )(rvm600 23 )(rvm600 26 cutometer 23 )(rvm600 31 , 24 , 26 cutometer 25 the 26 cutometer 26 cutometer 30 )(mpa580 26 cutometer 31 , 27 ( 30 )(mpa580 30 )(mpa580 31 , 31 , 32 and 32 and 33 aging 33 aging 34 of 34 of 37 skin 35 the 37 skin 36 facial 37 skin 37 skin 38 in 38 in 41 position 39 a 40 supine 39 a 41 position 40 supine 41 position in addition , the study investigated relationships between mechanical directionality and ['] skin sagging , ['] which may be caused by gravity . 0 ###LEFT-WALL### 5 study 0 ###LEFT-WALL### 6 investigated 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 23 . 1 in 2 addition 1 in 3 , 1 in 5 study 4 the 5 study 5 study 6 investigated 6 investigated 7 relationships 6 investigated 8 between 8 between 11 and 9 mechanical 10 directionality 10 directionality 11 and 11 and 13 skin 11 and 14 sagging 15 , 17 which 15 , 20 caused 17 which 18 may 18 may 19 be 19 be 20 caused 20 caused 21 by 21 by 22 gravity to validate this as a new measurement of mechanical directionality , we also performed double - blinded trials on two groups of subjects , with one group using a product containing an anti - aging substance and the other group using a placebo product without an anti - aging substance . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 validate 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 51 . 1 to 2 validate 2 validate 3 this 2 validate 4 as 4 as 7 measurement 5 a 6 new 5 a 7 measurement 6 new 7 measurement 7 measurement 8 of 8 of 10 directionality 9 mechanical 10 directionality 11 , 12 we 11 , 14 performed 11 , 24 , 12 we 14 performed 13 also 14 performed 14 performed 18 trials 14 performed 19 on 15 double 16 - 15 double 18 trials 17 blinded 18 trials 19 on 21 groups 20 two 21 groups 21 groups 22 of 22 of 23 subjects 24 , 37 and 24 , 40 group 25 with 26 one 25 with 37 and 27 group 28 using 27 group 37 and 28 using 30 product 29 a 30 product 30 product 31 containing 31 containing 36 substance 32 an 36 substance 33 anti 34 - 33 anti 36 substance 35 aging 36 substance 37 and 39 other 37 and 40 group 38 the 39 other 40 group 41 using 40 group 45 without 41 using 44 product 42 a 44 product 43 placebo 44 product 45 without 50 substance 46 an 50 substance 47 anti 48 - 47 anti 50 substance 49 aging 50 substance methods : we examined 91 healthy japanese women with a mean age of 48.5 years ( range , 20 - 79 years ) at the three sites on the face using the reviscometer ( [®] [ )( and the cutometer [(] [®] ) mpa580 , and evaluation [was] performed for skin sagging in september and november 2008 , and january 2009 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 examined 2 : 3 we 3 we 4 examined 4 examined 8 women 5 91 8 women 6 healthy 8 women 7 japanese 8 women 8 women 9 with 9 with 12 age 10 a 12 age 11 mean 12 age 12 age 13 of 12 age 24 at 13 of 15 years 14 48.5 15 years 15 years 17 range 15 years 20 - 16 ( 17 range 17 range 18 , 18 , 20 - 19 20 20 - 20 - 22 years 20 - 23 ) 21 79 22 years 24 at 27 sites 25 the 26 three 26 three 27 sites 27 sites 28 on 27 sites 31 using 28 on 30 face 29 the 30 face 31 using 38 and 32 the 33 reviscometer 33 reviscometer 38 and 34 ( 38 and 38 and 40 cutometer 38 and 43 ) 38 and 46 and 38 and 49 performed 39 the 40 cutometer 44 mpa580 46 and 45 , 46 and 46 and 47 evaluation 46 and 49 performed 49 performed 50 for 49 performed 53 in 50 for 51 skin 51 skin 52 sagging 53 in 59 and 54 september 55 and 55 and 56 november 55 and 59 and 56 november 57 2008 58 , 59 and 59 and 60 january 59 and 62 . 60 january 61 2009 the reviscometer [(] [®] [ )(rvm600 was used to measure resonance - running time ( rrt ) every 10 ° from 0 ° to 350 ° . 0 ###LEFT-WALL### 6 )(rvm600 0 ###LEFT-WALL### 10 measure 0 ###LEFT-WALL### 27 . 1 the 6 )(rvm600 2 reviscometer 6 )(rvm600 6 )(rvm600 7 was 7 was 8 used 8 used 9 to 9 to 10 measure 10 measure 11 resonance 10 measure 13 running 10 measure 21 from 12 - 13 running 13 running 14 time 13 running 17 ) 14 time 16 rrt 15 ( 16 rrt 16 rrt 17 ) 18 every 19 10 19 10 20 ° 20 ° 21 from 21 from 24 to 22 0 23 ° 23 ° 24 to 24 to 26 ° 25 350 26 ° evaluation of skin sagging was undertaken by making marks on the face and using face photographs taken in both sitting and supine positions to calculate the sagging index . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 29 . 1 evaluation 2 of 1 evaluation 6 undertaken 1 evaluation 7 by 1 evaluation 13 and 2 of 3 skin 3 skin 4 sagging 3 skin 5 was 4 sagging 5 was 7 by 8 making 8 making 9 marks 8 making 10 on 10 on 12 face 11 the 12 face 13 and 16 photographs 13 and 17 taken 14 using 16 photographs 15 face 16 photographs 17 taken 18 in 18 in 21 and 19 both 20 sitting 19 both 21 and 21 and 23 positions 21 and 24 to 21 and 25 calculate 22 supine 23 positions 24 to 25 calculate 25 calculate 28 index 26 the 28 index 27 sagging 28 index usage testing was conducted on 38 healthy japanese women in a double - blinded study with one group , using a preparation containing yomogi ages clearing ( yac ) extract and another group using the same preparation without the yac extract from october 2008 to april 2009 . 0 ###LEFT-WALL### 2 testing 0 ###LEFT-WALL### 4 conducted 0 ###LEFT-WALL### 48 . 1 usage 2 testing 2 testing 3 was 3 was 4 conducted 4 conducted 5 on 5 on 9 women 6 38 9 women 7 healthy 9 women 8 japanese 9 women 9 women 10 in 9 women 20 using 10 in 12 double 11 a 12 double 12 double 15 study 13 - 15 study 14 blinded 15 study 15 study 16 with 15 study 19 , 16 with 18 group 17 one 18 group 20 using 31 and 20 using 38 without 21 a 22 preparation 22 preparation 23 containing 22 preparation 31 and 23 containing 30 extract 24 yomogi 25 ages 25 ages 26 clearing 26 clearing 28 yac 27 ( 28 yac 28 yac 29 ) 28 yac 30 extract 31 and 33 group 31 and 34 using 32 another 33 group 34 using 37 preparation 35 the 36 same 36 same 37 preparation 38 without 41 extract 39 the 41 extract 40 yac 41 extract 41 extract 42 from 41 extract 45 to 42 from 43 october 43 october 44 2008 45 to 46 april 46 april 47 2009 mean age of these subjects was 44.0 years ( range , 30 - 60 years ) . 0 ###LEFT-WALL### 1 mean 0 ###LEFT-WALL### 17 . 1 mean 2 age 1 mean 6 was 2 age 3 of 2 age 6 was 3 of 5 subjects 4 these 5 subjects 6 was 8 years 7 44.0 8 years 8 years 10 range 8 years 13 - 9 ( 10 range 10 range 11 , 11 , 13 - 12 30 13 - 13 - 15 years 13 - 16 ) 14 60 15 years measurements were taken at the three sites on the face using the reviscometer ( [®] [ )(rvm600 and the cutometer ( [®] [ )(mpa580 and sagging index . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 3 taken 1 measurements 2 were 2 were 3 taken 3 taken 4 at 3 taken 8 on 4 at 7 sites 5 the 6 three 6 three 7 sites 8 on 10 face 9 the 10 face 10 face 11 using 11 using 13 reviscometer 12 the 13 reviscometer 13 reviscometer 18 and 14 ( 18 and 17 )(rvm600 18 and 18 and 20 cutometer 18 and 25 and 18 and 28 . 19 the 20 cutometer 21 ( 25 and 24 )(mpa580 25 and 25 and 27 index 25 and 28 . 26 sagging 27 index results : a significant correlation was identified between rrt parameters and subject age at all three measurement sites . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 correlation 2 : 7 identified 2 : 19 . 3 a 5 correlation 4 significant 5 correlation 5 correlation 6 was 6 was 7 identified 7 identified 8 between 7 identified 14 at 8 between 9 rrt 9 rrt 11 and 9 rrt 13 age 10 parameters 11 and 11 and 12 subject 11 and 13 age 14 at 18 sites 15 all 16 three 16 three 18 sites 17 measurement 18 sites significant correlations between sagging index [and] rrt values were found for 110 - 170 ° and 290 - 350 ° only at the center of the cheek . 0 ###LEFT-WALL### 2 correlations 0 ###LEFT-WALL### 5 index 0 ###LEFT-WALL### 28 . 1 significant 2 correlations 2 correlations 3 between 2 correlations 5 index 3 between 4 sagging 5 index 7 rrt 7 rrt 8 values 7 rrt 10 found 8 values 9 were 9 were 10 found 10 found 11 for 10 found 21 only 11 for 16 and 12 110 13 - 13 - 14 170 13 - 15 ° 15 ° 16 and 16 and 20 ° 17 290 18 - 18 - 19 350 18 - 20 ° 21 only 22 at 22 at 24 center 23 the 24 center 24 center 25 of 25 of 27 cheek 26 the 27 cheek significant differences in rrt values were noted for 110 - 150 ° and 300 - 350 ° at this site between subjects [with] and without the use of yac extract . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 7 noted 0 ###LEFT-WALL### 31 . 1 significant 2 differences 2 differences 3 in 2 differences 6 were 3 in 5 values 4 rrt 5 values 6 were 7 noted 7 noted 24 and 8 for 13 and 8 for 24 and 9 110 10 - 10 - 11 150 10 - 12 ° 12 ° 13 and 13 and 17 ° 13 and 18 at 14 300 15 - 15 - 16 350 15 - 17 ° 18 at 20 site 19 this 20 site 20 site 21 between 21 between 22 subjects 24 and 25 without 25 without 27 use 26 the 27 use 27 use 28 of 28 of 30 extract 29 yac 30 extract a similar trend was found in sagging [index] for this site alone between subjects [with] and without yac extract . 0 ###LEFT-WALL### 3 trend 0 ###LEFT-WALL### 5 found 0 ###LEFT-WALL### 20 . 1 a 2 similar 1 a 3 trend 2 similar 3 trend 3 trend 4 was 4 was 5 found 5 found 6 in 6 in 7 sagging 7 sagging 9 for 9 for 11 site 10 this 11 site 11 site 12 alone 12 alone 16 and 13 between 14 subjects 13 between 16 and 16 and 17 without 17 without 19 extract 18 yac 19 extract conclusion : the use of [non] [-] invasive procedures to measure skin mechanical parameters on the face in all directions may evaluate aging and effective preventive and restorative support . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 29 support 2 : 30 . 3 the 4 use 4 use 5 of 4 use 24 and 5 of 9 procedures 8 invasive 9 procedures 9 procedures 10 to 10 to 12 skin 11 measure 12 skin 12 skin 14 parameters 12 skin 22 evaluate 12 skin 23 aging 13 mechanical 14 parameters 14 parameters 15 on 14 parameters 21 may 15 on 17 face 16 the 17 face 17 face 18 in 18 in 20 directions 19 all 20 directions 21 may 22 evaluate 24 and 25 effective 24 and 29 support 26 preventive 27 and 27 and 28 restorative 27 and 29 support background/purpose : it has been reported that autofluorescence ( af ) and second harmonic generation ( shg [ )(generated in the upper dermis are related with skin photoaging . 0 ###LEFT-WALL### 1 background/purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 3 it 2 : 12 and 2 : 25 related 3 it 4 has 4 has 5 been 5 been 12 and 6 reported 8 autofluorescence 6 reported 12 and 7 that 8 autofluorescence 8 autofluorescence 10 af 9 ( 10 af 10 af 11 ) 12 and 13 second 13 second 15 generation 14 harmonic 15 generation 16 ( 25 related 17 shg 19 )(generated 17 shg 25 related 19 )(generated 20 in 20 in 22 upper 21 the 22 upper 22 upper 23 dermis 22 upper 24 are 23 dermis 24 are 25 related 26 with 26 with 28 photoaging 27 skin 28 photoaging in this study , we assessed the photoaging of facial skin exposed to daily sunlight using in vivo multiphoton laser microscopy to measure af and shg . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 assessed 0 ###LEFT-WALL### 27 . 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 assessed 6 assessed 8 photoaging 6 assessed 13 to 6 assessed 22 to 7 the 8 photoaging 8 photoaging 9 of 8 photoaging 12 exposed 9 of 11 skin 10 facial 11 skin 13 to 15 sunlight 14 daily 15 sunlight 15 sunlight 16 using 16 using 18 vivo 16 using 21 microscopy 17 in 18 vivo 19 multiphoton 21 microscopy 20 laser 21 microscopy 22 to 23 measure 23 measure 26 shg 24 af 25 and 25 and 26 shg methods : the intensities of af and shg in the upper dermis of cheek skin of 56 healthy volunteers aged 20 - 69 years were measured using a commercially available multiphoton laser microscope ( dermainspect [(] [®] ) ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 40 . 1 methods 2 : 2 : 7 and 3 the 4 intensities 4 intensities 5 of 4 intensities 7 and 5 of 6 af 7 and 8 shg 7 and 39 ) 8 shg 9 in 8 shg 13 of 8 shg 20 aged 9 in 12 dermis 10 the 12 dermis 11 upper 12 dermis 13 of 15 skin 14 cheek 15 skin 15 skin 16 of 16 of 19 volunteers 17 56 19 volunteers 18 healthy 19 volunteers 20 aged 22 - 21 20 22 - 22 - 23 69 23 69 24 years 24 years 25 were 25 were 26 measured 26 measured 27 using 27 using 33 microscope 28 a 33 microscope 29 commercially 30 available 30 available 33 microscope 31 multiphoton 33 microscope 32 laser 33 microscope 33 microscope 35 dermainspect 34 ( 35 dermainspect 35 dermainspect 38 ) correlations between the photo - signals and volunteer age were calculated . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 11 calculated 0 ###LEFT-WALL### 12 . 1 correlations 7 and 2 between 4 photo 2 between 5 - 2 between 7 and 3 the 4 photo 6 signals 7 and 7 and 9 age 7 and 10 were 8 volunteer 9 age 10 were 11 calculated results : the intensity of shg and the shg - to [-] af aging index [of] dermis ( saaid ) correlated significantly with age ( r= - 0.48 , - 0.67 , respectively ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 35 . 1 results 2 : 2 : 4 intensity 3 the 4 intensity 4 intensity 5 of 5 of 6 shg 7 and 9 shg 7 and 21 correlated 8 the 9 shg 9 shg 11 to 9 shg 21 correlated 10 - 11 to 11 to 13 af 11 to 20 ) 13 af 14 aging 13 af 19 saaid 14 aging 17 dermis 15 index 17 dermis 18 ( 19 saaid 19 saaid 20 ) 21 correlated 22 significantly 21 correlated 23 with 21 correlated 28 0.48 21 correlated 33 respectively 23 with 24 age 24 age 26 r= 25 ( 26 r= 26 r= 27 - 28 0.48 31 0.67 29 , 31 0.67 30 - 31 0.67 31 0.67 32 , 32 , 33 respectively 33 respectively 34 ) conclusion : our results suggest that shg and the saaid index are useful indicators of facial skin aging in vivo . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 results 2 : 5 suggest 2 : 21 . 3 our 4 results 4 results 5 suggest 5 suggest 6 that 6 that 8 and 6 that 12 are 7 shg 8 and 8 and 11 index 8 and 12 are 9 the 11 index 10 saaid 11 index 12 are 14 indicators 13 useful 14 indicators 14 indicators 15 of 15 of 17 skin 16 facial 17 skin 17 skin 18 aging 18 aging 20 vivo 19 in 20 vivo objectives : personality factors parsimoniously capture the variation in dispositional characteristics that affect behaviours , but their value in predicting medication [non] - [adherence] is unclear . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 personality 2 : 25 is 2 : 27 . 3 personality 4 factors 3 personality 6 capture 3 personality 25 is 4 factors 6 capture 5 parsimoniously 6 capture 6 capture 8 variation 6 capture 9 in 7 the 8 variation 9 in 11 characteristics 10 dispositional 11 characteristics 11 characteristics 12 that 11 characteristics 13 affect 11 characteristics 16 but 12 that 13 affect 13 affect 14 behaviours 15 , 16 but 16 but 18 value 16 but 23 - 17 their 18 value 18 value 19 in 19 in 20 predicting 20 predicting 21 medication 25 is 26 unclear we investigated the relationship between five - factor model personality factors ( conscientiousness , neuroticism , agreeableness , extraversion , and openness ) and medication [non] - [adherence] among older participants during a six [-] year randomized placebo [-] controlled trial ( rct ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 investigated 0 ###LEFT-WALL### 45 . 1 we 2 investigated 2 investigated 4 relationship 2 investigated 5 between 2 investigated 29 among 3 the 4 relationship 5 between 6 five 6 five 11 factors 6 five 15 neuroticism 6 five 17 agreeableness 7 - 11 factors 8 factor 9 model 9 model 10 personality 10 personality 11 factors 11 factors 13 conscientiousness 11 factors 14 , 12 ( 13 conscientiousness 13 conscientiousness 14 , 14 , 15 neuroticism 15 neuroticism 16 , 16 , 17 agreeableness 17 agreeableness 24 and 17 agreeableness 27 - 18 , 24 and 19 extraversion 21 and 20 , 21 and 21 and 22 openness 21 and 23 ) 21 and 24 and 24 and 25 medication 24 and 27 - 27 - 29 among 29 among 31 participants 29 among 44 ) 30 older 31 participants 31 participants 32 during 31 participants 43 rct 32 during 41 trial 33 a 41 trial 34 six 36 year 36 year 37 randomized 37 randomized 41 trial 38 placebo 40 controlled 40 controlled 41 trial 42 ( 43 rct 43 rct 44 ) design : observational cohort data from 771 subjects aged ≥ 72 years enrolled in the ginkgo evaluation of memory study , a rct of ginkgo biloba for prevention of dementia . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 2 : 5 data 2 : 9 aged 2 : 31 . 3 observational 4 cohort 4 cohort 5 data 5 data 6 from 5 data 9 aged 6 from 8 subjects 7 771 8 subjects 9 aged 12 years 10 ≥ 12 years 11 72 12 years 12 years 13 enrolled 12 years 23 rct 12 years 26 biloba 13 enrolled 14 in 14 in 17 evaluation 15 the 17 evaluation 16 ginkgo 17 evaluation 18 of 20 study 18 of 21 , 18 of 23 rct 19 memory 20 study 22 a 23 rct 23 rct 24 of 23 rct 26 biloba 24 of 25 ginkgo 26 biloba 27 for 27 for 28 prevention 28 prevention 29 of 29 of 30 dementia analyses adjusted for covariates linked with [non] - [adherence] in prior studies . 0 ###LEFT-WALL### 1 analyses 0 ###LEFT-WALL### 12 studies 0 ###LEFT-WALL### 13 . 1 analyses 2 adjusted 1 analyses 12 studies 2 adjusted 3 for 2 adjusted 11 prior 3 for 4 covariates 4 covariates 5 linked 5 linked 6 with 6 with 10 in 8 - 10 in results : each 5 year increment in participant age was associated with a 6.7 % greater [probability] [of] [non] - adherence ( 95 % confidence [interval] , ci [ 2.4 , 11.0 ] ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 increment 2 : 11 associated 2 : 35 . 3 each 6 increment 4 5 5 year 5 year 6 increment 6 increment 7 in 6 increment 10 was 7 in 9 age 8 participant 9 age 10 was 11 associated 11 associated 12 with 12 with 21 adherence 13 a 21 adherence 14 6.7 15 % 15 % 21 adherence 16 greater 20 - 16 greater 21 adherence 21 adherence 25 confidence 21 adherence 28 ci 22 ( 25 confidence 23 95 24 % 24 % 25 confidence 25 confidence 27 , 27 , 28 ci 28 ci 30 2.4 28 ci 34 ) 29 [ 30 2.4 30 2.4 32 11.0 30 2.4 34 ) 31 , 32 11.0 32 11.0 33 ] neuroticism was the only personality factor associated [with] [non] - adherence : a 1 sd increase was associated with a 3.8 % increase in the probability of [non] - [adherence] [(] 95 % ci [ 0.4 , 7.2 ] ) . 0 ###LEFT-WALL### 1 neuroticism 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 10 - 1 neuroticism 2 was 2 was 6 factor 3 the 4 only 3 the 6 factor 5 personality 6 factor 6 factor 7 associated 10 - 11 adherence 10 - 12 : 10 - 41 . 12 : 16 increase 12 : 18 associated 13 a 16 increase 14 1 15 sd 15 sd 16 increase 16 increase 17 was 17 was 18 associated 18 associated 19 with 18 associated 24 in 19 with 23 increase 20 a 23 increase 21 3.8 22 % 22 % 23 increase 24 in 26 probability 25 the 26 probability 26 probability 27 of 27 of 34 ci 29 - 32 95 32 95 34 ci 33 % 34 ci 34 ci 36 0.4 35 [ 36 0.4 36 0.4 38 7.2 36 0.4 40 ) 37 , 38 7.2 38 7.2 39 ] lower cognitive function [was] also associated [with] [non] [-] adherence : a 1 sd decrease [in] mental status exam score was associated with a 3.0 % increase in the probability of [non] - [adherence] [(] 95 % ci [ 0.2 , 5.9 ] ) . 0 ###LEFT-WALL### 10 adherence 0 ###LEFT-WALL### 11 : 1 lower 3 function 2 cognitive 3 function 3 function 10 adherence 5 also 6 associated 6 associated 10 adherence 11 : 20 score 11 : 22 associated 11 : 45 . 12 a 20 score 13 1 14 sd 14 sd 20 score 15 decrease 20 score 17 mental 18 status 18 status 20 score 19 exam 20 score 20 score 21 was 21 was 22 associated 22 associated 23 with 22 associated 28 in 23 with 27 increase 24 a 27 increase 25 3.0 26 % 26 % 27 increase 28 in 30 probability 29 the 30 probability 30 probability 31 of 30 probability 40 0.2 31 of 38 ci 33 - 36 95 36 95 38 ci 37 % 38 ci 39 [ 40 0.2 40 0.2 42 5.9 40 0.2 44 ) 41 , 42 5.9 42 5.9 43 ] conclusions : neuroticism was associated with medication [non] - [adherence] over 6 years [of] follow - up in a large sample of older rct participants . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 neuroticism 2 : 5 associated 2 : 26 . 3 neuroticism 4 was 4 was 5 associated 5 associated 6 with 5 associated 17 up 6 with 7 medication 7 medication 11 over 9 - 11 over 11 over 12 6 11 over 16 - 12 6 13 years 12 6 15 follow 13 years 15 follow 17 up 18 in 18 in 21 sample 19 a 20 large 19 a 21 sample 20 large 21 sample 21 sample 22 of 22 of 25 participants 23 older 25 participants 24 rct 25 participants personality measurement in clinical and research settings might help to identify and guide interventions for older adults at risk for medication [non] - adherence . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 23 - 1 personality 2 measurement 2 measurement 3 in 2 measurement 12 and 3 in 5 and 4 clinical 5 and 5 and 6 research 5 and 7 settings 5 and 11 identify 7 settings 8 might 8 might 9 help 9 help 10 to 9 help 11 identify 10 to 11 identify 12 and 14 interventions 12 and 15 for 13 guide 14 interventions 15 for 17 adults 16 older 17 adults 17 adults 18 at 18 at 19 risk 19 risk 20 for 20 for 21 medication 23 - 24 adherence 23 - 25 . slow waves ( sw ; < 4 [hz] and > 75 μv [ )(during [non] [-] rapid eye movement ( nrem ) sleep in humans [are] characterized by hyperpolarization [[] surface electroencephalogram ( eeg ) sw negative phase []] [,] during which cortical neurons are silent , and depolarization ( surface eeg positive phase ) , during which the cortical neurons fire intensively . 0 ###LEFT-WALL### 1 slow 0 ###LEFT-WALL### 5 ; 1 slow 2 waves 2 waves 4 sw 3 ( 4 sw 4 sw 5 ; 5 ; 12 μv 6 < 12 μv 7 4 9 and 9 and 11 75 9 and 12 μv 10 > 11 75 12 μv 14 )(during 12 μv 23 sleep 14 )(during 19 movement 17 rapid 18 eye 18 eye 19 movement 19 movement 21 nrem 20 ( 21 nrem 21 nrem 22 ) 23 sleep 24 in 23 sleep 28 by 24 in 25 humans 25 humans 27 characterized 28 by 38 phase 29 hyperpolarization 37 negative 31 surface 37 negative 32 electroencephalogram 34 eeg 32 electroencephalogram 37 negative 33 ( 34 eeg 34 eeg 35 ) 36 sw 37 negative 37 negative 38 phase 38 phase 41 during 41 during 42 which 41 during 44 neurons 41 during 45 are 43 cortical 44 neurons 44 neurons 45 are 45 are 48 and 46 silent 48 and 47 , 48 and 48 and 49 depolarization 48 and 54 phase 48 and 57 during 50 ( 54 phase 51 surface 54 phase 52 eeg 54 phase 53 positive 54 phase 54 phase 55 ) 56 , 57 during 57 during 58 which 57 during 61 neurons 57 during 62 fire 57 during 64 . 59 the 61 neurons 60 cortical 61 neurons 61 neurons 62 fire 62 fire 63 intensively we assessed the effects of age , sex and topography on the dynamics of sw characteristics in a large population ( n=87 ) of healthy young [(] 23.3 ± 2.4 years ) and middle - aged ( 51.9 ± 4.6 years ) volunteers . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 assessed 1 we 2 assessed 2 assessed 33 and 3 the 4 effects 4 effects 5 of 4 effects 7 , 5 of 6 age 7 , 8 sex 7 , 9 and 9 and 10 topography 9 and 32 ) 9 and 33 and 10 topography 11 on 11 on 13 dynamics 12 the 13 dynamics 13 dynamics 14 of 14 of 16 characteristics 15 sw 16 characteristics 16 characteristics 17 in 16 characteristics 24 of 17 in 20 population 18 a 19 large 18 a 20 population 19 large 20 population 20 population 22 n=87 21 ( 22 n=87 22 n=87 23 ) 24 of 31 years 25 healthy 31 years 26 young 31 years 28 23.3 29 ± 29 ± 31 years 30 2.4 31 years 33 and 34 middle 33 and 43 volunteers 35 - 43 volunteers 36 aged 41 years 36 aged 43 volunteers 37 ( 41 years 38 51.9 41 years 39 ± 41 years 40 4.6 41 years 41 years 42 ) 43 volunteers 44 . older subjects showed lower sw density and amplitude than young subjects . 0 ###LEFT-WALL### 2 subjects 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 12 . 1 older 2 subjects 2 subjects 3 showed 3 showed 5 sw 3 showed 6 density 3 showed 7 and 3 showed 9 than 4 lower 5 sw 7 and 8 amplitude 9 than 11 subjects 10 young 11 subjects age - related lower sw density in men was especially marked in prefrontal/frontal brain areas , where they originate more frequently . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 11 marked 1 age 9 was 2 - 3 related 3 related 6 density 3 related 9 was 4 lower 6 density 5 sw 6 density 6 density 7 in 7 in 8 men 9 was 11 marked 10 especially 11 marked 11 marked 12 in 11 marked 17 where 12 in 15 areas 13 prefrontal/frontal 14 brain 14 brain 15 areas 16 , 17 where 17 where 18 they 17 where 19 originate 17 where 22 . 18 they 19 originate 19 originate 21 frequently 20 more 21 frequently older subjects also showed longer sw positive and negative phase durations . 0 ###LEFT-WALL### 2 subjects 0 ###LEFT-WALL### 4 showed 0 ###LEFT-WALL### 12 . 1 older 2 subjects 2 subjects 4 showed 3 also 4 showed 4 showed 6 sw 4 showed 11 durations 5 longer 6 sw 7 positive 8 and 8 and 9 negative 8 and 10 phase 10 phase 11 durations these last results indicate that , in young subjects , cortical neurons would synchronously enter the sw hyperpolarization and depolarization phases , whereas this process would take longer in older subjects , leading to lower slope and longer sw positive and negative phases . 0 ###LEFT-WALL### 3 results 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 44 . 1 these 3 results 2 last 3 results 3 results 19 and 4 indicate 5 that 4 indicate 19 and 5 that 12 neurons 5 that 15 enter 6 , 7 in 7 in 9 subjects 7 in 10 , 7 in 12 neurons 8 young 9 subjects 11 cortical 12 neurons 12 neurons 13 would 13 would 15 enter 14 synchronously 15 enter 15 enter 18 hyperpolarization 16 the 18 hyperpolarization 17 sw 18 hyperpolarization 19 and 35 lower 20 depolarization 21 phases 21 phases 23 whereas 21 phases 33 leading 21 phases 34 to 22 , 23 whereas 23 whereas 25 process 23 whereas 27 take 23 whereas 32 , 24 this 25 process 25 process 26 would 26 would 27 take 27 take 28 longer 27 take 29 in 29 in 31 subjects 30 older 31 subjects 34 to 35 lower 35 lower 37 and 35 lower 43 phases 36 slope 37 and 37 and 38 longer 39 sw 43 phases 40 positive 41 and 41 and 42 negative 41 and 43 phases importantly , after controlling for sw amplitude , middle [-] aged subjects still showed lower slope than young subjects in prefrontal , frontal , parietal and occipital derivations . 0 ###LEFT-WALL### 12 subjects 0 ###LEFT-WALL### 14 showed 0 ###LEFT-WALL### 29 . 1 importantly 12 subjects 2 , 3 after 3 after 4 controlling 3 after 8 , 3 after 12 subjects 4 controlling 5 for 4 controlling 7 amplitude 5 for 6 sw 9 middle 11 aged 11 aged 12 subjects 12 subjects 14 showed 13 still 14 showed 14 showed 16 slope 14 showed 17 than 14 showed 19 subjects 14 showed 20 in 15 lower 16 slope 18 young 19 subjects 20 in 28 derivations 21 prefrontal 22 , 22 , 23 frontal 22 , 24 , 24 , 25 parietal 24 , 26 and 26 and 27 occipital 26 and 28 derivations age - related effects on sw density , frequency and positive phase duration were more prominent at the beginning of the night , when homeostatic sleep pressure is at its highest . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 3 related 0 ###LEFT-WALL### 8 , 2 - 3 related 3 related 4 effects 3 related 5 on 5 on 7 density 6 sw 7 density 8 , 10 and 8 , 14 were 9 frequency 10 and 10 and 13 duration 10 and 14 were 11 positive 12 phase 12 phase 13 duration 14 were 16 prominent 15 more 16 prominent 16 prominent 17 at 16 prominent 24 when 17 at 19 beginning 18 the 19 beginning 19 beginning 20 of 20 of 22 night 21 the 22 night 23 , 24 when 24 when 27 pressure 24 when 28 is 24 when 32 . 25 homeostatic 27 pressure 26 sleep 27 pressure 27 pressure 28 is 28 is 29 at 29 at 31 highest 30 its 31 highest age - related sw changes may be associated with changes in synaptic density and white matter integrity and may underlie greater sleep fragmentation and difficulty in recuperating and maintaining sleep under challenges in older subjects . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 3 related 0 ###LEFT-WALL### 36 . 2 - 3 related 3 related 4 sw 4 sw 5 changes 4 sw 18 and 5 changes 6 may 6 may 7 be 7 be 8 associated 8 associated 9 with 9 with 18 and 10 changes 11 in 10 changes 14 and 10 changes 18 and 12 synaptic 13 density 13 density 14 and 14 and 17 integrity 15 white 16 matter 16 matter 17 integrity 18 and 19 may 18 and 33 in 19 may 20 underlie 20 underlie 28 and 21 greater 22 sleep 22 sleep 23 fragmentation 23 fragmentation 24 and 24 and 25 difficulty 24 and 26 in 24 and 28 and 26 in 27 recuperating 28 and 30 sleep 28 and 31 under 29 maintaining 30 sleep 31 under 32 challenges 33 in 35 subjects 34 older 35 subjects none none objectives : to determine whether combined higher interleukin - 6 ( il - 6 ) [and] [c] - reactive protein ( crp ) levels are associated with lower pulmonary function levels in older women , accounting for chronic inflammatory diseases , physical function , and other factors associated with inflammation . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 28 associated 0 ###LEFT-WALL### 53 . 1 none 3 objectives 1 none 6 determine 1 none 27 are 2 none 3 objectives 3 objectives 4 : 4 : 5 to 4 : 6 determine 5 to 6 determine 6 determine 7 whether 7 whether 10 interleukin 7 whether 26 levels 8 combined 10 interleukin 9 higher 10 interleukin 10 interleukin 14 il 10 interleukin 26 levels 11 - 14 il 12 6 14 il 13 ( 14 il 14 il 15 - 14 il 16 6 14 il 22 protein 14 il 25 ) 15 - 16 6 16 6 17 ) 20 - 22 protein 21 reactive 22 protein 22 protein 24 crp 22 protein 25 ) 23 ( 24 crp 24 crp 25 ) 27 are 28 associated 28 associated 29 with 28 associated 34 in 29 with 33 levels 30 lower 32 function 31 pulmonary 32 function 32 function 33 levels 34 in 47 and 35 older 36 women 36 women 37 , 37 , 38 accounting 37 , 43 , 38 accounting 39 for 39 for 42 diseases 40 chronic 42 diseases 41 inflammatory 42 diseases 43 , 45 function 43 , 47 and 44 physical 45 function 46 , 47 and 47 and 48 other 47 and 49 factors 47 and 50 associated 49 factors 50 associated 50 associated 51 with 51 with 52 inflammation design : cross - sectional study using data from two prospective cohorts . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 13 . 1 design 2 : 2 : 3 cross 4 - 6 study 5 sectional 6 study 6 study 7 using 7 using 8 data 7 using 9 from 9 from 12 cohorts 10 two 12 cohorts 11 prospective 12 cohorts setting : baltimore , maryland . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 6 . 1 setting 2 : 2 : 3 baltimore 4 , 5 maryland participants : eight hundred forty disabled and 332 higher - functioning community - dwelling women aged 65 and older from the women 's health and aging studies ( whas [ )( [and] ii , respectively . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 23 's 0 ###LEFT-WALL### 36 . 1 participants 2 : 2 : 7 and 3 eight 4 hundred 4 hundred 5 forty 5 forty 7 and 6 disabled 7 and 7 and 12 community 8 332 12 community 9 higher 10 - 9 higher 12 community 11 functioning 12 community 13 - 14 dwelling 13 - 23 's 14 dwelling 18 and 14 dwelling 23 's 15 women 16 aged 15 women 18 and 16 aged 17 65 18 and 19 older 19 older 20 from 20 from 22 women 21 the 22 women 23 's 25 and 23 's 35 respectively 24 health 25 and 25 and 27 studies 25 and 29 whas 26 aging 27 studies 28 ( 29 whas 29 whas 33 ii 29 whas 34 , measurements : il - 6 and crp , combined according to their tertile concentrations , and pulmonary function measures , assessed according to forced expiratory volume in 1 second ( fev₁ ) and forced vital capacity ( fvc ) . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 40 . 1 measurements 2 : 2 : 16 and 3 il 7 crp 3 il 16 and 4 - 7 crp 5 6 6 and 6 and 7 crp 7 crp 9 combined 7 crp 15 , 8 , 9 combined 9 combined 11 to 9 combined 15 , 10 according 11 to 11 to 14 concentrations 12 their 14 concentrations 13 tertile 14 concentrations 16 and 19 measures 16 and 21 assessed 17 pulmonary 18 function 18 function 19 measures 20 , 21 assessed 21 assessed 23 to 21 assessed 27 in 21 assessed 39 ) 22 according 23 to 23 to 26 volume 24 forced 26 volume 25 expiratory 26 volume 27 in 33 and 28 1 29 second 29 second 31 fev₁ 29 second 33 and 30 ( 31 fev₁ 31 fev₁ 32 ) 33 and 36 capacity 33 and 38 fvc 34 forced 36 capacity 35 vital 36 capacity 37 ( 38 fvc 38 fvc 39 ) results : in whas i and [ii] [,] similar dose - response trends were observed between combined higher il - 6 and crp levels and lower pulmonary function levels . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 13 trends 2 : 25 and 2 : 30 . 3 in 6 and 3 in 11 - 3 in 13 trends 4 whas 5 i 4 whas 6 and 6 and 10 dose 6 and 11 - 9 similar 10 dose 12 response 13 trends 13 trends 14 were 14 were 25 and 15 observed 23 crp 15 observed 24 levels 15 observed 25 and 16 between 19 il 16 between 20 - 16 between 23 crp 17 combined 19 il 18 higher 19 il 21 6 22 and 22 and 23 crp 23 crp 24 levels 25 and 26 lower 26 lower 29 levels 27 pulmonary 28 function 28 function 29 levels in whas i ( disabled women ) , the combined [highest] il - 6 [and] crp levels were associated with the lowest levels of fev₁ ( mean 137.0 [ml] , 95 % confidence interval ( ci )=128.4 - 145.7 ml ) [and] [fvc] ( mean 191.7 [ml] , 95 % ci=180.4 - 202.9 ml ) . 1 in 2 whas 1 in 8 , 1 in 12 il 2 whas 3 i 2 whas 6 women 4 ( 6 women 5 disabled 6 women 6 women 7 ) 9 the 12 il 10 combined 12 il 12 il 17 levels 12 il 18 were 12 il 19 associated 13 - 14 6 14 6 17 levels 16 crp 17 levels 17 levels 18 were 19 associated 20 with 20 with 23 levels 21 the 22 lowest 21 the 23 levels 23 levels 24 of 24 of 34 interval 25 fev₁ 27 mean 25 fev₁ 30 , 25 fev₁ 33 confidence 26 ( 27 mean 27 mean 28 137.0 27 mean 30 , 31 95 32 % 32 % 33 confidence 33 confidence 34 interval 34 interval 37 )=128.4 34 interval 45 mean 35 ( 37 )=128.4 36 ci 37 )=128.4 37 )=128.4 40 ml 37 )=128.4 41 ) 38 - 40 ml 39 145.7 40 ml 40 ml 41 ) 44 ( 45 mean 45 mean 46 191.7 45 mean 51 ci=180.4 45 mean 56 . 48 , 51 ci=180.4 49 95 51 ci=180.4 50 % 51 ci=180.4 51 ci=180.4 54 ml 51 ci=180.4 56 . 52 - 54 ml 53 202.9 54 ml 54 ml 55 ) similarly , in whas ii [(] higher - functioning women [ )(, the [combined] highest il - 6 and crp levels were associated with the lowest levels of fev₁ [(] mean 1,543 ml , [[] corrected []] 95 % ci=146.3 - 170.4 ml ) and fvc [(] mean 224.2 [ml] , 95 % ci=209.9 - 238.5 ml ) . 1 similarly 2 , 1 similarly 10 women 3 in 4 whas 3 in 10 women 4 whas 5 ii 7 higher 8 - 7 higher 10 women 9 functioning 10 women 10 women 17 - 10 women 22 were 12 )(, 17 - 13 the 15 highest 13 the 16 il 16 il 17 - 17 - 21 levels 18 6 19 and 19 and 20 crp 20 crp 21 levels 22 were 34 , 23 associated 24 with 23 associated 33 ml 23 associated 34 , 24 with 27 levels 24 with 31 mean 25 the 26 lowest 25 the 27 levels 27 levels 28 of 28 of 29 fev₁ 32 1,543 33 ml 34 , 36 corrected 36 corrected 48 mean 38 95 39 % 39 % 48 mean 40 ci=146.3 43 ml 40 ci=146.3 45 and 41 - 43 ml 42 170.4 43 ml 43 ml 44 ) 45 and 46 fvc 45 and 48 mean 48 mean 49 224.2 48 mean 54 ci=209.9 51 , 54 ci=209.9 52 95 54 ci=209.9 53 % 54 ci=209.9 54 ci=209.9 57 ml 54 ci=209.9 59 . 55 - 57 ml 56 238.5 57 ml 57 ml 58 ) conclusion : combined elevations in il - 6 and crp were associated with the lowest pulmonary function levels in older women . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 22 . 1 conclusion 2 : 2 : 4 elevations 3 combined 4 elevations 4 elevations 5 in 5 in 6 il 7 - 8 6 7 - 9 and 9 and 10 crp 9 and 12 associated 10 crp 11 were 11 were 12 associated 12 associated 13 with 12 associated 19 in 13 with 18 levels 14 the 15 lowest 14 the 18 levels 16 pulmonary 17 function 17 function 18 levels 19 in 21 women 20 older 21 women these findings suggest that high il - 6 and crp levels may be an indication [of] prevalent impaired pulmonary function . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 21 . 1 these 2 findings 2 findings 3 suggest 3 suggest 6 il 4 that 5 high 5 high 6 il 7 - 11 levels 7 - 13 be 8 6 9 and 9 and 10 crp 10 crp 11 levels 11 levels 12 may 12 may 13 be 13 be 20 function 14 an 20 function 15 indication 20 function 17 prevalent 20 function 18 impaired 20 function 19 pulmonary 20 function future studies should determine whether measurement of il [-] 6 and crp could enhance current methods of monitoring respiratory diseases beyond that provided by pulmonary function measures . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 determine 0 ###LEFT-WALL### 28 . 1 future 2 studies 2 studies 3 should 3 should 4 determine 4 determine 5 whether 4 determine 21 beyond 5 whether 11 and 5 whether 14 enhance 6 measurement 7 of 6 measurement 11 and 7 of 8 il 8 il 10 6 11 and 12 crp 11 and 13 could 13 could 14 enhance 14 enhance 16 methods 15 current 16 methods 16 methods 17 of 17 of 18 monitoring 18 monitoring 20 diseases 19 respiratory 20 diseases 21 beyond 22 that 22 that 23 provided 23 provided 24 by 24 by 27 measures 25 pulmonary 26 function 26 function 27 measures there is growing scientific agreement that antioxidants , particularly the polyphenolic forms , may help lower the incidence of disease , such as certain cancers , cardiovascular and neurodegenerative diseases , dna damage , or even have anti - aging properties . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 37 have 0 ###LEFT-WALL### 42 . 1 there 2 is 2 is 5 agreement 3 growing 5 agreement 4 scientific 5 agreement 5 agreement 6 that 5 agreement 7 antioxidants 5 agreement 12 forms 6 that 7 antioxidants 8 , 9 particularly 8 , 12 forms 10 the 12 forms 11 polyphenolic 12 forms 12 forms 13 , 13 , 35 or 14 may 15 help 14 may 35 or 15 help 16 lower 15 help 28 and 17 the 18 incidence 18 incidence 19 of 18 incidence 21 , 19 of 20 disease 21 , 25 cancers 21 , 26 , 22 such 25 cancers 23 as 24 certain 24 certain 25 cancers 26 , 27 cardiovascular 26 , 28 and 28 and 30 diseases 28 and 33 damage 29 neurodegenerative 30 diseases 31 , 33 damage 32 dna 33 damage 33 damage 34 , 35 or 37 have 36 even 37 have 37 have 41 properties 38 anti 39 - 38 anti 41 properties 40 aging 41 properties on the other hand , questions remain as to whether some antioxidants or phytochemicals potentially could do more harm than good , as an increase in glycation - mediated protein damage ( carbonyl stress ) and some risk has been reported . 0 ###LEFT-WALL### 6 questions 0 ###LEFT-WALL### 7 remain 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 42 . 1 on 4 hand 1 on 5 , 1 on 6 questions 2 the 3 other 3 other 4 hand 6 questions 7 remain 7 remain 9 to 7 remain 20 than 7 remain 21 good 8 as 9 to 9 to 10 whether 10 whether 13 or 10 whether 17 do 11 some 12 antioxidants 12 antioxidants 13 or 13 or 14 phytochemicals 13 or 16 could 15 potentially 16 could 16 could 17 do 17 do 19 harm 18 more 19 harm 22 , 38 risk 22 , 40 been 23 as 36 and 23 as 38 risk 24 an 25 increase 25 increase 26 in 25 increase 36 and 26 in 27 glycation 27 glycation 31 damage 28 - 31 damage 29 mediated 30 protein 30 protein 31 damage 31 damage 34 stress 31 damage 35 ) 32 ( 34 stress 33 carbonyl 34 stress 34 stress 35 ) 36 and 37 some 38 risk 39 has 39 has 40 been 40 been 41 reported nevertheless , the quest for healthy aging has led to the use of antioxidants as a means to disrupt age - associated deterioration in physiological [function] , dysregulated metabolic processes or prevention of many age - related diseases . 0 ###LEFT-WALL### 4 quest 0 ###LEFT-WALL### 9 led 0 ###LEFT-WALL### 37 related 0 ###LEFT-WALL### 39 . 1 nevertheless 2 , 1 nevertheless 4 quest 3 the 4 quest 4 quest 5 for 4 quest 8 has 5 for 7 aging 6 healthy 7 aging 8 has 9 led 9 led 10 to 9 led 15 as 10 to 12 use 11 the 12 use 12 use 13 of 13 of 14 antioxidants 15 as 17 means 16 a 17 means 17 means 18 to 17 means 19 disrupt 18 to 19 disrupt 19 disrupt 20 age 20 age 35 age 21 - 35 age 22 associated 23 deterioration 23 deterioration 24 in 23 deterioration 31 or 24 in 30 processes 25 physiological 27 , 25 physiological 30 processes 28 dysregulated 30 processes 29 metabolic 30 processes 31 or 32 prevention 31 or 33 of 31 or 35 age 33 of 34 many 35 age 36 - 36 - 37 related 37 related 38 diseases although a diet rich in polyphenolic forms of antioxidants does seem to offer hope in delaying the onset of age - related disorders , it is still too early to define their exact clinical benefit for treating age - related disease . 0 ###LEFT-WALL### 25 it 0 ###LEFT-WALL### 26 is 0 ###LEFT-WALL### 40 related 1 although 3 diet 1 although 11 seem 1 although 21 - 1 although 25 it 2 a 3 diet 3 diet 4 rich 3 diet 8 of 3 diet 10 does 4 rich 5 in 5 in 7 forms 6 polyphenolic 7 forms 8 of 9 antioxidants 10 does 11 seem 11 seem 12 to 11 seem 13 offer 12 to 13 offer 13 offer 14 hope 13 offer 15 in 15 in 16 delaying 16 delaying 18 onset 17 the 18 onset 18 onset 19 of 19 of 20 age 21 - 22 related 22 related 23 disorders 22 related 24 , 22 related 25 it 25 it 26 is 26 is 27 still 26 is 28 too 26 is 29 early 29 early 30 to 29 early 31 define 30 to 31 define 31 define 35 benefit 32 their 35 benefit 33 exact 35 benefit 34 clinical 35 benefit 35 benefit 36 for 36 for 38 age 37 treating 38 age 39 - 40 related 40 related 41 disease 40 related 42 . regardless of where the debate will end , it is clear that any deficiency in antioxidant vitamins or adequate enzymatic antioxidant defenses can manifest in many disease states and shift the redox balance in some diseases . 0 ###LEFT-WALL### 9 it 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 37 . 1 regardless 2 of 2 of 3 where 2 of 8 , 2 of 9 it 3 where 5 debate 3 where 7 end 4 the 5 debate 5 debate 6 will 6 will 7 end 9 it 10 is 10 is 11 clear 11 clear 12 that 12 that 18 or 12 that 29 and 13 any 14 deficiency 14 deficiency 15 in 14 deficiency 18 or 15 in 17 vitamins 16 antioxidant 17 vitamins 18 or 22 defenses 18 or 23 can 19 adequate 22 defenses 20 enzymatic 22 defenses 21 antioxidant 22 defenses 23 can 29 and 24 manifest 25 in 24 manifest 28 states 24 manifest 29 and 25 in 26 many 27 disease 28 states 29 and 30 shift 30 shift 33 balance 30 shift 34 in 31 the 33 balance 32 redox 33 balance 34 in 36 diseases 35 some 36 diseases this updated review critically examines general antioxidant compounds in health , disease and aging with hope that a better understanding of the many mechanisms involved with these diverse compounds may lead to better health and novel treatment approaches for age - related diseases . 0 ###LEFT-WALL### 3 review 0 ###LEFT-WALL### 5 examines 0 ###LEFT-WALL### 42 related 0 ###LEFT-WALL### 44 . 1 this 3 review 2 updated 3 review 3 review 5 examines 4 critically 5 examines 5 examines 8 compounds 5 examines 32 to 6 general 8 compounds 7 antioxidant 8 compounds 8 compounds 9 in 9 in 13 and 10 health 11 , 11 , 12 disease 11 , 13 and 13 and 14 aging 14 aging 15 with 15 with 16 hope 16 hope 17 that 17 that 20 understanding 17 that 31 lead 18 a 20 understanding 19 better 20 understanding 20 understanding 21 of 20 understanding 25 involved 20 understanding 30 may 21 of 24 mechanisms 22 the 23 many 23 many 24 mechanisms 25 involved 26 with 26 with 29 compounds 27 these 29 compounds 28 diverse 29 compounds 30 may 31 lead 32 to 33 better 33 better 35 and 34 health 35 and 35 and 38 approaches 36 novel 37 treatment 37 treatment 38 approaches 38 approaches 39 for 39 for 40 age 41 - 42 related 42 related 43 diseases human aging is associated with loss of tissue homeostasis and a greatly elevated risk of debilitating disease , with associated costs in terms of diminished quality of life for the individual and financial burdens on health - care providers . 0 ###LEFT-WALL### 1 human 0 ###LEFT-WALL### 37 - 0 ###LEFT-WALL### 40 . 1 human 2 aging 1 human 3 is 3 is 4 associated 4 associated 5 with 4 associated 19 with 5 with 10 and 6 loss 7 of 6 loss 10 and 7 of 9 homeostasis 8 tissue 9 homeostasis 10 and 14 risk 10 and 15 of 11 a 14 risk 12 greatly 13 elevated 13 elevated 14 risk 15 of 17 disease 16 debilitating 17 disease 18 , 19 with 19 with 21 costs 19 with 29 for 19 with 37 - 20 associated 21 costs 21 costs 22 in 21 costs 24 of 22 in 23 terms 24 of 26 quality 25 diminished 26 quality 26 quality 27 of 27 of 28 life 29 for 32 and 30 the 31 individual 31 individual 32 and 32 and 34 burdens 32 and 35 on 33 financial 34 burdens 35 on 36 health 37 - 39 providers 38 care 39 providers any advances that hold out the realistic prospect of tackling age - related morbidity are therefore to be welcomed . 0 ###LEFT-WALL### 2 advances 0 ###LEFT-WALL### 19 welcomed 0 ###LEFT-WALL### 20 . 1 any 2 advances 2 advances 3 that 2 advances 4 hold 2 advances 15 are 3 that 4 hold 4 hold 5 out 4 hold 8 prospect 6 the 8 prospect 7 realistic 8 prospect 8 prospect 9 of 9 of 10 tackling 10 tackling 11 age 12 - 13 related 13 related 14 morbidity 13 related 15 are 15 are 17 to 15 are 19 welcomed 16 therefore 17 to 17 to 18 be the recent report by jeskelioff et al . published in 2010 that telomerase reactivation in adult male mice can not only halt but actually reverse significant tissue pathologies provides a long - awaited proof of principle that it is possible to rejuvenate aged tissues . 0 ###LEFT-WALL### 3 report 0 ###LEFT-WALL### 45 . 1 the 3 report 2 recent 3 report 3 report 4 by 3 report 9 published 3 report 12 that 3 report 43 aged 4 by 7 al 5 jeskelioff 7 al 6 et 7 al 7 al 8 . 9 published 10 in 10 in 11 2010 12 that 13 telomerase 12 that 29 provides 13 telomerase 14 reactivation 13 telomerase 22 halt 13 telomerase 29 provides 14 reactivation 15 in 14 reactivation 19 can 15 in 18 mice 16 adult 18 mice 17 male 18 mice 19 can 20 not 19 can 22 halt 21 only 22 halt 22 halt 23 but 23 but 24 actually 23 but 28 pathologies 25 reverse 28 pathologies 26 significant 27 tissue 27 tissue 28 pathologies 29 provides 34 proof 30 a 31 long 30 a 34 proof 31 long 32 - 31 long 34 proof 33 awaited 34 proof 34 proof 35 of 34 proof 37 that 35 of 36 principle 37 that 38 it 37 that 39 is 38 it 39 is 39 is 40 possible 40 possible 41 to 40 possible 42 rejuvenate 41 to 42 rejuvenate 43 aged 44 tissues this review assesses the impact of this new work and considers possible problems and potential benefits of telomerase activation as [a] therapy to tackle the morbidities associated with human aging . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 31 . 1 this 2 review 2 review 10 and 3 assesses 5 impact 3 assesses 10 and 4 the 5 impact 5 impact 6 of 6 of 9 work 7 this 9 work 8 new 9 work 10 and 11 considers 10 and 20 as 10 and 23 to 11 considers 14 and 11 considers 19 activation 12 possible 13 problems 13 problems 14 and 14 and 16 benefits 14 and 17 of 15 potential 16 benefits 17 of 18 telomerase 20 as 22 therapy 23 to 24 tackle 24 tackle 26 morbidities 25 the 26 morbidities 26 morbidities 27 associated 27 associated 28 with 28 with 30 aging 29 human 30 aging research on retrieval - induced forgetting has shown that remembering can cause forgetting of related information . 0 ###LEFT-WALL### 6 forgetting 0 ###LEFT-WALL### 8 shown 0 ###LEFT-WALL### 17 . 1 research 6 forgetting 2 on 3 retrieval 2 on 4 - 2 on 6 forgetting 5 induced 6 forgetting 6 forgetting 7 has 7 has 8 shown 8 shown 9 that 9 that 10 remembering 9 that 12 cause 10 remembering 11 can 11 can 12 cause 12 cause 13 forgetting 13 forgetting 14 of 14 of 16 information 15 related 16 information this study examined whether such forgetting occurred for associatively structured lists [and] if aging influenced such forgetting . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 examined 0 ###LEFT-WALL### 18 . 1 this 2 study 2 study 3 examined 3 examined 4 whether 4 whether 6 forgetting 4 whether 7 occurred 5 such 6 forgetting 6 forgetting 7 occurred 7 occurred 8 for 7 occurred 13 if 8 for 11 lists 9 associatively 10 structured 10 structured 11 lists 13 if 14 aging 13 if 15 influenced 14 aging 15 influenced 15 influenced 17 forgetting 16 such 17 forgetting we compared retrieval - induced forgetting during a free recall test by using deese/roediger - mcdermott ( drm ) lists with an associative structure as the stimulus . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 compared 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 28 . 1 we 2 compared 2 compared 3 retrieval 4 - 6 forgetting 4 - 15 - 5 induced 6 forgetting 6 forgetting 7 during 7 during 11 test 8 a 9 free 8 a 11 test 9 free 10 recall 10 recall 11 test 11 test 12 by 12 by 13 using 13 using 14 deese/roediger 15 - 20 lists 16 mcdermott 18 drm 17 ( 18 drm 18 drm 19 ) 18 drm 20 lists 20 lists 21 with 21 with 24 structure 22 an 23 associative 22 an 24 structure 23 associative 24 structure 24 structure 25 as 25 as 27 stimulus 26 the 27 stimulus two age groups of young and old adult participants were tested . 0 ###LEFT-WALL### 3 groups 0 ###LEFT-WALL### 11 tested 0 ###LEFT-WALL### 12 . 1 two 3 groups 2 age 3 groups 3 groups 4 of 3 groups 10 were 4 of 9 participants 5 young 6 and 6 and 7 old 6 and 8 adult 8 adult 9 participants 10 were 11 tested the results indicated that both age groups showed the same degree of retrieval - induced forgetting of the lists . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 8 showed 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 20 . 1 the 2 results 2 results 3 indicated 2 results 4 that 2 results 6 age 2 results 8 showed 4 that 6 age 5 both 6 age 6 age 7 groups 8 showed 13 retrieval 9 the 10 same 10 same 11 degree 11 degree 12 of 11 degree 13 retrieval 12 of 13 retrieval 14 - 16 forgetting 15 induced 16 forgetting 16 forgetting 17 of 17 of 19 lists 18 the 19 lists these results suggest that the association between items causes retrieval - induced forgetting and that the inhibitory function of the association in retrieval [-] induced forgetting does not decline with age . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 11 - 0 ###LEFT-WALL### 32 . 1 these 2 results 2 results 3 suggest 3 suggest 4 that 4 that 6 association 4 that 9 causes 5 the 6 association 6 association 7 between 6 association 9 causes 7 between 8 items 9 causes 10 retrieval 11 - 14 and 12 induced 13 forgetting 13 forgetting 14 and 14 and 15 that 14 and 18 function 14 and 29 decline 16 the 18 function 17 inhibitory 18 function 18 function 19 of 18 function 27 does 19 of 21 association 20 the 21 association 21 association 22 in 22 in 23 retrieval 23 retrieval 25 induced 23 retrieval 26 forgetting 27 does 28 not 27 does 29 decline 29 decline 30 with 30 with 31 age incidence [rate] of arteriosclerotic disease such as ischemic heart disease and stroke has been on the rise in japan due to the westernized dietary habit , insufficient exercise brought about by persistent motorization and increase in mental stress caused by social downturn as well as rapid progression of aging society . 0 ###LEFT-WALL### 1 incidence 0 ###LEFT-WALL### 14 been 0 ###LEFT-WALL### 51 . 1 incidence 3 of 1 incidence 13 has 3 of 11 and 4 arteriosclerotic 5 disease 5 disease 7 as 5 disease 11 and 6 such 7 as 7 as 10 disease 8 ischemic 9 heart 9 heart 10 disease 11 and 12 stroke 13 has 14 been 14 been 15 on 14 been 36 in 15 on 17 rise 16 the 17 rise 17 rise 18 in 17 rise 20 due 18 in 19 japan 20 due 21 to 21 to 34 and 22 the 25 habit 23 westernized 25 habit 24 dietary 25 habit 25 habit 26 , 26 , 28 exercise 26 , 34 and 27 insufficient 28 exercise 28 exercise 29 brought 29 brought 30 about 30 about 31 by 31 by 33 motorization 32 persistent 33 motorization 34 and 35 increase 36 in 38 stress 37 mental 38 stress 38 stress 39 caused 38 stress 48 of 39 caused 40 by 40 by 47 progression 41 social 42 downturn 42 downturn 47 progression 43 as 44 well 44 well 46 rapid 45 as 46 rapid 46 rapid 47 progression 48 of 49 aging 49 aging 50 society in this paper , we 'll outline prevention , treatment and control of arteriosclerosis from a perspective of antiinflammation . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 7 outline 0 ###LEFT-WALL### 20 . 1 in 3 paper 1 in 4 , 1 in 5 we 2 this 3 paper 5 we 6 'll 6 'll 7 outline 7 outline 11 and 8 prevention 9 , 9 , 10 treatment 9 , 11 and 11 and 12 control 11 and 13 of 13 of 14 arteriosclerosis 14 arteriosclerosis 15 from 15 from 17 perspective 16 a 17 perspective 17 perspective 18 of 18 of 19 antiinflammation elderly patients and patients with renal impairment present unique challenges in the management of diabetes mellitus . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 8 present 0 ###LEFT-WALL### 17 . 1 elderly 2 patients 2 patients 3 and 3 and 4 patients 3 and 5 with 3 and 8 present 5 with 7 impairment 6 renal 7 impairment 8 present 10 challenges 8 present 11 in 9 unique 10 challenges 11 in 13 management 12 the 13 management 13 management 14 of 14 of 16 mellitus 15 diabetes 16 mellitus impaired [renal] function [is] a common comorbidity ( or complication ) associated with type 2 diabetes , as well as a complicating factor in the treatment of the disease . 0 ###LEFT-WALL### 1 impaired 0 ###LEFT-WALL### 3 function 0 ###LEFT-WALL### 30 . 1 impaired 3 function 3 function 9 or 5 a 6 common 5 a 7 comorbidity 6 common 7 comorbidity 7 comorbidity 9 or 8 ( 9 or 9 or 10 complication 9 or 11 ) 9 or 12 associated 9 or 20 as 12 associated 13 with 12 associated 17 , 12 associated 19 well 13 with 14 type 13 with 16 diabetes 14 type 15 2 18 as 19 well 20 as 23 factor 21 a 23 factor 22 complicating 23 factor 23 factor 24 in 23 factor 27 of 24 in 26 treatment 25 the 26 treatment 27 of 29 disease 28 the 29 disease renal insufficiency , which can result in elevated plasma concentrations of pharmaceutical agents , may preclude the use of some antihyperglycemic medications and require that the dosages of others be reduced . 0 ###LEFT-WALL### 2 insufficiency 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 32 . 1 renal 2 insufficiency 2 insufficiency 4 which 2 insufficiency 15 may 3 , 4 which 4 which 5 can 4 which 14 , 5 can 6 result 6 result 7 in 7 in 10 concentrations 8 elevated 9 plasma 9 plasma 10 concentrations 10 concentrations 11 of 11 of 13 agents 12 pharmaceutical 13 agents 15 may 23 and 16 preclude 18 use 16 preclude 23 and 17 the 18 use 18 use 19 of 19 of 22 medications 20 some 22 medications 21 antihyperglycemic 22 medications 23 and 24 require 24 require 25 that 25 that 27 dosages 25 that 30 be 26 the 27 dosages 27 dosages 28 of 28 of 29 others 30 be 31 reduced failure to select [and] dose medications carefully in these patients may increase the risk of hypoglycemia and other adverse effects . 0 ###LEFT-WALL### 1 failure 0 ###LEFT-WALL### 12 increase 0 ###LEFT-WALL### 21 . 1 failure 2 to 1 failure 3 select 1 failure 11 may 2 to 3 select 3 select 6 medications 3 select 7 carefully 3 select 8 in 5 dose 6 medications 8 in 10 patients 9 these 10 patients 11 may 12 increase 12 increase 14 risk 13 the 14 risk 14 risk 15 of 15 of 17 and 16 hypoglycemia 17 and 17 and 20 effects 18 other 20 effects 19 adverse 20 effects for example , elevated plasma concentrations of some sulfonylureas may increase the risk of hypoglycemia . 0 ###LEFT-WALL### 6 concentrations 0 ###LEFT-WALL### 11 increase 0 ###LEFT-WALL### 16 . 1 for 2 example 2 example 3 , 2 example 6 concentrations 4 elevated 5 plasma 5 plasma 6 concentrations 6 concentrations 7 of 6 concentrations 10 may 7 of 9 sulfonylureas 8 some 9 sulfonylureas 10 may 11 increase 11 increase 13 risk 12 the 13 risk 13 risk 14 of 14 of 15 hypoglycemia because patients with chronic renal insufficiency tend to retain fluids , treatment with a thiazolidinedione -- a class of agents associated with fluid retention -- may exacerbate the risk of edema . 0 ###LEFT-WALL### 12 treatment 0 ###LEFT-WALL### 27 exacerbate 0 ###LEFT-WALL### 32 . 1 because 2 patients 1 because 7 tend 1 because 11 , 1 because 12 treatment 2 patients 3 with 2 patients 7 tend 3 with 6 insufficiency 4 chronic 6 insufficiency 5 renal 6 insufficiency 7 tend 8 to 7 tend 9 retain 8 to 9 retain 9 retain 10 fluids 12 treatment 13 with 12 treatment 18 class 12 treatment 26 may 13 with 15 thiazolidinedione 14 a 15 thiazolidinedione 16 -- 18 class 17 a 18 class 18 class 19 of 18 class 21 associated 18 class 25 -- 19 of 20 agents 21 associated 22 with 22 with 24 retention 23 fluid 24 retention 26 may 27 exacerbate 27 exacerbate 29 risk 28 the 29 risk 29 risk 30 of 30 of 31 edema older patients with type 2 diabetes [--] like patients with renal insufficiency an important and populous subgroup -- also have issues with therapy selection and dosing regimens . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 8 like 0 ###LEFT-WALL### 18 -- 0 ###LEFT-WALL### 20 have 0 ###LEFT-WALL### 28 . 1 older 2 patients 2 patients 3 with 2 patients 8 like 3 with 6 diabetes 4 type 6 diabetes 5 2 6 diabetes 8 like 9 patients 8 like 10 with 10 with 12 insufficiency 10 with 17 subgroup 11 renal 12 insufficiency 13 an 17 subgroup 14 important 15 and 15 and 16 populous 15 and 17 subgroup 18 -- 20 have 19 also 20 have 20 have 21 issues 20 have 22 with 22 with 25 and 23 therapy 24 selection 24 selection 25 and 25 and 27 regimens 26 dosing 27 regimens as a result of the effects of aging on kidney function [,] older patients may also be subject to elevated plasma levels with consequent additional risk of hypoglycemia and other adverse events . 0 ###LEFT-WALL### 18 subject 0 ###LEFT-WALL### 33 . 1 as 3 result 1 as 17 be 1 as 18 subject 2 a 3 result 3 result 4 of 3 result 7 of 3 result 15 may 4 of 6 effects 5 the 6 effects 7 of 8 aging 8 aging 9 on 9 on 14 patients 10 kidney 14 patients 11 function 14 patients 13 older 14 patients 15 may 17 be 16 also 17 be 18 subject 19 to 18 subject 22 levels 18 subject 23 with 19 to 21 plasma 20 elevated 21 plasma 23 with 26 risk 24 consequent 26 risk 25 additional 26 risk 26 risk 27 of 27 of 29 and 28 hypoglycemia 29 and 29 and 32 events 30 other 32 events 31 adverse 32 events because older patients tend to be treated with multiple medications for multiple comorbidities , it becomes challenging to design regimens that [avoid] or reduce the risk of drug [-] drug interactions . 0 ###LEFT-WALL### 1 because 0 ###LEFT-WALL### 23 or 0 ###LEFT-WALL### 32 . 1 because 3 patients 2 older 3 patients 3 patients 23 or 4 tend 5 to 4 tend 21 that 4 tend 23 or 5 to 14 , 6 be 7 treated 6 be 14 , 7 treated 8 with 7 treated 11 for 8 with 10 medications 9 multiple 10 medications 11 for 13 comorbidities 12 multiple 13 comorbidities 14 , 19 design 15 it 16 becomes 16 becomes 17 challenging 16 becomes 18 to 18 to 19 design 19 design 20 regimens 23 or 24 reduce 23 or 26 risk 25 the 26 risk 26 risk 27 of 27 of 31 interactions 28 drug 31 interactions 30 drug 31 interactions for both older patients and patients with chronic renal insufficiency , the most important drug - related adverse effect to avoid is hypoglycemia . 0 ###LEFT-WALL### 15 drug 0 ###LEFT-WALL### 22 is 0 ###LEFT-WALL### 24 . 1 for 5 and 1 for 11 , 1 for 15 drug 2 both 4 patients 3 older 4 patients 4 patients 5 and 5 and 6 patients 5 and 7 with 7 with 10 insufficiency 8 chronic 10 insufficiency 9 renal 10 insufficiency 12 the 15 drug 13 most 14 important 14 important 15 drug 15 drug 22 is 16 - 17 related 17 related 19 effect 17 related 22 is 18 adverse 19 effect 19 effect 20 to 19 effect 21 avoid 20 to 21 avoid 22 is 23 hypoglycemia accordingly , incretin [-] based agents have an advantage because they are unlikely to cause hypoglycemia . 0 ###LEFT-WALL### 6 agents 0 ###LEFT-WALL### 7 have 0 ###LEFT-WALL### 17 . 1 accordingly 2 , 1 accordingly 6 agents 3 incretin 5 based 5 based 6 agents 6 agents 7 have 7 have 9 advantage 7 have 10 because 8 an 9 advantage 10 because 11 they 10 because 12 are 11 they 12 are 12 are 13 unlikely 13 unlikely 14 to 13 unlikely 15 cause 14 to 15 cause 15 cause 16 hypoglycemia this implies significant consequences with regard to the development of weight loss , anorexia , social disadvantages and increased mortality with serious socio - economic burden . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 implies 0 ###LEFT-WALL### 27 . 1 this 2 implies 2 implies 4 consequences 2 implies 5 with 2 implies 7 to 2 implies 21 with 3 significant 4 consequences 5 with 6 regard 7 to 9 development 8 the 9 development 9 development 10 of 10 of 18 and 11 weight 12 loss 12 loss 13 , 13 , 17 disadvantages 13 , 18 and 14 anorexia 15 , 14 anorexia 16 social 16 social 17 disadvantages 18 and 20 mortality 19 increased 20 mortality 21 with 26 burden 22 serious 26 burden 23 socio 24 - 23 socio 26 burden 25 economic 26 burden ageing processes are determined by differentiated neurogeneration of the myenteric plexus ( cholinergic degeneration ) through reactive oxygen and nitrogen species and alteration of protective and regenerative processes . 0 ###LEFT-WALL### 2 processes 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 29 . 1 ageing 2 processes 2 processes 3 are 3 are 4 determined 4 determined 5 by 4 determined 16 through 5 by 7 neurogeneration 6 differentiated 7 neurogeneration 7 neurogeneration 8 of 7 neurogeneration 14 degeneration 8 of 11 plexus 9 the 11 plexus 10 myenteric 11 plexus 12 ( 14 degeneration 13 cholinergic 14 degeneration 14 degeneration 15 ) 16 through 22 and 17 reactive 18 oxygen 18 oxygen 19 and 19 and 21 species 19 and 22 and 20 nitrogen 21 species 22 and 23 alteration 22 and 24 of 24 of 28 processes 25 protective 26 and 26 and 27 regenerative 26 and 28 processes age - related gastrointestinal dysfunctions may be caused by the ageing gastrointestinal tract itself [or] by other age - related diseases such as tumour [,] neurological or inflammatory diseases , anatomic changes , therapeutic medication , polymorbidity or malnutrition . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 8 caused 0 ###LEFT-WALL### 20 related 0 ###LEFT-WALL### 40 . 1 age 6 may 2 - 3 related 3 related 5 dysfunctions 3 related 6 may 4 gastrointestinal 5 dysfunctions 6 may 7 be 7 be 8 caused 8 caused 9 by 8 caused 14 itself 8 caused 16 by 9 by 13 tract 10 the 13 tract 11 ageing 13 tract 12 gastrointestinal 13 tract 16 by 18 age 17 other 18 age 19 - 20 related 20 related 21 diseases 21 diseases 23 as 22 such 23 as 23 as 38 or 24 tumour 29 diseases 26 neurological 27 or 27 or 28 inflammatory 27 or 29 diseases 29 diseases 30 , 30 , 32 changes 30 , 33 , 31 anatomic 32 changes 33 , 35 medication 33 , 36 , 34 therapeutic 35 medication 36 , 37 polymorbidity 36 , 38 or 38 or 39 malnutrition because of the significant therapeutic options , differential diagnostic work [-] [up] is mandatory also in elderly patients . 0 ###LEFT-WALL### 10 work 0 ###LEFT-WALL### 13 is 0 ###LEFT-WALL### 19 . 1 because 2 of 1 because 7 , 1 because 10 work 2 of 6 options 3 the 6 options 4 significant 6 options 5 therapeutic 6 options 8 differential 10 work 9 diagnostic 10 work 10 work 13 is 13 is 14 mandatory 14 mandatory 15 also 14 mandatory 16 in 16 in 18 patients 17 elderly 18 patients increased pineal calcifications and decreased pineal melatonin biosynthesis , both age related , support the notion of a pineal bio - organic timing mechanism . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 21 - 1 increased 3 calcifications 2 pineal 3 calcifications 3 calcifications 4 and 4 and 8 biosynthesis 4 and 9 , 4 and 10 both 4 and 11 age 4 and 13 , 5 decreased 7 melatonin 6 pineal 7 melatonin 7 melatonin 8 biosynthesis 10 both 11 age 12 related 13 , 13 , 14 support 14 support 16 notion 15 the 16 notion 16 notion 17 of 17 of 20 bio 18 a 19 pineal 18 a 20 bio 19 pineal 20 bio 21 - 24 mechanism 21 - 25 . 22 organic 23 timing 23 timing 24 mechanism the role of calcification in the pathogenesis of pineal gland dysfunction remains unknown but the available data document that calcification is an organized , regulated process , rather than a passive aging phenomenon . 0 ###LEFT-WALL### 2 role 0 ###LEFT-WALL### 12 remains 0 ###LEFT-WALL### 14 but 1 the 2 role 2 role 3 of 2 role 8 of 2 role 12 remains 3 of 4 calcification 4 calcification 5 in 5 in 7 pathogenesis 6 the 7 pathogenesis 8 of 11 dysfunction 9 pineal 10 gland 10 gland 11 dysfunction 12 remains 13 unknown 14 but 17 data 14 but 18 document 15 the 17 data 16 available 17 data 17 data 18 document 18 document 19 that 19 that 20 calcification 19 that 21 is 20 calcification 21 is 21 is 26 process 21 is 29 than 22 an 23 organized 22 an 26 process 23 organized 24 , 23 organized 26 process 25 regulated 26 process 27 , 29 than 28 rather 29 than 29 than 33 phenomenon 29 than 34 . 30 a 31 passive 30 a 33 phenomenon 31 passive 33 phenomenon 32 aging 33 phenomenon the cellular biology and micro - environmental conditions required for calcification remain poorly understood but most studies have demonstrated evidence that mast cells are strongly implicated in this process . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 14 understood 0 ###LEFT-WALL### 15 but 0 ###LEFT-WALL### 30 . 1 the 3 biology 2 cellular 3 biology 3 biology 4 and 4 and 8 conditions 4 and 12 remain 5 micro 6 - 5 micro 8 conditions 7 environmental 8 conditions 8 conditions 9 required 9 required 10 for 10 for 11 calcification 12 remain 14 understood 13 poorly 14 understood 15 but 17 studies 15 but 18 have 16 most 17 studies 17 studies 18 have 18 have 20 evidence 18 have 27 in 19 demonstrated 20 evidence 20 evidence 21 that 20 evidence 26 implicated 21 that 23 cells 21 that 26 implicated 22 mast 23 cells 23 cells 24 are 24 are 25 strongly 24 are 26 implicated 27 in 29 process 28 this 29 process the aim of the present study was to examine the phenotype of mast cells associated with early stages and with the progressive development of calcification in the human pineal gland . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 15 associated 0 ###LEFT-WALL### 31 . 1 the 2 aim 2 aim 3 of 2 aim 12 of 2 aim 15 associated 3 of 5 present 4 the 5 present 5 present 6 study 5 present 9 examine 6 study 7 was 7 was 8 to 7 was 9 examine 8 to 9 examine 9 examine 11 phenotype 10 the 11 phenotype 12 of 14 cells 13 mast 14 cells 15 associated 19 and 15 associated 26 in 16 with 18 stages 16 with 19 and 17 early 18 stages 19 and 20 with 20 with 23 development 21 the 23 development 22 progressive 23 development 23 development 24 of 24 of 25 calcification 26 in 30 gland 27 the 30 gland 28 human 30 gland 29 pineal 30 gland the study was performed on pineal samples of 170 fetuses and children whose brains were autopsied and diagnosed during 1998 - 2002 . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 17 and 1 the 2 study 2 study 17 and 3 was 4 performed 3 was 17 and 4 performed 5 on 5 on 11 and 6 pineal 7 samples 7 samples 8 of 7 samples 11 and 8 of 10 fetuses 9 170 10 fetuses 11 and 12 children 11 and 13 whose 13 whose 14 brains 14 brains 15 were 15 were 16 autopsied 17 and 18 diagnosed 17 and 19 during 19 during 20 1998 20 1998 22 2002 21 - 22 2002 22 2002 23 . the representative cerebral and pineal specimens were stained with haematoxylin and eosin or the von kossa staining technique and for the distribution of mast cell tryptase , mast cell chymase , histamine h4 receptor and vascular network using biotinylated ulex europaeus agglutinin . 0 ###LEFT-WALL### 2 representative 0 ###LEFT-WALL### 8 stained 0 ###LEFT-WALL### 43 . 1 the 2 representative 2 representative 6 specimens 2 representative 7 were 2 representative 8 stained 3 cerebral 4 and 4 and 5 pineal 4 and 6 specimens 6 specimens 7 were 8 stained 19 and 8 stained 38 using 9 with 13 or 9 with 19 and 10 haematoxylin 11 and 11 and 12 eosin 11 and 13 or 13 or 16 kossa 13 or 17 staining 14 the 16 kossa 15 von 16 kossa 17 staining 18 technique 19 and 20 for 20 for 35 and 21 the 22 distribution 22 distribution 23 of 22 distribution 27 , 23 of 26 tryptase 24 mast 25 cell 25 cell 26 tryptase 27 , 30 chymase 27 , 31 , 28 mast 30 chymase 29 cell 30 chymase 31 , 34 receptor 31 , 35 and 32 histamine 34 receptor 33 h4 34 receptor 35 and 37 network 36 vascular 37 network 38 using 42 agglutinin 39 biotinylated 41 europaeus 40 ulex 41 europaeus 41 europaeus 42 agglutinin tryptase mast cells were found in all stages of pineal gland development independently of the presence of local tissue lesions . 0 ###LEFT-WALL### 3 cells 0 ###LEFT-WALL### 5 found 0 ###LEFT-WALL### 21 . 1 tryptase 3 cells 2 mast 3 cells 3 cells 4 were 4 were 5 found 5 found 6 in 5 found 13 independently 6 in 8 stages 7 all 8 stages 8 stages 9 of 9 of 12 development 10 pineal 11 gland 11 gland 12 development 13 independently 14 of 14 of 16 presence 15 the 16 presence 16 presence 17 of 17 of 20 lesions 18 local 19 tissue 19 tissue 20 lesions all of them were always localized in the close vicinity of the blood vessels and expressed immunoreactivity to histamine h4 receptor antibody . 0 ###LEFT-WALL### 3 them 0 ###LEFT-WALL### 6 localized 0 ###LEFT-WALL### 23 . 1 all 2 of 1 all 3 them 2 of 3 them 3 them 4 were 4 were 6 localized 5 always 6 localized 6 localized 7 in 7 in 10 vicinity 8 the 10 vicinity 9 close 10 vicinity 10 vicinity 11 of 11 of 22 antibody 12 the 22 antibody 13 blood 22 antibody 14 vessels 15 and 15 and 17 immunoreactivity 15 and 18 to 15 and 22 antibody 16 expressed 17 immunoreactivity 18 to 19 histamine 20 h4 22 antibody 21 receptor 22 antibody in our study , all functional mast cells that underwent activation and were co [-] localized with deposits of calcium did not contain chymase . 0 ###LEFT-WALL### 8 cells 0 ###LEFT-WALL### 23 contain 0 ###LEFT-WALL### 25 . 1 in 3 study 1 in 4 , 1 in 8 cells 2 our 3 study 5 all 8 cells 6 functional 7 mast 7 mast 8 cells 8 cells 9 that 8 cells 12 and 8 cells 21 did 9 that 12 and 10 underwent 11 activation 10 underwent 12 and 12 and 13 were 13 were 14 co 14 co 16 localized 16 localized 17 with 17 with 18 deposits 18 deposits 19 of 19 of 20 calcium 21 did 22 not 21 did 23 contain 23 contain 24 chymase all of them were stained with tryptase and represent the mc [-] t phenotype . 0 ###LEFT-WALL### 3 them 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 15 . 1 all 2 of 1 all 3 them 2 of 3 them 3 them 8 and 4 were 5 stained 4 were 8 and 5 stained 6 with 6 with 7 tryptase 8 and 9 represent 9 represent 14 phenotype 10 the 14 phenotype 11 mc 13 t 11 mc 14 phenotype tryptase mast cells and extracellular tryptase were often associated with areas of early and more advanced stages of calcification . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 9 associated 0 ###LEFT-WALL### 20 . 1 tryptase 3 cells 2 mast 3 cells 3 cells 4 and 4 and 6 tryptase 4 and 7 were 5 extracellular 6 tryptase 7 were 8 often 7 were 9 associated 9 associated 10 with 10 with 11 areas 11 areas 12 of 12 of 17 stages 13 early 14 and 14 and 15 more 14 and 17 stages 16 advanced 17 stages 17 stages 18 of 18 of 19 calcification our results lead to the conclusion that the tryptase mast cells play a major role in the pineal calcification process as sites where this process starts [and] as a source of production of numerous biologically active substances including tryptase that participate in calcification . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 lead 0 ###LEFT-WALL### 44 . 1 our 2 results 2 results 3 lead 3 lead 4 to 3 lead 21 as 3 lead 42 in 4 to 6 conclusion 5 the 6 conclusion 6 conclusion 7 that 7 that 11 cells 7 that 12 play 8 the 11 cells 9 tryptase 10 mast 10 mast 11 cells 11 cells 12 play 12 play 15 role 13 a 14 major 13 a 15 role 14 major 15 role 15 role 16 in 16 in 20 process 17 the 20 process 18 pineal 19 calcification 19 calcification 20 process 21 as 22 sites 22 sites 23 where 22 sites 31 of 23 where 25 process 23 where 26 starts 24 this 25 process 25 process 26 starts 26 starts 28 as 28 as 30 source 29 a 30 source 31 of 32 production 32 production 33 of 33 of 37 substances 34 numerous 37 substances 35 biologically 36 active 36 active 37 substances 37 substances 38 including 37 substances 40 that 37 substances 41 participate 38 including 39 tryptase 40 that 41 participate 42 in 43 calcification a common but significant change associated with aging is a profound disruption to the daily sleep - wake cycle . 0 ###LEFT-WALL### 5 change 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 17 - 1 a 5 change 2 common 3 but 3 but 4 significant 3 but 5 change 5 change 6 associated 5 change 9 is 6 associated 7 with 7 with 8 aging 9 is 12 disruption 10 a 11 profound 10 a 12 disruption 11 profound 12 disruption 12 disruption 13 to 13 to 16 sleep 14 the 16 sleep 15 daily 16 sleep 17 - 19 cycle 17 - 20 . 18 wake 19 cycle it has been estimated that as many as 50 % of older adults complain about difficulty initiating or maintaining sleep . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 4 estimated 0 ###LEFT-WALL### 21 . 1 it 2 has 2 has 3 been 3 been 4 estimated 4 estimated 5 that 5 that 10 % 5 that 14 complain 6 as 7 many 7 many 8 as 8 as 9 50 9 50 10 % 10 % 11 of 10 % 14 complain 11 of 13 adults 12 older 13 adults 14 complain 15 about 15 about 18 or 16 difficulty 17 initiating 16 difficulty 18 or 18 or 20 sleep 19 maintaining 20 sleep poor sleep results in increased risk of significant morbidity and mortality . 0 ###LEFT-WALL### 2 sleep 0 ###LEFT-WALL### 3 results 0 ###LEFT-WALL### 12 . 1 poor 2 sleep 2 sleep 3 results 3 results 4 in 4 in 6 risk 5 increased 6 risk 6 risk 7 of 7 of 10 and 8 significant 9 morbidity 9 morbidity 10 and 10 and 11 mortality moreover , in younger adults , [compromised] sleep has been shown to have a consistent effect [on] cognitive function , which may suggest that sleep problems contribute to the cognitive changes that accompany older age . 0 ###LEFT-WALL### 8 sleep 0 ###LEFT-WALL### 13 have 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 36 . 1 moreover 2 , 1 moreover 8 sleep 2 , 3 in 3 in 5 adults 3 in 6 , 3 in 8 sleep 4 younger 5 adults 8 sleep 9 has 9 has 10 been 10 been 11 shown 11 shown 12 to 12 to 13 have 13 have 19 function 14 a 15 consistent 14 a 19 function 15 consistent 16 effect 16 effect 19 function 18 cognitive 19 function 20 , 21 which 20 , 23 suggest 21 which 22 may 22 may 23 suggest 23 suggest 24 that 24 that 26 problems 24 that 27 contribute 25 sleep 26 problems 26 problems 27 contribute 27 contribute 28 to 28 to 31 changes 29 the 31 changes 30 cognitive 31 changes 31 changes 32 that 31 changes 33 accompany 32 that 33 accompany 33 accompany 35 age 34 older 35 age the multifactorial nature of variables affecting sleep in old age cannot be overstated . 0 ###LEFT-WALL### 3 nature 0 ###LEFT-WALL### 13 overstated 0 ###LEFT-WALL### 14 . 1 the 3 nature 2 multifactorial 3 nature 3 nature 4 of 3 nature 11 cannot 4 of 5 variables 5 variables 6 affecting 6 affecting 7 sleep 6 affecting 8 in 8 in 10 age 9 old 10 age 11 cannot 12 be 12 be 13 overstated given [that] changes in sleep quality and quantity in later life have implications for quality of life and level of functioning , it is imperative to distinguish the normal age - related sleep changes from those originating from pathological processes . 0 ###LEFT-WALL### 3 changes 0 ###LEFT-WALL### 12 have 0 ###LEFT-WALL### 32 related 1 given 3 changes 3 changes 4 in 3 changes 12 have 4 in 7 and 5 sleep 6 quality 6 quality 7 and 7 and 8 quantity 7 and 9 in 9 in 11 life 10 later 11 life 12 have 18 and 12 have 27 distinguish 13 implications 14 for 13 implications 18 and 14 for 15 quality 15 quality 16 of 16 of 17 life 18 and 19 level 18 and 22 , 18 and 23 it 18 and 26 to 19 level 20 of 20 of 21 functioning 23 it 24 is 24 is 25 imperative 25 imperative 26 to 27 distinguish 30 age 28 the 30 age 29 normal 30 age 31 - 32 related 32 related 34 changes 32 related 41 . 33 sleep 34 changes 34 changes 35 from 34 changes 37 originating 35 from 36 those 37 originating 38 from 38 from 40 processes 39 pathological 40 processes background : injury to renal tubules plays an important role in the development of various renal diseases ; however , [the] prevalence and significance of renal tubular damage in the general population are unclear . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 injury 2 : 7 plays 2 : 18 ; 2 : 35 . 3 injury 4 to 3 injury 7 plays 4 to 6 tubules 5 renal 6 tubules 7 plays 10 role 7 plays 11 in 8 an 9 important 8 an 10 role 9 important 10 role 11 in 13 development 12 the 13 development 13 development 14 of 14 of 17 diseases 15 various 17 diseases 16 renal 17 diseases 18 ; 23 and 18 ; 33 are 19 however 20 , 19 however 23 and 22 prevalence 23 and 23 and 24 significance 23 and 25 of 23 and 29 in 23 and 33 are 25 of 28 damage 26 renal 28 damage 27 tubular 28 damage 29 in 32 population 30 the 32 population 31 general 32 population 33 are 34 unclear to clarify this point , we conducted a community - based study , using urinary β ( 2 ) - microglobulin as a marker of tubular damage . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 clarify 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 28 . 1 to 2 clarify 2 clarify 4 point 3 this 4 point 5 , 6 we 5 , 7 conducted 6 we 7 conducted 7 conducted 9 community 7 conducted 14 using 8 a 9 community 9 community 12 study 10 - 12 study 11 based 12 study 12 study 13 , 14 using 21 microglobulin 14 using 22 as 15 urinary 21 microglobulin 16 β 18 2 16 β 20 - 16 β 21 microglobulin 17 ( 18 2 18 2 19 ) 22 as 24 marker 23 a 24 marker 24 marker 25 of 25 of 27 damage 26 tubular 27 damage methods : the subjects studied were 3,444 japanese over the age of 40 years . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 . 2 : 4 subjects 2 : 6 were 3 the 4 subjects 4 subjects 5 studied 4 subjects 6 were 6 were 7 3,444 7 3,444 8 japanese 8 japanese 9 over 9 over 11 age 10 the 11 age 11 age 12 of 12 of 14 years 13 40 14 years the urinary β ( 2 ) - microglobulin [-] creatinine ratio ( ubcr ) was assessed in morning spot urine samples . 0 ###LEFT-WALL### 11 ratio 0 ###LEFT-WALL### 16 assessed 0 ###LEFT-WALL### 22 . 1 the 11 ratio 2 urinary 8 microglobulin 3 β 5 2 3 β 7 - 3 β 8 microglobulin 4 ( 5 2 5 2 6 ) 8 microglobulin 11 ratio 10 creatinine 11 ratio 11 ratio 13 ubcr 11 ratio 15 was 12 ( 13 ubcr 13 ubcr 14 ) 15 was 16 assessed 16 assessed 17 in 17 in 21 samples 18 morning 21 samples 19 spot 21 samples 20 urine 21 samples results : in this population , the distribution of the ubcr among these subjects was skewed towards higher values and a high ubcr ( ≥300 [μg] / [g] ) was identified in 438 ( 12.7 % ) subjects . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 39 . 1 results 2 : 2 : 3 in 3 in 5 population 4 this 5 population 6 , 8 distribution 6 , 16 skewed 6 , 20 and 7 the 8 distribution 8 distribution 9 of 8 distribution 15 was 9 of 11 ubcr 10 the 11 ubcr 11 ubcr 12 among 12 among 14 subjects 13 these 14 subjects 15 was 16 skewed 16 skewed 17 towards 17 towards 19 values 18 higher 19 values 20 and 22 high 20 and 31 identified 21 a 22 high 22 high 23 ubcr 22 high 30 was 22 high 31 identified 23 ubcr 27 / 23 ubcr 30 was 24 ( 27 / 25 ≥300 27 / 27 / 29 ) 31 identified 32 in 31 identified 38 subjects 32 in 33 438 33 438 36 % 34 ( 36 % 35 12.7 36 % 36 % 37 ) however , overlap with macroalbuminuria and renal insufficiency [ estimated glomerular filtration [rate] ( egfr ) < 60 ml/min/1.73 [m] ( 2 [ )(] was observed in only 25 ( 5.7 % ) [and] 58 ( 13.2 % [ )(of these subjects , respectively . 0 ###LEFT-WALL### 3 overlap 0 ###LEFT-WALL### 45 . 1 however 2 , 1 however 3 overlap 3 overlap 4 with 3 overlap 35 58 3 overlap 44 respectively 4 with 8 insufficiency 4 with 18 60 5 macroalbuminuria 6 and 6 and 7 renal 6 and 8 insufficiency 8 insufficiency 12 filtration 9 [ 12 filtration 10 estimated 12 filtration 11 glomerular 12 filtration 12 filtration 15 egfr 12 filtration 16 ) 14 ( 15 egfr 15 egfr 16 ) 17 < 18 60 18 60 19 ml/min/1.73 18 60 25 was 18 60 26 observed 19 ml/min/1.73 22 2 19 ml/min/1.73 25 was 21 ( 22 2 22 2 24 )(] 26 observed 27 in 27 in 29 25 28 only 29 25 29 25 32 % 30 ( 32 % 31 5.7 32 % 32 % 33 ) 35 58 38 % 36 ( 38 % 37 13.2 38 % 38 % 40 )(of 38 % 43 , 40 )(of 42 subjects 41 these 42 subjects multivariate analysis indicated that a high ubcr was positively associated with aging , hypertension , macroalbuminuria and increased urinary sodium excretion . 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 22 . 1 multivariate 12 aging 1 multivariate 13 , 2 analysis 3 indicated 3 indicated 4 that 4 that 6 high 4 that 12 aging 5 a 6 high 6 high 7 ubcr 6 high 11 with 6 high 12 aging 7 ubcr 8 was 8 was 9 positively 8 was 10 associated 10 associated 11 with 13 , 14 hypertension 13 , 15 , 15 , 16 macroalbuminuria 15 , 17 and 17 and 21 excretion 18 increased 20 sodium 19 urinary 20 sodium 20 sodium 21 excretion [a] 5 - year longitudinal analysis in 899 subjects indicated a greater decline in egfr in parallel with the increase in baseline ubcr . 0 ###LEFT-WALL### 2 5 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 24 . 3 - 6 analysis 4 year 6 analysis 5 longitudinal 6 analysis 6 analysis 7 in 6 analysis 17 parallel 7 in 8 899 8 899 9 subjects 8 899 16 in 9 subjects 10 indicated 10 indicated 13 decline 10 indicated 14 in 10 indicated 16 in 11 a 13 decline 12 greater 13 decline 14 in 15 egfr 17 parallel 18 with 17 parallel 21 in 18 with 20 increase 19 the 20 increase 21 in 23 ubcr 22 baseline 23 ubcr after adjustment for possible confounders , a high ubcr was an independent risk factor [for] rapid decline in egfr [[] < - 10 ml/min/1.73 [m] ( 2 ) [;] odds ratio 1.79 ( 95 % confidence interval 1.07 - 2.99 ) , p = 0.026 ] . 0 ###LEFT-WALL### 17 decline 0 ###LEFT-WALL### 21 < 0 ###LEFT-WALL### 22 - 1 after 2 adjustment 1 after 6 , 1 after 17 decline 2 adjustment 3 for 3 for 5 confounders 4 possible 5 confounders 7 a 8 high 7 a 17 decline 8 high 9 ubcr 9 ubcr 10 was 10 was 12 independent 11 an 12 independent 13 risk 17 decline 14 factor 17 decline 16 rapid 17 decline 17 decline 18 in 17 decline 21 < 18 in 19 egfr 22 - 31 ratio 23 10 31 ratio 24 ml/min/1.73 27 2 24 ml/min/1.73 30 odds 26 ( 27 2 27 2 28 ) 30 odds 31 ratio 31 ratio 32 1.79 31 ratio 37 interval 33 ( 37 interval 34 95 35 % 35 % 36 confidence 36 confidence 37 interval 37 interval 38 1.07 37 interval 40 2.99 37 interval 44 = 37 interval 47 . 39 - 40 2.99 40 2.99 41 ) 42 , 44 = 43 p 44 = 44 = 45 0.026 44 = 46 ] conclusion : this study showed that renal tubular damage was common and was an independent risk factor for renal deterioration in the japanese population . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 12 and 2 : 25 . 3 this 4 study 4 study 12 and 5 showed 9 damage 5 showed 10 was 5 showed 12 and 6 that 7 renal 7 renal 9 damage 8 tubular 9 damage 9 damage 10 was 10 was 11 common 12 and 13 was 12 and 21 in 13 was 17 factor 14 an 17 factor 15 independent 17 factor 16 risk 17 factor 17 factor 18 for 18 for 20 deterioration 19 renal 20 deterioration 21 in 24 population 22 the 24 population 23 japanese 24 population more attention should be paid to occult renal tubular damage in order to [prevent] end - stage renal disease . 0 ###LEFT-WALL### 2 attention 0 ###LEFT-WALL### 5 paid 0 ###LEFT-WALL### 16 - 0 ###LEFT-WALL### 20 . 1 more 2 attention 2 attention 3 should 3 should 4 be 4 be 5 paid 5 paid 6 to 6 to 10 damage 7 occult 10 damage 8 renal 10 damage 9 tubular 10 damage 10 damage 11 in 11 in 12 order 12 order 13 to 12 order 15 end 13 to 15 end 16 - 17 stage 17 stage 19 disease 18 renal 19 disease motor neuron disease ( mnd ) may present as an isolated lower motor neuron ( lmn ) disorder . 0 ###LEFT-WALL### 3 disease 0 ###LEFT-WALL### 8 present 0 ###LEFT-WALL### 19 . 1 motor 3 disease 2 neuron 3 disease 3 disease 5 mnd 3 disease 7 may 4 ( 5 mnd 5 mnd 6 ) 7 may 8 present 8 present 9 as 8 present 18 disorder 9 as 14 neuron 10 an 11 isolated 10 an 14 neuron 11 isolated 13 motor 12 lower 13 motor 13 motor 14 neuron 14 neuron 16 lmn 15 ( 16 lmn 16 lmn 17 ) although the significance of pathological 43 kda transactive responsive sequence dna binding protein ( tdp - 43 ) for amyotrophic lateral sclerosis ( als ) was appreciated only recently , the topographical distribution of tdp - 43 pathology in mnd clinically isolated to the lmn versus normal controls ( cos ) is only incompletely described . 0 ###LEFT-WALL### 33 distribution 0 ###LEFT-WALL### 52 is 0 ###LEFT-WALL### 56 . 1 although 3 significance 1 although 27 appreciated 1 although 30 , 1 although 33 distribution 2 the 3 significance 3 significance 4 of 3 significance 26 was 4 of 11 dna 5 pathological 11 dna 6 43 7 kda 7 kda 11 dna 8 transactive 10 sequence 9 responsive 10 sequence 10 sequence 11 dna 11 dna 12 binding 12 binding 13 protein 12 binding 19 for 13 protein 15 tdp 13 protein 17 43 14 ( 15 tdp 15 tdp 16 - 16 - 17 43 17 43 18 ) 19 for 22 sclerosis 20 amyotrophic 22 sclerosis 21 lateral 22 sclerosis 22 sclerosis 24 als 23 ( 24 als 24 als 25 ) 26 was 27 appreciated 27 appreciated 28 only 28 only 29 recently 31 the 33 distribution 32 topographical 33 distribution 33 distribution 34 of 33 distribution 37 43 33 distribution 52 is 34 of 35 tdp 36 - 37 43 37 43 38 pathology 37 43 42 isolated 37 43 50 cos 37 43 51 ) 38 pathology 39 in 38 pathology 42 isolated 39 in 40 mnd 41 clinically 42 isolated 42 isolated 43 to 43 to 45 lmn 44 the 45 lmn 45 lmn 46 versus 46 versus 48 controls 47 normal 48 controls 49 ( 50 cos 50 cos 51 ) 52 is 53 only 52 is 55 described 54 incompletely 55 described therefore , we performed longitudinal clinical [evaluation] and retrospective chart review of autopsied patients diagnosed with isolated lmn disease . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 performed 0 ###LEFT-WALL### 20 . 1 therefore 2 , 1 therefore 3 we 3 we 4 performed 4 performed 11 review 5 longitudinal 10 chart 6 clinical 8 and 8 and 9 retrospective 8 and 10 chart 10 chart 11 review 11 review 12 of 11 review 16 with 12 of 14 patients 13 autopsied 14 patients 14 patients 15 diagnosed 16 with 19 disease 17 isolated 19 disease 18 lmn 19 disease cases with a disease duration over 4 years were designated as progressive muscular atrophy ( pma ) , and those with a more rapid course as mnd/lmn . 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 28 . 1 cases 2 with 1 cases 19 and 2 with 5 duration 3 a 5 duration 4 disease 5 duration 5 duration 8 years 5 duration 10 designated 5 duration 16 pma 6 over 7 4 7 4 8 years 8 years 9 were 9 were 10 designated 10 designated 11 as 11 as 14 atrophy 12 progressive 14 atrophy 13 muscular 14 atrophy 15 ( 16 pma 16 pma 17 ) 18 , 19 and 19 and 20 those 19 and 26 as 20 those 21 with 21 with 25 course 22 a 25 course 23 more 24 rapid 24 rapid 25 course 26 as 27 mnd/lmn immunohistochemistry was employed to identify neuronal and glial tdp - 43 pathology in the central nervous system ( cns ) in patients and cos . 0 ###LEFT-WALL### 1 immunohistochemistry 0 ###LEFT-WALL### 3 employed 0 ###LEFT-WALL### 25 . 1 immunohistochemistry 2 was 2 was 3 employed 3 employed 4 to 3 employed 5 identify 4 to 5 identify 5 identify 7 and 5 identify 9 tdp 5 identify 21 in 6 neuronal 7 and 7 and 8 glial 9 tdp 12 pathology 10 - 12 pathology 11 43 12 pathology 12 pathology 13 in 12 pathology 20 ) 13 in 17 system 14 the 17 system 15 central 17 system 16 nervous 17 system 17 system 19 cns 18 ( 19 cns 19 cns 20 ) 21 in 23 and 22 patients 23 and 23 and 24 cos we examined 19 subjects including six patients ( i.e [.] , four with mnd/lmn and [two] with pma ) and 13 cos . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 23 . 1 we 2 examined 2 examined 20 and 3 19 4 subjects 4 subjects 5 including 4 subjects 20 and 5 including 7 patients 6 six 7 patients 7 patients 9 i.e 7 patients 12 four 8 ( 9 i.e 9 i.e 11 , 11 , 12 four 12 four 15 and 12 four 19 ) 13 with 14 mnd/lmn 13 with 15 and 15 and 17 with 17 with 18 pma 20 and 22 cos 21 13 22 cos all patients showed significant tdp - 43 linked degeneration of lmns , and five cases showed a lesser degree of motor cortex degeneration . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 24 . 1 all 2 patients 2 patients 3 showed 3 showed 5 tdp 3 showed 13 and 3 showed 16 showed 4 significant 5 tdp 5 tdp 7 43 5 tdp 10 of 6 - 7 43 7 43 8 linked 8 linked 9 degeneration 9 degeneration 10 of 11 lmns 13 and 12 , 13 and 13 and 15 cases 13 and 16 showed 14 five 15 cases 16 showed 23 degeneration 17 a 19 degree 18 lesser 19 degree 19 degree 20 of 19 degree 23 degeneration 20 of 23 degeneration 21 motor 22 cortex 22 cortex 23 degeneration additional brain areas were affected in varying degrees , ranging from predominantly brainstem pathology to significant involvement of the whole cns including neocortical and limbic areas . 0 ###LEFT-WALL### 3 areas 0 ###LEFT-WALL### 5 affected 1 additional 2 brain 2 brain 3 areas 3 areas 4 were 4 were 5 affected 5 affected 6 in 6 in 7 varying 7 varying 8 degrees 8 degrees 10 ranging 9 , 10 ranging 10 ranging 11 from 10 ranging 15 to 10 ranging 26 areas 10 ranging 27 . 11 from 14 pathology 12 predominantly 13 brainstem 13 brainstem 14 pathology 15 to 17 involvement 16 significant 17 involvement 17 involvement 18 of 18 of 22 including 19 the 22 including 20 whole 22 including 21 cns 22 including 23 neocortical 24 and 24 and 25 limbic 24 and 26 areas pathological tdp - 43 was present only rarely in the co group . 0 ###LEFT-WALL### 2 tdp 0 ###LEFT-WALL### 3 - 1 pathological 2 tdp 3 - 4 43 3 - 5 was 3 - 13 . 4 43 5 was 5 was 6 present 6 present 7 only 6 present 8 rarely 6 present 9 in 9 in 12 group 10 the 12 group 11 co 12 group we conclude that mnd limited to the lmn and pma is part of a disease [continuum] that includes als and ftld - tdp , all of which are characterized by widespread tdp - 43 pathology . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 conclude 0 ###LEFT-WALL### 22 - 0 ###LEFT-WALL### 36 . 1 we 2 conclude 2 conclude 3 that 3 that 4 mnd 3 that 11 is 4 mnd 5 limited 4 mnd 11 is 5 limited 6 to 6 to 9 and 7 the 8 lmn 8 lmn 9 and 9 and 10 pma 11 is 20 and 12 part 13 of 12 part 20 and 13 of 15 disease 14 a 15 disease 15 disease 17 that 15 disease 18 includes 17 that 18 includes 18 includes 19 als 20 and 21 ftld 22 - 35 pathology 23 tdp 25 all 23 tdp 35 pathology 24 , 25 all 25 all 26 of 25 all 29 characterized 25 all 33 - 26 of 27 which 26 of 28 are 27 which 28 are 29 characterized 30 by 30 by 32 tdp 31 widespread 32 tdp 34 43 35 pathology hence , we suggest that the next revision of the el escorial criteria for the diagnosis of als include mnd patients with disease clinically limited to the lmn and pma as variants of als , which like classical als , are tdp - 43 proteinopathies . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 19 include 0 ###LEFT-WALL### 35 , 0 ###LEFT-WALL### 46 . 1 hence 2 , 1 hence 3 we 3 we 4 suggest 4 suggest 5 that 5 that 8 revision 5 that 19 include 6 the 7 next 6 the 8 revision 8 revision 9 of 8 revision 14 for 8 revision 17 of 9 of 13 criteria 10 the 13 criteria 11 el 13 criteria 12 escorial 13 criteria 14 for 16 diagnosis 15 the 16 diagnosis 17 of 18 als 19 include 20 mnd 20 mnd 21 patients 20 mnd 25 limited 21 patients 22 with 21 patients 25 limited 22 with 23 disease 24 clinically 25 limited 25 limited 26 to 26 to 30 pma 27 the 30 pma 28 lmn 29 and 29 and 30 pma 30 pma 31 as 30 pma 33 of 31 as 32 variants 33 of 34 als 35 , 36 which 35 , 37 like 35 , 40 , 36 which 37 like 37 like 39 als 38 classical 39 als 40 , 41 are 41 are 42 tdp 41 are 45 proteinopathies 43 - 44 43 44 43 45 proteinopathies objective : to determine the lung age of patients with morbid obesity and to compare it with the chronological age of these patients , emphasizing the premature damage that morbid obesity does to the lungs . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 13 and 2 : 24 , 2 : 36 . 3 to 13 and 4 determine 7 age 4 determine 10 with 4 determine 13 and 5 the 7 age 6 lung 7 age 7 age 8 of 8 of 9 patients 10 with 12 obesity 11 morbid 12 obesity 13 and 14 to 13 and 15 compare 13 and 17 with 14 to 15 compare 15 compare 16 it 17 with 20 age 18 the 20 age 19 chronological 20 age 20 age 21 of 21 of 23 patients 22 these 23 patients 24 , 25 emphasizing 24 , 32 does 25 emphasizing 31 obesity 25 emphasizing 32 does 26 the 31 obesity 27 premature 28 damage 28 damage 31 obesity 29 that 30 morbid 30 morbid 31 obesity 32 does 33 to 33 to 35 lungs 34 the 35 lungs methods : an open , prospective cross - sectional study comprising 112 individuals : 78 patients with morbid obesity ( study [group] ) ; [and] 34 [non] - obese individuals with normal pulmonary function results ( control [group] ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 40 . 1 methods 2 : 2 : 7 cross 3 an 7 cross 4 open 5 , 4 open 7 cross 6 prospective 7 cross 8 - 10 study 8 - 14 : 8 - 24 ; 8 - 28 - 9 sectional 10 study 10 study 11 comprising 10 study 14 : 11 comprising 13 individuals 12 112 13 individuals 14 : 16 patients 14 : 17 with 15 78 16 patients 17 with 19 obesity 18 morbid 19 obesity 19 obesity 21 study 20 ( 21 study 21 study 23 ) 24 ; 26 34 28 - 30 individuals 29 obese 30 individuals 30 individuals 31 with 31 with 35 results 32 normal 34 function 33 pulmonary 34 function 34 function 35 results 35 results 37 control 36 ( 37 control 37 control 39 ) all of the patients underwent spirometry for the determination of lung age . 0 ###LEFT-WALL### 1 all 0 ###LEFT-WALL### 5 underwent 0 ###LEFT-WALL### 13 . 1 all 2 of 1 all 5 underwent 2 of 4 patients 3 the 4 patients 5 underwent 6 spirometry 6 spirometry 7 for 7 for 9 determination 8 the 9 determination 9 determination 10 of 10 of 12 age 11 lung 12 age the lung age and the chronological age of the individuals in each group were compared in isolation and between the two groups . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 15 compared 0 ###LEFT-WALL### 23 . 1 the 3 age 2 lung 3 age 3 age 4 and 4 and 7 age 4 and 8 of 4 and 14 were 5 the 7 age 6 chronological 7 age 8 of 10 individuals 9 the 10 individuals 10 individuals 11 in 11 in 13 group 12 each 13 group 14 were 15 compared 15 compared 18 and 16 in 17 isolation 16 in 18 and 18 and 19 between 19 between 22 groups 20 the 21 two 21 two 22 groups results : the difference between lung age and chronological age in the group with morbid obesity was significant ( p < 0.0001 ; 95 % ci : 6.6 - 11.9 years ) , the mean difference being 9.1 ± 11.8 years . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 : 2 : 10 age 2 : 17 was 2 : 23 ; 3 the 4 difference 4 difference 5 between 4 difference 8 and 5 between 7 age 6 lung 7 age 8 and 9 chronological 8 and 10 age 10 age 11 in 10 age 17 was 11 in 13 group 12 the 13 group 13 group 14 with 14 with 16 obesity 15 morbid 16 obesity 17 was 18 significant 18 significant 21 < 19 ( 21 < 20 p 21 < 21 < 22 0.0001 21 < 23 ; 23 ; 26 ci 24 95 26 ci 25 % 26 ci 26 ci 27 : 27 : 28 6.6 28 6.6 31 years 28 6.6 36 difference 29 - 31 years 30 11.9 31 years 31 years 32 ) 33 , 36 difference 34 the 36 difference 35 mean 36 difference 36 difference 37 being 36 difference 42 . 37 being 41 years 38 9.1 41 years 39 ± 41 years 40 11.8 41 years the difference between the study group and the control group in terms of lung age was significant ( p < 0.0002 ; 95 % ci : 7.5 - 16.9 years ) , the mean difference being 12.2 ± 2.4 years . 0 ###LEFT-WALL### 2 difference 0 ###LEFT-WALL### 16 was 0 ###LEFT-WALL### 22 ; 1 the 2 difference 2 difference 3 between 2 difference 7 and 2 difference 10 group 2 difference 16 was 3 between 5 study 4 the 5 study 6 group 7 and 7 and 9 control 7 and 10 group 8 the 9 control 10 group 11 in 11 in 12 terms 12 terms 13 of 13 of 15 age 14 lung 15 age 16 was 17 significant 17 significant 20 < 18 ( 20 < 19 p 20 < 20 < 21 0.0002 22 ; 25 ci 22 ; 26 : 23 95 25 ci 24 % 25 ci 26 : 27 7.5 27 7.5 30 years 27 7.5 35 difference 28 - 30 years 29 16.9 30 years 30 years 31 ) 32 , 35 difference 33 the 35 difference 34 mean 35 difference 35 difference 36 being 35 difference 41 . 36 being 40 years 37 12.2 40 years 38 ± 40 years 39 2.4 40 years lung age correlated positively with chronological age and body mass index ( bmi ) , whereas it correlated negatively with the spirometric variables ( p < 0.0001 for all ) . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 3 correlated 0 ###LEFT-WALL### 31 . 1 lung 2 age 2 age 3 correlated 3 correlated 4 positively 3 correlated 5 with 3 correlated 16 whereas 5 with 8 and 6 chronological 7 age 7 age 8 and 8 and 11 index 8 and 13 bmi 9 body 11 index 10 mass 11 index 12 ( 13 bmi 13 bmi 14 ) 15 , 16 whereas 16 whereas 17 it 16 whereas 18 correlated 16 whereas 30 ) 17 it 18 correlated 18 correlated 19 negatively 18 correlated 20 with 18 correlated 28 for 20 with 23 variables 21 the 23 variables 22 spirometric 23 variables 23 variables 26 < 24 ( 26 < 25 p 26 < 26 < 27 0.0001 28 for 29 all multiple linear regression analysis identified bmi and chronological age ( p < 0.0001 ) as significant predictors of lung age . 0 ###LEFT-WALL### 4 analysis 0 ###LEFT-WALL### 5 identified 0 ###LEFT-WALL### 21 . 1 multiple 4 analysis 2 linear 3 regression 3 regression 4 analysis 4 analysis 5 identified 5 identified 7 and 5 identified 12 < 5 identified 15 as 6 bmi 7 and 7 and 9 age 8 chronological 9 age 10 ( 12 < 11 p 12 < 12 < 13 0.0001 12 < 14 ) 15 as 17 predictors 16 significant 17 predictors 17 predictors 18 of 18 of 20 age 19 lung 20 age conclusions : lung age is increased in patients with morbid obesity , suggesting premature damage and accelerated lung aging , as evidenced by the discrepancy between chronological age and lung age . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 age 2 : 22 evidenced 2 : 32 . 3 lung 4 age 4 age 5 is 5 is 6 increased 6 increased 7 in 6 increased 9 with 6 increased 13 suggesting 6 increased 21 as 7 in 8 patients 9 with 11 obesity 10 morbid 11 obesity 12 , 13 suggesting 13 suggesting 16 and 13 suggesting 20 , 14 premature 15 damage 15 damage 16 and 16 and 18 lung 16 and 19 aging 17 accelerated 18 lung 21 as 22 evidenced 22 evidenced 23 by 22 evidenced 31 age 23 by 29 and 24 the 25 discrepancy 25 discrepancy 26 between 25 discrepancy 29 and 26 between 28 age 27 chronological 28 age 29 and 30 lung the determination of lung age might become a new tool for understanding pulmonary function results , for patients as well as for health professionals , in relation to obesity control . 0 ###LEFT-WALL### 2 determination 0 ###LEFT-WALL### 7 become 0 ###LEFT-WALL### 31 . 1 the 2 determination 2 determination 3 of 2 determination 6 might 3 of 5 age 4 lung 5 age 6 might 7 become 7 become 10 tool 8 a 9 new 8 a 10 tool 9 new 10 tool 10 tool 11 for 11 for 12 understanding 12 understanding 15 results 12 understanding 28 to 13 pulmonary 14 function 14 function 15 results 15 results 17 for 16 , 17 for 17 for 18 patients 17 for 25 , 18 patients 19 as 19 as 20 well 20 well 21 as 21 as 22 for 22 for 24 professionals 23 health 24 professionals 26 in 27 relation 27 relation 28 to 28 to 30 control 29 obesity 30 control context : it has been demonstrated that the ageing process affects esophageal motility . 0 ###LEFT-WALL### 1 context 0 ###LEFT-WALL### 2 : 2 : 3 it 2 : 6 demonstrated 2 : 14 . 3 it 4 has 4 has 5 been 5 been 6 demonstrated 6 demonstrated 7 that 7 that 10 process 7 that 11 affects 8 the 10 process 9 ageing 10 process 10 process 11 affects 11 affects 13 motility 12 esophageal 13 motility objectives : to evaluate the effect of the age on the proximal esophageal response to wet swallows . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 16 wet 0 ###LEFT-WALL### 18 . 