patients were treated either with the bvam regimen ( carmustine , vincristine , cytarabine , mtx ) or with chod ( cyclophosphamide , doxorubicin , vincristine and dexamethasone ) given for one cycle prior to bvam . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 3 treated 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 37 . 1 patients 2 were 2 were 3 treated 3 treated 18 or 4 either 18 or 5 with 8 regimen 5 with 18 or 6 the 8 regimen 7 bvam 8 regimen 8 regimen 10 carmustine 8 regimen 12 vincristine 9 ( 10 carmustine 10 carmustine 11 , 11 , 12 vincristine 12 vincristine 14 cytarabine 12 vincristine 17 ) 13 , 14 cytarabine 14 cytarabine 16 mtx 14 cytarabine 17 ) 15 , 16 mtx 16 mtx 17 ) 18 or 19 with 19 with 20 chod 20 chod 22 cyclophosphamide 21 ( 22 cyclophosphamide 22 cyclophosphamide 23 , 23 , 27 and 23 , 33 cycle 24 doxorubicin 25 , 25 , 26 vincristine 25 , 27 and 27 and 28 dexamethasone 27 and 29 ) 27 and 30 given 27 and 33 cycle 30 given 31 for 31 for 32 one 33 cycle 35 to 34 prior 35 to 35 to 36 bvam the age at which patients were diagnosed with pcnsl increased during the period of the study . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 10 increased 0 ###LEFT-WALL### 17 . 1 the 2 age 2 age 3 at 2 age 10 increased 3 at 4 which 3 at 5 patients 3 at 7 diagnosed 5 patients 6 were 6 were 7 diagnosed 7 diagnosed 8 with 8 with 9 pcnsl 10 increased 11 during 11 during 13 period 12 the 13 period 13 period 14 of 14 of 16 study 15 the 16 study during the first half of the study period ( 1986 - 1997 ) the median age was 60.5 years , compared to a median age of 65 years during the second half of the study period ( 1998 - 2008 ) ( p = 0.001 ) . 0 ###LEFT-WALL### 16 age 0 ###LEFT-WALL### 17 was 0 ###LEFT-WALL### 47 . 1 during 4 half 1 during 16 age 2 the 3 first 2 the 4 half 4 half 5 of 5 of 8 period 6 the 8 period 7 study 8 period 8 period 11 - 9 ( 11 - 10 1986 11 - 11 - 12 1997 11 - 13 ) 14 the 16 age 15 median 16 age 16 age 17 was 17 was 19 years 18 60.5 19 years 19 years 21 compared 20 , 21 compared 21 compared 22 to 21 compared 29 during 21 compared 46 ) 22 to 25 age 23 a 25 age 24 median 25 age 25 age 26 of 26 of 28 years 27 65 28 years 29 during 32 half 30 the 31 second 30 the 32 half 32 half 33 of 33 of 36 period 34 the 36 period 35 study 36 period 36 period 44 = 37 ( 39 - 38 1998 39 - 39 - 40 2008 39 - 41 ) 39 - 44 = 42 ( 44 = 43 p 44 = 44 = 45 0.001 the estimated glomerular filtration rate decreased with age over 40 years in a similar way to the general population . 0 ###LEFT-WALL### 5 rate 0 ###LEFT-WALL### 6 decreased 0 ###LEFT-WALL### 20 . 1 the 5 rate 2 estimated 4 filtration 3 glomerular 4 filtration 4 filtration 5 rate 5 rate 6 decreased 6 decreased 7 with 6 decreased 9 over 6 decreased 16 to 7 with 8 age 9 over 11 years 10 40 11 years 11 years 12 in 12 in 15 way 13 a 15 way 14 similar 15 way 16 to 19 population 17 the 19 population 18 general 19 population the increasing age of patients with pcnsl and decreasing renal function limit the intensity of chemotherapy with mtx containing regimens . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 12 limit 0 ###LEFT-WALL### 21 . 1 the 3 age 2 increasing 3 age 3 age 4 of 3 age 8 and 4 of 5 patients 5 patients 6 with 6 with 7 pcnsl 8 and 11 function 8 and 12 limit 9 decreasing 11 function 10 renal 11 function 12 limit 14 intensity 12 limit 17 with 13 the 14 intensity 14 intensity 15 of 15 of 16 chemotherapy 17 with 18 mtx 18 mtx 19 containing 19 containing 20 regimens this is a descriptive study using the data side of the municipal secretariat for coordination of social policy in belo horizonte , whose purpose was to describe the epidemiological profile of elderly population of this city . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 1 this 2 is 2 is 18 policy 3 a 4 descriptive 3 a 18 policy 4 descriptive 5 study 5 study 6 using 5 study 10 of 5 study 16 of 6 using 9 side 7 the 9 side 8 data 9 side 10 of 13 secretariat 11 the 13 secretariat 12 municipal 13 secretariat 13 secretariat 14 for 14 for 15 coordination 15 coordination 16 of 17 social 18 policy 18 policy 19 in 19 in 21 horizonte 20 belo 21 horizonte 21 horizonte 23 whose 22 , 23 whose 23 whose 24 purpose 23 whose 37 . 24 purpose 25 was 25 was 26 to 25 was 27 describe 26 to 27 describe 27 describe 30 profile 28 the 30 profile 29 epidemiological 30 profile 30 profile 31 of 31 of 33 population 32 elderly 33 population 33 population 34 of 34 of 36 city 35 this 36 city [the] [elderly] in belo horizonte in 2000 represent 9.1 % of total population residing therein . 0 ###LEFT-WALL### 8 represent 0 ###LEFT-WALL### 16 . 3 in 5 horizonte 3 in 8 represent 4 belo 5 horizonte 5 horizonte 6 in 6 in 7 2000 8 represent 10 % 9 9.1 10 % 10 % 11 of 11 of 13 population 12 total 13 population 13 population 14 residing 14 residing 15 therein population [of] elderly , 60.5 % are women and 39.4 % are men , 2.9 % of the elderly had some type of physical disability , 16.4 % have hearing loss , 23.5 % find it hard to see , 24.1 % have difficulty walking or climbing stairs , and that 3.8 % had mental problems . 0 ###LEFT-WALL### 11 % 0 ###LEFT-WALL### 14 , 1 population 11 % 3 elderly 4 , 3 elderly 11 % 5 60.5 6 % 5 60.5 9 and 6 % 7 are 7 are 8 women 9 and 10 39.4 9 and 11 % 11 % 12 are 12 are 13 men 14 , 16 % 14 , 20 had 14 , 26 , 15 2.9 16 % 16 % 17 of 16 % 20 had 17 of 19 elderly 18 the 19 elderly 20 had 23 of 21 some 23 of 22 type 23 of 23 of 25 disability 24 physical 25 disability 26 , 28 % 26 , 29 have 26 , 32 , 27 16.4 28 % 28 % 29 have 29 have 31 loss 30 hearing 31 loss 32 , 34 % 32 , 35 find 32 , 40 , 33 23.5 34 % 34 % 35 find 35 find 36 it 35 find 37 hard 37 hard 38 to 38 to 39 see 40 , 42 % 40 , 43 have 41 24.1 42 % 42 % 43 have 43 have 46 or 44 difficulty 45 walking 44 difficulty 46 or 46 or 56 problems 46 or 57 . 47 climbing 56 problems 48 stairs 50 and 49 , 50 and 50 and 51 that 50 and 53 % 50 and 54 had 50 and 56 problems 52 3.8 53 % 53 % 54 had 55 mental 56 problems it was concluded that the share of elderly people [,] weakened in belo horizonte was represented by less than one with good health . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 concluded 0 ###LEFT-WALL### 24 . 1 it 2 was 2 was 3 concluded 3 concluded 4 that 4 that 6 share 4 that 16 represented 5 the 6 share 6 share 7 of 6 share 15 was 7 of 9 people 8 elderly 9 people 9 people 11 weakened 11 weakened 12 in 12 in 14 horizonte 13 belo 14 horizonte 15 was 16 represented 16 represented 17 by 16 represented 21 with 17 by 20 one 18 less 19 than 19 than 20 one 21 with 23 health 22 good 23 health aging is not synonymous with disability . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 7 . 1 aging 2 is 2 is 3 not 2 is 4 synonymous 4 synonymous 5 with 5 with 6 disability background : the random gap detection test ( rgdt ) [evaluates] temporal resolution threshold . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 . 1 background 2 : 2 : 14 threshold 3 the 14 threshold 4 random 5 gap 5 gap 6 detection 6 detection 7 test 7 test 9 rgdt 8 ( 9 rgdt 9 rgdt 10 ) 9 rgdt 14 threshold 12 temporal 13 resolution 13 resolution 14 threshold there are doubts as to whether performance in this task remains unchanged with the aging process . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 17 . 1 there 2 are 2 are 3 doubts 2 are 5 to 4 as 5 to 5 to 6 whether 6 whether 7 performance 6 whether 11 remains 7 performance 8 in 7 performance 11 remains 8 in 10 task 9 this 10 task 11 remains 12 unchanged 12 unchanged 13 with 13 with 16 process 14 the 16 process 15 aging 16 process at the same time , there is a concern about how much the difficulties of communication experienced by elderly individuals are related to the deterioration [of] temporal resolution . 0 ###LEFT-WALL### 6 there 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 29 . 1 at 4 time 1 at 5 , 1 at 6 there 2 the 3 same 3 same 4 time 6 there 7 is 7 is 9 concern 8 a 9 concern 9 concern 10 about 9 concern 23 to 10 about 11 how 11 how 12 much 12 much 14 difficulties 12 much 22 related 13 the 14 difficulties 14 difficulties 15 of 14 difficulties 21 are 15 of 16 communication 16 communication 17 experienced 17 experienced 18 by 18 by 20 individuals 19 elderly 20 individuals 21 are 22 related 23 to 28 resolution 24 the 28 resolution 25 deterioration 28 resolution 27 temporal 28 resolution aim : to determine auditory temporal resolution threshold [in] elderly individuals with normal peripheral hearing or symmetric mild sensorineural hearing loss , [and] to correlate findings with gender , age , audiometric findings and scores obtained in the self - assessment of communication ( sac ) questionnaire . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 determine 2 : 22 , 2 : 36 obtained 2 : 48 . 3 to 4 determine 4 determine 16 or 5 auditory 8 threshold 6 temporal 8 threshold 7 resolution 8 threshold 8 threshold 11 individuals 10 elderly 11 individuals 11 individuals 12 with 11 individuals 16 or 12 with 15 hearing 13 normal 15 hearing 14 peripheral 15 hearing 16 or 21 loss 17 symmetric 20 hearing 18 mild 20 hearing 19 sensorineural 20 hearing 20 hearing 21 loss 22 , 24 to 22 , 25 correlate 24 to 25 correlate 25 correlate 26 findings 25 correlate 27 with 27 with 34 and 27 with 36 obtained 28 gender 29 , 29 , 30 age 29 , 31 , 31 , 33 findings 31 , 34 and 32 audiometric 33 findings 34 and 35 scores 36 obtained 37 in 37 in 47 questionnaire 38 the 47 questionnaire 39 self 41 assessment 39 self 47 questionnaire 40 - 41 assessment 41 assessment 42 of 41 assessment 45 sac 41 assessment 46 ) 42 of 43 communication 44 ( 45 sac 45 sac 46 ) methods : 63 elderly individuals , aged between 60 and 80 years ( 53 women and 10 men ) , were submitted to the rgdt and the sac . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 5 individuals 2 : 22 submitted 3 63 5 individuals 4 elderly 5 individuals 5 individuals 7 aged 5 individuals 21 were 6 , 7 aged 7 aged 8 between 7 aged 20 , 8 between 12 years 9 60 10 and 10 and 11 80 10 and 12 years 12 years 16 and 13 ( 16 and 14 53 15 women 15 women 16 and 16 and 18 men 16 and 19 ) 17 10 18 men 21 were 22 submitted 22 submitted 23 to 23 to 26 and 24 the 25 rgdt 25 rgdt 26 and 26 and 28 sac 27 the 28 sac results : statistical analysis of the relationship between gender and the rgdt indicated that the performance of elderly females was statistically poorer when compared to elderly males . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 10 and 2 : 13 indicated 3 statistical 4 analysis 4 analysis 5 of 4 analysis 10 and 5 of 7 relationship 6 the 7 relationship 7 relationship 8 between 8 between 9 gender 10 and 12 rgdt 10 and 13 indicated 11 the 12 rgdt 13 indicated 14 that 14 that 16 performance 14 that 20 was 15 the 16 performance 16 performance 17 of 16 performance 20 was 17 of 19 females 18 elderly 19 females 20 was 21 statistically 20 was 22 poorer 22 poorer 23 when 22 poorer 25 to 23 when 24 compared 25 to 27 males 26 elderly 27 males age and audiometric configuration did not correlate to performance in the rdgt and in the sac . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 7 correlate 0 ###LEFT-WALL### 17 . 1 age 2 and 2 and 4 configuration 2 and 5 did 3 audiometric 4 configuration 5 did 6 not 5 did 7 correlate 7 correlate 8 to 8 to 9 performance 9 performance 13 and 10 in 12 rdgt 10 in 13 and 11 the 12 rdgt 13 and 14 in 14 in 16 sac 15 the 16 sac the results indicate that in the sac both genders presented no significant complaints about communication difficulties regardless of the outcome obtained in the rgdt or audiometric configuration . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 28 . 1 the 2 results 2 results 3 indicate 3 indicate 4 that 4 that 9 genders 4 that 10 presented 5 in 7 sac 5 in 9 genders 6 the 7 sac 8 both 9 genders 9 genders 10 presented 10 presented 13 complaints 10 presented 18 of 11 no 13 complaints 12 significant 13 complaints 13 complaints 14 about 14 about 16 difficulties 15 communication 16 difficulties 17 regardless 18 of 18 of 20 outcome 19 the 20 outcome 20 outcome 21 obtained 21 obtained 22 in 22 in 25 or 23 the 24 rgdt 24 rgdt 25 or 25 or 27 configuration 26 audiometric 27 configuration conclusion : the average temporal resolution threshold for women was 104.81ms . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 7 threshold 2 : 10 was 2 : 12 . 3 the 7 threshold 4 average 6 resolution 5 temporal 6 resolution 6 resolution 7 threshold 7 threshold 8 for 7 threshold 10 was 8 for 9 women 10 was 11 104.81ms considering gender , females did not present correlations between age and audiometric configuration , not only when considering the rgdt results but also when analyzing the sac results . 0 ###LEFT-WALL### 4 females 0 ###LEFT-WALL### 15 not 0 ###LEFT-WALL### 29 . 1 considering 2 gender 1 considering 3 , 1 considering 4 females 4 females 5 did 5 did 6 not 5 did 7 present 7 present 8 correlations 7 present 9 between 9 between 11 and 10 age 11 and 11 and 13 configuration 12 audiometric 13 configuration 14 , 15 not 15 not 16 only 15 not 25 analyzing 15 not 28 results 17 when 18 considering 17 when 25 analyzing 18 considering 20 rgdt 18 considering 22 but 19 the 20 rgdt 21 results 22 but 22 but 23 also 22 but 24 when 25 analyzing 27 sac 25 analyzing 28 results 26 the 27 sac background : children with specific language impairment ( sli ) have difficulties with speech processing . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 children 2 : 11 have 2 : 16 . 3 children 4 with 3 children 11 have 4 with 9 sli 5 specific 6 language 6 language 7 impairment 7 impairment 9 sli 8 ( 9 sli 9 sli 10 ) 11 have 12 difficulties 11 have 13 with 13 with 15 processing 14 speech 15 processing these difficulties affect the development of phonologic representations . 0 ###LEFT-WALL### 2 difficulties 0 ###LEFT-WALL### 3 affect 0 ###LEFT-WALL### 9 . 1 these 2 difficulties 2 difficulties 3 affect 3 affect 5 development 4 the 5 development 5 development 6 of 6 of 8 representations 7 phonologic 8 representations aim : to evaluate the abilities of children with normal language development ( nld ) and those with sli in distinguishing words from [non] - words in a lexical decision task . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 task 0 ###LEFT-WALL### 32 . 2 : 3 to 2 : 25 - 3 to 4 evaluate 4 evaluate 6 abilities 5 the 6 abilities 6 abilities 7 of 6 abilities 18 with 7 of 16 and 8 children 9 with 8 children 16 and 9 with 12 development 10 normal 11 language 11 language 12 development 12 development 14 nld 13 ( 14 nld 14 nld 15 ) 16 and 17 those 18 with 19 sli 19 sli 20 in 20 in 21 distinguishing 21 distinguishing 22 words 23 from 25 - 25 - 26 words 26 words 27 in 26 words 31 task 27 in 30 decision 28 a 29 lexical 28 a 30 decision 29 lexical 30 decision method : two groups were involved in this study : the control group ( gc ) , with no language disorders , composed by 36 subjects , and the research group ( rg ) , with 18 subjects , all diagnosed with sli , aging form 4 to 8:9 years . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 4 groups 2 : 6 involved 2 : 10 : 3 two 4 groups 4 groups 5 were 5 were 6 involved 6 involved 7 in 7 in 9 study 8 this 9 study 10 : 15 gc 10 : 39 , 11 the 15 gc 12 control 13 group 13 group 15 gc 14 ( 15 gc 15 gc 16 ) 15 gc 18 with 15 gc 39 , 17 , 18 with 18 with 21 disorders 18 with 22 , 19 no 21 disorders 20 language 21 disorders 23 composed 24 by 23 composed 28 and 23 composed 36 with 23 composed 39 , 24 by 25 36 26 subjects 28 and 27 , 28 and 28 and 33 rg 28 and 35 , 29 the 33 rg 30 research 31 group 31 group 33 rg 32 ( 33 rg 33 rg 34 ) 36 with 38 subjects 37 18 38 subjects 39 , 41 diagnosed 39 , 42 with 39 , 45 aging 40 all 41 diagnosed 42 with 43 sli 44 , 45 aging 45 aging 46 form 45 aging 51 . 46 form 47 4 46 form 48 to 48 to 50 years 49 8:9 50 years children from both groups were arranged in three subgroups , according to the receptive vocabulary . 0 ###LEFT-WALL### 1 children 0 ###LEFT-WALL### 6 arranged 1 children 2 from 1 children 5 were 2 from 4 groups 3 both 4 groups 5 were 6 arranged 6 arranged 7 in 6 arranged 12 to 7 in 9 subgroups 8 three 9 subgroups 10 , 12 to 11 according 12 to 12 to 15 vocabulary 12 to 16 . 13 the 15 vocabulary 14 receptive 15 vocabulary forty eight three syllable words were selected , being 24 real words [and] 24 that were manipulated in order to obtain [non] - words . 0 ###LEFT-WALL### 2 eight 0 ###LEFT-WALL### 7 selected 0 ###LEFT-WALL### 25 . 1 forty 2 eight 2 eight 5 words 2 eight 6 were 2 eight 7 selected 3 three 5 words 4 syllable 5 words 5 words 6 were 7 selected 9 being 7 selected 24 words 8 , 9 being 9 being 12 words 9 being 18 in 9 being 23 - 10 24 11 real 11 real 12 words 12 words 14 24 12 words 15 that 12 words 16 were 15 that 16 were 16 were 17 manipulated 18 in 19 order 19 order 20 to 19 order 21 obtain 20 to 21 obtain three variables were considered : [(] a [ )(modification extension , [(] [b] [ )(modification positioning and [(] [c] [ )(modification type . 0 ###LEFT-WALL### 2 variables 0 ###LEFT-WALL### 4 considered 0 ###LEFT-WALL### 5 : 1 three 2 variables 2 variables 3 were 3 were 4 considered 5 : 17 and 5 : 22 type 5 : 23 . 7 a 10 extension 9 )(modification 10 extension 10 extension 11 , 11 , 16 positioning 11 , 17 and 15 )(modification 16 positioning 17 and 21 )(modification 17 and 22 type children had to decide whether a phonological sequence consisted of a word or a [non] [-] word . 0 ###LEFT-WALL### 1 children 0 ###LEFT-WALL### 2 had 0 ###LEFT-WALL### 18 . 1 children 2 had 2 had 3 to 2 had 4 decide 3 to 4 decide 4 decide 5 whether 5 whether 8 sequence 5 whether 9 consisted 6 a 7 phonological 6 a 8 sequence 7 phonological 8 sequence 8 sequence 9 consisted 9 consisted 10 of 10 of 13 or 11 a 12 word 12 word 13 or 13 or 17 word 14 a 17 word results : even though children were matched by lexical age , there were differences between gc and rg . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 3 even 0 ###LEFT-WALL### 11 , 1 results 2 : 2 : 3 even 3 even 4 though 4 though 5 children 4 though 7 matched 5 children 6 were 6 were 7 matched 7 matched 8 by 8 by 10 age 9 lexical 10 age 11 , 12 there 11 , 13 were 12 there 13 were 13 were 14 differences 14 differences 15 between 15 between 18 rg 16 gc 17 and 17 and 18 rg 18 rg 19 . the rg presented more difficulty in lexical [decision] , [not] only [for] words but also [for] [non] - words . 0 ###LEFT-WALL### 2 rg 0 ###LEFT-WALL### 3 presented 0 ###LEFT-WALL### 20 . 1 the 2 rg 2 rg 3 presented 3 presented 5 difficulty 3 presented 6 in 4 more 5 difficulty 6 in 19 words 7 lexical 13 words 7 lexical 19 words 9 , 11 only 9 , 13 words 13 words 14 but 13 words 18 - 14 but 15 also both groups , with lexical age of 4 years , struggled more in this task when compared with groups with lexical age of 5 and 6 years . 0 ###LEFT-WALL### 2 groups 0 ###LEFT-WALL### 11 struggled 0 ###LEFT-WALL### 28 . 1 both 2 groups 2 groups 4 with 2 groups 11 struggled 3 , 4 with 4 with 6 age 4 with 10 , 5 lexical 6 age 6 age 7 of 7 of 9 years 8 4 9 years 11 struggled 12 more 11 struggled 13 in 11 struggled 16 when 11 struggled 18 with 11 struggled 20 with 13 in 15 task 14 this 15 task 16 when 17 compared 18 with 19 groups 20 with 22 age 21 lexical 22 age 22 age 23 of 23 of 27 years 24 5 25 and 25 and 26 6 25 and 27 years conclusion : children with sli presented [deficit] in phonological representation when compared with children with nld . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 1 conclusion 2 : 2 : 3 children 3 children 4 with 3 children 6 presented 4 with 5 sli 6 presented 8 in 6 presented 11 when 6 presented 15 with 8 in 10 representation 9 phonological 10 representation 11 when 12 compared 12 compared 13 with 13 with 14 children 15 with 16 nld this difference in performance can be explained by differences in the formation and retention of working memory representations , auditory discrimination and motor planning and execution . 0 ###LEFT-WALL### 2 difference 0 ###LEFT-WALL### 7 explained 0 ###LEFT-WALL### 27 . 1 this 2 difference 2 difference 3 in 2 difference 5 can 3 in 4 performance 5 can 6 be 6 be 7 explained 7 explained 8 by 7 explained 10 in 8 by 9 differences 10 in 25 and 11 the 12 formation 12 formation 13 and 13 and 14 retention 13 and 15 of 13 and 19 , 15 of 16 working 16 working 18 representations 17 memory 18 representations 19 , 21 discrimination 19 , 22 and 20 auditory 21 discrimination 22 and 23 motor 22 and 24 planning 22 and 25 and 25 and 26 execution platelets critically contribute to atherothrombosis and worsening ischaemia in patients with peripheral arterial disease ( pad ) , eventually leading to critical limb ischaemia ( cli ) . 0 ###LEFT-WALL### 1 platelets 0 ###LEFT-WALL### 3 contribute 0 ###LEFT-WALL### 28 . 1 platelets 3 contribute 2 critically 3 contribute 3 contribute 4 to 3 contribute 9 in 4 to 6 and 5 atherothrombosis 6 and 6 and 8 ischaemia 7 worsening 8 ischaemia 9 in 10 patients 10 patients 11 with 11 with 14 disease 12 peripheral 14 disease 13 arterial 14 disease 14 disease 16 pad 14 disease 20 leading 15 ( 16 pad 16 pad 17 ) 18 , 19 eventually 18 , 20 leading 20 leading 21 to 20 leading 27 ) 21 to 24 ischaemia 22 critical 23 limb 23 limb 24 ischaemia 24 ischaemia 26 cli 25 ( 26 cli 26 cli 27 ) furthermore , persistent platelet activation [despite] antiplatelet therapy has been reported in this setting . 0 ###LEFT-WALL### 8 therapy 0 ###LEFT-WALL### 11 reported 0 ###LEFT-WALL### 15 . 1 furthermore 2 , 1 furthermore 8 therapy 3 persistent 4 platelet 4 platelet 8 therapy 5 activation 8 therapy 7 antiplatelet 8 therapy 8 therapy 9 has 9 has 10 been 10 been 11 reported 11 reported 12 in 12 in 14 setting 13 this 14 setting the prostacyclin analogue iloprost is currently recommended in cli patients for its effects in relieving symptoms by promoting local perfusion . 0 ###LEFT-WALL### 3 analogue 0 ###LEFT-WALL### 7 recommended 0 ###LEFT-WALL### 21 . 1 the 3 analogue 2 prostacyclin 3 analogue 3 analogue 4 iloprost 3 analogue 5 is 3 analogue 7 recommended 4 iloprost 5 is 5 is 6 currently 7 recommended 8 in 7 recommended 10 patients 7 recommended 14 in 8 in 9 cli 10 patients 11 for 11 for 13 effects 12 its 13 effects 14 in 15 relieving 15 relieving 16 symptoms 15 relieving 17 by 17 by 18 promoting 18 promoting 20 perfusion 19 local 20 perfusion in this study , we investigated the effects of iloprost infusion on [urinary] 11 - dehydro - txb₂ and 8 - iso - pgf ( ₂α ) excretion rate , as in vivo indexes of thromboxane - dependent platelet activation and lipid peroxidation , respectively [,] [and] on platelet - derived proinflammatory scd40l and nitric oxide bioavailability in 44 patients with cli while on chronic treatment with low - dose aspirin . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 , 1 in 2 this 1 in 3 study 4 , 5 we 4 , 6 investigated 4 , 15 - 5 we 6 investigated 6 investigated 8 effects 6 investigated 12 on 7 the 8 effects 8 effects 9 of 9 of 11 infusion 10 iloprost 11 infusion 12 on 14 11 15 - 16 dehydro 15 - 17 - 15 - 23 - 17 - 18 txb₂ 17 - 19 and 17 - 22 iso 19 and 20 8 19 and 21 - 20 8 21 - 21 - 22 iso 23 - 24 pgf 23 - 30 , 24 pgf 29 rate 25 ( 29 rate 26 ₂α 27 ) 26 ₂α 29 rate 28 excretion 29 rate 29 rate 30 , 30 , 41 and 31 as 33 vivo 32 in 33 vivo 33 vivo 41 and 34 indexes 35 of 34 indexes 41 and 35 of 40 activation 36 thromboxane 37 - 36 thromboxane 38 dependent 38 dependent 40 activation 39 platelet 40 activation 41 and 43 peroxidation 41 and 48 on 41 and 51 derived 42 lipid 43 peroxidation 44 , 45 respectively 44 , 48 on 48 on 49 platelet 48 on 50 - 51 derived 54 and 51 derived 58 in 51 derived 63 while 52 proinflammatory 53 scd40l 53 scd40l 54 and 54 and 57 bioavailability 55 nitric 57 bioavailability 56 oxide 57 bioavailability 58 in 60 patients 59 44 60 patients 60 patients 61 with 61 with 62 cli 63 while 64 on 64 on 66 treatment 65 chronic 66 treatment 66 treatment 67 with 66 treatment 71 aspirin 67 with 68 low 69 - 71 aspirin 70 dose 71 aspirin 71 aspirin 72 . daily iloprost infusion for one - week significantly decreased urinary [11] - dehydro - txb₂ [ 499 ( 277 - 807 [ )(vs [.] 380 ( 189 - 560 [ )(pg/mg creatinine , p < 0.0001 []] and 8 - iso - pgf ( ₂α ) [ 533 ( 316 - 842 [ )(vs [.] 334 ( 196 - 540 [ )(pg/mg creatinine , p < 0.0001 []] as well as plasma scd40l [ 1540 ( 1005 - 3015 ) vs [.] 948 ( 845 - 2030 [ )(pg/ml , p < 0.0001 ] . 0 ###LEFT-WALL### 2 iloprost 0 ###LEFT-WALL### 6 - 1 daily 2 iloprost 2 iloprost 3 infusion 2 iloprost 4 for 4 for 5 one 6 - 13 dehydro 6 - 14 - 7 week 13 dehydro 8 significantly 9 decreased 9 decreased 13 dehydro 10 urinary 12 - 10 urinary 13 dehydro 14 - 15 txb₂ 14 - 20 - 15 txb₂ 17 499 16 [ 17 499 17 499 19 277 17 499 20 - 18 ( 19 277 19 277 20 - 20 - 21 807 20 - 28 - 21 807 23 )(vs 23 )(vs 25 380 25 380 27 189 26 ( 27 189 27 189 28 - 28 - 32 creatinine 28 - 40 - 29 560 31 )(pg/mg 31 )(pg/mg 32 creatinine 32 creatinine 35 < 33 , 35 < 34 p 35 < 35 < 38 and 36 0.0001 38 and 38 and 39 8 40 - 43 pgf 40 - 51 - 41 iso 42 - 41 iso 43 pgf 43 pgf 45 ₂α 43 pgf 48 533 44 ( 45 ₂α 45 ₂α 46 ) 47 [ 48 533 48 533 50 316 48 533 51 - 49 ( 50 316 50 316 51 - 51 - 52 842 52 842 54 )(vs 54 )(vs 56 334 56 334 58 196 56 334 66 < 57 ( 58 196 58 196 63 creatinine 58 196 64 , 59 - 63 creatinine 60 540 62 )(pg/mg 62 )(pg/mg 63 creatinine 63 creatinine 64 , 64 , 66 < 65 p 66 < 66 < 67 0.0001 67 0.0001 69 as 69 as 70 well 70 well 71 as 70 well 81 vs 71 as 73 scd40l 72 plasma 73 scd40l 73 scd40l 75 1540 74 [ 75 1540 75 1540 77 1005 75 1540 80 ) 76 ( 77 1005 77 1005 79 3015 77 1005 80 ) 78 - 79 3015 79 3015 80 ) 81 vs 83 948 83 948 86 - 84 ( 86 - 85 845 86 - 86 - 87 2030 86 - 92 < 86 - 95 . 87 2030 89 )(pg/ml 89 )(pg/ml 92 < 90 , 92 < 91 p 92 < 92 < 93 0.0001 92 < 94 ] furthermore , a significant increase in plasma nitrate plus nitrite levels has been observed [[] 26.8 ( 18.8 - 35.9 ) [vs] . 43.7 ( 33.0 - 75.5 ) μm , p < 0.0001 ] . 0 ###LEFT-WALL### 5 increase 0 ###LEFT-WALL### 14 observed 0 ###LEFT-WALL### 23 . 0 ###LEFT-WALL### 36 . 1 furthermore 2 , 1 furthermore 5 increase 3 a 5 increase 4 significant 5 increase 5 increase 6 in 5 increase 14 observed 6 in 7 plasma 7 plasma 8 nitrate 7 plasma 13 been 8 nitrate 9 plus 8 nitrate 12 has 9 plus 11 levels 10 nitrite 11 levels 12 has 13 been 14 observed 16 26.8 16 26.8 19 - 17 ( 19 - 18 18.8 19 - 19 - 20 35.9 19 - 21 ) 23 . 24 43.7 23 . 30 μm 24 43.7 27 - 24 43.7 30 μm 25 ( 27 - 26 33.0 27 - 27 - 28 75.5 27 - 29 ) 30 μm 33 < 31 , 33 < 32 p 33 < 33 < 34 0.0001 33 < 35 ] a significant direct correlation was also found between [urinary] 8 - iso - pgf ( ₂α ) and 11 - dehydro - txb2 before and after iloprost treatment [(] rho = 0.695 , p < 0.0001 ) . 0 ###LEFT-WALL### 4 correlation 0 ###LEFT-WALL### 7 found 0 ###LEFT-WALL### 11 - 0 ###LEFT-WALL### 38 . 1 a 4 correlation 2 significant 4 correlation 3 direct 4 correlation 4 correlation 5 was 5 was 7 found 6 also 7 found 7 found 8 between 8 between 10 8 11 - 12 iso 11 - 13 - 11 - 31 = 13 - 14 pgf 13 - 18 and 14 pgf 16 ₂α 15 ( 16 ₂α 16 ₂α 17 ) 18 and 19 11 18 and 20 - 19 11 20 - 20 - 23 txb2 21 dehydro 22 - 21 dehydro 23 txb2 23 txb2 25 and 23 txb2 31 = 24 before 25 and 25 and 26 after 26 after 30 rho 27 iloprost 28 treatment 28 treatment 30 rho 31 = 35 < 32 0.695 35 < 33 , 35 < 34 p 35 < 35 < 36 0.0001 35 < 37 ) in conclusion , we report that a short - term course of iloprost is able to significantly reduce residual thromboxane biosynthesis , oxidative stress , endothelial dysfunction and platelet - derived inflammation in low - dose aspirin treated patients with cli . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 18 reduce 0 ###LEFT-WALL### 42 . 1 in 2 conclusion 3 , 4 we 3 , 5 report 4 we 5 report 5 report 6 that 6 that 11 course 6 that 14 is 7 a 11 course 8 short 9 - 8 short 10 term 10 term 11 course 11 course 12 of 11 course 14 is 12 of 13 iloprost 14 is 15 able 15 able 16 to 16 to 18 reduce 17 significantly 18 reduce 18 reduce 28 and 18 reduce 33 in 18 reduce 40 with 19 residual 20 thromboxane 20 thromboxane 21 biosynthesis 21 biosynthesis 22 , 22 , 24 stress 22 , 25 , 23 oxidative 24 stress 25 , 27 dysfunction 25 , 28 and 26 endothelial 27 dysfunction 28 and 32 inflammation 29 platelet 30 - 29 platelet 32 inflammation 31 derived 32 inflammation 33 in 39 patients 34 low 35 - 34 low 39 patients 36 dose 38 treated 37 aspirin 38 treated 38 treated 39 patients 40 with 41 cli purpose : age as poor prognostic factor following nerve repair may be due to change in intraneural anatomy with age . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 2 : 10 repair 2 : 15 change 2 : 21 . 3 age 10 repair 4 as 5 poor 5 poor 7 factor 6 prognostic 7 factor 7 factor 10 repair 8 following 10 repair 9 nerve 10 repair 10 repair 11 may 11 may 12 be 12 be 13 due 13 due 14 to 13 due 15 change 14 to 15 change 15 change 16 in 16 in 18 anatomy 17 intraneural 18 anatomy 18 anatomy 19 with 19 with 20 age the purpose of this study is to find out the cross sectional microanatomy of the superficial branch of radial nerve ( sbrn ) at distal part [of] forearm for changes in the fascicular , [non] [-] fascicular components with respect to age and also to find cross section area of sbrn in healthy volunteers [.] 1 the 2 purpose 2 purpose 3 of 2 purpose 6 is 3 of 5 study 4 this 5 study 6 is 7 to 6 is 8 find 7 to 8 find 8 find 9 out 8 find 13 microanatomy 10 the 13 microanatomy 11 cross 13 microanatomy 12 sectional 13 microanatomy 13 microanatomy 14 of 13 microanatomy 24 at 14 of 17 branch 15 the 17 branch 16 superficial 17 branch 17 branch 18 of 17 branch 22 sbrn 18 of 20 nerve 19 radial 20 nerve 21 ( 22 sbrn 22 sbrn 23 ) 24 at 28 forearm 25 distal 28 forearm 26 part 28 forearm 28 forearm 29 for 28 forearm 31 in 29 for 30 changes 31 in 38 components 32 the 38 components 33 fascicular 34 , 33 fascicular 38 components 37 fascicular 38 components 38 components 39 with 38 components 41 to 38 components 48 section 39 with 40 respect 41 to 43 and 42 age 43 and 43 and 45 to 43 and 48 section 44 also 45 to 45 to 46 find 46 find 47 cross 48 section 49 area 49 area 50 of 50 of 51 sbrn 51 sbrn 52 in 52 in 54 volunteers 53 healthy 54 volunteers material and methods : sixty fresh human ( 37 - 88 [-] year - old ) cadaveric sbrn were collected from the distal part [of] forearm and studied at different magnifications after histological processing for morphometric analysis - total cross - sectional ( asc ) , fascicular ( af ) [and] [non] - fascicular area ( anonf ) . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 59 . 1 material 2 and 2 and 3 methods 4 : 18 sbrn 4 : 27 and 4 : 38 - 4 : 41 - 5 sixty 18 sbrn 6 fresh 18 sbrn 7 human 13 year 7 human 18 sbrn 8 ( 13 year 9 37 10 - 10 - 11 88 10 - 13 year 13 year 14 - 15 old 16 ) 15 old 18 sbrn 17 cadaveric 18 sbrn 18 sbrn 27 and 19 were 20 collected 19 were 27 and 20 collected 21 from 21 from 26 forearm 22 the 26 forearm 23 distal 24 part 24 part 26 forearm 27 and 28 studied 27 and 29 at 27 and 32 after 27 and 35 for 29 at 31 magnifications 30 different 31 magnifications 32 after 34 processing 33 histological 34 processing 35 for 37 analysis 36 morphometric 37 analysis 38 - 40 cross 39 total 40 cross 41 - 55 area 42 sectional 44 asc 42 sectional 46 , 42 sectional 55 area 43 ( 44 asc 44 asc 45 ) 47 fascicular 49 af 47 fascicular 53 - 47 fascicular 55 area 48 ( 49 af 49 af 50 ) 54 fascicular 55 area 55 area 57 anonf 56 ( 57 anonf 57 anonf 58 ) fifteen volunteers sbrn cross sectional area was measured by ultrasonography ( us ) . 0 ###LEFT-WALL### 6 area 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 14 . 1 fifteen 2 volunteers 2 volunteers 6 area 3 sbrn 6 area 4 cross 6 area 5 sectional 6 area 6 area 7 was 7 was 8 measured 8 measured 9 by 9 by 10 ultrasonography 10 ultrasonography 12 us 11 ( 12 us 12 us 13 ) results : the sbrn was found to have 6 - 12 fascicles . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 sbrn 2 : 8 have 2 : 13 . 3 the 4 sbrn 4 sbrn 5 was 5 was 6 found 6 found 7 to 7 to 8 have 8 have 12 fascicles 9 6 10 - 10 - 11 12 10 - 12 fascicles morphometric and correlation analysis confirmed that there was a significant increase of total cross section area , with significant increase [of] interfascicular adipose tissue in relation to advancing age . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 30 . 1 morphometric 2 and 2 and 4 analysis 2 and 5 confirmed 2 and 6 that 2 and 8 was 3 correlation 4 analysis 6 that 7 there 6 that 8 was 8 was 11 increase 9 a 10 significant 9 a 11 increase 10 significant 11 increase 11 increase 12 of 12 of 16 area 13 total 14 cross 14 cross 15 section 15 section 16 area 17 , 29 age 18 with 24 tissue 18 with 29 age 19 significant 20 increase 20 increase 24 tissue 22 interfascicular 23 adipose 23 adipose 24 tissue 24 tissue 25 in 24 tissue 27 to 25 in 26 relation 27 to 28 advancing ultrasonographic cross - sectional area ranged from 2 to 3.3 mm² . 0 ###LEFT-WALL### 2 cross 0 ###LEFT-WALL### 3 - 1 ultrasonographic 2 cross 3 - 5 area 3 - 6 ranged 3 - 12 . 4 sectional 5 area 5 area 6 ranged 6 ranged 7 from 7 from 11 mm² 8 2 9 to 9 to 10 3.3 9 to 11 mm² conclusions : our study revealed comparatively more adipose tissue in human sbrn with advancing age . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 revealed 2 : 16 . 3 our 4 study 4 study 5 revealed 5 revealed 6 comparatively 5 revealed 9 tissue 5 revealed 10 in 5 revealed 13 with 7 more 9 tissue 8 adipose 9 tissue 10 in 12 sbrn 11 human 12 sbrn 13 with 14 advancing 14 advancing 15 age these findings may help to explain poor prognosis [with] advancing age following repair . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 4 help 0 ###LEFT-WALL### 14 . 1 these 2 findings 2 findings 3 may 3 may 4 help 4 help 5 to 4 help 6 explain 5 to 6 explain 6 explain 11 age 7 poor 8 prognosis 8 prognosis 10 advancing 10 advancing 11 age 11 age 12 following 12 following 13 repair sbrn ultrasonographical asc was comparable to histological asc . 0 ###LEFT-WALL### 3 asc 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 9 . 1 sbrn 3 asc 2 ultrasonographical 3 asc 3 asc 4 was 4 was 5 comparable 5 comparable 6 to 6 to 8 asc 7 histological 8 asc further , it is possible to find asc of sbrn by [non] [-] invasive us study and calculate the fascicular and [non] [-] fascicular area using our histological findings . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 18 calculate 0 ###LEFT-WALL### 30 . 1 further 2 , 1 further 3 it 3 it 4 is 4 is 5 possible 5 possible 6 to 5 possible 18 calculate 6 to 17 and 7 find 16 study 7 find 17 and 8 asc 9 of 8 asc 16 study 9 of 10 sbrn 10 sbrn 11 by 11 by 15 us 14 invasive 15 us 17 and 18 calculate 18 calculate 25 area 19 the 25 area 20 fascicular 21 and 21 and 24 fascicular 21 and 25 area 25 area 26 using 26 using 29 findings 27 our 29 findings 28 histological 29 findings objective : to evaluate for the first time the efficacy of safe - sourced phosphatidylserine - containing omega - 3 long chain polyunsaturated fatty acid ( ps - omega - 3 ) in improving memory abilities . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 19 - 1 objective 2 : 2 : 3 to 2 : 4 evaluate 3 to 4 evaluate 4 evaluate 5 for 4 evaluate 10 efficacy 4 evaluate 17 containing 5 for 8 time 6 the 7 first 6 the 8 time 9 the 10 efficacy 10 efficacy 11 of 11 of 15 phosphatidylserine 12 safe 13 - 12 safe 15 phosphatidylserine 14 sourced 15 phosphatidylserine 16 - 17 containing 17 containing 18 omega 17 containing 19 - 19 - 20 3 19 - 22 chain 19 - 37 . 20 3 22 chain 21 long 22 chain 22 chain 25 acid 22 chain 33 in 23 polyunsaturated 25 acid 24 fatty 25 acid 25 acid 27 ps 25 acid 29 omega 26 ( 27 ps 27 ps 28 - 28 - 29 omega 29 omega 31 3 29 omega 32 ) 30 - 31 3 31 3 32 ) 33 in 34 improving 34 improving 36 abilities 35 memory 36 abilities methods : ps - omega [-] 3 was administered daily for 6 weeks to eight elderly volunteers with subjective memory complaints . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 22 . 1 methods 2 : 2 : 3 ps 4 - 5 omega 4 - 9 administered 5 omega 7 3 5 omega 8 was 8 was 9 administered 9 administered 10 daily 10 daily 11 for 10 daily 14 to 11 for 13 weeks 12 6 13 weeks 14 to 17 volunteers 15 eight 17 volunteers 16 elderly 17 volunteers 17 volunteers 18 with 18 with 21 complaints 19 subjective 20 memory 20 memory 21 complaints the cognitive drug research test battery was used to assess the effect on their cognitive abilities . 0 ###LEFT-WALL### 6 battery 0 ###LEFT-WALL### 8 used 0 ###LEFT-WALL### 17 . 1 the 6 battery 2 cognitive 3 drug 3 drug 4 research 4 research 6 battery 5 test 6 battery 6 battery 7 was 7 was 8 used 8 used 9 to 8 used 10 assess 9 to 10 assess 10 assess 12 effect 10 assess 13 on 11 the 12 effect 13 on 16 abilities 14 their 16 abilities 15 cognitive 16 abilities results : ps - omega - 3 supplementation resulted in 42 % increase in the ability to recall words in the delayed condition . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 18 recall 0 ###LEFT-WALL### 24 . 1 results 2 : 2 : 3 ps 4 - 5 omega 4 - 6 - 4 - 13 increase 6 - 7 3 7 3 8 supplementation 7 3 10 in 8 supplementation 9 resulted 9 resulted 10 in 11 42 12 % 12 % 13 increase 13 increase 14 in 13 increase 17 to 14 in 16 ability 15 the 16 ability 17 to 18 recall 18 recall 19 words 18 recall 20 in 20 in 23 condition 21 the 23 condition 22 delayed 23 condition conclusion : ps - omega - 3 may have a favorable effect on memory in subjects with subjective memory complaints . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 21 . 1 conclusion 2 : 2 : 3 ps 3 ps 5 omega 4 - 5 omega 5 omega 6 - 6 - 7 3 6 - 9 have 7 3 8 may 8 may 9 have 9 have 12 effect 9 have 13 on 9 have 15 in 10 a 11 favorable 10 a 12 effect 11 favorable 12 effect 13 on 14 memory 15 in 16 subjects 16 subjects 17 with 17 with 20 complaints 18 subjective 19 memory 19 memory 20 complaints ps - omega - 3 may serve as a safe alternative [to] phosphatidylserine extracted [from] bovine cortex . 0 ###LEFT-WALL### 1 ps 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 7 serve 0 ###LEFT-WALL### 18 . 2 - 3 omega 3 omega 5 3 3 omega 7 serve 4 - 5 3 5 3 6 may 6 may 7 serve 7 serve 8 as 8 as 17 cortex 9 a 10 safe 9 a 17 cortex 10 safe 11 alternative 11 alternative 14 extracted 13 phosphatidylserine 14 extracted 14 extracted 17 cortex 16 bovine 17 cortex dementia has become a common diagnosis in aging populations , and the numbers will increase in the forthcoming years . 0 ###LEFT-WALL### 1 dementia 0 ###LEFT-WALL### 3 become 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 20 . 1 dementia 2 has 2 has 3 become 3 become 6 diagnosis 3 become 7 in 4 a 5 common 4 a 6 diagnosis 5 common 6 diagnosis 7 in 8 aging 8 aging 9 populations 10 , 11 and 11 and 13 numbers 11 and 15 increase 12 the 13 numbers 13 numbers 14 will 14 will 15 increase 15 increase 16 in 16 in 19 years 17 the 19 years 18 forthcoming 19 years alzheimer 's disease ( ad ) is the most common form of dementia in the elderly , accounting for 50 % - 56 % of cases [at] autopsy and in clinical series . 0 ###LEFT-WALL### 3 disease 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 33 . 1 alzheimer 2 's 2 's 3 disease 3 disease 5 ad 3 disease 7 is 4 ( 5 ad 5 ad 6 ) 7 is 11 form 8 the 9 most 9 most 11 form 10 common 11 form 11 form 12 of 12 of 13 dementia 13 dementia 29 and 14 in 18 accounting 14 in 29 and 15 the 18 accounting 16 elderly 17 , 16 elderly 18 accounting 18 accounting 19 for 18 accounting 24 % 18 accounting 28 autopsy 19 for 21 % 20 50 21 % 22 - 23 56 23 56 24 % 24 % 25 of 24 % 28 autopsy 25 of 26 cases 29 and 30 in 30 in 32 series 31 clinical 32 series nowadays , the number of people affected by ad is rapidly increasing , and more than 35 million people worldwide have ad , a condition characterized by deterioration of memory and other cognitive domains , and leading to death 3 - 9 years after diagnosis . 0 ###LEFT-WALL### 4 number 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 46 . 1 nowadays 2 , 1 nowadays 4 number 3 the 4 number 4 number 5 of 4 number 7 affected 4 number 10 is 5 of 6 people 7 affected 8 by 8 by 9 ad 10 is 12 increasing 11 rapidly 12 increasing 13 , 14 and 14 and 19 people 14 and 21 have 15 more 16 than 16 than 18 million 17 35 18 million 18 million 19 people 19 people 21 have 20 worldwide 21 have 21 have 36 and 21 have 38 to 21 have 44 after 22 ad 23 , 23 , 25 condition 23 , 36 and 24 a 25 condition 25 condition 26 characterized 26 characterized 27 by 27 by 31 and 28 deterioration 29 of 28 deterioration 31 and 29 of 30 memory 31 and 34 domains 31 and 35 , 32 other 34 domains 33 cognitive 34 domains 36 and 37 leading 38 to 39 death 39 death 40 3 41 - 42 9 42 9 43 years 43 years 44 after 44 after 45 diagnosis the number of patients with ad , the most common cause of disability in the elderly , is set to rise dramatically . 0 ###LEFT-WALL### 2 number 0 ###LEFT-WALL### 19 set 0 ###LEFT-WALL### 23 . 1 the 2 number 2 number 3 of 2 number 18 is 3 of 4 patients 4 patients 5 with 5 with 6 ad 6 ad 11 cause 7 , 11 cause 8 the 11 cause 9 most 10 common 10 common 11 cause 11 cause 12 of 11 cause 17 , 12 of 13 disability 13 disability 14 in 14 in 16 elderly 15 the 16 elderly 18 is 19 set 19 set 20 to 19 set 22 dramatically 20 to 21 rise therefore , it is important for clinicians to recognize early signs and symptoms of dementia and to note potentially modifiable risk factors and early disease markers . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 27 . 1 therefore 2 , 1 therefore 3 it 3 it 4 is 4 is 5 important 5 important 6 for 5 important 8 to 5 important 16 and 6 for 7 clinicians 8 to 16 and 9 recognize 12 and 9 recognize 16 and 10 early 11 signs 11 signs 12 and 12 and 13 symptoms 12 and 14 of 14 of 15 dementia 16 and 17 to 16 and 18 note 17 to 18 note 18 note 23 and 19 potentially 20 modifiable 20 modifiable 22 factors 21 risk 22 factors 22 factors 23 and 23 and 26 markers 24 early 26 markers 25 disease 26 markers background : the shift in age structure is having a profound impact , suggesting that the aged should be consulted as reporters on the quality of their own lives . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 shift 2 : 8 is 2 : 13 , 2 : 30 . 3 the 4 shift 4 shift 5 in 4 shift 8 is 5 in 7 structure 6 age 7 structure 8 is 9 having 9 having 12 impact 10 a 11 profound 10 a 12 impact 11 profound 12 impact 13 , 14 suggesting 13 , 20 consulted 14 suggesting 15 that 14 suggesting 20 consulted 15 that 17 aged 15 that 19 be 16 the 17 aged 17 aged 18 should 18 should 19 be 20 consulted 21 as 20 consulted 23 on 21 as 22 reporters 23 on 25 quality 24 the 25 quality 25 quality 26 of 26 of 29 lives 27 their 28 own 27 their 29 lives objectives : the aim of this research was to establish the possible impact of traditional chinese medicine ( tcm ) [techniques] on the quality of life ( qol ) of the elderly . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 4 aim 2 : 8 was 3 the 4 aim 4 aim 5 of 4 aim 8 was 5 of 7 research 6 this 7 research 8 was 9 to 9 to 10 establish 10 establish 13 impact 10 establish 22 on 11 the 13 impact 12 possible 13 impact 13 impact 14 of 13 impact 19 tcm 14 of 17 medicine 15 traditional 16 chinese 16 chinese 17 medicine 18 ( 19 tcm 19 tcm 20 ) 22 on 24 quality 23 the 24 quality 24 quality 25 of 24 quality 30 of 25 of 26 life 26 life 28 qol 27 ( 28 qol 28 qol 29 ) 30 of 32 elderly 31 the 32 elderly sample : two [non] - selected , volunteer groups of rio de janeiro municipality inhabitants : a control group ( 36 individuals ) , not using tcm , and an experimental group ( 28 individuals ) , using tcm at abaco/sohaku - in institute , brazil . 0 ###LEFT-WALL### 1 sample 0 ###LEFT-WALL### 2 : 2 : 3 two 2 : 8 volunteer 2 : 16 : 2 : 47 . 3 two 6 selected 3 two 8 volunteer 5 - 6 selected 6 selected 7 , 8 volunteer 9 groups 9 groups 10 of 10 of 15 inhabitants 11 rio 12 de 12 de 13 janeiro 13 janeiro 15 inhabitants 14 municipality 15 inhabitants 16 : 19 group 16 : 45 , 17 a 18 control 17 a 19 group 18 control 19 group 19 group 22 individuals 19 group 26 using 20 ( 22 individuals 21 36 22 individuals 22 individuals 23 ) 24 , 25 not 24 , 26 using 26 using 29 and 26 using 38 using 26 using 45 , 27 tcm 29 and 28 , 29 and 29 and 32 group 29 and 35 individuals 30 an 31 experimental 30 an 32 group 31 experimental 32 group 33 ( 35 individuals 34 28 35 individuals 35 individuals 36 ) 37 , 38 using 38 using 39 tcm 38 using 40 at 38 using 43 in 38 using 45 , 40 at 41 abaco/sohaku 42 - 43 in 43 in 44 institute 43 in 45 , 45 , 46 brazil the shapiro [-] wilk test checked the normality of the distribution . 0 ###LEFT-WALL### 5 test 0 ###LEFT-WALL### 6 checked 0 ###LEFT-WALL### 12 . 1 the 5 test 2 shapiro 4 wilk 4 wilk 5 test 5 test 6 checked 6 checked 8 normality 7 the 8 normality 8 normality 9 of 9 of 11 distribution 10 the 11 distribution furthermore , [based] on its normality distribution for the intergroup comparison [,] the student [t] test was applied to facets 2 , 4 , 5 , 6 , [and] total [score] , and the mann - whitney [u] rank test to facets 1 and 3 , both tests aiming to analyze the [p] value between experimental and control groups . 1 furthermore 2 , 1 furthermore 11 comparison 4 on 7 distribution 4 on 11 comparison 5 its 7 distribution 6 normality 7 distribution 7 distribution 8 for 8 for 10 intergroup 9 the 10 intergroup 11 comparison 16 test 11 comparison 17 was 11 comparison 18 applied 13 the 16 test 14 student 16 test 16 test 17 was 18 applied 19 to 18 applied 25 5 19 to 20 facets 20 facets 21 2 20 facets 23 4 22 , 23 4 23 4 24 , 25 5 27 6 25 5 36 - 26 , 27 6 27 6 28 , 28 , 36 - 30 total 33 and 32 , 33 and 33 and 35 mann 33 and 36 - 34 the 35 mann 36 - 40 test 37 whitney 40 test 39 rank 40 test 40 test 41 to 40 test 48 tests 41 to 42 facets 42 facets 44 and 43 1 44 and 44 and 45 3 46 , 48 tests 47 both 48 tests 48 tests 49 aiming 48 tests 55 between 48 tests 60 . 49 aiming 50 to 49 aiming 51 analyze 50 to 51 analyze 51 analyze 54 value 52 the 54 value 55 between 57 and 56 experimental 57 and 57 and 59 groups 58 control 59 groups the significance level utilized was 95 % ( p < 0.05 ) . 0 ###LEFT-WALL### 3 level 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 13 . 1 the 3 level 2 significance 3 level 3 level 4 utilized 3 level 5 was 5 was 7 % 6 95 7 % 7 % 10 < 8 ( 10 < 9 p 10 < 10 < 11 0.05 10 < 12 ) results : the experimental group reported the highest qol for every facet and the total score . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 score 0 ###LEFT-WALL### 17 . 2 : 5 group 2 : 6 reported 3 the 5 group 4 experimental 5 group 5 group 6 reported 6 reported 8 highest 7 the 8 highest 8 highest 13 and 8 highest 16 score 9 qol 10 for 9 qol 13 and 10 for 12 facet 11 every 12 facet 13 and 15 total 13 and 16 score 14 the 15 total conclusions : the results suggest that tcm raises the level of qol . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 results 2 : 5 suggest 2 : 13 . 3 the 4 results 4 results 5 suggest 5 suggest 6 that 6 that 7 tcm 6 that 8 raises 7 tcm 8 raises 8 raises 10 level 9 the 10 level 10 level 11 of 11 of 12 qol dementia with lewy bodies ( dlb ) and parkinson 's disease ( pd ) are neurodegenerative disorders of the aging population characterized by the abnormal accumulation of alpha - synuclein ( alpha - syn ) . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 15 are 0 ###LEFT-WALL### 36 . 1 dementia 2 with 1 dementia 8 and 2 with 4 bodies 3 lewy 4 bodies 4 bodies 6 dlb 5 ( 6 dlb 6 dlb 7 ) 8 and 11 disease 8 and 13 pd 8 and 15 are 9 parkinson 10 's 10 's 11 disease 12 ( 13 pd 13 pd 14 ) 15 are 17 disorders 15 are 23 by 16 neurodegenerative 17 disorders 17 disorders 18 of 18 of 21 population 19 the 21 population 20 aging 21 population 21 population 22 characterized 23 by 26 accumulation 24 the 26 accumulation 25 abnormal 26 accumulation 26 accumulation 27 of 27 of 28 alpha 28 alpha 30 synuclein 28 alpha 34 syn 29 - 30 synuclein 30 synuclein 32 alpha 30 synuclein 33 - 31 ( 32 alpha 32 alpha 33 - 33 - 34 syn 34 syn 35 ) previous studies have suggested that excitotoxicity may contribute to neurodegeneration in these disorders , however the underlying mechanisms and their relationship to alpha - syn remain unclear . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 suggested 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 28 . 1 previous 2 studies 2 studies 3 have 3 have 4 suggested 4 suggested 5 that 5 that 6 excitotoxicity 5 that 8 contribute 6 excitotoxicity 7 may 7 may 8 contribute 8 contribute 9 to 8 contribute 11 in 9 to 10 neurodegeneration 11 in 13 disorders 12 these 13 disorders 14 , 26 remain 15 however 19 and 15 however 25 syn 15 however 26 remain 16 the 18 mechanisms 17 underlying 18 mechanisms 18 mechanisms 19 and 19 and 21 relationship 19 and 24 - 19 and 25 syn 20 their 21 relationship 21 relationship 22 to 22 to 23 alpha 26 remain 27 unclear for this study we proposed that accumulation of alpha - syn might result in alterations in metabotropic glutamate receptors ( mglur ) , particularly mglur5 which has been linked to deficits in murine models of pd . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 proposed 0 ###LEFT-WALL### 10 - 1 for 3 study 1 for 4 we 2 this 3 study 4 we 5 proposed 5 proposed 7 accumulation 6 that 7 accumulation 7 accumulation 8 of 8 of 9 alpha 10 - 11 syn 10 - 13 result 11 syn 12 might 12 might 13 result 13 result 14 in 13 result 16 in 14 in 15 alterations 16 in 19 receptors 17 metabotropic 19 receptors 18 glutamate 19 receptors 19 receptors 21 mglur 19 receptors 25 mglur5 20 ( 21 mglur 21 mglur 22 ) 23 , 24 particularly 23 , 25 mglur5 25 mglur5 26 which 25 mglur5 27 has 25 mglur5 37 . 26 which 27 has 27 has 28 been 28 been 29 linked 29 linked 30 to 29 linked 32 in 30 to 31 deficits 32 in 34 models 33 murine 34 models 34 models 35 of 35 of 36 pd in this context , levels of mglur5 were analyzed in the brains of pd and dlb human cases and alpha - syn transgenic ( tg ) mice and compared to age - matched , unimpaired controls , we report a 40 % increase in the levels of mglur5 and beta - arrestin immunoreactivity in the frontal cortex , hippocampus and putamen in dlb cases and in the putamen in pd cases . 0 ###LEFT-WALL### 5 levels 0 ###LEFT-WALL### 9 analyzed 0 ###LEFT-WALL### 21 - 1 in 3 context 1 in 4 , 1 in 5 levels 2 this 3 context 5 levels 6 of 5 levels 8 were 6 of 7 mglur5 8 were 9 analyzed 9 analyzed 10 in 10 in 12 brains 11 the 12 brains 12 brains 13 of 13 of 19 and 14 pd 15 and 15 and 18 cases 15 and 19 and 16 dlb 17 human 17 human 18 cases 19 and 20 alpha 19 and 21 - 21 - 27 mice 21 - 28 and 22 syn 27 mice 23 transgenic 25 tg 23 transgenic 26 ) 23 transgenic 27 mice 24 ( 25 tg 25 tg 26 ) 28 and 38 we 28 and 39 report 29 compared 30 to 29 compared 37 , 29 compared 38 we 30 to 31 age 31 age 33 matched 31 age 36 controls 32 - 33 matched 33 matched 34 , 34 , 36 controls 35 unimpaired 36 controls 36 controls 37 , 38 we 39 report 39 report 43 increase 40 a 43 increase 41 40 42 % 42 % 43 increase 43 increase 44 in 43 increase 47 of 43 increase 53 immunoreactivity 44 in 46 levels 45 the 46 levels 47 of 49 and 48 mglur5 49 and 49 and 50 beta 51 - 53 immunoreactivity 52 arrestin 53 immunoreactivity 53 immunoreactivity 54 in 53 immunoreactivity 60 and 53 immunoreactivity 72 . 54 in 57 cortex 55 the 57 cortex 56 frontal 57 cortex 58 , 60 and 59 hippocampus 60 and 60 and 61 putamen 60 and 72 . 61 putamen 65 and 62 in 64 cases 62 in 65 and 63 dlb 64 cases 65 and 66 in 66 in 68 putamen 67 the 68 putamen 68 putamen 69 in 69 in 71 cases 70 pd 71 cases in the hippocampus , mglur5 was more abundant in the ca3 region and co - localized with alpha - syn aggregates . 0 ###LEFT-WALL### 5 mglur5 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 22 . 1 in 3 hippocampus 1 in 4 , 1 in 5 mglur5 2 the 3 hippocampus 5 mglur5 6 was 6 was 21 aggregates 7 more 21 aggregates 8 abundant 9 in 8 abundant 13 and 9 in 12 region 10 the 12 region 11 ca3 12 region 13 and 14 co 13 and 21 aggregates 14 co 16 localized 15 - 16 localized 16 localized 17 with 16 localized 19 - 17 with 18 alpha 20 syn 21 aggregates similarly , in the hippocampus and basal ganglia of alpha - syn tg mice , levels of mglur5 were increased [and] mglur5 and alpha - syn were co - localized and co - immunoprecipitated , suggesting that alpha [-] syn interferes with mglur5 trafficking . 1 similarly 2 , 1 similarly 8 ganglia 3 in 6 and 3 in 8 ganglia 4 the 5 hippocampus 5 hippocampus 6 and 6 and 7 basal 8 ganglia 9 of 8 ganglia 16 levels 8 ganglia 19 were 8 ganglia 20 increased 9 of 10 alpha 10 alpha 14 mice 11 - 14 mice 12 syn 14 mice 13 tg 14 mice 14 mice 15 , 16 levels 17 of 16 levels 19 were 17 of 18 mglur5 20 increased 23 and 20 increased 31 and 22 mglur5 23 and 23 and 24 alpha 23 and 25 - 23 and 26 syn 23 and 27 were 26 syn 27 were 28 co 30 localized 28 co 31 and 29 - 30 localized 31 and 32 co 32 co 34 immunoprecipitated 32 co 36 suggesting 33 - 34 immunoprecipitated 34 immunoprecipitated 35 , 35 , 36 suggesting 36 suggesting 40 syn 36 suggesting 41 interferes 36 suggesting 45 . 37 that 40 syn 38 alpha 40 syn 40 syn 41 interferes 41 interferes 42 with 42 with 44 trafficking 43 mglur5 44 trafficking the increased levels of mglur5 were accompanied by a concomitant increase in the activation of downstream signaling components including erk , elk [-] 1 and creb . 0 ###LEFT-WALL### 3 levels 0 ###LEFT-WALL### 7 accompanied 0 ###LEFT-WALL### 27 . 1 the 3 levels 2 increased 3 levels 3 levels 4 of 3 levels 6 were 4 of 5 mglur5 6 were 7 accompanied 7 accompanied 8 by 7 accompanied 12 in 8 by 11 increase 9 a 11 increase 10 concomitant 11 increase 12 in 25 and 13 the 14 activation 14 activation 15 of 14 activation 17 signaling 14 activation 21 , 15 of 16 downstream 17 signaling 18 components 18 components 19 including 19 including 20 erk 21 , 22 elk 21 , 25 and 22 elk 24 1 25 and 26 creb consistent with the increased accumulation of alpha - syn and alterations in mglur5 in cognitive - and motor - associated brain regions , these mice displayed impaired performance in the water maze and pole test , these behavioral alterations were reversed with the mglur5 antagonist , mpep . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 27 impaired 0 ###LEFT-WALL### 36 , 0 ###LEFT-WALL### 48 . 1 consistent 2 with 1 consistent 8 - 1 consistent 10 and 2 with 5 accumulation 3 the 5 accumulation 4 increased 5 accumulation 5 accumulation 6 of 6 of 7 alpha 9 syn 10 and 10 and 11 alterations 10 and 12 in 10 and 27 impaired 12 in 13 mglur5 13 mglur5 14 in 13 mglur5 25 mice 13 mglur5 26 displayed 14 in 17 and 15 cognitive 17 and 16 - 17 and 17 and 18 motor 17 and 22 regions 19 - 22 regions 20 associated 22 regions 21 brain 22 regions 22 regions 23 , 24 these 25 mice 25 mice 26 displayed 27 impaired 28 performance 27 impaired 29 in 29 in 33 and 30 the 32 maze 31 water 32 maze 32 maze 33 and 33 and 35 test 34 pole 35 test 36 , 39 alterations 36 , 41 reversed 36 , 46 , 37 these 39 alterations 38 behavioral 39 alterations 39 alterations 40 were 40 were 41 reversed 41 reversed 42 with 42 with 45 antagonist 43 the 45 antagonist 44 mglur5 45 antagonist 46 , 47 mpep [taken] together the results from study suggest that mglur5 may directly interact with alpha - syn resulting in its [over] activation and that this [over] activation may contribute to excitotoxic cell death in select neuronal regions . 0 ###LEFT-WALL### 4 results 0 ###LEFT-WALL### 7 suggest 0 ###LEFT-WALL### 15 - 0 ###LEFT-WALL### 28 contribute 0 ###LEFT-WALL### 37 . 2 together 4 results 3 the 4 results 4 results 5 from 4 results 7 suggest 5 from 6 study 7 suggest 8 that 8 that 9 mglur5 8 that 12 interact 9 mglur5 10 may 10 may 12 interact 11 directly 12 interact 12 interact 13 with 13 with 14 alpha 15 - 22 and 16 syn 17 resulting 16 syn 22 and 17 resulting 18 in 18 in 21 activation 19 its 21 activation 22 and 23 that 22 and 26 activation 22 and 28 contribute 24 this 26 activation 26 activation 27 may 27 may 28 contribute 28 contribute 29 to 28 contribute 33 in 29 to 32 death 30 excitotoxic 31 cell 31 cell 32 death 33 in 36 regions 34 select 36 regions 35 neuronal 36 regions these results highlight the therapeutic importance of mglur5 antagonists in alpha - synucleinopathies . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 highlight 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 14 . 1 these 2 results 2 results 3 highlight 3 highlight 6 importance 3 highlight 10 in 4 the 6 importance 5 therapeutic 6 importance 6 importance 7 of 7 of 9 antagonists 8 mglur5 9 antagonists 10 in 11 alpha 12 - 13 synucleinopathies the family of protein deacetylases represented by yeast sir2 has been the focus of intense investigation because of the longevity activity of sir2 in yeast , worms and flies . 0 ###LEFT-WALL### 2 family 0 ###LEFT-WALL### 11 been 0 ###LEFT-WALL### 30 . 1 the 2 family 2 family 3 of 2 family 10 has 3 of 5 deacetylases 4 protein 5 deacetylases 5 deacetylases 6 represented 6 represented 7 by 7 by 9 sir2 8 yeast 9 sir2 10 has 11 been 11 been 13 focus 11 been 17 because 11 been 24 in 12 the 13 focus 13 focus 14 of 14 of 16 investigation 15 intense 16 investigation 17 because 18 of 18 of 21 activity 19 the 21 activity 20 longevity 21 activity 21 activity 22 of 22 of 23 sir2 24 in 28 and 25 yeast 26 , 26 , 27 worms 26 , 28 and 28 and 29 flies research in mammals has mainly focused on sirt1 , the closest homologue of sir2 . 0 ###LEFT-WALL### 1 research 0 ###LEFT-WALL### 6 focused 1 research 2 in 1 research 4 has 2 in 3 mammals 4 has 6 focused 5 mainly 6 focused 6 focused 7 on 7 on 8 sirt1 8 sirt1 12 homologue 9 , 12 homologue 10 the 11 closest 10 the 12 homologue 12 homologue 13 of 12 homologue 15 . 13 of 14 sir2 emerging evidence from mouse models is yielding a sharper picture , in which sirt1 is a potent protector from ageing - associated pathologies , such as diabetes , liver steatosis , cardiovascular disease , neurodegeneration and , importantly , various types of cancer . 0 ###LEFT-WALL### 2 evidence 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 44 . 1 emerging 2 evidence 2 evidence 3 from 2 evidence 6 is 3 from 5 models 4 mouse 5 models 6 is 7 yielding 7 yielding 10 picture 7 yielding 26 as 8 a 10 picture 9 sharper 10 picture 10 picture 12 in 11 , 12 in 12 in 13 which 12 in 14 sirt1 12 in 15 is 12 in 24 , 14 sirt1 15 is 15 is 18 protector 16 a 17 potent 16 a 18 protector 17 potent 18 protector 18 protector 19 from 18 protector 23 pathologies 19 from 20 ageing 21 - 23 pathologies 22 associated 23 pathologies 23 pathologies 24 , 25 such 26 as 26 as 36 and 27 diabetes 28 , 28 , 30 steatosis 28 , 31 , 29 liver 30 steatosis 31 , 33 disease 31 , 34 , 32 cardiovascular 33 disease 34 , 35 neurodegeneration 34 , 36 and 36 and 43 cancer 37 , 38 importantly 38 importantly 39 , 38 importantly 40 various 40 various 41 types 41 types 42 of 41 types 43 cancer 42 of 43 cancer to identify loci for age at menarche , we performed a meta - analysis [of] 32 genome - wide association studies in 87,802 women of european descent , with [replication] [in] up to 14,731 women . 0 ###LEFT-WALL### 9 we 0 ###LEFT-WALL### 10 performed 0 ###LEFT-WALL### 36 . 1 to 2 identify 1 to 8 , 1 to 9 we 2 identify 3 loci 2 identify 4 for 2 identify 6 at 4 for 5 age 6 at 7 menarche 9 we 10 performed 10 performed 17 genome 10 performed 29 with 11 a 17 genome 12 meta 13 - 12 meta 14 analysis 14 analysis 17 genome 16 32 17 genome 17 genome 21 studies 18 - 21 studies 19 wide 20 association 20 association 21 studies 21 studies 22 in 21 studies 28 , 22 in 24 women 23 87,802 24 women 24 women 25 of 25 of 27 descent 26 european 27 descent 29 with 35 women 32 up 33 to 33 to 34 14,731 34 14,731 35 women the new loci included four previously associated with body mass index [(] in or near fto , sec16b , tra2b and tmem18 ) , three in or near other genes implicated in energy homeostasis ( bsx , crtc1 and mchr2 ) [and] three in or near genes implicated in hormonal regulation ( inhba , pcsk2 and rxrg ) . 1 the 3 loci 2 new 3 loci 3 loci 4 included 4 included 5 four 5 four 7 associated 6 previously 7 associated 7 associated 8 with 7 associated 14 or 8 with 11 index 9 body 10 mass 10 mass 11 index 13 in 14 or 14 or 15 near 14 or 24 , 14 or 25 three 16 fto 21 and 17 , 21 and 18 sec16b 19 , 19 , 20 tra2b 19 , 21 and 21 and 22 tmem18 21 and 23 ) 21 and 24 , 25 three 27 or 26 in 27 or 27 or 28 near 27 or 37 , 27 or 39 and 29 other 30 genes 30 genes 31 implicated 30 genes 32 in 32 in 34 homeostasis 33 energy 34 homeostasis 34 homeostasis 36 bsx 35 ( 36 bsx 36 bsx 37 , 38 crtc1 39 and 39 and 40 mchr2 39 and 41 ) 39 and 43 three 39 and 48 implicated 43 three 45 or 43 three 48 implicated 44 in 45 or 45 or 46 near 45 or 47 genes 48 implicated 49 in 49 in 51 regulation 50 hormonal 51 regulation 51 regulation 53 inhba 52 ( 53 inhba 53 inhba 57 rxrg 53 inhba 59 . 54 , 57 rxrg 55 pcsk2 56 and 56 and 57 rxrg 57 rxrg 58 ) ingenuity and gene - set enrichment pathway analyses identified coenzyme a and fatty acid biosynthesis as biological processes related to menarche timing . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 19 related 0 ###LEFT-WALL### 23 . 1 ingenuity 2 and 2 and 3 gene 2 and 4 - 2 and 8 analyses 2 and 9 identified 2 and 12 and 5 set 6 enrichment 6 enrichment 8 analyses 7 pathway 8 analyses 8 analyses 9 identified 9 identified 10 coenzyme 10 coenzyme 11 a 12 and 15 biosynthesis 13 fatty 14 acid 14 acid 15 biosynthesis 16 as 17 biological 17 biological 18 processes 18 processes 19 related 19 related 20 to 20 to 22 timing 21 menarche 22 timing in many countries at risk for colorectal cancer ( crc ) , screening guidelines provide average - risk screening for patients aged between the ages of 50 and 75 years . 0 ###LEFT-WALL### 14 guidelines 0 ###LEFT-WALL### 15 provide 0 ###LEFT-WALL### 31 . 1 in 3 countries 1 in 12 , 1 in 14 guidelines 2 many 3 countries 3 countries 4 at 3 countries 6 for 4 at 5 risk 6 for 8 cancer 7 colorectal 8 cancer 8 cancer 10 crc 9 ( 10 crc 10 crc 11 ) 13 screening 14 guidelines 14 guidelines 15 provide 15 provide 18 risk 16 average 17 - 16 average 18 risk 18 risk 19 screening 19 screening 20 for 19 screening 30 years 20 for 21 patients 21 patients 22 aged 21 patients 23 between 23 between 25 ages 24 the 25 ages 25 ages 26 of 26 of 28 and 27 50 28 and 28 and 29 75 however , an earlier onset of crc , an increasing life span and an incidence of right - sided crc have [been] noted , which could require changes in age guidelines and screening methodology , especially for the elderly . 0 ###LEFT-WALL### 5 onset 0 ###LEFT-WALL### 19 sided 0 ###LEFT-WALL### 23 noted 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 40 . 1 however 2 , 1 however 5 onset 3 an 5 onset 4 earlier 5 onset 5 onset 6 of 5 onset 19 sided 6 of 7 crc 7 crc 13 and 8 , 13 and 9 an 12 span 10 increasing 12 span 11 life 12 span 12 span 13 and 13 and 15 incidence 13 and 16 of 13 and 18 - 14 an 15 incidence 16 of 17 right 20 crc 21 have 21 have 23 noted 24 , 25 which 24 , 27 require 25 which 26 could 26 could 27 require 27 require 28 changes 27 require 29 in 27 require 36 especially 29 in 32 and 30 age 31 guidelines 31 guidelines 32 and 32 and 34 methodology 32 and 35 , 33 screening 34 methodology 36 especially 37 for 37 for 39 elderly 38 the 39 elderly we examined this in our jewish populations using israel cancer registry data , 1980 - 2008 , computed by age groups , sex , ethnic groups , cancer site , and cancer stage . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 18 computed 0 ###LEFT-WALL### 34 . 1 we 2 examined 2 examined 3 this 2 examined 4 in 2 examined 8 using 4 in 7 populations 5 our 7 populations 6 jewish 7 populations 8 using 11 registry 9 israel 10 cancer 10 cancer 11 registry 11 registry 12 data 11 registry 18 computed 12 data 15 - 12 data 18 computed 13 , 15 - 14 1980 15 - 15 - 16 2008 15 - 17 , 18 computed 19 by 19 by 31 and 20 age 21 groups 21 groups 22 , 22 , 23 sex 22 , 24 , 24 , 26 groups 24 , 27 , 25 ethnic 26 groups 27 , 29 site 27 , 31 and 28 cancer 29 site 30 , 31 and 31 and 33 stage 32 cancer 33 stage in patients who were below 50 years of age , there was no significant increase [in] incidence except for men born in israel ( p=0.05 ) . 0 ###LEFT-WALL### 11 there 0 ###LEFT-WALL### 12 was 0 ###LEFT-WALL### 27 . 1 in 2 patients 1 in 10 , 1 in 11 there 2 patients 3 who 2 patients 4 were 3 who 4 were 4 were 5 below 5 below 7 years 6 50 7 years 7 years 8 of 8 of 9 age 11 there 12 was 12 was 17 incidence 13 no 17 incidence 14 significant 15 increase 15 increase 17 incidence 17 incidence 18 except 17 incidence 21 born 18 except 19 for 19 for 20 men 21 born 22 in 22 in 23 israel 23 israel 25 p=0.05 24 ( 25 p=0.05 25 p=0.05 26 ) in patients aged between 50 and 74 or more than 75 years there was an increased incidence ( p<0.001 for both ) . 0 ###LEFT-WALL### 13 there 0 ###LEFT-WALL### 14 was 0 ###LEFT-WALL### 23 . 1 in 8 or 1 in 13 there 2 patients 3 aged 2 patients 8 or 3 aged 4 between 4 between 6 and 5 50 6 and 6 and 7 74 8 or 12 years 9 more 10 than 10 than 11 75 11 75 12 years 13 there 14 was 14 was 17 incidence 15 an 17 incidence 16 increased 17 incidence 17 incidence 19 p<0.001 18 ( 19 p<0.001 19 p<0.001 20 for 19 p<0.001 22 ) 20 for 21 both however , the percentage for crc patients aged between 50 and 74 years decreased but those who were aged more than 75 years increased ( p<0.001 for both ) . 0 ###LEFT-WALL### 4 percentage 0 ###LEFT-WALL### 14 decreased 0 ###LEFT-WALL### 30 . 1 however 2 , 1 however 4 percentage 3 the 4 percentage 4 percentage 5 for 4 percentage 7 patients 4 percentage 8 aged 4 percentage 14 decreased 5 for 6 crc 7 patients 8 aged 8 aged 9 between 9 between 13 years 10 50 11 and 11 and 12 74 11 and 13 years 14 decreased 15 but 15 but 16 those 16 those 17 who 16 those 18 were 16 those 26 p<0.001 17 who 18 were 18 were 19 aged 19 aged 24 increased 20 more 21 than 21 than 22 75 22 75 23 years 23 years 24 increased 25 ( 26 p<0.001 26 p<0.001 27 for 26 p<0.001 29 ) 27 for 28 both therefore , 45.3 % of patients ( 39.1 % aged ≥ 75 years ) would not be electively screened . 0 ###LEFT-WALL### 4 % 0 ###LEFT-WALL### 19 screened 0 ###LEFT-WALL### 20 . 1 therefore 2 , 1 therefore 4 % 3 45.3 4 % 4 % 5 of 4 % 15 would 5 of 6 patients 6 patients 13 years 7 ( 13 years 8 39.1 9 % 9 % 13 years 10 aged 11 ≥ 11 ≥ 13 years 12 75 13 years 13 years 14 ) 15 would 16 not 15 would 17 be 17 be 19 screened 18 electively 19 screened in addition , there was an increased trend ( p<0.001 ) for right [-] sided ( from cecum to [and] including the splenic flexure ) crc in patients [both] 50 - 74 and more than 75 years old . 0 ###LEFT-WALL### 2 addition 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 15 sided 0 ###LEFT-WALL### 39 . 1 in 2 addition 3 , 4 there 3 , 5 was 4 there 5 was 5 was 8 trend 5 was 12 for 6 an 8 trend 7 increased 8 trend 8 trend 10 p<0.001 9 ( 10 p<0.001 10 p<0.001 11 ) 12 for 13 right 13 right 15 sided 15 sided 17 from 15 sided 33 and 15 sided 35 than 16 ( 17 from 17 from 18 cecum 17 from 25 ) 18 cecum 19 to 19 to 21 including 21 including 24 flexure 22 the 24 flexure 23 splenic 24 flexure 26 crc 27 in 26 crc 33 and 27 in 28 patients 28 patients 31 - 30 50 31 - 31 - 32 74 33 and 34 more 35 than 36 75 36 75 38 old 37 years 38 old during 1999 - 2008 , as compared with patients aged between 50 and 74 years , those below 50 years were less likely to be diagnosed with stage 1 or 2 crc and more likely have stage 3 or 4 crc ( p<0.01 for all ) , whereas those aged more than 75 years were less likely to have stage 3 crc ( p<0.01 ) . 0 ###LEFT-WALL### 17 those 0 ###LEFT-WALL### 21 were 0 ###LEFT-WALL### 30 or 0 ###LEFT-WALL### 50 aged 0 ###LEFT-WALL### 66 . 1 during 2 1999 1 during 17 those 2 1999 4 2008 2 1999 7 compared 3 - 4 2008 4 2008 5 , 5 , 7 compared 6 as 7 compared 8 with 9 patients 8 with 10 aged 8 with 16 , 8 with 17 those 10 aged 11 between 11 between 15 years 12 50 13 and 13 and 14 74 13 and 15 years 17 those 18 below 17 those 21 were 18 below 20 years 19 50 20 years 21 were 23 likely 22 less 23 likely 23 likely 24 to 24 to 25 be 25 be 26 diagnosed 26 diagnosed 27 with 27 with 28 stage 28 stage 29 1 30 or 33 and 30 or 36 have 31 2 32 crc 32 crc 33 and 33 and 35 likely 33 and 36 have 34 more 35 likely 36 have 41 crc 36 have 48 whereas 37 stage 39 or 37 stage 41 crc 38 3 39 or 39 or 40 4 41 crc 43 p<0.01 42 ( 43 p<0.01 43 p<0.01 44 for 43 p<0.01 46 ) 44 for 45 all 47 , 48 whereas 48 whereas 49 those 49 those 50 aged 50 aged 51 more 50 aged 52 than 52 than 54 years 52 than 55 were 52 than 57 likely 53 75 54 years 54 years 55 were 56 less 57 likely 57 likely 58 to 58 to 59 have 59 have 62 crc 60 stage 62 crc 61 3 62 crc 62 crc 64 p<0.01 63 ( 64 p<0.01 64 p<0.01 65 ) these results should influence crc screening age guidelines , especially for ['] healthy ['] individuals aged 75 years or more , and their need for noninvasive , but sensitive and specific pre - colonoscopy screening methodologies . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 4 influence 0 ###LEFT-WALL### 37 . 1 these 2 results 2 results 3 should 3 should 4 influence 4 influence 22 and 4 influence 25 for 5 crc 6 screening 5 crc 22 and 6 screening 8 guidelines 7 age 8 guidelines 8 guidelines 11 for 9 , 10 especially 9 , 11 for 11 for 15 individuals 11 for 21 , 13 healthy 15 individuals 15 individuals 16 aged 16 aged 19 or 17 75 18 years 18 years 19 or 19 or 20 more 22 and 24 need 23 their 24 need 25 for 36 methodologies 26 noninvasive 28 but 27 , 28 but 28 but 30 and 28 but 34 colonoscopy 29 sensitive 30 and 30 and 31 specific 32 pre 33 - 32 pre 34 colonoscopy 34 colonoscopy 36 methodologies 35 screening 36 methodologies in addition , the more advanced cancer stage in the patients aged below 50 years needs to make the treating physicians more aware of the fact that crc can occur even at this age . 0 ###LEFT-WALL### 8 stage 0 ###LEFT-WALL### 31 even 0 ###LEFT-WALL### 35 . 1 in 2 addition 1 in 3 , 1 in 8 stage 4 the 8 stage 5 more 6 advanced 6 advanced 8 stage 7 cancer 8 stage 8 stage 9 in 8 stage 16 needs 9 in 11 patients 10 the 11 patients 11 patients 12 aged 12 aged 13 below 13 below 15 years 14 50 15 years 16 needs 17 to 16 needs 18 make 17 to 18 make 18 make 21 physicians 18 make 31 even 19 the 21 physicians 20 treating 21 physicians 21 physicians 23 aware 22 more 23 aware 23 aware 24 of 24 of 26 fact 25 the 26 fact 26 fact 27 that 27 that 28 crc 27 that 30 occur 28 crc 29 can 29 can 30 occur 31 even 32 at 32 at 34 age 33 this 34 age purpose of review : there has been growing evidence that lifestyle factors may affect the health and lifespan of an individual by affecting telomere length . 0 ###LEFT-WALL### 2 of 0 ###LEFT-WALL### 7 been 0 ###LEFT-WALL### 26 . 1 purpose 2 of 2 of 3 review 2 of 4 : 2 of 6 has 3 review 4 : 4 : 5 there 6 has 7 been 7 been 9 evidence 8 growing 9 evidence 9 evidence 10 that 9 evidence 14 affect 10 that 12 factors 10 that 14 affect 11 lifestyle 12 factors 12 factors 13 may 13 may 14 affect 14 affect 17 and 14 affect 22 by 15 the 16 health 16 health 17 and 17 and 18 lifespan 17 and 19 of 19 of 21 individual 20 an 21 individual 22 by 23 affecting 23 affecting 25 length 24 telomere 25 length the purpose of this review was to highlight the importance of telomeres in human health and aging and to summarize possible lifestyle factors that may affect health and longevity by altering the rate of telomere shortening . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 26 affect 0 ###LEFT-WALL### 37 . 1 the 2 purpose 2 purpose 3 of 2 purpose 6 was 3 of 5 review 4 this 5 review 6 was 7 to 6 was 18 and 7 to 18 and 8 highlight 10 importance 8 highlight 13 in 8 highlight 18 and 9 the 10 importance 10 importance 11 of 11 of 12 telomeres 13 in 16 and 14 human 15 health 15 health 16 and 16 and 17 aging 18 and 20 summarize 19 to 20 summarize 20 summarize 23 factors 21 possible 23 factors 22 lifestyle 23 factors 23 factors 24 that 23 factors 26 affect 24 that 25 may 25 may 26 affect 26 affect 28 and 26 affect 30 by 27 health 28 and 28 and 29 longevity 30 by 31 altering 31 altering 33 rate 32 the 33 rate 33 rate 34 of 33 rate 36 shortening 34 of 35 telomere recent findings : recent studies indicate that telomere length , which can be affected by various lifestyle factors , can affect the pace of aging and onset of age - associated diseases . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 : 1 recent 2 findings 3 : 5 studies 3 : 6 indicate 4 recent 5 studies 5 studies 6 indicate 6 indicate 9 length 6 indicate 21 affect 7 that 9 length 8 telomere 9 length 9 length 11 which 9 length 20 can 10 , 11 which 11 which 12 can 11 which 19 , 12 can 13 be 13 be 14 affected 14 affected 15 by 15 by 18 factors 16 various 18 factors 17 lifestyle 18 factors 20 can 21 affect 21 affect 26 and 22 the 23 pace 23 pace 24 of 23 pace 26 and 24 of 25 aging 26 and 27 onset 26 and 28 of 28 of 29 age 29 age 32 diseases 30 - 32 diseases 31 associated 32 diseases 32 diseases 33 . summary : telomere length shortens with age . 0 ###LEFT-WALL### 1 summary 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 . 1 summary 2 : 2 : 3 telomere 3 telomere 4 length 3 telomere 5 shortens 4 length 5 shortens 5 shortens 6 with 6 with 7 age progressive shortening of telomeres leads to senescence , apoptosis , or oncogenic transformation of somatic cells , affecting the health and lifespan of an individual . 0 ###LEFT-WALL### 2 shortening 0 ###LEFT-WALL### 5 leads 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 26 . 1 progressive 2 shortening 2 shortening 3 of 2 shortening 5 leads 3 of 4 telomeres 5 leads 6 to 6 to 7 senescence 8 , 21 and 9 apoptosis 11 or 10 , 11 or 11 or 13 transformation 11 or 17 , 11 or 18 affecting 11 or 21 and 12 oncogenic 13 transformation 13 transformation 14 of 14 of 16 cells 15 somatic 16 cells 18 affecting 20 health 19 the 20 health 21 and 22 lifespan 21 and 23 of 23 of 25 individual 24 an 25 individual shorter telomeres have been associated with increased incidence [of] diseases and poor survival . 0 ###LEFT-WALL### 2 telomeres 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 14 . 1 shorter 2 telomeres 2 telomeres 3 have 3 have 4 been 4 been 5 associated 5 associated 6 with 6 with 11 and 7 increased 8 incidence 8 incidence 10 diseases 10 diseases 11 and 11 and 13 survival 12 poor 13 survival the rate of telomere shortening can be either increased or decreased by specific lifestyle factors . 0 ###LEFT-WALL### 2 rate 0 ###LEFT-WALL### 10 or 0 ###LEFT-WALL### 16 . 1 the 2 rate 2 rate 3 of 2 rate 6 can 3 of 4 telomere 4 telomere 5 shortening 6 can 7 be 7 be 10 or 8 either 9 increased 9 increased 10 or 10 or 11 decreased 10 or 12 by 10 or 15 factors 12 by 14 lifestyle 13 specific 14 lifestyle better choice of diet [and] activities has great potential to reduce the rate of telomere shortening or at least [prevent] excessive telomere attrition , leading to delayed onset [of] age - associated diseases and increased lifespan . 0 ###LEFT-WALL### 2 choice 0 ###LEFT-WALL### 7 has 0 ###LEFT-WALL### 31 - 1 better 2 choice 2 choice 3 of 2 choice 7 has 3 of 6 activities 4 diet 6 activities 7 has 9 potential 8 great 9 potential 9 potential 10 to 9 potential 11 reduce 9 potential 25 leading 10 to 11 reduce 11 reduce 17 or 12 the 13 rate 13 rate 14 of 13 rate 17 or 14 of 16 shortening 15 telomere 16 shortening 17 or 19 least 17 or 23 attrition 17 or 24 , 18 at 19 least 21 excessive 23 attrition 22 telomere 23 attrition 24 , 25 leading 25 leading 26 to 25 leading 31 - 26 to 30 age 27 delayed 28 onset 28 onset 30 age 31 - 34 and 31 - 37 . 32 associated 33 diseases 32 associated 34 and 34 and 35 increased 35 increased 36 lifespan this review highlights the role of telomeres in aging and describes the lifestyle factors which may affect telomeres , human health , and aging . 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 25 . 1 this 2 review 2 review 10 and 2 review 23 and 3 highlights 5 role 3 highlights 8 in 3 highlights 10 and 4 the 5 role 5 role 6 of 6 of 7 telomeres 8 in 9 aging 10 and 11 describes 10 and 14 factors 12 the 14 factors 13 lifestyle 14 factors 14 factors 15 which 14 factors 16 may 14 factors 21 health 15 which 16 may 16 may 17 affect 17 affect 18 telomeres 19 , 21 health 20 human 21 health 21 health 22 , 22 , 23 and 23 and 24 aging purpose of review : sinus node disease ( snd ) is a common clinical condition and is the most common indication for permanent pacemaker implantation . 0 ###LEFT-WALL### 3 review 0 ###LEFT-WALL### 4 : 1 purpose 2 of 2 of 3 review 4 : 7 disease 4 : 16 and 4 : 26 . 5 sinus 7 disease 6 node 7 disease 7 disease 9 snd 7 disease 16 and 8 ( 9 snd 9 snd 10 ) 11 is 15 condition 11 is 16 and 12 a 13 common 12 a 15 condition 13 common 15 condition 14 clinical 15 condition 16 and 17 is 16 and 22 for 17 is 21 indication 18 the 21 indication 19 most 20 common 20 common 21 indication 22 for 25 implantation 23 permanent 24 pacemaker 24 pacemaker 25 implantation this review aims to revisit the complex sinus node anatomy , the evolving understanding of its pacemaking mechanisms , the atrial myopathy in snd and sinus node remodeling . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 29 . 1 this 2 review 2 review 3 aims 3 aims 4 to 3 aims 5 revisit 4 to 5 revisit 5 revisit 10 anatomy 6 the 10 anatomy 7 complex 8 sinus 8 sinus 10 anatomy 9 node 10 anatomy 10 anatomy 14 understanding 11 , 14 understanding 12 the 14 understanding 13 evolving 14 understanding 14 understanding 15 of 14 understanding 19 , 15 of 18 mechanisms 16 its 18 mechanisms 17 pacemaking 18 mechanisms 19 , 25 and 20 the 22 myopathy 21 atrial 22 myopathy 22 myopathy 23 in 22 myopathy 25 and 23 in 24 snd 25 and 28 remodeling 26 sinus 27 node 27 node 28 remodeling recent findings : recent high - density noncontact mapping of the human sinus node showed multiple origins of sinus activation and exit sites with preferential pathways of conduction . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 6 - 1 recent 2 findings 2 findings 3 : 3 : 4 recent 4 recent 5 high 6 - 9 mapping 6 - 15 showed 6 - 29 . 7 density 9 mapping 8 noncontact 9 mapping 9 mapping 10 of 9 mapping 15 showed 10 of 14 node 11 the 14 node 12 human 14 node 13 sinus 14 node 15 showed 17 origins 15 showed 24 with 16 multiple 17 origins 17 origins 18 of 18 of 21 and 19 sinus 20 activation 20 activation 21 and 21 and 23 sites 22 exit 23 sites 24 with 26 pathways 25 preferential 26 pathways 26 pathways 27 of 27 of 28 conduction perhaps , a newly described discrete paranodal area containing a molecular mixture of nodal and atrial cells may account for this long recognized discrepancy between the anatomical and functional sinus node . 0 ###LEFT-WALL### 8 area 0 ###LEFT-WALL### 32 . 1 perhaps 2 , 1 perhaps 8 area 3 a 8 area 4 newly 5 described 5 described 8 area 6 discrete 8 area 7 paranodal 8 area 8 area 9 containing 8 area 18 may 9 containing 12 mixture 10 a 12 mixture 11 molecular 12 mixture 12 mixture 13 of 13 of 17 cells 14 nodal 15 and 15 and 16 atrial 15 and 17 cells 18 may 19 account 19 account 20 for 19 account 25 between 20 for 24 discrepancy 21 this 22 long 22 long 24 discrepancy 23 recognized 24 discrepancy 25 between 31 node 26 the 31 node 27 anatomical 28 and 28 and 29 functional 28 and 30 sinus 30 sinus 31 node the funny current [(] [i] [(] [f] [ )( (driven ['] membrane clock ['] is not solely responsible for sinus node automaticity , following recent recognition of the importance of the ['] calcium clock ['] . 0 ###LEFT-WALL### 13 clock 0 ###LEFT-WALL### 15 is 1 the 13 clock 2 funny 12 membrane 3 current 9 )( 3 current 12 membrane 10 (driven 12 membrane 12 membrane 13 clock 13 clock 15 is 15 is 16 not 15 is 17 solely 15 is 18 responsible 18 responsible 19 for 18 responsible 24 following 19 for 22 automaticity 20 sinus 22 automaticity 21 node 22 automaticity 23 , 24 following 24 following 26 recognition 24 following 36 . 25 recent 26 recognition 26 recognition 27 of 27 of 29 importance 28 the 29 importance 29 importance 30 of 30 of 34 clock 31 the 34 clock 33 calcium 34 clock several molecular links to sinus node remodeling have recently been identified : loss of connexin - 43 expression and down - regulation [of] i ( ca,l [ )(in aging ; reduced i ( [f] [ )(and down - regulation [of] i ( [f] [ )(encoding hcn4 and hcn2 subunits in heart failure [;] and calcium clock malfunction with down - regulated hcn4 , hcn2 and [mink] [in] atrial fibrillation . 0 ###LEFT-WALL### 3 links 0 ###LEFT-WALL### 11 identified 0 ###LEFT-WALL### 12 : 1 several 3 links 2 molecular 3 links 3 links 4 to 3 links 8 have 4 to 7 remodeling 5 sinus 7 remodeling 6 node 7 remodeling 8 have 10 been 9 recently 10 been 10 been 11 identified 12 : 13 loss 12 : 21 - 13 loss 14 of 13 loss 19 and 14 of 15 connexin 16 - 19 and 17 43 18 expression 18 expression 19 and 19 and 20 down 19 and 21 - 21 - 22 regulation 21 - 30 ; 22 regulation 24 i 22 regulation 26 ca,l 25 ( 26 ca,l 26 ca,l 28 )(in 26 ca,l 30 ; 28 )(in 29 aging 30 ; 39 regulation 31 reduced 39 regulation 32 i 36 )(and 33 ( 36 )(and 36 )(and 37 down 36 )(and 38 - 36 )(and 39 regulation 39 regulation 41 i 39 regulation 45 )(encoding 39 regulation 49 subunits 42 ( 45 )(encoding 45 )(encoding 48 hcn2 46 hcn4 47 and 47 and 48 hcn2 49 subunits 50 in 49 subunits 54 and 49 subunits 58 with 50 in 51 heart 52 failure 54 and 54 and 57 malfunction 55 calcium 56 clock 56 clock 57 malfunction 58 with 65 and 59 down 60 - 59 down 62 hcn4 61 regulated 62 hcn4 62 hcn4 63 , 63 , 64 hcn2 63 , 65 and 65 and 69 fibrillation 65 and 70 . 68 atrial 69 fibrillation summary : ongoing research with improved technology and techniques continues to unravel new understandings and challenges to the century old discovery of the anatomical sinus node . 0 ###LEFT-WALL### 1 summary 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 27 . 1 summary 2 : 2 : 4 research 2 : 5 with 3 ongoing 4 research 5 with 7 technology 6 improved 7 technology 8 and 9 techniques 8 and 15 and 9 techniques 15 and 10 continues 11 to 10 continues 12 unravel 10 continues 15 and 11 to 12 unravel 12 unravel 14 understandings 13 new 14 understandings 15 and 16 challenges 15 and 17 to 17 to 21 discovery 18 the 21 discovery 19 century 21 discovery 20 old 21 discovery 21 discovery 22 of 22 of 26 node 23 the 26 node 24 anatomical 25 sinus 25 sinus 26 node [none] study design : the thickness of 415 skulls of thai population was measured at the areas where halo pins are placed . 0 ###LEFT-WALL### 3 design 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 23 . 2 study 3 design 4 : 6 thickness 4 : 13 was 5 the 6 thickness 6 thickness 7 of 6 thickness 13 was 7 of 9 skulls 8 415 9 skulls 9 skulls 10 of 10 of 12 population 11 thai 12 population 13 was 14 measured 14 measured 15 at 14 measured 18 where 15 at 17 areas 16 the 17 areas 18 where 20 pins 18 where 22 placed 19 halo 20 pins 20 pins 21 are 21 are 22 placed objective : analysis of skull thickness at the area of halo pin insertion [site] . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 . 1 objective 2 : 2 : 3 analysis 3 analysis 4 of 4 of 6 thickness 5 skull 6 thickness 6 thickness 7 at 7 at 9 area 8 the 9 area 9 area 10 of 10 of 13 insertion 11 halo 13 insertion 12 pin 13 insertion summary of background data : halo [orthosis] is a device used for providing stable fixation of instability of cervical spine injury . 0 ###LEFT-WALL### 4 data 0 ###LEFT-WALL### 5 : 1 summary 2 of 2 of 3 background 3 background 4 data 5 : 6 halo 5 : 8 is 5 : 22 . 6 halo 8 is 8 is 10 device 9 a 10 device 10 device 11 used 10 device 12 for 12 for 13 providing 13 providing 15 fixation 14 stable 15 fixation 15 fixation 16 of 15 fixation 18 of 16 of 17 instability 18 of 21 injury 19 cervical 20 spine 20 spine 21 injury although this device can be applied quickly and safely , complications do occur . 0 ###LEFT-WALL### 11 complications 0 ###LEFT-WALL### 13 occur 0 ###LEFT-WALL### 14 . 1 although 3 device 1 although 6 applied 1 although 10 , 1 although 11 complications 2 this 3 device 3 device 4 can 4 can 5 be 5 be 6 applied 6 applied 8 and 7 quickly 8 and 8 and 9 safely 11 complications 12 do 12 do 13 occur while clinical experiences have informed us that cranial bone thickness varies with age . 0 ###LEFT-WALL### 3 experiences 0 ###LEFT-WALL### 5 informed 0 ###LEFT-WALL### 14 . 1 while 2 clinical 1 while 3 experiences 3 experiences 4 have 4 have 5 informed 5 informed 6 us 5 informed 7 that 7 that 10 thickness 7 that 11 varies 8 cranial 9 bone 9 bone 10 thickness 10 thickness 11 varies 11 varies 12 with 12 with 13 age methods : coronal computerized tomography scans of 415 heads of patients who had no head injury , skull fracture , or craniofacial abnormalities were reviewed . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 3 coronal 2 : 17 , 3 coronal 4 computerized 3 coronal 5 tomography 3 coronal 6 scans 3 coronal 7 of 5 tomography 6 scans 7 of 9 heads 8 415 9 heads 9 heads 10 of 10 of 11 patients 11 patients 12 who 11 patients 13 had 12 who 13 had 13 had 16 injury 14 no 16 injury 15 head 16 injury 17 , 19 fracture 17 , 21 or 18 skull 19 fracture 20 , 21 or 21 or 23 abnormalities 21 or 25 reviewed 22 craniofacial 23 abnormalities 23 abnormalities 24 were 24 were 25 reviewed all [scans] were performed with a philips cx/q . the patients ' ages were between 15 days and 89 years . 0 ###LEFT-WALL### 1 all 0 ###LEFT-WALL### 4 performed 0 ###LEFT-WALL### 9 . 1 all 3 were 3 were 4 performed 4 performed 5 with 5 with 8 cx/q 6 a 8 cx/q 7 philips 8 cx/q 9 . 13 ages 9 . 14 were 9 . 21 . 10 the 11 patients 11 patients 12 ' 12 ' 13 ages 13 ages 14 were 14 were 15 between 15 between 18 and 16 15 17 days 17 days 18 and 18 and 20 years 19 89 20 years measurements were taken directly from the computer console , using the measure mode function . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 3 taken 1 measurements 2 were 2 were 3 taken 3 taken 4 directly 3 taken 5 from 5 from 8 console 6 the 8 console 7 computer 8 console 8 console 10 using 9 , 10 using 10 using 14 function 10 using 15 . 11 the 14 function 12 measure 14 function 13 mode 14 function these measurements were obtained in millimeters at the locations where halo pins would normally be placed . 0 ###LEFT-WALL### 2 measurements 0 ###LEFT-WALL### 4 obtained 0 ###LEFT-WALL### 17 . 1 these 2 measurements 2 measurements 3 were 3 were 4 obtained 4 obtained 5 in 4 obtained 7 at 4 obtained 10 where 5 in 6 millimeters 7 at 9 locations 8 the 9 locations 10 where 12 pins 10 where 16 placed 11 halo 12 pins 12 pins 13 would 13 would 15 be 14 normally 15 be 15 be 16 placed statistical analyses [within] and between all age groups were performed using analysis of variance tests . 0 ###LEFT-WALL### 2 analyses 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 16 . 1 statistical 2 analyses 4 and 8 groups 4 and 10 performed 5 between 7 age 5 between 8 groups 6 all 7 age 8 groups 9 were 9 were 10 performed 10 performed 11 using 11 using 12 analysis 12 analysis 13 of 13 of 15 tests 14 variance 15 tests results : the skull thickness increased with age at all sites measured . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 . 1 results 2 : 2 : 5 thickness 3 the 5 thickness 4 skull 5 thickness 5 thickness 6 increased 5 thickness 9 at 6 increased 7 with 7 with 8 age 9 at 11 sites 10 all 11 sites 11 sites 12 measured the average thickness of [skull] at the anterior midline varied from 5.62 mm ( 0 - 9 years ) to 7.42 mm ( 80 - 89 years ) . 0 ###LEFT-WALL### 3 thickness 0 ###LEFT-WALL### 10 varied 0 ###LEFT-WALL### 29 . 1 the 3 thickness 2 average 3 thickness 3 thickness 4 of 3 thickness 10 varied 4 of 6 at 6 at 9 midline 7 the 9 midline 8 anterior 9 midline 10 varied 11 from 10 varied 16 - 10 varied 20 to 10 varied 25 - 11 from 13 mm 12 5.62 13 mm 14 ( 16 - 15 0 16 - 16 - 18 years 16 - 19 ) 17 9 18 years 20 to 22 mm 21 7.42 22 mm 23 ( 25 - 24 80 25 - 25 - 27 years 25 - 28 ) 26 89 27 years the average thickness of the anterolateral was from 5.52 to 8.54 mm , and the average thickness of the posterolateral was from 5.59 to 8.86 mm . 0 ###LEFT-WALL### 3 thickness 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 27 . 1 the 3 thickness 2 average 3 thickness 3 thickness 4 of 3 thickness 7 was 4 of 6 anterolateral 5 the 6 anterolateral 7 was 8 from 8 from 12 mm 9 5.52 10 to 10 to 11 8.54 10 to 12 mm 13 , 14 and 14 and 17 thickness 14 and 21 was 15 the 17 thickness 16 average 17 thickness 17 thickness 18 of 17 thickness 21 was 18 of 20 posterolateral 19 the 20 posterolateral 21 was 22 from 22 from 26 mm 23 5.59 24 to 24 to 25 8.86 24 to 26 mm conclusion : the thickness of [skull] at the halo pin insertion site gradually increases with age . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 thickness 2 : 14 increases 2 : 17 . 3 the 4 thickness 4 thickness 5 of 4 thickness 14 increases 5 of 7 at 7 at 12 site 8 the 12 site 9 halo 12 site 10 pin 12 site 11 insertion 12 site 13 gradually 14 increases 14 increases 15 with 15 with 16 age our study reveals that the thickness [of] skull reaches a steady peak in third to sixth decades . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 reveals 0 ###LEFT-WALL### 18 . 1 our 2 study 2 study 3 reveals 3 reveals 4 that 4 that 8 skull 4 that 9 reaches 5 the 8 skull 6 thickness 8 skull 8 skull 9 reaches 9 reaches 12 peak 9 reaches 13 in 9 reaches 15 to 10 a 11 steady 10 a 12 peak 11 steady 12 peak 13 in 14 third 15 to 17 decades 16 sixth 17 decades the thickness of [skull] at the anterior midline can be predicted by a simple linear regression equation : a = 7.302 [+] 0.014*age . 0 ###LEFT-WALL### 2 thickness 0 ###LEFT-WALL### 11 predicted 0 ###LEFT-WALL### 24 . 1 the 2 thickness 2 thickness 3 of 2 thickness 8 midline 2 thickness 10 be 2 thickness 11 predicted 3 of 5 at 5 at 7 anterior 6 the 7 anterior 8 midline 9 can 9 can 10 be 11 predicted 12 by 11 predicted 17 equation 11 predicted 18 : 12 by 16 regression 13 a 16 regression 14 simple 16 regression 15 linear 16 regression 17 equation 18 : 18 : 20 = 18 : 23 0.014*age 19 a 20 = 20 = 21 7.302 contemporary forces , including the growing nursing shortage , the aging population , and the emphasis on patient safety , are increasing the pressure on healthcare facilities to use information systems to achieve better outcomes . 0 ###LEFT-WALL### 2 forces 0 ###LEFT-WALL### 33 achieve 0 ###LEFT-WALL### 36 . 1 contemporary 2 forces 2 forces 4 including 2 forces 14 and 2 forces 21 are 3 , 4 including 4 including 8 shortage 4 including 9 , 5 the 8 shortage 6 growing 7 nursing 7 nursing 8 shortage 9 , 14 and 10 the 12 population 11 aging 12 population 12 population 14 and 13 , 14 and 14 and 16 emphasis 14 and 17 on 14 and 20 , 15 the 16 emphasis 17 on 19 safety 18 patient 19 safety 21 are 22 increasing 22 increasing 24 pressure 23 the 24 pressure 24 pressure 25 on 24 pressure 28 to 24 pressure 29 use 25 on 27 facilities 26 healthcare 27 facilities 28 to 29 use 29 use 31 systems 29 use 32 to 30 information 31 systems 32 to 33 achieve 33 achieve 34 better 33 achieve 35 outcomes use of information systems improves nurses ' ability to make decisions in a timely manner ; however , nurses are still reluctant about or avoiding using information systems in their daily work . 0 ###LEFT-WALL### 1 use 0 ###LEFT-WALL### 5 improves 0 ###LEFT-WALL### 16 ; 0 ###LEFT-WALL### 33 . 1 use 2 of 1 use 5 improves 2 of 4 systems 3 information 4 systems 5 improves 8 ability 6 nurses 7 ' 7 ' 8 ability 8 ability 9 to 8 ability 10 make 9 to 10 make 10 make 11 decisions 10 make 12 in 12 in 15 manner 13 a 14 timely 13 a 15 manner 14 timely 15 manner 16 ; 19 nurses 16 ; 20 are 16 ; 24 or 17 however 18 , 17 however 19 nurses 19 nurses 20 are 20 are 21 still 20 are 22 reluctant 21 still 22 reluctant 22 reluctant 23 about 24 or 28 systems 24 or 32 work 25 avoiding 27 information 26 using 27 information 27 information 28 systems 28 systems 29 in 28 systems 32 work 29 in 31 daily 30 their 31 daily the purpose of this study was to explore the relationships among age , nursing education , computer experience , user involvement in implementation , nursing management support to use information systems , nurses ' information system use , and information system outcomes ( benefits and satisfaction ) . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 48 . 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 explore 7 to 8 explore 8 explore 10 relationships 8 explore 25 nursing 9 the 10 relationships 10 relationships 11 among 10 relationships 14 nursing 11 among 12 age 13 , 14 nursing 14 nursing 15 education 14 nursing 24 , 15 education 18 experience 15 education 21 involvement 16 , 18 experience 17 computer 18 experience 18 experience 19 , 19 , 21 involvement 20 user 21 involvement 21 involvement 22 in 21 involvement 24 , 22 in 23 implementation 24 , 25 nursing 25 nursing 27 support 25 nursing 28 to 25 nursing 47 ) 26 management 27 support 28 to 39 and 29 use 31 systems 30 information 31 systems 31 systems 32 , 32 , 37 use 32 , 39 and 33 nurses 34 ' 34 ' 37 use 35 information 37 use 36 system 37 use 38 , 39 and 39 and 42 outcomes 39 and 45 and 40 information 42 outcomes 41 system 42 outcomes 43 ( 45 and 44 benefits 45 and 45 and 46 satisfaction 45 and 47 ) the study used an input - process - outcome framework , a descriptive correlational design , and a mailed survey with a random sample of staff nurses . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 used 0 ###LEFT-WALL### 8 - 1 the 2 study 2 study 3 used 3 used 5 input 4 an 5 input 5 input 7 process 6 - 7 process 7 process 8 - 8 - 10 framework 8 - 11 , 8 - 28 . 9 outcome 10 framework 11 , 17 and 12 a 13 descriptive 12 a 15 design 13 descriptive 15 design 14 correlational 15 design 15 design 17 and 16 , 17 and 17 and 20 survey 17 and 21 with 18 a 20 survey 19 mailed 20 survey 21 with 24 sample 22 a 23 random 22 a 24 sample 23 random 24 sample 24 sample 25 of 25 of 27 nurses 26 staff 27 nurses computer experience , user involvement , and nursing management support were found to significantly explain information system use . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 12 found 0 ###LEFT-WALL### 19 . 1 computer 2 experience 2 experience 3 , 3 , 5 involvement 3 , 7 and 4 user 5 involvement 6 , 7 and 7 and 10 support 7 and 11 were 8 nursing 10 support 9 management 10 support 11 were 12 found 12 found 13 to 13 to 15 explain 14 significantly 15 explain 15 explain 18 use 16 information 17 system 17 system 18 use in addition , information system use was found to significantly explain nurses ' perception of the benefits of using information systems and their satisfaction with using information systems . 0 ###LEFT-WALL### 6 use 0 ###LEFT-WALL### 8 found 0 ###LEFT-WALL### 29 . 1 in 2 addition 1 in 3 , 1 in 6 use 4 information 6 use 5 system 6 use 6 use 7 was 7 was 8 found 8 found 9 to 8 found 25 with 9 to 11 explain 10 significantly 11 explain 11 explain 22 and 12 nurses 13 ' 13 ' 14 perception 14 perception 15 of 14 perception 22 and 15 of 17 benefits 16 the 17 benefits 17 benefits 18 of 18 of 19 using 19 using 21 systems 20 information 21 systems 22 and 24 satisfaction 23 their 24 satisfaction 25 with 26 using 26 using 28 systems 27 information 28 systems these results assist nursing administrators and leaders to change [and/or] restructure the appropriate work environment to enhance nurses ' information system use and increase their satisfaction , thereby improving patient outcomes . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 27 , 0 ###LEFT-WALL### 32 . 1 these 2 results 2 results 6 and 3 assist 5 administrators 3 assist 6 and 4 nursing 5 administrators 6 and 23 and 7 leaders 8 to 7 leaders 11 restructure 8 to 9 change 11 restructure 15 environment 11 restructure 16 to 12 the 15 environment 13 appropriate 14 work 14 work 15 environment 16 to 23 and 17 enhance 22 use 17 enhance 23 and 18 nurses 19 ' 19 ' 22 use 20 information 21 system 21 system 22 use 23 and 24 increase 24 increase 26 satisfaction 25 their 26 satisfaction 27 , 31 outcomes 28 thereby 29 improving 29 improving 31 outcomes 30 patient 31 outcomes background : in children , exhaled nitric oxide ( eno ) is usually confounded by factors such as age and height . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 22 . 1 background 2 : 2 : 3 in 3 in 4 children 5 , 6 exhaled 5 , 12 is 6 exhaled 12 is 7 nitric 8 oxide 8 oxide 10 eno 8 oxide 12 is 9 ( 10 eno 10 eno 11 ) 12 is 13 usually 12 is 14 confounded 13 usually 14 confounded 14 confounded 15 by 14 confounded 18 as 15 by 16 factors 17 such 18 as 18 as 20 and 19 age 20 and 20 and 21 height we evaluated the relationship between eno and lung function by minimizing the effects of aging and height . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 evaluated 0 ###LEFT-WALL### 18 . 1 we 2 evaluated 2 evaluated 4 relationship 2 evaluated 5 between 3 the 4 relationship 5 between 16 and 6 eno 7 and 7 and 9 function 7 and 10 by 7 and 14 of 7 and 16 and 8 lung 9 function 10 by 11 minimizing 11 minimizing 13 effects 12 the 13 effects 14 of 15 aging 16 and 17 height methods : in study 1 , the subjects comprised 738 elementary school children and junior high school children ( aged 6 to 15 years , 366 males and 372 females ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 school 0 ###LEFT-WALL### 32 . 2 : 8 subjects 2 : 9 comprised 3 in 4 study 3 in 6 , 3 in 8 subjects 4 study 5 1 7 the 8 subjects 8 subjects 9 comprised 9 comprised 10 738 10 738 14 and 10 738 17 school 11 elementary 12 school 12 school 13 children 13 children 14 and 14 and 16 high 14 and 17 school 15 junior 16 high 17 school 18 children 18 children 20 aged 18 children 28 and 19 ( 20 aged 20 aged 21 6 20 aged 22 to 20 aged 25 , 22 to 24 years 23 15 24 years 25 , 28 and 26 366 27 males 27 males 28 and 28 and 30 females 28 and 31 ) 29 372 30 females they were divided into two groups according to age ( 6 - 10 years and 11 - 15 years ) . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 3 divided 0 ###LEFT-WALL### 21 . 1 they 2 were 2 were 3 divided 3 divided 4 into 3 divided 8 to 4 into 6 groups 5 two 6 groups 7 according 8 to 8 to 9 age 9 age 11 6 9 age 15 and 10 ( 11 6 11 6 12 - 12 - 15 and 13 10 14 years 14 years 15 and 15 and 19 years 15 and 20 ) 16 11 17 - 17 - 18 15 17 - 19 years a height range was determined by a histogram of height in each group . 0 ###LEFT-WALL### 3 range 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 14 . 1 a 2 height 1 a 3 range 2 height 3 range 3 range 4 was 4 was 5 determined 5 determined 6 by 5 determined 11 in 6 by 8 histogram 7 a 8 histogram 8 histogram 9 of 9 of 10 height 11 in 13 group 12 each 13 group in study 2 , lung function , respiratory resistance and eno level were measured in age - and height - limited groups . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 13 were 0 ###LEFT-WALL### 20 - 1 in 2 study 2 study 3 2 2 study 4 , 4 , 6 function 4 , 7 , 5 lung 6 function 7 , 9 resistance 7 , 10 and 8 respiratory 9 resistance 10 and 12 level 10 and 13 were 11 eno 12 level 13 were 14 measured 14 measured 15 in 15 in 18 and 16 age 18 and 17 - 18 and 18 and 19 height 20 - 22 groups 20 - 23 . 21 limited 22 groups results : in study 1 , total of 148 younger children ranging in height from 120 to 130 cm and 180 older children ranging in height from 148 to 158 cm participated in study 2 . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 32 participated 0 ###LEFT-WALL### 36 . 1 results 2 : 2 : 3 in 3 in 4 study 4 study 5 1 6 , 20 and 7 total 8 of 7 total 20 and 8 of 14 height 9 148 13 in 10 younger 11 children 11 children 12 ranging 12 ranging 13 in 13 in 14 height 14 height 15 from 15 from 19 cm 16 120 17 to 17 to 18 130 17 to 19 cm 20 and 26 height 21 180 25 in 22 older 23 children 23 children 24 ranging 24 ranging 25 in 25 in 26 height 26 height 27 from 27 from 29 to 28 148 29 to 29 to 30 158 30 158 31 cm 31 cm 32 participated 32 participated 33 in 33 in 34 study 34 study 35 2 the level of eno among asthmatic children was higher than that of normal children in both the younger and [the] older groups . 0 ###LEFT-WALL### 2 level 0 ###LEFT-WALL### 8 was 0 ###LEFT-WALL### 23 . 1 the 2 level 2 level 3 of 2 level 8 was 3 of 4 eno 4 eno 5 among 5 among 7 children 6 asthmatic 7 children 8 was 9 higher 9 higher 10 than 9 higher 15 in 10 than 11 that 10 than 12 of 12 of 14 children 13 normal 14 children 15 in 16 both 16 both 17 the 16 both 22 groups 17 the 22 groups 18 younger 19 and 19 and 21 older 19 and 22 groups the decrease in forced expiratory volume in 1 second ( fev ( 1 ) ) and other parameters of central airway resistance did not correlate with the eno level . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 25 correlate 0 ###LEFT-WALL### 30 . 1 the 2 decrease 2 decrease 3 in 2 decrease 16 and 3 in 6 volume 4 forced 6 volume 5 expiratory 6 volume 6 volume 7 in 6 volume 11 fev 7 in 9 second 8 1 9 second 10 ( 11 fev 11 fev 13 1 11 fev 15 ) 12 ( 13 1 13 1 14 ) 16 and 18 parameters 16 and 19 of 16 and 23 did 17 other 18 parameters 19 of 22 resistance 20 central 21 airway 21 airway 22 resistance 23 did 24 not 23 did 25 correlate 25 correlate 26 with 26 with 29 level 27 the 29 level 28 eno 29 level however , the small airway parameters of mmef and v [(] 25 )/ht in older asthmatic children , and v ( 25 )/ht and r ( 5 ) - [r] ( 20 ) in younger asthmatic children inversely correlated with eno . 0 ###LEFT-WALL### 6 parameters 0 ###LEFT-WALL### 39 correlated 0 ###LEFT-WALL### 42 . 1 however 2 , 1 however 6 parameters 3 the 6 parameters 4 small 5 airway 5 airway 6 parameters 6 parameters 7 of 6 parameters 39 correlated 7 of 9 and 8 mmef 9 and 9 and 10 v 9 and 12 25 9 and 13 )/ht 12 25 13 )/ht 13 )/ht 14 in 13 )/ht 34 in 14 in 19 and 15 older 17 children 16 asthmatic 17 children 17 children 19 and 18 , 19 and 19 and 20 v 19 and 24 and 19 and 32 20 21 ( 24 and 22 25 23 )/ht 23 )/ht 24 and 24 and 25 r 24 and 27 5 24 and 29 - 26 ( 27 5 27 5 28 ) 31 ( 32 20 32 20 33 ) 34 in 37 children 35 younger 37 children 36 asthmatic 37 children 38 inversely 39 correlated 39 correlated 40 with 40 with 41 eno conclusions : our data suggest that eno level inversely correlates with small airway narrowing , and airway inflammation has a significant effect [on] small airway lung function in asthmatic school children . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 32 . 2 : 4 data 2 : 5 suggest 3 our 4 data 4 data 5 suggest 5 suggest 6 that 6 that 8 level 6 that 16 and 7 eno 8 level 9 inversely 10 correlates 10 correlates 11 with 10 correlates 16 and 11 with 14 narrowing 12 small 13 airway 13 airway 14 narrowing 15 , 16 and 16 and 27 function 16 and 28 in 17 airway 18 inflammation 18 inflammation 19 has 19 has 26 lung 19 has 27 function 20 a 21 significant 20 a 26 lung 21 significant 26 lung 22 effect 26 lung 24 small 25 airway 25 airway 26 lung 28 in 31 children 29 asthmatic 30 school 30 school 31 children biliverdin reductase a ( blvra ) , an enzyme that converts biliverdin to bilirubin , has recently emerged as a key regulator of the cellular redox cycle . 0 ###LEFT-WALL### 1 biliverdin 0 ###LEFT-WALL### 18 emerged 0 ###LEFT-WALL### 28 . 1 biliverdin 2 reductase 1 biliverdin 16 has 1 biliverdin 18 emerged 2 reductase 3 a 2 reductase 5 blvra 2 reductase 9 enzyme 2 reductase 16 has 4 ( 5 blvra 5 blvra 6 ) 7 , 9 enzyme 8 an 9 enzyme 9 enzyme 10 that 9 enzyme 11 converts 9 enzyme 15 , 10 that 11 converts 11 converts 12 biliverdin 11 converts 13 to 13 to 14 bilirubin 16 has 17 recently 18 emerged 19 as 19 as 22 regulator 20 a 22 regulator 21 key 22 regulator 22 regulator 23 of 23 of 27 cycle 24 the 27 cycle 25 cellular 27 cycle 26 redox 27 cycle however , the role of blvra in the aging process remains unclear . 0 ###LEFT-WALL### 4 role 0 ###LEFT-WALL### 11 remains 0 ###LEFT-WALL### 13 . 1 however 2 , 1 however 4 role 3 the 4 role 4 role 5 of 4 role 11 remains 5 of 6 blvra 6 blvra 7 in 7 in 10 process 8 the 10 process 9 aging 10 process 11 remains 12 unclear to study the role of blvra in the aging process , we compared the stress responses of young and senescent human diploid fibroblasts ( hdfs ) to the reactive oxygen species ( ros ) inducer , hydrogen peroxide ( h2o2 ) . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 42 . 1 to 2 study 2 study 4 role 3 the 4 role 4 role 5 of 4 role 7 in 5 of 6 blvra 7 in 10 process 8 the 10 process 9 aging 10 process 11 , 12 we 11 , 13 compared 12 we 13 compared 13 compared 16 responses 13 compared 27 to 14 the 16 responses 15 stress 16 responses 16 responses 17 of 17 of 23 fibroblasts 18 young 19 and 19 and 20 senescent 19 and 23 fibroblasts 21 human 23 fibroblasts 22 diploid 23 fibroblasts 23 fibroblasts 25 hdfs 24 ( 25 hdfs 25 hdfs 26 ) 27 to 30 oxygen 28 the 30 oxygen 29 reactive 30 oxygen 30 oxygen 31 species 30 oxygen 35 inducer 30 oxygen 38 peroxide 31 species 33 ros 31 species 35 inducer 32 ( 33 ros 33 ros 34 ) 36 , 38 peroxide 37 hydrogen 38 peroxide 38 peroxide 40 h2o2 38 peroxide 41 ) 39 ( 40 h2o2 40 h2o2 41 ) h2o2 markedly induced blvra activity in young hdfs , but not in senescent hdfs . 0 ###LEFT-WALL### 1 h2o2 0 ###LEFT-WALL### 3 induced 0 ###LEFT-WALL### 15 . 1 h2o2 3 induced 2 markedly 3 induced 3 induced 5 activity 4 blvra 5 activity 5 activity 10 but 6 in 8 hdfs 6 in 10 but 7 young 8 hdfs 9 , 10 but 10 but 11 not 10 but 12 in 12 in 14 hdfs 13 senescent 14 hdfs additionally , depletion of blvra reduced the h2o2 - dependent induction of heme oxygenase - 1 ( ho - 1 ) in young hdfs , but not in senescent cells , suggesting [an] aging - dependent differential modulation of responses to oxidative stress . 0 ###LEFT-WALL### 3 depletion 0 ###LEFT-WALL### 6 reduced 0 ###LEFT-WALL### 35 - 0 ###LEFT-WALL### 44 . 1 additionally 2 , 1 additionally 3 depletion 3 depletion 4 of 3 depletion 6 reduced 4 of 5 blvra 6 reduced 8 h2o2 7 the 8 h2o2 8 h2o2 11 induction 9 - 11 induction 10 dependent 11 induction 11 induction 12 of 11 induction 26 but 11 induction 35 - 12 of 14 oxygenase 13 heme 14 oxygenase 14 oxygenase 16 1 14 oxygenase 20 1 15 - 16 1 16 1 18 ho 16 1 19 - 17 ( 18 ho 18 ho 19 - 19 - 20 1 20 1 21 ) 22 in 24 hdfs 22 in 26 but 23 young 24 hdfs 25 , 26 but 26 but 27 not 26 but 28 in 28 in 30 cells 29 senescent 30 cells 30 cells 32 suggesting 31 , 32 suggesting 32 suggesting 34 aging 32 suggesting 35 - 35 - 38 modulation 36 dependent 38 modulation 37 differential 38 modulation 38 modulation 39 of 38 modulation 41 to 39 of 40 responses 41 to 43 stress 42 oxidative 43 stress the role of blvra in the regulation of cellular senescence was confirmed when lentiviral rnai - transfected stable primary hdfs with reduced blvra expression showed upregulation of the cdk inhibitor family members p16 , p53 , and p21 , followed by cell cycle arrest in g0 - g1 phase with high expression of senescence - associated β - galactosidase . 0 ###LEFT-WALL### 2 role 0 ###LEFT-WALL### 12 confirmed 0 ###LEFT-WALL### 47 - 1 the 2 role 2 role 3 of 2 role 11 was 3 of 4 blvra 4 blvra 5 in 4 blvra 8 of 5 in 7 regulation 6 the 7 regulation 8 of 10 senescence 9 cellular 10 senescence 11 was 12 confirmed 12 confirmed 13 when 12 confirmed 45 in 13 when 15 rnai 13 when 40 followed 14 lentiviral 15 rnai 15 rnai 20 hdfs 15 rnai 40 followed 16 - 20 hdfs 17 transfected 20 hdfs 18 stable 20 hdfs 19 primary 20 hdfs 20 hdfs 21 with 20 hdfs 24 expression 20 hdfs 25 showed 20 hdfs 39 , 21 with 23 blvra 22 reduced 23 blvra 24 expression 25 showed 25 showed 26 upregulation 25 showed 32 members 25 showed 37 and 26 upregulation 27 of 27 of 29 cdk 28 the 29 cdk 30 inhibitor 31 family 31 family 32 members 33 p16 34 , 34 , 35 p53 34 , 37 and 36 , 37 and 37 and 38 p21 40 followed 41 by 40 followed 44 arrest 42 cell 44 arrest 43 cycle 44 arrest 45 in 46 g0 47 - 49 phase 47 - 60 . 48 g1 49 phase 49 phase 50 with 49 phase 59 galactosidase 50 with 52 expression 51 high 52 expression 52 expression 53 of 53 of 54 senescence 54 senescence 57 β 55 - 57 β 56 associated 57 β 57 β 58 - taken together , these data support the notion that blvra contributes significantly to modulation of the aging process by adjusting the cellular oxidative status . 0 ###LEFT-WALL### 5 data 0 ###LEFT-WALL### 6 support 0 ###LEFT-WALL### 25 . 1 taken 2 together 1 taken 3 , 1 taken 5 data 4 these 5 data 5 data 6 support 6 support 8 notion 6 support 19 by 7 the 8 notion 8 notion 9 that 9 that 10 blvra 9 that 11 contributes 10 blvra 11 contributes 11 contributes 12 significantly 11 contributes 13 to 13 to 14 modulation 14 modulation 15 of 15 of 18 process 16 the 18 process 17 aging 18 process 19 by 20 adjusting 20 adjusting 24 status 21 the 24 status 22 cellular 24 status 23 oxidative 24 status aim : aortic dilatation is a well [-] known phenomenon in the elderly . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 4 dilatation 2 : 5 is 2 : 14 . 3 aortic 4 dilatation 4 dilatation 5 is 5 is 10 phenomenon 6 a 10 phenomenon 7 well 9 known 9 known 10 phenomenon 10 phenomenon 11 in 11 in 13 elderly 12 the 13 elderly we therefore aimed to study the pathobiological determinants of aortic dilatation . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 aimed 0 ###LEFT-WALL### 12 . 1 we 3 aimed 2 therefore 3 aimed 3 aimed 4 to 3 aimed 5 study 4 to 5 study 5 study 8 determinants 6 the 8 determinants 7 pathobiological 8 determinants 8 determinants 9 of 9 of 11 dilatation 10 aortic 11 dilatation methods : retrospective chart review . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 . 1 methods 2 : 2 : 5 review 3 retrospective 4 chart 4 chart 5 review the subjects were 833 consecutive autopsy cases ( 616 men and 217 women ) of community deaths . 0 ###LEFT-WALL### 2 subjects 0 ###LEFT-WALL### 3 were 1 the 2 subjects 2 subjects 3 were 3 were 7 cases 4 833 7 cases 5 consecutive 6 autopsy 6 autopsy 7 cases 7 cases 11 and 8 ( 11 and 9 616 10 men 10 men 11 and 11 and 13 women 11 and 14 ) 11 and 15 of 11 and 18 . 12 217 13 women 15 of 17 deaths 16 community 17 deaths the age at death ranged from 20 to 94 years , with an average of 59.2 years . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 5 ranged 1 the 2 age 2 age 3 at 2 age 5 ranged 3 at 4 death 5 ranged 6 from 6 from 10 years 7 20 8 to 8 to 9 94 8 to 10 years 10 years 12 with 11 , 12 with 12 with 14 average 12 with 18 . 13 an 14 average 14 average 15 of 15 of 17 years 16 59.2 17 years we measured the internal circumference of the aortic root , arch , descending portion , abdominal portion , and bifurcation [in] unfixed opened aorta at the time [of] autopsy . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 measured 0 ###LEFT-WALL### 30 . 1 we 2 measured 2 measured 5 circumference 2 measured 25 at 3 the 5 circumference 4 internal 5 circumference 5 circumference 6 of 6 of 19 and 7 the 9 root 8 aortic 9 root 9 root 10 , 10 , 11 arch 10 , 12 , 12 , 14 portion 12 , 15 , 13 descending 14 portion 15 , 17 portion 15 , 19 and 16 abdominal 17 portion 18 , 19 and 19 and 24 aorta 20 bifurcation 22 unfixed 22 unfixed 24 aorta 23 opened 24 aorta 25 at 29 autopsy 26 the 29 autopsy 27 time 29 autopsy results : the simple correlation between age and aortic circumference was [strongest] for the descending portion , followed by the arch , abdominal portion , root , and bifurcation . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 correlation 2 : 17 , 2 : 30 . 3 the 5 correlation 4 simple 5 correlation 5 correlation 6 between 5 correlation 17 , 6 between 8 and 7 age 8 and 8 and 10 circumference 9 aortic 10 circumference 11 was 13 for 11 was 17 , 13 for 16 portion 14 the 16 portion 15 descending 16 portion 17 , 18 followed 17 , 19 by 19 by 28 and 20 the 21 arch 21 arch 22 , 22 , 24 portion 22 , 25 , 23 abdominal 24 portion 25 , 26 root 25 , 28 and 27 , 28 and 28 and 29 bifurcation the simple correlation coefficient reached 0.836 for the descending portion ( p < 0.001 ) . 0 ###LEFT-WALL### 4 coefficient 0 ###LEFT-WALL### 5 reached 0 ###LEFT-WALL### 16 . 1 the 4 coefficient 2 simple 3 correlation 3 correlation 4 coefficient 4 coefficient 5 reached 5 reached 6 0.836 6 0.836 7 for 7 for 10 portion 8 the 10 portion 9 descending 10 portion 10 portion 13 < 11 ( 13 < 12 p 13 < 13 < 14 0.001 13 < 15 ) the circumference of the descending portion increased significantly as the severity of aortic atherosclerosis increased ( [p] for trend [<] 0.001 ) . 0 ###LEFT-WALL### 2 circumference 0 ###LEFT-WALL### 7 increased 0 ###LEFT-WALL### 23 . 1 the 2 circumference 2 circumference 3 of 2 circumference 7 increased 3 of 6 portion 4 the 6 portion 5 descending 6 portion 7 increased 8 significantly 7 increased 9 as 9 as 11 severity 10 the 11 severity 11 severity 12 of 12 of 14 atherosclerosis 13 aortic 14 atherosclerosis 14 atherosclerosis 15 increased 15 increased 18 for 16 ( 18 for 18 for 19 trend 18 for 22 ) 19 trend 21 0.001 multiple regression analysis showed that age , sex , and body height were significantly correlated with the aortic circumference at all five measurement sites , while severe atherosclerosis was correlated with the aortic circumference at the root , and descending and [abdominal] portions . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 4 showed 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 44 . 1 multiple 3 analysis 2 regression 3 analysis 3 analysis 4 showed 4 showed 5 that 4 showed 6 age 7 , 10 and 7 , 15 correlated 7 , 25 , 8 sex 10 and 9 , 10 and 10 and 12 height 10 and 13 were 11 body 12 height 13 were 14 significantly 13 were 15 correlated 15 correlated 16 with 15 correlated 20 at 16 with 19 circumference 17 the 19 circumference 18 aortic 19 circumference 20 at 24 sites 21 all 22 five 22 five 24 sites 23 measurement 24 sites 25 , 41 and 26 while 28 atherosclerosis 26 while 41 and 27 severe 28 atherosclerosis 29 was 30 correlated 29 was 41 and 30 correlated 31 with 30 correlated 35 at 31 with 34 circumference 32 the 34 circumference 33 aortic 34 circumference 35 at 39 and 36 the 37 root 37 root 39 and 38 , 39 and 39 and 40 descending 41 and 43 portions six contributing factors ( age , sex , body height , smoking history , hypertension , and severe atherosclerosis ) explained 68.5 % of the variance [in] circumference in the descending portion ; age explained 57.5 % ; sex 8.4 % ; body height 1 [%] [;] and severe atherosclerosis 0.8 [%] . 0 ###LEFT-WALL### 3 factors 0 ###LEFT-WALL### 21 explained 0 ###LEFT-WALL### 33 ; 0 ###LEFT-WALL### 53 . 1 six 3 factors 2 contributing 3 factors 3 factors 17 and 3 factors 21 explained 4 ( 17 and 5 age 6 , 6 , 7 sex 6 , 8 , 8 , 10 height 8 , 11 , 9 body 10 height 11 , 13 history 11 , 14 , 12 smoking 13 history 14 , 15 hypertension 14 , 17 and 16 , 17 and 17 and 19 atherosclerosis 17 and 20 ) 18 severe 19 atherosclerosis 21 explained 23 % 22 68.5 23 % 23 % 24 of 23 % 29 in 24 of 28 circumference 25 the 28 circumference 26 variance 28 circumference 29 in 32 portion 30 the 32 portion 31 descending 32 portion 33 ; 34 age 33 ; 35 explained 33 ; 38 ; 34 age 35 explained 35 explained 37 % 36 57.5 37 % 38 ; 39 sex 38 ; 42 ; 39 sex 41 % 40 8.4 41 % 42 ; 48 and 43 body 44 height 44 height 45 1 44 height 48 and 48 and 50 atherosclerosis 49 severe 50 atherosclerosis 50 atherosclerosis 51 0.8 conclusion : the contribution of atherosclerosis to aortic dilation was very weak , representing less than one seventieth of the contribution of age . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 contribution 2 : 10 was 3 the 4 contribution 4 contribution 5 of 4 contribution 10 was 5 of 6 atherosclerosis 6 atherosclerosis 7 to 7 to 9 dilation 8 aortic 9 dilation 10 was 12 weak 11 very 12 weak 12 weak 14 representing 13 , 14 representing 14 representing 18 seventieth 14 representing 24 . 15 less 16 than 16 than 18 seventieth 17 one 18 seventieth 18 seventieth 19 of 19 of 21 contribution 20 the 21 contribution 21 contribution 22 of 22 of 23 age the aortic circumference , especially in the descending portion , serves as an excellent age - related marker . 0 ###LEFT-WALL### 3 circumference 0 ###LEFT-WALL### 11 serves 0 ###LEFT-WALL### 16 - 1 the 3 circumference 2 aortic 3 circumference 3 circumference 6 in 3 circumference 11 serves 4 , 5 especially 4 , 6 in 6 in 9 portion 6 in 10 , 7 the 9 portion 8 descending 9 portion 11 serves 12 as 12 as 15 age 13 an 14 excellent 13 an 15 age 14 excellent 15 age 16 - 18 marker 16 - 19 . 17 related 18 marker aim : we previously reported significant associations between mitochondrial single nucleotide polymorphisms ( mtsnps ) and myocardial infarction , atherothrombotic cerebral infarction , metabolic syndrome and type 2 diabetes . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 5 reported 2 : 30 . 3 we 5 reported 4 previously 5 reported 5 reported 16 and 6 significant 7 associations 7 associations 8 between 7 associations 16 and 8 between 12 polymorphisms 9 mitochondrial 12 polymorphisms 10 single 11 nucleotide 11 nucleotide 12 polymorphisms 12 polymorphisms 14 mtsnps 13 ( 14 mtsnps 14 mtsnps 15 ) 16 and 29 diabetes 17 myocardial 18 infarction 18 infarction 19 , 19 , 22 infarction 19 , 23 , 20 atherothrombotic 22 infarction 21 cerebral 22 infarction 23 , 25 syndrome 23 , 26 and 24 metabolic 25 syndrome 26 and 27 type 26 and 29 diabetes 27 type 28 2 here , we assessed the hypothesis that mtsnps may confer a risk for atherosclerosis , the most important intermediate phenotype of ischemic cardiovascular events . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 assessed 1 here 2 , 1 here 3 we 3 we 4 assessed 4 assessed 6 hypothesis 5 the 6 hypothesis 6 hypothesis 7 that 7 that 8 mtsnps 7 that 10 confer 8 mtsnps 9 may 9 may 10 confer 10 confer 12 risk 11 a 12 risk 12 risk 13 for 13 for 14 atherosclerosis 14 atherosclerosis 20 phenotype 15 , 20 phenotype 16 the 20 phenotype 17 most 18 important 18 important 20 phenotype 19 intermediate 20 phenotype 20 phenotype 21 of 20 phenotype 25 . 21 of 24 events 22 ischemic 24 events 23 cardiovascular 24 events methods : the subjects were 1,536 consecutive autopsy cases ( 827 men and 709 women ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 subjects 2 : 5 were 2 : 17 . 3 the 4 subjects 4 subjects 5 were 5 were 9 cases 6 1,536 9 cases 7 consecutive 8 autopsy 8 autopsy 9 cases 9 cases 13 and 10 ( 13 and 11 827 12 men 12 men 13 and 13 and 15 women 13 and 16 ) 14 709 15 women the average age at death was 80 years . 0 ###LEFT-WALL### 3 age 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 9 . 1 the 3 age 2 average 3 age 3 age 4 at 3 age 6 was 4 at 5 death 6 was 8 years 7 80 8 years the severity of coronary atherosclerosis was semi - quantitatively examined on cut sections . 0 ###LEFT-WALL### 2 severity 0 ###LEFT-WALL### 6 was 1 the 2 severity 2 severity 3 of 2 severity 6 was 3 of 5 atherosclerosis 4 coronary 5 atherosclerosis 6 was 7 semi 7 semi 10 examined 8 - 10 examined 9 quantitatively 10 examined 10 examined 11 on 10 examined 14 . 11 on 13 sections 12 cut 13 sections we examined 149 mtsnps using the pcr - luminex method , with a success rate of 97 % . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 19 . 1 we 2 examined 2 examined 4 mtsnps 3 149 4 mtsnps 4 mtsnps 5 using 5 using 7 pcr 5 using 12 with 6 the 7 pcr 7 pcr 10 method 8 - 10 method 9 luminex 10 method 10 method 11 , 12 with 15 rate 13 a 14 success 13 a 15 rate 14 success 15 rate 15 rate 16 of 16 of 18 % 17 97 18 % phylogenetic tree analysis yielded 36 haplogroups . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 4 yielded 0 ###LEFT-WALL### 7 . 1 phylogenetic 2 tree 2 tree 3 analysis 3 analysis 4 yielded 4 yielded 6 haplogroups 5 36 6 haplogroups multiple logistic regression analysis was performed after adjustments for sex , age , and conventional cardiovascular risk factors . 0 ###LEFT-WALL### 4 analysis 0 ###LEFT-WALL### 6 performed 0 ###LEFT-WALL### 19 . 1 multiple 2 logistic 2 logistic 4 analysis 3 regression 4 analysis 4 analysis 5 was 5 was 6 performed 6 performed 7 after 6 performed 9 for 7 after 8 adjustments 9 for 18 factors 10 sex 11 , 11 , 12 age 11 , 14 and 13 , 14 and 14 and 15 conventional 14 and 18 factors 16 cardiovascular 18 factors 17 risk 18 factors results : among the 45 mtsnps with minor [genotype] frequencies >0.05 , 6 mtsnps were associated with coronary atherosclerosis . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 20 . 1 results 2 : 2 : 3 among 2 : 11 >0.05 3 among 6 mtsnps 4 the 5 45 5 45 6 mtsnps 6 mtsnps 7 with 7 with 10 frequencies 8 minor 10 frequencies 12 , 14 mtsnps 12 , 16 associated 13 6 14 mtsnps 14 mtsnps 15 were 15 were 16 associated 16 associated 17 with 17 with 19 atherosclerosis 18 coronary 19 atherosclerosis among 10 haplogroups with frequencies >0.04 , haplogroups a and m7a were significantly associated with coronary atherosclerosis , with odds ratios ( 95 % confidence intervals [ )(of 1.80 ( 1.09 - 2.97 [;] p=0.023 ) and 1.92 [(] 1.23 - 3.01 [;] p=0.004 ) , respectively . 0 ###LEFT-WALL### 3 haplogroups 0 ###LEFT-WALL### 14 associated 0 ###LEFT-WALL### 48 . 1 among 2 10 1 among 3 haplogroups 3 haplogroups 4 with 3 haplogroups 10 and 3 haplogroups 12 were 3 haplogroups 14 associated 4 with 5 frequencies 6 >0.04 7 , 7 , 8 haplogroups 7 , 10 and 8 haplogroups 9 a 10 and 11 m7a 10 and 12 were 13 significantly 14 associated 14 associated 15 with 14 associated 19 with 14 associated 47 respectively 15 with 17 atherosclerosis 16 coronary 17 atherosclerosis 18 , 19 with 19 with 21 ratios 19 with 46 , 20 odds 21 ratios 21 ratios 37 and 22 ( 37 and 23 95 26 intervals 24 % 25 confidence 25 confidence 26 intervals 26 intervals 28 )(of 26 intervals 37 and 28 )(of 29 1.80 29 1.80 35 p=0.023 30 ( 35 p=0.023 31 1.09 32 - 32 - 33 2.97 32 - 35 p=0.023 35 p=0.023 36 ) 37 and 44 p=0.004 37 and 45 ) 38 1.92 44 p=0.004 40 1.23 41 - 41 - 42 3.01 41 - 44 p=0.004 haplogroup d4a , which was previously reported to be associated with extreme longevity in a japanese population , was associated with pathological myocardial infarction in men with an odds ratio of 2.05 ( 1.01 - 4.14 [;] p=0.046 ) . 0 ###LEFT-WALL### 2 d4a 0 ###LEFT-WALL### 20 associated 0 ###LEFT-WALL### 40 . 1 haplogroup 2 d4a 2 d4a 4 which 2 d4a 19 was 3 , 4 which 4 which 5 was 4 which 18 , 5 was 6 previously 5 was 7 reported 7 reported 8 to 7 reported 10 associated 8 to 9 be 9 be 10 associated 10 associated 11 with 10 associated 14 in 11 with 13 longevity 12 extreme 13 longevity 14 in 17 population 15 a 16 japanese 15 a 17 population 16 japanese 17 population 19 was 20 associated 20 associated 21 with 20 associated 25 in 21 with 24 infarction 22 pathological 24 infarction 23 myocardial 24 infarction 25 in 26 men 26 men 27 with 26 men 31 of 26 men 38 p=0.046 27 with 30 ratio 28 an 30 ratio 29 odds 30 ratio 31 of 32 2.05 33 ( 38 p=0.046 34 1.01 35 - 35 - 36 4.14 35 - 38 p=0.046 38 p=0.046 39 ) conclusions : the mitochondrial haplogroups [a] and m7a confer a significant risk for coronary atherosclerosis in the japanese . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 7 and 2 : 9 confer 2 : 19 . 3 the 5 haplogroups 4 mitochondrial 5 haplogroups 5 haplogroups 7 and 7 and 8 m7a 7 and 9 confer 9 confer 12 risk 9 confer 16 in 10 a 11 significant 10 a 12 risk 11 significant 12 risk 12 risk 13 for 13 for 15 atherosclerosis 14 coronary 15 atherosclerosis 16 in 18 japanese 17 the 18 japanese the mitochondrial haplogroup may contribute some genetic risk for coronary heart disease . 0 ###LEFT-WALL### 3 haplogroup 0 ###LEFT-WALL### 5 contribute 0 ###LEFT-WALL### 13 . 1 the 3 haplogroup 2 mitochondrial 3 haplogroup 3 haplogroup 4 may 4 may 5 contribute 5 contribute 8 risk 6 some 8 risk 7 genetic 8 risk 8 risk 9 for 9 for 12 disease 10 coronary 11 heart 11 heart 12 disease the aims of this study were to [evaluate] the ultimate tensile strength ( uts [ )(and elastic modulus [(] e ) of adhesives , and primer/adhesive mixtures after aging for 6 months in water or oil [;] and [to] [compare] silver uptake patterns under the tem . 0 ###LEFT-WALL### 2 aims 0 ###LEFT-WALL### 6 were 1 the 2 aims 2 aims 3 of 2 aims 6 were 3 of 5 study 4 this 5 study 6 were 7 to 7 to 12 strength 9 the 12 strength 10 ultimate 12 strength 11 tensile 12 strength 12 strength 16 )(and 12 strength 22 of 13 ( 16 )(and 14 uts 16 )(and 16 )(and 18 modulus 16 )(and 21 ) 17 elastic 18 modulus 18 modulus 20 e 22 of 25 and 23 adhesives 25 and 24 , 25 and 25 and 27 mixtures 26 primer/adhesive 27 mixtures 27 mixtures 28 after 27 mixtures 30 for 28 after 29 aging 30 for 38 and 31 6 32 months 32 months 33 in 32 months 38 and 33 in 35 or 34 water 35 or 35 or 36 oil 38 and 43 patterns 38 and 47 . 41 silver 43 patterns 42 uptake 43 patterns 43 patterns 44 under 44 under 46 tem 45 the 46 tem a one - step self - etching adhesive ( one - up bond f : ob [ )(, two two - step self - etching primers ( se bond : se and protect bond : cp [ )(, and two etch - and - rinse systems ( single bond : sb and prime&bond nt [:] [pb] ) were used . 0 ###LEFT-WALL### 2 one 0 ###LEFT-WALL### 3 - 1 a 2 one 3 - 5 self 3 - 6 - 4 step 5 self 6 - 12 up 6 - 15 : 7 etching 8 adhesive 7 etching 11 - 7 etching 12 up 8 adhesive 10 one 9 ( 10 one 10 one 11 - 12 up 13 bond 13 bond 14 f 15 : 16 ob 15 : 24 - 16 ob 20 two 18 )(, 20 two 19 two 20 two 20 two 23 self 20 two 24 - 21 - 23 self 22 step 23 self 23 self 24 - 24 - 26 primers 24 - 30 : 25 etching 26 primers 26 primers 29 bond 27 ( 29 bond 28 se 29 bond 29 bond 30 : 30 : 34 bond 30 : 38 )(, 31 se 32 and 32 and 33 protect 33 protect 34 bond 34 bond 35 : 35 : 36 cp 38 )(, 39 and 38 )(, 42 - 39 and 40 two 39 and 41 etch 40 two 41 etch 42 - 43 and 42 - 50 : 43 and 44 - 44 - 45 rinse 45 rinse 46 systems 46 systems 49 bond 47 ( 49 bond 48 single 49 bond 49 bond 50 : 50 : 52 and 50 : 59 used 50 : 60 . 51 sb 52 and 52 and 54 nt 52 and 57 ) 52 and 58 were 53 prime&bond 54 nt 58 were 59 used bonding and primer solutions of self [-] etching systems were also mixed ( se+p and cp+p ) . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 18 . 1 bonding 2 and 2 and 3 primer 2 and 4 solutions 2 and 10 were 2 and 12 mixed 2 and 15 and 4 solutions 5 of 4 solutions 10 were 5 of 9 systems 6 self 8 etching 8 etching 9 systems 11 also 12 mixed 13 ( 15 and 14 se+p 15 and 15 and 16 cp+p 15 and 17 ) most adhesives presented decreased uts after water - storage . 0 ###LEFT-WALL### 2 adhesives 0 ###LEFT-WALL### 4 decreased 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 10 . 1 most 2 adhesives 2 adhesives 3 presented 2 adhesives 4 decreased 4 decreased 5 uts 4 decreased 6 after 6 after 7 water 8 - 9 storage similar or increased uts was observed after oil storage . 0 ###LEFT-WALL### 2 or 0 ###LEFT-WALL### 6 observed 0 ###LEFT-WALL### 10 . 1 similar 2 or 2 or 4 uts 2 or 5 was 3 increased 4 uts 5 was 6 observed 6 observed 7 after 7 after 9 storage 8 oil 9 storage except for sb , [e] values did not change after water - storage , but they increased after storage in oil . 0 ###LEFT-WALL### 6 values 0 ###LEFT-WALL### 9 change 0 ###LEFT-WALL### 15 but 0 ###LEFT-WALL### 22 . 1 except 2 for 1 except 4 , 1 except 6 values 2 for 3 sb 6 values 7 did 7 did 8 not 7 did 9 change 9 change 10 after 10 after 11 water 11 water 13 storage 12 - 13 storage 13 storage 14 , 14 , 15 but 15 but 16 they 15 but 17 increased 16 they 17 increased 17 increased 18 after 17 increased 20 in 18 after 19 storage 20 in 21 oil ob , cp+p and se+p presented more silver uptake . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 6 presented 0 ###LEFT-WALL### 10 . 1 ob 2 , 2 , 3 cp+p 2 , 4 and 4 and 5 se+p 4 and 6 presented 6 presented 9 uptake 7 more 8 silver 8 silver 9 uptake the effects of water [-] storage were material - dependent , and significantly affected the mechanical properties and silver uptake patterns of adhesives . 0 ###LEFT-WALL### 2 effects 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 9 - 1 the 2 effects 2 effects 3 of 2 effects 7 were 3 of 6 storage 4 water 6 storage 7 were 8 material 9 - 12 and 9 - 24 . 10 dependent 12 and 11 , 12 and 12 and 21 patterns 12 and 22 of 13 significantly 14 affected 14 affected 21 patterns 15 the 17 properties 16 mechanical 17 properties 17 properties 18 and 18 and 19 silver 18 and 21 patterns 20 uptake 21 patterns 22 of 23 adhesives during the differentiation of an erythrocyte , the developing erythroblast shuts down expression of most of its genes but preserves high levels of expression of certain key genes , such as those encoding hemoglobin and critical membrane proteins . 0 ###LEFT-WALL### 10 erythroblast 0 ###LEFT-WALL### 19 but 1 during 3 differentiation 1 during 7 , 1 during 10 erythroblast 2 the 3 differentiation 3 differentiation 4 of 4 of 6 erythrocyte 5 an 6 erythrocyte 8 the 10 erythroblast 9 developing 10 erythroblast 10 erythroblast 19 but 11 shuts 12 down 11 shuts 13 expression 11 shuts 19 but 13 expression 14 of 14 of 18 genes 15 most 16 of 15 most 18 genes 16 of 18 genes 17 its 18 genes 19 but 20 preserves 20 preserves 22 levels 21 high 22 levels 22 levels 23 of 23 of 24 expression 24 expression 25 of 25 of 28 genes 26 certain 28 genes 27 key 28 genes 28 genes 31 as 29 , 31 as 30 such 31 as 31 as 35 and 31 as 39 . 32 those 33 encoding 32 those 35 and 33 encoding 34 hemoglobin 35 and 38 proteins 35 and 39 . 36 critical 37 membrane 37 membrane 38 proteins in this issue of the jci [,] gallagher et al . show that a [specialized] type of dna sequence element known as an insulator protects the expression of ankyrin , a key membrane protein . 0 ###LEFT-WALL### 12 show 0 ###LEFT-WALL### 30 , 0 ###LEFT-WALL### 35 . 1 in 3 issue 1 in 12 show 2 this 3 issue 3 issue 4 of 4 of 10 al 5 the 10 al 6 jci 8 gallagher 8 gallagher 10 al 9 et 10 al 10 al 11 . 12 show 13 that 13 that 17 of 13 that 25 protects 14 a 17 of 16 type 17 of 17 of 20 element 17 of 21 known 17 of 25 protects 18 dna 19 sequence 19 sequence 20 element 21 known 22 as 22 as 24 insulator 23 an 24 insulator 25 protects 27 expression 26 the 27 expression 27 expression 28 of 28 of 29 ankyrin 30 , 34 protein 31 a 34 protein 32 key 34 protein 33 membrane 34 protein in several kindreds , mutations in the insulator led to impaired ankyrin expression and congenital hemolytic anemia . 0 ###LEFT-WALL### 5 mutations 0 ###LEFT-WALL### 9 led 0 ###LEFT-WALL### 18 . 1 in 3 kindreds 1 in 4 , 1 in 5 mutations 2 several 3 kindreds 5 mutations 6 in 5 mutations 9 led 6 in 8 insulator 7 the 8 insulator 9 led 10 to 10 to 14 and 11 impaired 12 ankyrin 12 ankyrin 13 expression 13 expression 14 and 14 and 17 anemia 15 congenital 17 anemia 16 hemolytic 17 anemia this work provides important insights into ways in which epigenetic changes can alter gene expression and thereby lead to human disease . 0 ###LEFT-WALL### 2 work 0 ###LEFT-WALL### 3 provides 0 ###LEFT-WALL### 22 . 1 this 2 work 2 work 3 provides 3 provides 5 insights 4 important 5 insights 5 insights 6 into 5 insights 8 in 6 into 7 ways 8 in 9 which 8 in 11 changes 8 in 16 and 10 epigenetic 11 changes 11 changes 16 and 12 can 13 alter 12 can 16 and 13 alter 15 expression 14 gene 15 expression 16 and 18 lead 17 thereby 18 lead 18 lead 19 to 19 to 21 disease 20 human 21 disease background : the need for long - term care services for american indians and alaska natives ( ai/ans ) is great since this population is experiencing some of the highest rates in the united states of chronic disease and disability . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 41 . 1 background 2 : 2 : 4 need 2 : 5 for 3 the 4 need 5 for 6 long 7 - 10 services 8 term 10 services 9 care 10 services 10 services 11 for 10 services 21 great 10 services 24 population 10 services 26 experiencing 11 for 14 and 12 american 13 indians 13 indians 14 and 14 and 15 alaska 14 and 16 natives 14 and 20 is 16 natives 18 ai/ans 16 natives 20 is 17 ( 18 ai/ans 18 ai/ans 19 ) 21 great 22 since 22 since 23 this 24 population 25 is 25 is 26 experiencing 26 experiencing 27 some 26 experiencing 32 in 27 some 28 of 28 of 31 rates 29 the 30 highest 29 the 31 rates 32 in 35 states 33 the 35 states 34 united 35 states 35 states 36 of 36 of 39 and 37 chronic 38 disease 38 disease 39 and 39 and 40 disability methods : between 2005 and 2007 , a survey on access and barriers to long - term care was mailed to key informants at 305 tribes and tribal consortia . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 30 . 1 methods 2 : 2 : 5 and 3 between 5 and 4 2005 5 and 5 and 6 2007 7 , 9 survey 7 , 20 mailed 8 a 9 survey 9 survey 10 on 9 survey 14 to 9 survey 19 was 10 on 12 and 11 access 12 and 12 and 13 barriers 14 to 18 care 15 long 16 - 15 long 17 term 17 term 18 care 19 was 20 mailed 20 mailed 21 to 20 mailed 24 at 21 to 22 key 22 key 23 informants 24 at 27 and 25 305 26 tribes 26 tribes 27 and 27 and 29 consortia 28 tribal 29 consortia targeted key informants included health directors , social service directors , older americans act title vi directors , and community health representative or community health aide directors . 0 ###LEFT-WALL### 3 informants 0 ###LEFT-WALL### 4 included 0 ###LEFT-WALL### 28 . 1 targeted 2 key 2 key 3 informants 3 informants 4 included 4 included 23 or 5 health 6 directors 6 directors 7 , 7 , 10 directors 7 , 11 , 8 social 9 service 9 service 10 directors 11 , 17 directors 11 , 19 and 12 older 13 americans 13 americans 17 directors 14 act 15 title 15 title 16 vi 15 title 17 directors 18 , 19 and 19 and 22 representative 19 and 23 or 20 community 21 health 21 health 22 representative 23 or 27 directors 24 community 25 health 25 health 26 aide 26 aide 27 directors survey - adjusted data were analyzed descriptively . 0 ###LEFT-WALL### 4 data 0 ###LEFT-WALL### 6 analyzed 0 ###LEFT-WALL### 8 . 1 survey 2 - 1 survey 4 data 3 adjusted 4 data 4 data 5 were 5 were 6 analyzed 6 analyzed 7 descriptively results : four hundred and forty - two respondents returned surveys representing 220 tribes and consortia . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 17 . 1 results 2 : 2 : 4 hundred 3 four 4 hundred 5 and 9 respondents 5 and 10 returned 6 forty 7 - 7 - 8 two 7 - 9 respondents 9 respondents 10 returned 10 returned 11 surveys 11 surveys 12 representing 12 representing 15 and 13 220 14 tribes 14 tribes 15 and 15 and 16 consortia human services were overall more available than health services . 0 ###LEFT-WALL### 2 services 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 10 . 1 human 2 services 2 services 3 were 3 were 4 overall 3 were 6 available 5 more 6 available 6 available 7 than 7 than 9 services 8 health 9 services there was a high level of interest for long - term care services among consumers and tribal leaders . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 19 . 1 there 2 was 2 was 5 level 2 was 8 for 3 a 5 level 4 high 5 level 5 level 6 of 6 of 7 interest 8 for 16 and 9 long 10 - 9 long 11 term 11 term 13 services 12 care 13 services 13 services 14 among 13 services 16 and 14 among 15 consumers 16 and 18 leaders 17 tribal 18 leaders funding issues were the most prevalent reported factors adversely affecting long - term care development . 0 ###LEFT-WALL### 1 funding 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 16 . 1 funding 2 issues 1 funding 3 were 3 were 8 factors 4 the 8 factors 5 most 6 prevalent 6 prevalent 8 factors 7 reported 8 factors 8 factors 10 affecting 9 adversely 10 affecting 10 affecting 15 development 11 long 12 - 11 long 13 term 13 term 15 development 14 care 15 development conclusions : efforts are needed to improve ai/ans access to these services . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 efforts 2 : 5 needed 2 : 13 . 3 efforts 4 are 4 are 5 needed 5 needed 6 to 6 to 7 improve 7 improve 9 access 7 improve 10 to 8 ai/ans 9 access 10 to 12 services 11 these 12 services the fto gene has been shown to have a small but robust effect [on] body mass index ( bmi ) [and] to increase the risk for diabetes . 0 ###LEFT-WALL### 3 gene 0 ###LEFT-WALL### 8 have 0 ###LEFT-WALL### 28 . 1 the 3 gene 2 fto 3 gene 3 gene 4 has 4 has 5 been 5 been 6 shown 6 shown 7 to 7 to 8 have 8 have 17 index 8 have 22 to 9 a 17 index 10 small 11 but 11 but 12 robust 11 but 13 effect 13 effect 17 index 15 body 17 index 16 mass 17 index 17 index 19 bmi 18 ( 19 bmi 19 bmi 20 ) 22 to 23 increase 23 increase 25 risk 24 the 25 risk 25 risk 26 for 26 for 27 diabetes both high bmi and diabetes are vascular risk factors that might play a role in the development of alzheimer 's disease ( ad ) and dementia . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 27 . 1 both 3 bmi 2 high 3 bmi 3 bmi 4 and 4 and 5 diabetes 4 and 6 are 6 are 9 factors 7 vascular 9 factors 8 risk 9 factors 9 factors 10 that 9 factors 11 might 10 that 11 might 11 might 12 play 12 play 14 role 12 play 15 in 13 a 14 role 15 in 25 and 16 the 17 development 17 development 18 of 17 development 25 and 18 of 21 disease 19 alzheimer 20 's 20 's 21 disease 21 disease 23 ad 22 ( 23 ad 23 ad 24 ) 25 and 26 dementia thus , our aim was to explore the impact of fto on ad and dementia risk . 0 ###LEFT-WALL### 4 aim 0 ###LEFT-WALL### 17 . 1 thus 2 , 1 thus 4 aim 3 our 4 aim 4 aim 5 was 5 was 6 to 5 was 7 explore 6 to 7 explore 7 explore 9 impact 7 explore 12 on 8 the 9 impact 9 impact 10 of 10 of 11 fto 12 on 14 and 13 ad 14 and 14 and 16 risk 15 dementia 16 risk nine years of [follow] - up data was gathered from the kungsholmen project , a prospective population - based study on 1,003 persons without dementia . 0 ###LEFT-WALL### 2 years 0 ###LEFT-WALL### 19 based 0 ###LEFT-WALL### 26 . 1 nine 2 years 2 years 7 data 2 years 9 gathered 2 years 17 population 2 years 19 based 3 of 6 up 3 of 7 data 5 - 6 up 7 data 8 was 8 was 9 gathered 9 gathered 10 from 10 from 13 project 11 the 13 project 12 kungsholmen 13 project 14 , 17 population 15 a 16 prospective 15 a 17 population 16 prospective 17 population 17 population 18 - 19 based 20 study 19 based 21 on 19 based 24 without 21 on 23 persons 22 1,003 23 persons 24 without 25 dementia cox - regression models were used to assess the relative risks of developing ad and dementia ( dsm - iii - r [criteria] ) according to fto [genotypes] ( rs9939609 ) , taking into account apoe , physical inactivity , bmi , diabetes , and cardiovascular disease ( cvd ) . 0 ###LEFT-WALL### 4 models 0 ###LEFT-WALL### 51 . 1 cox 2 - 1 cox 4 models 3 regression 4 models 4 models 5 were 5 were 6 used 6 used 7 to 6 used 8 assess 7 to 8 assess 8 assess 11 risks 8 assess 26 to 9 the 11 risks 10 relative 11 risks 11 risks 12 of 12 of 13 developing 13 developing 15 and 14 ad 15 and 15 and 16 dementia 15 and 18 dsm 17 ( 18 dsm 18 dsm 21 - 18 dsm 24 ) 19 - 21 - 20 iii 21 - 21 - 22 r 21 - 24 ) 25 according 26 to 26 to 27 fto 27 fto 30 rs9939609 27 fto 33 taking 27 fto 41 bmi 29 ( 30 rs9939609 30 rs9939609 31 ) 32 , 33 taking 33 taking 34 into 33 taking 40 , 34 into 36 apoe 35 account 36 apoe 36 apoe 39 inactivity 37 , 39 inactivity 38 physical 39 inactivity 39 inactivity 40 , 40 , 41 bmi 41 bmi 45 and 41 bmi 50 ) 42 , 45 and 43 diabetes 45 and 44 , 45 and 45 and 47 disease 45 and 49 cvd 45 and 50 ) 46 cardiovascular 47 disease 48 ( 49 cvd 49 cvd 50 ) [compared] [to] [carriers] [of] the fto tt - genotype [,] aa - carriers had a higher risk for ad ( [rr] 1.58 , 95 % ci : 1.11 - 2.24 ) and for dementia ( [rr] 1.48 , 95 % ci : 1.09 - 2.02 ) after adjustment for age , gender , education , and apoe [genotype] . 0 ###LEFT-WALL### 7 tt 0 ###LEFT-WALL### 8 - 5 the 7 tt 6 fto 7 tt 8 - 9 genotype 8 - 12 - 9 genotype 11 aa 12 - 13 carriers 12 - 14 had 12 - 23 , 13 carriers 14 had 14 had 17 risk 14 had 18 for 15 a 17 risk 16 higher 17 risk 18 for 19 ad 19 ad 22 1.58 20 ( 22 1.58 22 1.58 23 , 23 , 26 ci 23 , 27 : 23 , 32 and 24 95 26 ci 25 % 26 ci 26 ci 27 : 27 : 28 1.11 28 1.11 30 2.24 29 - 30 2.24 30 2.24 31 ) 32 and 41 ci 33 for 34 dementia 33 for 41 ci 34 dementia 37 1.48 35 ( 37 1.48 37 1.48 38 , 39 95 41 ci 40 % 41 ci 41 ci 42 : 42 : 43 1.09 42 : 47 after 42 : 49 for 43 1.09 45 2.02 44 - 45 2.02 45 2.02 46 ) 47 after 48 adjustment 49 for 56 and 50 age 51 , 51 , 52 gender 51 , 53 , 53 , 54 education 53 , 56 and 55 , 56 and 56 and 57 apoe 56 and 59 . this effect remained after additional adjustment for physical inactivity , bmi , diabetes , and cvd . 0 ###LEFT-WALL### 2 effect 0 ###LEFT-WALL### 3 remained 0 ###LEFT-WALL### 17 . 1 this 2 effect 2 effect 3 remained 3 remained 4 after 3 remained 7 for 4 after 6 adjustment 5 additional 6 adjustment 7 for 15 and 8 physical 9 inactivity 9 inactivity 10 , 10 , 11 bmi 10 , 15 and 11 bmi 13 diabetes 12 , 13 diabetes 13 diabetes 14 , 14 , 15 and 15 and 16 cvd an interaction between fto and apoe was found , with increased risk for dementia for those carrying both fto aa and apoe ϵ4 . 0 ###LEFT-WALL### 2 interaction 0 ###LEFT-WALL### 8 found 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 24 . 1 an 2 interaction 2 interaction 3 between 2 interaction 7 was 3 between 6 apoe 4 fto 5 and 5 and 6 apoe 7 was 8 found 9 , 21 and 9 , 23 ϵ4 10 with 12 risk 10 with 17 carrying 10 with 21 and 11 increased 12 risk 12 risk 13 for 13 for 14 dementia 14 dementia 15 for 15 for 16 those 17 carrying 18 both 19 fto 20 aa 20 aa 21 and 21 and 22 apoe 21 and 23 ϵ4 importantly , the effect of the aa [-] [genotype] on dementia/ad risk seems to act mostly through the interaction with apoe ϵ4 . 0 ###LEFT-WALL### 4 effect 0 ###LEFT-WALL### 13 seems 0 ###LEFT-WALL### 23 . 1 importantly 2 , 1 importantly 4 effect 3 the 4 effect 4 effect 5 of 4 effect 13 seems 5 of 7 aa 6 the 7 aa 7 aa 10 on 10 on 12 risk 11 dementia/ad 12 risk 13 seems 14 to 13 seems 15 act 14 to 15 act 15 act 16 mostly 15 act 20 with 15 act 22 ϵ4 16 mostly 17 through 17 through 19 interaction 18 the 19 interaction 20 with 21 apoe our findings suggest that the fto aa [-] genotype [increases] the risk for dementia , and in particular ad , independently of physical inactivity , bmi , diabetes , and cvd measured at baseline . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 35 . 1 our 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 7 aa 4 that 9 genotype 5 the 7 aa 6 fto 7 aa 9 genotype 12 risk 9 genotype 16 and 9 genotype 21 independently 11 the 12 risk 13 for 14 dementia 13 for 16 and 15 , 16 and 16 and 17 in 17 in 19 ad 18 particular 19 ad 20 , 21 independently 21 independently 22 of 21 independently 25 , 22 of 24 inactivity 23 physical 24 inactivity 25 , 30 and 26 bmi 27 , 27 , 28 diabetes 27 , 30 and 29 , 30 and 30 and 31 cvd 30 and 32 measured 32 measured 33 at 33 at 34 baseline our results are in line with the recently reported association between fto and reduced brain volume in cognitively healthy subjects . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 21 . 1 our 2 results 2 results 3 are 3 are 5 line 3 are 6 with 4 in 5 line 6 with 13 and 7 the 10 association 8 recently 9 reported 9 reported 10 association 10 association 11 between 10 association 13 and 11 between 12 fto 13 and 16 volume 14 reduced 15 brain 15 brain 16 volume 16 volume 17 in 17 in 20 subjects 18 cognitively 19 healthy 19 healthy 20 subjects no synthase , type i ( nos - i ) has been suggested to play a role in the etiology of alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 2 synthase 0 ###LEFT-WALL### 13 suggested 0 ###LEFT-WALL### 28 . 1 no 2 synthase 2 synthase 4 type 2 synthase 11 has 3 , 4 type 4 type 5 i 4 type 8 - 4 type 10 ) 6 ( 8 - 7 nos 8 - 8 - 9 i 8 - 10 ) 11 has 12 been 12 been 13 suggested 13 suggested 14 to 14 to 15 play 15 play 17 role 15 play 18 in 16 a 17 role 18 in 20 etiology 19 the 20 etiology 20 etiology 21 of 21 of 24 disease 22 alzheimer 23 's 23 's 24 disease 24 disease 26 ad 25 ( 26 ad 26 ad 27 ) the gene encoding nos [-] i harbors at least nine alternative first exons ; in the promoter region of exon 1f , a polymorphic repeat [(] nos1 ex1f - vntr ) has been described which influences gene expression and neuronal transcriptome . 0 ###LEFT-WALL### 2 gene 0 ###LEFT-WALL### 7 harbors 0 ###LEFT-WALL### 14 ; 0 ###LEFT-WALL### 42 . 1 the 2 gene 2 gene 3 encoding 2 gene 7 harbors 3 encoding 4 nos 4 nos 6 i 7 harbors 13 exons 8 at 9 least 9 least 10 nine 10 nine 13 exons 11 alternative 13 exons 12 first 13 exons 14 ; 25 repeat 15 in 18 region 15 in 22 , 15 in 25 repeat 16 the 18 region 17 promoter 18 region 18 region 19 of 19 of 21 1f 20 exon 21 1f 23 a 25 repeat 24 polymorphic 25 repeat 25 repeat 28 ex1f 25 repeat 33 been 25 repeat 34 described 27 nos1 28 ex1f 28 ex1f 30 vntr 28 ex1f 32 has 29 - 30 vntr 30 vntr 31 ) 32 has 33 been 34 described 35 which 35 which 36 influences 36 influences 41 transcriptome 37 gene 38 expression 38 expression 39 and 39 and 40 neuronal 39 and 41 transcriptome we have shown that short alleles of this repeat are associated with ad . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 shown 0 ###LEFT-WALL### 14 . 1 we 2 have 2 have 3 shown 3 shown 4 that 4 that 6 alleles 4 that 11 associated 5 short 6 alleles 6 alleles 7 of 6 alleles 10 are 7 of 9 repeat 8 this 9 repeat 10 are 11 associated 11 associated 12 with 12 with 13 ad here , we sought to further explore this finding by investigating a longitudinal cohort sample from the vienna - transdanube - aging ( vita ) study consisting of 606 subjects enrolled at the age of 75 ( of these , [genotypes] [were] available for 574 subjects [ )(and followed up for 60 months . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 sought 1 here 2 , 1 here 3 we 3 we 4 sought 4 sought 5 to 4 sought 9 finding 5 to 7 explore 6 further 7 explore 8 this 9 finding 9 finding 10 by 9 finding 16 from 10 by 11 investigating 11 investigating 15 sample 12 a 15 sample 13 longitudinal 15 sample 14 cohort 15 sample 16 from 27 consisting 17 the 27 consisting 18 vienna 20 transdanube 18 vienna 22 aging 18 vienna 24 vita 18 vienna 26 study 19 - 20 transdanube 20 transdanube 21 - 21 - 22 aging 23 ( 24 vita 24 vita 25 ) 26 study 27 consisting 27 consisting 28 of 27 consisting 31 enrolled 28 of 30 subjects 29 606 30 subjects 31 enrolled 32 at 32 at 34 age 33 the 34 age 34 age 35 of 34 age 43 available 35 of 36 75 36 75 38 of 37 ( 38 of 38 of 39 these 38 of 40 , 40 , 43 available 43 available 44 for 43 available 54 . 44 for 45 574 45 574 48 )(and 45 574 51 for 46 subjects 48 )(and 48 )(and 49 followed 48 )(and 50 up 51 for 53 months 52 60 53 months the ex1f - vntr risk [genotype] was associated with ad in the total sample and at the second [follow] - up . 0 ###LEFT-WALL### 5 risk 0 ###LEFT-WALL### 8 associated 0 ###LEFT-WALL### 22 . 1 the 5 risk 2 ex1f 3 - 2 ex1f 5 risk 4 vntr 5 risk 5 risk 7 was 7 was 8 associated 8 associated 9 with 8 associated 20 - 8 associated 21 up 9 with 10 ad 10 ad 15 and 11 in 14 sample 11 in 15 and 12 the 14 sample 13 total 14 sample 15 and 16 at 16 at 18 second 17 the 18 second thus , either long alleles of nos1 ex1f - vntr are protective against disease or conversely , short alleles predispose [to] earlier onset [of] disease . 0 ###LEFT-WALL### 5 alleles 0 ###LEFT-WALL### 11 are 0 ###LEFT-WALL### 15 or 0 ###LEFT-WALL### 26 . 1 thus 2 , 1 thus 5 alleles 3 either 4 long 4 long 5 alleles 5 alleles 6 of 5 alleles 11 are 6 of 10 vntr 7 nos1 10 vntr 8 ex1f 9 - 8 ex1f 10 vntr 11 are 12 protective 12 protective 13 against 13 against 14 disease 15 or 19 alleles 15 or 20 predispose 16 conversely 17 , 16 conversely 19 alleles 18 short 19 alleles 19 alleles 20 predispose 20 predispose 25 disease 22 earlier 23 onset 23 onset 25 disease as demonstrated , ex1f - vntr interacted with the apolipoprotein e ε4 risk allele ( or in the presence of [both] risk alleles 3.63 ; 95 % ci : 1.45 - 9.12 ) . 0 ###LEFT-WALL### 6 vntr 0 ###LEFT-WALL### 7 interacted 0 ###LEFT-WALL### 25 ; 0 ###LEFT-WALL### 34 . 1 as 2 demonstrated 1 as 6 vntr 2 demonstrated 3 , 4 ex1f 5 - 4 ex1f 6 vntr 6 vntr 7 interacted 7 interacted 8 with 8 with 14 allele 9 the 14 allele 10 apolipoprotein 11 e 10 apolipoprotein 14 allele 12 ε4 14 allele 13 risk 14 allele 14 allele 16 or 15 ( 16 or 16 or 17 in 16 or 20 of 16 or 25 ; 17 in 19 presence 18 the 19 presence 20 of 23 alleles 22 risk 23 alleles 23 alleles 24 3.63 25 ; 28 ci 25 ; 29 : 26 95 28 ci 27 % 28 ci 29 : 30 1.45 30 1.45 32 9.12 31 - 32 9.12 32 9.12 33 ) these findings provide further evidence for an association of nos1 with ad . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 provide 0 ###LEFT-WALL### 13 . 1 these 2 findings 2 findings 3 provide 3 provide 5 evidence 3 provide 11 with 4 further 5 evidence 5 evidence 6 for 6 for 8 association 7 an 8 association 8 association 9 of 9 of 10 nos1 11 with 12 ad the objective was to study the association between cerebrospinal fluid ( csf ) levels of amyloid - β ( aβ ) ( 1 - 42 ) , t - tau , [and] p - tau and cognitive performance along the alzheimer 's disease ( ad ) [continuum] from healthy subjects to ad patients and , specifically , among patients in the pre - dementia stage of the disease . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 3 was 1 the 2 objective 2 objective 3 was 3 was 4 to 3 was 24 - 3 was 29 - 4 to 5 study 5 study 7 association 5 study 8 between 6 the 7 association 8 between 14 levels 9 cerebrospinal 14 levels 10 fluid 12 csf 10 fluid 13 ) 10 fluid 14 levels 11 ( 12 csf 12 csf 13 ) 14 levels 15 of 15 of 18 β 16 amyloid 17 - 16 amyloid 18 β 18 β 20 aβ 19 ( 20 aβ 20 aβ 21 ) 22 ( 24 - 23 1 24 - 24 - 25 42 24 - 26 ) 27 , 29 - 28 t 29 - 29 - 30 tau 29 - 69 . 30 tau 34 - 31 , 34 - 33 p 34 - 34 - 36 and 34 - 69 . 35 tau 36 and 36 and 38 performance 36 and 46 ) 36 and 48 from 37 cognitive 38 performance 38 performance 39 along 39 along 43 disease 40 the 41 alzheimer 41 alzheimer 42 's 42 's 43 disease 43 disease 45 ad 44 ( 45 ad 45 ad 46 ) 48 from 50 subjects 49 healthy 50 subjects 50 subjects 54 and 51 to 53 patients 51 to 54 and 52 ad 53 patients 54 and 56 specifically 54 and 58 among 55 , 56 specifically 56 specifically 57 , 58 among 59 patients 59 patients 60 in 59 patients 66 of 60 in 65 stage 61 the 65 stage 62 pre 63 - 62 pre 64 dementia 64 dementia 65 stage 66 of 68 disease 67 the 68 disease a total of 101 subjects were studied : 19 healthy controls ( ctr ) , 17 subjects with subjective memory complaints ( smc ) , 47 with mild cognitive impairment ( mci ) , and 18 ad patients . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 8 : 0 ###LEFT-WALL### 39 . 1 a 2 total 2 total 3 of 2 total 6 were 3 of 5 subjects 4 101 5 subjects 6 were 7 studied 8 : 11 controls 8 : 15 , 9 19 11 controls 10 healthy 11 controls 11 controls 13 ctr 12 ( 13 ctr 13 ctr 14 ) 15 , 35 and 16 17 17 subjects 17 subjects 18 with 17 subjects 35 and 18 with 21 complaints 19 subjective 20 memory 20 memory 21 complaints 21 complaints 23 smc 21 complaints 26 47 22 ( 23 smc 23 smc 24 ) 25 , 26 47 26 47 27 with 26 47 32 mci 26 47 33 ) 27 with 30 impairment 28 mild 30 impairment 29 cognitive 30 impairment 31 ( 32 mci 32 mci 33 ) 34 , 35 and 35 and 38 patients 36 18 38 patients 37 ad 38 patients only memory performance significantly correlated with csf levels of aβ ( 1 - 42 ) , t - tau , [and] p - tau along the ad [continuum] . 0 ###LEFT-WALL### 1 only 0 ###LEFT-WALL### 5 correlated 1 only 3 performance 2 memory 3 performance 3 performance 5 correlated 4 significantly 5 correlated 5 correlated 6 with 5 correlated 13 - 5 correlated 18 - 5 correlated 23 - 6 with 8 levels 7 csf 8 levels 8 levels 9 of 9 of 10 aβ 11 ( 13 - 12 1 13 - 13 - 14 42 13 - 15 ) 16 , 18 - 17 t 18 - 18 - 19 tau 18 - 20 , 20 , 23 - 22 p 23 - 23 - 24 tau 23 - 29 . 24 tau 25 along 25 along 27 ad 26 the 27 ad subgroup analyses revealed that in smc patients aβ ( 1 - 42 ) levels positively correlated with the total recall score of the free and cued selective reminding test ( fcrst ) ( r = 0.666 [;] p < 0.005 [ )( digit span ( r = 0.752 [;] p < 0.005 ) , [and] cerad world list learning ( r = 0.697 [;] p < 0.005 ) . 0 ###LEFT-WALL### 2 analyses 0 ###LEFT-WALL### 3 revealed 1 subgroup 2 analyses 2 analyses 3 revealed 3 revealed 4 that 3 revealed 5 in 5 in 8 aβ 6 smc 7 patients 7 patients 8 aβ 8 aβ 14 levels 8 aβ 16 correlated 9 ( 11 - 10 1 11 - 11 - 12 42 11 - 13 ) 11 - 14 levels 14 levels 16 correlated 15 positively 16 correlated 16 correlated 17 with 17 with 25 and 18 the 21 score 19 total 21 score 20 recall 21 score 21 score 22 of 21 score 25 and 22 of 24 free 23 the 24 free 25 and 29 test 25 and 31 fcrst 25 and 35 = 26 cued 27 selective 27 selective 28 reminding 28 reminding 29 test 30 ( 31 fcrst 31 fcrst 32 ) 33 ( 35 = 34 r 35 = 35 = 36 0.666 36 0.666 39 < 38 p 39 < 39 < 44 span 40 0.005 44 span 43 digit 44 span 44 span 47 = 45 ( 47 = 46 r 47 = 47 = 48 0.752 48 0.752 51 < 48 0.752 58 list 50 p 51 < 51 < 52 0.005 51 < 53 ) 54 , 58 list 56 cerad 58 list 57 world 58 list 58 list 59 learning 58 list 62 = 58 list 66 < 58 list 69 . 60 ( 62 = 61 r 62 = 62 = 63 0.697 65 p 66 < 66 < 67 0.005 66 < 68 ) in [mci] patients , a significant inverse correlation was found between the word list recall score from the cerad and [t] [-] tau ( r = - 0.483 [;] p < 0.005 [ )( [p] [-] tau levels ( r = - 0.495 [;] p < 0.005 ) , as well as between the total recall subtest score from the fcrst and both [t] - tau ( r = - 0.420 [;] p < 0.005 ) [and] [p] - tau levels ( r = - 0.422 [;] p < 0.005 ) . 0 ###LEFT-WALL### 8 correlation 0 ###LEFT-WALL### 10 found 1 in 3 patients 1 in 4 , 1 in 8 correlation 5 a 6 significant 5 a 8 correlation 6 significant 8 correlation 7 inverse 8 correlation 8 correlation 9 was 9 was 10 found 10 found 11 between 11 between 16 score 12 the 16 score 13 word 14 list 14 list 15 recall 15 recall 16 score 16 score 17 from 17 from 20 and 18 the 19 cerad 19 cerad 20 and 20 and 23 tau 20 and 26 = 20 and 31 < 24 ( 26 = 25 r 26 = 26 = 28 0.483 27 - 28 0.483 30 p 31 < 31 < 32 0.005 32 0.005 37 tau 32 0.005 38 levels 37 tau 38 levels 38 levels 42 - 38 levels 50 as 39 ( 42 - 40 r 41 = 41 = 42 - 42 - 43 0.495 42 - 49 , 43 0.495 46 < 45 p 46 < 46 < 47 0.005 46 < 48 ) 50 as 62 and 51 well 52 as 51 well 59 from 51 well 62 and 52 as 53 between 53 between 58 score 54 the 58 score 55 total 56 recall 56 recall 57 subtest 57 subtest 58 score 59 from 61 fcrst 60 the 61 fcrst 62 and 63 both 62 and 65 - 62 and 70 - 65 - 70 - 66 tau 69 = 67 ( 69 = 68 r 69 = 69 = 70 - 70 - 71 0.420 71 0.420 74 < 71 0.420 81 levels 73 p 74 < 74 < 75 0.005 74 < 76 ) 79 - 81 levels 80 tau 81 levels 81 levels 85 - 81 levels 92 . 82 ( 85 - 83 r 84 = 84 = 85 - 85 - 86 0.422 85 - 92 . 86 0.422 89 < 88 p 89 < 89 < 90 0.005 89 < 91 ) no significant correlations were found between other aspects of cognition and csf levels in ctr or ad patients . 0 ###LEFT-WALL### 3 correlations 0 ###LEFT-WALL### 5 found 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 19 . 1 no 3 correlations 2 significant 3 correlations 3 correlations 4 were 4 were 5 found 5 found 6 between 6 between 8 aspects 7 other 8 aspects 8 aspects 9 of 9 of 10 cognition 11 and 12 csf 11 and 13 levels 12 csf 13 levels 13 levels 14 in 14 in 16 or 15 ctr 16 or 16 or 18 patients 17 ad 18 patients these results indicate that memory performance is related to aβ ( 1 - 42 ) levels in smc , while it is associated with tau in the prodromal stage of the disease . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 8 related 1 these 2 results 2 results 3 indicate 3 indicate 4 that 4 that 5 memory 4 that 8 related 5 memory 6 performance 5 memory 7 is 5 memory 8 related 6 performance 7 is 8 related 9 to 8 related 20 while 8 related 33 . 9 to 16 levels 10 aβ 16 levels 11 ( 13 - 12 1 13 - 13 - 14 42 13 - 15 ) 13 - 16 levels 16 levels 17 in 17 in 18 smc 19 , 20 while 20 while 21 it 20 while 23 associated 20 while 33 . 21 it 22 is 22 is 23 associated 23 associated 24 with 23 associated 26 in 24 with 25 tau 26 in 29 stage 27 the 29 stage 28 prodromal 29 stage 29 stage 30 of 30 of 32 disease 31 the 32 disease this suggests [that] in the [continuum] [from] healthy aging to ad , memory performance is first related with aβ ( 1 - 42 ) levels and then with t - [tau] [or] p [-] tau , before becoming independent of biomarker levels in the dementia stage . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 suggests 1 this 2 suggests 2 suggests 4 in 2 suggests 12 , 4 in 9 aging 5 the 9 aging 8 healthy 9 aging 9 aging 10 to 10 to 11 ad 12 , 17 related 13 memory 14 performance 14 performance 15 is 15 is 16 first 15 is 17 related 17 related 26 and 18 with 25 levels 18 with 26 and 19 aβ 25 levels 20 ( 22 - 21 1 22 - 22 - 23 42 22 - 24 ) 22 - 25 levels 26 and 27 then 26 and 28 with 28 with 35 tau 29 t 30 - 30 - 33 p 30 - 35 tau 35 tau 37 before 36 , 37 before 37 before 38 becoming 37 before 47 . 38 becoming 39 independent 38 becoming 43 in 39 independent 40 of 40 of 42 levels 41 biomarker 42 levels 43 in 46 stage 44 the 46 stage 45 dementia 46 stage the pharmacodynamics and pharmacokinetics of medications , their therapeutic and toxic effects are age dependant . 0 ###LEFT-WALL### 15 dependant 0 ###LEFT-WALL### 16 . 1 the 2 pharmacodynamics 2 pharmacodynamics 3 and 3 and 4 pharmacokinetics 3 and 7 , 3 and 12 effects 3 and 14 age 3 and 15 dependant 4 pharmacokinetics 5 of 5 of 6 medications 8 their 12 effects 9 therapeutic 10 and 10 and 11 toxic 10 and 12 effects 12 effects 13 are 13 are 14 age in the treatment of old people polypharmacy is widely used . 0 ###LEFT-WALL### 1 in 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 11 . 1 in 3 treatment 1 in 8 is 2 the 3 treatment 3 treatment 4 of 4 of 6 people 5 old 6 people 7 polypharmacy 8 is 8 is 10 used 9 widely 10 used the most common results of polypharmacy are increased adverse drug reactions , drug - drug interactions . 0 ###LEFT-WALL### 4 results 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 14 - 1 the 2 most 2 most 4 results 3 common 4 results 4 results 5 of 4 results 7 are 5 of 6 polypharmacy 7 are 12 , 8 increased 11 reactions 8 increased 12 , 9 adverse 10 drug 10 drug 11 reactions 12 , 13 drug 14 - 15 drug 14 - 17 . 15 drug 16 interactions in this study the use of different medications at the departments of general medicine and cardiology ( tbilisi republic hospital ) was analyzed . 0 ###LEFT-WALL### 5 use 0 ###LEFT-WALL### 22 was 0 ###LEFT-WALL### 24 . 1 in 3 study 1 in 5 use 2 this 3 study 4 the 5 use 5 use 6 of 5 use 9 at 5 use 22 was 6 of 8 medications 7 different 8 medications 9 at 15 and 10 the 11 departments 11 departments 12 of 11 departments 15 and 12 of 14 medicine 13 general 14 medicine 15 and 16 cardiology 16 cardiology 20 hospital 17 ( 20 hospital 18 tbilisi 19 republic 19 republic 20 hospital 20 hospital 21 ) 22 was 23 analyzed [the] case histories ( 1995 , 2000 and 2005 [ )(of 1708 patients were studied . 0 ###LEFT-WALL### 2 case 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 16 . 2 case 3 histories 3 histories 5 1995 4 ( 5 1995 5 1995 6 , 6 , 8 and 6 , 15 studied 7 2000 8 and 8 and 9 2005 8 and 11 )(of 8 and 14 were 11 )(of 13 patients 12 1708 13 patients 14 were 15 studied it was found that in 2005 the number of 60 years and older patients has doubled comparably with 1995 , but the number of 24 - 44 years old patients remained almost the same . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 found 0 ###LEFT-WALL### 21 but 0 ###LEFT-WALL### 35 . 1 it 2 was 2 was 3 found 3 found 4 that 4 that 5 in 5 in 6 2005 6 2005 8 number 6 2005 16 doubled 7 the 8 number 8 number 9 of 8 number 15 has 9 of 14 patients 10 60 11 years 11 years 12 and 12 and 13 older 12 and 14 patients 15 has 16 doubled 16 doubled 17 comparably 16 doubled 18 with 18 with 19 1995 20 , 21 but 21 but 30 patients 21 but 31 remained 22 the 23 number 23 number 24 of 23 number 30 patients 24 of 30 patients 25 24 26 - 26 - 27 44 26 - 30 patients 27 44 28 years 28 years 30 patients 29 old 30 patients 30 patients 31 remained 31 remained 34 same 32 almost 34 same 33 the 34 same the complication rate was higher in elderly as compared [with] younger patients . 0 ###LEFT-WALL### 3 rate 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 13 . 1 the 3 rate 2 complication 3 rate 3 rate 4 was 4 was 5 higher 5 higher 6 in 6 in 12 patients 7 elderly 12 patients 8 as 9 compared 9 compared 12 patients 11 younger 12 patients it was found that in treatment of elderly population hypotensive drugs , diuretics and cardiac glycosides are used excessively . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 found 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 20 . 1 it 2 was 2 was 3 found 3 found 4 that 3 found 5 in 5 in 6 treatment 6 treatment 7 of 7 of 11 drugs 8 elderly 9 population 9 population 11 drugs 10 hypotensive 11 drugs 12 , 14 and 12 , 18 used 13 diuretics 14 and 14 and 16 glycosides 14 and 17 are 15 cardiac 16 glycosides 17 are 18 used 18 used 19 excessively in the case of excess use of antihypertension medications there is a big risk of developing arterial hypotension . 0 ###LEFT-WALL### 10 there 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 19 . 1 in 3 case 1 in 10 there 2 the 3 case 3 case 4 of 4 of 6 use 5 excess 6 use 6 use 7 of 7 of 9 medications 8 antihypertension 9 medications 10 there 11 is 11 is 14 risk 12 a 13 big 12 a 14 risk 13 big 14 risk 14 risk 15 of 15 of 16 developing 16 developing 18 hypotension 17 arterial 18 hypotension in old people it may lead to orthostatic hypotension , in youth - to dizziness . 0 ###LEFT-WALL### 4 it 0 ###LEFT-WALL### 6 lead 0 ###LEFT-WALL### 16 . 1 in 3 people 1 in 4 it 2 old 3 people 4 it 5 may 5 may 6 lead 6 lead 7 to 6 lead 14 to 7 to 9 hypotension 8 orthostatic 9 hypotension 9 hypotension 11 in 10 , 11 in 11 in 12 youth 11 in 13 - 14 to 15 dizziness the frequent use of diuretics in old people may be accompanied with dehydration and risk of developing thromb formation . 0 ###LEFT-WALL### 3 use 0 ###LEFT-WALL### 11 accompanied 0 ###LEFT-WALL### 20 . 1 the 3 use 2 frequent 3 use 3 use 4 of 3 use 9 may 4 of 5 diuretics 5 diuretics 6 in 6 in 8 people 7 old 8 people 9 may 10 be 10 be 11 accompanied 11 accompanied 12 with 12 with 14 and 13 dehydration 14 and 14 and 15 risk 14 and 16 of 16 of 17 developing 17 developing 19 formation 18 thromb 19 formation hyponatraemia , hypokalaemia , hypomagnesemia lead [to] heart rhythm disturbances and risk of glycoside intoxication . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 16 . 1 hyponatraemia 2 , 2 , 3 hypokalaemia 2 , 4 , 4 , 10 disturbances 4 , 11 and 5 hypomagnesemia 6 lead 6 lead 10 disturbances 8 heart 10 disturbances 9 rhythm 10 disturbances 11 and 12 risk 11 and 13 of 13 of 15 intoxication 14 glycoside 15 intoxication in old people the therapeutical doses of diuretics depend [not] only on their biological activity , but also on the ability of their absorption from the gastrointestinal tract [,] on the organism 's resistance and in the case of repeated intake on their cumulation quality and extraction . 0 ###LEFT-WALL### 6 doses 0 ###LEFT-WALL### 9 depend 0 ###LEFT-WALL### 48 . 1 in 3 people 1 in 6 doses 2 old 3 people 4 the 6 doses 5 therapeutical 6 doses 6 doses 7 of 6 doses 9 depend 7 of 8 diuretics 9 depend 11 only 9 depend 42 on 11 only 17 but 12 on 15 activity 12 on 17 but 13 their 15 activity 14 biological 15 activity 16 , 17 but 17 but 18 also 17 but 19 on 19 on 21 ability 20 the 21 ability 21 ability 22 of 22 of 24 absorption 23 their 24 absorption 24 absorption 25 from 24 absorption 35 and 25 from 28 tract 26 the 28 tract 27 gastrointestinal 28 tract 30 on 34 resistance 30 on 35 and 31 the 32 organism 32 organism 33 's 33 's 34 resistance 35 and 36 in 36 in 38 case 37 the 38 case 38 case 39 of 39 of 41 intake 40 repeated 41 intake 42 on 46 and 43 their 45 quality 44 cumulation 45 quality 45 quality 46 and 46 and 47 extraction recent reports have shown that statin ( hmg - coa reductase inhibitors ) may have the potential to inhibit inflammatory arthritis . 0 ###LEFT-WALL### 2 reports 0 ###LEFT-WALL### 4 shown 0 ###LEFT-WALL### 22 . 1 recent 2 reports 2 reports 3 have 3 have 4 shown 4 shown 5 that 5 that 6 statin 5 that 15 have 6 statin 8 hmg 6 statin 12 inhibitors 6 statin 14 may 7 ( 8 hmg 8 hmg 9 - 9 - 12 inhibitors 10 coa 12 inhibitors 11 reductase 12 inhibitors 12 inhibitors 13 ) 14 may 15 have 15 have 17 potential 15 have 18 to 16 the 17 potential 18 to 19 inhibit 19 inhibit 21 arthritis 20 inflammatory 21 arthritis more recently , the idea that chondrocyte aging is closely associated with the progression of cartilage degeneration has been promulgated . 0 ###LEFT-WALL### 5 idea 0 ###LEFT-WALL### 20 promulgated 0 ###LEFT-WALL### 21 . 1 more 2 recently 2 recently 3 , 2 recently 5 idea 4 the 5 idea 5 idea 6 that 5 idea 18 has 6 that 7 chondrocyte 6 that 11 associated 7 chondrocyte 8 aging 7 chondrocyte 9 is 9 is 11 associated 10 closely 11 associated 11 associated 12 with 12 with 14 progression 13 the 14 progression 14 progression 15 of 15 of 17 degeneration 16 cartilage 17 degeneration 18 has 19 been 19 been 20 promulgated here , we demonstrate the potential of statin as protective agents against chondrocyte aging and degeneration of articular cartilage during the progression of osteoarthritis ( oa ) , [both] in vitro and in vivo . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 demonstrate 0 ###LEFT-WALL### 35 . 1 here 2 , 1 here 3 we 3 we 4 demonstrate 4 demonstrate 6 potential 4 demonstrate 9 as 4 demonstrate 32 and 5 the 6 potential 6 potential 7 of 7 of 8 statin 9 as 15 and 10 protective 11 agents 11 agents 12 against 11 agents 15 and 12 against 13 chondrocyte 13 chondrocyte 14 aging 15 and 16 degeneration 15 and 28 , 16 degeneration 17 of 17 of 19 cartilage 18 articular 19 cartilage 19 cartilage 20 during 19 cartilage 23 of 20 during 22 progression 21 the 22 progression 23 of 24 osteoarthritis 24 osteoarthritis 26 oa 25 ( 26 oa 26 oa 27 ) 30 in 31 vitro 31 vitro 32 and 32 and 34 vivo 33 in 34 vivo the oa - related catabolic factor , il - 1β induced marked downregulation of cellular activity , expression of a senescent biomarker , specific senescence - associated β - galactosidase activity and shortening of the cellular lifespan in chondrocytes . 0 ###LEFT-WALL### 2 oa 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 10 1β 0 ###LEFT-WALL### 40 . 1 the 2 oa 3 - 6 factor 3 - 7 , 4 related 6 factor 5 catabolic 6 factor 7 , 10 1β 8 il 9 - 8 il 10 1β 10 1β 32 and 10 1β 38 in 11 induced 13 downregulation 12 marked 13 downregulation 13 downregulation 14 of 13 downregulation 17 , 14 of 16 activity 15 cellular 16 activity 17 , 18 expression 17 , 32 and 18 expression 19 of 19 of 31 activity 20 a 21 senescent 20 a 31 activity 21 senescent 30 galactosidase 22 biomarker 25 senescence 22 biomarker 30 galactosidase 23 , 25 senescence 24 specific 25 senescence 25 senescence 28 β 25 senescence 29 - 26 - 28 β 27 associated 28 β 28 β 29 - 30 galactosidase 31 activity 32 and 33 shortening 32 and 34 of 34 of 37 lifespan 35 the 37 lifespan 36 cellular 37 lifespan 38 in 39 chondrocytes in contrast , treatment with statin inhibited the il - 1β - induced production of cartilage matrix degrading [.] enzymes ( metalloprotease - 1 and - 13 ) and cellular senescence [in] of chondrocytes in vitro . 0 ###LEFT-WALL### 4 treatment 0 ###LEFT-WALL### 7 inhibited 0 ###LEFT-WALL### 37 . 1 in 2 contrast 1 in 3 , 1 in 4 treatment 4 treatment 5 with 4 treatment 7 inhibited 5 with 6 statin 7 inhibited 29 and 7 inhibited 36 vitro 8 the 14 production 9 il 11 1β 9 il 13 induced 10 - 11 1β 11 1β 12 - 13 induced 14 production 14 production 15 of 14 production 29 and 15 of 20 enzymes 16 cartilage 20 enzymes 17 matrix 20 enzymes 18 degrading 20 enzymes 20 enzymes 22 metalloprotease 21 ( 22 metalloprotease 22 metalloprotease 25 and 22 metalloprotease 28 ) 23 - 24 1 24 1 25 and 25 and 27 13 26 - 27 13 29 and 31 senescence 29 and 33 of 30 cellular 31 senescence 33 of 34 chondrocytes 35 in 36 vitro in addition , this statin accelerated the production of cartilage matrix proteoglycan in chondrocytes . 0 ###LEFT-WALL### 5 statin 0 ###LEFT-WALL### 6 accelerated 0 ###LEFT-WALL### 15 . 1 in 2 addition 1 in 3 , 1 in 5 statin 4 this 5 statin 5 statin 6 accelerated 6 accelerated 8 production 6 accelerated 13 in 7 the 8 production 8 production 9 of 9 of 12 proteoglycan 10 cartilage 12 proteoglycan 11 matrix 12 proteoglycan 13 in 14 chondrocytes [the] in vivo study was performed on the str/ortcrlj mouse , an experimental model which spontaneously develops an osteoarthritic process . 0 ###LEFT-WALL### 4 study 0 ###LEFT-WALL### 6 performed 2 in 3 vivo 3 vivo 4 study 4 study 5 was 5 was 6 performed 6 performed 7 on 7 on 10 mouse 8 the 10 mouse 9 str/ortcrlj 10 mouse 10 mouse 14 model 11 , 14 model 12 an 13 experimental 12 an 14 model 13 experimental 14 model 14 model 15 which 14 model 17 develops 14 model 21 . 15 which 17 develops 16 spontaneously 17 develops 17 develops 20 process 18 an 19 osteoarthritic 18 an 20 process 19 osteoarthritic 20 process in this mouse model , treatment with statin significantly reduced the degeneration of articular cartilage , while the control knee joints showed progressive cartilage degeneration over time . 0 ###LEFT-WALL### 6 treatment 0 ###LEFT-WALL### 10 reduced 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 28 . 1 in 4 model 1 in 5 , 1 in 6 treatment 2 this 4 model 3 mouse 4 model 6 treatment 7 with 6 treatment 10 reduced 7 with 8 statin 9 significantly 10 reduced 10 reduced 12 degeneration 11 the 12 degeneration 12 degeneration 13 of 13 of 15 cartilage 14 articular 15 cartilage 16 , 21 joints 16 , 22 showed 17 while 19 control 17 while 21 joints 18 the 19 control 20 knee 21 joints 21 joints 22 showed 22 showed 24 cartilage 22 showed 25 degeneration 22 showed 26 over 23 progressive 24 cartilage 26 over 27 time these findings suggest that statin may have the potential to prevent the catabolic stress - induced chondrocyte disability and aging observed in articular cartilage . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 21 observed 1 these 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 5 statin 4 that 11 prevent 5 statin 6 may 6 may 7 have 7 have 9 potential 7 have 10 to 8 the 9 potential 10 to 11 prevent 11 prevent 14 stress 12 the 14 stress 13 catabolic 14 stress 15 - 21 observed 16 induced 18 disability 17 chondrocyte 18 disability 18 disability 19 and 19 and 20 aging 19 and 21 observed 21 observed 22 in 21 observed 25 . 22 in 24 cartilage 23 articular 24 cartilage our results indicate that statin are potential therapeutic agents for protection of articular cartilage against the progression of oa . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 20 . 1 our 2 results 2 results 3 indicate 3 indicate 4 that 4 that 5 statin 4 that 6 are 5 statin 6 are 6 are 9 agents 7 potential 9 agents 8 therapeutic 9 agents 9 agents 10 for 9 agents 12 of 9 agents 18 of 10 for 11 protection 12 of 14 cartilage 13 articular 14 cartilage 14 cartilage 15 against 15 against 17 progression 16 the 17 progression 18 of 19 oa background : in this study , the authors investigate gender - specific effects of childhood socio - economic position [(] sep ) on adiposity and blood pressure at three time points in adulthood . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 34 . 1 background 2 : 2 : 3 in 3 in 5 study 4 this 5 study 6 , 8 authors 6 , 25 and 7 the 8 authors 8 authors 25 and 9 investigate 10 gender 9 investigate 23 on 9 investigate 25 and 10 gender 13 effects 11 - 13 effects 12 specific 13 effects 13 effects 14 of 13 effects 22 ) 14 of 16 socio 15 childhood 16 socio 16 socio 21 sep 17 - 21 sep 18 economic 21 sep 19 position 21 sep 21 sep 22 ) 23 on 24 adiposity 25 and 26 blood 26 blood 27 pressure 27 pressure 28 at 28 at 31 points 29 three 31 points 30 time 31 points 31 points 32 in 32 in 33 adulthood methods : mixed models were used to assess the association of childhood sep with body mass index [(] bmi [ )(, waist circumference [,] systolic blood pressure ( sbp ) and diastolic blood pressure ( dbp ) at ages 36 , [43] and 53 years in a british birth cohort . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 51 . 2 : 3 mixed 2 : 8 assess 3 mixed 5 were 3 mixed 7 to 4 models 5 were 5 were 6 used 7 to 8 assess 8 assess 31 and 8 assess 38 at 9 the 10 association 10 association 11 of 10 association 31 and 11 of 13 sep 12 childhood 13 sep 13 sep 14 with 14 with 19 bmi 15 body 17 index 16 mass 17 index 17 index 19 bmi 19 bmi 27 pressure 21 )(, 27 pressure 22 waist 23 circumference 23 circumference 26 blood 25 systolic 26 blood 26 blood 27 pressure 27 pressure 29 sbp 27 pressure 30 ) 28 ( 29 sbp 29 sbp 30 ) 31 and 34 pressure 31 and 36 dbp 32 diastolic 33 blood 33 blood 34 pressure 35 ( 36 dbp 36 dbp 37 ) 38 at 43 and 39 ages 40 36 39 ages 43 and 41 , 43 and 43 and 45 years 43 and 46 in 44 53 45 years 46 in 50 cohort 47 a 50 cohort 48 british 50 cohort 49 birth 50 cohort childhood sep inequalities in dbp were stable with age in both men and women . 0 ###LEFT-WALL### 3 inequalities 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 15 . 1 childhood 2 sep 2 sep 3 inequalities 3 inequalities 4 in 3 inequalities 6 were 4 in 5 dbp 6 were 7 stable 7 stable 8 with 8 with 13 and 9 age 10 in 9 age 13 and 10 in 12 men 11 both 12 men 13 and 14 women educational attainment mediated some but not all of the effects of childhood sep on adiposity and sbp , and their rate of change ; adult social class was a less important mediator . 0 ###LEFT-WALL### 2 attainment 0 ###LEFT-WALL### 3 mediated 0 ###LEFT-WALL### 24 ; 0 ###LEFT-WALL### 33 . 1 educational 2 attainment 2 attainment 3 mediated 3 mediated 4 some 3 mediated 5 but 5 but 6 not 5 but 10 effects 7 all 8 of 7 all 10 effects 8 of 10 effects 9 the 10 effects 10 effects 11 of 11 of 13 sep 12 childhood 13 sep 13 sep 14 on 13 sep 22 of 14 on 19 and 15 adiposity 16 and 16 and 17 sbp 16 and 19 and 18 , 19 and 19 and 21 rate 20 their 21 rate 22 of 23 change 24 ; 27 class 24 ; 28 was 25 adult 27 class 26 social 27 class 27 class 28 was 28 was 32 mediator 29 a 32 mediator 30 less 31 important 31 important 32 mediator conclusion : childhood sep is important for adult adiposity and blood pressure across midlife , especially for bmi in women and for blood pressure in men . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 sep 2 : 5 is 2 : 27 . 3 childhood 4 sep 4 sep 5 is 5 is 6 important 6 important 7 for 6 important 16 especially 6 important 25 in 7 for 10 and 8 adult 9 adiposity 9 adiposity 10 and 10 and 12 pressure 10 and 15 , 11 blood 12 pressure 12 pressure 13 across 13 across 14 midlife 16 especially 17 for 17 for 18 bmi 18 bmi 21 and 19 in 20 women 19 in 21 and 21 and 22 for 22 for 24 pressure 23 blood 24 pressure 25 in 26 men thus , pathways to adult health differ for men and women , and public health policies aimed at reducing social inequalities need to start early in life and take account [of] gender . 0 ###LEFT-WALL### 3 pathways 0 ###LEFT-WALL### 7 differ 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 33 . 1 thus 2 , 1 thus 3 pathways 3 pathways 4 to 3 pathways 7 differ 4 to 6 health 5 adult 6 health 7 differ 8 for 8 for 9 men 10 and 13 and 10 and 17 aimed 11 women 13 and 12 , 13 and 13 and 16 policies 13 and 17 aimed 14 public 15 health 15 health 16 policies 17 aimed 18 at 17 aimed 23 to 17 aimed 28 and 18 at 19 reducing 19 reducing 22 need 20 social 21 inequalities 21 inequalities 22 need 23 to 28 and 24 start 25 early 24 start 26 in 24 start 28 and 26 in 27 life 28 and 29 take 28 and 32 gender 30 account 32 gender a useful understanding of the relationship between age , actuarial scores , and sexual recidivism can be obtained by comparing the entries in equivalent cells from " age - stratified " actuarial tables . 0 ###LEFT-WALL### 3 understanding 0 ###LEFT-WALL### 18 obtained 0 ###LEFT-WALL### 29 - 0 ###LEFT-WALL### 34 . 1 a 3 understanding 2 useful 3 understanding 3 understanding 4 of 3 understanding 16 can 4 of 6 relationship 5 the 6 relationship 6 relationship 7 between 7 between 13 and 8 age 9 , 9 , 11 scores 9 , 13 and 10 actuarial 11 scores 12 , 13 and 13 and 15 recidivism 14 sexual 15 recidivism 16 can 17 be 17 be 18 obtained 18 obtained 19 by 18 obtained 23 in 18 obtained 26 from 19 by 20 comparing 20 comparing 22 entries 21 the 22 entries 23 in 25 cells 24 equivalent 25 cells 26 from 27 " 26 from 28 age 29 - 33 tables 30 stratified 31 " 30 stratified 33 tables 32 actuarial 33 tables the mats - 1 validates the " age invariance effect " that the risk of sexual recidivism declines with advancing age and shows that age - restricted tables underestimate risk for younger offenders and overestimate risk for older offenders . 0 ###LEFT-WALL### 2 mats 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 40 . 1 the 2 mats 3 - 4 1 3 - 5 validates 3 - 26 - 4 1 5 validates 5 validates 10 effect 5 validates 19 with 6 the 7 " 6 the 10 effect 8 age 10 effect 9 invariance 10 effect 10 effect 11 " 10 effect 12 that 10 effect 18 declines 12 that 14 risk 12 that 18 declines 13 the 14 risk 14 risk 15 of 14 risk 18 declines 15 of 17 recidivism 16 sexual 17 recidivism 19 with 22 and 20 advancing 21 age 21 age 22 and 22 and 23 shows 22 and 24 that 22 and 25 age 24 that 25 age 26 - 28 tables 26 - 34 and 27 restricted 28 tables 28 tables 34 and 29 underestimate 30 risk 29 underestimate 31 for 29 underestimate 34 and 31 for 33 offenders 32 younger 33 offenders 34 and 35 overestimate 34 and 37 for 35 overestimate 36 risk 37 for 39 offenders 38 older 39 offenders based on data from more than 9,000 sex offenders , our conclusion is that evaluators should report recidivism estimates from age - stratified tables when they are assessing sexual recidivism risk , particularly when evaluating the aging sex offender . 0 ###LEFT-WALL### 12 conclusion 0 ###LEFT-WALL### 40 . 1 based 2 on 1 based 10 , 1 based 12 conclusion 2 on 3 data 3 data 4 from 4 from 9 offenders 5 more 6 than 6 than 7 9,000 7 9,000 9 offenders 8 sex 9 offenders 11 our 12 conclusion 12 conclusion 13 is 13 is 14 that 14 that 15 evaluators 14 that 17 report 15 evaluators 16 should 16 should 17 report 17 report 19 estimates 17 report 33 particularly 18 recidivism 19 estimates 19 estimates 20 from 20 from 21 age 21 age 24 tables 22 - 24 tables 23 stratified 24 tables 24 tables 25 when 24 tables 32 , 25 when 26 they 25 when 27 are 26 they 27 are 27 are 28 assessing 28 assessing 31 risk 29 sexual 30 recidivism 30 recidivism 31 risk 33 particularly 34 when 34 when 35 evaluating 35 evaluating 39 offender 36 the 39 offender 37 aging 39 offender 38 sex 39 offender [none] wound healing within the oral mucosa results in minimal scar formation compared with wounds within the skin . 0 ###LEFT-WALL### 2 wound 0 ###LEFT-WALL### 8 results 0 ###LEFT-WALL### 19 . 2 wound 3 healing 2 wound 4 within 2 wound 8 results 4 within 7 mucosa 5 the 7 mucosa 6 oral 7 mucosa 8 results 9 in 8 results 14 with 8 results 16 within 9 in 12 formation 10 minimal 11 scar 11 scar 12 formation 12 formation 13 compared 14 with 15 wounds 16 within 18 skin 17 the 18 skin we have recently demonstrated distinct differences in the aging profiles of cells ( oral mucosal and patient - matched skin fibroblasts ) isolated from these tissues . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 4 demonstrated 0 ###LEFT-WALL### 27 . 1 we 2 have 2 have 4 demonstrated 3 recently 4 demonstrated 4 demonstrated 6 differences 4 demonstrated 7 in 4 demonstrated 24 from 5 distinct 6 differences 7 in 10 profiles 8 the 10 profiles 9 aging 10 profiles 10 profiles 11 of 10 profiles 23 isolated 11 of 12 cells 12 cells 21 fibroblasts 13 ( 21 fibroblasts 14 oral 21 fibroblasts 15 mucosal 16 and 16 and 20 skin 16 and 21 fibroblasts 17 patient 18 - 17 patient 20 skin 19 matched 20 skin 21 fibroblasts 22 ) 24 from 26 tissues 25 these 26 tissues we hypothesized that the increased replicative potential of oral mucosal fibroblasts may confer upon them preferential wound [-] healing capacities . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 hypothesized 0 ###LEFT-WALL### 21 . 1 we 2 hypothesized 2 hypothesized 3 that 3 that 7 potential 3 that 13 confer 4 the 7 potential 5 increased 7 potential 6 replicative 7 potential 7 potential 8 of 7 potential 12 may 8 of 11 fibroblasts 9 oral 11 fibroblasts 10 mucosal 11 fibroblasts 12 may 13 confer 13 confer 14 upon 13 confer 20 capacities 14 upon 15 them 16 preferential 17 wound 17 wound 19 healing 19 healing 20 capacities passage - matched early cultures of oral mucosal fibroblasts and skin fibroblasts demonstrated distinct gene expression profiles , with several genes linked to wound healing/tissue repair . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 13 demonstrated 1 passage 2 - 1 passage 10 and 3 matched 5 cultures 4 early 5 cultures 5 cultures 6 of 5 cultures 10 and 6 of 9 fibroblasts 7 oral 9 fibroblasts 8 mucosal 9 fibroblasts 10 and 12 fibroblasts 10 and 13 demonstrated 11 skin 12 fibroblasts 13 demonstrated 17 profiles 13 demonstrated 19 with 14 distinct 15 gene 15 gene 17 profiles 16 expression 17 profiles 18 , 19 with 19 with 21 genes 19 with 22 linked 19 with 27 . 20 several 21 genes 22 linked 23 to 23 to 26 repair 24 wound 26 repair 25 healing/tissue 26 repair this was related to an increased ability of the ['] [replicatively] younger ['] oral mucosal fibroblasts to repopulate a wound space and reorganize their surrounding extracellular matrix environment , key activities during the wound - healing process . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 3 related 0 ###LEFT-WALL### 38 . 1 this 2 was 2 was 3 related 3 related 4 to 4 to 7 ability 5 an 7 ability 6 increased 7 ability 7 ability 8 of 7 ability 17 to 7 ability 22 and 8 of 16 fibroblasts 9 the 16 fibroblasts 12 younger 16 fibroblasts 14 oral 16 fibroblasts 15 mucosal 16 fibroblasts 17 to 22 and 18 repopulate 21 space 18 repopulate 22 and 19 a 21 space 20 wound 21 space 22 and 23 reorganize 22 and 37 process 23 reorganize 28 environment 24 their 28 environment 25 surrounding 28 environment 26 extracellular 27 matrix 27 matrix 28 environment 28 environment 31 activities 29 , 31 activities 30 key 31 activities 31 activities 32 during 31 activities 35 - 32 during 34 wound 33 the 34 wound 36 healing 37 process we conclude that oral mucosal fibroblasts exhibit a preferential healing response in vivo , due to their ['] [replicatively] younger ['] phenotype when compared with that of patient - matched skin fibroblasts . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 conclude 1 we 2 conclude 2 conclude 4 oral 3 that 4 oral 4 oral 6 fibroblasts 4 oral 7 exhibit 4 oral 15 due 5 mucosal 6 fibroblasts 6 fibroblasts 7 exhibit 7 exhibit 11 response 7 exhibit 13 vivo 8 a 9 preferential 8 a 11 response 9 preferential 11 response 10 healing 11 response 12 in 13 vivo 14 , 15 due 15 due 16 to 15 due 23 when 15 due 33 . 16 to 22 phenotype 17 their 22 phenotype 20 younger 22 phenotype 23 when 24 compared 24 compared 25 with 25 with 26 that 26 that 27 of 27 of 32 fibroblasts 28 patient 29 - 28 patient 31 skin 30 matched 31 skin 31 skin 32 fibroblasts aging is associated with the functional decline of cells , tissues , and organs . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 3 associated 0 ###LEFT-WALL### 15 . 1 aging 2 is 2 is 3 associated 3 associated 4 with 4 with 7 decline 5 the 7 decline 6 functional 7 decline 7 decline 8 of 8 of 13 and 9 cells 10 , 10 , 11 tissues 10 , 13 and 12 , 13 and 13 and 14 organs at the same time , age is the single most important prognostic factor in the development of most human cancers , including chronic myelogenous and acute lymphoblastic leukemias initiated by bcr - abl oncogenic translocations . 0 ###LEFT-WALL### 6 age 0 ###LEFT-WALL### 7 is 1 at 4 time 1 at 5 , 1 at 6 age 2 the 3 same 2 the 4 time 6 age 7 is 7 is 13 factor 7 is 14 in 7 is 22 including 8 the 13 factor 9 single 13 factor 10 most 11 important 11 important 13 factor 12 prognostic 13 factor 14 in 16 development 15 the 16 development 16 development 17 of 17 of 20 cancers 18 most 19 human 19 human 20 cancers 21 , 22 including 22 including 28 leukemias 22 including 30 by 22 including 36 . 23 chronic 28 leukemias 24 myelogenous 25 and 25 and 26 acute 25 and 28 leukemias 27 lymphoblastic 28 leukemias 28 leukemias 29 initiated 30 by 31 bcr 31 bcr 35 translocations 32 - 35 translocations 33 abl 35 translocations 34 oncogenic 35 translocations 35 translocations 36 . prevailing paradigms attribute the association between aging and cancers to the accumulation of oncogenic mutations over time , because the accrual [of] oncogenic events [is] thought to be the rate [-] limiting step in initiation and progression of cancers . 0 ###LEFT-WALL### 2 paradigms 0 ###LEFT-WALL### 3 attribute 0 ###LEFT-WALL### 40 . 1 prevailing 2 paradigms 2 paradigms 3 attribute 3 attribute 36 and 4 the 5 association 5 association 6 between 5 association 10 to 5 association 13 of 5 association 36 and 6 between 8 and 7 aging 8 and 8 and 9 cancers 10 to 12 accumulation 11 the 12 accumulation 13 of 15 mutations 14 oncogenic 15 mutations 15 mutations 16 over 16 over 17 time 17 time 27 to 17 time 28 be 18 , 26 thought 19 because 24 events 20 the 24 events 21 accrual 24 events 23 oncogenic 24 events 24 events 26 thought 26 thought 27 to 27 to 28 be 28 be 33 step 29 the 33 step 30 rate 33 step 32 limiting 33 step 33 step 34 in 34 in 35 initiation 36 and 37 progression 36 and 38 of 38 of 39 cancers conversely , aging [-] associated functional decline caused by both cell [-] autonomous and [non] [-] cell - autonomous mechanisms is likely to reduce the fitness of stem [and] progenitor cell populations . 0 ###LEFT-WALL### 3 aging 0 ###LEFT-WALL### 21 is 0 ###LEFT-WALL### 33 . 1 conversely 2 , 1 conversely 3 aging 3 aging 5 associated 3 aging 9 by 3 aging 21 is 5 associated 8 caused 6 functional 7 decline 7 decline 8 caused 9 by 20 mechanisms 10 both 20 mechanisms 11 cell 20 mechanisms 13 autonomous 14 and 14 and 17 cell 14 and 18 - 14 and 20 mechanisms 19 autonomous 20 mechanisms 21 is 22 likely 22 likely 23 to 22 likely 24 reduce 23 to 24 reduce 24 reduce 26 fitness 25 the 26 fitness 26 fitness 27 of 27 of 32 populations 28 stem 32 populations 30 progenitor 32 populations 31 cell 32 populations this reduction in fitness should be conducive for increased selection of oncogenic mutations that can [at] [least] partially alleviate fitness defects , thereby promoting the initiation of cancers . 0 ###LEFT-WALL### 2 reduction 0 ###LEFT-WALL### 6 be 1 this 2 reduction 2 reduction 3 in 2 reduction 5 should 3 in 4 fitness 5 should 6 be 6 be 7 conducive 7 conducive 8 for 8 for 10 selection 9 increased 10 selection 10 selection 11 of 10 selection 14 that 10 selection 15 can 11 of 13 mutations 12 oncogenic 13 mutations 14 that 15 can 15 can 19 alleviate 18 partially 19 alleviate 19 alleviate 21 defects 20 fitness 21 defects 21 defects 24 promoting 22 , 24 promoting 23 thereby 24 promoting 24 promoting 26 initiation 24 promoting 29 . 25 the 26 initiation 26 initiation 27 of 27 of 28 cancers we tested this hypothesis using mouse hematopoietic models . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 tested 0 ###LEFT-WALL### 9 . 1 we 2 tested 2 tested 4 hypothesis 3 this 4 hypothesis 4 hypothesis 5 using 5 using 8 models 6 mouse 8 models 7 hematopoietic 8 models our studies indicate that the dramatic decline in the fitness of aged [b] - lymphopoiesis coincides with altered receptor [-] associated kinase signaling . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 24 . 1 our 2 studies 2 studies 3 indicate 3 indicate 4 that 4 that 7 decline 4 that 16 coincides 5 the 7 decline 6 dramatic 7 decline 7 decline 8 in 7 decline 16 coincides 8 in 10 fitness 9 the 10 fitness 10 fitness 11 of 11 of 15 lymphopoiesis 12 aged 14 - 12 aged 15 lymphopoiesis 16 coincides 17 with 17 with 23 signaling 18 altered 19 receptor 19 receptor 21 associated 21 associated 22 kinase 22 kinase 23 signaling we further show that bcr - abl provides a much greater competitive advantage to old b - lymphoid progenitors compared with young progenitors , coinciding with restored kinase signaling pathways , and that this enhanced competitive advantage translates into increased promotion [of] bcr - abl - driven leukemias . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 38 translates 0 ###LEFT-WALL### 49 . 1 we 3 show 2 further 3 show 3 show 4 that 3 show 5 bcr 6 - 7 abl 6 - 8 provides 7 abl 8 provides 8 provides 13 advantage 8 provides 26 with 9 a 10 much 9 a 13 advantage 10 much 11 greater 11 greater 13 advantage 12 competitive 13 advantage 13 advantage 14 to 13 advantage 25 coinciding 14 to 15 old 15 old 16 b 15 old 19 progenitors 17 - 19 progenitors 18 lymphoid 19 progenitors 19 progenitors 20 compared 19 progenitors 24 , 20 compared 21 with 21 with 23 progenitors 22 young 23 progenitors 26 with 32 and 27 restored 28 kinase 28 kinase 30 pathways 29 signaling 30 pathways 30 pathways 32 and 31 , 32 and 32 and 33 that 32 and 37 advantage 32 and 38 translates 34 this 35 enhanced 35 enhanced 37 advantage 36 competitive 37 advantage 37 advantage 38 translates 38 translates 39 into 39 into 48 leukemias 40 increased 48 leukemias 41 promotion 47 driven 43 bcr 45 abl 43 bcr 47 driven 44 - 45 abl 45 abl 46 - 47 driven 48 leukemias moreover , impairing il - 7 - mediated signaling is sufficient to promote selection for bcr - abl - expressing [b] progenitors . 0 ###LEFT-WALL### 9 signaling 0 ###LEFT-WALL### 13 promote 0 ###LEFT-WALL### 23 . 1 moreover 2 , 1 moreover 9 signaling 3 impairing 4 il 3 impairing 7 - 3 impairing 9 signaling 4 il 6 7 5 - 6 7 6 7 7 - 8 mediated 9 signaling 9 signaling 10 is 10 is 11 sufficient 11 sufficient 12 to 11 sufficient 13 promote 12 to 13 promote 13 promote 14 selection 14 selection 15 for 14 selection 20 expressing 15 for 16 bcr 16 bcr 18 abl 17 - 18 abl 18 abl 19 - 20 expressing 22 progenitors these studies support an unappreciated causative link between aging and cancer : increased selection of oncogenic mutations as a result of age - dependent alterations of the fitness landscape . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 support 0 ###LEFT-WALL### 10 and 1 these 2 studies 2 studies 3 support 3 support 7 link 3 support 8 between 4 an 5 unappreciated 4 an 7 link 5 unappreciated 7 link 6 causative 7 link 8 between 9 aging 10 and 11 cancer 10 and 12 : 11 cancer 12 : 12 : 14 selection 12 : 18 as 13 increased 14 selection 14 selection 15 of 15 of 17 mutations 16 oncogenic 17 mutations 18 as 20 result 19 a 20 result 20 result 21 of 21 of 22 age 22 age 25 alterations 23 - 25 alterations 24 dependent 25 alterations 25 alterations 26 of 25 alterations 30 . 26 of 29 landscape 27 the 29 landscape 28 fitness 29 landscape we have previously shown that regulatory [t] cells ( treg ) accumulate dramatically in aged animals and negatively impact the ability to control persistent infection . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 4 shown 0 ###LEFT-WALL### 26 . 1 we 2 have 2 have 4 shown 3 previously 4 shown 4 shown 8 cells 4 shown 17 and 5 that 6 regulatory 6 regulatory 8 cells 8 cells 10 treg 8 cells 17 and 9 ( 10 treg 10 treg 11 ) 12 accumulate 13 dramatically 12 accumulate 14 in 12 accumulate 17 and 14 in 16 animals 15 aged 16 animals 17 and 19 impact 18 negatively 19 impact 19 impact 21 ability 20 the 21 ability 21 ability 22 to 21 ability 23 control 22 to 23 control 23 control 25 infection 24 persistent 25 infection however , the mechanisms underlying the age [-] dependent [accrual] of treg remain unclear . 0 ###LEFT-WALL### 4 mechanisms 0 ###LEFT-WALL### 13 remain 0 ###LEFT-WALL### 15 . 1 however 2 , 1 however 4 mechanisms 3 the 4 mechanisms 4 mechanisms 5 underlying 4 mechanisms 13 remain 5 underlying 9 dependent 6 the 9 dependent 7 age 9 dependent 9 dependent 11 of 11 of 12 treg 13 remain 14 unclear in this study , we show that treg accumulation with age is progressive and likely not the result [of] increased thymic output , increased peripheral proliferation , or [from] enhanced peripheral conversion . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 show 0 ###LEFT-WALL### 16 not 0 ###LEFT-WALL### 33 . 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 9 accumulation 7 that 12 is 8 treg 9 accumulation 9 accumulation 10 with 9 accumulation 12 is 10 with 11 age 12 is 14 and 13 progressive 14 and 14 and 15 likely 16 not 18 result 16 not 20 increased 17 the 18 result 18 result 20 increased 20 increased 28 or 21 thymic 22 output 22 output 23 , 23 , 26 proliferation 23 , 28 or 24 increased 26 proliferation 25 peripheral 26 proliferation 27 , 28 or 28 or 32 conversion 30 enhanced 32 conversion 31 peripheral 32 conversion instead , we found that treg from aged mice [are] more resistant to apoptosis than treg from young mice . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 20 . 1 instead 2 , 1 instead 3 we 3 we 4 found 4 found 5 that 4 found 6 treg 4 found 7 from 7 from 9 mice 8 aged 9 mice 9 mice 12 resistant 11 more 12 resistant 12 resistant 13 to 12 resistant 15 than 13 to 14 apoptosis 15 than 16 treg 16 treg 17 from 17 from 19 mice 18 young 19 mice although treg from aged mice had increased expression of functional il - 7rα , we found that il - 7r signaling was not required for maintenance of treg in vivo . 0 ###LEFT-WALL### 15 we 0 ###LEFT-WALL### 16 found 0 ###LEFT-WALL### 19 - 1 although 2 treg 1 although 7 increased 1 although 14 , 1 although 15 we 2 treg 3 from 2 treg 6 had 3 from 5 mice 4 aged 5 mice 6 had 7 increased 7 increased 8 expression 8 expression 9 of 8 expression 13 7rα 9 of 11 il 10 functional 11 il 12 - 13 7rα 13 7rα 14 , 15 we 16 found 16 found 17 that 16 found 18 il 19 - 20 7r 19 - 24 required 19 - 31 . 20 7r 21 signaling 20 7r 22 was 22 was 23 not 22 was 24 required 24 required 25 for 24 required 30 vivo 25 for 26 maintenance 26 maintenance 27 of 27 of 28 treg 29 in 30 vivo notably , aged treg exhibit decreased expression of the proapoptotic molecule bim compared with treg from young mice . 0 ###LEFT-WALL### 7 expression 0 ###LEFT-WALL### 13 compared 0 ###LEFT-WALL### 19 . 1 notably 2 , 1 notably 7 expression 3 aged 7 expression 4 treg 6 decreased 5 exhibit 6 decreased 6 decreased 7 expression 7 expression 8 of 7 expression 13 compared 8 of 12 bim 9 the 11 molecule 10 proapoptotic 11 molecule 11 molecule 12 bim 13 compared 14 with 14 with 15 treg 15 treg 16 from 16 from 18 mice 17 young 18 mice [furthermore] , in the absence of bim , [treg] accumulate rapidly , accounting for >25 [%] of the cd4 [(] [+] [ )(t cell compartment by 6 mo of age . 0 ###LEFT-WALL### 10 accumulate 2 , 3 in 3 in 5 absence 3 in 8 , 3 in 10 accumulate 4 the 5 absence 5 absence 6 of 6 of 7 bim 10 accumulate 11 rapidly 10 accumulate 13 accounting 12 , 13 accounting 13 accounting 14 for 13 accounting 26 by 13 accounting 31 . 