1 objectives 2 : 2 : 3 to 2 : 4 evaluate 3 to 4 evaluate 4 evaluate 6 effect 4 evaluate 10 on 4 evaluate 15 to 5 the 6 effect 6 effect 7 of 7 of 9 age 8 the 9 age 10 on 14 response 11 the 14 response 12 proximal 14 response 13 esophageal 14 response 15 to 16 wet 16 wet 17 swallows method : we measured the proximal esophageal response to swallows of a 5 ml bolus of water in 69 healthy volunteers , 20 of them aged 18 - 30 years ( group i ) , 27 aged 31 - 50 years ( group ii ) , and 22 aged 51 - 74 years ( group iii ) . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 58 . 2 : 3 we 2 : 4 measured 2 : 35 , 2 : 39 - 3 we 4 measured 4 measured 8 response 5 the 8 response 6 proximal 8 response 7 esophageal 8 response 8 response 9 to 8 response 11 of 8 response 23 20 9 to 10 swallows 11 of 15 bolus 12 a 15 bolus 13 5 14 ml 14 ml 15 bolus 15 bolus 16 of 16 of 17 water 17 water 18 in 18 in 21 volunteers 19 69 21 volunteers 20 healthy 21 volunteers 22 , 23 20 23 20 24 of 23 20 26 aged 23 20 30 years 23 20 35 , 24 of 25 them 26 aged 27 18 28 - 30 years 29 30 30 years 30 years 32 group 30 years 34 ) 31 ( 32 group 32 group 33 i 32 group 34 ) 35 , 36 27 35 , 37 aged 36 27 37 aged 37 aged 38 31 39 - 41 years 39 - 47 and 40 50 41 years 41 years 43 group 42 ( 43 group 43 group 44 ii 43 group 45 ) 46 , 47 and 47 and 48 22 47 and 49 aged 48 22 49 aged 49 aged 53 years 50 51 51 - 51 - 52 74 51 - 53 years 53 years 55 group 54 ( 55 group 55 group 56 iii 55 group 57 ) we used the manometric method with continuous perfusion . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 used 0 ###LEFT-WALL### 9 . 1 we 2 used 2 used 5 method 2 used 6 with 3 the 5 method 4 manometric 5 method 6 with 8 perfusion 7 continuous 8 perfusion the proximal esophageal contractions were recorded 5 cm from a pharyngeal recording site located 1 cm above the upper esophageal sphincter . 0 ###LEFT-WALL### 4 contractions 0 ###LEFT-WALL### 6 recorded 0 ###LEFT-WALL### 22 . 1 the 4 contractions 2 proximal 4 contractions 3 esophageal 4 contractions 4 contractions 5 were 5 were 6 recorded 6 recorded 9 from 7 5 8 cm 8 cm 9 from 9 from 13 site 10 a 11 pharyngeal 10 a 13 site 11 pharyngeal 12 recording 12 recording 13 site 13 site 14 located 14 located 17 above 15 1 16 cm 16 cm 17 above 17 above 21 sphincter 18 the 21 sphincter 19 upper 21 sphincter 20 esophageal 21 sphincter the time between the onset of the pharyngeal and [of] the proximal esophageal recording ( pharyngeal - esophageal time ) and the amplitude , duration and area under the curve of the proximal esophageal contraction were measured . 0 ###LEFT-WALL### 26 and 0 ###LEFT-WALL### 37 measured 0 ###LEFT-WALL### 38 . 1 the 2 time 2 time 3 between 2 time 9 and 3 between 5 onset 4 the 5 onset 5 onset 6 of 6 of 8 pharyngeal 7 the 8 pharyngeal 9 and 14 recording 9 and 19 time 9 and 21 and 11 the 14 recording 12 proximal 14 recording 13 esophageal 14 recording 15 ( 19 time 16 pharyngeal 17 - 16 pharyngeal 19 time 18 esophageal 19 time 19 time 20 ) 21 and 23 amplitude 21 and 24 , 22 the 23 amplitude 24 , 25 duration 24 , 26 and 26 and 27 area 26 and 31 of 26 and 36 were 27 area 28 under 28 under 30 curve 29 the 30 curve 31 of 35 contraction 32 the 35 contraction 33 proximal 35 contraction 34 esophageal 35 contraction 36 were 37 measured results : the pharyngeal - esophageal time was shorter in group [i] subjects than in group ii [and] iii subjects ( p<0.05 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 7 time 2 : 8 was 3 the 7 time 4 pharyngeal 5 - 4 pharyngeal 7 time 6 esophageal 7 time 7 time 8 was 8 was 9 shorter 9 shorter 10 in 9 shorter 14 than 10 in 13 subjects 11 group 13 subjects 14 than 15 in 15 in 16 group 16 group 17 ii 16 group 19 iii 16 group 20 subjects 16 group 22 p<0.05 19 iii 20 subjects 21 ( 22 p<0.05 22 p<0.05 23 ) the duration of proximal esophageal contractions was longer in group i than in groups ii [and] [iii] ( p<0.001 ) . 0 ###LEFT-WALL### 2 duration 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 21 . 1 the 2 duration 2 duration 3 of 2 duration 7 was 3 of 6 contractions 4 proximal 6 contractions 5 esophageal 6 contractions 7 was 8 longer 8 longer 9 in 8 longer 12 than 9 in 10 group 10 group 11 i 12 than 13 in 13 in 14 groups 14 groups 15 ii 14 groups 19 p<0.001 18 ( 19 p<0.001 19 p<0.001 20 ) there was no differences between groups in the amplitude or area under the curve of contractions . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 17 . 1 there 2 was 2 was 10 or 3 no 4 differences 4 differences 5 between 4 differences 10 or 5 between 6 groups 6 groups 7 in 7 in 9 amplitude 8 the 9 amplitude 10 or 11 area 10 or 12 under 12 under 14 curve 13 the 14 curve 14 curve 15 of 15 of 16 contractions there were no differences between groups ii and [iii] for any of the measurements . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 15 . 1 there 2 were 2 were 4 differences 3 no 4 differences 4 differences 8 and 5 between 6 groups 5 between 8 and 6 groups 7 ii 8 and 10 for 10 for 11 any 11 any 12 of 12 of 14 measurements 13 the 14 measurements conclusion : we conclude that the age [may] affects the response of the proximal esophagus to wet swallows . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 conclude 2 : 19 . 3 we 4 conclude 4 conclude 5 that 5 that 7 age 5 that 9 affects 6 the 7 age 7 age 9 affects 9 affects 11 response 9 affects 16 to 10 the 11 response 11 response 12 of 12 of 15 esophagus 13 the 15 esophagus 14 proximal 15 esophagus 16 to 17 wet 17 wet 18 swallows none [the] [incidence] of type 2 diabetes is increasing at an alarming rate throughout the world . 0 ###LEFT-WALL### 7 diabetes 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 17 . 1 none 4 of 1 none 7 diabetes 4 of 7 diabetes 5 type 7 diabetes 6 2 7 diabetes 7 diabetes 8 is 8 is 9 increasing 9 increasing 10 at 9 increasing 14 throughout 10 at 13 rate 11 an 12 alarming 11 an 13 rate 12 alarming 13 rate 14 throughout 16 world 15 the 16 world this is in [large] part due to the increase in obesity and the aging of the population . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 18 . 1 this 2 is 2 is 5 part 2 is 7 to 2 is 10 in 3 in 5 part 6 due 7 to 7 to 9 increase 8 the 9 increase 10 in 12 and 11 obesity 12 and 12 and 14 aging 13 the 14 aging 14 aging 15 of 15 of 17 population 16 the 17 population therefore , new medications to combat type 2 diabetes are needed . 0 ###LEFT-WALL### 4 medications 0 ###LEFT-WALL### 11 needed 0 ###LEFT-WALL### 12 . 1 therefore 2 , 1 therefore 4 medications 3 new 4 medications 4 medications 5 to 4 medications 10 are 5 to 9 diabetes 6 combat 9 diabetes 7 type 9 diabetes 8 2 9 diabetes 10 are 11 needed salicylates have been used as analgesics and antiinflammatory agents for several decades . 0 ###LEFT-WALL### 1 salicylates 0 ###LEFT-WALL### 4 used 0 ###LEFT-WALL### 13 . 1 salicylates 2 have 2 have 3 been 3 been 4 used 4 used 5 as 5 as 7 and 6 analgesics 7 and 7 and 9 agents 7 and 10 for 8 antiinflammatory 9 agents 10 for 12 decades 11 several 12 decades incidentally , in some studies it was noted that high - dose salicylate treatment reduced blood glucose concentrations . 0 ###LEFT-WALL### 6 it 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 19 . 1 incidentally 2 , 1 incidentally 6 it 3 in 5 studies 3 in 6 it 4 some 5 studies 6 it 7 was 7 was 18 concentrations 8 noted 12 dose 9 that 10 high 10 high 11 - 10 high 12 dose 12 dose 13 salicylate 13 salicylate 18 concentrations 14 treatment 15 reduced 15 reduced 16 blood 16 blood 18 concentrations 17 glucose 18 concentrations recently , inflammation has been strongly associated with insulin resistance and diabetes . 0 ###LEFT-WALL### 3 inflammation 0 ###LEFT-WALL### 7 associated 0 ###LEFT-WALL### 13 . 1 recently 2 , 1 recently 3 inflammation 3 inflammation 4 has 4 has 5 been 5 been 6 strongly 5 been 7 associated 7 associated 8 with 8 with 11 and 9 insulin 10 resistance 10 resistance 11 and 11 and 12 diabetes some studies show that salsalate , which is a nonacetylated form of salicylate , reduces blood glucose concentrations in patients with type 2 diabetes , as well as in insulin - resistant patients without diabetes . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 36 . 1 some 2 studies 2 studies 3 show 3 show 5 salsalate 3 show 33 patients 3 show 34 without 4 that 5 salsalate 5 salsalate 7 which 6 , 7 which 7 which 14 , 7 which 31 - 8 is 11 form 8 is 14 , 9 a 11 form 10 nonacetylated 11 form 11 form 12 of 12 of 13 salicylate 14 , 15 reduces 14 , 21 with 15 reduces 18 concentrations 15 reduces 19 in 16 blood 17 glucose 17 glucose 18 concentrations 19 in 20 patients 21 with 24 diabetes 22 type 24 diabetes 23 2 24 diabetes 24 diabetes 26 as 25 , 26 as 26 as 27 well 26 as 31 - 27 well 28 as 28 as 29 in 29 in 30 insulin 32 resistant 33 patients 34 without 35 diabetes postulated mechanisms include the inhibition of nuclear factor nf - kappa - b . 0 ###LEFT-WALL### 2 mechanisms 0 ###LEFT-WALL### 3 include 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 14 . 1 postulated 2 mechanisms 2 mechanisms 3 include 3 include 5 inhibition 4 the 5 inhibition 5 inhibition 6 of 6 of 9 nf 7 nuclear 8 factor 8 factor 9 nf 9 nf 11 kappa 10 - 11 kappa 11 kappa 12 - 12 - 13 b discussed in this review are the efficacy , safety and mechanisms of salsalate relevant to the treatment of type 2 diabetes . 0 ###LEFT-WALL### 1 discussed 0 ###LEFT-WALL### 5 are 0 ###LEFT-WALL### 22 . 1 discussed 2 in 1 discussed 5 are 2 in 4 review 3 this 4 review 5 are 10 and 6 the 7 efficacy 7 efficacy 8 , 8 , 9 safety 8 , 10 and 10 and 11 mechanisms 10 and 12 of 12 of 13 salsalate 13 salsalate 14 relevant 14 relevant 15 to 15 to 17 treatment 16 the 17 treatment 17 treatment 18 of 18 of 21 diabetes 19 type 21 diabetes 20 2 21 diabetes based on stable integration of recombinant dna into a host genome , transgenic technology has become an important genetic engineering methodology . 0 ###LEFT-WALL### 14 technology 0 ###LEFT-WALL### 16 become 0 ###LEFT-WALL### 22 . 1 based 2 on 1 based 8 into 1 based 12 , 1 based 14 technology 2 on 4 integration 3 stable 4 integration 4 integration 5 of 5 of 7 dna 6 recombinant 7 dna 8 into 11 genome 9 a 11 genome 10 host 11 genome 13 transgenic 14 technology 14 technology 15 has 15 has 16 become 16 become 21 methodology 17 an 18 important 17 an 21 methodology 18 important 20 engineering 19 genetic 20 engineering 20 engineering 21 methodology an organism whose genetic characteristics have been altered by the insertion of foreign dna is supposed to exhibit a new phenotype associated with the function of the transgene . 0 ###LEFT-WALL### 2 organism 0 ###LEFT-WALL### 16 supposed 0 ###LEFT-WALL### 29 . 1 an 2 organism 2 organism 3 whose 2 organism 12 of 2 organism 15 is 3 whose 5 characteristics 4 genetic 5 characteristics 5 characteristics 6 have 6 have 7 been 7 been 8 altered 8 altered 9 by 9 by 11 insertion 10 the 11 insertion 12 of 14 dna 13 foreign 14 dna 15 is 16 supposed 16 supposed 17 to 16 supposed 18 exhibit 17 to 18 exhibit 18 exhibit 21 phenotype 19 a 20 new 19 a 21 phenotype 20 new 21 phenotype 21 phenotype 22 associated 22 associated 23 with 23 with 25 function 24 the 25 function 25 function 26 of 26 of 28 transgene 27 the 28 transgene however , successful insertion may not be sufficient to achieve specific modification of [function] . 0 ###LEFT-WALL### 4 insertion 0 ###LEFT-WALL### 7 be 0 ###LEFT-WALL### 15 . 1 however 2 , 1 however 4 insertion 3 successful 4 insertion 4 insertion 5 may 5 may 6 not 5 may 7 be 7 be 8 sufficient 8 sufficient 9 to 8 sufficient 13 of 9 to 10 achieve 10 achieve 12 modification 11 specific 12 modification 12 modification 13 of in this study we describe a strain of transgenic [mouse] , g7 - 882 , generated by incorporation into the mouse genome of human cav 1.2 α ( 1c ) cdna deprived of 3 ['] - utr to exclude transcription . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 describe 0 ###LEFT-WALL### 41 . 1 in 3 study 1 in 4 we 2 this 3 study 4 we 5 describe 5 describe 7 strain 5 describe 17 by 5 describe 19 into 6 a 7 strain 7 strain 8 of 7 strain 16 generated 8 of 12 g7 9 transgenic 11 , 9 transgenic 12 g7 12 g7 14 882 13 - 14 882 14 882 15 , 17 by 18 incorporation 19 into 22 genome 20 the 22 genome 21 mouse 22 genome 22 genome 23 of 23 of 31 cdna 24 human 31 cdna 25 cav 26 1.2 25 cav 31 cdna 27 α 29 1c 27 α 31 cdna 28 ( 29 1c 29 1c 30 ) 31 cdna 32 deprived 31 cdna 33 of 31 cdna 38 to 31 cdna 39 exclude 33 of 37 utr 34 3 37 utr 36 - 37 utr 38 to 39 exclude 39 exclude 40 transcription we found that , in response to chronic infusion of isoproterenol , g7 - 882 develops dilated cardiomyopathy , a misleading " transgenic artifact " compatible with the expected function of the incorporated " correct " transgene . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 1 we 2 found 2 found 3 that 3 that 15 882 3 that 16 develops 4 , 7 to 5 in 6 response 6 response 7 to 7 to 9 infusion 7 to 14 - 7 to 15 882 8 chronic 9 infusion 9 infusion 10 of 10 of 11 isoproterenol 11 isoproterenol 13 g7 12 , 13 g7 13 g7 14 - 15 882 16 develops 16 develops 18 cardiomyopathy 17 dilated 18 cardiomyopathy 18 cardiomyopathy 24 artifact 19 , 24 artifact 20 a 24 artifact 21 misleading 22 " 21 misleading 24 artifact 23 transgenic 24 artifact 24 artifact 25 " 24 artifact 26 compatible 24 artifact 38 . 26 compatible 27 with 27 with 30 function 28 the 30 function 29 expected 30 function 30 function 31 of 31 of 37 transgene 32 the 37 transgene 33 incorporated 34 " 33 incorporated 37 transgene 35 correct 36 " 35 correct 37 transgene this result illustrates the possibility that even when a functional transgene is expressed , an observed change [in] phenotype may be due to the artifact of " incidental incorporation " leading to misleading conclusions . 0 ###LEFT-WALL### 2 result 0 ###LEFT-WALL### 3 illustrates 0 ###LEFT-WALL### 35 . 1 this 2 result 2 result 3 illustrates 3 illustrates 5 possibility 4 the 5 possibility 5 possibility 6 that 5 possibility 21 be 6 that 19 phenotype 6 that 21 be 7 even 8 when 7 even 19 phenotype 8 when 11 transgene 8 when 13 expressed 9 a 10 functional 9 a 11 transgene 10 functional 11 transgene 11 transgene 12 is 12 is 13 expressed 13 expressed 14 , 15 an 19 phenotype 16 observed 17 change 17 change 19 phenotype 19 phenotype 20 may 20 may 21 be 21 be 23 to 21 be 32 to 22 due 23 to 23 to 25 artifact 24 the 25 artifact 25 artifact 26 of 26 of 27 " 26 of 29 incorporation 28 incidental 29 incorporation 29 incorporation 30 " 29 incorporation 31 leading 32 to 34 conclusions 33 misleading 34 conclusions to exclude this possibility and thus provide a robust tool [for] exploring biological function , the new transgenic phenotype must be replicated in several independently generated transgenic strains . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 29 . 1 to 5 and 2 exclude 4 possibility 2 exclude 5 and 3 this 4 possibility 5 and 7 provide 6 thus 7 provide 7 provide 14 function 8 a 9 robust 8 a 14 function 9 robust 10 tool 10 tool 12 exploring 12 exploring 14 function 13 biological 14 function 15 , 19 phenotype 15 , 22 replicated 16 the 19 phenotype 17 new 19 phenotype 18 transgenic 19 phenotype 19 phenotype 20 must 20 must 21 be 21 be 22 replicated 22 replicated 23 in 23 in 28 strains 24 several 28 strains 25 independently 26 generated 26 generated 28 strains 27 transgenic 28 strains myocardial capillary density and angiogenesis are impaired during aging but whether growth factor therapy is able to induce functional neovascularization in senescent heart [have] never [been] studied . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 7 impaired 0 ###LEFT-WALL### 10 but 0 ###LEFT-WALL### 28 . 1 myocardial 2 capillary 2 capillary 3 density 3 density 4 and 4 and 5 angiogenesis 4 and 6 are 6 are 7 impaired 7 impaired 8 during 8 during 9 aging 10 but 23 heart 10 but 27 studied 11 whether 14 therapy 11 whether 15 is 11 whether 23 heart 12 growth 14 therapy 13 factor 14 therapy 14 therapy 15 is 15 is 16 able 16 able 17 to 16 able 18 induce 17 to 18 induce 18 induce 20 neovascularization 19 functional 20 neovascularization 20 neovascularization 21 in 21 in 22 senescent 23 heart 27 studied 25 never 27 studied in 3 , 24 , 28 and 32 mo male wistar rats , cardiac hemodynamic measurements indicated heart failure at 28 and 32 mo , associated with left [ventricular] hypertrophy . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 30 hypertrophy 0 ###LEFT-WALL### 31 . 1 in 2 3 1 in 5 , 1 in 7 and 2 3 4 24 3 , 4 24 4 24 5 , 6 28 7 and 7 and 8 32 7 and 30 hypertrophy 8 32 9 mo 9 mo 11 wistar 10 male 11 wistar 11 wistar 16 measurements 11 wistar 27 with 11 wistar 28 left 12 rats 13 , 12 rats 16 measurements 14 cardiac 16 measurements 15 hemodynamic 16 measurements 16 measurements 17 indicated 16 measurements 25 , 18 heart 19 failure 18 heart 20 at 18 heart 25 , 20 at 24 mo 21 28 22 and 22 and 23 32 22 and 24 mo 25 , 26 associated 25 , 27 with vegf/vegf - r2 , ang - 1 / [a] ng - 2/tie - 2 and ptn levels , quantitated in left ventricle by western blotting and immunohistochemistry , showed that vegf and vegf - r2 levels were specifically decreased during aging . 0 ###LEFT-WALL### 1 vegf/vegf 0 ###LEFT-WALL### 2 - 2 - 3 r2 2 - 11 - 3 r2 5 ang 3 r2 10 ng 4 , 5 ang 5 ang 6 - 6 - 10 ng 7 1 10 ng 8 / 10 ng 10 ng 11 - 11 - 12 2/tie 11 - 15 and 11 - 17 levels 11 - 18 , 12 2/tie 14 2 13 - 14 2 15 and 16 ptn 16 ptn 17 levels 18 , 28 , 19 quantitated 20 in 19 quantitated 26 and 19 quantitated 28 , 20 in 21 left 22 ventricle 23 by 22 ventricle 26 and 23 by 25 blotting 24 western 25 blotting 26 and 27 immunohistochemistry 28 , 29 showed 29 showed 30 that 29 showed 31 vegf 29 showed 32 and 32 and 33 vegf 33 vegf 35 r2 34 - 35 r2 35 r2 36 levels 35 r2 40 during 35 r2 41 aging 35 r2 42 . 36 levels 37 were 37 were 39 decreased 38 specifically 39 decreased 39 decreased 40 during in vitro angiogenesis ± rhvegf - 165 ( 5 and 50 ng/ml ) was measured in aortic segments in 3 d - collagen . 0 ###LEFT-WALL### 5 rhvegf 0 ###LEFT-WALL### 15 measured 0 ###LEFT-WALL### 24 . 1 in 2 vitro 2 vitro 5 rhvegf 3 angiogenesis 5 rhvegf 4 ± 5 rhvegf 5 rhvegf 7 165 5 rhvegf 14 was 6 - 7 165 7 165 12 ng/ml 7 165 13 ) 8 ( 12 ng/ml 9 5 10 and 10 and 11 50 10 and 12 ng/ml 12 ng/ml 13 ) 14 was 15 measured 15 measured 16 in 15 measured 19 in 15 measured 22 - 15 measured 23 collagen 16 in 18 segments 17 aortic 18 segments 19 in 21 d 20 3 21 d aortic sprouting was decreased during aging but restored by vegf treatment ( p<0.001 ) , similarly in 3 and 24 mo with 50 ng/mlvegf . 0 ###LEFT-WALL### 1 aortic 0 ###LEFT-WALL### 7 but 1 aortic 2 sprouting 1 aortic 7 but 3 was 4 decreased 3 was 7 but 4 decreased 5 during 5 during 6 aging 7 but 8 restored 8 restored 9 by 8 restored 11 treatment 8 restored 16 similarly 9 by 10 vegf 11 treatment 13 p<0.001 12 ( 13 p<0.001 13 p<0.001 14 ) 15 , 16 similarly 16 similarly 17 in 16 similarly 25 . 17 in 21 mo 18 3 19 and 19 and 20 24 19 and 21 mo 21 mo 22 with 22 with 24 ng/mlvegf 23 50 24 ng/mlvegf finally , 3 and 24 mo rats were submitted to in vivo intramyocardial rhvegf - 165 ( 10 micrograms ) [or] saline solution injection and angiogenesis [was] measured by spect imaging of the alpha ( [v] )beta ( 3 ) integrin - targeted tracer ( 99 m [ c] - raft - rgd , capillary fluorescence staining in isolated perfused heart and vwf and alpha smooth muscle actin immunohistochemistry , 7 and 21 days later . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 9 submitted 1 finally 2 , 1 finally 4 and 3 3 4 and 4 and 5 24 4 and 8 were 5 24 6 mo 6 mo 7 rats 8 were 9 submitted 9 submitted 10 to 10 to 22 saline 11 in 12 vivo 12 vivo 13 intramyocardial 13 intramyocardial 22 saline 14 rhvegf 16 165 14 rhvegf 20 ) 14 rhvegf 22 saline 15 - 16 165 16 165 19 micrograms 16 165 20 ) 17 ( 19 micrograms 18 10 19 micrograms 19 micrograms 20 ) 22 saline 25 and 22 saline 28 measured 22 saline 29 by 23 solution 24 injection 24 injection 25 and 25 and 26 angiogenesis 25 and 28 measured 29 by 31 imaging 30 spect 31 imaging 31 imaging 32 of 32 of 34 alpha 33 the 34 alpha 34 alpha 42 - 35 ( 42 - 37 )beta 39 3 37 )beta 40 ) 37 )beta 41 integrin 38 ( 39 3 39 3 40 ) 41 integrin 42 - 42 - 44 tracer 43 targeted 44 tracer 44 tracer 47 m 44 tracer 51 raft 45 ( 47 m 46 99 47 m 47 m 49 c] 49 c] 51 raft 50 - 51 raft 51 raft 63 vwf 52 - 53 rgd 53 rgd 55 capillary 53 rgd 63 vwf 54 , 55 capillary 55 capillary 56 fluorescence 56 fluorescence 57 staining 57 staining 61 heart 58 in 60 perfused 59 isolated 60 perfused 60 perfused 61 heart 61 heart 62 and 63 vwf 68 actin 63 vwf 69 immunohistochemistry 63 vwf 74 days 64 and 68 actin 65 alpha 66 smooth 66 smooth 68 actin 67 muscle 68 actin 69 immunohistochemistry 74 days 70 , 71 7 71 7 72 and 71 7 73 21 73 21 74 days 74 days 75 later vegf administration increased capillary density in 3 but also in 24 mo rats at days 7 ( +26 [%] , p<0.01 ) and 21 [(] +41 % , p<0.01 ) and arteriolar density at day 21 ( +36 [%] , p<0.01 ) . 0 ###LEFT-WALL### 2 administration 0 ###LEFT-WALL### 3 increased 0 ###LEFT-WALL### 43 . 1 vegf 2 administration 2 administration 3 increased 3 increased 31 and 3 increased 34 at 4 capillary 5 density 5 density 8 but 5 density 31 and 6 in 7 3 6 in 8 but 8 but 9 also 8 but 10 in 10 in 13 rats 11 24 12 mo 12 mo 13 rats 13 rats 14 at 13 rats 29 p<0.01 14 at 27 % 15 days 16 7 15 days 18 +26 15 days 23 and 17 ( 18 +26 18 +26 21 p<0.01 18 +26 22 ) 20 , 21 p<0.01 21 p<0.01 22 ) 23 and 26 +41 23 and 27 % 24 21 26 +41 28 , 29 p<0.01 29 p<0.01 30 ) 31 and 33 density 32 arteriolar 33 density 34 at 35 day 35 day 36 21 35 day 38 +36 37 ( 38 +36 38 +36 41 p<0.01 38 +36 42 ) 40 , 41 p<0.01 41 p<0.01 42 ) activity of [(] 99 m )tc - raft - rgd and capillary fluorescence labeling indicated that new formed capillaries were functional . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 20 were 0 ###LEFT-WALL### 22 . 1 activity 11 and 2 of 5 m 2 of 11 and 4 99 5 m 6 )tc 11 and 7 - 8 raft 8 raft 9 - 8 raft 11 and 10 rgd 11 and 11 and 13 fluorescence 11 and 14 labeling 11 and 20 were 12 capillary 13 fluorescence 14 labeling 19 capillaries 15 indicated 19 capillaries 16 that 17 new 17 new 19 capillaries 18 formed 19 capillaries 20 were 21 functional cardiac aging was associated with strong vegf/vegf - r2 pathway downregulation . 0 ###LEFT-WALL### 1 cardiac 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 8 - 1 cardiac 2 aging 1 cardiac 3 was 3 was 4 associated 4 associated 5 with 5 with 7 vegf/vegf 6 strong 7 vegf/vegf 8 - 11 downregulation 8 - 12 . 9 r2 11 downregulation 10 pathway 11 downregulation vegf - 165 protein therapy was able to induce in vitro and in vivo angiogenesis during aging . 0 ###LEFT-WALL### 5 therapy 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 18 . 1 vegf 2 - 1 vegf 5 therapy 3 165 5 therapy 4 protein 5 therapy 5 therapy 6 was 6 was 7 able 7 able 8 to 7 able 9 induce 8 to 9 induce 9 induce 12 and 9 induce 15 angiogenesis 9 induce 16 during 10 in 11 vitro 11 vitro 12 and 12 and 14 vivo 13 in 14 vivo 16 during 17 aging in 24 mo hearts , in vivo [angiogenesis] was functional , [sustained] and comparable to neovascularization observed in 3 mo hearts . 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 22 . 1 in 3 mo 1 in 5 , 2 24 3 mo 4 hearts 5 , 5 , 9 was 6 in 7 vivo 7 vivo 9 was 9 was 21 hearts 10 functional 13 and 11 , 13 and 13 and 14 comparable 13 and 21 hearts 14 comparable 15 to 15 to 16 neovascularization 16 neovascularization 17 observed 17 observed 18 in 18 in 20 mo 19 3 20 mo following a critical overview of the active ageing concept [,] [a] thematic decomposition of 42 transcribed interviews with british people aged 72 years and [over] indicates that active ageing is understood in relation to physical , cognitive , psychological and social factors , but that these co - [exist] in complex combinations . 1 following 9 concept 2 a 3 critical 2 a 9 concept 3 critical 4 overview 4 overview 5 of 5 of 7 active 6 the 7 active 8 ageing 9 concept 9 concept 13 decomposition 9 concept 16 transcribed 9 concept 17 interviews 12 thematic 13 decomposition 13 decomposition 14 of 13 decomposition 16 transcribed 14 of 15 42 17 interviews 18 with 17 interviews 20 people 18 with 19 british 20 people 24 and 21 aged 23 years 21 aged 24 and 22 72 23 years 24 and 26 indicates 24 and 32 in 24 and 34 to 26 indicates 27 that 27 that 29 ageing 27 that 30 is 28 active 29 ageing 29 ageing 30 is 30 is 31 understood 32 in 33 relation 34 to 40 and 35 physical 36 , 36 , 37 cognitive 36 , 38 , 38 , 39 psychological 38 , 40 and 40 and 42 factors 40 and 43 , 40 and 44 but 40 and 46 these 40 and 47 co 40 and 50 in 41 social 42 factors 44 but 45 that 46 these 47 co 48 - 50 in 50 in 52 combinations 50 in 53 . 51 complex 52 combinations the notion of activity in active ageing is grasped in relation to an active/passive distinction which emphasizes the enhancement or diminishment of concrete powers of activity . 0 ###LEFT-WALL### 2 notion 0 ###LEFT-WALL### 9 grasped 0 ###LEFT-WALL### 27 . 1 the 2 notion 2 notion 3 of 2 notion 5 in 2 notion 8 is 3 of 4 activity 5 in 7 ageing 6 active 7 ageing 8 is 9 grasped 9 grasped 12 to 10 in 11 relation 11 relation 12 to 12 to 15 distinction 13 an 14 active/passive 13 an 15 distinction 14 active/passive 15 distinction 15 distinction 16 which 15 distinction 17 emphasizes 15 distinction 22 of 16 which 17 emphasizes 17 emphasizes 20 or 18 the 19 enhancement 19 enhancement 20 or 20 or 21 diminishment 22 of 24 powers 23 concrete 24 powers 24 powers 25 of 25 of 26 activity a ['] challenge and response ['] framework [is] suggested for future research on active ageing . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 16 . 1 a 3 challenge 3 challenge 4 and 4 and 7 framework 4 and 9 suggested 5 response 7 framework 9 suggested 10 for 9 suggested 13 on 10 for 12 research 11 future 12 research 13 on 15 ageing 14 active 15 ageing magnetic resonance imaging ( mri ) studies of structural brain development [have] suggested that the limbic system is relatively preserved in comparison to other brain regions with healthy aging . 0 ###LEFT-WALL### 1 magnetic 0 ###LEFT-WALL### 20 preserved 0 ###LEFT-WALL### 30 . 1 magnetic 3 imaging 1 magnetic 7 studies 1 magnetic 8 of 1 magnetic 20 preserved 2 resonance 3 imaging 3 imaging 5 mri 3 imaging 7 studies 4 ( 5 mri 5 mri 6 ) 8 of 11 development 9 structural 10 brain 10 brain 11 development 11 development 13 suggested 11 development 14 that 11 development 18 is 14 that 17 system 14 that 18 is 15 the 17 system 16 limbic 17 system 17 system 18 is 18 is 19 relatively 20 preserved 21 in 20 preserved 23 to 20 preserved 26 regions 20 preserved 27 with 21 in 22 comparison 23 to 25 brain 24 other 25 brain 27 with 29 aging 28 healthy 29 aging the goal of this study was to systematically investigate age - related changes of the limbic system using measures of cortical thickness , volumetric and diffusion characteristics . 0 ###LEFT-WALL### 2 goal 0 ###LEFT-WALL### 12 related 0 ###LEFT-WALL### 28 . 1 the 2 goal 2 goal 3 of 2 goal 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 9 investigate 7 to 9 investigate 8 systematically 9 investigate 9 investigate 10 age 11 - 12 related 12 related 13 changes 12 related 18 using 13 changes 14 of 14 of 17 system 15 the 17 system 16 limbic 17 system 18 using 19 measures 19 measures 20 of 20 of 25 and 21 cortical 22 thickness 22 thickness 23 , 23 , 24 volumetric 23 , 25 and 25 and 27 characteristics 26 diffusion 27 characteristics we also investigated if the " relative preservation " concept is consistent across the individual sub - regions of the limbic system . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 investigated 0 ###LEFT-WALL### 17 - 0 ###LEFT-WALL### 23 . 1 we 3 investigated 2 also 3 investigated 3 investigated 4 if 4 if 10 concept 4 if 11 is 5 the 6 " 5 the 10 concept 7 relative 8 preservation 8 preservation 9 " 8 preservation 10 concept 10 concept 11 is 11 is 12 consistent 12 consistent 13 across 13 across 16 sub 14 the 16 sub 15 individual 16 sub 17 - 18 regions 18 regions 19 of 19 of 22 system 20 the 22 system 21 limbic 22 system t1 weighted structural mri and diffusion tensor imaging data from 476 healthy participants from the brain resource international database was used for this study . 0 ###LEFT-WALL### 1 t1 0 ###LEFT-WALL### 2 weighted 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 25 . 1 t1 2 weighted 2 weighted 4 mri 3 structural 4 mri 5 and 9 data 5 and 21 used 6 diffusion 7 tensor 7 tensor 8 imaging 8 imaging 9 data 9 data 10 from 9 data 20 was 10 from 13 participants 11 476 13 participants 12 healthy 13 participants 13 participants 14 from 14 from 19 database 15 the 19 database 16 brain 17 resource 17 resource 18 international 18 international 19 database 20 was 21 used 21 used 22 for 22 for 24 study 23 this 24 study age - related changes in grey matter ( gm )/white matter ( wm ) volume , cortical thickness , diffusional characteristics for the pericortical wm and for the fiber tracts associated with the limbic regions were quantified . 0 ###LEFT-WALL### 15 volume 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 38 . 1 age 4 changes 1 age 15 volume 2 - 4 changes 3 related 4 changes 4 changes 5 in 4 changes 14 ) 5 in 7 matter 6 grey 7 matter 7 matter 11 matter 8 ( 11 matter 9 gm 11 matter 10 )/white 11 matter 11 matter 13 wm 11 matter 14 ) 12 ( 13 wm 13 wm 14 ) 16 , 18 thickness 16 , 19 , 17 cortical 18 thickness 19 , 21 characteristics 19 , 36 were 20 diffusional 21 characteristics 21 characteristics 26 and 21 characteristics 31 associated 21 characteristics 36 were 22 for 25 wm 22 for 26 and 23 the 25 wm 24 pericortical 25 wm 26 and 27 for 27 for 30 tracts 28 the 30 tracts 29 fiber 30 tracts 31 associated 32 with 32 with 35 regions 33 the 35 regions 34 limbic 35 regions 36 were 37 quantified a regional variability in the aging patterns across the limbic system was present . 0 ###LEFT-WALL### 3 variability 0 ###LEFT-WALL### 12 was 0 ###LEFT-WALL### 14 . 1 a 2 regional 1 a 3 variability 2 regional 3 variability 3 variability 4 in 3 variability 12 was 4 in 7 patterns 5 the 7 patterns 6 aging 7 patterns 7 patterns 8 across 8 across 11 system 9 the 11 system 10 limbic 11 system 12 was 13 present four important patterns [of] age - related changes were highlighted for the limbic sub - regions : 1 ..y early maturation of gm with late loss in the hippocampus and amygdala [;] 2 [.] [an] extreme pattern of gm preservation in the entorhinal cortex [;] 3 [.] [a] flat pattern of reduced gm loss in the anterior cingulate and the parahippocampus and [;] 4 [.] accelerated gm loss in the isthmus and posterior cingulate . 0 ###LEFT-WALL### 5 age 0 ###LEFT-WALL### 6 - 1 four 5 age 2 important 3 patterns 3 patterns 5 age 6 - 8 changes 6 - 15 - 7 related 8 changes 8 changes 9 were 9 were 10 highlighted 10 highlighted 11 for 11 for 14 sub 12 the 14 sub 13 limbic 14 sub 15 - 16 regions 15 - 17 : 15 - 19 ..y 17 : 18 1 18 1 19 ..y 19 ..y 30 and 20 early 21 maturation 21 maturation 22 of 21 maturation 24 with 21 maturation 30 and 22 of 23 gm 24 with 26 loss 25 late 26 loss 26 loss 27 in 27 in 29 hippocampus 28 the 29 hippocampus 30 and 37 pattern 30 and 38 of 30 and 41 in 31 amygdala 36 extreme 33 2 36 extreme 36 extreme 37 pattern 38 of 40 preservation 39 gm 40 preservation 41 in 50 pattern 42 the 50 pattern 43 entorhinal 44 cortex 44 cortex 50 pattern 46 3 49 flat 49 flat 50 pattern 50 pattern 51 of 51 of 59 and 52 reduced 54 loss 53 gm 54 loss 54 loss 55 in 54 loss 59 and 55 in 58 cingulate 56 the 58 cingulate 57 anterior 58 cingulate 59 and 68 loss 60 the 68 loss 61 parahippocampus 62 and 62 and 67 gm 62 and 68 loss 64 4 67 gm 66 accelerated 67 gm 68 loss 69 in 69 in 72 and 70 the 71 isthmus 71 isthmus 72 and 72 and 74 cingulate 72 and 75 . 73 posterior 74 cingulate the gm volumetric data and cortical thickness measures proved to be internally consistent , while the diffusional measures provided complementary data that seem consistent with the gm trends identified . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 9 proved 1 the 4 data 2 gm 4 data 3 volumetric 4 data 4 data 5 and 5 and 8 measures 5 and 9 proved 6 cortical 7 thickness 7 thickness 8 measures 9 proved 10 to 9 proved 11 be 10 to 11 be 11 be 12 internally 11 be 13 consistent 13 consistent 15 while 14 , 15 while 15 while 18 measures 15 while 29 identified 15 while 30 . 16 the 18 measures 17 diffusional 18 measures 18 measures 19 provided 19 provided 21 data 19 provided 25 with 20 complementary 21 data 21 data 22 that 21 data 23 seem 22 that 23 seem 23 seem 24 consistent 25 with 28 trends 25 with 29 identified 26 the 28 trends 27 gm 28 trends this heterogeneity can be hypothesized to be associated with age - related changes of cognitive [function] [specialized] for that region and direct connections to the other brain regions sub - serving these functions . 0 ###LEFT-WALL### 3 can 0 ###LEFT-WALL### 5 hypothesized 0 ###LEFT-WALL### 12 related 1 this 3 can 2 heterogeneity 3 can 3 can 4 be 4 be 5 hypothesized 5 hypothesized 6 to 6 to 7 be 7 be 8 associated 8 associated 9 with 9 with 10 age 11 - 12 related 12 related 13 changes 12 related 31 serving 12 related 34 . 13 changes 14 of 14 of 23 connections 15 cognitive 18 for 15 cognitive 21 and 18 for 20 region 19 that 20 region 21 and 22 direct 21 and 23 connections 23 connections 24 to 24 to 29 sub 25 the 26 other 26 other 29 sub 27 brain 29 sub 28 regions 29 sub 30 - 31 serving 31 serving 33 functions 31 serving 34 . 32 these 33 functions [none] background : cognitive impairment is an age - related condition as the rate of cognitive decline [rapidly] increases with aging . 0 ###LEFT-WALL### 2 background 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 22 . 3 : 5 impairment 3 : 6 is 3 : 10 related 4 cognitive 5 impairment 5 impairment 6 is 6 is 8 age 7 an 8 age 9 - 10 related 10 related 11 condition 10 related 12 as 10 related 20 with 12 as 14 rate 13 the 14 rate 14 rate 15 of 15 of 19 increases 16 cognitive 17 decline 17 decline 19 increases 20 with 21 aging it is especially important to better understand factors involving in cognitive decline [for] [the] countries where the older population is growing rapidly . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 9 involving 0 ###LEFT-WALL### 23 . 1 it 2 is 2 is 4 important 3 especially 4 important 4 important 5 to 4 important 9 involving 5 to 7 understand 6 better 7 understand 7 understand 8 factors 8 factors 9 involving 9 involving 10 in 9 involving 16 where 9 involving 22 rapidly 10 in 15 countries 11 cognitive 12 decline 12 decline 15 countries 16 where 19 population 16 where 20 is 17 the 19 population 18 older 19 population 19 population 20 is 20 is 21 growing the aim of this study was to examine the association between socio - demographic and health - related factors and cognitive impairment in the elderly in taiwan . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 18 related 1 the 2 aim 2 aim 3 of 2 aim 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 8 examine 7 to 8 examine 8 examine 10 association 9 the 10 association 10 association 11 between 10 association 15 and 11 between 12 socio 13 - 15 and 14 demographic 15 and 15 and 16 health 15 and 17 - 17 - 18 related 18 related 20 and 18 related 23 in 18 related 26 in 18 related 28 . 19 factors 20 and 20 and 22 impairment 21 cognitive 22 impairment 23 in 25 elderly 24 the 25 elderly 26 in 27 taiwan methods : we analysed data from 2119 persons aged 65 years and over who participated in the 2005 national health interview survey . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 analysed 2 : 23 . 3 we 4 analysed 4 analysed 5 data 5 data 12 and 6 from 11 years 6 from 12 and 7 2119 11 years 8 persons 9 aged 9 aged 11 years 10 65 11 years 12 and 13 over 13 over 14 who 14 who 15 participated 15 participated 16 in 16 in 22 survey 17 the 22 survey 18 2005 19 national 19 national 20 health 20 health 21 interview 21 interview 22 survey cognitive impairment was defined as having the score of the mini mental state examination lower than 24 . 0 ###LEFT-WALL### 1 cognitive 0 ###LEFT-WALL### 4 defined 0 ###LEFT-WALL### 18 . 1 cognitive 2 impairment 1 cognitive 3 was 1 cognitive 4 defined 2 impairment 3 was 4 defined 5 as 4 defined 8 score 5 as 6 having 7 the 8 score 8 score 9 of 9 of 14 examination 10 the 14 examination 11 mini 12 mental 12 mental 13 state 13 state 14 examination 14 examination 15 lower 15 lower 16 than 16 than 17 24 the χ2 test and multiple logistic regression models were used to evaluate the association between cognitive impairment and variables of socio - demography , chronic diseases , geriatric conditions , lifestyle , and dietary factors . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 10 used 0 ###LEFT-WALL### 36 . 1 the 3 test 2 χ2 3 test 3 test 4 and 4 and 6 logistic 4 and 7 regression 4 and 8 models 4 and 9 were 5 multiple 6 logistic 7 regression 8 models 9 were 10 used 10 used 11 to 10 used 12 evaluate 11 to 12 evaluate 12 evaluate 14 association 12 evaluate 15 between 13 the 14 association 15 between 18 and 16 cognitive 17 impairment 17 impairment 18 and 18 and 19 variables 18 and 20 of 20 of 33 and 21 socio 23 demography 21 socio 27 , 21 socio 29 conditions 22 - 23 demography 23 demography 26 diseases 23 demography 27 , 24 , 26 diseases 25 chronic 26 diseases 26 diseases 27 , 28 geriatric 29 conditions 29 conditions 30 , 30 , 31 lifestyle 30 , 33 and 32 , 33 and 33 and 35 factors 34 dietary 35 factors results : the prevalence of cognitive impairment was 22.2 % . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 prevalence 2 : 8 was 2 : 11 . 3 the 4 prevalence 4 prevalence 5 of 4 prevalence 8 was 5 of 7 impairment 6 cognitive 7 impairment 8 was 10 % 9 22.2 10 % results of multivariate analysis indicated that low education , being single , low social support , lower lipid level , history of stroke [,] physical inactivity , [non] - coffee drinking and poor physical function were associated with a higher risk of cognitive impairment . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 13 low 0 ###LEFT-WALL### 29 - 1 results 2 of 1 results 6 that 1 results 7 low 1 results 10 being 1 results 13 low 2 of 4 analysis 3 multivariate 4 analysis 4 analysis 5 indicated 6 that 7 low 7 low 8 education 9 , 10 being 10 being 11 single 10 being 12 , 13 low 15 support 14 social 15 support 15 support 19 level 16 , 19 level 17 lower 18 lipid 18 lipid 19 level 19 level 21 history 19 level 27 , 20 , 21 history 21 history 22 of 21 history 27 , 22 of 26 inactivity 23 stroke 26 inactivity 25 physical 26 inactivity 29 - 32 and 29 - 37 associated 29 - 45 . 30 coffee 31 drinking 30 coffee 32 and 32 and 35 function 32 and 36 were 33 poor 35 function 34 physical 35 function 36 were 37 associated 37 associated 38 with 38 with 41 risk 39 a 41 risk 40 higher 41 risk 41 risk 42 of 42 of 44 impairment 43 cognitive 44 impairment conclusion : most of the characteristics in relation to cognitive impairment identified in our analysis are potentially modifiable . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 6 characteristics 2 : 16 are 2 : 19 . 3 most 4 of 3 most 6 characteristics 4 of 6 characteristics 5 the 6 characteristics 6 characteristics 9 to 6 characteristics 16 are 7 in 8 relation 8 relation 9 to 9 to 11 impairment 10 cognitive 11 impairment 11 impairment 12 identified 12 identified 13 in 13 in 15 analysis 14 our 15 analysis 16 are 17 potentially 16 are 18 modifiable these results suggest that improving lifestyle behaviours such as regular exercise and increased social participation could help prevent or decrease the risk of cognitive impairment . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 26 . 1 these 2 results 2 results 3 suggest 3 suggest 4 that 4 that 5 improving 4 that 7 behaviours 5 improving 6 lifestyle 5 improving 7 behaviours 7 behaviours 9 as 7 behaviours 22 risk 8 such 9 as 9 as 19 or 10 regular 11 exercise 11 exercise 12 and 12 and 14 social 12 and 15 participation 12 and 18 prevent 12 and 19 or 13 increased 14 social 15 participation 16 could 16 could 17 help 17 help 18 prevent 19 or 20 decrease 21 the 22 risk 22 risk 23 of 23 of 25 impairment 24 cognitive 25 impairment further investigations using longitudinal data are needed to clarify our findings . 0 ###LEFT-WALL### 2 investigations 0 ###LEFT-WALL### 7 needed 0 ###LEFT-WALL### 12 . 1 further 2 investigations 2 investigations 3 using 2 investigations 6 are 3 using 5 data 4 longitudinal 5 data 6 are 7 needed 7 needed 8 to 8 to 9 clarify 9 clarify 11 findings 10 our 11 findings aim : the aim was to determine whether hospital nurses are experiencing physiological strain at work by examining their physiological and behavioural response patterns over 12 - hour shifts . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 determine 0 ###LEFT-WALL### 27 - 1 aim 2 : 3 the 4 aim 4 aim 5 was 5 was 6 to 5 was 7 determine 6 to 7 determine 7 determine 8 whether 7 determine 15 at 7 determine 17 by 8 whether 10 nurses 8 whether 11 are 9 hospital 10 nurses 10 nurses 11 are 11 are 12 experiencing 12 experiencing 14 strain 13 physiological 14 strain 15 at 16 work 17 by 18 examining 18 examining 23 response 18 examining 24 patterns 19 their 23 response 20 physiological 21 and 21 and 22 behavioural 21 and 23 response 23 response 24 patterns 24 patterns 26 12 25 over 26 12 27 - 29 shifts 27 - 30 . 28 hour 29 shifts background : excessive workload for nurses may lead to poor quality of care and high nursing turnover rates . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 2 : 4 workload 2 : 8 lead 3 excessive 4 workload 4 workload 5 for 4 workload 7 may 5 for 6 nurses 7 may 8 lead 8 lead 9 to 9 to 11 quality 10 poor 11 quality 11 quality 12 of 12 of 14 and 13 care 14 and 14 and 15 high 14 and 16 nursing 16 nursing 18 rates 17 turnover 18 rates energy expenditure ( ee ) , heart [rate] ( hr [ )(and work pace ( wp ) can be used to examine the physiological impact from the workload . 0 ###LEFT-WALL### 2 expenditure 0 ###LEFT-WALL### 20 used 0 ###LEFT-WALL### 29 . 1 energy 2 expenditure 2 expenditure 4 ee 2 expenditure 7 heart 2 expenditure 18 can 3 ( 4 ee 4 ee 5 ) 6 , 7 heart 7 heart 12 )(and 7 heart 17 ) 9 ( 12 )(and 10 hr 12 )(and 12 )(and 14 pace 12 )(and 16 wp 12 )(and 17 ) 13 work 14 pace 15 ( 16 wp 16 wp 17 ) 18 can 19 be 19 be 20 used 20 used 21 to 20 used 22 examine 21 to 22 examine 22 examine 25 impact 22 examine 26 from 23 the 25 impact 24 physiological 25 impact 26 from 28 workload 27 the 28 workload methods : a total of 145 nurses wore monitors for one 12 [-] hour day shift to record hr and wp , which were used to calculate ee . 1 methods 2 : 2 : 4 total 2 : 10 for 3 a 4 total 4 total 5 of 5 of 6 145 6 145 7 nurses 6 145 8 wore 7 nurses 8 wore 8 wore 9 monitors 10 for 16 shift 11 one 16 shift 12 12 16 shift 14 hour 16 shift 15 day 16 shift 16 shift 17 to 16 shift 18 record 17 to 18 record 18 record 21 wp 19 hr 20 and 20 and 21 wp 21 wp 23 which 22 , 23 which 23 which 24 were 23 which 29 . 24 were 25 used 25 used 26 to 25 used 27 calculate 26 to 27 calculate 27 calculate 28 ee individual and work - related factors were assessed through questionnaires and work logs . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 14 . 1 individual 2 and 2 and 3 work 2 and 7 were 4 - 5 related 5 related 6 factors 5 related 7 were 7 were 11 and 8 assessed 10 questionnaires 8 assessed 11 and 9 through 10 questionnaires 11 and 12 work 12 work 13 logs results : energy expenditure accumulated over the 12 hours reached the ee level of 8 - hour shifts in which individuals work at a moderate physical intensity level . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 energy 2 : 10 reached 3 energy 4 expenditure 3 energy 5 accumulated 3 energy 6 over 3 energy 10 reached 4 expenditure 5 accumulated 6 over 9 hours 7 the 8 12 8 12 9 hours 10 reached 13 level 11 the 13 level 12 ee 13 level 13 level 14 of 14 of 15 8 15 8 18 shifts 16 - 18 shifts 17 hour 18 shifts 18 shifts 19 in 18 shifts 29 . 19 in 20 which 19 in 21 individuals 19 in 22 work 21 individuals 22 work 22 work 23 at 22 work 28 level 23 at 25 moderate 24 a 25 moderate 26 physical 28 level 27 intensity 28 level the hr data indicated a moderate cardiac stress level throughout the shifts , [despite] which wp decreased after 15.00 hours . 0 ###LEFT-WALL### 3 data 0 ###LEFT-WALL### 4 indicated 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 21 . 1 the 3 data 2 hr 3 data 3 data 4 indicated 4 indicated 8 stress 5 a 6 moderate 5 a 8 stress 6 moderate 8 stress 7 cardiac 8 stress 8 stress 9 level 9 level 10 throughout 10 throughout 12 shifts 11 the 12 shifts 13 , 15 which 13 , 17 decreased 15 which 16 wp 16 wp 17 decreased 17 decreased 18 after 18 after 20 hours 19 15.00 20 hours inadequate work [break] and sleep , family care - giving responsibility and aging may challenge work recovery . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 9 - 1 inadequate 2 work 2 work 4 and 4 and 5 sleep 4 and 8 care 6 , 8 care 7 family 8 care 8 care 9 - 9 - 10 giving 9 - 15 challenge 9 - 18 . 10 giving 11 responsibility 10 giving 12 and 10 giving 14 may 12 and 13 aging 14 may 15 challenge 15 challenge 17 recovery 16 work 17 recovery conclusions : nursing workload of 12 [-] hour shifts has a negative physiological impact on hospital nurses . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 nursing 2 : 10 has 2 : 18 . 3 nursing 4 workload 3 nursing 10 has 4 workload 5 of 5 of 9 shifts 6 12 8 hour 8 hour 9 shifts 10 has 14 impact 10 has 15 on 11 a 12 negative 11 a 14 impact 12 negative 14 impact 13 physiological 14 impact 15 on 17 nurses 16 hospital 17 nurses implications for nursing management : nurse managers need to be aware of the physiological strain experienced by staff nurses , and focus on ensuring sufficient breaks and proper work accommodations for older nurses . 0 ###LEFT-WALL### 4 management 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 34 . 1 implications 2 for 2 for 3 nursing 3 nursing 4 management 5 : 7 managers 5 : 8 need 5 : 21 and 6 nurse 7 managers 7 managers 8 need 8 need 9 to 8 need 20 , 9 to 10 be 10 be 11 aware 11 aware 12 of 11 aware 17 by 12 of 15 strain 13 the 15 strain 14 physiological 15 strain 15 strain 16 experienced 17 by 19 nurses 18 staff 19 nurses 21 and 27 and 21 and 29 work 22 focus 23 on 22 focus 27 and 23 on 24 ensuring 24 ensuring 26 breaks 25 sufficient 26 breaks 27 and 28 proper 27 and 29 work 29 work 30 accommodations 29 work 31 for 31 for 33 nurses 32 older 33 nurses flavonoids are natural , plant - derived compounds which exert diverse biological activities , also valuable neuroprotective actions within the brain [and] currently are intensively studied as agents able to modulate neuronal function and to prevent age - related neurodegeneration . 0 ###LEFT-WALL### 1 flavonoids 0 ###LEFT-WALL### 4 , 1 flavonoids 2 are 2 are 3 natural 4 , 5 plant 4 , 14 , 5 plant 7 derived 5 plant 8 compounds 6 - 7 derived 8 compounds 9 which 8 compounds 10 exert 9 which 10 exert 10 exert 13 activities 11 diverse 13 activities 12 biological 13 activities 14 , 15 also 14 , 26 studied 15 also 18 actions 16 valuable 18 actions 17 neuroprotective 18 actions 18 actions 19 within 18 actions 24 are 19 within 21 brain 20 the 21 brain 23 currently 24 are 24 are 25 intensively 24 are 26 studied 26 studied 27 as 27 as 28 agents 28 agents 29 able 29 able 30 to 29 able 34 and 30 to 34 and 31 modulate 33 function 31 modulate 34 and 32 neuronal 33 function 34 and 35 to 34 and 36 prevent 35 to 36 prevent 36 prevent 37 age 37 age 40 neurodegeneration 38 - 40 neurodegeneration 39 related 40 neurodegeneration 40 neurodegeneration 41 . among them , flavones isolated from scutellaria baicalensis root exhibit strong neuroprotective effects on the brain and [are] not toxic in the broad range of tested doses . 0 ###LEFT-WALL### 4 flavones 0 ###LEFT-WALL### 10 exhibit 0 ###LEFT-WALL### 28 . 1 among 2 them 1 among 3 , 1 among 4 flavones 4 flavones 5 isolated 4 flavones 10 exhibit 5 isolated 6 from 6 from 7 scutellaria 7 scutellaria 8 baicalensis 7 scutellaria 9 root 8 baicalensis 9 root 10 exhibit 13 effects 11 strong 13 effects 12 neuroprotective 13 effects 13 effects 17 and 14 on 16 brain 14 on 17 and 15 the 16 brain 17 and 19 not 17 and 21 in 19 not 20 toxic 21 in 24 range 22 the 24 range 23 broad 24 range 24 range 25 of 25 of 27 doses 26 tested 27 doses their neuroprotective potential has been shown in both oxidative stress [-] induced and amyloid - beta and alpha - synuclein - induced neuronal death models . 0 ###LEFT-WALL### 3 potential 0 ###LEFT-WALL### 6 shown 0 ###LEFT-WALL### 26 . 1 their 3 potential 2 neuroprotective 3 potential 3 potential 4 has 4 has 5 been 5 been 6 shown 6 shown 7 in 6 shown 17 and 6 shown 22 induced 7 in 8 both 9 oxidative 10 stress 10 stress 12 induced 10 stress 13 and 13 and 16 beta 13 and 17 and 14 amyloid 15 - 14 amyloid 16 beta 17 and 18 alpha 17 and 20 synuclein 17 and 22 induced 19 - 20 synuclein 20 synuclein 21 - 22 induced 25 models 23 neuronal 24 death 24 death 25 models baicalein , the main flavone present in scutellaria baicalensis root , strongly inhibited aggregation of neuronal amyloidogenic proteins in vitro and induces dissolution of amyloid deposits . 0 ###LEFT-WALL### 1 baicalein 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 27 . 1 baicalein 5 flavone 1 baicalein 21 and 2 , 5 flavone 3 the 4 main 3 the 5 flavone 5 flavone 6 present 5 flavone 11 , 6 present 7 in 7 in 8 scutellaria 8 scutellaria 9 baicalensis 8 scutellaria 10 root 9 baicalensis 10 root 12 strongly 13 inhibited 13 inhibited 14 aggregation 13 inhibited 20 vitro 13 inhibited 21 and 14 aggregation 15 of 15 of 18 proteins 16 neuronal 18 proteins 17 amyloidogenic 18 proteins 19 in 20 vitro 21 and 22 induces 22 induces 23 dissolution 23 dissolution 24 of 24 of 26 deposits 25 amyloid 26 deposits it exerts strong antioxidative and anti - inflammatory activities and also exhibits anti - convulsive , anxiolytic , and mild sedative actions . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 23 . 1 it 10 and 2 exerts 3 strong 2 exerts 5 and 2 exerts 10 and 4 antioxidative 5 and 5 and 9 activities 6 anti 7 - 6 anti 9 activities 8 inflammatory 9 activities 10 and 12 exhibits 11 also 12 exhibits 12 exhibits 22 actions 13 anti 14 - 13 anti 21 sedative 15 convulsive 16 , 16 , 17 anxiolytic 16 , 19 and 18 , 19 and 19 and 20 mild 19 and 21 sedative 21 sedative 22 actions importantly , baicalein , and [also] another flavone : oroxylin a , markedly enhanced cognitive and mnestic functions in animal models of aging brains and neurodegeneration . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 8 flavone 0 ###LEFT-WALL### 9 : 0 ###LEFT-WALL### 27 . 1 importantly 2 , 1 importantly 5 and 3 baicalein 5 and 4 , 5 and 5 and 7 another 5 and 8 flavone 9 : 10 oroxylin 9 : 12 , 10 oroxylin 11 a 12 , 25 and 13 markedly 14 enhanced 14 enhanced 18 functions 15 cognitive 16 and 16 and 17 mnestic 16 and 18 functions 18 functions 19 in 18 functions 25 and 19 in 21 models 20 animal 21 models 21 models 22 of 22 of 23 aging 23 aging 24 brains 25 and 26 neurodegeneration in the preliminary study , wogonin , another flavone from scutellaria baicalensis root , has been shown to stimulate brain tissue regeneration , inducing differentiation of neuronal precursor cells . 0 ###LEFT-WALL### 6 wogonin 0 ###LEFT-WALL### 17 shown 1 in 4 study 1 in 5 , 1 in 6 wogonin 2 the 4 study 3 preliminary 4 study 6 wogonin 9 flavone 6 wogonin 15 has 7 , 9 flavone 8 another 9 flavone 9 flavone 10 from 9 flavone 14 , 10 from 11 scutellaria 11 scutellaria 12 baicalensis 11 scutellaria 13 root 12 baicalensis 13 root 15 has 16 been 16 been 17 shown 17 shown 18 to 18 to 19 stimulate 19 stimulate 22 regeneration 19 stimulate 24 inducing 20 brain 22 regeneration 21 tissue 22 regeneration 23 , 24 inducing 24 inducing 25 differentiation 24 inducing 30 . 25 differentiation 26 of 26 of 29 cells 27 neuronal 28 precursor 28 precursor 29 cells this concise review provides the main examples of neuroprotective activities of the flavones and reveals their potential in prevention and therapyof neurodegenerative diseases . 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 24 . 1 this 3 review 2 concise 3 review 3 review 14 and 3 review 20 and 4 provides 7 examples 4 provides 14 and 5 the 7 examples 6 main 7 examples 7 examples 8 of 7 examples 11 of 8 of 10 activities 9 neuroprotective 10 activities 11 of 13 flavones 12 the 13 flavones 14 and 15 reveals 14 and 17 potential 14 and 18 in 16 their 17 potential 18 in 19 prevention 20 and 23 diseases 21 therapyof 23 diseases 22 neurodegenerative 23 diseases age - related dementias such as alzheimer disease ( ad ) have been linked to vascular disorders like hypertension [,] diabetes and atherosclerosis . 0 ###LEFT-WALL### 4 dementias 0 ###LEFT-WALL### 14 linked 0 ###LEFT-WALL### 24 . 1 age 2 - 1 age 4 dementias 3 related 4 dementias 4 dementias 6 as 4 dementias 12 have 5 such 6 as 6 as 8 disease 7 alzheimer 8 disease 8 disease 10 ad 9 ( 10 ad 10 ad 11 ) 12 have 13 been 13 been 14 linked 14 linked 15 to 14 linked 18 like 15 to 17 disorders 16 vascular 17 disorders 18 like 22 and 19 hypertension 21 diabetes 21 diabetes 22 and 22 and 23 atherosclerosis these risk factors cause ischemia , inflammation , oxidative damage and consequently reperfusion , which is largely due to reactive oxygen species ( ros [ )(that are believed to induce mitochondrial damage . 0 ###LEFT-WALL### 3 factors 0 ###LEFT-WALL### 4 cause 0 ###LEFT-WALL### 14 , 1 these 3 factors 2 risk 3 factors 3 factors 4 cause 4 cause 11 and 5 ischemia 6 , 5 ischemia 7 inflammation 7 inflammation 8 , 8 , 10 damage 8 , 11 and 9 oxidative 10 damage 11 and 12 consequently 11 and 13 reperfusion 11 and 14 , 14 , 15 which 14 , 16 is 15 which 16 is 16 is 17 largely 16 is 19 to 18 due 19 to 19 to 22 species 20 reactive 21 oxygen 21 oxygen 22 species 22 species 24 ros 23 ( 24 ros 24 ros 26 )(that 24 ros 27 are 24 ros 33 . 26 )(that 27 are 27 are 28 believed 28 believed 29 to 28 believed 30 induce 29 to 30 induce 30 induce 32 damage 31 mitochondrial 32 damage at higher concentrations , ros can cause cell injury and death which occurs during the aging process , where oxidative stress is incremented due to an accelerated generation of ros and a gradual decline in cellular antioxidant defense mechanisms . 0 ###LEFT-WALL### 5 ros 0 ###LEFT-WALL### 7 cause 1 at 3 concentrations 1 at 4 , 1 at 5 ros 2 higher 3 concentrations 5 ros 6 can 6 can 7 cause 7 cause 10 and 8 cell 9 injury 9 injury 10 and 10 and 11 death 10 and 12 which 10 and 13 occurs 10 and 19 where 12 which 13 occurs 13 occurs 14 during 14 during 17 process 15 the 17 process 16 aging 17 process 18 , 19 where 19 where 21 stress 19 where 23 incremented 19 where 40 . 20 oxidative 21 stress 21 stress 22 is 22 is 23 incremented 23 incremented 25 to 23 incremented 35 in 24 due 25 to 25 to 28 generation 26 an 28 generation 27 accelerated 28 generation 28 generation 29 of 29 of 31 and 30 ros 31 and 31 and 34 decline 32 a 34 decline 33 gradual 34 decline 35 in 39 mechanisms 36 cellular 38 defense 37 antioxidant 38 defense 38 defense 39 mechanisms neuronal mitochondria are especially vulnerable to oxidative stress due to their role in energy supply and use , causing a cascade of debilitating factors such as the production of giant [and/or] vulnerable young mitochondrion who ['s] dna has been compromised . 0 ###LEFT-WALL### 2 mitochondria 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 41 . 1 neuronal 2 mitochondria 2 mitochondria 3 are 3 are 4 especially 3 are 16 and 5 vulnerable 6 to 5 vulnerable 10 to 5 vulnerable 13 in 5 vulnerable 16 and 6 to 8 stress 7 oxidative 8 stress 9 due 10 to 10 to 12 role 11 their 12 role 13 in 15 supply 14 energy 15 supply 16 and 17 use 18 , 19 causing 18 , 40 compromised 19 causing 21 cascade 19 causing 40 compromised 20 a 21 cascade 21 cascade 22 of 21 cascade 29 of 22 of 23 debilitating 23 debilitating 24 factors 24 factors 26 as 25 such 26 as 26 as 28 production 27 the 28 production 29 of 34 mitochondrion 30 giant 34 mitochondrion 32 vulnerable 34 mitochondrion 33 young 34 mitochondrion 34 mitochondrion 35 who 34 mitochondrion 39 been 35 who 37 dna 35 who 39 been 37 dna 38 has 38 has 39 been therefore , mitochondria specific antioxidants such as acetyl - l - carnitine and r - [alphalipoic] [acid] seem to be potential treatments for ad . 0 ###LEFT-WALL### 5 antioxidants 0 ###LEFT-WALL### 25 . 1 therefore 2 , 1 therefore 5 antioxidants 3 mitochondria 5 antioxidants 4 specific 5 antioxidants 5 antioxidants 7 as 5 antioxidants 13 and 5 antioxidants 18 seem 6 such 7 as 7 as 8 acetyl 8 acetyl 10 l 9 - 10 l 10 l 11 - 11 - 13 and 12 carnitine 13 and 13 and 14 r 13 and 15 - 18 seem 19 to 18 seem 20 be 19 to 20 be 20 be 22 treatments 21 potential 22 treatments 22 treatments 23 for 23 for 24 ad they target the factors that damage mitochondria and reverse its effect , thus eliminating the imbalance seen in energy production and amyloid beta oxidation [and] making these antioxidants very powerful alternate strategies for the treatment of ad . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 38 . 1 they 8 and 2 target 4 factors 2 target 8 and 3 the 4 factors 4 factors 5 that 4 factors 6 damage 5 that 6 damage 6 damage 7 mitochondria 8 and 9 reverse 9 reverse 11 effect 10 its 11 effect 12 , 14 eliminating 12 , 28 antioxidants 13 thus 14 eliminating 14 eliminating 16 imbalance 14 eliminating 18 in 14 eliminating 28 antioxidants 15 the 16 imbalance 16 imbalance 17 seen 18 in 21 and 19 energy 20 production 20 production 21 and 21 and 24 oxidation 21 and 26 making 22 amyloid 24 oxidation 23 beta 24 oxidation 26 making 27 these 28 antioxidants 32 strategies 28 antioxidants 33 for 29 very 30 powerful 30 powerful 32 strategies 31 alternate 32 strategies 33 for 35 treatment 34 the 35 treatment 35 treatment 36 of 36 of 37 ad changes in regional activity levels and network connectivity occur across the lifespan within the default mode network ( dmn ) of resting brain [function] . 0 ###LEFT-WALL### 1 changes 0 ###LEFT-WALL### 9 occur 0 ###LEFT-WALL### 25 . 1 changes 2 in 1 changes 9 occur 2 in 6 and 3 regional 4 activity 4 activity 5 levels 5 levels 6 and 6 and 8 connectivity 7 network 8 connectivity 9 occur 10 across 9 occur 13 within 10 across 12 lifespan 11 the 12 lifespan 13 within 17 network 14 the 17 network 15 default 16 mode 16 mode 17 network 17 network 19 dmn 17 network 21 of 18 ( 19 dmn 19 dmn 20 ) 21 of 23 brain 22 resting 23 brain changes with age are noted in most components of the dmn , especially in medial frontal/anterior cingulate and posterior cingulate/precuneus regions . 0 ###LEFT-WALL### 1 changes 0 ###LEFT-WALL### 5 noted 1 changes 2 with 1 changes 4 are 2 with 3 age 4 are 5 noted 5 noted 6 in 6 in 8 components 7 most 8 components 8 components 9 of 8 components 14 in 9 of 11 dmn 10 the 11 dmn 12 , 13 especially 12 , 14 in 14 in 18 and 14 in 22 . 15 medial 16 frontal/anterior 16 frontal/anterior 17 cingulate 17 cingulate 18 and 18 and 21 regions 19 posterior 21 regions 20 cingulate/precuneus 21 regions individuals with age - related disease such as mild cognitive impairment ( mci ) and alzheimer 's disease ( ad ) demonstrate additional default - related changes particularly in posterior cingulate/precuneus and hippocampal regions . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 22 demonstrate 0 ###LEFT-WALL### 26 related 1 individuals 2 with 1 individuals 15 and 2 with 3 age 3 age 6 disease 4 - 6 disease 5 related 6 disease 6 disease 8 as 6 disease 14 ) 7 such 8 as 8 as 11 impairment 9 mild 11 impairment 10 cognitive 11 impairment 11 impairment 13 mci 12 ( 13 mci 13 mci 14 ) 15 and 18 disease 15 and 20 ad 15 and 22 demonstrate 16 alzheimer 17 's 17 's 18 disease 19 ( 20 ad 20 ad 21 ) 22 demonstrate 24 default 23 additional 24 default 25 - 26 related 26 related 27 changes 26 related 28 particularly 26 related 35 . 28 particularly 29 in 29 in 32 and 30 posterior 31 cingulate/precuneus 31 cingulate/precuneus 32 and 32 and 34 regions 33 hippocampal 34 regions as these regions are areas of known pathologic change in both normal aging and age - related disease , examining dmn activity may allow future studies to more fully assess the relationship between pathology and function in these regions . 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 24 allow 0 ###LEFT-WALL### 40 . 1 as 3 regions 1 as 4 are 1 as 14 and 2 these 3 regions 3 regions 4 are 4 are 5 areas 5 areas 6 of 6 of 9 change 7 known 9 change 8 pathologic 9 change 10 in 11 both 10 in 14 and 12 normal 13 aging 12 normal 14 and 14 and 15 age 14 and 24 allow 15 age 20 examining 16 - 17 related 17 related 18 disease 17 related 19 , 17 related 20 examining 20 examining 22 activity 20 examining 23 may 21 dmn 22 activity 22 activity 23 may 24 allow 26 studies 24 allow 27 to 24 allow 35 and 25 future 26 studies 27 to 35 and 28 more 29 fully 29 fully 30 assess 30 assess 32 relationship 30 assess 35 and 31 the 32 relationship 32 relationship 33 between 33 between 34 pathology 35 and 36 function 35 and 39 regions 36 function 37 in 37 in 38 these the ability to form this structure [-] function link could allow us to determine critical factors involved in the decline or preservation [of] function in the presence of age - related neuropathology . 0 ###LEFT-WALL### 2 ability 0 ###LEFT-WALL### 14 determine 0 ###LEFT-WALL### 31 related 1 the 2 ability 2 ability 3 to 2 ability 4 form 2 ability 10 could 3 to 4 form 4 form 9 link 5 this 9 link 6 structure 9 link 8 function 9 link 10 could 11 allow 11 allow 12 us 11 allow 13 to 13 to 14 determine 14 determine 16 factors 14 determine 24 function 15 critical 16 factors 16 factors 17 involved 16 factors 24 function 17 involved 18 in 18 in 21 or 19 the 20 decline 20 decline 21 or 21 or 22 preservation 24 function 25 in 25 in 27 presence 26 the 27 presence 27 presence 28 of 28 of 29 age 30 - 31 related 31 related 32 neuropathology 31 related 33 . neuritic plaques and neurofibrillary tangles , the neuropathological hallmarks of ad , are not limited to individuals with dementia . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 13 are 0 ###LEFT-WALL### 20 . 1 neuritic 2 plaques 2 plaques 3 and 3 and 5 tangles 3 and 9 hallmarks 3 and 13 are 4 neurofibrillary 5 tangles 6 , 9 hallmarks 7 the 9 hallmarks 8 neuropathological 9 hallmarks 9 hallmarks 10 of 9 hallmarks 12 , 10 of 11 ad 13 are 14 not 13 are 16 to 13 are 18 with 14 not 15 limited 16 to 17 individuals 18 with 19 dementia these pathologic changes can also be present in the brains of cognitively normal older adults - a condition we defined as asymptomatic ad ( asymad ) . 0 ###LEFT-WALL### 3 changes 0 ###LEFT-WALL### 6 be 0 ###LEFT-WALL### 27 . 1 these 3 changes 2 pathologic 3 changes 3 changes 4 can 4 can 6 be 5 also 6 be 6 be 7 present 7 present 8 in 8 in 10 brains 9 the 10 brains 10 brains 11 of 11 of 15 adults 12 cognitively 13 normal 13 normal 15 adults 14 older 15 adults 15 adults 18 condition 16 - 18 condition 17 a 18 condition 18 condition 19 we 18 condition 20 defined 18 condition 26 ) 19 we 20 defined 20 defined 21 as 21 as 25 asymad 22 asymptomatic 23 ad 23 ad 25 asymad 24 ( 25 asymad although it remains unclear whether these individuals would remain clinically normal with longer survival , they seem to be able to compensate [for] or delay the appearance of dementia symptoms . 0 ###LEFT-WALL### 16 they 0 ###LEFT-WALL### 24 or 0 ###LEFT-WALL### 31 . 1 although 2 it 1 although 3 remains 1 although 15 , 1 although 16 they 2 it 3 remains 3 remains 4 unclear 4 unclear 5 whether 5 whether 7 individuals 5 whether 9 remain 6 these 7 individuals 7 individuals 8 would 8 would 9 remain 9 remain 10 clinically 9 remain 11 normal 11 normal 12 with 12 with 14 survival 13 longer 14 survival 16 they 24 or 17 seem 18 to 17 seem 19 be 17 seem 24 or 18 to 19 be 19 be 20 able 20 able 21 to 20 able 22 compensate 21 to 22 compensate 24 or 25 delay 25 delay 27 appearance 26 the 27 appearance 27 appearance 28 of 28 of 30 symptoms 29 dementia 30 symptoms here , we provide a historical background and highlight the combined clinical , pathologic and morphometric evidence related to asymad . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 21 . 1 here 2 , 1 here 3 we 3 we 8 and 4 provide 7 background 4 provide 8 and 5 a 6 historical 5 a 7 background 6 historical 7 background 8 and 9 highlight 8 and 17 evidence 10 the 17 evidence 11 combined 17 evidence 12 clinical 13 , 13 , 14 pathologic 13 , 15 and 15 and 16 morphometric 15 and 17 evidence 17 evidence 18 related 18 related 19 to 19 to 20 asymad understanding the nature of changes during this apparently asymptomatic state may shed light on the mechanisms that forestall the progression of the disease and allow for maintenance of cognitive health , an important area of research that has been understudied relative to the identification of risks and pathways to negative health outcomes . 0 ###LEFT-WALL### 1 understanding 0 ###LEFT-WALL### 12 shed 0 ###LEFT-WALL### 53 . 1 understanding 3 nature 1 understanding 11 may 1 understanding 12 shed 2 the 3 nature 3 nature 4 of 3 nature 11 may 4 of 5 changes 5 changes 6 during 6 during 10 state 7 this 10 state 8 apparently 9 asymptomatic 9 asymptomatic 10 state 12 shed 13 light 12 shed 14 on 14 on 16 mechanisms 15 the 16 mechanisms 16 mechanisms 17 that 16 mechanisms 24 and 17 that 24 and 18 forestall 20 progression 18 forestall 24 and 19 the 20 progression 20 progression 21 of 21 of 23 disease 22 the 23 disease 24 and 26 for 25 allow 26 for 26 for 47 and 26 for 49 to 27 maintenance 28 of 27 maintenance 31 , 28 of 30 health 29 cognitive 30 health 31 , 34 area 31 , 47 and 32 an 33 important 32 an 34 area 33 important 34 area 34 area 35 of 34 area 45 of 35 of 36 research 36 research 37 that 36 research 38 has 37 that 38 has 38 has 39 been 39 been 40 understudied 40 understudied 41 relative 41 relative 42 to 42 to 44 identification 43 the 44 identification 45 of 46 risks 47 and 48 pathways 49 to 50 negative 50 negative 52 outcomes 51 health 52 outcomes pet imaging agents such as pittsburgh compound b ( pib ) allow detection of fibrillar β - amyloid ( aβ ) in vivo . 0 ###LEFT-WALL### 1 pet 0 ###LEFT-WALL### 12 allow 0 ###LEFT-WALL### 24 . 1 pet 2 imaging 1 pet 12 allow 2 imaging 3 agents 3 agents 5 as 4 such 5 as 5 as 7 compound 6 pittsburgh 7 compound 7 compound 8 b 7 compound 10 pib 9 ( 10 pib 10 pib 11 ) 12 allow 13 detection 12 allow 23 vivo 13 detection 14 of 14 of 18 amyloid 15 fibrillar 18 amyloid 16 β 17 - 16 β 18 amyloid 18 amyloid 20 aβ 19 ( 20 aβ 20 aβ 21 ) 22 in 23 vivo in addition to quantification of aβ deposition in mild cognitive impairment and alzheimer 's disease , pib has also increased our understanding of aβ deposition in older adults without cognitive impairment . 0 ###LEFT-WALL### 17 pib 0 ###LEFT-WALL### 20 increased 0 ###LEFT-WALL### 32 . 1 in 2 addition 1 in 16 , 1 in 17 pib 2 addition 3 to 2 addition 5 of 2 addition 8 in 3 to 4 quantification 5 of 7 deposition 6 aβ 7 deposition 8 in 12 and 9 mild 11 impairment 10 cognitive 11 impairment 11 impairment 12 and 12 and 15 disease 13 alzheimer 14 's 14 's 15 disease 17 pib 18 has 18 has 20 increased 19 also 20 increased 20 increased 22 understanding 20 increased 29 without 21 our 22 understanding 22 understanding 23 of 23 of 25 deposition 24 aβ 25 deposition 25 deposition 26 in 26 in 28 adults 27 older 28 adults 29 without 31 impairment 30 cognitive 31 impairment in vivo aβ deposition has been studied in relation to genotype , structural and functional brain changes , as well as alterations in biomarker levels . 0 ###LEFT-WALL### 4 deposition 0 ###LEFT-WALL### 7 studied 0 ###LEFT-WALL### 26 . 1 in 2 vivo 2 vivo 4 deposition 3 aβ 4 deposition 4 deposition 5 has 5 has 6 been 6 been 7 studied 7 studied 8 in 7 studied 20 well 7 studied 21 as 8 in 9 relation 9 relation 10 to 9 relation 11 genotype 9 relation 17 changes 10 to 11 genotype 12 , 17 changes 13 structural 14 and 14 and 15 functional 14 and 17 changes 16 brain 17 changes 17 changes 18 , 19 as 20 well 21 as 22 alterations 21 as 23 in 23 in 25 levels 24 biomarker 25 levels to date , several studies have reported changes in aβ burden over time . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 date 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 14 . 1 to 2 date 3 , 5 studies 3 , 7 reported 4 several 5 studies 5 studies 6 have 6 have 7 reported 7 reported 8 changes 7 reported 9 in 7 reported 12 over 9 in 11 burden 10 aβ 11 burden 12 over 13 time this , together [with] investigation of the relationship between aβ deposition and cognition , sets the stage for elucidation of the temporal sequence of the neurobiological events leading to [cognitive] decline . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 , 0 ###LEFT-WALL### 32 . 2 , 5 investigation 2 , 15 sets 3 together 5 investigation 5 investigation 6 of 5 investigation 9 between 5 investigation 15 sets 6 of 8 relationship 7 the 8 relationship 9 between 12 and 10 aβ 11 deposition 11 deposition 12 and 12 and 13 cognition 12 and 14 , 15 sets 17 stage 16 the 17 stage 17 stage 18 for 17 stage 28 leading 18 for 19 elucidation 19 elucidation 20 of 20 of 23 sequence 21 the 23 sequence 22 temporal 23 sequence 23 sequence 24 of 24 of 27 events 25 the 27 events 26 neurobiological 27 events 28 leading 29 to 29 to 31 decline furthermore , correlation [of] aβ levels detected by pib pet and those obtained [from] [biopsy] or postmortem specimens will allow more rigorous quantitative interpretation of pib pet data in relation [to] neuropathological evaluation . 0 ###LEFT-WALL### 6 levels 0 ###LEFT-WALL### 7 detected 0 ###LEFT-WALL### 34 . 1 furthermore 2 , 1 furthermore 6 levels 3 correlation 6 levels 5 aβ 6 levels 6 levels 7 detected 7 detected 8 by 7 detected 11 and 8 by 9 pib 10 pet 11 and 11 and 33 evaluation 12 those 13 obtained 12 those 16 or 16 or 17 postmortem 16 or 18 specimens 16 or 29 in 16 or 30 relation 18 specimens 19 will 19 will 20 allow 20 allow 24 interpretation 20 allow 28 data 20 allow 29 in 21 more 22 rigorous 22 rigorous 24 interpretation 23 quantitative 24 interpretation 24 interpretation 25 of 25 of 27 pet 26 pib 27 pet 30 relation 33 evaluation 32 neuropathological 33 evaluation since the first human study in 2004 , in vivo amyloid imaging has led to advances in our understanding of the role of aβ deposition in human aging and cognitive decline , as well as provided new tools for patient selection and therapeutic monitoring in clinical trials . 0 ###LEFT-WALL### 12 imaging 0 ###LEFT-WALL### 14 led 0 ###LEFT-WALL### 48 . 1 since 5 study 1 since 8 , 1 since 12 imaging 2 the 3 first 2 the 5 study 4 human 5 study 5 study 6 in 6 in 7 2004 9 in 10 vivo 10 vivo 12 imaging 11 amyloid 12 imaging 12 imaging 13 has 13 has 14 led 14 led 15 to 14 led 17 in 14 led 25 deposition 14 led 26 in 14 led 35 as 15 to 16 advances 17 in 19 understanding 18 our 19 understanding 19 understanding 20 of 19 understanding 23 of 20 of 22 role 21 the 22 role 23 of 24 aβ 26 in 29 and 27 human 28 aging 27 human 29 and 29 and 31 decline 29 and 32 , 30 cognitive 31 decline 33 as 34 well 34 well 35 as 35 as 42 and 36 provided 38 tools 37 new 38 tools 38 tools 39 for 38 tools 42 and 39 for 41 selection 40 patient 41 selection 42 and 44 monitoring 42 and 45 in 43 therapeutic 44 monitoring 45 in 47 trials 46 clinical 47 trials it is increasingly recognized that the correlation between neuropathological lesions and cognition is modest and accounts for about a quarter of the variance of cognition among older adults . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 29 . 1 it 2 is 2 is 15 and 3 increasingly 4 recognized 4 recognized 5 that 4 recognized 15 and 5 that 7 correlation 5 that 13 is 6 the 7 correlation 7 correlation 8 between 7 correlation 13 is 8 between 11 and 9 neuropathological 10 lesions 10 lesions 11 and 11 and 12 cognition 13 is 14 modest 15 and 16 accounts 15 and 17 for 15 and 26 among 17 for 20 quarter 18 about 20 quarter 19 a 20 quarter 20 quarter 21 of 21 of 23 variance 22 the 23 variance 23 variance 24 of 24 of 25 cognition 26 among 28 adults 27 older 28 adults some individuals maintain normal cognitive functioning amidst significant brain pathology , while others suffer varying degrees of cognitive and neurological deterioration that render them dependent and frail . 0 ###LEFT-WALL### 2 individuals 0 ###LEFT-WALL### 3 maintain 1 some 2 individuals 2 individuals 3 maintain 3 maintain 6 functioning 3 maintain 7 amidst 3 maintain 12 while 4 normal 6 functioning 5 cognitive 6 functioning 7 amidst 10 pathology 8 significant 9 brain 9 brain 10 pathology 11 , 12 while 12 while 13 others 12 while 14 suffer 12 while 28 . 13 others 14 suffer 14 suffer 16 degrees 14 suffer 26 and 15 varying 16 degrees 16 degrees 17 of 16 degrees 22 that 16 degrees 23 render 17 of 21 deterioration 18 cognitive 19 and 19 and 20 neurological 19 and 21 deterioration 22 that 23 render 23 render 24 them 25 dependent 26 and 26 and 27 frail we present data from the religious orders study and the memory and aging project pertaining to pathology and cognition , and propose a paradigm shift in consideration of the neurobiology of healthy aging and dementia . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 25 shift 0 ###LEFT-WALL### 36 . 1 we 21 and 2 present 3 data 2 present 4 from 2 present 16 to 2 present 21 and 4 from 12 and 5 the 8 study 6 religious 7 orders 7 orders 8 study 8 study 9 and 9 and 11 memory 9 and 12 and 10 the 11 memory 12 and 14 project 12 and 15 pertaining 13 aging 14 project 16 to 18 and 17 pathology 18 and 18 and 19 cognition 20 , 21 and 21 and 22 propose 22 propose 24 paradigm 22 propose 25 shift 23 a 24 paradigm 25 shift 26 in 26 in 27 consideration 27 consideration 28 of 28 of 30 neurobiology 29 the 30 neurobiology 30 neurobiology 31 of 31 of 34 and 32 healthy 33 aging 32 healthy 34 and 34 and 35 dementia factors that [modify] [or] mediate the association between neuropathology and cognition are also discussed . 0 ###LEFT-WALL### 1 factors 0 ###LEFT-WALL### 14 discussed 0 ###LEFT-WALL### 15 . 1 factors 2 that 1 factors 5 mediate 1 factors 12 are 2 that 5 mediate 5 mediate 7 association 5 mediate 8 between 6 the 7 association 8 between 10 and 9 neuropathology 10 and 10 and 11 cognition 12 are 14 discussed 13 also 14 discussed it is hypothesized that the concept of resilient aging can serve as a useful entity in understanding mechanisms that underlie healthy aging amidst disease - related pathology . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 hypothesized 0 ###LEFT-WALL### 26 related 1 it 2 is 2 is 3 hypothesized 3 hypothesized 4 that 4 that 6 concept 4 that 11 serve 5 the 6 concept 6 concept 7 of 6 concept 10 can 7 of 9 aging 8 resilient 9 aging 10 can 11 serve 11 serve 12 as 11 serve 16 in 12 as 15 entity 13 a 15 entity 14 useful 15 entity 16 in 17 understanding 17 understanding 18 mechanisms 17 understanding 23 amidst 18 mechanisms 19 that 18 mechanisms 20 underlie 19 that 20 underlie 20 underlie 22 aging 21 healthy 22 aging 23 amidst 24 disease 25 - 26 related 26 related 27 pathology 26 related 28 . cognitive reserve explains why those with higher iq , education , occupational attainment , or participation in leisure activities evidence less severe clinical or cognitive changes in the presence of age - related or alzheimer 's disease pathology . 0 ###LEFT-WALL### 2 reserve 0 ###LEFT-WALL### 3 explains 0 ###LEFT-WALL### 39 . 1 cognitive 2 reserve 2 reserve 3 explains 3 explains 4 why 4 why 5 those 4 why 20 evidence 5 those 6 with 5 those 20 evidence 6 with 15 or 7 higher 8 iq 8 iq 9 , 9 , 10 education 9 , 11 , 11 , 13 attainment 11 , 15 or 12 occupational 13 attainment 14 , 15 or 15 or 16 participation 15 or 17 in 17 in 19 activities 18 leisure 19 activities 20 evidence 38 pathology 21 less 22 severe 22 severe 38 pathology 23 clinical 24 or 24 or 26 changes 24 or 32 - 24 or 33 related 24 or 34 or 25 cognitive 26 changes 26 changes 27 in 26 changes 30 of 27 in 29 presence 28 the 29 presence 30 of 31 age 34 or 37 disease 34 or 38 pathology 35 alzheimer 36 's 36 's 37 disease specifically , the cognitive reserve hypothesis is that individual differences in [how] tasks [are] processed provide reserve against brain pathology . 0 ###LEFT-WALL### 6 hypothesis 0 ###LEFT-WALL### 21 . 1 specifically 2 , 1 specifically 6 hypothesis 3 the 6 hypothesis 4 cognitive 5 reserve 5 reserve 6 hypothesis 6 hypothesis 7 is 7 is 8 that 8 that 10 differences 8 that 16 provide 9 individual 10 differences 10 differences 11 in 10 differences 16 provide 11 in 13 tasks 13 tasks 15 processed 16 provide 17 reserve 16 provide 18 against 18 against 20 pathology 19 brain 20 pathology cognitive reserve may allow for more flexible strategy usage , an ability thought to be captured by executive functions tasks . 0 ###LEFT-WALL### 2 reserve 0 ###LEFT-WALL### 5 for 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 21 . 1 cognitive 2 reserve 2 reserve 3 may 3 may 5 for 4 allow 5 for 5 for 9 usage 6 more 9 usage 7 flexible 8 strategy 8 strategy 9 usage 10 , 12 ability 10 , 20 tasks 11 an 12 ability 12 ability 13 thought 12 ability 14 to 12 ability 16 captured 12 ability 20 tasks 14 to 15 be 15 be 16 captured 16 captured 17 by 17 by 19 functions 18 executive 19 functions additionally , cognitive reserve allows individuals greater neural efficiency , greater neural capacity , and the ability for compensation via the recruitment of additional brain regions . 0 ###LEFT-WALL### 4 reserve 0 ###LEFT-WALL### 5 allows 0 ###LEFT-WALL### 27 . 1 additionally 2 , 1 additionally 4 reserve 3 cognitive 4 reserve 4 reserve 5 allows 5 allows 6 individuals 5 allows 9 efficiency 5 allows 15 and 7 greater 9 efficiency 8 neural 9 efficiency 9 efficiency 13 capacity 10 , 13 capacity 11 greater 13 capacity 12 neural 13 capacity 13 capacity 14 , 15 and 17 ability 15 and 26 regions 16 the 17 ability 17 ability 18 for 17 ability 20 via 18 for 19 compensation 20 via 22 recruitment 21 the 22 recruitment 22 recruitment 23 of 23 of 25 brain 24 additional 25 brain taking cognitive reserve into account may allow for earlier detection and better characterization of age - related cognitive changes and alzheimer 's disease . 0 ###LEFT-WALL### 1 taking 0 ###LEFT-WALL### 8 for 0 ###LEFT-WALL### 17 related 1 taking 3 reserve 1 taking 5 account 1 taking 6 may 2 cognitive 3 reserve 4 into 5 account 6 may 8 for 7 allow 8 for 8 for 13 characterization 9 earlier 13 characterization 10 detection 11 and 11 and 12 better 11 and 13 characterization 13 characterization 14 of 14 of 15 age 16 - 17 related 17 related 20 and 17 related 24 . 18 cognitive 19 changes 19 changes 20 and 20 and 23 disease 21 alzheimer 22 's 22 's 23 disease importantly , cognitive reserve is not fixed but continues to evolve across the lifespan . 0 ###LEFT-WALL### 4 reserve 0 ###LEFT-WALL### 8 but 0 ###LEFT-WALL### 15 . 1 importantly 2 , 1 importantly 4 reserve 3 cognitive 4 reserve 4 reserve 8 but 5 is 6 not 5 is 7 fixed 5 is 8 but 8 but 9 continues 9 continues 10 to 9 continues 11 evolve 10 to 11 evolve 11 evolve 12 across 12 across 14 lifespan 13 the 14 lifespan thus , even late - stage interventions [hold] promise to boost cognitive reserve and thus reduce the prevalence of alzheimer 's disease and other age - related problems . 0 ###LEFT-WALL### 3 even 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 27 related 1 thus 2 , 1 thus 3 even 3 even 7 interventions 4 late 5 - 4 late 7 interventions 6 stage 7 interventions 7 interventions 14 and 9 promise 10 to 9 promise 11 boost 9 promise 14 and 10 to 11 boost 11 boost 13 reserve 12 cognitive 13 reserve 14 and 16 reduce 14 and 23 and 15 thus 16 reduce 17 the 23 and 18 prevalence 19 of 18 prevalence 23 and 19 of 22 disease 20 alzheimer 21 's 21 's 22 disease 23 and 25 age 24 other 25 age 26 - 27 related 27 related 28 problems 27 related 29 . diabetic neuropathy is the third most common complication of diabetes mellitus . 0 ###LEFT-WALL### 2 neuropathy 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 12 . 1 diabetic 2 neuropathy 2 neuropathy 3 is 3 is 8 complication 4 the 5 third 4 the 8 complication 6 most 7 common 7 common 8 complication 8 complication 9 of 9 of 11 mellitus 10 diabetes 11 mellitus when this neuropathy is accompanied by pain , it requires a specific treatment . 0 ###LEFT-WALL### 9 it 0 ###LEFT-WALL### 10 requires 0 ###LEFT-WALL### 14 . 1 when 3 neuropathy 1 when 5 accompanied 1 when 8 , 1 when 9 it 2 this 3 neuropathy 3 neuropathy 4 is 4 is 5 accompanied 5 accompanied 6 by 6 by 7 pain 9 it 10 requires 10 requires 13 treatment 11 a 12 specific 11 a 13 treatment 12 specific 13 treatment in the elderly patient , the pain has an enormous impact on quality of life , as it is associated with anxiety , depression and sleep disorders , leading to a direct impact on the functionality of the patient . 0 ###LEFT-WALL### 7 pain 0 ###LEFT-WALL### 8 has 1 in 4 patient 1 in 5 , 1 in 7 pain 2 the 4 patient 3 elderly 4 patient 6 the 7 pain 7 pain 8 has 8 has 11 impact 8 has 12 on 8 has 21 with 8 has 29 leading 9 an 10 enormous 9 an 11 impact 10 enormous 11 impact 12 on 13 quality 13 quality 14 of 14 of 15 life 15 life 20 associated 16 , 20 associated 17 as 18 it 17 as 20 associated 18 it 19 is 19 is 20 associated 21 with 25 and 22 anxiety 23 , 23 , 24 depression 23 , 25 and 25 and 27 disorders 26 sleep 27 disorders 28 , 29 leading 29 leading 30 to 29 leading 34 on 29 leading 40 . 30 to 33 impact 31 a 33 impact 32 direct 33 impact 34 on 36 functionality 35 the 36 functionality 36 functionality 37 of 37 of 39 patient 38 the 39 patient likewise , there are a number of changes at the central and peripheral nervous system , which contribute to the chronicity of painful processes , and eventually also affect and impact on the quality of life of elderly patients . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 40 . 1 likewise 2 , 1 likewise 3 there 3 there 4 are 4 are 30 and 5 a 6 number 6 number 7 of 6 number 12 and 7 of 8 changes 8 changes 9 at 9 at 11 central 10 the 11 central 12 and 15 system 12 and 16 , 12 and 17 which 12 and 26 and 12 and 30 and 13 peripheral 15 system 14 nervous 15 system 17 which 26 and 18 contribute 19 to 18 contribute 26 and 19 to 21 chronicity 20 the 21 chronicity 21 chronicity 22 of 22 of 24 processes 23 painful 24 processes 25 , 26 and 26 and 29 affect 27 eventually 29 affect 28 also 29 affect 30 and 31 impact 30 and 32 on 32 on 34 quality 33 the 34 quality 34 quality 35 of 34 quality 37 of 35 of 36 life 37 of 39 patients 38 elderly 39 patients it is fundamental before initiating treatment , to know of all aspects related to drug pharmacokinetics and pharmacodynamics , especially those related to aging , because this will allow you to select the best drug for each patient . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 7 , 1 it 2 is 2 is 3 fundamental 3 fundamental 4 before 4 before 5 initiating 5 initiating 6 treatment 7 , 21 those 7 , 22 related 8 to 9 know 8 to 19 , 8 to 21 those 9 know 10 of 9 know 14 to 10 of 11 all 11 all 12 aspects 11 all 13 related 12 aspects 13 related 14 to 17 and 15 drug 16 pharmacokinetics 16 pharmacokinetics 17 and 17 and 18 pharmacodynamics 20 especially 21 those 21 those 22 related 22 related 23 to 23 to 24 aging 24 aging 26 because 25 , 26 because 26 because 27 this 26 because 29 allow 26 because 39 . 27 this 28 will 28 will 29 allow 29 allow 30 you 29 allow 31 to 29 allow 32 select 31 to 32 select 32 select 35 drug 32 select 36 for 33 the 34 best 33 the 35 drug 36 for 38 patient 37 each 38 patient this article aims to review the pathophysiological concepts related to diabetic neuropathy in the elderly and the best treatment options . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 9 related 0 ###LEFT-WALL### 21 . 1 this 2 article 2 article 3 aims 3 aims 4 to 3 aims 9 related 4 to 5 review 5 review 7 pathophysiological 6 the 7 pathophysiological 8 concepts 9 related 9 related 10 to 9 related 13 in 10 to 12 neuropathy 11 diabetic 12 neuropathy 13 in 20 options 14 the 20 options 15 elderly 16 and 16 and 18 best 16 and 19 treatment 17 the 18 best 19 treatment 20 options aging is associated with an increasing prevalence of chronic diseases , including type 2 diabetes mellitus and its chronic and acute complications . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 3 associated 0 ###LEFT-WALL### 23 . 1 aging 2 is 2 is 3 associated 3 associated 4 with 4 with 17 and 5 an 7 prevalence 6 increasing 7 prevalence 7 prevalence 8 of 7 prevalence 11 , 8 of 10 diseases 9 chronic 10 diseases 11 , 16 mellitus 11 , 17 and 12 including 16 mellitus 13 type 15 diabetes 14 2 15 diabetes 15 diabetes 16 mellitus 17 and 22 complications 18 its 22 complications 19 chronic 20 and 20 and 21 acute 20 and 22 complications with changes observed in diabetes mellitus treatment goals and the lower levels of glycosylated hemoglobin recommended , the prevalence of hypoglycemia [especially] in patients treated with insulin has increased . 0 ###LEFT-WALL### 19 prevalence 0 ###LEFT-WALL### 29 increased 0 ###LEFT-WALL### 30 . 1 with 2 changes 1 with 19 prevalence 2 changes 3 observed 2 changes 13 of 3 observed 4 in 4 in 9 and 5 diabetes 6 mellitus 6 mellitus 8 goals 7 treatment 8 goals 8 goals 9 and 9 and 12 levels 10 the 12 levels 11 lower 12 levels 13 of 15 hemoglobin 14 glycosylated 15 hemoglobin 16 recommended 17 , 16 recommended 19 prevalence 18 the 19 prevalence 19 prevalence 20 of 19 prevalence 28 has 20 of 21 hypoglycemia 21 hypoglycemia 23 in 21 hypoglycemia 25 treated 23 in 24 patients 25 treated 26 with 26 with 27 insulin 28 has 29 increased aging and changes in the physiologic reserves generate a decreased perception of symptoms associated with hypoglycemia , increasing the risk of unawareness or severe episodes . 0 ###LEFT-WALL### 7 reserves 0 ###LEFT-WALL### 8 generate 1 aging 2 and 2 and 3 changes 2 and 4 in 2 and 7 reserves 4 in 6 physiologic 5 the 6 physiologic 7 reserves 8 generate 8 generate 11 perception 9 a 11 perception 10 decreased 11 perception 11 perception 12 of 11 perception 14 associated 11 perception 18 increasing 12 of 13 symptoms 14 associated 15 with 15 with 16 hypoglycemia 17 , 18 increasing 18 increasing 20 risk 18 increasing 26 . 19 the 20 risk 20 risk 21 of 21 of 25 episodes 22 unawareness 23 or 23 or 24 severe 23 or 25 episodes traditionally , age was a risk factor for hypoglycemia , but in the population over 60 years , multiple comorbidities like chronic heart failure , malnutrition and renal failure are associated with increased risk of developing this acute complication . 0 ###LEFT-WALL### 3 age 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 40 . 1 traditionally 2 , 1 traditionally 3 age 3 age 4 was 4 was 7 factor 5 a 7 factor 6 risk 7 factor 7 factor 11 but 7 factor 15 over 8 for 9 hypoglycemia 8 for 11 but 10 , 11 but 11 but 12 in 12 in 14 population 13 the 14 population 15 over 17 years 16 60 17 years 18 , 27 and 18 , 31 associated 19 multiple 20 comorbidities 20 comorbidities 21 like 20 comorbidities 25 , 21 like 24 failure 22 chronic 23 heart 23 heart 24 failure 25 , 26 malnutrition 25 , 27 and 27 and 29 failure 27 and 30 are 28 renal 29 failure 30 are 31 associated 31 associated 32 with 32 with 34 risk 33 increased 34 risk 34 risk 35 of 35 of 36 developing 36 developing 39 complication 37 this 39 complication 38 acute 39 complication it is necessary to train doctors and nurses from all levels of care to recognize the specific clinical manifestation of low blood glucose that [allow] early detection and treatment , because this complication is associated with an increased hospital and 1 [-] year after discharge mortality , [with] [falls] and cognitive impairment that directly affect the independence and functionality of older persons . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 1 it 2 is 2 is 7 and 2 is 9 from 3 necessary 4 to 3 necessary 7 and 4 to 6 doctors 5 train 6 doctors 7 and 8 nurses 9 from 11 levels 10 all 11 levels 11 levels 12 of 11 levels 14 to 11 levels 15 recognize 12 of 13 care 14 to 15 recognize 15 recognize 19 manifestation 16 the 19 manifestation 17 specific 19 manifestation 18 clinical 19 manifestation 19 manifestation 20 of 20 of 23 glucose 21 low 22 blood 22 blood 23 glucose 23 glucose 24 that 23 glucose 35 associated 24 that 28 and 24 that 35 associated 26 early 27 detection 27 detection 28 and 28 and 29 treatment 28 and 30 , 28 and 31 because 28 and 34 is 28 and 35 associated 31 because 33 complication 32 this 33 complication 33 complication 34 is 35 associated 36 with 35 associated 44 after 36 with 40 and 37 an 39 hospital 38 increased 39 hospital 39 hospital 40 and 40 and 43 year 41 1 43 year 44 after 50 and 44 after 55 affect 45 discharge 46 mortality 46 mortality 50 and 47 , 50 and 50 and 52 impairment 50 and 55 affect 51 cognitive 52 impairment 53 that 54 directly 54 directly 55 affect 55 affect 58 and 56 the 58 and 57 independence 58 and 58 and 59 functionality 58 and 63 . 59 functionality 60 of 60 of 62 persons 61 older 62 persons the aging process conveys multiple changes in the organism , as well as changes in individual ['s] surroundings . 0 ###LEFT-WALL### 3 process 0 ###LEFT-WALL### 4 conveys 1 the 3 process 2 aging 3 process 3 process 4 conveys 4 conveys 6 changes 4 conveys 7 in 4 conveys 13 as 5 multiple 6 changes 7 in 9 organism 8 the 9 organism 10 , 13 as 11 as 12 well 12 well 13 as 13 as 14 changes 13 as 19 . 14 changes 15 in 15 in 18 surroundings 16 individual 18 surroundings such modifications make the appearance of this sufferance , diagnose , and treatment [to] be complex and different in the rest of the population . 0 ###LEFT-WALL### 2 modifications 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 25 . 1 such 2 modifications 2 modifications 9 , 3 make 5 appearance 3 make 9 , 4 the 5 appearance 5 appearance 6 of 6 of 8 sufferance 7 this 8 sufferance 9 , 10 diagnose 11 , 12 and 12 and 13 treatment 12 and 15 be 13 treatment 15 be 15 be 17 and 16 complex 17 and 17 and 18 different 18 different 19 in 19 in 21 rest 20 the 21 rest 21 rest 22 of 22 of 24 population 23 the 24 population the last makes [necessary] the coordinated work of the multidisciplinary team , in [which] the diabetic senior , caretaker , or relative most be actively participants . 0 ###LEFT-WALL### 2 last 0 ###LEFT-WALL### 3 makes 0 ###LEFT-WALL### 27 . 1 the 2 last 2 last 3 makes 3 makes 21 or 3 makes 26 participants 5 the 7 work 6 coordinated 7 work 7 work 8 of 7 work 21 or 8 of 11 team 9 the 11 team 10 multidisciplinary 11 team 11 team 13 in 12 , 13 in 13 in 19 caretaker 13 in 20 , 15 the 19 caretaker 16 diabetic 19 caretaker 17 senior 18 , 17 senior 19 caretaker 21 or 22 relative 21 or 23 most 21 or 24 be 23 most 24 be 24 be 25 actively the success of preventive and curative measures relies in increasing knowledge about health and [,] life conditions ( economic , social , community , family , etc [.] ) of each patient [and] of the senior population in general [;] as well as facilitating the patient with information about the means to have a better understanding about the disease , and the available resources for its treatment , [and] to be aware of the importance of achieving the therapeutic objectives . 0 ###LEFT-WALL### 2 success 0 ###LEFT-WALL### 8 relies 1 the 2 success 2 success 3 of 2 success 8 relies 3 of 5 and 4 preventive 5 and 5 and 7 measures 6 curative 7 measures 8 relies 9 in 9 in 10 increasing 10 increasing 11 knowledge 11 knowledge 12 about 12 about 21 social 13 health 14 and 14 and 16 life 14 and 20 , 14 and 21 social 17 conditions 19 economic 18 ( 19 economic 19 economic 20 , 21 social 23 community 21 social 25 family 21 social 30 of 22 , 23 community 23 community 24 , 24 , 25 family 25 family 27 etc 25 family 29 ) 26 , 27 etc 27 etc 29 ) 30 of 32 patient 31 each 32 patient 32 patient 34 of 34 of 37 population 35 the 37 population 36 senior 37 population 37 population 39 general 37 population 43 as 38 in 39 general 41 as 42 well 42 well 43 as 43 as 44 facilitating 44 facilitating 46 patient 44 facilitating 47 with 45 the 46 patient 47 with 48 information 47 with 56 understanding 48 information 49 about 49 about 51 means 50 the 51 means 51 means 52 to 51 means 53 have 52 to 53 have 54 a 56 understanding 55 better 56 understanding 56 understanding 57 about 57 about 61 and 58 the 59 disease 59 disease 61 and 60 , 61 and 61 and 64 resources 61 and 65 for 61 and 70 to 62 the 64 resources 63 available 64 resources 65 for 67 treatment 66 its 67 treatment 68 , 70 to 70 to 71 be 70 to 81 . 71 be 72 aware 72 aware 73 of 73 of 75 importance 74 the 75 importance 75 importance 76 of 76 of 77 achieving 77 achieving 80 objectives 78 the 80 objectives 79 therapeutic 80 objectives this last part is particularly important for the nutritional treatment for diabetes , since its objective is the change in the habit , and customs of nutrition , and the physical activity that the patient has realized throughout many years . 0 ###LEFT-WALL### 3 part 0 ###LEFT-WALL### 4 is 1 this 3 part 2 last 3 part 3 part 4 is 4 is 6 important 5 particularly 6 important 6 important 7 for 6 important 14 since 7 for 10 treatment 8 the 10 treatment 9 nutritional 10 treatment 10 treatment 11 for 11 for 12 diabetes 13 , 14 since 14 since 16 objective 14 since 17 is 14 since 41 . 15 its 16 objective 16 objective 17 is 17 is 19 change 17 is 20 in 18 the 19 change 20 in 24 and 21 the 22 habit 22 habit 24 and 23 , 24 and 24 and 25 customs 24 and 26 of 24 and 33 that 24 and 37 realized 26 of 29 and 27 nutrition 29 and 28 , 29 and 29 and 32 activity 30 the 32 activity 31 physical 32 activity 33 that 35 patient 33 that 37 realized 34 the 35 patient 35 patient 36 has 36 has 37 realized 37 realized 38 throughout 38 throughout 40 years 39 many 40 years older patients with diabetes have a high risk of vascular complications . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 5 have 0 ###LEFT-WALL### 12 . 1 older 2 patients 2 patients 3 with 2 patients 5 have 3 with 4 diabetes 5 have 8 risk 6 a 7 high 6 a 8 risk 7 high 8 risk 8 risk 9 of 9 of 11 complications 10 vascular 11 complications they have an increase of approximately 3 times for developing stroke compared with subjects without diabetes . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 2 have 0 ###LEFT-WALL### 17 . 1 they 2 have 2 have 4 increase 3 an 4 increase 4 increase 5 of 4 increase 12 compared 5 of 7 3 6 approximately 7 3 7 3 8 times 7 3 11 stroke 8 times 9 for 8 times 11 stroke 9 for 10 developing 12 compared 13 with 12 compared 15 without 13 with 14 subjects 15 without 16 diabetes in addition , up to 75 - 80 % of deaths in diabetic patients are associated with major cardiovascular events including [stroke] . 0 ###LEFT-WALL### 9 % 0 ###LEFT-WALL### 16 associated 0 ###LEFT-WALL### 23 . 1 in 2 addition 1 in 3 , 1 in 9 % 4 up 5 to 5 to 6 75 6 75 7 - 7 - 8 80 7 - 9 % 9 % 10 of 9 % 15 are 10 of 11 deaths 11 deaths 12 in 12 in 14 patients 13 diabetic 14 patients 15 are 16 associated 16 associated 17 with 17 with 21 including 18 major 20 events 19 cardiovascular 20 events 20 events 21 including the risk [of] stroke is high within 5 years of diagnosis for type 2 diabetes is 9 % ( [mortality] 21 % ) , that is more than doubles the rate for the general population . 0 ###LEFT-WALL### 4 stroke 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 36 . 1 the 4 stroke 2 risk 4 stroke 4 stroke 24 , 5 is 6 high 5 is 24 , 6 high 7 within 7 within 9 years 8 5 9 years 9 years 10 of 9 years 15 diabetes 9 years 16 is 9 years 22 % 10 of 11 diagnosis 11 diagnosis 12 for 12 for 13 type 13 type 14 2 15 diabetes 16 is 16 is 18 % 17 9 18 % 19 ( 22 % 21 21 22 % 22 % 23 ) 24 , 29 doubles 25 that 26 is 26 is 29 doubles 27 more 28 than 28 than 29 doubles 29 doubles 31 rate 30 the 31 rate 31 rate 32 for 32 for 35 population 33 the 35 population 34 general 35 population from observational registries in a collaborative stroke study in mexico , we analyzed clinical data , risk factors , and outcome of 1182 diabetic patients with cerebral ischemia , with focus in elderly subjects . 0 ###LEFT-WALL### 12 we 0 ###LEFT-WALL### 13 analyzed 0 ###LEFT-WALL### 35 . 1 from 3 registries 1 from 11 , 1 from 12 we 2 observational 3 registries 3 registries 4 in 4 in 8 study 5 a 8 study 6 collaborative 8 study 7 stroke 8 study 8 study 9 in 9 in 10 mexico 12 we 13 analyzed 13 analyzed 15 data 13 analyzed 30 with 13 analyzed 32 in 14 clinical 15 data 15 data 20 and 16 , 20 and 17 risk 18 factors 18 factors 20 and 19 , 20 and 20 and 21 outcome 20 and 22 of 20 and 29 , 22 of 25 patients 23 1182 25 patients 24 diabetic 25 patients 25 patients 26 with 26 with 28 ischemia 27 cerebral 28 ischemia 30 with 31 focus 32 in 34 subjects 33 elderly 34 subjects there was a high frequency of hyperglycemia during the acute phase [of] stroke : the median value was 140 mg/dl and 40 % had values higher than 180 mg/dl . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 14 : 1 there 2 was 2 was 5 frequency 3 a 5 frequency 4 high 5 frequency 5 frequency 6 of 6 of 7 hyperglycemia 7 hyperglycemia 8 during 8 during 13 stroke 9 the 13 stroke 10 acute 11 phase 11 phase 13 stroke 14 : 17 value 14 : 18 was 14 : 21 and 14 : 30 . 15 the 17 value 16 median 17 value 17 value 18 was 18 was 20 mg/dl 19 140 20 mg/dl 21 and 23 % 21 and 24 had 22 40 23 % 23 % 24 had 24 had 25 values 24 had 26 higher 24 had 27 than 27 than 29 mg/dl 28 180 29 mg/dl clinical [outcome] was usually unfavorable in elderly stroke patients with diabetes : case fatality rate [was] 30 [%] at 30 days and survivors had moderate to severe disability , usually as [consequence] of the propensity to develop more systemic medical complications [during] [hospital] stay . 0 ###LEFT-WALL### 1 clinical 0 ###LEFT-WALL### 12 : 0 ###LEFT-WALL### 45 . 1 clinical 3 was 3 was 4 usually 3 was 5 unfavorable 4 usually 5 unfavorable 5 unfavorable 6 in 5 unfavorable 10 with 6 in 9 patients 7 elderly 8 stroke 8 stroke 9 patients 10 with 11 diabetes 12 : 13 case 12 : 29 , 13 case 15 rate 13 case 19 at 14 fatality 15 rate 15 rate 17 30 19 at 20 30 20 30 22 and 20 30 24 had 21 days 22 and 22 and 23 survivors 22 and 24 had 24 had 25 moderate 25 moderate 26 to 26 to 28 disability 27 severe 28 disability 29 , 41 complications 29 , 44 stay 30 usually 41 complications 31 as 33 of 31 as 41 complications 33 of 35 propensity 34 the 35 propensity 35 propensity 36 to 35 propensity 37 develop 36 to 37 develop 38 more 41 complications 39 systemic 41 complications 40 medical 41 complications 41 complications 44 stay primary stroke prevention studies in patients with diabetes reveal that tight control of glucose is not associated with reduction in stroke risk . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 9 reveal 0 ###LEFT-WALL### 23 . 1 primary 4 studies 2 stroke 4 studies 3 prevention 4 studies 4 studies 5 in 4 studies 7 with 4 studies 9 reveal 5 in 6 patients 7 with 8 diabetes 9 reveal 11 tight 9 reveal 12 control 9 reveal 15 is 10 that 11 tight 12 control 13 of 12 control 15 is 13 of 14 glucose 15 is 16 not 15 is 18 with 16 not 17 associated 18 with 19 reduction 19 reduction 20 in 20 in 22 risk 21 stroke 22 risk therefore , proper control of other vascular risk factors is mandatory in patients with diabetes , [in] particular [of] arterial hypertension . 0 ###LEFT-WALL### 4 control 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 22 . 1 therefore 2 , 1 therefore 4 control 3 proper 4 control 4 control 5 of 4 control 10 is 5 of 9 factors 6 other 9 factors 7 vascular 9 factors 8 risk 9 factors 10 is 11 mandatory 11 mandatory 12 in 11 mandatory 14 with 12 in 13 patients 14 with 15 diabetes 16 , 21 hypertension 18 particular 21 hypertension 20 arterial 21 hypertension glucose tolerance declines with age , resulting in a high prevalence of type 2 diabetes and impaired glucose tolerance in the elderly population . 0 ###LEFT-WALL### 2 tolerance 0 ###LEFT-WALL### 3 declines 1 glucose 2 tolerance 2 tolerance 3 declines 3 declines 4 with 3 declines 7 resulting 4 with 5 age 6 , 7 resulting 7 resulting 8 in 7 resulting 20 in 7 resulting 24 . 8 in 11 prevalence 9 a 11 prevalence 10 high 11 prevalence 11 prevalence 12 of 12 of 16 and 13 type 15 diabetes 14 2 15 diabetes 15 diabetes 16 and 16 and 19 tolerance 17 impaired 19 tolerance 18 glucose 19 tolerance 20 in 23 population 21 the 23 population 22 elderly 23 population the pathogenesis of the age [-] related glucose intolerance is multifactorial ; includes the interaction of many variables associated with aging including increased visceral adiposity , decreased physical activity , the use of diverse medications , coexisting illness , diminished insulin secretion and sensitivity , however the age - related effect over glucose metabolism is still controversial . 0 ###LEFT-WALL### 2 pathogenesis 0 ###LEFT-WALL### 12 ; 1 the 2 pathogenesis 2 pathogenesis 3 of 2 pathogenesis 7 related 3 of 5 age 4 the 5 age 7 related 9 intolerance 7 related 10 is 8 glucose 9 intolerance 9 intolerance 10 is 10 is 11 multifactorial 12 ; 13 includes 12 ; 23 increased 13 includes 15 interaction 13 includes 22 including 13 includes 23 increased 14 the 15 interaction 15 interaction 16 of 15 interaction 19 associated 16 of 18 variables 17 many 18 variables 19 associated 20 with 20 with 21 aging 21 aging 22 including 23 increased 25 adiposity 24 visceral 25 adiposity 25 adiposity 29 activity 25 adiposity 37 coexisting 26 , 29 activity 27 decreased 29 activity 28 physical 29 activity 29 activity 32 use 29 activity 36 , 30 , 32 use 31 the 32 use 32 use 33 of 32 use 36 , 33 of 35 medications 34 diverse 35 medications 36 , 37 coexisting 37 coexisting 38 illness 37 coexisting 46 however 38 illness 43 and 39 , 43 and 40 diminished 41 insulin 41 insulin 42 secretion 42 secretion 43 and 43 and 44 sensitivity 43 and 45 , 45 , 46 however 46 however 48 age 46 however 55 is 46 however 58 . 47 the 48 age 48 age 55 is 49 - 50 related 50 related 51 effect 50 related 55 is 51 effect 52 over 52 over 54 metabolism 53 glucose 54 metabolism 55 is 56 still 55 is 57 controversial in mexico glucose intolerance is present in 15 - 20 % of the population older than 60 years and increases the risk for developing diabetes and cardiovascular disease . 0 ###LEFT-WALL### 4 intolerance 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 29 . 1 in 3 glucose 1 in 4 intolerance 2 mexico 3 glucose 4 intolerance 19 and 5 is 6 present 5 is 19 and 6 present 7 in 7 in 11 % 8 15 9 - 9 - 10 20 9 - 11 % 11 % 12 of 12 of 14 population 13 the 14 population 14 population 15 older 15 older 16 than 16 than 18 years 17 60 18 years 19 and 20 increases 20 increases 26 and 21 the 26 and 22 risk 23 for 22 risk 26 and 23 for 24 developing 24 developing 25 diabetes 26 and 28 disease 27 cardiovascular 28 disease patients diagnosed with diabetes at an advanced age have particular characteristics ; tend to be less obese , have more beta cell dysfunction and may be diagnosed with a hyperosomolar state . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 9 have 0 ###LEFT-WALL### 12 ; 0 ###LEFT-WALL### 32 . 1 patients 2 diagnosed 1 patients 9 have 2 diagnosed 3 with 2 diagnosed 5 at 3 with 4 diabetes 5 at 8 age 6 an 7 advanced 6 an 8 age 7 advanced 8 age 9 have 11 characteristics 10 particular 11 characteristics 12 ; 13 tend 13 tend 14 to 13 tend 18 , 14 to 18 , 15 be 17 obese 15 be 18 , 16 less 17 obese 18 , 24 and 18 , 28 with 19 have 23 dysfunction 19 have 24 and 20 more 23 dysfunction 21 beta 23 dysfunction 22 cell 23 dysfunction 24 and 25 may 25 may 26 be 26 be 27 diagnosed 28 with 31 state 29 a 30 hyperosomolar 29 a 31 state 30 hyperosomolar 31 state lifestyle modifications are particularly effective in preventing diabetes in this age group . 0 ###LEFT-WALL### 2 modifications 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 13 . 1 lifestyle 2 modifications 2 modifications 3 are 3 are 5 effective 4 particularly 5 effective 5 effective 6 in 6 in 7 preventing 7 preventing 8 diabetes 7 preventing 9 in 9 in 12 group 10 this 12 group 11 age 12 group none none the aim of this study was to examine the effect of aging on strategy selection in a paired [-] associate word task . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 24 task 0 ###LEFT-WALL### 25 . 1 none 4 aim 1 none 14 aging 1 none 24 task 2 none 3 the 3 the 4 aim 4 aim 5 of 4 aim 8 was 5 of 7 study 6 this 7 study 8 was 9 to 8 was 10 examine 9 to 10 examine 10 examine 12 effect 11 the 12 effect 12 effect 13 of 13 of 14 aging 14 aging 15 on 14 aging 18 in 15 on 17 selection 16 strategy 17 selection 18 in 23 word 19 a 23 word 20 paired 22 associate 22 associate 23 word twenty - eight younger adults ( mean age [=] 20.68 years ) and 28 older adults ( mean age [=] 68.46 years ) studied 39 pairs of concrete , middle and abstract words . 0 ###LEFT-WALL### 1 twenty 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 34 . 2 - 5 adults 2 - 13 and 3 eight 5 adults 4 younger 5 adults 5 adults 11 years 6 ( 11 years 7 mean 8 age 8 age 11 years 10 20.68 11 years 11 years 12 ) 13 and 16 adults 13 and 24 studied 14 28 16 adults 15 older 16 adults 16 adults 22 years 16 adults 24 studied 17 ( 22 years 18 mean 19 age 19 age 22 years 21 68.46 22 years 22 years 23 ) 24 studied 31 and 25 39 26 pairs 26 pairs 27 of 26 pairs 29 , 27 of 28 concrete 29 , 30 middle 29 , 31 and 31 and 33 words 32 abstract 33 words the concreteness level was manipulated in order to modify the benefit of imagery and sentence strategies in relation to task characteristics . 0 ###LEFT-WALL### 3 level 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 22 . 1 the 3 level 2 concreteness 3 level 3 level 4 was 4 was 5 manipulated 5 manipulated 6 in 5 manipulated 8 to 6 in 7 order 8 to 14 and 9 modify 11 benefit 9 modify 14 and 10 the 11 benefit 11 benefit 12 of 12 of 13 imagery 14 and 15 sentence 15 sentence 16 strategies 15 sentence 17 in 15 sentence 19 to 15 sentence 20 task 17 in 18 relation 19 to 20 task 20 task 21 characteristics the results showed an age difference in strategy selection in relation to concreteness level . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 15 . 1 the 2 results 2 results 3 showed 3 showed 6 difference 3 showed 9 selection 3 showed 12 to 4 an 5 age 4 an 6 difference 5 age 6 difference 6 difference 7 in 7 in 8 strategy 10 in 11 relation 11 relation 12 to 12 to 14 level 13 concreteness 14 level older adults showed less adaptive strategy selection for the imagery strategy but not for the sentence strategy . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 18 . 1 older 2 adults 2 adults 3 showed 3 showed 6 strategy 3 showed 7 selection 4 less 5 adaptive 5 adaptive 6 strategy 7 selection 12 but 8 for 11 strategy 8 for 12 but 9 the 11 strategy 10 imagery 11 strategy 12 but 13 not 12 but 14 for 14 for 17 strategy 15 the 17 strategy 16 sentence 17 strategy change in strategy selection did not seem to be explained by better efficiency of sentence [than] imagery , so this study suggests a partial reduction of strategy adaptivity during aging . 0 ###LEFT-WALL### 1 change 0 ###LEFT-WALL### 7 seem 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 31 . 1 change 2 in 1 change 5 did 2 in 4 selection 3 strategy 4 selection 5 did 6 not 5 did 7 seem 7 seem 8 to 7 seem 10 explained 8 to 9 be 9 be 10 explained 10 explained 11 by 11 by 13 efficiency 12 better 13 efficiency 13 efficiency 14 of 14 of 17 imagery 15 sentence 17 imagery 18 , 19 so 18 , 22 suggests 19 so 21 study 20 this 21 study 21 study 22 suggests 22 suggests 25 reduction 22 suggests 29 during 23 a 24 partial 23 a 25 reduction 24 partial 25 reduction 25 reduction 26 of 26 of 28 adaptivity 27 strategy 28 adaptivity 29 during 30 aging stem cells participate in dynamic physiologic systems that dictate the outcome of developmental events and organismal stress , since these cells are fundamental to tissue maintenance and repair , the signals they receive play a critical role in the integrity of the organism . 0 ###LEFT-WALL### 2 cells 0 ###LEFT-WALL### 3 participate 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 44 . 1 stem 2 cells 2 cells 3 participate 3 participate 4 in 4 in 7 systems 5 dynamic 7 systems 6 physiologic 7 systems 7 systems 8 that 7 systems 9 dictate 8 that 9 dictate 9 dictate 15 and 10 the 11 outcome 11 outcome 12 of 11 outcome 15 and 12 of 14 events 13 developmental 14 events 15 and 17 stress 16 organismal 17 stress 18 , 21 cells 18 , 22 are 18 , 29 , 19 since 21 cells 20 these 21 cells 21 cells 22 are 22 are 23 fundamental 23 fundamental 24 to 24 to 27 and 25 tissue 26 maintenance 26 maintenance 27 and 27 and 28 repair 27 and 29 , 29 , 31 signals 29 , 34 play 30 the 31 signals 31 signals 32 they 31 signals 33 receive 31 signals 34 play 32 they 33 receive 34 play 37 role 34 play 38 in 35 a 37 role 36 critical 37 role 38 in 40 integrity 39 the 40 integrity 40 integrity 41 of 41 of 43 organism 42 the 43 organism much work has focused on stem cell identification and the molecular pathways involved in their regulation . 0 ###LEFT-WALL### 2 work 0 ###LEFT-WALL### 4 focused 0 ###LEFT-WALL### 17 . 1 much 2 work 2 work 3 has 3 has 4 focused 4 focused 5 on 5 on 9 and 6 stem 8 identification 7 cell 8 identification 8 identification 9 and 9 and 12 pathways 9 and 13 involved 10 the 12 pathways 11 molecular 12 pathways 13 involved 14 in 14 in 16 regulation 15 their 16 regulation yet , we understand little about how these pathways achieve physiologically responsive stem cell functions . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 understand 0 ###LEFT-WALL### 16 . 1 yet 2 , 1 yet 3 we 3 we 4 understand 4 understand 5 little 4 understand 6 about 6 about 7 how 7 how 9 pathways 7 how 10 achieve 8 these 9 pathways 9 pathways 10 achieve 10 achieve 11 physiologically 10 achieve 15 functions 12 responsive 13 stem 13 stem 15 functions 14 cell 15 functions this chapter will review the state of our understanding of stem cells in the context of their microenvironment regarding the relation between stem cell niche dysfunction , carcinogenesis and aging . 0 ###LEFT-WALL### 2 chapter 0 ###LEFT-WALL### 4 review 0 ###LEFT-WALL### 31 . 1 this 2 chapter 2 chapter 3 will 3 will 4 review 4 review 6 state 4 review 13 in 4 review 22 between 5 the 6 state 6 state 7 of 7 of 9 understanding 8 our 9 understanding 9 understanding 10 of 10 of 12 cells 11 stem 12 cells 13 in 15 context 14 the 15 context 15 context 16 of 16 of 18 microenvironment 17 their 18 microenvironment 18 microenvironment 19 regarding 19 regarding 21 relation 20 the 21 relation 22 between 29 and 23 stem 24 cell 24 cell 26 dysfunction 25 niche 26 dysfunction 26 dysfunction 27 , 27 , 28 carcinogenesis 27 , 29 and 29 and 30 aging telomerase expression is silenced in most adult somatic tissues with the exception [of] adult stem cell ( sc ) compartments , which have the property of having the longest telomeres within a given tissue . 0 ###LEFT-WALL### 2 expression 0 ###LEFT-WALL### 4 silenced 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 27 having 0 ###LEFT-WALL### 35 . 1 telomerase 2 expression 2 expression 3 is 3 is 4 silenced 4 silenced 5 in 4 silenced 10 with 5 in 9 tissues 6 most 9 tissues 7 adult 9 tissues 8 somatic 9 tissues 10 with 16 cell 10 with 20 compartments 11 the 16 cell 12 exception 14 adult 14 adult 16 cell 15 stem 16 cell 16 cell 18 sc 17 ( 18 sc 18 sc 19 ) 21 , 22 which 21 , 23 have 22 which 23 have 23 have 25 property 24 the 25 property 25 property 26 of 26 of 27 having 27 having 30 telomeres 28 the 29 longest 28 the 30 telomeres 30 telomeres 31 within 31 within 34 tissue 32 a 34 tissue 33 given 34 tissue adult sc compartments suffer from telomere shortening associated with organismal aging until telomeres reach a critically short length , which is sufficient to impair sc mobilization and tissue regeneration [.] p53 is essential to prevent that adult sc carrying telomere damage [contribute] to tissue regeneration , indicating a novel role for p53 in sc behavior and therefore in the maintenance of tissue fitness and tumor protection . 1 adult 3 compartments 1 adult 4 suffer 1 adult 7 shortening 1 adult 8 associated 2 sc 3 compartments 3 compartments 4 suffer 4 suffer 5 from 5 from 6 telomere 8 associated 9 with 8 associated 12 until 9 with 11 aging 10 organismal 11 aging 12 until 13 telomeres 12 until 14 reach 13 telomeres 14 reach 14 reach 18 length 14 reach 23 to 15 a 18 length 16 critically 17 short 17 short 18 length 18 length 20 which 19 , 20 which 20 which 21 is 21 is 22 sufficient 23 to 27 and 24 impair 26 mobilization 24 impair 27 and 25 sc 26 mobilization 27 and 35 prevent 28 tissue 29 regeneration 29 regeneration 31 p53 31 p53 32 is 32 is 33 essential 33 essential 34 to 34 to 35 prevent 35 prevent 41 damage 35 prevent 47 indicating 36 that 41 damage 37 adult 41 damage 38 sc 41 damage 39 carrying 41 damage 40 telomere 41 damage 41 damage 43 to 43 to 45 regeneration 44 tissue 45 regeneration 46 , 47 indicating 47 indicating 50 role 48 a 50 role 49 novel 50 role 50 role 56 and 51 for 52 p53 51 for 56 and 52 p53 53 in 53 in 55 behavior 54 sc 55 behavior 56 and 57 therefore 56 and 58 in 58 in 60 maintenance 59 the 60 maintenance 60 maintenance 61 of 61 of 64 and 62 tissue 63 fitness 63 fitness 64 and 64 and 66 protection 64 and 67 . 65 tumor 66 protection reprogramming of adult differentiated cells to a more pluripotent state has been achieved by various means , including somatic cell nuclear transfer and , more recently , [by] over expression of specific transcription factors to generate [the] so - called induced pluripotent [stem] ( ips ) cells . 0 ###LEFT-WALL### 1 reprogramming 0 ###LEFT-WALL### 13 achieved 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 48 . 1 reprogramming 2 of 1 reprogramming 11 has 2 of 5 cells 3 adult 4 differentiated 4 differentiated 5 cells 5 cells 6 to 6 to 10 state 7 a 10 state 8 more 9 pluripotent 9 pluripotent 10 state 11 has 12 been 12 been 13 achieved 13 achieved 14 by 14 by 16 means 15 various 16 means 17 , 22 transfer 17 , 23 and 18 including 22 transfer 19 somatic 20 cell 20 cell 22 transfer 21 nuclear 22 transfer 23 and 24 , 23 and 34 factors 23 and 40 called 25 more 26 recently 26 recently 27 , 26 recently 34 factors 29 over 30 expression 29 over 34 factors 30 expression 31 of 31 of 33 transcription 32 specific 33 transcription 34 factors 35 to 34 factors 36 generate 34 factors 40 called 35 to 36 generate 36 generate 38 so 38 so 39 - 40 called 47 cells 41 induced 47 cells 42 pluripotent 45 ips 42 pluripotent 47 cells 44 ( 45 ips 45 ips 46 ) recent work has demonstrated that telomeric chromatin is remodeled and telomeres are elongated by telomerase during nuclear reprogramming . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 13 elongated 0 ###LEFT-WALL### 19 . 1 recent 9 remodeled 1 recent 10 and 2 work 3 has 3 has 4 demonstrated 4 demonstrated 5 that 5 that 7 chromatin 5 that 9 remodeled 6 telomeric 7 chromatin 7 chromatin 8 is 8 is 9 remodeled 10 and 11 telomeres 10 and 12 are 12 are 13 elongated 13 elongated 14 by 13 elongated 16 during 14 by 15 telomerase 16 during 18 reprogramming 17 nuclear 18 reprogramming these findings suggest that the structure of telomeric chromatin is dynamic and controlled by epigenetic programs associated with the differentiation potential of cells , which are reversed by reprogramming . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 30 . 1 these 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 6 structure 4 that 12 and 5 the 6 structure 6 structure 7 of 6 structure 12 and 7 of 9 chromatin 8 telomeric 9 chromatin 10 is 11 dynamic 10 is 12 and 12 and 13 controlled 12 and 14 by 12 and 21 potential 14 by 16 programs 15 epigenetic 16 programs 16 programs 17 associated 17 associated 18 with 18 with 20 differentiation 19 the 20 differentiation 21 potential 22 of 22 of 23 cells 24 , 25 which 24 , 27 reversed 25 which 26 are 26 are 27 reversed 27 reversed 28 by 28 by 29 reprogramming this chapter will focus on the current knowledge of the role of telomeres and telomerase in adult sc , as well as during nuclear reprograming to generate pluripotent embryonic [-] like stem cells from adult differentiated cells . 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 38 . 1 this 4 focus 2 chapter 3 will 3 will 4 focus 4 focus 5 on 4 focus 14 and 5 on 8 knowledge 6 the 8 knowledge 7 current 8 knowledge 8 knowledge 9 of 9 of 11 role 10 the 11 role 11 role 12 of 12 of 13 telomeres 14 and 15 telomerase 14 and 19 , 14 and 20 as 14 and 29 embryonic 15 telomerase 16 in 16 in 18 sc 17 adult 18 sc 20 as 21 well 21 well 22 as 22 as 23 during 23 during 25 reprograming 24 nuclear 25 reprograming 25 reprograming 26 to 25 reprograming 27 generate 26 to 27 generate 27 generate 28 pluripotent 29 embryonic 31 like 29 embryonic 34 from 31 like 33 cells 32 stem 33 cells 34 from 37 cells 35 adult 36 differentiated 36 differentiated 37 cells evolutionary theories of aging predict a trade - off [between] fertility and lifespan , where increased lifespan comes at the cost of reduced fertility . 0 ###LEFT-WALL### 2 theories 0 ###LEFT-WALL### 5 predict 0 ###LEFT-WALL### 25 . 1 evolutionary 2 theories 2 theories 3 of 2 theories 5 predict 3 of 4 aging 5 predict 7 trade 5 predict 9 off 5 predict 15 where 6 a 7 trade 8 - 9 off 9 off 12 and 9 off 14 , 11 fertility 12 and 12 and 13 lifespan 15 where 17 lifespan 15 where 18 comes 16 increased 17 lifespan 17 lifespan 18 comes 18 comes 19 at 19 at 21 cost 20 the 21 cost 21 cost 22 of 22 of 24 fertility 23 reduced 24 fertility support for this prediction has been obtained from various sources . 0 ###LEFT-WALL### 1 support 0 ###LEFT-WALL### 7 obtained 0 ###LEFT-WALL### 11 . 1 support 2 for 1 support 5 has 2 for 4 prediction 3 this 4 prediction 5 has 6 been 6 been 7 obtained 7 obtained 8 from 8 from 10 sources 9 various 10 sources however , [which] genes underlie this relationship [is] [unknown] . 0 ###LEFT-WALL### 4 genes 0 ###LEFT-WALL### 5 underlie 0 ###LEFT-WALL### 10 . 1 however 2 , 1 however 4 genes 4 genes 5 underlie 5 underlie 7 relationship 6 this 7 relationship to assess it , we first analyzed the association of fertility with age at menarche and menopause , and with mortality in 3,575 married female participants of the rotterdam study . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 assess 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 31 . 1 to 2 assess 2 assess 3 it 4 , 6 first 4 , 7 analyzed 5 we 6 first 6 first 7 analyzed 7 analyzed 9 association 7 analyzed 12 with 7 analyzed 19 and 8 the 9 association 9 association 10 of 10 of 11 fertility 12 with 13 age 14 at 16 and 14 at 19 and 15 menarche 16 and 16 and 17 menopause 18 , 19 and 19 and 20 with 20 with 21 mortality 21 mortality 22 in 22 in 26 participants 23 3,575 26 participants 24 married 26 participants 25 female 26 participants 26 participants 27 of 27 of 30 study 28 the 30 study 29 rotterdam 30 study in addition , we conducted a candidate gene study where 1,664 single nucleotide polymorphisms ( snps ) in 25 candidate genes were analyzed in relation to number of children as a measure of fertility . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 conducted 0 ###LEFT-WALL### 35 . 1 in 2 addition 1 in 3 , 1 in 4 we 4 we 5 conducted 5 conducted 9 study 5 conducted 10 where 6 a 9 study 7 candidate 9 study 8 gene 9 study 10 where 11 1,664 10 where 12 single 11 1,664 12 single 12 single 14 polymorphisms 12 single 18 in 12 single 30 as 13 nucleotide 14 polymorphisms 14 polymorphisms 16 snps 15 ( 16 snps 16 snps 17 ) 18 in 19 25 19 25 21 genes 19 25 27 number 19 25 28 of 20 candidate 21 genes 21 genes 22 were 22 were 23 analyzed 23 analyzed 24 in 23 analyzed 26 to 24 in 25 relation 26 to 27 number 28 of 29 children 30 as 32 measure 31 a 32 measure 32 measure 33 of 33 of 34 fertility snps that associated with fertility were analyzed for association [with] mortality . 0 ###LEFT-WALL### 1 snps 0 ###LEFT-WALL### 7 analyzed 0 ###LEFT-WALL### 12 . 1 snps 2 that 1 snps 3 associated 1 snps 6 were 2 that 3 associated 3 associated 4 with 4 with 5 fertility 6 were 7 analyzed 7 analyzed 8 for 8 for 11 mortality 9 association 11 mortality we observed no associations between fertility and age at menarche ( p = 0.38 ) and menopause ( p = 0.07 ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 observed 0 ###LEFT-WALL### 23 . 1 we 2 observed 2 observed 4 associations 2 observed 5 between 3 no 4 associations 5 between 16 and 6 fertility 7 and 7 and 8 age 7 and 9 at 7 and 16 and 9 at 10 menarche 10 menarche 13 = 11 ( 13 = 12 p 13 = 13 = 14 0.38 13 = 15 ) 16 and 17 menopause 16 and 20 = 18 ( 20 = 19 p 20 = 20 = 21 0.07 20 = 22 ) in contrast , fertility was associated with mortality . 0 ###LEFT-WALL### 4 fertility 0 ###LEFT-WALL### 6 associated 0 ###LEFT-WALL### 9 . 1 in 2 contrast 1 in 3 , 1 in 4 fertility 4 fertility 5 was 5 was 6 associated 6 associated 7 with 7 with 8 mortality women with two to three children had significantly lower mortality ( hazard [ratio] ( hr ) , 0.82 ; 95 % confidence [interval] ( 95 % ci ) , 0.69 - 0.97 ) compared to women with no children . 0 ###LEFT-WALL### 1 women 0 ###LEFT-WALL### 9 lower 0 ###LEFT-WALL### 19 ; 0 ###LEFT-WALL### 40 . 1 women 2 with 1 women 9 lower 2 with 4 to 3 two 4 to 4 to 5 three 4 to 6 children 4 to 7 had 6 children 7 had 8 significantly 9 lower 9 lower 10 mortality 9 lower 18 0.82 10 mortality 12 hazard 11 ( 12 hazard 12 hazard 15 hr 12 hazard 17 , 14 ( 15 hr 15 hr 16 ) 19 ; 22 confidence 19 ; 34 compared 20 95 21 % 21 % 22 confidence 22 confidence 27 ci 22 confidence 31 - 22 confidence 34 compared 24 ( 27 ci 25 95 27 ci 26 % 27 ci 27 ci 28 ) 29 , 31 - 30 0.69 31 - 31 - 32 0.97 31 - 33 ) 34 compared 35 to 34 compared 37 with 35 to 36 women 37 with 39 children 38 no 39 children no such benefit was observed for women with four or more children , who had a similar mortality risk ( hr , 0.93 [;] 95 % ci , 0.76 - 1.13 ) as women with no children . 0 ###LEFT-WALL### 3 benefit 0 ###LEFT-WALL### 5 observed 0 ###LEFT-WALL### 38 . 1 no 2 such 2 such 3 benefit 3 benefit 4 was 4 was 5 observed 5 observed 6 for 5 observed 33 as 6 for 10 or 7 women 8 with 7 women 10 or 8 with 9 four 10 or 12 children 10 or 14 who 11 more 12 children 13 , 14 who 14 who 15 had 14 who 32 ) 15 had 19 risk 15 had 30 - 16 a 17 similar 16 a 19 risk 17 similar 18 mortality 18 mortality 19 risk 19 risk 21 hr 19 risk 27 ci 20 ( 21 hr 21 hr 22 , 22 , 27 ci 23 0.93 27 ci 25 95 27 ci 26 % 27 ci 27 ci 28 , 29 0.76 30 - 30 - 31 1.13 33 as 34 women 34 women 35 with 35 with 37 children 36 no 37 children the analysis of candidate genes revealed four genes that influence fertility after correction for multiple testing : cgb/lhb [gene] cluster ( p = 0.0036 ) , fshr ( p = 0.023 ) , fst ( p = 0.023 ) , and inhba ( p = 0.021 ) . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 6 revealed 0 ###LEFT-WALL### 26 , 0 ###LEFT-WALL### 48 . 1 the 2 analysis 2 analysis 3 of 2 analysis 6 revealed 3 of 5 genes 4 candidate 5 genes 6 revealed 8 genes 6 revealed 20 cluster 7 four 8 genes 8 genes 9 that 8 genes 10 influence 8 genes 20 cluster 9 that 10 influence 10 influence 11 fertility 10 influence 12 after 12 after 13 correction 12 after 17 : 13 correction 14 for 13 correction 17 : 14 for 16 testing 15 multiple 16 testing 17 : 18 cgb/lhb 20 cluster 23 = 21 ( 23 = 22 p 23 = 23 = 24 0.0036 23 = 25 ) 26 , 41 and 27 fshr 30 = 27 fshr 33 , 28 ( 30 = 29 p 30 = 30 = 31 0.023 30 = 32 ) 33 , 34 fst 33 , 41 and 34 fst 37 = 35 ( 37 = 36 p 37 = 37 = 38 0.023 37 = 39 ) 40 , 41 and 41 and 42 inhba 42 inhba 45 = 43 ( 45 = 44 p 45 = 45 = 46 0.021 45 = 47 ) however , none of the independent snps in these genes predicted mortality . 0 ###LEFT-WALL### 10 genes 0 ###LEFT-WALL### 11 predicted 0 ###LEFT-WALL### 13 . 1 however 2 , 1 however 10 genes 3 none 4 of 3 none 10 genes 4 of 7 snps 5 the 6 independent 6 independent 7 snps 7 snps 8 in 8 in 10 genes 9 these 10 genes 10 genes 11 predicted 11 predicted 12 mortality in conclusion , women who bear two to three children live longer than those who bear none or many children , but this relationship was not mediated by the candidate genes analyzed in this study . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 36 . 1 in 2 conclusion 3 , 4 women 3 , 11 live 3 , 22 but 4 women 5 who 4 women 6 bear 4 women 11 live 5 who 6 bear 6 bear 10 children 7 two 8 to 8 to 9 three 8 to 10 children 11 live 12 longer 11 live 13 than 13 than 14 those 14 those 15 who 14 those 16 bear 15 who 16 bear 16 bear 18 or 17 none 18 or 18 or 20 children 18 or 21 , 19 many 20 children 22 but 24 relationship 22 but 27 mediated 23 this 24 relationship 24 relationship 25 was 25 was 26 not 25 was 27 mediated 27 mediated 28 by 27 mediated 33 in 28 by 31 genes 29 the 31 genes 30 candidate 31 genes 31 genes 32 analyzed 33 in 35 study 34 this 35 study these community [-] derived values of healthy older men are necessary to correctly judge patients with lower urinary tract symptoms due to benign prostatic hyperplasia ( luts/bph ) . 0 ###LEFT-WALL### 5 values 0 ###LEFT-WALL### 10 are 0 ###LEFT-WALL### 29 . 1 these 5 values 2 community 4 derived 4 derived 5 values 5 values 6 of 5 values 10 are 6 of 9 men 7 healthy 9 men 8 older 9 men 10 are 11 necessary 11 necessary 12 to 11 necessary 16 with 12 to 14 judge 13 correctly 14 judge 14 judge 15 patients 16 with 20 symptoms 17 lower 19 tract 18 urinary 19 tract 19 tract 20 symptoms 20 symptoms 22 to 21 due 22 to 22 to 25 hyperplasia 23 benign 25 hyperplasia 24 prostatic 25 hyperplasia 25 hyperplasia 27 luts/bph 26 ( 27 luts/bph 27 luts/bph 28 ) methods : analysis of luts/bph - related determinants in community [-] dwelling men in the city of herne , germany after exclusion of subgroups with co - morbidities or co - medications with possible influence on the key items . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 related 1 methods 2 : 2 : 3 analysis 3 analysis 4 of 4 of 5 luts/bph 6 - 7 related 7 related 8 determinants 7 related 9 in 7 related 14 in 7 related 33 with 7 related 40 . 9 in 13 men 10 community 12 dwelling 12 dwelling 13 men 14 in 29 or 15 the 16 city 16 city 17 of 16 city 19 , 17 of 18 herne 19 , 20 germany 19 , 29 or 20 germany 21 after 20 germany 23 of 21 after 22 exclusion 23 of 24 subgroups 24 subgroups 25 with 25 with 28 morbidities 26 co 27 - 26 co 28 morbidities 29 or 32 medications 30 co 31 - 30 co 32 medications 33 with 35 influence 33 with 36 on 34 possible 35 influence 36 on 39 items 37 the 39 items 38 key 39 items results : the analysis is based on 1,763 participants . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 analysis 2 : 6 based 2 : 10 . 3 the 4 analysis 4 analysis 5 is 5 is 6 based 6 based 7 on 7 on 9 participants 8 1,763 9 participants in these men aged 50 - 80 years , mean total prostate volume continuously increased from 24 to 38 cc and mean psa concentration from 1.1 to 2.5 ng/ml . 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 30 . 1 in 15 increased 1 in 16 from 1 in 21 and 2 these 3 men 3 men 4 aged 3 men 8 years 3 men 10 mean 4 aged 5 50 6 - 8 years 7 80 8 years 8 years 9 , 10 mean 13 volume 10 mean 15 increased 11 total 13 volume 12 prostate 13 volume 13 volume 15 increased 14 continuously 15 increased 16 from 20 cc 17 24 18 to 18 to 19 38 18 to 20 cc 21 and 24 concentration 21 and 25 from 22 mean 24 concentration 23 psa 24 concentration 25 from 29 ng/ml 26 1.1 27 to 27 to 28 2.5 27 to 29 ng/ml psa concentration in men with a prostate volume < 25 cc also [showed] a continuous increase with aging , starting at 0.8 in the youngest and ending at 1.9 ng/ml in the oldest age group . 0 ###LEFT-WALL### 2 concentration 0 ###LEFT-WALL### 9 < 0 ###LEFT-WALL### 12 also 0 ###LEFT-WALL### 36 . 1 psa 2 concentration 2 concentration 3 in 2 concentration 9 < 3 in 4 men 4 men 5 with 5 with 8 volume 6 a 8 volume 7 prostate 8 volume 9 < 11 cc 10 25 11 cc 12 also 26 and 12 also 35 group 14 a 15 continuous 14 a 16 increase 15 continuous 16 increase 16 increase 17 with 16 increase 19 , 17 with 18 aging 19 , 20 starting 19 , 26 and 20 starting 21 at 21 at 22 0.8 22 0.8 23 in 23 in 25 youngest 24 the 25 youngest 26 and 27 ending 26 and 28 at 26 and 35 group 28 at 30 ng/ml 29 1.9 30 ng/ml 30 ng/ml 31 in 31 in 34 age 32 the 33 oldest 32 the 34 age mean [q] ( max ) of free uroflowmetry ( from 22.1 to 13.7 ml / s ) and mean micturition volume ( from 329 to 193 cc ) showed a continuous decrease that was dependent on prostate size . 0 ###LEFT-WALL### 21 volume 0 ###LEFT-WALL### 29 showed 0 ###LEFT-WALL### 39 . 1 mean 21 volume 3 ( 4 max 4 max 5 ) 4 max 21 volume 6 of 20 micturition 6 of 21 volume 7 free 20 micturition 8 uroflowmetry 10 from 8 uroflowmetry 18 and 9 ( 10 from 10 from 16 s 10 from 17 ) 11 22.1 12 to 12 to 13 13.7 12 to 16 s 13 13.7 14 ml 14 ml 15 / 18 and 19 mean 18 and 20 micturition 21 volume 27 cc 21 volume 29 showed 22 ( 27 cc 23 from 25 to 24 329 25 to 25 to 26 193 25 to 27 cc 27 cc 28 ) 29 showed 32 decrease 29 showed 36 on 30 a 31 continuous 30 a 32 decrease 31 continuous 32 decrease 32 decrease 33 that 32 decrease 34 was 33 that 34 was 34 was 35 dependent 36 on 38 size 37 prostate 38 size mean postvoid residual urine was nearly unchanged over the age groups at approximately 20 - 30 cc . 0 ###LEFT-WALL### 1 mean 0 ###LEFT-WALL### 18 . 1 mean 4 urine 1 mean 5 was 2 postvoid 4 urine 3 residual 4 urine 4 urine 5 was 5 was 7 unchanged 6 nearly 7 unchanged 7 unchanged 8 over 7 unchanged 12 at 8 over 11 groups 9 the 11 groups 10 age 11 groups 12 at 17 cc 13 approximately 14 20 14 20 15 - 15 - 16 30 15 - 17 cc although ipss increased continuously with aging ( from 4 to 7 ) , qol remained unchanged at 2 over the age groups . 0 ###LEFT-WALL### 14 qol 0 ###LEFT-WALL### 15 remained 0 ###LEFT-WALL### 23 . 1 although 2 ipss 1 although 13 , 1 although 14 qol 2 ipss 3 increased 3 increased 4 continuously 3 increased 5 with 5 with 6 aging 6 aging 8 from 7 ( 8 from 8 from 10 to 8 from 12 ) 9 4 10 to 10 to 11 7 14 qol 15 remained 15 remained 16 unchanged 16 unchanged 17 at 16 unchanged 19 over 17 at 18 2 19 over 22 groups 20 the 22 groups 21 age 22 groups prostate size had a minor impact on ipss . 0 ###LEFT-WALL### 2 size 0 ###LEFT-WALL### 3 had 0 ###LEFT-WALL### 9 . 1 prostate 2 size 2 size 3 had 3 had 6 impact 3 had 7 on 4 a 5 minor 4 a 6 impact 5 minor 6 impact 7 on 8 ipss conclusions : normal values for investigated luts/bph - related determinants and the influence of aging [hereon] should serve as references during the assessment of caucasian patients in europe . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 1 conclusions 2 : 2 : 3 normal 2 : 21 during 3 normal 4 values 3 normal 18 serve 4 values 5 for 4 values 17 should 5 for 7 luts/bph 6 investigated 7 luts/bph 8 - 9 related 9 related 11 and 9 related 17 should 10 determinants 11 and 11 and 13 influence 11 and 14 of 12 the 13 influence 14 of 15 aging 17 should 18 serve 18 serve 19 as 19 as 20 references 21 during 23 assessment 22 the 23 assessment 23 assessment 24 of 24 of 26 patients 25 caucasian 26 patients 26 patients 27 in 27 in 28 europe the common belief that signs of atherosclerosis and cardiovascular disease ( cvd ) are clinically relevant only during adult [and] elderly age is gradually changing . 0 ###LEFT-WALL### 3 belief 0 ###LEFT-WALL### 23 is 0 ###LEFT-WALL### 26 . 1 the 3 belief 2 common 3 belief 3 belief 4 that 3 belief 23 is 4 that 8 and 4 that 14 are 5 signs 6 of 5 signs 8 and 6 of 7 atherosclerosis 8 and 10 disease 8 and 12 cvd 8 and 14 are 9 cardiovascular 10 disease 11 ( 12 cvd 12 cvd 13 ) 14 are 15 clinically 14 are 16 relevant 16 relevant 17 only 17 only 18 during 18 during 22 age 19 adult 22 age 21 elderly 22 age 23 is 25 changing 24 gradually 25 changing increasing evidence supports the concept that cvd is initiated through developmental in utero processes beginning before birth . 0 ###LEFT-WALL### 1 increasing 0 ###LEFT-WALL### 14 processes 0 ###LEFT-WALL### 18 . 1 increasing 3 supports 1 increasing 14 processes 2 evidence 3 supports 3 supports 5 concept 3 supports 10 through 3 supports 11 developmental 4 the 5 concept 5 concept 6 that 5 concept 8 is 5 concept 9 initiated 6 that 7 cvd 6 that 8 is 7 cvd 8 is 9 initiated 10 through 11 developmental 13 utero 12 in 13 utero 14 processes 15 beginning 14 processes 16 before 16 before 17 birth epigenetic and other unknown mechanisms underlying these developmental events are yet to be elucidated . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 15 . 1 epigenetic 2 and 2 and 5 mechanisms 2 and 6 underlying 2 and 10 are 3 other 5 mechanisms 4 unknown 5 mechanisms 6 underlying 9 events 7 these 9 events 8 developmental 9 events 10 are 12 to 10 are 14 elucidated 11 yet 12 to 12 to 13 be 13 be 14 elucidated the clinical implications of such theories for the primary prevention of cvd are intuitive and logical , but clinical prospective studies and translational approaches are still warranted . 0 ###LEFT-WALL### 3 implications 0 ###LEFT-WALL### 13 are 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 28 . 1 the 3 implications 2 clinical 3 implications 3 implications 4 of 3 implications 11 of 3 implications 13 are 4 of 6 theories 5 such 6 theories 6 theories 7 for 7 for 10 prevention 8 the 10 prevention 9 primary 10 prevention 11 of 12 cvd 13 are 14 intuitive 15 and 22 and 15 and 25 are 16 logical 18 but 17 , 18 but 18 but 19 clinical 18 but 21 studies 20 prospective 21 studies 21 studies 22 and 22 and 24 approaches 22 and 25 are 23 translational 24 approaches 25 are 26 still 25 are 27 warranted the evolution of cvd is usually characterized by a long lag time between onset and clinical manifestation , thereby providing a relevant opportunity for its early [non] - invasive detection during childhood and tailored therapeutic strategies , both with established pharmacologic agents and newly developed drugs that can affect epigenetic mechanisms . 0 ###LEFT-WALL### 2 evolution 0 ###LEFT-WALL### 7 characterized 1 the 2 evolution 2 evolution 3 of 2 evolution 5 is 3 of 4 cvd 5 is 7 characterized 6 usually 7 characterized 7 characterized 8 by 7 characterized 12 time 7 characterized 13 between 8 by 11 lag 9 a 11 lag 10 long 11 lag 13 between 15 and 14 onset 15 and 15 and 17 manifestation 15 and 18 , 15 and 20 providing 16 clinical 17 manifestation 19 thereby 20 providing 20 providing 23 opportunity 20 providing 24 for 21 a 23 opportunity 22 relevant 23 opportunity 24 for 30 detection 25 its 30 detection 26 early 28 - 26 early 30 detection 29 invasive 30 detection 30 detection 31 during 31 during 33 and 32 childhood 33 and 33 and 36 strategies 33 and 43 and 34 tailored 36 strategies 35 therapeutic 36 strategies 37 , 43 and 38 both 39 with 38 both 43 and 39 with 42 agents 40 established 42 agents 41 pharmacologic 42 agents 43 and 46 drugs 43 and 47 that 43 and 49 affect 43 and 52 . 44 newly 45 developed 45 developed 46 drugs 47 that 48 can 48 can 49 affect 49 affect 51 mechanisms 50 epigenetic 51 mechanisms the clathrin assembly protein , calm , promotes the assembly of clathrin - coated vesicles . 0 ###LEFT-WALL### 4 protein 0 ###LEFT-WALL### 8 promotes 0 ###LEFT-WALL### 13 - 1 the 4 protein 2 clathrin 4 protein 3 assembly 4 protein 4 protein 6 calm 4 protein 8 promotes 5 , 6 calm 6 calm 7 , 8 promotes 12 clathrin 9 the 10 assembly 10 assembly 11 of 10 assembly 12 clathrin 11 of 12 clathrin 13 - 15 vesicles 13 - 16 . 14 coated 15 vesicles in a previous study , we showed that calm controls the level of the synaptic vesicle protein vamp2 at the plasma membrane by regulating vamp2 endocytosis . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 showed 0 ###LEFT-WALL### 27 . 1 in 4 study 1 in 5 , 1 in 6 we 2 a 4 study 3 previous 4 study 6 we 7 showed 7 showed 8 that 8 that 9 calm 8 that 10 controls 9 calm 10 controls 10 controls 12 level 11 the 12 level 12 level 13 of 13 of 18 vamp2 14 the 17 protein 15 synaptic 16 vesicle 16 vesicle 17 protein 17 protein 18 vamp2 18 vamp2 19 at 18 vamp2 23 by 19 at 22 membrane 20 the 22 membrane 21 plasma 22 membrane 23 by 24 regulating 24 regulating 26 endocytosis 25 vamp2 26 endocytosis here , we provide evidence that calm also influences the cell surface level of the ampa receptor subunit glur2 . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 provide 0 ###LEFT-WALL### 20 . 1 here 2 , 1 here 3 we 3 we 4 provide 4 provide 5 evidence 5 evidence 6 that 6 that 7 calm 6 that 9 influences 7 calm 9 influences 8 also 9 influences 9 influences 13 level 10 the 13 level 11 cell 13 level 12 surface 13 level 13 level 14 of 14 of 19 glur2 15 the 18 subunit 16 ampa 18 subunit 17 receptor 18 subunit 18 subunit 19 glur2 although mechanistic details as well as the physiological relevance of calm and glur2 in the neuron have yet to be established , calm - mediated trafficking could function as a component of a dedicated system for controlling postsynaptic abundance of glur2 . 0 ###LEFT-WALL### 26 trafficking 0 ###LEFT-WALL### 28 function 0 ###LEFT-WALL### 42 . 1 although 3 details 1 although 17 have 1 although 26 trafficking 2 mechanistic 3 details 3 details 4 as 3 details 10 of 3 details 17 have 4 as 5 well 5 well 6 as 6 as 9 relevance 7 the 9 relevance 8 physiological 9 relevance 10 of 13 glur2 11 calm 12 and 12 and 13 glur2 13 glur2 14 in 14 in 16 neuron 15 the 16 neuron 17 have 18 yet 17 have 19 to 17 have 20 be 19 to 20 be 20 be 21 established 22 , 23 calm 23 calm 24 - 23 calm 26 trafficking 25 mediated 26 trafficking 26 trafficking 27 could 27 could 28 function 28 function 29 as 29 as 31 component 30 a 31 component 31 component 32 of 32 of 35 system 33 a 35 system 34 dedicated 35 system 35 system 36 for 35 system 40 of 36 for 37 controlling 37 controlling 39 abundance 38 postsynaptic 39 abundance 40 of 41 glur2 glioblastoma ( gbm ) is rare in early adulthood and little information is available on this subgroup . 0 ###LEFT-WALL### 3 gbm 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 18 . 1 glioblastoma 3 gbm 2 ( 3 gbm 3 gbm 4 ) 3 gbm 5 is 5 is 6 rare 6 rare 7 in 7 in 9 adulthood 8 early 9 adulthood 10 and 12 information 10 and 13 is 11 little 12 information 12 information 13 is 13 is 14 available 14 available 15 on 15 on 17 subgroup 16 this 17 subgroup we investigated whether young age ( 18 - 30 years ) had an independent effect on survival . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 investigated 0 ###LEFT-WALL### 18 . 1 we 2 investigated 2 investigated 3 whether 3 whether 5 age 3 whether 12 had 4 young 5 age 5 age 8 - 5 age 12 had 6 ( 8 - 7 18 8 - 8 - 10 years 8 - 11 ) 9 30 10 years 12 had 15 effect 12 had 16 on 13 an 14 independent 13 an 15 effect 14 independent 15 effect 16 on 17 survival we retrospectively reviewed patients from two large databases : radiation therapy oncology group ( rtog ) and american college of surgeons national cancer data base ( ncdb ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 reviewed 0 ###LEFT-WALL### 9 : 0 ###LEFT-WALL### 29 . 1 we 3 reviewed 2 retrospectively 3 reviewed 3 reviewed 4 patients 3 reviewed 5 from 5 from 8 databases 6 two 8 databases 7 large 8 databases 9 : 17 and 10 radiation 11 therapy 11 therapy 12 oncology 12 oncology 13 group 13 group 15 rtog 14 ( 15 rtog 15 rtog 16 ) 15 rtog 17 and 17 and 19 college 17 and 20 of 18 american 19 college 20 of 27 ncdb 21 surgeons 22 national 22 national 23 cancer 23 cancer 24 data 24 data 25 base 25 base 27 ncdb 26 ( 27 ncdb 27 ncdb 28 ) in the rtog evaluation , we analyzed all eligible gbm cases from 17 rtog studies from 1974 to 2002 . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 analyzed 0 ###LEFT-WALL### 20 . 1 in 4 evaluation 1 in 5 , 1 in 6 we 2 the 4 evaluation 3 rtog 4 evaluation 6 we 7 analyzed 7 analyzed 11 cases 8 all 11 cases 9 eligible 11 cases 10 gbm 11 cases 11 cases 12 from 11 cases 14 rtog 11 cases 15 studies 12 from 13 17 14 rtog 15 studies 15 studies 18 to 16 from 18 to 17 1974 18 to 18 to 19 2002 all patients with gbm during 1985 - 1998 in the ncdb were examined for comparison . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 13 examined 0 ###LEFT-WALL### 16 . 1 all 2 patients 2 patients 3 with 2 patients 12 were 3 with 4 gbm 4 gbm 5 during 5 during 7 - 6 1985 7 - 7 - 8 1998 7 - 9 in 9 in 11 ncdb 10 the 11 ncdb 12 were 13 examined 13 examined 14 for 14 for 15 comparison patients [were] divided into three cohorts : ages 18 - 30 , 31 - 49 , and ≥50 . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 7 : 0 ###LEFT-WALL### 19 . 1 patients 3 divided 1 patients 7 : 3 divided 4 into 4 into 6 cohorts 5 three 6 cohorts 7 : 17 and 8 ages 10 - 8 ages 14 - 8 ages 17 and 9 18 10 - 10 - 11 30 12 , 14 - 13 31 14 - 14 - 15 49 14 - 16 , 16 , 17 and 17 and 18 ≥50 overall survival , as a function of age ( discreet and continuous ) , was assessed . 0 ###LEFT-WALL### 2 survival 0 ###LEFT-WALL### 16 assessed 0 ###LEFT-WALL### 17 . 1 overall 2 survival 2 survival 4 as 2 survival 15 was 3 , 4 as 4 as 6 function 4 as 14 , 5 a 6 function 6 function 7 of 7 of 8 age 8 age 11 and 9 ( 11 and 10 discreet 11 and 11 and 12 continuous 11 and 13 ) 15 was 16 assessed the rtog review included 3,136 patients : 112 ( 3.6 % ) were 18 - 30 , 780 ( 24.9 % ) were 31 - 49 , and 2,244 ( 71.6 % ) were ≥50 . 0 ###LEFT-WALL### 3 review 0 ###LEFT-WALL### 7 : 1 the 3 review 2 rtog 3 review 3 review 4 included 4 included 6 patients 5 3,136 6 patients 7 : 8 112 7 : 13 were 7 : 28 and 7 : 36 . 8 112 11 % 8 112 13 were 9 ( 11 % 10 3.6 11 % 11 % 12 ) 13 were 14 18 13 were 25 - 14 18 16 30 14 18 23 were 15 - 16 30 16 30 18 780 16 30 23 were 17 , 18 780 18 780 21 % 18 780 22 ) 19 ( 21 % 20 24.9 21 % 21 % 22 ) 24 31 25 - 25 - 26 49 27 , 28 and 28 and 29 2,244 28 and 34 were 29 2,244 32 % 29 2,244 34 were 30 ( 32 % 31 71.6 32 % 32 % 33 ) 34 were 35 ≥50 the median survival times of the three groups were 21.0 , 13.5 , [and] 9.1 months ( p < 0.0001 ) . 0 ###LEFT-WALL### 4 times 0 ###LEFT-WALL### 9 were 0 ###LEFT-WALL### 22 . 1 the 4 times 2 median 3 survival 3 survival 4 times 4 times 5 of 4 times 9 were 5 of 8 groups 6 the 7 three 7 three 8 groups 9 were 10 21.0 10 21.0 12 13.5 10 21.0 19 < 11 , 12 13.5 12 13.5 13 , 15 9.1 16 months 16 months 19 < 17 ( 19 < 18 p 19 < 19 < 20 0.0001 19 < 21 ) significant improvement in survival for younger patients was demonstrated with adjustment for recursive partitioning analysis ( rpa ) class . 0 ###LEFT-WALL### 2 improvement 0 ###LEFT-WALL### 9 demonstrated 0 ###LEFT-WALL### 20 . 1 significant 2 improvement 2 improvement 3 in 2 improvement 8 was 3 in 4 survival 4 survival 5 for 5 for 7 patients 6 younger 7 patients 8 was 9 demonstrated 9 demonstrated 10 with 10 with 11 adjustment 10 with 19 class 11 adjustment 12 for 12 for 15 analysis 13 recursive 15 analysis 14 partitioning 15 analysis 15 analysis 17 rpa 16 ( 17 rpa 17 rpa 18 ) of the 37,260 patients analyzed in the ncdb , 796 ( 2.1 % ) were 18 - 30 , 5,711 ( 15.3 % ) were 31 - 49 , and 30,753 ( 82.5 % ) were ≥50 . 0 ###LEFT-WALL### 4 patients 0 ###LEFT-WALL### 15 were 0 ###LEFT-WALL### 19 , 1 of 3 37,260 1 of 4 patients 2 the 3 37,260 4 patients 5 analyzed 4 patients 15 were 5 analyzed 6 in 6 in 8 ncdb 7 the 8 ncdb 8 ncdb 10 796 9 , 10 796 10 796 13 % 10 796 14 ) 11 ( 13 % 12 2.1 13 % 13 % 14 ) 15 were 17 - 16 18 17 - 17 - 18 30 19 , 20 5,711 19 , 25 were 19 , 27 - 20 5,711 23 % 20 5,711 25 were 21 ( 23 % 22 15.3 23 % 23 % 24 ) 25 were 26 31 27 - 28 49 27 - 30 and 27 - 38 . 29 , 30 and 30 and 31 30,753 30 and 37 ≥50 31 30,753 34 % 31 30,753 36 were 32 ( 34 % 33 82.5 34 % 34 % 35 ) 36 were 37 ≥50 the median survival times of the three groups were 18.0 , 12.8 , [and] 6.3 months ( p < 0.0001 ) . 0 ###LEFT-WALL### 4 times 0 ###LEFT-WALL### 9 were 0 ###LEFT-WALL### 22 . 1 the 4 times 2 median 3 survival 3 survival 4 times 4 times 5 of 4 times 9 were 5 of 8 groups 6 the 7 three 7 three 8 groups 9 were 10 18.0 10 18.0 12 12.8 10 18.0 19 < 11 , 12 12.8 12 12.8 13 , 15 6.3 16 months 16 months 19 < 17 ( 19 < 18 p 19 < 19 < 20 0.0001 19 < 21 ) data were not available for rpa class from this series . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 11 . 1 data 2 were 2 were 3 not 2 were 4 available 3 not 4 available 4 available 5 for 5 for 7 class 6 rpa 7 class 7 class 8 from 8 from 10 series 9 this 10 series gbm is rare in young adulthood , comprising 2.1 - 3.6 % of our patients . 0 ###LEFT-WALL### 1 gbm 0 ###LEFT-WALL### 2 is 1 gbm 2 is 2 is 3 rare 3 rare 4 in 4 in 6 adulthood 5 young 6 adulthood 6 adulthood 8 comprising 7 , 8 comprising 8 comprising 12 % 8 comprising 16 . 9 2.1 10 - 10 - 11 3.6 10 - 12 % 12 % 13 of 13 of 15 patients 14 our 15 patients they have superior survival , even when adjusted for rpa class . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 2 have 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 12 . 1 they 2 have 2 have 4 survival 3 superior 4 survival 5 , 6 even 6 even 7 when 7 when 8 adjusted 8 adjusted 9 for 9 for 11 class 10 rpa 11 class more investigations on the unique biologic and clinical characteristics of tumors in this population are needed . 0 ###LEFT-WALL### 2 investigations 0 ###LEFT-WALL### 16 needed 0 ###LEFT-WALL### 17 . 1 more 2 investigations 2 investigations 3 on 2 investigations 15 are 3 on 9 characteristics 4 the 9 characteristics 5 unique 9 characteristics 6 biologic 7 and 7 and 8 clinical 7 and 9 characteristics 9 characteristics 10 of 10 of 11 tumors 11 tumors 12 in 12 in 14 population 13 this 14 population 15 are 16 needed skeletal muscle atrophy occurs in many chronic diseases and disuse conditions . 0 ###LEFT-WALL### 3 atrophy 0 ###LEFT-WALL### 4 occurs 0 ###LEFT-WALL### 12 . 1 skeletal 2 muscle 2 muscle 3 atrophy 3 atrophy 4 occurs 4 occurs 5 in 5 in 9 and 6 many 8 diseases 7 chronic 8 diseases 8 diseases 9 and 9 and 11 conditions 10 disuse 11 conditions its severity reduces patient recovery , independence and quality of life . 0 ###LEFT-WALL### 2 severity 0 ###LEFT-WALL### 3 reduces 0 ###LEFT-WALL### 12 . 1 its 2 severity 2 severity 3 reduces 3 reduces 8 and 4 patient 5 recovery 5 recovery 6 , 6 , 7 independence 6 , 8 and 8 and 9 quality 8 and 10 of 10 of 11 life the discovery of two muscle - specific e3 ubiquitin ligases , mafbx/atrogin [-] 1 and muscle ring finger - 1 ( murf1 ) , promoted an expectation of these molecules as targets for therapeutic development . 0 ###LEFT-WALL### 2 discovery 0 ###LEFT-WALL### 25 promoted 0 ###LEFT-WALL### 36 . 1 the 2 discovery 2 discovery 3 of 2 discovery 10 ligases 2 discovery 15 and 2 discovery 25 promoted 3 of 5 muscle 4 two 5 muscle 6 - 10 ligases 7 specific 10 ligases 8 e3 9 ubiquitin 9 ubiquitin 10 ligases 10 ligases 11 , 11 , 15 and 12 mafbx/atrogin 14 1 12 mafbx/atrogin 15 and 15 and 18 finger 15 and 20 1 15 and 24 , 16 muscle 17 ring 17 ring 18 finger 19 - 20 1 20 1 22 murf1 20 1 24 , 21 ( 22 murf1 22 murf1 23 ) 25 promoted 27 expectation 25 promoted 31 as 25 promoted 33 for 26 an 27 expectation 27 expectation 28 of 28 of 30 molecules 29 these 30 molecules 31 as 32 targets 33 for 35 development 34 therapeutic 35 development while numerous studies have determined the conditions in which mafbx/atrogin - [1] and murf1 mrna levels are regulated , few studies have investigated their functional role in skeletal muscle . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 5 determined 0 ###LEFT-WALL### 30 . 1 while 2 numerous 1 while 3 studies 3 studies 4 have 4 have 5 determined 5 determined 7 conditions 5 determined 23 investigated 6 the 7 conditions 7 conditions 8 in 7 conditions 21 studies 7 conditions 22 have 7 conditions 23 investigated 8 in 9 which 8 in 13 and 8 in 18 regulated 10 mafbx/atrogin 13 and 11 - 13 and 13 and 14 murf1 13 and 15 mrna 13 and 16 levels 13 and 17 are 15 mrna 16 levels 17 are 18 regulated 18 regulated 19 , 20 few 21 studies 21 studies 22 have 23 investigated 26 role 24 their 26 role 25 functional 26 role 26 role 27 in 27 in 29 muscle 28 skeletal 29 muscle recently , studies identifying new target substrates for mafbx/atrogin - 1 [and] murf1 , outside of their response to the initiation of muscle atrophy , suggest that there is more to these proteins than previously appreciated . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 24 atrophy 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 37 . 1 recently 2 , 1 recently 3 studies 3 studies 4 identifying 3 studies 15 outside 3 studies 16 of 3 studies 19 to 3 studies 24 atrophy 4 identifying 7 substrates 5 new 6 target 6 target 7 substrates 7 substrates 8 for 7 substrates 13 murf1 8 for 9 mafbx/atrogin 10 - 13 murf1 11 1 13 murf1 13 murf1 14 , 16 of 18 response 17 their 18 response 19 to 21 initiation 20 the 21 initiation 21 initiation 22 of 22 of 23 muscle 25 , 26 suggest 26 suggest 27 that 27 that 28 there 27 that 29 is 28 there 29 is 29 is 30 more 29 is 31 to 31 to 33 proteins 32 these 33 proteins 33 proteins 36 appreciated 34 than 36 appreciated 35 previously 36 appreciated this review will highlight our present knowledge of mafbx/atrogin [-] 1 and murf1 in skeletal muscle atrophy , the impact of potential therapeutics and their known regulators and substrates . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 4 highlight 0 ###LEFT-WALL### 30 . 1 this 2 review 2 review 3 will 3 will 4 highlight 4 highlight 7 knowledge 4 highlight 14 in 5 our 7 knowledge 6 present 7 knowledge 7 knowledge 8 of 8 of 12 and 9 mafbx/atrogin 11 1 9 mafbx/atrogin 12 and 12 and 13 murf1 14 in 28 and 15 skeletal 16 muscle 16 muscle 17 atrophy 17 atrophy 18 , 18 , 20 impact 18 , 24 and 19 the 20 impact 20 impact 21 of 21 of 23 therapeutics 22 potential 23 therapeutics 24 and 27 regulators 24 and 28 and 25 their 27 regulators 26 known 27 regulators 28 and 29 substrates finally , we will comment on new approaches that may expand our knowledge of these two molecules in their control of skeletal muscle function . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 5 comment 0 ###LEFT-WALL### 25 . 1 finally 2 , 1 finally 3 we 3 we 4 will 4 will 5 comment 5 comment 6 on 5 comment 17 molecules 5 comment 24 function 6 on 8 approaches 7 new 8 approaches 8 approaches 9 that 8 approaches 10 may 9 that 10 may 10 may 11 expand 11 expand 13 knowledge 12 our 13 knowledge 13 knowledge 14 of 14 of 16 two 15 these 16 two 17 molecules 18 in 17 molecules 24 function 18 in 20 control 19 their 20 control 20 control 21 of 21 of 23 muscle 22 skeletal 23 muscle recently , we reported that heparanase plays important roles in barrier [-] disrupted skin , leading to increased interaction of growth factors between epidermis and dermis and facilitating various cutaneous changes , including epidermal hyperplasia and wrinkle formation . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 reported 1 recently 2 , 1 recently 3 we 3 we 4 reported 4 reported 5 that 5 that 6 heparanase 5 that 7 plays 6 heparanase 7 plays 7 plays 9 roles 7 plays 10 in 7 plays 16 leading 8 important 9 roles 10 in 14 skin 11 barrier 13 disrupted 13 disrupted 14 skin 15 , 16 leading 16 leading 17 to 16 leading 39 . 17 to 27 and 18 increased 19 interaction 19 interaction 20 of 19 interaction 25 and 20 of 22 factors 21 growth 22 factors 22 factors 23 between 23 between 24 epidermis 25 and 26 dermis 25 and 27 and 27 and 38 formation 28 facilitating 38 formation 29 various 31 changes 30 cutaneous 31 changes 31 changes 32 , 32 , 35 hyperplasia 32 , 36 and 33 including 35 hyperplasia 34 epidermal 35 hyperplasia 36 and 37 wrinkle 36 and 38 formation however , the role of heparanase in sun [-] exposed skin remains unknown . 0 ###LEFT-WALL### 4 role 0 ###LEFT-WALL### 12 remains 0 ###LEFT-WALL### 14 . 1 however 2 , 1 however 4 role 3 the 4 role 4 role 5 of 4 role 12 remains 5 of 6 heparanase 6 heparanase 7 in 7 in 11 skin 8 sun 10 exposed 10 exposed 11 skin 12 remains 13 unknown here , we show that heparanase in human keratinocytes is activated by ultraviolet [b] ( uvb ) exposure and that heparan [sulfate] of perlecan is markedly degraded in uvb - irradiated human skin . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 show 0 ###LEFT-WALL### 30 - 0 ###LEFT-WALL### 34 . 1 here 2 , 1 here 3 we 3 we 4 show 4 show 19 and 5 that 6 heparanase 5 that 11 activated 5 that 19 and 6 heparanase 7 in 6 heparanase 10 is 7 in 9 keratinocytes 8 human 9 keratinocytes 10 is 11 activated 11 activated 12 by 12 by 18 exposure 13 ultraviolet 16 uvb 13 ultraviolet 18 exposure 15 ( 16 uvb 16 uvb 17 ) 19 and 20 that 20 that 21 heparan 20 that 27 degraded 21 heparan 23 of 21 heparan 25 is 23 of 24 perlecan 25 is 26 markedly 25 is 27 degraded 27 degraded 28 in 28 in 29 uvb 30 - 33 skin 31 irradiated 33 skin 32 human 33 skin the degradation of heparan [sulfate] resulted in a marked reduction of binding activity of the basement membrane for vascular endothelial growth factor [,] fibroblast growth factor - 2 and - 7 at the dermal - epidermal junction . 0 ###LEFT-WALL### 2 degradation 0 ###LEFT-WALL### 6 resulted 0 ###LEFT-WALL### 38 . 1 the 2 degradation 2 degradation 3 of 2 degradation 6 resulted 3 of 4 heparan 6 resulted 7 in 6 resulted 18 for 6 resulted 32 at 7 in 10 reduction 8 a 10 reduction 9 marked 10 reduction 10 reduction 11 of 11 of 12 binding 12 binding 13 activity 13 activity 14 of 14 of 17 membrane 15 the 17 membrane 16 basement 17 membrane 18 for 26 factor 19 vascular 21 growth 20 endothelial 21 growth 21 growth 22 factor 22 factor 26 factor 24 fibroblast 26 factor 25 growth 26 factor 26 factor 29 and 27 - 28 2 28 2 29 and 29 and 31 7 30 - 31 7 32 at 37 junction 33 the 37 junction 34 dermal 35 - 34 dermal 37 junction 36 epidermal 37 junction degradation of heparan [sulfate] was observed [not] only in [acutely] uvb - irradiated skin , but also in skin chronically exposed to sun . 0 ###LEFT-WALL### 1 degradation 0 ###LEFT-WALL### 6 observed 0 ###LEFT-WALL### 24 . 1 degradation 2 of 1 degradation 5 was 2 of 3 heparan 5 was 6 observed 6 observed 8 only 6 observed 22 to 8 only 16 but 9 in 11 uvb 9 in 16 but 11 uvb 14 skin 12 - 14 skin 13 irradiated 14 skin 14 skin 15 , 15 , 16 but 16 but 17 also 16 but 18 in 18 in 19 skin 19 skin 21 exposed 20 chronically 21 exposed 22 to 23 sun interestingly , heparan [sulfate] was found to be degraded in sun - exposed skin , but not in sun - protected skin . 0 ###LEFT-WALL### 3 heparan 0 ###LEFT-WALL### 6 found 0 ###LEFT-WALL### 20 - 0 ###LEFT-WALL### 23 . 1 interestingly 2 , 1 interestingly 3 heparan 3 heparan 5 was 5 was 6 found 6 found 7 to 7 to 8 be 8 be 9 degraded 9 degraded 16 but 10 in 11 sun 10 in 16 but 11 sun 14 skin 12 - 14 skin 13 exposed 14 skin 14 skin 15 , 15 , 16 but 16 but 17 not 16 but 18 in 18 in 19 sun 20 - 22 skin 21 protected 22 skin these findings suggest that chronic uvb exposure activates heparanase [,] leading to degradation of heparan sulfate in the basement membrane and increased growth factor interaction between epidermis and dermis . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 30 . 1 these 2 findings 2 findings 21 and 3 suggest 4 that 3 suggest 21 and 4 that 6 uvb 4 that 16 sulfate 5 chronic 6 uvb 6 uvb 7 exposure 6 uvb 8 activates 7 exposure 8 activates 8 activates 9 heparanase 9 heparanase 11 leading 11 leading 12 to 12 to 13 degradation 13 degradation 14 of 14 of 15 heparan 16 sulfate 17 in 16 sulfate 20 membrane 17 in 19 basement 18 the 19 basement 21 and 22 increased 22 increased 25 interaction 22 increased 26 between 23 growth 25 interaction 24 factor 25 interaction 26 between 28 and 27 epidermis 28 and 28 and 29 dermis these changes may facilitate photo [-] aging . 0 ###LEFT-WALL### 2 changes 0 ###LEFT-WALL### 4 facilitate 0 ###LEFT-WALL### 8 . 1 these 2 changes 2 changes 3 may 3 may 4 facilitate 4 facilitate 7 aging 5 photo 7 aging in addition to the well - described implications of estrogen deficiency in postmenopausal osteoporosis ( pmo ) , free radicals are also effective on bone metabolism . 0 ###LEFT-WALL### 20 radicals 0 ###LEFT-WALL### 21 are 0 ###LEFT-WALL### 27 . 1 in 2 addition 1 in 18 , 1 in 20 radicals 2 addition 3 to 3 to 5 well 4 the 5 well 5 well 8 implications 6 - 8 implications 7 described 8 implications 8 implications 9 of 8 implications 18 , 9 of 11 deficiency 10 estrogen 11 deficiency 11 deficiency 12 in 12 in 14 osteoporosis 13 postmenopausal 14 osteoporosis 14 osteoporosis 16 pmo 15 ( 16 pmo 16 pmo 17 ) 19 free 20 radicals 20 radicals 21 are 21 are 22 also 21 are 23 effective 23 effective 24 on 24 on 26 metabolism 25 bone 26 metabolism the antioxidant vitamins c and [e] play [an] important role in the production of collagen , mesenchymal cell differentiation into osteoblasts , and bone mineralization . 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 26 . 1 the 10 role 2 antioxidant 10 role 3 vitamins 4 c 3 vitamins 5 and 5 and 7 play 5 and 10 role 9 important 10 role 10 role 11 in 10 role 23 and 11 in 13 production 12 the 13 production 13 production 14 of 14 of 19 differentiation 15 collagen 16 , 15 collagen 18 cell 17 mesenchymal 18 cell 18 cell 19 differentiation 19 differentiation 20 into 20 into 21 osteoblasts 22 , 23 and 23 and 25 mineralization 24 bone 25 mineralization therefore , the incidence of osteoporosis and the risk of fractures were decreased with vitamin c and e ..y it was proposed that free oxygen radicals are responsible for biological aging , atherosclerosis , carcinogenesis , and osteoclastic activity via their negative effects on the cell and dna . 0 ###LEFT-WALL### 4 incidence 0 ###LEFT-WALL### 13 decreased 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 22 proposed 0 ###LEFT-WALL### 49 . 1 therefore 2 , 1 therefore 4 incidence 3 the 4 incidence 4 incidence 5 of 4 incidence 12 were 5 of 7 and 6 osteoporosis 7 and 7 and 9 risk 7 and 10 of 8 the 9 risk 10 of 11 fractures 12 were 13 decreased 13 decreased 14 with 14 with 15 vitamin 15 vitamin 16 c 17 and 18 e 17 and 19 ..y 18 e 19 ..y 19 ..y 20 it 20 it 21 was 21 was 22 proposed 22 proposed 23 that 23 that 26 radicals 23 that 27 are 24 free 26 radicals 25 oxygen 26 radicals 26 radicals 27 are 27 are 39 activity 27 are 44 on 28 responsible 29 for 28 responsible 37 and 29 for 31 aging 30 biological 31 aging 31 aging 33 atherosclerosis 31 aging 35 carcinogenesis 32 , 33 atherosclerosis 33 atherosclerosis 34 , 34 , 35 carcinogenesis 35 carcinogenesis 36 , 37 and 38 osteoclastic 37 and 39 activity 39 activity 40 via 40 via 43 effects 41 their 43 effects 42 negative 43 effects 44 on 47 and 45 the 46 cell 46 cell 47 and 47 and 48 dna in this study , we aimed to investigate and compare the levels of free radicals and serum antioxidant activity in patients with pmo and healthy subjects before and after six - month treatment with risedronate , which is an inhibitor of bone resorption . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 44 . 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 aimed 6 aimed 7 to 7 to 9 and 8 investigate 9 and 9 and 10 compare 9 and 20 in 9 and 22 with 10 compare 16 and 11 the 16 and 12 levels 13 of 12 levels 16 and 13 of 15 radicals 14 free 15 radicals 16 and 19 activity 17 serum 18 antioxidant 18 antioxidant 19 activity 20 in 21 patients 22 with 24 and 23 pmo 24 and 24 and 26 subjects 24 and 28 and 24 and 37 which 24 and 38 is 25 healthy 26 subjects 27 before 28 and 28 and 29 after 29 after 30 six 30 six 33 treatment 31 - 33 treatment 32 month 33 treatment 33 treatment 34 with 33 treatment 36 , 34 with 35 risedronate 37 which 38 is 38 is 40 inhibitor 39 an 40 inhibitor 40 inhibitor 41 of 41 of 43 resorption 42 bone 43 resorption twenty - three postmenopausal patients aged between 52 - 83 ( mean [ ± standard deviation ] 67.6 ± 8.17 ) with t scores below - 2.5 in femur neck or l1 - l4 , and 23 postmenopausal healthy subjects were enrolled into the study . 0 ###LEFT-WALL### 5 patients 0 ###LEFT-WALL### 6 aged 0 ###LEFT-WALL### 26 - 1 twenty 2 - 2 - 3 three 2 - 5 patients 4 postmenopausal 5 patients 5 patients 6 aged 6 aged 7 between 6 aged 22 with 6 aged 25 below 7 between 9 - 8 52 9 - 9 - 10 83 9 - 19 ± 11 ( 19 ± 12 mean 16 deviation 12 mean 19 ± 13 [ 16 deviation 14 ± 16 deviation 15 standard 16 deviation 16 deviation 17 ] 18 67.6 19 ± 19 ± 20 8.17 19 ± 21 ) 22 with 23 t 22 with 24 scores 26 - 30 neck 26 - 31 or 26 - 46 . 27 2.5 28 in 28 in 30 neck 29 femur 30 neck 31 or 36 and 31 or 42 enrolled 32 l1 34 l4 32 l1 36 and 33 - 34 l4 34 l4 35 , 35 , 36 and 36 and 40 subjects 36 and 41 were 37 23 40 subjects 38 postmenopausal 40 subjects 39 healthy 40 subjects 41 were 42 enrolled 42 enrolled 43 into 43 into 45 study 44 the 45 study patients who had received any medications within the last 6 months that could alter bone metabolism were excluded . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 17 were 0 ###LEFT-WALL### 19 . 1 patients 2 who 1 patients 3 had 1 patients 17 were 2 who 3 had 3 had 4 received 4 received 6 medications 5 any 6 medications 6 medications 7 within 7 within 11 months 8 the 9 last 8 the 10 6 10 6 11 months 11 months 12 that 11 months 14 alter 12 that 13 could 13 could 14 alter 14 alter 16 metabolism 15 bone 16 metabolism 17 were 18 excluded serum malondialdehyde ( mda ) , superoxide dismutase ( sod [ )(, and glutathione peroxidase ( gpx ) levels were analyzed in both groups . 0 ###LEFT-WALL### 7 superoxide 0 ###LEFT-WALL### 21 analyzed 0 ###LEFT-WALL### 25 . 1 serum 7 superoxide 2 malondialdehyde 4 mda 2 malondialdehyde 6 , 2 malondialdehyde 7 superoxide 3 ( 4 mda 4 mda 5 ) 7 superoxide 8 dismutase 7 superoxide 19 levels 7 superoxide 20 were 8 dismutase 13 and 8 dismutase 19 levels 9 ( 13 and 10 sod 13 and 12 )(, 13 and 13 and 15 peroxidase 13 and 17 gpx 13 and 18 ) 14 glutathione 15 peroxidase 16 ( 17 gpx 17 gpx 18 ) 20 were 21 analyzed 21 analyzed 22 in 22 in 24 groups 23 both 24 groups the patients with pmo were commenced on 5 mg of risedronate , 1,200 mg [of] calcium , and 800 iu of vitamin d daily . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 6 commenced 0 ###LEFT-WALL### 25 . 1 the 2 patients 2 patients 3 with 2 patients 5 were 3 with 4 pmo 5 were 6 commenced 6 commenced 7 on 6 commenced 24 daily 7 on 9 mg 8 5 9 mg 9 mg 10 of 10 of 18 and 11 risedronate 12 , 12 , 16 calcium 12 , 18 and 13 1,200 14 mg 14 mg 16 calcium 17 , 18 and 18 and 20 iu 18 and 21 of 19 800 20 iu 21 of 22 vitamin 22 vitamin 23 d the patients were reevaluated at the end of the sixth month . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 4 reevaluated 0 ###LEFT-WALL### 12 . 1 the 2 patients 2 patients 3 were 3 were 4 reevaluated 4 reevaluated 5 at 5 at 7 end 6 the 7 end 7 end 8 of 8 of 11 month 9 the 10 sixth 9 the 11 month mda and sod levels were similar in patients with pmo when compared to the healthy group before the treatment , while the gpx levels were lower in patients with pmo ( p = 0.014 ) . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 36 . 1 mda 2 and 2 and 4 levels 2 and 5 were 3 sod 4 levels 5 were 6 similar 6 similar 7 in 6 similar 9 with 6 similar 11 when 7 in 8 patients 9 with 10 pmo 11 when 12 compared 12 compared 13 to 12 compared 21 while 13 to 16 group 14 the 16 group 15 healthy 16 group 16 group 17 before 17 before 19 treatment 18 the 19 treatment 20 , 21 while 21 while 24 levels 21 while 25 were 21 while 35 ) 22 the 24 levels 23 gpx 24 levels 24 levels 25 were 25 were 26 lower 26 lower 27 in 26 lower 29 with 26 lower 33 = 27 in 28 patients 29 with 30 pmo 31 ( 33 = 32 p 33 = 33 = 34 0.014 33 = 35 ) gpx ( p = 0.028 ) and mda ( p = 0.04 ) levels were increased in patients with pmo after the treatment . 0 ###LEFT-WALL### 14 levels 0 ###LEFT-WALL### 16 increased 0 ###LEFT-WALL### 24 . 1 gpx 4 = 1 gpx 7 and 2 ( 4 = 3 p 4 = 4 = 5 0.028 4 = 6 ) 7 and 8 mda 7 and 14 levels 8 mda 11 = 9 ( 11 = 10 p 11 = 11 = 12 0.04 11 = 13 ) 14 levels 15 were 15 were 16 increased 16 increased 17 in 16 increased 19 with 16 increased 21 after 17 in 18 patients 19 with 20 pmo 21 after 23 treatment 22 the 23 treatment in contrast , sod levels were decreased when compared to the initial levels ( p = 0.006 ) . 0 ###LEFT-WALL### 5 levels 0 ###LEFT-WALL### 7 decreased 0 ###LEFT-WALL### 19 . 1 in 2 contrast 1 in 3 , 1 in 5 levels 4 sod 5 levels 5 levels 6 were 6 were 7 decreased 7 decreased 8 when 8 when 9 compared 9 compared 10 to 10 to 13 levels 11 the 13 levels 12 initial 13 levels 13 levels 16 = 14 ( 16 = 15 p 16 = 16 = 17 0.006 16 = 18 ) there may be an insufficiency in different steps of the enzymatic antioxidant systems in patients with pmo without treatment . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 3 be 0 ###LEFT-WALL### 20 . 1 there 2 may 2 may 3 be 3 be 5 insufficiency 4 an 5 insufficiency 5 insufficiency 6 in 6 in 8 steps 7 different 8 steps 8 steps 9 of 9 of 13 systems 10 the 13 systems 11 enzymatic 13 systems 12 antioxidant 13 systems 13 systems 14 in 14 in 15 patients 15 patients 16 with 15 patients 18 without 16 with 17 pmo 18 without 19 treatment we observed an increment in lipid peroxidation levels and gpx levels with risedronate . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 observed 0 ###LEFT-WALL### 14 . 1 we 2 observed 2 observed 4 increment 2 observed 11 levels 3 an 4 increment 4 increment 5 in 4 increment 11 levels 5 in 9 and 6 lipid 8 levels 7 peroxidation 8 levels 8 levels 9 and 9 and 10 gpx 11 levels 12 with 12 with 13 risedronate we think that the [decrement] [in] sod levels may be related with the utilized antioxidants due to the increased free radicals and the compensatory increment in the other steps of the antioxidant system . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 think 0 ###LEFT-WALL### 11 related 0 ###LEFT-WALL### 34 . 1 we 2 think 2 think 3 that 3 that 7 sod 3 that 11 related 4 the 7 sod 7 sod 8 levels 7 sod 10 be 7 sod 11 related 8 levels 9 may 9 may 10 be 11 related 12 with 11 related 17 to 11 related 26 in 12 with 15 antioxidants 13 the 15 antioxidants 14 utilized 15 antioxidants 16 due 17 to 17 to 22 and 18 the 21 radicals 19 increased 21 radicals 20 free 21 radicals 21 radicals 22 and 22 and 25 increment 23 the 25 increment 24 compensatory 25 increment 26 in 29 steps 27 the 28 other 28 other 29 steps 29 steps 30 of 30 of 33 system 31 the 33 system 32 antioxidant 33 system dbl is the prototype of a large family of gdp - gtp exchange factors for small gtpases of the rho family . 0 ###LEFT-WALL### 1 dbl 0 ###LEFT-WALL### 13 exchange 0 ###LEFT-WALL### 22 . 1 dbl 2 is 2 is 4 prototype 2 is 13 exchange 3 the 4 prototype 4 prototype 5 of 4 prototype 9 of 5 of 8 family 6 a 7 large 6 a 8 family 7 large 8 family 9 of 12 gtp 10 gdp 12 gtp 11 - 12 gtp 13 exchange 14 factors 13 exchange 15 for 15 for 21 family 16 small 21 family 17 gtpases 18 of 17 gtpases 21 family 18 of 20 rho 19 the 20 rho in vitro , dbl is known to activate rho , rac , and cdc42 and to induce a transformed phenotype in murine fibroblasts . 0 ###LEFT-WALL### 4 dbl 0 ###LEFT-WALL### 6 known 0 ###LEFT-WALL### 24 . 1 in 2 vitro 2 vitro 3 , 2 vitro 4 dbl 4 dbl 5 is 5 is 6 known 6 known 7 to 6 known 15 and 7 to 15 and 8 activate 13 and 8 activate 15 and 9 rho 10 , 10 , 11 rac 10 , 13 and 12 , 13 and 13 and 14 cdc42 15 and 16 to 15 and 23 fibroblasts 16 to 17 induce 17 induce 20 phenotype 17 induce 21 in 18 a 20 phenotype 19 transformed 20 phenotype 21 in 22 murine we previously reported that dbl - null mice are viable and fertile but display defective dendrite elongation of distinct subpopulations of cortical neurons , suggesting a role of dbl in controlling dendritic growth . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 reported 0 ###LEFT-WALL### 6 - 1 we 3 reported 2 previously 3 reported 3 reported 5 dbl 4 that 5 dbl 6 - 7 null 6 - 9 are 7 null 9 are 8 mice 9 are 9 are 11 and 10 viable 11 and 11 and 12 fertile 12 fertile 13 but 13 but 17 elongation 14 display 17 elongation 15 defective 16 dendrite 16 dendrite 17 elongation 17 elongation 18 of 17 elongation 21 of 17 elongation 25 suggesting 18 of 20 subpopulations 19 distinct 20 subpopulations 21 of 23 neurons 22 cortical 23 neurons 24 , 25 suggesting 25 suggesting 27 role 25 suggesting 30 in 25 suggesting 34 . 26 a 27 role 27 role 28 of 28 of 29 dbl 30 in 31 controlling 31 controlling 33 growth 32 dendritic 33 growth to gain deeper insights into the role of dbl in development and disease , we attempted a knock - [in] approach to create an endogenous allele that encodes a missense - mutation - mediated loss [of] function in the dh domain . 0 ###LEFT-WALL### 15 we 0 ###LEFT-WALL### 16 attempted 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 42 . 1 to 2 gain 1 to 14 , 1 to 15 we 2 gain 4 insights 2 gain 5 into 3 deeper 4 insights 5 into 12 and 6 the 7 role 7 role 8 of 7 role 12 and 8 of 9 dbl 9 dbl 10 in 10 in 11 development 12 and 13 disease 15 we 16 attempted 16 attempted 18 knock 17 a 18 knock 19 - 21 approach 21 approach 22 to 22 to 23 create 23 create 37 function 23 create 38 in 24 an 25 endogenous 24 an 37 function 25 endogenous 26 allele 26 allele 27 that 26 allele 28 encodes 26 allele 34 mediated 27 that 28 encodes 28 encodes 30 missense 29 a 30 missense 30 missense 32 mutation 31 - 32 mutation 32 mutation 33 - 35 loss 37 function 38 in 41 domain 39 the 41 domain 40 dh 41 domain we generated , by gene targeting technology , a mutant mouse strain by inserting a mutagenized human proto - dbl cdna clone expressing only the dbl n terminus regulatory sequence at the starting codon of murine exon 1 . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 generated 0 ###LEFT-WALL### 39 . 1 we 2 generated 2 generated 4 by 2 generated 12 strain 2 generated 13 by 2 generated 31 at 3 , 4 by 4 by 7 technology 4 by 8 , 5 gene 7 technology 6 targeting 7 technology 9 a 10 mutant 9 a 12 strain 10 mutant 11 mouse 11 mouse 12 strain 13 by 14 inserting 14 inserting 22 clone 15 a 22 clone 16 mutagenized 22 clone 17 human 22 clone 18 proto 19 - 18 proto 22 clone 20 dbl 22 clone 21 cdna 22 clone 22 clone 23 expressing 23 expressing 24 only 23 expressing 30 sequence 25 the 30 sequence 26 dbl 27 n 26 dbl 30 sequence 28 terminus 30 sequence 29 regulatory 30 sequence 31 at 34 codon 32 the 34 codon 33 starting 34 codon 34 codon 35 of 35 of 37 exon 36 murine 37 exon 37 exon 38 1 animals were monitored over a 21 [-] month period , and necropsy specimens [were] collected for histological examination and immunohistochemistry analysis . 0 ###LEFT-WALL### 1 animals 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 22 . 1 animals 11 and 2 were 3 monitored 2 were 11 and 3 monitored 4 over 4 over 9 period 5 a 9 period 6 21 8 month 8 month 9 period 10 , 11 and 11 and 12 necropsy 11 and 21 analysis 12 necropsy 13 specimens 15 collected 16 for 15 collected 19 and 16 for 18 examination 17 histological 18 examination 19 and 20 immunohistochemistry 19 and 21 analysis dbl knock - in mice are viable and [did] not manifest either decreased reproductive performances or gross developmental phenotype but revealed [a] reduced lifespan compared to wild - type [(] w.t [.] ) mice and showed , with aging , a [b] cell lymphoproliferation that often has features of a frank diffuse large [b] cell lymphoma [.] 0 ###LEFT-WALL### 2 knock 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 6 are 1 dbl 2 knock 3 - 4 in 4 in 5 mice 4 in 6 are 6 are 16 or 7 viable 8 and 8 and 10 not 8 and 11 manifest 8 and 15 performances 10 not 11 manifest 12 either 13 decreased 13 decreased 15 performances 14 reproductive 15 performances 15 performances 16 or 16 or 19 phenotype 17 gross 19 phenotype 18 developmental 19 phenotype 19 phenotype 20 but 20 but 24 lifespan 21 revealed 24 lifespan 23 reduced 24 lifespan 24 lifespan 35 and 25 compared 26 to 25 compared 35 and 26 to 34 mice 27 wild 28 - 27 wild 29 type 29 type 34 mice 31 w.t 33 ) 31 w.t 34 mice 35 and 36 showed 36 showed 38 with 36 showed 44 lymphoproliferation 36 showed 47 has 37 , 38 with 38 with 39 aging 38 with 40 , 41 a 44 lymphoproliferation 43 cell 44 lymphoproliferation 44 lymphoproliferation 47 has 45 that 46 often 46 often 47 has 47 has 48 features 47 has 52 diffuse 48 features 49 of 49 of 51 frank 50 a 51 frank 52 diffuse 56 lymphoma 53 large 55 cell 55 cell 56 lymphoma moreover , dbl [knock] - in male mice displayed an increased incidence of lung adenoma compared to w.t . mice . 0 ###LEFT-WALL### 12 incidence 0 ###LEFT-WALL### 16 compared 0 ###LEFT-WALL### 19 . 1 moreover 2 , 1 moreover 12 incidence 2 , 3 dbl 3 dbl 5 - 3 dbl 12 incidence 6 in 8 mice 6 in 12 incidence 7 male 8 mice 8 mice 9 displayed 10 an 12 incidence 11 increased 12 incidence 12 incidence 13 of 12 incidence 16 compared 13 of 15 adenoma 14 lung 15 adenoma 16 compared 17 to 17 to 18 w.t 19 . 20 mice 19 . 21 . these data indicate that dbl is a tumor susceptibility gene in mice and that loss [of] function [of] dbl dh domain by genetic missense mutations is responsible for induction of diffuse large [b] cell lymphoma . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 36 . 1 these 2 data 2 data 3 indicate 3 indicate 4 that 4 that 5 dbl 4 that 6 is 5 dbl 6 is 6 is 10 gene 6 is 11 in 7 a 10 gene 8 tumor 9 susceptibility 9 susceptibility 10 gene 11 in 12 mice 13 and 21 domain 13 and 26 is 14 that 21 domain 15 loss 21 domain 17 function 21 domain 19 dbl 20 dh 20 dh 21 domain 21 domain 22 by 21 domain 26 is 22 by 25 mutations 23 genetic 25 mutations 24 missense 25 mutations 26 is 27 responsible 27 responsible 28 for 28 for 29 induction 29 induction 30 of 30 of 35 lymphoma 31 diffuse 34 cell 32 large 34 cell 34 cell 35 lymphoma [none] none background : blood pressure ( bp ) is recognized as a major risk factor for white matter lesions ( wmls ) , but longitudinal data are scarce , and there is insufficient evidence for the benefit of antihypertensive therapy on wml progression . 0 ###LEFT-WALL### 3 background 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 45 . 2 none 3 background 4 : 6 pressure 4 : 11 recognized 4 : 25 but 4 : 31 and 5 blood 6 pressure 6 pressure 8 bp 6 pressure 10 is 7 ( 8 bp 8 bp 9 ) 10 is 11 recognized 11 recognized 12 as 12 as 16 factor 13 a 16 factor 14 major 16 factor 15 risk 16 factor 16 factor 17 for 16 factor 22 wmls 17 for 18 white 18 white 19 matter 18 white 20 lesions 19 matter 20 lesions 21 ( 22 wmls 22 wmls 23 ) 24 , 25 but 25 but 27 data 25 but 28 are 26 longitudinal 27 data 27 data 28 are 28 are 29 scarce 30 , 31 and 31 and 32 there 31 and 33 is 32 there 33 is 33 is 35 evidence 34 insufficient 35 evidence 35 evidence 36 for 35 evidence 39 of 36 for 38 benefit 37 the 38 benefit 39 of 41 therapy 40 antihypertensive 41 therapy 41 therapy 42 on 42 on 44 progression 43 wml 44 progression we studied the relationship between bp change and wml volume progression over time in a sample of 1319 elderly individuals who had 2 cerebral magnetic resonance imaging examinations 4 years [apart] . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 studied 0 ###LEFT-WALL### 32 . 1 we 2 studied 2 studied 4 relationship 2 studied 5 between 2 studied 12 over 3 the 4 relationship 5 between 8 and 6 bp 7 change 7 change 8 and 8 and 11 progression 9 wml 10 volume 10 volume 11 progression 12 over 13 time 13 time 14 in 14 in 16 sample 15 a 16 sample 16 sample 17 of 16 sample 21 who 16 sample 22 had 17 of 20 individuals 18 1319 20 individuals 19 elderly 20 individuals 21 who 22 had 22 had 30 years 23 2 30 years 24 cerebral 26 resonance 25 magnetic 26 resonance 26 resonance 28 examinations 27 imaging 28 examinations 28 examinations 30 years 29 4 30 years we also examined the impact of antihypertensive treatment on wml progression . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 examined 0 ###LEFT-WALL### 12 . 1 we 3 examined 2 also 3 examined 3 examined 5 impact 3 examined 9 on 4 the 5 impact 5 impact 6 of 6 of 8 treatment 7 antihypertensive 8 treatment 9 on 11 progression 10 wml 11 progression methods and results : subjects were participants from the three - city ( 3c ) - dijon magnetic resonance imaging study , a prospective population [-] based cohort of elderly ≥ 65 years of age . 0 ###LEFT-WALL### 3 results 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 36 . 1 methods 2 and 2 and 3 results 4 : 5 subjects 4 : 6 were 5 subjects 6 were 6 were 7 participants 6 were 28 cohort 7 participants 8 from 7 participants 21 study 8 from 10 three 9 the 10 three 10 three 12 city 11 - 12 city 12 city 14 3c 12 city 15 ) 13 ( 14 3c 14 3c 15 ) 16 - 21 study 17 dijon 18 magnetic 18 magnetic 19 resonance 19 resonance 20 imaging 20 imaging 21 study 21 study 22 , 23 a 24 prospective 23 a 28 cohort 24 prospective 25 population 25 population 27 based 27 based 28 cohort 28 cohort 29 of 28 cohort 34 of 29 of 33 years 30 elderly 33 years 31 ≥ 33 years 32 65 33 years 34 of 35 age wml volumes and their progression were estimated with the use of a fully automatic procedure . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 7 estimated 0 ###LEFT-WALL### 16 . 1 wml 2 volumes 2 volumes 3 and 3 and 5 progression 3 and 6 were 4 their 5 progression 6 were 7 estimated 7 estimated 8 with 8 with 10 use 9 the 10 use 10 use 11 of 11 of 15 procedure 12 a 13 fully 12 a 15 procedure 13 fully 14 automatic 14 automatic 15 procedure we performed ancova models first to assess the association between bp change and wml progression and second to estimate the relation between antihypertensive treatment and wml load progression . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 29 . 1 we 16 and 2 performed 4 models 2 performed 6 to 2 performed 10 between 2 performed 16 and 3 ancova 4 models 5 first 6 to 6 to 7 assess 7 assess 9 association 8 the 9 association 10 between 13 and 11 bp 12 change 12 change 13 and 13 and 15 progression 14 wml 15 progression 16 and 17 second 16 and 18 to 18 to 19 estimate 19 estimate 21 relation 19 estimate 22 between 20 the 21 relation 22 between 25 and 23 antihypertensive 24 treatment 24 treatment 25 and 25 and 28 progression 26 wml 28 progression 27 load 28 progression baseline and change in bp were significant predictors of higher wml progression over time after controlling for potential confounders . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 20 . 1 baseline 2 and 2 and 3 change 2 and 4 in 2 and 6 were 4 in 5 bp 6 were 8 predictors 7 significant 8 predictors 8 predictors 9 of 8 predictors 13 over 9 of 12 progression 10 higher 12 progression 11 wml 12 progression 13 over 14 time 14 time 15 after 15 after 16 controlling 16 controlling 17 for 16 controlling 19 confounders 17 for 18 potential among subjects with high sbp [(] ≥ 160 mm [hg] [ )(at baseline not treated by antihypertensive medication , antihypertensive treatment started within 2 years [was] related to a smaller increase [in] wml [volume] at a 4 [-] year follow - up [(] 0.24 [cm³] [;] [se=0.44] cm³ ) than no hypertensive treatment ( 1.60 [cm³] [;] se = 0.26 cm³ [;] [p] = 0.0008 [ )(on multivariable modeling . 0 ###LEFT-WALL### 5 sbp 0 ###LEFT-WALL### 7 ≥ 1 among 2 subjects 1 among 5 sbp 3 with 4 high 3 with 5 sbp 5 sbp 7 ≥ 7 ≥ 9 mm 8 160 9 mm 9 mm 12 )(at 12 )(at 13 baseline 13 baseline 14 not 13 baseline 21 treatment 13 baseline 22 started 13 baseline 23 within 14 not 15 treated 15 treated 16 by 15 treated 19 , 15 treated 20 antihypertensive 16 by 18 medication 17 antihypertensive 18 medication 21 treatment 22 started 23 within 25 years 24 2 25 years 25 years 27 related 27 related 28 to 28 to 31 increase 29 a 31 increase 30 smaller 31 increase 31 increase 33 wml 31 increase 40 follow 33 wml 35 at 33 wml 40 follow 35 at 39 year 36 a 39 year 37 4 39 year 40 follow 42 up 40 follow 50 than 41 - 42 up 42 up 48 cm³ 42 up 49 ) 44 0.24 48 cm³ 50 than 53 treatment 51 no 53 treatment 52 hypertensive 53 treatment 53 treatment 58 se 54 ( 58 se 55 1.60 58 se 58 se 64 = 58 se 70 . 59 = 60 0.26 60 0.26 61 cm³ 61 cm³ 64 = 64 = 65 0.0008 65 0.0008 67 )(on 67 )(on 69 modeling 68 multivariable 69 modeling conclusions : our findings reinforce the hypothesis that hypertension is a strong predictor of wml and that adequate treatment may reduce the course of wml progression . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 reduce 0 ###LEFT-WALL### 27 . 2 : 4 findings 2 : 10 is 3 our 4 findings 4 findings 5 reinforce 5 reinforce 7 hypothesis 6 the 7 hypothesis 8 that 9 hypertension 9 hypertension 10 is 10 is 13 predictor 11 a 13 predictor 12 strong 13 predictor 13 predictor 14 of 13 predictor 19 treatment 13 predictor 21 reduce 14 of 16 and 15 wml 16 and 16 and 17 that 18 adequate 19 treatment 19 treatment 20 may 20 may 21 reduce 21 reduce 23 course 22 the 23 course 23 course 24 of 24 of 26 progression 25 wml 26 progression because wmls are linked to both dementia and stroke risks , these results could have implications for future preventive trials . 0 ###LEFT-WALL### 13 results 0 ###LEFT-WALL### 15 have 0 ###LEFT-WALL### 21 . 1 because 2 wmls 1 because 4 linked 1 because 11 , 1 because 13 results 2 wmls 3 are 3 are 4 linked 4 linked 5 to 5 to 8 and 6 both 8 and 7 dementia 8 and 8 and 10 risks 8 and 11 , 9 stroke 10 risks 12 these 13 results 13 results 14 could 14 could 15 have 15 have 16 implications 16 implications 17 for 17 for 20 trials 18 future 20 trials 19 preventive 20 trials objective : to reexamine the association between the neuronal [sortilin] - related receptor gene ( sorl1 ) and alzheimer disease ( ad ) . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 reexamine 2 : 24 . 3 to 4 reexamine 4 reexamine 18 and 5 the 6 association 6 association 7 between 6 association 18 and 7 between 14 gene 8 the 14 gene 9 neuronal 11 - 9 neuronal 13 receptor 12 related 13 receptor 13 receptor 14 gene 14 gene 16 sorl1 15 ( 16 sorl1 16 sorl1 17 ) 18 and 20 disease 18 and 22 ad 19 alzheimer 20 disease 21 ( 22 ad 22 ad 23 ) design : comprehensive and unbiased meta - analysis of all published and unpublished data from case [-] control studies for the sorl1 single - nucleotide polymorphisms ( snps ) that had been repeatedly assessed across studies . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 1 design 2 : 2 : 4 and 3 comprehensive 4 and 4 and 8 analysis 4 and 9 of 5 unbiased 8 analysis 6 meta 7 - 6 meta 8 analysis 9 of 12 and 10 all 11 published 10 all 12 and 12 and 14 data 12 and 15 from 13 unpublished 14 data 15 from 19 studies 16 case 19 studies 18 control 19 studies 19 studies 20 for 19 studies 30 that 19 studies 31 had 20 for 23 single 21 the 23 single 22 sorl1 23 single 23 single 26 polymorphisms 24 - 26 polymorphisms 25 nucleotide 26 polymorphisms 26 polymorphisms 28 snps 26 polymorphisms 29 ) 27 ( 28 snps 28 snps 29 ) 30 that 31 had 31 had 32 been 32 been 33 repeatedly 32 been 34 assessed 34 assessed 35 across 35 across 36 studies setting : academic research institutions in the united states , the netherlands , canada , belgium , the united kingdom , singapore , japan , sweden , germany , france , and italy . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 1 setting 2 : 2 : 32 and 3 academic 5 institutions 4 research 5 institutions 5 institutions 6 in 5 institutions 10 , 6 in 9 states 7 the 9 states 8 united 9 states 10 , 12 netherlands 10 , 13 , 11 the 12 netherlands 13 , 14 canada 13 , 15 , 15 , 16 belgium 15 , 17 , 17 , 20 kingdom 17 , 21 , 18 the 20 kingdom 19 united 20 kingdom 21 , 22 singapore 21 , 23 , 23 , 24 japan 23 , 32 and 24 japan 26 sweden 25 , 26 sweden 26 sweden 28 germany 26 sweden 30 france 26 sweden 31 , 27 , 28 germany 28 germany 29 , 29 , 30 france 30 france 31 , 32 and 33 italy participants : all published white and asian case - control data sets , which included a total of 12,464 cases and 17,929 controls . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 - 1 participants 2 : 2 : 6 and 3 all 6 and 4 published 5 white 5 white 6 and 6 and 8 case 7 asian 8 case 9 - 11 data 9 - 12 sets 9 - 13 , 9 - 24 . 10 control 11 data 11 data 12 sets 13 , 14 which 13 , 15 included 14 which 15 included 15 included 17 total 16 a 17 total 17 total 18 of 18 of 21 and 19 12,464 20 cases 20 cases 21 and 21 and 23 controls 22 17,929 23 controls main outcome measures : alzheimer disease according to the diagnostic and statistical manual of mental disorders ( fourth edition ) and the national institute of neurological and communicative disorders and stroke and the alzheimer 's disease and related disorders association ( now known as the alzheimer 's association ) . 0 ###LEFT-WALL### 3 measures 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 50 . 1 main 2 outcome 2 outcome 3 measures 3 measures 4 : 4 : 6 disease 4 : 8 to 4 : 43 known 5 alzheimer 6 disease 7 according 8 to 8 to 21 and 9 the 10 diagnostic 10 diagnostic 11 and 11 and 13 manual 11 and 14 of 11 and 19 edition 11 and 21 and 12 statistical 13 manual 14 of 16 disorders 15 mental 16 disorders 17 ( 19 edition 18 fourth 19 edition 19 edition 20 ) 21 and 24 institute 21 and 25 of 22 the 24 institute 23 national 24 institute 25 of 32 and 26 neurological 27 and 27 and 29 disorders 27 and 30 and 28 communicative 29 disorders 30 and 31 stroke 30 and 32 and 32 and 40 association 33 the 34 alzheimer 34 alzheimer 35 's 35 's 40 association 36 disease 37 and 37 and 38 related 38 related 39 disorders 39 disorders 40 association 41 ( 43 known 42 now 43 known 43 known 44 as 43 known 49 ) 44 as 48 association 45 the 46 alzheimer 46 alzheimer 47 's 47 's 48 association results : in the white data sets , several markers were associated with ad after correction for multiple testing , including previously reported snps 8 , 9 [,] and 10 ( p < [.] 001 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 , 1 results 2 : 2 : 3 in 3 in 7 sets 4 the 7 sets 5 white 7 sets 6 data 7 sets 8 , 10 markers 8 , 12 associated 8 , 20 , 9 several 10 markers 10 markers 11 were 11 were 12 associated 12 associated 13 with 12 associated 15 after 13 with 14 ad 15 after 16 correction 16 correction 17 for 17 for 19 testing 18 multiple 19 testing 20 , 21 including 20 , 23 reported 21 including 23 reported 22 previously 23 reported 23 reported 24 snps 24 snps 25 8 24 snps 29 and 26 , 29 and 27 9 29 and 29 and 30 10 29 and 33 < 29 and 37 . 31 ( 33 < 32 p 33 < 33 < 35 001 33 < 36 ) in addition , the c - [g] - c haplotype at snps 8 through 10 was associated with ad risk ( p < [.] 001 ) . 0 ###LEFT-WALL### 10 haplotype 0 ###LEFT-WALL### 17 associated 0 ###LEFT-WALL### 27 . 1 in 2 addition 1 in 3 , 1 in 10 haplotype 4 the 10 haplotype 5 c 6 - 6 - 8 - 6 - 10 haplotype 8 - 9 c 8 - 10 haplotype 10 haplotype 11 at 10 haplotype 16 was 11 at 12 snps 12 snps 13 8 12 snps 14 through 14 through 15 10 16 was 17 associated 17 associated 18 with 18 with 20 risk 19 ad 20 risk 20 risk 23 < 21 ( 23 < 22 p 23 < 23 < 25 001 23 < 26 ) in the combined asian data sets , snps 19 and 23 through 25 were associated with ad risk ( p < [.] 001 ) . 0 ###LEFT-WALL### 5 data 0 ###LEFT-WALL### 6 sets 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 25 . 1 in 4 asian 1 in 5 data 2 the 4 asian 3 combined 4 asian 5 data 6 sets 7 , 8 snps 7 , 15 associated 8 snps 10 and 8 snps 12 through 8 snps 14 were 9 19 10 and 10 and 11 23 12 through 13 25 14 were 15 associated 15 associated 16 with 16 with 18 risk 17 ad 18 risk 18 risk 21 < 19 ( 21 < 20 p 21 < 21 < 23 001 21 < 24 ) the disease - associated alleles at snps 8 , 9 , and 10 [(] 120,873,131 - 120,886,175 base pairs [ [bp] []] [;] c - g - [c] alleles [ )(, at snp 19 ( 120,953,300 bp ; [g] allele [ )(, and at snps 24 through 25 ( [120,988,611] [bp] [;] t and [c] alleles ) were the same previously reported [alleles] . 0 ###LEFT-WALL### 2 disease 0 ###LEFT-WALL### 3 - 1 the 2 disease 3 - 5 alleles 3 - 11 , 4 associated 5 alleles 5 alleles 6 at 6 at 7 snps 7 snps 8 8 7 snps 10 9 9 , 10 9 10 9 11 , 11 , 12 and 11 , 16 - 12 and 13 10 13 10 15 120,873,131 16 - 17 120,886,175 16 - 18 base 16 - 27 - 17 120,886,175 18 base 18 base 19 pairs 18 base 25 - 20 [ 25 - 24 c 25 - 25 - 26 g 25 - 27 - 27 - 29 alleles 27 - 38 ; 29 alleles 32 at 31 )(, 32 at 32 at 33 snp 32 at 38 ; 33 snp 34 19 33 snp 37 bp 35 ( 37 bp 36 120,953,300 37 bp 37 bp 38 ; 38 ; 40 allele 38 ; 43 and 42 )(, 43 and 43 and 46 24 44 at 45 snps 44 at 46 24 46 24 47 through 46 24 54 and 46 24 58 were 47 through 48 25 49 ( 54 and 53 t 54 and 54 and 56 alleles 54 and 57 ) 58 were 60 same 59 the 60 same 60 same 62 reported 61 previously 62 reported 62 reported 64 . the snps 4 through 5 , 8 through 10 , 12 , and [19] through 25 belong to distinct linkage disequilibrium blocks . 0 ###LEFT-WALL### 2 snps 0 ###LEFT-WALL### 17 belong 0 ###LEFT-WALL### 23 . 1 the 2 snps 2 snps 3 4 2 snps 13 and 2 snps 17 belong 4 through 5 5 4 through 13 and 5 5 7 8 6 , 7 8 7 8 8 through 7 8 12 , 8 through 9 10 9 10 11 12 10 , 11 12 11 12 12 , 13 and 15 through 15 through 16 25 17 belong 18 to 18 to 22 blocks 19 distinct 20 linkage 20 linkage 22 blocks 21 disequilibrium 22 blocks the same alleles at snps 8 through [10] [(] c - g - c [ )(, 19 [(] g [ )(, and 24 and 25 ( t [and] [c] ) have also been associated with ad endophenotypes , including white matter hyperintensities and hippocampal atrophy on magnetic resonance imaging , cerebrospinal fluid measures of amyloid β - peptide 42 , and full - length sorl1 expression in the human brain . 0 ###LEFT-WALL### 2 same 0 ###LEFT-WALL### 3 alleles 0 ###LEFT-WALL### 11 - 1 the 2 same 2 same 3 alleles 3 alleles 4 at 3 alleles 7 through 4 at 5 snps 5 snps 6 8 7 through 10 c 11 - 12 g 11 - 13 - 13 - 14 c 13 - 16 )(, 16 )(, 17 19 16 )(, 21 )(, 17 19 19 g 21 )(, 22 and 22 and 24 and 23 24 24 and 24 and 25 25 24 and 27 t 24 and 31 have 26 ( 27 t 27 t 30 ) 31 have 33 been 32 also 33 been 33 been 34 associated 34 associated 35 with 35 with 43 and 35 with 46 on 36 ad 37 endophenotypes 37 endophenotypes 38 , 38 , 42 hyperintensities 38 , 43 and 39 including 40 white 40 white 41 matter 41 matter 42 hyperintensities 43 and 45 atrophy 44 hippocampal 45 atrophy 46 on 49 imaging 47 magnetic 49 imaging 48 resonance 49 imaging 49 imaging 52 fluid 49 imaging 61 and 50 , 52 fluid 51 cerebrospinal 52 fluid 52 fluid 53 measures 52 fluid 56 β 52 fluid 57 - 53 measures 54 of 53 measures 56 β 54 of 55 amyloid 57 - 61 and 58 peptide 59 42 58 peptide 61 and 60 , 61 and 61 and 66 expression 61 and 67 in 61 and 71 . 62 full 63 - 62 full 66 expression 64 length 66 expression 65 sorl1 66 expression 67 in 70 brain 68 the 70 brain 69 human 70 brain conclusion : this comprehensive meta - analysis provides confirmatory evidence that multiple sorl1 variants in distinct linkage disequilibrium blocks are associated with ad . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 7 analysis 2 : 8 provides 2 : 24 . 3 this 4 comprehensive 4 comprehensive 7 analysis 5 meta 6 - 5 meta 7 analysis 7 analysis 8 provides 8 provides 10 evidence 8 provides 22 with 9 confirmatory 10 evidence 10 evidence 11 that 10 evidence 21 associated 11 that 14 variants 11 that 21 associated 12 multiple 14 variants 13 sorl1 14 variants 14 variants 15 in 14 variants 21 associated 15 in 18 disequilibrium 16 distinct 17 linkage 17 linkage 18 disequilibrium 18 disequilibrium 19 blocks 18 disequilibrium 20 are 19 blocks 20 are 22 with 23 ad background : while demographic shifts project an increased need for long - term care for an aging population , hundreds of nursing homes close each year . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 23 homes 2 : 24 close 2 : 27 . 3 while 5 shifts 3 while 6 project 3 while 19 , 3 while 23 homes 4 demographic 5 shifts 5 shifts 6 project 6 project 9 need 7 an 9 need 8 increased 9 need 9 need 10 for 10 for 14 care 11 long 12 - 11 long 14 care 13 term 14 care 14 care 15 for 15 for 18 population 16 an 18 population 17 aging 18 population 20 hundreds 21 of 20 hundreds 23 homes 21 of 23 homes 22 nursing 23 homes 23 homes 24 close 24 close 26 year 25 each 26 year we examine whether nursing home closures are geographically concentrated and related to local community characteristics such as the racial and ethnic population mix and poverty . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 26 . 1 we 10 and 2 examine 3 whether 2 examine 10 and 3 whether 6 closures 3 whether 9 concentrated 4 nursing 6 closures 5 home 6 closures 6 closures 7 are 7 are 9 concentrated 8 geographically 9 concentrated 10 and 11 related 10 and 17 as 11 related 12 to 12 to 15 characteristics 13 local 14 community 14 community 15 characteristics 16 such 17 as 17 as 24 and 18 the 23 mix 19 racial 20 and 20 and 21 ethnic 20 and 22 population 22 population 23 mix 23 mix 24 and 24 and 25 poverty methods : national online survey certification and reporting data were used to document cumulative nursing facility closures over a decade , 1999 through 2008 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 closures 2 : 7 and 3 national 4 online 4 online 5 survey 5 survey 6 certification 6 certification 7 and 7 and 8 reporting 7 and 9 data 7 and 17 closures 9 data 10 were 10 were 11 used 11 used 12 to 11 used 17 closures 12 to 13 document 13 document 15 nursing 14 cumulative 15 nursing 16 facility 17 closures 17 closures 18 over 18 over 20 decade 19 a 20 decade 20 decade 22 1999 21 , 22 1999 22 1999 23 through 22 1999 25 . 23 through 24 2008 census 2000 zip code level demographics and poverty rates were matched to study facilities . 0 ###LEFT-WALL### 1 census 0 ###LEFT-WALL### 11 matched 0 ###LEFT-WALL### 15 . 1 census 2 2000 1 census 7 and 1 census 10 were 1 census 11 matched 3 zip 4 code 4 code 6 demographics 5 level 6 demographics 6 demographics 7 and 7 and 9 rates 7 and 10 were 8 poverty 9 rates 11 matched 12 to 12 to 13 study 13 study 14 facilities the weighted gini coefficient was used to measure geographic concentration of closures , and geographic information system maps to illustrate spatial clustering patterns of closures . 0 ###LEFT-WALL### 4 coefficient 0 ###LEFT-WALL### 6 used 0 ###LEFT-WALL### 26 . 1 the 4 coefficient 2 weighted 4 coefficient 3 gini 4 coefficient 4 coefficient 5 was 5 was 6 used 6 used 7 to 6 used 8 measure 7 to 8 measure 8 measure 10 concentration 8 measure 19 to 9 geographic 10 concentration 10 concentration 11 of 11 of 14 and 12 closures 14 and 13 , 14 and 14 and 18 maps 15 geographic 16 information 16 information 18 maps 17 system 18 maps 19 to 20 illustrate 20 illustrate 23 patterns 21 spatial 23 patterns 22 clustering 23 patterns 23 patterns 24 of 24 of 25 closures changes in bed supply due to closures were examined at various geographic levels . 0 ###LEFT-WALL### 1 changes 0 ###LEFT-WALL### 9 examined 0 ###LEFT-WALL### 14 . 1 changes 2 in 1 changes 8 were 2 in 4 supply 3 bed 4 supply 4 supply 6 to 5 due 6 to 6 to 7 closures 8 were 9 examined 9 examined 10 at 10 at 13 levels 11 various 13 levels 12 geographic 13 levels results : between 1999 and 2008 , a national total of 1776 freestanding nursing homes closed ( 11 % ) , compared with 1126 closures of hospital [-] based facilities ( nearly 50 % ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 36 . 1 results 2 : 2 : 3 between 2 : 22 compared 3 between 5 and 4 1999 5 and 5 and 6 2008 5 and 10 total 7 , 10 total 8 a 9 national 8 a 10 total 9 national 10 total 10 total 11 of 10 total 19 % 10 total 21 , 11 of 15 homes 12 1776 15 homes 13 freestanding 14 nursing 14 nursing 15 homes 15 homes 16 closed 17 ( 19 % 18 11 19 % 19 % 20 ) 21 , 22 compared 22 compared 23 with 22 compared 35 ) 23 with 25 closures 24 1126 25 closures 25 closures 26 of 26 of 30 facilities 27 hospital 29 based 29 based 30 facilities 30 facilities 34 % 31 ( 34 % 32 nearly 33 50 33 50 34 % 34 % 35 ) combined , there was a net loss of over 5 % of beds . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 14 . 1 combined 2 , 1 combined 3 there 3 there 4 was 4 was 7 loss 5 a 6 net 5 a 7 loss 6 net 7 loss 7 loss 8 of 8 of 9 over 9 over 11 % 10 5 11 % 11 % 12 of 12 of 13 beds the relative risk of closure was significantly higher in zip code areas with a higher proportion of blacks or hispanics or a higher poverty rate . 0 ###LEFT-WALL### 3 risk 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 26 . 1 the 3 risk 2 relative 3 risk 3 risk 4 of 3 risk 6 was 4 of 5 closure 6 was 7 significantly 6 was 8 higher 8 higher 9 in 8 higher 13 with 9 in 12 areas 10 zip 11 code 11 code 12 areas 13 with 16 proportion 14 a 16 proportion 15 higher 16 proportion 16 proportion 17 of 17 of 21 or 18 blacks 19 or 19 or 20 hispanics 19 or 21 or 21 or 25 rate 22 a 25 rate 23 higher 24 poverty 24 poverty 25 rate the weighted gini coefficient for closures was 0.55 across all metropolitan statistical areas and [0.71] across zip codes . 0 ###LEFT-WALL### 4 coefficient 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 19 . 1 the 4 coefficient 2 weighted 4 coefficient 3 gini 4 coefficient 4 coefficient 5 for 4 coefficient 7 was 5 for 6 closures 7 was 8 0.55 8 0.55 14 and 9 across 13 areas 9 across 14 and 10 all 13 areas 11 metropolitan 13 areas 12 statistical 13 areas 14 and 16 across 16 across 18 codes 17 zip 18 codes closures tended to be spatially clustered in minority [-] concentrated zip codes around the urban core , often in pockets of concentrated poverty . 0 ###LEFT-WALL### 1 closures 0 ###LEFT-WALL### 6 clustered 1 closures 2 tended 1 closures 6 clustered 2 tended 3 to 3 to 4 be 5 spatially 6 clustered 6 clustered 7 in 6 clustered 13 around 7 in 12 codes 8 minority 12 codes 10 concentrated 11 zip 11 zip 12 codes 13 around 16 core 14 the 16 core 15 urban 16 core 16 core 19 in 17 , 18 often 17 , 19 in 19 in 20 pockets 19 in 24 . 