14 for 15 >25 15 >25 17 of 17 of 25 compartment 18 the 25 compartment 19 cd4 23 )(t 19 cd4 25 compartment 24 cell 25 compartment 26 by 28 mo 27 6 28 mo 28 mo 29 of 29 of 30 age additionally , [accumulation] of treg in bim - deficient mice occurred after the cells left the transitional recent thymic emigrant compartment . 0 ###LEFT-WALL### 10 mice 0 ###LEFT-WALL### 11 occurred 0 ###LEFT-WALL### 22 . 1 additionally 2 , 1 additionally 10 mice 2 , 4 of 4 of 5 treg 4 of 8 - 4 of 10 mice 5 treg 6 in 6 in 7 bim 9 deficient 10 mice 10 mice 11 occurred 11 occurred 12 after 12 after 14 cells 12 after 15 left 13 the 14 cells 14 cells 15 left 15 left 21 compartment 16 the 21 compartment 17 transitional 20 emigrant 18 recent 20 emigrant 19 thymic 20 emigrant 20 emigrant 21 compartment mechanistically , we show that il [-] 2 drives preferential proliferation and accumulation of bim ( lo ) treg . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 show 0 ###LEFT-WALL### 20 . 1 mechanistically 2 , 1 mechanistically 3 we 3 we 4 show 4 show 11 proliferation 4 show 12 and 5 that 11 proliferation 6 il 8 2 6 il 11 proliferation 9 drives 11 proliferation 10 preferential 11 proliferation 12 and 13 accumulation 12 and 19 treg 13 accumulation 14 of 14 of 15 bim 15 bim 17 lo 16 ( 17 lo 17 lo 18 ) collectively , our data suggest that chronic stimulation by il - 2 leads to preferential expansion of treg having low expression of bim , which favors their survival and accumulation in aged hosts . 0 ###LEFT-WALL### 4 data 0 ###LEFT-WALL### 5 suggest 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 34 . 1 collectively 2 , 1 collectively 4 data 3 our 4 data 4 data 5 suggest 5 suggest 8 stimulation 5 suggest 9 by 6 that 7 chronic 7 chronic 8 stimulation 9 by 10 il 10 il 13 leads 11 - 13 leads 12 2 13 leads 13 leads 14 to 13 leads 17 of 13 leads 22 of 13 leads 24 , 14 to 16 expansion 15 preferential 16 expansion 17 of 18 treg 18 treg 19 having 19 having 21 expression 20 low 21 expression 22 of 23 bim 24 , 25 which 24 , 26 favors 25 which 26 favors 26 favors 29 and 26 favors 31 in 27 their 29 and 28 survival 29 and 29 and 30 accumulation 31 in 33 hosts 32 aged 33 hosts objectives : this study assesses whether socioeconomic and demographic differences in reported mobility limitations are attributable to differential perceptions of mobility difficulty that result in the differential use of response categories . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 2 : 4 study 2 : 5 assesses 3 this 4 study 4 study 5 assesses 5 assesses 6 whether 6 whether 10 differences 6 whether 15 are 7 socioeconomic 8 and 8 and 9 demographic 8 and 10 differences 10 differences 11 in 10 differences 15 are 11 in 14 limitations 12 reported 13 mobility 13 mobility 14 limitations 15 are 16 attributable 16 attributable 17 to 16 attributable 25 in 17 to 19 perceptions 18 differential 19 perceptions 19 perceptions 20 of 19 perceptions 23 that 19 perceptions 24 result 20 of 22 difficulty 21 mobility 22 difficulty 23 that 24 result 25 in 28 use 26 the 28 use 27 differential 28 use 28 use 29 of 29 of 31 categories 30 response 31 categories methods : data come from the social environment and biomarkers of aging study and its parent study , the taiwan longitudinal study of aging . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 data 2 : 4 come 3 data 4 come 4 come 5 from 5 from 14 and 6 the 8 environment 7 social 8 environment 8 environment 9 and 9 and 10 biomarkers 9 and 11 of 9 and 14 and 11 of 13 study 12 aging 13 study 14 and 17 study 14 and 22 study 15 its 17 study 16 parent 17 study 18 , 22 study 19 the 22 study 20 taiwan 21 longitudinal 21 longitudinal 22 study 22 study 23 of 22 study 25 . 23 of 24 aging ordered probit models [with] person - specific cut - points are used to test whether , after controlling for underlying mobility using objective performance measures , cut - points for reporting mobility limitations vary across groups defined by demographic and socioeconomic characteristics . 0 ###LEFT-WALL### 5 person 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 14 test 0 ###LEFT-WALL### 43 . 1 ordered 5 person 2 probit 5 person 3 models 5 person 6 - 8 cut 6 - 9 - 7 specific 8 cut 9 - 10 points 9 - 12 used 10 points 11 are 11 are 12 used 12 used 13 to 13 to 14 test 14 test 15 whether 14 test 38 by 15 whether 29 points 15 whether 34 vary 16 , 17 after 17 after 18 controlling 17 after 28 - 17 after 29 points 18 controlling 19 for 18 controlling 22 using 19 for 20 underlying 20 underlying 21 mobility 22 using 25 measures 22 using 27 cut 23 objective 25 measures 24 performance 25 measures 26 , 27 cut 27 cut 28 - 29 points 30 for 29 points 34 vary 30 for 31 reporting 31 reporting 33 limitations 32 mobility 33 limitations 34 vary 35 across 35 across 36 groups 36 groups 37 defined 38 by 42 characteristics 39 demographic 40 and 40 and 41 socioeconomic 40 and 42 characteristics results : age is the only characteristic that is consistently associated with the location of the cut - points for reporting mobility difficulty : at the same level of underlying mobility difficulty , older adults are more likely than younger adults are to report difficulty with all tasks except short walks . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 age 2 : 4 is 2 : 18 - 2 : 24 : 3 age 4 is 4 is 7 characteristic 5 the 6 only 5 the 7 characteristic 7 characteristic 11 associated 7 characteristic 12 with 8 that 9 is 9 is 11 associated 10 consistently 11 associated 12 with 14 location 13 the 14 location 14 location 15 of 15 of 17 cut 16 the 17 cut 18 - 19 points 19 points 20 for 20 for 23 difficulty 21 reporting 22 mobility 22 mobility 23 difficulty 24 : 35 adults 24 : 36 are 24 : 52 . 25 at 28 level 25 at 33 , 25 at 35 adults 26 the 27 same 26 the 28 level 28 level 29 of 29 of 30 underlying 30 underlying 32 difficulty 31 mobility 32 difficulty 34 older 35 adults 35 adults 36 are 36 are 38 likely 37 more 38 likely 38 likely 39 than 39 than 41 adults 39 than 49 except 39 than 51 walks 40 younger 41 adults 41 adults 42 are 42 are 43 to 42 are 44 report 43 to 44 report 44 report 45 difficulty 44 report 49 except 45 difficulty 46 with 46 with 48 tasks 47 all 48 tasks 50 short 51 walks other variables showed differences but only for one specific activity , for example , urban residents are more likely to report difficulty running than are rural residents with the same underlying level of mobility function . 0 ###LEFT-WALL### 2 variables 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 36 . 1 other 2 variables 2 variables 3 showed 3 showed 4 differences 3 showed 10 activity 4 differences 5 but 4 differences 7 for 5 but 6 only 7 for 8 one 9 specific 10 activity 11 , 16 residents 11 , 17 are 11 , 24 than 12 for 13 example 13 example 14 , 13 example 16 residents 15 urban 16 residents 16 residents 17 are 17 are 19 likely 18 more 19 likely 19 likely 20 to 19 likely 21 report 20 to 21 report 21 report 22 difficulty 22 difficulty 23 running 24 than 25 are 24 than 35 function 25 are 27 residents 25 are 35 function 26 rural 27 residents 27 residents 28 with 28 with 32 level 29 the 30 same 29 the 32 level 31 underlying 32 level 32 level 33 of 33 of 34 mobility discussion : for most mobility activities , there are no systematic differences in the perception of difficulty by individual characteristics . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 21 . 1 discussion 2 : 2 : 3 for 3 for 6 activities 4 most 6 activities 5 mobility 6 activities 7 , 8 there 7 , 9 are 8 there 9 are 9 are 12 differences 10 no 12 differences 11 systematic 12 differences 12 differences 13 in 12 differences 16 of 13 in 15 perception 14 the 15 perception 16 of 17 difficulty 17 difficulty 18 by 18 by 20 characteristics 19 individual 20 characteristics thus , for older taiwanese adults , differences in mobility limitations associated with socioeconomic status are more likely to reflect underlying differences in function than differences in [how] these groups report the same capacity . 0 ###LEFT-WALL### 8 differences 0 ###LEFT-WALL### 24 function 0 ###LEFT-WALL### 35 . 1 thus 2 , 1 thus 8 differences 2 , 3 for 3 for 6 adults 3 for 7 , 3 for 8 differences 4 older 6 adults 5 taiwanese 6 adults 8 differences 9 in 8 differences 24 function 9 in 10 mobility 10 mobility 11 limitations 10 mobility 23 in 11 limitations 12 associated 11 limitations 16 are 12 associated 13 with 13 with 15 status 14 socioeconomic 15 status 16 are 18 likely 17 more 18 likely 18 likely 19 to 18 likely 20 reflect 19 to 20 reflect 20 reflect 22 differences 20 reflect 23 in 21 underlying 22 differences 24 function 25 than 25 than 26 differences 25 than 31 report 25 than 34 capacity 26 differences 27 in 26 differences 31 report 27 in 30 groups 29 these 30 groups 31 report 33 same 32 the 33 same the usual loss of mobility with age , however , reflects both a decrease in capacity and a lowering of the threshold for reporting difficulty . 0 ###LEFT-WALL### 3 loss 0 ###LEFT-WALL### 11 reflects 0 ###LEFT-WALL### 26 . 1 the 3 loss 2 usual 3 loss 3 loss 4 of 3 loss 11 reflects 4 of 5 mobility 5 mobility 6 with 6 with 7 age 8 , 9 however 9 however 10 , 9 however 11 reflects 11 reflects 17 and 12 both 17 and 13 a 14 decrease 14 decrease 15 in 14 decrease 17 and 15 in 16 capacity 17 and 19 lowering 18 a 19 lowering 19 lowering 20 of 20 of 22 threshold 21 the 22 threshold 22 threshold 23 for 23 for 24 reporting 24 reporting 25 difficulty background : hobart , tasmania , has been the site of two major studies of multiple sclerosis ( [ms] [ )(frequency , in 1951 - 1961 and 1971 - 1981 . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 2 : 3 hobart 2 : 8 been 2 : 29 - 3 hobart 5 tasmania 3 hobart 7 has 4 , 5 tasmania 5 tasmania 6 , 7 has 8 been 8 been 10 site 9 the 10 site 10 site 11 of 10 site 15 of 10 site 23 in 11 of 14 studies 12 two 14 studies 13 major 14 studies 15 of 17 sclerosis 16 multiple 17 sclerosis 17 sclerosis 21 )(frequency 18 ( 21 )(frequency 21 )(frequency 22 , 22 , 23 in 23 in 24 1951 23 in 29 - 24 1951 27 and 25 - 27 and 26 1961 27 and 27 and 28 1971 27 and 29 - 29 - 30 1981 since then , there have been no studies of [ms] frequency in hobart . 0 ###LEFT-WALL### 4 there 0 ###LEFT-WALL### 6 been 0 ###LEFT-WALL### 14 . 1 since 2 then 1 since 3 , 1 since 4 there 4 there 5 have 5 have 6 been 6 been 8 studies 7 no 8 studies 8 studies 9 of 9 of 11 frequency 11 frequency 12 in 12 in 13 hobart methods : using a prevalent cohort of 226 cases in 2001 and 265 in 2009 , the authors undertook a two [-] stage survey of [ms] frequency in hobart . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 18 authors 2 : 19 undertook 3 using 6 cohort 3 using 16 , 3 using 18 authors 4 a 5 prevalent 4 a 6 cohort 5 prevalent 6 cohort 6 cohort 7 of 6 cohort 10 in 7 of 9 cases 8 226 9 cases 10 in 12 and 11 2001 12 and 12 and 13 265 13 265 14 in 14 in 15 2009 17 the 18 authors 18 authors 19 undertook 19 undertook 24 survey 19 undertook 28 in 20 a 24 survey 21 two 23 stage 23 stage 24 survey 24 survey 25 of 25 of 27 frequency 28 in 29 hobart combined with the published data from the two preceding studies , the authors conducted a time - trend analysis of [ms] epidemiology over 1951 - 2009 . 0 ###LEFT-WALL### 13 authors 0 ###LEFT-WALL### 14 conducted 0 ###LEFT-WALL### 17 - 0 ###LEFT-WALL### 27 . 1 combined 2 with 1 combined 11 , 1 combined 13 authors 2 with 5 data 3 the 5 data 4 published 5 data 5 data 6 from 5 data 9 preceding 6 from 8 two 7 the 8 two 9 preceding 10 studies 12 the 13 authors 13 authors 14 conducted 14 conducted 16 time 15 a 16 time 17 - 19 analysis 18 trend 19 analysis 19 analysis 20 of 20 of 22 epidemiology 22 epidemiology 25 - 23 over 24 1951 24 1951 25 - 25 - 26 2009 results : the age - standardised prevalence in 2001 was 96.6/100 000 , and 99.6/100 000 in 2009 , a significant increase from the 1961 prevalence of 32.5/100 000 ( p<0.001 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 33 . 1 results 2 : 2 : 4 age 3 the 4 age 5 - 7 prevalence 5 - 10 was 6 standardised 7 prevalence 7 prevalence 8 in 7 prevalence 10 was 8 in 9 2001 10 was 14 and 11 96.6/100 12 000 11 96.6/100 14 and 13 , 14 and 14 and 15 99.6/100 14 and 17 in 15 99.6/100 16 000 17 in 18 2009 18 2009 22 increase 19 , 22 increase 20 a 21 significant 20 a 22 increase 21 significant 22 increase 22 increase 23 from 22 increase 27 of 22 increase 32 ) 23 from 26 prevalence 24 the 26 prevalence 25 1961 26 prevalence 27 of 28 32.5/100 28 32.5/100 29 000 28 32.5/100 31 p<0.001 30 ( 31 p<0.001 31 p<0.001 32 ) female prevalence increased over each time point ; male prevalence increased between 1961 and 2001 but was unchanged thereafter . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 3 increased 0 ###LEFT-WALL### 8 ; 0 ###LEFT-WALL### 20 . 1 female 2 prevalence 2 prevalence 3 increased 3 increased 4 over 4 over 7 point 5 each 7 point 6 time 7 point 8 ; 10 prevalence 8 ; 16 but 9 male 10 prevalence 10 prevalence 16 but 11 increased 12 between 11 increased 16 but 12 between 14 and 13 1961 14 and 14 and 15 2001 16 but 17 was 17 was 18 unchanged 18 unchanged 19 thereafter incidence over 2001 - 2009 was 3.7/100 000 , significantly increased from the 1951 - 1961 incidence of 2.2/100 000 ( p=0.004 ) , though the majority of this was between 1951 - 1961 and 1971 - 1981 . 0 ###LEFT-WALL### 1 incidence 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 33 - 0 ###LEFT-WALL### 39 . 1 incidence 4 - 1 incidence 6 was 2 over 3 2001 3 2001 4 - 4 - 5 2009 6 was 7 3.7/100 7 3.7/100 8 000 7 3.7/100 11 increased 9 , 11 increased 10 significantly 11 increased 11 increased 12 from 11 increased 25 though 11 increased 33 - 12 from 17 incidence 13 the 17 incidence 14 1951 15 - 15 - 16 1961 15 - 17 incidence 17 incidence 18 of 17 incidence 22 p=0.004 18 of 19 2.2/100 19 2.2/100 20 000 21 ( 22 p=0.004 22 p=0.004 23 ) 24 , 25 though 25 though 27 majority 25 though 30 was 25 though 33 - 26 the 27 majority 27 majority 28 of 27 majority 30 was 28 of 29 this 30 was 31 between 31 between 32 1951 33 - 34 1961 33 - 35 and 35 and 36 1971 35 and 37 - 36 1971 37 - 37 - 38 1981 mortality fell by half from 2.4/100 000 in 1951 - 1959 to 1.0/100 000 in 2001 - 2009 - this decreased mortality and an older cohort contribute to the increase in prevalence . 0 ###LEFT-WALL### 1 mortality 0 ###LEFT-WALL### 2 fell 0 ###LEFT-WALL### 17 - 0 ###LEFT-WALL### 33 . 1 mortality 2 fell 2 fell 3 by 2 fell 10 - 2 fell 12 to 2 fell 15 in 3 by 4 half 4 half 5 from 5 from 6 2.4/100 7 000 8 in 7 000 10 - 8 in 9 1951 10 - 11 1959 12 to 13 1.0/100 13 1.0/100 14 000 15 in 16 2001 17 - 18 2009 17 - 19 - 18 2009 19 - 19 - 23 and 20 this 21 decreased 21 decreased 22 mortality 22 mortality 23 and 23 and 26 cohort 23 and 27 contribute 24 an 26 cohort 25 older 26 cohort 27 contribute 28 to 27 contribute 31 in 28 to 30 increase 29 the 30 increase 31 in 32 prevalence neither prevalence [(] p=0.48 [ )(nor incidence [(] p=0.18 ) sex ratios changed significantly between 1951 and 2009 . 0 ###LEFT-WALL### 6 )(nor 0 ###LEFT-WALL### 13 changed 0 ###LEFT-WALL### 19 . 1 neither 6 )(nor 2 prevalence 4 p=0.48 4 p=0.48 6 )(nor 6 )(nor 12 ratios 6 )(nor 13 changed 7 incidence 12 ratios 9 p=0.18 10 ) 9 p=0.18 11 sex 11 sex 12 ratios 13 changed 14 significantly 13 changed 15 between 15 between 17 and 16 1951 17 and 17 and 18 2009 conclusions : between 1951 and 2009 , the age - standardised prevalence of [ms] in hobart increased threefold , and the incidence nearly doubled . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 5 and 2 : 11 standardised 2 : 25 . 3 between 5 and 4 1951 5 and 5 and 6 2009 5 and 9 age 5 and 11 standardised 7 , 9 age 8 the 9 age 9 age 10 - 11 standardised 12 prevalence 12 prevalence 13 of 12 prevalence 24 doubled 13 of 15 in 15 in 20 and 16 hobart 17 increased 16 hobart 20 and 17 increased 18 threefold 19 , 20 and 20 and 22 incidence 21 the 22 incidence 23 nearly 24 doubled part of the increase in prevalence was due to an increased longevity , decreased mortality and increased incidence . 0 ###LEFT-WALL### 1 part 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 19 . 1 part 2 of 1 part 7 was 2 of 4 increase 3 the 4 increase 4 increase 5 in 5 in 6 prevalence 7 was 9 to 8 due 9 to 9 to 16 and 10 an 12 longevity 11 increased 12 longevity 12 longevity 13 , 13 , 15 mortality 13 , 16 and 14 decreased 15 mortality 16 and 18 incidence 17 increased 18 incidence differences in patterns [by] [birthplace] may be explained by the australian assisted [-] migration programme of 1945 - 1981 . 0 ###LEFT-WALL### 1 differences 0 ###LEFT-WALL### 8 explained 0 ###LEFT-WALL### 20 . 1 differences 2 in 1 differences 6 may 2 in 3 patterns 6 may 7 be 7 be 8 explained 8 explained 9 by 9 by 15 programme 10 the 15 programme 11 australian 15 programme 12 assisted 14 migration 14 migration 15 programme 15 programme 16 of 16 of 18 - 17 1945 18 - 18 - 19 1981 these data do not demonstrate the strong and significant changes in sex ratio observed elsewhere . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 5 demonstrate 0 ###LEFT-WALL### 16 . 1 these 2 data 2 data 3 do 3 do 4 not 3 do 5 demonstrate 5 demonstrate 13 ratio 6 the 13 ratio 7 strong 8 and 8 and 10 changes 8 and 11 in 8 and 13 ratio 9 significant 10 changes 11 in 12 sex 13 ratio 14 observed 14 observed 15 elsewhere purpose : the study considers the [social] networks of older americans , a population for whom there have been few studies [of] [social] [network] [type] . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 considers 2 : 12 , 2 : 26 . 3 the 4 study 4 study 5 considers 5 considers 8 networks 6 the 8 networks 8 networks 9 of 9 of 11 americans 10 older 11 americans 12 , 14 population 12 , 21 studies 13 a 14 population 14 population 15 for 14 population 21 studies 15 for 16 whom 15 for 17 there 15 for 19 been 17 there 18 have 18 have 19 been 19 been 20 few it also examines associations between network types and well - being indicators : loneliness , anxiety , and happiness . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 examines 0 ###LEFT-WALL### 13 : 0 ###LEFT-WALL### 20 . 1 it 3 examines 2 also 3 examines 3 examines 4 associations 3 examines 5 between 5 between 8 and 6 network 7 types 7 types 8 and 8 and 9 well 8 and 11 being 10 - 11 being 11 being 12 indicators 11 being 13 : 13 : 18 and 14 loneliness 15 , 15 , 16 anxiety 15 , 18 and 17 , 18 and 18 and 19 happiness design and methods : a subsample of persons aged 65 years and older from the first wave of the national social life , health , and aging project was employed ( n = 1,462 ) . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 design 2 and 2 and 3 methods 4 : 6 subsample 4 : 9 aged 4 : 26 and 4 : 36 . 5 a 6 subsample 6 subsample 7 of 6 subsample 9 aged 7 of 8 persons 9 aged 12 and 10 65 11 years 11 years 12 and 12 and 13 older 13 older 14 from 14 from 17 wave 15 the 16 first 15 the 17 wave 17 wave 18 of 17 wave 24 health 18 of 22 life 19 the 22 life 20 national 21 social 21 social 22 life 23 , 24 health 24 health 25 , 25 , 26 and 26 and 28 project 26 and 30 employed 27 aging 28 project 28 project 29 was 29 was 30 employed 30 employed 33 = 31 ( 33 = 32 n 33 = 33 = 34 1,462 33 = 35 ) we applied k - means cluster analysis to derive social network types using 7 criterion variables . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 applied 0 ###LEFT-WALL### 4 - 1 we 2 applied 2 applied 3 k 4 - 5 means 4 - 6 cluster 4 - 17 . 5 means 6 cluster 6 cluster 7 analysis 6 cluster 8 to 8 to 9 derive 9 derive 12 types 10 social 11 network 11 network 12 types 12 types 13 using 13 using 16 variables 14 7 16 variables 15 criterion 16 variables in the multivariate stage , the well - being outcomes were regressed on the network type construct and [on] background and health characteristics by means of logistic regression . 0 ###LEFT-WALL### 9 being 0 ###LEFT-WALL### 12 regressed 0 ###LEFT-WALL### 29 . 1 in 4 stage 1 in 9 being 2 the 4 stage 3 multivariate 4 stage 4 stage 7 well 5 , 7 well 6 the 7 well 7 well 8 - 9 being 10 outcomes 9 being 11 were 9 being 12 regressed 10 outcomes 11 were 12 regressed 13 on 12 regressed 24 by 13 on 21 and 14 the 17 construct 15 network 17 construct 16 type 17 construct 17 construct 18 and 18 and 20 background 18 and 21 and 21 and 23 characteristics 22 health 23 characteristics 24 by 25 means 25 means 26 of 26 of 28 regression 27 logistic 28 regression results : five social network types were derived : " diverse , " " friend [,] ["] ["] congregant , " " family , " and " restricted . " 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 types 2 : 8 derived 2 : 9 : 3 five 6 types 4 social 5 network 5 network 6 types 6 types 7 were 7 were 8 derived 9 : 10 " 9 : 26 and 9 : 29 . 11 diverse 12 , 11 diverse 26 and 12 , 13 " 13 " 14 " 15 friend 19 congregant 15 friend 26 and 19 congregant 23 family 20 , 21 " 20 , 23 family 21 " 22 " 23 family 24 , 24 , 25 " 26 and 27 " 26 and 28 restricted 29 . 30 " social [network] [type] was found to be associated with each of the well - being indicators after adjusting for demographic and health confounders . 0 ###LEFT-WALL### 1 social 0 ###LEFT-WALL### 5 found 0 ###LEFT-WALL### 14 - 1 social 4 was 4 was 5 found 5 found 6 to 6 to 7 be 7 be 8 associated 8 associated 9 with 9 with 13 well 10 each 11 of 10 each 13 well 11 of 13 well 12 the 13 well 14 - 15 being 14 - 23 confounders 14 - 24 . 15 being 16 indicators 15 being 17 after 15 being 23 confounders 17 after 18 adjusting 18 adjusting 19 for 19 for 21 and 20 demographic 21 and 21 and 22 health respondents embedded in network types characterized by greater social capital tended to exhibit better well - being in terms of less loneliness , less anxiety , and greater happiness . 0 ###LEFT-WALL### 1 respondents 0 ###LEFT-WALL### 13 exhibit 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 30 . 1 respondents 2 embedded 1 respondents 3 in 1 respondents 12 to 1 respondents 13 exhibit 3 in 5 types 4 network 5 types 5 types 6 characterized 6 characterized 7 by 7 by 10 capital 8 greater 9 social 9 social 10 capital 11 tended 12 to 13 exhibit 15 well 14 better 15 well 15 well 17 being 16 - 17 being 17 being 18 in 17 being 23 , 18 in 19 terms 19 terms 20 of 20 of 22 loneliness 21 less 22 loneliness 23 , 29 happiness 24 less 25 anxiety 25 anxiety 27 and 26 , 27 and 27 and 28 greater 27 and 29 happiness implications : knowledge about differing network types should make gerontological practitioners more aware of the varying interpersonal milieus in which older people function . 0 ###LEFT-WALL### 1 implications 0 ###LEFT-WALL### 2 : 2 : 3 knowledge 2 : 9 make 2 : 24 . 3 knowledge 4 about 3 knowledge 8 should 4 about 7 types 5 differing 7 types 6 network 7 types 8 should 9 make 9 make 11 practitioners 10 gerontological 11 practitioners 11 practitioners 13 aware 12 more 13 aware 13 aware 14 of 14 of 18 milieus 15 the 18 milieus 16 varying 18 milieus 17 interpersonal 18 milieus 18 milieus 19 in 19 in 20 which 19 in 22 people 19 in 23 function 21 older 22 people 22 people 23 function adopting network type assessment as an integral part of intake procedures and tracing network shifts over time can serve as a basis for risk assessment as well as a means for determining the efficacy of interventions . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 37 . 1 adopting 4 assessment 2 network 3 type 3 type 4 assessment 4 assessment 5 as 4 assessment 12 and 5 as 11 procedures 6 an 7 integral 6 an 8 part 7 integral 8 part 8 part 9 of 8 part 11 procedures 9 of 11 procedures 10 intake 11 procedures 12 and 14 network 12 and 15 shifts 12 and 19 serve 13 tracing 14 network 15 shifts 16 over 15 shifts 18 can 16 over 17 time 18 can 19 serve 19 serve 20 as 19 serve 27 well 19 serve 28 as 20 as 22 basis 20 as 23 for 21 a 22 basis 23 for 25 assessment 24 risk 25 assessment 26 as 27 well 28 as 30 means 29 a 30 means 30 means 31 for 30 means 35 of 31 for 32 determining 32 determining 34 efficacy 33 the 34 efficacy 35 of 36 interventions purpose : given age - related health restrictions , the importance of the environment for life satisfaction may increase in later life . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 3 given 0 ###LEFT-WALL### 6 related 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 23 . 1 purpose 2 : 2 : 3 given 3 given 4 age 5 - 6 related 6 related 8 restrictions 6 related 9 , 7 health 8 restrictions 9 , 11 importance 9 , 19 increase 10 the 11 importance 11 importance 12 of 11 importance 18 may 12 of 14 environment 13 the 14 environment 14 environment 15 for 15 for 17 satisfaction 16 life 17 satisfaction 18 may 19 increase 19 increase 20 in 20 in 22 life 21 later 22 life this study investigated whether objective and perceived physical and social environmental aspects of the home and [of] the surrounding neighborhood represent resources for [or] risks to life satisfaction among young - old and old - old individuals . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 investigated 0 ###LEFT-WALL### 38 . 1 this 2 study 2 study 3 investigated 3 investigated 4 whether 3 investigated 23 for 3 investigated 26 to 4 whether 16 and 4 whether 21 represent 5 objective 6 and 6 and 12 aspects 6 and 13 of 6 and 16 and 7 perceived 12 aspects 8 physical 9 and 9 and 10 social 9 and 12 aspects 11 environmental 12 aspects 13 of 15 home 14 the 15 home 16 and 20 neighborhood 16 and 21 represent 18 the 20 neighborhood 19 surrounding 20 neighborhood 21 represent 22 resources 23 for 25 risks 26 to 28 satisfaction 27 life 28 satisfaction 28 satisfaction 29 among 29 among 37 individuals 30 young 33 and 30 young 36 old 31 - 33 and 32 old 33 and 33 and 34 old 33 and 35 - 36 old 37 individuals design and methods : a population - based sample [of] 381 community - dwelling individuals aged 65 - 94 years reported on their sociophysical environment and life satisfaction using questionnaires . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 31 . 1 design 2 and 2 and 3 methods 4 : 6 population 4 : 7 - 5 a 6 population 7 - 12 community 7 - 13 - 8 based 9 sample 9 sample 12 community 11 381 12 community 13 - 15 individuals 13 - 16 aged 14 dwelling 15 individuals 15 individuals 16 aged 16 aged 20 years 16 aged 22 on 16 aged 29 using 17 65 18 - 18 - 19 94 18 - 20 years 20 years 21 reported 22 on 26 and 23 their 25 environment 24 sociophysical 25 environment 25 environment 26 and 26 and 28 satisfaction 27 life 28 satisfaction 29 using 30 questionnaires results : on average , young - [old] differ from old - old in indoor physical environmental indicators but not in neighborhood characteristics or social aspects of housing . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 29 . 1 results 2 : 2 : 4 average 3 on 4 average 5 , 9 differ 6 young 7 - 6 young 9 differ 9 differ 10 from 10 from 26 aspects 11 old 12 - 11 old 26 aspects 13 old 19 but 13 old 24 or 14 in 18 indicators 14 in 19 but 15 indoor 18 indicators 16 physical 18 indicators 17 environmental 18 indicators 19 but 20 not 19 but 21 in 21 in 23 characteristics 22 neighborhood 23 characteristics 24 or 25 social 24 or 26 aspects 26 aspects 27 of 27 of 28 housing regression analyses revealed that apartment size , perceived neighborhood quality , and outdoor place attachment explained life satisfaction independently , whereas social housing aspects played only a minor role . 0 ###LEFT-WALL### 2 analyses 0 ###LEFT-WALL### 3 revealed 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 25 played 0 ###LEFT-WALL### 30 . 1 regression 2 analyses 2 analyses 3 revealed 3 revealed 6 size 4 that 6 size 5 apartment 6 size 7 , 10 quality 7 , 12 and 8 perceived 9 neighborhood 9 neighborhood 10 quality 11 , 12 and 12 and 15 attachment 12 and 16 explained 13 outdoor 15 attachment 14 place 15 attachment 15 attachment 16 explained 16 explained 18 satisfaction 16 explained 19 independently 16 explained 21 whereas 17 life 18 satisfaction 20 , 21 whereas 21 whereas 24 aspects 22 social 23 housing 23 housing 24 aspects 24 aspects 25 played 25 played 26 only 25 played 29 role 27 a 29 role 28 minor 29 role separate analyses for both age groups revealed age differential explanation patterns . 0 ###LEFT-WALL### 1 separate 0 ###LEFT-WALL### 2 analyses 0 ###LEFT-WALL### 12 . 1 separate 2 analyses 2 analyses 3 for 2 analyses 6 groups 2 analyses 8 age 3 for 4 both 5 age 6 groups 6 groups 7 revealed 6 groups 8 age 8 age 11 patterns 9 differential 11 patterns 10 explanation 11 patterns apartment size was positively related to life satisfaction in the young - old but was negatively related in the old - old . 0 ###LEFT-WALL### 2 size 0 ###LEFT-WALL### 14 but 0 ###LEFT-WALL### 23 . 1 apartment 2 size 2 size 3 was 3 was 14 but 4 positively 14 but 5 related 6 to 5 related 9 in 5 related 14 but 6 to 8 satisfaction 7 life 8 satisfaction 9 in 13 old 10 the 13 old 11 young 12 - 11 young 13 old 14 but 15 was 15 was 17 related 16 negatively 17 related 17 related 18 in 18 in 22 old 19 the 22 old 20 old 21 - 20 old 22 old for the old - old , perceived neighborhood quality and outdoor place attachment were more important than for the young - old . 0 ###LEFT-WALL### 1 for 0 ###LEFT-WALL### 14 were 0 ###LEFT-WALL### 23 . 1 for 8 neighborhood 1 for 14 were 2 the 8 neighborhood 3 old 4 - 3 old 8 neighborhood 5 old 6 , 5 old 8 neighborhood 7 perceived 8 neighborhood 9 quality 10 and 10 and 13 attachment 10 and 14 were 11 outdoor 13 attachment 12 place 13 attachment 14 were 16 important 15 more 16 important 16 important 17 than 17 than 18 for 18 for 22 old 19 the 22 old 20 young 21 - 20 young 22 old living with others was positively related to life satisfaction only for the young - old . implications : environmental characteristics at home and in the neighborhood need to be considered to better understand differential processes of aging in place with respect to well - being . 0 ###LEFT-WALL### 1 living 0 ###LEFT-WALL### 6 related 0 ###LEFT-WALL### 16 . 1 living 2 with 1 living 4 was 2 with 3 others 4 was 6 related 5 positively 6 related 6 related 7 to 6 related 10 only 6 related 11 for 7 to 9 satisfaction 8 life 9 satisfaction 11 for 15 old 12 the 15 old 13 young 14 - 13 young 15 old 16 . 17 implications 16 . 18 : 18 : 20 characteristics 18 : 44 - 19 environmental 20 characteristics 20 characteristics 23 and 20 characteristics 28 to 20 characteristics 29 be 20 characteristics 30 considered 20 characteristics 36 of 21 at 22 home 21 at 23 and 23 and 24 in 24 in 27 need 25 the 27 need 26 neighborhood 27 need 28 to 29 be 30 considered 31 to 30 considered 33 understand 31 to 33 understand 32 better 33 understand 33 understand 35 processes 34 differential 35 processes 36 of 37 aging 37 aging 38 in 37 aging 40 with 38 in 39 place 40 with 41 respect 40 with 42 to 42 to 43 well 44 - 45 being 44 - 46 . disrupted sleep patterns are a significant problem in the elderly , leading to increased cognitive dysfunction and risk of nursing home placement . 0 ###LEFT-WALL### 3 patterns 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 23 . 1 disrupted 2 sleep 2 sleep 3 patterns 3 patterns 4 are 4 are 7 problem 5 a 6 significant 5 a 7 problem 6 significant 7 problem 7 problem 8 in 7 problem 13 to 7 problem 19 of 8 in 12 leading 9 the 12 leading 10 elderly 11 , 10 elderly 12 leading 13 to 17 and 14 increased 16 dysfunction 15 cognitive 16 dysfunction 16 dysfunction 17 and 17 and 18 risk 19 of 22 placement 20 nursing 21 home 21 home 22 placement a cost - effective and unobtrusive way to remotely monitor changing sleep patterns over time would enable improved management of this important health problem . 0 ###LEFT-WALL### 2 cost 0 ###LEFT-WALL### 3 - 1 a 2 cost 3 - 5 and 3 - 18 improved 3 - 25 . 4 effective 5 and 5 and 7 way 5 and 8 to 5 and 10 monitor 5 and 18 improved 6 unobtrusive 7 way 8 to 10 monitor 9 remotely 10 monitor 10 monitor 12 sleep 11 changing 12 sleep 12 sleep 13 patterns 12 sleep 17 enable 13 patterns 14 over 13 patterns 16 would 14 over 15 time 16 would 17 enable 18 improved 19 management 19 management 20 of 20 of 24 problem 21 this 24 problem 22 important 23 health 23 health 24 problem we have developed an algorithm to derive sleep parameters such as bed time , rise time , sleep latency , and nap time from passive infrared sensors distributed around the home . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 7 derive 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 32 . 1 we 2 have 2 have 3 developed 3 developed 5 algorithm 3 developed 6 to 4 an 5 algorithm 6 to 7 derive 7 derive 9 parameters 7 derive 11 as 8 sleep 9 parameters 10 such 11 as 11 as 13 time 12 bed 13 time 14 , 21 and 15 rise 16 time 16 time 17 , 17 , 19 latency 17 , 21 and 18 sleep 19 latency 20 , 21 and 21 and 23 time 21 and 24 from 21 and 28 distributed 22 nap 23 time 24 from 27 sensors 25 passive 27 sensors 26 infrared 27 sensors 28 distributed 29 around 29 around 31 home 30 the 31 home we evaluated this algorithm using 404 days of data collected in the homes of 8 elderly community [-] dwelling elders . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 evaluated 0 ###LEFT-WALL### 21 . 1 we 2 evaluated 2 evaluated 4 algorithm 2 evaluated 5 using 2 evaluated 11 in 3 this 4 algorithm 5 using 7 days 6 404 7 days 7 days 8 of 8 of 9 data 9 data 10 collected 11 in 13 homes 12 the 13 homes 13 homes 14 of 14 of 20 elders 15 8 20 elders 16 elderly 17 community 17 community 19 dwelling 19 dwelling 20 elders data from this algorithm were highly correlated to ground truth measures ( bed mats ) and were surprisingly robust to variability in sensor layout [and] sleep habits . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 7 correlated 0 ###LEFT-WALL### 28 . 1 data 2 from 1 data 5 were 2 from 4 algorithm 3 this 4 algorithm 5 were 7 correlated 6 highly 7 correlated 7 correlated 8 to 8 to 16 and 9 ground 11 measures 9 ground 16 and 10 truth 11 measures 11 measures 14 mats 12 ( 14 mats 13 bed 14 mats 14 mats 15 ) 16 and 17 were 17 were 19 robust 18 surprisingly 19 robust 19 robust 20 to 20 to 21 variability 21 variability 22 in 22 in 27 habits 23 sensor 24 layout 24 layout 26 sleep 26 sleep 27 habits alarmingly increasing prevalence of alzheimer 's disease ( ad ) due to the aging population in developing countries , combined with lack [of] standardized and conclusive diagnostic procedures , make early diagnosis of alzheimer 's disease a major public health concern . 0 ###LEFT-WALL### 18 countries 0 ###LEFT-WALL### 30 make 0 ###LEFT-WALL### 42 . 1 alarmingly 18 countries 2 increasing 3 prevalence 2 increasing 10 ) 2 increasing 18 countries 3 prevalence 4 of 4 of 7 disease 5 alzheimer 6 's 6 's 7 disease 7 disease 9 ad 8 ( 9 ad 9 ad 10 ) 11 due 12 to 12 to 15 population 12 to 18 countries 13 the 15 population 14 aging 15 population 15 population 16 in 16 in 17 developing 18 countries 20 combined 18 countries 30 make 19 , 20 combined 20 combined 21 with 20 combined 29 , 21 with 25 and 22 lack 24 standardized 22 lack 25 and 25 and 28 procedures 25 and 29 , 26 conclusive 27 diagnostic 27 diagnostic 28 procedures 30 make 32 diagnosis 30 make 41 concern 31 early 32 diagnosis 32 diagnosis 33 of 33 of 36 disease 34 alzheimer 35 's 35 's 36 disease 37 a 41 concern 38 major 41 concern 39 public 41 concern 40 health 41 concern while no current medical treatment exists to stop or reverse this disease , recent dementia specific pharmacological advances can slow its progression , making early diagnosis all the more important . 0 ###LEFT-WALL### 5 treatment 0 ###LEFT-WALL### 6 exists 1 while 3 current 1 while 5 treatment 2 no 3 current 4 medical 5 treatment 5 treatment 6 exists 6 exists 7 to 6 exists 24 making 7 to 9 or 8 stop 9 or 9 or 13 , 10 reverse 12 disease 10 reverse 13 , 11 this 12 disease 13 , 20 slow 14 recent 18 advances 15 dementia 18 advances 16 specific 18 advances 17 pharmacological 18 advances 18 advances 19 can 19 can 20 slow 20 slow 22 progression 21 its 22 progression 23 , 24 making 24 making 26 diagnosis 24 making 27 all 24 making 31 . 25 early 26 diagnosis 27 all 28 the 27 all 30 important 28 the 30 important 29 more 30 important several noninvasive biomarkers have been proposed , including p300 based eeg analysis , mri volumetric analysis , pet based metabolic activity analysis , as [alternatives] [to] neuropsychological evaluation , the current gold standard [of] diagnosis . 0 ###LEFT-WALL### 1 several 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 36 . 1 several 3 biomarkers 1 several 5 been 1 several 6 proposed 2 noninvasive 3 biomarkers 3 biomarkers 4 have 4 have 5 been 6 proposed 7 , 6 proposed 8 including 6 proposed 10 based 8 including 9 p300 8 including 10 based 10 based 12 analysis 11 eeg 12 analysis 12 analysis 16 analysis 13 , 16 analysis 14 mri 16 analysis 15 volumetric 16 analysis 16 analysis 22 analysis 16 analysis 23 , 17 , 22 analysis 18 pet 19 based 19 based 22 analysis 20 metabolic 21 activity 21 activity 22 analysis 22 analysis 23 , 23 , 28 evaluation 23 , 29 , 24 as 27 neuropsychological 27 neuropsychological 28 evaluation 29 , 35 diagnosis 30 the 35 diagnosis 31 current 35 diagnosis 32 gold 35 diagnosis 33 standard 35 diagnosis each of these approaches , have shown some promising outcomes , however , a comprehensive data fusion analysis has not yet been conducted to investigate whether these different modalities carry complementary information , and if so , [whether] they can be combined to provide a more accurate analysis . 0 ###LEFT-WALL### 3 these 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 44 provide 0 ###LEFT-WALL### 49 . 1 each 2 of 1 each 3 these 2 of 3 these 3 these 5 , 4 approaches 5 , 5 , 6 have 5 , 12 however 6 have 7 shown 7 shown 8 some 7 shown 10 outcomes 9 promising 10 outcomes 11 , 12 however 12 however 13 , 13 , 18 analysis 13 , 23 conducted 13 , 34 and 14 a 18 analysis 15 comprehensive 18 analysis 16 data 17 fusion 17 fusion 18 analysis 18 analysis 19 has 19 has 20 not 19 has 22 been 21 yet 22 been 22 been 23 conducted 23 conducted 24 to 23 conducted 26 whether 24 to 25 investigate 26 whether 29 modalities 26 whether 30 carry 27 these 29 modalities 28 different 29 modalities 29 modalities 30 carry 30 carry 32 information 31 complementary 32 information 33 , 34 and 34 and 39 they 34 and 42 combined 35 if 36 so 36 so 37 , 36 so 39 they 39 they 40 can 40 can 41 be 41 be 42 combined 42 combined 43 to 43 to 44 provide 44 provide 48 analysis 45 a 48 analysis 46 more 47 accurate 47 accurate 48 analysis in this effort , we provide a first look at such an analysis in combining eeg , mri and pet data using an ensemble of classifiers based decision fusion approach , to determine whether a strategic combination of these different modalities can improve the diagnostic accuracy over any of the individual data sources when used with an automated classifier . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 provide 0 ###LEFT-WALL### 60 . 1 in 3 effort 1 in 4 , 1 in 5 we 2 this 3 effort 5 we 6 provide 6 provide 19 and 7 a 9 look 8 first 9 look 9 look 10 at 9 look 14 in 9 look 17 , 10 at 13 analysis 11 such 12 an 12 an 13 analysis 14 in 15 combining 15 combining 16 eeg 17 , 18 mri 17 , 19 and 19 and 20 pet 19 and 21 data 19 and 33 determine 21 data 22 using 21 data 27 based 21 data 31 , 22 using 24 ensemble 22 using 27 based 23 an 24 ensemble 24 ensemble 25 of 25 of 26 classifiers 27 based 29 fusion 28 decision 29 fusion 30 approach 31 , 31 , 32 to 31 , 33 determine 32 to 33 determine 33 determine 34 whether 33 determine 56 with 34 whether 37 combination 34 whether 43 improve 35 a 36 strategic 35 a 37 combination 36 strategic 37 combination 37 combination 38 of 37 combination 42 can 38 of 41 modalities 39 these 41 modalities 40 different 41 modalities 42 can 43 improve 43 improve 45 diagnostic 43 improve 54 when 44 the 45 diagnostic 45 diagnostic 46 accuracy 45 diagnostic 53 sources 46 accuracy 47 over 46 accuracy 49 of 46 accuracy 53 sources 47 over 48 any 49 of 52 data 50 the 52 data 51 individual 52 data 54 when 55 used 56 with 59 classifier 57 an 59 classifier 58 automated 59 classifier results show an improvement of up to 10 % - 20 % using this approach compared to the classification performance obtained when using each individual data source . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 show 0 ###LEFT-WALL### 28 . 1 results 2 show 2 show 4 improvement 2 show 12 % 2 show 13 using 2 show 17 to 3 an 4 improvement 4 improvement 5 of 5 of 9 % 6 up 7 to 7 to 8 10 8 10 9 % 10 - 11 20 11 20 12 % 13 using 15 approach 14 this 15 approach 15 approach 16 compared 17 to 20 performance 18 the 20 performance 19 classification 20 performance 20 performance 21 obtained 21 obtained 22 when 22 when 23 using 23 using 27 source 24 each 27 source 25 individual 26 data 26 data 27 source in japan , the number of elderly recipients who take medicines regularly has been increasing due to population aging . 0 ###LEFT-WALL### 5 number 0 ###LEFT-WALL### 14 been 0 ###LEFT-WALL### 20 . 1 in 2 japan 1 in 3 , 1 in 5 number 4 the 5 number 5 number 6 of 5 number 13 has 6 of 8 recipients 7 elderly 8 recipients 8 recipients 9 who 8 recipients 10 take 9 who 10 take 10 take 11 medicines 12 regularly 13 has 13 has 14 been 14 been 15 increasing 15 increasing 17 to 16 due 17 to 17 to 18 population 18 population 19 aging since they have many risks of incorrect medication , we have developed the intelligent medicine case system ( imec system ) for assisting their caretakers in medication monitoring . 0 ###LEFT-WALL### 10 we 0 ###LEFT-WALL### 12 developed 0 ###LEFT-WALL### 29 . 1 since 2 they 1 since 3 have 1 since 9 , 1 since 10 we 2 they 3 have 3 have 5 risks 4 many 5 risks 5 risks 6 of 6 of 8 medication 7 incorrect 8 medication 10 we 11 have 11 have 12 developed 12 developed 17 system 12 developed 22 for 13 the 17 system 14 intelligent 15 medicine 15 medicine 17 system 16 case 17 system 17 system 20 system 18 ( 20 system 19 imec 20 system 20 system 21 ) 22 for 23 assisting 23 assisting 25 caretakers 23 assisting 26 in 24 their 25 caretakers 26 in 28 monitoring 27 medication 28 monitoring the system confirms the type , quantity and timing of medication every time a recipient picks medicines up . 0 ###LEFT-WALL### 2 system 0 ###LEFT-WALL### 3 confirms 0 ###LEFT-WALL### 19 . 1 the 2 system 2 system 3 confirms 3 confirms 8 and 3 confirms 13 time 4 the 5 type 5 type 6 , 6 , 7 quantity 6 , 8 and 8 and 9 timing 8 and 10 of 10 of 11 medication 12 every 13 time 13 time 15 recipient 13 time 16 picks 14 a 15 recipient 15 recipient 16 picks 16 picks 17 medicines 16 picks 18 up and then , the system notifies the caretakers about the adequacy of the type , quantity , and timing . 0 ###LEFT-WALL### 1 and 0 ###LEFT-WALL### 20 . 1 and 5 system 1 and 6 notifies 2 then 3 , 2 then 5 system 4 the 5 system 5 system 6 notifies 6 notifies 8 caretakers 6 notifies 9 about 7 the 8 caretakers 9 about 11 adequacy 10 the 11 adequacy 11 adequacy 12 of 12 of 18 and 13 the 14 type 14 type 15 , 15 , 16 quantity 15 , 18 and 17 , 18 and 18 and 19 timing since the way of medication is also specified on prescription by their doctors , we have strengthened the system so that it confirms the way of medication when the recipient picks medicines up . 0 ###LEFT-WALL### 15 we 0 ###LEFT-WALL### 17 strengthened 0 ###LEFT-WALL### 34 . 1 since 3 way 1 since 8 specified 1 since 14 , 1 since 15 we 2 the 3 way 3 way 4 of 3 way 6 is 4 of 5 medication 6 is 7 also 6 is 8 specified 8 specified 9 on 8 specified 11 by 9 on 10 prescription 11 by 13 doctors 12 their 13 doctors 15 we 16 have 16 have 17 strengthened 17 strengthened 19 system 17 strengthened 21 that 17 strengthened 28 when 18 the 19 system 20 so 21 that 21 that 22 it 21 that 23 confirms 22 it 23 confirms 23 confirms 25 way 24 the 25 way 25 way 26 of 26 of 27 medication 28 when 30 recipient 28 when 31 picks 29 the 30 recipient 30 recipient 31 picks 31 picks 32 medicines 31 picks 33 up for realizing the function , we placed rfid readers in the imec and the recipient 's house . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 placed 0 ###LEFT-WALL### 18 . 1 for 2 realizing 1 for 5 , 1 for 6 we 2 realizing 4 function 3 the 4 function 6 we 7 placed 7 placed 9 readers 7 placed 10 in 8 rfid 9 readers 10 in 13 and 11 the 12 imec 12 imec 13 and 13 and 17 house 14 the 15 recipient 15 recipient 16 's 16 's 17 house the readers measure the movement of objects such as medicines , foods , drinks , dishes , utensils . 0 ###LEFT-WALL### 2 readers 0 ###LEFT-WALL### 3 measure 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 19 . 1 the 2 readers 2 readers 3 measure 3 measure 5 movement 4 the 5 movement 5 movement 6 of 6 of 7 objects 7 objects 9 as 8 such 9 as 9 as 10 medicines 10 medicines 12 foods 10 medicines 14 drinks 10 medicines 16 dishes 11 , 12 foods 12 foods 13 , 13 , 14 drinks 14 drinks 15 , 15 , 16 dishes 16 dishes 17 , 17 , 18 utensils by using the information , the imec could evaluate the adequacy about how to take medicines . 0 ###LEFT-WALL### 7 imec 0 ###LEFT-WALL### 9 evaluate 0 ###LEFT-WALL### 17 . 1 by 2 using 1 by 5 , 1 by 7 imec 2 using 4 information 3 the 4 information 6 the 7 imec 7 imec 8 could 8 could 9 evaluate 9 evaluate 11 adequacy 9 evaluate 12 about 10 the 11 adequacy 12 about 13 how 13 how 14 to 13 how 15 take 14 to 15 take 15 take 16 medicines we confirmed that the new system was able to recognize foods , drinks and utensils by experiments . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 confirmed 0 ###LEFT-WALL### 18 . 1 we 2 confirmed 2 confirmed 3 that 3 that 6 system 3 that 7 was 4 the 6 system 5 new 6 system 6 system 7 was 7 was 8 able 8 able 9 to 8 able 10 recognize 9 to 10 recognize 10 recognize 14 and 10 recognize 16 by 11 foods 12 , 12 , 13 drinks 12 , 14 and 14 and 15 utensils 16 by 17 experiments in this paper , we propose an adequacy evaluation method by applying fuzzy inference . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 propose 0 ###LEFT-WALL### 15 . 1 in 3 paper 1 in 4 , 1 in 5 we 2 this 3 paper 5 we 6 propose 6 propose 10 method 6 propose 11 by 7 an 10 method 8 adequacy 10 method 9 evaluation 10 method 11 by 12 applying 12 applying 14 inference 13 fuzzy 14 inference swing [toe] [trajectory] has been investigated due to its association with tripping - induced [falls] . 0 ###LEFT-WALL### 1 swing 0 ###LEFT-WALL### 6 investigated 0 ###LEFT-WALL### 16 . 1 swing 4 has 4 has 5 been 5 been 6 investigated 6 investigated 8 to 6 investigated 11 with 6 investigated 13 - 6 investigated 14 induced 7 due 8 to 8 to 10 association 9 its 10 association 11 with 12 tripping this study investigated [how] motion of the entire foot segment influences the toe trajectory . 0 ###LEFT-WALL### 5 motion 0 ###LEFT-WALL### 11 influences 0 ###LEFT-WALL### 15 . 1 this 5 motion 2 study 3 investigated 3 investigated 5 motion 5 motion 6 of 5 motion 11 influences 6 of 10 segment 7 the 10 segment 8 entire 9 foot 9 foot 10 segment 11 influences 14 trajectory 12 the 14 trajectory 13 toe 14 trajectory seven young and seven older participants walked both over [-] ground and on a treadmill to obtain the swing foot trajectory data . 0 ###LEFT-WALL### 1 seven 0 ###LEFT-WALL### 20 foot 0 ###LEFT-WALL### 23 . 1 seven 3 and 1 seven 17 obtain 1 seven 20 foot 2 young 3 and 3 and 6 participants 3 and 7 walked 4 seven 6 participants 5 older 6 participants 7 walked 8 both 7 walked 16 to 8 both 12 and 9 over 11 ground 9 over 12 and 12 and 13 on 13 on 15 treadmill 14 a 15 treadmill 16 to 17 obtain 17 obtain 19 swing 18 the 19 swing 20 foot 22 data 21 trajectory 22 data no ageing effects were obtained for toe trajectory control . 0 ###LEFT-WALL### 3 effects 0 ###LEFT-WALL### 5 obtained 0 ###LEFT-WALL### 10 . 1 no 3 effects 2 ageing 3 effects 3 effects 4 were 4 were 5 obtained 5 obtained 6 for 6 for 9 control 7 toe 9 control 8 trajectory 9 control older adults were found to have greater asymmetry at minimum ground clearance , especially in [treadmill] walking , whereas foot center [of] mass [(] com ) control was symmetrical , suggesting that foot com motion does not influence toe [trajectory] . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 6 have 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 41 . 1 older 2 adults 2 adults 3 were 3 were 4 found 4 found 5 to 5 to 6 have 6 have 8 asymmetry 7 greater 8 asymmetry 8 asymmetry 9 at 9 at 12 clearance 10 minimum 11 ground 11 ground 12 clearance 12 clearance 15 in 13 , 14 especially 13 , 15 in 15 in 17 walking 15 in 18 , 18 , 27 control 18 , 28 was 19 whereas 25 com 19 whereas 26 ) 19 whereas 27 control 20 foot 21 center 21 center 23 mass 23 mass 25 com 27 control 28 was 28 was 31 suggesting 29 symmetrical 30 , 29 symmetrical 31 suggesting 31 suggesting 32 that 31 suggesting 39 toe 32 that 34 com 32 that 39 toe 33 foot 34 com 34 com 35 motion 34 com 38 influence 34 com 39 toe 35 motion 36 does 36 does 37 not 36 does 38 influence correlation analysis indicated that foot com and toe trajectory may be controlled independently due to ankle motions that modulate the toe 's elevation , a finding that has implications for [falls] prevention strategies . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 3 indicated 1 correlation 2 analysis 2 analysis 3 indicated 3 indicated 4 that 4 that 7 and 4 that 12 controlled 5 foot 6 com 6 com 7 and 7 and 9 trajectory 7 and 10 may 8 toe 9 trajectory 10 may 11 be 11 be 12 controlled 12 controlled 13 independently 13 independently 15 to 14 due 15 to 15 to 17 motions 16 ankle 17 motions 17 motions 18 that 17 motions 19 modulate 18 that 19 modulate 19 modulate 23 elevation 20 the 21 toe 21 toe 22 's 22 's 23 elevation 23 elevation 26 finding 24 , 26 finding 25 a 26 finding 26 finding 27 that 26 finding 28 has 26 finding 34 . 27 that 28 has 28 has 29 implications 28 has 30 for 30 for 33 strategies 32 prevention 33 strategies the results also provide the first report of the foot 's center [of] mass trajectory during the swing phase of the gait cycle . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 4 provide 0 ###LEFT-WALL### 24 . 1 the 2 results 2 results 4 provide 3 also 4 provide 4 provide 7 report 4 provide 16 during 5 the 6 first 5 the 7 report 7 report 8 of 8 of 15 trajectory 9 the 10 foot 10 foot 11 's 11 's 15 trajectory 12 center 15 trajectory 14 mass 15 trajectory 16 during 19 phase 17 the 19 phase 18 swing 19 phase 19 phase 20 of 20 of 23 cycle 21 the 23 cycle 22 gait 23 cycle the foot 's trajectory resembles pendulum motion but further work will be necessary to test the foot [-] pendulum control hypothesis . 0 ###LEFT-WALL### 4 trajectory 0 ###LEFT-WALL### 5 resembles 0 ###LEFT-WALL### 8 but 0 ###LEFT-WALL### 15 test 0 ###LEFT-WALL### 22 . 1 the 2 foot 2 foot 3 's 3 's 4 trajectory 4 trajectory 5 resembles 5 resembles 7 motion 6 pendulum 7 motion 8 but 10 work 8 but 12 be 9 further 10 work 10 work 11 will 11 will 12 be 12 be 13 necessary 13 necessary 14 to 13 necessary 15 test 14 to 15 test 15 test 21 hypothesis 16 the 21 hypothesis 17 foot 21 hypothesis 19 pendulum 21 hypothesis 20 control 21 hypothesis the lack of reliable mechanical data on coronary arteries hampers the application of numerical models to vascular problems , and precludes physicians from knowing in advance the response of coronary arteries to the different interventions . 0 ###LEFT-WALL### 2 lack 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 36 . 1 the 2 lack 2 lack 3 of 2 lack 20 and 3 of 6 data 4 reliable 6 data 5 mechanical 6 data 6 data 7 on 7 on 9 arteries 8 coronary 9 arteries 10 hampers 12 application 10 hampers 16 to 10 hampers 20 and 11 the 12 application 12 application 13 of 13 of 15 models 14 numerical 15 models 16 to 18 problems 17 vascular 18 problems 19 , 20 and 20 and 21 precludes 21 precludes 22 physicians 22 physicians 23 from 23 from 24 knowing 24 knowing 26 advance 24 knowing 28 response 24 knowing 32 to 25 in 26 advance 27 the 28 response 28 response 29 of 29 of 31 arteries 30 coronary 31 arteries 32 to 35 interventions 33 the 35 interventions 34 different 35 interventions in this work , the mechanical properties of human coronary arteries have been characterized . 0 ###LEFT-WALL### 7 properties 0 ###LEFT-WALL### 14 characterized 0 ###LEFT-WALL### 15 . 1 in 3 work 1 in 4 , 1 in 7 properties 2 this 3 work 5 the 7 properties 6 mechanical 7 properties 7 properties 8 of 7 properties 12 have 8 of 11 arteries 9 human 11 arteries 10 coronary 11 arteries 12 have 13 been 13 been 14 characterized whole samples from human right ( rc [ )(and left anterior descending ( lad ) coronary arteries aged between 23 and 83 years have been studied by means of in - [vitro] tensile testing up to failure . 0 ###LEFT-WALL### 1 whole 0 ###LEFT-WALL### 2 samples 0 ###LEFT-WALL### 31 - 0 ###LEFT-WALL### 38 . 1 whole 2 samples 2 samples 3 from 2 samples 17 arteries 2 samples 19 between 3 from 5 right 4 human 5 right 5 right 9 )(and 6 ( 9 )(and 7 rc 9 )(and 9 )(and 12 descending 9 )(and 14 lad 9 )(and 15 ) 10 left 12 descending 11 anterior 12 descending 13 ( 14 lad 14 lad 15 ) 16 coronary 17 arteries 17 arteries 18 aged 19 between 21 and 20 23 21 and 21 and 22 83 21 and 23 years 21 and 30 in 23 years 24 have 24 have 25 been 25 been 26 studied 26 studied 27 by 27 by 28 means 28 means 29 of 29 of 30 in 31 - 34 testing 33 tensile 34 testing 34 testing 35 up 35 up 36 to 36 to 37 failure knowledge of the mechanical response of human coronary arteries could be applied to optimize the election of vascular grafts or to prevent arterial damage during angioplasty . 0 ###LEFT-WALL### 1 knowledge 0 ###LEFT-WALL### 20 or 0 ###LEFT-WALL### 27 . 1 knowledge 2 of 1 knowledge 6 of 1 knowledge 10 could 2 of 5 response 3 the 5 response 4 mechanical 5 response 6 of 9 arteries 7 human 9 arteries 8 coronary 9 arteries 10 could 11 be 11 be 12 applied 12 applied 13 to 13 to 20 or 14 optimize 16 election 14 optimize 20 or 15 the 16 election 16 election 17 of 17 of 19 grafts 18 vascular 19 grafts 20 or 21 to 20 or 22 prevent 20 or 25 during 21 to 22 prevent 22 prevent 24 damage 23 arterial 24 damage 25 during 26 angioplasty the aim of this study was to investigate sex and age related differences in drug induced qt prolongation by dofetilide under reduced repolarization reserve in simulated [ventricular] cells . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 10 and 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 8 investigate 7 to 8 investigate 8 investigate 9 sex 10 and 11 age 10 and 12 related 11 age 12 related 12 related 13 differences 12 related 14 in 12 related 19 by 12 related 21 under 14 in 18 prolongation 15 drug 16 induced 16 induced 18 prolongation 17 qt 18 prolongation 19 by 20 dofetilide 21 under 24 reserve 22 reduced 23 repolarization 23 repolarization 24 reserve 24 reserve 25 in 25 in 28 cells 26 simulated 28 cells left [ventricular] endocardial action potentials were simulated using a modified luo rudy model . 0 ###LEFT-WALL### 5 potentials 0 ###LEFT-WALL### 7 simulated 0 ###LEFT-WALL### 14 . 1 left 4 action 3 endocardial 4 action 4 action 5 potentials 5 potentials 6 were 6 were 7 simulated 7 simulated 8 using 8 using 13 model 9 a 13 model 10 modified 11 luo 11 luo 13 model 12 rudy 13 model sex , age and regional differences in currents i ( cal ) , ik [(] [r] ) , ik [(] [s] ) , and i [(] [to] ) were incorporated into the model by modifying the equations representing them . 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 30 incorporated 0 ###LEFT-WALL### 40 . 1 sex 2 , 2 , 3 age 2 , 4 and 4 and 6 differences 4 and 7 in 4 and 24 and 5 regional 6 differences 7 in 8 currents 8 currents 9 i 8 currents 11 cal 8 currents 14 ik 8 currents 19 ik 10 ( 11 cal 11 cal 12 ) 13 , 14 ik 14 ik 17 ) 18 , 19 ik 19 ik 22 ) 23 , 24 and 24 and 25 i 24 and 28 ) 24 and 29 were 29 were 30 incorporated 30 incorporated 31 into 30 incorporated 34 by 31 into 33 model 32 the 33 model 34 by 35 modifying 35 modifying 37 equations 36 the 37 equations 37 equations 38 representing 38 representing 39 them a model of dofetilide , a class [iii] antiarrhythmic drug , was developed and included into a [ventricular] cell models . 0 ###LEFT-WALL### 2 model 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 21 . 1 a 2 model 2 model 3 of 2 model 14 and 3 of 4 dofetilide 4 dofetilide 10 drug 5 , 10 drug 6 a 7 class 6 a 10 drug 7 class 10 drug 9 antiarrhythmic 10 drug 10 drug 11 , 12 was 13 developed 12 was 14 and 14 and 15 included 14 and 16 into 14 and 20 models 16 into 19 cell 17 a 19 cell the reduced repolarization reserve was [reproduced] decreasing the iks current . 0 ###LEFT-WALL### 4 reserve 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 11 . 1 the 4 reserve 2 reduced 3 repolarization 3 repolarization 4 reserve 4 reserve 5 was 5 was 7 decreasing 7 decreasing 10 current 8 the 10 current 9 iks 10 current our results shown that the adult female cells had longer action potentials , a steeper apd - bcl relationship and a higher susceptibility to eads than adult male cells , under control , drug induced and reduced repolarization reserve conditions . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 36 and 0 ###LEFT-WALL### 41 . 1 our 2 results 2 results 3 shown 2 results 36 and 3 shown 4 that 4 that 8 cells 4 that 9 had 5 the 8 cells 6 adult 7 female 7 female 8 cells 8 cells 9 had 9 had 20 and 9 had 24 to 9 had 26 than 10 longer 11 action 11 action 12 potentials 12 potentials 13 , 13 , 19 relationship 13 , 20 and 14 a 19 relationship 15 steeper 19 relationship 16 apd 18 bcl 17 - 18 bcl 18 bcl 19 relationship 20 and 23 susceptibility 21 a 23 susceptibility 22 higher 23 susceptibility 24 to 25 eads 26 than 29 cells 26 than 34 drug 27 adult 28 male 28 male 29 cells 29 cells 31 under 29 cells 34 drug 30 , 31 under 31 under 32 control 31 under 33 , 35 induced 36 and 36 and 37 reduced 36 and 40 conditions 38 repolarization 39 reserve 39 reserve 40 conditions on the other hand , young female and young male cells had similar action potentials under control conditions . 0 ###LEFT-WALL### 11 cells 0 ###LEFT-WALL### 12 had 0 ###LEFT-WALL### 19 . 1 on 8 and 1 on 11 cells 2 the 3 other 3 other 4 hand 4 hand 5 , 5 , 7 female 5 , 8 and 6 young 7 female 8 and 10 male 9 young 10 male 11 cells 12 had 12 had 15 potentials 12 had 16 under 13 similar 14 action 14 action 15 potentials 16 under 18 conditions 17 control 18 conditions however , young male cells had longer action potentials and higher susceptibility to eads than young female cells under [drug] induced and reduced repolarization reserve conditions . 0 ###LEFT-WALL### 5 cells 0 ###LEFT-WALL### 6 had 0 ###LEFT-WALL### 15 than 0 ###LEFT-WALL### 27 . 1 however 2 , 1 however 5 cells 3 young 4 male 4 male 5 cells 5 cells 6 had 6 had 12 susceptibility 6 had 13 to 6 had 15 than 7 longer 8 action 8 action 9 potentials 9 potentials 10 and 10 and 11 higher 10 and 12 susceptibility 13 to 14 eads 15 than 18 cells 15 than 25 reserve 16 young 18 cells 17 female 18 cells 18 cells 19 under 18 cells 25 reserve 19 under 22 and 21 induced 22 and 22 and 23 reduced 23 reduced 24 repolarization 25 reserve 26 conditions sex and age dependent differences [in] i ( cal ) , ikr , iks , and ito may explain the age and sex disparities in prolongation of apd by the action of dofetilide . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 34 . 1 sex 2 and 2 and 5 differences 2 and 9 cal 2 and 11 , 3 age 4 dependent 4 dependent 5 differences 5 differences 7 i 8 ( 9 cal 9 cal 10 ) 11 , 12 ikr 11 , 13 , 13 , 14 iks 13 , 16 and 15 , 16 and 16 and 17 ito 16 and 22 and 18 may 19 explain 18 may 22 and 19 explain 21 age 20 the 21 age 22 and 23 sex 22 and 24 disparities 24 disparities 25 in 24 disparities 27 of 25 in 26 prolongation 27 of 28 apd 28 apd 29 by 28 apd 32 of 29 by 31 action 30 the 31 action 32 of 33 dofetilide a system for diagnosing health problems from gait patterns [of] elderly to support their independent living is proposed in this paper . 0 ###LEFT-WALL### 2 system 0 ###LEFT-WALL### 18 proposed 0 ###LEFT-WALL### 22 . 1 a 2 system 2 system 3 for 2 system 7 from 2 system 16 living 2 system 17 is 3 for 4 diagnosing 4 diagnosing 6 problems 5 health 6 problems 7 from 9 patterns 8 gait 9 patterns 9 patterns 11 elderly 11 elderly 12 to 11 elderly 13 support 12 to 13 support 13 support 15 independent 14 their 15 independent 17 is 18 proposed 18 proposed 19 in 19 in 21 paper 20 this 21 paper motion capture system , which consists of tags attached to the body and sensors situated in the apartment , is used [to] capture [gait] [of] elderly . 0 ###LEFT-WALL### 3 system 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 20 is 0 ###LEFT-WALL### 27 . 1 motion 3 system 2 capture 3 system 4 , 5 which 4 , 6 consists 4 , 19 , 5 which 6 consists 6 consists 7 of 7 of 8 tags 8 tags 9 attached 9 attached 10 to 10 to 13 and 11 the 12 body 12 body 13 and 13 and 14 sensors 13 and 15 situated 13 and 16 in 16 in 18 apartment 17 the 18 apartment 19 , 20 is 20 is 23 capture 20 is 26 elderly 21 used 23 capture position of the tags [is] acquired by the sensors and the resulting time series of position coordinates are analyzed with machine learning algorithms in order to recognize the specific health problem . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 19 analyzed 0 ###LEFT-WALL### 32 . 1 position 2 of 1 position 10 and 2 of 4 tags 3 the 4 tags 4 tags 6 acquired 4 tags 7 by 7 by 9 sensors 8 the 9 sensors 10 and 14 series 10 and 15 of 10 and 18 are 11 the 14 series 12 resulting 14 series 13 time 14 series 15 of 17 coordinates 16 position 17 coordinates 18 are 19 analyzed 19 analyzed 20 with 20 with 23 algorithms 21 machine 23 algorithms 22 learning 23 algorithms 23 algorithms 24 in 24 in 25 order 25 order 26 to 25 order 27 recognize 26 to 27 recognize 27 recognize 31 problem 28 the 31 problem 29 specific 30 health 30 health 31 problem we propose novel features for training a machine learning classifier that classifies the user 's gait into four health problems and a normal health state . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 propose 0 ###LEFT-WALL### 26 . 1 we 2 propose 2 propose 4 features 3 novel 4 features 4 features 5 for 4 features 9 learning 5 for 6 training 6 training 8 machine 7 a 8 machine 9 learning 10 classifier 9 learning 17 into 10 classifier 11 that 10 classifier 12 classifies 11 that 12 classifies 12 classifies 16 gait 13 the 14 user 14 user 15 's 15 's 16 gait 17 into 21 and 18 four 20 problems 19 health 20 problems 20 problems 21 and 21 and 25 state 22 a 25 state 23 normal 24 health 24 health 25 state results showed that decision tree classifier was able to reach 95 % of classification accuracy using 7 tags and 5 mm standard deviation of noise . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 showed 0 ###LEFT-WALL### 26 . 1 results 2 showed 2 showed 6 classifier 2 showed 7 was 3 that 6 classifier 4 decision 6 classifier 5 tree 6 classifier 6 classifier 7 was 7 was 8 able 8 able 9 to 8 able 10 reach 9 to 10 reach 10 reach 12 % 10 reach 16 using 11 95 12 % 12 % 13 of 13 of 15 accuracy 14 classification 15 accuracy 16 using 19 and 17 7 19 and 18 tags 19 and 19 and 23 deviation 19 and 24 of 20 5 21 mm 21 mm 23 deviation 22 standard 23 deviation 24 of 25 noise neural [network] outperformed it with classification accuracy over 99 % using 8 tags with 0 - 20 mm noise . 0 ###LEFT-WALL### 1 neural 0 ###LEFT-WALL### 3 outperformed 0 ###LEFT-WALL### 20 . 1 neural 3 outperformed 3 outperformed 4 it 3 outperformed 5 with 3 outperformed 11 using 5 with 7 accuracy 6 classification 7 accuracy 7 accuracy 8 over 8 over 10 % 9 99 10 % 11 using 13 tags 11 using 14 with 12 8 13 tags 14 with 19 noise 15 0 16 - 16 - 17 20 16 - 18 mm 18 mm 19 noise control [panel] [prototype] has been developed to provide explanation of the automatic diagnosis . 0 ###LEFT-WALL### 1 control 0 ###LEFT-WALL### 6 developed 0 ###LEFT-WALL### 14 . 1 control 4 has 4 has 5 been 5 been 6 developed 6 developed 7 to 7 to 8 provide 8 provide 9 explanation 9 explanation 10 of 10 of 13 diagnosis 11 the 13 diagnosis 12 automatic 13 diagnosis age - related macular degeneration ( amd ) is a leading cause of blindness worldwide . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 16 . 1 age 9 is 2 - 3 related 3 related 5 degeneration 3 related 8 ) 3 related 9 is 4 macular 5 degeneration 5 degeneration 7 amd 6 ( 7 amd 7 amd 8 ) 9 is 12 cause 9 is 15 worldwide 10 a 12 cause 11 leading 12 cause 12 cause 13 of 13 of 14 blindness the disease is highly associated with age , and becoming increasingly prevalent in our aging societies . 0 ###LEFT-WALL### 2 disease 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 17 . 1 the 2 disease 2 disease 3 is 3 is 4 highly 3 is 5 associated 5 associated 6 with 6 with 9 and 6 with 11 increasingly 6 with 12 prevalent 7 age 9 and 8 , 9 and 9 and 10 becoming 12 prevalent 13 in 13 in 16 societies 14 our 16 societies 15 aging 16 societies drusen is a pathological feature that is well - associated with amd . 0 ###LEFT-WALL### 1 drusen 0 ###LEFT-WALL### 2 is 1 drusen 2 is 2 is 5 feature 3 a 4 pathological 3 a 5 feature 4 pathological 5 feature 5 feature 6 that 5 feature 7 is 6 that 7 is 7 is 8 well 8 well 10 associated 9 - 10 associated 10 associated 11 with 10 associated 13 . 11 with 12 amd in this paper , we present a method of detecting drusen in retinal fundus images . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 present 0 ###LEFT-WALL### 16 . 1 in 3 paper 1 in 4 , 1 in 5 we 2 this 3 paper 5 we 6 present 6 present 8 method 7 a 8 method 8 method 9 of 9 of 10 detecting 10 detecting 11 drusen 10 detecting 12 in 12 in 15 images 13 retinal 14 fundus 14 fundus 15 images the method first determines the location of the macula , which is used as a landmark for a clinical drusen grading overlay . 0 ###LEFT-WALL### 2 method 0 ###LEFT-WALL### 4 determines 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 23 . 1 the 2 method 2 method 4 determines 3 first 4 determines 4 determines 6 location 5 the 6 location 6 location 7 of 7 of 9 macula 8 the 9 macula 10 , 11 which 10 , 13 used 11 which 12 is 12 is 13 used 13 used 14 as 14 as 16 landmark 15 a 16 landmark 16 landmark 17 for 17 for 22 overlay 18 a 19 clinical 18 a 22 overlay 19 clinical 20 drusen 20 drusen 22 overlay 21 grading 22 overlay subsequently , regions of drusen are identified though a maximal region [-] based pixel intensity approach [via] rgb and hsv channels . 0 ###LEFT-WALL### 3 regions 0 ###LEFT-WALL### 7 identified 0 ###LEFT-WALL### 22 . 1 subsequently 2 , 1 subsequently 3 regions 3 regions 4 of 3 regions 6 are 4 of 5 drusen 6 are 7 identified 7 identified 8 though 8 though 11 region 8 though 13 based 9 a 10 maximal 9 a 11 region 10 maximal 11 region 11 region 13 based 13 based 21 channels 14 pixel 21 channels 15 intensity 16 approach 16 approach 21 channels 18 rgb 19 and 19 and 20 hsv 20 hsv 21 channels methods of reducing the effect of retinal and choroidal vessels are also described . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 13 described 0 ###LEFT-WALL### 14 . 1 methods 2 of 1 methods 11 are 2 of 3 reducing 3 reducing 5 effect 4 the 5 effect 5 effect 6 of 6 of 10 vessels 7 retinal 8 and 8 and 9 choroidal 8 and 10 vessels 11 are 12 also 11 are 13 described the system is tested on a sample set of 16 fundus images from a clinical study , with half having drusen . 0 ###LEFT-WALL### 2 system 0 ###LEFT-WALL### 4 tested 1 the 2 system 2 system 3 is 3 is 4 tested 4 tested 5 on 4 tested 13 from 5 on 7 sample 6 a 7 sample 7 sample 8 set 7 sample 9 of 9 of 12 images 10 16 12 images 11 fundus 12 images 13 from 16 study 14 a 15 clinical 14 a 16 study 15 clinical 16 study 16 study 18 with 17 , 18 with 18 with 19 half 18 with 20 having 18 with 22 . 20 having 21 drusen experiments on the results show a sensitivity and specificity of 0.75 on the test image set . 0 ###LEFT-WALL### 1 experiments 0 ###LEFT-WALL### 5 show 0 ###LEFT-WALL### 17 . 1 experiments 2 on 1 experiments 5 show 2 on 4 results 3 the 4 results 5 show 7 sensitivity 5 show 8 and 5 show 12 on 6 a 7 sensitivity 8 and 9 specificity 9 specificity 10 of 10 of 11 0.75 12 on 15 image 13 the 15 image 14 test 15 image 15 image 16 set the paper presents an ongoing investigation into the feasibility of distinguishing between healthy young and older adults , but more specifically into the nature of the features that would provide this distinction . 0 ###LEFT-WALL### 3 presents 0 ###LEFT-WALL### 30 provide 0 ###LEFT-WALL### 33 . 1 the 3 presents 2 paper 3 presents 3 presents 19 but 3 presents 30 provide 4 an 6 investigation 5 ongoing 6 investigation 6 investigation 7 into 6 investigation 10 of 6 investigation 19 but 7 into 9 feasibility 8 the 9 feasibility 10 of 11 distinguishing 11 distinguishing 12 between 12 between 17 adults 13 healthy 14 young 13 healthy 15 and 15 and 16 older 15 and 17 adults 18 , 19 but 19 but 20 more 19 but 21 specifically 19 but 22 into 22 into 24 nature 23 the 24 nature 24 nature 25 of 25 of 27 features 26 the 27 features 27 features 28 that 27 features 29 would 28 that 29 would 30 provide 32 distinction 31 this 32 distinction the present study compared the performance of forward , backward , [and] branch and bound feature selection algorithms when applied to electroencephalography and electromyography data . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 compared 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 26 . 1 the 3 study 2 present 3 study 3 study 4 compared 4 compared 6 performance 4 compared 10 backward 5 the 6 performance 6 performance 7 of 7 of 8 forward 9 , 10 backward 10 backward 11 , 11 , 14 and 13 branch 14 and 14 and 15 bound 15 bound 18 algorithms 15 bound 19 when 16 feature 18 algorithms 17 selection 18 algorithms 19 when 20 applied 20 applied 21 to 21 to 23 and 22 electroencephalography 23 and 23 and 25 data 24 electromyography 25 data the results showed that the forward selection algorithm outperformed the other techniques for this particular problem . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 17 . 1 the 2 results 2 results 3 showed 3 showed 4 that 4 that 8 algorithm 4 that 9 outperformed 5 the 8 algorithm 6 forward 8 algorithm 7 selection 8 algorithm 8 algorithm 9 outperformed 9 outperformed 12 techniques 10 the 11 other 11 other 12 techniques 12 techniques 13 for 13 for 16 problem 14 this 16 problem 15 particular 16 problem in addition , time domain features were primarily selected over frequency domain features . 0 ###LEFT-WALL### 6 features 0 ###LEFT-WALL### 9 selected 0 ###LEFT-WALL### 14 . 1 in 2 addition 1 in 3 , 1 in 6 features 4 time 6 features 5 domain 6 features 6 features 7 were 7 were 9 selected 8 primarily 9 selected 9 selected 10 over 10 over 13 features 11 frequency 13 features 12 domain 13 features validation of the selected subset suggests the approach is appropriate for future investigation . 0 ###LEFT-WALL### 1 validation 0 ###LEFT-WALL### 6 suggests 0 ###LEFT-WALL### 14 . 1 validation 2 of 1 validation 6 suggests 2 of 5 subset 3 the 5 subset 4 selected 5 subset 6 suggests 8 approach 6 suggests 9 is 7 the 8 approach 8 approach 9 is 9 is 10 appropriate 10 appropriate 11 for 11 for 13 investigation 12 future 13 investigation breast density is considered a structural property of a [mammo] gram that can change in various ways explaining different effects of medicinal treatments . 0 ###LEFT-WALL### 2 density 0 ###LEFT-WALL### 4 considered 0 ###LEFT-WALL### 24 . 1 breast 2 density 2 density 3 is 3 is 4 considered 4 considered 7 property 5 a 6 structural 5 a 7 property 6 structural 7 property 7 property 8 of 7 property 12 that 7 property 13 can 8 of 11 gram 9 a 11 gram 12 that 13 can 13 can 14 change 14 change 15 in 14 change 16 various 16 various 17 ways 17 ways 18 explaining 17 ways 21 of 18 explaining 20 effects 19 different 20 effects 21 of 23 treatments 22 medicinal 23 treatments the aim of the present work is to provide a framework for obtaining more accurate and sensitive measurements of breast density changes related to specific effects like hormonal replacement therapy ( hrt ) and aging . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 23 related 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 23 related 8 to 9 provide 10 a 11 framework 11 framework 12 for 11 framework 23 related 12 for 13 obtaining 13 obtaining 18 measurements 14 more 18 measurements 15 accurate 16 and 16 and 17 sensitive 16 and 18 measurements 18 measurements 19 of 19 of 22 changes 20 breast 22 changes 21 density 22 changes 23 related 24 to 23 related 27 like 23 related 36 . 24 to 26 effects 25 specific 26 effects 27 like 34 and 28 hormonal 29 replacement 29 replacement 30 therapy 30 therapy 32 hrt 31 ( 32 hrt 32 hrt 33 ) 32 hrt 34 and 34 and 35 aging we also demonstrate how orientation of breast tissue changes in temporal study . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 demonstrate 0 ###LEFT-WALL### 13 . 1 we 3 demonstrate 2 also 3 demonstrate 3 demonstrate 4 how 4 how 5 orientation 4 how 9 changes 5 orientation 6 of 5 orientation 9 changes 6 of 8 tissue 7 breast 8 tissue 9 changes 10 in 10 in 12 study 11 temporal 12 study this framework facilitates [radiologist] to assess breast tissue change and guide them to evaluate individual risk of having breast cancer . 0 ###LEFT-WALL### 2 framework 0 ###LEFT-WALL### 3 facilitates 0 ###LEFT-WALL### 21 . 1 this 2 framework 2 framework 3 facilitates 3 facilitates 5 to 3 facilitates 20 cancer 5 to 10 and 6 assess 9 change 6 assess 10 and 7 breast 9 change 8 tissue 9 change 10 and 11 guide 11 guide 12 them 11 guide 13 to 13 to 14 evaluate 14 evaluate 16 risk 15 individual 16 risk 16 risk 17 of 17 of 18 having 19 breast 20 cancer in this contribution , a new concept for an activity recorder and transceiver ( art ) is presented . 0 ###LEFT-WALL### 7 concept 0 ###LEFT-WALL### 18 presented 0 ###LEFT-WALL### 19 . 1 in 3 contribution 1 in 4 , 1 in 7 concept 2 this 3 contribution 5 a 6 new 5 a 7 concept 6 new 7 concept 7 concept 8 for 7 concept 17 is 8 for 12 and 9 an 11 recorder 10 activity 11 recorder 11 recorder 12 and 12 and 13 transceiver 12 and 15 art 14 ( 15 art 15 art 16 ) 17 is 18 presented among the many purposes art can be used for , this contribution focuses on the development of personal assistant devices for an aging society . 0 ###LEFT-WALL### 12 contribution 0 ###LEFT-WALL### 13 focuses 0 ###LEFT-WALL### 25 . 1 among 4 purposes 1 among 10 , 1 among 12 contribution 2 the 3 many 3 many 4 purposes 4 purposes 5 art 4 purposes 9 for 5 art 6 can 6 can 7 be 7 be 8 used 8 used 9 for 11 this 12 contribution 12 contribution 13 focuses 13 focuses 14 on 14 on 16 development 15 the 16 development 16 development 17 of 17 of 20 devices 18 personal 19 assistant 19 assistant 20 devices 20 devices 21 for 21 for 24 society 22 an 24 society 23 aging 24 society instead of probing a patient 's health only when illness occurs , art offers the possibility to monitor a person ubiquitous in every day life in order e.g . to detect abnormal changes in behavior , mainly based on the recording of discrete events rather than continuous sensor data streams . 0 ###LEFT-WALL### 13 art 0 ###LEFT-WALL### 18 monitor 0 ###LEFT-WALL### 29 . 0 ###LEFT-WALL### 36 , 0 ###LEFT-WALL### 51 . 1 instead 2 of 2 of 3 probing 2 of 12 , 2 of 13 art 3 probing 7 health 3 probing 8 only 3 probing 9 when 4 a 5 patient 5 patient 6 's 6 's 7 health 9 when 10 illness 9 when 11 occurs 10 illness 11 occurs 13 art 14 offers 14 offers 16 possibility 14 offers 17 to 15 the 16 possibility 17 to 18 monitor 18 monitor 20 person 19 a 20 person 20 person 21 ubiquitous 21 ubiquitous 22 in 21 ubiquitous 26 in 22 in 25 life 23 every 25 life 24 day 25 life 26 in 28 e.g 27 order 28 e.g 29 . 30 to 30 to 36 , 31 detect 33 changes 31 detect 36 , 32 abnormal 33 changes 33 changes 34 in 34 in 35 behavior 36 , 38 based 36 , 39 on 36 , 46 than 37 mainly 38 based 39 on 41 recording 40 the 41 recording 41 recording 42 of 42 of 44 events 43 discrete 44 events 45 rather 46 than 46 than 50 streams 47 continuous 49 data 48 sensor 49 data 49 data 50 streams arts are key elements to develop personal assistant devices that are able to support people especially with cognitive impairments to remain living independent and yet secure their home environments . 0 ###LEFT-WALL### 1 arts 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 30 . 1 arts 2 are 2 are 4 elements 2 are 5 to 2 are 13 to 2 are 16 especially 3 key 4 elements 5 to 6 develop 6 develop 9 devices 7 personal 8 assistant 8 assistant 9 devices 9 devices 10 that 9 devices 11 are 10 that 11 are 11 are 12 able 13 to 14 support 14 support 15 people 16 especially 17 with 17 with 19 impairments 17 with 29 environments 18 cognitive 19 impairments 19 impairments 20 to 19 impairments 21 remain 19 impairments 22 living 20 to 21 remain 22 living 25 yet 23 independent 25 yet 24 and 25 yet 25 yet 26 secure 27 their 29 environments 28 home 29 environments in this document vital demands on such systems will be defined and systematically analyzed . 0 ###LEFT-WALL### 5 demands 0 ###LEFT-WALL### 10 be 0 ###LEFT-WALL### 15 . 1 in 3 document 1 in 5 demands 2 this 3 document 4 vital 5 demands 5 demands 6 on 5 demands 9 will 6 on 8 systems 7 such 8 systems 9 will 10 be 10 be 12 and 11 defined 12 and 12 and 14 analyzed 13 systematically 14 analyzed furthermore the system architecture and possible applications for arts will be presented . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 12 presented 0 ###LEFT-WALL### 13 . 1 furthermore 5 and 2 the 4 architecture 3 system 4 architecture 4 architecture 5 and 5 and 7 applications 5 and 8 for 5 and 10 will 6 possible 7 applications 8 for 9 arts 10 will 11 be 11 be 12 presented personal health record ( phr ) has been increasingly recognized and actively promoted by the federal government , experts and industry as an important tool for improving healthcare in the u.s . however , the phr use by patients and its utility have not been studied well . 0 ###LEFT-WALL### 5 phr 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 32 . 0 ###LEFT-WALL### 48 . 1 personal 5 phr 2 health 3 record 3 record 5 phr 4 ( 5 phr 5 phr 6 ) 5 phr 7 has 7 has 8 been 8 been 11 and 9 increasingly 10 recognized 10 recognized 11 and 11 and 13 promoted 11 and 14 by 11 and 20 and 12 actively 13 promoted 14 by 16 federal 15 the 16 federal 17 government 18 , 18 , 19 experts 18 , 20 and 20 and 21 industry 20 and 22 as 22 as 25 tool 23 an 25 tool 24 important 25 tool 25 tool 26 for 25 tool 28 healthcare 26 for 27 improving 28 healthcare 29 in 29 in 31 u.s 30 the 31 u.s 32 . 40 and 32 . 45 been 33 however 34 , 33 however 40 and 35 the 37 use 36 phr 37 use 37 use 38 by 37 use 40 and 38 by 39 patients 40 and 42 utility 40 and 43 have 41 its 42 utility 43 have 44 not 43 have 45 been 45 been 47 well 46 studied 47 well we have evaluated a web - based phr in multiple locations covering diverse population groups . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 evaluated 0 ###LEFT-WALL### 6 - 1 we 2 have 2 have 3 evaluated 3 evaluated 5 web 4 a 5 web 6 - 8 phr 6 - 15 groups 6 - 16 . 7 based 8 phr 8 phr 9 in 8 phr 15 groups 9 in 11 locations 10 multiple 11 locations 11 locations 12 covering 12 covering 14 population 13 diverse 14 population the study sites included a surgical specialty clinic , a medical specialty clinic , and a mental health clinic at the university of washington , and a low - income elderly housing facility near seattle in the state of washington . 0 ###LEFT-WALL### 3 sites 0 ###LEFT-WALL### 4 included 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 41 . 1 the 3 sites 2 study 3 sites 3 sites 4 included 4 included 8 clinic 5 a 8 clinic 6 surgical 8 clinic 7 specialty 8 clinic 8 clinic 13 clinic 9 , 13 clinic 10 a 13 clinic 11 medical 12 specialty 12 specialty 13 clinic 13 clinic 14 , 14 , 15 and 15 and 26 and 15 and 34 near 16 a 19 clinic 17 mental 18 health 18 health 19 clinic 19 clinic 20 at 19 clinic 23 of 19 clinic 26 and 20 at 22 university 21 the 22 university 23 of 24 washington 25 , 26 and 26 and 33 facility 26 and 34 near 27 a 33 facility 28 low 29 - 28 low 30 income 30 income 33 facility 31 elderly 32 housing 32 housing 33 facility 34 near 35 seattle 34 near 36 in 36 in 38 state 37 the 38 state 38 state 39 of 39 of 40 washington the phr use by the low - income [elderly] was limited due to poor technical skills and low physical/cognitive abilities . 0 ###LEFT-WALL### 2 phr 0 ###LEFT-WALL### 21 . 1 the 2 phr 2 phr 3 use 2 phr 10 was 2 phr 11 limited 3 use 4 by 3 use 10 was 4 by 8 income 5 the 8 income 6 low 7 - 6 low 8 income 11 limited 13 to 11 limited 20 abilities 12 due 13 to 13 to 17 and 14 poor 16 skills 15 technical 16 skills 16 skills 17 and 17 and 18 low 19 physical/cognitive 20 abilities on the other hand , the younger [and] affluent populations used the web - based phr much easily and efficiently compared to the older [and] low - income group . 0 ###LEFT-WALL### 10 populations 0 ###LEFT-WALL### 11 used 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 30 . 1 on 4 hand 1 on 5 , 1 on 10 populations 2 the 3 other 3 other 4 hand 6 the 10 populations 7 younger 10 populations 9 affluent 10 populations 10 populations 11 used 11 used 13 web 12 the 13 web 14 - 19 and 15 based 16 phr 15 based 17 much 15 based 18 easily 15 based 19 and 19 and 21 compared 20 efficiently 21 compared 21 compared 22 to 22 to 29 group 23 the 29 group 24 older 28 income 26 low 27 - 26 low 28 income 28 income 29 group they regarded managing personal health information [easy] while the older group struggled . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 2 regarded 0 ###LEFT-WALL### 13 . 1 they 2 regarded 2 regarded 6 information 2 regarded 8 while 3 managing 5 health 4 personal 5 health 5 health 6 information 8 while 11 group 8 while 12 struggled 9 the 11 group 10 older 11 group 11 group 12 struggled as more computer literate individuals age , the next - [generation] elderly are certain to be more technically skilled than the current generation . 0 ###LEFT-WALL### 12 elderly 0 ###LEFT-WALL### 13 are 0 ###LEFT-WALL### 24 . 1 as 5 individuals 1 as 6 age 1 as 7 , 1 as 12 elderly 2 more 5 individuals 3 computer 5 individuals 4 literate 5 individuals 5 individuals 6 age 8 the 9 next 8 the 12 elderly 9 next 10 - 12 elderly 13 are 13 are 14 certain 14 certain 15 to 15 to 16 be 16 be 18 technically 16 be 19 skilled 17 more 18 technically 19 skilled 20 than 20 than 23 generation 21 the 23 generation 22 current 23 generation although the reduced physical/cognitive abilities due to aging would still be a challenge , more elderly people will be able to not only use a phr system but also use it to the full extent to get the maximum benefit . 0 ###LEFT-WALL### 17 people 0 ###LEFT-WALL### 28 but 0 ###LEFT-WALL### 41 . 1 although 5 abilities 1 although 11 be 1 although 14 , 1 although 17 people 2 the 5 abilities 3 reduced 5 abilities 4 physical/cognitive 5 abilities 5 abilities 6 due 5 abilities 9 would 6 due 7 to 7 to 8 aging 9 would 11 be 10 still 11 be 11 be 13 challenge 12 a 13 challenge 15 more 16 elderly 16 elderly 17 people 17 people 28 but 18 will 19 be 18 will 28 but 19 be 20 able 20 able 21 to 20 able 24 use 21 to 22 not 21 to 24 use 23 only 24 use 24 use 27 system 25 a 27 system 26 phr 27 system 28 but 30 use 29 also 30 use 30 use 31 it 30 use 32 to 30 use 36 to 30 use 37 get 32 to 35 extent 33 the 35 extent 34 full 35 extent 36 to 37 get 37 get 40 benefit 38 the 40 benefit 39 maximum 40 benefit in an aging society , social demands for home - based rehabilitation and assistive technologies by healthcare and welfare services are globally increasing . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 21 are 0 ###LEFT-WALL### 24 . 1 in 4 society 1 in 13 and 2 an 4 society 3 aging 4 society 4 society 7 demands 5 , 7 demands 6 social 7 demands 7 demands 8 for 7 demands 10 - 8 for 9 home 11 based 12 rehabilitation 12 rehabilitation 13 and 13 and 15 technologies 13 and 16 by 13 and 21 are 14 assistive 15 technologies 16 by 18 and 17 healthcare 18 and 18 and 20 services 19 welfare 20 services 21 are 23 increasing 22 globally 23 increasing the progress of quality [-] of [-] life technologies and rehabilitation science is a very important and urgent issue for elderly and disabled individuals as well as for their caregivers . 0 ###LEFT-WALL### 2 progress 0 ###LEFT-WALL### 13 is 0 ###LEFT-WALL### 31 . 1 the 2 progress 2 progress 3 of 2 progress 13 is 3 of 10 and 4 quality 6 of 4 quality 10 and 6 of 9 technologies 8 life 9 technologies 10 and 12 science 11 rehabilitation 12 science 13 is 19 issue 13 is 20 for 13 is 25 as 14 a 15 very 14 a 19 issue 15 very 16 important 16 important 17 and 17 and 18 urgent 17 and 19 issue 20 for 24 individuals 21 elderly 22 and 22 and 23 disabled 22 and 24 individuals 25 as 26 well 26 well 27 as 27 as 28 for 28 for 30 caregivers 29 their 30 caregivers thus , there is a substantial need to develop simple bedside apparatuses for both continuous exercise of joints and for power assistance for standing to prevent and [manage] disuse syndromes ( e.g [.] , pressure ulcers , joint contractures and muscular atrophy ) . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 44 . 1 thus 2 , 1 thus 3 there 3 there 4 is 4 is 7 need 4 is 19 and 5 a 6 substantial 5 a 7 need 6 substantial 7 need 7 need 8 to 7 need 9 develop 8 to 9 develop 9 develop 12 apparatuses 10 simple 11 bedside 11 bedside 12 apparatuses 13 for 16 exercise 13 for 19 and 14 both 15 continuous 15 continuous 16 exercise 16 exercise 17 of 17 of 18 joints 19 and 20 for 20 for 27 and 21 power 22 assistance 22 assistance 23 for 22 assistance 27 and 23 for 24 standing 24 standing 25 to 24 standing 26 prevent 25 to 26 prevent 27 and 30 syndromes 27 and 40 and 29 disuse 30 syndromes 31 ( 40 and 32 e.g 34 , 32 e.g 36 ulcers 35 pressure 36 ulcers 36 ulcers 37 , 37 , 39 contractures 37 , 40 and 38 joint 39 contractures 40 and 42 atrophy 40 and 43 ) 41 muscular 42 atrophy unfortunately , there are currently no commercially [-] available actuators compatible with the human requirements of flexibility , quietness , lightness and a high power - [to] - weight ratio . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 28 - 1 unfortunately 2 , 1 unfortunately 3 there 3 there 4 are 4 are 5 currently 4 are 10 actuators 6 no 10 actuators 7 commercially 9 available 9 available 10 actuators 10 actuators 11 compatible 10 actuators 22 and 11 compatible 12 with 12 with 15 requirements 13 the 15 requirements 14 human 15 requirements 15 requirements 16 of 16 of 17 flexibility 18 , 22 and 19 quietness 20 , 20 , 21 lightness 20 , 22 and 22 and 25 power 22 and 26 - 22 and 28 - 23 a 24 high 23 a 25 power 24 high 25 power 28 - 30 ratio 28 - 31 . 29 weight 30 ratio to fulfill the [above] demands , we have developed a novel actuation device using a metal hydride ( mh ) alloy and a [laminate] film , called the flexible mh actuator , as a human - friendly force generator for healthcare and welfare services . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 fulfill 0 ###LEFT-WALL### 6 , 1 to 2 fulfill 2 fulfill 5 demands 3 the 5 demands 6 , 7 we 6 , 9 developed 7 we 8 have 8 have 9 developed 9 developed 13 device 10 a 11 novel 10 a 13 device 11 novel 12 actuation 12 actuation 13 device 13 device 14 using 13 device 22 and 13 device 27 called 14 using 17 hydride 15 a 16 metal 15 a 17 hydride 16 metal 17 hydride 17 hydride 19 mh 18 ( 19 mh 19 mh 20 ) 21 alloy 22 and 22 and 25 film 22 and 26 , 22 and 27 called 23 a 25 film 27 called 31 actuator 28 the 31 actuator 29 flexible 31 actuator 30 mh 31 actuator 31 actuator 33 as 32 , 33 as 33 as 39 generator 33 as 45 . 34 a 35 human 34 a 39 generator 35 human 36 - 35 human 38 force 37 friendly 38 force 38 force 39 generator 39 generator 40 for 40 for 42 and 41 healthcare 42 and 42 and 44 services 43 welfare 44 services in this paper , we show the basic structure and characteristics of the flexible mh actuator used to create a passive exercise system for preventing disuse syndromes . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 show 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 28 . 1 in 3 paper 1 in 4 , 1 in 5 we 2 this 3 paper 5 we 6 show 6 show 9 structure 7 the 9 structure 8 basic 9 structure 10 and 11 characteristics 10 and 17 used 11 characteristics 12 of 11 characteristics 17 used 12 of 16 actuator 13 the 16 actuator 14 flexible 16 actuator 15 mh 16 actuator 17 used 18 to 17 used 19 create 18 to 19 create 19 create 23 system 20 a 21 passive 20 a 23 system 21 passive 22 exercise 22 exercise 23 system 23 system 24 for 24 for 25 preventing 25 preventing 27 syndromes 26 disuse 27 syndromes to evaluate the efficiency of passive exercise for bedsore prevention , subcutaneous blood flow during passive exercise at common pressure - ulcer sites [is] measured by a laser blood flow meter . 0 ###LEFT-WALL### 23 sites 0 ###LEFT-WALL### 29 blood 0 ###LEFT-WALL### 32 . 1 to 2 evaluate 1 to 21 - 1 to 23 sites 2 evaluate 4 efficiency 3 the 4 efficiency 4 efficiency 5 of 5 of 7 exercise 6 passive 7 exercise 7 exercise 8 for 7 exercise 14 flow 8 for 10 prevention 9 bedsore 10 prevention 11 , 14 flow 12 subcutaneous 13 blood 13 blood 14 flow 14 flow 15 during 14 flow 21 - 15 during 17 exercise 16 passive 17 exercise 17 exercise 18 at 18 at 20 pressure 19 common 20 pressure 22 ulcer 23 sites 23 sites 25 measured 23 sites 29 blood 25 measured 26 by 26 by 28 laser 27 a 28 laser 29 blood 31 meter 30 flow 31 meter the force and range - of [-] motion angle required for a passive exercise apparatus is also examined with the help of a professional physical therapist . 0 ###LEFT-WALL### 9 angle 0 ###LEFT-WALL### 18 examined 0 ###LEFT-WALL### 27 . 1 the 9 angle 2 force 3 and 3 and 4 range 3 and 5 - 3 and 6 of 3 and 9 angle 6 of 8 motion 9 angle 10 required 9 angle 16 is 10 required 11 for 11 for 15 apparatus 12 a 13 passive 12 a 15 apparatus 13 passive 14 exercise 14 exercise 15 apparatus 16 is 18 examined 17 also 18 examined 18 examined 19 with 19 with 21 help 20 the 21 help 21 help 22 of 22 of 26 therapist 23 a 24 professional 23 a 26 therapist 24 professional 26 therapist 25 physical 26 therapist based on these findings , a prototype of a passive exercise apparatus is fabricated using the flexible mh actuator technology , and its operation characteristics are preliminarily verified using a thermoelectric control system . 0 ###LEFT-WALL### 7 prototype 0 ###LEFT-WALL### 14 fabricated 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 34 . 1 based 2 on 1 based 5 , 1 based 7 prototype 2 on 4 findings 3 these 4 findings 6 a 7 prototype 7 prototype 8 of 7 prototype 13 is 8 of 12 apparatus 9 a 10 passive 9 a 12 apparatus 10 passive 11 exercise 11 exercise 12 apparatus 13 is 14 fabricated 14 fabricated 15 using 15 using 20 technology 16 the 20 technology 17 flexible 20 technology 18 mh 20 technology 19 actuator 20 technology 21 , 22 and 22 and 25 characteristics 22 and 28 verified 23 its 25 characteristics 24 operation 25 characteristics 25 characteristics 26 are 26 are 28 verified 27 preliminarily 28 verified 28 verified 29 using 29 using 33 system 30 a 31 thermoelectric 30 a 33 system 31 thermoelectric 32 control 32 control 33 system we are developing a microwave tomographic system for assessment of overall bone health . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 14 . 1 we 2 are 2 are 3 developing 3 developing 7 system 4 a 7 system 5 microwave 7 system 6 tomographic 7 system 7 system 8 for 8 for 9 assessment 9 assessment 10 of 10 of 13 health 11 overall 12 bone 12 bone 13 health we hypothesize that as the mineralization of bone decreases due to the normal aging process and for more extreme situations such as osteoporosis , the dielectric property signature will also vary accordingly . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 hypothesize 0 ###LEFT-WALL### 33 . 1 we 2 hypothesize 2 hypothesize 3 that 3 that 28 signature 3 that 31 vary 4 as 6 mineralization 4 as 24 , 4 as 28 signature 5 the 6 mineralization 6 mineralization 7 of 7 of 9 decreases 8 bone 9 decreases 9 decreases 16 and 10 due 11 to 11 to 15 process 11 to 16 and 12 the 15 process 13 normal 15 process 14 aging 15 process 16 and 17 for 17 for 20 situations 18 more 19 extreme 19 extreme 20 situations 20 situations 22 as 21 such 22 as 22 as 23 osteoporosis 25 the 28 signature 26 dielectric 28 signature 27 property 28 signature 28 signature 29 will 29 will 31 vary 30 also 31 vary 31 vary 32 accordingly to determine the merits of this approach , we have begun by performing initial exams of the heel to assess the level of image quality achievable . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 determine 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 27 . 1 to 2 determine 2 determine 4 merits 3 the 4 merits 4 merits 5 of 5 of 7 approach 6 this 7 approach 8 , 9 we 8 , 11 begun 9 we 10 have 10 have 11 begun 11 begun 12 by 11 begun 26 achievable 12 by 13 performing 13 performing 15 exams 13 performing 19 to 14 initial 15 exams 15 exams 16 of 16 of 18 heel 17 the 18 heel 19 to 20 assess 20 assess 22 level 21 the 22 level 22 level 23 of 23 of 25 quality 24 image 25 quality early experience from our pilot study is encouraging and indicates that multiple planes of 2 d images produce good representations of the 3 d structural features within the heel . 0 ###LEFT-WALL### 2 experience 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 30 . 1 early 2 experience 2 experience 3 from 2 experience 9 and 3 from 6 study 4 our 6 study 5 pilot 6 study 7 is 8 encouraging 7 is 9 and 9 and 10 indicates 10 indicates 13 planes 10 indicates 18 produce 11 that 12 multiple 12 multiple 13 planes 13 planes 14 of 13 planes 18 produce 14 of 17 images 15 2 16 d 16 d 17 images 18 produce 20 representations 18 produce 27 within 19 good 20 representations 20 representations 21 of 21 of 26 features 22 the 26 features 23 3 24 d 24 d 26 features 25 structural 26 features 27 within 29 heel 28 the 29 heel wave speed is one of the key factors describing wave propagation in arteries [ 1 ] . 0 ###LEFT-WALL### 2 speed 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 17 . 1 wave 2 speed 2 speed 3 is 3 is 4 one 4 one 5 of 5 of 8 factors 6 the 8 factors 7 key 8 factors 8 factors 9 describing 9 describing 11 propagation 9 describing 12 in 10 wave 11 propagation 12 in 13 arteries 13 arteries 15 1 14 [ 15 1 15 1 16 ] local wave speed is directly related to the arterial wall properties [ 2 ] . 0 ###LEFT-WALL### 3 speed 0 ###LEFT-WALL### 6 related 0 ###LEFT-WALL### 15 . 1 local 2 wave 2 wave 3 speed 3 speed 4 is 4 is 6 related 5 directly 6 related 6 related 7 to 7 to 11 properties 8 the 11 properties 9 arterial 10 wall 10 wall 11 properties 11 properties 13 2 12 [ 13 2 13 2 14 ] with aging , arterial wave speed increases due to the stiffening [of] arterial wall , and also related to arterial disease . 0 ###LEFT-WALL### 6 speed 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 22 . 1 with 2 aging 1 with 3 , 1 with 6 speed 4 arterial 5 wave 5 wave 6 speed 6 speed 16 and 7 increases 9 to 7 increases 16 and 8 due 9 to 9 to 14 wall 10 the 14 wall 11 stiffening 14 wall 13 arterial 14 wall 15 , 16 and 16 and 18 related 16 and 19 to 17 also 18 related 19 to 21 disease 20 arterial 21 disease it is generally assumed that noninvasively - acquired neural signals contain an insufficient level of information for decoding or reconstructing detailed kinematics of natural , multi - joint limb movements and hand gestures . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 4 assumed 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 34 . 1 it 2 is 2 is 4 assumed 3 generally 4 assumed 4 assumed 6 noninvasively 5 that 6 noninvasively 7 - 10 signals 7 - 11 contain 7 - 19 or 8 acquired 10 signals 9 neural 10 signals 10 signals 11 contain 11 contain 14 level 11 contain 17 for 12 an 14 level 13 insufficient 14 level 14 level 15 of 15 of 16 information 17 for 18 decoding 19 or 20 reconstructing 19 or 33 gestures 20 reconstructing 22 kinematics 20 reconstructing 33 gestures 21 detailed 22 kinematics 22 kinematics 23 of 23 of 31 and 24 natural 25 , 24 natural 28 joint 26 multi 27 - 26 multi 28 joint 28 joint 29 limb 29 limb 30 movements 30 movements 31 and 31 and 32 hand here , we review recent findings from our laboratory at the university of maryland showing that noninvasive scalp electroencephalography ( eeg ) or magnetoencephalography ( meg ) can [be] used to continuously decode the kinematics of 2 d ['] center - out ['] drawing , unconstrained 3 d ['] center - out ['] reaching and 3 d finger gesturing . 1 here 2 , 1 here 3 we 3 we 4 review 4 review 6 findings 5 recent 6 findings 6 findings 7 from 6 findings 13 of 7 from 9 laboratory 8 our 9 laboratory 9 laboratory 10 at 10 at 12 university 11 the 12 university 13 of 23 or 14 maryland 15 showing 14 maryland 23 or 15 showing 16 that 15 showing 19 electroencephalography 17 noninvasive 19 electroencephalography 18 scalp 19 electroencephalography 19 electroencephalography 21 eeg 20 ( 21 eeg 21 eeg 22 ) 23 or 28 can 23 or 30 used 24 magnetoencephalography 26 meg 24 magnetoencephalography 27 ) 24 magnetoencephalography 28 can 25 ( 26 meg 26 meg 27 ) 30 used 31 to 31 to 33 decode 32 continuously 33 decode 33 decode 35 kinematics 34 the 35 kinematics 35 kinematics 36 of 36 of 40 center 37 2 38 d 38 d 40 center 40 center 44 drawing 40 center 50 center 41 - 44 drawing 42 out 44 drawing 44 drawing 45 , 45 , 50 center 46 unconstrained 50 center 47 3 48 d 48 d 50 center 50 center 55 and 50 center 60 . 51 - 55 and 52 out 54 reaching 52 out 55 and 55 and 58 finger 55 and 59 gesturing 55 and 60 . 56 3 57 d 57 d 58 finger in a genome - wide sirna analysis of p16 ( ink4a ) ( p16 ) modulators , we identify the hedgehog ( hh ) pathway component sufu and formally demonstrate that hh signaling promotes mitogenesis by suppression of p16 . 0 ###LEFT-WALL### 18 we 0 ###LEFT-WALL### 28 and 0 ###LEFT-WALL### 40 . 1 in 3 genome 1 in 17 , 1 in 18 we 2 a 3 genome 3 genome 7 analysis 4 - 7 analysis 5 wide 6 sirna 6 sirna 7 analysis 7 analysis 8 of 7 analysis 17 , 8 of 9 p16 9 p16 11 ink4a 9 p16 16 modulators 10 ( 11 ink4a 11 ink4a 12 ) 13 ( 16 modulators 14 p16 15 ) 14 p16 16 modulators 16 modulators 17 , 18 we 28 and 19 identify 27 sufu 19 identify 28 and 20 the 26 component 21 hedgehog 23 hh 21 hedgehog 26 component 22 ( 23 hh 23 hh 24 ) 25 pathway 26 component 26 component 27 sufu 28 and 30 demonstrate 28 and 36 by 29 formally 30 demonstrate 30 demonstrate 31 that 31 that 32 hh 31 that 34 promotes 32 hh 33 signaling 32 hh 34 promotes 34 promotes 35 mitogenesis 36 by 37 suppression 37 suppression 38 of 38 of 39 p16 a fragment of the hh [-] responsive gli2 transcription factor directly binds and inhibits the p16 promoter and senescence is associated with the loss of nuclear gli2 . 0 ###LEFT-WALL### 2 fragment 0 ###LEFT-WALL### 21 associated 0 ###LEFT-WALL### 28 . 1 a 2 fragment 2 fragment 3 of 2 fragment 20 is 3 of 18 and 4 the 10 factor 5 hh 10 factor 7 responsive 9 transcription 8 gli2 9 transcription 9 transcription 10 factor 10 factor 13 and 10 factor 18 and 11 directly 12 binds 12 binds 13 and 13 and 14 inhibits 13 and 17 promoter 15 the 17 promoter 16 p16 17 promoter 18 and 19 senescence 20 is 21 associated 21 associated 22 with 22 with 24 loss 23 the 24 loss 24 loss 25 of 25 of 27 gli2 26 nuclear 27 gli2 hh components partially reside in the primary cilium ( pc ) , and the small fraction [of] cells in mass culture that elaborate a pc have the lowest expression of p16 . 0 ###LEFT-WALL### 2 components 0 ###LEFT-WALL### 4 reside 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 32 . 1 hh 2 components 2 components 4 reside 3 partially 4 reside 4 reside 5 in 5 in 8 cilium 6 the 8 cilium 7 primary 8 cilium 8 cilium 10 pc 9 ( 10 pc 10 pc 11 ) 12 , 13 and 13 and 18 cells 13 and 26 have 14 the 18 cells 15 small 16 fraction 16 fraction 18 cells 18 cells 19 in 18 cells 22 that 18 cells 23 elaborate 18 cells 26 have 19 in 21 culture 20 mass 21 culture 22 that 23 elaborate 23 elaborate 25 pc 24 a 25 pc 26 have 29 expression 27 the 28 lowest 27 the 29 expression 29 expression 30 of 30 of 31 p16 suppression of p16 is effected by both pc - dependent and - independent routes , and ablation of p16 renders cells insensitive to an hh inhibitor and increases pc formation . 0 ###LEFT-WALL### 1 suppression 0 ###LEFT-WALL### 5 effected 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 31 . 1 suppression 2 of 1 suppression 4 is 2 of 3 p16 4 is 5 effected 5 effected 6 by 5 effected 9 - 5 effected 10 dependent 6 by 8 pc 7 both 8 pc 11 and 12 - 11 and 16 and 11 and 27 and 13 independent 14 routes 14 routes 16 and 15 , 16 and 16 and 17 ablation 16 and 18 of 16 and 27 and 18 of 19 p16 20 renders 21 cells 20 renders 27 and 21 cells 22 insensitive 22 insensitive 23 to 23 to 26 inhibitor 24 an 26 inhibitor 25 hh 26 inhibitor 27 and 28 increases 28 increases 30 formation 29 pc 30 formation these results directly link a well [-] established developmental mitogenic pathway with a key tumor suppressor and contribute to the molecular understanding of replicative senescence , hh - mediated oncogenesis , and potentially the role of p16 in aging . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 40 . 1 these 2 results 2 results 17 and 3 directly 4 link 4 link 11 pathway 4 link 17 and 5 a 11 pathway 6 well 8 established 8 established 11 pathway 9 developmental 11 pathway 10 mitogenic 11 pathway 11 pathway 12 with 12 with 16 suppressor 13 a 16 suppressor 14 key 16 suppressor 15 tumor 16 suppressor 17 and 18 contribute 17 and 19 to 17 and 32 and 19 to 22 understanding 20 the 22 understanding 21 molecular 22 understanding 22 understanding 23 of 22 understanding 27 hh 23 of 25 senescence 24 replicative 25 senescence 26 , 27 hh 27 hh 28 - 29 mediated 30 oncogenesis 30 oncogenesis 32 and 31 , 32 and 32 and 33 potentially 32 and 35 role 34 the 35 role 35 role 36 of 35 role 38 in 36 of 37 p16 38 in 39 aging elderly urologic patients require the same cautions as used in development of treatment programs for them in other disciplines . 0 ###LEFT-WALL### 3 patients 0 ###LEFT-WALL### 4 require 0 ###LEFT-WALL### 20 . 1 elderly 3 patients 2 urologic 3 patients 3 patients 4 require 4 require 7 cautions 4 require 8 as 4 require 10 in 5 the 6 same 6 same 7 cautions 8 as 9 used 10 in 11 development 11 development 12 of 11 development 17 in 12 of 14 programs 13 treatment 14 programs 14 programs 15 for 15 for 16 them 17 in 19 disciplines 18 other 19 disciplines because of potential interference with poor renal function [or] crossover effects with central or peripheral nervous system , however , many urologic drugs must be titrated appropriately . 0 ###LEFT-WALL### 23 drugs 0 ###LEFT-WALL### 26 titrated 0 ###LEFT-WALL### 28 . 1 because 2 of 2 of 4 interference 2 of 23 drugs 3 potential 4 interference 5 with 11 effects 5 with 12 with 5 with 23 drugs 6 poor 8 function 7 renal 8 function 8 function 11 effects 10 crossover 11 effects 12 with 14 or 13 central 14 or 14 or 17 system 15 peripheral 17 system 16 nervous 17 system 18 , 19 however 19 however 20 , 19 however 23 drugs 21 many 23 drugs 22 urologic 23 drugs 23 drugs 24 must 24 must 25 be 25 be 26 titrated 26 titrated 27 appropriately in treating cancer , erectile dysfunction , incontinence or urinary infection , patient quality of life and life span become dominant factors in making therapeutic decisions , by behavioral change , medication , or surgical intervention . 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 20 become 0 ###LEFT-WALL### 37 . 1 in 2 treating 1 in 12 , 1 in 17 and 2 treating 9 or 3 cancer 4 , 4 , 6 dysfunction 4 , 7 , 5 erectile 6 dysfunction 7 , 8 incontinence 7 , 9 or 9 or 11 infection 10 urinary 11 infection 13 patient 14 quality 14 quality 15 of 14 quality 17 and 15 of 16 life 17 and 19 span 17 and 20 become 18 life 19 span 20 become 34 or 21 dominant 22 factors 22 factors 23 in 22 factors 34 or 23 in 24 making 24 making 26 decisions 24 making 32 medication 25 therapeutic 26 decisions 26 decisions 28 by 27 , 28 by 28 by 30 change 28 by 31 , 29 behavioral 30 change 33 , 34 or 34 or 36 intervention 35 surgical 36 intervention erectile dysfunction ( ed ) is a common condition in aging men , with a prevalence of 52 % in men aged 40 to 70 years . 0 ###LEFT-WALL### 2 dysfunction 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 27 . 1 erectile 2 dysfunction 2 dysfunction 4 ed 2 dysfunction 6 is 3 ( 4 ed 4 ed 5 ) 6 is 9 condition 7 a 9 condition 8 common 9 condition 9 condition 10 in 10 in 11 aging 11 aging 12 men 13 , 21 men 13 , 22 aged 14 with 16 prevalence 14 with 21 men 15 a 16 prevalence 16 prevalence 17 of 17 of 20 in 18 52 20 in 19 % 20 in 21 men 22 aged 22 aged 26 years 23 40 24 to 24 to 25 70 24 to 26 years it is frequently associated with several comorbid conditions , including cardiovascular disease , lower urinary tract symptoms , and testosterone deficiency . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 22 . 1 it 2 is 2 is 4 associated 3 frequently 4 associated 4 associated 5 with 5 with 8 conditions 5 with 19 and 6 several 8 conditions 7 comorbid 8 conditions 8 conditions 10 including 9 , 10 including 10 including 12 disease 10 including 13 , 11 cardiovascular 12 disease 14 lower 16 tract 15 urinary 16 tract 16 tract 17 symptoms 17 symptoms 19 and 18 , 19 and 19 and 21 deficiency 20 testosterone 21 deficiency these conditions often have major consequences on the quality of life of patients and [require] adequate evaluation by the primary care practitioner . 0 ###LEFT-WALL### 2 conditions 0 ###LEFT-WALL### 4 have 0 ###LEFT-WALL### 23 . 1 these 2 conditions 2 conditions 4 have 3 often 4 have 4 have 6 consequences 4 have 7 on 4 have 18 by 5 major 6 consequences 7 on 9 quality 8 the 9 quality 9 quality 10 of 9 quality 12 of 10 of 11 life 12 of 14 and 13 patients 14 and 14 and 17 evaluation 16 adequate 17 evaluation 18 by 22 practitioner 19 the 22 practitioner 20 primary 21 care 21 care 22 practitioner complaints of ed , therefore , serve as a marker for these conditions and give the practitioner an opportunity to prevent the consequences of a delay in treatment . 0 ###LEFT-WALL### 1 complaints 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 29 . 1 complaints 2 of 1 complaints 14 and 2 of 3 ed 4 , 5 therefore 5 therefore 6 , 5 therefore 7 serve 7 serve 8 as 7 serve 11 for 7 serve 14 and 8 as 10 marker 9 a 10 marker 11 for 13 conditions 12 these 13 conditions 14 and 15 give 14 and 27 in 15 give 17 practitioner 15 give 19 opportunity 16 the 17 practitioner 18 an 19 opportunity 19 opportunity 20 to 19 opportunity 21 prevent 20 to 21 prevent 21 prevent 23 consequences 22 the 23 consequences 23 consequences 24 of 24 of 26 delay 25 a 26 delay 27 in 28 treatment in this article , the evidence behind these associations is described . 0 ###LEFT-WALL### 6 evidence 0 ###LEFT-WALL### 11 described 0 ###LEFT-WALL### 12 . 1 in 3 article 1 in 4 , 1 in 6 evidence 2 this 3 article 5 the 6 evidence 6 evidence 7 behind 6 evidence 10 is 7 behind 9 associations 8 these 9 associations 10 is 11 described male lower urinary tract symptoms , benign prostatic hyperplasia , enlargement of the prostate , and bladder outlet obstruction are common among aging men and will increase in socioeconomic and medical importance at a time of increased life expectancy and aging of the baby boomer generation . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 47 . 1 male 5 symptoms 2 lower 4 tract 3 urinary 4 tract 4 tract 5 symptoms 5 symptoms 6 , 6 , 11 enlargement 6 , 16 and 7 benign 11 enlargement 8 prostatic 11 enlargement 9 hyperplasia 10 , 9 hyperplasia 11 enlargement 11 enlargement 12 of 12 of 14 prostate 13 the 14 prostate 15 , 16 and 16 and 19 obstruction 16 and 20 are 17 bladder 18 outlet 18 outlet 19 obstruction 20 are 21 common 21 common 22 among 22 among 23 aging 23 aging 40 and 24 men 25 and 25 and 27 increase 25 and 28 in 25 and 33 at 25 and 36 of 25 and 40 and 26 will 27 increase 28 in 30 and 29 socioeconomic 30 and 30 and 32 importance 31 medical 32 importance 33 at 35 time 34 a 35 time 36 of 39 expectancy 37 increased 38 life 38 life 39 expectancy 40 and 41 aging 40 and 42 of 42 of 46 generation 43 the 46 generation 44 baby 45 boomer 45 boomer 46 generation this article reviews the epidemiology , management , and therapeutic options for these conditions . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 reviews 0 ###LEFT-WALL### 15 . 1 this 2 article 2 article 3 reviews 3 reviews 9 and 4 the 5 epidemiology 5 epidemiology 6 , 6 , 7 management 6 , 9 and 8 , 9 and 9 and 11 options 9 and 12 for 10 therapeutic 11 options 12 for 14 conditions 13 these 14 conditions in patients bothered by moderate to severe symptoms [,] providers can make educated and differential choices between several classes of drugs , alone or [in] combination , to treat effectively and improve the symptoms in most men . 0 ###LEFT-WALL### 24 or 0 ###LEFT-WALL### 27 , 0 ###LEFT-WALL### 38 . 1 in 2 patients 2 patients 3 bothered 2 patients 24 or 3 bothered 4 by 3 bothered 23 alone 4 by 14 and 5 moderate 6 to 5 moderate 13 educated 5 moderate 14 and 6 to 8 symptoms 7 severe 8 symptoms 8 symptoms 10 providers 8 symptoms 12 make 10 providers 11 can 11 can 12 make 14 and 16 choices 14 and 22 , 15 differential 16 choices 16 choices 17 between 17 between 19 classes 18 several 19 classes 19 classes 20 of 20 of 21 drugs 24 or 26 combination 27 , 28 to 27 , 31 and 28 to 31 and 29 treat 30 effectively 29 treat 31 and 31 and 32 improve 31 and 35 in 32 improve 34 symptoms 33 the 34 symptoms 35 in 37 men 36 most 37 men despite the efficacy of medical therapy , there will be patients who require referral to a urologist either early , to rule out prostate cancer and other conditions , or later , after initial medical therapy and lifestyle management has failed . 0 ###LEFT-WALL### 8 there 0 ###LEFT-WALL### 10 be 0 ###LEFT-WALL### 37 and 0 ###LEFT-WALL### 42 . 1 despite 3 efficacy 1 despite 7 , 1 despite 8 there 2 the 3 efficacy 3 efficacy 4 of 4 of 6 therapy 5 medical 6 therapy 8 there 9 will 9 will 10 be 10 be 11 patients 11 patients 12 who 11 patients 13 require 12 who 13 require 13 require 14 referral 13 require 18 either 13 require 19 early 13 require 21 to 13 require 33 after 14 referral 15 to 15 to 17 urologist 16 a 17 urologist 20 , 21 to 21 to 22 rule 21 to 32 , 22 rule 23 out 22 rule 30 or 24 prostate 25 cancer 25 cancer 26 and 26 and 28 conditions 26 and 30 or 27 other 28 conditions 29 , 30 or 30 or 31 later 33 after 36 therapy 34 initial 36 therapy 35 medical 36 therapy 37 and 38 lifestyle 37 and 41 failed 38 lifestyle 39 management 38 lifestyle 40 has 38 lifestyle 41 failed 39 management 40 has perhaps as many as 30 % of patients fail to achieve sufficient symptom improvement with medication , lifestyle adjustment , and fluid management , and may require more invasive or surgical treatment options . 0 ###LEFT-WALL### 6 % 0 ###LEFT-WALL### 25 and 0 ###LEFT-WALL### 34 . 1 perhaps 6 % 2 as 3 many 3 many 4 as 4 as 5 30 5 30 6 % 6 % 7 of 6 % 25 and 7 of 8 patients 9 fail 10 to 9 fail 11 achieve 9 fail 25 and 10 to 11 achieve 11 achieve 14 improvement 11 achieve 15 with 12 sufficient 13 symptom 13 symptom 14 improvement 15 with 21 and 16 medication 17 , 17 , 19 adjustment 17 , 21 and 18 lifestyle 19 adjustment 20 , 21 and 21 and 23 management 21 and 24 , 22 fluid 23 management 24 , 25 and 25 and 26 may 26 may 27 require 27 require 32 treatment 27 require 33 options 28 more 32 treatment 29 invasive 30 or 30 or 31 surgical 30 or 32 treatment 32 treatment 33 options background : the incidence of ischemia might be increased in the surgical repair of atherosclerotic unruptured aneurysms compared to [non] [-] atherosclerotic aneurysms . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 4 incidence 2 : 9 increased 3 the 4 incidence 4 incidence 5 of 4 incidence 7 might 5 of 6 ischemia 7 might 8 be 8 be 9 increased 9 increased 10 in 10 in 13 repair 11 the 13 repair 12 surgical 13 repair 13 repair 14 of 14 of 17 aneurysms 15 atherosclerotic 17 aneurysms 16 unruptured 17 aneurysms 17 aneurysms 18 compared 18 compared 19 to 19 to 23 aneurysms 22 atherosclerotic 23 aneurysms the atherosclerotic wall might increase the occurrence of thrombembolic events or its rigidity might endanger the occlusion of perforators within the aneurysm vicinity . 0 ###LEFT-WALL### 3 wall 0 ###LEFT-WALL### 11 or 0 ###LEFT-WALL### 24 . 1 the 3 wall 2 atherosclerotic 3 wall 3 wall 4 might 4 might 11 or 5 increase 7 occurrence 5 increase 11 or 6 the 7 occurrence 7 occurrence 8 of 8 of 10 events 9 thrombembolic 10 events 11 or 15 endanger 12 its 13 rigidity 13 rigidity 14 might 14 might 15 endanger 15 endanger 17 occlusion 15 endanger 20 within 16 the 17 occlusion 17 occlusion 18 of 18 of 19 perforators 20 within 23 vicinity 21 the 23 vicinity 22 aneurysm 23 vicinity methods : 87 patients ( 53 patients without [and] 34 patients with atherosclerotic unruptured aneurysms , 50.5 ± 9.7 years ) were analyzed for severity of atherosclerosis within the aneurysm and the aneurysm bearing vessel , surgical maneuvers , intraoperative alterations in evoked potentials and clinical and neuroradiological results . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 50 . 2 : 4 patients 2 : 23 analyzed 2 : 36 , 3 87 4 patients 4 patients 7 patients 4 patients 22 were 5 ( 7 patients 6 53 7 patients 7 patients 8 without 7 patients 12 with 7 patients 21 ) 8 without 11 patients 10 34 11 patients 12 with 15 aneurysms 13 atherosclerotic 15 aneurysms 14 unruptured 15 aneurysms 15 aneurysms 20 years 16 , 20 years 17 50.5 20 years 18 ± 20 years 19 9.7 20 years 20 years 21 ) 22 were 23 analyzed 23 analyzed 24 for 23 analyzed 28 within 24 for 25 severity 25 severity 26 of 26 of 27 atherosclerosis 28 within 31 and 29 the 30 aneurysm 30 aneurysm 31 and 31 and 35 vessel 31 and 36 , 32 the 35 vessel 33 aneurysm 35 vessel 34 bearing 35 vessel 36 , 38 maneuvers 36 , 39 , 37 surgical 38 maneuvers 39 , 45 and 40 intraoperative 41 alterations 41 alterations 42 in 41 alterations 45 and 42 in 44 potentials 43 evoked 44 potentials 45 and 49 results 46 clinical 47 and 47 and 48 neuroradiological 47 and 49 results results : temporary vessel occlusion ( 25 % vs [.] 50 % , p = 0.021 ) , repositioning of a permanent clip ( 21 % vs [.] 56 % , p = 0.001 ) and aneurysm remnants ( 2 % vs [.] 18 % , p = 0.012 ) occurred more often in patients with atherosclerotic aneurysms . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 59 . 1 results 2 : 2 : 5 occlusion 3 temporary 5 occlusion 4 vessel 5 occlusion 5 occlusion 8 % 6 ( 8 % 7 25 8 % 8 % 9 vs 8 % 18 , 9 vs 12 % 11 50 12 % 12 % 15 = 13 , 15 = 14 p 15 = 15 = 16 0.021 15 = 17 ) 18 , 36 and 18 , 51 occurred 19 repositioning 20 of 19 repositioning 36 and 20 of 23 clip 21 a 22 permanent 21 a 23 clip 22 permanent 23 clip 23 clip 26 % 23 clip 33 = 24 ( 26 % 25 21 26 % 26 % 27 vs 26 % 31 , 27 vs 30 % 29 56 30 % 31 , 33 = 32 p 33 = 33 = 34 0.001 33 = 35 ) 36 and 38 remnants 36 and 41 % 36 and 48 = 36 and 51 occurred 37 aneurysm 38 remnants 39 ( 41 % 40 2 41 % 41 % 42 vs 41 % 46 , 42 vs 45 % 44 18 45 % 46 , 48 = 47 p 48 = 48 = 49 0.012 48 = 50 ) 51 occurred 53 often 51 occurred 54 in 51 occurred 56 with 52 more 53 often 54 in 55 patients 56 with 58 aneurysms 57 atherosclerotic 58 aneurysms at 6 months , 3/34 patients with atherosclerosis ( 8.8 % ) had an unfavorable outcome , all patients without atherosclerosis had a favorable outcome ( p = 0.056 ) . 0 ###LEFT-WALL### 6 patients 0 ###LEFT-WALL### 13 had 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 31 . 1 at 3 months 1 at 4 , 1 at 6 patients 2 6 3 months 5 3/34 6 patients 6 patients 7 with 6 patients 13 had 7 with 8 atherosclerosis 8 atherosclerosis 11 % 9 ( 11 % 10 8.8 11 % 11 % 12 ) 13 had 16 outcome 14 an 15 unfavorable 14 an 16 outcome 15 unfavorable 16 outcome 17 , 19 patients 17 , 22 had 18 all 19 patients 19 patients 20 without 19 patients 22 had 20 without 21 atherosclerosis 22 had 25 outcome 23 a 24 favorable 23 a 25 outcome 24 favorable 25 outcome 25 outcome 28 = 26 ( 28 = 27 p 28 = 28 = 29 0.056 28 = 30 ) conclusion : the surgical repair of unruptured aneurysms is safe but patients with atherosclerotic altered vessels and aneurysms accounted to a minor increase [in] unfavorable outcome and an increased risk of morbidity at 6 months postoperatively . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 5 repair 2 : 9 is 2 : 11 but 2 : 37 . 3 the 5 repair 4 surgical 5 repair 5 repair 6 of 5 repair 9 is 6 of 8 aneurysms 7 unruptured 8 aneurysms 9 is 10 safe 11 but 12 patients 11 but 19 accounted 12 patients 13 with 12 patients 19 accounted 13 with 17 and 14 atherosclerotic 16 vessels 15 altered 16 vessels 16 vessels 17 and 17 and 18 aneurysms 19 accounted 20 to 19 accounted 33 at 19 accounted 36 postoperatively 20 to 27 and 21 a 22 minor 21 a 26 outcome 22 minor 23 increase 23 increase 26 outcome 25 unfavorable 26 outcome 26 outcome 27 and 27 and 30 risk 27 and 31 of 28 an 30 risk 29 increased 30 risk 31 of 32 morbidity 33 at 35 months 34 6 35 months this factor should be taken into consideration when performing surgery of atherosclerotic , unruptured aneurysms . 0 ###LEFT-WALL### 2 factor 0 ###LEFT-WALL### 5 taken 0 ###LEFT-WALL### 16 . 1 this 2 factor 2 factor 3 should 3 should 4 be 4 be 5 taken 5 taken 6 into 5 taken 8 when 6 into 7 consideration 8 when 9 performing 9 performing 10 surgery 10 surgery 11 of 11 of 15 aneurysms 12 atherosclerotic 13 , 12 atherosclerotic 15 aneurysms 14 unruptured 15 aneurysms the drug - dependent induction of premature senescence in neoplastic cells is considered per se an important tumor suppressive mechanism . 0 ###LEFT-WALL### 2 drug 0 ###LEFT-WALL### 3 - 1 the 2 drug 3 - 5 induction 3 - 13 considered 3 - 21 . 4 dependent 5 induction 5 induction 6 of 5 induction 12 is 6 of 8 senescence 7 premature 8 senescence 8 senescence 9 in 9 in 11 cells 10 neoplastic 11 cells 12 is 13 considered 13 considered 15 se 13 considered 20 mechanism 14 per 15 se 16 an 17 important 16 an 20 mechanism 17 important 18 tumor 18 tumor 20 mechanism 19 suppressive 20 mechanism dna demethylating agents recently introduced in clinical trials , such as 5 - aza - cytidine ( decitabine ) and its derivatives , have been extensively characterized in recent years as antiproliferative compounds that act through multiple mechanisms , which have not yet been fully clarified . 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 47 . 1 dna 2 demethylating 1 dna 5 introduced 1 dna 20 and 2 demethylating 3 agents 4 recently 5 introduced 5 introduced 6 in 6 in 8 trials 7 clinical 8 trials 8 trials 11 as 9 , 11 as 10 such 11 as 11 as 12 5 11 as 19 ) 12 5 16 cytidine 13 - 16 cytidine 14 aza 15 - 14 aza 16 cytidine 16 cytidine 18 decitabine 16 cytidine 19 ) 17 ( 18 decitabine 18 decitabine 19 ) 20 and 22 derivatives 21 its 22 derivatives 23 , 24 have 23 , 39 , 24 have 25 been 25 been 26 extensively 25 been 27 characterized 27 characterized 28 in 27 characterized 31 as 27 characterized 36 through 28 in 30 years 29 recent 30 years 31 as 33 compounds 32 antiproliferative 33 compounds 33 compounds 34 that 33 compounds 35 act 34 that 35 act 36 through 38 mechanisms 37 multiple 38 mechanisms 39 , 40 which 39 , 44 been 40 which 41 have 41 have 42 not 41 have 44 been 43 yet 44 been 44 been 45 fully 44 been 46 clarified we recently analyzed the introduction of decitabine in therapy for malignant pleural mesothelioma ( mpm ) observing that , despite the ability to induce profound biological effects in mpm cells , the drug failed to generate a massive apoptotic response . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 analyzed 0 ###LEFT-WALL### 41 . 1 we 3 analyzed 2 recently 3 analyzed 3 analyzed 5 introduction 3 analyzed 8 in 4 the 5 introduction 5 introduction 6 of 6 of 7 decitabine 8 in 9 therapy 9 therapy 10 for 9 therapy 17 observing 10 for 13 mesothelioma 11 malignant 13 mesothelioma 12 pleural 13 mesothelioma 13 mesothelioma 15 mpm 14 ( 15 mpm 15 mpm 16 ) 17 observing 18 that 18 that 33 drug 18 that 34 failed 19 , 20 despite 20 despite 22 ability 20 despite 31 , 20 despite 33 drug 21 the 22 ability 22 ability 23 to 22 ability 24 induce 23 to 24 induce 24 induce 27 effects 24 induce 28 in 25 profound 27 effects 26 biological 27 effects 28 in 30 cells 29 mpm 30 cells 32 the 33 drug 33 drug 34 failed 34 failed 35 to 34 failed 36 generate 35 to 36 generate 36 generate 40 response 37 a 38 massive 37 a 40 response 38 massive 40 response 39 apoptotic 40 response since one of the most intriguing aspects of dna demethylating agents is the possibility to accelerate the senescent response of tumor cells , we investigated the hypothesis of decitabine inducing , in vitro , the premature aging of mpm cells . 0 ###LEFT-WALL### 24 we 0 ###LEFT-WALL### 25 investigated 0 ###LEFT-WALL### 41 . 1 since 2 one 1 since 12 is 1 since 24 we 2 one 3 of 2 one 12 is 3 of 7 aspects 4 the 5 most 5 most 7 aspects 6 intriguing 7 aspects 7 aspects 8 of 8 of 9 dna 9 dna 10 demethylating 10 demethylating 11 agents 12 is 14 possibility 13 the 14 possibility 15 to 16 accelerate 15 to 23 , 15 to 24 we 16 accelerate 19 response 17 the 19 response 18 senescent 19 response 19 response 20 of 20 of 22 cells 21 tumor 22 cells 24 we 25 investigated 25 investigated 27 hypothesis 26 the 27 hypothesis 27 hypothesis 28 of 27 hypothesis 30 inducing 27 hypothesis 38 of 28 of 29 decitabine 30 inducing 33 vitro 30 inducing 37 aging 31 , 33 vitro 32 in 33 vitro 33 vitro 34 , 35 the 37 aging 36 premature 37 aging 38 of 40 cells 39 mpm 40 cells in child - care centres , the influence of caregivers on the development of peer interactions seems ambivalent and mixed results are reported in the literature . 0 ###LEFT-WALL### 8 influence 0 ###LEFT-WALL### 17 seems 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 27 . 1 in 2 child 1 in 6 , 1 in 8 influence 2 child 5 centres 3 - 5 centres 4 care 5 centres 5 centres 6 , 7 the 8 influence 8 influence 9 of 8 influence 17 seems 9 of 10 caregivers 10 caregivers 11 on 11 on 13 development 12 the 13 development 13 development 14 of 14 of 16 interactions 15 peer 16 interactions 17 seems 18 ambivalent 19 and 21 results 19 and 23 reported 20 mixed 21 results 21 results 22 are 22 are 23 reported 23 reported 24 in 24 in 26 literature 25 the 26 literature adopting an environmental approach , we examined the effects of the caregivers ' spatial proximity on children 's social behaviour . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 examined 0 ###LEFT-WALL### 21 . 1 adopting 4 approach 1 adopting 5 , 1 adopting 6 we 2 an 3 environmental 2 an 4 approach 3 environmental 4 approach 6 we 7 examined 7 examined 9 effects 7 examined 16 on 8 the 9 effects 9 effects 10 of 10 of 15 proximity 11 the 12 caregivers 12 caregivers 13 ' 13 ' 15 proximity 14 spatial 15 proximity 16 on 20 behaviour 17 children 18 's 18 's 20 behaviour 19 social 20 behaviour the study was carried out with 175 children ( 18 - 40 months ) in 12 child - care - centre groups . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 4 carried 0 ###LEFT-WALL### 20 - 1 the 2 study 2 study 3 was 3 was 4 carried 4 carried 5 out 4 carried 6 with 4 carried 11 - 4 carried 15 in 6 with 8 children 7 175 8 children 9 ( 11 - 10 18 11 - 11 - 13 months 11 - 14 ) 12 40 13 months 15 in 17 child 16 12 17 child 17 child 19 care 18 - 19 care 19 care 20 - 20 - 21 centre 20 - 23 . 21 centre 22 groups children 's behaviours were observed during free plays , and both children and caregivers ' locations were recorded . 0 ###LEFT-WALL### 3 behaviours 0 ###LEFT-WALL### 5 observed 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 19 . 1 children 2 's 2 's 3 behaviours 3 behaviours 4 were 4 were 5 observed 5 observed 6 during 6 during 10 and 7 free 8 plays 8 plays 10 and 9 , 10 and 10 and 12 children 11 both 12 children 13 and 16 locations 13 and 18 recorded 14 caregivers 15 ' 15 ' 16 locations 16 locations 17 were 17 were 18 recorded when peers were nearby , children 's social behaviours were compared when they were in the immediate proximity ( within 2 m ) and out of the immediate proximity of a caregiver . 0 ###LEFT-WALL### 9 behaviours 0 ###LEFT-WALL### 11 compared 0 ###LEFT-WALL### 33 . 1 when 2 peers 1 when 3 were 1 when 5 , 1 when 9 behaviours 2 peers 3 were 3 were 4 nearby 6 children 7 's 7 's 9 behaviours 8 social 9 behaviours 9 behaviours 10 were 10 were 11 compared 11 compared 12 when 12 when 13 they 12 when 14 were 13 they 14 were 14 were 24 and 15 in 18 proximity 15 in 24 and 16 the 18 proximity 17 immediate 18 proximity 18 proximity 20 within 19 ( 20 within 20 within 22 m 20 within 23 ) 21 2 22 m 24 and 26 of 25 out 26 of 26 of 29 proximity 27 the 29 proximity 28 immediate 29 proximity 29 proximity 30 of 30 of 32 caregiver 31 a 32 caregiver results show that in the latter situation children spend substantially more time addressing social overture [to] peers and interacting with them ; positive interactions with peers show a particularly marked difference . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 13 addressing 0 ###LEFT-WALL### 22 ; 0 ###LEFT-WALL### 32 . 1 results 2 show 2 show 3 that 2 show 4 in 4 in 6 latter 5 the 6 latter 6 latter 8 children 6 latter 13 addressing 7 situation 8 children 8 children 9 spend 9 spend 12 time 9 spend 13 addressing 10 substantially 11 more 11 more 12 time 13 addressing 18 and 14 social 15 overture 15 overture 17 peers 17 peers 18 and 18 and 19 interacting 18 and 20 with 20 with 21 them 22 ; 24 interactions 22 ; 27 show 23 positive 24 interactions 24 interactions 25 with 24 interactions 27 show 25 with 26 peers 27 show 31 difference 28 a 31 difference 29 particularly 30 marked 30 marked 31 difference this pattern of results is exhibited by the greater part of the children . 0 ###LEFT-WALL### 2 pattern 0 ###LEFT-WALL### 6 exhibited 0 ###LEFT-WALL### 14 . 1 this 2 pattern 2 pattern 3 of 2 pattern 5 is 3 of 4 results 5 is 6 exhibited 6 exhibited 7 by 7 by 10 part 8 the 10 part 9 greater 10 part 10 part 11 of 11 of 13 children 12 the 13 children whatever the child - care - centre group , the age subgroup or the gender considered similar results are found . 0 ###LEFT-WALL### 13 or 0 ###LEFT-WALL### 20 found 0 ###LEFT-WALL### 21 . 1 whatever 2 the 1 whatever 3 child 1 whatever 6 - 1 whatever 13 or 2 the 3 child 3 child 5 care 4 - 5 care 5 care 6 - 7 centre 8 group 8 group 9 , 9 , 12 subgroup 9 , 13 or 10 the 12 subgroup 11 age 12 subgroup 13 or 15 gender 13 or 16 considered 13 or 19 are 14 the 15 gender 16 considered 18 results 17 similar 18 results 19 are 20 found results also demonstrate that when children are in the immediate proximity of caregivers they are socially oriented towards the attractive adult partners rather than towards peers . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 3 demonstrate 0 ###LEFT-WALL### 27 . 1 results 3 demonstrate 2 also 3 demonstrate 3 demonstrate 4 that 4 that 14 they 4 that 17 oriented 5 when 6 children 5 when 7 are 5 when 14 they 6 children 7 are 7 are 8 in 8 in 11 proximity 9 the 11 proximity 10 immediate 11 proximity 11 proximity 12 of 12 of 13 caregivers 14 they 15 are 15 are 16 socially 15 are 17 oriented 17 oriented 18 towards 17 oriented 24 than 18 towards 22 partners 19 the 22 partners 20 attractive 21 adult 21 adult 22 partners 23 rather 24 than 24 than 25 towards 25 towards 26 peers age - related changes in immune function [leave] older adults at risk for a host of inflammatory diseases . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 3 related 0 ###LEFT-WALL### 19 . 2 - 3 related 3 related 4 changes 3 related 5 in 3 related 11 at 5 in 10 adults 6 immune 7 function 7 function 10 adults 9 older 10 adults 11 at 12 risk 12 risk 13 for 13 for 18 diseases 14 a 15 host 15 host 16 of 15 host 18 diseases 16 of 18 diseases 17 inflammatory 18 diseases immune - mediated inflammatory processes are regulated by neuroendocrine hormones , including glucocorticoids , dehydroepiandrosterone , and the catecholamines , epinephrine , and norepinephrine . 0 ###LEFT-WALL### 5 processes 0 ###LEFT-WALL### 7 regulated 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 25 . 1 immune 2 - 1 immune 5 processes 3 mediated 5 processes 4 inflammatory 5 processes 5 processes 6 are 6 are 7 regulated 7 regulated 8 by 7 regulated 12 including 8 by 10 hormones 9 neuroendocrine 10 hormones 11 , 12 including 12 including 13 glucocorticoids 12 including 14 , 14 , 23 and 15 dehydroepiandrosterone 17 and 16 , 17 and 17 and 19 catecholamines 17 and 21 epinephrine 17 and 23 and 18 the 19 catecholamines 20 , 21 epinephrine 21 epinephrine 22 , 23 and 24 norepinephrine this regulation , however , becomes impaired in older adults in light of age - related changes [in] endocrine function . 0 ###LEFT-WALL### 2 regulation 0 ###LEFT-WALL### 6 becomes 0 ###LEFT-WALL### 15 - 1 this 2 regulation 2 regulation 6 becomes 3 , 4 however 4 however 5 , 4 however 6 becomes 6 becomes 7 impaired 7 impaired 8 in 7 impaired 11 in 8 in 10 adults 9 older 10 adults 11 in 12 light 12 light 13 of 13 of 14 age 15 - 20 function 15 - 21 . 16 related 17 changes 17 changes 20 function 19 endocrine 20 function chronic stress shows similarly harmful effects on neuroendocrine and immune function and may , therefore , combine with age to further increase disease risk in older adults . 0 ###LEFT-WALL### 2 stress 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 28 . 1 chronic 2 stress 2 stress 12 and 3 shows 4 similarly 3 shows 6 effects 3 shows 7 on 3 shows 12 and 5 harmful 6 effects 7 on 9 and 8 neuroendocrine 9 and 9 and 11 function 10 immune 11 function 12 and 13 may 12 and 20 to 13 may 17 combine 14 , 15 therefore 15 therefore 16 , 15 therefore 17 combine 17 combine 18 with 18 with 19 age 20 to 21 further 21 further 24 risk 21 further 25 in 22 increase 23 disease 23 disease 24 risk 25 in 27 adults 26 older 27 adults this article highlights evidence for the impact of age and stress on neuroendocrine regulation of inflammatory processes that may substantially increase risk for inflammatory disease at older ages . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 highlights 0 ###LEFT-WALL### 29 . 1 this 2 article 2 article 3 highlights 3 highlights 4 evidence 3 highlights 5 for 3 highlights 12 on 3 highlights 23 for 3 highlights 26 at 5 for 10 and 6 the 7 impact 7 impact 8 of 7 impact 10 and 8 of 9 age 10 and 11 stress 12 on 14 regulation 13 neuroendocrine 14 regulation 14 regulation 15 of 15 of 17 processes 16 inflammatory 17 processes 17 processes 18 that 17 processes 19 may 18 that 19 may 19 may 21 increase 20 substantially 21 increase 21 increase 22 risk 23 for 25 disease 24 inflammatory 25 disease 26 at 28 ages 27 older 28 ages there are numerous examples of sex differences in brain and behavior and in susceptibility to a broad range of brain diseases . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 22 . 1 there 2 are 2 are 4 examples 3 numerous 4 examples 4 examples 5 of 5 of 7 differences 6 sex 7 differences 7 differences 12 and 8 in 10 and 8 in 12 and 9 brain 10 and 10 and 11 behavior 12 and 13 in 13 in 14 susceptibility 14 susceptibility 15 to 14 susceptibility 19 of 15 to 18 range 16 a 17 broad 16 a 18 range 17 broad 18 range 19 of 21 diseases 20 brain 21 diseases for example , gene expression is sexually dimorphic during brain development , adult life , and aging . 0 ###LEFT-WALL### 5 expression 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 18 . 1 for 2 example 2 example 3 , 2 example 5 expression 4 gene 5 expression 5 expression 6 is 6 is 7 sexually 6 is 8 dimorphic 8 dimorphic 9 during 9 during 16 and 10 brain 11 development 11 development 12 , 12 , 14 life 12 , 16 and 13 adult 14 life 15 , 16 and 16 and 17 aging these differences are orchestrated by the interplay between genetic , hormonal , and environmental influences . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 4 orchestrated 0 ###LEFT-WALL### 16 . 1 these 2 differences 2 differences 3 are 3 are 4 orchestrated 4 orchestrated 5 by 4 orchestrated 8 between 5 by 7 interplay 6 the 7 interplay 8 between 15 influences 9 genetic 10 , 10 , 11 hormonal 10 , 13 and 12 , 13 and 13 and 14 environmental 13 and 15 influences however , the molecular mechanisms that underpin these differences have not been fully elucidated . 0 ###LEFT-WALL### 5 mechanisms 0 ###LEFT-WALL### 14 elucidated 0 ###LEFT-WALL### 15 . 1 however 2 , 1 however 5 mechanisms 3 the 5 mechanisms 4 molecular 5 mechanisms 5 mechanisms 6 that 5 mechanisms 7 underpin 5 mechanisms 10 have 6 that 7 underpin 7 underpin 9 differences 8 these 9 differences 10 have 11 not 10 have 12 been 12 been 13 fully 12 been 14 elucidated because recent studies have highlighted the key roles played by epigenetic processes in regulating gene expression and mediating brain form and function , this chapter reviews emerging evidence that shows how epigenetic mechanisms including dna methylation , histone modifications , and chromatin remodeling , and [non] [-] coding rnas ( ncrnas ) are responsible for promoting sexual dimorphism in the brain [.] 1 because 3 studies 1 because 5 highlighted 1 because 8 roles 2 recent 3 studies 3 studies 4 have 4 have 5 highlighted 5 highlighted 7 key 6 the 7 key 8 roles 9 played 8 roles 13 in 8 roles 19 brain 9 played 10 by 10 by 12 processes 11 epigenetic 12 processes 13 in 17 and 14 regulating 15 gene 15 gene 16 expression 16 expression 17 and 17 and 18 mediating 19 brain 28 evidence 20 form 21 and 21 and 22 function 21 and 23 , 21 and 25 chapter 21 and 26 reviews 21 and 27 emerging 21 and 28 evidence 24 this 25 chapter 25 chapter 26 reviews 28 evidence 29 that 28 evidence 30 shows 29 that 30 shows 30 shows 31 how 31 how 32 epigenetic 32 epigenetic 36 methylation 33 mechanisms 36 methylation 34 including 36 methylation 35 dna 36 methylation 36 methylation 37 , 37 , 39 modifications 37 , 41 and 38 histone 39 modifications 40 , 41 and 41 and 43 remodeling 41 and 45 and 42 chromatin 43 remodeling 44 , 45 and 45 and 49 rnas 45 and 51 ncrnas 45 and 53 are 48 coding 49 rnas 50 ( 51 ncrnas 51 ncrnas 52 ) 53 are 54 responsible 54 responsible 55 for 55 for 56 promoting 56 promoting 58 dimorphism 57 sexual 58 dimorphism 58 dimorphism 59 in 59 in 61 brain 60 the 61 brain differential profiles of dna methylation and histone modifications are found in dimorphic brain regions such as the hypothalamus as a result of sex hormone exposure during developmental critical periods . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 10 found 0 ###LEFT-WALL### 30 . 1 differential 2 profiles 2 profiles 3 of 2 profiles 6 and 3 of 5 methylation 4 dna 5 methylation 6 and 8 modifications 6 and 9 are 7 histone 8 modifications 9 are 10 found 10 found 11 in 10 found 19 as 11 in 14 regions 12 dimorphic 13 brain 13 brain 14 regions 14 regions 16 as 15 such 16 as 16 as 18 hypothalamus 17 the 18 hypothalamus 19 as 21 result 20 a 21 result 21 result 22 of 21 result 26 during 22 of 25 exposure 23 sex 25 exposure 24 hormone 25 exposure 26 during 29 periods 27 developmental 29 periods 28 critical 29 periods the elaboration of specific epigenetic marks is also linked with regulating sex hormone signaling pathways later in life . 0 ###LEFT-WALL### 2 elaboration 0 ###LEFT-WALL### 9 linked 0 ###LEFT-WALL### 19 . 1 the 2 elaboration 2 elaboration 3 of 2 elaboration 7 is 3 of 6 marks 4 specific 6 marks 5 epigenetic 6 marks 7 is 9 linked 8 also 9 linked 9 linked 10 with 10 with 11 regulating 11 regulating 15 pathways 11 regulating 17 in 12 sex 15 pathways 13 hormone 15 pathways 14 signaling 15 pathways 15 pathways 16 later 17 in 18 life furthermore , the expression and function of epigenetic factors such as the methyl - cpg - binding protein , mecp2 , and the histone - modifying enzymes , utx and uty , are sexually dimorphic in the brain . ncrnas are also implicated in promoting sex differences . 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 33 are 0 ###LEFT-WALL### 39 . 1 furthermore 2 , 1 furthermore 22 and 3 the 4 expression 4 expression 5 and 5 and 6 function 5 and 7 of 5 and 22 and 7 of 9 factors 8 epigenetic 9 factors 9 factors 11 as 9 factors 17 binding 9 factors 20 mecp2 10 such 11 as 11 as 13 methyl 12 the 13 methyl 13 methyl 15 cpg 14 - 15 cpg 15 cpg 16 - 16 - 17 binding 17 binding 18 protein 17 binding 19 , 19 , 20 mecp2 20 mecp2 21 , 22 and 24 histone 22 and 25 - 22 and 26 modifying 22 and 31 uty 22 and 33 are 23 the 24 histone 26 modifying 27 enzymes 28 , 31 uty 29 utx 30 and 30 and 31 uty 31 uty 32 , 33 are 35 dimorphic 34 sexually 35 dimorphic 35 dimorphic 36 in 36 in 38 brain 37 the 38 brain 39 . 40 ncrnas 39 . 43 implicated 39 . 48 . 40 ncrnas 41 are 41 are 42 also 41 are 43 implicated 43 implicated 44 in 44 in 45 promoting 45 promoting 47 differences 46 sex 47 differences for example , [x] inactivation - specific transcript [(] xist ) is a long ncrna that mediates [x] chromosome inactivation , a seminal developmental process that is particularly important in brain . 0 ###LEFT-WALL### 5 inactivation 0 ###LEFT-WALL### 12 is 1 for 2 example 2 example 3 , 2 example 5 inactivation 5 inactivation 10 xist 5 inactivation 12 is 6 - 10 xist 7 specific 8 transcript 8 transcript 10 xist 10 xist 11 ) 12 is 15 ncrna 13 a 14 long 13 a 15 ncrna 14 long 15 ncrna 15 ncrna 16 that 15 ncrna 17 mediates 15 ncrna 25 process 16 that 17 mediates 17 mediates 20 inactivation 19 chromosome 20 inactivation 21 , 25 process 22 a 23 seminal 22 a 25 process 23 seminal 25 process 24 developmental 25 process 25 process 26 that 25 process 27 is 25 process 32 . 26 that 27 is 27 is 29 important 28 particularly 29 important 29 important 30 in 30 in 31 brain these observations imply that understanding epigenetic mechanisms , which regulate dimorphic gene expression and function , is necessary for developing a more comprehensive view of sex differences in brain . 0 ###LEFT-WALL### 2 observations 0 ###LEFT-WALL### 3 imply 0 ###LEFT-WALL### 30 . 1 these 2 observations 2 observations 3 imply 3 imply 4 that 4 that 5 understanding 4 that 17 is 5 understanding 7 mechanisms 5 understanding 17 is 6 epigenetic 7 mechanisms 7 mechanisms 9 which 8 , 9 which 9 which 14 and 9 which 16 , 10 regulate 13 expression 10 regulate 14 and 11 dimorphic 12 gene 12 gene 13 expression 14 and 15 function 17 is 18 necessary 18 necessary 19 for 19 for 20 developing 20 developing 24 view 20 developing 28 in 21 a 24 view 22 more 23 comprehensive 23 comprehensive 24 view 24 view 25 of 25 of 27 differences 26 sex 27 differences 28 in 29 brain these emerging findings also suggest that epigenetic mechanisms are [,] in part [,] responsible for the differential susceptibility between males and females that is characteristic of a spectrum of neurological and psychiatric disorders . 0 ###LEFT-WALL### 3 findings 0 ###LEFT-WALL### 5 suggest 0 ###LEFT-WALL### 34 . 1 these 3 findings 2 emerging 3 findings 3 findings 5 suggest 4 also 5 suggest 5 suggest 6 that 6 that 8 mechanisms 6 that 9 are 7 epigenetic 8 mechanisms 8 mechanisms 9 are 9 are 12 part 9 are 14 responsible 11 in 12 part 14 responsible 15 for 15 for 18 susceptibility 16 the 18 susceptibility 17 differential 18 susceptibility 18 susceptibility 19 between 18 susceptibility 23 that 18 susceptibility 24 is 18 susceptibility 26 of 19 between 21 and 20 males 21 and 21 and 22 females 23 that 24 is 24 is 25 characteristic 26 of 28 spectrum 27 a 28 spectrum 28 spectrum 29 of 29 of 33 disorders 30 neurological 31 and 31 and 32 psychiatric 31 and 33 disorders at a population level , women and men differ in a wide variety of behavioral traits and in the probabilities of developing certain mental disorders . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 9 differ 0 ###LEFT-WALL### 26 . 1 at 3 population 1 at 7 and 2 a 3 population 4 level 5 , 5 , 6 women 5 , 7 and 7 and 8 men 7 and 9 differ 9 differ 17 and 10 in 13 variety 10 in 17 and 11 a 12 wide 11 a 13 variety 12 wide 13 variety 13 variety 14 of 14 of 16 traits 15 behavioral 16 traits 17 and 18 in 18 in 20 probabilities 19 the 20 probabilities 20 probabilities 21 of 21 of 22 developing 22 developing 25 disorders 23 certain 25 disorders 24 mental 25 disorders some of these sex differences may be related to sexual dimorphism in brain structure , [as] it emerges during prenatal and post - natal development . 0 ###LEFT-WALL### 7 be 0 ###LEFT-WALL### 15 , 1 some 2 of 1 some 5 differences 2 of 5 differences 3 these 5 differences 4 sex 5 differences 5 differences 6 may 6 may 7 be 7 be 8 related 8 related 9 to 8 related 12 in 9 to 11 dimorphism 10 sexual 11 dimorphism 12 in 14 structure 13 brain 14 structure 15 , 17 it 15 , 18 emerges 17 it 18 emerges 18 emerges 19 during 19 during 21 and 20 prenatal 21 and 21 and 22 post 21 and 25 development 23 - 25 development 24 natal 25 development 25 development 26 . here , i provide a brief overview of the sex - chromosome - specific pathways that underlie sexual dimorphisms in general , [describe] the most common brain phenotypes derived in vivo with magnetic resonance imaging , discuss the challenges in interpreting these phenotypes vis - [à] [-] vis [the] underlying neurobiology , and , finally , review the known sex differences in brain structure from birth , through adolescence , to adulthood . 0 ###LEFT-WALL### 3 i 0 ###LEFT-WALL### 4 provide 0 ###LEFT-WALL### 11 - 1 here 2 , 1 here 3 i 3 i 4 provide 4 provide 7 overview 5 a 7 overview 6 brief 7 overview 7 overview 8 of 8 of 10 sex 9 the 10 sex 11 - 12 chromosome 11 - 22 , 12 chromosome 15 pathways 13 - 15 pathways 14 specific 15 pathways 15 pathways 16 that 15 pathways 17 underlie 15 pathways 22 , 16 that 17 underlie 17 underlie 19 dimorphisms 17 underlie 20 in 18 sexual 19 dimorphisms 20 in 21 general 22 , 25 most 24 the 25 most 25 most 27 brain 25 most 28 phenotypes 25 most 36 , 26 common 27 brain 27 brain 28 phenotypes 29 derived 31 vivo 29 derived 32 with 29 derived 36 , 30 in 31 vivo 32 with 35 imaging 33 magnetic 35 imaging 34 resonance 35 imaging 36 , 37 discuss 37 discuss 39 challenges 38 the 39 challenges 39 challenges 40 in 40 in 41 interpreting 41 interpreting 42 these 41 interpreting 53 and 42 these 53 and 43 phenotypes 53 and 44 vis 51 neurobiology 45 - 51 neurobiology 48 vis 51 neurobiology 50 underlying 51 neurobiology 51 neurobiology 52 , 52 , 53 and 53 and 57 review 53 and 65 from 54 , 55 finally 55 finally 56 , 55 finally 57 review 57 review 61 differences 57 review 62 in 58 the 61 differences 59 known 60 sex 60 sex 61 differences 62 in 64 structure 63 brain 64 structure 65 from 66 birth 66 birth 69 adolescence 66 birth 71 to 67 , 69 adolescence 68 through 69 adolescence 69 adolescence 70 , 70 , 71 to 71 to 72 adulthood 71 to 73 . introduction : delayed graft [function] ( dgf ) is a common complication in kidney transplantation . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 2 : 4 graft 2 : 9 is 2 : 16 . 3 delayed 4 graft 4 graft 7 dgf 4 graft 9 is 6 ( 7 dgf 7 dgf 8 ) 9 is 12 complication 10 a 11 common 10 a 12 complication 11 common 12 complication 12 complication 13 in 13 in 15 transplantation 14 kidney 15 transplantation we sought to evaluate possible [correlates] for dgf including intraoperative parameters , focusing on fluid replacement and central venous pressure ( cvp ) values among patients undergoing kidney transplantation at our center . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 sought 0 ###LEFT-WALL### 33 . 1 we 2 sought 2 sought 3 to 2 sought 24 values 2 sought 25 among 3 to 4 evaluate 4 evaluate 17 and 5 possible 7 for 5 possible 12 , 7 for 8 dgf 8 dgf 9 including 9 including 11 parameters 10 intraoperative 11 parameters 12 , 13 focusing 12 , 17 and 13 focusing 14 on 14 on 16 replacement 15 fluid 16 replacement 17 and 20 pressure 17 and 22 cvp 18 central 20 pressure 19 venous 20 pressure 21 ( 22 cvp 22 cvp 23 ) 25 among 26 patients 26 patients 27 undergoing 27 undergoing 29 transplantation 28 kidney 29 transplantation 29 transplantation 30 at 30 at 32 center 31 our 32 center methods : one hundred fifty - five cadaveric donor transplantations performed at our center between 2001 and 2005 were selected for the study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 - 1 methods 2 : 2 : 5 fifty 3 one 4 hundred 4 hundred 5 fifty 6 - 10 transplantations 6 - 20 selected 6 - 24 . 7 five 10 transplantations 8 cadaveric 10 transplantations 9 donor 10 transplantations 10 transplantations 11 performed 10 transplantations 19 were 11 performed 12 at 11 performed 15 between 12 at 14 center 13 our 14 center 15 between 17 and 16 2001 17 and 17 and 18 2005 19 were 20 selected 20 selected 21 for 21 for 23 study 22 the 23 study we compared intraoperative parameters together with 15 other clinical and socio - demographic recipient and donor variables among patients experiencing dgf ( n = 58 ) versus those with immediate graft [function] ( igf [;] n = 97 ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 compared 0 ###LEFT-WALL### 40 . 1 we 2 compared 2 compared 4 parameters 2 compared 5 together 2 compared 6 with 3 intraoperative 4 parameters 6 with 17 variables 7 15 8 other 8 other 17 variables 9 clinical 10 and 10 and 14 recipient 10 and 15 and 11 socio 12 - 11 socio 14 recipient 13 demographic 14 recipient 15 and 16 donor 15 and 17 variables 17 variables 18 among 17 variables 29 with 18 among 19 patients 19 patients 20 experiencing 19 patients 27 versus 20 experiencing 21 dgf 21 dgf 24 = 22 ( 24 = 23 n 24 = 24 = 25 58 24 = 26 ) 27 versus 28 those 29 with 31 graft 30 immediate 31 graft 31 graft 34 igf 33 ( 34 igf 34 igf 37 = 34 igf 39 ) 36 n 37 = 37 = 38 97 all significant [variables] at p < . 05 upon univariate analysis were entered into a multivariate logistic regression model to identify risk factors for dgf . 0 ###LEFT-WALL### 1 all 0 ###LEFT-WALL### 6 < 0 ###LEFT-WALL### 7 . 0 ###LEFT-WALL### 13 entered 0 ###LEFT-WALL### 26 . 1 all 2 significant 1 all 6 < 2 significant 4 at 4 at 5 p 7 . 8 05 8 05 9 upon 8 05 12 were 9 upon 11 analysis 10 univariate 11 analysis 12 were 13 entered 13 entered 14 into 13 entered 20 to 14 into 19 model 15 a 19 model 16 multivariate 17 logistic 17 logistic 18 regression 18 regression 19 model 20 to 21 identify 21 identify 23 factors 22 risk 23 factors 23 factors 24 for 24 for 25 dgf conclusions : our data suggested that reduced intraoperative perfusion as measured using cvp monitoring might increase dgf risk . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 measured 0 ###LEFT-WALL### 19 . 2 : 4 data 2 : 5 suggested 3 our 4 data 4 data 5 suggested 5 suggested 6 that 5 suggested 7 reduced 6 that 7 reduced 7 reduced 9 perfusion 7 reduced 10 as 8 intraoperative 9 perfusion 10 as 11 measured 11 measured 12 using 11 measured 18 risk 12 using 13 cvp 13 cvp 14 monitoring 13 cvp 16 increase 14 monitoring 15 might 15 might 16 increase 17 dgf 18 risk this study provides the rationale to further investigate the optimal cvp target during this surgery . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 provides 0 ###LEFT-WALL### 16 . 1 this 2 study 2 study 3 provides 3 provides 5 rationale 3 provides 6 to 4 the 5 rationale 6 to 8 investigate 7 further 8 investigate 8 investigate 12 target 8 investigate 13 during 9 the 12 target 10 optimal 12 target 11 cvp 12 target 13 during 15 surgery 14 this 15 surgery objective : cerebral white matter lesions ( wmls ) are radiologic markers of small vessel disease in brain , and inflammatory processes were related to wmls . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 2 : 6 lesions 2 : 10 are 2 : 20 and 3 cerebral 4 white 4 white 6 lesions 5 matter 6 lesions 6 lesions 8 wmls 6 lesions 10 are 7 ( 8 wmls 8 wmls 9 ) 10 are 12 markers 10 are 17 in 11 radiologic 12 markers 12 markers 13 of 13 of 16 disease 14 small 16 disease 15 vessel 16 disease 17 in 18 brain 19 , 20 and 20 and 22 processes 20 and 24 related 21 inflammatory 22 processes 22 processes 23 were 23 were 24 related 24 related 25 to 25 to 26 wmls we propose to determine if elevated leukocyte [count] was associated with a higher risk of wmls . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 propose 0 ###LEFT-WALL### 17 . 1 we 2 propose 2 propose 3 to 2 propose 4 determine 3 to 4 determine 4 determine 5 if 5 if 7 leukocyte 5 if 10 associated 6 elevated 7 leukocyte 7 leukocyte 9 was 9 was 10 associated 10 associated 11 with 11 with 14 risk 12 a 14 risk 13 higher 14 risk 14 risk 15 of 15 of 16 wmls methods : 1586 asymptomatic subjects who visited our hospital for a routine health check [-] up were enrolled . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 5 subjects 2 : 18 enrolled 2 : 19 . 3 1586 5 subjects 4 asymptomatic 5 subjects 5 subjects 6 who 5 subjects 7 visited 5 subjects 17 were 6 who 7 visited 7 visited 9 hospital 7 visited 10 for 7 visited 16 up 8 our 9 hospital 10 for 14 check 11 a 12 routine 11 a 14 check 12 routine 14 check 13 health 14 check 17 were 18 enrolled leukocyte counts were measured and the presence of moderate to severe wmls was determined by brain mri . 0 ###LEFT-WALL### 1 leukocyte 0 ###LEFT-WALL### 13 was 0 ###LEFT-WALL### 18 . 1 leukocyte 2 counts 1 leukocyte 8 of 1 leukocyte 9 moderate 1 leukocyte 13 was 2 counts 3 were 3 were 5 and 4 measured 5 and 5 and 7 presence 5 and 8 of 6 the 7 presence 9 moderate 10 to 10 to 12 wmls 11 severe 12 wmls 13 was 14 determined 14 determined 15 by 15 by 17 mri 16 brain 17 mri results : thirty ( 1.9 % ) had moderate to severe wmls , and a significant greater proportion ( 4.1 % ) [of] subjects in the highest leukocyte count quartile had moderate to severe wmls . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 36 . 2 : 3 thirty 2 : 8 had 3 thirty 6 % 3 thirty 8 had 4 ( 6 % 5 1.9 6 % 6 % 7 ) 8 had 24 subjects 9 moderate 10 to 9 moderate 14 and 10 to 12 wmls 11 severe 12 wmls 13 , 14 and 14 and 18 proportion 14 and 21 % 14 and 24 subjects 15 a 16 significant 15 a 18 proportion 16 significant 18 proportion 17 greater 18 proportion 19 ( 21 % 20 4.1 21 % 21 % 22 ) 24 subjects 25 in 24 subjects 32 moderate 25 in 29 count 26 the 27 highest 26 the 29 count 28 leukocyte 29 count 29 count 30 quartile 29 count 31 had 30 quartile 31 had 32 moderate 33 to 33 to 35 wmls 34 severe 35 wmls after adjusting by c - reactive protein , aspirin use and cardiovascular risk factors , the highest quartile of leukocyte [count] ( ≥6.7×10⁹/l ) was significantly associated with moderate to severe wmls compared with the lowest quartile [ adjusted odds [ratio] , 4.03 [;] 95 % confidence interval , 1.05 - 15.5 ] . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 13 risk 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 54 . 1 after 2 adjusting 1 after 5 - 1 after 11 and 2 adjusting 3 by 3 by 4 c 6 reactive 7 protein 7 protein 8 , 8 , 10 use 8 , 11 and 9 aspirin 10 use 11 and 12 cardiovascular 11 and 13 risk 13 risk 14 factors 15 , 17 highest 15 , 29 moderate 16 the 17 highest 17 highest 18 quartile 17 highest 28 with 17 highest 29 moderate 18 quartile 19 of 18 quartile 23 ≥6.7×10⁹/l 18 quartile 25 was 19 of 20 leukocyte 22 ( 23 ≥6.7×10⁹/l 23 ≥6.7×10⁹/l 24 ) 25 was 26 significantly 25 was 27 associated 27 associated 28 with 29 moderate 30 to 29 moderate 34 with 29 moderate 51 - 30 to 32 wmls 31 severe 32 wmls 32 wmls 33 compared 34 with 48 interval 35 the 36 lowest 35 the 48 interval 37 quartile 40 odds 37 quartile 42 , 37 quartile 48 interval 38 [ 40 odds 39 adjusted 40 odds 40 odds 42 , 43 4.03 48 interval 45 95 46 % 46 % 48 interval 47 confidence 48 interval 49 , 51 - 50 1.05 51 - 51 - 52 15.5 51 - 53 ] conclusion : the authors report for the first time that an elevated leukocyte count is independently associated with moderate to severe wmls . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 1 conclusion 2 : 2 : 5 report 3 the 5 report 4 authors 5 report 5 report 6 for 5 report 19 moderate 6 for 9 time 7 the 8 first 7 the 9 time 9 time 10 that 9 time 18 with 10 that 14 count 10 that 17 associated 11 an 14 count 12 elevated 14 count 13 leukocyte 14 count 14 count 15 is 15 is 17 associated 16 independently 17 associated 17 associated 18 with 19 moderate 20 to 20 to 22 wmls 21 severe 22 wmls prevalence of dementing illnesses is expected to grow due to aging of the population throughout the world . 0 ###LEFT-WALL### 1 prevalence 0 ###LEFT-WALL### 6 expected 0 ###LEFT-WALL### 18 . 1 prevalence 2 of 1 prevalence 5 is 2 of 4 illnesses 3 dementing 4 illnesses 5 is 6 expected 6 expected 7 to 6 expected 8 grow 7 to 8 grow 8 grow 10 to 8 grow 15 throughout 9 due 10 to 10 to 11 aging 11 aging 12 of 12 of 14 population 13 the 14 population 15 throughout 17 world 16 the 17 world vascular dementia and alzheimer 's disease share several risk factors and [are] nowadays considered two ends of [a] [continuum] rather than two distinct entities . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 25 . 1 vascular 2 dementia 2 dementia 3 and 3 and 7 share 3 and 8 several 3 and 14 considered 4 alzheimer 5 's 5 's 7 share 6 disease 7 share 8 several 9 risk 9 risk 11 and 10 factors 11 and 11 and 14 considered 13 nowadays 14 considered 14 considered 16 ends 15 two 16 ends 16 ends 17 of 17 of 21 than 20 rather 21 than 21 than 24 entities 22 two 24 entities 23 distinct 24 entities traditional cardiovascular risk markers such as diabetes , dyslipidemia , hypertension , metabolic syndrome and adiposity in mid - life are harbingers of cognitive decline [,] alzheimer 's disease and vascular dementia later in life . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 21 are 0 ###LEFT-WALL### 36 . 1 traditional 4 markers 2 cardiovascular 4 markers 3 risk 4 markers 4 markers 6 as 4 markers 8 , 5 such 6 as 6 as 7 diabetes 8 , 11 hypertension 8 , 12 , 9 dyslipidemia 10 , 9 dyslipidemia 11 hypertension 12 , 14 syndrome 12 , 15 and 13 metabolic 14 syndrome 15 and 16 adiposity 15 and 21 are 16 adiposity 17 in 17 in 20 life 18 mid 19 - 18 mid 20 life 21 are 30 and 22 harbingers 23 of 22 harbingers 30 and 23 of 29 disease 24 cognitive 25 decline 25 decline 27 alzheimer 27 alzheimer 28 's 28 's 29 disease 30 and 31 vascular 30 and 32 dementia 32 dementia 33 later 32 dementia 34 in 34 in 35 life in aged populations , only diabetes has been more constantly associated with the development of cognitive dysfunction , while other risk markers have shown more mixed results . 0 ###LEFT-WALL### 5 only 0 ###LEFT-WALL### 11 associated 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 28 . 1 in 3 populations 1 in 4 , 1 in 5 only 2 aged 3 populations 5 only 6 diabetes 6 diabetes 7 has 7 has 8 been 8 been 11 associated 9 more 10 constantly 10 constantly 11 associated 11 associated 12 with 12 with 14 development 13 the 14 development 14 development 15 of 15 of 17 dysfunction 16 cognitive 17 dysfunction 18 , 22 markers 18 , 24 shown 19 while 21 risk 19 while 22 markers 20 other 21 risk 22 markers 23 have 23 have 24 shown 24 shown 25 more 24 shown 26 mixed 25 more 26 mixed 26 mixed 27 results normal aging , co - morbidities and other changes connected to cognitive [decline] make the interpretation of the risk markers in the elderly challenging and probably explain these contradictory findings . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 31 . 1 normal 2 aging 1 normal 3 , 3 , 6 morbidities 3 , 7 and 4 co 5 - 4 co 6 morbidities 7 and 9 changes 7 and 10 connected 8 other 9 changes 10 connected 11 to 11 to 25 and 12 cognitive 14 make 14 make 16 interpretation 14 make 21 in 14 make 25 and 15 the 16 interpretation 16 interpretation 17 of 17 of 20 markers 18 the 20 markers 19 risk 20 markers 21 in 24 challenging 22 the 24 challenging 23 elderly 24 challenging 25 and 27 explain 26 probably 27 explain 27 explain 30 findings 28 these 30 findings 29 contradictory 30 findings control of cardiovascular risk factors has been linked to beneficial effects in terms of cognition in cross [-] sectional and prospective [follow] up studies , but the results of interventional trials have been disappointing . 0 ###LEFT-WALL### 1 control 0 ###LEFT-WALL### 8 linked 0 ###LEFT-WALL### 26 but 0 ###LEFT-WALL### 35 . 1 control 2 of 1 control 6 has 2 of 5 factors 3 cardiovascular 5 factors 4 risk 5 factors 6 has 7 been 7 been 8 linked 8 linked 9 to 8 linked 12 in 8 linked 16 in 9 to 11 effects 10 beneficial 11 effects 12 in 13 terms 13 terms 14 of 14 of 15 cognition 16 in 24 studies 17 cross 24 studies 19 sectional 20 and 20 and 21 prospective 20 and 24 studies 21 prospective 23 up 25 , 26 but 26 but 28 results 26 but 33 been 27 the 28 results 28 results 29 of 28 results 32 have 29 of 31 trials 30 interventional 31 trials 32 have 33 been 33 been 34 disappointing more research in this area is needed , specifically , placebo - controlled randomized trials in both mid - life and late - life with cognitive dysfunction as a primary endpoint . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 7 needed 0 ###LEFT-WALL### 10 , 1 more 2 research 2 research 3 in 2 research 6 is 3 in 5 area 4 this 5 area 6 is 7 needed 7 needed 9 specifically 8 , 9 specifically 9 specifically 10 , 10 , 11 placebo 10 , 12 - 12 - 15 trials 12 - 31 endpoint 12 - 32 . 13 controlled 15 trials 14 randomized 15 trials 15 trials 16 in 15 trials 31 endpoint 16 in 21 and 17 both 21 and 18 mid 19 - 18 mid 20 life 20 life 21 and 21 and 24 life 21 and 25 with 22 late 23 - 22 late 24 life 25 with 27 dysfunction 26 cognitive 27 dysfunction 27 dysfunction 28 as 28 as 30 primary 29 a 30 primary objectives : this study investigated the [shear] bond strength ( sbs ) and the tensile bond strength ( tbs [ )(of the zirconia - to [-] resin interface using different cement bonding concepts . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 investigated 2 : 13 and 2 : 34 . 3 this 4 study 4 study 5 investigated 5 investigated 9 strength 6 the 9 strength 8 bond 9 strength 9 strength 11 sbs 10 ( 11 sbs 11 sbs 12 ) 13 and 15 tensile 13 and 16 bond 14 the 15 tensile 15 tensile 16 bond 16 bond 17 strength 16 bond 25 to 17 strength 19 tbs 18 ( 19 tbs 19 tbs 21 )(of 19 tbs 24 - 21 )(of 23 zirconia 22 the 23 zirconia 25 to 31 cement 27 resin 31 cement 28 interface 31 cement 29 using 31 cement 30 different 31 cement 31 cement 32 bonding 32 bonding 33 concepts methods : coplanar zirconia specimens were bonded to cocr - cylinders measuring 5 [mm] in [diameter] and 3 mm in height . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 5 specimens 2 : 7 bonded 3 coplanar 5 specimens 4 zirconia 5 specimens 5 specimens 6 were 6 were 7 bonded 7 bonded 8 to 8 to 9 cocr 9 cocr 11 cylinders 10 - 11 cylinders 11 cylinders 12 measuring 11 cylinders 22 . 12 measuring 17 and 12 measuring 20 in 13 5 15 in 15 in 17 and 17 and 19 mm 18 3 19 mm 20 in 21 height all bonding areas were first sandblasted with 110 μm al ( 2 [ ] ( 3 ) ( 0.28 mpa , 10 s ) . 0 ###LEFT-WALL### 1 all 0 ###LEFT-WALL### 6 sandblasted 0 ###LEFT-WALL### 24 ) 1 all 2 bonding 1 all 4 were 2 bonding 3 areas 4 were 5 first 4 were 6 sandblasted 6 sandblasted 7 with 7 with 9 μm 7 with 10 al 8 110 9 μm 10 al 12 2 10 al 19 0.28 10 al 22 10 11 ( 12 2 12 2 15 ( 12 2 16 3 14 ] 15 ( 15 ( 16 3 17 ) 19 0.28 18 ( 19 0.28 19 0.28 20 mpa 20 mpa 22 10 21 , 22 10 22 10 23 s sbs and tbs were determined after 24 h and 90 d of water storage as well as after 12,000 thermal cycles ( tc , 5°/55 [°c] , 17 d ) . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 5 determined 1 sbs 2 and 2 and 3 tbs 2 and 4 were 4 were 5 determined 5 determined 6 after 5 determined 15 as 5 determined 17 as 6 after 9 and 7 24 8 h 8 h 9 and 9 and 11 d 9 and 12 of 10 90 11 d 12 of 14 storage 13 water 14 storage 15 as 16 well 17 as 18 after 18 after 21 cycles 19 12,000 21 cycles 20 thermal 21 cycles 21 cycles 23 tc 22 ( 23 tc 23 tc 25 5°/55 23 tc 31 . 24 , 25 5°/55 25 5°/55 29 d 25 5°/55 31 . 27 , 29 d 28 17 29 d 29 d 30 ) the bonding concepts consisted of the application of a silane coupling agent , tribological silica [coating] ( rocatec [system] ) , cements [or] primers containing phosphone , mono - phosphate , or di - phosphate , and a combination of silica coating and primer . 0 ###LEFT-WALL### 3 concepts 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 45 . 1 the 3 concepts 2 bonding 3 concepts 3 concepts 21 , 4 consisted 5 of 4 consisted 21 , 5 of 7 application 6 the 7 application 7 application 8 of 7 application 15 silica 8 of 10 silane 9 a 10 silane 10 silane 11 coupling 11 coupling 12 agent 13 , 15 silica 14 tribological 15 silica 15 silica 18 rocatec 15 silica 20 ) 17 ( 18 rocatec 18 rocatec 20 ) 21 , 22 cements 22 cements 37 and 24 primers 25 containing 24 primers 27 , 25 containing 26 phosphone 27 , 30 phosphate 27 , 32 or 28 mono 29 - 28 mono 30 phosphate 31 , 32 or 32 or 35 phosphate 32 or 37 and 33 di 34 - 33 di 35 phosphate 36 , 37 and 37 and 39 combination 37 and 40 of 38 a 39 combination 40 of 43 and 41 silica 42 coating 42 coating 43 and 43 and 44 primer results : bond strength higher than 10 mpa was considered clinically sufficient . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 bond 2 : 13 . 3 bond 4 strength 3 bond 5 higher 3 bond 6 than 6 than 8 mpa 6 than 10 considered 7 10 8 mpa 8 mpa 9 was 9 was 10 considered 10 considered 11 clinically 10 considered 12 sufficient sbs measured with each bonding concept surpassed this value , except control and maxcem after 90 d . 0 ###LEFT-WALL### 1 sbs 0 ###LEFT-WALL### 7 surpassed 1 sbs 2 measured 1 sbs 7 surpassed 2 measured 3 with 3 with 6 concept 4 each 6 concept 5 bonding 6 concept 7 surpassed 9 value 8 this 9 value 9 value 11 except 10 , 11 except 11 except 13 and 11 except 18 . 12 control 13 and 13 and 14 maxcem 13 and 15 after 15 after 17 d 16 90 17 d in contrast , tbs values were rather different . 0 ###LEFT-WALL### 5 values 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 9 . 1 in 2 contrast 1 in 3 , 1 in 5 values 4 tbs 5 values 5 values 6 were 6 were 7 rather 6 were 8 different the application of a silane coupling agent alone showed very low values in the tbs test . 0 ###LEFT-WALL### 2 application 0 ###LEFT-WALL### 9 showed 0 ###LEFT-WALL### 17 . 1 the 2 application 2 application 3 of 2 application 9 showed 3 of 5 silane 4 a 5 silane 5 silane 6 coupling 6 coupling 7 agent 8 alone 9 showed 9 showed 12 values 9 showed 13 in 10 very 11 low 11 low 12 values 13 in 16 test 14 the 16 test 15 tbs 16 test silica coating was only sufficient after 90 d of water storage and when combined with phosphate - esters or phosphone - containing primers . 0 ###LEFT-WALL### 2 coating 0 ###LEFT-WALL### 14 combined 0 ###LEFT-WALL### 24 . 1 silica 2 coating 2 coating 3 was 3 was 4 only 3 was 5 sufficient 5 sufficient 6 after 6 after 8 d 7 90 8 d 8 d 9 of 9 of 10 water 10 water 12 and 10 water 14 combined 11 storage 12 and 12 and 13 when 12 and 14 combined 14 combined 15 with 15 with 16 phosphate 15 with 22 containing 16 phosphate 19 or 17 - 19 or 18 esters 19 or 19 or 20 phosphone 19 or 21 - 22 containing 23 primers bonding agents based on di - phosphates or phosphones showed stable tbs values of less than 10 mpa under different aging conditions . 0 ###LEFT-WALL### 1 bonding 0 ###LEFT-WALL### 10 showed 0 ###LEFT-WALL### 23 . 1 bonding 2 agents 1 bonding 4 on 1 bonding 10 showed 2 agents 3 based 4 on 8 or 5 di 6 - 5 di 7 phosphates 7 phosphates 8 or 8 or 9 phosphones 10 showed 13 values 10 showed 18 mpa 10 showed 19 under 11 stable 13 values 12 tbs 13 values 13 values 14 of 14 of 17 10 15 less 16 than 16 than 17 10 19 under 22 conditions 20 different 22 conditions 21 aging 22 conditions the predominant mode of failure was adhesive failure at the ceramic surface . 0 ###LEFT-WALL### 3 mode 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 13 . 1 the 3 mode 2 predominant 3 mode 3 mode 4 of 3 mode 6 was 4 of 5 failure 6 was 8 failure 7 adhesive 8 failure 8 failure 9 at 9 at 12 surface 10 the 12 surface 11 ceramic 12 surface conclusions : none of the investigated bonding concepts of the zirconia - to [-] resin interface provided clinically sufficient tensile bond strength . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 1 conclusions 2 : 2 : 3 none 3 none 4 of 4 of 8 concepts 5 the 8 concepts 6 investigated 8 concepts 7 bonding 8 concepts 8 concepts 9 of 9 of 11 zirconia 10 the 11 zirconia 11 zirconia 13 to 12 - 13 to 13 to 22 strength 13 to 23 . 15 resin 17 provided 16 interface 17 provided 17 provided 22 strength 18 clinically 19 sufficient 19 sufficient 21 bond 20 tensile 21 bond 21 bond 22 strength sbs values were inadequate for a sufficient ranking . 0 ###LEFT-WALL### 2 values 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 9 . 1 sbs 2 values 2 values 3 were 3 were 4 inadequate 4 inadequate 5 for 5 for 8 ranking 6 a 7 sufficient 6 a 8 ranking 7 sufficient 8 ranking while many older drivers remain unimpaired or otherwise effectively compensate for functional deficits , a minority are currently faced with two main options : either continue to drive with [arguably] an unacceptable crash risk [;] or cease driving , perhaps at the instigation of licensing authorities . 0 ###LEFT-WALL### 16 minority 0 ###LEFT-WALL### 19 faced 0 ###LEFT-WALL### 24 : 1 while 4 drivers 1 while 7 or 1 while 14 , 1 while 16 minority 2 many 4 drivers 3 older 4 drivers 4 drivers 7 or 5 remain 6 unimpaired 5 remain 7 or 7 or 10 compensate 8 otherwise 10 compensate 9 effectively 10 compensate 10 compensate 11 for 11 for 13 deficits 12 functional 13 deficits 15 a 16 minority 16 minority 17 are 17 are 19 faced 18 currently 19 faced 19 faced 20 with 20 with 23 options 21 two 23 options 22 main 23 options 24 : 26 continue 25 either 26 continue 26 continue 27 to 26 continue 41 at 27 to 36 or 28 drive 29 with 28 drive 34 risk 28 drive 36 or 29 with 33 crash 31 an 32 unacceptable 31 an 33 crash 32 unacceptable 33 crash 36 or 37 cease 37 cease 38 driving 39 , 40 perhaps 39 , 41 at 41 at 43 instigation 41 at 47 . 42 the 43 instigation 43 instigation 44 of 44 of 45 licensing 45 licensing 46 authorities licence restrictions represent a possible third option for some older drivers , by better managing crash risk while still allowing acceptable levels of mobility . 0 ###LEFT-WALL### 2 restrictions 0 ###LEFT-WALL### 3 represent 1 licence 2 restrictions 2 restrictions 3 represent 3 represent 7 option 4 a 5 possible 4 a 7 option 5 possible 7 option 6 third 7 option 7 option 8 for 8 for 11 drivers 9 some 11 drivers 10 older 11 drivers 11 drivers 13 by 12 , 13 by 13 by 15 managing 13 by 25 . 14 better 15 managing 15 managing 17 risk 15 managing 18 while 16 crash 17 risk 18 while 20 allowing 19 still 20 allowing 20 allowing 22 levels 21 acceptable 22 levels 22 levels 23 of 23 of 24 mobility the present study has explored licence restrictions as applied to victorian older drivers over a ten [-] year period . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 9 applied 0 ###LEFT-WALL### 20 . 1 the 3 study 2 present 3 study 3 study 4 has 4 has 5 explored 5 explored 7 restrictions 5 explored 8 as 6 licence 7 restrictions 8 as 9 applied 9 applied 10 to 9 applied 13 drivers 9 applied 14 over 10 to 11 victorian 12 older 13 drivers 14 over 19 period 15 a 19 period 16 ten 18 year 18 year 19 period it has identified the types of restrictions and their extent of use in recent years , plus indications of potential safety benefits that may result from restricted licencing practices . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 identified 1 it 2 has 2 has 3 identified 3 identified 5 types 3 identified 13 in 3 identified 17 plus 4 the 5 types 5 types 6 of 6 of 8 and 7 restrictions 8 and 8 and 10 extent 8 and 11 of 9 their 10 extent 11 of 12 use 13 in 15 years 14 recent 15 years 16 , 17 plus 17 plus 18 indications 17 plus 30 . 18 indications 19 of 18 indications 23 that 18 indications 24 may 19 of 22 benefits 20 potential 21 safety 21 safety 22 benefits 23 that 24 may 24 may 25 result 25 result 26 from 26 from 29 practices 27 restricted 29 practices 28 licencing 29 practices less than 10 % of the older driver cohort had a licence restriction [and] in around 95 % of instances , the restriction related to the need to wear corrective lenses ; these numbers precluded a conclusive evaluation of safety benefits . 0 ###LEFT-WALL### 4 % 0 ###LEFT-WALL### 10 had 0 ###LEFT-WALL### 32 ; 0 ###LEFT-WALL### 42 . 1 less 2 than 2 than 3 10 3 10 4 % 4 % 5 of 4 % 10 had 5 of 9 cohort 6 the 9 cohort 7 older 9 cohort 8 driver 9 cohort 10 had 13 restriction 10 had 15 in 11 a 13 restriction 12 licence 13 restriction 15 in 18 % 16 around 17 95 17 95 18 % 18 % 19 of 19 of 20 instances 20 instances 23 restriction 21 , 23 restriction 22 the 23 restriction 23 restriction 24 related 23 restriction 32 ; 24 related 25 to 25 to 27 need 26 the 27 need 27 need 28 to 27 need 29 wear 28 to 29 wear 29 wear 31 lenses 30 corrective 31 lenses 32 ; 34 numbers 32 ; 35 precluded 33 these 34 numbers 34 numbers 35 precluded 35 precluded 38 evaluation 36 a 37 conclusive 36 a 38 evaluation 37 conclusive 38 evaluation 38 evaluation 39 of 39 of 41 benefits 40 safety 41 benefits however , two important findings emerged . 0 ###LEFT-WALL### 5 findings 0 ###LEFT-WALL### 6 emerged 0 ###LEFT-WALL### 7 . 1 however 2 , 1 however 5 findings 3 two 5 findings 4 important 5 findings 5 findings 6 emerged first , the imposition of a licence restriction was usually associated with a reduction in absolute crash rates . 0 ###LEFT-WALL### 4 imposition 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 19 . 1 first 2 , 1 first 4 imposition 3 the 4 imposition 4 imposition 5 of 4 imposition 9 was 5 of 8 restriction 6 a 8 restriction 7 licence 8 restriction 9 was 10 usually 9 was 12 with 9 was 15 in 10 usually 11 associated 12 with 14 reduction 13 a 14 reduction 15 in 18 rates 16 absolute 17 crash 17 crash 18 rates second , three restrictions [were] identified that most readily form the basis of a [graduated] driving reduction program . 0 ###LEFT-WALL### 4 restrictions 0 ###LEFT-WALL### 18 program 0 ###LEFT-WALL### 19 . 1 second 2 , 1 second 4 restrictions 3 three 4 restrictions 4 restrictions 6 identified 4 restrictions 7 that 4 restrictions 18 program 7 that 8 most 7 that 10 form 8 most 10 form 9 readily 10 form 10 form 12 basis 11 the 12 basis 12 basis 13 of 13 of 17 reduction 14 a 17 reduction 16 driving 17 reduction [chaperone] - mediated autophagy is a selective mechanism for degradation of soluble cytosolic proteins in lysosomes that distinguishes itself from other autophagic pathways by the selectivity with which cma substrates are targeted for degradation . 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 35 . 2 - 4 autophagy 3 mediated 4 autophagy 4 autophagy 5 is 5 is 8 mechanism 6 a 7 selective 6 a 8 mechanism 7 selective 8 mechanism 8 mechanism 9 for 8 mechanism 15 in 8 mechanism 20 from 9 for 10 degradation 10 degradation 11 of 11 of 14 proteins 12 soluble 14 proteins 13 cytosolic 14 proteins 15 in 16 lysosomes 16 lysosomes 17 that 16 lysosomes 18 distinguishes 17 that 18 distinguishes 18 distinguishes 19 itself 20 from 23 pathways 20 from 30 substrates 20 from 32 targeted 21 other 23 pathways 22 autophagic 23 pathways 23 pathways 24 by 23 pathways 27 with 24 by 26 selectivity 25 the 26 selectivity 27 with 28 which 29 cma 30 substrates 30 substrates 31 are 31 are 32 targeted 32 targeted 33 for 33 for 34 degradation the recent molecular dissection of this autophagic pathway and the development of experimental models with [compromised] cma have unveiled the important contribution of this pathway to protein quality control . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 19 unveiled 0 ###LEFT-WALL### 30 . 1 the 4 dissection 2 recent 4 dissection 3 molecular 4 dissection 4 dissection 5 of 4 dissection 9 and 5 of 8 pathway 6 this 8 pathway 7 autophagic 8 pathway 9 and 11 development 9 and 12 of 9 and 18 have 10 the 11 development 12 of 14 models 13 experimental 14 models 14 models 15 with 15 with 17 cma 18 have 19 unveiled 19 unveiled 22 contribution 19 unveiled 26 to 20 the 22 contribution 21 important 22 contribution 22 contribution 23 of 23 of 25 pathway 24 this 25 pathway 26 to 29 control 27 protein 29 control 28 quality 29 control in fact , cma activation seems to be a common mechanism of cellular defense against proteotoxicity . 0 ###LEFT-WALL### 5 activation 0 ###LEFT-WALL### 6 seems 0 ###LEFT-WALL### 17 . 1 in 2 fact 2 fact 3 , 2 fact 5 activation 4 cma 5 activation 5 activation 6 seems 6 seems 7 to 6 seems 8 be 7 to 8 be 8 be 11 mechanism 9 a 10 common 9 a 11 mechanism 10 common 11 mechanism 11 mechanism 12 of 12 of 14 defense 13 cellular 14 defense 14 defense 15 against 15 against 16 proteotoxicity [remembering] the past and [envisioning] the future rely on episodic memory which enables mental time travel . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 8 rely 0 ###LEFT-WALL### 17 . 2 the 3 past 3 past 4 and 4 and 7 future 4 and 8 rely 6 the 7 future 8 rely 9 on 9 on 11 memory 10 episodic 11 memory 11 memory 12 which 11 memory 13 enables 12 which 13 enables 13 enables 16 travel 14 mental 16 travel 15 time 16 travel studies in young adults indicate that past and future thinking share common cognitive and neural underpinnings . 0 ###LEFT-WALL### 1 studies 0 ###LEFT-WALL### 5 indicate 0 ###LEFT-WALL### 17 . 1 studies 2 in 1 studies 5 indicate 2 in 4 adults 3 young 4 adults 5 indicate 8 and 5 indicate 11 share 6 that 7 past 7 past 8 and 8 and 10 thinking 8 and 11 share 9 future 10 thinking 11 share 16 underpinnings 12 common 16 underpinnings 13 cognitive 14 and 14 and 15 neural 14 and 16 underpinnings no imaging data is yet available in healthy aged subjects . 0 ###LEFT-WALL### 2 imaging 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 11 . 1 no 2 imaging 2 imaging 3 data 2 imaging 4 is 4 is 5 yet 4 is 6 available 6 available 7 in 7 in 10 subjects 8 healthy 10 subjects 9 aged 10 subjects using fmri , we scanned older subjects while they remembered personal events ( pp : last 12 months [ )(or envisioned future plans ( fp : [next] 12 months [ )( 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 scanned 0 ###LEFT-WALL### 15 : 1 using 2 fmri 1 using 3 , 1 using 4 we 4 we 5 scanned 5 scanned 7 subjects 5 scanned 8 while 6 older 7 subjects 8 while 9 they 8 while 10 remembered 9 they 10 remembered 10 remembered 12 events 11 personal 12 events 12 events 14 pp 13 ( 14 pp 14 pp 15 : 15 : 20 )(or 15 : 26 : 15 : 31 )( 16 last 18 months 16 last 20 )(or 17 12 18 months 20 )(or 21 envisioned 21 envisioned 23 plans 22 future 23 plans 23 plans 25 fp 24 ( 25 fp 25 fp 26 : 26 : 29 months 28 12 29 months behaviorally , both time [-] periods were comparable in terms of visual search strategy , emotion , frequency of rehearsal and recency of the last evocation . 0 ###LEFT-WALL### 6 periods 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 27 . 1 behaviorally 2 , 1 behaviorally 6 periods 3 both 6 periods 4 time 6 periods 6 periods 7 were 7 were 8 comparable 8 comparable 9 in 9 in 21 and 10 terms 11 of 10 terms 15 , 11 of 14 strategy 12 visual 13 search 13 search 14 strategy 15 , 16 emotion 15 , 17 , 17 , 18 frequency 17 , 21 and 18 frequency 19 of 19 of 20 rehearsal 21 and 22 recency 21 and 23 of 23 of 26 evocation 24 the 25 last 24 the 26 evocation however , pp were more episodic , engaged a higher state of autonoetic consciousness and mental visual images were clearer and more numerous than fp . 0 ###LEFT-WALL### 3 pp 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 26 . 1 however 2 , 1 however 3 pp 3 pp 7 , 4 were 6 episodic 4 were 7 , 5 more 6 episodic 7 , 8 engaged 7 , 11 state 9 a 11 state 10 higher 11 state 11 state 12 of 12 of 14 consciousness 13 autonoetic 14 consciousness 15 and 18 images 15 and 19 were 16 mental 18 images 17 visual 18 images 18 images 19 were 19 were 21 and 19 were 23 numerous 20 clearer 21 and 21 and 22 more 23 numerous 24 than 24 than 25 fp neuroimaging results revealed a common network of activation ( posterior cingulate [cortex] , precuneus , prefrontal [cortex] , hippocampus ) reflecting the use of similar cognitive processes . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 revealed 0 ###LEFT-WALL### 28 . 1 neuroimaging 2 results 2 results 3 revealed 3 revealed 6 network 4 a 5 common 4 a 6 network 5 common 6 network 6 network 7 of 6 network 21 reflecting 7 of 8 activation 8 activation 19 hippocampus 9 ( 19 hippocampus 10 posterior 19 hippocampus 11 cingulate 14 precuneus 11 cingulate 15 , 11 cingulate 19 hippocampus 13 , 14 precuneus 14 precuneus 15 , 16 prefrontal 18 , 16 prefrontal 19 hippocampus 19 hippocampus 20 ) 21 reflecting 23 use 22 the 23 use 23 use 24 of 24 of 27 processes 25 similar 27 processes 26 cognitive 27 processes furthermore , the episodic nature of pp depended on hippocampal and visuo - spatial activations ( occipital and angular gyri ) , while , for fp , it depended on the inferior frontal and lateral temporal gyri , involved in semantic memory retrieval . 0 ###LEFT-WALL### 5 nature 0 ###LEFT-WALL### 8 depended 1 furthermore 2 , 1 furthermore 5 nature 3 the 5 nature 4 episodic 5 nature 5 nature 6 of 5 nature 8 depended 6 of 7 pp 8 depended 9 on 8 depended 23 while 8 depended 39 involved 9 on 11 and 10 hippocampal 11 and 11 and 12 visuo 11 and 13 - 11 and 15 activations 13 - 15 activations 14 spatial 15 activations 15 activations 20 gyri 15 activations 22 , 16 ( 20 gyri 17 occipital 18 and 18 and 19 angular 18 and 20 gyri 20 gyri 21 ) 22 , 23 while 23 while 28 it 23 while 29 depended 23 while 38 , 24 , 25 for 25 for 26 fp 25 for 27 , 25 for 28 it 28 it 29 depended 29 depended 30 on 30 on 37 gyri 31 the 37 gyri 32 inferior 37 gyri 33 frontal 34 and 34 and 35 lateral 34 and 37 gyri 36 temporal 37 gyri 38 , 39 involved 39 involved 40 in 39 involved 44 . 40 in 43 retrieval 41 semantic 43 retrieval 42 memory 43 retrieval the common neural network and behavior suggests that healthy aged subjects thought about their future prospects in the past . 0 ###LEFT-WALL### 4 network 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 20 . 1 the 4 network 2 common 4 network 3 neural 4 network 5 and 6 behavior 5 and 7 suggests 6 behavior 7 suggests 7 suggests 11 subjects 8 that 9 healthy 9 healthy 11 subjects 10 aged 11 subjects 11 subjects 12 thought 12 thought 13 about 12 thought 17 in 13 about 16 prospects 14 their 16 prospects 15 future 16 prospects 17 in 19 past 18 the 19 past the contribution of retrospective thinking into the future that engages the same network as the one recruited when remembering the past is discussed . 0 ###LEFT-WALL### 2 contribution 0 ###LEFT-WALL### 17 recruited 0 ###LEFT-WALL### 24 . 1 the 2 contribution 2 contribution 3 of 2 contribution 17 recruited 3 of 5 thinking 4 retrospective 5 thinking 5 thinking 6 into 6 into 8 future 7 the 8 future 8 future 9 that 8 future 10 engages 9 that 10 engages 10 engages 13 network 10 engages 14 as 11 the 12 same 11 the 13 network 14 as 16 one 15 the 16 one 17 recruited 18 when 18 when 19 remembering 19 remembering 21 past 19 remembering 23 discussed 20 the 21 past 21 past 22 is 22 is 23 discussed within this network [,] differential recruitment of specific areas highlights the episodic distinction [between] past and future mental time travel . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 20 travel 0 ###LEFT-WALL### 21 . 1 within 6 recruitment 1 within 16 and 2 this 6 recruitment 3 network 6 recruitment 5 differential 6 recruitment 6 recruitment 7 of 7 of 10 highlights 8 specific 9 areas 9 areas 10 highlights 11 the 15 past 12 episodic 13 distinction 13 distinction 15 past 15 past 16 and 16 and 19 time 16 and 20 travel 17 future 19 time 18 mental 19 time [none] aims of the study : earlier p300 studies were conducted when the prevalence of dementia with lewy bodies ( dlb ) was unknown . 0 ###LEFT-WALL### 5 study 0 ###LEFT-WALL### 6 : 0 ###LEFT-WALL### 25 . 2 aims 3 of 3 of 4 the 4 the 5 study 6 : 8 p300 6 : 11 conducted 7 earlier 8 p300 8 p300 9 studies 8 p300 10 were 8 p300 11 conducted 9 studies 10 were 11 conducted 12 when 12 when 14 prevalence 12 when 23 was 13 the 14 prevalence 14 prevalence 15 of 14 prevalence 17 with 14 prevalence 23 was 15 of 16 dementia 17 with 21 dlb 18 lewy 19 bodies 19 bodies 21 dlb 20 ( 21 dlb 21 dlb 22 ) 23 was 24 unknown our study aims to examine whether p300 abnormalities are present in dlb and to evidence possible differences between dlb and alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 27 . 1 our 2 study 2 study 3 aims 3 aims 4 to 4 to 13 and 5 examine 6 whether 5 examine 13 and 6 whether 8 abnormalities 6 whether 9 are 7 p300 8 abnormalities 8 abnormalities 9 are 9 are 10 present 10 present 11 in 11 in 12 dlb 13 and 14 to 13 and 15 evidence 13 and 18 between 14 to 15 evidence 15 evidence 17 differences 16 possible 17 differences 18 between 20 and 19 dlb 20 and 20 and 23 disease 20 and 25 ad 21 alzheimer 22 's 22 's 23 disease 24 ( 25 ad 25 ad 26 ) a second aim of this study is to look for correlations between p300 recordings and eeg , as abnormal eeg variability has been described in dlb . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 27 . 1 a 2 second 2 second 3 aim 2 second 7 is 2 second 10 for 2 second 15 and 3 aim 4 of 3 aim 7 is 4 of 6 study 5 this 6 study 7 is 8 to 8 to 9 look 10 for 11 correlations 11 correlations 12 between 12 between 14 recordings 13 p300 14 recordings 15 and 16 eeg 15 and 25 in 16 eeg 24 described 17 , 18 as 18 as 21 variability 18 as 24 described 19 abnormal 21 variability 20 eeg 21 variability 21 variability 22 has 22 has 23 been 23 been 24 described 25 in 26 dlb patients and methods : auditory p300 responses were recorded by a classic oddball paradigm in 50 controls , in 36 dlb patients , and in 40 ad patients with mmse>20 . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 31 . 1 patients 2 and 2 and 3 methods 4 : 7 responses 4 : 9 recorded 5 auditory 6 p300 6 p300 7 responses 7 responses 8 were 8 were 9 recorded 9 recorded 24 and 9 recorded 29 with 10 by 14 paradigm 10 by 24 and 11 a 12 classic 11 a 14 paradigm 12 classic 13 oddball 13 oddball 14 paradigm 14 paradigm 15 in 14 paradigm 19 in 15 in 17 controls 16 50 17 controls 18 , 19 in 19 in 22 patients 19 in 23 , 20 36 22 patients 21 dlb 22 patients 24 and 25 in 25 in 28 patients 26 40 27 ad 27 ad 28 patients 29 with 30 mmse>20 results : reliable auditory p300 responses [were] obtained in 26 dlb ( 72 % ) , 33 ad ( 82.5 % ) , and 46 controls ( 92 % ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 24 and 2 : 31 . 3 reliable 6 responses 4 auditory 6 responses 5 p300 6 responses 6 responses 8 obtained 6 responses 24 and 8 obtained 9 in 9 in 11 dlb 10 26 11 dlb 11 dlb 14 % 11 dlb 18 ad 12 ( 14 % 13 72 14 % 14 % 15 ) 16 , 18 ad 17 33 18 ad 18 ad 21 % 18 ad 23 , 19 ( 21 % 20 82.5 21 % 21 % 22 ) 24 and 26 controls 24 and 29 % 25 46 26 controls 27 ( 29 % 28 92 29 % 29 % 30 ) p300 was more delayed and had lower amplitude in dlb compared to ad groups . 0 ###LEFT-WALL### 1 p300 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 15 . 1 p300 5 and 2 was 4 delayed 2 was 5 and 3 more 4 delayed 5 and 6 had 6 had 8 amplitude 6 had 9 in 7 lower 8 amplitude 9 in 10 dlb 10 dlb 11 compared 11 compared 12 to 12 to 14 groups 13 ad 14 groups p300 topography was also different as the anterior [-] [to] - posterior scalp amplitude gradient was reversed in dlb . 0 ###LEFT-WALL### 1 p300 0 ###LEFT-WALL### 17 reversed 0 ###LEFT-WALL### 20 . 1 p300 2 topography 1 p300 3 was 1 p300 5 different 1 p300 16 was 2 topography 3 was 3 was 4 also 5 different 6 as 6 as 15 gradient 7 the 15 gradient 8 anterior 11 - 8 anterior 15 gradient 12 posterior 15 gradient 13 scalp 15 gradient 14 amplitude 15 gradient 16 was 17 reversed 17 reversed 18 in 18 in 19 dlb p300 latency correlated with neuropsychological test scores and with eeg variables . 0 ###LEFT-WALL### 2 latency 0 ###LEFT-WALL### 3 correlated 0 ###LEFT-WALL### 12 . 1 p300 2 latency 2 latency 3 correlated 3 correlated 8 and 4 with 7 scores 4 with 8 and 5 neuropsychological 6 test 6 test 7 scores 8 and 9 with 9 with 11 variables 10 eeg 11 variables gradient inversion and delayed p300 responses in frontal derivations evidenced differences between dlb and ad patients with a sensitivity of 70 % and a specificity of 97 % . 0 ###LEFT-WALL### 2 inversion 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 29 . 1 gradient 2 inversion 3 and 6 responses 3 and 10 evidenced 4 delayed 6 responses 5 p300 6 responses 6 responses 7 in 6 responses 10 evidenced 7 in 9 derivations 8 frontal 9 derivations 10 evidenced 11 differences 10 evidenced 12 between 10 evidenced 17 with 12 between 16 patients 13 dlb 14 and 14 and 15 ad 15 ad 16 patients 17 with 23 and 18 a 19 sensitivity 19 sensitivity 20 of 19 sensitivity 23 and 20 of 22 % 21 70 22 % 23 and 25 specificity 23 and 26 of 24 a 25 specificity 26 of 28 % 27 97 28 % conclusions : p300 recordings are abnormal in dlb and can be useful to distinguish dlb from ad . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 2 : 3 p300 2 : 11 be 3 p300 4 recordings 3 p300 5 are 3 p300 6 abnormal 3 p300 11 be 4 recordings 5 are 6 abnormal 7 in 7 in 9 and 8 dlb 9 and 9 and 10 can 11 be 12 useful 12 useful 13 to 13 to 14 distinguish 14 distinguish 15 dlb 15 dlb 16 from 16 from 17 ad adding volume to the aging face is a notion that has come into [vogue] [as] of late but is , however , not a new idea . 0 ###LEFT-WALL### 1 adding 0 ###LEFT-WALL### 18 but 0 ###LEFT-WALL### 27 . 1 adding 2 volume 1 adding 3 to 1 adding 18 but 3 to 6 face 4 the 6 face 5 aging 6 face 7 is 9 notion 7 is 17 late 7 is 18 but 8 a 9 notion 9 notion 10 that 9 notion 13 into 10 that 11 has 11 has 12 come 12 come 13 into 16 of 17 late 18 but 19 is 19 is 21 however 19 is 23 not 19 is 26 idea 20 , 21 however 21 however 22 , 24 a 25 new 24 a 26 idea 25 new 26 idea with the advent of miro - liposuction techniques , there is renewed interest in the use of aspirated fat . 0 ###LEFT-WALL### 7 liposuction 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 20 . 1 with 3 advent 1 with 6 - 1 with 7 liposuction 2 the 3 advent 3 advent 4 of 4 of 5 miro 7 liposuction 8 techniques 9 , 10 there 9 , 11 is 10 there 11 is 11 is 13 interest 12 renewed 13 interest 13 interest 14 in 14 in 16 use 15 the 16 use 16 use 17 of 17 of 19 fat 18 aspirated 19 fat commercial fillers have a valuable place in the cosmetic surgeon 's armamentarium and offer immediate volume correction with a more modest financial commitment . 0 ###LEFT-WALL### 2 fillers 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 24 . 1 commercial 2 fillers 2 fillers 13 and 3 have 6 place 3 have 7 in 3 have 13 and 4 a 5 valuable 4 a 6 place 5 valuable 6 place 7 in 12 armamentarium 8 the 10 surgeon 9 cosmetic 10 surgeon 10 surgeon 11 's 11 's 12 armamentarium 13 and 14 offer 14 offer 16 volume 14 offer 17 correction 14 offer 18 with 15 immediate 16 volume 18 with 23 commitment 19 a 23 commitment 20 more 21 modest 21 modest 23 commitment 22 financial 23 commitment nevertheless , the standardization of fat grafting techniques marks an exciting shift in facial aesthetics with the ability to correct all aspects of the aging face with safe , natural , and lasting results . 0 ###LEFT-WALL### 4 standardization 0 ###LEFT-WALL### 9 marks 0 ###LEFT-WALL### 35 . 1 nevertheless 2 , 1 nevertheless 4 standardization 3 the 4 standardization 4 standardization 5 of 4 standardization 9 marks 5 of 6 fat 6 fat 7 grafting 7 grafting 8 techniques 9 marks 12 shift 10 an 12 shift 11 exciting 12 shift 12 shift 13 in 12 shift 16 with 12 shift 23 of 12 shift 27 with 13 in 15 aesthetics 14 facial 15 aesthetics 16 with 18 ability 17 the 18 ability 18 ability 19 to 18 ability 20 correct 19 to 20 correct 20 correct 22 aspects 21 all 22 aspects 23 of 26 face 24 the 26 face 25 aging 26 face 27 with 34 results 28 safe 29 , 29 , 30 natural 29 , 32 and 31 , 32 and 32 and 33 lasting 32 and 34 results similar to other antiaging procedures like botox , skin rejuvenation , and facial plastic surgery , spider vein therapy is seen as a way to reverse the signs of aging . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 31 . 1 similar 2 to 1 similar 6 like 1 similar 12 and 2 to 5 procedures 3 other 5 procedures 4 antiaging 5 procedures 6 like 7 botox 7 botox 10 rejuvenation 8 , 10 rejuvenation 9 skin 10 rejuvenation 10 rejuvenation 11 , 11 , 12 and 12 and 15 surgery 13 facial 15 surgery 14 plastic 15 surgery 16 , 19 therapy 16 , 21 seen 17 spider 19 therapy 18 vein 19 therapy 19 therapy 20 is 20 is 21 seen 21 seen 22 as 22 as 24 way 23 a 24 way 24 way 25 to 24 way 30 aging 25 to 26 reverse 26 reverse 28 signs 27 the 28 signs 28 signs 29 of 29 of 30 aging this article will introduce the clinician to this issue and describe treatment , which may be accomplished with the same lasers used for laser hair reduction . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 10 and 1 this 2 article 2 article 3 will 3 will 10 and 4 introduce 6 clinician 4 introduce 7 to 4 introduce 10 and 5 the 6 clinician 7 to 9 issue 8 this 9 issue 10 and 11 describe 11 describe 12 treatment 12 treatment 14 which 13 , 14 which 14 which 15 may 14 which 27 . 15 may 16 be 16 be 17 accomplished 17 accomplished 18 with 17 accomplished 23 for 18 with 21 lasers 19 the 20 same 20 same 21 lasers 21 lasers 22 used 23 for 26 reduction 24 laser 26 reduction 25 hair 26 reduction by 2015 , nearly 15 % of the us population will be older than 65 years . 0 ###LEFT-WALL### 6 % 0 ###LEFT-WALL### 12 be 0 ###LEFT-WALL### 17 . 1 by 2 2015 1 by 3 , 1 by 6 % 4 nearly 5 15 5 15 6 % 6 % 7 of 6 % 11 will 7 of 10 population 8 the 10 population 9 us 10 population 11 will 12 be 12 be 13 older 13 older 14 than 14 than 16 years 15 65 16 years in 2030 , there will be more than 70 million older americans . 0 ###LEFT-WALL### 4 there 0 ###LEFT-WALL### 6 be 0 ###LEFT-WALL### 13 . 1 in 2 2030 1 in 3 , 1 in 4 there 4 there 5 will 5 will 6 be 6 be 12 americans 7 more 8 than 8 than 10 million 9 70 10 million 10 million 12 americans 11 older 12 americans this increase in the elderly population has prompted interest in recent years toward the study of frail older adults . 0 ###LEFT-WALL### 2 increase 0 ###LEFT-WALL### 8 prompted 0 ###LEFT-WALL### 20 . 1 this 2 increase 2 increase 3 in 2 increase 7 has 3 in 6 population 4 the 6 population 5 elderly 6 population 7 has 8 prompted 8 prompted 9 interest 8 prompted 10 in 8 prompted 13 toward 10 in 12 years 11 recent 12 years 13 toward 15 study 14 the 15 study 15 study 16 of 16 of 19 adults 17 frail 19 adults 18 older 19 adults this article reviews the literature investigating the utility of aerobic and resistance exercise training as an intervention for frailty in older adults . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 reviews 0 ###LEFT-WALL### 23 . 1 this 2 article 2 article 3 reviews 3 reviews 5 literature 3 reviews 15 as 3 reviews 20 in 4 the 5 literature 5 literature 6 investigating 5 literature 9 of 6 investigating 8 utility 7 the 8 utility 9 of 11 and 10 aerobic 11 and 11 and 14 training 12 resistance 14 training 13 exercise 14 training 15 as 17 intervention 16 an 17 intervention 17 intervention 18 for 18 for 19 frailty 20 in 22 adults 21 older 22 adults in addition , areas of future research are addressed , including concerns related to the dissemination of exercise interventions on a widespread scale . 0 ###LEFT-WALL### 4 areas 0 ###LEFT-WALL### 9 addressed 0 ###LEFT-WALL### 13 related 1 in 2 addition 1 in 3 , 1 in 4 areas 4 areas 5 of 4 areas 8 are 5 of 7 research 6 future 7 research 8 are 9 addressed 10 , 13 related 11 including 12 concerns 11 including 13 related 13 related 14 to 13 related 20 on 13 related 24 . 14 to 16 dissemination 15 the 16 dissemination 16 dissemination 17 of 17 of 19 interventions 18 exercise 19 interventions 20 on 23 scale 21 a 22 widespread 21 a 23 scale 22 widespread 23 scale guidelines for an " exercise prescription " for frail older adults are briefly outlined . 0 ###LEFT-WALL### 1 guidelines 0 ###LEFT-WALL### 14 outlined 0 ###LEFT-WALL### 15 . 1 guidelines 2 for 1 guidelines 12 are 2 for 6 prescription 3 an 4 " 3 an 6 prescription 5 exercise 6 prescription 6 prescription 7 " 6 prescription 8 for 8 for 11 adults 9 frail 11 adults 10 older 11 adults 12 are 13 briefly 12 are 14 outlined frailty and its management represent an emerging area of clinical care in older adults . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 5 represent 0 ###LEFT-WALL### 15 . 1 frailty 2 and 2 and 4 management 2 and 5 represent 3 its 4 management 5 represent 8 area 5 represent 12 in 6 an 8 area 7 emerging 8 area 8 area 9 of 9 of 11 care 10 clinical 11 care 12 in 14 adults 13 older 14 adults geriatricians have long recognized a syndrome of multiple comorbid conditions , immobility , weakness , and poor tolerance of physiologic stressors in older adults . 0 ###LEFT-WALL### 1 geriatricians 0 ###LEFT-WALL### 4 recognized 0 ###LEFT-WALL### 25 . 1 geriatricians 2 have 2 have 4 recognized 3 long 4 recognized 4 recognized 16 and 4 recognized 22 in 5 a 6 syndrome 6 syndrome 7 of 6 syndrome 11 , 7 of 10 conditions 8 multiple 10 conditions 9 comorbid 10 conditions 11 , 12 immobility 11 , 13 , 13 , 14 weakness 13 , 16 and 15 , 16 and 16 and 18 tolerance 16 and 19 of 17 poor 18 tolerance 19 of 21 stressors 20 physiologic 21 stressors 22 in 24 adults 23 older 24 adults patients with these characteristics are described as frail and [suffer] increased adverse clinical outcomes . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 6 described 0 ###LEFT-WALL### 15 . 1 patients 2 with 1 patients 5 are 2 with 4 characteristics 3 these 4 characteristics 5 are 6 described 6 described 7 as 7 as 9 and 8 frail 9 and 9 and 14 outcomes 11 increased 14 outcomes 12 adverse 14 outcomes 13 clinical 14 outcomes this article reviews the clinical spectrum of frailty in older adults , its biologic etiology , and potential clinical interventions . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 reviews 0 ###LEFT-WALL### 21 . 1 this 2 article 2 article 3 reviews 3 reviews 6 spectrum 3 reviews 9 in 4 the 6 spectrum 5 clinical 6 spectrum 6 spectrum 7 of 7 of 8 frailty 9 in 17 and 10 older 11 adults 11 adults 12 , 12 , 15 etiology 12 , 17 and 13 its 15 etiology 14 biologic 15 etiology 16 , 17 and 17 and 20 interventions 18 potential 20 interventions 19 clinical 20 interventions several operational definitions of frailty and the associated clinical signs , symptoms , and outcomes are outlined . 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 17 outlined 0 ###LEFT-WALL### 18 . 1 several 3 definitions 2 operational 3 definitions 3 definitions 4 of 3 definitions 6 and 4 of 5 frailty 6 and 10 signs 6 and 11 , 7 the 10 signs 8 associated 10 signs 9 clinical 10 signs 11 , 12 symptoms 11 , 14 and 13 , 14 and 14 and 15 outcomes 14 and 16 are 16 are 17 outlined the biologic mechanisms hypothesized to underlie frailty are explored , particularly in the musculoskeletal , endocrine , and immune systems . 0 ###LEFT-WALL### 3 mechanisms 0 ###LEFT-WALL### 9 explored 1 the 3 mechanisms 2 biologic 3 mechanisms 3 mechanisms 4 hypothesized 3 mechanisms 8 are 4 hypothesized 5 to 5 to 6 underlie 6 underlie 7 frailty 8 are 9 explored 9 explored 12 in 10 , 11 particularly 10 , 12 in 12 in 20 systems 12 in 21 . 13 the 20 systems 14 musculoskeletal 15 , 15 , 16 endocrine 15 , 18 and 17 , 18 and 18 and 19 immune 18 and 20 systems treatment options for frail , older adults are discussed , including physiologic system - targeted interventions and geriatric models of care . 0 ###LEFT-WALL### 2 options 0 ###LEFT-WALL### 9 discussed 0 ###LEFT-WALL### 10 , 1 treatment 2 options 2 options 3 for 2 options 8 are 3 for 7 adults 4 frail 5 , 4 frail 7 adults 6 older 7 adults 8 are 9 discussed 10 , 13 system 10 , 14 - 11 including 13 system 12 physiologic 13 system 14 - 17 and 14 - 22 . 15 targeted 16 interventions 16 interventions 17 and 17 and 19 models 17 and 20 of 18 geriatric 19 models 20 of 21 care frailty is an important geriatric syndrome characterized by multisystem dysregulation . 0 ###LEFT-WALL### 1 frailty 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 11 . 1 frailty 2 is 2 is 6 syndrome 3 an 4 important 3 an 6 syndrome 4 important 6 syndrome 5 geriatric 6 syndrome 6 syndrome 7 characterized 7 characterized 8 by 8 by 10 dysregulation 9 multisystem 10 dysregulation substantial evidence suggests heightened inflammatory state [and] significant immune system alterations in frailty . 0 ###LEFT-WALL### 2 evidence 0 ###LEFT-WALL### 3 suggests 0 ###LEFT-WALL### 14 . 1 substantial 2 evidence 2 evidence 3 suggests 3 suggests 11 alterations 3 suggests 12 in 4 heightened 6 state 5 inflammatory 6 state 6 state 11 alterations 8 significant 10 system 9 immune 10 system 10 system 11 alterations 12 in 13 frailty a heightened inflammatory state is marked by increases in levels of inflammatory molecules [(] interleukin 6 and [c] [-] reactive protein ) and counts of white blood cell and its subpopulations , which may play an important role in the pathogenesis of frailty , [directly] [or] through its detrimental influence on other physiologic systems . 0 ###LEFT-WALL### 4 state 0 ###LEFT-WALL### 6 marked 1 a 4 state 2 heightened 4 state 3 inflammatory 4 state 4 state 5 is 5 is 6 marked 6 marked 7 by 7 by 8 increases 8 increases 9 in 8 increases 11 of 9 in 10 levels 11 of 23 and 12 inflammatory 13 molecules 13 molecules 15 interleukin 15 interleukin 16 6 15 interleukin 17 and 17 and 21 protein 17 and 22 ) 17 and 23 and 20 reactive 21 protein 23 and 24 counts 23 and 33 which 23 and 34 may 24 counts 25 of 25 of 29 and 26 white 28 cell 27 blood 28 cell 28 cell 29 and 29 and 31 subpopulations 29 and 32 , 30 its 31 subpopulations 33 which 34 may 34 may 35 play 35 play 38 role 35 play 39 in 35 play 47 through 36 an 38 role 37 important 38 role 39 in 41 pathogenesis 40 the 41 pathogenesis 41 pathogenesis 42 of 42 of 43 frailty 44 , 47 through 47 through 50 influence 47 through 55 . 48 its 50 influence 49 detrimental 50 influence 50 influence 51 on 51 on 54 systems 52 other 54 systems 53 physiologic 54 systems alterations in the innate immune system include decreased proliferation of the peripheral blood mononuclear cells and upregulated monocytic expression of specific stress - responsive inflammatory pathway genes . 0 ###LEFT-WALL### 1 alterations 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 23 - 1 alterations 2 in 1 alterations 10 of 1 alterations 16 and 2 in 9 proliferation 3 the 9 proliferation 4 innate 6 system 5 immune 6 system 6 system 8 decreased 7 include 8 decreased 8 decreased 9 proliferation 10 of 12 peripheral 11 the 12 peripheral 13 blood 15 cells 13 blood 16 and 14 mononuclear 15 cells 16 and 17 upregulated 16 and 19 expression 18 monocytic 19 expression 19 expression 20 of 20 of 22 stress 21 specific 22 stress 23 - 27 genes 23 - 28 . 24 responsive 26 pathway 25 inflammatory 26 pathway 26 pathway 27 genes in the adaptive immune system , although little information is available about potential b - cell changes , significant alterations have been identified in [the] t - cell compartment , including increased counts of cd8+ , cd8+cd28 - , ccr5+t cells , above and beyond age - related senescent immune remodeling . 0 ###LEFT-WALL### 20 alterations 0 ###LEFT-WALL### 23 identified 0 ###LEFT-WALL### 27 - 0 ###LEFT-WALL### 52 . 1 in 5 system 1 in 6 , 1 in 20 alterations 2 the 5 system 3 adaptive 5 system 4 immune 5 system 6 , 7 although 7 although 9 information 7 although 10 is 7 although 18 , 7 although 20 alterations 8 little 9 information 9 information 10 is 10 is 11 available 11 available 12 about 12 about 13 potential 13 potential 14 b 13 potential 17 changes 15 - 17 changes 16 cell 17 changes 17 changes 18 , 19 significant 20 alterations 20 alterations 21 have 21 have 22 been 22 been 23 identified 23 identified 24 in 24 in 26 t 27 - 29 compartment 27 - 30 , 28 cell 29 compartment 30 , 31 including 30 , 32 increased 30 , 47 - 31 including 32 increased 32 increased 33 counts 33 counts 34 of 33 counts 44 and 34 of 35 cd8+ 35 cd8+ 37 cd8+cd28 35 cd8+ 41 cells 36 , 37 cd8+cd28 37 cd8+cd28 38 - 39 , 41 cells 40 ccr5+t 41 cells 41 cells 42 , 43 above 44 and 44 and 45 beyond 45 beyond 46 age 47 - 51 remodeling 48 related 51 remodeling 49 senescent 51 remodeling 50 immune 51 remodeling over the last few decades , the understanding of the renin - angiotensin [system] ( ras ) has advanced dramatically . 0 ###LEFT-WALL### 8 understanding 0 ###LEFT-WALL### 19 advanced 0 ###LEFT-WALL### 21 . 1 over 5 decades 1 over 6 , 1 over 8 understanding 2 the 3 last 2 the 4 few 4 few 5 decades 7 the 8 understanding 8 understanding 9 of 8 understanding 18 has 9 of 11 renin 10 the 11 renin 11 renin 13 angiotensin 12 - 13 angiotensin 13 angiotensin 16 ras 13 angiotensin 17 ) 15 ( 16 ras 16 ras 17 ) 18 has 19 advanced 19 advanced 20 dramatically ras is now thought to play a crucial role in physiologic and pathophysiologic mechanisms in almost every organ system and is a key regulator [of] hypertension , cardiovascular disease , and renal function . 0 ###LEFT-WALL### 1 ras 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 34 . 1 ras 20 and 2 is 3 now 2 is 4 thought 2 is 5 to 2 is 10 in 2 is 15 in 2 is 20 and 5 to 6 play 6 play 9 role 7 a 9 role 8 crucial 9 role 10 in 14 mechanisms 11 physiologic 12 and 12 and 13 pathophysiologic 12 and 14 mechanisms 15 in 19 system 16 almost 17 every 17 every 19 system 18 organ 19 system 20 and 21 is 21 is 31 and 22 a 26 hypertension 23 key 26 hypertension 24 regulator 26 hypertension 26 hypertension 27 , 27 , 29 disease 27 , 31 and 28 cardiovascular 29 disease 30 , 31 and 31 and 33 function 32 renal 33 function angiotensin ii ( ang ii ) promotes inflammation and the generation of reactive oxygen species and [governs] onset and progression of vascular senescence , which are all associated with functional and structural changes , contributing to age - related diseases . 0 ###LEFT-WALL### 2 ii 0 ###LEFT-WALL### 7 promotes 0 ###LEFT-WALL### 24 , 1 angiotensin 2 ii 2 ii 4 ang 2 ii 7 promotes 3 ( 4 ang 4 ang 5 ii 4 ang 6 ) 7 promotes 19 and 8 inflammation 9 and 9 and 11 generation 9 and 19 and 10 the 11 generation 11 generation 12 of 12 of 16 and 13 reactive 14 oxygen 14 oxygen 15 species 15 species 16 and 16 and 18 onset 19 and 20 progression 19 and 21 of 21 of 23 senescence 22 vascular 23 senescence 24 , 25 which 24 , 28 associated 24 , 38 - 25 which 26 are 26 are 28 associated 27 all 28 associated 28 associated 29 with 29 with 33 changes 30 functional 31 and 31 and 32 structural 31 and 33 changes 33 changes 35 contributing 34 , 35 contributing 35 contributing 36 to 35 contributing 38 - 36 to 37 age 38 - 40 diseases 38 - 41 . 39 related 40 diseases although the vast majority of the actions of ang ii , including vascular senescence , are mediated by the ang ii type 1 receptor ( at1r ) , the identification , characterization , and cloning of the angiotensin type 2 receptor has focused attention on this receptor and to its antagonistic effect on the detrimental effects of at1r . 0 ###LEFT-WALL### 22 type 0 ###LEFT-WALL### 34 and 0 ###LEFT-WALL### 59 . 1 although 7 actions 1 although 17 mediated 1 although 22 type 2 the 4 majority 3 vast 4 majority 4 majority 5 of 4 majority 7 actions 5 of 7 actions 6 the 7 actions 7 actions 8 of 7 actions 12 including 7 actions 16 are 8 of 9 ang 9 ang 10 ii 11 , 12 including 12 including 14 senescence 12 including 15 , 13 vascular 14 senescence 16 are 17 mediated 17 mediated 18 by 18 by 20 ang 19 the 20 ang 20 ang 21 ii 22 type 24 receptor 23 1 24 receptor 24 receptor 26 at1r 24 receptor 30 identification 25 ( 26 at1r 26 at1r 27 ) 28 , 30 identification 29 the 30 identification 30 identification 32 characterization 30 identification 33 , 31 , 32 characterization 32 characterization 33 , 34 and 35 cloning 34 and 43 focused 35 cloning 36 of 35 cloning 42 has 36 of 41 receptor 37 the 41 receptor 38 angiotensin 39 type 39 type 41 receptor 40 2 41 receptor 42 has 43 focused 43 focused 44 attention 44 attention 48 and 44 attention 53 on 45 on 47 receptor 45 on 48 and 46 this 47 receptor 48 and 49 to 49 to 52 effect 50 its 52 effect 51 antagonistic 52 effect 53 on 56 effects 54 the 56 effects 55 detrimental 56 effects 56 effects 57 of 57 of 58 at1r this review provides an overview of the changes in ras with aging and age - disease interactions culminating in the development of frailty . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 provides 0 ###LEFT-WALL### 15 - 0 ###LEFT-WALL### 24 . 1 this 2 review 2 review 3 provides 3 provides 5 overview 3 provides 9 in 4 an 5 overview 5 overview 6 of 6 of 8 changes 7 the 8 changes 9 in 13 and 10 ras 11 with 10 ras 13 and 11 with 12 aging 13 and 14 age 15 - 17 interactions 16 disease 17 interactions 17 interactions 18 culminating 17 interactions 19 in 17 interactions 22 of 19 in 21 development 20 the 21 development 22 of 23 frailty there are two hallmarks of aging that must be considered primary concerns when trying to improve health for older adults : frailty and chronic diseases . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 14 trying 0 ###LEFT-WALL### 21 : 0 ###LEFT-WALL### 26 . 1 there 2 are 2 are 4 hallmarks 3 two 4 hallmarks 4 hallmarks 5 of 4 hallmarks 7 that 4 hallmarks 14 trying 5 of 6 aging 7 that 8 must 8 must 9 be 9 be 10 considered 10 considered 12 concerns 10 considered 13 when 11 primary 12 concerns 13 when 14 trying 14 trying 15 to 15 to 16 improve 16 improve 17 health 17 health 18 for 18 for 20 adults 19 older 20 adults 21 : 23 and 22 frailty 23 and 23 and 25 diseases 24 chronic 25 diseases some pathologic mechanisms related to diseases may help to explain frailty . 0 ###LEFT-WALL### 3 mechanisms 0 ###LEFT-WALL### 8 help 0 ###LEFT-WALL### 12 . 1 some 3 mechanisms 2 pathologic 3 mechanisms 3 mechanisms 4 related 3 mechanisms 7 may 4 related 5 to 5 to 6 diseases 7 may 8 help 8 help 9 to 8 help 10 explain 9 to 10 explain 10 explain 11 frailty this article describes known associations among frailty and chronic diseases and introduces punished inefficiency as an explanatory framework for frailty . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 13 punished 0 ###LEFT-WALL### 21 . 1 this 2 article 2 article 11 and 2 article 13 punished 3 describes 5 associations 3 describes 6 among 3 describes 11 and 4 known 5 associations 6 among 8 and 7 frailty 8 and 8 and 10 diseases 9 chronic 10 diseases 11 and 12 introduces 13 punished 14 inefficiency 13 punished 15 as 15 as 18 framework 16 an 17 explanatory 16 an 18 framework 17 explanatory 18 framework 18 framework 19 for 19 for 20 frailty punished inefficiency proposes that having several physiologic impairments leads to physiologic inefficiencies . 0 ###LEFT-WALL### 2 inefficiency 0 ###LEFT-WALL### 3 proposes 0 ###LEFT-WALL### 13 . 1 punished 2 inefficiency 2 inefficiency 3 proposes 3 proposes 4 that 4 that 5 having 4 that 9 leads 5 having 8 impairments 5 having 9 leads 6 several 8 impairments 7 physiologic 8 impairments 9 leads 10 to 10 to 12 inefficiencies 11 physiologic 12 inefficiencies these inefficiencies may become manifest as frailty , often in the presence of disease . 0 ###LEFT-WALL### 2 inefficiencies 0 ###LEFT-WALL### 4 become 1 these 2 inefficiencies 2 inefficiencies 3 may 3 may 4 become 4 become 5 manifest 5 manifest 6 as 6 as 7 frailty 7 frailty 10 in 8 , 9 often 8 , 10 in 10 in 12 presence 10 in 15 . 11 the 12 presence 12 presence 13 of 13 of 14 disease therefore , frail older adults perform less external work because they must spend more on an absolute scale out of a smaller pool of internal resources . 0 ###LEFT-WALL### 5 adults 0 ###LEFT-WALL### 6 perform 0 ###LEFT-WALL### 27 . 1 therefore 2 , 1 therefore 5 adults 3 frail 5 adults 4 older 5 adults 5 adults 6 perform 6 perform 9 work 6 perform 10 because 7 less 8 external 8 external 9 work 10 because 11 they 10 because 13 spend 11 they 12 must 12 must 13 spend 13 spend 14 more 13 spend 15 on 13 spend 20 of 15 on 18 scale 16 an 17 absolute 16 an 18 scale 17 absolute 18 scale 19 out 20 of 20 of 23 pool 21 a 23 pool 22 smaller 23 pool 23 pool 24 of 24 of 26 resources 25 internal 26 resources stress imposed on frail older adults strengthens this negative feedback to activity , leading to disuse . 0 ###LEFT-WALL### 1 stress 0 ###LEFT-WALL### 7 strengthens 1 stress 2 imposed 1 stress 7 strengthens 2 imposed 3 on 3 on 6 adults 4 frail 6 adults 5 older 6 adults 7 strengthens 10 feedback 7 strengthens 11 to 8 this 9 negative 9 negative 10 feedback 11 to 12 activity 12 activity 14 leading 13 , 14 leading 14 leading 15 to 14 leading 17 . 15 to 16 disuse this article discusses how people with frailty and chronic diseases may experience a malignant course and thereby intends to improve the ability to identify beneficial biologic and health care delivery strategies for older adults [with] , or at risk of [,] frailty . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 43 . 1 this 2 article 2 article 16 and 3 discusses 4 how 3 discusses 16 and 4 how 8 and 4 how 12 experience 5 people 6 with 5 people 8 and 6 with 7 frailty 8 and 10 diseases 8 and 11 may 9 chronic 10 diseases 11 may 12 experience 12 experience 15 course 13 a 14 malignant 13 a 15 course 14 malignant 15 course 16 and 18 intends 16 and 23 to 17 thereby 18 intends 18 intends 19 to 18 intends 20 improve 19 to 20 improve 20 improve 22 ability 21 the 22 ability 23 to 24 identify 24 identify 31 strategies 24 identify 37 or 25 beneficial 31 strategies 26 biologic 27 and 27 and 28 health 27 and 31 strategies 29 care 31 strategies 30 delivery 31 strategies 32 for 34 adults 32 for 37 or 33 older 34 adults 36 , 37 or 37 or 38 at 38 at 39 risk 39 risk 40 of 40 of 42 frailty in developing [and] validating the concept of frailty as a geriatric syndrome , it has been necessary to distinguish the clinical expression of frailty from normal age - related changes and other age - related disease pathologies . 0 ###LEFT-WALL### 14 it 0 ###LEFT-WALL### 19 distinguish 0 ###LEFT-WALL### 35 related 0 ###LEFT-WALL### 38 . 1 in 2 developing 1 in 14 it 4 validating 6 concept 4 validating 9 as 4 validating 13 , 4 validating 14 it 5 the 6 concept 6 concept 7 of 7 of 8 frailty 9 as 12 syndrome 10 a 12 syndrome 11 geriatric 12 syndrome 14 it 15 has 15 has 16 been 16 been 17 necessary 17 necessary 18 to 18 to 19 distinguish 19 distinguish 22 expression 19 distinguish 25 from 20 the 22 expression 21 clinical 22 expression 22 expression 23 of 23 of 24 frailty 25 from 27 age 26 normal 27 age 27 age 31 and 28 - 31 and 29 related 30 changes 30 changes 31 and 31 and 33 age 31 and 34 - 32 other 33 age 34 - 35 related 35 related 37 pathologies 36 disease 37 pathologies a framework for excluding potentially confounding disease and a working clinical tool to diagnose frailty have been provided . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 18 provided 0 ###LEFT-WALL### 19 . 1 a 2 framework 2 framework 3 for 2 framework 8 and 3 for 4 excluding 4 excluding 6 confounding 5 potentially 6 confounding 6 confounding 7 disease 8 and 12 tool 8 and 13 to 8 and 14 diagnose 8 and 16 have 9 a 12 tool 10 working 12 tool 11 clinical 12 tool 13 to 14 diagnose 14 diagnose 15 frailty 16 have 17 been 17 been 18 provided the associations between frailty and other pathophysiologies [has] also [been] shown . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 12 . 1 the 2 associations 2 associations 3 between 2 associations 5 and 3 between 4 frailty 5 and 7 pathophysiologies 5 and 11 shown 6 other 7 pathophysiologies 9 also 11 shown however , investigating the underlying biologic basis for the geriatric syndrome of frailty by studying basic homeostatic pathways and mechanisms has not proceeded at the same rate . 0 ###LEFT-WALL### 3 investigating 0 ###LEFT-WALL### 23 proceeded 0 ###LEFT-WALL### 28 . 1 however 2 , 1 however 3 investigating 3 investigating 7 basis 3 investigating 21 has 4 the 7 basis 5 underlying 7 basis 6 biologic 7 basis 7 basis 8 for 8 for 19 and 9 the 11 syndrome 10 geriatric 11 syndrome 11 syndrome 12 of 11 syndrome 19 and 12 of 13 frailty 13 frailty 14 by 14 by 15 studying 15 studying 18 pathways 16 basic 18 pathways 17 homeostatic 18 pathways 19 and 20 mechanisms 21 has 22 not 21 has 23 proceeded 23 proceeded 24 at 24 at 27 rate 25 the 26 same 26 same 27 rate the following article provides an overview of the homeostatic pathways emphasized in research on aging and explains how this science may help to stimulate frailty research . 0 ###LEFT-WALL### 3 article 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 27 . 1 the 2 following 1 the 3 article 3 article 16 and 4 provides 6 overview 4 provides 16 and 5 an 6 overview 6 overview 7 of 6 overview 11 emphasized 7 of 10 pathways 8 the 10 pathways 9 homeostatic 10 pathways 11 emphasized 12 in 11 emphasized 14 on 12 in 13 research 14 on 15 aging 16 and 17 explains 17 explains 18 how 18 how 20 science 18 how 22 help 19 this 20 science 20 science 21 may 21 may 22 help 22 help 23 to 23 to 24 stimulate 24 stimulate 26 research 25 frailty 26 research as nonreplicative cells age , they commonly accumulate subcellular deficits that can compromise [function] . 0 ###LEFT-WALL### 6 they 0 ###LEFT-WALL### 8 accumulate 0 ###LEFT-WALL### 15 . 1 as 3 cells 1 as 4 age 1 as 5 , 1 as 6 they 2 nonreplicative 3 cells 3 cells 4 age 6 they 8 accumulate 7 commonly 8 accumulate 8 accumulate 10 deficits 9 subcellular 10 deficits 10 deficits 11 that 10 deficits 12 can 11 that 12 can 12 can 13 compromise as people age , they [too] experience problems that can accumulate . 0 ###LEFT-WALL### 5 they 0 ###LEFT-WALL### 7 experience 0 ###LEFT-WALL### 12 . 1 as 2 people 1 as 3 age 1 as 4 , 1 as 5 they 2 people 3 age 5 they 7 experience 7 experience 8 problems 8 problems 9 that 8 problems 10 can 9 that 10 can 10 can 11 accumulate as deficits ( symptoms , signs , illnesses , disabilities ) accumulate , people become more susceptible to adverse health outcomes , including worse health and even death . 0 ###LEFT-WALL### 14 people 0 ###LEFT-WALL### 15 become 1 as 2 deficits 1 as 12 accumulate 1 as 13 , 1 as 14 people 2 deficits 4 symptoms 2 deficits 6 signs 2 deficits 12 accumulate 3 ( 4 symptoms 4 symptoms 5 , 5 , 6 signs 6 signs 8 illnesses 6 signs 10 disabilities 6 signs 11 ) 7 , 8 illnesses 8 illnesses 9 , 9 , 10 disabilities 10 disabilities 11 ) 14 people 15 become 15 become 17 susceptible 16 more 17 susceptible 17 susceptible 18 to 17 susceptible 23 including 18 to 21 outcomes 19 adverse 20 health 20 health 21 outcomes 22 , 23 including 23 including 26 and 23 including 29 . 24 worse 25 health 25 health 26 and 26 and 27 even 26 and 28 death 26 and 29 . this state of increased risk of adverse health outcomes is indistinguishable from the idea of frailty , so deficit accumulation represents another way to define frailty . 0 ###LEFT-WALL### 2 state 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 25 define 0 ###LEFT-WALL### 27 . 1 this 2 state 2 state 3 of 2 state 10 is 3 of 5 risk 4 increased 5 risk 5 risk 6 of 6 of 9 outcomes 7 adverse 8 health 8 health 9 outcomes 10 is 11 indistinguishable 11 indistinguishable 12 from 12 from 14 idea 13 the 14 idea 14 idea 15 of 15 of 16 frailty 17 , 18 so 17 , 21 represents 18 so 19 deficit 20 accumulation 21 represents 21 represents 23 way 21 represents 24 to 22 another 23 way 24 to 25 define 25 define 26 frailty counting deficits not only allows grades of frailty to be discerned but also provides insights into the complex problems of older adults . 0 ###LEFT-WALL### 1 counting 0 ###LEFT-WALL### 13 also 0 ###LEFT-WALL### 23 . 1 counting 2 deficits 1 counting 13 also 3 not 4 only 4 only 13 also 5 allows 6 grades 5 allows 13 also 6 grades 7 of 6 grades 11 discerned 7 of 8 frailty 8 frailty 9 to 8 frailty 10 be 9 to 10 be 12 but 13 also 13 also 14 provides 13 also 16 into 14 provides 15 insights 16 into 19 problems 17 the 19 problems 18 complex 19 problems 19 problems 20 of 20 of 22 adults 21 older 22 adults this process is potentially useful to geriatricians who need to be experts in managing complexity . 0 ###LEFT-WALL### 2 process 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 16 . 1 this 2 process 2 process 3 is 3 is 4 potentially 3 is 5 useful 5 useful 6 to 5 useful 13 in 6 to 7 geriatricians 7 geriatricians 8 who 7 geriatricians 9 need 8 who 9 need 9 need 10 to 9 need 11 be 10 to 11 be 11 be 12 experts 13 in 14 managing 14 managing 15 complexity a key to managing complexity is through instruments such as a comprehensive geriatric assessment , which can serve as the basis for routine clinical estimation of an individual 's degree of frailty . 0 ###LEFT-WALL### 2 key 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 33 . 1 a 2 key 2 key 3 to 2 key 6 is 3 to 4 managing 4 managing 5 complexity 6 is 7 through 7 through 8 instruments 8 instruments 10 as 9 such 10 as 10 as 14 assessment 11 a 12 comprehensive 11 a 14 assessment 12 comprehensive 14 assessment 13 geriatric 14 assessment 15 , 16 which 15 , 18 serve 16 which 17 can 17 can 18 serve 18 serve 19 as 18 serve 22 for 19 as 21 basis 20 the 21 basis 22 for 25 estimation 23 routine 25 estimation 24 clinical 25 estimation 25 estimation 26 of 26 of 32 frailty 27 an 28 individual 28 individual 29 's 29 's 30 degree 30 degree 31 of 30 degree 32 frailty 31 of 32 frailty understanding people and their needs as deficits accumulate is an exciting challenge for clinical research on frailty and its management by geriatricians . 0 ###LEFT-WALL### 1 understanding 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 23 . 1 understanding 3 and 1 understanding 8 accumulate 1 understanding 9 is 2 people 3 and 3 and 5 needs 3 and 6 as 3 and 8 accumulate 4 their 5 needs 6 as 7 deficits 9 is 12 challenge 10 an 11 exciting 10 an 12 challenge 11 exciting 12 challenge 12 challenge 13 for 12 challenge 16 on 12 challenge 21 by 13 for 15 research 14 clinical 15 research 16 on 18 and 17 frailty 18 and 18 and 20 management 19 its 20 management 21 by 22 geriatricians none sound localization requires precise and [specialized] neural circuitry . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 9 circuitry 0 ###LEFT-WALL### 10 . 1 none 3 localization 1 none 4 requires 1 none 9 circuitry 2 sound 3 localization 3 localization 4 requires 4 requires 6 and 5 precise 6 and 6 and 8 neural a prominent and well - studied specialization is found in the mammalian auditory brainstem . 0 ###LEFT-WALL### 7 specialization 0 ###LEFT-WALL### 9 found 0 ###LEFT-WALL### 15 . 1 a 7 specialization 2 prominent 3 and 3 and 4 well 3 and 5 - 3 and 6 studied 3 and 7 specialization 7 specialization 8 is 8 is 9 found 9 found 10 in 10 in 14 brainstem 11 the 14 brainstem 12 mammalian 14 brainstem 13 auditory 14 brainstem globular bushy cells of the ventral cochlear nucleus ( vcn ) project contralaterally to neurons of the medial nucleus of the trapezoid body ( mntb ) , where their large axons terminate on cell bodies of mntb principal neurons , forming the calyces of held . 0 ###LEFT-WALL### 3 cells 0 ###LEFT-WALL### 12 project 0 ###LEFT-WALL### 27 , 1 globular 3 cells 2 bushy 3 cells 3 cells 4 of 3 cells 12 project 4 of 8 nucleus 5 the 8 nucleus 6 ventral 8 nucleus 7 cochlear 8 nucleus 8 nucleus 10 vcn 9 ( 10 vcn 10 vcn 11 ) 12 project 13 contralaterally 12 project 14 to 14 to 15 neurons 15 neurons 16 of 15 neurons 20 of 15 neurons 25 mntb 16 of 19 nucleus 17 the 19 nucleus 18 medial 19 nucleus 20 of 23 body 21 the 23 body 22 trapezoid 23 body 24 ( 25 mntb 25 mntb 26 ) 27 , 38 principal 27 , 39 neurons 28 where 31 axons 28 where 32 terminate 28 where 38 principal 29 their 31 axons 30 large 31 axons 31 axons 32 terminate 32 terminate 33 on 33 on 35 bodies 34 cell 35 bodies 35 bodies 36 of 36 of 37 mntb 38 principal 39 neurons 39 neurons 41 forming 40 , 41 forming 41 forming 43 calyces 41 forming 46 . 42 the 43 calyces 43 calyces 44 of 44 of 45 held the vcn - mntb pathway is necessary for the accurate computation of interaural intensity and time differences [;] mntb neurons provide inhibitory input to the lateral superior olive , which compares levels of excitation from the ipsilateral ear to levels of tonotopically matched inhibition from the contralateral ear , and to the medial superior olive , [where] precise inhibition from mntb neurons tunes [the] delays of binaural excitation . 1 the 5 pathway 2 vcn 4 mntb 3 - 4 mntb 4 mntb 5 pathway 5 pathway 6 is 6 is 7 necessary 7 necessary 8 for 8 for 11 computation 9 the 11 computation 10 accurate 11 computation 11 computation 12 of 12 of 19 mntb 13 interaural 14 intensity 14 intensity 15 and 15 and 16 time 15 and 17 differences 17 differences 19 mntb 19 mntb 20 neurons 19 mntb 21 provide 19 mntb 24 to 20 neurons 21 provide 21 provide 23 input 22 inhibitory 23 input 24 to 28 olive 25 the 28 olive 26 lateral 27 superior 27 superior 28 olive 28 olive 30 which 29 , 30 which 30 which 31 compares 31 compares 32 levels 32 levels 33 of 32 levels 35 from 32 levels 41 of 33 of 34 excitation 35 from 38 ear 36 the 38 ear 37 ipsilateral 38 ear 38 ear 39 to 39 to 40 levels 41 of 44 inhibition 42 tonotopically 43 matched 43 matched 44 inhibition 44 inhibition 50 and 45 from 48 ear 45 from 50 and 46 the 48 ear 47 contralateral 48 ear 49 , 50 and 50 and 51 to 51 to 55 olive 52 the 55 olive 53 medial 54 superior 54 superior 55 olive 55 olive 59 inhibition 56 , 59 inhibition 58 precise 59 inhibition 59 inhibition 60 from 59 inhibition 66 of 59 inhibition 69 . 60 from 65 delays 61 mntb 63 tunes 62 neurons 63 tunes 63 tunes 65 delays 66 of 68 excitation 67 binaural 68 excitation here we review the morphological and physiological aspects of the development of the vcn - mntb pathway and its calyceal termination , along with potential mechanisms that give rise to its precision . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 review 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 33 . 1 here 2 we 2 we 3 review 3 review 8 aspects 4 the 8 aspects 5 morphological 6 and 6 and 7 physiological 6 and 8 aspects 8 aspects 9 of 8 aspects 12 of 9 of 11 development 10 the 11 development 12 of 18 and 13 the 17 pathway 14 vcn 16 mntb 15 - 16 mntb 16 mntb 17 pathway 17 pathway 18 and 18 and 21 termination 19 its 21 termination 20 calyceal 21 termination 22 , 26 mechanisms 22 , 29 rise 23 along 24 with 24 with 25 potential 24 with 26 mechanisms 26 mechanisms 27 that 26 mechanisms 28 give 26 mechanisms 29 rise 27 that 28 give 29 rise 30 to 30 to 32 precision 31 its 32 precision during embryonic development , vcn axons grow towards the midline , cross the midline into the region of the presumptive mntb and then form collateral branches that will terminate in calyces of held . 0 ###LEFT-WALL### 6 axons 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 34 . 1 during 3 development 1 during 4 , 1 during 6 axons 2 embryonic 3 development 5 vcn 6 axons 6 axons 11 , 7 grow 8 towards 7 grow 11 , 8 towards 10 midline 9 the 10 midline 11 , 22 and 12 cross 14 midline 12 cross 15 into 12 cross 22 and 13 the 14 midline 15 into 17 region 16 the 17 region 17 region 18 of 18 of 21 mntb 19 the 21 mntb 20 presumptive 21 mntb 22 and 24 form 23 then 24 form 24 form 26 branches 24 form 30 in 25 collateral 26 branches 26 branches 27 that 26 branches 28 will 27 that 28 will 28 will 29 terminate 30 in 31 calyces 31 calyces 32 of 32 of 33 held in rodents , immature calyces of held appear in mntb during the first few days of postnatal life . 0 ###LEFT-WALL### 5 calyces 0 ###LEFT-WALL### 8 appear 0 ###LEFT-WALL### 19 . 1 in 2 rodents 1 in 3 , 1 in 5 calyces 4 immature 5 calyces 5 calyces 6 of 5 calyces 8 appear 6 of 7 held 8 appear 9 in 9 in 10 mntb 10 mntb 11 during 10 mntb 16 of 11 during 15 days 12 the 13 first 12 the 14 few 14 few 15 days 16 of 18 life 17 postnatal 18 life these calyces mature morphologically and physiologically over the next three postnatal weeks , enabling fast , high fidelity transmission in the vcn - mntb pathway . 0 ###LEFT-WALL### 2 calyces 0 ###LEFT-WALL### 3 mature 1 these 2 calyces 2 calyces 3 mature 3 mature 5 and 3 mature 7 over 4 morphologically 5 and 5 and 6 physiologically 7 over 12 weeks 8 the 9 next 8 the 10 three 10 three 12 weeks 11 postnatal 12 weeks 12 weeks 14 enabling 13 , 14 enabling 14 enabling 19 transmission 14 enabling 20 in 14 enabling 26 . 15 fast 16 , 15 fast 18 fidelity 17 high 18 fidelity 18 fidelity 19 transmission 20 in 25 pathway 21 the 25 pathway 22 vcn 24 mntb 23 - 24 mntb 24 mntb 25 pathway studies suggest that cumulative exposure to lead , as measured in the bone , is associated with accelerated cognitive decline [at] older age . 0 ###LEFT-WALL### 1 studies 0 ###LEFT-WALL### 2 suggest 0 ###LEFT-WALL### 24 . 1 studies 2 suggest 2 suggest 3 that 3 that 5 exposure 3 that 16 associated 4 cumulative 5 exposure 5 exposure 6 to 5 exposure 7 lead 5 exposure 10 measured 5 exposure 15 is 6 to 7 lead 8 , 10 measured 9 as 10 measured 10 measured 11 in 10 measured 14 , 11 in 13 bone 12 the 13 bone 15 is 16 associated 16 associated 17 with 17 with 23 age 18 accelerated 20 decline 19 cognitive 20 decline 20 decline 23 age 22 older 23 age it is presently unclear , however , whether current blood lead levels ( blls ) are adversely related to cognitive functioning in older adults . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 25 . 1 it 2 is 2 is 3 presently 2 is 4 unclear 4 unclear 6 however 4 unclear 8 whether 5 , 6 however 6 however 7 , 8 whether 12 levels 8 whether 18 related 9 current 12 levels 10 blood 12 levels 11 lead 12 levels 12 levels 14 blls 12 levels 16 are 13 ( 14 blls 14 blls 15 ) 16 are 18 related 17 adversely 18 related 18 related 19 to 19 to 21 functioning 20 cognitive 21 functioning 21 functioning 22 in 22 in 24 adults 23 older 24 adults we evaluated blls in relation to cognition in the continuous national health and nutrition examination survey ( nhanes ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 evaluated 0 ###LEFT-WALL### 20 . 1 we 2 evaluated 2 evaluated 3 blls 2 evaluated 6 to 2 evaluated 8 in 4 in 5 relation 5 relation 6 to 6 to 7 cognition 8 in 13 and 9 the 12 health 10 continuous 12 health 11 national 12 health 12 health 13 and 13 and 18 nhanes 14 nutrition 15 examination 15 examination 16 survey 16 survey 18 nhanes 17 ( 18 nhanes 18 nhanes 19 ) the current study was limited to adults age 60 and older . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 12 . 1 the 3 study 2 current 3 study 3 study 4 was 4 was 5 limited 5 limited 6 to 5 limited 10 and 6 to 7 adults 8 age 9 60 8 age 10 and 10 and 11 older similarly , there was no clear association between performance on the dsst and bll after accounting for all covariates . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 20 . 1 similarly 2 , 1 similarly 3 there 3 there 4 was 4 was 7 association 4 was 8 between 4 was 15 after 5 no 7 association 6 clear 7 association 8 between 13 and 9 performance 10 on 9 performance 13 and 10 on 12 dsst 11 the 12 dsst 13 and 14 bll 15 after 16 accounting 16 accounting 17 for 17 for 19 covariates 18 all 19 covariates our findings add to the inconsistent evidence regarding the association between concurrent blls and cognitive function in older adults . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 add 0 ###LEFT-WALL### 20 . 1 our 2 findings 2 findings 3 add 3 add 4 to 4 to 7 evidence 5 the 7 evidence 6 inconsistent 7 evidence 7 evidence 8 regarding 8 regarding 10 association 8 regarding 11 between 8 regarding 17 in 9 the 10 association 11 between 14 and 12 concurrent 13 blls 13 blls 14 and 14 and 16 function 15 cognitive 16 function 17 in 19 adults 18 older 19 adults early - life or long - term , accumulated lead exposures may be etiologically more relevant to accelerated cognitive decline at older age . 0 ###LEFT-WALL### 4 or 0 ###LEFT-WALL### 20 decline 0 ###LEFT-WALL### 24 . 1 early 2 - 1 early 3 life 3 life 4 or 4 or 7 term 4 or 8 , 4 or 9 accumulated 4 or 11 exposures 4 or 17 to 4 or 18 accelerated 4 or 20 decline 5 long 6 - 5 long 7 term 10 lead 11 exposures 11 exposures 12 may 12 may 13 be 13 be 16 relevant 14 etiologically 15 more 15 more 16 relevant 16 relevant 17 to 18 accelerated 19 cognitive 20 decline 21 at 21 at 23 age 22 older 23 age in summary , recently developed technologies have begun to draw back the curtain of mystery that obscures some of the basic mechanisms of dna [replication] at multiple levels . 0 ###LEFT-WALL### 2 summary 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 17 obscures 0 ###LEFT-WALL### 29 . 1 in 2 summary 3 , 6 technologies 3 , 8 begun 4 recently 6 technologies 5 developed 6 technologies 6 technologies 7 have 7 have 8 begun 8 begun 9 to 8 begun 10 draw 9 to 10 draw 10 draw 11 back 10 draw 13 curtain 12 the 13 curtain 13 curtain 14 of 14 of 15 mystery 15 mystery 16 that 15 mystery 17 obscures 16 that 17 obscures 17 obscures 22 mechanisms 17 obscures 26 at 18 some 19 of 18 some 22 mechanisms 19 of 22 mechanisms 20 the 22 mechanisms 21 basic 22 mechanisms 22 mechanisms 23 of 23 of 24 dna 26 at 28 levels 27 multiple 28 levels studies using extended dna and chromatin fiber techniques have proven valuable for identifying the location of origins of [replication] at specific genomic sites and determining their temporal order [of] replication , for identifying and quantifying sites of dna damage and localizing chromatin proteins in relation to sites of dna replication . 0 ###LEFT-WALL### 4 dna 0 ###LEFT-WALL### 5 and 1 studies 3 extended 2 using 3 extended 3 extended 4 dna 5 and 8 techniques 5 and 10 proven 6 chromatin 7 fiber 7 fiber 8 techniques 8 techniques 9 have 9 have 10 proven 10 proven 24 and 10 proven 30 replication 10 proven 32 for 11 valuable 12 for 11 valuable 24 and 12 for 13 identifying 13 identifying 15 location 14 the 15 location 15 location 16 of 15 location 18 of 16 of 17 origins 18 of 20 at 20 at 23 sites 21 specific 23 sites 22 genomic 23 sites 24 and 25 determining 26 their 30 replication 27 temporal 30 replication 28 order 30 replication 31 , 32 for 32 for 34 and 32 for 51 . 33 identifying 34 and 34 and 50 replication 35 quantifying 36 sites 36 sites 37 of 36 sites 40 and 37 of 39 damage 38 dna 39 damage 40 and 43 proteins 40 and 44 in 40 and 48 of 40 and 50 replication 41 localizing 43 proteins 42 chromatin 43 proteins 44 in 45 relation 45 relation 46 to 46 to 47 sites 48 of 49 dna the future potential of these methods include further discoveries in functional genomics and contributions to the elucidation of the histone code . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 21 code 0 ###LEFT-WALL### 22 . 1 the 3 potential 2 future 3 potential 3 potential 4 of 3 potential 13 and 4 of 9 discoveries 5 these 9 discoveries 6 methods 9 discoveries 7 include 9 discoveries 8 further 9 discoveries 9 discoveries 10 in 10 in 12 genomics 11 functional 12 genomics 13 and 14 contributions 13 and 15 to 13 and 18 of 13 and 21 code 15 to 17 elucidation 16 the 17 elucidation 18 of 20 histone 19 the 20 histone such studies could prove very valuable in studies of the mechanisms of cancer development , aging , and other processes of disordered genomic functioning . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 prove 0 ###LEFT-WALL### 25 . 1 such 2 studies 2 studies 3 could 3 could 4 prove 4 prove 6 valuable 5 very 6 valuable 6 valuable 7 in 7 in 18 and 8 studies 9 of 8 studies 18 and 9 of 11 mechanisms 10 the 11 mechanisms 11 mechanisms 12 of 12 of 14 development 13 cancer 14 development 14 development 16 aging 15 , 16 aging 16 aging 17 , 17 , 18 and 18 and 20 processes 18 and 21 of 19 other 20 processes 21 of 24 functioning 22 disordered 24 functioning 23 genomic 24 functioning cellular senescence arrests the proliferation of potential cancer cells , and so is a potent tumor suppressive mechanism , akin to apoptosis . 0 ###LEFT-WALL### 2 senescence 0 ###LEFT-WALL### 11 and 1 cellular 2 senescence 2 senescence 11 and 3 arrests 5 proliferation 3 arrests 11 and 4 the 5 proliferation 5 proliferation 6 of 6 of 9 cells 7 potential 9 cells 8 cancer 9 cells 10 , 11 and 11 and 13 is 12 so 13 is 13 is 18 mechanism 14 a 15 potent 14 a 18 mechanism 15 potent 16 tumor 16 tumor 18 mechanism 17 suppressive 18 mechanism 18 mechanism 21 to 19 , 21 to 20 akin 21 to 21 to 22 apoptosis 21 to 23 . [or] is it ? 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 4 ? 2 is 3 it why did cells evolve an anti - cancer mechanism that arrests , rather than kills , would [-] be tumor cells ? 0 ###LEFT-WALL### 1 why 1 why 2 did 2 did 3 cells 2 did 4 evolve 4 evolve 9 mechanism 5 an 6 anti 5 an 9 mechanism 6 anti 7 - 6 anti 8 cancer 8 cancer 9 mechanism 9 mechanism 10 that 9 mechanism 11 arrests 10 that 11 arrests 11 arrests 14 than 12 , 14 than 13 rather 14 than 14 than 16 , 14 than 22 ? 15 kills 16 , 16 , 17 would 17 would 19 be 19 be 21 cells 20 tumor 21 cells recent discoveries that senescent cells secrete growth factors , proteases and cytokines provide a shifting view -- from senescence as a cell autonomous suppressor of tumorigenesis to senescence as a means to mobilize the systemic and local tissue milieu for repair . 0 ###LEFT-WALL### 2 discoveries 0 ###LEFT-WALL### 6 secrete 0 ###LEFT-WALL### 9 , 1 recent 2 discoveries 2 discoveries 3 that 2 discoveries 4 senescent 2 discoveries 6 secrete 3 that 4 senescent 4 senescent 5 cells 6 secrete 8 factors 7 growth 8 factors 9 , 11 and 9 , 13 provide 10 proteases 11 and 11 and 12 cytokines 11 and 13 provide 13 provide 16 view 13 provide 18 from 14 a 16 view 15 shifting 16 view 17 -- 18 from 18 from 19 senescence 18 from 42 . 19 senescence 20 as 19 senescence 32 to 19 senescence 33 mobilize 20 as 24 suppressor 21 a 24 suppressor 22 cell 24 suppressor 23 autonomous 24 suppressor 24 suppressor 25 of 25 of 26 tumorigenesis 26 tumorigenesis 27 to 26 tumorigenesis 29 as 27 to 28 senescence 29 as 31 means 30 a 31 means 32 to 33 mobilize 33 mobilize 39 milieu 34 the 39 milieu 35 systemic 36 and 36 and 37 local 36 and 38 tissue 38 tissue 39 milieu 39 milieu 40 for 40 for 41 repair in some instances , this mobilization benefits the organism , but in others it can be detrimental . 0 ###LEFT-WALL### 6 mobilization 0 ###LEFT-WALL### 7 benefits 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 18 . 1 in 3 instances 1 in 4 , 1 in 6 mobilization 2 some 3 instances 5 this 6 mobilization 6 mobilization 7 benefits 7 benefits 9 organism 8 the 9 organism 10 , 11 but 10 , 16 be 11 but 12 in 11 but 16 be 12 in 13 others 14 it 15 can 15 can 16 be 16 be 17 detrimental these discoveries provide potential mechanisms by which cellular senescence might contribute to the diverse , and seemingly incongruent , processes of tumor suppression , tumor promotion , tissue repair , and aging . 0 ###LEFT-WALL### 2 discoveries 0 ###LEFT-WALL### 3 provide 0 ###LEFT-WALL### 33 . 1 these 2 discoveries 2 discoveries 3 provide 3 provide 5 mechanisms 4 potential 5 mechanisms 5 mechanisms 6 by 5 mechanisms 21 of 6 by 7 which 6 by 9 senescence 6 by 11 contribute 8 cellular 9 senescence 9 senescence 10 might 10 might 11 contribute 11 contribute 12 to 12 to 16 and 13 the 14 diverse 14 diverse 16 and 15 , 16 and 16 and 20 processes 17 seemingly 18 incongruent 18 incongruent 19 , 18 incongruent 20 processes 21 of 31 and 22 tumor 23 suppression 23 suppression 24 , 24 , 26 promotion 24 , 27 , 25 tumor 26 promotion 27 , 29 repair 27 , 31 and 28 tissue 29 repair 30 , 31 and 31 and 32 aging skin photoaging , the most common skin damage , is caused by chronic uv irradiation . 0 ###LEFT-WALL### 2 photoaging 0 ###LEFT-WALL### 11 caused 0 ###LEFT-WALL### 16 . 1 skin 2 photoaging 2 photoaging 8 damage 2 photoaging 10 is 3 , 8 damage 4 the 5 most 5 most 8 damage 6 common 7 skin 7 skin 8 damage 8 damage 9 , 10 is 11 caused 11 caused 12 by 12 by 15 irradiation 13 chronic 15 irradiation 14 uv 15 irradiation it is involved in the reduction , aging and apoptosis of fibroblasts ( fbs ) as well as the blockage of transforming growth factor - beta ( tgf - β )/smad and p38 mitogen - actived protein kinase ( mapk ) signaling pathways . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 involved 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 30 β 0 ###LEFT-WALL### 44 . 1 it 2 is 2 is 3 involved 3 involved 4 in 4 in 6 reduction 5 the 6 reduction 7 , 24 factor 7 , 25 - 8 aging 9 and 9 and 10 apoptosis 9 and 11 of 9 and 18 as 9 and 24 factor 11 of 12 fibroblasts 12 fibroblasts 14 fbs 13 ( 14 fbs 14 fbs 15 ) 16 as 17 well 17 well 18 as 18 as 20 blockage 19 the 20 blockage 20 blockage 21 of 21 of 22 transforming 22 transforming 23 growth 25 - 26 beta 25 - 29 - 26 beta 28 tgf 27 ( 28 tgf 28 tgf 29 - 29 - 30 β 30 β 43 pathways 31 )/smad 32 and 32 and 38 kinase 32 and 40 mapk 32 and 43 pathways 33 p38 37 protein 34 mitogen 35 - 34 mitogen 37 protein 36 actived 37 protein 37 protein 38 kinase 39 ( 40 mapk 40 mapk 41 ) 42 signaling 43 pathways dermal multipotent stem cells ( dmscs ) are a population of adult stem cells derived from dermis in recent years . 0 ###LEFT-WALL### 4 cells 0 ###LEFT-WALL### 8 are 0 ###LEFT-WALL### 21 . 1 dermal 2 multipotent 2 multipotent 3 stem 3 stem 4 cells 4 cells 6 dmscs 4 cells 8 are 5 ( 6 dmscs 6 dmscs 7 ) 8 are 10 population 9 a 10 population 10 population 11 of 11 of 14 cells 12 adult 14 cells 13 stem 14 cells 14 cells 15 derived 15 derived 16 from 15 derived 18 in 16 from 17 dermis 18 in 20 years 19 recent 20 years it has been confirmed that dmscs can [activate] or differentiate into fbs to participate in wound healing by producing and expressing tgf - β and other cytokines . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 9 or 0 ###LEFT-WALL### 23 - 0 ###LEFT-WALL### 28 . 1 it 2 has 2 has 3 been 3 been 9 or 4 confirmed 5 that 4 confirmed 9 or 5 that 6 dmscs 5 that 7 can 6 dmscs 7 can 9 or 10 differentiate 9 or 13 to 9 or 15 in 9 or 18 by 10 differentiate 11 into 11 into 12 fbs 13 to 14 participate 15 in 17 healing 16 wound 17 healing 18 by 20 and 19 producing 20 and 20 and 22 tgf 20 and 23 - 21 expressing 22 tgf 23 - 25 and 24 β 25 and 25 and 27 cytokines 26 other 27 cytokines considering the mechanism of skin photoaging and the role of dmscs , we hold a hypothesis that dmscs may be applied in skin photoaging by activating tgf - β/smad and p38 mapk signaling pathways , and then stimulating fbs to secrete and synthesize collagen or elastin , heightening the extracellular matrix , finally eliminating wrinkles and strengthening skin elasticity . 0 ###LEFT-WALL### 13 we 0 ###LEFT-WALL### 14 hold 1 considering 7 and 1 considering 12 , 1 considering 13 we 2 the 3 mechanism 3 mechanism 4 of 3 mechanism 6 photoaging 3 mechanism 7 and 4 of 5 skin 7 and 9 role 7 and 10 of 8 the 9 role 10 of 11 dmscs 13 we 14 hold 14 hold 16 hypothesis 14 hold 48 heightening 14 hold 54 eliminating 15 a 16 hypothesis 16 hypothesis 17 that 17 that 18 dmscs 17 that 42 and 18 dmscs 42 and 19 may 20 be 19 may 42 and 20 be 21 applied 21 applied 22 in 21 applied 25 by 22 in 24 photoaging 23 skin 24 photoaging 25 by 26 activating 26 activating 36 and 27 tgf 32 mapk 27 tgf 36 and 28 - 32 mapk 29 β/smad 30 and 30 and 31 p38 30 and 32 mapk 32 mapk 33 signaling 32 mapk 35 , 33 signaling 34 pathways 35 , 36 and 36 and 39 fbs 36 and 40 to 36 and 41 secrete 37 then 38 stimulating 38 stimulating 39 fbs 40 to 41 secrete 42 and 43 synthesize 42 and 45 or 44 collagen 45 or 45 or 46 elastin 47 , 48 heightening 48 heightening 51 matrix 48 heightening 52 , 49 the 51 matrix 50 extracellular 51 matrix 52 , 54 eliminating 53 finally 54 eliminating 54 eliminating 56 and 54 eliminating 60 . 55 wrinkles 56 and 56 and 59 elasticity 57 strengthening 59 elasticity 58 skin 59 elasticity these would provide a novel approach for anti - skin photoaging . 0 ###LEFT-WALL### 1 these 0 ###LEFT-WALL### 3 provide 0 ###LEFT-WALL### 12 . 1 these 2 would 2 would 3 provide 3 provide 6 approach 4 a 5 novel 4 a 6 approach 5 novel 6 approach 6 approach 7 for 7 for 11 photoaging 8 anti 9 - 8 anti 10 skin 10 skin 11 photoaging psychotic symptoms occur in approximately 40 % of subjects with alzheimer disease ( ad with psychosis [;] ad + p ) and identify a subgroup [with] more rapid cognitive decline . 0 ###LEFT-WALL### 2 symptoms 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 31 . 1 psychotic 2 symptoms 2 symptoms 22 and 3 occur 4 in 3 occur 10 with 3 occur 22 and 4 in 7 % 5 approximately 6 40 6 40 7 % 7 % 8 of 8 of 9 subjects 10 with 12 disease 11 alzheimer 12 disease 12 disease 19 + 13 ( 19 + 14 ad 15 with 14 ad 19 + 15 with 18 ad 16 psychosis 18 ad 19 + 20 p 19 + 21 ) 22 and 23 identify 23 identify 30 decline 24 a 30 decline 25 subgroup 30 decline 27 more 28 rapid 28 rapid 30 decline 29 cognitive 30 decline each gene was thoroughly interrogated with tag single - nucleotide polymorphisms ( snps ) , and gene [-] based tests were used to enhance power . 0 ###LEFT-WALL### 2 gene 0 ###LEFT-WALL### 5 interrogated 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 26 . 1 each 2 gene 2 gene 3 was 3 was 5 interrogated 4 thoroughly 5 interrogated 5 interrogated 6 with 6 with 11 polymorphisms 7 tag 11 polymorphisms 8 single 9 - 8 single 10 nucleotide 10 nucleotide 11 polymorphisms 11 polymorphisms 13 snps 12 ( 13 snps 13 snps 14 ) 15 , 16 and 16 and 20 tests 16 and 22 used 17 gene 19 based 19 based 20 tests 20 tests 21 were 21 were 22 used 22 used 23 to 22 used 24 enhance 23 to 24 enhance 24 enhance 25 power we found no association of these genes with ad [+] p . explicit learning is well known to decline with age , but divergent results have been reported for implicit learning . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 12 . 0 ###LEFT-WALL### 32 . 1 we 2 found 2 found 4 association 2 found 11 p 3 no 4 association 4 association 5 of 5 of 7 genes 6 these 7 genes 7 genes 8 with 8 with 9 ad 12 . 13 explicit 12 . 15 is 12 . 17 known 12 . 23 but 13 explicit 14 learning 13 explicit 15 is 15 is 16 well 16 well 17 known 17 known 18 to 17 known 19 decline 18 to 19 decline 19 decline 20 with 20 with 21 age 22 , 23 but 23 but 25 results 23 but 28 reported 24 divergent 25 results 25 results 26 have 26 have 27 been 27 been 28 reported 28 reported 29 for 29 for 31 learning 30 implicit 31 learning here , we assessed the effect of aging on implicit [vs] [.] explicit learning within the same task . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 19 . 1 here 2 , 1 here 3 we 3 we 4 assessed 4 assessed 6 effect 5 the 6 effect 6 effect 7 of 7 of 8 aging 8 aging 9 on 8 aging 15 within 9 on 14 learning 10 implicit 14 learning 13 explicit 14 learning 15 within 18 task 16 the 17 same 17 same 18 task fifty - five [young] ( mean 32 years ) and 55 elderly ( mean 64 years ) individuals were exposed to letter strings generated by an artificial grammar . 0 ###LEFT-WALL### 1 fifty 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 29 . 2 - 3 five 2 - 10 and 3 five 8 years 5 ( 8 years 6 mean 8 years 7 32 8 years 8 years 9 ) 10 and 18 individuals 10 and 20 exposed 11 55 18 individuals 12 elderly 16 years 12 elderly 18 individuals 13 ( 16 years 14 mean 16 years 15 64 16 years 16 years 17 ) 18 individuals 19 were 19 were 20 exposed 20 exposed 21 to 20 exposed 25 by 21 to 22 letter 22 letter 23 strings 23 strings 24 generated 25 by 28 grammar 26 an 27 artificial 26 an 28 grammar 27 artificial 28 grammar subsequently , participants classified novel strings as grammatical or nongrammatical . 0 ###LEFT-WALL### 3 participants 0 ###LEFT-WALL### 4 classified 0 ###LEFT-WALL### 11 . 1 subsequently 2 , 1 subsequently 3 participants 3 participants 4 classified 4 classified 6 strings 4 classified 7 as 5 novel 6 strings 7 as 9 or 8 grammatical 9 or 9 or 10 nongrammatical acquisition [of] superficial [(] ["] chunk - based ["] ) [and] structural ( " rule - based ["] ) features of the grammar were analyzed separately . 0 ###LEFT-WALL### 6 chunk 0 ###LEFT-WALL### 7 - 1 acquisition 6 chunk 3 superficial 6 chunk 7 - 20 features 7 - 25 analyzed 7 - 27 . 8 based 10 ) 8 based 20 features 12 structural 15 rule 12 structural 20 features 13 ( 14 " 13 ( 15 rule 15 rule 17 based 15 rule 19 ) 16 - 17 based 17 based 19 ) 20 features 21 of 20 features 24 were 21 of 23 grammar 22 the 23 grammar 24 were 25 analyzed 25 analyzed 26 separately we found that overall classification accuracy was diminished in the elderly , driven by decreased performance on items that required chunk - based knowledge . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 22 - 0 ###LEFT-WALL### 25 . 1 we 2 found 2 found 5 classification 2 found 21 chunk 3 that 5 classification 4 overall 5 classification 5 classification 6 accuracy 5 classification 7 was 5 classification 8 diminished 5 classification 14 by 6 accuracy 7 was 8 diminished 9 in 8 diminished 12 , 8 diminished 13 driven 9 in 11 elderly 10 the 11 elderly 14 by 16 performance 15 decreased 16 performance 16 performance 17 on 17 on 18 items 19 that 21 chunk 20 required 21 chunk 22 - 24 knowledge 23 based 24 knowledge performance on items requiring rule - based knowledge was comparable between groups . 0 ###LEFT-WALL### 8 knowledge 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 13 . 1 performance 8 knowledge 2 on 3 items 2 on 6 - 2 on 8 knowledge 3 items 4 requiring 4 requiring 5 rule 7 based 8 knowledge 8 knowledge 9 was 9 was 10 comparable 10 comparable 11 between 11 between 12 groups results indicate that rule - based and chunk - based learning [are] differentially affected by age : while rule - based learning , reflecting implicit learning , is preserved , chunk - based learning , which contains at least some explicit learning aspects , declines with age . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 indicate 0 ###LEFT-WALL### 5 - 1 results 2 indicate 2 indicate 4 rule 3 that 4 rule 5 - 7 and 5 - 9 - 6 based 7 and 7 and 8 chunk 9 - 11 learning 9 - 17 : 10 based 11 learning 11 learning 14 affected 13 differentially 14 affected 14 affected 15 by 15 by 16 age 17 : 22 learning 18 while 19 rule 18 while 20 - 18 while 22 learning 21 based 22 learning 22 learning 24 reflecting 22 learning 28 is 23 , 24 reflecting 24 reflecting 26 learning 24 reflecting 27 , 25 implicit 26 learning 28 is 30 , 29 preserved 30 , 30 , 31 chunk 30 , 33 based 30 , 34 learning 32 - 33 based 34 learning 36 which 35 , 36 which 36 which 44 , 36 which 48 . 37 contains 39 least 37 contains 43 aspects 37 contains 44 , 38 at 39 least 40 some 43 aspects 41 explicit 43 aspects 42 learning 43 aspects 44 , 45 declines 44 , 46 with 46 with 47 age our findings may explain divergent results on implicit learning tasks in previous studies on aging . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 4 explain 0 ###LEFT-WALL### 16 . 1 our 2 findings 2 findings 3 may 3 may 4 explain 4 explain 6 results 4 explain 7 on 4 explain 11 in 4 explain 14 on 5 divergent 6 results 7 on 10 tasks 8 implicit 10 tasks 9 learning 10 tasks 11 in 13 studies 12 previous 13 studies 14 on 15 aging they may also help to better understand compensatory mechanisms during the aging process . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 4 help 0 ###LEFT-WALL### 14 . 1 they 2 may 2 may 4 help 3 also 4 help 4 help 5 to 4 help 7 understand 5 to 7 understand 6 better 7 understand 7 understand 9 mechanisms 7 understand 10 during 8 compensatory 9 mechanisms 10 during 13 process 11 the 13 process 12 aging 13 process this paper applies the analytical tools of optimal taxation theory to the design of the optimal subsidy on preventive behaviours , in an economy where longevity varies across agents , and depends on preventive expenditures and on longevity genes . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 31 and 0 ###LEFT-WALL### 40 . 1 this 2 paper 2 paper 31 and 3 applies 6 tools 3 applies 18 on 3 applies 31 and 4 the 6 tools 5 analytical 6 tools 6 tools 7 of 7 of 10 theory 8 optimal 9 taxation 9 taxation 10 theory 10 theory 11 to 11 to 13 design 12 the 13 design 13 design 14 of 14 of 17 subsidy 15 the 17 subsidy 16 optimal 17 subsidy 18 on 20 behaviours 19 preventive 20 behaviours 20 behaviours 22 in 21 , 22 in 22 in 24 economy 22 in 30 , 23 an 24 economy 24 economy 25 where 25 where 26 longevity 25 where 27 varies 26 longevity 27 varies 27 varies 28 across 28 across 29 agents 30 , 31 and 31 and 32 depends 31 and 36 and 33 on 35 expenditures 33 on 36 and 34 preventive 35 expenditures 36 and 37 on 37 on 39 genes 38 longevity 39 genes public intervention can be here justified on three grounds : corrections for misperceptions of the survival process and for externalities related to individual preventive behaviour , and redistribution across both earnings and genetic dimensions . 0 ###LEFT-WALL### 2 intervention 0 ###LEFT-WALL### 6 justified 0 ###LEFT-WALL### 10 : 1 public 2 intervention 2 intervention 3 can 3 can 4 be 4 be 5 here 4 be 6 justified 6 justified 7 on 7 on 9 grounds 8 three 9 grounds 10 : 27 and 10 : 35 . 11 corrections 18 and 11 corrections 27 and 12 for 13 misperceptions 12 for 18 and 13 misperceptions 14 of 14 of 17 process 15 the 17 process 16 survival 17 process 18 and 19 for 19 for 20 externalities 20 externalities 21 related 21 related 22 to 22 to 25 behaviour 23 individual 25 behaviour 24 preventive 25 behaviour 26 , 27 and 27 and 28 redistribution 27 and 29 across 29 across 32 and 30 both 31 earnings 31 earnings 32 and 32 and 34 dimensions 33 genetic 34 dimensions the optimal subsidy on preventive expenditures is shown to depend on the combined impacts of misperception , externalities and self - selection . 0 ###LEFT-WALL### 3 subsidy 0 ###LEFT-WALL### 8 shown 0 ###LEFT-WALL### 21 - 0 ###LEFT-WALL### 23 . 1 the 3 subsidy 2 optimal 3 subsidy 3 subsidy 4 on 3 subsidy 7 is 4 on 6 expenditures 5 preventive 6 expenditures 7 is 8 shown 8 shown 9 to 9 to 10 depend 10 depend 11 on 11 on 14 impacts 12 the 14 impacts 13 combined 14 impacts 14 impacts 15 of 15 of 19 and 16 misperception 17 , 17 , 18 externalities 17 , 19 and 19 and 20 self 21 - 22 selection it is generally optimal to subsidize preventive efforts to an extent depending on the degree of individual myopia , on how productivity and genes are correlated , and on the complementarity of genes and preventive efforts in the survival function . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 6 subsidize 0 ###LEFT-WALL### 41 . 1 it 2 is 2 is 3 generally 2 is 4 optimal 4 optimal 5 to 4 optimal 6 subsidize 5 to 6 subsidize 6 subsidize 8 efforts 6 subsidize 9 to 6 subsidize 28 and 6 subsidize 37 in 7 preventive 8 efforts 9 to 11 extent 10 an 11 extent 11 extent 12 depending 13 on 18 myopia 13 on 28 and 14 the 15 degree 15 degree 16 of 15 degree 18 myopia 16 of 18 myopia 17 individual 18 myopia 18 myopia 20 on 19 , 20 on 20 on 21 how 20 on 27 , 21 how 23 and 21 how 25 are 22 productivity 23 and 23 and 24 genes 23 and 25 are 25 are 26 correlated 27 , 28 and 28 and 29 on 29 on 34 and 30 the 31 complementarity 31 complementarity 32 of 31 complementarity 34 and 32 of 33 genes 34 and 36 efforts 35 preventive 36 efforts 37 in 40 function 38 the 40 function 39 survival 40 function the association between adverse health and loneliness among aging people is known , but most of the studies are [cross] [-] sectional . 0 ###LEFT-WALL### 2 association 0 ###LEFT-WALL### 12 known 0 ###LEFT-WALL### 14 but 0 ###LEFT-WALL### 23 . 1 the 2 association 2 association 3 between 2 association 11 is 3 between 6 and 4 adverse 5 health 5 health 6 and 6 and 7 loneliness 6 and 8 among 8 among 9 aging 9 aging 10 people 11 is 12 known 13 , 14 but 14 but 18 studies 14 but 19 are 15 most 16 of 15 most 18 studies 16 of 18 studies 17 the 18 studies 18 studies 19 are 19 are 22 sectional in addition , the associations between changes in loneliness with health are less well known , especially in the case of aging people . 0 ###LEFT-WALL### 5 associations 0 ###LEFT-WALL### 15 known 1 in 2 addition 1 in 3 , 1 in 5 associations 4 the 5 associations 5 associations 6 between 5 associations 12 are 6 between 7 changes 7 changes 8 in 8 in 9 loneliness 9 loneliness 10 with 10 with 11 health 12 are 14 well 12 are 15 known 13 less 14 well 15 known 18 in 16 , 17 especially 16 , 18 in 18 in 20 case 18 in 24 . 19 the 20 case 20 case 21 of 21 of 22 aging 22 aging 23 people the present study examined whether absence [of] loneliness in 2005 predicted subsequent good srh in 2008 , and whether changes in loneliness were associated with srh in 2008 . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 examined 0 ###LEFT-WALL### 29 . 1 the 3 study 2 present 3 study 3 study 4 examined 4 examined 5 whether 4 examined 20 changes 4 examined 24 associated 5 whether 8 loneliness 5 whether 11 predicted 6 absence 8 loneliness 8 loneliness 9 in 8 loneliness 11 predicted 9 in 10 2005 11 predicted 18 and 12 subsequent 14 srh 13 good 14 srh 14 srh 15 in 14 srh 18 and 15 in 16 2008 17 , 18 and 18 and 19 whether 20 changes 21 in 20 changes 23 were 21 in 22 loneliness 23 were 24 associated 24 associated 25 with 24 associated 27 in 25 with 26 srh 27 in 28 2008 longitudinal , questionnaire - based data were collected from three age cohorts ( born in 1926 - 30 , 1936 - 40 , [and] 1946 - 50 ) living in southern finland . 0 ###LEFT-WALL### 3 questionnaire 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 33 . 1 longitudinal 2 , 1 longitudinal 3 questionnaire 4 - 6 data 4 - 7 were 4 - 17 - 5 based 6 data 6 data 7 were 7 were 8 collected 8 collected 9 from 8 collected 14 born 9 from 12 cohorts 10 three 12 cohorts 11 age 12 cohorts 13 ( 14 born 14 born 15 in 14 born 17 - 15 in 16 1926 17 - 32 finland 18 30 30 in 19 , 21 - 20 1936 21 - 21 - 22 40 21 - 23 , 21 - 29 living 23 , 26 - 25 1946 26 - 26 - 27 50 26 - 28 ) 26 - 29 living 29 living 30 in 30 in 32 finland 31 southern 32 finland baseline data was collected in 2002 ( n = 2815 , 66 % ) ; [the] follow - [ups] were done in 2005 ( n = 2476 , 60 % ) and 2008 [(] [n] =2 064 , 73 % ) . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 4 collected 0 ###LEFT-WALL### 15 ; 0 ###LEFT-WALL### 42 . 1 baseline 2 data 2 data 3 was 3 was 4 collected 4 collected 5 in 5 in 6 2002 6 2002 9 = 6 2002 13 % 7 ( 9 = 8 n 9 = 9 = 10 2815 11 , 13 % 12 66 13 % 13 % 14 ) 15 ; 17 follow 15 ; 18 - 18 - 20 were 20 were 32 and 21 done 22 in 21 done 32 and 22 in 23 2005 23 2005 26 = 23 2005 30 % 24 ( 26 = 25 n 26 = 26 = 27 2476 26 = 28 , 28 , 30 % 29 60 30 % 30 % 31 ) 32 and 36 =2 32 and 40 % 33 2008 36 =2 36 =2 37 064 38 , 40 % 39 73 40 % 40 % 41 ) logistic regression analyses were used to derive the results . 0 ###LEFT-WALL### 3 analyses 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 10 . 1 logistic 2 regression 2 regression 3 analyses 3 analyses 4 were 4 were 5 used 5 used 6 to 5 used 7 derive 6 to 7 derive 7 derive 9 results 8 the 9 results never or seldom experiencing loneliness was a strong predictor for good srh . 0 ###LEFT-WALL### 1 never 0 ###LEFT-WALL### 2 or 0 ###LEFT-WALL### 13 . 2 or 4 experiencing 2 or 6 was 3 seldom 4 experiencing 4 experiencing 5 loneliness 4 experiencing 6 was 6 was 9 predictor 7 a 8 strong 7 a 9 predictor 8 strong 9 predictor 9 predictor 10 for 10 for 12 srh 11 good 12 srh in addition , good health was common among those who never felt lonely . 0 ###LEFT-WALL### 5 health 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 14 . 1 in 2 addition 1 in 3 , 1 in 5 health 4 good 5 health 5 health 6 was 6 was 7 common 7 common 8 among 8 among 9 those 9 those 10 who 9 those 12 felt 10 who 12 felt 11 never 12 felt 12 felt 13 lonely among men the group experiencing decreasing loneliness had the highest or of good health . 0 ###LEFT-WALL### 4 group 0 ###LEFT-WALL### 8 had 0 ###LEFT-WALL### 15 . 1 among 2 men 1 among 4 group 3 the 4 group 4 group 5 experiencing 4 group 8 had 5 experiencing 7 loneliness 6 decreasing 7 loneliness 8 had 11 or 9 the 10 highest 9 the 11 or 11 or 12 of 12 of 14 health 13 good 14 health thus , loneliness is a significant contributor to poor srh among aging people . 0 ###LEFT-WALL### 3 loneliness 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 14 . 1 thus 2 , 1 thus 3 loneliness 3 loneliness 4 is 4 is 7 contributor 5 a 6 significant 5 a 7 contributor 6 significant 7 contributor 7 contributor 8 to 8 to 10 srh 9 poor 10 srh 10 srh 11 among 11 among 12 aging 12 aging 13 people in addition , favorable srh is indicated [not] only by the absence of loneliness at both measurement points , but also by decreased loneliness . 0 ###LEFT-WALL### 5 srh 0 ###LEFT-WALL### 7 indicated 0 ###LEFT-WALL### 25 . 1 in 2 addition 1 in 3 , 1 in 5 srh 4 favorable 5 srh 5 srh 6 is 6 is 7 indicated 7 indicated 9 only 9 only 10 by 10 by 12 absence 11 the 12 absence 12 absence 13 of 13 of 14 loneliness 14 loneliness 20 but 15 at 18 points 15 at 20 but 16 both 18 points 17 measurement 18 points 19 , 20 but 20 but 21 also 20 but 22 by 22 by 24 loneliness 23 decreased 24 loneliness preventing loneliness is important for health [promotion] . 0 ###LEFT-WALL### 1 preventing 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 8 . 1 preventing 2 loneliness 1 preventing 3 is 3 is 4 important 4 important 5 for 5 for 6 health microoxygenation ( mox ) is now widely applied for the maturation of red wines as an alternative to barrel aging . 0 ###LEFT-WALL### 1 microoxygenation 0 ###LEFT-WALL### 8 applied 0 ###LEFT-WALL### 21 . 1 microoxygenation 3 mox 1 microoxygenation 5 is 2 ( 3 mox 3 mox 4 ) 5 is 6 now 5 is 8 applied 7 widely 8 applied 8 applied 9 for 9 for 11 maturation 10 the 11 maturation 11 maturation 12 of 11 maturation 20 aging 12 of 14 wines 13 red 14 wines 15 as 17 alternative 15 as 20 aging 16 an 17 alternative 17 alternative 18 to 17 alternative 19 barrel 17 alternative 20 aging 18 to 19 barrel the proposed improvements in wine quality arising from mox include color stabilization , removal of unwanted [off] - odors , and improvements in wine mouthfeel . 0 ###LEFT-WALL### 3 improvements 0 ###LEFT-WALL### 10 include 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 26 . 1 the 3 improvements 2 proposed 3 improvements 3 improvements 4 in 3 improvements 10 include 4 in 6 quality 5 wine 6 quality 6 quality 7 arising 6 quality 8 from 8 from 9 mox 10 include 12 stabilization 11 color 12 stabilization 13 , 21 and 13 , 25 mouthfeel 14 removal 15 of 14 removal 21 and 15 of 19 odors 16 unwanted 18 - 16 unwanted 19 odors 20 , 21 and 21 and 22 improvements 21 and 23 in 21 and 25 mouthfeel 23 in 24 wine in this review , an outline is provided of oxygenation systems , particularly microbullage and polymer membrane delivery , [and] of the current understanding of wine oxidation processes . 0 ###LEFT-WALL### 6 outline 0 ###LEFT-WALL### 8 provided 1 in 3 review 1 in 4 , 1 in 6 outline 2 this 3 review 5 an 6 outline 6 outline 7 is 7 is 8 provided 8 provided 9 of 9 of 11 systems 10 oxygenation 11 systems 11 systems 15 and 11 systems 21 of 12 , 13 particularly 12 , 15 and 14 microbullage 15 and 15 and 18 delivery 15 and 19 , 16 polymer 17 membrane 17 membrane 18 delivery 19 , 21 of 21 of 24 understanding 21 of 29 . 22 the 24 understanding 23 current 24 understanding 24 understanding 25 of 25 of 28 processes 26 wine 28 processes 27 oxidation 28 processes a summary of the results from published studies into red wine mox is then provided , beginning with observations on o ( 2 ) and acetaldehyde accumulation , and the moderating effect of added sulfur dioxide . 0 ###LEFT-WALL### 29 and 0 ###LEFT-WALL### 37 . 1 a 2 summary 2 summary 3 of 2 summary 15 provided 2 summary 25 and 3 of 5 results 4 the 5 results 5 results 6 from 5 results 9 into 5 results 12 mox 5 results 13 is 6 from 8 studies 7 published 8 studies 9 into 11 wine 10 red 11 wine 12 mox 13 is 14 then 15 provided 15 provided 17 beginning 16 , 17 beginning 17 beginning 18 with 17 beginning 24 ) 18 with 19 observations 19 observations 20 on 19 observations 23 2 20 on 21 o 22 ( 23 2 23 2 24 ) 25 and 27 accumulation 25 and 29 and 26 acetaldehyde 27 accumulation 28 , 29 and 29 and 32 effect 30 the 32 effect 31 moderating 32 effect 32 effect 33 of 33 of 36 dioxide 34 added 35 sulfur 35 sulfur 36 dioxide effects upon red wine color , particularly the more rapid formation of polymeric pigments and higher color retention , have been consistently demonstrated in mox studies , along with further effects on specific polyphenol compounds . 0 ###LEFT-WALL### 1 effects 0 ###LEFT-WALL### 23 demonstrated 1 effects 2 upon 1 effects 20 have 2 upon 5 color 3 red 4 wine 4 wine 5 color 5 color 11 formation 6 , 7 particularly 6 , 11 formation 8 the 11 formation 9 more 10 rapid 10 rapid 11 formation 11 formation 12 of 11 formation 19 , 12 of 15 and 13 polymeric 14 pigments 14 pigments 15 and 15 and 18 retention 16 higher 17 color 17 color 18 retention 20 have 21 been 21 been 22 consistently 21 been 23 demonstrated 23 demonstrated 24 in 24 in 26 studies 25 mox 26 studies 26 studies 29 with 27 , 29 with 28 along 29 with 29 with 31 effects 29 with 36 . 30 further 31 effects 31 effects 32 on 32 on 35 compounds 33 specific 34 polyphenol 34 polyphenol 35 compounds a few reports have recently examined the effect of mox on red wine aromas , but these have yet to identify compounds that consistently change in a manner that would explain sensory observations regarding a lowering of herbaceous and reductive odors . 0 ###LEFT-WALL### 3 reports 0 ###LEFT-WALL### 6 examined 0 ###LEFT-WALL### 16 but 0 ###LEFT-WALL### 21 identify 0 ###LEFT-WALL### 42 . 1 a 2 few 2 few 3 reports 3 reports 4 have 4 have 6 examined 5 recently 6 examined 6 examined 8 effect 7 the 8 effect 8 effect 9 of 9 of 10 mox 10 mox 11 on 11 on 14 aromas 12 red 13 wine 13 wine 14 aromas 15 , 16 but 16 but 17 these 16 but 18 have 17 these 18 have 18 have 20 to 19 yet 20 to 20 to 21 identify 21 identify 22 compounds 21 identify 26 in 22 compounds 23 that 22 compounds 25 change 23 that 25 change 24 consistently 25 change 26 in 28 manner 27 a 28 manner 28 manner 29 that 28 manner 31 explain 29 that 30 would 30 would 31 explain 31 explain 33 observations 32 sensory 33 observations 33 observations 34 regarding 34 regarding 36 lowering 35 a 36 lowering 36 lowering 37 of 37 of 41 odors 38 herbaceous 39 and 39 and 40 reductive 39 and 41 odors likewise , tannin analyses have been undertaken in several studies , but explanations of the decline in wine astringency remain to be developed . 0 ###LEFT-WALL### 4 analyses 0 ###LEFT-WALL### 7 undertaken 0 ###LEFT-WALL### 12 but 0 ###LEFT-WALL### 24 . 1 likewise 2 , 1 likewise 4 analyses 3 tannin 4 analyses 4 analyses 5 have 5 have 6 been 6 been 7 undertaken 7 undertaken 8 in 8 in 10 studies 9 several 10 studies 11 , 12 but 12 but 13 explanations 12 but 20 remain 13 explanations 14 of 13 explanations 20 remain 14 of 16 decline 15 the 16 decline 16 decline 17 in 17 in 19 astringency 18 wine 19 astringency 20 remain 21 to 21 to 22 be 22 be 23 developed the accelerated growth of unwanted microorganisms has also been examined in a limited number of studies , but no major problems have been identified in this area . 0 ###LEFT-WALL### 3 growth 0 ###LEFT-WALL### 10 examined 0 ###LEFT-WALL### 18 but 0 ###LEFT-WALL### 28 . 1 the 3 growth 2 accelerated 3 growth 3 growth 4 of 3 growth 7 has 4 of 6 microorganisms 5 unwanted 6 microorganisms 7 has 9 been 8 also 9 been 9 been 10 examined 10 examined 11 in 11 in 16 studies 12 a 14 number 13 limited 14 number 14 number 15 of 14 number 16 studies 15 of 16 studies 17 , 18 but 18 but 21 problems 18 but 24 identified 19 no 21 problems 20 major 21 problems 21 problems 22 have 22 have 23 been 23 been 24 identified 24 identified 25 in 25 in 27 area 26 this 27 area heart failure is a chronic progressive disorder in which frequent and recurrent hospitalizations are associated with high mortality and morbidity . 0 ###LEFT-WALL### 2 failure 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 21 . 1 heart 2 failure 2 failure 3 is 3 is 7 disorder 4 a 5 chronic 4 a 7 disorder 5 chronic 7 disorder 6 progressive 7 disorder 7 disorder 8 in 8 in 9 which 8 in 11 and 8 in 15 associated 10 frequent 11 and 11 and 12 recurrent 11 and 13 hospitalizations 11 and 14 are 11 and 15 associated 13 hospitalizations 14 are 15 associated 16 with 16 with 19 and 17 high 18 mortality 18 mortality 19 and 19 and 20 morbidity the incidence and the prevalence of this disease will increase with the increase in the number of the aging population of the united states . 0 ###LEFT-WALL### 2 incidence 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 25 . 1 the 2 incidence 3 and 5 prevalence 3 and 10 increase 4 the 5 prevalence 5 prevalence 6 of 5 prevalence 9 will 6 of 8 disease 7 this 8 disease 9 will 10 increase 10 increase 11 with 10 increase 14 in 11 with 13 increase 12 the 13 increase 14 in 20 population 15 the 16 number 16 number 17 of 16 number 20 population 17 of 20 population 18 the 20 population 19 aging 20 population 20 population 21 of 21 of 24 states 22 the 24 states 23 united 24 states understanding the molecular pathology and pathophysiology of this disease will uncover novel targets and therapies that can restore the function or attenuate the damage of malfunctioning cardiomyocytes by gene therapy that becomes an interesting and a promising field for the treatment of heart failure as well as other diseases in the future . 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 53 . 1 understanding 13 targets 2 the 4 pathology 3 molecular 4 pathology 4 pathology 5 and 5 and 6 pathophysiology 5 and 9 disease 5 and 11 uncover 5 and 12 novel 6 pathophysiology 7 of 7 of 8 this 9 disease 10 will 10 will 11 uncover 12 novel 13 targets 13 targets 14 and 14 and 15 therapies 14 and 16 that 14 and 17 can 16 that 17 can 17 can 21 or 18 restore 20 function 18 restore 21 or 19 the 20 function 21 or 22 attenuate 21 or 47 as 22 attenuate 24 damage 22 attenuate 28 by 23 the 24 damage 24 damage 25 of 25 of 26 malfunctioning 26 malfunctioning 27 cardiomyocytes 28 by 30 therapy 29 gene 30 therapy 30 therapy 31 that 30 therapy 32 becomes 31 that 32 becomes 32 becomes 44 failure 33 an 44 failure 34 interesting 35 and 35 and 38 field 35 and 39 for 35 and 44 failure 36 a 38 field 37 promising 38 field 39 for 41 treatment 40 the 41 treatment 41 treatment 42 of 42 of 43 heart 44 failure 45 as 45 as 46 well 47 as 49 diseases 48 other 49 diseases 49 diseases 50 in 50 in 52 future 51 the 52 future [of] equal importance are developing vectors and delivery methods that can efficiently transduce most of the cardiomyocytes that can offer a long - term expression and that can escape the host immune response . 0 ###LEFT-WALL### 3 importance 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 34 . 2 equal 3 importance 3 importance 4 are 4 are 7 and 4 are 14 most 5 developing 6 vectors 6 vectors 7 and 7 and 9 methods 7 and 10 that 7 and 13 transduce 8 delivery 9 methods 10 that 11 can 11 can 13 transduce 12 efficiently 13 transduce 14 most 15 of 15 of 17 cardiomyocytes 16 the 17 cardiomyocytes 17 cardiomyocytes 18 that 17 cardiomyocytes 19 can 18 that 19 can 19 can 26 and 20 offer 24 term 20 offer 25 expression 20 offer 26 and 21 a 24 term 22 long 23 - 22 long 24 term 26 and 29 escape 27 that 28 can 28 can 29 escape 29 escape 33 response 30 the 33 response 31 host 33 response 32 immune 33 response recombinant adeno - associated virus vectors have the potential to become [a] promising novel therapeutic vehicles for molecular medicine in the future . 0 ###LEFT-WALL### 6 vectors 0 ###LEFT-WALL### 11 become 0 ###LEFT-WALL### 23 . 1 recombinant 6 vectors 2 adeno 3 - 2 adeno 5 virus 4 associated 5 virus 5 virus 6 vectors 6 vectors 7 have 7 have 9 potential 7 have 10 to 8 the 9 potential 10 to 11 become 11 become 16 vehicles 11 become 20 in 13 promising 16 vehicles 14 novel 16 vehicles 15 therapeutic 16 vehicles 16 vehicles 17 for 17 for 19 medicine 18 molecular 19 medicine 20 in 22 future 21 the 22 future objective : to compare video - assisted thoracic surgery ( vats ) and open thoracotomy ( ot ) on acute inflammatory responses and immunosuppression after lobectomy for early [non] - small cell lung cancer ( nsclc ) . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 38 . 2 : 3 to 2 : 13 and 3 to 13 and 4 compare 5 video 4 compare 13 and 5 video 9 surgery 6 - 9 surgery 7 assisted 9 surgery 8 thoracic 9 surgery 9 surgery 11 vats 9 surgery 12 ) 10 ( 11 vats 11 vats 12 ) 13 and 14 open 14 open 15 thoracotomy 14 open 19 on 14 open 25 after 14 open 27 for 15 thoracotomy 17 ot 16 ( 17 ot 17 ot 18 ) 19 on 23 and 20 acute 22 responses 21 inflammatory 22 responses 22 responses 23 and 23 and 24 immunosuppression 25 after 26 lobectomy 27 for 34 cancer 28 early 30 - 28 early 32 cell 31 small 32 cell 32 cell 34 cancer 33 lung 34 cancer 34 cancer 36 nsclc 35 ( 36 nsclc 36 nsclc 37 ) methods : present prospective randomized study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 . 1 methods 2 : 2 : 6 study 3 present 6 study 4 prospective 6 study 5 randomized 6 study ot or vats lobectomy was performed in patients who met enter criteria and clinical data was collected . 0 ###LEFT-WALL### 2 or 0 ###LEFT-WALL### 11 enter 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 18 . 1 ot 2 or 2 or 3 vats 2 or 4 lobectomy 2 or 5 was 2 or 6 performed 2 or 11 enter 4 lobectomy 5 was 6 performed 7 in 7 in 8 patients 8 patients 9 who 8 patients 10 met 9 who 10 met 11 enter 12 criteria 13 and 15 data 13 and 16 was 14 clinical 15 data 15 data 16 was 16 was 17 collected plasma concentration of il - 6 , il - 8 and il - 10 were measured before surgery and at postoperative day ( pod ) [1] and pod 3 . 0 ###LEFT-WALL### 27 and 0 ###LEFT-WALL### 30 . 1 plasma 2 concentration 2 concentration 3 of 2 concentration 27 and 3 of 4 il 4 il 6 6 5 - 6 6 6 6 8 il 6 6 25 ) 7 , 8 il 8 il 12 il 8 il 25 ) 9 - 12 il 10 8 11 and 11 and 12 il 12 il 14 10 12 il 15 were 12 il 16 measured 12 il 24 pod 12 il 25 ) 13 - 14 10 14 10 15 were 16 measured 19 and 17 before 18 surgery 17 before 19 and 19 and 20 at 20 at 22 day 21 postoperative 22 day 23 ( 24 pod 24 pod 25 ) 27 and 28 pod 28 pod 29 3 there were 271 patients underwent lobectomy for early nsclc , including of 133 patients in group vats and 138 patients in group ot from january 2007 to june 2008 . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 30 . 1 there 2 were 2 were 3 271 2 were 6 lobectomy 3 271 4 patients 3 271 5 underwent 4 patients 5 underwent 6 lobectomy 7 for 7 for 9 nsclc 8 early 9 nsclc 10 , 18 and 11 including 12 of 11 including 15 in 11 including 18 and 12 of 14 patients 13 133 14 patients 15 in 17 vats 16 group 17 vats 18 and 20 patients 18 and 27 to 19 138 20 patients 20 patients 21 in 20 patients 24 from 21 in 23 ot 22 group 23 ot 24 from 25 january 25 january 26 2007 27 to 28 june 28 june 29 2008 there were 132 males and 139 females , aging from 19 ∼ 70 years with a mean [of] ( 56 ± 8 ) years . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 1 there 2 were 2 were 5 and 3 132 4 males 4 males 5 and 5 and 7 females 5 and 9 aging 6 139 7 females 8 , 9 aging 9 aging 10 from 9 aging 15 with 9 aging 25 . 10 from 14 years 11 19 14 years 12 ∼ 14 years 13 70 14 years 15 with 24 years 16 a 24 years 17 mean 21 ± 17 mean 23 ) 17 mean 24 years 19 ( 21 ± 20 56 21 ± 21 ± 22 8 21 ± 23 ) results : compared with ot group [,] shorter postoperative hospital stay [[] [(] 8.2 ± 2.5 [ )( vs [.] [(] 9.8 ± 6.2 [ )(d , p = 0.03 ] [,] lower morbidity rate ( 11.3 % vs [.] 21.7 % , p = 0.02 [ )( lower increase of plasma concentration of [il] - 6 at pod 1 [[] ( 35 ± 25 ) % vs [.] [(] 65 ± 43 [ )( , p = 0.00 ] , il - 6 at pod 3 [[] ( 14 ± 22 ) % vs [.] [(] 55 ± 44 [ )( , [p] = 0.00 []] [and] il - 10 at pod 1 [[] ( 25 ± 20 ) % vs [.] [(] 43 ± 35 [ )(% , p = 0.00 ] were observed in patients of vats [group] [.] 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 3 compared 1 results 2 : 2 : 3 compared 3 compared 4 with 4 with 5 ot 4 with 15 ± 6 group 15 ± 8 shorter 11 stay 9 postoperative 10 hospital 10 hospital 11 stay 11 stay 15 ± 14 8.2 15 ± 15 ± 16 2.5 15 ± 19 vs 19 vs 23 ± 22 9.8 23 ± 23 ± 24 6.2 23 ± 33 lower 24 6.2 29 = 24 6.2 33 lower 26 )(d 29 = 27 , 29 = 28 p 29 = 29 = 30 0.03 29 = 31 ] 33 lower 45 = 34 morbidity 35 rate 35 rate 38 % 36 ( 38 % 37 11.3 38 % 38 % 39 vs 38 % 43 , 39 vs 42 % 41 21.7 42 % 43 , 45 = 44 p 45 = 45 = 50 increase 46 0.02 50 increase 49 lower 50 increase 50 increase 51 of 50 increase 54 of 51 of 53 concentration 52 plasma 53 concentration 54 of 57 6 56 - 57 6 57 6 58 at 57 6 68 vs 58 at 67 % 59 pod 60 1 59 pod 64 ± 59 pod 67 % 62 ( 64 ± 63 35 64 ± 64 ± 65 25 64 ± 66 ) 68 vs 72 ± 71 65 72 ± 72 ± 73 43 72 ± 78 = 72 ± 83 - 76 , 78 = 77 p 78 = 78 = 79 0.00 78 = 80 ] 81 , 83 - 82 il 83 - 83 - 84 6 84 6 85 at 84 6 95 vs 85 at 94 % 86 pod 87 3 86 pod 91 ± 86 pod 94 % 89 ( 91 ± 90 14 91 ± 91 ± 92 22 91 ± 93 ) 95 vs 99 ± 98 55 99 ± 99 ± 100 44 99 ± 110 - 103 , 110 - 105 = 106 0.00 106 0.00 109 il 109 il 110 - 110 - 111 10 111 10 112 at 111 10 122 vs 112 at 121 % 113 pod 114 1 113 pod 118 ± 113 pod 121 % 116 ( 118 ± 117 25 118 ± 118 ± 119 20 118 ± 120 ) 122 vs 125 43 125 43 126 ± 125 43 136 observed 126 ± 129 )(% 126 ± 135 were 126 ± 136 observed 127 35 129 )(% 129 )(% 132 = 129 )(% 135 were 130 , 132 = 131 p 132 = 132 = 133 0.00 132 = 134 ] 136 observed 137 in 137 in 138 patients 138 patients 139 of 139 of 140 vats conclusion : vats lobectomy for early nsclc is associated with less acute inflammatory responses and less immunosuppression when compared with ot . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 4 lobectomy 2 : 9 associated 3 vats 4 lobectomy 4 lobectomy 5 for 4 lobectomy 8 is 5 for 7 nsclc 6 early 7 nsclc 8 is 9 associated 9 associated 10 with 9 associated 18 when 10 with 15 and 11 less 12 acute 12 acute 14 responses 13 inflammatory 14 responses 14 responses 15 and 15 and 17 immunosuppression 16 less 17 immunosuppression 18 when 19 compared 19 compared 20 with 20 with 21 ot objective : to discuss the surgical option and the treatment of complications of pancreatic cystic tumors . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 discuss 2 : 17 . 3 to 4 discuss 4 discuss 8 and 5 the 7 option 6 surgical 7 option 7 option 8 and 8 and 10 treatment 8 and 11 of 9 the 10 treatment 11 of 12 complications 12 complications 13 of 13 of 16 tumors 14 pancreatic 16 tumors 15 cystic 16 tumors methods : from january 1997 to december 2009 , 32 patients with pancreatic cystic tumors in our center were reviewed retrospectively . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 22 . 1 methods 2 : 2 : 3 from 2 : 6 to 3 from 4 january 4 january 5 1997 6 to 7 december 7 december 8 2009 9 , 11 patients 9 , 20 reviewed 10 32 11 patients 11 patients 12 with 11 patients 19 were 12 with 15 tumors 13 pancreatic 15 tumors 14 cystic 15 tumors 15 tumors 16 in 16 in 18 center 17 our 18 center 19 were 20 reviewed 20 reviewed 21 retrospectively there were 6 male and 26 female , aging from 24 to 76 years . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 1 there 2 were 2 were 5 and 3 6 5 and 4 male 5 and 5 and 7 female 5 and 9 aging 6 26 7 female 8 , 9 aging 9 aging 10 from 9 aging 15 . 10 from 14 years 11 24 12 to 12 to 13 76 12 to 14 years of the 32 patients , 16 patients had serous cystadenoma , 9 patients had mucinous cystadenoma ; 1 patients had mucinous cystadenocarcinoma ; 4 patients had intraductal papillary mucinous neoplasms and 3 patients had pancreatic solid pseudopapillary neoplasms . 0 ###LEFT-WALL### 7 patients 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 39 . 1 of 4 patients 1 of 5 , 1 of 7 patients 2 the 4 patients 3 32 4 patients 6 16 7 patients 7 patients 8 had 8 had 10 cystadenoma 9 serous 10 cystadenoma 11 , 13 patients 11 , 14 had 11 , 17 ; 12 9 13 patients 13 patients 14 had 14 had 16 cystadenoma 15 mucinous 16 cystadenoma 17 ; 19 patients 17 ; 23 ; 18 1 19 patients 19 patients 20 had 20 had 22 cystadenocarcinoma 21 mucinous 22 cystadenocarcinoma 23 ; 25 patients 23 ; 31 and 24 4 25 patients 25 patients 26 had 26 had 30 neoplasms 27 intraductal 30 neoplasms 28 papillary 30 neoplasms 29 mucinous 30 neoplasms 31 and 33 patients 31 and 34 had 32 3 33 patients 33 patients 34 had 34 had 38 neoplasms 35 pancreatic 38 neoplasms 36 solid 38 neoplasms 37 pseudopapillary 38 neoplasms tumor located [in] pancreatic head in 12 patients and [in] pancreatic body and tail in 20 patients . 0 ###LEFT-WALL### 1 tumor 0 ###LEFT-WALL### 2 located 0 ###LEFT-WALL### 18 . 1 tumor 2 located 2 located 5 head 2 located 6 in 2 located 15 in 4 pancreatic 5 head 6 in 13 and 7 12 8 patients 8 patients 9 and 9 and 12 body 9 and 13 and 11 pancreatic 12 body 13 and 14 tail 15 in 17 patients 16 20 17 patients results : all patients received surgical treatment and there was no perioperative death . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 patients 2 : 5 received 2 : 8 and 2 : 14 . 3 all 4 patients 4 patients 5 received 5 received 7 treatment 6 surgical 7 treatment 8 and 9 there 8 and 10 was 9 there 10 was 10 was 13 death 11 no 13 death 12 perioperative 13 death pancreato - duodenectomy was performed in 10 patients , duodenum - preserving pancreatic head resection in 1 patient , distal pancreactomy in 13 patients , including laparoscopic distal pancreactomy in 2 patients , pancreatic tumor resection in 3 patients , middle segmental resection in 4 patients ; 1 patients with mucinous cystadenocarcinoma received palliative surgery . 0 ###LEFT-WALL### 3 duodenectomy 0 ###LEFT-WALL### 5 performed 0 ###LEFT-WALL### 47 ; 0 ###LEFT-WALL### 56 . 1 pancreato 2 - 1 pancreato 3 duodenectomy 3 duodenectomy 4 was 4 was 5 performed 5 performed 6 in 5 performed 12 preserving 5 performed 26 including 6 in 8 patients 7 10 8 patients 8 patients 10 duodenum 9 , 10 duodenum 10 duodenum 11 - 11 - 12 preserving 12 preserving 15 resection 12 preserving 22 in 12 preserving 25 , 13 pancreatic 14 head 14 head 15 resection 15 resection 16 in 16 in 21 pancreactomy 17 1 21 pancreactomy 18 patient 19 , 18 patient 21 pancreactomy 20 distal 21 pancreactomy 22 in 24 patients 23 13 24 patients 25 , 26 including 26 including 29 pancreactomy 26 including 30 in 26 including 47 ; 27 laparoscopic 29 pancreactomy 28 distal 29 pancreactomy 30 in 32 patients 31 2 32 patients 32 patients 36 resection 33 , 36 resection 34 pancreatic 36 resection 35 tumor 36 resection 36 resection 37 in 36 resection 43 resection 36 resection 47 ; 37 in 39 patients 38 3 39 patients 40 , 43 resection 41 middle 43 resection 42 segmental 43 resection 43 resection 44 in 43 resection 47 ; 44 in 46 patients 45 4 46 patients 47 ; 49 patients 47 ; 53 received 48 1 49 patients 49 patients 50 with 49 patients 53 received 50 with 52 cystadenocarcinoma 51 mucinous 52 cystadenocarcinoma 53 received 55 surgery 54 palliative 55 surgery complication included gastroparesis in 3 patients and pancreatic fistula in 5 patients , and all recovered by conservative treatment . 0 ###LEFT-WALL### 1 complication 0 ###LEFT-WALL### 2 included 0 ###LEFT-WALL### 20 . 1 complication 2 included 2 included 3 gastroparesis 2 included 4 in 4 in 14 and 5 3 6 patients 6 patients 7 and 7 and 9 fistula 7 and 10 in 7 and 14 and 8 pancreatic 9 fistula 10 in 12 patients 11 5 12 patients 13 , 14 and 14 and 15 all 14 and 16 recovered 16 recovered 17 by 17 by 19 treatment 18 conservative 19 treatment these 29 patients were followed up 4 - 120 months , 3 patients died from tumor metastasis or other disease within 4 to 34 months after surgery . 0 ###LEFT-WALL### 2 29 0 ###LEFT-WALL### 5 followed 0 ###LEFT-WALL### 28 . 1 these 2 29 2 29 3 patients 2 29 4 were 2 29 5 followed 3 patients 4 were 5 followed 6 up 5 followed 7 4 5 followed 26 after 7 4 10 months 8 - 10 months 9 120 10 months 10 months 11 , 12 3 13 patients 13 patients 14 died 14 died 15 from 14 died 21 within 15 from 18 or 16 tumor 17 metastasis 17 metastasis 18 or 18 or 20 disease 19 other 20 disease 21 within 23 to 22 4 23 to 23 to 24 34 24 34 25 months 25 months 26 after 26 after 27 surgery others were alive and there was no tumor recurrence or metastasis . 0 ###LEFT-WALL### 1 others 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 12 . 1 others 2 were 2 were 3 alive 4 and 5 there 4 and 6 was 5 there 6 was 6 was 10 or 7 no 9 recurrence 8 tumor 9 recurrence 9 recurrence 10 or 10 or 11 metastasis conclusions : ct [scan] should be the first choice of [non] [-] invasive examination for cystic pancreatic diagnosis . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 ct 2 : 6 be 2 : 19 . 3 ct 5 should 5 should 6 be 6 be 9 choice 7 the 8 first 7 the 9 choice 9 choice 10 of 10 of 14 examination 13 invasive 14 examination 14 examination 15 for 15 for 18 diagnosis 16 cystic 18 diagnosis 17 pancreatic 18 diagnosis positive and timely operation should be performed in the patient with cystic pancreatic tumor , and it acts as a cancer preventive treatment . 0 ###LEFT-WALL### 14 tumor 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 24 . 1 positive 2 and 2 and 3 timely 2 and 4 operation 2 and 11 with 2 and 14 tumor 4 operation 5 should 5 should 6 be 6 be 7 performed 7 performed 8 in 7 performed 11 with 8 in 10 patient 9 the 10 patient 12 cystic 14 tumor 13 pancreatic 14 tumor 15 , 16 and 16 and 17 it 16 and 18 acts 17 it 18 acts 18 acts 19 as 19 as 23 treatment 20 a 21 cancer 20 a 23 treatment 21 cancer 23 treatment 22 preventive 23 treatment the selection [of] surgical approach should be individualized , the principal of damage control surgery should be followed . 0 ###LEFT-WALL### 5 approach 0 ###LEFT-WALL### 8 individualized 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 19 . 1 the 5 approach 2 selection 5 approach 4 surgical 5 approach 5 approach 6 should 6 should 7 be 7 be 8 individualized 9 , 11 principal 9 , 18 followed 10 the 11 principal 11 principal 12 of 11 principal 16 should 12 of 15 surgery 13 damage 15 surgery 14 control 15 surgery 16 should 17 be 17 be 18 followed complications such as gastroparesis and pancreatic fistula should be paid more attention . 0 ###LEFT-WALL### 1 complications 0 ###LEFT-WALL### 10 paid 0 ###LEFT-WALL### 13 . 1 complications 3 as 1 complications 8 should 2 such 3 as 3 as 5 and 4 gastroparesis 5 and 5 and 7 fistula 6 pancreatic 7 fistula 8 should 9 be 9 be 10 paid 10 paid 12 attention 11 more 12 attention objective : to study the clinical application value of middle segment pancreatectomy in the treatment of benign tumors of the amphi - [neck] of the pancreas . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 study 3 to 4 study 4 study 8 value 4 study 13 in 5 the 8 value 6 clinical 7 application 7 application 8 value 8 value 9 of 9 of 12 pancreatectomy 10 middle 12 pancreatectomy 11 segment 12 pancreatectomy 13 in 15 treatment 14 the 15 treatment 15 treatment 16 of 16 of 18 tumors 17 benign 18 tumors 18 tumors 19 of 18 tumors 24 of 19 of 21 amphi 20 the 21 amphi 22 - 24 of 24 of 26 pancreas 24 of 27 . 25 the 26 pancreas methods : fifteen cases were retrospectively analyzed treated from november 2005 to june 2009 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 . 1 methods 2 : 2 : 3 fifteen 3 fifteen 4 cases 3 fifteen 5 were 3 fifteen 7 analyzed 3 fifteen 8 treated 4 cases 5 were 6 retrospectively 7 analyzed 8 treated 9 from 8 treated 12 to 9 from 10 november 10 november 11 2005 12 to 13 june 13 june 14 2009 there were 3 male and 12 female aging from 30 to 50 years . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 14 . 1 there 2 were 2 were 5 and 3 3 5 and 4 male 5 and 5 and 7 female 5 and 8 aging 5 and 9 from 6 12 7 female 9 from 13 years 10 30 11 to 11 to 12 50 11 to 13 years they all received middle segment pancreatectomy for benign tumors of the amphi - [neck] of the pancreas . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 3 received 1 they 3 received 2 all 3 received 3 received 6 pancreatectomy 4 middle 6 pancreatectomy 5 segment 6 pancreatectomy 6 pancreatectomy 7 for 7 for 9 tumors 8 benign 9 tumors 9 tumors 10 of 10 of 12 amphi 11 the 12 amphi 12 amphi 15 of 13 - 15 of 15 of 17 pancreas 15 of 18 . 16 the 17 pancreas results : there was no death during perioperative period . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 there 2 : 4 was 2 : 10 . 3 there 4 was 4 was 6 death 5 no 6 death 6 death 7 during 7 during 9 period 8 perioperative 9 period all the 15 patients received middle segment pancreatectomy . 0 ###LEFT-WALL### 1 all 0 ###LEFT-WALL### 5 received 0 ###LEFT-WALL### 9 . 1 all 2 the 1 all 4 patients 1 all 5 received 2 the 3 15 3 15 4 patients 5 received 8 pancreatectomy 6 middle 8 pancreatectomy 7 segment 8 pancreatectomy fourteen of them received the closure of broken ends of pancreatic head , pancreaticojejunostomy ( mono - anastomosis ) and the rest one received dipl - anastomosis . 0 ###LEFT-WALL### 1 fourteen 0 ###LEFT-WALL### 4 received 0 ###LEFT-WALL### 28 . 1 fourteen 2 of 1 fourteen 4 received 2 of 3 them 4 received 27 anastomosis 5 the 6 closure 6 closure 7 of 6 closure 20 and 7 of 9 ends 8 broken 9 ends 9 ends 10 of 9 ends 14 pancreaticojejunostomy 10 of 12 head 11 pancreatic 12 head 13 , 14 pancreaticojejunostomy 14 pancreaticojejunostomy 18 anastomosis 14 pancreaticojejunostomy 19 ) 15 ( 18 anastomosis 16 mono 17 - 16 mono 18 anastomosis 18 anastomosis 19 ) 20 and 22 rest 20 and 23 one 20 and 24 received 20 and 27 anastomosis 21 the 22 rest 23 one 24 received 25 dipl 26 - 25 dipl 27 anastomosis postoperative pathology showed that in the 15 patients , 1 [got] solid - pseudopapillary tumor of the pancreas , 3 got [non] [-] functional islet cell tumor [,] 11 got cystadenoma of [pancreas] . 0 ###LEFT-WALL### 2 pathology 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 34 . 1 postoperative 2 pathology 2 pathology 3 showed 3 showed 4 that 4 that 20 3 4 that 21 got 5 in 8 patients 5 in 19 , 5 in 20 3 6 the 7 15 7 15 8 patients 8 patients 15 tumor 9 , 15 tumor 10 1 15 tumor 12 solid 13 - 12 solid 15 tumor 14 pseudopapillary 15 tumor 15 tumor 16 of 15 tumor 19 , 16 of 18 pancreas 17 the 18 pancreas 20 3 21 got 21 got 25 islet 24 functional 25 islet 25 islet 27 tumor 25 islet 32 of 26 cell 27 tumor 27 tumor 29 11 27 tumor 30 got 30 got 31 cystadenoma 31 cystadenoma 32 of three of them got pancreatic [fistula] and were self cured in 3 months . 0 ###LEFT-WALL### 1 three 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 14 . 1 three 2 of 1 three 7 and 2 of 3 them 4 got 5 pancreatic 4 got 7 and 7 and 8 were 7 and 11 in 8 were 10 cured 9 self 10 cured 11 in 13 months 12 3 13 months follow - up visits to all the patients kept in the following 2 to 45 months . 0 ###LEFT-WALL### 1 follow 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 17 . 2 - 3 up 3 up 4 visits 3 up 5 to 3 up 10 in 5 to 6 all 6 all 7 the 6 all 8 patients 7 the 8 patients 8 patients 9 kept 10 in 16 months 11 the 12 following 11 the 14 to 13 2 14 to 14 to 15 45 14 to 16 months there was no death . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 5 . 1 there 2 was 2 was 4 death 3 no 4 death no patients got new - onset diabetes and pancreatic pseudocyst . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 3 got 0 ###LEFT-WALL### 11 . 1 no 2 patients 2 patients 3 got 3 got 8 and 4 new 5 - 4 new 6 onset 6 onset 7 diabetes 7 diabetes 8 and 8 and 10 pseudocyst 9 pancreatic 10 pseudocyst and their tumors were not [relapsed] . 0 ###LEFT-WALL### 1 and 0 ###LEFT-WALL### 7 . 1 and 3 tumors 1 and 4 were 2 their 3 tumors 3 tumors 4 were 4 were 5 not conclusions : there is an exact therapeutic effect of middle segment pancreatectomy for benign tumors of the amphi - [neck] of the pancreas . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 there 2 : 4 is 3 there 4 is 4 is 8 effect 5 an 6 exact 5 an 8 effect 6 exact 8 effect 7 therapeutic 8 effect 8 effect 9 of 8 effect 13 for 8 effect 21 of 9 of 12 pancreatectomy 10 middle 12 pancreatectomy 11 segment 12 pancreatectomy 13 for 15 tumors 14 benign 15 tumors 15 tumors 16 of 16 of 18 amphi 17 the 18 amphi 19 - 21 of 21 of 23 pancreas 21 of 24 . 22 the 23 pancreas the treatment has little function damage to patients ' endocrine and external secretion . 0 ###LEFT-WALL### 2 treatment 0 ###LEFT-WALL### 3 has 0 ###LEFT-WALL### 14 . 1 the 2 treatment 2 treatment 3 has 3 has 6 damage 3 has 7 to 4 little 5 function 5 function 6 damage 7 to 13 secretion 8 patients 9 ' 9 ' 13 secretion 10 endocrine 11 and 11 and 12 external 11 and 13 secretion the incidence rate of pancreatic fistula [in] middle segment pancreatectomy is higher than that in pancreaticoduodenectomy . 0 ###LEFT-WALL### 3 rate 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 17 . 1 the 3 rate 2 incidence 3 rate 3 rate 4 of 3 rate 11 is 4 of 10 pancreatectomy 5 pancreatic 6 fistula 6 fistula 10 pancreatectomy 8 middle 10 pancreatectomy 9 segment 10 pancreatectomy 11 is 12 higher 12 higher 13 than 12 higher 15 in 13 than 14 that 15 in 16 pancreaticoduodenectomy as long as the drainage is kept unobstructed [,] most of the pancreatic fistula can be self cured . 0 ###LEFT-WALL### 2 long 0 ###LEFT-WALL### 16 be 0 ###LEFT-WALL### 19 . 1 as 2 long 2 long 3 as 2 long 16 be 3 as 5 drainage 3 as 7 kept 3 as 8 unobstructed 4 the 5 drainage 5 drainage 6 is 6 is 7 kept 10 most 11 of 10 most 15 can 11 of 14 fistula 12 the 14 fistula 13 pancreatic 14 fistula 15 can 16 be 16 be 18 cured 17 self 18 cured objective : to investigate the surgical options for the malignant pancreatic neuroendocrine tumor ( pnets ) . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 investigate 2 : 17 . 3 to 4 investigate 4 investigate 7 options 5 the 7 options 6 surgical 7 options 7 options 8 for 8 for 13 tumor 9 the 13 tumor 10 malignant 12 neuroendocrine 11 pancreatic 12 neuroendocrine 12 neuroendocrine 13 tumor 13 tumor 15 pnets 14 ( 15 pnets 15 pnets 16 ) methods : the clinic data of 32 patients with malignant pancreatic neuroendocrine tumors who were admitted between january 2003 and december 2009 were summarized . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 5 data 2 : 24 summarized 2 : 25 . 3 the 5 data 4 clinic 5 data 5 data 6 of 5 data 14 who 5 data 15 were 5 data 23 were 6 of 8 patients 7 32 8 patients 8 patients 9 with 9 with 13 tumors 10 malignant 12 neuroendocrine 11 pancreatic 12 neuroendocrine 12 neuroendocrine 13 tumors 14 who 15 were 15 were 16 admitted 16 admitted 17 between 17 between 20 and 18 january 19 2003 18 january 20 and 20 and 21 december 21 december 22 2009 23 were 24 summarized there were 19 male and 13 female , aging from 17 to 71 years ( mean age , 46.3 years ) . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 1 there 2 were 2 were 5 and 3 19 5 and 4 male 5 and 5 and 7 female 5 and 9 aging 6 13 7 female 8 , 9 aging 9 aging 14 years 9 aging 22 . 10 from 12 to 11 17 12 to 12 to 13 71 12 to 14 years 14 years 17 age 14 years 20 years 15 ( 17 age 16 mean 17 age 17 age 18 , 18 , 20 years 19 46.3 20 years 20 years 21 ) the general information , postoperative pathology results , surgical options and followup were also collected . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 13 were 0 ###LEFT-WALL### 16 . 1 the 3 information 2 general 3 information 3 information 4 , 4 , 7 results 4 , 8 , 5 postoperative 6 pathology 6 pathology 7 results 8 , 10 options 8 , 11 and 9 surgical 10 options 11 and 12 followup 11 and 13 were 13 were 14 also 13 were 15 collected results : there were 32 cases of malignant pnets including functional malignant pnets in 12 cases and nonfunctional malignant pnets in 20 cases . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 3 there 2 : 4 were 3 there 4 were 4 were 6 cases 4 were 14 in 4 were 21 in 5 32 6 cases 6 cases 7 of 6 cases 10 including 7 of 9 pnets 8 malignant 9 pnets 10 including 13 pnets 11 functional 13 pnets 12 malignant 13 pnets 14 in 17 and 15 12 16 cases 16 cases 17 and 17 and 20 pnets 18 nonfunctional 20 pnets 19 malignant 20 pnets 21 in 23 cases 22 20 23 cases thirty - one patients accepted surgical treatments which included local resections in 4 patients , whipple procedures in 7 patients , distal pancreatectomy in 17 patients and laparotomy in 3 patients . 0 ###LEFT-WALL### 1 thirty 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 5 accepted 0 ###LEFT-WALL### 32 . 2 - 3 one 3 one 4 patients 3 one 5 accepted 4 patients 5 accepted 5 accepted 7 treatments 6 surgical 7 treatments 7 treatments 8 which 7 treatments 9 included 8 which 9 included 9 included 11 resections 10 local 11 resections 11 resections 12 in 11 resections 22 distal 12 in 14 patients 13 4 14 patients 14 patients 17 procedures 15 , 17 procedures 16 whipple 17 procedures 17 procedures 18 in 17 procedures 21 , 18 in 20 patients 19 7 20 patients 22 distal 27 and 22 distal 29 in 23 pancreatectomy 24 in 23 pancreatectomy 27 and 24 in 26 patients 25 17 26 patients 27 and 28 laparotomy 29 in 31 patients 30 3 31 patients one patient accepted ct guided [biopsy] . 0 ###LEFT-WALL### 2 patient 0 ###LEFT-WALL### 3 accepted 0 ###LEFT-WALL### 7 . 1 one 2 patient 2 patient 3 accepted 3 accepted 4 ct 4 ct 5 guided follow up [were] lost in two patients after operations . 0 ###LEFT-WALL### 1 follow 0 ###LEFT-WALL### 10 . 1 follow 2 up 1 follow 4 lost 4 lost 5 in 4 lost 8 after 5 in 7 patients 6 two 7 patients 8 after 9 operations five patients died in the first year after operations . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 3 died 0 ###LEFT-WALL### 10 . 1 five 2 patients 2 patients 3 died 3 died 4 in 3 died 8 after 5 the 7 year 6 first 7 year 7 year 8 after 8 after 9 operations twenty - two patients still survived [after] mean follow up of 28 months ( 4 - 83 months ) . 0 ###LEFT-WALL### 1 twenty 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 20 . 2 - 3 two 3 two 4 patients 3 two 9 follow 3 two 11 of 4 patients 6 survived 4 patients 9 follow 5 still 6 survived 6 survived 8 mean 9 follow 10 up 11 of 13 months 12 28 13 months 13 months 16 - 14 ( 16 - 15 4 16 - 16 - 18 months 16 - 19 ) 17 83 18 months the survival rate for this group of patients was 83.5 % in the first year , 72.6 % in the second year and [54.4] [%] in the fifth year . 0 ###LEFT-WALL### 3 rate 0 ###LEFT-WALL### 9 was 1 the 3 rate 2 survival 3 rate 3 rate 4 for 3 rate 9 was 4 for 8 patients 5 this 6 group 6 group 7 of 6 group 8 patients 7 of 8 patients 9 was 11 % 10 83.5 11 % 11 % 12 in 12 in 15 year 13 the 15 year 14 first 15 year 15 year 18 % 16 , 18 % 17 72.6 18 % 18 % 23 and 18 % 30 . 19 in 22 year 19 in 23 and 20 the 21 second 20 the 22 year 23 and 26 in 26 in 29 year 27 the 28 fifth 27 the 29 year conclusions : malignant pnets is the proper indication for surgical treatments . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 pnets 2 : 5 is 2 : 12 . 3 malignant 4 pnets 4 pnets 5 is 5 is 8 indication 6 the 8 indication 7 proper 8 indication 8 indication 9 for 9 for 11 treatments 10 surgical 11 treatments more accumulation of clinical data is needed to evaluate the significance of local resection of malignant pnets in pancreatic [head] and cytoreductive surgery . 0 ###LEFT-WALL### 2 accumulation 0 ###LEFT-WALL### 7 needed 0 ###LEFT-WALL### 24 . 1 more 2 accumulation 2 accumulation 3 of 2 accumulation 6 is 3 of 5 data 4 clinical 5 data 6 is 7 needed 7 needed 8 to 7 needed 18 in 8 to 9 evaluate 9 evaluate 11 significance 10 the 11 significance 11 significance 12 of 12 of 14 resection 13 local 14 resection 14 resection 15 of 15 of 17 pnets 16 malignant 17 pnets 18 in 23 surgery 19 pancreatic 21 and 21 and 22 cytoreductive 21 and 23 surgery acute kidney injury ( aki ) is a major health care condition with limited current treatment options . 0 ###LEFT-WALL### 3 injury 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 18 . 1 acute 3 injury 2 kidney 3 injury 3 injury 5 aki 3 injury 7 is 4 ( 5 aki 5 aki 6 ) 7 is 12 condition 8 a 9 major 8 a 12 condition 9 major 10 health 10 health 11 care 11 care 12 condition 12 condition 13 with 13 with 17 options 14 limited 16 treatment 15 current 16 treatment 16 treatment 17 options within this context , stem cells may provide a clinical approach for aki . 0 ###LEFT-WALL### 6 cells 0 ###LEFT-WALL### 8 provide 0 ###LEFT-WALL### 14 . 1 within 3 context 1 within 4 , 1 within 6 cells 2 this 3 context 5 stem 6 cells 6 cells 7 may 7 may 8 provide 8 provide 11 approach 9 a 10 clinical 9 a 11 approach 10 clinical 11 approach 11 approach 12 for 12 for 13 aki moreover , a synthetic compound previously developed , hyaluronan monoesters with butyric acid ( hb ) , able to induce metanephric differentiation , formation [of] [capillary] - like structures , and secretion of angiogenic cytokines , was tested in vitro . 0 ###LEFT-WALL### 5 compound 0 ###LEFT-WALL### 38 tested 0 ###LEFT-WALL### 41 . 1 moreover 2 , 1 moreover 5 compound 3 a 4 synthetic 3 a 5 compound 4 synthetic 5 compound 5 compound 7 developed 5 compound 10 monoesters 5 compound 18 able 5 compound 37 was 6 previously 7 developed 8 , 10 monoesters 9 hyaluronan 10 monoesters 10 monoesters 11 with 10 monoesters 15 hb 10 monoesters 16 ) 11 with 13 acid 12 butyric 13 acid 14 ( 15 hb 15 hb 16 ) 17 , 18 able 18 able 19 to 18 able 20 induce 18 able 36 , 19 to 20 induce 20 induce 22 differentiation 20 induce 28 like 21 metanephric 22 differentiation 22 differentiation 24 formation 23 , 24 formation 24 formation 27 - 27 - 28 like 28 like 31 and 28 like 36 , 29 structures 31 and 30 , 31 and 31 and 32 secretion 31 and 33 of 33 of 35 cytokines 34 angiogenic 35 cytokines 37 was 38 tested 38 tested 40 vitro 39 in 40 vitro thereafter , we investigated the effects of human mesenchymal stem cells from fetal membranes ( fmhmscs ) , both treated and untreated with hb , after induction of ischemic aki in a rat model . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 investigated 0 ###LEFT-WALL### 35 . 1 thereafter 2 , 1 thereafter 3 we 3 we 4 investigated 4 investigated 6 effects 4 investigated 26 after 4 investigated 31 in 5 the 6 effects 6 effects 7 of 6 effects 12 from 7 of 11 cells 8 human 11 cells 9 mesenchymal 10 stem 10 stem 11 cells 12 from 14 membranes 13 fetal 14 membranes 14 membranes 16 fmhmscs 14 membranes 21 and 15 ( 16 fmhmscs 16 fmhmscs 17 ) 18 , 21 and 19 both 20 treated 19 both 21 and 21 and 22 untreated 21 and 23 with 21 and 25 , 23 with 24 hb 26 after 27 induction 27 induction 28 of 28 of 30 aki 29 ischemic 30 aki 31 in 34 model 32 a 34 model 33 rat 34 model at reperfusion following 45 - min clamping of renal pedicles [,] each rat was randomly assigned to one of four groups : ctr , pbs , msc , and msc - hb . 0 ###LEFT-WALL### 7 clamping 0 ###LEFT-WALL### 22 : 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 33 . 1 at 3 following 1 at 5 - 1 at 7 clamping 2 reperfusion 3 following 3 following 4 45 6 min 7 clamping 7 clamping 8 of 7 clamping 22 : 8 of 10 pedicles 9 renal 10 pedicles 10 pedicles 13 rat 10 pedicles 16 assigned 12 each 13 rat 13 rat 14 was 14 was 15 randomly 14 was 16 assigned 16 assigned 17 to 17 to 18 one 18 one 19 of 19 of 21 groups 20 four 21 groups 22 : 23 ctr 24 , 29 and 25 pbs 27 msc 26 , 27 msc 27 msc 29 and 28 , 29 and 29 and 32 hb 30 msc 32 hb 31 - 32 hb renal [function] at 1 , 3 , 5 , and 7 days [was] assessed . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 15 . 1 renal 3 at 1 renal 10 and 3 at 4 1 4 1 6 3 4 1 8 5 5 , 6 3 6 3 7 , 7 , 8 5 8 5 9 , 9 , 10 and 10 and 12 days 10 and 14 assessed 11 7 12 days histological samples were analyzed by light and electron microscopy and renal injury was graded . 0 ###LEFT-WALL### 2 samples 0 ###LEFT-WALL### 4 analyzed 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 15 . 1 histological 2 samples 2 samples 3 were 3 were 4 analyzed 4 analyzed 5 by 5 by 7 and 6 light 7 and 7 and 9 microscopy 8 electron 9 microscopy 10 and 12 injury 10 and 14 graded 11 renal 12 injury 12 injury 13 was 13 was 14 graded cytokine analysis on serum samples was performed . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 7 performed 0 ###LEFT-WALL### 8 . 1 cytokine 2 analysis 2 analysis 3 on 2 analysis 6 was 3 on 5 samples 4 serum 5 samples 6 was 7 performed fmhmscs induced an accelerated renal functional recovery [,] demonstrated by biochemical parameters and confirmed by histology showing that histopathological alterations associated with ischemic injury were less severe in cell [-] treated kidneys . 0 ###LEFT-WALL### 1 fmhmscs 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 33 . 1 fmhmscs 13 and 2 induced 7 recovery 2 induced 13 and 3 an 7 recovery 4 accelerated 7 recovery 5 renal 7 recovery 6 functional 7 recovery 7 recovery 9 demonstrated 7 recovery 10 by 10 by 12 parameters 11 biochemical 12 parameters 13 and 14 confirmed 13 and 28 in 14 confirmed 15 by 14 confirmed 20 alterations 14 confirmed 25 were 15 by 16 histology 16 histology 17 showing 17 showing 18 that 19 histopathological 20 alterations 20 alterations 21 associated 20 alterations 25 were 21 associated 22 with 22 with 24 injury 23 ischemic 24 injury 25 were 27 severe 26 less 27 severe 28 in 32 kidneys 29 cell 31 treated 31 treated 32 kidneys hb - treated rats showed a minor degree of inflammation , both at cytokine [and] tem analyses . 0 ###LEFT-WALL### 4 rats 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 18 . 1 hb 2 - 1 hb 4 rats 3 treated 4 rats 4 rats 5 showed 5 showed 10 inflammation 6 a 7 minor 6 a 8 degree 7 minor 8 degree 8 degree 9 of 8 degree 10 inflammation 9 of 10 inflammation 11 , 12 both 12 both 13 at 13 at 17 analyses 14 cytokine 17 analyses 16 tem 17 analyses better functional and morphological recovery were not associated to stem cells ' regenerative processes , but possibly suggest paracrine effects on microenvironment that induce retrieval of renal damaged tissues . 0 ###LEFT-WALL### 5 recovery 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 30 . 1 better 5 recovery 2 functional 3 and 3 and 4 morphological 3 and 5 recovery 5 recovery 6 were 6 were 7 not 6 were 9 to 7 not 8 associated 9 to 14 processes 10 stem 11 cells 11 cells 12 ' 12 ' 14 processes 13 regenerative 14 processes 15 , 18 suggest 16 but 17 possibly 16 but 18 suggest 18 suggest 20 effects 19 paracrine 20 effects 20 effects 21 on 20 effects 23 that 20 effects 24 induce 21 on 22 microenvironment 23 that 24 induce 24 induce 25 retrieval 25 retrieval 26 of 26 of 29 tissues 27 renal 29 tissues 28 damaged 29 tissues these results suggest that fmhmscs could be useful in the treatment of aki and the utilization of synthetic compounds could enhance the recovery induction ability of cells . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 28 . 1 these 2 results 2 results 3 suggest 3 suggest 4 that 4 that 5 fmhmscs 4 that 14 and 5 fmhmscs 14 and 6 could 7 be 6 could 14 and 7 be 8 useful 8 useful 9 in 9 in 11 treatment 10 the 11 treatment 11 treatment 12 of 12 of 13 aki 14 and 21 enhance 15 the 16 utilization 16 utilization 17 of 16 utilization 20 could 17 of 19 compounds 18 synthetic 19 compounds 20 could 21 enhance 21 enhance 25 ability 22 the 25 ability 23 recovery 25 ability 24 induction 25 ability 25 ability 26 of 26 of 27 cells measures of brain and hippocampal volume in 40 healthy young ( aged 18 - 30 years ) and 36 healthy elderly ( aged 60 - 83 years ) subjects were compared with composite cognitive function scores in three conceptual domains : memory ability , processing speed , and general fluid intelligence . 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 31 compared 0 ###LEFT-WALL### 41 : 0 ###LEFT-WALL### 52 . 1 measures 2 of 1 measures 4 and 2 of 3 brain 4 and 6 volume 4 and 17 ) 4 and 18 and 5 hippocampal 6 volume 6 volume 7 in 7 in 16 years 8 40 16 years 9 healthy 16 years 10 young 12 aged 10 young 14 - 10 young 16 years 11 ( 12 aged 12 aged 13 18 12 aged 14 - 15 30 16 years 18 and 27 years 18 and 28 ) 18 and 29 subjects 18 and 30 were 18 and 31 compared 19 36 27 years 20 healthy 27 years 21 elderly 23 aged 21 elderly 25 - 21 elderly 27 years 22 ( 23 aged 23 aged 24 60 23 aged 25 - 26 83 27 years 29 subjects 30 were 31 compared 32 with 32 with 36 scores 32 with 37 in 33 composite 36 scores 34 cognitive 36 scores 35 function 36 scores 37 in 40 domains 38 three 40 domains 39 conceptual 40 domains 41 : 43 ability 41 : 44 , 42 memory 43 ability 44 , 48 and 45 processing 46 speed 46 speed 48 and 47 , 48 and 48 and 51 intelligence 49 general 51 intelligence 50 fluid 51 intelligence through a series of general linear models testing the relationship between these brain measures and cognitive performance scores , a significant positive relationship between hippocampal volume and fluid intelligence ability was found in elderly subjects but not in young . 0 ###LEFT-WALL### 7 models 0 ###LEFT-WALL### 13 brain 0 ###LEFT-WALL### 40 . 1 through 3 series 1 through 7 models 2 a 3 series 3 series 4 of 4 of 5 general 6 linear 7 models 7 models 8 testing 7 models 13 brain 8 testing 10 relationship 9 the 10 relationship 10 relationship 11 between 11 between 12 these 13 brain 27 and 13 brain 39 young 14 measures 15 and 15 and 18 scores 15 and 19 , 16 cognitive 17 performance 17 performance 18 scores 19 , 23 relationship 19 , 27 and 20 a 21 significant 20 a 23 relationship 21 significant 23 relationship 22 positive 23 relationship 23 relationship 24 between 24 between 26 volume 25 hippocampal 26 volume 27 and 29 intelligence 27 and 30 ability 27 and 38 in 28 fluid 29 intelligence 30 ability 31 was 31 was 32 found 32 found 33 in 32 found 36 but 32 found 38 in 33 in 35 subjects 34 elderly 35 subjects 36 but 37 not no relationship between the other cognitive domains and brain or hippocampal volume was found . 0 ###LEFT-WALL### 10 or 0 ###LEFT-WALL### 14 found 0 ###LEFT-WALL### 15 . 1 no 2 relationship 2 relationship 3 between 2 relationship 8 and 3 between 7 domains 4 the 5 other 5 other 7 domains 6 cognitive 7 domains 8 and 9 brain 8 and 10 or 10 or 12 volume 10 or 13 was 11 hippocampal 12 volume 13 was 14 found the findings suggest a role of hippocampal atrophy in the decline in fluid intelligence in the elderly . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 18 . 1 the 2 findings 2 findings 3 suggest 3 suggest 5 role 3 suggest 9 in 3 suggest 12 in 3 suggest 15 in 4 a 5 role 5 role 6 of 6 of 8 atrophy 7 hippocampal 8 atrophy 9 in 11 decline 10 the 11 decline 12 in 14 intelligence 13 fluid 14 intelligence 15 in 17 elderly 16 the 17 elderly this study examined domain - specific effects of common neuropathologies on cognition using data ( n = 652 ) from two large cohort studies of older adults . 0 ###LEFT-WALL### 4 domain 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 28 . 1 this 4 domain 2 study 3 examined 3 examined 4 domain 5 - 7 effects 6 specific 7 effects 7 effects 8 of 8 of 10 neuropathologies 9 common 10 neuropathologies 10 neuropathologies 11 on 11 on 12 cognition 12 cognition 13 using 12 cognition 20 from 13 using 14 data 14 data 17 = 15 ( 17 = 16 n 17 = 17 = 18 652 17 = 19 ) 20 from 24 studies 21 two 24 studies 22 large 23 cohort 23 cohort 24 studies 24 studies 25 of 25 of 27 adults 26 older 27 adults we first identified dimensions of a battery of 17 neuropsychological tests , and regional measures of alzheimer 's disease ( ad ) neuropathology . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 identified 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 24 . 1 we 3 identified 2 first 3 identified 3 identified 4 dimensions 4 dimensions 5 of 5 of 7 battery 6 a 7 battery 7 battery 8 of 8 of 11 tests 9 17 11 tests 10 neuropsychological 11 tests 12 , 13 and 13 and 15 measures 13 and 23 neuropathology 14 regional 15 measures 15 measures 16 of 15 measures 23 neuropathology 16 of 19 disease 17 alzheimer 18 's 18 's 19 disease 19 disease 21 ad 20 ( 21 ad 21 ad 22 ) we then evaluated how cognitive factors were related to dimensions of ad and additional measures of cerebrovascular and lewy body disease , and also examined independent effects of brain weight . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 evaluated 0 ###LEFT-WALL### 31 . 1 we 3 evaluated 2 then 3 evaluated 3 evaluated 4 how 4 how 6 factors 4 how 23 and 5 cognitive 6 factors 6 factors 23 and 7 were 8 related 7 were 23 and 8 related 9 to 9 to 13 and 10 dimensions 11 of 10 dimensions 13 and 11 of 12 ad 13 and 15 measures 14 additional 15 measures 15 measures 16 of 16 of 18 and 17 cerebrovascular 18 and 18 and 21 disease 19 lewy 20 body 20 body 21 disease 22 , 23 and 23 and 25 examined 23 and 27 effects 24 also 25 examined 26 independent 27 effects 27 effects 28 of 28 of 30 weight 29 brain 30 weight all cognitive domains had multiple neuropathology determinants that differed by [domain] . 0 ###LEFT-WALL### 3 domains 0 ###LEFT-WALL### 4 had 0 ###LEFT-WALL### 12 . 1 all 3 domains 2 cognitive 3 domains 3 domains 4 had 4 had 7 determinants 5 multiple 7 determinants 6 neuropathology 7 determinants 7 determinants 8 that 7 determinants 10 by 8 that 9 differed 9 differed 10 by neocortical neurofibrillary tangles were the strongest predictors of most domains , while medial temporal tangles showed a weaker relationship with episodic memory . 0 ###LEFT-WALL### 3 tangles 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 23 . 1 neocortical 3 tangles 2 neurofibrillary 3 tangles 3 tangles 4 were 4 were 7 predictors 5 the 6 strongest 5 the 7 predictors 7 predictors 8 of 8 of 10 domains 9 most 10 domains 11 , 15 tangles 11 , 16 showed 12 while 13 medial 12 while 15 tangles 14 temporal 15 tangles 15 tangles 16 showed 16 showed 19 relationship 16 showed 20 with 17 a 19 relationship 18 weaker 19 relationship 20 with 22 memory 21 episodic 22 memory neuritic plaques had relatively strong effects on multiple domains . 0 ###LEFT-WALL### 2 plaques 0 ###LEFT-WALL### 3 had 0 ###LEFT-WALL### 10 . 1 neuritic 2 plaques 2 plaques 3 had 3 had 6 effects 3 had 7 on 4 relatively 5 strong 5 strong 6 effects 7 on 9 domains 8 multiple 9 domains lewy bodies and macroscopic [infarcts] were associated with all domains , while microscopic [infarcts] [had] more limited associations . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 7 associated 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 19 . 1 lewy 2 bodies 2 bodies 3 and 3 and 4 macroscopic 3 and 6 were 6 were 7 associated 7 associated 8 with 8 with 10 domains 9 all 10 domains 11 , 16 more 11 , 17 limited 12 while 13 microscopic 12 while 16 more 16 more 17 limited 17 limited 18 associations brain weight [was] related to all domains independent of specific neuropathologies . 0 ###LEFT-WALL### 1 brain 0 ###LEFT-WALL### 12 . 1 brain 2 weight 2 weight 4 related 2 weight 9 of 4 related 5 to 4 related 8 independent 5 to 7 domains 6 all 7 domains 9 of 11 neuropathologies 10 specific 11 neuropathologies results show that cognition is complexly determined by multiple disease substrates . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 show 0 ###LEFT-WALL### 12 . 1 results 2 show 2 show 3 that 3 that 4 cognition 3 that 5 is 4 cognition 5 is 5 is 6 complexly 5 is 7 determined 7 determined 8 by 8 by 11 substrates 9 multiple 10 disease 10 disease 11 substrates neuropathological variables and brain weight contributed approximately a third to half of the explained variance in different cognitive domains . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 6 contributed 0 ###LEFT-WALL### 20 . 1 neuropathological 2 variables 2 variables 3 and 3 and 5 weight 3 and 6 contributed 4 brain 5 weight 6 contributed 9 third 6 contributed 10 to 6 contributed 16 in 7 approximately 9 third 8 a 9 third 10 to 11 half 11 half 12 of 12 of 15 variance 13 the 15 variance 14 explained 15 variance 16 in 19 domains 17 different 19 domains 18 cognitive 19 domains ageing is accompanied by a progressive loss of skeletal muscle [mass] and strength , leading to the loss of functional capacity and an increased risk for developing chronic metabolic diseases such as diabetes . 0 ###LEFT-WALL### 1 ageing 0 ###LEFT-WALL### 3 accompanied 0 ###LEFT-WALL### 34 . 1 ageing 2 is 2 is 3 accompanied 3 accompanied 4 by 3 accompanied 26 for 3 accompanied 32 as 4 by 7 loss 5 a 6 progressive 5 a 7 loss 6 progressive 7 loss 7 loss 8 of 7 loss 15 leading 7 loss 19 of 8 of 12 and 9 skeletal 10 muscle 10 muscle 12 and 12 and 13 strength 12 and 14 , 15 leading 16 to 16 to 18 loss 17 the 18 loss 19 of 22 and 20 functional 21 capacity 21 capacity 22 and 22 and 25 risk 23 an 25 risk 24 increased 25 risk 26 for 27 developing 27 developing 30 diseases 28 chronic 30 diseases 29 metabolic 30 diseases 31 such 32 as 32 as 33 diabetes the age - related loss of skeletal muscle mass results from a chronic disruption in the balance between muscle protein synthesis and degradation . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 4 related 1 the 2 age 3 - 4 related 4 related 5 loss 4 related 11 from 4 related 15 in 4 related 18 between 4 related 24 . 5 loss 6 of 6 of 10 results 7 skeletal 8 muscle 8 muscle 9 mass 9 mass 10 results 11 from 14 disruption 12 a 13 chronic 12 a 14 disruption 13 chronic 14 disruption 15 in 17 balance 16 the 17 balance 18 between 22 and 19 muscle 21 synthesis 20 protein 21 synthesis 21 synthesis 22 and 22 and 23 degradation as basal muscle protein synthesis rates are likely not different between healthy young and elderly human subjects , it was proposed that muscles from older adults lack the ability to regulate the protein synthetic response to anabolic stimuli , such as food intake and physical activity . 0 ###LEFT-WALL### 6 rates 0 ###LEFT-WALL### 9 not 1 as 3 muscle 1 as 6 rates 2 basal 3 muscle 4 protein 6 rates 5 synthesis 6 rates 6 rates 7 are 7 are 8 likely 9 not 19 it 9 not 21 proposed 10 different 11 between 10 different 18 , 10 different 19 it 11 between 17 subjects 12 healthy 17 subjects 13 young 14 and 14 and 15 elderly 14 and 17 subjects 16 human 17 subjects 19 it 20 was 20 was 21 proposed 21 proposed 22 that 22 that 23 muscles 22 that 27 lack 23 muscles 24 from 24 from 26 adults 25 older 26 adults 27 lack 29 ability 27 lack 30 to 28 the 29 ability 30 to 31 regulate 31 regulate 35 response 31 regulate 41 as 32 the 35 response 33 protein 35 response 34 synthetic 35 response 35 response 36 to 36 to 38 stimuli 37 anabolic 38 stimuli 39 , 41 as 40 such 41 as 41 as 44 and 41 as 47 . 42 food 43 intake 43 intake 44 and 44 and 46 activity 45 physical 46 activity indeed , the dose [-] response relationship between myofibrillar protein synthesis and the availability of essential amino acids [and/or] resistance exercise [intensity] is shifted down [and] to the right in elderly human subjects . 0 ###LEFT-WALL### 7 relationship 0 ###LEFT-WALL### 24 shifted 0 ###LEFT-WALL### 34 . 1 indeed 2 , 1 indeed 7 relationship 3 the 7 relationship 4 dose 7 relationship 6 response 7 relationship 7 relationship 8 between 7 relationship 24 shifted 8 between 12 and 9 myofibrillar 10 protein 10 protein 11 synthesis 11 synthesis 12 and 12 and 14 availability 12 and 15 of 13 the 14 availability 15 of 18 acids 16 essential 17 amino 17 amino 18 acids 18 acids 21 exercise 18 acids 23 is 20 resistance 21 exercise 21 exercise 23 is 24 shifted 25 down 24 shifted 27 to 27 to 29 right 28 the 29 right 29 right 30 in 30 in 33 subjects 31 elderly 32 human 32 human 33 subjects this so [-] called ['] anabolic resistance ['] [represents] a key factor responsible for the age - related decline [in] skeletal muscle mass . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 4 called 0 ###LEFT-WALL### 17 - 1 this 4 called 2 so 4 called 4 called 7 resistance 4 called 12 factor 6 anabolic 7 resistance 10 a 12 factor 11 key 12 factor 12 factor 13 responsible 13 responsible 14 for 14 for 16 age 15 the 16 age 17 - 23 mass 17 - 24 . 18 related 23 mass 19 decline 23 mass 21 skeletal 22 muscle 22 muscle 23 mass interestingly , long - term resistance exercise training is effective as a therapeutic intervention to augment skeletal muscle [mass] , and improves functional performance in the elderly . 0 ###LEFT-WALL### 8 training 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 28 . 1 interestingly 2 , 1 interestingly 8 training 3 long 4 - 3 long 8 training 5 term 8 training 6 resistance 7 exercise 7 exercise 8 training 8 training 21 and 9 is 10 effective 9 is 21 and 10 effective 11 as 10 effective 15 to 10 effective 16 augment 11 as 14 intervention 12 a 14 intervention 13 therapeutic 14 intervention 15 to 16 augment 16 augment 18 muscle 17 skeletal 18 muscle 20 , 21 and 21 and 22 improves 22 improves 24 performance 22 improves 25 in 23 functional 24 performance 25 in 27 elderly 26 the 27 elderly the consumption of different types of proteins , i.e [.] protein hydrolysates , can have different stimulatory effects on muscle protein synthesis in the elderly , which may be due to their higher rate of digestion and absorption . 0 ###LEFT-WALL### 2 consumption 0 ###LEFT-WALL### 15 have 0 ###LEFT-WALL### 26 , 0 ###LEFT-WALL### 39 . 1 the 2 consumption 2 consumption 3 of 2 consumption 12 hydrolysates 2 consumption 14 can 3 of 6 of 4 different 6 of 5 types 6 of 6 of 7 proteins 8 , 12 hydrolysates 9 i.e 12 hydrolysates 11 protein 12 hydrolysates 12 hydrolysates 13 , 14 can 15 have 15 have 18 effects 15 have 19 on 16 different 17 stimulatory 17 stimulatory 18 effects 19 on 22 synthesis 20 muscle 22 synthesis 21 protein 22 synthesis 22 synthesis 23 in 23 in 25 elderly 24 the 25 elderly 26 , 27 which 26 , 29 be 27 which 28 may 28 may 29 be 29 be 31 to 30 due 31 to 31 to 34 rate 32 their 34 rate 33 higher 34 rate 34 rate 35 of 35 of 37 and 36 digestion 37 and 37 and 38 absorption current research aims to elucidate the interactions between nutrition , exercise and the skeletal muscle adaptive response that will define more effective strategies to maximise the therapeutic benefits of lifestyle interventions in the elderly . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 35 . 1 current 2 research 2 research 3 aims 3 aims 4 to 3 aims 5 elucidate 4 to 5 elucidate 5 elucidate 7 interactions 6 the 7 interactions 7 interactions 8 between 8 between 9 nutrition 10 , 12 and 11 exercise 12 and 12 and 17 response 12 and 18 that 12 and 19 will 13 the 17 response 14 skeletal 15 muscle 15 muscle 17 response 16 adaptive 17 response 18 that 19 will 19 will 20 define 20 define 23 strategies 20 define 24 to 21 more 22 effective 22 effective 23 strategies 24 to 25 maximise 25 maximise 28 benefits 26 the 28 benefits 27 therapeutic 28 benefits 28 benefits 29 of 28 benefits 32 in 29 of 31 interventions 30 lifestyle 31 interventions 32 in 34 elderly 33 the 34 elderly background : in many parts of the world the provision of psychogeriatric inpatient units ( pgus ) remains limited . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 2 : 10 provision 2 : 18 remains 3 in 5 parts 3 in 10 provision 4 many 5 parts 5 parts 6 of 6 of 8 world 7 the 8 world 9 the 10 provision 10 provision 11 of 10 provision 18 remains 11 of 14 units 12 psychogeriatric 14 units 13 inpatient 14 units 14 units 16 pgus 15 ( 16 pgus 16 pgus 17 ) 18 remains 19 limited more units will be required over coming decades given rapid population aging . 0 ###LEFT-WALL### 2 units 0 ###LEFT-WALL### 5 required 0 ###LEFT-WALL### 13 . 1 more 2 units 2 units 3 will 3 will 4 be 4 be 5 required 5 required 6 over 6 over 8 decades 7 coming 8 decades 8 decades 9 given 9 given 11 population 10 rapid 11 population 11 population 12 aging methods : medline ( 1950 - 2010 ) , psycinfo ( 1806 - 2009 ) , embase ( 1980 - 2009 ) and cinahl ( 1982 - 2009 ) were searched for papers about pgu design . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 2 : 23 and 2 : 31 searched 3 medline 5 1950 3 medline 16 , 4 ( 5 1950 5 1950 7 2010 5 1950 10 psycinfo 5 1950 15 ) 6 - 7 2010 7 2010 8 ) 9 , 10 psycinfo 10 psycinfo 13 - 10 psycinfo 15 ) 11 ( 13 - 12 1806 13 - 13 - 14 2009 13 - 15 ) 16 , 17 embase 16 , 23 and 17 embase 20 - 18 ( 20 - 19 1980 20 - 20 - 21 2009 20 - 22 ) 23 and 24 cinahl 23 and 29 ) 23 and 30 were 24 cinahl 27 - 25 ( 27 - 26 1982 27 - 27 - 28 2009 27 - 29 ) 30 were 31 searched 31 searched 32 for 31 searched 34 about 32 for 33 papers 34 about 36 design 35 pgu 36 design selected [non] - peer reviewed literature such as government reports and unpublished academic dissertations were also reviewed . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 17 reviewed 0 ###LEFT-WALL### 18 . 1 selected 3 - 1 selected 11 and 4 peer 5 reviewed 5 reviewed 6 literature 6 literature 8 as 6 literature 11 and 7 such 8 as 8 as 10 reports 9 government 10 reports 11 and 14 dissertations 11 and 15 were 12 unpublished 14 dissertations 13 academic 14 dissertations 15 were 17 reviewed 16 also 17 reviewed data were also obtained from the literature related to general adult psychiatry inpatient units where there was limited information from studies of units designed for older people . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 28 . 1 data 2 were 2 were 3 also 2 were 4 obtained 4 obtained 5 from 4 obtained 9 to 4 obtained 15 where 5 from 7 literature 6 the 7 literature 7 literature 8 related 9 to 14 units 10 general 11 adult 11 adult 14 units 12 psychiatry 13 inpatient 13 inpatient 14 units 15 where 16 there 15 where 17 was 16 there 17 was 17 was 19 information 18 limited 19 information 19 information 20 from 19 information 22 of 19 information 25 for 20 from 21 studies 22 of 23 units 23 units 24 designed 25 for 27 people 26 older 27 people over 200 papers were reviewed and 130 were included . 0 ###LEFT-WALL### 3 papers 0 ###LEFT-WALL### 5 reviewed 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 10 . 1 over 2 200 2 200 3 papers 3 papers 4 were 4 were 5 reviewed 6 and 7 130 6 and 9 included 7 130 8 were 8 were 9 included results : there are few good quality studies to guide the design of acute pgus and much of the existing literature is based on opinion and anecdote [or] , at best , based on observational studies . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 there 2 : 4 are 2 : 16 and 3 there 4 are 4 are 8 studies 4 are 9 to 5 few 8 studies 6 good 7 quality 7 quality 8 studies 9 to 10 guide 10 guide 12 design 11 the 12 design 12 design 13 of 13 of 15 pgus 14 acute 15 pgus 16 and 21 literature 16 and 23 based 17 much 18 of 17 much 21 literature 18 of 21 literature 19 the 21 literature 20 existing 21 literature 21 literature 22 is 22 is 23 based 23 based 24 on 23 based 31 best 23 based 33 based 24 on 26 and 25 opinion 26 and 26 and 27 anecdote 26 and 29 , 30 at 31 best 32 , 33 based 33 based 34 on 33 based 37 . 34 on 36 studies 35 observational 36 studies randomized controlled studies comparing different designs and assessing outcomes are virtually [non] [-] existent . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 10 are 0 ###LEFT-WALL### 15 . 1 randomized 3 studies 2 controlled 3 studies 3 studies 4 comparing 3 studies 7 and 4 comparing 6 designs 5 different 6 designs 7 and 9 outcomes 7 and 10 are 8 assessing 9 outcomes 10 are 14 existent 11 virtually 14 existent several studies have identified violence and trauma resulting from hospitalization as significant problems with current acute pgu care . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 identified 0 ###LEFT-WALL### 19 . 1 several 2 studies 2 studies 3 have 3 have 4 identified 4 identified 6 and 5 violence 6 and 6 and 7 trauma 6 and 8 resulting 6 and 9 from 6 and 11 as 6 and 14 with 9 from 10 hospitalization 11 as 13 problems 12 significant 13 problems 14 with 18 care 15 current 18 care 16 acute 18 care 17 pgu 18 care despite its limitations the available literature provides useful guidance on how pgu design can optimize patient and staff safety and improve clinical outcomes . 0 ###LEFT-WALL### 6 literature 0 ###LEFT-WALL### 7 provides 0 ###LEFT-WALL### 24 . 1 despite 3 limitations 1 despite 6 literature 2 its 3 limitations 4 the 6 literature 5 available 6 literature 6 literature 7 provides 7 provides 9 guidance 7 provides 10 on 8 useful 9 guidance 10 on 11 how 11 how 13 design 11 how 20 and 12 pgu 13 design 13 design 14 can 14 can 20 and 15 optimize 17 and 15 optimize 20 and 16 patient 17 and 17 and 19 safety 18 staff 19 safety 20 and 21 improve 21 improve 23 outcomes 22 clinical 23 outcomes conclusions : there are significant problems with current acute pgus , and patient mix on existing units [is] an important issue . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 3 there 2 : 4 are 3 there 4 are 4 are 6 problems 4 are 7 with 5 significant 6 problems 7 with 12 and 7 with 21 issue 8 current 10 pgus 9 acute 10 pgus 10 pgus 12 and 11 , 12 and 12 and 14 mix 12 and 15 on 13 patient 14 mix 15 on 17 units 16 existing 17 units 19 an 21 issue 20 important 21 issue future research should examine patient and staff perceptions of different pgu ward environments , the relationship between ward design and clinical outcomes , the effects of segregating patients with challenging behaviors in dementia and the benefits or otherwise [of] gender segregation . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 4 examine 1 future 2 research 2 research 3 should 3 should 4 examine 4 examine 6 and 4 examine 12 ward 5 patient 6 and 6 and 8 perceptions 6 and 9 of 6 and 12 ward 7 staff 8 perceptions 9 of 11 pgu 10 different 11 pgu 12 ward 13 environments 13 environments 16 relationship 14 , 16 relationship 15 the 16 relationship 16 relationship 17 between 16 relationship 25 effects 16 relationship 42 . 17 between 20 and 18 ward 19 design 19 design 20 and 20 and 22 outcomes 21 clinical 22 outcomes 23 , 25 effects 24 the 25 effects 25 effects 26 of 25 effects 42 . 26 of 27 segregating 27 segregating 37 or 28 patients 29 with 28 patients 34 and 29 with 30 challenging 30 challenging 31 behaviors 30 challenging 32 in 32 in 33 dementia 34 and 36 benefits 34 and 37 or 35 the 36 benefits 37 or 38 otherwise 37 or 41 segregation 37 or 42 . 40 gender 41 segregation background : current evidence suggests a role of neuroinflammation in the pathogenesis of parkinson 's disease ( pd ) and in the 1 - methyl - 4 - phenyl - 1,2,3,6 - tetrahydropyridine ( mptp ) model of basal ganglia injury . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 42 . 2 : 4 evidence 2 : 5 suggests 2 : 24 - 2 : 28 - 3 current 4 evidence 4 evidence 5 suggests 5 suggests 7 role 5 suggests 20 and 6 a 7 role 7 role 8 of 8 of 9 neuroinflammation 10 in 12 pathogenesis 10 in 20 and 11 the 12 pathogenesis 12 pathogenesis 13 of 12 pathogenesis 18 pd 13 of 16 disease 14 parkinson 15 's 15 's 16 disease 17 ( 18 pd 18 pd 19 ) 20 and 21 in 21 in 23 1 22 the 23 1 24 - 25 methyl 25 methyl 27 4 26 - 27 4 27 4 28 - 28 - 29 phenyl 29 phenyl 31 1,2,3,6 29 phenyl 37 model 29 phenyl 38 of 30 - 31 1,2,3,6 31 1,2,3,6 33 tetrahydropyridine 31 1,2,3,6 37 model 32 - 33 tetrahydropyridine 33 tetrahydropyridine 35 mptp 33 tetrahydropyridine 36 ) 34 ( 35 mptp 35 mptp 36 ) 38 of 41 injury 39 basal 40 ganglia 40 ganglia 41 injury reportedly , nonsteroidal anti - inflammatory drugs ( nsaids ) mitigate daergic neurotoxicity in rodent models of pd . 0 ###LEFT-WALL### 7 drugs 0 ###LEFT-WALL### 11 mitigate 0 ###LEFT-WALL### 19 . 1 reportedly 2 , 1 reportedly 7 drugs 3 nonsteroidal 7 drugs 4 anti 5 - 4 anti 7 drugs 6 inflammatory 7 drugs 7 drugs 9 nsaids 7 drugs 11 mitigate 8 ( 9 nsaids 9 nsaids 10 ) 11 mitigate 13 neurotoxicity 11 mitigate 14 in 12 daergic 13 neurotoxicity 14 in 16 models 15 rodent 16 models 16 models 17 of 17 of 18 pd consistent with these findings , epidemiological analysis indicated that certain nsaids may [prevent] [or] delay the progression of pd . 0 ###LEFT-WALL### 7 analysis 0 ###LEFT-WALL### 8 indicated 0 ###LEFT-WALL### 20 . 1 consistent 2 with 1 consistent 5 , 1 consistent 7 analysis 2 with 4 findings 3 these 4 findings 6 epidemiological 7 analysis 7 analysis 8 indicated 8 indicated 9 that 9 that 11 nsaids 9 that 15 delay 10 certain 11 nsaids 11 nsaids 12 may 12 may 15 delay 15 delay 17 progression 16 the 17 progression 17 progression 18 of 18 of 19 pd however , a serious impediment of chronic nsaid therapy , particularly in the elderly , is gastric , renal and cardiac toxicity . 0 ###LEFT-WALL### 5 impediment 0 ###LEFT-WALL### 16 is 0 ###LEFT-WALL### 23 . 1 however 2 , 1 however 5 impediment 3 a 4 serious 3 a 5 impediment 4 serious 5 impediment 5 impediment 6 of 5 impediment 16 is 6 of 9 therapy 7 chronic 9 therapy 8 nsaid 9 therapy 9 therapy 12 in 10 , 11 particularly 10 , 12 in 12 in 14 elderly 12 in 15 , 13 the 14 elderly 16 is 22 toxicity 17 gastric 18 , 18 , 19 renal 18 , 20 and 20 and 21 cardiac 20 and 22 toxicity nitric [oxide] ( no ) - [donating] nsaids , have a safer profile while maintaining anti - inflammatory activity of parent compounds . 0 ###LEFT-WALL### 8 nsaids 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 10 have 0 ###LEFT-WALL### 23 . 1 nitric 4 no 1 nitric 6 - 1 nitric 8 nsaids 3 ( 4 no 4 no 5 ) 9 , 10 have 10 have 13 profile 10 have 14 while 11 a 13 profile 12 safer 13 profile 14 while 15 maintaining 15 maintaining 19 activity 16 anti 17 - 16 anti 19 activity 18 inflammatory 19 activity 19 activity 20 of 20 of 22 compounds 21 parent 22 compounds we have investigated the oral activity of the no - donating derivative of flurbiprofen , [ 2 - fluoro - α - methyl ( 1,1 ['] - biphenyl ) - 4 - acetic - 4 [-] ( nitrooxy )butyl ester ] , hct1026 ( 30 mg [kg] [(] - 1 [ )(daily in rodent chow [ )(in mice exposed to the parkinsonian neurotoxin mptp . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 investigated 1 we 2 have 2 have 3 investigated 3 investigated 6 activity 4 the 6 activity 5 oral 6 activity 6 activity 7 of 6 activity 18 - 7 of 9 no 8 the 9 no 9 no 11 donating 10 - 11 donating 11 donating 12 derivative 11 donating 15 , 12 derivative 13 of 13 of 14 flurbiprofen 16 [ 18 - 17 2 18 - 18 - 23 methyl 19 fluoro 21 α 19 fluoro 23 methyl 20 - 21 α 21 α 22 - 23 methyl 27 - 23 methyl 32 - 24 ( 27 - 25 1,1 27 - 27 - 28 biphenyl 27 - 29 ) 30 - 32 - 31 4 32 - 32 - 43 hct1026 33 acetic 35 4 33 acetic 43 hct1026 34 - 35 4 35 4 40 ester 35 4 42 , 37 ( 40 ester 38 nitrooxy 40 ester 39 )butyl 40 ester 40 ester 41 ] 43 hct1026 55 chow 44 ( 55 chow 45 30 46 mg 46 mg 55 chow 49 - 50 1 50 1 53 in 52 )(daily 53 in 53 in 54 rodent 54 rodent 55 chow 55 chow 57 )(in 55 chow 65 . 57 )(in 58 mice 58 mice 59 exposed 59 exposed 60 to 60 to 64 mptp 61 the 64 mptp 62 parkinsonian 64 mptp 63 neurotoxin 64 mptp methods : ageing mice were fed with a control , flurbiprofen , or hct1026 diet starting ten days before mptp administration and continuing for all the experimental period . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 1 methods 2 : 2 : 3 ageing 2 : 19 before 3 ageing 4 mice 3 ageing 16 starting 4 mice 5 were 5 were 6 fed 6 fed 7 with 7 with 13 or 8 a 9 control 9 control 10 , 10 , 11 flurbiprofen 10 , 13 or 12 , 13 or 13 or 15 diet 13 or 16 starting 14 hct1026 15 diet 17 ten 18 days 18 days 19 before 19 before 22 and 20 mptp 21 administration 21 administration 22 and 22 and 23 continuing 22 and 24 for 24 for 25 all 25 all 26 the 25 all 28 period 26 the 28 period 27 experimental 28 period results : hct1026 was well tolerated and did not cause any measurable toxic effect , whereas flurbiprofen fed mice showed severe gastrointestinal side [-] effects . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 3 hct1026 2 : 20 showed 3 hct1026 4 was 4 was 5 well 4 was 7 and 6 tolerated 7 and 7 and 8 did 8 did 9 not 8 did 10 cause 10 cause 14 effect 10 cause 16 whereas 11 any 14 effect 12 measurable 14 effect 13 toxic 14 effect 15 , 16 whereas 16 whereas 19 mice 17 flurbiprofen 19 mice 18 fed 19 mice 19 mice 20 showed 20 showed 25 effects 21 severe 23 side 22 gastrointestinal 23 side 23 side 25 effects hct1026 efficiently counteracted motor impairment and reversed mptp - induced decreased synaptosomal [ 3h ]dopamine uptake , th - and dat - stained fibers in striatum and th+ neuron loss in substantia nigra pars compacta ( snpc ) , as opposed to age - matched mice fed with a control diet . 0 ###LEFT-WALL### 1 hct1026 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 9 - 1 hct1026 6 and 2 efficiently 3 counteracted 3 counteracted 5 impairment 3 counteracted 6 and 4 motor 5 impairment 6 and 7 reversed 7 reversed 8 mptp 9 - 27 and 9 - 44 - 9 - 52 . 10 induced 24 fibers 10 induced 25 in 10 induced 27 and 11 decreased 24 fibers 12 synaptosomal 20 and 12 synaptosomal 22 - 12 synaptosomal 24 fibers 13 [ 20 and 14 3h 16 uptake 15 ]dopamine 16 uptake 16 uptake 17 , 17 , 18 th 17 , 20 and 19 - 20 and 20 and 21 dat 20 and 22 - 23 stained 24 fibers 25 in 26 striatum 27 and 43 age 28 th+ 30 loss 29 neuron 30 loss 30 loss 31 in 30 loss 34 pars 31 in 33 nigra 32 substantia 33 nigra 34 pars 35 compacta 34 pars 42 to 35 compacta 37 snpc 35 compacta 41 opposed 36 ( 37 snpc 37 snpc 38 ) 39 , 41 opposed 40 as 41 opposed 42 to 43 age 44 - 46 mice 45 matched 46 mice 46 mice 47 fed 46 mice 48 with 48 with 51 diet 49 a 50 control 49 a 51 diet 50 control 51 diet these effects were associated to a significant decrease in reactive macrophage antigen - 1 ( mac - 1 ) - positive microglial cells within the striatum and ventral midbrain , decreased expression of inos , mac - 1 [and] nadph [oxidase] ( phox ) , and downregulation of 3 - nitrotyrosine , a peroxynitrite finger print , in snpc daergic neurons . 0 ###LEFT-WALL### 2 effects 0 ###LEFT-WALL### 4 associated 1 these 2 effects 2 effects 3 were 3 were 4 associated 4 associated 5 to 4 associated 9 in 4 associated 12 antigen 5 to 8 decrease 6 a 8 decrease 7 significant 8 decrease 9 in 11 macrophage 10 reactive 11 macrophage 12 antigen 20 - 13 - 20 - 14 1 16 mac 14 1 20 - 15 ( 16 mac 16 mac 18 1 16 mac 19 ) 17 - 18 1 18 1 19 ) 20 - 27 and 21 positive 23 cells 22 microglial 23 cells 23 cells 24 within 23 cells 27 and 24 within 26 striatum 25 the 26 striatum 27 and 29 midbrain 27 and 32 expression 27 and 37 - 28 ventral 29 midbrain 30 , 32 expression 31 decreased 32 expression 32 expression 33 of 32 expression 35 , 33 of 34 inos 35 , 37 - 36 mac 37 - 37 - 46 and 38 1 46 and 40 nadph 43 phox 42 ( 43 phox 43 phox 44 ) 43 phox 46 and 45 , 46 and 46 and 47 downregulation 46 and 51 nitrotyrosine 46 and 56 print 47 downregulation 48 of 48 of 49 3 50 - 51 nitrotyrosine 51 nitrotyrosine 52 , 52 , 56 print 53 a 56 print 54 peroxynitrite 56 print 55 finger 56 print 56 print 58 in 56 print 62 . 57 , 58 in 58 in 61 neurons 58 in 62 . 59 snpc 60 daergic 60 daergic 61 neurons conclusions : oral treatment with hct1026 has a safe profile and a significant efficacy in counteracting mptp - induced dopaminergic ( daergic ) neurotoxicity , motor impairment and microglia activation in ageing mice . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 treatment 2 : 7 has 2 : 34 . 3 oral 4 treatment 4 treatment 5 with 4 treatment 7 has 5 with 6 hct1026 7 has 28 and 8 a 10 profile 9 safe 10 profile 10 profile 11 and 11 and 14 efficacy 11 and 15 in 11 and 28 and 12 a 14 efficacy 13 significant 14 efficacy 15 in 16 counteracting 16 counteracting 27 impairment 17 mptp 24 neurotoxicity 17 mptp 26 motor 18 - 24 neurotoxicity 19 induced 24 neurotoxicity 20 dopaminergic 22 daergic 20 dopaminergic 23 ) 20 dopaminergic 24 neurotoxicity 21 ( 22 daergic 22 daergic 23 ) 24 neurotoxicity 25 , 26 motor 27 impairment 28 and 30 activation 29 microglia 30 activation 30 activation 31 in 31 in 33 mice 32 ageing 33 mice hct1026 provides a novel promising approach towards the development of effective pharmacological neuroprotective strategies against pd . 0 ###LEFT-WALL### 1 hct1026 0 ###LEFT-WALL### 2 provides 0 ###LEFT-WALL### 17 . 1 hct1026 2 provides 2 provides 6 approach 2 provides 7 towards 2 provides 15 against 3 a 4 novel 3 a 6 approach 4 novel 6 approach 5 promising 6 approach 7 towards 9 development 8 the 9 development 9 development 10 of 10 of 14 strategies 11 effective 14 strategies 12 pharmacological 14 strategies 13 neuroprotective 14 strategies 15 against 16 pd background : the potential contribution of allotment gardens to a healthy and active life - style is increasingly recognized , especially for elderly populations . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 - 1 background 2 : 2 : 5 contribution 3 the 5 contribution 4 potential 5 contribution 5 contribution 6 of 6 of 8 gardens 7 allotment 8 gardens 8 gardens 9 to 9 to 14 life 10 a 14 life 11 healthy 12 and 12 and 13 active 12 and 14 life 15 - 16 style 15 - 19 recognized 16 style 17 is 17 is 19 recognized 18 increasingly 19 recognized 19 recognized 22 for 20 , 21 especially 20 , 22 for 22 for 24 populations 22 for 25 . 23 elderly 24 populations however , few studies have empirically examined beneficial effects of allotment gardening . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 7 examined 0 ###LEFT-WALL### 13 . 1 however 2 , 1 however 4 studies 3 few 4 studies 4 studies 5 have 5 have 7 examined 6 empirically 7 examined 7 examined 9 effects 8 beneficial 9 effects 9 effects 10 of 10 of 11 allotment 11 allotment 12 gardening in the present study the health , well - being and physical activity of older and younger allotment gardeners was compared to that of controls without an allotment . 0 ###LEFT-WALL### 4 study 0 ###LEFT-WALL### 9 - 0 ###LEFT-WALL### 29 . 1 in 3 present 1 in 4 study 2 the 3 present 4 study 6 health 4 study 8 well 5 the 6 health 7 , 8 well 8 well 9 - 9 - 10 being 9 - 11 and 11 and 13 activity 11 and 21 compared 12 physical 13 activity 13 activity 14 of 13 activity 20 was 14 of 19 gardeners 15 older 16 and 16 and 17 younger 16 and 18 allotment 18 allotment 19 gardeners 20 was 21 compared 21 compared 22 to 21 compared 26 without 22 to 23 that 23 that 24 of 24 of 25 controls 26 without 28 allotment 27 an 28 allotment methods : a survey was conducted among 121 members of 12 allotment sites in the netherlands and a control group of 63 respondents without an allotment garden living next to the home addresses of allotment gardeners . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 2 : 4 survey 2 : 13 sites 3 a 4 survey 4 survey 5 was 5 was 6 conducted 6 conducted 7 among 7 among 9 members 8 121 9 members 9 members 10 of 9 members 12 allotment 9 members 13 sites 10 of 11 12 12 allotment 13 sites 13 sites 14 in 13 sites 24 without 13 sites 30 to 14 in 17 and 15 the 16 netherlands 16 netherlands 17 and 17 and 20 group 17 and 21 of 18 a 19 control 18 a 20 group 19 control 20 group 21 of 23 respondents 22 63 23 respondents 24 without 27 garden 25 an 27 garden 26 allotment 27 garden 27 garden 28 living 28 living 29 next 30 to 33 addresses 31 the 33 addresses 32 home 33 addresses 33 addresses 34 of 34 of 36 gardeners 35 allotment 36 gardeners the survey included five self - reported health measures ( perceived general health , acute health complaints , physical constraints , chronic illnesses , and consultations with gp ) , four self - reported well - being measures ( stress , life satisfaction , loneliness , and social contacts with friends ) and one measure assessing self - reported levels of physical activity in summer . 0 ###LEFT-WALL### 5 self 0 ###LEFT-WALL### 6 - 1 the 5 self 2 survey 3 included 3 included 5 self 4 five 5 self 6 - 9 measures 6 - 30 , 7 reported 8 health 8 health 9 measures 9 measures 13 health 9 measures 25 and 10 ( 13 health 11 perceived 13 health 12 general 13 health 13 health 14 , 14 , 25 and 15 acute 16 health 16 health 17 complaints 17 complaints 18 , 18 , 20 constraints 18 , 21 , 19 physical 20 constraints 21 , 23 illnesses 21 , 25 and 22 chronic 23 illnesses 24 , 25 and 25 and 26 consultations 25 and 27 with 25 and 29 ) 27 with 28 gp 30 , 32 self 30 , 33 - 31 four 32 self 33 - 35 well 33 - 36 - 33 - 66 . 34 reported 35 well 36 - 53 and 36 - 59 reported 37 being 38 measures 37 being 44 , 37 being 53 and 38 measures 40 stress 39 ( 40 stress 40 stress 43 satisfaction 40 stress 44 , 41 , 43 satisfaction 42 life 43 satisfaction 43 satisfaction 44 , 45 loneliness 47 and 46 , 47 and 47 and 49 contacts 47 and 52 ) 47 and 53 and 48 social 49 contacts 49 contacts 50 with 50 with 51 friends 53 and 57 self 53 and 58 - 53 and 59 reported 54 one 57 self 55 measure 57 self 56 assessing 57 self 59 reported 60 levels 59 reported 64 in 60 levels 61 of 61 of 63 activity 62 physical 63 activity 64 in 65 summer respondents were divided into a younger and older group at the median of 62 years which equals the average retirement age in the netherlands . 0 ###LEFT-WALL### 1 respondents 0 ###LEFT-WALL### 3 divided 0 ###LEFT-WALL### 25 . 1 respondents 2 were 2 were 3 divided 3 divided 4 into 3 divided 10 at 3 divided 22 in 4 into 9 group 5 a 9 group 6 younger 7 and 7 and 8 older 7 and 9 group 10 at 12 median 11 the 12 median 12 median 13 of 12 median 16 which 12 median 17 equals 13 of 15 years 14 62 15 years 16 which 17 equals 17 equals 21 age 18 the 21 age 19 average 20 retirement 20 retirement 21 age 22 in 24 netherlands 23 the 24 netherlands results : after adjusting for income , education level , gender , stressful life events , physical activity in winter , and access to a garden at home as covariates , both younger and older allotment gardeners reported higher levels of physical activity during the summer than neighbors in corresponding age categories . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 53 . 2 : 37 gardeners 2 : 38 reported 3 after 4 adjusting 3 after 31 , 3 after 37 gardeners 4 adjusting 5 for 4 adjusting 22 and 5 for 6 income 6 income 9 level 6 income 11 gender 7 , 9 level 8 education 9 level 9 level 10 , 10 , 11 gender 11 gender 15 events 11 gender 16 , 12 , 15 events 13 stressful 14 life 14 life 15 events 15 events 16 , 17 physical 18 activity 18 activity 19 in 18 activity 22 and 19 in 20 winter 21 , 22 and 22 and 23 access 23 access 24 to 24 to 26 garden 25 a 26 garden 26 garden 27 at 27 at 28 home 28 home 29 as 29 as 30 covariates 32 both 37 gardeners 33 younger 34 and 34 and 35 older 34 and 37 gardeners 36 allotment 37 gardeners 37 gardeners 38 reported 38 reported 40 levels 38 reported 47 than 39 higher 40 levels 40 levels 41 of 41 of 43 activity 42 physical 43 activity 43 activity 44 during 44 during 46 summer 45 the 46 summer 47 than 48 neighbors 47 than 49 in 49 in 52 categories 50 corresponding 52 categories 51 age 52 categories the impacts of allotment gardening on health and well - being were moderated by age . 0 ###LEFT-WALL### 11 being 0 ###LEFT-WALL### 13 moderated 0 ###LEFT-WALL### 16 . 1 the 11 being 2 impacts 3 of 2 impacts 8 and 3 of 4 allotment 4 allotment 5 gardening 5 gardening 6 on 6 on 7 health 8 and 9 well 8 and 10 - 8 and 11 being 11 being 12 were 12 were 13 moderated 13 moderated 14 by 14 by 15 age health and well - being of younger allotment gardeners did not differ from younger neighbors . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 4 - 1 health 2 and 2 and 3 well 4 - 5 being 4 - 12 differ 4 - 16 . 5 being 6 of 5 being 10 did 6 of 9 gardeners 7 younger 8 allotment 8 allotment 9 gardeners 10 did 11 not 10 did 12 differ 12 differ 13 from 13 from 15 neighbors 14 younger 15 neighbors the greater health and well - being benefits of allotment gardening for older gardeners may be related to the finding that older allotment gardeners were more oriented towards gardening and being active , and less towards passive relaxation . 0 ###LEFT-WALL### 11 gardening 0 ###LEFT-WALL### 39 . 1 the 3 health 2 greater 3 health 3 health 4 and 4 and 5 well 4 and 6 - 4 and 7 being 4 and 9 of 4 and 11 gardening 7 being 8 benefits 9 of 10 allotment 11 gardening 12 for 11 gardening 15 may 12 for 14 gardeners 13 older 14 gardeners 15 may 16 be 16 be 17 related 17 related 18 to 18 to 20 finding 19 the 20 finding 20 finding 21 that 21 that 24 gardeners 21 that 27 oriented 22 older 24 gardeners 23 allotment 24 gardeners 24 gardeners 25 were 25 were 26 more 25 were 27 oriented 27 oriented 28 towards 27 oriented 34 and 28 towards 30 and 29 gardening 30 and 30 and 31 being 32 active 34 and 33 , 34 and 34 and 35 less 34 and 36 towards 36 towards 38 relaxation 37 passive 38 relaxation conclusions : these findings are consistent with the notion that having an allotment garden may promote an active life - [style] and contribute to healthy aging . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 2 : 4 findings 2 : 5 are 3 these 4 findings 4 findings 5 are 5 are 6 consistent 6 consistent 7 with 7 with 9 notion 8 the 9 notion 9 notion 10 that 9 notion 22 and 10 that 11 having 10 that 22 and 11 having 14 garden 11 having 15 may 12 an 13 allotment 12 an 14 garden 13 allotment 14 garden 15 may 22 and 16 promote 19 life 16 promote 22 and 17 an 18 active 17 an 19 life 18 active 19 life 20 - 22 and 22 and 23 contribute 22 and 24 to 24 to 26 aging 25 healthy 26 aging however , the findings may be limited by self selection and additional research is needed to confirm and extend the current findings . 0 ###LEFT-WALL### 4 findings 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 23 . 1 however 2 , 1 however 4 findings 3 the 4 findings 4 findings 18 and 5 may 6 be 5 may 18 and 6 be 7 limited 7 limited 8 by 8 by 11 and 9 self 10 selection 10 selection 11 and 11 and 12 additional 11 and 13 research 11 and 17 confirm 13 research 14 is 14 is 15 needed 15 needed 16 to 16 to 17 confirm 18 and 19 extend 19 extend 22 findings 20 the 22 findings 21 current 22 findings feedback - related negativity is an event - related brain potential elicited by negative feedback . 0 ###LEFT-WALL### 1 feedback 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 9 related 1 feedback 5 is 2 - 3 related 3 related 4 negativity 3 related 5 is 5 is 7 event 6 an 7 event 8 - 9 related 9 related 11 potential 9 related 13 by 9 related 16 . 10 brain 11 potential 11 potential 12 elicited 13 by 15 feedback 14 negative 15 feedback its properties make it a valuable tool for the assessment of cognitive - affective processes that are involved in feedback and reward processing . 0 ###LEFT-WALL### 2 properties 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 24 . 1 its 2 properties 2 properties 21 and 3 make 4 it 3 make 7 tool 3 make 21 and 5 a 6 valuable 5 a 7 tool 6 valuable 7 tool 7 tool 8 for 8 for 10 assessment 9 the 10 assessment 10 assessment 11 of 11 of 15 processes 12 cognitive 13 - 12 cognitive 15 processes 14 affective 15 processes 15 processes 16 that 15 processes 17 are 16 that 17 are 17 are 18 involved 18 involved 19 in 19 in 20 feedback 21 and 22 reward 22 reward 23 processing the present study sought to determine the minimum number of trials that are required to obtain a reliable frn component using a simple gambling paradigm . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 sought 0 ###LEFT-WALL### 26 . 1 the 3 study 2 present 3 study 3 study 4 sought 4 sought 5 to 4 sought 15 to 4 sought 16 obtain 5 to 6 determine 6 determine 11 trials 7 the 9 number 8 minimum 9 number 9 number 10 of 9 number 11 trials 10 of 11 trials 11 trials 12 that 11 trials 13 are 12 that 13 are 13 are 14 required 15 to 16 obtain 16 obtain 20 component 16 obtain 21 using 17 a 18 reliable 17 a 20 component 18 reliable 20 component 19 frn 20 component 21 using 25 paradigm 22 a 25 paradigm 23 simple 25 paradigm 24 gambling 25 paradigm three independent groups of young participants and one group of old participants were used . 0 ###LEFT-WALL### 3 groups 0 ###LEFT-WALL### 14 used 0 ###LEFT-WALL### 15 . 1 three 3 groups 2 independent 3 groups 3 groups 4 of 3 groups 13 were 4 of 7 and 5 young 6 participants 6 participants 7 and 7 and 9 group 7 and 10 of 8 one 9 group 10 of 12 participants 11 old 12 participants 13 were 14 used in the experimental conditions with healthy young controls , 20 trials were sufficient to measure the optimal frn amplitude . 0 ###LEFT-WALL### 11 trials 0 ###LEFT-WALL### 12 were 0 ###LEFT-WALL### 20 . 1 in 4 conditions 1 in 9 , 1 in 11 trials 2 the 4 conditions 3 experimental 4 conditions 4 conditions 5 with 5 with 8 controls 6 healthy 8 controls 7 young 8 controls 10 20 11 trials 11 trials 12 were 12 were 13 sufficient 13 sufficient 14 to 13 sufficient 15 measure 14 to 15 measure 15 measure 19 amplitude 16 the 19 amplitude 17 optimal 19 amplitude 18 frn 19 amplitude in older participants , 50 trials were needed to obtain a reliable frn . 0 ###LEFT-WALL### 6 trials 0 ###LEFT-WALL### 8 needed 0 ###LEFT-WALL### 14 . 1 in 3 participants 1 in 4 , 1 in 6 trials 2 older 3 participants 5 50 6 trials 6 trials 7 were 7 were 8 needed 8 needed 9 to 9 to 10 obtain 10 obtain 13 frn 11 a 12 reliable 11 a 13 frn 12 reliable 13 frn microglial cells , which are resident macrophages in the central nervous system , are " primed " in the aged brain and [are] hypersensitive to messages emerging from immune [-] [to] - brain signaling pathways . 0 ###LEFT-WALL### 2 cells 0 ###LEFT-WALL### 16 primed 0 ###LEFT-WALL### 36 . 1 microglial 2 cells 2 cells 4 which 2 cells 14 are 3 , 4 which 4 which 5 are 4 which 13 , 5 are 7 macrophages 6 resident 7 macrophages 7 macrophages 8 in 8 in 12 system 9 the 12 system 10 central 12 system 11 nervous 12 system 14 are 15 " 14 are 16 primed 16 primed 17 " 16 primed 18 in 16 primed 25 to 18 in 22 and 19 the 21 brain 20 aged 21 brain 21 brain 22 and 22 and 24 hypersensitive 25 to 26 messages 26 messages 27 emerging 27 emerging 28 from 28 from 33 brain 29 immune 32 - 29 immune 33 brain 33 brain 34 signaling 34 signaling 35 pathways thus , in elderly individuals who have an infection , microglia [overreact] [to] signals from the peripheral immune system and produce excessive levels of cytokines , causing behavioral pathology including serious deficits in cognition . 0 ###LEFT-WALL### 11 microglia 0 ###LEFT-WALL### 14 signals 1 thus 2 , 1 thus 11 microglia 2 , 3 in 3 in 5 individuals 3 in 10 , 3 in 11 microglia 4 elderly 5 individuals 5 individuals 6 who 5 individuals 7 have 6 who 7 have 7 have 9 infection 8 an 9 infection 11 microglia 14 signals 14 signals 15 from 14 signals 23 levels 14 signals 27 causing 15 from 20 and 16 the 19 system 17 peripheral 19 system 18 immune 19 system 19 system 20 and 20 and 21 produce 22 excessive 23 levels 23 levels 24 of 24 of 25 cytokines 26 , 27 causing 27 causing 29 pathology 27 causing 33 in 27 causing 35 . 28 behavioral 29 pathology 29 pathology 30 including 30 including 32 deficits 31 serious 32 deficits 33 in 34 cognition importantly , recent studies indicate dietary flavonoids have anti - inflammatory properties and [are] capable of mitigating microglial cells in the brains of aged mice . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 5 indicate 0 ###LEFT-WALL### 26 . 1 importantly 2 , 1 importantly 4 studies 3 recent 4 studies 4 studies 5 indicate 5 indicate 7 flavonoids 5 indicate 8 have 6 dietary 7 flavonoids 7 flavonoids 8 have 8 have 13 and 9 anti 10 - 9 anti 12 properties 11 inflammatory 12 properties 12 properties 13 and 13 and 15 capable 13 and 16 of 16 of 17 mitigating 17 mitigating 19 cells 17 mitigating 20 in 18 microglial 19 cells 20 in 22 brains 21 the 22 brains 22 brains 23 of 23 of 25 mice 24 aged 25 mice thus , dietary or supplemental flavonoids and other bioactive agents have the potential to restore the population of microglial cells in the elderly brain to its youthful state . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 15 restore 0 ###LEFT-WALL### 29 . 1 thus 2 , 1 thus 7 and 3 dietary 4 or 4 or 5 supplemental 4 or 6 flavonoids 6 flavonoids 7 and 7 and 10 agents 7 and 11 have 8 other 10 agents 9 bioactive 10 agents 11 have 13 potential 11 have 14 to 12 the 13 potential 14 to 15 restore 15 restore 17 population 15 restore 21 in 15 restore 25 to 16 the 17 population 17 population 18 of 18 of 20 cells 19 microglial 20 cells 21 in 24 brain 22 the 24 brain 23 elderly 24 brain 25 to 28 state 26 its 28 state 27 youthful 28 state this review briefly describes the immune - to [-] brain signaling pathways , consequences of microglial cell priming , and the potential of flavonoids to mitigate brain microglia and cognitive deficits induced by inflammatory cytokines . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 4 describes 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 36 . 1 this 2 review 2 review 4 describes 3 briefly 4 describes 4 describes 6 immune 4 describes 8 to 5 the 6 immune 7 - 8 to 8 to 10 brain 8 to 13 , 10 brain 11 signaling 11 signaling 12 pathways 13 , 20 and 13 , 27 brain 14 consequences 15 of 14 consequences 20 and 15 of 18 priming 16 microglial 17 cell 17 cell 18 priming 19 , 20 and 20 and 22 potential 20 and 25 to 20 and 26 mitigate 20 and 27 brain 21 the 22 potential 22 potential 23 of 23 of 24 flavonoids 25 to 26 mitigate 27 brain 29 and 27 brain 33 by 28 microglia 29 and 29 and 31 deficits 29 and 32 induced 30 cognitive 31 deficits 33 by 35 cytokines 34 inflammatory 35 cytokines over the past years , increasing numbers of distinct subsets have been discovered and identified for a t lymphocytes ' entity . 0 ###LEFT-WALL### 10 subsets 0 ###LEFT-WALL### 12 been 0 ###LEFT-WALL### 22 . 1 over 4 years 1 over 5 , 1 over 10 subsets 2 the 4 years 3 past 4 years 6 increasing 7 numbers 7 numbers 8 of 7 numbers 10 subsets 8 of 10 subsets 9 distinct 10 subsets 10 subsets 11 have 11 have 12 been 12 been 14 and 13 discovered 14 and 14 and 15 identified 14 and 16 for 16 for 21 entity 17 a 18 t 18 t 19 lymphocytes 19 lymphocytes 20 ' 20 ' 21 entity differentiation and function of each [t] cell subset are controlled by a specific master transcription factor . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 10 controlled 0 ###LEFT-WALL### 17 . 1 differentiation 2 and 2 and 3 function 2 and 4 of 2 and 9 are 4 of 8 subset 5 each 8 subset 7 cell 8 subset 9 are 10 controlled 10 controlled 11 by 11 by 16 factor 12 a 13 specific 12 a 16 factor 13 specific 14 master 14 master 16 factor 15 transcription 16 factor importantly , runt [-] related transcription factors , particularly runx1 and runx3 , [interplay] with these master regulators in various aspects of t cells ' immunity . 0 ###LEFT-WALL### 3 runt 0 ###LEFT-WALL### 5 related 0 ###LEFT-WALL### 27 . 1 importantly 2 , 1 importantly 3 runt 3 runt 5 related 5 related 7 factors 5 related 15 with 6 transcription 7 factors 7 factors 11 and 8 , 9 particularly 8 , 11 and 10 runx1 11 and 11 and 12 runx3 11 and 13 , 15 with 18 regulators 15 with 26 immunity 16 these 18 regulators 17 master 18 regulators 18 regulators 19 in 19 in 21 aspects 20 various 21 aspects 21 aspects 22 of 22 of 23 t 24 cells 25 ' 25 ' 26 immunity in this review article , we first explain roles of th - pok and runx3 in differentiation of cd4 versus cd8 single positive cells , and later focus on cross [-] regulation of th - pok and runx3 and their relationship with other factors such as tcr strength . 0 ###LEFT-WALL### 7 first 0 ###LEFT-WALL### 8 explain 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 49 . 1 in 4 article 1 in 5 , 1 in 7 first 2 this 4 article 3 review 4 article 6 we 7 first 7 first 8 explain 8 explain 9 roles 9 roles 10 of 10 of 11 th 12 - 14 and 12 - 22 single 12 - 35 - 13 pok 14 and 14 and 15 runx3 14 and 18 of 14 and 22 single 15 runx3 16 in 16 in 17 differentiation 18 of 21 cd8 19 cd4 20 versus 20 versus 21 cd8 22 single 28 focus 23 positive 24 cells 24 cells 26 and 25 , 26 and 26 and 27 later 26 and 28 focus 28 focus 29 on 28 focus 33 of 29 on 32 regulation 30 cross 32 regulation 33 of 34 th 35 - 39 and 36 pok 37 and 37 and 38 runx3 37 and 39 and 39 and 41 relationship 39 and 42 with 40 their 41 relationship 42 with 44 factors 43 other 44 factors 44 factors 46 as 45 such 46 as 46 as 48 strength 47 tcr 48 strength next , we provide [evidences] for the direct interplay of runx1/3 with t - bet and gata3 during th1 versus th2 commitment to activate or silence transcription of signature cytokine genes , ifnγ and il4 . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 provide 0 ###LEFT-WALL### 32 , 0 ###LEFT-WALL### 36 . 1 next 2 , 1 next 3 we 3 we 4 provide 4 provide 6 for 6 for 9 interplay 7 the 9 interplay 8 direct 9 interplay 9 interplay 10 of 10 of 11 runx1/3 11 runx1/3 12 with 11 runx1/3 16 and 12 with 13 t 14 - 16 and 15 bet 16 and 16 and 17 gata3 16 and 18 during 16 and 32 , 18 during 25 or 19 th1 20 versus 19 th1 25 or 20 versus 22 commitment 21 th2 22 commitment 22 commitment 23 to 22 commitment 24 activate 23 to 24 activate 25 or 27 transcription 25 or 28 of 26 silence 27 transcription 28 of 31 genes 29 signature 31 genes 30 cytokine 31 genes 32 , 35 il4 33 ifnγ 34 and 34 and 35 il4 lastly , we explain feed - forward relationship [between] runx1 and foxp3 and discuss roles of runx1 in regulatory [t] cells ' suppressive activity . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 explain 0 ###LEFT-WALL### 6 - 1 lastly 2 , 1 lastly 3 we 3 we 4 explain 4 explain 5 feed 6 - 13 and 6 - 25 . 7 forward 12 foxp3 7 forward 13 and 8 relationship 12 foxp3 10 runx1 11 and 11 and 12 foxp3 13 and 14 discuss 14 discuss 15 roles 14 discuss 18 in 15 roles 16 of 16 of 17 runx1 18 in 24 activity 19 regulatory 21 cells 21 cells 22 ' 22 ' 24 activity 23 suppressive 24 activity this review highlights an essential importance of runx molecules in controlling various [t] cell subsets ' differentiation and functions through molecular interplay with the master transcription factors in terms of protein - protein interaction as well as regulation of gene expression . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 18 and 1 this 2 review 2 review 18 and 3 highlights 6 importance 3 highlights 10 in 3 highlights 18 and 4 an 5 essential 4 an 6 importance 5 essential 6 importance 6 importance 7 of 7 of 9 molecules 8 runx 9 molecules 10 in 11 controlling 11 controlling 17 differentiation 12 various 14 cell 14 cell 15 subsets 15 subsets 16 ' 16 ' 17 differentiation 18 and 19 functions 18 and 28 in 19 functions 20 through 19 functions 23 with 20 through 22 interplay 21 molecular 22 interplay 23 with 27 factors 24 the 27 factors 25 master 26 transcription 26 transcription 27 factors 28 in 29 terms 29 terms 30 of 29 terms 34 interaction 30 of 31 protein 32 - 34 interaction 33 protein 34 interaction 34 interaction 37 as 34 interaction 39 of 34 interaction 42 . 35 as 36 well 36 well 37 as 37 as 38 regulation 39 of 41 expression 40 gene 41 expression introduction : aging is a recognized risk factor for erectile dysfunction ( ed ) , contributing independently to vascular damage of penile tissue . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 2 : 3 aging 2 : 4 is 3 aging 4 is 4 is 8 factor 5 a 8 factor 6 recognized 8 factor 7 risk 8 factor 8 factor 9 for 9 for 11 dysfunction 10 erectile 11 dysfunction 11 dysfunction 13 ed 11 dysfunction 16 contributing 12 ( 13 ed 13 ed 14 ) 15 , 16 contributing 16 contributing 17 independently 16 contributing 18 to 16 contributing 24 . 18 to 20 damage 19 vascular 20 damage 20 damage 21 of 21 of 23 tissue 22 penile 23 tissue vascular maintenance depends on angiogenic balance in tissues . 0 ###LEFT-WALL### 2 maintenance 0 ###LEFT-WALL### 3 depends 0 ###LEFT-WALL### 9 . 1 vascular 2 maintenance 2 maintenance 3 depends 3 depends 4 on 3 depends 7 in 4 on 6 balance 5 angiogenic 6 balance 7 in 8 tissues vascular endothelial growth [factor] ( vegf ) is a modulator of endothelial cells functions , after engagement to specific receptor kinase domain region [(] kdr ) . 0 ###LEFT-WALL### 3 growth 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 27 . 1 vascular 3 growth 2 endothelial 3 growth 3 growth 6 vegf 3 growth 8 is 5 ( 6 vegf 6 vegf 7 ) 8 is 10 modulator 9 a 10 modulator 10 modulator 11 of 10 modulator 16 after 11 of 14 functions 12 endothelial 13 cells 13 cells 14 functions 15 , 16 after 16 after 17 engagement 16 after 26 ) 17 engagement 18 to 18 to 25 kdr 19 specific 20 receptor 20 receptor 21 kinase 21 kinase 25 kdr 22 domain 25 kdr 23 region 25 kdr other factors , such as angiopoietins , cross talk with vegf , modulating its effects . 0 ###LEFT-WALL### 2 factors 0 ###LEFT-WALL### 8 cross 1 other 2 factors 2 factors 5 as 2 factors 8 cross 3 , 5 as 4 such 5 as 5 as 6 angiopoietins 5 as 7 , 8 cross 9 talk 8 cross 10 with 10 with 11 vegf 11 vegf 13 modulating 12 , 13 modulating 13 modulating 15 effects 13 modulating 16 . 14 its 15 effects angiopoietin - 1 ( ang1 ) and angiopoietin - 2 ( ang2 ) compete for binding to tie - 2 and , while ang1 promotes vascular stabilization , ang2 acts as a partial agonist or antagonist of ang1 signaling , depending on vegf bioavailability . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 14 compete 0 ###LEFT-WALL### 19 - 1 angiopoietin 3 1 1 angiopoietin 7 and 2 - 3 1 3 1 5 ang1 3 1 6 ) 4 ( 5 ang1 5 ang1 6 ) 7 and 8 angiopoietin 7 and 10 2 7 and 14 compete 9 - 10 2 10 2 12 ang2 10 2 13 ) 11 ( 12 ang2 12 ang2 13 ) 14 compete 15 for 14 compete 17 to 15 for 16 binding 17 to 18 tie 19 - 20 2 19 - 21 and 21 and 29 ang2 21 and 30 acts 22 , 23 while 23 while 24 ang1 23 while 25 promotes 23 while 28 , 23 while 29 ang2 24 ang1 25 promotes 25 promotes 27 stabilization 26 vascular 27 stabilization 29 ang2 30 acts 30 acts 31 as 30 acts 41 depending 31 as 35 or 32 a 33 partial 32 a 34 agonist 33 partial 34 agonist 34 agonist 35 or 35 or 36 antagonist 35 or 37 of 35 or 39 signaling 37 of 38 ang1 40 , 41 depending 41 depending 42 on 41 depending 45 . 42 on 44 bioavailability 43 vegf 44 bioavailability aims : to quantify the expression of ang1 , ang2 , tie - 2 , vegf , and kdr by real - time polymerase chain reaction ( pcr ) in human corpus cavernosum ( cc ) from young and aged healthy individuals . 0 ###LEFT-WALL### 1 aims 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 quantify 2 : 43 . 3 to 4 quantify 4 quantify 18 and 4 quantify 20 by 4 quantify 30 in 4 quantify 37 from 5 the 18 and 6 expression 7 of 6 expression 18 and 7 of 8 ang1 8 ang1 10 ang2 8 ang1 12 tie 9 , 10 ang2 10 ang2 11 , 11 , 12 tie 12 tie 16 vegf 12 tie 17 , 13 - 16 vegf 14 2 16 vegf 15 , 16 vegf 16 vegf 17 , 17 , 18 and 18 and 19 kdr 20 by 26 reaction 21 real 22 - 21 real 25 chain 23 time 25 chain 24 polymerase 25 chain 25 chain 26 reaction 26 reaction 28 pcr 27 ( 28 pcr 28 pcr 29 ) 30 in 33 cavernosum 31 human 32 corpus 32 corpus 33 cavernosum 33 cavernosum 35 cc 34 ( 35 cc 35 cc 36 ) 37 from 42 individuals 38 young 39 and 39 and 40 aged 39 and 42 individuals 41 healthy 42 individuals methods : human cc fragments were obtained from organ donors without known risk factors to ed and divided in two groups : young ( 16 - 35 years ) and aged ( 59 - 74 years ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 38 . 2 : 3 human 2 : 22 : 3 human 4 cc 3 human 5 fragments 3 human 18 divided 3 human 22 : 5 fragments 6 were 6 were 17 and 7 obtained 8 from 7 obtained 11 without 7 obtained 14 factors 7 obtained 15 to 7 obtained 17 and 8 from 10 donors 9 organ 10 donors 11 without 13 risk 12 known 13 risk 15 to 16 ed 17 and 18 divided 18 divided 19 in 19 in 21 groups 20 two 21 groups 22 : 30 and 23 young 26 - 23 young 30 and 24 ( 26 - 25 16 26 - 26 - 28 years 26 - 29 ) 27 35 28 years 30 and 31 aged 31 aged 34 - 32 ( 34 - 33 59 34 - 34 - 36 years 34 - 37 ) 35 74 36 years rna was extracted and converted to cdna . 0 ###LEFT-WALL### 1 rna 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 8 . 1 rna 2 was 2 was 4 and 3 extracted 4 and 4 and 5 converted 4 and 6 to 6 to 7 cdna real - time pcr reactions employed appropriate primers . 0 ###LEFT-WALL### 5 reactions 0 ###LEFT-WALL### 6 employed 0 ###LEFT-WALL### 9 . 1 real 2 - 1 real 5 reactions 3 time 5 reactions 4 pcr 5 reactions 5 reactions 6 employed 6 employed 8 primers 7 appropriate 8 primers kdr , tie - 2 , akt , and phospho - akt protein levels were also assessed by western blotting ( wb ) . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 24 . 1 kdr 2 , 2 , 3 tie 2 , 9 and 3 tie 5 2 4 - 5 2 5 2 7 akt 5 2 8 , 6 , 7 akt 7 akt 8 , 9 and 10 phospho 9 and 13 protein 11 - 13 protein 12 akt 13 protein 13 protein 14 levels 13 protein 20 blotting 13 protein 22 wb 13 protein 23 ) 14 levels 15 were 15 were 17 assessed 16 also 17 assessed 17 assessed 18 by 18 by 19 western 19 western 20 blotting 21 ( 22 wb 22 wb 23 ) computer [-] assisted [evaluation] of vascular areas was performed . 0 ###LEFT-WALL### 1 computer 0 ###LEFT-WALL### 9 performed 0 ###LEFT-WALL### 10 . 1 computer 3 assisted 1 computer 5 of 1 computer 8 was 5 of 7 areas 6 vascular 7 areas 8 was 9 performed main outcome measures : study of angiopoietins - tie - 2 and vegf - kdr systems in human cc during aging by real - time pcr and wb . 0 ###LEFT-WALL### 3 measures 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 10 - 1 main 2 outcome 2 outcome 3 measures 3 measures 4 : 4 : 5 study 5 study 6 of 6 of 7 angiopoietins 7 angiopoietins 9 tie 8 - 9 tie 9 tie 10 - 10 - 16 systems 11 2 12 and 12 and 13 vegf 13 vegf 15 kdr 14 - 15 kdr 15 kdr 16 systems 16 systems 17 in 17 in 18 human 18 human 19 cc 18 human 20 during 20 during 21 aging 21 aging 22 by 22 by 28 wb 23 real 24 - 23 real 25 time 25 time 28 wb 26 pcr 27 and 27 and 28 wb 28 wb 29 . the ratios ang1/tie [-] 2 and vegf/kdr and akt levels were also determined . 0 ###LEFT-WALL### 2 ratios 0 ###LEFT-WALL### 11 were 0 ###LEFT-WALL### 14 . 1 the 2 ratios 2 ratios 9 akt 2 ratios 10 levels 2 ratios 11 were 3 ang1/tie 5 2 3 ang1/tie 6 and 6 and 7 vegf/kdr 7 vegf/kdr 8 and 8 and 9 akt 9 akt 10 levels 11 were 12 also 11 were 13 determined results : real - time pcr results showed a sixfold significant reduction in the ang1/tie [-] 2 ratio during aging . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 5 time 3 real 4 - 3 real 5 time 5 time 20 aging 6 pcr 7 results 6 pcr 19 during 6 pcr 20 aging 7 results 8 showed 8 showed 12 reduction 8 showed 13 in 8 showed 19 during 9 a 12 reduction 10 sixfold 12 reduction 11 significant 12 reduction 13 in 18 ratio 14 the 18 ratio 15 ang1/tie 17 2 15 ang1/tie 18 ratio ang2 , vegf , and kdr expression results were highly variable . 0 ###LEFT-WALL### 8 results 0 ###LEFT-WALL### 9 were 0 ###LEFT-WALL### 12 . 1 ang2 3 vegf 2 , 3 vegf 3 vegf 4 , 3 vegf 5 and 5 and 6 kdr 6 kdr 8 results 7 expression 8 results 8 results 9 were 9 were 10 highly 9 were 11 variable nevertheless , the ratio vegf/kdr was significantly higher in the aged individuals . 0 ###LEFT-WALL### 5 vegf/kdr 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 13 . 1 nevertheless 2 , 1 nevertheless 5 vegf/kdr 3 the 4 ratio 4 ratio 5 vegf/kdr 5 vegf/kdr 6 was 6 was 8 higher 7 significantly 8 higher 8 higher 9 in 9 in 12 individuals 10 the 12 individuals 11 aged 12 individuals akt and phospho - akt levels were similar in both groups . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 12 . 1 akt 2 and 2 and 6 levels 2 and 7 were 3 phospho 4 - 3 phospho 6 levels 5 akt 6 levels 7 were 8 similar 8 similar 9 in 9 in 11 groups 10 both 11 groups immunohistological evaluation revealed [a] significant decrease in vascular areas and endothelial surface in cc with aging [,] despite no differences found in vessel number . 0 ###LEFT-WALL### 24 number 0 ###LEFT-WALL### 25 . 1 immunohistological 3 revealed 2 evaluation 3 revealed 3 revealed 6 decrease 5 significant 6 decrease 6 decrease 7 in 6 decrease 10 and 7 in 9 areas 8 vascular 9 areas 10 and 12 surface 10 and 13 in 10 and 15 with 10 and 24 number 11 endothelial 12 surface 13 in 14 cc 15 with 16 aging 16 aging 18 despite 18 despite 20 differences 19 no 20 differences 20 differences 21 found 21 found 22 in 23 vessel 24 number conclusions : the obtained results suggest an aging [-] associated downregulation [of] angiopoietins/tie - 2 system and an apparent compensatory upregulation of the vegf/kdr system . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 5 results 2 : 6 suggest 3 the 5 results 4 obtained 5 results 5 results 6 suggest 6 suggest 17 and 7 an 16 system 8 aging 11 downregulation 10 associated 11 downregulation 11 downregulation 16 system 13 angiopoietins/tie 14 - 13 angiopoietins/tie 16 system 15 2 16 system 16 system 17 and 17 and 21 upregulation 17 and 22 of 18 an 19 apparent 18 an 21 upregulation 19 apparent 21 upregulation 20 compensatory 21 upregulation 22 of 25 system 23 the 25 system 24 vegf/kdr 25 system background : a myriad of technologies [are] available for the treatment of aging skin . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 . 1 background 2 : 2 : 4 myriad 3 a 4 myriad 4 myriad 5 of 5 of 6 technologies 6 technologies 8 available 8 available 9 for 9 for 11 treatment 10 the 11 treatment 11 treatment 12 of 12 of 13 aging 13 aging 14 skin these , however , still lack the ability to combine immediate , short - term and long - term aesthetic results with no downtime . 0 ###LEFT-WALL### 1 these 0 ###LEFT-WALL### 2 , 0 ###LEFT-WALL### 10 combine 0 ###LEFT-WALL### 25 . 2 , 6 lack 3 however 4 , 3 however 6 lack 5 still 6 lack 6 lack 8 ability 6 lack 9 to 7 the 8 ability 9 to 10 combine 10 combine 16 and 10 combine 22 with 11 immediate 12 , 12 , 15 term 12 , 16 and 13 short 14 - 13 short 15 term 16 and 21 results 17 long 18 - 17 long 19 term 19 term 21 results 20 aesthetic 21 results 22 with 24 downtime 23 no 24 downtime furthermore , the treatment of fine wrinkles on large surfaces remains challenging , as does the treatment of delicate regions , such as the dorsal hand , neck , and chest . 0 ###LEFT-WALL### 4 treatment 0 ###LEFT-WALL### 11 remains 0 ###LEFT-WALL### 32 . 1 furthermore 2 , 1 furthermore 4 treatment 3 the 4 treatment 4 treatment 5 of 4 treatment 11 remains 5 of 7 wrinkles 6 fine 7 wrinkles 7 wrinkles 8 on 8 on 10 surfaces 9 large 10 surfaces 11 remains 12 challenging 12 challenging 14 as 12 challenging 23 as 13 , 14 as 14 as 15 does 14 as 21 , 15 does 17 treatment 16 the 17 treatment 17 treatment 18 of 18 of 20 regions 19 delicate 20 regions 22 such 23 as 23 as 30 and 24 the 26 hand 25 dorsal 26 hand 26 hand 27 , 27 , 28 neck 27 , 30 and 29 , 30 and 30 and 31 chest objectives : the aims of this study were to evaluate the short - term as well as the long - term efficacy and safety of a new skin remodeling device that pneumatically accelerates a jet of hyaluronic acid ( ha ) solution [under] high pressure into the dermis . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 evaluate 0 ###LEFT-WALL### 49 . 2 : 4 aims 3 the 4 aims 4 aims 5 of 4 aims 7 study 4 aims 10 evaluate 5 of 6 this 7 study 8 were 8 were 9 to 8 were 10 evaluate 9 to 10 evaluate 10 evaluate 23 and 11 the 14 term 12 short 13 - 12 short 14 term 14 term 17 as 14 term 23 and 15 as 16 well 16 well 17 as 17 as 22 efficacy 18 the 22 efficacy 19 long 20 - 19 long 22 efficacy 21 term 22 efficacy 23 and 24 safety 23 and 31 that 23 and 33 accelerates 24 safety 25 of 25 of 30 device 26 a 30 device 27 new 28 skin 28 skin 30 device 29 remodeling 30 device 31 that 33 accelerates 32 pneumatically 33 accelerates 33 accelerates 35 jet 33 accelerates 46 into 34 a 35 jet 35 jet 36 of 36 of 45 pressure 37 hyaluronic 42 solution 38 acid 40 ha 38 acid 42 solution 39 ( 40 ha 40 ha 41 ) 42 solution 45 pressure 44 high 45 pressure 46 into 48 dermis 47 the 48 dermis methods : thirty - four participants at three clinical sites underwent treatments with the airgent device on the face , neck , chest , and dorsal hands for a total of 69 sites . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 2 : 6 participants 2 : 11 underwent 3 thirty 4 - 4 - 5 four 4 - 6 participants 6 participants 7 at 6 participants 11 underwent 7 at 10 sites 8 three 10 sites 9 clinical 10 sites 11 underwent 12 treatments 11 underwent 17 on 12 treatments 13 with 13 with 16 device 14 the 16 device 15 airgent 16 device 17 on 25 and 18 the 19 face 19 face 20 , 20 , 21 neck 20 , 22 , 22 , 23 chest 22 , 25 and 24 , 25 and 25 and 27 hands 25 and 28 for 25 and 31 of 26 dorsal 27 hands 28 for 30 total 29 a 30 total 31 of 33 sites 32 69 33 sites safety and efficacy were evaluated in short - term [(] 1 - 3 months [ )(and long - term follow - up ( up to 18 months ) by photography , by an independent reviewer and [by] participant self - evaluation . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 5 evaluated 0 ###LEFT-WALL### 40 - 0 ###LEFT-WALL### 42 . 1 safety 2 and 2 and 3 efficacy 2 and 4 were 4 were 5 evaluated 5 evaluated 6 in 5 evaluated 32 by 6 in 9 term 7 short 8 - 7 short 9 term 9 term 12 - 9 term 16 )(and 9 term 20 follow 9 term 22 up 11 1 12 - 12 - 13 3 14 months 16 )(and 16 )(and 19 term 16 )(and 20 follow 17 long 18 - 17 long 19 term 21 - 22 up 22 up 24 up 22 up 29 by 22 up 31 , 23 ( 24 up 24 up 25 to 24 up 28 ) 25 to 27 months 26 18 27 months 29 by 30 photography 31 , 32 by 32 by 36 and 32 by 40 - 33 an 34 independent 33 an 35 reviewer 34 independent 35 reviewer 35 reviewer 36 and 36 and 39 self 38 participant 39 self 40 - 41 evaluation histology was assessed before and 4 months after the third treatment . 0 ###LEFT-WALL### 1 histology 0 ###LEFT-WALL### 3 assessed 0 ###LEFT-WALL### 12 . 1 histology 2 was 2 was 3 assessed 3 assessed 5 and 4 before 5 and 5 and 8 after 6 4 7 months 7 months 8 after 8 after 11 treatment 9 the 11 treatment 10 third 11 treatment results : a total of 69 treatment areas were evaluable at 1 - 3 months follow - up . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 follow 2 : 4 total 2 : 9 were 3 a 4 total 4 total 5 of 4 total 9 were 5 of 8 areas 6 69 8 areas 7 treatment 8 areas 9 were 10 evaluable 10 evaluable 11 at 11 at 13 - 12 1 13 - 13 - 14 3 14 3 15 months 15 months 16 follow 16 follow 18 up 17 - 18 up 18 up 19 . photographic analysis demonstrated improvement in skin variables at all body sites treated . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 3 demonstrated 0 ###LEFT-WALL### 13 . 1 photographic 2 analysis 2 analysis 3 demonstrated 3 demonstrated 4 improvement 3 demonstrated 5 in 3 demonstrated 8 at 5 in 7 variables 6 skin 7 variables 8 at 11 sites 9 all 11 sites 10 body 11 sites 11 sites 12 treated treatment of the face and neck reduced the mean fitzpatrick [-] goldman wrinkle classification score by 39.4 and 30.4 % , respectively , representing a full wrinkle class improvement . 0 ###LEFT-WALL### 1 treatment 0 ###LEFT-WALL### 7 reduced 0 ###LEFT-WALL### 30 . 1 treatment 2 of 1 treatment 7 reduced 2 of 5 and 3 the 4 face 4 face 5 and 5 and 6 neck 7 reduced 15 score 7 reduced 16 by 8 the 15 score 9 mean 15 score 10 fitzpatrick 12 goldman 12 goldman 13 wrinkle 13 wrinkle 14 classification 14 classification 15 score 16 by 20 % 17 39.4 18 and 18 and 19 30.4 18 and 20 % 20 % 24 representing 21 , 22 respectively 22 respectively 23 , 22 respectively 24 representing 24 representing 29 improvement 25 a 26 full 25 a 29 improvement 26 full 27 wrinkle 27 wrinkle 29 improvement 28 class 29 improvement treatments of the chest demonstrated significant visual improvement . 0 ###LEFT-WALL### 1 treatments 0 ###LEFT-WALL### 5 demonstrated 0 ###LEFT-WALL### 9 . 1 treatments 2 of 1 treatments 5 demonstrated 2 of 4 chest 3 the 4 chest 5 demonstrated 8 improvement 6 significant 8 improvement 7 visual 8 improvement treatment of the dorsal hands produced good overall improvement ( oi ) , with good improvement of protruding veins . 0 ###LEFT-WALL### 1 treatment 0 ###LEFT-WALL### 6 produced 1 treatment 2 of 1 treatment 6 produced 2 of 5 hands 3 the 5 hands 4 dorsal 5 hands 6 produced 9 improvement 6 produced 14 with 7 good 8 overall 8 overall 9 improvement 9 improvement 11 oi 10 ( 11 oi 11 oi 12 ) 13 , 14 with 14 with 16 improvement 14 with 20 . 15 good 16 improvement 16 improvement 17 of 17 of 19 veins 18 protruding 19 veins overall improvement increased with increasing number [of] treatments . 0 ###LEFT-WALL### 2 improvement 0 ###LEFT-WALL### 3 increased 0 ###LEFT-WALL### 9 . 1 overall 2 improvement 2 improvement 3 increased 3 increased 4 with 4 with 5 increasing 5 increasing 8 treatments 6 number 8 treatments a total of 56 treatment areas were evaluable for long - [term] follow - up . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 11 - 1 a 2 total 2 total 3 of 2 total 7 were 3 of 6 areas 4 56 6 areas 5 treatment 6 areas 7 were 8 evaluable 8 evaluable 9 for 9 for 10 long 11 - 13 follow 13 follow 15 up 14 - 15 up 15 up 16 . treatment of the face and neck reduced the mean fitzpatrick - goldman wrinkle classification [score] by 27.6 and 21.2 % , respectively . 0 ###LEFT-WALL### 1 treatment 0 ###LEFT-WALL### 7 reduced 0 ###LEFT-WALL### 23 . 1 treatment 2 of 1 treatment 7 reduced 2 of 5 and 3 the 4 face 4 face 5 and 5 and 6 neck 7 reduced 10 fitzpatrick 7 reduced 22 respectively 8 the 9 mean 9 mean 10 fitzpatrick 10 fitzpatrick 14 classification 11 - 14 classification 12 goldman 13 wrinkle 13 wrinkle 14 classification 14 classification 16 by 14 classification 21 , 16 by 20 % 17 27.6 18 and 18 and 19 21.2 18 and 20 % improvement after treatment of the face represented a full wrinkle class reduction . 0 ###LEFT-WALL### 1 improvement 0 ###LEFT-WALL### 7 represented 0 ###LEFT-WALL### 13 . 1 improvement 2 after 1 improvement 7 represented 2 after 3 treatment 3 treatment 4 of 4 of 6 face 5 the 6 face 7 represented 12 reduction 8 a 9 full 8 a 12 reduction 9 full 10 wrinkle 10 wrinkle 12 reduction 11 class 12 reduction treatment of the chest and dorsal hands yielded significant visual improvement . 0 ###LEFT-WALL### 1 treatment 0 ###LEFT-WALL### 8 yielded 0 ###LEFT-WALL### 12 . 1 treatment 2 of 1 treatment 8 yielded 2 of 5 and 3 the 4 chest 4 chest 5 and 5 and 7 hands 6 dorsal 7 hands 8 yielded 11 improvement 9 significant 11 improvement 10 visual 11 improvement overall , 80 % of subjects were satisfied with the treatment outcome and would recommend the treatment to friends and family . 0 ###LEFT-WALL### 4 % 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 22 . 1 overall 2 , 1 overall 4 % 3 80 4 % 4 % 5 of 4 % 13 and 5 of 6 subjects 7 were 8 satisfied 7 were 13 and 8 satisfied 9 with 9 with 12 outcome 10 the 12 outcome 11 treatment 12 outcome 13 and 14 would 14 would 15 recommend 15 recommend 17 treatment 15 recommend 18 to 16 the 17 treatment 18 to 20 and 19 friends 20 and 20 and 21 family histological analysis demonstrated increased dermal collagen ιιι . 0 ###LEFT-WALL### 7 ιιι 0 ###LEFT-WALL### 8 . 1 histological 2 analysis 2 analysis 3 demonstrated 3 demonstrated 7 ιιι 4 increased 7 ιιι 5 dermal 7 ιιι 6 collagen 7 ιιι conclusions : pneumatic injection of ha under high pressure provides a safe , well - tolerated and effective method for improving the appearance of wrinkles on the face , neck , chest , and dorsal hands . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 37 . 1 conclusions 2 : 2 : 3 pneumatic 3 pneumatic 4 injection 3 pneumatic 10 provides 3 pneumatic 16 tolerated 4 injection 5 of 4 injection 10 provides 5 of 6 ha 6 ha 7 under 7 under 9 pressure 8 high 9 pressure 10 provides 12 safe 10 provides 14 well 11 a 12 safe 13 , 14 well 14 well 15 - 17 and 19 method 17 and 36 hands 18 effective 19 method 19 method 20 for 19 method 36 hands 20 for 21 improving 21 improving 23 appearance 21 improving 26 on 22 the 23 appearance 23 appearance 24 of 24 of 25 wrinkles 26 on 34 and 27 the 28 face 28 face 29 , 29 , 30 neck 29 , 31 , 31 , 32 chest 31 , 34 and 33 , 34 and 34 and 35 dorsal improvement can be seen as early as 1 month and as long as 18 months after treatment . 0 ###LEFT-WALL### 1 improvement 0 ###LEFT-WALL### 4 seen 0 ###LEFT-WALL### 18 . 1 improvement 2 can 2 can 3 be 3 be 4 seen 4 seen 5 as 5 as 10 and 6 early 7 as 6 early 10 and 7 as 9 month 8 1 9 month 10 and 12 long 11 as 12 long 12 long 13 as 12 long 16 after 13 as 15 months 14 18 15 months 16 after 17 treatment purpose : the purpose of this paper is to describe coping practices used by older women during preclinical disability . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 2 : 4 purpose 2 : 13 used 2 : 20 . 3 the 4 purpose 4 purpose 5 of 4 purpose 8 is 5 of 7 paper 6 this 7 paper 8 is 9 to 8 is 13 used 9 to 10 describe 10 describe 12 practices 11 coping 12 practices 13 used 14 by 13 used 17 during 14 by 16 women 15 older 16 women 17 during 19 disability 18 preclinical 19 disability design : this paper was derived from qualitative data gathered during a larger multimethod longitudinal study . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 2 : 4 paper 2 : 6 derived 2 : 17 . 3 this 4 paper 4 paper 5 was 5 was 6 derived 6 derived 7 from 7 from 9 data 8 qualitative 9 data 9 data 10 gathered 10 gathered 11 during 11 during 16 study 12 a 16 study 13 larger 16 study 14 multimethod 16 study 15 longitudinal 16 study twelve women ( 60 to 80 years of age ) participated in baseline functional performance measures and then repeated in - depth interviews and participant observations over 18 months . 0 ###LEFT-WALL### 2 women 0 ###LEFT-WALL### 11 participated 0 ###LEFT-WALL### 21 - 1 twelve 2 women 2 women 4 60 2 women 11 participated 3 ( 4 60 4 60 5 to 4 60 8 of 4 60 10 ) 5 to 7 years 6 80 7 years 8 of 9 age 11 participated 12 in 12 in 15 performance 13 baseline 15 performance 14 functional 15 performance 15 performance 17 and 16 measures 17 and 17 and 19 repeated 17 and 20 in 18 then 19 repeated 21 - 24 and 21 - 30 . 22 depth 23 interviews 23 interviews 24 and 24 and 26 observations 24 and 27 over 25 participant 26 observations 27 over 29 months 28 18 29 months methods : a hermeneutic approach was used to interpret [the] in - depth interviews , participant observations , and field notes using three interrelated processes of thematic , exemplar , and identification of paradigm cases to identify coping practices . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 - 1 methods 2 : 2 : 4 hermeneutic 3 a 4 hermeneutic 4 hermeneutic 5 approach 4 hermeneutic 11 in 5 approach 6 was 6 was 7 used 7 used 8 to 7 used 9 interpret 8 to 9 interpret 9 interpret 11 in 12 - 19 and 13 depth 14 interviews 14 interviews 15 , 15 , 17 observations 15 , 19 and 16 participant 17 observations 18 , 19 and 19 and 21 notes 19 and 22 using 20 field 21 notes 22 using 25 processes 23 three 25 processes 24 interrelated 25 processes 25 processes 26 of 26 of 31 and 27 thematic 28 , 28 , 29 exemplar 28 , 31 and 30 , 31 and 31 and 32 identification 31 and 40 . 32 identification 33 of 33 of 35 cases 34 paradigm 35 cases 35 cases 36 to 35 cases 37 identify 36 to 37 identify 37 identify 39 practices 38 coping 39 practices findings : women coped with functional [decline] , such as difficulty getting up from the floor , in many different ways . 0 ###LEFT-WALL### 1 findings 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 1 findings 2 : 2 : 3 women 3 women 5 with 3 women 6 functional 4 coped 5 with 6 functional 10 as 6 functional 18 in 8 , 10 as 9 such 10 as 10 as 11 difficulty 10 as 17 , 11 difficulty 12 getting 12 getting 13 up 12 getting 14 from 14 from 16 floor 15 the 16 floor 18 in 21 ways 19 many 21 ways 20 different 21 ways coping practices were grouped into five themes : resist , adapt , substitute , endure , and eliminate . 0 ###LEFT-WALL### 2 practices 0 ###LEFT-WALL### 4 grouped 0 ###LEFT-WALL### 8 : 1 coping 2 practices 2 practices 3 were 3 were 4 grouped 4 grouped 5 into 5 into 7 themes 6 five 7 themes 8 : 10 , 8 : 19 . 9 resist 10 , 10 , 12 , 11 adapt 12 , 12 , 14 , 13 substitute 14 , 14 , 17 and 15 endure 17 and 16 , 17 and 17 and 18 eliminate clinical relevance : these findings suggest that nurses need to realize outward appearances may mask the level of effort required for older women to complete daily activities . 0 ###LEFT-WALL### 2 relevance 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 28 . 1 clinical 2 relevance 3 : 5 findings 3 : 6 suggest 4 these 5 findings 5 findings 6 suggest 6 suggest 7 that 6 suggest 8 nurses 7 that 8 nurses 8 nurses 9 need 8 nurses 24 to 9 need 10 to 9 need 11 realize 10 to 11 realize 11 realize 12 outward 11 realize 13 appearances 11 realize 15 mask 13 appearances 14 may 14 may 15 mask 15 mask 17 level 15 mask 21 for 16 the 17 level 17 level 18 of 18 of 19 effort 19 effort 20 required 21 for 23 women 22 older 23 women 24 to 25 complete 25 complete 27 activities 26 daily 27 activities evidence exists for locomotor muscle impairment in patients with chronic obstructive pulmonary disease ( copd ) , including fiber type alterations and reduced mitochondrial oxidative capacity . 0 ###LEFT-WALL### 1 evidence 0 ###LEFT-WALL### 2 exists 0 ###LEFT-WALL### 27 . 1 evidence 2 exists 2 exists 3 for 2 exists 7 in 3 for 6 impairment 4 locomotor 6 impairment 5 muscle 6 impairment 7 in 22 and 8 patients 9 with 8 patients 17 , 9 with 13 disease 10 chronic 13 disease 11 obstructive 13 disease 12 pulmonary 13 disease 13 disease 15 copd 14 ( 15 copd 15 copd 16 ) 17 , 21 alterations 17 , 22 and 18 including 21 alterations 19 fiber 21 alterations 20 type 21 alterations 22 and 26 capacity 23 reduced 26 capacity 24 mitochondrial 26 capacity 25 oxidative 26 capacity in this study high - resolution respirometry was used to quantify oxygen flux in permeabilized fibres from biopsies [of] the vastus lateralis muscle in patients with copd and compared to healthy control subjects . 0 ###LEFT-WALL### 7 respirometry 0 ###LEFT-WALL### 9 used 0 ###LEFT-WALL### 34 . 1 in 3 study 1 in 7 respirometry 2 this 3 study 4 high 5 - 4 high 7 respirometry 6 resolution 7 respirometry 7 respirometry 8 was 8 was 9 used 9 used 10 to 9 used 14 in 9 used 17 from 10 to 11 quantify 11 quantify 13 flux 12 oxygen 13 flux 14 in 16 fibres 15 permeabilized 16 fibres 17 from 28 and 18 biopsies 23 muscle 18 biopsies 26 with 18 biopsies 28 and 20 the 23 muscle 21 vastus 22 lateralis 22 lateralis 23 muscle 23 muscle 24 in 24 in 25 patients 26 with 27 copd 28 and 29 compared 29 compared 30 to 30 to 33 subjects 31 healthy 32 control 32 control 33 subjects these results indicate that quadriceps muscle mitochondrial function is altered in patients with copd . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 15 . 1 these 2 results 2 results 3 indicate 3 indicate 8 function 3 indicate 10 altered 4 that 8 function 5 quadriceps 8 function 6 muscle 8 function 7 mitochondrial 8 function 8 function 9 is 9 is 10 altered 10 altered 11 in 10 altered 13 with 11 in 12 patients 13 with 14 copd the regulatory mechanisms underlying these functional abnormalities remain to be uncovered . 0 ###LEFT-WALL### 3 mechanisms 0 ###LEFT-WALL### 8 remain 0 ###LEFT-WALL### 12 . 1 the 3 mechanisms 2 regulatory 3 mechanisms 3 mechanisms 4 underlying 3 mechanisms 8 remain 4 underlying 7 abnormalities 5 these 7 abnormalities 6 functional 7 abnormalities 8 remain 9 to 9 to 10 be 10 be 11 uncovered over the past 50 years the incidence of anesthesia - related cardiac arrest has declined , despite increased patient co - morbidities , the most significant determinant of anesthetic risk . 0 ###LEFT-WALL### 7 incidence 0 ###LEFT-WALL### 15 declined 0 ###LEFT-WALL### 31 . 1 over 5 years 1 over 7 incidence 2 the 3 past 2 the 4 50 4 50 5 years 6 the 7 incidence 7 incidence 8 of 7 incidence 14 has 8 of 9 anesthesia 10 - 11 related 11 related 13 arrest 11 related 14 has 12 cardiac 13 arrest 14 has 15 declined 15 declined 17 despite 15 declined 27 determinant 16 , 17 despite 17 despite 22 morbidities 17 despite 23 , 18 increased 22 morbidities 19 patient 22 morbidities 20 co 21 - 20 co 22 morbidities 24 the 27 determinant 25 most 26 significant 26 significant 27 determinant 27 determinant 28 of 28 of 30 risk 29 anesthetic 30 risk multiple factors have contributed to this improvement including safer anesthetic agents , better monitoring devices and the development of a [specialized] pediatric environment . 0 ###LEFT-WALL### 2 factors 0 ###LEFT-WALL### 4 contributed 1 multiple 2 factors 2 factors 3 have 3 have 4 contributed 4 contributed 5 to 4 contributed 14 monitoring 5 to 7 improvement 6 this 7 improvement 7 improvement 8 including 8 including 11 agents 9 safer 10 anesthetic 10 anesthetic 11 agents 12 , 14 monitoring 13 better 14 monitoring 14 monitoring 16 and 14 monitoring 24 . 15 devices 16 and 16 and 18 development 16 and 19 of 17 the 18 development 19 of 23 environment 20 a 23 environment 22 pediatric 23 environment provider skill has benefitted from improved training and recognition of high - risk situations . 0 ###LEFT-WALL### 2 skill 0 ###LEFT-WALL### 4 benefitted 0 ###LEFT-WALL### 15 . 1 provider 2 skill 2 skill 3 has 3 has 4 benefitted 4 benefitted 5 from 5 from 8 and 6 improved 7 training 7 training 8 and 8 and 9 recognition 8 and 10 of 10 of 14 situations 11 high 12 - 11 high 14 situations 13 risk 14 situations further improvements will depend on international , multispecialty efforts to standardize terminology and analyze large numbers of these infrequent adverse events . 0 ###LEFT-WALL### 2 improvements 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 22 . 1 further 2 improvements 2 improvements 13 and 3 will 4 depend 3 will 13 and 4 depend 5 on 5 on 9 efforts 6 international 7 , 6 international 8 multispecialty 8 multispecialty 9 efforts 9 efforts 10 to 9 efforts 11 standardize 10 to 11 standardize 11 standardize 12 terminology 13 and 14 analyze 13 and 21 events 14 analyze 18 these 15 large 16 numbers 16 numbers 17 of 16 numbers 18 these 17 of 18 these 19 infrequent 21 events 20 adverse 21 events one essential reason for skin ageing is the formation of free radicals by excessive or unprotected sun exposure . 