20 pockets 21 of 21 of 23 poverty 22 concentrated 23 poverty conclusions : nursing home closures are geographically concentrated in minority and poor communities . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 . 2 : 5 closures 2 : 8 concentrated 3 nursing 5 closures 4 home 5 closures 5 closures 6 are 6 are 7 geographically 6 are 8 concentrated 8 concentrated 9 in 9 in 11 and 10 minority 11 and 11 and 13 communities 12 poor 13 communities since nursing home use among the minority elderly population is growing while it is declining among whites , these findings suggest that disparities in access will increase . 0 ###LEFT-WALL### 20 findings 0 ###LEFT-WALL### 21 suggest 0 ###LEFT-WALL### 28 . 1 since 2 nursing 1 since 20 findings 2 nursing 4 use 2 nursing 12 while 3 home 4 use 4 use 5 among 4 use 9 population 4 use 11 growing 5 among 7 minority 6 the 7 minority 8 elderly 9 population 9 population 10 is 10 is 11 growing 12 while 13 it 12 while 14 is 13 it 14 is 14 is 15 declining 16 among 17 whites 16 among 18 , 16 among 20 findings 19 these 20 findings 20 findings 21 suggest 21 suggest 22 that 22 that 23 disparities 22 that 27 increase 23 disparities 24 in 23 disparities 26 will 24 in 25 access 26 will 27 increase mitochondria are dynamic organelles whose functional integrity requires a coordinated supply of proteins and phospholipids . 0 ###LEFT-WALL### 1 mitochondria 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 16 . 1 mitochondria 2 are 2 are 4 organelles 2 are 12 of 3 dynamic 4 organelles 4 organelles 5 whose 5 whose 7 integrity 6 functional 7 integrity 7 integrity 8 requires 8 requires 11 supply 9 a 11 supply 10 coordinated 11 supply 12 of 14 and 13 proteins 14 and 14 and 15 phospholipids defined functions of specific phospholipids , like the mitochondrial signature lipid cardiolipin , are emerging in diverse processes , ranging from protein biogenesis and energy production to membrane fusion and apoptosis . 0 ###LEFT-WALL### 2 functions 0 ###LEFT-WALL### 14 are 1 defined 2 functions 2 functions 3 of 2 functions 7 like 2 functions 14 are 3 of 5 phospholipids 4 specific 5 phospholipids 6 , 7 like 7 like 12 cardiolipin 7 like 13 , 8 the 12 cardiolipin 9 mitochondrial 12 cardiolipin 10 signature 12 cardiolipin 11 lipid 12 cardiolipin 14 are 15 emerging 15 emerging 16 in 15 emerging 20 ranging 16 in 18 processes 17 diverse 18 processes 19 , 20 ranging 20 ranging 21 from 20 ranging 32 . 21 from 30 and 22 protein 23 biogenesis 23 biogenesis 24 and 24 and 26 production 24 and 27 to 24 and 30 and 25 energy 26 production 27 to 29 fusion 28 membrane 29 fusion 30 and 31 apoptosis the accumulation of phospholipids within mitochondria depends on interorganellar lipid transport between the endoplasmic reticulum ( er ) [and] mitochondria as well as intramitochondrial lipid trafficking . 0 ###LEFT-WALL### 2 accumulation 0 ###LEFT-WALL### 7 depends 0 ###LEFT-WALL### 27 . 1 the 2 accumulation 2 accumulation 3 of 2 accumulation 5 within 2 accumulation 7 depends 3 of 4 phospholipids 5 within 6 mitochondria 7 depends 8 on 7 depends 12 between 7 depends 23 as 8 on 11 transport 9 interorganellar 10 lipid 10 lipid 11 transport 12 between 20 mitochondria 13 the 20 mitochondria 14 endoplasmic 20 mitochondria 15 reticulum 17 er 15 reticulum 20 mitochondria 16 ( 17 er 17 er 18 ) 21 as 22 well 22 well 23 as 23 as 26 trafficking 24 intramitochondrial 25 lipid 25 lipid 26 trafficking the discovery of proteins that regulate mitochondrial membrane lipid composition [and] of a multiprotein complex tethering er to mitochondrial membranes has unveiled novel mechanisms of mitochondrial membrane biogenesis . 0 ###LEFT-WALL### 2 discovery 0 ###LEFT-WALL### 22 unveiled 0 ###LEFT-WALL### 29 . 1 the 2 discovery 2 discovery 3 of 2 discovery 12 of 2 discovery 21 has 3 of 4 proteins 4 proteins 5 that 4 proteins 6 regulate 5 that 6 regulate 6 regulate 10 composition 7 mitochondrial 8 membrane 8 membrane 9 lipid 9 lipid 10 composition 12 of 15 complex 13 a 15 complex 14 multiprotein 15 complex 15 complex 16 tethering 16 tethering 17 er 17 er 18 to 18 to 20 membranes 19 mitochondrial 20 membranes 21 has 22 unveiled 22 unveiled 24 mechanisms 23 novel 24 mechanisms 24 mechanisms 25 of 25 of 28 biogenesis 26 mitochondrial 27 membrane 27 membrane 28 biogenesis nad ( [p] )h:quinone oxidoreductase 1 ( nqo1 ) is a flavoenzyme that is important in maintaining the cellular redox state and regulating protein degradation . 0 ###LEFT-WALL### 1 nad 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 26 . 1 nad 5 oxidoreductase 1 nad 10 is 2 ( 5 oxidoreductase 4 )h:quinone 5 oxidoreductase 5 oxidoreductase 6 1 5 oxidoreductase 8 nqo1 5 oxidoreductase 9 ) 7 ( 8 nqo1 8 nqo1 9 ) 10 is 12 flavoenzyme 11 a 12 flavoenzyme 12 flavoenzyme 13 that 12 flavoenzyme 17 maintaining 13 that 14 is 14 is 15 important 15 important 16 in 16 in 17 maintaining 17 maintaining 22 and 18 the 21 state 19 cellular 20 redox 20 redox 21 state 21 state 22 and 22 and 25 degradation 23 regulating 24 protein 24 protein 25 degradation the nqo1 polymorphism c609t has been associated with increased susceptibility to various age - related pathologies . 0 ###LEFT-WALL### 3 polymorphism 0 ###LEFT-WALL### 9 increased 0 ###LEFT-WALL### 15 related 1 the 3 polymorphism 2 nqo1 3 polymorphism 3 polymorphism 4 c609t 3 polymorphism 8 with 3 polymorphism 9 increased 4 c609t 5 has 5 has 6 been 6 been 7 associated 7 associated 8 with 9 increased 10 susceptibility 9 increased 11 to 11 to 13 age 12 various 13 age 14 - 15 related 15 related 16 pathologies 15 related 17 . we show here that nqo1 protein level is regulated by the e3 ligase stub1/chip [(] c terminus of hsc70 - interacting protein ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 show 0 ###LEFT-WALL### 24 . 1 we 2 show 2 show 3 here 2 show 4 that 4 that 7 level 4 that 9 regulated 5 nqo1 7 level 6 protein 7 level 7 level 8 is 8 is 9 regulated 9 regulated 10 by 10 by 17 terminus 11 the 17 terminus 12 e3 17 terminus 13 ligase 17 terminus 14 stub1/chip 16 c 14 stub1/chip 17 terminus 17 terminus 18 of 18 of 19 hsc70 19 hsc70 22 protein 20 - 22 protein 21 interacting 22 protein 22 protein 23 ) nqo1 binds stub1 via the hsc70 - interacting domain [(] tetratricopeptide [repeat] [domain] ) and undergoes ubiquitination and degradation . 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 20 . 1 nqo1 15 and 1 nqo1 18 and 2 binds 3 stub1 2 binds 15 and 3 stub1 4 via 4 via 6 hsc70 5 the 6 hsc70 6 hsc70 11 tetratricopeptide 7 - 11 tetratricopeptide 8 interacting 9 domain 9 domain 11 tetratricopeptide 11 tetratricopeptide 14 ) 15 and 16 undergoes 15 and 17 ubiquitination 18 and 19 degradation we demonstrate here that the product of the c609t polymorphism ( p187s ) is a stronger stub1 interactor with increased susceptibility to ubiquitination by the e3 ligase stub1 . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 demonstrate 0 ###LEFT-WALL### 29 . 1 we 2 demonstrate 2 demonstrate 3 here 2 demonstrate 4 that 4 that 6 product 4 that 14 is 5 the 6 product 6 product 7 of 6 product 14 is 7 of 10 polymorphism 8 the 10 polymorphism 9 c609t 10 polymorphism 10 polymorphism 12 p187s 11 ( 12 p187s 12 p187s 13 ) 14 is 18 interactor 15 a 18 interactor 16 stronger 18 interactor 17 stub1 18 interactor 18 interactor 19 with 19 with 21 susceptibility 20 increased 21 susceptibility 21 susceptibility 22 to 22 to 23 ubiquitination 23 ubiquitination 24 by 24 by 28 stub1 25 the 27 ligase 26 e3 27 ligase 27 ligase 28 stub1 furthermore , age - dependent decrease of stub1 correlates with increased nqo1 accumulation . 0 ###LEFT-WALL### 3 age 0 ###LEFT-WALL### 4 - 1 furthermore 2 , 1 furthermore 3 age 4 - 6 decrease 4 - 9 correlates 4 - 14 . 5 dependent 6 decrease 6 decrease 7 of 6 decrease 9 correlates 7 of 8 stub1 9 correlates 10 with 10 with 13 accumulation 11 increased 13 accumulation 12 nqo1 13 accumulation remarkably , examination [of] hippocampi from alzheimer disease patients revealed that in half of the cases examined the nqo1 protein level was undetectable due to c609t polymorphism , suggesting that the age - dependent accumulation of nqo1 is impaired in certain alzheimer disease patients . 0 ###LEFT-WALL### 5 hippocampi 0 ###LEFT-WALL### 10 revealed 1 remarkably 2 , 1 remarkably 5 hippocampi 3 examination 5 hippocampi 5 hippocampi 6 from 5 hippocampi 10 revealed 6 from 9 patients 7 alzheimer 8 disease 8 disease 9 patients 10 revealed 11 that 11 that 21 level 11 that 22 was 12 in 13 half 12 in 21 level 13 half 14 of 14 of 16 cases 15 the 16 cases 16 cases 17 examined 18 the 21 level 19 nqo1 20 protein 20 protein 21 level 21 level 22 was 22 was 23 undetectable 23 undetectable 25 to 24 due 25 to 25 to 27 polymorphism 26 c609t 27 polymorphism 27 polymorphism 33 - 28 , 33 - 29 suggesting 30 that 30 that 32 age 30 that 33 - 31 the 32 age 32 age 33 - 33 - 34 dependent 33 - 45 . 34 dependent 35 accumulation 34 dependent 38 is 34 dependent 39 impaired 35 accumulation 36 of 35 accumulation 38 is 36 of 37 nqo1 39 impaired 40 in 40 in 44 patients 41 certain 44 patients 42 alzheimer 43 disease 43 disease 44 patients objective : to present sociodemographic and health status harmonized variables constructed to evaluate cross - national differences in term [of] disability free life expectancy ( dfle ) across different surveys . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 1 objective 2 : 2 : 3 to 2 : 28 across 3 to 10 variables 4 present 10 variables 5 sociodemographic 6 and 6 and 7 health 6 and 9 harmonized 8 status 9 harmonized 9 harmonized 10 variables 10 variables 11 constructed 10 variables 12 to 10 variables 14 cross 10 variables 17 differences 12 to 13 evaluate 13 evaluate 14 cross 15 - 17 differences 16 national 17 differences 17 differences 18 in 17 differences 27 ) 18 in 26 dfle 19 term 26 dfle 21 disability 22 free 22 free 23 life 23 life 24 expectancy 24 expectancy 26 dfle 25 ( 26 dfle 26 dfle 27 ) 28 across 30 surveys 29 different 30 surveys method : the study comprises national surveys conducted in bulgaria , italy , and latin america and the caribbean . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 comprises 2 : 20 . 3 the 4 study 4 study 5 comprises 5 comprises 7 surveys 5 comprises 9 in 6 national 7 surveys 7 surveys 8 conducted 9 in 17 and 10 bulgaria 12 italy 10 bulgaria 14 and 11 , 12 italy 12 italy 13 , 14 and 16 america 14 and 17 and 15 latin 16 america 17 and 19 caribbean 18 the 19 caribbean a homogeneous group of health determinants for the older population was created and the dfle indicator based on sullivan 's method [was] developed considering the harmonized common variables on disability . 0 ###LEFT-WALL### 3 group 0 ###LEFT-WALL### 11 was 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 20 's 0 ###LEFT-WALL### 31 . 1 a 2 homogeneous 1 a 3 group 2 homogeneous 3 group 3 group 4 of 3 group 11 was 4 of 6 determinants 5 health 6 determinants 6 determinants 7 for 7 for 10 population 8 the 10 population 9 older 10 population 11 was 12 created 13 and 16 indicator 13 and 20 's 14 the 16 indicator 15 dfle 16 indicator 16 indicator 17 based 16 indicator 20 's 17 based 18 on 18 on 19 sullivan 20 's 21 method 20 's 29 on 21 method 23 developed 21 method 24 considering 24 considering 28 variables 25 the 28 variables 26 harmonized 28 variables 27 common 28 variables 29 on 30 disability results : for all countries , dfle values decline as age increases for both sexes , with a pronounced decline among women . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 1 results 2 : 2 : 3 for 2 : 17 with 2 : 21 among 3 for 5 countries 4 all 5 countries 5 countries 7 dfle 6 , 7 dfle 7 dfle 8 values 7 dfle 9 decline 7 dfle 16 , 8 values 9 decline 9 decline 10 as 10 as 12 increases 11 age 12 increases 12 increases 13 for 13 for 15 sexes 14 both 15 sexes 17 with 20 decline 18 a 20 decline 19 pronounced 20 decline 21 among 22 women regardless the native [country] , women always present higher life expectancy than men at each age ; however , they live a higher percentage of these years with disability . 0 ###LEFT-WALL### 6 women 0 ###LEFT-WALL### 8 present 0 ###LEFT-WALL### 17 ; 0 ###LEFT-WALL### 30 . 1 regardless 6 women 2 the 6 women 3 native 5 , 3 native 6 women 6 women 8 present 7 always 8 present 8 present 9 higher 8 present 11 expectancy 8 present 12 than 8 present 14 at 10 life 11 expectancy 12 than 13 men 14 at 16 age 15 each 16 age 17 ; 20 they 17 ; 21 live 18 however 19 , 18 however 20 they 20 they 21 live 21 live 24 percentage 21 live 28 with 22 a 24 percentage 23 higher 24 percentage 24 percentage 25 of 25 of 27 years 26 these 27 years 28 with 29 disability discussion : further research should be carried out with standardized instruments that allow a more direct comparison , along with measurements of the potential differences across countries , which could explain differences in disability prevalence and dfle . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 38 . 2 : 4 research 2 : 7 carried 2 : 28 , 3 further 4 research 4 research 5 should 5 should 6 be 6 be 7 carried 7 carried 8 out 7 carried 9 with 9 with 11 instruments 10 standardized 11 instruments 11 instruments 12 that 11 instruments 13 allow 12 that 13 allow 13 allow 17 comparison 13 allow 20 with 14 a 17 comparison 15 more 16 direct 16 direct 17 comparison 18 , 20 with 19 along 20 with 20 with 21 measurements 20 with 28 , 21 measurements 22 of 21 measurements 26 across 22 of 25 differences 23 the 25 differences 24 potential 25 differences 26 across 27 countries 28 , 29 which 28 , 31 explain 29 which 30 could 30 could 31 explain 31 explain 32 differences 31 explain 33 in 33 in 36 and 34 disability 35 prevalence 35 prevalence 36 and 36 and 37 dfle objective : to investigate whether the impact of negative and positive social exchanges on depression depends on relationship type [among] late middle age and older adults . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 2 : 3 to 2 : 4 investigate 3 to 4 investigate 4 investigate 5 whether 5 whether 7 impact 5 whether 16 depends 6 the 7 impact 7 impact 8 of 7 impact 16 depends 8 of 13 exchanges 9 negative 10 and 10 and 11 positive 10 and 13 exchanges 12 social 13 exchanges 13 exchanges 14 on 14 on 15 depression 16 depends 17 on 17 on 24 and 18 relationship 23 age 19 type 23 age 21 late 22 middle 22 middle 23 age 23 age 24 and 24 and 26 adults 25 older 26 adults method : using data from the english longitudinal study of aging , baseline positive and negative exchanges with partners , children , other family and friends were linked to 2 - year changes in depression on the eight - item center for epidemiologic studies depression scale . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 , 1 method 2 : 2 : 3 using 3 using 4 data 3 using 5 from 5 from 9 study 6 the 9 study 7 english 9 study 8 longitudinal 9 study 9 study 10 of 10 of 11 aging 12 , 17 exchanges 12 , 28 linked 13 baseline 17 exchanges 14 positive 15 and 15 and 16 negative 15 and 17 exchanges 17 exchanges 18 with 17 exchanges 27 were 18 with 25 and 19 partners 20 , 20 , 21 children 20 , 22 , 22 , 24 family 22 , 25 and 23 other 24 family 25 and 26 friends 27 were 28 linked 28 linked 29 to 28 linked 39 - 29 to 30 2 31 - 39 - 32 year 33 changes 33 changes 34 in 33 changes 39 - 34 in 35 depression 35 depression 36 on 36 on 38 eight 37 the 38 eight 39 - 41 center 39 - 47 . 40 item 41 center 41 center 42 for 42 for 46 scale 43 epidemiologic 44 studies 44 studies 45 depression 45 depression 46 scale results : positive and negative exchanges with partners and with children were independently associated with depression , adjusting for age , gender , wealth , and baseline depression . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 and 1 results 2 : 2 : 3 positive 4 and 6 exchanges 4 and 14 associated 5 negative 6 exchanges 6 exchanges 9 and 6 exchanges 12 were 7 with 8 partners 7 with 9 and 9 and 10 with 10 with 11 children 12 were 14 associated 13 independently 14 associated 14 associated 15 with 14 associated 18 adjusting 15 with 16 depression 17 , 18 adjusting 18 adjusting 19 for 18 adjusting 29 . 19 for 26 and 20 age 21 , 21 , 22 gender 21 , 23 , 23 , 24 wealth 23 , 26 and 25 , 26 and 26 and 28 depression 27 baseline 28 depression negative but not positive exchanges with other family and with friends were associated with depression . 0 ###LEFT-WALL### 5 exchanges 0 ###LEFT-WALL### 13 associated 0 ###LEFT-WALL### 16 . 1 negative 2 but 2 but 3 not 2 but 4 positive 2 but 5 exchanges 3 not 4 positive 5 exchanges 9 and 5 exchanges 12 were 6 with 8 family 6 with 9 and 7 other 8 family 9 and 10 with 10 with 11 friends 12 were 13 associated 13 associated 14 with 14 with 15 depression the association between depression and positive/negative exchanges was weaker among the [above] 70 s compared with those aged 50 to 70 . 0 ###LEFT-WALL### 2 association 0 ###LEFT-WALL### 8 was 0 ###LEFT-WALL### 22 . 1 the 2 association 2 association 3 between 2 association 8 was 3 between 5 and 4 depression 5 and 5 and 7 exchanges 6 positive/negative 7 exchanges 8 was 9 weaker 9 weaker 10 among 10 among 20 to 11 the 20 to 13 70 14 s 13 70 20 to 14 s 15 compared 15 compared 16 with 16 with 17 those 17 those 18 aged 18 aged 19 50 20 to 21 70 discussion : negative and positive exchanges with partners and children appear equally salient for depression onset [although] negative exchanges with family and friends contribute to depression whereas positive exchanges do [not] . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 32 . 1 discussion 2 : 2 : 6 exchanges 2 : 7 with 3 negative 4 and 4 and 5 positive 4 and 6 exchanges 7 with 8 partners 9 and 10 children 9 and 30 do 10 children 11 appear 11 appear 13 salient 12 equally 13 salient 13 salient 14 for 14 for 15 depression 15 depression 19 exchanges 15 depression 30 do 16 onset 19 exchanges 18 negative 19 exchanges 19 exchanges 20 with 19 exchanges 24 contribute 20 with 22 and 21 family 22 and 22 and 23 friends 24 contribute 25 to 24 contribute 27 whereas 25 to 26 depression 27 whereas 29 exchanges 28 positive 29 exchanges 29 exchanges 30 do the establishment of modern humans in the late pleistocene , subsequent to their emergence in eastern africa , is likely to have involved substantial population increases , during their initial dispersal across southern asia and their subsequent expansions [throughout] africa and into more northern eurasia . 0 ###LEFT-WALL### 2 establishment 0 ###LEFT-WALL### 19 is 1 the 2 establishment 2 establishment 3 of 2 establishment 11 subsequent 2 establishment 19 is 3 of 5 humans 4 modern 5 humans 5 humans 6 in 6 in 9 pleistocene 7 the 9 pleistocene 8 late 9 pleistocene 10 , 11 subsequent 11 subsequent 12 to 11 subsequent 18 , 12 to 14 emergence 13 their 14 emergence 14 emergence 15 in 15 in 17 africa 16 eastern 17 africa 19 is 20 likely 20 likely 21 to 20 likely 28 during 21 to 22 have 22 have 23 involved 23 involved 26 increases 24 substantial 25 population 25 population 26 increases 27 , 28 during 28 during 31 dispersal 28 during 46 . 29 their 31 dispersal 30 initial 31 dispersal 31 dispersal 41 and 32 across 35 and 32 across 41 and 33 southern 34 asia 34 asia 35 and 35 and 40 africa 36 their 38 expansions 37 subsequent 38 expansions 38 expansions 40 africa 41 and 42 into 42 into 45 eurasia 43 more 45 eurasia 44 northern 45 eurasia [an] [assessment] [of] [younger] ( 20 - [40] y ) [versus] older [(] >40 [y] ) adult mortality distributions for late archaic humans ( [principally] neandertals ) and two samples [of] early modern humans ( middle paleolithic and earlier [upper] paleolithic ) [provides] little difference across the samples . 5 ( 7 - 6 20 7 - 7 - 9 y 7 - 10 ) 7 - 19 distributions 12 older 17 adult 14 >40 16 ) 14 >40 17 adult 17 adult 18 mortality 18 mortality 19 distributions 19 distributions 20 for 19 distributions 28 and 20 for 23 humans 21 late 23 humans 22 archaic 23 humans 23 humans 26 neandertals 24 ( 26 neandertals 26 neandertals 27 ) 28 and 30 samples 28 and 34 humans 29 two 30 samples 32 early 34 humans 33 modern 34 humans 34 humans 45 difference 35 ( 45 difference 36 middle 45 difference 37 paleolithic 38 and 38 and 41 paleolithic 38 and 42 ) 38 and 45 difference 39 earlier 41 paleolithic 44 little 45 difference 45 difference 46 across 45 difference 49 . 46 across 48 samples 47 the 48 samples all three late pleistocene samples have [a] dearth of older individuals compared with holocene ethnographic/historical samples . 0 ###LEFT-WALL### 5 samples 0 ###LEFT-WALL### 6 have 0 ###LEFT-WALL### 17 . 1 all 2 three 2 three 5 samples 3 late 4 pleistocene 4 pleistocene 5 samples 5 samples 6 have 6 have 8 dearth 8 dearth 9 of 9 of 11 individuals 10 older 11 individuals 11 individuals 12 compared 12 compared 13 with 13 with 14 holocene 13 with 16 samples 15 ethnographic/historical 16 samples they also lack older adults compared with holocene paleodemographic profiles that have been critiqued for having too few older individuals for subsistence , social , and demographic viability . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 3 lack 0 ###LEFT-WALL### 29 . 1 they 3 lack 2 also 3 lack 3 lack 5 adults 4 older 5 adults 5 adults 6 compared 5 adults 11 that 5 adults 12 have 6 compared 7 with 7 with 10 profiles 8 holocene 10 profiles 9 paleodemographic 10 profiles 11 that 12 have 12 have 13 been 13 been 14 critiqued 14 critiqued 15 for 14 critiqued 21 for 15 for 16 having 16 having 20 individuals 17 too 18 few 18 few 20 individuals 19 older 20 individuals 21 for 26 and 22 subsistence 23 , 23 , 24 social 23 , 26 and 25 , 26 and 26 and 28 viability 27 demographic 28 viability [although] biased , probably through a combination of preservation , age assessment , and especially pleistocene mobility requirements , these adult mortality distributions suggest low life expectancy and demographic instability across these late pleistocene human groups . 0 ###LEFT-WALL### 11 age 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 37 . 2 biased 5 through 2 biased 10 , 2 biased 11 age 3 , 4 probably 3 , 5 through 5 through 7 combination 5 through 10 , 6 a 7 combination 7 combination 8 of 8 of 9 preservation 11 age 14 and 12 assessment 14 and 13 , 14 and 14 and 15 especially 14 and 18 requirements 14 and 19 , 16 pleistocene 18 requirements 17 mobility 18 requirements 19 , 23 distributions 19 , 24 suggest 20 these 23 distributions 21 adult 22 mortality 22 mortality 23 distributions 23 distributions 24 suggest 24 suggest 28 and 24 suggest 31 across 25 low 26 life 26 life 27 expectancy 27 expectancy 28 and 28 and 30 instability 29 demographic 30 instability 31 across 36 groups 32 these 36 groups 33 late 34 pleistocene 34 pleistocene 36 groups 35 human 36 groups they indicate only subtle and paleontologically invisible changes in human paleodemographics with the establishment of modern humans ; they provide no support for a life history advantage among early modern humans . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 2 indicate 0 ###LEFT-WALL### 18 ; 0 ###LEFT-WALL### 32 . 1 they 2 indicate 2 indicate 3 only 2 indicate 8 changes 2 indicate 9 in 2 indicate 12 with 4 subtle 5 and 5 and 7 invisible 5 and 8 changes 6 paleontologically 7 invisible 9 in 11 paleodemographics 10 human 11 paleodemographics 12 with 14 establishment 13 the 14 establishment 14 establishment 15 of 15 of 17 humans 16 modern 17 humans 18 ; 19 they 18 ; 20 provide 19 they 20 provide 20 provide 22 support 21 no 22 support 22 support 23 for 23 for 27 advantage 24 a 25 life 24 a 27 advantage 25 life 26 history 26 history 27 advantage 27 advantage 28 among 28 among 31 humans 29 early 31 humans 30 modern 31 humans modulation of dna repair proteins by small molecules has attracted great interest . 0 ###LEFT-WALL### 1 modulation 0 ###LEFT-WALL### 10 attracted 0 ###LEFT-WALL### 13 . 1 modulation 2 of 1 modulation 9 has 2 of 5 proteins 3 dna 5 proteins 4 repair 5 proteins 5 proteins 6 by 6 by 8 molecules 7 small 8 molecules 9 has 10 attracted 10 attracted 12 interest 11 great 12 interest [an] in vitro helicase activity [screen] was used to identify molecules that modulate dna unwinding by werner syndrome helicase ( wrn ) , mutated in the premature aging disorder werner syndrome . 0 ###LEFT-WALL### 5 activity 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 32 . 2 in 3 vitro 3 vitro 5 activity 4 helicase 5 activity 5 activity 23 , 7 was 8 used 7 was 23 , 8 used 9 to 8 used 10 identify 9 to 10 identify 10 identify 11 molecules 10 identify 16 by 11 molecules 12 that 11 molecules 13 modulate 12 that 13 modulate 13 modulate 14 dna 14 dna 15 unwinding 16 by 19 helicase 17 werner 19 helicase 18 syndrome 19 helicase 19 helicase 21 wrn 20 ( 21 wrn 21 wrn 22 ) 23 , 24 mutated 24 mutated 25 in 25 in 31 syndrome 26 the 31 syndrome 27 premature 29 disorder 28 aging 29 disorder 29 disorder 31 syndrome 30 werner 31 syndrome a small molecule from the national cancer institute diversity set designated nsc 19630 [ 1 - ( propoxymethyl ) - maleimide ] was identified that inhibited wrn helicase activity but did not affect other dna helicases [ bloom [syndrome] ( blm ) , fanconi anemia group j ( fancj ) , recq1 , recq , uvrd , or dnab ) . 0 ###LEFT-WALL### 3 molecule 0 ###LEFT-WALL### 30 but 0 ###LEFT-WALL### 61 . 1 a 2 small 1 a 3 molecule 2 small 3 molecule 3 molecule 4 from 3 molecule 23 was 4 from 9 diversity 5 the 9 diversity 6 national 7 cancer 7 cancer 8 institute 8 institute 9 diversity 9 diversity 10 set 9 diversity 11 designated 9 diversity 21 maleimide 10 set 11 designated 11 designated 12 nsc 12 nsc 13 19630 12 nsc 15 1 12 nsc 18 propoxymethyl 14 [ 15 1 15 1 16 - 17 ( 18 propoxymethyl 18 propoxymethyl 19 ) 20 - 21 maleimide 21 maleimide 22 ] 23 was 30 but 24 identified 29 activity 24 identified 30 but 25 that 26 inhibited 26 inhibited 29 activity 27 wrn 29 activity 28 helicase 29 activity 30 but 31 did 31 did 32 not 31 did 33 affect 33 affect 36 helicases 34 other 36 helicases 35 dna 36 helicases 36 helicases 38 bloom 37 [ 38 bloom 38 bloom 41 blm 38 bloom 46 group 38 bloom 52 recq1 38 bloom 60 ) 40 ( 41 blm 41 blm 42 ) 43 , 46 group 44 fanconi 46 group 45 anemia 46 group 46 group 47 j 46 group 49 fancj 46 group 51 , 48 ( 49 fancj 49 fancj 50 ) 51 , 52 recq1 52 recq1 58 or 52 recq1 60 ) 53 , 58 or 54 recq 56 uvrd 54 recq 58 or 55 , 56 uvrd 56 uvrd 57 , 57 , 58 or 58 or 59 dnab 58 or 60 ) exposure of human cells to nsc 19630 dramatically impaired growth and proliferation , induced apoptosis in a wrn - dependent manner , and resulted in elevated [γ] - h2ax and proliferating cell nuclear antigen ( pcna ) foci . 0 ###LEFT-WALL### 1 exposure 0 ###LEFT-WALL### 26 elevated 0 ###LEFT-WALL### 28 - 1 exposure 2 of 1 exposure 5 to 1 exposure 9 impaired 2 of 4 cells 3 human 4 cells 5 to 6 nsc 6 nsc 7 19630 8 dramatically 9 impaired 9 impaired 11 and 10 growth 11 and 11 and 12 proliferation 11 and 13 , 11 and 23 and 14 induced 15 apoptosis 14 induced 23 and 15 apoptosis 16 in 16 in 18 wrn 17 a 18 wrn 18 wrn 21 manner 19 - 21 manner 20 dependent 21 manner 21 manner 22 , 23 and 24 resulted 23 and 25 in 23 and 26 elevated 28 - 30 and 28 - 39 . 29 h2ax 30 and 30 and 38 foci 31 proliferating 32 cell 32 cell 38 foci 33 nuclear 38 foci 34 antigen 36 pcna 34 antigen 37 ) 34 antigen 38 foci 35 ( 36 pcna 36 pcna 37 ) nsc 19630 exposure led to delayed s - phase progression , consistent with the accumulation [of] stalled replication [forks] , and to dna damage in a wrn - dependent manner . 0 ###LEFT-WALL### 1 nsc 0 ###LEFT-WALL### 6 delayed 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 31 . 1 nsc 2 19630 1 nsc 3 exposure 1 nsc 5 to 1 nsc 6 delayed 3 exposure 4 led 4 led 5 to 6 delayed 7 s 8 - 9 phase 8 - 28 - 9 phase 10 progression 10 progression 12 consistent 11 , 12 consistent 12 consistent 21 and 12 consistent 25 in 12 consistent 28 - 13 with 18 replication 13 with 21 and 14 the 18 replication 15 accumulation 17 stalled 17 stalled 18 replication 20 , 21 and 21 and 22 to 22 to 24 damage 23 dna 24 damage 25 in 27 wrn 26 a 27 wrn 28 - 30 manner 29 dependent 30 manner exposure to nsc 19630 sensitized cancer cells to [the] g - quadruplex - binding compound telomestatin or a [poly] [(] adp ribose [ )(polymerase ( parp ) inhibitor . 0 ###LEFT-WALL### 1 exposure 0 ###LEFT-WALL### 5 sensitized 0 ###LEFT-WALL### 11 - 1 exposure 2 to 1 exposure 5 sensitized 2 to 3 nsc 3 nsc 4 19630 5 sensitized 7 cells 6 cancer 7 cells 7 cells 8 to 8 to 10 g 11 - 28 inhibitor 11 - 29 . 12 quadruplex 17 or 12 quadruplex 27 ) 12 quadruplex 28 inhibitor 13 - 17 or 14 binding 16 telomestatin 15 compound 16 telomestatin 16 telomestatin 17 or 17 or 24 )(polymerase 17 or 26 parp 17 or 27 ) 18 a 24 )(polymerase 21 adp 22 ribose 22 ribose 24 )(polymerase 25 ( 26 parp 26 parp 27 ) sublethal dosage of nsc 19630 and the chemotherapy drug topotecan acted synergistically to inhibit cell proliferation [and] [induce] dna damage . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 9 drug 0 ###LEFT-WALL### 21 . 1 sublethal 2 dosage 2 dosage 3 of 2 dosage 6 and 3 of 4 nsc 4 nsc 5 19630 6 and 8 chemotherapy 6 and 9 drug 7 the 8 chemotherapy 9 drug 10 topotecan 9 drug 12 synergistically 9 drug 13 to 10 topotecan 11 acted 13 to 14 inhibit 14 inhibit 20 damage 15 cell 20 damage 16 proliferation 20 damage 19 dna 20 damage the use of this wrn helicase inhibitor molecule may provide insight into the importance of wrn - mediated [pathway] [(] [s] ) important for dna repair and the replicational stress response . 0 ###LEFT-WALL### 2 use 0 ###LEFT-WALL### 10 provide 0 ###LEFT-WALL### 32 . 1 the 2 use 2 use 3 of 2 use 9 may 3 of 8 molecule 4 this 8 molecule 5 wrn 8 molecule 6 helicase 8 molecule 7 inhibitor 8 molecule 9 may 10 provide 10 provide 11 insight 10 provide 12 into 12 into 14 importance 13 the 14 importance 14 importance 15 of 14 importance 23 important 15 of 16 wrn 16 wrn 18 mediated 17 - 18 mediated 18 mediated 22 ) 23 important 24 for 24 for 27 and 25 dna 26 repair 26 repair 27 and 27 and 31 response 28 the 31 response 29 replicational 30 stress 30 stress 31 response objective : infants who cry a lot , or [are] unsettled in the night , are common sources of concern for parents and costly problems for health services . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 16 are 0 ###LEFT-WALL### 29 . 1 objective 2 : 2 : 3 infants 2 : 12 in 3 infants 4 who 3 infants 9 or 4 who 9 or 5 cry 7 lot 5 cry 9 or 6 a 7 lot 8 , 9 or 9 or 11 unsettled 12 in 14 night 13 the 14 night 15 , 16 are 16 are 18 sources 16 are 19 of 17 common 18 sources 19 of 23 and 20 concern 21 for 20 concern 23 and 21 for 22 parents 23 and 25 problems 23 and 26 for 24 costly 25 problems 26 for 28 services 27 health 28 services the two types of problems have been linked together and attributed to a general disturbance of infant regulation . 0 ###LEFT-WALL### 5 problems 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 19 . 1 the 2 two 2 two 3 types 3 types 4 of 3 types 5 problems 4 of 5 problems 5 problems 10 and 6 have 7 been 6 have 10 and 7 been 8 linked 8 linked 9 together 10 and 11 attributed 10 and 12 to 12 to 15 disturbance 13 a 14 general 13 a 15 disturbance 14 general 15 disturbance 15 disturbance 16 of 16 of 18 regulation 17 infant 18 regulation [yet] the infant behaviours involved present differently [,] at separate ages and times of day . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 16 . 2 the 4 behaviours 3 infant 4 behaviours 4 behaviours 5 involved 4 behaviours 6 present 4 behaviours 12 and 6 present 7 differently 7 differently 9 at 9 at 11 ages 10 separate 11 ages 12 and 13 times 12 and 14 of 14 of 15 day to clarify causation , this study aims to assess whether prolonged crying at 5 - 6 weeks ( the peak age for crying ) predicts which infants are unsettled in the night at 12 weeks of age ( when most infants become settled at night ) . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 clarify 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 47 . 1 to 2 clarify 2 clarify 3 causation 4 , 6 study 4 , 7 aims 5 this 6 study 6 study 7 aims 7 aims 8 to 7 aims 39 when 8 to 9 assess 9 assess 10 whether 9 assess 33 at 10 whether 12 crying 10 whether 25 predicts 11 prolonged 12 crying 12 crying 13 at 12 crying 21 age 12 crying 25 predicts 13 at 17 weeks 14 5 15 - 15 - 16 6 15 - 17 weeks 18 ( 21 age 19 the 21 age 20 peak 21 age 21 age 22 for 21 age 24 ) 22 for 23 crying 25 predicts 26 which 25 predicts 30 in 26 which 27 infants 27 infants 28 are 28 are 29 unsettled 30 in 32 night 31 the 32 night 33 at 35 weeks 34 12 35 weeks 35 weeks 36 of 36 of 37 age 38 ( 39 when 39 when 41 infants 39 when 42 become 39 when 46 ) 40 most 41 infants 41 infants 42 become 42 become 43 settled 43 settled 44 at 44 at 45 night methods : data from two longitudinal studies are analysed . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 data 2 : 9 analysed 2 : 10 . 3 data 4 from 3 data 8 are 4 from 7 studies 5 two 7 studies 6 longitudinal 7 studies 8 are 9 analysed infant crying data were obtained from validated behaviour diaries ; sleep - waking data from standard parental questionnaires . 0 ###LEFT-WALL### 1 infant 0 ###LEFT-WALL### 7 validated 0 ###LEFT-WALL### 10 ; 1 infant 2 crying 1 infant 3 data 1 infant 6 from 1 infant 7 validated 3 data 4 were 4 were 5 obtained 5 obtained 6 from 7 validated 9 diaries 8 behaviour 9 diaries 10 ; 11 sleep 11 sleep 13 waking 12 - 13 waking 13 waking 14 data 13 waking 19 . 14 data 15 from 15 from 18 questionnaires 16 standard 18 questionnaires 17 parental 18 questionnaires results : a significant , weak relationship was found between crying at 5 - 6 weeks and 12 - week night waking and signalling in one study , but not the other . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 7 relationship 2 : 9 found 2 : 17 and 3 a 4 significant 3 a 7 relationship 4 significant 5 , 4 significant 7 relationship 6 weak 7 relationship 7 relationship 8 was 8 was 9 found 9 found 10 between 10 between 11 crying 11 crying 12 at 12 at 16 weeks 13 5 14 - 14 - 15 6 14 - 16 weeks 17 and 18 12 17 and 19 - 18 12 19 - 19 - 23 and 20 week 21 night 21 night 22 waking 21 night 23 and 23 and 24 signalling 23 and 29 but 24 signalling 25 in 25 in 27 study 26 one 27 study 28 , 29 but 29 but 30 not 29 but 32 other 29 but 33 . 31 the 32 other most infants who met the definition [for] prolonged crying/colic at 5 - 6 weeks were settled during the night at 12 weeks of age ; they were not more likely than other infants to be unsettled . 0 ###LEFT-WALL### 2 infants 0 ###LEFT-WALL### 16 settled 0 ###LEFT-WALL### 25 ; 0 ###LEFT-WALL### 35 be 0 ###LEFT-WALL### 37 . 1 most 2 infants 2 infants 3 who 2 infants 4 met 2 infants 15 were 3 who 4 met 4 met 6 definition 4 met 10 at 5 the 6 definition 6 definition 8 prolonged 8 prolonged 9 crying/colic 10 at 14 weeks 11 5 12 - 12 - 13 6 12 - 14 weeks 15 were 16 settled 16 settled 17 during 16 settled 20 at 17 during 19 night 18 the 19 night 20 at 22 weeks 21 12 22 weeks 22 weeks 23 of 23 of 24 age 25 ; 35 be 26 they 27 were 27 were 28 not 27 were 30 likely 29 more 30 likely 30 likely 31 than 30 likely 34 to 31 than 33 infants 32 other 33 infants 34 to 35 be 35 be 36 unsettled conclusions : most infants who cry a lot at 5 - 6 weeks of age ['] sleep through the night ['] at 12 weeks of age . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 1 conclusions 2 : 2 : 4 infants 2 : 8 lot 2 : 9 at 3 most 4 infants 4 infants 5 who 4 infants 6 cry 5 who 6 cry 7 a 8 lot 9 at 11 - 10 5 11 - 11 - 12 6 12 6 13 weeks 13 weeks 14 of 13 weeks 17 sleep 14 of 15 age 17 sleep 18 through 17 sleep 22 at 18 through 20 night 19 the 20 night 22 at 24 weeks 23 12 24 weeks 24 weeks 25 of 25 of 26 age this adds to evidence that the two types of problematic behaviour have different causes , and that infant sleep - waking problems usually involve maintenance of signalling behaviours rather than a generalised disturbance . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 adds 0 ###LEFT-WALL### 20 - 0 ###LEFT-WALL### 34 . 1 this 2 adds 2 adds 3 to 3 to 4 evidence 4 evidence 5 that 5 that 8 types 5 that 12 have 6 the 7 two 7 two 8 types 8 types 9 of 8 types 12 have 9 of 11 behaviour 10 problematic 11 behaviour 12 have 16 and 12 have 19 sleep 13 different 14 causes 14 causes 16 and 15 , 16 and 16 and 18 infant 17 that 18 infant 20 - 22 problems 20 - 24 involve 21 waking 22 problems 22 problems 24 involve 23 usually 24 involve 24 involve 25 maintenance 25 maintenance 26 of 26 of 27 signalling 27 signalling 28 behaviours 27 signalling 30 than 29 rather 30 than 30 than 33 disturbance 31 a 33 disturbance 32 generalised 33 disturbance aging is associated with modifications of the immune system , defined as immunosenescence . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 14 . 1 aging 10 , 2 is 3 associated 2 is 10 , 3 associated 4 with 4 with 5 modifications 5 modifications 6 of 6 of 9 system 7 the 9 system 8 immune 9 system 10 , 11 defined 10 , 12 as 12 as 13 immunosenescence this could contribute to a reduced prevalence of allergic disease in the elderly population . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 3 contribute 0 ###LEFT-WALL### 15 . 1 this 2 could 2 could 3 contribute 3 contribute 4 to 3 contribute 11 in 4 to 7 prevalence 5 a 7 prevalence 6 reduced 7 prevalence 7 prevalence 8 of 8 of 10 disease 9 allergic 10 disease 11 in 14 population 12 the 14 population 13 elderly 14 population in this regard , atopy has rarely been considered in the clinical assessment of the geriatric respiratory patient . 0 ###LEFT-WALL### 5 atopy 0 ###LEFT-WALL### 9 considered 0 ###LEFT-WALL### 19 . 1 in 3 regard 1 in 4 , 1 in 5 atopy 2 this 3 regard 5 atopy 6 has 6 has 8 been 7 rarely 8 been 8 been 9 considered 9 considered 10 in 10 in 13 assessment 11 the 13 assessment 12 clinical 13 assessment 13 assessment 14 of 14 of 18 patient 15 the 18 patient 16 geriatric 18 patient 17 respiratory 18 patient this article is a review of the available literature assessing the impact of age on atopy . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 17 . 1 this 2 article 2 article 3 is 3 is 5 review 4 a 5 review 5 review 6 of 6 of 9 literature 7 the 9 literature 8 available 9 literature 9 literature 10 assessing 10 assessing 12 impact 10 assessing 15 on 11 the 12 impact 12 impact 13 of 13 of 14 age 15 on 16 atopy in the majority of papers , we found a lower prevalence of atopy in the most advanced ages , both in healthy subjects and in individuals affected by allergic respiratory diseases . 0 ###LEFT-WALL### 7 we 0 ###LEFT-WALL### 8 found 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 32 . 1 in 5 papers 1 in 6 , 1 in 7 we 2 the 3 majority 3 majority 4 of 3 majority 5 papers 4 of 5 papers 7 we 8 found 8 found 11 prevalence 8 found 14 in 9 a 11 prevalence 10 lower 11 prevalence 11 prevalence 12 of 12 of 13 atopy 14 in 18 ages 15 the 16 most 16 most 18 ages 17 advanced 18 ages 19 , 20 both 20 both 24 and 21 in 23 subjects 21 in 24 and 22 healthy 23 subjects 24 and 25 in 25 in 26 individuals 26 individuals 27 affected 27 affected 28 by 28 by 31 diseases 29 allergic 31 diseases 30 respiratory 31 diseases unfortunately , no large , longitudinal studies performed in the general population have been conducted to further explore this observation . 0 ###LEFT-WALL### 7 studies 0 ###LEFT-WALL### 15 conducted 0 ###LEFT-WALL### 21 . 1 unfortunately 2 , 1 unfortunately 7 studies 3 no 7 studies 4 large 5 , 4 large 7 studies 6 longitudinal 7 studies 7 studies 8 performed 7 studies 13 have 8 performed 9 in 9 in 12 population 10 the 12 population 11 general 12 population 13 have 14 been 14 been 15 conducted 15 conducted 16 to 16 to 18 explore 17 further 18 explore 18 explore 20 observation 19 this 20 observation although available data seem to favor the decline of allergen sensitization with age , the prevalence of allergic sensitizations in the elderly population with respiratory symptoms is substantial enough to warrant [evaluation] [of] the atopic condition . 0 ###LEFT-WALL### 16 prevalence 0 ###LEFT-WALL### 31 warrant 0 ###LEFT-WALL### 37 . 1 although 3 data 1 although 4 seem 1 although 14 , 1 although 16 prevalence 2 available 3 data 3 data 4 seem 4 seem 5 to 4 seem 6 favor 5 to 6 favor 6 favor 8 decline 6 favor 12 with 7 the 8 decline 8 decline 9 of 9 of 11 sensitization 10 allergen 11 sensitization 12 with 13 age 15 the 16 prevalence 16 prevalence 17 of 16 prevalence 20 in 16 prevalence 27 is 17 of 19 sensitizations 18 allergic 19 sensitizations 20 in 23 population 21 the 23 population 22 elderly 23 population 23 population 24 with 24 with 26 symptoms 25 respiratory 26 symptoms 27 is 28 substantial 28 substantial 29 enough 28 substantial 30 to 28 substantial 31 warrant 30 to 31 warrant 31 warrant 36 condition 34 the 36 condition 35 atopic 36 condition from a clinical perspective , allergic reactions in older adults can have the same or even worse manifestations compared to young people . 0 ###LEFT-WALL### 7 reactions 0 ###LEFT-WALL### 15 or 0 ###LEFT-WALL### 23 . 1 from 4 perspective 1 from 5 , 1 from 7 reactions 2 a 3 clinical 2 a 4 perspective 3 clinical 4 perspective 6 allergic 7 reactions 7 reactions 8 in 7 reactions 15 or 8 in 10 adults 9 older 10 adults 11 can 12 have 11 can 15 or 12 have 14 same 13 the 14 same 15 or 16 even 16 even 18 manifestations 17 worse 18 manifestations 18 manifestations 19 compared 19 compared 20 to 20 to 22 people 21 young 22 people for this reasons , the evaluation of the atopic condition [also] in the geriatric patient is recommended . 0 ###LEFT-WALL### 1 for 0 ###LEFT-WALL### 3 reasons 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 18 . 1 for 2 this 2 this 3 reasons 4 , 6 evaluation 4 , 17 recommended 5 the 6 evaluation 6 evaluation 7 of 6 evaluation 16 is 7 of 10 condition 8 the 10 condition 9 atopic 10 condition 10 condition 12 in 12 in 15 patient 13 the 15 patient 14 geriatric 15 patient 16 is 17 recommended thus , the role of atopy as it pertains to the diagnosis , therapy ( adoption of preventive [measure] such as removal of environmental [allergen] or immunotherapy ) , and prognosis ( influence on morbidity and mortality ) of chronic respiratory illnesses in the elderly [is] addressed . 0 ###LEFT-WALL### 4 role 0 ###LEFT-WALL### 9 pertains 1 thus 2 , 1 thus 4 role 3 the 4 role 4 role 5 of 4 role 9 pertains 5 of 6 atopy 6 atopy 7 as 7 as 8 it 9 pertains 10 to 10 to 12 diagnosis 11 the 12 diagnosis 12 diagnosis 14 therapy 13 , 14 therapy 14 therapy 16 adoption 14 therapy 48 . 15 ( 16 adoption 16 adoption 17 of 16 adoption 48 . 17 of 30 and 18 preventive 21 as 18 preventive 30 and 20 such 21 as 21 as 22 removal 22 removal 23 of 23 of 26 or 24 environmental 26 or 26 or 27 immunotherapy 26 or 28 ) 29 , 30 and 30 and 31 prognosis 30 and 33 influence 32 ( 33 influence 33 influence 34 on 33 influence 48 . 34 on 36 and 35 morbidity 36 and 36 and 37 mortality 36 and 38 ) 36 and 39 of 39 of 42 illnesses 40 chronic 42 illnesses 41 respiratory 42 illnesses 42 illnesses 43 in 42 illnesses 47 addressed 43 in 45 elderly 44 the 45 elderly mutations in optn gene encoding optineurin have recently been identified at the homozygote and heterozygote state in japanese families with slowly progressive amyotrophic lateral sclerosis ( als ) . 0 ###LEFT-WALL### 1 mutations 0 ###LEFT-WALL### 10 identified 0 ###LEFT-WALL### 29 . 1 mutations 2 in 1 mutations 7 have 2 in 6 optineurin 3 optn 6 optineurin 4 gene 6 optineurin 5 encoding 6 optineurin 7 have 9 been 8 recently 9 been 9 been 10 identified 10 identified 11 at 10 identified 17 in 10 identified 20 with 11 at 14 and 12 the 13 homozygote 13 homozygote 14 and 14 and 16 state 15 heterozygote 16 state 17 in 19 families 18 japanese 19 families 20 with 25 sclerosis 21 slowly 22 progressive 22 progressive 25 sclerosis 23 amyotrophic 25 sclerosis 24 lateral 25 sclerosis 25 sclerosis 27 als 26 ( 27 als 27 als 28 ) optn had previously been involved in adult primary open angle glaucoma ( poag ) . 0 ###LEFT-WALL### 1 optn 0 ###LEFT-WALL### 5 involved 0 ###LEFT-WALL### 15 . 1 optn 2 had 2 had 4 been 3 previously 4 been 4 been 5 involved 5 involved 6 in 6 in 11 glaucoma 7 adult 11 glaucoma 8 primary 10 angle 9 open 10 angle 10 angle 11 glaucoma 11 glaucoma 13 poag 12 ( 13 poag 13 poag 14 ) we sequenced the coding exons of optn in 126 french patients with familial als ( fals ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 sequenced 0 ###LEFT-WALL### 18 . 1 we 2 sequenced 2 sequenced 5 exons 2 sequenced 8 in 2 sequenced 12 with 3 the 5 exons 4 coding 5 exons 5 exons 6 of 6 of 7 optn 8 in 11 patients 9 126 11 patients 10 french 11 patients 12 with 16 fals 13 familial 16 fals 14 als 16 fals 15 ( 16 fals 16 fals 17 ) we identified , at the heterozygote state , the nonsense c.382_383insag variant ( also called 691_692insag ) , alternatively reported as a causative mutation for primary open angle glaucoma ( poag ) or a rare polymorphism and the new p.arg96leu variant in a family with dominant als . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 identified 0 ###LEFT-WALL### 48 . 1 we 2 identified 2 identified 4 at 2 identified 37 and 3 , 4 at 4 at 7 state 4 at 8 , 5 the 7 state 6 heterozygote 7 state 9 the 11 c.382_383insag 10 nonsense 11 c.382_383insag 11 c.382_383insag 12 variant 11 c.382_383insag 33 or 12 variant 15 called 12 variant 20 reported 13 ( 15 called 14 also 15 called 15 called 16 691_692insag 15 called 17 ) 18 , 20 reported 19 alternatively 20 reported 20 reported 21 as 20 reported 25 for 20 reported 32 ) 21 as 24 mutation 22 a 24 mutation 23 causative 24 mutation 25 for 29 glaucoma 26 primary 28 angle 27 open 28 angle 28 angle 29 glaucoma 29 glaucoma 31 poag 30 ( 31 poag 31 poag 32 ) 33 or 36 polymorphism 33 or 37 and 34 a 35 rare 34 a 36 polymorphism 35 rare 36 polymorphism 37 and 40 p.arg96leu 38 the 40 p.arg96leu 39 new 40 p.arg96leu 40 p.arg96leu 41 variant 41 variant 42 in 41 variant 45 with 42 in 44 family 43 a 44 family 45 with 47 als 46 dominant 47 als western blot experiments on the patients ' lymphoblasts showed that the former variant led to a loss of function and the latter did not cause protein accumulation . 0 ###LEFT-WALL### 3 experiments 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 28 . 1 western 2 blot 2 blot 3 experiments 3 experiments 4 on 3 experiments 8 lymphoblasts 3 experiments 18 of 3 experiments 20 and 4 on 7 ' 5 the 6 patients 6 patients 7 ' 8 lymphoblasts 9 showed 9 showed 10 that 10 that 13 variant 10 that 14 led 11 the 13 variant 12 former 13 variant 13 variant 14 led 14 led 15 to 15 to 17 loss 16 a 17 loss 17 loss 18 of 19 function 20 and 20 and 25 cause 21 the 22 latter 22 latter 23 did 23 did 24 not 23 did 25 cause 25 cause 27 accumulation 26 protein 27 accumulation our results do not confirm the contribution of optn in als . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 5 confirm 0 ###LEFT-WALL### 12 . 1 our 2 results 2 results 3 do 3 do 4 not 3 do 5 confirm 5 confirm 7 contribution 5 confirm 10 in 6 the 7 contribution 7 contribution 8 of 8 of 9 optn 10 in 11 als the cholinergic system arising from the substantia innominata ( si ) of the basal forebrain has an important role in the cognitive functions of parkinson 's disease ( pd ) . 0 ###LEFT-WALL### 3 system 0 ###LEFT-WALL### 16 has 0 ###LEFT-WALL### 31 . 1 the 3 system 2 cholinergic 3 system 3 system 4 arising 3 system 5 from 3 system 12 of 3 system 16 has 5 from 8 innominata 6 the 8 innominata 7 substantia 8 innominata 8 innominata 10 si 9 ( 10 si 10 si 11 ) 12 of 15 forebrain 13 the 15 forebrain 14 basal 15 forebrain 16 has 19 role 16 has 20 in 17 an 18 important 17 an 19 role 18 important 19 role 20 in 23 functions 21 the 23 functions 22 cognitive 23 functions 23 functions 24 of 24 of 27 disease 25 parkinson 26 's 26 's 27 disease 27 disease 29 pd 28 ( 29 pd 29 pd 30 ) we performed magnetic resonance imaging based volumetric analysis to evaluate the si volume in patients with pd - intact cognition ( pd - ic ) , pd - mild cognitive impairment ( pd - mci ) , and pd dementia ( pdd ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 10 evaluate 0 ###LEFT-WALL### 18 - 0 ###LEFT-WALL### 44 . 1 we 2 performed 2 performed 4 resonance 2 performed 9 to 3 magnetic 4 resonance 4 resonance 5 imaging 5 imaging 8 analysis 6 based 8 analysis 7 volumetric 8 analysis 9 to 10 evaluate 10 evaluate 13 volume 11 the 13 volume 12 si 13 volume 13 volume 14 in 14 in 15 patients 15 patients 16 with 16 with 17 pd 18 - 20 cognition 19 intact 20 cognition 20 cognition 22 pd 20 cognition 24 ic 20 cognition 27 pd 21 ( 22 pd 22 pd 23 - 23 - 24 ic 24 ic 25 ) 26 , 27 pd 27 pd 31 impairment 27 pd 43 ) 28 - 31 impairment 29 mild 31 impairment 30 cognitive 31 impairment 31 impairment 38 and 31 impairment 43 ) 32 ( 38 and 33 pd 35 mci 33 pd 38 and 34 - 35 mci 35 mci 36 ) 37 , 38 and 38 and 40 dementia 38 and 42 pdd 38 and 43 ) 39 pd 40 dementia 41 ( 42 pdd 42 pdd 43 ) the mean normalized si volume was significantly decreased in patients with pd - ic ( 1.54 ± 0.12 , p < 0.001 ) , pd - mci ( 1.49 ± 0.12 , p < 0.001 ) , and pdd ( 1.39 ± 0.12 , p < 0.001 ) compared with that of control subjects ( 1.68 ± 0.11 ) . 0 ###LEFT-WALL### 2 mean 0 ###LEFT-WALL### 3 normalized 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 60 . 1 the 2 mean 2 mean 3 normalized 3 normalized 4 si 4 si 5 volume 4 si 6 was 4 si 8 decreased 4 si 9 in 5 volume 6 was 7 significantly 8 decreased 9 in 10 patients 10 patients 11 with 11 with 12 pd 13 - 38 and 14 ic 17 ± 14 ic 24 , 15 ( 17 ± 16 1.54 17 ± 17 ± 21 < 17 ± 23 ) 18 0.12 21 < 19 , 21 < 20 p 21 < 21 < 22 0.001 21 < 23 ) 24 , 25 pd 24 , 38 and 25 pd 27 mci 26 - 27 mci 27 mci 30 ± 27 mci 34 < 27 mci 37 , 28 ( 30 ± 29 1.49 30 ± 30 ± 31 0.12 30 ± 32 , 32 , 34 < 33 p 34 < 34 < 35 0.001 34 < 36 ) 37 , 38 and 38 and 39 pdd 38 and 50 with 38 and 52 of 39 pdd 42 ± 39 pdd 49 compared 40 ( 42 ± 41 1.39 42 ± 42 ± 43 0.12 42 ± 46 < 42 ± 48 ) 44 , 46 < 45 p 46 < 46 < 47 0.001 46 < 48 ) 50 with 51 that 52 of 54 subjects 53 control 54 subjects 54 subjects 57 ± 55 ( 57 ± 56 1.68 57 ± 57 ± 58 0.11 57 ± 59 ) the normalized si volume did not differ between patients with pd - ic and pd - mci ; however , the normalized si volume was significantly decreased in patients with pdd compared with that in those with pd - ic ( p < 0.001 ) or pd - mci ( p = 0.016 ) . 0 ###LEFT-WALL### 4 volume 0 ###LEFT-WALL### 7 differ 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 55 . 1 the 4 volume 2 normalized 4 volume 3 si 4 volume 4 volume 5 did 5 did 6 not 5 did 7 differ 7 differ 8 between 7 differ 10 with 8 between 9 patients 10 with 11 pd 12 - 14 and 12 - 18 ; 13 ic 14 and 14 and 15 pd 14 and 17 mci 16 - 17 mci 17 mci 18 ; 18 ; 24 volume 18 ; 32 compared 18 ; 39 - 19 however 20 , 19 however 24 volume 21 the 24 volume 22 normalized 24 volume 23 si 24 volume 24 volume 25 was 25 was 26 significantly 25 was 27 decreased 27 decreased 28 in 27 decreased 30 with 28 in 29 patients 30 with 31 pdd 30 with 32 compared 32 compared 33 with 32 compared 37 with 33 with 34 that 33 with 35 in 35 in 36 those 37 with 38 pd 39 - 46 or 40 ic 43 < 40 ic 46 or 41 ( 43 < 42 p 43 < 43 < 44 0.001 43 < 45 ) 46 or 47 pd 47 pd 49 mci 48 - 49 mci 49 mci 52 = 49 mci 54 ) 50 ( 52 = 51 p 52 = 52 = 53 0.016 the normalized si volume was significantly correlated with general cognitive status ( r = 0.51 , p < 0.001 ) as well as with performance in each cognitive subdomain , with a particularly significant independent association with attention ( β [=] 0.33 , p = 0.003 ) and object naming [(] β = 0.26 , p = 0.017 ) . 0 ###LEFT-WALL### 4 volume 0 ###LEFT-WALL### 48 and 0 ###LEFT-WALL### 60 . 1 the 4 volume 2 normalized 4 volume 3 si 4 volume 4 volume 5 was 5 was 6 significantly 5 was 7 correlated 7 correlated 8 with 7 correlated 14 = 7 correlated 18 < 7 correlated 21 as 7 correlated 26 in 7 correlated 45 = 8 with 11 status 9 general 11 status 10 cognitive 11 status 12 ( 14 = 13 r 14 = 14 = 15 0.51 14 = 16 , 17 p 18 < 18 < 19 0.001 18 < 20 ) 21 as 22 well 22 well 23 as 23 as 24 with 24 with 25 performance 26 in 29 subdomain 27 each 29 subdomain 28 cognitive 29 subdomain 29 subdomain 31 with 30 , 31 with 31 with 36 association 31 with 43 , 32 a 36 association 33 particularly 34 significant 34 significant 36 association 35 independent 36 association 36 association 37 with 36 association 40 β 37 with 38 attention 39 ( 40 β 40 β 42 0.33 40 β 43 , 44 p 45 = 45 = 46 0.003 45 = 47 ) 48 and 52 β 48 and 53 = 49 object 52 β 50 naming 52 β 52 β 53 = 53 = 54 0.26 54 0.26 57 = 55 , 57 = 56 p 57 = 57 = 58 0.017 57 = 59 ) the present study demonstrated that the si volume in pd differs [depending] on cognitive status and is significantly correlated with cognitive performance . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 demonstrated 0 ###LEFT-WALL### 23 . 1 the 3 study 2 present 3 study 3 study 4 demonstrated 4 demonstrated 5 that 5 that 8 volume 5 that 16 and 6 the 8 volume 7 si 8 volume 8 volume 9 in 8 volume 16 and 9 in 10 pd 11 differs 13 on 11 differs 16 and 13 on 15 status 14 cognitive 15 status 16 and 17 is 17 is 19 correlated 18 significantly 19 correlated 19 correlated 20 with 20 with 22 performance 21 cognitive 22 performance recent genome - wide association studies have identified 5 loci ( bin1 , clu , cr1 , exoc3l2 , and picalm ) as genetic determinants of alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 2 genome 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 33 . 1 recent 2 genome 3 - 6 studies 3 - 8 identified 4 wide 6 studies 5 association 6 studies 6 studies 7 have 7 have 8 identified 8 identified 10 loci 8 identified 23 as 9 5 10 loci 10 loci 20 and 11 ( 20 and 12 bin1 13 , 13 , 14 clu 13 , 15 , 15 , 16 cr1 15 , 17 , 17 , 18 exoc3l2 17 , 20 and 19 , 20 and 20 and 21 picalm 20 and 22 ) 23 as 25 determinants 24 genetic 25 determinants 25 determinants 26 of 25 determinants 31 ad 26 of 29 disease 27 alzheimer 28 's 28 's 29 disease 30 ( 31 ad 31 ad 32 ) we attempted to confirm the association between these genes and the ad risk in 3 contrasting european populations ( from finland , italy , and spain ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 attempted 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 28 . 1 we 2 attempted 2 attempted 3 to 2 attempted 4 confirm 3 to 4 confirm 4 confirm 6 association 4 confirm 7 between 5 the 6 association 7 between 9 genes 8 these 9 genes 10 and 12 ad 10 and 13 risk 11 the 12 ad 12 ad 13 risk 13 risk 14 in 13 risk 16 contrasting 14 in 15 3 16 contrasting 18 populations 17 european 18 populations 18 populations 20 from 18 populations 25 and 19 ( 20 from 20 from 21 finland 20 from 22 , 22 , 25 and 23 italy 25 and 24 , 25 and 25 and 26 spain 25 and 27 ) because clu and cr1 had already been analyzed in these populations , we restricted our investigation to bin1 , exo2cl3 , and picalm . 0 ###LEFT-WALL### 13 we 0 ###LEFT-WALL### 14 restricted 0 ###LEFT-WALL### 24 . 1 because 4 cr1 1 because 8 analyzed 1 because 12 , 1 because 13 we 2 clu 3 and 3 and 4 cr1 4 cr1 5 had 5 had 7 been 6 already 7 been 7 been 8 analyzed 8 analyzed 9 in 9 in 11 populations 10 these 11 populations 13 we 14 restricted 14 restricted 16 investigation 14 restricted 17 to 15 our 16 investigation 17 to 22 and 18 bin1 19 , 19 , 20 exo2cl3 19 , 22 and 21 , 22 and 22 and 23 picalm in a meta - analysis , rs597668 ( exoc3l2 ) was also associated with the ad risk , albeit to a lesser extent [(] or = 1.19 , 95 % ci [ 1.06 - 1.32 ] , p = 2.0 × 10 ( - 3 ) ) . 0 ###LEFT-WALL### 7 rs597668 0 ###LEFT-WALL### 26 = 0 ###LEFT-WALL### 48 . 1 in 5 analysis 1 in 6 , 1 in 7 rs597668 2 a 5 analysis 3 meta 4 - 3 meta 5 analysis 7 rs597668 9 exoc3l2 7 rs597668 11 was 8 ( 9 exoc3l2 9 exoc3l2 10 ) 11 was 12 also 11 was 13 associated 13 associated 14 with 13 associated 19 albeit 14 with 17 risk 15 the 17 risk 16 ad 17 risk 18 , 19 albeit 19 albeit 25 or 20 to 23 extent 20 to 25 or 21 a 22 lesser 21 a 23 extent 22 lesser 23 extent 25 or 26 = 26 = 27 1.19 27 1.19 41 × 28 , 41 × 29 95 30 % 30 % 41 × 31 ci 33 1.06 31 ci 35 1.32 31 ci 39 = 31 ci 41 × 32 [ 33 1.06 33 1.06 34 - 34 - 35 1.32 35 1.32 36 ] 37 , 39 = 38 p 39 = 39 = 40 2.0 41 × 42 10 41 × 45 3 41 × 47 ) 43 ( 45 3 44 - 45 3 45 3 46 ) however , this signal did not appear to be [independent] of apoe . 0 ###LEFT-WALL### 4 signal 0 ###LEFT-WALL### 7 appear 0 ###LEFT-WALL### 13 . 1 however 2 , 1 however 4 signal 3 this 4 signal 4 signal 5 did 5 did 6 not 5 did 7 appear 7 appear 8 to 7 appear 9 be 8 to 9 be 9 be 11 of 11 of 12 apoe in conclusion , we confirmed that bin1 and picalm are genetic determinants of ad , whereas the potential involvement of exoc3l2 requires further investigation . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 22 requires 0 ###LEFT-WALL### 25 . 1 in 2 conclusion 3 , 4 we 3 , 5 confirmed 4 we 5 confirmed 5 confirmed 6 that 6 that 8 and 6 that 10 are 7 bin1 8 and 8 and 9 picalm 8 and 10 are 10 are 12 determinants 10 are 16 whereas 11 genetic 12 determinants 12 determinants 13 of 13 of 14 ad 15 , 16 whereas 16 whereas 19 involvement 17 the 19 involvement 18 potential 19 involvement 19 involvement 20 of 19 involvement 22 requires 20 of 21 exoc3l2 22 requires 24 investigation 23 further 24 investigation glial fibrillary acidic protein ( gfap ) is the main intermediate filament protein in mature astrocytes , but also an important component of the cytoskeleton in astrocytes during development . 0 ###LEFT-WALL### 4 protein 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 30 . 1 glial 4 protein 2 fibrillary 4 protein 3 acidic 4 protein 4 protein 6 gfap 4 protein 8 is 5 ( 6 gfap 6 gfap 7 ) 8 is 18 but 9 the 13 protein 10 main 13 protein 11 intermediate 12 filament 12 filament 13 protein 13 protein 14 in 13 protein 18 but 14 in 16 astrocytes 15 mature 16 astrocytes 17 , 18 but 18 but 19 also 18 but 22 component 20 an 21 important 20 an 22 component 21 important 22 component 22 component 23 of 23 of 25 cytoskeleton 24 the 25 cytoskeleton 25 cytoskeleton 26 in 25 cytoskeleton 28 during 26 in 27 astrocytes 28 during 29 development major recent developments in astrocyte biology and the discovery of novel intermediate filament functions enticed the interest in the function of gfap . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 15 enticed 0 ###LEFT-WALL### 23 . 1 major 3 developments 2 recent 3 developments 3 developments 4 in 3 developments 7 and 4 in 6 biology 5 astrocyte 6 biology 7 and 9 discovery 7 and 10 of 7 and 15 enticed 8 the 9 discovery 10 of 14 functions 11 novel 12 intermediate 12 intermediate 14 functions 13 filament 14 functions 15 enticed 17 interest 16 the 17 interest 17 interest 18 in 18 in 20 function 19 the 20 function 20 function 21 of 21 of 22 gfap the discovery of various gfap splice variants gave an additional boost to explore this protein in more detail . 0 ###LEFT-WALL### 2 discovery 0 ###LEFT-WALL### 8 gave 0 ###LEFT-WALL### 19 . 1 the 2 discovery 2 discovery 3 of 2 discovery 8 gave 3 of 7 variants 4 various 7 variants 5 gfap 7 variants 6 splice 7 variants 8 gave 11 boost 8 gave 12 to 9 an 10 additional 9 an 11 boost 10 additional 11 boost 12 to 13 explore 13 explore 15 protein 13 explore 16 in 14 this 15 protein 16 in 18 detail 17 more 18 detail the structural role of gfap in astrocytes has been widely accepted for a long time , but over the years , gfap has been shown to be involved in astrocyte functions , which are important during regeneration , synaptic plasticity and reactive gliosis . 0 ###LEFT-WALL### 3 role 0 ###LEFT-WALL### 11 accepted 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 44 . 1 the 3 role 2 structural 3 role 3 role 4 of 3 role 8 has 4 of 5 gfap 5 gfap 6 in 6 in 7 astrocytes 8 has 9 been 9 been 10 widely 9 been 11 accepted 11 accepted 17 but 12 for 15 time 12 for 17 but 13 a 15 time 14 long 15 time 16 , 17 but 17 but 18 over 18 over 20 years 19 the 20 years 21 , 22 gfap 21 , 25 shown 21 , 32 , 22 gfap 23 has 23 has 24 been 24 been 25 shown 25 shown 26 to 26 to 27 be 27 be 28 involved 28 involved 29 in 29 in 31 functions 30 astrocyte 31 functions 32 , 33 which 32 , 34 are 33 which 34 are 34 are 35 important 35 important 36 during 36 during 41 and 37 regeneration 38 , 38 , 40 plasticity 38 , 41 and 39 synaptic 40 plasticity 41 and 43 gliosis 42 reactive 43 gliosis moreover , different subpopulations of astrocytes have been identified , which are likely to have distinctive tasks in brain physiology and pathology , and which are not only classified by their spatial and temporal appearance , but also by their specific expression of intermediate filaments , including distinct gfap isoforms . 0 ###LEFT-WALL### 4 subpopulations 0 ###LEFT-WALL### 9 identified 0 ###LEFT-WALL### 10 , 1 moreover 2 , 1 moreover 4 subpopulations 3 different 4 subpopulations 4 subpopulations 5 of 4 subpopulations 7 have 5 of 6 astrocytes 7 have 8 been 8 been 9 identified 10 , 11 which 10 , 12 are 10 , 24 and 11 which 12 are 12 are 13 likely 13 likely 14 to 13 likely 15 have 14 to 15 have 15 have 17 tasks 15 have 18 in 16 distinctive 17 tasks 18 in 21 and 19 brain 20 physiology 20 physiology 21 and 21 and 22 pathology 23 , 24 and 24 and 25 which 24 and 26 are 25 which 26 are 26 are 27 not 26 are 28 only 26 are 29 classified 29 classified 37 but 30 by 33 and 30 by 37 but 31 their 32 spatial 32 spatial 33 and 33 and 35 appearance 34 temporal 35 appearance 36 , 37 but 37 but 38 also 37 but 39 by 39 by 42 expression 40 their 42 expression 41 specific 42 expression 42 expression 43 of 43 of 45 filaments 44 intermediate 45 filaments 45 filaments 47 including 46 , 47 including 47 including 50 isoforms 47 including 51 . 48 distinct 50 isoforms 49 gfap 50 isoforms the presence of these isoforms enhances the complexity of the astrocyte cytoskeleton and is likely to underlie [subtype] specific functions . 0 ###LEFT-WALL### 2 presence 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 21 . 1 the 2 presence 2 presence 3 of 2 presence 13 and 3 of 5 isoforms 4 these 5 isoforms 6 enhances 8 complexity 6 enhances 13 and 7 the 8 complexity 8 complexity 9 of 9 of 12 cytoskeleton 10 the 12 cytoskeleton 11 astrocyte 12 cytoskeleton 13 and 14 is 14 is 15 likely 15 likely 16 to 15 likely 17 underlie 16 to 17 underlie 17 underlie 20 functions 19 specific 20 functions in this review we discuss the versatility of the gfap cytoskeletal network [from] gene to function with a focus on astrocytes during human brain development , aging and disease . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 discuss 0 ###LEFT-WALL### 30 . 1 in 3 review 1 in 4 we 2 this 3 review 4 we 5 discuss 5 discuss 7 versatility 5 discuss 22 during 6 the 7 versatility 7 versatility 8 of 7 versatility 15 to 7 versatility 16 function 8 of 14 gene 9 the 14 gene 10 gfap 14 gene 11 cytoskeletal 12 network 12 network 14 gene 15 to 16 function 16 function 17 with 16 function 20 on 17 with 19 focus 18 a 19 focus 20 on 21 astrocytes 22 during 28 and 23 human 24 brain 24 brain 25 development 25 development 26 , 26 , 27 aging 26 , 28 and 28 and 29 disease objective : idiopathic [osteoarthritis] is the most common form of osteoarthritis ( oa ) world - wide and remains the leading cause of disability and the associated socio - economic burden in an increasing aging population . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 idiopathic 2 : 5 is 2 : 16 - 2 : 37 . 3 idiopathic 5 is 5 is 9 form 5 is 15 world 6 the 9 form 7 most 8 common 8 common 9 form 9 form 10 of 9 form 13 oa 10 of 11 osteoarthritis 12 ( 13 oa 13 oa 14 ) 16 - 18 and 17 wide 18 and 18 and 31 burden 18 and 32 in 19 remains 31 burden 20 the 22 cause 21 leading 22 cause 22 cause 23 of 22 cause 25 and 23 of 24 disability 25 and 28 socio 25 and 29 - 25 and 31 burden 26 the 28 socio 27 associated 28 socio 30 economic 31 burden 32 in 36 population 33 an 36 population 34 increasing 35 aging 35 aging 36 population traditionally , oa has been viewed as a degenerative joint disease characterized by progressive destruction of the articular cartilage and changes in the subchondral bone culminating in joint failure . 0 ###LEFT-WALL### 3 oa 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 30 . 1 traditionally 2 , 1 traditionally 3 oa 3 oa 4 has 4 has 5 been 5 been 20 and 6 viewed 7 as 6 viewed 11 disease 6 viewed 20 and 7 as 10 joint 8 a 10 joint 9 degenerative 10 joint 11 disease 12 characterized 12 characterized 13 by 13 by 15 destruction 14 progressive 15 destruction 15 destruction 16 of 16 of 19 cartilage 17 the 19 cartilage 18 articular 19 cartilage 20 and 21 changes 21 changes 22 in 21 changes 25 bone 23 the 25 bone 24 subchondral 25 bone 25 bone 26 culminating 26 culminating 27 in 27 in 29 failure 28 joint 29 failure however , the etiology of oa is multifactorial involving genetic , mechanical and environmental factors . 0 ###LEFT-WALL### 4 etiology 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 16 . 1 however 2 , 1 however 4 etiology 3 the 4 etiology 4 etiology 5 of 4 etiology 7 is 5 of 6 oa 7 is 15 factors 8 multifactorial 15 factors 9 involving 15 factors 10 genetic 11 , 11 , 12 mechanical 11 , 13 and 13 and 14 environmental 13 and 15 factors treatment modalities include analgesia , joint injection with steroids or hyaluronic acid , oral supplements including glucosamine and chondroitin sulfate , as well as physiotherapy . 0 ###LEFT-WALL### 2 modalities 0 ###LEFT-WALL### 3 include 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 26 . 1 treatment 2 modalities 2 modalities 3 include 3 include 4 analgesia 5 , 6 joint 6 joint 7 injection 6 joint 8 with 6 joint 24 as 8 with 10 or 9 steroids 10 or 10 or 12 acid 10 or 15 supplements 11 hyaluronic 12 acid 13 , 15 supplements 14 oral 15 supplements 15 supplements 18 and 15 supplements 20 sulfate 15 supplements 21 , 16 including 17 glucosamine 17 glucosamine 18 and 18 and 19 chondroitin 18 and 20 sulfate 22 as 23 well 23 well 24 as 24 as 25 physiotherapy thus , there is significant interest in the discovery of disease modifying agents . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 14 . 1 thus 2 , 1 thus 3 there 3 there 4 is 4 is 6 interest 5 significant 6 interest 6 interest 7 in 7 in 9 discovery 8 the 9 discovery 9 discovery 10 of 10 of 11 disease 11 disease 12 modifying 12 modifying 13 agents one such agent , glucosamine ( glcn ) is commonly prescribed even though [the] therapeutic efficacy and mechanism of action remain controversial . 0 ###LEFT-WALL### 3 agent 0 ###LEFT-WALL### 11 prescribed 0 ###LEFT-WALL### 23 . 1 one 2 such 2 such 3 agent 3 agent 5 glucosamine 3 agent 9 is 4 , 5 glucosamine 5 glucosamine 7 glcn 5 glucosamine 8 ) 6 ( 7 glcn 7 glcn 8 ) 9 is 11 prescribed 10 commonly 11 prescribed 11 prescribed 12 even 12 even 13 though 13 though 17 and 13 though 21 remain 15 therapeutic 16 efficacy 16 efficacy 17 and 17 and 18 mechanism 17 and 19 of 17 and 21 remain 19 of 20 action 21 remain 22 controversial inflammatory cytokines , including il - 1β , and proteinases such as mmp - 13 have been implicated in the pathogenesis and progression of oa together with an associated cpg demethylation in their promoters . 0 ###LEFT-WALL### 2 cytokines 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 35 . 1 inflammatory 2 cytokines 3 , 15 13 3 , 18 implicated 4 including 5 il 4 including 14 - 4 including 15 13 5 il 9 and 6 - 9 and 7 1β 9 and 8 , 9 and 9 and 10 proteinases 9 and 14 - 10 proteinases 12 as 11 such 12 as 12 as 13 mmp 15 13 16 have 16 have 17 been 17 been 18 implicated 18 implicated 19 in 19 in 22 and 20 the 21 pathogenesis 21 pathogenesis 22 and 22 and 23 progression 23 progression 24 of 23 progression 27 with 24 of 25 oa 26 together 27 with 27 with 31 demethylation 28 an 31 demethylation 29 associated 31 demethylation 30 cpg 31 demethylation 31 demethylation 32 in 32 in 34 promoters 33 their 34 promoters we have investigated the potential of glcn to modulate nf - [kb] activity and cytokine - induced abnormal gene expression in articular chondrocytes [and] , critically , whether this is associated with an epigenetic process . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 investigated 0 ###LEFT-WALL### 36 . 1 we 2 have 2 have 3 investigated 3 investigated 5 potential 3 investigated 8 to 3 investigated 32 with 4 the 5 potential 5 potential 6 of 6 of 7 glcn 8 to 9 modulate 9 modulate 10 nf 9 modulate 26 critically 9 modulate 28 whether 10 nf 14 and 10 nf 20 expression 11 - 14 and 13 activity 14 and 14 and 15 cytokine 14 and 16 - 16 - 20 expression 17 induced 19 gene 18 abnormal 19 gene 19 gene 20 expression 20 expression 21 in 20 expression 25 , 21 in 23 chondrocytes 22 articular 23 chondrocytes 25 , 26 critically 26 critically 27 , 28 whether 29 this 28 whether 30 is 29 this 30 is 30 is 31 associated 32 with 35 process 33 an 35 process 34 epigenetic 35 process method : human chondrocytes were isolated from the articular cartilage of femoral heads , obtained with ethical permission , following fractured [neck] of femur surgery . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 3 human 2 : 5 were 3 human 5 were 4 chondrocytes 5 were 5 were 6 isolated 6 isolated 7 from 7 from 10 cartilage 8 the 10 cartilage 9 articular 10 cartilage 10 cartilage 11 of 10 cartilage 20 following 10 cartilage 21 fractured 10 cartilage 23 of 11 of 13 heads 12 femoral 13 heads 13 heads 15 obtained 14 , 15 obtained 15 obtained 16 with 15 obtained 19 , 16 with 18 permission 17 ethical 18 permission 23 of 25 surgery 24 femur 25 surgery the levels of il1b and mmp13 mrna were examined using qrt - pcr . 0 ###LEFT-WALL### 2 levels 0 ###LEFT-WALL### 9 examined 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 14 . 1 the 2 levels 2 levels 3 of 2 levels 8 were 3 of 5 and 4 il1b 5 and 5 and 7 mrna 6 mmp13 7 mrna 8 were 9 examined 9 examined 10 using 10 using 11 qrt 12 - 13 pcr the percentage dna methylation in the cpg sites of the il1β and mmp13 proximal promoter were quantified by pyrosequencing . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 17 quantified 0 ###LEFT-WALL### 20 . 1 the 4 methylation 2 percentage 4 methylation 3 dna 4 methylation 4 methylation 5 in 4 methylation 12 and 5 in 8 sites 6 the 8 sites 7 cpg 8 sites 8 sites 9 of 9 of 11 il1β 10 the 11 il1β 12 and 15 promoter 12 and 16 were 13 mmp13 15 promoter 14 proximal 15 promoter 16 were 17 quantified 17 quantified 18 by 18 by 19 pyrosequencing result : il1β expression was enhanced over 580 - fold in articular chondrocytes treated with il - 1β and osm . 0 ###LEFT-WALL### 1 result 0 ###LEFT-WALL### 2 : 2 : 4 expression 2 : 6 enhanced 2 : 9 - 2 : 21 . 3 il1β 4 expression 4 expression 5 was 5 was 6 enhanced 6 enhanced 7 over 7 over 8 580 9 - 10 fold 10 fold 11 in 10 fold 19 and 12 articular 13 chondrocytes 13 chondrocytes 14 treated 13 chondrocytes 19 and 14 treated 15 with 14 treated 17 - 14 treated 18 1β 15 with 16 il 19 and 20 osm glcn dramatically ameliorated the cytokine - induced expression by 4 - fold . 0 ###LEFT-WALL### 1 glcn 0 ###LEFT-WALL### 3 ameliorated 0 ###LEFT-WALL### 11 - 1 glcn 3 ameliorated 2 dramatically 3 ameliorated 3 ameliorated 5 cytokine 4 the 5 cytokine 5 cytokine 8 expression 6 - 8 expression 7 induced 8 expression 8 expression 9 by 8 expression 11 - 9 by 10 4 11 - 12 fold 11 - 13 . bay alone increased il1β expression by 3 - fold . 0 ###LEFT-WALL### 1 bay 0 ###LEFT-WALL### 3 increased 0 ###LEFT-WALL### 8 - 1 bay 3 increased 2 alone 3 increased 3 increased 5 expression 3 increased 6 by 4 il1β 5 expression 6 by 7 3 8 - 9 fold 8 - 10 . in the presence of bay , il - 1β induced il1b mrna levels were decreased by 6 - fold . 0 ###LEFT-WALL### 19 fold 0 ###LEFT-WALL### 20 . 1 in 3 presence 1 in 18 - 1 in 19 fold 2 the 3 presence 3 presence 4 of 3 presence 15 decreased 4 of 9 1β 5 bay 7 il 6 , 7 il 7 il 8 - 7 il 9 1β 9 1β 10 induced 9 1β 13 levels 9 1β 14 were 11 il1b 13 levels 12 mrna 13 levels 13 levels 14 were 15 decreased 16 by 16 by 17 6 the observed average percentage methylation of the [-] 256 cpg site in the il1β promoter was 65 % in control cultures and decreased to 36 % in the presence of il - 1β/osm . 0 ###LEFT-WALL### 5 methylation 0 ###LEFT-WALL### 16 was 0 ###LEFT-WALL### 32 - 0 ###LEFT-WALL### 33 1β/osm 0 ###LEFT-WALL### 34 . 1 the 5 methylation 2 observed 3 average 3 average 4 percentage 4 percentage 5 methylation 5 methylation 6 of 5 methylation 16 was 6 of 11 site 7 the 11 site 9 256 11 site 10 cpg 11 site 11 site 12 in 12 in 15 promoter 13 the 15 promoter 14 il1β 15 promoter 16 was 20 control 17 65 19 in 18 % 19 in 19 in 20 control 20 control 22 and 20 control 30 of 21 cultures 22 and 22 and 23 decreased 22 and 27 in 23 decreased 24 to 24 to 26 % 25 36 26 % 27 in 29 presence 28 the 29 presence 30 of 31 il 32 - 33 1β/osm glcn and bay alone had a negligible effect on the methylation status of the il1b promoter . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 5 had 0 ###LEFT-WALL### 17 . 1 glcn 2 and 2 and 3 bay 2 and 5 had 4 alone 5 had 5 had 8 effect 5 had 9 on 6 a 7 negligible 6 a 8 effect 7 negligible 8 effect 9 on 12 status 10 the 12 status 11 methylation 12 status 12 status 13 of 13 of 16 promoter 14 the 16 promoter 15 il1b 16 promoter the cytokine - induced loss of methylation status in the il1b promoter was ameliorated by both glcn and bay to 44 [%] and 53 % , respectively . 0 ###LEFT-WALL### 2 cytokine 0 ###LEFT-WALL### 3 - 1 the 2 cytokine 3 - 5 loss 3 - 14 ameliorated 4 induced 5 loss 5 loss 6 of 5 loss 13 was 6 of 8 status 7 methylation 8 status 8 status 9 in 9 in 12 promoter 10 the 12 promoter 11 il1b 12 promoter 13 was 14 ameliorated 14 ameliorated 15 by 14 ameliorated 20 to 14 ameliorated 27 respectively 15 by 18 and 16 both 18 and 17 glcn 18 and 18 and 19 bay 20 to 25 % 21 44 23 and 23 and 24 53 23 and 25 % 26 , 27 respectively 27 respectively 28 . il - 1β/osm treatment increased mmp13 mrna levels independently of either glcn or bay and no change in the methylation status of the mmp13 promoter was observed . 0 ###LEFT-WALL### 4 treatment 0 ###LEFT-WALL### 5 increased 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 28 . 1 il 2 - 1 il 4 treatment 3 1β/osm 4 treatment 4 treatment 5 increased 5 increased 8 levels 5 increased 9 independently 6 mmp13 7 mrna 7 mrna 8 levels 9 independently 10 of 10 of 13 or 11 either 13 or 12 glcn 13 or 13 or 14 bay 15 and 17 change 15 and 27 observed 16 no 17 change 17 change 18 in 17 change 22 of 17 change 26 was 18 in 21 status 19 the 21 status 20 methylation 21 status 22 of 25 promoter 23 the 25 promoter 24 mmp13 25 promoter 26 was 27 observed conclusion : we demonstrate for the first time that glcn and bay can prevent cytokine [-] induced demethylation of a specific cpg site in the il1β promoter and this was associated with decreased expression of il1β . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 demonstrate 2 : 37 . 3 we 4 demonstrate 4 demonstrate 8 time 4 demonstrate 31 associated 5 for 7 first 5 for 8 time 6 the 7 first 8 time 9 that 8 time 30 was 9 that 12 bay 9 that 14 prevent 10 glcn 11 and 11 and 12 bay 12 bay 13 can 13 can 14 prevent 14 prevent 28 and 15 cytokine 17 induced 17 induced 18 demethylation 18 demethylation 19 of 18 demethylation 28 and 19 of 23 site 20 a 23 site 21 specific 23 site 22 cpg 23 site 23 site 24 in 24 in 27 promoter 25 the 27 promoter 26 il1β 27 promoter 28 and 29 this 30 was 31 associated 31 associated 32 with 32 with 34 expression 33 decreased 34 expression 34 expression 35 of 35 of 36 il1β these studies provide a potential mechanism of action for oa disease modifying agents via nf - [kb] and [,] critically [,] demonstrate the need for further studies to elucidate the role that nf [-] [kb] may play in dna demethylation in human chondrocytes . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 44 . 1 these 2 studies 2 studies 18 and 3 provide 6 mechanism 3 provide 14 via 3 provide 18 and 4 a 6 mechanism 5 potential 6 mechanism 6 mechanism 7 of 6 mechanism 9 for 7 of 8 action 9 for 11 disease 10 oa 11 disease 11 disease 12 modifying 12 modifying 13 agents 14 via 15 nf 16 - 18 and 18 and 22 demonstrate 20 critically 22 demonstrate 22 demonstrate 24 need 22 demonstrate 38 in 22 demonstrate 41 in 23 the 24 need 24 need 25 for 24 need 28 to 24 need 29 elucidate 25 for 27 studies 26 further 27 studies 28 to 29 elucidate 29 elucidate 31 role 30 the 31 role 31 role 32 that 31 role 37 play 32 that 33 nf 32 that 37 play 33 nf 36 may 36 may 37 play 38 in 40 demethylation 39 dna 40 demethylation 41 in 43 chondrocytes 42 human 43 chondrocytes this study was conducted to examine the fate of escherichia coli o157:h7 during the manufacture and aging of gouda and stirred - curd cheddar cheeses made from raw milk . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 22 - 0 ###LEFT-WALL### 30 . 1 this 2 study 2 study 20 and 3 was 4 conducted 3 was 20 and 4 conducted 5 to 5 to 6 examine 6 examine 8 fate 6 examine 13 during 7 the 8 fate 8 fate 9 of 9 of 12 o157:h7 10 escherichia 11 coli 11 coli 12 o157:h7 13 during 16 and 14 the 15 manufacture 15 manufacture 16 and 16 and 17 aging 17 aging 18 of 18 of 19 gouda 20 and 21 stirred 22 - 23 curd 23 curd 24 cheddar 23 curd 25 cheeses 23 curd 26 made 24 cheddar 25 cheeses 26 made 27 from 27 from 29 milk 28 raw 29 milk [cheeses] [were] manufactured [from] unpasteurized milk experimentally contaminated with one of three strains of e [.] coli o157:h7 at an approximate population level of 20 cfu/ml . 0 ###LEFT-WALL### 6 milk 0 ###LEFT-WALL### 8 contaminated 0 ###LEFT-WALL### 27 . 3 manufactured 6 milk 5 unpasteurized 6 milk 6 milk 8 contaminated 7 experimentally 8 contaminated 8 contaminated 9 with 8 contaminated 18 o157:h7 8 contaminated 19 at 9 with 10 one 9 with 17 coli 10 one 11 of 11 of 13 strains 12 three 13 strains 13 strains 14 of 14 of 15 e 19 at 23 level 20 an 21 approximate 20 an 23 level 21 approximate 22 population 22 population 23 level 23 level 24 of 24 of 26 cfu/ml 25 20 26 cfu/ml samples of milk , whey , curd , and cheese were collected for enumeration of bacteria throughout the manufacturing and aging process . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 11 were 0 ###LEFT-WALL### 23 . 1 samples 2 of 1 samples 9 and 2 of 3 milk 3 milk 5 whey 3 milk 7 curd 4 , 5 whey 5 whey 6 , 6 , 7 curd 7 curd 8 , 8 , 9 and 9 and 10 cheese 9 and 11 were 11 were 12 collected 12 collected 13 for 12 collected 17 throughout 13 for 14 enumeration 14 enumeration 15 of 15 of 16 bacteria 17 throughout 20 and 18 the 19 manufacturing 19 manufacturing 20 and 20 and 22 process 21 aging 22 process overall , bacterial counts in both cheese types increased almost 10 - fold from initial inoculation levels [in] milk to approximately 145 cfu/g found in cheeses on day 1 . 0 ###LEFT-WALL### 1 overall 0 ###LEFT-WALL### 2 , 0 ###LEFT-WALL### 26 cheeses 0 ###LEFT-WALL### 30 . 2 , 4 counts 2 , 12 - 3 bacterial 4 counts 4 counts 5 in 4 counts 7 cheese 5 in 6 both 7 cheese 8 types 8 types 9 increased 10 almost 11 10 11 10 12 - 12 - 13 fold 13 fold 14 from 14 from 17 levels 15 initial 16 inoculation 16 inoculation 17 levels 17 levels 19 milk 17 levels 26 cheeses 19 milk 20 to 19 milk 24 found 19 milk 26 cheeses 20 to 23 cfu/g 21 approximately 22 145 22 145 23 cfu/g 24 found 25 in 26 cheeses 27 on 27 on 28 day 28 day 29 1 from this point , counts dropped significantly over 60 days to mean levels of 25 and 5 cfu/g in cheddar and gouda , respectively . 0 ###LEFT-WALL### 5 counts 0 ###LEFT-WALL### 6 dropped 1 from 3 point 1 from 4 , 1 from 5 counts 2 this 3 point 5 counts 6 dropped 6 dropped 7 significantly 6 dropped 8 over 6 dropped 11 to 8 over 10 days 9 60 10 days 11 to 12 mean 12 mean 13 levels 12 mean 19 in 12 mean 24 respectively 13 levels 14 of 14 of 18 cfu/g 15 25 16 and 16 and 17 5 16 and 18 cfu/g 19 in 21 and 20 cheddar 21 and 21 and 22 gouda 23 , 24 respectively 24 respectively 25 . levels of e [.] coli o157:h7 fell and stayed below 5 cfu/g after an average of 94 and 108 days in gouda and cheddar , respectively , yet remained detectable after selective enrichment for more than 270 days in both cheese types . 0 ###LEFT-WALL### 6 o157:h7 0 ###LEFT-WALL### 29 remained 0 ###LEFT-WALL### 43 . 1 levels 6 o157:h7 2 of 3 e 2 of 6 o157:h7 5 coli 6 o157:h7 6 o157:h7 8 and 6 o157:h7 29 remained 7 fell 8 and 8 and 9 stayed 8 and 21 in 8 and 24 cheddar 9 stayed 10 below 9 stayed 13 after 10 below 12 cfu/g 11 5 12 cfu/g 13 after 15 average 14 an 15 average 15 average 16 of 16 of 20 days 17 94 18 and 18 and 19 108 18 and 20 days 22 gouda 23 and 23 and 24 cheddar 25 , 26 respectively 26 respectively 27 , 26 respectively 29 remained 28 yet 29 remained 29 remained 30 detectable 30 detectable 31 after 30 detectable 34 for 31 after 33 enrichment 32 selective 33 enrichment 34 for 38 days 35 more 36 than 36 than 37 270 37 270 38 days 38 days 41 cheese 38 days 42 types 39 in 40 both 39 in 41 cheese 41 cheese 42 types changes in pathogen levels observed throughout manufacture and aging did not significantly differ by cheese [type] . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 17 . 1 changes 2 in 1 changes 8 and 2 in 4 levels 3 pathogen 4 levels 4 levels 5 observed 5 observed 6 throughout 6 throughout 7 manufacture 8 and 13 differ 9 aging 10 did 10 did 11 not 10 did 13 differ 12 significantly 13 differ 13 differ 14 by 14 by 15 cheese in agreement with results of previous studies , our results suggest that the 60 [-] day aging requirement alone is insufficient to completely eliminate levels of viable [e] [.] coli o157:h7 in gouda [or] stirred - curd cheddar cheese manufactured from raw milk contaminated with low levels of this pathogen . 0 ###LEFT-WALL### 10 results 0 ###LEFT-WALL### 11 suggest 1 in 2 agreement 1 in 8 , 1 in 10 results 2 agreement 3 with 3 with 4 results 4 results 5 of 5 of 7 studies 6 previous 7 studies 9 our 10 results 10 results 11 suggest 11 suggest 12 that 12 that 18 requirement 12 that 20 is 13 the 18 requirement 14 60 17 aging 16 day 17 aging 17 aging 18 requirement 18 requirement 20 is 19 alone 20 is 20 is 21 insufficient 21 insufficient 22 to 21 insufficient 24 eliminate 22 to 24 eliminate 23 completely 24 eliminate 24 eliminate 25 levels 25 levels 26 of 26 of 30 coli 27 viable 30 coli 30 coli 31 o157:h7 30 coli 35 stirred 30 coli 39 cheese 31 o157:h7 32 in 31 o157:h7 35 stirred 32 in 33 gouda 36 - 39 cheese 37 curd 39 cheese 38 cheddar 39 cheese 39 cheese 40 manufactured 39 cheese 41 from 39 cheese 48 of 39 cheese 51 . 41 from 43 milk 42 raw 43 milk 43 milk 44 contaminated 43 milk 45 with 45 with 47 levels 46 low 47 levels 48 of 50 pathogen 49 this 50 pathogen background : autoscopic phenomena are psychic illusory visual experiences consisting of the perception of the image of one 's own body or face within space , [either] from an internal point of view , as in a mirror or from an external point of view . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 46 . 2 : 4 phenomena 2 : 5 are 3 autoscopic 4 phenomena 4 phenomena 5 are 5 are 9 experiences 5 are 24 within 5 are 35 as 6 psychic 9 experiences 7 illusory 9 experiences 8 visual 9 experiences 9 experiences 10 consisting 10 consisting 11 of 11 of 13 perception 12 the 13 perception 13 perception 14 of 13 perception 17 of 14 of 16 image 15 the 16 image 17 of 22 or 18 one 19 's 19 's 20 own 19 's 21 body 21 body 22 or 22 or 23 face 24 within 25 space 25 space 28 from 26 , 28 from 28 from 31 point 28 from 34 , 29 an 31 point 30 internal 31 point 31 point 32 of 32 of 33 view 35 as 39 or 36 in 38 mirror 36 in 39 or 37 a 38 mirror 39 or 40 from 40 from 43 point 41 an 42 external 41 an 43 point 42 external 43 point 43 point 44 of 44 of 45 view descriptions based on phenomenological criteria distinguish six types of autoscopic experiences : autoscopic hallucination , he - autoscopy or heautoscopic proper , feeling of a presence , out of body experience , negative and inner forms of autoscopy . 0 ###LEFT-WALL### 1 descriptions 0 ###LEFT-WALL### 6 distinguish 0 ###LEFT-WALL### 12 : 1 descriptions 2 based 1 descriptions 3 on 1 descriptions 6 distinguish 3 on 5 criteria 4 phenomenological 5 criteria 6 distinguish 11 experiences 7 six 8 types 8 types 9 of 8 types 11 experiences 9 of 11 experiences 10 autoscopic 11 experiences 12 : 14 hallucination 13 autoscopic 14 hallucination 14 hallucination 17 - 14 hallucination 29 of 15 , 17 - 16 he 17 - 17 - 23 feeling 17 - 27 , 18 autoscopy 19 or 19 or 20 heautoscopic 19 or 23 feeling 21 proper 22 , 21 proper 23 feeling 23 feeling 24 of 24 of 26 presence 25 a 26 presence 27 , 29 of 28 out 29 of 29 of 34 and 29 of 39 . 30 body 31 experience 31 experience 32 , 32 , 33 negative 32 , 34 and 34 and 36 forms 34 and 37 of 35 inner 36 forms 37 of 38 autoscopy methods and results : we report a case of a patient with [he] [-] autoscopic seizures . 0 ###LEFT-WALL### 3 results 0 ###LEFT-WALL### 4 : 1 methods 2 and 2 and 3 results 4 : 5 we 4 : 6 report 4 : 17 . 5 we 6 report 6 report 8 case 6 report 12 with 7 a 8 case 8 case 9 of 9 of 11 patient 10 a 11 patient 12 with 16 seizures 15 autoscopic 16 seizures eeg recordings during the autoscopic experience showed a right parietal epileptic focus . 0 ###LEFT-WALL### 2 recordings 0 ###LEFT-WALL### 7 showed 0 ###LEFT-WALL### 13 . 1 eeg 2 recordings 2 recordings 3 during 2 recordings 7 showed 3 during 6 experience 4 the 6 experience 5 autoscopic 6 experience 7 showed 9 right 7 showed 12 focus 8 a 9 right 10 parietal 12 focus 11 epileptic 12 focus this finding confirms the involvement of the temporo - parietal junction in the abnormal body perception during autoscopic phenomena . 0 ###LEFT-WALL### 2 finding 0 ###LEFT-WALL### 3 confirms 0 ###LEFT-WALL### 20 . 1 this 2 finding 2 finding 3 confirms 3 confirms 5 involvement 3 confirms 12 in 3 confirms 17 during 4 the 5 involvement 5 involvement 6 of 6 of 11 junction 7 the 11 junction 8 temporo 9 - 8 temporo 11 junction 10 parietal 11 junction 12 in 16 perception 13 the 16 perception 14 abnormal 15 body 15 body 16 perception 17 during 19 phenomena 18 autoscopic 19 phenomena we [discuss] and review previous literature on the topic , as different localization of cortical areas are reported suggesting that out of body experience is generated in the right hemisphere while he [-] autoscopy involves left hemisphere structures . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 17 are 0 ###LEFT-WALL### 39 . 1 we 3 and 3 and 6 literature 3 and 10 , 3 and 11 as 3 and 17 are 4 review 6 literature 5 previous 6 literature 6 literature 7 on 7 on 9 topic 8 the 9 topic 11 as 13 localization 12 different 13 localization 13 localization 14 of 14 of 16 areas 15 cortical 16 areas 17 are 19 suggesting 18 reported 19 suggesting 19 suggesting 20 that 19 suggesting 25 is 20 that 22 of 20 that 25 is 21 out 22 of 22 of 24 experience 23 body 24 experience 25 is 26 generated 26 generated 27 in 26 generated 31 while 27 in 30 hemisphere 28 the 30 hemisphere 29 right 30 hemisphere 31 while 32 he 31 while 36 left 32 he 34 autoscopy 32 he 35 involves 32 he 36 left 34 autoscopy 35 involves 36 left 38 structures 37 hemisphere 38 structures lifespan perspectives have played a crucial role in shaping our understanding of many forms of psychopathology . 0 ###LEFT-WALL### 1 lifespan 0 ###LEFT-WALL### 4 played 0 ###LEFT-WALL### 17 . 1 lifespan 2 perspectives 1 lifespan 3 have 1 lifespan 4 played 2 perspectives 3 have 4 played 7 role 4 played 8 in 5 a 6 crucial 5 a 7 role 6 crucial 7 role 8 in 9 shaping 9 shaping 11 understanding 10 our 11 understanding 11 understanding 12 of 12 of 14 forms 13 many 14 forms 14 forms 15 of 15 of 16 psychopathology unfortunately , little attention has been given to personality disorders in middle adulthood and later life . 0 ###LEFT-WALL### 4 attention 0 ###LEFT-WALL### 7 given 0 ###LEFT-WALL### 17 . 1 unfortunately 2 , 1 unfortunately 4 attention 3 little 4 attention 4 attention 5 has 5 has 6 been 6 been 7 given 7 given 8 to 7 given 11 in 8 to 10 disorders 9 personality 10 disorders 11 in 14 and 12 middle 13 adulthood 13 adulthood 14 and 14 and 16 life 15 later 16 life several issues are responsible for this deficiency , including difficulty applying the diagnostic criteria for personality disorders to older people and challenges in identifying appropriate samples of older participants . 0 ###LEFT-WALL### 2 issues 0 ###LEFT-WALL### 3 are 1 several 2 issues 2 issues 3 are 3 are 4 responsible 4 responsible 5 for 4 responsible 9 including 5 for 7 deficiency 6 this 7 deficiency 8 , 9 including 9 including 10 difficulty 9 including 15 for 9 including 23 in 9 including 30 . 10 difficulty 11 applying 11 applying 14 criteria 12 the 14 criteria 13 diagnostic 14 criteria 15 for 17 disorders 16 personality 17 disorders 17 disorders 18 to 18 to 21 and 19 older 20 people 20 people 21 and 21 and 22 challenges 23 in 24 identifying 24 identifying 26 samples 25 appropriate 26 samples 26 samples 27 of 27 of 29 participants 28 older 29 participants the goal of this review is to explore the benefits of considering older adults in the study of personality disorders . 0 ###LEFT-WALL### 2 goal 0 ###LEFT-WALL### 21 . 1 the 2 goal 2 goal 3 of 2 goal 6 is 3 of 5 review 4 this 5 review 6 is 7 to 6 is 8 explore 7 to 8 explore 8 explore 10 benefits 9 the 10 benefits 10 benefits 11 of 11 of 12 considering 12 considering 14 adults 12 considering 15 in 13 older 14 adults 15 in 17 study 16 the 17 study 17 study 18 of 18 of 20 disorders 19 personality 20 disorders later life offers a unique opportunity for investigators to consider links between personality pathology and consequential outcomes in people 's lives . 0 ###LEFT-WALL### 2 life 0 ###LEFT-WALL### 3 offers 0 ###LEFT-WALL### 22 . 1 later 2 life 2 life 3 offers 3 offers 6 opportunity 3 offers 9 to 4 a 6 opportunity 5 unique 6 opportunity 6 opportunity 7 for 7 for 8 investigators 9 to 10 consider 10 consider 11 links 10 consider 12 between 10 consider 18 in 12 between 15 and 13 personality 14 pathology 14 pathology 15 and 15 and 17 outcomes 16 consequential 17 outcomes 18 in 21 lives 19 people 20 's 20 's 21 lives many domains are relevant , including health , longevity , social adjustment , marital relationships , and the experience of major life events . 0 ###LEFT-WALL### 2 domains 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 24 . 1 many 2 domains 2 domains 3 are 3 are 4 relevant 4 relevant 6 including 5 , 6 including 6 including 7 health 6 including 8 , 8 , 17 and 9 longevity 10 , 10 , 12 adjustment 10 , 13 , 11 social 12 adjustment 13 , 15 relationships 13 , 17 and 14 marital 15 relationships 16 , 17 and 17 and 19 experience 17 and 20 of 18 the 19 experience 20 of 23 events 21 major 22 life 22 life 23 events we review each domain and consider ways in which the study of middle [-] aged and older adults challenges researchers to evaluate how personality disorders in general are defined and measured . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 32 . 1 we 5 and 2 review 4 domain 2 review 5 and 3 each 4 domain 5 and 6 consider 6 consider 7 ways 7 ways 8 in 7 ways 21 to 7 ways 22 evaluate 8 in 9 which 8 in 11 study 8 in 19 challenges 10 the 11 study 11 study 12 of 11 study 19 challenges 12 of 18 adults 13 middle 18 adults 15 aged 16 and 16 and 17 older 16 and 18 adults 19 challenges 20 researchers 21 to 22 evaluate 22 evaluate 23 how 23 how 25 disorders 23 how 30 and 24 personality 25 disorders 25 disorders 27 general 25 disorders 28 are 26 in 27 general 28 are 30 and 29 defined 30 and 30 and 31 measured the functional significance of the brain 's white matter was not fully appreciated until new imaging methods were developed to visualize fiber pathways and connections in the living brain . 0 ###LEFT-WALL### 3 significance 0 ###LEFT-WALL### 21 visualize 0 ###LEFT-WALL### 30 . 1 the 3 significance 2 functional 3 significance 3 significance 4 of 3 significance 10 was 4 of 9 matter 5 the 6 brain 6 brain 7 's 7 's 9 matter 8 white 9 matter 10 was 11 not 10 was 12 fully 10 was 13 appreciated 13 appreciated 14 until 14 until 16 imaging 15 new 16 imaging 16 imaging 17 methods 16 imaging 21 visualize 17 methods 18 were 18 were 19 developed 19 developed 20 to 20 to 21 visualize 21 visualize 24 and 21 visualize 26 in 22 fiber 23 pathways 23 pathways 24 and 24 and 25 connections 26 in 29 brain 27 the 29 brain 28 living 29 brain rapid advances in diffusion tensor imaging ( dti ) have led to substantial insights into human brain development and disease processes and have thrust white matter into the focus of researchers and clinicians [alike] . 0 ###LEFT-WALL### 2 advances 0 ###LEFT-WALL### 11 led 0 ###LEFT-WALL### 35 . 1 rapid 2 advances 2 advances 3 in 2 advances 10 have 3 in 6 imaging 4 diffusion 6 imaging 5 tensor 6 imaging 6 imaging 8 dti 7 ( 8 dti 8 dti 9 ) 10 have 11 led 11 led 12 to 11 led 15 into 11 led 27 into 12 to 14 insights 13 substantial 14 insights 15 into 19 and 16 human 18 development 17 brain 18 development 18 development 19 and 19 and 20 disease 19 and 22 and 21 processes 22 and 22 and 23 have 22 and 26 matter 24 thrust 26 matter 25 white 26 matter 27 into 29 focus 28 the 29 focus 29 focus 30 of 30 of 32 and 31 researchers 32 and 32 and 33 clinicians the full clinical potential of this relatively new technique remains to be determined , but early indicators suggest that dti will be a significant new technology in mapping mechanisms of human health and disease . 0 ###LEFT-WALL### 4 potential 0 ###LEFT-WALL### 10 remains 0 ###LEFT-WALL### 15 but 0 ###LEFT-WALL### 22 be 0 ###LEFT-WALL### 35 . 1 the 4 potential 2 full 4 potential 3 clinical 4 potential 4 potential 5 of 4 potential 10 remains 5 of 9 technique 6 this 9 technique 7 relatively 8 new 8 new 9 technique 10 remains 11 to 11 to 12 be 12 be 13 determined 14 , 15 but 15 but 17 indicators 15 but 18 suggest 16 early 17 indicators 17 indicators 18 suggest 18 suggest 21 will 18 suggest 22 be 19 that 21 will 20 dti 21 will 22 be 26 technology 23 a 24 significant 23 a 26 technology 24 significant 26 technology 25 new 26 technology 26 technology 27 in 26 technology 30 of 27 in 28 mapping 28 mapping 29 mechanisms 30 of 33 and 31 human 32 health 32 health 33 and 33 and 34 disease here we review brain changes that have been studied with dti over the human lifespan and findings in a variety of neuropsychiatric disorders . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 review 0 ###LEFT-WALL### 24 . 1 here 2 we 2 we 3 review 3 review 5 changes 4 brain 5 changes 5 changes 6 that 5 changes 7 have 6 that 7 have 7 have 8 been 8 been 9 studied 9 studied 10 with 9 studied 12 over 9 studied 18 in 10 with 11 dti 12 over 16 and 13 the 15 lifespan 14 human 15 lifespan 15 lifespan 16 and 16 and 17 findings 18 in 20 variety 19 a 20 variety 20 variety 21 of 21 of 23 disorders 22 neuropsychiatric 23 disorders we also suggest future areas where dti is likely to have significant impact . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 14 . 1 we 3 suggest 2 also 3 suggest 3 suggest 5 areas 3 suggest 6 where 4 future 5 areas 6 where 7 dti 6 where 8 is 7 dti 8 is 8 is 9 likely 9 likely 10 to 9 likely 11 have 10 to 11 have 11 have 13 impact 12 significant 13 impact the present study was designed to simulate this type of interaction by examining the cost of requiring listeners to perform a secondary task in conjunction with understanding a target talker in the presence of competing speech . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 5 designed 0 ###LEFT-WALL### 37 . 1 the 3 study 2 present 3 study 3 study 4 was 4 was 5 designed 5 designed 6 to 5 designed 7 simulate 6 to 7 simulate 7 simulate 11 interaction 7 simulate 26 with 8 this 9 type 9 type 10 of 9 type 11 interaction 10 of 11 interaction 11 interaction 12 by 11 interaction 16 of 12 by 13 examining 13 examining 15 cost 14 the 15 cost 16 of 17 requiring 17 requiring 18 listeners 17 requiring 19 to 17 requiring 20 perform 19 to 20 perform 20 perform 23 task 20 perform 24 in 21 a 23 task 22 secondary 23 task 24 in 25 conjunction 26 with 27 understanding 27 understanding 30 talker 28 a 30 talker 29 target 30 talker 30 talker 31 in 30 talker 34 of 31 in 33 presence 32 the 33 presence 34 of 36 speech 35 competing 36 speech the ability of younger and older adults to understand a target utterance was measured [with] and without requiring the listener to also determine how many masking voices were presented time - reversed . 0 ###LEFT-WALL### 2 ability 0 ###LEFT-WALL### 14 measured 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 33 . 1 the 2 ability 2 ability 3 of 2 ability 8 to 2 ability 9 understand 2 ability 13 was 3 of 7 adults 4 younger 5 and 5 and 6 older 5 and 7 adults 8 to 9 understand 9 understand 12 utterance 10 a 12 utterance 11 target 12 utterance 13 was 14 measured 16 and 25 many 16 and 29 presented 17 without 18 requiring 17 without 25 many 18 requiring 20 listener 18 requiring 21 to 18 requiring 23 determine 19 the 20 listener 21 to 23 determine 22 also 23 determine 23 determine 24 how 25 many 26 masking 25 many 28 were 26 masking 27 voices 28 were 29 presented 29 presented 30 time 29 presented 31 - 29 presented 32 reversed also of interest [was] [how] spatial separation affected the ability to perform these two tasks . 0 ###LEFT-WALL### 7 separation 0 ###LEFT-WALL### 8 affected 0 ###LEFT-WALL### 16 . 1 also 7 separation 2 of 3 interest 2 of 7 separation 6 spatial 7 separation 7 separation 8 affected 8 affected 10 ability 9 the 10 ability 10 ability 11 to 10 ability 12 perform 11 to 12 perform 12 perform 15 tasks 13 these 14 two 14 two 15 tasks older adults demonstrated slightly reduced overall speech recognition and obtained less spatial release from masking , as compared to younger listeners . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 5 reduced 0 ###LEFT-WALL### 22 . 1 older 2 adults 2 adults 3 demonstrated 2 adults 5 reduced 4 slightly 5 reduced 5 reduced 9 and 5 reduced 19 to 6 overall 7 speech 7 speech 8 recognition 8 recognition 9 and 9 and 13 release 9 and 14 from 10 obtained 13 release 11 less 12 spatial 12 spatial 13 release 14 from 15 masking 15 masking 18 compared 16 , 18 compared 17 as 18 compared 19 to 21 listeners 20 younger 21 listeners for both younger and older listeners , spatial separation increased the costs associated with performing both tasks together . 0 ###LEFT-WALL### 9 separation 0 ###LEFT-WALL### 10 increased 0 ###LEFT-WALL### 19 . 