0 ###LEFT-WALL### 3 reason 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 19 . 1 one 3 reason 2 essential 3 reason 3 reason 4 for 3 reason 7 is 4 for 6 ageing 5 skin 6 ageing 7 is 9 formation 8 the 9 formation 9 formation 10 of 10 of 12 radicals 11 free 12 radicals 12 radicals 13 by 13 by 18 exposure 14 excessive 15 or 15 or 16 unprotected 15 or 17 sun 17 sun 18 exposure recently , free radical generation in skin has been shown to appear not only after irradiation in the uv wavelength range but also in the infrared ( ir ) spectral range . 0 ###LEFT-WALL### 5 generation 0 ###LEFT-WALL### 10 shown 0 ###LEFT-WALL### 32 . 1 recently 2 , 1 recently 5 generation 3 free 5 generation 4 radical 5 generation 5 generation 6 in 5 generation 8 has 6 in 7 skin 8 has 9 been 9 been 10 shown 10 shown 11 to 10 shown 14 only 11 to 12 appear 12 appear 13 not 14 only 15 after 15 after 16 irradiation 16 irradiation 22 but 17 in 21 range 17 in 22 but 18 the 21 range 19 uv 21 range 20 wavelength 21 range 22 but 23 also 22 but 24 in 24 in 31 range 25 the 31 range 26 infrared 28 ir 26 infrared 29 ) 26 infrared 31 range 27 ( 28 ir 28 ir 29 ) 30 spectral 31 range sunscreens are known to protect against radicals generated by uv radiation ; however , no data exist for those generated by ir radiation . 0 ###LEFT-WALL### 1 sunscreens 0 ###LEFT-WALL### 3 known 0 ###LEFT-WALL### 12 ; 0 ###LEFT-WALL### 24 . 1 sunscreens 2 are 2 are 3 known 3 known 4 to 3 known 5 protect 4 to 5 protect 5 protect 6 against 5 protect 9 by 5 protect 11 radiation 6 against 7 radicals 7 radicals 8 generated 9 by 10 uv 12 ; 16 data 12 ; 17 exist 13 however 14 , 13 however 16 data 15 no 16 data 16 data 17 exist 17 exist 18 for 17 exist 21 by 18 for 19 those 19 those 20 generated 21 by 23 radiation 22 ir 23 radiation this paper has investigated four different , commercially available sunscreens and one colipa standard with regard to radical formation in the skin after ir irradiation , using electron paramagnetic resonance spectroscopy . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 4 investigated 0 ###LEFT-WALL### 26 , 0 ###LEFT-WALL### 32 . 1 this 2 paper 2 paper 3 has 3 has 4 investigated 4 investigated 11 and 4 investigated 15 with 5 four 10 sunscreens 6 different 7 , 6 different 10 sunscreens 8 commercially 9 available 9 available 10 sunscreens 10 sunscreens 11 and 11 and 14 standard 12 one 14 standard 13 colipa 14 standard 15 with 16 regard 16 regard 17 to 16 regard 20 in 16 regard 23 after 17 to 19 formation 18 radical 19 formation 20 in 22 skin 21 the 22 skin 23 after 25 irradiation 24 ir 25 irradiation 26 , 31 spectroscopy 27 using 28 electron 28 electron 31 spectroscopy 29 paramagnetic 30 resonance 30 resonance 31 spectroscopy the use of sunscreens has led to reduced amounts of radicals compared to untreated skin . 0 ###LEFT-WALL### 2 use 0 ###LEFT-WALL### 6 led 0 ###LEFT-WALL### 16 . 1 the 2 use 2 use 3 of 2 use 5 has 3 of 4 sunscreens 5 has 6 led 6 led 7 to 7 to 9 amounts 8 reduced 9 amounts 9 amounts 10 of 10 of 11 radicals 11 radicals 12 compared 12 compared 13 to 13 to 15 skin 14 untreated 15 skin furthermore , absorption and scattering properties and the radical protection factor of the formulations were determined to investigate their influence on the radical protection of the skin . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 15 were 0 ###LEFT-WALL### 28 . 1 furthermore 2 , 1 furthermore 7 and 3 absorption 4 and 4 and 6 properties 4 and 7 and 5 scattering 6 properties 7 and 11 factor 7 and 12 of 7 and 15 were 8 the 11 factor 9 radical 10 protection 10 protection 11 factor 12 of 14 formulations 13 the 14 formulations 15 were 16 determined 16 determined 17 to 16 determined 18 investigate 17 to 18 investigate 18 investigate 20 influence 19 their 20 influence 20 influence 21 on 20 influence 25 of 21 on 24 protection 22 the 24 protection 23 radical 24 protection 25 of 27 skin 26 the 27 skin none of these formulations contained an optical absorber in the ir range . 0 ###LEFT-WALL### 4 formulations 0 ###LEFT-WALL### 5 contained 0 ###LEFT-WALL### 13 . 1 none 2 of 1 none 4 formulations 2 of 4 formulations 3 these 4 formulations 4 formulations 5 contained 5 contained 8 absorber 5 contained 9 in 6 an 7 optical 6 an 8 absorber 7 optical 8 absorber 9 in 12 range 10 the 12 range 11 ir 12 range the protection efficiency of the sunscreens was shown as being induced by the high scattering properties of the sunscreens , as well as the antioxidants contained in the formulations . 0 ###LEFT-WALL### 3 efficiency 0 ###LEFT-WALL### 8 shown 0 ###LEFT-WALL### 30 . 1 the 3 efficiency 2 protection 3 efficiency 3 efficiency 4 of 3 efficiency 7 was 4 of 6 sunscreens 5 the 6 sunscreens 7 was 8 shown 8 shown 9 as 9 as 10 being 10 being 11 induced 11 induced 12 by 11 induced 27 in 12 by 14 high 13 the 14 high 14 high 15 scattering 14 high 26 contained 15 scattering 16 properties 15 scattering 21 as 16 properties 17 of 17 of 19 sunscreens 18 the 19 sunscreens 20 , 21 as 21 as 22 well 21 as 26 contained 22 well 23 as 22 well 26 contained 23 as 25 antioxidants 24 the 25 antioxidants 27 in 29 formulations 28 the 29 formulations heat shock proteins ( hsps ) are expressed in [mammalian] embryonic , adult and aging lens , cornea and retina . 0 ###LEFT-WALL### 1 heat 0 ###LEFT-WALL### 21 . 1 heat 2 shock 1 heat 9 in 2 shock 3 proteins 2 shock 7 are 2 shock 8 expressed 3 proteins 5 hsps 3 proteins 7 are 4 ( 5 hsps 5 hsps 6 ) 9 in 19 and 11 embryonic 12 , 12 , 13 adult 12 , 14 and 14 and 16 lens 14 and 17 , 15 aging 16 lens 17 , 18 cornea 17 , 19 and 19 and 20 retina these proteins , particularly those belonging to the family of small hsps , such as αa - crystallin ( hspb4 ) and αb - crystallin ( hspb5 ) , play important roles in the differentiation of lens cells and [are] essential for the maintenance and protection of the supraorganization of proteins in differentiated corneal and lens fiber cells . 0 ###LEFT-WALL### 2 proteins 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 59 . 1 these 2 proteins 3 , 22 and 3 , 30 play 4 particularly 22 and 5 those 6 belonging 5 those 10 of 5 those 22 and 6 belonging 7 to 7 to 9 family 8 the 9 family 10 of 12 hsps 11 small 12 hsps 12 hsps 18 crystallin 13 , 18 crystallin 14 such 18 crystallin 15 as 16 αa 16 αa 17 - 16 αa 18 crystallin 18 crystallin 20 hspb4 18 crystallin 21 ) 19 ( 20 hspb4 20 hspb4 21 ) 22 and 23 αb 22 and 25 crystallin 22 and 30 play 24 - 25 crystallin 25 crystallin 27 hspb5 25 crystallin 29 , 26 ( 27 hspb5 27 hspb5 28 ) 30 play 32 roles 30 play 33 in 30 play 42 for 31 important 32 roles 33 in 35 differentiation 34 the 35 differentiation 35 differentiation 36 of 36 of 39 and 37 lens 38 cells 38 cells 39 and 39 and 41 essential 42 for 45 and 43 the 44 maintenance 44 maintenance 45 and 45 and 46 protection 45 and 47 of 47 of 49 supraorganization 48 the 49 supraorganization 49 supraorganization 50 of 50 of 51 proteins 51 proteins 52 in 52 in 58 cells 53 differentiated 58 cells 54 corneal 55 and 55 and 56 lens 55 and 57 fiber 57 fiber 58 cells hsps are molecular [chaperones] [characterized] by their protective activity against different types of stress . 0 ###LEFT-WALL### 1 hsps 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 15 . 1 hsps 2 are 2 are 3 molecular 3 molecular 6 by 3 molecular 10 against 6 by 9 activity 7 their 9 activity 8 protective 9 activity 10 against 14 stress 11 different 12 types 12 types 13 of 12 types 14 stress 13 of 14 stress they also have anti - apoptotic and anti - oxidant functions that help lens and corneal cells to better cope with the oxidative conditions that result from light induced injuries . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 3 have 0 ###LEFT-WALL### 31 . 1 they 3 have 2 also 3 have 3 have 17 cells 3 have 18 to 3 have 21 with 4 anti 7 and 4 anti 9 - 4 anti 10 oxidant 5 - 7 and 6 apoptotic 7 and 7 and 8 anti 7 and 9 - 10 oxidant 17 cells 11 functions 17 cells 12 that 14 lens 13 help 14 lens 14 lens 15 and 15 and 16 corneal 15 and 17 cells 18 to 20 cope 19 better 20 cope 21 with 24 conditions 22 the 24 conditions 23 oxidative 24 conditions 24 conditions 25 that 24 conditions 26 result 25 that 26 result 26 result 27 from 27 from 30 injuries 28 light 29 induced 29 induced 30 injuries they are also effective to protect the retina against the high rate of oxidative metabolism observed in this tissue . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 20 . 1 they 2 are 2 are 3 also 2 are 4 effective 4 effective 5 to 4 effective 6 protect 5 to 6 protect 6 protect 8 retina 6 protect 9 against 6 protect 17 in 7 the 8 retina 9 against 12 rate 10 the 12 rate 11 high 12 rate 12 rate 13 of 13 of 15 metabolism 14 oxidative 15 metabolism 15 metabolism 16 observed 17 in 19 tissue 18 this 19 tissue the goal of this review is to highlight recent works describing the expression and function [(] [s] ) of the different hsps as an attempt to better understand their roles in the normal and pathological eye . 0 ###LEFT-WALL### 2 goal 0 ###LEFT-WALL### 28 understand 0 ###LEFT-WALL### 37 . 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 highlight 7 to 8 highlight 8 highlight 10 works 8 highlight 26 to 9 recent 10 works 10 works 11 describing 10 works 19 of 11 describing 14 and 12 the 14 and 13 expression 14 and 14 and 15 function 14 and 18 ) 19 of 22 hsps 20 the 22 hsps 21 different 22 hsps 22 hsps 23 as 23 as 25 attempt 24 an 25 attempt 26 to 28 understand 27 better 28 understand 28 understand 30 roles 29 their 30 roles 30 roles 31 in 31 in 36 eye 32 the 36 eye 33 normal 34 and 34 and 35 pathological 34 and 36 eye particular emphasis is given to the α - crystallin polypeptides which , in addition to their protective functions , are key structural polypeptides that are essential for the refractive and light focusing properties of the lens , a property demonstrated by the caractogenic potential of their mutation . 1 particular 2 emphasis 2 emphasis 3 is 3 is 4 given 4 given 5 to 4 given 27 for 5 to 10 polypeptides 6 the 10 polypeptides 7 α 8 - 7 α 10 polypeptides 9 crystallin 10 polypeptides 10 polypeptides 11 which 10 polypeptides 20 are 11 which 13 in 11 which 20 are 12 , 13 in 13 in 14 addition 13 in 19 , 14 addition 15 to 15 to 18 functions 16 their 18 functions 17 protective 18 functions 20 are 21 key 21 key 23 polypeptides 22 structural 23 polypeptides 23 polypeptides 24 that 23 polypeptides 25 are 24 that 25 are 25 are 26 essential 27 for 33 properties 28 the 33 properties 29 refractive 30 and 30 and 31 light 30 and 32 focusing 32 focusing 33 properties 33 properties 34 of 34 of 36 lens 35 the 36 lens 36 lens 39 property 37 , 39 property 38 a 39 property 39 property 40 demonstrated 39 property 41 by 39 property 48 . 41 by 44 potential 42 the 44 potential 43 caractogenic 44 potential 44 potential 45 of 45 of 47 mutation 46 their 47 mutation objective : trends of overweight ( ov )/obesity ( ob ) prevalence among german children aged 4 - 16 years were studied between 1999 and 2008 . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 2 : 3 trends 3 trends 4 of 3 trends 16 aged 4 of 12 prevalence 5 overweight 8 )/obesity 5 overweight 12 prevalence 6 ( 8 )/obesity 7 ov 8 )/obesity 8 )/obesity 10 ob 8 )/obesity 11 ) 9 ( 10 ob 10 ob 11 ) 12 prevalence 13 among 13 among 15 children 14 german 15 children 16 aged 18 - 17 4 18 - 18 - 19 16 19 16 20 years 20 years 21 were 21 were 22 studied 22 studied 23 between 23 between 25 and 24 1999 25 and 25 and 26 2008 subjects : body mass index [(] bmi [ )(data ( >p90 [ ov []] and >p97 [ ob ] ) from the national crescnet database were analysed in three age groups : 4 - 7.99 , 8 - 11.99 , and 12 - 16 [years] . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 32 : 1 subjects 2 : 2 : 9 )(data 2 : 21 from 3 body 5 index 4 mass 5 index 5 index 9 )(data 7 bmi 9 )(data 9 )(data 11 >p90 10 ( 11 >p90 11 >p90 15 and 11 >p90 20 ) 12 [ 15 and 13 ov 15 and 15 and 16 >p97 15 and 18 ob 15 and 20 ) 17 [ 18 ob 18 ob 19 ] 21 from 23 national 22 the 23 national 23 national 25 database 23 national 26 were 23 national 27 analysed 23 national 28 in 24 crescnet 25 database 25 database 26 were 28 in 29 three 29 three 30 age 29 three 31 groups 30 age 31 groups 32 : 33 4 32 : 34 - 32 : 46 . 34 - 35 7.99 34 - 41 and 35 7.99 38 - 36 , 38 - 37 8 38 - 38 - 39 11.99 38 - 40 , 40 , 41 and 41 and 42 12 41 and 43 - 42 12 43 - 43 - 44 16 results : trend analyses . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 . 1 results 2 : 2 : 4 analyses 3 trend 4 analyses data from 272 826 children were analyzed . a [ )(whole study population aged 4 - 16 years old . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 8 . 0 ###LEFT-WALL### 20 . 1 data 2 from 1 data 6 were 2 from 5 children 3 272 5 children 4 826 5 children 6 were 7 analyzed 8 . 13 population 8 . 14 aged 9 a 13 population 11 )(whole 12 study 12 study 13 population 13 population 14 aged 14 aged 19 old 15 4 16 - 16 - 17 16 16 - 18 years 18 years 19 old a significant upward trend for ov/ob prevalence was found between 1999 and 2003 , and a significant [downward] trend between 2004 and 2008 . [b] [ )(subgroup analyses . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 24 . 0 ###LEFT-WALL### 29 . 1 a 2 significant 1 a 4 trend 2 significant 4 trend 3 upward 4 trend 4 trend 5 for 4 trend 15 and 5 for 6 ov/ob 6 ov/ob 7 prevalence 6 ov/ob 9 found 7 prevalence 8 was 8 was 9 found 9 found 10 between 10 between 12 and 11 1999 12 and 12 and 13 2003 14 , 15 and 15 and 19 trend 15 and 20 between 16 a 17 significant 16 a 19 trend 17 significant 19 trend 20 between 22 and 21 2004 22 and 22 and 23 2008 24 . 27 )(subgroup 27 )(subgroup 28 analyses ov/ob prevalence increased in most subgroups studied until 2004 . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 3 increased 0 ###LEFT-WALL### 10 . 1 ov/ob 2 prevalence 2 prevalence 3 increased 3 increased 4 in 4 in 6 subgroups 5 most 6 subgroups 6 subgroups 7 studied 7 studied 8 until 8 until 9 2004 between 2004 and 2008 , a [downward] trend for ov/ob prevalence was found in children , aged 4 - 7.99 years , whereas it stabilized in most other subgroups studied . 0 ###LEFT-WALL### 8 trend 0 ###LEFT-WALL### 13 found 0 ###LEFT-WALL### 31 . 1 between 3 and 1 between 5 , 1 between 8 trend 2 2004 3 and 3 and 4 2008 6 a 8 trend 8 trend 9 for 8 trend 12 was 9 for 11 prevalence 10 ov/ob 11 prevalence 12 was 13 found 13 found 14 in 13 found 23 whereas 13 found 26 in 14 in 15 children 15 children 17 aged 15 children 21 years 16 , 17 aged 17 aged 18 4 17 aged 19 - 19 - 21 years 20 7.99 21 years 21 years 22 , 23 whereas 24 it 23 whereas 25 stabilized 24 it 25 stabilized 26 in 29 subgroups 27 most 28 other 28 other 29 subgroups 29 subgroups 30 studied cross - sectional analyses . 0 ###LEFT-WALL### 1 cross 0 ###LEFT-WALL### 2 - 2 - 4 analyses 2 - 5 . 3 sectional 4 analyses data from 93 028 children were analyzed . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 7 analyzed 0 ###LEFT-WALL### 8 . 1 data 2 from 1 data 6 were 2 from 5 children 3 93 5 children 4 028 5 children 6 were 7 analyzed ov/ob prevalence was significantly higher in 2004 compared with 2000 in girls aged 12 - 16 years and in boys aged 8 - 16 years . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 26 . 1 ov/ob 2 prevalence 2 prevalence 3 was 3 was 4 significantly 3 was 5 higher 5 higher 6 in 5 higher 9 with 6 in 7 2004 7 2004 8 compared 9 with 10 2000 10 2000 18 and 11 in 17 years 11 in 18 and 12 girls 13 aged 13 aged 15 - 14 12 15 - 15 - 16 16 16 16 17 years 18 and 19 in 19 in 25 years 20 boys 21 aged 21 aged 23 - 22 8 23 - 23 - 24 16 24 16 25 years ov/ob obesity prevalence was significantly lower in 2008 compared with 2004 in children aged 4 - 7.99 years . 0 ###LEFT-WALL### 3 prevalence 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 16 - 0 ###LEFT-WALL### 19 . 1 ov/ob 2 obesity 2 obesity 3 prevalence 3 prevalence 4 was 4 was 6 lower 5 significantly 6 lower 6 lower 7 in 6 lower 10 with 7 in 8 2008 8 2008 9 compared 10 with 13 children 11 2004 12 in 12 in 13 children 13 children 14 aged 14 aged 15 4 16 - 18 years 17 7.99 18 years conclusion : ov/ob prevalence increased between 1999 and 2003 in german children . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 . 1 conclusion 2 : 2 : 4 prevalence 3 ov/ob 4 prevalence 4 prevalence 5 increased 4 prevalence 6 between 6 between 12 children 7 1999 8 and 8 and 9 2003 8 and 10 in 10 in 12 children 11 german 12 children since 2004 , this trend has been stabilizing or turning into a [downward] trend . 0 ###LEFT-WALL### 5 trend 0 ###LEFT-WALL### 7 been 0 ###LEFT-WALL### 15 . 1 since 2 2004 1 since 3 , 1 since 5 trend 4 this 5 trend 5 trend 6 has 6 has 7 been 7 been 9 or 8 stabilizing 9 or 9 or 10 turning 9 or 11 into 11 into 14 trend 12 a 14 trend our data confirm the global trend of stabilizing prevalence rates of childhood obesity at a high level and add important information for individual age groups . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 26 . 1 our 2 data 2 data 18 and 3 confirm 6 trend 3 confirm 14 at 3 confirm 18 and 4 the 6 trend 5 global 6 trend 6 trend 7 of 7 of 8 stabilizing 8 stabilizing 10 rates 9 prevalence 10 rates 10 rates 11 of 11 of 13 obesity 12 childhood 13 obesity 14 at 17 level 15 a 16 high 15 a 17 level 16 high 17 level 18 and 19 add 18 and 25 groups 19 add 21 information 20 important 21 information 21 information 22 for 22 for 24 age 23 individual 24 age intervention programs targeted to prevent childhood obesity may have had beneficial effects , and a new balance between factors favouring obesity and those favouring leanness may have been reached recently . 0 ###LEFT-WALL### 1 intervention 0 ###LEFT-WALL### 10 had 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 31 . 1 intervention 2 programs 1 intervention 3 targeted 1 intervention 10 had 2 programs 3 targeted 3 targeted 4 to 4 to 5 prevent 5 prevent 6 childhood 6 childhood 7 obesity 6 childhood 9 have 7 obesity 8 may 8 may 9 have 10 had 12 effects 11 beneficial 12 effects 13 , 14 and 14 and 22 and 14 and 29 reached 15 a 16 new 15 a 17 balance 16 new 17 balance 17 balance 18 between 17 balance 22 and 18 between 19 factors 19 factors 20 favouring 20 favouring 21 obesity 22 and 23 those 22 and 24 favouring 22 and 26 may 24 favouring 25 leanness 26 may 27 have 27 have 28 been 28 been 29 reached 29 reached 30 recently age - and gender - specific differences found in trends of ov/ob prevalence may help optimise preventive and therapeutic measures . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 21 . 1 age 3 and 2 - 3 and 3 and 4 gender 5 - 7 differences 5 - 16 optimise 6 specific 7 differences 7 differences 8 found 7 differences 9 in 7 differences 14 may 9 in 10 trends 10 trends 11 of 11 of 13 prevalence 12 ov/ob 13 prevalence 14 may 15 help 15 help 16 optimise 16 optimise 20 measures 17 preventive 18 and 18 and 19 therapeutic 18 and 20 measures the present study aimed to determine the effect of black soy peptide supplementation on glucose control in subjects with prediabetes ( impaired fasting glucose or impaired glucose tolerance ) and newly diagnosed type 2 diabetes mellitus ( dm ) . 0 ###LEFT-WALL### 30 and 0 ###LEFT-WALL### 40 . 1 the 3 study 2 present 3 study 3 study 4 aimed 3 study 9 of 3 study 19 with 3 study 30 and 4 aimed 5 to 5 to 6 determine 6 determine 8 effect 7 the 8 effect 9 of 13 supplementation 10 black 11 soy 11 soy 13 supplementation 12 peptide 13 supplementation 13 supplementation 14 on 14 on 16 control 15 glucose 16 control 16 control 17 in 17 in 18 subjects 19 with 20 prediabetes 20 prediabetes 25 or 21 ( 25 or 22 impaired 24 glucose 23 fasting 24 glucose 24 glucose 25 or 25 or 28 tolerance 25 or 29 ) 26 impaired 27 glucose 27 glucose 28 tolerance 30 and 36 mellitus 30 and 38 dm 31 newly 32 diagnosed 32 diagnosed 33 type 33 type 35 diabetes 34 2 35 diabetes 35 diabetes 36 mellitus 37 ( 38 dm 38 dm 39 ) in this double - blind , placebo - controlled study , subjects with prediabetes and type 2 dm were randomly assigned to the placebo control group or the black soy peptide intervention group . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 33 group 0 ###LEFT-WALL### 34 . 1 in 7 placebo 1 in 11 , 1 in 15 and 2 this 7 placebo 3 double 4 - 3 double 7 placebo 5 blind 6 , 5 blind 7 placebo 7 placebo 10 study 8 - 10 study 9 controlled 10 study 10 study 11 , 12 subjects 13 with 12 subjects 15 and 13 with 14 prediabetes 15 and 16 type 15 and 18 dm 15 and 21 assigned 15 and 33 group 16 type 17 2 18 dm 19 were 19 were 21 assigned 20 randomly 21 assigned 21 assigned 22 to 22 to 27 or 23 the 26 group 24 placebo 25 control 25 control 26 group 26 group 27 or 27 or 32 intervention 28 the 32 intervention 29 black 32 intervention 30 soy 31 peptide 31 peptide 32 intervention we determined fasting serum concentrations of glucose , hemoglobin a1c , insulin , and free fatty acids , performed [a] 2 - hour postload glucose ( 2 - hour pg ) [test] , and compared serum lipid profiles before and after the 12 - week supplementation . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 34 and 1 we 34 and 2 determined 14 and 2 determined 19 performed 2 determined 34 and 3 fasting 5 concentrations 4 serum 5 concentrations 5 concentrations 6 of 5 concentrations 14 and 6 of 7 glucose 7 glucose 10 a1c 7 glucose 12 insulin 8 , 10 a1c 9 hemoglobin 10 a1c 10 a1c 11 , 11 , 12 insulin 12 insulin 13 , 14 and 17 acids 14 and 18 , 14 and 19 performed 15 free 17 acids 16 fatty 17 acids 19 performed 21 2 21 2 25 glucose 22 - 25 glucose 23 hour 24 postload 24 postload 25 glucose 25 glucose 27 2 25 glucose 33 , 26 ( 27 2 27 2 30 pg 27 2 31 ) 28 - 30 pg 29 hour 30 pg 30 pg 31 ) 33 , 34 and 34 and 35 compared 34 and 40 and 35 compared 38 profiles 36 serum 37 lipid 37 lipid 38 profiles 39 before 40 and 40 and 41 after 41 after 43 12 42 the 43 12 43 12 46 supplementation 44 - 46 supplementation 45 week 46 supplementation 46 supplementation 47 . in particular , subjects with fasting glucose ≥ 110 [mg/dl] who consumed black soy peptides tended to have lower fasting glucose levels ( two - tailed test , p = .098[!] [;] one [-] tailed test , p = .049[!] ) and had a significant reduction in 2 - hour pg level ( two - tailed p = .012[!] , one - tailed p = .006[!] ) , compared with baseline levels . 0 ###LEFT-WALL### 4 subjects 0 ###LEFT-WALL### 8 ≥ 1 in 2 particular 2 particular 3 , 2 particular 4 subjects 4 subjects 5 with 4 subjects 8 ≥ 5 with 6 fasting 6 fasting 7 glucose 8 ≥ 9 110 9 110 11 who 9 110 16 tended 11 who 15 peptides 11 who 16 tended 12 consumed 15 peptides 13 black 14 soy 14 soy 15 peptides 15 peptides 16 tended 16 tended 17 to 16 tended 18 have 17 to 18 have 18 have 22 levels 18 have 26 tailed 18 have 27 test 19 lower 22 levels 20 fasting 22 levels 21 glucose 22 levels 22 levels 24 two 23 ( 24 two 24 two 25 - 25 - 26 tailed 27 test 30 = 27 test 33 one 28 , 30 = 29 p 30 = 30 = 31 .098[!] 33 one 42 and 35 tailed 36 test 35 tailed 42 and 36 test 39 = 37 , 39 = 38 p 39 = 39 = 40 .049[!] 39 = 41 ) 42 and 43 had 42 and 47 in 42 and 48 2 43 had 46 reduction 44 a 45 significant 44 a 46 reduction 45 significant 46 reduction 48 2 52 level 48 2 56 tailed 49 - 52 level 50 hour 52 level 51 pg 52 level 52 level 54 two 52 level 55 - 53 ( 54 two 54 two 55 - 55 - 56 tailed 56 tailed 58 = 57 p 58 = 58 = 59 .012[!] 59 .012[!] 61 one 59 .012[!] 63 tailed 60 , 61 one 61 one 62 - 62 - 63 tailed 63 tailed 65 = 63 tailed 69 compared 64 p 65 = 65 = 66 .006[!] 65 = 67 ) 68 , 69 compared 69 compared 70 with 69 compared 73 . 70 with 71 baseline 70 with 72 levels the changes in 2 - hour pg levels were also statistically significant in the intervention group ( - 41.25 ± [13.67] mg/dl ) compared with the placebo group ( 12.42 ± [9.80] mg/dl ; two - [tailed] p = .015[!] , one - tailed p = .008[!] ) . 0 ###LEFT-WALL### 2 changes 0 ###LEFT-WALL### 24 compared 0 ###LEFT-WALL### 34 ; 0 ###LEFT-WALL### 49 . 1 the 2 changes 2 changes 3 in 2 changes 7 pg 2 changes 24 compared 3 in 4 2 5 - 7 pg 6 hour 7 pg 7 pg 8 levels 7 pg 9 were 7 pg 12 significant 7 pg 23 ) 8 levels 9 were 9 were 10 also 9 were 11 statistically 12 significant 13 in 13 in 16 group 14 the 16 group 15 intervention 16 group 16 group 22 mg/dl 17 ( 22 mg/dl 18 - 19 41.25 19 41.25 22 mg/dl 20 ± 22 mg/dl 22 mg/dl 23 ) 24 compared 25 with 25 with 28 group 26 the 28 group 27 placebo 28 group 28 group 33 mg/dl 29 ( 33 mg/dl 30 12.42 33 mg/dl 31 ± 33 mg/dl 33 mg/dl 34 ; 34 ; 35 two 34 ; 36 - 36 - 38 p 36 - 39 = 38 p 39 = 39 = 40 .015[!] 40 .015[!] 42 one 40 .015[!] 44 tailed 41 , 42 one 42 one 43 - 43 - 44 tailed 44 tailed 46 = 44 tailed 48 ) 45 p 46 = 46 = 47 .008[!] 46 = 48 ) in contrast , hemoglobin a1c levels were not significantly improved by the dietary intervention . 0 ###LEFT-WALL### 6 levels 0 ###LEFT-WALL### 10 improved 0 ###LEFT-WALL### 15 . 1 in 2 contrast 1 in 3 , 1 in 6 levels 4 hemoglobin 6 levels 5 a1c 6 levels 6 levels 7 were 7 were 8 not 7 were 10 improved 9 significantly 10 improved 10 improved 11 by 11 by 14 intervention 12 the 14 intervention 13 dietary 14 intervention in conclusion , black soy peptide supplementation may be beneficial for controlling fasting blood glucose levels and 2 - hour pg levels . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 23 . 1 in 2 conclusion 3 , 4 black 3 , 17 and 4 black 5 soy 5 soy 7 supplementation 5 soy 12 controlling 6 peptide 7 supplementation 7 supplementation 8 may 8 may 9 be 9 be 10 beneficial 10 beneficial 11 for 11 for 12 controlling 12 controlling 16 levels 13 fasting 14 blood 14 blood 16 levels 15 glucose 16 levels 17 and 18 2 17 and 19 - 18 2 19 - 19 - 22 levels 20 hour 22 levels 21 pg 22 levels metabolic [syndrome] is characterized by multiple risk factors and is associated with increased risk of diabetes and cardiovascular disease . 0 ###LEFT-WALL### 1 metabolic 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 20 . 1 metabolic 9 and 3 is 4 characterized 3 is 9 and 4 characterized 5 by 5 by 8 factors 6 multiple 8 factors 7 risk 8 factors 9 and 10 is 10 is 11 associated 11 associated 12 with 12 with 14 risk 13 increased 14 risk 14 risk 15 of 15 of 17 and 16 diabetes 17 and 17 and 19 disease 18 cardiovascular 19 disease the rapid change in the lifestyle and food habits of chinese people has resulted in metabolic syndrome becoming one of the most widespread health challenges in china . 0 ###LEFT-WALL### 3 change 0 ###LEFT-WALL### 14 resulted 0 ###LEFT-WALL### 28 . 1 the 3 change 2 rapid 3 change 3 change 4 in 3 change 10 of 3 change 13 has 4 in 7 and 5 the 6 lifestyle 6 lifestyle 7 and 7 and 9 habits 8 food 9 habits 10 of 12 people 11 chinese 12 people 13 has 14 resulted 14 resulted 15 in 15 in 18 becoming 16 metabolic 17 syndrome 17 syndrome 18 becoming 18 becoming 19 one 18 becoming 25 challenges 19 one 20 of 19 one 25 challenges 20 of 24 health 21 the 22 most 22 most 24 health 23 widespread 24 health 25 challenges 26 in 26 in 27 china recently , the cardio - ankle vascular index ( cavi ) was developed as a new parameter reflecting arterial stiffness [and] providing an index of vascular status . 0 ###LEFT-WALL### 8 index 0 ###LEFT-WALL### 13 developed 0 ###LEFT-WALL### 28 . 1 recently 2 , 1 recently 8 index 3 the 8 index 4 cardio 5 - 4 cardio 6 ankle 6 ankle 8 index 7 vascular 8 index 8 index 10 cavi 8 index 12 was 9 ( 10 cavi 10 cavi 11 ) 12 was 13 developed 13 developed 14 as 14 as 17 parameter 15 a 16 new 15 a 17 parameter 16 new 17 parameter 17 parameter 18 reflecting 17 parameter 25 of 18 reflecting 20 stiffness 19 arterial 20 stiffness 20 stiffness 22 providing 22 providing 24 index 23 an 24 index 25 of 27 status 26 vascular 27 status the purpose of this study was to investigate the effect of metabolic syndrome [on] cavi . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 16 . 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 effect 9 the 10 effect 10 effect 11 of 11 of 15 cavi 12 metabolic 13 syndrome 13 syndrome 15 cavi a total of 222 chinese subjects aged 50 - 92 years participated in this study . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 7 aged 0 ###LEFT-WALL### 16 . 1 a 2 total 2 total 3 of 2 total 7 aged 3 of 6 subjects 4 222 6 subjects 5 chinese 6 subjects 7 aged 9 - 8 50 9 - 9 - 10 92 10 92 11 years 11 years 12 participated 12 participated 13 in 13 in 15 study 14 this 15 study we measured cavi and examined blood samples to define metabolic syndrome according to the international diabetes federation criteria . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 19 . 1 we 4 and 2 measured 3 cavi 2 measured 4 and 4 and 5 examined 4 and 8 to 4 and 13 to 5 examined 7 samples 6 blood 7 samples 8 to 9 define 9 define 12 according 10 metabolic 11 syndrome 11 syndrome 12 according 13 to 18 criteria 14 the 18 criteria 15 international 16 diabetes 16 diabetes 17 federation 17 federation 18 criteria cavi in the subjects [with] abnormal waist circumference was significantly higher than that obtained in the normal subjects ( p < 0.01 ) . 0 ###LEFT-WALL### 1 cavi 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 24 . 1 cavi 2 in 1 cavi 9 was 2 in 8 circumference 3 the 8 circumference 4 subjects 8 circumference 6 abnormal 7 waist 7 waist 8 circumference 9 was 11 higher 10 significantly 11 higher 11 higher 12 than 12 than 13 that 13 that 14 obtained 14 obtained 15 in 14 obtained 21 < 15 in 18 subjects 16 the 18 subjects 17 normal 18 subjects 19 ( 21 < 20 p 21 < 21 < 22 0.01 21 < 23 ) in the abnormal high - density lipoprotein cholesterol ( hdl - c ) group , cavi [was] significantly increased ( p < 0.01 ) compared to the normal hdl - [c] group . 0 ###LEFT-WALL### 32 group 0 ###LEFT-WALL### 33 . 1 in 14 group 1 in 32 group 2 the 14 group 3 abnormal 14 group 4 high 8 cholesterol 4 high 13 ) 4 high 14 group 5 - 8 cholesterol 6 density 8 cholesterol 7 lipoprotein 8 cholesterol 8 cholesterol 11 - 8 cholesterol 13 ) 9 ( 11 - 10 hdl 11 - 11 - 12 c 11 - 13 ) 14 group 16 cavi 15 , 16 cavi 16 cavi 19 increased 16 cavi 25 compared 16 cavi 30 - 18 significantly 19 increased 19 increased 22 < 20 ( 22 < 21 p 22 < 22 < 23 0.01 22 < 24 ) 25 compared 26 to 26 to 29 hdl 27 the 29 hdl 28 normal 29 hdl cavi showed a positive correlation [with] waist circumference and increased significantly with the number of metabolic syndrome components . 0 ###LEFT-WALL### 1 cavi 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 19 . 1 cavi 9 and 2 showed 8 circumference 2 showed 9 and 3 a 4 positive 3 a 8 circumference 4 positive 5 correlation 5 correlation 7 waist 7 waist 8 circumference 9 and 10 increased 9 and 11 significantly 9 and 12 with 12 with 18 components 13 the 14 number 14 number 15 of 14 number 18 components 15 of 18 components 16 metabolic 17 syndrome 17 syndrome 18 components in conclusion , subjects [with] metabolic [syndrome] have a high cavi that indicated arterial stiffness and is closely associated with an increase in the number of metabolic syndrome risk factors . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 31 . 1 in 2 conclusion 3 , 4 subjects 3 , 8 have 4 subjects 6 metabolic 4 subjects 8 have 8 have 11 cavi 9 a 11 cavi 10 high 11 cavi 11 cavi 12 that 11 cavi 16 and 12 that 16 and 13 indicated 15 stiffness 13 indicated 16 and 14 arterial 15 stiffness 16 and 17 is 17 is 19 associated 18 closely 19 associated 19 associated 20 with 19 associated 23 in 20 with 22 increase 21 an 22 increase 23 in 30 factors 24 the 25 number 25 number 26 of 25 number 30 factors 26 of 30 factors 27 metabolic 28 syndrome 28 syndrome 30 factors 29 risk 30 factors elevated abdominal obesity and low hdl - [c] are the main players affecting arterial stiffness in the middle - aged and elderly chinese . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 24 . 1 elevated 3 obesity 1 elevated 4 and 2 abdominal 3 obesity 4 and 5 low 5 low 6 hdl 7 - 9 are 7 - 19 - 9 are 12 players 10 the 11 main 10 the 12 players 12 players 13 affecting 12 players 16 in 13 affecting 15 stiffness 14 arterial 15 stiffness 16 in 18 middle 17 the 18 middle 19 - 23 chinese 20 aged 21 and 21 and 22 elderly 21 and 23 chinese these findings suggest that interaction of the individual components of metabolic syndrome plays a role in the relationship [between] metabolic syndrome and arterial stiffness . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 25 . 1 these 2 findings 2 findings 3 suggest 3 suggest 5 interaction 4 that 5 interaction 5 interaction 6 of 6 of 9 components 7 the 9 components 8 individual 9 components 9 components 10 of 10 of 24 stiffness 11 metabolic 12 syndrome 12 syndrome 24 stiffness 13 plays 24 stiffness 14 a 15 role 15 role 16 in 15 role 22 and 16 in 21 syndrome 17 the 21 syndrome 18 relationship 21 syndrome 20 metabolic 21 syndrome 22 and 23 arterial 22 and 24 stiffness the aging of the population has been associated with an increased incidence and prevalence of neoplastic diseases . 0 ###LEFT-WALL### 2 aging 0 ###LEFT-WALL### 8 associated 0 ###LEFT-WALL### 18 . 1 the 2 aging 2 aging 3 of 2 aging 6 has 3 of 5 population 4 the 5 population 6 has 7 been 7 been 8 associated 8 associated 9 with 9 with 13 and 10 an 12 incidence 11 increased 12 incidence 12 incidence 13 and 13 and 14 prevalence 13 and 15 of 15 of 17 diseases 16 neoplastic 17 diseases the management of cancer in the older aged person involves novel clinical problems , including benefits and risks of treatment in individuals with reduced life expectancy and treatment tolerance . 0 ###LEFT-WALL### 2 management 0 ###LEFT-WALL### 10 involves 0 ###LEFT-WALL### 30 . 1 the 2 management 2 management 3 of 2 management 10 involves 3 of 4 cancer 4 cancer 5 in 5 in 9 person 6 the 9 person 7 older 9 person 8 aged 9 person 10 involves 17 and 10 involves 21 in 10 involves 23 with 11 novel 13 problems 12 clinical 13 problems 13 problems 14 , 14 , 16 benefits 14 , 17 and 15 including 16 benefits 17 and 18 risks 17 and 19 of 19 of 20 treatment 21 in 22 individuals 23 with 27 and 24 reduced 25 life 25 life 26 expectancy 26 expectancy 27 and 27 and 29 tolerance 28 treatment 29 tolerance the european school of hematology has convened the first conference on hematological malignancies in the elderly to explore the issues related to the diagnosis and the treatment of these conditions , and to provide a frame of reference for therapeutic decisions to practicing hematologists . 0 ###LEFT-WALL### 3 school 0 ###LEFT-WALL### 32 and 0 ###LEFT-WALL### 45 . 1 the 2 european 2 european 3 school 3 school 4 of 3 school 6 has 4 of 5 hematology 6 has 7 convened 7 convened 10 conference 7 convened 17 to 8 the 10 conference 9 first 10 conference 10 conference 11 on 10 conference 14 in 11 on 13 malignancies 12 hematological 13 malignancies 14 in 16 elderly 15 the 16 elderly 17 to 32 and 18 explore 20 issues 18 explore 22 to 18 explore 32 and 19 the 20 issues 20 issues 21 related 22 to 25 and 23 the 24 diagnosis 24 diagnosis 25 and 25 and 27 treatment 25 and 28 of 26 the 27 treatment 28 of 30 conditions 29 these 30 conditions 31 , 32 and 32 and 33 to 32 and 34 provide 33 to 34 provide 34 provide 36 frame 35 a 36 frame 36 frame 37 of 36 frame 39 for 37 of 38 reference 39 for 41 decisions 40 therapeutic 41 decisions 41 decisions 42 to 42 to 43 practicing 43 practicing 44 hematologists the main themes of the conference , which was attended by hematologists and geriatricians from europe and the americas , included an operative definition of aging , the effectiveness and risks of antineoplastic treatment in the aged , and the management of common malignancies such as myelodysplasia , leukemia , myeloma and lymphomas . 0 ###LEFT-WALL### 3 themes 0 ###LEFT-WALL### 21 included 0 ###LEFT-WALL### 54 . 1 the 3 themes 2 main 3 themes 3 themes 4 of 3 themes 21 included 4 of 6 conference 5 the 6 conference 6 conference 8 which 7 , 8 which 8 which 9 was 8 which 20 , 9 was 10 attended 10 attended 11 by 11 by 13 and 12 hematologists 13 and 13 and 14 geriatricians 14 geriatricians 15 from 15 from 17 and 16 europe 17 and 17 and 19 americas 18 the 19 americas 21 included 30 and 22 an 23 operative 22 an 24 definition 23 operative 24 definition 24 definition 25 of 24 definition 27 , 25 of 26 aging 27 , 29 effectiveness 27 , 30 and 28 the 29 effectiveness 30 and 31 risks 31 risks 32 of 32 of 39 and 33 antineoplastic 34 treatment 34 treatment 35 in 34 treatment 39 and 35 in 37 aged 36 the 37 aged 38 , 39 and 39 and 41 management 39 and 42 of 40 the 41 management 42 of 44 malignancies 43 common 44 malignancies 44 malignancies 46 as 45 such 46 as 46 as 52 and 47 myelodysplasia 48 , 47 myelodysplasia 49 leukemia 49 leukemia 50 , 50 , 51 myeloma 50 , 52 and 52 and 53 lymphomas methods : we fitted a linear spline model to bmi sds of 762 young caucasian adults from the terneuzen birth cohort at fixed ages between birth [and] 18 [y] . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 3 we 2 : 4 fitted 3 we 4 fitted 4 fitted 8 model 4 fitted 9 to 4 fitted 17 from 4 fitted 22 at 5 a 6 linear 5 a 8 model 6 linear 7 spline 7 spline 8 model 9 to 11 sds 10 bmi 11 sds 11 sds 12 of 12 of 16 adults 13 762 16 adults 14 young 15 caucasian 15 caucasian 16 adults 17 from 21 cohort 18 the 21 cohort 19 terneuzen 20 birth 20 birth 21 cohort 22 at 24 ages 23 fixed 24 ages 24 ages 25 between 25 between 26 birth 26 birth 28 18 by linear regression analysis , we [assessed] [the] increase in explained variance of the adult bmi sds by adding the bmi sds at 2 [y] to the models including the bmi sds at 4 [y] , [6] [y] and both 4 [y] and 6 [y] . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 9 increase 0 ###LEFT-WALL### 46 . 1 by 4 analysis 1 by 5 , 1 by 6 we 2 linear 3 regression 3 regression 4 analysis 6 we 9 increase 9 increase 10 in 9 increase 18 by 9 increase 26 to 9 increase 43 and 10 in 12 variance 11 explained 12 variance 12 variance 13 of 13 of 17 sds 14 the 15 adult 15 adult 17 sds 16 bmi 17 sds 18 by 19 adding 19 adding 22 sds 19 adding 23 at 20 the 22 sds 21 bmi 22 sds 23 at 24 2 26 to 39 and 27 the 28 models 28 models 29 including 28 models 39 and 29 including 32 sds 29 including 33 at 30 the 32 sds 31 bmi 32 sds 33 at 34 4 36 , 39 and 39 and 40 both 41 4 43 and 43 and 44 6 ao risk was modelled by logistic regression . 0 ###LEFT-WALL### 2 risk 0 ###LEFT-WALL### 4 modelled 0 ###LEFT-WALL### 8 . 1 ao 2 risk 2 risk 3 was 3 was 4 modelled 4 modelled 5 by 5 by 7 regression 6 logistic 7 regression the internal validity was estimated using [bootstrap] techniques . 0 ###LEFT-WALL### 3 validity 0 ###LEFT-WALL### 5 estimated 0 ###LEFT-WALL### 9 . 1 the 3 validity 2 internal 3 validity 3 validity 4 was 4 was 5 estimated 5 estimated 6 using 6 using 8 techniques risk models were represented as risk score diagrams by gender for the age intervals 2 - 4 y and 2 - 6 y . 0 ###LEFT-WALL### 1 risk 0 ###LEFT-WALL### 16 - 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 24 . 1 risk 2 models 1 risk 3 were 1 risk 4 represented 2 models 3 were 4 represented 5 as 4 represented 9 by 4 represented 14 intervals 5 as 8 diagrams 6 risk 8 diagrams 7 score 8 diagrams 9 by 10 gender 10 gender 11 for 11 for 13 age 12 the 13 age 14 intervals 15 2 15 2 16 - 16 - 17 4 17 4 18 y 19 and 20 2 19 and 21 - 20 2 21 - 21 - 22 6 22 6 23 y results : in addition to the bmi sds at certain ages , the previous bmi sds during childhood is positively related to adult weight . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 16 sds 2 : 21 related 3 in 4 addition 3 in 12 , 3 in 16 sds 4 addition 5 to 4 addition 9 at 5 to 8 sds 6 the 8 sds 7 bmi 8 sds 9 at 11 ages 10 certain 11 ages 13 the 14 previous 13 the 16 sds 15 bmi 16 sds 16 sds 17 during 16 sds 19 is 17 during 18 childhood 19 is 20 positively 19 is 21 related 21 related 22 to 22 to 24 weight 23 adult 24 weight receiver operating curves analysis provides insight into sensible cut [-] offs ( auc varied from 0.76 to 0.83 ) . 0 ###LEFT-WALL### 4 analysis 0 ###LEFT-WALL### 5 provides 0 ###LEFT-WALL### 20 . 1 receiver 2 operating 2 operating 3 curves 3 curves 4 analysis 4 analysis 5 provides 5 provides 6 insight 5 provides 7 into 7 into 11 offs 8 sensible 9 cut 9 cut 11 offs 11 offs 13 auc 12 ( 13 auc 13 auc 14 varied 13 auc 19 ) 14 varied 17 to 15 from 17 to 16 0.76 17 to 17 to 18 0.83 the sensitivity and specificity for 2 - 6 [y] at the cut - off of 0.25 and 0.5 are respectively [,] 0.76 and 0.74 , [and] 0.36 and 0.93 , whereas the ppv is 0.52 and 0.67 , respectively . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 19 are 0 ###LEFT-WALL### 40 . 1 the 2 sensitivity 2 sensitivity 3 and 3 and 4 specificity 3 and 5 for 3 and 15 of 3 and 19 are 5 for 6 2 6 2 8 6 7 - 8 6 8 6 10 at 8 6 13 - 10 at 12 cut 11 the 12 cut 14 off 15 of 15 of 17 and 16 0.25 17 and 17 and 18 0.5 19 are 20 respectively 19 are 23 and 19 are 31 whereas 19 are 39 respectively 22 0.76 23 and 23 and 24 0.74 23 and 28 and 25 , 28 and 27 0.36 28 and 28 and 29 0.93 28 and 30 , 30 , 31 whereas 31 whereas 33 ppv 31 whereas 34 is 31 whereas 38 , 32 the 33 ppv 33 ppv 34 is 34 is 36 and 35 0.52 36 and 36 and 37 0.67 conclusions : the risk score diagrams can serve as a tool for young children for primary prevention [of] [adult] overweight . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 1 conclusions 2 : 2 : 4 risk 3 the 4 risk 4 risk 6 diagrams 4 risk 20 overweight 5 score 6 diagrams 6 diagrams 7 can 7 can 8 serve 8 serve 9 as 8 serve 12 for 9 as 11 tool 10 a 11 tool 12 for 14 children 13 young 14 children 14 children 15 for 14 children 20 overweight 15 for 17 prevention 16 primary 17 prevention to avoid wrongly designating children at risk for ao , we propose a cut - [off] with a high specificity at the risk of approximately 0.5 . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 avoid 0 ###LEFT-WALL### 10 , 1 to 2 avoid 2 avoid 3 wrongly 2 avoid 4 designating 4 designating 5 children 4 designating 6 at 6 at 7 risk 7 risk 8 for 8 for 9 ao 10 , 11 we 10 , 12 propose 11 we 12 propose 12 propose 14 cut 13 a 14 cut 14 cut 17 with 15 - 17 with 17 with 20 specificity 17 with 27 . 18 a 19 high 18 a 20 specificity 19 high 20 specificity 20 specificity 21 at 20 specificity 24 of 21 at 23 risk 22 the 23 risk 24 of 26 0.5 25 approximately 26 0.5 after external validation , wider adoption of this tool might enhance primary ao prevention . 0 ###LEFT-WALL### 6 adoption 0 ###LEFT-WALL### 11 enhance 0 ###LEFT-WALL### 15 . 1 after 3 validation 1 after 4 , 1 after 6 adoption 2 external 3 validation 5 wider 6 adoption 6 adoption 7 of 6 adoption 10 might 7 of 9 tool 8 this 9 tool 10 might 11 enhance 11 enhance 14 prevention 12 primary 14 prevention 13 ao 14 prevention objective : early adiposity [rebound] [(] [ ar ] , when body mass index [[] bmi []] rises after reaching a nadir ) strongly predicts later obesity . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 4 adiposity 2 : 25 predicts 2 : 28 . 3 early 4 adiposity 4 adiposity 8 ar 4 adiposity 25 predicts 7 [ 8 ar 8 ar 9 ] 10 , 11 when 11 when 16 bmi 11 when 18 rises 11 when 23 ) 11 when 25 predicts 12 body 16 bmi 13 mass 16 bmi 14 index 16 bmi 16 bmi 18 rises 18 rises 19 after 19 after 20 reaching 20 reaching 22 nadir 21 a 22 nadir 24 strongly 25 predicts 25 predicts 27 obesity 26 later 27 obesity we investigated whether the upswing in bmi at ar is accompanied by an increase in body fat . 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 upswing 3 whether 11 accompanied 4 the 5 upswing 5 upswing 6 in 5 upswing 10 is 6 in 7 bmi 7 bmi 8 at 8 at 9 ar 10 is 11 accompanied 11 accompanied 12 by 11 accompanied 15 in 12 by 14 increase 13 an 14 increase 15 in 17 fat 16 body 17 fat design : community - based cohort study . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 8 . 1 design 2 : 2 : 3 community 4 - 7 study 5 based 6 cohort 6 cohort 7 study subjects : a total of 299 first - born children ( 49 % [male] ) . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 16 . 1 subjects 2 : 2 : 4 total 2 : 7 first 3 a 4 total 4 total 5 of 5 of 6 299 8 - 10 children 9 born 10 children 10 children 13 % 11 ( 13 % 12 49 13 % 13 % 15 ) measurements . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 . six - monthly anthropometry and bioelectrical impedance , 4 - 6.5 years ; lean and fat mass index ( [kg] / [m] ( 2 ) ) [for] direct comparison with bmi . 0 ###LEFT-WALL### 1 six 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 32 . 2 - 5 and 2 - 13 ; 3 monthly 4 anthropometry 4 anthropometry 5 and 5 and 7 impedance 5 and 10 - 6 bioelectrical 7 impedance 8 , 10 - 9 4 10 - 10 - 12 years 10 - 13 ; 11 6.5 12 years 13 ; 15 and 13 ; 28 direct 14 lean 15 and 15 and 18 index 15 and 21 / 15 and 28 direct 16 fat 17 mass 17 mass 18 index 19 ( 21 / 21 / 24 2 21 / 26 ) 23 ( 24 2 24 2 25 ) 28 direct 29 comparison 29 comparison 30 with 30 with 31 bmi supplementary ( 0 - 2 years ) weight and length measures ( needed for growth curve modelling ) were drawn from subjects ' child health records . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 27 . 1 supplementary 6 years 1 supplementary 8 weight 2 ( 6 years 3 0 4 - 4 - 5 2 4 - 6 years 6 years 7 ) 8 weight 9 and 9 and 10 length 9 and 11 measures 9 and 20 drawn 11 measures 13 needed 11 measures 19 were 12 ( 13 needed 13 needed 14 for 13 needed 18 ) 14 for 17 modelling 15 growth 17 modelling 16 curve 17 modelling 19 were 20 drawn 20 drawn 21 from 21 from 26 records 22 subjects 23 ' 23 ' 26 records 24 child 26 records 25 health 26 records methods : ar was estimated from individually modelled bmi curves from birth to 6.5 years . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 ar 2 : 5 estimated 2 : 16 . 3 ar 4 was 4 was 5 estimated 5 estimated 6 from 5 estimated 13 to 6 from 10 curves 7 individually 8 modelled 8 modelled 10 curves 9 bmi 10 curves 10 curves 11 from 11 from 12 birth 13 to 15 years 14 6.5 15 years results . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 . the 81 children ( 27 % ) [experiencing] [early] [ar] had higher bmi , fmi , lmi and percent fat at 6.5 years . 0 ###LEFT-WALL### 3 children 0 ###LEFT-WALL### 11 had 0 ###LEFT-WALL### 24 . 1 the 2 81 2 81 3 children 3 children 6 % 3 children 11 had 4 ( 6 % 5 27 6 % 6 % 7 ) 11 had 18 and 11 had 21 at 12 higher 17 lmi 13 bmi 15 fmi 14 , 15 fmi 15 fmi 17 lmi 16 , 17 lmi 17 lmi 18 and 18 and 20 fat 19 percent 20 fat 21 at 23 years 22 6.5 23 years overall , fmi decreased steeply pre - ar , at - 0.56 ( 0.02 ) [kg/m] ( 2 [ )(per year ( mean [ standard error ] [ )(, then flattened post - ar to 0.07 ( 0.05 ) [kg/m] ( 2 ) per year . 0 ###LEFT-WALL### 3 fmi 0 ###LEFT-WALL### 4 decreased 0 ###LEFT-WALL### 33 - 0 ###LEFT-WALL### 46 . 1 overall 3 fmi 2 , 3 fmi 3 fmi 4 decreased 4 decreased 5 steeply 4 decreased 6 pre 4 decreased 10 at 6 pre 8 ar 7 - 8 ar 8 ar 9 , 10 at 12 0.56 11 - 12 0.56 12 0.56 14 0.02 12 0.56 18 2 13 ( 14 0.02 14 0.02 15 ) 17 ( 18 2 18 2 20 )(per 18 2 32 post 18 2 33 - 20 )(per 21 year 22 ( 32 post 23 mean 26 error 23 mean 29 )(, 23 mean 32 post 24 [ 26 error 25 standard 26 error 26 error 27 ] 30 then 31 flattened 31 flattened 32 post 32 post 33 - 33 - 34 ar 34 ar 35 to 34 ar 44 per 35 to 36 0.07 36 0.07 38 0.05 36 0.07 42 2 37 ( 38 0.05 38 0.05 39 ) 41 ( 42 2 42 2 43 ) 44 per 45 year in contrast , lmi increased pre - ar ( 0.34 [ 0.01 ] ) and steepened post - ar ( 0.47 [ 0.03 ] [kg/m] ( 2 [ )(per year ) . 0 ###LEFT-WALL### 4 lmi 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 32 . 1 in 2 contrast 1 in 3 , 1 in 4 lmi 4 lmi 15 and 5 increased 6 pre 5 increased 15 and 6 pre 8 ar 7 - 8 ar 8 ar 10 0.34 8 ar 14 ) 9 ( 10 0.34 10 0.34 12 0.01 10 0.34 14 ) 11 [ 12 0.01 12 0.01 13 ] 15 and 16 steepened 16 steepened 17 post 17 post 19 ar 17 post 27 2 18 - 19 ar 19 ar 21 0.47 19 ar 24 ] 20 ( 21 0.47 21 0.47 23 0.03 21 0.47 24 ] 22 [ 23 0.03 23 0.03 24 ] 26 ( 27 2 27 2 29 )(per 27 2 31 ) 29 )(per 30 year conclusion : the ['] adiposity rebound ['] [is] characterised by increasing lean mass index [,] coupled with cessation of the decline [in] fat mass index . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 1 conclusion 2 : 2 : 6 rebound 3 the 6 rebound 5 adiposity 6 rebound 6 rebound 9 characterised 6 rebound 17 with 6 rebound 19 of 9 characterised 10 by 9 characterised 16 coupled 10 by 11 increasing 12 lean 14 index 13 mass 14 index 14 index 16 coupled 17 with 18 cessation 19 of 25 index 20 the 25 index 21 decline 25 index 23 fat 24 mass 24 mass 25 index understanding what controls the dynamics of childhood body composition and mechanisms that delay ar could help prevent obesity . 0 ###LEFT-WALL### 1 understanding 0 ###LEFT-WALL### 16 help 0 ###LEFT-WALL### 19 . 1 understanding 2 what 1 understanding 15 could 2 what 3 controls 3 controls 5 dynamics 4 the 5 dynamics 5 dynamics 6 of 6 of 10 and 7 childhood 9 composition 8 body 9 composition 9 composition 10 and 10 and 11 mechanisms 10 and 12 that 10 and 13 delay 12 that 13 delay 13 delay 14 ar 15 could 16 help 16 help 17 prevent 17 prevent 18 obesity although antiretroviral therapy for hiv infection prevents aids - related complications and prolongs life , it does not fully restore health . 0 ###LEFT-WALL### 6 infection 0 ###LEFT-WALL### 7 prevents 0 ###LEFT-WALL### 9 - 1 although 3 therapy 1 although 6 infection 2 antiretroviral 3 therapy 3 therapy 4 for 4 for 5 hiv 6 infection 7 prevents 7 prevents 8 aids 9 - 12 and 9 - 22 . 10 related 11 complications 10 related 12 and 12 and 15 , 13 prolongs 14 life 13 prolongs 15 , 15 , 20 restore 16 it 17 does 17 does 18 not 17 does 20 restore 19 fully 20 restore 20 restore 21 health long - term treated patients remain at higher than expected risk for a number of complications typically associated with aging , including cardiovascular disease , cancer , osteoporosis , and other end - organ diseases . 0 ###LEFT-WALL### 5 patients 0 ###LEFT-WALL### 6 remain 0 ###LEFT-WALL### 25 , 1 long 2 - 1 long 5 patients 3 term 4 treated 4 treated 5 patients 5 patients 6 remain 6 remain 7 at 6 remain 12 for 6 remain 19 with 7 at 11 risk 8 higher 11 risk 9 than 10 expected 10 expected 11 risk 12 for 14 number 13 a 14 number 14 number 15 of 15 of 16 complications 16 complications 18 associated 17 typically 18 associated 19 with 20 aging 20 aging 22 including 21 , 22 including 22 including 24 disease 22 including 25 , 23 cardiovascular 24 disease 25 , 30 and 25 , 32 end 25 , 33 - 26 cancer 27 , 27 , 28 osteoporosis 27 , 30 and 29 , 30 and 30 and 31 other 30 and 32 end 33 - 35 diseases 33 - 36 . 34 organ 35 diseases the potential effect of hiv on health is perhaps most clearly exhibited by a number of immunologic abnormalities that persist despite effective suppression of hiv [replication] . 0 ###LEFT-WALL### 3 effect 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 27 . 1 the 3 effect 2 potential 3 effect 3 effect 4 of 3 effect 6 on 3 effect 8 is 4 of 5 hiv 6 on 7 health 8 is 9 perhaps 8 is 10 most 10 most 12 exhibited 11 clearly 12 exhibited 12 exhibited 13 by 12 exhibited 21 despite 13 by 18 abnormalities 14 a 15 number 15 number 16 of 15 number 18 abnormalities 16 of 18 abnormalities 17 immunologic 18 abnormalities 18 abnormalities 19 that 18 abnormalities 20 persist 19 that 20 persist 21 despite 23 suppression 22 effective 23 suppression 23 suppression 24 of 24 of 25 hiv these changes are consistent with some of the changes to the adaptive immune system that are seen in the very old ( " immunosenescence " ) and that [are] likely related in part to persistent inflammation . 0 ###LEFT-WALL### 2 changes 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 27 and 0 ###LEFT-WALL### 37 . 1 these 2 changes 2 changes 3 are 3 are 4 consistent 4 consistent 5 with 5 with 9 changes 6 some 7 of 6 some 9 changes 7 of 9 changes 8 the 9 changes 9 changes 10 to 9 changes 15 that 9 changes 16 are 10 to 14 system 11 the 14 system 12 adaptive 14 system 13 immune 14 system 15 that 16 are 16 are 17 seen 17 seen 18 in 18 in 21 old 19 the 20 very 19 the 21 old 21 old 24 immunosenescence 22 ( 23 " 22 ( 24 immunosenescence 24 immunosenescence 25 " 24 immunosenescence 26 ) 27 and 28 that 27 and 31 related 28 that 31 related 30 likely 31 related 31 related 33 part 32 in 33 part 33 part 34 to 34 to 36 inflammation 35 persistent 36 inflammation hiv - associated inflammation and immunosenescence have been implicated as causally related to the premature onset of other end [-] organ diseases . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 12 related 0 ###LEFT-WALL### 23 . 1 hiv 2 - 1 hiv 5 and 3 associated 4 inflammation 4 inflammation 5 and 5 and 6 immunosenescence 5 and 7 have 7 have 8 been 8 been 9 implicated 9 implicated 10 as 10 as 12 related 11 causally 12 related 12 related 13 to 13 to 16 onset 14 the 16 onset 15 premature 16 onset 16 onset 17 of 17 of 22 diseases 18 other 22 diseases 19 end 22 diseases 21 organ 22 diseases novel therapeutic strategies aimed at preventing or reversing these immunologic defects may be necessary if hiv [-] infected patients are to achieve normal life [span] . 0 ###LEFT-WALL### 3 strategies 0 ###LEFT-WALL### 7 or 0 ###LEFT-WALL### 26 . 1 novel 3 strategies 2 therapeutic 3 strategies 3 strategies 7 or 4 aimed 5 at 4 aimed 7 or 5 at 6 preventing 7 or 22 achieve 8 reversing 11 defects 8 reversing 12 may 9 these 11 defects 10 immunologic 11 defects 12 may 13 be 13 be 14 necessary 14 necessary 15 if 14 necessary 21 to 15 if 19 patients 15 if 20 are 16 hiv 18 infected 18 infected 19 patients 19 patients 20 are 21 to 22 achieve 22 achieve 24 life 23 normal 24 life aging is known to be a dominant risk factor in the progression [of] hypertension . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 3 known 0 ###LEFT-WALL### 15 . 1 aging 2 is 2 is 3 known 3 known 4 to 3 known 5 be 4 to 5 be 5 be 9 factor 6 a 7 dominant 6 a 9 factor 7 dominant 9 factor 8 risk 9 factor 9 factor 10 in 10 in 14 hypertension 11 the 14 hypertension 12 progression 14 hypertension thus , accompanied by an increasing mean age of the population in developed countries , prevention [and] management of [hypertension] in the elderly is a task of pressing urgency . 0 ###LEFT-WALL### 18 management 0 ###LEFT-WALL### 24 is 0 ###LEFT-WALL### 30 . 1 thus 2 , 1 thus 18 management 2 , 3 accompanied 3 accompanied 4 by 3 accompanied 12 in 3 accompanied 15 , 3 accompanied 18 management 4 by 8 age 5 an 8 age 6 increasing 8 age 7 mean 8 age 8 age 9 of 9 of 11 population 10 the 11 population 12 in 14 countries 13 developed 14 countries 16 prevention 18 management 18 management 19 of 18 management 24 is 19 of 21 in 21 in 23 elderly 22 the 23 elderly 24 is 26 task 25 a 26 task 26 task 27 of 27 of 28 pressing 28 pressing 29 urgency age - associated blood pressure elevation is a result of the aging process in organ systems , which play a key role in the regulation of blood pressure . 0 ###LEFT-WALL### 6 elevation 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 29 . 1 age 2 - 1 age 6 elevation 3 associated 4 blood 4 blood 5 pressure 5 pressure 6 elevation 6 elevation 7 is 7 is 9 result 8 a 9 result 9 result 10 of 9 result 14 in 10 of 13 process 11 the 13 process 12 aging 13 process 14 in 16 systems 15 organ 16 systems 17 , 18 which 17 , 19 play 18 which 19 play 19 play 22 role 19 play 23 in 20 a 22 role 21 key 22 role 23 in 25 regulation 24 the 25 regulation 25 regulation 26 of 26 of 28 pressure 27 blood 28 pressure in addition , advanced aging of the cardiovascular system contributes to the presence of a varied phenotype [in] elderly hypertension , [such] as nocturnal hypertension and morning hypertension . 0 ###LEFT-WALL### 5 aging 0 ###LEFT-WALL### 10 contributes 0 ###LEFT-WALL### 29 . 1 in 2 addition 1 in 3 , 1 in 5 aging 4 advanced 5 aging 5 aging 6 of 5 aging 10 contributes 6 of 9 system 7 the 9 system 8 cardiovascular 9 system 10 contributes 11 to 11 to 13 presence 12 the 13 presence 13 presence 14 of 14 of 26 and 15 a 16 varied 15 a 20 hypertension 16 varied 17 phenotype 17 phenotype 20 hypertension 19 elderly 20 hypertension 20 hypertension 21 , 21 , 25 hypertension 21 , 26 and 23 as 24 nocturnal 24 nocturnal 25 hypertension 26 and 28 hypertension 27 morning 28 hypertension therefore , in order to detect [and] treat age - associated [hypertension] appropriately , it is important to assess ambulatory blood pressure monitoring throughout the 24 - h period . 0 ###LEFT-WALL### 15 it 0 ###LEFT-WALL### 16 is 0 ###LEFT-WALL### 30 . 1 therefore 2 , 1 therefore 15 it 2 , 3 in 3 in 4 order 3 in 14 , 3 in 15 it 4 order 5 to 4 order 6 detect 5 to 6 detect 6 detect 9 age 8 treat 9 age 9 age 11 associated 10 - 11 associated 11 associated 13 appropriately 11 associated 14 , 15 it 16 is 16 is 17 important 17 important 18 to 17 important 23 monitoring 18 to 19 assess 19 assess 22 pressure 20 ambulatory 21 blood 21 blood 22 pressure 22 pressure 23 monitoring 23 monitoring 24 throughout 24 throughout 29 period 25 the 29 period 26 24 27 - 27 - 28 h 27 - 29 period objective : this study examines working memory ( wm ) in mild cognitive impairment ( mci ) and alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 examines 2 : 18 and 2 : 20 's 2 : 25 . 3 this 4 study 4 study 5 examines 5 examines 7 memory 5 examines 11 in 6 working 7 memory 7 memory 9 wm 8 ( 9 wm 9 wm 10 ) 11 in 14 impairment 12 mild 14 impairment 13 cognitive 14 impairment 14 impairment 16 mci 15 ( 16 mci 16 mci 17 ) 18 and 19 alzheimer 18 and 20 's 19 alzheimer 20 's 20 's 21 disease 21 disease 23 ad 22 ( 23 ad 23 ad 24 ) method : performances [on] sentence span and operation [span] were measured in individuals meeting criteria for mci ( n = 20 ) and ad ( n = 16 ) as well as in healthy older adults ( n = 20 ) . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 6 span 2 : 7 and 2 : 42 . 3 performances 5 sentence 5 sentence 6 span 7 and 8 operation 7 and 10 were 8 operation 10 were 10 were 11 measured 11 measured 12 in 11 measured 27 = 11 measured 31 well 11 measured 32 as 12 in 23 and 13 individuals 14 meeting 13 individuals 23 and 14 meeting 15 criteria 15 criteria 16 for 16 for 17 mci 17 mci 20 = 18 ( 20 = 19 n 20 = 20 = 21 20 20 = 22 ) 23 and 24 ad 25 ( 27 = 26 n 27 = 27 = 28 16 27 = 29 ) 30 as 31 well 32 as 33 in 33 in 36 adults 34 healthy 36 adults 35 older 36 adults 36 adults 39 = 37 ( 39 = 38 n 39 = 39 = 40 20 39 = 41 ) in addition , the effect of retention [interval] was assessed by manipulating the length of first and last items of trials ( long - short [vs] . short - long ) , as forgetting might contribute to impaired performance in ad [and] mci . 0 ###LEFT-WALL### 5 effect 0 ###LEFT-WALL### 10 assessed 0 ###LEFT-WALL### 27 . 1 in 2 addition 1 in 3 , 1 in 5 effect 4 the 5 effect 5 effect 6 of 5 effect 9 was 6 of 7 retention 9 was 10 assessed 10 assessed 11 by 10 assessed 25 short 11 by 12 manipulating 12 manipulating 17 and 12 manipulating 23 long 13 the 14 length 14 length 15 of 14 length 17 and 15 of 16 first 17 and 19 items 17 and 20 of 18 last 19 items 20 of 21 trials 22 ( 23 long 23 long 24 - 27 . 28 short 28 short 30 long 28 short 33 as 29 - 30 long 30 long 31 ) 32 , 33 as 33 as 34 forgetting 33 as 44 . 34 forgetting 35 might 35 might 36 contribute 36 contribute 37 to 36 contribute 40 in 37 to 39 performance 38 impaired 39 performance 40 in 41 ad 41 ad 43 mci results : results show a group effect [(] [p] < . 001 , η² = . 47 [ )(: in both conditions and for both material types , wm span is lower in ad than in mci ( p < [.] 001 ) , which in turn is lower than in healthy aging ( [p] < [.] 05 [ )( 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 show 0 ###LEFT-WALL### 11 . 2 : 3 results 3 results 4 show 4 show 6 group 4 show 7 effect 4 show 10 < 5 a 6 group 7 effect 10 < 11 . 12 001 11 . 13 , 11 . 16 . 13 , 14 η² 13 , 15 = 14 η² 15 = 16 . 17 47 16 . 19 )(: 16 . 23 and 17 47 19 )(: 19 )(: 20 in 20 in 22 conditions 21 both 22 conditions 23 and 30 span 24 for 27 types 24 for 28 , 24 for 30 span 25 both 27 types 26 material 27 types 29 wm 30 span 30 span 31 is 31 is 32 lower 31 is 33 in 31 is 35 than 33 in 34 ad 35 than 36 in 36 in 37 mci 37 mci 40 < 37 mci 45 which 38 ( 40 < 39 p 40 < 40 < 42 001 40 < 43 ) 44 , 45 which 45 which 47 turn 45 which 48 is 46 in 47 turn 48 is 49 lower 49 lower 50 than 50 than 51 in 51 in 53 aging 52 healthy 53 aging 53 aging 58 05 54 ( 58 05 56 < 58 05 58 05 60 )( among persons with mci , those who later showed significant clinical deterioration or progression to ad were more affected by retention [interval] ( p < [.] 05 , η² = . 28 [ )(than were those who remained stable . 0 ###LEFT-WALL### 29 η² 0 ###LEFT-WALL### 30 = 0 ###LEFT-WALL### 31 . 1 among 2 persons 1 among 29 η² 2 persons 3 with 2 persons 6 those 3 with 4 mci 5 , 6 those 6 those 7 who 6 those 9 showed 6 those 28 , 7 who 9 showed 8 later 9 showed 9 showed 13 or 9 showed 19 affected 10 significant 12 deterioration 11 clinical 12 deterioration 12 deterioration 13 or 13 or 14 progression 13 or 15 to 13 or 17 were 15 to 16 ad 17 were 18 more 17 were 19 affected 19 affected 20 by 20 by 21 retention 21 retention 25 < 23 ( 25 < 24 p 25 < 25 < 27 05 29 η² 30 = 31 . 32 28 31 . 35 were 31 . 40 . 32 28 35 were 34 )(than 35 were 35 were 36 those 36 those 37 who 36 those 38 remained 37 who 38 remained 38 remained 39 stable furthermore , deficits in ad are associated with a higher proportion of intrusion errors , particularly those from the current trial ( p < [.] 05 , η² = . 15 [ )(, which could reflect inhibitory processes . 0 ###LEFT-WALL### 3 deficits 0 ###LEFT-WALL### 7 associated 0 ###LEFT-WALL### 27 , 0 ###LEFT-WALL### 30 . 1 furthermore 2 , 1 furthermore 3 deficits 3 deficits 4 in 3 deficits 6 are 4 in 5 ad 6 are 7 associated 7 associated 8 with 8 with 11 proportion 9 a 11 proportion 10 higher 11 proportion 11 proportion 12 of 12 of 14 errors 13 intrusion 14 errors 14 errors 17 those 15 , 16 particularly 15 , 17 those 17 those 18 from 17 those 27 , 18 from 21 trial 19 the 21 trial 20 current 21 trial 21 trial 24 < 22 ( 24 < 23 p 24 < 24 < 26 05 27 , 28 η² 27 , 29 = 28 η² 29 = 30 . 31 15 30 . 33 )(, 30 . 39 . 33 )(, 34 which 33 )(, 36 reflect 34 which 35 could 35 could 36 reflect 36 reflect 38 processes 37 inhibitory 38 processes conclusions : overall , these results indicate impaired wm in age - related disorders with a gradient between mci and ad . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 6 results 2 : 7 indicate 2 : 13 related 3 overall 4 , 3 overall 6 results 5 these 6 results 6 results 7 indicate 7 indicate 9 wm 8 impaired 9 wm 9 wm 10 in 10 in 11 age 12 - 13 related 13 related 20 and 14 disorders 15 with 14 disorders 20 and 15 with 17 gradient 16 a 17 gradient 17 gradient 18 between 18 between 19 mci 20 and 21 ad retention [interval] increases [deficit] in persons with ad . 0 ###LEFT-WALL### 1 retention 0 ###LEFT-WALL### 3 increases 0 ###LEFT-WALL### 9 . 1 retention 3 increases 3 increases 5 in 3 increases 7 with 5 in 6 persons 7 with 8 ad it also shows potential in predicting a negative prognosis in those with mci . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 shows 0 ###LEFT-WALL### 14 . 1 it 3 shows 2 also 3 shows 3 shows 4 potential 3 shows 5 in 5 in 6 predicting 6 predicting 9 prognosis 6 predicting 10 in 6 predicting 12 with 7 a 8 negative 7 a 9 prognosis 8 negative 9 prognosis 10 in 11 those 12 with 13 mci objective : to observe the influence of moxibustion on the cyclin and cellular proliferin of the cerebral cortex in senile mice so as to explore its underlying mechanism in delaying aging . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 25 explore 0 ###LEFT-WALL### 32 . 1 objective 2 : 2 : 3 to 2 : 4 observe 3 to 4 observe 4 observe 6 influence 4 observe 9 on 4 observe 24 to 5 the 6 influence 6 influence 7 of 7 of 8 moxibustion 9 on 12 and 10 the 11 cyclin 11 cyclin 12 and 12 and 14 proliferin 12 and 15 of 13 cellular 14 proliferin 15 of 18 cortex 16 the 18 cortex 17 cerebral 18 cortex 18 cortex 19 in 19 in 21 mice 20 senile 21 mice 22 so 23 as 23 as 24 to 24 to 25 explore 25 explore 28 mechanism 26 its 28 mechanism 27 underlying 28 mechanism 28 mechanism 29 in 28 mechanism 31 aging 29 in 30 delaying methods : sixty male mice were randomly and equally divided into control , model , moxibustion of " zusanli " ( st 36 ) and " xuanzhong " ( gb 39 , m - st 36 - gb 39 ) , moxibustion of " baihui " ( gv 20 ) and " guanyuan " ( cv 4,m - gv 20 - cov 4 ) ,and medication groups . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 68 . 1 methods 2 : 2 : 3 sixty 3 sixty 5 mice 3 sixty 6 were 4 male 5 mice 5 mice 6 were 6 were 7 randomly 8 and 51 and 8 and 65 ,and 9 equally 51 and 10 divided 11 into 10 divided 34 - 10 divided 41 , 10 divided 51 and 11 into 25 and 12 control 13 , 13 , 14 model 13 , 15 , 15 , 16 moxibustion 15 , 25 and 16 moxibustion 17 of 17 of 18 " 17 of 19 zusanli 19 zusanli 20 " 19 zusanli 22 st 21 ( 22 st 22 st 23 36 22 st 24 ) 25 and 26 " 25 and 27 xuanzhong 27 xuanzhong 28 " 27 xuanzhong 30 gb 29 ( 30 gb 30 gb 31 39 30 gb 32 , 32 , 34 - 33 m 34 - 34 - 35 st 34 - 41 , 35 st 36 36 35 st 38 gb 37 - 38 gb 38 gb 39 39 38 gb 40 ) 42 moxibustion 43 of 42 moxibustion 51 and 43 of 44 " 43 of 45 baihui 45 baihui 46 " 45 baihui 48 gv 47 ( 48 gv 48 gv 49 20 48 gv 50 ) 51 and 52 " 51 and 53 guanyuan 51 and 58 - 51 and 59 gv 51 and 62 cov 51 and 65 ,and 53 guanyuan 54 " 53 guanyuan 57 4,m 55 ( 57 4,m 56 cv 57 4,m 57 4,m 58 - 58 - 59 gv 59 gv 60 20 59 gv 61 - 61 - 62 cov 62 cov 63 4 62 cov 64 ) 65 ,and 67 groups 66 medication 67 groups the aging model was established by subcutaneous injection of d - galactose for 42 days . 0 ###LEFT-WALL### 3 model 0 ###LEFT-WALL### 5 established 0 ###LEFT-WALL### 11 - 0 ###LEFT-WALL### 16 . 1 the 3 model 2 aging 3 model 3 model 4 was 4 was 5 established 5 established 6 by 6 by 8 injection 7 subcutaneous 8 injection 8 injection 9 of 9 of 10 d 11 - 12 galactose 12 galactose 13 for 13 for 15 days 14 42 15 days moxibustion was applied to st 36 , gb 39 , gv 20 and cv 4 separately for 3 moxa - cones , once every [other] day for one month . 0 ###LEFT-WALL### 1 moxibustion 0 ###LEFT-WALL### 3 applied 0 ###LEFT-WALL### 30 . 1 moxibustion 2 was 2 was 3 applied 3 applied 4 to 3 applied 16 separately 3 applied 17 for 3 applied 23 once 3 applied 26 day 3 applied 27 for 4 to 13 and 5 st 6 36 5 st 7 , 7 , 8 gb 7 , 10 , 8 gb 9 39 10 , 11 gv 10 , 13 and 11 gv 12 20 13 and 14 cv 14 cv 15 4 17 for 19 moxa 18 3 19 moxa 19 moxa 21 cones 20 - 21 cones 21 cones 22 , 24 every 26 day 27 for 29 month 28 one 29 month the expression of cell cycle protein [p] 16 and retinoblastoma ( prb ) , and [c] - fos protein in the cerebral cortex tissue of the senile mice were detected by immunohistochemistry . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 33 . 1 the 2 expression 2 expression 3 of 2 expression 9 and 3 of 6 protein 4 cell 6 protein 5 cycle 6 protein 6 protein 8 16 9 and 10 retinoblastoma 9 and 12 prb 11 ( 12 prb 12 prb 13 ) 14 , 15 and 15 and 17 - 15 and 19 protein 15 and 30 detected 18 fos 19 protein 19 protein 20 in 19 protein 29 were 20 in 24 tissue 21 the 24 tissue 22 cerebral 23 cortex 23 cortex 24 tissue 24 tissue 25 of 25 of 28 mice 26 the 28 mice 27 senile 28 mice 29 were 30 detected 30 detected 31 by 31 by 32 immunohistochemistry results : compared with control [group] , the number of p16 immunoreaction ( ir ) positive [neurons] in the cerebral cortex increased significantly in the model group ( p < 0.01 [ )(, [and] those of cortical prb [and] [c] - fos ir - positive neurons decreased considerably in model [group] ( p < 0.01 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 3 compared 1 results 2 : 2 : 3 compared 3 compared 4 with 4 with 5 control 4 with 16 positive 5 control 12 immunoreaction 7 , 12 immunoreaction 8 the 9 number 9 number 10 of 9 number 12 immunoreaction 10 of 12 immunoreaction 11 p16 12 immunoreaction 12 immunoreaction 14 ir 12 immunoreaction 15 ) 13 ( 14 ir 14 ir 15 ) 16 positive 18 in 16 positive 23 significantly 16 positive 24 in 18 in 21 cortex 19 the 21 cortex 20 cerebral 21 cortex 21 cortex 22 increased 24 in 27 group 25 the 27 group 26 model 27 group 27 group 30 < 28 ( 30 < 29 p 30 < 30 < 31 0.01 31 0.01 41 - 33 )(, 41 - 35 those 36 of 35 those 41 - 36 of 38 prb 37 cortical 38 prb 41 - 43 ir 42 fos 43 ir 43 ir 46 neurons 44 - 46 neurons 45 positive 46 neurons 46 neurons 47 decreased 46 neurons 57 . 47 decreased 48 considerably 47 decreased 49 in 47 decreased 54 < 49 in 50 model 52 ( 54 < 53 p 54 < 54 < 55 0.01 54 < 56 ) in comparison with the model group , the number of cortical [p] 16 ir - positive neurons reduced significantly in m - st 36 - gb 39 , m - gv 20 - cv 4 and medication groups ( p < 0.01 ) , and those of cortical prb and [c] [-] fos ir - positive neurons increased [remarkably] in m - st 36 - gb 39 , m - gv 20 - cv 4 and medication groups ( p < 0.01 , p < 0.05 ) . 0 ###LEFT-WALL### 6 group 1 in 2 comparison 1 in 6 group 2 comparison 3 with 3 with 5 model 4 the 5 model 6 group 15 - 7 , 15 - 8 the 9 number 9 number 10 of 9 number 15 - 10 of 14 ir 11 cortical 14 ir 13 16 14 ir 15 - 17 neurons 16 positive 17 neurons 17 neurons 18 reduced 18 reduced 19 significantly 18 reduced 20 in 18 reduced 25 - 20 in 21 m 22 - 25 - 23 st 24 36 23 st 25 - 25 - 26 gb 26 gb 27 39 26 gb 29 m 26 gb 33 - 28 , 29 m 29 m 30 - 30 - 33 - 31 gv 32 20 31 gv 33 - 33 - 45 and 34 cv 35 4 34 cv 36 and 36 and 38 groups 36 and 41 < 36 and 45 and 37 medication 38 groups 39 ( 41 < 40 p 41 < 41 < 42 0.01 41 < 43 ) 44 , 45 and 45 and 46 those 46 those 47 of 47 of 54 ir 48 cortical 54 ir 49 prb 50 and 50 and 53 fos 50 and 54 ir 54 ir 57 neurons 54 ir 65 - 55 - 57 neurons 56 positive 57 neurons 57 neurons 58 increased 57 neurons 60 in 57 neurons 62 - 60 in 61 m 62 - 65 - 63 st 64 36 63 st 65 - 65 - 66 gb 66 gb 67 39 66 gb 70 - 66 gb 78 groups 68 , 70 - 69 m 70 - 70 - 71 gv 70 - 73 - 71 gv 72 20 73 - 78 groups 74 cv 75 4 74 cv 76 and 76 and 77 medication 76 and 78 groups 78 groups 81 < 78 groups 85 < 78 groups 88 . 79 ( 81 < 80 p 81 < 81 < 82 0.01 81 < 83 , 84 p 85 < 85 < 86 0.05 85 < 87 ) no significant differences were found in the aforementioned 3 indexes among m - st 36 - gb 39 , m - gv 20 - cv 4 and medication groups ( p > 0.05 ) . 0 ###LEFT-WALL### 3 differences 0 ###LEFT-WALL### 5 found 0 ###LEFT-WALL### 21 - 0 ###LEFT-WALL### 24 - 0 ###LEFT-WALL### 35 . 1 no 3 differences 2 significant 3 differences 3 differences 4 were 4 were 5 found 5 found 6 in 6 in 10 indexes 7 the 10 indexes 8 aforementioned 10 indexes 9 3 10 indexes 10 indexes 11 among 10 indexes 14 st 10 indexes 17 gb 10 indexes 20 m 11 among 12 m 13 - 14 st 14 st 15 36 14 st 16 - 16 - 17 gb 17 gb 18 39 17 gb 19 , 19 , 20 m 20 m 21 - 21 - 22 gv 22 gv 23 20 23 20 24 - 24 - 27 and 25 cv 26 4 25 cv 27 and 27 and 29 groups 27 and 32 > 28 medication 29 groups 30 ( 32 > 31 p 32 > 32 > 33 0.05 32 > 34 ) conclusion : moxibustion of st 36 - gb 39 and gv 20 - cv 4 can down - regulate the [p] 16 expression,and up - regulate prb and [c] - fos protein expression in the cerebral cortex of senile mice , which possibly contributes to its effect in delaying aging . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 moxibustion 2 : 7 - 3 moxibustion 4 of 4 of 5 st 5 st 6 36 7 - 10 and 7 - 13 - 8 gb 9 39 8 gb 10 and 10 and 11 gv 11 gv 12 20 13 - 14 cv 13 - 18 - 14 cv 15 4 14 cv 17 down 15 4 16 can 16 can 17 down 18 - 19 regulate 18 - 25 - 19 regulate 23 expression,and 19 regulate 24 up 20 the 23 expression,and 22 16 23 expression,and 25 - 26 regulate 25 - 28 and 26 regulate 27 prb 28 and 30 - 28 and 31 fos 30 - 31 fos 31 fos 33 expression 31 fos 34 in 32 protein 33 expression 34 in 37 cortex 35 the 37 cortex 36 cerebral 37 cortex 37 cortex 38 of 37 cortex 42 which 38 of 40 mice 39 senile 40 mice 41 , 42 which 42 which 44 contributes 42 which 51 . 43 possibly 44 contributes 44 contributes 45 to 44 contributes 48 in 44 contributes 50 aging 45 to 47 effect 46 its 47 effect 48 in 49 delaying the national notifiable diseases surveillance system received 8,677 notifications of diseases transmitted by mosquitoes in australia from 1 july 2008 to 30 june 2009 . 0 ###LEFT-WALL### 6 system 0 ###LEFT-WALL### 7 received 0 ###LEFT-WALL### 25 . 1 the 6 system 2 national 3 notifiable 3 notifiable 4 diseases 4 diseases 5 surveillance 5 surveillance 6 system 6 system 7 received 7 received 9 notifications 7 received 15 in 7 received 23 june 8 8,677 9 notifications 9 notifications 10 of 10 of 11 diseases 11 diseases 12 transmitted 12 transmitted 13 by 13 by 14 mosquitoes 15 in 16 australia 16 australia 17 from 17 from 19 july 18 1 19 july 20 2008 21 to 21 to 22 30 21 to 23 june 23 june 24 2009 the alphaviruses , barmah forest and ross river , [accounted] for 6,574 ( 78 % ) of these notifications during 2008 - 09 . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 24 . 1 the 2 alphaviruses 2 alphaviruses 3 , 3 , 5 forest 3 , 6 and 4 barmah 5 forest 6 and 8 river 6 and 9 , 6 and 11 for 6 and 17 of 7 ross 8 river 11 for 12 6,574 12 6,574 15 % 13 ( 15 % 14 78 15 % 15 % 16 ) 17 of 19 notifications 18 these 19 notifications 19 notifications 20 during 20 during 22 - 21 2008 22 - 22 - 23 09 there were 1,009 notifications of dengue virus infection locally - acquired in north queensland and 484 notified cases [resulted] from overseas travel . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 1 there 2 were 2 were 4 notifications 2 were 9 locally 2 were 11 acquired 3 1,009 4 notifications 4 notifications 5 of 5 of 8 infection 6 dengue 8 infection 7 virus 8 infection 10 - 11 acquired 11 acquired 12 in 11 acquired 20 from 11 acquired 23 . 12 in 15 and 13 north 14 queensland 14 queensland 15 and 15 and 18 cases 16 484 18 cases 17 notified 18 cases 20 from 22 travel 21 overseas 22 travel notification rates of dengue virus infection for 2008 - 09 , regardless of where infection was acquired , exceeded the five [-] year mean rate and may be attributed to increased disease activity in the asia - pacific region . 0 ###LEFT-WALL### 28 be 0 ###LEFT-WALL### 37 - 1 notification 2 rates 2 rates 3 of 2 rates 7 for 2 rates 26 and 3 of 6 infection 4 dengue 5 virus 5 virus 6 infection 7 for 9 - 8 2008 9 - 9 - 10 09 11 , 13 of 12 regardless 13 of 13 of 14 where 13 of 18 , 13 of 19 exceeded 14 where 15 infection 14 where 17 acquired 15 infection 16 was 16 was 17 acquired 17 acquired 18 , 19 exceeded 25 rate 19 exceeded 26 and 20 the 25 rate 21 five 23 year 23 year 25 rate 24 mean 25 rate 26 and 27 may 27 may 28 be 28 be 29 attributed 29 attributed 30 to 30 to 33 activity 31 increased 32 disease 32 disease 33 activity 33 activity 34 in 34 in 36 asia 35 the 36 asia 37 - 39 region 37 - 40 . 38 pacific 39 region north queensland was the site of several outbreaks of locally [-] acquired dengue virus infection involving all 4 serotypes . 0 ###LEFT-WALL### 2 queensland 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 20 . 1 north 2 queensland 2 queensland 3 was 3 was 5 site 4 the 5 site 5 site 6 of 5 site 9 of 6 of 8 outbreaks 7 several 8 outbreaks 9 of 14 virus 10 locally 12 acquired 12 acquired 14 virus 13 dengue 14 virus 14 virus 15 infection 14 virus 19 serotypes 15 infection 16 involving 15 infection 19 serotypes 16 involving 18 4 17 all 18 4 these dengue outbreaks affected several locations with over 1,000 notifications . 0 ###LEFT-WALL### 3 outbreaks 0 ###LEFT-WALL### 4 affected 0 ###LEFT-WALL### 11 . 1 these 3 outbreaks 2 dengue 3 outbreaks 3 outbreaks 4 affected 4 affected 6 locations 4 affected 7 with 5 several 6 locations 7 with 10 notifications 8 over 9 1,000 9 1,000 10 notifications detection of flavivirus seroconversions in sentinel chicken flocks across australia provides an early warning of increased levels of murray valley encephalitis virus and kunjin virus activity . 0 ###LEFT-WALL### 1 detection 0 ###LEFT-WALL### 11 provides 0 ###LEFT-WALL### 27 . 1 detection 2 of 1 detection 5 in 1 detection 9 across 1 detection 11 provides 2 of 4 seroconversions 3 flavivirus 4 seroconversions 5 in 8 flocks 6 sentinel 8 flocks 7 chicken 8 flocks 9 across 10 australia 11 provides 14 warning 12 an 13 early 12 an 14 warning 13 early 14 warning 14 warning 15 of 14 warning 18 of 15 of 17 levels 16 increased 17 levels 18 of 23 and 19 murray 20 valley 20 valley 22 virus 21 encephalitis 22 virus 22 virus 23 and 23 and 26 activity 24 kunjin 26 activity 25 virus 26 activity increased levels of flavivirus activity were detected in western and [northern] australia , which prompted public health action . 0 ###LEFT-WALL### 2 levels 0 ###LEFT-WALL### 7 detected 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 19 . 1 increased 2 levels 2 levels 3 of 2 levels 6 were 3 of 5 activity 4 flavivirus 5 activity 6 were 7 detected 7 detected 8 in 8 in 12 australia 9 western 10 and 10 and 12 australia 13 , 14 which 13 , 15 prompted 14 which 15 prompted 15 prompted 18 action 16 public 17 health 17 health 18 action this action preceded 4 notifications of murray valley encephalitis infections , 2 ( fatal ) cases acquired in the northern territory [and] two in western australia . 0 ###LEFT-WALL### 2 action 0 ###LEFT-WALL### 3 preceded 1 this 2 action 2 action 3 preceded 3 preceded 5 notifications 4 4 5 notifications 5 notifications 6 of 6 of 10 infections 7 murray 10 infections 8 valley 10 infections 9 encephalitis 10 infections 10 infections 12 2 11 , 12 2 12 2 16 cases 12 2 27 . 13 ( 16 cases 14 fatal 15 ) 14 fatal 16 cases 16 cases 17 acquired 16 cases 18 in 16 cases 24 in 16 cases 27 . 18 in 21 territory 19 the 21 territory 20 northern 21 territory 21 territory 23 two 24 in 26 australia 25 western 26 australia there were no notifications of locally [-] acquired malaria in australia and 567 notifications of overseas - acquired malaria during 2008 - 09 . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 24 . 1 there 2 were 2 were 4 notifications 3 no 4 notifications 4 notifications 5 of 4 notifications 10 in 5 of 9 malaria 6 locally 8 acquired 8 acquired 9 malaria 10 in 12 and 11 australia 12 and 12 and 14 notifications 12 and 15 of 12 and 20 during 13 567 14 notifications 15 of 19 malaria 16 overseas 17 - 16 overseas 19 malaria 18 acquired 19 malaria 20 during 22 - 21 2008 22 - 22 - 23 09 this annual report presents information of diseases transmitted by mosquitoes in australia and notified to the national notifiable diseases surveillance system . 0 ###LEFT-WALL### 3 report 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 22 . 1 this 2 annual 2 annual 3 report 3 report 13 and 4 presents 5 information 4 presents 13 and 5 information 6 of 6 of 7 diseases 7 diseases 8 transmitted 8 transmitted 9 by 8 transmitted 11 in 9 by 10 mosquitoes 11 in 12 australia 13 and 14 notified 13 and 15 to 15 to 21 system 16 the 21 system 17 national 18 notifiable 18 notifiable 19 diseases 19 diseases 20 surveillance 20 surveillance 21 system none objective : in order to identify vulnerable groups and high risk sectors which are at greater need of basic occupational health services , we performed a questionnaire - based study including , as key informants , different stakeholders and key players in the process of improving health and safety at work . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 12 risk 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 53 . 1 none 2 objective 1 none 7 identify 1 none 12 risk 2 objective 3 : 3 : 4 in 4 in 5 order 5 order 6 to 5 order 7 identify 6 to 7 identify 7 identify 10 and 8 vulnerable 9 groups 9 groups 10 and 10 and 11 high 12 risk 13 sectors 12 risk 16 at 13 sectors 14 which 13 sectors 15 are 14 which 15 are 16 at 18 need 17 greater 18 need 18 need 19 of 19 of 23 services 20 basic 22 health 21 occupational 22 health 22 health 23 services 24 , 25 we 24 , 26 performed 24 , 29 - 25 we 26 performed 26 performed 28 questionnaire 27 a 28 questionnaire 29 - 40 and 30 based 31 study 30 based 40 and 31 study 32 including 32 including 34 as 32 including 39 stakeholders 33 , 34 as 34 as 36 informants 34 as 37 , 35 key 36 informants 38 different 39 stakeholders 40 and 41 key 41 key 42 players 41 key 43 in 41 key 51 at 43 in 45 process 44 the 45 process 45 process 46 of 46 of 47 improving 47 improving 49 and 48 health 49 and 49 and 50 safety 51 at 52 work methods : the institute of occupational health of macedonia developed an specially designed questionnaire in collaboration with the who regional office for europe . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 institute 2 : 10 developed 2 : 24 . 3 the 4 institute 4 institute 5 of 4 institute 10 developed 5 of 7 health 6 occupational 7 health 7 health 8 of 8 of 9 macedonia 10 developed 14 questionnaire 10 developed 17 with 10 developed 22 for 11 an 14 questionnaire 12 specially 13 designed 13 designed 14 questionnaire 14 questionnaire 15 in 15 in 16 collaboration 17 with 21 office 18 the 21 office 19 who 20 regional 20 regional 21 office 22 for 23 europe vulnerable groups/sectors include : unemployed , female workers , workers aged under 18 years , workers aged over 55 years and workers in the informal sector , construction industry , textile industry , agriculture , and the health care workers . 0 ###LEFT-WALL### 1 vulnerable 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 41 . 1 vulnerable 2 groups/sectors 1 vulnerable 3 include 1 vulnerable 4 : 2 groups/sectors 3 include 4 : 16 workers 4 : 23 in 5 unemployed 8 workers 5 unemployed 16 workers 6 , 8 workers 7 female 8 workers 8 workers 10 workers 8 workers 15 , 9 , 10 workers 10 workers 11 aged 10 workers 15 , 11 aged 12 under 12 under 14 years 13 18 14 years 16 workers 17 aged 17 aged 18 over 18 over 21 and 19 55 20 years 20 years 21 and 21 and 22 workers 23 in 36 and 24 the 26 sector 25 informal 26 sector 26 sector 27 , 27 , 29 industry 27 , 30 , 28 construction 29 industry 30 , 32 industry 30 , 33 , 31 textile 32 industry 33 , 34 agriculture 33 , 36 and 35 , 36 and 36 and 40 workers 37 the 40 workers 38 health 40 workers 39 care 40 workers the likert scale method was used to evaluate most of the questions in the questionnaire , and the study subjects were instructed to give their professional opinion in completing the questionnaire . 0 ###LEFT-WALL### 4 method 0 ###LEFT-WALL### 24 give 0 ###LEFT-WALL### 32 . 1 the 4 method 2 likert 4 method 3 scale 4 method 4 method 5 was 5 was 6 used 6 used 7 to 6 used 8 evaluate 7 to 8 evaluate 8 evaluate 9 most 8 evaluate 13 in 9 most 10 of 10 of 12 questions 11 the 12 questions 13 in 17 and 14 the 15 questionnaire 15 questionnaire 17 and 16 , 17 and 17 and 19 study 17 and 20 subjects 17 and 24 give 18 the 19 study 20 subjects 21 were 21 were 22 instructed 22 instructed 23 to 22 instructed 24 give 23 to 24 give 24 give 26 professional 24 give 27 opinion 24 give 28 in 25 their 26 professional 28 in 29 completing 29 completing 31 questionnaire 30 the 31 questionnaire results : all examined groups/sectors were judged to have high risk for occupationally related health problems by over 70 % of the responders . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 all 2 : 4 examined 2 : 24 . 3 all 4 examined 4 examined 5 groups/sectors 4 examined 9 have 5 groups/sectors 6 were 6 were 7 judged 7 judged 8 to 8 to 9 have 9 have 11 risk 9 have 12 for 10 high 11 risk 12 for 16 problems 13 occupationally 14 related 14 related 15 health 15 health 16 problems 16 problems 17 by 16 problems 21 of 17 by 20 % 18 over 19 70 19 70 20 % 21 of 23 responders 22 the 23 responders aging workers and workers in agriculture and in the construction industry were judged to have the highest risk for such problems , as well as low health status . 0 ###LEFT-WALL### 2 workers 0 ###LEFT-WALL### 3 and 1 aging 2 workers 3 and 4 workers 3 and 13 judged 4 workers 7 and 4 workers 12 were 5 in 6 agriculture 5 in 7 and 7 and 8 in 8 in 11 industry 9 the 11 industry 10 construction 11 industry 12 were 13 judged 13 judged 14 to 13 judged 19 for 13 judged 23 as 14 to 15 have 15 have 18 risk 16 the 17 highest 16 the 18 risk 19 for 21 problems 20 such 21 problems 22 , 23 as 23 as 28 status 23 as 29 . 24 well 28 status 25 as 26 low 26 low 27 health 27 health 28 status all examined groups/sectors were judged to have good availability of primary health care services , while agriculture , unemployed , the informal sector and young workers were judged as having poor availability of occupational health services . 0 ###LEFT-WALL### 1 all 0 ###LEFT-WALL### 7 have 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 37 . 1 all 2 examined 2 examined 3 groups/sectors 2 examined 5 judged 3 groups/sectors 4 were 4 were 5 judged 5 judged 6 to 6 to 7 have 7 have 9 availability 8 good 9 availability 9 availability 10 of 10 of 12 health 11 primary 12 health 12 health 13 care 12 health 14 services 13 care 14 services 15 , 24 and 15 , 28 judged 16 while 17 agriculture 16 while 18 , 16 while 24 and 19 unemployed 20 , 20 , 23 sector 20 , 24 and 21 the 23 sector 22 informal 23 sector 24 and 26 workers 24 and 27 were 25 young 26 workers 27 were 28 judged 28 judged 29 as 29 as 32 availability 30 having 32 availability 31 poor 32 availability 32 availability 33 of 33 of 36 services 34 occupational 35 health 35 health 36 services conclusion : the provision of basic occupational health services ( bohs ) incorporated in the framework of primary health care via the public health approach was judged as a good conceptfor macedonia . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 4 provision 2 : 27 judged 3 the 4 provision 4 provision 5 of 4 provision 13 incorporated 4 provision 17 of 4 provision 27 judged 5 of 11 bohs 6 basic 7 occupational 7 occupational 8 health 8 health 9 services 9 services 11 bohs 10 ( 11 bohs 11 bohs 12 ) 13 incorporated 14 in 14 in 16 framework 15 the 16 framework 17 of 19 health 18 primary 19 health 19 health 20 care 19 health 26 was 20 care 21 via 20 care 26 was 21 via 25 approach 22 the 25 approach 23 public 24 health 24 health 25 approach 27 judged 28 as 27 judged 32 macedonia 28 as 31 conceptfor 29 a 31 conceptfor 30 good 31 conceptfor canada 's population is aging , and seniors constitute the fastest growing demographic in the nation . 0 ###LEFT-WALL### 3 population 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 17 . 1 canada 2 's 2 's 3 population 3 population 4 is 4 is 5 aging 6 , 7 and 7 and 8 seniors 7 and 9 constitute 8 seniors 9 constitute 9 constitute 11 fastest 10 the 11 fastest 11 fastest 12 growing 12 growing 13 demographic 13 demographic 14 in 14 in 16 nation 15 the 16 nation the chronic health conditions , limited social support , functional decline , and cognitive impairment experienced by seniors may necessitate admission to a personal care home ( pch ) setting up until the time of their death . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 20 necessitate 0 ###LEFT-WALL### 38 . 1 the 4 conditions 2 chronic 4 conditions 3 health 4 conditions 4 conditions 5 , 5 , 8 support 5 , 9 , 6 limited 8 support 7 social 8 support 9 , 11 decline 9 , 13 and 10 functional 11 decline 12 , 13 and 13 and 15 impairment 13 and 16 experienced 13 and 19 may 14 cognitive 15 impairment 16 experienced 17 by 17 by 18 seniors 19 may 20 necessitate 20 necessitate 21 admission 20 necessitate 31 up 20 necessitate 32 until 21 admission 22 to 21 admission 30 setting 22 to 26 home 23 a 24 personal 23 a 26 home 24 personal 25 care 25 care 26 home 26 home 28 pch 27 ( 28 pch 28 pch 29 ) 32 until 34 time 33 the 34 time 34 time 35 of 35 of 37 death 36 their 37 death the ethical problems that arise in the care of dying patients are numerous and complicated . 0 ###LEFT-WALL### 3 problems 0 ###LEFT-WALL### 12 are 0 ###LEFT-WALL### 16 . 1 the 3 problems 2 ethical 3 problems 3 problems 4 that 3 problems 5 arise 3 problems 12 are 4 that 5 arise 5 arise 6 in 6 in 8 care 7 the 8 care 8 care 9 of 9 of 11 patients 10 dying 11 patients 12 are 14 and 13 numerous 14 and 14 and 15 complicated the care of dying seniors in pchs , however , is largely provided by frontline workers such as healthcare aides ( hcas ) , who usually have little training in palliative care or ethics . 0 ###LEFT-WALL### 2 care 0 ###LEFT-WALL### 13 provided 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 35 . 1 the 2 care 2 care 3 of 2 care 11 is 3 of 5 seniors 4 dying 5 seniors 5 seniors 6 in 6 in 7 pchs 8 , 9 however 9 however 10 , 9 however 11 is 11 is 13 provided 12 largely 13 provided 13 provided 14 by 14 by 16 workers 15 frontline 16 workers 16 workers 18 as 17 such 18 as 18 as 20 aides 19 healthcare 20 aides 20 aides 22 hcas 21 ( 22 hcas 22 hcas 23 ) 24 , 25 who 24 , 27 have 25 who 27 have 26 usually 27 have 27 have 29 training 27 have 30 in 28 little 29 training 30 in 33 or 31 palliative 32 care 32 care 33 or 33 or 34 ethics research examining the identification and resolution of ethical problems in care of the dying has been conducted from the perspectives of nurses and physicians in various clinical settings , but the voice of hcas in pchs is virtually absent from clinical ethics . 0 ###LEFT-WALL### 1 research 0 ###LEFT-WALL### 17 conducted 0 ###LEFT-WALL### 30 but 0 ###LEFT-WALL### 43 . 1 research 2 examining 1 research 12 of 1 research 15 has 2 examining 5 and 2 examining 10 in 3 the 5 and 4 identification 5 and 5 and 6 resolution 5 and 7 of 7 of 9 problems 8 ethical 9 problems 10 in 11 care 12 of 14 dying 13 the 14 dying 15 has 16 been 16 been 17 conducted 17 conducted 18 from 17 conducted 25 in 18 from 20 perspectives 19 the 20 perspectives 20 perspectives 21 of 21 of 23 and 22 nurses 23 and 23 and 24 physicians 25 in 28 settings 26 various 28 settings 27 clinical 28 settings 29 , 30 but 30 but 32 voice 30 but 37 is 31 the 32 voice 32 voice 33 of 32 voice 37 is 33 of 34 hcas 34 hcas 35 in 35 in 36 pchs 37 is 39 absent 38 virtually 39 absent 39 absent 40 from 40 from 42 ethics 41 clinical 42 ethics given that the inability to satisfactorily resolve ethical issues in clinical practice is associated with feelings of guilt , powerlessness , avoiding contact with patients , failing to provide good physical care , and increased staff turnover , an empirical examination of hcas ' experiences of ethically challenging situations is warranted . 0 ###LEFT-WALL### 1 given 0 ###LEFT-WALL### 29 provide 0 ###LEFT-WALL### 38 , 0 ###LEFT-WALL### 52 . 1 given 2 that 1 given 13 is 1 given 15 with 3 the 4 inability 4 inability 5 to 4 inability 7 resolve 4 inability 13 is 5 to 7 resolve 6 satisfactorily 7 resolve 7 resolve 9 issues 7 resolve 10 in 8 ethical 9 issues 10 in 12 practice 11 clinical 12 practice 13 is 14 associated 15 with 16 feelings 15 with 27 failing 16 feelings 17 of 16 feelings 20 powerlessness 16 feelings 23 contact 17 of 18 guilt 19 , 20 powerlessness 20 powerlessness 21 , 21 , 23 contact 22 avoiding 23 contact 23 contact 24 with 23 contact 26 , 24 with 25 patients 27 failing 28 to 28 to 29 provide 29 provide 34 and 30 good 32 care 31 physical 32 care 32 care 34 and 33 , 34 and 34 and 37 turnover 35 increased 36 staff 36 staff 37 turnover 38 , 41 examination 38 , 51 warranted 39 an 41 examination 40 empirical 41 examination 41 examination 42 of 41 examination 50 is 42 of 45 experiences 43 hcas 44 ' 44 ' 45 experiences 45 experiences 46 of 46 of 48 challenging 47 ethically 48 challenging 48 challenging 49 situations 50 is 51 warranted the findings reported here explicate [:] [(] [1] [ )(the types of situations that are ethically problematic for hcas [;] [(] 2 [ )(the meanings [they] assign to these situations , and [(] 3 [ )( impact such situations have on the provision of end - of [-] life care . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 5 explicate 1 the 2 findings 2 findings 3 reported 2 findings 5 explicate 3 reported 4 here 5 explicate 13 situations 10 )(the 11 types 11 types 12 of 11 types 13 situations 12 of 13 situations 13 situations 14 that 13 situations 15 are 14 that 15 are 15 are 17 problematic 16 ethically 17 problematic 17 problematic 18 for 17 problematic 28 to 18 for 19 hcas 19 hcas 22 2 19 hcas 25 meanings 19 hcas 27 assign 24 )(the 25 meanings 25 meanings 27 assign 28 to 32 and 29 these 30 situations 30 situations 32 and 31 , 32 and 32 and 37 impact 32 and 39 situations 32 and 40 have 34 3 37 impact 38 such 39 situations 39 situations 40 have 40 have 41 on 41 on 43 provision 42 the 43 provision 43 provision 44 of 44 of 45 end 45 end 47 of 46 - 47 of 47 of 50 care 47 of 51 . 49 life 50 care [none] none advanced parkinson 's disease patients require for their care the participation of a multidisciplinary team . 0 ###LEFT-WALL### 7 patients 0 ###LEFT-WALL### 8 require 0 ###LEFT-WALL### 18 . 2 none 3 advanced 3 advanced 4 parkinson 4 parkinson 5 's 5 's 7 patients 6 disease 7 patients 7 patients 8 require 8 require 9 for 8 require 13 participation 8 require 17 team 9 for 11 care 10 their 11 care 12 the 13 participation 13 participation 14 of 14 of 16 multidisciplinary 15 a 16 multidisciplinary particularly in the late stages of the disease , motor complications due [both] to medication and to progression of the disease , together with [non] [-] motor complications , add to the complexity of their management . 0 ###LEFT-WALL### 11 complications 0 ###LEFT-WALL### 30 add 0 ###LEFT-WALL### 37 . 1 particularly 11 complications 2 in 5 stages 2 in 9 , 2 in 11 complications 3 the 5 stages 4 late 5 stages 5 stages 6 of 6 of 8 disease 7 the 8 disease 10 motor 11 complications 11 complications 16 and 11 complications 19 of 11 complications 30 add 12 due 14 to 14 to 15 medication 14 to 16 and 16 and 17 to 17 to 18 progression 19 of 21 disease 20 the 21 disease 21 disease 24 with 22 , 24 with 23 together 24 with 24 with 28 complications 24 with 29 , 27 motor 28 complications 30 add 31 to 31 to 33 complexity 32 the 33 complexity 33 complexity 34 of 34 of 36 management 35 their 36 management increasing age of the population will increase the incidence and the prevalence of the disease , with more patients reaching an advanced age and a more advanced stage of the disease , thus creating a public health problem for which we have to be prepared . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 7 increase 0 ###LEFT-WALL### 32 , 0 ###LEFT-WALL### 46 . 1 increasing 2 age 2 age 3 of 2 age 6 will 3 of 5 population 4 the 5 population 6 will 7 increase 7 increase 10 and 8 the 9 incidence 9 incidence 10 and 10 and 12 prevalence 10 and 17 with 11 the 12 prevalence 12 prevalence 13 of 13 of 15 disease 14 the 15 disease 16 , 17 with 17 with 24 and 17 with 32 , 18 more 19 patients 19 patients 20 reaching 19 patients 24 and 20 reaching 23 age 21 an 22 advanced 21 an 23 age 22 advanced 23 age 24 and 28 stage 25 a 28 stage 26 more 27 advanced 27 advanced 28 stage 28 stage 29 of 29 of 31 disease 30 the 31 disease 32 , 34 creating 32 , 45 prepared 33 thus 34 creating 34 creating 38 problem 34 creating 45 prepared 35 a 38 problem 36 public 38 problem 37 health 38 problem 38 problem 39 for 39 for 40 which 39 for 41 we 39 for 42 have 41 we 42 have 42 have 43 to 42 have 44 be 43 to 44 be hip [fracture] is one of the most common orthopedic conditions and is associated with significant morbidity and mortality . 0 ###LEFT-WALL### 1 hip 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 19 . 1 hip 11 and 3 is 4 one 3 is 11 and 4 one 5 of 5 of 10 conditions 6 the 7 most 7 most 10 conditions 8 common 10 conditions 9 orthopedic 10 conditions 11 and 12 is 12 is 13 associated 13 associated 14 with 14 with 17 and 15 significant 16 morbidity 16 morbidity 17 and 17 and 18 mortality with a progressively aging population , the annual incidence [of] hip fracture is expected to increase substantially . 0 ###LEFT-WALL### 12 fracture 0 ###LEFT-WALL### 14 expected 0 ###LEFT-WALL### 18 . 1 with 5 population 1 with 6 , 1 with 12 fracture 2 a 5 population 3 progressively 4 aging 4 aging 5 population 7 the 12 fracture 8 annual 9 incidence 9 incidence 12 fracture 11 hip 12 fracture 12 fracture 13 is 13 is 14 expected 14 expected 15 to 14 expected 16 increase 15 to 16 increase 16 increase 17 substantially emerging evidence suggests that early surgery ( < 24 h ) minimizes complications secondary to immobilization , including orthostatic pneumonia and venous thromboembolism . 0 ###LEFT-WALL### 2 evidence 0 ###LEFT-WALL### 3 suggests 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 24 . 1 emerging 2 evidence 2 evidence 3 suggests 3 suggests 5 early 3 suggests 6 surgery 3 suggests 12 minimizes 4 that 5 early 6 surgery 10 h 6 surgery 12 minimizes 7 ( 10 h 8 < 9 24 9 24 10 h 10 h 11 ) 12 minimizes 13 complications 13 complications 14 secondary 14 secondary 15 to 15 to 16 immobilization 17 , 21 and 18 including 20 pneumonia 19 orthostatic 20 pneumonia 20 pneumonia 21 and 21 and 23 thromboembolism 22 venous 23 thromboembolism delayed surgical repair ( >48 [h] ) has been consistently demonstrated to be associated with an increased risk of 30 - day and 1 [-] year mortality . 0 ###LEFT-WALL### 3 repair 0 ###LEFT-WALL### 11 demonstrated 0 ###LEFT-WALL### 21 - 1 delayed 3 repair 2 surgical 3 repair 3 repair 5 >48 3 repair 8 has 4 ( 5 >48 5 >48 7 ) 8 has 9 been 9 been 10 consistently 9 been 11 demonstrated 11 demonstrated 12 to 12 to 13 be 13 be 14 associated 14 associated 15 with 15 with 18 risk 16 an 18 risk 17 increased 18 risk 18 risk 19 of 19 of 20 30 21 - 23 and 21 - 28 . 22 day 23 and 23 and 27 mortality 24 1 26 year 26 year 27 mortality nonetheless , early surgery necessitates a shorter time for preoperative medical preparation , in particular cardiac assessment . 0 ###LEFT-WALL### 4 surgery 0 ###LEFT-WALL### 5 necessitates 1 nonetheless 2 , 1 nonetheless 4 surgery 3 early 4 surgery 4 surgery 5 necessitates 5 necessitates 8 time 6 a 8 time 7 shorter 8 time 8 time 9 for 9 for 12 preparation 10 preoperative 12 preparation 11 medical 12 preparation 12 preparation 14 in 13 , 14 in 14 in 17 assessment 14 in 18 . 15 particular 17 assessment 16 cardiac 17 assessment patients who undergo emergent orthopedic surgery are therefore at greater risk of perioperative cardiac events than those who undergo elective surgery . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 7 are 0 ###LEFT-WALL### 22 . 1 patients 2 who 1 patients 3 undergo 1 patients 7 are 2 who 3 undergo 3 undergo 6 surgery 4 emergent 6 surgery 5 orthopedic 6 surgery 7 are 8 therefore 7 are 9 at 7 are 16 than 9 at 11 risk 10 greater 11 risk 11 risk 12 of 12 of 15 events 13 perioperative 15 events 14 cardiac 15 events 16 than 17 those 17 those 18 who 17 those 19 undergo 18 who 19 undergo 19 undergo 21 surgery 20 elective 21 surgery in addition , the prompt [triage] system for preoperative cardiac assessment not only identifies patients at high risk of perioperative cardiac complications but also reduces unnecessary cardiac consultations for low - risk patients . 0 ###LEFT-WALL### 7 system 0 ###LEFT-WALL### 24 also 0 ###LEFT-WALL### 34 . 1 in 2 addition 1 in 3 , 1 in 7 system 4 the 7 system 5 prompt 7 system 7 system 8 for 7 system 24 also 8 for 11 assessment 9 preoperative 11 assessment 10 cardiac 11 assessment 12 not 13 only 13 only 24 also 14 identifies 15 patients 14 identifies 16 at 14 identifies 24 also 16 at 18 risk 17 high 18 risk 18 risk 19 of 19 of 22 complications 20 perioperative 22 complications 21 cardiac 22 complications 23 but 24 also 24 also 25 reduces 25 reduces 28 consultations 26 unnecessary 28 consultations 27 cardiac 28 consultations 28 consultations 29 for 29 for 33 patients 30 low 31 - 30 low 33 patients 32 risk 33 patients we review the current recommendations for preoperative cardiac assessment adapted for patients with hip [fracture] and [describe] our current [triage] system for preoperative cardiac consultation . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 26 . 1 we 2 review 2 review 5 recommendations 2 review 11 for 2 review 22 for 3 the 5 recommendations 4 current 5 recommendations 5 recommendations 6 for 6 for 9 assessment 7 preoperative 9 assessment 8 cardiac 9 assessment 9 assessment 10 adapted 11 for 12 patients 12 patients 13 with 13 with 16 and 14 hip 16 and 16 and 21 system 18 our 21 system 19 current 21 system 22 for 25 consultation 23 preoperative 25 consultation 24 cardiac 25 consultation low - energy fragility fractures account for >80 [%] of fractures in elderly patients , and with aging populations , geriatric fracture surgery makes up a substantial proportion of the orthopedic workload . 0 ###LEFT-WALL### 5 fractures 0 ###LEFT-WALL### 6 account 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 33 . 1 low 2 - 1 low 3 energy 3 energy 4 fragility 4 fragility 5 fractures 5 fractures 6 account 6 account 7 for 6 account 16 and 7 for 8 >80 8 >80 10 of 10 of 11 fractures 12 in 14 patients 12 in 16 and 13 elderly 14 patients 15 , 16 and 16 and 17 with 17 with 19 populations 18 aging 19 populations 20 , 23 surgery 20 , 24 makes 21 geriatric 22 fracture 22 fracture 23 surgery 23 surgery 24 makes 24 makes 25 up 24 makes 28 proportion 26 a 27 substantial 26 a 28 proportion 27 substantial 28 proportion 28 proportion 29 of 29 of 32 workload 30 the 32 workload 31 orthopedic 32 workload elderly patients have markedly less physiologic reserve than do younger patients , and comorbidity is common . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 3 have 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 17 . 1 elderly 2 patients 2 patients 3 have 3 have 7 reserve 3 have 8 than 4 markedly 5 less 5 less 6 physiologic 6 physiologic 7 reserve 8 than 9 do 9 do 11 patients 10 younger 11 patients 12 , 13 and 13 and 14 comorbidity 13 and 15 is 14 comorbidity 15 is 15 is 16 common even with optimal care , the risk of mortality and morbidity remains high . 0 ###LEFT-WALL### 7 risk 0 ###LEFT-WALL### 12 remains 0 ###LEFT-WALL### 14 . 1 even 2 with 1 even 5 , 1 even 7 risk 2 with 4 care 3 optimal 4 care 6 the 7 risk 7 risk 8 of 7 risk 12 remains 8 of 10 and 9 mortality 10 and 10 and 11 morbidity 12 remains 13 high multidisciplinary care , including early orthogeriatric input , is recommended to anticipate [and] treat complications . 0 ###LEFT-WALL### 2 care 0 ###LEFT-WALL### 10 recommended 0 ###LEFT-WALL### 16 . 1 multidisciplinary 2 care 2 care 4 including 2 care 9 is 3 , 4 including 4 including 7 input 4 including 8 , 5 early 7 input 6 orthogeriatric 7 input 9 is 10 recommended 10 recommended 11 to 11 to 12 anticipate 12 anticipate 15 complications 14 treat 15 complications this article explores modern treatment strategies for this challenging group of patients and provides guidance for systematically preparing and optimizing elderly patients before surgery , based on best available current evidence and recommendations by relevant health organizations . 0 ###LEFT-WALL### 32 and 0 ###LEFT-WALL### 38 . 1 this 2 article 2 article 13 and 2 article 19 and 3 explores 6 strategies 3 explores 7 for 3 explores 13 and 4 modern 5 treatment 5 treatment 6 strategies 7 for 12 patients 8 this 10 group 9 challenging 10 group 10 group 11 of 10 group 12 patients 11 of 12 patients 13 and 14 provides 13 and 16 for 14 provides 15 guidance 16 for 18 preparing 17 systematically 18 preparing 19 and 22 patients 19 and 25 , 19 and 26 based 19 and 27 on 19 and 32 and 20 optimizing 22 patients 21 elderly 22 patients 22 patients 23 before 23 before 24 surgery 27 on 31 evidence 28 best 29 available 29 available 30 current 30 current 31 evidence 32 and 33 recommendations 32 and 34 by 34 by 37 organizations 35 relevant 36 health 36 health 37 organizations parkinson 's disease , like many common age - related conditions , is now recognized to have a substantial genetic component . 0 ###LEFT-WALL### 3 disease 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 17 have 0 ###LEFT-WALL### 22 . 1 parkinson 2 's 2 's 3 disease 4 , 8 age 4 , 15 recognized 5 like 6 many 5 like 8 age 7 common 8 age 8 age 13 is 9 - 10 related 10 related 11 conditions 10 related 12 , 10 related 13 is 13 is 15 recognized 14 now 15 recognized 15 recognized 16 to 16 to 17 have 17 have 21 component 18 a 19 substantial 18 a 21 component 19 substantial 21 component 20 genetic 21 component here , i discuss how mutations in a large complex gene -- leucine - rich repeat kinase 2 ( lrrk2 ) -- affect protein [function] , and i review recent evidence that lrrk2 mutations affect pathways that involve other proteins that have been implicated in parkinson 's disease , specifically α - synuclein and tau . 0 ###LEFT-WALL### 3 i 0 ###LEFT-WALL### 4 discuss 0 ###LEFT-WALL### 26 , 0 ###LEFT-WALL### 47 's 0 ###LEFT-WALL### 56 . 1 here 2 , 1 here 3 i 3 i 4 discuss 4 discuss 5 how 5 how 6 mutations 5 how 23 affect 6 mutations 7 in 6 mutations 13 leucine 6 mutations 17 kinase 6 mutations 23 affect 7 in 11 gene 8 a 11 gene 9 large 10 complex 10 complex 11 gene 12 -- 13 leucine 13 leucine 14 - 14 - 17 kinase 15 rich 16 repeat 16 repeat 17 kinase 17 kinase 18 2 17 kinase 20 lrrk2 17 kinase 22 -- 19 ( 20 lrrk2 20 lrrk2 21 ) 23 affect 24 protein 26 , 27 and 26 , 47 's 27 and 28 i 27 and 29 review 28 i 29 review 29 review 31 evidence 30 recent 31 evidence 32 that 34 mutations 32 that 35 affect 32 that 47 's 33 lrrk2 34 mutations 34 mutations 35 affect 35 affect 36 pathways 36 pathways 37 that 36 pathways 38 involve 37 that 38 involve 38 involve 40 proteins 39 other 40 proteins 40 proteins 41 that 40 proteins 42 have 41 that 42 have 42 have 43 been 43 been 44 implicated 44 implicated 45 in 45 in 46 parkinson 47 's 54 and 48 disease 49 , 49 , 53 synuclein 49 , 54 and 50 specifically 51 α 51 α 52 - 51 α 53 synuclein 54 and 55 tau these concepts can be used to understand disease processes and to develop therapeutic opportunities for the treatment of parkinson 's disease . 0 ###LEFT-WALL### 2 concepts 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 22 . 1 these 2 concepts 2 concepts 10 and 3 can 4 be 3 can 10 and 4 be 5 used 5 used 6 to 5 used 7 understand 6 to 7 understand 7 understand 9 processes 8 disease 9 processes 10 and 11 to 10 and 12 develop 11 to 12 develop 12 develop 14 opportunities 12 develop 15 for 13 therapeutic 14 opportunities 15 for 17 treatment 16 the 17 treatment 17 treatment 18 of 18 of 21 disease 19 parkinson 20 's 20 's 21 disease background : administration of caffeine or caffeinated coffee [in] laboratory and ambulatory settings results in small [to] moderate acute increases in blood pressure ( bp ) . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 2 : 3 administration 2 : 14 results 3 administration 4 of 3 administration 14 results 4 of 11 and 5 caffeine 6 or 6 or 10 laboratory 6 or 11 and 7 caffeinated 10 laboratory 8 coffee 10 laboratory 11 and 13 settings 12 ambulatory 13 settings 14 results 15 in 15 in 20 increases 16 small 20 increases 18 moderate 20 increases 19 acute 20 increases 20 increases 21 in 20 increases 25 bp 21 in 23 pressure 22 blood 23 pressure 24 ( 25 bp 25 bp 26 ) however , habitual coffee intake has not been linked conclusively to long - term increases in basal bp , and findings are inconsistent by sex . 0 ###LEFT-WALL### 5 intake 0 ###LEFT-WALL### 9 linked 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 26 . 1 however 2 , 1 however 5 intake 3 habitual 4 coffee 4 coffee 5 intake 5 intake 6 has 6 has 7 not 6 has 8 been 8 been 9 linked 9 linked 10 conclusively 9 linked 11 to 9 linked 16 in 11 to 15 increases 12 long 13 - 12 long 14 term 14 term 15 increases 16 in 18 bp 17 basal 18 bp 19 , 20 and 20 and 21 findings 20 and 22 are 21 findings 22 are 22 are 23 inconsistent 23 inconsistent 24 by 24 by 25 sex this study examined longitudinal relations of habitual coffee use to resting bp and pulse pressure . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 examined 0 ###LEFT-WALL### 16 . 1 this 2 study 2 study 3 examined 3 examined 5 relations 3 examined 13 and 4 longitudinal 5 relations 5 relations 6 of 5 relations 13 and 6 of 8 coffee 7 habitual 8 coffee 9 use 10 to 9 use 12 bp 9 use 13 and 10 to 11 resting 13 and 14 pulse 13 and 15 pressure analyses were stratified by sex ( 865 women and 1,577 men ) , and age and bmi were examined as possible effect modifiers . 0 ###LEFT-WALL### 1 analyses 0 ###LEFT-WALL### 3 stratified 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 24 . 1 analyses 2 were 2 were 3 stratified 3 stratified 4 by 4 by 5 sex 5 sex 9 and 6 ( 9 and 7 865 8 women 8 women 9 and 9 and 11 men 9 and 12 ) 10 1,577 11 men 13 , 14 and 14 and 16 and 14 and 19 examined 15 age 16 and 16 and 17 bmi 16 and 18 were 18 were 19 examined 19 examined 20 as 20 as 23 modifiers 21 possible 23 modifiers 22 effect 23 modifiers a significant interaction of coffee intake and bmi ( nonlinear ) [was] also noted [for] sbp in men . 0 ###LEFT-WALL### 7 and 1 a 2 significant 1 a 3 interaction 2 significant 3 interaction 3 interaction 4 of 3 interaction 7 and 4 of 6 intake 5 coffee 6 intake 7 and 8 bmi 8 bmi 16 sbp 9 ( 16 sbp 10 nonlinear 11 ) 10 nonlinear 16 sbp 13 also 14 noted 14 noted 16 sbp 16 sbp 17 in 16 sbp 19 . 17 in 18 men there were no significant relations of coffee intake to bp or pulse pressure in women . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 16 . 1 there 2 were 2 were 5 relations 3 no 5 relations 4 significant 5 relations 5 relations 6 of 6 of 11 or 7 coffee 8 intake 8 intake 9 to 8 intake 11 or 9 to 10 bp 11 or 13 pressure 11 or 14 in 12 pulse 13 pressure 14 in 15 women conclusion : greater coffee intake in men was associated with steeper age - related increases in sbp and pulse pressure , particularly beyond 70 years of age and in overweight [to] obese men . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 5 intake 2 : 9 associated 2 : 14 related 3 greater 4 coffee 4 coffee 5 intake 5 intake 6 in 5 intake 8 was 6 in 7 men 8 was 9 associated 9 associated 10 with 10 with 12 age 11 steeper 12 age 13 - 14 related 14 related 15 increases 14 related 16 in 14 related 22 particularly 14 related 34 . 16 in 18 and 17 sbp 18 and 18 and 20 pressure 18 and 21 , 19 pulse 20 pressure 22 particularly 28 and 23 beyond 25 years 23 beyond 28 and 24 70 25 years 25 years 26 of 26 of 27 age 28 and 29 in 29 in 33 men 30 overweight 33 men 32 obese 33 men none background : [this] study looked at clinical and histological outcomes of patients treated with integra more than 2 years earlier . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 6 looked 0 ###LEFT-WALL### 22 . 1 none 2 background 1 none 5 study 1 none 6 looked 2 background 3 : 3 : 5 study 6 looked 7 at 6 looked 15 with 6 looked 17 more 6 looked 18 than 7 at 11 outcomes 8 clinical 9 and 9 and 10 histological 9 and 11 outcomes 11 outcomes 12 of 12 of 13 patients 13 patients 14 treated 15 with 16 integra 18 than 20 years 19 2 20 years 20 years 21 earlier although previous studies have investigated the short - term clinical and histological results , there have been no studies to investigate longer - term changes . 0 ###LEFT-WALL### 9 term 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 26 . 1 although 3 studies 1 although 5 investigated 1 although 8 - 1 although 9 term 2 previous 3 studies 3 studies 4 have 4 have 5 investigated 5 investigated 7 short 6 the 7 short 9 term 13 results 10 clinical 11 and 11 and 12 histological 11 and 13 results 14 , 15 there 14 , 17 been 15 there 16 have 16 have 17 been 17 been 19 studies 17 been 20 to 18 no 19 studies 20 to 21 investigate 21 investigate 25 changes 22 longer 23 - 22 longer 24 term 24 term 25 changes methods : fourteen patients ( 23 sites ) were assessed . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 patients 2 : 10 assessed 2 : 11 . 3 fourteen 4 patients 4 patients 7 sites 4 patients 9 were 5 ( 7 sites 6 23 7 sites 7 sites 8 ) 9 were 10 assessed patients used a visual analogue scale to score characteristics of their scars . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 2 used 0 ###LEFT-WALL### 13 . 1 patients 2 used 2 used 6 scale 2 used 7 to 2 used 8 score 3 a 4 visual 3 a 6 scale 4 visual 5 analogue 5 analogue 6 scale 7 to 8 score 8 score 9 characteristics 9 characteristics 10 of 10 of 12 scars 11 their 12 scars objective [evaluation] of the reconstructions was carried out using the cutometer mpa580 . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 7 carried 0 ###LEFT-WALL### 13 . 1 objective 3 of 1 objective 6 was 3 of 5 reconstructions 4 the 5 reconstructions 6 was 7 carried 7 carried 8 out 7 carried 9 using 9 using 12 mpa580 10 the 12 mpa580 11 cutometer 12 mpa580 punch biopsy specimens of the sites were stained and labeled immunohistochemically with s100 , cd31 , and cd34 antisera . 0 ###LEFT-WALL### 2 biopsy 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 20 . 1 punch 2 biopsy 2 biopsy 3 specimens 3 specimens 4 of 4 of 6 sites 5 the 6 sites 6 sites 9 and 7 were 8 stained 7 were 9 and 9 and 10 labeled 9 and 11 immunohistochemically 9 and 12 with 12 with 13 s100 14 , 17 and 14 , 19 antisera 15 cd31 17 and 16 , 17 and 17 and 18 cd34 17 and 19 antisera results : the highest scoring category by patients was softness ( median , +45 percent ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 category 2 : 9 was 2 : 17 . 3 the 4 highest 3 the 6 category 5 scoring 6 category 6 category 7 by 6 category 9 was 7 by 8 patients 9 was 10 softness 10 softness 15 percent 11 ( 15 percent 12 median 13 , 12 median 15 percent 14 +45 15 percent 15 percent 16 ) the lowest score was sweating , which [all] patients scored 0 . 0 ###LEFT-WALL### 3 score 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 12 . 1 the 2 lowest 1 the 3 score 3 score 4 was 4 was 5 sweating 6 , 7 which 6 , 10 scored 7 which 9 patients 9 patients 10 scored 10 scored 11 0 the median cutometer readings ranged from 39 to 52 percent of the control values . 0 ###LEFT-WALL### 4 readings 0 ###LEFT-WALL### 5 ranged 0 ###LEFT-WALL### 15 . 1 the 4 readings 2 median 4 readings 3 cutometer 4 readings 4 readings 5 ranged 5 ranged 6 from 6 from 10 percent 7 39 8 to 8 to 9 52 8 to 10 percent 10 percent 11 of 11 of 14 values 12 the 14 values 13 control 14 values histological examination showed three patterns of collagen arrangement ; parallel arrangement was found in over 60 percent of specimens . 0 ###LEFT-WALL### 2 examination 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 9 ; 0 ###LEFT-WALL### 20 . 1 histological 2 examination 2 examination 3 showed 3 showed 5 patterns 3 showed 8 arrangement 4 three 5 patterns 5 patterns 6 of 6 of 7 collagen 9 ; 11 arrangement 9 ; 13 found 10 parallel 11 arrangement 11 arrangement 12 was 12 was 13 found 13 found 14 in 13 found 15 over 15 over 17 percent 16 60 17 percent 17 percent 18 of 18 of 19 specimens elastic fibers were identified in all specimens ; however , all were of abnormal morphology . 0 ###LEFT-WALL### 2 fibers 0 ###LEFT-WALL### 4 identified 0 ###LEFT-WALL### 8 ; 0 ###LEFT-WALL### 16 . 1 elastic 2 fibers 2 fibers 3 were 3 were 4 identified 4 identified 5 in 5 in 7 specimens 6 all 7 specimens 8 ; 11 all 8 ; 12 were 9 however 10 , 9 however 11 all 11 all 12 were 12 were 13 of 13 of 15 morphology 14 abnormal 15 morphology the majority of specimens showed evidence of nerve fiber regeneration [although] confined to the mid - or lower reticular dermis . 0 ###LEFT-WALL### 4 specimens 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 21 . 1 the 2 majority 2 majority 3 of 2 majority 4 specimens 3 of 4 specimens 4 specimens 5 showed 5 showed 6 evidence 5 showed 10 regeneration 6 evidence 7 of 7 of 8 nerve 9 fiber 10 regeneration 10 regeneration 12 confined 12 confined 13 to 13 to 20 dermis 14 the 15 mid 15 mid 17 or 16 - 17 or 17 or 18 lower 17 or 20 dermis 19 reticular 20 dermis there was no regeneration of skin adnexa . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 8 . 1 there 2 was 2 was 4 regeneration 3 no 4 regeneration 4 regeneration 5 of 5 of 7 adnexa 6 skin 7 adnexa conclusions : this study showed significant improvements in patient - assessed mobility , softness , and appearance . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 showed 2 : 18 . 3 this 4 study 4 study 5 showed 5 showed 7 improvements 5 showed 8 in 6 significant 7 improvements 8 in 16 and 9 patient 10 - 9 patient 12 mobility 11 assessed 12 mobility 12 mobility 13 , 13 , 14 softness 13 , 16 and 15 , 16 and 16 and 17 appearance collagen and elastic fibrin were present in all specimens , nerve fiber regeneration was limited to the mid - or lower reticular dermis , and adnexal structures were absent . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 30 . 1 collagen 2 and 2 and 4 fibrin 2 and 5 were 3 elastic 4 fibrin 5 were 6 present 6 present 7 in 7 in 9 specimens 8 all 9 specimens 10 , 13 regeneration 10 , 14 was 10 , 25 and 11 nerve 13 regeneration 12 fiber 13 regeneration 13 regeneration 14 was 14 was 15 limited 15 limited 16 to 16 to 23 dermis 17 the 23 dermis 18 mid 20 or 19 - 20 or 20 or 21 lower 20 or 23 dermis 22 reticular 23 dermis 24 , 25 and 25 and 27 structures 25 and 28 were 26 adnexal 27 structures 27 structures 28 were 28 were 29 absent the typical wrinkled appearance of mature integra reconstruction cannot be said to be entirely due to a lack of elastic fibers . 0 ###LEFT-WALL### 4 appearance 0 ###LEFT-WALL### 11 said 0 ###LEFT-WALL### 22 . 1 the 4 appearance 2 typical 4 appearance 3 wrinkled 4 appearance 4 appearance 5 of 4 appearance 9 cannot 5 of 8 reconstruction 6 mature 8 reconstruction 7 integra 8 reconstruction 9 cannot 10 be 10 be 11 said 11 said 12 to 12 to 13 be 13 be 14 entirely 13 be 15 due 15 due 16 to 16 to 18 lack 17 a 18 lack 18 lack 19 of 19 of 21 fibers 20 elastic 21 fibers endogenous heat shock proteins ( hsp ) are decreased in disease states associated with insulin resistance and aging . 0 ###LEFT-WALL### 2 heat 0 ###LEFT-WALL### 9 decreased 0 ###LEFT-WALL### 19 . 1 endogenous 2 heat 2 heat 4 proteins 2 heat 8 are 2 heat 9 decreased 3 shock 4 proteins 4 proteins 6 hsp 4 proteins 8 are 5 ( 6 hsp 6 hsp 7 ) 9 decreased 10 in 10 in 17 and 11 disease 12 states 12 states 13 associated 12 states 17 and 13 associated 14 with 14 with 16 resistance 15 insulin 16 resistance 17 and 18 aging induction of hsps has been shown to decrease oxidative stress , inhibit inflammatory pathways , and enhance metabolic characteristics in skeletal muscle . 0 ###LEFT-WALL### 1 induction 0 ###LEFT-WALL### 6 shown 0 ###LEFT-WALL### 23 . 1 induction 2 of 1 induction 4 has 2 of 3 hsps 4 has 5 been 5 been 6 shown 6 shown 7 to 7 to 11 , 8 decrease 10 stress 8 decrease 11 , 9 oxidative 10 stress 11 , 16 and 12 inhibit 14 pathways 12 inhibit 16 and 13 inflammatory 14 pathways 15 , 16 and 16 and 17 enhance 17 enhance 19 characteristics 17 enhance 20 in 18 metabolic 19 characteristics 20 in 22 muscle 21 skeletal 22 muscle as such [,] hsps have the potential to function as an important defense system against the development of insulin resistance and type 2 diabetes . 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 25 . 1 as 4 hsps 1 as 21 and 2 such 4 hsps 5 have 7 potential 5 have 8 to 5 have 21 and 6 the 7 potential 8 to 9 function 9 function 10 as 9 function 15 against 10 as 14 system 11 an 12 important 11 an 14 system 12 important 13 defense 13 defense 14 system 15 against 17 development 16 the 17 development 17 development 18 of 18 of 20 resistance 19 insulin 20 resistance 21 and 22 type 22 type 24 diabetes 23 2 24 diabetes overcrowding the immune space with excess clones of viral - specific [t] cells causes the naïve [t] - cell repertoire to shrink , which increases infection susceptibility to novel pathogens . 0 ###LEFT-WALL### 1 overcrowding 0 ###LEFT-WALL### 14 causes 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 31 . 1 overcrowding 4 space 1 overcrowding 5 with 1 overcrowding 14 causes 2 the 4 space 3 immune 4 space 5 with 7 clones 6 excess 7 clones 7 clones 8 of 8 of 13 cells 9 viral 10 - 9 viral 13 cells 11 specific 13 cells 14 causes 20 repertoire 14 causes 21 to 14 causes 22 shrink 15 the 20 repertoire 16 naïve 18 - 16 naïve 19 cell 19 cell 20 repertoire 21 to 22 shrink 23 , 24 which 23 , 25 increases 24 which 25 increases 25 increases 27 susceptibility 25 increases 28 to 26 infection 27 susceptibility 28 to 30 pathogens 29 novel 30 pathogens physical exercise preferentially mobilizes senescent [t] cells from the peripheral tissues into the blood , which might facilitate their subsequent apoptosis and create " vacant space " for newly functional [t] cells to occupy and expand the naïve t - cell repertoire . 0 ###LEFT-WALL### 2 exercise 0 ###LEFT-WALL### 4 mobilizes 0 ###LEFT-WALL### 15 , 1 physical 2 exercise 2 exercise 4 mobilizes 3 preferentially 4 mobilizes 4 mobilizes 7 cells 4 mobilizes 12 into 5 senescent 7 cells 7 cells 8 from 8 from 11 tissues 9 the 11 tissues 10 peripheral 11 tissues 12 into 14 blood 13 the 14 blood 15 , 16 which 15 , 35 and 15 , 40 - 16 which 35 and 17 might 22 and 17 might 35 and 18 facilitate 21 apoptosis 18 facilitate 22 and 19 their 21 apoptosis 20 subsequent 21 apoptosis 22 and 23 create 23 create 24 " 23 create 26 space 23 create 28 for 25 vacant 26 space 26 space 27 " 28 for 32 cells 29 newly 30 functional 30 functional 32 cells 32 cells 33 to 32 cells 34 occupy 33 to 34 occupy 35 and 36 expand 35 and 39 t 36 expand 38 naïve 37 the 38 naïve 40 - 42 repertoire 40 - 43 . 41 cell 42 repertoire purpose of review : investigation into the underlying mechanisms of salt sensitivity has made important advances in recent years . 0 ###LEFT-WALL### 3 review 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 20 . 1 purpose 2 of 2 of 3 review 3 review 4 : 4 : 5 investigation 5 investigation 6 into 5 investigation 10 of 6 into 9 mechanisms 7 the 9 mechanisms 8 underlying 9 mechanisms 10 of 11 salt 11 salt 12 sensitivity 11 salt 14 made 12 sensitivity 13 has 13 has 14 made 14 made 16 advances 14 made 17 in 15 important 16 advances 17 in 19 years 18 recent 19 years this review examines in particular the effects of sodium and potassium [on] vascular function . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 examines 0 ###LEFT-WALL### 15 . 1 this 2 review 2 review 3 examines 3 examines 5 particular 3 examines 7 effects 4 in 5 particular 6 the 7 effects 7 effects 8 of 8 of 10 and 9 sodium 10 and 10 and 14 function 11 potassium 14 function 13 vascular 14 function recent findings : sodium chloride ( salt ) [intake] promotes cutaneous lymphangiogenesis mediated through tissue macrophages and directly [alters] endothelial cell function , promoting increased production of transforming growth factor - β ( tgf - β ) and nitric oxide . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 : 1 recent 2 findings 3 : 4 sodium 3 : 13 mediated 3 : 31 - 3 : 41 . 4 sodium 5 chloride 4 sodium 10 promotes 4 sodium 13 mediated 5 chloride 7 salt 5 chloride 10 promotes 6 ( 7 salt 7 salt 8 ) 10 promotes 12 lymphangiogenesis 11 cutaneous 12 lymphangiogenesis 13 mediated 15 tissue 14 through 15 tissue 15 tissue 17 and 15 tissue 30 factor 16 macrophages 17 and 17 and 22 function 17 and 23 , 17 and 24 promoting 17 and 27 of 17 and 30 factor 18 directly 20 endothelial 20 endothelial 21 cell 21 cell 22 function 24 promoting 26 production 25 increased 26 production 27 of 28 transforming 28 transforming 29 growth 31 - 40 oxide 32 β 35 - 32 β 38 and 33 ( 35 - 34 tgf 35 - 35 - 36 β 35 - 37 ) 38 and 39 nitric 38 and 40 oxide in the setting of endothelial dysfunction , [such] as [occurs] with aging , diminished nitric oxide production exacerbates the vascular effects of tgf - β , promoting decreased arterial compliance and hypertension . 0 ###LEFT-WALL### 17 production 0 ###LEFT-WALL### 18 exacerbates 1 in 3 setting 1 in 13 , 1 in 17 production 2 the 3 setting 3 setting 4 of 4 of 6 dysfunction 5 endothelial 6 dysfunction 6 dysfunction 9 as 7 , 9 as 9 as 11 with 9 as 13 , 11 with 12 aging 14 diminished 16 oxide 15 nitric 16 oxide 16 oxide 17 production 17 production 18 exacerbates 18 exacerbates 21 effects 18 exacerbates 27 promoting 19 the 21 effects 20 vascular 21 effects 21 effects 22 of 22 of 23 tgf 23 tgf 25 β 24 - 25 β 25 β 26 , 26 , 27 promoting 27 promoting 31 and 27 promoting 33 . 28 decreased 30 compliance 29 arterial 30 compliance 30 compliance 31 and 31 and 32 hypertension dietary potassium intake may serve as an important countervailing influence on the effects of salt in the vasculature . 0 ###LEFT-WALL### 3 intake 0 ###LEFT-WALL### 5 serve 0 ###LEFT-WALL### 19 . 1 dietary 2 potassium 2 potassium 3 intake 3 intake 4 may 4 may 5 serve 5 serve 6 as 5 serve 11 on 5 serve 16 in 6 as 10 influence 7 an 8 important 7 an 10 influence 8 important 10 influence 9 countervailing 10 influence 11 on 13 effects 12 the 13 effects 13 effects 14 of 14 of 15 salt 16 in 18 vasculature 17 the 18 vasculature summary : there is growing appreciation that , independently of alterations in blood pressure , dietary intake of sodium and potassium promotes functional changes in the vasculature and lymphatic system . 0 ###LEFT-WALL### 1 summary 0 ###LEFT-WALL### 2 : 2 : 3 there 2 : 4 is 2 : 31 . 3 there 4 is 4 is 6 appreciation 5 growing 6 appreciation 6 appreciation 7 that 6 appreciation 22 promotes 7 that 17 intake 7 that 22 promotes 8 , 9 independently 9 independently 10 of 9 independently 15 , 9 independently 17 intake 10 of 11 alterations 11 alterations 12 in 12 in 14 pressure 13 blood 14 pressure 16 dietary 17 intake 17 intake 18 of 17 intake 22 promotes 18 of 20 and 19 sodium 20 and 20 and 21 potassium 22 promotes 24 changes 22 promotes 25 in 23 functional 24 changes 25 in 28 and 26 the 27 vasculature 27 vasculature 28 and 28 and 30 system 29 lymphatic 30 system these changes may protect [against] development of salt - sensitive hypertension . 0 ###LEFT-WALL### 2 changes 0 ###LEFT-WALL### 4 protect 0 ###LEFT-WALL### 9 - 1 these 2 changes 2 changes 3 may 3 may 4 protect 4 protect 6 development 6 development 7 of 7 of 8 salt 9 - 11 hypertension 9 - 12 . 10 sensitive 11 hypertension while salt sensitivity cannot be ascribed exclusively to these factors , [perturbation] of these processes [promotes] [hypertension] during high - salt intake . 0 ###LEFT-WALL### 3 sensitivity 0 ###LEFT-WALL### 6 ascribed 1 while 2 salt 1 while 3 sensitivity 3 sensitivity 4 cannot 4 cannot 5 be 5 be 6 ascribed 6 ascribed 7 exclusively 6 ascribed 8 to 8 to 10 factors 9 these 10 factors 10 factors 13 of 11 , 13 of 13 of 15 processes 13 of 23 . 14 these 15 processes 15 processes 18 during 18 during 22 intake 19 high 20 - 19 high 21 salt 21 salt 22 intake these studies add to the list of genetic and environmental factors that are associated with salt sensitivity , but in particular provide insight into adaptive mechanisms during high salt intake . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 add 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 31 . 1 these 2 studies 2 studies 3 add 3 add 4 to 3 add 15 with 4 to 6 list 5 the 6 list 6 list 7 of 7 of 11 factors 8 genetic 9 and 9 and 10 environmental 9 and 11 factors 11 factors 12 that 11 factors 13 are 12 that 13 are 13 are 14 associated 15 with 17 sensitivity 16 salt 17 sensitivity 18 , 22 provide 19 but 21 particular 19 but 22 provide 20 in 21 particular 22 provide 23 insight 23 insight 24 into 23 insight 27 during 24 into 26 mechanisms 25 adaptive 26 mechanisms 27 during 30 intake 28 high 30 intake 29 salt 30 intake purpose of review : this review synthesizes recently published information regarding nutrition and its impact upon epigenetically mediated mechanisms involved in longevity and aging . 0 ###LEFT-WALL### 3 review 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 25 . 1 purpose 2 of 2 of 3 review 4 : 6 review 4 : 7 synthesizes 5 this 6 review 6 review 7 synthesizes 7 synthesizes 10 information 7 synthesizes 16 upon 8 recently 9 published 9 published 10 information 10 information 11 regarding 11 regarding 13 and 12 nutrition 13 and 13 and 15 impact 14 its 15 impact 16 upon 23 and 17 epigenetically 18 mediated 18 mediated 19 mechanisms 19 mechanisms 20 involved 19 mechanisms 23 and 20 involved 21 in 21 in 22 longevity 23 and 24 aging recent findings : recent studies enriched considerably our understanding of the relationship between aging and gene - nutrient interactions that continuously shape our phenotype . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 : 1 recent 2 findings 3 : 5 studies 3 : 6 enriched 3 : 17 - 4 recent 5 studies 5 studies 6 enriched 6 enriched 7 considerably 6 enriched 9 understanding 8 our 9 understanding 9 understanding 10 of 10 of 15 and 11 the 12 relationship 12 relationship 13 between 12 relationship 15 and 13 between 14 aging 15 and 16 gene 17 - 19 interactions 17 - 22 shape 17 - 25 . 18 nutrient 19 interactions 19 interactions 22 shape 20 that 21 continuously 21 continuously 22 shape 22 shape 24 phenotype 23 our 24 phenotype epigenetic mechanisms play an important role in mediating between the nutrient inputs and the ensuing phenotypic changes throughout our entire life and seem to be responsible , in part [,] for the biological changes that occur during aging . 0 ###LEFT-WALL### 25 be 1 epigenetic 2 mechanisms 2 mechanisms 22 and 3 play 13 and 3 play 18 throughout 3 play 22 and 4 an 5 important 4 an 6 role 5 important 6 role 6 role 7 in 6 role 13 and 7 in 8 mediating 8 mediating 9 between 9 between 12 inputs 10 the 12 inputs 11 nutrient 12 inputs 13 and 17 changes 14 the 17 changes 15 ensuing 17 changes 16 phenotypic 17 changes 18 throughout 21 life 19 our 21 life 20 entire 21 life 22 and 23 seem 22 and 24 to 24 to 25 be 25 be 26 responsible 26 responsible 31 for 27 , 29 part 27 , 31 for 28 in 29 part 31 for 34 changes 31 for 39 . 32 the 34 changes 33 biological 34 changes 34 changes 35 that 34 changes 36 occur 35 that 36 occur 36 occur 37 during 37 during 38 aging less is known about the epigenetic role [that] nutrients have in directly influencing longevity and aging . 0 ###LEFT-WALL### 1 less 0 ###LEFT-WALL### 3 known 0 ###LEFT-WALL### 17 . 1 less 2 is 2 is 3 known 3 known 4 about 4 about 7 role 5 the 7 role 6 epigenetic 7 role 7 role 9 nutrients 7 role 10 have 9 nutrients 10 have 10 have 11 in 11 in 13 influencing 12 directly 13 influencing 13 influencing 15 and 14 longevity 15 and 15 and 16 aging however , recent studies clearly indicated that because nutrition modulates epigenetic events associated with various diseases ( e.g [.] , cancer , obesity , and diabetes ) , there is at least an indirect epigenetic link between nutrition and longevity and , therefore , biologic plausibility to hypothesize the epigenetic role of nutrition in altering longevity . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 6 indicated 0 ###LEFT-WALL### 57 . 1 however 2 , 1 however 4 studies 3 recent 4 studies 4 studies 6 indicated 5 clearly 6 indicated 6 indicated 7 that 6 indicated 48 hypothesize 7 that 8 because 7 that 10 modulates 7 that 30 is 8 because 9 nutrition 9 nutrition 10 modulates 10 modulates 12 events 10 modulates 14 with 11 epigenetic 12 events 12 events 13 associated 14 with 16 diseases 14 with 29 there 15 various 16 diseases 16 diseases 25 and 17 ( 25 and 18 e.g 21 cancer 18 e.g 23 obesity 20 , 21 cancer 21 cancer 22 , 23 obesity 25 and 24 , 25 and 25 and 26 diabetes 25 and 27 ) 25 and 28 , 30 is 32 least 30 is 36 link 30 is 37 between 30 is 47 to 31 at 32 least 33 an 34 indirect 33 an 36 link 34 indirect 36 link 35 epigenetic 36 link 37 between 41 and 38 nutrition 39 and 39 and 40 longevity 39 and 41 and 41 and 46 plausibility 42 , 43 therefore 43 therefore 44 , 43 therefore 45 biologic 45 biologic 46 plausibility 47 to 48 hypothesize 48 hypothesize 51 role 48 hypothesize 54 in 49 the 51 role 50 epigenetic 51 role 51 role 52 of 52 of 53 nutrition 54 in 55 altering 55 altering 56 longevity apart from limited human studies , promising animal studies brought us much closer to understanding how nutrition could have such an impact upon longevity and aging . 0 ###LEFT-WALL### 9 studies 0 ###LEFT-WALL### 19 have 0 ###LEFT-WALL### 27 . 1 apart 2 from 2 from 5 studies 2 from 6 , 2 from 9 studies 3 limited 5 studies 4 human 5 studies 7 promising 8 animal 8 animal 9 studies 9 studies 10 brought 9 studies 13 closer 9 studies 19 have 10 brought 11 us 12 much 13 closer 13 closer 14 to 14 to 15 understanding 15 understanding 16 how 16 how 17 nutrition 16 how 18 could 17 nutrition 18 could 19 have 22 impact 19 have 23 upon 20 such 21 an 21 an 22 impact 23 upon 25 and 24 longevity 25 and 25 and 26 aging summary : complex epigenetic mechanisms are involved in aging and longevity , directly or indirectly via disease mechanisms . 0 ###LEFT-WALL### 1 summary 0 ###LEFT-WALL### 2 : 2 : 5 mechanisms 2 : 7 involved 2 : 19 . 3 complex 5 mechanisms 4 epigenetic 5 mechanisms 5 mechanisms 6 are 6 are 7 involved 7 involved 8 in 7 involved 14 or 7 involved 16 via 8 in 10 and 9 aging 10 and 10 and 11 longevity 10 and 12 , 13 directly 14 or 14 or 15 indirectly 16 via 18 mechanisms 17 disease 18 mechanisms nutrition has a strong impact upon epigenetic processes and , therefore , holds promise in having important roles in regulating longevity and aging . 0 ###LEFT-WALL### 1 nutrition 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 24 . 1 nutrition 9 and 2 has 5 impact 2 has 6 upon 2 has 9 and 3 a 4 strong 3 a 5 impact 4 strong 5 impact 6 upon 8 processes 7 epigenetic 8 processes 9 and 13 holds 9 and 22 and 10 , 11 therefore 11 therefore 12 , 11 therefore 13 holds 14 promise 15 in 14 promise 22 and 15 in 16 having 16 having 18 roles 16 having 19 in 17 important 18 roles 19 in 20 regulating 20 regulating 21 longevity 22 and 23 aging purpose of review : brown adipose tissue ( bat ) was thought to be a tissue with physiological importance early in life ( maintenance of body temperature ) and to disappear after birth . 0 ###LEFT-WALL### 3 review 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 34 . 1 purpose 2 of 2 of 3 review 4 : 5 brown 4 : 12 thought 6 adipose 7 tissue 6 adipose 11 was 6 adipose 12 thought 7 tissue 9 bat 7 tissue 11 was 8 ( 9 bat 9 bat 10 ) 12 thought 13 to 12 thought 32 after 13 to 29 and 14 be 16 tissue 14 be 29 and 15 a 16 tissue 16 tissue 17 with 16 tissue 20 early 17 with 19 importance 18 physiological 19 importance 20 early 21 in 21 in 22 life 22 life 24 maintenance 23 ( 24 maintenance 24 maintenance 25 of 24 maintenance 28 ) 25 of 27 temperature 26 body 27 temperature 29 and 30 to 29 and 31 disappear 30 to 31 disappear 32 after 33 birth recent studies using functional imaging have identified the presence of bat activity throughout life . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 7 identified 0 ###LEFT-WALL### 15 . 1 recent 2 studies 2 studies 3 using 2 studies 6 have 3 using 5 imaging 4 functional 5 imaging 6 have 7 identified 7 identified 9 presence 7 identified 13 throughout 8 the 9 presence 9 presence 10 of 10 of 12 activity 11 bat 12 activity 13 throughout 14 life this review focuses on the effect of age on bat [function] as well as bat as a potential therapeutic target against age - related metabolic diseases . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 focuses 0 ###LEFT-WALL### 24 related 1 this 2 review 2 review 3 focuses 3 focuses 4 on 4 on 6 effect 5 the 6 effect 6 effect 7 of 6 effect 14 as 7 of 8 age 8 age 9 on 9 on 10 bat 12 as 13 well 13 well 14 as 14 as 15 bat 15 bat 16 as 16 as 20 target 17 a 20 target 18 potential 20 target 19 therapeutic 20 target 20 target 21 against 21 against 22 age 23 - 24 related 24 related 26 diseases 24 related 27 . 25 metabolic 26 diseases recent findings : the pet/computed tomography method likely underestimates the prevalence of bat because it measures only active bat . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 : 1 recent 2 findings 3 : 7 method 3 : 9 underestimates 3 : 20 . 4 the 7 method 5 pet/computed 7 method 6 tomography 7 method 7 method 9 underestimates 8 likely 9 underestimates 9 underestimates 11 prevalence 9 underestimates 14 because 10 the 11 prevalence 11 prevalence 12 of 12 of 13 bat 14 because 15 it 14 because 16 measures 15 it 16 measures 16 measures 19 bat 17 only 18 active 18 active 19 bat the factors underlying the decline of bat activity with age are currently unknown , but likely associated with changes in the activity of the sympathetic nervous system and the thyroid axis . 0 ###LEFT-WALL### 2 factors 0 ###LEFT-WALL### 11 are 1 the 2 factors 2 factors 3 underlying 2 factors 11 are 3 underlying 5 decline 3 underlying 9 with 4 the 5 decline 5 decline 6 of 6 of 8 activity 7 bat 8 activity 9 with 10 age 11 are 12 currently 11 are 13 unknown 13 unknown 15 but 14 , 15 but 15 but 28 and 15 but 32 . 16 likely 17 associated 16 likely 28 and 17 associated 18 with 17 associated 20 in 18 with 19 changes 20 in 22 activity 21 the 22 activity 22 activity 23 of 23 of 27 system 24 the 27 system 25 sympathetic 27 system 26 nervous 27 system 28 and 31 axis 29 the 31 axis 30 thyroid 31 axis apart from age , the presence of active bat is decreased in males and overweight . 0 ###LEFT-WALL### 6 presence 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 16 . 1 apart 2 from 2 from 3 age 2 from 4 , 2 from 6 presence 5 the 6 presence 6 presence 7 of 6 presence 10 is 7 of 9 bat 8 active 9 bat 10 is 14 and 11 decreased 12 in 11 decreased 14 and 12 in 13 males 14 and 15 overweight the developmental origins of brown adipose depots as well as transcription factors involved in their differentiation have recently been described . 0 ###LEFT-WALL### 3 origins 0 ###LEFT-WALL### 20 described 0 ###LEFT-WALL### 21 . 1 the 3 origins 2 developmental 3 origins 3 origins 4 of 3 origins 17 have 4 of 7 depots 5 brown 6 adipose 6 adipose 7 depots 7 depots 10 as 7 depots 13 involved 8 as 9 well 9 well 10 as 10 as 12 factors 11 transcription 12 factors 13 involved 14 in 14 in 16 differentiation 15 their 16 differentiation 17 have 19 been 18 recently 19 been 19 been 20 described data suggest that bat may be recruited throughout life . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 2 suggest 0 ###LEFT-WALL### 10 . 1 data 2 suggest 2 suggest 3 that 3 that 4 bat 3 that 7 recruited 4 bat 5 may 5 may 6 be 6 be 7 recruited 7 recruited 8 throughout 8 throughout 9 life summary : new imaging techniques may provide more accurate estimations of bat [mass] in adults . 0 ###LEFT-WALL### 1 summary 0 ###LEFT-WALL### 2 : 2 : 3 new 2 : 7 provide 2 : 16 . 3 new 4 imaging 3 new 6 may 4 imaging 5 techniques 6 may 7 provide 7 provide 10 estimations 8 more 9 accurate 9 accurate 10 estimations 10 estimations 11 of 11 of 12 bat 12 bat 14 in 14 in 15 adults given its high metabolic rate , it is suggested that bat mass and activity could be activated and thus represent a potential target for the management of body weight . 0 ###LEFT-WALL### 7 it 0 ###LEFT-WALL### 9 suggested 0 ###LEFT-WALL### 30 . 1 given 5 rate 1 given 6 , 1 given 7 it 2 its 5 rate 3 high 5 rate 4 metabolic 5 rate 7 it 8 is 8 is 9 suggested 9 suggested 10 that 10 that 11 bat 10 that 13 and 12 mass 13 and 13 and 18 and 14 activity 15 could 15 could 18 and 16 be 17 activated 16 be 18 and 18 and 20 represent 19 thus 20 represent 20 represent 23 target 21 a 22 potential 21 a 23 target 22 potential 23 target 23 target 24 for 24 for 26 management 25 the 26 management 26 management 27 of 27 of 29 weight 28 body 29 weight purpose of review : current knowledge on satellite cells in relation to suggested mechanisms of loss of muscle [mass] and strength , induction of fat infiltration , and countermeasures is highlighted . 0 ###LEFT-WALL### 3 review 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 32 . 1 purpose 2 of 2 of 3 review 4 : 20 and 4 : 22 , 5 current 6 knowledge 6 knowledge 7 on 6 knowledge 20 and 7 on 9 cells 8 satellite 9 cells 9 cells 12 to 9 cells 15 of 10 in 11 relation 11 relation 12 to 12 to 14 mechanisms 13 suggested 14 mechanisms 15 of 16 loss 16 loss 17 of 17 of 18 muscle 20 and 21 strength 22 , 23 induction 22 , 30 is 23 induction 24 of 23 induction 30 is 24 of 28 and 25 fat 26 infiltration 26 infiltration 28 and 27 , 28 and 28 and 29 countermeasures 30 is 31 highlighted recent findings : consensus on the definition of sarcopenia and sarcopenic obesity is proposed . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 : 1 recent 2 findings 3 : 4 consensus 3 : 14 proposed 3 : 15 . 4 consensus 5 on 4 consensus 8 of 4 consensus 13 is 5 on 7 definition 6 the 7 definition 8 of 10 and 9 sarcopenia 10 and 10 and 12 obesity 11 sarcopenic 12 obesity 13 is 14 proposed human satellite cell heterogeneity has now unequivocally been verified in situ as well as an adipogenic potential , though in mice other muscle stem cells are the hot topic to induce adipogenesis upon muscle damage . 0 ###LEFT-WALL### 4 heterogeneity 0 ###LEFT-WALL### 9 verified 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 31 induce 0 ###LEFT-WALL### 36 . 1 human 3 cell 2 satellite 3 cell 3 cell 4 heterogeneity 4 heterogeneity 5 has 5 has 8 been 6 now 8 been 7 unequivocally 8 been 8 been 9 verified 9 verified 11 situ 9 verified 14 as 10 in 11 situ 12 as 13 well 13 well 14 as 14 as 17 potential 15 an 16 adipogenic 15 an 17 potential 16 adipogenic 17 potential 18 , 25 cells 18 , 26 are 19 though 25 cells 20 in 21 mice 20 in 25 cells 22 other 25 cells 23 muscle 24 stem 24 stem 25 cells 25 cells 26 are 26 are 29 topic 26 are 30 to 27 the 29 topic 28 hot 29 topic 30 to 31 induce 31 induce 32 adipogenesis 31 induce 33 upon 33 upon 35 damage 34 muscle 35 damage inflammation , oxidative stress , proteolytic degradation , and nuclear apoptosis are discussed as pathogenetic mechanisms of sarcopenia , although little evidence exists [that] they are important in human muscle . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 12 are 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 31 . 1 inflammation 2 , 2 , 4 stress 2 , 5 , 3 oxidative 4 stress 5 , 7 degradation 5 , 9 and 6 proteolytic 7 degradation 8 , 9 and 9 and 11 apoptosis 9 and 12 are 10 nuclear 11 apoptosis 12 are 16 mechanisms 13 discussed 16 mechanisms 14 as 15 pathogenetic 15 pathogenetic 16 mechanisms 16 mechanisms 17 of 17 of 18 sarcopenia 19 , 25 they 19 , 26 are 20 although 22 evidence 20 although 23 exists 20 although 25 they 21 little 22 evidence 22 evidence 23 exists 25 they 26 are 26 are 27 important 27 important 28 in 28 in 30 muscle 29 human 30 muscle in rodents , exercise - induced muscle injury is a hallmark for sequential events leading to muscle fiber necrosis and sarcopenia . 0 ###LEFT-WALL### 2 rodents 0 ###LEFT-WALL### 6 induced 0 ###LEFT-WALL### 22 . 1 in 2 rodents 2 rodents 4 exercise 2 rodents 6 induced 3 , 4 exercise 4 exercise 5 - 6 induced 7 muscle 6 induced 16 to 6 induced 17 muscle 7 muscle 8 injury 7 muscle 15 leading 8 injury 9 is 9 is 11 hallmark 10 a 11 hallmark 11 hallmark 12 for 12 for 14 events 13 sequential 14 events 14 events 15 leading 16 to 17 muscle 17 muscle 20 and 18 fiber 19 necrosis 19 necrosis 20 and 20 and 21 sarcopenia exercise in humans , on the contrary , is the key event to countermeasure sarcopenia . 0 ###LEFT-WALL### 1 exercise 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 16 . 1 exercise 2 in 1 exercise 5 on 2 in 3 humans 4 , 5 on 5 on 7 contrary 5 on 8 , 6 the 7 contrary 8 , 9 is 9 is 12 event 9 is 13 to 9 is 14 countermeasure 10 the 12 event 11 key 12 event 13 to 14 countermeasure 14 countermeasure 15 sarcopenia cautions to extrapolate observation in rodents to explain human conditions have been presented . 0 ###LEFT-WALL### 1 cautions 0 ###LEFT-WALL### 8 explain 0 ###LEFT-WALL### 14 . 1 cautions 2 to 1 cautions 7 to 1 cautions 8 explain 2 to 3 extrapolate 3 extrapolate 4 observation 3 extrapolate 5 in 3 extrapolate 7 to 5 in 6 rodents 8 explain 10 conditions 8 explain 13 presented 9 human 10 conditions 10 conditions 11 have 11 have 12 been 12 been 13 presented summary : human satellite cells [are] indispensable for maintenance of human muscle mass , but their implications in the pathogenesis of sarcopenia and sarcopenic obesity are still under debate . 0 ###LEFT-WALL### 1 summary 0 ###LEFT-WALL### 2 : 2 : 5 cells 2 : 13 mass 2 : 15 but 2 : 30 . 3 human 4 satellite 4 satellite 5 cells 5 cells 7 indispensable 5 cells 10 of 5 cells 13 mass 7 indispensable 8 for 8 for 9 maintenance 10 of 12 muscle 11 human 12 muscle 14 , 15 but 15 but 23 and 15 but 26 are 16 their 17 implications 17 implications 18 in 17 implications 23 and 18 in 20 pathogenesis 19 the 20 pathogenesis 20 pathogenesis 21 of 21 of 22 sarcopenia 23 and 25 obesity 23 and 26 are 24 sarcopenic 25 obesity 26 are 27 still 26 are 28 under 28 under 29 debate nevertheless , satellite cell activation upon exercise seems unequivocally together with adequate nutrition to be the most effective countermeasure for sarcopenia and sarcopenic obesity . 0 ###LEFT-WALL### 5 activation 0 ###LEFT-WALL### 8 seems 0 ###LEFT-WALL### 25 . 1 nevertheless 2 , 1 nevertheless 5 activation 3 satellite 5 activation 4 cell 5 activation 5 activation 6 upon 5 activation 8 seems 6 upon 7 exercise 8 seems 9 unequivocally 8 seems 10 together 8 seems 11 with 8 seems 14 to 8 seems 15 be 11 with 13 nutrition 12 adequate 13 nutrition 14 to 15 be 15 be 24 obesity 16 the 17 most 17 most 24 obesity 18 effective 24 obesity 19 countermeasure 20 for 19 countermeasure 22 and 20 for 21 sarcopenia 22 and 23 sarcopenic 22 and 24 obesity altered cell division [is] associated with overproliferation and tumorigenesis , however , mitotic aberrations can also trigger antiproliferative responses leading to postmitotic cell cycle exit . 0 ###LEFT-WALL### 25 exit 0 ###LEFT-WALL### 26 . 1 altered 2 cell 2 cell 3 division 3 division 5 associated 3 division 8 and 5 associated 6 with 6 with 7 overproliferation 8 and 9 tumorigenesis 8 and 14 aberrations 8 and 21 to 8 and 24 cycle 10 , 11 however 11 however 12 , 11 however 13 mitotic 13 mitotic 14 aberrations 14 aberrations 15 can 15 can 17 trigger 16 also 17 trigger 17 trigger 19 responses 18 antiproliferative 19 responses 19 responses 20 leading 20 leading 21 to 22 postmitotic 23 cell 23 cell 24 cycle 24 cycle 25 exit here , we focus on the role of the centrosome and in particular of centrosomal tacc [(] transforming acidic coiled coil [ )(proteins in tumorigenesis and cellular senescence . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 focus 0 ###LEFT-WALL### 29 . 1 here 2 , 1 here 3 we 3 we 4 focus 4 focus 11 and 5 on 7 role 5 on 11 and 6 the 7 role 7 role 8 of 8 of 10 centrosome 9 the 10 centrosome 11 and 12 in 12 in 26 and 13 particular 14 of 13 particular 26 and 14 of 16 tacc 15 centrosomal 16 tacc 16 tacc 18 transforming 18 transforming 23 )(proteins 18 transforming 24 in 19 acidic 21 coil 20 coiled 21 coil 21 coil 23 )(proteins 24 in 25 tumorigenesis 26 and 28 senescence 27 cellular 28 senescence we have complied recent evidence that inhibition or depletion of various mitotic proteins which take over key in centrosome and kinetochore integrity and mitotic checkpoint function in sufficient to activate a p53 - p21 ( waf ) driven premature senescence phenotype . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 30 activate 0 ###LEFT-WALL### 42 . 1 we 2 have 2 have 3 complied 3 complied 5 evidence 3 complied 18 in 4 recent 5 evidence 5 evidence 6 that 5 evidence 17 key 6 that 8 or 6 that 17 key 7 inhibition 8 or 8 or 9 depletion 8 or 10 of 8 or 14 which 8 or 16 over 8 or 17 key 10 of 13 proteins 11 various 13 proteins 12 mitotic 13 proteins 14 which 16 over 15 take 16 over 18 in 20 and 19 centrosome 20 and 20 and 21 kinetochore 20 and 23 and 20 and 27 in 20 and 28 sufficient 22 integrity 23 and 23 and 25 checkpoint 23 and 26 function 24 mitotic 25 checkpoint 26 function 27 in 28 sufficient 29 to 28 sufficient 30 activate 29 to 30 activate 30 activate 41 phenotype 31 a 32 p53 31 a 41 phenotype 32 p53 34 p21 32 p53 37 ) 32 p53 40 senescence 33 - 34 p21 34 p21 36 waf 34 p21 37 ) 35 ( 36 waf 36 waf 37 ) 38 driven 40 senescence 39 premature 40 senescence 40 senescence 41 phenotype these findings have direct implications for proliferative tissue homeostasis as well as for cellular and organismal aging . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 have 0 ###LEFT-WALL### 18 . 1 these 2 findings 2 findings 3 have 3 have 5 implications 3 have 11 well 3 have 12 as 4 direct 5 implications 5 implications 6 for 6 for 9 homeostasis 7 proliferative 8 tissue 8 tissue 9 homeostasis 10 as 11 well 12 as 13 for 13 for 17 aging 14 cellular 15 and 15 and 16 organismal 15 and 17 aging background and objectives : studies have demonstrated that some cutaneous biophysical properties vary with age , gender and body sites . 0 ###LEFT-WALL### 3 objectives 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 21 . 1 background 2 and 2 and 3 objectives 4 : 5 studies 4 : 7 demonstrated 5 studies 6 have 6 have 7 demonstrated 7 demonstrated 8 that 8 that 12 properties 8 that 13 vary 9 some 12 properties 10 cutaneous 12 properties 11 biophysical 12 properties 12 properties 13 vary 13 vary 14 with 14 with 18 and 15 age 16 , 16 , 17 gender 16 , 18 and 18 and 20 sites 19 body 20 sites however , the characteristics of the skin friction coefficient in different genders and age groups have not yet been well established . 0 ###LEFT-WALL### 4 characteristics 0 ###LEFT-WALL### 19 been 0 ###LEFT-WALL### 22 . 1 however 2 , 1 however 4 characteristics 3 the 4 characteristics 4 characteristics 5 of 4 characteristics 16 have 5 of 9 coefficient 6 the 9 coefficient 7 skin 9 coefficient 8 friction 9 coefficient 9 coefficient 10 in 10 in 13 and 11 different 12 genders 12 genders 13 and 13 and 15 groups 14 age 15 groups 16 have 17 not 16 have 19 been 18 yet 19 been 19 been 20 well 20 well 21 established in the present study , we assess the skin friction coefficient in a larger chinese population . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 assess 0 ###LEFT-WALL### 17 . 1 in 4 study 1 in 5 , 1 in 6 we 2 the 4 study 3 present 4 study 6 we 7 assess 7 assess 11 coefficient 7 assess 12 in 8 the 11 coefficient 9 skin 11 coefficient 10 friction 11 coefficient 12 in 16 population 13 a 16 population 14 larger 16 population 15 chinese 16 population methods : a total of 633 subjects ( 300 males and 333 females ) aged 0.15 - 79 years were enrolled . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 - 1 methods 2 : 2 : 4 total 3 a 4 total 4 total 5 of 4 total 15 aged 5 of 7 subjects 6 633 7 subjects 7 subjects 11 and 8 ( 11 and 9 300 10 males 10 males 11 and 11 and 13 females 11 and 14 ) 12 333 13 females 15 aged 16 0.15 17 - 19 years 17 - 20 were 17 - 22 . 18 79 19 years 19 years 20 were 20 were 21 enrolled a frictiometer fr 770 and corneometer cm 825 ( c&k mpa 5 ) were used to measure the skin friction coefficient and stratum corneum hydration , respectively , on the dorsal surface of the hand , the forehead and the canthus . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 15 used 0 ###LEFT-WALL### 42 . 1 a 3 fr 2 frictiometer 3 fr 3 fr 4 770 3 fr 5 and 5 and 7 cm 5 and 11 mpa 5 and 14 were 6 corneometer 7 cm 7 cm 8 825 9 ( 11 mpa 10 c&k 11 mpa 11 mpa 12 5 11 mpa 13 ) 14 were 15 used 15 used 16 to 16 to 17 measure 17 measure 39 and 18 the 21 coefficient 19 skin 21 coefficient 20 friction 21 coefficient 21 coefficient 22 and 22 and 24 corneum 22 and 36 , 23 stratum 24 corneum 24 corneum 25 hydration 24 corneum 33 of 25 hydration 27 respectively 25 hydration 29 on 26 , 27 respectively 27 respectively 28 , 29 on 32 surface 30 the 32 surface 31 dorsal 32 surface 33 of 35 hand 34 the 35 hand 36 , 38 forehead 36 , 39 and 37 the 38 forehead 39 and 41 canthus 40 the 41 canthus results : in the females , the maximum skin friction coefficients on both the canthus and the dorsal hand skin were observed around the age of 40 years . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 observed 0 ###LEFT-WALL### 29 . 1 results 2 : 2 : 3 in 3 in 5 females 4 the 5 females 6 , 22 observed 7 the 10 friction 8 maximum 10 friction 9 skin 10 friction 10 friction 16 and 10 friction 21 were 10 friction 22 observed 11 coefficients 12 on 11 coefficients 16 and 12 on 13 both 13 both 14 the 13 both 15 canthus 14 the 15 canthus 16 and 20 skin 16 and 21 were 17 the 20 skin 18 dorsal 19 hand 19 hand 20 skin 22 observed 23 around 23 around 25 age 24 the 25 age 25 age 26 of 26 of 28 years 27 40 28 years in the males , the skin friction coefficient on the dorsal hand skin gradually increased from 0 to 40 years of age , and changed little afterward . 0 ###LEFT-WALL### 8 coefficient 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 28 . 1 in 3 males 1 in 4 , 1 in 8 coefficient 2 the 3 males 5 the 8 coefficient 6 skin 8 coefficient 7 friction 8 coefficient 8 coefficient 9 on 8 coefficient 24 and 9 on 13 skin 10 the 13 skin 11 dorsal 12 hand 12 hand 13 skin 14 gradually 15 increased 15 increased 16 from 15 increased 24 and 16 from 20 years 17 0 18 to 18 to 19 40 18 to 20 years 20 years 21 of 21 of 22 age 23 , 24 and 24 and 25 changed 24 and 26 little 24 and 27 afterward skin friction coefficients on some body sites were higher in females than in age - matched males in some age groups . 0 ###LEFT-WALL### 3 coefficients 0 ###LEFT-WALL### 8 were 0 ###LEFT-WALL### 15 - 0 ###LEFT-WALL### 22 . 1 skin 3 coefficients 2 friction 3 coefficients 3 coefficients 4 on 3 coefficients 8 were 4 on 7 sites 5 some 7 sites 6 body 7 sites 8 were 9 higher 9 higher 10 in 9 higher 12 than 10 in 11 females 12 than 13 in 13 in 14 age 15 - 17 males 16 matched 17 males 17 males 18 in 18 in 21 groups 19 some 21 groups 20 age 21 groups on the canthus and the dorsal hand skin of females , a positive correlation was [found] between skin friction [coefficient] and stratum corneum hydration ( p < 0.001 [and] p < 0.0001 , respectively ) . 0 ###LEFT-WALL### 7 hand 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 36 . 1 on 4 and 1 on 7 hand 2 the 3 canthus 3 canthus 4 and 4 and 6 dorsal 5 the 6 dorsal 7 hand 8 skin 8 skin 9 of 9 of 10 females 11 , 14 correlation 11 , 15 was 12 a 14 correlation 13 positive 14 correlation 14 correlation 15 was 15 was 17 between 15 was 24 hydration 17 between 21 and 18 skin 19 friction 19 friction 21 and 21 and 23 corneum 22 stratum 23 corneum 24 hydration 27 < 24 hydration 31 < 24 hydration 34 respectively 25 ( 27 < 26 p 27 < 27 < 28 0.001 30 p 31 < 31 < 32 0.0001 33 , 34 respectively 34 respectively 35 ) in contrast , in males , the skin friction coefficient was positively correlated with stratum corneum hydration on the forehead and the dorsal hand skin ( p < 0.05 [and] p < 0.0001 , respectively ) . 0 ###LEFT-WALL### 10 coefficient 0 ###LEFT-WALL### 13 correlated 0 ###LEFT-WALL### 37 . 1 in 2 contrast 1 in 6 , 1 in 10 coefficient 2 contrast 4 in 3 , 4 in 4 in 5 males 4 in 6 , 7 the 10 coefficient 8 skin 9 friction 9 friction 10 coefficient 10 coefficient 11 was 11 was 12 positively 11 was 13 correlated 13 correlated 14 with 13 correlated 17 hydration 14 with 16 corneum 15 stratum 16 corneum 17 hydration 18 on 17 hydration 32 < 17 hydration 35 respectively 18 on 21 and 19 the 20 forehead 20 forehead 21 and 21 and 25 skin 21 and 28 < 22 the 25 skin 23 dorsal 24 hand 24 hand 25 skin 26 ( 28 < 27 p 28 < 28 < 29 0.05 31 p 32 < 32 < 33 0.0001 34 , 35 respectively 35 respectively 36 ) conclusion : the skin friction coefficient varies with age , gender and body site , and positively correlates with stratum corneum hydration on some body sites . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 2 : 6 coefficient 2 : 16 and 3 the 6 coefficient 4 skin 6 coefficient 5 friction 6 coefficient 6 coefficient 16 and 7 varies 8 with 7 varies 16 and 8 with 12 and 9 age 10 , 10 , 11 gender 10 , 12 and 12 and 14 site 13 body 14 site 15 , 16 and 16 and 18 correlates 16 and 19 with 17 positively 18 correlates 19 with 21 corneum 20 stratum 21 corneum 21 corneum 22 hydration 22 hydration 23 on 23 on 26 sites 24 some 26 sites 25 body 26 sites helicobacter [pylori] is one of the most common pathogens affecting humankind , infecting approximately 50 % of the world 's population . 0 ###LEFT-WALL### 1 helicobacter 0 ###LEFT-WALL### 3 is 1 helicobacter 3 is 3 is 4 one 4 one 5 of 5 of 9 pathogens 6 the 7 most 7 most 9 pathogens 8 common 9 pathogens 9 pathogens 10 affecting 10 affecting 11 humankind 11 humankind 13 infecting 12 , 13 infecting 13 infecting 16 % 13 infecting 22 . 14 approximately 15 50 15 50 16 % 16 % 17 of 17 of 21 population 18 the 19 world 19 world 20 's 20 's 21 population of those infected , many will develop asymptomatic gastritis , but 10 % develop gastric or duodenal ulcers . 0 ###LEFT-WALL### 5 many 0 ###LEFT-WALL### 7 develop 0 ###LEFT-WALL### 11 but 0 ###LEFT-WALL### 19 . 1 of 2 those 1 of 4 , 1 of 5 many 2 those 3 infected 5 many 6 will 6 will 7 develop 7 develop 9 gastritis 8 asymptomatic 9 gastritis 10 , 11 but 11 but 13 % 11 but 14 develop 12 10 13 % 13 % 14 develop 14 develop 18 ulcers 15 gastric 16 or 16 or 17 duodenal 16 or 18 ulcers the clinical outcome of the infection may involve a combination of bacterial factors , host factors and environmental factors . 0 ###LEFT-WALL### 3 outcome 0 ###LEFT-WALL### 8 involve 0 ###LEFT-WALL### 20 . 1 the 3 outcome 2 clinical 3 outcome 3 outcome 4 of 3 outcome 7 may 4 of 6 infection 5 the 6 infection 7 may 8 involve 8 involve 10 combination 9 a 10 combination 10 combination 11 of 11 of 17 and 12 bacterial 13 factors 13 factors 14 , 14 , 16 factors 14 , 17 and 15 host 16 factors 17 and 19 factors 18 environmental 19 factors in the process of development of gastritis , ulceration and cancer , several cellular and molecular steps follow each other . 0 ###LEFT-WALL### 17 steps 0 ###LEFT-WALL### 18 follow 0 ###LEFT-WALL### 21 . 1 in 3 process 1 in 12 , 1 in 17 steps 2 the 3 process 3 process 4 of 4 of 10 and 5 development 6 of 5 development 8 , 6 of 7 gastritis 8 , 9 ulceration 8 , 10 and 10 and 11 cancer 13 several 17 steps 14 cellular 15 and 15 and 16 molecular 15 and 17 steps 17 steps 18 follow 18 follow 20 other 19 each 20 other infection , acid survival , adhesion , cytotoxicity , epithelial cell turnover changes , inflammation , regeneration or pathological alteration towards erosions , ulceration , and cancer can be observed on the cellular level . 0 ###LEFT-WALL### 26 and 0 ###LEFT-WALL### 30 observed 0 ###LEFT-WALL### 35 . 1 infection 2 , 1 infection 26 and 3 acid 4 survival 4 survival 5 , 5 , 6 adhesion 5 , 7 , 7 , 8 cytotoxicity 7 , 9 , 9 , 13 changes 9 , 14 , 10 epithelial 11 cell 11 cell 13 changes 12 turnover 13 changes 14 , 15 inflammation 14 , 16 , 16 , 17 regeneration 16 , 18 or 18 or 20 alteration 18 or 21 towards 18 or 26 and 19 pathological 20 alteration 21 towards 22 erosions 22 erosions 24 ulceration 23 , 24 ulceration 24 ulceration 25 , 26 and 27 cancer 26 and 28 can 28 can 29 be 29 be 30 observed 30 observed 31 on 31 on 34 level 32 the 34 level 33 cellular 34 level bacterial factors like urease , amie , amif , hydrogenase and arginase are needed for survival in the acidic gastric environment . 0 ###LEFT-WALL### 2 factors 0 ###LEFT-WALL### 14 needed 0 ###LEFT-WALL### 22 . 1 bacterial 2 factors 2 factors 3 like 2 factors 13 are 3 like 11 and 4 urease 5 , 5 , 6 amie 5 , 7 , 7 , 8 amif 7 , 9 , 9 , 10 hydrogenase 9 , 11 and 11 and 12 arginase 13 are 14 needed 14 needed 15 for 14 needed 17 in 15 for 16 survival 17 in 21 environment 18 the 21 environment 19 acidic 21 environment 20 gastric 21 environment the bacterial [flagellae] are essential to move the bacteria towards the epithelial surface . 0 ###LEFT-WALL### 2 bacterial 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 14 . 1 the 2 bacterial 2 bacterial 4 are 4 are 5 essential 5 essential 6 to 6 to 7 move 7 move 9 bacteria 7 move 10 towards 8 the 9 bacteria 10 towards 13 surface 11 the 13 surface 12 epithelial 13 surface adhesive factors like baba , saba and ureasea are necessary for adhesion against mhc [-] ii complexes and le antigens . 0 ###LEFT-WALL### 1 adhesive 0 ###LEFT-WALL### 9 are 0 ###LEFT-WALL### 21 . 1 adhesive 9 are 2 factors 3 like 2 factors 5 , 3 like 4 baba 5 , 6 saba 5 , 7 and 7 and 8 ureasea 7 and 9 are 9 are 10 necessary 10 necessary 11 for 10 necessary 13 against 11 for 12 adhesion 13 against 18 and 14 mhc 16 ii 14 mhc 17 complexes 17 complexes 18 and 18 and 20 antigens 19 le 20 antigens the bacteria vaca and caga are cytotoxic factors . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 9 . 1 the 2 bacteria 2 bacteria 3 vaca 3 vaca 4 and 4 and 5 caga 4 and 6 are 6 are 8 factors 7 cytotoxic 8 factors the cag type iv secretion system delivers these proteins inside the epithelial cells . 0 ###LEFT-WALL### 6 system 0 ###LEFT-WALL### 7 delivers 0 ###LEFT-WALL### 14 . 1 the 6 system 2 cag 6 system 3 type 6 system 4 iv 6 system 5 secretion 6 system 6 system 7 delivers 7 delivers 9 proteins 7 delivers 10 inside 8 these 9 proteins 10 inside 13 cells 11 the 13 cells 12 epithelial 13 cells after disruption of epithelial cell junctions , the bacteria can pass through the gastric wall facing direct immune response from neutrophils , lymphocytes , mast cells and dendritic cells . 0 ###LEFT-WALL### 9 bacteria 0 ###LEFT-WALL### 11 pass 0 ###LEFT-WALL### 30 . 1 after 2 disruption 1 after 7 , 1 after 9 bacteria 2 disruption 3 of 3 of 6 junctions 4 epithelial 5 cell 5 cell 6 junctions 8 the 9 bacteria 9 bacteria 10 can 10 can 11 pass 11 pass 12 through 12 through 19 response 13 the 19 response 14 gastric 15 wall 15 wall 16 facing 16 facing 19 response 17 direct 19 response 18 immune 19 response 19 response 20 from 20 from 27 and 21 neutrophils 22 , 22 , 23 lymphocytes 22 , 24 , 24 , 26 cells 24 , 27 and 25 mast 26 cells 27 and 29 cells 28 dendritic 29 cells this review describes and summarizes our present molecular biological information and knowledge about the helicobacter infective component , cell functions and processes . 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 23 . 1 this 2 review 2 review 4 and 2 review 11 and 3 describes 4 and 4 and 5 summarizes 4 and 10 information 6 our 10 information 7 present 10 information 8 molecular 10 information 9 biological 10 information 11 and 12 knowledge 11 and 13 about 11 and 21 and 13 about 20 functions 14 the 20 functions 15 helicobacter 20 functions 16 infective 19 cell 17 component 18 , 17 component 19 cell 19 cell 20 functions 21 and 22 processes the possible role of host counter responses and interactions with gastric epithelia and immune cells are also detailed . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 16 are 0 ###LEFT-WALL### 19 . 1 the 3 role 2 possible 3 role 3 role 4 of 3 role 8 and 4 of 7 responses 5 host 7 responses 6 counter 7 responses 8 and 9 interactions 8 and 10 with 8 and 16 are 10 with 13 and 11 gastric 12 epithelia 12 epithelia 13 and 13 and 15 cells 14 immune 15 cells 16 are 17 also 16 are 18 detailed background : the factors influencing total plasma homocysteine levels ( thcy ) are of special interest in the attempt to reduce cardiovascular risk . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 factors 2 : 13 are 2 : 24 . 3 the 4 factors 4 factors 5 influencing 4 factors 13 are 5 influencing 9 levels 6 total 7 plasma 7 plasma 8 homocysteine 8 homocysteine 9 levels 9 levels 11 thcy 10 ( 11 thcy 11 thcy 12 ) 13 are 14 of 14 of 16 interest 15 special 16 interest 16 interest 17 in 17 in 19 attempt 18 the 19 attempt 19 attempt 20 to 19 attempt 21 reduce 20 to 21 reduce 21 reduce 23 risk 22 cardiovascular 23 risk aim : this investigation aimed to assess the independent effects of antioxidant vitamins on thcy in elderly people . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 4 investigation 2 : 5 aimed 2 : 19 . 3 this 4 investigation 4 investigation 5 aimed 5 aimed 6 to 5 aimed 7 assess 6 to 7 assess 7 assess 10 effects 7 assess 14 on 7 assess 16 in 8 the 10 effects 9 independent 10 effects 10 effects 11 of 11 of 13 vitamins 12 antioxidant 13 vitamins 14 on 15 thcy 16 in 18 people 17 elderly 18 people methods : our cross - sectional analysis included data of 184 subjects ( ≥60 years ) from the longitudinal study in an aging population in giessen ( gisela ) , germany . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 , 0 ###LEFT-WALL### 32 . 1 methods 2 : 2 : 4 cross 3 our 4 cross 4 cross 9 data 5 - 9 data 6 sectional 7 analysis 7 analysis 8 included 8 included 9 data 9 data 10 of 9 data 17 from 9 data 30 , 10 of 12 subjects 11 184 12 subjects 12 subjects 15 years 13 ( 15 years 14 ≥60 15 years 15 years 16 ) 17 from 20 study 18 the 20 study 19 longitudinal 20 study 20 study 21 in 20 study 28 gisela 21 in 24 population 22 an 24 population 23 aging 24 population 24 population 25 in 25 in 26 giessen 27 ( 28 gisela 28 gisela 29 ) 30 , 31 germany we examined the effects of plasma levels , intake and supplementation of vitamin c , vitamin e , and β - carotene on thcy . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 25 . 1 we 2 examined 2 examined 4 effects 3 the 4 effects 4 effects 5 of 4 effects 12 of 5 of 10 and 6 plasma 7 levels 7 levels 8 , 8 , 9 intake 8 , 10 and 10 and 11 supplementation 12 of 19 and 13 vitamin 14 c 13 vitamin 15 , 15 , 16 vitamin 15 , 19 and 16 vitamin 17 e 18 , 19 and 19 and 22 carotene 19 and 23 on 20 β 21 - 20 β 22 carotene 23 on 24 thcy results : the mean thcy was within the normal range in this population . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 thcy 2 : 6 was 2 : 14 . 3 the 5 thcy 4 mean 5 thcy 5 thcy 6 was 6 was 7 within 6 was 11 in 7 within 10 range 8 the 10 range 9 normal 10 range 11 in 13 population 12 this 13 population serum [folate] , the estimated glomerular filtration rate ( egfr ) , and plasma vitamin c showed a negative association with thcy in simple regression analysis . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 17 showed 0 ###LEFT-WALL### 27 . 1 serum 8 rate 1 serum 13 and 3 , 8 rate 4 the 8 rate 5 estimated 7 filtration 6 glomerular 7 filtration 7 filtration 8 rate 8 rate 10 egfr 8 rate 12 , 9 ( 10 egfr 10 egfr 11 ) 12 , 13 and 13 and 15 vitamin 13 and 17 showed 14 plasma 15 vitamin 15 vitamin 16 c 17 showed 20 association 17 showed 26 analysis 18 a 19 negative 18 a 20 association 19 negative 20 association 20 association 21 with 21 with 22 thcy 22 thcy 23 in 23 in 25 regression 24 simple 25 regression in a subsequent multiple regression analysis , egfr , serum folate , and plasma vitamin c were the relevant independent predictors of thcy . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 17 were 0 ###LEFT-WALL### 24 . 1 in 5 regression 1 in 13 and 2 a 3 subsequent 2 a 5 regression 3 subsequent 5 regression 4 multiple 5 regression 6 analysis 7 , 7 , 11 folate 7 , 13 and 8 egfr 9 , 8 egfr 10 serum 10 serum 11 folate 12 , 13 and 13 and 15 vitamin 13 and 17 were 14 plasma 15 vitamin 15 vitamin 16 c 17 were 21 predictors 18 the 21 predictors 19 relevant 21 predictors 20 independent 21 predictors 21 predictors 22 of 22 of 23 thcy intake and supplementation of vitamin c , as well as plasma levels , intake and supplementation of vitamin e , and β - carotene were not associated with thcy . 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 25 were 0 ###LEFT-WALL### 30 . 1 intake 2 and 2 and 3 supplementation 2 and 4 of 2 and 21 and 4 of 5 vitamin 5 vitamin 6 c 5 vitamin 8 as 5 vitamin 15 and 7 , 8 as 8 as 9 well 8 as 13 , 9 well 10 as 10 as 12 levels 11 plasma 12 levels 13 , 15 and 14 intake 15 and 15 and 16 supplementation 15 and 17 of 15 and 20 , 17 of 18 vitamin 18 vitamin 19 e 20 , 21 and 21 and 24 carotene 21 and 25 were 22 β 23 - 22 β 24 carotene 25 were 26 not 25 were 28 with 26 not 27 associated 28 with 29 thcy conclusion : vitamin c may be an independent predictor of thcy in free - living elderly people and , therefore , should be considered in attempts to reduce thcy . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 considered 0 ###LEFT-WALL### 30 . 2 : 3 vitamin 3 vitamin 4 c 3 vitamin 18 and 5 may 6 be 5 may 18 and 6 be 9 predictor 7 an 8 independent 7 an 9 predictor 8 independent 9 predictor 9 predictor 10 of 9 predictor 12 in 10 of 11 thcy 12 in 17 people 13 free 14 - 13 free 17 people 15 living 17 people 16 elderly 17 people 18 and 22 should 19 , 20 therefore 20 therefore 21 , 20 therefore 22 should 22 should 23 be 23 be 24 considered 24 considered 25 in 24 considered 27 to 24 considered 28 reduce 25 in 26 attempts 27 to 28 reduce 28 reduce 29 thcy we examined whether less convective heat loss during exercise at high altitude than at sea level was partially caused by reduced cutaneous vasodilation due to enhanced plasma water loss into contracting muscles and whether it was caused by hypoxia rather than by hypobaria . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 13 than 0 ###LEFT-WALL### 44 . 1 we 2 examined 2 examined 3 whether 2 examined 7 loss 2 examined 8 during 2 examined 13 than 3 whether 4 less 5 convective 6 heat 6 heat 7 loss 8 during 9 exercise 9 exercise 10 at 10 at 12 altitude 11 high 12 altitude 13 than 16 level 13 than 19 caused 14 at 15 sea 14 at 16 level 16 level 17 was 17 was 19 caused 18 partially 19 caused 19 caused 20 by 20 by 23 vasodilation 21 reduced 23 vasodilation 22 cutaneous 23 vasodilation 23 vasodilation 25 to 23 vasodilation 39 hypoxia 24 due 25 to 25 to 33 and 26 enhanced 29 loss 27 plasma 28 water 28 water 29 loss 29 loss 30 into 29 loss 33 and 30 into 31 contracting 31 contracting 32 muscles 33 and 34 whether 33 and 35 it 33 and 38 by 35 it 36 was 36 was 37 caused 37 caused 38 by 39 hypoxia 41 than 40 rather 41 than 41 than 42 by 42 by 43 hypobaria subjects in cnt and lplo breathed room air , whereas those in nplo breathed a mixed gas of 14 % o₂ balanced n₂ , equivalent to the gas composition in lplo . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 6 breathed 0 ###LEFT-WALL### 9 , 1 subjects 2 in 1 subjects 6 breathed 2 in 5 lplo 3 cnt 4 and 4 and 5 lplo 6 breathed 8 air 7 room 8 air 9 , 21 o₂ 9 , 22 balanced 10 whereas 11 those 10 whereas 14 breathed 10 whereas 21 o₂ 11 those 12 in 11 those 14 breathed 12 in 13 nplo 14 breathed 17 gas 15 a 17 gas 16 mixed 17 gas 17 gas 18 of 18 of 19 14 20 % 21 o₂ 21 o₂ 22 balanced 22 balanced 23 n₂ 23 n₂ 25 equivalent 24 , 25 equivalent 25 equivalent 26 to 25 equivalent 30 in 25 equivalent 32 . 26 to 29 composition 27 the 29 composition 28 gas 29 composition 30 in 31 lplo we measured change in pv ( δpv ) , oxygen consumption rate [(] vo₂ ) , mean arterial blood pressure ( mbp ) , esophageal temperature [(] t ( es ) ) , mean skin temperature [(] t ( sk ) [ )(, forearm skin blood flow ( fbf ) , and sweat rate ( sr ) during exercise . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 measured 0 ###LEFT-WALL### 60 . 1 we 2 measured 2 measured 52 and 2 measured 58 during 3 change 4 in 3 change 52 and 4 in 5 pv 5 pv 7 δpv 5 pv 14 vo₂ 5 pv 20 pressure 6 ( 7 δpv 7 δpv 8 ) 9 , 14 vo₂ 10 oxygen 12 rate 11 consumption 12 rate 12 rate 14 vo₂ 14 vo₂ 15 ) 16 , 20 pressure 17 mean 20 pressure 18 arterial 20 pressure 19 blood 20 pressure 20 pressure 22 mbp 20 pressure 26 temperature 20 pressure 36 temperature 20 pressure 51 , 21 ( 22 mbp 22 mbp 23 ) 24 , 26 temperature 25 esophageal 26 temperature 26 temperature 28 t 26 temperature 30 es 26 temperature 32 ) 29 ( 30 es 30 es 31 ) 33 , 36 temperature 34 mean 36 temperature 35 skin 36 temperature 36 temperature 38 t 36 temperature 40 sk 36 temperature 47 flow 36 temperature 50 ) 39 ( 40 sk 40 sk 41 ) 43 )(, 47 flow 44 forearm 45 skin 45 skin 47 flow 46 blood 47 flow 47 flow 49 fbf 47 flow 50 ) 48 ( 49 fbf 49 fbf 50 ) 52 and 54 rate 52 and 56 sr 53 sweat 54 rate 55 ( 56 sr 56 sr 57 ) 58 during 59 exercise δpv during exercise was twofold greater in lplo and nplo than in cnt . 0 ###LEFT-WALL### 1 δpv 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 14 . 1 δpv 2 during 1 δpv 4 was 2 during 3 exercise 4 was 5 twofold 4 was 6 greater 6 greater 7 in 6 greater 11 than 7 in 9 and 8 lplo 9 and 9 and 10 nplo 11 than 12 in 12 in 13 cnt these variables were not significantly different between lplo and nplo . 0 ###LEFT-WALL### 2 variables 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 11 . 1 these 2 variables 2 variables 3 were 3 were 4 not 3 were 6 different 4 not 5 significantly 5 significantly 6 different 6 different 7 between 7 between 9 and 8 lplo 9 and 9 and 10 nplo thus reduced convective heat loss during exercise at 3,200 m was partially caused by reduced cutaneous vasodilation due to enhanced pv loss . 0 ###LEFT-WALL### 5 loss 0 ###LEFT-WALL### 13 caused 0 ###LEFT-WALL### 23 . 1 thus 2 reduced 2 reduced 4 heat 3 convective 4 heat 4 heat 5 loss 5 loss 6 during 5 loss 11 was 6 during 7 exercise 7 exercise 8 at 8 at 10 m 9 3,200 10 m 11 was 12 partially 11 was 13 caused 13 caused 14 by 13 caused 19 to 14 by 17 vasodilation 15 reduced 17 vasodilation 16 cutaneous 17 vasodilation 18 due 19 to 19 to 22 loss 20 enhanced 22 loss 21 pv 22 loss moreover , this may be caused by hypoxia rather than by hypobaria . 0 ###LEFT-WALL### 3 this 0 ###LEFT-WALL### 6 caused 0 ###LEFT-WALL### 13 . 1 moreover 2 , 1 moreover 3 this 3 this 4 may 4 may 5 be 5 be 6 caused 6 caused 7 by 6 caused 10 than 7 by 8 hypoxia 9 rather 10 than 10 than 11 by 11 by 12 hypobaria the phenomenon of cross [-] limb transfer , in which unilateral strength training can result in bilateral strength gains , has recently been tested for ballistic movements . 0 ###LEFT-WALL### 2 phenomenon 0 ###LEFT-WALL### 24 tested 0 ###LEFT-WALL### 28 . 1 the 2 phenomenon 2 phenomenon 3 of 2 phenomenon 21 has 3 of 7 transfer 4 cross 7 transfer 6 limb 7 transfer 7 transfer 9 in 8 , 9 in 9 in 10 which 9 in 12 strength 9 in 13 training 9 in 15 result 9 in 20 , 10 which 12 strength 11 unilateral 12 strength 13 training 14 can 14 can 15 result 15 result 16 in 16 in 19 gains 17 bilateral 18 strength 18 strength 19 gains 21 has 23 been 22 recently 23 been 23 been 24 tested 24 tested 25 for 25 for 27 movements 26 ballistic 27 movements performance gains associated with repetitive motor practice , and the associated transfer , occur within a few minutes . 0 ###LEFT-WALL### 2 gains 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 19 . 1 performance 2 gains 2 gains 13 , 3 associated 4 with 3 associated 13 , 4 with 9 and 5 repetitive 6 motor 6 motor 7 practice 7 practice 9 and 8 , 9 and 9 and 12 transfer 10 the 12 transfer 11 associated 12 transfer 13 , 14 occur 14 occur 15 within 15 within 18 minutes 16 a 17 few 17 few 18 minutes in this study , young and older adults were trained to perform ballistic abductions of their dominant ( right ) index finger as quickly as possible . 0 ###LEFT-WALL### 8 adults 0 ###LEFT-WALL### 10 trained 0 ###LEFT-WALL### 27 . 1 in 3 study 1 in 4 , 1 in 8 adults 2 this 3 study 5 young 6 and 6 and 7 older 6 and 8 adults 8 adults 9 were 9 were 10 trained 10 trained 11 to 10 trained 12 perform 11 to 12 perform 12 perform 14 abductions 12 perform 24 quickly 12 perform 25 as 13 ballistic 14 abductions 14 abductions 15 of 15 of 22 finger 16 their 22 finger 17 dominant 19 right 17 dominant 21 index 18 ( 19 right 19 right 20 ) 21 index 22 finger 23 as 24 quickly 25 as 26 possible performance was assessed bilaterally before [,] [during] , and after this training . 0 ###LEFT-WALL### 1 performance 0 ###LEFT-WALL### 3 assessed 0 ###LEFT-WALL### 13 . 1 performance 2 was 2 was 3 assessed 3 assessed 4 bilaterally 3 assessed 9 and 5 before 9 and 8 , 9 and 9 and 10 after 10 after 12 training 11 this 12 training both groups exhibited large performance gains in the right hand as a result of training ( p < 0.001 ; young 84 % improvement , older 70 % improvement [ )(, which were not significantly different between groups ( p = 0.40 ) . 0 ###LEFT-WALL### 2 groups 0 ###LEFT-WALL### 3 exhibited 0 ###LEFT-WALL### 20 ; 0 ###LEFT-WALL### 44 . 1 both 2 groups 2 groups 3 exhibited 3 exhibited 6 gains 3 exhibited 7 in 3 exhibited 11 as 4 large 6 gains 5 performance 6 gains 7 in 10 hand 8 the 10 hand 9 right 10 hand 11 as 13 result 12 a 13 result 13 result 14 of 13 result 18 < 14 of 15 training 16 ( 18 < 17 p 18 < 18 < 19 0.001 20 ; 24 improvement 20 ; 25 , 21 young 24 improvement 22 84 23 % 23 % 24 improvement 25 , 29 improvement 25 , 31 )(, 26 older 29 improvement 27 70 28 % 28 % 29 improvement 31 )(, 32 which 31 )(, 33 were 32 which 33 were 33 were 34 not 33 were 35 significantly 33 were 36 different 36 different 37 between 36 different 41 = 37 between 38 groups 39 ( 41 = 40 p 41 = 41 = 42 0.40 41 = 43 ) transcranial magnetic stimulation revealed that the performance improvements were accompanied by increases in excitability , together with decreases in intracortical inhibition , of the projections to both the trained muscle and the homologous muscle in the contralateral limb ( p < 0.05 ) . 0 ###LEFT-WALL### 3 stimulation 0 ###LEFT-WALL### 4 revealed 0 ###LEFT-WALL### 44 . 1 transcranial 3 stimulation 2 magnetic 3 stimulation 3 stimulation 4 revealed 4 revealed 5 that 5 that 8 improvements 5 that 10 accompanied 6 the 8 improvements 7 performance 8 improvements 8 improvements 9 were 9 were 10 accompanied 10 accompanied 11 by 10 accompanied 26 to 10 accompanied 35 in 11 by 12 increases 12 increases 13 in 12 increases 23 of 13 in 14 excitability 14 excitability 17 with 15 , 17 with 16 together 17 with 17 with 18 decreases 17 with 22 , 18 decreases 19 in 19 in 21 inhibition 20 intracortical 21 inhibition 23 of 25 projections 24 the 25 projections 26 to 31 and 27 both 31 and 28 the 30 muscle 29 trained 30 muscle 30 muscle 31 and 31 and 34 muscle 32 the 34 muscle 33 homologous 34 muscle 35 in 38 limb 36 the 38 limb 37 contralateral 38 limb 38 limb 41 < 39 ( 41 < 40 p 41 < 41 < 42 0.05 41 < 43 ) the young group also exhibited performance improvements as a result of cross [-] limb transfer in the left [(] untrained ) hand ( p < 0.005 ) , equivalent to 75 % of the performance increase in the trained hand . 0 ###LEFT-WALL### 3 group 0 ###LEFT-WALL### 5 exhibited 1 the 3 group 2 young 3 group 3 group 5 exhibited 4 also 5 exhibited 5 exhibited 7 improvements 5 exhibited 8 as 6 performance 7 improvements 8 as 10 result 9 a 10 result 10 result 11 of 11 of 15 transfer 12 cross 15 transfer 14 limb 15 transfer 15 transfer 16 in 16 in 22 hand 17 the 22 hand 18 left 22 hand 20 untrained 21 ) 20 untrained 22 hand 22 hand 25 < 22 hand 29 equivalent 23 ( 25 < 24 p 25 < 25 < 26 0.005 25 < 27 ) 28 , 29 equivalent 29 equivalent 30 to 29 equivalent 41 . 30 to 32 % 31 75 32 % 32 % 33 of 32 % 37 in 33 of 36 increase 34 the 36 increase 35 performance 36 increase 37 in 40 hand 38 the 40 hand 39 trained 40 hand in contrast , there were no significant performance gains in the left hand for the older group ( p = 0.23 ) . 0 ###LEFT-WALL### 4 there 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 23 . 1 in 2 contrast 1 in 3 , 1 in 4 there 4 there 5 were 5 were 9 gains 6 no 9 gains 7 significant 8 performance 8 performance 9 gains 9 gains 10 in 10 in 13 hand 11 the 13 hand 12 left 13 hand 13 hand 14 for 13 hand 20 = 14 for 17 group 15 the 17 group 16 older 17 group 18 ( 20 = 19 p 20 = 20 = 21 0.23 20 = 22 ) this was surprising given that the older group exhibited a significantly greater degree of mirror activity than the young group ( p < 0.01 ) in the left first dorsal interosseus muscle ( fdi ) during right hand movements . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 40 . 1 this 2 was 2 was 3 surprising 3 surprising 4 given 3 surprising 5 that 3 surprising 9 exhibited 5 that 8 group 5 that 9 exhibited 6 the 8 group 7 older 8 group 8 group 9 exhibited 9 exhibited 16 activity 9 exhibited 17 than 9 exhibited 36 during 10 a 13 degree 11 significantly 12 greater 12 greater 13 degree 13 degree 14 of 13 degree 16 activity 14 of 16 activity 15 mirror 16 activity 17 than 20 group 17 than 26 in 18 the 20 group 19 young 20 group 20 group 23 < 21 ( 23 < 22 p 23 < 23 < 24 0.01 23 < 25 ) 26 in 32 muscle 27 the 32 muscle 28 left 32 muscle 29 first 31 interosseus 30 dorsal 31 interosseus 31 interosseus 32 muscle 32 muscle 34 fdi 33 ( 34 fdi 34 fdi 35 ) 36 during 39 movements 37 right 39 movements 38 hand 39 movements our findings suggest that older adults exhibit a reduced capacity [for] cross - limb transfer , which may have implications for motor rehabilitation programs [after] stroke . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 26 stroke 0 ###LEFT-WALL### 27 . 1 our 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 6 adults 4 that 7 exhibit 5 older 6 adults 7 exhibit 12 cross 8 a 12 cross 9 reduced 10 capacity 10 capacity 12 cross 12 cross 15 transfer 13 - 15 transfer 14 limb 15 transfer 15 transfer 16 , 16 , 17 which 16 , 19 have 17 which 18 may 18 may 19 have 19 have 20 implications 19 have 21 for 21 for 23 rehabilitation 22 motor 23 rehabilitation 23 rehabilitation 24 programs 23 rehabilitation 26 stroke 24 programs 26 stroke it has been suggested that the potential for training to alter the physiological responses to exercise in children is related to a " maturational threshold " . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 4 suggested 0 ###LEFT-WALL### 27 . 1 it 2 has 2 has 3 been 3 been 4 suggested 4 suggested 5 that 5 that 7 potential 5 that 20 related 6 the 7 potential 7 potential 8 for 7 potential 15 to 7 potential 19 is 8 for 9 training 9 training 10 to 9 training 14 responses 10 to 11 alter 12 the 14 responses 13 physiological 14 responses 15 to 16 exercise 16 exercise 17 in 17 in 18 children 19 is 20 related 20 related 21 to 21 to 25 threshold 22 a 23 " 22 a 25 threshold 24 maturational 25 threshold 25 threshold 26 " to address this , we investigated the interaction of swim [-] training status and maturity on cardiovascular and metabolic responses to lower and upper body exercise . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 address 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 27 . 1 to 2 address 2 address 3 this 4 , 5 we 4 , 6 investigated 4 , 14 and 5 we 6 investigated 6 investigated 8 interaction 7 the 8 interaction 8 interaction 9 of 9 of 13 status 10 swim 12 training 12 training 13 status 14 and 23 and 14 and 26 exercise 15 maturity 16 on 15 maturity 23 and 16 on 20 responses 17 cardiovascular 18 and 18 and 19 metabolic 18 and 20 responses 20 responses 21 to 20 responses 22 lower 21 to 22 lower 23 and 25 body 23 and 26 exercise 24 upper 25 body in addition to pulmonary gas exchange measurements , stroke volume and cardiac output were estimated by thoracic bioelectrical impedance , and muscle oxygenation status was assessed using near - infrared spectroscopy . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 15 estimated 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 32 . 1 in 2 addition 1 in 8 , 1 in 11 and 2 addition 3 to 3 to 7 measurements 4 pulmonary 6 exchange 5 gas 6 exchange 6 exchange 7 measurements 9 stroke 10 volume 10 volume 11 and 11 and 13 output 11 and 14 were 12 cardiac 13 output 14 were 15 estimated 15 estimated 16 by 16 by 19 impedance 17 thoracic 19 impedance 18 bioelectrical 19 impedance 20 , 21 and 21 and 24 status 21 and 26 assessed 22 muscle 23 oxygenation 23 oxygenation 24 status 24 status 25 was 25 was 26 assessed 26 assessed 27 using 27 using 31 spectroscopy 28 near 29 - 28 near 31 spectroscopy 30 infrared 31 spectroscopy none of the measured pulmonary , cardiovascular , or metabolic parameters interacted with maturity , and the magnitude of the difference between t and ut girls was similar , irrespective of maturity [stage] . 0 ###LEFT-WALL### 11 parameters 0 ###LEFT-WALL### 12 interacted 0 ###LEFT-WALL### 16 and 1 none 2 of 1 none 11 parameters 2 of 11 parameters 3 the 11 parameters 4 measured 11 parameters 5 pulmonary 6 , 5 pulmonary 11 parameters 7 cardiovascular 9 or 8 , 9 or 9 or 10 metabolic 9 or 11 parameters 11 parameters 12 interacted 12 interacted 13 with 13 with 14 maturity 15 , 16 and 16 and 18 magnitude 16 and 27 was 17 the 18 magnitude 18 magnitude 19 of 18 magnitude 27 was 19 of 24 and 20 the 21 difference 21 difference 22 between 21 difference 24 and 22 between 23 t 24 and 26 girls 25 ut 26 girls 27 was 28 similar 28 similar 31 of 29 , 31 of 30 irrespective 31 of 31 of 32 maturity 31 of 34 . these results challenge the notion that differences in training status in young people are only evident once a maturational threshold has been exceeded . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 challenge 0 ###LEFT-WALL### 24 . 1 these 2 results 2 results 3 challenge 3 challenge 5 notion 3 challenge 17 once 4 the 5 notion 5 notion 6 that 6 that 7 differences 6 that 14 are 7 differences 8 in 7 differences 14 are 8 in 9 training 9 training 10 status 9 training 11 in 11 in 13 people 12 young 13 people 14 are 15 only 14 are 16 evident 17 once 20 threshold 17 once 23 exceeded 18 a 19 maturational 18 a 20 threshold 19 maturational 20 threshold 20 threshold 21 has 21 has 22 been 22 been 23 exceeded the ubiquitin - editing enzyme a20/tnfaip3 is essential for controlling signals inducing the activation of nuclear factor [-] κb transcription factors . 0 ###LEFT-WALL### 2 ubiquitin 0 ###LEFT-WALL### 3 - 1 the 2 ubiquitin 3 - 4 editing 3 - 7 is 3 - 22 . 4 editing 5 enzyme 4 editing 7 is 6 a20/tnfaip3 7 is 7 is 8 essential 8 essential 9 for 9 for 10 controlling 10 controlling 11 signals 11 signals 12 inducing 12 inducing 14 activation 13 the 14 activation 14 activation 15 of 15 of 21 factors 16 nuclear 17 factor 17 factor 19 κb 19 κb 21 factors 20 transcription 21 factors polymorphisms and mutations in the tnfaip3 gene are linked to various human autoimmune conditions , and inactivation of a20 is a frequent event in human b - cell lymphomas characterized by constitutive nuclear factor [-] κb activity . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 9 linked 0 ###LEFT-WALL### 16 and 1 polymorphisms 2 and 2 and 3 mutations 2 and 8 are 3 mutations 4 in 4 in 7 gene 5 the 7 gene 6 tnfaip3 7 gene 8 are 9 linked 9 linked 10 to 10 to 14 conditions 11 various 14 conditions 12 human 14 conditions 13 autoimmune 14 conditions 15 , 16 and 16 and 17 inactivation 16 and 20 is 17 inactivation 18 of 17 inactivation 20 is 18 of 19 a20 20 is 23 event 21 a 22 frequent 21 a 23 event 22 frequent 23 event 23 event 24 in 23 event 29 lymphomas 24 in 25 human 25 human 26 b 27 - 29 lymphomas 28 cell 29 lymphomas 29 lymphomas 30 characterized 29 lymphomas 38 . 30 characterized 31 by 31 by 37 activity 32 constitutive 34 factor 33 nuclear 34 factor 34 factor 37 activity 36 κb 37 activity through b cell - specific ablation in the mouse , we show here that a20 is required for the normal differentiation of the marginal zone b and b1 cell subsets . 0 ###LEFT-WALL### 3 cell 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 31 . 1 through 2 b 1 through 3 cell 4 - 6 ablation 4 - 10 , 5 specific 6 ablation 6 ablation 7 in 7 in 9 mouse 8 the 9 mouse 10 , 11 we 10 , 12 show 11 we 12 show 12 show 13 here 12 show 14 that 14 that 15 a20 14 that 17 required 15 a20 16 is 16 is 17 required 17 required 18 for 18 for 21 differentiation 19 the 21 differentiation 20 normal 21 differentiation 21 differentiation 22 of 22 of 30 subsets 23 the 30 subsets 24 marginal 25 zone 25 zone 26 b 25 zone 27 and 27 and 28 b1 27 and 29 cell 29 cell 30 subsets however , loss of a20 in b [cells] lowers their activation threshold and enhances proliferation [and] survival in a gene - dose - dependent fashion . 0 ###LEFT-WALL### 3 loss 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 21 - 0 ###LEFT-WALL### 26 . 1 however 2 , 1 however 3 loss 3 loss 4 of 3 loss 13 and 4 of 5 a20 5 a20 6 in 6 in 7 b 9 lowers 12 threshold 9 lowers 13 and 10 their 12 threshold 11 activation 12 threshold 13 and 14 enhances 14 enhances 17 survival 14 enhances 18 in 15 proliferation 17 survival 18 in 20 gene 19 a 20 gene 21 - 22 dose 21 - 23 - 23 - 25 fashion 24 dependent 25 fashion through the expression of proinflammatory cytokines , most [notably] interleukin - 6 , a20 - deficient [b] cells trigger a progressive inflammatory reaction in naive mice characterized by the expansion of myeloid cells , effector - type t cells , and regulatory [t] cells . 0 ###LEFT-WALL### 18 cells 0 ###LEFT-WALL### 19 trigger 0 ###LEFT-WALL### 34 , 0 ###LEFT-WALL### 45 . 1 through 3 expression 1 through 18 cells 2 the 3 expression 3 expression 4 of 4 of 6 cytokines 5 proinflammatory 6 cytokines 6 cytokines 10 interleukin 7 , 10 interleukin 8 most 10 interleukin 10 interleukin 12 6 10 interleukin 15 - 11 - 12 6 12 6 14 a20 12 6 15 - 13 , 14 a20 14 a20 15 - 16 deficient 18 cells 18 cells 19 trigger 19 trigger 23 reaction 19 trigger 24 in 20 a 21 progressive 20 a 23 reaction 21 progressive 23 reaction 22 inflammatory 23 reaction 24 in 26 mice 25 naive 26 mice 26 mice 27 characterized 26 mice 31 of 27 characterized 28 by 28 by 30 expansion 29 the 30 expansion 31 of 33 cells 32 myeloid 33 cells 34 , 35 effector 34 , 36 - 36 - 37 type 37 type 38 t 37 type 41 and 39 cells 41 and 40 , 41 and 41 and 44 cells 42 regulatory 44 cells this culminates in old mice in an autoimmune syndrome characterized [by] splenomegaly , plasma cell hyperplasia , and the presence of class - switched , tissue - specific autoantibodies . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 culminates 0 ###LEFT-WALL### 27 - 0 ###LEFT-WALL### 30 . 1 this 2 culminates 2 culminates 3 in 2 culminates 6 in 3 in 5 mice 4 old 5 mice 6 in 18 and 7 an 9 syndrome 8 autoimmune 9 syndrome 9 syndrome 10 characterized 9 syndrome 13 , 10 characterized 12 splenomegaly 13 , 16 hyperplasia 13 , 18 and 14 plasma 15 cell 15 cell 16 hyperplasia 17 , 18 and 18 and 20 presence 18 and 21 of 19 the 20 presence 21 of 22 class 22 class 24 switched 22 class 26 tissue 23 - 24 switched 24 switched 25 , 25 , 26 tissue 26 tissue 27 - 27 - 29 autoantibodies 28 specific 29 autoantibodies purpose : nuclear oxidative dna damage increases with age in human corneal endothelial cells ( hcecs ) and contributes to their decreased proliferative capacity . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 1 purpose 2 : 2 : 6 damage 3 nuclear 6 damage 4 oxidative 6 damage 5 dna 6 damage 6 damage 18 and 7 increases 8 with 7 increases 18 and 8 with 9 age 9 age 10 in 10 in 14 cells 11 human 14 cells 12 corneal 14 cells 13 endothelial 14 cells 14 cells 16 hcecs 15 ( 16 hcecs 16 hcecs 17 ) 18 and 19 contributes 18 and 20 to 20 to 24 capacity 21 their 24 capacity 22 decreased 24 capacity 23 proliferative 24 capacity these studies investigated whether hcecs respond to this damage by upregulating their expression of oxidative stress and dna damage - signaling genes in an age - dependent manner . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 19 damage 0 ###LEFT-WALL### 29 . 1 these 2 studies 2 studies 3 investigated 2 studies 10 by 2 studies 14 of 2 studies 19 damage 3 investigated 4 whether 3 investigated 7 to 4 whether 5 hcecs 4 whether 6 respond 5 hcecs 6 respond 7 to 9 damage 8 this 9 damage 10 by 11 upregulating 11 upregulating 13 expression 12 their 13 expression 14 of 17 and 15 oxidative 16 stress 16 stress 17 and 17 and 18 dna 19 damage 21 signaling 19 damage 28 manner 20 - 21 signaling 21 signaling 22 genes 21 signaling 26 - 22 genes 23 in 23 in 25 age 24 an 25 age 27 dependent 28 manner methods : hcecs were dissected from the corneas of young [(] 30 years and younger ) [and] older [(] 50 years and older ) donors . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 3 hcecs 2 : 5 dissected 3 hcecs 4 were 4 were 5 dissected 5 dissected 6 from 6 from 22 and 7 the 8 corneas 8 corneas 9 of 8 corneas 14 and 9 of 13 years 10 young 13 years 12 30 13 years 14 and 21 years 14 and 22 and 15 younger 16 ) 15 younger 21 years 18 older 21 years 20 50 21 years 22 and 25 donors 23 older 24 ) 23 older 25 donors total rna was isolated and reverse - transcribed . 0 ###LEFT-WALL### 2 rna 0 ###LEFT-WALL### 5 and 1 total 2 rna 2 rna 3 was 3 was 5 and 4 isolated 5 and 5 and 6 reverse 6 reverse 8 transcribed 7 - 8 transcribed 8 transcribed 9 . oxidative stress and dna damage - signaling gene expression were analyzed using commercial pcr - based microarrays . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 11 analyzed 0 ###LEFT-WALL### 15 - 0 ###LEFT-WALL### 18 . 1 oxidative 2 stress 2 stress 3 and 3 and 5 damage 3 and 6 - 3 and 7 signaling 3 and 10 were 4 dna 5 damage 7 signaling 9 expression 8 gene 9 expression 10 were 11 analyzed 11 analyzed 12 using 12 using 14 pcr 13 commercial 14 pcr 15 - 17 microarrays 16 based 17 microarrays western blot analyses were conducted on selected proteins to verify the microarray results . 0 ###LEFT-WALL### 3 analyses 0 ###LEFT-WALL### 5 conducted 0 ###LEFT-WALL### 14 . 1 western 2 blot 2 blot 3 analyses 3 analyses 4 were 4 were 5 conducted 5 conducted 6 on 5 conducted 9 to 6 on 8 proteins 7 selected 8 proteins 9 to 10 verify 10 verify 12 microarray 10 verify 13 results 11 the 12 microarray 12 microarray 13 results nuclear dna damage foci were detected in the endothelium [of] ex vivo corneas by immunostaining for h2ax - ser139 . 0 ###LEFT-WALL### 3 damage 0 ###LEFT-WALL### 6 detected 0 ###LEFT-WALL### 18 - 1 nuclear 2 dna 2 dna 3 damage 3 damage 4 foci 3 damage 5 were 3 damage 6 detected 4 foci 5 were 6 detected 7 in 6 detected 12 vivo 6 detected 13 corneas 6 detected 14 by 7 in 9 endothelium 8 the 9 endothelium 11 ex 12 vivo 14 by 15 immunostaining 15 immunostaining 16 for 16 for 17 h2ax 18 - 19 ser139 18 - 20 . results : four of 84 genes showed a statistically significant age - related difference in the expression of oxidative stress [-] related genes ; however , western blot analysis demonstrated an age - related increase in only 2 ( cytoglobin and gpx - 1 ) of 11 proteins tested . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 - 1 results 2 : 2 : 3 four 3 four 4 of 4 of 5 84 5 84 6 genes 5 84 7 showed 6 genes 7 showed 7 showed 11 age 8 a 9 statistically 8 a 11 age 9 statistically 10 significant 10 significant 11 age 12 - 14 difference 12 - 22 related 12 - 24 ; 13 related 14 difference 14 difference 15 in 14 difference 18 of 14 difference 22 related 15 in 17 expression 16 the 17 expression 18 of 20 stress 19 oxidative 20 stress 22 related 23 genes 24 ; 29 analysis 24 ; 30 demonstrated 24 ; 33 - 25 however 26 , 25 however 29 analysis 27 western 29 analysis 28 blot 29 analysis 29 analysis 30 demonstrated 30 demonstrated 32 age 31 an 32 age 33 - 35 increase 34 related 35 increase 35 increase 36 in 36 in 38 2 37 only 38 2 38 2 41 and 39 ( 41 and 40 cytoglobin 41 and 41 and 42 gpx 41 and 45 ) 41 and 46 of 41 and 48 proteins 41 and 49 tested 41 and 50 . 