1 for 6 listeners 1 for 7 , 1 for 9 separation 2 both 6 listeners 3 younger 4 and 4 and 5 older 4 and 6 listeners 8 spatial 9 separation 9 separation 10 increased 10 increased 12 costs 11 the 12 costs 12 costs 13 associated 13 associated 14 with 14 with 15 performing 15 performing 17 tasks 15 performing 18 together 16 both 17 tasks the meaningfulness of the masker had a greater detrimental effect on speech understanding for older participants than for younger participants . 0 ###LEFT-WALL### 2 meaningfulness 0 ###LEFT-WALL### 6 had 0 ###LEFT-WALL### 21 . 1 the 2 meaningfulness 2 meaningfulness 3 of 2 meaningfulness 6 had 3 of 5 masker 4 the 5 masker 6 had 10 effect 6 had 11 on 7 a 10 effect 8 greater 10 effect 9 detrimental 10 effect 11 on 12 speech 12 speech 13 understanding 13 understanding 14 for 13 understanding 17 than 14 for 16 participants 15 older 16 participants 17 than 18 for 18 for 20 participants 19 younger 20 participants however , the results suggest that the problems experienced by older adults in complex listening situations are not necessarily due to a deficit in the ability to switch [and/or] divide attention among talkers . 0 ###LEFT-WALL### 4 results 0 ###LEFT-WALL### 5 suggest 0 ###LEFT-WALL### 34 . 1 however 2 , 1 however 4 results 3 the 4 results 4 results 5 suggest 5 suggest 6 that 6 that 8 problems 6 that 30 divide 7 the 8 problems 8 problems 9 experienced 8 problems 16 situations 8 problems 17 are 8 problems 30 divide 9 experienced 10 by 10 by 12 adults 11 older 12 adults 12 adults 13 in 13 in 15 listening 14 complex 15 listening 16 situations 17 are 17 are 18 not 17 are 19 necessarily 17 are 21 to 17 are 24 in 20 due 21 to 21 to 23 deficit 22 a 23 deficit 24 in 26 ability 25 the 26 ability 26 ability 27 to 26 ability 28 switch 27 to 28 switch 30 divide 31 attention 30 divide 32 among 32 among 33 talkers attention is a complex domain that has reawakened research interest in recent years . 0 ###LEFT-WALL### 1 attention 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 14 . 1 attention 2 is 2 is 5 domain 3 a 5 domain 4 complex 5 domain 5 domain 6 that 5 domain 7 has 6 that 7 has 7 has 8 reawakened 8 reawakened 10 interest 8 reawakened 11 in 9 research 10 interest 11 in 13 years 12 recent 13 years there are relatively few studies that have examined age - related changes across different attention subcomponents , such as selection , maintenance , and control , using large samples covering a wide age range . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 11 related 1 there 2 are 2 are 5 studies 3 relatively 4 few 4 few 5 studies 5 studies 6 that 5 studies 7 have 6 that 7 have 7 have 8 examined 8 examined 9 age 10 - 11 related 11 related 12 changes 11 related 27 using 11 related 35 . 12 changes 13 across 12 changes 24 and 13 across 16 subcomponents 14 different 15 attention 15 attention 16 subcomponents 16 subcomponents 19 as 17 , 19 as 18 such 19 as 19 as 20 selection 19 as 21 , 21 , 24 and 22 maintenance 24 and 23 , 24 and 24 and 25 control 24 and 26 , 27 using 29 samples 28 large 29 samples 29 samples 30 covering 30 covering 34 range 31 a 34 range 32 wide 33 age 33 age 34 range the present study assessed performance in 466 participants in order to identify the ages at which mature performance was reached across differing attention subcomponents . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 25 . 1 the 3 study 2 present 3 study 3 study 4 assessed 4 assessed 5 performance 4 assessed 6 in 4 assessed 9 in 4 assessed 11 to 6 in 8 participants 7 466 8 participants 9 in 10 order 11 to 12 identify 12 identify 14 ages 12 identify 21 across 13 the 14 ages 14 ages 15 at 15 at 16 which 15 at 18 performance 15 at 20 reached 17 mature 18 performance 18 performance 19 was 19 was 20 reached 21 across 24 subcomponents 22 differing 23 attention 23 attention 24 subcomponents furthermore , we investigated whether the nature of the attentional demands or task difficulty predicted the age at which stable levels of performance were reached . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 investigated 1 furthermore 2 , 1 furthermore 3 we 3 we 4 investigated 4 investigated 5 whether 5 whether 14 difficulty 5 whether 15 predicted 6 the 7 nature 7 nature 8 of 7 nature 12 or 8 of 11 demands 9 the 11 demands 10 attentional 11 demands 12 or 13 task 12 or 14 difficulty 14 difficulty 15 predicted 15 predicted 17 age 16 the 17 age 17 age 18 at 18 at 19 which 18 at 20 stable 18 at 21 levels 18 at 25 reached 19 which 20 stable 21 levels 22 of 21 levels 24 were 22 of 23 performance 24 were 25 reached 25 reached 26 . the results supported the former rather than the latter alternative . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 supported 0 ###LEFT-WALL### 11 . 1 the 2 results 2 results 3 supported 3 supported 5 former 3 supported 7 than 4 the 5 former 6 rather 7 than 7 than 10 alternative 8 the 10 alternative 9 latter 10 alternative this study examined age - related change [in] executive [function] by using a dutch translation of the behavior rating inventory of executive function ( brief ; gioia et al . , 2000 ) [that] was applied to a normative sample ( age range 5 - 18 years ) . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 examined 0 ###LEFT-WALL### 6 related 0 ###LEFT-WALL### 26 ; 0 ###LEFT-WALL### 36 applied 0 ###LEFT-WALL### 49 . 1 this 2 study 2 study 3 examined 3 examined 4 age 5 - 6 related 6 related 7 change 7 change 9 executive 7 change 11 by 11 by 12 using 12 using 15 translation 13 a 14 dutch 13 a 15 translation 14 dutch 15 translation 15 translation 16 of 15 translation 21 of 16 of 20 inventory 17 the 20 inventory 18 behavior 19 rating 19 rating 20 inventory 21 of 25 brief 22 executive 23 function 23 function 25 brief 24 ( 25 brief 26 ; 29 al 27 gioia 29 al 28 et 29 al 29 al 30 . 29 al 32 2000 29 al 35 was 31 , 32 2000 32 2000 33 ) 35 was 36 applied 36 applied 37 to 37 to 40 sample 38 a 40 sample 39 normative 40 sample 40 sample 43 range 40 sample 47 years 41 ( 43 range 42 age 43 range 43 range 44 5 43 range 45 - 45 - 47 years 46 18 47 years 47 years 48 ) in addition , we examined the reliability and factorial structures of the dutch brief . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 examined 0 ###LEFT-WALL### 15 . 1 in 2 addition 1 in 3 , 1 in 4 we 4 we 5 examined 5 examined 8 and 6 the 7 reliability 7 reliability 8 and 8 and 10 structures 8 and 11 of 9 factorial 10 structures 11 of 14 brief 12 the 13 dutch 13 dutch 14 brief results with respect to age revealed a decrease in reported executive function problems with increasing age . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 6 revealed 0 ###LEFT-WALL### 17 . 1 results 2 with 1 results 6 revealed 2 with 3 respect 3 respect 4 to 4 to 5 age 6 revealed 8 decrease 6 revealed 9 in 6 revealed 14 with 7 a 8 decrease 9 in 13 problems 10 reported 11 executive 11 executive 13 problems 12 function 13 problems 14 with 15 increasing 15 increasing 16 age on the behavior regulation index ( bri ) , 5 - to 8 - [year] - olds showed significantly more executive function problems than 9 - to 11 - year [-] olds , as [did] the 12 - [to] 14 [-] year - olds compared to 15 - to 18 - [year] - olds ( except on the shift subscale ) . 1 on 4 regulation 1 on 7 bri 2 the 4 regulation 3 behavior 4 regulation 5 index 7 bri 6 ( 7 bri 7 bri 8 ) 7 bri 16 - 7 bri 18 showed 9 , 16 - 10 5 12 to 10 5 16 - 11 - 12 to 12 to 13 8 12 to 14 - 16 - 17 olds 18 showed 23 problems 18 showed 24 than 19 significantly 20 more 20 more 23 problems 21 executive 22 function 22 function 23 problems 24 than 25 9 24 than 34 as 25 9 27 to 26 - 27 to 27 to 28 11 27 to 33 , 28 11 32 olds 29 - 32 olds 30 year 32 olds 32 olds 33 , 34 as 42 year 36 the 42 year 37 12 38 - 38 - 40 14 38 - 42 year 42 year 53 - 43 - 53 - 44 olds 45 compared 44 olds 49 to 44 olds 53 - 45 compared 46 to 46 to 47 15 48 - 49 to 49 to 50 18 49 to 51 - 53 - 54 olds 53 - 62 . 54 olds 56 except 55 ( 56 except 56 except 57 on 56 except 61 ) 57 on 60 subscale 58 the 60 subscale 59 shift 60 subscale on the metacognition index , we found that 9 - to 11 - [year] - olds differed significantly from 5 - to 8 [-] year - olds on the working memory subscale . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 found 0 ###LEFT-WALL### 15 - 1 on 4 index 1 on 5 , 1 on 6 we 2 the 4 index 3 metacognition 4 index 6 we 7 found 7 found 8 that 7 found 9 9 9 9 11 to 10 - 11 to 11 to 12 11 11 to 13 - 15 - 16 olds 15 - 17 differed 15 - 26 - 15 - 33 . 16 olds 17 differed 17 differed 18 significantly 17 differed 19 from 17 differed 22 to 19 from 20 5 21 - 22 to 22 to 25 year 22 to 26 - 23 8 25 year 26 - 27 olds 26 - 32 subscale 27 olds 28 on 27 olds 32 subscale 28 on 31 memory 29 the 31 memory 30 working 31 memory in addition , the current study showed that the internal consistency of the dutch brief is very high , and that this version of the brief has a high test - retest stability . 0 ###LEFT-WALL### 6 study 0 ###LEFT-WALL### 7 showed 0 ###LEFT-WALL### 31 - 1 in 2 addition 1 in 3 , 1 in 6 study 4 the 6 study 5 current 6 study 6 study 7 showed 7 showed 20 and 7 showed 23 version 7 showed 27 has 8 that 20 and 9 the 11 consistency 10 internal 11 consistency 11 consistency 12 of 11 consistency 20 and 12 of 14 dutch 13 the 14 dutch 14 dutch 15 brief 14 dutch 16 is 15 brief 16 is 16 is 18 high 17 very 18 high 19 , 20 and 20 and 21 that 22 this 23 version 23 version 24 of 23 version 27 has 24 of 26 brief 25 the 26 brief 27 has 30 test 28 a 30 test 29 high 30 test 31 - 32 retest 31 - 34 . 32 retest 33 stability item factor analysis confirmed the expected eight common factor model , and factor analysis of the eight test scores confirmed the two [-] factor model , as proposed by gioia et al . , in the dutch data . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 4 confirmed 0 ###LEFT-WALL### 28 proposed 1 item 3 analysis 2 factor 3 analysis 3 analysis 4 confirmed 4 confirmed 12 and 4 confirmed 18 test 5 the 10 model 6 expected 9 factor 7 eight 9 factor 8 common 9 factor 9 factor 10 model 10 model 12 and 11 , 12 and 12 and 14 analysis 12 and 15 of 12 and 18 test 13 factor 14 analysis 15 of 17 eight 16 the 17 eight 18 test 19 scores 18 test 28 proposed 19 scores 20 confirmed 20 confirmed 25 model 20 confirmed 27 as 21 the 25 model 22 two 24 factor 24 factor 25 model 26 , 27 as 27 as 28 proposed 28 proposed 29 by 28 proposed 35 in 29 by 32 al 30 gioia 32 al 31 et 32 al 32 al 33 . 34 , 35 in 35 in 38 data 35 in 39 . 36 the 38 data 37 dutch 38 data with a rapidly aging society , geriatric mental health is emerging as important public health concern . 0 ###LEFT-WALL### 9 health 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 17 . 1 with 5 society 1 with 6 , 1 with 9 health 2 a 5 society 3 rapidly 4 aging 4 aging 5 society 7 geriatric 9 health 8 mental 9 health 9 health 10 is 10 is 11 emerging 11 emerging 12 as 12 as 16 concern 13 important 14 public 14 public 16 concern 15 health 16 concern despite the short history of psychiatric epidemiology in korea , recently , epidemiologic data regarding geriatric psychiatric problems has started to accumulate . 0 ###LEFT-WALL### 14 data 0 ###LEFT-WALL### 20 started 0 ###LEFT-WALL### 23 . 1 despite 4 history 1 despite 10 , 1 despite 14 data 2 the 4 history 3 short 4 history 4 history 5 of 5 of 7 epidemiology 6 psychiatric 7 epidemiology 7 epidemiology 8 in 8 in 9 korea 10 , 11 recently 11 recently 12 , 11 recently 14 data 13 epidemiologic 14 data 14 data 15 regarding 14 data 19 has 15 regarding 18 problems 16 geriatric 18 problems 17 psychiatric 18 problems 19 has 20 started 20 started 21 to 20 started 22 accumulate 21 to 22 accumulate in the current study , we reviewed epidemiological findings regarding geriatric mental health in korea . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 reviewed 0 ###LEFT-WALL### 16 . 1 in 4 study 1 in 5 , 1 in 6 we 2 the 4 study 3 current 4 study 6 we 7 reviewed 7 reviewed 9 findings 8 epidemiological 9 findings 9 findings 10 regarding 10 regarding 13 health 10 regarding 14 in 11 geriatric 13 health 12 mental 13 health 14 in 15 korea it was found that up to 10 % of the elderly suffer from dementia [,] and 10 % to 20 % from depressive disorder . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 found 0 ###LEFT-WALL### 25 . 1 it 2 was 2 was 3 found 3 found 5 up 4 that 5 up 5 up 6 to 5 up 19 to 6 to 18 % 7 10 8 % 7 10 16 and 8 % 9 of 8 % 12 suffer 9 of 11 elderly 10 the 11 elderly 12 suffer 13 from 13 from 14 dementia 16 and 17 10 16 and 18 % 19 to 21 % 20 20 21 % 21 % 22 from 22 from 24 disorder 23 depressive 24 disorder further , prevalence estimates [of] alzheimer 's disease ranged from 4.2 % to 9.0 % , and vascular dementia from 1.0 % to 4.8 % . 0 ###LEFT-WALL### 3 prevalence 0 ###LEFT-WALL### 4 estimates 0 ###LEFT-WALL### 26 . 1 further 2 , 1 further 3 prevalence 3 prevalence 4 estimates 4 estimates 17 and 4 estimates 20 from 4 estimates 23 to 6 alzheimer 7 's 7 's 8 disease 8 disease 9 ranged 8 disease 17 and 9 ranged 10 from 9 ranged 13 to 10 from 12 % 11 4.2 12 % 13 to 15 % 14 9.0 15 % 16 , 17 and 17 and 19 dementia 18 vascular 19 dementia 20 from 22 % 21 1.0 22 % 23 to 25 % 24 4.8 25 % annual incidence rates for alzheimer 's were 2.7 % to 3.4 % whereas that for vascular dementia was found to be as low as 0.3 % . 0 ###LEFT-WALL### 3 rates 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 27 . 1 annual 2 incidence 2 incidence 3 rates 3 rates 4 for 3 rates 7 were 4 for 6 's 5 alzheimer 6 's 7 were 9 % 7 were 10 to 7 were 13 whereas 7 were 23 low 7 were 24 as 8 2.7 9 % 10 to 12 % 11 3.4 12 % 13 whereas 14 that 13 whereas 21 be 14 that 15 for 14 that 18 was 15 for 17 dementia 16 vascular 17 dementia 18 was 19 found 19 found 20 to 20 to 21 be 22 as 23 low 24 as 26 % 25 0.3 26 % the prevalence of major depressive disorder was 4.2 % to 9.1 % , while that [of] clinically significant depressive symptom was between 9.1 [%] and 33.0 % . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 7 was 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 7 was 3 of 6 disorder 4 major 6 disorder 5 depressive 6 disorder 7 was 9 % 7 was 10 to 7 was 14 while 8 4.2 9 % 10 to 12 % 11 9.1 12 % 13 , 14 while 14 while 20 symptom 14 while 21 was 14 while 28 . 15 that 20 symptom 17 clinically 18 significant 18 significant 20 symptom 19 depressive 20 symptom 20 symptom 21 was 21 was 22 between 22 between 27 % 23 9.1 25 and 25 and 26 33.0 25 and 27 % finally , those with alcohol use disorders were found to comprise up to 13.6 % of elderly population and additionally , 22 % to 58 % of the elderly were found to have sleep difficulties . 0 ###LEFT-WALL### 3 those 0 ###LEFT-WALL### 9 found 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 36 . 1 finally 2 , 1 finally 3 those 3 those 4 with 3 those 8 were 4 with 7 disorders 5 alcohol 6 use 6 use 7 disorders 8 were 9 found 9 found 10 to 10 to 11 comprise 11 comprise 15 % 12 up 13 to 13 to 14 13.6 14 13.6 15 % 15 % 16 of 16 of 18 population 17 elderly 18 population 19 and 23 % 19 and 33 have 20 additionally 21 , 20 additionally 23 % 22 22 23 % 23 % 24 to 23 % 30 were 24 to 26 % 25 58 26 % 26 % 27 of 27 of 29 elderly 28 the 29 elderly 30 were 31 found 31 found 32 to 32 to 33 have 33 have 35 difficulties 34 sleep 35 difficulties thus major mental disorders are already prevalent among the korean elderly and [are] likely to increase rapidly . 0 ###LEFT-WALL### 1 thus 0 ###LEFT-WALL### 5 are 0 ###LEFT-WALL### 18 . 1 thus 5 are 2 major 4 disorders 3 mental 4 disorders 4 disorders 5 are 5 are 6 already 5 are 7 prevalent 7 prevalent 8 among 7 prevalent 12 and 8 among 10 korean 9 the 10 korean 11 elderly 12 and 12 and 14 likely 14 likely 15 to 14 likely 16 increase 15 to 16 increase 16 increase 17 rapidly objective : to examine use of behavioral health services , treatment preferences , and facilitators and barriers to service use in older adults receiving home - based services within the aging network . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 33 . 1 objective 2 : 2 : 3 to 2 : 4 examine 3 to 4 examine 4 examine 5 use 4 examine 27 based 5 use 6 of 5 use 16 and 5 use 27 based 6 of 9 services 7 behavioral 8 health 8 health 9 services 10 , 16 and 11 treatment 12 preferences 12 preferences 14 and 13 , 14 and 14 and 15 facilitators 14 and 16 and 16 and 17 barriers 16 and 26 - 17 barriers 18 to 18 to 20 use 19 service 20 use 20 use 21 in 20 use 24 receiving 21 in 23 adults 22 older 23 adults 24 receiving 25 home 27 based 28 services 28 services 29 within 29 within 32 network 30 the 32 network 31 aging 32 network design : cross - sectional survey . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 1 design 2 : 2 : 3 cross 4 - 6 survey 4 - 7 . 5 sectional 6 survey setting : interviews were conducted in participants ' homes . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 2 : 3 interviews 2 : 5 conducted 2 : 10 . 3 interviews 4 were 4 were 5 conducted 5 conducted 6 in 6 in 9 homes 7 participants 8 ' 8 ' 9 homes participants : one hundred forty - two clients receiving home - based aging services . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 2 : 5 forty 2 : 12 based 2 : 15 . 3 one 4 hundred 4 hundred 5 forty 5 forty 8 clients 5 forty 12 based 6 - 8 clients 7 two 8 clients 8 clients 9 receiving 8 clients 11 - 9 receiving 10 home 12 based 14 services 13 aging 14 services measurements : structured clinical interview for diagnostic and statistical manual of mental disorders , fourth edition ; brief symptom inventory - 18 ; discrimination - devaluation scale ; utilization of behavioral health services [;] and preferences , facilitators , and barriers for behavioral health services . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 , 1 measurements 2 : 2 : 5 interview 3 structured 5 interview 4 clinical 5 interview 5 interview 6 for 5 interview 11 of 6 for 8 and 7 diagnostic 8 and 8 and 10 manual 9 statistical 10 manual 11 of 13 disorders 12 mental 13 disorders 14 , 16 edition 14 , 17 ; 15 fourth 16 edition 17 ; 20 inventory 17 ; 21 - 18 brief 19 symptom 19 symptom 20 inventory 21 - 22 18 21 - 23 ; 21 - 46 . 23 ; 24 discrimination 23 ; 25 - 25 - 27 scale 25 - 28 ; 25 - 37 , 26 devaluation 27 scale 28 ; 35 and 29 utilization 30 of 29 utilization 35 and 30 of 33 services 31 behavioral 32 health 32 health 33 services 35 and 36 preferences 37 , 40 and 38 facilitators 40 and 39 , 40 and 40 and 41 barriers 40 and 42 for 42 for 45 services 43 behavioral 44 health 44 health 45 services results : use of psychotropic medication was high ( 54.2 % ) , primarily received [in] primary care settings ( 58.8 % ) , with a few visits a year ( 54.0 % ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 use 2 : 7 was 2 : 35 . 3 use 4 of 3 use 7 was 4 of 6 medication 5 psychotropic 6 medication 7 was 19 settings 8 high 11 % 8 high 13 , 8 high 18 care 9 ( 11 % 10 54.2 11 % 11 % 12 ) 14 primarily 15 received 15 received 18 care 17 primary 18 care 18 care 19 settings 19 settings 22 % 19 settings 25 with 20 ( 22 % 21 58.8 22 % 22 % 23 ) 24 , 25 with 25 with 28 visits 25 with 30 year 25 with 34 ) 26 a 27 few 27 few 28 visits 29 a 30 year 30 year 33 % 31 ( 33 % 32 54.0 33 % 33 % 34 ) participants were more likely to be taking psychotropic medication if they were younger and white . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 16 . 1 participants 2 were 2 were 4 likely 3 more 4 likely 4 likely 5 to 4 likely 6 be 5 to 6 be 6 be 7 taking 7 taking 9 medication 7 taking 10 if 8 psychotropic 9 medication 10 if 11 they 10 if 14 and 11 they 14 and 12 were 13 younger 12 were 14 and 14 and 15 white approximately one [-] third of participants on antidepressant or antianxiety medication still met criteria for an axis i disorder . 0 ###LEFT-WALL### 4 third 0 ###LEFT-WALL### 13 met 0 ###LEFT-WALL### 20 . 1 approximately 4 third 2 one 4 third 4 third 5 of 4 third 13 met 5 of 6 participants 6 participants 7 on 7 on 9 or 8 antidepressant 9 or 9 or 11 medication 10 antianxiety 11 medication 12 still 13 met 13 met 14 criteria 14 criteria 15 for 15 for 19 disorder 16 an 19 disorder 17 axis 18 i 17 axis 19 disorder twenty - one participants ( 14.8 % ) reported receiving counseling within the past year , with a few visits or less a year for most ( 57.1 % ) . 0 ###LEFT-WALL### 1 twenty 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 31 . 2 - 3 one 3 one 4 participants 3 one 9 reported 3 one 10 receiving 4 participants 7 % 4 participants 9 reported 5 ( 7 % 6 14.8 7 % 7 % 8 ) 10 receiving 11 counseling 11 counseling 12 within 11 counseling 17 with 12 within 15 year 13 the 14 past 13 the 15 year 16 , 17 with 17 with 19 few 17 with 21 or 17 with 30 ) 18 a 19 few 20 visits 21 or 21 or 22 less 21 or 24 year 23 a 24 year 24 year 25 for 25 for 26 most 26 most 29 % 27 ( 29 % 28 57.1 29 % 29 % 30 ) almost all were willing to see at least one professional ( 97.2 % ) and try prescribed medications or counseling ( 90.1 % ) . 0 ###LEFT-WALL### 2 all 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 25 . 1 almost 2 all 2 all 15 and 3 were 4 willing 3 were 15 and 4 willing 5 to 4 willing 6 see 5 to 6 see 6 see 10 professional 7 at 8 least 8 least 9 one 9 one 10 professional 10 professional 13 % 11 ( 13 % 12 97.2 13 % 13 % 14 ) 15 and 16 try 16 try 19 or 17 prescribed 18 medications 18 medications 19 or 19 or 20 counseling 19 or 23 % 21 ( 23 % 22 90.1 23 % 23 % 24 ) the most common barriers to service use were practical : affordability ( 71.8 % ) , difficulty traveling ( 62.7 % ) , [and] lack of transportation ( 45.8 % ) . 0 ###LEFT-WALL### 4 barriers 0 ###LEFT-WALL### 8 were 0 ###LEFT-WALL### 10 : 0 ###LEFT-WALL### 32 . 1 the 2 most 2 most 4 barriers 3 common 4 barriers 4 barriers 5 to 4 barriers 8 were 5 to 7 use 6 service 7 use 8 were 9 practical 10 : 11 affordability 11 affordability 14 % 11 affordability 17 difficulty 11 affordability 25 lack 12 ( 14 % 13 71.8 14 % 14 % 15 ) 16 , 17 difficulty 17 difficulty 18 traveling 17 difficulty 21 % 17 difficulty 23 , 19 ( 21 % 20 62.7 21 % 21 % 22 ) 23 , 25 lack 25 lack 26 of 25 lack 31 ) 26 of 27 transportation 27 transportation 30 % 28 ( 30 % 29 45.8 30 % 30 % 31 ) conclusions : aging network clients receiving home - based services have ready access to psychotropic medications but receive very few specialty behavioral health services and medication monitoring visits . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 10 services 2 : 17 but 3 aging 5 clients 3 aging 7 home 3 aging 8 - 3 aging 10 services 4 network 5 clients 5 clients 6 receiving 9 based 10 services 10 services 17 but 11 have 13 access 11 have 14 to 11 have 17 but 12 ready 13 access 14 to 16 medications 15 psychotropic 16 medications 17 but 18 receive 18 receive 25 and 19 very 20 few 20 few 25 and 21 specialty 24 services 22 behavioral 24 services 23 health 24 services 24 services 25 and 25 and 26 medication 25 and 27 monitoring 27 monitoring 28 visits they are willing to use a variety of behavioral health services and perceive mainly practical barriers to using services . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 20 . 1 they 2 are 2 are 3 willing 3 willing 4 to 3 willing 12 and 4 to 12 and 5 use 7 variety 5 use 12 and 6 a 7 variety 7 variety 8 of 8 of 11 services 9 behavioral 10 health 10 health 11 services 12 and 13 perceive 13 perceive 16 barriers 14 mainly 15 practical 15 practical 16 barriers 16 barriers 17 to 17 to 18 using 18 using 19 services the aging network has significant potential to enhance access to service utilization ; strategies for integrating behavioral health services in the aging network are discussed . 0 ###LEFT-WALL### 3 network 0 ###LEFT-WALL### 4 has 0 ###LEFT-WALL### 13 ; 0 ###LEFT-WALL### 26 . 1 the 3 network 2 aging 3 network 3 network 4 has 4 has 6 potential 4 has 7 to 4 has 10 to 5 significant 6 potential 7 to 8 enhance 8 enhance 9 access 10 to 12 utilization 11 service 12 utilization 13 ; 14 strategies 13 ; 25 discussed 14 strategies 15 for 14 strategies 24 are 15 for 16 integrating 16 integrating 19 services 16 integrating 20 in 17 behavioral 19 services 18 health 19 services 20 in 23 network 21 the 23 network 22 aging 23 network 24 are 25 discussed objectives : nursing home ( nh ) hospitalizations place an enormous economic burden on an already overtaxed american healthcare system . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 8 hospitalizations 2 : 9 place 2 : 21 . 3 nursing 4 home 3 nursing 7 ) 3 nursing 8 hospitalizations 4 home 6 nh 5 ( 6 nh 6 nh 7 ) 8 hospitalizations 9 place 9 place 13 burden 9 place 14 on 10 an 11 enormous 10 an 13 burden 11 enormous 13 burden 12 economic 13 burden 14 on 20 system 15 an 20 system 16 already 17 overtaxed 17 overtaxed 20 system 18 american 20 system 19 healthcare 20 system hospitalizations for " ambulatory care - sensitive " ( acs ) conditions are considered preventable , as these are physical health conditions that can potentially be treated safely in a nh . 0 ###LEFT-WALL### 12 conditions 0 ###LEFT-WALL### 14 considered 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 32 . 1 hospitalizations 12 conditions 2 for 3 " 2 for 5 care 2 for 6 - 2 for 12 conditions 4 ambulatory 5 care 7 sensitive 8 " 7 sensitive 10 acs 7 sensitive 12 conditions 9 ( 10 acs 10 acs 11 ) 12 conditions 13 are 13 are 14 considered 14 considered 15 preventable 16 , 23 that 16 , 27 treated 17 as 18 these 17 as 19 are 17 as 23 that 18 these 19 are 19 are 22 conditions 20 physical 21 health 21 health 22 conditions 23 that 24 can 24 can 26 be 25 potentially 26 be 26 be 27 treated 27 treated 28 safely 27 treated 29 in 29 in 31 nh 30 a 31 nh the authors examined risk factors , including mental disorders and dementia , for hospitalization of medicaid - enrolled nh residents with acs conditions during fiscal [year] 2003 - 2006 . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 4 risk 0 ###LEFT-WALL### 6 , 1 the 2 authors 2 authors 3 examined 2 authors 4 risk 4 risk 5 factors 6 , 7 including 6 , 18 enrolled 6 , 28 - 7 including 10 and 7 including 18 enrolled 8 mental 9 disorders 9 disorders 10 and 10 and 11 dementia 10 and 13 for 12 , 13 for 13 for 14 hospitalization 13 for 17 - 14 hospitalization 15 of 15 of 16 medicaid 18 enrolled 20 residents 19 nh 20 residents 20 residents 21 with 21 with 23 conditions 22 acs 23 conditions 23 conditions 24 during 24 during 25 fiscal 25 fiscal 27 2003 28 - 29 2006 28 - 30 . methods : the authors merged medicaid claims and enrollment data and online survey certification and reporting information for 72,251 medicaid - enrolled nh residents in 647 nhs in florida . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 30 . 1 methods 2 : 2 : 4 authors 3 the 4 authors 4 authors 5 merged 4 authors 6 medicaid 4 authors 7 claims 6 medicaid 7 claims 8 and 15 and 8 and 22 enrolled 9 enrollment 10 data 10 data 11 and 11 and 14 certification 11 and 15 and 12 online 13 survey 13 survey 14 certification 15 and 17 information 15 and 21 - 15 and 22 enrolled 16 reporting 17 information 17 information 18 for 18 for 20 medicaid 19 72,251 20 medicaid 22 enrolled 24 residents 22 enrolled 25 in 22 enrolled 28 in 23 nh 24 residents 25 in 27 nhs 26 647 27 nhs 28 in 29 florida the authors identified at least one acs hospitalization in 8,382 residents for a total of 10,091 hospital admissions ( 18.5 % of all hospitalizations ) . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 3 identified 0 ###LEFT-WALL### 26 . 1 the 2 authors 2 authors 3 identified 3 identified 8 hospitalization 3 identified 9 in 4 at 5 least 5 least 6 one 6 one 8 hospitalization 7 acs 8 hospitalization 9 in 11 residents 10 8,382 11 residents 11 residents 12 for 12 for 14 total 13 a 14 total 14 total 15 of 15 of 18 admissions 16 10,091 18 admissions 17 hospital 18 admissions 18 admissions 21 % 19 ( 21 % 20 18.5 21 % 21 % 22 of 21 % 25 ) 22 of 24 hospitalizations 23 all 24 hospitalizations the authors used cox proportional hazard regression to assess time to the first acs hospitalization . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 3 used 0 ###LEFT-WALL### 16 . 1 the 2 authors 2 authors 3 used 3 used 7 regression 3 used 8 to 3 used 9 assess 4 cox 7 regression 5 proportional 6 hazard 6 hazard 7 regression 8 to 9 assess 9 assess 10 time 9 assess 11 to 11 to 15 hospitalization 12 the 13 first 12 the 15 hospitalization 14 acs 15 hospitalization results : in a fully adjusted model , younger age , [non] - white race , dementia , and serious mental disorder were associated with greater risk of acs hospitalization . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 19 and 2 : 24 associated 2 : 31 . 3 in 7 model 3 in 13 - 3 in 19 and 4 a 7 model 5 fully 6 adjusted 6 adjusted 7 model 7 model 10 age 8 , 10 age 9 younger 10 age 10 age 11 , 14 white 15 race 15 race 16 , 16 , 17 dementia 16 , 19 and 18 , 19 and 19 and 22 disorder 19 and 23 were 20 serious 22 disorder 21 mental 22 disorder 23 were 24 associated 24 associated 25 with 25 with 27 risk 26 greater 27 risk 27 risk 28 of 28 of 30 hospitalization 29 acs 30 hospitalization in addition , residents with a diagnosed mental disorder and no dementia incurred relatively high expenditures for acs hospitalizations . 0 ###LEFT-WALL### 4 residents 0 ###LEFT-WALL### 13 incurred 0 ###LEFT-WALL### 20 . 1 in 2 addition 1 in 3 , 1 in 4 residents 4 residents 5 with 4 residents 13 incurred 5 with 10 and 6 a 9 disorder 7 diagnosed 9 disorder 8 mental 9 disorder 9 disorder 10 and 10 and 12 dementia 11 no 12 dementia 13 incurred 16 expenditures 14 relatively 15 high 15 high 16 expenditures 16 expenditures 17 for 17 for 19 hospitalizations 18 acs 19 hospitalizations among facility characteristics , participants [from] [for] - profit facilities , facilities that were not a member of a chain , had more medicaid recipients , and fewer than 120 beds had greater risk of acs hospitalizations . 0 ###LEFT-WALL### 1 among 0 ###LEFT-WALL### 9 profit 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 32 had 0 ###LEFT-WALL### 38 . 1 among 3 characteristics 1 among 9 profit 2 facility 3 characteristics 3 characteristics 5 participants 4 , 5 participants 5 participants 8 - 9 profit 10 facilities 10 facilities 12 facilities 11 , 12 facilities 12 facilities 13 that 12 facilities 14 were 12 facilities 21 , 13 that 14 were 14 were 15 not 14 were 17 member 16 a 17 member 17 member 18 of 18 of 20 chain 19 a 20 chain 21 , 22 had 22 had 27 and 22 had 32 had 23 more 25 recipients 24 medicaid 25 recipients 25 recipients 27 and 26 , 27 and 27 and 31 beds 28 fewer 29 than 29 than 30 120 30 120 31 beds 32 had 34 risk 33 greater 34 risk 34 risk 35 of 35 of 37 hospitalizations 36 acs 37 hospitalizations conclusions : attention to the identified predictors of hospitalization for acs conditions , which are potentially preventable , could reduce the risk and cost of these hospitalizations among medicaid - enrolled nh residents . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 2 : 23 and 2 : 31 enrolled 3 attention 4 to 3 attention 8 of 3 attention 10 for 3 attention 23 and 4 to 7 predictors 5 the 7 predictors 6 identified 7 predictors 8 of 9 hospitalization 10 for 11 acs 11 acs 12 conditions 11 acs 20 reduce 12 conditions 14 which 12 conditions 19 could 13 , 14 which 14 which 15 are 14 which 18 , 15 are 16 potentially 15 are 17 preventable 19 could 20 reduce 20 reduce 22 risk 21 the 22 risk 23 and 24 cost 23 and 30 - 23 and 31 enrolled 24 cost 25 of 24 cost 28 among 25 of 27 hospitalizations 26 these 27 hospitalizations 28 among 29 medicaid 31 enrolled 33 residents 32 nh 33 residents the need to reduce unnecessary hospitalization will become only more urgent as the population ages and healthcare expenses continue to escalate . 0 ###LEFT-WALL### 2 need 0 ###LEFT-WALL### 8 become 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 22 . 1 the 2 need 2 need 3 to 2 need 4 reduce 2 need 7 will 3 to 4 reduce 4 reduce 6 hospitalization 5 unnecessary 6 hospitalization 7 will 8 become 8 become 9 only 8 become 11 urgent 10 more 11 urgent 11 urgent 12 as 12 as 15 ages 13 the 15 ages 14 population 15 ages 16 and 18 expenses 16 and 19 continue 17 healthcare 18 expenses 18 expenses 19 continue 19 continue 20 to 19 continue 21 escalate 20 to 21 escalate study design : prospective , multicenter study . 0 ###LEFT-WALL### 2 design 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 8 . 1 study 2 design 2 design 3 : 3 : 7 study 4 prospective 5 , 4 prospective 7 study 6 multicenter 7 study objective : to conduct peripheral arterial disease ( pad ) screening on intermittent claudication ( ic ) in patients with lumbar spinal canal stenosis ( lscs ) to examine the relationships among combined lscs and pad , symptoms , and physical findings . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 , 0 ###LEFT-WALL### 43 . 1 objective 2 : 2 : 3 to 2 : 11 screening 3 to 7 disease 4 conduct 7 disease 5 peripheral 7 disease 6 arterial 7 disease 7 disease 9 pad 8 ( 9 pad 9 pad 10 ) 11 screening 12 on 11 screening 14 claudication 11 screening 18 in 11 screening 28 to 13 intermittent 14 claudication 14 claudication 16 ic 15 ( 16 ic 16 ic 17 ) 18 in 19 patients 19 patients 20 with 20 with 24 stenosis 21 lumbar 23 canal 22 spinal 23 canal 23 canal 24 stenosis 24 stenosis 26 lscs 25 ( 26 lscs 26 lscs 27 ) 28 to 29 examine 29 examine 35 and 30 the 35 and 31 relationships 32 among 31 relationships 35 and 32 among 34 lscs 33 combined 34 lscs 35 and 36 pad 37 , 40 and 38 symptoms 40 and 39 , 40 and 40 and 42 findings 41 physical 42 findings summary of background data : ic occurs due to two underlying diseases , lscs and pad , and has an increasing prevalence with the aging of society . 0 ###LEFT-WALL### 4 data 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 19 has 0 ###LEFT-WALL### 28 . 1 summary 2 of 2 of 3 background 3 background 4 data 5 : 6 ic 5 : 18 and 6 ic 18 and 7 occurs 9 to 7 occurs 18 and 8 due 9 to 9 to 10 two 10 two 11 underlying 10 two 16 pad 11 underlying 12 diseases 13 , 16 pad 14 lscs 15 and 15 and 16 pad 16 pad 17 , 18 and 19 has 19 has 22 prevalence 20 an 22 prevalence 21 increasing 22 prevalence 22 prevalence 23 with 23 with 25 aging 24 the 25 aging 25 aging 26 of 26 of 27 society reliable diagnosis of pad is critical for appropriate conservative management of ic patients with lscs in an orthopedic surgery outpatient department ( osopd ) . 0 ###LEFT-WALL### 1 reliable 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 25 . 1 reliable 5 is 2 diagnosis 3 of 2 diagnosis 5 is 3 of 4 pad 5 is 6 critical 6 critical 7 for 6 critical 11 of 6 critical 14 with 6 critical 16 in 7 for 10 management 8 appropriate 10 management 9 conservative 10 management 11 of 13 patients 12 ic 13 patients 14 with 15 lscs 16 in 23 osopd 17 an 23 osopd 18 orthopedic 19 surgery 19 surgery 20 outpatient 20 outpatient 21 department 21 department 23 osopd 22 ( 23 osopd 23 osopd 24 ) methods : pad tests were prospectively conducted in 201 patients with ic and lscs who initially visited an osopd at a hospital affiliated with the nogoya spine group . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 4 tests 2 : 7 conducted 3 pad 4 tests 4 tests 5 were 5 were 6 prospectively 5 were 7 conducted 7 conducted 8 in 7 conducted 11 with 7 conducted 20 at 7 conducted 24 with 8 in 10 patients 9 201 10 patients 11 with 13 and 12 ic 13 and 13 and 14 lscs 13 and 15 who 13 and 17 visited 15 who 17 visited 16 initially 17 visited 17 visited 19 osopd 18 an 19 osopd 20 at 22 hospital 21 a 22 hospital 22 hospital 23 affiliated 24 with 28 group 25 the 28 group 26 nogoya 27 spine 27 spine 28 group occurrence of pad as a complication [was] assessed using ankle brachial pressure index ( abi ) and toe brachial pressure index ( tbi ) tests . 0 ###LEFT-WALL### 25 tests 0 ###LEFT-WALL### 26 . 1 occurrence 2 of 1 occurrence 4 as 1 occurrence 17 and 2 of 3 pad 4 as 13 index 5 a 13 index 6 complication 8 assessed 8 assessed 13 index 9 using 10 ankle 10 ankle 13 index 11 brachial 12 pressure 12 pressure 13 index 13 index 15 abi 14 ( 15 abi 15 abi 16 ) 17 and 21 index 17 and 23 tbi 17 and 25 tests 18 toe 21 index 19 brachial 20 pressure 20 pressure 21 index 22 ( 23 tbi 23 tbi 24 ) pad was diagnosed in patients with abi ≤ 0.9 or tbi ≤ 0.6 , and the relationship of the occurrence of pad with symptoms and physical findings such as abnormal arterial pulses was investigated . 0 ###LEFT-WALL### 1 pad 0 ###LEFT-WALL### 3 diagnosed 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 35 . 1 pad 2 was 2 was 3 diagnosed 3 diagnosed 4 in 4 in 10 or 5 patients 6 with 5 patients 10 or 6 with 8 ≤ 7 abi 8 ≤ 8 ≤ 9 0.9 10 or 12 ≤ 11 tbi 12 ≤ 12 ≤ 13 0.6 14 , 15 and 15 and 17 relationship 15 and 33 was 16 the 17 relationship 17 relationship 18 of 17 relationship 33 was 18 of 25 and 19 the 20 occurrence 20 occurrence 21 of 20 occurrence 25 and 21 of 22 pad 22 pad 23 with 23 with 24 symptoms 25 and 27 findings 25 and 29 as 26 physical 27 findings 28 such 29 as 29 as 32 pulses 30 abnormal 32 pulses 31 arterial 32 pulses 33 was 34 investigated results : combined lscs and pad was found in 52 patients ( 26 % ) , with 45 cases ( 22 % ) diagnosed on the basis of tbi test [in] patients with a normal abi . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 37 . 1 results 2 : 2 : 5 and 3 combined 4 lscs 3 combined 5 and 5 and 8 found 5 and 33 with 6 pad 7 was 7 was 8 found 8 found 9 in 8 found 25 on 8 found 32 patients 9 in 10 52 10 52 11 patients 10 52 24 diagnosed 11 patients 14 % 11 patients 17 with 11 patients 24 diagnosed 12 ( 14 % 13 26 14 % 14 % 15 ) 16 , 17 with 17 with 19 cases 17 with 23 ) 18 45 19 cases 19 cases 22 % 20 ( 22 % 21 22 22 % 22 % 23 ) 25 on 27 basis 26 the 27 basis 27 basis 28 of 28 of 29 tbi 30 test 32 patients 33 with 36 abi 34 a 36 abi 35 normal 36 abi of the patients with pad , many suffered from risk factors for pad , with a significantly higher frequency of pad in patients with hyperlipidemia ( p < 0.05 ) . 0 ###LEFT-WALL### 7 many 0 ###LEFT-WALL### 8 suffered 0 ###LEFT-WALL### 31 . 1 of 3 patients 1 of 6 , 1 of 7 many 2 the 3 patients 3 patients 4 with 4 with 5 pad 7 many 8 suffered 8 suffered 9 from 8 suffered 12 for 8 suffered 15 with 9 from 11 factors 10 risk 11 factors 12 for 13 pad 14 , 15 with 15 with 19 frequency 15 with 30 ) 16 a 19 frequency 17 significantly 18 higher 18 higher 19 frequency 19 frequency 20 of 20 of 21 pad 21 pad 22 in 21 pad 24 with 21 pad 28 < 22 in 23 patients 24 with 25 hyperlipidemia 26 ( 28 < 27 p 28 < 28 < 29 0.05 pad also occurred significantly more frequently in patients with abnormal pulses in the popliteal ( p < 0.05 ) , posterior tibial ( p < 0.0001 ) , and dorsal pedis ( p < 0.0001 ) [arteries] ; however , the sensitivity of these tests for pad diagnosis was relatively low , at 34 % , 60 [%] and 68 % , respectively . 0 ###LEFT-WALL### 1 pad 0 ###LEFT-WALL### 3 occurred 0 ###LEFT-WALL### 38 ; 0 ###LEFT-WALL### 64 . 1 pad 3 occurred 2 also 3 occurred 3 occurred 4 significantly 3 occurred 6 frequently 3 occurred 7 in 3 occurred 9 with 5 more 6 frequently 7 in 8 patients 9 with 11 pulses 9 with 31 pedis 10 abnormal 11 pulses 11 pulses 12 in 12 in 21 posterior 13 the 21 posterior 14 popliteal 17 < 14 popliteal 20 , 14 popliteal 21 posterior 15 ( 17 < 16 p 17 < 17 < 18 0.05 17 < 19 ) 22 tibial 25 < 22 tibial 29 and 23 ( 25 < 24 p 25 < 25 < 26 0.0001 25 < 27 ) 28 , 29 and 29 and 30 dorsal 29 and 31 pedis 31 pedis 34 < 32 ( 34 < 33 p 34 < 34 < 35 0.0001 34 < 36 ) 38 ; 42 sensitivity 38 ; 49 was 39 however 40 , 39 however 42 sensitivity 41 the 42 sensitivity 42 sensitivity 43 of 42 sensitivity 49 was 43 of 45 tests 44 these 45 tests 45 tests 46 for 46 for 48 diagnosis 47 pad 48 diagnosis 49 was 51 low 50 relatively 51 low 51 low 53 at 51 low 63 respectively 52 , 53 at 53 at 55 % 53 at 62 , 54 34 55 % 55 % 61 % 56 , 61 % 57 60 59 and 59 and 60 68 59 and 61 % 61 % 62 , conclusion : the results of the prospective study define the rate of occurrence of combined lscs and pad using abi and tbi tests for the first time , and the findings suggest that screening for pad should be conducted in lscs patients . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 results 2 : 9 define 2 : 17 and 2 : 39 conducted 2 : 43 . 3 the 4 results 4 results 5 of 4 results 9 define 5 of 8 study 6 the 8 study 7 prospective 8 study 9 define 11 rate 10 the 11 rate 11 rate 12 of 12 of 13 occurrence 13 occurrence 14 of 14 of 16 lscs 15 combined 16 lscs 17 and 18 pad 17 and 23 tests 18 pad 19 using 18 pad 23 tests 19 using 21 and 20 abi 21 and 21 and 22 tbi 23 tests 29 and 23 tests 32 suggest 24 for 26 first 24 for 29 and 25 the 26 first 27 time 29 and 28 , 29 and 29 and 31 findings 29 and 32 suggest 30 the 31 findings 32 suggest 34 screening 32 suggest 35 for 33 that 34 screening 35 for 36 pad 36 pad 37 should 37 should 38 be 38 be 39 conducted 39 conducted 40 in 40 in 42 patients 41 lscs 42 patients abi and tbi tests are necessary for pad screening in outpatients , whereas observation of the arterial pulse in the lower extremities is necessary but not sufficient for pad diagnosis . 0 ###LEFT-WALL### 1 abi 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 31 . 2 and 4 tests 2 and 23 is 3 tbi 4 tests 4 tests 5 are 5 are 6 necessary 6 necessary 7 for 7 for 8 pad 8 pad 9 screening 9 screening 10 in 9 screening 11 outpatients 9 screening 13 whereas 12 , 13 whereas 13 whereas 14 observation 14 observation 15 of 14 observation 23 is 15 of 18 pulse 16 the 18 pulse 17 arterial 18 pulse 18 pulse 19 in 19 in 22 extremities 20 the 22 extremities 21 lower 22 extremities 23 is 30 diagnosis 24 necessary 25 but 25 but 26 not 25 but 27 sufficient 25 but 30 diagnosis 27 sufficient 28 for 28 for 29 pad angiogenesis , a formation of neo - vessels from pre - existing ones , is regulated by the local balance between its stimulators and inhibitors . 0 ###LEFT-WALL### 1 angiogenesis 0 ###LEFT-WALL### 16 regulated 0 ###LEFT-WALL### 26 . 1 angiogenesis 4 formation 1 angiogenesis 15 is 2 , 4 formation 3 a 4 formation 4 formation 5 of 4 formation 14 , 5 of 8 vessels 6 neo 7 - 6 neo 8 vessels 8 vessels 9 from 8 vessels 13 ones 9 from 10 pre 11 - 13 ones 12 existing 13 ones 13 ones 14 , 15 is 16 regulated 16 regulated 17 by 16 regulated 21 between 17 by 20 balance 18 the 20 balance 19 local 20 balance 21 between 24 and 22 its 23 stimulators 23 stimulators 24 and 24 and 25 inhibitors vasohibin - 1 ( vash1 ) was originally identified as an endothelium [-] derived vascular endothelial growth factor ( vegf ) - inducible angiogenesis inhibitor [that] acts in a negative feedback manner . 0 ###LEFT-WALL### 1 vasohibin 0 ###LEFT-WALL### 9 identified 0 ###LEFT-WALL### 22 - 0 ###LEFT-WALL### 33 . 1 vasohibin 3 1 1 vasohibin 7 was 2 - 3 1 3 1 5 vash1 3 1 6 ) 4 ( 5 vash1 5 vash1 6 ) 7 was 9 identified 8 originally 9 identified 9 identified 10 as 10 as 18 factor 11 an 18 factor 12 endothelium 14 derived 14 derived 17 growth 15 vascular 17 growth 16 endothelial 17 growth 17 growth 18 factor 18 factor 20 vegf 19 ( 20 vegf 20 vegf 21 ) 22 - 27 acts 23 inducible 24 angiogenesis 24 angiogenesis 25 inhibitor 25 inhibitor 27 acts 27 acts 28 in 28 in 32 manner 29 a 30 negative 29 a 32 manner 30 negative 31 feedback 31 feedback 32 manner the expression of vash1 has been shown in endothelial cells ( ecs ) in both physiological and pathological conditions associated with angiogenesis . 0 ###LEFT-WALL### 2 expression 0 ###LEFT-WALL### 7 shown 0 ###LEFT-WALL### 23 . 1 the 2 expression 2 expression 3 of 2 expression 5 has 3 of 4 vash1 5 has 6 been 6 been 7 shown 7 shown 8 in 7 shown 14 in 8 in 10 cells 9 endothelial 10 cells 10 cells 12 ecs 11 ( 12 ecs 12 ecs 13 ) 14 in 19 conditions 15 both 19 conditions 16 physiological 17 and 17 and 18 pathological 17 and 19 conditions 19 conditions 20 associated 20 associated 21 with 21 with 22 angiogenesis however , recent reports indicate that vash1 is expressed [not] only in ecs but also in other cell types including haematopoietic cells . 0 ###LEFT-WALL### 4 reports 0 ###LEFT-WALL### 5 indicate 0 ###LEFT-WALL### 23 . 1 however 2 , 1 however 4 reports 3 recent 4 reports 4 reports 5 indicate 5 indicate 6 that 6 that 7 vash1 6 that 9 expressed 7 vash1 8 is 8 is 9 expressed 9 expressed 11 only 11 only 14 but 12 in 13 ecs 12 in 14 but 14 but 15 also 14 but 16 in 16 in 19 types 17 other 19 types 18 cell 19 types 19 types 20 including 20 including 22 cells 21 haematopoietic 22 cells the function of vash1 may not be restricted to angiogenesis inhibition . 0 ###LEFT-WALL### 2 function 0 ###LEFT-WALL### 8 restricted 0 ###LEFT-WALL### 12 . 1 the 2 function 2 function 3 of 2 function 5 may 3 of 4 vash1 5 may 6 not 5 may 7 be 7 be 8 restricted 8 restricted 9 to 9 to 11 inhibition 10 angiogenesis 11 inhibition methylation at cpg sites is a critical epigenetic modification in mammals . 0 ###LEFT-WALL### 1 methylation 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 12 . 1 methylation 2 at 1 methylation 5 is 2 at 4 sites 3 cpg 4 sites 5 is 9 modification 6 a 7 critical 6 a 9 modification 7 critical 9 modification 8 epigenetic 9 modification 9 modification 10 in 10 in 11 mammals altered dna methylation has been suggested to be a central mechanism in development , some disease processes and cellular senescence . 0 ###LEFT-WALL### 1 altered 0 ###LEFT-WALL### 8 be 0 ###LEFT-WALL### 21 . 1 altered 5 been 1 altered 7 to 2 dna 3 methylation 3 methylation 4 has 4 has 5 been 5 been 6 suggested 7 to 8 be 8 be 11 mechanism 9 a 10 central 9 a 11 mechanism 10 central 11 mechanism 11 mechanism 12 in 12 in 18 and 13 development 14 , 14 , 17 processes 14 , 18 and 15 some 17 processes 16 disease 17 processes 18 and 20 senescence 19 cellular 20 senescence quantifying the extent and identity of epigenetic changes in the aging process is therefore potentially important for understanding longevity and age - related diseases . 0 ###LEFT-WALL### 1 quantifying 0 ###LEFT-WALL### 13 is 0 ###LEFT-WALL### 23 related 0 ###LEFT-WALL### 25 . 1 quantifying 4 and 1 quantifying 9 in 1 quantifying 13 is 2 the 3 extent 3 extent 4 and 4 and 5 identity 4 and 6 of 6 of 8 changes 7 epigenetic 8 changes 9 in 12 process 10 the 12 process 11 aging 12 process 13 is 14 therefore 13 is 15 potentially 13 is 16 important 16 important 17 for 17 for 20 and 18 understanding 19 longevity 19 longevity 20 and 20 and 21 age 22 - 23 related 23 related 24 diseases in the current study , we have examined dna methylation at >27,000 cpg sites throughout the human genome , [in] frontal cortex , temporal cortex , pons and cerebellum from 387 human donors between the ages of 1 and 102 years . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 have 0 ###LEFT-WALL### 42 . 1 in 4 study 1 in 5 , 1 in 6 we 2 the 4 study 3 current 4 study 6 we 7 have 7 have 10 methylation 7 have 11 at 7 have 15 throughout 7 have 34 between 8 examined 10 methylation 9 dna 10 methylation 11 at 14 sites 12 >27,000 14 sites 13 cpg 14 sites 15 throughout 28 and 16 the 18 genome 17 human 18 genome 18 genome 19 , 19 , 22 cortex 19 , 23 , 21 frontal 22 cortex 23 , 25 cortex 23 , 26 , 24 temporal 25 cortex 26 , 27 pons 26 , 28 and 28 and 29 cerebellum 28 and 30 from 30 from 33 donors 31 387 33 donors 32 human 33 donors 34 between 36 ages 35 the 36 ages 36 ages 37 of 37 of 41 years 38 1 39 and 39 and 40 102 39 and 41 years we identify cpg loci that show a highly significant , consistent correlation between dna methylation and chronological age . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 identify 0 ###LEFT-WALL### 19 . 1 we 2 identify 2 identify 4 loci 3 cpg 4 loci 4 loci 5 that 4 loci 6 show 5 that 6 show 6 show 12 correlation 6 show 15 methylation 6 show 16 and 7 a 8 highly 7 a 12 correlation 8 highly 9 significant 9 significant 10 , 9 significant 12 correlation 11 consistent 12 correlation 12 correlation 13 between 13 between 14 dna 16 and 18 age 17 chronological 18 age the majority of these loci are within cpg islands and there is a positive correlation between age and dna methylation level . 0 ###LEFT-WALL### 5 loci 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 22 . 1 the 2 majority 2 majority 3 of 2 majority 5 loci 3 of 5 loci 4 these 5 loci 5 loci 6 are 6 are 7 within 7 within 9 islands 8 cpg 9 islands 10 and 11 there 10 and 12 is 11 there 12 is 12 is 15 correlation 12 is 16 between 13 a 15 correlation 14 positive 15 correlation 16 between 18 and 17 age 18 and 18 and 21 level 19 dna 20 methylation 20 methylation 21 level lastly , we show that the cpg sites where the dna methylation level is significantly associated with age are physically close to genes involved in dna binding and regulation of transcription . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 show 0 ###LEFT-WALL### 32 . 1 lastly 2 , 1 lastly 3 we 3 we 4 show 4 show 5 that 4 show 7 cpg 4 show 28 and 6 the 7 cpg 7 cpg 8 sites 7 cpg 21 close 8 sites 9 where 8 sites 16 associated 8 sites 19 are 9 where 13 level 9 where 14 is 10 the 13 level 11 dna 12 methylation 12 methylation 13 level 13 level 14 is 14 is 15 significantly 16 associated 17 with 17 with 18 age 19 are 21 close 20 physically 21 close 21 close 22 to 21 close 25 in 22 to 23 genes 23 genes 24 involved 25 in 26 dna 26 dna 27 binding 28 and 29 regulation 29 regulation 30 of 30 of 31 transcription this suggests that specific age - related dna methylation changes may have quite a broad impact on gene expression in the human brain . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 suggests 0 ###LEFT-WALL### 24 . 1 this 2 suggests 2 suggests 3 that 3 that 5 age 3 that 12 have 4 specific 5 age 5 age 11 may 6 - 7 related 7 related 10 changes 7 related 11 may 8 dna 10 changes 9 methylation 10 changes 11 may 12 have 12 have 16 impact 12 have 17 on 12 have 20 in 13 quite 14 a 14 a 16 impact 15 broad 16 impact 17 on 19 expression 18 gene 19 expression 20 in 23 brain 21 the 23 brain 22 human 23 brain objective : diabetes is a major cause of functional decline [among] older adults , but the role of glycemic control remains unclear . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 diabetes 2 : 4 is 2 : 15 but 2 : 23 . 3 diabetes 4 is 4 is 7 cause 5 a 7 cause 6 major 7 cause 7 cause 8 of 8 of 13 adults 9 functional 10 decline 10 decline 13 adults 12 older 13 adults 14 , 15 but 15 but 17 role 15 but 21 remains 16 the 17 role 17 role 18 of 17 role 21 remains 18 of 20 control 19 glycemic 20 control 21 remains 22 unclear this article assesses whether better glycemic control is associated with better maintenance of lower - extremity function [over] time in older adults with diabetes . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 assesses 0 ###LEFT-WALL### 25 . 1 this 2 article 2 article 3 assesses 3 assesses 4 whether 3 assesses 23 with 4 whether 7 control 4 whether 9 associated 5 better 7 control 6 glycemic 7 control 7 control 8 is 8 is 9 associated 9 associated 10 with 9 associated 20 in 10 with 12 maintenance 11 better 12 maintenance 12 maintenance 13 of 13 of 19 time 14 lower 15 - 14 lower 16 extremity 16 extremity 19 time 17 function 19 time 20 in 22 adults 21 older 22 adults 23 with 24 diabetes research design and methods : participants ( n = 119 ) in the san antonio longitudinal study of aging , ages 71 - 85 , who met american diabetes association diabetes criteria were followed over a 36 [-] month period . 0 ###LEFT-WALL### 4 methods 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 41 . 1 research 2 design 2 design 4 methods 3 and 4 methods 4 methods 5 : 5 : 6 participants 5 : 9 = 5 : 12 in 7 ( 9 = 8 n 9 = 9 = 10 119 9 = 11 ) 12 in 17 study 13 the 17 study 14 san 15 antonio 15 antonio 16 longitudinal 16 longitudinal 17 study 17 study 18 of 17 study 26 who 17 study 27 met 18 of 19 aging 19 aging 21 ages 20 , 21 ages 21 ages 23 - 21 ages 25 , 22 71 23 - 23 - 24 85 26 who 27 met 27 met 31 diabetes 28 american 31 diabetes 29 diabetes 31 diabetes 30 association 31 diabetes 31 diabetes 32 criteria 31 diabetes 33 were 31 diabetes 34 followed 32 criteria 33 were 34 followed 35 over 35 over 40 period 36 a 40 period 37 36 39 month 39 month 40 period seven measures of a1c ( hba ( 1c ) ) were obtained at 6 - month intervals ; three measures [of] lower [-] [extremity] [function] were obtained at 18 - month intervals using the short physical performance battery ( sppb ) . 0 ###LEFT-WALL### 2 measures 0 ###LEFT-WALL### 12 obtained 0 ###LEFT-WALL### 18 ; 0 ###LEFT-WALL### 42 . 1 seven 2 measures 2 measures 3 of 2 measures 11 were 3 of 4 a1c 4 a1c 6 hba 5 ( 6 hba 6 hba 8 1c 6 hba 10 ) 7 ( 8 1c 8 1c 9 ) 11 were 12 obtained 12 obtained 13 at 13 at 14 6 14 6 17 intervals 15 - 17 intervals 16 month 17 intervals 17 intervals 18 ; 18 ; 20 measures 19 three 20 measures 20 measures 22 lower 20 measures 26 were 26 were 27 obtained 27 obtained 28 at 28 at 29 18 29 18 32 intervals 30 - 32 intervals 31 month 32 intervals 32 intervals 33 using 32 intervals 41 ) 33 using 40 sppb 34 the 40 sppb 35 short 36 physical 36 physical 37 performance 37 performance 38 battery 38 battery 40 sppb 39 ( 40 sppb results : two glycemic control classes were identified : a poorer control class with higher means ( all >7 [%] ) and higher within [-] subject variability in hba ( 1c ) and a better control class with lower means ( all < 7 % [ )( lower within [-] subject variability . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 two 2 : 8 identified 2 : 9 : 3 two 5 control 3 two 6 classes 3 two 7 were 4 glycemic 5 control 5 control 6 classes 7 were 8 identified 9 : 12 control 10 a 12 control 11 poorer 12 control 12 control 22 and 13 class 14 with 13 class 22 and 14 with 16 means 15 higher 16 means 16 means 19 >7 17 ( 19 >7 18 all 19 >7 19 >7 21 ) 22 and 23 higher 23 higher 24 within 24 within 33 and 26 subject 27 variability 27 variability 28 in 27 variability 33 and 28 in 29 hba 29 hba 31 1c 30 ( 31 1c 31 1c 32 ) 33 and 37 class 33 and 38 with 33 and 42 all 34 a 37 class 35 better 36 control 36 control 37 class 38 with 40 means 39 lower 40 means 41 ( 42 all 42 all 45 % 42 all 48 lower 42 all 53 . 43 < 44 7 44 7 45 % 45 % 48 lower 48 lower 49 within 49 within 52 variability 51 subject 52 variability the short - term and long - term maintenance of lower - extremity function , assessed by the association between the first and second sppb measures and the first [and] third sppb measures , were both greater in the better control class than in the poorer control class [.] 0 ###LEFT-WALL### 5 and 1 the 4 term 2 short 3 - 2 short 4 term 4 term 5 and 5 and 9 maintenance 5 and 10 of 5 and 17 by 6 long 7 - 6 long 9 maintenance 8 term 9 maintenance 10 of 14 function 11 lower 12 - 11 lower 13 extremity 13 extremity 14 function 14 function 16 assessed 15 , 16 assessed 17 by 23 and 18 the 19 association 19 association 20 between 19 association 23 and 20 between 22 first 21 the 22 first 23 and 25 sppb 23 and 27 and 23 and 34 , 24 second 25 sppb 26 measures 27 and 27 and 32 sppb 27 and 34 , 28 the 29 first 28 the 32 sppb 31 third 32 sppb 33 measures 34 , 34 , 35 were 35 were 36 both 36 both 37 greater 37 greater 38 in 37 greater 43 than 37 greater 44 in 38 in 42 class 39 the 42 class 40 better 41 control 41 control 42 class 44 in 48 class 45 the 48 class 46 poorer 47 control 47 control 48 class conclusions : among older adults with diabetes , better glycemic control may improve both short - [term] and long - term maintenance [of] lower - extremity function . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 28 . 1 conclusions 2 : 2 : 3 among 3 among 5 adults 4 older 5 adults 5 adults 6 with 6 with 7 diabetes 8 , 11 control 8 , 13 improve 9 better 11 control 10 glycemic 11 control 11 control 12 may 12 may 13 improve 13 improve 18 and 14 both 18 and 15 short 18 and 16 - 18 and 18 and 27 function 19 long 20 - 19 long 21 term 21 term 22 maintenance 22 maintenance 27 function 24 lower 25 - 24 lower 26 extremity 26 extremity 27 function objective : we assessed the relation of diabetes and insulin resistance ( ir ) on left [ventricular] ( lv ) structure and function in african americans . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 assessed 2 : 27 . 3 we 4 assessed 4 assessed 6 relation 4 assessed 15 on 4 assessed 24 in 5 the 6 relation 6 relation 7 of 7 of 9 and 8 diabetes 9 and 9 and 11 resistance 9 and 13 ir 10 insulin 11 resistance 12 ( 13 ir 13 ir 14 ) 15 on 22 and 16 left 19 lv 16 left 20 ) 16 left 21 structure 18 ( 19 lv 19 lv 20 ) 21 structure 22 and 22 and 23 function 24 in 26 americans 25 african 26 americans research design and methods : among those receiving echocardiograms in cycle 1 of the jackson heart study , we assessed the sex - specific relation of fasting blood glucose ( fbg ) , diabetes , and ir to lv structure and function , adjusting for age , systolic blood pressure , antihypertensive medications , and bmi . 0 ###LEFT-WALL### 4 methods 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 57 . 1 research 2 design 2 design 3 and 3 and 4 methods 5 : 19 we 5 : 20 assessed 5 : 23 - 6 among 9 echocardiograms 6 among 19 we 7 those 9 echocardiograms 8 receiving 9 echocardiograms 9 echocardiograms 10 in 9 echocardiograms 13 of 10 in 11 cycle 11 cycle 12 1 13 of 16 heart 14 the 16 heart 15 jackson 16 heart 17 study 18 , 17 study 19 we 19 we 20 assessed 20 assessed 22 sex 21 the 22 sex 23 - 41 and 23 - 51 , 24 specific 25 relation 25 relation 26 of 25 relation 33 , 26 of 27 fasting 27 fasting 29 glucose 28 blood 29 glucose 29 glucose 31 fbg 30 ( 31 fbg 31 fbg 32 ) 33 , 34 diabetes 33 , 36 and 35 , 36 and 36 and 37 ir 36 and 38 to 36 and 40 structure 38 to 39 lv 40 structure 41 and 41 and 42 function 41 and 44 adjusting 43 , 44 adjusting 44 adjusting 45 for 44 adjusting 51 , 45 for 46 age 46 age 50 pressure 47 , 50 pressure 48 systolic 49 blood 49 blood 50 pressure 50 pressure 51 , 51 , 55 and 52 antihypertensive 53 medications 53 medications 55 and 54 , 55 and 55 and 56 bmi among those with normal fbg and no diabetes , concentric remodeling and low ejection fraction in women and [lv] mass index and posterior wall thickness in men were related to ir . 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 32 . 1 among 6 and 1 among 9 , 1 among 22 and 2 those 3 with 2 those 6 and 3 with 5 fbg 4 normal 5 fbg 6 and 8 diabetes 7 no 8 diabetes 10 concentric 11 remodeling 11 remodeling 12 and 12 and 15 fraction 12 and 16 in 12 and 18 and 13 low 14 ejection 14 ejection 15 fraction 16 in 17 women 18 and 21 index 18 and 22 and 20 mass 21 index 22 and 25 thickness 22 and 26 in 22 and 28 were 23 posterior 24 wall 24 wall 25 thickness 26 in 27 men 28 were 29 related 29 related 30 to 30 to 31 ir conclusions : in the largest study of its kind in a community - based cohort [of] african americans , we found a relation of fbg [category] and ir to lv structure and function . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 34 . 1 conclusions 2 : 2 : 3 in 3 in 6 study 4 the 5 largest 4 the 6 study 6 study 7 of 6 study 18 americans 7 of 9 kind 8 its 9 kind 9 kind 10 in 10 in 12 community 11 a 12 community 13 - 18 americans 14 based 15 cohort 15 cohort 17 african 17 african 18 americans 18 americans 19 , 19 , 20 we 19 , 21 found 20 we 21 found 21 found 23 relation 21 found 29 to 21 found 32 and 22 a 23 relation 23 relation 24 of 24 of 28 ir 25 fbg 27 and 27 and 28 ir 29 to 30 lv 31 structure 32 and 32 and 33 function none the data collected by ambulatory blood pressure monitoring have been studied in the phase - space of r - r interval [and] blood pressure and their individual distribution quantified by the slope of the regression line through 24 - h values . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 12 studied 0 ###LEFT-WALL### 16 - 1 none 3 data 1 none 9 monitoring 1 none 10 have 2 the 3 data 3 data 4 collected 4 collected 5 by 4 collected 8 pressure 5 by 7 blood 6 ambulatory 7 blood 8 pressure 9 monitoring 10 have 11 been 11 been 12 studied 12 studied 13 in 13 in 15 phase 14 the 15 phase 16 - 26 and 16 - 43 . 17 space 18 of 17 space 26 and 18 of 25 pressure 19 r 20 - 20 - 21 r 20 - 22 interval 22 interval 25 pressure 24 blood 25 pressure 26 and 29 distribution 26 and 30 quantified 27 their 29 distribution 28 individual 29 distribution 30 quantified 31 by 31 by 33 slope 32 the 33 slope 33 slope 34 of 33 slope 38 through 34 of 37 line 35 the 37 line 36 regression 37 line 38 through 42 values 39 24 40 - 40 - 41 h 40 - 42 values this slope has been termed " ambulatory autonomic reciprocity [index] ["] and abbreviated as aaris and aarid , [the] ["] [s] ["] and " [d] ["] indicating the relation with systolic and diastolic blood pressure respectively . 0 ###LEFT-WALL### 2 slope 0 ###LEFT-WALL### 4 been 0 ###LEFT-WALL### 37 . 1 this 2 slope 2 slope 3 has 3 has 4 been 4 been 12 and 5 termed 6 " 5 termed 9 reciprocity 5 termed 12 and 7 ambulatory 9 reciprocity 8 autonomic 9 reciprocity 12 and 13 abbreviated 12 and 14 as 12 and 29 relation 12 and 30 with 12 and 36 respectively 14 as 23 and 15 aaris 16 and 16 and 17 aarid 17 aarid 23 and 18 , 23 and 23 and 24 " 23 and 27 indicating 28 the 29 relation 30 with 35 pressure 31 systolic 32 and 32 and 33 diastolic 32 and 35 pressure 34 blood 35 pressure ambulatory monitoring was performed in 200 [normotensive] ( nt : 135 females [ )(and 200 untreated hypertensive patients ( ht [:] 59 females ) . 0 ###LEFT-WALL### 2 monitoring 0 ###LEFT-WALL### 4 performed 0 ###LEFT-WALL### 10 : 1 ambulatory 2 monitoring 2 monitoring 3 was 3 was 4 performed 4 performed 5 in 5 in 6 200 6 200 9 nt 8 ( 9 nt 9 nt 10 : 10 : 14 )(and 10 : 25 . 11 135 12 females 12 females 14 )(and 14 )(and 18 patients 14 )(and 23 females 15 200 18 patients 16 untreated 18 patients 17 hypertensive 18 patients 19 ( 23 females 20 ht 22 59 20 ht 23 females 23 females 24 ) the aaris was : nt : - 6.04±2.7 and ht : - 4.69±2.4 [ms] / [mmhg] , respectively [(] p<0.001 ) ; the aarid was : - 7.04±2.9 for nt and - 5.79±2.8 for ht subjects ( p<0.001 [ )( 0 ###LEFT-WALL### 2 aaris 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 4 : 1 the 2 aaris 2 aaris 3 was 4 : 5 nt 4 : 6 : 4 : 11 : 6 : 7 - 7 - 9 and 8 6.04±2.7 9 and 9 and 10 ht 9 and 11 : 11 : 12 - 11 : 13 4.69±2.4 11 : 22 ; 12 - 13 4.69±2.4 13 4.69±2.4 15 / 15 / 20 p<0.001 17 , 20 p<0.001 18 respectively 20 p<0.001 20 p<0.001 21 ) 22 ; 24 aarid 22 ; 25 was 22 ; 26 : 23 the 24 aarid 24 aarid 25 was 26 : 27 - 26 : 28 7.04±2.9 26 : 31 and 26 : 33 5.79±2.8 27 - 28 7.04±2.9 28 7.04±2.9 29 for 29 for 30 nt 31 and 32 - 32 - 33 5.79±2.8 33 5.79±2.8 34 for 34 for 36 subjects 35 ht 36 subjects 36 subjects 38 p<0.001 37 ( 38 p<0.001 38 p<0.001 40 )( when distributed by decades of life the steepest aaris occurred at the 20 - 29 decade , [while] the flattest at the 60 - 69 decade . 0 ###LEFT-WALL### 9 aaris 0 ###LEFT-WALL### 10 occurred 1 when 2 distributed 1 when 9 aaris 2 distributed 3 by 3 by 4 decades 4 decades 5 of 5 of 6 life 7 the 8 steepest 7 the 9 aaris 9 aaris 10 occurred 10 occurred 11 at 11 at 16 decade 12 the 16 decade 13 20 14 - 14 - 15 29 14 - 16 decade 16 decade 20 flattest 17 , 20 flattest 19 the 20 flattest 20 flattest 21 at 20 flattest 27 . 21 at 26 decade 22 the 26 decade 23 60 24 - 24 - 25 69 24 - 26 decade at the 60 - 69 decade and above , the aaris was similar in both groups ( anova o.w . 0 ###LEFT-WALL### 11 aaris 0 ###LEFT-WALL### 12 was 1 at 6 decade 1 at 7 and 2 the 6 decade 3 60 4 - 4 - 5 69 4 - 6 decade 7 and 8 above 7 and 9 , 7 and 11 aaris 10 the 11 aaris 11 aaris 12 was 12 was 13 similar 13 similar 14 in 14 in 16 groups 15 both 16 groups 16 groups 19 o.w 17 ( 19 o.w 18 anova 19 o.w 19 o.w 20 . nt : p<0.001 ; ht : p<0.01 [ )( 0 ###LEFT-WALL### 1 nt 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 ; 0 ###LEFT-WALL### 9 )( 1 nt 2 : 2 : 3 p<0.001 4 ; 5 ht 4 ; 6 : 5 ht 6 : 6 : 7 p<0.01 aaris and aarid were strongly correlated with 24 - h variability of r - r [interval] , either 24 - h standard deviation or coefficient of variation ( p<0.001 ) , and poorly correlated with 24 - h variability of blood pressure . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 32 and 0 ###LEFT-WALL### 43 . 1 aaris 2 and 2 and 3 aarid 2 and 32 and 4 were 6 correlated 4 were 32 and 5 strongly 6 correlated 6 correlated 7 with 7 with 11 variability 8 24 9 - 9 - 10 h 9 - 11 variability 11 variability 12 of 11 variability 15 r 11 variability 24 or 12 of 13 r 14 - 15 r 15 r 17 , 17 , 24 or 18 either 24 or 19 24 20 - 20 - 21 h 20 - 23 deviation 22 standard 23 deviation 23 deviation 24 or 24 or 25 coefficient 24 or 26 of 24 or 31 , 26 of 27 variation 27 variation 29 p<0.001 28 ( 29 p<0.001 29 p<0.001 30 ) 31 , 32 and 32 and 34 correlated 32 and 35 with 32 and 42 pressure 33 poorly 34 correlated 35 with 39 variability 36 24 37 - 37 - 38 h 37 - 39 variability 39 variability 40 of 40 of 41 blood these data suggest that the aari , when seen in the context of the " autonomic space " , may be viewed as a 24 - h period index [of] centrally driven cardiovagal function . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 35 . 1 these 2 data 2 data 3 suggest 3 suggest 4 that 4 that 6 aari 4 that 22 viewed 5 the 6 aari 6 aari 20 may 7 , 8 when 8 when 9 seen 8 when 19 , 8 when 20 may 9 seen 10 in 10 in 12 context 11 the 12 context 12 context 13 of 13 of 17 space 14 the 15 " 14 the 17 space 16 autonomic 17 space 17 space 18 " 20 may 21 be 21 be 22 viewed 22 viewed 23 as 23 as 34 function 24 a 34 function 25 24 26 - 26 - 27 h 26 - 34 function 28 period 34 function 29 index 34 function 31 centrally 32 driven 32 driven 34 function 33 cardiovagal 34 function being based on both blood pressure and heart rate measurements , the aari may become clinically useful to address life style changes and pharmacological treatment of hypertensive patients towards optimal results . 0 ###LEFT-WALL### 13 aari 0 ###LEFT-WALL### 32 . 1 being 2 based 1 being 11 , 1 being 13 aari 2 based 3 on 3 on 7 and 4 both 7 and 5 blood 6 pressure 6 pressure 7 and 7 and 10 measurements 8 heart 10 measurements 9 rate 10 measurements 12 the 13 aari 13 aari 14 may 14 may 15 become 15 become 16 clinically 15 become 25 treatment 15 become 29 towards 17 useful 18 to 17 useful 19 address 17 useful 23 and 18 to 19 address 19 address 22 changes 20 life 22 changes 21 style 22 changes 23 and 24 pharmacological 23 and 25 treatment 25 treatment 26 of 26 of 28 patients 27 hypertensive 28 patients 29 towards 31 results 30 optimal 31 results the life expectancy for persons living with hiv infection is markedly increasing , largely because of the advances made with antiretroviral therapy . 0 ###LEFT-WALL### 3 expectancy 0 ###LEFT-WALL### 10 is 1 the 3 expectancy 2 life 3 expectancy 3 expectancy 4 for 3 expectancy 10 is 4 for 5 persons 5 persons 6 living 6 living 7 with 7 with 9 infection 8 hiv 9 infection 10 is 12 increasing 11 markedly 12 increasing 12 increasing 15 because 13 , 14 largely 13 , 15 because 15 because 16 of 15 because 23 . 16 of 18 advances 17 the 18 advances 18 advances 19 made 19 made 20 with 20 with 22 therapy 21 antiretroviral 22 therapy in comparison with other older individuals , those infected with hiv tend to have higher rates of liver - related conditions , diabetes , and dyslipidemia , as well as substance use and psychiatric disorders . 0 ###LEFT-WALL### 8 those 0 ###LEFT-WALL### 12 tend 0 ###LEFT-WALL### 20 related 1 in 2 comparison 1 in 7 , 1 in 8 those 2 comparison 3 with 3 with 6 individuals 4 other 6 individuals 5 older 6 individuals 8 those 9 infected 8 those 12 tend 9 infected 10 with 10 with 11 hiv 12 tend 13 to 12 tend 14 have 13 to 14 have 14 have 16 rates 15 higher 16 rates 16 rates 17 of 17 of 18 liver 19 - 20 related 20 related 21 conditions 20 related 30 as 20 related 36 . 21 conditions 25 and 22 , 25 and 23 diabetes 25 and 24 , 25 and 25 and 26 dyslipidemia 25 and 27 , 28 as 29 well 29 well 30 as 30 as 33 and 31 substance 32 use 32 use 33 and 33 and 35 disorders 34 psychiatric 35 disorders although these multimorbidities contribute to the symptom burden , older persons with hiv tend not to disclose symptoms to their health care providers . 0 ###LEFT-WALL### 11 persons 0 ###LEFT-WALL### 14 tend 0 ###LEFT-WALL### 24 . 1 although 3 multimorbidities 1 although 4 contribute 1 although 9 , 1 although 11 persons 2 these 3 multimorbidities 3 multimorbidities 4 contribute 4 contribute 5 to 5 to 8 burden 6 the 8 burden 7 symptom 8 burden 10 older 11 persons 11 persons 12 with 11 persons 14 tend 12 with 13 hiv 14 tend 16 to 15 not 16 to 16 to 17 disclose 17 disclose 18 symptoms 17 disclose 19 to 19 to 23 providers 20 their 23 providers 21 health 22 care 22 care 23 providers culture , religion , age , and race can profoundly affect the way in which symptoms are perceived , and reasons for nondisclosure include attributing symptoms to the " normal " aging process . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 34 . 1 culture 3 religion 1 culture 7 and 2 , 3 religion 3 religion 5 age 3 religion 6 , 4 , 5 age 5 age 6 , 6 , 7 and 7 and 8 race 7 and 20 and 7 and 24 include 9 can 11 affect 9 can 20 and 10 profoundly 11 affect 11 affect 13 way 12 the 13 way 13 way 14 in 14 in 15 which 14 in 16 symptoms 14 in 18 perceived 16 symptoms 17 are 17 are 18 perceived 18 perceived 19 , 20 and 21 reasons 21 reasons 22 for 22 for 23 nondisclosure 24 include 26 symptoms 24 include 27 to 25 attributing 26 symptoms 27 to 33 process 28 the 29 " 28 the 33 process 30 normal 31 " 30 normal 33 process 32 aging 33 process the purpose of this article is to highlight the unique situation of older patients with hiv regarding symptom disclosure and the need for an integrated treatment plan that includes an environment that promotes patient - provider communication , better day - to - day self - care , and self - management strategies . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 43 - 0 ###LEFT-WALL### 54 . 1 the 2 purpose 2 purpose 3 of 2 purpose 6 is 3 of 5 article 4 this 5 article 6 is 7 to 6 is 8 highlight 7 to 8 highlight 8 highlight 20 and 9 the 11 situation 10 unique 11 situation 11 situation 12 of 11 situation 20 and 12 of 14 patients 13 older 14 patients 14 patients 15 with 14 patients 17 regarding 15 with 16 hiv 17 regarding 19 disclosure 18 symptom 19 disclosure 20 and 22 need 21 the 22 need 22 need 23 for 23 for 27 plan 24 an 27 plan 25 integrated 26 treatment 26 treatment 27 plan 27 plan 28 that 27 plan 29 includes 28 that 29 includes 29 includes 31 environment 30 an 31 environment 31 environment 32 that 31 environment 42 to 32 that 33 promotes 33 promotes 37 communication 33 promotes 42 to 34 patient 35 - 34 patient 36 provider 36 provider 37 communication 37 communication 40 day 38 , 40 day 39 better 40 day 40 day 41 - 43 - 45 self 43 - 46 - 44 day 45 self 46 - 49 and 46 - 51 - 47 care 49 and 48 , 49 and 49 and 50 self 51 - 53 strategies 52 management 53 strategies the global prevalence of obesity has grown to epidemic proportions , and 400 million people are now considered to be obese . 0 ###LEFT-WALL### 3 prevalence 0 ###LEFT-WALL### 7 grown 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 22 . 1 the 3 prevalence 2 global 3 prevalence 3 prevalence 4 of 3 prevalence 6 has 4 of 5 obesity 6 has 7 grown 7 grown 8 to 8 to 10 proportions 9 epidemic 10 proportions 11 , 12 and 12 and 15 people 12 and 18 considered 13 400 14 million 14 million 15 people 15 people 16 are 16 are 18 considered 17 now 18 considered 18 considered 19 to 18 considered 20 be 19 to 20 be 20 be 21 obese excessive accumulation of dietary lipids ( obesity ) is a known risk factor for the development of deleterious metabolic conditions and has been strongly linked to the progression of heart disease and type 2 diabetes . 0 ###LEFT-WALL### 2 accumulation 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 36 . 1 excessive 2 accumulation 2 accumulation 3 of 2 accumulation 21 and 3 of 5 lipids 4 dietary 5 lipids 5 lipids 7 obesity 6 ( 7 obesity 7 obesity 8 ) 9 is 13 factor 9 is 14 for 9 is 21 and 10 a 13 factor 11 known 13 factor 12 risk 13 factor 14 for 16 development 15 the 16 development 16 development 17 of 17 of 20 conditions 18 deleterious 20 conditions 19 metabolic 20 conditions 21 and 22 has 21 and 26 to 21 and 35 diabetes 22 has 23 been 23 been 24 strongly 23 been 25 linked 26 to 28 progression 27 the 28 progression 28 progression 29 of 29 of 32 and 30 heart 31 disease 31 disease 32 and 32 and 33 type 33 type 34 2 investigating the origin and effects of high - fat [diet] ( hfd ) - induced obesity and its genetic mediators is an important step in understanding the mechanisms that contribute to obesity . 0 ###LEFT-WALL### 1 investigating 0 ###LEFT-WALL### 21 is 0 ###LEFT-WALL### 33 . 1 investigating 4 and 1 investigating 21 is 2 the 3 origin 3 origin 4 and 4 and 5 effects 4 and 6 of 6 of 17 and 7 high 9 fat 7 high 14 - 7 high 16 obesity 8 - 9 fat 9 fat 12 hfd 9 fat 14 - 11 ( 12 hfd 12 hfd 13 ) 15 induced 16 obesity 16 obesity 17 and 17 and 20 mediators 18 its 20 mediators 19 genetic 20 mediators 21 is 24 step 22 an 23 important 22 an 24 step 23 important 24 step 24 step 25 in 24 step 31 to 25 in 26 understanding 26 understanding 28 mechanisms 27 the 28 mechanisms 28 mechanisms 29 that 28 mechanisms 30 contribute 29 that 30 contribute 31 to 32 obesity however , the mechanisms that underlie hfd pathophysiology have yet to be elucidated fully . 0 ###LEFT-WALL### 4 mechanisms 0 ###LEFT-WALL### 9 have 0 ###LEFT-WALL### 15 . 1 however 2 , 1 however 4 mechanisms 3 the 4 mechanisms 4 mechanisms 5 that 4 mechanisms 6 underlie 4 mechanisms 9 have 5 that 6 underlie 6 underlie 8 pathophysiology 7 hfd 8 pathophysiology 9 have 10 yet 9 have 11 to 9 have 13 elucidated 11 to 12 be 12 be 13 elucidated 13 elucidated 14 fully here we describe recent work in a drosophila model to investigate the origin and genetic mechanisms that could underlie hfd - induced obesity , type 2 diabetes and cardiac dysfunction . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 describe 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 31 . 1 here 2 we 2 we 3 describe 3 describe 5 work 3 describe 10 to 4 recent 5 work 5 work 6 in 6 in 9 model 7 a 9 model 8 drosophila 9 model 10 to 11 investigate 11 investigate 13 origin 12 the 13 origin 14 and 16 mechanisms 14 and 25 type 15 genetic 16 mechanisms 16 mechanisms 17 that 16 mechanisms 18 could 16 mechanisms 25 type 17 that 18 could 18 could 19 underlie 19 underlie 20 hfd 20 hfd 23 obesity 21 - 23 obesity 22 induced 23 obesity 23 obesity 24 , 25 type 28 and 26 2 27 diabetes 27 diabetes 28 and 28 and 30 dysfunction 29 cardiac 30 dysfunction sarcopenia is a common and prominent geriatric syndrome , of major interest for daily clinical practice of professionals working with older people . 0 ###LEFT-WALL### 1 sarcopenia 0 ###LEFT-WALL### 2 is 1 sarcopenia 2 is 2 is 8 syndrome 3 a 8 syndrome 4 common 5 and 5 and 6 prominent 5 and 8 syndrome 7 geriatric 8 syndrome 8 syndrome 10 of 9 , 10 of 10 of 12 interest 10 of 23 . 11 major 12 interest 12 interest 13 for 12 interest 17 of 13 for 16 practice 14 daily 16 practice 15 clinical 16 practice 17 of 18 professionals 18 professionals 19 working 19 working 20 with 20 with 22 people 21 older 22 people the number of affected individuals and its relation with disability , frailty , many chronic diseases , lifestyle and adverse outcomes are extremely relevant for geriatric care . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 22 are 0 ###LEFT-WALL### 28 . 1 the 2 number 2 number 3 of 2 number 6 and 3 of 5 individuals 4 affected 5 individuals 6 and 8 relation 6 and 9 with 6 and 22 are 7 its 8 relation 9 with 19 and 10 disability 11 , 11 , 12 frailty 11 , 13 , 13 , 16 diseases 13 , 17 , 14 many 16 diseases 15 chronic 16 diseases 17 , 18 lifestyle 17 , 19 and 19 and 21 outcomes 20 adverse 21 outcomes 22 are 24 relevant 23 extremely 24 relevant 24 relevant 25 for 25 for 27 care 26 geriatric 27 care moreover , biological changes that lead to the loss of muscle [mass] and strength are intrinsically related to the mechanisms of aging . 0 ###LEFT-WALL### 4 changes 0 ###LEFT-WALL### 17 related 0 ###LEFT-WALL### 23 . 1 moreover 2 , 1 moreover 4 changes 3 biological 4 changes 4 changes 5 that 4 changes 6 lead 4 changes 15 are 5 that 6 lead 6 lead 7 to 7 to 9 loss 8 the 9 loss 9 loss 10 of 10 of 13 and 11 muscle 13 and 13 and 14 strength 15 are 16 intrinsically 15 are 17 related 17 related 18 to 18 to 20 mechanisms 19 the 20 mechanisms 20 mechanisms 21 of 21 of 22 aging it is not therefore surprising that research in this field is growing exponentially in recent years , and sarcopenia has been placed in recent years in the forefront of research in geriatric medicine and gerontology . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 36 . 1 it 2 is 2 is 3 not 2 is 4 therefore 2 is 5 surprising 5 surprising 7 research 5 surprising 11 is 6 that 7 research 7 research 8 in 7 research 11 is 8 in 10 field 9 this 10 field 11 is 12 growing 12 growing 13 exponentially 12 growing 14 in 14 in 16 years 15 recent 16 years 17 , 18 and 18 and 19 sarcopenia 18 and 22 placed 19 sarcopenia 20 has 20 has 21 been 21 been 22 placed 22 placed 23 in 22 placed 26 in 23 in 25 years 24 recent 25 years 26 in 28 forefront 27 the 28 forefront 28 forefront 29 of 29 of 34 and 30 research 31 in 30 research 34 and 31 in 33 medicine 32 geriatric 33 medicine 34 and 35 gerontology the spanish society of geriatrics and gerontology has recently created an observatory of sarcopenia , which aims to promote educational and research activities in this field . 0 ###LEFT-WALL### 2 spanish 0 ###LEFT-WALL### 10 created 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 27 . 1 the 2 spanish 2 spanish 3 society 2 spanish 8 has 2 spanish 10 created 3 society 4 of 3 society 8 has 4 of 6 and 5 geriatrics 6 and 6 and 7 gerontology 9 recently 10 created 10 created 12 observatory 11 an 12 observatory 12 observatory 13 of 13 of 14 sarcopenia 15 , 16 which 15 , 17 aims 16 which 17 aims 17 aims 18 to 17 aims 19 promote 18 to 19 promote 19 promote 21 and 20 educational 21 and 21 and 23 activities 22 research 23 activities 23 activities 24 in 24 in 26 field 25 this 26 field the first activity of the observatory has been to offer the spanish speaking scientific community a review of the current status of sarcopenia , that may allow unifying concepts and fostering interest in this promising field of geriatrics . 0 ###LEFT-WALL### 3 activity 0 ###LEFT-WALL### 39 . 1 the 2 first 1 the 3 activity 3 activity 4 of 3 activity 7 has 4 of 6 observatory 5 the 6 observatory 7 has 8 been 8 been 9 to 8 been 10 offer 9 to 10 offer 10 offer 15 community 10 offer 17 review 10 offer 30 and 11 the 15 community 12 spanish 15 community 13 speaking 15 community 14 scientific 15 community 16 a 17 review 17 review 18 of 17 review 22 of 18 of 21 status 19 the 21 status 20 current 21 status 22 of 23 sarcopenia 23 sarcopenia 25 that 23 sarcopenia 26 may 24 , 25 that 25 that 26 may 26 may 27 allow 27 allow 29 concepts 28 unifying 29 concepts 30 and 32 interest 31 fostering 32 interest 32 interest 33 in 32 interest 37 of 33 in 36 field 34 this 36 field 35 promising 36 field 37 of 38 geriatrics multivesicular bodies ( mvbs ) are intracellular endosomal organelles characterized by multiple internal vesicles that are enclosed within a single outer membrane . 0 ###LEFT-WALL### 2 bodies 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 23 . 1 multivesicular 2 bodies 2 bodies 4 mvbs 2 bodies 6 are 3 ( 4 mvbs 4 mvbs 5 ) 6 are 9 organelles 7 intracellular 9 organelles 8 endosomal 9 organelles 9 organelles 10 characterized 10 characterized 11 by 11 by 14 vesicles 12 multiple 14 vesicles 13 internal 14 vesicles 14 vesicles 15 that 14 vesicles 16 are 15 that 16 are 16 are 17 enclosed 17 enclosed 18 within 18 within 22 membrane 19 a 20 single 19 a 22 membrane 20 single 22 membrane 21 outer 22 membrane mvbs were initially regarded as purely prelysosomal structures along the degradative endosomal pathway of internalized proteins . 0 ###LEFT-WALL### 1 mvbs 0 ###LEFT-WALL### 4 regarded 0 ###LEFT-WALL### 17 . 1 mvbs 2 were 2 were 4 regarded 3 initially 4 regarded 4 regarded 5 as 4 regarded 9 along 5 as 8 structures 6 purely 7 prelysosomal 7 prelysosomal 8 structures 9 along 13 pathway 10 the 13 pathway 11 degradative 13 pathway 12 endosomal 13 pathway 13 pathway 14 of 14 of 16 proteins 15 internalized 16 proteins mvbs are now known to be involved in numerous endocytic and trafficking functions , including protein sorting , recycling , transport , storage , and release . 0 ###LEFT-WALL### 1 mvbs 0 ###LEFT-WALL### 4 known 1 mvbs 2 are 2 are 4 known 3 now 4 known 4 known 5 to 4 known 7 involved 5 to 6 be 6 be 7 involved 7 involved 8 in 8 in 13 functions 9 numerous 13 functions 10 endocytic 11 and 11 and 12 trafficking 11 and 13 functions 13 functions 15 including 13 functions 25 and 14 , 15 including 15 including 17 sorting 15 including 18 , 16 protein 17 sorting 18 , 25 and 19 recycling 20 , 20 , 21 transport 20 , 22 , 22 , 23 storage 22 , 25 and 24 , 25 and 25 and 26 release 25 and 27 . this review of neuronal mvbs summarizes their research history , morphology , distribution , accumulation of cargo and constitutive proteins , transport , and theories of functions of mvbs in neurons and glia . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 6 summarizes 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 34 . 1 this 2 review 2 review 3 of 2 review 6 summarizes 3 of 5 mvbs 4 neuronal 5 mvbs 6 summarizes 9 history 7 their 9 history 8 research 9 history 9 history 11 morphology 9 history 13 distribution 10 , 11 morphology 11 morphology 12 , 12 , 13 distribution 13 distribution 14 , 14 , 24 and 15 accumulation 16 of 15 accumulation 24 and 16 of 18 and 17 cargo 18 and 18 and 20 proteins 18 and 22 transport 19 constitutive 20 proteins 21 , 22 transport 22 transport 23 , 24 and 25 theories 24 and 26 of 26 of 27 functions 27 functions 28 of 28 of 29 mvbs 29 mvbs 30 in 30 in 32 and 31 neurons 32 and 32 and 33 glia due to their complex morphologies , neurons have expanded trafficking and signaling needs , beyond those of " geometrically simpler " cells , but it is not known whether neuronal mvbs perform additional transport and signaling functions . 0 ###LEFT-WALL### 1 due 0 ###LEFT-WALL### 5 morphologies 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 38 . 1 due 2 to 1 due 5 morphologies 2 to 4 complex 3 their 4 complex 6 , 7 neurons 6 , 9 expanded 6 , 11 and 7 neurons 8 have 8 have 9 expanded 9 expanded 10 trafficking 11 and 12 signaling 11 and 28 known 12 signaling 13 needs 12 signaling 24 but 12 signaling 26 is 13 needs 15 beyond 14 , 15 beyond 15 beyond 16 those 15 beyond 23 , 16 those 17 of 17 of 18 " 17 of 22 cells 19 geometrically 20 simpler 20 simpler 21 " 20 simpler 22 cells 24 but 25 it 26 is 27 not 26 is 28 known 28 known 29 whether 29 whether 35 and 29 whether 37 functions 30 neuronal 31 mvbs 31 mvbs 32 perform 31 mvbs 35 and 32 perform 34 transport 33 additional 34 transport 35 and 36 signaling 36 signaling 37 functions this review examines the concept of compartment [-] specific mvb functions in endosomal protein trafficking and signaling within synapses , axons , dendrites and cell bodies . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 examines 0 ###LEFT-WALL### 27 . 1 this 2 review 2 review 3 examines 3 examines 5 concept 3 examines 11 functions 4 the 5 concept 5 concept 6 of 5 concept 11 functions 6 of 10 mvb 7 compartment 10 mvb 9 specific 10 mvb 11 functions 12 in 12 in 24 and 13 endosomal 14 protein 14 protein 15 trafficking 15 trafficking 16 and 16 and 17 signaling 16 and 18 within 16 and 22 , 18 within 20 , 19 synapses 20 , 20 , 21 axons 22 , 23 dendrites 22 , 24 and 24 and 26 bodies 25 cell 26 bodies we critically evaluate reports of the accumulation of neuronal mvbs based on evidence of stress - induced mvb formation . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 evaluate 0 ###LEFT-WALL### 16 - 0 ###LEFT-WALL### 20 . 1 we 3 evaluate 2 critically 3 evaluate 3 evaluate 4 reports 4 reports 5 of 5 of 7 accumulation 6 the 7 accumulation 7 accumulation 8 of 8 of 10 mvbs 9 neuronal 10 mvbs 10 mvbs 11 based 11 based 12 on 12 on 13 evidence 13 evidence 14 of 14 of 15 stress 16 - 19 formation 17 induced 19 formation 18 mvb 19 formation furthermore , we discuss potential functions of neuronal and glial mvbs in development , in dystrophic neuritic syndromes , injury , disease , and aging . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 discuss 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 26 . 1 furthermore 2 , 1 furthermore 3 we 3 we 4 discuss 4 discuss 6 functions 4 discuss 12 in 4 discuss 15 in 5 potential 6 functions 6 functions 7 of 7 of 11 mvbs 8 neuronal 9 and 9 and 10 glial 9 and 11 mvbs 12 in 13 development 14 , 15 in 15 in 18 syndromes 15 in 19 , 16 dystrophic 18 syndromes 17 neuritic 18 syndromes 19 , 24 and 20 injury 21 , 21 , 22 disease 21 , 24 and 23 , 24 and 24 and 25 aging mvbs may play a role in alzheimer 's , huntington 's , and niemann - pick diseases , some types of frontotemporal dementia , prion and virus trafficking , as well as in adaptive responses of neurons to trauma and toxin or drug exposure . 0 ###LEFT-WALL### 1 mvbs 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 45 . 1 mvbs 13 and 2 may 3 play 2 may 13 and 3 play 5 role 4 a 5 role 5 role 6 in 5 role 11 's 6 in 8 's 7 alzheimer 8 's 9 , 11 's 10 huntington 11 's 11 's 12 , 12 , 13 and 13 and 16 pick 14 niemann 15 - 14 niemann 16 pick 16 pick 17 diseases 16 pick 30 as 16 pick 32 as 17 diseases 21 of 17 diseases 26 and 18 , 21 of 19 some 21 of 20 types 21 of 21 of 23 dementia 21 of 24 , 22 frontotemporal 23 dementia 24 , 26 and 25 prion 26 and 26 and 28 trafficking 26 and 29 , 27 virus 28 trafficking 30 as 31 well 32 as 33 in 33 in 44 exposure 34 adaptive 35 responses 35 responses 36 of 35 responses 40 and 36 of 37 neurons 37 neurons 38 to 38 to 39 trauma 40 and 41 toxin 40 and 42 or 42 or 43 drug 42 or 44 exposure functions of mvbs in neurons have been much neglected , and major gaps in knowledge currently exist . 0 ###LEFT-WALL### 1 functions 0 ###LEFT-WALL### 7 been 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 18 . 1 functions 2 of 1 functions 6 have 2 of 3 mvbs 3 mvbs 4 in 4 in 5 neurons 6 have 7 been 7 been 8 much 8 much 9 neglected 10 , 11 and 11 and 13 gaps 11 and 17 exist 12 major 13 gaps 13 gaps 14 in 13 gaps 17 exist 14 in 15 knowledge 16 currently 17 exist developing [truly] mvb - specific markers would help to elucidate the roles of neuronal mvbs [in] [intra] - and intercellular signaling of normal and diseased neurons . 0 ###LEFT-WALL### 6 markers 0 ###LEFT-WALL### 8 help 0 ###LEFT-WALL### 27 . 1 developing 3 mvb 1 developing 4 - 1 developing 6 markers 5 specific 6 markers 6 markers 7 would 7 would 8 help 8 help 9 to 9 to 10 elucidate 10 elucidate 19 and 11 the 12 roles 12 roles 13 of 12 roles 19 and 13 of 15 mvbs 14 neuronal 15 mvbs 18 - 19 and 19 and 21 signaling 20 intercellular 21 signaling 21 signaling 22 of 22 of 26 neurons 23 normal 24 and 24 and 25 diseased 24 and 26 neurons age - dependent loss of oxidative defense is well recognized in rodent models , although the control mechanism is still obscure ; a few studies have shown how micrornas , a [non] - coding rna species , regulate the expression of their target genes at the post - transcriptional level . 0 ###LEFT-WALL### 4 loss 0 ###LEFT-WALL### 10 recognized 0 ###LEFT-WALL### 22 ; 1 age 2 - 1 age 4 loss 3 dependent 4 loss 4 loss 5 of 4 loss 8 is 5 of 7 defense 6 oxidative 7 defense 8 is 9 well 8 is 10 recognized 10 recognized 11 in 10 recognized 15 although 11 in 13 models 12 rodent 13 models 14 , 15 although 15 although 18 mechanism 15 although 19 is 15 although 22 ; 16 the 18 mechanism 17 control 18 mechanism 18 mechanism 19 is 19 is 20 still 19 is 21 obscure 20 still 21 obscure 22 ; 25 studies 22 ; 27 shown 23 a 24 few 24 few 25 studies 25 studies 26 have 26 have 27 shown 27 shown 28 how 28 how 29 micrornas 28 how 38 regulate 29 micrornas 33 - 29 micrornas 38 regulate 30 , 33 - 31 a 33 - 33 - 36 species 33 - 37 , 34 coding 36 species 35 rna 36 species 38 regulate 40 expression 39 the 40 expression 40 expression 41 of 40 expression 50 level 41 of 44 genes 42 their 44 genes 43 target 44 genes 44 genes 45 at 45 at 47 post 46 the 47 post 48 - 50 level 49 transcriptional 50 level 50 level 51 . in the current study , mir - 34a and mir - 93 are observed to increase in middle - and old - age rat liver , compared to young rats ; the up - regulation of these two mirnas is determined by qpcr through a grind - and [-] find approach , and histochemical in situ hybridization . 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 24 rat 0 ###LEFT-WALL### 31 ; 0 ###LEFT-WALL### 58 . 1 in 3 current 1 in 20 and 2 the 3 current 4 study 5 , 5 , 18 middle 5 , 20 and 6 mir 7 - 6 mir 18 middle 8 34a 9 and 9 and 10 mir 9 and 11 - 9 and 12 93 9 and 17 in 9 and 18 middle 12 93 13 are 13 are 14 observed 14 observed 15 to 15 to 16 increase 16 increase 17 in 19 - 20 and 20 and 23 age 20 and 24 rat 21 old 22 - 21 old 23 age 24 rat 25 liver 24 rat 27 compared 26 , 27 compared 27 compared 28 to 27 compared 31 ; 28 to 30 rats 29 young 30 rats 31 ; 35 regulation 32 the 35 regulation 33 up 34 - 33 up 35 regulation 35 regulation 36 of 35 regulation 40 is 36 of 39 mirnas 37 these 38 two 38 two 39 mirnas 40 is 41 determined 41 determined 42 by 42 by 57 hybridization 43 qpcr 44 through 43 qpcr 53 and 44 through 48 and 45 a 46 grind 46 grind 48 and 47 - 48 and 48 and 51 approach 50 find 51 approach 52 , 53 and 53 and 54 histochemical 53 and 57 hybridization 54 histochemical 56 situ 55 in 56 situ three commonly used mirna target prediction programs suggest four candidate targets of mir - 34a and mir - 93 : sp1 , nrf2 ( nfe2l2 ) , sirt1 and mgst1 ; their expression is found to be reduced inversely to the up - regulation of the two mirnas by western blotting of protein extracts , as well as immunofluorescence staining of intact liver tissues . 0 ###LEFT-WALL### 7 programs 0 ###LEFT-WALL### 8 suggest 0 ###LEFT-WALL### 18 - 0 ###LEFT-WALL### 35 found 0 ###LEFT-WALL### 65 . 1 three 7 programs 2 commonly 3 used 3 used 7 programs 4 mirna 7 programs 5 target 7 programs 6 prediction 7 programs 7 programs 8 suggest 8 suggest 11 targets 9 four 11 targets 10 candidate 11 targets 11 targets 12 of 12 of 16 and 13 mir 14 - 13 mir 15 34a 15 34a 16 and 16 and 17 mir 18 - 19 93 18 - 20 : 18 - 31 ; 20 : 29 and 21 sp1 22 , 22 , 23 nrf2 22 , 27 , 23 nrf2 25 nfe2l2 24 ( 25 nfe2l2 25 nfe2l2 26 ) 27 , 28 sirt1 27 , 29 and 29 and 30 mgst1 31 ; 33 expression 32 their 33 expression 33 expression 34 is 34 is 35 found 35 found 36 to 35 found 39 inversely 35 found 40 to 35 found 64 tissues 36 to 37 be 37 be 38 reduced 40 to 44 regulation 41 the 44 regulation 42 up 43 - 42 up 44 regulation 44 regulation 45 of 45 of 48 mirnas 46 the 47 two 47 two 48 mirnas 48 mirnas 49 by 48 mirnas 61 of 49 by 51 blotting 50 western 51 blotting 51 blotting 52 of 51 blotting 60 staining 52 of 54 extracts 53 protein 54 extracts 55 , 56 as 56 as 57 well 56 as 60 staining 57 well 58 as 57 well 60 staining 58 as 59 immunofluorescence 61 of 63 liver 62 intact 63 liver furthermore , the suppression of the four proteins by mir - 34a/mir - [93] is examined in hek 293 cells by transfection and co - transfection ; mir - 34a represses all four proteins ' expression , whereas mir - 93 affects only sp1 , sirt1 and mgst1 . 0 ###LEFT-WALL### 4 suppression 0 ###LEFT-WALL### 16 examined 0 ###LEFT-WALL### 27 ; 1 furthermore 2 , 1 furthermore 4 suppression 3 the 4 suppression 4 suppression 5 of 4 suppression 12 34a/mir 4 suppression 15 is 5 of 8 proteins 6 the 7 four 7 four 8 proteins 8 proteins 9 by 9 by 10 mir 11 - 12 34a/mir 12 34a/mir 13 - 15 is 16 examined 16 examined 17 in 16 examined 21 by 17 in 20 cells 18 hek 20 cells 19 293 20 cells 21 by 23 and 22 transfection 23 and 23 and 26 transfection 24 co 25 - 24 co 26 transfection 27 ; 30 34a 27 ; 31 represses 27 ; 37 , 28 mir 29 - 28 mir 30 34a 30 34a 31 represses 31 represses 36 expression 32 all 33 four 33 four 34 proteins 34 proteins 35 ' 35 ' 36 expression 37 , 41 93 37 , 42 affects 38 whereas 39 mir 38 whereas 40 - 38 whereas 41 93 41 93 42 affects 42 affects 43 only 42 affects 44 sp1 44 sp1 47 and 45 , 47 and 46 sirt1 47 and 47 and 48 mgst1 47 and 49 . taken together , our study suggests a model of post - transcriptional repression , not only of genes involved in oxidative stress regulation and oxidative stress defense proteins , such as sirt1 and mgst1 , but also of upstream transcription factors ( tfs ) regulating their activation , since sp1 is the tf for both sirt1 and mgst1 , and nrf2 is the tf of mgst1 . 0 ###LEFT-WALL### 5 study 0 ###LEFT-WALL### 6 suggests 0 ###LEFT-WALL### 11 - 0 ###LEFT-WALL### 67 . 1 taken 2 together 1 taken 3 , 1 taken 5 study 4 our 5 study 5 study 6 suggests 6 suggests 8 model 7 a 8 model 8 model 9 of 9 of 10 post 11 - 13 repression 11 - 15 not 11 - 36 but 12 transcriptional 13 repression 14 , 15 not 15 not 16 only 15 not 24 and 15 not 26 stress 17 of 18 genes 17 of 24 and 18 genes 19 involved 20 in 22 stress 20 in 24 and 21 oxidative 22 stress 23 regulation 24 and 24 and 25 oxidative 24 and 26 stress 26 stress 28 proteins 26 stress 31 as 27 defense 28 proteins 29 , 31 as 30 such 31 as 31 as 33 and 31 as 35 , 32 sirt1 33 and 33 and 34 mgst1 33 and 35 , 35 , 36 but 36 but 37 also 36 but 53 tf 36 but 62 is 38 of 41 factors 38 of 53 tf 39 upstream 40 transcription 40 transcription 41 factors 42 ( 43 tfs 43 tfs 44 ) 43 tfs 53 tf 45 regulating 47 activation 45 regulating 48 , 45 regulating 53 tf 46 their 47 activation 49 since 50 sp1 49 since 51 is 49 since 53 tf 50 sp1 51 is 52 the 53 tf 53 tf 54 for 53 tf 62 is 54 for 60 and 55 both 57 and 56 sirt1 57 and 57 and 58 mgst1 57 and 60 and 59 , 60 and 60 and 61 nrf2 62 is 64 tf 63 the 64 tf 64 tf 65 of 65 of 66 mgst1 with the current demographic shift being experienced by populations globally , almost linear increases in life expectancy have been seen and can be expected . 0 ###LEFT-WALL### 6 being 0 ###LEFT-WALL### 14 increases 0 ###LEFT-WALL### 25 . 1 with 5 shift 1 with 6 being 2 the 5 shift 3 current 5 shift 4 demographic 5 shift 6 being 7 experienced 6 being 14 increases 7 experienced 8 by 7 experienced 10 globally 7 experienced 11 , 7 experienced 13 linear 8 by 9 populations 12 almost 13 linear 14 increases 15 in 15 in 17 expectancy 16 life 17 expectancy 17 expectancy 21 and 17 expectancy 24 expected 18 have 19 been 18 have 21 and 19 been 20 seen 21 and 22 can 22 can 23 be however , increases in healthy life expectancy may not keep pace . 0 ###LEFT-WALL### 3 increases 0 ###LEFT-WALL### 10 keep 0 ###LEFT-WALL### 12 . 1 however 2 , 1 however 3 increases 3 increases 4 in 3 increases 8 may 4 in 7 expectancy 5 healthy 6 life 6 life 7 expectancy 8 may 9 not 8 may 10 keep 10 keep 11 pace among older populations the proportion of time spent in less than full health tends to increase . 0 ###LEFT-WALL### 5 proportion 0 ###LEFT-WALL### 14 tends 0 ###LEFT-WALL### 17 . 1 among 3 populations 1 among 5 proportion 2 older 3 populations 4 the 5 proportion 5 proportion 6 of 5 proportion 14 tends 6 of 7 time 7 time 8 spent 8 spent 9 in 8 spent 11 than 9 in 10 less 11 than 13 health 12 full 13 health 14 tends 15 to 14 tends 16 increase 15 to 16 increase as a result , the accurate valuation of life spent in states less than full health will become [increasingly] important . 0 ###LEFT-WALL### 7 valuation 0 ###LEFT-WALL### 18 become 0 ###LEFT-WALL### 21 . 1 as 3 result 1 as 4 , 1 as 7 valuation 2 a 3 result 5 the 7 valuation 6 accurate 7 valuation 7 valuation 8 of 7 valuation 17 will 8 of 9 life 9 life 10 spent 10 spent 11 in 10 spent 13 less 10 spent 14 than 11 in 12 states 14 than 16 health 15 full 16 health 17 will 18 become 18 become 20 important different techniques and approaches have been used to measure health in populations . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 7 used 0 ###LEFT-WALL### 13 . 1 different 2 techniques 2 techniques 3 and 3 and 4 approaches 3 and 5 have 5 have 6 been 6 been 7 used 7 used 8 to 7 used 9 measure 8 to 9 measure 9 measure 10 health 9 measure 11 in 11 in 12 populations the use of summary measures of population health such as dalys ( disability adjusted life years ) has become common , and is widely used to compare health between populations and to evaluate the potential impact of interventions in economic analyses . 0 ###LEFT-WALL### 2 use 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 42 . 1 the 2 use 2 use 3 of 2 use 6 of 2 use 22 and 3 of 5 measures 4 summary 5 measures 6 of 8 health 7 population 8 health 8 health 10 as 8 health 16 years 9 such 10 as 10 as 11 dalys 12 ( 16 years 13 disability 14 adjusted 14 adjusted 15 life 15 life 16 years 16 years 17 ) 18 has 19 become 18 has 22 and 19 become 20 common 21 , 22 and 22 and 23 is 22 and 39 in 23 is 25 used 24 widely 25 used 25 used 26 to 25 used 31 and 26 to 31 and 27 compare 28 health 27 compare 29 between 27 compare 31 and 29 between 30 populations 31 and 32 to 31 and 33 evaluate 32 to 33 evaluate 33 evaluate 36 impact 34 the 36 impact 35 potential 36 impact 36 impact 37 of 37 of 38 interventions 39 in 41 analyses 40 economic 41 analyses most of the commonly used summary measures of health express some measure of life lived in full health and life lived with disability or in a state of sub - optimal health . 0 ###LEFT-WALL### 7 measures 0 ###LEFT-WALL### 29 sub 0 ###LEFT-WALL### 30 - 0 ###LEFT-WALL### 33 . 1 most 2 of 1 most 7 measures 2 of 7 measures 3 the 7 measures 4 commonly 5 used 5 used 7 measures 6 summary 7 measures 7 measures 8 of 7 measures 13 of 7 measures 29 sub 8 of 10 express 9 health 10 express 10 express 11 some 10 express 12 measure 11 some 12 measure 13 of 14 life 14 life 16 in 14 life 19 and 14 life 28 of 15 lived 16 in 17 full 18 health 18 health 19 and 19 and 20 life 19 and 21 lived 21 lived 24 or 22 with 23 disability 22 with 24 or 24 or 25 in 25 in 27 state 26 a 27 state 27 state 28 of 30 - 32 health 31 optimal 32 health critical to the construction of summary health measures are values assigned to health states . 0 ###LEFT-WALL### 1 critical 0 ###LEFT-WALL### 9 are 0 ###LEFT-WALL### 15 . 1 critical 2 to 1 critical 9 are 2 to 4 construction 3 the 4 construction 4 construction 5 of 5 of 8 measures 6 summary 7 health 7 health 8 measures 9 are 10 values 10 values 11 assigned 11 assigned 12 to 12 to 14 states 13 health 14 states current tools used in determining these values include the standard gamble , time trade off , person trade [off] , and the visual analogue scale . 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 26 . 