42 gpx 44 1 43 - 44 1 44 1 45 ) 46 of 47 11 48 proteins 49 tested no age - related differences were detected in the expression of dna damage - signaling genes . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 7 detected 1 no 2 age 2 age 6 were 3 - 4 related 4 related 5 differences 4 related 6 were 6 were 7 detected 7 detected 8 in 8 in 10 expression 9 the 10 expression 10 expression 11 of 11 of 13 damage 12 dna 13 damage 13 damage 15 signaling 14 - 15 signaling 15 signaling 16 genes 15 signaling 17 . western blot analysis of seven dna damage - related proteins verified this finding . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 11 verified 0 ###LEFT-WALL### 14 . 1 western 2 blot 2 blot 3 analysis 3 analysis 4 of 3 analysis 11 verified 4 of 7 damage 5 seven 7 damage 6 dna 7 damage 8 - 9 related 9 related 10 proteins 9 related 11 verified 11 verified 13 finding 12 this 13 finding intense nuclear staining of dna damage foci was observed in nuclei within the central endothelium of older donors . 0 ###LEFT-WALL### 3 staining 0 ###LEFT-WALL### 9 observed 0 ###LEFT-WALL### 19 . 1 intense 3 staining 2 nuclear 3 staining 3 staining 4 of 3 staining 8 was 4 of 7 foci 5 dna 7 foci 6 damage 7 foci 8 was 9 observed 9 observed 10 in 9 observed 12 within 10 in 11 nuclei 12 within 15 endothelium 13 the 15 endothelium 14 central 15 endothelium 15 endothelium 16 of 16 of 18 donors 17 older 18 donors central endothelium from young donors consistently showed a low level of positive staining . 0 ###LEFT-WALL### 2 endothelium 0 ###LEFT-WALL### 7 showed 0 ###LEFT-WALL### 14 . 1 central 2 endothelium 2 endothelium 3 from 2 endothelium 7 showed 3 from 5 donors 4 young 5 donors 6 consistently 7 showed 7 showed 10 level 8 a 9 low 8 a 10 level 9 low 10 level 10 level 11 of 11 of 13 staining 12 positive 13 staining conclusions : hcecs respond to age - related increases in oxidative nuclear dna damage by forming dna damage repair foci ; however , they do not vigorously defend against [or] repair this damage by upregulating the expression of multiple oxidative stress or dna damage - signaling genes . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 48 . 2 : 3 hcecs 2 : 4 respond 2 : 8 related 2 : 21 ; 3 hcecs 4 respond 4 respond 5 to 5 to 6 age 7 - 8 related 8 related 9 increases 8 related 21 ; 9 increases 10 in 10 in 14 damage 11 oxidative 14 damage 12 nuclear 14 damage 13 dna 14 damage 14 damage 15 by 15 by 20 foci 16 forming 20 foci 17 dna 18 damage 18 damage 19 repair 19 repair 20 foci 21 ; 24 they 21 ; 28 defend 22 however 23 , 22 however 24 they 24 they 25 do 25 do 26 not 25 do 28 defend 27 vigorously 28 defend 28 defend 29 against 28 defend 33 damage 28 defend 34 by 29 against 31 repair 32 this 33 damage 34 by 35 upregulating 35 upregulating 37 expression 36 the 37 expression 37 expression 38 of 37 expression 46 signaling 38 of 42 or 39 multiple 41 stress 40 oxidative 41 stress 41 stress 42 or 42 or 44 damage 42 or 45 - 43 dna 44 damage 46 signaling 47 genes the aim of this study was to evaluate the age - related changes in postural control during a simple quiet standing task and a dual - task paradigm ( applying a memory - spatial task [and] quiet standing ) . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 12 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 evaluate 7 to 8 evaluate 8 evaluate 10 age 9 the 10 age 11 - 12 related 12 related 13 changes 12 related 14 in 12 related 17 during 12 related 40 . 14 in 16 control 15 postural 16 control 17 during 23 and 18 a 22 task 19 simple 20 quiet 20 quiet 21 standing 21 standing 22 task 22 task 23 and 23 and 28 paradigm 23 and 30 applying 23 and 37 quiet 24 a 25 dual 24 a 28 paradigm 25 dual 26 - 25 dual 27 task 27 task 28 paradigm 29 ( 30 applying 30 applying 32 memory 30 applying 33 - 31 a 32 memory 33 - 37 quiet 34 spatial 37 quiet 35 task 37 quiet 37 quiet 38 standing 37 quiet 39 ) thirty - five subjects were divided in two age - related groups : both younger [(] y : 20 - 26 years [ )(and older ( o [:] [60] - 77 years ) groups performed a simple postural task ( quiet standing [ )(and [a] dual - task ( a visual memory task combined with quiet standing ) . 0 ###LEFT-WALL### 4 subjects 0 ###LEFT-WALL### 10 - 1 thirty 2 - 2 - 3 five 2 - 4 subjects 4 subjects 5 were 5 were 6 divided 6 divided 7 in 7 in 9 age 8 two 9 age 10 - 12 groups 10 - 13 : 11 related 12 groups 13 : 22 years 13 : 24 )(and 14 both 22 years 15 younger 22 years 17 y 18 : 18 : 20 - 19 20 20 - 20 - 21 26 21 26 22 years 24 )(and 34 groups 25 older 34 groups 26 ( 30 - 27 o 30 - 30 - 32 years 30 - 33 ) 30 - 34 groups 31 77 32 years 34 groups 35 performed 35 performed 39 task 36 a 39 task 37 simple 39 task 38 postural 39 task 39 task 48 task 40 ( 48 task 41 quiet 48 task 42 standing 44 )(and 44 )(and 46 dual 44 )(and 47 - 44 )(and 48 task 48 task 53 task 48 task 59 . 49 ( 53 task 50 a 53 task 51 visual 52 memory 52 memory 53 task 53 task 54 combined 53 task 57 standing 53 task 58 ) 54 combined 55 with 55 with 56 quiet measures of the center of pressure ( cop ) were recorded and its two components , the center of gravity ( cg ) and the differential cop - cg , were evaluated . 0 ###LEFT-WALL### 1 measures 0 ###LEFT-WALL### 11 recorded 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 33 . 1 measures 2 of 1 measures 5 of 1 measures 8 cop 1 measures 10 were 2 of 4 center 3 the 4 center 5 of 6 pressure 7 ( 8 cop 8 cop 9 ) 10 were 11 recorded 12 and 15 components 12 and 32 evaluated 13 its 14 two 14 two 15 components 15 components 24 and 15 components 31 were 16 , 24 and 17 the 18 center 18 center 19 of 18 center 24 and 19 of 20 gravity 20 gravity 22 cg 21 ( 22 cg 22 cg 23 ) 24 and 27 cop 24 and 29 cg 24 and 30 , 25 the 26 differential 26 differential 27 cop 28 - 29 cg 29 cg 30 , 31 were 32 evaluated an age - related effect was observed in static postural performance during dual - tasking . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 7 observed 0 ###LEFT-WALL### 16 . 1 an 2 age 2 age 6 was 3 - 4 related 4 related 5 effect 4 related 6 was 6 was 7 observed 7 observed 8 in 7 observed 12 during 8 in 11 performance 9 static 11 performance 10 postural 11 performance 12 during 15 tasking 13 dual 14 - 13 dual 15 tasking postural stability led to improved performance in younger subjects during the dual - task and but not in the elderly . 0 ###LEFT-WALL### 2 stability 0 ###LEFT-WALL### 3 led 0 ###LEFT-WALL### 21 . 1 postural 2 stability 2 stability 3 led 3 led 4 to 3 led 7 in 3 led 18 in 4 to 6 performance 5 improved 6 performance 7 in 9 subjects 8 younger 9 subjects 9 subjects 15 and 10 during 14 task 10 during 15 and 11 the 14 task 12 dual 13 - 12 dual 14 task 15 and 16 but 16 but 17 not 18 in 20 elderly 19 the 20 elderly of the results suggest there is a " cognition first " principle for the younger adults , that is , the mirror image of the " posture first " principle observed in older adults under dual - tasking situations . 0 ###LEFT-WALL### 4 suggest 0 ###LEFT-WALL### 31 observed 0 ###LEFT-WALL### 40 . 1 of 3 results 1 of 4 suggest 2 the 3 results 4 suggest 5 there 4 suggest 31 observed 5 there 6 is 6 is 12 principle 6 is 19 is 7 a 8 " 7 a 12 principle 9 cognition 12 principle 10 first 11 " 10 first 12 principle 12 principle 13 for 13 for 16 adults 14 the 16 adults 15 younger 16 adults 17 , 19 is 18 that 19 is 19 is 20 , 21 the 23 image 22 mirror 23 image 23 image 24 of 23 image 31 observed 24 of 30 principle 25 the 26 " 25 the 30 principle 27 posture 30 principle 28 first 29 " 28 first 30 principle 31 observed 32 in 31 observed 35 under 32 in 34 adults 33 older 34 adults 35 under 39 situations 36 dual 37 - 36 dual 39 situations 38 tasking 39 situations to prevent cancer , mammals have evolved potent tumor suppression mechanisms , including senescence and apoptosis . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 prevent 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 17 . 1 to 2 prevent 2 prevent 3 cancer 4 , 5 mammals 4 , 7 evolved 5 mammals 6 have 6 have 7 evolved 7 evolved 15 and 8 potent 9 tumor 9 tumor 11 mechanisms 10 suppression 11 mechanisms 11 mechanisms 12 , 12 , 14 senescence 12 , 15 and 13 including 14 senescence 15 and 16 apoptosis these processes depend on regulation of chromatin . 0 ###LEFT-WALL### 2 processes 0 ###LEFT-WALL### 3 depend 0 ###LEFT-WALL### 8 . 1 these 2 processes 2 processes 3 depend 3 depend 4 on 4 on 5 regulation 5 regulation 6 of 6 of 7 chromatin chromatin - dependent tumor suppressor pathways are activated in premalignant cells and tissues harboring cancer - causing genetic alterations , and also in normal aged tissue , the latter likely due to accumulation of genetic and cellular damage . 0 ###LEFT-WALL### 6 pathways 0 ###LEFT-WALL### 8 activated 1 chromatin 2 - 1 chromatin 6 pathways 3 dependent 4 tumor 4 tumor 6 pathways 5 suppressor 6 pathways 6 pathways 7 are 7 are 8 activated 8 activated 21 and 9 in 12 and 9 in 21 and 10 premalignant 11 cells 11 cells 12 and 12 and 13 tissues 12 and 14 harboring 14 harboring 15 cancer 15 cancer 17 causing 16 - 17 causing 17 causing 19 alterations 17 causing 20 , 18 genetic 19 alterations 20 , 21 and 21 and 22 also 21 and 23 in 23 in 26 tissue 24 normal 26 tissue 25 aged 26 tissue 26 tissue 29 latter 27 , 29 latter 28 the 29 latter 29 latter 30 likely 29 latter 39 . 30 likely 32 to 31 due 32 to 32 to 33 accumulation 33 accumulation 34 of 34 of 38 damage 35 genetic 36 and 36 and 37 cellular 36 and 38 damage paradoxically , however , disruption of chromatin structure may also promote cancer . 0 ###LEFT-WALL### 5 disruption 0 ###LEFT-WALL### 11 promote 0 ###LEFT-WALL### 13 . 1 paradoxically 2 , 1 paradoxically 5 disruption 2 , 3 however 3 however 4 , 3 however 5 disruption 5 disruption 6 of 5 disruption 9 may 6 of 8 structure 7 chromatin 8 structure 9 may 11 promote 10 also 11 promote 11 promote 12 cancer apparent defects in chromatin structure accumulate with age , the biggest single risk factor for cancer . 0 ###LEFT-WALL### 2 defects 0 ###LEFT-WALL### 6 accumulate 1 apparent 2 defects 2 defects 3 in 2 defects 6 accumulate 3 in 5 structure 4 chromatin 5 structure 6 accumulate 7 with 7 with 8 age 8 age 14 factor 9 , 14 factor 10 the 11 biggest 10 the 14 factor 12 single 14 factor 13 risk 14 factor 14 factor 15 for 14 factor 17 . 15 for 16 cancer evidence suggests that these age - associated perturbations in chromatin structure contribute to the age [-] associated increase [in] incidence of cancer . 0 ###LEFT-WALL### 1 evidence 0 ###LEFT-WALL### 2 suggests 0 ###LEFT-WALL### 6 - 1 evidence 2 suggests 2 suggests 3 that 3 that 4 these 3 that 5 age 4 these 5 age 6 - 8 perturbations 6 - 12 contribute 6 - 23 . 7 associated 8 perturbations 8 perturbations 9 in 8 perturbations 12 contribute 9 in 11 structure 10 chromatin 11 structure 12 contribute 13 to 13 to 20 incidence 14 the 20 incidence 15 age 20 incidence 17 associated 18 increase 18 increase 20 incidence 20 incidence 21 of 21 of 22 cancer thus , alterations in chromatin structure can both suppress and [promote] the onset of cancer , and both activities are inextricably linked to aging . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 22 linked 0 ###LEFT-WALL### 25 . 1 thus 2 , 1 thus 10 and 3 alterations 4 in 3 alterations 10 and 4 in 5 chromatin 5 chromatin 6 structure 5 chromatin 9 suppress 6 structure 7 can 7 can 9 suppress 8 both 9 suppress 10 and 13 onset 10 and 14 of 10 and 20 are 12 the 13 onset 14 of 17 and 15 cancer 17 and 16 , 17 and 17 and 19 activities 18 both 19 activities 20 are 21 inextricably 20 are 22 linked 22 linked 23 to 23 to 24 aging [none] the geometry as well as bone mineral density ( bmd ) of the proximal femur contributes to fracture risk . 0 ###LEFT-WALL### 3 geometry 0 ###LEFT-WALL### 17 contributes 0 ###LEFT-WALL### 21 . 2 the 3 geometry 3 geometry 6 as 3 geometry 13 of 3 geometry 17 contributes 4 as 5 well 5 well 6 as 6 as 9 density 7 bone 9 density 8 mineral 9 density 9 density 11 bmd 10 ( 11 bmd 11 bmd 12 ) 13 of 16 femur 14 the 16 femur 15 proximal 16 femur 17 contributes 18 to 18 to 19 fracture 19 fracture 20 risk how and the extent to which they change due to natural aging is not fully understood . 0 ###LEFT-WALL### 1 how 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 17 . 2 and 4 extent 2 and 16 understood 3 the 4 extent 4 extent 5 to 4 extent 13 is 5 to 6 which 5 to 7 they 5 to 8 change 7 they 8 change 8 change 10 to 9 due 10 to 10 to 12 aging 11 natural 12 aging 13 is 14 not 13 is 15 fully 13 is 16 understood we assessed bmd and geometry in the femoral neck and shaft separately , in 59 normal japanese postmenopausal women aged 54 - 84 years , using clinical computed tomography ( ct ) and commercially available software , at baseline and 2 [-] year follow - up . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 40 and 1 we 10 and 2 assessed 4 and 2 assessed 6 in 2 assessed 10 and 3 bmd 4 and 4 and 5 geometry 6 in 9 neck 7 the 9 neck 8 femoral 9 neck 10 and 11 shaft 10 and 12 separately 10 and 14 in 10 and 38 at 13 , 14 in 14 in 19 women 14 in 37 , 15 59 19 women 16 normal 19 women 17 japanese 19 women 18 postmenopausal 19 women 19 women 20 aged 19 women 33 and 20 aged 21 54 22 - 33 and 23 84 24 years 24 years 26 using 24 years 33 and 25 , 26 using 26 using 29 tomography 26 using 32 ) 27 clinical 29 tomography 28 computed 29 tomography 29 tomography 31 ct 30 ( 31 ct 31 ct 32 ) 33 and 36 software 33 and 37 , 34 commercially 35 available 35 available 36 software 38 at 39 baseline 40 and 43 year 40 and 44 follow 41 2 43 year 43 year 44 follow 44 follow 46 up 45 - 46 up 46 up 47 . in the femoral shaft , cortical bmd decreased significantly [(] - 0.642 ± [0.188%/year] , p < 0.005 ) . 0 ###LEFT-WALL### 12 0.642 0 ###LEFT-WALL### 13 ± 0 ###LEFT-WALL### 20 . 1 in 4 shaft 1 in 12 0.642 2 the 4 shaft 3 femoral 4 shaft 4 shaft 7 bmd 5 , 7 bmd 6 cortical 7 bmd 7 bmd 8 decreased 7 bmd 11 - 8 decreased 9 significantly 12 0.642 13 ± 13 ± 17 < 15 , 17 < 16 p 17 < 17 < 18 0.005 17 < 19 ) the distinct patterns of age - related changes in the geometry and biomechanical properties in the femoral neck and shaft suggest that improved geometric measures are possible with the current [non] - invasive method using clinical ct . 0 ###LEFT-WALL### 3 patterns 0 ###LEFT-WALL### 21 suggest 0 ###LEFT-WALL### 38 . 1 the 3 patterns 2 distinct 3 patterns 3 patterns 4 of 3 patterns 21 suggest 4 of 5 age 6 - 7 related 7 related 8 changes 7 related 9 in 7 related 15 in 7 related 21 suggest 9 in 12 and 10 the 11 geometry 11 geometry 12 and 12 and 14 properties 13 biomechanical 14 properties 15 in 19 and 16 the 18 neck 17 femoral 18 neck 18 neck 19 and 19 and 20 shaft 21 suggest 25 measures 21 suggest 26 are 22 that 23 improved 23 improved 25 measures 24 geometric 25 measures 25 measures 26 are 26 are 27 possible 27 possible 28 with 28 with 34 method 29 the 34 method 30 current 32 - 30 current 34 method 33 invasive 34 method 34 method 35 using 35 using 37 ct 36 clinical 37 ct none [purpose] : given evidence of limitations in neuropsychological performance in epilepsy , we probed the integrity of components of cognition -- including speed of processing , response inhibition , and spatial working memory -- supporting executive function in pediatric epilepsy patients and matched controls . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 3 : 3 : 14 we 3 : 15 probed 3 : 27 , 3 : 46 . 4 given 5 evidence 4 given 11 in 4 given 13 , 4 given 14 we 5 evidence 6 of 6 of 7 limitations 7 limitations 8 in 8 in 10 performance 9 neuropsychological 10 performance 11 in 12 epilepsy 14 we 15 probed 15 probed 17 integrity 15 probed 23 including 16 the 17 integrity 17 integrity 18 of 18 of 19 components 19 components 20 of 20 of 21 cognition 22 -- 23 including 23 including 24 speed 23 including 27 , 24 speed 25 of 25 of 26 processing 27 , 31 and 27 , 43 and 28 response 29 inhibition 29 inhibition 31 and 30 , 31 and 31 and 34 memory 31 and 35 -- 31 and 36 supporting 31 and 43 and 32 spatial 34 memory 33 working 34 memory 36 supporting 37 executive 38 function 39 in 38 function 43 and 39 in 42 patients 40 pediatric 41 epilepsy 41 epilepsy 42 patients 43 and 44 matched 44 matched 45 controls methods : a total of 44 pairs of controls and medically treated pediatric epilepsy patients with no known brain pathology completed cognitive oculomotor tasks , computerized neuropsychological testing , and psychiatric assessment . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 4 total 2 : 25 , 3 a 4 total 4 total 5 of 4 total 8 of 4 total 25 , 5 of 7 pairs 6 44 7 pairs 8 of 10 and 9 controls 10 and 10 and 12 treated 11 medically 12 treated 12 treated 15 patients 13 pediatric 14 epilepsy 14 epilepsy 15 patients 15 patients 16 with 16 with 23 oculomotor 17 no 23 oculomotor 18 known 19 brain 19 brain 21 completed 20 pathology 21 completed 21 completed 23 oculomotor 22 cognitive 23 oculomotor 24 tasks 25 , 25 , 26 computerized 25 , 30 and 27 neuropsychological 28 testing 28 testing 30 and 29 , 30 and 30 and 32 assessment 31 psychiatric 32 assessment key findings : patients showed slower reaction time to initiate a saccadic response compared to controls but had intact saccade accuracy . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 22 . 1 key 2 findings 3 : 4 patients 3 : 5 showed 4 patients 5 showed 5 showed 6 slower 5 showed 8 time 5 showed 14 compared 7 reaction 8 time 8 time 9 to 8 time 10 initiate 8 time 14 compared 9 to 10 initiate 10 initiate 13 response 11 a 12 saccadic 11 a 13 response 12 saccadic 13 response 14 compared 15 to 15 to 17 but 16 controls 17 but 17 but 18 had 18 had 21 accuracy 19 intact 20 saccade 20 saccade 21 accuracy cognitively driven responses including response inhibition were impaired in the patient group . 0 ###LEFT-WALL### 3 responses 0 ###LEFT-WALL### 8 impaired 0 ###LEFT-WALL### 13 . 1 cognitively 2 driven 2 driven 3 responses 3 responses 4 including 3 responses 7 were 4 including 6 inhibition 5 response 6 inhibition 7 were 8 impaired 8 impaired 9 in 9 in 12 group 10 the 12 group 11 patient 12 group patients had increased incidence [of] comorbid psychopathology , but comorbidity did not predict worse functioning compared to patients with no attention deficit hyperactivity disorder ( adhd ) . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 9 but 0 ###LEFT-WALL### 28 . 1 patients 9 but 2 had 3 increased 2 had 9 but 3 increased 7 psychopathology 4 incidence 6 comorbid 6 comorbid 7 psychopathology 8 , 9 but 9 but 13 predict 10 comorbidity 11 did 11 did 12 not 11 did 13 predict 13 predict 15 functioning 13 predict 17 to 13 predict 19 with 14 worse 15 functioning 15 functioning 16 compared 17 to 18 patients 19 with 24 disorder 20 no 24 disorder 21 attention 22 deficit 22 deficit 23 hyperactivity 23 hyperactivity 24 disorder 24 disorder 26 adhd 25 ( 26 adhd 26 adhd 27 ) epilepsy [type] and medication status were not predictive of outcome . 0 ###LEFT-WALL### 10 outcome 0 ###LEFT-WALL### 11 . 1 epilepsy 3 and 3 and 4 medication 3 and 5 status 3 and 9 of 3 and 10 outcome 5 status 6 were 6 were 7 not 6 were 9 of 7 not 8 predictive more complex neuropsychological performance was impaired in tasks requiring visual memory and sequential processing , which was correlated with inhibitory control and antisaccade accuracy . 0 ###LEFT-WALL### 4 performance 0 ###LEFT-WALL### 6 impaired 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 25 . 1 more 4 performance 2 complex 4 performance 3 neuropsychological 4 performance 4 performance 5 was 5 was 6 impaired 6 impaired 7 in 7 in 8 tasks 8 tasks 9 requiring 9 requiring 12 and 10 visual 11 memory 11 memory 12 and 12 and 14 processing 13 sequential 14 processing 15 , 16 which 15 , 18 correlated 16 which 17 was 17 was 18 correlated 18 correlated 19 with 19 with 22 and 20 inhibitory 21 control 21 control 22 and 22 and 24 accuracy 23 antisaccade 24 accuracy significance : pediatric epilepsy may be associated with vulnerabilities that specifically undermine speed of processing and response inhibition but not working memory , and may underlie known neuropsychological performance limitations . 0 ###LEFT-WALL### 1 significance 0 ###LEFT-WALL### 2 : 2 : 6 be 2 : 31 . 3 pediatric 4 epilepsy 4 epilepsy 5 may 5 may 6 be 6 be 7 associated 7 associated 8 with 8 with 9 vulnerabilities 9 vulnerabilities 10 that 9 vulnerabilities 24 and 10 that 24 and 11 specifically 12 undermine 12 undermine 13 speed 12 undermine 19 but 12 undermine 24 and 13 speed 14 of 14 of 16 and 15 processing 16 and 16 and 18 inhibition 17 response 18 inhibition 19 but 20 not 19 but 22 memory 20 not 21 working 23 , 24 and 24 and 25 may 25 may 26 underlie 26 underlie 30 limitations 27 known 29 performance 28 neuropsychological 29 performance 29 performance 30 limitations this particular profile of abnormalities may be associated with seizure - mediated compromises in brain maturation early in development . 0 ###LEFT-WALL### 3 profile 0 ###LEFT-WALL### 8 associated 0 ###LEFT-WALL### 11 - 0 ###LEFT-WALL### 20 . 1 this 2 particular 2 particular 3 profile 3 profile 4 of 3 profile 6 may 4 of 5 abnormalities 6 may 7 be 7 be 8 associated 8 associated 9 with 9 with 10 seizure 11 - 13 compromises 12 mediated 13 compromises 13 compromises 14 in 14 in 16 maturation 15 brain 16 maturation 16 maturation 17 early 17 early 18 in 18 in 19 development objectives : to examine drinking trajectories followed by two cohorts of older women over 8 to 10 years [of] follow - up . 0 ###LEFT-WALL### 18 years 0 ###LEFT-WALL### 20 follow 1 objectives 2 : 2 : 3 to 2 : 4 examine 3 to 4 examine 4 examine 6 trajectories 5 drinking 6 trajectories 6 trajectories 7 followed 6 trajectories 8 by 6 trajectories 11 of 8 by 10 cohorts 9 two 10 cohorts 11 of 13 women 12 older 13 women 13 women 16 to 14 over 15 8 15 8 16 to 16 to 17 10 17 10 18 years 18 years 20 follow 20 follow 22 up 21 - 22 up 22 up 23 . design : longitudinal analyses of two nationally representative cohorts using semiparametric [group] - based models weighted and adjusted for baseline age . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 1 design 2 : 2 : 4 analyses 2 : 10 using 3 longitudinal 4 analyses 4 analyses 5 of 5 of 9 cohorts 6 two 9 cohorts 7 nationally 8 representative 8 representative 9 cohorts 10 using 15 models 11 semiparametric 13 - 11 semiparametric 15 models 14 based 15 models 15 models 17 and 16 weighted 17 and 17 and 18 adjusted 17 and 19 for 19 for 21 age 20 baseline 21 age setting : study data were obtained from detailed interviews conducted in the home or [by] telephone . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 2 : 4 data 2 : 6 obtained 3 study 4 data 4 data 5 were 5 were 6 obtained 6 obtained 7 from 7 from 9 interviews 8 detailed 9 interviews 9 interviews 10 conducted 9 interviews 11 in 11 in 14 or 12 the 13 home 13 home 14 or 14 or 16 telephone participants : one cohort included 5,231 women in the health and retirement study ( hrs ) aged 50 to 65 in 1996 ; the other included 1,658 women in the national longitudinal survey ( nls ) aged 50 to 65 in 1995 . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 included 0 ###LEFT-WALL### 43 . 2 : 4 cohort 2 : 23 ; 3 one 4 cohort 4 cohort 5 included 4 cohort 7 women 4 cohort 17 aged 6 5,231 7 women 7 women 8 in 7 women 15 hrs 7 women 17 aged 8 in 13 study 9 the 13 study 10 health 11 and 11 and 12 retirement 12 retirement 13 study 14 ( 15 hrs 15 hrs 16 ) 17 aged 19 to 17 aged 21 in 18 50 19 to 19 to 20 65 21 in 22 1996 23 ; 25 other 24 the 25 other 25 other 26 included 26 included 28 women 27 1,658 28 women 28 women 29 in 28 women 37 aged 28 women 41 in 29 in 35 nls 30 the 35 nls 31 national 32 longitudinal 32 longitudinal 33 survey 33 survey 35 nls 34 ( 35 nls 35 nls 36 ) 37 aged 39 to 38 50 39 to 39 to 40 65 41 in 42 1995 measurements : both cohorts reported any recent drinking and average number of drinks per drinking day using similar but not identical questions . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 2 : 4 cohorts 2 : 5 reported 2 : 23 . 3 both 4 cohorts 4 cohorts 5 reported 5 reported 9 and 5 reported 17 using 6 any 8 drinking 7 recent 8 drinking 8 drinking 9 and 9 and 11 number 9 and 12 of 10 average 11 number 12 of 13 drinks 13 drinks 14 per 14 per 16 day 15 drinking 16 day 17 using 19 but 17 using 22 questions 18 similar 19 but 19 but 20 not 19 but 21 identical 20 not 21 identical hrs women completed six interviews ( [one] every other year ) from 1996 to 2006 . 0 ###LEFT-WALL### 2 women 0 ###LEFT-WALL### 3 completed 0 ###LEFT-WALL### 16 . 1 hrs 2 women 2 women 3 completed 3 completed 5 interviews 3 completed 14 to 4 six 5 interviews 5 interviews 10 year 6 ( 10 year 8 every 9 other 9 other 10 year 10 year 11 ) 12 from 14 to 13 1996 14 to 14 to 15 2006 nls women completed five interviews from 1995 to 2003 . 0 ###LEFT-WALL### 2 women 0 ###LEFT-WALL### 3 completed 0 ###LEFT-WALL### 10 . 1 nls 2 women 2 women 3 completed 3 completed 5 interviews 3 completed 8 to 4 five 5 interviews 6 from 8 to 7 1995 8 to 8 to 9 2003 results : all trajectory models yielded similar results . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 models 2 : 6 yielded 2 : 9 . 3 all 5 models 4 trajectory 5 models 5 models 6 yielded 6 yielded 8 results 7 similar 8 results for hrs women , four trajectory groups were observed in the model based on drinks per day : increasing drinkers ( 4.9 % [of] [cohort] ) , infrequent and nondrinkers ( 61.8 % ) , consistent drinkers ( 25.9 % ) , and decreasing drinkers ( 7.4 % ) . 0 ###LEFT-WALL### 7 groups 0 ###LEFT-WALL### 9 observed 0 ###LEFT-WALL### 18 : 0 ###LEFT-WALL### 50 . 1 for 3 women 1 for 4 , 1 for 7 groups 2 hrs 3 women 5 four 7 groups 6 trajectory 7 groups 7 groups 8 were 8 were 9 observed 9 observed 10 in 10 in 12 model 11 the 12 model 12 model 13 based 13 based 14 on 14 on 15 drinks 15 drinks 16 per 16 per 17 day 18 : 20 drinkers 18 : 27 , 19 increasing 20 drinkers 20 drinkers 23 % 21 ( 23 % 22 4.9 23 % 23 % 26 ) 27 , 43 and 28 infrequent 29 and 29 and 30 nondrinkers 29 and 33 % 29 and 37 drinkers 29 and 43 and 31 ( 33 % 32 61.8 33 % 33 % 34 ) 35 , 37 drinkers 36 consistent 37 drinkers 37 drinkers 40 % 37 drinkers 42 , 38 ( 40 % 39 25.9 40 % 40 % 41 ) 43 and 45 drinkers 43 and 48 % 44 decreasing 45 drinkers 46 ( 48 % 47 7.4 48 % 48 % 49 ) corresponding nls values from the drinks per day model were 8.8 % , 61.4 % , 21.2 % , [and] 8.6 % , respectively . 0 ###LEFT-WALL### 3 values 0 ###LEFT-WALL### 10 were 0 ###LEFT-WALL### 25 . 1 corresponding 2 nls 2 nls 3 values 3 values 4 from 3 values 10 were 4 from 6 drinks 5 the 6 drinks 6 drinks 7 per 7 per 9 model 8 day 9 model 10 were 12 % 10 were 24 respectively 11 8.8 12 % 12 % 15 % 12 % 22 % 13 , 15 % 14 61.4 15 % 15 % 18 % 15 % 19 , 16 , 18 % 17 21.2 18 % 18 % 19 , 19 , 22 % 21 8.6 22 % 22 % 23 , in 2006 , the average number of drinks per day for hrs women in the increasing drinker and consistent drinker trajectories was 1.31 and 1.59 , respectively . 0 ###LEFT-WALL### 6 number 0 ###LEFT-WALL### 22 was 1 in 2 2006 1 in 3 , 1 in 6 number 4 the 6 number 5 average 6 number 6 number 7 of 6 number 9 per 6 number 11 for 6 number 22 was 7 of 8 drinks 9 per 10 day 11 for 18 and 12 hrs 13 women 13 women 14 in 13 women 18 and 14 in 17 drinker 15 the 17 drinker 16 increasing 17 drinker 18 and 21 trajectories 19 consistent 20 drinker 20 drinker 21 trajectories 22 was 24 and 22 was 27 respectively 23 1.31 24 and 24 and 25 1.59 26 , 27 respectively 27 respectively 28 . in 2003 , these values for nls women were 0.99 and 1.38 , respectively . 0 ###LEFT-WALL### 5 values 0 ###LEFT-WALL### 9 were 1 in 2 2003 1 in 3 , 1 in 5 values 4 these 5 values 5 values 6 for 5 values 9 were 6 for 8 women 7 nls 8 women 9 were 11 and 9 were 14 respectively 10 0.99 11 and 11 and 12 1.38 13 , 14 respectively 14 respectively 15 . conclusion : most women do not markedly change their drinking behavior after age 50 , but some increase their alcohol use substantially , whereas others continue to exceed current recommendations . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 continue 0 ###LEFT-WALL### 31 . 2 : 4 women 2 : 8 change 2 : 16 but 3 most 4 women 4 women 5 do 5 do 6 not 5 do 8 change 7 markedly 8 change 8 change 11 behavior 8 change 12 after 9 their 11 behavior 10 drinking 11 behavior 12 after 13 age 13 age 14 50 15 , 16 but 16 but 17 some 16 but 18 increase 17 some 18 increase 18 increase 21 use 18 increase 22 substantially 18 increase 24 whereas 19 their 21 use 20 alcohol 21 use 23 , 24 whereas 24 whereas 25 others 25 others 26 continue 26 continue 27 to 26 continue 28 exceed 27 to 28 exceed 28 exceed 30 recommendations 29 current 30 recommendations these findings underscore the importance of periodically asking older women about their drinking to assess , advise , and assist those who may be at risk for developing alcohol - related problems . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 31 related 0 ###LEFT-WALL### 33 . 1 these 2 findings 2 findings 16 , 3 underscore 5 importance 3 underscore 11 about 3 underscore 16 , 4 the 5 importance 5 importance 6 of 6 of 8 asking 7 periodically 8 asking 8 asking 10 women 9 older 10 women 11 about 13 drinking 12 their 13 drinking 13 drinking 14 to 13 drinking 15 assess 14 to 15 assess 16 , 19 and 16 , 25 at 17 advise 19 and 18 , 19 and 19 and 20 assist 20 assist 21 those 21 those 22 who 21 those 23 may 22 who 23 may 23 may 24 be 25 at 26 risk 26 risk 27 for 27 for 28 developing 28 developing 29 alcohol 30 - 31 related 31 related 32 problems objectives : to examine the effect of homebound status of older persons in israel on mortality , mental health and function , future homebound status , and institutionalization . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 3 to 2 : 4 examine 3 to 4 examine 4 examine 6 effect 4 examine 15 on 5 the 6 effect 6 effect 7 of 7 of 9 status 8 homebound 9 status 9 status 10 of 10 of 12 persons 11 older 12 persons 12 persons 13 in 13 in 14 israel 15 on 27 and 16 mortality 17 , 17 , 19 health 17 , 20 and 18 mental 19 health 20 and 21 function 20 and 22 , 22 , 25 status 22 , 27 and 23 future 25 status 24 homebound 25 status 26 , 27 and 27 and 28 institutionalization design : cross - sectional and longitudinal analysis using existing data sets of a national survey . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 17 . 1 design 2 : 2 : 3 cross 4 - 8 analysis 5 sectional 6 and 6 and 7 longitudinal 6 and 8 analysis 8 analysis 9 using 8 analysis 13 of 9 using 12 sets 10 existing 12 sets 11 data 12 sets 13 of 16 survey 14 a 16 survey 15 national 16 survey setting : a national survey . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 . 1 setting 2 : 2 : 5 survey 3 a 4 national 3 a 5 survey 4 national 5 survey participants : the analyzed sample was drawn from a representative cohort of 1,191 older persons in israel ( mean age 83.1±5.3 ) in the first wave of the cross - sectional and longitudinal aging study and 621 participants in the second wave of the study . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 46 . 2 : 5 sample 2 : 7 drawn 2 : 30 - 3 the 5 sample 4 analyzed 5 sample 5 sample 6 was 6 was 7 drawn 7 drawn 8 from 7 drawn 16 in 7 drawn 23 in 8 from 11 cohort 9 a 11 cohort 10 representative 11 cohort 11 cohort 12 of 12 of 15 persons 13 1,191 15 persons 14 older 15 persons 16 in 17 israel 17 israel 21 83.1±5.3 18 ( 21 83.1±5.3 19 mean 21 83.1±5.3 20 age 21 83.1±5.3 21 83.1±5.3 22 ) 23 in 26 wave 24 the 25 first 24 the 26 wave 26 wave 27 of 27 of 29 cross 28 the 29 cross 30 - 36 and 31 sectional 32 and 32 and 35 study 32 and 36 and 33 longitudinal 34 aging 34 aging 35 study 36 and 38 participants 36 and 43 of 37 621 38 participants 38 participants 39 in 39 in 42 wave 40 the 42 wave 41 second 42 wave 43 of 45 study 44 the 45 study measurements : homebound status , health , function , environment , mental health , distal [events] , mortality , activities daily living ( adls ) , instrumental activities of daily living ( iadls ) , orientation - memory - concentration test , and center for epidemiologic studies depression scale . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 50 . 1 measurements 2 : 2 : 4 status 3 homebound 4 status 5 , 43 and 6 health 7 , 7 , 8 function 7 , 9 , 9 , 10 environment 9 , 11 , 11 , 13 health 11 , 14 , 12 mental 13 health 14 , 28 activities 14 , 43 and 15 distal 18 mortality 15 distal 26 , 15 distal 28 activities 17 , 18 mortality 18 mortality 20 activities 18 mortality 25 ) 19 , 20 activities 20 activities 22 living 20 activities 24 adls 20 activities 25 ) 21 daily 22 living 23 ( 24 adls 24 adls 25 ) 27 instrumental 28 activities 28 activities 29 of 29 of 31 living 30 daily 31 living 31 living 33 iadls 31 living 36 orientation 32 ( 33 iadls 33 iadls 34 ) 35 , 36 orientation 36 orientation 38 memory 36 orientation 42 , 37 - 38 memory 38 memory 41 test 38 memory 42 , 39 - 41 test 40 concentration 41 test 41 test 42 , 43 and 44 center 43 and 45 for 45 for 49 scale 46 epidemiologic 47 studies 47 studies 48 depression 48 depression 49 scale mortality data were recorded from the israeli national population registry . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 4 recorded 0 ###LEFT-WALL### 11 . 1 mortality 2 data 2 data 3 were 3 were 4 recorded 4 recorded 5 from 5 from 10 registry 6 the 7 israeli 7 israeli 10 registry 8 national 9 population 9 population 10 registry results : homebound participants had a significantly higher risk of mortality than their [non] [-] homebound counterparts , even after controlling for background variables , health , and function ( risk ratio=1.33 , 95 % confidence interval=1.08 - 1.63 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 41 . 1 results 2 : 2 : 3 homebound 2 : 20 after 3 homebound 4 participants 3 homebound 19 even 4 participants 18 , 5 had 9 risk 5 had 12 than 5 had 18 , 6 a 9 risk 7 significantly 8 higher 8 higher 9 risk 9 risk 10 of 10 of 11 mortality 12 than 17 counterparts 13 their 17 counterparts 16 homebound 17 counterparts 18 , 19 even 20 after 21 controlling 21 controlling 22 for 21 controlling 37 interval=1.08 22 for 28 and 23 background 24 variables 24 variables 25 , 25 , 26 health 25 , 28 and 27 , 28 and 28 and 29 function 28 and 32 ratio=1.33 30 ( 32 ratio=1.33 31 risk 32 ratio=1.33 32 ratio=1.33 33 , 34 95 35 % 35 % 36 confidence 36 confidence 37 interval=1.08 37 interval=1.08 39 1.63 38 - 39 1.63 39 1.63 40 ) in cross - sectional analysis , homebound status was related to [depressed] affect even after controlling for demographics , health , and function . 0 ###LEFT-WALL### 2 cross 0 ###LEFT-WALL### 3 - 1 in 2 cross 3 - 5 analysis 4 sectional 5 analysis 5 analysis 7 homebound 6 , 7 homebound 7 homebound 8 status 7 homebound 13 affect 7 homebound 22 and 7 homebound 24 . 8 status 9 was 9 was 10 related 10 related 11 to 11 to 13 affect 13 affect 14 even 13 affect 17 for 14 even 15 after 15 after 16 controlling 17 for 18 demographics 19 , 22 and 20 health 22 and 21 , 22 and 22 and 23 function 22 and 24 . in longitudinal analysis , homebound status predicted future depressed [affect] and adl and iadl difficulties when controlling for demographics and health , but only iadl prediction was statistically significant when baseline levels of the outcome variable were entered into the regression . 0 ###LEFT-WALL### 6 status 0 ###LEFT-WALL### 39 into 0 ###LEFT-WALL### 42 . 1 in 3 analysis 1 in 4 , 1 in 6 status 2 longitudinal 3 analysis 5 homebound 6 status 6 status 7 predicted 7 predicted 15 difficulties 7 predicted 39 into 8 future 9 depressed 8 future 11 and 11 and 14 iadl 11 and 15 difficulties 12 adl 13 and 13 and 14 iadl 15 difficulties 16 when 15 difficulties 39 into 16 when 17 controlling 16 when 27 was 17 controlling 18 for 17 controlling 23 but 17 controlling 26 prediction 17 controlling 27 was 18 for 20 and 19 demographics 20 and 20 and 21 health 20 and 22 , 23 but 24 only 25 iadl 26 prediction 27 was 29 significant 28 statistically 29 significant 29 significant 30 when 30 when 32 levels 30 when 37 were 31 baseline 32 levels 32 levels 33 of 32 levels 37 were 33 of 36 variable 34 the 36 variable 35 outcome 36 variable 38 entered 39 into 39 into 41 regression 40 the 41 regression conclusion : the results highlight the detrimental effects of homebound status , underscoring the importance of preventing this state , of interventions to assist those who are homebound , and [of] future research to examine the efficacy and coverage of services to this population . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 assist 0 ###LEFT-WALL### 45 . 2 : 4 results 2 : 5 highlight 3 the 4 results 4 results 5 highlight 5 highlight 8 effects 5 highlight 23 to 6 the 8 effects 7 detrimental 8 effects 8 effects 9 of 8 effects 21 of 9 of 11 status 10 homebound 11 status 11 status 13 underscoring 12 , 13 underscoring 13 underscoring 15 importance 13 underscoring 20 , 14 the 15 importance 15 importance 16 of 16 of 17 preventing 17 preventing 19 state 18 this 19 state 21 of 22 interventions 23 to 24 assist 24 assist 25 those 24 assist 42 to 25 those 26 who 25 those 27 are 26 who 27 are 27 are 38 and 28 homebound 30 and 29 , 30 and 30 and 33 research 30 and 34 to 30 and 35 examine 30 and 38 and 32 future 33 research 34 to 35 examine 35 examine 37 efficacy 36 the 37 efficacy 38 and 39 coverage 38 and 40 of 40 of 41 services 42 to 44 population 43 this 44 population aim : symptoms of late - onset hypogonadism ( loh ) are often unspecific , and the existence of a male [climacteric] has [been] much debated . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 2 : 3 symptoms 2 : 12 are 2 : 15 , 3 symptoms 4 of 3 symptoms 12 are 4 of 8 hypogonadism 5 late 6 - 5 late 8 hypogonadism 7 onset 8 hypogonadism 8 hypogonadism 10 loh 9 ( 10 loh 10 loh 11 ) 12 are 13 often 12 are 14 unspecific 15 , 16 and 15 , 26 debated 16 and 18 existence 16 and 23 has 17 the 18 existence 18 existence 19 of 18 existence 23 has 19 of 21 male 20 a 21 male 23 has 25 much 23 has 26 debated in this study , we investigate aging men 's thoughts [about] , and beliefs , in a ['] male [climacteric] ['] . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 investigate 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 investigate 6 investigate 13 and 6 investigate 16 in 7 aging 8 men 8 men 9 's 9 's 10 thoughts 10 thoughts 13 and 12 , 13 and 13 and 14 beliefs 15 , 16 in 16 in 19 male 16 in 22 . 17 a 19 male methods : a questionnaire was developed including background demographic data , symptoms possibly related to loh and questions about men 's thoughts and beliefs in a ['] male [climacteric] ['] . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 2 : 4 questionnaire 2 : 5 was 2 : 14 related 3 a 4 questionnaire 4 questionnaire 5 was 5 was 10 data 6 developed 8 background 7 including 8 background 8 background 9 demographic 9 demographic 10 data 11 , 14 related 12 symptoms 14 related 13 possibly 14 related 14 related 15 to 14 related 19 about 14 related 25 in 15 to 17 and 16 loh 17 and 17 and 18 questions 19 about 23 and 20 men 21 's 21 's 22 thoughts 22 thoughts 23 and 23 and 24 beliefs 25 in 28 male 26 a 28 male all men , 55 - , 65 - [and] 75 - years old , living in linkoping , sweden ( n=1885 ) received the questionnaire . 0 ###LEFT-WALL### 2 men 0 ###LEFT-WALL### 23 received 0 ###LEFT-WALL### 26 . 1 all 2 men 2 men 12 years 2 men 23 received 3 , 12 years 4 55 5 - 5 - 8 - 5 - 12 years 6 , 8 - 7 65 8 - 8 - 10 75 8 - 11 - 12 years 13 old 12 years 19 sweden 12 years 22 ) 13 old 15 living 14 , 15 living 15 living 16 in 15 living 18 , 16 in 17 linkoping 18 , 19 sweden 19 sweden 21 n=1885 19 sweden 22 ) 20 ( 21 n=1885 21 n=1885 22 ) 23 received 25 questionnaire 24 the 25 questionnaire more than half believed that a ['] male [climacteric] ['] was related to decreased libido and less strong erections . 0 ###LEFT-WALL### 3 half 0 ###LEFT-WALL### 4 believed 1 more 2 than 2 than 3 half 3 half 4 believed 4 believed 5 that 5 that 8 male 5 that 12 related 6 a 8 male 8 male 11 was 11 was 12 related 12 related 13 to 13 to 16 and 14 decreased 15 libido 15 libido 16 and 16 and 19 erections 16 and 20 . 17 less 18 strong 18 strong 19 erections almost half of the men thought that decreased memory and/or dystymia and anxiousness were related to a male climacteric . 0 ###LEFT-WALL### 2 half 0 ###LEFT-WALL### 6 thought 0 ###LEFT-WALL### 20 . 1 almost 2 half 2 half 3 of 2 half 6 thought 3 of 5 men 4 the 5 men 6 thought 7 that 6 thought 15 related 7 that 8 decreased 8 decreased 9 memory 8 decreased 10 and/or 10 and/or 12 and 11 dystymia 12 and 12 and 13 anxiousness 12 and 14 were 14 were 15 related 15 related 16 to 15 related 19 climacteric 16 to 18 male 17 a 18 male conclusions : the majority of men have heard of a male [climacteric] , but only a minority had consulted a practitioner about their symptoms . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 6 men 2 : 8 heard 2 : 14 but 3 the 4 majority 4 majority 5 of 4 majority 6 men 5 of 6 men 6 men 7 have 7 have 8 heard 8 heard 9 of 9 of 11 male 10 a 11 male 13 , 14 but 14 but 15 only 14 but 17 minority 14 but 19 consulted 16 a 17 minority 17 minority 18 had 18 had 19 consulted 19 consulted 21 practitioner 19 consulted 22 about 20 a 21 practitioner 22 about 24 symptoms 23 their 24 symptoms more information and knowledge are needed , for the general population to better motivate men to seek medical advice and also for the health care professionals to better deal with the symptoms of loh . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 6 needed 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 35 . 1 more 2 information 2 information 3 and 3 and 4 knowledge 3 and 5 are 5 are 6 needed 7 , 14 motivate 7 , 20 and 8 for 11 population 8 for 14 motivate 9 the 11 population 10 general 11 population 11 population 12 to 11 population 13 better 12 to 13 better 14 motivate 15 men 14 motivate 16 to 14 motivate 17 seek 16 to 17 seek 17 seek 19 advice 18 medical 19 advice 20 and 21 also 20 and 26 professionals 20 and 29 deal 22 for 24 health 22 for 26 professionals 23 the 24 health 25 care 26 professionals 26 professionals 27 to 26 professionals 28 better 26 professionals 29 deal 27 to 28 better 29 deal 30 with 30 with 32 symptoms 31 the 32 symptoms 32 symptoms 33 of 33 of 34 loh cancer control in canada refers to the development of comprehensive programs utilising modern techniques , tools and approaches that actively prevent [,] cure or manage cancer . 0 ###LEFT-WALL### 2 control 0 ###LEFT-WALL### 5 refers 0 ###LEFT-WALL### 27 . 1 cancer 2 control 2 control 3 in 2 control 5 refers 3 in 4 canada 5 refers 6 to 6 to 17 and 7 the 8 development 8 development 9 of 8 development 15 , 9 of 11 programs 10 comprehensive 11 programs 11 programs 12 utilising 12 utilising 14 techniques 13 modern 14 techniques 15 , 16 tools 15 , 17 and 17 and 18 approaches 17 and 19 that 17 and 24 or 19 that 24 or 20 actively 21 prevent 21 prevent 23 cure 21 prevent 24 or 24 or 25 manage 25 manage 26 cancer the scope of such programs is quite vast . 0 ###LEFT-WALL### 2 scope 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 9 . 1 the 2 scope 2 scope 3 of 2 scope 6 is 3 of 5 programs 4 such 5 programs 6 is 8 vast 7 quite 8 vast they range from prevention , early detection and screening , comprehensive treatment both curative and palliative to comprehensive palliative care . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 2 range 0 ###LEFT-WALL### 21 . 1 they 2 range 2 range 3 from 2 range 15 and 2 range 17 to 3 from 12 treatment 4 prevention 5 , 5 , 7 detection 5 , 8 and 6 early 7 detection 8 and 9 screening 8 and 10 , 8 and 12 treatment 11 comprehensive 12 treatment 13 both 15 and 14 curative 15 and 15 and 16 palliative 17 to 20 care 18 comprehensive 19 palliative 19 palliative 20 care cancer is a disease associated with the aging population , and as the population ages the incidence of cancer would be expected to rise as well . 0 ###LEFT-WALL### 1 cancer 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 27 . 1 cancer 2 is 2 is 4 disease 3 a 4 disease 4 disease 5 associated 5 associated 6 with 6 with 9 population 7 the 9 population 8 aging 9 population 10 , 11 and 11 and 17 incidence 11 and 22 expected 12 as 14 population 12 as 15 ages 12 as 17 incidence 13 the 14 population 14 population 15 ages 16 the 17 incidence 17 incidence 18 of 17 incidence 20 would 18 of 19 cancer 20 would 21 be 21 be 22 expected 22 expected 23 to 22 expected 26 well 23 to 24 rise 25 as 26 well this [in] itself poses a great challenge . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 4 poses 0 ###LEFT-WALL### 8 . 1 this 4 poses 3 itself 4 poses 4 poses 7 challenge 5 a 6 great 5 a 7 challenge 6 great 7 challenge in addition , the aging population demographics with the projected rise in the numbers of senior citizens , especially the over 80 group in the next decade , poses its own creative challenges to health planners . 0 ###LEFT-WALL### 22 80 0 ###LEFT-WALL### 28 , 0 ###LEFT-WALL### 37 . 1 in 2 addition 1 in 22 80 2 addition 7 demographics 3 , 7 demographics 4 the 7 demographics 5 aging 6 population 6 population 7 demographics 7 demographics 8 with 7 demographics 12 in 7 demographics 18 , 8 with 11 rise 9 the 11 rise 10 projected 11 rise 12 in 17 citizens 13 the 14 numbers 14 numbers 15 of 14 numbers 17 citizens 15 of 17 citizens 16 senior 17 citizens 19 especially 22 80 20 the 22 80 21 over 22 80 22 80 28 , 23 group 24 in 23 group 28 , 24 in 27 decade 25 the 26 next 25 the 27 decade 28 , 29 poses 28 , 33 challenges 30 its 31 own 30 its 33 challenges 32 creative 33 challenges 33 challenges 34 to 34 to 36 planners 35 health 36 planners in canada , health care is centrally administered , and controlled by the provincial governments of canada , under the canada health act . 0 ###LEFT-WALL### 5 care 0 ###LEFT-WALL### 10 and 1 in 2 canada 1 in 3 , 1 in 5 care 4 health 5 care 5 care 10 and 6 is 8 administered 6 is 10 and 7 centrally 8 administered 9 , 10 and 10 and 11 controlled 10 and 12 by 12 by 15 governments 13 the 15 governments 14 provincial 15 governments 15 governments 16 of 16 of 17 canada 17 canada 19 under 18 , 19 under 19 under 23 act 19 under 24 . 20 the 23 act 21 canada 22 health 22 health 23 act the challenge of developing comprehensive programs for the geriatric population requires changes in the care models and care pathways . 0 ###LEFT-WALL### 2 challenge 0 ###LEFT-WALL### 11 requires 0 ###LEFT-WALL### 20 . 1 the 2 challenge 2 challenge 3 of 2 challenge 11 requires 3 of 4 developing 4 developing 6 programs 4 developing 7 for 5 comprehensive 6 programs 7 for 10 population 8 the 10 population 9 geriatric 10 population 11 requires 12 changes 11 requires 13 in 13 in 17 and 14 the 16 models 15 care 16 models 16 models 17 and 17 and 19 pathways 18 care 19 pathways the patient - centred models that have been adapted require a multidisciplinary approach to the clientele and their families that integrates cancer therapy and geriatric care and realities . 0 ###LEFT-WALL### 5 models 0 ###LEFT-WALL### 10 require 0 ###LEFT-WALL### 29 . 1 the 5 models 2 patient 3 - 2 patient 5 models 4 centred 5 models 5 models 6 that 5 models 7 have 5 models 10 require 6 that 7 have 7 have 8 been 8 been 9 adapted 10 require 13 approach 10 require 14 to 11 a 12 multidisciplinary 11 a 13 approach 12 multidisciplinary 13 approach 14 to 27 and 15 the 16 clientele 16 clientele 17 and 17 and 19 families 17 and 20 that 17 and 21 integrates 17 and 24 and 18 their 19 families 20 that 21 integrates 21 integrates 23 therapy 22 cancer 23 therapy 24 and 26 care 24 and 27 and 25 geriatric 26 care 27 and 28 realities this requires changes in the nursing and medical approach , as well as education in the subtleties of the two intersecting medical realities . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 requires 1 this 2 requires 2 requires 3 changes 2 requires 13 as 3 changes 4 in 4 in 7 and 5 the 6 nursing 6 nursing 7 and 7 and 9 approach 8 medical 9 approach 10 , 13 as 11 as 12 well 12 well 13 as 13 as 14 education 13 as 24 . 14 education 15 in 14 education 18 of 15 in 17 subtleties 16 the 17 subtleties 18 of 23 realities 19 the 20 two 20 two 23 realities 21 intersecting 23 realities 22 medical 23 realities background : studies on the relationship between testosterone concentrations and blood pressure have yielded inconsistent results . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 studies 2 : 14 yielded 2 : 17 . 3 studies 4 on 3 studies 7 between 3 studies 13 have 4 on 6 relationship 5 the 6 relationship 7 between 10 and 8 testosterone 9 concentrations 9 concentrations 10 and 10 and 12 pressure 11 blood 12 pressure 13 have 14 yielded 14 yielded 16 results 15 inconsistent 16 results therefore , this study investigated the prospective association of total testosterone ( tt ) concentrations with risk of incident hypertension [and] blood pressure change in 1,484 men aged 20 - 79 years . 0 ###LEFT-WALL### 4 study 0 ###LEFT-WALL### 5 investigated 0 ###LEFT-WALL### 33 . 1 therefore 2 , 1 therefore 4 study 3 this 4 study 4 study 5 investigated 5 investigated 8 association 6 the 8 association 7 prospective 8 association 8 association 9 of 8 association 18 of 9 of 15 concentrations 10 total 15 concentrations 11 testosterone 13 tt 11 testosterone 15 concentrations 12 ( 13 tt 13 tt 14 ) 15 concentrations 16 with 16 with 17 risk 18 of 32 years 19 incident 24 change 20 hypertension 24 change 22 blood 24 change 23 pressure 24 change 24 change 25 in 24 change 28 aged 25 in 27 men 26 1,484 27 men 28 aged 30 - 29 20 30 - 30 - 31 79 31 79 32 years methods : data from the population - based study of health in pomerania , germany , were used . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 data 2 : 18 used 2 : 19 . 3 data 4 from 3 data 17 were 4 from 6 population 5 the 6 population 6 population 9 study 7 - 9 study 8 based 9 study 9 study 10 of 9 study 16 , 10 of 11 health 11 health 12 in 11 health 15 germany 12 in 13 pomerania 14 , 15 germany 15 germany 16 , 17 were 18 used serum tt concentrations [,] measured by chemiluminescent enzyme immunoassays , were categorised into age - specific quartiles . 0 ###LEFT-WALL### 3 concentrations 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 18 . 1 serum 3 concentrations 2 tt 3 concentrations 3 concentrations 5 measured 3 concentrations 10 , 5 measured 6 by 6 by 8 enzyme 7 chemiluminescent 8 enzyme 9 immunoassays 10 , 10 , 11 were 10 , 17 quartiles 11 were 12 categorised 12 categorised 13 into 12 categorised 15 - 12 categorised 16 specific 13 into 14 age generalised estimating equation ( gee ) models , adjusted for age , waist circumference , physical activity , smoking and alcohol consumption were specified . 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 25 . 1 generalised 7 models 1 generalised 8 , 2 estimating 3 equation 3 equation 5 gee 4 ( 5 gee 5 gee 6 ) 5 gee 7 models 8 , 9 adjusted 9 adjusted 10 for 10 for 11 age 12 , 14 circumference 12 , 15 , 13 waist 14 circumference 15 , 20 and 15 , 24 specified 16 physical 17 activity 17 activity 18 , 18 , 19 smoking 18 , 20 and 20 and 22 consumption 20 and 23 were 21 alcohol 22 consumption 23 were 24 specified results : during a median follow - up time of 5.0 years , the prevalence [of] hypertension increased from 50.6 % to 57.1 % . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 follow 2 : 13 , 2 : 25 . 3 during 5 median 3 during 6 follow 4 a 5 median 6 follow 8 up 7 - 8 up 8 up 9 time 8 up 13 , 9 time 10 of 10 of 12 years 11 5.0 12 years 13 , 17 hypertension 13 , 18 increased 14 the 17 hypertension 15 prevalence 17 hypertension 17 hypertension 18 increased 18 increased 19 from 18 increased 22 to 19 from 21 % 20 50.6 21 % 22 to 24 % 23 57.1 24 % tt concentrations were significantly lower in men with baseline and incident hypertension . 0 ###LEFT-WALL### 2 concentrations 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 13 . 1 tt 2 concentrations 2 concentrations 3 were 3 were 5 lower 4 significantly 5 lower 5 lower 6 in 5 lower 8 with 6 in 7 men 8 with 10 and 9 baseline 10 and 10 and 12 hypertension 11 incident 12 hypertension analyses revealed that men with baseline tt concentrations in the lowest quartile had an increased risk of incident hypertension [(] odds [ratio] ( or ) , 1.19 ( 95 % ci , 1.10 - 1.28 ) ) compared to men with higher tt concentrations . 0 ###LEFT-WALL### 1 analyses 0 ###LEFT-WALL### 2 revealed 0 ###LEFT-WALL### 26 , 0 ###LEFT-WALL### 45 . 1 analyses 2 revealed 2 revealed 3 that 3 that 4 men 3 that 13 had 4 men 5 with 4 men 9 in 4 men 13 had 5 with 8 concentrations 6 baseline 8 concentrations 7 tt 8 concentrations 9 in 12 quartile 10 the 11 lowest 10 the 12 quartile 13 had 16 risk 14 an 16 risk 15 increased 16 risk 16 risk 17 of 16 risk 24 or 17 of 21 odds 18 incident 21 odds 19 hypertension 21 odds 23 ( 24 or 24 or 25 ) 26 , 27 1.19 26 , 38 compared 27 1.19 31 ci 27 1.19 38 compared 28 ( 31 ci 29 95 31 ci 30 % 31 ci 31 ci 34 - 31 ci 37 ) 32 , 34 - 33 1.10 34 - 34 - 35 1.28 34 - 36 ) 38 compared 39 to 39 to 40 men 40 men 41 with 41 with 44 concentrations 42 higher 44 concentrations 43 tt 44 concentrations furthermore , we found a significant inverse association of tt concentrations and blood pressure , showing that men with baseline tt concentrations in the lowest quartile showed the slightest change in systolic blood pressure ( - 6.01 mmhg ) , diastolic blood pressure ( - 2.11 mmhg ) and pulse pressure ( - 3.98 mmhg ) . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 57 . 1 furthermore 2 , 1 furthermore 3 we 3 we 4 found 4 found 8 association 4 found 11 concentrations 4 found 12 and 5 a 6 significant 5 a 8 association 6 significant 8 association 7 inverse 8 association 8 association 9 of 9 of 10 tt 12 and 13 blood 12 and 14 pressure 15 , 16 showing 15 , 27 showed 16 showing 17 that 16 showing 18 men 16 showing 26 quartile 16 showing 27 showed 18 men 19 with 18 men 23 in 18 men 26 quartile 19 with 22 concentrations 20 baseline 22 concentrations 21 tt 22 concentrations 23 in 25 lowest 24 the 25 lowest 27 showed 30 change 27 showed 34 pressure 27 showed 49 and 28 the 29 slightest 28 the 30 change 30 change 31 in 31 in 33 blood 32 systolic 33 blood 34 pressure 38 mmhg 34 pressure 43 pressure 35 ( 38 mmhg 36 - 37 6.01 37 6.01 38 mmhg 38 mmhg 39 ) 40 , 43 pressure 41 diastolic 43 pressure 42 blood 43 pressure 43 pressure 47 mmhg 43 pressure 48 ) 44 ( 47 mmhg 45 - 46 2.11 46 2.11 47 mmhg 47 mmhg 48 ) 49 and 51 pressure 50 pulse 51 pressure 51 pressure 55 mmhg 52 ( 55 mmhg 53 - 54 3.98 54 3.98 55 mmhg 55 mmhg 56 ) sensitivity analyses in a subpopulation of men without antihypertensive medication confirmed these findings . 0 ###LEFT-WALL### 2 analyses 0 ###LEFT-WALL### 11 confirmed 0 ###LEFT-WALL### 14 . 1 sensitivity 2 analyses 2 analyses 3 in 2 analyses 11 confirmed 3 in 5 subpopulation 4 a 5 subpopulation 5 subpopulation 6 of 6 of 7 men 7 men 8 without 8 without 10 medication 9 antihypertensive 10 medication 11 confirmed 13 findings 12 these 13 findings conclusion : these results show that low male tt concentrations are predictive [of] [hypertension] , suggesting tt as a potential biomarker of increased cardiovascular risk . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 results 2 : 5 show 3 these 4 results 4 results 5 show 5 show 9 tt 5 show 10 concentrations 5 show 11 are 6 that 7 low 7 low 8 male 8 male 9 tt 10 concentrations 11 are 11 are 12 predictive 12 predictive 16 suggesting 15 , 16 suggesting 16 suggesting 17 tt 16 suggesting 26 . 17 tt 18 as 18 as 21 biomarker 19 a 20 potential 19 a 21 biomarker 20 potential 21 biomarker 21 biomarker 22 of 22 of 25 risk 23 increased 25 risk 24 cardiovascular 25 risk introduction : the aim of this study was to investigate the relationship among metabolic [syndrome] ( mets ) , erectile dysfunction ( ed ) and lower urinary tract symptoms ( luts ) in patients with benign prostatic hyperplasia ( bph ) . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 and 0 ###LEFT-WALL### 42 . 2 : 4 aim 2 : 8 was 3 the 4 aim 4 aim 5 of 4 aim 8 was 5 of 7 study 6 this 7 study 8 was 9 to 9 to 25 and 10 investigate 12 relationship 10 investigate 13 among 10 investigate 25 and 11 the 12 relationship 13 among 21 dysfunction 14 metabolic 17 mets 14 metabolic 19 , 14 metabolic 20 erectile 16 ( 17 mets 17 mets 18 ) 20 erectile 21 dysfunction 21 dysfunction 23 ed 22 ( 23 ed 23 ed 24 ) 25 and 26 lower 26 lower 29 symptoms 26 lower 33 in 27 urinary 28 tract 28 tract 29 symptoms 29 symptoms 31 luts 30 ( 31 luts 31 luts 32 ) 33 in 34 patients 34 patients 35 with 34 patients 40 bph 35 with 38 hyperplasia 36 benign 38 hyperplasia 37 prostatic 38 hyperplasia 39 ( 40 bph 40 bph 41 ) methods : our study included 106 patients with bph , 33 ( 31.1 % ) of [whom] [had] mets . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 included 2 : 20 . 3 our 4 study 4 study 5 included 5 included 7 patients 5 included 8 with 6 106 7 patients 8 with 9 bph 9 bph 11 33 9 bph 16 of 10 , 11 33 11 33 14 % 11 33 15 ) 12 ( 14 % 13 31.1 14 % 14 % 15 ) 16 of 19 mets blood pressures , waist circumferences , serum levels of fasting blood glucose , high density lipoprotein and triglyceride of patients were recorded . 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 22 recorded 0 ###LEFT-WALL### 23 . 1 blood 2 pressures 2 pressures 3 , 3 , 5 circumferences 3 , 6 , 4 waist 5 circumferences 6 , 8 levels 6 , 13 , 7 serum 8 levels 8 levels 9 of 9 of 12 glucose 10 fasting 12 glucose 11 blood 12 glucose 13 , 16 lipoprotein 13 , 17 and 14 high 15 density 15 density 16 lipoprotein 17 and 18 triglyceride 17 and 19 of 17 and 21 were 19 of 20 patients 21 were 22 recorded erectile functions of the patients were evaluated by international index of erectile function ( iief ) . 0 ###LEFT-WALL### 2 functions 0 ###LEFT-WALL### 7 evaluated 0 ###LEFT-WALL### 17 . 1 erectile 2 functions 2 functions 3 of 2 functions 6 were 3 of 5 patients 4 the 5 patients 6 were 7 evaluated 7 evaluated 8 by 8 by 10 index 9 international 10 index 10 index 11 of 11 of 15 iief 12 erectile 13 function 13 function 15 iief 14 ( 15 iief 15 iief 16 ) patients were divided into two groups according to iief scores , namely ['] mild/no ed ' [and] ['] moderate/severe ed ' . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 3 divided 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 14 mild/no 0 ###LEFT-WALL### 22 . 1 patients 2 were 2 were 3 divided 3 divided 4 into 3 divided 8 to 4 into 6 groups 5 two 6 groups 7 according 8 to 8 to 10 scores 9 iief 10 scores 11 , 14 mild/no 12 namely 14 mild/no 14 mild/no 21 ' 15 ed 16 ' 16 ' 20 ed 19 moderate/severe 20 ed 20 ed 21 ' iief scores of ed groups were between 17 and 30 and 6 - 16 in turn . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 17 . 1 iief 2 scores 2 scores 3 of 2 scores 11 and 3 of 4 ed 4 ed 5 groups 4 ed 6 were 5 groups 6 were 6 were 7 between 7 between 9 and 8 17 9 and 9 and 10 30 11 and 16 turn 12 6 13 - 13 - 14 16 13 - 15 in 15 in 16 turn luts severities were assessed by international prostate symptom score ( ipss ) and classified as mild [(] ipss 0 - 7 ) , moderate ( ipss 8 - 19 ) and severe ( ipss 20 - 35 ) . 0 ###LEFT-WALL### 2 severities 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 39 . 1 luts 2 severities 2 severities 13 and 3 were 4 assessed 3 were 13 and 4 assessed 5 by 5 by 11 ipss 6 international 7 prostate 7 prostate 8 symptom 8 symptom 9 score 9 score 11 ipss 10 ( 11 ipss 11 ipss 12 ) 13 and 14 classified 13 and 15 as 13 and 18 ipss 15 as 16 mild 18 ipss 19 0 18 ipss 21 7 18 ipss 31 and 20 - 21 7 21 7 22 ) 23 , 31 and 24 moderate 28 - 24 moderate 31 and 25 ( 28 - 26 ipss 27 8 26 ipss 28 - 28 - 29 19 28 - 30 ) 31 and 32 severe 31 and 38 ) 32 severe 36 - 33 ( 36 - 34 ipss 35 20 34 ipss 36 - 36 - 37 35 36 - 38 ) results : there was a significant difference between ed groups concerning mets presence ( p=0.032 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 2 : 3 there 2 : 4 was 3 there 4 was 4 was 7 difference 5 a 6 significant 5 a 7 difference 6 significant 7 difference 7 difference 8 between 7 difference 11 concerning 8 between 10 groups 9 ed 10 groups 11 concerning 13 presence 12 mets 13 presence 13 presence 15 p=0.032 14 ( 15 p=0.032 15 p=0.032 16 ) mets presence was not found to be associated with the severity of luts ( p=0.144 ) . 0 ###LEFT-WALL### 2 presence 0 ###LEFT-WALL### 5 found 0 ###LEFT-WALL### 17 . 1 mets 2 presence 2 presence 3 was 3 was 4 not 3 was 5 found 5 found 6 to 6 to 7 be 7 be 8 associated 8 associated 9 with 9 with 11 severity 10 the 11 severity 11 severity 12 of 12 of 13 luts 13 luts 15 p=0.144 14 ( 15 p=0.144 15 p=0.144 16 ) there was no correlation between ed groups regarding luts severity ( p=0.303 ) . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 14 . 1 there 2 was 2 was 4 correlation 3 no 4 correlation 4 correlation 5 between 5 between 7 groups 6 ed 7 groups 7 groups 8 regarding 8 regarding 10 severity 9 luts 10 severity 10 severity 12 p=0.303 11 ( 12 p=0.303 12 p=0.303 13 ) conclusion : results of the present study showed a correlation between mets presence and ed . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 . 2 : 3 results 2 : 8 showed 3 results 4 of 3 results 8 showed 4 of 7 study 5 the 7 study 6 present 7 study 8 showed 10 correlation 8 showed 13 presence 8 showed 14 and 9 a 10 correlation 10 correlation 11 between 11 between 12 mets 14 and 15 ed in the light of our results , mets seems to play an important role in the etiopathogenesis of ed in patients with bph . 0 ###LEFT-WALL### 8 mets 0 ###LEFT-WALL### 9 seems 0 ###LEFT-WALL### 24 . 1 in 3 light 1 in 7 , 1 in 8 mets 2 the 3 light 3 light 4 of 4 of 6 results 5 our 6 results 8 mets 9 seems 9 seems 10 to 9 seems 11 play 10 to 11 play 11 play 14 role 11 play 15 in 11 play 20 in 11 play 22 with 12 an 13 important 12 an 14 role 13 important 14 role 15 in 17 etiopathogenesis 16 the 17 etiopathogenesis 17 etiopathogenesis 18 of 18 of 19 ed 20 in 21 patients 22 with 23 bph telomere attrition is a natural process that occurs due to inadequate telomere maintenance . 0 ###LEFT-WALL### 2 attrition 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 14 . 1 telomere 2 attrition 2 attrition 3 is 3 is 6 process 4 a 5 natural 4 a 6 process 5 natural 6 process 6 process 7 that 6 process 8 occurs 7 that 8 occurs 8 occurs 10 to 9 due 10 to 10 to 13 maintenance 11 inadequate 13 maintenance 12 telomere 13 maintenance once at a critically short threshold , telomeres signal growth arrest , leading to senescence . 0 ###LEFT-WALL### 8 telomeres 0 ###LEFT-WALL### 9 signal 1 once 2 at 1 once 7 , 1 once 8 telomeres 2 at 6 threshold 3 a 4 critically 3 a 6 threshold 4 critically 5 short 5 short 6 threshold 8 telomeres 9 signal 9 signal 11 arrest 10 growth 11 arrest 11 arrest 13 leading 12 , 13 leading 13 leading 14 to 13 leading 16 . 14 to 15 senescence telomeres can be elongated by the enzyme telomerase , which adds de novo telomere repeats to the ends of chromosomes . 0 ###LEFT-WALL### 1 telomeres 0 ###LEFT-WALL### 4 elongated 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 21 . 1 telomeres 2 can 2 can 3 be 3 be 4 elongated 4 elongated 5 by 5 by 8 telomerase 6 the 8 telomerase 7 enzyme 8 telomerase 9 , 10 which 9 , 11 adds 10 which 11 adds 11 adds 13 novo 11 adds 14 telomere 11 adds 15 repeats 12 de 13 novo 14 telomere 15 repeats 15 repeats 16 to 16 to 18 ends 17 the 18 ends 18 ends 19 of 19 of 20 chromosomes mutations in genes for telomere binding proteins or components of telomerase give rise to the premature aging disorder dyskeratosis congenita [(] [dc] [ )(, which is characterized by extremely short telomeres and an aging phenotype . 0 ###LEFT-WALL### 1 mutations 0 ###LEFT-WALL### 13 rise 0 ###LEFT-WALL### 24 )(, 0 ###LEFT-WALL### 36 . 1 mutations 2 in 1 mutations 6 binding 1 mutations 8 or 1 mutations 12 give 1 mutations 13 rise 2 in 3 genes 3 genes 4 for 4 for 5 telomere 7 proteins 8 or 8 or 9 components 8 or 10 of 8 or 12 give 10 of 11 telomerase 13 rise 14 to 14 to 20 congenita 15 the 20 congenita 16 premature 20 congenita 17 aging 20 congenita 18 disorder 20 congenita 19 dyskeratosis 20 congenita 24 )(, 25 which 24 )(, 27 characterized 25 which 26 is 26 is 27 characterized 27 characterized 28 by 28 by 32 and 29 extremely 30 short 30 short 31 telomeres 31 telomeres 32 and 32 and 35 phenotype 33 an 35 phenotype 34 aging 35 phenotype the current study demonstrates that [dc] cells signal a dna damage response through p53 and its downstream mediator , p21 ( waf/cip ) , which is accompanied by an elevation in steady - state levels of superoxide and percent glutathione disulfide , both indicators of oxidative stress . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 demonstrates 1 the 3 study 2 current 3 study 3 study 4 demonstrates 4 demonstrates 5 that 5 that 7 cells 5 that 8 signal 7 cells 8 signal 8 signal 12 response 8 signal 31 in 9 a 12 response 10 dna 12 response 11 damage 12 response 12 response 13 through 12 response 25 which 12 response 26 is 13 through 15 and 14 p53 15 and 15 and 18 mediator 15 and 20 p21 16 its 18 mediator 17 downstream 18 mediator 19 , 20 p21 20 p21 22 waf/cip 20 p21 24 , 21 ( 22 waf/cip 22 waf/cip 23 ) 25 which 26 is 26 is 27 accompanied 27 accompanied 28 by 28 by 30 elevation 29 an 30 elevation 31 in 38 and 32 steady 33 - 32 steady 35 levels 34 state 35 levels 35 levels 36 of 35 levels 38 and 36 of 37 superoxide 38 and 41 disulfide 38 and 44 indicators 39 percent 41 disulfide 40 glutathione 41 disulfide 42 , 44 indicators 43 both 44 indicators 44 indicators 45 of 44 indicators 48 . 45 of 47 stress 46 oxidative 47 stress poor [proliferation] of [dc] cells can be partially overcome by reducing [o] ( 2 ) tension from 21 % to 4 % . 0 ###LEFT-WALL### 1 poor 0 ###LEFT-WALL### 9 overcome 0 ###LEFT-WALL### 23 . 1 poor 3 of 1 poor 6 can 3 of 5 cells 6 can 7 be 7 be 9 overcome 8 partially 9 overcome 9 overcome 10 by 9 overcome 16 tension 9 overcome 20 to 10 by 11 reducing 11 reducing 14 2 13 ( 14 2 14 2 15 ) 16 tension 17 from 17 from 19 % 18 21 19 % 20 to 22 % 21 4 22 % further , restoring telomerase activity or inhibiting p53 or p21 ( waf/cip ) significantly mitigated growth inhibition as well as caused a significant decrease in steady - state levels of superoxide . 0 ###LEFT-WALL### 9 or 0 ###LEFT-WALL### 21 caused 0 ###LEFT-WALL### 32 . 1 further 2 , 1 further 9 or 3 restoring 5 activity 4 telomerase 5 activity 5 activity 6 or 6 or 8 p53 6 or 9 or 7 inhibiting 8 p53 9 or 10 p21 9 or 12 waf/cip 9 or 15 mitigated 11 ( 12 waf/cip 12 waf/cip 13 ) 14 significantly 15 mitigated 15 mitigated 17 inhibition 15 mitigated 20 as 16 growth 17 inhibition 17 inhibition 18 as 18 as 19 well 20 as 21 caused 21 caused 24 decrease 21 caused 25 in 22 a 23 significant 22 a 24 decrease 23 significant 24 decrease 25 in 29 levels 26 steady 27 - 26 steady 28 state 28 state 29 levels 29 levels 30 of 30 of 31 superoxide our results support a model in which telomerase insufficiency in [dc] leads to p21 ( waf/cip ) signaling , via p53 , to cause increased steady - state levels of superoxide , metabolic oxidative stress , and senescence . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 support 0 ###LEFT-WALL### 28 state 0 ###LEFT-WALL### 32 , 0 ###LEFT-WALL### 39 . 1 our 2 results 2 results 3 support 3 support 5 model 4 a 5 model 5 model 6 in 6 in 7 which 6 in 9 insufficiency 6 in 25 increased 8 telomerase 9 insufficiency 9 insufficiency 10 in 9 insufficiency 23 to 9 insufficiency 24 cause 9 insufficiency 25 increased 10 in 12 leads 12 leads 13 to 12 leads 18 signaling 12 leads 20 via 13 to 14 p21 14 p21 16 waf/cip 15 ( 16 waf/cip 16 waf/cip 17 ) 19 , 20 via 20 via 21 p53 20 via 22 , 23 to 24 cause 25 increased 26 steady 27 - 28 state 28 state 29 levels 29 levels 30 of 30 of 31 superoxide 32 , 37 and 33 metabolic 35 stress 34 oxidative 35 stress 35 stress 37 and 36 , 37 and 37 and 38 senescence background : polypharmacy , the simultaneous taking of many medications [,] has been well documented and is a topic of much concern for those looking to improve the quality of care for the elderly . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 35 . 1 background 2 : 2 : 3 polypharmacy 4 , 7 taking 4 , 16 and 5 the 7 taking 6 simultaneous 7 taking 7 taking 8 of 7 taking 16 and 8 of 10 medications 9 many 10 medications 12 has 13 been 12 has 16 and 13 been 14 well 14 well 15 documented 16 and 17 is 16 and 23 for 17 is 19 topic 18 a 19 topic 19 topic 20 of 20 of 22 concern 21 much 22 concern 23 for 24 those 24 those 25 looking 25 looking 26 to 25 looking 32 for 26 to 27 improve 27 improve 29 quality 28 the 29 quality 29 quality 30 of 30 of 31 care 32 for 34 elderly 33 the 34 elderly elderly patients often develop complicated and multifactorial health states that require extensive pharmacotherapy , leaving this population at risk for exposure to drug - drug interactions and other adverse events . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 4 develop 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 31 . 1 elderly 2 patients 2 patients 4 develop 3 often 4 develop 4 develop 9 states 5 complicated 6 and 6 and 7 multifactorial 6 and 9 states 8 health 9 states 9 states 10 that 9 states 11 require 10 that 11 require 11 require 13 pharmacotherapy 12 extensive 13 pharmacotherapy 14 , 25 drug 15 leaving 17 population 15 leaving 18 at 15 leaving 24 - 15 leaving 25 drug 16 this 17 population 18 at 19 risk 19 risk 20 for 19 risk 22 to 19 risk 23 drug 20 for 21 exposure 22 to 23 drug 25 drug 27 and 26 interactions 27 and 27 and 30 events 28 other 30 events 29 adverse 30 events previous literature supports an association between an increase in the rate of adverse events as the number of drugs taken by a patient increases . 0 ###LEFT-WALL### 2 literature 0 ###LEFT-WALL### 3 supports 0 ###LEFT-WALL### 25 . 1 previous 2 literature 2 literature 3 supports 3 supports 5 association 3 supports 15 as 4 an 5 association 5 association 6 between 5 association 12 of 6 between 8 increase 7 an 8 increase 8 increase 9 in 9 in 11 rate 10 the 11 rate 12 of 14 events 13 adverse 14 events 15 as 19 drugs 16 the 17 number 17 number 18 of 17 number 19 drugs 18 of 19 drugs 19 drugs 20 taken 19 drugs 23 patient 19 drugs 24 increases 20 taken 21 by 22 a 23 patient 23 patient 24 increases objective : we sought to evaluate the prevalence of polypharmacy , and to determine patient characteristics that are predictive of exposure to polypharmacy , in the elderly population of the emilia - romagna [region] in italy . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 12 and 3 we 12 and 4 sought 5 to 4 sought 6 evaluate 4 sought 12 and 5 to 6 evaluate 6 evaluate 8 prevalence 7 the 8 prevalence 8 prevalence 9 of 9 of 10 polypharmacy 11 , 12 and 12 and 13 to 12 and 14 determine 12 and 22 to 13 to 14 determine 14 determine 16 characteristics 15 patient 16 characteristics 16 characteristics 17 that 16 characteristics 18 are 16 characteristics 20 of 17 that 18 are 18 are 19 predictive 20 of 21 exposure 22 to 23 polypharmacy 23 polypharmacy 25 in 24 , 25 in 25 in 28 population 25 in 37 . 26 the 28 population 27 elderly 28 population 28 population 29 of 29 of 31 emilia 30 the 31 emilia 31 emilia 33 romagna 32 - 33 romagna 33 romagna 35 in 33 romagna 37 . 35 in 36 italy methods : we conducted a retrospective cohort study of the 2007 emilia - romagna outpatient pharmacy database linked with patient information available from a demographic file of approximately 1 million emilia - romagna residents aged ≥65 years . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 38 . 2 : 3 we 2 : 4 conducted 2 : 32 - 3 we 4 conducted 4 conducted 8 study 5 a 8 study 6 retrospective 7 cohort 7 cohort 8 study 8 study 9 of 8 study 14 romagna 9 of 12 emilia 10 the 12 emilia 11 2007 12 emilia 13 - 14 romagna 14 romagna 17 database 14 romagna 18 linked 14 romagna 32 - 15 outpatient 16 pharmacy 16 pharmacy 17 database 17 database 18 linked 18 linked 19 with 19 with 21 information 20 patient 21 information 21 information 22 available 21 information 27 of 22 available 23 from 23 from 26 file 24 a 26 file 25 demographic 26 file 27 of 31 emilia 28 approximately 30 million 29 1 30 million 30 million 31 emilia 32 - 34 residents 32 - 35 aged 33 romagna 34 residents 34 residents 35 aged 35 aged 37 years 36 ≥65 37 years the cohort comprised 887,165 elderly subjects who had at least one prescription filled during the study year . 0 ###LEFT-WALL### 2 cohort 0 ###LEFT-WALL### 3 comprised 0 ###LEFT-WALL### 18 . 1 the 2 cohort 2 cohort 3 comprised 3 comprised 6 subjects 4 887,165 6 subjects 5 elderly 6 subjects 6 subjects 7 who 6 subjects 8 had 7 who 8 had 8 had 12 prescription 9 at 10 least 10 least 11 one 11 one 12 prescription 12 prescription 13 filled 13 filled 14 during 14 during 17 year 15 the 17 year 16 study 17 year using the who 's defined daily dose ( ddd ) to determine the duration of treatment for a given drug , we defined a polypharmacy episode as overlapping treatment with five or more medications occurring for at least 1 day . 0 ###LEFT-WALL### 22 we 0 ###LEFT-WALL### 23 defined 0 ###LEFT-WALL### 41 . 1 using 7 dose 1 using 11 to 1 using 12 determine 1 using 21 , 1 using 22 we 2 the 3 who 3 who 4 's 4 's 7 dose 5 defined 7 dose 6 daily 7 dose 7 dose 9 ddd 8 ( 9 ddd 9 ddd 10 ) 11 to 12 determine 12 determine 14 duration 13 the 14 duration 14 duration 15 of 15 of 16 treatment 16 treatment 17 for 17 for 20 drug 18 a 20 drug 19 given 20 drug 22 we 23 defined 23 defined 26 episode 23 defined 27 as 24 a 26 episode 25 polypharmacy 26 episode 27 as 34 medications 28 overlapping 29 treatment 29 treatment 30 with 29 treatment 32 or 30 with 31 five 32 or 33 more 32 or 34 medications 34 medications 35 occurring 35 occurring 36 for 36 for 40 day 37 at 38 least 38 least 39 1 39 1 40 day the prevalence of polypharmacy was measured together with subject characteristics found to be predictive of polypharmacy exposure . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 18 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 5 was 3 of 4 polypharmacy 5 was 6 measured 6 measured 7 together 6 measured 8 with 8 with 10 characteristics 9 subject 10 characteristics 10 characteristics 11 found 10 characteristics 15 of 11 found 12 to 12 to 13 be 13 be 14 predictive 15 of 17 exposure 16 polypharmacy 17 exposure results : a total of 349,689 elderly people in the population ( 39.4 % ) were exposed to at least one episode of polypharmacy during the study period . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 1 results 2 : 2 : 4 total 3 a 4 total 4 total 5 of 4 total 17 exposed 5 of 6 349,689 6 349,689 8 people 6 349,689 16 were 7 elderly 8 people 8 people 9 in 8 people 14 % 8 people 16 were 9 in 11 population 10 the 11 population 12 ( 14 % 13 39.4 14 % 14 % 15 ) 17 exposed 18 to 17 exposed 25 during 18 to 22 episode 19 at 20 least 20 least 21 one 21 one 22 episode 22 episode 23 of 23 of 24 polypharmacy 25 during 28 period 26 the 28 period 27 study 28 period the prevalence of polypharmacy substantially increased with age and with a higher number of chronic conditions . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 6 increased 0 ###LEFT-WALL### 17 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 6 increased 3 of 4 polypharmacy 5 substantially 6 increased 6 increased 9 and 7 with 8 age 7 with 9 and 9 and 10 with 10 with 16 conditions 11 a 13 number 12 higher 13 number 13 number 14 of 13 number 16 conditions 14 of 16 conditions 15 chronic 16 conditions over 35 % of those exposed to polypharmacy were exposed for 101 [or] more [days] of the year . 0 ###LEFT-WALL### 3 % 0 ###LEFT-WALL### 10 exposed 0 ###LEFT-WALL### 19 . 1 over 2 35 2 35 3 % 3 % 4 of 3 % 9 were 4 of 5 those 5 those 6 exposed 6 exposed 7 to 7 to 8 polypharmacy 9 were 10 exposed 10 exposed 11 for 11 for 14 more 12 101 14 more 14 more 16 of 16 of 18 year 17 the 18 year the top three classes of medications involved in polypharmacy were antithrombotics , peptic ulcer disease and gastro - oesophageal [reflux] disease agents , and ace inhibitors . 0 ###LEFT-WALL### 4 classes 0 ###LEFT-WALL### 10 were 0 ###LEFT-WALL### 18 - 0 ###LEFT-WALL### 27 . 1 the 2 top 1 the 3 three 3 three 4 classes 4 classes 5 of 4 classes 10 were 5 of 6 medications 6 medications 7 involved 7 involved 8 in 8 in 9 polypharmacy 10 were 16 and 11 antithrombotics 12 , 12 , 15 disease 12 , 16 and 13 peptic 14 ulcer 14 ulcer 15 disease 16 and 17 gastro 18 - 24 and 19 oesophageal 21 disease 21 disease 22 agents 22 agents 24 and 23 , 24 and 24 and 26 inhibitors 25 ace 26 inhibitors the odds of exposure to polypharmacy were higher for older subjects , males and subjects living in urban areas . 0 ###LEFT-WALL### 2 odds 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 20 . 1 the 2 odds 2 odds 3 of 2 odds 7 were 3 of 4 exposure 4 exposure 5 to 5 to 6 polypharmacy 7 were 8 higher 8 higher 9 for 9 for 14 and 10 older 11 subjects 11 subjects 12 , 12 , 13 males 12 , 14 and 14 and 15 subjects 14 and 16 living 16 living 17 in 17 in 19 areas 18 urban 19 areas conclusions : this study provides evidence that the prevalence of polypharmacy in the elderly in emilia [-] romagna is substantial . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 provides 2 : 21 . 3 this 4 study 4 study 5 provides 5 provides 6 evidence 6 evidence 7 that 7 that 9 prevalence 7 that 19 is 8 the 9 prevalence 9 prevalence 10 of 9 prevalence 19 is 10 of 11 polypharmacy 11 polypharmacy 12 in 11 polypharmacy 15 in 12 in 14 elderly 13 the 14 elderly 15 in 18 romagna 16 emilia 18 romagna 19 is 20 substantial educational programmes should be developed to inform clinicians about the magnitude of the polypharmacy phenomenon and the patient characteristics associated with polypharmacy . 0 ###LEFT-WALL### 2 programmes 0 ###LEFT-WALL### 5 developed 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 23 . 1 educational 2 programmes 2 programmes 3 should 3 should 4 be 4 be 5 developed 5 developed 6 to 5 developed 9 about 6 to 7 inform 7 inform 8 clinicians 9 about 11 magnitude 10 the 11 magnitude 11 magnitude 12 of 12 of 15 phenomenon 13 the 15 phenomenon 14 polypharmacy 15 phenomenon 16 and 19 characteristics 16 and 20 associated 17 the 19 characteristics 18 patient 19 characteristics 19 characteristics 20 associated 20 associated 21 with 21 with 22 polypharmacy raising physicians ' awareness of polypharmacy may help to ensure safe , effective and appropriate use of medication in the elderly . 0 ###LEFT-WALL### 1 raising 0 ###LEFT-WALL### 8 help 0 ###LEFT-WALL### 22 . 1 raising 4 awareness 1 raising 7 may 2 physicians 3 ' 3 ' 4 awareness 4 awareness 5 of 5 of 6 polypharmacy 7 may 8 help 8 help 9 to 8 help 10 ensure 9 to 10 ensure 10 ensure 14 and 10 ensure 16 use 10 ensure 19 in 11 safe 12 , 12 , 13 effective 12 , 14 and 14 and 15 appropriate 16 use 17 of 17 of 18 medication 19 in 21 elderly 20 the 21 elderly background : medication - related problems are common in the growing population of older adults and inappropriate prescribing is a preventable risk factor . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 24 . 1 background 2 : 2 : 3 medication 4 - 6 problems 4 - 7 are 4 - 16 and 5 related 6 problems 6 problems 7 are 7 are 8 common 8 common 9 in 9 in 12 population 10 the 12 population 11 growing 12 population 12 population 13 of 13 of 15 adults 14 older 15 adults 16 and 18 prescribing 16 and 19 is 17 inappropriate 18 prescribing 18 prescribing 19 is 19 is 23 factor 20 a 21 preventable 20 a 23 factor 21 preventable 23 factor 22 risk 23 factor explicit criteria such as the beers criteria provide a valid instrument for describing the rate of inappropriate medication ( im ) [prescriptions] among older adults . 0 ###LEFT-WALL### 2 criteria 0 ###LEFT-WALL### 8 provide 0 ###LEFT-WALL### 26 . 1 explicit 2 criteria 2 criteria 4 as 2 criteria 8 provide 3 such 4 as 4 as 7 criteria 5 the 7 criteria 6 beers 7 criteria 8 provide 11 instrument 9 a 10 valid 9 a 11 instrument 10 valid 11 instrument 11 instrument 12 for 12 for 13 describing 13 describing 15 rate 13 describing 23 among 14 the 15 rate 15 rate 16 of 15 rate 20 im 16 of 18 medication 17 inappropriate 18 medication 19 ( 20 im 20 im 21 ) 23 among 25 adults 24 older 25 adults objective : to reduce im prescriptions based on explicit beers criteria using a nurse - led intervention in [a] nursing - home ( nh ) setting . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 7 based 0 ###LEFT-WALL### 27 . 1 objective 2 : 2 : 3 to 2 : 4 reduce 3 to 4 reduce 4 reduce 5 im 5 im 6 prescriptions 5 im 7 based 6 prescriptions 7 based 7 based 8 on 8 on 11 criteria 9 explicit 11 criteria 10 beers 11 criteria 11 criteria 12 using 11 criteria 26 setting 12 using 14 nurse 13 a 14 nurse 14 nurse 17 intervention 15 - 17 intervention 16 led 17 intervention 17 intervention 18 in 17 intervention 22 home 17 intervention 25 ) 18 in 20 nursing 21 - 22 home 22 home 24 nh 22 home 25 ) 23 ( 24 nh 24 nh 25 ) study design : the pre/post - design included im assessment at study start ( pre - intervention [ )(, [a] 4 - month intervention period , im assessment after the intervention period ( post - intervention ) and a further im assessment at 1 [-] year follow - up . 0 ###LEFT-WALL### 2 design 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 6 - 1 study 2 design 2 design 3 : 3 : 5 pre/post 4 the 5 pre/post 6 - 10 assessment 6 - 16 - 7 design 8 included 8 included 10 assessment 9 im 10 assessment 10 assessment 11 at 10 assessment 15 pre 11 at 13 start 12 study 13 start 14 ( 15 pre 15 pre 16 - 16 - 17 intervention 16 - 19 )(, 16 - 22 - 16 - 26 , 19 )(, 21 4 21 4 22 - 22 - 25 period 23 month 24 intervention 24 intervention 25 period 26 , 38 and 27 im 28 assessment 28 assessment 29 after 28 assessment 38 and 29 after 32 period 30 the 32 period 31 intervention 32 period 32 period 34 post 33 ( 34 post 34 post 36 intervention 34 post 37 ) 35 - 36 intervention 36 intervention 37 ) 38 and 42 assessment 38 and 43 at 38 and 47 follow 39 a 42 assessment 40 further 42 assessment 41 im 42 assessment 43 at 46 year 44 1 46 year 47 follow 49 up 48 - 49 up 49 up 50 . setting : 204 - bed inpatient nh in bern , switzerland . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 2 : 3 204 2 : 4 - 2 : 10 , 2 : 12 . 3 204 4 - 4 - 5 bed 5 bed 7 nh 6 inpatient 7 nh 7 nh 8 in 8 in 9 bern 10 , 11 switzerland participants : nh residents aged ≥60 years . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 2 : 4 residents 2 : 6 ≥60 2 : 8 . 3 nh 4 residents 4 residents 5 aged 4 residents 6 ≥60 6 ≥60 7 years intervention : the intervention included four key intervention elements : [(] [i] [ )(adaptation of beers criteria to the swiss [setting] [;] ( ii ) im identification [;] ( iii ) im discontinuation ; [and] ( iv ) staff training . 0 ###LEFT-WALL### 1 intervention 0 ###LEFT-WALL### 2 : 2 : 4 intervention 2 : 10 : 2 : 34 ; 2 : 41 . 3 the 4 intervention 4 intervention 5 included 4 intervention 6 four 4 intervention 7 key 4 intervention 10 : 6 four 7 key 7 key 9 elements 8 intervention 9 elements 10 : 14 )(adaptation 10 : 18 to 14 )(adaptation 15 of 15 of 17 criteria 16 beers 17 criteria 18 to 33 discontinuation 19 the 33 discontinuation 20 swiss 27 identification 20 swiss 31 ) 20 swiss 33 discontinuation 23 ( 27 identification 24 ii 25 ) 24 ii 27 identification 26 im 27 identification 27 identification 30 iii 27 identification 31 ) 29 ( 30 iii 30 iii 31 ) 32 im 33 discontinuation 34 ; 39 staff 36 ( 37 iv 37 iv 38 ) 37 iv 39 staff 39 staff 40 training main outcome measure : im prescription at study [start] , after the 4 - month intervention period [and] at 1 - [year] follow - up . 0 ###LEFT-WALL### 3 measure 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 26 . 1 main 2 outcome 2 outcome 3 measure 3 measure 4 : 4 : 6 prescription 4 : 7 at 4 : 11 after 4 : 25 up 5 im 6 prescription 7 at 8 study 10 , 11 after 11 after 13 4 11 after 23 follow 11 after 24 - 12 the 13 4 13 4 17 period 13 4 23 follow 14 - 17 period 15 month 17 period 16 intervention 17 period 17 period 19 at 17 period 21 - 19 at 20 1 results : the mean ± sd resident age was 80.3 ± 8.8 years . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 . 2 : 8 age 2 : 9 was 3 the 8 age 4 mean 8 age 5 ± 8 age 6 sd 8 age 7 resident 8 age 8 age 9 was 9 was 13 years 10 80.3 13 years 11 ± 13 years 12 8.8 13 years residents were prescribed a mean ± sd 7.8 ± 4.0 medications . 0 ###LEFT-WALL### 1 residents 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 12 . 1 residents 2 were 2 were 11 medications 3 prescribed 11 medications 4 a 5 mean 4 a 7 sd 5 mean 7 sd 6 ± 7 sd 7 sd 11 medications 8 7.8 11 medications 9 ± 11 medications 10 4.0 11 medications the prescription rate of ims decreased from 14.5 % pre - intervention to 2.8 % post - intervention ( relative risk [[] [rr] ] = 0.2 [;] 95 % ci 0.06 , 0.5 ) . 0 ###LEFT-WALL### 3 rate 0 ###LEFT-WALL### 25 = 0 ###LEFT-WALL### 35 . 1 the 3 rate 2 prescription 3 rate 3 rate 4 of 3 rate 25 = 4 of 5 ims 5 ims 6 decreased 5 ims 7 from 5 ims 12 intervention 5 ims 18 intervention 7 from 10 pre 8 14.5 9 % 9 % 10 pre 11 - 12 intervention 12 intervention 13 to 12 intervention 17 - 13 to 16 post 14 2.8 15 % 15 % 16 post 17 - 18 intervention 18 intervention 21 risk 18 intervention 24 ] 19 ( 21 risk 20 relative 21 risk 21 risk 24 ] 25 = 30 ci 26 0.2 30 ci 28 95 30 ci 29 % 30 ci 30 ci 31 0.06 30 ci 33 0.5 32 , 33 0.5 33 0.5 34 ) the risk of im prescription increased nonstatistically significantly in the 1 - [year] follow - up period compared with post - intervention ( rr [=] 1.6 [;] 95 % ci 0.5 , 6.1 ) . 0 ###LEFT-WALL### 2 risk 0 ###LEFT-WALL### 6 increased 0 ###LEFT-WALL### 12 - 1 the 2 risk 2 risk 3 of 2 risk 6 increased 3 of 5 prescription 4 im 5 prescription 6 increased 7 nonstatistically 6 increased 8 significantly 6 increased 9 in 9 in 11 1 10 the 11 1 12 - 14 follow 12 - 35 . 14 follow 16 up 15 - 16 up 16 up 17 period 16 up 34 ) 17 period 18 compared 18 compared 19 with 19 with 20 post 20 post 22 intervention 21 - 22 intervention 22 intervention 30 ci 22 intervention 33 6.1 22 intervention 34 ) 23 ( 30 ci 24 rr 30 ci 26 1.6 30 ci 28 95 30 ci 29 % 30 ci 30 ci 31 0.5 30 ci 32 , 32 , 33 6.1 33 6.1 34 ) conclusions : this intervention to reduce im prescriptions based on explicit beers criteria was feasible , [easy] to implement in an nh setting , and resulted in a substantial decrease in ims . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 intervention 2 : 14 was 2 : 16 , 2 : 33 . 3 this 4 intervention 4 intervention 5 to 4 intervention 6 reduce 4 intervention 14 was 5 to 6 reduce 6 reduce 8 prescriptions 6 reduce 10 on 7 im 8 prescriptions 8 prescriptions 9 based 10 on 13 criteria 11 explicit 13 criteria 12 beers 13 criteria 14 was 15 feasible 16 , 18 to 16 , 25 and 18 to 25 and 19 implement 20 in 19 implement 23 setting 19 implement 25 and 20 in 22 nh 21 an 22 nh 24 , 25 and 25 and 26 resulted 25 and 27 in 25 and 31 in 27 in 30 decrease 28 a 29 substantial 28 a 30 decrease 29 substantial 30 decrease 31 in 32 ims these results underscore the importance of involving nursing staff in the medication prescription process in a long - term care setting . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 underscore 0 ###LEFT-WALL### 22 . 1 these 2 results 2 results 3 underscore 3 underscore 5 importance 3 underscore 10 in 3 underscore 15 in 4 the 5 importance 5 importance 6 of 6 of 7 involving 7 involving 8 nursing 8 nursing 9 staff 10 in 14 process 11 the 14 process 12 medication 14 process 13 prescription 14 process 15 in 20 care 16 a 17 long 16 a 20 care 17 long 18 - 17 long 19 term 19 term 20 care 20 care 21 setting background : medications with anticholinergic properties are frequently used in the elderly population . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 medications 2 : 9 used 2 : 14 . 3 medications 4 with 3 medications 7 are 4 with 6 properties 5 anticholinergic 6 properties 7 are 8 frequently 7 are 9 used 9 used 10 in 10 in 13 population 11 the 13 population 12 elderly 13 population however , evidence suggests that these medications are associated with significant adverse effects and may lead to worsening of cognitive impairment , particularly in elderly patients with dementia . 0 ###LEFT-WALL### 3 evidence 0 ###LEFT-WALL### 4 suggests 1 however 2 , 1 however 3 evidence 3 evidence 4 suggests 4 suggests 5 that 5 that 7 medications 5 that 8 are 6 these 7 medications 7 medications 8 are 8 are 14 and 9 associated 10 with 9 associated 14 and 10 with 13 effects 11 significant 13 effects 12 adverse 13 effects 14 and 15 may 15 may 16 lead 16 lead 17 to 17 to 18 worsening 18 worsening 19 of 19 of 21 impairment 20 cognitive 21 impairment 21 impairment 24 in 22 , 23 particularly 22 , 24 in 24 in 26 patients 24 in 29 . 25 elderly 26 patients 26 patients 27 with 27 with 28 dementia objective : to examine the utilization of anticholinergic medications and factors associated with anticholinergic medication use in elderly nursing home patients with dementia . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 10 and 2 : 24 . 3 to 10 and 4 examine 6 utilization 4 examine 10 and 5 the 6 utilization 6 utilization 7 of 7 of 9 medications 8 anticholinergic 9 medications 10 and 11 factors 11 factors 12 associated 11 factors 13 with 11 factors 17 in 13 with 16 use 14 anticholinergic 15 medication 15 medication 16 use 17 in 21 patients 18 elderly 19 nursing 19 nursing 21 patients 20 home 21 patients 21 patients 22 with 22 with 23 dementia methods : the study examined anticholinergic medication utilization for patients aged ≥65 years with dementia , using the 2004 us national nursing home survey ( nnhs ) data . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 aged 2 : 4 study 2 : 5 examined 3 the 4 study 4 study 5 examined 5 examined 8 utilization 5 examined 9 for 6 anticholinergic 7 medication 7 medication 8 utilization 9 for 10 patients 10 patients 11 aged 11 aged 13 years 12 ≥65 13 years 13 years 14 with 13 years 17 using 14 with 15 dementia 16 , 17 using 17 using 28 data 17 using 29 . 18 the 19 2004 19 2004 28 data 20 us 21 national 21 national 22 nursing 22 nursing 23 home 23 home 24 survey 24 survey 26 nnhs 25 ( 26 nnhs 26 nnhs 27 ) 26 nnhs 28 data anticholinergic drugs were identified using the anticholinergic drug scale ( ads ) , which classifies anticholinergic drugs into four levels in increasing order of their anticholinergic activity . 0 ###LEFT-WALL### 2 drugs 0 ###LEFT-WALL### 4 identified 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 28 . 1 anticholinergic 2 drugs 2 drugs 3 were 3 were 4 identified 4 identified 5 using 5 using 9 scale 6 the 9 scale 7 anticholinergic 8 drug 8 drug 9 scale 9 scale 11 ads 10 ( 11 ads 11 ads 12 ) 13 , 14 which 13 , 15 classifies 14 which 15 classifies 15 classifies 17 drugs 15 classifies 18 into 15 classifies 21 in 16 anticholinergic 17 drugs 18 into 20 levels 19 four 20 levels 21 in 22 increasing 22 increasing 23 order 23 order 24 of 24 of 27 activity 25 their 27 activity 26 anticholinergic 27 activity descriptive analysis was conducted using sampling weights to determine the prevalence of anticholinergic medication use . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 4 conducted 0 ###LEFT-WALL### 16 . 1 descriptive 2 analysis 2 analysis 3 was 3 was 4 conducted 4 conducted 5 using 5 using 7 weights 5 using 8 to 6 sampling 7 weights 8 to 9 determine 9 determine 11 prevalence 10 the 11 prevalence 11 prevalence 12 of 12 of 15 use 13 anticholinergic 14 medication 14 medication 15 use multiple logistic regression within the conceptual framework of the andersen behavioral model was used to examine the factors associated with anticholinergic medication use in the study population . 0 ###LEFT-WALL### 3 regression 0 ###LEFT-WALL### 14 used 0 ###LEFT-WALL### 28 . 1 multiple 3 regression 2 logistic 3 regression 3 regression 4 within 3 regression 13 was 4 within 7 framework 5 the 7 framework 6 conceptual 7 framework 7 framework 8 of 8 of 12 model 9 the 12 model 10 andersen 11 behavioral 11 behavioral 12 model 13 was 14 used 14 used 15 to 14 used 24 in 15 to 16 examine 16 examine 18 factors 16 examine 20 with 17 the 18 factors 18 factors 19 associated 20 with 23 use 21 anticholinergic 22 medication 22 medication 23 use 24 in 27 population 25 the 27 population 26 study 27 population use of medications with marked anticholinergic activities ( ads level 2 or 3 ) was the dependent variable , and independent variables were the various predisposing , enabling and need factors . 0 ###LEFT-WALL### 1 use 0 ###LEFT-WALL### 15 was 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 32 . 1 use 2 of 1 use 15 was 2 of 3 medications 3 medications 4 with 3 medications 9 ads 4 with 7 activities 5 marked 7 activities 6 anticholinergic 7 activities 8 ( 9 ads 9 ads 10 level 9 ads 14 ) 10 level 12 or 11 2 12 or 12 or 13 3 15 was 18 variable 16 the 18 variable 17 dependent 18 variable 19 , 20 and 20 and 22 variables 20 and 23 were 21 independent 22 variables 22 variables 23 were 23 were 29 and 24 the 26 predisposing 25 various 26 predisposing 26 predisposing 27 , 27 , 28 enabling 27 , 29 and 29 and 31 factors 30 need 31 factors results : according [to] the 2004 nnhs , 509,931 ( 95 % ci 490,160 , 529,702 ) or 73.62 % ( 95 % ci 72.23 , 75.00 ) [of] elderly patients with dementia used anticholinergic medications . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 according 2 : 34 used 2 : 37 . 3 according 6 2004 3 according 7 nnhs 3 according 18 or 3 according 32 with 3 according 34 used 5 the 6 2004 7 nnhs 9 509,931 8 , 9 509,931 9 509,931 13 ci 9 509,931 16 529,702 9 509,931 17 ) 10 ( 13 ci 11 95 13 ci 12 % 13 ci 13 ci 14 490,160 13 ci 15 , 15 , 16 529,702 16 529,702 17 ) 18 or 20 % 18 or 31 patients 19 73.62 20 % 20 % 24 ci 21 ( 24 ci 22 95 24 ci 23 % 24 ci 24 ci 25 72.23 24 ci 27 75.00 24 ci 28 ) 26 , 27 75.00 27 75.00 28 ) 30 elderly 31 patients 32 with 33 dementia 34 used 36 medications 35 anticholinergic 36 medications the highest prevalence of anticholinergic medication use among elderly patients with dementia was seen for level - 1 medications ( 67.96 % ; 95 % ci 66.51 , 69.41 ) , [and] 21.27 % ( 95 % ci 19.93 , 22.60 ) used ads level - 2 or [level] - 3 medications . 0 ###LEFT-WALL### 3 prevalence 0 ###LEFT-WALL### 23 ; 0 ###LEFT-WALL### 50 - 0 ###LEFT-WALL### 53 . 1 the 2 highest 1 the 3 prevalence 3 prevalence 4 of 3 prevalence 13 was 4 of 7 use 5 anticholinergic 7 use 6 medication 7 use 7 use 8 among 7 use 11 with 8 among 10 patients 9 elderly 10 patients 11 with 12 dementia 13 was 14 seen 14 seen 15 for 15 for 16 level 16 level 19 medications 17 - 19 medications 18 1 19 medications 19 medications 22 % 19 medications 23 ; 20 ( 22 % 21 67.96 22 % 22 % 23 ; 23 ; 26 ci 23 ; 43 used 24 95 26 ci 25 % 26 ci 26 ci 27 66.51 26 ci 29 69.41 26 ci 34 % 26 ci 41 22.60 26 ci 43 used 28 , 29 69.41 29 69.41 30 ) 31 , 34 % 33 21.27 34 % 34 % 38 ci 34 % 40 , 35 ( 38 ci 36 95 38 ci 37 % 38 ci 38 ci 39 19.93 38 ci 40 , 40 , 41 22.60 41 22.60 42 ) 43 used 44 ads 43 used 48 or 44 ads 45 level 46 - 47 2 47 2 48 or 48 or 50 - 50 - 52 medications 51 3 52 medications multivariate regression analysis showed that the predisposing factor of age was negatively associated with the use of medications with marked anticholinergic activities ( ads level 2 or 3 ) and the enabling factor of medicaid as the source of payment increased the likelihood of receiving these higher - level anticholinergics . 0 ###LEFT-WALL### 30 and 1 multivariate 13 associated 1 multivariate 14 with 1 multivariate 17 of 1 multivariate 30 and 2 regression 3 analysis 3 analysis 4 showed 4 showed 5 that 4 showed 8 factor 4 showed 13 associated 6 the 8 factor 7 predisposing 8 factor 8 factor 9 of 8 factor 11 was 9 of 10 age 11 was 12 negatively 11 was 13 associated 14 with 16 use 15 the 16 use 17 of 18 medications 18 medications 19 with 19 with 22 activities 20 marked 22 activities 21 anticholinergic 22 activities 22 activities 24 ads 23 ( 24 ads 24 ads 25 level 24 ads 29 ) 25 level 27 or 26 2 27 or 27 or 28 3 30 and 33 factor 30 and 34 of 31 the 33 factor 32 enabling 33 factor 34 of 35 medicaid 35 medicaid 41 increased 36 as 38 source 36 as 41 increased 37 the 38 source 38 source 39 of 38 source 41 increased 39 of 40 payment 41 increased 43 likelihood 41 increased 51 . 42 the 43 likelihood 43 likelihood 44 of 44 of 45 receiving 45 receiving 50 anticholinergics 46 these 50 anticholinergics 47 higher 48 - 47 higher 50 anticholinergics 49 level 50 anticholinergics among the need factors , dependence in decision [-] making ability and behavioural symptoms decreased the likelihood of receiving higher - level anticholinergics , whereas factors such as total number of medications , depressed mood indicators and diagnoses of schizophrenia , anxiety and parkinson 's disease increased the likelihood of use of such medications . 1 among 3 need 1 among 4 factors 2 the 3 need 4 factors 12 and 4 factors 22 level 5 , 12 and 6 dependence 7 in 6 dependence 12 and 7 in 11 ability 8 decision 11 ability 10 making 11 ability 12 and 13 behavioural 12 and 14 symptoms 12 and 19 receiving 12 and 21 - 14 symptoms 15 decreased 15 decreased 17 likelihood 16 the 17 likelihood 17 likelihood 18 of 18 of 19 receiving 19 receiving 20 higher 22 level 23 anticholinergics 22 level 25 whereas 24 , 25 whereas 25 whereas 26 factors 25 whereas 47 increased 25 whereas 55 . 26 factors 28 as 26 factors 39 of 26 factors 47 increased 27 such 28 as 28 as 37 and 29 total 30 number 30 number 31 of 30 number 33 , 31 of 32 medications 33 , 36 indicators 33 , 37 and 34 depressed 35 mood 35 mood 36 indicators 37 and 38 diagnoses 39 of 43 and 40 schizophrenia 41 , 41 , 42 anxiety 41 , 43 and 43 and 46 disease 44 parkinson 45 's 45 's 46 disease 47 increased 49 likelihood 48 the 49 likelihood 49 likelihood 50 of 50 of 51 use 51 use 52 of 52 of 54 medications 53 such 54 medications conclusions : over one in five elderly nursing home residents with dementia used medications with marked anticholinergic activities . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 10 residents 2 : 13 used 2 : 19 . 3 over 5 in 3 over 10 residents 4 one 5 in 6 five 10 residents 7 elderly 8 nursing 8 nursing 10 residents 9 home 10 residents 10 residents 11 with 10 residents 13 used 11 with 12 dementia 13 used 14 medications 13 used 15 with 15 with 18 activities 16 marked 18 activities 17 anticholinergic 18 activities the study findings suggest the need to optimize the use of anticholinergic medications in vulnerable patients with dementia given the potentially severe adverse cognitive effects of these agents . 0 ###LEFT-WALL### 3 findings 0 ###LEFT-WALL### 4 suggest 0 ###LEFT-WALL### 29 . 1 the 3 findings 2 study 3 findings 3 findings 4 suggest 4 suggest 6 need 4 suggest 17 with 5 the 6 need 6 need 7 to 6 need 8 optimize 7 to 8 optimize 8 optimize 10 use 8 optimize 14 in 9 the 10 use 10 use 11 of 11 of 13 medications 12 anticholinergic 13 medications 14 in 16 patients 15 vulnerable 16 patients 17 with 18 dementia 18 dementia 19 given 18 dementia 26 of 19 given 25 effects 20 the 25 effects 21 potentially 22 severe 22 severe 25 effects 23 adverse 25 effects 24 cognitive 25 effects 26 of 28 agents 27 these 28 agents although topical creams and other anti - aging products purport to reduce the appearance of aging and skin wrinkling , there has been no critical analysis in the scientific literature of their effectiveness . 0 ###LEFT-WALL### 10 purport 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 34 . 1 although 4 and 1 although 10 purport 2 topical 3 creams 3 creams 4 and 4 and 9 products 5 other 9 products 6 anti 7 - 6 anti 9 products 8 aging 9 products 10 purport 11 to 10 purport 12 reduce 11 to 12 reduce 12 reduce 17 and 13 the 14 appearance 14 appearance 15 of 14 appearance 17 and 15 of 16 aging 17 and 18 skin 17 and 19 wrinkling 20 , 21 there 20 , 23 been 21 there 22 has 22 has 23 been 23 been 26 analysis 24 no 26 analysis 25 critical 26 analysis 26 analysis 27 in 27 in 30 literature 28 the 30 literature 29 scientific 30 literature 30 literature 31 of 31 of 33 effectiveness 32 their 33 effectiveness this systematic review critically evaluates the evidence for the effectiveness or efficacy of botanical treatments in reducing skin aging and wrinkling . 0 ###LEFT-WALL### 3 review 0 ###LEFT-WALL### 5 evaluates 0 ###LEFT-WALL### 22 . 1 this 2 systematic 2 systematic 3 review 3 review 5 evaluates 4 critically 5 evaluates 5 evaluates 7 evidence 6 the 7 evidence 7 evidence 8 for 7 evidence 13 of 8 for 11 or 9 the 10 effectiveness 10 effectiveness 11 or 11 or 12 efficacy 13 of 20 and 14 botanical 15 treatments 15 treatments 16 in 15 treatments 19 aging 15 treatments 20 and 16 in 17 reducing 17 reducing 18 skin 20 and 21 wrinkling medline , embase , cinahl® , central and amed databases were searched from their inception until october 2009 . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 12 searched 0 ###LEFT-WALL### 19 . 1 medline 2 , 1 medline 8 and 3 embase 4 , 4 , 5 cinahl® 4 , 6 , 6 , 7 central 6 , 8 and 8 and 10 databases 8 and 11 were 9 amed 10 databases 11 were 12 searched 12 searched 13 from 12 searched 16 until 13 from 15 inception 14 their 15 inception 16 until 17 october 17 october 18 2009 reference lists of retrieved articles were hand - searched . 0 ###LEFT-WALL### 2 lists 0 ###LEFT-WALL### 7 hand 1 reference 2 lists 2 lists 3 of 2 lists 6 were 3 of 5 articles 4 retrieved 5 articles 6 were 7 hand 7 hand 9 searched 8 - 9 searched 9 searched 10 . manufacturers and professional associations were contacted in order to identify further [non] - published studies . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 13 - 1 manufacturers 2 and 2 and 3 professional 2 and 4 associations 2 and 10 identify 4 associations 5 were 5 were 6 contacted 6 contacted 7 in 7 in 8 order 8 order 9 to 8 order 10 identify 9 to 10 identify 10 identify 11 further 13 - 15 studies 13 - 16 . 14 published 15 studies no language restrictions were applied . 0 ###LEFT-WALL### 3 restrictions 0 ###LEFT-WALL### 5 applied 0 ###LEFT-WALL### 6 . 1 no 3 restrictions 2 language 3 restrictions 3 restrictions 4 were 4 were 5 applied only randomized clinical trials or controlled clinical trials assessing the effectiveness of botanical extracts in reducing wrinkling and aging of the skin were included . 0 ###LEFT-WALL### 5 or 0 ###LEFT-WALL### 25 . 1 only 2 randomized 2 randomized 4 trials 2 randomized 5 or 3 clinical 4 trials 5 or 6 controlled 6 controlled 8 trials 7 clinical 8 trials 8 trials 9 assessing 9 assessing 18 and 9 assessing 24 included 10 the 11 effectiveness 11 effectiveness 12 of 11 effectiveness 17 wrinkling 11 effectiveness 18 and 12 of 14 extracts 13 botanical 14 extracts 14 extracts 15 in 15 in 16 reducing 18 and 19 aging 18 and 23 were 19 aging 20 of 20 of 22 skin 21 the 22 skin 23 were 24 included data were extracted by two independent reviewers and methodological quality was assessed using the jadad score and key aspects of the cochrane risk of bias tool . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 3 extracted 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 26 tool 0 ###LEFT-WALL### 27 . 1 data 2 were 2 were 3 extracted 3 extracted 4 by 4 by 7 reviewers 5 two 7 reviewers 6 independent 7 reviewers 8 and 10 quality 8 and 12 assessed 9 methodological 10 quality 10 quality 11 was 11 was 12 assessed 12 assessed 13 using 13 using 17 and 14 the 16 score 15 jadad 16 score 16 score 17 and 17 and 18 key 17 and 19 aspects 17 and 26 tool 19 aspects 20 of 19 aspects 26 tool 20 of 23 risk 21 the 23 risk 22 cochrane 23 risk 23 risk 24 of 24 of 25 bias of 36 potentially relevant studies , 11 trials of botanical extracts for reducing skin wrinkling and the appearance of aging met all the inclusion criteria . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 21 met 0 ###LEFT-WALL### 26 . 1 of 2 36 1 of 16 and 3 potentially 16 and 4 relevant 5 studies 5 studies 6 , 6 , 8 trials 6 , 16 and 7 11 8 trials 8 trials 9 of 9 of 11 extracts 10 botanical 11 extracts 11 extracts 12 for 12 for 13 reducing 13 reducing 14 skin 14 skin 15 wrinkling 16 and 18 appearance 16 and 19 of 16 and 21 met 17 the 18 appearance 19 of 20 aging 21 met 22 all 22 all 23 the 22 all 25 criteria 23 the 25 criteria 24 inclusion 25 criteria no trials were identified following contact with anti - aging and cosmetic organizations , companies and professional bodies . 0 ###LEFT-WALL### 2 trials 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 19 . 1 no 2 trials 2 trials 3 were 3 were 6 contact 3 were 7 with 4 identified 5 following 5 following 6 contact 7 with 16 and 8 anti 9 - 8 anti 10 aging 10 aging 11 and 11 and 12 cosmetic 11 and 13 organizations 13 organizations 14 , 14 , 15 companies 14 , 16 and 16 and 18 bodies 17 professional 18 bodies a significant reduction in skin wrinkling was noted for date kernel extract , cork extract , soy extract , rosaceae and peony extract . 0 ###LEFT-WALL### 3 reduction 0 ###LEFT-WALL### 8 noted 0 ###LEFT-WALL### 24 . 1 a 2 significant 1 a 3 reduction 2 significant 3 reduction 3 reduction 4 in 3 reduction 7 was 4 in 5 skin 5 skin 6 wrinkling 7 was 8 noted 8 noted 9 for 9 for 21 and 10 date 12 extract 11 kernel 12 extract 12 extract 13 , 13 , 15 extract 13 , 16 , 14 cork 15 extract 16 , 18 extract 16 , 19 , 17 soy 18 extract 19 , 20 rosaceae 19 , 21 and 21 and 23 extract 22 peony 23 extract no significant reduction was noted for green tea , vitaphenol® ( a combination of green and white teas , mangosteen and pomegranate extract ) or maca root . 0 ###LEFT-WALL### 3 reduction 0 ###LEFT-WALL### 5 noted 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 28 . 1 no 3 reduction 2 significant 3 reduction 3 reduction 4 was 4 was 5 noted 5 noted 6 for 6 for 8 tea 7 green 8 tea 9 , 25 or 10 vitaphenol® 13 combination 10 vitaphenol® 19 , 10 vitaphenol® 20 mangosteen 11 ( 13 combination 12 a 13 combination 13 combination 14 of 13 combination 19 , 14 of 18 teas 15 green 16 and 16 and 17 white 16 and 18 teas 20 mangosteen 21 and 21 and 23 extract 21 and 24 ) 21 and 25 or 22 pomegranate 23 extract 25 or 27 root 26 maca 27 root all trials were of poor methodological quality . 0 ###LEFT-WALL### 2 trials 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 8 . 1 all 2 trials 2 trials 3 were 3 were 4 of 4 of 7 quality 5 poor 7 quality 6 methodological 7 quality adverse effects were frequently not reported . 0 ###LEFT-WALL### 2 effects 0 ###LEFT-WALL### 6 reported 0 ###LEFT-WALL### 7 . 1 adverse 2 effects 2 effects 3 were 3 were 5 not 3 were 6 reported 4 frequently 5 not in summary , there is some weak evidence to suggest that several botanical extracts may be effective in reducing the appearance of skin aging but no evidence that this effect is enduring . 0 ###LEFT-WALL### 2 summary 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 10 suggest 1 in 2 summary 3 , 4 there 3 , 5 is 4 there 5 is 5 is 8 evidence 5 is 9 to 6 some 8 evidence 7 weak 8 evidence 9 to 10 suggest 10 suggest 11 that 11 that 14 extracts 11 that 16 be 12 several 14 extracts 13 botanical 14 extracts 14 extracts 15 may 15 may 16 be 16 be 17 effective 17 effective 18 in 18 in 19 reducing 19 reducing 21 appearance 19 reducing 25 but 20 the 21 appearance 21 appearance 22 of 22 of 23 skin 23 skin 24 aging 25 but 27 evidence 26 no 27 evidence 27 evidence 28 that 28 that 30 effect 28 that 32 enduring 29 this 30 effect 30 effect 31 is 31 is 32 enduring 32 enduring 33 . independent replications with larger , more diverse samples , longer treatment durations and more rigorous study designs are required to validate these preliminary findings . 0 ###LEFT-WALL### 17 designs 0 ###LEFT-WALL### 19 required 0 ###LEFT-WALL### 25 . 1 independent 16 study 2 replications 3 with 2 replications 9 , 3 with 8 samples 4 larger 5 , 4 larger 8 samples 6 more 7 diverse 7 diverse 8 samples 9 , 12 durations 9 , 13 and 10 longer 11 treatment 11 treatment 12 durations 13 and 14 more 13 and 16 study 15 rigorous 16 study 16 study 17 designs 17 designs 18 are 18 are 19 required 19 required 20 to 19 required 21 validate 20 to 21 validate 21 validate 24 findings 22 these 24 findings 23 preliminary 24 findings a perceived lack of evidence for benefit [and] safety concerns may lead to underprescription of hmg - coa reductase inhibitors ( statins ) in older adults . 0 ###LEFT-WALL### 3 lack 0 ###LEFT-WALL### 12 lead 0 ###LEFT-WALL### 27 . 1 a 3 lack 2 perceived 3 lack 3 lack 4 of 3 lack 11 may 4 of 5 evidence 5 evidence 6 for 6 for 10 concerns 7 benefit 10 concerns 9 safety 10 concerns 11 may 12 lead 12 lead 13 to 12 lead 24 in 13 to 14 underprescription 14 underprescription 15 of 15 of 16 hmg 16 hmg 20 inhibitors 17 - 20 inhibitors 18 coa 20 inhibitors 19 reductase 20 inhibitors 20 inhibitors 22 statins 20 inhibitors 23 ) 21 ( 22 statins 22 statins 23 ) 24 in 26 adults 25 older 26 adults this article reviews clinical data regarding the effect of lipid [-] lowering therapies on cardiovascular outcomes in older adults with a focus on secondary prevention and safety considerations in this population . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 reviews 0 ###LEFT-WALL### 32 . 1 this 2 article 2 article 3 reviews 3 reviews 5 data 3 reviews 14 on 3 reviews 17 in 3 reviews 20 with 4 clinical 5 data 5 data 6 regarding 6 regarding 8 effect 7 the 8 effect 8 effect 9 of 9 of 13 therapies 10 lipid 13 therapies 12 lowering 13 therapies 14 on 16 outcomes 15 cardiovascular 16 outcomes 17 in 19 adults 18 older 19 adults 20 with 22 focus 21 a 22 focus 22 focus 23 on 23 on 26 and 24 secondary 25 prevention 25 prevention 26 and 26 and 28 considerations 26 and 29 in 27 safety 28 considerations 29 in 31 population 30 this 31 population a literature search of the pubmed database ( january 1984 to [april] 2009 ) was performed using search terms that included : ['] aged ['] ( [mesh] heading [ )( ['] elderly ['] , ['] anticholesteremic agents ['] , ['] antilipemic agents ' , ['] hydroxymethylglutaryl - coa reductase inhibitors ['] , ['] cardiovascular diseases ' , ['] randomized controlled trial ['] , ['] meta - analysis ['] and ['] drug safety ['] . 1 a 2 literature 1 a 3 search 2 literature 3 search 3 search 4 of 3 search 15 was 4 of 7 database 5 the 7 database 6 pubmed 7 database 7 database 9 january 8 ( 9 january 9 january 11 to 9 january 14 ) 10 1984 11 to 11 to 13 2009 15 was 16 performed 16 performed 17 using 16 performed 28 heading 17 using 19 terms 18 search 19 terms 19 terms 20 that 19 terms 22 : 19 terms 24 aged 20 that 21 included 20 that 22 : 26 ( 28 heading 28 heading 37 agents 32 elderly 34 , 32 elderly 37 agents 36 anticholesteremic 37 agents 37 agents 43 ' 37 agents 47 - 39 , 43 ' 41 antilipemic 42 agents 42 agents 43 ' 43 ' 44 , 44 , 47 - 46 hydroxymethylglutaryl 47 - 47 - 48 coa 48 coa 50 inhibitors 48 coa 60 controlled 49 reductase 50 inhibitors 50 inhibitors 56 ' 50 inhibitors 59 randomized 50 inhibitors 60 controlled 52 , 56 ' 54 cardiovascular 55 diseases 55 diseases 56 ' 56 ' 57 , 57 , 59 randomized 60 controlled 69 and 61 trial 63 , 63 , 67 analysis 63 , 69 and 65 meta 66 - 65 meta 67 analysis 69 and 72 safety 69 and 74 . 71 drug 72 safety results from large , randomized [,] controlled trials show that statin therapy lowers both all - [cause] and coronary heart disease mortality and reduces myocardial infarction , stroke and the need for revascularization in individuals aged ≥65 years who have a history of coronary heart disease . 1 results 2 from 1 results 9 show 2 from 8 trials 3 large 4 , 3 large 8 trials 5 randomized 8 trials 7 controlled 8 trials 9 show 11 statin 9 show 12 therapy 10 that 11 statin 12 therapy 23 and 13 lowers 18 and 13 lowers 23 and 14 both 18 and 15 all 18 and 16 - 18 and 18 and 22 mortality 19 coronary 21 disease 20 heart 21 disease 21 disease 22 mortality 23 and 24 reduces 24 reduces 26 infarction 25 myocardial 26 infarction 26 infarction 38 years 27 , 38 years 28 stroke 29 and 29 and 31 need 29 and 32 for 29 and 36 aged 29 and 38 years 30 the 31 need 32 for 33 revascularization 33 revascularization 34 in 34 in 35 individuals 37 ≥65 38 years 38 years 39 who 38 years 40 have 38 years 47 . 39 who 40 have 40 have 42 history 41 a 42 history 42 history 43 of 43 of 46 disease 44 coronary 45 heart 45 heart 46 disease given the high rate of recurrent cardiovascular events in older adults , there is substantial potential for statin treatment to provide benefits in this population . 0 ###LEFT-WALL### 13 there 0 ###LEFT-WALL### 14 is 0 ###LEFT-WALL### 26 . 1 given 4 rate 1 given 9 in 1 given 12 , 1 given 13 there 2 the 4 rate 3 high 4 rate 4 rate 5 of 5 of 8 events 6 recurrent 8 events 7 cardiovascular 8 events 9 in 11 adults 10 older 11 adults 13 there 14 is 14 is 16 potential 15 substantial 16 potential 16 potential 17 for 16 potential 20 to 16 potential 21 provide 17 for 19 treatment 18 statin 19 treatment 20 to 21 provide 21 provide 22 benefits 21 provide 23 in 23 in 25 population 24 this 25 population when older patients are prescribed statins , attention should be given to potential drug interactions , age - related changes in drug pharmacokinetics , adverse effects such as myopathy and risks arising from co - morbid conditions . 0 ###LEFT-WALL### 8 attention 0 ###LEFT-WALL### 11 given 0 ###LEFT-WALL### 19 related 0 ###LEFT-WALL### 38 . 1 when 3 patients 1 when 4 are 1 when 7 , 1 when 8 attention 2 older 3 patients 3 patients 4 are 4 are 6 statins 5 prescribed 6 statins 8 attention 9 should 9 should 10 be 10 be 11 given 11 given 12 to 12 to 15 interactions 13 potential 15 interactions 14 drug 15 interactions 15 interactions 17 age 16 , 17 age 17 age 18 - 18 - 19 related 19 related 30 and 20 changes 21 in 20 changes 24 , 21 in 23 pharmacokinetics 22 drug 23 pharmacokinetics 24 , 26 effects 24 , 30 and 25 adverse 26 effects 26 effects 28 as 27 such 28 as 28 as 29 myopathy 30 and 31 risks 30 and 32 arising 30 and 33 from 33 from 37 conditions 34 co 35 - 34 co 37 conditions 36 morbid 37 conditions additional studies on the benefits and risks [of] lipid - lowering therapy in individuals aged ≥70 years who have no history of cardiovascular disease , and particularly in those aged ≥80 years , are needed . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 35 needed 0 ###LEFT-WALL### 36 . 1 additional 2 studies 2 studies 3 on 2 studies 6 and 3 on 5 benefits 4 the 5 benefits 6 and 9 lipid 6 and 11 lowering 6 and 34 are 7 risks 9 lipid 10 - 11 lowering 11 lowering 12 therapy 11 lowering 26 and 11 lowering 33 , 13 in 17 years 13 in 26 and 14 individuals 15 aged 15 aged 17 years 16 ≥70 17 years 17 years 18 who 17 years 19 have 18 who 19 have 19 have 21 history 20 no 21 history 21 history 22 of 22 of 24 disease 23 cardiovascular 24 disease 25 , 26 and 26 and 27 particularly 26 and 28 in 28 in 32 years 29 those 32 years 30 aged 32 years 31 ≥80 32 years 34 are 35 needed [other] available lipid - modifying drugs - bile acid sequestrants ( bile acid binding protein modulators ) , ezetimibe , niacin and fibrates ( fibric acid derivatives ) - may be required in patients who are statin - intolerant or [have] mixed dyslipidaemia , [or] in whom standard doses of statins may not be sufficient to achieve low - density lipoprotein cholesterol goals . 0 ###LEFT-WALL### 3 lipid 0 ###LEFT-WALL### 4 - 2 available 3 lipid 4 - 6 drugs 4 - 7 - 5 modifying 6 drugs 7 - 10 sequestrants 7 - 18 , 8 bile 9 acid 9 acid 10 sequestrants 10 sequestrants 13 acid 11 ( 13 acid 12 bile 13 acid 13 acid 14 binding 13 acid 17 ) 14 binding 16 modulators 15 protein 16 modulators 18 , 19 ezetimibe 19 ezetimibe 22 and 19 ezetimibe 30 may 20 , 22 and 21 niacin 22 and 22 and 23 fibrates 22 and 27 derivatives 22 and 29 - 24 ( 27 derivatives 25 fibric 27 derivatives 26 acid 27 derivatives 27 derivatives 28 ) 30 may 31 be 31 be 32 required 32 required 33 in 33 in 34 patients 34 patients 35 who 34 patients 36 are 34 patients 46 in 35 who 36 are 36 are 37 statin 37 statin 40 or 38 - 40 or 39 intolerant 40 or 40 or 43 dyslipidaemia 40 or 44 , 42 mixed 43 dyslipidaemia 46 in 47 whom 46 in 49 doses 46 in 57 achieve 48 standard 49 doses 49 doses 50 of 49 doses 52 may 50 of 51 statins 52 may 53 not 52 may 54 be 54 be 55 sufficient 55 sufficient 56 to 55 sufficient 57 achieve 56 to 57 achieve 57 achieve 58 low 58 low 63 goals 59 - 63 goals 60 density 62 cholesterol 61 lipoprotein 62 cholesterol 62 cholesterol 63 goals 63 goals 64 . background : lipoprotein ( a [ )( lp [(] [a] ) [ )(is an independent risk factor for cardiovascular disease . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 lipoprotein 2 : 13 )(is 2 : 21 . 3 lipoprotein 8 lp 3 lipoprotein 13 )(is 4 ( 8 lp 5 a 8 lp 8 lp 11 ) 13 )(is 17 factor 14 an 17 factor 15 independent 17 factor 16 risk 17 factor 17 factor 18 for 18 for 20 disease 19 cardiovascular 20 disease there is [as] yet controversy on serum lp ( [a] [ )(concentrations in the elderly population . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 1 there 2 is 2 is 4 yet 2 is 5 controversy 5 controversy 6 on 6 on 8 lp 7 serum 8 lp 8 lp 12 )(concentrations 9 ( 12 )(concentrations 12 )(concentrations 13 in 12 )(concentrations 17 . 13 in 16 population 14 the 16 population 15 elderly 16 population methods : we investigated 2128 medical outpatients who consecutively attended our laboratory between january 2006 and june 2008 for lp ( [a] [ )(and routine serum lipid assessment . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 investigated 2 : 29 . 3 we 4 investigated 4 investigated 7 outpatients 5 2128 7 outpatients 6 medical 7 outpatients 7 outpatients 8 who 7 outpatients 10 attended 8 who 10 attended 9 consecutively 10 attended 10 attended 12 laboratory 10 attended 13 between 10 attended 19 for 11 our 12 laboratory 13 between 16 and 14 january 15 2006 14 january 16 and 16 and 17 june 17 june 18 2008 19 for 24 )(and 20 lp 24 )(and 21 ( 24 )(and 24 )(and 28 assessment 25 routine 28 assessment 26 serum 28 assessment 27 lipid 28 assessment the cohort included 299 [(] 88 men and 211 women ) elderly outpatients aged > or = 75 [yrs] and 1829 ( 828 men and 1001 women ) [patients] aged < 75 yrs . 0 ###LEFT-WALL### 2 cohort 0 ###LEFT-WALL### 15 > 0 ###LEFT-WALL### 16 or 0 ###LEFT-WALL### 34 . 1 the 2 cohort 2 cohort 3 included 2 cohort 15 > 3 included 14 aged 4 299 7 men 6 88 7 men 7 men 8 and 8 and 10 women 8 and 11 ) 8 and 14 aged 9 211 10 women 12 elderly 13 outpatients 13 outpatients 14 aged 16 or 20 and 16 or 30 aged 17 = 18 75 18 75 20 and 20 and 21 1829 20 and 25 and 20 and 30 aged 22 ( 25 and 23 828 24 men 24 men 25 and 25 and 27 women 25 and 28 ) 26 1001 27 women 30 aged 33 yrs 31 < 32 75 32 75 33 yrs results : compared with those aged < 75 yrs , elderly male patients had an overall more favourable traditional lipid profile , including lower values of cholesterol , triglycerides , ldl - c , total to hdl - [c] ratio , atherogenic index [of] plasma and higher values of hdl - c . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 53 . 2 : 13 patients 2 : 14 had 2 : 38 - 2 : 41 , 3 compared 4 with 3 compared 10 , 3 compared 13 patients 4 with 6 aged 4 with 9 yrs 5 those 6 aged 7 < 8 75 8 75 9 yrs 11 elderly 13 patients 12 male 13 patients 13 patients 14 had 14 had 20 lipid 14 had 21 profile 15 an 16 overall 15 an 20 lipid 16 overall 20 lipid 17 more 18 favourable 18 favourable 20 lipid 19 traditional 20 lipid 21 profile 23 including 21 profile 29 triglycerides 22 , 23 including 23 including 25 values 23 including 28 , 24 lower 25 values 25 values 26 of 26 of 27 cholesterol 29 triglycerides 32 - 29 triglycerides 35 total 30 , 32 - 31 ldl 32 - 32 - 33 c 32 - 34 , 34 , 35 total 35 total 36 to 35 total 38 - 36 to 37 hdl 38 - 40 ratio 41 , 46 and 41 , 51 - 42 atherogenic 45 plasma 43 index 45 plasma 45 plasma 46 and 46 and 48 values 47 higher 48 values 48 values 49 of 49 of 50 hdl 51 - 52 c conversely , no significant differences could be observed between women aged [<] 75 [yrs] and the elderly patients . 0 ###LEFT-WALL### 5 differences 0 ###LEFT-WALL### 8 observed 0 ###LEFT-WALL### 19 . 1 conversely 2 , 1 conversely 5 differences 3 no 5 differences 4 significant 5 differences 5 differences 6 could 6 could 7 be 7 be 8 observed 8 observed 9 between 9 between 15 and 10 women 11 aged 10 women 15 and 11 aged 13 75 15 and 18 patients 16 the 18 patients 17 elderly 18 patients in both genders , elderly patients had significantly higher lp ( a [ )(median [concentrations] . 0 ###LEFT-WALL### 6 patients 0 ###LEFT-WALL### 7 had 1 in 3 genders 1 in 4 , 1 in 6 patients 2 both 3 genders 5 elderly 6 patients 6 patients 7 had 7 had 10 lp 8 significantly 9 higher 9 higher 10 lp 10 lp 14 )(median 11 ( 14 )(median 12 a 14 )(median 14 )(median 16 . however , after stratification of patients according to the current 300 [mg/l] [cardiovascular] risk threshold for lp [(] [a] [ )(, the percentages of those [>] or = 75 yrs having lp ( [a] [ )(levels above this threshold were marginally , but not significantly [,] higher in both genders ( men [:] 28 [%] versus 25 % , p = 0.499 [;] women [:] 35 [%] versus 30 % , p = 0.374 [ )( 1 however 2 , 1 however 11 300 3 after 4 stratification 3 after 11 300 4 stratification 5 of 5 of 6 patients 7 according 8 to 8 to 10 current 8 to 11 300 9 the 10 current 11 300 14 risk 14 risk 15 threshold 14 risk 16 for 16 for 27 or 17 lp 21 )(, 21 )(, 23 percentages 21 )(, 27 or 22 the 23 percentages 23 percentages 24 of 24 of 25 those 27 or 31 having 28 = 29 75 29 75 30 yrs 30 yrs 31 having 31 having 43 but 32 lp 36 )(levels 32 lp 43 but 33 ( 36 )(levels 36 )(levels 37 above 36 )(levels 39 threshold 36 )(levels 40 were 36 )(levels 42 , 38 this 39 threshold 39 threshold 40 were 40 were 41 marginally 42 , 43 but 43 but 44 not 43 but 47 higher 43 but 48 in 45 significantly 47 higher 48 in 50 genders 49 both 50 genders 50 genders 52 men 50 genders 61 = 51 ( 52 men 52 men 54 28 52 men 56 versus 52 men 59 , 56 versus 58 % 57 25 58 % 60 p 61 = 61 = 64 women 62 0.499 64 women 64 women 66 35 64 women 68 versus 68 versus 70 % 69 30 70 % 70 % 73 = 71 , 73 = 72 p 73 = 73 = 74 0.374 73 = 76 )( conclusions : the results of the present investigation suggests that elderly patients have similar or even greater lp [(] [a] [ )(values than those observed in a general population aged < 75 yrs . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 22 )(values 1 conclusions 2 : 2 : 4 results 3 the 4 results 4 results 5 of 5 of 7 present 6 the 7 present 7 present 8 investigation 7 present 22 )(values 8 investigation 9 suggests 9 suggests 12 patients 9 suggests 22 )(values 10 that 11 elderly 11 elderly 12 patients 12 patients 13 have 13 have 15 or 14 similar 15 or 15 or 16 even 17 greater 18 lp 18 lp 22 )(values 22 )(values 23 than 23 than 24 those 23 than 30 aged 23 than 33 yrs 24 those 25 observed 25 observed 26 in 25 observed 30 aged 26 in 29 population 27 a 29 population 28 general 29 population 30 aged 32 75 31 < 32 75 33 yrs 34 . accordingly , elevated serum lp [(] [a] [ )(concentrations may be compatible with longevity . 0 ###LEFT-WALL### 9 )(concentrations 0 ###LEFT-WALL### 11 be 0 ###LEFT-WALL### 15 . 1 accordingly 2 , 1 accordingly 9 )(concentrations 3 elevated 4 serum 4 serum 9 )(concentrations 5 lp 9 )(concentrations 9 )(concentrations 10 may 10 may 11 be 11 be 12 compatible 12 compatible 13 with 13 with 14 longevity mutations in [presenilin] 1 gene ( ps1 ) account for the majority of early - onset familial alzheimer 's disease ( fad ) cases . 0 ###LEFT-WALL### 1 mutations 0 ###LEFT-WALL### 9 account 0 ###LEFT-WALL### 25 . 1 mutations 2 in 1 mutations 9 account 2 in 5 gene 4 1 5 gene 5 gene 7 ps1 6 ( 7 ps1 7 ps1 8 ) 9 account 10 for 10 for 24 cases 11 the 12 majority 12 majority 13 of 12 majority 24 cases 13 of 24 cases 14 early 20 disease 14 early 23 ) 14 early 24 cases 15 - 20 disease 16 onset 18 alzheimer 17 familial 18 alzheimer 18 alzheimer 19 's 19 's 20 disease 20 disease 22 fad 20 disease 23 ) 21 ( 22 fad 22 fad 23 ) the disease is characterized by intracellular neurofibrillary tangles and extracellular amyloid fibrils composed of amyloid beta peptides ( abeta ) . 0 ###LEFT-WALL### 2 disease 0 ###LEFT-WALL### 4 characterized 0 ###LEFT-WALL### 21 . 1 the 2 disease 2 disease 3 is 3 is 4 characterized 4 characterized 5 by 5 by 9 and 6 intracellular 8 tangles 7 neurofibrillary 8 tangles 8 tangles 9 and 9 and 12 fibrils 9 and 14 of 10 extracellular 11 amyloid 11 amyloid 12 fibrils 13 composed 14 of 14 of 17 peptides 15 amyloid 17 peptides 16 beta 17 peptides 17 peptides 19 abeta 18 ( 19 abeta 19 abeta 20 ) two successive cleavages are necessary to free the abeta peptide from the amyloid precursor protein ( app ) . 0 ###LEFT-WALL### 3 cleavages 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 19 . 1 two 3 cleavages 2 successive 3 cleavages 3 cleavages 4 are 4 are 5 necessary 5 necessary 6 to 5 necessary 7 free 6 to 7 free 7 free 10 peptide 8 the 10 peptide 9 abeta 10 peptide 10 peptide 11 from 11 from 15 protein 12 the 15 protein 13 amyloid 15 protein 14 precursor 15 protein 15 protein 17 app 16 ( 17 app 17 app 18 ) gamma - secretase catalyzes the final cleavage of app to generate abeta peptides . 0 ###LEFT-WALL### 3 secretase 0 ###LEFT-WALL### 4 catalyzes 0 ###LEFT-WALL### 14 . 1 gamma 2 - 1 gamma 3 secretase 3 secretase 4 catalyzes 4 catalyzes 7 cleavage 4 catalyzes 10 to 5 the 7 cleavage 6 final 7 cleavage 7 cleavage 8 of 8 of 9 app 10 to 11 generate 11 generate 13 peptides 12 abeta 13 peptides ps1 is a catalytic subunit of gamma - [secretase] and is also involved in the cleavage of many membrane proteins . 0 ###LEFT-WALL### 1 ps1 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 21 . 1 ps1 10 and 2 is 5 subunit 2 is 10 and 3 a 4 catalytic 3 a 5 subunit 4 catalytic 5 subunit 5 subunit 6 of 6 of 7 gamma 8 - 10 and 10 and 11 is 11 is 13 involved 12 also 13 involved 13 involved 14 in 14 in 16 cleavage 15 the 16 cleavage 16 cleavage 17 of 17 of 20 proteins 18 many 20 proteins 19 membrane 20 proteins ps1 also has functional interactions with many other proteins . 0 ###LEFT-WALL### 1 ps1 0 ###LEFT-WALL### 3 has 0 ###LEFT-WALL### 10 . 1 ps1 3 has 2 also 3 has 3 has 5 interactions 3 has 6 with 4 functional 5 interactions 6 with 9 proteins 7 many 8 other 8 other 9 proteins the use of animal models of ad has initiated the deciphering of these molecular pathways and mechanisms . 0 ###LEFT-WALL### 2 use 0 ###LEFT-WALL### 9 initiated 0 ###LEFT-WALL### 18 . 1 the 2 use 2 use 3 of 2 use 8 has 3 of 5 models 4 animal 5 models 5 models 6 of 6 of 7 ad 8 has 9 initiated 9 initiated 11 deciphering 10 the 11 deciphering 11 deciphering 12 of 12 of 16 and 13 these 15 pathways 14 molecular 15 pathways 15 pathways 16 and 16 and 17 mechanisms transgenic mouse models are useful to study the features of fad and to investigate the nature of the neural - tissue changes of the disease and their evolution during aging . 0 ###LEFT-WALL### 3 models 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 31 . 1 transgenic 2 mouse 2 mouse 3 models 3 models 4 are 4 are 5 useful 5 useful 6 to 6 to 12 and 7 study 9 features 7 study 12 and 8 the 9 features 9 features 10 of 10 of 11 fad 12 and 13 to 12 and 14 investigate 13 to 14 investigate 14 investigate 26 and 14 investigate 29 during 15 the 16 nature 16 nature 17 of 16 nature 23 of 16 nature 26 and 17 of 22 changes 18 the 22 changes 19 neural 20 - 19 neural 21 tissue 21 tissue 22 changes 23 of 25 disease 24 the 25 disease 26 and 28 evolution 27 their 28 evolution 29 during 30 aging when expressed alone , mutations in human ps1 do not induce any detectable lesions , although they do increase abeta peptides . 0 ###LEFT-WALL### 5 mutations 0 ###LEFT-WALL### 19 increase 0 ###LEFT-WALL### 22 . 1 when 2 expressed 1 when 4 , 1 when 5 mutations 2 expressed 3 alone 5 mutations 6 in 5 mutations 9 do 6 in 8 ps1 7 human 8 ps1 9 do 10 not 9 do 11 induce 11 induce 14 lesions 11 induce 16 although 12 any 14 lesions 13 detectable 14 lesions 15 , 16 although 16 although 17 they 17 they 18 do 18 do 19 increase 19 increase 21 peptides 20 abeta 21 peptides this absence has led to the criticism that ps1 mouse models are not valuable for the study of ad . 0 ###LEFT-WALL### 2 absence 0 ###LEFT-WALL### 4 led 0 ###LEFT-WALL### 20 . 1 this 2 absence 2 absence 3 has 3 has 4 led 4 led 5 to 4 led 19 ad 5 to 7 criticism 6 the 7 criticism 7 criticism 8 that 7 criticism 18 of 8 that 11 models 8 that 12 are 9 ps1 11 models 10 mouse 11 models 11 models 12 are 12 are 13 not 12 are 14 valuable 13 not 14 valuable 14 valuable 15 for 15 for 17 study 16 the 17 study 17 study 18 of the objective of the present study was to evaluate effects of mesotherapy ( mt ) and electrostimulation ( ems ) on age - related changes of the facial skin . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 24 related 1 the 2 objective 2 objective 3 of 2 objective 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 16 and 9 evaluate 21 on 10 effects 11 of 10 effects 16 and 11 of 12 mesotherapy 12 mesotherapy 14 mt 13 ( 14 mt 14 mt 15 ) 16 and 17 electrostimulation 16 and 19 ems 18 ( 19 ems 19 ems 20 ) 21 on 22 age 23 - 24 related 24 related 25 changes 24 related 30 . 25 changes 26 of 26 of 29 skin 27 the 29 skin 28 facial 29 skin the secondary objective was to identify factors influencing the therapeutic efficiency of these methods . 0 ###LEFT-WALL### 3 objective 0 ###LEFT-WALL### 15 . 1 the 3 objective 2 secondary 3 objective 3 objective 4 was 4 was 5 to 4 was 6 identify 5 to 6 identify 6 identify 7 factors 7 factors 8 influencing 8 influencing 11 efficiency 9 the 11 efficiency 10 therapeutic 11 efficiency 11 efficiency 12 of 12 of 14 methods 13 these 14 methods the study included 60 women aged from 30 to 59 years . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 included 0 ###LEFT-WALL### 12 . 1 the 2 study 2 study 3 included 3 included 5 women 4 60 5 women 5 women 6 aged 6 aged 7 from 7 from 11 years 8 30 9 to 9 to 10 59 9 to 11 years all the patients were examined prior to the onset [and] in the end ( after one month ) of the corrective treatment . 0 ###LEFT-WALL### 1 all 0 ###LEFT-WALL### 5 examined 0 ###LEFT-WALL### 23 . 1 all 2 the 1 all 3 patients 1 all 4 were 2 the 3 patients 4 were 5 examined 5 examined 7 to 5 examined 11 in 6 prior 7 to 7 to 9 onset 8 the 9 onset 11 in 13 end 12 the 13 end 13 end 15 after 13 end 19 of 14 ( 15 after 15 after 17 month 15 after 18 ) 16 one 17 month 19 of 22 treatment 20 the 22 treatment 21 corrective 22 treatment facial skin conditions were assessed using a skin xp pro system and skin microcirculation by laser doppler flowmetry ( ldf ) . 0 ###LEFT-WALL### 3 conditions 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 22 . 1 facial 2 skin 2 skin 3 conditions 3 conditions 12 and 4 were 5 assessed 4 were 12 and 5 assessed 6 using 6 using 11 system 7 a 11 system 8 skin 9 xp 9 xp 11 system 10 pro 11 system 12 and 13 skin 12 and 15 by 13 skin 14 microcirculation 15 by 18 flowmetry 16 laser 18 flowmetry 17 doppler 18 flowmetry 18 flowmetry 20 ldf 19 ( 20 ldf 20 ldf 21 ) the psychological status of the patients was evaluated with the help of the well - being - activity - mood test . 0 ###LEFT-WALL### 3 status 0 ###LEFT-WALL### 8 evaluated 0 ###LEFT-WALL### 15 - 1 the 3 status 2 psychological 3 status 3 status 4 of 3 status 7 was 4 of 6 patients 5 the 6 patients 7 was 8 evaluated 8 evaluated 9 with 9 with 11 help 10 the 11 help 11 help 12 of 12 of 14 well 13 the 14 well 15 - 16 being 15 - 17 - 17 - 18 activity 17 - 19 - 19 - 21 test 19 - 22 . 20 mood 21 test after the primary examination , the participants of the study were randomly divided into two groups . 0 ###LEFT-WALL### 7 participants 0 ###LEFT-WALL### 13 divided 0 ###LEFT-WALL### 17 . 1 after 4 examination 1 after 5 , 1 after 7 participants 2 the 4 examination 3 primary 4 examination 6 the 7 participants 7 participants 8 of 7 participants 11 were 8 of 10 study 9 the 10 study 11 were 13 divided 12 randomly 13 divided 13 divided 14 into 14 into 16 groups 15 two 16 groups group 1 ( n=30 ) included women treated by mt and ems , the control group 2 ( n=30 ) was comprised of the patients who did not receive [the] above treatment . 0 ###LEFT-WALL### 1 group 1 group 2 1 2 1 11 and 2 1 15 control 3 ( 11 and 4 n=30 5 ) 4 n=30 7 women 6 included 7 women 7 women 8 treated 7 women 11 and 8 treated 9 by 9 by 10 mt 11 and 12 ems 11 and 13 , 13 , 15 control 14 the 15 control 15 control 16 group 15 control 21 was 15 control 22 comprised 15 control 23 of 15 control 33 . 16 group 17 2 16 group 19 n=30 16 group 21 was 18 ( 19 n=30 19 n=30 20 ) 23 of 25 patients 24 the 25 patients 25 patients 26 who 25 patients 27 did 26 who 27 did 27 did 28 not 27 did 29 receive 29 receive 31 above 29 receive 32 treatment the results of the study indicate that combine mt [+] ems therapy significantly improves the state of facial skin , decreases its pigmentation , reduces the number and depth of wrinkles , enhances skin moisture , improves its elasticity and decreases porosity . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 32 , 0 ###LEFT-WALL### 43 . 1 the 2 results 2 results 3 of 2 results 24 , 3 of 5 study 4 the 5 study 6 indicate 7 that 6 indicate 24 , 7 that 12 therapy 7 that 20 , 8 combine 12 therapy 9 mt 11 ems 11 ems 12 therapy 12 therapy 20 , 13 significantly 14 improves 14 improves 16 state 14 improves 20 , 15 the 16 state 16 state 17 of 17 of 19 skin 18 facial 19 skin 20 , 21 decreases 21 decreases 23 pigmentation 22 its 23 pigmentation 24 , 25 reduces 24 , 28 and 26 the 27 number 27 number 28 and 28 and 29 depth 28 and 30 of 30 of 31 wrinkles 32 , 36 , 33 enhances 35 moisture 33 enhances 36 , 34 skin 35 moisture 36 , 40 and 37 improves 39 elasticity 37 improves 40 and 38 its 39 elasticity 40 and 41 decreases 41 decreases 42 porosity dynamics of these parameters and overall effect of correction were shown to correlate with the severity of skin changes before the treatment . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 11 shown 0 ###LEFT-WALL### 23 . 1 dynamics 2 of 1 dynamics 5 and 2 of 4 parameters 3 these 4 parameters 5 and 7 effect 5 and 8 of 5 and 10 were 6 overall 7 effect 8 of 9 correction 10 were 11 shown 11 shown 12 to 11 shown 14 with 12 to 13 correlate 14 with 16 severity 15 the 16 severity 16 severity 17 of 17 of 19 changes 18 skin 19 changes 19 changes 20 before 20 before 22 treatment 21 the 22 treatment age - related changes in the facial skin were especially well - apparent in women with the lowered activity level and impaired mood . 0 ###LEFT-WALL### 4 changes 0 ###LEFT-WALL### 9 were 1 age 2 - 1 age 4 changes 3 related 4 changes 4 changes 5 in 4 changes 9 were 5 in 8 skin 6 the 8 skin 7 facial 8 skin 9 were 10 especially 9 were 11 well 11 well 13 apparent 12 - 13 apparent 13 apparent 14 in 13 apparent 16 with 13 apparent 24 . 14 in 15 women 16 with 21 and 17 the 20 level 18 lowered 19 activity 19 activity 20 level 20 level 21 and 21 and 23 mood 22 impaired 23 mood characteristics of [mood] in the course of therapeutic correction correlated with dynamics of skin smoothness and elasticity . 0 ###LEFT-WALL### 1 characteristics 0 ###LEFT-WALL### 10 correlated 0 ###LEFT-WALL### 18 . 1 characteristics 2 of 1 characteristics 7 of 1 characteristics 10 correlated 2 of 4 in 4 in 6 course 5 the 6 course 7 of 9 correction 8 therapeutic 9 correction 10 correlated 11 with 11 with 12 dynamics 12 dynamics 13 of 13 of 16 and 14 skin 15 smoothness 15 smoothness 16 and 16 and 17 elasticity slowing of movement with aging is inevitable . 0 ###LEFT-WALL### 1 slowing 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 8 . 1 slowing 2 of 1 slowing 6 is 2 of 3 movement 3 movement 4 with 4 with 5 aging 6 is 7 inevitable the mechanisms responsible for this deterioration , however , remain poorly understood . 0 ###LEFT-WALL### 2 mechanisms 0 ###LEFT-WALL### 10 remain 0 ###LEFT-WALL### 13 . 1 the 2 mechanisms 2 mechanisms 3 responsible 2 mechanisms 10 remain 3 responsible 4 for 4 for 6 deterioration 5 this 6 deterioration 7 , 8 however 8 however 9 , 8 however 10 remain 10 remain 12 understood 11 poorly 12 understood changes to physiological and mechanical factors controlling muscle force and power production [seem] likely contributors , but a reduced ability for fast transmission of the force to the skeleton also may contribute to the deterioration in performance . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 38 . 1 changes 2 to 1 changes 10 and 2 to 6 factors 3 physiological 4 and 4 and 5 mechanical 4 and 6 factors 6 factors 7 controlling 7 controlling 9 force 8 muscle 9 force 10 and 17 but 11 power 15 contributors 11 power 17 but 12 production 15 contributors 14 likely 15 contributors 16 , 17 but 17 but 32 contribute 18 a 20 ability 19 reduced 20 ability 20 ability 21 for 20 ability 24 of 20 ability 31 may 21 for 23 transmission 22 fast 23 transmission 24 of 26 force 25 the 26 force 26 force 27 to 27 to 29 skeleton 28 the 29 skeleton 30 also 31 may 31 may 32 contribute 32 contribute 33 to 32 contribute 36 in 33 to 35 deterioration 34 the 35 deterioration 36 in 37 performance purpose of review : to provide an objective and comprehensive review of the recent literature addressing the effects of sex on protein metabolism . 0 ###LEFT-WALL### 3 review 0 ###LEFT-WALL### 4 : 1 purpose 2 of 2 of 3 review 4 : 5 to 4 : 6 provide 4 : 24 . 5 to 6 provide 6 provide 11 review 6 provide 21 on 7 an 11 review 8 objective 9 and 9 and 10 comprehensive 9 and 11 review 11 review 12 of 12 of 15 literature 13 the 15 literature 14 recent 15 literature 15 literature 16 addressing 15 literature 19 of 16 addressing 18 effects 17 the 18 effects 19 of 20 sex 21 on 23 metabolism 22 protein 23 metabolism we also evaluate whether these differences can be attributed to physiology or methodology . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 evaluate 0 ###LEFT-WALL### 14 . 1 we 3 evaluate 2 also 3 evaluate 3 evaluate 4 whether 4 whether 6 differences 4 whether 9 attributed 5 these 6 differences 6 differences 7 can 7 can 8 be 8 be 9 attributed 9 attributed 10 to 10 to 12 or 11 physiology 12 or 12 or 13 methodology because of the developmental changes in hormonal milieu [and] body composition that occur across life , the literature has been examined in a longitudinal manner across the lifespan . 0 ###LEFT-WALL### 18 literature 0 ###LEFT-WALL### 21 examined 0 ###LEFT-WALL### 29 . 1 because 2 of 1 because 16 , 1 because 18 literature 2 of 5 changes 3 the 5 changes 4 developmental 5 changes 5 changes 6 in 5 changes 12 that 5 changes 13 occur 6 in 11 composition 7 hormonal 11 composition 8 milieu 10 body 10 body 11 composition 12 that 13 occur 13 occur 14 across 14 across 15 life 17 the 18 literature 18 literature 19 has 19 has 20 been 20 been 21 examined 21 examined 22 in 21 examined 26 across 22 in 25 manner 23 a 24 longitudinal 23 a 25 manner 24 longitudinal 25 manner 26 across 28 lifespan 27 the 28 lifespan recent findings : throughout most points of life , men and women of similar health status and bmi display fairly similar protein turnover rates . 0 ###LEFT-WALL### 1 recent 0 ###LEFT-WALL### 24 rates 0 ###LEFT-WALL### 25 . 1 recent 2 findings 1 recent 3 : 1 recent 24 rates 2 findings 3 : 3 : 4 throughout 4 throughout 11 and 5 most 6 points 6 points 7 of 6 points 9 , 7 of 8 life 9 , 10 men 9 , 11 and 11 and 12 women 11 and 13 of 13 of 17 and 14 similar 15 health 15 health 16 status 16 status 17 and 17 and 23 turnover 18 bmi 19 display 19 display 23 turnover 20 fairly 21 similar 21 similar 22 protein 22 protein 23 turnover however , some investigators have reported sexual dimorphism in protein metabolism , which may be partly attributable to differences in fat - free mass [and/or] methodology . 0 ###LEFT-WALL### 4 investigators 0 ###LEFT-WALL### 6 reported 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 27 . 1 however 2 , 1 however 4 investigators 3 some 4 investigators 4 investigators 5 have 5 have 6 reported 6 reported 8 dimorphism 6 reported 9 in 7 sexual 8 dimorphism 9 in 11 metabolism 10 protein 11 metabolism 12 , 13 which 12 , 15 be 13 which 14 may 14 may 15 be 15 be 17 attributable 16 partly 17 attributable 17 attributable 18 to 18 to 19 differences 19 differences 20 in 20 in 26 methodology 21 fat 22 - 21 fat 24 mass 23 free 24 mass 24 mass 26 methodology in periods of significant changes in the hormonal milieu ( puberty and menopause ) , sex differences may become more evident . 0 ###LEFT-WALL### 17 differences 0 ###LEFT-WALL### 19 become 0 ###LEFT-WALL### 22 . 1 in 2 periods 1 in 15 , 1 in 17 differences 2 periods 3 of 3 of 5 changes 4 significant 5 changes 5 changes 6 in 6 in 9 milieu 7 the 9 milieu 8 hormonal 9 milieu 9 milieu 12 and 10 ( 12 and 11 puberty 12 and 12 and 13 menopause 12 and 14 ) 16 sex 17 differences 17 differences 18 may 18 may 19 become 19 become 21 evident 20 more 21 evident finally , anabolic stimuli such as feeding and exercise may help highlight any discrepancies in protein [turnover] between men and women . 0 ###LEFT-WALL### 4 stimuli 0 ###LEFT-WALL### 11 help 0 ###LEFT-WALL### 22 . 1 finally 2 , 1 finally 4 stimuli 3 anabolic 4 stimuli 4 stimuli 6 as 4 stimuli 10 may 5 such 6 as 6 as 8 and 7 feeding 8 and 8 and 9 exercise 10 may 11 help 11 help 12 highlight 12 highlight 14 discrepancies 12 highlight 15 in 12 highlight 18 between 13 any 14 discrepancies 15 in 16 protein 18 between 20 and 19 men 20 and 20 and 21 women summary : sex differences in protein metabolism , if any [,] are most evident during the main phases of hormonal changes , and may be also due to differences in body composition . 0 ###LEFT-WALL### 1 summary 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 be 0 ###LEFT-WALL### 33 . 2 : 23 and 3 sex 4 differences 3 sex 9 if 3 sex 23 and 4 differences 5 in 5 in 7 metabolism 6 protein 7 metabolism 8 , 9 if 9 if 10 any 9 if 12 are 9 if 22 , 10 any 12 are 12 are 14 evident 13 most 14 evident 14 evident 15 during 15 during 18 phases 16 the 17 main 16 the 18 phases 18 phases 19 of 19 of 21 changes 20 hormonal 21 changes 23 and 24 may 24 may 25 be 25 be 26 also 25 be 27 due 27 due 28 to 27 due 30 in 28 to 29 differences 30 in 32 composition 31 body 32 composition however , methodological issues and sample size must be considered when designing [and] evaluating these studies . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 10 considered 0 ###LEFT-WALL### 17 . 1 however 2 , 1 however 5 and 3 methodological 4 issues 4 issues 5 and 5 and 7 size 5 and 8 must 6 sample 7 size 8 must 9 be 9 be 10 considered 10 considered 11 when 10 considered 16 studies 11 when 12 designing 12 designing 14 evaluating 15 these 16 studies rationale : the turnover of cardiomyocytes in the aging female and male heart is currently unknown , emphasizing the need to define human myocardial biology . 0 ###LEFT-WALL### 1 rationale 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 and 1 rationale 2 : 2 : 4 turnover 2 : 7 in 3 the 4 turnover 4 turnover 5 of 5 of 6 cardiomyocytes 7 in 10 female 8 the 10 female 9 aging 10 female 11 and 13 heart 11 and 14 is 12 male 13 heart 13 heart 14 is 14 is 15 currently 14 is 16 unknown 16 unknown 18 emphasizing 17 , 18 emphasizing 18 emphasizing 20 need 18 emphasizing 26 . 19 the 20 need 20 need 21 to 20 need 22 define 21 to 22 define 22 define 25 biology 23 human 25 biology 24 myocardial 25 biology objective : the effects of age and gender on the magnitude of myocyte regeneration and the origin of newly formed cardiomyocytes were determined . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 4 effects 2 : 22 were 2 : 24 . 3 the 4 effects 4 effects 5 of 4 effects 12 of 4 effects 22 were 5 of 7 and 6 age 7 and 7 and 8 gender 7 and 9 on 9 on 11 magnitude 10 the 11 magnitude 12 of 15 and 13 myocyte 14 regeneration 14 regeneration 15 and 15 and 17 origin 15 and 18 of 16 the 17 origin 18 of 21 cardiomyocytes 19 newly 20 formed 20 formed 21 cardiomyocytes 22 were 23 determined methods and results : the interaction of myocyte replacement , cellular senescence , growth inhibition , and apoptosis was measured in normal female ( n=32 ) [and] male ( n=42 ) human hearts collected from patients 19 to 104 years of age who died from causes other than cardiovascular diseases . 0 ###LEFT-WALL### 3 results 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 51 . 1 methods 2 and 2 and 3 results 3 results 4 : 4 : 40 years 5 the 6 interaction 6 interaction 7 of 6 interaction 19 was 7 of 17 and 8 myocyte 9 replacement 9 replacement 10 , 10 , 12 senescence 10 , 13 , 11 cellular 12 senescence 13 , 15 inhibition 13 , 17 and 14 growth 15 inhibition 16 , 17 and 17 and 18 apoptosis 19 was 20 measured 20 measured 21 in 21 in 33 hearts 22 normal 32 human 23 female 25 n=32 23 female 26 ) 23 female 32 human 24 ( 25 n=32 25 n=32 26 ) 28 male 30 n=42 28 male 32 human 29 ( 30 n=42 30 n=42 31 ) 32 human 33 hearts 33 hearts 34 collected 34 collected 35 from 34 collected 38 to 35 from 36 patients 37 19 38 to 38 to 39 104 39 104 40 years 40 years 41 of 41 of 42 age 42 age 43 who 42 age 44 died 43 who 44 died 44 died 45 from 44 died 48 than 45 from 46 causes 47 other 48 than 48 than 50 diseases 49 cardiovascular 50 diseases a progressive loss of telomeric dna in human cardiac stem cells ( hcscs ) occurs with aging and the newly formed cardiomyocytes inherit short telomeres and rapidly reach the senescent phenotype . 0 ###LEFT-WALL### 3 loss 0 ###LEFT-WALL### 15 occurs 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 32 . 1 a 2 progressive 1 a 3 loss 2 progressive 3 loss 3 loss 4 of 3 loss 13 hcscs 3 loss 15 occurs 4 of 6 dna 5 telomeric 6 dna 6 dna 7 in 7 in 11 cells 8 human 10 stem 9 cardiac 10 stem 10 stem 11 cells 12 ( 13 hcscs 13 hcscs 14 ) 15 occurs 16 with 16 with 17 aging 18 and 22 cardiomyocytes 18 and 26 and 19 the 22 cardiomyocytes 20 newly 21 formed 21 formed 22 cardiomyocytes 22 cardiomyocytes 26 and 23 inherit 25 telomeres 23 inherit 26 and 24 short 25 telomeres 26 and 28 reach 27 rapidly 28 reach 28 reach 31 phenotype 29 the 31 phenotype 30 senescent 31 phenotype our data provide novel information on the superior ability of the female heart to sustain the multiple variables associated with the development of the senescent myopathy . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 provide 0 ###LEFT-WALL### 27 . 1 our 2 data 2 data 3 provide 3 provide 5 information 3 provide 6 on 3 provide 14 to 4 novel 5 information 6 on 9 ability 7 the 9 ability 8 superior 9 ability 9 ability 10 of 10 of 13 heart 11 the 13 heart 12 female 13 heart 14 to 15 sustain 15 sustain 18 variables 15 sustain 20 with 16 the 18 variables 17 multiple 18 variables 18 variables 19 associated 20 with 22 development 21 the 22 development 22 development 23 of 23 of 26 myopathy 24 the 26 myopathy 25 senescent 26 myopathy at all ages , the female heart is equipped with a larger pool of functionally competent hcscs and younger myocytes than the male myocardium . 0 ###LEFT-WALL### 7 heart 0 ###LEFT-WALL### 9 equipped 0 ###LEFT-WALL### 25 . 1 at 3 ages 1 at 4 , 1 at 7 heart 2 all 3 ages 5 the 7 heart 6 female 7 heart 7 heart 8 is 8 is 9 equipped 9 equipped 10 with 9 equipped 21 than 10 with 13 pool 11 a 13 pool 12 larger 13 pool 13 pool 14 of 14 of 18 and 15 functionally 16 competent 16 competent 17 hcscs 17 hcscs 18 and 18 and 20 myocytes 19 younger 20 myocytes 21 than 24 myocardium 22 the 24 myocardium 23 male 24 myocardium the replicative potential is higher and telomeres are longer in female hcscs than in male hcscs . 0 ###LEFT-WALL### 3 potential 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 17 . 1 the 3 potential 2 replicative 3 potential 3 potential 4 is 4 is 5 higher 6 and 7 telomeres 6 and 8 are 7 telomeres 8 are 8 are 9 longer 9 longer 10 in 9 longer 13 than 10 in 12 hcscs 11 female 12 hcscs 13 than 14 in 14 in 16 hcscs 15 male 16 hcscs in the female heart , myocyte [turnover] occurs at a rate of 10 % , 14 % , [and] 40 % per year at 20 , 60 , [and] 100 years of age , respectively . 0 ###LEFT-WALL### 6 myocyte 0 ###LEFT-WALL### 8 occurs 0 ###LEFT-WALL### 36 . 1 in 4 heart 1 in 5 , 1 in 6 myocyte 2 the 4 heart 3 female 4 heart 6 myocyte 8 occurs 8 occurs 9 at 8 occurs 35 respectively 9 at 11 rate 10 a 11 rate 11 rate 12 of 12 of 14 % 13 10 14 % 14 % 17 % 14 % 21 % 15 , 17 % 16 14 17 % 17 % 18 , 18 , 21 % 20 40 21 % 21 % 22 per 21 % 24 at 21 % 34 , 22 per 23 year 24 at 25 20 25 20 27 60 25 20 31 years 26 , 27 60 27 60 28 , 28 , 31 years 30 100 31 years 31 years 32 of 31 years 34 , 32 of 33 age corresponding values in the male heart are 7 % , 12 % , [and] 32 % per year , documenting [that] cardiomyogenesis involves a large and [progressively] increasing number of parenchymal cells with aging . 0 ###LEFT-WALL### 2 values 0 ###LEFT-WALL### 7 are 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 35 . 1 corresponding 2 values 2 values 3 in 2 values 7 are 3 in 6 heart 4 the 6 heart 5 male 6 heart 7 are 9 % 8 7 9 % 9 % 12 % 9 % 16 % 10 , 12 % 11 12 12 % 12 % 13 , 13 , 16 % 15 32 16 % 16 % 17 per 16 % 19 , 17 per 18 year 19 , 20 documenting 19 , 23 involves 20 documenting 22 cardiomyogenesis 20 documenting 23 involves 23 involves 32 cells 24 a 29 number 25 large 26 and 26 and 28 increasing 26 and 29 number 29 number 30 of 29 number 32 cells 30 of 32 cells 31 parenchymal 32 cells 32 cells 33 with 33 with 34 aging from 20 to 100 years of age , the myocyte compartment is replaced 15 times in women and 11 times in men . 0 ###LEFT-WALL### 11 compartment 0 ###LEFT-WALL### 13 replaced 0 ###LEFT-WALL### 23 . 1 from 5 years 1 from 11 compartment 2 20 3 to 3 to 4 100 3 to 5 years 6 of 7 age 6 of 8 , 6 of 11 compartment 9 the 11 compartment 10 myocyte 11 compartment 11 compartment 12 is 12 is 13 replaced 13 replaced 15 times 13 replaced 16 in 14 15 15 times 16 in 18 and 17 women 18 and 18 and 20 times 18 and 21 in 19 11 20 times 21 in 22 men conclusions : the human heart is a highly dynamic organ regulated by a pool of resident hcscs that modulate cardiac homeostasis and condition organ aging . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 5 heart 2 : 6 is 3 the 5 heart 4 human 5 heart 5 heart 6 is 6 is 10 organ 6 is 12 by 7 a 8 highly 7 a 10 organ 8 highly 9 dynamic 9 dynamic 10 organ 10 organ 11 regulated 12 by 22 and 13 a 14 pool 14 pool 15 of 14 pool 22 and 15 of 17 hcscs 16 resident 17 hcscs 17 hcscs 18 that 17 hcscs 19 modulate 18 that 19 modulate 19 modulate 21 homeostasis 20 cardiac 21 homeostasis 22 and 24 organ 22 and 25 aging 23 condition 24 organ background : driving anxiety and fear can have a marked impact on mobility and independence , although there is no data on the prevalence of this problem , and specific information about the rate of driving anxiety and fear in older adults is unknown . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 45 . 2 : 5 and 2 : 8 have 2 : 29 and 3 driving 4 anxiety 4 anxiety 5 and 5 and 6 fear 5 and 7 can 7 can 8 have 8 have 11 impact 8 have 12 on 8 have 17 although 9 a 11 impact 10 marked 11 impact 12 on 14 and 13 mobility 14 and 14 and 15 independence 16 , 17 although 17 although 18 there 17 although 19 is 17 although 28 , 18 there 19 is 19 is 21 data 19 is 22 on 20 no 21 data 22 on 24 prevalence 23 the 24 prevalence 24 prevalence 25 of 25 of 27 problem 26 this 27 problem 29 and 31 information 29 and 43 is 30 specific 31 information 31 information 32 about 31 information 35 of 31 information 40 in 31 information 43 is 32 about 34 rate 33 the 34 rate 35 of 36 driving 36 driving 38 and 37 anxiety 38 and 38 and 39 fear 40 in 42 adults 41 older 42 adults 43 is 44 unknown methods : the present study examines the prevalence [of] self - reported driving anxiety and fear in a sample of 2,491 adults aged 55 - 72 from a longitudinal survey of health and ageing in new zealand . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 reported 1 methods 2 : 2 : 4 present 3 the 4 present 4 present 5 study 4 present 6 examines 5 study 6 examines 6 examines 10 self 7 the 10 self 8 prevalence 10 self 11 - 12 reported 12 reported 13 driving 12 reported 17 in 12 reported 35 in 12 reported 38 . 13 driving 15 and 14 anxiety 15 and 15 and 16 fear 17 in 19 sample 18 a 19 sample 19 sample 20 of 19 sample 31 of 20 of 22 adults 21 2,491 22 adults 22 adults 23 aged 23 aged 25 - 23 aged 27 from 24 55 25 - 25 - 26 72 27 from 30 survey 28 a 30 survey 29 longitudinal 30 survey 31 of 33 and 32 health 33 and 33 and 34 ageing 35 in 37 zealand 36 new 37 zealand results : most of the sample ( 90 % ) described themselves as drivers who drove daily or weekly . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 1 results 2 : 2 : 3 most 3 most 4 of 3 most 11 described 3 most 15 who 3 most 16 drove 4 of 6 sample 5 the 6 sample 6 sample 9 % 7 ( 9 % 8 90 9 % 9 % 10 ) 11 described 12 themselves 11 described 13 as 13 as 14 drivers 15 who 16 drove 16 drove 18 or 17 daily 18 or 18 or 19 weekly around 70 % of the sample reported no driving anxiety or fear , yet 17 - 20 % endorsed a [mil] d and 4 - 6 % rated a moderate to severe level of driving anxiety and fear . 0 ###LEFT-WALL### 11 or 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 39 . 1 around 3 % 1 around 11 or 2 70 3 % 3 % 4 of 4 of 6 sample 5 the 6 sample 7 reported 10 anxiety 7 reported 11 or 8 no 10 anxiety 9 driving 10 anxiety 11 or 12 fear 13 , 14 yet 13 , 19 endorsed 13 , 23 and 14 yet 18 % 15 17 16 - 16 - 17 20 16 - 18 % 18 % 19 endorsed 19 endorsed 22 d 20 a 22 d 23 and 27 % 23 and 37 and 24 4 25 - 25 - 26 6 25 - 27 % 27 % 37 and 28 rated 30 moderate 28 rated 31 to 28 rated 37 and 29 a 30 moderate 31 to 33 level 32 severe 33 level 33 level 34 of 34 of 35 driving 35 driving 36 anxiety 37 and 38 fear women reported higher levels of anxiety and fear about driving than men , but there were no age differences . 0 ###LEFT-WALL### 1 women 0 ###LEFT-WALL### 2 reported 0 ###LEFT-WALL### 20 . 1 women 2 reported 2 reported 7 and 2 reported 16 were 3 higher 4 levels 4 levels 5 of 4 levels 7 and 5 of 6 anxiety 7 and 8 fear 7 and 14 but 7 and 16 were 9 about 10 driving 9 about 14 but 10 driving 11 than 11 than 12 men 13 , 14 but 14 but 15 there 16 were 19 differences 17 no 19 differences 18 age 19 differences those who reported some level of driving anxiety engaged various alternative modes of transport , and a small number ( 2.4 % ) reported that their driving anxiety had affected their usual activities or work for at least a day in the previous month . 0 ###LEFT-WALL### 1 those 0 ###LEFT-WALL### 9 engaged 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 45 . 1 those 2 who 1 those 3 reported 1 those 9 engaged 2 who 3 reported 3 reported 5 level 4 some 5 level 5 level 6 of 6 of 7 driving 7 driving 8 anxiety 9 engaged 12 modes 10 various 11 alternative 11 alternative 12 modes 12 modes 13 of 13 of 14 transport 15 , 16 and 16 and 19 number 16 and 34 or 17 a 18 small 17 a 19 number 18 small 19 number 19 number 22 % 19 number 34 or 20 ( 22 % 21 2.4 22 % 22 % 23 ) 24 reported 25 that 24 reported 34 or 25 that 28 anxiety 25 that 30 affected 26 their 28 anxiety 27 driving 28 anxiety 28 anxiety 29 had 29 had 30 affected 30 affected 33 activities 31 their 33 activities 32 usual 33 activities 34 or 35 work 35 work 36 for 35 work 41 in 36 for 40 day 37 at 38 least 38 least 40 day 39 a 40 day 41 in 44 month 42 the 44 month 43 previous 44 month duration of driving anxiety was highly variable , from relatively recent onset [to] being present for much of some participants ' lifetimes . 0 ###LEFT-WALL### 1 duration 0 ###LEFT-WALL### 5 was 1 duration 2 of 1 duration 5 was 2 of 3 driving 3 driving 4 anxiety 5 was 6 highly 5 was 7 variable 7 variable 9 from 8 , 9 from 9 from 14 being 9 from 23 . 10 relatively 11 recent 11 recent 12 onset 12 onset 14 being 14 being 15 present 15 present 16 for 16 for 17 much 17 much 18 of 18 of 22 lifetimes 19 some 20 participants 20 participants 21 ' 21 ' 22 lifetimes conclusion : driving anxiety and fear may be a significant problem for some young older adults that is likely to affect their independence and mobility . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 21 affect 0 ###LEFT-WALL### 26 . 1 conclusion 2 : 2 : 3 driving 3 driving 4 anxiety 5 and 6 fear 5 and 8 be 6 fear 7 may 7 may 8 be 8 be 11 problem 9 a 11 problem 10 significant 11 problem 11 problem 12 for 12 for 16 adults 13 some 16 adults 14 young 15 older 15 older 16 adults 16 adults 17 that 16 adults 21 affect 17 that 18 is 18 is 19 likely 19 likely 20 to 20 to 21 affect 21 affect 24 and 22 their 24 and 23 independence 24 and 24 and 25 mobility further research to clarify the content and nature of driving anxiety , pathways to driving anxiety and the effect of factors associated with ageing on driving anxiety is needed in order to better understand this experience for older adults and develop effective interventions . 0 ###LEFT-WALL### 1 further 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 40 and 0 ###LEFT-WALL### 44 . 1 further 2 research 1 further 3 to 3 to 4 clarify 4 clarify 6 content 5 the 6 content 7 and 17 and 7 and 29 needed 8 nature 9 of 8 nature 12 , 9 of 10 driving 10 driving 11 anxiety 12 , 13 pathways 12 , 17 and 13 pathways 14 to 14 to 15 driving 15 driving 16 anxiety 17 and 19 effect 17 and 20 of 17 and 22 associated 18 the 19 effect 20 of 21 factors 22 associated 23 with 23 with 24 ageing 24 ageing 25 on 25 on 26 driving 27 anxiety 28 is 28 is 29 needed 29 needed 30 in 29 needed 32 to 30 in 31 order 32 to 40 and 33 better 34 understand 34 understand 36 experience 34 understand 37 for 34 understand 40 and 35 this 36 experience 37 for 39 adults 38 older 39 adults 40 and 41 develop 41 develop 43 interventions 42 effective 43 interventions this article reviews most common types of thyroid cancer focusing on older males worldwide . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 reviews 0 ###LEFT-WALL### 15 . 1 this 2 article 2 article 3 reviews 3 reviews 9 cancer 4 most 5 common 5 common 6 types 6 types 7 of 6 types 9 cancer 7 of 9 cancer 8 thyroid 9 cancer 9 cancer 10 focusing 10 focusing 11 on 10 focusing 14 worldwide 11 on 13 males 12 older 13 males thyroid carcinoma is the most common endocrine malignancy . 0 ###LEFT-WALL### 2 carcinoma 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 9 . 1 thyroid 2 carcinoma 2 carcinoma 3 is 3 is 8 malignancy 4 the 5 most 5 most 8 malignancy 6 common 8 malignancy 7 endocrine 8 malignancy it includes tumour types that range from localised papillary carcinomas to lethal anaplastic disease . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 includes 0 ###LEFT-WALL### 15 . 1 it 2 includes 2 includes 4 types 3 tumour 4 types 4 types 5 that 4 types 6 range 5 that 6 range 6 range 7 from 6 range 11 to 7 from 10 carcinomas 8 localised 10 carcinomas 9 papillary 10 carcinomas 11 to 14 disease 12 lethal 14 disease 13 anaplastic 14 disease among elderly population , male gender seems to be highly correlated with the risk and aggressiveness of thyroid cancer . 0 ###LEFT-WALL### 6 gender 0 ###LEFT-WALL### 7 seems 0 ###LEFT-WALL### 20 . 1 among 3 population 1 among 4 , 1 among 6 gender 2 elderly 3 population 5 male 6 gender 6 gender 7 seems 7 seems 8 to 7 seems 11 correlated 8 to 9 be 9 be 10 highly 9 be 11 correlated 11 correlated 12 with 12 with 15 and 13 the 14 risk 14 risk 15 and 15 and 16 aggressiveness 15 and 17 of 17 of 19 cancer 18 thyroid 19 cancer early diagnosis and urgent aggressive treatment are important for aging patients . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 7 are 0 ###LEFT-WALL### 12 . 1 early 2 diagnosis 2 diagnosis 3 and 3 and 6 treatment 3 and 7 are 4 urgent 6 treatment 5 aggressive 6 treatment 7 are 8 important 8 important 9 for 9 for 10 aging 10 aging 11 patients this article includes numerous studies which evaluate prevalence , morbidity and mortality of thyroid cancer in older males . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 includes 0 ###LEFT-WALL### 19 . 1 this 2 article 2 article 3 includes 3 includes 5 studies 4 numerous 5 studies 5 studies 6 which 5 studies 7 evaluate 6 which 7 evaluate 7 evaluate 11 and 7 evaluate 16 in 8 prevalence 9 , 9 , 10 morbidity 9 , 11 and 11 and 12 mortality 11 and 13 of 13 of 15 cancer 14 thyroid 15 cancer 16 in 18 males 17 older 18 males background : osteoporosis is a significant health problem , especially for older women . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 osteoporosis 2 : 4 is 3 osteoporosis 4 is 4 is 8 problem 5 a 6 significant 5 a 8 problem 6 significant 7 health 7 health 8 problem 8 problem 11 for 9 , 10 especially 9 , 11 for 11 for 13 women 11 for 14 . 12 older 13 women prescription osteoporosis medication can reduce fractures , but many women do not accept treatment or discontinue treatment before benefits are achieved . 0 ###LEFT-WALL### 2 osteoporosis 0 ###LEFT-WALL### 8 but 0 ###LEFT-WALL### 22 . 1 prescription 2 osteoporosis 2 osteoporosis 3 medication 2 osteoporosis 5 reduce 2 osteoporosis 8 but 3 medication 4 can 4 can 5 reduce 6 fractures 8 but 7 , 8 but 8 but 15 or 9 many 10 women 10 women 11 do 11 do 12 not 11 do 15 or 13 accept 14 treatment 13 accept 15 or 15 or 16 discontinue 16 discontinue 17 treatment 16 discontinue 18 before 18 before 19 benefits 18 before 21 achieved 19 benefits 20 are 20 are 21 achieved objectives : to explore older women 's views about prescription osteoporosis medication use in depth and to identify specific beliefs and experiences that influence these views . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 16 and 2 : 27 . 3 to 16 and 4 explore 8 views 4 explore 9 about 4 explore 14 in 4 explore 16 and 5 older 6 women 6 women 7 's 7 's 8 views 9 about 13 use 10 prescription 12 medication 11 osteoporosis 12 medication 12 medication 13 use 14 in 15 depth 16 and 17 to 16 and 18 identify 17 to 18 identify 18 identify 21 and 19 specific 20 beliefs 20 beliefs 21 and 21 and 22 experiences 21 and 23 that 21 and 24 influence 23 that 24 influence 24 influence 26 views 25 these 26 views methods : we conducted [in] - depth telephone interviews with women aged ≥65 years with clinically confirmed osteoporosis . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 conducted 2 : 6 - 3 we 4 conducted 6 - 9 interviews 6 - 13 ≥65 6 - 19 . 7 depth 9 interviews 8 telephone 9 interviews 9 interviews 10 with 9 interviews 12 aged 9 interviews 13 ≥65 10 with 11 women 13 ≥65 14 years 13 ≥65 15 with 15 with 18 osteoporosis 16 clinically 17 confirmed 17 confirmed 18 osteoporosis interviewees were asked about their beliefs and experiences related to osteoporosis and osteoporosis treatment . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 15 . 1 interviewees 7 and 1 interviewees 9 related 1 interviewees 12 and 2 were 3 asked 2 were 7 and 3 asked 4 about 4 about 6 beliefs 5 their 6 beliefs 7 and 8 experiences 9 related 10 to 10 to 11 osteoporosis 12 and 14 treatment 13 osteoporosis 14 treatment interviews were recorded and transcribed ; key themes were identified using qualitative analysis . 0 ###LEFT-WALL### 1 interviews 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 6 ; 0 ###LEFT-WALL### 14 . 1 interviews 2 were 2 were 4 and 3 recorded 4 and 4 and 5 transcribed 6 ; 8 themes 6 ; 10 identified 7 key 8 themes 8 themes 9 were 9 were 10 identified 10 identified 11 using 11 using 13 analysis 12 qualitative 13 analysis results : perceived need , medication effectiveness and medication safety were identified as critical influences on women 's views about prescription osteoporosis medication . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 24 . 1 results 2 : 2 : 4 need 3 perceived 4 need 5 , 8 and 5 , 11 were 6 medication 7 effectiveness 7 effectiveness 8 and 8 and 10 safety 8 and 11 were 9 medication 10 safety 11 were 15 influences 12 identified 15 influences 13 as 14 critical 14 critical 15 influences 15 influences 16 on 15 influences 20 about 16 on 19 views 17 women 18 's 18 's 19 views 20 about 23 medication 21 prescription 23 medication 22 osteoporosis 23 medication these perceptions were in turn influenced by various beliefs , experiences and behaviours , including interactions with the physician , personal experience and behaviours , and vicarious experience . 0 ###LEFT-WALL### 2 perceptions 0 ###LEFT-WALL### 6 influenced 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 29 . 1 these 2 perceptions 2 perceptions 3 were 3 were 5 turn 3 were 6 influenced 4 in 5 turn 6 influenced 7 by 6 influenced 15 including 7 by 12 and 8 various 9 beliefs 9 beliefs 10 , 10 , 11 experiences 10 , 12 and 12 and 13 behaviours 14 , 15 including 15 including 16 interactions 15 including 17 with 15 including 20 , 17 with 19 physician 18 the 19 physician 20 , 26 and 21 personal 22 experience 22 experience 23 and 23 and 24 behaviours 23 and 26 and 25 , 26 and 26 and 28 experience 27 vicarious 28 experience conclusions : older women with osteoporosis need clear information about their condition , including the diagnosis , the implications of the diagnosis , treatment options , medication effectiveness and side effects . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 women 2 : 7 need 2 : 26 , 2 : 32 . 3 older 4 women 4 women 5 with 4 women 7 need 5 with 6 osteoporosis 7 need 9 information 8 clear 9 information 9 information 10 about 10 about 12 condition 11 their 12 condition 12 condition 14 including 12 condition 19 implications 13 , 14 including 14 including 16 diagnosis 14 including 17 , 15 the 16 diagnosis 17 , 19 implications 18 the 19 implications 19 implications 20 of 19 implications 26 , 20 of 22 diagnosis 21 the 22 diagnosis 22 diagnosis 25 options 23 , 25 options 24 treatment 25 options 25 options 26 , 26 , 29 and 27 medication 28 effectiveness 28 effectiveness 29 and 29 and 31 effects 30 side 31 effects physicians should check with their patients to confirm understanding and address concerns , as older women may not always voice their reservations and concerns . 0 ###LEFT-WALL### 1 physicians 0 ###LEFT-WALL### 10 and 1 physicians 2 should 2 should 3 check 3 check 4 with 3 check 7 to 4 with 6 patients 5 their 6 patients 7 to 10 and 8 confirm 9 understanding 8 confirm 10 and 10 and 11 address 10 and 14 as 11 address 12 concerns 13 , 14 as 14 as 16 women 14 as 25 . 15 older 16 women 16 women 23 and 17 may 18 not 17 may 20 voice 17 may 23 and 19 always 20 voice 20 voice 22 reservations 21 their 22 reservations 23 and 24 concerns several sets of explicit criteria for potentially inappropriate medications ( pims ) have been developed by expert consensus . 0 ###LEFT-WALL### 2 sets 0 ###LEFT-WALL### 15 developed 0 ###LEFT-WALL### 19 . 1 several 2 sets 2 sets 3 of 2 sets 13 have 3 of 5 criteria 4 explicit 5 criteria 5 criteria 6 for 6 for 9 medications 7 potentially 8 inappropriate 8 inappropriate 9 medications 9 medications 11 pims 10 ( 11 pims 11 pims 12 ) 13 have 14 been 14 been 15 developed 15 developed 16 by 16 by 18 consensus 17 expert 18 consensus the purpose of this review is to summarize [and] [compare] existing criteria to enable more informed choices about their use . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 14 enable 0 ###LEFT-WALL### 21 . 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 summarize 7 to 8 summarize 8 summarize 12 criteria 8 summarize 13 to 11 existing 12 criteria 13 to 14 enable 14 enable 17 choices 14 enable 18 about 15 more 16 informed 16 informed 17 choices 18 about 20 use 19 their 20 use after a systematic literature search was conducted , seven examples of criteria published between 1991 and 2009 were included in the review and their individual characteristics are presented . 0 ###LEFT-WALL### 10 examples 0 ###LEFT-WALL### 19 included 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 29 . 1 after 5 search 1 after 7 conducted 1 after 10 examples 2 a 3 systematic 2 a 5 search 3 systematic 4 literature 4 literature 5 search 5 search 6 was 6 was 7 conducted 7 conducted 8 , 9 seven 10 examples 10 examples 11 of 10 examples 18 were 11 of 12 criteria 12 criteria 13 published 13 published 14 between 14 between 16 and 15 1991 16 and 16 and 17 2009 18 were 19 included 19 included 20 in 20 in 22 review 21 the 22 review 23 and 26 characteristics 23 and 28 presented 24 their 26 characteristics 25 individual 26 characteristics 26 characteristics 27 are 27 are 28 presented common medications listed in the majority of these criteria are also summarized . 0 ###LEFT-WALL### 2 medications 0 ###LEFT-WALL### 12 summarized 0 ###LEFT-WALL### 13 . 1 common 2 medications 2 medications 3 listed 2 medications 10 are 3 listed 4 in 4 in 6 majority 5 the 6 majority 6 majority 7 of 7 of 9 criteria 8 these 9 criteria 10 are 12 summarized 11 also 12 summarized pims listed regardless of co - morbidities in all seven criteria sets were long - acting benzodiazepines and tricyclic antidepressants . 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 21 . 1 pims 2 listed 1 pims 4 of 1 pims 18 and 2 listed 3 regardless 4 of 17 benzodiazepines 5 co 7 morbidities 5 co 17 benzodiazepines 6 - 7 morbidities 7 morbidities 8 in 7 morbidities 15 - 8 in 11 criteria 9 all 10 seven 10 seven 11 criteria 11 criteria 12 sets 11 criteria 13 were 12 sets 13 were 13 were 14 long 16 acting 17 benzodiazepines 18 and 20 antidepressants 19 tricyclic 20 antidepressants pims regardless of co - morbidities were most similar among the beers , rancourt and winit - watjana criteria . 0 ###LEFT-WALL### 6 morbidities 0 ###LEFT-WALL### 7 were 1 pims 6 morbidities 2 regardless 3 of 3 of 4 co 3 of 5 - 3 of 6 morbidities 6 morbidities 7 were 7 were 9 similar 8 most 9 similar 9 similar 10 among 10 among 15 and 11 the 12 beers 12 beers 13 , 13 , 14 rancourt 13 , 15 and 15 and 16 winit 16 winit 19 criteria 17 - 19 criteria 18 watjana 19 criteria 19 criteria 20 . several drug - disease interactions such as benzodiazepines and [falls] were cited in most criteria . 0 ###LEFT-WALL### 2 drug 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 16 . 1 several 2 drug 3 - 5 interactions 4 disease 5 interactions 5 interactions 7 as 6 such 7 as 7 as 9 and 8 benzodiazepines 9 and 9 and 11 were 11 were 12 cited 12 cited 13 in 13 in 15 criteria 14 most 15 criteria with respect to drug - drug interactions , most criteria agreed that concomitant use of warfarin and nsaids should be avoided . 0 ###LEFT-WALL### 10 criteria 0 ###LEFT-WALL### 11 agreed 0 ###LEFT-WALL### 22 . 1 with 2 respect 1 with 8 , 1 with 10 criteria 2 respect 3 to 2 respect 4 drug 2 respect 7 interactions 3 to 4 drug 5 - 7 interactions 6 drug 7 interactions 7 interactions 8 , 9 most 10 criteria 10 criteria 11 agreed 11 agreed 12 that 12 that 14 use 12 that 21 avoided 13 concomitant 14 use 14 use 15 of 14 use 19 should 15 of 17 and 16 warfarin 17 and 17 and 18 nsaids 19 should 20 be 20 be 21 avoided the prevalence of pims varied with patient population , availability of medications in local markets , the specialties of the prescribing physicians and the assessment instruments used . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 5 varied 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 28 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 5 varied 3 of 4 pims 5 varied 6 with 6 with 8 population 7 patient 8 population 8 population 10 availability 9 , 10 availability 10 availability 11 of 10 availability 16 , 11 of 12 medications 12 medications 13 in 13 in 15 markets 14 local 15 markets 16 , 23 and 17 the 18 specialties 18 specialties 19 of 18 specialties 23 and 19 of 22 physicians 20 the 22 physicians 21 prescribing 22 physicians 23 and 26 instruments 23 and 27 used 24 the 26 instruments 25 assessment 26 instruments the associations between pims use and health outcomes were largely inconclusive because of limited data . 0 ###LEFT-WALL### 2 associations 0 ###LEFT-WALL### 9 were 0 ###LEFT-WALL### 16 . 1 the 2 associations 2 associations 3 between 2 associations 9 were 3 between 6 and 4 pims 5 use 5 use 6 and 6 and 8 outcomes 7 health 8 outcomes 9 were 10 largely 9 were 11 inconclusive 11 inconclusive 12 because 12 because 13 of 13 of 15 data 14 limited 15 data further research is necessary to validate these published criteria in terms of reducing the incidence of adverse drug reactions and improving health outcomes among older adults . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 27 . 1 further 2 research 2 research 3 is 3 is 4 necessary 4 necessary 5 to 4 necessary 13 reducing 5 to 6 validate 6 validate 9 criteria 6 validate 10 in 7 these 9 criteria 8 published 9 criteria 10 in 11 terms 11 terms 12 of 12 of 13 reducing 13 reducing 15 incidence 13 reducing 24 among 14 the 15 incidence 15 incidence 16 of 16 of 20 and 17 adverse 19 reactions 18 drug 19 reactions 19 reactions 20 and 20 and 23 outcomes 21 improving 22 health 22 health 23 outcomes 24 among 26 adults 25 older 26 adults incorporation of these criteria into computer [-] assisted order entry systems would increase their utilization in daily practice . 0 ###LEFT-WALL### 1 incorporation 0 ###LEFT-WALL### 13 increase 0 ###LEFT-WALL### 19 . 1 incorporation 2 of 1 incorporation 12 would 2 of 4 criteria 3 these 4 criteria 4 criteria 5 into 5 into 11 systems 6 computer 8 assisted 8 assisted 9 order 9 order 11 systems 10 entry 11 systems 12 would 13 increase 13 increase 15 utilization 13 increase 16 in 14 their 15 utilization 16 in 18 practice 17 daily 18 practice [none] the present study included 229 healthy men having different habitual patterns of daily locomotor activity . 0 ###LEFT-WALL### 4 study 0 ###LEFT-WALL### 9 having 0 ###LEFT-WALL### 17 . 2 the 4 study 3 present 4 study 4 study 5 included 5 included 8 men 6 229 8 men 7 healthy 8 men 8 men 9 having 9 having 12 patterns 10 different 12 patterns 11 habitual 12 patterns 12 patterns 13 of 13 of 16 activity 14 daily 15 locomotor 15 locomotor 16 activity they were allocated to 4 groups encompassing subjects of different age . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 3 allocated 0 ###LEFT-WALL### 12 . 1 they 2 were 2 were 3 allocated 3 allocated 4 to 4 to 6 groups 5 4 6 groups 6 groups 7 encompassing 7 encompassing 8 subjects 8 subjects 9 of 9 of 11 age 10 different 11 age group 1 consisted of medium - level athletes and subjects regularly engaged in physical exercises , group 2 included former high - level athletes continuing active physical training , group 3 was comprised of former high - level athletes living a sedentary life style , and group 4 included subjects who were never engaged in physical exercises . 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 58 . 1 group 2 1 1 group 16 , 2 1 9 and 2 1 12 engaged 3 consisted 4 of 3 consisted 9 and 4 of 8 athletes 5 medium 6 - 5 medium 7 level 7 level 8 athletes 9 and 10 subjects 11 regularly 12 engaged 12 engaged 13 in 13 in 15 exercises 14 physical 15 exercises 16 , 46 and 17 group 18 2 17 group 46 and 18 2 19 included 18 2 30 group 18 2 32 was 18 2 33 comprised 18 2 34 of 20 former 30 group 21 high 24 athletes 21 high 30 group 22 - 24 athletes 23 level 24 athletes 24 athletes 25 continuing 24 athletes 29 , 25 continuing 28 training 26 active 28 training 27 physical 28 training 30 group 31 3 30 group 32 was 34 of 38 level 35 former 38 level 36 high 37 - 36 high 38 level 38 level 39 athletes 38 level 44 style 39 athletes 40 living 39 athletes 44 style 40 living 43 life 41 a 42 sedentary 41 a 43 life 42 sedentary 43 life 45 , 46 and 46 and 47 group 47 group 50 subjects 48 4 49 included 49 included 50 subjects 50 subjects 51 who 50 subjects 52 were 51 who 52 were 52 were 53 never 52 were 54 engaged 54 engaged 55 in 55 in 57 exercises 56 physical 57 exercises all the participants of the study were examined using an amsat - covert automated diagnostic system designed [for] rapid topical evaluation of the human functional state . 0 ###LEFT-WALL### 1 all 0 ###LEFT-WALL### 8 examined 0 ###LEFT-WALL### 27 . 1 all 2 the 1 all 3 participants 1 all 7 were 2 the 3 participants 3 participants 4 of 4 of 6 study 5 the 6 study 7 were 8 examined 8 examined 9 using 9 using 21 evaluation 10 an 21 evaluation 11 amsat 13 covert 12 - 13 covert 13 covert 14 automated 14 automated 15 diagnostic 15 diagnostic 17 designed 16 system 17 designed 17 designed 21 evaluation 19 rapid 21 evaluation 20 topical 21 evaluation 21 evaluation 22 of 22 of 26 state 23 the 26 state 24 human 26 state 25 functional 26 state the results of the study indicate that the regime of daily locomotor activity and previous experience with physical training have marked effect on the age - specific dynamics of the main functional systems of the organism . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 6 indicate 0 ###LEFT-WALL### 26 - 0 ###LEFT-WALL### 37 . 1 the 2 results 2 results 3 of 2 results 6 indicate 3 of 5 study 4 the 5 study 6 indicate 7 that 7 that 14 and 7 that 21 marked 8 the 9 regime 9 regime 10 of 9 regime 14 and 10 of 13 activity 11 daily 13 activity 12 locomotor 13 activity 14 and 16 experience 14 and 17 with 14 and 20 have 15 previous 16 experience 17 with 19 training 18 physical 19 training 20 have 21 marked 21 marked 22 effect 21 marked 23 on 23 on 25 age 24 the 25 age 26 - 28 dynamics 27 specific 28 dynamics 28 dynamics 29 of 28 dynamics 34 of 29 of 33 systems 30 the 31 main 30 the 33 systems 32 functional 33 systems 34 of 36 organism 35 the 36 organism continuation of physical activity in former athletes permits them to preserve [a] higher functional status of the main functional systems of the organism compared with former high - level athletes living a sedentary life style and subject who were never engaged in physical exercises . 0 ###LEFT-WALL### 1 continuation 0 ###LEFT-WALL### 8 permits 0 ###LEFT-WALL### 45 . 1 continuation 2 of 1 continuation 8 permits 2 of 4 activity 3 physical 4 activity 4 activity 5 in 5 in 7 athletes 6 former 7 athletes 8 permits 9 them 8 permits 10 to 8 permits 11 preserve 10 to 11 preserve 11 preserve 15 status 11 preserve 25 with 13 higher 15 status 14 functional 15 status 15 status 16 of 15 status 21 of 16 of 20 systems 17 the 20 systems 18 main 20 systems 19 functional 20 systems 21 of 23 organism 22 the 23 organism 23 organism 24 compared 25 with 30 athletes 25 with 31 living 26 former 30 athletes 27 high 28 - 27 high 30 athletes 29 level 30 athletes 31 living 36 and 31 living 42 in 32 a 33 sedentary 32 a 35 style 33 sedentary 34 life 34 life 35 style 35 style 36 and 36 and 37 subject 36 and 38 who 36 and 39 were 38 who 39 were 39 were 40 never 39 were 41 engaged 42 in 44 exercises 43 physical 44 exercises fat transfer for the aging face is an increasingly popular method for facial rejuvenation . 0 ###LEFT-WALL### 2 transfer 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 15 . 1 fat 2 transfer 2 transfer 3 for 2 transfer 7 is 3 for 6 face 4 the 6 face 5 aging 6 face 7 is 11 method 8 an 11 method 9 increasingly 10 popular 10 popular 11 method 11 method 12 for 12 for 14 rejuvenation 13 facial 14 rejuvenation however , there are inherent risks with fat transfer due to the nature of a fat graft that limits its potential use in the context of soft tissue trauma . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 30 . 1 however 2 , 1 however 3 there 3 there 4 are 4 are 6 risks 4 are 7 with 4 are 11 to 4 are 23 in 5 inherent 6 risks 7 with 9 transfer 8 fat 9 transfer 10 due 11 to 11 to 13 nature 12 the 13 nature 13 nature 14 of 14 of 17 graft 15 a 16 fat 15 a 17 graft 16 fat 17 graft 17 graft 18 that 17 graft 19 limits 18 that 19 limits 19 limits 22 use 20 its 22 use 21 potential 22 use 23 in 25 context 24 the 25 context 25 context 26 of 26 of 29 trauma 27 soft 28 tissue 28 tissue 29 trauma this article reviews these limitations and also describes techniques for performing fat transfer to attain safe and long - term aesthetic results in varied clinical settings . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 19 - 1 this 2 article 2 article 6 and 3 reviews 5 limitations 3 reviews 6 and 4 these 5 limitations 6 and 8 describes 7 also 8 describes 8 describes 9 techniques 8 describes 17 and 9 techniques 10 for 10 for 11 performing 11 performing 13 transfer 12 fat 13 transfer 13 transfer 14 to 13 transfer 15 attain 14 to 15 attain 16 safe 17 and 17 and 18 long 19 - 20 term 19 - 27 . 20 term 22 results 20 term 23 in 21 aesthetic 22 results 23 in 26 settings 24 varied 26 settings 25 clinical 26 settings the mechanisms regulating neutrophil apoptosis are basically unaffected by the aging process . 0 ###LEFT-WALL### 2 mechanisms 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 13 . 1 the 2 mechanisms 2 mechanisms 3 regulating 2 mechanisms 6 are 3 regulating 5 apoptosis 4 neutrophil 5 apoptosis 6 are 7 basically 6 are 8 unaffected 8 unaffected 9 by 9 by 12 process 10 the 12 process 11 aging 12 process however , [a] significant impairment of cell survival occurs in elderly individuals following neutrophil [challenge] with pro [-] inflammatory stimuli , such as granulocyte - macrophage colony - stimulating factor [(] gm - csf ) . 0 ###LEFT-WALL### 5 impairment 0 ###LEFT-WALL### 9 occurs 0 ###LEFT-WALL### 25 - 0 ###LEFT-WALL### 36 . 1 however 2 , 1 however 5 impairment 4 significant 5 impairment 5 impairment 6 of 5 impairment 9 occurs 6 of 8 survival 7 cell 8 survival 9 occurs 10 in 9 occurs 16 with 10 in 12 individuals 11 elderly 12 individuals 12 individuals 13 following 13 following 14 neutrophil 16 with 20 stimuli 17 pro 20 stimuli 19 inflammatory 20 stimuli 20 stimuli 23 as 21 , 23 as 22 such 23 as 23 as 24 granulocyte 23 as 25 - 25 - 27 colony 25 - 28 - 26 macrophage 27 colony 28 - 34 csf 29 stimulating 30 factor 30 factor 34 csf 32 gm 34 csf 33 - 34 csf 34 csf 35 ) the goal of the present study was to prove the effects of melatonin supplementation on apoptosis induced by calcium signaling in human leukocytes from elderly volunteers . 0 ###LEFT-WALL### 2 goal 0 ###LEFT-WALL### 17 induced 0 ###LEFT-WALL### 27 . 1 the 2 goal 2 goal 3 of 2 goal 7 was 3 of 6 study 4 the 6 study 5 present 6 study 7 was 8 to 7 was 17 induced 8 to 9 prove 9 prove 11 effects 9 prove 15 on 10 the 11 effects 11 effects 12 of 12 of 14 supplementation 13 melatonin 14 supplementation 15 on 16 apoptosis 17 induced 18 by 17 induced 21 in 18 by 19 calcium 19 calcium 20 signaling 21 in 23 leukocytes 22 human 23 leukocytes 23 leukocytes 24 from 24 from 26 volunteers 25 elderly 26 volunteers importantly , melatonin treatment substantially preserved mitochondrial membrane potential , reversed caspase activation , reduced ps exposure and forestalled dna fragmentation in leukocytes from both age groups . 0 ###LEFT-WALL### 9 potential 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 28 . 1 importantly 2 , 1 importantly 9 potential 3 melatonin 9 potential 4 treatment 9 potential 5 substantially 6 preserved 6 preserved 8 membrane 7 mitochondrial 8 membrane 8 membrane 9 potential 9 potential 13 activation 9 potential 18 and 10 , 13 activation 11 reversed 12 caspase 12 caspase 13 activation 13 activation 14 , 15 reduced 17 exposure 15 reduced 18 and 16 ps 17 exposure 18 and 19 forestalled 19 forestalled 21 fragmentation 20 dna 21 fragmentation 21 fragmentation 22 in 21 fragmentation 24 from 22 in 23 leukocytes 24 from 27 groups 25 both 27 groups 26 age 27 groups in conclusion , melatonin is able to delay endoplasmic reticulum stress - induced apoptosis in aged leukocytes and may counteract , at the cellular level , age - related degenerative phenomena linked to oxidative stress . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 1 in 2 conclusion 3 , 4 melatonin 3 , 5 is 3 , 12 - 4 melatonin 5 is 5 is 6 able 6 able 7 to 6 able 8 delay 7 to 8 delay 8 delay 11 stress 9 endoplasmic 11 stress 10 reticulum 11 stress 12 - 18 and 12 - 29 related 12 - 36 . 13 induced 14 apoptosis 13 induced 15 in 13 induced 18 and 15 in 17 leukocytes 16 aged 17 leukocytes 18 and 19 may 19 may 20 counteract 20 counteract 22 at 20 counteract 27 age 21 , 22 at 22 at 25 level 22 at 26 , 23 the 25 level 24 cellular 25 level 28 - 29 related 29 related 31 phenomena 30 degenerative 31 phenomena 31 phenomena 32 linked 32 linked 33 to 33 to 35 stress 34 oxidative 35 stress background/aims : treating a group of chronic hepatitis [b] virus ( hbv ) - infected patients [with] high viral load and advanced fibrosis [or] cirrhosis , regardless of their serum alanine aminotransferase ( alt ) levels , is recommended . 0 ###LEFT-WALL### 1 background/aims 0 ###LEFT-WALL### 14 - 1 background/aims 2 : 2 : 3 treating 3 treating 5 group 4 a 5 group 5 group 6 of 6 of 10 virus 7 chronic 10 virus 8 hepatitis 10 virus 10 virus 12 hbv 11 ( 12 hbv 12 hbv 13 ) 14 - 20 load 14 - 21 and 14 - 39 recommended 14 - 40 . 15 infected 19 viral 16 patients 19 viral 18 high 19 viral 19 viral 20 load 21 and 25 cirrhosis 21 and 37 , 22 advanced 23 fibrosis 23 fibrosis 25 cirrhosis 25 cirrhosis 37 , 26 , 28 of 27 regardless 28 of 28 of 32 aminotransferase 28 of 35 ) 28 of 36 levels 29 their 32 aminotransferase 30 serum 31 alanine 31 alanine 32 aminotransferase 32 aminotransferase 34 alt 33 ( 34 alt 34 alt 35 ) 36 levels 37 , 37 , 38 is 38 is 39 recommended methods : information was collected from 124 patients who underwent liver biopsy . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 information 2 : 4 was 2 : 13 . 3 information 4 was 4 was 5 collected 5 collected 6 from 6 from 7 124 7 124 8 patients 7 124 12 biopsy 8 patients 9 who 8 patients 10 underwent 8 patients 12 biopsy 9 who 10 underwent 10 underwent 11 liver the diagnostic value of predictors was judged using multivariate logistic modeling and area under the receiver operating characteristic curves ( roc area ) . 0 ###LEFT-WALL### 3 value 0 ###LEFT-WALL### 7 judged 0 ###LEFT-WALL### 24 . 1 the 3 value 2 diagnostic 3 value 3 value 4 of 3 value 6 was 4 of 5 predictors 6 was 7 judged 7 judged 8 using 7 judged 14 under 8 using 12 and 9 multivariate 11 modeling 10 logistic 11 modeling 11 modeling 12 and 12 and 13 area 14 under 16 receiver 15 the 16 receiver 16 receiver 17 operating 17 operating 19 curves 18 characteristic 19 curves 19 curves 22 area 20 ( 22 area 21 roc 22 area 22 area 23 ) results : advanced fibrosis ( f3 or f4 on metavir scoring schema ) was diagnosed in 45.7 % ( 95 % ci , 34 - 57.4 % [ )(of the patients of the derivation set ( 70 patients ) [and] in 37 % ( 95 % ci , 24.2 - 49.9 % [ )(of the validation set ( 54 patients ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 1 results 2 : 2 : 3 advanced 3 advanced 4 fibrosis 3 advanced 14 was 3 advanced 15 diagnosed 4 fibrosis 12 schema 4 fibrosis 14 was 5 ( 12 schema 6 f3 7 or 7 or 8 f4 7 or 11 scoring 8 f4 9 on 9 on 10 metavir 11 scoring 12 schema 12 schema 13 ) 15 diagnosed 16 in 15 diagnosed 25 - 16 in 18 % 17 45.7 18 % 18 % 22 ci 19 ( 22 ci 20 95 22 ci 21 % 22 ci 22 ci 23 , 24 34 25 - 25 - 26 57.4 26 57.4 27 % 27 % 29 )(of 29 )(of 31 patients 30 the 31 patients 31 patients 32 of 31 patients 41 in 32 of 34 derivation 33 the 34 derivation 34 derivation 35 set 34 derivation 38 patients 36 ( 38 patients 37 70 38 patients 38 patients 39 ) 41 in 43 % 42 37 43 % 43 % 47 ci 43 % 52 % 44 ( 47 ci 45 95 47 ci 46 % 47 ci 47 ci 48 , 48 , 52 % 49 24.2 50 - 50 - 51 49.9 50 - 52 % 52 % 54 )(of 52 % 62 . 54 )(of 56 validation 55 the 56 validation 56 validation 57 set 56 validation 60 patients 58 ( 60 patients 59 54 60 patients 60 patients 61 ) in the derivation set , age and aspartate aminotransferase [(] [ast] ) were independent clinical predictors of advanced [fibrosis] . 0 ###LEFT-WALL### 1 in 0 ###LEFT-WALL### 18 advanced 2 the 3 derivation 3 derivation 7 and 3 derivation 17 of 3 derivation 18 advanced 4 set 5 , 5 , 6 age 5 , 7 and 7 and 9 aminotransferase 7 and 12 ) 7 and 13 were 8 aspartate 9 aminotransferase 13 were 16 predictors 14 independent 16 predictors 15 clinical 16 predictors 16 predictors 17 of 18 advanced 20 . the roc areas of this age [-] [ast] model were 0.8 ( 95 % ci , 0.7 - 0.9 ) in the derivation set and 0.82 [(] 95 % ci , 0.71 - 0.93 ) in the validation set , respectively . 0 ###LEFT-WALL### 3 areas 0 ###LEFT-WALL### 10 were 1 the 3 areas 2 roc 3 areas 3 areas 4 of 3 areas 10 were 4 of 9 model 5 this 9 model 6 age 9 model 10 were 11 0.8 10 were 18 - 10 were 21 in 10 were 33 - 10 were 36 in 11 0.8 15 ci 12 ( 15 ci 13 95 15 ci 14 % 15 ci 15 ci 16 , 16 , 18 - 17 0.7 18 - 18 - 19 0.9 18 - 20 ) 21 in 25 and 22 the 24 set 23 derivation 24 set 24 set 25 and 25 and 30 ci 26 0.82 30 ci 28 95 30 ci 29 % 30 ci 31 , 33 - 32 0.71 33 - 33 - 34 0.93 33 - 35 ) 36 in 38 validation 37 the 38 validation 38 validation 39 set 39 set 41 respectively 40 , 41 respectively 41 respectively 42 . without missing a single case , this model identified 11 patients ( 20 % ) without advanced fibrosis [in] [the] validation set . 0 ###LEFT-WALL### 8 model 0 ###LEFT-WALL### 9 identified 0 ###LEFT-WALL### 23 . 1 without 2 missing 1 without 6 , 1 without 8 model 2 missing 5 case 3 a 4 single 3 a 5 case 4 single 5 case 7 this 8 model 8 model 9 identified 9 identified 11 patients 9 identified 16 without 10 11 11 patients 11 patients 14 % 12 ( 14 % 13 20 14 % 14 % 15 ) 16 without 21 validation 17 advanced 18 fibrosis 18 fibrosis 21 validation 21 validation 22 set conclusions : a substantial proportion of patients with high viral load [and] alt < 2 × unl have advanced [fibrosis] . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 advanced 0 ###LEFT-WALL### 21 . 1 conclusions 2 : 2 : 5 proportion 3 a 5 proportion 4 substantial 5 proportion 5 proportion 6 of 6 of 7 patients 7 patients 8 with 8 with 13 alt 9 high 11 load 10 viral 11 load 11 load 13 alt 14 < 15 2 15 2 17 unl 16 × 17 unl 17 unl 18 have 18 have 19 advanced a simple model including age and [ast] is an easily applicable tool for physicians to guide their decisions on whether or not to perform liver biopsy in individual patients . 0 ###LEFT-WALL### 5 age 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 30 . 1 a 2 simple 1 a 5 age 2 simple 3 model 3 model 5 age 4 including 5 age 6 and 8 is 6 and 26 biopsy 8 is 12 tool 9 an 10 easily 9 an 12 tool 10 easily 11 applicable 11 applicable 12 tool 12 tool 13 for 12 tool 18 decisions 12 tool 26 biopsy 13 for 14 physicians 14 physicians 15 to 14 physicians 16 guide 15 to 16 guide 17 their 18 decisions 18 decisions 19 on 18 decisions 26 biopsy 19 on 22 not 20 whether 21 or 21 or 22 not 22 not 23 to 22 not 24 perform 23 to 24 perform 24 perform 25 liver 26 biopsy 27 in 27 in 29 patients 28 individual 29 patients rationale : although hypnotics are primarily used by older people , the residual effects [the] morning after a single nighttime intake of the two most commonly prescribed hypnotics [,] zolpidem ( zp ) [and] zopiclone ( zc ) , on older middle - aged drivers have not been evaluated and compared . 0 ###LEFT-WALL### 1 rationale 0 ###LEFT-WALL### 7 used 0 ###LEFT-WALL### 11 , 1 rationale 2 : 2 : 3 although 2 : 7 used 3 although 4 hypnotics 3 although 5 are 4 hypnotics 5 are 5 are 6 primarily 7 used 8 by 8 by 10 people 9 older 10 people 11 , 16 morning 12 the 16 morning 13 residual 14 effects 14 effects 16 morning 16 morning 17 after 16 morning 22 of 16 morning 28 hypnotics 17 after 21 intake 18 a 21 intake 19 single 21 intake 20 nighttime 21 intake 22 of 24 two 23 the 24 two 24 two 25 most 24 two 27 prescribed 25 most 27 prescribed 26 commonly 27 prescribed 28 hypnotics 35 zopiclone 30 zolpidem 32 zp 30 zolpidem 35 zopiclone 31 ( 32 zp 32 zp 33 ) 35 zopiclone 37 zc 35 zopiclone 40 on 35 zopiclone 45 drivers 36 ( 37 zc 37 zc 38 ) 39 , 40 on 40 on 42 middle 40 on 43 - 41 older 42 middle 43 - 45 drivers 44 aged 45 drivers 45 drivers 50 and 45 drivers 52 . 46 have 47 not 46 have 48 been 46 have 50 and 48 been 49 evaluated 50 and 51 compared methods : sixteen healthy subjects , 55 to 65 years of age , participated in this double - blind , balanced , cross - over study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 5 subjects 2 : 14 participated 2 : 18 - 2 : 20 , 3 sixteen 5 subjects 4 healthy 5 subjects 5 subjects 7 55 5 subjects 14 participated 6 , 7 55 7 55 8 to 7 55 11 of 7 55 13 , 8 to 10 years 9 65 10 years 11 of 12 age 14 participated 15 in 15 in 17 double 16 this 17 double 18 - 19 blind 20 , 23 cross 21 balanced 22 , 21 balanced 23 cross 23 cross 25 over 24 - 25 over 25 over 26 study 25 over 27 . zc ( 7.5 mg ) , zp ( 10 mg ) and flunitrazepam ( fln ) ( 1 mg ) or a placebo was administered at each subject 's home at 11.00 pm . 0 ###LEFT-WALL### 21 or 0 ###LEFT-WALL### 25 administered 0 ###LEFT-WALL### 34 . 1 zc 4 mg 1 zc 6 , 2 ( 4 mg 3 7.5 4 mg 4 mg 5 ) 6 , 7 zp 6 , 12 and 7 zp 10 mg 8 ( 10 mg 9 10 10 mg 10 mg 11 ) 12 and 13 flunitrazepam 12 and 15 fln 12 and 19 mg 12 and 21 or 14 ( 15 fln 15 fln 16 ) 17 ( 19 mg 18 1 19 mg 19 mg 20 ) 21 or 23 placebo 21 or 24 was 22 a 23 placebo 24 was 25 administered 25 administered 26 at 25 administered 31 at 26 at 30 home 27 each 28 subject 28 subject 29 's 29 's 30 home 31 at 33 pm 32 11.00 33 pm the next morning , at 9.00 am , the subjects had to drive in a simulated monotonous driving environment for 1 h . 0 ###LEFT-WALL### 10 subjects 0 ###LEFT-WALL### 11 had 1 the 2 next 2 next 3 morning 3 morning 4 , 3 morning 10 subjects 4 , 5 at 5 at 7 am 5 at 8 , 5 at 10 subjects 6 9.00 7 am 9 the 10 subjects 10 subjects 11 had 11 had 12 to 11 had 13 drive 12 to 13 drive 13 drive 14 in 14 in 19 environment 15 a 19 environment 16 simulated 19 environment 17 monotonous 19 environment 18 driving 19 environment 19 environment 20 for 20 for 22 h 21 1 22 h 22 h 23 . during each morning session , two blood samples were collected , and subjective feelings of alertness were completed three times . 0 ###LEFT-WALL### 8 samples 0 ###LEFT-WALL### 9 were 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 21 . 1 during 4 session 1 during 5 , 1 during 8 samples 2 each 4 session 3 morning 4 session 6 two 8 samples 7 blood 8 samples 8 samples 9 were 9 were 10 collected 11 , 12 and 12 and 14 feelings 12 and 18 completed 13 subjective 14 feelings 14 feelings 15 of 14 feelings 17 were 15 of 16 alertness 17 were 18 completed 18 completed 20 times 19 three 20 times results : in comparison [to] placebo , zp and zc equivalently [and] significantly impaired the standard deviation of lateral position , the standard deviation of speed and the number of road exits . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 6 placebo 2 : 7 , 3 in 4 comparison 4 comparison 6 placebo 7 , 9 and 7 , 14 impaired 8 zp 9 and 9 and 10 zc 9 and 14 impaired 11 equivalently 14 impaired 13 significantly 14 impaired 14 impaired 17 deviation 15 the 17 deviation 16 standard 17 deviation 17 deviation 18 of 17 deviation 30 of 18 of 27 and 19 lateral 20 position 20 position 21 , 21 , 24 deviation 21 , 27 and 22 the 24 deviation 23 standard 24 deviation 24 deviation 25 of 25 of 26 speed 27 and 29 number 28 the 29 number 30 of 32 exits 31 road 32 exits detectable blood concentrations were found with zp in 11 subjects at 8.30 am and at 1.30 pm . 0 ###LEFT-WALL### 3 concentrations 0 ###LEFT-WALL### 5 found 0 ###LEFT-WALL### 18 . 1 detectable 2 blood 2 blood 3 concentrations 3 concentrations 4 were 4 were 5 found 5 found 6 with 5 found 8 in 6 with 7 zp 8 in 10 subjects 9 11 10 subjects 10 subjects 14 and 11 at 13 am 11 at 14 and 12 8.30 13 am 14 and 15 at 15 at 17 pm 16 1.30 17 pm the subjective alertness factor was significantly impaired with zp . 0 ###LEFT-WALL### 4 factor 0 ###LEFT-WALL### 7 impaired 0 ###LEFT-WALL### 10 . 1 the 4 factor 2 subjective 3 alertness 3 alertness 4 factor 4 factor 5 was 5 was 6 significantly 5 was 7 impaired 7 impaired 8 with 8 with 9 zp conclusions : this is the first study revealing residual effects of zp on driving performance in ageing drivers which are similar to that of zc . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 this 2 : 4 is 2 : 26 . 3 this 4 is 4 is 7 study 5 the 7 study 6 first 7 study 7 study 8 revealing 7 study 16 in 8 revealing 10 effects 9 residual 10 effects 10 effects 11 of 10 effects 13 on 11 of 12 zp 13 on 14 driving 14 driving 15 performance 16 in 18 drivers 17 ageing 18 drivers 18 drivers 19 which 18 drivers 20 are 18 drivers 24 of 19 which 20 are 20 are 21 similar 21 similar 22 to 22 to 23 that 24 of 25 zc studying the effects of medication in different age ranges appears useful to complete the studies on behavioural - pharmacological effects of medication . 0 ###LEFT-WALL### 1 studying 0 ###LEFT-WALL### 10 appears 0 ###LEFT-WALL### 23 . 1 studying 3 effects 1 studying 6 in 1 studying 10 appears 2 the 3 effects 3 effects 4 of 4 of 5 medication 6 in 9 ranges 7 different 8 age 8 age 9 ranges 10 appears 11 useful 11 useful 12 to 11 useful 13 complete 12 to 13 complete 13 complete 15 studies 13 complete 16 on 14 the 15 studies 16 on 20 effects 17 behavioural 18 - 17 behavioural 20 effects 19 pharmacological 20 effects 20 effects 21 of 21 of 22 medication to reduce the incidence of driving accidents due to prescription drugs , patients should be warned at the time of treatment initiation that they should avoid driving . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 reduce 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 28 . 1 to 2 reduce 2 reduce 4 incidence 3 the 4 incidence 4 incidence 5 of 5 of 6 driving 6 driving 7 accidents 6 driving 9 to 8 due 9 to 9 to 11 drugs 10 prescription 11 drugs 12 , 13 patients 12 , 16 warned 13 patients 14 should 14 should 15 be 15 be 16 warned 16 warned 17 at 16 warned 23 that 17 at 19 time 18 the 19 time 19 time 20 of 20 of 22 initiation 21 treatment 22 initiation 23 that 24 they 23 that 26 avoid 24 they 25 should 25 should 26 avoid 26 avoid 27 driving none objective : to elucidate the correlation between the telomere length and subtelomeric methylated status in peripheral leukocytes and the laboratory data of inpatients with brain infarction and metabolic disorders . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 24 inpatients 0 ###LEFT-WALL### 31 . 1 none 2 objective 1 none 5 elucidate 1 none 24 inpatients 2 objective 3 : 3 : 4 to 3 : 5 elucidate 4 to 5 elucidate 5 elucidate 7 correlation 5 elucidate 8 between 6 the 7 correlation 8 between 10 telomere 9 the 10 telomere 10 telomere 12 and 10 telomere 23 of 11 length 12 and 12 and 13 subtelomeric 12 and 14 methylated 14 methylated 15 status 14 methylated 16 in 16 in 19 and 17 peripheral 18 leukocytes 18 leukocytes 19 and 19 and 22 data 20 the 22 data 21 laboratory 22 data 22 data 23 of 24 inpatients 25 with 25 with 28 and 26 brain 27 infarction 27 infarction 28 and 28 and 30 disorders 29 metabolic 30 disorders this is the first report describing a link between routine clinical laboratory data and genomic aging . 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 describing 6 describing 8 link 6 describing 9 between 7 a 8 link 9 between 14 and 10 routine 13 data 11 clinical 12 laboratory 12 laboratory 13 data 13 data 14 and 14 and 15 genomic 14 and 16 aging design : cross - sectional population - based study . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 2 : 3 cross 2 : 8 based 2 : 10 . 3 cross 6 population 3 cross 8 based 4 - 6 population 5 sectional 6 population 6 population 7 - 8 based 9 study setting : chronic disease [ward] of kyushu university hospital at beppu in japan . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 . 1 setting 2 : 2 : 4 disease 3 chronic 4 disease 4 disease 6 of 6 of 9 hospital 7 kyushu 8 university 8 university 9 hospital 9 hospital 10 at 10 at 11 beppu 11 beppu 12 in 12 in 13 japan participants : inpatients with brain infarction and metabolic disorders . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 . 1 participants 2 : 2 : 3 inpatients 3 inpatients 4 with 4 with 7 and 5 brain 6 infarction 6 infarction 7 and 7 and 9 disorders 8 metabolic 9 disorders measurements : the laboratory data of male patients were collected and the telomeric parameters in their peripheral leukocytes were determined by a southern blot analysis with methylation - sensitive and insensitive isoschizomers . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 5 data 2 : 9 were 2 : 11 and 2 : 28 - 3 the 5 data 4 laboratory 5 data 5 data 6 of 5 data 9 were 6 of 8 patients 7 male 8 patients 9 were 10 collected 11 and 14 parameters 11 and 19 were 12 the 14 parameters 13 telomeric 14 parameters 14 parameters 15 in 14 parameters 19 were 15 in 18 leukocytes 16 their 18 leukocytes 17 peripheral 18 leukocytes 19 were 20 determined 20 determined 21 by 21 by 25 analysis 22 a 25 analysis 23 southern 24 blot 24 blot 25 analysis 25 analysis 26 with 26 with 27 methylation 28 - 32 isoschizomers 29 sensitive 30 and 30 and 31 insensitive 30 and 32 isoschizomers any correlations between the laboratory data and the telomeric parameters were assessed . 0 ###LEFT-WALL### 2 correlations 0 ###LEFT-WALL### 12 assessed 0 ###LEFT-WALL### 13 . 1 any 2 correlations 2 correlations 3 between 2 correlations 11 were 3 between 7 and 4 the 6 data 5 laboratory 6 data 6 data 7 and 7 and 10 parameters 8 the 10 parameters 9 telomeric 10 parameters 11 were 12 assessed results : the patients revealed a significant correlation among the fasting blood sugar , hba1c , serum creatinine and urea nitrogen levels with the mean telomere length , expression of long telomeres ( > 9.4 kb ) , or the subtelomeric hypermethylation status of long telomeres . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 patients 2 : 5 revealed 2 : 47 . 3 the 4 patients 4 patients 5 revealed 5 revealed 8 correlation 5 revealed 9 among 5 revealed 23 with 6 a 7 significant 6 a 8 correlation 7 significant 8 correlation 9 among 12 blood 10 the 12 blood 11 fasting 12 blood 12 blood 21 nitrogen 12 blood 22 levels 13 sugar 14 , 14 , 15 hba1c 14 , 16 , 16 , 18 creatinine 16 , 19 and 17 serum 18 creatinine 19 and 20 urea 19 and 21 nitrogen 21 nitrogen 22 levels 23 with 39 or 24 the 27 length 25 mean 26 telomere 26 telomere 27 length 27 length 28 , 28 , 29 expression 28 , 39 or 29 expression 30 of 30 of 32 telomeres 31 long 32 telomeres 32 telomeres 36 kb 33 ( 36 kb 34 > 35 9.4 35 9.4 36 kb 36 kb 37 ) 38 , 39 or 39 or 43 status 40 the 43 status 41 subtelomeric 42 hypermethylation 42 hypermethylation 43 status 43 status 44 of 44 of 46 telomeres 45 long 46 telomeres conclusion : our results suggested that the hyperglycemia and renal function of patients with metabolic disorders correlated positively with the aging - associated telomeric changes . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 - 1 conclusion 2 : 2 : 4 results 3 our 4 results 4 results 5 suggested 4 results 6 that 4 results 17 correlated 6 that 9 and 6 that 17 correlated 7 the 8 hyperglycemia 8 hyperglycemia 9 and 9 and 11 function 9 and 12 of 9 and 14 with 9 and 17 correlated 10 renal 11 function 12 of 13 patients 14 with 16 disorders 15 metabolic 16 disorders 17 correlated 18 positively 17 correlated 19 with 19 with 21 aging 20 the 21 aging 22 - 25 changes 22 - 26 . 23 associated 25 changes 24 telomeric 25 changes background : the aim of the study was to determine which risk factors were associated with the recurrence of falls among community [-] dwelling older adults . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 determine 0 ###LEFT-WALL### 27 . 2 : 4 aim 2 : 8 was 3 the 4 aim 4 aim 5 of 4 aim 8 was 5 of 7 study 6 the 7 study 8 was 9 to 9 to 10 determine 10 determine 11 which 11 which 12 risk 12 risk 13 factors 12 risk 19 of 12 risk 20 falls 13 factors 14 were 14 were 15 associated 15 associated 16 with 16 with 18 recurrence 17 the 18 recurrence 18 recurrence 19 of 20 falls 21 among 21 among 26 adults 22 community 24 dwelling 24 dwelling 26 adults 25 older 26 adults methods : based on a cross - sectional design , 1066 community - dwelling volunteers aged 65 and older were recruited . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 3 based 0 ###LEFT-WALL### 10 , 1 methods 2 : 2 : 3 based 3 based 4 on 4 on 6 cross 5 a 6 cross 6 cross 9 design 7 - 9 design 8 sectional 9 design 9 design 10 , 10 , 12 community 10 , 13 - 11 1066 12 community 13 - 14 dwelling 13 - 21 recruited 13 - 22 . 14 dwelling 18 and 14 dwelling 20 were 15 volunteers 16 aged 15 volunteers 18 and 16 aged 17 65 18 and 19 older 20 were 21 recruited subjects were separated into 4 groups based on the number of [falls] [:] 0 , 1 , 2 and ≥ 2 falls . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 3 separated 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 23 . 1 subjects 2 were 2 were 3 separated 3 separated 4 into 3 separated 8 on 4 into 6 groups 5 4 6 groups 6 groups 7 based 8 on 10 number 9 the 10 number 10 number 11 of 11 of 14 0 14 0 16 1 15 , 16 1 16 1 17 , 17 , 18 2 17 , 19 and 19 and 20 ≥ 19 and 22 falls 20 ≥ 21 2 20 ≥ 22 falls results : among the 395 ( 37.1 % ) fallers , 291 ( 27.3 % ) were single fallers and 104 ( 9.8 % ) were recurrent fallers ( i.e [.] , > 2 [falls] ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 10 fallers 2 : 17 were 2 : 20 and 2 : 37 . 3 among 5 395 3 among 10 fallers 4 the 5 395 5 395 8 % 6 ( 8 % 7 37.1 8 % 8 % 9 ) 10 fallers 12 291 10 fallers 17 were 11 , 12 291 12 291 15 % 12 291 16 ) 13 ( 15 % 14 27.3 15 % 15 % 16 ) 17 were 19 fallers 18 single 19 fallers 20 and 21 104 20 and 26 were 21 104 24 % 21 104 26 were 22 ( 24 % 23 9.8 24 % 24 % 25 ) 26 were 28 fallers 27 recurrent 28 fallers 28 fallers 30 i.e 29 ( 30 i.e 30 i.e 34 2 30 i.e 36 ) 32 , 34 2 33 > 34 2 34 2 36 ) the numbers [of] [falls] increased significantly with age ( incident rate ratio ( irr )=1.03 , p < 0.001 [ )(, female gender ( irr=1.95 , p < 0.001 [ )( institutionalization ( irr=1.66 , p=0.002 ) , [number] [of] drugs taken [per] day ( irr=1.05 , p < 0.001 [ )( use of psychoactive drugs ( irr=1.29 , p=0.009 ) , increased time of tug test ( irr=1.02 , p < 0.001 ) , use of [a] walking aid ( irr=1.59 , p=0.002 ) , and fear of falling ( irr=3.08 , p < 0.001 ) . 0 ###LEFT-WALL### 2 numbers 0 ###LEFT-WALL### 5 increased 1 the 2 numbers 2 numbers 5 increased 5 increased 6 significantly 5 increased 7 with 7 with 8 age 8 age 12 ratio 8 age 18 < 9 ( 12 ratio 10 incident 11 rate 11 rate 12 ratio 12 ratio 15 )=1.03 12 ratio 16 , 13 ( 15 )=1.03 14 irr 15 )=1.03 15 )=1.03 16 , 16 , 18 < 17 p 18 < 18 < 19 0.001 19 0.001 23 gender 19 0.001 28 < 21 )(, 23 gender 22 female 23 gender 23 gender 25 irr=1.95 23 gender 26 , 24 ( 25 irr=1.95 25 irr=1.95 26 , 27 p 28 < 28 < 29 0.001 29 0.001 32 institutionalization 29 0.001 41 drugs 32 institutionalization 34 irr=1.66 32 institutionalization 41 drugs 33 ( 34 irr=1.66 34 irr=1.66 36 p=0.002 34 irr=1.66 38 , 35 , 36 p=0.002 36 p=0.002 37 ) 41 drugs 49 < 42 taken 44 day 44 day 46 irr=1.05 45 ( 46 irr=1.05 46 irr=1.05 47 , 47 , 49 < 48 p 49 < 49 < 53 use 50 0.001 53 use 53 use 54 of 53 use 63 increased 54 of 56 drugs 55 psychoactive 56 drugs 56 drugs 58 irr=1.29 57 ( 58 irr=1.29 58 irr=1.29 60 p=0.009 58 irr=1.29 61 ) 59 , 60 p=0.009 60 p=0.009 61 ) 62 , 63 increased 63 increased 64 time 64 time 65 of 65 of 76 use 66 tug 67 test 67 test 69 irr=1.02 67 test 76 use 68 ( 69 irr=1.02 69 irr=1.02 72 < 69 irr=1.02 75 , 70 , 72 < 71 p 72 < 72 < 73 0.001 72 < 74 ) 76 use 77 of 77 of 79 walking 79 walking 80 aid 80 aid 87 and 81 ( 87 and 82 irr=1.59 84 p=0.002 82 irr=1.59 87 and 83 , 84 p=0.002 84 p=0.002 85 ) 86 , 87 and 87 and 88 fear 87 and 89 of 87 and 92 irr=3.08 87 and 98 . 89 of 90 falling 91 ( 92 irr=3.08 92 irr=3.08 95 < 92 irr=3.08 97 ) 93 , 95 < 94 p 95 < 95 < 96 0.001 in addition , a high score at the handgrip test ( irr=0.97 , p < 0.001 ) and distance binocular vision [(] irr=0.92 , p < 0.001 ) were associated with a decreased number of falls . 0 ###LEFT-WALL### 21 vision 0 ###LEFT-WALL### 36 falls 0 ###LEFT-WALL### 37 . 1 in 2 addition 1 in 3 , 1 in 21 vision 4 a 5 high 4 a 6 score 5 high 6 score 6 score 7 at 6 score 18 and 7 at 10 test 8 the 10 test 9 handgrip 10 test 10 test 12 irr=0.97 11 ( 12 irr=0.97 12 irr=0.97 15 < 12 irr=0.97 17 ) 13 , 15 < 14 p 15 < 15 < 16 0.001 18 and 19 distance 18 and 21 vision 20 binocular 21 vision 21 vision 23 irr=0.92 21 vision 35 of 21 vision 36 falls 23 irr=0.92 26 < 23 irr=0.92 29 were 24 , 26 < 25 p 26 < 26 < 27 0.001 26 < 28 ) 29 were 30 associated 30 associated 31 with 31 with 34 number 32 a 34 number 33 decreased 34 number 34 number 35 of after adjustment for potential confounders , only female gender ( irr=1.44 , p < 0.001 ) , vision ( irr=0.95 , p=0.006 ) and lower limb proprioception ( irr=0.95 , p=0.046 ) , and fear of falling ( irr=2.68 , p < 0.001 ) were still significantly associated with the number [of] [falls] . 0 ###LEFT-WALL### 5 confounders 0 ###LEFT-WALL### 54 . 1 after 2 adjustment 1 after 5 confounders 3 for 4 potential 3 for 5 confounders 5 confounders 9 gender 5 confounders 45 were 6 , 7 only 6 , 9 gender 8 female 9 gender 9 gender 11 irr=1.44 9 gender 44 ) 10 ( 11 irr=1.44 11 irr=1.44 14 < 11 irr=1.44 18 vision 11 irr=1.44 44 ) 12 , 14 < 13 p 14 < 14 < 15 0.001 14 < 16 ) 17 , 18 vision 18 vision 34 and 18 vision 44 ) 19 ( 34 and 20 irr=0.95 22 p=0.006 20 irr=0.95 24 and 21 , 22 p=0.006 22 p=0.006 23 ) 24 and 27 proprioception 24 and 29 irr=0.95 24 and 31 p=0.046 24 and 34 and 25 lower 27 proprioception 26 limb 27 proprioception 28 ( 29 irr=0.95 29 irr=0.95 30 , 30 , 31 p=0.046 31 p=0.046 32 ) 33 , 34 and 34 and 35 fear 34 and 36 of 34 and 39 irr=2.68 34 and 42 < 34 and 44 ) 36 of 37 falling 38 ( 39 irr=2.68 39 irr=2.68 40 , 40 , 42 < 41 p 42 < 42 < 43 0.001 42 < 44 ) 45 were 48 associated 46 still 48 associated 47 significantly 48 associated 48 associated 49 with 49 with 51 number 50 the 51 number conclusion . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 . the current study shows that female gender , poor vision and lower limb proprioception , and fear of falling were associated with the recurrence of falls . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 shows 0 ###LEFT-WALL### 27 . 1 the 3 study 2 current 3 study 3 study 4 shows 4 shows 13 limb 4 shows 26 falls 5 that 13 limb 6 female 7 gender 7 gender 8 , 8 , 10 vision 8 , 11 and 9 poor 10 vision 11 and 12 lower 11 and 13 limb 13 limb 16 and 13 limb 25 of 13 limb 26 falls 14 proprioception 16 and 15 , 16 and 16 and 17 fear 16 and 18 of 16 and 20 were 18 of 19 falling 20 were 21 associated 21 associated 22 with 22 with 24 recurrence 23 the 24 recurrence 24 recurrence 25 of objective : anthropometric indices to obesity were evaluated as predictors of metabolic syndrome risk factors . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 4 indices 2 : 8 evaluated 2 : 16 . 3 anthropometric 4 indices 4 indices 5 to 4 indices 7 were 5 to 6 obesity 7 were 8 evaluated 8 evaluated 9 as 9 as 10 predictors 10 predictors 11 of 11 of 15 factors 12 metabolic 13 syndrome 13 syndrome 15 factors 14 risk 15 factors our purpose was to explore an optimal or more reliable anthropometric indicator and optimal cut - off points for obesity on metabolic syndrome [in] chinese adults . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 27 . 1 our 2 purpose 2 purpose 3 was 3 was 4 to 3 was 5 explore 4 to 5 explore 5 explore 13 and 5 explore 21 on 6 an 12 indicator 7 optimal 8 or 8 or 10 reliable 8 or 12 indicator 9 more 10 reliable 11 anthropometric 12 indicator 12 indicator 13 and 13 and 15 cut 13 and 16 - 13 and 17 off 13 and 19 for 14 optimal 15 cut 17 off 18 points 19 for 20 obesity 21 on 26 adults 22 metabolic 23 syndrome 23 syndrome 26 adults 25 chinese 26 adults participants and methods : the survey was conducted involving 2947 participants , aged 20 or [above] [with] cross - sectional study of population . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 participants 2 and 2 and 3 methods 4 : 6 survey 4 : 12 , 4 : 19 - 4 : 24 . 5 the 6 survey 6 survey 7 was 7 was 12 , 8 conducted 11 participants 8 conducted 12 , 9 involving 11 participants 10 2947 11 participants 12 , 15 or 13 aged 14 20 13 aged 15 or 15 or 18 cross 19 - 21 study 20 sectional 21 study 21 study 22 of 22 of 23 population the predictive validity and optimal cut - off values [were] analyzed by receiver operating characteristic ( roc ) curves , area under curve [(] auc ) and the largest youden 's index ( sensitivity + specificity - 1 [ )(by gender group , respectively . 0 ###LEFT-WALL### 27 and 1 the 3 validity 2 predictive 3 validity 3 validity 4 and 4 and 6 cut 4 and 8 off 4 and 27 and 5 optimal 6 cut 7 - 8 off 8 off 9 values 8 off 26 ) 9 values 11 analyzed 11 analyzed 12 by 12 by 19 curves 13 receiver 14 operating 14 operating 19 curves 15 characteristic 17 roc 15 characteristic 19 curves 16 ( 17 roc 17 roc 18 ) 19 curves 21 area 20 , 21 area 21 area 22 under 21 area 26 ) 22 under 25 auc 23 curve 25 auc 27 and 32 index 27 and 35 + 28 the 29 largest 28 the 30 youden 30 youden 31 's 31 's 32 index 33 ( 35 + 34 sensitivity 35 + 35 + 36 specificity 35 + 45 . 36 specificity 38 1 36 specificity 42 group 37 - 38 1 38 1 40 )(by 38 1 42 group 40 )(by 41 gender 42 group 44 respectively 43 , 44 respectively 44 respectively 45 . kappa value showed diagnostic consistency . 0 ###LEFT-WALL### 2 value 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 6 . 1 kappa 2 value 2 value 3 showed 3 showed 5 consistency 4 diagnostic 5 consistency results : according to the criteria of cds 2004 , idf 2005 and aha/nhlbi 2005 , the prevalence of metabolic syndrome was 10.32 % , 9.64 % and 16.12 % [respectively] , which indicated that the prevalence was higher in men than in women and increased with age ( p < 0.05 [ )( 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 according 2 : 10 , 3 according 4 to 4 to 6 criteria 5 the 6 criteria 6 criteria 7 of 7 of 8 cds 8 cds 9 2004 10 , 13 and 10 , 16 , 11 idf 12 2005 11 idf 13 and 13 and 14 aha/nhlbi 14 aha/nhlbi 15 2005 16 , 18 prevalence 16 , 22 was 17 the 18 prevalence 18 prevalence 19 of 18 prevalence 22 was 19 of 21 syndrome 20 metabolic 21 syndrome 22 was 24 % 23 10.32 24 % 24 % 30 % 24 % 33 which 25 , 30 % 26 9.64 27 % 26 9.64 28 and 28 and 29 16.12 28 and 30 % 30 % 32 , 32 , 33 which 33 which 45 and 34 indicated 35 that 34 indicated 45 and 35 that 37 prevalence 35 that 38 was 36 the 37 prevalence 37 prevalence 38 was 38 was 39 higher 38 was 40 in 38 was 42 than 40 in 41 men 42 than 43 in 43 in 44 women 45 and 46 increased 46 increased 47 with 47 with 48 age 48 age 51 < 49 ( 51 < 50 p 51 < 51 < 52 0.05 51 < 54 )( the bmi , wc , whr and whtr in metabolic syndrome patients were greater than those in healthy volunteers and the indices in men were higher than those in women . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 13 were 0 ###LEFT-WALL### 15 than 0 ###LEFT-WALL### 31 . 1 the 6 whr 2 bmi 4 wc 3 , 4 wc 4 wc 5 , 4 wc 6 whr 6 whr 7 and 7 and 8 whtr 7 and 9 in 7 and 13 were 9 in 12 patients 10 metabolic 11 syndrome 11 syndrome 12 patients 13 were 14 greater 15 than 20 and 15 than 25 were 16 those 17 in 16 those 20 and 17 in 19 volunteers 18 healthy 19 volunteers 20 and 22 indices 20 and 23 in 20 and 25 were 21 the 22 indices 23 in 24 men 25 were 26 higher 26 higher 27 than 27 than 28 those 28 those 29 in 29 in 30 women with adjusted age and gender , the partial correlation coefficient for bmi - wc , bmi - whr and bmi - whtr was 0.7991 , 0.5278 and 0.8196 , respectively ( p < 0.05 ) . 0 ###LEFT-WALL### 22 whtr 0 ###LEFT-WALL### 23 was 0 ###LEFT-WALL### 36 . 1 with 4 and 1 with 21 - 1 with 22 whtr 2 adjusted 3 age 3 age 4 and 4 and 5 gender 4 and 10 coefficient 6 , 10 coefficient 7 the 10 coefficient 8 partial 9 correlation 9 correlation 10 coefficient 10 coefficient 11 for 10 coefficient 21 - 11 for 16 bmi 12 bmi 14 wc 13 - 14 wc 14 wc 16 bmi 15 , 16 bmi 16 bmi 20 bmi 17 - 20 bmi 18 whr 19 and 19 and 20 bmi 20 bmi 21 - 22 whtr 23 was 23 was 24 0.7991 23 was 30 respectively 23 was 33 < 24 0.7991 27 and 25 , 27 and 26 0.5278 27 and 27 and 28 0.8196 27 and 29 , 31 ( 33 < 32 p 33 < 33 < 34 0.05 33 < 35 ) the area under curves ( aucs ) of receiver operating characteristic ( roc ) curves for whtr was larger ( p < 0.05 ) than that for wc and whr . 0 ###LEFT-WALL### 2 area 0 ###LEFT-WALL### 18 was 1 the 2 area 2 area 3 under 2 area 8 of 2 area 18 was 3 under 4 curves 4 curves 6 aucs 5 ( 6 aucs 6 aucs 7 ) 8 of 15 curves 9 receiver 10 operating 10 operating 15 curves 11 characteristic 13 roc 11 characteristic 15 curves 12 ( 13 roc 13 roc 14 ) 15 curves 16 for 16 for 17 whtr 18 was 19 larger 19 larger 22 < 19 larger 25 than 19 larger 27 for 20 ( 22 < 21 p 22 < 22 < 23 0.05 22 < 24 ) 25 than 26 that 27 for 30 whr 28 wc 29 and 29 and 30 whr 30 whr 31 . the cut - point of whtr was approximately 0.5 in both genders with a satisfactory balance between sensitivity and specificity , where the kappa ( [k] [ )(value for whtr - bmi was higher than that for whtr - whr , and whtr - wc . 0 ###LEFT-WALL### 2 cut 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 7 was 1 the 2 cut 3 - 4 point 4 point 5 of 4 point 7 was 5 of 6 whtr 7 was 9 0.5 7 was 10 in 7 was 13 with 7 was 17 between 8 approximately 9 0.5 10 in 12 genders 11 both 12 genders 13 with 16 balance 14 a 16 balance 15 satisfactory 16 balance 17 between 19 and 18 sensitivity 19 and 19 and 20 specificity 19 and 21 , 19 and 22 where 22 where 32 bmi 22 where 33 was 23 the 32 bmi 24 kappa 28 )(value 24 kappa 32 bmi 25 ( 28 )(value 28 )(value 29 for 28 )(value 31 - 29 for 30 whtr 32 bmi 33 was 33 was 34 higher 34 higher 35 than 35 than 36 that 35 than 37 for 37 for 43 whtr 38 whtr 40 whr 39 - 40 whr 40 whr 41 , 40 whr 42 and 42 and 43 whtr 43 whtr 45 wc 44 - 45 wc 45 wc 46 . conclusions : the results indicated that whtr might be an optimal anthropometric predictor of metabolic syndrome risk factors and the cut - point of whtr was approximately 0.50 in both genders of chinese adults . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 35 . 2 : 4 results 2 : 5 indicated 3 the 4 results 4 results 5 indicated 5 indicated 6 that 5 indicated 26 was 6 that 7 whtr 6 that 9 be 6 that 26 was 7 whtr 8 might 8 might 9 be 9 be 13 predictor 10 an 11 optimal 10 an 13 predictor 11 optimal 13 predictor 12 anthropometric 13 predictor 13 predictor 14 of 13 predictor 24 of 14 of 17 risk 15 metabolic 16 syndrome 16 syndrome 17 risk 17 risk 19 and 17 risk 23 point 18 factors 19 and 19 and 21 cut 19 and 22 - 19 and 23 point 20 the 21 cut 24 of 25 whtr 26 was 28 0.50 26 was 29 in 27 approximately 28 0.50 29 in 31 genders 30 both 31 genders 31 genders 32 of 32 of 34 adults 33 chinese 34 adults objective : to develop a foodservice satisfaction instrument for residential aged care and geriatric/rehabilitation units . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 develop 2 : 16 . 3 to 4 develop 4 develop 8 instrument 5 a 6 foodservice 5 a 8 instrument 6 foodservice 7 satisfaction 7 satisfaction 8 instrument 8 instrument 9 for 9 for 13 and 10 residential 12 care 11 aged 12 care 12 care 13 and 13 and 15 units 14 geriatric/rehabilitation 15 units the quality of care and food provided for clients in long - term care facilities is critical for the prevention of malnutrition . 0 ###LEFT-WALL### 2 quality 0 ###LEFT-WALL### 16 is 0 ###LEFT-WALL### 23 . 1 the 2 quality 2 quality 3 of 2 quality 7 provided 2 quality 16 is 3 of 5 and 4 care 5 and 5 and 6 food 7 provided 8 for 7 provided 10 in 8 for 9 clients 10 in 15 facilities 11 long 12 - 11 long 13 term 13 term 15 facilities 14 care 15 facilities 16 is 17 critical 17 critical 18 for 18 for 20 prevention 19 the 20 prevention 20 prevention 21 of 21 of 22 malnutrition design : cross - sectional survey and [in] - depth interviews . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 1 design 2 : 2 : 3 cross 4 - 6 survey 4 - 7 and 4 - 12 . 5 sectional 6 survey 7 and 9 - 7 and 11 interviews 9 - 10 depth 10 depth 11 interviews setting : nine residential aged care facilities and two geriatric/rehabilitation units in southeast queensland , australia . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 17 . 1 setting 2 : 2 : 8 and 2 : 12 in 3 nine 7 facilities 4 residential 6 care 5 aged 6 care 6 care 7 facilities 7 facilities 8 and 8 and 11 units 9 two 11 units 10 geriatric/rehabilitation 11 units 12 in 14 queensland 13 southeast 14 queensland 15 , 16 australia participants : a total of 103 geriatric/rehabilitation patients and 210 aged care residents . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 . 1 participants 2 : 2 : 9 and 3 a 4 total 4 total 5 of 4 total 9 and 5 of 8 patients 6 103 8 patients 7 geriatric/rehabilitation 8 patients 9 and 13 residents 10 210 13 residents 11 aged 12 care 12 care 13 residents the median age was 84 years , with 72.1 % females . 0 ###LEFT-WALL### 3 age 0 ###LEFT-WALL### 4 was 1 the 3 age 2 median 3 age 3 age 4 was 4 was 6 years 5 84 6 years 6 years 8 with 7 , 8 with 8 with 11 females 8 with 12 . 9 72.1 11 females 10 % 11 females measurements : candidate satisfaction items were obtained from : [(] [i] [ )(secondary analysis of acute care foodservice satisfaction data ; ( ii ) focus groups with expert geriatrics/rehabilitation and aged care dietitians [;] ( iii ) pre - testing of instrument content , presentation format and response - scale ( n=40 ) [and] ( iv ) pilot testing of the instrument ( n=313 ) . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 : 1 measurements 2 : 2 : 3 candidate 3 candidate 5 items 3 candidate 8 from 4 satisfaction 5 items 5 items 6 were 6 were 7 obtained 7 obtained 8 from 9 : 14 analysis 9 : 21 ; 13 )(secondary 14 analysis 14 analysis 15 of 15 of 20 data 16 acute 17 care 17 care 20 data 18 foodservice 20 data 19 satisfaction 20 data 21 ; 25 focus 21 ; 30 and 22 ( 23 ii 23 ii 24 ) 23 ii 25 focus 25 focus 26 groups 25 focus 27 with 27 with 29 geriatrics/rehabilitation 28 expert 29 geriatrics/rehabilitation 30 and 33 dietitians 30 and 38 pre 31 aged 33 dietitians 32 care 33 dietitians 33 dietitians 36 iii 33 dietitians 38 pre 35 ( 36 iii 36 iii 37 ) 38 pre 49 - 39 - 49 - 40 testing 41 of 40 testing 49 - 41 of 47 and 42 instrument 43 content 43 content 44 , 44 , 46 format 44 , 47 and 45 presentation 46 format 47 and 48 response 49 - 50 scale 50 scale 52 n=40 50 scale 59 testing 51 ( 52 n=40 52 n=40 53 ) 55 ( 59 testing 56 iv 57 ) 56 iv 59 testing 58 pilot 59 testing 59 testing 60 of 59 testing 64 n=313 59 testing 66 . 60 of 62 instrument 61 the 62 instrument 63 ( 64 n=313 64 n=313 65 ) sixty - one items on foodservice attributes , an overall satisfaction question , and demographic/contextual information were tested . 0 ###LEFT-WALL### 1 sixty 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 19 . 2 - 3 one 3 one 4 items 3 one 18 tested 4 items 5 on 4 items 18 tested 5 on 6 foodservice 6 foodservice 14 and 6 foodservice 17 were 7 attributes 8 , 8 , 12 question 8 , 14 and 9 an 10 overall 9 an 12 question 10 overall 11 satisfaction 11 satisfaction 12 question 13 , 14 and 14 and 16 information 14 and 17 were 15 demographic/contextual 16 information results : principal components factor analysis and velicer 's map test revealed foodservice satisfaction was represented by 18 items within four factors : meal quality and enjoyment ( α =0.91 ) , autonomy ( α =0.64 ) , staff consideration ( α =0.79 ) , hunger and food quantity ( α =0.67 ) and six independent items , totalling 24 foodservice characteristics . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 63 . 2 : 3 principal 2 : 7 and 3 principal 4 components 3 principal 5 factor 4 components 5 factor 5 factor 6 analysis 7 and 13 foodservice 7 and 23 : 8 velicer 9 's 9 's 13 foodservice 10 map 11 test 11 test 12 revealed 12 revealed 13 foodservice 13 foodservice 14 satisfaction 13 foodservice 15 was 13 foodservice 16 represented 13 foodservice 17 by 13 foodservice 23 : 14 satisfaction 15 was 17 by 19 items 18 18 19 items 19 items 20 within 20 within 22 factors 21 four 22 factors 23 : 54 and 24 meal 25 quality 25 quality 26 and 26 and 27 enjoyment 26 and 30 =0.91 26 and 33 autonomy 26 and 45 , 28 ( 30 =0.91 29 α 30 =0.91 30 =0.91 31 ) 32 , 33 autonomy 33 autonomy 36 =0.64 33 autonomy 40 consideration 33 autonomy 44 ) 34 ( 36 =0.64 35 α 36 =0.64 36 =0.64 37 ) 38 , 40 consideration 39 staff 40 consideration 40 consideration 43 =0.79 40 consideration 44 ) 41 ( 43 =0.79 42 α 43 =0.79 43 =0.79 44 ) 45 , 46 hunger 45 , 47 and 47 and 49 quantity 47 and 52 =0.67 47 and 54 and 48 food 49 quantity 50 ( 52 =0.67 51 α 52 =0.67 52 =0.67 53 ) 54 and 57 items 54 and 58 , 54 and 59 totalling 55 six 57 items 56 independent 57 items 59 totalling 62 characteristics 60 24 62 characteristics 61 foodservice 62 characteristics this represented around 40 % of the variance in foodservice satisfaction . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 represented 0 ###LEFT-WALL### 12 . 1 this 2 represented 2 represented 5 % 2 represented 9 in 3 around 4 40 4 40 5 % 5 % 6 of 6 of 8 variance 7 the 8 variance 9 in 11 satisfaction 10 foodservice 11 satisfaction when [a] further 13 foodservice items were retained due to practical importance , the analysis explained around 64 % of the variance in foodservice satisfaction . 0 ###LEFT-WALL### 15 analysis 0 ###LEFT-WALL### 16 explained 0 ###LEFT-WALL### 26 . 1 when 6 items 1 when 8 retained 1 when 13 , 1 when 15 analysis 3 further 6 items 4 13 6 items 5 foodservice 6 items 6 items 7 were 7 were 8 retained 8 retained 10 to 9 due 10 to 10 to 12 importance 11 practical 12 importance 14 the 15 analysis 15 analysis 16 explained 16 explained 19 % 16 explained 23 in 17 around 18 64 18 64 19 % 19 % 20 of 20 of 22 variance 21 the 22 variance 23 in 25 satisfaction 24 foodservice 25 satisfaction conclusion : the resident foodservice satisfaction questionnaire is a novel measure of resident foodservice satisfaction and can be used to provide evidence for changes to food services that may improve or enhance resident satisfaction and assist in the prevention of a significant and modifiable cause of malnutrition . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 7 questionnaire 2 : 16 and 2 : 48 . 3 the 7 questionnaire 4 resident 5 foodservice 5 foodservice 6 satisfaction 6 satisfaction 7 questionnaire 7 questionnaire 16 and 8 is 15 satisfaction 8 is 16 and 9 a 11 measure 10 novel 11 measure 11 measure 12 of 11 measure 15 satisfaction 12 of 15 satisfaction 13 resident 15 satisfaction 14 foodservice 15 satisfaction 16 and 17 can 16 and 27 services 17 can 18 be 18 be 19 used 19 used 20 to 19 used 21 provide 20 to 21 provide 21 provide 22 evidence 21 provide 25 to 22 evidence 23 for 23 for 24 changes 25 to 26 food 27 services 28 that 27 services 29 may 28 that 29 may 29 may 31 or 30 improve 31 or 31 or 35 and 31 or 37 in 32 enhance 34 satisfaction 32 enhance 35 and 33 resident 34 satisfaction 35 and 36 assist 37 in 39 prevention 38 the 39 prevention 39 prevention 40 of 39 prevention 46 of 40 of 45 cause 41 a 45 cause 42 significant 43 and 43 and 44 modifiable 43 and 45 cause 46 of 47 malnutrition objective : functional abilities are severely impacted in alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 4 abilities 2 : 7 impacted 2 : 15 . 3 functional 4 abilities 4 abilities 5 are 5 are 6 severely 5 are 7 impacted 7 impacted 8 in 8 in 11 disease 9 alzheimer 10 's 10 's 11 disease 11 disease 13 ad 12 ( 13 ad 13 ad 14 ) loss of the ability to perform complex ( instrumental [ )(and basic activities of daily living ( adl ) , leads to decreased independence and increased caregiver burden . 0 ###LEFT-WALL### 25 and 0 ###LEFT-WALL### 29 . 1 loss 2 of 1 loss 25 and 2 of 4 ability 3 the 4 ability 4 ability 5 to 4 ability 6 perform 5 to 6 perform 6 perform 21 leads 7 complex 11 )(and 7 complex 20 , 7 complex 21 leads 8 ( 11 )(and 9 instrumental 11 )(and 11 )(and 13 activities 11 )(and 19 ) 12 basic 13 activities 13 activities 14 of 14 of 16 living 15 daily 16 living 16 living 18 adl 17 ( 18 adl 18 adl 19 ) 21 leads 22 to 22 to 24 independence 23 decreased 24 independence 25 and 28 burden 26 increased 27 caregiver 27 caregiver 28 burden this post - [hoc] analysis investigated the effect of memantine ( 20 mg/day ) on adls [,] as measured by alzheimer 's disease cooperative study - activities of daily living 19 - item ( adcs - adl19 [ )(and 23 [-] item ( adcs - adl23 ) scales , in patients with moderate - [to] - severe ad . 0 ###LEFT-WALL### 2 post 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 6 investigated 1 this 2 post 3 - 5 analysis 5 analysis 6 investigated 6 investigated 8 effect 6 investigated 15 on 7 the 8 effect 8 effect 9 of 9 of 10 memantine 10 memantine 13 mg/day 11 ( 13 mg/day 12 20 13 mg/day 13 mg/day 14 ) 15 on 16 adls 16 adls 19 measured 18 as 19 measured 19 measured 20 by 20 by 25 study 21 alzheimer 22 's 22 's 25 study 23 disease 24 cooperative 24 cooperative 25 study 25 study 32 - 26 - 32 - 27 activities 28 of 27 activities 32 - 28 of 30 living 29 daily 30 living 30 living 31 19 32 - 33 item 33 item 36 - 34 ( 36 - 35 adcs 36 - 36 - 39 )(and 37 adl19 39 )(and 39 )(and 42 item 39 )(and 48 scales 40 23 42 item 43 ( 48 scales 44 adcs 46 adl23 44 adcs 48 scales 45 - 46 adl23 46 adl23 47 ) 48 scales 50 in 48 scales 58 ad 48 scales 59 . 49 , 50 in 50 in 51 patients 50 in 54 - 51 patients 52 with 52 with 53 moderate 56 - 58 ad 57 severe 58 ad 58 ad 59 . design : data were pooled from six multicenter , randomized , placebo - controlled , double - blind , 6 - month studies of memantine 20 mg / [day] . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 3 data 2 : 9 , 2 : 11 , 2 : 17 - 3 data 9 , 4 were 5 pooled 4 were 9 , 5 pooled 6 from 5 pooled 8 multicenter 6 from 7 six 9 , 10 randomized 11 , 12 placebo 11 , 13 - 13 - 15 , 14 controlled 15 , 15 , 16 double 17 - 23 studies 18 blind 20 6 18 blind 21 - 18 blind 23 studies 19 , 20 6 20 6 21 - 22 month 23 studies 23 studies 24 of 24 of 28 / 25 memantine 28 / 26 20 27 mg 27 mg 28 / participants : male and female patients aged ≥ 50 years at baseline with a mini mental state examination ( mmse ) score < 20 . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 25 . 1 participants 2 : 2 : 3 male 4 and 6 patients 4 and 8 ≥ 5 female 6 patients 6 patients 7 aged 6 patients 8 ≥ 8 ≥ 10 years 8 ≥ 13 with 9 50 10 years 10 years 11 at 11 at 12 baseline 13 with 22 score 13 with 24 20 14 a 22 score 15 mini 16 mental 16 mental 17 state 17 state 18 examination 18 examination 20 mmse 19 ( 20 mmse 20 mmse 21 ) 20 mmse 22 score 23 < 24 20 measurements : adcs - adl19 and adcs - adl23 scales were pooled , and 14 shared items , with a score range of 0 - 45 , were identified and included in the analysis ( adl14 ) . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 - 1 measurements 2 : 2 : 3 adcs 3 adcs 7 adcs 4 - 7 adcs 5 adl19 6 and 6 and 7 adcs 7 adcs 8 - 8 - 10 scales 8 - 14 and 8 - 38 . 9 adl23 10 scales 10 scales 14 and 11 were 12 pooled 11 were 14 and 13 , 14 and 14 and 30 and 14 and 32 in 15 14 17 items 16 shared 17 items 17 items 19 with 17 items 28 were 18 , 19 with 19 with 22 range 19 with 27 , 20 a 22 range 21 score 22 range 22 range 23 of 23 of 25 - 24 0 25 - 25 - 26 45 28 were 30 and 29 identified 30 and 30 and 31 included 32 in 34 analysis 33 the 34 analysis 34 analysis 36 adl14 35 ( 36 adl14 36 adl14 37 ) basic adls ( badls ) were defined as [:] eating , walking , toileting , bathing , and grooming . 0 ###LEFT-WALL### 2 adls 0 ###LEFT-WALL### 7 defined 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 20 . 1 basic 2 adls 2 adls 4 badls 2 adls 6 were 3 ( 4 badls 4 badls 5 ) 6 were 7 defined 7 defined 8 as 8 as 11 , 10 eating 11 , 11 , 12 walking 13 , 18 and 14 toileting 15 , 15 , 16 bathing 15 , 18 and 17 , 18 and 18 and 19 grooming instrumental adls ( iadls ) were defined [as] : using a telephone , watching television , conversing , clearing a table , finding belongings , obtaining a beverage , disposing of household rubbish , travelling outside the house , and being left alone . 0 ###LEFT-WALL### 1 instrumental 0 ###LEFT-WALL### 9 : 0 ###LEFT-WALL### 44 . 1 instrumental 6 were 2 adls 4 iadls 2 adls 6 were 3 ( 4 iadls 4 iadls 5 ) 6 were 7 defined 9 : 23 finding 9 : 42 left 10 using 12 telephone 10 using 22 , 10 using 23 finding 11 a 12 telephone 12 telephone 14 watching 13 , 14 watching 14 watching 15 television 14 watching 22 , 15 television 17 conversing 16 , 17 conversing 17 conversing 19 clearing 17 conversing 22 , 18 , 19 clearing 19 clearing 21 table 19 clearing 22 , 20 a 21 table 23 finding 24 belongings 23 finding 30 disposing 23 finding 35 travelling 23 finding 42 left 24 belongings 26 obtaining 25 , 26 obtaining 26 obtaining 28 beverage 26 obtaining 29 , 27 a 28 beverage 29 , 30 disposing 30 disposing 31 of 30 disposing 34 , 31 of 33 rubbish 32 household 33 rubbish 35 travelling 36 outside 36 outside 40 and 37 the 38 house 38 house 40 and 39 , 40 and 40 and 41 being 42 left 43 alone changes from baseline on single - item , badl [(] range : 0 - 15 ) , iadl ( range : 0 - 30 ) , and total adl14 scores were analysed for observed cases using ancova , with study , center and treatment as categorical explanatory variables and score at baseline as a covariate . 0 ###LEFT-WALL### 1 changes 0 ###LEFT-WALL### 11 range 0 ###LEFT-WALL### 12 : 1 changes 2 from 1 changes 4 on 1 changes 11 range 2 from 3 baseline 4 on 9 badl 5 single 7 item 5 single 8 , 5 single 9 badl 6 - 7 item 7 item 8 , 12 : 13 0 12 : 21 : 13 0 15 15 13 0 18 iadl 14 - 15 15 15 15 16 ) 17 , 18 iadl 18 iadl 20 range 18 iadl 21 : 19 ( 20 range 20 range 21 : 21 : 22 0 21 : 26 , 22 0 24 30 23 - 24 30 24 30 25 ) 26 , 27 and 27 and 28 total 27 and 34 observed 28 total 30 scores 28 total 33 for 28 total 34 observed 29 adl14 30 scores 30 scores 31 were 31 were 32 analysed 32 analysed 33 for 34 observed 35 cases 34 observed 36 using 36 using 37 ancova 37 ancova 39 with 37 ancova 49 and 38 , 39 with 39 with 40 study 39 with 41 , 41 , 49 and 42 center 43 and 43 and 44 treatment 43 and 45 as 43 and 49 and 45 as 48 variables 46 categorical 48 variables 47 explanatory 48 variables 49 and 50 score 49 and 51 at 49 and 53 as 49 and 56 . 51 at 52 baseline 53 as 55 covariate 54 a 55 covariate results : 959 patients were treated with memantine and 867 patients received placebo . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 patients 2 : 6 treated 2 : 14 . 3 959 4 patients 4 patients 5 were 5 were 6 treated 6 treated 7 with 7 with 9 and 8 memantine 9 and 9 and 13 placebo 10 867 12 received 11 patients 12 received 12 received 13 placebo memantine - treated patients had less decline from baseline on the adl14 total score [,] compared [with] placebo ( p < 0.001 ) at study [end] . 0 ###LEFT-WALL### 4 patients 0 ###LEFT-WALL### 5 had 0 ###LEFT-WALL### 27 . 1 memantine 2 - 1 memantine 4 patients 3 treated 4 patients 4 patients 5 had 5 had 6 less 5 had 7 decline 7 decline 8 from 8 from 9 baseline 9 baseline 10 on 9 baseline 24 at 10 on 18 placebo 11 the 18 placebo 12 adl14 16 compared 13 total 16 compared 14 score 16 compared 16 compared 18 placebo 18 placebo 21 < 19 ( 21 < 20 p 21 < 21 < 22 0.001 21 < 23 ) 24 at 25 study memantine also showed lower reductions in badls ( p < 0.05 ) and iadls ( p < 0.001 ) , for observed cases , compared [with] placebo . 0 ###LEFT-WALL### 1 memantine 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 28 . 1 memantine 3 showed 2 also 3 showed 3 showed 5 reductions 3 showed 13 and 4 lower 5 reductions 5 reductions 6 in 6 in 7 badls 7 badls 10 < 8 ( 10 < 9 p 10 < 10 < 11 0.05 10 < 12 ) 13 and 14 iadls 14 iadls 17 < 14 iadls 21 for 15 ( 17 < 16 p 17 < 17 < 18 0.001 17 < 19 ) 20 , 21 for 21 for 23 cases 21 for 24 , 22 observed 23 cases 24 , 27 placebo 25 compared 27 placebo memantine - treated patients showed less worsening than placebo recipients for the adl items : toileting ( p < 0.01 ) , grooming ( p < 0.01 ) , finding belongings ( p < 0.01 ) , [and] travelling outside the house ( p < 0.05 ) . 0 ###LEFT-WALL### 4 patients 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 15 : 0 ###LEFT-WALL### 48 . 1 memantine 2 - 1 memantine 4 patients 3 treated 4 patients 4 patients 5 showed 5 showed 7 worsening 5 showed 8 than 6 less 7 worsening 8 than 10 recipients 8 than 11 for 9 placebo 10 recipients 11 for 14 items 12 the 14 items 13 adl 14 items 15 : 16 toileting 16 toileting 19 < 16 toileting 23 grooming 17 ( 19 < 18 p 19 < 19 < 20 0.01 19 < 21 ) 22 , 23 grooming 23 grooming 26 < 23 grooming 30 finding 23 grooming 39 travelling 23 grooming 40 outside 23 grooming 47 ) 24 ( 26 < 25 p 26 < 26 < 27 0.01 26 < 28 ) 29 , 30 finding 30 finding 31 belongings 30 finding 37 , 31 belongings 34 < 32 ( 34 < 33 p 34 < 34 < 35 0.01 34 < 36 ) 40 outside 42 house 41 the 42 house 42 house 45 < 43 ( 45 < 44 p 45 < 45 < 46 0.05 45 < 47 ) conclusion : compared with placebo , memantine shows benefits for both basic and instrumental adls in patients with moderate - to [-] severe ad , suggesting that memantine treatment may lead to a [more] interactive and dignified life for patients with moderate - to [-] severe ad . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 shows 2 : 7 memantine 3 compared 4 with 3 compared 6 , 3 compared 7 memantine 4 with 5 placebo 7 memantine 8 shows 8 shows 9 benefits 8 shows 15 adls 8 shows 16 in 8 shows 18 with 9 benefits 10 for 10 for 11 both 12 basic 13 and 13 and 14 instrumental 13 and 15 adls 16 in 17 patients 18 with 19 moderate 18 with 26 suggesting 19 moderate 21 to 20 - 21 to 21 to 24 ad 21 to 25 , 23 severe 24 ad 26 suggesting 28 memantine 26 suggesting 32 to 27 that 28 memantine 28 memantine 29 treatment 28 memantine 31 lead 29 treatment 30 may 30 may 31 lead 32 to 38 life 33 a 38 life 35 interactive 36 and 36 and 37 dignified 36 and 38 life 38 life 39 for 38 life 41 with 39 for 40 patients 41 with 42 moderate 42 moderate 44 to 43 - 44 to 44 to 47 ad 44 to 48 . 46 severe 47 ad objective : we investigated the effects of six months vitamin e administration on cognition evaluated by event [-] related potentials in exercising older subjects . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 3 we 2 : 4 investigated 3 we 4 investigated 4 investigated 6 effects 4 investigated 13 on 5 the 6 effects 6 effects 7 of 7 of 12 administration 8 six 9 months 9 months 12 administration 10 vitamin 11 e 10 vitamin 12 administration 13 on 14 cognition 14 cognition 15 evaluated 14 cognition 16 by 16 by 20 potentials 17 event 19 related 19 related 20 potentials 20 potentials 21 in 21 in 22 exercising 22 exercising 24 subjects 23 older 24 subjects design : randomised controlled trial . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 2 : 5 trial 2 : 6 . 3 randomised 5 trial 4 controlled 5 trial setting : retirement home in antalya , turkey . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 9 . 1 setting 2 : 2 : 4 home 3 retirement 4 home 4 home 5 in 5 in 6 antalya 7 , 8 turkey participants : fifty - seven adults aged 60 - 85 years were randomly assigned to one of four groups : sedentary control [(] c [ )(, vitamin e ( v ) , exercise training [(] e [ )(and vitamin e under training [(] [ev] ) . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 : 0 ###LEFT-WALL### 46 . 1 participants 2 : 2 : 6 adults 3 fifty 4 - 4 - 5 seven 4 - 6 adults 6 adults 7 aged 6 adults 11 years 6 adults 14 assigned 8 60 9 - 9 - 10 85 9 - 11 years 11 years 12 were 12 were 13 randomly 12 were 14 assigned 14 assigned 15 to 15 to 16 one 16 one 17 of 17 of 19 groups 18 four 19 groups 20 : 22 control 21 sedentary 22 control 22 control 24 c 22 control 27 vitamin 22 control 38 )(and 26 )(, 27 vitamin 27 vitamin 28 e 27 vitamin 30 v 27 vitamin 31 ) 29 ( 30 v 30 v 31 ) 32 , 38 )(and 33 exercise 34 training 34 training 36 e 34 training 38 )(and 38 )(and 39 vitamin 38 )(and 41 under 38 )(and 45 ) 39 vitamin 40 e 41 under 42 training intervention : v and ev groups were received vitamin e at a dose of 900 iu/day [p.o] [.] for 6 months . 0 ###LEFT-WALL### 1 intervention 0 ###LEFT-WALL### 2 : 2 : 4 and 2 : 7 were 2 : 22 . 3 v 4 and 4 and 6 groups 4 and 7 were 5 ev 6 groups 7 were 9 vitamin 8 received 9 vitamin 9 vitamin 10 e 9 vitamin 11 at 11 at 13 dose 12 a 13 dose 13 dose 14 of 14 of 16 iu/day 15 900 16 iu/day 16 iu/day 19 for 19 for 21 months 20 6 21 months trained groups were subjected to walking exercise involved 3 sessions per week for 6 months . 0 ###LEFT-WALL### 2 groups 0 ###LEFT-WALL### 4 subjected 0 ###LEFT-WALL### 16 . 1 trained 2 groups 2 groups 3 were 3 were 4 subjected 4 subjected 5 to 5 to 6 walking 6 walking 10 sessions 7 exercise 8 involved 8 involved 10 sessions 9 3 10 sessions 10 sessions 11 per 10 sessions 13 for 11 per 12 week 13 for 15 months 14 6 15 months [walking] duration was gradually increased during 8 weeks , and stayed constant until the end of training period . 0 ###LEFT-WALL### 2 duration 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 19 . 2 duration 10 and 3 was 5 increased 3 was 10 and 4 gradually 5 increased 5 increased 6 during 6 during 8 weeks 7 8 8 weeks 9 , 10 and 10 and 11 stayed 11 stayed 12 constant 12 constant 13 until 13 until 15 end 14 the 15 end 15 end 16 of 16 of 17 training 17 training 18 period participants were begun [walking] at % 70 heart rate reserve for 20 min/day at the first two weeks , and [walking] duration was increased by 5 minutes/day of each week until subjects were [reached] a level of 50 min/day by [week] 8 . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 3 begun 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 43 . 1 participants 2 were 2 were 3 begun 3 begun 5 at 3 begun 11 for 5 at 10 reserve 6 % 8 heart 7 70 8 heart 8 heart 10 reserve 9 rate 10 reserve 11 for 13 min/day 12 20 13 min/day 13 min/day 14 at 14 at 18 weeks 15 the 16 first 15 the 17 two 17 two 18 weeks 19 , 20 and 20 and 22 duration 20 and 24 increased 22 duration 23 was 23 was 24 increased 24 increased 25 by 24 increased 31 until 24 increased 40 by 25 by 27 minutes/day 26 5 27 minutes/day 27 minutes/day 28 of 28 of 30 week 29 each 30 week 31 until 32 subjects 31 until 33 were 32 subjects 33 were 33 were 36 level 35 a 36 level 36 level 37 of 37 of 39 min/day 38 50 39 min/day 40 by 42 8 measurements : plasma vitamin e concentration , total antioxidant capacity and two parameters [of] event - related potentials namely p3 latency and amplitude were performed on all study groups both before and after training . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 performed 0 ###LEFT-WALL### 35 . 2 : 6 concentration 2 : 7 , 2 : 17 related 3 plasma 6 concentration 4 vitamin 5 e 4 vitamin 6 concentration 7 , 15 event 8 total 10 capacity 9 antioxidant 10 capacity 10 capacity 11 and 11 and 13 parameters 11 and 15 event 12 two 13 parameters 16 - 17 related 17 related 18 potentials 17 related 19 namely 19 namely 22 and 20 p3 22 and 21 latency 22 and 22 and 23 amplitude 22 and 24 were 24 were 25 performed 25 performed 26 on 26 on 27 all 27 all 28 study 27 all 34 training 28 study 29 groups 29 groups 30 both 29 groups 32 and 31 before 32 and 32 and 33 after 33 after 34 training results : significant improvement in p3 latency was found in exercising groups . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 . 1 results 2 : 2 : 4 improvement 2 : 5 in 3 significant 4 improvement 5 in 6 p3 6 p3 7 latency 6 p3 9 found 7 latency 8 was 8 was 9 found 9 found 10 in 10 in 11 exercising 11 exercising 12 groups however , no significant differences were found between [vitamin] [and] other groups for p3 latency . 0 ###LEFT-WALL### 5 differences 0 ###LEFT-WALL### 7 found 0 ###LEFT-WALL### 16 . 1 however 2 , 1 however 5 differences 3 no 5 differences 4 significant 5 differences 5 differences 6 were 6 were 7 found 7 found 8 between 8 between 12 groups 11 other 12 groups 12 groups 13 for 13 for 15 latency 14 p3 15 latency amplitude measurements were found unaltered among all groups . 0 ###LEFT-WALL### 2 measurements 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 9 . 1 amplitude 2 measurements 2 measurements 3 were 3 were 4 found 4 found 5 unaltered 5 unaltered 6 among 6 among 8 groups 7 all 8 groups conclusion : we concluded [that] although six months training results improvement in p3 latency , vitamin e supplementation does not affect cognitive function evaluated [by] event [-] related potentials in older subjects . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 concluded 2 : 15 , 2 : 33 . 3 we 4 concluded 4 concluded 6 although 4 concluded 11 improvement 4 concluded 12 in 6 although 9 training 6 although 10 results 7 six 8 months 8 months 9 training 9 training 10 results 12 in 14 latency 13 p3 14 latency 15 , 18 supplementation 15 , 21 affect 16 vitamin 17 e 16 vitamin 18 supplementation 18 supplementation 19 does 19 does 20 not 19 does 21 affect 21 affect 29 potentials 22 cognitive 23 function 23 function 24 evaluated 24 evaluated 29 potentials 26 event 28 related 28 related 29 potentials 29 potentials 30 in 30 in 32 subjects 31 older 32 subjects objectives : senescence of the immune system [and] of endothelial cells can contribute to age - dependent vascular and neurodegenerative disorders including alzheimer 's disease . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 3 senescence 2 : 15 age 2 : 16 - 3 senescence 4 of 3 senescence 9 of 3 senescence 12 can 4 of 7 system 5 the 7 system 6 immune 7 system 9 of 11 cells 10 endothelial 11 cells 12 can 13 contribute 13 contribute 14 to 14 to 15 age 16 - 21 disorders 17 dependent 21 disorders 18 vascular 19 and 19 and 20 neurodegenerative 19 and 21 disorders 21 disorders 22 including 22 including 25 disease 23 alzheimer 24 's 24 's 25 disease the aim of this study is an assessment of putative relationships of serum levels of transforming growth factor beta ( tgfβ ) and soluble endoglin ( scd105 ) and neurodegeneration , and [of] changes of these molecules in the course of ageing . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 43 . 1 the 2 aim 2 aim 3 of 2 aim 6 is 3 of 5 study 4 this 5 study 6 is 32 and 6 is 38 in 7 an 8 assessment 8 assessment 9 of 8 assessment 12 of 8 assessment 15 of 8 assessment 23 and 9 of 11 relationships 10 putative 11 relationships 12 of 14 levels 13 serum 14 levels 15 of 16 transforming 16 transforming 19 beta 17 growth 19 beta 18 factor 19 beta 19 beta 21 tgfβ 20 ( 21 tgfβ 21 tgfβ 22 ) 23 and 25 endoglin 23 and 27 scd105 23 and 29 and 24 soluble 25 endoglin 26 ( 27 scd105 27 scd105 28 ) 29 and 30 neurodegeneration 29 and 32 and 31 , 32 and 32 and 34 changes 32 and 35 of 35 of 37 molecules 36 these 37 molecules 38 in 40 course 39 the 40 course 40 course 41 of 41 of 42 ageing design : the subjects of the study consisted of three groups , the first one was 63 otherwise healthy middle [-] aged participants , 31 females , 32 males , of average age 35 years . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 2 : 4 subjects 2 : 8 consisted 2 : 12 , 3 the 4 subjects 4 subjects 5 of 4 subjects 8 consisted 5 of 7 study 6 the 7 study 8 consisted 9 of 9 of 11 groups 10 three 11 groups 12 , 15 one 12 , 16 was 13 the 15 one 14 first 15 one 15 one 16 was 16 was 23 participants 17 63 23 participants 18 otherwise 19 healthy 19 healthy 23 participants 20 middle 22 aged 22 aged 23 participants 23 participants 26 females 23 participants 29 males 24 , 26 females 25 31 26 females 26 females 27 , 27 , 29 males 28 32 29 males 29 males 31 of 29 males 36 . 30 , 31 of 31 of 35 years 31 of 36 . 32 average 35 years 33 age 35 years 34 35 35 years the second group was formed by 58 healthy , self - dependent inhabitants of nursing homes , 44 females and 14 males , average age 83.5 years . 0 ###LEFT-WALL### 3 group 0 ###LEFT-WALL### 5 formed 0 ###LEFT-WALL### 9 , 1 the 2 second 1 the 3 group 3 group 4 was 4 was 5 formed 5 formed 6 by 5 formed 8 healthy 6 by 7 58 9 , 10 self 9 , 11 - 11 - 20 and 11 - 23 , 11 - 28 . 12 dependent 13 inhabitants 13 inhabitants 14 of 13 inhabitants 17 , 14 of 15 nursing 15 nursing 16 homes 17 , 19 females 17 , 20 and 18 44 19 females 20 and 22 males 21 14 22 males 23 , 24 average 24 average 27 years 25 age 27 years 26 83.5 27 years the third group comprised of 129 alzheimer 's disease patients , 86 females , 43 males , of average age 80 years , with mmse score that ranged from 16 to 20 . 0 ###LEFT-WALL### 3 group 0 ###LEFT-WALL### 8 's 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 33 . 1 the 2 third 1 the 3 group 3 group 4 comprised 3 group 5 of 3 group 8 's 5 of 7 alzheimer 6 129 7 alzheimer 8 's 10 patients 9 disease 10 patients 10 patients 13 females 10 patients 16 males 10 patients 18 of 11 , 13 females 12 86 13 females 13 females 14 , 14 , 16 males 15 43 16 males 16 males 17 , 17 , 18 of 18 of 22 years 18 of 23 , 19 average 20 age 20 age 22 years 21 80 22 years 23 , 26 score 24 with 25 mmse 24 with 26 score 26 score 27 that 26 score 31 to 27 that 28 ranged 29 from 31 to 30 16 31 to 31 to 32 20 measurement : serum levels of tgf beta and soluble endoglin were measured by the elisa method in samples of peripheral blood using commercial kits . 0 ###LEFT-WALL### 1 measurement 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 25 . 1 measurement 2 : 2 : 4 levels 3 serum 4 levels 4 levels 5 of 5 of 7 beta 6 tgf 7 beta 8 and 10 endoglin 8 and 11 were 9 soluble 10 endoglin 10 endoglin 11 were 11 were 12 measured 12 measured 13 by 12 measured 17 in 13 by 16 method 14 the 16 method 15 elisa 16 method 17 in 18 samples 18 samples 19 of 19 of 21 blood 20 peripheral 21 blood 21 blood 22 using 22 using 24 kits 23 commercial 24 kits results : the serum level of tgfβ was [34,339] ± 6,420 pg/ml in the healthy younger group , 37,555 ± 11,944 pg/ml in the healthy seniors , and 29,057 ± 11,455 pg/ml in alzheimer 's disease patients . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 38 . 2 : 5 level 2 : 10 ± 2 : 18 , 3 the 5 level 4 serum 5 level 5 level 6 of 5 level 8 was 6 of 7 tgfβ 8 was 10 ± 10 ± 12 pg/ml 10 ± 13 in 11 6,420 12 pg/ml 13 in 17 group 14 the 17 group 15 healthy 17 group 16 younger 17 group 18 , 19 37,555 18 , 20 ± 18 , 28 and 19 37,555 20 ± 20 ± 22 pg/ml 21 11,944 22 pg/ml 22 pg/ml 23 in 23 in 26 seniors 24 the 26 seniors 25 healthy 26 seniors 27 , 28 and 28 and 29 29,057 28 and 30 ± 29 29,057 30 ± 30 ± 32 pg/ml 30 ± 33 in 31 11,455 32 pg/ml 33 in 37 patients 34 alzheimer 35 's 35 's 37 patients 36 disease 37 patients compared to healthy seniors , the serum level of tgfβ was significantly decreased in alzheimer 's disease patients ( p < 0.01 ) . 0 ###LEFT-WALL### 8 level 0 ###LEFT-WALL### 13 decreased 0 ###LEFT-WALL### 24 . 1 compared 2 to 1 compared 5 , 1 compared 8 level 2 to 4 seniors 3 healthy 4 seniors 6 the 8 level 7 serum 8 level 8 level 9 of 8 level 11 was 9 of 10 tgfβ 11 was 13 decreased 12 significantly 13 decreased 13 decreased 14 in 14 in 18 patients 15 alzheimer 16 's 16 's 18 patients 17 disease 18 patients 18 patients 21 < 19 ( 21 < 20 p 21 < 21 < 22 0.01 21 < 23 ) the serum level of endoglin were 4.88 ± 0.95 μg / [ml] in the healthy younger group ; 6.11 ± 1.38 μg / [ml] in healthy seniors , and 7.20 ± 1.72 μg / [ml] in patients with alzheimer 's disease , respectively . 0 ###LEFT-WALL### 3 level 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 18 ; 0 ###LEFT-WALL### 44 . 1 the 3 level 2 serum 3 level 3 level 4 of 3 level 6 were 4 of 5 endoglin 6 were 11 / 7 4.88 11 / 8 ± 11 / 9 0.95 10 μg 10 μg 11 / 11 / 13 in 13 in 17 group 14 the 17 group 15 healthy 17 group 16 younger 17 group 18 ; 19 6.11 18 ; 20 ± 19 6.11 20 ± 20 ± 23 / 20 ± 43 respectively 21 1.38 22 μg 22 μg 23 / 23 / 25 in 25 in 29 and 26 healthy 27 seniors 27 seniors 29 and 28 , 29 and 29 and 34 / 29 and 42 , 30 7.20 31 ± 31 ± 34 / 32 1.72 33 μg 33 μg 34 / 34 / 36 in 36 in 37 patients 37 patients 38 with 38 with 41 disease 39 alzheimer 40 's 40 's 41 disease the serum level of endoglin was significantly higher ( p < 0.001 ) in senescent healthy persons compared to the younger control group . 0 ###LEFT-WALL### 3 level 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 24 . 1 the 3 level 2 serum 3 level 3 level 4 of 3 level 6 was 4 of 5 endoglin 6 was 7 significantly 6 was 8 higher 8 higher 11 < 8 higher 14 in 9 ( 11 < 10 p 11 < 11 < 12 0.001 11 < 13 ) 14 in 17 persons 15 senescent 17 persons 16 healthy 17 persons 17 persons 18 compared 18 compared 19 to 19 to 23 group 20 the 23 group 21 younger 22 control 22 control 23 group when compared with healthy seniors , patients with alzheimer 's disease had significantly elevated ( p < 0.001 ) serum level of endoglin . 0 ###LEFT-WALL### 7 patients 0 ###LEFT-WALL### 14 elevated 0 ###LEFT-WALL### 24 . 1 when 2 compared 1 when 6 , 1 when 7 patients 2 compared 3 with 3 with 5 seniors 4 healthy 5 seniors 7 patients 8 with 7 patients 12 had 8 with 11 disease 9 alzheimer 10 's 10 's 11 disease 12 had 14 elevated 13 significantly 14 elevated 14 elevated 17 < 14 elevated 21 level 15 ( 17 < 16 p 17 < 17 < 18 0.001 17 < 19 ) 20 serum 21 level 21 level 22 of 22 of 23 endoglin conclusions : decreased levels of tgf β in alzheimer 's disease may result in impairment of cerebral circulation reflected in the increased endoglin levels . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 levels 2 : 13 result 2 : 25 . 3 decreased 4 levels 4 levels 5 of 4 levels 12 may 5 of 6 tgf 6 tgf 7 β 7 β 8 in 8 in 11 disease 9 alzheimer 10 's 10 's 11 disease 12 may 13 result 13 result 14 in 14 in 15 impairment 15 impairment 16 of 15 impairment 19 reflected 15 impairment 20 in 16 of 18 circulation 17 cerebral 18 circulation 20 in 24 levels 21 the 24 levels 22 increased 24 levels 23 endoglin 24 levels these findings may indicate involvement of the immune system in alzheimer 's disease pathogenesis . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 4 indicate 0 ###LEFT-WALL### 15 . 1 these 2 findings 2 findings 3 may 3 may 4 indicate 4 indicate 5 involvement 4 indicate 10 in 5 involvement 6 of 6 of 9 system 7 the 9 system 8 immune 9 system 10 in 14 pathogenesis 11 alzheimer 12 's 12 's 14 pathogenesis 13 disease 14 pathogenesis objective : aging is associated with cognitive changing . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 aging 2 : 5 associated 2 : 9 . 3 aging 4 is 4 is 5 associated 5 associated 6 with 6 with 8 changing 7 cognitive 8 changing central auditory processing dysfunction may explain some understanding difficulties [in] [elderly] . 0 ###LEFT-WALL### 4 dysfunction 0 ###LEFT-WALL### 6 explain 0 ###LEFT-WALL### 12 . 1 central 4 dysfunction 2 auditory 4 dysfunction 3 processing 4 dysfunction 4 dysfunction 5 may 5 may 6 explain 6 explain 9 difficulties 7 some 9 difficulties 8 understanding 9 difficulties it may be evaluated with the dichotic [listening] ( dl ) test , a widely [-] used experimental paradigm for studying [inter] - hemispheric interactions and attentional processes . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 4 evaluated 0 ###LEFT-WALL### 23 - 0 ###LEFT-WALL### 29 . 1 it 2 may 2 may 3 be 3 be 4 evaluated 4 evaluated 5 with 5 with 12 test 6 the 12 test 7 dichotic 10 dl 7 dichotic 11 ) 7 dichotic 12 test 9 ( 10 dl 10 dl 11 ) 12 test 19 paradigm 13 , 19 paradigm 14 a 19 paradigm 15 widely 17 used 17 used 19 paradigm 18 experimental 19 paradigm 19 paradigm 20 for 19 paradigm 23 - 20 for 21 studying 23 - 26 and 24 hemispheric 25 interactions 25 interactions 26 and 26 and 28 processes 27 attentional 28 processes this study examines central auditory language processing with a dichotic listening task in right - handed old subjects according to their age . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 examines 1 this 2 study 2 study 3 examines 3 examines 7 processing 3 examines 8 with 3 examines 13 in 3 examines 16 handed 4 central 6 language 5 auditory 6 language 6 language 7 processing 8 with 12 task 9 a 10 dichotic 9 a 12 task 10 dichotic 12 task 11 listening 12 task 13 in 14 right 15 - 16 handed 16 handed 18 subjects 16 handed 20 to 16 handed 23 . 17 old 18 subjects 19 according 20 to 20 to 22 age 21 their 22 age design : cross sectional - study . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 3 cross 0 ###LEFT-WALL### 7 . 1 design 2 : 2 : 3 cross 3 cross 6 study 4 sectional 5 - 4 sectional 6 study setting : memory [clinic] and geriatric unit . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 2 : 5 and 2 : 8 . 3 memory 5 and 5 and 7 unit 6 geriatric 7 unit participants : adult [group] ( ad ) [consisted] in 26 subjects ( 21 women and 5 men ) aged 50 - 69 years and an old adults group ( old - ad ) [consisted] in 20 subjects ( 19 women and 1 man ) aged 70 to 89 years . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 1 participants 2 : 2 : 3 adult 2 : 9 in 3 adult 6 ad 5 ( 6 ad 6 ad 7 ) 9 in 11 subjects 10 26 11 subjects 11 subjects 21 - 12 ( 21 - 13 21 14 women 14 women 15 and 15 and 17 men 15 and 18 ) 15 and 19 aged 15 and 21 - 16 5 17 men 19 aged 20 50 21 - 24 and 22 69 23 years 23 years 24 and 24 and 26 old 24 and 27 adults 24 and 28 group 25 an 26 old 27 adults 28 group 28 group 31 - 28 group 35 in 29 ( 31 - 30 old 31 - 31 - 32 ad 31 - 33 ) 35 in 37 subjects 36 20 37 subjects 37 subjects 41 and 38 ( 41 and 39 19 40 women 40 women 41 and 41 and 43 man 41 and 44 ) 41 and 45 aged 41 and 47 to 41 and 50 . 42 1 43 man 45 aged 46 70 47 to 49 years 48 89 49 years measurements : dl [consisted] in a free - recall word task and a digit forced - attention task [(] forced - right [:] fr and forced - left [:] [fl] [ )(in order to study central auditory language processing . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 and 1 measurements 2 : 2 : 3 dl 2 : 5 in 5 in 11 task 6 a 7 free 6 a 11 task 7 free 8 - 7 free 9 recall 9 recall 11 task 10 word 11 task 12 and 14 digit 13 a 14 digit 14 digit 25 and 15 forced 21 - 15 forced 24 fr 15 forced 25 and 16 - 21 - 17 attention 18 task 17 attention 20 forced 17 attention 21 - 18 task 20 forced 21 - 22 right 25 and 26 forced 25 and 28 left 27 - 28 left 28 left 32 )(in 28 left 34 to 28 left 40 . 32 )(in 33 order 34 to 39 processing 35 study 39 processing 36 central 38 language 37 auditory 38 language 38 language 39 processing in addition , we used neuropsychological tests to study executive functions and cognitive control , sustained by the prefrontal cortex . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 21 . 1 in 2 addition 1 in 3 , 1 in 4 we 4 we 15 , 5 used 7 tests 5 used 8 to 5 used 9 study 5 used 15 , 6 neuropsychological 7 tests 8 to 9 study 9 study 12 and 10 executive 11 functions 11 functions 12 and 12 and 14 control 13 cognitive 14 control 15 , 16 sustained 15 , 17 by 17 by 20 cortex 18 the 20 cortex 19 prefrontal 20 cortex results : in the free recall condition , we confirmed the classic right ear advantage ( rea ) in both groups , particularly in older subjects . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 , 1 results 2 : 2 : 3 in 3 in 7 condition 4 the 7 condition 5 free 6 recall 6 recall 7 condition 8 , 9 we 8 , 10 confirmed 9 we 10 confirmed 10 confirmed 15 advantage 10 confirmed 19 in 10 confirmed 24 in 11 the 15 advantage 12 classic 13 right 13 right 15 advantage 14 ear 15 advantage 15 advantage 17 rea 16 ( 17 rea 17 rea 18 ) 19 in 21 groups 20 both 21 groups 22 , 23 particularly 22 , 24 in 24 in 26 subjects 24 in 27 . 25 older 26 subjects in the forced condition , we observed an ear advantage with a change in ear asymmetry as a consequence of instruction : rea in fr and a left - ear advantage ( lea ) in fl . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 observed 0 ###LEFT-WALL### 22 : 1 in 4 condition 1 in 5 , 1 in 6 we 2 the 4 condition 3 forced 4 condition 6 we 7 observed 7 observed 10 advantage 7 observed 11 with 7 observed 14 in 8 an 10 advantage 9 ear 10 advantage 11 with 13 change 12 a 13 change 14 in 16 asymmetry 15 ear 16 asymmetry 16 asymmetry 17 as 16 asymmetry 20 of 17 as 19 consequence 18 a 19 consequence 20 of 21 instruction 22 : 23 rea 22 : 29 - 23 rea 24 in 24 in 26 and 25 fr 26 and 26 and 28 left 27 a 28 left 29 - 30 ear 29 - 37 . 30 ear 31 advantage 30 ear 35 in 31 advantage 33 lea 32 ( 33 lea 33 lea 34 ) 35 in 36 fl we compared contaminations by the contra - lateral inattentive ear : reports of the left ear ( le ) in the fr condition and reports of the right ear ( re ) in the fl condition . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 compared 0 ###LEFT-WALL### 11 : 0 ###LEFT-WALL### 37 . 1 we 2 compared 2 compared 3 contaminations 3 contaminations 4 by 4 by 10 ear 5 the 10 ear 6 contra 7 - 6 contra 10 ear 8 lateral 10 ear 9 inattentive 10 ear 11 : 12 reports 12 reports 13 of 12 reports 20 in 13 of 16 ear 14 the 16 ear 15 left 16 ear 16 ear 18 le 17 ( 18 le 18 le 19 ) 20 in 24 and 21 the 23 condition 22 fr 23 condition 23 condition 24 and 24 and 25 reports 24 and 26 of 24 and 33 in 26 of 29 ear 27 the 29 ear 28 right 29 ear 29 ear 31 re 30 ( 31 re 31 re 32 ) 33 in 36 condition 34 the 36 condition 35 fl 36 condition contaminations by the re in the fl condition were more pronounced in [old] [-] ad suggesting difficulties in competition between the natural tendency for the re and the instruction . 0 ###LEFT-WALL### 1 contaminations 0 ###LEFT-WALL### 11 pronounced 0 ###LEFT-WALL### 30 . 1 contaminations 2 by 1 contaminations 9 were 2 by 4 re 3 the 4 re 4 re 5 in 5 in 8 condition 6 the 8 condition 7 fl 8 condition 9 were 10 more 9 were 11 pronounced 11 pronounced 12 in 11 pronounced 18 in 12 in 15 ad 15 ad 16 suggesting 16 suggesting 17 difficulties 18 in 27 and 19 competition 20 between 19 competition 27 and 20 between 23 tendency 21 the 23 tendency 22 natural 23 tendency 23 tendency 24 for 24 for 26 re 25 the 26 re 27 and 29 instruction 28 the 29 instruction in the [old] [-] ad group , the correlation between the re score in fl and tmt b - a/a suggests [an] impairment in mental flexibility . 0 ###LEFT-WALL### 20 a/a 0 ###LEFT-WALL### 21 suggests 0 ###LEFT-WALL### 27 . 1 in 16 and 1 in 19 - 1 in 20 a/a 2 the 6 group 5 ad 6 group 6 group 7 , 7 , 9 correlation 7 , 16 and 8 the 9 correlation 9 correlation 10 between 9 correlation 14 in 10 between 13 score 11 the 13 score 12 re 13 score 14 in 15 fl 16 and 17 tmt 17 tmt 18 b 20 a/a 21 suggests 21 suggests 23 impairment 23 impairment 24 in 24 in 26 flexibility 25 mental 26 flexibility conclusion : dl may be helpful to study central auditory dysfunction in aging . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 dl 2 : 5 be 2 : 14 . 3 dl 4 may 4 may 5 be 5 be 6 helpful 6 helpful 7 to 6 helpful 8 study 7 to 8 study 8 study 11 dysfunction 8 study 12 in 9 central 11 dysfunction 10 auditory 11 dysfunction 12 in 13 aging our results suggest difficulties in attentional control and executive functions . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 11 . 1 our 2 results 2 results 3 suggest 3 suggest 4 difficulties 3 suggest 5 in 5 in 8 and 6 attentional 7 control 7 control 8 and 8 and 10 functions 9 executive 10 functions central auditory dysfunction should be evaluated [in] [elderly] because it potentially contributes to difficulty of hearing in noisy environment [with] consequences in the rehabilitation of presbyacousic subjects . 0 ###LEFT-WALL### 3 dysfunction 0 ###LEFT-WALL### 6 evaluated 0 ###LEFT-WALL### 28 . 1 central 3 dysfunction 2 auditory 3 dysfunction 3 dysfunction 4 should 4 should 5 be 5 be 6 evaluated 6 evaluated 9 because 6 evaluated 13 to 9 because 10 it 9 because 12 contributes 10 it 12 contributes 11 potentially 12 contributes 13 to 14 difficulty 14 difficulty 15 of 15 of 16 hearing 16 hearing 17 in 17 in 21 consequences 18 noisy 19 environment 19 environment 21 consequences 21 consequences 22 in 21 consequences 25 of 22 in 24 rehabilitation 23 the 24 rehabilitation 25 of 27 subjects 26 presbyacousic 27 subjects more studies are needed to investigate the predictive value of dl as a marker of cognitive [decline] , particularly executive functions . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 needed 0 ###LEFT-WALL### 22 . 1 more 2 studies 2 studies 3 are 3 are 4 needed 4 needed 5 to 5 to 6 investigate 6 investigate 9 value 6 investigate 12 as 7 the 9 value 8 predictive 9 value 9 value 10 of 10 of 11 dl 12 as 14 marker 13 a 14 marker 14 marker 15 of 15 of 21 functions 16 cognitive 18 , 16 cognitive 21 functions 19 particularly 20 executive 20 executive 21 functions none objective : to identify [which] equation , siri or brozek , based on the two compartment model , provides a more accurate conversion of body density ( bd ) in percent body fat ( %bf ) in a group of older adults . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 20 provides 0 ###LEFT-WALL### 44 . 1 none 2 objective 1 none 5 identify 1 none 20 provides 2 objective 3 : 3 : 4 to 3 : 5 identify 4 to 5 identify 5 identify 10 or 5 identify 13 based 7 equation 8 , 8 , 9 siri 8 , 10 or 10 or 11 brozek 12 , 13 based 13 based 14 on 13 based 19 , 14 on 18 model 15 the 18 model 16 two 18 model 17 compartment 18 model 20 provides 24 conversion 20 provides 38 in 21 a 24 conversion 22 more 23 accurate 23 accurate 24 conversion 24 conversion 25 of 24 conversion 31 in 24 conversion 36 %bf 25 of 27 density 26 body 27 density 27 density 29 bd 28 ( 29 bd 29 bd 30 ) 31 in 34 fat 32 percent 33 body 33 body 34 fat 35 ( 36 %bf 36 %bf 37 ) 38 in 43 adults 39 a 40 group 40 group 41 of 40 group 43 adults 41 of 43 adults 42 older 43 adults study design : cross - sectional study . 0 ###LEFT-WALL### 2 design 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 8 . 1 study 2 design 2 design 3 : 3 : 4 cross 5 - 7 study 6 sectional 7 study setting : research centre in physical activity , health and leisure , faculty of sport , university of porto . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 1 setting 2 : 2 : 17 university 3 research 4 centre 4 centre 5 in 4 centre 17 university 5 in 7 activity 6 physical 7 activity 7 activity 10 and 7 activity 13 faculty 8 , 10 and 9 health 10 and 10 and 11 leisure 10 and 12 , 12 , 13 faculty 13 faculty 14 of 13 faculty 16 , 14 of 15 sport 17 university 18 of 18 of 19 porto participants : 60 older adults , aged 60 - 92 years . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 1 participants 2 : 2 : 5 adults 3 60 5 adults 4 older 5 adults 5 adults 7 aged 5 adults 11 years 6 , 7 aged 7 aged 8 60 7 aged 9 - 9 - 11 years 10 92 11 years 11 years 12 . measurements : skinfold thickness was used to estimate bd through visser et al . prediction equation . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 . 0 ###LEFT-WALL### 17 . 1 measurements 2 : 2 : 3 skinfold 3 skinfold 4 thickness 3 skinfold 8 estimate 4 thickness 5 was 5 was 6 used 6 used 7 to 6 used 8 estimate 7 to 8 estimate 8 estimate 9 bd 9 bd 10 through 10 through 13 al 11 visser 13 al 12 et 13 al 14 . 16 equation 15 prediction 16 equation the conversion of bd to %bf was done with siri ( %bf - siri ) and brozek ( %bf - brozek ) formulas and these determined values were both compared to dual - energy x - ray absorptiometry ( %bf - dxa ) evaluations . 0 ###LEFT-WALL### 2 conversion 0 ###LEFT-WALL### 7 was 1 the 2 conversion 2 conversion 3 of 2 conversion 5 to 2 conversion 7 was 3 of 4 bd 5 to 6 %bf 7 was 16 and 7 was 31 to 8 done 9 with 8 done 16 and 9 with 10 siri 10 siri 12 %bf 11 ( 12 %bf 12 %bf 14 siri 12 %bf 15 ) 13 - 14 siri 14 siri 15 ) 16 and 17 brozek 17 brozek 30 compared 18 ( 30 compared 19 %bf 21 brozek 19 %bf 23 formulas 20 - 21 brozek 21 brozek 22 ) 23 formulas 24 and 24 and 25 these 24 and 26 determined 26 determined 27 values 26 determined 30 compared 27 values 28 were 28 were 30 compared 29 both 30 compared 31 to 32 dual 32 dual 44 evaluations 33 - 44 evaluations 34 energy 35 x 34 energy 38 absorptiometry 34 energy 42 dxa 34 energy 44 evaluations 36 - 38 absorptiometry 37 ray 38 absorptiometry 38 absorptiometry 40 %bf 38 absorptiometry 41 - 39 ( 40 %bf 40 %bf 41 - 41 - 42 dxa 42 dxa 43 ) 44 evaluations 45 . results : a strong correlation between the %bf - dxa value and %bf - siri ( r=0.91 , p < 0.001 ) and %bf - brozek ( r=0.91 , p < 0.001 ) was found , although %bf - siri and %bf - brozek overestimated %bf - dxa ( p < 0.001 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 54 . 1 results 2 : 2 : 23 and 3 a 5 correlation 4 strong 5 correlation 5 correlation 6 between 5 correlation 12 and 6 between 11 value 7 the 11 value 8 %bf 9 - 8 %bf 11 value 10 dxa 11 value 12 and 13 %bf 12 and 15 siri 12 and 20 < 12 and 23 and 14 - 15 siri 15 siri 17 r=0.91 15 siri 18 , 16 ( 17 r=0.91 17 r=0.91 18 , 18 , 20 < 19 p 20 < 20 < 21 0.001 20 < 22 ) 23 and 24 %bf 23 and 25 - 23 and 26 brozek 23 and 35 found 26 brozek 28 r=0.91 26 brozek 34 was 27 ( 28 r=0.91 28 r=0.91 31 < 28 r=0.91 33 ) 29 , 31 < 30 p 31 < 31 < 32 0.001 34 was 35 found 35 found 37 although 36 , 37 although 37 although 44 brozek 37 although 45 overestimated 37 although 53 ) 38 %bf 41 and 38 %bf 44 brozek 39 - 41 and 40 siri 41 and 41 and 42 %bf 41 and 43 - 44 brozek 45 overestimated 45 overestimated 48 dxa 45 overestimated 51 < 46 %bf 47 - 46 %bf 48 dxa 49 ( 51 < 50 p 51 < 51 < 52 0.001 51 < 53 ) the comparison of the %bf - siri and %bf - brozek mean values also revealed significant differences ( p < 0.001 ) . 0 ###LEFT-WALL### 2 comparison 0 ###LEFT-WALL### 13 values 0 ###LEFT-WALL### 23 . 1 the 2 comparison 2 comparison 3 of 2 comparison 13 values 3 of 12 mean 4 the 12 mean 5 %bf 8 and 5 %bf 12 mean 6 - 8 and 7 siri 8 and 8 and 9 %bf 8 and 10 - 11 brozek 12 mean 13 values 17 differences 14 also 15 revealed 15 revealed 17 differences 16 significant 17 differences 17 differences 20 < 18 ( 20 < 19 p 20 < 20 < 21 0.001 20 < 22 ) the %bf - brozek reflects a better agreement than the %bf - siri with %bf - dxa with [respectively] a mean difference of - 4.0 %bf ( limits of agreement = - 10.9 to 2.9 % [ )(and [-] 5.7 %bf ( - 12.6 to 1.2 ) . 0 ###LEFT-WALL### 4 brozek 0 ###LEFT-WALL### 5 reflects 1 the 4 brozek 2 %bf 3 - 2 %bf 4 brozek 4 brozek 5 reflects 5 reflects 8 agreement 5 reflects 9 than 5 reflects 14 with 6 a 8 agreement 7 better 8 agreement 9 than 13 siri 10 the 13 siri 11 %bf 12 - 11 %bf 13 siri 14 with 17 dxa 14 with 26 %bf 15 %bf 16 - 15 %bf 17 dxa 17 dxa 18 with 17 dxa 23 of 18 with 22 difference 20 a 22 difference 21 mean 22 difference 23 of 25 4.0 24 - 25 4.0 26 %bf 38 )(and 27 ( 38 )(and 28 limits 29 of 28 limits 38 )(and 29 of 36 % 30 agreement 31 = 31 = 34 to 32 - 34 to 33 10.9 34 to 34 to 35 2.9 35 2.9 36 % 38 )(and 41 %bf 38 )(and 45 to 38 )(and 48 . 40 5.7 41 %bf 42 ( 45 to 43 - 44 12.6 44 12.6 45 to 45 to 46 1.2 45 to 47 ) the bland and altman plots confirmed that %bf - brozek reflects a better agreement with %bf - dxa . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 9 - 1 the 2 bland 2 bland 3 and 3 and 5 plots 3 and 6 confirmed 3 and 7 that 3 and 8 %bf 4 altman 5 plots 7 that 8 %bf 9 - 10 brozek 9 - 11 reflects 9 - 19 . 10 brozek 11 reflects 11 reflects 14 agreement 11 reflects 15 with 12 a 14 agreement 13 better 14 agreement 15 with 18 dxa 16 %bf 17 - 16 %bf 18 dxa conclusion : the results of the present study show that the use of brozek equation may correspond to a more accurate alternative than siri equation for the conversion of bd in %bf in older adults . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 results 2 : 9 show 2 : 36 . 3 the 4 results 4 results 5 of 4 results 9 show 5 of 8 study 6 the 8 study 7 present 8 study 9 show 10 that 10 that 12 use 10 that 17 correspond 11 the 12 use 12 use 13 of 12 use 16 may 13 of 15 equation 14 brozek 15 equation 16 may 17 correspond 17 correspond 18 to 17 correspond 23 than 17 correspond 31 in 17 correspond 33 in 18 to 22 alternative 19 a 22 alternative 20 more 21 accurate 21 accurate 22 alternative 23 than 25 equation 24 siri 25 equation 25 equation 26 for 25 equation 29 of 26 for 28 conversion 27 the 28 conversion 29 of 30 bd 31 in 32 %bf 33 in 35 adults 34 older 35 adults background : the oldest [old] ( 85+ ) are the fastest growing population segment in new zealand . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 2 : 4 oldest 2 : 9 are 3 the 4 oldest 4 oldest 7 85+ 4 oldest 9 are 6 ( 7 85+ 7 85+ 8 ) 9 are 14 segment 10 the 11 fastest 10 the 14 segment 12 growing 13 population 13 population 14 segment 14 segment 15 in 15 in 17 zealand 16 new 17 zealand cardiovascular disease ( cvd ) is the main cause of death and is associated with various risk factors including risk of undernutrition . 0 ###LEFT-WALL### 2 disease 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 23 . 1 cardiovascular 2 disease 2 disease 4 cvd 2 disease 12 and 3 ( 4 cvd 4 cvd 5 ) 6 is 9 cause 6 is 12 and 7 the 9 cause 8 main 9 cause 9 cause 10 of 10 of 11 death 12 and 13 is 12 and 18 factors 13 is 14 associated 14 associated 15 with 15 with 17 risk 16 various 17 risk 18 factors 19 including 19 including 20 risk 20 risk 21 of 21 of 22 undernutrition objectives : to determine if there is an association between cvd and nutrition risk in advanced age . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 18 . 1 objectives 2 : 2 : 3 to 2 : 4 determine 3 to 4 determine 4 determine 5 if 4 determine 15 in 5 if 6 there 5 if 7 is 6 there 7 is 7 is 9 association 8 an 9 association 9 association 10 between 10 between 12 and 11 cvd 12 and 12 and 14 risk 13 nutrition 14 risk 15 in 17 age 16 advanced 17 age setting : three north island locations ( rural and urban areas ) in new zealand . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 . 1 setting 2 : 2 : 6 locations 2 : 13 in 3 three 6 locations 4 north 5 island 5 island 6 locations 6 locations 11 areas 7 ( 11 areas 8 rural 9 and 9 and 10 urban 9 and 11 areas 11 areas 12 ) 13 in 15 zealand 14 new 15 zealand participants : 108 participants aged 85 years ( 75 - 79 for maori ) . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 . 2 : 4 participants 2 : 5 aged 3 108 4 participants 4 participants 5 aged 5 aged 7 years 6 85 7 years 7 years 10 - 8 ( 10 - 9 75 10 - 10 - 11 79 10 - 12 for 10 - 14 ) 12 for 13 maori measurements : comprehensive health assessments were undertaken . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 2 : 5 assessments 2 : 7 undertaken 2 : 8 . 3 comprehensive 4 health 4 health 5 assessments 5 assessments 6 were 6 were 7 undertaken clinically manifest cvd was pre - defined and ascertained from interviews and hospitalisation records . 0 ###LEFT-WALL### 2 manifest 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 15 . 1 clinically 2 manifest 2 manifest 4 was 3 cvd 4 was 4 was 5 pre 6 - 8 and 7 defined 8 and 8 and 9 ascertained 9 ascertained 10 from 9 ascertained 14 records 10 from 12 and 11 interviews 12 and 12 and 13 hospitalisation nutrition risk was assessed using a validated questionnaire - seniors in the community [:] risk evaluation for eating and nutrition , version ii ( screen ii ) . 0 ###LEFT-WALL### 2 risk 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 28 . 1 nutrition 2 risk 2 risk 3 was 3 was 4 assessed 4 assessed 5 using 5 using 8 questionnaire 6 a 8 questionnaire 7 validated 8 questionnaire 8 questionnaire 19 and 9 - 19 and 10 seniors 11 in 10 seniors 19 and 11 in 16 evaluation 12 the 16 evaluation 13 community 16 evaluation 15 risk 16 evaluation 16 evaluation 17 for 17 for 18 eating 19 and 20 nutrition 19 and 22 version 19 and 27 ) 21 , 22 version 22 version 23 ii 22 version 25 screen 22 version 27 ) 24 ( 25 screen 25 screen 26 ii 25 screen 27 ) results : 72 participants ( 67 % ) had cvd ( 49 % men ) ; 52 % of participants had a screen ii score < 50 . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 participants 2 : 9 had 2 : 16 ; 2 : 28 . 3 72 4 participants 4 participants 7 % 4 participants 9 had 5 ( 7 % 6 67 7 % 7 % 8 ) 9 had 10 cvd 10 cvd 14 men 11 ( 14 men 12 49 14 men 13 % 14 men 14 men 15 ) 16 ; 18 % 16 ; 21 had 17 52 18 % 18 % 19 of 18 % 21 had 19 of 20 participants 21 had 23 screen 21 had 25 score 22 a 23 screen 23 screen 24 ii 25 score 27 50 26 < 27 50 those with cvd had lower hdl level [ median [(] iqr [ )(] [ 1.4 ( 0.7 [ )(vs [.] 1.6 ( 0.6 ) ] ( p=0.041 [ )(, and higher waist circumference [ 97.5 ( 19.1 ) [vs] . 89.3 ( 20.6 [ )(] ( p=0.043 ) compared to those without cvd . 0 ###LEFT-WALL### 1 those 0 ###LEFT-WALL### 4 had 0 ###LEFT-WALL### 40 . 0 ###LEFT-WALL### 54 . 1 those 2 with 1 those 4 had 2 with 3 cvd 4 had 7 level 5 lower 7 level 6 hdl 7 level 7 level 11 iqr 7 level 15 1.4 8 [ 11 iqr 9 median 11 iqr 11 iqr 13 )(] 14 [ 15 1.4 15 1.4 17 0.7 15 1.4 30 and 15 1.4 38 ) 16 ( 17 0.7 17 0.7 19 )(vs 17 0.7 25 ] 19 )(vs 21 1.6 21 1.6 23 0.6 22 ( 23 0.6 23 0.6 24 ) 26 ( 30 and 27 p=0.041 30 and 29 )(, 30 and 30 and 33 circumference 30 and 35 97.5 30 and 38 ) 31 higher 32 waist 32 waist 33 circumference 34 [ 35 97.5 35 97.5 37 19.1 35 97.5 38 ) 36 ( 37 19.1 37 19.1 38 ) 40 . 41 89.3 40 . 49 compared 41 89.3 43 20.6 41 89.3 47 p=0.043 41 89.3 49 compared 42 ( 43 20.6 43 20.6 45 )(] 46 ( 47 p=0.043 47 p=0.043 48 ) 49 compared 50 to 49 compared 52 without 50 to 51 those 52 without 53 cvd those with cvd were at no greater nutrition risk than those without cvd ( screen ii [score] : [ 49 ( 7 [ )(vs [.] 51 ( 10 ) ] ( p=0.365 ) . 0 ###LEFT-WALL### 1 those 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 34 . 1 those 2 with 1 those 4 were 2 with 3 cvd 4 were 5 at 4 were 10 than 4 were 12 without 5 at 9 risk 6 no 9 risk 7 greater 8 nutrition 8 nutrition 9 risk 10 than 11 those 12 without 13 cvd 13 cvd 15 screen 14 ( 15 screen 15 screen 16 ii 15 screen 18 : 15 screen 20 49 15 screen 33 ) 16 ii 18 : 19 [ 20 49 20 49 22 7 20 49 32 p=0.365 20 49 33 ) 21 ( 22 7 22 7 24 )(vs 22 7 28 10 22 7 30 ] 24 )(vs 26 51 27 ( 28 10 28 10 29 ) 31 ( 32 p=0.365 32 p=0.365 33 ) using logistic regression controlling for confounders , screen ii scores [trended] towards an inverse association with cvd ( p=0.10 ) . 0 ###LEFT-WALL### 8 screen 0 ###LEFT-WALL### 10 scores 0 ###LEFT-WALL### 21 . 1 using 4 controlling 1 using 7 , 1 using 8 screen 2 logistic 3 regression 3 regression 4 controlling 4 controlling 5 for 5 for 6 confounders 8 screen 9 ii 8 screen 10 scores 10 scores 12 towards 10 scores 16 with 12 towards 15 association 13 an 14 inverse 13 an 15 association 14 inverse 15 association 16 with 17 cvd 17 cvd 19 p=0.10 18 ( 19 p=0.10 19 p=0.10 20 ) conclusion : two thirds of the study participants had cvd and half were at risk of undernutrition . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 thirds 2 : 9 had 2 : 11 and 2 : 18 . 3 two 4 thirds 4 thirds 5 of 4 thirds 9 had 5 of 8 participants 6 the 8 participants 7 study 8 participants 9 had 10 cvd 11 and 12 half 11 and 13 were 12 half 13 were 13 were 14 at 14 at 15 risk 15 risk 16 of 16 of 17 undernutrition nutrition risk was mildly associated with cvd . 0 ###LEFT-WALL### 2 risk 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 8 . 1 nutrition 2 risk 2 risk 3 was 3 was 5 associated 4 mildly 5 associated 5 associated 6 with 6 with 7 cvd this study provides further evidence that those in advanced age are at risk of undernutrition . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 provides 0 ###LEFT-WALL### 16 . 1 this 2 study 2 study 3 provides 3 provides 5 evidence 4 further 5 evidence 5 evidence 6 that 6 that 7 those 6 that 11 are 7 those 8 in 7 those 11 are 8 in 10 age 9 advanced 10 age 11 are 12 at 12 at 13 risk 13 risk 14 of 14 of 15 undernutrition further research is needed to establish how the causes and consequences of cvd are related to nutrition risk . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 4 needed 0 ###LEFT-WALL### 19 . 1 further 2 research 2 research 3 is 3 is 4 needed 4 needed 5 to 5 to 6 establish 6 establish 7 how 7 how 10 and 7 how 15 related 8 the 9 causes 9 causes 10 and 10 and 11 consequences 10 and 12 of 10 and 14 are 12 of 13 cvd 14 are 15 related 15 related 16 to 16 to 18 risk 17 nutrition 18 risk objective : to look into the association between anthropometric , body compositional and physiological characteristics with physical activity among the children and adolescents of asian indian origin . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 3 to 2 : 4 look 3 to 4 look 4 look 5 into 4 look 8 between 4 look 16 with 4 look 19 among 5 into 7 association 6 the 7 association 8 between 15 characteristics 9 anthropometric 10 , 9 anthropometric 11 body 11 body 15 characteristics 12 compositional 13 and 13 and 14 physiological 13 and 15 characteristics 16 with 18 activity 17 physical 18 activity 19 among 22 and 20 the 21 children 21 children 22 and 22 and 23 adolescents 22 and 24 of 24 of 27 origin 25 asian 26 indian 26 indian 27 origin methods : a total of 469 children and adolescents ( 250 boys and 219 girls ) aged 8 - 18 years took part in the present cross - sectional study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 - 0 ###LEFT-WALL### 31 . 1 methods 2 : 2 : 4 total 3 a 4 total 4 total 5 of 4 total 17 aged 5 of 8 and 6 469 7 children 7 children 8 and 8 and 9 adolescents 8 and 13 and 10 ( 13 and 11 250 12 boys 12 boys 13 and 13 and 15 girls 13 and 16 ) 14 219 15 girls 17 aged 19 - 18 8 19 - 19 - 20 18 20 18 21 years 21 years 23 part 22 took 23 part 23 part 24 in 24 in 27 cross 25 the 27 cross 26 present 27 cross 28 - 30 study 29 sectional 30 study a pre - designed schedule was used to collect information on socioeconomic characteristics and type of activities performed by them . 0 ###LEFT-WALL### 5 schedule 0 ###LEFT-WALL### 7 used 0 ###LEFT-WALL### 21 . 1 a 2 pre 1 a 5 schedule 2 pre 3 - 2 pre 5 schedule 4 designed 5 schedule 5 schedule 6 was 6 was 7 used 7 used 8 to 7 used 9 collect 8 to 9 collect 9 collect 10 information 9 collect 11 on 11 on 14 and 12 socioeconomic 13 characteristics 13 characteristics 14 and 14 and 15 type 14 and 16 of 14 and 18 performed 16 of 17 activities 18 performed 19 by 19 by 20 them results : it was observed that there was an inversely proportional trend for different anthropometric , body compositional and physiological measures with the duration of different types of physical activities . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 2 : 3 it 2 : 5 observed 3 it 4 was 4 was 5 observed 5 observed 6 that 6 that 7 there 6 that 8 was 7 there 8 was 8 was 12 trend 8 was 22 with 9 an 12 trend 10 inversely 11 proportional 11 proportional 12 trend 12 trend 13 for 13 for 21 measures 14 different 17 body 15 anthropometric 16 , 15 anthropometric 17 body 17 body 21 measures 18 compositional 19 and 19 and 20 physiological 19 and 21 measures 22 with 24 duration 23 the 24 duration 24 duration 25 of 25 of 27 types 26 different 27 types 27 types 28 of 28 of 30 activities 29 physical 30 activities moreover , [walking] [,] cycling and racing [were] observed to be correlated inversely with sum [of] four skinfold ( sf4 [ )(and the ratio of sf4 and bmi ( sf4 [:] bmi ) . 0 ###LEFT-WALL### 10 to 0 ###LEFT-WALL### 12 correlated 0 ###LEFT-WALL### 34 . 1 moreover 10 to 2 , 9 observed 5 cycling 6 and 6 and 7 racing 6 and 9 observed 9 observed 10 to 10 to 11 be 11 be 12 correlated 12 correlated 13 inversely 12 correlated 14 with 14 with 15 sum 14 with 18 skinfold 15 sum 17 four 18 skinfold 27 and 19 ( 27 and 20 sf4 22 )(and 22 )(and 24 ratio 22 )(and 27 and 23 the 24 ratio 24 ratio 25 of 25 of 26 sf4 27 and 28 bmi 27 and 33 ) 28 bmi 32 bmi 29 ( 32 bmi 30 sf4 32 bmi 32 bmi 33 ) furthermore , significant ( p < 0.01 ) inverse [correlation] was observed in case of mean arterial pressure ( map ) with the duration of walking , cyclicing and gym . 0 ###LEFT-WALL### 9 inverse 0 ###LEFT-WALL### 12 observed 0 ###LEFT-WALL### 31 . 1 furthermore 2 , 1 furthermore 9 inverse 3 significant 6 < 3 significant 9 inverse 4 ( 6 < 5 p 6 < 6 < 7 0.01 6 < 8 ) 9 inverse 11 was 11 was 12 observed 12 observed 15 of 12 observed 22 with 13 in 14 case 14 case 15 of 15 of 18 pressure 16 mean 18 pressure 17 arterial 18 pressure 18 pressure 20 map 19 ( 20 map 20 map 21 ) 22 with 29 and 23 the 24 duration 24 duration 25 of 24 duration 27 , 25 of 26 walking 27 , 28 cyclicing 27 , 29 and 29 and 30 gym it was observed that about 14 % ( r² [=] 0.14 ) of the total variance of map was explained by duration of different types of physical activity and parental characteristics . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 observed 0 ###LEFT-WALL### 32 . 1 it 2 was 2 was 3 observed 3 observed 4 that 4 that 16 variance 4 that 20 explained 5 about 7 % 5 about 16 variance 6 14 7 % 7 % 9 r² 8 ( 9 r² 9 r² 11 0.14 9 r² 12 ) 13 of 15 total 13 of 16 variance 14 the 15 total 16 variance 17 of 16 variance 19 was 17 of 18 map 19 was 20 explained 20 explained 21 by 21 by 29 and 22 duration 23 of 22 duration 29 and 23 of 28 activity 24 different 25 types 25 types 26 of 25 types 28 activity 26 of 28 activity 27 physical 28 activity 29 and 31 characteristics 30 parental 31 characteristics conclusions : habitual moderate physical activity may be beneficial to prevent excess accumulation of fat during childhood and adolescence and warranted further investigation about the importance of physical activity to prevent increasing trend of childhood obesity . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 6 activity 2 : 11 prevent 2 : 37 . 3 habitual 6 activity 4 moderate 6 activity 5 physical 6 activity 6 activity 7 may 7 may 8 be 8 be 9 beneficial 9 beneficial 10 to 9 beneficial 11 prevent 10 to 11 prevent 11 prevent 13 accumulation 11 prevent 16 during 12 excess 13 accumulation 13 accumulation 14 of 14 of 15 fat 16 during 18 and 17 childhood 18 and 18 and 33 trend 18 and 34 of 19 adolescence 20 and 20 and 23 investigation 20 and 24 about 20 and 30 to 20 and 31 prevent 20 and 32 increasing 21 warranted 23 investigation 22 further 23 investigation 24 about 26 importance 25 the 26 importance 26 importance 27 of 27 of 29 activity 28 physical 29 activity 30 to 31 prevent 32 increasing 33 trend 34 of 36 obesity 35 childhood 36 obesity objective : as women age total dietary intake [falls] which may increase the risk of dietary deficiencies in some individuals . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 6 total 2 : 21 . 3 as 4 women 3 as 5 age 3 as 6 total 4 women 5 age 6 total 8 intake 7 dietary 8 intake 8 intake 10 which 8 intake 11 may 10 which 11 may 11 may 12 increase 12 increase 14 risk 12 increase 18 in 13 the 14 risk 14 risk 15 of 15 of 17 deficiencies 16 dietary 17 deficiencies 18 in 20 individuals 19 some 20 individuals the aims of this study were to investigate the changes in nutrient and dietary intakes that occurred with aging in a seven [-] year longitudinal study of elderly australian women and to evaluate the adequacy of their dietary intakes . 0 ###LEFT-WALL### 2 aims 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 40 . 1 the 2 aims 2 aims 3 of 2 aims 6 were 3 of 5 study 4 this 5 study 6 were 7 to 6 were 11 in 7 to 8 investigate 8 investigate 10 changes 9 the 10 changes 11 in 15 intakes 12 nutrient 13 and 13 and 14 dietary 13 and 15 intakes 15 intakes 16 that 15 intakes 31 and 16 that 31 and 17 occurred 18 with 17 occurred 20 in 17 occurred 31 and 18 with 19 aging 20 in 26 study 21 a 26 study 22 seven 24 year 24 year 26 study 25 longitudinal 26 study 26 study 27 of 27 of 30 women 28 elderly 29 australian 29 australian 30 women 31 and 32 to 31 and 33 evaluate 32 to 33 evaluate 33 evaluate 35 adequacy 34 the 35 adequacy 35 adequacy 36 of 36 of 39 intakes 37 their 39 intakes 38 dietary 39 intakes design : longitudinal population based study on health with ageing . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 2 : 4 population 2 : 5 based 2 : 11 . 3 longitudinal 4 population 4 population 5 based 5 based 6 study 5 based 7 on 5 based 9 with 7 on 8 health 9 with 10 ageing participants and setting : 911 free - living elderly women aged 70 - 85 years at baseline from a cohort of 1500 elderly women . 0 ###LEFT-WALL### 3 setting 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 25 . 1 participants 2 and 2 and 3 setting 4 : 10 women 4 : 11 aged 5 911 10 women 6 free 7 - 6 free 10 women 8 living 10 women 9 elderly 10 women 10 women 11 aged 11 aged 15 years 12 70 13 - 13 - 14 85 13 - 15 years 15 years 16 at 15 years 21 of 16 at 17 baseline 17 baseline 18 from 18 from 20 cohort 19 a 20 cohort 21 of 24 women 22 1500 24 women 23 elderly 24 women measurements : at baseline , 60 and 84 months , self - reported food frequency questionnaires ( ffq ) and demographics were collected and anthropometry measured . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 , 1 measurements 2 : 2 : 3 at 3 at 4 baseline 4 baseline 9 months 5 , 9 months 6 60 7 and 7 and 8 84 7 and 9 months 9 months 10 , 10 , 11 self 10 , 12 - 12 - 20 and 12 - 22 were 12 - 27 . 13 reported 18 ffq 14 food 15 frequency 15 frequency 16 questionnaires 16 questionnaires 18 ffq 17 ( 18 ffq 18 ffq 19 ) 18 ffq 20 and 20 and 21 demographics 20 and 22 were 22 were 24 and 22 were 26 measured 23 collected 24 and 24 and 25 anthropometry results : during the 84 month subjects lost height ( 1.8 cm ) and body weight ( 1.9 kg ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 1 results 2 : 2 : 3 during 3 during 14 and 4 the 6 month 5 84 6 month 6 month 7 subjects 6 month 8 lost 6 month 14 and 7 subjects 8 lost 8 lost 9 height 9 height 12 cm 10 ( 12 cm 11 1.8 12 cm 12 cm 13 ) 14 and 16 weight 14 and 19 kg 15 body 16 weight 17 ( 19 kg 18 1.9 19 kg 19 kg 20 ) intakes of energy and macronutrients carbohydrate , fat and protein declined significantly over the 84 months . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 17 . 1 intakes 2 of 1 intakes 4 and 2 of 3 energy 4 and 5 macronutrients 4 and 9 and 4 and 11 declined 6 carbohydrate 7 , 7 , 8 fat 7 , 9 and 9 and 10 protein 9 and 11 declined 11 declined 12 significantly 11 declined 13 over 13 over 16 months 14 the 15 84 15 84 16 months mean energy derived from saturated fat was above , whereas energy derived from carbohydrate was below , recommended levels of intake at all time points . 0 ###LEFT-WALL### 1 mean 0 ###LEFT-WALL### 18 recommended 0 ###LEFT-WALL### 26 . 1 mean 2 energy 1 mean 7 was 1 mean 18 recommended 2 energy 3 derived 2 energy 7 was 3 derived 4 from 4 from 6 fat 5 saturated 6 fat 7 was 8 above 7 was 10 whereas 9 , 10 whereas 10 whereas 11 energy 10 whereas 15 was 10 whereas 17 , 11 energy 12 derived 11 energy 13 from 11 energy 15 was 13 from 14 carbohydrate 15 was 16 below 18 recommended 19 levels 18 recommended 22 at 19 levels 20 of 20 of 21 intake 22 at 25 points 23 all 25 points 24 time 25 points intakes of vitamins and minerals all declined with age and subjects had suboptimal intakes of folate , vitamin e and calcium at all time points . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 12 had 0 ###LEFT-WALL### 26 . 1 intakes 2 of 1 intakes 4 and 2 of 3 vitamins 4 and 5 minerals 4 and 7 declined 4 and 12 had 6 all 7 declined 7 declined 8 with 8 with 10 and 9 age 10 and 10 and 11 subjects 12 had 20 and 12 had 22 at 13 suboptimal 14 intakes 14 intakes 15 of 14 intakes 17 , 15 of 16 folate 17 , 18 vitamin 17 , 20 and 18 vitamin 19 e 20 and 21 calcium 22 at 25 points 23 all 25 points 24 time 25 points the serve sizes for potato and meat and the consumption of milk , bread and variety of vegetables declined significantly over time reflecting changes in nutrient intake . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 28 . 1 the 3 sizes 2 serve 3 sizes 3 sizes 4 for 3 sizes 13 , 4 for 8 and 5 potato 6 and 6 and 7 meat 6 and 8 and 8 and 10 consumption 9 the 10 consumption 10 consumption 11 of 11 of 12 milk 13 , 14 bread 13 , 15 and 15 and 16 variety 15 and 17 of 15 and 19 declined 15 and 23 reflecting 17 of 18 vegetables 19 declined 20 significantly 19 declined 21 over 21 over 22 time 23 reflecting 24 changes 23 reflecting 25 in 25 in 27 intake 26 nutrient 27 intake conclusions : ageing is associated with reduced food intake resulting in inadequate intakes in energy , and some nutrients . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 2 : 3 ageing 2 : 5 associated 3 ageing 4 is 4 is 5 associated 5 associated 6 with 5 associated 11 in 5 associated 14 in 6 with 9 intake 7 reduced 8 food 8 food 9 intake 9 intake 10 resulting 11 in 13 intakes 12 inadequate 13 intakes 14 in 17 and 15 energy 17 and 16 , 17 and 17 and 19 nutrients 18 some 19 nutrients nutrition policy for elderly women should include advice to maintain or increase intakes of carbohydrate , milk , vegetables and fruit whilst continuing to reduce fat intake . 0 ###LEFT-WALL### 2 policy 0 ###LEFT-WALL### 11 or 0 ###LEFT-WALL### 28 . 1 nutrition 2 policy 2 policy 3 for 2 policy 6 should 3 for 5 women 4 elderly 5 women 6 should 11 or 7 include 8 advice 7 include 11 or 8 advice 9 to 8 advice 10 maintain 9 to 10 maintain 11 or 12 increase 12 increase 13 intakes 12 increase 22 whilst 13 intakes 14 of 14 of 20 and 15 carbohydrate 16 , 16 , 17 milk 16 , 18 , 18 , 19 vegetables 18 , 20 and 20 and 21 fruit 22 whilst 23 continuing 23 continuing 24 to 23 continuing 25 reduce 24 to 25 reduce 25 reduce 27 intake 26 fat 27 intake background : many inducible transcription factors are regulated through batteries of posttranslational modifications that couple their activity to inducing stimuli . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 6 factors 2 : 8 regulated 3 many 6 factors 4 inducible 5 transcription 5 transcription 6 factors 6 factors 7 are 7 are 8 regulated 8 regulated 9 through 8 regulated 18 to 9 through 10 batteries 10 batteries 11 of 11 of 13 modifications 12 posttranslational 13 modifications 13 modifications 14 that 13 modifications 15 couple 14 that 15 couple 15 couple 17 activity 16 their 17 activity 18 to 19 inducing 19 inducing 20 stimuli we have studied such regulation of heat shock factor 1 ( hsf1 ) , a key protein in control of the heat shock response , and a participant in carcinogenisis , neurological health and aging . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 studied 0 ###LEFT-WALL### 36 . 1 we 2 have 2 have 3 studied 3 studied 26 and 3 studied 29 in 4 such 5 regulation 5 regulation 6 of 5 regulation 26 and 6 of 9 factor 7 heat 8 shock 8 shock 9 factor 9 factor 10 1 9 factor 12 hsf1 9 factor 17 protein 11 ( 12 hsf1 12 hsf1 13 ) 14 , 17 protein 15 a 17 protein 16 key 17 protein 17 protein 18 in 17 protein 20 of 17 protein 25 , 18 in 19 control 20 of 24 response 21 the 24 response 22 heat 24 response 23 shock 24 response 25 , 26 and 26 and 28 participant 27 a 28 participant 29 in 34 and 30 carcinogenisis 31 , 31 , 33 health 31 , 34 and 32 neurological 33 health 34 and 35 aging as the mechanisms involved in the intracellular regulation of hsf1 in good health and its dysregulation in disease are still incomplete we are investigating the role of posttranslational modifications in such regulation . 0 ###LEFT-WALL### 22 we 0 ###LEFT-WALL### 23 are 0 ###LEFT-WALL### 33 . 1 as 3 mechanisms 1 as 19 are 1 as 22 we 2 the 3 mechanisms 3 mechanisms 4 involved 3 mechanisms 9 of 3 mechanisms 17 in 3 mechanisms 19 are 4 involved 5 in 5 in 8 regulation 6 the 8 regulation 7 intracellular 8 regulation 9 of 14 and 10 hsf1 11 in 10 hsf1 14 and 11 in 13 health 12 good 13 health 14 and 16 dysregulation 15 its 16 dysregulation 17 in 18 disease 19 are 20 still 19 are 21 incomplete 20 still 21 incomplete 22 we 23 are 23 are 24 investigating 24 investigating 26 role 24 investigating 30 in 25 the 26 role 26 role 27 of 27 of 29 modifications 28 posttranslational 29 modifications 30 in 32 regulation 31 such 32 regulation methodology/principal findings : in a proteomic study of hsf1 binding partners , we have discovered its association with the pleiotropic protein kinase a ( pka ) . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 27 . 1 methodology/principal 2 findings 2 findings 3 : 3 : 4 in 3 : 10 binding 4 in 7 study 5 a 6 proteomic 5 a 7 study 6 proteomic 7 study 7 study 8 of 8 of 9 hsf1 10 binding 11 partners 12 , 13 we 12 , 15 discovered 13 we 14 have 14 have 15 discovered 15 discovered 17 association 15 discovered 18 with 16 its 17 association 18 with 22 kinase 19 the 22 kinase 20 pleiotropic 21 protein 21 protein 22 kinase 22 kinase 23 a 22 kinase 25 pka 24 ( 25 pka 25 pka 26 ) hsf1 binds avidly to the catalytic subunit of pka [,] ( pkacα ) and becomes phosphorylated on a novel serine phosphorylation site within its central regulatory domain ( serine 320 or s320 ) , both in vitro and in vivo . 0 ###LEFT-WALL### 1 hsf1 0 ###LEFT-WALL### 16 phosphorylated 0 ###LEFT-WALL### 41 . 1 hsf1 14 and 1 hsf1 16 phosphorylated 2 binds 3 avidly 2 binds 4 to 2 binds 14 and 4 to 7 subunit 5 the 7 subunit 6 catalytic 7 subunit 7 subunit 8 of 8 of 9 pka 9 pka 12 pkacα 11 ( 12 pkacα 12 pkacα 13 ) 14 and 15 becomes 16 phosphorylated 17 on 16 phosphorylated 23 within 16 phosphorylated 35 both 16 phosphorylated 38 and 17 on 22 site 18 a 19 novel 18 a 22 site 19 novel 20 serine 20 serine 22 site 21 phosphorylation 22 site 23 within 27 domain 24 its 27 domain 25 central 27 domain 26 regulatory 27 domain 27 domain 31 or 28 ( 31 or 29 serine 30 320 29 serine 31 or 31 or 32 s320 31 or 33 ) 31 or 34 , 36 in 37 vitro 37 vitro 38 and 38 and 40 vivo 39 in 40 vivo intracellular pkacα levels and phosphorylation of hsf1 at s320 were both required for hsf1 to be localized to the nucleus , bind to response elements in the promoter of an hsf1 target gene ( hsp70.1 ) and activate hsp70.1 after stress . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 12 required 0 ###LEFT-WALL### 42 . 1 intracellular 2 pkacα 2 pkacα 3 levels 3 levels 4 and 4 and 5 phosphorylation 4 and 10 were 5 phosphorylation 6 of 6 of 7 hsf1 7 hsf1 8 at 8 at 9 s320 10 were 12 required 11 both 12 required 12 required 13 for 12 required 15 to 12 required 21 , 13 for 14 hsf1 15 to 16 be 16 be 21 , 17 localized 18 to 17 localized 21 , 18 to 20 nucleus 19 the 20 nucleus 21 , 37 and 21 , 40 after 22 bind 23 to 22 bind 26 in 22 bind 37 and 23 to 25 elements 24 response 25 elements 26 in 28 promoter 27 the 28 promoter 28 promoter 29 of 29 of 33 gene 30 an 33 gene 31 hsf1 33 gene 32 target 33 gene 33 gene 35 hsp70.1 34 ( 35 hsp70.1 35 hsp70.1 36 ) 37 and 38 activate 38 activate 39 hsp70.1 40 after 41 stress reduction in pkacα levels by small hairpin rna led to hsf1 exclusion from the nucleus , its exodus from the hsp70.1 promoter and decreased hsp70.1 transcription . 0 ###LEFT-WALL### 1 reduction 0 ###LEFT-WALL### 4 levels 0 ###LEFT-WALL### 27 . 1 reduction 2 in 1 reduction 4 levels 2 in 3 pkacα 4 levels 5 by 4 levels 9 led 4 levels 10 to 6 small 7 hairpin 7 hairpin 9 led 8 rna 9 led 10 to 23 and 11 hsf1 12 exclusion 12 exclusion 13 from 12 exclusion 16 , 13 from 15 nucleus 14 the 15 nucleus 16 , 18 exodus 16 , 23 and 17 its 18 exodus 18 exodus 19 from 19 from 22 promoter 20 the 22 promoter 21 hsp70.1 22 promoter 23 and 26 transcription 24 decreased 25 hsp70.1 25 hsp70.1 26 transcription likewise , null mutation of hsf1 at s320 by alanine substitution for serine led to an hsf1 species excluded from the nucleus and deficient in hsp70.1 activation . 0 ###LEFT-WALL### 4 mutation 0 ###LEFT-WALL### 14 led 0 ###LEFT-WALL### 28 . 1 likewise 2 , 1 likewise 4 mutation 3 null 4 mutation 4 mutation 5 of 4 mutation 14 led 5 of 6 hsf1 6 hsf1 7 at 6 hsf1 9 by 6 hsf1 12 for 7 at 8 s320 9 by 11 substitution 10 alanine 11 substitution 12 for 13 serine 14 led 15 to 15 to 18 species 16 an 18 species 17 hsf1 18 species 18 species 19 excluded 19 excluded 20 from 19 excluded 25 in 20 from 23 and 21 the 22 nucleus 22 nucleus 23 and 23 and 24 deficient 25 in 27 activation 26 hsp70.1 27 activation conclusions : these findings of pka regulation of hsf1 through s320 phosphorylation add to our knowledge of the signaling networks converging on this factor and may contribute to elucidating its complex roles in the stress response and understanding hsf1 dysregulation in disease . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 43 . 2 : 4 findings 2 : 25 and 3 these 4 findings 4 findings 5 of 4 findings 8 of 4 findings 25 and 5 of 7 regulation 6 pka 7 regulation 8 of 9 hsf1 9 hsf1 10 through 10 through 12 phosphorylation 11 s320 12 phosphorylation 13 add 14 to 13 add 22 on 13 add 25 and 14 to 16 knowledge 15 our 16 knowledge 16 knowledge 17 of 16 knowledge 21 converging 17 of 20 networks 18 the 20 networks 19 signaling 20 networks 22 on 24 factor 23 this 24 factor 25 and 26 may 25 and 28 to 26 may 27 contribute 28 to 29 elucidating 29 elucidating 37 and 30 its 32 roles 31 complex 32 roles 32 roles 33 in 32 roles 37 and 33 in 36 response 34 the 36 response 35 stress 36 response 37 and 40 dysregulation 37 and 41 in 38 understanding 40 dysregulation 39 hsf1 40 dysregulation 41 in 42 disease [none] [in] this protocol we describe a method to obtain telomere length parameters using southern blots [of] terminal restriction fragments ( trfs ) . 0 ###LEFT-WALL### 4 protocol 0 ###LEFT-WALL### 16 blots 0 ###LEFT-WALL### 24 . 3 this 4 protocol 4 protocol 5 we 4 protocol 10 obtain 4 protocol 16 blots 5 we 6 describe 6 describe 8 method 6 describe 9 to 7 a 8 method 9 to 10 obtain 10 obtain 13 parameters 11 telomere 13 parameters 12 length 13 parameters 13 parameters 14 using 14 using 15 southern 16 blots 20 fragments 18 terminal 19 restriction 19 restriction 20 fragments 20 fragments 22 trfs 21 ( 22 trfs 22 trfs 23 ) we use this approach primarily for epidemiological studies that examine leukocyte telomere length . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 use 0 ###LEFT-WALL### 14 . 1 we 2 use 2 use 4 approach 2 use 5 primarily 3 this 4 approach 5 primarily 6 for 6 for 8 studies 7 epidemiological 8 studies 8 studies 9 that 8 studies 10 examine 9 that 10 examine 10 examine 13 length 11 leukocyte 13 length 12 telomere 13 length however , the method can be adapted for telomere length measurements in other cells whose telomere lengths are within its detection boundaries . 0 ###LEFT-WALL### 4 method 0 ###LEFT-WALL### 7 adapted 0 ###LEFT-WALL### 23 . 1 however 2 , 1 however 4 method 3 the 4 method 4 method 5 can 5 can 6 be 6 be 7 adapted 7 adapted 8 for 7 adapted 12 in 8 for 11 measurements 9 telomere 10 length 10 length 11 measurements 12 in 14 cells 13 other 14 cells 14 cells 15 whose 15 whose 16 telomere 16 telomere 18 are 17 lengths 18 are 18 are 19 within 19 within 22 boundaries 20 its 22 boundaries 21 detection 22 boundaries after extraction , dna is inspected for integrity , digested , resolved by gel electrophoresis , transferred to a membrane , hybridized with labeled probes and exposed to x - ray film using chemiluminescence . 0 ###LEFT-WALL### 4 dna 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 35 . 1 after 2 extraction 1 after 3 , 1 after 4 dna 4 dna 9 , 5 is 6 inspected 5 is 9 , 6 inspected 7 for 7 for 8 integrity 9 , 10 digested 9 , 12 resolved 9 , 17 transferred 9 , 32 film 11 , 12 resolved 12 resolved 13 by 12 resolved 16 , 13 by 15 electrophoresis 14 gel 15 electrophoresis 16 , 17 transferred 17 transferred 18 to 17 transferred 22 hybridized 17 transferred 30 - 18 to 20 membrane 19 a 20 membrane 21 , 22 hybridized 22 hybridized 23 with 22 hybridized 28 to 22 hybridized 30 - 23 with 26 and 24 labeled 25 probes 24 labeled 26 and 26 and 27 exposed 28 to 29 x 31 ray 32 film 32 film 33 using 33 using 34 chemiluminescence although precise and [highly] accurate , the method requires a considerable amount of dna ( 3 [μg] per sample ) and it measures both the canonical and noncanonical components of telomeres . 0 ###LEFT-WALL### 8 method 0 ###LEFT-WALL### 9 requires 0 ###LEFT-WALL### 32 . 1 although 3 and 1 although 6 , 1 although 8 method 2 precise 3 and 3 and 5 accurate 7 the 8 method 8 method 9 requires 9 requires 12 amount 9 requires 23 measures 10 a 11 considerable 10 a 12 amount 11 considerable 12 amount 12 amount 13 of 12 amount 23 measures 13 of 21 and 14 dna 16 3 14 dna 21 and 15 ( 16 3 16 3 18 per 16 3 20 ) 18 per 19 sample 21 and 22 it 23 measures 24 both 24 both 25 the 24 both 29 components 25 the 29 components 26 canonical 27 and 27 and 28 noncanonical 27 and 29 components 29 components 30 of 30 of 31 telomeres the method also provides parameters of telomere length distribution in each dna sample , which are useful in answering questions beyond those focusing on the mean length of telomeres in a given sample . 0 ###LEFT-WALL### 2 method 0 ###LEFT-WALL### 4 provides 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 34 . 1 the 2 method 2 method 4 provides 3 also 4 provides 4 provides 5 parameters 4 provides 10 in 5 parameters 6 of 6 of 9 distribution 7 telomere 8 length 8 length 9 distribution 10 in 13 sample 11 each 13 sample 12 dna 13 sample 14 , 15 which 14 , 16 are 15 which 16 are 16 are 17 useful 17 useful 18 in 17 useful 21 beyond 18 in 19 answering 19 answering 20 questions 21 beyond 22 those 22 those 23 focusing 23 focusing 24 on 23 focusing 30 in 24 on 27 length 25 the 27 length 26 mean 27 length 27 length 28 of 28 of 29 telomeres 30 in 33 sample 31 a 33 sample 32 given 33 sample a skilled technician can measure trf length in ∼130 samples per week . 0 ###LEFT-WALL### 3 technician 0 ###LEFT-WALL### 5 measure 0 ###LEFT-WALL### 13 . 1 a 2 skilled 1 a 3 technician 2 skilled 3 technician 3 technician 4 can 4 can 5 measure 5 measure 7 length 5 measure 8 in 6 trf 7 length 8 in 10 samples 9 ∼130 10 samples 10 samples 11 per 11 per 12 week background : elderly patients with rheumatoid arthritis ( [ra] [ )( more aging - related complications than nonelderly [patients] [with] [ra] . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 related 0 ###LEFT-WALL### 22 . 1 background 2 : 2 : 4 patients 3 elderly 4 patients 4 patients 5 with 5 with 7 arthritis 6 rheumatoid 7 arthritis 7 arthritis 13 aging 8 ( 12 more 8 ( 13 aging 13 aging 14 - 14 - 15 related 15 related 16 complications 15 related 17 than 15 related 18 nonelderly objectives : the objective [of] the study was to investigate the treatment status of elderly patients with [ra] . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 1 objectives 2 : 2 : 4 objective 3 the 4 objective 4 objective 7 study 4 objective 17 with 6 the 7 study 7 study 8 was 8 was 9 to 8 was 10 investigate 9 to 10 investigate 10 investigate 13 status 10 investigate 17 with 11 the 13 status 12 treatment 13 status 13 status 14 of 14 of 16 patients 15 elderly 16 patients methods : between january and march 2008 , 969 patients [with] [ra] were enrolled in this observational cross - sectional study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 , 1 methods 2 : 2 : 3 between 3 between 5 and 4 january 5 and 5 and 6 march 6 march 7 2008 8 , 10 patients 8 , 14 enrolled 9 969 10 patients 10 patients 13 were 13 were 14 enrolled 14 enrolled 15 in 15 in 18 cross 16 this 18 cross 17 observational 18 cross 18 cross 21 study 19 - 21 study 20 sectional 21 study 21 study 22 . prescription of disease - modifying antirheumatic drugs ( dmards ) and corticosteroids and laboratory data related to [ra] , including matrix metalloproteinase 3 , rheumatoid factor , and anti - cyclic citrullinated peptide antibody levels , were compared between the elderly and the [nonelderly] patients . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 46 . 1 prescription 2 of 1 prescription 11 and 2 of 3 disease 3 disease 5 modifying 4 - 5 modifying 5 modifying 7 drugs 5 modifying 10 ) 6 antirheumatic 7 drugs 7 drugs 9 dmards 8 ( 9 dmards 9 dmards 10 ) 11 and 12 corticosteroids 11 and 13 and 13 and 14 laboratory 13 and 15 data 13 and 17 to 15 data 16 related 16 related 17 to 19 , 20 including 19 , 36 , 20 including 28 and 20 including 36 , 21 matrix 22 metalloproteinase 22 metalloproteinase 23 3 22 metalloproteinase 24 , 24 , 26 factor 24 , 28 and 25 rheumatoid 26 factor 27 , 28 and 28 and 34 antibody 29 anti 30 - 29 anti 33 peptide 31 cyclic 33 peptide 32 citrullinated 33 peptide 33 peptide 34 antibody 35 levels 36 , 36 , 37 were 37 were 38 compared 38 compared 39 between 39 between 42 and 40 the 41 elderly 41 elderly 42 and 42 and 45 patients 43 the 45 patients results : fewer dmards [were] prescribed to the elderly patients ( 1.40 [ sd , 0.57 ] vs [.] 1.51 [ sd , 0.61 ] [;] p = 0.029 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 1 results 2 : 2 : 4 dmards 3 fewer 4 dmards 4 dmards 6 prescribed 4 dmards 18 vs 6 prescribed 7 to 7 to 10 patients 8 the 10 patients 9 elderly 10 patients 10 patients 12 1.40 11 ( 12 1.40 12 1.40 14 sd 12 1.40 17 ] 13 [ 14 sd 14 sd 16 0.57 14 sd 17 ] 15 , 16 0.57 16 0.57 17 ] 18 vs 20 1.51 20 1.51 22 sd 21 [ 22 sd 22 sd 24 0.61 22 sd 28 = 22 sd 30 ) 23 , 24 0.61 24 0.61 25 ] 27 p 28 = 28 = 29 0.029 28 = 30 ) the laboratory data suggested that the disease status was uncontrolled to a greater extent , and complications were more common in the elderly group . 0 ###LEFT-WALL### 3 data 0 ###LEFT-WALL### 4 suggested 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 25 . 1 the 3 data 2 laboratory 3 data 3 data 4 suggested 4 suggested 5 that 5 that 8 status 5 that 9 was 6 the 8 status 7 disease 8 status 8 status 9 was 9 was 10 uncontrolled 10 uncontrolled 11 to 11 to 14 extent 12 a 14 extent 13 greater 14 extent 15 , 16 and 16 and 17 complications 16 and 18 were 17 complications 18 were 18 were 20 common 19 more 20 common 20 common 21 in 21 in 24 group 22 the 24 group 23 elderly 24 group conclusion : elderly patients [with] [ra] receive less aggressive treatment than [nonelderly] patients with [ra] , despite laboratory evidence for poorly controlled disease status among the elderly . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 1 conclusion 2 : 2 : 3 elderly 2 : 17 despite 3 elderly 4 patients 3 elderly 14 with 4 patients 7 receive 7 receive 10 treatment 7 receive 11 than 7 receive 14 with 8 less 9 aggressive 9 aggressive 10 treatment 11 than 13 patients 16 , 17 despite 17 despite 19 evidence 17 despite 28 . 18 laboratory 19 evidence 19 evidence 20 for 20 for 24 status 21 poorly 22 controlled 22 controlled 23 disease 23 disease 24 status 24 status 25 among 25 among 27 elderly 26 the 27 elderly the use of a less aggressive regimen could be attributed to the higher prevalence of complications and problems . 0 ###LEFT-WALL### 2 use 0 ###LEFT-WALL### 10 attributed 0 ###LEFT-WALL### 19 . 1 the 2 use 2 use 3 of 2 use 8 could 3 of 7 regimen 4 a 7 regimen 5 less 6 aggressive 6 aggressive 7 regimen 8 could 9 be 9 be 10 attributed 10 attributed 11 to 11 to 14 prevalence 12 the 14 prevalence 13 higher 14 prevalence 14 prevalence 15 of 15 of 17 and 16 complications 17 and 17 and 18 problems therefore , the elderly [with] [ra] should be considered a different patient population from the viewpoint of treatment and be administered [specialized] medical care . 0 ###LEFT-WALL### 4 elderly 0 ###LEFT-WALL### 8 be 0 ###LEFT-WALL### 25 . 1 therefore 2 , 1 therefore 4 elderly 3 the 4 elderly 4 elderly 7 should 7 should 8 be 8 be 19 and 9 considered 12 patient 9 considered 13 population 9 considered 19 and 10 a 12 patient 11 different 12 patient 13 population 14 from 14 from 16 viewpoint 15 the 16 viewpoint 16 viewpoint 17 of 17 of 18 treatment 19 and 20 be 19 and 24 care 21 administered 24 care 23 medical 24 care background and aims : many studies have reported a greater frequency of [falls] among older women than men in conditions which stress balance . 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 4 : 1 background 2 and 2 and 3 aims 4 : 6 studies 4 : 8 reported 4 : 24 . 5 many 6 studies 6 studies 7 have 7 have 8 reported 8 reported 11 frequency 8 reported 17 than 8 reported 19 in 9 a 11 frequency 10 greater 11 frequency 11 frequency 12 of 12 of 14 among 14 among 16 women 15 older 16 women 17 than 18 men 19 in 20 conditions 20 conditions 21 which 20 conditions 22 stress 21 which 22 stress 22 stress 23 balance previously , we found an improvement in static balance in older women with an increased support surface area and equal load redistribution on both feet , in response to a dynamic balance training protocol . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 19 and 1 previously 2 , 1 previously 3 we 3 we 19 and 4 found 6 improvement 4 found 18 area 4 found 19 and 5 an 6 improvement 6 improvement 7 in 6 improvement 10 in 7 in 9 balance 8 static 9 balance 10 in 12 women 11 older 12 women 12 women 13 with 13 with 17 surface 14 an 17 surface 15 increased 16 support 16 support 17 surface 19 and 20 equal 20 equal 22 redistribution 20 equal 23 on 20 equal 29 to 21 load 22 redistribution 23 on 25 feet 24 both 25 feet 26 , 29 to 27 in 28 response 28 response 29 to 29 to 32 balance 29 to 35 . 30 a 31 dynamic 30 a 32 balance 31 dynamic 32 balance 32 balance 33 training 33 training 34 protocol the aim of the present study was to examine whether the same training program and body composition would have effects on the postural control of older overweight women . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 29 . 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 examine 8 to 9 examine 9 examine 10 whether 10 whether 15 and 10 whether 19 have 11 the 12 same 12 same 14 program 13 training 14 program 14 program 15 and 15 and 17 composition 15 and 18 would 16 body 17 composition 18 would 19 have 19 have 20 effects 19 have 21 on 21 on 24 control 22 the 24 control 23 postural 24 control 24 control 25 of 25 of 28 women 26 older 28 women 27 overweight 28 women methods : ten healthy women ( 68.67 ± 5.50 yrs [;] 28.17 ± 3.35 bmi ) participated in a five [-] week physical activity program . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 5 women 2 : 17 participated 3 ten 5 women 4 healthy 5 women 5 women 15 bmi 5 women 17 participated 6 ( 15 bmi 7 68.67 15 bmi 8 ± 13 ± 9 5.50 10 yrs 10 yrs 13 ± 12 28.17 13 ± 13 ± 15 bmi 14 3.35 15 bmi 15 bmi 16 ) 17 participated 18 in 18 in 25 program 19 a 25 program 20 five 22 week 22 week 25 program 23 physical 24 activity 24 activity 25 program postural stability was assessed before and after training with an optoelectronic platform and [a] uni - pedal balance performance test . 0 ###LEFT-WALL### 2 stability 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 16 - 1 postural 2 stability 2 stability 3 was 3 was 4 assessed 4 assessed 6 and 4 assessed 9 with 5 before 6 and 6 and 7 after 7 after 8 training 9 with 13 and 10 an 11 optoelectronic 10 an 12 platform 11 optoelectronic 12 platform 12 platform 13 and 13 and 15 uni 16 - 20 test 16 - 21 . 17 pedal 20 test 18 balance 20 test 19 performance 20 test body composition of the trunk , upper limbs and lower limbs was measured by bio [-] impedance analysis . 0 ###LEFT-WALL### 2 composition 0 ###LEFT-WALL### 12 was 0 ###LEFT-WALL### 19 . 1 body 2 composition 2 composition 3 of 2 composition 12 was 3 of 9 and 4 the 5 trunk 5 trunk 6 , 6 , 8 limbs 6 , 9 and 7 upper 8 limbs 9 and 11 limbs 10 lower 11 limbs 12 was 13 measured 13 measured 14 by 14 by 18 analysis 15 bio 18 analysis 17 impedance 18 analysis results : the mean speed ( [ms] [ )( medial - lateral ms ( ms - x ) , anterior - posterior ms ( ms - y ) , sway path [(] sp [ )(and ellipse surface area [(] esa ) of the pressure center was reduced after training in older women . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 , 0 ###LEFT-WALL### 53 . 1 results 2 : 2 : 5 speed 2 : 26 - 3 the 5 speed 4 mean 5 speed 5 speed 15 ms 6 ( 15 ms 10 medial 11 - 10 medial 15 ms 12 lateral 15 ms 13 ms 15 ms 14 ( 15 ms 15 ms 16 - 15 ms 17 x 15 ms 18 ) 16 - 17 x 17 x 18 ) 19 , 26 - 20 anterior 21 - 20 anterior 22 posterior 22 posterior 25 ms 23 ms 25 ms 24 ( 25 ms 25 ms 26 - 26 - 27 y 26 - 28 ) 29 , 30 sway 29 , 47 reduced 30 sway 35 )(and 30 sway 45 center 30 sway 46 was 31 path 33 sp 33 sp 35 )(and 35 )(and 40 esa 35 )(and 41 ) 35 )(and 42 of 35 )(and 45 center 36 ellipse 40 esa 37 surface 38 area 38 area 40 esa 42 of 44 pressure 43 the 44 pressure 46 was 47 reduced 47 reduced 48 after 47 reduced 50 in 48 after 49 training 50 in 52 women 51 older 52 women however , only ms , ms - [x] , ms - y and sp significantly decreased in bipodalic conditions with eo and ms - [y] also with ec ( p<0.05 ) . 0 ###LEFT-WALL### 3 only 0 ###LEFT-WALL### 16 decreased 0 ###LEFT-WALL### 32 . 1 however 2 , 1 however 3 only 3 only 14 sp 4 ms 6 ms 5 , 6 ms 6 ms 7 - 6 ms 10 ms 9 , 10 ms 10 ms 11 - 10 ms 12 y 12 y 13 and 13 and 14 sp 14 sp 16 decreased 15 significantly 16 decreased 16 decreased 17 in 16 decreased 20 with 17 in 19 conditions 18 bipodalic 19 conditions 20 with 23 ms 21 eo 22 and 22 and 23 ms 23 ms 27 with 24 - 26 also 24 - 27 with 27 with 28 ec 27 with 31 ) 28 ec 30 p<0.05 29 ( 30 p<0.05 30 p<0.05 31 ) instead , in monopodalic conditions , we found a significant reduction in the esa of both feet with eo and ec . 0 ###LEFT-WALL### 7 we 0 ###LEFT-WALL### 8 found 0 ###LEFT-WALL### 22 . 1 instead 2 , 1 instead 7 we 2 , 3 in 3 in 5 conditions 3 in 6 , 3 in 7 we 4 monopodalic 5 conditions 7 we 8 found 8 found 11 reduction 8 found 12 in 9 a 10 significant 9 a 11 reduction 10 significant 11 reduction 12 in 20 and 13 the 14 esa 14 esa 15 of 14 esa 20 and 15 of 17 feet 16 both 17 feet 17 feet 18 with 18 with 19 eo 20 and 21 ec these data were associated with a significant increase in the lean mass of lower limbs and a higher number of participants who improved their ability to maintain unipedal static balance . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 31 . 1 these 2 data 2 data 3 were 3 were 4 associated 4 associated 5 with 5 with 16 and 6 a 7 significant 6 a 8 increase 7 significant 8 increase 8 increase 9 in 8 increase 16 and 9 in 15 limbs 10 the 12 mass 11 lean 12 mass 12 mass 13 of 12 mass 15 limbs 13 of 15 limbs 14 lower 15 limbs 16 and 19 number 17 a 19 number 18 higher 19 number 19 number 20 of 20 of 21 participants 21 participants 22 who 21 participants 23 improved 22 who 23 improved 23 improved 25 ability 24 their 25 ability 25 ability 26 to 25 ability 27 maintain 26 to 27 maintain 27 maintain 30 balance 28 unipedal 30 balance 29 static 30 balance conclusions : our dynamic balance training protocol appears to be feasible , safe and repeatable for older overweight women and to have positive effects in improving their lateral and anterior - posterior postural control , mainly acting on the visual and skeletal muscle components of the balance control system . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 50 . 2 : 5 balance 2 : 8 appears 3 our 5 balance 4 dynamic 5 balance 5 balance 6 training 5 balance 8 appears 6 training 7 protocol 8 appears 9 to 8 appears 20 and 9 to 20 and 10 be 14 and 10 be 20 and 11 feasible 12 , 12 , 13 safe 12 , 14 and 14 and 15 repeatable 15 repeatable 16 for 16 for 19 women 17 older 19 women 18 overweight 19 women 20 and 21 to 20 and 43 muscle 21 to 22 have 22 have 29 and 23 positive 24 effects 24 effects 25 in 24 effects 29 and 25 in 26 improving 26 improving 28 lateral 27 their 28 lateral 29 and 34 control 29 and 35 , 29 and 37 acting 30 anterior 31 - 30 anterior 34 control 32 posterior 34 control 33 postural 34 control 36 mainly 37 acting 37 acting 38 on 38 on 41 and 39 the 40 visual 40 visual 41 and 41 and 42 skeletal 43 muscle 44 components 44 components 45 of 45 of 49 system 46 the 49 system 47 balance 49 system 48 control 49 system cardiopulmonary exercise testing ( cpx ) is a relatively old technology , but has sustained [relevance] for many primary care clinical scenarios in which it is , ironically , rarely considered . 0 ###LEFT-WALL### 2 exercise 0 ###LEFT-WALL### 31 considered 0 ###LEFT-WALL### 32 . 1 cardiopulmonary 2 exercise 2 exercise 3 testing 2 exercise 14 has 2 exercise 15 sustained 3 testing 5 cpx 3 testing 13 but 4 ( 5 cpx 5 cpx 6 ) 7 is 11 technology 7 is 13 but 8 a 9 relatively 8 a 11 technology 9 relatively 10 old 10 old 11 technology 12 , 13 but 13 but 14 has 15 sustained 17 for 15 sustained 20 care 17 for 18 many 19 primary 20 care 20 care 22 scenarios 20 care 31 considered 21 clinical 22 scenarios 22 scenarios 23 in 22 scenarios 31 considered 23 in 24 which 23 in 25 it 23 in 26 is 25 it 26 is 27 , 28 ironically 28 ironically 29 , 28 ironically 31 considered 30 rarely 31 considered these discrepancies in application are compounded by patterns in which cpx is often administered and interpreted by cardiology , pulmonary , or exercise specialists who limit their assessments to the priorities of their own discipline , thereby missing opportunities to distinguish symptom origins . 1 these 2 discrepancies 2 discrepancies 3 in 2 discrepancies 5 are 3 in 4 application 5 are 6 compounded 6 compounded 7 by 6 compounded 29 to 7 by 22 or 8 patterns 9 in 8 patterns 19 , 9 in 10 which 9 in 11 cpx 9 in 15 and 11 cpx 15 and 12 is 14 administered 12 is 15 and 13 often 14 administered 15 and 16 interpreted 15 and 17 by 17 by 18 cardiology 19 , 20 pulmonary 19 , 22 or 21 , 22 or 22 or 24 specialists 22 or 25 who 22 or 26 limit 23 exercise 24 specialists 25 who 26 limit 26 limit 28 assessments 27 their 28 assessments 29 to 31 priorities 30 the 31 priorities 31 priorities 32 of 32 of 35 discipline 33 their 34 own 33 their 35 discipline 35 discipline 39 opportunities 36 , 37 thereby 36 , 39 opportunities 38 missing 39 opportunities 39 opportunities 40 to 39 opportunities 41 distinguish 39 opportunities 44 . 40 to 41 distinguish 41 distinguish 43 origins 42 symptom 43 origins when used properly , cpx enables the physician to assess fitness and uncover cardiopulmonary issues at earlier phases of work - up , which would therefore be especially useful for primary care physicians . 0 ###LEFT-WALL### 5 cpx 0 ###LEFT-WALL### 6 enables 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 34 . 1 when 2 used 1 when 4 , 1 when 5 cpx 2 used 3 properly 5 cpx 6 enables 6 enables 8 physician 6 enables 9 to 6 enables 16 at 6 enables 22 up 7 the 8 physician 9 to 12 and 10 assess 11 fitness 10 assess 12 and 12 and 13 uncover 13 uncover 15 issues 14 cardiopulmonary 15 issues 16 at 18 phases 17 earlier 18 phases 18 phases 19 of 19 of 20 work 21 - 22 up 22 up 23 , 23 , 24 which 23 , 27 be 24 which 25 would 25 would 27 be 26 therefore 27 be 27 be 29 useful 28 especially 29 useful 29 useful 30 for 30 for 33 physicians 31 primary 32 care 32 care 33 physicians in this article , we provide an overview of cpx principles and testing logistics , as well as some of the clinical contexts in which it can enhance patient care . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 provide 1 in 3 article 1 in 4 , 1 in 5 we 2 this 3 article 5 we 6 provide 6 provide 8 overview 7 an 8 overview 8 overview 9 of 9 of 12 and 10 cpx 11 principles 11 principles 12 and 12 and 14 logistics 12 and 18 as 13 testing 14 logistics 15 , 18 as 16 as 17 well 17 well 18 as 18 as 23 contexts 18 as 31 . 19 some 20 of 19 some 23 contexts 20 of 23 contexts 21 the 23 contexts 22 clinical 23 contexts 23 contexts 24 in 24 in 25 which 24 in 26 it 24 in 28 enhance 26 it 27 can 27 can 28 enhance 28 enhance 30 care 29 patient 30 care epidemiological studies have shown that age is the chief risk factor for lifestyle - related diseases such as cardiovascular disease and diabetes , but the molecular mechanisms that underlie the increase in the risk of such diseases conferred by aging remain unclear . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 shown 0 ###LEFT-WALL### 15 related 0 ###LEFT-WALL### 24 but 0 ###LEFT-WALL### 43 . 1 epidemiological 2 studies 2 studies 3 have 3 have 4 shown 4 shown 6 age 4 shown 7 is 5 that 6 age 6 age 7 is 7 is 11 factor 8 the 11 factor 9 chief 11 factor 10 risk 11 factor 11 factor 12 for 12 for 13 lifestyle 14 - 15 related 15 related 16 diseases 15 related 18 as 15 related 23 , 17 such 18 as 18 as 21 and 19 cardiovascular 20 disease 20 disease 21 and 21 and 22 diabetes 24 but 27 mechanisms 24 but 41 remain 25 the 27 mechanisms 26 molecular 27 mechanisms 27 mechanisms 28 that 27 mechanisms 29 underlie 27 mechanisms 41 remain 28 that 29 underlie 29 underlie 31 increase 29 underlie 32 in 29 underlie 39 by 30 the 31 increase 32 in 34 risk 33 the 34 risk 34 risk 35 of 34 risk 38 conferred 35 of 37 diseases 36 such 37 diseases 39 by 40 aging 41 remain 42 unclear recently , genetic analyses using various animal models have identified molecules that are crucial for aging . 0 ###LEFT-WALL### 4 analyses 0 ###LEFT-WALL### 10 identified 0 ###LEFT-WALL### 17 . 1 recently 2 , 1 recently 4 analyses 3 genetic 4 analyses 4 analyses 5 using 4 analyses 9 have 5 using 8 models 6 various 7 animal 7 animal 8 models 9 have 10 identified 10 identified 11 molecules 11 molecules 12 that 11 molecules 13 are 12 that 13 are 13 are 14 crucial 14 crucial 15 for 15 for 16 aging these include components of the dna repair system , the tumor suppressor pathway , the telomere maintenance system , the insulin/akt pathway , and other metabolic pathways . 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 28 . 1 these 3 components 2 include 3 components 3 components 4 of 3 components 9 , 4 of 8 system 5 the 8 system 6 dna 8 system 7 repair 8 system 9 , 13 pathway 9 , 14 , 10 the 13 pathway 11 tumor 13 pathway 12 suppressor 13 pathway 14 , 18 system 14 , 19 , 15 the 18 system 16 telomere 18 system 17 maintenance 18 system 19 , 22 pathway 19 , 24 and 20 the 22 pathway 21 insulin/akt 22 pathway 23 , 24 and 24 and 27 pathways 25 other 27 pathways 26 metabolic 27 pathways interestingly , most of the molecules that influence the phenotypic changes of aging also regulate cellular senescence , suggesting a causative link between cellular senescence and aging . 0 ###LEFT-WALL### 6 molecules 0 ###LEFT-WALL### 15 regulate 1 interestingly 2 , 1 interestingly 6 molecules 3 most 4 of 3 most 6 molecules 4 of 6 molecules 5 the 6 molecules 6 molecules 7 that 6 molecules 8 influence 6 molecules 15 regulate 7 that 8 influence 8 influence 11 changes 9 the 11 changes 10 phenotypic 11 changes 11 changes 12 of 12 of 13 aging 13 aging 14 also 15 regulate 17 senescence 16 cellular 17 senescence 17 senescence 19 suggesting 18 , 19 suggesting 19 suggesting 22 link 19 suggesting 23 between 19 suggesting 28 . 20 a 21 causative 20 a 22 link 21 causative 22 link 23 between 26 and 24 cellular 25 senescence 25 senescence 26 and 26 and 27 aging this review examines the hypothesis that cellular senescence might contribute to lifestyle - related disease . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 examines 0 ###LEFT-WALL### 14 related 1 this 2 review 2 review 3 examines 3 examines 5 hypothesis 4 the 5 hypothesis 5 hypothesis 6 that 6 that 8 senescence 6 that 10 contribute 7 cellular 8 senescence 8 senescence 9 might 9 might 10 contribute 10 contribute 11 to 11 to 12 lifestyle 13 - 14 related 14 related 15 disease 14 related 16 . in alzheimer 's disease ( ad ) , the cerebral pathological changes begin many years before the clinical manifestation of the disease . 0 ###LEFT-WALL### 12 changes 0 ###LEFT-WALL### 13 begin 0 ###LEFT-WALL### 23 . 1 in 4 disease 1 in 8 , 1 in 12 changes 2 alzheimer 3 's 3 's 4 disease 4 disease 6 ad 5 ( 6 ad 6 ad 7 ) 9 the 12 changes 10 cerebral 12 changes 11 pathological 12 changes 12 changes 13 begin 13 begin 16 before 14 many 15 years 15 years 16 before 16 before 19 manifestation 17 the 19 manifestation 18 clinical 19 manifestation 19 manifestation 20 of 20 of 22 disease 21 the 22 disease biomarkers for ad , such as the cerebrospinal fluid ( csf ) concentrations of amyloid - β1 - 42 ( aβ1 - 42 ) and tau phosphorylated at [threonine] 181 ( ptau181 ) , may reflect these cerebral changes relatively early . 0 ###LEFT-WALL### 1 biomarkers 0 ###LEFT-WALL### 17 β1 0 ###LEFT-WALL### 18 - 1 biomarkers 2 for 1 biomarkers 17 β1 2 for 3 ad 3 ad 6 as 4 , 6 as 5 such 6 as 6 as 13 concentrations 6 as 16 - 7 the 13 concentrations 8 cerebrospinal 13 concentrations 9 fluid 11 csf 9 fluid 12 ) 9 fluid 13 concentrations 10 ( 11 csf 11 csf 12 ) 13 concentrations 14 of 14 of 15 amyloid 18 - 19 42 18 - 36 reflect 18 - 42 . 19 42 25 and 19 42 35 may 20 ( 25 and 21 aβ1 23 42 21 aβ1 25 and 22 - 23 42 23 42 24 ) 25 and 26 tau 25 and 27 phosphorylated 25 and 32 ptau181 25 and 34 , 27 phosphorylated 28 at 28 at 30 181 31 ( 32 ptau181 32 ptau181 33 ) 35 may 36 reflect 36 reflect 39 changes 36 reflect 41 early 37 these 39 changes 38 cerebral 39 changes 40 relatively 41 early accordingly , cognitively healthy subjects at risk for ad often have altered csf concentrations of aβ1 - [42] and ptau181 . 0 ###LEFT-WALL### 5 subjects 0 ###LEFT-WALL### 12 altered 0 ###LEFT-WALL### 21 . 1 accordingly 2 , 1 accordingly 5 subjects 3 cognitively 4 healthy 4 healthy 5 subjects 5 subjects 6 at 5 subjects 11 have 6 at 7 risk 7 risk 8 for 8 for 9 ad 10 often 11 have 11 have 12 altered 12 altered 19 and 13 csf 14 concentrations 14 concentrations 15 of 14 concentrations 19 and 15 of 16 aβ1 17 - 19 and 19 and 20 ptau181 in this study , we assessed the effects and interaction of two strong risk factors for ad , aging and the presence of the apoeε4 allele , on the csf aβ1 [-] 42 and ptau181 concentrations in 280 adults with normal cognition across the lifespan . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 18 , 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 assessed 6 assessed 9 and 7 the 8 effects 8 effects 9 and 9 and 10 interaction 9 and 18 , 10 interaction 11 of 10 interaction 16 for 11 of 12 two 12 two 14 risk 12 two 15 factors 13 strong 14 risk 14 risk 15 factors 16 for 17 ad 18 , 34 and 19 aging 20 and 20 and 22 presence 20 and 27 , 20 and 28 on 20 and 34 and 21 the 22 presence 22 presence 23 of 23 of 26 allele 24 the 26 allele 25 apoeε4 26 allele 28 on 31 aβ1 29 the 31 aβ1 30 csf 31 aβ1 31 aβ1 33 42 34 and 36 concentrations 34 and 46 . 35 ptau181 36 concentrations 36 concentrations 37 in 37 in 39 adults 38 280 39 adults 39 adults 40 with 39 adults 43 across 40 with 42 cognition 41 normal 42 cognition 43 across 45 lifespan 44 the 45 lifespan for comparison , we further included 152 patients with probable ad . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 6 included 0 ###LEFT-WALL### 12 . 1 for 2 comparison 1 for 3 , 1 for 4 we 4 we 6 included 5 further 6 included 6 included 8 patients 6 included 9 with 7 152 8 patients 9 with 11 ad 10 probable 11 ad we found significant effects of age on the csf aβ1 - 42 and ptau181 , and [of] the apoeε4 genotype on the aβ1 - 42 levels in the cognitively normal participants . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 11 - 1 we 2 found 2 found 4 effects 2 found 7 on 3 significant 4 effects 4 effects 5 of 5 of 6 age 7 on 10 aβ1 8 the 10 aβ1 9 csf 10 aβ1 11 - 12 42 11 - 13 and 11 - 32 . 13 and 16 and 13 and 20 genotype 14 ptau181 16 and 15 , 16 and 16 and 19 apoeε4 16 and 20 genotype 18 the 19 apoeε4 20 genotype 21 on 20 genotype 26 levels 21 on 23 aβ1 22 the 23 aβ1 24 - 25 42 25 42 26 levels 26 levels 27 in 27 in 31 participants 28 the 31 participants 29 cognitively 30 normal 30 normal 31 participants carrying the apoeε4 allele was associated with a significant decrease of the aβ1 - 42 concentrations in middle [-] aged and older participants . 0 ###LEFT-WALL### 1 carrying 0 ###LEFT-WALL### 6 associated 0 ###LEFT-WALL### 24 . 1 carrying 4 allele 1 carrying 5 was 1 carrying 6 associated 2 the 4 allele 3 apoeε4 4 allele 4 allele 5 was 6 associated 7 with 6 associated 17 in 7 with 10 decrease 7 with 16 concentrations 8 a 9 significant 8 a 10 decrease 9 significant 10 decrease 10 decrease 11 of 11 of 13 aβ1 12 the 13 aβ1 14 - 15 42 15 42 16 concentrations 17 in 23 participants 18 middle 23 participants 20 aged 21 and 21 and 22 older 21 and 23 participants in the group of participants with ad , the aβ1 - 42 levels were significantly lower in the apoeε4 carriers compared to the [non] [-] carriers . 0 ###LEFT-WALL### 1 in 0 ###LEFT-WALL### 14 were 0 ###LEFT-WALL### 27 . 1 in 5 participants 1 in 14 were 2 the 3 group 3 group 4 of 3 group 5 participants 4 of 5 participants 5 participants 6 with 6 with 7 ad 7 ad 10 aβ1 8 , 10 aβ1 9 the 10 aβ1 10 aβ1 11 - 12 42 13 levels 13 levels 14 were 14 were 16 lower 15 significantly 16 lower 16 lower 17 in 17 in 19 apoeε4 18 the 19 apoeε4 19 apoeε4 20 carriers 19 apoeε4 21 compared 20 carriers 21 compared 21 compared 22 to 22 to 26 carriers 23 the 26 carriers these findings demonstrate significant age effects on the csf aβ1 - [42] and ptau181 across lifespan . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 demonstrate 0 ###LEFT-WALL### 17 . 1 these 2 findings 2 findings 3 demonstrate 3 demonstrate 6 effects 3 demonstrate 7 on 3 demonstrate 15 across 4 significant 5 age 5 age 6 effects 7 on 13 and 8 the 10 aβ1 9 csf 10 aβ1 10 aβ1 13 and 11 - 13 and 13 and 14 ptau181 15 across 16 lifespan they also suggest that the decrease of aβ1 - 42 , but not the increase of ptau181 csf levels is accelerated by the apoeε4 [genotype] in middle [-] aged and older adults with normal cognition . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 36 . 1 they 3 suggest 2 also 3 suggest 3 suggest 4 that 4 that 6 decrease 4 that 21 accelerated 5 the 6 decrease 6 decrease 7 of 6 decrease 12 but 6 decrease 20 is 7 of 8 aβ1 8 aβ1 10 42 9 - 10 42 10 42 11 , 12 but 13 not 12 but 15 increase 14 the 15 increase 15 increase 16 of 16 of 19 levels 17 ptau181 19 levels 18 csf 19 levels 20 is 21 accelerated 21 accelerated 22 by 22 by 24 apoeε4 23 the 24 apoeε4 24 apoeε4 26 in 24 apoeε4 33 with 26 in 32 adults 27 middle 32 adults 29 aged 30 and 30 and 31 older 30 and 32 adults 33 with 35 cognition 34 normal 35 cognition studies in mammals have led to the suggestion that hyperglycemia and hyperinsulinemia are important factors in aging . 0 ###LEFT-WALL### 1 studies 0 ###LEFT-WALL### 5 led 0 ###LEFT-WALL### 18 . 1 studies 2 in 1 studies 4 have 2 in 3 mammals 4 have 5 led 5 led 6 to 5 led 16 in 6 to 8 suggestion 7 the 8 suggestion 8 suggestion 9 that 9 that 11 and 9 that 13 are 10 hyperglycemia 11 and 11 and 12 hyperinsulinemia 11 and 13 are 13 are 15 factors 14 important 15 factors 16 in 17 aging insulin/insulin - like growth factor 1 ( igf - 1 ) signaling molecules that have been linked to longevity include daf - 2 and inr and their homologues in mammals , and inactivation of the corresponding genes increases life span in nematodes , fruit flies and mice . 0 ###LEFT-WALL### 32 and 0 ###LEFT-WALL### 48 . 1 insulin/insulin 3 like 1 insulin/insulin 12 signaling 1 insulin/insulin 32 and 2 - 3 like 3 like 5 factor 3 like 11 ) 4 growth 5 factor 5 factor 6 1 5 factor 8 igf 7 ( 8 igf 8 igf 10 1 8 igf 11 ) 9 - 10 1 10 1 11 ) 12 signaling 13 molecules 12 signaling 18 to 13 molecules 14 that 13 molecules 15 have 14 that 15 have 15 have 16 been 16 been 17 linked 18 to 21 daf 19 longevity 20 include 20 include 21 daf 21 daf 26 and 22 - 26 and 23 2 24 and 24 and 25 inr 25 inr 26 and 26 and 28 homologues 26 and 29 in 26 and 31 , 27 their 28 homologues 29 in 30 mammals 32 and 33 inactivation 32 and 34 of 34 of 46 and 35 the 40 span 36 corresponding 37 genes 37 genes 40 span 38 increases 40 span 39 life 40 span 40 span 41 in 40 span 43 , 41 in 42 nematodes 43 , 45 flies 43 , 46 and 44 fruit 45 flies 46 and 47 mice it is possible that the life [-] prolonging effect [of] caloric restriction is due to decreasing igf - 1 levels . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 1 it 2 is 2 is 3 possible 3 possible 4 that 4 that 12 restriction 4 that 13 is 5 the 12 restriction 6 life 12 restriction 8 prolonging 12 restriction 9 effect 12 restriction 11 caloric 12 restriction 12 restriction 13 is 13 is 14 due 14 due 15 to 15 to 16 decreasing 16 decreasing 17 igf 17 igf 20 levels 18 - 20 levels 19 1 20 levels 20 levels 21 . evidence has [emerged] that antidiabetic drugs are promising candidates for both life span extension and prevention of cancer . 0 ###LEFT-WALL### 7 are 0 ###LEFT-WALL### 19 . 1 evidence 2 has 2 has 6 drugs 2 has 7 are 4 that 5 antidiabetic 5 antidiabetic 6 drugs 7 are 9 candidates 8 promising 9 candidates 9 candidates 10 for 10 for 15 and 11 both 15 and 12 life 14 extension 13 span 14 extension 14 extension 15 and 15 and 16 prevention 15 and 17 of 17 of 18 cancer thus , antidiabetic drugs postpone spontaneous carcinogenesis in mice and rats , as well as chemical and radiation carcinogenesis in mice , rats and hamsters . 0 ###LEFT-WALL### 4 drugs 0 ###LEFT-WALL### 5 postpone 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 26 . 1 thus 2 , 1 thus 4 drugs 3 antidiabetic 4 drugs 4 drugs 5 postpone 5 postpone 7 carcinogenesis 5 postpone 8 in 5 postpone 15 as 6 spontaneous 7 carcinogenesis 8 in 10 and 9 mice 10 and 10 and 11 rats 12 , 15 as 13 as 14 well 14 well 15 as 15 as 17 and 15 as 22 , 16 chemical 17 and 17 and 19 carcinogenesis 18 radiation 19 carcinogenesis 19 carcinogenesis 20 in 20 in 21 mice 22 , 24 and 23 rats 24 and 24 and 25 hamsters furthermore metformin seems to decrease cancer risk in diabetic patients . 0 ###LEFT-WALL### 2 metformin 0 ###LEFT-WALL### 3 seems 0 ###LEFT-WALL### 11 . 1 furthermore 2 metformin 2 metformin 3 seems 3 seems 4 to 3 seems 5 decrease 4 to 5 decrease 5 decrease 7 risk 5 decrease 8 in 6 cancer 7 risk 8 in 10 patients 9 diabetic 10 patients tissue and organ rejuvenation and senescence/aging are closely related to the function of stem cells . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 9 related 0 ###LEFT-WALL### 16 . 1 tissue 2 and 2 and 4 rejuvenation 2 and 5 and 3 organ 4 rejuvenation 5 and 6 senescence/aging 5 and 7 are 7 are 8 closely 7 are 9 related 9 related 10 to 10 to 12 function 11 the 12 function 12 function 13 of 13 of 15 cells 14 stem 15 cells recently , we demonstrated that a population of pluripotent [oct] - 4+ ssea - 1+sca - 1+lin - cd45 - very [small] embryonic - like stem cells ( vsels ) resides in the adult murine bone marrow ( bm [ )(and other murine tissues . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 demonstrated 1 recently 2 , 1 recently 3 we 3 we 4 demonstrated 4 demonstrated 5 that 5 that 7 population 5 that 31 resides 6 a 7 population 7 population 8 of 7 population 13 ssea 7 population 19 cd45 7 population 31 resides 8 of 9 pluripotent 11 - 13 ssea 12 4+ 13 ssea 13 ssea 14 - 14 - 19 cd45 15 1+sca 17 1+lin 15 1+sca 18 - 15 1+sca 19 cd45 16 - 17 1+lin 17 1+lin 18 - 19 cd45 23 embryonic 19 cd45 30 ) 20 - 23 embryonic 21 very 23 embryonic 23 embryonic 25 like 23 embryonic 30 ) 24 - 25 like 25 like 27 cells 25 like 30 ) 26 stem 27 cells 27 cells 29 vsels 28 ( 29 vsels 29 vsels 30 ) 31 resides 32 in 32 in 37 marrow 33 the 37 marrow 34 adult 35 murine 35 murine 37 marrow 36 bone 37 marrow 37 marrow 41 )(and 38 ( 41 )(and 39 bm 41 )(and 41 )(and 44 tissues 41 )(and 45 . 42 other 44 tissues 43 murine 44 tissues we hypothesize that these pluripotent stem cells play an important role in tissue/organ rejuvenation , and have demonstrated that their proliferation and potentially premature depletion is negatively controlled by epigenetic changes of some imprinted genes that regulate insulin factor signaling ( igf2 - h19 locus , igf2r and rasgrf1 ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 51 . 1 we 16 and 2 hypothesize 3 that 2 hypothesize 16 and 3 that 7 cells 3 that 8 play 4 these 7 cells 5 pluripotent 7 cells 6 stem 7 cells 7 cells 8 play 8 play 11 role 8 play 12 in 9 an 11 role 10 important 11 role 12 in 14 rejuvenation 13 tissue/organ 14 rejuvenation 15 , 16 and 16 and 17 have 17 have 18 demonstrated 18 demonstrated 25 depletion 18 demonstrated 39 factor 19 that 25 depletion 20 their 21 proliferation 21 proliferation 22 and 22 and 23 potentially 22 and 24 premature 22 and 25 depletion 25 depletion 26 is 26 is 27 negatively 26 is 28 controlled 28 controlled 29 by 29 by 31 changes 30 epigenetic 31 changes 31 changes 32 of 32 of 33 some 33 some 34 imprinted 33 some 35 genes 33 some 39 factor 35 genes 36 that 35 genes 37 regulate 35 genes 39 factor 36 that 37 regulate 37 regulate 38 insulin 39 factor 40 signaling 40 signaling 42 igf2 40 signaling 48 and 41 ( 42 igf2 42 igf2 43 - 43 - 48 and 44 h19 45 locus 45 locus 46 , 46 , 47 igf2r 46 , 48 and 48 and 49 rasgrf1 48 and 50 ) in contrast , a decrease in ins/igf stimulation of vsels [that] extends the half life of these cells in adult organs would have a beneficial effect on life span . 0 ###LEFT-WALL### 5 decrease 0 ###LEFT-WALL### 12 extends 0 ###LEFT-WALL### 30 . 1 in 2 contrast 1 in 3 , 1 in 5 decrease 4 a 5 decrease 5 decrease 6 in 5 decrease 12 extends 6 in 8 stimulation 7 ins/igf 8 stimulation 8 stimulation 9 of 9 of 10 vsels 12 extends 14 half 13 the 14 half 14 half 15 life 14 half 29 span 15 life 16 of 15 life 22 would 16 of 18 cells 17 these 18 cells 18 cells 19 in 19 in 21 organs 20 adult 21 organs 22 would 23 have 23 have 26 effect 23 have 27 on 23 have 29 span 24 a 25 beneficial 24 a 26 effect 25 beneficial 26 effect 27 on 28 life our preliminary data in long - living igf - 1 - signaling - deficient mice show that these animals possess a 3 - 4 times higher number of vsels deposited in adult bm , lending support to this novel hypothesis . 0 ###LEFT-WALL### 3 data 0 ###LEFT-WALL### 16 show 1 our 3 data 2 preliminary 3 data 3 data 4 in 3 data 16 show 4 in 15 mice 5 long 8 igf 5 long 13 - 5 long 15 mice 6 - 8 igf 7 living 8 igf 8 igf 10 1 8 igf 12 signaling 8 igf 13 - 9 - 10 1 10 1 11 - 11 - 12 signaling 12 signaling 13 - 14 deficient 15 mice 16 show 17 that 17 that 19 animals 17 that 20 possess 18 these 19 animals 19 animals 20 possess 20 possess 29 vsels 20 possess 31 in 20 possess 35 lending 21 a 27 number 22 3 23 - 23 - 24 4 23 - 25 times 25 times 26 higher 26 higher 27 number 27 number 28 of 27 number 29 vsels 28 of 29 vsels 29 vsels 30 deposited 31 in 33 bm 32 adult 33 bm 34 , 35 lending 35 lending 36 support 35 lending 37 to 35 lending 41 . 37 to 40 hypothesis 38 this 40 hypothesis 39 novel 40 hypothesis none cardiac failure is the most prevalent cause of death at higher age , and is commonly associated with impaired energy homeostasis in the heart . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 20 impaired 0 ###LEFT-WALL### 26 . 1 none 3 failure 1 none 15 and 1 none 20 impaired 2 cardiac 3 failure 3 failure 15 and 4 is 8 cause 4 is 15 and 5 the 8 cause 6 most 7 prevalent 7 prevalent 8 cause 8 cause 9 of 9 of 10 death 10 death 11 at 11 at 13 age 12 higher 13 age 14 , 15 and 15 and 16 is 15 and 19 with 16 is 18 associated 17 commonly 18 associated 18 associated 19 with 20 impaired 22 homeostasis 20 impaired 23 in 21 energy 22 homeostasis 23 in 25 heart 24 the 25 heart mitochondrial metabolism appears critical to sustain cardiac function [to] [counteract] aging . 0 ###LEFT-WALL### 2 metabolism 0 ###LEFT-WALL### 3 appears 0 ###LEFT-WALL### 12 . 1 mitochondrial 2 metabolism 2 metabolism 3 appears 3 appears 4 critical 4 critical 5 to 5 to 6 sustain 6 sustain 11 aging 7 cardiac 8 function 8 function 11 aging in this study , we generated mice transgenically [over] - expressing the mitochondrial protein frataxin , which promotes mitochondrial energy conversion by controlling iron - sulfur - cluster biogenesis and hereby mitochondrial electron flux . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 generated 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 generated 6 generated 7 mice 6 generated 8 transgenically 6 generated 11 expressing 10 - 11 expressing 11 expressing 15 frataxin 11 expressing 35 . 12 the 15 frataxin 13 mitochondrial 14 protein 14 protein 15 frataxin 15 frataxin 17 which 15 frataxin 26 sulfur 15 frataxin 30 and 16 , 17 which 17 which 18 promotes 17 which 25 - 18 promotes 21 conversion 19 mitochondrial 20 energy 20 energy 21 conversion 21 conversion 22 by 22 by 23 controlling 23 controlling 24 iron 25 - 26 sulfur 26 sulfur 27 - 27 - 30 and 28 cluster 29 biogenesis 29 biogenesis 30 and 30 and 34 flux 30 and 35 . 31 hereby 32 mitochondrial 32 mitochondrial 33 electron 33 electron 34 flux hearts of transgenic mice displayed increased mitochondrial energy metabolism and induced stress defense mechanisms , while overall oxidative stress was decreased . 0 ###LEFT-WALL### 1 hearts 0 ###LEFT-WALL### 12 stress 1 hearts 2 of 1 hearts 12 stress 2 of 4 mice 3 transgenic 4 mice 4 mice 5 displayed 4 mice 10 and 6 increased 9 metabolism 6 increased 10 and 7 mitochondrial 8 energy 8 energy 9 metabolism 10 and 11 induced 12 stress 14 mechanisms 12 stress 16 while 13 defense 14 mechanisms 15 , 16 while 16 while 19 stress 16 while 21 decreased 16 while 22 . 17 overall 19 stress 18 oxidative 19 stress 19 stress 20 was 20 was 21 decreased 21 decreased 22 . following standardized exposure to doxorubicin to induce experimental cardiomyopathy , cardiac function and survival was significantly improved in the transgenic mice . 0 ###LEFT-WALL### 1 following 0 ###LEFT-WALL### 17 improved 0 ###LEFT-WALL### 22 . 1 following 3 exposure 1 following 4 to 1 following 6 to 1 following 15 was 2 standardized 3 exposure 4 to 5 doxorubicin 6 to 7 induce 7 induce 13 and 8 experimental 9 cardiomyopathy 9 cardiomyopathy 10 , 10 , 12 function 10 , 13 and 11 cardiac 12 function 13 and 14 survival 15 was 17 improved 16 significantly 17 improved 17 improved 18 in 18 in 21 mice 19 the 21 mice 20 transgenic 21 mice the [insulin/igf] - 1 signaling cascade is an important pathway that regulates survival following cytotoxic stress through the downstream targets protein kinase b , akt , and glycogen synthase kinase 3 . 0 ###LEFT-WALL### 6 cascade 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 32 . 1 the 4 1 3 - 4 1 4 1 6 cascade 5 signaling 6 cascade 6 cascade 7 is 7 is 10 pathway 8 an 9 important 8 an 10 pathway 9 important 10 pathway 10 pathway 11 that 10 pathway 12 regulates 11 that 12 regulates 12 regulates 16 stress 12 regulates 17 through 13 survival 14 following 14 following 16 stress 15 cytotoxic 16 stress 17 through 30 kinase 18 the 22 kinase 19 downstream 20 targets 20 targets 22 kinase 21 protein 22 kinase 22 kinase 23 b 22 kinase 24 , 24 , 25 akt 24 , 27 and 26 , 27 and 27 and 29 synthase 27 and 30 kinase 28 glycogen 29 synthase 30 kinase 31 3 activation of this cascade is markedly inhibited in the hearts of wild - type mice following induction of cardiomyopathy . 0 ###LEFT-WALL### 1 activation 0 ###LEFT-WALL### 7 inhibited 0 ###LEFT-WALL### 20 . 1 activation 2 of 1 activation 5 is 2 of 4 cascade 3 this 4 cascade 5 is 7 inhibited 6 markedly 7 inhibited 7 inhibited 8 in 8 in 10 hearts 9 the 10 hearts 10 hearts 11 of 11 of 15 mice 12 wild 13 - 12 wild 14 type 14 type 15 mice 15 mice 16 following 16 following 17 induction 17 induction 18 of 18 of 19 cardiomyopathy by contrast , transgenic overexpression of frataxin rescues impaired insulin/igf [-] 1 signaling and provides a mechanism to explain enhanced cardiac stress resistance in transgenic mice . 0 ###LEFT-WALL### 5 overexpression 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 27 . 1 by 2 contrast 1 by 3 , 1 by 5 overexpression 4 transgenic 5 overexpression 5 overexpression 6 of 5 overexpression 14 and 6 of 7 frataxin 8 rescues 10 insulin/igf 8 rescues 14 and 9 impaired 10 insulin/igf 10 insulin/igf 12 1 10 insulin/igf 13 signaling 14 and 15 provides 15 provides 17 mechanism 15 provides 18 to 16 a 17 mechanism 18 to 19 explain 19 explain 23 resistance 20 enhanced 22 stress 21 cardiac 22 stress 22 stress 23 resistance 23 resistance 24 in 24 in 26 mice 25 transgenic 26 mice taken together , these findings suggest that increased mitochondrial metabolism elicits an adaptive response due to mildly increased oxidative stress as a consequence of increased oxidative energy conversion , previously named mitohormesis . 0 ###LEFT-WALL### 5 findings 0 ###LEFT-WALL### 6 suggest 0 ###LEFT-WALL### 29 , 0 ###LEFT-WALL### 33 . 1 taken 2 together 1 taken 3 , 1 taken 5 findings 4 these 5 findings 5 findings 6 suggest 6 suggest 10 metabolism 6 suggest 11 elicits 7 that 8 increased 8 increased 10 metabolism 9 mitochondrial 10 metabolism 10 metabolism 11 elicits 11 elicits 14 response 11 elicits 16 to 11 elicits 21 as 12 an 14 response 13 adaptive 14 response 15 due 16 to 16 to 20 stress 17 mildly 18 increased 18 increased 20 stress 19 oxidative 20 stress 21 as 23 consequence 22 a 23 consequence 23 consequence 24 of 24 of 28 conversion 25 increased 27 energy 26 oxidative 27 energy 27 energy 28 conversion 29 , 32 mitohormesis 30 previously 31 named 31 named 32 mitohormesis this in turn activates protective mechanisms which counteract cardiotoxic stress and promote survival in states of experimental cardiomyopathy . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 4 activates 0 ###LEFT-WALL### 19 . 1 this 4 activates 2 in 3 turn 3 turn 4 activates 4 activates 6 mechanisms 5 protective 6 mechanisms 6 mechanisms 7 which 6 mechanisms 11 and 7 which 11 and 8 counteract 10 stress 8 counteract 11 and 9 cardiotoxic 10 stress 11 and 12 promote 12 promote 13 survival 12 promote 14 in 14 in 15 states 15 states 16 of 16 of 18 cardiomyopathy 17 experimental 18 cardiomyopathy thus , induction of mitochondrial metabolism may be considered part of a generally protective mechanism to prevent cardiomyopathy and cardiac failure . 0 ###LEFT-WALL### 3 induction 0 ###LEFT-WALL### 9 considered 0 ###LEFT-WALL### 22 . 1 thus 2 , 1 thus 3 induction 3 induction 4 of 3 induction 7 may 4 of 6 metabolism 5 mitochondrial 6 metabolism 7 may 8 be 8 be 9 considered 9 considered 10 part 9 considered 16 to 9 considered 17 prevent 10 part 11 of 11 of 15 mechanism 12 a 15 mechanism 13 generally 14 protective 14 protective 15 mechanism 16 to 17 prevent 17 prevent 21 failure 18 cardiomyopathy 19 and 19 and 20 cardiac 19 and 21 failure objective : substance abuse among older adults is a looming public health concern . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 4 abuse 2 : 8 is 2 : 14 . 3 substance 4 abuse 4 abuse 5 among 4 abuse 8 is 5 among 7 adults 6 older 7 adults 8 is 13 concern 9 a 13 concern 10 looming 11 public 11 public 13 concern 12 health 13 concern the number of americans aged 50+ years with a substance use disorder is projected to double from 2.8 million in 2002 - 2006 to 5.7 million in 2020 . 0 ###LEFT-WALL### 2 number 0 ###LEFT-WALL### 6 50+ 0 ###LEFT-WALL### 29 . 1 the 2 number 2 number 3 of 2 number 5 aged 2 number 6 50+ 3 of 4 americans 6 50+ 7 years 6 50+ 24 to 7 years 12 disorder 7 years 14 projected 8 with 11 use 8 with 12 disorder 9 a 11 use 10 substance 11 use 12 disorder 13 is 13 is 14 projected 14 projected 15 to 14 projected 22 - 15 to 16 double 16 double 17 from 17 from 20 in 18 2.8 19 million 19 million 20 in 21 2002 22 - 22 - 23 2006 24 to 26 million 25 5.7 26 million 26 million 27 in 27 in 28 2020 the authors provide a review of epidemiological findings for this understudied area of research by focusing on illicit drug use disorders and nonmedical use of prescription drugs among adults aged 50+ years . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 3 provide 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 33 . 1 the 2 authors 2 authors 3 provide 3 provide 5 review 3 provide 15 by 4 a 5 review 5 review 6 of 5 review 13 of 6 of 8 findings 7 epidemiological 8 findings 8 findings 9 for 9 for 12 area 10 this 12 area 11 understudied 12 area 13 of 14 research 15 by 16 focusing 16 focusing 17 on 17 on 21 disorders 18 illicit 19 drug 19 drug 20 use 20 use 21 disorders 22 and 24 use 22 and 30 aged 23 nonmedical 24 use 24 use 25 of 24 use 30 aged 25 of 27 drugs 26 prescription 27 drugs 27 drugs 28 among 28 among 29 adults 30 aged 32 years 31 50+ 32 years method : medline and psychinfo were searched using keywords drug use , drug abuse , drug misuse , substance use disorder , and prescription drug abuse . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 drug 0 ###LEFT-WALL### 27 . 2 : 4 and 2 : 7 searched 3 medline 4 and 4 and 5 psychinfo 4 and 6 were 6 were 7 searched 7 searched 8 using 8 using 9 keywords 9 keywords 23 and 9 keywords 25 drug 10 drug 11 use 11 use 12 , 12 , 14 abuse 12 , 15 , 13 drug 14 abuse 15 , 17 misuse 15 , 18 , 16 drug 17 misuse 18 , 21 disorder 18 , 23 and 19 substance 20 use 20 use 21 disorder 22 , 23 and 23 and 24 prescription 23 and 25 drug 25 drug 26 abuse using the related [-] articles link , additional articles were screened for inclusion . 0 ###LEFT-WALL### 9 articles 0 ###LEFT-WALL### 11 screened 0 ###LEFT-WALL### 14 . 1 using 6 link 1 using 7 , 1 using 9 articles 2 the 6 link 3 related 5 articles 5 articles 6 link 8 additional 9 articles 9 articles 10 were 10 were 11 screened 11 screened 12 for 12 for 13 inclusion this review included articles published between 1990 and 2010 . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 included 0 ###LEFT-WALL### 10 . 1 this 2 review 2 review 3 included 3 included 4 articles 4 articles 5 published 5 published 6 between 6 between 8 and 7 1990 8 and 8 and 9 2010 result : none results : rates of treatment admissions involving primary use of illicit and misuse of prescription drugs have increased , while rates involving primary use of alcohol only have decreased . 0 ###LEFT-WALL### 1 result 0 ###LEFT-WALL### 2 : 1 result 2 : 2 : 3 none 3 none 4 results 3 none 10 involving 4 results 5 : 5 : 6 rates 6 rates 7 of 6 rates 10 involving 7 of 9 admissions 8 treatment 9 admissions 10 involving 12 use 11 primary 12 use 12 use 13 of 12 use 19 drugs 12 use 21 increased 13 of 15 and 14 illicit 15 and 15 and 16 misuse 15 and 17 of 17 of 18 prescription 19 drugs 20 have 20 have 21 increased 21 increased 23 while 22 , 23 while 23 while 24 rates 23 while 32 decreased 23 while 33 . 24 rates 25 involving 24 rates 31 have 25 involving 27 use 25 involving 30 only 26 primary 27 use 27 use 28 of 28 of 29 alcohol 31 have 32 decreased alcohol , opioids/heroin , and cocaine were more likely than other substances to be associated with treatment use . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 19 . 1 alcohol 2 , 2 , 3 opioids/heroin 2 , 5 and 4 , 5 and 5 and 6 cocaine 5 and 7 were 7 were 9 likely 8 more 9 likely 9 likely 10 than 9 likely 13 to 9 likely 15 associated 10 than 12 substances 11 other 12 substances 13 to 14 be 14 be 15 associated 15 associated 16 with 16 with 18 use 17 treatment 18 use limited research data suggested the effectiveness of treatments , especially for women . 0 ###LEFT-WALL### 3 data 0 ###LEFT-WALL### 4 suggested 1 limited 2 research 2 research 3 data 3 data 4 suggested 4 suggested 6 effectiveness 5 the 6 effectiveness 6 effectiveness 7 of 7 of 8 treatments 8 treatments 11 for 9 , 10 especially 9 , 11 for 11 for 12 women 11 for 13 . furthermore , older adults appeared to be less likely than younger adults to perceive substance use as problematic or to use treatment services . 0 ###LEFT-WALL### 4 adults 0 ###LEFT-WALL### 24 . 1 furthermore 2 , 1 furthermore 4 adults 3 older 4 adults 4 adults 19 or 5 appeared 6 to 5 appeared 18 problematic 5 appeared 19 or 6 to 7 be 7 be 12 adults 7 be 13 to 8 less 9 likely 9 likely 12 adults 10 than 11 younger 11 younger 12 adults 13 to 14 perceive 14 perceive 16 use 15 substance 16 use 17 as 18 problematic 19 or 20 to 19 or 23 services 20 to 21 use 21 use 22 treatment discussion : there is robust evidence showing that an increased number of older adults will need substance abuse care in the coming decades . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 2 : 3 there 2 : 4 is 2 : 24 . 3 there 4 is 4 is 6 evidence 5 robust 6 evidence 6 evidence 7 showing 7 showing 8 that 8 that 11 number 8 that 16 need 9 an 11 number 10 increased 11 number 11 number 12 of 11 number 15 will 12 of 14 adults 13 older 14 adults 15 will 16 need 16 need 19 care 16 need 20 in 17 substance 18 abuse 18 abuse 19 care 20 in 23 decades 21 the 23 decades 22 coming 23 decades increasing demands on the substance abuse treatment system will require expansion of treatment facilities and development of effective service programs to address emerging needs of the aging drug - using population . 0 ###LEFT-WALL### 1 increasing 0 ###LEFT-WALL### 10 require 1 increasing 2 demands 1 increasing 3 on 1 increasing 9 will 3 on 8 system 4 the 8 system 5 substance 6 abuse 6 abuse 8 system 7 treatment 8 system 9 will 10 require 10 require 15 and 10 require 21 to 10 require 22 address 11 expansion 12 of 11 expansion 15 and 12 of 14 facilities 13 treatment 14 facilities 15 and 16 development 15 and 17 of 17 of 20 programs 18 effective 19 service 19 service 20 programs 21 to 22 address 22 address 24 needs 22 address 30 using 23 emerging 24 needs 24 needs 25 of 25 of 28 drug 26 the 28 drug 27 aging 28 drug 29 - 30 using 30 using 31 population 30 using 32 . objective : this study examined unmet needs for home - and community - based services ( hcbs ) among frail older americans . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 based 0 ###LEFT-WALL### 23 . 2 : 4 study 2 : 5 examined 2 : 7 needs 3 this 4 study 4 study 5 examined 5 examined 6 unmet 5 examined 7 needs 6 unmet 7 needs 7 needs 8 for 8 for 11 and 9 home 11 and 10 - 11 and 11 and 12 community 11 and 13 - 11 and 14 based 14 based 15 services 14 based 19 among 15 services 17 hcbs 16 ( 17 hcbs 17 hcbs 18 ) 19 among 22 americans 20 frail 22 americans 21 older 22 americans method : using population - based [sample] from the national long - term care survey , a hierarchical logistic regression analysis was conducted to examine the predictors of unmet needs for seven types of hcbs . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 19 logistic 2 : 23 conducted 2 : 36 . 3 using 4 population 3 using 6 based 3 using 16 , 3 using 19 logistic 5 - 6 based 6 based 8 from 6 based 16 , 8 from 11 long 9 the 11 long 10 national 11 long 11 long 15 survey 12 - 15 survey 13 term 14 care 14 care 15 survey 15 survey 16 , 17 a 19 logistic 18 hierarchical 19 logistic 19 logistic 21 analysis 19 logistic 22 was 19 logistic 23 conducted 20 regression 21 analysis 21 analysis 22 was 23 conducted 24 to 23 conducted 31 for 24 to 25 examine 25 examine 27 predictors 26 the 27 predictors 27 predictors 28 of 28 of 30 needs 29 unmet 30 needs 31 for 35 hcbs 32 seven 33 types 33 types 34 of 33 types 35 hcbs 34 of 35 hcbs results : lack of awareness , reluctance , unavailability , and affordability of services were the main reasons for unmet needs for hcbs . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 11 and 2 : 15 were 2 : 24 . 3 lack 4 of 3 lack 11 and 4 of 5 awareness 5 awareness 7 reluctance 6 , 7 reluctance 7 reluctance 9 unavailability 7 reluctance 10 , 8 , 9 unavailability 9 unavailability 10 , 10 , 11 and 11 and 12 affordability 11 and 13 of 11 and 15 were 13 of 14 services 15 were 18 reasons 16 the 17 main 16 the 18 reasons 18 reasons 19 for 19 for 21 needs 20 unmet 21 needs 21 needs 22 for 22 for 23 hcbs factors that were associated with unmet needs included black race/ethnicity , greater care needs ( functional limitations and behavioral problems ) , and less informal support ( substitute help and family agreement ) . 0 ###LEFT-WALL### 1 factors 0 ###LEFT-WALL### 8 included 0 ###LEFT-WALL### 34 . 1 factors 2 that 1 factors 3 were 1 factors 8 included 2 that 3 were 3 were 4 associated 4 associated 5 with 5 with 7 needs 6 unmet 7 needs 8 included 10 race/ethnicity 9 black 10 race/ethnicity 10 race/ethnicity 14 needs 11 , 14 needs 12 greater 14 needs 13 care 14 needs 14 needs 23 and 14 needs 33 ) 15 ( 23 and 16 functional 17 limitations 17 limitations 18 and 18 and 20 problems 18 and 21 ) 18 and 23 and 19 behavioral 20 problems 22 , 23 and 23 and 26 support 23 and 30 and 23 and 33 ) 24 less 25 informal 25 informal 26 support 27 ( 30 and 28 substitute 29 help 29 help 30 and 30 and 32 agreement 30 and 33 ) 31 family 32 agreement discussion : it is important to identify risk factors that may lead to older adults ' unmet needs for hcbs . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 identify 0 ###LEFT-WALL### 21 . 2 : 3 it 2 : 4 is 3 it 4 is 4 is 5 important 5 important 6 to 6 to 7 identify 7 identify 9 factors 7 identify 13 to 7 identify 19 for 8 risk 9 factors 9 factors 10 that 9 factors 12 lead 10 that 11 may 11 may 12 lead 13 to 18 needs 14 older 15 adults 15 adults 16 ' 16 ' 18 needs 17 unmet 18 needs 19 for 20 hcbs the findings of this study charge researchers to look beyond service utilization and give more attention to service needs among those who did or could not access the services . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 6 charge 0 ###LEFT-WALL### 30 . 1 the 2 findings 2 findings 3 of 2 findings 6 charge 3 of 5 study 4 this 5 study 6 charge 7 researchers 6 charge 8 to 6 charge 17 to 8 to 13 and 9 look 10 beyond 9 look 13 and 10 beyond 12 utilization 11 service 12 utilization 13 and 14 give 13 and 16 attention 15 more 16 attention 17 to 19 needs 18 service 19 needs 19 needs 20 among 19 needs 22 who 19 needs 24 or 20 among 21 those 22 who 24 or 23 did 24 or 24 or 25 could 25 could 26 not 25 could 27 access 27 access 29 services 28 the 29 services luteinizing hormone [(] lh [ )(administered in pharmacological amounts downregulates leydig cell steroidogenesis . 0 ###LEFT-WALL### 1 luteinizing 0 ###LEFT-WALL### 10 downregulates 0 ###LEFT-WALL### 14 . 1 luteinizing 4 lh 1 luteinizing 10 downregulates 2 hormone 4 lh 4 lh 6 )(administered 6 )(administered 7 in 7 in 9 amounts 8 pharmacological 9 amounts 10 downregulates 13 steroidogenesis 11 leydig 13 steroidogenesis 12 cell 13 steroidogenesis whether reversible downregulation of physiological gonadotropin [drive] operates in vivo is unknown . 0 ###LEFT-WALL### 1 whether 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 13 . 1 whether 3 downregulation 1 whether 8 operates 1 whether 11 is 2 reversible 3 downregulation 3 downregulation 4 of 3 downregulation 8 operates 4 of 6 gonadotropin 5 physiological 6 gonadotropin 9 in 10 vivo 10 vivo 11 is 11 is 12 unknown most of the analytical models of dose [-] response functions that have been constructed are biased by the assumption that no downregulation exists . 0 ###LEFT-WALL### 5 models 0 ###LEFT-WALL### 16 biased 0 ###LEFT-WALL### 24 . 1 most 2 of 1 most 5 models 2 of 5 models 3 the 5 models 4 analytical 5 models 5 models 6 of 5 models 15 are 6 of 10 functions 7 dose 10 functions 9 response 10 functions 10 functions 11 that 10 functions 12 have 11 that 12 have 12 have 13 been 13 been 14 constructed 15 are 16 biased 16 biased 17 by 17 by 19 assumption 18 the 19 assumption 19 assumption 20 that 20 that 22 downregulation 20 that 23 exists 21 no 22 downregulation 22 downregulation 23 exists the present study employs a new analytical platform to quantify potential ( but not required ) pulsatile cycles of lh - testosterone ( t ) dose - response stimulation , desensitization , and recovery [(] pulse - by [-] pulse hysteresis ) in 26 healthy men sampled every 10 min for 24 h . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 employs 0 ###LEFT-WALL### 30 , 0 ###LEFT-WALL### 54 . 1 the 3 study 2 present 3 study 3 study 4 employs 4 employs 8 platform 4 employs 9 to 4 employs 10 quantify 5 a 6 new 5 a 8 platform 6 new 8 platform 7 analytical 8 platform 9 to 10 quantify 10 quantify 11 potential 10 quantify 13 but 12 ( 13 but 13 but 14 not 13 but 17 pulsatile 13 but 30 , 14 not 15 required 15 required 16 ) 17 pulsatile 18 cycles 17 pulsatile 26 dose 17 pulsatile 29 stimulation 18 cycles 19 of 18 cycles 26 dose 19 of 20 lh 20 lh 22 testosterone 21 - 22 testosterone 22 testosterone 24 t 22 testosterone 25 ) 23 ( 24 t 24 t 25 ) 27 - 29 stimulation 28 response 29 stimulation 29 stimulation 30 , 30 , 33 and 30 , 36 pulse 31 desensitization 33 and 32 , 33 and 33 and 34 recovery 33 and 36 pulse 36 pulse 38 by 36 pulse 43 in 37 - 38 by 38 by 41 hysteresis 38 by 42 ) 40 pulse 41 hysteresis 43 in 44 26 44 26 46 men 44 26 47 sampled 45 healthy 46 men 46 men 47 sampled 47 sampled 50 min 47 sampled 51 for 48 every 49 10 49 10 50 min 51 for 53 h 52 24 53 h a sensitivity - downregulation hysteresis construct predicted marked hysteresis with a median time delay to lh [dose] - response inflection within individual t pulses of 23 min and with median t pulse onset [and] recovery lh sensitivities of 1.1 and 0.10 slope unit , respectively ( p < 0.001 ) . 0 ###LEFT-WALL### 2 sensitivity 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 51 . 1 a 2 sensitivity 3 - 4 downregulation 4 downregulation 5 hysteresis 4 downregulation 6 construct 5 hysteresis 6 construct 6 construct 9 hysteresis 6 construct 15 to 6 construct 45 respectively 6 construct 48 < 7 predicted 9 hysteresis 8 marked 9 hysteresis 9 hysteresis 10 with 10 with 14 delay 11 a 14 delay 12 median 14 delay 13 time 14 delay 15 to 16 lh 16 lh 20 inflection 18 - 20 inflection 19 response 20 inflection 20 inflection 28 and 20 inflection 44 , 21 within 24 pulses 21 within 28 and 22 individual 23 t 22 individual 24 pulses 24 pulses 25 of 25 of 27 min 26 23 27 min 28 and 29 with 29 with 40 and 30 median 31 t 30 median 35 recovery 32 pulse 35 recovery 33 onset 35 recovery 35 recovery 37 sensitivities 36 lh 37 sensitivities 37 sensitivities 38 of 37 sensitivities 40 and 38 of 39 1.1 40 and 43 unit 41 0.10 42 slope 42 slope 43 unit 46 ( 48 < 47 p 48 < 48 < 49 0.001 48 < 50 ) a potency - downregulation model yielded median estimates of one - half maximally stimulatory lh concentrations ( ec ( 50 [ )(values ) of 0.66 and 7.5 iu/l [for] onset and recovery , respectively ( p < 0.001 ) . 0 ###LEFT-WALL### 2 potency 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 40 . 1 a 2 potency 3 - 8 estimates 3 - 11 - 4 downregulation 6 yielded 5 model 6 yielded 6 yielded 8 estimates 7 median 8 estimates 8 estimates 9 of 9 of 10 one 11 - 12 half 11 - 14 stimulatory 12 half 14 stimulatory 13 maximally 14 stimulatory 14 stimulatory 16 concentrations 14 stimulatory 34 respectively 14 stimulatory 37 < 15 lh 16 concentrations 16 concentrations 31 and 17 ( 31 and 18 ec 22 )(values 18 ec 24 of 18 ec 26 and 19 ( 22 )(values 20 50 22 )(values 22 )(values 23 ) 24 of 25 0.66 26 and 30 onset 26 and 31 and 27 7.5 28 iu/l 28 iu/l 30 onset 31 and 32 recovery 31 and 33 , 35 ( 37 < 36 p 37 < 37 < 38 0.001 37 < 39 ) an efficacy [-] downregulation formulation of hysteresis forecasts median lh efficacies of 20 and 8.3 ng·dl ( - 1 )·min ( - 1 ) [for] onset and offset [of] t secretory burst , respectively ( p = 0.002 ) . 0 ###LEFT-WALL### 5 formulation 0 ###LEFT-WALL### 8 forecasts 0 ###LEFT-WALL### 40 . 1 an 5 formulation 2 efficacy 4 downregulation 4 downregulation 5 formulation 5 formulation 6 of 5 formulation 8 forecasts 6 of 7 hysteresis 8 forecasts 14 and 8 forecasts 34 respectively 8 forecasts 37 = 9 median 11 efficacies 10 lh 11 efficacies 11 efficacies 12 of 11 efficacies 14 and 12 of 13 20 14 and 16 ng·dl 14 and 27 and 15 8.3 16 ng·dl 17 ( 27 and 18 - 19 1 19 1 26 onset 20 )·min 23 1 20 )·min 24 ) 20 )·min 26 onset 21 ( 23 1 22 - 23 1 23 1 24 ) 26 onset 27 and 27 and 32 burst 27 and 33 , 28 offset 30 t 28 offset 32 burst 31 secretory 32 burst 35 ( 37 = 36 p 37 = 37 = 38 0.002 37 = 39 ) segmentation of the lh [-] t data by age suggested greater sensitivity , higher ec ( 50 ) ( increased lh potency ) , [and] markedly ( 2.7 - fold [ )(attenuated lh efficacy in older individuals . 0 ###LEFT-WALL### 1 segmentation 0 ###LEFT-WALL### 10 suggested 1 segmentation 2 of 1 segmentation 10 suggested 2 of 7 data 3 the 7 data 4 lh 6 t 4 lh 7 data 7 data 8 by 8 by 9 age 10 suggested 12 sensitivity 10 suggested 26 markedly 10 suggested 29 - 11 greater 12 sensitivity 12 sensitivity 15 ec 13 , 15 ec 14 higher 15 ec 15 ec 17 50 15 ec 22 potency 15 ec 24 , 16 ( 17 50 17 50 18 ) 19 ( 22 potency 20 increased 22 potency 21 lh 22 potency 22 potency 23 ) 27 ( 29 - 28 2.7 29 - 29 - 34 efficacy 29 - 38 . 30 fold 32 )(attenuated 32 )(attenuated 34 efficacy 33 lh 34 efficacy 34 efficacy 35 in 35 in 37 individuals 36 older 37 individuals each of the three hysteresis models yielded [a] marked ( p < 0.005 ) reduction in estimated model residual error compared with no hysteresis . 0 ###LEFT-WALL### 5 hysteresis 0 ###LEFT-WALL### 9 marked 0 ###LEFT-WALL### 25 . 1 each 2 of 1 each 5 hysteresis 2 of 5 hysteresis 3 the 4 three 4 three 5 hysteresis 5 hysteresis 6 models 5 hysteresis 7 yielded 5 hysteresis 9 marked 6 models 7 yielded 9 marked 12 < 9 marked 15 reduction 9 marked 16 in 9 marked 22 with 10 ( 12 < 11 p 12 < 12 < 13 0.005 12 < 14 ) 16 in 20 error 17 estimated 18 model 18 model 20 error 19 residual 20 error 20 error 21 compared 22 with 24 hysteresis 23 no 24 hysteresis in summary , model - based analyses allowing for ( but not requiring [ )(reversible pituitary - gonadal effector [-] response downregulation [are] consistent with a hypothesis of recurrent , brief cycles of lh - dependent stimulation , desensitization , and recovery of pulsatile t secretion in [vivo] [and] an age - associated reduction of lh efficacy . 0 ###LEFT-WALL### 2 summary 0 ###LEFT-WALL### 3 , 1 in 2 summary 3 , 4 model 4 model 6 based 4 model 11 but 5 - 6 based 7 analyses 9 for 8 allowing 9 for 9 for 11 but 10 ( 11 but 11 but 12 not 11 but 22 downregulation 13 requiring 22 downregulation 15 )(reversible 21 response 16 pituitary 17 - 16 pituitary 19 effector 18 gonadal 19 effector 19 effector 21 response 21 response 22 downregulation 22 downregulation 24 consistent 22 downregulation 28 of 22 downregulation 33 of 24 consistent 25 with 25 with 27 hypothesis 26 a 27 hypothesis 28 of 32 cycles 29 recurrent 30 , 29 recurrent 31 brief 31 brief 32 cycles 33 of 34 lh 34 lh 46 secretion 35 - 46 secretion 36 dependent 37 stimulation 37 stimulation 38 , 38 , 39 desensitization 38 , 41 and 40 , 41 and 41 and 42 recovery 41 and 46 secretion 42 recovery 43 of 43 of 44 pulsatile 44 pulsatile 45 t 46 secretion 47 in 46 secretion 58 . 47 in 51 age 50 an 51 age 51 age 54 reduction 52 - 54 reduction 53 associated 54 reduction 54 reduction 55 of 54 reduction 58 . 55 of 57 efficacy 56 lh 57 efficacy prospective studies would be required to prove this aging effect . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 5 required 0 ###LEFT-WALL### 11 . 1 prospective 2 studies 2 studies 3 would 3 would 4 be 4 be 5 required 5 required 6 to 5 required 7 prove 6 to 7 prove 7 prove 10 effect 8 this 9 aging 9 aging 10 effect none purpose : to assess diagnostic accuracy of two self [-] administered depression measures compared to an interviewer - administered measure in subjects with parkinson 's disease ( pd ) , and to analyze clinical and sociodemographic factors associated with disagreement among the three depression assessment tools . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 48 . 1 none 2 purpose 1 none 5 assess 1 none 32 and 2 purpose 3 : 3 : 4 to 3 : 5 assess 4 to 5 assess 5 assess 7 accuracy 6 diagnostic 7 accuracy 7 accuracy 8 of 7 accuracy 15 compared 8 of 14 measures 9 two 14 measures 10 self 12 administered 12 administered 14 measures 13 depression 14 measures 15 compared 16 to 15 compared 19 - 15 compared 20 administered 16 to 18 interviewer 17 an 18 interviewer 21 measure 22 in 21 measure 27 disease 21 measure 32 and 22 in 23 subjects 23 subjects 24 with 24 with 26 's 25 parkinson 26 's 27 disease 29 pd 28 ( 29 pd 29 pd 30 ) 31 , 32 and 32 and 33 to 32 and 34 analyze 32 and 40 with 32 and 42 among 33 to 34 analyze 34 analyze 38 factors 35 clinical 36 and 36 and 37 sociodemographic 36 and 38 factors 38 factors 39 associated 40 with 41 disagreement 42 among 47 tools 43 the 44 three 44 three 47 tools 45 depression 46 assessment 46 assessment 47 tools methods : we assessed 214 pd subjects using the patient health questionnaire - 9 ( phq - 9 ) , the geriatric depression scale - 15 ( gds - 15 ) , and the structured clinical interview for the dsm - iv depression module [(] scid ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 assessed 2 : 48 . 3 we 4 assessed 4 assessed 7 subjects 5 214 6 pd 6 pd 7 subjects 7 subjects 8 using 8 using 12 questionnaire 9 the 12 questionnaire 10 patient 11 health 11 health 12 questionnaire 12 questionnaire 17 - 12 questionnaire 24 scale 13 - 17 - 14 9 16 phq 15 ( 16 phq 16 phq 17 - 17 - 18 9 17 - 19 ) 20 , 24 scale 21 the 24 scale 22 geriatric 23 depression 23 depression 24 scale 24 scale 26 15 24 scale 47 ) 25 - 26 15 26 15 33 and 26 15 47 ) 27 ( 33 and 28 gds 30 15 28 gds 33 and 29 - 30 15 30 15 31 ) 32 , 33 and 33 and 37 interview 33 and 47 ) 34 the 37 interview 35 structured 36 clinical 36 clinical 37 interview 37 interview 38 for 38 for 40 dsm 39 the 40 dsm 40 dsm 46 scid 41 - 46 scid 42 iv 43 depression 43 depression 44 module 44 module 46 scid 46 scid 47 ) diagnostic accuracy of the phq - 9 and gds - 15 compared to the scid was evaluated . 0 ###LEFT-WALL### 2 accuracy 0 ###LEFT-WALL### 17 evaluated 0 ###LEFT-WALL### 18 . 1 diagnostic 2 accuracy 2 accuracy 3 of 2 accuracy 11 15 2 accuracy 12 compared 2 accuracy 16 was 3 of 5 phq 4 the 5 phq 5 phq 9 gds 6 - 9 gds 7 9 8 and 8 and 9 gds 9 gds 10 - 11 15 12 compared 12 compared 13 to 13 to 15 scid 14 the 15 scid 16 was 17 evaluated multivariate logistic regression was conducted to analyze factors associated with measure disagreement . 0 ###LEFT-WALL### 1 multivariate 0 ###LEFT-WALL### 9 associated 0 ###LEFT-WALL### 13 . 1 multivariate 3 regression 1 multivariate 7 analyze 1 multivariate 9 associated 2 logistic 3 regression 3 regression 4 was 4 was 5 conducted 5 conducted 6 to 6 to 7 analyze 7 analyze 8 factors 9 associated 10 with 10 with 12 disagreement 11 measure 12 disagreement we compared item agreement between the phq - 9 and scid to test the hypothesis that there would be less agreement between items assessing depression symptoms overlapping with common pd symptoms , compared to items having minimal overlap with pd manifestations . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 compared 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 42 . 1 we 2 compared 2 compared 4 agreement 2 compared 5 between 3 item 4 agreement 5 between 7 phq 6 the 7 phq 8 - 9 9 8 - 10 and 8 - 36 having 10 and 11 scid 10 and 32 , 11 scid 12 to 11 scid 13 test 11 scid 32 , 12 to 13 test 13 test 15 hypothesis 14 the 15 hypothesis 15 hypothesis 16 that 15 hypothesis 18 would 16 that 17 there 16 that 18 would 19 be 21 agreement 19 be 32 , 20 less 21 agreement 21 agreement 22 between 22 between 23 items 23 items 24 assessing 24 assessing 26 symptoms 24 assessing 28 with 25 depression 26 symptoms 26 symptoms 27 overlapping 28 with 31 symptoms 29 common 31 symptoms 30 pd 31 symptoms 32 , 33 compared 32 , 34 to 34 to 35 items 35 items 36 having 36 having 38 overlap 36 having 39 with 37 minimal 38 overlap 39 with 41 manifestations 40 pd 41 manifestations results : compared to scid diagnosis of major depression , phq - 9 sensitivity is 50 % and specificity is 93 % ; gds - 15 sensitivity is 43 % and specificity is 96 % . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 36 . 2 : 14 sensitivity 2 : 15 is 2 : 18 and 2 : 23 ; 3 compared 4 to 3 compared 12 - 3 compared 14 sensitivity 4 to 6 diagnosis 5 scid 6 diagnosis 6 diagnosis 7 of 7 of 9 depression 8 major 9 depression 9 depression 11 phq 10 , 11 phq 11 phq 12 - 13 9 14 sensitivity 14 sensitivity 15 is 15 is 17 % 16 50 17 % 18 and 19 specificity 18 and 20 is 19 specificity 20 is 20 is 22 % 21 93 22 % 23 ; 27 sensitivity 23 ; 28 is 23 ; 31 and 24 gds 25 - 24 gds 27 sensitivity 26 15 27 sensitivity 27 sensitivity 28 is 28 is 30 % 29 43 30 % 31 and 32 specificity 31 and 33 is 32 specificity 33 is 33 is 35 % 34 96 35 % the gds - 15 [has] 85 % sensitivity and 79 % specificity and the phq - [9] has 54 % sensitivity and 85 % specificity compared to scid diagnosis of minor or major depression . 0 ###LEFT-WALL### 2 gds 0 ###LEFT-WALL### 18 has 0 ###LEFT-WALL### 35 . 1 the 2 gds 2 gds 13 and 2 gds 18 has 3 - 13 and 4 15 8 sensitivity 6 85 7 % 7 % 8 sensitivity 8 sensitivity 9 and 9 and 12 specificity 9 and 13 and 10 79 11 % 11 % 12 specificity 13 and 15 phq 13 and 16 - 14 the 15 phq 18 has 22 and 18 has 26 compared 19 54 20 % 20 % 21 sensitivity 21 sensitivity 22 and 22 and 25 specificity 23 85 25 specificity 24 % 25 specificity 26 compared 27 to 27 to 29 diagnosis 28 scid 29 diagnosis 29 diagnosis 30 of 30 of 34 depression 31 minor 32 or 32 or 33 major 32 or 34 depression the phq - 9 and scid show more agreement on items unrelated to pd manifestations . 0 ###LEFT-WALL### 2 phq 0 ###LEFT-WALL### 3 - 1 the 2 phq 3 - 4 9 3 - 5 and 3 - 16 . 5 and 6 scid 5 and 7 show 6 scid 7 show 7 show 9 agreement 7 show 15 manifestations 8 more 9 agreement 9 agreement 10 on 10 on 11 items 11 items 12 unrelated 12 unrelated 13 to 13 to 14 pd pain was the only factor associated with disagreement between the scid and phq - 9 . 0 ###LEFT-WALL### 1 pain 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 16 . 1 pain 2 was 2 was 5 factor 2 was 15 9 3 the 4 only 3 the 5 factor 5 factor 6 associated 5 factor 9 between 6 associated 7 with 7 with 8 disagreement 9 between 12 and 10 the 11 scid 11 scid 12 and 12 and 13 phq 14 - 15 9 conclusion : compared to the phq - 9 , the gds - 15 had higher sensitivity and similar positive predictive value , suggesting it is a superior screening tool in clinical applications for pd . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 13 15 2 : 14 had 2 : 35 . 3 compared 4 to 3 compared 12 - 3 compared 13 15 4 to 6 phq 5 the 6 phq 6 phq 8 9 6 phq 11 gds 7 - 8 9 8 9 9 , 9 , 11 gds 10 the 11 gds 11 gds 12 - 13 15 14 had 14 had 17 and 14 had 30 in 14 had 33 for 15 higher 16 sensitivity 16 sensitivity 17 and 17 and 21 value 17 and 22 , 17 and 23 suggesting 18 similar 21 value 19 positive 21 value 20 predictive 21 value 23 suggesting 24 it 23 suggesting 25 is 24 it 25 is 25 is 29 tool 26 a 29 tool 27 superior 29 tool 28 screening 29 tool 30 in 32 applications 31 clinical 32 applications 33 for 34 pd on future depression screening or diagnostic instruments , consideration should be given to excluding depression items overlapping with pd manifestations . 0 ###LEFT-WALL### 9 consideration 0 ###LEFT-WALL### 12 given 0 ###LEFT-WALL### 21 . 1 on 7 instruments 1 on 8 , 1 on 9 consideration 2 future 3 depression 3 depression 4 screening 4 screening 5 or 5 or 6 diagnostic 5 or 7 instruments 9 consideration 10 should 10 should 11 be 11 be 12 given 12 given 13 to 12 given 18 with 13 to 14 excluding 14 excluding 16 items 15 depression 16 items 16 items 17 overlapping 18 with 20 manifestations 19 pd 20 manifestations the aim of this observational study was to investigate the occurrence of postoperative delirium ( pod ) in elderly patients undergoing urological surgery and to identify those factors associated with delirium . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 32 . 1 the 2 aim 2 aim 3 of 2 aim 7 was 3 of 6 study 4 this 5 observational 5 observational 6 study 7 was 8 to 8 to 24 and 9 investigate 11 occurrence 9 investigate 18 in 9 investigate 24 and 10 the 11 occurrence 11 occurrence 12 of 11 occurrence 16 pod 12 of 14 delirium 13 postoperative 14 delirium 15 ( 16 pod 16 pod 17 ) 18 in 20 patients 19 elderly 20 patients 20 patients 21 undergoing 21 undergoing 23 surgery 22 urological 23 surgery 24 and 25 to 24 and 26 identify 25 to 26 identify 26 identify 28 factors 26 identify 30 with 27 those 28 factors 28 factors 29 associated 30 with 31 delirium ninety consecutive patients [(] 81 males and 9 females ; average age of 74.3 ± 0.40 years [ )(, undergoing urological surgery in university - hospital urological clinic were selected . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 10 ; 0 ###LEFT-WALL### 31 . 1 ninety 6 males 2 consecutive 6 males 3 patients 6 males 5 81 6 males 6 males 7 and 7 and 9 females 7 and 10 ; 8 9 9 females 10 ; 11 average 10 ; 19 )(, 11 average 12 age 12 age 13 of 13 of 17 years 14 74.3 17 years 15 ± 17 years 16 0.40 17 years 19 )(, 28 clinic 19 )(, 29 were 20 undergoing 22 surgery 20 undergoing 23 in 20 undergoing 25 - 20 undergoing 28 clinic 21 urological 22 surgery 23 in 24 university 26 hospital 27 urological 27 urological 28 clinic 28 clinic 29 were 29 were 30 selected personal , medical , cognitive and functional data , biochemical parameters , preoperative medications , conduct of surgery and anesthesia and details of hemodynamic control were collected as predictors of delirium . 0 ###LEFT-WALL### 16 conduct 0 ###LEFT-WALL### 26 were 0 ###LEFT-WALL### 32 . 1 personal 8 data 1 personal 16 conduct 2 , 8 data 3 medical 4 , 4 , 5 cognitive 4 , 6 and 6 and 7 functional 6 and 8 data 8 data 11 parameters 8 data 15 , 9 , 11 parameters 10 biochemical 11 parameters 11 parameters 14 medications 11 parameters 15 , 12 , 14 medications 13 preoperative 14 medications 14 medications 15 , 16 conduct 17 of 16 conduct 26 were 17 of 21 and 18 surgery 19 and 19 and 20 anesthesia 19 and 21 and 21 and 22 details 21 and 23 of 23 of 25 control 24 hemodynamic 25 control 26 were 27 collected 27 collected 28 as 28 as 29 predictors 29 predictors 30 of 30 of 31 delirium after surgery , the subjects were divided on the basis of delirium [onset] within a week observation period . 0 ###LEFT-WALL### 5 subjects 0 ###LEFT-WALL### 7 divided 0 ###LEFT-WALL### 19 . 1 after 2 surgery 1 after 3 , 1 after 5 subjects 4 the 5 subjects 5 subjects 6 were 6 were 7 divided 7 divided 8 on 7 divided 14 within 8 on 10 basis 9 the 10 basis 10 basis 11 of 11 of 12 delirium 14 within 18 period 15 a 16 week 16 week 18 period 17 observation 18 period delirium was diagnosed by the confusion assessment method . 0 ###LEFT-WALL### 1 delirium 0 ###LEFT-WALL### 3 diagnosed 0 ###LEFT-WALL### 9 . 1 delirium 2 was 2 was 3 diagnosed 3 diagnosed 4 by 4 by 8 method 5 the 8 method 6 confusion 7 assessment 7 assessment 8 method delirium started the first post - operative day ( 2f ; 6 m [ )(and [lasted] 3.0 ± 0.8 days . 0 ###LEFT-WALL### 1 delirium 0 ###LEFT-WALL### 2 started 0 ###LEFT-WALL### 11 ; 0 ###LEFT-WALL### 21 . 1 delirium 2 started 2 started 5 post 3 the 5 post 4 first 5 post 5 post 8 day 6 - 8 day 7 operative 8 day 8 day 10 2f 8 day 11 ; 9 ( 10 2f 10 2f 11 ; 11 ; 12 6 11 ; 15 )(and 12 6 13 m 15 )(and 17 3.0 15 )(and 18 ± 17 3.0 18 ± 18 ± 20 days 19 0.8 20 days subjects with pod were significantly older , had a previous history of delirium , were more impaired in the instrumental activities of daily living and [had] poorer clock drawing test [(] [cdt] ) score . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 35 . 1 subjects 2 with 1 subjects 7 , 2 with 3 pod 4 were 6 older 4 were 7 , 5 significantly 6 older 7 , 14 , 7 , 18 in 8 had 11 history 8 had 14 , 9 a 11 history 10 previous 11 history 11 history 12 of 12 of 13 delirium 14 , 15 were 15 were 17 impaired 16 more 17 impaired 18 in 34 score 19 the 34 score 20 instrumental 21 activities 21 activities 22 of 21 activities 25 and 22 of 24 living 23 daily 24 living 25 and 30 test 25 and 33 ) 25 and 34 score 27 poorer 29 drawing 28 clock 29 drawing 29 drawing 30 test interestingly , a significantly greater number of hypotensive events were recorded during anesthesia . 0 ###LEFT-WALL### 9 events 0 ###LEFT-WALL### 11 recorded 0 ###LEFT-WALL### 14 . 1 interestingly 2 , 1 interestingly 9 events 3 a 6 number 4 significantly 5 greater 5 greater 6 number 6 number 7 of 6 number 9 events 7 of 9 events 8 hypotensive 9 events 9 events 10 were 10 were 11 recorded 11 recorded 12 during 12 during 13 anesthesia age , cognitive and functional status , previous history of delirium and hypotensive episodes intrasurgery are the best predictor of pod in this setting . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 25 . 1 age 2 , 2 , 3 cognitive 2 , 4 and 4 and 6 status 5 functional 6 status 7 , 12 and 7 , 16 are 8 previous 9 history 9 history 10 of 9 history 12 and 10 of 11 delirium 12 and 15 intrasurgery 12 and 16 are 13 hypotensive 14 episodes 14 episodes 15 intrasurgery 16 are 19 predictor 17 the 18 best 17 the 19 predictor 19 predictor 20 of 19 predictor 22 in 20 of 21 pod 22 in 24 setting 23 this 24 setting our findings have implications in preventing delirium [in] elderly by an early [and] targeted evaluation . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 have 0 ###LEFT-WALL### 16 . 1 our 2 findings 2 findings 3 have 3 have 4 implications 3 have 5 in 5 in 6 preventing 6 preventing 7 delirium 7 delirium 9 elderly 9 elderly 10 by 10 by 15 evaluation 11 an 12 early 11 an 15 evaluation 12 early 15 evaluation 14 targeted 15 evaluation objective : to determine the impact of radiation treatment for corpus uteri cancer on the development of late gastrointestinal ( gi ) [and] bladder toxicities in older women . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 3 to 2 : 4 determine 3 to 4 determine 4 determine 6 impact 4 determine 14 on 5 the 6 impact 6 impact 7 of 6 impact 10 for 7 of 9 treatment 8 radiation 9 treatment 10 for 13 cancer 11 corpus 12 uteri 12 uteri 13 cancer 14 on 16 development 15 the 16 development 16 development 17 of 17 of 25 toxicities 18 late 24 bladder 19 gastrointestinal 21 gi 19 gastrointestinal 24 bladder 20 ( 21 gi 21 gi 22 ) 24 bladder 25 toxicities 25 toxicities 26 in 26 in 28 women 27 older 28 women methods : we used a linked database of the surveillance , epidemiology and end results ( seer ) program tumor registry records and medicare claims to estimate the risk of late radiation toxicities in a population based sample of 23,591 women diagnosed with corpus uteri cancer from 1992 to 2005 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 used 2 : 11 , 2 : 51 . 3 we 4 used 4 used 7 database 5 a 7 database 6 linked 7 database 7 database 8 of 8 of 10 surveillance 9 the 10 surveillance 11 , 13 and 11 , 19 program 12 epidemiology 13 and 13 and 17 seer 13 and 19 program 14 end 15 results 15 results 17 seer 16 ( 17 seer 17 seer 18 ) 19 program 25 claims 19 program 26 to 19 program 27 estimate 20 tumor 21 registry 21 registry 25 claims 22 records 23 and 23 and 24 medicare 23 and 25 claims 26 to 27 estimate 27 estimate 29 risk 27 estimate 43 with 27 estimate 49 to 28 the 29 risk 29 risk 30 of 30 of 33 toxicities 31 late 33 toxicities 32 radiation 33 toxicities 33 toxicities 34 in 33 toxicities 39 of 33 toxicities 42 diagnosed 34 in 38 sample 35 a 36 population 35 a 38 sample 36 population 37 based 37 based 38 sample 39 of 41 women 40 23,591 41 women 43 with 45 uteri 43 with 46 cancer 44 corpus 45 uteri 47 from 49 to 48 1992 49 to 49 to 50 2005 gastrointestinal ( gi ) and bladder diagnoses were included up to 60 months after diagnosis . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 9 included 0 ###LEFT-WALL### 16 . 1 gastrointestinal 3 gi 1 gastrointestinal 5 and 2 ( 3 gi 3 gi 4 ) 5 and 7 diagnoses 5 and 8 were 6 bladder 7 diagnoses 8 were 9 included 9 included 14 after 10 up 11 to 11 to 12 60 12 60 13 months 13 months 14 after 14 after 15 diagnosis cox proportional hazard models were used to estimate risk of any late gi or bladder diagnosis [with] or without hospitalization , due to radiation . 0 ###LEFT-WALL### 4 models 0 ###LEFT-WALL### 6 used 1 cox 4 models 2 proportional 3 hazard 3 hazard 4 models 4 models 5 were 5 were 6 used 6 used 18 or 7 to 9 risk 7 to 18 or 8 estimate 9 risk 9 risk 10 of 10 of 14 or 11 any 13 gi 12 late 13 gi 13 gi 14 or 14 or 16 diagnosis 15 bladder 16 diagnosis 18 or 19 without 19 without 20 hospitalization 20 hospitalization 23 to 21 , 23 to 22 due 23 to 23 to 24 radiation 23 to 25 . results : women treated with radiation had an absolute increase in late gi toxicities of 7.7 % and an absolute increase in late bladder toxicities of 3.9 % . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 3 women 2 : 7 had 3 women 4 treated 3 women 7 had 4 treated 5 with 5 with 6 radiation 7 had 10 increase 7 had 11 in 7 had 22 in 8 an 10 increase 9 absolute 10 increase 11 in 18 and 12 late 14 toxicities 13 gi 14 toxicities 14 toxicities 15 of 14 toxicities 18 and 15 of 17 % 16 7.7 17 % 18 and 21 increase 19 an 20 absolute 19 an 21 increase 20 absolute 21 increase 22 in 25 toxicities 23 late 24 bladder 24 bladder 25 toxicities 25 toxicities 26 of 26 of 28 % 27 3.9 28 % most toxicities were not severe . 0 ###LEFT-WALL### 2 toxicities 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 6 . 1 most 2 toxicities 2 toxicities 3 were 3 were 4 not 3 were 5 severe only 10 % [of] irradiated women with a lower gi diagnosis and less than 1 % of irradiated women with a bladder diagnosis , required hospitalization . 0 ###LEFT-WALL### 3 % 0 ###LEFT-WALL### 5 irradiated 0 ###LEFT-WALL### 27 . 1 only 2 10 2 10 3 % 3 % 5 irradiated 5 irradiated 6 women 5 irradiated 7 with 7 with 10 gi 8 a 10 gi 9 lower 10 gi 10 gi 12 and 10 gi 17 of 11 diagnosis 12 and 12 and 13 less 12 and 14 than 14 than 16 % 15 1 16 % 17 of 24 , 18 irradiated 19 women 18 irradiated 20 with 18 irradiated 24 , 20 with 23 diagnosis 21 a 23 diagnosis 22 bladder 23 diagnosis 24 , 25 required 25 required 26 hospitalization in the multivariable analysis , advancing age , having chemotherapy , higher comorbidities and prior or early gi and bladder diagnoses were predictive [of] late toxicities among irradiated women . 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 22 were 0 ###LEFT-WALL### 30 . 1 in 4 analysis 1 in 8 , 1 in 19 and 2 the 4 analysis 3 multivariable 4 analysis 4 analysis 6 advancing 5 , 6 advancing 6 advancing 7 age 6 advancing 8 , 9 having 10 chemotherapy 10 chemotherapy 11 , 11 , 13 comorbidities 11 , 14 and 12 higher 13 comorbidities 14 and 18 gi 14 and 19 and 15 prior 16 or 16 or 17 early 16 or 18 gi 19 and 21 diagnoses 19 and 22 were 20 bladder 21 diagnoses 22 were 26 toxicities 22 were 27 among 23 predictive 26 toxicities 25 late 26 toxicities 27 among 29 women 28 irradiated 29 women conclusions : late gi toxicities are more common than previously reported . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 5 toxicities 2 : 6 are 2 : 12 . 3 late 4 gi 4 gi 5 toxicities 5 toxicities 6 are 6 are 7 more 6 are 8 common 8 common 9 than 9 than 11 reported 10 previously 11 reported it is important to analyze late toxicities in population based samples of women with uterine cancer . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 17 . 1 it 2 is 2 is 3 important 3 important 4 to 3 important 5 analyze 4 to 5 analyze 5 analyze 6 late 5 analyze 7 toxicities 5 analyze 10 based 7 toxicities 8 in 7 toxicities 10 based 8 in 9 population 10 based 11 samples 10 based 14 with 11 samples 12 of 12 of 13 women 14 with 16 cancer 15 uterine 16 cancer the results of this and future analyses can be used to identify areas where development of " survivorship plans " will [remind] and encourage women to report symptoms related to potential toxicities . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 10 used 0 ###LEFT-WALL### 29 related 1 the 2 results 2 results 3 of 2 results 8 can 3 of 5 and 4 this 5 and 5 and 7 analyses 6 future 7 analyses 8 can 9 be 9 be 10 used 10 used 11 to 10 used 23 and 11 to 23 and 12 identify 13 areas 12 identify 23 and 13 areas 14 where 14 where 15 development 14 where 21 will 15 development 16 of 15 development 21 will 16 of 17 " 16 of 19 plans 18 survivorship 19 plans 19 plans 20 " 23 and 24 encourage 24 encourage 25 women 24 encourage 26 to 24 encourage 29 related 26 to 27 report 28 symptoms 29 related 29 related 30 to 29 related 33 . 30 to 32 toxicities 31 potential 32 toxicities background : population aging increases the number of glaucoma patients which leads to higher workloads of glaucoma specialists . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 2 : 3 population 2 : 5 increases 3 population 4 aging 3 population 5 increases 5 increases 7 number 6 the 7 number 7 number 8 of 7 number 11 which 7 number 12 leads 8 of 10 patients 9 glaucoma 10 patients 11 which 12 leads 12 leads 13 to 13 to 15 workloads 14 higher 15 workloads 15 workloads 16 of 16 of 18 specialists 17 glaucoma 18 specialists if stable glaucoma patients were monitored by optometrists and ophthalmic technicians in [a] glaucoma follow - up unit ( gfu ) rather than by glaucoma specialists , the specialists ' workload and waiting lists might be reduced.we compared costs and quality of care at the gfu with those of usual care by glaucoma specialists in the rotterdam eye hospital ( reh ) in [a] 30 - month randomized clinical trial . 1 if 4 patients 1 if 5 were 1 if 11 technicians 2 stable 4 patients 3 glaucoma 4 patients 4 patients 5 were 5 were 6 monitored 7 by 9 and 7 by 11 technicians 8 optometrists 9 and 9 and 10 ophthalmic 11 technicians 12 in 11 technicians 15 follow 12 in 14 glaucoma 15 follow 17 up 15 follow 23 than 16 - 17 up 17 up 18 unit 17 up 21 ) 18 unit 20 gfu 19 ( 20 gfu 20 gfu 21 ) 22 rather 23 than 23 than 24 by 24 by 32 and 25 glaucoma 26 specialists 26 specialists 27 , 27 , 31 workload 27 , 32 and 28 the 29 specialists 29 specialists 30 ' 30 ' 31 workload 32 and 33 waiting 32 and 34 lists 32 and 36 be 34 lists 35 might 35 might 36 be 36 be 40 and 37 reduced.we 39 costs 38 compared 39 costs 39 costs 40 and 40 and 41 quality 40 and 49 of 40 and 52 by 41 quality 42 of 42 of 43 care 43 care 44 at 43 care 47 with 44 at 46 gfu 45 the 46 gfu 47 with 48 those 49 of 51 care 50 usual 51 care 52 by 54 specialists 53 glaucoma 54 specialists 54 specialists 55 in 54 specialists 63 in 55 in 59 hospital 56 the 59 hospital 57 rotterdam 58 eye 58 eye 59 hospital 59 hospital 61 reh 60 ( 61 reh 61 reh 62 ) 63 in 65 30 65 30 70 trial 66 - 70 trial 67 month 68 randomized 68 randomized 70 trial 69 clinical 70 trial 70 trial 71 . because quality of care turned out to be similar , we focus here on the costs . 0 ###LEFT-WALL### 11 we 0 ###LEFT-WALL### 12 focus 0 ###LEFT-WALL### 17 . 1 because 2 quality 1 because 5 turned 1 because 10 , 1 because 11 we 2 quality 3 of 2 quality 5 turned 3 of 4 care 5 turned 6 out 6 out 7 to 7 to 8 be 8 be 9 similar 11 we 12 focus 12 focus 13 here 12 focus 14 on 14 on 16 costs 15 the 16 costs methods : stable glaucoma patients were randomized between the gfu and the glaucoma specialist group . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 . 2 : 5 patients 2 : 7 randomized 3 stable 5 patients 4 glaucoma 5 patients 5 patients 6 were 6 were 7 randomized 7 randomized 8 between 8 between 11 and 9 the 10 gfu 10 gfu 11 and 11 and 15 group 12 the 15 group 13 glaucoma 14 specialist 14 specialist 15 group costs per patient year were calculated from four perspectives : those of patients , the rotterdam eye hospital ( reh ) , dutch healthcare system , and society . 0 ###LEFT-WALL### 1 costs 0 ###LEFT-WALL### 6 calculated 0 ###LEFT-WALL### 10 : 1 costs 2 per 1 costs 5 were 2 per 4 year 3 patient 4 year 5 were 6 calculated 6 calculated 7 from 7 from 9 perspectives 8 four 9 perspectives 10 : 27 and 10 : 29 . 11 those 12 of 11 those 14 , 12 of 13 patients 14 , 20 reh 14 , 22 , 15 the 20 reh 16 rotterdam 17 eye 17 eye 18 hospital 18 hospital 20 reh 19 ( 20 reh 20 reh 21 ) 22 , 25 system 22 , 27 and 23 dutch 25 system 24 healthcare 25 system 26 , 27 and 27 and 28 society the outcome measures were : compliance to the protocol ; patient satisfaction ; stability according to the practitioner [;] mean difference in iop [;] results of the examinations [;] and number of treatment changes . 0 ###LEFT-WALL### 2 outcome 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 10 ; 0 ###LEFT-WALL### 35 . 1 the 2 outcome 2 outcome 3 measures 2 outcome 4 were 2 outcome 5 : 3 measures 4 were 5 : 6 compliance 6 compliance 7 to 7 to 9 protocol 8 the 9 protocol 10 ; 12 satisfaction 10 ; 13 ; 11 patient 12 satisfaction 13 ; 14 stability 13 ; 34 changes 14 stability 15 according 14 stability 26 of 14 stability 34 changes 15 according 16 to 15 according 22 in 15 according 25 results 16 to 21 difference 17 the 21 difference 18 practitioner 20 mean 20 mean 21 difference 22 in 23 iop 26 of 30 and 27 the 28 examinations 28 examinations 30 and 30 and 31 number 30 and 32 of 32 of 33 treatment results : baseline characteristics ( such as age , intraocular pressure and target pressure ) were comparable between the gfu group ( n = 410 ) and the glaucoma specialist group ( n = 405 ).despite a higher number of visits per year , mean hospital costs per patient year were lower in the gfu group ( € 139 vs [.] € 161 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 65 . 2 : 4 characteristics 2 : 16 were 2 : 27 and 2 : 44 , 3 baseline 4 characteristics 4 characteristics 7 as 4 characteristics 12 and 4 characteristics 16 were 5 ( 7 as 6 such 7 as 7 as 8 age 7 as 9 , 9 , 12 and 10 intraocular 11 pressure 11 pressure 12 and 12 and 14 pressure 12 and 15 ) 13 target 14 pressure 16 were 17 comparable 17 comparable 18 between 18 between 21 group 19 the 21 group 20 gfu 21 group 21 group 24 = 22 ( 24 = 23 n 24 = 24 = 25 410 24 = 26 ) 27 and 31 group 27 and 36 ).despite 28 the 31 group 29 glaucoma 31 group 30 specialist 31 group 31 group 34 = 31 group 36 ).despite 32 ( 34 = 33 n 34 = 34 = 35 405 36 ).despite 41 visits 37 a 39 number 38 higher 39 number 39 number 40 of 39 number 41 visits 40 of 41 visits 41 visits 42 per 42 per 43 year 44 , 45 mean 44 , 51 were 45 mean 51 were 46 hospital 47 costs 47 costs 48 per 47 costs 51 were 48 per 50 year 49 patient 50 year 51 were 52 lower 52 lower 53 in 53 in 56 group 54 the 56 group 55 gfu 56 group 56 group 58 € 57 ( 58 € 58 € 59 139 58 € 60 vs 58 € 64 ) 60 vs 62 € 62 € 63 161 patients ' time and travel costs were similar . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 9 . 1 patients 2 ' 2 ' 3 time 3 time 4 and 4 and 6 costs 4 and 7 were 5 travel 6 costs 7 were 8 similar healthcare costs were significantly lower for the gfu group ( € 230 vs [.] € 251 ) , as [were] societal costs ( € 310 vs [.] € 339 ) ( p < 0.01 ) . 0 ###LEFT-WALL### 2 costs 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 36 . 1 healthcare 2 costs 2 costs 3 were 3 were 4 significantly 3 were 5 lower 5 lower 6 for 5 lower 19 as 6 for 9 group 7 the 9 group 8 gfu 9 group 9 group 11 € 10 ( 11 € 11 € 12 230 11 € 13 vs 11 € 17 ) 13 vs 15 € 15 € 16 251 18 , 19 as 19 as 22 costs 19 as 35 ) 21 societal 22 costs 22 costs 24 € 22 costs 33 < 23 ( 24 € 24 € 25 310 24 € 26 vs 24 € 30 ) 26 vs 28 € 28 € 29 339 31 ( 33 < 32 p 33 < 33 < 34 0.01 bootstrap [-] [,] sensitivity - and scenario - analyses showed that the costs were robust when varying hospital policy and the duration of visits and tests . 0 ###LEFT-WALL### 1 bootstrap 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 27 . 1 bootstrap 6 and 4 sensitivity 6 and 5 - 6 and 6 and 7 scenario 8 - 9 analyses 8 - 10 showed 9 analyses 10 showed 10 showed 11 that 11 that 13 costs 11 that 14 were 12 the 13 costs 13 costs 14 were 14 were 15 robust 15 robust 16 when 16 when 17 varying 17 varying 20 and 18 hospital 19 policy 19 policy 20 and 20 and 22 duration 20 and 23 of 21 the 22 duration 23 of 25 and 24 visits 25 and 25 and 26 tests conclusion : we conclude that this gfu is cost - [effective] and deserves to be considered for implementation in other hospitals . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 3 we 2 : 4 conclude 3 we 4 conclude 4 conclude 5 that 5 that 7 gfu 5 that 12 and 6 this 7 gfu 7 gfu 12 and 8 is 9 cost 8 is 12 and 10 - 12 and 12 and 13 deserves 12 and 19 in 13 deserves 14 to 13 deserves 16 considered 14 to 15 be 15 be 16 considered 16 considered 17 for 17 for 18 implementation 19 in 21 hospitals 20 other 21 hospitals the essential role of peroxisomes in fatty acid oxidation , anaplerotic metabolism , and hydrogen peroxide turnover is well established . 0 ###LEFT-WALL### 3 role 0 ###LEFT-WALL### 18 is 0 ###LEFT-WALL### 21 . 1 the 3 role 2 essential 3 role 3 role 4 of 3 role 18 is 4 of 5 peroxisomes 5 peroxisomes 6 in 6 in 14 and 7 fatty 9 oxidation 8 acid 9 oxidation 9 oxidation 10 , 10 , 12 metabolism 10 , 14 and 11 anaplerotic 12 metabolism 13 , 14 and 14 and 17 turnover 15 hydrogen 17 turnover 16 peroxide 17 turnover 18 is 19 well 19 well 20 established recent findings suggest that these and other related biochemical processes governed by the organelle may also play a critical role in regulating cellular aging . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 25 . 1 recent 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 6 and 4 that 17 play 5 these 6 and 6 and 7 other 6 and 10 processes 6 and 11 governed 6 and 15 may 8 related 10 processes 9 biochemical 10 processes 10 processes 11 governed 11 governed 12 by 12 by 14 organelle 13 the 14 organelle 15 may 17 play 16 also 17 play 17 play 20 role 17 play 21 in 18 a 20 role 19 critical 20 role 21 in 22 regulating 22 regulating 24 aging 23 cellular 24 aging the goal of this review is to [summarize] [and] integrate into a model the evidence that peroxisome metabolism actually helps define the replicative and chronological age of a eukaryotic cell . 0 ###LEFT-WALL### 2 goal 0 ###LEFT-WALL### 31 . 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 20 helps 7 to 10 integrate 10 integrate 11 into 10 integrate 15 evidence 11 into 13 model 12 a 13 model 14 the 15 evidence 15 evidence 18 metabolism 15 evidence 20 helps 16 that 17 peroxisome 17 peroxisome 18 metabolism 18 metabolism 20 helps 19 actually 20 helps 20 helps 21 define 21 define 26 age 22 the 26 age 23 replicative 24 and 24 and 25 chronological 24 and 26 age 26 age 27 of 27 of 30 cell 28 a 30 cell 29 eukaryotic 30 cell in this model , peroxisomal reactive oxygen species ( ros ) are seen as altering organelle biogenesis and function , and eliciting changes in the dynamic communication networks that exist between peroxisomes and other cellular compartments . 0 ###LEFT-WALL### 8 species 0 ###LEFT-WALL### 13 seen 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 37 . 1 in 3 model 1 in 4 , 1 in 8 species 2 this 3 model 5 peroxisomal 7 oxygen 6 reactive 7 oxygen 7 oxygen 8 species 8 species 10 ros 8 species 12 are 9 ( 10 ros 10 ros 11 ) 12 are 13 seen 13 seen 14 as 14 as 18 and 15 altering 17 biogenesis 16 organelle 17 biogenesis 17 biogenesis 18 and 18 and 19 function 20 , 21 and 21 and 22 eliciting 21 and 23 changes 22 eliciting 23 changes 23 changes 24 in 23 changes 28 networks 23 changes 31 between 25 the 28 networks 26 dynamic 28 networks 27 communication 28 networks 28 networks 29 that 28 networks 30 exist 29 that 30 exist 31 between 33 and 32 peroxisomes 33 and 33 and 36 compartments 34 other 36 compartments 35 cellular 36 compartments at low levels , peroxisomal ros activate an anti - aging program in the cell ; at concentrations beyond a specific threshold , a pro - aging [course] is triggered . 0 ###LEFT-WALL### 6 ros 0 ###LEFT-WALL### 7 activate 0 ###LEFT-WALL### 16 ; 0 ###LEFT-WALL### 31 . 1 at 3 levels 1 at 4 , 1 at 6 ros 2 low 3 levels 5 peroxisomal 6 ros 6 ros 7 activate 7 activate 12 program 7 activate 13 in 8 an 9 anti 8 an 12 program 9 anti 10 - 9 anti 12 program 11 aging 12 program 13 in 15 cell 14 the 15 cell 16 ; 17 at 16 ; 29 is 17 at 18 concentrations 17 at 29 is 18 concentrations 19 beyond 19 beyond 22 threshold 20 a 21 specific 20 a 22 threshold 21 specific 22 threshold 22 threshold 25 pro 23 , 25 pro 24 a 25 pro 25 pro 26 - 27 aging 29 is 29 is 30 triggered we have been invited to imagine a future where the care for older people goes beyond the current paradigm . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 4 invited 0 ###LEFT-WALL### 20 . 1 we 2 have 2 have 3 been 3 been 4 invited 4 invited 5 to 4 invited 6 imagine 5 to 6 imagine 6 imagine 8 future 6 imagine 9 where 7 a 8 future 9 where 11 care 9 where 15 goes 10 the 11 care 11 care 12 for 11 care 15 goes 12 for 14 people 13 older 14 people 15 goes 16 beyond 16 beyond 19 paradigm 17 the 19 paradigm 18 current 19 paradigm this article challenges the fundamental assumptions that underlie current care practices and , instead , promotes systems and processes that elevate nourishing and stimulating relationships with basic dignity , as well as personal [agency] , in the later days of life . 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 42 . 1 this 2 article 2 article 12 and 2 article 18 and 3 challenges 6 assumptions 3 challenges 12 and 4 the 6 assumptions 5 fundamental 6 assumptions 6 assumptions 7 that 6 assumptions 8 underlie 7 that 8 underlie 8 underlie 11 practices 9 current 11 practices 10 care 11 practices 12 and 16 promotes 12 and 17 systems 13 , 14 instead 14 instead 15 , 14 instead 16 promotes 18 and 19 processes 18 and 20 that 18 and 21 elevate 20 that 21 elevate 21 elevate 25 relationships 22 nourishing 23 and 23 and 24 stimulating 23 and 25 relationships 25 relationships 26 with 25 relationships 36 in 25 relationships 40 of 26 with 28 dignity 27 basic 28 dignity 28 dignity 33 personal 29 , 33 personal 30 as 31 well 31 well 33 personal 32 as 33 personal 33 personal 35 , 36 in 39 days 37 the 39 days 38 later 39 days 40 of 41 life healthcare professionals still base current care systems on a medical model that emphasises the diagnosis , treatment and cure of disease ( kane rl & west jc , 2005it shouldn't be this way : the failure of long - term care , vanderbilt university press , nashville , tennessee ) . 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 28 , 0 ###LEFT-WALL### 51 . 1 healthcare 2 professionals 2 professionals 7 systems 3 still 4 base 4 base 5 current 5 current 7 systems 6 care 7 systems 7 systems 8 on 7 systems 16 , 8 on 11 model 9 a 10 medical 9 a 11 model 10 medical 11 model 11 model 12 that 11 model 13 emphasises 12 that 13 emphasises 13 emphasises 15 diagnosis 14 the 15 diagnosis 16 , 17 treatment 16 , 18 and 18 and 19 cure 18 and 20 of 20 of 21 disease 21 disease 27 jc 22 ( 27 jc 23 kane 24 rl 24 rl 25 & 25 & 26 west 26 west 27 jc 27 jc 28 , 28 , 33 way 28 , 34 : 29 2005it 33 way 30 shouldn't 33 way 31 be 32 this 32 this 33 way 33 way 34 : 34 : 36 failure 35 the 36 failure 36 failure 37 of 37 of 38 long 38 long 41 care 38 long 49 tennessee 39 - 41 care 40 term 41 care 41 care 45 press 41 care 48 , 42 , 45 press 43 vanderbilt 44 university 44 university 45 press 45 press 47 nashville 45 press 48 , 46 , 47 nashville 47 nashville 48 , 48 , 49 tennessee 49 tennessee 50 ) in contrast , we highlight principles of relating that support care to older people during the final stages of life , and promote systems , processes , and design elements that constitute compassionate care . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 28 and 0 ###LEFT-WALL### 35 . 1 in 2 contrast 1 in 3 , 1 in 4 we 4 we 28 and 5 highlight 6 principles 5 highlight 28 and 6 principles 7 of 6 principles 9 that 6 principles 22 and 7 of 8 relating 9 that 22 and 10 support 11 care 10 support 12 to 10 support 15 during 10 support 22 and 12 to 14 people 13 older 14 people 15 during 18 stages 16 the 18 stages 17 final 18 stages 18 stages 19 of 19 of 20 life 21 , 22 and 22 and 23 promote 23 promote 24 systems 24 systems 26 processes 25 , 26 processes 26 processes 27 , 27 , 28 and 28 and 29 design 28 and 30 elements 30 elements 31 that 30 elements 32 constitute 31 that 32 constitute 32 constitute 34 care 33 compassionate 34 care to do so , it is necessary to move from a model that responds to the dominant regulatory environment to a model that is designed in the ongoing processes of human relationships . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 3 so 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 33 . 1 to 3 so 2 do 3 so 4 , 5 it 4 , 9 move 5 it 6 is 6 is 7 necessary 7 necessary 8 to 8 to 9 move 9 move 10 from 9 move 15 to 9 move 20 to 10 from 12 model 11 a 12 model 12 model 13 that 12 model 14 responds 13 that 14 responds 15 to 19 environment 16 the 19 environment 17 dominant 19 environment 18 regulatory 19 environment 20 to 22 model 21 a 22 model 22 model 25 designed 22 model 26 in 22 model 30 of 23 that 24 is 24 is 25 designed 26 in 29 processes 27 the 29 processes 28 ongoing 29 processes 30 of 32 relationships 31 human 32 relationships specifically , we are including all dimensions of relating including relations among the residents [and] [between] and among residents ' families , and all levels and functions of caretakers and the community . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 33 . 1 specifically 2 , 1 specifically 3 we 3 we 4 are 4 are 5 including 5 including 7 dimensions 6 all 7 dimensions 7 dimensions 8 of 7 dimensions 10 including 8 of 9 relating 10 including 26 and 11 relations 17 and 11 relations 23 and 12 among 14 residents 12 among 17 and 13 the 14 residents 17 and 18 among 18 among 21 families 19 residents 20 ' 20 ' 21 families 22 , 23 and 23 and 25 levels 23 and 26 and 24 all 25 levels 26 and 27 functions 26 and 28 of 28 of 30 and 29 caretakers 30 and 30 and 32 community 31 the 32 community background : there is increasing emphasis in policy , research and practice on the importance of caring in health care . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 3 there 2 : 4 is 2 : 9 , 3 there 4 is 4 is 6 emphasis 4 is 7 in 5 increasing 6 emphasis 7 in 8 policy 9 , 11 and 9 , 20 care 10 research 11 and 11 and 12 practice 11 and 13 on 11 and 16 of 11 and 18 in 11 and 20 care 13 on 15 importance 14 the 15 importance 16 of 17 caring 18 in 19 health indeed there is much debate about how to enhance the caring cultures within which health care is provided . 0 ###LEFT-WALL### 2 there 0 ###LEFT-WALL### 19 . 1 indeed 2 there 2 there 3 is 3 is 5 debate 4 much 5 debate 5 debate 6 about 5 debate 13 within 6 about 7 how 7 how 8 to 7 how 9 enhance 8 to 9 enhance 9 enhance 12 cultures 10 the 12 cultures 11 caring 12 cultures 13 within 14 which 13 within 15 health 13 within 16 care 13 within 18 provided 14 which 15 health 16 care 17 is 17 is 18 provided this paper argues that a proper systematic analysis of caring practice that works well in care environments may help us to move towards a realistic model for the future which supports staff , patients and families to give and receive compassionate care . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 3 argues 0 ###LEFT-WALL### 43 . 1 this 2 paper 2 paper 3 argues 3 argues 4 that 4 that 8 analysis 4 that 39 and 5 a 6 proper 5 a 8 analysis 6 proper 8 analysis 7 systematic 8 analysis 8 analysis 9 of 8 analysis 12 that 8 analysis 13 works 8 analysis 18 may 9 of 11 practice 10 caring 11 practice 12 that 13 works 13 works 14 well 13 works 15 in 15 in 17 environments 16 care 17 environments 18 may 19 help 19 help 20 us 19 help 21 to 21 to 22 move 22 move 23 towards 22 move 37 to 23 towards 26 model 24 a 25 realistic 24 a 26 model 25 realistic 26 model 26 model 27 for 27 for 29 future 28 the 29 future 29 future 30 which 29 future 31 supports 30 which 31 supports 31 supports 35 and 32 staff 33 , 33 , 34 patients 33 , 35 and 35 and 36 families 37 to 39 and 38 give 39 and 39 and 40 receive 40 receive 42 care 41 compassionate 42 care aim : the aim of the project was to explore , develop and articulate strategies that enhanced compassionate relationship centred care in an acute hospital setting , caring for older people . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 4 aim 2 : 26 setting 3 the 4 aim 4 aim 5 of 4 aim 8 was 5 of 7 project 6 the 7 project 8 was 9 to 8 was 11 , 9 to 11 , 10 explore 11 , 11 , 13 and 12 develop 13 and 13 and 14 articulate 14 articulate 15 strategies 15 strategies 16 that 15 strategies 26 setting 16 that 17 enhanced 17 enhanced 21 care 17 enhanced 22 in 18 compassionate 19 relationship 19 relationship 20 centred 20 centred 21 care 22 in 25 hospital 23 an 25 hospital 24 acute 25 hospital 25 hospital 26 setting 26 setting 28 caring 27 , 28 caring 28 caring 29 for 28 caring 32 . 29 for 31 people 30 older 31 people methods : appreciative action research informed the development and evaluation of the project . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 5 research 2 : 6 informed 2 : 14 . 3 appreciative 4 action 4 action 5 research 5 research 6 informed 6 informed 9 and 7 the 8 development 8 development 9 and 9 and 10 evaluation 9 and 11 of 11 of 13 project 12 the 13 project a range of data generation activities were used to examine what worked well . 0 ###LEFT-WALL### 2 range 0 ###LEFT-WALL### 8 used 0 ###LEFT-WALL### 14 . 1 a 2 range 2 range 3 of 2 range 8 used 3 of 4 data 4 data 6 activities 4 data 7 were 5 generation 6 activities 6 activities 7 were 8 used 9 to 8 used 10 examine 9 to 10 examine 10 examine 11 what 11 what 12 worked 12 worked 13 well following detailed analysis key processes emerged as being central to delivery of compassionate care . 0 ###LEFT-WALL### 5 processes 0 ###LEFT-WALL### 6 emerged 0 ###LEFT-WALL### 15 . 1 following 4 key 2 detailed 3 analysis 3 analysis 4 key 4 key 5 processes 5 processes 6 emerged 6 emerged 7 as 7 as 8 being 8 being 9 central 8 being 12 of 9 central 10 to 10 to 11 delivery 12 of 14 care 13 compassionate 14 care specific action projects were implemented and evaluated to enhance these processes necessary for compassionate caring . 0 ###LEFT-WALL### 3 projects 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 16 . 1 specific 2 action 2 action 3 projects 3 projects 6 and 4 were 5 implemented 4 were 6 and 6 and 7 evaluated 6 and 8 to 8 to 9 enhance 9 enhance 11 processes 10 these 11 processes 11 processes 12 necessary 12 necessary 13 for 13 for 15 caring 14 compassionate 15 caring findings : data from the project helped to articulate the special and often hidden acts that make up compassionate care . 0 ###LEFT-WALL### 1 findings 0 ###LEFT-WALL### 2 : 2 : 12 and 2 : 21 . 3 data 4 from 3 data 12 and 4 from 6 project 5 the 6 project 6 project 7 helped 7 helped 8 to 7 helped 9 articulate 8 to 9 articulate 9 articulate 11 special 10 the 11 special 12 and 15 acts 12 and 16 that 12 and 17 make 13 often 14 hidden 14 hidden 15 acts 16 that 17 make 17 make 18 up 17 make 20 care 19 compassionate 20 care in relation to the process of ['] knowing who i am and what matters to me ['] data provided evidence of the value of this process and the potential impact to care . 0 ###LEFT-WALL### 3 to 0 ###LEFT-WALL### 11 am 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 33 . 1 in 2 relation 2 relation 3 to 3 to 5 process 3 to 11 am 4 the 5 process 5 process 6 of 6 of 8 knowing 8 knowing 9 who 10 i 11 am 12 and 13 what 12 and 19 provided 13 what 14 matters 14 matters 15 to 14 matters 19 provided 15 to 18 data 16 me 18 data 19 provided 27 and 19 provided 31 to 20 evidence 21 of 20 evidence 27 and 21 of 23 value 22 the 23 value 23 value 24 of 24 of 26 process 25 this 26 process 27 and 30 impact 28 the 30 impact 29 potential 30 impact 31 to 32 care in addition data about the process of doing appreciative action research helped to realise its application and relevance in the health care setting . 0 ###LEFT-WALL### 3 data 0 ###LEFT-WALL### 12 helped 0 ###LEFT-WALL### 24 . 1 in 2 addition 1 in 3 data 3 data 4 about 3 data 7 of 3 data 12 helped 4 about 6 process 5 the 6 process 7 of 8 doing 8 doing 11 research 9 appreciative 10 action 10 action 11 research 12 helped 13 to 12 helped 14 realise 13 to 14 realise 14 realise 17 and 14 realise 19 in 15 its 16 application 16 application 17 and 17 and 18 relevance 19 in 22 care 20 the 22 care 21 health 22 care 22 care 23 setting conclusions : findings from this work suggest that there are a number of significant processes that help people to deliver compassionate care . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 10 are 3 findings 4 from 3 findings 7 suggest 4 from 6 work 5 this 6 work 7 suggest 8 that 7 suggest 10 are 8 that 9 there 10 are 15 processes 10 are 19 to 10 are 20 deliver 11 a 12 number 12 number 13 of 12 number 15 processes 13 of 15 processes 14 significant 15 processes 15 processes 16 that 15 processes 17 help 16 that 17 help 17 help 18 people 19 to 20 deliver 20 deliver 22 care 21 compassionate 22 care these need to be articulated , shared more widely across practice , policy and education so that we can build on this excellent practice . 0 ###LEFT-WALL### 1 these 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 25 . 1 these 6 , 2 need 3 to 2 need 5 articulated 2 need 6 , 3 to 4 be 4 be 5 articulated 6 , 7 shared 6 , 9 widely 6 , 10 across 6 , 17 that 6 , 24 practice 8 more 9 widely 10 across 14 and 11 practice 12 , 12 , 13 policy 12 , 14 and 14 and 15 education 16 so 17 that 17 that 18 we 17 that 20 build 18 we 19 can 19 can 20 build 20 build 21 on 22 this 24 practice 23 excellent 24 practice academics , policy makers and practitioners should consider the approach of appreciative action research as [key] to supporting developments in care . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 8 consider 0 ###LEFT-WALL### 22 . 1 academics 2 , 2 , 4 makers 2 , 5 and 3 policy 4 makers 5 and 6 practitioners 5 and 7 should 7 should 8 consider 8 consider 10 approach 8 consider 14 research 8 consider 15 as 9 the 10 approach 10 approach 11 of 11 of 13 action 12 appreciative 13 action 15 as 17 to 17 to 18 supporting 18 supporting 19 developments 18 supporting 20 in 20 in 21 care this paper describes the results of a literature search which sought papers specifically on appreciative inquiry ( ai ) and older people . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 3 describes 0 ###LEFT-WALL### 23 . 1 this 2 paper 2 paper 3 describes 3 describes 22 people 4 the 5 results 5 results 6 of 5 results 20 and 6 of 9 search 7 a 8 literature 7 a 9 search 8 literature 9 search 9 search 10 which 9 search 11 sought 10 which 11 sought 11 sought 12 papers 11 sought 13 specifically 11 sought 14 on 14 on 16 inquiry 15 appreciative 16 inquiry 16 inquiry 18 ai 17 ( 18 ai 18 ai 19 ) 20 and 21 older 20 and 22 people the results of this search suggested that there were not many papers which met these criteria , and those that did were more often discussion papers rather than research papers . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 31 . 1 the 2 results 2 results 3 of 2 results 18 and 3 of 5 search 4 this 5 search 6 suggested 7 that 6 suggested 18 and 7 that 8 there 7 that 9 were 8 there 9 were 9 were 12 papers 10 not 11 many 11 many 12 papers 12 papers 13 which 12 papers 14 met 13 which 14 met 14 met 16 criteria 15 these 16 criteria 17 , 18 and 18 and 29 research 19 those 20 that 19 those 21 did 19 those 22 were 20 that 21 did 22 were 23 more 22 were 24 often 22 were 26 papers 22 were 28 than 25 discussion 26 papers 27 rather 28 than 28 than 29 research 29 research 30 papers this lack [of] publication belies the observation that research with older people could benefit from the positive approach entailed in an ai approach . 0 ###LEFT-WALL### 4 publication 0 ###LEFT-WALL### 5 belies 0 ###LEFT-WALL### 24 . 1 this 4 publication 2 lack 4 publication 4 publication 5 belies 5 belies 7 observation 6 the 7 observation 7 observation 8 that 7 observation 14 benefit 8 that 9 research 8 that 14 benefit 9 research 10 with 9 research 13 could 10 with 12 people 11 older 12 people 13 could 14 benefit 14 benefit 15 from 15 from 18 approach 16 the 18 approach 17 positive 18 approach 18 approach 19 entailed 19 entailed 20 in 20 in 23 approach 21 an 23 approach 22 ai 23 approach the reasons for this are discussed in the paper , but the possibility [is] explored that some authors may be using ai , but not classifying their studies as this . 0 ###LEFT-WALL### 2 reasons 0 ###LEFT-WALL### 6 discussed 0 ###LEFT-WALL### 31 . 1 the 2 reasons 2 reasons 3 for 2 reasons 5 are 3 for 4 this 5 are 6 discussed 6 discussed 7 in 6 discussed 24 but 7 in 9 paper 8 the 9 paper 9 paper 11 but 10 , 11 but 11 but 13 possibility 11 but 23 , 12 the 13 possibility 13 possibility 15 explored 13 possibility 16 that 16 that 18 authors 16 that 20 be 17 some 18 authors 18 authors 19 may 19 may 20 be 20 be 21 using 21 using 22 ai 24 but 25 not 25 not 26 classifying 26 classifying 28 studies 27 their 28 studies 28 studies 29 as 29 as 30 this the studies that do explicitly use ai have reported that participants became productively engaged in the process , but there is little evidence that this promising start has been followed up . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 32 . 1 the 2 studies 2 studies 3 that 2 studies 4 do 2 studies 8 have 3 that 4 do 4 do 6 use 5 explicitly 6 use 6 use 7 ai 8 have 9 reported 9 reported 10 that 9 reported 21 is 10 that 11 participants 10 that 12 became 10 that 21 is 11 participants 12 became 12 became 13 productively 12 became 14 engaged 14 engaged 19 but 15 in 17 process 15 in 19 but 16 the 17 process 18 , 19 but 19 but 20 there 21 is 23 evidence 22 little 23 evidence 23 evidence 24 that 24 that 27 start 24 that 30 followed 25 this 27 start 26 promising 27 start 27 start 28 has 28 has 29 been 29 been 30 followed 30 followed 31 up background : over the past 10 years , there has been an increase in the literature promoting patient involvement in health care at all levels of the decision - making process . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 , 1 background 2 : 2 : 3 over 3 over 7 years 4 the 7 years 5 past 7 years 6 10 7 years 8 , 9 there 8 , 11 been 9 there 10 has 10 has 11 been 11 been 13 increase 11 been 14 in 11 been 20 in 11 been 23 at 12 an 13 increase 14 in 16 literature 15 the 16 literature 16 literature 17 promoting 17 promoting 19 involvement 18 patient 19 involvement 20 in 22 care 21 health 22 care 23 at 25 levels 24 all 25 levels 25 levels 26 of 25 levels 30 making 26 of 28 decision 27 the 28 decision 29 - 30 making 30 making 31 process 30 making 32 . aim : to review the literature on factors influencing patient participation in care with a particular focus on the perspective of older people . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 review 2 : 24 . 3 to 4 review 4 review 6 literature 4 review 7 on 4 review 14 with 5 the 6 literature 7 on 8 factors 8 factors 9 influencing 9 influencing 11 participation 9 influencing 12 in 10 patient 11 participation 12 in 13 care 14 with 17 focus 15 a 16 particular 15 a 17 focus 16 particular 17 focus 17 focus 18 on 17 focus 21 of 18 on 20 perspective 19 the 20 perspective 21 of 23 people 22 older 23 people method : various search engines were used to conduct the review and articles were identified through the following databases ; cinahl , csa illumina , science direct , blackwell synergy , the cochrane library , ovid , sage , ahmed , bni and medline . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 45 . 2 : 3 various 2 : 7 used 2 : 12 and 2 : 20 ; 3 various 5 engines 3 various 6 were 3 various 7 used 4 search 5 engines 5 engines 6 were 7 used 8 to 7 used 9 conduct 8 to 9 conduct 9 conduct 11 review 10 the 11 review 12 and 13 articles 12 and 15 identified 13 articles 14 were 14 were 15 identified 15 identified 16 through 16 through 19 databases 17 the 19 databases 18 following 19 databases 20 ; 43 and 21 cinahl 23 csa 22 , 23 csa 23 csa 24 illumina 24 illumina 25 , 25 , 27 direct 25 , 28 , 26 science 27 direct 28 , 30 synergy 28 , 31 , 29 blackwell 30 synergy 31 , 42 bni 31 , 43 and 32 the 42 bni 33 cochrane 34 library 34 library 36 ovid 35 , 36 ovid 36 ovid 37 , 36 ovid 38 sage 38 sage 40 ahmed 39 , 40 ahmed 40 ahmed 41 , 40 ahmed 42 bni 43 and 44 medline research studies ranging from 2000 - 2007 were selected for inclusion on the basis that they investigated patient participation [and/or] older peoples ' involvement in health care . 0 ###LEFT-WALL### 1 research 0 ###LEFT-WALL### 9 selected 0 ###LEFT-WALL### 28 . 1 research 2 studies 1 research 8 were 1 research 9 selected 2 studies 3 ranging 2 studies 8 were 3 ranging 6 - 4 from 6 - 5 2000 6 - 6 - 7 2007 9 selected 10 for 9 selected 12 on 9 selected 24 involvement 9 selected 25 in 10 for 11 inclusion 12 on 14 basis 13 the 14 basis 14 basis 15 that 14 basis 17 investigated 15 that 16 they 15 that 17 investigated 16 they 17 investigated 18 patient 19 participation 19 participation 22 peoples 21 older 22 peoples 22 peoples 23 ' 23 ' 24 involvement 25 in 27 care 26 health 27 care findings : seven key themes emerged from the literature : the concept of participation , the need for older people to be involved , autonomy and empowerment , patients ' expectations , benefits of participation , factors influencing participation and precursors to participation . 0 ###LEFT-WALL### 1 findings 0 ###LEFT-WALL### 2 : 2 : 5 themes 2 : 6 emerged 2 : 10 : 2 : 44 . 3 seven 5 themes 4 key 5 themes 5 themes 6 emerged 6 emerged 7 from 7 from 9 literature 8 the 9 literature 10 : 12 concept 10 : 37 factors 11 the 12 concept 12 concept 13 of 12 concept 26 and 12 concept 37 factors 13 of 14 participation 14 participation 17 need 15 , 17 need 16 the 17 need 17 need 18 for 17 need 21 to 17 need 23 involved 17 need 24 , 18 for 20 people 19 older 20 people 21 to 22 be 22 be 23 involved 24 , 26 and 25 autonomy 26 and 26 and 27 empowerment 26 and 31 expectations 26 and 33 benefits 26 and 36 , 28 , 31 expectations 29 patients 30 ' 30 ' 31 expectations 31 expectations 32 , 32 , 33 benefits 33 benefits 34 of 33 benefits 36 , 34 of 35 participation 37 factors 40 and 37 factors 42 to 38 influencing 39 participation 39 participation 40 and 40 and 41 precursors 42 to 43 participation conclusions : although patient participation has received considerable attention in the literature , this review highlights the dearth of research from the perspective of older people . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 15 review 2 : 16 highlights 2 : 27 . 3 although 5 participation 3 although 7 received 3 although 13 , 3 although 15 review 4 patient 5 participation 5 participation 6 has 6 has 7 received 7 received 9 attention 7 received 10 in 8 considerable 9 attention 10 in 12 literature 11 the 12 literature 14 this 15 review 15 review 16 highlights 16 highlights 18 dearth 17 the 18 dearth 18 dearth 19 of 18 dearth 21 from 19 of 20 research 21 from 23 perspective 22 the 23 perspective 23 perspective 24 of 24 of 26 people 25 older 26 people there is a general consensus that preference for participation should be assessed and [not] assumed , and the review offers a sobering reminder that participation should not be achieved at the expense of patient autonomy and choice . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 38 . 1 there 2 is 2 is 5 consensus 3 a 5 consensus 4 general 5 consensus 5 consensus 6 that 6 that 7 preference 6 that 20 offers 7 preference 8 for 7 preference 20 offers 8 for 17 and 9 participation 13 and 9 participation 17 and 10 should 11 be 10 should 13 and 11 be 12 assessed 13 and 15 assumed 16 , 17 and 17 and 19 review 18 the 19 review 20 offers 23 reminder 20 offers 30 at 21 a 23 reminder 22 sobering 23 reminder 23 reminder 25 participation 23 reminder 28 be 23 reminder 29 achieved 24 that 25 participation 25 participation 26 should 26 should 27 not 26 should 28 be 30 at 36 and 31 the 32 expense 32 expense 33 of 32 expense 36 and 33 of 35 autonomy 34 patient 35 autonomy 36 and 37 choice relevance to practice : quality care and the most productive use of resources are dependent on the public 's engagement with health service providers . 0 ###LEFT-WALL### 3 practice 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 25 . 1 relevance 2 to 2 to 3 practice 4 : 7 and 4 : 14 are 5 quality 6 care 6 care 7 and 7 and 11 use 7 and 12 of 7 and 14 are 8 the 11 use 9 most 10 productive 10 productive 11 use 12 of 13 resources 14 are 15 dependent 15 dependent 16 on 15 dependent 21 with 16 on 20 engagement 17 the 18 public 18 public 19 's 19 's 20 engagement 21 with 24 providers 22 health 24 providers 23 service 24 providers however , despite being central to contemporary nursing practice , this review suggests that the reality is not matched by the rhetoric . 0 ###LEFT-WALL### 12 review 0 ###LEFT-WALL### 13 suggests 0 ###LEFT-WALL### 23 . 1 however 2 , 1 however 12 review 2 , 3 despite 3 despite 4 being 3 despite 10 , 3 despite 12 review 4 being 5 central 5 central 6 to 6 to 9 practice 7 contemporary 8 nursing 8 nursing 9 practice 11 this 12 review 12 review 13 suggests 13 suggests 14 that 14 that 16 reality 14 that 17 is 15 the 16 reality 16 reality 17 is 17 is 18 not 17 is 20 by 18 not 19 matched 20 by 22 rhetoric 21 the 22 rhetoric future initiatives should focus on supporting nurses and other healthcare professionals to develop the competencies required to facilitate greater participation by older people who wish to become more involved in their care . 0 ###LEFT-WALL### 2 initiatives 0 ###LEFT-WALL### 4 focus 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 33 . 1 future 2 initiatives 2 initiatives 3 should 3 should 4 focus 4 focus 5 on 5 on 6 supporting 6 supporting 7 nurses 8 and 11 professionals 8 and 18 facilitate 9 other 11 professionals 10 healthcare 11 professionals 11 professionals 12 to 11 professionals 17 to 11 professionals 18 facilitate 12 to 13 develop 13 develop 15 competencies 14 the 15 competencies 15 competencies 16 required 16 required 17 to 18 facilitate 20 participation 19 greater 20 participation 20 participation 21 by 20 participation 29 involved 21 by 23 people 22 older 23 people 23 people 24 who 23 people 25 wish 24 who 25 wish 25 wish 26 to 25 wish 27 become 26 to 27 become 27 become 28 more 29 involved 30 in 30 in 32 care 31 their 32 care aim : to examine [how] older persons in need of home - nursing care and their relatives experience the discharge process and develop a model that explains the experience . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 15 and 2 : 22 and 3 to 4 examine 3 to 12 - 3 to 15 and 4 examine 7 persons 4 examine 8 in 6 older 7 persons 8 in 9 need 9 need 10 of 10 of 11 home 13 nursing 14 care 14 care 15 and 15 and 17 relatives 15 and 22 and 16 their 17 relatives 18 experience 21 process 18 experience 22 and 19 the 21 process 20 discharge 21 process 22 and 23 develop 23 develop 25 model 24 a 25 model 25 model 26 that 25 model 27 explains 26 that 27 explains 27 explains 29 experience 28 the 29 experience background : the discharge process has well [-] known deficiencies and is therefore a challenging issue requiring improvement in many countries . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 5 process 2 : 11 and 2 : 22 . 3 the 5 process 4 discharge 5 process 5 process 11 and 6 has 9 known 6 has 11 and 7 well 9 known 9 known 10 deficiencies 11 and 12 is 11 and 19 in 12 is 13 therefore 12 is 16 issue 14 a 16 issue 15 challenging 16 issue 16 issue 17 requiring 17 requiring 18 improvement 19 in 21 countries 20 many 21 countries research focusing on patient - centred factors has attracted very little critical attention . 0 ###LEFT-WALL### 1 research 0 ###LEFT-WALL### 9 attracted 0 ###LEFT-WALL### 14 . 1 research 2 focusing 1 research 8 has 2 focusing 3 on 3 on 7 factors 4 patient 5 - 4 patient 7 factors 6 centred 7 factors 8 has 9 attracted 9 attracted 13 attention 10 very 11 little 11 little 13 attention 12 critical 13 attention design : grounded theory was used to analyze semi - structured interviews with 26 older persons and their relatives . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 2 : 4 theory 2 : 6 used 3 grounded 4 theory 4 theory 5 was 5 was 6 used 6 used 7 to 6 used 8 analyze 7 to 8 analyze 8 analyze 12 interviews 8 analyze 13 with 9 semi 10 - 9 semi 12 interviews 11 structured 12 interviews 13 with 17 and 14 26 16 persons 15 older 16 persons 16 persons 17 and 17 and 19 relatives 18 their 19 relatives findings : the analysis resulted in a theoretical model that depicts factors determining whether the older persons and their relatives feel prepared or unprepared for life at home at the time of discharge . 0 ###LEFT-WALL### 1 findings 0 ###LEFT-WALL### 2 : 2 : 4 analysis 2 : 5 resulted 2 : 34 . 3 the 4 analysis 4 analysis 5 resulted 5 resulted 6 in 6 in 9 model 7 a 9 model 8 theoretical 9 model 9 model 10 that 9 model 11 depicts 9 model 13 determining 10 that 11 depicts 11 depicts 12 factors 13 determining 14 whether 14 whether 18 and 14 whether 21 feel 15 the 17 persons 16 older 17 persons 17 persons 18 and 18 and 20 relatives 18 and 21 feel 19 their 20 relatives 21 feel 23 or 22 prepared 23 or 23 or 24 unprepared 24 unprepared 25 for 24 unprepared 27 at 25 for 26 life 27 at 28 home 28 home 29 at 28 home 32 of 29 at 31 time 30 the 31 time 32 of 33 discharge conclusions : the older persons [and/or] their relatives felt prepared at the time of discharge if their needs were satisfied in the three significant areas of preparation . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 1 conclusions 2 : 2 : 5 persons 3 the 5 persons 4 older 5 persons 5 persons 8 relatives 5 persons 10 prepared 7 their 8 relatives 8 relatives 9 felt 8 relatives 10 prepared 10 prepared 11 at 10 prepared 16 if 11 at 13 time 12 the 13 time 13 time 14 of 14 of 15 discharge 16 if 18 needs 16 if 20 satisfied 17 their 18 needs 18 needs 19 were 19 were 20 satisfied 20 satisfied 21 in 21 in 25 areas 22 the 23 three 23 three 25 areas 24 significant 25 areas 25 areas 26 of 26 of 27 preparation not only were the professionals ' skills of the utmost importance in preparing the older persons/relatives , but also the latter 's own [approach] if the professionals were unskilled . 0 ###LEFT-WALL### 1 not 0 ###LEFT-WALL### 22 's 0 ###LEFT-WALL### 30 . 1 not 2 only 1 not 3 were 1 not 22 's 3 were 7 skills 4 the 5 professionals 5 professionals 6 ' 6 ' 7 skills 7 skills 8 of 8 of 10 utmost 9 the 10 utmost 11 importance 12 in 11 importance 22 's 12 in 13 preparing 13 preparing 18 but 14 the 16 persons/relatives 15 older 16 persons/relatives 16 persons/relatives 18 but 17 , 18 but 18 but 19 also 18 but 21 latter 20 the 21 latter 22 's 23 own 22 's 25 if 25 if 27 professionals 25 if 28 were 26 the 27 professionals 27 professionals 28 were 28 were 29 unskilled relevance for clinical practice : a knowledge of the preparation areas and skills can be of use for improving the quality of the discharge process from the older persons ' and their relatives ' perspective , i.e . through policies , checklists and teaching programmes . 0 ###LEFT-WALL### 4 practice 0 ###LEFT-WALL### 5 : 1 relevance 2 for 2 for 3 clinical 3 clinical 4 practice 5 : 15 be 5 : 36 , 5 : 37 i.e 5 : 38 . 6 a 7 knowledge 7 knowledge 8 of 7 knowledge 14 can 8 of 12 and 9 the 11 areas 10 preparation 11 areas 11 areas 12 and 12 and 13 skills 14 can 15 be 15 be 16 of 16 of 31 and 17 use 18 for 17 use 22 of 17 use 26 from 17 use 31 and 18 for 19 improving 19 improving 21 quality 20 the 21 quality 22 of 25 process 23 the 25 process 24 discharge 25 process 26 from 30 ' 27 the 29 persons 28 older 29 persons 29 persons 30 ' 31 and 35 perspective 32 their 33 relatives 33 relatives 34 ' 34 ' 35 perspective 36 , 37 i.e 38 . 40 policies 38 . 41 , 38 . 46 . 39 through 40 policies 41 , 43 and 42 checklists 43 and 43 and 45 programmes 44 teaching 45 programmes we performed this study to assess our ipl - ala - [pdt] protocol for photorejuvenation in asian skin . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 performed 0 ###LEFT-WALL### 19 . 1 we 2 performed 2 performed 4 study 2 performed 5 to 3 this 4 study 5 to 6 assess 6 assess 13 protocol 6 assess 14 for 6 assess 16 in 7 our 13 protocol 8 ipl 10 ala 9 - 10 ala 10 ala 11 - 10 ala 13 protocol 14 for 15 photorejuvenation 16 in 18 skin 17 asian 18 skin to determine an appropriate dose , ala ointment ( 0 - 20 % ) was applied to the upper arm of five healthy volunteers and the fluorescence intensity ( fi ) was measured using a spectrofluorometer . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 determine 0 ###LEFT-WALL### 25 and 0 ###LEFT-WALL### 37 . 1 to 2 determine 2 determine 5 dose 2 determine 16 applied 3 an 4 appropriate 3 an 5 dose 4 appropriate 5 dose 5 dose 8 ointment 5 dose 15 was 6 , 8 ointment 7 ala 8 ointment 8 ointment 13 % 8 ointment 14 ) 9 ( 13 % 10 0 11 - 11 - 12 20 11 - 13 % 13 % 14 ) 15 was 16 applied 16 applied 17 to 17 to 20 arm 18 the 20 arm 19 upper 20 arm 20 arm 21 of 21 of 24 volunteers 22 five 24 volunteers 23 healthy 24 volunteers 25 and 28 intensity 25 and 32 was 26 the 28 intensity 27 fluorescence 28 intensity 28 intensity 30 fi 28 intensity 32 was 29 ( 30 fi 30 fi 31 ) 32 was 33 measured 33 measured 34 using 34 using 36 spectrofluorometer 35 a 36 spectrofluorometer [non] - linear regression analysis of fi 2 h after ala application with global fitting gave a typical sigmoid dose [-] response curve with r² = 0.9705 and saturation after 5 % ala . 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 16 gave 0 ###LEFT-WALL### 34 . 2 - 5 analysis 3 linear 4 regression 4 regression 5 analysis 5 analysis 6 of 5 analysis 10 after 5 analysis 13 with 5 analysis 16 gave 6 of 7 fi 8 2 9 h 9 h 10 after 10 after 12 application 11 ala 12 application 13 with 15 fitting 14 global 15 fitting 16 gave 23 curve 16 gave 27 0.9705 16 gave 28 and 17 a 18 typical 17 a 23 curve 18 typical 20 dose 19 sigmoid 20 dose 20 dose 23 curve 22 response 23 curve 23 curve 24 with 24 with 25 r² 26 = 27 0.9705 28 and 29 saturation 29 saturation 30 after 30 after 33 ala 31 5 32 % 32 % 33 ala the entire faces of 16 japanese women [with] photodamage were then treated with ipl ( 500 - 670 and 870 - 1400 nm , 23 - 30 j/cm² ) 2 h after application of 5 % ala to one side of the face . 0 ###LEFT-WALL### 3 faces 0 ###LEFT-WALL### 12 treated 0 ###LEFT-WALL### 44 . 1 the 3 faces 2 entire 3 faces 3 faces 4 of 3 faces 7 women 3 faces 9 photodamage 3 faces 10 were 4 of 5 16 6 japanese 7 women 7 women 9 photodamage 10 were 12 treated 11 then 12 treated 12 treated 13 with 12 treated 32 after 12 treated 38 to 13 with 14 ipl 13 with 19 and 14 ipl 16 500 15 ( 16 500 16 500 17 - 18 670 19 and 19 and 20 870 19 and 23 nm 19 and 28 j/cm² 21 - 23 nm 22 1400 23 nm 23 nm 24 , 24 , 28 j/cm² 25 23 26 - 26 - 27 30 26 - 28 j/cm² 28 j/cm² 29 ) 30 2 31 h 31 h 32 after 32 after 33 application 33 application 34 of 34 of 37 ala 35 5 36 % 36 % 37 ala 38 to 40 side 39 one 40 side 40 side 41 of 41 of 43 face 42 the 43 face three treatments were delivered at 4 - week intervals [with] follow - up visits . 0 ###LEFT-WALL### 2 treatments 0 ###LEFT-WALL### 4 delivered 0 ###LEFT-WALL### 7 - 1 three 2 treatments 2 treatments 3 were 3 were 4 delivered 4 delivered 5 at 5 at 6 4 7 - 9 intervals 7 - 11 follow 7 - 12 - 8 week 9 intervals 9 intervals 11 follow 12 - 13 up 12 - 15 . 13 up 14 visits comparative analysis of photorejuvenation showed noticeable improvements on both sides of the face , although the reduction in the photoaging score from baseline did not differ significantly between the two sides in all subjects . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 26 differ 0 ###LEFT-WALL### 35 . 1 comparative 2 analysis 2 analysis 3 of 2 analysis 5 showed 3 of 4 photorejuvenation 5 showed 7 improvements 5 showed 10 sides 5 showed 15 although 6 noticeable 7 improvements 7 improvements 8 on 8 on 9 both 10 sides 11 of 11 of 13 face 12 the 13 face 14 , 15 although 15 although 17 reduction 16 the 17 reduction 17 reduction 18 in 17 reduction 24 did 18 in 21 score 19 the 21 score 20 photoaging 21 score 21 score 22 from 22 from 23 baseline 24 did 25 not 24 did 26 differ 26 differ 27 significantly 26 differ 28 between 26 differ 32 in 28 between 31 sides 29 the 30 two 30 two 31 sides 32 in 34 subjects 33 all 34 subjects despite this finding , 75 % of the patients felt that the ipl - ala [-] [pdt] - treated side of the face showed greater improvement than the ipl - treated side . 0 ###LEFT-WALL### 6 % 0 ###LEFT-WALL### 10 felt 0 ###LEFT-WALL### 30 - 1 despite 3 finding 1 despite 4 , 1 despite 6 % 2 this 3 finding 5 75 6 % 6 % 7 of 6 % 10 felt 7 of 9 patients 8 the 9 patients 10 felt 11 that 11 that 20 side 11 that 24 showed 12 the 20 side 13 ipl 15 ala 14 - 15 ala 15 ala 18 - 15 ala 19 treated 19 treated 20 side 20 side 21 of 20 side 24 showed 21 of 23 face 22 the 23 face 24 showed 26 improvement 24 showed 27 than 25 greater 26 improvement 27 than 29 ipl 28 the 29 ipl 30 - 32 side 30 - 33 . 31 treated 32 side however , all ipl - ala [-] [pdt] - treated sides showed adverse effects such as erythema and pain . 0 ###LEFT-WALL### 11 sides 0 ###LEFT-WALL### 12 showed 0 ###LEFT-WALL### 20 . 1 however 2 , 1 however 11 sides 3 all 11 sides 4 ipl 6 ala 5 - 6 ala 6 ala 9 - 6 ala 10 treated 10 treated 11 sides 11 sides 12 showed 12 showed 14 effects 13 adverse 14 effects 14 effects 16 as 15 such 16 as 16 as 18 and 17 erythema 18 and 18 and 19 pain therefore , we conclude that the ipl - ala - [pdt] protocol requires optimization [for] photorejuvenation in asians . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 conclude 0 ###LEFT-WALL### 19 . 1 therefore 2 , 1 therefore 3 we 3 we 4 conclude 4 conclude 5 that 5 that 12 protocol 5 that 13 requires 6 the 12 protocol 7 ipl 9 ala 8 - 9 ala 9 ala 10 - 9 ala 12 protocol 12 protocol 13 requires 13 requires 16 photorejuvenation 13 requires 17 in 14 optimization 16 photorejuvenation 17 in 18 asians childhood iq and adult morbidity and mortality are known to be linked even beyond socioeconomic variables . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 9 known 0 ###LEFT-WALL### 17 . 1 childhood 2 iq 2 iq 3 and 3 and 5 morbidity 3 and 6 and 4 adult 5 morbidity 6 and 7 mortality 6 and 8 are 8 are 9 known 9 known 10 to 9 known 12 linked 10 to 11 be 11 be 12 linked 12 linked 13 even 13 even 14 beyond 14 beyond 16 variables 15 socioeconomic 16 variables yet , their interrelations are insufficiently understood . 0 ###LEFT-WALL### 4 interrelations 0 ###LEFT-WALL### 7 understood 0 ###LEFT-WALL### 8 . 1 yet 2 , 1 yet 4 interrelations 3 their 4 interrelations 4 interrelations 5 are 5 are 7 understood 6 insufficiently 7 understood it has been suggested that bodily sensations play a fundamental role in health - related self - regulation and that intelligence can influence the information processing of these somatic signals . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 4 suggested 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 31 . 1 it 2 has 2 has 3 been 3 been 4 suggested 4 suggested 5 that 5 that 7 sensations 5 that 8 play 6 bodily 7 sensations 7 sensations 8 play 8 play 11 role 8 play 12 in 9 a 11 role 10 fundamental 11 role 12 in 13 health 14 - 16 self 14 - 17 - 14 - 23 influence 15 related 16 self 17 - 19 and 18 regulation 19 and 19 and 20 that 19 and 21 intelligence 19 and 23 influence 21 intelligence 22 can 22 can 23 influence 23 influence 26 processing 24 the 26 processing 25 information 26 processing 26 processing 27 of 27 of 30 signals 28 these 30 signals 29 somatic 30 signals this assumption is supported by reports on the influence of iq on the exteroceptive [(] e.g . visual and auditory ) and interoceptive ( e.g [.] autonomic nervous system [and] posture ) perception and processing of somatic information . 0 ###LEFT-WALL### 2 assumption 0 ###LEFT-WALL### 17 . 0 ###LEFT-WALL### 39 . 1 this 2 assumption 2 assumption 3 is 3 is 4 supported 4 supported 5 by 5 by 6 reports 6 reports 7 on 6 reports 10 of 7 on 9 influence 8 the 9 influence 10 of 11 iq 11 iq 12 on 12 on 16 e.g 13 the 16 e.g 14 exteroceptive 16 e.g 17 . 34 and 18 visual 19 and 19 and 20 auditory 19 and 21 ) 19 and 22 and 22 and 33 perception 22 and 34 and 23 interoceptive 31 posture 23 interoceptive 33 perception 24 ( 31 posture 25 e.g 31 posture 27 autonomic 29 system 28 nervous 29 system 29 system 31 posture 31 posture 32 ) 34 and 35 processing 35 processing 36 of 36 of 38 information 37 somatic 38 information based on these findings the hypothesis of psychosomatic intelligence ( pi ) is introduced as an additional conceptual framework to probe the link between childhood iq and adult health status . 0 ###LEFT-WALL### 1 based 0 ###LEFT-WALL### 21 probe 0 ###LEFT-WALL### 31 . 1 based 2 on 1 based 13 is 1 based 15 as 1 based 20 to 2 on 4 findings 3 these 4 findings 5 the 6 hypothesis 6 hypothesis 7 of 6 hypothesis 13 is 7 of 11 pi 8 psychosomatic 9 intelligence 9 intelligence 11 pi 10 ( 11 pi 11 pi 12 ) 13 is 14 introduced 15 as 19 framework 16 an 17 additional 16 an 19 framework 17 additional 19 framework 18 conceptual 19 framework 20 to 21 probe 21 probe 23 link 21 probe 24 between 22 the 23 link 24 between 27 and 25 childhood 26 iq 26 iq 27 and 27 and 30 status 28 adult 30 status 29 health 30 status it implies a specific cognitive ability concerning the perception , interpretation , and self - regulation of bodily sensations . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 implies 0 ###LEFT-WALL### 15 - 0 ###LEFT-WALL### 20 . 1 it 2 implies 2 implies 6 ability 3 a 4 specific 3 a 6 ability 4 specific 6 ability 5 cognitive 6 ability 6 ability 7 concerning 7 concerning 9 perception 8 the 9 perception 9 perception 13 and 10 , 13 and 11 interpretation 13 and 12 , 13 and 13 and 14 self 13 and 15 - 15 - 16 regulation 16 regulation 17 of 17 of 19 sensations 18 bodily 19 sensations in this model , somatic signals are considered to reflect both [intra] - individual processes and individual - environment interactions . 0 ###LEFT-WALL### 6 signals 0 ###LEFT-WALL### 8 considered 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 21 . 1 in 3 model 1 in 4 , 1 in 6 signals 2 this 3 model 5 somatic 6 signals 6 signals 7 are 7 are 8 considered 8 considered 9 to 8 considered 10 reflect 9 to 10 reflect 10 reflect 11 both 13 - 16 and 14 individual 15 processes 15 processes 16 and 16 and 20 interactions 17 individual 18 - 17 individual 19 environment 19 environment 20 interactions [based] on this hypothesis the influence of intelligence on cognitive efforts to [self] [-] regulate somatic phenomena is amenable to systematic testing . 0 ###LEFT-WALL### 2 on 0 ###LEFT-WALL### 18 is 0 ###LEFT-WALL### 23 . 2 on 4 hypothesis 2 on 18 is 3 this 4 hypothesis 5 the 6 influence 6 influence 7 of 6 influence 18 is 7 of 8 intelligence 8 intelligence 9 on 9 on 11 efforts 10 cognitive 11 efforts 11 efforts 12 to 11 efforts 15 regulate 12 to 15 regulate 15 regulate 17 phenomena 16 somatic 17 phenomena 18 is 19 amenable 19 amenable 20 to 20 to 22 testing 21 systematic 22 testing objective : the purposes of this study were to determine the relationship between muscle mass , muscle strength , muscle quality , and fat mass with a composite measure [of] physical function in older adults , and to determine whether these relations differed by age and sex . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 4 purposes 2 : 15 mass 2 : 16 , 2 : 48 . 3 the 4 purposes 4 purposes 5 of 4 purposes 7 study 4 purposes 10 determine 4 purposes 13 between 4 purposes 15 mass 5 of 6 this 7 study 8 were 8 were 9 to 8 were 10 determine 9 to 10 determine 10 determine 12 relationship 11 the 12 relationship 13 between 14 muscle 16 , 17 muscle 16 , 19 , 17 muscle 18 strength 19 , 23 and 19 , 37 and 20 muscle 21 quality 21 quality 23 and 22 , 23 and 23 and 24 fat 23 and 37 and 25 mass 26 with 25 mass 37 and 26 with 32 function 26 with 33 in 27 a 32 function 28 composite 29 measure 29 measure 32 function 31 physical 32 function 33 in 35 adults 34 older 35 adults 36 , 37 and 37 and 38 to 37 and 39 determine 38 to 39 determine 39 determine 40 whether 39 determine 44 by 40 whether 42 relations 40 whether 43 differed 41 these 42 relations 42 relations 43 differed 44 by 46 and 45 age 46 and 46 and 47 sex method : participants consisted of 1280 adults aged ≥ 55 yr from the nhanes study . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 3 participants 2 : 4 consisted 2 : 16 . 3 participants 4 consisted 4 consisted 5 of 5 of 7 adults 6 1280 7 adults 7 adults 8 aged 8 aged 9 ≥ 9 ≥ 12 from 10 55 11 yr 11 yr 12 from 12 from 15 study 13 the 15 study 14 nhanes 15 study reduced rank regression was used to identify patterns of muscle [mass] , muscle strength , muscle quality , and fat mass related to [physical] function . 0 ###LEFT-WALL### 3 regression 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 22 related 1 reduced 3 regression 2 rank 3 regression 3 regression 4 was 4 was 5 used 5 used 6 to 5 used 7 identify 6 to 7 identify 7 identify 8 patterns 8 patterns 9 of 8 patterns 14 strength 9 of 10 muscle 12 , 14 strength 13 muscle 14 strength 14 strength 15 , 15 , 22 related 16 muscle 17 quality 17 quality 19 and 18 , 19 and 19 and 21 mass 19 and 22 related 20 fat 21 mass 22 related 23 to 22 related 26 . 23 to 25 function results : a single relevant pattern emerged that included leg strength and fat mass as predictors of the 7 physical function variables . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 6 pattern 2 : 7 emerged 3 a 6 pattern 4 single 6 pattern 5 relevant 6 pattern 6 pattern 7 emerged 7 emerged 12 and 7 emerged 15 as 8 that 9 included 9 included 10 leg 10 leg 11 strength 11 strength 12 and 12 and 14 mass 13 fat 14 mass 15 as 16 predictors 16 predictors 17 of 17 of 22 variables 18 the 22 variables 19 7 22 variables 20 physical 21 function 21 function 22 variables the leg strength loading was significantly greater than the fat mass loading in men and women aged 55 - 64 and ≥ 75 , and differed between sexes . 0 ###LEFT-WALL### 4 loading 0 ###LEFT-WALL### 25 and 0 ###LEFT-WALL### 29 . 1 the 4 loading 2 leg 4 loading 3 strength 4 loading 4 loading 25 and 5 was 7 greater 5 was 25 and 6 significantly 7 greater 7 greater 8 than 7 greater 13 in 8 than 12 loading 9 the 12 loading 10 fat 12 loading 11 mass 12 loading 13 in 21 and 14 men 15 and 15 and 16 women 15 and 17 aged 15 and 21 and 17 aged 19 - 18 55 19 - 19 - 20 64 21 and 22 ≥ 22 ≥ 23 75 24 , 25 and 25 and 26 differed 25 and 27 between 27 between 28 sexes conclusion : leg strength and fat mass best predict physical function [in] older adults and the relative importance varies according to age and sex . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 25 . 1 conclusion 2 : 2 : 3 leg 3 leg 5 and 3 leg 9 predict 4 strength 5 and 5 and 7 mass 5 and 9 predict 6 fat 7 mass 8 best 9 predict 9 predict 14 adults 10 physical 11 function 11 function 14 adults 13 older 14 adults 15 and 18 importance 15 and 19 varies 16 the 18 importance 17 relative 18 importance 18 importance 19 varies 19 varies 21 to 20 according 21 to 21 to 23 and 22 age 23 and 23 and 24 sex the present study investigated the changes in several erythrocyte oxidative stress biomarkers in hypoxic elderly individuals to analyze the deleterious effects of low oxyhemoglobin saturation in an elderly population . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 investigated 0 ###LEFT-WALL### 30 . 1 the 3 study 2 present 3 study 3 study 4 investigated 4 investigated 6 changes 4 investigated 7 in 5 the 6 changes 7 in 12 biomarkers 8 several 12 biomarkers 9 erythrocyte 11 stress 10 oxidative 11 stress 11 stress 12 biomarkers 12 biomarkers 13 in 13 in 16 individuals 14 hypoxic 16 individuals 15 elderly 16 individuals 16 individuals 17 to 16 individuals 18 analyze 17 to 18 analyze 18 analyze 21 effects 18 analyze 26 in 19 the 21 effects 20 deleterious 21 effects 21 effects 22 of 22 of 25 saturation 23 low 24 oxyhemoglobin 24 oxyhemoglobin 25 saturation 26 in 29 population 27 an 29 population 28 elderly 29 population we collected blood samples from one normoxic middle - aged group and two groups composed of individuals older than 75 years of age : one normoxic group and one hypoxic group . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 collected 0 ###LEFT-WALL### 24 : 0 ###LEFT-WALL### 32 . 1 we 2 collected 2 collected 4 samples 3 blood 4 samples 4 samples 5 from 5 from 8 middle 6 one 8 middle 7 normoxic 8 middle 8 middle 12 and 9 - 12 and 10 aged 11 group 11 group 12 and 12 and 14 groups 12 and 24 : 13 two 14 groups 14 groups 15 composed 14 groups 16 of 14 groups 22 of 16 of 17 individuals 17 individuals 18 older 18 older 19 than 19 than 21 years 20 75 21 years 22 of 23 age 24 : 28 and 25 one 27 group 26 normoxic 27 group 27 group 28 and 28 and 31 group 29 one 31 group 30 hypoxic 31 group aging appeared to provoke a defective erythrocyte antioxidant defense associated with increased oxidative damage in the elderly population . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 2 appeared 0 ###LEFT-WALL### 19 . 1 aging 2 appeared 2 appeared 3 to 2 appeared 4 provoke 3 to 4 provoke 4 provoke 9 defense 5 a 9 defense 6 defective 9 defense 7 erythrocyte 9 defense 8 antioxidant 9 defense 9 defense 10 associated 9 defense 11 with 11 with 14 damage 12 increased 14 damage 13 oxidative 14 damage 14 damage 15 in 15 in 18 population 16 the 18 population 17 elderly 18 population acute hypoxia activated an insufficient antioxidant defense response as suggested by the oxidative damage observed . 0 ###LEFT-WALL### 2 hypoxia 0 ###LEFT-WALL### 3 activated 0 ###LEFT-WALL### 10 suggested 1 acute 2 hypoxia 2 hypoxia 3 activated 3 activated 8 response 3 activated 9 as 4 an 5 insufficient 4 an 8 response 5 insufficient 6 antioxidant 6 antioxidant 8 response 7 defense 8 response 9 as 10 suggested 10 suggested 11 by 10 suggested 16 . 11 by 14 damage 12 the 14 damage 13 oxidative 14 damage 14 damage 15 observed the oxidative imbalance presented [in] older participants and increased in hypoxia participants had a direct effect on glyceraldehyde - 3 - phosphate dehydrogenase cell distribution . 0 ###LEFT-WALL### 3 imbalance 0 ###LEFT-WALL### 13 had 0 ###LEFT-WALL### 26 . 1 the 3 imbalance 2 oxidative 3 imbalance 3 imbalance 8 and 3 imbalance 13 had 4 presented 7 participants 4 presented 8 and 6 older 7 participants 8 and 9 increased 8 and 10 in 8 and 12 participants 11 hypoxia 12 participants 13 had 16 effect 14 a 15 direct 14 a 16 effect 15 direct 16 effect 16 effect 17 on 17 on 25 distribution 18 glyceraldehyde 20 3 18 glyceraldehyde 21 - 18 glyceraldehyde 22 phosphate 19 - 20 3 20 3 21 - 22 phosphate 23 dehydrogenase 23 dehydrogenase 25 distribution 24 cell 25 distribution oxidative stress levels altered band 3 protein and mediated caspase - 3 activation in erythrocyte from the aged group although it was not extended to hypoxic individuals . 0 ###LEFT-WALL### 3 levels 0 ###LEFT-WALL### 22 was 0 ###LEFT-WALL### 28 . 1 oxidative 2 stress 2 stress 3 levels 3 levels 4 altered 4 altered 13 activation 4 altered 14 in 4 altered 16 from 4 altered 20 although 5 band 6 3 5 band 13 activation 7 protein 8 and 8 and 10 caspase 8 and 11 - 8 and 13 activation 9 mediated 10 caspase 12 3 13 activation 14 in 15 erythrocyte 16 from 19 group 17 the 19 group 18 aged 19 group 20 although 21 it 21 it 22 was 22 was 23 not 22 was 25 to 23 not 24 extended 25 to 27 individuals 26 hypoxic 27 individuals therefore , aged participants appeared to activate an insufficient antioxidant response against hypoxia - related oxidative stress . 0 ###LEFT-WALL### 4 participants 0 ###LEFT-WALL### 5 appeared 0 ###LEFT-WALL### 15 related 1 therefore 2 , 1 therefore 4 participants 3 aged 4 participants 4 participants 5 appeared 5 appeared 6 to 5 appeared 7 activate 6 to 7 activate 7 activate 11 response 7 activate 12 against 8 an 9 insufficient 8 an 11 response 9 insufficient 11 response 10 antioxidant 11 response 12 against 13 hypoxia 14 - 15 related 15 related 17 stress 15 related 18 . 16 oxidative 17 stress the artificial iris is the structure responsible for the dissimulation and aesthetics of ocular prosthesis . 0 ###LEFT-WALL### 3 iris 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 16 . 1 the 3 iris 2 artificial 3 iris 3 iris 4 is 4 is 6 structure 5 the 6 structure 6 structure 7 responsible 7 responsible 8 for 8 for 11 and 9 the 10 dissimulation 10 dissimulation 11 and 11 and 12 aesthetics 11 and 13 of 13 of 15 prosthesis 14 ocular 15 prosthesis the objective of the present study was to evaluate the color stability [of] artificial iris of microwaveable polymerized ocular prosthesis , as a function of paint type , drying method and accelerated aging . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 34 . 1 the 2 objective 2 objective 3 of 2 objective 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 15 iris 10 the 15 iris 11 color 15 iris 12 stability 15 iris 14 artificial 15 iris 15 iris 16 of 16 of 20 prosthesis 17 microwaveable 20 prosthesis 18 polymerized 20 prosthesis 19 ocular 20 prosthesis 21 , 27 type 21 , 28 , 22 as 24 function 22 as 27 type 23 a 24 function 24 function 25 of 25 of 26 paint 28 , 31 and 29 drying 30 method 30 method 31 and 31 and 33 aging 32 accelerated 33 aging a total of 40 discs of microwaveable polymerized acrylic resin were fabricated , and divided according to the blue paint type ( n = 5 ) : hydrosoluble acrylic , nitrocellulose automotive , hydrosoluble gouache and oil paints . 0 ###LEFT-WALL### 36 and 0 ###LEFT-WALL### 39 . 1 a 2 total 2 total 3 of 2 total 30 , 3 of 5 discs 4 40 5 discs 5 discs 6 of 6 of 9 acrylic 7 microwaveable 9 acrylic 8 polymerized 9 acrylic 9 acrylic 10 resin 9 acrylic 14 and 10 resin 14 and 11 were 12 fabricated 11 were 14 and 13 , 14 and 14 and 15 divided 14 and 16 according 16 according 17 to 16 according 27 : 17 to 21 type 18 the 21 type 19 blue 20 paint 20 paint 21 type 21 type 24 = 22 ( 24 = 23 n 24 = 24 = 25 5 24 = 26 ) 27 : 29 acrylic 28 hydrosoluble 29 acrylic 30 , 35 gouache 30 , 36 and 31 nitrocellulose 35 gouache 32 automotive 33 , 32 automotive 35 gouache 34 hydrosoluble 35 gouache 36 and 38 paints 37 oil 38 paints paints [where] dried either at natural or [at] infrared light bulb method . 0 ###LEFT-WALL### 1 paints 0 ###LEFT-WALL### 3 dried 0 ###LEFT-WALL### 13 . 1 paints 3 dried 3 dried 4 either 3 dried 5 at 5 at 12 method 6 natural 7 or 7 or 9 infrared 7 or 10 light 10 light 11 bulb 11 bulb 12 method each specimen was constituted of one disc in colorless acrylic resin and another colored with a basic sclera pigment . 0 ###LEFT-WALL### 2 specimen 0 ###LEFT-WALL### 4 constituted 0 ###LEFT-WALL### 20 . 1 each 2 specimen 2 specimen 3 was 3 was 4 constituted 4 constituted 5 of 4 constituted 8 in 4 constituted 15 with 5 of 7 disc 6 one 7 disc 8 in 12 and 9 colorless 10 acrylic 10 acrylic 11 resin 11 resin 12 and 12 and 13 another 13 another 14 colored 15 with 19 pigment 16 a 17 basic 16 a 19 pigment 17 basic 19 pigment 18 sclera 19 pigment painting was performed in one surface of one of the discs . 0 ###LEFT-WALL### 1 painting 0 ###LEFT-WALL### 3 performed 0 ###LEFT-WALL### 12 . 1 painting 2 was 2 was 3 performed 3 performed 4 in 4 in 6 surface 5 one 6 surface 6 surface 7 of 7 of 8 one 8 one 9 of 9 of 11 discs 10 the 11 discs the specimens were submitted to an artificial aging chamber under ultraviolet light , during 1008 h . 0 ###LEFT-WALL### 2 specimens 0 ###LEFT-WALL### 4 submitted 1 the 2 specimens 2 specimens 3 were 3 were 4 submitted 4 submitted 5 to 4 submitted 10 under 5 to 9 chamber 6 an 7 artificial 6 an 9 chamber 7 artificial 9 chamber 8 aging 9 chamber 10 under 12 light 11 ultraviolet 12 light 12 light 14 during 13 , 14 during 14 during 16 h 14 during 17 . 15 1008 16 h a reflective spectrophotometer was used to evaluate color changes . 0 ###LEFT-WALL### 3 spectrophotometer 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 10 . 1 a 2 reflective 1 a 3 spectrophotometer 2 reflective 3 spectrophotometer 3 spectrophotometer 4 was 4 was 5 used 5 used 6 to 5 used 7 evaluate 6 to 7 evaluate 7 evaluate 8 color 7 evaluate 9 changes 8 color 9 changes data [were] evaluated by 3 - way repeated - measures anova and the tukey hsd test ( α [=] 0.05 ) . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 10 measures 0 ###LEFT-WALL### 22 . 1 data 3 evaluated 1 data 8 repeated 1 data 10 measures 3 evaluated 4 by 4 by 5 3 6 - 8 repeated 7 way 8 repeated 8 repeated 9 - 10 measures 12 and 11 anova 12 and 12 and 16 test 12 and 18 α 13 the 16 test 14 tukey 15 hsd 15 hsd 16 test 17 ( 18 α 18 α 20 0.05 18 α 21 ) all paints suffered color alteration . 0 ###LEFT-WALL### 2 paints 0 ###LEFT-WALL### 4 color 0 ###LEFT-WALL### 6 . 1 all 2 paints 2 paints 3 suffered 2 paints 4 color 4 color 5 alteration the oil paint presented the highest color resistance to artificial aging regardless of drying method . 0 ###LEFT-WALL### 3 paint 0 ###LEFT-WALL### 4 presented 0 ###LEFT-WALL### 16 . 1 the 3 paint 2 oil 3 paint 3 paint 4 presented 4 presented 8 resistance 4 presented 9 to 4 presented 13 of 5 the 6 highest 5 the 8 resistance 7 color 8 resistance 9 to 11 aging 10 artificial 11 aging 12 regardless 13 of 13 of 15 method 14 drying 15 method endothelium regulates local vascular tone by means of releasing relaxing and contracting factors , of which the latter have been found to be elevated in vascular pathogenesis of hypertension [,] diabetes , hypercholesterolemia , and aging . 0 ###LEFT-WALL### 35 and 0 ###LEFT-WALL### 37 . 1 endothelium 11 and 1 endothelium 35 and 2 regulates 5 tone 2 regulates 11 and 3 local 5 tone 4 vascular 5 tone 5 tone 6 by 6 by 7 means 7 means 8 of 8 of 9 releasing 9 releasing 10 relaxing 11 and 12 contracting 11 and 13 factors 13 factors 15 of 14 , 15 of 15 of 16 which 15 of 34 , 16 which 18 latter 16 which 21 found 17 the 18 latter 18 latter 19 have 19 have 20 been 20 been 21 found 21 found 22 to 22 to 23 be 23 be 24 elevated 24 elevated 25 in 24 elevated 32 , 24 elevated 33 hypercholesterolemia 25 in 27 pathogenesis 26 vascular 27 pathogenesis 27 pathogenesis 28 of 28 of 31 diabetes 29 hypertension 31 diabetes 34 , 35 and 35 and 36 aging endothelium - derived contracting factors ( edcfs ) are mainly metabolites of arachidonic acid generated by cyclooxygenase ( cox ) , as vasodilatations in patients [with] [hypertension] , metabolic diseases , or advancing age are improved by acute treatment with cox inhibitor indomethacin . 0 ###LEFT-WALL### 5 factors 0 ###LEFT-WALL### 9 are 0 ###LEFT-WALL### 28 , 0 ###LEFT-WALL### 44 . 1 endothelium 2 - 1 endothelium 5 factors 3 derived 5 factors 4 contracting 5 factors 5 factors 7 edcfs 5 factors 9 are 6 ( 7 edcfs 7 edcfs 8 ) 9 are 10 mainly 9 are 11 metabolites 11 metabolites 12 of 11 metabolites 16 by 11 metabolites 22 as 12 of 14 acid 13 arachidonic 14 acid 14 acid 15 generated 16 by 17 cyclooxygenase 17 cyclooxygenase 19 cox 18 ( 19 cox 19 cox 20 ) 21 , 22 as 22 as 23 vasodilatations 22 as 28 , 23 vasodilatations 24 in 24 in 25 patients 28 , 32 or 28 , 36 improved 29 metabolic 30 diseases 30 diseases 32 or 31 , 32 or 32 or 34 age 32 or 35 are 33 advancing 34 age 35 are 36 improved 36 improved 37 by 36 improved 40 with 37 by 39 treatment 38 acute 39 treatment 40 with 43 indomethacin 41 cox 43 indomethacin 42 inhibitor 43 indomethacin cox is presented in two isoforms , cox - 1 and cox - 2 , with the former regarded as constitutive and the latter mainly expressed upon induction . 0 ###LEFT-WALL### 1 cox 0 ###LEFT-WALL### 3 presented 0 ###LEFT-WALL### 9 - 0 ###LEFT-WALL### 29 . 1 cox 2 is 2 is 3 presented 3 presented 4 in 4 in 6 isoforms 5 two 6 isoforms 6 isoforms 8 cox 7 , 8 cox 8 cox 9 - 9 - 10 1 9 - 11 and 11 and 22 and 11 and 26 expressed 12 cox 14 2 12 cox 16 with 12 cox 19 regarded 12 cox 22 and 13 - 14 2 14 2 15 , 16 with 18 former 17 the 18 former 19 regarded 20 as 20 as 21 constitutive 22 and 24 latter 22 and 26 expressed 23 the 24 latter 25 mainly 26 expressed 26 expressed 27 upon 27 upon 28 induction experiments with animal models of vascular dysfunctions , however , reveal that both isoforms have similar capacity to participate in endothelium - dependent contractions , with augmented expression and activity . 0 ###LEFT-WALL### 1 experiments 0 ###LEFT-WALL### 11 reveal 0 ###LEFT-WALL### 31 . 1 experiments 2 with 1 experiments 5 of 1 experiments 11 reveal 2 with 4 models 3 animal 4 models 5 of 7 dysfunctions 6 vascular 7 dysfunctions 8 , 9 however 9 however 10 , 9 however 11 reveal 11 reveal 12 that 12 that 14 isoforms 12 that 15 have 13 both 14 isoforms 14 isoforms 15 have 15 have 17 capacity 16 similar 17 capacity 17 capacity 18 to 17 capacity 19 participate 18 to 19 participate 19 participate 20 in 19 participate 26 with 20 in 21 endothelium 21 endothelium 24 contractions 22 - 24 contractions 23 dependent 24 contractions 24 contractions 25 , 26 with 29 and 27 augmented 28 expression 28 expression 29 and 29 and 30 activity cox - derived prostaglandin ( pg ) [h] ( 2 ) , pgf ( 2α ) , pge ( 2 ) , prostacyclin ( pgi ( 2 ) ) , and thromboxane a ( 2 ) ( txa ( 2 ) ) are the proposed edcfs that mediate endothelium - dependent contractions via the activation of thromboxane - prostanoid ( tp ) [receptor] in various vascular beds from different species . 0 ###LEFT-WALL### 31 and 0 ###LEFT-WALL### 43 are 0 ###LEFT-WALL### 71 . 1 cox 4 prostaglandin 1 cox 31 and 2 - 4 prostaglandin 3 derived 4 prostaglandin 4 prostaglandin 6 pg 4 prostaglandin 10 2 4 prostaglandin 13 pgf 4 prostaglandin 18 pge 4 prostaglandin 30 , 5 ( 6 pg 6 pg 7 ) 9 ( 10 2 10 2 11 ) 12 , 13 pgf 13 pgf 15 2α 13 pgf 16 ) 14 ( 15 2α 15 2α 16 ) 17 , 18 pge 18 pge 20 2 18 pge 23 prostacyclin 18 pge 30 , 19 ( 20 2 20 2 21 ) 22 , 23 prostacyclin 23 prostacyclin 25 pgi 23 prostacyclin 30 , 24 ( 25 pgi 25 pgi 27 2 25 pgi 29 ) 26 ( 27 2 27 2 28 ) 31 and 32 thromboxane 31 and 35 2 31 and 38 txa 31 and 43 are 32 thromboxane 33 a 34 ( 35 2 35 2 36 ) 37 ( 38 txa 38 txa 40 2 38 txa 42 ) 39 ( 40 2 40 2 41 ) 43 are 46 edcfs 44 the 46 edcfs 45 proposed 46 edcfs 46 edcfs 47 that 46 edcfs 48 mediate 47 that 48 mediate 48 mediate 49 endothelium 48 mediate 64 in 49 endothelium 52 contractions 50 - 52 contractions 51 dependent 52 contractions 52 contractions 53 via 52 contractions 61 tp 52 contractions 62 ) 53 via 55 activation 54 the 55 activation 55 activation 56 of 56 of 59 prostanoid 57 thromboxane 58 - 57 thromboxane 59 prostanoid 60 ( 61 tp 61 tp 62 ) 64 in 67 beds 65 various 67 beds 66 vascular 67 beds 67 beds 68 from 68 from 70 species 69 different 70 species although cox inhibition seems to be a possible strategy in combating cox - associated vascular complications , the incidence of adverse cardiovascular effects of vioxx has greatly antagonized this concept . 0 ###LEFT-WALL### 3 inhibition 0 ###LEFT-WALL### 4 seems 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 31 . 1 although 2 cox 1 although 3 inhibition 3 inhibition 4 seems 4 seems 5 to 4 seems 6 be 5 to 6 be 6 be 9 strategy 7 a 8 possible 7 a 9 strategy 8 possible 9 strategy 9 strategy 10 in 9 strategy 16 complications 10 in 11 combating 11 combating 12 cox 13 - 16 complications 14 associated 16 complications 15 vascular 16 complications 16 complications 17 , 17 , 19 incidence 17 , 28 antagonized 18 the 19 incidence 19 incidence 20 of 19 incidence 24 of 19 incidence 26 has 20 of 23 effects 21 adverse 23 effects 22 cardiovascular 23 effects 24 of 25 vioxx 26 has 28 antagonized 27 greatly 28 antagonized 28 antagonized 30 concept 29 this 30 concept further review of cox inhibitors is required , especially toward the selectivity of coxibs and whether it directly inhibits prostacyclin synthase activity . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 7 required 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 23 . 1 further 2 review 2 review 3 of 2 review 6 is 3 of 5 inhibitors 4 cox 5 inhibitors 6 is 7 required 8 , 17 it 8 , 19 inhibits 9 especially 17 it 10 toward 12 selectivity 10 toward 17 it 11 the 12 selectivity 12 selectivity 13 of 13 of 15 and 14 coxibs 15 and 15 and 16 whether 17 it 19 inhibits 18 directly 19 inhibits 19 inhibits 22 activity 20 prostacyclin 22 activity 21 synthase 22 activity meanwhile , tp receptor antagonism may emerge as a therapeutic alternative to reverse prostanoid - mediated vascular dysregulations . 0 ###LEFT-WALL### 5 antagonism 0 ###LEFT-WALL### 7 emerge 0 ###LEFT-WALL### 19 . 1 meanwhile 2 , 1 meanwhile 5 antagonism 3 tp 5 antagonism 4 receptor 5 antagonism 5 antagonism 6 may 6 may 7 emerge 7 emerge 8 as 7 emerge 12 to 8 as 11 alternative 9 a 10 therapeutic 9 a 11 alternative 10 therapeutic 11 alternative 12 to 13 reverse 13 reverse 18 dysregulations 14 prostanoid 15 - 14 prostanoid 18 dysregulations 16 mediated 18 dysregulations 17 vascular 18 dysregulations one year after the discovery in 1980 that the endothelium was obligatory for [acetylcholine] to relax isolated arteries , it was clearly shown that the endothelium could also promote contraction . 0 ###LEFT-WALL### 20 it 0 ###LEFT-WALL### 23 shown 0 ###LEFT-WALL### 31 . 1 one 2 year 2 year 3 after 3 after 5 discovery 3 after 17 isolated 3 after 19 , 3 after 20 it 4 the 5 discovery 5 discovery 6 in 5 discovery 15 to 5 discovery 16 relax 5 discovery 17 isolated 6 in 7 1980 7 1980 8 that 7 1980 13 for 8 that 10 endothelium 8 that 11 was 9 the 10 endothelium 10 endothelium 11 was 11 was 12 obligatory 12 obligatory 13 for 15 to 16 relax 17 isolated 18 arteries 20 it 21 was 21 was 22 clearly 21 was 23 shown 23 shown 24 that 24 that 26 endothelium 24 that 29 promote 25 the 26 endothelium 26 endothelium 27 could 27 could 29 promote 28 also 29 promote 29 promote 30 contraction in 1988 , dr yanagisawa 's group identified endothelin - 1 ( et - 1 ) as the first endothelium - derived contracting factor . 0 ###LEFT-WALL### 7 group 0 ###LEFT-WALL### 8 identified 0 ###LEFT-WALL### 21 - 1 in 2 1988 1 in 3 , 1 in 7 group 4 dr 5 yanagisawa 5 yanagisawa 6 's 6 's 7 group 7 group 8 identified 8 identified 9 endothelin 8 identified 17 as 9 endothelin 11 1 10 - 11 1 11 1 13 et 11 1 15 1 11 1 16 ) 12 ( 13 et 13 et 14 - 14 - 15 1 15 1 16 ) 17 as 20 endothelium 18 the 19 first 18 the 20 endothelium 21 - 24 factor 21 - 25 . 22 derived 24 factor 23 contracting 24 factor the discovery of two receptor subtypes in 1990 , et [(] a ) [and] et [(] b [ )(, permitted optimization of bosentan , which entered clinical development in 1993 , and was offered to patients with pulmonary arterial hypertension in 2001 [.] 0 ###LEFT-WALL### 2 discovery 0 ###LEFT-WALL### 6 subtypes 1 the 2 discovery 2 discovery 3 of 2 discovery 6 subtypes 3 of 5 receptor 4 two 5 receptor 6 subtypes 7 in 6 subtypes 15 et 7 in 8 1990 8 1990 10 et 9 , 10 et 10 et 12 a 10 et 13 ) 15 et 17 b 15 et 21 optimization 15 et 25 which 19 )(, 21 optimization 20 permitted 21 optimization 21 optimization 22 of 21 optimization 24 , 22 of 23 bosentan 24 , 25 which 25 which 32 and 26 entered 28 development 26 entered 29 in 26 entered 32 and 27 clinical 28 development 29 in 30 1993 31 , 32 and 32 and 33 was 33 was 34 offered 34 offered 35 to 34 offered 37 with 35 to 36 patients 37 with 40 hypertension 38 pulmonary 40 hypertension 39 arterial 40 hypertension 40 hypertension 41 in 41 in 42 2001 in this report , we discuss the physiological and pathophysiological role of endothelium - derived et - 1 , the pharmacology of its two receptors , focusing on the regulation of the vascular tone and as much as possible in humans . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 discuss 0 ###LEFT-WALL### 42 . 1 in 3 report 1 in 4 , 1 in 5 we 2 this 3 report 5 we 6 discuss 6 discuss 11 role 7 the 11 role 8 physiological 9 and 9 and 10 pathophysiological 9 and 11 role 11 role 12 of 11 role 27 focusing 12 of 13 endothelium 13 endothelium 16 et 14 - 16 et 15 derived 16 et 16 et 18 1 16 et 21 pharmacology 16 et 26 , 17 - 18 1 18 1 19 , 19 , 21 pharmacology 20 the 21 pharmacology 21 pharmacology 22 of 21 pharmacology 26 , 22 of 25 receptors 23 its 24 two 24 two 25 receptors 27 focusing 28 on 28 on 30 regulation 29 the 30 regulation 30 regulation 31 of 30 regulation 35 and 31 of 33 vascular 32 the 33 vascular 34 tone 35 and 35 and 37 much 35 and 39 possible 35 and 40 in 36 as 37 much 38 as 39 possible 40 in 41 humans the coronary bed will be used as a running example , but references to the pulmonary , cerebral , and renal circulation will also be made . 0 ###LEFT-WALL### 25 be 0 ###LEFT-WALL### 27 . 1 the 2 coronary 2 coronary 4 will 2 coronary 13 references 2 coronary 23 will 3 bed 4 will 4 will 12 but 5 be 6 used 5 be 12 but 6 used 7 as 7 as 10 example 8 a 10 example 9 running 10 example 11 , 12 but 12 but 13 references 13 references 14 to 14 to 22 circulation 15 the 22 circulation 16 pulmonary 17 , 17 , 18 cerebral 17 , 20 and 19 , 20 and 20 and 21 renal 20 and 22 circulation 23 will 25 be 24 also 25 be 25 be 26 made many of the cardiovascular complications associated with aging and cardiovascular risk factors are initially attributable [,] at least in part , to endothelial dysfunction , [particularly] dysregulation of the vascular function associated with an imbalance in the close interdependence of no and et - 1 , in which the implication of the et [(] b [ )(receptor may be central [.] 1 many 2 of 1 many 9 and 2 of 9 and 3 the 5 complications 4 cardiovascular 5 complications 5 complications 6 associated 5 complications 7 with 5 complications 9 and 7 with 8 aging 9 and 10 cardiovascular 9 and 12 factors 9 and 19 in 9 and 20 part 11 risk 12 factors 12 factors 13 are 13 are 14 initially 13 are 15 attributable 15 attributable 18 least 15 attributable 19 in 17 at 18 least 20 part 22 to 20 part 27 dysregulation 21 , 22 to 22 to 24 dysfunction 22 to 25 , 23 endothelial 24 dysfunction 27 dysregulation 28 of 27 dysregulation 33 with 28 of 31 function 29 the 31 function 30 vascular 31 function 31 function 32 associated 33 with 42 and 34 an 35 imbalance 35 imbalance 36 in 35 imbalance 40 of 35 imbalance 42 and 36 in 39 interdependence 37 the 39 interdependence 38 close 39 interdependence 40 of 41 no 42 and 43 et 43 et 45 1 43 et 47 in 44 - 45 1 45 1 46 , 47 in 48 which 47 in 50 implication 47 in 59 be 49 the 50 implication 50 implication 51 of 50 implication 58 may 51 of 57 )(receptor 52 the 57 )(receptor 53 et 55 b 53 et 57 )(receptor 58 may 59 be 59 be 60 central the aging process is characterized by gradual changes to an organism 's macromolecules , which negatively impacts biological processes . 0 ###LEFT-WALL### 3 process 0 ###LEFT-WALL### 5 characterized 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 20 . 1 the 3 process 2 aging 3 process 3 process 4 is 4 is 5 characterized 5 characterized 6 by 5 characterized 9 to 6 by 8 changes 7 gradual 8 changes 9 to 13 macromolecules 10 an 11 organism 11 organism 12 's 12 's 13 macromolecules 14 , 15 which 14 , 17 impacts 15 which 17 impacts 16 negatively 17 impacts 17 impacts 19 processes 18 biological 19 processes the complex macromolecular structure of chromatin regulates all nuclear processes requiring access to the dna sequence . 0 ###LEFT-WALL### 4 structure 0 ###LEFT-WALL### 7 regulates 0 ###LEFT-WALL### 17 . 1 the 4 structure 2 complex 4 structure 3 macromolecular 4 structure 4 structure 5 of 4 structure 7 regulates 5 of 6 chromatin 7 regulates 10 processes 8 all 10 processes 9 nuclear 10 processes 10 processes 11 requiring 11 requiring 12 access 11 requiring 13 to 13 to 16 sequence 14 the 16 sequence 15 dna 16 sequence as such [,] maintenance of chromatin structure is an integral component to deter premature aging . 0 ###LEFT-WALL### 7 structure 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 16 . 1 as 4 maintenance 1 as 7 structure 2 such 4 maintenance 4 maintenance 5 of 5 of 6 chromatin 7 structure 8 is 8 is 11 component 9 an 10 integral 9 an 11 component 10 integral 11 component 11 component 12 to 11 component 13 deter 12 to 13 deter 13 deter 15 aging 14 premature 15 aging in this review , we describe current research that links aging to chromatin structure . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 describe 0 ###LEFT-WALL### 15 . 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 6 describe 6 describe 8 research 7 current 8 research 8 research 9 that 8 research 14 structure 9 that 10 links 9 that 14 structure 10 links 11 aging 10 links 14 structure 11 aging 12 to 12 to 13 chromatin histone modifications influence chromatin compaction and gene expression and undergo many changes during aging . 0 ###LEFT-WALL### 2 modifications 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 15 . 1 histone 2 modifications 2 modifications 9 and 3 influence 6 and 3 influence 9 and 4 chromatin 5 compaction 5 compaction 6 and 6 and 8 expression 7 gene 8 expression 9 and 10 undergo 10 undergo 12 changes 10 undergo 13 during 11 many 12 changes 13 during 14 aging histone protein levels also decline during aging , dramatically affecting chromatin structure . 0 ###LEFT-WALL### 3 levels 0 ###LEFT-WALL### 5 decline 1 histone 3 levels 2 protein 3 levels 3 levels 5 decline 4 also 5 decline 5 decline 6 during 6 during 7 aging 7 aging 10 affecting 8 , 10 affecting 9 dramatically 10 affecting 10 affecting 12 structure 10 affecting 13 . 11 chromatin 12 structure excitingly , lifespan can be extended by manipulations that reverse the age - dependent changes to chromatin structure , indicating the pivotal role chromatin structure plays during aging . 0 ###LEFT-WALL### 3 lifespan 0 ###LEFT-WALL### 6 extended 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 29 . 1 excitingly 2 , 1 excitingly 3 lifespan 3 lifespan 4 can 4 can 5 be 5 be 6 extended 6 extended 7 by 7 by 8 manipulations 8 manipulations 9 that 8 manipulations 10 reverse 9 that 10 reverse 10 reverse 12 age 11 the 12 age 12 age 15 changes 13 - 15 changes 14 dependent 15 changes 15 changes 16 to 15 changes 19 , 16 to 18 structure 17 chromatin 18 structure 19 , 20 indicating 19 , 26 plays 20 indicating 25 structure 20 indicating 26 plays 21 the 25 structure 22 pivotal 23 role 23 role 25 structure 24 chromatin 25 structure 26 plays 27 during 27 during 28 aging while none - metabolized polyphenols might exert their antioxidant effects mainly in the oral cavity , metabolized polyphenols might be beneficial in the gastrointestinal tract to counteract the toxicity of oxidants and also [of] the sequelae of inflammatory processes . 0 ###LEFT-WALL### 5 polyphenols 0 ###LEFT-WALL### 7 exert 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 40 . 1 while 2 none 1 while 3 - 1 while 5 polyphenols 4 metabolized 5 polyphenols 5 polyphenols 6 might 6 might 7 exert 7 exert 10 effects 7 exert 11 mainly 8 their 10 effects 9 antioxidant 10 effects 11 mainly 12 in 12 in 15 cavity 13 the 15 cavity 14 oral 15 cavity 16 , 18 polyphenols 16 , 27 counteract 17 metabolized 18 polyphenols 18 polyphenols 19 might 19 might 20 be 20 be 21 beneficial 21 beneficial 22 in 21 beneficial 26 to 21 beneficial 27 counteract 22 in 25 tract 23 the 25 tract 24 gastrointestinal 25 tract 26 to 27 counteract 27 counteract 32 and 28 the 29 toxicity 29 toxicity 30 of 29 toxicity 32 and 30 of 31 oxidants 32 and 33 also 32 and 36 sequelae 35 the 36 sequelae 36 sequelae 37 of 37 of 39 processes 38 inflammatory 39 processes although only micromolar amounts of polyphenols and their metabolites eventually reach the blood circulation , these may nevertheless still be highly effective as scavengers of reactive oxygen and nitrogen species because of their ability to synergize with plasma low molecular - weight antioxidants and with albumin . 0 ###LEFT-WALL### 16 these 0 ###LEFT-WALL### 20 be 0 ###LEFT-WALL### 47 . 1 although 7 and 1 although 11 reach 1 although 15 , 1 although 16 these 2 only 3 micromolar 3 micromolar 4 amounts 4 amounts 5 of 4 amounts 7 and 5 of 7 and 6 polyphenols 7 and 7 and 9 metabolites 7 and 11 reach 8 their 9 metabolites 10 eventually 11 reach 11 reach 14 circulation 12 the 14 circulation 13 blood 14 circulation 16 these 17 may 17 may 20 be 18 nevertheless 20 be 19 still 20 be 20 be 22 effective 21 highly 22 effective 22 effective 23 as 22 effective 32 of 22 effective 35 to 23 as 24 scavengers 24 scavengers 25 of 25 of 28 and 26 reactive 27 oxygen 27 oxygen 28 and 28 and 30 species 29 nitrogen 30 species 31 because 32 of 32 of 34 ability 33 their 34 ability 35 to 36 synergize 36 synergize 44 and 37 with 43 antioxidants 37 with 44 and 38 plasma 39 low 39 low 43 antioxidants 40 molecular 41 - 40 molecular 42 weight 42 weight 43 antioxidants 44 and 45 with 45 with 46 albumin polyphenols can avidly bind to surfaces of microorganisms [and] of blood cells to markedly enhance their osa , therefore the routine quantifications of antioxidant levels conducted in clinical settings should always use [catalase] - rich whole blood but not as customary , plasma alone . 0 ###LEFT-WALL### 1 polyphenols 0 ###LEFT-WALL### 4 bind 0 ###LEFT-WALL### 45 . 1 polyphenols 2 can 2 can 4 bind 3 avidly 4 bind 4 bind 5 to 4 bind 13 to 4 bind 37 blood 4 bind 44 alone 5 to 6 surfaces 6 surfaces 7 of 6 surfaces 10 of 7 of 8 microorganisms 10 of 12 cells 11 blood 12 cells 13 to 15 enhance 14 markedly 15 enhance 15 enhance 17 osa 16 their 17 osa 17 osa 22 quantifications 18 , 19 therefore 18 , 22 quantifications 20 the 22 quantifications 21 routine 22 quantifications 22 quantifications 23 of 22 quantifications 34 - 23 of 24 antioxidant 24 antioxidant 25 levels 24 antioxidant 32 use 25 levels 26 conducted 25 levels 27 in 25 levels 30 should 27 in 29 settings 28 clinical 29 settings 30 should 32 use 31 always 32 use 35 rich 37 blood 36 whole 37 blood 37 blood 38 but 38 but 39 not 38 but 43 plasma 40 as 41 customary 41 customary 42 , 41 customary 43 plasma in addition to their antioxidant and metal chelating properties , polyphenols may also act as signaling agents capable of affecting metabolic , inflammatory , autoimmune , carcinogenic and aging processes . 0 ###LEFT-WALL### 11 polyphenols 0 ###LEFT-WALL### 31 . 1 in 6 and 1 in 11 polyphenols 2 addition 3 to 2 addition 6 and 3 to 5 antioxidant 4 their 5 antioxidant 6 and 7 metal 8 chelating 9 properties 8 chelating 10 , 8 chelating 11 polyphenols 11 polyphenols 12 may 12 may 14 act 13 also 14 act 14 act 15 as 14 act 18 capable 15 as 17 agents 16 signaling 17 agents 18 capable 19 of 19 of 20 affecting 20 affecting 30 processes 21 metabolic 22 , 22 , 23 inflammatory 22 , 24 , 24 , 25 autoimmune 24 , 26 , 26 , 27 carcinogenic 26 , 28 and 28 and 29 aging 28 and 30 processes background : stroke is a leading cause of death and disability in south africa . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 . 2 : 3 stroke 2 : 4 is 3 stroke 4 is 4 is 7 cause 5 a 7 cause 6 leading 7 cause 7 cause 8 of 8 of 10 and 9 death 10 and 10 and 11 disability 10 and 12 in 12 in 14 africa 13 south 14 africa objective . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 . the objective was to update the guideline published in 2000 , to place the recommendations within the current south african context , and to grade evidence according to the level of scientific rigour . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 8 published 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 34 . 1 the 2 objective 2 objective 3 was 3 was 4 to 3 was 8 published 4 to 5 update 5 update 7 guideline 6 the 7 guideline 8 published 9 in 9 in 10 2000 11 , 12 to 11 , 23 and 12 to 23 and 13 place 15 recommendations 13 place 16 within 13 place 23 and 14 the 15 recommendations 16 within 21 context 17 the 21 context 18 current 21 context 19 south 21 context 20 african 21 context 22 , 23 and 23 and 24 to 23 and 25 grade 24 to 25 grade 25 grade 26 evidence 25 grade 28 to 27 according 28 to 28 to 30 level 29 the 30 level 30 level 31 of 31 of 33 rigour 32 scientific 33 rigour recommendations : ideally , all patients [with] [acute] stroke should be managed in a dedicated stroke unit . 0 ###LEFT-WALL### 1 recommendations 0 ###LEFT-WALL### 2 : 2 : 5 all 2 : 12 managed 2 : 18 . 3 ideally 4 , 3 ideally 5 all 5 all 6 patients 5 all 9 stroke 5 all 10 should 6 patients 9 stroke 10 should 11 be 11 be 12 managed 12 managed 13 in 13 in 17 unit 14 a 17 unit 15 dedicated 16 stroke 16 stroke 17 unit there is ample evidence that protocol [-] driven multidisciplinary stroke unit care within a hospital improves recovery from [stroke] . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 20 . 1 there 2 is 2 is 4 evidence 3 ample 4 evidence 4 evidence 5 that 4 evidence 18 from 5 that 12 care 5 that 16 improves 6 protocol 8 driven 8 driven 11 unit 9 multidisciplinary 11 unit 10 stroke 11 unit 11 unit 12 care 12 care 13 within 12 care 16 improves 13 within 15 hospital 14 a 15 hospital 16 improves 17 recovery 16 improves 18 from treatment in a stroke unit has been shown to reduce mortality as well as [reduce] the likelihood of dependency [after] [stroke] . 0 ###LEFT-WALL### 1 treatment 0 ###LEFT-WALL### 8 shown 0 ###LEFT-WALL### 22 . 1 treatment 2 in 1 treatment 6 has 2 in 5 unit 3 a 5 unit 4 stroke 5 unit 6 has 7 been 7 been 8 shown 8 shown 9 to 8 shown 14 as 9 to 10 reduce 10 reduce 11 mortality 12 as 13 well 13 well 14 as 14 as 17 likelihood 16 the 17 likelihood 17 likelihood 18 of 18 of 19 dependency an effective stroke service requires the establishment of a seamless network consisting of acute stroke units , post - acute care and rehabilitation , and further care in the community . 0 ###LEFT-WALL### 4 service 0 ###LEFT-WALL### 5 requires 0 ###LEFT-WALL### 31 . 1 an 2 effective 1 an 4 service 2 effective 3 stroke 3 stroke 4 service 4 service 5 requires 5 requires 27 care 6 the 7 establishment 7 establishment 8 of 7 establishment 25 and 8 of 11 network 9 a 11 network 10 seamless 11 network 11 network 12 consisting 12 consisting 13 of 13 of 16 units 14 acute 15 stroke 15 stroke 16 units 16 units 18 post 16 units 22 and 17 , 18 post 18 post 19 - 19 - 22 and 20 acute 21 care 21 care 22 and 22 and 23 rehabilitation 22 and 24 , 24 , 25 and 25 and 26 further 25 and 27 care 27 care 28 in 28 in 30 community 29 the 30 community primary preventive measures reduce [stroke] [incidence] [and] should be universally available and actively promoted at all levels of health care in south africa . 0 ###LEFT-WALL### 1 primary 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 24 . 1 primary 3 measures 1 primary 4 reduce 1 primary 12 and 2 preventive 3 measures 3 measures 4 reduce 8 should 9 be 8 should 12 and 9 be 10 universally 9 be 11 available 12 and 14 promoted 12 and 15 at 12 and 21 in 13 actively 14 promoted 15 at 17 levels 16 all 17 levels 17 levels 18 of 18 of 20 care 19 health 20 care 21 in 23 africa 22 south 23 africa successful care of a stroke patient begins with recognition by the public and health professionals that stroke should be considered an emergency . 0 ###LEFT-WALL### 2 care 0 ###LEFT-WALL### 7 begins 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 23 . 1 successful 2 care 2 care 3 of 2 care 7 begins 3 of 6 patient 4 a 6 patient 5 stroke 6 patient 7 begins 8 with 7 begins 10 by 8 with 9 recognition 10 by 12 public 11 the 12 public 13 and 15 professionals 13 and 20 considered 14 health 15 professionals 15 professionals 17 stroke 15 professionals 19 be 15 professionals 20 considered 16 that 17 stroke 17 stroke 18 should 18 should 19 be 20 considered 22 emergency 21 an 22 emergency avoiding delay should be the major aim of the prehospital phase of acute stroke care . 0 ###LEFT-WALL### 1 avoiding 0 ###LEFT-WALL### 4 be 0 ###LEFT-WALL### 16 . 1 avoiding 2 delay 1 avoiding 3 should 3 should 4 be 4 be 7 aim 5 the 7 aim 6 major 7 aim 7 aim 8 of 8 of 11 phase 9 the 11 phase 10 prehospital 11 phase 11 phase 12 of 12 of 15 care 13 acute 14 stroke 14 stroke 15 care acute stroke or transient ischaemic attack ( tia ) should be treated as a medical emergency and evaluated with minimum delay . 0 ###LEFT-WALL### 2 stroke 0 ###LEFT-WALL### 3 or 0 ###LEFT-WALL### 22 . 1 acute 2 stroke 3 or 6 attack 3 or 11 be 4 transient 6 attack 5 ischaemic 6 attack 6 attack 8 tia 6 attack 10 should 7 ( 8 tia 8 tia 9 ) 10 should 11 be 11 be 17 and 12 treated 13 as 12 treated 17 and 13 as 16 emergency 14 a 15 medical 14 a 16 emergency 15 medical 16 emergency 17 and 18 evaluated 17 and 19 with 19 with 21 delay 20 minimum 21 delay general supportive treatment is emphasised and is directed at maintaining homeostasis and the treatment of complications . 0 ###LEFT-WALL### 3 treatment 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 17 . 1 general 3 treatment 2 supportive 3 treatment 3 treatment 6 and 4 is 5 emphasised 4 is 6 and 6 and 7 is 7 is 8 directed 8 directed 9 at 9 at 10 maintaining 10 maintaining 12 and 11 homeostasis 12 and 12 and 14 treatment 12 and 15 of 13 the 14 treatment 15 of 16 complications intravenous thrombolytic therapy with recombinant tissue plasminogen [activator] ( tpa ) is an accepted therapy [for] acute ischaemic stroke within 4.5 hours of onset [of] symptoms , but can only be administered at centres with specific resources . 0 ###LEFT-WALL### 3 therapy 0 ###LEFT-WALL### 28 but 0 ###LEFT-WALL### 38 . 1 intravenous 3 therapy 2 thrombolytic 3 therapy 3 therapy 4 with 3 therapy 28 but 4 with 7 plasminogen 5 recombinant 6 tissue 6 tissue 7 plasminogen 7 plasminogen 10 tpa 9 ( 10 tpa 10 tpa 11 ) 12 is 19 stroke 12 is 20 within 12 is 28 but 13 an 19 stroke 14 accepted 15 therapy 15 therapy 19 stroke 17 acute 19 stroke 18 ischaemic 19 stroke 20 within 22 hours 21 4.5 22 hours 22 hours 23 of 23 of 26 symptoms 24 onset 26 symptoms 27 , 28 but 28 but 29 can 29 can 31 be 30 only 31 be 31 be 32 administered 32 administered 33 at 32 administered 35 with 33 at 34 centres 35 with 37 resources 36 specific 37 resources awareness and treatment of the neurological and systemic complications [of] acute stroke are an integral part of management . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 13 are 0 ###LEFT-WALL### 19 . 1 awareness 2 and 2 and 3 treatment 2 and 4 of 2 and 7 and 4 of 6 neurological 5 the 6 neurological 7 and 12 stroke 7 and 13 are 8 systemic 9 complications 9 complications 12 stroke 11 acute 12 stroke 13 are 16 part 14 an 15 integral 14 an 16 part 15 integral 16 part 16 part 17 of 17 of 18 management patients with suspected tia and minor stroke with early spontaneous recovery should be evaluated as soon as possible after an event . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 14 evaluated 0 ###LEFT-WALL### 22 . 1 patients 2 with 1 patients 12 should 2 with 5 and 3 suspected 4 tia 4 tia 5 and 5 and 7 stroke 5 and 8 with 6 minor 7 stroke 8 with 11 recovery 9 early 11 recovery 10 spontaneous 11 recovery 12 should 13 be 13 be 14 evaluated 14 evaluated 16 soon 14 evaluated 17 as 15 as 16 soon 17 as 18 possible 18 possible 19 after 19 after 21 event 20 an 21 event brain imaging is recommended , and [non] - invasive imaging of the cervicocephalic vessels should be performed urgently and routinely as part of the evaluation . 0 ###LEFT-WALL### 2 imaging 0 ###LEFT-WALL### 4 recommended 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 26 . 1 brain 2 imaging 2 imaging 3 is 3 is 4 recommended 5 , 6 and 6 and 8 - 6 and 17 performed 8 - 10 imaging 9 invasive 10 imaging 10 imaging 11 of 10 imaging 15 should 11 of 14 vessels 12 the 14 vessels 13 cervicocephalic 14 vessels 15 should 16 be 16 be 17 performed 17 performed 19 and 17 performed 21 as 18 urgently 19 and 19 and 20 routinely 21 as 22 part 22 part 23 of 23 of 25 evaluation 24 the 25 evaluation carotid endarterectomy ( cea ) is recommended for patients with severe ( 70 - 99 % ) ipsilateral stenosis , and the procedure should be performed as soon as possible after the last ischaemic event - [ideally] within 2 weeks - in centres with a peri [-] operative complication rate ( all strokes and death ) of less than 6 % . 0 ###LEFT-WALL### 2 endarterectomy 0 ###LEFT-WALL### 7 recommended 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 62 . 1 carotid 2 endarterectomy 2 endarterectomy 4 cea 2 endarterectomy 6 is 3 ( 4 cea 4 cea 5 ) 6 is 7 recommended 7 recommended 8 for 7 recommended 10 with 8 for 9 patients 10 with 19 stenosis 11 severe 14 - 11 severe 19 stenosis 12 ( 14 - 13 70 14 - 14 - 16 % 14 - 17 ) 15 99 16 % 18 ipsilateral 19 stenosis 20 , 21 and 21 and 23 procedure 21 and 26 performed 22 the 23 procedure 23 procedure 24 should 24 should 25 be 25 be 26 performed 26 performed 28 soon 26 performed 30 possible 27 as 28 soon 29 as 30 possible 30 possible 31 after 30 possible 42 in 30 possible 44 with 31 after 35 event 32 the 33 last 32 the 35 event 34 ischaemic 35 event 35 event 38 within 36 - 38 within 38 within 40 weeks 38 within 41 - 39 2 40 weeks 42 in 43 centres 44 with 50 rate 45 a 50 rate 46 peri 49 complication 48 operative 49 complication 49 complication 50 rate 50 rate 54 and 50 rate 57 of 51 ( 54 and 52 all 53 strokes 53 strokes 54 and 54 and 55 death 54 and 56 ) 57 of 61 % 58 less 59 than 59 than 60 6 60 6 61 % survivors of a tia or stroke have an increased risk of another stroke , which is a major source of increased mortality and morbidity . 0 ###LEFT-WALL### 1 survivors 0 ###LEFT-WALL### 7 have 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 25 . 1 survivors 2 of 1 survivors 7 have 2 of 5 or 3 a 4 tia 4 tia 5 or 5 or 6 stroke 7 have 10 risk 8 an 10 risk 9 increased 10 risk 10 risk 11 of 11 of 13 stroke 12 another 13 stroke 14 , 15 which 14 , 16 is 15 which 16 is 16 is 19 source 17 a 18 major 17 a 19 source 18 major 19 source 19 source 20 of 20 of 23 and 21 increased 22 mortality 22 mortality 23 and 23 and 24 morbidity secondary prevention strategies are aimed at reducing this risk . 0 ###LEFT-WALL### 3 strategies 0 ###LEFT-WALL### 5 aimed 0 ###LEFT-WALL### 10 . 1 secondary 2 prevention 2 prevention 3 strategies 3 strategies 4 are 4 are 5 aimed 5 aimed 6 at 6 at 7 reducing 7 reducing 9 risk 8 this 9 risk stroke rehabilitation is a goal - orientated process that attempts to obtain maximum function [in] patients who have had strokes and who suffer from a combination of physical , cognitive and language disabilities . 0 ###LEFT-WALL### 2 rehabilitation 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 12 obtain 0 ###LEFT-WALL### 34 . 1 stroke 2 rehabilitation 2 rehabilitation 3 is 3 is 5 goal 4 a 5 goal 6 - 8 process 7 orientated 8 process 8 process 9 that 8 process 10 attempts 9 that 10 attempts 10 attempts 11 to 11 to 12 obtain 12 obtain 16 patients 12 obtain 24 from 13 maximum 16 patients 14 function 16 patients 16 patients 17 who 16 patients 18 have 17 who 18 have 18 have 19 had 19 had 21 and 19 had 23 suffer 20 strokes 21 and 21 and 22 who 24 from 26 combination 25 a 26 combination 26 combination 27 of 27 of 31 and 28 physical 29 , 29 , 30 cognitive 29 , 31 and 31 and 33 disabilities 32 language 33 disabilities none none objectives : to assess the relationship between telomere length and adiposity , using dual - energy x - ray absorptiometry ( dxa ) and magnetic resonance imaging ( mri ) , in addition to conventional anthropometric proxies including body mass index [(] bmi ) and cardiovascular disease risk factors . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 6 assess 0 ###LEFT-WALL### 52 . 1 none 3 objectives 1 none 5 to 1 none 6 assess 2 none 3 objectives 3 objectives 4 : 4 : 5 to 6 assess 47 and 6 assess 50 risk 7 the 8 relationship 8 relationship 9 between 8 relationship 12 and 9 between 11 length 10 telomere 11 length 12 and 13 adiposity 12 and 14 , 12 and 15 using 12 and 24 dxa 12 and 26 and 15 using 22 absorptiometry 16 dual 18 energy 16 dual 20 - 16 dual 21 ray 17 - 18 energy 18 energy 19 x 18 energy 20 - 21 ray 22 absorptiometry 23 ( 24 dxa 24 dxa 25 ) 26 and 29 imaging 26 and 31 mri 26 and 34 in 26 and 47 and 27 magnetic 28 resonance 28 resonance 29 imaging 30 ( 31 mri 31 mri 32 ) 33 , 34 in 34 in 35 addition 34 in 46 ) 35 addition 36 to 36 to 39 proxies 37 conventional 39 proxies 38 anthropometric 39 proxies 39 proxies 40 including 40 including 45 bmi 41 body 43 index 42 mass 43 index 43 index 45 bmi 47 and 49 disease 47 and 50 risk 48 cardiovascular 49 disease 50 risk 51 factors methods : a cross - sectional sample [of] 309 [non] - hispanic white participants in the fels longitudinal study aged 8 to 80 yr ( 52 % [female] ) was included . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 - 1 methods 2 : 2 : 4 cross 3 a 4 cross 4 cross 7 sample 5 - 7 sample 6 sectional 7 sample 7 sample 9 309 7 sample 11 - 11 - 13 white 11 - 32 . 12 hispanic 13 white 13 white 14 participants 13 white 15 in 15 in 18 longitudinal 16 the 18 longitudinal 17 fels 18 longitudinal 18 longitudinal 19 study 18 longitudinal 30 was 18 longitudinal 31 included 19 study 20 aged 19 study 22 to 19 study 27 % 19 study 30 was 20 aged 21 8 22 to 24 yr 23 80 24 yr 25 ( 27 % 26 52 27 % 27 % 29 ) average telomere length was measured by quantitative pcr . 0 ###LEFT-WALL### 3 length 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 9 . 1 average 3 length 2 telomere 3 length 3 length 4 was 4 was 5 measured 5 measured 6 by 6 by 8 pcr 7 quantitative 8 pcr results : telomere length was negatively correlated with age ( r = - 0.32 , p < 0.0001 ) and had numerous significant correlations with established cardiovascular disease risk factors including waist circumference ( r = - 0.33 [ )(, apolipoprotein b ( r = - 0.26 ) , systolic blood pressure ( r = - 0.28 ) , and fasting serum glucose ( r = - 0.15 ) ; all p < 0.0025 . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 75 . 2 : 4 length 2 : 20 and 2 : 70 ; 2 : 73 < 3 telomere 4 length 4 length 20 and 5 was 7 correlated 5 was 20 and 6 negatively 7 correlated 7 correlated 8 with 7 correlated 12 = 7 correlated 17 < 8 with 9 age 10 ( 12 = 11 r 12 = 12 = 13 - 13 - 14 0.32 13 - 17 < 15 , 17 < 16 p 17 < 17 < 18 0.0001 17 < 19 ) 20 and 21 had 21 had 24 correlations 21 had 25 with 21 had 29 risk 22 numerous 24 correlations 23 significant 24 correlations 25 with 28 disease 26 established 28 disease 27 cardiovascular 28 disease 29 risk 60 and 29 risk 67 - 30 factors 31 including 30 factors 60 and 31 including 41 apolipoprotein 32 waist 33 circumference 33 circumference 41 apolipoprotein 34 ( 37 - 35 r 36 = 36 = 37 - 37 - 38 0.33 37 - 40 )(, 37 - 41 apolipoprotein 41 apolipoprotein 42 b 41 apolipoprotein 46 - 41 apolipoprotein 52 pressure 43 ( 46 - 44 r 45 = 45 = 46 - 46 - 47 0.26 46 - 48 ) 49 , 52 pressure 50 systolic 51 blood 51 blood 52 pressure 52 pressure 56 - 52 pressure 58 ) 53 ( 56 - 54 r 55 = 55 = 56 - 56 - 57 0.28 56 - 58 ) 59 , 60 and 60 and 63 glucose 61 fasting 62 serum 62 serum 63 glucose 64 ( 67 - 65 r 66 = 66 = 67 - 67 - 68 0.15 67 - 69 ) 70 ; 71 all 71 all 73 < 72 p 73 < 73 < 74 0.0025 in [backward] selection linear regression models of telomere length , adiposity measures were consistently retained in the best models [;] bmi , waist circumference , hip circumference , total body fat , and visceral adipose tissue volume were all inversely associated with telomere length at the nominal p < 0.05 level or lower , independent of age , sex , systolic blood pressure , and fasting serum lipid , lipoprotein , and glucose concentrations . 1 in 3 selection 1 in 11 adiposity 3 selection 5 regression 3 selection 6 models 4 linear 5 regression 5 regression 6 models 7 of 9 length 7 of 10 , 7 of 11 adiposity 8 telomere 9 length 11 adiposity 12 measures 11 adiposity 13 were 11 adiposity 15 retained 12 measures 13 were 14 consistently 15 retained 15 retained 16 in 15 retained 19 models 16 in 18 best 17 the 18 best 19 models 21 bmi 19 models 29 total 21 bmi 24 circumference 21 bmi 27 circumference 21 bmi 29 total 22 , 24 circumference 23 waist 24 circumference 24 circumference 25 , 25 , 27 circumference 26 hip 27 circumference 27 circumference 28 , 29 total 30 body 30 body 33 and 30 body 38 were 30 body 41 associated 31 fat 33 and 32 , 33 and 33 and 37 volume 33 and 38 were 34 visceral 35 adipose 35 adipose 36 tissue 36 tissue 37 volume 39 all 41 associated 40 inversely 41 associated 41 associated 42 with 41 associated 45 at 42 with 44 length 43 telomere 44 length 45 at 52 or 46 the 51 level 47 nominal 49 < 47 nominal 51 level 48 p 49 < 49 < 50 0.05 51 level 52 or 52 or 55 independent 52 or 56 of 53 lower 54 , 53 lower 55 independent 56 of 57 age 57 age 65 and 58 , 65 and 59 sex 60 , 60 , 63 pressure 60 , 65 and 61 systolic 62 blood 62 blood 63 pressure 64 , 65 and 65 and 74 concentrations 65 and 75 . 66 fasting 67 serum 67 serum 74 concentrations 68 lipid 69 , 69 , 70 lipoprotein 69 , 72 and 71 , 72 and 72 and 73 glucose 72 and 74 concentrations the negative association of bmi with telomere length was stronger among younger than older participants ( [p] for interaction , 0.03 ) . 0 ###LEFT-WALL### 3 association 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 23 . 1 the 3 association 2 negative 3 association 3 association 4 of 3 association 9 was 4 of 5 bmi 5 bmi 6 with 6 with 8 length 7 telomere 8 length 9 was 10 stronger 10 stronger 11 among 10 stronger 18 for 11 among 15 participants 12 younger 15 participants 13 than 14 older 14 older 15 participants 16 ( 18 for 18 for 19 interaction 18 for 22 ) 19 interaction 21 0.03 20 , 21 0.03 21 0.03 22 ) conclusions : individuals with higher total and abdominal adiposity have lower telomere length , a marker of cellular senescence , suggesting obesity may hasten the aging process . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 individuals 2 : 10 have 2 : 20 , 2 : 28 . 3 individuals 4 with 3 individuals 10 have 4 with 9 adiposity 5 higher 9 adiposity 6 total 7 and 7 and 8 abdominal 7 and 9 adiposity 10 have 13 length 11 lower 13 length 12 telomere 13 length 13 length 16 marker 14 , 16 marker 15 a 16 marker 16 marker 17 of 16 marker 20 , 17 of 19 senescence 18 cellular 19 senescence 20 , 21 suggesting 20 , 24 hasten 21 suggesting 22 obesity 21 suggesting 23 may 23 may 24 hasten 24 hasten 27 process 25 the 27 process 26 aging 27 process longitudinal studies are required to establish the causal association of early life adiposity with biological aging . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 required 0 ###LEFT-WALL### 17 . 1 longitudinal 2 studies 2 studies 3 are 3 are 4 required 4 required 5 to 4 required 6 establish 5 to 6 establish 6 establish 9 association 6 establish 14 with 7 the 9 association 8 causal 9 association 9 association 10 of 10 of 13 adiposity 11 early 12 life 12 life 13 adiposity 14 with 16 aging 15 biological 16 aging objectives : concerns regarding change in the onset and tempo of pubertal growth in ethnic chinese have posed a need for current information on growth characteristics . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 2 : 3 concerns 2 : 18 posed 3 concerns 4 regarding 3 concerns 17 have 4 regarding 5 change 4 regarding 6 in 4 regarding 14 in 6 in 9 and 7 the 8 onset 8 onset 9 and 9 and 10 tempo 9 and 11 of 11 of 13 growth 12 pubertal 13 growth 14 in 16 chinese 15 ethnic 16 chinese 17 have 18 posed 18 posed 20 need 18 posed 21 for 18 posed 24 on 19 a 20 need 21 for 23 information 22 current 23 information 24 on 26 characteristics 25 growth 26 characteristics this study is to update the normative data of pubertal linear growth characteristics and distribution of age at menarche in healthy chinese adolescents . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 24 . 1 this 2 study 2 study 3 is 3 is 4 to 3 is 5 update 4 to 5 update 5 update 8 data 5 update 20 in 6 the 8 data 7 normative 8 data 8 data 9 of 9 of 14 and 10 pubertal 12 growth 11 linear 12 growth 12 growth 13 characteristics 13 characteristics 14 and 14 and 15 distribution 14 and 16 of 16 of 17 age 17 age 18 at 18 at 19 menarche 20 in 23 adolescents 21 healthy 22 chinese 22 chinese 23 adolescents methods : a multistage stratified cluster sampling investigation based on age and sex was designed for anthropometric data [collection] in 2008 , including 15,204 healthy boys and 13,047 healthy girls . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 and 1 methods 2 : 2 : 4 multistage 3 a 4 multistage 4 multistage 5 stratified 4 multistage 10 on 5 stratified 9 based 6 cluster 9 based 7 sampling 8 investigation 8 investigation 9 based 10 on 11 age 12 and 13 sex 12 and 15 designed 13 sex 14 was 14 was 15 designed 15 designed 16 for 15 designed 20 in 16 for 18 data 17 anthropometric 18 data 20 in 21 2008 21 2008 23 including 22 , 23 including 23 including 27 and 23 including 31 . 24 15,204 26 boys 25 healthy 26 boys 26 boys 27 and 27 and 30 girls 28 13,047 30 girls 29 healthy 30 girls the pb1 mathematical growth model was utilized to derive biological parameters of the adolescent growth curves . 0 ###LEFT-WALL### 5 model 0 ###LEFT-WALL### 7 utilized 0 ###LEFT-WALL### 17 . 1 the 5 model 2 pb1 5 model 3 mathematical 4 growth 4 growth 5 model 5 model 6 was 6 was 7 utilized 7 utilized 8 to 8 to 9 derive 9 derive 11 parameters 10 biological 11 parameters 11 parameters 12 of 12 of 16 curves 13 the 16 curves 14 adolescent 15 growth 15 growth 16 curves ages at menarche were estimated in 6,476 girls through probit analysis at the ages at [which] 10 % , 25 % , 50 % , 75 % , and 90 % of the girls attained menarche . 0 ###LEFT-WALL### 1 ages 0 ###LEFT-WALL### 5 estimated 0 ###LEFT-WALL### 29 and 0 ###LEFT-WALL### 37 . 1 ages 2 at 1 ages 4 were 2 at 3 menarche 4 were 5 estimated 5 estimated 6 in 5 estimated 9 through 5 estimated 12 at 6 in 8 girls 7 6,476 8 girls 9 through 11 analysis 10 probit 11 analysis 12 at 14 ages 13 the 14 ages 14 ages 15 at 15 at 18 % 17 10 18 % 18 % 21 % 18 % 24 % 18 % 27 % 19 , 21 % 20 25 21 % 21 % 22 , 22 , 24 % 23 50 24 % 24 % 25 , 25 , 27 % 26 75 27 % 27 % 28 , 28 , 29 and 29 and 31 % 29 and 36 menarche 30 90 31 % 31 % 32 of 31 % 35 attained 31 % 36 menarche 32 of 34 girls 33 the 34 girls results : the peak growth age ( pga ) was 12.6 years for boys and 10.6 years for girls . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 2 : 6 age 2 : 10 was 3 the 6 age 4 peak 6 age 5 growth 6 age 6 age 8 pga 6 age 10 was 7 ( 8 pga 8 pga 9 ) 10 was 15 and 11 12.6 15 and 12 years 13 for 12 years 15 and 13 for 14 boys 15 and 17 years 15 and 18 for 16 10.6 17 years 18 for 19 girls the phv was 6.91 cm / [yr] in boys and 6.69 cm / yr in girls . 0 ###LEFT-WALL### 2 phv 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 17 . 1 the 2 phv 2 phv 3 was 3 was 14 yr 4 6.91 5 cm 4 6.91 10 and 5 cm 6 / 6 / 8 in 8 in 9 boys 10 and 11 6.69 10 and 14 yr 11 6.69 12 cm 12 cm 13 / 14 yr 15 in 15 in 16 girls the overall increments of adult height since 1985 were 3.3 cm for males and 2.3 cm [for] females , yielded rates of 1.4 and 1.0 cm/decade , respectively . 0 ###LEFT-WALL### 3 increments 0 ###LEFT-WALL### 9 were 0 ###LEFT-WALL### 19 , 1 the 3 increments 2 overall 3 increments 3 increments 4 of 3 increments 9 were 4 of 6 height 5 adult 6 height 6 height 7 since 7 since 8 1985 9 were 11 cm 10 3.3 11 cm 11 cm 12 for 12 for 14 and 13 males 14 and 14 and 18 females 15 2.3 16 cm 16 cm 18 females 19 , 21 rates 19 , 26 cm/decade 20 yielded 21 rates 21 rates 22 of 21 rates 26 cm/decade 22 of 24 and 23 1.4 24 and 24 and 25 1.0 26 cm/decade 28 respectively 27 , 28 respectively 28 respectively 29 . less than 10 % of chinese girls experience onset [of] menses before 11.38 years , and approximately 90 % of all chinese girls are menstruating by 13.88 years , with a median age of 12.63 years . 0 ###LEFT-WALL### 4 % 0 ###LEFT-WALL### 8 experience 0 ###LEFT-WALL### 16 and 1 less 2 than 2 than 3 10 3 10 4 % 4 % 5 of 4 % 8 experience 5 of 7 girls 6 chinese 7 girls 8 experience 11 menses 8 experience 12 before 9 onset 11 menses 12 before 14 years 13 11.38 14 years 15 , 16 and 16 and 19 % 16 and 24 are 17 approximately 19 % 18 90 19 % 19 % 20 of 19 % 24 are 20 of 23 girls 21 all 23 girls 22 chinese 23 girls 24 are 25 menstruating 25 menstruating 26 by 26 by 28 years 27 13.88 28 years 28 years 30 with 29 , 30 with 30 with 33 age 30 with 37 . 31 a 33 age 32 median 33 age 33 age 34 of 34 of 36 years 35 12.63 36 years conclusions : the current study showed an advancing trend in pga in both chinese boys and girls . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 2 : 5 study 2 : 6 showed 3 the 5 study 4 current 5 study 5 study 6 showed 6 showed 9 trend 7 an 9 trend 8 advancing 9 trend 9 trend 10 in 10 in 11 pga 11 pga 12 in 12 in 16 and 13 both 15 boys 14 chinese 15 boys 15 boys 16 and 16 and 17 girls decreasing menarche age was also observed for chinese girls . 0 ###LEFT-WALL### 1 decreasing 0 ###LEFT-WALL### 6 observed 0 ###LEFT-WALL### 10 . 1 decreasing 3 age 1 decreasing 4 was 2 menarche 3 age 4 was 6 observed 5 also 6 observed 6 observed 7 for 7 for 9 girls 8 chinese 9 girls these updated data would serve as useful reference for interpretation of endocrine and growth status and growth disorders in chinese during peripubertal period . 0 ###LEFT-WALL### 3 data 0 ###LEFT-WALL### 5 serve 0 ###LEFT-WALL### 24 . 1 these 3 data 2 updated 3 data 3 data 4 would 4 would 5 serve 5 serve 8 reference 5 serve 9 for 5 serve 19 in 6 as 7 useful 7 useful 8 reference 9 for 10 interpretation 10 interpretation 11 of 11 of 16 and 12 endocrine 13 and 13 and 15 status 13 and 16 and 14 growth 15 status 16 and 18 disorders 17 growth 18 disorders 19 in 20 chinese 20 chinese 21 during 21 during 23 period 22 peripubertal 23 period obesity and type 2 diabetes have become the major health problems in many industrialized countries . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 7 become 0 ###LEFT-WALL### 16 . 1 obesity 2 and 2 and 5 diabetes 2 and 6 have 3 type 5 diabetes 4 2 5 diabetes 6 have 7 become 7 become 11 problems 7 become 12 in 8 the 11 problems 9 major 10 health 10 health 11 problems 12 in 15 countries 13 many 15 countries 14 industrialized 15 countries here , i present the unconventional concept that a healthy organism maintains its systemic homeostasis by a " competent brain - pull " , i.e . , the brain 's ability to properly demand glucose from the body , and [that] the underlying cause of obesity is " incompetent brain - pull . " 0 ###LEFT-WALL### 3 i 0 ###LEFT-WALL### 21 - 0 ###LEFT-WALL### 25 i.e 0 ###LEFT-WALL### 26 . 1 here 2 , 1 here 3 i 3 i 4 present 4 present 7 concept 5 the 7 concept 6 unconventional 7 concept 7 concept 8 that 7 concept 16 by 8 that 11 organism 8 that 12 maintains 9 a 10 healthy 9 a 11 organism 10 healthy 11 organism 11 organism 12 maintains 12 maintains 15 homeostasis 13 its 15 homeostasis 14 systemic 15 homeostasis 16 by 20 brain 17 a 18 " 17 a 20 brain 19 competent 20 brain 21 - 22 pull 21 - 24 , 22 pull 23 " 24 , 25 i.e 26 . 35 glucose 26 . 51 - 27 , 34 demand 28 the 29 brain 29 brain 30 's 30 's 31 ability 31 ability 32 to 31 ability 34 demand 32 to 34 demand 33 properly 34 demand 34 demand 35 glucose 35 glucose 36 from 35 glucose 45 of 35 glucose 47 is 36 from 40 and 37 the 38 body 38 body 40 and 39 , 40 and 40 and 44 cause 42 the 44 cause 43 underlying 44 cause 45 of 46 obesity 47 is 48 " 47 is 50 brain 49 incompetent 50 brain 51 - 52 pull 51 - 53 . 53 . 54 " i describe the energy fluxes from the environment , through the body , toward the brain as the final consumer in a " supply chain " model . 0 ###LEFT-WALL### 1 i 0 ###LEFT-WALL### 2 describe 0 ###LEFT-WALL### 28 . 1 i 2 describe 2 describe 5 fluxes 2 describe 6 from 2 describe 14 toward 2 describe 17 as 2 describe 21 in 3 the 5 fluxes 4 energy 5 fluxes 6 from 8 environment 7 the 8 environment 8 environment 10 through 9 , 10 through 10 through 12 body 10 through 13 , 11 the 12 body 14 toward 16 brain 15 the 16 brain 17 as 20 consumer 18 the 20 consumer 19 final 20 consumer 21 in 27 model 22 a 23 " 22 a 27 model 24 supply 27 model 25 chain 26 " 25 chain 27 model there is data - based support for the hypothesis , which states that under conditions of food abundance incompetent brain - pull will lead to build [ups] in the supply chain culminating in obesity and type 2 diabetes . 0 ###LEFT-WALL### 1 there 1 there 2 is 2 is 3 data 3 data 6 support 3 data 11 which 4 - 6 support 5 based 6 support 6 support 7 for 6 support 10 , 7 for 9 hypothesis 8 the 9 hypothesis 10 , 11 which 11 which 12 states 12 states 13 that 13 that 22 pull 13 that 24 lead 14 under 15 conditions 14 under 21 - 14 under 22 pull 15 conditions 16 of 16 of 20 brain 17 food 18 abundance 18 abundance 20 brain 19 incompetent 20 brain 22 pull 23 will 23 will 24 lead 24 lead 25 to 24 lead 28 in 24 lead 35 and 25 to 26 build 28 in 30 supply 29 the 30 supply 31 chain 32 culminating 31 chain 35 and 32 culminating 33 in 33 in 34 obesity 35 and 38 diabetes 35 and 39 . 36 type 38 diabetes 37 2 38 diabetes there is also support for the related hypothesis , which states that under conditions of food deprivation , a competent brain [-] pull mechanism is indispensable for the continuation of the brain 's high energy level . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 37 . 1 there 2 is 2 is 3 also 2 is 4 support 4 support 5 for 5 for 8 hypothesis 6 the 8 hypothesis 7 related 8 hypothesis 8 hypothesis 10 which 9 , 10 which 10 which 11 states 10 which 18 , 11 states 12 that 11 states 13 under 13 under 14 conditions 14 conditions 15 of 15 of 17 deprivation 16 food 17 deprivation 18 , 24 mechanism 18 , 25 is 19 a 24 mechanism 20 competent 21 brain 21 brain 24 mechanism 23 pull 24 mechanism 24 mechanism 25 is 25 is 26 indispensable 26 indispensable 27 for 27 for 29 continuation 28 the 29 continuation 29 continuation 30 of 30 of 36 level 31 the 32 brain 32 brain 33 's 33 's 36 level 34 high 35 energy 35 energy 36 level to experimentally determine [how] the competent brain - pull functions to demand for cerebral energy , healthy young men undergoing psychosocial stress were studied . 0 ###LEFT-WALL### 19 men 0 ###LEFT-WALL### 24 studied 0 ###LEFT-WALL### 25 . 1 to 3 determine 1 to 16 , 1 to 19 men 2 experimentally 3 determine 3 determine 7 brain 5 the 7 brain 6 competent 7 brain 7 brain 10 functions 8 - 10 functions 9 pull 10 functions 10 functions 11 to 10 functions 13 for 10 functions 16 , 11 to 12 demand 13 for 15 energy 14 cerebral 15 energy 17 healthy 19 men 18 young 19 men 19 men 20 undergoing 19 men 23 were 20 undergoing 22 stress 21 psychosocial 22 stress 23 were 24 studied it was found that the brain under stressful conditions demands for energy from the body by using a brain - pull mechanism , which is referred to as " cerebral insulin suppression " and in so doing it can satisfy its excessive needs during stress [.] 0 ###LEFT-WALL### 10 demands 1 it 2 was 2 was 3 found 3 found 4 that 4 that 6 brain 4 that 10 demands 5 the 6 brain 6 brain 7 under 6 brain 10 demands 7 under 9 conditions 8 stressful 9 conditions 10 demands 11 for 10 demands 13 from 11 for 12 energy 13 from 15 body 14 the 15 body 15 body 16 by 16 by 17 using 16 by 19 brain 16 by 26 referred 18 a 19 brain 19 brain 22 mechanism 19 brain 24 which 19 brain 26 referred 20 - 22 mechanism 21 pull 22 mechanism 22 mechanism 23 , 23 , 24 which 24 which 25 is 26 referred 34 and 26 referred 37 doing 27 to 32 suppression 27 to 34 and 28 as 29 " 28 as 30 cerebral 30 cerebral 31 insulin 31 insulin 32 suppression 32 suppression 33 " 34 and 35 in 35 in 36 so 37 doing 38 it 37 doing 40 satisfy 38 it 39 can 39 can 40 satisfy 40 satisfy 43 needs 40 satisfy 44 during 41 its 43 needs 42 excessive 43 needs 44 during 45 stress this article gives an overview about the recent work on the " selfish brain " theory dealing with the maintenance of the cerebral and peripheral energy homeostasis . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 gives 0 ###LEFT-WALL### 28 . 1 this 2 article 2 article 3 gives 3 gives 5 overview 3 gives 6 about 4 an 5 overview 6 about 9 work 7 the 9 work 8 recent 9 work 9 work 10 on 9 work 21 of 10 on 17 dealing 11 the 12 " 11 the 17 dealing 13 selfish 14 brain 14 brain 15 " 14 brain 17 dealing 16 theory 17 dealing 17 dealing 18 with 18 with 20 maintenance 19 the 20 maintenance 21 of 27 homeostasis 22 the 27 homeostasis 23 cerebral 24 and 24 and 25 peripheral 24 and 27 homeostasis 26 energy 27 homeostasis objective : metacarpal juxtaarticular bone [is] altered [in] rheumatoid arthritis [(] [ra] [ )( 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 )( 1 objective 2 : 2 : 10 arthritis 3 metacarpal 5 bone 4 juxtaarticular 5 bone 5 bone 7 altered 7 altered 10 arthritis 9 rheumatoid 10 arthritis however , a detailed analysis of disease - related geometric adaptations of the metacarpal shaft is missing . 0 ###LEFT-WALL### 5 analysis 0 ###LEFT-WALL### 16 is 0 ###LEFT-WALL### 18 . 1 however 2 , 1 however 5 analysis 3 a 4 detailed 3 a 5 analysis 4 detailed 5 analysis 5 analysis 6 of 5 analysis 16 is 6 of 7 disease 8 - 9 related 9 related 11 adaptations 9 related 16 is 10 geometric 11 adaptations 11 adaptations 12 of 12 of 15 shaft 13 the 15 shaft 14 metacarpal 15 shaft 16 is 17 missing the aim of the present study was to assess the role of [ra] disease , forearm muscle cross - sectional area ( csa ) , age , and sex on bone geometry at the metacarpal shaft . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 37 . 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 assess 8 to 9 assess 9 assess 11 role 10 the 11 role 11 role 12 of 12 of 14 disease 15 , 18 cross 15 , 19 - 16 forearm 18 cross 17 muscle 18 cross 19 - 21 area 19 - 25 , 20 sectional 21 area 21 area 23 csa 22 ( 23 csa 23 csa 24 ) 25 , 28 and 26 age 28 and 27 , 28 and 28 and 29 sex 28 and 30 on 30 on 32 geometry 31 bone 32 geometry 32 geometry 33 at 33 at 36 shaft 34 the 36 shaft 35 metacarpal 36 shaft methods : in 64 ra patients and 128 control subjects , geometric properties of the third metacarpal bone midshaft and forearm muscle csa were measured by peripheral quantitative computed tomography ( qct ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 34 . 1 methods 2 : 2 : 3 in 3 in 7 and 4 64 5 ra 5 ra 6 patients 6 patients 7 and 7 and 10 subjects 8 128 10 subjects 9 control 10 subjects 11 , 13 properties 11 , 19 midshaft 11 , 20 and 12 geometric 13 properties 13 properties 14 of 13 properties 19 midshaft 14 of 18 bone 15 the 16 third 15 the 18 bone 17 metacarpal 18 bone 20 and 23 csa 20 and 25 measured 21 forearm 22 muscle 22 muscle 23 csa 23 csa 24 were 24 were 25 measured 25 measured 26 by 26 by 30 tomography 27 peripheral 30 tomography 28 quantitative 30 tomography 29 computed 30 tomography 30 tomography 32 qct 31 ( 32 qct 32 qct 33 ) linear models were performed for cortical csa , total bone csa , polar stress - strain index ( ssi ; a surrogate for a bone 's resistance to bending and torsion ) , cortical thickness , and the metacarpal index ( mi [;] cortical csa/total csa [ )(, with the explanatory variables muscle csa , age , [ra] status , and sex . 0 ###LEFT-WALL### 1 linear 0 ###LEFT-WALL### 8 , 1 linear 3 were 1 linear 5 for 2 models 3 were 3 were 4 performed 5 for 7 csa 6 cortical 7 csa 8 , 9 total 8 , 15 - 9 total 11 csa 10 bone 11 csa 11 csa 14 stress 12 , 14 stress 13 polar 14 stress 14 stress 15 - 15 - 16 strain 15 - 20 ; 16 strain 17 index 17 index 19 ssi 18 ( 19 ssi 19 ssi 20 ; 20 ; 22 surrogate 20 ; 26 's 21 a 22 surrogate 22 surrogate 23 for 22 surrogate 26 's 23 for 25 bone 24 a 25 bone 26 's 27 resistance 26 's 28 to 28 to 37 and 29 bending 30 and 30 and 31 torsion 30 and 32 ) 30 and 35 thickness 30 and 37 and 33 , 35 thickness 34 cortical 35 thickness 35 thickness 36 , 37 and 39 metacarpal 37 and 48 )(, 37 and 49 with 38 the 39 metacarpal 40 index 46 csa 41 ( 46 csa 42 mi 46 csa 44 cortical 46 csa 45 csa/total 46 csa 46 csa 48 )(, 49 with 54 csa 50 the 54 csa 51 explanatory 54 csa 52 variables 53 muscle 53 muscle 54 csa 54 csa 61 and 55 , 61 and 56 age 57 , 57 , 59 status 57 , 61 and 60 , 61 and 61 and 62 sex 61 and 63 . results : forearm muscle csa was associated with cortical and total metacarpal csa and polar ssi . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 2 : 3 forearm 3 forearm 4 muscle 3 forearm 7 associated 4 muscle 5 csa 4 muscle 6 was 4 muscle 7 associated 5 csa 6 was 7 associated 8 with 8 with 14 and 9 cortical 10 and 10 and 11 total 10 and 13 csa 12 metacarpal 13 csa 13 csa 14 and 14 and 16 ssi 15 polar 16 ssi [ra] group status was associated with all bone parameters except cortical csa . 0 ###LEFT-WALL### 3 status 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 13 . 2 group 3 status 3 status 4 was 4 was 5 associated 5 associated 6 with 5 associated 10 except 6 with 9 parameters 7 all 9 parameters 8 bone 9 parameters 10 except 12 csa 11 cortical 12 csa there was a significant interaction between [ra] status and age , indicating that the [ra] group had a greater age - related decrease in cortical csa , cortical thickness , and the mi . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 22 related 0 ###LEFT-WALL### 34 . 1 there 2 was 2 was 5 interaction 2 was 6 between 3 a 5 interaction 4 significant 5 interaction 6 between 9 and 8 status 9 and 9 and 10 age 9 and 12 indicating 11 , 12 indicating 12 indicating 13 that 12 indicating 21 - 13 that 16 group 13 that 17 had 14 the 16 group 16 group 17 had 17 had 20 age 18 a 20 age 19 greater 20 age 21 - 22 related 22 related 23 decrease 23 decrease 24 in 24 in 31 and 25 cortical 26 csa 26 csa 27 , 27 , 29 thickness 27 , 31 and 28 cortical 29 thickness 30 , 31 and 31 and 33 mi 32 the 33 mi conclusion : bone geometry of the metacarpal shaft is altered in [ra] patients compared to healthy controls . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 geometry 2 : 10 altered 2 : 18 . 3 bone 4 geometry 4 geometry 5 of 4 geometry 9 is 5 of 8 shaft 6 the 8 shaft 7 metacarpal 8 shaft 9 is 10 altered 10 altered 11 in 11 in 13 patients 13 patients 14 compared 14 compared 15 to 15 to 17 controls 16 healthy 17 controls whereas [bone] [mass] [of] the metacarpal shaft is adapted to forearm muscle mass , cortical thickness and the mi are reduced , [but] outer bone shaft circumference and the polar ssi increased in [ra] patients . 0 ###LEFT-WALL### 13 mass 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 36 . 1 whereas 7 shaft 1 whereas 9 adapted 1 whereas 13 mass 5 the 7 shaft 6 metacarpal 7 shaft 7 shaft 8 is 8 is 9 adapted 9 adapted 10 to 10 to 12 muscle 11 forearm 12 muscle 14 , 17 and 14 , 21 reduced 14 , 22 , 15 cortical 16 thickness 16 thickness 17 and 17 and 19 mi 17 and 20 are 18 the 19 mi 20 are 21 reduced 22 , 27 circumference 22 , 28 and 24 outer 25 bone 25 bone 27 circumference 26 shaft 27 circumference 28 and 31 ssi 28 and 32 increased 29 the 31 ssi 30 polar 31 ssi 31 ssi 32 increased 32 increased 33 in 33 in 35 patients these adaptations correspond to an enhanced aging pattern in [ra] patients . 0 ###LEFT-WALL### 2 adaptations 0 ###LEFT-WALL### 3 correspond 0 ###LEFT-WALL### 12 . 1 these 2 adaptations 2 adaptations 3 correspond 3 correspond 4 to 3 correspond 9 in 4 to 8 pattern 5 an 8 pattern 6 enhanced 8 pattern 7 aging 8 pattern 9 in 11 patients the widely accepted oxidative stress theory of aging postulates that aging results from accumulation of oxidative damage . 0 ###LEFT-WALL### 6 theory 0 ###LEFT-WALL### 9 postulates 0 ###LEFT-WALL### 18 . 1 the 6 theory 2 widely 3 accepted 3 accepted 5 stress 4 oxidative 5 stress 5 stress 6 theory 6 theory 7 of 6 theory 9 postulates 7 of 8 aging 9 postulates 10 that 10 that 11 aging 10 that 12 results 11 aging 12 results 12 results 13 from 13 from 14 accumulation 14 accumulation 15 of 15 of 17 damage 16 oxidative 17 damage a prediction of this theory is that , among species , differential rates of aging may be [apparent] on the basis of intrinsic differences in oxidative damage accrual . 0 ###LEFT-WALL### 2 prediction 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 29 . 1 a 2 prediction 2 prediction 3 of 2 prediction 6 is 3 of 5 theory 4 this 5 theory 6 is 7 that 6 is 9 among 8 , 9 among 9 among 10 species 9 among 11 , 11 , 13 rates 11 , 17 be 12 differential 13 rates 13 rates 14 of 13 rates 16 may 14 of 15 aging 16 may 17 be 17 be 19 on 17 be 28 accrual 19 on 21 basis 20 the 21 basis 21 basis 22 of 22 of 24 differences 23 intrinsic 24 differences 24 differences 25 in 25 in 27 damage 26 oxidative 27 damage [although] widely accepted , there is a growing number of exceptions to this theory , most contingently related to genetic model organism investigations . 0 ###LEFT-WALL### 5 there 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 24 . 2 widely 3 accepted 3 accepted 4 , 3 accepted 5 there 5 there 6 is 6 is 9 number 7 a 9 number 8 growing 9 number 9 number 10 of 10 of 11 exceptions 11 exceptions 12 to 12 to 14 theory 13 this 14 theory 15 , 16 most 15 , 18 related 16 most 18 related 17 contingently 18 related 18 related 19 to 19 to 23 investigations 20 genetic 21 model 21 model 23 investigations 22 organism 23 investigations proteins are one of the prime targets for oxidative damage and cysteine residues are particularly sensitive to reversible and irreversible oxidation . 0 ###LEFT-WALL### 1 proteins 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 22 . 1 proteins 2 are 2 are 3 one 3 one 4 of 4 of 7 targets 5 the 7 targets 6 prime 7 targets 7 targets 8 for 8 for 10 damage 9 oxidative 10 damage 11 and 13 residues 11 and 14 are 12 cysteine 13 residues 13 residues 14 are 14 are 15 particularly 14 are 16 sensitive 16 sensitive 17 to 17 to 21 oxidation 18 reversible 19 and 19 and 20 irreversible 19 and 21 oxidation the adaptation and survival of cells and organisms requires the ability to sense proteotoxic insults and to coordinate protective cellular stress response pathways and chaperone networks related to protein quality control and stability . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 34 . 1 the 2 adaptation 2 adaptation 3 and 3 and 4 survival 3 and 5 of 3 and 16 and 5 of 7 and 6 cells 7 and 7 and 8 organisms 9 requires 11 ability 9 requires 16 and 10 the 11 ability 11 ability 12 to 11 ability 13 sense 12 to 13 sense 13 sense 15 insults 14 proteotoxic 15 insults 16 and 17 to 16 and 24 and 16 and 28 to 17 to 24 and 18 coordinate 23 pathways 18 coordinate 24 and 19 protective 21 stress 20 cellular 21 stress 21 stress 23 pathways 22 response 23 pathways 24 and 25 chaperone 25 chaperone 26 networks 26 networks 27 related 28 to 32 and 29 protein 30 quality 30 quality 31 control 31 control 32 and 32 and 33 stability the toxic effects that stem from the [misassembly] [or] aggregation of proteins or peptides , in any cell type , are collectively termed proteotoxicity . 0 ###LEFT-WALL### 3 effects 0 ###LEFT-WALL### 23 termed 0 ###LEFT-WALL### 25 . 1 the 3 effects 2 toxic 3 effects 3 effects 4 that 3 effects 5 stem 3 effects 21 are 4 that 5 stem 5 stem 6 from 6 from 10 aggregation 7 the 10 aggregation 10 aggregation 11 of 11 of 13 or 12 proteins 13 or 13 or 14 peptides 13 or 16 in 15 , 16 in 16 in 19 type 16 in 20 , 17 any 19 type 18 cell 19 type 21 are 23 termed 22 collectively 23 termed 23 termed 24 proteotoxicity despite the abundance and apparent capacity [of] chaperones and other components of homeostasis to restore folding equilibrium , the cell appears poorly adapted for chronic proteotoxic stress which increases in cancer , metabolic and neurodegenerative diseases . 0 ###LEFT-WALL### 20 cell 0 ###LEFT-WALL### 21 appears 0 ###LEFT-WALL### 32 , 0 ###LEFT-WALL### 37 . 1 despite 9 and 1 despite 20 cell 2 the 3 abundance 3 abundance 4 and 4 and 5 apparent 4 and 6 capacity 4 and 8 chaperones 4 and 9 and 6 capacity 8 chaperones 9 and 11 components 9 and 12 of 9 and 14 to 9 and 15 restore 10 other 11 components 12 of 13 homeostasis 14 to 15 restore 16 folding 17 equilibrium 16 folding 18 , 16 folding 20 cell 19 the 20 cell 20 cell 21 appears 21 appears 23 adapted 22 poorly 23 adapted 23 adapted 24 for 23 adapted 30 in 24 for 27 stress 25 chronic 27 stress 26 proteotoxic 27 stress 27 stress 28 which 27 stress 29 increases 28 which 29 increases 30 in 31 cancer 32 , 36 diseases 33 metabolic 34 and 34 and 35 neurodegenerative 34 and 36 diseases pharmacological modulation of cellular stress response pathways has emerging implications for the treatment of human diseases , including neurodegenerative disorders , cardiovascular disease , and cancer . 0 ###LEFT-WALL### 2 modulation 0 ###LEFT-WALL### 8 has 0 ###LEFT-WALL### 27 . 1 pharmacological 2 modulation 2 modulation 3 of 2 modulation 8 has 3 of 7 pathways 4 cellular 5 stress 5 stress 7 pathways 6 response 7 pathways 8 has 10 implications 8 has 11 for 9 emerging 10 implications 11 for 25 and 12 the 13 treatment 13 treatment 14 of 13 treatment 25 and 14 of 16 diseases 15 human 16 diseases 16 diseases 18 including 17 , 18 including 18 including 20 disorders 18 including 24 , 19 neurodegenerative 20 disorders 20 disorders 23 disease 21 , 23 disease 22 cardiovascular 23 disease 23 disease 24 , 25 and 26 cancer a critical key to successful medical intervention is getting the dose right . 0 ###LEFT-WALL### 3 key 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 13 . 1 a 2 critical 1 a 3 key 2 critical 3 key 3 key 4 to 3 key 8 is 4 to 7 intervention 5 successful 7 intervention 6 medical 7 intervention 8 is 9 getting 9 getting 11 dose 9 getting 12 right 10 the 11 dose achieving this goal can be extremely challenging due to human [inter] - individual variation as affected by age , gender , diet , exercise , genetic factors and health status . 0 ###LEFT-WALL### 1 achieving 0 ###LEFT-WALL### 5 be 0 ###LEFT-WALL### 31 . 1 achieving 3 goal 1 achieving 4 can 2 this 3 goal 4 can 5 be 5 be 7 challenging 6 extremely 7 challenging 7 challenging 9 to 7 challenging 17 by 8 due 9 to 9 to 14 variation 10 human 12 - 10 human 13 individual 13 individual 14 variation 14 variation 16 affected 15 as 16 affected 17 by 28 and 18 age 19 , 19 , 20 gender 19 , 21 , 21 , 22 diet 21 , 23 , 23 , 24 exercise 23 , 25 , 25 , 27 factors 25 , 28 and 26 genetic 27 factors 28 and 30 status 29 health 30 status the nature of the dose response [in] and adjacent to the therapeutic zones [,] over the past decade has received considerable advances . 0 ###LEFT-WALL### 2 nature 0 ###LEFT-WALL### 20 received 0 ###LEFT-WALL### 23 . 1 the 2 nature 2 nature 3 of 2 nature 19 has 3 of 8 and 4 the 6 response 5 dose 6 response 6 response 8 and 8 and 9 adjacent 8 and 10 to 10 to 13 zones 11 the 13 zones 12 therapeutic 13 zones 13 zones 15 over 15 over 18 decade 16 the 18 decade 17 past 18 decade 19 has 20 received 20 received 22 advances 21 considerable 22 advances the hormetic dose - response , challenging long - standing beliefs about the nature of the dose - [response] in a lowdose zone , has the potential to affect significantly the design of pre - clinical studies and clinical trials as well as strategies for optimal patient dosing in the treatment of numerous diseases . 0 ###LEFT-WALL### 3 dose 0 ###LEFT-WALL### 4 - 1 the 3 dose 2 hormetic 3 dose 4 - 5 response 4 - 6 , 4 - 55 . 6 , 7 challenging 6 , 25 has 7 challenging 11 beliefs 7 challenging 12 about 7 challenging 25 has 8 long 9 - 8 long 11 beliefs 10 standing 11 beliefs 12 about 14 nature 13 the 14 nature 14 nature 15 of 15 of 17 dose 16 the 17 dose 17 dose 20 in 18 - 20 in 20 in 23 zone 20 in 24 , 21 a 23 zone 22 lowdose 23 zone 25 has 40 trials 26 the 40 trials 27 potential 28 to 27 potential 38 and 28 to 29 affect 29 affect 30 significantly 29 affect 32 design 31 the 32 design 32 design 33 of 33 of 37 studies 34 pre 35 - 34 pre 37 studies 36 clinical 37 studies 38 and 39 clinical 38 and 40 trials 40 trials 43 as 41 as 42 well 42 well 43 as 43 as 44 strategies 44 strategies 45 for 44 strategies 49 in 45 for 48 dosing 46 optimal 47 patient 47 patient 48 dosing 49 in 51 treatment 50 the 51 treatment 51 treatment 52 of 52 of 54 diseases 53 numerous 54 diseases given the broad cytoprotective properties of the heat shock response there is now strong interest in discovering and developing pharmacological agents capable of inducing stress responses , including carnitines . 0 ###LEFT-WALL### 1 given 0 ###LEFT-WALL### 12 is 0 ###LEFT-WALL### 30 . 1 given 5 properties 1 given 12 is 2 the 5 properties 3 broad 5 properties 4 cytoprotective 5 properties 5 properties 6 of 6 of 10 response 7 the 10 response 8 heat 9 shock 9 shock 10 response 10 response 11 there 12 is 15 interest 13 now 14 strong 14 strong 15 interest 15 interest 16 in 15 interest 28 including 16 in 18 and 17 discovering 18 and 18 and 21 agents 18 and 27 , 19 developing 21 agents 20 pharmacological 21 agents 21 agents 22 capable 22 capable 23 of 23 of 24 inducing 24 inducing 26 responses 25 stress 26 responses 28 including 29 carnitines this paper describes in mechanistic detail how hormetic dose responses are mediated for endogenous cellular defense pathways , including the possible signaling mechanisms by which the carnitine system , by interplaying metabolism , mitochondrial energetics and activation of critical vitagenes , modulates signal transduction cascades that confer cytoprotection against chronic degenerative damage associated to aging and neurodegenerative disorders . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 3 describes 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 59 . 1 this 2 paper 2 paper 3 describes 3 describes 4 in 3 describes 7 how 4 in 6 detail 5 mechanistic 6 detail 7 how 8 hormetic 8 hormetic 10 responses 9 dose 10 responses 10 responses 11 are 11 are 12 mediated 12 mediated 13 for 13 for 17 pathways 14 endogenous 16 defense 15 cellular 16 defense 16 defense 17 pathways 18 , 19 including 18 , 53 associated 19 including 23 mechanisms 19 including 49 against 19 including 53 associated 20 the 23 mechanisms 21 possible 23 mechanisms 22 signaling 23 mechanisms 23 mechanisms 24 by 24 by 25 which 24 by 28 system 24 by 42 modulates 26 the 28 system 27 carnitine 28 system 28 system 30 by 28 system 36 and 28 system 42 modulates 29 , 30 by 30 by 32 metabolism 30 by 33 , 31 interplaying 32 metabolism 33 , 36 and 34 mitochondrial 35 energetics 35 energetics 36 and 36 and 37 activation 36 and 38 of 36 and 41 , 38 of 40 vitagenes 39 critical 40 vitagenes 42 modulates 45 cascades 43 signal 44 transduction 44 transduction 45 cascades 45 cascades 46 that 45 cascades 47 confer 46 that 47 confer 47 confer 48 cytoprotection 49 against 52 damage 50 chronic 52 damage 51 degenerative 52 damage 53 associated 54 to 54 to 58 disorders 55 aging 56 and 56 and 57 neurodegenerative 56 and 58 disorders lignin - derived phenolic compounds can be extracted from oak barrels during the aging of red wine , and it is hypothesized that these compounds may contribute to the health benefits of red wine by their antioxidant , radical - scavenging , or chemopreventive activities . 0 ###LEFT-WALL### 5 compounds 0 ###LEFT-WALL### 8 extracted 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 46 . 1 lignin 2 - 1 lignin 5 compounds 3 derived 5 compounds 4 phenolic 5 compounds 5 compounds 6 can 6 can 7 be 7 be 8 extracted 8 extracted 9 from 8 extracted 12 during 9 from 11 barrels 10 oak 11 barrels 12 during 14 aging 13 the 14 aging 14 aging 15 of 15 of 17 wine 16 red 17 wine 18 , 19 and 19 and 20 it 19 and 22 hypothesized 20 it 21 is 21 is 22 hypothesized 22 hypothesized 23 that 23 that 25 compounds 23 that 27 contribute 24 these 25 compounds 25 compounds 26 may 26 may 27 contribute 27 contribute 28 to 28 to 31 benefits 29 the 31 benefits 30 health 31 benefits 31 benefits 32 of 32 of 34 wine 33 red 34 wine 34 wine 35 by 35 by 45 activities 36 their 45 activities 37 antioxidant 38 , 37 antioxidant 45 activities 39 radical 41 scavenging 39 radical 43 or 40 - 41 scavenging 41 scavenging 42 , 43 or 44 chemopreventive 43 or 45 activities density functional calculations ( b3lyp/6 - 311++g ) support the radical - scavenging abilities of the oak phenolics . 0 ###LEFT-WALL### 1 density 0 ###LEFT-WALL### 18 phenolics 0 ###LEFT-WALL### 19 . 1 density 3 calculations 1 density 9 support 1 density 18 phenolics 2 functional 3 calculations 3 calculations 5 b3lyp/6 3 calculations 9 support 4 ( 5 b3lyp/6 5 b3lyp/6 7 311++g 5 b3lyp/6 8 ) 6 - 7 311++g 7 311++g 8 ) 9 support 14 abilities 10 the 14 abilities 11 radical 12 - 11 radical 14 abilities 13 scavenging 14 abilities 14 abilities 15 of 15 of 17 oak 16 the 17 oak sinapaldehyde , syringaldehyde , syringol , and syringylacetone all have bond dissociation energies that are lower than resveratrol and comparable to the flavonoid catechin . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 11 bond 0 ###LEFT-WALL### 25 . 1 sinapaldehyde 5 syringol 1 sinapaldehyde 7 and 2 , 5 syringol 3 syringaldehyde 4 , 3 syringaldehyde 5 syringol 5 syringol 6 , 6 , 7 and 7 and 8 syringylacetone 7 and 9 all 7 and 10 have 7 and 11 bond 9 all 10 have 11 bond 13 energies 12 dissociation 13 energies 13 energies 14 that 13 energies 15 are 14 that 15 are 15 are 16 lower 16 lower 17 than 17 than 19 and 17 than 21 to 18 resveratrol 19 and 19 and 20 comparable 21 to 24 catechin 22 the 24 catechin 23 flavonoid 24 catechin molecular docking studies of the oak phenolics with known resveratrol protein targets also show that these compounds dock favorably to the protein targets . 0 ###LEFT-WALL### 1 molecular 0 ###LEFT-WALL### 7 phenolics 0 ###LEFT-WALL### 24 . 1 molecular 2 docking 1 molecular 7 phenolics 2 docking 3 studies 3 studies 4 of 4 of 6 oak 5 the 6 oak 7 phenolics 8 with 7 phenolics 20 to 8 with 11 protein 9 known 10 resveratrol 10 resveratrol 11 protein 11 protein 12 targets 11 protein 18 dock 12 targets 14 show 13 also 14 show 14 show 15 that 15 that 17 compounds 15 that 18 dock 16 these 17 compounds 17 compounds 18 dock 18 dock 19 favorably 20 to 23 targets 21 the 23 targets 22 protein 23 targets thus , lignin - derived oak phenolics , [although] found in small concentrations , may contribute to the beneficial antioxidant , chemopreventive , and cardioprotective effects of red wine . 0 ###LEFT-WALL### 3 lignin 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 30 . 1 thus 2 , 1 thus 3 lignin 3 lignin 7 phenolics 3 lignin 14 , 4 - 7 phenolics 5 derived 6 oak 6 oak 7 phenolics 7 phenolics 8 , 10 found 11 in 10 found 13 concentrations 10 found 14 , 12 small 13 concentrations 14 , 15 may 15 may 16 contribute 16 contribute 17 to 17 to 26 effects 18 the 26 effects 19 beneficial 26 effects 20 antioxidant 21 , 21 , 22 chemopreventive 21 , 24 and 23 , 24 and 24 and 25 cardioprotective 24 and 26 effects 26 effects 27 of 27 of 29 wine 28 red 29 wine a key feature of [many] age - related diseases is the oxidative stress - induced accumulation of protein methionine sulfoxide ( pmso ) which causes lost protein function [and] cell death . 0 ###LEFT-WALL### 3 feature 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 32 . 1 a 3 feature 2 key 3 feature 3 feature 4 of 3 feature 10 is 4 of 6 age 7 - 8 related 8 related 9 diseases 8 related 10 is 10 is 13 stress 11 the 13 stress 12 oxidative 13 stress 14 - 16 accumulation 15 induced 16 accumulation 16 accumulation 17 of 16 accumulation 24 which 16 accumulation 25 causes 17 of 20 sulfoxide 18 protein 20 sulfoxide 19 methionine 20 sulfoxide 20 sulfoxide 22 pmso 21 ( 22 pmso 22 pmso 23 ) 24 which 25 causes 25 causes 31 death 26 lost 27 protein 27 protein 28 function 28 function 31 death 30 cell 31 death proteins whose functions are lost upon pmso formation can be repaired by the enzyme methionine sulfoxide reductase a ( msra ) [which] is a key regulator of longevity . 0 ###LEFT-WALL### 1 proteins 0 ###LEFT-WALL### 5 lost 0 ###LEFT-WALL### 29 . 1 proteins 2 whose 1 proteins 5 lost 2 whose 3 functions 3 functions 4 are 5 lost 6 upon 6 upon 7 pmso 7 pmso 8 formation 7 pmso 10 be 7 pmso 11 repaired 7 pmso 12 by 8 formation 9 can 9 can 10 be 12 by 14 enzyme 12 by 17 reductase 12 by 23 is 13 the 14 enzyme 15 methionine 17 reductase 16 sulfoxide 17 reductase 17 reductase 18 a 17 reductase 20 msra 17 reductase 23 is 19 ( 20 msra 20 msra 21 ) 23 is 26 regulator 24 a 26 regulator 25 key 26 regulator 26 regulator 27 of 27 of 28 longevity one disease intimately associated with pmso formation and loss of msra activity is age - related human cataract . 0 ###LEFT-WALL### 2 disease 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 15 - 1 one 2 disease 2 disease 4 associated 3 intimately 4 associated 4 associated 5 with 5 with 8 and 6 pmso 7 formation 7 formation 8 and 8 and 9 loss 8 and 10 of 10 of 11 msra 11 msra 12 activity 11 msra 14 age 12 activity 13 is 13 is 14 age 15 - 18 cataract 15 - 19 . 16 related 18 cataract 17 human 18 cataract pmso levels increase in the eye lens upon aging and in age - related human cataract as much as 70 % [of] total lens protein is converted to pmso . 0 ###LEFT-WALL### 1 pmso 0 ###LEFT-WALL### 27 converted 0 ###LEFT-WALL### 30 . 1 pmso 2 levels 1 pmso 3 increase 1 pmso 26 is 2 levels 3 increase 3 increase 4 in 4 in 7 lens 5 the 7 lens 6 eye 7 lens 7 lens 10 and 8 upon 9 aging 8 upon 10 and 10 and 11 in 11 in 12 age 13 - 14 related 14 related 25 protein 14 related 26 is 15 human 16 cataract 16 cataract 23 total 17 as 18 much 18 much 19 as 19 as 20 70 20 70 21 % 21 % 23 total 23 total 25 protein 24 lens 25 protein 26 is 27 converted 27 converted 28 to 28 to 29 pmso msra is required for lens cell maintenance , defense against oxidative stress damage , mitochondrial function and prevention of lens cataract formation . 0 ###LEFT-WALL### 1 msra 0 ###LEFT-WALL### 3 required 0 ###LEFT-WALL### 23 . 1 msra 2 is 2 is 3 required 3 required 4 for 4 for 17 and 5 lens 7 maintenance 6 cell 7 maintenance 7 maintenance 8 , 8 , 9 defense 8 , 14 , 9 defense 10 against 10 against 13 damage 11 oxidative 12 stress 12 stress 13 damage 14 , 16 function 14 , 17 and 15 mitochondrial 16 function 17 and 18 prevention 17 and 19 of 19 of 22 formation 20 lens 22 formation 21 cataract 22 formation essential for msra action in the lens and other tissues is the availability of a reducing system sufficient to catalytically regenerate active msra . 0 ###LEFT-WALL### 1 essential 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 24 . 1 essential 2 for 1 essential 5 in 1 essential 11 is 2 for 4 action 3 msra 4 action 5 in 8 and 6 the 7 lens 7 lens 8 and 8 and 10 tissues 9 other 10 tissues 11 is 13 availability 11 is 18 sufficient 12 the 13 availability 13 availability 14 of 14 of 17 system 15 a 17 system 16 reducing 17 system 18 sufficient 19 to 19 to 21 regenerate 20 catalytically 21 regenerate 21 regenerate 23 msra 22 active 23 msra to date , the lens reducing system [(] [s] [ )(required for msra activity has not been defined . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 date 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 19 . 1 to 2 date 3 , 7 system 3 , 11 )(required 4 the 7 system 5 lens 7 system 6 reducing 7 system 7 system 11 )(required 11 )(required 12 for 11 )(required 14 activity 11 )(required 18 defined 12 for 13 msra 14 activity 15 has 15 has 16 not 15 has 17 been 17 been 18 defined here , we provide evidence that a novel thioredoxin - like protein called thioredoxin - like 6 ( txnl6 ) can serve as a reducing system for msra repair of the essential lens [chaperone] α - crystallin/shsp and mitochondrial cytochrome [c] . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 provide 1 here 2 , 1 here 3 we 3 we 4 provide 4 provide 5 evidence 4 provide 23 as 4 provide 27 for 5 evidence 6 that 6 that 9 thioredoxin 6 that 22 serve 7 a 8 novel 7 a 9 thioredoxin 8 novel 9 thioredoxin 9 thioredoxin 11 like 9 thioredoxin 16 like 9 thioredoxin 21 can 10 - 11 like 11 like 12 protein 11 like 15 - 12 protein 13 called 13 called 14 thioredoxin 15 - 16 like 16 like 17 6 16 like 20 ) 17 6 19 txnl6 18 ( 19 txnl6 19 txnl6 20 ) 21 can 22 serve 23 as 26 system 24 a 26 system 25 reducing 26 system 27 for 29 repair 28 msra 29 repair 29 repair 30 of 30 of 35 α 31 the 35 α 32 essential 33 lens 33 lens 35 α 35 α 40 cytochrome 36 - 40 cytochrome 37 crystallin/shsp 38 and 38 and 39 mitochondrial 38 and 40 cytochrome 40 cytochrome 42 . we also show that txnl6 is induced at high levels in human lens epithelial cells exposed to h ( 2 [ ] ( 2 ) - induced oxidative stress . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 25 ) 1 we 3 show 2 also 3 show 3 show 4 that 4 that 5 txnl6 4 that 7 induced 5 txnl6 6 is 6 is 7 induced 7 induced 8 at 7 induced 11 in 8 at 10 levels 9 high 10 levels 11 in 15 cells 12 human 13 lens 13 lens 15 cells 14 epithelial 15 cells 15 cells 16 exposed 15 cells 20 2 16 exposed 17 to 17 to 18 h 19 ( 20 2 20 2 23 ( 20 2 24 2 22 ] 23 ( 23 ( 24 2 25 ) 28 oxidative 25 ) 29 stress 26 - 28 oxidative 27 induced 28 oxidative collectively , these data suggest a critical role for txnl6 in msra repair of essential lens proteins under oxidative stress conditions and that txnl6 is important for msra defense protection against [cataract] . 0 ###LEFT-WALL### 4 data 0 ###LEFT-WALL### 5 suggest 0 ###LEFT-WALL### 33 . 1 collectively 2 , 1 collectively 4 data 3 these 4 data 4 data 5 suggest 5 suggest 8 role 5 suggest 11 in 5 suggest 18 under 6 a 7 critical 6 a 8 role 7 critical 8 role 8 role 9 for 9 for 10 txnl6 11 in 13 repair 12 msra 13 repair 13 repair 14 of 14 of 17 proteins 15 essential 16 lens 16 lens 17 proteins 18 under 22 and 19 oxidative 20 stress 20 stress 21 conditions 21 conditions 22 and 22 and 23 that 22 and 24 txnl6 22 and 31 against 24 txnl6 25 is 25 is 26 important 26 important 27 for 26 important 31 against 27 for 30 protection 28 msra 29 defense 29 defense 30 protection they also suggest that msra uses multiple reducing systems for its repair activity that may augment its function under different cellular conditions . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 23 . 1 they 3 suggest 2 also 3 suggest 3 suggest 4 that 4 that 5 msra 4 that 6 uses 5 msra 6 uses 6 uses 9 systems 6 uses 19 under 7 multiple 9 systems 8 reducing 9 systems 9 systems 10 for 10 for 13 activity 11 its 13 activity 12 repair 13 activity 13 activity 14 that 13 activity 15 may 14 that 15 may 15 may 16 augment 16 augment 18 function 17 its 18 function 19 under 22 conditions 20 different 22 conditions 21 cellular 22 conditions background : advanced age contributes to clinical manifestations of many retinopathies and represents a major risk factor for age - related macular degeneration , a leading cause of visual impairment and blindness in the elderly . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 related 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 36 . 1 background 2 : 2 : 4 age 3 advanced 4 age 4 age 12 and 5 contributes 6 to 5 contributes 12 and 6 to 8 manifestations 7 clinical 8 manifestations 8 manifestations 9 of 9 of 11 retinopathies 10 many 11 retinopathies 12 and 13 represents 12 and 18 for 13 represents 17 factor 14 a 17 factor 15 major 17 factor 16 risk 17 factor 18 for 19 age 20 - 21 related 21 related 23 degeneration 21 related 24 , 22 macular 23 degeneration 24 , 31 and 25 a 27 cause 26 leading 27 cause 27 cause 28 of 27 cause 31 and 28 of 30 impairment 29 visual 30 impairment 31 and 32 blindness 31 and 33 in 33 in 35 elderly 34 the 35 elderly rod photoreceptors are especially vulnerable to genetic defects and changes in microenvironment , and [are] among the first neurons to die in normal aging and in many retinal degenerative diseases . 0 ###LEFT-WALL### 2 photoreceptors 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 31 . 1 rod 2 photoreceptors 2 photoreceptors 3 are 3 are 4 especially 3 are 5 vulnerable 5 vulnerable 6 to 5 vulnerable 14 and 5 vulnerable 20 to 6 to 9 and 7 genetic 8 defects 8 defects 9 and 9 and 10 changes 11 in 12 microenvironment 11 in 14 and 13 , 14 and 14 and 16 among 16 among 19 neurons 17 the 19 neurons 18 first 19 neurons 20 to 21 die 21 die 25 and 22 in 24 aging 22 in 25 and 23 normal 24 aging 25 and 26 in 26 in 30 diseases 27 many 30 diseases 28 retinal 30 diseases 29 degenerative 30 diseases the molecular mechanisms underlying rod photoreceptor vulnerability and potential biomarkers of the aging process in this [highly] [specialized] cell type are unknown . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 21 are 0 ###LEFT-WALL### 23 . 1 the 3 mechanisms 2 molecular 3 mechanisms 3 mechanisms 4 underlying 3 mechanisms 8 and 4 underlying 7 vulnerability 5 rod 6 photoreceptor 6 photoreceptor 7 vulnerability 8 and 9 potential 8 and 10 biomarkers 8 and 20 type 8 and 21 are 10 biomarkers 11 of 10 biomarkers 20 type 11 of 14 process 12 the 14 process 13 aging 14 process 14 process 15 in 15 in 19 cell 16 this 19 cell 21 are 22 unknown methodology/principal findings : to discover aging - associated adaptations that may influence [rod] function , we have generated gene expression profiles of purified rod photoreceptors from mouse retina [at] young adult [to] early stages of aging ( 1.5 , 5 , and 12 month old mice ) . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 48 . 1 methodology/principal 2 findings 3 : 9 adaptations 3 : 14 function 3 : 15 , 4 to 5 discover 4 to 7 - 4 to 9 adaptations 5 discover 6 aging 8 associated 9 adaptations 9 adaptations 10 that 9 adaptations 12 influence 9 adaptations 14 function 10 that 11 may 11 may 12 influence 15 , 16 we 15 , 18 generated 16 we 17 have 17 have 18 generated 18 generated 42 and 19 gene 20 expression 20 expression 21 profiles 21 profiles 22 of 21 profiles 42 and 22 of 25 photoreceptors 23 purified 25 photoreceptors 24 rod 25 photoreceptors 25 photoreceptors 26 from 25 photoreceptors 35 of 25 photoreceptors 38 1.5 25 photoreceptors 40 5 26 from 34 stages 27 mouse 28 retina 28 retina 34 stages 30 young 31 adult 31 adult 34 stages 33 early 34 stages 35 of 36 aging 37 ( 38 1.5 38 1.5 39 , 39 , 40 5 40 5 41 , 42 and 46 mice 42 and 47 ) 43 12 46 mice 44 month 46 mice 45 old 46 mice we identified 375 genes that showed differential expression in rods from 5 and 12 month old mouse retina compared to that [of] 1.5 month old retina . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 identified 0 ###LEFT-WALL### 27 . 1 we 2 identified 2 identified 4 genes 2 identified 20 to 3 375 4 genes 4 genes 5 that 4 genes 6 showed 5 that 6 showed 6 showed 8 expression 7 differential 8 expression 8 expression 9 in 8 expression 19 compared 9 in 13 and 10 rods 11 from 10 rods 13 and 11 from 12 5 13 and 18 retina 14 12 15 month 15 month 18 retina 16 old 17 mouse 17 mouse 18 retina 20 to 26 retina 21 that 26 retina 23 1.5 24 month 24 month 25 old 25 old 26 retina quantitative rt - pcr experiments validated expression change for a majority of the 25 genes that were examined . 0 ###LEFT-WALL### 5 experiments 0 ###LEFT-WALL### 19 . 1 quantitative 2 rt 2 rt 4 pcr 3 - 4 pcr 4 pcr 5 experiments 5 experiments 6 validated 6 validated 8 change 6 validated 9 for 7 expression 8 change 9 for 15 genes 10 a 11 majority 11 majority 12 of 11 majority 15 genes 12 of 15 genes 13 the 14 25 14 25 15 genes 15 genes 16 that 15 genes 17 were 16 that 17 were 17 were 18 examined macroanalysis of differentially expressed genes using gene class testing and protein interaction networks revealed overrepresentation of cellular pathways that are potentially photoreceptor - specific ( angiogenesis and lipid/retinoid metabolism ) , in addition to age - related pathways previously described in several tissue types ( oxidative phosphorylation , stress and immune response ) . 0 ###LEFT-WALL### 22 photoreceptor 0 ###LEFT-WALL### 23 - 1 macroanalysis 2 of 1 macroanalysis 6 using 1 macroanalysis 10 and 2 of 5 genes 3 differentially 4 expressed 4 expressed 5 genes 6 using 9 testing 7 gene 9 testing 8 class 9 testing 10 and 11 protein 10 and 13 networks 10 and 14 revealed 10 and 22 photoreceptor 12 interaction 13 networks 13 networks 14 revealed 14 revealed 15 overrepresentation 15 overrepresentation 16 of 16 of 18 pathways 17 cellular 18 pathways 18 pathways 19 that 18 pathways 20 are 19 that 20 are 20 are 21 potentially 23 - 38 pathways 23 - 40 described 23 - 54 . 24 specific 27 and 24 specific 38 pathways 25 ( 27 and 26 angiogenesis 27 and 27 and 29 metabolism 27 and 30 ) 27 and 32 in 27 and 36 - 28 lipid/retinoid 29 metabolism 31 , 32 in 32 in 33 addition 32 in 36 - 33 addition 34 to 34 to 35 age 37 related 38 pathways 38 pathways 40 described 39 previously 40 described 40 described 41 in 40 described 44 types 41 in 42 several 43 tissue 44 types 44 types 47 phosphorylation 45 ( 47 phosphorylation 46 oxidative 47 phosphorylation 47 phosphorylation 50 and 47 phosphorylation 53 ) 48 , 50 and 49 stress 50 and 50 and 52 response 50 and 53 ) 51 immune 52 response conclusions/significance : our study suggests a progressive shift in cellular homeostasis that may underlie aging - associated functional decline [in] rod photoreceptors and contribute to a more permissive state for pathological processes involved in retinal diseases . 0 ###LEFT-WALL### 1 conclusions/significance 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 2 : 4 study 2 : 5 suggests 2 : 16 - 3 our 4 study 4 study 5 suggests 5 suggests 8 shift 6 a 7 progressive 6 a 8 shift 7 progressive 8 shift 8 shift 9 in 8 shift 15 aging 9 in 11 homeostasis 10 cellular 11 homeostasis 11 homeostasis 12 that 11 homeostasis 14 underlie 12 that 13 may 13 may 14 underlie 16 - 23 and 17 associated 22 photoreceptors 17 associated 23 and 18 functional 19 decline 19 decline 22 photoreceptors 21 rod 22 photoreceptors 23 and 24 contribute 24 contribute 25 to 25 to 29 state 26 a 29 state 27 more 28 permissive 28 permissive 29 state 29 state 30 for 29 state 34 in 30 for 32 processes 31 pathological 32 processes 32 processes 33 involved 34 in 36 diseases 35 retinal 36 diseases selection of t [cells] does not end with events in the thymus , but continues in extrathymic tissues and for the life of the organism . 0 ###LEFT-WALL### 1 selection 0 ###LEFT-WALL### 14 but 0 ###LEFT-WALL### 26 . 1 selection 2 of 1 selection 14 but 2 of 3 t 5 does 6 not 5 does 7 end 5 does 14 but 7 end 8 with 7 end 10 in 8 with 9 events 10 in 12 thymus 11 the 12 thymus 13 , 14 but 14 but 15 continues 15 continues 19 and 16 in 18 tissues 16 in 19 and 17 extrathymic 18 tissues 19 and 20 for 20 for 22 life 21 the 22 life 22 life 23 of 23 of 25 organism 24 the 25 organism in this review , we examine how self [-] [reactive] t cells are rendered harmless and the processes that select for t cells that are most efficient at combating pathogens . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 examine 0 ###LEFT-WALL### 31 . 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 6 examine 6 examine 7 how 7 how 8 self 7 how 14 rendered 8 self 11 t 8 self 12 cells 8 self 13 are 8 self 14 rendered 12 cells 13 are 14 rendered 16 and 15 harmless 16 and 16 and 18 processes 16 and 19 that 16 and 20 select 17 the 18 processes 19 that 20 select 20 select 21 for 20 select 23 cells 20 select 28 at 21 for 22 t 23 cells 24 that 23 cells 25 are 24 that 25 are 25 are 27 efficient 26 most 27 efficient 28 at 30 pathogens 29 combating 30 pathogens the implications of peripheral [t] - cell selection for the immune response as animals age are discussed as [is] the critical role of dendritic cells in directing t - cell differentiation . 0 ###LEFT-WALL### 2 implications 0 ###LEFT-WALL### 17 discussed 0 ###LEFT-WALL### 29 - 0 ###LEFT-WALL### 32 . 1 the 2 implications 2 implications 3 of 2 implications 9 for 2 implications 16 are 3 of 8 selection 4 peripheral 6 - 4 peripheral 7 cell 7 cell 8 selection 9 for 12 response 10 the 12 response 11 immune 12 response 12 response 13 as 13 as 15 age 14 animals 15 age 16 are 17 discussed 17 discussed 18 as 18 as 22 role 20 the 22 role 21 critical 22 role 22 role 23 of 23 of 25 cells 24 dendritic 25 cells 25 cells 26 in 26 in 27 directing 27 directing 28 t 29 - 31 differentiation 30 cell 31 differentiation [none] none unlabelled : this study evaluated the reference range and reproducibility of the gastric emptying study with oatmeal as a function of age and sex . 0 ###LEFT-WALL### 3 unlabelled 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 27 . 2 none 3 unlabelled 4 : 6 study 4 : 7 evaluated 5 this 6 study 6 study 7 evaluated 7 evaluated 11 and 7 evaluated 18 with 7 evaluated 20 as 8 the 11 and 9 reference 10 range 10 range 11 and 11 and 12 reproducibility 11 and 13 of 13 of 17 study 14 the 17 study 15 gastric 17 study 16 emptying 17 study 18 with 19 oatmeal 20 as 22 function 21 a 22 function 22 function 23 of 23 of 25 and 24 age 25 and 25 and 26 sex methods : twenty - four healthy subjects , 12 men and 12 women , categorized into 3 age groups , 20 - 40 , 40 - 60 , and 60 - 80 [y] , were [studied] twice [,] 1 d apart , with instant oatmeal labeled [with] ( 99 m [ c] - sulfur colloid . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 4 - 1 methods 2 : 2 : 3 twenty 4 - 7 subjects 4 - 8 , 5 four 7 subjects 6 healthy 7 subjects 8 , 11 and 8 , 20 , 9 12 10 men 10 men 11 and 11 and 13 women 11 and 14 , 11 and 15 categorized 12 12 13 women 14 , 15 categorized 15 categorized 16 into 15 categorized 20 , 16 into 19 groups 17 3 19 groups 18 age 19 groups 20 , 21 20 20 , 22 - 20 , 29 and 21 20 22 - 22 - 23 40 23 40 26 - 24 , 26 - 25 40 26 - 26 - 27 60 26 - 28 , 29 and 30 60 30 60 32 80 30 60 35 were 31 - 32 80 32 80 34 , 35 were 37 twice 35 were 41 apart 35 were 43 with 39 1 40 d 40 d 41 apart 42 , 43 with 43 with 45 oatmeal 43 with 46 labeled 43 with 55 colloid 44 instant 45 oatmeal 46 labeled 52 c] 48 ( 52 c] 49 99 50 m 50 m 52 c] 52 c] 54 sulfur 52 c] 55 colloid 53 - 54 sulfur imaging was performed in the upright position using [the] left anterior oblique ( lao ) , right posterior oblique ( rpo ) , anterior , and posterior projections . 0 ###LEFT-WALL### 1 imaging 0 ###LEFT-WALL### 3 performed 0 ###LEFT-WALL### 29 . 1 imaging 2 was 2 was 3 performed 3 performed 4 in 3 performed 8 using 4 in 7 position 5 the 7 position 6 upright 7 position 8 using 28 projections 10 left 18 posterior 11 anterior 17 right 12 oblique 14 lao 12 oblique 16 , 12 oblique 17 right 13 ( 14 lao 14 lao 15 ) 17 right 18 posterior 18 posterior 28 projections 19 oblique 21 rpo 19 oblique 23 , 19 oblique 28 projections 20 ( 21 rpo 21 rpo 22 ) 24 anterior 26 and 25 , 26 and 26 and 27 posterior 26 and 28 projections one - minute digital images acquired every 15 min for 60 min were used to calculate a simple [half] - time of emptying . 0 ###LEFT-WALL### 1 one 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 24 . 2 - 3 minute 3 minute 5 images 4 digital 5 images 5 images 6 acquired 5 images 8 15 5 images 16 calculate 7 every 8 15 8 15 9 min 8 15 13 were 9 min 10 for 10 for 12 min 11 60 12 min 13 were 14 used 14 used 15 to 14 used 16 calculate 15 to 16 calculate 16 calculate 21 time 17 a 21 time 18 simple 20 - 18 simple 21 time 21 time 22 of 22 of 23 emptying results : a strong correlation was found among half - times of gastric emptying calculated from the anterior projection , lao projection , anterior - posterior geometric mean , and lao - rpo geometric mean ( p < 0.01 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 41 . 2 : 5 correlation 2 : 7 found 2 : 15 calculated 3 a 4 strong 3 a 5 correlation 4 strong 5 correlation 5 correlation 6 was 6 was 7 found 7 found 8 among 8 among 9 half 10 - 15 calculated 11 times 12 of 11 times 15 calculated 12 of 14 emptying 13 gastric 14 emptying 15 calculated 16 from 15 calculated 38 < 15 calculated 40 ) 16 from 30 and 17 the 19 projection 18 anterior 19 projection 19 projection 20 , 20 , 22 projection 20 , 23 , 21 lao 22 projection 23 , 28 mean 23 , 30 and 24 anterior 25 - 24 anterior 26 posterior 26 posterior 28 mean 27 geometric 28 mean 29 , 30 and 30 and 35 mean 31 lao 33 rpo 32 - 33 rpo 33 rpo 35 mean 34 geometric 35 mean 36 ( 38 < 37 p 38 < 38 < 39 0.01 a significant inverse correlation was found between increasing age and decreasing half - time of emptying in men and women ( p < 0.05 ) . 0 ###LEFT-WALL### 4 correlation 0 ###LEFT-WALL### 6 found 0 ###LEFT-WALL### 13 - 1 a 2 significant 1 a 4 correlation 2 significant 4 correlation 3 inverse 4 correlation 4 correlation 5 was 5 was 6 found 6 found 7 between 6 found 12 half 7 between 10 and 8 increasing 9 age 9 age 10 and 10 and 11 decreasing 13 - 19 and 13 - 26 . 14 time 15 of 14 time 19 and 15 of 16 emptying 16 emptying 17 in 16 emptying 18 men 19 and 20 women 19 and 23 < 21 ( 23 < 22 p 23 < 23 < 24 0.05 23 < 25 ) a reference range of 10 - 60 min is suggested for 20 - to 40 - y - old patients , 10 - 40 min for 40 - to 60 - y - olds , [and] 10 - 30 min for 60 - to 80 - y - olds . 0 ###LEFT-WALL### 3 range 0 ###LEFT-WALL### 10 suggested 0 ###LEFT-WALL### 23 - 1 a 3 range 2 reference 3 range 3 range 4 of 3 range 9 is 4 of 8 min 5 10 6 - 6 - 7 60 6 - 8 min 9 is 10 suggested 10 suggested 11 for 11 for 12 20 12 20 14 to 13 - 14 to 14 to 15 40 14 to 23 - 15 40 18 - 15 40 22 10 16 - 18 - 17 y 18 - 18 - 20 patients 18 - 21 , 19 old 20 patients 21 , 22 10 22 10 23 - 23 - 24 40 24 40 25 min 24 40 40 min 25 min 26 for 25 min 29 to 25 min 33 - 25 min 38 - 26 for 27 40 28 - 29 to 29 to 30 60 29 to 31 - 31 - 33 - 32 y 33 - 33 - 34 olds 33 - 35 , 37 10 38 - 38 - 39 30 40 min 41 for 40 min 44 to 41 for 42 60 43 - 44 to 44 to 45 80 44 to 50 . 45 80 48 - 46 - 48 - 47 y 48 - 48 - 49 olds 48 - 50 . [half] - times of emptying tended to be longer for women than for men ( not statistically significant ) . 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 6 tended 0 ###LEFT-WALL### 20 . 2 - 3 times 3 times 4 of 3 times 6 tended 4 of 5 emptying 6 tended 7 to 6 tended 8 be 7 to 8 be 8 be 9 longer 9 longer 10 for 9 longer 12 than 10 for 11 women 12 than 13 for 13 for 14 men 14 men 18 significant 15 ( 16 not 15 ( 18 significant 17 statistically 18 significant 18 significant 19 ) there was a large variation between the first and second studies , with a trend toward decreasing variation with increasing age in both men and women . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 27 . 1 there 2 was 2 was 18 variation 3 a 5 variation 4 large 5 variation 5 variation 6 between 5 variation 9 and 6 between 8 first 7 the 8 first 9 and 11 studies 9 and 12 , 9 and 13 with 9 and 18 variation 10 second 11 studies 13 with 15 trend 14 a 15 trend 15 trend 16 toward 16 toward 17 decreasing 18 variation 19 with 19 with 20 increasing 20 increasing 21 age 21 age 22 in 22 in 25 and 23 both 25 and 24 men 25 and 25 and 26 women in repeated studies , a reference range of variation of up to 30 min is suggested for 20 - to 40 - y - old patients , up to 20 min for 40 - to 60 - y - olds , and up to 15 min for 60 - to 80 - y - olds . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 16 suggested 1 in 2 repeated 2 repeated 3 studies 4 , 16 suggested 5 a 6 reference 6 reference 7 range 6 reference 15 is 6 reference 16 suggested 7 range 8 of 7 range 10 of 7 range 15 is 8 of 9 variation 10 of 14 min 11 up 12 to 12 to 13 30 13 30 14 min 16 suggested 17 for 16 suggested 20 to 16 suggested 24 - 17 for 18 20 19 - 20 to 20 to 21 40 20 to 22 - 22 - 24 - 23 y 24 - 24 - 26 patients 24 - 56 . 25 old 26 patients 26 patients 30 20 27 , 30 20 28 up 29 to 29 to 30 20 30 20 42 and 30 20 56 . 31 min 32 for 31 min 42 and 32 for 33 40 33 40 35 to 33 40 39 - 34 - 35 to 35 to 36 60 35 to 37 - 37 - 39 - 38 y 39 - 39 - 40 olds 39 - 41 , 41 , 42 and 42 and 43 up 43 up 44 to 44 to 46 min 45 15 46 min 46 min 47 for 47 for 48 60 48 60 50 to 48 60 54 - 49 - 50 to 50 to 51 80 50 to 52 - 52 - 54 - 53 y 54 - 54 - 55 olds 54 - 56 . conclusion : the reference range for half - time of gastric emptying with instant oatmeal decreases with increasing age in both men and women . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 1 conclusion 2 : 2 : 5 range 3 the 5 range 4 reference 5 range 5 range 6 for 5 range 9 time 6 for 7 half 8 - 9 time 9 time 10 of 9 time 16 decreases 9 time 19 age 9 time 25 . 10 of 12 emptying 11 gastric 12 emptying 12 emptying 13 with 13 with 15 oatmeal 14 instant 15 oatmeal 16 decreases 17 with 16 decreases 19 age 17 with 18 increasing 19 age 20 in 20 in 23 and 21 both 23 and 22 men 23 and 23 and 24 women test - [retest] variation is relatively large and tends to decrease with increasing age in both men and women . 0 ###LEFT-WALL### 4 variation 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 20 . 1 test 2 - 1 test 4 variation 4 variation 8 and 5 is 6 relatively 5 is 7 large 5 is 8 and 8 and 9 tends 8 and 12 with 9 tends 10 to 10 to 11 decrease 12 with 13 increasing 13 increasing 14 age 13 increasing 15 in 15 in 18 and 16 both 17 men 17 men 18 and 18 and 19 women data from either the lao projection or the anterior - posterior geometric mean are acceptable for calculating the half - time of gastric emptying . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 14 are 0 ###LEFT-WALL### 20 - 0 ###LEFT-WALL### 25 . 1 data 2 from 1 data 14 are 2 from 7 or 3 either 7 or 4 the 6 projection 5 lao 6 projection 6 projection 7 or 7 or 13 mean 8 the 13 mean 9 anterior 10 - 9 anterior 13 mean 11 posterior 13 mean 12 geometric 13 mean 14 are 15 acceptable 15 acceptable 16 for 16 for 17 calculating 17 calculating 19 half 18 the 19 half 20 - 21 time 21 time 22 of 22 of 24 emptying 23 gastric 24 emptying improvements in the quality and implementation of medical care for individuals [with] cystic fibrosis ( cf ) have resulted in a dramatic improvement in survival . 0 ###LEFT-WALL### 1 improvements 0 ###LEFT-WALL### 19 resulted 0 ###LEFT-WALL### 26 . 1 improvements 2 in 1 improvements 18 have 2 in 14 fibrosis 3 the 14 fibrosis 4 quality 5 and 5 and 6 implementation 5 and 7 of 5 and 14 fibrosis 7 of 9 care 8 medical 9 care 9 care 10 for 10 for 11 individuals 13 cystic 14 fibrosis 14 fibrosis 16 cf 15 ( 16 cf 16 cf 17 ) 18 have 19 resulted 19 resulted 20 in 19 resulted 24 in 20 in 23 improvement 21 a 22 dramatic 21 a 23 improvement 22 dramatic 23 improvement 24 in 25 survival many of these strategies have focused on the effective management of pulmonary disease which has delayed its manifestations into later years . 0 ###LEFT-WALL### 4 strategies 0 ###LEFT-WALL### 6 focused 0 ###LEFT-WALL### 22 . 1 many 2 of 1 many 4 strategies 2 of 4 strategies 3 these 4 strategies 4 strategies 5 have 5 have 6 focused 6 focused 7 on 7 on 10 management 8 the 10 management 9 effective 10 management 10 management 11 of 11 of 13 disease 12 pulmonary 13 disease 13 disease 14 which 13 disease 15 has 14 which 15 has 15 has 16 delayed 16 delayed 18 manifestations 16 delayed 19 into 17 its 18 manifestations 19 into 21 years 20 later 21 years with an increasing number of patients surviving to later years the impact of chronic inflammation and nutritional compromise on other organ systems over a lifetime are increasingly manifest . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 26 are 0 ###LEFT-WALL### 29 . 1 with 6 patients 1 with 7 surviving 1 with 16 and 2 an 4 number 3 increasing 4 number 4 number 5 of 4 number 6 patients 5 of 6 patients 7 surviving 8 to 8 to 10 years 9 later 10 years 11 the 12 impact 12 impact 13 of 12 impact 16 and 13 of 15 inflammation 14 chronic 15 inflammation 16 and 18 compromise 16 and 19 on 16 and 26 are 17 nutritional 18 compromise 19 on 22 systems 20 other 22 systems 21 organ 22 systems 22 systems 23 over 23 over 25 lifetime 24 a 25 lifetime 26 are 27 increasingly 26 are 28 manifest this review highlights the changing epidemiology of the ageing cf population and the complications that may ensue . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 highlights 0 ###LEFT-WALL### 18 . 1 this 2 review 2 review 3 highlights 3 highlights 6 epidemiology 4 the 6 epidemiology 5 changing 6 epidemiology 6 epidemiology 7 of 7 of 12 and 8 the 11 population 9 ageing 11 population 10 cf 11 population 11 population 12 and 12 and 14 complications 12 and 15 that 12 and 16 may 13 the 14 complications 15 that 16 may 16 may 17 ensue objective : to assess whether women who underwent forceps delivery were more likely than those who delivered either normally ( spontaneous vaginal delivery [ svd ] ) [or] by cesarean to experience deterioration in fecal continence as they aged . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 40 . 2 : 3 to 2 : 4 assess 3 to 4 assess 4 assess 5 whether 5 whether 6 women 5 whether 11 were 6 women 7 who 6 women 8 underwent 6 women 11 were 7 who 8 underwent 8 underwent 10 delivery 9 forceps 10 delivery 11 were 13 likely 12 more 13 likely 13 likely 14 than 13 likely 29 by 13 likely 31 to 14 than 15 those 15 those 16 who 15 those 17 delivered 15 those 23 delivery 16 who 17 delivered 17 delivered 18 either 17 delivered 19 normally 20 ( 23 delivery 21 spontaneous 23 delivery 22 vaginal 23 delivery 23 delivery 25 svd 23 delivery 27 ) 24 [ 25 svd 25 svd 26 ] 29 by 30 cesarean 31 to 32 experience 32 experience 33 deterioration 33 deterioration 34 in 33 deterioration 39 aged 34 in 36 continence 35 fecal 36 continence 37 as 38 they 37 as 39 aged 38 they 39 aged methods : the study investigated fecal continence assessment among women who gave birth to their first child 10 , 20 , or 30 years previously . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 1 methods 2 : 2 : 8 assessment 3 the 8 assessment 4 study 8 assessment 5 investigated 7 continence 6 fecal 7 continence 7 continence 8 assessment 8 assessment 9 among 9 among 10 women 10 women 11 who 10 women 12 gave 11 who 12 gave 12 gave 13 birth 12 gave 17 child 12 gave 22 or 12 gave 25 previously 13 birth 14 to 14 to 16 first 15 their 16 first 17 child 18 10 17 child 20 20 19 , 20 20 20 20 21 , 22 or 24 years 23 30 24 years women who had undergone forceps delivery in the selected years were matched with women who had svd in the same year . 0 ###LEFT-WALL### 1 women 0 ###LEFT-WALL### 22 . 1 women 2 who 1 women 3 had 1 women 11 were 2 who 3 had 3 had 4 undergone 4 undergone 6 delivery 4 undergone 7 in 5 forceps 6 delivery 7 in 10 years 8 the 10 years 9 selected 10 years 11 were 12 matched 12 matched 13 with 12 matched 18 in 13 with 14 women 14 women 15 who 14 women 16 had 15 who 16 had 16 had 17 svd 18 in 21 year 19 the 20 same 20 same 21 year two additional cohorts [(] [1] [premenopausal] , 1 [postmenopausal] [ )(, who had only ever delivered by pre - labor cesarean , were identified for comparison . 0 ###LEFT-WALL### 3 cohorts 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 24 identified 0 ###LEFT-WALL### 27 . 1 two 3 cohorts 2 additional 3 cohorts 7 , 8 1 7 , 22 , 8 1 12 who 8 1 22 , 11 )(, 12 who 12 who 13 had 12 who 19 - 13 had 16 delivered 14 only 16 delivered 15 ever 16 delivered 16 delivered 17 by 17 by 18 pre 20 labor 21 cesarean 20 labor 22 , 22 , 23 were 23 were 24 identified 24 identified 25 for 25 for 26 comparison results : of the 85 women who participated , 36 had undergone forceps delivery , 35 svd , and 14 cesarean delivery only . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 24 . 1 results 2 : 2 : 3 of 3 of 6 women 4 the 5 85 5 85 6 women 6 women 7 who 6 women 8 participated 7 who 8 participated 9 , 10 36 9 , 12 undergone 9 , 19 and 10 36 11 had 11 had 12 undergone 12 undergone 14 delivery 13 forceps 14 delivery 14 delivery 17 svd 15 , 17 svd 16 35 17 svd 17 svd 18 , 19 and 20 14 19 and 21 cesarean 20 14 21 cesarean 21 cesarean 22 delivery 21 cesarean 23 only the mode of vaginal delivery had no significant effect on continence scores or manometry pressures . 0 ###LEFT-WALL### 2 mode 0 ###LEFT-WALL### 6 had 0 ###LEFT-WALL### 16 . 1 the 2 mode 2 mode 3 of 2 mode 6 had 3 of 5 delivery 4 vaginal 5 delivery 6 had 9 effect 6 had 10 on 7 no 9 effect 8 significant 9 effect 10 on 13 or 11 continence 12 scores 12 scores 13 or 13 or 15 pressures 14 manometry 15 pressures premenopausal women who had undergone cesarean delivery had significantly higher manometry pressures than those who delivered vaginally , but this protective effect was lost after the menopause . 0 ###LEFT-WALL### 2 women 0 ###LEFT-WALL### 8 had 0 ###LEFT-WALL### 19 but 0 ###LEFT-WALL### 28 . 1 premenopausal 2 women 2 women 3 who 2 women 4 had 2 women 8 had 3 who 4 had 4 had 5 undergone 5 undergone 7 delivery 6 cesarean 7 delivery 8 had 12 pressures 8 had 13 than 9 significantly 10 higher 10 higher 12 pressures 11 manometry 12 pressures 13 than 14 those 14 those 15 who 14 those 16 delivered 15 who 16 delivered 16 delivered 17 vaginally 18 , 19 but 19 but 22 effect 19 but 24 lost 20 this 22 effect 21 protective 22 effect 22 effect 23 was 23 was 24 lost 24 lost 25 after 25 after 27 menopause 26 the 27 menopause multivariate analysis of pudendal nerve conduction found that the adverse effect of duration since delivery was greater than the adverse effect of forceps compared with vaginal delivery . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 7 found 0 ###LEFT-WALL### 28 . 1 multivariate 2 analysis 2 analysis 3 of 2 analysis 7 found 3 of 6 conduction 4 pudendal 5 nerve 5 nerve 6 conduction 7 found 8 that 7 found 11 effect 7 found 14 since 9 the 11 effect 10 adverse 11 effect 11 effect 12 of 12 of 13 duration 14 since 15 delivery 14 since 16 was 15 delivery 16 was 16 was 17 greater 17 greater 18 than 17 greater 25 with 18 than 21 effect 18 than 22 of 19 the 21 effect 20 adverse 21 effect 22 of 23 forceps 23 forceps 24 compared 25 with 27 delivery 26 vaginal 27 delivery conclusion : mode of delivery and aging [affect] pelvic floor function . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 . 1 conclusion 2 : 2 : 3 mode 3 mode 4 of 4 of 6 and 5 delivery 6 and 6 and 11 function 7 aging 10 floor 9 pelvic 10 floor 10 floor 11 function women who deliver via cesarean are not immune to age - related deterioration of anal sphincter function . 0 ###LEFT-WALL### 17 function 0 ###LEFT-WALL### 18 . 1 women 2 who 1 women 3 deliver 1 women 6 are 2 who 3 deliver 3 deliver 4 via 4 via 5 cesarean 6 are 7 not 7 not 8 immune 8 immune 9 to 8 immune 11 - 8 immune 17 function 9 to 10 age 11 - 12 related 12 related 13 deterioration 12 related 17 function 13 deterioration 14 of 14 of 16 sphincter 15 anal 16 sphincter the dopamine ( da ) [precursor] [l] - dihydroxyphenylalanine ( l - dopa ) [and] metabolites dihydroxyphenylacetic acid ( dopac ) , homovanillic acid ( hva ) , and 3 - methoxytyramine may serve as substrates for prostaglandin h synthase ( phs ) - catalyzed bioactivation to free radical intermediates . 0 ###LEFT-WALL### 2 dopamine 0 ###LEFT-WALL### 16 metabolites 0 ###LEFT-WALL### 29 and 0 ###LEFT-WALL### 34 serve 1 the 2 dopamine 2 dopamine 4 da 2 dopamine 9 dihydroxyphenylalanine 2 dopamine 13 dopa 2 dopamine 16 metabolites 3 ( 4 da 4 da 5 ) 8 - 9 dihydroxyphenylalanine 9 dihydroxyphenylalanine 11 l 9 dihydroxyphenylalanine 12 - 10 ( 11 l 11 l 12 - 12 - 13 dopa 13 dopa 14 ) 16 metabolites 24 acid 17 dihydroxyphenylacetic 24 acid 18 acid 20 dopac 18 acid 22 , 18 acid 24 acid 19 ( 20 dopac 20 dopac 21 ) 23 homovanillic 24 acid 24 acid 26 hva 25 ( 26 hva 26 hva 27 ) 28 , 29 and 29 and 30 3 29 and 31 - 30 3 31 - 31 - 32 methoxytyramine 32 methoxytyramine 33 may 33 may 34 serve 34 serve 35 as 34 serve 37 for 35 as 36 substrates 37 for 40 synthase 38 prostaglandin 39 h 38 prostaglandin 40 synthase 40 synthase 42 phs 40 synthase 46 bioactivation 41 ( 42 phs 42 phs 43 ) 44 - 46 bioactivation 45 catalyzed 46 bioactivation 46 bioactivation 47 to 46 bioactivation 48 free 46 bioactivation 51 . 47 to 48 free 48 free 50 intermediates 49 radical 50 intermediates we used cho - k1 cells expressing human ( [h] [ )(phs - [1] or hphs - 2 to investigate hphs isozyme - dependent oxidative damage and cytotoxicity . hphs - 1 - and hphs - 2 - expressing cells incubated with da , l - dopa , dopac , or hva exhibited increased cytotoxicity compared to untransfected cells , and cytotoxicity was increased further by exogenous arachidonic acid ( aa ) , which increased hphs activity . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 used 0 ###LEFT-WALL### 4 - 1 we 2 used 2 used 3 cho 4 - 8 human 4 - 13 - 5 k1 8 human 6 cells 8 human 7 expressing 8 human 8 human 12 )(phs 9 ( 12 )(phs 12 )(phs 13 - 13 - 15 or 13 - 21 hphs 13 - 23 - 15 or 18 2 16 hphs 17 - 16 hphs 18 2 18 2 19 to 18 2 20 investigate 18 2 21 hphs 19 to 20 investigate 21 hphs 22 isozyme 23 - 27 and 23 - 29 . 23 - 33 - 24 dependent 26 damage 25 oxidative 26 damage 26 damage 27 and 27 and 28 cytotoxicity 29 . 30 hphs 30 hphs 32 1 31 - 32 1 33 - 34 and 33 - 41 incubated 33 - 44 , 34 and 35 hphs 35 hphs 38 - 35 hphs 41 incubated 36 - 38 - 37 2 38 - 38 - 40 cells 39 expressing 40 cells 41 incubated 42 with 42 with 43 da 44 , 45 l 44 , 46 - 45 l 46 - 46 - 51 or 47 dopa 49 dopac 47 dopa 51 or 48 , 49 dopac 49 dopac 50 , 51 or 52 hva 51 or 63 was 52 hva 53 exhibited 52 hva 54 increased 52 hva 57 to 54 increased 56 compared 55 cytotoxicity 56 compared 57 to 61 and 58 untransfected 59 cells 59 cells 61 and 60 , 61 and 61 and 62 cytotoxicity 63 was 64 increased 64 increased 65 further 64 increased 66 by 66 by 69 acid 67 exogenous 69 acid 68 arachidonic 69 acid 69 acid 71 aa 69 acid 74 which 70 ( 71 aa 71 aa 72 ) 73 , 74 which 74 which 75 increased 74 which 78 . 75 increased 77 activity 76 hphs 77 activity preincubation [with] [catalase] , which detoxifies reactive oxygen species , or acetylsalicylic acid , an inhibitor of hphs - 1 and - 2 , reduced the cytotoxicity caused by da , l - dopa , dopac , and hva in hphs - 1 and - 2 cells [both] with [and] [without] aa . 0 ###LEFT-WALL### 1 preincubation 0 ###LEFT-WALL### 4 , 4 , 5 which 4 , 6 detoxifies 4 , 14 , 5 which 6 detoxifies 6 detoxifies 11 or 7 reactive 9 species 8 oxygen 9 species 9 species 11 or 10 , 11 or 11 or 13 acid 12 acetylsalicylic 13 acid 14 , 16 inhibitor 15 an 16 inhibitor 16 inhibitor 17 of 16 inhibitor 25 reduced 17 of 18 hphs 18 hphs 21 and 19 - 21 and 20 1 21 and 21 and 23 2 21 and 24 , 22 - 23 2 25 reduced 27 cytotoxicity 26 the 27 cytotoxicity 27 cytotoxicity 28 caused 27 cytotoxicity 29 by 27 cytotoxicity 33 - 29 by 30 da 31 , 33 - 32 l 33 - 33 - 38 and 34 dopa 35 , 35 , 36 dopac 35 , 38 and 37 , 38 and 38 and 39 hva 38 and 40 in 40 in 41 hphs 41 hphs 47 cells 42 - 47 cells 43 1 44 and 44 and 46 2 44 and 47 cells 45 - 46 2 47 cells 49 with 47 cells 53 . 49 with 52 aa protein oxidation was increased in hphs - 1 and - 2 cells exposed to da or l - dopa and further increased by aa addition . 0 ###LEFT-WALL### 2 oxidation 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 26 . 1 protein 2 oxidation 2 oxidation 20 and 3 was 4 increased 3 was 20 and 4 increased 5 in 5 in 19 dopa 6 hphs 16 or 6 hphs 19 dopa 7 - 16 or 8 1 9 and 9 and 11 2 9 and 12 cells 10 - 11 2 12 cells 13 exposed 12 cells 14 to 12 cells 16 or 14 to 15 da 16 or 17 l 16 or 18 - 20 and 22 increased 20 and 23 by 20 and 25 addition 21 further 22 increased 23 by 24 aa thus , isozyme - specific , hphs - dependent oxidative damage and cytotoxicity caused by neurotransmitters , their precursors , and their metabolites may contribute to neurodegeneration associated with aging . 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 25 contribute 0 ###LEFT-WALL### 31 . 1 thus 2 , 1 thus 21 and 3 isozyme 4 - 3 isozyme 11 damage 5 specific 7 hphs 5 specific 11 damage 6 , 7 hphs 7 hphs 8 - 9 dependent 11 damage 10 oxidative 11 damage 11 damage 12 and 12 and 13 cytotoxicity 12 and 14 caused 12 and 19 precursors 12 and 21 and 14 caused 15 by 15 by 16 neurotransmitters 17 , 19 precursors 18 their 19 precursors 19 precursors 20 , 20 , 21 and 21 and 23 metabolites 21 and 24 may 22 their 23 metabolites 24 may 25 contribute 25 contribute 26 to 25 contribute 29 with 26 to 27 neurodegeneration 27 neurodegeneration 28 associated 29 with 30 aging as a marker of cellular death , cell [-] free dna ( cf - dna ) has a utility in diagnosis and prognosis of various disorders . 0 ###LEFT-WALL### 11 dna 0 ###LEFT-WALL### 17 has 0 ###LEFT-WALL### 27 . 1 as 3 marker 1 as 7 , 1 as 11 dna 2 a 3 marker 3 marker 4 of 4 of 6 death 5 cellular 6 death 8 cell 11 dna 10 free 11 dna 11 dna 13 cf 11 dna 17 has 12 ( 13 cf 13 cf 15 dna 13 cf 16 ) 14 - 15 dna 15 dna 16 ) 17 has 19 utility 17 has 20 in 18 a 19 utility 20 in 22 and 21 diagnosis 22 and 22 and 23 prognosis 22 and 24 of 24 of 26 disorders 25 various 26 disorders since aging accompanies increased cellular senescence and death , we aimed to characterize potential age - related alterations in cf - dna . 0 ###LEFT-WALL### 10 we 0 ###LEFT-WALL### 11 aimed 0 ###LEFT-WALL### 17 related 0 ###LEFT-WALL### 23 . 1 since 2 aging 1 since 3 accompanies 1 since 9 , 1 since 10 we 2 aging 3 accompanies 3 accompanies 7 and 4 increased 6 senescence 5 cellular 6 senescence 6 senescence 7 and 7 and 8 death 10 we 11 aimed 11 aimed 12 to 11 aimed 13 characterize 12 to 13 characterize 13 characterize 15 age 14 potential 15 age 16 - 17 related 17 related 18 alterations 17 related 19 in 19 in 22 dna 20 cf 21 - 20 cf 22 dna the study population [consisted] of 12 nonagenarian women ( participants in the vitality 90+ study ) and 11 healthy control women ( aged 22 - 37 years ) . 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 29 . 1 the 3 population 2 study 3 population 3 population 5 of 3 population 17 and 5 of 8 women 6 12 8 women 7 nonagenarian 8 women 8 women 10 participants 9 ( 10 participants 10 participants 11 in 10 participants 16 ) 11 in 15 study 12 the 14 90+ 13 vitality 14 90+ 14 90+ 15 study 17 and 21 women 17 and 23 aged 17 and 27 years 18 11 21 women 19 healthy 20 control 20 control 21 women 22 ( 23 aged 23 aged 24 22 23 aged 25 - 25 - 27 years 26 37 27 years 27 years 28 ) some of the nonagenarians ( n=8 ) were also recruited for [follow] - up after one year . cf - dna was extracted using two different methods . 0 ###LEFT-WALL### 1 some 0 ###LEFT-WALL### 10 recruited 0 ###LEFT-WALL### 18 . 1 some 2 of 1 some 8 were 2 of 4 nonagenarians 3 the 4 nonagenarians 4 nonagenarians 6 n=8 5 ( 6 n=8 6 n=8 7 ) 8 were 10 recruited 9 also 10 recruited 10 recruited 11 for 10 recruited 15 after 11 for 14 up 13 - 14 up 15 after 17 year 16 one 17 year 18 . 21 dna 18 . 23 extracted 18 . 28 . 19 cf 20 - 19 cf 21 dna 21 dna 22 was 22 was 23 extracted 23 extracted 24 using 24 using 27 methods 25 two 27 methods 26 different 27 methods total cf - dna was quantified directly in plasma and the amplifiable cf - dna was assessed using quantitative pcr . 0 ###LEFT-WALL### 4 dna 0 ###LEFT-WALL### 6 quantified 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 21 . 1 total 4 dna 2 cf 3 - 2 cf 4 dna 4 dna 5 was 5 was 6 quantified 6 quantified 7 directly 6 quantified 8 in 8 in 10 and 9 plasma 10 and 10 and 13 cf 11 the 13 cf 12 amplifiable 13 cf 14 - 15 dna 14 - 17 assessed 15 dna 16 was 16 was 17 assessed 17 assessed 18 using 18 using 20 pcr 19 quantitative 20 pcr quality of cf - dna was analysed with a dna chip assay . 0 ###LEFT-WALL### 1 quality 0 ###LEFT-WALL### 7 analysed 0 ###LEFT-WALL### 13 . 1 quality 2 of 1 quality 6 was 2 of 5 dna 3 cf 4 - 3 cf 5 dna 6 was 7 analysed 7 analysed 8 with 8 with 12 assay 9 a 12 assay 10 dna 11 chip 11 chip 12 assay for all the quantification methods , the concentration of cf - dna was significantly higher [(] p<0.05 [ )(in nonagenarians as compared to controls . 0 ###LEFT-WALL### 12 dna 0 ###LEFT-WALL### 13 was 0 ###LEFT-WALL### 25 . 1 for 2 all 1 for 12 dna 2 all 3 the 2 all 5 methods 3 the 5 methods 4 quantification 5 methods 5 methods 8 concentration 6 , 8 concentration 7 the 8 concentration 8 concentration 9 of 8 concentration 11 - 9 of 10 cf 12 dna 13 was 13 was 14 significantly 13 was 17 p<0.05 13 was 23 to 15 higher 17 p<0.05 17 p<0.05 19 )(in 17 p<0.05 22 compared 19 )(in 20 nonagenarians 21 as 22 compared 23 to 24 controls the quality of the cf - dna also displayed a marked difference between nonagenarians and controls ; a [fragmented] pattern or appearance of low molecular weight cf - dna was observed in the majority of the nonagenarians , whereas in controls , cf - dna was intact and had [a] quasi - genomic , high molecular weight appearance . 0 ###LEFT-WALL### 2 quality 0 ###LEFT-WALL### 9 displayed 0 ###LEFT-WALL### 17 ; 1 the 2 quality 2 quality 3 of 2 quality 9 displayed 3 of 7 dna 4 the 7 dna 5 cf 6 - 5 cf 7 dna 8 also 9 displayed 9 displayed 15 and 10 a 12 difference 11 marked 12 difference 12 difference 13 between 12 difference 15 and 13 between 14 nonagenarians 15 and 16 controls 15 and 17 ; 17 ; 21 or 17 ; 27 cf 17 ; 28 - 18 a 20 pattern 20 pattern 21 or 21 or 22 appearance 21 or 23 of 21 or 27 cf 23 of 26 weight 24 low 26 weight 25 molecular 26 weight 28 - 29 dna 28 - 31 observed 28 - 52 - 29 dna 30 was 30 was 31 observed 31 observed 32 in 31 observed 39 whereas 32 in 34 majority 33 the 34 majority 34 majority 35 of 35 of 37 nonagenarians 36 the 37 nonagenarians 38 , 39 whereas 39 whereas 45 dna 39 whereas 48 and 39 whereas 52 - 40 in 41 controls 40 in 45 dna 41 controls 43 cf 42 , 43 cf 43 cf 44 - 45 dna 48 and 46 was 47 intact 46 was 48 and 48 and 49 had 49 had 51 quasi 52 - 58 appearance 52 - 59 . 53 genomic 54 , 53 genomic 57 weight 55 high 57 weight 56 molecular 57 weight 57 weight 58 appearance in nonagenarians , the quality of cf - dna appeared similar in the original and follow - up samples . 0 ###LEFT-WALL### 9 dna 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 17 - 1 in 2 nonagenarians 1 in 9 dna 2 nonagenarians 5 quality 3 , 5 quality 4 the 5 quality 5 quality 6 of 5 quality 8 - 6 of 7 cf 9 dna 15 and 10 appeared 11 similar 10 appeared 15 and 11 similar 12 in 12 in 14 original 13 the 14 original 15 and 16 follow 17 - 18 up 17 - 20 . 