1 current 2 tools 2 tools 3 used 2 tools 16 , 3 used 4 in 4 in 5 determining 5 determining 7 values 5 determining 12 , 6 these 7 values 7 values 12 , 8 include 11 gamble 8 include 12 , 9 the 11 gamble 10 standard 11 gamble 12 , 13 time 12 , 15 off 13 time 14 trade 13 time 15 off 16 , 18 trade 16 , 21 and 17 person 18 trade 20 , 21 and 21 and 25 scale 22 the 25 scale 23 visual 24 analogue 24 analogue 25 scale however , these techniques all have the disadvantage of incorporating individual biases ( derived from particular characteristics specific to individuals or populations ) into the process through which health state valuations are derived . 0 ###LEFT-WALL### 4 techniques 0 ###LEFT-WALL### 6 have 0 ###LEFT-WALL### 34 . 1 however 2 , 1 however 4 techniques 3 these 4 techniques 4 techniques 6 have 5 all 6 have 6 have 8 disadvantage 7 the 8 disadvantage 8 disadvantage 9 of 9 of 10 incorporating 9 of 31 valuations 9 of 33 derived 10 incorporating 12 biases 10 incorporating 24 into 11 individual 12 biases 12 biases 14 derived 13 ( 14 derived 14 derived 15 from 14 derived 23 ) 15 from 17 characteristics 16 particular 17 characteristics 17 characteristics 18 specific 18 specific 19 to 19 to 21 or 20 individuals 21 or 21 or 22 populations 24 into 26 process 25 the 26 process 26 process 27 through 27 through 28 which 29 health 31 valuations 30 state 31 valuations 31 valuations 32 are 32 are 33 derived as a consequence health states are often not directly comparable between populations , since characteristics such as nationality and ethnicity can influence [how] health states are valued . 0 ###LEFT-WALL### 5 states 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 28 . 1 as 3 consequence 1 as 5 states 2 a 3 consequence 4 health 5 states 5 states 6 are 6 are 7 often 6 are 8 not 6 are 9 directly 6 are 10 comparable 10 comparable 11 between 11 between 12 populations 13 , 25 states 13 , 27 valued 14 since 19 and 14 since 22 influence 14 since 25 states 15 characteristics 17 as 15 characteristics 19 and 16 such 17 as 17 as 18 nationality 19 and 20 ethnicity 19 and 21 can 21 can 22 influence 22 influence 24 health 25 states 26 are 26 are 27 valued furthermore , health can be judged differently by those of different ages , with the young often assigning a lower value to life lived at less than full health compared to older people . 0 ###LEFT-WALL### 3 health 0 ###LEFT-WALL### 6 judged 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 34 . 1 furthermore 2 , 1 furthermore 3 health 3 health 4 can 4 can 5 be 5 be 6 judged 6 judged 7 differently 6 judged 8 by 8 by 9 those 9 those 10 of 10 of 12 ages 11 different 12 ages 13 , 18 assigning 13 , 24 lived 14 with 16 young 14 with 18 assigning 15 the 16 young 17 often 18 assigning 18 assigning 21 value 18 assigning 24 lived 19 a 21 value 20 lower 21 value 21 value 22 to 22 to 23 life 24 lived 25 at 24 lived 27 than 25 at 26 less 27 than 29 health 28 full 29 health 29 health 30 compared 30 compared 31 to 31 to 33 people 32 older 33 people the challenge of obtaining opinions which are not influenced by an individual 's own circumstances is not new . 0 ###LEFT-WALL### 2 challenge 0 ###LEFT-WALL### 16 is 0 ###LEFT-WALL### 19 . 1 the 2 challenge 2 challenge 3 of 2 challenge 16 is 3 of 4 obtaining 4 obtaining 5 opinions 5 opinions 6 which 5 opinions 7 are 6 which 7 are 7 are 8 not 7 are 9 influenced 9 influenced 10 by 10 by 15 circumstances 11 an 12 individual 12 individual 13 's 13 's 14 own 13 's 15 circumstances 16 is 17 not 16 is 18 new 17 not 18 new this issue was encountered and described by the american philosopher john rawls in ['] a theory of justice ' ( 1971 ) , in which he employed a thought experiment called ['] the veil of ignorance ['] as a means of overcoming this problem . 0 ###LEFT-WALL### 2 issue 0 ###LEFT-WALL### 5 and 1 this 2 issue 2 issue 3 was 3 was 5 and 4 encountered 5 and 5 and 6 described 5 and 7 by 5 and 13 in 5 and 16 theory 7 by 12 rawls 8 the 10 philosopher 9 american 10 philosopher 10 philosopher 12 rawls 11 john 12 rawls 13 in 15 a 16 theory 17 of 16 theory 21 1971 16 theory 24 in 17 of 19 ' 18 justice 19 ' 20 ( 21 1971 21 1971 22 ) 23 , 24 in 24 in 25 which 24 in 26 he 24 in 27 employed 24 in 45 . 26 he 27 employed 27 employed 30 experiment 27 employed 38 as 28 a 30 experiment 29 thought 30 experiment 30 experiment 31 called 31 called 34 veil 33 the 34 veil 34 veil 35 of 35 of 36 ignorance 38 as 40 means 39 a 40 means 40 means 41 of 41 of 42 overcoming 42 overcoming 44 problem 43 this 44 problem in this thought experiment an individual is asked to make decisions about distributive justice by imagining they are behind a ['] veil of ignorance ['] , whereby they are unaware of their own position in society . 0 ###LEFT-WALL### 6 individual 0 ###LEFT-WALL### 8 asked 1 in 4 experiment 1 in 6 individual 2 this 4 experiment 3 thought 4 experiment 5 an 6 individual 6 individual 7 is 7 is 8 asked 8 asked 9 to 8 asked 10 make 9 to 10 make 10 make 11 decisions 10 make 15 by 11 decisions 12 about 12 about 14 justice 13 distributive 14 justice 15 by 16 imagining 16 imagining 17 they 16 imagining 18 are 17 they 18 are 18 are 19 behind 18 are 27 whereby 19 behind 22 veil 20 a 22 veil 22 veil 23 of 23 of 24 ignorance 26 , 27 whereby 27 whereby 28 they 27 whereby 29 are 27 whereby 37 . 28 they 29 are 29 are 30 unaware 30 unaware 31 of 30 unaware 35 in 31 of 34 position 32 their 33 own 32 their 34 position 35 in 36 society here we discuss how current methods for deriving health state values may incorporate a veil of ignorance [approach] , and how this may benefit the comparability of the health state valuations produced . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 32 produced 0 ###LEFT-WALL### 33 . 1 here 2 we 2 we 3 discuss 3 discuss 4 how 4 how 6 methods 4 how 24 benefit 5 current 6 methods 6 methods 7 for 6 methods 10 state 7 for 9 health 8 deriving 9 health 10 state 11 values 10 state 13 incorporate 11 values 12 may 12 may 13 incorporate 13 incorporate 20 and 14 a 15 veil 15 veil 16 of 15 veil 20 and 16 of 17 ignorance 19 , 20 and 20 and 21 how 22 this 23 may 23 may 24 benefit 24 benefit 26 comparability 25 the 26 comparability 26 comparability 27 of 26 comparability 31 valuations 26 comparability 32 produced 27 of 29 health 28 the 29 health 30 state 31 valuations 31 valuations 32 produced we also propose [how] such methods may be operationalized . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 propose 0 ###LEFT-WALL### 10 . 1 we 3 propose 2 also 3 propose 3 propose 6 methods 3 propose 9 operationalized 5 such 6 methods 6 methods 7 may 7 may 8 be 8 be 9 operationalized considering these issues , we propose that a new society with new needs and a progressively growing interest in maintaining adequate health requires appropriate measures of health . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 propose 0 ###LEFT-WALL### 28 . 1 considering 3 issues 1 considering 4 , 1 considering 5 we 2 these 3 issues 5 we 6 propose 6 propose 14 and 6 propose 19 in 7 that 14 and 8 a 9 new 8 a 10 society 9 new 10 society 10 society 11 with 10 society 14 and 11 with 13 needs 12 new 13 needs 14 and 18 interest 15 a 18 interest 16 progressively 17 growing 17 growing 18 interest 19 in 20 maintaining 20 maintaining 22 health 20 maintaining 23 requires 21 adequate 22 health 22 health 23 requires 23 requires 25 measures 24 appropriate 25 measures 25 measures 26 of 26 of 27 health these measures should facilitate derivation of objective measures of health that are comparable to those acquired in other populations , irrespective of age , gender , disease status , ethnicity and geographical location . 0 ###LEFT-WALL### 2 measures 0 ###LEFT-WALL### 4 facilitate 0 ###LEFT-WALL### 34 . 1 these 2 measures 2 measures 3 should 3 should 4 facilitate 4 facilitate 5 derivation 5 derivation 6 of 6 of 8 measures 7 objective 8 measures 8 measures 9 of 8 measures 11 that 8 measures 12 are 9 of 10 health 11 that 12 are 12 are 13 comparable 13 comparable 14 to 14 to 15 those 15 those 16 acquired 15 those 22 of 16 acquired 17 in 16 acquired 20 , 16 acquired 21 irrespective 17 in 19 populations 18 other 19 populations 22 of 31 and 23 age 24 , 24 , 25 gender 24 , 26 , 26 , 28 status 26 , 29 , 27 disease 28 status 29 , 30 ethnicity 29 , 31 and 31 and 33 location 32 geographical 33 location promoting and improving health demands adequate measures of health and the application of the rawlsian veil of ignorance approach could be an effective alternative . 0 ###LEFT-WALL### 5 demands 0 ###LEFT-WALL### 21 be 0 ###LEFT-WALL### 25 . 1 promoting 2 and 2 and 4 health 2 and 5 demands 3 improving 4 health 5 demands 7 measures 5 demands 19 approach 5 demands 20 could 6 adequate 7 measures 7 measures 8 of 7 measures 19 approach 8 of 10 and 9 health 10 and 10 and 12 application 10 and 13 of 10 and 17 of 11 the 12 application 13 of 16 veil 14 the 16 veil 15 rawlsian 16 veil 17 of 18 ignorance 20 could 21 be 21 be 24 alternative 22 an 23 effective 22 an 24 alternative 23 effective 24 alternative background : pentosidine is well established as an intermolecular cross - linking type [of] advanced glycation end products , and it accumulates with aging in various connective tissues . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 pentosidine 2 : 6 established 2 : 20 and 2 : 29 . 3 pentosidine 4 is 4 is 5 well 4 is 6 established 6 established 7 as 6 established 12 linking 7 as 10 cross 8 an 9 intermolecular 8 an 10 cross 9 intermolecular 10 cross 11 - 12 linking 12 linking 18 products 12 linking 19 , 13 type 15 advanced 15 advanced 18 products 16 glycation 18 products 17 end 18 products 20 and 21 it 20 and 22 accumulates 21 it 22 accumulates 22 accumulates 23 with 23 with 24 aging 24 aging 25 in 25 in 28 tissues 26 various 28 tissues 27 connective 28 tissues objective : to determine whether pentosidine contributes to age - related [and] disease - related impairment of pulmonary functions in patients with asthma . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 3 to 2 : 9 age 3 to 4 determine 4 determine 5 whether 4 determine 8 to 5 whether 6 pentosidine 5 whether 7 contributes 6 pentosidine 7 contributes 8 to 9 age 9 age 16 impairment 9 age 22 with 10 - 11 related 11 related 13 disease 11 related 14 - 11 related 15 related 15 related 16 impairment 16 impairment 17 of 17 of 19 functions 18 pulmonary 19 functions 19 functions 20 in 20 in 21 patients 22 with 23 asthma results : pentosidine levels in induced sputum were significantly higher in patients with asthma than in normal controls ( patients with asthma : median , 20.1 , interquartile range , 16.7 - 26.5 ng/ml ; normal controls : median , 3.0 , interquartile range , 0.7 - 7.5 ng/ml ; p < . 001 [ )( 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 : 0 ###LEFT-WALL### 52 < 0 ###LEFT-WALL### 53 . 1 results 2 : 2 : 3 pentosidine 3 pentosidine 4 levels 3 pentosidine 8 were 4 levels 5 in 4 levels 8 were 5 in 7 sputum 6 induced 7 sputum 8 were 9 significantly 8 were 10 higher 8 were 11 in 8 were 13 with 8 were 15 than 11 in 12 patients 13 with 14 asthma 15 than 16 in 16 in 18 controls 17 normal 18 controls 18 controls 20 patients 19 ( 20 patients 20 patients 21 with 20 patients 23 : 21 with 22 asthma 23 : 24 median 23 : 25 , 23 : 43 interquartile 23 : 50 ; 25 , 26 20.1 25 , 27 , 27 , 28 interquartile 27 , 35 ; 28 interquartile 29 range 28 interquartile 32 - 30 , 32 - 31 16.7 32 - 32 - 34 ng/ml 32 - 35 ; 33 26.5 34 ng/ml 35 ; 37 controls 35 ; 38 : 36 normal 37 controls 38 : 39 median 38 : 40 , 40 , 41 3.0 40 , 42 , 42 , 43 interquartile 43 interquartile 44 range 44 range 49 ng/ml 45 , 49 ng/ml 46 0.7 47 - 47 - 48 7.5 47 - 49 ng/ml 49 ng/ml 50 ; 50 ; 51 p 51 p 52 < 53 . 54 001 53 . 56 )( the levels were closely correlated with age in both normal controls and patients with asthma . 0 ###LEFT-WALL### 2 levels 0 ###LEFT-WALL### 5 correlated 0 ###LEFT-WALL### 16 . 1 the 2 levels 2 levels 3 were 3 were 4 closely 3 were 5 correlated 5 correlated 6 with 5 correlated 8 in 5 correlated 14 with 6 with 7 age 8 in 12 and 9 both 11 controls 10 normal 11 controls 11 controls 12 and 12 and 13 patients 14 with 15 asthma however , the slope of age - related increase [in] pentosidine levels was markedly steeper in patients with asthma than in normal controls . 0 ###LEFT-WALL### 4 slope 0 ###LEFT-WALL### 13 was 0 ###LEFT-WALL### 24 . 1 however 2 , 1 however 4 slope 3 the 4 slope 4 slope 5 of 4 slope 13 was 5 of 6 age 7 - 8 related 8 related 12 levels 8 related 13 was 9 increase 12 levels 11 pentosidine 12 levels 13 was 15 steeper 14 markedly 15 steeper 15 steeper 16 in 15 steeper 18 with 15 steeper 20 than 16 in 17 patients 18 with 19 asthma 20 than 21 in 21 in 23 controls 22 normal 23 controls cv/vital capacity , cc/total lung capacity , and delta n ( 2 ) increased with aging in both normal controls and patients with asthma . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 14 increased 0 ###LEFT-WALL### 25 . 1 cv/vital 2 capacity 2 capacity 3 , 3 , 6 capacity 3 , 8 and 4 cc/total 5 lung 5 lung 6 capacity 7 , 8 and 8 and 9 delta 8 and 12 2 8 and 14 increased 9 delta 10 n 11 ( 12 2 12 2 13 ) 14 increased 15 with 15 with 16 aging 16 aging 17 in 16 aging 23 with 17 in 21 and 18 both 20 controls 19 normal 20 controls 20 controls 21 and 21 and 22 patients 23 with 24 asthma moreover , in each range of age ( 21 - 40 , 41 - 60 , 61 - 80 years ) , cv/vital capacity , cc/total lung capacity , and delta n ( 2 ) were significantly higher in patients with asthma than in normal controls . 0 ###LEFT-WALL### 24 capacity 0 ###LEFT-WALL### 36 were 0 ###LEFT-WALL### 47 . 1 moreover 24 capacity 2 , 3 in 3 in 5 range 3 in 22 , 3 in 24 capacity 4 each 5 range 5 range 6 of 5 range 9 21 5 range 20 years 6 of 7 age 8 ( 9 21 9 21 10 - 10 - 20 years 11 40 20 years 12 , 14 - 13 41 14 - 14 - 15 60 14 - 16 , 14 - 20 years 17 61 18 - 18 - 19 80 18 - 20 years 20 years 21 ) 23 cv/vital 24 capacity 24 capacity 30 and 24 capacity 36 were 25 , 30 and 26 cc/total 28 capacity 27 lung 28 capacity 28 capacity 30 and 29 , 30 and 30 and 31 delta 30 and 34 2 30 and 35 ) 31 delta 32 n 33 ( 34 2 34 2 35 ) 36 were 38 higher 37 significantly 38 higher 38 higher 39 in 38 higher 43 than 39 in 40 patients 40 patients 41 with 41 with 42 asthma 43 than 44 in 44 in 46 controls 45 normal 46 controls in addition , pentosidine levels in patients with asthma were closely correlated with each of these variables . 0 ###LEFT-WALL### 5 levels 0 ###LEFT-WALL### 12 correlated 0 ###LEFT-WALL### 18 . 1 in 2 addition 1 in 3 , 1 in 5 levels 4 pentosidine 5 levels 5 levels 6 in 5 levels 10 were 6 in 7 patients 7 patients 8 with 8 with 9 asthma 10 were 11 closely 10 were 12 correlated 12 correlated 13 with 13 with 17 variables 14 each 15 of 14 each 17 variables 15 of 17 variables 16 these 17 variables conclusion : our results demonstrated the association between sputum levels of pentosidine and age - related small airways function in both normal controls and patients with asthma . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 4 results 2 : 5 demonstrated 3 our 4 results 4 results 5 demonstrated 5 demonstrated 13 and 5 demonstrated 19 function 6 the 7 association 7 association 8 between 7 association 13 and 8 between 10 levels 9 sputum 10 levels 10 levels 11 of 11 of 12 pentosidine 13 and 14 age 13 and 15 - 13 and 19 function 15 - 16 related 16 related 18 airways 16 related 19 function 17 small 18 airways 19 function 20 in 19 function 26 with 20 in 24 and 21 both 23 controls 22 normal 23 controls 23 controls 24 and 24 and 25 patients 26 with 27 asthma moreover , the age - related increase [in] pentosidine levels was more pronounced in patients with asthma . 0 ###LEFT-WALL### 4 age 0 ###LEFT-WALL### 13 pronounced 0 ###LEFT-WALL### 18 . 1 moreover 2 , 1 moreover 4 age 3 the 4 age 4 age 11 was 5 - 6 related 6 related 10 levels 6 related 11 was 7 increase 10 levels 9 pentosidine 10 levels 11 was 12 more 11 was 13 pronounced 13 pronounced 14 in 13 pronounced 16 with 14 in 15 patients 16 with 17 asthma these findings will herald new era [in] [the] pathophysiology of elderly asthma . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 4 herald 0 ###LEFT-WALL### 13 . 1 these 2 findings 2 findings 3 will 3 will 4 herald 4 herald 9 pathophysiology 5 new 6 era 6 era 9 pathophysiology 9 pathophysiology 10 of 10 of 12 asthma 11 elderly 12 asthma the aggregation of α - synuclein ( αs ) in the central nervous system ( cns ) is the hallmark of multiple system atrophy ( msa ) and lewy body diseases including parkinson 's disease ( pd ) and dementia with lewy bodies ( dlb ) ( α - synucleinopathies ) . 0 ###LEFT-WALL### 2 aggregation 0 ###LEFT-WALL### 18 is 0 ###LEFT-WALL### 52 . 1 the 2 aggregation 2 aggregation 3 of 2 aggregation 10 in 2 aggregation 16 cns 2 aggregation 18 is 3 of 6 synuclein 4 α 5 - 4 α 6 synuclein 6 synuclein 8 αs 7 ( 8 αs 8 αs 9 ) 10 in 14 system 11 the 14 system 12 central 14 system 13 nervous 14 system 15 ( 16 cns 16 cns 17 ) 18 is 39 and 18 is 41 with 19 the 20 hallmark 20 hallmark 21 of 20 hallmark 28 and 21 of 24 atrophy 22 multiple 23 system 23 system 24 atrophy 24 atrophy 26 msa 25 ( 26 msa 26 msa 27 ) 28 and 31 diseases 28 and 32 including 28 and 39 and 29 lewy 31 diseases 30 body 31 diseases 32 including 35 disease 33 parkinson 34 's 34 's 35 disease 35 disease 37 pd 36 ( 37 pd 37 pd 38 ) 39 and 40 dementia 41 with 42 lewy 41 with 43 bodies 43 bodies 45 dlb 43 bodies 48 α 44 ( 45 dlb 45 dlb 46 ) 47 ( 48 α 48 α 50 synucleinopathies 48 α 51 ) 49 - 50 synucleinopathies 50 synucleinopathies 51 ) csf from msa patients ( msa - csf ) promoted fαs formation more strongly than pd [-] , hsca - , or headache - csf . 0 ###LEFT-WALL### 1 csf 0 ###LEFT-WALL### 10 promoted 0 ###LEFT-WALL### 24 - 1 csf 2 from 1 csf 8 csf 1 csf 10 promoted 2 from 4 patients 3 msa 4 patients 5 ( 8 csf 6 msa 8 csf 7 - 8 csf 8 csf 9 ) 10 promoted 12 formation 10 promoted 14 strongly 10 promoted 15 than 11 fαs 12 formation 13 more 14 strongly 15 than 22 or 16 pd 19 hsca 16 pd 22 or 18 , 19 hsca 19 hsca 20 - 21 , 22 or 22 or 23 headache 24 - 25 csf 24 - 26 . by electron microscopic analyses , the width of fαs formed in msa - csf was significantly greater than others . 0 ###LEFT-WALL### 1 by 0 ###LEFT-WALL### 15 was 0 ###LEFT-WALL### 20 . 1 by 4 analyses 1 by 15 was 2 electron 4 analyses 3 microscopic 4 analyses 4 analyses 7 width 5 , 7 width 6 the 7 width 7 width 8 of 7 width 13 - 8 of 9 fαs 9 fαs 10 formed 10 formed 11 in 11 in 12 msa 14 csf 15 was 15 was 16 significantly 15 was 17 greater 17 greater 18 than 18 than 19 others msa may have a csf environment particularly favorable for fαs formation . 0 ###LEFT-WALL### 1 msa 0 ###LEFT-WALL### 3 have 0 ###LEFT-WALL### 12 . 1 msa 2 may 2 may 3 have 3 have 6 environment 4 a 6 environment 5 csf 6 environment 6 environment 8 favorable 7 particularly 8 favorable 8 favorable 9 for 9 for 11 formation 10 fαs 11 formation aging is a biological process characterized by impairment of cellular bioenergetic [function] , increased oxidative stress , attenuated ability to respond to stresses , increased risk of contracting age - associated disorders that affects many tissues , with a more marked effect on brain and heart function . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 48 . 1 aging 2 is 2 is 5 process 3 a 4 biological 3 a 5 process 4 biological 5 process 5 process 6 characterized 6 characterized 7 by 7 by 8 impairment 8 impairment 9 of 9 of 19 ability 10 cellular 19 ability 11 bioenergetic 16 stress 11 bioenergetic 19 ability 13 , 16 stress 14 increased 16 stress 15 oxidative 16 stress 16 stress 17 , 18 attenuated 19 ability 19 ability 20 to 19 ability 21 respond 20 to 21 respond 21 respond 22 to 22 to 24 , 23 stresses 24 , 24 , 25 increased 24 , 45 and 26 risk 27 of 26 risk 45 and 27 of 28 contracting 28 contracting 29 age 28 contracting 38 with 28 contracting 43 on 29 age 32 disorders 30 - 32 disorders 31 associated 32 disorders 32 disorders 33 that 32 disorders 34 affects 32 disorders 37 , 33 that 34 affects 34 affects 36 tissues 35 many 36 tissues 38 with 42 effect 39 a 42 effect 40 more 41 marked 41 marked 42 effect 43 on 44 brain 45 and 47 function 46 heart 47 function oxidative stress is widely thought to underpin many aging processes . 0 ###LEFT-WALL### 2 stress 0 ###LEFT-WALL### 5 thought 0 ###LEFT-WALL### 11 . 1 oxidative 2 stress 2 stress 3 is 3 is 5 thought 4 widely 5 thought 5 thought 6 to 6 to 7 underpin 7 underpin 10 processes 8 many 10 processes 9 aging 10 processes the mitochondrion is considered the most important cellular organelle to contribute to the aging process , mainly through respiratory chain dysfunction and formation of reactive oxygen species , leading to damage to mitochondrial proteins , lipids and mitochondrial dna . 0 ###LEFT-WALL### 2 mitochondrion 0 ###LEFT-WALL### 4 considered 0 ###LEFT-WALL### 40 . 1 the 2 mitochondrion 2 mitochondrion 3 is 3 is 4 considered 4 considered 9 organelle 4 considered 10 to 4 considered 12 to 4 considered 32 to 5 the 6 most 6 most 9 organelle 7 important 9 organelle 8 cellular 9 organelle 10 to 11 contribute 12 to 22 and 13 the 15 process 14 aging 15 process 15 process 16 , 16 , 21 dysfunction 16 , 22 and 17 mainly 18 through 18 through 20 chain 19 respiratory 20 chain 20 chain 21 dysfunction 22 and 23 formation 22 and 28 , 22 and 29 leading 22 and 30 to 23 formation 24 of 24 of 27 species 25 reactive 27 species 26 oxygen 27 species 30 to 31 damage 32 to 37 and 33 mitochondrial 34 proteins 34 proteins 35 , 35 , 36 lipids 35 , 37 and 37 and 39 dna 38 mitochondrial 39 dna furthermore , exposure to oxidants , especially in the presence of ca ( 2+ ) , can induce the mitochondrial permeability transition with deleterious effects [on] mitochondrial [function] . 0 ###LEFT-WALL### 3 exposure 0 ###LEFT-WALL### 18 induce 0 ###LEFT-WALL### 29 . 1 furthermore 2 , 1 furthermore 3 exposure 3 exposure 4 to 3 exposure 17 can 4 to 5 oxidants 5 oxidants 8 in 6 , 7 especially 6 , 8 in 8 in 10 presence 8 in 16 , 9 the 10 presence 10 presence 11 of 11 of 12 ca 12 ca 14 2+ 13 ( 14 2+ 14 2+ 15 ) 17 can 18 induce 18 induce 22 transition 18 induce 23 with 19 the 22 transition 20 mitochondrial 21 permeability 21 permeability 22 transition 23 with 25 effects 23 with 27 mitochondrial 24 deleterious 25 effects cardiolipin plays a central role in several mitochondrial bioenergetic processes as well as in mitochondrial - dependent steps in apoptosis and mitochondrial membrane stability and dynamics . 0 ###LEFT-WALL### 1 cardiolipin 0 ###LEFT-WALL### 2 plays 0 ###LEFT-WALL### 27 . 1 cardiolipin 2 plays 2 plays 5 role 2 plays 11 as 2 plays 13 as 3 a 5 role 4 central 5 role 5 role 6 in 6 in 10 processes 7 several 10 processes 8 mitochondrial 10 processes 9 bioenergetic 10 processes 11 as 12 well 13 as 14 in 14 in 25 and 15 mitochondrial 16 - 15 mitochondrial 17 dependent 17 dependent 18 steps 18 steps 19 in 18 steps 21 and 19 in 20 apoptosis 21 and 24 stability 21 and 25 and 22 mitochondrial 23 membrane 23 membrane 24 stability 25 and 26 dynamics alterations to cardiolipin structure , content and acyl chain profile have been associated with mitochondrial dysfunction in multiple tissues in several physiopathological conditions and aging . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 13 associated 0 ###LEFT-WALL### 26 . 1 alterations 2 to 1 alterations 5 , 2 to 4 structure 3 cardiolipin 4 structure 5 , 6 content 5 , 7 and 7 and 10 profile 7 and 11 have 8 acyl 10 profile 9 chain 10 profile 11 have 12 been 12 been 13 associated 13 associated 14 with 13 associated 20 in 14 with 16 dysfunction 15 mitochondrial 16 dysfunction 16 dysfunction 17 in 17 in 19 tissues 18 multiple 19 tissues 20 in 24 and 21 several 23 conditions 22 physiopathological 23 conditions 23 conditions 24 and 24 and 25 aging in this review , we focus on the role played by oxidative stress and cardiolipin in mitochondrial bioenergetic alterations associated with brain aging . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 focus 0 ###LEFT-WALL### 24 . 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 6 focus 6 focus 7 on 6 focus 11 by 6 focus 16 in 7 on 9 role 8 the 9 role 9 role 10 played 11 by 14 and 12 oxidative 13 stress 13 stress 14 and 14 and 15 cardiolipin 16 in 19 alterations 17 mitochondrial 19 alterations 18 bioenergetic 19 alterations 19 alterations 20 associated 19 alterations 21 with 21 with 22 brain 22 brain 23 aging while patients with alzheimer 's disease ( ad ) show deficits in attention [,] manifested by inefficient performance on visual [search] , new visual talents can emerge in patients with frontotemporal lobar degeneration ( ftld ) , suggesting that , at least in some of the patients , visual attention is spared , if not enhanced . 0 ###LEFT-WALL### 13 attention 0 ###LEFT-WALL### 27 emerge 0 ###LEFT-WALL### 57 . 1 while 2 patients 1 while 10 show 1 while 13 attention 2 patients 3 with 2 patients 8 ad 2 patients 10 show 3 with 6 disease 4 alzheimer 5 's 5 's 6 disease 7 ( 8 ad 8 ad 9 ) 10 show 11 deficits 10 show 12 in 13 attention 15 manifested 13 attention 26 can 15 manifested 16 by 15 manifested 19 on 16 by 18 performance 17 inefficient 18 performance 19 on 25 talents 20 visual 22 , 20 visual 25 talents 23 new 25 talents 24 visual 25 talents 26 can 27 emerge 27 emerge 28 in 27 emerge 30 with 27 emerge 38 suggesting 27 emerge 54 if 28 in 29 patients 30 with 33 degeneration 31 frontotemporal 33 degeneration 32 lobar 33 degeneration 33 degeneration 35 ftld 34 ( 35 ftld 35 ftld 36 ) 37 , 38 suggesting 38 suggesting 39 that 38 suggesting 53 , 39 that 50 attention 39 that 51 is 40 , 42 least 40 , 43 in 41 at 42 least 43 in 47 patients 43 in 48 , 43 in 50 attention 44 some 45 of 44 some 47 patients 45 of 47 patients 46 the 47 patients 49 visual 50 attention 50 attention 51 is 51 is 52 spared 54 if 55 not 55 not 56 enhanced to investigate the underlying mechanisms for visual talent in ftld ( behavioral variant ftd [ bvftd ] and semantic dementia [ sd ] ) patients , we measured performance on a visual search paradigm that includes both feature and conjunction search , while simultaneously monitoring saccadic eye movements . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 investigate 0 ###LEFT-WALL### 26 , 1 to 2 investigate 2 investigate 5 mechanisms 2 investigate 9 in 3 the 5 mechanisms 4 underlying 5 mechanisms 5 mechanisms 6 for 6 for 8 talent 7 visual 8 talent 9 in 18 and 10 ftld 14 ftd 10 ftld 18 and 11 ( 14 ftd 12 behavioral 14 ftd 13 variant 14 ftd 14 ftd 16 bvftd 14 ftd 17 ] 15 [ 16 bvftd 16 bvftd 17 ] 18 and 25 patients 19 semantic 25 patients 20 dementia 22 sd 20 dementia 24 ) 20 dementia 25 patients 21 [ 22 sd 22 sd 23 ] 26 , 27 we 26 , 28 measured 27 we 28 measured 28 measured 39 and 28 measured 43 while 29 performance 30 on 29 performance 39 and 30 on 34 paradigm 31 a 32 visual 31 a 34 paradigm 32 visual 33 search 33 search 34 paradigm 34 paradigm 35 that 34 paradigm 38 feature 35 that 36 includes 35 that 38 feature 36 includes 38 feature 37 both 38 feature 39 and 41 search 40 conjunction 41 search 42 , 43 while 43 while 45 monitoring 43 while 49 . 44 simultaneously 45 monitoring 45 monitoring 48 movements 46 saccadic 47 eye 47 eye 48 movements ad patients were impaired relative to healthy controls ( nc ) and ftld patients on both feature and conjunction search . 0 ###LEFT-WALL### 1 ad 0 ###LEFT-WALL### 4 impaired 0 ###LEFT-WALL### 21 . 1 ad 2 patients 1 ad 3 were 1 ad 4 impaired 2 patients 3 were 4 impaired 18 and 5 relative 6 to 5 relative 12 and 6 to 8 controls 7 healthy 8 controls 8 controls 10 nc 9 ( 10 nc 10 nc 11 ) 12 and 13 ftld 12 and 14 patients 12 and 17 feature 12 and 18 and 14 patients 15 on 14 patients 17 feature 15 on 16 both 18 and 20 search 19 conjunction 20 search bvftd patients showed less accurate performance only on the conjunction search task , but slower response times than nc on all three tasks . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 24 . 1 bvftd 2 patients 2 patients 3 showed 3 showed 6 performance 3 showed 7 only 3 showed 8 on 3 showed 18 than 3 showed 20 on 4 less 6 performance 5 accurate 6 performance 8 on 17 times 9 the 12 task 10 conjunction 11 search 11 search 12 task 12 task 14 but 13 , 14 but 14 but 15 slower 14 but 16 response 16 response 17 times 18 than 19 nc 20 on 23 tasks 21 all 22 three 22 three 23 tasks in contrast , sd patients were as accurate as controls and had faster response times when faced with the largest number of distracters in the conjunction search task . 0 ###LEFT-WALL### 5 patients 0 ###LEFT-WALL### 12 had 0 ###LEFT-WALL### 29 . 1 in 2 contrast 1 in 3 , 1 in 5 patients 4 sd 5 patients 5 patients 6 were 6 were 8 accurate 7 as 8 accurate 8 accurate 9 as 9 as 11 and 10 controls 11 and 11 and 12 had 12 had 15 times 12 had 16 when 12 had 24 in 13 faster 14 response 14 response 15 times 16 when 17 faced 17 faced 18 with 18 with 21 number 19 the 20 largest 19 the 21 number 21 number 22 of 22 of 23 distracters 24 in 28 task 25 the 28 task 26 conjunction 27 search 27 search 28 task measurement of saccades during visual search [showed] [that] ad patients explored more of the image , [whereas] sd patients explored less of the image before making a decision as to whether the target was present . 0 ###LEFT-WALL### 1 measurement 0 ###LEFT-WALL### 11 explored 1 measurement 2 of 1 measurement 4 during 1 measurement 11 explored 2 of 3 saccades 4 during 10 patients 5 visual 6 search 6 search 10 patients 9 ad 10 patients 11 explored 12 more 12 more 13 of 13 of 15 image 14 the 15 image 15 image 19 patients 16 , 19 patients 18 sd 19 patients 19 patients 20 explored 19 patients 22 of 19 patients 36 . 20 explored 21 less 22 of 24 image 23 the 24 image 24 image 25 before 25 before 26 making 26 making 28 decision 26 making 30 to 27 a 28 decision 29 as 30 to 30 to 31 whether 31 whether 33 target 31 whether 34 was 32 the 33 target 33 target 34 was 34 was 35 present performance on the conjunction search task positively correlated with gray matter volume in the superior parietal lobe , precuneus , middle frontal gyrus and superior temporal gyrus . 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 28 . 1 performance 2 on 1 performance 8 correlated 1 performance 18 , 2 on 6 task 3 the 6 task 4 conjunction 6 task 5 search 6 task 7 positively 8 correlated 8 correlated 9 with 8 correlated 13 in 9 with 12 volume 10 gray 11 matter 11 matter 12 volume 13 in 17 lobe 14 the 17 lobe 15 superior 17 lobe 16 parietal 17 lobe 18 , 19 precuneus 18 , 20 , 20 , 23 gyrus 20 , 24 and 21 middle 23 gyrus 22 frontal 23 gyrus 24 and 27 gyrus 25 superior 27 gyrus 26 temporal 27 gyrus these data suggest that despite the presence of extensive temporal lobe degeneration , visual talent in sd may be facilitated by more efficient visual search [under] distracting conditions due to [enhanced] function in the dorsal frontoparietal attention network . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 39 . 1 these 2 data 2 data 3 suggest 3 suggest 4 that 4 that 15 talent 4 that 20 facilitated 5 despite 7 presence 5 despite 13 , 5 despite 15 talent 6 the 7 presence 7 presence 8 of 8 of 12 degeneration 9 extensive 11 lobe 10 temporal 11 lobe 11 lobe 12 degeneration 14 visual 15 talent 15 talent 16 in 15 talent 18 may 16 in 17 sd 18 may 19 be 19 be 20 facilitated 20 facilitated 21 by 20 facilitated 29 due 21 by 28 conditions 22 more 23 efficient 23 efficient 25 search 24 visual 25 search 25 search 28 conditions 27 distracting 28 conditions 29 due 30 to 29 due 33 in 30 to 32 function 33 in 38 network 34 the 38 network 35 dorsal 37 attention 36 frontoparietal 37 attention 37 attention 38 network numerous behavioral studies have suggested that normal aging negatively affects source memory accuracy for various kinds of associations . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 5 suggested 0 ###LEFT-WALL### 19 . 1 numerous 3 studies 2 behavioral 3 studies 3 studies 4 have 4 have 5 suggested 5 suggested 8 aging 5 suggested 10 affects 6 that 8 aging 7 normal 8 aging 8 aging 10 affects 9 negatively 10 affects 10 affects 13 accuracy 11 source 12 memory 12 memory 13 accuracy 13 accuracy 14 for 14 for 18 associations 15 various 16 kinds 16 kinds 17 of 16 kinds 18 associations 17 of 18 associations neuroimaging evidence suggests that less efficient retrieval processing ( temporally delayed [and] attenuated ) may contribute to these impairments . 0 ###LEFT-WALL### 1 neuroimaging 0 ###LEFT-WALL### 16 contribute 0 ###LEFT-WALL### 20 . 1 neuroimaging 13 attenuated 1 neuroimaging 15 may 2 evidence 3 suggests 3 suggests 4 that 4 that 8 processing 4 that 13 attenuated 5 less 8 processing 6 efficient 7 retrieval 7 retrieval 8 processing 8 processing 11 delayed 8 processing 13 attenuated 9 ( 11 delayed 10 temporally 11 delayed 13 attenuated 14 ) 15 may 16 contribute 16 contribute 17 to 17 to 19 impairments 18 these 19 impairments previous aging studies have not compared source memory accuracy and corresponding neural activity for different kinds of source details ; namely , those [that] have been encoded via a more or less effective strategy . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 6 compared 0 ###LEFT-WALL### 20 ; 0 ###LEFT-WALL### 35 . 1 previous 3 studies 2 aging 3 studies 3 studies 4 have 4 have 5 not 4 have 6 compared 6 compared 10 and 6 compared 14 for 7 source 9 accuracy 8 memory 9 accuracy 9 accuracy 10 and 10 and 13 activity 11 corresponding 13 activity 12 neural 13 activity 14 for 19 details 15 different 16 kinds 16 kinds 17 of 16 kinds 19 details 17 of 19 details 18 source 19 details 20 ; 23 those 21 namely 22 , 21 namely 23 those 23 those 25 have 25 have 26 been 26 been 27 encoded 27 encoded 28 via 28 via 34 strategy 29 a 34 strategy 30 more 31 or 31 or 32 less 31 or 34 strategy 33 effective 34 strategy thus , it is not yet known whether encoding source details in a self - referential manner , a strategy suggested to promote successful memory in the young and old , may enhance source memory accuracy and reduce the commonly observed age - related changes in neural activity associated with source memory retrieval . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 7 known 0 ###LEFT-WALL### 44 related 0 ###LEFT-WALL### 54 . 1 thus 2 , 1 thus 3 it 3 it 4 is 4 is 5 not 4 is 6 yet 4 is 7 known 7 known 8 whether 8 whether 11 details 8 whether 37 and 9 encoding 11 details 10 source 11 details 11 details 12 in 11 details 17 manner 11 details 32 may 12 in 14 self 13 a 14 self 15 - 17 manner 16 referential 17 manner 17 manner 18 , 18 , 21 suggested 19 a 20 strategy 20 strategy 21 suggested 21 suggested 22 to 21 suggested 31 , 21 suggested 32 may 22 to 23 promote 23 promote 25 memory 23 promote 26 in 24 successful 25 memory 26 in 29 and 27 the 28 young 28 young 29 and 29 and 30 old 29 and 31 , 32 may 37 and 33 enhance 36 accuracy 33 enhance 37 and 34 source 35 memory 35 memory 36 accuracy 37 and 38 reduce 37 and 42 age 39 the 42 age 40 commonly 41 observed 41 observed 42 age 43 - 44 related 44 related 45 changes 44 related 46 in 44 related 50 with 46 in 48 activity 47 neural 48 activity 48 activity 49 associated 50 with 53 retrieval 51 source 52 memory 52 memory 53 retrieval here , we investigated these issues by using [event] - related potentials ( erps ) to measure the effects of aging on the neural [correlates] of successful source memory retrieval ( " old - new effects " ) for objects encoded either self - [referentially] or self - externally . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 50 . 1 here 2 , 1 here 3 we 3 we 4 investigated 4 investigated 6 issues 5 these 6 issues 6 issues 7 by 7 by 8 using 8 using 16 to 8 using 46 or 8 using 49 externally 10 - 11 related 11 related 12 potentials 11 related 15 ) 11 related 16 to 12 potentials 14 erps 13 ( 14 erps 14 erps 15 ) 16 to 17 measure 17 measure 19 effects 17 measure 39 for 18 the 19 effects 19 effects 20 of 19 effects 26 of 20 of 21 aging 21 aging 22 on 22 on 24 neural 23 the 24 neural 26 of 30 retrieval 27 successful 28 source 28 source 29 memory 29 memory 30 retrieval 30 retrieval 36 effects 31 ( 32 " 31 ( 36 effects 33 old 34 - 33 old 36 effects 35 new 36 effects 36 effects 37 " 36 effects 38 ) 39 for 40 objects 40 objects 41 encoded 42 either 43 self 43 self 46 or 44 - 46 or 46 or 47 self 46 or 48 - behavioral results showed that both young and older adults demonstrated better source memory accuracy for objects encoded self - referentially . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 showed 1 behavioral 2 results 2 results 3 showed 3 showed 18 self 3 showed 20 referentially 4 that 18 self 5 both 7 and 6 young 7 and 7 and 14 accuracy 7 and 15 for 7 and 18 self 8 older 12 source 9 adults 10 demonstrated 10 demonstrated 12 source 11 better 12 source 12 source 13 memory 13 memory 14 accuracy 15 for 16 objects 16 objects 17 encoded 19 - 20 referentially 20 referentially 21 . erp results showed that old - new effects onsetted earlier for self - referentially encoded items in both groups and that age - related differences in the onset latency of these effects were reduced for self - referentially [,] compared to self - externally , encoded items . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 6 - 1 erp 2 results 2 results 3 showed 3 showed 5 old 4 that 5 old 6 - 8 effects 6 - 13 - 7 new 8 effects 8 effects 9 onsetted 9 onsetted 10 earlier 9 onsetted 11 for 11 for 12 self 13 - 20 and 14 referentially 15 encoded 15 encoded 16 items 16 items 17 in 16 items 20 and 17 in 19 groups 18 both 19 groups 20 and 22 age 21 that 22 age 22 age 34 reduced 23 - 24 related 24 related 25 differences 24 related 34 reduced 25 differences 26 in 26 in 29 latency 27 the 29 latency 28 onset 29 latency 29 latency 30 of 29 latency 32 effects 29 latency 33 were 30 of 31 these 32 effects 33 were 34 reduced 35 for 35 for 36 self 36 self 40 compared 36 self 47 items 37 - 40 compared 38 referentially 40 compared 40 compared 41 to 40 compared 44 externally 40 compared 45 , 41 to 42 self 43 - 44 externally 44 externally 45 , 45 , 47 items 46 encoded 47 items 47 items 48 . these results suggest that the implementation of an effective encoding strategy , like self [-] referential processing , may lead to more efficient retrieval , which in turn may improve source memory accuracy in both young and older adults . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 1 these 2 results 2 results 3 suggest 3 suggest 4 that 4 that 6 implementation 4 that 20 lead 5 the 6 implementation 6 implementation 7 of 6 implementation 19 may 7 of 11 strategy 8 an 9 effective 8 an 11 strategy 9 effective 10 encoding 10 encoding 11 strategy 11 strategy 13 like 12 , 13 like 13 like 17 processing 13 like 18 , 14 self 17 processing 16 referential 17 processing 19 may 20 lead 20 lead 21 to 21 to 24 retrieval 22 more 23 efficient 23 efficient 24 retrieval 24 retrieval 26 which 25 , 26 which 26 which 28 turn 26 which 29 may 26 which 40 . 27 in 28 turn 29 may 30 improve 30 improve 33 accuracy 30 improve 34 in 31 source 32 memory 32 memory 33 accuracy 34 in 39 adults 35 both 39 adults 36 young 37 and 37 and 38 older 37 and 39 adults cannabinoid receptors , cb1 and cb2 , are therapeutic targets in the treatment of anxiety , obesity , movement disorders , glaucoma , and pain . 0 ###LEFT-WALL### 2 receptors 0 ###LEFT-WALL### 8 are 0 ###LEFT-WALL### 26 . 1 cannabinoid 2 receptors 2 receptors 5 and 2 receptors 8 are 3 , 5 and 4 cb1 5 and 5 and 6 cb2 5 and 7 , 8 are 10 targets 9 therapeutic 10 targets 10 targets 11 in 10 targets 14 of 11 in 13 treatment 12 the 13 treatment 14 of 24 and 15 anxiety 16 , 16 , 17 obesity 16 , 18 , 18 , 20 disorders 18 , 21 , 19 movement 20 disorders 21 , 22 glaucoma 21 , 24 and 23 , 24 and 24 and 25 pain the binding activities of the immobilized cb1/cb2 receptors were established using frontal affinity chromatographic techniques . 0 ###LEFT-WALL### 3 activities 0 ###LEFT-WALL### 10 established 0 ###LEFT-WALL### 16 . 1 the 3 activities 2 binding 3 activities 3 activities 4 of 3 activities 9 were 4 of 8 receptors 5 the 8 receptors 6 immobilized 8 receptors 7 cb1/cb2 8 receptors 9 were 10 established 10 established 11 using 11 using 15 techniques 12 frontal 13 affinity 13 affinity 15 techniques 14 chromatographic 15 techniques this is the first report that confirms the presence of functional cb1 and cb2 receptors on ku - 812 cells . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 18 - 0 ###LEFT-WALL### 21 . 1 this 2 is 2 is 5 report 3 the 5 report 4 first 5 report 5 report 6 that 5 report 7 confirms 6 that 7 confirms 7 confirms 9 presence 7 confirms 16 on 8 the 9 presence 9 presence 10 of 10 of 15 receptors 11 functional 15 receptors 12 cb1 13 and 13 and 14 cb2 14 cb2 15 receptors 16 on 17 ku 18 - 20 cells 19 812 20 cells the data from this study confirm that the cb1/cb2 - ot column can be used to determine the binding affinities ( k [(] [i] ) values [ )(for a single compound and to screen individual compounds or a mixture of multiple compounds . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 6 confirm 0 ###LEFT-WALL### 43 . 1 the 2 data 2 data 3 from 2 data 6 confirm 3 from 5 study 4 this 5 study 6 confirm 7 that 7 that 12 column 7 that 15 used 8 the 12 column 9 cb1/cb2 11 ot 10 - 11 ot 11 ot 12 column 12 column 13 can 13 can 14 be 14 be 15 used 15 used 16 to 15 used 17 determine 16 to 17 determine 17 determine 20 affinities 17 determine 32 and 18 the 20 affinities 19 binding 20 affinities 20 affinities 22 k 20 affinities 32 and 21 ( 22 k 22 k 25 ) 26 values 28 )(for 26 values 31 compound 26 values 32 and 28 )(for 30 single 29 a 30 single 32 and 33 to 32 and 34 screen 33 to 34 screen 34 screen 37 or 35 individual 36 compounds 36 compounds 37 or 37 or 39 mixture 37 or 40 of 38 a 39 mixture 40 of 42 compounds 41 multiple 42 compounds the cb1/cb2 - ot column was also used to screen a botanical matrix , zanthoxylum clava - herculis , where preliminary results suggest the presence of a high - affinity phytocannabinoid . 0 ###LEFT-WALL### 5 column 0 ###LEFT-WALL### 8 used 0 ###LEFT-WALL### 32 . 1 the 5 column 2 cb1/cb2 4 ot 3 - 4 ot 4 ot 5 column 5 column 6 was 6 was 7 also 6 was 8 used 8 used 9 to 8 used 10 screen 9 to 10 screen 10 screen 13 matrix 10 screen 20 where 11 a 12 botanical 11 a 13 matrix 12 botanical 13 matrix 13 matrix 16 clava 13 matrix 18 herculis 14 , 16 clava 15 zanthoxylum 16 clava 16 clava 17 - 17 - 18 herculis 18 herculis 19 , 20 where 22 results 20 where 23 suggest 21 preliminary 22 results 22 results 23 suggest 23 suggest 25 presence 24 the 25 presence 25 presence 26 of 26 of 31 phytocannabinoid 27 a 28 high 27 a 31 phytocannabinoid 28 high 29 - 28 high 30 affinity 30 affinity 31 phytocannabinoid adult human brain expresses 6 isoforms of tau protein as a result of alternative splicing . 0 ###LEFT-WALL### 3 brain 0 ###LEFT-WALL### 4 expresses 0 ###LEFT-WALL### 16 . 1 adult 3 brain 2 human 3 brain 3 brain 4 expresses 4 expresses 6 isoforms 4 expresses 10 as 5 6 6 isoforms 6 isoforms 7 of 7 of 9 protein 8 tau 9 protein 10 as 12 result 11 a 12 result 12 result 13 of 13 of 15 splicing 14 alternative 15 splicing alternative splicing of exon 10 ( e10 ) leads to tau isoforms containing either 3 ( 3r - tau ) or 4 ( 4r - tau ) microtubule - binding repeats . 0 ###LEFT-WALL### 1 alternative 0 ###LEFT-WALL### 9 leads 0 ###LEFT-WALL### 21 or 1 alternative 2 splicing 1 alternative 3 of 1 alternative 9 leads 3 of 4 exon 4 exon 5 10 4 exon 7 e10 6 ( 7 e10 7 e10 8 ) 9 leads 10 to 10 to 12 isoforms 11 tau 12 isoforms 12 isoforms 13 containing 12 isoforms 19 tau 13 containing 14 either 13 containing 15 3 16 ( 19 tau 17 3r 18 - 17 3r 19 tau 19 tau 20 ) 21 or 22 4 21 or 28 microtubule 22 4 26 tau 22 4 28 microtubule 23 ( 26 tau 24 4r 25 - 24 4r 26 tau 26 tau 27 ) 28 microtubule 30 binding 29 - 30 binding 30 binding 31 repeats 30 binding 32 . imbalance in the 3r - tau/4r - tau ratio causes neurofibrillary degeneration and dementia . 0 ###LEFT-WALL### 1 imbalance 0 ###LEFT-WALL### 10 causes 0 ###LEFT-WALL### 15 . 1 imbalance 2 in 1 imbalance 10 causes 2 in 9 ratio 3 the 9 ratio 4 3r 5 - 4 3r 8 tau 6 tau/4r 7 - 6 tau/4r 8 tau 8 tau 9 ratio 10 causes 13 and 11 neurofibrillary 12 degeneration 12 degeneration 13 and 13 and 14 dementia here , we demonstrated that the dual - specificity tyrosine phosphorylation - regulated kinase 1 [a] ( dyrk1a ) interacted with the splicing factor 9g8 and phosphorylated it at several serine residues . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 demonstrated 0 ###LEFT-WALL### 33 . 1 here 2 , 1 here 3 we 3 we 4 demonstrated 4 demonstrated 5 that 5 that 11 phosphorylation 5 that 26 and 6 the 11 phosphorylation 7 dual 8 - 7 dual 9 specificity 9 specificity 11 phosphorylation 10 tyrosine 11 phosphorylation 11 phosphorylation 14 kinase 11 phosphorylation 26 and 12 - 14 kinase 13 regulated 14 kinase 14 kinase 15 1 14 kinase 18 dyrk1a 14 kinase 19 ) 17 ( 18 dyrk1a 18 dyrk1a 19 ) 20 interacted 21 with 20 interacted 26 and 21 with 24 factor 21 with 25 9g8 22 the 24 factor 23 splicing 24 factor 26 and 27 phosphorylated 26 and 29 at 27 phosphorylated 28 it 29 at 32 residues 30 several 32 residues 31 serine 32 residues dyrk1a itself promoted tau e10 inclusion , whereas 9g8 inhibited e10 inclusion , and these actions were variable depending on the cell types . 0 ###LEFT-WALL### 1 dyrk1a 0 ###LEFT-WALL### 3 promoted 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 24 . 1 dyrk1a 3 promoted 2 itself 3 promoted 3 promoted 6 inclusion 4 tau 6 inclusion 5 e10 6 inclusion 7 , 14 and 7 , 17 were 8 whereas 9 9g8 8 whereas 10 inhibited 8 whereas 14 and 9 9g8 10 inhibited 10 inhibited 11 e10 12 inclusion 14 and 13 , 14 and 14 and 16 actions 14 and 17 were 15 these 16 actions 17 were 19 depending 17 were 20 on 18 variable 19 depending 20 on 23 types 21 the 23 types 22 cell 23 types coexpression of dyrk1a and 9g8 led to their translocation from the nucleus to the cytoplasm and suppressed their ability to regulate tau exon 10 splicing . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 26 . 1 coexpression 2 of 1 coexpression 4 and 2 of 3 dyrk1a 4 and 5 9g8 4 and 16 and 6 led 7 to 6 led 10 from 6 led 16 and 7 to 9 translocation 8 their 9 translocation 10 from 12 nucleus 11 the 12 nucleus 12 nucleus 13 to 13 to 15 cytoplasm 14 the 15 cytoplasm 16 and 17 suppressed 17 suppressed 19 ability 18 their 19 ability 19 ability 20 to 19 ability 21 regulate 20 to 21 regulate 21 regulate 23 exon 22 tau 23 exon 23 exon 24 10 23 exon 25 splicing this action is probably due to their interaction - induced translocation from the nucleus , where the regulation of tau e10 splicing occurs , to the cytoplasm . 0 ###LEFT-WALL### 2 action 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 28 . 1 this 2 action 2 action 3 is 3 is 4 probably 3 is 6 to 3 is 25 to 5 due 6 to 6 to 8 interaction 7 their 8 interaction 8 interaction 11 translocation 9 - 11 translocation 10 induced 11 translocation 11 translocation 12 from 11 translocation 24 , 12 from 14 nucleus 13 the 14 nucleus 14 nucleus 16 where 15 , 16 where 16 where 18 regulation 16 where 23 occurs 16 where 24 , 17 the 18 regulation 18 regulation 19 of 18 regulation 23 occurs 19 of 21 e10 20 tau 21 e10 21 e10 22 splicing 25 to 27 cytoplasm 26 the 27 cytoplasm these findings provide novel insights into the molecular mechanism of the regulation of tau e10 splicing and further our understanding of the neurodegeneration caused by dysregulation of tau e10 splicing . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 31 . 1 these 2 findings 2 findings 17 and 3 provide 5 insights 3 provide 6 into 3 provide 17 and 4 novel 5 insights 6 into 9 mechanism 7 the 9 mechanism 8 molecular 9 mechanism 9 mechanism 10 of 10 of 12 regulation 11 the 12 regulation 12 regulation 13 of 12 regulation 16 splicing 13 of 15 e10 14 tau 15 e10 17 and 18 further 17 and 25 by 17 and 29 e10 18 further 20 understanding 19 our 20 understanding 20 understanding 21 of 21 of 23 neurodegeneration 22 the 23 neurodegeneration 23 neurodegeneration 24 caused 25 by 26 dysregulation 26 dysregulation 27 of 27 of 28 tau 29 e10 30 splicing the aim of this study was to evaluate the relationship between physical and functional capacity and quality of life ( qol ) among elderly people who have a chronic disease . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 31 . 1 the 2 aim 2 aim 3 of 2 aim 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 23 among 7 to 8 evaluate 8 evaluate 10 relationship 9 the 10 relationship 10 relationship 11 between 10 relationship 18 of 10 relationship 21 qol 11 between 16 and 12 physical 13 and 13 and 14 functional 13 and 15 capacity 15 capacity 16 and 16 and 17 quality 18 of 19 life 20 ( 21 qol 21 qol 22 ) 23 among 25 people 24 elderly 25 people 25 people 26 who 25 people 27 have 26 who 27 have 27 have 30 disease 28 a 29 chronic 28 a 30 disease 29 chronic 30 disease the study included 100 elderly individuals aged 65 years and older , who have a chronic disease . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 included 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 18 . 1 the 2 study 2 study 3 included 3 included 6 individuals 4 100 6 individuals 5 elderly 6 individuals 6 individuals 7 aged 7 aged 10 and 8 65 9 years 9 years 10 and 10 and 11 older 12 , 13 who 12 , 14 have 13 who 14 have 14 have 17 disease 15 a 16 chronic 15 a 17 disease 16 chronic 17 disease the study examined the marital and educational status , social security status , kind of chronic disease , number of chronic diseases and whether participants use assistive devices for walking . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 examined 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 30 walking 0 ###LEFT-WALL### 31 . 1 the 2 study 2 study 3 examined 3 examined 8 status 4 the 8 status 5 marital 6 and 6 and 7 educational 6 and 8 status 8 status 12 status 9 , 12 status 10 social 12 status 11 security 12 status 12 status 17 disease 12 status 18 , 13 , 17 disease 14 kind 15 of 15 of 16 chronic 16 chronic 17 disease 17 disease 18 , 18 , 23 and 19 number 20 of 19 number 23 and 20 of 22 diseases 21 chronic 22 diseases 23 and 24 whether 23 and 25 participants 23 and 30 walking 25 participants 26 use 26 use 28 devices 26 use 29 for 27 assistive 28 devices 29 for 30 walking the nottingham health profile ( nhp ) was used to evaluate qol related to health ; the physical mobility scale ( pms ) was used to evaluate mobility in daily life and the functional independent measure ( fim ) was used to evaluate functional independence in daily activities . 0 ###LEFT-WALL### 3 health 0 ###LEFT-WALL### 13 related 0 ###LEFT-WALL### 16 ; 0 ###LEFT-WALL### 49 . 1 the 3 health 2 nottingham 3 health 4 profile 6 nhp 4 profile 8 was 5 ( 6 nhp 6 nhp 7 ) 8 was 9 used 9 used 10 to 10 to 11 evaluate 11 evaluate 12 qol 11 evaluate 13 related 12 qol 13 related 13 related 14 to 13 related 16 ; 14 to 15 health 16 ; 20 scale 16 ; 32 and 17 the 20 scale 18 physical 19 mobility 19 mobility 20 scale 20 scale 22 pms 20 scale 24 was 21 ( 22 pms 22 pms 23 ) 24 was 25 used 25 used 26 to 26 to 32 and 27 evaluate 28 mobility 27 evaluate 32 and 28 mobility 29 in 29 in 31 life 30 daily 31 life 32 and 43 evaluate 32 and 46 in 33 the 36 measure 34 functional 35 independent 35 independent 36 measure 36 measure 38 fim 36 measure 40 was 37 ( 38 fim 38 fim 39 ) 40 was 41 used 41 used 42 to 42 to 43 evaluate 43 evaluate 45 independence 44 functional 45 independence 46 in 48 activities 47 daily 48 activities in both female and male individuals , a statistically significant difference was found between the number of chronic diseases , kind of chronic disease , educational status , marital status , total fim , pms and nhp values ( p<0.05 ) . 0 ###LEFT-WALL### 11 difference 0 ###LEFT-WALL### 13 found 0 ###LEFT-WALL### 42 . 1 in 6 individuals 1 in 7 , 1 in 11 difference 2 both 6 individuals 3 female 4 and 4 and 5 male 4 and 6 individuals 8 a 9 statistically 8 a 11 difference 9 statistically 10 significant 10 significant 11 difference 11 difference 12 was 12 was 13 found 13 found 14 between 14 between 16 number 15 the 16 number 16 number 17 of 16 number 27 status 17 of 19 diseases 18 chronic 19 diseases 19 diseases 24 disease 20 , 24 disease 21 kind 22 of 22 of 23 chronic 23 chronic 24 disease 24 disease 25 , 25 , 27 status 26 educational 27 status 27 status 30 status 27 status 41 ) 28 , 30 status 29 marital 30 status 30 status 33 fim 30 status 41 ) 31 , 33 fim 32 total 33 fim 33 fim 36 and 33 fim 41 ) 34 , 36 and 35 pms 36 and 36 and 38 values 36 and 40 p<0.05 36 and 41 ) 37 nhp 38 values 39 ( 40 p<0.05 40 p<0.05 41 ) in males , there was a correlation between number of chronic illnesses and total nhp , fim ( p<0.05 ) , but in females , there were no correlation [between] number of chronic illnesses and total nhp , fim ( p>0.05 ) . 0 ###LEFT-WALL### 2 males 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 43 . 1 in 2 males 3 , 4 there 3 , 5 was 3 , 25 , 4 there 5 was 5 was 7 correlation 6 a 7 correlation 7 correlation 8 between 7 correlation 22 but 8 between 13 and 9 number 10 of 9 number 13 and 10 of 12 illnesses 11 chronic 12 illnesses 13 and 15 nhp 13 and 17 fim 14 total 15 nhp 16 , 17 fim 17 fim 19 p<0.05 17 fim 21 , 18 ( 19 p<0.05 19 p<0.05 20 ) 22 but 23 in 23 in 24 females 25 , 35 and 26 there 35 and 27 were 31 number 27 were 35 and 28 no 31 number 29 correlation 31 number 31 number 32 of 32 of 34 illnesses 33 chronic 34 illnesses 35 and 36 total 36 total 37 nhp 37 nhp 39 fim 38 , 39 fim 39 fim 41 p>0.05 39 fim 42 ) 40 ( 41 p>0.05 41 p>0.05 42 ) there were no correlations between kind of chronic disease and pms , nhp , fim ( p>0.05 ) in either of genders . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 23 . 1 there 2 were 2 were 10 and 3 no 4 correlations 4 correlations 5 between 4 correlations 10 and 5 between 9 disease 6 kind 7 of 7 of 8 chronic 8 chronic 9 disease 10 and 11 pms 10 and 19 in 11 pms 13 nhp 12 , 13 nhp 13 nhp 15 fim 13 nhp 18 ) 14 , 15 fim 15 fim 17 p>0.05 15 fim 18 ) 16 ( 17 p>0.05 17 p>0.05 18 ) 19 in 20 either 20 either 21 of 21 of 22 genders it is thought that the rehabilitation programs to improve physical and functional capacity in elderly people and applications that increase participation in activities and reduce pain may improve qol . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 30 . 1 it 2 is 2 is 3 thought 2 is 4 that 2 is 7 programs 4 that 6 rehabilitation 4 that 7 programs 5 the 6 rehabilitation 6 rehabilitation 7 programs 7 programs 8 to 7 programs 17 and 8 to 17 and 9 improve 13 capacity 9 improve 14 in 9 improve 17 and 10 physical 11 and 11 and 12 functional 11 and 13 capacity 14 in 16 people 15 elderly 16 people 17 and 28 improve 18 applications 19 that 18 applications 24 and 18 applications 27 may 19 that 24 and 20 increase 21 participation 20 increase 24 and 21 participation 22 in 22 in 23 activities 24 and 25 reduce 25 reduce 26 pain 27 may 28 improve 28 improve 29 qol the aim of this study was to determine whether a decrease in the efficiency of inhibitory mechanisms associated with aging could account for age - related differences in the ability to suppress a pre - potent response . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 26 related 0 ###LEFT-WALL### 38 . 1 the 2 aim 2 aim 3 of 2 aim 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 8 determine 7 to 8 determine 8 determine 9 whether 8 determine 23 for 9 whether 11 decrease 9 whether 22 account 10 a 11 decrease 11 decrease 12 in 11 decrease 15 of 11 decrease 21 could 12 in 14 efficiency 13 the 14 efficiency 15 of 17 mechanisms 16 inhibitory 17 mechanisms 17 mechanisms 18 associated 17 mechanisms 19 with 19 with 20 aging 21 could 22 account 23 for 24 age 25 - 26 related 26 related 27 differences 27 differences 28 in 28 in 30 ability 29 the 30 ability 30 ability 31 to 30 ability 32 suppress 31 to 32 suppress 32 suppress 37 response 33 a 37 response 34 pre 35 - 34 pre 37 response 36 potent 37 response participants performed a stroop task to assess stroop interference and np suppression concurrently . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 performed 0 ###LEFT-WALL### 14 . 1 participants 2 performed 2 performed 5 task 2 performed 6 to 3 a 5 task 4 stroop 5 task 6 to 7 assess 7 assess 12 suppression 7 assess 13 concurrently 8 stroop 12 suppression 9 interference 10 and 10 and 11 np 10 and 12 suppression results showed a greater stroop interference [in] older than in young adults . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 showed 0 ###LEFT-WALL### 13 . 1 results 2 showed 2 showed 6 interference 2 showed 12 adults 3 a 6 interference 4 greater 6 interference 5 stroop 6 interference 6 interference 8 older 8 older 9 than 9 than 10 in 11 young 12 adults on the other hand , the np effect was only reliable in the younger group , the older group not showing np suppression . 0 ###LEFT-WALL### 8 effect 0 ###LEFT-WALL### 9 was 1 on 4 hand 1 on 5 , 1 on 8 effect 2 the 3 other 3 other 4 hand 6 the 8 effect 7 np 8 effect 8 effect 9 was 9 was 10 only 9 was 11 reliable 11 reliable 12 in 12 in 15 group 13 the 15 group 14 younger 15 group 15 group 19 group 16 , 19 group 17 the 19 group 18 older 19 group 19 group 20 not 19 group 24 . 20 not 21 showing 21 showing 22 np 21 showing 23 suppression these findings suggest that the slowing hypothesis alone cannot explain this pattern of results and that the age - related differences must also involve an inhibitory breakdown during aging . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 30 . 1 these 2 findings 2 findings 3 suggest 3 suggest 15 and 4 that 7 hypothesis 4 that 10 explain 4 that 15 and 5 the 7 hypothesis 6 slowing 7 hypothesis 7 hypothesis 9 cannot 8 alone 9 cannot 9 cannot 10 explain 10 explain 12 pattern 11 this 12 pattern 12 pattern 13 of 13 of 14 results 15 and 16 that 16 that 18 age 16 that 24 involve 17 the 18 age 18 age 22 must 19 - 20 related 20 related 21 differences 20 related 22 must 22 must 24 involve 23 also 24 involve 24 involve 27 breakdown 24 involve 28 during 25 an 26 inhibitory 25 an 27 breakdown 26 inhibitory 27 breakdown 28 during 29 aging aim : although recurrent tonsillitis can be the consequence of defects [in] immune [system] , the exact etiology of recurrent tonsillitis is not clear . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 25 . 1 aim 2 : 2 : 3 although 2 : 13 immune 3 although 5 tonsillitis 3 although 7 be 4 recurrent 5 tonsillitis 5 tonsillitis 6 can 6 can 7 be 7 be 9 consequence 8 the 9 consequence 9 consequence 10 of 10 of 11 defects 15 , 18 etiology 15 , 22 is 16 the 18 etiology 17 exact 18 etiology 18 etiology 19 of 18 etiology 22 is 19 of 21 tonsillitis 20 recurrent 21 tonsillitis 22 is 23 not 22 is 24 clear 23 not 24 clear in this study , our aim was to determine the serum vitamin d levels and vitamin d receptor polymorphism among children undergone tonsillectomy due to the recurrent tonsillitis . 0 ###LEFT-WALL### 6 aim 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 29 . 1 in 3 study 1 in 4 , 1 in 6 aim 2 this 3 study 5 our 6 aim 6 aim 7 was 7 was 8 to 7 was 23 tonsillectomy 8 to 9 determine 9 determine 15 and 9 determine 20 among 10 the 14 levels 11 serum 14 levels 12 vitamin 13 d 12 vitamin 14 levels 14 levels 15 and 15 and 19 polymorphism 16 vitamin 17 d 16 vitamin 19 polymorphism 18 receptor 19 polymorphism 20 among 21 children 21 children 22 undergone 23 tonsillectomy 25 to 24 due 25 to 25 to 28 tonsillitis 26 the 28 tonsillitis 27 recurrent 28 tonsillitis methods : a 106 children undergone tonsillectomy due to recurrent tonsillitis and [a] 127 healthy children aging between 2 and 12 years were enrolled in this study , to determine serum 25 - hydroxyvitamin d level and vitamin d receptor gene polymorphisms ( apa1 , taq 1 , fok1 ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 51 . 1 methods 2 : 2 : 7 tonsillectomy 3 a 7 tonsillectomy 4 106 6 undergone 5 children 6 undergone 6 undergone 7 tonsillectomy 7 tonsillectomy 9 to 8 due 9 to 9 to 11 tonsillitis 10 recurrent 11 tonsillitis 12 and 16 children 12 and 24 enrolled 14 127 16 children 15 healthy 16 children 16 children 17 aging 16 children 22 years 16 children 23 were 16 children 24 enrolled 17 aging 18 between 18 between 20 and 19 2 20 and 20 and 21 12 22 years 23 were 24 enrolled 25 in 24 enrolled 29 to 24 enrolled 46 taq 25 in 27 study 26 this 27 study 28 , 29 to 29 to 30 determine 29 to 45 , 30 determine 31 serum 31 serum 32 25 31 serum 37 and 33 - 37 and 34 hydroxyvitamin 35 d 34 hydroxyvitamin 36 level 36 level 37 and 37 and 42 polymorphisms 37 and 44 apa1 37 and 45 , 38 vitamin 39 d 38 vitamin 42 polymorphisms 40 receptor 41 gene 41 gene 42 polymorphisms 43 ( 44 apa1 44 apa1 45 , 46 taq 47 1 46 taq 49 fok1 48 , 49 fok1 49 fok1 50 ) serum vitamin d level was measured with elisa ( [nmol/l] [ )(and receptor gene polymorphism was determined by pcr . 0 ###LEFT-WALL### 1 serum 0 ###LEFT-WALL### 16 was 0 ###LEFT-WALL### 20 . 1 serum 2 vitamin 1 serum 6 measured 1 serum 16 was 2 vitamin 3 d 2 vitamin 4 level 2 vitamin 5 was 2 vitamin 6 measured 4 level 5 was 6 measured 7 with 7 with 12 )(and 8 elisa 12 )(and 9 ( 12 )(and 12 )(and 15 polymorphism 13 receptor 14 gene 14 gene 15 polymorphism 16 was 17 determined 17 determined 18 by 18 by 19 pcr vitamin d serum level below 80nmol/l was [accepted] as insufficient . 0 ###LEFT-WALL### 3 serum 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 11 . 1 vitamin 2 d 1 vitamin 3 serum 3 serum 4 level 3 serum 7 was 4 level 5 below 5 below 6 80nmol/l 7 was 10 insufficient 9 as 10 insufficient results : the average serum vitamin d level was 176±79nmol/l in recurrent tonsillitis group and 193±56nmol/l in control group . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 8 level 2 : 19 group 2 : 20 . 3 the 8 level 4 average 5 serum 5 serum 8 level 6 vitamin 7 d 6 vitamin 8 level 8 level 9 was 9 was 10 176±79nmol/l 10 176±79nmol/l 11 in 11 in 13 tonsillitis 12 recurrent 13 tonsillitis 13 tonsillitis 15 and 13 tonsillitis 19 group 14 group 15 and 15 and 16 193±56nmol/l 15 and 17 in 15 and 19 group 17 in 18 control there was no significant difference between the groups ( p=0.13 ) . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 12 . 1 there 2 was 2 was 5 difference 3 no 5 difference 4 significant 5 difference 5 difference 6 between 6 between 8 groups 7 the 8 groups 8 groups 10 p=0.13 9 ( 10 p=0.13 10 p=0.13 11 ) there was no significant difference between the two groups . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 10 . 1 there 2 was 2 was 5 difference 3 no 5 difference 4 significant 5 difference 5 difference 6 between 6 between 9 groups 7 the 8 two 8 two 9 groups the vitamin d serum levels and receptor sub - [genotypes] are also compared , and there was no significant difference between the groups . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 13 compared 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 24 . 1 the 5 levels 2 vitamin 3 d 2 vitamin 5 levels 4 serum 5 levels 5 levels 6 and 6 and 8 sub 6 and 9 - 6 and 11 are 7 receptor 8 sub 11 are 12 also 11 are 13 compared 14 , 15 and 15 and 16 there 15 and 17 was 16 there 17 was 17 was 20 difference 18 no 20 difference 19 significant 20 difference 20 difference 21 between 21 between 23 groups 22 the 23 groups conclusion : there is no difference between the serum vitamin d level and receptor gene polymorphism among children with recurrent tonsillitis and healthy children . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 there 2 : 4 is 2 : 25 . 3 there 4 is 4 is 6 difference 5 no 6 difference 6 difference 7 between 6 difference 19 with 7 between 13 and 8 the 12 level 9 serum 12 level 10 vitamin 11 d 10 vitamin 12 level 12 level 13 and 13 and 16 polymorphism 13 and 17 among 14 receptor 16 polymorphism 15 gene 16 polymorphism 17 among 18 children 19 with 22 and 20 recurrent 21 tonsillitis 21 tonsillitis 22 and 22 and 24 children 23 healthy 24 children but vitamin d insufficiency is more prevalent in children with recurrent tonsillitis [group] ( 18 % ) . 0 ###LEFT-WALL### 1 but 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 18 . 1 but 2 vitamin 1 but 5 is 2 vitamin 3 d 4 insufficiency 5 is 5 is 7 prevalent 6 more 7 prevalent 7 prevalent 8 in 7 prevalent 10 with 8 in 9 children 10 with 12 tonsillitis 11 recurrent 12 tonsillitis 12 tonsillitis 16 % 14 ( 16 % 15 18 16 % 16 % 17 ) epimedium ( berberidaceae [ )(, is a genus of about 52 species in the family berberidaceae , [which] also known as rowdy lamb herb , xianlinpi , barrenwort , bishop 's hat , fairy wings , horny goat weed , and yangheye or yin yang huo ( chinese [:] ) . 0 ###LEFT-WALL### 1 epimedium 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 51 . 1 epimedium 3 berberidaceae 1 epimedium 6 is 2 ( 3 berberidaceae 3 berberidaceae 5 )(, 6 is 8 genus 7 a 8 genus 8 genus 9 of 9 of 12 species 10 about 11 52 11 52 12 species 12 species 13 in 13 in 16 berberidaceae 14 the 15 family 15 family 16 berberidaceae 16 berberidaceae 20 known 16 berberidaceae 26 xianlinpi 16 berberidaceae 28 barrenwort 17 , 20 known 19 also 20 known 20 known 21 as 20 known 25 , 21 as 24 herb 22 rowdy 23 lamb 23 lamb 24 herb 25 , 26 xianlinpi 26 xianlinpi 27 , 27 , 28 barrenwort 28 barrenwort 43 or 28 barrenwort 50 ) 29 , 43 or 30 bishop 31 's 31 's 32 hat 32 hat 33 , 33 , 35 wings 33 , 36 , 34 fairy 35 wings 36 , 39 weed 36 , 41 and 37 horny 38 goat 38 goat 39 weed 40 , 41 and 41 and 42 yangheye 41 and 43 or 43 or 46 huo 43 or 48 chinese 43 or 50 ) 44 yin 45 yang 45 yang 46 huo 47 ( 48 chinese 48 chinese 50 ) many plants have been proven to possess efficacy on sexual dysfunction and osteoporosis in traditional chinese medicine ( tcm ) . 0 ###LEFT-WALL### 2 plants 0 ###LEFT-WALL### 5 proven 0 ###LEFT-WALL### 21 . 1 many 2 plants 2 plants 3 have 3 have 4 been 4 been 5 proven 5 proven 6 to 5 proven 9 on 5 proven 14 in 6 to 7 possess 7 possess 8 efficacy 9 on 12 and 10 sexual 11 dysfunction 11 dysfunction 12 and 12 and 13 osteoporosis 14 in 17 medicine 15 traditional 17 medicine 16 chinese 17 medicine 17 medicine 19 tcm 18 ( 19 tcm 19 tcm 20 ) the paper reviews the ethnopharmacology , the biological activities and the correlated chemical compounds of epimedium species . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 3 reviews 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 18 . 1 the 2 paper 2 paper 3 reviews 3 reviews 5 ethnopharmacology 4 the 5 ethnopharmacology 6 , 10 and 7 the 9 activities 8 biological 9 activities 9 activities 10 and 10 and 14 compounds 10 and 15 of 11 the 14 compounds 12 correlated 14 compounds 13 chemical 14 compounds 15 of 17 species 16 epimedium 17 species more than 260 compounds have been isolated ; among [them] prenyl - flavonoids are the major constituents and also important chemotaxonomic markers . 0 ###LEFT-WALL### 4 compounds 0 ###LEFT-WALL### 6 been 0 ###LEFT-WALL### 8 ; 0 ###LEFT-WALL### 23 . 1 more 2 than 2 than 3 260 3 260 4 compounds 4 compounds 5 have 5 have 6 been 6 been 7 isolated 8 ; 13 flavonoids 8 ; 14 are 9 among 11 prenyl 9 among 12 - 9 among 13 flavonoids 13 flavonoids 14 are 14 are 18 and 15 the 17 constituents 16 major 17 constituents 17 constituents 18 and 18 and 19 also 18 and 22 markers 20 important 22 markers 21 chemotaxonomic 22 markers modern pharmacology studies and clinical practice demonstrated that epimedium and its active compounds possess wide pharmacological actions , [especially] in strengthening yang , hormone regulation , anti - osteoporosis , immunological function modulation , anti - oxidation and anti - tumor , anti - aging , anti - atherosclerosis and anti - depressant activities . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 55 . 1 modern 2 pharmacology 2 pharmacology 3 studies 3 studies 4 and 4 and 6 practice 4 and 7 demonstrated 4 and 10 and 4 and 14 possess 5 clinical 6 practice 8 that 9 epimedium 9 epimedium 10 and 10 and 13 compounds 10 and 14 possess 11 its 13 compounds 12 active 13 compounds 14 possess 17 actions 15 wide 17 actions 16 pharmacological 17 actions 18 , 22 yang 18 , 23 , 20 in 21 strengthening 20 in 22 yang 23 , 38 and 23 , 42 , 24 hormone 25 regulation 25 regulation 26 , 26 , 37 oxidation 26 , 38 and 27 anti 29 osteoporosis 27 anti 34 , 27 anti 37 oxidation 28 - 29 osteoporosis 29 osteoporosis 33 modulation 29 osteoporosis 34 , 30 , 33 modulation 31 immunological 33 modulation 32 function 33 modulation 33 modulation 34 , 35 anti 36 - 35 anti 37 oxidation 38 and 41 tumor 39 anti 40 - 39 anti 41 tumor 42 , 50 and 43 anti 44 - 43 anti 45 aging 45 aging 46 , 46 , 49 atherosclerosis 46 , 50 and 47 anti 48 - 47 anti 49 atherosclerosis 50 and 54 activities 51 anti 52 - 51 anti 54 activities 53 depressant 54 activities currently , effective monomeric compounds or active parts have been screened for pharmacological activity from epimedium in vivo and in vitro . 0 ###LEFT-WALL### 6 or 0 ###LEFT-WALL### 11 screened 0 ###LEFT-WALL### 22 . 1 currently 2 , 1 currently 6 or 3 effective 5 compounds 4 monomeric 5 compounds 5 compounds 6 or 6 or 8 parts 6 or 9 have 7 active 8 parts 9 have 10 been 10 been 11 screened 11 screened 12 for 11 screened 19 and 12 for 14 activity 13 pharmacological 14 activity 14 activity 15 from 15 from 16 epimedium 17 in 18 vivo 18 vivo 19 and 19 and 21 vitro 20 in 21 vitro one of the most common problems encountered in posture control studies is relatively poor repeatability of postural stability measures based on the cop ( [center] of pressure ) time [-] series which results from the inherent variability of postural control . 0 ###LEFT-WALL### 1 one 0 ###LEFT-WALL### 12 is 0 ###LEFT-WALL### 41 . 1 one 2 of 1 one 6 problems 1 one 7 encountered 1 one 12 is 2 of 4 most 3 the 4 most 5 common 6 problems 6 problems 7 encountered 7 encountered 8 in 8 in 11 studies 9 posture 10 control 10 control 11 studies 12 is 15 repeatability 12 is 21 on 12 is 34 from 13 relatively 14 poor 14 poor 15 repeatability 15 repeatability 16 of 15 repeatability 20 based 16 of 19 measures 17 postural 19 measures 18 stability 19 measures 21 on 31 series 22 the 31 series 23 cop 26 of 23 cop 31 series 24 ( 26 of 26 of 27 pressure 26 of 28 ) 29 time 31 series 31 series 32 which 31 series 33 results 32 which 33 results 34 from 37 variability 35 the 37 variability 36 inherent 37 variability 37 variability 38 of 38 of 40 control 39 postural 40 control the repeatability of the data reflecting the postural control mechanisms in young children is still not well enough explained . 0 ###LEFT-WALL### 2 repeatability 0 ###LEFT-WALL### 19 explained 0 ###LEFT-WALL### 20 . 1 the 2 repeatability 2 repeatability 3 of 2 repeatability 6 reflecting 2 repeatability 14 is 3 of 5 data 4 the 5 data 6 reflecting 10 mechanisms 6 reflecting 11 in 7 the 10 mechanisms 8 postural 9 control 9 control 10 mechanisms 11 in 13 children 12 young 13 children 14 is 16 not 14 is 17 well 14 is 19 explained 15 still 16 not 17 well 18 enough the differences [between] of the repeatability of the stability indices of left and right foot may reflect the lateralization development of legs in the support function . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 17 reflect 0 ###LEFT-WALL### 27 . 1 the 2 differences 2 differences 4 of 2 differences 16 may 4 of 6 repeatability 5 the 6 repeatability 6 repeatability 7 of 6 repeatability 11 of 7 of 10 indices 8 the 10 indices 9 stability 10 indices 11 of 13 and 12 left 13 and 13 and 15 foot 14 right 15 foot 16 may 17 reflect 17 reflect 20 development 17 reflect 23 in 18 the 20 development 19 lateralization 20 development 20 development 21 of 21 of 22 legs 23 in 26 function 24 the 26 function 25 support 26 function the aim of the present study was two - fold : the assessment of the repeatability of the stability indices in three consecutive trials in young children , aged 2 - 7 years old , [during] quiet bipedal stance and the description of process of lower limbs lateralization , based on the difference of repeatability of both feet stability [the] indices changing with years . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 9 - 0 ###LEFT-WALL### 65 . 1 the 2 aim 2 aim 3 of 2 aim 7 was 3 of 6 study 4 the 6 study 5 present 6 study 7 was 8 two 9 - 10 fold 9 - 11 : 9 - 28 , 11 : 13 assessment 12 the 13 assessment 13 assessment 14 of 14 of 16 repeatability 15 the 16 repeatability 16 repeatability 17 of 17 of 20 indices 18 the 20 indices 19 stability 20 indices 20 indices 21 in 20 indices 25 in 21 in 24 trials 22 three 24 trials 23 consecutive 24 trials 25 in 27 children 26 young 27 children 28 , 40 and 29 aged 34 old 29 aged 35 , 30 2 31 - 31 - 32 7 31 - 33 years 33 years 34 old 35 , 39 stance 35 , 40 and 37 quiet 39 stance 38 bipedal 39 stance 40 and 42 description 40 and 49 , 40 and 50 based 41 the 42 description 42 description 43 of 42 description 45 of 43 of 44 process 45 of 48 lateralization 46 lower 47 limbs 47 limbs 48 lateralization 50 based 51 on 50 based 63 with 51 on 53 difference 52 the 53 difference 53 difference 54 of 54 of 55 repeatability 55 repeatability 56 of 56 of 61 indices 57 both 61 indices 58 feet 59 stability 59 stability 61 indices 61 indices 62 changing 63 with 64 years the subjects were 272 young healthy children aged 2 - 7 years old separated in 6 groups for children of different age . 0 ###LEFT-WALL### 2 subjects 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 23 . 1 the 2 subjects 2 subjects 3 were 3 were 7 children 4 272 7 children 5 young 7 children 6 healthy 7 children 7 children 8 aged 7 children 14 separated 7 children 18 for 8 aged 13 old 9 2 10 - 10 - 11 7 10 - 12 years 12 years 13 old 14 separated 15 in 15 in 17 groups 16 6 17 groups 18 for 19 children 19 children 20 of 20 of 22 age 21 different 22 age each child stood for around 90 s on two accusway force platforms ( amti ) . 0 ###LEFT-WALL### 2 child 0 ###LEFT-WALL### 3 stood 0 ###LEFT-WALL### 16 . 1 each 2 child 2 child 3 stood 3 stood 4 for 3 stood 8 on 4 for 7 s 5 around 6 90 6 90 7 s 8 on 12 platforms 9 two 12 platforms 10 accusway 12 platforms 11 force 12 platforms 12 platforms 14 amti 13 ( 14 amti 14 amti 15 ) the shifts of cop beneath left and right legs were recorded onto a computer by using appropriate software compatible with platforms . 0 ###LEFT-WALL### 2 shifts 0 ###LEFT-WALL### 11 recorded 0 ###LEFT-WALL### 22 . 1 the 2 shifts 2 shifts 3 of 2 shifts 10 were 3 of 4 cop 4 cop 5 beneath 5 beneath 7 and 6 left 7 and 7 and 9 legs 8 right 9 legs 10 were 11 recorded 11 recorded 12 onto 11 recorded 15 by 12 onto 14 computer 13 a 14 computer 15 by 16 using 16 using 18 software 17 appropriate 18 software 18 software 19 compatible 19 compatible 20 with 20 with 21 platforms the indices of the ellipse area and velocity cop shifts were calculated . 0 ###LEFT-WALL### 2 indices 0 ###LEFT-WALL### 12 calculated 0 ###LEFT-WALL### 13 . 1 the 2 indices 2 indices 3 of 2 indices 11 were 3 of 7 and 4 the 6 area 5 ellipse 6 area 6 area 7 and 7 and 10 shifts 8 velocity 10 shifts 9 cop 10 shifts 11 were 12 calculated for assessment of the repeatability [the] concordance correlation coefficient ( ccc ) of the indices was used between the 1st and 2nd , 2nd and 3rd , and 1st and 3rd trials . 0 ###LEFT-WALL### 1 for 0 ###LEFT-WALL### 17 used 0 ###LEFT-WALL### 33 . 1 for 2 assessment 2 assessment 3 of 2 assessment 16 was 3 of 9 coefficient 4 the 9 coefficient 5 repeatability 9 coefficient 7 concordance 9 coefficient 8 correlation 9 coefficient 9 coefficient 11 ccc 9 coefficient 13 of 10 ( 11 ccc 11 ccc 12 ) 13 of 15 indices 14 the 15 indices 16 was 17 used 17 used 18 between 18 between 32 trials 19 the 20 1st 20 1st 21 and 21 and 25 and 21 and 32 trials 22 2nd 23 , 23 , 24 2nd 23 , 25 and 25 and 28 and 26 3rd 28 and 27 , 28 and 28 and 30 and 29 1st 30 and 30 and 31 3rd young children of 2 - 4 years old exhibit low level of the stability indices repeatability which increases in 5 - year [-] old children , 6 - year [-] olds revealed both low and high [and] 7 - year [-] olds good and high levels of repeatability . 1 young 2 children 2 children 3 of 2 children 6 4 2 children 9 exhibit 2 children 10 low 3 of 4 2 5 - 6 4 6 4 8 old 6 4 9 exhibit 7 years 8 old 10 low 11 level 11 level 12 of 12 of 16 repeatability 13 the 16 repeatability 14 stability 15 indices 15 indices 16 repeatability 16 repeatability 17 which 16 repeatability 18 increases 17 which 18 increases 18 increases 19 in 18 increases 27 6 19 in 20 5 20 5 25 children 21 - 25 children 22 year 24 old 24 old 25 children 25 children 26 , 27 6 39 - 28 - 39 - 29 year 31 olds 31 olds 32 revealed 32 revealed 35 and 32 revealed 39 - 33 both 35 and 34 low 35 and 35 and 36 high 35 and 39 - 36 high 38 7 39 - 46 levels 39 - 49 . 40 year 46 levels 42 olds 46 levels 43 good 44 and 44 and 45 high 44 and 46 levels 46 levels 47 of 47 of 48 repeatability [youngest] children showed higher repeatability of the ellipse area of the left leg , 3 - [and] 4 - year - [olds] the right leg , [while] 6 [-] year - olds again [the] left leg . 0 ###LEFT-WALL### 2 children 0 ###LEFT-WALL### 3 showed 2 children 3 showed 3 showed 5 repeatability 4 higher 5 repeatability 5 repeatability 6 of 5 repeatability 10 of 6 of 9 area 7 the 9 area 8 ellipse 9 area 10 of 20 year 11 the 20 year 12 left 20 year 13 leg 20 year 14 , 16 - 15 3 16 - 16 - 18 4 16 - 19 - 16 - 20 year 20 year 25 leg 21 - 25 leg 23 the 25 leg 24 right 25 leg 25 leg 31 - 25 leg 37 . 26 , 31 - 28 6 30 year 30 year 31 - 31 - 36 leg 32 olds 36 leg 33 again 35 left 35 left 36 leg [in] 5 - and 7 - year [-] olds there were no differences in the repeatability of stability indices between the left and right foot . 0 ###LEFT-WALL### 2 5 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 11 were 0 ###LEFT-WALL### 26 . 3 - 4 and 4 and 5 7 4 and 6 - 5 7 6 - 6 - 9 olds 7 year 9 olds 9 olds 10 there 9 olds 11 were 11 were 13 differences 11 were 14 in 11 were 20 between 12 no 13 differences 14 in 16 repeatability 15 the 16 repeatability 16 repeatability 17 of 17 of 19 indices 18 stability 19 indices 20 between 25 foot 21 the 25 foot 22 left 23 and 23 and 24 right 23 and 25 foot the comparisons of the repeatability of the velocity index between the left and right leg revealed the difference only in 3 years old children . 0 ###LEFT-WALL### 2 comparisons 0 ###LEFT-WALL### 16 revealed 0 ###LEFT-WALL### 25 . 1 the 2 comparisons 2 comparisons 3 of 2 comparisons 6 of 2 comparisons 16 revealed 3 of 5 repeatability 4 the 5 repeatability 6 of 9 index 7 the 9 index 8 velocity 9 index 9 index 10 between 10 between 15 leg 11 the 15 leg 12 left 13 and 13 and 14 right 13 and 15 leg 16 revealed 18 difference 16 revealed 19 only 16 revealed 20 in 17 the 18 difference 20 in 24 children 21 3 22 years 22 years 24 children 23 old 24 children posture control development of children can be assessed on the basis of velocity [index] but the cop ellipse area index is better [way] to describe the lateralization process . 0 ###LEFT-WALL### 3 development 0 ###LEFT-WALL### 8 assessed 0 ###LEFT-WALL### 15 but 0 ###LEFT-WALL### 29 . 1 posture 3 development 2 control 3 development 3 development 4 of 3 development 6 can 4 of 5 children 6 can 7 be 7 be 8 assessed 8 assessed 9 on 9 on 11 basis 10 the 11 basis 11 basis 12 of 12 of 13 velocity 15 but 20 index 15 but 21 is 16 the 20 index 17 cop 20 index 18 ellipse 20 index 19 area 20 index 20 index 21 is 21 is 22 better 22 better 24 to 24 to 25 describe 25 describe 28 process 26 the 28 process 27 lateralization 28 process the repeatability of the stability indices is poor from 2 to 4 year of life but increases significantly from 5 to 7 year of life . 0 ###LEFT-WALL### 2 repeatability 0 ###LEFT-WALL### 16 but 0 ###LEFT-WALL### 26 . 1 the 2 repeatability 2 repeatability 3 of 2 repeatability 16 but 3 of 6 indices 4 the 6 indices 5 stability 6 indices 7 is 8 poor 7 is 16 but 8 poor 9 from 9 from 13 year 10 2 11 to 11 to 12 4 11 to 13 year 13 year 14 of 14 of 15 life 16 but 17 increases 17 increases 18 significantly 17 increases 19 from 19 from 23 year 20 5 21 to 21 to 22 7 21 to 23 year 23 year 24 of 24 of 25 life the comparisons of repeatability between the left and right foot indices reflect the developmental process of lateralization of lower limbs in the support function and reveal that the left lower leg is a dominant one in support function while standing [position] . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 25 and 0 ###LEFT-WALL### 42 . 1 the 2 comparisons 2 comparisons 3 of 2 comparisons 8 and 3 of 4 repeatability 4 repeatability 5 between 5 between 7 left 6 the 7 left 8 and 11 indices 8 and 25 and 9 right 11 indices 10 foot 11 indices 12 reflect 15 process 12 reflect 21 in 12 reflect 25 and 13 the 15 process 14 developmental 15 process 15 process 16 of 16 of 17 lateralization 17 lateralization 18 of 18 of 20 limbs 19 lower 20 limbs 21 in 24 function 22 the 24 function 23 support 24 function 25 and 26 reveal 25 and 39 while 26 reveal 27 that 27 that 31 leg 27 that 32 is 28 the 31 leg 29 left 31 leg 30 lower 31 leg 31 leg 32 is 32 is 38 function 33 a 38 function 34 dominant 38 function 35 one 36 in 36 in 38 function 37 support 38 function 39 while 40 standing the process of leg lateralization is finishing about 6th year [of] life . 0 ###LEFT-WALL### 2 process 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 13 . 1 the 2 process 2 process 3 of 2 process 6 is 3 of 5 lateralization 4 leg 5 lateralization 6 is 7 finishing 7 finishing 8 about 8 about 12 life 9 6th 12 life 10 year 12 life in women , sexual function , hormones and aging are inextricably related . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 12 related 0 ###LEFT-WALL### 13 . 1 in 2 women 2 women 3 , 3 , 5 function 3 , 6 , 4 sexual 5 function 6 , 7 hormones 6 , 8 and 8 and 9 aging 8 and 10 are 10 are 11 inextricably 10 are 12 related sexual activity in women involves interest and motivation , the ability to become aroused and achieve [orgasm] , the pleasure of the experience and subsequent personal satisfaction . 0 ###LEFT-WALL### 2 activity 0 ###LEFT-WALL### 5 involves 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 28 . 1 sexual 2 activity 2 activity 3 in 2 activity 5 involves 3 in 4 women 5 involves 7 and 6 interest 7 and 7 and 8 motivation 7 and 11 ability 9 , 11 ability 10 the 11 ability 11 ability 12 to 11 ability 16 achieve 11 ability 18 , 12 to 15 and 13 become 14 aroused 13 become 15 and 15 and 16 achieve 18 , 24 and 19 the 20 pleasure 20 pleasure 21 of 20 pleasure 24 and 21 of 23 experience 22 the 23 experience 24 and 27 satisfaction 25 subsequent 27 satisfaction 26 personal 27 satisfaction androgens , as endogenous hormones or given [as] [a] therapy , potentially influence female sexual [function] , [with] research into the effects of exogenous androgens in women mostly devoted to effects [on] sexual [desire] . 0 ###LEFT-WALL### 1 androgens 0 ###LEFT-WALL### 2 , 0 ###LEFT-WALL### 35 . 2 , 6 or 2 , 11 , 3 as 4 endogenous 4 endogenous 5 hormones 5 hormones 6 or 6 or 10 therapy 6 or 11 , 7 given 10 therapy 11 , 13 influence 12 potentially 13 influence 13 influence 19 research 13 influence 20 into 14 female 19 research 15 sexual 17 , 15 sexual 19 research 20 into 22 effects 21 the 22 effects 22 effects 23 of 22 effects 26 in 22 effects 29 devoted 23 of 25 androgens 24 exogenous 25 androgens 26 in 27 women 28 mostly 29 devoted 29 devoted 30 to 29 devoted 33 sexual 30 to 31 effects some studies have been conducted to delineate the effects of testosterone on arousal , however arousal determined [by] laboratory measures does not always correlate with subjective reporting of a sensation [of] arousal . 0 ###LEFT-WALL### 1 some 0 ###LEFT-WALL### 24 correlate 0 ###LEFT-WALL### 33 . 1 some 2 studies 1 some 7 delineate 1 some 21 does 2 studies 3 have 3 have 4 been 4 been 5 conducted 5 conducted 6 to 6 to 7 delineate 7 delineate 9 effects 7 delineate 12 on 8 the 9 effects 9 effects 10 of 10 of 11 testosterone 12 on 20 measures 13 arousal 14 , 13 arousal 19 laboratory 15 however 16 arousal 16 arousal 19 laboratory 17 determined 19 laboratory 19 laboratory 20 measures 21 does 22 not 21 does 24 correlate 23 always 24 correlate 24 correlate 25 with 25 with 27 reporting 25 with 32 arousal 26 subjective 27 reporting 27 reporting 28 of 28 of 30 sensation 29 a 30 sensation overall large randomised controlled trials of exogenous testosterone show benefits over [placebo] on sexual desire , arousal , orgasm , pleasure and satisfaction . 0 ###LEFT-WALL### 5 trials 0 ###LEFT-WALL### 9 show 0 ###LEFT-WALL### 24 . 1 overall 5 trials 2 large 5 trials 3 randomised 5 trials 4 controlled 5 trials 5 trials 6 of 5 trials 9 show 6 of 8 testosterone 7 exogenous 8 testosterone 9 show 10 benefits 9 show 11 over 9 show 13 on 13 on 22 and 14 sexual 15 desire 15 desire 16 , 16 , 17 arousal 16 , 18 , 18 , 19 orgasm 18 , 20 , 20 , 21 pleasure 20 , 22 and 22 and 23 satisfaction the aspects of consideration of androgen therapy for women that continue to stimulate debate in this therapeutic area include whether female sexual dysfunction is a condition that merits pharmacotherapy , how effective is such treatment and [whether] testosterone therapy is safe . 0 ###LEFT-WALL### 2 aspects 0 ###LEFT-WALL### 14 debate 0 ###LEFT-WALL### 30 , 0 ###LEFT-WALL### 42 . 1 the 2 aspects 2 aspects 3 of 2 aspects 5 of 2 aspects 12 to 2 aspects 13 stimulate 2 aspects 14 debate 3 of 4 consideration 5 of 7 therapy 6 androgen 7 therapy 7 therapy 8 for 8 for 9 women 9 women 10 that 9 women 11 continue 10 that 11 continue 12 to 13 stimulate 14 debate 15 in 14 debate 20 whether 14 debate 26 condition 15 in 19 include 16 this 19 include 17 therapeutic 18 area 18 area 19 include 20 whether 23 dysfunction 20 whether 24 is 21 female 23 dysfunction 22 sexual 23 dysfunction 23 dysfunction 24 is 25 a 26 condition 26 condition 27 that 27 that 28 merits 27 that 29 pharmacotherapy 28 merits 29 pharmacotherapy 30 , 31 how 30 , 33 is 30 , 36 and 31 how 32 effective 32 effective 33 is 33 is 35 treatment 34 such 35 treatment 36 and 39 therapy 36 and 40 is 38 testosterone 39 therapy 39 therapy 40 is 40 is 41 safe resveratrol , a phytoalexin antioxidant found in red grapes , has been shown to have both chemopreventive and therapeutic effects against many diseases and disorders , including those of the skin . 0 ###LEFT-WALL### 1 resveratrol 0 ###LEFT-WALL### 13 shown 0 ###LEFT-WALL### 32 . 1 resveratrol 5 antioxidant 1 resveratrol 11 has 2 , 5 antioxidant 3 a 5 antioxidant 4 phytoalexin 5 antioxidant 5 antioxidant 6 found 5 antioxidant 7 in 5 antioxidant 10 , 7 in 9 grapes 8 red 9 grapes 11 has 12 been 12 been 13 shown 13 shown 14 to 13 shown 21 against 14 to 15 have 15 have 20 effects 16 both 20 effects 17 chemopreventive 18 and 18 and 19 therapeutic 18 and 20 effects 21 against 24 and 22 many 23 diseases 23 diseases 24 and 24 and 25 disorders 24 and 26 , 24 and 27 including 24 and 29 of 27 including 28 those 29 of 31 skin 30 the 31 skin studies have shown protective effects of resveratrol against ultraviolet radiation - mediated oxidative stress and cutaneous damages including skin cancer . 0 ###LEFT-WALL### 1 studies 0 ###LEFT-WALL### 3 shown 0 ###LEFT-WALL### 11 - 1 studies 2 have 2 have 3 shown 3 shown 5 effects 3 shown 8 against 4 protective 5 effects 5 effects 6 of 6 of 7 resveratrol 8 against 10 radiation 9 ultraviolet 10 radiation 11 - 15 and 11 - 21 . 12 mediated 14 stress 13 oxidative 14 stress 14 stress 15 and 15 and 17 damages 15 and 18 including 16 cutaneous 17 damages 18 including 20 cancer 19 skin 20 cancer because many of the skin conditions stem from ultraviolet radiation and oxidative stress , this antioxidant appears to have promise and prospects against a wide range of cutaneous disorders including skin aging and skin cancers . 0 ###LEFT-WALL### 1 because 0 ###LEFT-WALL### 7 stem 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 36 . 1 because 2 many 2 many 3 of 2 many 7 stem 3 of 6 conditions 4 the 6 conditions 5 skin 6 conditions 7 stem 8 from 8 from 11 and 9 ultraviolet 10 radiation 10 radiation 11 and 11 and 13 stress 12 oxidative 13 stress 14 , 16 antioxidant 14 , 17 appears 15 this 16 antioxidant 16 antioxidant 17 appears 17 appears 18 to 17 appears 19 have 18 to 19 have 19 have 33 and 20 promise 21 and 21 and 22 prospects 21 and 23 against 21 and 27 of 21 and 33 and 23 against 26 range 24 a 25 wide 24 a 26 range 25 wide 26 range 27 of 29 disorders 28 cutaneous 29 disorders 29 disorders 30 including 30 including 31 skin 31 skin 32 aging 33 and 35 cancers 34 skin 35 cancers however , there are a few roadblocks in the way of this promising agent regarding its translation from the bench to the bedside . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 24 . 1 however 2 , 1 however 3 there 3 there 4 are 4 are 7 roadblocks 5 a 6 few 6 few 7 roadblocks 7 roadblocks 8 in 8 in 10 way 9 the 10 way 10 way 11 of 11 of 14 agent 12 this 13 promising 13 promising 14 agent 14 agent 15 regarding 15 regarding 17 translation 15 regarding 21 to 16 its 17 translation 17 translation 18 from 18 from 20 bench 19 the 20 bench 21 to 23 bedside 22 the 23 bedside this review discusses the promise and prospects of resveratrol in the management of skin disorders and the associated challenges . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 20 . 1 this 2 review 2 review 6 and 2 review 8 of 2 review 16 and 3 discusses 5 promise 3 discusses 6 and 4 the 5 promise 6 and 7 prospects 8 of 9 resveratrol 9 resveratrol 10 in 10 in 12 management 11 the 12 management 12 management 13 of 13 of 15 disorders 14 skin 15 disorders 16 and 19 challenges 17 the 19 challenges 18 associated 19 challenges background : musculoskeletal hand pain is common in the general population . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 5 pain 2 : 6 is 2 : 12 . 3 musculoskeletal 5 pain 4 hand 5 pain 5 pain 6 is 6 is 7 common 7 common 8 in 8 in 11 population 9 the 11 population 10 general 11 population this study aims to investigate [the] [inter] - and [intra] - observer reliability of two trained observers conducting a simple clinical interview and physical examination for hand problems in older adults . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 32 . 1 this 2 study 2 study 3 aims 3 aims 4 to 3 aims 5 investigate 4 to 5 investigate 8 - 9 and 9 and 11 - 9 and 13 reliability 9 and 16 trained 12 observer 13 reliability 13 reliability 14 of 13 reliability 16 trained 14 of 15 two 16 trained 17 observers 16 trained 26 for 16 trained 29 in 17 observers 18 conducting 18 conducting 23 and 19 a 20 simple 19 a 22 interview 20 simple 22 interview 21 clinical 22 interview 22 interview 23 and 23 and 25 examination 24 physical 25 examination 26 for 28 problems 27 hand 28 problems 29 in 31 adults 30 older 31 adults the reliability of applying the american college of rheumatology ( acr ) criteria for hand osteoarthritis to community [-] dwelling older adults will also be investigated . 0 ###LEFT-WALL### 2 reliability 0 ###LEFT-WALL### 25 be 0 ###LEFT-WALL### 27 . 1 the 2 reliability 2 reliability 3 of 2 reliability 23 will 3 of 4 applying 4 applying 13 criteria 4 applying 17 to 5 the 13 criteria 6 american 13 criteria 7 college 8 of 7 college 11 acr 8 of 9 rheumatology 10 ( 11 acr 11 acr 12 ) 11 acr 13 criteria 13 criteria 14 for 14 for 16 osteoarthritis 15 hand 16 osteoarthritis 17 to 22 adults 18 community 20 dwelling 20 dwelling 22 adults 21 older 22 adults 23 will 25 be 24 also 25 be 25 be 26 investigated methods : fifty - five participants aged 50 years [and] over with a current self - reported hand problem [and] registered with one general practice were recruited from a previous health questionnaire study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 1 methods 2 : 2 : 6 participants 3 fifty 4 - 4 - 5 five 4 - 6 participants 6 participants 7 aged 6 participants 22 with 7 aged 11 over 7 aged 16 - 7 aged 21 registered 8 50 9 years 9 years 11 over 11 over 12 with 12 with 15 self 13 a 15 self 14 current 15 self 17 reported 18 hand 18 hand 19 problem 19 problem 21 registered 22 with 23 one 23 one 25 practice 23 one 26 were 23 one 27 recruited 24 general 25 practice 25 practice 26 were 27 recruited 28 from 28 from 33 study 29 a 33 study 30 previous 31 health 31 health 33 study 32 questionnaire 33 study participants underwent a standardised [,] structured clinical interview and physical examination by two independent trained observers [and] again by one of these observers a month later . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 underwent 0 ###LEFT-WALL### 27 . 1 participants 2 underwent 2 underwent 9 and 2 underwent 12 by 2 underwent 18 again 2 underwent 19 by 3 a 8 interview 4 standardised 8 interview 6 structured 8 interview 7 clinical 8 interview 8 interview 9 and 9 and 11 examination 10 physical 11 examination 12 by 16 observers 13 two 16 observers 14 independent 16 observers 15 trained 16 observers 19 by 20 one 20 one 21 of 21 of 23 observers 22 these 23 observers 23 observers 26 later 24 a 25 month 25 month 26 later agreement beyond chance was summarised using kappa statistics and [intra] [-] class correlation coefficients . 0 ###LEFT-WALL### 1 agreement 0 ###LEFT-WALL### 5 summarised 0 ###LEFT-WALL### 15 . 1 agreement 2 beyond 1 agreement 4 was 2 beyond 3 chance 4 was 5 summarised 5 summarised 6 using 6 using 9 and 7 kappa 8 statistics 8 statistics 9 and 9 and 14 coefficients 12 class 14 coefficients 13 correlation 14 coefficients results : median values [for] inter - and [intra] - observer reliability for clinical interview questions were found to be " substantial " and " moderate " respectively [[] median agreement beyond chance ( kappa ) was [0.75] ( range [:] - 0.03 , 0.93 ) [for] inter - observer ratings [and] 0.57 ( range [:] - 0.02 , 1.00 ) [for] [intra] - observer ratings ] . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 8 and 1 results 2 : 2 : 3 median 3 median 4 values 3 median 6 inter 4 values 6 inter 7 - 8 and 8 and 10 - 10 - 12 reliability 11 observer 12 reliability 12 reliability 13 for 12 reliability 20 be 13 for 15 interview 14 clinical 15 interview 15 interview 16 questions 15 interview 19 to 16 questions 17 were 17 were 18 found 18 found 19 to 20 be 21 " 20 be 30 median 22 substantial 23 " 22 substantial 24 and 24 and 25 " 24 and 26 moderate 24 and 30 median 26 moderate 27 " 26 moderate 28 respectively 30 median 31 agreement 30 median 37 was 31 agreement 32 beyond 31 agreement 37 was 32 beyond 33 chance 33 chance 35 kappa 34 ( 35 kappa 35 kappa 36 ) 37 was 49 - 39 ( 49 - 40 range 43 0.03 40 range 48 inter 40 range 49 - 42 - 43 0.03 43 0.03 45 0.93 43 0.03 48 inter 44 , 45 0.93 45 0.93 46 ) 49 - 51 ratings 50 observer 51 ratings 51 ratings 53 0.57 51 ratings 57 - 54 ( 57 - 55 range 57 - 57 - 58 0.02 57 - 68 . 58 0.02 60 1.00 58 0.02 66 ratings 59 , 60 1.00 60 1.00 61 ) 64 - 66 ratings 65 observer 66 ratings 66 ratings 67 ] moderate agreement was observed both between [and] [within] observers when applying the acr criteria for hand osteoarthritis . 0 ###LEFT-WALL### 1 moderate 0 ###LEFT-WALL### 4 observed 0 ###LEFT-WALL### 18 . 1 moderate 2 agreement 1 moderate 3 was 1 moderate 4 observed 2 agreement 3 was 4 observed 5 both 4 observed 6 between 4 observed 10 when 6 between 9 observers 10 when 11 applying 11 applying 14 criteria 12 the 14 criteria 13 acr 14 criteria 14 criteria 15 for 15 for 17 osteoarthritis 16 hand 17 osteoarthritis conclusion : standardised , structured clinical interview [is] reliable [for] taking a [history] in community - dwelling older adults with self reported hand problems . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 3 standardised 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 25 . 1 conclusion 2 : 2 : 3 standardised 4 , 15 community 4 , 16 - 5 structured 7 interview 6 clinical 7 interview 7 interview 15 community 9 reliable 15 community 11 taking 15 community 12 a 14 in 14 in 15 community 16 - 19 adults 17 dwelling 19 adults 18 older 19 adults 19 adults 20 with 20 with 24 problems 21 self 24 problems 22 reported 23 hand 23 hand 24 problems agreement between [and] [within] observers for physical examination items is variable . 0 ###LEFT-WALL### 1 agreement 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 12 . 1 agreement 2 between 1 agreement 10 is 2 between 5 observers 5 observers 6 for 6 for 9 items 7 physical 8 examination 8 examination 9 items 10 is 11 variable low kappa values may have resulted , [in] part , from a low prevalence of clinical signs and symptoms in the study participants . 0 ###LEFT-WALL### 1 low 1 low 2 kappa 2 kappa 3 values 2 kappa 9 part 2 kappa 11 from 3 values 4 may 4 may 7 , 5 have 6 resulted 5 have 7 , 7 , 9 part 10 , 11 from 11 from 18 and 11 from 24 . 12 a 13 low 12 a 14 prevalence 13 low 14 prevalence 14 prevalence 15 of 14 prevalence 18 and 15 of 17 signs 16 clinical 17 signs 18 and 19 symptoms 18 and 20 in 20 in 23 participants 21 the 23 participants 22 study 23 participants the decision to use clinical interview [and] hand assessment variables in clinical practice or further research in primary care should include consideration of clinical applicability and training alongside reliability . 0 ###LEFT-WALL### 2 decision 0 ###LEFT-WALL### 21 include 0 ###LEFT-WALL### 30 . 1 the 2 decision 2 decision 3 to 2 decision 14 or 2 decision 20 should 3 to 14 or 4 use 10 variables 4 use 11 in 4 use 14 or 5 clinical 10 variables 6 interview 8 hand 8 hand 9 assessment 9 assessment 10 variables 11 in 13 practice 12 clinical 13 practice 14 or 15 further 15 further 16 research 15 further 17 in 17 in 19 care 18 primary 19 care 20 should 21 include 21 include 26 and 22 consideration 23 of 22 consideration 26 and 23 of 25 applicability 24 clinical 25 applicability 26 and 27 training 26 and 28 alongside 28 alongside 29 reliability further investigation is required to determine the relationship between these clinical questions and assessments and the clinical course of hand pain and hand problems in community [-] dwelling older adults . 0 ###LEFT-WALL### 2 investigation 0 ###LEFT-WALL### 4 required 0 ###LEFT-WALL### 31 . 1 further 2 investigation 2 investigation 3 is 3 is 4 required 4 required 5 to 5 to 6 determine 6 determine 8 relationship 6 determine 25 in 7 the 8 relationship 8 relationship 9 between 8 relationship 19 of 9 between 15 and 10 these 12 questions 11 clinical 12 questions 12 questions 13 and 13 and 14 assessments 13 and 15 and 15 and 18 course 16 the 18 course 17 clinical 18 course 19 of 22 and 20 hand 21 pain 21 pain 22 and 22 and 24 problems 23 hand 24 problems 25 in 30 adults 26 community 28 dwelling 28 dwelling 30 adults 29 older 30 adults apoptosis and autophagic cell death are programmed cell deaths that are involved in cell survival , growth , development and carcinogenesis . p53 , the most extensively studied tumor suppressor , regulates apoptosis and autophagy by transactivating its downstream genes . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 22 . 1 apoptosis 2 and 2 and 5 death 2 and 6 are 3 autophagic 4 cell 4 cell 5 death 6 are 9 deaths 7 programmed 9 deaths 8 cell 9 deaths 9 deaths 10 that 9 deaths 11 are 10 that 11 are 11 are 12 involved 12 involved 13 in 13 in 20 and 14 cell 15 survival 15 survival 16 , 16 , 17 growth 16 , 18 , 18 , 19 development 18 , 20 and 20 and 21 carcinogenesis 22 . 23 p53 22 . 32 regulates 22 . 41 . 23 p53 30 suppressor 23 p53 32 regulates 24 , 30 suppressor 25 the 30 suppressor 26 most 27 extensively 27 extensively 28 studied 28 studied 29 tumor 29 tumor 30 suppressor 30 suppressor 31 , 32 regulates 34 and 33 apoptosis 34 and 34 and 35 autophagy 34 and 36 by 36 by 37 transactivating 37 transactivating 40 genes 38 its 40 genes 39 downstream 40 genes it also stimulates the mitochondrial apoptotic pathway and inhibits autophagy in a transactivation - independent manner . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 17 . 1 it 8 and 2 also 3 stimulates 3 stimulates 7 pathway 3 stimulates 8 and 4 the 7 pathway 5 mitochondrial 7 pathway 6 apoptotic 7 pathway 8 and 9 inhibits 9 inhibits 10 autophagy 9 inhibits 11 in 11 in 13 transactivation 12 a 13 transactivation 14 - 16 manner 15 independent 16 manner however , the contribution of apoptosis and autophagic cell death to p53 - dependent cell death is unclear . 0 ###LEFT-WALL### 4 contribution 0 ###LEFT-WALL### 17 is 0 ###LEFT-WALL### 19 . 1 however 2 , 1 however 4 contribution 3 the 4 contribution 4 contribution 5 of 4 contribution 17 is 5 of 7 and 6 apoptosis 7 and 7 and 10 death 7 and 11 to 8 autophagic 9 cell 9 cell 10 death 11 to 16 death 12 p53 13 - 12 p53 15 cell 14 dependent 15 cell 15 cell 16 death 17 is 18 unclear using wild - type [(] wt [ )(and mutant ( mt ) p53 inducible cell lines in tp53 - null sf126 glioblastoma cells , we examined the apoptosis and autophagic cell death induced by p53 . 0 ###LEFT-WALL### 1 using 0 ###LEFT-WALL### 16 lines 0 ###LEFT-WALL### 36 . 1 using 8 )(and 1 using 16 lines 2 wild 3 - 2 wild 4 type 4 type 6 wt 6 wt 8 )(and 8 )(and 15 cell 9 mutant 11 mt 9 mutant 12 ) 9 mutant 15 cell 10 ( 11 mt 11 mt 12 ) 13 p53 15 cell 14 inducible 15 cell 16 lines 17 in 16 lines 18 tp53 16 lines 34 by 18 tp53 23 cells 18 tp53 33 induced 19 - 23 cells 20 null 23 cells 21 sf126 23 cells 22 glioblastoma 23 cells 23 cells 24 , 24 , 33 induced 25 we 26 examined 26 examined 29 and 26 examined 33 induced 27 the 28 apoptosis 28 apoptosis 29 and 29 and 32 death 29 and 33 induced 30 autophagic 31 cell 31 cell 32 death 34 by 35 p53 wt p53 expression in sf126 cells induced apoptosis and autophagy , and reduced the cell number . 0 ###LEFT-WALL### 3 expression 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 17 . 1 wt 3 expression 2 p53 3 expression 3 expression 4 in 3 expression 12 and 4 in 6 cells 5 sf126 6 cells 7 induced 9 and 7 induced 12 and 8 apoptosis 9 and 9 and 10 autophagy 11 , 12 and 12 and 13 reduced 13 reduced 16 number 14 the 16 number 15 cell 16 number an autophagy inhibitor reduced autophagy , increased the [s] [-] phase fraction , and attenuated the inhibition [of] cell proliferation induced by wt p53 . 0 ###LEFT-WALL### 3 inhibitor 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 25 . 1 an 2 autophagy 1 an 3 inhibitor 2 autophagy 3 inhibitor 3 inhibitor 6 , 4 reduced 5 autophagy 4 reduced 6 , 6 , 14 and 7 increased 12 fraction 7 increased 14 and 8 the 12 fraction 11 phase 12 fraction 13 , 14 and 14 and 15 attenuated 15 attenuated 20 proliferation 15 attenuated 22 by 16 the 20 proliferation 17 inhibition 20 proliferation 19 cell 20 proliferation 20 proliferation 21 induced 22 by 24 p53 23 wt 24 p53 pan [-] caspase inhibitor reduced apoptosis but showed weaker inhibition of [cell] [proliferation] than the autophagy inhibitor . 0 ###LEFT-WALL### 7 but 0 ###LEFT-WALL### 18 . 1 pan 6 apoptosis 1 pan 7 but 3 caspase 5 reduced 4 inhibitor 5 reduced 5 reduced 6 apoptosis 7 but 8 showed 8 showed 10 inhibition 8 showed 17 inhibitor 9 weaker 10 inhibition 10 inhibition 11 of 11 of 14 than 15 the 17 inhibitor 16 autophagy 17 inhibitor we concluded that p53 - dependent cell death in sf126 cells comprises caspase - dependent and caspase - independent apoptosis and autophagic cell death , and the induction of autophagy as well as apoptosis could be a new strategy to treat some type of wt p53 - retaining tumors . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 concluded 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 50 . 1 we 2 concluded 2 concluded 4 p53 3 that 4 p53 5 - 8 death 5 - 12 comprises 5 - 18 - 5 - 36 be 6 dependent 7 cell 7 cell 8 death 8 death 9 in 8 death 12 comprises 9 in 11 cells 10 sf126 11 cells 12 comprises 13 caspase 13 caspase 16 and 14 - 16 and 15 dependent 16 and 16 and 17 caspase 16 and 18 - 18 - 36 be 19 independent 20 apoptosis 20 apoptosis 21 and 21 and 24 death 21 and 26 and 22 autophagic 23 cell 23 cell 24 death 25 , 26 and 26 and 28 induction 26 and 35 could 27 the 28 induction 28 induction 29 of 28 induction 33 as 29 of 30 autophagy 31 as 32 well 32 well 33 as 33 as 34 apoptosis 35 could 36 be 36 be 39 strategy 36 be 40 to 37 a 38 new 37 a 39 strategy 38 new 39 strategy 40 to 41 treat 41 treat 43 type 42 some 43 type 43 type 44 of 44 of 49 tumors 45 wt 49 tumors 46 p53 47 - 46 p53 49 tumors 48 retaining 49 tumors it is well established that memory formation and retention involve the coordinated flow of information from the post - synaptic site [of] particular neuronal populations to the nucleus , where short and long - lasting modifications of gene expression occur . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 4 established 0 ###LEFT-WALL### 41 . 1 it 2 is 2 is 3 well 2 is 4 established 4 established 5 that 5 that 8 and 5 that 10 involve 6 memory 7 formation 7 formation 8 and 8 and 9 retention 8 and 10 involve 10 involve 13 flow 10 involve 16 from 10 involve 30 where 11 the 13 flow 12 coordinated 13 flow 13 flow 14 of 14 of 15 information 16 from 18 post 17 the 18 post 18 post 25 populations 19 - 25 populations 20 synaptic 21 site 21 site 23 particular 23 particular 25 populations 24 neuronal 25 populations 25 populations 26 to 25 populations 29 , 26 to 28 nucleus 27 the 28 nucleus 30 where 32 and 30 where 40 occur 31 short 32 and 32 and 36 modifications 32 and 37 of 32 and 40 occur 33 long 34 - 33 long 36 modifications 35 lasting 36 modifications 37 of 39 expression 38 gene 39 expression with age , mnemonic , motor and sensorial alterations occur , and it is believed that extra failures in the mechanisms used for memory formation and storage are the cause of neurodegenerative pathologies like alzheimer 's disease . 0 ###LEFT-WALL### 9 alterations 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 38 . 1 with 7 and 1 with 9 alterations 2 age 3 , 3 , 6 motor 3 , 7 and 4 mnemonic 5 , 4 mnemonic 6 motor 7 and 8 sensorial 9 alterations 10 occur 11 , 12 and 12 and 13 it 12 and 15 believed 13 it 14 is 14 is 15 believed 15 believed 16 that 16 that 18 failures 16 that 28 are 17 extra 18 failures 18 failures 19 in 18 failures 22 used 18 failures 28 are 19 in 21 mechanisms 20 the 21 mechanisms 22 used 23 for 23 for 26 and 24 memory 25 formation 25 formation 26 and 26 and 27 storage 28 are 30 cause 29 the 30 cause 30 cause 31 of 31 of 33 pathologies 32 neurodegenerative 33 pathologies 33 pathologies 34 like 34 like 37 disease 35 alzheimer 36 's 36 's 37 disease a prime candidate responsible for damage and loss of function [during] aging is the accumulation of reactive oxygen species , derived from normal oxidative metabolism . 0 ###LEFT-WALL### 3 candidate 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 26 . 1 a 2 prime 1 a 3 candidate 2 prime 3 candidate 3 candidate 4 responsible 3 candidate 9 of 3 candidate 20 , 4 responsible 5 for 5 for 7 and 6 damage 7 and 7 and 8 loss 9 of 12 aging 10 function 12 aging 13 is 15 accumulation 13 is 20 , 14 the 15 accumulation 15 accumulation 16 of 16 of 19 species 17 reactive 18 oxygen 18 oxygen 19 species 20 , 21 derived 20 , 22 from 22 from 25 metabolism 23 normal 25 metabolism 24 oxidative 25 metabolism however , dysfunction in the aged brain is not paralleled by an increase in neuronal death , [indicative] that the brain is better suited to fight against the death signals generated from reactive oxygen species than against loss - of [-] function stimuli . 0 ###LEFT-WALL### 3 dysfunction 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 17 , 1 however 2 , 1 however 3 dysfunction 3 dysfunction 4 in 3 dysfunction 8 is 4 in 7 brain 5 the 7 brain 6 aged 7 brain 8 is 9 not 8 is 11 by 9 not 10 paralleled 11 by 13 increase 12 an 13 increase 13 increase 14 in 14 in 16 death 15 neuronal 16 death 17 , 19 that 17 , 26 fight 19 that 21 brain 19 that 26 fight 20 the 21 brain 21 brain 22 is 22 is 23 better 22 is 24 suited 24 suited 25 to 25 to 26 fight 26 fight 27 against 26 fight 32 from 26 fight 36 than 27 against 29 death 28 the 29 death 29 death 30 signals 29 death 31 generated 30 signals 31 generated 32 from 35 species 33 reactive 34 oxygen 34 oxygen 35 species 36 than 37 against 37 against 38 loss 38 loss 40 of 39 - 40 of 40 of 43 stimuli 40 of 44 . 42 function 43 stimuli a main aim of this laboratory is to understand how neurons perform and survive in the constitutive stress background represented by aging . 0 ###LEFT-WALL### 3 aim 0 ###LEFT-WALL### 20 represented 0 ###LEFT-WALL### 23 . 1 a 3 aim 2 main 3 aim 3 aim 4 of 3 aim 7 is 4 of 6 laboratory 5 this 6 laboratory 7 is 8 to 7 is 20 represented 8 to 9 understand 9 understand 10 how 10 how 11 neurons 10 how 13 and 11 neurons 13 and 12 perform 13 and 13 and 14 survive 14 survive 15 in 15 in 19 background 16 the 19 background 17 constitutive 18 stress 18 stress 19 background 20 represented 21 by 21 by 22 aging in this report , we summarize our recent findings in relation to survival . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 summarize 0 ###LEFT-WALL### 14 . 1 in 3 report 1 in 4 , 1 in 5 we 2 this 3 report 5 we 6 summarize 6 summarize 9 findings 6 summarize 12 to 7 our 9 findings 8 recent 9 findings 10 in 11 relation 11 relation 12 to 12 to 13 survival lipids are essential for the structural and functional integrity of membranes . 0 ###LEFT-WALL### 1 lipids 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 12 . 1 lipids 2 are 2 are 3 essential 3 essential 4 for 4 for 9 integrity 5 the 9 integrity 6 structural 7 and 7 and 8 functional 7 and 9 integrity 9 integrity 10 of 10 of 11 membranes membrane lipids are not randomly distributed but [are] localized in different domains . 0 ###LEFT-WALL### 2 lipids 0 ###LEFT-WALL### 7 but 0 ###LEFT-WALL### 13 . 1 membrane 2 lipids 2 lipids 3 are 3 are 4 not 3 are 7 but 5 randomly 6 distributed 6 distributed 7 but 7 but 9 localized 9 localized 10 in 10 in 12 domains 11 different 12 domains a common characteristic of these membrane domains is their association with cholesterol . 0 ###LEFT-WALL### 3 characteristic 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 13 . 1 a 2 common 1 a 3 characteristic 2 common 3 characteristic 3 characteristic 4 of 3 characteristic 8 is 4 of 7 domains 5 these 7 domains 6 membrane 7 domains 8 is 10 association 9 their 10 association 10 association 11 with 11 with 12 cholesterol lipid rafts and caveolae are examples of cholesterol enriched domains , which have attracted keen interest . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 5 are 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 17 . 1 lipid 2 rafts 2 rafts 3 and 3 and 4 caveolae 3 and 5 are 5 are 6 examples 6 examples 7 of 7 of 10 domains 8 cholesterol 9 enriched 9 enriched 10 domains 11 , 12 which 11 , 14 attracted 12 which 13 have 13 have 14 attracted 14 attracted 16 interest 15 keen 16 interest however , two other important cholesterol domains are the exofacial and cytofacial leaflets of the plasma membrane . 0 ###LEFT-WALL### 7 domains 0 ###LEFT-WALL### 8 are 0 ###LEFT-WALL### 18 . 1 however 2 , 1 however 7 domains 3 two 4 other 4 other 7 domains 5 important 6 cholesterol 6 cholesterol 7 domains 7 domains 8 are 8 are 13 leaflets 9 the 13 leaflets 10 exofacial 11 and 11 and 12 cytofacial 11 and 13 leaflets 13 leaflets 14 of 14 of 17 membrane 15 the 17 membrane 16 plasma 17 membrane the two leaflets that make up the bilayer differ in their fluidity , electrical charge , lipid distribution , and active sites of certain proteins . 0 ###LEFT-WALL### 3 leaflets 0 ###LEFT-WALL### 9 differ 0 ###LEFT-WALL### 26 . 1 the 2 two 2 two 3 leaflets 3 leaflets 4 that 3 leaflets 5 make 3 leaflets 9 differ 4 that 5 make 5 make 6 up 5 make 8 bilayer 7 the 8 bilayer 9 differ 10 in 10 in 20 and 11 their 12 fluidity 12 fluidity 13 , 13 , 15 charge 13 , 16 , 14 electrical 15 charge 16 , 18 distribution 16 , 20 and 17 lipid 18 distribution 19 , 20 and 20 and 22 sites 20 and 23 of 21 active 22 sites 23 of 25 proteins 24 certain 25 proteins the synaptic plasma membrane ( spm ) [cytofacial] [leaflet] contains over 85 % of the total spm cholesterol as compared with the exofacial leaflet . 0 ###LEFT-WALL### 4 membrane 0 ###LEFT-WALL### 10 contains 0 ###LEFT-WALL### 25 . 1 the 4 membrane 2 synaptic 3 plasma 3 plasma 4 membrane 4 membrane 6 spm 4 membrane 10 contains 5 ( 6 spm 6 spm 7 ) 10 contains 13 % 10 contains 21 with 11 over 12 85 12 85 13 % 13 % 14 of 14 of 18 cholesterol 15 the 18 cholesterol 16 total 18 cholesterol 17 spm 18 cholesterol 18 cholesterol 20 compared 19 as 20 compared 21 with 24 leaflet 22 the 24 leaflet 23 exofacial 24 leaflet this asymmetric distribution of cholesterol is not fixed [or] immobile but can be modified by different conditions in vivo : [(] [i] [ )(chronic ethanol consumption ; ( ii ) statins [;] ( iii ) [aging] [;] [and] ( iv ) apoe isoform . 0 ###LEFT-WALL### 3 distribution 0 ###LEFT-WALL### 11 but 0 ###LEFT-WALL### 20 : 0 ###LEFT-WALL### 44 . 1 this 2 asymmetric 2 asymmetric 3 distribution 3 distribution 4 of 3 distribution 11 but 4 of 5 cholesterol 6 is 7 not 6 is 10 immobile 6 is 11 but 7 not 8 fixed 11 but 12 can 12 can 13 be 13 be 14 modified 14 modified 15 by 14 modified 19 vivo 15 by 17 conditions 16 different 17 conditions 18 in 19 vivo 20 : 26 consumption 20 : 27 ; 24 )(chronic 25 ethanol 25 ethanol 26 consumption 27 ; 31 statins 27 ; 42 apoe 28 ( 29 ii 29 ii 30 ) 29 ii 31 statins 31 statins 34 iii 31 statins 40 iv 31 statins 42 apoe 33 ( 34 iii 34 iii 35 ) 39 ( 40 iv 40 iv 41 ) 42 apoe 43 isoform several potential candidates have been proposed as mechanisms involved in regulation of spm cholesterol asymmetry : apoe , low - density lipoprotein receptor , sterol carrier protein - 2 , fatty acid binding proteins , polyunsaturated fatty acids , p - glycoprotein and caveolin - 1 . 0 ###LEFT-WALL### 1 several 0 ###LEFT-WALL### 6 proposed 0 ###LEFT-WALL### 16 : 2 potential 3 candidates 2 potential 5 been 2 potential 6 proposed 3 candidates 4 have 4 have 5 been 6 proposed 7 as 6 proposed 10 in 7 as 8 mechanisms 8 mechanisms 9 involved 10 in 11 regulation 11 regulation 12 of 12 of 15 asymmetry 13 spm 14 cholesterol 14 cholesterol 15 asymmetry 16 : 23 receptor 16 : 24 , 16 : 28 - 17 apoe 18 , 17 apoe 23 receptor 19 low 20 - 19 low 23 receptor 21 density 22 lipoprotein 22 lipoprotein 23 receptor 24 , 27 protein 25 sterol 27 protein 26 carrier 27 protein 28 - 29 2 29 2 34 proteins 29 2 38 acids 29 2 43 and 30 , 34 proteins 31 fatty 32 acid 32 acid 33 binding 33 binding 34 proteins 34 proteins 35 , 35 , 38 acids 36 polyunsaturated 38 acids 37 fatty 38 acids 38 acids 40 p 38 acids 41 - 39 , 40 p 40 p 41 - 41 - 43 and 42 glycoprotein 43 and 43 and 44 caveolin 43 and 46 1 43 and 47 . 45 - 46 1 46 1 47 . this review examines cholesterol asymmetry in spm , potential mechanisms of regulation and impact on membrane structure and function . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 examines 0 ###LEFT-WALL### 20 . 1 this 2 review 2 review 3 examines 3 examines 5 asymmetry 3 examines 6 in 3 examines 15 on 4 cholesterol 5 asymmetry 6 in 13 and 7 spm 8 , 8 , 10 mechanisms 8 , 13 and 9 potential 10 mechanisms 10 mechanisms 11 of 11 of 12 regulation 13 and 14 impact 15 on 18 and 16 membrane 17 structure 17 structure 18 and 18 and 19 function one of the key questions regarding the pathogenesis of alzheimer 's disease ( ad ) is [how] amyloid β - protein ( aβ ) , a proteinaceous component of senile plaques , starts to assemble into amyloid fibrils in the brain . 0 ###LEFT-WALL### 18 amyloid 0 ###LEFT-WALL### 42 . 1 one 2 of 1 one 6 regarding 1 one 14 ad 1 one 16 is 2 of 5 questions 3 the 5 questions 4 key 5 questions 6 regarding 8 pathogenesis 7 the 8 pathogenesis 8 pathogenesis 9 of 9 of 12 disease 10 alzheimer 11 's 11 's 12 disease 13 ( 14 ad 14 ad 15 ) 16 is 18 amyloid 18 amyloid 33 starts 18 amyloid 34 to 19 β 21 protein 19 β 33 starts 20 - 21 protein 21 protein 23 aβ 21 protein 28 component 21 protein 32 , 22 ( 23 aβ 23 aβ 24 ) 25 , 28 component 26 a 27 proteinaceous 26 a 28 component 27 proteinaceous 28 component 28 component 29 of 28 component 32 , 29 of 31 plaques 30 senile 31 plaques 34 to 35 assemble 35 assemble 36 into 35 assemble 39 in 36 into 38 fibrils 37 amyloid 38 fibrils 39 in 41 brain 40 the 41 brain a body of evidence is growing to suggest that aβ binds to ganglioside on neuronal membranes , and then [,] is converted to an endogenous seed with an altered conformation ( ganglioside - bound aβ , gaβ ) for amyloid fibril formation in the brain . 0 ###LEFT-WALL### 2 body 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 33 - 0 ###LEFT-WALL### 46 . 1 a 2 body 2 body 3 of 2 body 5 is 3 of 4 evidence 5 is 6 growing 6 growing 7 to 6 growing 27 with 7 to 8 suggest 8 suggest 9 that 9 that 10 aβ 9 that 18 and 11 binds 12 to 11 binds 14 on 11 binds 18 and 12 to 13 ganglioside 14 on 16 membranes 15 neuronal 16 membranes 17 , 18 and 18 and 21 is 19 then 21 is 21 is 22 converted 22 converted 23 to 23 to 26 seed 24 an 25 endogenous 24 an 26 seed 25 endogenous 26 seed 27 with 30 conformation 28 an 30 conformation 29 altered 30 conformation 30 conformation 32 ganglioside 31 ( 32 ganglioside 32 ganglioside 33 - 33 - 34 bound 34 bound 35 aβ 34 bound 39 for 34 bound 43 in 35 aβ 37 gaβ 36 , 37 gaβ 37 gaβ 38 ) 39 for 42 formation 40 amyloid 41 fibril 41 fibril 42 formation 43 in 45 brain 44 the 45 brain notably , [the] risk factors for the development of ad , including aging and apolipoprotein e4 , likely facilitate the formation of ganglioside clusters in lipid raft [-] like membrane microdomains at pre - synaptic terminals , which provide a favorable milieu for the gaβ generation . 0 ###LEFT-WALL### 4 risk 0 ###LEFT-WALL### 11 , 1 notably 2 , 1 notably 4 risk 4 risk 5 factors 4 risk 6 for 6 for 8 development 7 the 8 development 8 development 9 of 9 of 10 ad 11 , 19 facilitate 12 including 14 and 12 including 17 , 12 including 19 facilitate 13 aging 14 and 14 and 16 e4 14 and 17 , 15 apolipoprotein 16 e4 18 likely 19 facilitate 19 facilitate 21 formation 20 the 21 formation 21 formation 22 of 21 formation 30 membrane 21 formation 31 microdomains 21 formation 32 at 22 of 23 ganglioside 23 ganglioside 24 clusters 23 ganglioside 29 like 24 clusters 25 in 24 clusters 27 raft 25 in 26 lipid 27 raft 29 like 30 membrane 31 microdomains 32 at 36 terminals 33 pre 34 - 33 pre 36 terminals 35 synaptic 36 terminals 36 terminals 38 which 37 , 38 which 38 which 39 provide 38 which 47 . 39 provide 42 milieu 40 a 42 milieu 41 favorable 42 milieu 42 milieu 43 for 43 for 46 generation 44 the 46 generation 45 gaβ 46 generation furthermore , it has also been suggested that endocytic pathway abnormality of neurons is involved in the formation of the ganglioside clusters . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 7 suggested 0 ###LEFT-WALL### 23 . 1 furthermore 2 , 1 furthermore 3 it 3 it 4 has 4 has 6 been 5 also 6 been 6 been 7 suggested 7 suggested 8 that 8 that 11 abnormality 8 that 15 involved 9 endocytic 10 pathway 10 pathway 11 abnormality 11 abnormality 12 of 11 abnormality 14 is 12 of 13 neurons 14 is 15 involved 15 involved 16 in 16 in 18 formation 17 the 18 formation 18 formation 19 of 19 of 22 clusters 20 the 22 clusters 21 ganglioside 22 clusters in this review , the nature of the ganglioside clusters and how gangliosides behave in the clusters leading to the gaβ generation are discussed . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 24 discussed 0 ###LEFT-WALL### 25 . 1 in 3 review 1 in 4 , 1 in 11 and 2 this 3 review 5 the 6 nature 6 nature 7 of 6 nature 11 and 7 of 10 clusters 8 the 10 clusters 9 ganglioside 10 clusters 11 and 12 how 11 and 13 gangliosides 11 and 18 leading 11 and 23 are 13 gangliosides 14 behave 14 behave 15 in 15 in 17 clusters 16 the 17 clusters 17 clusters 18 leading 18 leading 19 to 19 to 22 generation 20 the 22 generation 21 gaβ 22 generation 23 are 24 discussed the relative roles that ageing and lifelong cytomegalovirus ( cmv ) infection [have] in shaping naive and memory cd4+ t - cell repertoires in healthy older people is unclear . 0 ###LEFT-WALL### 12 infection 0 ###LEFT-WALL### 28 is 0 ###LEFT-WALL### 30 . 1 the 12 infection 2 relative 3 roles 3 roles 12 infection 4 that 5 ageing 5 ageing 6 and 6 and 8 cytomegalovirus 6 and 10 cmv 6 and 12 infection 7 lifelong 8 cytomegalovirus 9 ( 10 cmv 10 cmv 11 ) 12 infection 14 in 12 infection 28 is 14 in 15 shaping 15 shaping 23 repertoires 15 shaping 24 in 16 naive 17 and 17 and 19 cd4+ 17 and 21 - 17 and 23 repertoires 18 memory 19 cd4+ 19 cd4+ 20 t 22 cell 23 repertoires 24 in 27 people 25 healthy 27 people 26 older 27 people 28 is 29 unclear using multiple linear regression analysis we found that age itself is a stronger predictor than [cmv] seropositivity for the decrease in cd45ra+ cd27+ cd4+ [t] cells over time . 0 ###LEFT-WALL### 1 using 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 29 . 1 using 5 analysis 1 using 10 itself 1 using 11 is 2 multiple 4 regression 3 linear 4 regression 4 regression 5 analysis 5 analysis 6 we 5 analysis 7 found 6 we 7 found 7 found 9 age 8 that 9 age 11 is 14 predictor 11 is 15 than 11 is 21 in 11 is 27 over 12 a 14 predictor 13 stronger 14 predictor 15 than 17 seropositivity 17 seropositivity 18 for 18 for 20 decrease 19 the 20 decrease 21 in 26 cells 22 cd45ra+ 26 cells 23 cd27+ 26 cells 24 cd4+ 26 cells 27 over 28 time in contrast , the increase in cd45ra⁻ cd27⁻ and cd45ra+ cd27⁻ cd4+ t cells is almost [exclusively] the result of cmv [seropositivity] , with age alone having no significant effect . 0 ###LEFT-WALL### 5 increase 0 ###LEFT-WALL### 15 is 1 in 2 contrast 1 in 3 , 1 in 5 increase 4 the 5 increase 5 increase 6 in 5 increase 15 is 6 in 14 cells 7 cd45ra⁻ 8 cd27⁻ 8 cd27⁻ 9 and 9 and 12 cd4+ 9 and 14 cells 10 cd45ra+ 12 cd4+ 11 cd27⁻ 12 cd4+ 12 cd4+ 13 t 15 is 16 almost 15 is 19 result 18 the 19 result 19 result 20 of 19 result 24 with 20 of 21 cmv 23 , 24 with 24 with 25 age 24 with 31 . 25 age 27 having 26 alone 27 having 27 having 30 effect 28 no 30 effect 29 significant 30 effect furthermore , the majority of the cd45ra⁻ cd27⁻ and cd45ra+ cd27⁻ cd4+ [t] cells in cmv - seropositive donors are specific for this virus . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 12 cd4+ 0 ###LEFT-WALL### 17 - 1 furthermore 2 , 1 furthermore 9 and 3 the 4 majority 4 majority 5 of 4 majority 9 and 5 of 8 cd27⁻ 6 the 8 cd27⁻ 7 cd45ra⁻ 8 cd27⁻ 9 and 11 cd27⁻ 9 and 12 cd4+ 10 cd45ra+ 11 cd27⁻ 12 cd4+ 14 cells 12 cd4+ 15 in 15 in 16 cmv 17 - 19 donors 17 - 20 are 17 - 25 . 18 seropositive 19 donors 19 donors 20 are 20 are 21 specific 21 specific 22 for 22 for 24 virus 23 this 24 virus cd45ra+ cd27⁻ cd4+ t cells have significantly reduced cd28 , interleukin - 7 receptor α ( il - 7rα ) and bcl - 2 expression , akt ( ser473 ) phosphorylation and reduced ability to survive after t - cell receptor activation compared with the other t - cell subsets in the same donors . 0 ###LEFT-WALL### 3 cd4+ 0 ###LEFT-WALL### 8 reduced 1 cd45ra+ 3 cd4+ 2 cd27⁻ 3 cd4+ 3 cd4+ 4 t 3 cd4+ 5 cells 3 cd4+ 6 have 3 cd4+ 8 reduced 5 cells 6 have 6 have 7 significantly 8 reduced 9 cd28 9 cd28 11 interleukin 10 , 11 interleukin 11 interleukin 15 α 11 interleukin 25 expression 11 interleukin 27 akt 11 interleukin 55 . 12 - 15 α 13 7 15 α 14 receptor 15 α 15 α 21 and 15 α 23 - 16 ( 21 and 17 il 19 7rα 17 il 21 and 18 - 19 7rα 19 7rα 20 ) 21 and 22 bcl 21 and 23 - 23 - 25 expression 24 2 25 expression 25 expression 26 , 26 , 27 akt 27 akt 32 and 27 akt 55 . 28 ( 32 and 29 ser473 30 ) 29 ser473 31 phosphorylation 31 phosphorylation 32 and 32 and 34 ability 32 and 35 to 32 and 36 survive 32 and 37 after 32 and 42 activation 32 and 55 . 33 reduced 34 ability 35 to 36 survive 37 after 38 t 39 - 42 activation 40 cell 41 receptor 41 receptor 42 activation 42 activation 43 compared 42 activation 50 subsets 42 activation 55 . 43 compared 44 with 44 with 46 other 44 with 47 t 45 the 46 other 48 - 50 subsets 49 cell 50 subsets 50 subsets 51 in 50 subsets 55 . 51 in 54 donors 52 the 53 same 52 the 54 donors despite this , the cd45ra+ cd27⁻ subset is as multifunctional as the cd45ra⁻ d27+ and cd45ra⁻ cd27⁻ cd4+ t - cell subsets , indicating that they are not an exhausted population . 0 ###LEFT-WALL### 7 subset 0 ###LEFT-WALL### 8 is 1 despite 2 this 1 despite 3 , 1 despite 7 subset 4 the 7 subset 5 cd45ra+ 7 subset 6 cd27⁻ 7 subset 7 subset 8 is 8 is 10 multifunctional 9 as 10 multifunctional 10 multifunctional 11 as 11 as 15 and 12 the 14 d27+ 13 cd45ra⁻ 14 d27+ 14 d27+ 15 and 15 and 18 cd4+ 15 and 22 subsets 15 and 24 indicating 16 cd45ra⁻ 17 cd27⁻ 17 cd27⁻ 18 cd4+ 18 cd4+ 19 t 20 - 22 subsets 21 cell 22 subsets 22 subsets 23 , 23 , 24 indicating 24 indicating 25 that 24 indicating 32 . 25 that 26 they 25 that 27 are 26 they 27 are 27 are 28 not 27 are 31 population 29 an 31 population 30 exhausted 31 population in addition , cd45ra+ cd27⁻ cd4+ [t] cells have cytotoxic potential as [they] express high levels of granzyme b and perforin . 0 ###LEFT-WALL### 8 cells 0 ###LEFT-WALL### 9 have 0 ###LEFT-WALL### 22 . 1 in 2 addition 1 in 3 , 1 in 8 cells 4 cd45ra+ 8 cells 5 cd27⁻ 8 cells 6 cd4+ 8 cells 8 cells 9 have 9 have 20 and 10 cytotoxic 11 potential 11 potential 12 as 11 potential 20 and 12 as 16 levels 14 express 16 levels 15 high 16 levels 16 levels 17 of 17 of 18 granzyme 18 granzyme 19 b 20 and 21 perforin cd4+ memory t cells re - expressing cd45ra can be generated from the cd45ra⁻ cd27+ population by the addition of il - 7 and during this process these cells down - regulated expression of il - 7r and bcl - 2 and so resemble their counterparts in vivo . 0 ###LEFT-WALL### 4 cells 0 ###LEFT-WALL### 11 generated 0 ###LEFT-WALL### 22 - 1 cd4+ 2 memory 2 memory 3 t 2 memory 4 cells 4 cells 5 re 4 cells 9 can 5 re 6 - 5 re 8 cd45ra 7 expressing 8 cd45ra 9 can 10 be 10 be 11 generated 11 generated 12 from 11 generated 17 by 12 from 16 population 13 the 16 population 14 cd45ra⁻ 16 population 15 cd27+ 16 population 17 by 19 addition 18 the 19 addition 19 addition 20 of 20 of 21 il 22 - 23 7 22 - 24 and 22 - 49 . 24 and 29 cells 24 and 42 and 25 during 27 process 25 during 29 cells 26 this 27 process 28 these 29 cells 29 cells 42 and 30 down 36 - 30 down 41 2 30 down 42 and 31 - 36 - 32 regulated 33 expression 33 expression 34 of 33 expression 36 - 34 of 35 il 36 - 38 and 36 - 40 - 37 7r 38 and 38 and 39 bcl 42 and 44 resemble 43 so 44 resemble 44 resemble 46 counterparts 44 resemble 48 vivo 45 their 46 counterparts 47 in 48 vivo finally we showed that the proportion of cd45ra+ cd27⁻ cd4+ [t] cells of multiple specificities was significantly higher in the bone marrow than the blood of the same individuals , suggesting that this may be a site where these cells are generated . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 30 , 0 ###LEFT-WALL### 43 . 1 finally 2 we 2 we 3 showed 3 showed 4 that 4 that 6 proportion 4 that 16 was 5 the 6 proportion 6 proportion 7 of 6 proportion 16 was 7 of 12 cells 8 cd45ra+ 9 cd27⁻ 9 cd27⁻ 12 cells 10 cd4+ 12 cells 12 cells 13 of 13 of 15 specificities 14 multiple 15 specificities 16 was 17 significantly 16 was 18 higher 18 higher 19 in 18 higher 23 than 19 in 22 marrow 20 the 22 marrow 21 bone 22 marrow 23 than 25 blood 24 the 25 blood 25 blood 26 of 26 of 29 individuals 27 the 28 same 28 same 29 individuals 30 , 31 suggesting 30 , 35 be 31 suggesting 32 that 31 suggesting 35 be 32 that 33 this 32 that 34 may 33 this 34 may 35 be 37 site 35 be 38 where 36 a 37 site 38 where 40 cells 38 where 42 generated 39 these 40 cells 40 cells 41 are 41 are 42 generated regeneration , tissue remodeling , and organ repair after injury , which rely on the regulated activity of tissue - borne stem cells , become increasingly compromised with advancing age . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 27 compromised 0 ###LEFT-WALL### 31 . 1 regeneration 2 , 2 , 4 remodeling 2 , 6 and 3 tissue 4 remodeling 5 , 6 and 6 and 8 repair 6 and 11 , 6 and 12 which 6 and 13 rely 6 and 27 compromised 7 organ 8 repair 8 repair 9 after 9 after 10 injury 12 which 13 rely 13 rely 14 on 14 on 17 activity 15 the 17 activity 16 regulated 17 activity 17 activity 18 of 17 activity 25 become 18 of 19 tissue 19 tissue 23 cells 20 - 23 cells 21 borne 22 stem 22 stem 23 cells 23 cells 24 , 26 increasingly 27 compromised 27 compromised 28 with 28 with 29 advancing 29 advancing 30 age mesenchymal stroma cells were isolated from bone [of] differently aged healthy donors . 0 ###LEFT-WALL### 3 cells 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 13 . 1 mesenchymal 3 cells 2 stroma 3 cells 3 cells 4 were 4 were 5 isolated 5 isolated 6 from 6 from 12 donors 7 bone 12 donors 9 differently 10 aged 10 aged 12 donors 11 healthy 12 donors in cd106 ( bright ) mscs , the abundance of a panel of stemness transcription factors remained unchanged . 0 ###LEFT-WALL### 9 abundance 0 ###LEFT-WALL### 17 remained 0 ###LEFT-WALL### 19 . 1 in 2 cd106 1 in 9 abundance 3 ( 4 bright 4 bright 5 ) 4 bright 9 abundance 6 mscs 7 , 6 mscs 9 abundance 8 the 9 abundance 9 abundance 10 of 9 abundance 17 remained 10 of 12 panel 11 a 12 panel 12 panel 13 of 13 of 16 factors 14 stemness 16 factors 15 transcription 16 factors 17 remained 18 unchanged because the cd106 level could be further enhanced by proinflammatory cytokines , we considered the rate of vcam - 1 expression to be a good reflection of an endogenous inflammatory milieu to which the mscs are exposed . 0 ###LEFT-WALL### 13 we 0 ###LEFT-WALL### 23 be 1 because 3 cd106 1 because 8 enhanced 1 because 12 , 1 because 13 we 2 the 3 cd106 3 cd106 4 level 3 cd106 6 be 3 cd106 8 enhanced 4 level 5 could 5 could 6 be 7 further 8 enhanced 8 enhanced 9 by 8 enhanced 11 cytokines 9 by 10 proinflammatory 13 we 14 considered 14 considered 16 rate 14 considered 21 expression 14 considered 22 to 15 the 16 rate 16 rate 17 of 17 of 18 vcam 19 - 20 1 20 1 21 expression 22 to 23 be 23 be 26 reflection 24 a 26 reflection 25 good 26 reflection 26 reflection 27 of 27 of 31 milieu 28 an 29 endogenous 28 an 31 milieu 29 endogenous 31 milieu 30 inflammatory 31 milieu 31 milieu 32 to 32 to 33 which 32 to 35 mscs 32 to 37 exposed 34 the 35 mscs 35 mscs 36 are 36 are 37 exposed 37 exposed 38 . treatment of mscs with increasing doses [of] interferon - [γ] [exerted] no immediate influence on their self - renewal capacity . 0 ###LEFT-WALL### 8 interferon 0 ###LEFT-WALL### 9 - 0 ###LEFT-WALL### 21 . 1 treatment 2 of 1 treatment 8 interferon 2 of 3 mscs 3 mscs 4 with 4 with 5 increasing 5 increasing 6 doses 9 - 14 influence 9 - 18 - 12 no 14 influence 13 immediate 14 influence 14 influence 15 on 15 on 17 self 16 their 17 self 18 - 20 capacity 19 renewal 20 capacity however , it impacted on the differentiation potential toward the adipogenic or osteogenic lineage . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 4 impacted 0 ###LEFT-WALL### 15 . 1 however 2 , 1 however 3 it 3 it 4 impacted 4 impacted 5 on 4 impacted 8 potential 4 impacted 9 toward 5 on 7 differentiation 6 the 7 differentiation 9 toward 14 lineage 10 the 14 lineage 11 adipogenic 12 or 12 or 13 osteogenic 12 or 14 lineage moderately elevated levels of inflammatory stimuli supported osteoblastogenesis whereas the same treatment reduced adipogenic differentiation in mscs from young and intermediately aged donors . 0 ###LEFT-WALL### 3 levels 0 ###LEFT-WALL### 7 supported 0 ###LEFT-WALL### 24 . 1 moderately 2 elevated 2 elevated 3 levels 3 levels 4 of 3 levels 7 supported 4 of 6 stimuli 5 inflammatory 6 stimuli 7 supported 8 osteoblastogenesis 7 supported 9 whereas 9 whereas 12 treatment 9 whereas 13 reduced 10 the 11 same 10 the 12 treatment 12 treatment 13 reduced 13 reduced 15 differentiation 13 reduced 16 in 14 adipogenic 15 differentiation 16 in 17 mscs 17 mscs 18 from 18 from 23 donors 19 young 20 and 20 and 22 aged 20 and 23 donors 21 intermediately 22 aged in mscs from elderly donors , however , osteoblastogenesis [was] greatly diminished in an inflammatory environment whereas adipogenic differentiation remained unchanged . 0 ###LEFT-WALL### 9 osteoblastogenesis 0 ###LEFT-WALL### 12 diminished 0 ###LEFT-WALL### 22 . 1 in 2 mscs 1 in 6 , 1 in 9 osteoblastogenesis 2 mscs 3 from 3 from 5 donors 4 elderly 5 donors 6 , 7 however 7 however 8 , 7 however 9 osteoblastogenesis 9 osteoblastogenesis 12 diminished 11 greatly 12 diminished 12 diminished 13 in 12 diminished 17 whereas 13 in 16 environment 14 an 15 inflammatory 14 an 16 environment 15 inflammatory 16 environment 17 whereas 19 differentiation 17 whereas 20 remained 18 adipogenic 19 differentiation 19 differentiation 20 remained 20 remained 21 unchanged conclusively , moderate levels of inflammatory stimuli are being interpreted by mscs at a young age as instructive signals for osteoblastogenesis , whereas at old age , an inflammatory milieu may effectively suppress bone remodeling and repair by tissue - borne mscs while uninterrupted adipogenic differentiation may lead to adipose upgrowth . 0 ###LEFT-WALL### 4 levels 0 ###LEFT-WALL### 10 interpreted 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 52 . 1 conclusively 2 , 1 conclusively 4 levels 3 moderate 4 levels 4 levels 5 of 4 levels 8 are 5 of 7 stimuli 6 inflammatory 7 stimuli 8 are 9 being 9 being 10 interpreted 10 interpreted 11 by 10 interpreted 13 at 11 by 12 mscs 13 at 16 age 14 a 15 young 14 a 16 age 15 young 16 age 16 age 17 as 17 as 19 signals 18 instructive 19 signals 19 signals 20 for 20 for 21 osteoblastogenesis 22 , 46 differentiation 22 , 48 lead 23 whereas 30 milieu 23 whereas 33 suppress 23 whereas 46 differentiation 24 at 26 age 24 at 27 , 24 at 30 milieu 25 old 26 age 28 an 30 milieu 29 inflammatory 30 milieu 30 milieu 31 may 31 may 33 suppress 32 effectively 33 suppress 33 suppress 36 and 34 bone 35 remodeling 35 remodeling 36 and 36 and 37 repair 36 and 40 - 36 and 41 borne 37 repair 38 by 38 by 39 tissue 42 mscs 46 differentiation 43 while 44 uninterrupted 43 while 46 differentiation 45 adipogenic 46 differentiation 46 differentiation 47 may 47 may 48 lead 48 lead 49 to 49 to 51 upgrowth 50 adipose 51 upgrowth hiv clinical care now involves prevention and treatment of age - associated comorbidity . 0 ###LEFT-WALL### 1 hiv 0 ###LEFT-WALL### 12 associated 0 ###LEFT-WALL### 14 . 1 hiv 3 care 1 hiv 5 involves 1 hiv 12 associated 2 clinical 3 care 3 care 5 involves 4 now 5 involves 5 involves 7 and 6 prevention 7 and 7 and 8 treatment 7 and 11 - 8 treatment 9 of 9 of 10 age 12 associated 13 comorbidity although physical function [is] [an] established [correlate] [to] comorbidity in older adults without hiv infection , its role in aging of hiv - infected adults is not well understood . 0 ###LEFT-WALL### 28 well 0 ###LEFT-WALL### 29 understood 0 ###LEFT-WALL### 30 . 1 although 9 comorbidity 1 although 26 is 1 although 28 well 2 physical 9 comorbidity 3 function 6 established 6 established 9 comorbidity 9 comorbidity 10 in 9 comorbidity 26 is 10 in 12 adults 11 older 12 adults 12 adults 13 without 13 without 14 hiv 14 hiv 15 infection 14 hiv 24 infected 15 infection 18 role 15 infection 24 infected 16 , 18 role 17 its 18 role 18 role 19 in 18 role 21 of 18 role 23 - 19 in 20 aging 21 of 22 hiv 24 infected 25 adults 26 is 27 not 28 well 29 understood to [investigate] this question we conducted cross - sectional analyses including linear regression models of physical function in 3227 hiv - infected and 3240 uninfected patients enrolled 2002 - 2006 in the veterans aging cohort study - 8 - site ( vacs - 8 ) . 0 ###LEFT-WALL### 7 cross 0 ###LEFT-WALL### 8 - 1 to 4 question 1 to 7 cross 3 this 4 question 4 question 5 we 4 question 6 conducted 5 we 6 conducted 8 - 10 analyses 9 sectional 10 analyses 10 analyses 11 including 10 analyses 15 of 10 analyses 18 in 11 including 14 models 12 linear 13 regression 13 regression 14 models 15 of 17 function 16 physical 17 function 18 in 19 3227 19 3227 23 and 19 3227 27 enrolled 20 hiv 22 infected 20 hiv 23 and 21 - 22 infected 23 and 26 patients 23 and 27 enrolled 24 3240 25 uninfected 25 uninfected 26 patients 27 enrolled 29 - 27 enrolled 31 in 28 2002 29 - 29 - 30 2006 31 in 36 study 32 the 36 study 33 veterans 34 aging 34 aging 35 cohort 35 cohort 36 study 36 study 38 8 36 study 40 site 37 - 38 8 38 8 39 - 39 - 40 site 40 site 43 - 40 site 46 . 41 ( 43 - 42 vacs 43 - 43 - 44 8 43 - 45 ) baseline self - [reported] physical [function] correlated with the short form - 12 physical subscale [(] ρ = 0.74 , p < 0.001 ) , and predicted survival . 0 ###LEFT-WALL### 2 self 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 29 . 1 baseline 2 self 3 - 26 and 5 physical 7 correlated 5 physical 26 and 7 correlated 8 with 8 with 11 form 9 the 11 form 10 short 11 form 11 form 13 12 12 - 13 12 13 12 17 ρ 13 12 18 = 13 12 25 , 14 physical 17 ρ 15 subscale 17 ρ 17 ρ 18 = 18 = 22 < 19 0.74 22 < 20 , 22 < 21 p 22 < 22 < 23 0.001 22 < 24 ) 26 and 28 survival 27 predicted 28 survival across the age groups decline [in] physical function per year was greater in hiv - infected patients ( β ( coef ) - 0.25 , p < 0.001 ) compared to uninfected patients ( β ( coef ) - 0.08 , p = 0.03 ) . 0 ###LEFT-WALL### 1 across 0 ###LEFT-WALL### 11 was 0 ###LEFT-WALL### 23 - 1 across 11 was 2 the 8 function 3 age 8 function 4 groups 5 decline 5 decline 8 function 7 physical 8 function 8 function 9 per 8 function 11 was 9 per 10 year 11 was 12 greater 12 greater 13 in 13 in 14 hiv 14 hiv 17 patients 15 - 17 patients 16 infected 17 patients 17 patients 19 β 17 patients 22 ) 18 ( 19 β 19 β 21 coef 19 β 22 ) 20 ( 21 coef 21 coef 22 ) 23 - 24 0.25 23 - 30 compared 23 - 46 . 24 0.25 27 < 24 0.25 30 compared 25 , 27 < 26 p 27 < 27 < 28 0.001 27 < 29 ) 30 compared 31 to 30 compared 40 0.08 31 to 33 patients 32 uninfected 33 patients 33 patients 35 β 34 ( 35 β 35 β 37 coef 35 β 39 - 36 ( 37 coef 37 coef 38 ) 40 0.08 43 = 41 , 43 = 42 p 43 = 43 = 44 0.03 43 = 45 ) this difference , [although] statistically significant ( p < 0.01 ) , was small . 0 ###LEFT-WALL### 2 difference 0 ###LEFT-WALL### 13 was 0 ###LEFT-WALL### 15 . 1 this 2 difference 2 difference 6 significant 2 difference 13 was 3 , 6 significant 5 statistically 6 significant 6 significant 9 < 6 significant 12 , 7 ( 9 < 8 p 9 < 9 < 10 0.01 9 < 11 ) 13 was 14 small function in the average 50 - year old hiv - infected subject was equivalent to the average 51.5 - [year] - old uninfected subject . 0 ###LEFT-WALL### 1 function 0 ###LEFT-WALL### 21 - 0 ###LEFT-WALL### 25 . 1 function 2 in 1 function 11 infected 1 function 13 was 2 in 4 average 3 the 4 average 4 average 5 50 4 average 9 hiv 6 - 9 hiv 7 year 9 hiv 8 old 9 hiv 9 hiv 10 - 11 infected 12 subject 13 was 14 equivalent 14 equivalent 15 to 14 equivalent 19 - 15 to 17 average 16 the 17 average 18 51.5 19 - 19 - 21 - 21 - 24 subject 22 old 24 subject 23 uninfected 24 subject history of cardiovascular disease was a significant predictor [of] poor function , but the effect was similar across groups . 0 ###LEFT-WALL### 1 history 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 13 but 0 ###LEFT-WALL### 20 . 1 history 2 of 1 history 5 was 2 of 4 disease 3 cardiovascular 4 disease 5 was 11 function 6 a 7 significant 6 a 11 function 7 significant 8 predictor 8 predictor 11 function 10 poor 11 function 12 , 13 but 13 but 15 effect 13 but 16 was 14 the 15 effect 15 effect 16 was 16 was 17 similar 17 similar 18 across 18 across 19 groups chronic pulmonary disease had a differential effect on function [by] hiv status ( δβ ( coef ) - 3.5 , p = 0.03 ) . 0 ###LEFT-WALL### 3 disease 0 ###LEFT-WALL### 4 had 0 ###LEFT-WALL### 25 . 1 chronic 3 disease 2 pulmonary 3 disease 3 disease 4 had 4 had 7 effect 4 had 8 on 4 had 22 = 5 a 7 effect 6 differential 7 effect 8 on 12 status 9 function 12 status 11 hiv 12 status 12 status 14 δβ 13 ( 14 δβ 14 δβ 16 coef 14 δβ 18 - 15 ( 16 coef 16 coef 17 ) 19 3.5 22 = 20 , 22 = 21 p 22 = 22 = 23 0.03 22 = 24 ) a 50 [-] year [-] old hiv [-] infected subject with chronic pulmonary disease had the equivalent level [of] function as a 68.1 [-] year [-] old uninfected subject with chronic pulmonary disease . 0 ###LEFT-WALL### 7 hiv 0 ###LEFT-WALL### 15 had 0 ###LEFT-WALL### 34 . 1 a 7 hiv 2 50 4 year 4 year 6 old 6 old 7 hiv 7 hiv 9 infected 7 hiv 15 had 9 infected 10 subject 10 subject 11 with 11 with 14 disease 12 chronic 14 disease 13 pulmonary 14 disease 15 had 18 level 15 had 20 function 16 the 18 level 17 equivalent 18 level 20 function 21 as 20 function 30 with 21 as 29 subject 22 a 29 subject 23 68.1 25 year 25 year 27 old 27 old 28 uninfected 28 uninfected 29 subject 30 with 33 disease 31 chronic 33 disease 32 pulmonary 33 disease we conclude that age - associated comorbidity affects physical function [in] hiv - infected patients , and may modify the effect of aging . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 conclude 0 ###LEFT-WALL### 5 - 1 we 2 conclude 2 conclude 4 age 3 that 4 age 5 - 7 comorbidity 5 - 17 and 5 - 24 . 6 associated 7 comorbidity 7 comorbidity 17 and 8 affects 12 hiv 8 affects 17 and 9 physical 10 function 10 function 12 hiv 12 hiv 15 patients 13 - 15 patients 14 infected 15 patients 15 patients 16 , 16 , 17 and 17 and 18 may 18 may 19 modify 19 modify 21 effect 20 the 21 effect 21 effect 22 of 22 of 23 aging longitudinal research with markers of disease severity is needed to investigate loss of physical function [with] aging , and to develop age - specific hiv care guidelines . 0 ###LEFT-WALL### 1 longitudinal 0 ###LEFT-WALL### 9 needed 0 ###LEFT-WALL### 23 - 1 longitudinal 2 research 1 longitudinal 8 is 1 longitudinal 9 needed 2 research 3 with 2 research 8 is 3 with 4 markers 4 markers 5 of 5 of 7 severity 6 disease 7 severity 9 needed 10 to 9 needed 19 and 10 to 19 and 11 investigate 12 loss 11 investigate 19 and 12 loss 13 of 13 of 17 aging 14 physical 15 function 15 function 17 aging 18 , 19 and 19 and 20 to 19 and 21 develop 20 to 21 develop 21 develop 22 age 23 - 27 guidelines 23 - 28 . 24 specific 26 care 25 hiv 26 care 26 care 27 guidelines children recognize children 's faces more accurately than adult faces , and adults recognize adult faces more accurately than children 's faces ( e.g [.] , anastasi & rhodes , 2005 ) . 0 ###LEFT-WALL### 1 children 0 ###LEFT-WALL### 2 recognize 0 ###LEFT-WALL### 33 . 1 children 2 recognize 2 recognize 5 faces 2 recognize 7 accurately 2 recognize 8 than 2 recognize 19 than 3 children 4 's 4 's 5 faces 6 more 7 accurately 8 than 12 and 8 than 14 recognize 9 adult 10 faces 10 faces 12 and 11 , 12 and 12 and 13 adults 12 and 14 recognize 14 recognize 16 faces 14 recognize 18 accurately 15 adult 16 faces 17 more 18 accurately 19 than 22 faces 20 children 21 's 21 's 22 faces 22 faces 24 e.g 22 faces 29 rhodes 23 ( 24 e.g 24 e.g 26 , 26 , 29 rhodes 27 anastasi 28 & 28 & 29 rhodes 29 rhodes 31 2005 29 rhodes 32 ) 30 , 31 2005 31 2005 32 ) this is the own - age bias . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 8 . 1 this 2 is 2 is 7 bias 3 the 4 own 3 the 7 bias 4 own 5 - 6 age 7 bias research has shown that this bias is at least partially based on experience since trainee teachers show less [of] an [own] [-] age bias than do other adults ( harrison & hole , 2009 ) . 0 ###LEFT-WALL### 1 research 0 ###LEFT-WALL### 3 shown 0 ###LEFT-WALL### 36 . 1 research 2 has 2 has 3 shown 3 shown 4 that 4 that 6 bias 4 that 11 based 5 this 6 bias 6 bias 7 is 7 is 9 least 7 is 11 based 8 at 9 least 10 partially 11 based 11 based 12 on 11 based 14 since 12 on 13 experience 14 since 16 teachers 14 since 17 show 15 trainee 16 teachers 16 teachers 17 show 17 show 18 less 17 show 24 bias 17 show 25 than 20 an 24 bias 23 age 24 bias 25 than 26 do 26 do 28 adults 27 other 28 adults 28 adults 32 hole 28 adults 34 2009 29 ( 32 hole 30 harrison 31 & 31 & 32 hole 32 hole 33 , 33 , 34 2009 34 2009 35 ) the present research tested the own - age bias in three groups of children ( age 4 - 6 , 7 - 9 , 10 - 12 years ) and a group of adults in the recognition of three age groups of faces ( age 7 - 9 , 20 - 22 , and 65 - 90 years ) . 0 ###LEFT-WALL### 3 research 0 ###LEFT-WALL### 4 tested 0 ###LEFT-WALL### 60 . 1 the 3 research 2 present 3 research 3 research 4 tested 4 tested 30 and 4 tested 35 in 5 the 6 own 5 the 9 bias 6 own 7 - 8 age 9 bias 9 bias 10 in 9 bias 30 and 10 in 12 groups 11 three 12 groups 12 groups 13 of 12 groups 22 - 12 groups 28 years 13 of 14 children 14 children 16 age 15 ( 16 age 16 age 17 4 16 age 19 6 16 age 20 , 18 - 19 6 19 6 20 , 20 , 22 - 21 7 22 - 22 - 23 9 22 - 24 , 24 , 28 years 25 10 26 - 26 - 27 12 26 - 28 years 28 years 29 ) 30 and 32 group 30 and 33 of 31 a 32 group 33 of 34 adults 35 in 37 recognition 36 the 37 recognition 37 recognition 38 of 38 of 54 and 39 three 41 groups 40 age 41 groups 41 groups 42 of 41 groups 54 and 42 of 43 faces 43 faces 45 age 44 ( 45 age 45 age 47 - 45 age 50 20 45 age 53 , 46 7 47 - 47 - 48 9 49 , 50 20 50 20 52 22 50 20 53 , 51 - 52 22 52 22 53 , 53 , 54 and 54 and 58 years 54 and 59 ) 55 65 56 - 56 - 57 90 56 - 58 years results showed [an] own - age bias for 7 - to 9 [-] year - old children and adults . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 showed 0 ###LEFT-WALL### 20 . 1 results 2 showed 2 showed 4 own 2 showed 17 children 2 showed 18 and 4 own 7 bias 4 own 11 to 5 - 7 bias 6 age 7 bias 7 bias 8 for 7 bias 10 - 8 for 9 7 10 - 11 to 11 to 14 year 11 to 15 - 12 9 14 year 16 old 17 children 18 and 19 adults specifically , children could recognize faces more accurately if they were less than two years different from their own age than if they were more than two years older or younger . 0 ###LEFT-WALL### 3 children 0 ###LEFT-WALL### 5 recognize 0 ###LEFT-WALL### 32 . 1 specifically 2 , 1 specifically 3 children 3 children 4 could 4 could 5 recognize 5 recognize 6 faces 5 recognize 8 accurately 5 recognize 9 if 5 recognize 12 less 5 recognize 13 than 5 recognize 22 if 7 more 8 accurately 9 if 10 they 9 if 11 were 10 they 11 were 13 than 15 years 13 than 20 age 14 two 15 years 15 years 16 different 15 years 20 age 16 different 17 from 17 from 19 own 18 their 19 own 20 age 21 than 22 if 23 they 22 if 24 were 23 they 24 were 24 were 28 years 24 were 30 or 25 more 26 than 26 than 27 two 27 two 28 years 29 older 30 or 30 or 31 younger these results are discussed in terms of short - term experience with faces creating biases , and this rapidly changes with age . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 4 discussed 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 23 . 1 these 2 results 2 results 3 are 3 are 4 discussed 4 discussed 5 in 4 discussed 12 with 5 in 6 terms 6 terms 7 of 7 of 11 experience 8 short 9 - 8 short 10 term 10 term 11 experience 12 with 13 faces 13 faces 14 creating 14 creating 15 biases 16 , 17 and 17 and 18 this 17 and 20 changes 18 this 20 changes 19 rapidly 20 changes 20 changes 21 with 21 with 22 age this study examined health disparities and the potential intervention role of social engagement in eliminating health disparities . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 examined 0 ###LEFT-WALL### 18 . 1 this 2 study 2 study 3 examined 3 examined 6 and 3 examined 14 in 4 health 5 disparities 5 disparities 6 and 6 and 10 role 6 and 11 of 7 the 10 role 8 potential 9 intervention 9 intervention 10 role 11 of 13 engagement 12 social 13 engagement 14 in 15 eliminating 15 eliminating 17 disparities 16 health 17 disparities using a sample of 85 older women of 101 senior center participants in the city of pittsburgh , this study found that racial differences existed in senior center activity participation and physical functioning between white and [non] - white women , and the sustained activity engagement was associated with physical functioning . 0 ###LEFT-WALL### 20 study 0 ###LEFT-WALL### 21 found 0 ###LEFT-WALL### 36 and 0 ###LEFT-WALL### 52 . 1 using 3 sample 1 using 13 in 1 using 18 , 1 using 20 study 2 a 3 sample 3 sample 4 of 4 of 7 women 5 85 7 women 6 older 7 women 7 women 8 of 8 of 12 participants 9 101 12 participants 10 senior 12 participants 11 center 12 participants 13 in 15 city 14 the 15 city 15 city 16 of 16 of 17 pittsburgh 19 this 20 study 20 study 21 found 21 found 22 that 22 that 24 differences 22 that 25 existed 23 racial 24 differences 24 differences 25 existed 25 existed 26 in 25 existed 34 between 26 in 31 and 27 senior 30 participation 28 center 30 participation 29 activity 30 participation 30 participation 31 and 31 and 32 physical 31 and 33 functioning 34 between 35 white 36 and 38 - 36 and 46 engagement 36 and 48 associated 39 white 40 women 40 women 42 and 41 , 42 and 42 and 45 activity 42 and 46 engagement 43 the 45 activity 44 sustained 45 activity 46 engagement 47 was 47 was 48 associated 48 associated 49 with 49 with 51 functioning 50 physical 51 functioning the activity participation model explained more variance in physical functioning among older women than in the whole sample , including both males and females . 0 ###LEFT-WALL### 4 model 0 ###LEFT-WALL### 5 explained 1 the 4 model 2 activity 4 model 3 participation 4 model 4 model 5 explained 5 explained 7 variance 5 explained 8 in 5 explained 11 among 5 explained 14 than 6 more 7 variance 8 in 10 functioning 9 physical 10 functioning 11 among 13 women 12 older 13 women 14 than 15 in 15 in 18 sample 16 the 18 sample 17 whole 18 sample 18 sample 20 including 19 , 20 including 20 including 23 and 20 including 25 . 21 both 23 and 22 males 23 and 23 and 24 females the findings indicated that older women who participated in senior center activity for a sustained period experienced fewer functional limitations and chronic conditions than those short - term participants . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 indicated 0 ###LEFT-WALL### 30 . 1 the 2 findings 2 findings 3 indicated 3 indicated 4 that 4 that 6 women 4 that 17 experienced 5 older 6 women 6 women 7 who 6 women 8 participated 6 women 17 experienced 7 who 8 participated 8 participated 9 in 9 in 12 activity 10 senior 11 center 11 center 12 activity 12 activity 13 for 13 for 16 period 14 a 16 period 15 sustained 16 period 17 experienced 21 and 17 experienced 24 than 18 fewer 20 limitations 19 functional 20 limitations 20 limitations 21 and 21 and 23 conditions 22 chronic 23 conditions 24 than 29 participants 25 those 29 participants 26 short 27 - 26 short 28 term 28 term 29 participants the study discussed the importance of senior centers as a community [-] based resource in providing social integration through a variety of activities among [non] [-] white older women . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 discussed 0 ###LEFT-WALL### 30 . 1 the 2 study 2 study 3 discussed 3 discussed 5 importance 3 discussed 9 as 3 discussed 15 in 4 the 5 importance 5 importance 6 of 6 of 8 centers 7 senior 8 centers 9 as 14 resource 10 a 14 resource 11 community 13 based 13 based 14 resource 15 in 16 providing 16 providing 18 integration 16 providing 19 through 16 providing 24 among 17 social 18 integration 19 through 21 variety 20 a 21 variety 21 variety 22 of 22 of 23 activities 24 among 29 women 27 white 29 women 28 older 29 women despite consistent reports over many years of a greater prevalence of depression among women , mechanisms underlying the gender difference remain unclear . 0 ###LEFT-WALL### 16 mechanisms 0 ###LEFT-WALL### 21 remain 0 ###LEFT-WALL### 23 . 1 despite 3 reports 1 despite 15 , 1 despite 16 mechanisms 2 consistent 3 reports 3 reports 4 over 4 over 6 years 5 many 6 years 6 years 7 of 7 of 10 prevalence 8 a 10 prevalence 9 greater 10 prevalence 10 prevalence 11 of 11 of 12 depression 12 depression 13 among 13 among 14 women 16 mechanisms 17 underlying 16 mechanisms 21 remain 17 underlying 20 difference 18 the 20 difference 19 gender 20 difference 21 remain 22 unclear mechanisms relevant to immigrant elderly populations are virtually unexplored . 0 ###LEFT-WALL### 1 mechanisms 0 ###LEFT-WALL### 7 are 0 ###LEFT-WALL### 10 . 1 mechanisms 2 relevant 1 mechanisms 7 are 2 relevant 3 to 3 to 6 populations 4 immigrant 6 populations 5 elderly 6 populations 7 are 9 unexplored 8 virtually 9 unexplored the present study examined gender variations in depressive symptoms using a community sample of 230 older korean american immigrants [(] m ( age ) = 69.8 ; standard deviation = 7.05 [ )(in florida . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 examined 0 ###LEFT-WALL### 27 ; 0 ###LEFT-WALL### 35 . 1 the 3 study 2 present 3 study 3 study 4 examined 4 examined 5 gender 4 examined 25 = 5 gender 6 variations 5 gender 13 sample 5 gender 14 of 5 gender 25 = 6 variations 7 in 6 variations 10 using 6 variations 13 sample 7 in 9 symptoms 8 depressive 9 symptoms 10 using 12 community 11 a 12 community 14 of 19 immigrants 15 230 19 immigrants 16 older 17 korean 17 korean 19 immigrants 18 american 19 immigrants 19 immigrants 21 m 19 immigrants 23 age 22 ( 23 age 23 age 24 ) 25 = 26 69.8 27 ; 29 deviation 27 ; 30 = 28 standard 29 deviation 29 deviation 30 = 30 = 31 7.05 31 7.05 33 )(in 33 )(in 34 florida we were interested in examining not only mean differences but gender differences in the impact of demographic variables ( age , marital status , and education ) , health constraints ( chronic conditions and functional disability ) , and personal resources ( sense of control , social network , and acculturation ) on depressive symptoms . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 interested 0 ###LEFT-WALL### 21 , 1 we 2 were 2 were 3 interested 3 interested 4 in 4 in 5 examining 5 examining 10 but 5 examining 13 in 6 not 7 only 7 only 10 but 8 mean 9 differences 9 differences 10 but 10 but 12 differences 11 gender 12 differences 13 in 15 impact 14 the 15 impact 15 impact 16 of 16 of 18 variables 17 demographic 18 variables 18 variables 20 age 19 ( 20 age 20 age 21 , 21 , 39 and 22 marital 23 status 23 status 25 and 24 , 25 and 25 and 26 education 25 and 27 ) 25 and 30 constraints 25 and 39 and 28 , 30 constraints 29 health 30 constraints 30 constraints 34 and 30 constraints 37 ) 31 ( 34 and 32 chronic 33 conditions 33 conditions 34 and 34 and 36 disability 34 and 37 ) 35 functional 36 disability 38 , 39 and 39 and 41 resources 39 and 50 and 40 personal 41 resources 42 ( 50 and 43 sense 44 of 43 sense 46 , 44 of 45 control 46 , 48 network 46 , 50 and 47 social 48 network 49 , 50 and 50 and 51 acculturation 50 and 52 ) 50 and 53 on 50 and 56 . 53 on 55 symptoms 54 depressive 55 symptoms consistent with previous literature , women scored higher on depressive symptoms than men . 0 ###LEFT-WALL### 6 women 0 ###LEFT-WALL### 7 scored 0 ###LEFT-WALL### 14 . 1 consistent 2 with 1 consistent 5 , 1 consistent 6 women 2 with 4 literature 3 previous 4 literature 6 women 7 scored 7 scored 8 higher 8 higher 9 on 8 higher 12 than 9 on 11 symptoms 10 depressive 11 symptoms 12 than 13 men in a hierarchical regression model , women and those with more chronic conditions , greater functional disability , and lower sense of control were found to have more depressive symptoms . 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 27 have 0 ###LEFT-WALL### 31 . 1 in 5 model 1 in 6 , 1 in 19 and 2 a 3 hierarchical 2 a 5 model 3 hierarchical 4 regression 4 regression 5 model 7 women 8 and 8 and 9 those 8 and 10 with 8 and 17 disability 8 and 19 and 10 with 13 conditions 11 more 12 chronic 12 chronic 13 conditions 14 , 17 disability 15 greater 17 disability 16 functional 17 disability 17 disability 18 , 19 and 21 sense 19 and 22 of 19 and 24 were 20 lower 21 sense 22 of 23 control 24 were 25 found 25 found 26 to 26 to 27 have 27 have 30 symptoms 28 more 30 symptoms 29 depressive 30 symptoms the interaction of gender - by [-] chronic conditions [was] found to be significant , and further analysis indicated that the association of chronic conditions with mental well [-] being was stronger for women . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 19 indicated 0 ###LEFT-WALL### 35 . 1 the 2 interaction 2 interaction 3 of 2 interaction 16 and 3 of 4 gender 4 gender 6 by 5 - 6 by 6 by 9 conditions 6 by 15 , 8 chronic 9 conditions 9 conditions 11 found 11 found 12 to 12 to 13 be 13 be 14 significant 16 and 18 analysis 16 and 19 indicated 17 further 18 analysis 19 indicated 20 that 20 that 22 association 20 that 31 was 21 the 22 association 22 association 23 of 22 association 31 was 23 of 25 conditions 24 chronic 25 conditions 25 conditions 26 with 26 with 30 being 27 mental 30 being 28 well 30 being 31 was 32 stronger 32 stronger 33 for 33 for 34 women the findings suggest that among older korean immigrants , women are at particular risk of declining psychological well - being in the face of physical health problems and call attention to the need for interventions designed to promote their physical and mental health . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 1 the 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 10 women 4 that 11 are 5 among 8 immigrants 5 among 9 , 5 among 10 women 6 older 7 korean 7 korean 8 immigrants 10 women 11 are 11 are 12 at 11 are 20 being 12 at 14 risk 13 particular 14 risk 14 risk 15 of 15 of 18 well 16 declining 18 well 17 psychological 18 well 19 - 20 being 20 being 21 in 20 being 31 to 20 being 44 . 21 in 28 and 22 the 23 face 23 face 24 of 23 face 28 and 24 of 27 problems 25 physical 26 health 26 health 27 problems 28 and 30 attention 29 call 30 attention 31 to 33 need 32 the 33 need 33 need 34 for 33 need 36 designed 33 need 37 to 33 need 38 promote 34 for 35 interventions 37 to 38 promote 38 promote 41 and 39 their 41 and 40 physical 41 and 41 and 43 health 41 and 44 . 42 mental 43 health adult romantic attachment styles reflect ways of relating in close relationships and [are] associated with depression and negative emotionality . 0 ###LEFT-WALL### 4 styles 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 20 . 1 adult 2 romantic 2 romantic 4 styles 3 attachment 4 styles 4 styles 12 and 5 reflect 6 ways 5 reflect 9 in 5 reflect 12 and 6 ways 7 of 7 of 8 relating 9 in 11 relationships 10 close 11 relationships 12 and 14 associated 12 and 15 with 15 with 17 and 16 depression 17 and 17 and 19 emotionality 18 negative 19 emotionality we estimated the extent to which dimensions of romantic attachment and negative emotionality share genetic or environmental risk factors in 1,237 middle - aged men in the vietnam era twin study of aging ( vetsa [ )( 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 estimated 1 we 2 estimated 2 estimated 4 extent 2 estimated 26 in 3 the 4 extent 4 extent 5 to 5 to 6 which 5 to 11 and 5 to 24 aged 7 dimensions 8 of 7 dimensions 11 and 8 of 10 attachment 9 romantic 10 attachment 11 and 22 middle 11 and 23 - 11 and 24 aged 12 negative 22 middle 13 emotionality 14 share 14 share 22 middle 15 genetic 16 or 16 or 19 factors 16 or 20 in 16 or 22 middle 17 environmental 19 factors 18 risk 19 factors 20 in 21 1,237 24 aged 25 men 26 in 31 study 27 the 31 study 28 vietnam 29 era 29 era 30 twin 30 twin 31 study 31 study 32 of 32 of 35 vetsa 33 aging 35 vetsa 34 ( 35 vetsa 35 vetsa 37 )( a common genetic factor largely explained the covariance between attachment - related anxiety , attachment - related avoidance , depressive symptoms , and two measures of negative emotionality : stress - reaction ( anxiety ) , and alienation . 0 ###LEFT-WALL### 4 factor 0 ###LEFT-WALL### 6 explained 0 ###LEFT-WALL### 12 related 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 39 . 1 a 4 factor 2 common 4 factor 3 genetic 4 factor 4 factor 6 explained 5 largely 6 explained 6 explained 8 covariance 6 explained 9 between 7 the 8 covariance 9 between 10 attachment 11 - 12 related 12 related 13 anxiety 12 related 14 , 14 , 15 attachment 14 , 29 : 15 attachment 29 : 16 - 17 related 17 related 23 and 17 related 29 : 18 avoidance 19 , 19 , 21 symptoms 19 , 23 and 20 depressive 21 symptoms 22 , 23 and 23 and 25 measures 24 two 25 measures 25 measures 26 of 26 of 28 emotionality 27 negative 28 emotionality 29 : 37 and 30 stress 32 reaction 30 stress 37 and 31 - 32 reaction 32 reaction 34 anxiety 32 reaction 36 , 33 ( 34 anxiety 34 anxiety 35 ) 37 and 38 alienation multivariate results supported genetic and environmental differences in attachment . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 supported 0 ###LEFT-WALL### 10 . 1 multivariate 2 results 2 results 3 supported 3 supported 7 differences 3 supported 8 in 4 genetic 5 and 5 and 6 environmental 5 and 7 differences 8 in 9 attachment attachment - related anxiety and attachment - related avoidance were each influenced by additional genetic factors not shared with other measures ; the genetic correlation between the attachment measure [-] specific genetic factors was 0.41 , indicating some , but not complete overlap of genetic factors . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 12 influenced 0 ###LEFT-WALL### 22 ; 0 ###LEFT-WALL### 47 . 1 attachment 2 - 1 attachment 5 and 3 related 4 anxiety 4 anxiety 5 and 5 and 6 attachment 5 and 7 - 5 and 10 were 7 - 8 related 8 related 9 avoidance 8 related 10 were 10 were 12 influenced 11 each 12 influenced 12 influenced 13 by 13 by 16 factors 14 additional 16 factors 15 genetic 16 factors 16 factors 17 not 17 not 18 shared 18 shared 19 with 19 with 21 measures 20 other 21 measures 22 ; 25 correlation 22 ; 34 was 23 the 25 correlation 24 genetic 25 correlation 25 correlation 26 between 25 correlation 34 was 26 between 33 factors 27 the 33 factors 28 attachment 33 factors 29 measure 33 factors 31 specific 33 factors 32 genetic 33 factors 34 was 35 0.41 34 was 37 indicating 34 was 40 but 36 , 37 indicating 37 indicating 38 some 37 indicating 39 , 40 but 41 not 40 but 43 overlap 41 not 42 complete 42 complete 43 overlap 43 overlap 44 of 44 of 46 factors 45 genetic 46 factors genetically informative longitudinal studies on attachment relationship dimensions can help to illuminate the role of relationship [-] based risk factors in healthy aging . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 10 help 0 ###LEFT-WALL### 24 . 1 genetically 2 informative 2 informative 4 studies 3 longitudinal 4 studies 4 studies 5 on 4 studies 9 can 5 on 8 dimensions 6 attachment 8 dimensions 7 relationship 8 dimensions 9 can 10 help 10 help 11 to 10 help 12 illuminate 11 to 12 illuminate 12 illuminate 14 role 12 illuminate 21 in 13 the 14 role 14 role 15 of 15 of 20 factors 16 relationship 18 based 18 based 20 factors 19 risk 20 factors 21 in 23 aging 22 healthy 23 aging the pathologic hallmarks of alzheimer 's disease ( ad ) include senile plaque , neurofibrillary tangles ( nfts ) , synaptic loss , and neurodegeneration . 0 ###LEFT-WALL### 3 hallmarks 0 ###LEFT-WALL### 11 include 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 26 . 1 the 3 hallmarks 2 pathologic 3 hallmarks 3 hallmarks 4 of 3 hallmarks 11 include 4 of 7 disease 5 alzheimer 6 's 6 's 7 disease 7 disease 9 ad 8 ( 9 ad 9 ad 10 ) 11 include 13 plaque 12 senile 13 plaque 13 plaque 16 tangles 14 , 16 tangles 15 neurofibrillary 16 tangles 16 tangles 18 nfts 16 tangles 19 ) 17 ( 18 nfts 18 nfts 19 ) 20 , 24 and 21 synaptic 22 loss 22 loss 24 and 23 , 24 and 24 and 25 neurodegeneration senile plaque and nfts are formed by accumulation of amyloid - β ( aβ ) and hyperphosphorylated tau , respectively . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 5 are 1 senile 2 plaque 2 plaque 3 and 3 and 4 nfts 3 and 5 are 5 are 16 and 6 formed 7 by 6 formed 16 and 7 by 8 accumulation 8 accumulation 9 of 9 of 10 amyloid 10 amyloid 12 β 11 - 12 β 12 β 14 aβ 12 β 15 ) 13 ( 14 aβ 14 aβ 15 ) 16 and 17 hyperphosphorylated 16 and 18 tau 16 and 20 respectively 19 , 20 respectively 20 respectively 21 . progressive synaptic dysfunction and loss closely correlate with cognitive deficits in ad . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 7 correlate 0 ###LEFT-WALL### 13 . 1 progressive 3 dysfunction 2 synaptic 3 dysfunction 3 dysfunction 4 and 4 and 5 loss 4 and 7 correlate 6 closely 7 correlate 7 correlate 8 with 7 correlate 11 in 8 with 10 deficits 9 cognitive 10 deficits 11 in 12 ad based on studies of the genes responsible for familial ad and temporal patterns of pathologic changes in ad brains , the aβ accumulation is thought to be a primary event that influences other ad pathologies in the developmental cascade of ad . 0 ###LEFT-WALL### 23 accumulation 0 ###LEFT-WALL### 25 thought 0 ###LEFT-WALL### 42 . 1 based 2 on 1 based 20 , 1 based 23 accumulation 2 on 11 and 3 studies 4 of 3 studies 11 and 4 of 6 genes 5 the 6 genes 6 genes 7 responsible 7 responsible 8 for 8 for 10 ad 9 familial 10 ad 11 and 13 patterns 11 and 14 of 12 temporal 13 patterns 14 of 16 changes 15 pathologic 16 changes 16 changes 17 in 17 in 19 brains 18 ad 19 brains 21 the 23 accumulation 22 aβ 23 accumulation 23 accumulation 24 is 24 is 25 thought 25 thought 26 to 25 thought 31 that 25 thought 32 influences 26 to 27 be 27 be 30 event 28 a 30 event 29 primary 30 event 31 that 32 influences 32 influences 35 pathologies 32 influences 36 in 33 other 35 pathologies 34 ad 35 pathologies 36 in 39 cascade 37 the 39 cascade 38 developmental 39 cascade 39 cascade 40 of 40 of 41 ad however , the details of aβ effects on the other ad pathologies remain poorly understood . 0 ###LEFT-WALL### 4 details 0 ###LEFT-WALL### 13 remain 0 ###LEFT-WALL### 16 . 1 however 2 , 1 however 4 details 3 the 4 details 4 details 5 of 4 details 13 remain 5 of 7 effects 6 aβ 7 effects 7 effects 8 on 8 on 12 pathologies 9 the 10 other 10 other 12 pathologies 11 ad 12 pathologies 13 remain 15 understood 14 poorly 15 understood in this review , we provide an overview of the effects of aβ in ad brains , especially focusing on synaptic dysfunction and microglia . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 provide 0 ###LEFT-WALL### 25 . 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 6 provide 6 provide 8 overview 6 provide 20 on 7 an 8 overview 8 overview 9 of 9 of 11 effects 10 the 11 effects 11 effects 12 of 12 of 13 aβ 13 aβ 14 in 13 aβ 19 focusing 14 in 16 brains 15 ad 16 brains 17 , 19 focusing 18 especially 19 focusing 20 on 23 and 21 synaptic 22 dysfunction 22 dysfunction 23 and 23 and 24 microglia we have recently found abnormal accumulation of a key molecule for actin assembly [in] nfts of ad brains , and it was revealed that the accumulation requires not only tau pathology but also an aβ burden in a study using transgenic mouse models of ad . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 46 . 1 we 2 have 2 have 4 found 3 recently 4 found 4 found 6 accumulation 4 found 18 brains 5 abnormal 6 accumulation 6 accumulation 7 of 7 of 10 molecule 8 a 10 molecule 9 key 10 molecule 10 molecule 11 for 11 for 12 actin 13 assembly 18 brains 15 nfts 16 of 15 nfts 18 brains 16 of 17 ad 19 , 20 and 20 and 21 it 20 and 23 revealed 21 it 22 was 22 was 23 revealed 23 revealed 24 that 24 that 26 accumulation 24 that 27 requires 25 the 26 accumulation 26 accumulation 27 requires 27 requires 33 also 28 not 29 only 29 only 33 also 30 tau 31 pathology 31 pathology 33 also 32 but 33 also 33 also 36 burden 34 an 36 burden 35 aβ 36 burden 36 burden 37 in 36 burden 44 of 37 in 39 study 38 a 39 study 39 study 40 using 40 using 43 models 41 transgenic 42 mouse 42 mouse 43 models 44 of 45 ad synaptic integrity is morphologically maintained by the precise regulation of actin [assembly] . 0 ###LEFT-WALL### 2 integrity 0 ###LEFT-WALL### 5 maintained 0 ###LEFT-WALL### 13 . 1 synaptic 2 integrity 2 integrity 3 is 3 is 5 maintained 4 morphologically 5 maintained 5 maintained 6 by 6 by 9 regulation 7 the 9 regulation 8 precise 9 regulation 9 regulation 10 of 10 of 11 actin therefore , the results suggest the possibility that aβ may promote [nft] maturation and induce synaptic dysfunction through the disturbance of actin [assembly] . 0 ###LEFT-WALL### 4 results 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 24 . 1 therefore 2 , 1 therefore 4 results 3 the 4 results 4 results 14 and 5 suggest 7 possibility 5 suggest 14 and 6 the 7 possibility 7 possibility 8 that 8 that 9 aβ 8 that 11 promote 9 aβ 10 may 10 may 11 promote 11 promote 13 maturation 14 and 15 induce 15 induce 17 dysfunction 15 induce 18 through 16 synaptic 17 dysfunction 18 through 20 disturbance 19 the 20 disturbance 20 disturbance 21 of 21 of 22 actin thus aβ seems to be a promoting factor in brain aging . 0 ###LEFT-WALL### 2 aβ 0 ###LEFT-WALL### 3 seems 0 ###LEFT-WALL### 12 . 1 thus 2 aβ 2 aβ 3 seems 3 seems 4 to 3 seems 5 be 4 to 5 be 5 be 8 factor 6 a 8 factor 7 promoting 8 factor 8 factor 9 in 9 in 10 brain 10 brain 11 aging on the other hand , we have studied microglial phagocytic ability for a compensatory pathologic reaction to aβ accumulation . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 8 studied 0 ###LEFT-WALL### 20 . 1 on 4 hand 1 on 5 , 1 on 6 we 2 the 3 other 3 other 4 hand 6 we 7 have 7 have 8 studied 8 studied 11 ability 8 studied 17 to 9 microglial 11 ability 10 phagocytic 11 ability 11 ability 12 for 12 for 16 reaction 13 a 14 compensatory 13 a 16 reaction 14 compensatory 16 reaction 15 pathologic 16 reaction 17 to 19 accumulation 18 aβ 19 accumulation further studies on the aβ - dependent ad pathologies may contribute to determining novel mechanisms of ad development and new therapeutic targets in ad . 0 ###LEFT-WALL### 1 further 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 25 . 1 further 2 studies 2 studies 3 on 3 on 5 aβ 4 the 5 aβ 6 - 9 pathologies 6 - 11 contribute 7 dependent 9 pathologies 8 ad 9 pathologies 9 pathologies 10 may 10 may 11 contribute 11 contribute 12 to 11 contribute 23 in 12 to 13 determining 13 determining 19 and 14 novel 15 mechanisms 15 mechanisms 16 of 15 mechanisms 19 and 16 of 18 development 17 ad 18 development 19 and 22 targets 20 new 22 targets 21 therapeutic 22 targets 23 in 24 ad zfra ( zinc finger - like protein that regulates apoptosis ) is [a] naturally occurring short peptide consisting of 31 amino acids , which regulates tumor necrosis factor ( tnf [ )(- mediated cell death by interacting with receptor adaptor protein tradd ( tnf receptorassociated death domain protein ) and downstream jnk ( c - [jun] n - terminal kinase [ )(, nf - κb ( nuclear factor kappa b ) and wwox/wox1 ( ww domain - containing oxidoreductase ) . 0 ###LEFT-WALL### 1 zfra 0 ###LEFT-WALL### 12 is 1 zfra 4 finger 1 zfra 12 is 2 ( 4 finger 3 zinc 4 finger 4 finger 6 like 4 finger 11 ) 5 - 6 like 6 like 7 protein 6 like 11 ) 7 protein 8 that 7 protein 9 regulates 8 that 9 regulates 9 regulates 10 apoptosis 12 is 14 naturally 12 is 17 peptide 15 occurring 17 peptide 16 short 17 peptide 17 peptide 18 consisting 17 peptide 24 which 18 consisting 19 of 19 of 22 acids 20 31 22 acids 21 amino 22 acids 23 , 24 which 24 which 25 regulates 25 regulates 28 factor 25 regulates 32 )(- 25 regulates 36 by 26 tumor 27 necrosis 27 necrosis 28 factor 29 ( 32 )(- 30 tnf 32 )(- 32 )(- 35 death 33 mediated 35 death 34 cell 35 death 36 by 37 interacting 37 interacting 38 with 38 with 41 protein 38 with 50 and 39 receptor 40 adaptor 40 adaptor 41 protein 42 tradd 48 protein 42 tradd 50 and 43 ( 48 protein 44 tnf 45 receptorassociated 45 receptorassociated 47 domain 46 death 47 domain 47 domain 48 protein 48 protein 49 ) 50 and 52 jnk 50 and 58 - 51 downstream 52 jnk 53 ( 58 - 54 c 55 - 55 - 57 n 55 - 58 - 58 - 60 kinase 59 terminal 60 kinase 60 kinase 72 and 62 )(, 72 and 63 nf 65 κb 63 nf 72 and 64 - 65 κb 65 κb 69 kappa 65 κb 71 ) 66 ( 69 kappa 67 nuclear 69 kappa 68 factor 69 kappa 69 kappa 70 b 69 kappa 71 ) 72 and 73 wwox/wox1 72 and 76 domain 72 and 78 containing 72 and 81 . 74 ( 76 domain 75 ww 76 domain 76 domain 77 - 77 - 78 containing 78 containing 79 oxidoreductase 78 containing 80 ) cytochrome [c] [release] is generally considered as a pivotal step in apoptosis . 0 ###LEFT-WALL### 1 cytochrome 0 ###LEFT-WALL### 6 considered 0 ###LEFT-WALL### 13 . 1 cytochrome 4 is 4 is 5 generally 4 is 6 considered 6 considered 7 as 6 considered 11 in 7 as 10 step 8 a 9 pivotal 8 a 10 step 9 pivotal 10 step 11 in 12 apoptosis remarkably , overexpressed zfra induces apoptosis via the mitochondrial pathway , which involves suppression of bcl - 2 and bcl - xl expression ( without causing cytochrome [c] release ) , counteracting the apoptotic function of tumor suppressor p53 and wwox , and dissipation of mitochondrial membrane potential for ultimately leading to cell death . 0 ###LEFT-WALL### 4 zfra 0 ###LEFT-WALL### 5 induces 0 ###LEFT-WALL### 11 , 1 remarkably 2 , 1 remarkably 4 zfra 3 overexpressed 4 zfra 4 zfra 5 induces 5 induces 6 apoptosis 5 induces 7 via 7 via 10 pathway 8 the 10 pathway 9 mitochondrial 10 pathway 11 , 12 which 12 which 13 involves 13 involves 14 suppression 13 involves 21 - 14 suppression 15 of 15 of 16 bcl 17 - 21 - 18 2 19 and 19 and 20 bcl 20 bcl 21 - 21 - 23 expression 22 xl 23 expression 23 expression 25 without 23 expression 32 counteracting 24 ( 25 without 25 without 26 causing 25 without 30 ) 26 causing 29 release 27 cytochrome 29 release 31 , 32 counteracting 32 counteracting 43 and 33 the 35 function 34 apoptotic 35 function 35 function 36 of 35 function 40 and 36 of 39 p53 37 tumor 39 p53 38 suppressor 39 p53 40 and 41 wwox 40 and 42 , 40 and 43 and 43 and 44 dissipation 43 and 55 . 44 dissipation 45 of 45 of 48 potential 46 mitochondrial 47 membrane 47 membrane 48 potential 48 potential 49 for 49 for 51 leading 50 ultimately 51 leading 51 leading 52 to 52 to 54 death 53 cell 54 death control of cellular aging and apoptosis by zfra , p53 and wwox is discussed . 0 ###LEFT-WALL### 1 control 0 ###LEFT-WALL### 14 discussed 0 ###LEFT-WALL### 15 . 1 control 2 of 1 control 7 by 1 control 13 is 2 of 5 and 3 cellular 4 aging 3 cellular 5 and 5 and 6 apoptosis 7 by 11 and 8 zfra 9 , 9 , 10 p53 9 , 11 and 11 and 12 wwox 13 is 14 discussed we have recently reported that progeroid zmpste24 - [/] - mice , which exhibit multiple defects that phenocopy hutchinson - gilford progeria syndrome , show a profound dysregulation of somatotropic axis , mainly characterized by the occurrence of very high circulating levels of growth hormone ( gh ) and a drastic reduction in insulin - like growth factor - 1 ( igf - 1 ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 4 reported 0 ###LEFT-WALL### 8 - 1 we 2 have 2 have 4 reported 3 recently 4 reported 4 reported 7 zmpste24 5 that 7 zmpste24 6 progeroid 7 zmpste24 8 - 10 - 8 - 12 , 8 - 20 - 10 - 11 mice 12 , 13 which 12 , 14 exhibit 13 which 14 exhibit 14 exhibit 16 defects 15 multiple 16 defects 16 defects 17 that 16 defects 18 phenocopy 17 that 18 phenocopy 18 phenocopy 19 hutchinson 20 - 23 syndrome 20 - 24 , 21 gilford 22 progeria 22 progeria 23 syndrome 24 , 25 show 25 show 28 dysregulation 25 show 34 characterized 25 show 35 by 26 a 28 dysregulation 27 profound 28 dysregulation 28 dysregulation 29 of 29 of 31 axis 30 somatotropic 31 axis 32 , 34 characterized 33 mainly 34 characterized 35 by 37 occurrence 36 the 37 occurrence 37 occurrence 38 of 38 of 49 and 39 very 40 high 40 high 42 levels 41 circulating 42 levels 42 levels 43 of 42 levels 49 and 43 of 45 hormone 44 growth 45 hormone 45 hormone 47 gh 46 ( 47 gh 47 gh 48 ) 49 and 52 reduction 49 and 53 in 49 and 60 1 50 a 51 drastic 50 a 52 reduction 51 drastic 52 reduction 53 in 54 insulin 54 insulin 56 like 55 - 56 like 56 like 58 factor 56 like 59 - 57 growth 58 factor 59 - 60 1 60 1 62 igf 60 1 64 1 60 1 66 . 61 ( 62 igf 62 igf 63 - 63 - 64 1 64 1 65 ) we have also shown that restoration of the proper gh/igf - 1 balance in zmpste24 - [/] - mice by treatment with recombinant igf - 1 delays the onset of many progeroid features in these animals and significantly extends their lifespan . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 4 shown 1 we 2 have 2 have 4 shown 3 also 4 shown 4 shown 6 restoration 4 shown 10 gh/igf 5 that 6 restoration 6 restoration 7 of 7 of 9 proper 8 the 9 proper 10 gh/igf 13 balance 10 gh/igf 19 mice 11 - 13 balance 12 1 13 balance 13 balance 14 in 13 balance 16 - 14 in 15 zmpste24 18 - 19 mice 19 mice 20 by 19 mice 22 with 19 mice 26 1 19 mice 42 . 20 by 21 treatment 22 with 24 igf 23 recombinant 24 igf 25 - 26 1 26 1 37 and 26 1 42 . 27 delays 29 onset 27 delays 37 and 28 the 29 onset 29 onset 30 of 29 onset 32 progeroid 29 onset 33 features 30 of 31 many 32 progeroid 33 features 33 features 34 in 34 in 36 animals 35 these 36 animals 37 and 39 extends 37 and 41 lifespan 38 significantly 39 extends 40 their 41 lifespan here , we summarize these observations and discuss the importance of gh/igf - 1 balance in longevity as well as its modulation as a putative therapeutic strategy for the treatment of human progeroid syndromes . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 35 . 1 here 2 , 1 here 3 we 3 we 7 and 4 summarize 6 observations 4 summarize 7 and 5 these 6 observations 7 and 8 discuss 7 and 15 balance 8 discuss 10 importance 9 the 10 importance 10 importance 11 of 11 of 12 gh/igf 13 - 14 1 14 1 15 balance 15 balance 16 in 15 balance 20 as 15 balance 31 of 16 in 17 longevity 18 as 19 well 19 well 20 as 20 as 22 modulation 21 its 22 modulation 22 modulation 23 as 23 as 27 strategy 24 a 25 putative 24 a 27 strategy 25 putative 27 strategy 26 therapeutic 27 strategy 27 strategy 28 for 28 for 30 treatment 29 the 30 treatment 31 of 34 syndromes 32 human 33 progeroid 33 progeroid 34 syndromes oxidative stress in mitochondria is believed to promote aging . 0 ###LEFT-WALL### 2 stress 0 ###LEFT-WALL### 6 believed 0 ###LEFT-WALL### 10 . 1 oxidative 2 stress 2 stress 3 in 2 stress 5 is 3 in 4 mitochondria 5 is 6 believed 6 believed 7 to 6 believed 8 promote 7 to 8 promote 8 promote 9 aging although passive leakage of [electron] from the mitochondrial electron transport chain has been considered as a major source of oxidative stress in the heart and the cardiomyocytes therein , enzymes actively producing reactive oxygen species may also exist in mitochondria . 0 ###LEFT-WALL### 11 chain 0 ###LEFT-WALL### 14 considered 0 ###LEFT-WALL### 29 , 0 ###LEFT-WALL### 41 . 1 although 3 leakage 1 although 11 chain 2 passive 3 leakage 3 leakage 4 of 4 of 6 from 6 from 10 transport 7 the 10 transport 8 mitochondrial 9 electron 9 electron 10 transport 11 chain 12 has 12 has 13 been 13 been 14 considered 14 considered 15 as 14 considered 22 in 14 considered 28 therein 15 as 18 source 16 a 17 major 16 a 18 source 17 major 18 source 18 source 19 of 19 of 21 stress 20 oxidative 21 stress 22 in 25 and 23 the 24 heart 24 heart 25 and 25 and 27 cardiomyocytes 26 the 27 cardiomyocytes 29 , 30 enzymes 29 , 38 exist 30 enzymes 32 producing 30 enzymes 36 may 31 actively 32 producing 32 producing 35 species 33 reactive 34 oxygen 34 oxygen 35 species 36 may 38 exist 37 also 38 exist 38 exist 39 in 39 in 40 mitochondria we have shown recently that nox4 , a member of the nadph oxidase family , is localized on intracellular membranes , primarily at mitochondria , in cardiomyocytes . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 shown 0 ###LEFT-WALL### 28 . 1 we 2 have 2 have 3 shown 3 shown 4 recently 3 shown 5 that 5 that 6 nox4 5 that 17 localized 6 nox4 9 member 6 nox4 16 is 7 , 9 member 8 a 9 member 9 member 10 of 9 member 15 , 10 of 14 family 11 the 14 family 12 nadph 14 family 13 oxidase 14 family 16 is 17 localized 17 localized 18 on 17 localized 26 in 18 on 20 membranes 19 intracellular 20 membranes 20 membranes 23 at 21 , 22 primarily 21 , 23 at 23 at 24 mitochondria 23 at 25 , 26 in 27 cardiomyocytes mitochondrial expression of nox4 is upregulated by cardiac stress and aging in the heart , where nox4 could become a major source of oxidative stress . 0 ###LEFT-WALL### 2 expression 0 ###LEFT-WALL### 6 upregulated 1 mitochondrial 2 expression 2 expression 3 of 2 expression 5 is 3 of 4 nox4 5 is 6 upregulated 6 upregulated 7 by 6 upregulated 12 in 7 by 10 and 8 cardiac 9 stress 9 stress 10 and 10 and 11 aging 12 in 14 heart 13 the 14 heart 14 heart 16 where 15 , 16 where 16 where 17 nox4 16 where 19 become 16 where 26 . 17 nox4 18 could 18 could 19 become 19 become 22 source 20 a 21 major 20 a 22 source 21 major 22 source 22 source 23 of 23 of 25 stress 24 oxidative 25 stress this raises an intriguing possibility that nox4 may play an important role in mediating aging of the heart . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 raises 0 ###LEFT-WALL### 19 . 1 this 2 raises 2 raises 5 possibility 3 an 5 possibility 4 intriguing 5 possibility 5 possibility 6 that 6 that 7 nox4 6 that 9 play 7 nox4 8 may 8 may 9 play 9 play 12 role 10 an 12 role 11 important 12 role 12 role 13 in 12 role 15 aging 12 role 16 of 13 in 14 mediating 16 of 18 heart 17 the 18 heart here we discuss the potential involvement of nox4 in mitochondrial oxidative stress and aging in the heart . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 discuss 0 ###LEFT-WALL### 18 . 1 here 2 we 2 we 3 discuss 3 discuss 6 involvement 3 discuss 9 in 3 discuss 15 in 4 the 6 involvement 5 potential 6 involvement 6 involvement 7 of 7 of 8 nox4 9 in 13 and 10 mitochondrial 12 stress 11 oxidative 12 stress 12 stress 13 and 13 and 14 aging 15 in 17 heart 16 the 17 heart when the cell cycle is arrested , growth - promoting pathways such as mtor ( target of rapamycin ) drive cellular senescence , characterized by cellular hyper - activation , [hypertrophy] and permanent loss of the proliferative potential . 0 ###LEFT-WALL### 8 growth 0 ###LEFT-WALL### 24 characterized 0 ###LEFT-WALL### 39 . 1 when 4 cycle 1 when 6 arrested 1 when 7 , 1 when 8 growth 2 the 4 cycle 3 cell 4 cycle 4 cycle 5 is 5 is 6 arrested 6 arrested 7 , 8 growth 10 promoting 8 growth 24 characterized 9 - 10 promoting 10 promoting 11 pathways 10 promoting 23 , 11 pathways 13 as 12 such 13 as 13 as 22 senescence 14 mtor 16 target 14 mtor 20 drive 15 ( 16 target 16 target 17 of 16 target 19 ) 17 of 18 rapamycin 20 drive 22 senescence 21 cellular 22 senescence 24 characterized 25 by 24 characterized 34 loss 25 by 32 and 26 cellular 29 activation 27 hyper 28 - 27 hyper 29 activation 29 activation 32 and 30 , 32 and 32 and 33 permanent 34 loss 35 of 35 of 38 potential 36 the 38 potential 37 proliferative 38 potential while arresting cell cycle [,] p53 ( under certain conditions ) can inhibit the mtor pathway . 0 ###LEFT-WALL### 6 p53 0 ###LEFT-WALL### 13 inhibit 0 ###LEFT-WALL### 17 . 1 while 2 arresting 1 while 6 p53 3 cell 6 p53 4 cycle 6 p53 6 p53 8 under 6 p53 12 can 7 ( 8 under 8 under 10 conditions 8 under 11 ) 9 certain 10 conditions 12 can 13 inhibit 13 inhibit 16 pathway 14 the 16 pathway 15 mtor 16 pathway senescence occurs when p53 fails to inhibit mtor . 0 ###LEFT-WALL### 1 senescence 0 ###LEFT-WALL### 2 occurs 0 ###LEFT-WALL### 9 . 1 senescence 2 occurs 2 occurs 3 when 3 when 4 p53 3 when 5 fails 4 p53 5 fails 5 fails 6 to 5 fails 7 inhibit 6 to 7 inhibit 7 inhibit 8 mtor low concentrations of dna - damaging drugs induce p53 at levels that do not inhibit mtor , thus causing senescence . 0 ###LEFT-WALL### 1 low 0 ###LEFT-WALL### 5 - 1 low 2 concentrations 2 concentrations 3 of 3 of 4 dna 5 - 7 drugs 5 - 8 induce 6 damaging 7 drugs 7 drugs 8 induce 8 induce 9 p53 9 p53 10 at 10 at 11 levels 11 levels 12 that 11 levels 13 do 11 levels 19 causing 12 that 13 do 13 do 14 not 13 do 15 inhibit 15 inhibit 16 mtor 17 , 19 causing 18 thus 19 causing 19 causing 20 senescence 19 causing 21 . in quiescence caused by serum starvation , mtor is deactivated . 0 ###LEFT-WALL### 8 mtor 0 ###LEFT-WALL### 10 deactivated 0 ###LEFT-WALL### 11 . 1 in 2 quiescence 1 in 7 , 1 in 8 mtor 2 quiescence 3 caused 3 caused 4 by 4 by 6 starvation 5 serum 6 starvation 8 mtor 9 is 9 is 10 deactivated this predicts that induction of p53 will not cause senescence in such quiescent cells . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 predicts 0 ###LEFT-WALL### 15 . 1 this 2 predicts 2 predicts 3 that 3 that 4 induction 3 that 9 cause 4 induction 5 of 4 induction 7 will 5 of 6 p53 7 will 8 not 7 will 9 cause 9 cause 10 senescence 9 cause 11 in 11 in 14 cells 12 such 14 cells 13 quiescent 14 cells here we tested this prediction . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 tested 0 ###LEFT-WALL### 6 . 1 here 2 we 2 we 3 tested 3 tested 5 prediction 4 this 5 prediction in proliferating normal cells , etoposide caused senescence [(] cells could not resume [proliferation] after removal [of] [etoposide] [ )( 0 ###LEFT-WALL### 10 cells 0 ###LEFT-WALL### 13 resume 0 ###LEFT-WALL### 20 )( 1 in 4 cells 1 in 5 , 1 in 10 cells 2 proliferating 4 cells 3 normal 4 cells 6 etoposide 8 senescence 7 caused 8 senescence 8 senescence 10 cells 10 cells 11 could 11 could 12 not 11 could 13 resume 13 resume 15 after 15 after 16 removal serum starvation prevented induction of senescence , [but] not of p53 , [by] [etoposide] . 0 ###LEFT-WALL### 2 starvation 0 ###LEFT-WALL### 3 prevented 0 ###LEFT-WALL### 15 . 1 serum 2 starvation 2 starvation 3 prevented 3 prevented 4 induction 4 induction 5 of 4 induction 10 of 5 of 6 senescence 7 , 9 not 7 , 10 of 10 of 11 p53 10 of 12 , when [etoposide] [was] removed , such cells resumed [proliferation] upon addition of serum . 0 ###LEFT-WALL### 7 cells 0 ###LEFT-WALL### 8 resumed 0 ###LEFT-WALL### 14 . 1 when 4 removed 1 when 5 , 1 when 7 cells 6 such 7 cells 7 cells 8 resumed 8 resumed 10 upon 10 upon 11 addition 11 addition 12 of 12 of 13 serum also , doxorubicin did not cause senescent morphology in the absence of serum . 0 ###LEFT-WALL### 3 doxorubicin 0 ###LEFT-WALL### 6 cause 0 ###LEFT-WALL### 14 . 1 also 2 , 1 also 3 doxorubicin 3 doxorubicin 4 did 4 did 5 not 4 did 6 cause 6 cause 8 morphology 6 cause 9 in 7 senescent 8 morphology 9 in 11 absence 10 the 11 absence 11 absence 12 of 12 of 13 serum re - addition of serum caused mtor - dependent senescence in the presence of etoposide or doxorubicin . 0 ###LEFT-WALL### 3 addition 0 ###LEFT-WALL### 6 caused 0 ###LEFT-WALL### 18 . 1 re 2 - 1 re 3 addition 3 addition 4 of 3 addition 6 caused 4 of 5 serum 6 caused 10 senescence 6 caused 11 in 7 mtor 8 - 7 mtor 10 senescence 9 dependent 10 senescence 11 in 13 presence 12 the 13 presence 13 presence 14 of 14 of 16 or 15 etoposide 16 or 16 or 17 doxorubicin also , serum [-] starvation prevented senescent morphology caused by nutlin - 3a in mcf - 7 and mel - 10 cells . 0 ###LEFT-WALL### 8 morphology 0 ###LEFT-WALL### 9 caused 0 ###LEFT-WALL### 23 . 1 also 2 , 1 also 8 morphology 3 serum 6 prevented 5 starvation 6 prevented 6 prevented 8 morphology 7 senescent 8 morphology 8 morphology 9 caused 9 caused 10 by 9 caused 22 cells 10 by 11 nutlin 11 nutlin 13 3a 11 nutlin 19 mel 12 - 13 3a 13 3a 14 in 13 3a 16 - 14 in 15 mcf 16 - 19 mel 17 7 18 and 18 and 19 mel 19 mel 20 - 21 10 22 cells we conclude that induction of p53 does not activate the senescence program in quiescent cells . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 conclude 0 ###LEFT-WALL### 16 . 1 we 2 conclude 2 conclude 3 that 3 that 4 induction 3 that 9 activate 4 induction 5 of 4 induction 7 does 5 of 6 p53 7 does 8 not 7 does 9 activate 9 activate 12 program 9 activate 13 in 10 the 12 program 11 senescence 12 program 13 in 15 cells 14 quiescent 15 cells in cells with induced p53 , re - activation of mtor by serum stimulation causes senescence , as an equivalent of cellular growth . 0 ###LEFT-WALL### 14 stimulation 0 ###LEFT-WALL### 15 causes 1 in 2 cells 1 in 6 , 1 in 14 stimulation 2 cells 3 with 3 with 5 p53 4 induced 5 p53 7 re 8 - 7 re 9 activation 7 re 14 stimulation 9 activation 10 of 10 of 11 mtor 11 mtor 12 by 12 by 13 serum 14 stimulation 15 causes 15 causes 16 senescence 16 senescence 18 as 17 , 18 as 18 as 20 equivalent 18 as 24 . 19 an 20 equivalent 20 equivalent 21 of 21 of 23 growth 22 cellular 23 growth cardiac failure is a leading cause of age - related death , though its root cause remains unknown . 0 ###LEFT-WALL### 2 failure 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 10 related 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 19 . 1 cardiac 2 failure 2 failure 3 is 3 is 6 cause 4 a 6 cause 5 leading 6 cause 6 cause 7 of 7 of 8 age 9 - 10 related 10 related 11 death 10 related 12 , 12 , 16 cause 12 , 17 remains 13 though 16 cause 14 its 16 cause 15 root 16 cause 16 cause 17 remains 17 remains 18 unknown mounting evidence implicates a decline [in] mitochondrial function due to increased opening of the mitochondrial permeability transition pore ( mptp ) . 0 ###LEFT-WALL### 1 mounting 0 ###LEFT-WALL### 3 implicates 0 ###LEFT-WALL### 22 . 1 mounting 2 evidence 1 mounting 3 implicates 3 implicates 8 function 3 implicates 10 to 4 a 8 function 5 decline 8 function 7 mitochondrial 8 function 9 due 10 to 10 to 12 opening 11 increased 12 opening 12 opening 13 of 12 opening 20 mptp 13 of 18 pore 14 the 18 pore 15 mitochondrial 16 permeability 16 permeability 17 transition 17 transition 18 pore 19 ( 20 mptp 20 mptp 21 ) here we report that the nad+ - dependent deacetylase sirt3 deacetylates the regulatory component of the mptp , cyclophilin d ( cypd ) on lysine 166 , adjacent to the binding site of cyclosporine a , a cypd inhibitor . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 report 0 ###LEFT-WALL### 36 , 0 ###LEFT-WALL### 40 . 1 here 2 we 2 we 3 report 3 report 4 that 4 that 10 sirt3 4 that 11 deacetylates 5 the 9 deacetylase 6 nad+ 7 - 6 nad+ 9 deacetylase 8 dependent 9 deacetylase 9 deacetylase 10 sirt3 10 sirt3 11 deacetylates 11 deacetylates 14 component 11 deacetylates 24 on 12 the 14 component 13 regulatory 14 component 14 component 15 of 15 of 17 mptp 16 the 17 mptp 17 mptp 19 cyclophilin 18 , 19 cyclophilin 19 cyclophilin 20 d 19 cyclophilin 22 cypd 19 cyclophilin 23 ) 21 ( 22 cypd 22 cypd 23 ) 24 on 25 lysine 25 lysine 26 166 25 lysine 28 adjacent 27 , 28 adjacent 28 adjacent 29 to 28 adjacent 36 , 29 to 32 site 30 the 32 site 31 binding 32 site 32 site 33 of 33 of 34 cyclosporine 34 cyclosporine 35 a 36 , 39 inhibitor 37 a 39 inhibitor 38 cypd 39 inhibitor cardiac myocytes from mice lacking sirt3 exhibit an age - dependent increase in mitochondrial swelling due to increased mptp opening , a phenotype that is rescued by cyclosporine a [.] sirt3 knockout mice show accelerated signs of aging in the heart including cardiac [hypertrophy] and fibrosis at 13 months of age . 0 ###LEFT-WALL### 2 myocytes 0 ###LEFT-WALL### 7 exhibit 0 ###LEFT-WALL### 10 - 1 cardiac 2 myocytes 2 myocytes 3 from 2 myocytes 7 exhibit 3 from 4 mice 4 mice 5 lacking 5 lacking 6 sirt3 7 exhibit 9 age 8 an 9 age 10 - 12 increase 10 - 21 , 11 dependent 12 increase 12 increase 13 in 12 increase 16 due 12 increase 20 opening 13 in 15 swelling 14 mitochondrial 15 swelling 16 due 17 to 17 to 19 mptp 18 increased 19 mptp 21 , 23 phenotype 21 , 26 rescued 22 a 23 phenotype 23 phenotype 26 rescued 24 that 25 is 25 is 26 rescued 26 rescued 27 by 26 rescued 31 sirt3 27 by 28 cyclosporine 28 cyclosporine 29 a 31 sirt3 32 knockout 31 sirt3 38 aging 32 knockout 33 mice 32 knockout 34 show 32 knockout 35 accelerated 33 mice 34 show 35 accelerated 36 signs 36 signs 37 of 37 of 38 aging 38 aging 39 in 39 in 41 heart 40 the 41 heart 41 heart 42 including 42 including 45 and 43 cardiac 45 and 45 and 46 fibrosis 45 and 52 . 46 fibrosis 47 at 46 fibrosis 50 of 47 at 49 months 48 13 49 months 50 of 51 age sirt3 knockout mice are also hypersensitive to heart stress induced by transverse aortic constriction ( tac ) , as evidenced by cardiac [hypertrophy] , fibrosis , and increased mortality . 0 ###LEFT-WALL### 3 mice 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 30 . 1 sirt3 3 mice 2 knockout 3 mice 3 mice 4 are 4 are 5 also 4 are 6 hypersensitive 6 hypersensitive 7 to 6 hypersensitive 8 heart 7 to 8 heart 8 heart 9 stress 9 stress 10 induced 10 induced 11 by 10 induced 21 by 11 by 14 constriction 12 transverse 14 constriction 13 aortic 14 constriction 14 constriction 16 tac 14 constriction 20 evidenced 15 ( 16 tac 16 tac 17 ) 18 , 20 evidenced 19 as 20 evidenced 21 by 27 and 22 cardiac 24 , 24 , 25 fibrosis 24 , 27 and 26 , 27 and 27 and 29 mortality 28 increased 29 mortality together , these data show for the first time that sirt3 activity is necessary to prevent mitochondrial dysfunction and cardiac hypertrophy during aging and shed light on new pharmacological approaches to delaying aging and treating diseases in cardiac muscle and possibly other post - mitotic tissues . 0 ###LEFT-WALL### 4 data 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 44 - 1 together 2 , 1 together 4 data 3 these 4 data 4 data 24 and 5 show 19 and 5 show 21 hypertrophy 5 show 24 and 6 for 9 time 6 for 19 and 7 the 8 first 7 the 9 time 9 time 10 that 10 that 12 activity 10 that 13 is 11 sirt3 12 activity 12 activity 13 is 13 is 14 necessary 14 necessary 15 to 14 necessary 16 prevent 15 to 16 prevent 17 mitochondrial 18 dysfunction 18 dysfunction 19 and 19 and 20 cardiac 19 and 21 hypertrophy 21 hypertrophy 22 during 22 during 23 aging 24 and 25 shed 24 and 40 and 26 light 27 on 26 light 34 and 27 on 30 approaches 28 new 30 approaches 29 pharmacological 30 approaches 30 approaches 31 to 31 to 32 delaying 32 delaying 33 aging 34 and 36 diseases 34 and 37 in 34 and 40 and 35 treating 36 diseases 37 in 39 muscle 38 cardiac 39 muscle 40 and 41 possibly 40 and 43 post 42 other 43 post 44 - 46 tissues 44 - 47 . 45 mitotic 46 tissues objective : thioredoxin - 1 ( trx - 1 ) , one important antioxidative enzyme in endothelial cells , is required for apoptosis inhibition . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 thioredoxin 2 : 21 required 2 : 25 . 3 thioredoxin 5 1 3 thioredoxin 20 is 4 - 5 1 5 1 7 trx 5 1 15 enzyme 5 1 19 , 6 ( 7 trx 7 trx 9 1 7 trx 11 , 8 - 9 1 9 1 10 ) 11 , 15 enzyme 12 one 15 enzyme 13 important 15 enzyme 14 antioxidative 15 enzyme 15 enzyme 16 in 15 enzyme 19 , 16 in 18 cells 17 endothelial 18 cells 20 is 21 required 21 required 22 for 22 for 24 inhibition 23 apoptosis 24 inhibition apoptosis induction is dependent on cytoskeletal changes , which depend on actin rearrangements . 0 ###LEFT-WALL### 2 induction 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 14 . 1 apoptosis 2 induction 2 induction 3 is 3 is 4 dependent 4 dependent 5 on 5 on 7 changes 6 cytoskeletal 7 changes 8 , 9 which 8 , 10 depend 9 which 10 depend 10 depend 11 on 11 on 13 rearrangements 12 actin 13 rearrangements therefore , we wanted to elucidate whether a physical interaction exists between trx - 1 [and] actin and what the functional consequences are . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 wanted 0 ###LEFT-WALL### 24 . 1 therefore 2 , 1 therefore 3 we 3 we 4 wanted 4 wanted 5 to 4 wanted 6 elucidate 5 to 6 elucidate 6 elucidate 7 whether 6 elucidate 18 and 7 whether 10 interaction 7 whether 11 exists 8 a 9 physical 8 a 10 interaction 9 physical 10 interaction 10 interaction 11 exists 11 exists 12 between 12 between 13 trx 14 - 15 1 15 1 17 actin 17 actin 18 and 18 and 19 what 18 and 22 consequences 18 and 23 are 20 the 22 consequences 21 functional 22 consequences 22 consequences 23 are methods and results : combined immunoprecipitation/mass spectrometry identified actin as a new binding partner for trx - 1 . 0 ###LEFT-WALL### 3 results 0 ###LEFT-WALL### 4 : 1 methods 2 and 2 and 3 results 4 : 7 spectrometry 4 : 8 identified 4 : 17 - 4 : 19 . 5 combined 7 spectrometry 6 immunoprecipitation/mass 7 spectrometry 7 spectrometry 8 identified 8 identified 9 actin 8 identified 10 as 10 as 14 partner 11 a 12 new 11 a 14 partner 12 new 14 partner 13 binding 14 partner 14 partner 15 for 15 for 16 trx 17 - 18 1 a separate pool of trx [-] 1 forms a complex with apoptosis signaling kinase 1 . 0 ###LEFT-WALL### 3 pool 0 ###LEFT-WALL### 8 forms 0 ###LEFT-WALL### 16 . 1 a 2 separate 1 a 3 pool 2 separate 3 pool 3 pool 4 of 3 pool 8 forms 4 of 5 trx 5 trx 7 1 8 forms 10 complex 8 forms 11 with 9 a 10 complex 11 with 12 apoptosis 12 apoptosis 13 signaling 13 signaling 14 kinase 14 kinase 15 1 actin is required for stress fiber formation ; thus , the interaction of actin with trx [-] 1 might interfere with this process . 0 ###LEFT-WALL### 1 actin 0 ###LEFT-WALL### 3 required 0 ###LEFT-WALL### 8 ; 0 ###LEFT-WALL### 24 . 1 actin 2 is 2 is 3 required 3 required 4 for 4 for 7 formation 5 stress 7 formation 6 fiber 7 formation 8 ; 12 interaction 8 ; 20 interfere 9 thus 10 , 9 thus 12 interaction 11 the 12 interaction 12 interaction 13 of 12 interaction 19 might 13 of 14 actin 14 actin 15 with 15 with 16 trx 16 trx 18 1 19 might 20 interfere 20 interfere 21 with 21 with 23 process 22 this 23 process stress fiber formation , which is directly linked to the phosphorylation of focal adhesion [kinase] ( fak ) , occurs as early as 1 hour after h ( 2 [ ] ( 2 ) treatment . 0 ###LEFT-WALL### 1 stress 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 35 treatment 1 stress 3 formation 2 fiber 3 formation 4 , 5 which 4 , 19 , 5 which 19 , 6 is 8 linked 6 is 19 , 7 directly 8 linked 8 linked 9 to 9 to 11 phosphorylation 10 the 11 phosphorylation 11 phosphorylation 12 of 11 phosphorylation 17 fak 12 of 14 adhesion 13 focal 14 adhesion 16 ( 17 fak 17 fak 18 ) 19 , 20 occurs 19 , 22 early 19 , 23 as 19 , 34 ) 21 as 22 early 23 as 25 hour 24 1 25 hour 25 hour 26 after 25 hour 29 2 26 after 27 h 28 ( 29 2 29 2 32 ( 29 2 33 2 31 ] 32 ( 32 ( 33 2 it is inhibited by trx - 1 overexpression , treatment with exogenous trx - 1 , or inhibition of fak . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 inhibited 0 ###LEFT-WALL### 21 . 1 it 2 is 2 is 3 inhibited 3 inhibited 4 by 4 by 17 or 5 trx 8 overexpression 5 trx 17 or 6 - 8 overexpression 7 1 8 overexpression 8 overexpression 10 treatment 8 overexpression 16 , 9 , 10 treatment 10 treatment 11 with 10 treatment 16 , 11 with 13 trx 12 exogenous 13 trx 13 trx 15 1 14 - 15 1 15 1 16 , 16 , 17 or 17 or 18 inhibition 17 or 19 of 19 of 20 fak prolonged incubation [with] h ( 2 [ ] ( 2 ) induced stress fiber formation , reduced trx - 1 protein levels , and increased apoptosis . 0 ###LEFT-WALL### 2 incubation 0 ###LEFT-WALL### 15 formation 0 ###LEFT-WALL### 26 apoptosis 1 prolonged 2 incubation 2 incubation 4 h 2 incubation 6 2 2 incubation 15 formation 5 ( 6 2 6 2 9 ( 6 2 10 2 8 ] 9 ( 9 ( 10 2 11 ) 14 fiber 11 ) 15 formation 12 induced 14 fiber 13 stress 14 fiber 15 formation 23 , 16 , 17 reduced 16 , 23 , 17 reduced 21 protein 18 trx 21 protein 19 - 21 protein 20 1 21 protein 21 protein 22 levels 22 levels 23 , 23 , 24 and 24 and 25 increased all these processes were inhibited by preincubation with the fak inhibitor pf573228 . 0 ###LEFT-WALL### 1 all 0 ###LEFT-WALL### 5 inhibited 0 ###LEFT-WALL### 13 . 1 all 2 these 1 all 3 processes 1 all 4 were 2 these 3 processes 4 were 5 inhibited 5 inhibited 6 by 5 inhibited 8 with 6 by 7 preincubation 8 with 12 pf573228 9 the 11 inhibitor 10 fak 11 inhibitor 11 inhibitor 12 pf573228 on the contrary , incubation with pf573228 1 hour after h ( 2 [ ] ( 2 ) treatment did not block stress fiber formation , degradation of trx - 1 , or apoptosis . 0 ###LEFT-WALL### 18 ) 0 ###LEFT-WALL### 21 not 0 ###LEFT-WALL### 25 formation 0 ###LEFT-WALL### 34 apoptosis 1 on 5 incubation 1 on 18 ) 2 the 5 incubation 3 contrary 4 , 3 contrary 5 incubation 5 incubation 6 with 6 with 7 pf573228 7 pf573228 10 after 7 pf573228 13 2 8 1 9 hour 9 hour 10 after 10 after 11 h 12 ( 13 2 13 2 16 ( 13 2 17 2 15 ] 16 ( 16 ( 17 2 18 ) 19 treatment 19 treatment 20 did 19 treatment 21 not 21 not 24 fiber 22 block 24 fiber 23 stress 24 fiber 25 formation 32 , 26 , 27 degradation 26 , 32 , 27 degradation 28 of 28 of 30 - 29 trx 30 - 30 - 31 1 31 1 32 , 32 , 33 or conclusions : these data demonstrate that [the] actin - trx - 1 complex protects trx - 1 from degradation and , thus , endothelial cells from apoptosis . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 data 2 : 5 demonstrate 2 : 11 - 2 : 28 . 3 these 4 data 4 data 5 demonstrate 5 demonstrate 8 actin 6 that 8 actin 8 actin 10 trx 9 - 10 trx 10 trx 11 - 11 - 13 complex 11 - 14 protects 11 - 16 - 12 1 13 complex 13 complex 14 protects 14 protects 15 trx 16 - 17 1 17 1 18 from 18 from 20 and 19 degradation 20 and 20 and 25 cells 20 and 26 from 21 , 22 thus 22 thus 23 , 22 thus 24 endothelial 24 endothelial 25 cells 26 from 27 apoptosis reciprocally , trx - 1 prevents stress fiber formation . 0 ###LEFT-WALL### 5 1 0 ###LEFT-WALL### 6 prevents 0 ###LEFT-WALL### 10 . 1 reciprocally 2 , 1 reciprocally 5 1 2 , 3 trx 3 trx 4 - 3 trx 5 1 5 1 6 prevents 6 prevents 9 formation 7 stress 9 formation 8 fiber 9 formation odontoblasts are long - [lived] post - mitotic cells in the dental pulp , whose function is to form and maintain dentin . 0 ###LEFT-WALL### 1 odontoblasts 0 ###LEFT-WALL### 2 are 1 odontoblasts 2 are 2 are 9 cells 2 are 10 in 3 long 6 post 3 long 9 cells 4 - 6 post 6 post 7 - 8 mitotic 9 cells 10 in 13 pulp 11 the 13 pulp 12 dental 13 pulp 13 pulp 15 whose 14 , 15 whose 15 whose 16 function 15 whose 23 . 16 function 17 is 17 is 18 to 17 is 20 and 18 to 20 and 19 form 20 and 20 and 21 maintain 21 maintain 22 dentin the survival mechanisms that preserve the viability of terminally differentiated odontoblasts during the life of a healthy tooth have not been described . 0 ###LEFT-WALL### 3 mechanisms 0 ###LEFT-WALL### 22 described 0 ###LEFT-WALL### 23 . 1 the 3 mechanisms 2 survival 3 mechanisms 3 mechanisms 4 that 3 mechanisms 5 preserve 3 mechanisms 19 have 4 that 5 preserve 5 preserve 7 viability 5 preserve 12 during 6 the 7 viability 7 viability 8 of 8 of 11 odontoblasts 9 terminally 10 differentiated 10 differentiated 11 odontoblasts 12 during 14 life 13 the 14 life 14 life 15 of 15 of 18 tooth 16 a 17 healthy 16 a 18 tooth 17 healthy 18 tooth 19 have 20 not 19 have 21 been 21 been 22 described in the present study , we characterized the autophagic - lysosomal system of human odontoblasts with transmission electron microscopy and immunocytochemistry , to analyze the mechanisms that maintain the functional viability of these dentinogenic cells . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 36 . 1 in 4 study 1 in 5 , 1 in 6 we 2 the 4 study 3 present 4 study 6 we 22 , 7 characterized 12 system 7 characterized 16 with 7 characterized 22 , 8 the 12 system 9 autophagic 10 - 9 autophagic 12 system 11 lysosomal 12 system 12 system 13 of 13 of 15 odontoblasts 14 human 15 odontoblasts 16 with 20 and 17 transmission 19 microscopy 18 electron 19 microscopy 19 microscopy 20 and 20 and 21 immunocytochemistry 22 , 23 to 22 , 24 analyze 23 to 24 analyze 24 analyze 26 mechanisms 25 the 26 mechanisms 26 mechanisms 27 that 26 mechanisms 28 maintain 27 that 28 maintain 28 maintain 31 viability 29 the 31 viability 30 functional 31 viability 31 viability 32 of 32 of 35 cells 33 these 35 cells 34 dentinogenic 35 cells odontoblasts were found to develop an autophagic - lysosomal system organized mainly by large autophagic vacuoles that are acid - phosphatase - positive to various degrees . 0 ###LEFT-WALL### 1 odontoblasts 0 ###LEFT-WALL### 5 develop 0 ###LEFT-WALL### 27 . 1 odontoblasts 2 were 2 were 3 found 3 found 4 to 4 to 5 develop 5 develop 10 system 6 an 7 autophagic 6 an 10 system 7 autophagic 8 - 7 autophagic 10 system 9 lysosomal 10 system 10 system 11 organized 11 organized 12 mainly 11 organized 23 positive 12 mainly 13 by 13 by 16 vacuoles 14 large 16 vacuoles 15 autophagic 16 vacuoles 16 vacuoles 17 that 16 vacuoles 18 are 16 vacuoles 21 phosphatase 17 that 18 are 18 are 19 acid 20 - 21 phosphatase 21 phosphatase 22 - 23 positive 24 to 24 to 26 degrees 25 various 26 degrees these vacuoles expressed the autophagosomal and lysosomal markers lc3 and lamp2 , respectively , in an age - related [pattern] indicating the organization of [a] dynamic autophagic machinery . 0 ###LEFT-WALL### 2 vacuoles 0 ###LEFT-WALL### 3 expressed 0 ###LEFT-WALL### 19 related 1 these 2 vacuoles 2 vacuoles 3 expressed 3 expressed 11 lamp2 3 expressed 13 respectively 3 expressed 15 in 4 the 8 markers 5 autophagosomal 6 and 6 and 7 lysosomal 6 and 8 markers 8 markers 11 lamp2 9 lc3 10 and 10 and 11 lamp2 12 , 13 respectively 13 respectively 14 , 15 in 17 age 16 an 17 age 18 - 19 related 19 related 21 indicating 19 related 29 . 21 indicating 23 organization 22 the 23 organization 23 organization 24 of 24 of 28 machinery 26 dynamic 28 machinery 27 autophagic 28 machinery progressive accumulation of lipofuscin within lysosomes indicates reduced lysosomal activity as a function of odontoblast aging . 0 ###LEFT-WALL### 2 accumulation 0 ###LEFT-WALL### 7 indicates 0 ###LEFT-WALL### 17 . 1 progressive 2 accumulation 2 accumulation 3 of 2 accumulation 7 indicates 3 of 4 lipofuscin 4 lipofuscin 5 within 5 within 6 lysosomes 7 indicates 10 activity 8 reduced 10 activity 9 lysosomal 10 activity 10 activity 16 aging 11 as 13 function 11 as 16 aging 12 a 13 function 13 function 14 of 13 function 16 aging 14 of 15 odontoblast our results suggest that autophagic activity in odontoblasts is a fundamental mechanism to ensure turnover [and] degradation of subcellular components . 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 21 . 1 our 2 results 2 results 3 suggest 3 suggest 6 activity 3 suggest 9 is 4 that 5 autophagic 5 autophagic 6 activity 6 activity 7 in 7 in 8 odontoblasts 9 is 12 mechanism 9 is 13 to 9 is 14 ensure 10 a 11 fundamental 10 a 12 mechanism 11 fundamental 12 mechanism 13 to 14 ensure 14 ensure 17 degradation 15 turnover 17 degradation 17 degradation 18 of 18 of 20 components 19 subcellular 20 components a reduction in the efficacy of this system might compromise cell viability and dentinogenic secretory capacity . 0 ###LEFT-WALL### 2 reduction 0 ###LEFT-WALL### 10 compromise 0 ###LEFT-WALL### 17 . 1 a 2 reduction 2 reduction 3 in 2 reduction 9 might 3 in 5 efficacy 4 the 5 efficacy 5 efficacy 6 of 6 of 8 system 7 this 8 system 9 might 10 compromise 10 compromise 13 and 11 cell 12 viability 12 viability 13 and 13 and 16 capacity 14 dentinogenic 16 capacity 15 secretory 16 capacity in adult teeth , this condition is described as an ['] old odontoblast ['] stage . 0 ###LEFT-WALL### 6 condition 0 ###LEFT-WALL### 8 described 0 ###LEFT-WALL### 16 . 1 in 3 teeth 1 in 4 , 1 in 6 condition 2 adult 3 teeth 5 this 6 condition 6 condition 7 is 7 is 8 described 8 described 9 as 9 as 15 stage 10 an 15 stage 12 old 15 stage 13 odontoblast 15 stage this case - control study aimed to characterize the factors associated with amebiasis , defined as presence of anti - entamoeba histolytica antibody titers of ≧ 128 by indirect hemagglutination assay , among persons seeking voluntary counseling and testing ( vct ) for human immunodeficiency virus ( hiv ) infection . 0 ###LEFT-WALL### 2 case 0 ###LEFT-WALL### 15 defined 0 ###LEFT-WALL### 51 . 1 this 2 case 2 case 5 study 2 case 15 defined 3 - 5 study 4 control 5 study 5 study 6 aimed 5 study 14 , 6 aimed 7 to 7 to 8 characterize 8 characterize 10 factors 8 characterize 12 with 9 the 10 factors 10 factors 11 associated 12 with 13 amebiasis 15 defined 16 as 15 defined 33 among 15 defined 50 infection 16 as 17 presence 17 presence 18 of 17 presence 24 titers 17 presence 31 assay 18 of 21 entamoeba 19 anti 20 - 19 anti 21 entamoeba 22 histolytica 24 titers 23 antibody 24 titers 24 titers 25 of 24 titers 28 by 24 titers 31 assay 25 of 26 ≧ 26 ≧ 27 128 28 by 30 hemagglutination 29 indirect 30 hemagglutination 32 , 33 among 33 among 34 persons 33 among 49 ) 34 persons 35 seeking 34 persons 43 for 35 seeking 38 and 36 voluntary 37 counseling 37 counseling 38 and 38 and 39 testing 38 and 41 vct 40 ( 41 vct 41 vct 42 ) 43 for 46 virus 44 human 46 virus 45 immunodeficiency 46 virus 46 virus 48 hiv 47 ( 48 hiv 48 hiv 49 ) between april 2006 and september 2009 , 57 of 4,802 persons ( 1.2 % ) seeking vct services were seropositive for e . histolytica infection . 0 ###LEFT-WALL### 8 57 0 ###LEFT-WALL### 19 were 0 ###LEFT-WALL### 23 . 0 ###LEFT-WALL### 26 . 1 between 4 and 1 between 7 , 1 between 8 57 2 april 3 2006 2 april 4 and 4 and 5 september 5 september 6 2009 8 57 9 of 8 57 16 seeking 8 57 19 were 9 of 11 persons 10 4,802 11 persons 11 persons 14 % 12 ( 14 % 13 1.2 14 % 14 % 15 ) 16 seeking 18 services 17 vct 18 services 19 were 20 seropositive 20 seropositive 21 for 21 for 22 e 23 . 25 infection 24 histolytica 25 infection compared with 228 seronegative controls , case subjects were older [(] odds ratio [ or []] for [per] 1 - year increase [,] 1.098 [;] 95 % confidence interval [ ci ] , 1.036 , 1.165 ) , less likely to hold bachelor [degree] or higher [(] or , 0.359 [;] 95 % ci , 0.152 , 0.846 ) , [and] [were] more likely to be men who have sex with men ( msm ) ( or , [8.382] [;] 95 % ci , 2.050 , 34.266 [ )( [have] oral - anal sex ( or , 4.016 [;] 95 % ci , 1.711 , 9.427 [ )(in multiple logistic regression analysis . 1 compared 2 with 1 compared 6 , 1 compared 8 subjects 2 with 5 controls 3 228 5 controls 4 seronegative 5 controls 7 case 8 subjects 8 subjects 9 were 9 were 13 ratio 10 older 12 odds 12 odds 13 ratio 13 ratio 20 - 14 [ 20 - 15 or 17 for 15 or 20 - 17 for 19 1 20 - 29 interval 21 year 22 increase 22 increase 29 interval 24 1.098 29 interval 26 95 27 % 27 % 28 confidence 28 confidence 29 interval 29 interval 31 ci 29 interval 34 1.036 29 interval 36 1.165 29 interval 41 to 30 [ 31 ci 31 ci 32 ] 33 , 34 1.036 34 1.036 35 , 35 , 36 1.165 36 1.165 37 ) 38 , 41 to 39 less 40 likely 40 likely 41 to 41 to 42 hold 42 hold 54 ci 43 bachelor 45 or 45 or 48 or 45 or 49 , 45 or 54 ci 46 higher 48 or 50 0.359 54 ci 52 95 54 ci 53 % 54 ci 54 ci 56 0.152 54 ci 65 to 55 , 56 0.152 56 0.152 58 0.846 56 0.152 60 , 57 , 58 0.846 58 0.846 59 ) 60 , 65 to 63 more 64 likely 64 likely 65 to 65 to 66 be 66 be 67 men 66 be 71 with 67 men 68 who 67 men 69 have 68 who 69 have 69 have 70 sex 71 with 72 men 71 with 81 95 72 men 74 msm 72 men 77 or 73 ( 74 msm 74 msm 75 ) 76 ( 77 or 77 or 78 , 81 95 92 - 82 % 83 ci 83 ci 85 2.050 84 , 85 2.050 85 2.050 86 , 86 , 92 - 87 34.266 91 oral 91 oral 92 - 92 - 94 sex 93 anal 94 sex 94 sex 96 or 94 sex 102 ci 95 ( 96 or 96 or 97 , 97 , 102 ci 98 4.016 102 ci 100 95 102 ci 101 % 102 ci 102 ci 104 1.711 102 ci 112 analysis 102 ci 113 . 103 , 104 1.711 104 1.711 105 , 105 , 112 analysis 106 9.427 108 )(in 108 )(in 112 analysis 109 multiple 112 analysis 110 logistic 112 analysis 111 regression 112 analysis 112 analysis 113 . the msm , fecal - oral contamination , lower educational achievement , and older age were associated with increased risk for amebiasis among persons seeking vct for hiv infection . 0 ###LEFT-WALL### 2 msm 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 30 . 1 the 2 msm 3 , 13 and 3 , 17 associated 4 fecal 5 - 4 fecal 7 contamination 6 oral 7 contamination 7 contamination 8 , 8 , 11 achievement 8 , 13 and 9 lower 11 achievement 10 educational 11 achievement 12 , 13 and 13 and 15 age 13 and 16 were 14 older 15 age 16 were 17 associated 17 associated 18 with 18 with 20 risk 19 increased 20 risk 20 risk 21 for 20 risk 25 seeking 21 for 22 amebiasis 22 amebiasis 23 among 23 among 24 persons 25 seeking 26 vct 25 seeking 27 for 27 for 29 infection 28 hiv 29 infection methods : reach - to [-] grasp performance of the preferred hand in binocular [versus] monocular ( dominant or nondominant eye occluded ) conditions to different objects ( two sizes , three locations , and two to three repetitions ) [was] quantified by using a 3 d motion - capture system . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 grasp 2 : 3 reach 3 reach 5 to 4 - 5 to 5 to 7 grasp 7 grasp 8 performance 8 performance 9 of 9 of 12 hand 10 the 12 hand 11 preferred 12 hand 12 hand 13 in 13 in 24 conditions 14 binocular 24 conditions 16 monocular 19 or 16 monocular 23 ) 16 monocular 24 conditions 17 ( 19 or 18 dominant 19 or 19 or 21 eye 19 or 22 occluded 19 or 23 ) 20 nondominant 21 eye 24 conditions 25 to 25 to 35 and 26 different 31 , 26 different 33 locations 27 objects 30 sizes 28 ( 30 sizes 29 two 30 sizes 30 sizes 31 , 32 three 33 locations 33 locations 35 and 34 , 35 and 35 and 39 repetitions 35 and 40 ) 35 and 42 quantified 35 and 43 by 36 two 37 to 37 to 38 three 37 to 39 repetitions 43 by 44 using 44 using 48 motion 45 a 48 motion 46 3 47 d 47 d 48 motion 48 motion 51 system 49 - 51 system 50 capture 51 system 51 system 52 . the participants were 36 children ( age , 5 - 11 years [ )(and 11 adults who were normally sighted and 21 children ( age , 4 - 8 years ) [who] had strabismus [and/or] anisometropia . 0 ###LEFT-WALL### 2 participants 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 37 . 1 the 2 participants 2 participants 3 were 3 were 5 children 4 36 5 children 5 children 7 age 6 ( 7 age 7 age 8 , 8 , 9 5 8 , 33 had 9 5 21 and 9 5 33 had 10 - 21 and 11 11 12 years 12 years 14 )(and 14 )(and 16 adults 14 )(and 17 who 14 )(and 18 were 14 )(and 21 and 15 11 16 adults 17 who 18 were 18 were 20 sighted 19 normally 20 sighted 21 and 23 children 21 and 25 age 21 and 31 ) 22 21 23 children 24 ( 25 age 25 age 27 4 25 age 30 years 25 age 31 ) 26 , 27 4 27 4 28 - 28 - 30 years 29 8 30 years 30 years 31 ) 33 had 36 anisometropia 34 strabismus 36 anisometropia movement kinematics and error rates were compared for each viewing condition [within] and between subject groups . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 7 compared 0 ###LEFT-WALL### 17 . 1 movement 2 kinematics 2 kinematics 3 and 3 and 5 rates 3 and 6 were 4 error 5 rates 6 were 7 compared 7 compared 13 and 8 for 10 viewing 8 for 13 and 9 each 10 viewing 10 viewing 11 condition 13 and 14 between 14 between 16 groups 15 subject 16 groups results : the youngest control subjects used a mainly programmed [(] ballistic ) strategy and collided with the objects more often when viewing with only one eye , while older children progressively incorporated visual feedback to guide their reach and , eventually , their grasp , resulting in binocular advantages for both movement components resembling those of adult performance . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 youngest 2 : 5 control 2 : 60 . 3 the 4 youngest 4 youngest 5 control 5 control 6 subjects 6 subjects 15 and 7 used 14 strategy 7 used 15 and 8 a 14 strategy 9 mainly 10 programmed 10 programmed 14 strategy 12 ballistic 13 ) 12 ballistic 14 strategy 15 and 16 collided 15 and 17 with 15 and 21 often 15 and 22 when 15 and 48 in 17 with 19 objects 18 the 19 objects 20 more 21 often 22 when 23 viewing 23 viewing 24 with 23 viewing 29 while 23 viewing 47 resulting 24 with 27 eye 25 only 26 one 26 one 27 eye 28 , 29 while 29 while 31 children 29 while 33 incorporated 29 while 46 , 30 older 31 children 31 children 33 incorporated 32 progressively 33 incorporated 33 incorporated 35 feedback 33 incorporated 36 to 34 visual 35 feedback 36 to 37 guide 37 guide 40 and 38 their 39 reach 39 reach 40 and 40 and 42 eventually 40 and 45 grasp 41 , 42 eventually 42 eventually 43 , 44 their 45 grasp 48 in 50 advantages 49 binocular 50 advantages 50 advantages 51 for 50 advantages 55 resembling 50 advantages 57 of 51 for 54 components 52 both 54 components 53 movement 54 components 55 resembling 56 those 57 of 59 performance 58 adult 59 performance amblyopic children were the worst performers under all viewing conditions , even when using the dominant eye . 0 ###LEFT-WALL### 2 children 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 18 . 1 amblyopic 2 children 2 children 11 , 3 were 6 performers 3 were 11 , 4 the 5 worst 4 the 6 performers 6 performers 7 under 7 under 8 all 8 all 9 viewing 9 viewing 10 conditions 11 , 12 even 12 even 13 when 13 when 14 using 14 using 17 eye 15 the 17 eye 16 dominant 17 eye they spent almost twice as long [in] the final approach to the objects and made many ( 1.5 - 3 times ) more errors in reach direction and grip positioning than their normal counterparts , these impairments being most marked in those with the poorest binocularity , regardless of the severity or cause of their amblyopia . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 57 . 1 they 14 and 2 spent 3 almost 2 spent 10 approach 2 spent 14 and 3 almost 6 long 4 twice 5 as 5 as 6 long 8 the 10 approach 9 final 10 approach 10 approach 11 to 11 to 13 objects 12 the 13 objects 14 and 15 made 15 made 16 many 15 made 52 or 16 many 19 - 17 ( 19 - 18 1.5 19 - 19 - 21 times 19 - 22 ) 20 3 21 times 23 more 24 errors 24 errors 25 in 24 errors 52 or 25 in 28 and 26 reach 27 direction 27 direction 28 and 28 and 29 grip 28 and 30 positioning 30 positioning 31 than 30 positioning 34 counterparts 30 positioning 49 of 32 their 34 counterparts 33 normal 34 counterparts 34 counterparts 37 impairments 35 , 37 impairments 36 these 37 impairments 37 impairments 38 being 37 impairments 40 marked 37 impairments 43 with 37 impairments 47 , 38 being 39 most 40 marked 41 in 41 in 42 those 43 with 46 binocularity 44 the 45 poorest 44 the 46 binocularity 48 regardless 49 of 49 of 51 severity 50 the 51 severity 52 or 53 cause 52 or 54 of 54 of 56 amblyopia 55 their 56 amblyopia conclusions : the importance of binocular vision for eye [-] hand coordination normally increases with age and use of online movement guidance . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 4 importance 2 : 14 increases 3 the 4 importance 4 importance 5 of 4 importance 14 increases 5 of 7 vision 6 binocular 7 vision 7 vision 8 for 8 for 12 coordination 9 eye 12 coordination 11 hand 12 coordination 13 normally 14 increases 14 increases 15 with 15 with 17 and 16 age 17 and 17 and 18 use 17 and 19 of 19 of 22 guidance 20 online 22 guidance 21 movement 22 guidance restoring binocularity in children with amblyopia may improve their poor hand action control . 0 ###LEFT-WALL### 1 restoring 0 ###LEFT-WALL### 8 improve 0 ###LEFT-WALL### 14 . 1 restoring 2 binocularity 1 restoring 3 in 1 restoring 5 with 1 restoring 7 may 3 in 4 children 5 with 6 amblyopia 7 may 8 improve 8 improve 13 control 9 their 13 control 10 poor 11 hand 11 hand 13 control 12 action 13 control objective : to investigate the symptom of low mood as a predictor of mild cognitive impairment ( mci ) and its progression to dementia , taking into account [:] ( [i] [ )( severity , ( ii ) time of assessment and [(] iii ) interaction with other factors . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 investigate 2 : 3 to 3 to 4 investigate 4 investigate 6 symptom 5 the 6 symptom 6 symptom 7 of 7 of 9 mood 8 low 9 mood 9 mood 10 as 10 as 20 and 11 a 12 predictor 12 predictor 13 of 12 predictor 20 and 13 of 16 impairment 14 mild 16 impairment 15 cognitive 16 impairment 16 impairment 18 mci 17 ( 18 mci 18 mci 19 ) 20 and 22 progression 20 and 25 , 20 and 26 taking 21 its 22 progression 22 progression 23 to 23 to 24 dementia 26 taking 27 into 27 into 28 account 28 account 34 severity 28 account 39 time 30 ( 34 severity 34 severity 35 , 36 ( 39 time 37 ii 38 ) 37 ii 39 time 39 time 40 of 39 time 50 . 40 of 46 interaction 41 assessment 42 and 42 and 44 iii 42 and 45 ) 42 and 46 interaction 46 interaction 47 with 47 with 49 factors 48 other 49 factors methods : 764 cognitively healthy elderly subjects living in the community , from the kungsholmen project . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 1 methods 2 : 2 : 7 subjects 3 764 7 subjects 4 cognitively 5 healthy 5 healthy 7 subjects 6 elderly 7 subjects 7 subjects 8 living 8 living 9 in 9 in 11 community 10 the 11 community 11 community 13 from 12 , 13 from 13 from 16 project 13 from 17 . 14 the 16 project 15 kungsholmen 16 project participants were [assessed] [by] direct [interview] to detect low [mood] . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 11 . 1 participants 2 were 2 were 5 direct 5 direct 7 to 5 direct 8 detect 7 to 8 detect 8 detect 9 low subjects were then followed for 6 years to identify those who developed mci . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 4 followed 0 ###LEFT-WALL### 14 . 1 subjects 2 were 2 were 4 followed 3 then 4 followed 4 followed 5 for 4 followed 8 to 5 for 7 years 6 6 7 years 8 to 9 identify 9 identify 10 those 10 those 11 who 10 those 12 developed 11 who 12 developed 12 developed 13 mci people with incident mci were followed for a further 3 years to assess progression to dementia . 0 ###LEFT-WALL### 1 people 0 ###LEFT-WALL### 6 followed 0 ###LEFT-WALL### 17 . 1 people 2 with 1 people 5 were 2 with 3 incident 3 incident 4 mci 5 were 6 followed 6 followed 7 for 6 followed 12 to 7 for 11 years 8 a 11 years 9 further 11 years 10 3 11 years 12 to 13 assess 13 assess 14 progression 13 assess 15 to 15 to 16 dementia results : people with low mood [at] baseline had a 2.7 [-] fold ( 95 % ci 1.9 to 3.7 ) increased [risk] of developing mci at [follow] - up . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 increased 0 ###LEFT-WALL### 31 . 2 : 3 people 2 : 9 had 3 people 4 with 3 people 9 had 4 with 8 baseline 5 low 6 mood 6 mood 8 baseline 9 had 13 fold 9 had 22 increased 10 a 13 fold 11 2.7 13 fold 13 fold 17 ci 14 ( 17 ci 15 95 17 ci 16 % 17 ci 17 ci 19 to 17 ci 21 ) 18 1.9 19 to 19 to 20 3.7 22 increased 24 of 22 increased 27 at 24 of 25 developing 25 developing 26 mci 27 at 30 up 29 - 30 up the association was stronger for [amnestic] mci ( amci : hr 5.8 ; 95 % ci 3.1 to 10.9 [ )(compared with global cognitive impairment ( other cognitive impairment no dementia , ocind : hr 2.2 [;] 95 % ci 1.5 to 3.3 [ )( 0 ###LEFT-WALL### 2 association 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 10 : 0 ###LEFT-WALL### 45 )( 1 the 2 association 2 association 3 was 3 was 4 stronger 4 stronger 5 for 5 for 7 mci 7 mci 9 amci 8 ( 9 amci 9 amci 10 : 10 : 11 hr 10 : 13 ; 11 hr 12 5.8 13 ; 16 ci 13 ; 21 )(compared 13 ; 32 , 14 95 16 ci 15 % 16 ci 16 ci 18 to 16 ci 21 )(compared 17 3.1 18 to 18 to 19 10.9 21 )(compared 22 with 22 with 25 impairment 23 global 25 impairment 24 cognitive 25 impairment 25 impairment 31 dementia 26 ( 31 dementia 27 other 31 dementia 28 cognitive 29 impairment 29 impairment 31 dementia 30 no 31 dementia 31 dementia 32 , 32 , 33 ocind 32 , 34 : 33 ocind 34 : 34 : 40 ci 35 hr 40 ci 36 2.2 40 ci 38 95 40 ci 39 % 40 ci 40 ci 42 to 41 1.5 42 to 42 to 43 3.3 apoe - ε4 interacted [with] low [mood] in a synergistic fashion , increasing the risk of amci , while no interaction with psychiatric , vascular , frailty related or psychosocial factors was observed . 0 ###LEFT-WALL### 3 ε4 0 ###LEFT-WALL### 4 interacted 0 ###LEFT-WALL### 34 . 1 apoe 2 - 1 apoe 3 ε4 3 ε4 4 interacted 4 interacted 6 low 4 interacted 8 in 4 interacted 19 while 8 in 11 fashion 9 a 10 synergistic 9 a 11 fashion 10 synergistic 11 fashion 11 fashion 13 increasing 12 , 13 increasing 13 increasing 15 risk 13 increasing 18 , 14 the 15 risk 15 risk 16 of 16 of 17 amci 19 while 21 interaction 19 while 32 was 20 no 21 interaction 21 interaction 22 with 21 interaction 32 was 22 with 29 or 23 psychiatric 24 , 23 psychiatric 27 frailty 25 vascular 26 , 25 vascular 27 frailty 27 frailty 28 related 27 frailty 29 or 29 or 31 factors 30 psychosocial 31 factors 32 was 33 observed low [mood] at baseline , as opposed to low mood co - occurring with mci , was associated with a 5.3 [-] fold ( 95 % ci 1.2 to 23.3 ) increased risk of progression to dementia in amci . 0 ###LEFT-WALL### 1 low 0 ###LEFT-WALL### 18 associated 0 ###LEFT-WALL### 40 . 1 low 3 at 1 low 8 to 1 low 9 low 1 low 17 was 3 at 4 baseline 4 baseline 7 opposed 5 , 7 opposed 6 as 7 opposed 8 to 9 low 9 low 11 co 9 low 13 occurring 10 mood 11 co 12 - 13 occurring 13 occurring 14 with 13 occurring 16 , 14 with 15 mci 17 was 18 associated 18 associated 19 with 18 associated 36 to 19 with 23 fold 19 with 33 risk 20 a 23 fold 21 5.3 23 fold 23 fold 27 ci 24 ( 27 ci 25 95 27 ci 26 % 27 ci 27 ci 29 to 27 ci 31 ) 28 1.2 29 to 29 to 30 23.3 32 increased 33 risk 33 risk 34 of 34 of 35 progression 36 to 37 dementia 37 dementia 38 in 38 in 39 amci in contrast , no association was found in ocind . 0 ###LEFT-WALL### 5 association 0 ###LEFT-WALL### 7 found 0 ###LEFT-WALL### 10 . 1 in 2 contrast 1 in 3 , 1 in 5 association 4 no 5 association 5 association 6 was 6 was 7 found 7 found 8 in 8 in 9 ocind conclusion : low [mood] was more strongly associated with amci than with global cognitive impairment . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 low 2 : 8 associated 2 : 16 . 3 low 5 was 5 was 8 associated 6 more 7 strongly 7 strongly 8 associated 8 associated 9 with 8 associated 11 than 9 with 10 amci 11 than 12 with 12 with 15 impairment 13 global 15 impairment 14 cognitive 15 impairment progression towards dementia was [predicted] only [by] low [mood] manifest in the prodromal stage of mci . 0 ###LEFT-WALL### 1 progression 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 17 . 1 progression 2 towards 1 progression 4 was 2 towards 3 dementia 4 was 6 only 4 was 8 low 4 was 10 manifest 10 manifest 11 in 11 in 14 stage 12 the 14 stage 13 prodromal 14 stage 14 stage 15 of 15 of 16 mci these findings indicate that low mood is particularly prominent in the very early stages [of] cognitive decline . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 18 . 1 these 2 findings 2 findings 3 indicate 3 indicate 6 mood 3 indicate 7 is 4 that 6 mood 5 low 6 mood 6 mood 7 is 7 is 9 prominent 8 particularly 9 prominent 9 prominent 10 in 10 in 17 decline 11 the 17 decline 12 very 13 early 13 early 14 stages 14 stages 17 decline 16 cognitive 17 decline background : although cryopreservation of semen is a routine procedure for preserving male gametes , an efficient method of preserving fertility through oocyte freezing has only recently become available for women . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 18 method 2 : 28 become 2 : 32 . 3 although 4 cryopreservation 3 although 7 is 3 although 18 method 4 cryopreservation 5 of 4 cryopreservation 7 is 5 of 6 semen 7 is 10 procedure 8 a 10 procedure 9 routine 10 procedure 11 for 12 preserving 11 for 15 , 11 for 18 method 12 preserving 14 gametes 13 male 14 gametes 16 an 17 efficient 16 an 18 method 17 efficient 18 method 18 method 19 of 18 method 24 freezing 18 method 25 has 19 of 20 preserving 20 preserving 21 fertility 20 preserving 22 through 22 through 23 oocyte 25 has 28 become 26 only 28 become 27 recently 28 become 28 become 29 available 29 available 30 for 30 for 31 women in view of the limited female reproductive lifespan , oocyte freezing can now offer women some protection against the decline in fertility with aging . 0 ###LEFT-WALL### 11 freezing 0 ###LEFT-WALL### 14 offer 0 ###LEFT-WALL### 25 . 1 in 2 view 1 in 11 freezing 2 view 3 of 3 of 10 oocyte 4 the 10 oocyte 5 limited 10 oocyte 6 female 10 oocyte 7 reproductive 10 oocyte 8 lifespan 9 , 8 lifespan 10 oocyte 11 freezing 12 can 12 can 14 offer 13 now 14 offer 14 offer 15 women 14 offer 17 protection 14 offer 18 against 14 offer 21 in 14 offer 23 with 16 some 17 protection 18 against 20 decline 19 the 20 decline 21 in 22 fertility 23 with 24 aging methods : a survey was performed in belgium among 1914 women of reproductive age ( 21 - 40 years ) to assess public attitudes towards the phenomenon called ['] social oocyte freezing ['] . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 2 : 4 survey 2 : 22 assess 3 a 4 survey 4 survey 5 was 5 was 6 performed 6 performed 7 in 6 performed 9 among 6 performed 17 - 6 performed 21 to 7 in 8 belgium 9 among 11 women 10 1914 11 women 11 women 12 of 12 of 14 age 13 reproductive 14 age 15 ( 17 - 16 21 17 - 17 - 19 years 17 - 20 ) 18 40 19 years 21 to 22 assess 22 assess 24 attitudes 22 assess 28 called 23 public 24 attitudes 24 attitudes 25 towards 24 attitudes 28 called 25 towards 27 phenomenon 26 the 27 phenomenon 28 called 31 oocyte 28 called 32 freezing 30 social 31 oocyte women were questioned on their awareness of the age - related fertility decline and their views and intentions towards considering undergoing oocyte cryopreservation . 0 ###LEFT-WALL### 1 women 0 ###LEFT-WALL### 3 questioned 0 ###LEFT-WALL### 10 - 1 women 2 were 2 were 3 questioned 3 questioned 4 on 4 on 6 awareness 5 their 6 awareness 6 awareness 7 of 7 of 9 age 8 the 9 age 10 - 13 decline 10 - 14 and 10 - 24 . 11 related 12 fertility 12 fertility 13 decline 14 and 17 and 14 and 22 oocyte 15 their 16 views 16 views 17 and 17 and 18 intentions 17 and 19 towards 17 and 22 oocyte 19 towards 20 considering 20 considering 21 undergoing 22 oocyte 23 cryopreservation results : the electronic questionnaire was completed by 1049 women , giving a response rate of 55 % , and [25] were excluded as they were incomplete/inconsistent . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 questionnaire 2 : 20 and 2 : 28 . 3 the 5 questionnaire 4 electronic 5 questionnaire 5 questionnaire 20 and 6 was 7 completed 6 was 20 and 7 completed 8 by 7 completed 12 giving 8 by 10 women 9 1049 10 women 11 , 12 giving 12 giving 15 rate 12 giving 19 , 13 a 15 rate 14 response 15 rate 15 rate 16 of 16 of 18 % 17 55 18 % 19 , 20 and 20 and 22 were 22 were 23 excluded 23 excluded 24 as 24 as 25 they 24 as 26 were 24 as 27 incomplete/inconsistent 25 they 26 were our results demonstrate that 31.5 % of respondents consider themselves as potential social oocyte freezers , of which 3.1 % would definitely consider the procedure . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 demonstrate 1 our 2 results 2 results 3 demonstrate 3 demonstrate 4 that 4 that 6 % 4 that 9 consider 5 31.5 6 % 6 % 7 of 6 % 9 consider 7 of 8 respondents 9 consider 10 themselves 9 consider 11 as 11 as 15 freezers 12 potential 15 freezers 13 social 15 freezers 14 oocyte 15 freezers 15 freezers 17 of 16 , 17 of 17 of 18 which 17 of 26 . 18 which 20 % 18 which 23 consider 19 3.1 20 % 20 % 21 would 21 would 23 consider 22 definitely 23 consider 23 consider 25 procedure 24 the 25 procedure just over half of the women ( 51.8 % ) would not consider the procedure while 16.7 % indicated they had no opinion . 0 ###LEFT-WALL### 3 half 0 ###LEFT-WALL### 13 consider 0 ###LEFT-WALL### 24 . 1 just 2 over 2 over 3 half 3 half 4 of 3 half 11 would 4 of 6 women 5 the 6 women 6 women 9 % 7 ( 9 % 8 51.8 9 % 9 % 10 ) 11 would 12 not 11 would 13 consider 13 consider 15 procedure 13 consider 16 while 14 the 15 procedure 16 while 18 % 16 while 19 indicated 17 16.7 18 % 18 % 19 indicated 19 indicated 20 they 19 indicated 21 had 20 they 21 had 21 had 23 opinion 22 no 23 opinion potential oocyte freezers are characterized by a higher number of desired children and more openness to oocyte donation . 0 ###LEFT-WALL### 3 freezers 0 ###LEFT-WALL### 5 characterized 0 ###LEFT-WALL### 19 . 1 potential 3 freezers 2 oocyte 3 freezers 3 freezers 4 are 4 are 5 characterized 5 characterized 6 by 5 characterized 16 to 6 by 13 and 7 a 9 number 8 higher 9 number 9 number 10 of 9 number 12 children 10 of 12 children 11 desired 12 children 12 children 13 and 13 and 15 openness 14 more 15 openness 16 to 17 oocyte 17 oocyte 18 donation the decision to actually embark on such treatment would primarily depend on conditions , such as the procedure not affecting their natural fertility and the health of future children . 0 ###LEFT-WALL### 2 decision 0 ###LEFT-WALL### 11 depend 1 the 2 decision 2 decision 3 to 2 decision 5 embark 2 decision 9 would 3 to 5 embark 4 actually 5 embark 5 embark 6 on 6 on 8 treatment 7 such 8 treatment 9 would 11 depend 10 primarily 11 depend 11 depend 12 on 12 on 13 conditions 13 conditions 16 as 14 , 16 as 15 such 16 as 16 as 24 and 16 as 30 . 17 the 18 procedure 18 procedure 19 not 18 procedure 24 and 19 not 20 affecting 20 affecting 23 fertility 21 their 23 fertility 22 natural 23 fertility 24 and 26 health 24 and 27 of 25 the 26 health 27 of 29 children 28 future 29 children conclusions : we conclude that a significant proportion of young women would consider safeguarding their reproductive potential or [are] at least open to the idea of social oocyte freezing . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 3 we 2 : 4 conclude 3 we 4 conclude 4 conclude 5 that 5 that 8 proportion 5 that 13 consider 6 a 7 significant 6 a 8 proportion 7 significant 8 proportion 8 proportion 9 of 8 proportion 12 would 9 of 11 women 10 young 11 women 12 would 13 consider 13 consider 14 safeguarding 14 safeguarding 18 or 14 safeguarding 23 to 15 their 17 potential 16 reproductive 17 potential 17 potential 18 or 18 or 21 least 18 or 22 open 20 at 21 least 23 to 25 idea 24 the 25 idea 25 idea 26 of 26 of 28 oocyte 27 social 28 oocyte 28 oocyte 29 freezing package opening tasks have been identified as some of the most challenging that individuals need to perform to access food . 0 ###LEFT-WALL### 3 tasks 0 ###LEFT-WALL### 17 perform 0 ###LEFT-WALL### 21 . 1 package 2 opening 2 opening 3 tasks 3 tasks 4 have 4 have 5 been 5 been 6 identified 6 identified 7 as 7 as 8 some 8 some 9 of 8 some 14 individuals 8 some 17 perform 9 of 11 most 10 the 11 most 11 most 12 challenging 12 challenging 13 that 14 individuals 15 need 15 need 16 to 15 need 17 perform 16 to 17 perform 17 perform 18 to 18 to 19 access 19 access 20 food there is little previous study of the 3 d hand loading that is required to open these products . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 19 . 1 there 2 is 2 is 5 study 3 little 5 study 4 previous 5 study 5 study 6 of 6 of 10 hand 7 the 10 hand 8 3 9 d 9 d 10 hand 10 hand 11 loading 11 loading 14 required 11 loading 15 to 12 that 13 is 13 is 14 required 15 to 16 open 16 open 18 products 17 these 18 products a novel load measuring device was used to characterise torque , squeeze and compression forces during the dynamic action of jar opening for young and older adults . 0 ###LEFT-WALL### 5 device 0 ###LEFT-WALL### 7 used 0 ###LEFT-WALL### 28 . 1 a 2 novel 1 a 5 device 2 novel 5 device 3 load 5 device 4 measuring 5 device 5 device 6 was 6 was 7 used 7 used 8 to 7 used 9 characterise 8 to 9 characterise 9 characterise 13 and 9 characterise 16 during 9 characterise 23 for 10 torque 11 , 11 , 12 squeeze 11 , 13 and 13 and 15 forces 14 compression 15 forces 16 during 19 action 17 the 19 action 18 dynamic 19 action 19 action 20 of 20 of 22 opening 21 jar 22 opening 23 for 27 adults 24 young 25 and 25 and 26 older 25 and 27 adults the current study showed that the older adults used lower squeeze forces ( 86.1 n vs [.] 95.4 n [ )(and higher compressive forces ( 26.9 [n] vs [.] 25.2 n ) on the jar lid than younger adults . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 showed 0 ###LEFT-WALL### 40 . 1 the 3 study 2 current 3 study 3 study 4 showed 4 showed 5 that 5 that 8 adults 5 that 11 squeeze 6 the 8 adults 7 older 8 adults 8 adults 9 used 8 adults 11 squeeze 9 used 10 lower 11 squeeze 12 forces 11 squeeze 33 on 11 squeeze 37 than 12 forces 24 forces 13 ( 24 forces 14 86.1 24 forces 15 n 16 vs 15 n 21 )(and 16 vs 19 n 18 95.4 19 n 21 )(and 22 higher 21 )(and 24 forces 23 compressive 24 forces 24 forces 26 26.9 24 forces 32 ) 25 ( 26 26.9 26 26.9 28 vs 26 26.9 32 ) 28 vs 31 n 30 25.2 31 n 33 on 36 lid 34 the 36 lid 35 jar 36 lid 37 than 39 adults 38 younger 39 adults older adults tended to apply loading to the jar lid slower [(] 0.038 nm/s vs [.] 0.044 nm/s [ )(and [to] open [the] jar at a slower rate [(] 0.84 [rad/s] vs [.] 1.59 rad/s [ )(than young adults [whilst] using a higher proportion of their maximal grip strength [(] 40 [%] vs [.] 27 % [ )(indicating that older adults used a more cautious opening strategy . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 3 tended 1 older 2 adults 2 adults 3 tended 3 tended 4 to 3 tended 7 to 3 tended 11 slower 3 tended 14 nm/s 4 to 5 apply 5 apply 6 loading 7 to 10 lid 8 the 10 lid 9 jar 10 lid 13 0.038 14 nm/s 14 nm/s 15 vs 15 vs 20 )(and 17 0.044 18 nm/s 18 nm/s 20 )(and 20 )(and 24 jar 20 )(and 25 at 20 )(and 32 vs 22 open 24 jar 25 at 28 rate 26 a 28 rate 27 slower 28 rate 28 rate 30 0.84 32 vs 39 adults 34 1.59 39 adults 35 rad/s 39 adults 37 )(than 38 young 38 young 39 adults 39 adults 41 using 39 adults 45 of 41 using 44 proportion 42 a 44 proportion 43 higher 44 proportion 45 of 49 strength 46 their 49 strength 47 maximal 48 grip 48 grip 49 strength 49 strength 51 40 49 strength 53 vs 53 vs 56 % 55 27 56 % 56 % 58 )(indicating 56 % 62 used 58 )(indicating 59 that 59 that 61 adults 59 that 62 used 60 older 61 adults 61 adults 62 used 62 used 67 strategy 62 used 68 . 63 a 67 strategy 64 more 65 cautious 65 cautious 66 opening 66 opening 67 strategy these differences suggest that a simple maximal torque test is not sufficient to characterise older adults ' abilities in relation to package opening . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 24 . 1 these 2 differences 2 differences 3 suggest 3 suggest 4 that 4 that 9 test 4 that 14 characterise 5 a 6 simple 5 a 9 test 6 simple 8 torque 7 maximal 8 torque 8 torque 9 test 9 test 10 is 10 is 11 not 10 is 12 sufficient 11 not 12 sufficient 12 sufficient 13 to 12 sufficient 14 characterise 13 to 14 characterise 14 characterise 18 abilities 15 older 16 adults 16 adults 17 ' 17 ' 18 abilities 18 abilities 19 in 18 abilities 23 opening 19 in 20 relation 20 relation 21 to 20 relation 22 package 21 to 22 package the loading required to open packaging should be understood to ensure that packaging design is developed to be inclusive . 0 ###LEFT-WALL### 8 be 0 ###LEFT-WALL### 20 . 1 the 2 loading 2 loading 3 required 2 loading 7 should 3 required 4 to 3 required 5 open 4 to 5 open 5 open 6 packaging 7 should 8 be 8 be 9 understood 9 understood 10 to 10 to 11 ensure 11 ensure 12 that 12 that 13 packaging 12 that 16 developed 13 packaging 14 design 13 packaging 15 is 15 is 16 developed 16 developed 17 to 17 to 18 be 18 be 19 inclusive this is the first report of realistic complex packaging opening loading presented in the literature . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 16 . 1 this 2 is 2 is 5 report 3 the 4 first 3 the 5 report 5 report 6 of 6 of 9 packaging 7 realistic 9 packaging 8 complex 9 packaging 9 packaging 10 opening 9 packaging 11 loading 11 loading 12 presented 11 loading 13 in 13 in 15 literature 14 the 15 literature [during] [gait] the body is in a continuous state of imbalance , with each subsequent step preventing a fall . 0 ###LEFT-WALL### 4 body 0 ###LEFT-WALL### 5 is 3 the 4 body 4 body 5 is 5 is 6 in 6 in 9 state 7 a 8 continuous 7 a 9 state 8 continuous 9 state 9 state 10 of 10 of 11 imbalance 11 imbalance 13 with 12 , 13 with 13 with 16 step 13 with 20 . 14 each 16 step 15 subsequent 16 step 16 step 17 preventing 17 preventing 19 fall 18 a 19 fall gait balance is maintained by regulating the interactions between the center [of] mass ( com ) and base of support ( bos ) . 0 ###LEFT-WALL### 2 balance 0 ###LEFT-WALL### 4 maintained 0 ###LEFT-WALL### 24 . 1 gait 2 balance 2 balance 3 is 3 is 4 maintained 4 maintained 5 by 5 by 6 regulating 6 regulating 17 and 7 the 8 interactions 8 interactions 9 between 8 interactions 17 and 9 between 13 mass 10 the 13 mass 11 center 13 mass 13 mass 15 com 14 ( 15 com 15 com 16 ) 17 and 18 base 17 and 19 of 19 of 20 support 20 support 22 bos 21 ( 22 bos 22 bos 23 ) the purpose of this study was to investigate the interaction of the com position and velocity ( comv ) in relation to the dynamically changing bos throughout [gait] . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 29 . 1 the 2 purpose 2 purpose 3 of 2 purpose 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 8 investigate 7 to 8 investigate 8 investigate 10 interaction 8 investigate 22 to 8 investigate 27 throughout 9 the 10 interaction 10 interaction 11 of 11 of 15 and 12 the 14 position 13 com 14 position 14 position 15 and 15 and 16 velocity 15 and 18 comv 17 ( 18 comv 18 comv 19 ) 20 in 21 relation 21 relation 22 to 22 to 26 bos 23 the 26 bos 24 dynamically 25 changing 25 changing 26 bos these interactions were investigated in healthy young adults , healthy older adults , and elderly fallers , who performed level walking at a self - selected speed . 0 ###LEFT-WALL### 2 interactions 0 ###LEFT-WALL### 4 investigated 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 28 . 1 these 2 interactions 2 interactions 3 were 3 were 4 investigated 4 investigated 5 in 5 in 8 adults 6 healthy 8 adults 7 young 8 adults 9 , 14 and 9 , 26 selected 10 healthy 12 adults 11 older 12 adults 12 adults 14 and 13 , 14 and 14 and 16 fallers 14 and 18 who 14 and 26 selected 15 elderly 16 fallers 17 , 18 who 18 who 19 performed 18 who 25 - 19 performed 20 level 19 performed 22 at 20 level 21 walking 22 at 24 self 23 a 24 self 26 selected 27 speed elderly fallers demonstrated a conservative com - bos separation at toe [off] [and] reduced balance control ability , specifically a decreased time to contact , when compared to healthy young adults [at] heel [strike] . 0 ###LEFT-WALL### 2 fallers 0 ###LEFT-WALL### 3 demonstrated 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 35 . 1 elderly 2 fallers 2 fallers 3 demonstrated 3 demonstrated 6 com 4 a 6 com 5 conservative 6 com 6 com 9 separation 6 com 22 time 7 - 9 separation 8 bos 9 separation 9 separation 10 at 9 separation 18 , 10 at 17 ability 11 toe 14 reduced 14 reduced 15 balance 15 balance 17 ability 16 control 17 ability 18 , 19 specifically 18 , 22 time 20 a 22 time 21 decreased 22 time 22 time 23 to 22 time 25 , 23 to 24 contact 25 , 33 heel 26 when 27 compared 26 when 33 heel 27 compared 28 to 28 to 31 adults 29 healthy 31 adults 30 young 31 adults decreased time available in responding [to] perturbations might result in a greater number of falls . 0 ###LEFT-WALL### 2 time 0 ###LEFT-WALL### 15 falls 0 ###LEFT-WALL### 16 . 1 decreased 2 time 2 time 3 available 2 time 7 perturbations 2 time 14 of 2 time 15 falls 3 available 4 in 4 in 5 responding 7 perturbations 8 might 8 might 9 result 9 result 10 in 10 in 13 number 11 a 13 number 12 greater 13 number 13 number 14 of understanding foot position and com trajectories might allow for appropriate rehabilitation practices . 0 ###LEFT-WALL### 1 understanding 0 ###LEFT-WALL### 12 practices 0 ###LEFT-WALL### 13 . 1 understanding 4 and 1 understanding 10 appropriate 1 understanding 12 practices 2 foot 3 position 3 position 4 and 4 and 5 com 4 and 6 trajectories 4 and 9 for 4 and 10 appropriate 6 trajectories 7 might 7 might 9 for 8 allow 9 for 10 appropriate 11 rehabilitation background : reference values and age - related changes of the wall thickness of the abdominal aorta have not been described in the general population . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 5 and 2 : 21 described 3 reference 4 values 4 values 5 and 5 and 6 age 5 and 18 have 7 - 8 related 8 related 9 changes 8 related 18 have 9 changes 10 of 9 changes 14 of 10 of 13 thickness 11 the 13 thickness 12 wall 13 thickness 14 of 17 aorta 15 the 17 aorta 16 abdominal 17 aorta 18 have 19 not 18 have 20 been 20 been 21 described 21 described 22 in 22 in 25 population 23 the 25 population 24 general 25 population we characterized age [-] , race [-] , and gender - specific distributions , and yearly rates of change of mean aortic wall thickness ( mawt ) , and associations between mawt and cardiovascular risk factors in a multi - ethnic population - based probability sample . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 characterized 0 ###LEFT-WALL### 47 . 1 we 2 characterized 2 characterized 15 and 3 age 5 , 5 , 6 race 5 , 9 and 8 , 9 and 9 and 10 gender 9 and 13 distributions 9 and 15 and 11 - 13 distributions 12 specific 13 distributions 13 distributions 14 , 15 and 17 rates 15 and 18 of 16 yearly 17 rates 18 of 33 and 19 change 20 of 19 change 29 and 20 of 24 thickness 21 mean 24 thickness 22 aortic 23 wall 23 wall 24 thickness 24 thickness 26 mawt 25 ( 26 mawt 26 mawt 27 ) 28 , 29 and 29 and 30 associations 29 and 33 and 30 associations 31 between 31 between 32 mawt 33 and 36 factors 33 and 37 in 34 cardiovascular 36 factors 35 risk 36 factors 37 in 46 sample 38 a 46 sample 39 multi 42 population 39 multi 43 - 39 multi 46 sample 40 - 42 population 41 ethnic 42 population 42 population 43 - 44 based 46 sample 45 probability 46 sample methods : magnetic resonance imaging measurements of mawt were performed on 2466 free - living white , black , and hispanic adult subjects . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 6 measurements 2 : 10 performed 3 magnetic 6 measurements 4 resonance 6 measurements 5 imaging 6 measurements 6 measurements 7 of 6 measurements 9 were 7 of 8 mawt 9 were 10 performed 10 performed 11 on 11 on 23 subjects 12 2466 23 subjects 13 free 16 white 13 free 23 subjects 14 - 16 white 15 living 16 white 16 white 17 , 18 black 20 and 19 , 20 and 20 and 21 hispanic 20 and 23 subjects 22 adult 23 subjects mawt race/ethnicity - and gender - specific percentile values across age were estimated using regression analyses . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 6 - 1 mawt 2 race/ethnicity 2 race/ethnicity 4 and 3 - 4 and 4 and 5 gender 6 - 9 values 6 - 13 estimated 6 - 17 . 7 specific 9 values 8 percentile 9 values 9 values 10 across 9 values 12 were 10 across 11 age 12 were 13 estimated 13 estimated 14 using 14 using 16 analyses 15 regression 16 analyses results : mawt was greater in men than in women and increased linearly with age in all the groups and across all the percentiles . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 mawt 2 : 11 and 2 : 25 . 3 mawt 11 and 4 was 5 greater 4 was 11 and 5 greater 6 in 5 greater 8 than 6 in 7 men 8 than 9 in 9 in 10 women 11 and 12 increased 11 and 13 linearly 11 and 14 with 14 with 15 age 15 age 20 and 16 in 17 all 16 in 20 and 17 all 18 the 17 all 19 groups 18 the 19 groups 20 and 21 across 21 across 22 all 22 all 23 the 22 all 24 percentiles 23 the 24 percentiles hispanic women had the thinnest and black [men] the thickest aortas . 0 ###LEFT-WALL### 2 women 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 12 . 1 hispanic 2 women 2 women 6 and 3 had 5 thinnest 3 had 6 and 4 the 5 thinnest 6 and 7 black 7 black 11 aortas 9 the 10 thickest 9 the 11 aortas black men had the highest and white women the lowest age - related mawt increase . 0 ###LEFT-WALL### 2 men 0 ###LEFT-WALL### 3 had 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 16 . 1 black 2 men 2 men 3 had 3 had 5 highest 4 the 5 highest 6 and 8 women 6 and 15 increase 7 white 8 women 8 women 10 lowest 8 women 11 age 8 women 15 increase 9 the 10 lowest 10 lowest 11 age 12 - 13 related 13 related 14 mawt 13 related 15 increase age , gender , ethnicity , smoking status , systolic blood pressure , low - density lipoprotein - cholesterol levels , high - density lipoprotein - cholesterol levels , and fasting glucose levels were independent predictors of mawt . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 2 , 0 ###LEFT-WALL### 39 . 2 , 30 and 2 , 34 were 3 gender 4 , 4 , 5 ethnicity 4 , 6 , 6 , 8 status 6 , 9 , 7 smoking 8 status 9 , 12 pressure 9 , 13 , 10 systolic 12 pressure 11 blood 12 pressure 13 , 20 levels 13 , 21 , 14 low 17 lipoprotein 14 low 19 cholesterol 15 - 17 lipoprotein 16 density 17 lipoprotein 17 lipoprotein 18 - 19 cholesterol 20 levels 21 , 28 levels 21 , 30 and 22 high 25 lipoprotein 22 high 26 - 22 high 28 levels 23 - 25 lipoprotein 24 density 25 lipoprotein 25 lipoprotein 26 - 27 cholesterol 28 levels 29 , 30 and 30 and 33 levels 30 and 34 were 31 fasting 32 glucose 32 glucose 33 levels 34 were 36 predictors 35 independent 36 predictors 36 predictors 37 of 37 of 38 mawt conclusions : age , gender , and racial/ethnic differences in mawt distributions exist in the general population . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 2 : 7 and 2 : 13 exist 3 age 4 , 4 , 5 gender 4 , 7 and 6 , 7 and 7 and 9 differences 7 and 10 in 7 and 13 exist 8 racial/ethnic 9 differences 10 in 12 distributions 11 mawt 12 distributions 13 exist 14 in 14 in 17 population 15 the 17 population 16 general 17 population such differences should be considered in future investigations assessing aortic atherosclerosis and the effects of anti - atherosclerotic therapies . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 5 considered 0 ###LEFT-WALL### 20 . 1 such 2 differences 2 differences 3 should 3 should 4 be 4 be 5 considered 5 considered 6 in 6 in 12 and 7 future 8 investigations 8 investigations 9 assessing 8 investigations 12 and 9 assessing 11 atherosclerosis 10 aortic 11 atherosclerosis 12 and 14 effects 12 and 15 of 13 the 14 effects 15 of 19 therapies 16 anti 17 - 16 anti 19 therapies 18 atherosclerotic 19 therapies objective : to understand the relationship between eye contact and patient - centered communication ( pc ) in physician [-] elder patient interactions . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 understand 2 : 24 . 3 to 4 understand 4 understand 10 and 4 understand 18 in 5 the 6 relationship 6 relationship 7 between 6 relationship 10 and 7 between 9 contact 8 eye 9 contact 10 and 14 communication 10 and 16 pc 11 patient 12 - 11 patient 14 communication 13 centered 14 communication 15 ( 16 pc 16 pc 17 ) 18 in 23 interactions 19 physician 21 elder 21 elder 23 interactions 22 patient 23 interactions methods : two instruments - patient - centered behavior coding instrument ( pbci ) and eurocommunication global ratings scale - were used to measure pc in 22 national institute of aging videotapes . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 4 instruments 2 : 22 used 3 two 4 instruments 4 instruments 19 scale 4 instruments 21 were 5 - 19 scale 6 patient 7 - 6 patient 19 scale 8 centered 19 scale 9 behavior 10 coding 10 coding 11 instrument 11 instrument 13 pbci 12 ( 13 pbci 13 pbci 14 ) 13 pbci 15 and 15 and 16 eurocommunication 16 eurocommunication 17 global 17 global 18 ratings 18 ratings 19 scale 19 scale 20 - 21 were 22 used 22 used 23 to 22 used 32 videotapes 23 to 24 measure 24 measure 25 pc 24 measure 26 in 26 in 27 22 27 22 29 institute 27 22 32 videotapes 28 national 29 institute 29 institute 30 of 29 institute 32 videotapes 30 of 31 aging eye contact was measured using a refined eye contact scale in ndept . 0 ###LEFT-WALL### 2 contact 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 13 . 1 eye 2 contact 2 contact 3 was 3 was 4 measured 4 measured 5 using 5 using 10 scale 5 using 11 in 6 a 10 scale 7 refined 8 eye 8 eye 10 scale 9 contact 10 scale 11 in 12 ndept qualitative observational techniques were used to understand how eye contact can implicate communication . 0 ###LEFT-WALL### 3 techniques 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 14 . 1 qualitative 3 techniques 2 observational 3 techniques 3 techniques 4 were 4 were 5 used 5 used 6 to 5 used 7 understand 6 to 7 understand 7 understand 8 how 8 how 10 contact 8 how 12 implicate 9 eye 10 contact 10 contact 11 can 11 can 12 implicate 12 implicate 13 communication results : ['] high ['] eye contact tapes were found to be ['] high ['] in pc using both instruments . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 8 tapes 2 : 10 found 2 : 21 . 4 high 8 tapes 6 eye 7 contact 7 contact 8 tapes 8 tapes 9 were 9 were 10 found 10 found 11 to 11 to 12 be 12 be 14 high 14 high 16 in 14 high 18 using 16 in 17 pc 18 using 20 instruments 19 both 20 instruments however , the majority of ['] low ['] tapes were also found to be ['] high ['] in pc . 0 ###LEFT-WALL### 9 tapes 0 ###LEFT-WALL### 12 found 0 ###LEFT-WALL### 20 . 1 however 2 , 1 however 9 tapes 3 the 4 majority 4 majority 5 of 4 majority 9 tapes 5 of 9 tapes 7 low 9 tapes 9 tapes 10 were 10 were 12 found 11 also 12 found 12 found 13 to 13 to 14 be 14 be 16 high 16 high 18 in 18 in 19 pc physicians ' behavior distinctly differed in two ways : [(] 1 [ )(high tapes were characterized by more ['] sustained ['] eye contact episodes [;] low tapes [consisted] of a greater number of ['] brief ['] episodes [;] ( 2 ) brief episode tapes showed a greater focus on ['] charts ' [,] i.e [.] ['] listening ['] was bereft of ['] looking ['] [;] sustained episodes showed a focus on ['] patients ' [,] i.e [.] ['] listening ['] was accompanied by ['] looking ['] indicating patient - centered communication . 0 ###LEFT-WALL### 3 behavior 0 ###LEFT-WALL### 5 differed 1 physicians 2 ' 2 ' 3 behavior 3 behavior 5 differed 4 distinctly 5 differed 5 differed 6 in 5 differed 8 ways 6 in 7 two 8 ways 9 : 9 : 13 )(high 9 : 16 characterized 11 1 13 )(high 13 )(high 14 tapes 13 )(high 15 were 13 )(high 16 characterized 14 tapes 15 were 16 characterized 17 by 16 characterized 23 contact 17 by 18 more 20 sustained 22 eye 22 eye 23 contact 23 contact 24 episodes 23 contact 26 low 24 episodes 26 low 26 low 27 tapes 27 tapes 29 of 29 of 32 number 30 a 32 number 31 greater 32 number 32 number 33 of 32 number 37 episodes 32 number 42 brief 33 of 35 brief 37 episodes 40 2 37 episodes 42 brief 39 ( 40 2 40 2 41 ) 42 brief 43 episode 43 episode 44 tapes 43 episode 45 showed 44 tapes 45 showed 45 showed 48 focus 45 showed 54 i.e 46 a 48 focus 47 greater 48 focus 48 focus 49 on 49 on 52 ' 51 charts 52 ' 54 i.e 57 listening 54 i.e 59 was 54 i.e 60 bereft 54 i.e 61 of 57 listening 59 was 61 of 63 looking 63 looking 67 episodes 63 looking 68 showed 63 looking 71 on 66 sustained 67 episodes 67 episodes 68 showed 68 showed 70 focus 69 a 70 focus 71 on 76 i.e 73 patients 74 ' 74 ' 76 i.e 76 i.e 79 listening 76 i.e 87 indicating 79 listening 81 was 81 was 82 accompanied 82 accompanied 83 by 83 by 85 looking 85 looking 87 indicating 87 indicating 88 patient 88 patient 91 communication 89 - 91 communication 90 centered 91 communication 91 communication 92 . conclusions : a comprehensive understanding of elder patient - physician interaction needs to include both - ['] listening ['] and ['] looking ['] - components of patient - centered communication . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 - 0 ###LEFT-WALL### 31 . 1 conclusions 2 : 2 : 5 understanding 3 a 5 understanding 4 comprehensive 5 understanding 5 understanding 6 of 6 of 20 and 7 elder 18 listening 8 patient 12 needs 8 patient 18 listening 9 - 12 needs 10 physician 11 interaction 11 interaction 12 needs 12 needs 13 to 12 needs 14 include 12 needs 16 - 13 to 14 include 14 include 15 both 18 listening 20 and 20 and 22 looking 24 - 25 components 25 components 26 of 26 of 30 communication 27 patient 28 - 27 patient 30 communication 29 centered 30 communication practice implications : eye contact serves as a salient factor in the expression of pc , making it imperative to incorporate as a nonverbal dimension in pc instruments . 0 ###LEFT-WALL### 2 implications 0 ###LEFT-WALL### 3 : 1 practice 2 implications 3 : 4 eye 4 eye 6 serves 4 eye 7 as 4 eye 17 making 5 contact 6 serves 7 as 10 factor 8 a 10 factor 9 salient 10 factor 10 factor 11 in 10 factor 14 of 11 in 13 expression 12 the 13 expression 14 of 15 pc 16 , 17 making 17 making 18 it 17 making 28 instruments 17 making 29 . 18 it 19 imperative 19 imperative 20 to 19 imperative 21 incorporate 20 to 21 incorporate 21 incorporate 22 as 21 incorporate 26 in 22 as 25 dimension 23 a 24 nonverbal 23 a 25 dimension 24 nonverbal 25 dimension 26 in 27 pc most available studies on lead smelter emissions deal with the environmental impact of outdoor particles , but only a few focus on air quality at workplaces . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 8 deal 0 ###LEFT-WALL### 17 but 0 ###LEFT-WALL### 27 . 1 most 2 available 2 available 3 studies 3 studies 4 on 3 studies 8 deal 4 on 7 emissions 5 lead 7 emissions 6 smelter 7 emissions 8 deal 9 with 9 with 12 impact 10 the 12 impact 11 environmental 12 impact 12 impact 13 of 13 of 15 particles 14 outdoor 15 particles 16 , 17 but 17 but 20 few 17 but 21 focus 18 only 20 few 19 a 20 few 20 few 21 focus 21 focus 22 on 21 focus 25 at 22 on 24 quality 23 air 24 quality 25 at 26 workplaces the objective of this study is to physically [and] chemically characterize the pb - rich particles emitted at different workplaces in a lead recycling plant . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 26 . 1 the 2 objective 2 objective 3 of 2 objective 6 is 3 of 5 study 4 this 5 study 6 is 7 to 6 is 11 characterize 7 to 11 characterize 8 physically 11 characterize 10 chemically 11 characterize 11 characterize 13 pb 12 the 13 pb 14 - 16 particles 15 rich 16 particles 16 particles 17 emitted 17 emitted 18 at 17 emitted 21 in 18 at 20 workplaces 19 different 20 workplaces 21 in 25 plant 22 a 25 plant 23 lead 25 plant 24 recycling 25 plant a multi - scale characterization was conducted from bulk analysis to the level of individual particles , to assess the particles properties in relation with pb [speciation] and availability . 0 ###LEFT-WALL### 4 scale 0 ###LEFT-WALL### 7 conducted 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 30 . 1 a 2 multi 1 a 4 scale 2 multi 3 - 2 multi 4 scale 4 scale 5 characterization 4 scale 6 was 4 scale 7 conducted 5 characterization 6 was 7 conducted 8 from 7 conducted 11 to 8 from 10 analysis 9 bulk 10 analysis 11 to 13 level 12 the 13 level 13 level 14 of 14 of 16 particles 15 individual 16 particles 17 , 18 to 17 , 19 assess 18 to 19 assess 19 assess 22 properties 19 assess 23 in 19 assess 25 with 20 the 22 properties 21 particles 22 properties 23 in 24 relation 25 with 28 and 26 pb 28 and 28 and 29 availability process [pm] from various origins were sampled and then compared ; namely furnace and refining [pm] respectively present in the smelter and at refinery workplaces [,] emissions [pm] present in channeled emissions . 0 ###LEFT-WALL### 1 process 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 11 ; 0 ###LEFT-WALL### 33 . 1 process 3 from 1 process 8 and 3 from 5 origins 4 various 5 origins 6 were 7 sampled 6 were 8 and 8 and 10 compared 9 then 10 compared 11 ; 14 and 11 ; 18 present 12 namely 14 and 13 furnace 14 and 14 and 15 refining 14 and 18 present 17 respectively 18 present 18 present 22 and 18 present 27 emissions 19 in 21 smelter 19 in 22 and 20 the 21 smelter 22 and 23 at 23 at 25 workplaces 24 refinery 25 workplaces 27 emissions 29 present 29 present 30 in 30 in 32 emissions 31 channeled 32 emissions these particles first differed by their morphology and size distribution , with finer particles found in emissions . 0 ###LEFT-WALL### 2 particles 0 ###LEFT-WALL### 8 and 1 these 2 particles 2 particles 8 and 3 first 4 differed 4 differed 5 by 4 differed 8 and 5 by 7 morphology 6 their 7 morphology 8 and 9 size 9 size 10 distribution 10 distribution 12 with 11 , 12 with 12 with 14 particles 12 with 18 . 13 finer 14 particles 14 particles 15 found 15 found 16 in 16 in 17 emissions differences observed in chemical composition could be explained by the industrial processes . 0 ###LEFT-WALL### 1 differences 0 ###LEFT-WALL### 8 explained 0 ###LEFT-WALL### 13 . 1 differences 2 observed 1 differences 6 could 2 observed 3 in 3 in 5 composition 4 chemical 5 composition 6 could 7 be 7 be 8 explained 8 explained 9 by 9 by 12 processes 10 the 12 processes 11 industrial 12 processes all [pm] contained the same major phases ( pb , pbs , pbo , pbso ( 4 ) and pbo·pbso ( 4 ) ) but differed on the nature and amount of minor phases . 0 ###LEFT-WALL### 1 all 0 ###LEFT-WALL### 25 but 0 ###LEFT-WALL### 35 . 1 all 25 but 3 contained 7 phases 3 contained 25 but 4 the 5 same 4 the 7 phases 6 major 7 phases 7 phases 19 and 8 ( 19 and 9 pb 10 , 10 , 11 pbs 10 , 12 , 12 , 13 pbo 12 , 14 , 14 , 15 pbso 14 , 19 and 15 pbso 17 4 16 ( 17 4 17 4 18 ) 19 and 20 pbo·pbso 19 and 24 ) 20 pbo·pbso 22 4 21 ( 22 4 22 4 23 ) 25 but 26 differed 26 differed 27 on 27 on 30 and 28 the 29 nature 29 nature 30 and 30 and 31 amount 30 and 32 of 32 of 34 phases 33 minor 34 phases due to high content in [pm] [,] pb concentrations in the cacl ( 2 ) extractant reached relatively high values ( 40 mg l [(] - 1 ) [ )( 0 ###LEFT-WALL### 9 concentrations 0 ###LEFT-WALL### 16 extractant 0 ###LEFT-WALL### 30 )( 1 due 2 to 2 to 4 content 2 to 9 concentrations 3 high 4 content 4 content 5 in 5 in 8 pb 9 concentrations 10 in 9 concentrations 14 2 9 concentrations 16 extractant 10 in 12 cacl 11 the 12 cacl 13 ( 14 2 14 2 15 ) 16 extractant 20 values 17 reached 20 values 18 relatively 19 high 19 high 20 values 20 values 26 - 21 ( 26 - 22 40 23 mg 22 40 26 - 23 mg 24 l 26 - 27 1 26 - 28 ) however , [the] [ratios] ( soluble/total ) of cacl ( 2 ) exchangeable pb were relatively low ( < 0.02 % ) [in] comparison with cd ( up to 18 % ) . 0 ###LEFT-WALL### 14 pb 0 ###LEFT-WALL### 15 were 0 ###LEFT-WALL### 33 . 1 however 2 , 1 however 14 pb 5 ( 6 soluble/total 6 soluble/total 7 ) 6 soluble/total 14 pb 8 of 9 cacl 8 of 14 pb 9 cacl 11 2 10 ( 11 2 11 2 12 ) 13 exchangeable 14 pb 14 pb 15 were 15 were 16 relatively 15 were 24 comparison 17 low 21 % 17 low 24 comparison 18 ( 21 % 19 < 20 0.02 20 0.02 21 % 21 % 22 ) 24 comparison 25 with 25 with 26 cd 26 cd 31 % 27 ( 31 % 28 up 29 to 29 to 30 18 30 18 31 % 31 % 32 ) these results highlight the interest to assess the soluble fractions of all metals ( minor and major ) and discuss both total metal concentrations and ratios for risk evaluations . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 30 . 1 these 2 results 2 results 19 and 3 highlight 5 interest 3 highlight 6 to 3 highlight 19 and 4 the 5 interest 6 to 7 assess 7 assess 10 fractions 8 the 10 fractions 9 soluble 10 fractions 10 fractions 11 of 10 fractions 16 and 11 of 13 metals 12 all 13 metals 14 ( 16 and 15 minor 16 and 16 and 17 major 16 and 18 ) 19 and 20 discuss 19 and 27 for 19 and 29 evaluations 20 discuss 25 and 21 both 25 and 22 total 23 metal 23 metal 24 concentrations 24 concentrations 25 and 25 and 26 ratios 27 for 28 risk in most cases metal extractability increased with decreasing size of particles , in particular , lead exchangeability was [highest] for channeled emissions . 0 ###LEFT-WALL### 3 cases 0 ###LEFT-WALL### 4 metal 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 23 . 1 in 2 most 1 in 3 cases 3 cases 4 metal 4 metal 5 extractability 4 metal 7 with 5 extractability 6 increased 7 with 8 decreasing 8 decreasing 9 size 9 size 10 of 9 size 14 particular 10 of 11 particles 12 , 14 particular 13 in 14 particular 14 particular 15 , 15 , 17 exchangeability 15 , 18 was 16 lead 17 exchangeability 17 exchangeability 18 was 18 was 20 for 20 for 22 emissions 21 channeled 22 emissions such type of study could help in the choice of targeted sanitary protection procedures and for further toxicological investigations . 0 ###LEFT-WALL### 4 study 0 ###LEFT-WALL### 6 help 0 ###LEFT-WALL### 20 . 1 such 2 type 2 type 3 of 2 type 4 study 3 of 4 study 4 study 5 could 5 could 6 help 6 help 15 and 7 in 9 choice 7 in 15 and 8 the 9 choice 9 choice 10 of 10 of 14 procedures 11 targeted 13 protection 12 sanitary 13 protection 13 protection 14 procedures 15 and 16 for 16 for 19 investigations 17 further 19 investigations 18 toxicological 19 investigations in the present context , particular attention is given to emissions and furnace [pm] . 0 ###LEFT-WALL### 7 attention 0 ###LEFT-WALL### 9 given 0 ###LEFT-WALL### 15 . 1 in 4 context 1 in 5 , 1 in 7 attention 2 the 4 context 3 present 4 context 6 particular 7 attention 7 attention 8 is 8 is 9 given 9 given 10 to 10 to 12 and 11 emissions 12 and 12 and 13 furnace moreover , exposure to other metals than [pb] should be considered . 0 ###LEFT-WALL### 3 exposure 0 ###LEFT-WALL### 11 considered 0 ###LEFT-WALL### 12 . 1 moreover 2 , 1 moreover 3 exposure 3 exposure 4 to 3 exposure 9 should 4 to 6 metals 5 other 6 metals 7 than 9 should 9 should 10 be 10 be 11 considered objective : to determine the presence , degree , and extent of lymphatic , elastic , and collagen fiber alterations in dermatochalasis [(] [dc] ) specimens . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 2 : 3 to 2 : 4 determine 3 to 4 determine 4 determine 10 and 5 the 10 and 6 presence 7 , 7 , 8 degree 7 , 10 and 9 , 10 and 10 and 11 extent 10 and 12 of 12 of 26 specimens 13 lymphatic 17 and 13 lymphatic 26 specimens 14 , 17 and 15 elastic 17 and 16 , 17 and 17 and 20 alterations 17 and 21 in 17 and 25 ) 18 collagen 20 alterations 19 fiber 20 alterations 21 in 22 dermatochalasis design : case control study of patients [with] [dc] compared with age - [,] gender - , and site - matched controls . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 - 1 design 2 : 2 : 5 study 3 case 5 study 4 control 5 study 5 study 6 of 6 of 18 and 7 patients 10 compared 7 patients 18 and 10 compared 11 with 11 with 12 age 12 age 15 gender 13 - 15 gender 15 gender 16 - 17 , 18 and 18 and 19 site 20 - 22 controls 20 - 23 . 21 matched 22 controls participants : a total of 25 eyelid specimens were studied ; 15 of these were blepharoplasty specimens ( [experimental] [ )(and 10 were entropion/ectropion specimens of patients [without] [dc] ( controls ) . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 ; 0 ###LEFT-WALL### 33 . 1 participants 2 : 2 : 4 total 3 a 4 total 4 total 5 of 4 total 8 specimens 4 total 9 were 4 total 10 studied 5 of 6 25 7 eyelid 8 specimens 8 specimens 9 were 11 ; 12 15 11 ; 15 were 11 ; 21 )(and 12 15 13 of 12 15 15 were 13 of 14 these 15 were 17 specimens 16 blepharoplasty 17 specimens 18 ( 21 )(and 21 )(and 22 10 21 )(and 23 were 22 10 23 were 23 were 25 specimens 24 entropion/ectropion 25 specimens 25 specimens 26 of 26 of 27 patients 27 patients 31 controls 30 ( 31 controls 31 controls 32 ) methods : the number and maximal dilation of lymphangiectasia was measured by light microscopy , immunohistochemistry with lymphatic marker d2 - 40 , and elastic tissue content by verhoeff - van gieson histochemistry . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 34 . 1 methods 2 : 2 : 4 number 3 the 4 number 5 and 7 dilation 5 and 11 measured 6 maximal 7 dilation 7 dilation 8 of 7 dilation 10 was 8 of 9 lymphangiectasia 10 was 11 measured 11 measured 12 by 11 measured 15 , 11 measured 16 immunohistochemistry 12 by 14 microscopy 13 light 14 microscopy 16 immunohistochemistry 17 with 17 with 33 histochemistry 18 lymphatic 19 marker 19 marker 31 van 20 d2 22 40 20 d2 24 and 21 - 22 40 22 40 23 , 23 , 24 and 24 and 27 content 24 and 30 - 24 and 31 van 25 elastic 27 content 26 tissue 27 content 27 content 28 by 28 by 29 verhoeff 31 van 33 histochemistry 32 gieson 33 histochemistry the number of macrophages was compared between patients [with] [dc] and controls in cd68 immunostained specimens . 0 ###LEFT-WALL### 2 number 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 17 . 1 the 2 number 2 number 3 of 2 number 11 and 3 of 4 macrophages 5 was 6 compared 5 was 11 and 6 compared 7 between 7 between 8 patients 11 and 12 controls 11 and 13 in 11 and 16 specimens 13 in 14 cd68 14 cd68 15 immunostained main outcome measures : lymphatic density , edema , and inflammation . 0 ###LEFT-WALL### 3 measures 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 12 . 1 main 2 outcome 2 outcome 3 measures 3 measures 4 : 4 : 10 and 5 lymphatic 6 density 6 density 7 , 7 , 8 edema 7 , 10 and 9 , 10 and 10 and 11 inflammation results : dermatochalasis eyelid specimens showed increased lymphangiectasia density [(] 5.6 vs [.] 2.4 lymphatics/high power field [;] p<0.05 [ )( maximal lymphatic dilation [(] 127 vs [.] 51.5 μm [;] p<0.05 [ )( loss of elastic fibers [(] 2.2 vs [.] 8.9 fibers/high power field [;] p<0.05 [ )(, and greater disruption of collagen networks and edema compared with controls ( increased stromal collagen bed [of] 752 vs [.] 269 [μm] [;] p<0.05 [;] increased intercollagen space of 32.5 vs [.] 11.8 [μm] [;] p<0.05 [ )( 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 specimens 2 : 6 showed 3 dermatochalasis 5 specimens 4 eyelid 5 specimens 5 specimens 6 showed 6 showed 9 density 6 showed 11 5.6 6 showed 15 lymphatics/high 7 increased 9 density 8 lymphangiectasia 9 density 11 5.6 12 vs 11 5.6 15 lymphatics/high 12 vs 14 2.4 15 lymphatics/high 24 dilation 16 power 24 dilation 17 field 24 dilation 19 p<0.05 24 dilation 22 maximal 24 dilation 23 lymphatic 24 dilation 24 dilation 26 127 24 dilation 27 vs 27 vs 35 loss 29 51.5 30 μm 30 μm 35 loss 32 p<0.05 35 loss 35 loss 36 of 35 loss 38 fibers 35 loss 45 power 36 of 37 elastic 38 fibers 40 2.2 38 fibers 44 fibers/high 38 fibers 45 power 40 2.2 41 vs 40 2.2 44 fibers/high 41 vs 43 8.9 45 power 53 disruption 46 field 53 disruption 48 p<0.05 51 and 50 )(, 51 and 51 and 52 greater 51 and 53 disruption 53 disruption 54 of 53 disruption 57 and 53 disruption 59 compared 54 of 55 collagen 56 networks 57 and 57 and 58 edema 57 and 59 compared 59 compared 60 with 60 with 61 controls 60 with 66 bed 61 controls 63 increased 62 ( 63 increased 64 stromal 66 bed 65 collagen 66 bed 66 bed 76 increased 68 752 69 vs 68 752 76 increased 69 vs 74 p<0.05 71 269 74 p<0.05 76 increased 78 space 76 increased 88 )( 77 intercollagen 78 space 78 space 79 of 79 of 80 32.5 80 32.5 81 vs 81 vs 86 p<0.05 83 11.8 86 p<0.05 macrophages were present in greater quantities in [dc] specimens ( 28.6 vs [.] 11.9 macrophages/high power field [;] p<0.05 ) . 0 ###LEFT-WALL### 1 macrophages 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 21 . 1 macrophages 2 were 2 were 3 present 3 present 4 in 3 present 7 in 4 in 6 quantities 5 greater 6 quantities 7 in 9 specimens 9 specimens 11 28.6 10 ( 11 28.6 11 28.6 12 vs 11 28.6 20 ) 12 vs 19 p<0.05 14 11.9 17 field 15 macrophages/high 17 field 16 power 17 field 17 field 19 p<0.05 conclusions : patients [with] [dc] show an increase in number and maximal dilation of lymphatic vessels in conjunction with widely spaced collagen bundles . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 3 patients 2 : 6 show 3 patients 6 show 6 show 8 increase 6 show 19 with 7 an 8 increase 8 increase 9 in 8 increase 14 of 9 in 11 and 10 number 11 and 11 and 13 dilation 12 maximal 13 dilation 14 of 16 vessels 15 lymphatic 16 vessels 17 in 18 conjunction 18 conjunction 19 with 19 with 23 bundles 20 widely 21 spaced 21 spaced 22 collagen 22 collagen 23 bundles this finding coexists with loss of elastic fibers , components known to be essential to the structure and function of the lymphatic system . 0 ###LEFT-WALL### 2 finding 0 ###LEFT-WALL### 3 coexists 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 24 . 1 this 2 finding 2 finding 3 coexists 3 coexists 4 with 4 with 5 loss 5 loss 6 of 6 of 8 fibers 7 elastic 8 fibers 9 , 18 and 10 components 11 known 10 components 18 and 11 known 12 to 11 known 13 be 12 to 13 be 13 be 14 essential 14 essential 15 to 15 to 17 structure 16 the 17 structure 18 and 19 function 18 and 20 of 20 of 23 system 21 the 23 system 22 lymphatic 23 system governed by macrophages , the pathogenesis [of] [dc] may begin with subclinical inflammation leading to elastolysis and secondary lymphostasis . 0 ###LEFT-WALL### 6 pathogenesis 0 ###LEFT-WALL### 10 begin 0 ###LEFT-WALL### 20 . 1 governed 2 by 1 governed 4 , 1 governed 6 pathogenesis 2 by 3 macrophages 5 the 6 pathogenesis 6 pathogenesis 9 may 9 may 10 begin 10 begin 11 with 11 with 13 inflammation 12 subclinical 13 inflammation 13 inflammation 14 leading 14 leading 15 to 15 to 17 and 16 elastolysis 17 and 17 and 19 lymphostasis 18 secondary 19 lymphostasis financial disclosure ( s ) : the author ( [s] [ )( no proprietary or commercial interest in any materials discussed in this article . 0 ###LEFT-WALL### 2 disclosure 0 ###LEFT-WALL### 6 : 1 financial 2 disclosure 2 disclosure 4 s 2 disclosure 6 : 3 ( 4 s 4 s 5 ) 6 : 8 author 7 the 8 author 8 author 17 interest 9 ( 17 interest 13 no 17 interest 14 proprietary 15 or 15 or 16 commercial 15 or 17 interest 17 interest 18 in 17 interest 25 . 18 in 20 materials 19 any 20 materials 20 materials 21 discussed 21 discussed 22 in 22 in 24 article 23 this 24 article society is ageing and sadly that ageing leads to a host of issues , not [least] a society in which the majority are likely to have some loss of strength and dexterity . 0 ###LEFT-WALL### 1 society 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 4 and 1 society 2 is 2 is 3 ageing 4 and 5 sadly 4 and 7 ageing 4 and 8 leads 6 that 7 ageing 7 ageing 8 leads 8 leads 9 to 9 to 13 issues 10 a 11 host 11 host 12 of 11 host 13 issues 12 of 13 issues 13 issues 18 society 14 , 15 not 14 , 18 society 17 a 18 society 18 society 19 in 18 society 25 to 18 society 26 have 18 society 29 of 18 society 33 . 19 in 20 which 19 in 22 majority 19 in 23 are 21 the 22 majority 22 majority 23 are 23 are 24 likely 25 to 26 have 26 have 28 loss 27 some 28 loss 29 of 31 and 30 strength 31 and 31 and 32 dexterity this can lead to complications in undertaking everyday tasks such as using transport , bathing or even handling and opening food . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 3 lead 0 ###LEFT-WALL### 22 . 1 this 2 can 2 can 3 lead 3 lead 4 to 4 to 5 complications 5 complications 6 in 5 complications 11 as 6 in 7 undertaking 7 undertaking 9 tasks 8 everyday 9 tasks 10 such 11 as 11 as 19 and 12 using 13 transport 13 transport 14 , 14 , 15 bathing 14 , 16 or 16 or 18 handling 16 or 19 and 17 even 18 handling 19 and 21 food 20 opening 21 food packaging has to provide a multitude of services [;] to protect and preserve the product , to provide information to the consumer and not [least] to [allow] access to the contents . 0 ###LEFT-WALL### 1 packaging 0 ###LEFT-WALL### 2 has 0 ###LEFT-WALL### 32 . 1 packaging 2 has 2 has 3 to 2 has 12 and 3 to 12 and 4 provide 8 services 4 provide 12 and 5 a 6 multitude 6 multitude 7 of 6 multitude 8 services 7 of 8 services 8 services 10 to 8 services 11 protect 10 to 11 protect 12 and 16 , 13 preserve 15 product 13 preserve 16 , 14 the 15 product 16 , 17 to 16 , 18 provide 17 to 18 provide 18 provide 19 information 19 information 23 and 20 to 22 consumer 20 to 23 and 21 the 22 consumer 23 and 24 not 23 and 26 to 26 to 28 access 28 access 29 to 29 to 31 contents 30 the 31 contents this access to packaging -- or ['] openability ['] -- has become a significant issue for designers and manufacturers with the change in demographics as described above . 0 ###LEFT-WALL### 2 access 0 ###LEFT-WALL### 12 become 0 ###LEFT-WALL### 28 . 1 this 2 access 2 access 3 to 2 access 11 has 3 to 6 or 4 packaging 6 or 5 -- 6 or 6 or 8 openability 6 or 10 -- 11 has 12 become 12 become 15 issue 12 become 20 with 12 become 27 above 13 a 14 significant 13 a 15 issue 14 significant 15 issue 15 issue 16 for 16 for 18 and 17 designers 18 and 18 and 19 manufacturers 20 with 22 change 21 the 22 change 22 change 23 in 22 change 26 described 23 in 24 demographics 25 as 26 described understanding the choices consumers make in [how] [they] manipulate packaging can help designers produce packaging that is more able to meet the requirements of modern society . 0 ###LEFT-WALL### 3 choices 0 ###LEFT-WALL### 9 manipulate 0 ###LEFT-WALL### 27 . 1 understanding 3 choices 2 the 3 choices 3 choices 4 consumers 3 choices 5 make 3 choices 9 manipulate 4 consumers 5 make 5 make 6 in 9 manipulate 15 packaging 10 packaging 15 packaging 11 can 15 packaging 12 help 14 produce 13 designers 14 produce 14 produce 15 packaging 15 packaging 16 that 15 packaging 17 is 16 that 17 is 17 is 18 more 17 is 19 able 19 able 20 to 20 to 21 meet 21 meet 23 requirements 22 the 23 requirements 23 requirements 24 of 24 of 26 society 25 modern 26 society studies previously undertaken by the authors showed that consumers did use different grips when opening packaging and that certain grips were theoretically more comfortable and stronger than others . 0 ###LEFT-WALL### 1 studies 0 ###LEFT-WALL### 7 showed 0 ###LEFT-WALL### 29 . 1 studies 3 undertaken 1 studies 7 showed 2 previously 3 undertaken 3 undertaken 4 by 4 by 6 authors 5 the 6 authors 7 showed 17 and 8 that 9 consumers 8 that 11 use 8 that 17 and 9 consumers 10 did 10 did 11 use 11 use 13 grips 11 use 14 when 12 different 13 grips 14 when 15 opening 15 opening 16 packaging 17 and 18 that 18 that 20 grips 18 that 21 were 19 certain 20 grips 20 grips 21 were 21 were 22 theoretically 21 were 23 more 21 were 25 and 24 comfortable 25 and 25 and 26 stronger 25 and 27 than 27 than 28 others this paper outlines a further study whereby consumers were asked to apply the most common grips to a specially designed torque measuring device . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 3 outlines 0 ###LEFT-WALL### 24 . 1 this 2 paper 2 paper 3 outlines 3 outlines 6 study 3 outlines 7 whereby 4 a 6 study 5 further 6 study 7 whereby 8 consumers 7 whereby 10 asked 8 consumers 9 were 9 were 10 asked 10 asked 11 to 10 asked 17 to 11 to 12 apply 12 apply 16 grips 13 the 14 most 14 most 16 grips 15 common 16 grips 17 to 23 device 18 a 23 device 19 specially 20 designed 20 designed 21 torque 21 torque 23 device 22 measuring 23 device details were taken about the consumers : age , gender , occupation , hand size , plus their preferred grip choice for packaging of this type . 0 ###LEFT-WALL### 1 details 0 ###LEFT-WALL### 3 taken 0 ###LEFT-WALL### 7 : 1 details 2 were 2 were 3 taken 3 taken 4 about 4 about 6 consumers 5 the 6 consumers 7 : 8 age 7 : 11 , 8 age 10 gender 9 , 10 gender 10 gender 11 , 11 , 12 occupation 11 , 13 , 13 , 14 hand 14 hand 15 size 15 size 17 plus 16 , 17 plus 17 plus 20 grip 17 plus 27 . 18 their 20 grip 19 preferred 20 grip 20 grip 21 choice 20 grip 24 of 21 choice 22 for 22 for 23 packaging 24 of 26 type 25 this 26 type the study showed that typically women chose a grip that maximised their opportunity of opening the closure and that this grip choice was more limited than that available for men . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 31 . 1 the 2 study 2 study 3 showed 3 showed 18 and 4 that 5 typically 4 that 6 women 4 that 7 chose 4 that 18 and 6 women 7 chose 7 chose 9 grip 8 a 9 grip 9 grip 10 that 9 grip 11 maximised 10 that 11 maximised 11 maximised 13 opportunity 12 their 13 opportunity 13 opportunity 14 of 14 of 15 opening 15 opening 17 closure 16 the 17 closure 18 and 19 that 19 that 22 choice 19 that 23 was 20 this 22 choice 21 grip 22 choice 22 choice 23 was 23 was 24 more 23 was 25 limited 25 limited 26 than 25 limited 29 for 26 than 27 that 27 that 28 available 29 for 30 men this has implications for inclusive design of many everyday products . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 has 0 ###LEFT-WALL### 11 . 1 this 2 has 2 has 3 implications 3 implications 4 for 4 for 6 design 5 inclusive 6 design 6 design 7 of 7 of 10 products 8 many 10 products 9 everyday 10 products recent studies [have] shown that tissue - specific stem cells ( scs ) found throughout the body respond differentially to dna damage . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 18 respond 0 ###LEFT-WALL### 23 . 1 recent 2 studies 2 studies 4 shown 2 studies 5 that 2 studies 14 found 2 studies 18 respond 5 that 6 tissue 5 that 14 found 6 tissue 10 cells 6 tissue 14 found 7 - 10 cells 8 specific 9 stem 9 stem 10 cells 10 cells 12 scs 10 cells 13 ) 11 ( 12 scs 12 scs 13 ) 14 found 15 throughout 15 throughout 17 body 16 the 17 body 18 respond 19 differentially 18 respond 20 to 20 to 22 damage 21 dna 22 damage in this review , we will discuss how different sc populations sense and functionally respond to dna damage , identify various common and distinct mechanisms utilized by tissue - specific [scs] to address dna damage , and describe how these mechanisms can impact sc genomic integrity by potentially promoting aging , tissue atrophy , [and/or] cancer development . 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 13 and 6 will 7 discuss 6 will 13 and 7 discuss 8 how 8 how 9 different 9 different 12 sense 10 sc 12 sense 11 populations 12 sense 13 and 19 , 14 functionally 15 respond 15 respond 16 to 15 respond 19 , 16 to 18 damage 17 dna 18 damage 19 , 20 identify 20 identify 25 mechanisms 20 identify 32 to 21 various 25 mechanisms 22 common 23 and 23 and 24 distinct 23 and 25 mechanisms 25 mechanisms 26 utilized 26 utilized 27 by 26 utilized 29 - 26 utilized 30 specific 27 by 28 tissue 32 to 37 and 33 address 35 damage 33 address 37 and 34 dna 35 damage 36 , 37 and 37 and 38 describe 37 and 47 by 38 describe 39 how 39 how 41 mechanisms 39 how 43 impact 40 these 41 mechanisms 41 mechanisms 42 can 42 can 43 impact 43 impact 46 integrity 44 sc 46 integrity 45 genomic 46 integrity 47 by 49 promoting 48 potentially 49 promoting 49 promoting 50 aging 50 aging 53 atrophy 50 aging 57 development 51 , 53 atrophy 52 tissue 53 atrophy 53 atrophy 54 , 54 , 57 development 56 cancer 57 development 57 development 58 . finally , we will discuss how similar mechanisms operate in cancer stem cells ( cscs ) and can mediate resistance to chemo - and radiotherapy . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 5 discuss 0 ###LEFT-WALL### 26 . 1 finally 2 , 1 finally 3 we 3 we 4 will 4 will 5 discuss 5 discuss 6 how 6 how 8 mechanisms 6 how 17 and 7 similar 8 mechanisms 8 mechanisms 17 and 9 operate 10 in 9 operate 17 and 10 in 13 cells 11 cancer 13 cells 12 stem 13 cells 13 cells 15 cscs 14 ( 15 cscs 15 cscs 16 ) 17 and 18 can 18 can 19 mediate 19 mediate 20 resistance 19 mediate 21 to 21 to 24 and 22 chemo 24 and 23 - 24 and 24 and 25 radiotherapy brain microangiopathy increases in frequency and severity with older age , with the presence [of] hypertension and to a lesser extent with diabetes . 0 ###LEFT-WALL### 2 microangiopathy 0 ###LEFT-WALL### 3 increases 0 ###LEFT-WALL### 24 . 1 brain 2 microangiopathy 2 microangiopathy 3 increases 3 increases 4 in 3 increases 17 and 3 increases 22 with 4 in 6 and 5 frequency 6 and 6 and 7 severity 6 and 11 , 7 severity 8 with 8 with 10 age 9 older 10 age 12 with 16 hypertension 12 with 17 and 13 the 16 hypertension 14 presence 16 hypertension 17 and 18 to 18 to 21 extent 19 a 20 lesser 19 a 21 extent 20 lesser 21 extent 22 with 23 diabetes magnetic resonance imaging is used to provide anatomical descriptions , but at this time only clinical examination and neuropsychological testing can assess white matter functioning . 0 ###LEFT-WALL### 3 imaging 0 ###LEFT-WALL### 5 used 1 magnetic 3 imaging 2 resonance 3 imaging 3 imaging 4 is 4 is 5 used 5 used 6 to 5 used 7 provide 6 to 7 provide 7 provide 9 descriptions 8 anatomical 9 descriptions 9 descriptions 11 but 10 , 11 but 11 but 12 at 11 but 26 . 12 at 14 time 13 this 14 time 14 time 25 functioning 15 only 22 assess 16 clinical 17 examination 17 examination 18 and 18 and 20 testing 18 and 21 can 19 neuropsychological 20 testing 21 can 22 assess 22 assess 24 matter 22 assess 25 functioning 23 white 24 matter 24 matter 25 functioning 25 functioning 26 . clinical correlates [of] microangiopathy [appear] as subcortical cognitive alterations , but data are controversial about dementia risk . 0 ###LEFT-WALL### 1 clinical 0 ###LEFT-WALL### 2 correlates 0 ###LEFT-WALL### 11 but 0 ###LEFT-WALL### 18 . 1 clinical 2 correlates 2 correlates 4 microangiopathy 2 correlates 6 as 6 as 9 alterations 7 subcortical 9 alterations 8 cognitive 9 alterations 10 , 11 but 11 but 12 data 11 but 13 are 12 data 13 are 13 are 14 controversial 14 controversial 15 about 15 about 17 risk 16 dementia 17 risk brain microangiopathy seems to be however a complication of chronic hyperglycaemia , probably due to similar mechanisms occurring in retinopathy and other microvascular complications . 0 ###LEFT-WALL### 2 microangiopathy 0 ###LEFT-WALL### 3 seems 1 brain 2 microangiopathy 2 microangiopathy 3 seems 3 seems 4 to 3 seems 5 be 4 to 5 be 5 be 6 however 5 be 8 complication 7 a 8 complication 8 complication 9 of 9 of 11 hyperglycaemia 10 chronic 11 hyperglycaemia 11 hyperglycaemia 15 to 12 , 13 probably 12 , 15 to 14 due 15 to 15 to 17 mechanisms 15 to 25 . 16 similar 17 mechanisms 17 mechanisms 18 occurring 18 occurring 19 in 19 in 21 and 20 retinopathy 21 and 21 and 24 complications 22 other 24 complications 23 microvascular 24 complications to date , many questions have been raised : how can brain microangiopathy progression be monitored ? 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 date 0 ###LEFT-WALL### 3 , 1 to 2 date 3 , 5 questions 3 , 8 raised 3 , 9 : 4 many 5 questions 5 questions 6 have 6 have 7 been 7 been 8 raised 9 : 10 how 9 : 16 monitored 9 : 17 ? 10 how 11 can 11 can 14 progression 11 can 15 be 12 brain 14 progression 13 microangiopathy 14 progression 15 be 16 monitored is there a reversible stage of brain microangiopathy ? 0 ###LEFT-WALL### 1 is 0 ###LEFT-WALL### 9 ? 1 is 2 there 1 is 5 stage 3 a 4 reversible 3 a 5 stage 4 reversible 5 stage 5 stage 6 of 6 of 8 microangiopathy 7 brain 8 microangiopathy which preventive actions should be implemented in aging patients with diabetes ? 0 ###LEFT-WALL### 1 which 0 ###LEFT-WALL### 6 implemented 0 ###LEFT-WALL### 12 ? 1 which 3 actions 2 preventive 3 actions 3 actions 4 should 4 should 5 be 5 be 6 implemented 6 implemented 7 in 7 in 8 aging 8 aging 9 patients 8 aging 10 with 10 with 11 diabetes finally , what type [of] care should be provided for people with diabetes and mild cognitive impairment or overt dementia to slow down cognitive worsening ? 0 ###LEFT-WALL### 3 what 0 ###LEFT-WALL### 9 provided 0 ###LEFT-WALL### 26 ? 1 finally 2 , 1 finally 3 what 3 what 6 care 3 what 8 be 3 what 9 provided 4 type 6 care 6 care 7 should 7 should 8 be 9 provided 10 for 10 for 18 or 11 people 12 with 11 people 18 or 12 with 14 and 13 diabetes 14 and 14 and 17 impairment 15 mild 17 impairment 16 cognitive 17 impairment 18 or 20 dementia 18 or 21 to 18 or 22 slow 19 overt 20 dementia 21 to 22 slow 22 slow 23 down 23 down 25 worsening 24 cognitive 25 worsening current rodent models [of] [menopause] fail to adequately recapitulate the menopause transition . 0 ###LEFT-WALL### 3 models 0 ###LEFT-WALL### 6 fail 0 ###LEFT-WALL### 13 . 1 current 2 rodent 2 rodent 3 models 3 models 6 fail 6 fail 7 to 6 fail 9 recapitulate 7 to 9 recapitulate 8 adequately 9 recapitulate 9 recapitulate 12 transition 10 the 12 transition 11 menopause 12 transition the intact aging model fails to achieve very low estrogen levels , and the ovariectomy model lacks a perimenopause phase . 0 ###LEFT-WALL### 4 model 0 ###LEFT-WALL### 5 fails 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 21 . 1 the 4 model 2 intact 4 model 3 aging 4 model 4 model 5 fails 5 fails 6 to 5 fails 7 achieve 6 to 7 achieve 7 achieve 11 levels 8 very 9 low 9 low 11 levels 10 estrogen 11 levels 12 , 13 and 13 and 16 model 13 and 17 lacks 14 the 16 model 15 ovariectomy 16 model 16 model 17 lacks 17 lacks 20 phase 18 a 19 perimenopause 18 a 20 phase 19 perimenopause 20 phase a new rodent model of accelerated ovarian failure ( aof ) successfully replicates human perimenopause and postmenopause , including estrous acyclicity and fluctuating , followed by undetectable , estrogen levels , and allows for the dissociation of the effects of hormone levels from the effects of aging . 0 ###LEFT-WALL### 4 model 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 48 . 1 a 4 model 2 new 4 model 3 rodent 4 model 4 model 5 of 4 model 24 , 5 of 8 failure 6 accelerated 8 failure 7 ovarian 8 failure 8 failure 10 aof 9 ( 10 aof 10 aof 11 ) 12 successfully 13 replicates 13 replicates 16 and 13 replicates 24 , 14 human 15 perimenopause 15 perimenopause 16 and 16 and 17 postmenopause 16 and 18 , 16 and 19 including 19 including 22 and 20 estrous 21 acyclicity 21 acyclicity 22 and 22 and 23 fluctuating 24 , 32 and 24 , 34 for 24 , 43 from 25 followed 26 by 25 followed 32 and 26 by 30 levels 27 undetectable 28 , 27 undetectable 29 estrogen 29 estrogen 30 levels 31 , 32 and 32 and 33 allows 34 for 36 dissociation 35 the 36 dissociation 36 dissociation 37 of 37 of 39 effects 38 the 39 effects 39 effects 40 of 40 of 42 levels 41 hormone 42 levels 43 from 45 effects 44 the 45 effects 45 effects 46 of 46 of 47 aging in this model , an ovotoxic chemical , 4 - vinylcyclohexene diepoxide ( vcd ) , selective for primary and primordial follicles , is injected intraperitonelly in animals for 15 days . 0 ###LEFT-WALL### 7 chemical 0 ###LEFT-WALL### 25 injected 0 ###LEFT-WALL### 32 . 1 in 3 model 1 in 4 , 1 in 7 chemical 2 this 3 model 5 an 6 ovotoxic 5 an 7 chemical 6 ovotoxic 7 chemical 7 chemical 10 - 7 chemical 24 is 8 , 10 - 9 4 10 - 10 - 12 diepoxide 10 - 23 , 11 vinylcyclohexene 12 diepoxide 12 diepoxide 14 vcd 12 diepoxide 17 selective 13 ( 14 vcd 14 vcd 15 ) 16 , 17 selective 17 selective 18 for 17 selective 23 , 18 for 22 follicles 19 primary 20 and 20 and 21 primordial 20 and 22 follicles 24 is 25 injected 25 injected 26 intraperitonelly 25 injected 27 in 27 in 28 animals 28 animals 29 for 29 for 31 days 30 15 31 days as the mature follicle population is depleted through natural cycling , ovarian failure follows increasing periods of acyclity . 0 ###LEFT-WALL### 5 population 0 ###LEFT-WALL### 7 depleted 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 19 . 1 as 4 follicle 1 as 5 population 2 the 4 follicle 3 mature 4 follicle 5 population 6 is 6 is 7 depleted 7 depleted 10 cycling 8 through 9 natural 9 natural 10 cycling 11 , 13 failure 11 , 14 follows 12 ovarian 13 failure 13 failure 14 follows 14 follows 16 periods 15 increasing 16 periods 16 periods 17 of 17 of 18 acyclity administered at low doses , vcd specifically causes apoptotic cell death of primordial follicles but does not affect other peripheral tissues , including the liver and spleen , nor does it affect brain inflammation markers . 0 ###LEFT-WALL### 6 vcd 0 ###LEFT-WALL### 15 but 0 ###LEFT-WALL### 28 , 0 ###LEFT-WALL### 36 . 1 administered 2 at 1 administered 5 , 1 administered 6 vcd 2 at 4 doses 3 low 4 doses 6 vcd 15 but 7 specifically 8 causes 8 causes 11 death 8 causes 15 but 9 apoptotic 10 cell 10 cell 11 death 11 death 12 of 12 of 14 follicles 13 primordial 14 follicles 15 but 16 does 16 does 17 not 16 does 18 affect 18 affect 21 tissues 19 other 21 tissues 20 peripheral 21 tissues 21 tissues 23 including 22 , 23 including 23 including 26 and 23 including 28 , 24 the 25 liver 25 liver 26 and 26 and 27 spleen 28 , 29 nor 28 , 32 affect 29 nor 30 does 30 does 31 it 30 does 32 affect 32 affect 35 markers 33 brain 35 markers 34 inflammation 35 markers in addition to reducing confounds associated [with] genetic and surgical manipulations , the aof model maintains the presence of ovarian tissue which importantly parallels to the menopause transition in humans . 0 ###LEFT-WALL### 2 addition 0 ###LEFT-WALL### 5 confounds 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 31 . 1 in 2 addition 2 addition 3 to 2 addition 5 confounds 3 to 4 reducing 5 confounds 11 manipulations 6 associated 11 manipulations 8 genetic 9 and 9 and 10 surgical 9 and 11 manipulations 12 , 15 model 12 , 16 maintains 13 the 15 model 14 aof 15 model 15 model 16 maintains 16 maintains 18 presence 16 maintains 29 in 17 the 18 presence 18 presence 19 of 19 of 21 tissue 20 ovarian 21 tissue 21 tissue 22 which 21 tissue 28 transition 22 which 24 parallels 22 which 28 transition 23 importantly 24 parallels 24 parallels 25 to 24 parallels 28 transition 25 to 27 menopause 26 the 27 menopause 29 in 30 humans the vcd injection procedure can be applied to studies using transgenic or knockout mice strains , or in other disease - state models ( e.g [.] , ischemia , atherosclerosis , or diabetes ) . 0 ###LEFT-WALL### 4 procedure 0 ###LEFT-WALL### 7 applied 0 ###LEFT-WALL### 35 . 1 the 4 procedure 2 vcd 4 procedure 3 injection 4 procedure 4 procedure 5 can 5 can 6 be 6 be 7 applied 7 applied 17 or 8 to 9 studies 8 to 17 or 9 studies 10 using 9 studies 15 strains 10 using 14 mice 10 using 15 strains 11 transgenic 12 or 12 or 13 knockout 12 or 14 mice 16 , 17 or 17 or 18 in 18 in 20 disease 19 other 20 disease 20 disease 23 models 20 disease 28 ischemia 21 - 23 models 22 state 23 models 23 models 25 e.g 23 models 27 , 24 ( 25 e.g 25 e.g 27 , 27 , 28 ischemia 28 ischemia 32 or 28 ischemia 34 ) 29 , 32 or 30 atherosclerosis 32 or 31 , 32 or 32 or 33 diabetes 32 or 34 ) this aof model [of] menopause will generate new insights into women 's health particularly in determining the critical periods ( i.e [.] , a window of opportunity ) during perimenopause for restoring ovarian hormones for the most efficacious effect on memory and mood disorders as well as other menopausal symptoms . 0 ###LEFT-WALL### 5 menopause 0 ###LEFT-WALL### 7 generate 0 ###LEFT-WALL### 51 . 1 this 5 menopause 2 aof 5 menopause 3 model 5 menopause 5 menopause 6 will 6 will 7 generate 7 generate 9 insights 7 generate 10 into 7 generate 14 particularly 7 generate 35 for 7 generate 40 on 7 generate 45 as 8 new 9 insights 10 into 13 health 11 women 12 's 12 's 13 health 14 particularly 15 in 15 in 16 determining 16 determining 19 periods 16 determining 29 during 16 determining 31 for 17 the 19 periods 18 critical 19 periods 19 periods 21 i.e 20 ( 21 i.e 21 i.e 25 window 21 i.e 28 ) 23 , 25 window 24 a 25 window 25 window 26 of 25 window 28 ) 26 of 27 opportunity 29 during 30 perimenopause 31 for 32 restoring 32 restoring 34 hormones 33 ovarian 34 hormones 35 for 39 effect 36 the 39 effect 37 most 38 efficacious 38 efficacious 39 effect 40 on 42 and 41 memory 42 and 42 and 44 disorders 43 mood 44 disorders 45 as 46 well 46 well 47 as 47 as 50 symptoms 48 other 50 symptoms 49 menopausal 50 symptoms objective : to investigate the situation [of] overactive bladder ( oab ) in a community - based male population . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 2 : 3 to 2 : 4 investigate 2 : 16 - 3 to 4 investigate 4 investigate 9 bladder 4 investigate 13 in 5 the 9 bladder 6 situation 9 bladder 8 overactive 9 bladder 9 bladder 11 oab 10 ( 11 oab 11 oab 12 ) 13 in 15 community 14 a 15 community 16 - 19 population 17 based 19 population 18 male 19 population methods : male participants over 50 years old were randomly selected from multiple communities in beijing . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 participants 2 : 11 selected 2 : 17 . 3 male 4 participants 4 participants 8 old 4 participants 9 were 5 over 6 50 6 50 7 years 7 years 8 old 9 were 11 selected 10 randomly 11 selected 11 selected 12 from 11 selected 15 in 12 from 14 communities 13 multiple 14 communities 15 in 16 beijing the evaluation of lower urinary tract symptoms ( luts ) including the international prostate symptom score ( ipss ) , quality of life ( qol ) score , prostate volume and post voiding residue ( pvr ) by abdominal ultrasonography , and maximum flow rate ( qmax ) . 0 ###LEFT-WALL### 42 and 0 ###LEFT-WALL### 49 . 1 the 2 evaluation 2 evaluation 3 of 2 evaluation 11 including 2 evaluation 42 and 3 of 7 symptoms 4 lower 6 tract 5 urinary 6 tract 6 tract 7 symptoms 7 symptoms 9 luts 8 ( 9 luts 9 luts 10 ) 11 including 31 and 11 including 38 by 12 the 27 score 13 international 14 prostate 14 prostate 15 symptom 15 symptom 16 score 16 score 18 ipss 16 score 21 quality 16 score 27 score 17 ( 18 ipss 18 ipss 19 ) 20 , 21 quality 21 quality 22 of 21 quality 26 ) 22 of 23 life 23 life 25 qol 24 ( 25 qol 25 qol 26 ) 27 score 28 , 28 , 30 volume 28 , 31 and 29 prostate 30 volume 31 and 34 residue 31 and 36 pvr 32 post 34 residue 33 voiding 34 residue 35 ( 36 pvr 36 pvr 37 ) 38 by 40 ultrasonography 39 abdominal 40 ultrasonography 41 , 42 and 42 and 45 rate 42 and 47 qmax 43 maximum 45 rate 44 flow 45 rate 46 ( 47 qmax 47 qmax 48 ) definition of oab was determined as the score of item number 4 in ipss ≥ 2 . 0 ###LEFT-WALL### 1 definition 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 17 . 1 definition 2 of 1 definition 4 was 2 of 3 oab 4 was 5 determined 5 determined 6 as 6 as 8 score 7 the 8 score 8 score 9 of 9 of 15 ≥ 10 item 15 ≥ 11 number 15 ≥ 12 4 13 in 13 in 15 ≥ 14 ipss 15 ≥ 15 ≥ 16 2