18 up 19 samples we propose that [some] , as yet uncharacterized , aspects of aging are reflected in the appearance of cf - dna . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 propose 0 ###LEFT-WALL### 20 - 1 we 2 propose 2 propose 3 that 3 that 10 aspects 3 that 14 reflected 5 , 6 as 6 as 8 uncharacterized 6 as 9 , 6 as 10 aspects 7 yet 8 uncharacterized 10 aspects 11 of 10 aspects 13 are 11 of 12 aging 13 are 14 reflected 14 reflected 15 in 15 in 17 appearance 16 the 17 appearance 17 appearance 18 of 18 of 19 cf 20 - 21 dna 20 - 22 . cellular senescence is an effective [tumor] - suppressive mechanism that causes a stable proliferative arrest in cells with potentially oncogenic alterations . 0 ###LEFT-WALL### 2 senescence 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 22 . 1 cellular 2 senescence 2 senescence 3 is 3 is 9 mechanism 4 an 9 mechanism 5 effective 7 - 5 effective 9 mechanism 8 suppressive 9 mechanism 9 mechanism 10 that 9 mechanism 11 causes 10 that 11 causes 11 causes 15 arrest 11 causes 16 in 12 a 13 stable 12 a 15 arrest 13 stable 15 arrest 14 proliferative 15 arrest 16 in 17 cells 17 cells 18 with 18 with 21 alterations 19 potentially 20 oncogenic 20 oncogenic 21 alterations here , we have investigated the role of the p33ing1 tumor suppressor in the regulation of cellular senescence in human primary fibroblasts . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 5 investigated 0 ###LEFT-WALL### 23 . 1 here 2 , 1 here 3 we 3 we 4 have 4 have 5 investigated 5 investigated 7 role 5 investigated 13 in 5 investigated 19 in 6 the 7 role 7 role 8 of 8 of 12 suppressor 9 the 12 suppressor 10 p33ing1 12 suppressor 11 tumor 12 suppressor 13 in 15 regulation 14 the 15 regulation 15 regulation 16 of 16 of 18 senescence 17 cellular 18 senescence 19 in 22 fibroblasts 20 human 22 fibroblasts 21 primary 22 fibroblasts we show that p33ing1 triggers a senescent phenotype in a p53 - dependent fashion . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 show 0 ###LEFT-WALL### 15 . 1 we 2 show 2 show 3 that 3 that 4 p33ing1 3 that 5 triggers 4 p33ing1 5 triggers 5 triggers 8 phenotype 5 triggers 9 in 6 a 7 senescent 6 a 8 phenotype 7 senescent 8 phenotype 9 in 14 fashion 10 a 11 p53 10 a 14 fashion 11 p53 12 - 11 p53 14 fashion 13 dependent 14 fashion also , endogenous p33ing1 protein accumulates in chromatin in oncogene - senescent fibroblasts and its silencing by rna interference impairs senescence triggered by oncogenes . 0 ###LEFT-WALL### 5 protein 0 ###LEFT-WALL### 6 accumulates 0 ###LEFT-WALL### 11 - 1 also 2 , 1 also 5 protein 3 endogenous 5 protein 4 p33ing1 5 protein 5 protein 6 accumulates 6 accumulates 7 in 6 accumulates 9 in 7 in 8 chromatin 9 in 10 oncogene 11 - 12 senescent 11 - 13 fibroblasts 11 - 14 and 11 - 25 . 12 senescent 13 fibroblasts 14 and 16 silencing 14 and 20 impairs 15 its 16 silencing 16 silencing 17 by 16 silencing 19 interference 16 silencing 20 impairs 17 by 18 rna 20 impairs 21 senescence 20 impairs 23 by 21 senescence 22 triggered 23 by 24 oncogenes notably , the ability to induce senescence is lost in a mutant version of p33ing1 present in human tumors . 0 ###LEFT-WALL### 4 ability 0 ###LEFT-WALL### 9 lost 0 ###LEFT-WALL### 20 . 1 notably 2 , 1 notably 4 ability 3 the 4 ability 4 ability 5 to 4 ability 6 induce 4 ability 8 is 5 to 6 induce 6 induce 7 senescence 8 is 9 lost 9 lost 10 in 10 in 13 version 11 a 12 mutant 11 a 13 version 12 mutant 13 version 13 version 14 of 14 of 15 p33ing1 15 p33ing1 16 present 16 present 17 in 17 in 19 tumors 18 human 19 tumors using specific point mutants , we further show that recognition of the chromatin mark h3k4me3 is essential for induction of senescence by p33ing1 . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 8 show 0 ###LEFT-WALL### 24 . 1 using 4 mutants 1 using 5 , 1 using 6 we 2 specific 3 point 3 point 4 mutants 6 we 8 show 7 further 8 show 8 show 10 recognition 8 show 15 h3k4me3 8 show 16 is 9 that 10 recognition 10 recognition 11 of 11 of 14 mark 12 the 14 mark 13 chromatin 14 mark 15 h3k4me3 16 is 16 is 17 essential 17 essential 18 for 17 essential 22 by 18 for 19 induction 19 induction 20 of 20 of 21 senescence 22 by 23 p33ing1 finally , we demonstrate that ing1 - induced senescence is associated to a specific genetic signature with a strong representation of chemokine and cytokine signaling factors , which significantly overlaps with that of oncogene - induced senescence . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 demonstrate 0 ###LEFT-WALL### 7 - 1 finally 2 , 1 finally 3 we 3 we 4 demonstrate 4 demonstrate 6 ing1 5 that 6 ing1 7 - 9 senescence 7 - 11 associated 7 - 27 , 8 induced 9 senescence 9 senescence 10 is 10 is 11 associated 11 associated 12 to 11 associated 17 with 12 to 16 signature 13 a 16 signature 14 specific 16 signature 15 genetic 16 signature 17 with 23 and 17 with 25 signaling 18 a 19 strong 18 a 20 representation 19 strong 20 representation 20 representation 21 of 20 representation 23 and 21 of 22 chemokine 23 and 24 cytokine 25 signaling 26 factors 27 , 28 which 27 , 30 overlaps 28 which 30 overlaps 29 significantly 30 overlaps 30 overlaps 31 with 31 with 32 that 32 that 33 of 33 of 34 oncogene 34 oncogene 37 senescence 35 - 37 senescence 36 induced 37 senescence 37 senescence 38 . in summary , our results identify ing1 as a critical epigenetic regulator of cellular senescence in human fibroblasts and highlight its role in control of gene expression in the context of this tumor - protective response . 0 ###LEFT-WALL### 2 summary 0 ###LEFT-WALL### 3 , 1 in 2 summary 3 , 5 results 3 , 19 and 3 , 34 - 4 our 5 results 5 results 19 and 6 identify 7 ing1 6 identify 8 as 6 identify 16 in 6 identify 19 and 8 as 12 regulator 9 a 10 critical 9 a 12 regulator 10 critical 12 regulator 11 epigenetic 12 regulator 12 regulator 13 of 13 of 15 senescence 14 cellular 15 senescence 16 in 18 fibroblasts 17 human 18 fibroblasts 19 and 20 highlight 20 highlight 22 role 20 highlight 23 in 20 highlight 28 in 21 its 22 role 23 in 24 control 24 control 25 of 25 of 27 expression 26 gene 27 expression 28 in 30 context 29 the 30 context 30 context 31 of 31 of 33 tumor 32 this 33 tumor 34 - 36 response 34 - 37 . 35 protective 36 response purpose : the aim of this study was to evaluate the influence of two pigments ( ceramic powder and oil paint ) and one opacifier ( barium [sulfate] ) on the color stability of mdx4 - 4210 facial silicone submitted to accelerated aging . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 evaluate 2 : 4 aim 3 the 4 aim 4 aim 5 of 4 aim 7 study 4 aim 10 evaluate 5 of 6 this 7 study 8 was 8 was 9 to 8 was 10 evaluate 9 to 10 evaluate 10 evaluate 12 influence 10 evaluate 30 on 11 the 12 influence 12 influence 13 of 13 of 15 pigments 14 two 15 pigments 15 pigments 23 and 16 ( 23 and 17 ceramic 18 powder 18 powder 19 and 19 and 21 paint 19 and 22 ) 19 and 23 and 20 oil 21 paint 23 and 25 opacifier 23 and 27 barium 23 and 29 ) 24 one 25 opacifier 26 ( 27 barium 27 barium 29 ) 30 on 33 stability 31 the 33 stability 32 color 33 stability 33 stability 34 of 33 stability 39 silicone 34 of 35 mdx4 36 - 39 silicone 37 4210 39 silicone 38 facial 39 silicone 39 silicone 40 submitted 39 silicone 41 to 39 silicone 44 . 41 to 43 aging 42 accelerated 43 aging materials and methods : sixty specimens of silicone were fabricated and divided into six groups -- colorless ( g1 ) , colorless [with] opacifier ( g2 ) , ceramic ( g3 ) , ceramic with opacifier ( g4 ) , oil ( g5 ) , oil with opacifier ( g6 ) . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 52 . 1 materials 2 and 2 and 3 methods 4 : 6 specimens 4 : 9 were 4 : 16 -- 5 sixty 6 specimens 6 specimens 7 of 6 specimens 9 were 7 of 8 silicone 9 were 11 and 10 fabricated 11 and 11 and 12 divided 11 and 13 into 13 into 15 groups 14 six 15 groups 16 -- 24 opacifier 17 colorless 19 g1 17 colorless 21 , 17 colorless 24 opacifier 18 ( 19 g1 19 g1 20 ) 22 colorless 24 opacifier 24 opacifier 26 g2 24 opacifier 29 ceramic 24 opacifier 34 ceramic 25 ( 26 g2 26 g2 27 ) 28 , 29 ceramic 29 ceramic 31 g3 29 ceramic 33 , 30 ( 31 g3 31 g3 32 ) 33 , 34 ceramic 34 ceramic 35 with 34 ceramic 43 g5 34 ceramic 46 oil 34 ceramic 51 ) 35 with 41 oil 36 opacifier 38 g4 36 opacifier 40 , 36 opacifier 41 oil 37 ( 38 g4 38 g4 39 ) 42 ( 43 g5 43 g5 44 ) 45 , 46 oil 46 oil 47 with 46 oil 50 g6 46 oil 51 ) 47 with 48 opacifier 49 ( 50 g6 50 g6 51 ) all replicas were submitted to accelerated aging for 1008 hours . 0 ###LEFT-WALL### 2 replicas 0 ###LEFT-WALL### 4 submitted 0 ###LEFT-WALL### 11 . 1 all 2 replicas 2 replicas 3 were 3 were 4 submitted 4 submitted 5 to 5 to 7 aging 6 accelerated 7 aging 7 aging 8 for 8 for 10 hours 9 1008 10 hours the evaluations of chromatic alteration through visual analysis and reflection spectrophotometry were carried out initially and after 252 , 504 , and 1008 hours of aging . 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 27 . 1 the 2 evaluations 2 evaluations 3 of 2 evaluations 22 and 3 of 5 alteration 4 chromatic 5 alteration 5 alteration 16 and 6 through 9 and 6 through 16 and 7 visual 8 analysis 8 analysis 9 and 9 and 10 reflection 9 and 11 spectrophotometry 9 and 12 were 9 and 13 carried 11 spectrophotometry 12 were 13 carried 14 out 13 carried 15 initially 16 and 17 after 17 after 18 252 18 252 20 504 19 , 20 504 20 504 21 , 21 , 22 and 22 and 24 hours 22 and 25 of 23 1008 24 hours 25 of 26 aging the results were submitted to anova and tukey 's test at 5 % level of significance . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 4 submitted 0 ###LEFT-WALL### 17 . 1 the 2 results 2 results 3 were 3 were 4 submitted 4 submitted 5 to 4 submitted 11 at 5 to 7 and 6 anova 7 and 7 and 10 test 8 tukey 9 's 9 's 10 test 11 at 14 level 12 5 13 % 13 % 14 level 14 level 15 of 15 of 16 significance results : all groups exhibited chromatic alteration ( δe [>] 0 ) ; however , this color alteration was not perceptible through visual analysis of the color . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 groups 2 : 5 exhibited 2 : 13 ; 2 : 28 . 3 all 4 groups 4 groups 5 exhibited 5 exhibited 7 alteration 6 chromatic 7 alteration 7 alteration 9 δe 8 ( 9 δe 9 δe 11 0 9 δe 12 ) 13 ; 18 alteration 13 ; 19 was 14 however 15 , 14 however 18 alteration 16 this 18 alteration 17 color 18 alteration 18 alteration 19 was 19 was 20 not 19 was 21 perceptible 20 not 21 perceptible 21 perceptible 22 through 22 through 24 analysis 23 visual 24 analysis 24 analysis 25 of 25 of 27 color 26 the 27 color the pigmented groups with opacifier presented the lowest δe values , with a statistical difference from the other groups . 0 ###LEFT-WALL### 3 groups 0 ###LEFT-WALL### 6 presented 1 the 3 groups 2 pigmented 3 groups 3 groups 4 with 3 groups 6 presented 4 with 5 opacifier 6 presented 10 values 7 the 8 lowest 7 the 10 values 9 δe 10 values 10 values 12 with 11 , 12 with 12 with 15 difference 12 with 20 . 13 a 14 statistical 13 a 15 difference 14 statistical 15 difference 15 difference 16 from 16 from 19 groups 17 the 18 other 18 other 19 groups for the groups without opacifier , the group pigmented with oil paint exhibited the lowest δe values in the different aging periods , with a statistical difference . 0 ###LEFT-WALL### 8 group 0 ###LEFT-WALL### 13 exhibited 1 for 3 groups 1 for 6 , 1 for 8 group 2 the 3 groups 3 groups 4 without 4 without 5 opacifier 7 the 8 group 8 group 9 pigmented 8 group 13 exhibited 9 pigmented 10 with 10 with 12 paint 11 oil 12 paint 13 exhibited 17 values 14 the 15 lowest 14 the 17 values 16 δe 17 values 17 values 18 in 17 values 24 with 18 in 22 periods 19 the 22 periods 20 different 22 periods 21 aging 22 periods 23 , 24 with 24 with 27 difference 24 with 28 . 25 a 27 difference 26 statistical 27 difference accelerated aging generated significant chromatic alterations in all groups after 252 hours , except for the colorless and oil groups , both with opacifier ( g2 and g6 ) . 0 ###LEFT-WALL### 2 aging 0 ###LEFT-WALL### 3 generated 0 ###LEFT-WALL### 30 . 1 accelerated 2 aging 2 aging 3 generated 3 generated 6 alterations 3 generated 7 in 3 generated 10 after 3 generated 14 except 4 significant 6 alterations 5 chromatic 6 alterations 7 in 9 groups 8 all 9 groups 10 after 12 hours 11 252 12 hours 13 , 14 except 14 except 15 for 14 except 29 ) 15 for 18 and 16 the 17 colorless 17 colorless 18 and 18 and 20 groups 18 and 22 both 19 oil 20 groups 21 , 22 both 22 both 23 with 22 both 29 ) 23 with 24 opacifier 24 opacifier 28 g6 25 ( 28 g6 26 g2 27 and 27 and 28 g6 28 g6 29 ) conclusions : the opacifier protects facial silicones against color degradation , and oil paint is a stable pigment even without addition of opacifier . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 4 opacifier 2 : 5 protects 2 : 12 and 3 the 4 opacifier 4 opacifier 5 protects 5 protects 7 silicones 5 protects 8 against 6 facial 7 silicones 8 against 10 degradation 9 color 10 degradation 11 , 12 and 12 and 14 paint 12 and 15 is 13 oil 14 paint 14 paint 15 is 15 is 18 pigment 16 a 17 stable 16 a 18 pigment 17 stable 18 pigment 18 pigment 19 even 18 pigment 22 of 19 even 20 without 20 without 21 addition 22 of 23 opacifier background : during storage of red blood [cell] ( rbcs ) before transfusion , rbcs undergo a series of structural and functional changes that include the exposure of phosphatidylserine ( ps ) , a potent removal signal . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 38 . 1 background 2 : 2 : 3 during 3 during 4 storage 4 storage 5 of 4 storage 12 before 5 of 7 blood 6 red 7 blood 7 blood 10 rbcs 9 ( 10 rbcs 10 rbcs 11 ) 12 before 13 transfusion 14 , 15 rbcs 14 , 16 undergo 14 , 33 , 15 rbcs 16 undergo 16 undergo 18 series 17 a 18 series 18 series 19 of 18 series 28 of 19 of 23 changes 20 structural 21 and 21 and 22 functional 21 and 23 changes 23 changes 24 that 23 changes 25 include 24 that 25 include 25 include 27 exposure 26 the 27 exposure 28 of 29 phosphatidylserine 29 phosphatidylserine 31 ps 30 ( 31 ps 31 ps 32 ) 33 , 37 signal 34 a 37 signal 35 potent 36 removal 36 removal 37 signal it was postulated that , during blood bank storage , the susceptibility to stress - induced ps exposure increases , thereby rendering a considerable fraction of the rbcs susceptible to rapid removal after transfusion . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 postulated 1 it 2 was 2 was 3 postulated 3 postulated 4 that 4 that 18 exposure 4 that 19 increases 5 , 6 during 6 during 9 storage 6 during 15 - 6 during 18 exposure 7 blood 8 bank 8 bank 9 storage 9 storage 12 susceptibility 10 , 12 susceptibility 11 the 12 susceptibility 12 susceptibility 13 to 12 susceptibility 15 - 13 to 14 stress 16 induced 18 exposure 17 ps 18 exposure 18 exposure 19 increases 19 increases 22 rendering 20 , 22 rendering 21 thereby 22 rendering 22 rendering 25 fraction 22 rendering 35 . 23 a 24 considerable 23 a 25 fraction 24 considerable 25 fraction 25 fraction 26 of 26 of 28 rbcs 27 the 28 rbcs 28 rbcs 29 susceptible 29 susceptible 30 to 29 susceptible 33 after 30 to 32 removal 31 rapid 32 removal 33 after 34 transfusion study design and methods : rbcs were processed and stored following standard dutch blood bank procedures . 0 ###LEFT-WALL### 4 methods 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 17 . 1 study 2 design 2 design 3 and 3 and 4 methods 4 methods 5 : 5 : 6 rbcs 6 rbcs 9 and 6 rbcs 11 following 7 were 8 processed 7 were 9 and 9 and 10 stored 11 following 16 procedures 12 standard 16 procedures 13 dutch 14 blood 14 blood 16 procedures 15 bank 16 procedures samples were taken every week for up to 6 weeks and exposed to various stress conditions , such as hyperosmotic shock and energy depletion . 0 ###LEFT-WALL### 1 samples 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 25 . 1 samples 11 and 2 were 3 taken 2 were 11 and 3 taken 5 week 3 taken 6 for 4 every 5 week 6 for 10 weeks 7 up 8 to 8 to 9 6 9 6 10 weeks 11 and 12 exposed 11 and 13 to 11 and 24 depletion 13 to 22 and 14 various 15 stress 15 stress 16 conditions 16 conditions 17 , 17 , 21 shock 17 , 22 and 18 such 21 shock 19 as 20 hyperosmotic 20 hyperosmotic 21 shock 22 and 23 energy the effect of these treatments on ps exposure was measured by flow cytometric analysis of annexin v binding . 0 ###LEFT-WALL### 2 effect 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 19 . 1 the 2 effect 2 effect 3 of 2 effect 9 was 3 of 5 treatments 4 these 5 treatments 5 treatments 6 on 6 on 8 exposure 7 ps 8 exposure 9 was 10 measured 10 measured 11 by 11 by 14 analysis 12 flow 14 analysis 13 cytometric 14 analysis 14 analysis 15 of 15 of 16 annexin 16 annexin 17 v 16 annexin 18 binding the same analyses were performed on rbcs that had been separated according to density using discontinuous percoll gradients . 0 ###LEFT-WALL### 3 analyses 0 ###LEFT-WALL### 5 performed 0 ###LEFT-WALL### 19 . 1 the 2 same 1 the 3 analyses 3 analyses 4 were 4 were 5 performed 5 performed 6 on 5 performed 13 to 6 on 7 rbcs 7 rbcs 8 that 7 rbcs 9 had 8 that 9 had 9 had 10 been 10 been 11 separated 12 according 13 to 13 to 14 density 14 density 15 using 15 using 18 gradients 16 discontinuous 18 gradients 17 percoll 18 gradients results : during storage under blood bank conditions , rbcs become [increasingly] susceptible to loss of phospholipid asymmetry induced by hyperosmotic shock and energy depletion . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 26 . 1 results 2 : 2 : 3 during 2 : 5 under 3 during 4 storage 5 under 8 conditions 6 blood 8 conditions 7 bank 8 conditions 9 , 23 and 10 rbcs 11 become 10 rbcs 13 susceptible 10 rbcs 19 induced 10 rbcs 23 and 13 susceptible 14 to 14 to 15 loss 15 loss 16 of 16 of 18 asymmetry 17 phospholipid 18 asymmetry 19 induced 20 by 20 by 22 shock 21 hyperosmotic 22 shock 23 and 25 depletion 24 energy 25 depletion especially the rbcs of higher densities , that have a smaller volume and an increased hba1c content [as] is typical of aged rbcs , become [increasingly] susceptible with storage time . 0 ###LEFT-WALL### 17 content 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 31 . 1 especially 17 content 2 the 17 content 3 rbcs 4 of 3 rbcs 13 and 4 of 6 densities 5 higher 6 densities 6 densities 8 that 6 densities 9 have 7 , 8 that 8 that 9 have 9 have 12 volume 10 a 12 volume 11 smaller 12 volume 13 and 16 hba1c 13 and 17 content 14 an 16 hba1c 15 increased 16 hba1c 17 content 24 , 19 is 20 typical 19 is 24 , 20 typical 21 of 21 of 23 rbcs 22 aged 23 rbcs 24 , 25 become 24 , 28 with 25 become 27 susceptible 28 with 30 time 29 storage 30 time conclusions : during storage , rbcs develop an increased susceptibility to stress - induced loss of phospholipid asymmetry that is especially associated with an aging phenotype . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 stress 0 ###LEFT-WALL### 13 - 1 conclusions 2 : 2 : 3 during 3 during 4 storage 5 , 12 stress 6 rbcs 7 develop 7 develop 10 susceptibility 8 an 10 susceptibility 9 increased 10 susceptibility 10 susceptibility 11 to 10 susceptibility 12 stress 11 to 12 stress 12 stress 13 - 13 - 15 loss 13 - 22 associated 13 - 27 . 14 induced 15 loss 15 loss 16 of 15 loss 22 associated 16 of 18 asymmetry 17 phospholipid 18 asymmetry 19 that 20 is 20 is 22 associated 21 especially 22 associated 22 associated 23 with 23 with 26 phenotype 24 an 26 phenotype 25 aging 26 phenotype this increased susceptibility may be responsible for the rapid disappearance of a considerable fraction of the rbcs during the first 24 hours after transfusion . 0 ###LEFT-WALL### 3 susceptibility 0 ###LEFT-WALL### 5 be 0 ###LEFT-WALL### 25 . 1 this 3 susceptibility 2 increased 3 susceptibility 3 susceptibility 4 may 4 may 5 be 5 be 6 responsible 6 responsible 7 for 6 responsible 18 during 6 responsible 23 after 7 for 10 disappearance 8 the 10 disappearance 9 rapid 10 disappearance 10 disappearance 11 of 11 of 14 fraction 12 a 13 considerable 12 a 14 fraction 13 considerable 14 fraction 14 fraction 15 of 15 of 17 rbcs 16 the 17 rbcs 18 during 20 first 19 the 20 first 21 24 22 hours 22 hours 23 after 23 after 24 transfusion holistic face processing was investigated in newborns , 3 [-] month - old infants , and adults through a modified version of the composite face paradigm and the recording of eye movements . 0 ###LEFT-WALL### 1 holistic 0 ###LEFT-WALL### 5 investigated 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 33 . 1 holistic 3 processing 1 holistic 4 was 1 holistic 5 investigated 2 face 3 processing 3 processing 4 was 5 investigated 6 in 6 in 7 newborns 7 newborns 11 month 8 , 11 month 9 3 11 month 11 month 12 - 12 - 27 and 13 old 14 infants 14 infants 16 and 15 , 16 and 16 and 17 adults 16 and 18 through 16 and 22 of 16 and 27 and 18 through 21 version 19 a 21 version 20 modified 21 version 22 of 26 paradigm 23 the 26 paradigm 24 composite 26 paradigm 25 face 26 paradigm 27 and 29 recording 28 the 29 recording 29 recording 30 of 30 of 32 movements 31 eye 32 movements after familiarization to the top portion of a face , participants ( n = 70 ) were shown 2 aligned or misaligned faces , 1 of which comprised the familiar top part . 0 ###LEFT-WALL### 25 1 0 ###LEFT-WALL### 32 part 0 ###LEFT-WALL### 33 . 1 after 2 familiarization 1 after 21 or 1 after 24 , 1 after 25 1 2 familiarization 3 to 2 familiarization 7 of 2 familiarization 11 participants 2 familiarization 21 or 3 to 6 portion 4 the 6 portion 5 top 6 portion 7 of 9 face 8 a 9 face 10 , 11 participants 11 participants 14 = 11 participants 16 ) 12 ( 14 = 13 n 14 = 14 = 15 70 17 were 18 shown 17 were 21 or 18 shown 19 2 19 2 20 aligned 21 or 22 misaligned 21 or 23 faces 25 1 26 of 25 1 32 part 26 of 27 which 26 of 28 comprised 27 which 28 comprised 28 comprised 31 top 29 the 31 top 30 familiar 31 top in the aligned condition , no visual preference was found at any group age . 0 ###LEFT-WALL### 8 preference 0 ###LEFT-WALL### 10 found 0 ###LEFT-WALL### 15 . 1 in 4 condition 1 in 5 , 1 in 8 preference 2 the 4 condition 3 aligned 4 condition 6 no 8 preference 7 visual 8 preference 8 preference 9 was 9 was 10 found 10 found 11 at 11 at 14 age 12 any 14 age 13 group 14 age in the misaligned condition , 3 [-] month - olds preferred the face stimulus with the familiar top part , adults preferred the face stimulus with the novel one , and newborns did not manifest any visual preference . 0 ###LEFT-WALL### 10 olds 0 ###LEFT-WALL### 11 preferred 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 39 . 1 in 4 condition 1 in 9 - 1 in 10 olds 2 the 4 condition 3 misaligned 4 condition 4 condition 8 month 5 , 8 month 6 3 8 month 8 month 9 - 10 olds 11 preferred 11 preferred 14 stimulus 11 preferred 15 with 12 the 14 stimulus 13 face 14 stimulus 15 with 19 part 16 the 19 part 17 familiar 18 top 18 top 19 part 20 , 21 adults 20 , 31 and 21 adults 31 and 22 preferred 25 stimulus 22 preferred 31 and 23 the 25 stimulus 24 face 25 stimulus 25 stimulus 26 with 26 with 29 one 27 the 29 one 28 novel 29 one 30 , 31 and 31 and 35 manifest 32 newborns 33 did 33 did 34 not 33 did 35 manifest 35 manifest 38 preference 36 any 38 preference 37 visual 38 preference results revealed that both infants ' [and] adults ' eye movements may be affected by holistic face information and demonstrated holistic face processing in 3 [-] month - olds . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 28 - 1 results 19 and 2 revealed 3 that 2 revealed 19 and 3 that 4 both 3 that 14 affected 4 both 9 ' 4 both 11 movements 4 both 12 may 5 infants 6 ' 6 ' 8 adults 8 adults 9 ' 9 ' 11 movements 10 eye 11 movements 12 may 13 be 13 be 14 affected 14 affected 15 by 15 by 18 information 16 holistic 18 information 17 face 18 information 19 and 20 demonstrated 20 demonstrated 23 processing 20 demonstrated 24 in 21 holistic 23 processing 22 face 23 processing 24 in 27 month 25 3 27 month 28 - 29 olds 28 - 30 . kinematic measures of children 's reaching were found to reflect stable differences in skill level for planning for future actions . 0 ###LEFT-WALL### 2 measures 0 ###LEFT-WALL### 10 reflect 0 ###LEFT-WALL### 21 . 1 kinematic 2 measures 2 measures 3 of 2 measures 7 were 3 of 6 reaching 4 children 5 's 5 's 6 reaching 7 were 8 found 8 found 9 to 9 to 10 reflect 10 reflect 12 differences 10 reflect 13 in 11 stable 12 differences 13 in 15 level 14 skill 15 level 15 level 16 for 16 for 17 planning 17 planning 18 for 18 for 20 actions 19 future 20 actions thirty - five toddlers ( 18 - 21 months ) were engaged in building block towers ( precise [task] [ )(and [in] placing blocks into an open container [(] imprecise task ) [.] 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 15 block 1 thirty 2 - 2 - 3 five 2 - 4 toddlers 2 - 14 building 2 - 15 block 4 toddlers 9 months 4 toddlers 11 were 5 ( 9 months 6 18 7 - 7 - 8 21 7 - 9 months 9 months 10 ) 11 were 12 engaged 12 engaged 13 in 13 in 14 building 15 block 16 towers 16 towers 24 blocks 17 ( 24 blocks 18 precise 21 )(and 21 )(and 23 placing 21 )(and 24 blocks 24 blocks 25 into 24 blocks 32 ) 25 into 31 task 26 an 31 task 27 open 28 container 28 container 31 task 30 imprecise 31 task sixteen children were retested on the same tasks a year later . 0 ###LEFT-WALL### 2 children 0 ###LEFT-WALL### 4 retested 0 ###LEFT-WALL### 12 . 1 sixteen 2 children 2 children 3 were 3 were 4 retested 4 retested 5 on 5 on 8 tasks 6 the 7 same 7 same 8 tasks 8 tasks 11 later 9 a 10 year 10 year 11 later longer deceleration as the hand approached the block [for] pickup was found in the tower task compared with the imprecise task , indicating planning for the second movement . 0 ###LEFT-WALL### 2 deceleration 0 ###LEFT-WALL### 17 compared 1 longer 2 deceleration 2 deceleration 3 as 2 deceleration 10 pickup 2 deceleration 12 found 2 deceleration 17 compared 3 as 5 hand 4 the 5 hand 5 hand 6 approached 7 the 10 pickup 8 block 10 pickup 10 pickup 11 was 11 was 12 found 12 found 13 in 13 in 16 task 14 the 16 task 15 tower 16 task 17 compared 18 with 18 with 21 task 19 the 21 task 20 imprecise 21 task 21 task 23 indicating 22 , 23 indicating 23 indicating 24 planning 23 indicating 29 . 24 planning 25 for 25 for 28 movement 26 the 28 movement 27 second 28 movement more skillful toddlers who could build high towers had a longer deceleration phase when placing blocks on the tower than toddlers who built low towers . 0 ###LEFT-WALL### 3 toddlers 0 ###LEFT-WALL### 9 had 0 ###LEFT-WALL### 26 . 1 more 3 toddlers 2 skillful 3 toddlers 3 toddlers 4 who 3 toddlers 5 could 3 toddlers 9 had 4 who 5 could 5 could 6 build 6 build 8 towers 7 high 8 towers 9 had 13 phase 9 had 14 when 9 had 17 on 9 had 20 than 10 a 13 phase 11 longer 12 deceleration 12 deceleration 13 phase 14 when 15 placing 15 placing 16 blocks 17 on 19 tower 18 the 19 tower 20 than 21 toddlers 20 than 24 low 20 than 25 towers 21 toddlers 22 who 21 toddlers 23 built 21 toddlers 24 low 22 who 23 built kinematic differences between the groups remained a year later when all children could build high towers . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 6 remained 0 ###LEFT-WALL### 17 . 1 kinematic 2 differences 2 differences 3 between 2 differences 6 remained 3 between 5 groups 4 the 5 groups 6 remained 8 year 7 a 8 year 8 year 9 later 8 year 10 when 10 when 12 children 10 when 14 build 11 all 12 children 12 children 13 could 13 could 14 build 14 build 16 towers 15 high 16 towers how does understanding the decimal system change with age and experience ? 0 ###LEFT-WALL### 1 how 0 ###LEFT-WALL### 7 change 0 ###LEFT-WALL### 12 ? 1 how 2 does 2 does 3 understanding 2 does 7 change 3 understanding 6 system 4 the 6 system 5 decimal 6 system 7 change 8 with 8 with 10 and 9 age 10 and 10 and 11 experience second , third , sixth graders , and adults ( experiment 1 : n = 96 , mean ages [=] 7.9 , 9.23 , 12.06 , and 19.96 years , respectively ) made number line estimates across 3 scales ( 0 - 1,000 , 0 - 10,000 , and 0 - 100,000 ) . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 18 mean 0 ###LEFT-WALL### 27 and 0 ###LEFT-WALL### 54 . 1 second 8 and 2 , 3 third 3 third 4 , 3 third 8 and 5 sixth 6 graders 6 graders 8 and 7 , 8 and 8 and 9 adults 8 and 11 experiment 8 and 18 mean 10 ( 11 experiment 11 experiment 12 1 11 experiment 13 : 11 experiment 17 , 12 1 13 : 13 : 15 = 14 n 15 = 15 = 16 96 18 mean 19 ages 19 ages 21 7.9 19 ages 23 9.23 19 ages 25 12.06 22 , 23 9.23 23 9.23 24 , 24 , 25 12.06 25 12.06 26 , 26 , 27 and 27 and 29 years 27 and 33 made 28 19.96 29 years 29 years 33 made 30 , 31 respectively 31 respectively 32 ) 31 respectively 33 made 33 made 36 estimates 33 made 45 0 33 made 49 and 34 number 36 estimates 35 line 36 estimates 36 estimates 37 across 37 across 39 scales 38 3 39 scales 39 scales 42 - 40 ( 42 - 41 0 42 - 42 - 43 1,000 42 - 44 , 45 0 47 10,000 46 - 47 10,000 47 10,000 48 , 49 and 50 0 50 0 52 100,000 51 - 52 100,000 52 100,000 53 ) generation of linear estimates increased with age but decreased [with] numerical [scale] . 0 ###LEFT-WALL### 1 generation 0 ###LEFT-WALL### 8 but 0 ###LEFT-WALL### 13 . 1 generation 2 of 1 generation 8 but 2 of 4 estimates 3 linear 4 estimates 5 increased 6 with 5 increased 8 but 6 with 7 age 8 but 9 decreased 9 decreased 11 numerical therefore , the authors hypothesized highlighting commonalities between small and large scales ( 15:100::1500:10000 ) might prompt children to generalize their linear representations to ever - larger scales . 0 ###LEFT-WALL### 6 highlighting 0 ###LEFT-WALL### 17 prompt 0 ###LEFT-WALL### 26 - 1 therefore 6 highlighting 2 , 5 hypothesized 3 the 4 authors 4 authors 5 hypothesized 5 hypothesized 6 highlighting 6 highlighting 7 commonalities 6 highlighting 8 between 6 highlighting 16 might 8 between 12 scales 9 small 10 and 10 and 11 large 10 and 12 scales 12 scales 14 15:100::1500:10000 13 ( 14 15:100::1500:10000 14 15:100::1500:10000 15 ) 16 might 17 prompt 17 prompt 18 children 17 prompt 25 ever 18 children 19 to 18 children 24 to 19 to 20 generalize 20 generalize 23 representations 20 generalize 24 to 21 their 23 representations 22 linear 23 representations 26 - 28 scales 26 - 29 . 27 larger 28 scales experiment 2 assigned second graders ( n = 46 , mean age = 7.78 years [ )(to experimental groups differing in [how] commonalities of small and large numerical scales were highlighted . 0 ###LEFT-WALL### 1 experiment 0 ###LEFT-WALL### 3 assigned 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 32 . 1 experiment 2 2 1 experiment 3 assigned 3 assigned 4 second 3 assigned 5 graders 5 graders 8 = 6 ( 8 = 7 n 8 = 8 = 9 46 10 , 12 age 10 , 13 = 11 mean 12 age 12 age 13 = 13 = 15 years 14 7.78 15 years 15 years 20 differing 15 years 30 were 17 )(to 19 groups 17 )(to 20 differing 18 experimental 19 groups 20 differing 21 in 20 differing 30 were 21 in 23 commonalities 23 commonalities 24 of 24 of 26 and 25 small 26 and 26 and 29 scales 27 large 29 scales 28 numerical 29 scales 30 were 31 highlighted only children experiencing progressive alignment of small and large scales successfully produced linear estimates on increasingly larger scales , suggesting analogies between numeric scales elicit broad generalization of linear representations . 0 ###LEFT-WALL### 1 only 0 ###LEFT-WALL### 12 produced 1 only 2 children 2 children 3 experiencing 2 children 6 of 2 children 12 produced 3 experiencing 5 alignment 4 progressive 5 alignment 6 of 10 scales 7 small 8 and 8 and 9 large 8 and 10 scales 11 successfully 12 produced 12 produced 14 estimates 12 produced 20 suggesting 13 linear 14 estimates 14 estimates 15 on 15 on 18 scales 16 increasingly 17 larger 17 larger 18 scales 19 , 20 suggesting 20 suggesting 21 analogies 20 suggesting 25 elicit 20 suggesting 31 . 21 analogies 22 between 21 analogies 25 elicit 22 between 24 scales 23 numeric 24 scales 25 elicit 27 generalization 26 broad 27 generalization 27 generalization 28 of 28 of 30 representations 29 linear 30 representations [this] study [relies] on eye tracking technology to investigate how humans perceive others ['] feeding actions . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 17 . 2 study 4 on 2 study 8 to 2 study 10 how 4 on 7 technology 5 eye 7 technology 6 tracking 7 technology 8 to 9 investigate 10 how 11 humans 10 how 12 perceive 11 humans 12 perceive 12 perceive 13 others 13 others 15 feeding 15 feeding 16 actions results demonstrate that 6 - [month] - olds ( n = 54 ) anticipate that food is brought to the mouth when observing an adult feeding herself with a spoon . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 31 . 1 results 2 demonstrate 2 demonstrate 3 that 2 demonstrate 5 - 4 6 5 - 5 - 7 - 7 - 8 olds 8 olds 11 = 8 olds 14 anticipate 9 ( 11 = 10 n 11 = 11 = 12 54 11 = 13 ) 14 anticipate 15 that 15 that 16 food 15 that 18 brought 16 food 17 is 17 is 18 brought 18 brought 19 to 18 brought 22 when 19 to 21 mouth 20 the 21 mouth 22 when 23 observing 23 observing 25 adult 24 an 25 adult 25 adult 26 feeding 26 feeding 27 herself 26 feeding 28 with 28 with 30 spoon 29 a 30 spoon still , they fail to anticipate [self] - propelled [(] [sp] ) spoons that move toward the mouth and manual combing actions directed toward the head . 0 ###LEFT-WALL### 3 they 0 ###LEFT-WALL### 4 fail 0 ###LEFT-WALL### 27 . 1 still 2 , 1 still 3 they 3 they 4 fail 4 fail 5 to 4 fail 16 toward 5 to 6 anticipate 6 anticipate 9 propelled 6 anticipate 13 spoons 8 - 9 propelled 9 propelled 12 ) 13 spoons 14 that 13 spoons 15 move 14 that 15 move 16 toward 19 and 17 the 18 mouth 18 mouth 19 and 19 and 20 manual 19 and 21 combing 19 and 23 directed 21 combing 22 actions 21 combing 23 directed 23 directed 24 toward 24 toward 26 head 25 the 26 head ten - month [-] olds ( n = 54 ) [and] [adults] ( n = 32 ) anticipate sp spoons ; however , only adults anticipate combing actions . 0 ###LEFT-WALL### 1 ten 0 ###LEFT-WALL### 18 anticipate 0 ###LEFT-WALL### 21 ; 0 ###LEFT-WALL### 29 . 1 ten 5 olds 1 ten 15 = 1 ten 18 anticipate 2 - 5 olds 3 month 5 olds 5 olds 8 = 5 olds 10 ) 6 ( 8 = 7 n 8 = 8 = 9 54 13 ( 15 = 14 n 15 = 15 = 16 32 15 = 17 ) 18 anticipate 20 spoons 19 sp 20 spoons 21 ; 24 only 21 ; 26 anticipate 22 however 23 , 22 however 24 only 24 only 25 adults 25 adults 26 anticipate 26 anticipate 27 combing 27 combing 28 actions these results suggest that goal anticipation during observation of feeding actions develops earlier and is less dependent on directly perceived actions than goal anticipation during observation of other manual actions . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 31 . 1 these 2 results 2 results 3 suggest 3 suggest 4 that 4 that 6 anticipation 4 that 14 and 5 goal 6 anticipation 6 anticipation 7 during 6 anticipation 9 of 6 anticipation 14 and 7 during 8 observation 9 of 10 feeding 10 feeding 11 actions 12 develops 13 earlier 12 develops 14 and 14 and 15 is 14 and 22 than 15 is 17 dependent 16 less 17 dependent 17 dependent 18 on 18 on 21 actions 19 directly 20 perceived 20 perceived 21 actions 22 than 24 anticipation 22 than 27 of 23 goal 24 anticipation 24 anticipation 25 during 25 during 26 observation 27 of 30 actions 28 other 30 actions 29 manual 30 actions these results are discussed in relation to experience and a possible phylogenetic influence on perception and understanding of feeding . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 4 discussed 0 ###LEFT-WALL### 20 . 1 these 2 results 2 results 3 are 3 are 4 discussed 4 discussed 7 to 5 in 6 relation 6 relation 7 to 7 to 16 and 8 experience 9 and 9 and 13 influence 9 and 16 and 10 a 11 possible 10 a 13 influence 11 possible 13 influence 12 phylogenetic 13 influence 13 influence 14 on 14 on 15 perception 16 and 17 understanding 16 and 18 of 18 of 19 feeding the study examined the relationship of blood pressure ( bp ) with anthropometric indices , including body mass index [(] bmi ) , waist - to [-] hip [ratio] ( whr ) , conicity index [(] ci [ )(, waist circumference [(] wc ) , and hip circumference ( hc ) . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 examined 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 52 . 1 the 2 study 2 study 3 examined 3 examined 5 relationship 3 examined 12 with 4 the 5 relationship 5 relationship 6 of 6 of 8 pressure 7 blood 8 pressure 8 pressure 10 bp 9 ( 10 bp 10 bp 11 ) 12 with 14 indices 13 anthropometric 14 indices 14 indices 16 including 15 , 16 including 16 including 21 bmi 16 including 22 ) 17 body 18 mass 18 mass 21 bmi 19 index 21 bmi 23 , 24 waist 23 , 25 - 25 - 35 index 26 to 34 conicity 26 to 35 index 28 hip 31 whr 28 hip 33 , 28 hip 34 conicity 30 ( 31 whr 31 whr 32 ) 35 index 46 and 37 ci 43 wc 37 ci 46 and 39 )(, 43 wc 40 waist 43 wc 41 circumference 43 wc 43 wc 44 ) 45 , 46 and 46 and 48 circumference 46 and 50 hc 47 hip 48 circumference 49 ( 50 hc 50 hc 51 ) the sample consisted of 731 females and 911 males aged 20 - 60 years randomly recruited from shanxi province of pr china . 0 ###LEFT-WALL### 2 sample 0 ###LEFT-WALL### 3 consisted 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 23 . 1 the 2 sample 2 sample 3 consisted 3 consisted 4 of 4 of 6 females 5 731 6 females 7 and 9 males 7 and 10 aged 8 911 9 males 9 males 10 aged 10 aged 12 - 10 aged 17 from 11 20 12 - 12 - 13 60 13 60 14 years 14 years 16 recruited 15 randomly 16 recruited 17 from 22 china 18 shanxi 19 province 19 province 20 of 19 province 22 china 20 of 21 pr there was an increasing trend of systolic blood pressure ( sbp ) , diastolic blood pressure ( dbp ) , and the five anthropometric indices [in] successively older age groups . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 31 . 1 there 2 was 2 was 5 trend 3 an 5 trend 4 increasing 5 trend 5 trend 6 of 6 of 9 pressure 7 systolic 8 blood 8 blood 9 pressure 9 pressure 11 sbp 9 pressure 16 pressure 10 ( 11 sbp 11 sbp 12 ) 13 , 16 pressure 14 diastolic 15 blood 15 blood 16 pressure 16 pressure 18 dbp 16 pressure 20 , 17 ( 18 dbp 18 dbp 19 ) 21 and 25 indices 21 and 29 age 22 the 23 five 23 five 25 indices 24 anthropometric 25 indices 25 indices 28 older 25 indices 29 age 27 successively 28 older 29 age 30 groups except for female hc , all the other anthropometric indices were significantly correlated with bps . 0 ###LEFT-WALL### 6 all 0 ###LEFT-WALL### 13 correlated 0 ###LEFT-WALL### 16 . 1 except 2 for 1 except 5 , 1 except 6 all 2 for 4 hc 3 female 4 hc 6 all 7 the 6 all 10 indices 6 all 11 were 7 the 8 other 8 other 10 indices 9 anthropometric 10 indices 11 were 12 significantly 11 were 13 correlated 13 correlated 14 with 14 with 15 bps among them , wc and hc exhibited the highest correlations in female [(] 0.38 - 0.42 ) and in male [(] 0.36 - 0.37 ) , respectively . 0 ###LEFT-WALL### 6 hc 0 ###LEFT-WALL### 7 exhibited 1 among 2 them 1 among 3 , 1 among 6 hc 4 wc 5 and 5 and 6 hc 6 hc 7 exhibited 7 exhibited 10 correlations 7 exhibited 27 respectively 8 the 9 highest 8 the 10 correlations 10 correlations 18 and 11 in 12 female 11 in 18 and 12 female 14 0.38 12 female 16 0.42 15 - 16 0.42 16 0.42 17 ) 18 and 19 in 19 in 20 male 20 male 22 0.36 20 male 24 0.37 23 - 24 0.37 24 0.37 25 ) 26 , 27 respectively 27 respectively 28 . the result indicates that hc is not protective for metabolic risk factors in males . 0 ###LEFT-WALL### 2 result 0 ###LEFT-WALL### 3 indicates 0 ###LEFT-WALL### 15 . 1 the 2 result 2 result 3 indicates 3 indicates 4 that 4 that 5 hc 4 that 6 is 5 hc 6 is 6 is 7 not 6 is 8 protective 7 not 8 protective 8 protective 9 for 8 protective 13 in 9 for 12 factors 10 metabolic 12 factors 11 risk 12 factors 13 in 14 males principal component analysis ( pca ) was performed on all the five anthropometric indices and four major principal components ( pcs ) were obtained to explain greater variances [(] r ( 2 ) = 0.173 - 0.212 [ )(in bps than did anyone of five anthropometric indices [(] r ( 2 [ )(= 0.0001 - 0.176 [ )( 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 8 performed 1 principal 3 analysis 2 component 3 analysis 3 analysis 5 pca 3 analysis 7 was 4 ( 5 pca 5 pca 6 ) 7 was 8 performed 8 performed 9 on 9 on 18 principal 10 all 18 principal 11 the 12 five 12 five 14 indices 13 anthropometric 14 indices 14 indices 15 and 15 and 17 major 15 and 18 principal 16 four 17 major 18 principal 19 components 18 principal 26 explain 19 components 21 pcs 19 components 23 were 20 ( 21 pcs 21 pcs 22 ) 23 were 24 obtained 24 obtained 25 to 25 to 26 explain 26 explain 28 variances 26 explain 36 - 27 greater 28 variances 28 variances 30 r 28 variances 32 2 31 ( 32 2 32 2 33 ) 34 = 35 0.173 35 0.173 36 - 36 - 37 0.212 37 0.212 39 )(in 39 )(in 40 bps 40 bps 42 did 41 than 42 did 42 did 43 anyone 43 anyone 44 of 44 of 47 indices 45 five 47 indices 46 anthropometric 47 indices 47 indices 53 )(= 49 r 53 )(= 50 ( 53 )(= 51 2 53 )(= 53 )(= 55 - 53 )(= 58 )( 54 0.0001 55 - 55 - 56 0.176 the same analyses were conducted on any two , three [,] and four indices of the five anthropometric ones , in order to get the smaller [and] optimal sets of indices to estimate bps . 0 ###LEFT-WALL### 3 analyses 0 ###LEFT-WALL### 5 conducted 0 ###LEFT-WALL### 35 . 1 the 2 same 2 same 3 analyses 3 analyses 4 were 4 were 5 conducted 5 conducted 6 on 5 conducted 21 in 5 conducted 32 to 6 on 8 two 7 any 8 two 8 two 14 indices 9 , 14 indices 10 three 12 and 12 and 13 four 12 and 14 indices 14 indices 15 of 14 indices 20 , 15 of 19 ones 16 the 19 ones 17 five 19 ones 18 anthropometric 19 ones 21 in 22 order 22 order 23 to 22 order 24 get 23 to 24 get 24 get 29 sets 25 the 29 sets 26 smaller 29 sets 28 optimal 29 sets 29 sets 30 of 30 of 31 indices 32 to 33 estimate 33 estimate 34 bps our results suggest that bmi , wc , and hc are the smallest set of anthropometric indices to optimally estimate bp for the males , and wc and bmi for the females . 0 ###LEFT-WALL### 11 are 0 ###LEFT-WALL### 33 . 1 our 2 results 2 results 3 suggest 3 suggest 4 that 4 that 10 hc 4 that 11 are 5 bmi 7 wc 6 , 7 wc 7 wc 8 , 7 wc 9 and 9 and 10 hc 11 are 13 smallest 11 are 14 set 12 the 13 smallest 14 set 15 of 14 set 18 to 14 set 22 for 15 of 17 indices 16 anthropometric 17 indices 18 to 20 estimate 19 optimally 20 estimate 20 estimate 21 bp 22 for 26 and 23 the 24 males 24 males 26 and 25 , 26 and 26 and 29 bmi 27 wc 28 and 28 and 29 bmi 29 bmi 30 for 30 for 32 females 31 the 32 females older adults show disproportionate declines in explicit memory for associative relative [to] item information . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 15 . 1 older 2 adults 2 adults 3 show 3 show 5 declines 3 show 6 in 4 disproportionate 5 declines 6 in 8 memory 7 explicit 8 memory 8 memory 9 for 9 for 14 information 10 associative 11 relative 11 relative 14 information 13 item 14 information however , the source of these declines is still uncertain . 0 ###LEFT-WALL### 4 source 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 11 . 1 however 2 , 1 however 4 source 3 the 4 source 4 source 5 of 4 source 8 is 5 of 7 declines 6 these 7 declines 8 is 9 still 8 is 10 uncertain 9 still 10 uncertain one explanation is [a] generalized impairment in the processing of associative information . 0 ###LEFT-WALL### 2 explanation 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 13 . 1 one 2 explanation 2 explanation 3 is 3 is 6 impairment 5 generalized 6 impairment 6 impairment 7 in 7 in 9 processing 8 the 9 processing 9 processing 10 of 10 of 12 information 11 associative 12 information a second explanation is [a] more specialized impairment in the strategic , effortful recollection of associative information , leaving less effortful forms of associative retrieval preserved . 0 ###LEFT-WALL### 2 second 0 ###LEFT-WALL### 7 specialized 1 a 2 second 2 second 3 explanation 2 second 4 is 2 second 7 specialized 3 explanation 4 is 4 is 6 more 7 specialized 8 impairment 7 specialized 9 in 7 specialized 19 leaving 9 in 14 recollection 10 the 14 recollection 11 strategic 12 , 11 strategic 14 recollection 13 effortful 14 recollection 14 recollection 15 of 15 of 17 information 16 associative 17 information 18 , 19 leaving 19 leaving 22 forms 19 leaving 27 . 20 less 21 effortful 21 effortful 22 forms 22 forms 23 of 23 of 25 retrieval 24 associative 25 retrieval 25 retrieval 26 preserved assessing implicit memory of new associations is a way to distinguish between these viewpoints . 0 ###LEFT-WALL### 1 assessing 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 15 . 1 assessing 3 memory 1 assessing 7 is 2 implicit 3 memory 3 memory 4 of 4 of 6 associations 5 new 6 associations 7 is 9 way 8 a 9 way 9 way 10 to 9 way 11 distinguish 10 to 11 distinguish 11 distinguish 12 between 12 between 14 viewpoints 13 these 14 viewpoints to date , mixed findings have emerged from studies of associative priming in aging . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 date 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 15 . 1 to 2 date 3 , 5 findings 3 , 7 emerged 4 mixed 5 findings 5 findings 6 have 6 have 7 emerged 7 emerged 8 from 7 emerged 13 in 8 from 9 studies 9 studies 10 of 10 of 12 priming 11 associative 12 priming 13 in 14 aging one factor that may account for the variability is whether the manipulations inadvertently involve strategic , explicit processes . 0 ###LEFT-WALL### 2 factor 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 19 . 1 one 2 factor 2 factor 3 that 2 factor 4 may 2 factor 9 is 3 that 4 may 4 may 5 account 5 account 6 for 6 for 8 variability 7 the 8 variability 9 is 10 whether 10 whether 12 manipulations 10 whether 14 involve 11 the 12 manipulations 12 manipulations 14 involve 13 inadvertently 14 involve 14 involve 18 processes 15 strategic 16 , 15 strategic 18 processes 17 explicit 18 processes in two experiments we present a novel paradigm of conceptual associative priming in which subjects make speeded associative judgments about unrelated objects . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 present 0 ###LEFT-WALL### 23 . 1 in 3 experiments 1 in 4 we 2 two 3 experiments 4 we 5 present 5 present 8 paradigm 5 present 20 about 6 a 8 paradigm 7 novel 8 paradigm 8 paradigm 9 of 9 of 12 priming 10 conceptual 12 priming 11 associative 12 priming 12 priming 13 in 13 in 14 which 13 in 15 subjects 13 in 16 make 15 subjects 16 make 16 make 19 judgments 17 speeded 19 judgments 18 associative 19 judgments 20 about 22 objects 21 unrelated 22 objects using a size classification task , experiment 1 showed equivalent associative priming between young and older adults . 0 ###LEFT-WALL### 7 experiment 0 ###LEFT-WALL### 9 showed 0 ###LEFT-WALL### 18 . 1 using 5 task 1 using 6 , 1 using 7 experiment 2 a 3 size 2 a 5 task 3 size 4 classification 4 classification 5 task 7 experiment 8 1 7 experiment 9 showed 9 showed 12 priming 9 showed 13 between 10 equivalent 12 priming 11 associative 12 priming 13 between 17 adults 14 young 15 and 15 and 16 older 15 and 17 adults experiment 2 generalized the results of experiment 1 to an inside/outside classification task , while replicating the typical age - related impairment [in] associative but not item recognition . 0 ###LEFT-WALL### 1 experiment 0 ###LEFT-WALL### 3 generalized 0 ###LEFT-WALL### 21 related 1 experiment 2 2 1 experiment 3 generalized 3 generalized 5 results 3 generalized 15 while 4 the 5 results 5 results 6 of 5 results 9 to 6 of 7 experiment 7 experiment 8 1 9 to 13 task 10 an 13 task 11 inside/outside 12 classification 12 classification 13 task 14 , 15 while 15 while 16 replicating 15 while 20 - 16 replicating 19 age 17 the 19 age 18 typical 19 age 20 - 21 related 21 related 22 impairment 21 related 29 . 22 impairment 24 associative 24 associative 25 but 25 but 26 not 25 but 28 recognition 27 item 28 recognition taken together , the findings support the viewpoint that older adults can incidentally encode and retrieve new meaningful associations despite difficulty with the intentional recollection of the same information . 0 ###LEFT-WALL### 5 findings 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 30 . 1 taken 2 together 1 taken 3 , 1 taken 5 findings 4 the 5 findings 5 findings 15 and 6 support 8 viewpoint 6 support 15 and 7 the 8 viewpoint 8 viewpoint 9 that 8 viewpoint 14 encode 9 that 11 adults 9 that 14 encode 10 older 11 adults 11 adults 12 can 12 can 14 encode 13 incidentally 14 encode 15 and 16 retrieve 16 retrieve 19 associations 16 retrieve 20 despite 16 retrieve 22 with 17 new 19 associations 18 meaningful 19 associations 20 despite 21 difficulty 22 with 25 recollection 23 the 25 recollection 24 intentional 25 recollection 25 recollection 26 of 26 of 29 information 27 the 28 same 28 same 29 information the purpose of this study was to measure the ability of telemonitoring to reduce hospital days and total costs for medicare managed care enrollees diagnosed with heart failure . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 17 and 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 measure 7 to 8 measure 8 measure 10 ability 8 measure 13 to 9 the 10 ability 10 ability 11 of 11 of 12 telemonitoring 13 to 17 and 14 reduce 16 days 14 reduce 17 and 15 hospital 16 days 17 and 18 total 17 and 20 for 17 and 24 enrollees 18 total 19 costs 20 for 21 medicare 21 medicare 22 managed 23 care 24 enrollees 24 enrollees 25 diagnosed 24 enrollees 26 with 26 with 28 failure 27 heart 28 failure patients were recruited and randomly assigned for six months to either telemonitoring or standard care . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 16 . 1 patients 4 and 2 were 3 recruited 2 were 4 and 4 and 6 assigned 4 and 7 for 4 and 10 to 5 randomly 6 assigned 7 for 9 months 8 six 9 months 10 to 13 or 11 either 13 or 12 telemonitoring 13 or 13 or 15 care 14 standard 15 care telemonitoring transmitted vital signs and clinical alerts daily to a central nursing station . 0 ###LEFT-WALL### 1 telemonitoring 0 ###LEFT-WALL### 2 transmitted 0 ###LEFT-WALL### 14 . 1 telemonitoring 2 transmitted 2 transmitted 5 and 3 vital 4 signs 4 signs 5 and 5 and 7 alerts 5 and 8 daily 6 clinical 7 alerts 8 daily 9 to 9 to 13 station 10 a 11 central 10 a 13 station 11 central 12 nursing 12 nursing 13 station utilization of covered services was analyzed for the six - month telemonitoring period to test for hypothesized reductions in hospital days and changes in utilization of the emergency department ( ed ) , urgent care , and primary care . 0 ###LEFT-WALL### 1 utilization 0 ###LEFT-WALL### 6 analyzed 0 ###LEFT-WALL### 33 , 0 ###LEFT-WALL### 40 . 1 utilization 2 of 1 utilization 5 was 2 of 4 services 3 covered 4 services 5 was 6 analyzed 6 analyzed 7 for 7 for 9 six 8 the 9 six 9 six 13 period 10 - 13 period 11 month 13 period 12 telemonitoring 13 period 13 period 14 to 13 period 15 test 13 period 33 , 14 to 15 test 15 test 16 for 16 for 22 and 17 hypothesized 18 reductions 17 hypothesized 19 in 17 hypothesized 22 and 19 in 21 days 20 hospital 21 days 22 and 23 changes 22 and 24 in 22 and 25 utilization 25 utilization 26 of 25 utilization 31 ed 26 of 29 department 27 the 29 department 28 emergency 29 department 30 ( 31 ed 31 ed 32 ) 33 , 37 and 33 , 39 care 34 urgent 35 care 35 care 37 and 36 , 37 and 37 and 38 primary 37 and 39 care negative binomial regressions adjusted for gender , age , co - occurring diabetes , co - occurring chronic obstructive pulmonary disease , and residence neighborhood were used to analyze units of service , and two [-] part [(] hurdle ) multivariable models were used for expenditures . 0 ###LEFT-WALL### 3 regressions 0 ###LEFT-WALL### 4 adjusted 0 ###LEFT-WALL### 11 - 1 negative 3 regressions 2 binomial 3 regressions 3 regressions 4 adjusted 4 adjusted 5 for 5 for 6 gender 6 gender 8 age 7 , 8 age 8 age 10 co 8 age 11 - 9 , 10 co 10 co 11 - 11 - 13 diabetes 11 - 16 - 12 occurring 13 diabetes 13 diabetes 15 co 14 , 15 co 15 co 16 - 16 - 17 occurring 16 - 29 analyze 16 - 47 . 17 occurring 26 were 17 occurring 28 to 18 chronic 21 disease 19 obstructive 21 disease 20 pulmonary 21 disease 21 disease 23 and 22 , 23 and 23 and 25 neighborhood 23 and 26 were 24 residence 25 neighborhood 26 were 27 used 28 to 29 analyze 29 analyze 30 units 29 analyze 45 for 30 units 31 of 30 units 42 models 30 units 43 were 30 units 44 used 31 of 34 and 32 service 34 and 33 , 34 and 34 and 39 hurdle 34 and 40 ) 35 two 37 part 37 part 39 hurdle 41 multivariable 42 models 42 models 43 were 45 for 46 expenditures the main finding was a tendency for lower total number [of] hospital days for patients assigned to telemonitoring . 0 ###LEFT-WALL### 3 finding 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 19 . 1 the 2 main 1 the 3 finding 3 finding 4 was 4 was 6 tendency 5 a 6 tendency 6 tendency 7 for 7 for 13 days 8 lower 9 total 9 total 13 days 10 number 13 days 12 hospital 13 days 13 days 14 for 13 days 16 assigned 14 for 15 patients 16 assigned 17 to 17 to 18 telemonitoring results for other covered services were generally consistent with hypothesized direction and magnitude ; however , statistical power was reduced because of lower - than [-] expected recruitment rates into the study . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 14 ; 0 ###LEFT-WALL### 33 . 1 results 2 for 1 results 6 were 2 for 5 services 3 other 5 services 4 covered 5 services 6 were 7 generally 6 were 8 consistent 8 consistent 9 with 9 with 12 and 10 hypothesized 11 direction 11 direction 12 and 12 and 13 magnitude 14 ; 18 power 14 ; 20 reduced 15 however 16 , 15 however 18 power 17 statistical 18 power 18 power 19 was 19 was 20 reduced 20 reduced 21 because 21 because 22 of 22 of 29 rates 23 lower 24 - 23 lower 28 recruitment 25 than 27 expected 27 expected 28 recruitment 28 recruitment 29 rates 29 rates 30 into 30 into 32 study 31 the 32 study within a managed [-] care environment , telemonitoring appears to facilitate better ambulatory management of heart failure patients , including fewer ed visits , which were offset by more frequent primary care and urgent care visits . 0 ###LEFT-WALL### 8 telemonitoring 0 ###LEFT-WALL### 9 appears 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 37 . 1 within 6 environment 1 within 7 , 1 within 8 telemonitoring 2 a 6 environment 3 managed 5 care 5 care 6 environment 8 telemonitoring 9 appears 9 appears 10 to 9 appears 20 including 10 to 11 facilitate 11 facilitate 14 management 12 better 14 management 13 ambulatory 14 management 14 management 15 of 15 of 18 patients 16 heart 18 patients 17 failure 18 patients 19 , 20 including 20 including 23 visits 20 including 24 , 21 fewer 23 visits 22 ed 23 visits 24 , 25 which 24 , 27 offset 25 which 26 were 26 were 27 offset 27 offset 28 by 28 by 33 and 29 more 30 frequent 30 frequent 31 primary 31 primary 32 care 32 care 33 and 33 and 36 visits 34 urgent 35 care 35 care 36 visits purpose : to evaluate uterine senescence by comparing pregnancy rates in older recipients vs their younger donors who were actually trying to conceive themselves . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 3 to 2 : 4 evaluate 3 to 4 evaluate 4 evaluate 6 senescence 4 evaluate 7 by 5 uterine 6 senescence 7 by 8 comparing 8 comparing 10 rates 9 pregnancy 10 rates 10 rates 11 in 10 rates 14 vs 10 rates 18 who 10 rates 19 were 11 in 13 recipients 12 older 13 recipients 14 vs 17 donors 15 their 17 donors 16 younger 17 donors 18 who 19 were 19 were 20 actually 19 were 21 trying 21 trying 22 to 21 trying 23 conceive 22 to 23 conceive 23 conceive 24 themselves methods : a retrospective analysis comparing clinical and [delivered] pregnancy rates in all infertile donors < or [=] age 35 sharing their eggs with a recipient age > [or] = 40 over a 6 [-] year time span . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 or 0 ###LEFT-WALL### 39 . 1 methods 2 : 2 : 5 analysis 3 a 4 retrospective 3 a 5 analysis 4 retrospective 5 analysis 5 analysis 6 comparing 5 analysis 16 < 6 comparing 8 and 6 comparing 16 < 7 clinical 8 and 8 and 11 rates 8 and 12 in 10 pregnancy 11 rates 12 in 15 donors 13 all 15 donors 14 infertile 15 donors 17 or 19 age 17 or 30 = 19 age 20 35 19 age 21 sharing 19 age 30 = 21 sharing 23 eggs 21 sharing 24 with 22 their 23 eggs 24 with 26 recipient 25 a 26 recipient 26 recipient 27 age 26 recipient 28 > 27 age 28 > 30 = 31 40 30 = 32 over 32 over 38 span 33 a 38 span 34 6 36 year 36 year 38 span 37 time 38 span these parameters were also evaluated in the first frozen embryo transfer from these couples ( if they had one ) . 0 ###LEFT-WALL### 2 parameters 0 ###LEFT-WALL### 5 evaluated 0 ###LEFT-WALL### 21 . 1 these 2 parameters 2 parameters 3 were 3 were 4 also 3 were 5 evaluated 5 evaluated 6 in 5 evaluated 16 if 6 in 11 transfer 7 the 11 transfer 8 first 9 frozen 9 frozen 10 embryo 10 embryo 11 transfer 11 transfer 12 from 12 from 14 couples 13 these 14 couples 15 ( 16 if 16 if 17 they 16 if 18 had 16 if 20 ) 17 they 18 had 18 had 19 one results : the clinical and [delivered] pregnancy rates were similar in younger donors vs older recipients following fresh embryo transfer . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 and 2 : 9 were 2 : 21 . 3 the 4 clinical 4 clinical 5 and 5 and 8 rates 5 and 9 were 7 pregnancy 8 rates 9 were 10 similar 10 similar 11 in 11 in 13 donors 12 younger 13 donors 13 donors 14 vs 14 vs 16 recipients 15 older 16 recipients 16 recipients 17 following 17 following 20 transfer 18 fresh 19 embryo 19 embryo 20 transfer there was a [non] [-] significant trend for lower implantation rates in the younger donors . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 16 . 1 there 2 was 2 was 7 trend 3 a 7 trend 6 significant 7 trend 7 trend 8 for 8 for 11 rates 9 lower 10 implantation 10 implantation 11 rates 11 rates 12 in 12 in 15 donors 13 the 15 donors 14 younger 15 donors no differences were found when comparing frozen embryo transfers . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 10 . 1 no 2 differences 2 differences 3 were 3 were 4 found 4 found 5 when 5 when 6 comparing 6 comparing 9 transfers 7 frozen 8 embryo 8 embryo 9 transfers conclusions : these data support conclusions that the uterus of women > or = 40 does not inhibit embryo implantation . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 data 2 : 13 or 2 : 21 . 3 these 4 data 4 data 13 or 5 support 6 conclusions 5 support 13 or 6 conclusions 7 that 6 conclusions 12 > 7 that 9 uterus 7 that 12 > 8 the 9 uterus 9 uterus 10 of 9 uterus 12 > 10 of 11 women 13 or 18 inhibit 14 = 15 40 15 40 16 does 16 does 17 not 16 does 18 inhibit 18 inhibit 20 implantation 19 embryo 20 implantation varicella - zoster virus ( vzv ) causes two clinically distinct diseases : varicella and herpes zoster . 0 ###LEFT-WALL### 1 varicella 0 ###LEFT-WALL### 8 causes 0 ###LEFT-WALL### 13 : 0 ###LEFT-WALL### 18 . 1 varicella 4 virus 1 varicella 8 causes 2 - 4 virus 3 zoster 4 virus 4 virus 6 vzv 4 virus 7 ) 5 ( 6 vzv 6 vzv 7 ) 8 causes 12 diseases 9 two 12 diseases 10 clinically 11 distinct 11 distinct 12 diseases 13 : 15 and 13 : 17 zoster 14 varicella 15 and 15 and 16 herpes 15 and 17 zoster herpes zoster , recurrent infection of vzv occurs when the cell [-] mediated immunity to vzv declines . 0 ###LEFT-WALL### 1 herpes 0 ###LEFT-WALL### 2 zoster 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 18 . 1 herpes 2 zoster 3 , 5 infection 3 , 8 occurs 4 recurrent 5 infection 5 infection 6 of 5 infection 8 occurs 6 of 7 vzv 8 occurs 9 when 9 when 14 immunity 9 when 17 declines 10 the 14 immunity 11 cell 13 mediated 13 mediated 14 immunity 14 immunity 15 to 14 immunity 17 declines 15 to 16 vzv since the cell - medicated immunity to vzv declines with aging , herpes zoster occurs more frequently in the elderly . 0 ###LEFT-WALL### 14 zoster 0 ###LEFT-WALL### 15 occurs 0 ###LEFT-WALL### 21 . 1 since 3 cell 1 since 13 herpes 1 since 14 zoster 2 the 3 cell 3 cell 6 immunity 3 cell 13 herpes 4 - 6 immunity 5 medicated 6 immunity 6 immunity 7 to 6 immunity 12 , 7 to 9 declines 8 vzv 9 declines 9 declines 10 with 10 with 11 aging 14 zoster 15 occurs 15 occurs 17 frequently 15 occurs 18 in 16 more 17 frequently 18 in 20 elderly 19 the 20 elderly most frequent and dreaded complication of herpes zoster is postherpetic neuralgia ( phn ) . 0 ###LEFT-WALL### 8 zoster 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 15 . 1 most 8 zoster 2 frequent 3 and 3 and 5 complication 3 and 6 of 3 and 8 zoster 4 dreaded 5 complication 6 of 7 herpes 8 zoster 9 is 9 is 11 neuralgia 10 postherpetic 11 neuralgia 11 neuralgia 13 phn 12 ( 13 phn 13 phn 14 ) the first line of treatment of phn is medication with tricyclic antidipressants and anticonvulsants . 0 ###LEFT-WALL### 3 line 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 15 . 1 the 2 first 1 the 3 line 3 line 4 of 3 line 8 is 4 of 5 treatment 5 treatment 6 of 6 of 7 phn 8 is 9 medication 9 medication 10 with 10 with 13 and 11 tricyclic 12 antidipressants 12 antidipressants 13 and 13 and 14 anticonvulsants double - blind studies showed that effective tricyclic antidepressants for the treatment of phn are amitriptyline and nortriptyline , and effective anticonvulsants gabapentin and pregabalin . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 26 . 1 double 2 - 1 double 4 studies 3 blind 4 studies 4 studies 5 showed 5 showed 6 that 6 that 9 antidepressants 6 that 15 are 7 effective 9 antidepressants 8 tricyclic 9 antidepressants 9 antidepressants 10 for 9 antidepressants 13 of 9 antidepressants 15 are 10 for 12 treatment 11 the 12 treatment 13 of 14 phn 15 are 24 and 16 amitriptyline 17 and 17 and 23 gabapentin 17 and 24 and 18 nortriptyline 20 and 19 , 20 and 20 and 22 anticonvulsants 20 and 23 gabapentin 21 effective 22 anticonvulsants 24 and 25 pregabalin [when] tricyclic antidepressant [and/or] anticonvulsant [cannot] [relieve] phn , opioids should be considered in some selected patients . 0 ###LEFT-WALL### 8 phn 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 18 . 2 tricyclic 8 phn 3 antidepressant 8 phn 5 anticonvulsant 8 phn 9 , 10 opioids 9 , 13 considered 10 opioids 11 should 11 should 12 be 12 be 13 considered 13 considered 14 in 14 in 17 patients 15 some 17 patients 16 selected 17 patients although neuroablative procedures have been performed for the treatment of phn , their effectiveness was not confirmed by double - blind studies . 0 ###LEFT-WALL### 14 effectiveness 0 ###LEFT-WALL### 15 was 0 ###LEFT-WALL### 23 . 1 although 3 procedures 1 although 6 performed 1 although 12 , 1 although 14 effectiveness 2 neuroablative 3 procedures 3 procedures 4 have 4 have 5 been 5 been 6 performed 6 performed 7 for 7 for 9 treatment 8 the 9 treatment 9 treatment 10 of 10 of 11 phn 13 their 14 effectiveness 14 effectiveness 15 was 15 was 16 not 15 was 18 by 16 not 17 confirmed 18 by 22 studies 19 double 20 - 19 double 22 studies 21 blind 22 studies they [rather] aggravate phn with time . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 3 aggravate 0 ###LEFT-WALL### 7 . 1 they 3 aggravate 3 aggravate 4 phn 3 aggravate 5 with 5 with 6 time recent research with a live attenuated varicella vaccine to prevent herpes zoster indicated that the vaccine decreased the occurrence of herpes zoster and postherpetic neuralgia by almost half as compared [with] placebo . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 13 indicated 0 ###LEFT-WALL### 33 . 1 recent 2 research 2 research 3 with 2 research 9 to 2 research 10 prevent 2 research 13 indicated 3 with 8 vaccine 4 a 8 vaccine 5 live 8 vaccine 6 attenuated 7 varicella 7 varicella 8 vaccine 9 to 10 prevent 10 prevent 12 zoster 11 herpes 12 zoster 13 indicated 14 that 14 that 16 vaccine 14 that 17 decreased 15 the 16 vaccine 16 vaccine 17 decreased 17 decreased 32 placebo 18 the 32 placebo 19 occurrence 20 of 19 occurrence 23 and 20 of 22 zoster 21 herpes 22 zoster 23 and 25 neuralgia 23 and 30 compared 23 and 32 placebo 24 postherpetic 25 neuralgia 25 neuralgia 26 by 26 by 28 half 27 almost 28 half 29 as 30 compared vaccination of high risk subjects with the varicella vaccine seems to be the most effective measure for the prevention of postherpetic neuralgia . 0 ###LEFT-WALL### 1 vaccination 0 ###LEFT-WALL### 10 seems 0 ###LEFT-WALL### 23 . 1 vaccination 2 of 1 vaccination 10 seems 2 of 5 subjects 3 high 5 subjects 4 risk 5 subjects 5 subjects 6 with 6 with 9 vaccine 7 the 9 vaccine 8 varicella 9 vaccine 10 seems 11 to 10 seems 12 be 11 to 12 be 12 be 16 measure 13 the 16 measure 14 most 15 effective 15 effective 16 measure 16 measure 17 for 17 for 19 prevention 18 the 19 prevention 19 prevention 20 of 20 of 22 neuralgia 21 postherpetic 22 neuralgia although lithuanian population is aging and the number of older persons is increasing , the expectancy of autonomous life is one of the shortest in europe . 0 ###LEFT-WALL### 16 expectancy 0 ###LEFT-WALL### 20 is 0 ###LEFT-WALL### 27 . 1 although 6 and 1 although 13 increasing 1 although 16 expectancy 2 lithuanian 3 population 3 population 4 is 3 population 6 and 4 is 5 aging 6 and 8 number 7 the 8 number 8 number 9 of 8 number 12 is 9 of 11 persons 10 older 11 persons 12 is 13 increasing 13 increasing 14 , 15 the 16 expectancy 16 expectancy 17 of 16 expectancy 20 is 17 of 19 life 18 autonomous 19 life 20 is 21 one 21 one 22 of 22 of 24 shortest 23 the 24 shortest 24 shortest 25 in 25 in 26 europe an increasing number of the elderly results [not] only in aging society , but in increasing morbidity as well . 0 ###LEFT-WALL### 3 number 0 ###LEFT-WALL### 7 results 0 ###LEFT-WALL### 20 . 1 an 3 number 2 increasing 3 number 3 number 4 of 3 number 7 results 4 of 6 elderly 5 the 6 elderly 7 results 9 only 7 results 14 but 10 in 11 aging 10 in 14 but 11 aging 12 society 13 , 14 but 14 but 15 in 15 in 16 increasing 16 increasing 17 morbidity 16 increasing 18 as 18 as 19 well reality of life is encouraging health care systems to take into account the needs of older patients [and] to seek for comprehensive assessment , which is not limited by physical assessment only but includes evaluation of functional state , cognition , socioeconomic status , home environment , identification of geriatric syndromes and vulnerability factors , and assessment of frailty . 1 reality 2 of 1 reality 4 is 2 of 3 life 4 is 8 systems 4 is 9 to 5 encouraging 8 systems 6 health 7 care 7 care 8 systems 9 to 10 take 10 take 12 account 10 take 14 needs 10 take 19 to 11 into 12 account 13 the 14 needs 14 needs 15 of 15 of 17 patients 16 older 17 patients 19 to 20 seek 20 seek 21 for 20 seek 31 assessment 20 seek 32 only 21 for 23 assessment 22 comprehensive 23 assessment 23 assessment 25 which 24 , 25 which 25 which 26 is 26 is 27 not 26 is 29 by 27 not 28 limited 30 physical 31 assessment 32 only 33 but 33 but 35 evaluation 34 includes 35 evaluation 35 evaluation 36 of 36 of 38 state 37 functional 38 state 38 state 40 cognition 38 state 43 status 38 state 48 identification 39 , 40 cognition 40 cognition 41 , 41 , 43 status 42 socioeconomic 43 status 43 status 46 environment 43 status 47 , 44 , 46 environment 45 home 46 environment 46 environment 47 , 47 , 48 identification 48 identification 49 of 48 identification 58 of 48 identification 60 . 49 of 56 and 50 geriatric 51 syndromes 51 syndromes 52 and 52 and 54 factors 52 and 55 , 52 and 56 and 53 vulnerability 54 factors 55 , 56 and 56 and 57 assessment 58 of 59 frailty the term " frailty " is used to describe the status of the elderly person who can usually perform the main practical and social daily tasks , but due to loss of various functions , changes , or disorders cannot restore quickly the strength . 0 ###LEFT-WALL### 38 or 0 ###LEFT-WALL### 45 . 1 the 2 term 2 term 3 " 2 term 4 frailty 2 term 7 used 2 term 38 or 4 frailty 5 " 4 frailty 6 is 6 is 7 used 7 used 8 to 7 used 9 describe 8 to 9 describe 9 describe 11 status 9 describe 23 and 10 the 11 status 11 status 12 of 11 status 16 who 11 status 17 can 12 of 15 person 13 the 15 person 14 elderly 15 person 16 who 17 can 17 can 19 perform 18 usually 19 perform 19 perform 21 main 20 the 21 main 22 practical 23 and 23 and 24 social 25 daily 38 or 26 tasks 28 but 26 tasks 38 or 27 , 28 but 28 but 30 to 28 but 37 , 29 due 30 to 30 to 31 loss 31 loss 32 of 32 of 34 functions 33 various 34 functions 34 functions 36 changes 35 , 36 changes 36 changes 37 , 38 or 41 restore 39 disorders 40 cannot 40 cannot 41 restore 41 restore 42 quickly 41 restore 44 strength 43 the 44 strength concomitant diseases , disorders , disability , and frailty were considered as synonyms , but the researchers have recently agreed that these terms are not the same . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 11 considered 0 ###LEFT-WALL### 15 but 0 ###LEFT-WALL### 28 . 1 concomitant 2 diseases 2 diseases 3 , 3 , 4 disorders 3 , 5 , 5 , 6 disability 5 , 8 and 7 , 8 and 8 and 9 frailty 8 and 10 were 10 were 11 considered 11 considered 12 as 12 as 13 synonyms 14 , 15 but 15 but 17 researchers 15 but 20 agreed 16 the 17 researchers 17 researchers 18 have 18 have 20 agreed 19 recently 20 agreed 20 agreed 21 that 21 that 23 terms 21 that 24 are 22 these 23 terms 23 terms 24 are 24 are 25 not 24 are 27 same 26 the 27 same the social part [of] supportive environment is composed of people ( family , friends , professional caregivers [ )(who provide help . 0 ###LEFT-WALL### 6 environment 0 ###LEFT-WALL### 8 composed 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 22 . 1 the 6 environment 2 social 3 part 3 part 6 environment 5 supportive 6 environment 6 environment 7 is 7 is 8 composed 8 composed 9 of 9 of 10 people 10 people 12 family 10 people 14 friends 11 ( 12 family 12 family 13 , 13 , 14 friends 14 friends 15 , 15 , 17 caregivers 15 , 21 help 16 professional 17 caregivers 17 caregivers 19 )(who 17 caregivers 20 provide 17 caregivers 21 help 19 )(who 20 provide the physical part includes technologies that make living easier and more [autonomous] . 0 ###LEFT-WALL### 3 part 0 ###LEFT-WALL### 4 includes 0 ###LEFT-WALL### 13 . 1 the 3 part 2 physical 3 part 3 part 4 includes 4 includes 5 technologies 5 technologies 6 that 5 technologies 7 make 6 that 7 make 7 make 8 living 7 make 10 and 9 easier 10 and 10 and 11 more gerontechnologies in vulnerable and frail elderly people can compensate impaired orientation and memory , widen the possibility to communicate , exchange information , and move . 0 ###LEFT-WALL### 1 gerontechnologies 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 26 . 1 gerontechnologies 2 in 1 gerontechnologies 8 can 2 in 7 people 3 vulnerable 4 and 4 and 5 frail 4 and 7 people 6 elderly 7 people 8 can 14 , 9 compensate 12 and 9 compensate 14 , 10 impaired 11 orientation 11 orientation 12 and 12 and 13 memory 14 , 15 widen 14 , 18 to 15 widen 17 possibility 16 the 17 possibility 18 to 20 , 19 communicate 20 , 20 , 21 exchange 20 , 24 and 22 information 24 and 23 , 24 and 24 and 25 move [with] the help of gerontechnologies , safe home environment and monitoring of health state can be ensured . 0 ###LEFT-WALL### 14 state 0 ###LEFT-WALL### 17 ensured 0 ###LEFT-WALL### 18 . 2 the 14 state 3 help 4 of 3 help 6 , 4 of 5 gerontechnologies 6 , 9 environment 6 , 10 and 7 safe 9 environment 8 home 9 environment 10 and 11 monitoring 10 and 14 state 11 monitoring 12 of 12 of 13 health 14 state 15 can 15 can 16 be 16 be 17 ensured in the article , algorithm [for] maintenance of autonomy in older persons made by the authors is presented . 0 ###LEFT-WALL### 7 maintenance 0 ###LEFT-WALL### 18 presented 0 ###LEFT-WALL### 19 . 1 in 3 article 1 in 4 , 1 in 7 maintenance 2 the 3 article 5 algorithm 7 maintenance 7 maintenance 8 of 7 maintenance 17 is 8 of 9 autonomy 9 autonomy 10 in 10 in 12 persons 11 older 12 persons 12 persons 13 made 13 made 14 by 14 by 16 authors 15 the 16 authors 17 is 18 presented the formation of reactive oxygen species ( ros ) is a widely accepted pivotal mechanism leading to skin aging . 0 ###LEFT-WALL### 2 formation 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 20 . 1 the 2 formation 2 formation 3 of 2 formation 10 is 3 of 6 species 4 reactive 5 oxygen 5 oxygen 6 species 6 species 8 ros 7 ( 8 ros 8 ros 9 ) 10 is 15 mechanism 11 a 15 mechanism 12 widely 13 accepted 13 accepted 15 mechanism 14 pivotal 15 mechanism 15 mechanism 16 leading 15 mechanism 19 aging 16 leading 17 to 17 to 18 skin it increases with age , while the endogenous defense mechanisms that counter them decrease . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 increases 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 15 . 1 it 2 increases 2 increases 3 with 3 with 4 age 5 , 10 mechanisms 5 , 14 decrease 6 while 9 defense 6 while 10 mechanisms 7 the 9 defense 8 endogenous 9 defense 10 mechanisms 11 that 10 mechanisms 12 counter 10 mechanisms 14 decrease 11 that 12 counter 12 counter 13 them this imbalance , called oxidative stress , leads to the progressive damage of cellular structures and results in accelerated aging . 0 ###LEFT-WALL### 2 imbalance 0 ###LEFT-WALL### 8 leads 0 ###LEFT-WALL### 21 . 1 this 2 imbalance 2 imbalance 4 called 2 imbalance 8 leads 3 , 4 called 4 called 6 stress 4 called 7 , 5 oxidative 6 stress 8 leads 9 to 8 leads 18 in 9 to 12 damage 10 the 12 damage 11 progressive 12 damage 12 damage 13 of 13 of 16 and 14 cellular 15 structures 15 structures 16 and 16 and 17 results 18 in 20 aging 19 accelerated 20 aging antioxidant compounds can provide protection from endogenous and exogenous oxidative stress by scavenging free radicals . 0 ###LEFT-WALL### 2 compounds 0 ###LEFT-WALL### 4 provide 0 ###LEFT-WALL### 16 . 1 antioxidant 2 compounds 2 compounds 3 can 3 can 4 provide 4 provide 5 protection 4 provide 12 by 5 protection 6 from 6 from 11 stress 7 endogenous 8 and 8 and 9 exogenous 8 and 11 stress 10 oxidative 11 stress 12 by 15 radicals 13 scavenging 15 radicals 14 free 15 radicals the main phenolic compounds of oak wood , mate leaf and benjoin resin antioxidant extracts were identified and the effects of these extracts on skin aging markers were evaluated using dna macroarray technology . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 34 . 1 the 2 main 1 the 4 compounds 3 phenolic 4 compounds 4 compounds 5 of 4 compounds 8 , 5 of 7 wood 6 oak 7 wood 8 , 10 leaf 8 , 11 and 9 mate 10 leaf 11 and 15 extracts 11 and 16 were 12 benjoin 15 extracts 13 resin 14 antioxidant 14 antioxidant 15 extracts 16 were 17 identified 18 and 20 effects 18 and 29 evaluated 19 the 20 effects 20 effects 21 of 20 effects 26 aging 20 effects 28 were 21 of 23 extracts 22 these 23 extracts 23 extracts 24 on 24 on 25 skin 26 aging 27 markers 28 were 29 evaluated 29 evaluated 30 using 30 using 33 technology 31 dna 33 technology 32 macroarray 33 technology the transcriptional effect of the three antioxidant extracts was evaluated in vitro on a replicative senescence model of normal human dermal fibroblasts ( nhdf ) , using a customized dna macroarray specifically designed to investigate aging markers such as dermal structure , cell renewal , inflammatory response and oxidative stress mechanisms . 0 ###LEFT-WALL### 3 effect 0 ###LEFT-WALL### 10 evaluated 0 ###LEFT-WALL### 42 , 0 ###LEFT-WALL### 52 . 1 the 3 effect 2 transcriptional 3 effect 3 effect 4 of 3 effect 7 antioxidant 3 effect 8 extracts 3 effect 9 was 4 of 6 three 5 the 6 three 7 antioxidant 8 extracts 9 was 10 evaluated 10 evaluated 12 vitro 10 evaluated 13 on 10 evaluated 27 using 11 in 12 vitro 13 on 17 model 14 a 15 replicative 14 a 17 model 15 replicative 17 model 16 senescence 17 model 17 model 18 of 17 model 24 nhdf 18 of 22 fibroblasts 19 normal 22 fibroblasts 20 human 22 fibroblasts 21 dermal 22 fibroblasts 23 ( 24 nhdf 24 nhdf 25 ) 26 , 27 using 27 using 31 macroarray 27 using 34 to 27 using 35 investigate 27 using 42 , 28 a 31 macroarray 29 customized 31 macroarray 30 dna 31 macroarray 31 macroarray 33 designed 32 specifically 33 designed 34 to 35 investigate 35 investigate 37 markers 35 investigate 39 as 36 aging 37 markers 38 such 39 as 39 as 41 structure 40 dermal 41 structure 42 , 48 and 43 cell 44 renewal 44 renewal 45 , 45 , 47 response 45 , 48 and 46 inflammatory 47 response 48 and 51 mechanisms 49 oxidative 50 stress 50 stress 51 mechanisms among the 149 genes detected , the three antioxidant extracts presented a significant regulation of five genes involved in [inflammatory] response , cell renewal and antioxidant defenses . 0 ###LEFT-WALL### 8 three 0 ###LEFT-WALL### 9 antioxidant 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 28 . 1 among 4 genes 1 among 6 , 1 among 8 three 2 the 3 149 3 149 4 genes 4 genes 5 detected 7 the 8 three 8 three 9 antioxidant 9 antioxidant 10 extracts 9 antioxidant 21 response 10 extracts 11 presented 10 extracts 14 regulation 10 extracts 18 involved 12 a 13 significant 12 a 14 regulation 13 significant 14 regulation 14 regulation 15 of 14 regulation 18 involved 15 of 17 genes 16 five 17 genes 19 in 21 response 22 , 25 and 23 cell 24 renewal 24 renewal 25 and 25 and 27 defenses 26 antioxidant 27 defenses the collective transcriptional effects of these extracts suggest interesting antiaging properties which could be utilized in nutraceutical antiaging formulations . 0 ###LEFT-WALL### 4 effects 0 ###LEFT-WALL### 8 suggest 0 ###LEFT-WALL### 20 . 1 the 4 effects 2 collective 4 effects 3 transcriptional 4 effects 4 effects 5 of 4 effects 8 suggest 5 of 7 extracts 6 these 7 extracts 8 suggest 9 interesting 9 interesting 11 properties 10 antiaging 11 properties 11 properties 12 which 11 properties 13 could 12 which 13 could 13 could 14 be 14 be 15 utilized 15 utilized 16 in 16 in 19 formulations 17 nutraceutical 19 formulations 18 antiaging 19 formulations medic and colleagues ( medic , starkes [,] & young , 2007 ) found that relatively younger cohorts of masters athletes had higher participation rates and achieved higher performances compared with a relatively older cohort . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 14 found 0 ###LEFT-WALL### 26 and 0 ###LEFT-WALL### 36 . 1 medic 2 and 2 and 3 colleagues 2 and 10 young 2 and 12 2007 2 and 14 found 4 ( 10 young 5 medic 9 & 6 , 9 & 7 starkes 9 & 9 & 10 young 10 young 11 , 11 , 12 2007 12 2007 13 ) 14 found 15 that 15 that 18 cohorts 15 that 22 had 16 relatively 17 younger 17 younger 18 cohorts 18 cohorts 19 of 18 cohorts 22 had 19 of 21 athletes 20 masters 21 athletes 22 had 25 rates 23 higher 24 participation 24 participation 25 rates 26 and 29 performances 26 and 30 compared 27 achieved 29 performances 28 higher 29 performances 29 performances 30 compared 30 compared 31 with 31 with 35 cohort 32 a 33 relatively 32 a 35 cohort 33 relatively 34 older 34 older 35 cohort considering that medic and colleagues ['] ( 2007 ) study was cross - sectional in nature , the purpose of this investigation was to employ a retrospective longitudinal study design to examine the participation rates of masters swimmers as a function of an individual 's constituent year within any 5 [-] year age category over a period of 6 years . 0 ###LEFT-WALL### 19 purpose 0 ###LEFT-WALL### 61 . 1 considering 2 that 1 considering 13 - 1 considering 19 purpose 2 that 10 study 2 that 12 cross 3 medic 4 and 4 and 5 colleagues 4 and 8 2007 4 and 10 study 7 ( 8 2007 8 2007 9 ) 10 study 11 was 11 was 12 cross 13 - 14 sectional 14 sectional 15 in 14 sectional 17 , 14 sectional 19 purpose 15 in 16 nature 18 the 19 purpose 19 purpose 20 of 19 purpose 23 was 20 of 22 investigation 21 this 22 investigation 23 was 24 to 23 was 25 employ 24 to 25 employ 25 employ 30 design 25 employ 31 to 25 employ 32 examine 26 a 30 design 27 retrospective 29 study 28 longitudinal 29 study 29 study 30 design 31 to 32 examine 32 examine 35 rates 33 the 35 rates 34 participation 35 rates 35 rates 36 of 35 rates 42 of 36 of 38 swimmers 37 masters 38 swimmers 38 swimmers 39 as 39 as 41 function 40 a 41 function 42 of 47 year 43 an 44 individual 44 individual 45 's 45 's 47 year 46 constituent 47 year 47 year 48 within 47 year 55 over 47 year 58 of 48 within 54 category 49 any 54 category 50 5 52 year 52 year 54 category 53 age 54 category 55 over 57 period 56 a 57 period 58 of 60 years 59 6 60 years using archived data from the 2003 to 2009 us masters short course national championships , swimmers ' attendance was followed for a period of six consecutive years . 0 ###LEFT-WALL### 18 attendance 0 ###LEFT-WALL### 20 followed 0 ###LEFT-WALL### 28 . 1 using 3 data 1 using 15 , 1 using 18 attendance 2 archived 3 data 3 data 4 from 4 from 14 championships 5 the 7 to 6 2003 7 to 7 to 8 2009 7 to 14 championships 9 us 10 masters 10 masters 11 short 11 short 12 course 12 course 13 national 13 national 14 championships 16 swimmers 17 ' 17 ' 18 attendance 18 attendance 19 was 19 was 20 followed 20 followed 21 for 21 for 23 period 22 a 23 period 23 period 24 of 24 of 27 years 25 six 27 years 26 consecutive 27 years overall , effect size analyses indicated that the odds of a masters swimmer participating in the championship during the first constituent year of any 5 - year age [category] was more than two times greater than the odds of that athlete participating during the fifth constituent year . 0 ###LEFT-WALL### 1 overall 0 ###LEFT-WALL### 2 , 2 , 3 effect 2 , 26 - 3 effect 4 size 3 effect 15 in 3 effect 18 during 4 size 14 participating 5 analyses 6 indicated 6 indicated 7 that 7 that 9 odds 7 that 14 participating 8 the 9 odds 9 odds 10 of 9 odds 14 participating 10 of 13 swimmer 11 a 13 swimmer 12 masters 13 swimmer 15 in 17 championship 16 the 17 championship 18 during 22 year 19 the 20 first 19 the 22 year 21 constituent 22 year 22 year 23 of 23 of 25 5 24 any 25 5 26 - 28 age 26 - 30 was 26 - 48 . 27 year 28 age 28 age 30 was 30 was 35 greater 31 more 32 than 32 than 33 two 33 two 34 times 34 times 35 greater 35 greater 36 than 36 than 38 odds 37 the 38 odds 38 odds 39 of 38 odds 42 participating 39 of 41 athlete 40 that 41 athlete 42 participating 43 during 43 during 47 year 44 the 45 fifth 44 the 47 year 46 constituent 47 year aging is known to be the most prominent risk factor for alzheimer 's disease ( ad ) ; however , the underlying mechanism linking brain aging with ad pathogenesis remains unknown . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 13 's 0 ###LEFT-WALL### 18 ; 0 ###LEFT-WALL### 32 . 1 aging 2 is 2 is 3 known 3 known 4 to 3 known 13 's 4 to 5 be 6 the 10 factor 7 most 8 prominent 8 prominent 10 factor 9 risk 10 factor 10 factor 11 for 10 factor 13 's 11 for 12 alzheimer 13 's 14 disease 14 disease 16 ad 15 ( 16 ad 16 ad 17 ) 18 ; 23 mechanism 18 ; 30 remains 19 however 20 , 19 however 23 mechanism 21 the 23 mechanism 22 underlying 23 mechanism 23 mechanism 24 linking 23 mechanism 30 remains 24 linking 25 brain 25 brain 26 aging 25 brain 27 with 27 with 29 pathogenesis 28 ad 29 pathogenesis 30 remains 31 unknown the expression of human amyloid beta 42 peptide [(] aβ₁₋₄₂ [ )(, but not aβ₁₋₄₀ in drosophila brain induces an early onset and progressive autophagy - lysosomal neuropathology . 0 ###LEFT-WALL### 2 expression 0 ###LEFT-WALL### 19 induces 0 ###LEFT-WALL### 29 . 1 the 2 expression 2 expression 3 of 2 expression 19 induces 3 of 18 brain 4 human 5 amyloid 5 amyloid 18 brain 6 beta 8 peptide 7 42 8 peptide 8 peptide 18 brain 10 aβ₁₋₄₂ 13 but 12 )(, 13 but 13 but 14 not 13 but 15 aβ₁₋₄₀ 13 but 18 brain 14 not 15 aβ₁₋₄₀ 15 aβ₁₋₄₀ 16 in 16 in 17 drosophila 19 induces 23 and 20 an 21 early 20 an 22 onset 21 early 22 onset 22 onset 23 and 23 and 28 neuropathology 24 progressive 28 neuropathology 25 autophagy 26 - 25 autophagy 28 neuropathology 27 lysosomal 28 neuropathology here we show that the natural process of brain aging also accompanies a chronic and late - onset deterioration of neuronal autophagy - lysosomal system . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 23 - 0 ###LEFT-WALL### 26 . 1 here 2 we 2 we 3 show 3 show 4 that 4 that 7 process 4 that 12 accompanies 5 the 7 process 6 natural 7 process 7 process 8 of 7 process 12 accompanies 8 of 9 brain 9 brain 10 aging 10 aging 11 also 12 accompanies 19 deterioration 13 a 19 deterioration 14 chronic 15 and 15 and 18 onset 15 and 19 deterioration 16 late 17 - 16 late 18 onset 19 deterioration 20 of 20 of 22 autophagy 21 neuronal 22 autophagy 23 - 25 system 24 lysosomal 25 system this process is characterized by accumulation of dysfunctional autophagy - lysosomal vesicles , a compromise of these vesicles leading to damage of intracellular membranes and organelles , necrotic - like intraneuronal destruction and neurodegeneration . 0 ###LEFT-WALL### 2 process 0 ###LEFT-WALL### 4 characterized 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 35 . 1 this 2 process 2 process 3 is 3 is 4 characterized 4 characterized 5 by 5 by 6 accumulation 6 accumulation 7 of 7 of 9 autophagy 8 dysfunctional 9 autophagy 9 autophagy 12 vesicles 10 - 12 vesicles 11 lysosomal 12 vesicles 12 vesicles 13 , 13 , 25 and 13 , 27 , 14 a 15 compromise 15 compromise 16 of 15 compromise 25 and 16 of 18 vesicles 17 these 18 vesicles 18 vesicles 19 leading 18 vesicles 22 of 19 leading 20 to 20 to 21 damage 22 of 24 membranes 23 intracellular 24 membranes 25 and 26 organelles 27 , 30 like 28 necrotic 29 - 28 necrotic 30 like 30 like 33 and 31 intraneuronal 32 destruction 32 destruction 33 and 33 and 34 neurodegeneration in addition , conditional activation of neuronal autophagy in young animals is protective while late activation is deleterious for survival . 0 ###LEFT-WALL### 5 activation 0 ###LEFT-WALL### 12 is 0 ###LEFT-WALL### 21 . 1 in 2 addition 1 in 3 , 1 in 5 activation 4 conditional 5 activation 5 activation 6 of 5 activation 12 is 6 of 8 autophagy 7 neuronal 8 autophagy 8 autophagy 9 in 9 in 11 animals 10 young 11 animals 12 is 13 protective 13 protective 14 while 14 while 16 activation 14 while 17 is 15 late 16 activation 16 activation 17 is 17 is 18 deleterious 18 deleterious 19 for 19 for 20 survival intriguingly , conditional aβ₁₋₄₂ expression limited to young animals exacerbates the aging process to a greater extent than aβ₁₋₄₂ expression in old animals . 0 ###LEFT-WALL### 5 expression 0 ###LEFT-WALL### 10 exacerbates 0 ###LEFT-WALL### 24 . 1 intriguingly 2 , 1 intriguingly 5 expression 3 conditional 5 expression 4 aβ₁₋₄₂ 5 expression 5 expression 6 limited 5 expression 10 exacerbates 6 limited 7 to 7 to 9 animals 8 young 9 animals 10 exacerbates 13 process 10 exacerbates 14 to 10 exacerbates 18 than 10 exacerbates 21 in 11 the 13 process 12 aging 13 process 14 to 17 extent 15 a 17 extent 16 greater 17 extent 18 than 20 expression 19 aβ₁₋₄₂ 20 expression 21 in 23 animals 22 old 23 animals these data suggest that the neuronal autophagy - lysosomal system may shift from a functional and protective state to a pathological and deleterious state either during brain aging or via aβ₁₋₄₂ neurotoxicity . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 33 . 1 these 2 data 2 data 3 suggest 3 suggest 4 that 4 that 10 system 4 that 12 shift 5 the 10 system 6 neuronal 10 system 7 autophagy 8 - 7 autophagy 10 system 9 lysosomal 10 system 10 system 11 may 11 may 12 shift 12 shift 13 from 12 shift 19 to 13 from 18 state 14 a 18 state 15 functional 16 and 16 and 17 protective 16 and 18 state 19 to 24 state 20 a 24 state 21 pathological 22 and 22 and 23 deleterious 22 and 24 state 24 state 29 or 25 either 29 or 26 during 27 brain 26 during 29 or 27 brain 28 aging 29 or 30 via 30 via 32 neurotoxicity 31 aβ₁₋₄₂ 32 neurotoxicity a chronic deterioration of the neuronal autophagy - lysosomal system is likely to be a key event in transitioning from normal brain aging to pathological aging leading to alzheimer 's neurodegeneration . 0 ###LEFT-WALL### 3 deterioration 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 32 . 1 a 2 chronic 1 a 3 deterioration 2 chronic 3 deterioration 3 deterioration 4 of 3 deterioration 11 is 4 of 10 system 5 the 10 system 6 neuronal 10 system 7 autophagy 8 - 7 autophagy 10 system 9 lysosomal 10 system 11 is 12 likely 12 likely 13 to 12 likely 14 be 13 to 14 be 14 be 17 event 15 a 17 event 16 key 17 event 17 event 18 in 17 event 23 aging 17 event 27 leading 18 in 19 transitioning 19 transitioning 20 from 20 from 22 brain 21 normal 22 brain 23 aging 24 to 24 to 26 aging 25 pathological 26 aging 27 leading 28 to 28 to 31 neurodegeneration 29 alzheimer 30 's 30 's 31 neurodegeneration objective : to quantify the number of cases and prevalence of human immunodeficiency virus ( hiv ) infection among older adults in sub [-] saharan africa . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 2 : 3 to 2 : 4 quantify 3 to 4 quantify 4 quantify 18 infection 4 quantify 19 among 5 the 6 number 6 number 7 of 6 number 9 and 7 of 8 cases 9 and 10 prevalence 9 and 11 of 9 and 16 hiv 9 and 18 infection 11 of 14 virus 12 human 14 virus 13 immunodeficiency 14 virus 15 ( 16 hiv 16 hiv 17 ) 19 among 21 adults 20 older 21 adults 21 adults 22 in 22 in 26 africa 23 sub 26 africa 25 saharan 26 africa methods : we reviewed data from demographic and health surveys ( dhs ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 reviewed 2 : 14 . 3 we 4 reviewed 4 reviewed 5 data 5 data 6 from 6 from 8 and 7 demographic 8 and 8 and 12 dhs 9 health 10 surveys 10 surveys 12 dhs 11 ( 12 dhs 12 dhs 13 ) although in these surveys all female respondents are < 50 years of age , 18 of the surveys contained data on hiv infection among men aged ≥ 50 years . 0 ###LEFT-WALL### 23 infection 0 ###LEFT-WALL### 26 aged 0 ###LEFT-WALL### 30 . 1 although 7 respondents 1 although 8 are 1 although 23 infection 2 in 4 surveys 2 in 7 respondents 3 these 4 surveys 5 all 7 respondents 6 female 7 respondents 7 respondents 8 are 8 are 11 years 8 are 21 on 9 < 10 50 10 50 11 years 11 years 15 18 11 years 19 contained 12 of 13 age 12 of 14 , 12 of 15 18 15 18 16 of 15 18 19 contained 16 of 18 surveys 17 the 18 surveys 19 contained 20 data 21 on 22 hiv 23 infection 24 among 23 infection 26 aged 24 among 25 men 26 aged 29 years 27 ≥ 29 years 28 50 29 years to estimate the percentage of older adults [(] i.e . people ≥ 50 years of age [ )(who were positive for hiv ( hiv+ ) , [we] extrapolated from data from the joint united nations programme on hiv/aids on the estimated number of people living with hiv and on hiv infection prevalence among adults aged 15 - 49 years . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 estimate 0 ###LEFT-WALL### 10 . 1 to 2 estimate 2 estimate 4 percentage 3 the 4 percentage 4 percentage 5 of 5 of 9 i.e 6 older 9 i.e 7 adults 9 i.e 10 . 11 people 11 people 14 years 11 people 21 for 12 ≥ 14 years 13 50 14 years 14 years 15 of 14 years 18 )(who 14 years 19 were 15 of 16 age 18 )(who 19 were 19 were 20 positive 21 for 22 hiv 22 hiv 24 hiv+ 22 hiv 28 extrapolated 23 ( 24 hiv+ 24 hiv+ 25 ) 26 , 28 extrapolated 28 extrapolated 29 from 28 extrapolated 31 from 29 from 30 data 31 from 36 programme 32 the 36 programme 33 joint 34 united 34 united 35 nations 35 nations 36 programme 36 programme 37 on 36 programme 43 of 37 on 38 hiv/aids 38 hiv/aids 39 on 39 on 42 number 40 the 42 number 41 estimated 42 number 43 of 44 people 44 people 45 living 44 people 48 and 44 people 53 among 46 with 47 hiv 46 with 48 and 48 and 49 on 49 on 52 prevalence 50 hiv 51 infection 51 infection 52 prevalence 53 among 54 adults 54 adults 55 aged 54 adults 59 years 55 aged 56 15 57 - 59 years 58 49 59 years 59 years 60 . findings : in 2007 , approximately 3 million people aged ≥ 50 years were living with hiv in sub - saharan africa . 0 ###LEFT-WALL### 1 findings 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 23 . 1 findings 2 : 2 : 3 in 3 in 4 2007 5 , 9 people 5 , 19 sub 5 , 20 - 6 approximately 9 people 7 3 8 million 8 million 9 people 9 people 10 aged 9 people 13 years 9 people 18 in 9 people 19 sub 10 aged 11 ≥ 12 50 13 years 13 years 14 were 14 were 15 living 15 living 16 with 15 living 18 in 16 with 17 hiv 20 - 22 africa 21 saharan 22 africa the prevalence of hiv infection in this group was 4.0 % , compared with 5.0 % among those aged 15 - 49 years . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 24 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 12 , 3 of 5 infection 4 hiv 5 infection 5 infection 6 in 6 in 8 group 7 this 8 group 9 was 11 % 9 was 12 , 10 4.0 11 % 12 , 13 compared 12 , 17 among 13 compared 14 with 14 with 16 % 15 5.0 16 % 17 among 23 years 18 those 23 years 19 aged 23 years 20 15 21 - 21 - 22 49 21 - 23 years of the approximately 21 million people in sub [-] saharan africa aged ≥ 15 years that were hiv+ , 14.3 % were ≥ 50 years old . 0 ###LEFT-WALL### 6 people 0 ###LEFT-WALL### 13 ≥ 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 27 . 1 of 5 million 1 of 6 people 2 the 5 million 3 approximately 5 million 4 21 5 million 6 people 7 in 6 people 12 aged 6 people 13 ≥ 7 in 11 africa 8 sub 11 africa 10 saharan 11 africa 13 ≥ 15 years 14 15 15 years 15 years 16 that 15 years 17 were 16 that 17 were 17 were 18 hiv+ 19 , 21 % 19 , 22 were 20 14.3 21 % 21 % 22 were 22 were 23 ≥ 23 ≥ 26 old 24 50 25 years 25 years 26 old conclusion : to better reflect the longer survival of people living with hiv and the ageing of the hiv+ population , indicators of the prevalence of hiv infection should be expanded to include people > 49 years of age . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 40 . 2 : 22 indicators 2 : 31 expanded 3 to 5 reflect 3 to 21 , 3 to 22 indicators 4 better 5 reflect 5 reflect 14 and 6 the 14 and 7 longer 8 survival 8 survival 9 of 8 survival 14 and 9 of 10 people 10 people 11 living 10 people 12 with 12 with 13 hiv 14 and 16 ageing 15 the 16 ageing 16 ageing 17 of 17 of 20 population 18 the 20 population 19 hiv+ 20 population 22 indicators 23 of 22 indicators 26 of 22 indicators 31 expanded 23 of 25 prevalence 24 the 25 prevalence 26 of 27 hiv 27 hiv 28 infection 27 hiv 30 be 28 infection 29 should 29 should 30 be 31 expanded 32 to 31 expanded 37 years 32 to 33 include 33 include 34 people 35 > 36 49 36 49 37 years 37 years 38 of 38 of 39 age little is known about comorbidity and sexual behaviour among hiv+ older adults or about the biological and cultural factors that increase the risk of transmission . 0 ###LEFT-WALL### 1 little 0 ###LEFT-WALL### 3 known 0 ###LEFT-WALL### 26 . 1 little 2 is 2 is 3 known 3 known 4 about 3 known 13 or 4 about 6 and 5 comorbidity 6 and 6 and 8 behaviour 7 sexual 8 behaviour 9 among 12 adults 9 among 13 or 10 hiv+ 12 adults 11 older 12 adults 13 or 14 about 14 about 19 factors 15 the 19 factors 16 biological 17 and 17 and 18 cultural 17 and 19 factors 19 factors 20 that 19 factors 21 increase 20 that 21 increase 21 increase 23 risk 22 the 23 risk 23 risk 24 of 24 of 25 transmission hiv services need to be better targeted to respond to the growing needs of older adults living with hiv . 0 ###LEFT-WALL### 1 hiv 0 ###LEFT-WALL### 2 services 0 ###LEFT-WALL### 20 . 1 hiv 2 services 2 services 3 need 2 services 4 to 2 services 8 to 4 to 5 be 5 be 6 better 5 be 7 targeted 8 to 9 respond 9 respond 10 to 10 to 13 needs 11 the 13 needs 12 growing 13 needs 13 needs 14 of 13 needs 17 living 14 of 16 adults 15 older 16 adults 17 living 18 with 18 with 19 hiv purpose of review : the renin [-] angiotensin system ( ras ) is critical for cardiovascular control , impacting normal physiology and disease pathogenesis . 0 ###LEFT-WALL### 3 review 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 25 . 1 purpose 2 of 2 of 3 review 4 : 9 system 4 : 13 is 5 the 9 system 6 renin 8 angiotensin 8 angiotensin 9 system 9 system 11 ras 9 system 13 is 10 ( 11 ras 11 ras 12 ) 13 is 14 critical 14 critical 15 for 15 for 22 and 16 cardiovascular 17 control 17 control 18 , 18 , 21 physiology 18 , 22 and 19 impacting 21 physiology 20 normal 21 physiology 22 and 24 pathogenesis 23 disease 24 pathogenesis although several biologically active peptides are generated by this system , its major actions are mediated by angiotensin ii acting through its type 1 ( at1 ) and type 2 ( at2 ) [receptors] . 0 ###LEFT-WALL### 14 actions 0 ###LEFT-WALL### 28 and 0 ###LEFT-WALL### 35 . 1 although 5 peptides 1 although 7 generated 1 although 11 , 1 although 14 actions 2 several 5 peptides 3 biologically 4 active 4 active 5 peptides 5 peptides 6 are 6 are 7 generated 7 generated 8 by 8 by 10 system 9 this 10 system 12 its 14 actions 13 major 14 actions 14 actions 15 are 15 are 28 and 16 mediated 17 by 16 mediated 21 through 16 mediated 24 1 16 mediated 28 and 17 by 18 angiotensin 18 angiotensin 19 ii 18 angiotensin 20 acting 21 through 23 type 22 its 23 type 24 1 26 at1 25 ( 26 at1 26 at1 27 ) 28 and 29 type 29 type 30 2 30 2 32 at2 31 ( 32 at2 32 at2 33 ) along with their effects to influence blood pressure and hemodynamics , recent studies have provided evidence that angiotensin receptors influence a range of processes independent from hemodynamic effects . 0 ###LEFT-WALL### 13 studies 0 ###LEFT-WALL### 15 provided 0 ###LEFT-WALL### 29 . 1 along 2 with 2 with 9 and 2 with 11 , 2 with 13 studies 3 their 4 effects 4 effects 5 to 4 effects 9 and 5 to 8 pressure 6 influence 7 blood 7 blood 8 pressure 9 and 10 hemodynamics 12 recent 13 studies 13 studies 14 have 14 have 15 provided 15 provided 16 evidence 16 evidence 17 that 16 evidence 20 influence 17 that 19 receptors 17 that 20 influence 18 angiotensin 19 receptors 19 receptors 20 influence 20 influence 22 range 21 a 22 range 22 range 23 of 23 of 24 processes 24 processes 25 independent 25 independent 26 from 26 from 28 effects 27 hemodynamic 28 effects recent findings : this review is focused on new molecular mechanisms underlying actions of at1 receptors to influence vasoconstriction , inflammation , immune responses , and longevity . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 18 influence 0 ###LEFT-WALL### 28 . 1 recent 2 findings 3 : 5 review 3 : 7 focused 4 this 5 review 5 review 6 is 6 is 7 focused 7 focused 8 on 7 focused 17 to 8 on 11 mechanisms 9 new 11 mechanisms 10 molecular 11 mechanisms 11 mechanisms 12 underlying 12 underlying 13 actions 13 actions 14 of 14 of 16 receptors 15 at1 16 receptors 17 to 18 influence 18 influence 26 and 19 vasoconstriction 20 , 20 , 21 inflammation 20 , 22 , 22 , 24 responses 22 , 26 and 23 immune 24 responses 25 , 26 and 26 and 27 longevity moreover , we also highlight new advances in understanding functions of the at2 receptor [in] end - organ damage , emphasizing the at2 receptor as a potential therapeutic target in cardiovascular diseases . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 5 highlight 0 ###LEFT-WALL### 33 . 1 moreover 2 , 1 moreover 3 we 3 we 5 highlight 4 also 5 highlight 5 highlight 7 advances 5 highlight 8 in 5 highlight 25 as 5 highlight 30 in 6 new 7 advances 8 in 10 functions 9 understanding 10 functions 10 functions 11 of 10 functions 21 emphasizing 11 of 16 end 12 the 16 end 13 at2 16 end 14 receptor 16 end 16 end 19 damage 17 - 19 damage 18 organ 19 damage 19 damage 20 , 21 emphasizing 24 receptor 22 the 24 receptor 23 at2 24 receptor 25 as 29 target 26 a 27 potential 26 a 29 target 27 potential 29 target 28 therapeutic 29 target 30 in 32 diseases 31 cardiovascular 32 diseases summary : here we review recent advances in understanding the role of angiotensin receptors in normal physiology and disease states , focusing on their properties that may contribute to blood pressure regulation , end - organ damage , autoimmune disease and longevity . 0 ###LEFT-WALL### 1 summary 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 states 0 ###LEFT-WALL### 35 - 0 ###LEFT-WALL### 43 . 1 summary 2 : 2 : 3 here 4 we 5 review 5 review 7 advances 5 review 8 in 6 recent 7 advances 8 in 9 understanding 9 understanding 11 role 9 understanding 20 states 10 the 11 role 11 role 12 of 11 role 20 states 12 of 18 and 13 angiotensin 14 receptors 14 receptors 15 in 14 receptors 18 and 15 in 17 physiology 16 normal 17 physiology 18 and 19 disease 20 states 22 focusing 21 , 22 focusing 22 focusing 23 on 22 focusing 35 - 23 on 25 properties 24 their 25 properties 25 properties 26 that 25 properties 33 , 26 that 33 , 27 may 28 contribute 27 may 33 , 28 contribute 29 to 29 to 32 regulation 30 blood 32 regulation 31 pressure 32 regulation 33 , 34 end 35 - 41 and 36 organ 37 damage 37 damage 38 , 38 , 40 disease 38 , 41 and 39 autoimmune 40 disease 41 and 42 longevity purpose of review : patients with tetralogy of fallot are subject to arrhythmic sequelae that substantially impact morbidity and mortality . 0 ###LEFT-WALL### 3 review 0 ###LEFT-WALL### 4 : 1 purpose 2 of 2 of 3 review 4 : 5 patients 4 : 11 subject 4 : 21 . 5 patients 6 with 5 patients 10 are 6 with 7 tetralogy 7 tetralogy 8 of 8 of 9 fallot 10 are 11 subject 11 subject 12 to 11 subject 16 substantially 11 subject 19 and 12 to 14 sequelae 13 arrhythmic 14 sequelae 15 that 16 substantially 17 impact 18 morbidity 18 morbidity 19 and 19 and 20 mortality this review focuses on recent advances in our understanding of the prevalence and types of arrhythmias encountered . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 focuses 0 ###LEFT-WALL### 18 . 1 this 2 review 2 review 3 focuses 3 focuses 4 on 3 focuses 7 in 4 on 6 advances 5 recent 6 advances 7 in 9 understanding 8 our 9 understanding 9 understanding 10 of 10 of 13 and 11 the 12 prevalence 12 prevalence 13 and 13 and 14 types 13 and 15 of 15 of 16 arrhythmias 16 arrhythmias 17 encountered diagnostic and prognostic tools are considered and therapeutic options discussed . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 11 . 1 diagnostic 2 and 2 and 3 prognostic 2 and 4 tools 2 and 6 considered 2 and 7 and 4 tools 5 are 5 are 6 considered 7 and 9 options 7 and 10 discussed 8 therapeutic 9 options recent findings : multicenter studies have characterized the arrhythmia burden , assessed the impact of implantable cardioverter - defibrillators , and generated a risk score for primary prevention . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 29 . 1 recent 2 findings 3 : 4 multicenter 3 : 11 , 4 multicenter 5 studies 4 multicenter 6 have 4 multicenter 11 , 5 studies 6 have 7 characterized 10 burden 7 characterized 11 , 8 the 10 burden 9 arrhythmia 10 burden 11 , 21 and 11 , 26 for 12 assessed 14 impact 12 assessed 21 and 13 the 14 impact 14 impact 15 of 14 impact 19 defibrillators 15 of 17 cardioverter 16 implantable 17 cardioverter 18 - 19 defibrillators 19 defibrillators 20 , 21 and 22 generated 22 generated 25 score 23 a 25 score 24 risk 25 score 26 for 28 prevention 27 primary 28 prevention left [ventricular] hemodynamics are increasingly recognized as important contributors to risk for sudden death . 0 ###LEFT-WALL### 3 hemodynamics 0 ###LEFT-WALL### 6 recognized 0 ###LEFT-WALL### 15 . 1 left 3 hemodynamics 3 hemodynamics 4 are 4 are 6 recognized 5 increasingly 6 recognized 6 recognized 7 as 6 recognized 10 to 6 recognized 12 for 7 as 9 contributors 8 important 9 contributors 10 to 11 risk 12 for 14 death 13 sudden 14 death arrhythmia circuits have been characterized , and the impact of pulmonary valve replacement on sudden death has been further questioned . 0 ###LEFT-WALL### 2 circuits 0 ###LEFT-WALL### 5 characterized 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 21 . 1 arrhythmia 2 circuits 2 circuits 3 have 3 have 4 been 4 been 5 characterized 6 , 7 and 7 and 9 impact 7 and 20 questioned 8 the 9 impact 9 impact 10 of 9 impact 17 has 10 of 13 replacement 11 pulmonary 12 valve 12 valve 13 replacement 13 replacement 14 on 14 on 16 death 15 sudden 16 death 17 has 18 been 18 been 19 further 18 been 20 questioned recent studies cast doubt on the value of right [ventricular] pacing alone for cardiac resynchronization and provide a rationale for biventricular pacing . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 23 . 1 recent 2 studies 2 studies 3 cast 2 studies 16 and 4 doubt 5 on 4 doubt 11 pacing 4 doubt 16 and 5 on 7 value 6 the 7 value 7 value 8 of 8 of 9 right 11 pacing 12 alone 11 pacing 13 for 13 for 15 resynchronization 14 cardiac 15 resynchronization 16 and 17 provide 17 provide 19 rationale 18 a 19 rationale 19 rationale 20 for 20 for 22 pacing 21 biventricular 22 pacing summary : supraventricular arrhythmias exceed [ventricular] arrhythmias in prevalence , as atrial fibrillation increases with the aging population . 0 ###LEFT-WALL### 1 summary 0 ###LEFT-WALL### 2 : 2 : 4 arrhythmias 2 : 5 exceed 2 : 10 , 2 : 19 . 3 supraventricular 4 arrhythmias 4 arrhythmias 5 exceed 5 exceed 7 arrhythmias 7 arrhythmias 8 in 8 in 9 prevalence 10 , 13 fibrillation 10 , 14 increases 11 as 12 atrial 12 atrial 13 fibrillation 13 fibrillation 14 increases 14 increases 15 with 15 with 18 population 16 the 18 population 17 aging 18 population sudden death is the leading cause of late mortality , although therapeutic advances may alter this profile . 0 ###LEFT-WALL### 2 death 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 18 . 1 sudden 2 death 2 death 3 is 3 is 6 cause 4 the 6 cause 5 leading 6 cause 6 cause 7 of 7 of 9 mortality 8 late 9 mortality 10 , 15 alter 11 although 13 advances 11 although 14 may 11 although 15 alter 12 therapeutic 13 advances 13 advances 14 may 15 alter 17 profile 16 this 17 profile combinations of factors should be considered in risk stratification schemes to select appropriate implantable cardioverter - defibrillator candidates . 0 ###LEFT-WALL### 1 combinations 0 ###LEFT-WALL### 6 considered 0 ###LEFT-WALL### 19 . 1 combinations 2 of 1 combinations 4 should 2 of 3 factors 4 should 5 be 5 be 6 considered 6 considered 7 in 6 considered 11 to 6 considered 12 select 7 in 10 schemes 8 risk 10 schemes 9 stratification 10 schemes 11 to 12 select 12 select 18 candidates 13 appropriate 17 defibrillator 14 implantable 17 defibrillator 15 cardioverter 16 - 15 cardioverter 17 defibrillator 17 defibrillator 18 candidates the role of concomitant intraoperative ablation during pulmonary valve replacement surgery remains to be defined . 0 ###LEFT-WALL### 2 role 0 ###LEFT-WALL### 12 remains 0 ###LEFT-WALL### 16 . 1 the 2 role 2 role 3 of 2 role 12 remains 3 of 6 ablation 4 concomitant 6 ablation 5 intraoperative 6 ablation 6 ablation 7 during 7 during 11 surgery 8 pulmonary 9 valve 9 valve 11 surgery 10 replacement 11 surgery 12 remains 13 to 13 to 14 be 14 be 15 defined cardiac resynchronization therapy , particularly biventricular [pacing] , offers promise , but requires careful study before widespread implementation . 0 ###LEFT-WALL### 3 therapy 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 19 . 1 cardiac 2 resynchronization 2 resynchronization 3 therapy 4 , 9 offers 4 , 12 but 5 particularly 6 biventricular 6 biventricular 8 , 6 biventricular 9 offers 9 offers 12 but 10 promise 12 but 11 , 12 but 12 but 13 requires 13 requires 15 study 13 requires 16 before 14 careful 15 study 16 before 18 implementation 17 widespread 18 implementation [none] the proliferative potential of eukaryotic cells is critically dependent upon the maintenance of functional telomeres , the protein - dna complexes that cap the ends of chromosomes . 0 ###LEFT-WALL### 4 potential 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 20 - 0 ###LEFT-WALL### 29 . 2 the 4 potential 3 proliferative 4 potential 4 potential 5 of 4 potential 8 is 5 of 7 cells 6 eukaryotic 7 cells 8 is 10 dependent 9 critically 10 dependent 10 dependent 11 upon 11 upon 13 maintenance 12 the 13 maintenance 13 maintenance 14 of 14 of 16 telomeres 15 functional 16 telomeres 16 telomeres 19 protein 17 , 19 protein 18 the 19 protein 19 protein 20 - 20 - 22 complexes 21 dna 22 complexes 22 complexes 23 that 22 complexes 24 cap 23 that 24 cap 24 cap 26 ends 25 the 26 ends 26 ends 27 of 27 of 28 chromosomes a paper published in this issue of aging describes [that] the telomere protein tankyrase 1 regulates dna damage responses at telomeres . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 9 describes 0 ###LEFT-WALL### 22 . 1 a 2 paper 2 paper 3 published 2 paper 7 of 2 paper 9 describes 3 published 4 in 4 in 6 issue 5 this 6 issue 7 of 8 aging 9 describes 13 protein 11 the 13 protein 12 telomere 13 protein 13 protein 14 tankyrase 13 protein 16 regulates 14 tankyrase 15 1 14 tankyrase 16 regulates 16 regulates 19 responses 16 regulates 20 at 17 dna 19 responses 18 damage 19 responses 20 at 21 telomeres histone deacetylase inhibitors ( hdaci ) comprise a family of chemotherapeutic agents used in the clinic to treat cutaneous [t] - cell lymphoma and tested for the therapy of other malignancies . 0 ###LEFT-WALL### 3 inhibitors 0 ###LEFT-WALL### 7 comprise 0 ###LEFT-WALL### 32 . 1 histone 2 deacetylase 2 deacetylase 3 inhibitors 3 inhibitors 5 hdaci 3 inhibitors 7 comprise 4 ( 5 hdaci 5 hdaci 6 ) 7 comprise 9 family 8 a 9 family 9 family 10 of 9 family 13 used 10 of 12 agents 11 chemotherapeutic 12 agents 13 used 14 in 13 used 17 to 13 used 24 and 14 in 16 clinic 15 the 16 clinic 17 to 24 and 18 treat 23 lymphoma 18 treat 24 and 19 cutaneous 21 - 19 cutaneous 22 cell 22 cell 23 lymphoma 24 and 25 tested 24 and 26 for 26 for 28 therapy 27 the 28 therapy 28 therapy 29 of 29 of 31 malignancies 30 other 31 malignancies previous reports have shown that eif2α phosphorylation is induced upon treatment with hdaci . 0 ###LEFT-WALL### 2 reports 0 ###LEFT-WALL### 4 shown 0 ###LEFT-WALL### 14 . 1 previous 2 reports 2 reports 3 have 3 have 4 shown 4 shown 5 that 5 that 7 phosphorylation 5 that 9 induced 6 eif2α 7 phosphorylation 7 phosphorylation 8 is 8 is 9 induced 9 induced 10 upon 9 induced 12 with 10 upon 11 treatment 12 with 13 hdaci however the kinase responsible for this phosphorylation or the biological significance of this finding is not yet established . 0 ###LEFT-WALL### 3 kinase 0 ###LEFT-WALL### 18 established 0 ###LEFT-WALL### 19 . 1 however 3 kinase 2 the 3 kinase 3 kinase 4 responsible 3 kinase 15 is 4 responsible 5 for 5 for 8 or 6 this 7 phosphorylation 7 phosphorylation 8 or 8 or 11 significance 8 or 12 of 9 the 11 significance 10 biological 11 significance 12 of 14 finding 13 this 14 finding 15 is 16 not 15 is 17 yet 15 is 18 established herein , we show that eif2α phosphorylation is not attributed to a specific eif2α kinase , but rather different eif2α kinases contribute to its upregulation in response to the hdaci , vorinostat . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 show 0 ###LEFT-WALL### 31 , 0 ###LEFT-WALL### 33 . 1 herein 2 , 1 herein 3 we 3 we 4 show 4 show 5 that 5 that 7 phosphorylation 5 that 8 is 6 eif2α 7 phosphorylation 7 phosphorylation 8 is 8 is 9 not 8 is 11 to 8 is 28 to 9 not 10 attributed 11 to 20 eif2α 12 a 13 specific 12 a 15 kinase 13 specific 14 eif2α 14 eif2α 15 kinase 15 kinase 17 but 16 , 17 but 17 but 18 rather 17 but 19 different 17 but 20 eif2α 20 eif2α 21 kinases 20 eif2α 22 contribute 21 kinases 22 contribute 22 contribute 23 to 23 to 25 upregulation 24 its 25 upregulation 26 in 27 response 27 response 28 to 28 to 30 hdaci 29 the 30 hdaci 31 , 32 vorinostat more importantly our data indicate that eif2α phosphorylation acts in a cytoprotective manner , whereas the eif2α kinases pkr and gcn2 promote vorinostat - induced apoptosis . 0 ###LEFT-WALL### 4 data 0 ###LEFT-WALL### 5 indicate 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 27 . 1 more 2 importantly 2 importantly 4 data 3 our 4 data 4 data 5 indicate 5 indicate 9 acts 5 indicate 10 in 6 that 7 eif2α 7 eif2α 9 acts 8 phosphorylation 9 acts 10 in 13 manner 11 a 13 manner 12 cytoprotective 13 manner 14 , 20 and 14 , 22 promote 15 whereas 18 kinases 15 whereas 20 and 16 the 18 kinases 17 eif2α 18 kinases 19 pkr 20 and 20 and 21 gcn2 20 and 22 promote 22 promote 26 apoptosis 23 vorinostat 24 - 23 vorinostat 26 apoptosis 25 induced 26 apoptosis these results reveal a dual nature for eif2α kinases with potential implications in the treatment with histone deacetylase inhibitors . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 reveal 0 ###LEFT-WALL### 20 . 1 these 2 results 2 results 3 reveal 3 reveal 6 nature 3 reveal 13 in 3 reveal 16 with 4 a 5 dual 4 a 6 nature 5 dual 6 nature 6 nature 7 for 6 nature 10 with 7 for 9 kinases 8 eif2α 9 kinases 10 with 12 implications 11 potential 12 implications 13 in 15 treatment 14 the 15 treatment 16 with 19 inhibitors 17 histone 19 inhibitors 18 deacetylase 19 inhibitors objectives : the purpose of this study is to examine the relationship between religiously based beliefs about suffering and health among older mexicans . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 4 purpose 2 : 8 is 3 the 4 purpose 4 purpose 5 of 4 purpose 8 is 5 of 7 study 6 this 7 study 8 is 9 to 8 is 13 between 8 is 17 about 8 is 21 among 9 to 10 examine 10 examine 12 relationship 11 the 12 relationship 13 between 16 beliefs 14 religiously 15 based 15 based 16 beliefs 17 about 19 and 18 suffering 19 and 19 and 20 health 21 among 23 mexicans 22 older 23 mexicans methods : a nationwide survey of older mexican americans [was] conducted ( n=1,005 ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 . 1 methods 2 : 2 : 5 survey 3 a 4 nationwide 3 a 5 survey 4 nationwide 5 survey 5 survey 6 of 6 of 9 americans 7 older 8 mexican 8 mexican 9 americans 9 americans 11 conducted 9 americans 13 n=1,005 12 ( 13 n=1,005 13 n=1,005 14 ) questions were administered to assess beliefs about finding positive outcomes in suffering , the benefits of suffering in silence , other dimensions of religion , and health . 0 ###LEFT-WALL### 1 questions 0 ###LEFT-WALL### 5 assess 0 ###LEFT-WALL### 28 . 1 questions 2 were 2 were 3 administered 3 administered 4 to 4 to 5 assess 5 assess 6 beliefs 5 assess 7 about 7 about 8 finding 8 finding 10 outcomes 8 finding 22 dimensions 8 finding 26 and 9 positive 10 outcomes 10 outcomes 11 in 11 in 12 suffering 12 suffering 15 benefits 13 , 15 benefits 14 the 15 benefits 15 benefits 16 of 15 benefits 20 , 16 of 17 suffering 17 suffering 18 in 18 in 19 silence 21 other 22 dimensions 22 dimensions 23 of 23 of 24 religion 25 , 26 and 26 and 27 health results : the findings suggest that older mexican americans who use their faith to find something positive in the face of suffering tend to rate their health more favorably . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 4 findings 2 : 5 suggest 3 the 4 findings 4 findings 5 suggest 5 suggest 6 that 6 that 9 americans 6 that 23 tend 7 older 8 mexican 8 mexican 9 americans 9 americans 10 who 9 americans 11 use 9 americans 23 tend 10 who 11 use 11 use 13 faith 11 use 14 to 11 use 15 find 12 their 13 faith 14 to 15 find 15 find 16 something 15 find 17 positive 17 positive 18 in 18 in 20 face 19 the 20 face 20 face 21 of 21 of 22 suffering 23 tend 24 to 23 tend 25 rate 24 to 25 rate 25 rate 27 health 25 rate 29 favorably 26 their 27 health 28 more 29 favorably in contrast , older mexican americans who believe that it is important to suffer in silence tend to rate their health less favorably . 0 ###LEFT-WALL### 6 americans 0 ###LEFT-WALL### 17 tend 0 ###LEFT-WALL### 24 . 1 in 2 contrast 1 in 3 , 1 in 6 americans 4 older 6 americans 5 mexican 6 americans 6 americans 7 who 6 americans 8 believe 6 americans 17 tend 7 who 8 believe 8 believe 9 that 9 that 10 it 9 that 11 is 10 it 11 is 11 is 12 important 12 important 13 to 12 important 14 suffer 13 to 14 suffer 14 suffer 15 in 15 in 16 silence 17 tend 18 to 17 tend 19 rate 18 to 19 rate 19 rate 21 health 19 rate 23 favorably 20 their 21 health 22 less 23 favorably discussion : moving beyond measures of church attendance to explore culturally relevant beliefs about suffering provides important insight into the relationship between religion and health among older mexican americans . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 3 moving 2 : 16 provides 3 moving 4 beyond 3 moving 14 about 3 moving 16 provides 4 beyond 5 measures 5 measures 6 of 6 of 8 attendance 7 church 8 attendance 8 attendance 9 to 8 attendance 10 explore 9 to 10 explore 10 explore 13 beliefs 11 culturally 12 relevant 12 relevant 13 beliefs 14 about 15 suffering 16 provides 18 insight 16 provides 19 into 16 provides 22 between 17 important 18 insight 19 into 21 relationship 20 the 21 relationship 22 between 24 and 23 religion 24 and 24 and 25 health 24 and 26 among 26 among 29 americans 27 older 28 mexican 28 mexican 29 americans [none] compared to men , women live longer but experience greater morbidity as [they] age . 0 ###LEFT-WALL### 6 women 0 ###LEFT-WALL### 9 but 0 ###LEFT-WALL### 16 . 2 compared 6 women 3 to 4 men 3 to 5 , 3 to 6 women 6 women 9 but 7 live 8 longer 7 live 9 but 9 but 10 experience 10 experience 12 morbidity 10 experience 13 as 11 greater 12 morbidity 13 as 15 age however , little is known about the rapidly growing population of women aging with disability . 0 ###LEFT-WALL### 3 little 0 ###LEFT-WALL### 5 known 0 ###LEFT-WALL### 16 . 1 however 2 , 1 however 3 little 3 little 4 is 4 is 5 known 5 known 6 about 6 about 10 population 7 the 10 population 8 rapidly 9 growing 9 growing 10 population 10 population 11 of 11 of 12 women 12 women 13 aging 13 aging 14 with 14 with 15 disability women aging with disabilities may encounter barriers that increase risk of morbidity , including lack of access to medical care or inadequate assistance , equipment , or services . 0 ###LEFT-WALL### 1 women 0 ###LEFT-WALL### 27 or 0 ###LEFT-WALL### 29 . 1 women 2 aging 1 women 3 with 1 women 27 or 3 with 4 disabilities 5 may 6 encounter 5 may 27 or 6 encounter 7 barriers 7 barriers 8 that 7 barriers 9 increase 7 barriers 14 including 8 that 9 increase 9 increase 10 risk 10 risk 11 of 11 of 12 morbidity 13 , 14 including 14 including 15 lack 14 including 18 to 14 including 26 , 15 lack 16 of 16 of 17 access 18 to 21 or 19 medical 20 care 20 care 21 or 21 or 23 assistance 21 or 25 equipment 22 inadequate 23 assistance 24 , 25 equipment 25 equipment 26 , 26 , 27 or 27 or 28 services to evaluate risks of morbidity in this group , we conducted a systematic review focused on two important and prevalent conditions : cardiovascular disease ( cvd [ )(and osteoporosis . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 evaluate 0 ###LEFT-WALL### 9 , 1 to 2 evaluate 2 evaluate 3 risks 3 risks 4 of 3 risks 6 in 4 of 5 morbidity 6 in 8 group 7 this 8 group 9 , 10 we 9 , 11 conducted 9 , 22 : 10 we 11 conducted 11 conducted 14 review 11 conducted 16 on 12 a 13 systematic 12 a 14 review 13 systematic 14 review 14 review 15 focused 16 on 21 conditions 17 two 21 conditions 18 important 19 and 19 and 20 prevalent 19 and 21 conditions 22 : 24 disease 23 cardiovascular 24 disease 24 disease 28 )(and 25 ( 28 )(and 26 cvd 28 )(and 28 )(and 29 osteoporosis 28 )(and 30 . medline was searched for reports published between january 1 , 1990 and [august] 6 , 2010 and additional studies were identified through searches of bibliographies . 0 ###LEFT-WALL### 1 medline 0 ###LEFT-WALL### 3 searched 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 26 . 1 medline 2 was 2 was 3 searched 3 searched 4 for 4 for 5 reports 5 reports 6 published 5 reports 7 between 5 reports 12 and 7 between 8 january 8 january 9 1 10 , 12 and 11 1990 12 and 12 and 14 6 12 and 15 , 15 , 16 2010 15 , 17 and 17 and 19 studies 17 and 21 identified 18 additional 19 studies 19 studies 20 were 20 were 21 identified 21 identified 22 through 22 through 23 searches 23 searches 24 of 24 of 25 bibliographies articles meeting inclusion criteria were then critically appraised to exclude poor quality studies . 0 ###LEFT-WALL### 1 articles 0 ###LEFT-WALL### 8 appraised 0 ###LEFT-WALL### 14 . 1 articles 2 meeting 1 articles 5 were 2 meeting 4 criteria 3 inclusion 4 criteria 5 were 6 then 5 were 8 appraised 7 critically 8 appraised 8 appraised 9 to 9 to 10 exclude 10 exclude 13 studies 11 poor 12 quality 12 quality 13 studies in seven articles that evaluated cvd outcomes , we found limited evidence to support an increased risk of prevalence of cvd or risk factors for cvd in women aging with physical disabilities compared to [non] - disabled control populations . 0 ###LEFT-WALL### 4 that 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 22 or 1 in 3 articles 1 in 4 that 2 seven 3 articles 4 that 5 evaluated 5 evaluated 7 outcomes 6 cvd 7 outcomes 8 , 9 we 8 , 10 found 9 we 10 found 10 found 12 evidence 10 found 13 to 11 limited 12 evidence 13 to 22 or 14 support 17 risk 14 support 22 or 15 an 17 risk 16 increased 17 risk 17 risk 18 of 17 risk 20 of 18 of 19 prevalence 20 of 21 cvd 22 or 23 risk 23 risk 24 factors 24 factors 25 for 24 factors 39 populations 25 for 26 cvd 26 cvd 27 in 26 cvd 29 aging 26 cvd 34 to 27 in 28 women 29 aging 30 with 29 aging 33 compared 30 with 32 disabilities 31 physical 32 disabilities 33 compared 34 to 36 - 39 populations 37 disabled 38 control 38 control 39 populations 39 populations 40 . the literature is limited by small sample sizes that reduced statistical power to detect true differences . 0 ###LEFT-WALL### 2 literature 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 17 . 1 the 2 literature 2 literature 3 is 3 is 4 limited 4 limited 5 by 4 limited 13 to 4 limited 14 detect 5 by 8 sizes 6 small 7 sample 7 sample 8 sizes 8 sizes 9 that 8 sizes 10 reduced 9 that 10 reduced 10 reduced 12 power 11 statistical 12 power 13 to 14 detect 14 detect 16 differences 15 true 16 differences no articles meeting inclusion criteria were identified to evaluate osteoporosis risk in this group . 0 ###LEFT-WALL### 2 articles 0 ###LEFT-WALL### 7 identified 0 ###LEFT-WALL### 15 . 1 no 2 articles 2 articles 3 meeting 2 articles 6 were 3 meeting 5 criteria 4 inclusion 5 criteria 6 were 7 identified 7 identified 8 to 8 to 9 evaluate 9 evaluate 11 risk 9 evaluate 12 in 10 osteoporosis 11 risk 12 in 14 group 13 this 14 group this review is limited by the narrow focus on physical disabilities and two health outcomes . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 16 . 1 this 2 review 2 review 3 is 3 is 4 limited 4 limited 5 by 4 limited 9 on 5 by 8 focus 6 the 8 focus 7 narrow 8 focus 9 on 12 and 10 physical 11 disabilities 11 disabilities 12 and 12 and 15 outcomes 13 two 15 outcomes 14 health 15 outcomes additional high quality empirical research is necessary to understand the risks to health of women aging with disabilities . 0 ###LEFT-WALL### 5 research 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 19 . 1 additional 3 quality 2 high 3 quality 3 quality 5 research 4 empirical 5 research 5 research 6 is 6 is 7 necessary 7 necessary 8 to 7 necessary 9 understand 8 to 9 understand 9 understand 11 risks 9 understand 12 to 10 the 11 risks 12 to 13 health 13 health 14 of 13 health 16 aging 14 of 15 women 16 aging 17 with 17 with 18 disabilities striatal degeneration may contribute to cognitive impairment in older people . 0 ###LEFT-WALL### 2 degeneration 0 ###LEFT-WALL### 4 contribute 0 ###LEFT-WALL### 11 . 1 striatal 2 degeneration 2 degeneration 3 may 3 may 4 contribute 4 contribute 5 to 4 contribute 8 in 5 to 7 impairment 6 cognitive 7 impairment 8 in 10 people 9 older 10 people here , we examine the relation of degeneration of the striatum and substructures to cognitive decline [and] dementia in subjects with a wide range [of] cognitive function . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 28 . 1 here 2 , 1 here 3 we 3 we 12 and 4 examine 6 relation 4 examine 12 and 5 the 6 relation 6 relation 7 of 6 relation 9 of 7 of 8 degeneration 9 of 11 striatum 10 the 11 striatum 12 and 13 substructures 13 substructures 14 to 13 substructures 19 in 13 substructures 21 with 14 to 18 dementia 15 cognitive 16 decline 16 decline 18 dementia 19 in 20 subjects 21 with 27 function 22 a 23 wide 22 a 27 function 23 wide 24 range 24 range 27 function 26 cognitive 27 function data are from the prospective community - based honolulu asia aging study of japanese american men born 1900 - 1919 . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 21 . 1 data 2 are 2 are 3 from 3 from 6 community 4 the 6 community 5 prospective 6 community 7 - 12 study 8 based 12 study 9 honolulu 10 asia 10 asia 11 aging 11 aging 12 study 12 study 13 of 13 of 16 men 14 japanese 16 men 15 american 16 men 16 men 17 born 17 born 19 - 18 1900 19 - 19 - 20 1919 volumes of the striatum , including the accumbens , putamen , and caudate nucleus were automatically estimated from t1 mr images . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 17 estimated 0 ###LEFT-WALL### 22 . 1 volumes 2 of 1 volumes 12 and 2 of 4 striatum 3 the 4 striatum 4 striatum 6 including 4 striatum 10 putamen 5 , 6 including 6 including 8 accumbens 6 including 9 , 7 the 8 accumbens 9 , 10 putamen 10 putamen 11 , 12 and 14 nucleus 12 and 15 were 13 caudate 14 nucleus 15 were 17 estimated 16 automatically 17 estimated 17 estimated 18 from 18 from 21 images 19 t1 20 mr 20 mr 21 images global [cognitive] [function] was measured with the cognitive ability screening instrument ( casi ) , at four examinations spanning an 8 [-] year interval . 0 ###LEFT-WALL### 1 global 0 ###LEFT-WALL### 4 was 1 global 4 was 4 was 5 measured 5 measured 6 with 6 with 11 instrument 7 the 11 instrument 8 cognitive 9 ability 9 ability 11 instrument 10 screening 11 instrument 11 instrument 13 casi 11 instrument 16 at 12 ( 13 casi 13 casi 14 ) 15 , 16 at 16 at 18 examinations 16 at 25 . 17 four 18 examinations 18 examinations 19 spanning 19 spanning 24 interval 20 an 24 interval 21 8 23 year 23 year 24 interval trajectories of cognitive decline were [estimated] for each quartile of striatal volume using mixed models , controlling for demographic variables , measures of cerebro - vascular damage , global brain atrophy , and hippocampal volume . 0 ###LEFT-WALL### 1 trajectories 0 ###LEFT-WALL### 5 were 1 trajectories 2 of 1 trajectories 5 were 2 of 4 decline 3 cognitive 4 decline 5 were 7 for 7 for 9 quartile 8 each 9 quartile 9 quartile 10 of 9 quartile 13 using 10 of 12 volume 11 striatal 12 volume 13 using 15 models 13 using 17 controlling 14 mixed 15 models 16 , 17 controlling 17 controlling 18 for 17 controlling 20 variables 17 controlling 25 - 18 for 19 demographic 21 , 25 - 22 measures 23 of 22 measures 25 - 23 of 24 cerebro 25 - 33 and 25 - 36 . 26 vascular 27 damage 27 damage 28 , 28 , 31 atrophy 28 , 33 and 29 global 30 brain 30 brain 31 atrophy 32 , 33 and 33 and 35 volume 34 hippocampal 35 volume diagnosis of dementia before , [during] [,] and after brain scanning was associated with smaller volumes of [n] [.] accumbens and putamen , but not with caudate nucleus volume . 0 ###LEFT-WALL### 1 diagnosis 0 ###LEFT-WALL### 13 associated 0 ###LEFT-WALL### 30 . 1 diagnosis 2 of 1 diagnosis 12 was 2 of 3 dementia 3 dementia 8 and 4 before 8 and 5 , 8 and 8 and 9 after 9 after 10 brain 10 brain 11 scanning 12 was 13 associated 13 associated 24 but 14 with 16 volumes 14 with 24 but 15 smaller 16 volumes 16 volumes 17 of 17 of 21 and 20 accumbens 21 and 21 and 22 putamen 21 and 23 , 24 but 25 not 24 but 26 with 26 with 29 volume 27 caudate 28 nucleus 28 nucleus 29 volume subjects in the lowest quartile [of] [n] . accumbens volume , both in the total sample and [in] the subjects not diagnosed with dementia during the study , had a [significantly] ( p < 0.0001 ) steeper decline in cognitive performance compared with those in the highest quartile [.] 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 8 . 1 subjects 2 in 1 subjects 5 quartile 2 in 4 lowest 3 the 4 lowest 8 . 10 volume 8 . 11 , 9 accumbens 10 volume 11 , 17 and 12 both 13 in 12 both 17 and 13 in 16 sample 14 the 16 sample 15 total 16 sample 17 and 20 subjects 17 and 28 , 17 and 29 had 19 the 20 subjects 20 subjects 21 not 20 subjects 25 during 21 not 22 diagnosed 22 diagnosed 23 with 23 with 24 dementia 25 during 27 study 26 the 27 study 29 had 34 < 29 had 38 decline 30 a 34 < 32 ( 34 < 33 p 34 < 34 < 35 0.0001 34 < 36 ) 37 steeper 38 decline 38 decline 39 in 38 decline 42 compared 39 in 41 performance 40 cognitive 41 performance 42 compared 43 with 42 compared 48 quartile 43 with 44 those 44 those 45 in 45 in 47 highest 46 the 47 highest in conclusion , volumes of the [n] [.] accumbens and putamen are closely associated with the occurrence of dementia and [n] ..y accumbens volume predicts [cognitive] decline in older people . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 14 associated 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 31 . 1 in 2 conclusion 2 conclusion 3 , 3 , 4 volumes 3 , 10 and 4 volumes 5 of 5 of 9 accumbens 6 the 9 accumbens 10 and 11 putamen 10 and 12 are 12 are 13 closely 12 are 14 associated 14 associated 15 with 15 with 17 occurrence 16 the 17 occurrence 17 occurrence 18 of 18 of 19 dementia 20 and 22 ..y 20 and 27 decline 22 ..y 23 accumbens 23 accumbens 24 volume 23 accumbens 25 predicts 23 accumbens 27 decline 24 volume 25 predicts 27 decline 28 in 28 in 30 people 29 older 30 people these associations were found independent of the magnitude of other pivotal markers of cognitive [decline] , i.e [.] cerebro - vascular damage and hippocampal volume . 0 ###LEFT-WALL### 2 associations 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 26 . 1 these 2 associations 2 associations 3 were 3 were 4 found 4 found 23 and 5 independent 6 of 5 independent 23 and 6 of 8 magnitude 7 the 8 magnitude 8 magnitude 9 of 9 of 12 markers 10 other 12 markers 11 pivotal 12 markers 12 markers 13 of 13 of 22 damage 14 cognitive 16 , 14 cognitive 22 damage 17 i.e 22 damage 19 cerebro 20 - 19 cerebro 22 damage 21 vascular 22 damage 23 and 25 volume 24 hippocampal 25 volume the present study suggests a role for the ventral striatum in the development of clinical dementia . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 suggests 0 ###LEFT-WALL### 17 . 1 the 3 study 2 present 3 study 3 study 4 suggests 4 suggests 6 role 4 suggests 11 in 5 a 6 role 6 role 7 for 7 for 10 striatum 8 the 10 striatum 9 ventral 10 striatum 11 in 13 development 12 the 13 development 13 development 14 of 14 of 16 dementia 15 clinical 16 dementia background : in terms of prognosis [,] large cell neuroendocrine carcinoma ( lcnec ) differs distinctively from other [non] [-] small cell lung cancers , with the prognosis of lcnec being poor , even for early - stage disease . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 11 carcinoma 2 : 15 differs 3 in 4 terms 3 in 11 carcinoma 4 terms 5 of 5 of 10 neuroendocrine 6 prognosis 10 neuroendocrine 8 large 9 cell 9 cell 10 neuroendocrine 11 carcinoma 13 lcnec 11 carcinoma 15 differs 12 ( 13 lcnec 13 lcnec 14 ) 15 differs 16 distinctively 15 differs 17 from 15 differs 26 with 17 from 24 cancers 18 other 24 cancers 21 small 22 cell 22 cell 24 cancers 23 lung 24 cancers 25 , 26 with 26 with 28 prognosis 26 with 40 . 27 the 28 prognosis 28 prognosis 29 of 29 of 30 lcnec 30 lcnec 31 being 31 being 32 poor 32 poor 35 for 33 , 34 even 33 , 35 for 35 for 39 disease 35 for 40 . 36 early 37 - 36 early 39 disease 38 stage 39 disease improvements in survival require a biomarker capable of defining a subset of patients destined to do poorly so that these patients can be targeted for additional therapies , including chemotherapy . 0 ###LEFT-WALL### 16 do 1 improvements 2 in 1 improvements 4 require 2 in 3 survival 4 require 6 biomarker 5 a 6 biomarker 6 biomarker 7 capable 7 capable 8 of 8 of 9 defining 9 defining 11 subset 10 a 11 subset 11 subset 12 of 11 subset 14 destined 12 of 13 patients 14 destined 15 to 15 to 16 do 16 do 17 poorly 16 do 19 that 18 so 19 that 19 that 21 patients 19 that 24 targeted 20 these 21 patients 21 patients 22 can 22 can 23 be 23 be 24 targeted 24 targeted 25 for 24 targeted 29 including 25 for 27 therapies 26 additional 27 therapies 28 , 29 including 29 including 30 chemotherapy 29 including 31 . in this study , we focused on the klotho gene , which is an anti - aging gene known to be a potential tumor suppressor . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 focused 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 26 . 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 focused 6 focused 7 on 7 on 10 gene 8 the 10 gene 9 klotho 10 gene 11 , 12 which 11 , 13 is 12 which 13 is 13 is 18 gene 14 an 18 gene 15 anti 16 - 15 anti 18 gene 17 aging 18 gene 18 gene 19 known 19 known 20 to 19 known 21 be 20 to 21 be 21 be 25 suppressor 22 a 25 suppressor 23 potential 24 tumor 24 tumor 25 suppressor we investigated whether the immunohistochemical expression of klotho can predict survival patients with resected lcnec . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 investigated 0 ###LEFT-WALL### 16 . 1 we 2 investigated 2 investigated 3 whether 3 whether 6 expression 3 whether 10 predict 4 the 6 expression 5 immunohistochemical 6 expression 6 expression 7 of 6 expression 9 can 7 of 8 klotho 9 can 10 predict 10 predict 12 patients 10 predict 13 with 11 survival 12 patients 13 with 15 lcnec 14 resected 15 lcnec methods : the histological characteristics of patients receiving an initial diagnosis of lcnec ( n=30 ) at tokyo medical university hospital were retrospectively reviewed , and multiple variables including stage , lymphangioinvasion , lymph node status and the expression of klotho as identified using an immunohistochemical analysis , were assessed . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 , 0 ###LEFT-WALL### 51 . 1 methods 2 : 2 : 5 characteristics 3 the 5 characteristics 4 histological 5 characteristics 5 characteristics 6 of 5 characteristics 8 receiving 5 characteristics 12 of 6 of 7 patients 8 receiving 11 diagnosis 9 an 11 diagnosis 10 initial 11 diagnosis 12 of 26 and 13 lcnec 15 n=30 13 lcnec 17 at 13 lcnec 24 reviewed 13 lcnec 26 and 14 ( 15 n=30 15 n=30 16 ) 17 at 20 university 18 tokyo 19 medical 19 medical 20 university 20 university 21 hospital 20 university 22 were 21 hospital 22 were 22 were 23 retrospectively 25 , 26 and 26 and 30 stage 26 and 31 , 27 multiple 28 variables 28 variables 30 stage 29 including 30 stage 31 , 32 lymphangioinvasion 31 , 33 , 33 , 37 and 33 , 50 assessed 34 lymph 36 status 35 node 36 status 36 status 37 and 37 and 39 expression 37 and 48 , 37 and 49 were 38 the 39 expression 39 expression 40 of 39 expression 44 using 40 of 41 klotho 41 klotho 43 identified 42 as 43 identified 44 using 47 analysis 45 an 46 immunohistochemical 45 an 47 analysis 46 immunohistochemical 47 analysis 49 were 50 assessed results : immunostaining for klotho was mostly cytoplasmic , and klotho expression was seen in 10 patients ( 33.3 % ) but not in 20 patients ( 66.7 % ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 immunostaining 2 : 6 was 2 : 10 and 2 : 31 . 3 immunostaining 4 for 3 immunostaining 6 was 4 for 5 klotho 6 was 8 cytoplasmic 7 mostly 8 cytoplasmic 9 , 10 and 10 and 12 expression 10 and 14 seen 11 klotho 12 expression 12 expression 13 was 13 was 14 seen 14 seen 22 but 15 in 17 patients 15 in 22 but 16 10 17 patients 17 patients 20 % 18 ( 20 % 19 33.3 20 % 20 % 21 ) 22 but 23 not 22 but 24 in 24 in 26 patients 25 20 26 patients 26 patients 29 % 27 ( 29 % 28 66.7 29 % 29 % 30 ) the expression of klotho was significantly associated with a good outcome of resected patients with lcnec and klotho [(] [-] [ )(was associated with increased lcnec risk by multivariate analysis ( hazard ratio 4.92 , 95 % confidence interval 1.04 - 23.24 , p=0.044 ) . 0 ###LEFT-WALL### 2 expression 0 ###LEFT-WALL### 7 associated 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 46 . 1 the 2 expression 2 expression 3 of 2 expression 5 was 3 of 4 klotho 5 was 6 significantly 5 was 7 associated 7 associated 8 with 8 with 11 outcome 8 with 15 with 9 a 10 good 9 a 11 outcome 10 good 11 outcome 11 outcome 12 of 12 of 14 patients 13 resected 14 patients 15 with 16 lcnec 17 and 18 klotho 17 and 23 associated 18 klotho 22 )(was 22 )(was 23 associated 23 associated 24 with 24 with 27 risk 24 with 28 by 25 increased 27 risk 26 lcnec 27 risk 28 by 30 analysis 29 multivariate 30 analysis 30 analysis 33 ratio 30 analysis 39 interval 30 analysis 44 p=0.044 31 ( 33 ratio 32 hazard 33 ratio 33 ratio 34 4.92 33 ratio 35 , 35 , 39 interval 36 95 39 interval 37 % 38 confidence 38 confidence 39 interval 39 interval 41 - 39 interval 43 , 40 1.04 41 - 41 - 42 23.24 43 , 44 p=0.044 44 p=0.044 45 ) neither lymph node status nor lymphangioinvasion were significantly associated with a poor survival . 0 ###LEFT-WALL### 5 nor 0 ###LEFT-WALL### 9 associated 0 ###LEFT-WALL### 14 . 1 neither 5 nor 2 lymph 4 status 3 node 4 status 4 status 5 nor 5 nor 6 lymphangioinvasion 5 nor 7 were 7 were 9 associated 8 significantly 9 associated 9 associated 10 with 10 with 13 survival 11 a 12 poor 11 a 13 survival 12 poor 13 survival however , among patients without lymph node metastasis or angioinvasion , the survival benefit of klotho expression in the primary tumor was significantly higher , compared with that of patients without klotho expression . 0 ###LEFT-WALL### 14 benefit 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 34 . 1 however 2 , 1 however 14 benefit 2 , 3 among 3 among 9 or 3 among 11 , 3 among 14 benefit 4 patients 5 without 4 patients 9 or 5 without 8 metastasis 6 lymph 7 node 7 node 8 metastasis 9 or 10 angioinvasion 12 the 14 benefit 13 survival 14 benefit 14 benefit 15 of 14 benefit 25 , 15 of 17 expression 16 klotho 17 expression 17 expression 18 in 18 in 21 tumor 19 the 21 tumor 20 primary 21 tumor 22 was 23 significantly 22 was 24 higher 22 was 25 , 25 , 26 compared 25 , 27 with 25 , 31 without 25 , 33 expression 27 with 28 that 28 that 29 of 29 of 30 patients 31 without 32 klotho conclusion : klotho staining provides a new biomarker for a good outcome in patients with lcnec , especially among patients without lymph node metastasis or lymphangioinvasion . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 klotho 2 : 5 provides 3 klotho 4 staining 3 klotho 5 provides 5 provides 8 biomarker 6 a 7 new 6 a 8 biomarker 7 new 8 biomarker 8 biomarker 9 for 8 biomarker 13 in 8 biomarker 15 with 9 for 12 outcome 10 a 11 good 10 a 12 outcome 11 good 12 outcome 13 in 14 patients 15 with 16 lcnec 16 lcnec 19 among 17 , 18 especially 17 , 19 among 19 among 25 or 19 among 27 . 20 patients 21 without 20 patients 25 or 21 without 24 metastasis 22 lymph 24 metastasis 23 node 24 metastasis 25 or 26 lymphangioinvasion reduced executive function and physical performance are common age [-] related conditions . 0 ###LEFT-WALL### 3 function 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 13 . 1 reduced 3 function 2 executive 3 function 4 and 6 performance 4 and 7 are 5 physical 6 performance 6 performance 7 are 7 are 12 conditions 8 common 9 age 9 age 11 related 11 related 12 conditions this study evaluated the associations between executive [function] and physical performance in a representative sample of older adults . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 evaluated 0 ###LEFT-WALL### 19 . 1 this 2 study 2 study 3 evaluated 3 evaluated 5 associations 3 evaluated 6 between 3 evaluated 12 in 4 the 5 associations 6 between 11 performance 7 executive 9 and 9 and 10 physical 9 and 11 performance 12 in 15 sample 13 a 14 representative 13 a 15 sample 14 representative 15 sample 15 sample 16 of 16 of 18 adults 17 older 18 adults cross - sectional data [were] analyzed from a population - based sample [of] 629 men and women aged 65 or older and living in one typical city in korea . 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 30 . 1 cross 4 data 1 cross 11 based 1 cross 22 and 2 - 4 data 3 sectional 4 data 4 data 6 analyzed 4 data 10 - 6 analyzed 7 from 7 from 9 population 8 a 9 population 11 based 20 or 12 sample 15 men 14 629 15 men 15 men 16 and 16 and 17 women 16 and 20 or 17 women 18 aged 18 aged 19 65 20 or 21 older 22 and 23 living 22 and 24 in 24 in 27 city 25 one 27 city 26 typical 27 city 27 city 28 in 28 in 29 korea specific aspects of executive [function] were assessed using the trail making test , digit span test , and lexical fluency test to measure set shifting , working memory and cognitive flexibility functions . 0 ###LEFT-WALL### 1 specific 0 ###LEFT-WALL### 23 measure 0 ###LEFT-WALL### 26 , 0 ###LEFT-WALL### 33 . 1 specific 6 were 1 specific 8 using 2 aspects 3 of 2 aspects 6 were 3 of 4 executive 6 were 7 assessed 8 using 18 and 8 using 22 to 9 the 12 test 10 trail 12 test 11 making 12 test 12 test 13 , 13 , 16 test 13 , 18 and 14 digit 15 span 15 span 16 test 17 , 18 and 18 and 21 test 19 lexical 20 fluency 20 fluency 21 test 22 to 23 measure 23 measure 24 set 24 set 25 shifting 26 , 28 memory 26 , 29 and 27 working 28 memory 29 and 31 flexibility 29 and 32 functions 30 cognitive 31 flexibility 31 flexibility 32 functions physical performance was measured using performance - oriented mobility assessment ( poma ) scores and isokinetic muscle strength . 0 ###LEFT-WALL### 1 physical 0 ###LEFT-WALL### 4 measured 0 ###LEFT-WALL### 19 . 1 physical 2 performance 1 physical 3 was 1 physical 4 measured 2 performance 3 was 4 measured 5 using 4 measured 15 and 5 using 6 performance 6 performance 10 assessment 7 - 10 assessment 8 oriented 9 mobility 9 mobility 10 assessment 10 assessment 12 poma 10 assessment 13 ) 11 ( 12 poma 12 poma 13 ) 14 scores 15 and 15 and 18 strength 16 isokinetic 17 muscle 17 muscle 18 strength subjects ' self - efficacy was also assessed using the activities - specific balance confidence ( abc ) scale . 0 ###LEFT-WALL### 3 self 0 ###LEFT-WALL### 4 - 1 subjects 2 ' 2 ' 3 self 4 - 5 efficacy 4 - 6 was 4 - 20 . 5 efficacy 6 was 6 was 7 also 6 was 9 using 8 assessed 9 using 9 using 11 activities 9 using 19 scale 10 the 11 activities 11 activities 15 confidence 11 activities 19 scale 12 - 15 confidence 13 specific 14 balance 14 balance 15 confidence 15 confidence 17 abc 15 confidence 18 ) 16 ( 17 abc 17 abc 18 ) results of the lexical fluency test were associated with poma scores and muscle strength , independent of age , gender , education , comorbidity , physical activity status , depression , and global cognition , suggesting that reduced cognitive flexibility is associated with reduced physical performance and muscle strength . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 50 . 1 results 2 of 1 results 12 and 2 of 6 test 3 the 6 test 4 lexical 6 test 5 fluency 6 test 7 were 8 associated 7 were 12 and 8 associated 9 with 9 with 11 scores 10 poma 11 scores 12 and 13 muscle 12 and 14 strength 15 , 32 and 15 , 47 and 16 independent 17 of 16 independent 32 and 17 of 18 age 18 age 20 gender 18 age 22 education 18 age 24 comorbidity 19 , 20 gender 20 gender 21 , 21 , 22 education 22 education 23 , 23 , 24 comorbidity 24 comorbidity 28 status 24 comorbidity 31 , 25 , 28 status 26 physical 27 activity 27 activity 28 status 28 status 30 depression 28 status 31 , 29 , 30 depression 30 depression 31 , 32 and 34 cognition 32 and 35 , 32 and 36 suggesting 32 and 47 and 33 global 34 cognition 36 suggesting 37 that 37 that 40 flexibility 37 that 41 is 38 reduced 40 flexibility 39 cognitive 40 flexibility 40 flexibility 41 is 42 associated 43 with 42 associated 47 and 43 with 46 performance 44 reduced 46 performance 45 physical 46 performance 47 and 48 muscle 48 muscle 49 strength self - efficacy was also independently associated with physical performance and muscle strength . 0 ###LEFT-WALL### 3 efficacy 0 ###LEFT-WALL### 7 associated 0 ###LEFT-WALL### 14 . 1 self 2 - 1 self 3 efficacy 3 efficacy 4 was 4 was 5 also 4 was 7 associated 6 independently 7 associated 7 associated 8 with 8 with 11 and 9 physical 10 performance 10 performance 11 and 11 and 13 strength 12 muscle 13 strength clinicians need to consider the association between executive [function] and physical performance when working to improve physical functioning in an aged population . 0 ###LEFT-WALL### 1 clinicians 0 ###LEFT-WALL### 2 need 0 ###LEFT-WALL### 23 . 1 clinicians 2 need 2 need 3 to 2 need 15 to 2 need 16 improve 3 to 4 consider 4 consider 6 association 4 consider 7 between 4 consider 13 when 5 the 6 association 7 between 12 performance 8 executive 10 and 10 and 11 physical 10 and 12 performance 13 when 14 working 15 to 16 improve 16 improve 18 functioning 17 physical 18 functioning 18 functioning 19 in 19 in 22 population 20 an 21 aged 20 an 22 population 21 aged 22 population the considerable growth in the elderly population in turkey has brought with it problems as well as concerns regarding gerontological education for health care professionals . 0 ###LEFT-WALL### 3 growth 0 ###LEFT-WALL### 11 brought 0 ###LEFT-WALL### 26 . 1 the 3 growth 2 considerable 3 growth 3 growth 4 in 3 growth 10 has 4 in 7 population 5 the 7 population 6 elderly 7 population 7 population 8 in 8 in 9 turkey 10 has 11 brought 11 brought 12 with 11 brought 14 problems 12 with 13 it 14 problems 17 as 14 problems 19 regarding 15 as 16 well 16 well 17 as 17 as 18 concerns 19 regarding 21 education 19 regarding 22 for 20 gerontological 21 education 22 for 25 professionals 23 health 25 professionals 24 care 25 professionals the quality of care provided for older people is directly related to the attitudes of health care professionals . 0 ###LEFT-WALL### 2 quality 0 ###LEFT-WALL### 11 related 0 ###LEFT-WALL### 19 . 1 the 2 quality 2 quality 3 of 2 quality 9 is 3 of 4 care 4 care 5 provided 5 provided 6 for 6 for 8 people 7 older 8 people 9 is 11 related 10 directly 11 related 11 related 12 to 12 to 14 attitudes 13 the 14 attitudes 14 attitudes 15 of 15 of 18 professionals 16 health 18 professionals 17 care 18 professionals validated instruments are needed in order to study attitudes toward old people . 0 ###LEFT-WALL### 2 instruments 0 ###LEFT-WALL### 4 needed 0 ###LEFT-WALL### 13 . 1 validated 2 instruments 2 instruments 3 are 3 are 4 needed 4 needed 5 in 5 in 6 order 6 order 7 to 6 order 8 study 7 to 8 study 8 study 9 attitudes 8 study 10 toward 10 toward 12 people 11 old 12 people aim of this study was to assess the reliability and validity of a turkish version of kaop among faculty [of] health sciences ( health management , nutrition and dietetics , nursing , physical therapy , social workers and sports ) students ( n=594 ) [at] [a] [university] . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 48 . 1 aim 2 of 1 aim 5 was 2 of 4 study 3 this 4 study 5 was 6 to 5 was 7 assess 6 to 7 assess 7 assess 10 and 7 assess 18 among 8 the 9 reliability 9 reliability 10 and 10 and 11 validity 10 and 16 of 11 validity 12 of 12 of 15 version 13 a 15 version 14 turkish 15 version 16 of 17 kaop 18 among 22 sciences 19 faculty 22 sciences 21 health 22 sciences 22 sciences 25 management 22 sciences 28 and 23 ( 25 management 24 health 25 management 25 management 26 , 26 , 28 and 27 nutrition 28 and 28 and 41 students 28 and 43 n=594 28 and 44 ) 29 dietetics 30 , 30 , 31 nursing 30 , 32 , 32 , 34 therapy 32 , 35 , 33 physical 34 therapy 35 , 37 workers 35 , 38 and 36 social 37 workers 38 and 39 sports 38 and 40 ) 38 and 41 students 42 ( 43 n=594 43 n=594 44 ) the scale was translated using the back - translation technique . 0 ###LEFT-WALL### 2 scale 0 ###LEFT-WALL### 4 translated 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 11 . 1 the 2 scale 2 scale 3 was 3 was 4 translated 4 translated 5 using 5 using 7 back 6 the 7 back 8 - 10 technique 9 translation 10 technique a [two] - phase data collection design was used . 0 ###LEFT-WALL### 1 a 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 10 . 1 a 3 - 3 - 7 design 4 phase 7 design 5 data 7 design 6 collection 7 design 7 design 8 was 8 was 9 used four weeks following [the] first completion , another kaop form was given . 0 ###LEFT-WALL### 6 completion 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 13 . 1 four 2 weeks 2 weeks 3 following 3 following 6 completion 5 first 6 completion 7 , 10 form 7 , 12 given 8 another 10 form 9 kaop 10 form 10 form 11 was 11 was 12 given content validity , construct validity , internal consistency , and stability reliability were assessed . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 14 assessed 0 ###LEFT-WALL### 15 . 1 content 2 validity 2 validity 3 , 3 , 5 validity 3 , 6 , 4 construct 5 validity 6 , 8 consistency 6 , 10 and 7 internal 8 consistency 9 , 10 and 10 and 12 reliability 10 and 13 were 11 stability 12 reliability 13 were 14 assessed scores were between 86 and 175 . 0 ###LEFT-WALL### 1 scores 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 7 . 1 scores 2 were 2 were 3 between 3 between 5 and 4 86 5 and 5 and 6 175 the study sample reported slightly positive attitudes ( 132.9 ± 14.74 ) . 0 ###LEFT-WALL### 3 sample 0 ###LEFT-WALL### 4 reported 0 ###LEFT-WALL### 13 . 1 the 3 sample 2 study 3 sample 3 sample 4 reported 4 reported 7 attitudes 5 slightly 6 positive 6 positive 7 attitudes 7 attitudes 10 ± 8 ( 10 ± 9 132.9 10 ± 10 ± 11 14.74 10 ± 12 ) all of the 34 items were found to have significant [item] - [to] [-] total correlations . 0 ###LEFT-WALL### 5 items 0 ###LEFT-WALL### 9 have 0 ###LEFT-WALL### 17 . 1 all 2 of 1 all 5 items 2 of 5 items 3 the 4 34 4 34 5 items 5 items 6 were 6 were 7 found 7 found 8 to 8 to 9 have 9 have 16 correlations 10 significant 12 - 10 significant 16 correlations 15 total 16 correlations the content validity index was 0.94 . 0 ###LEFT-WALL### 4 index 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 7 . 1 the 4 index 2 content 3 validity 3 validity 4 index 4 index 5 was 5 was 6 0.94 the cronbach 's alpha was 0.84 for the total scale . 0 ###LEFT-WALL### 4 alpha 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 11 . 1 the 2 cronbach 2 cronbach 3 's 3 's 4 alpha 4 alpha 5 was 5 was 6 0.84 6 0.84 7 for 7 for 10 scale 8 the 10 scale 9 total 10 scale the turkish version of the kaop can be considered reliable and valid scale for assessing the attitudes toward older people . 0 ###LEFT-WALL### 3 version 0 ###LEFT-WALL### 9 considered 0 ###LEFT-WALL### 21 . 1 the 3 version 2 turkish 3 version 3 version 4 of 3 version 7 can 4 of 6 kaop 5 the 6 kaop 7 can 8 be 8 be 9 considered 9 considered 11 and 10 reliable 11 and 11 and 13 scale 11 and 14 for 12 valid 13 scale 14 for 15 assessing 15 assessing 17 attitudes 15 assessing 18 toward 16 the 17 attitudes 18 toward 20 people 19 older 20 people the aim of the study was to examine the external knee adduction moments in a group of older and younger adults while descending stairs and thus the possibility of an increased risk of knee osteoarthritis due to altered knee joint loading in the elderly . 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 the 5 study 6 was 7 to 6 was 8 examine 7 to 8 examine 8 examine 13 moments 8 examine 14 in 8 examine 22 while 8 examine 37 to 9 the 13 moments 10 external 11 knee 11 knee 12 adduction 12 adduction 13 moments 14 in 21 adults 15 a 16 group 16 group 17 of 16 group 21 adults 17 of 21 adults 18 older 19 and 19 and 20 younger 19 and 21 adults 22 while 23 descending 23 descending 25 and 24 stairs 25 and 25 and 26 thus 25 and 28 possibility 27 the 28 possibility 28 possibility 29 of 29 of 32 risk 30 an 32 risk 31 increased 32 risk 32 risk 33 of 33 of 35 osteoarthritis 34 knee 35 osteoarthritis 36 due 37 to 37 to 41 loading 38 altered 41 loading 39 knee 40 joint 40 joint 41 loading 41 loading 42 in 42 in 44 elderly 43 the 44 elderly twenty - seven older and [16] younger adults descended a purpose - built staircase . 0 ###LEFT-WALL### 8 adults 0 ###LEFT-WALL### 9 descended 0 ###LEFT-WALL### 12 - 1 twenty 2 - 2 - 3 seven 2 - 4 older 4 older 5 and 5 and 7 younger 5 and 8 adults 8 adults 9 descended 9 descended 11 purpose 10 a 11 purpose 12 - 14 staircase 12 - 15 . 13 built 14 staircase a motion capture system and a force plate were used to determine the subjects ' 3 d kinematics and ground reaction forces ( grf ) during locomotion . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 28 . 1 a 2 motion 1 a 4 system 2 motion 4 system 3 capture 4 system 4 system 5 and 5 and 8 plate 5 and 19 and 6 a 7 force 6 a 8 plate 7 force 8 plate 9 were 10 used 9 were 19 and 10 used 11 to 10 used 12 determine 11 to 12 determine 12 determine 18 kinematics 13 the 14 subjects 14 subjects 15 ' 15 ' 18 kinematics 16 3 17 d 17 d 18 kinematics 19 and 20 ground 19 and 22 forces 19 and 26 during 21 reaction 22 forces 22 forces 24 grf 23 ( 24 grf 24 grf 25 ) 26 during 27 locomotion calculation of the leg kinematics and kinetics was done by means of a rigid , three - segment , 3 d leg model . 0 ###LEFT-WALL### 1 calculation 0 ###LEFT-WALL### 8 was 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 24 . 1 calculation 2 of 1 calculation 8 was 2 of 4 leg 3 the 4 leg 4 leg 6 and 5 kinematics 6 and 6 and 7 kinetics 8 was 9 done 9 done 10 by 10 by 11 means 11 means 12 of 12 of 18 segment 13 a 14 rigid 13 a 18 segment 14 rigid 16 three 14 rigid 18 segment 15 , 16 three 16 three 17 - 19 , 23 model 20 3 21 d 21 d 23 model 22 leg 23 model in the initial portion of the support phase , older adults showed a more medio - posterior grf vector relative to the ankle joint , leading to lower ankle joint moments ( p<0.05 ) . 0 ###LEFT-WALL### 11 adults 0 ###LEFT-WALL### 12 showed 0 ###LEFT-WALL### 35 . 1 in 4 portion 1 in 9 , 1 in 11 adults 2 the 4 portion 3 initial 4 portion 4 portion 5 of 5 of 8 phase 6 the 8 phase 7 support 8 phase 10 older 11 adults 11 adults 12 showed 12 showed 19 vector 13 a 19 vector 14 more 15 medio 15 medio 16 - 15 medio 17 posterior 17 posterior 19 vector 18 grf 19 vector 19 vector 20 relative 19 vector 26 leading 20 relative 21 to 21 to 24 joint 22 the 24 joint 23 ankle 24 joint 25 , 26 leading 26 leading 27 to 26 leading 34 ) 27 to 28 lower 28 lower 31 moments 29 ankle 31 moments 30 joint 31 moments 31 moments 33 p<0.05 32 ( 33 p<0.05 33 p<0.05 34 ) at the knee , the older adults demonstrated a more medio - posterior directed grf vector , increasing in knee flexion and adduction in the second part of the single support phase ( p<0.05 ) . 0 ###LEFT-WALL### 7 adults 0 ###LEFT-WALL### 8 demonstrated 0 ###LEFT-WALL### 36 . 1 at 3 knee 1 at 4 , 1 at 7 adults 2 the 3 knee 5 the 7 adults 6 older 7 adults 7 adults 8 demonstrated 8 demonstrated 16 vector 8 demonstrated 18 increasing 9 a 16 vector 10 more 11 medio 11 medio 12 - 11 medio 16 vector 13 posterior 16 vector 14 directed 16 vector 15 grf 16 vector 17 , 18 increasing 18 increasing 19 in 18 increasing 24 in 18 increasing 35 ) 19 in 22 and 20 knee 21 flexion 21 flexion 22 and 22 and 23 adduction 24 in 27 part 25 the 27 part 26 second 27 part 27 part 28 of 28 of 32 phase 29 the 32 phase 30 single 31 support 31 support 32 phase 32 phase 34 p<0.05 33 ( 34 p<0.05 34 p<0.05 35 ) further , grf magnitude was lower in the initial and higher in the mid - portions of the support phase for the elderly ( p<0.05 ) . 0 ###LEFT-WALL### 4 magnitude 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 27 . 1 further 2 , 1 further 4 magnitude 3 grf 4 magnitude 4 magnitude 5 was 5 was 6 lower 6 lower 7 in 7 in 20 phase 8 the 20 phase 9 initial 10 and 10 and 11 higher 10 and 20 phase 11 higher 12 in 12 in 16 portions 13 the 16 portions 14 mid 15 - 14 mid 16 portions 16 portions 17 of 17 of 19 support 18 the 19 support 20 phase 21 for 20 phase 25 p<0.05 21 for 23 elderly 22 the 23 elderly 24 ( 25 p<0.05 25 p<0.05 26 ) the results show that older adults descend stairs by using the trailing leg before the initiation of the double support phase more compared to the younger ones . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 28 . 1 the 2 results 2 results 3 show 3 show 4 that 4 that 6 adults 4 that 7 descend 5 older 6 adults 6 adults 7 descend 7 descend 8 stairs 7 descend 9 by 7 descend 14 before 7 descend 24 to 9 by 10 using 10 using 13 leg 11 the 13 leg 12 trailing 13 leg 14 before 16 initiation 15 the 16 initiation 16 initiation 17 of 16 initiation 22 more 16 initiation 23 compared 17 of 21 phase 18 the 21 phase 19 double 20 support 20 support 21 phase 22 more 23 compared 24 to 27 ones 25 the 27 ones 26 younger 27 ones the consequence of this altered control strategy while stepping down is a more medially directed grf vector increasing the magnitude of external knee adduction [moment] in the elderly . 0 ###LEFT-WALL### 2 consequence 0 ###LEFT-WALL### 5 altered 0 ###LEFT-WALL### 29 . 1 the 2 consequence 2 consequence 3 of 2 consequence 5 altered 3 of 4 this 5 altered 7 strategy 5 altered 8 while 5 altered 26 in 6 control 7 strategy 8 while 9 stepping 8 while 11 is 9 stepping 10 down 9 stepping 11 is 11 is 17 vector 12 a 17 vector 13 more 14 medially 14 medially 15 directed 15 directed 17 vector 16 grf 17 vector 17 vector 18 increasing 18 increasing 24 adduction 19 the 20 magnitude 20 magnitude 21 of 20 magnitude 24 adduction 21 of 24 adduction 22 external 23 knee 23 knee 24 adduction 26 in 28 elderly 27 the 28 elderly the observed changes between leading and trailing leg in the elderly may cause a redistribution of the mechanical load at the tibiofemoral joint , [affecting] the initiation and progression of knee osteoarthritis in the elderly . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 36 . 1 the 3 changes 2 observed 3 changes 3 changes 4 between 3 changes 6 and 4 between 5 leading 6 and 8 leg 6 and 9 in 6 and 12 may 7 trailing 8 leg 9 in 11 elderly 10 the 11 elderly 12 may 13 cause 13 cause 28 and 13 cause 33 in 14 a 28 and 15 redistribution 16 of 15 redistribution 24 , 16 of 19 load 17 the 19 load 18 mechanical 19 load 19 load 20 at 20 at 23 joint 21 the 23 joint 22 tibiofemoral 23 joint 24 , 27 initiation 24 , 28 and 26 the 27 initiation 28 and 29 progression 28 and 30 of 30 of 32 osteoarthritis 31 knee 32 osteoarthritis 33 in 35 elderly 34 the 35 elderly the cognitive changes that occur with ageing are usually referred to as ['] age - related cognitive decline ['] . 0 ###LEFT-WALL### 3 changes 0 ###LEFT-WALL### 11 to 0 ###LEFT-WALL### 15 - 1 the 3 changes 2 cognitive 3 changes 3 changes 4 that 3 changes 5 occur 3 changes 8 are 4 that 5 occur 5 occur 6 with 6 with 7 ageing 8 are 11 to 9 usually 11 to 10 referred 11 to 11 to 12 as 12 as 14 age 15 - 18 decline 15 - 20 . 16 related 18 decline 17 cognitive 18 decline the most pronounced changes may be found in the executive functions that require integrity of the prefrontal cortical circuitry . 0 ###LEFT-WALL### 4 changes 0 ###LEFT-WALL### 7 found 0 ###LEFT-WALL### 20 . 1 the 4 changes 2 most 3 pronounced 3 pronounced 4 changes 4 changes 5 may 5 may 6 be 6 be 7 found 7 found 8 in 8 in 11 functions 9 the 11 functions 10 executive 11 functions 11 functions 12 that 11 functions 13 require 12 that 13 require 13 require 14 integrity 14 integrity 15 of 15 of 19 circuitry 16 the 19 circuitry 17 prefrontal 19 circuitry 18 cortical 19 circuitry with age , sleep also changes profoundly , with more sleep fragmentation , earlier awakenings and less slow wave sleep as its main features . 0 ###LEFT-WALL### 4 sleep 0 ###LEFT-WALL### 6 changes 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 25 . 1 with 2 age 1 with 3 , 1 with 4 sleep 4 sleep 6 changes 5 also 6 changes 6 changes 7 profoundly 6 changes 9 with 8 , 9 with 9 with 12 fragmentation 9 with 13 , 10 more 12 fragmentation 11 sleep 12 fragmentation 13 , 16 and 13 , 20 sleep 14 earlier 15 awakenings 15 awakenings 16 and 16 and 19 wave 16 and 20 sleep 17 less 18 slow 18 slow 19 wave 20 sleep 21 as 21 as 24 features 22 its 23 main 22 its 24 features interestingly , experimental sleep deprivation studies in healthy young adults showed a particularly consistent effect on executive functions , suggesting that sleep problems might contribute to the cognitive changes accompanying older age . 0 ###LEFT-WALL### 6 studies 0 ###LEFT-WALL### 11 showed 1 interestingly 2 , 1 interestingly 6 studies 3 experimental 6 studies 4 sleep 5 deprivation 5 deprivation 6 studies 6 studies 7 in 6 studies 11 showed 7 in 10 adults 8 healthy 10 adults 9 young 10 adults 11 showed 15 effect 12 a 15 effect 13 particularly 14 consistent 14 consistent 15 effect 15 effect 16 on 16 on 18 functions 17 executive 18 functions 18 functions 20 suggesting 19 , 20 suggesting 20 suggesting 21 that 20 suggesting 33 . 21 that 23 problems 21 that 25 contribute 22 sleep 23 problems 23 problems 24 might 24 might 25 contribute 25 contribute 26 to 26 to 29 changes 27 the 29 changes 28 cognitive 29 changes 29 changes 30 accompanying 30 accompanying 32 age 31 older 32 age it turned out that relatively few studies directly addressed the question [whether] elderly with different degrees of sleep complaints are differentially affected by ['] age - related cognitive decline ['] . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 22 affected 0 ###LEFT-WALL### 26 - 1 it 2 turned 2 turned 3 out 2 turned 7 studies 4 that 5 relatively 5 relatively 6 few 6 few 7 studies 7 studies 9 addressed 7 studies 11 question 7 studies 22 affected 8 directly 9 addressed 10 the 11 question 11 question 13 elderly 11 question 22 affected 13 elderly 14 with 13 elderly 21 differentially 14 with 18 sleep 15 different 16 degrees 16 degrees 17 of 16 degrees 18 sleep 17 of 18 sleep 18 sleep 19 complaints 18 sleep 20 are 19 complaints 20 are 22 affected 23 by 23 by 25 age 26 - 29 decline 26 - 31 . 27 related 29 decline 28 cognitive 29 decline still , several similarities between age - related and insomnia - related cognitive and brain changes are apparent , notably with respect to performance requiring integrity of the prefrontal cortical system . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 17 are 1 still 4 similarities 1 still 8 related 1 still 9 and 2 , 4 similarities 3 several 4 similarities 4 similarities 5 between 4 similarities 7 - 5 between 6 age 9 and 10 insomnia 9 and 17 are 11 - 12 related 12 related 14 and 12 related 17 are 13 cognitive 14 and 14 and 16 changes 15 brain 16 changes 17 are 18 apparent 18 apparent 21 with 19 , 20 notably 19 , 21 with 21 with 22 respect 21 with 32 . 22 respect 23 to 22 respect 25 requiring 23 to 24 performance 25 requiring 26 integrity 26 integrity 27 of 27 of 31 system 28 the 31 system 29 prefrontal 31 system 30 cortical 31 system we suggest that at least part of what we regard as age - related changes may , in fact , be due to poor sleep , [which] is in some cases a treatable condition . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 suggest 0 ###LEFT-WALL### 35 . 1 we 2 suggest 2 suggest 3 that 3 that 6 part 3 that 26 , 4 at 5 least 5 least 6 part 6 part 7 of 6 part 26 , 7 of 8 what 8 what 9 we 8 what 10 regard 9 we 10 regard 10 regard 11 as 11 as 12 age 13 - 14 related 14 related 15 changes 14 related 16 may 16 may 21 be 16 may 26 , 17 , 19 fact 18 in 19 fact 19 fact 20 , 19 fact 21 be 21 be 22 due 22 due 23 to 23 to 25 sleep 24 poor 25 sleep 26 , 28 is 26 , 34 condition 28 is 29 in 29 in 31 cases 30 some 31 cases 32 a 34 condition 33 treatable 34 condition further research directly comparing aged good sleepers versus aged insomniacs will need to elucidate [how] sleep disturbances are involved in the cognitive , structural and functional changes observed with increasing age . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 12 need 0 ###LEFT-WALL### 28 observed 0 ###LEFT-WALL### 32 . 1 further 2 research 2 research 4 comparing 2 research 5 aged 3 directly 4 comparing 6 good 7 sleepers 7 sleepers 8 versus 7 sleepers 12 need 8 versus 11 will 9 aged 11 will 10 insomniacs 11 will 12 need 13 to 12 need 28 observed 13 to 14 elucidate 14 elucidate 16 sleep 16 sleep 17 disturbances 16 sleep 20 in 17 disturbances 18 are 18 are 19 involved 19 involved 20 in 21 the 27 changes 22 cognitive 23 , 23 , 24 structural 23 , 25 and 25 and 26 functional 25 and 27 changes 27 changes 28 observed 28 observed 29 with 29 with 30 increasing 30 increasing 31 age the findings suggest that discrimination of [subtypes] [of] poor sleep at high age will aid in understanding the mechanisms by which it affects cognition and brain function . 0 ###LEFT-WALL### 14 will 0 ###LEFT-WALL### 28 . 1 the 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 5 discrimination 4 that 14 will 5 discrimination 6 of 6 of 10 sleep 9 poor 10 sleep 10 sleep 11 at 11 at 13 age 12 high 13 age 14 will 25 and 14 will 27 function 15 aid 16 in 15 aid 25 and 16 in 17 understanding 17 understanding 19 mechanisms 18 the 19 mechanisms 19 mechanisms 20 by 20 by 21 which 20 by 22 it 20 by 23 affects 22 it 23 affects 23 affects 24 cognition 25 and 26 brain methionine can be oxidized by reactive oxygen species to a mixture of two diastereomers , methionine - s - sulfoxide and methionine - r - sulfoxide . 0 ###LEFT-WALL### 3 be 0 ###LEFT-WALL### 25 - 1 methionine 2 can 2 can 3 be 3 be 4 oxidized 4 oxidized 5 by 4 oxidized 9 to 5 by 8 species 6 reactive 7 oxygen 7 oxygen 8 species 9 to 11 mixture 10 a 11 mixture 11 mixture 12 of 12 of 14 diastereomers 13 two 14 diastereomers 14 diastereomers 16 methionine 15 , 16 methionine 16 methionine 18 s 16 methionine 21 and 16 methionine 25 - 17 - 18 s 18 s 19 - 19 - 21 and 20 sulfoxide 21 and 21 and 22 methionine 21 and 24 r 21 and 25 - 23 - 24 r 24 r 25 - 25 - 26 sulfoxide 25 - 27 . however , mammals lack frmsr and [are] characterized by deficiency in the reduction of free methionine - r - sulfoxide . 0 ###LEFT-WALL### 3 mammals 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 21 . 1 however 2 , 1 however 3 mammals 3 mammals 6 and 4 lack 5 frmsr 4 lack 6 and 6 and 8 characterized 6 and 9 by 6 and 11 in 6 and 20 sulfoxide 9 by 10 deficiency 11 in 13 reduction 12 the 13 reduction 13 reduction 14 of 14 of 16 methionine 15 free 16 methionine 16 methionine 18 r 17 - 18 r 18 r 19 - the biological significance of such biased reduction of methionine sulfoxide has not been fully explored . 0 ###LEFT-WALL### 3 significance 0 ###LEFT-WALL### 15 explored 0 ###LEFT-WALL### 16 . 1 the 3 significance 2 biological 3 significance 3 significance 4 of 3 significance 11 has 4 of 7 reduction 5 such 7 reduction 6 biased 7 reduction 7 reduction 8 of 8 of 10 sulfoxide 9 methionine 10 sulfoxide 11 has 12 not 11 has 13 been 13 been 15 explored 14 fully 15 explored msra and msrb activities decrease during aging , leading to accumulation of protein - based and free amino acid forms of methionine sulfoxide . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 24 . 1 msra 2 and 2 and 3 msrb 2 and 4 activities 2 and 6 during 2 and 7 aging 2 and 9 leading 2 and 16 and 4 activities 5 decrease 5 decrease 6 during 8 , 9 leading 9 leading 10 to 9 leading 14 - 10 to 11 accumulation 11 accumulation 12 of 12 of 13 protein 15 based 16 and 16 and 17 free 16 and 23 sulfoxide 17 free 20 forms 18 amino 19 acid 19 acid 20 forms 20 forms 21 of 21 of 22 methionine since methionine is an indispensible amino acid in human nutrition and a key metabolite in sulfur , methylation , and transsulfuration pathways , the consequences of accumulation of its oxidized forms require further studies . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 14 metabolite 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 35 . 1 since 2 methionine 1 since 3 is 1 since 11 and 2 methionine 3 is 3 is 6 amino 4 an 6 amino 5 indispensible 6 amino 7 acid 8 in 7 acid 11 and 8 in 10 nutrition 9 human 10 nutrition 11 and 13 key 11 and 14 metabolite 12 a 13 key 14 metabolite 15 in 15 in 20 and 16 sulfur 17 , 16 sulfur 18 methylation 18 methylation 20 and 19 , 20 and 20 and 22 pathways 21 transsulfuration 22 pathways 23 , 25 consequences 23 , 32 require 24 the 25 consequences 25 consequences 26 of 25 consequences 32 require 26 of 27 accumulation 27 accumulation 28 of 28 of 31 forms 29 its 31 forms 30 oxidized 31 forms 32 require 34 studies 33 further 34 studies finally , in addition to methionine , methylsulfinyl groups are present in various drugs and natural compounds , and their differential reduction by msrs may have important therapeutic implications . 0 ###LEFT-WALL### 8 methylsulfinyl 0 ###LEFT-WALL### 26 have 0 ###LEFT-WALL### 30 . 1 finally 8 methylsulfinyl 2 , 3 in 3 in 4 addition 3 in 7 , 3 in 8 methylsulfinyl 4 addition 5 to 5 to 6 methionine 8 methylsulfinyl 9 groups 8 methylsulfinyl 11 present 8 methylsulfinyl 25 may 9 groups 10 are 10 are 11 present 11 present 12 in 11 present 23 by 12 in 19 and 13 various 14 drugs 14 drugs 15 and 15 and 17 compounds 15 and 19 and 16 natural 17 compounds 18 , 19 and 19 and 22 reduction 20 their 22 reduction 21 differential 22 reduction 23 by 24 msrs 25 may 26 have 26 have 29 implications 27 important 29 implications 28 therapeutic 29 implications aim of the study : dangguijakyak - san ( djs ) is a multi - herbal formula that has long been widely used in traditional oriental medicine to treat gynecologic disorders , including neurological symptoms . 0 ###LEFT-WALL### 4 study 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 7 - 1 aim 2 of 2 of 3 the 3 the 4 study 4 study 5 : 5 : 6 dangguijakyak 7 - 8 san 7 - 12 is 7 - 32 , 7 - 36 . 8 san 10 djs 8 san 12 is 9 ( 10 djs 10 djs 11 ) 12 is 17 formula 12 is 28 to 13 a 14 multi 13 a 17 formula 14 multi 15 - 14 multi 17 formula 16 herbal 17 formula 17 formula 18 that 17 formula 19 has 18 that 19 has 19 has 21 been 20 long 21 been 21 been 22 widely 21 been 23 used 23 used 24 in 24 in 27 medicine 25 traditional 27 medicine 26 oriental 27 medicine 28 to 29 treat 29 treat 31 disorders 30 gynecologic 31 disorders 32 , 35 symptoms 33 including 35 symptoms 34 neurological 35 symptoms recent clinical and experimental studies have reported aging and anti - neurodegenerative effects of djs . 0 ###LEFT-WALL### 5 studies 0 ###LEFT-WALL### 7 reported 0 ###LEFT-WALL### 16 . 1 recent 5 studies 2 clinical 3 and 3 and 4 experimental 3 and 5 studies 5 studies 6 have 6 have 7 reported 7 reported 9 and 8 aging 9 and 9 and 13 effects 9 and 14 of 10 anti 11 - 10 anti 13 effects 12 neurodegenerative 13 effects 14 of 15 djs in this study , we evaluated the neuroprotective effects of djs on dopaminergic ( da ) neurons damaged by 6 - hydroxydopamine ( 6 - ohda ) . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 evaluated 0 ###LEFT-WALL### 28 . 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 evaluated 6 evaluated 9 effects 6 evaluated 12 on 7 the 9 effects 8 neuroprotective 9 effects 9 effects 10 of 10 of 11 djs 12 on 17 neurons 13 dopaminergic 15 da 13 dopaminergic 17 neurons 14 ( 15 da 15 da 16 ) 17 neurons 18 damaged 17 neurons 22 hydroxydopamine 17 neurons 26 ohda 18 damaged 19 by 19 by 20 6 21 - 22 hydroxydopamine 22 hydroxydopamine 24 6 22 hydroxydopamine 25 - 23 ( 24 6 24 6 25 - 25 - 26 ohda 26 ohda 27 ) materials and methods : to evaluate the protective effects of djs , we analyzed viability in sh - sy5y neuroblastoma cells and tyrosine hydroxylase ( th ) staining in primary da cells . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 materials 2 and 2 and 3 methods 4 : 5 to 4 : 6 evaluate 4 : 12 , 4 : 33 . 5 to 6 evaluate 6 evaluate 9 effects 7 the 9 effects 8 protective 9 effects 9 effects 10 of 10 of 11 djs 12 , 13 we 12 , 14 analyzed 13 we 14 analyzed 14 analyzed 15 viability 15 viability 16 in 15 viability 28 staining 15 viability 29 in 16 in 17 sh 17 sh 22 and 18 - 22 and 19 sy5y 21 cells 20 neuroblastoma 21 cells 21 cells 22 and 22 and 24 hydroxylase 22 and 26 th 22 and 27 ) 23 tyrosine 24 hydroxylase 25 ( 26 th 26 th 27 ) 29 in 32 cells 30 primary 32 cells 31 da 32 cells to explore the possible mechanism ( [s] [ )(of neuroprotection , we assessed anti - oxidant activity by measuring reactive oxygen species ( ros ) and glutathione ( gsh ) levels . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 explore 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 32 . 1 to 2 explore 2 explore 5 mechanism 3 the 5 mechanism 4 possible 5 mechanism 5 mechanism 9 )(of 6 ( 9 )(of 9 )(of 10 neuroprotection 9 )(of 11 , 11 , 12 we 11 , 13 assessed 11 , 26 and 12 we 13 assessed 13 assessed 17 activity 13 assessed 18 by 14 anti 15 - 14 anti 17 activity 16 oxidant 17 activity 18 by 19 measuring 19 measuring 22 species 20 reactive 21 oxygen 21 oxygen 22 species 22 species 24 ros 23 ( 24 ros 24 ros 25 ) 26 and 27 glutathione 26 and 31 levels 27 glutathione 29 gsh 27 glutathione 31 levels 28 ( 29 gsh 29 gsh 30 ) to determine mitochondria - mediated apoptotic activity , we examined mitochondrial membrane potential , cytochrome [c] release , and caspase - 3 activation . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 determine 0 ###LEFT-WALL### 8 , 1 to 2 determine 2 determine 3 mitochondria 3 mitochondria 7 activity 4 - 7 activity 5 mediated 7 activity 6 apoptotic 7 activity 7 activity 8 , 8 , 9 we 8 , 10 examined 8 , 21 - 9 we 10 examined 10 examined 19 and 11 mitochondrial 12 membrane 12 membrane 13 potential 13 potential 14 , 14 , 17 release 14 , 19 and 15 cytochrome 17 release 18 , 19 and 19 and 20 caspase 21 - 23 activation 21 - 24 . 22 3 23 activation results : djs at 0.05 - 5 μg / ml significantly protected sh - sy5y cells from 6 - ohda toxicity , dose - dependently , and attenuated 6 - ohda damage in primary da cells . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 2 : 3 djs 2 : 27 and 3 djs 4 at 3 djs 27 and 4 at 10 ml 5 0.05 6 - 6 - 7 5 6 - 10 ml 7 5 8 μg 8 μg 9 / 11 significantly 12 protected 12 protected 13 sh 12 protected 27 and 13 sh 15 sy5y 14 - 15 sy5y 15 sy5y 16 cells 15 sy5y 23 dose 15 sy5y 26 , 16 cells 17 from 16 cells 23 dose 17 from 18 6 18 6 21 toxicity 19 - 21 toxicity 20 ohda 21 toxicity 21 toxicity 22 , 23 dose 25 dependently 24 - 25 dependently 25 dependently 26 , 27 and 28 attenuated 28 attenuated 32 damage 28 attenuated 33 in 29 6 31 ohda 30 - 31 ohda 31 ohda 32 damage 33 in 36 cells 34 primary 36 cells 35 da 36 cells djs reduced 6 - ohda - induced intracellular ros production and gsh depletion and inhibited mitochondrial membrane instability , cytosolic cytochrome [c] release , and caspase - 3 activation . 0 ###LEFT-WALL### 25 and 1 djs 2 reduced 2 reduced 10 production 3 6 5 ohda 4 - 5 ohda 5 ohda 6 - 5 ohda 7 induced 7 induced 10 production 8 intracellular 10 production 9 ros 10 production 10 production 11 and 11 and 13 depletion 11 and 14 and 12 gsh 13 depletion 14 and 18 instability 14 and 19 , 15 inhibited 17 membrane 16 mitochondrial 17 membrane 17 membrane 18 instability 19 , 23 release 19 , 25 and 20 cytosolic 23 release 21 cytochrome 23 release 24 , 25 and 25 and 26 caspase 25 and 29 activation 27 - 29 activation 28 3 29 activation 29 activation 30 . conclusions : these results demonstrate that djs has neuroprotective effects in da neurons against 6 - ohda - induced toxicity through anti - oxidant and anti - mitochondrial - mediated apoptotic activities . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 results 2 : 5 demonstrate 2 : 16 - 2 : 33 . 3 these 4 results 4 results 5 demonstrate 5 demonstrate 6 that 6 that 7 djs 6 that 8 has 7 djs 8 has 8 has 10 effects 9 neuroprotective 10 effects 10 effects 11 in 11 in 13 neurons 12 da 13 neurons 13 neurons 14 against 14 against 15 6 16 - 17 ohda 16 - 18 - 18 - 25 and 18 - 27 - 19 induced 20 toxicity 20 toxicity 21 through 20 toxicity 25 and 21 through 24 oxidant 22 anti 23 - 22 anti 24 oxidant 25 and 26 anti 27 - 32 activities 28 mitochondrial 29 - 28 mitochondrial 32 activities 30 mediated 32 activities 31 apoptotic 32 activities huntington 's disease ( hd ) is a rare genetic disease associated with the degeneration of gabaergic striatal projection neurons in the basal ganglia leading to movement disorders with behavioral symptoms for which there is [presently] no therapy . 0 ###LEFT-WALL### 3 disease 0 ###LEFT-WALL### 39 . 1 huntington 2 's 2 's 3 disease 3 disease 5 hd 3 disease 7 is 4 ( 5 hd 5 hd 6 ) 7 is 11 disease 7 is 13 with 7 is 21 in 8 a 11 disease 9 rare 11 disease 10 genetic 11 disease 11 disease 12 associated 13 with 15 degeneration 14 the 15 degeneration 15 degeneration 16 of 16 of 20 neurons 17 gabaergic 20 neurons 18 striatal 20 neurons 19 projection 20 neurons 21 in 24 ganglia 22 the 24 ganglia 23 basal 24 ganglia 24 ganglia 25 leading 24 ganglia 28 disorders 24 ganglia 29 with 25 leading 26 to 25 leading 28 disorders 26 to 27 movement 29 with 31 symptoms 30 behavioral 31 symptoms 31 symptoms 32 for 32 for 33 which 32 for 34 there 32 for 35 is 34 there 35 is 35 is 38 therapy 37 no 38 therapy abnormally high levels of monoamine oxidase ( mao ) [activity] , which are potentially linked to cytotoxic free radical formation , are known to occur during aging and in neurodegenerative disorders [(] mao [-] b is markedly increased in plaque - associated astrocytes in alzheimer 's disease ) . 0 ###LEFT-WALL### 3 levels 0 ###LEFT-WALL### 23 known 0 ###LEFT-WALL### 49 . 1 abnormally 3 levels 2 high 3 levels 3 levels 4 of 3 levels 12 which 3 levels 22 are 4 of 6 oxidase 5 monoamine 6 oxidase 6 oxidase 8 mao 7 ( 8 mao 8 mao 9 ) 11 , 12 which 12 which 13 are 12 which 21 , 13 are 15 linked 14 potentially 15 linked 15 linked 16 to 16 to 20 formation 17 cytotoxic 20 formation 18 free 20 formation 19 radical 20 formation 22 are 23 known 23 known 24 to 23 known 28 and 23 known 39 in 24 to 25 occur 26 during 27 aging 26 during 28 and 28 and 29 in 29 in 31 disorders 30 neurodegenerative 31 disorders 31 disorders 33 mao 31 disorders 36 is 31 disorders 38 increased 33 mao 35 b 33 mao 36 is 36 is 37 markedly 39 in 40 plaque 40 plaque 43 astrocytes 41 - 43 astrocytes 42 associated 43 astrocytes 43 astrocytes 44 in 43 astrocytes 48 ) 44 in 47 disease 45 alzheimer 46 's 46 's 47 disease we therefore measured , with anatomical resolution , mao - a [and] - b activities in 5 cases of hd ( severity grades 1 - 3 ) and age - matched controls by quantitative enzyme radioautography using radiolabeled enzyme inhibitors ( 3 )h - ro 41 - 1049 and [(] 3 )h - lazabemide , respectively , as high - affinity ligands in vitro . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 10 - 1 we 3 measured 2 therefore 3 measured 3 measured 5 with 3 measured 9 mao 4 , 5 with 5 with 7 resolution 5 with 8 , 6 anatomical 7 resolution 10 - 15 activities 11 a 13 - 13 - 14 b 13 - 15 activities 15 activities 16 in 15 activities 19 of 16 in 18 cases 17 5 18 cases 19 of 28 and 20 hd 23 grades 20 hd 28 and 21 ( 23 grades 22 severity 23 grades 23 grades 24 1 23 grades 26 3 23 grades 27 ) 25 - 26 3 26 3 27 ) 28 and 29 age 28 and 30 - 28 and 31 matched 28 and 32 controls 28 and 36 radioautography 28 and 37 using 32 controls 33 by 32 controls 36 radioautography 33 by 35 enzyme 34 quantitative 35 enzyme 37 using 40 inhibitors 37 using 44 - 38 radiolabeled 40 inhibitors 39 enzyme 40 inhibitors 41 ( 44 - 42 3 43 )h 43 )h 44 - 44 - 45 ro 45 ro 46 41 45 ro 49 and 45 ro 52 )h 45 ro 54 lazabemide 47 - 49 and 48 1049 49 and 49 and 51 3 49 and 52 )h 53 - 54 lazabemide 54 lazabemide 61 affinity 54 lazabemide 62 ligands 54 lazabemide 65 . 55 , 56 respectively 56 respectively 57 , 56 respectively 59 high 58 as 59 high 59 high 60 - 59 high 61 affinity 61 affinity 62 ligands 62 ligands 64 vitro 63 in 64 vitro mao [-] a was increased significantly [(] ca . 0 ###LEFT-WALL### 1 mao 0 ###LEFT-WALL### 5 increased 0 ###LEFT-WALL### 9 . 1 mao 3 a 1 mao 4 was 4 was 5 increased 5 increased 6 significantly 5 increased 8 ca higher increases in mao [-] b ( 75 % - 200 % [;] p<0.01 ) occurred in the putamen , ventral striatum , globus pallidus externus and internus of the basal ganglia and in the insular cortex . 0 ###LEFT-WALL### 2 increases 0 ###LEFT-WALL### 16 occurred 0 ###LEFT-WALL### 38 . 1 higher 2 increases 2 increases 3 in 2 increases 16 occurred 3 in 4 mao 4 mao 6 b 4 mao 14 p<0.01 7 ( 14 p<0.01 8 75 9 % 9 % 14 p<0.01 10 - 11 200 11 200 12 % 12 % 14 p<0.01 14 p<0.01 15 ) 16 occurred 33 and 17 in 27 and 17 in 33 and 18 the 22 striatum 19 putamen 20 , 19 putamen 22 striatum 21 ventral 22 striatum 22 striatum 23 , 23 , 26 externus 23 , 27 and 24 globus 26 externus 25 pallidus 26 externus 27 and 28 internus 27 and 29 of 29 of 32 ganglia 30 the 32 ganglia 31 basal 32 ganglia 33 and 34 in 34 in 37 cortex 35 the 37 cortex 36 insular 37 cortex the increased enzyme levels ( especially of mao [-] b ) seemed to correlate with the grade of disease severity . 0 ###LEFT-WALL### 4 levels 0 ###LEFT-WALL### 12 seemed 0 ###LEFT-WALL### 21 . 1 the 4 levels 2 increased 3 enzyme 3 enzyme 4 levels 4 levels 7 of 4 levels 12 seemed 5 ( 6 especially 5 ( 7 of 7 of 8 mao 7 of 11 ) 8 mao 10 b 12 seemed 13 to 12 seemed 14 correlate 13 to 14 correlate 14 correlate 15 with 15 with 17 grade 16 the 17 grade 17 grade 18 of 18 of 20 severity 19 disease 20 severity we conclude that mao increases in those regions of hd brains which are known to undergo neurodegeneration accompanied by glioses . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 16 undergo 0 ###LEFT-WALL### 21 . 1 we 2 conclude 2 conclude 3 that 3 that 4 mao 3 that 5 increases 4 mao 5 increases 5 increases 6 in 5 increases 15 to 6 in 8 regions 7 those 8 regions 8 regions 9 of 9 of 11 brains 10 hd 11 brains 11 brains 12 which 11 brains 13 are 12 which 13 are 13 are 14 known 15 to 16 undergo 16 undergo 17 neurodegeneration 16 undergo 19 by 17 neurodegeneration 18 accompanied 19 by 20 glioses whether or not this increased enzyme activity is a cause or effect of the resulting loss of the gabaergic projection neurons in hd is yet to be clarified . 0 ###LEFT-WALL### 7 activity 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 11 or 0 ###LEFT-WALL### 29 . 1 whether 2 or 2 or 3 not 3 not 4 this 3 not 5 increased 3 not 7 activity 4 this 5 increased 5 increased 6 enzyme 7 activity 8 is 8 is 10 cause 9 a 10 cause 11 or 12 effect 11 or 24 is 12 effect 13 of 12 effect 24 is 13 of 16 loss 14 the 16 loss 15 resulting 16 loss 16 loss 17 of 17 of 21 neurons 18 the 21 neurons 19 gabaergic 21 neurons 20 projection 21 neurons 21 neurons 22 in 22 in 23 hd 24 is 26 to 24 is 28 clarified 25 yet 26 to 26 to 27 be moreover , it remains to be seen if selective enzyme inhibitors have therapeutic utility in the treatment of hd by reducing oxidative stress locally . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 4 remains 0 ###LEFT-WALL### 25 . 1 moreover 2 , 1 moreover 3 it 3 it 4 remains 4 remains 5 to 4 remains 8 if 4 remains 15 in 4 remains 24 locally 5 to 6 be 6 be 7 seen 8 if 11 inhibitors 8 if 12 have 9 selective 10 enzyme 10 enzyme 11 inhibitors 11 inhibitors 12 have 12 have 14 utility 13 therapeutic 14 utility 15 in 17 treatment 16 the 17 treatment 17 treatment 18 of 17 treatment 20 by 18 of 19 hd 20 by 21 reducing 21 reducing 23 stress 22 oxidative 23 stress relatively few researchers have investigated early antecedents of adult functional limitations in developing countries . 0 ###LEFT-WALL### 3 researchers 0 ###LEFT-WALL### 5 investigated 0 ###LEFT-WALL### 15 . 1 relatively 2 few 2 few 3 researchers 3 researchers 4 have 4 have 5 investigated 5 investigated 7 antecedents 5 investigated 12 in 6 early 7 antecedents 7 antecedents 8 of 8 of 11 limitations 9 adult 11 limitations 10 functional 11 limitations 12 in 13 developing 13 developing 14 countries in this study , we assessed associations between childhood conditions and adult lower - body functional limitations ( lbfl ) as well as the potential mediating role of adult socioeconomic status , smoking , body mass index , and chronic diseases or symptoms . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 assessed 0 ###LEFT-WALL### 32 , 0 ###LEFT-WALL### 44 . 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 assessed 6 assessed 7 associations 7 associations 8 between 7 associations 23 as 8 between 11 and 9 childhood 10 conditions 10 conditions 11 and 11 and 17 limitations 11 and 19 lbfl 12 adult 17 limitations 13 lower 14 - 13 lower 15 body 15 body 17 limitations 16 functional 17 limitations 18 ( 19 lbfl 19 lbfl 20 ) 21 as 22 well 22 well 23 as 23 as 27 role 24 the 27 role 25 potential 27 role 26 mediating 27 role 27 role 28 of 28 of 31 status 29 adult 31 status 30 socioeconomic 31 status 32 , 42 or 33 smoking 34 , 34 , 37 index 34 , 39 and 35 body 36 mass 36 mass 37 index 38 , 39 and 39 and 41 diseases 39 and 42 or 40 chronic 41 diseases 42 or 43 symptoms based on data from the mexican health and aging study ( mhas ) of individuals born prior to 1951 [and] contacted in 2001 and 2003 , we found that childhood nutritional deprivation , serious health problems , and family background predict adult lbfl in mexico . 0 ###LEFT-WALL### 27 we 0 ###LEFT-WALL### 28 found 0 ###LEFT-WALL### 33 , 0 ###LEFT-WALL### 46 . 1 based 2 on 1 based 13 ) 1 based 27 we 2 on 8 and 3 data 4 from 3 data 8 and 4 from 7 health 5 the 6 mexican 6 mexican 7 health 8 and 12 mhas 9 aging 10 study 10 study 12 mhas 11 ( 12 mhas 14 of 15 individuals 14 of 27 we 16 born 18 to 16 born 26 , 16 born 27 we 17 prior 18 to 18 to 24 and 19 1951 22 in 19 1951 24 and 21 contacted 22 in 22 in 23 2001 24 and 25 2003 27 we 28 found 28 found 30 childhood 28 found 32 deprivation 29 that 30 childhood 31 nutritional 32 deprivation 33 , 38 and 33 , 41 predict 34 serious 35 health 35 health 36 problems 36 problems 38 and 37 , 38 and 38 and 40 background 38 and 41 predict 39 family 40 background 41 predict 43 lbfl 41 predict 44 in 42 adult 43 lbfl 44 in 45 mexico adjustment for the potential mediators in adulthood attenuates these associations only to a modest degree . 0 ###LEFT-WALL### 1 adjustment 0 ###LEFT-WALL### 8 attenuates 0 ###LEFT-WALL### 16 . 1 adjustment 2 for 1 adjustment 8 attenuates 2 for 5 mediators 3 the 5 mediators 4 potential 5 mediators 5 mediators 6 in 6 in 7 adulthood 8 attenuates 10 associations 8 attenuates 11 only 9 these 10 associations 11 only 12 to 12 to 15 degree 13 a 14 modest 13 a 15 degree 14 modest 15 degree frontotemporal lobar degeneration ( ftld ) can occur jointly with amyotrophic lateral sclerosis ( als ) , and these 2 conditions share a genetic risk factor on chromosome 9 . 0 ###LEFT-WALL### 3 degeneration 0 ###LEFT-WALL### 8 occur 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 30 . 1 frontotemporal 3 degeneration 2 lobar 3 degeneration 3 degeneration 5 ftld 3 degeneration 7 can 4 ( 5 ftld 5 ftld 6 ) 7 can 8 occur 8 occur 9 jointly 8 occur 10 with 10 with 13 sclerosis 11 amyotrophic 13 sclerosis 12 lateral 13 sclerosis 13 sclerosis 15 als 14 ( 15 als 15 als 16 ) 17 , 18 and 18 and 21 conditions 18 and 22 share 19 these 20 2 20 2 21 conditions 21 conditions 22 share 22 share 26 factor 22 share 27 on 23 a 24 genetic 23 a 26 factor 24 genetic 26 factor 25 risk 26 factor 27 on 28 chromosome 28 chromosome 29 9 it has [been] reported that mutations in optineurin ( optn ) can cause als . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 4 reported 0 ###LEFT-WALL### 15 . 1 it 2 has 2 has 4 reported 4 reported 5 that 5 that 6 mutations 5 that 13 cause 6 mutations 7 in 6 mutations 12 can 7 in 8 optineurin 8 optineurin 10 optn 9 ( 10 optn 10 optn 11 ) 12 can 13 cause 13 cause 14 als therefore , we sequenced optn in 371 ftld cases but no mutations were detected , suggesting changes in optn do not cause ftld . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 sequenced 0 ###LEFT-WALL### 10 but 1 therefore 2 , 1 therefore 3 we 3 we 4 sequenced 4 sequenced 5 optn 4 sequenced 6 in 6 in 7 371 7 371 8 ftld 7 371 9 cases 8 ftld 9 cases 10 but 12 mutations 10 but 14 detected 11 no 12 mutations 12 mutations 13 were 13 were 14 detected 14 detected 16 suggesting 15 , 16 suggesting 16 suggesting 17 changes 16 suggesting 22 cause 16 suggesting 24 . 17 changes 18 in 17 changes 20 do 18 in 19 optn 20 do 21 not 20 do 22 cause 22 cause 23 ftld the influence of education , occupation , and leisure activities on the passive and active components of reserve capacity remains unclear . 0 ###LEFT-WALL### 2 influence 0 ###LEFT-WALL### 20 remains 0 ###LEFT-WALL### 22 . 1 the 2 influence 2 influence 3 of 2 influence 20 remains 3 of 8 and 4 education 5 , 5 , 6 occupation 5 , 8 and 7 , 8 and 8 and 10 activities 8 and 11 on 8 and 17 of 9 leisure 10 activities 11 on 14 and 12 the 13 passive 13 passive 14 and 14 and 16 components 15 active 16 components 17 of 19 capacity 18 reserve 19 capacity 20 remains 21 unclear we used the voxel - based morphometry ( vbm ) technique in a population - based sample of 331 nondemented people in order to investigate the relationship between these factors and the cerebral volume ( a marker of brain reserve ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 used 0 ###LEFT-WALL### 42 . 1 we 2 used 2 used 17 sample 2 used 22 in 3 the 17 sample 4 voxel 11 technique 4 voxel 17 sample 5 - 11 technique 6 based 11 technique 7 morphometry 9 vbm 7 morphometry 11 technique 8 ( 9 vbm 9 vbm 10 ) 11 technique 12 in 11 technique 15 - 12 in 14 population 13 a 14 population 16 based 17 sample 17 sample 18 of 18 of 21 people 19 331 21 people 20 nondemented 21 people 22 in 23 order 23 order 24 to 23 order 25 investigate 23 order 37 marker 24 to 25 investigate 25 investigate 27 relationship 25 investigate 28 between 26 the 27 relationship 28 between 31 and 29 these 30 factors 30 factors 31 and 31 and 34 volume 32 the 34 volume 33 cerebral 34 volume 35 ( 37 marker 36 a 37 marker 37 marker 38 of 37 marker 41 ) 38 of 40 reserve 39 brain 40 reserve the results showed a positive and significant association between education , occupation , and leisure activities and the cognitive performances on isaac 's set test . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 26 . 1 the 2 results 2 results 3 showed 3 showed 8 association 3 showed 9 between 3 showed 21 on 4 a 8 association 5 positive 6 and 6 and 7 significant 6 and 8 association 9 between 17 and 10 education 11 , 11 , 12 occupation 11 , 14 and 13 , 14 and 14 and 16 activities 14 and 17 and 15 leisure 16 activities 17 and 20 performances 18 the 20 performances 19 cognitive 20 performances 21 on 25 test 22 isaac 23 's 23 's 25 test 24 set 25 test among these factors , only education was significantly associated with a cerebral volume including gray and white matter ( p = 0.01 ) . 0 ###LEFT-WALL### 5 only 0 ###LEFT-WALL### 9 associated 0 ###LEFT-WALL### 24 . 1 among 3 factors 1 among 4 , 1 among 5 only 2 these 3 factors 5 only 6 education 6 education 7 was 7 was 9 associated 8 significantly 9 associated 9 associated 10 with 10 with 13 volume 10 with 14 including 11 a 12 cerebral 11 a 13 volume 12 cerebral 13 volume 14 including 18 matter 15 gray 16 and 16 and 17 white 16 and 18 matter 18 matter 21 = 19 ( 21 = 20 p 21 = 21 = 22 0.01 21 = 23 ) in voxel - based morphometry analyses , the difference in gray matter volume was located in the temporoparietal lobes and in the orbitofrontal lobes bilaterally ( a [p] - value corrected < 0.05 by false discovery rate [ fdr ] ) . 0 ###LEFT-WALL### 9 difference 0 ###LEFT-WALL### 15 located 0 ###LEFT-WALL### 42 . 1 in 6 analyses 1 in 7 , 1 in 9 difference 2 voxel 3 - 2 voxel 6 analyses 4 based 6 analyses 5 morphometry 6 analyses 8 the 9 difference 9 difference 10 in 9 difference 14 was 10 in 13 volume 11 gray 12 matter 12 matter 13 volume 14 was 15 located 15 located 20 and 15 located 25 bilaterally 15 located 29 - 16 in 19 lobes 16 in 20 and 17 the 19 lobes 18 temporoparietal 19 lobes 20 and 21 in 21 in 24 lobes 22 the 24 lobes 23 orbitofrontal 24 lobes 26 ( 29 - 27 a 29 - 29 - 30 value 29 - 41 ) 30 value 31 corrected 30 value 33 0.05 30 value 37 rate 30 value 39 fdr 32 < 33 0.05 33 0.05 34 by 33 0.05 37 rate 34 by 36 discovery 35 false 36 discovery 38 [ 39 fdr 39 fdr 40 ] although smaller , [the] education - related difference [in] white matter volume appeared in areas connected to the education - related difference [in] gray matter volume . 0 ###LEFT-WALL### 12 volume 0 ###LEFT-WALL### 13 appeared 0 ###LEFT-WALL### 21 related 1 although 5 education 1 although 12 volume 2 smaller 3 , 2 smaller 5 education 6 - 7 related 7 related 11 matter 7 related 12 volume 8 difference 11 matter 10 white 11 matter 12 volume 13 appeared 13 appeared 14 in 14 in 15 areas 15 areas 16 connected 16 connected 17 to 17 to 19 education 18 the 19 education 20 - 21 related 21 related 26 volume 21 related 27 . 22 difference 24 gray 24 gray 25 matter 25 matter 26 volume education , occupation attainment , and leisure activities were found to contribute differently to reserve capacity . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 10 found 0 ###LEFT-WALL### 17 . 1 education 2 , 2 , 4 attainment 2 , 6 and 3 occupation 4 attainment 5 , 6 and 6 and 8 activities 6 and 9 were 7 leisure 8 activities 9 were 10 found 10 found 11 to 10 found 14 to 11 to 12 contribute 13 differently 14 to 14 to 15 reserve 15 reserve 16 capacity education could play a role in the constitution of cerebral reserve capacity . 0 ###LEFT-WALL### 1 education 0 ###LEFT-WALL### 3 play 0 ###LEFT-WALL### 13 . 1 education 2 could 2 could 3 play 3 play 5 role 3 play 6 in 4 a 5 role 6 in 8 constitution 7 the 8 constitution 8 constitution 9 of 9 of 12 capacity 10 cerebral 11 reserve 11 reserve 12 capacity insertion and deletion variants ( indels [ )(within [poly] glycine tracts [of] fused in sarcoma ( fus ) were initially reported as causative [of] disease in amyotrophic lateral sclerosis ( als ) . 0 ###LEFT-WALL### 1 insertion 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 33 . 2 and 4 variants 2 and 19 were 3 deletion 4 variants 4 variants 6 indels 4 variants 19 were 5 ( 6 indels 6 indels 8 )(within 6 indels 13 fused 6 indels 18 ) 8 )(within 11 tracts 10 glycine 11 tracts 13 fused 14 in 14 in 15 sarcoma 15 sarcoma 17 fus 16 ( 17 fus 17 fus 18 ) 19 were 20 initially 19 were 25 disease 19 were 26 in 21 reported 25 disease 22 as 23 causative 23 causative 25 disease 26 in 29 sclerosis 27 amyotrophic 29 sclerosis 28 lateral 29 sclerosis 29 sclerosis 31 als 30 ( 31 als 31 als 32 ) subsequent studies identified similar indels in controls and suggested that these indels may confer susceptibility to als . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 identified 0 ###LEFT-WALL### 18 . 1 subsequent 2 studies 2 studies 3 identified 3 identified 5 indels 3 identified 6 in 4 similar 5 indels 6 in 8 and 7 controls 8 and 8 and 9 suggested 9 suggested 10 that 10 that 12 indels 10 that 14 confer 11 these 12 indels 12 indels 13 may 13 may 14 confer 14 confer 15 susceptibility 14 confer 16 to 16 to 17 als we aimed to elucidate the role [of] previously published and novel exonic indels in fus in an extensive cohort of 630 als patients and 1063 controls . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 aimed 0 ###LEFT-WALL### 27 . 1 we 2 aimed 2 aimed 3 to 2 aimed 4 elucidate 3 to 4 elucidate 4 elucidate 10 and 4 elucidate 16 in 5 the 6 role 6 role 9 published 6 role 10 and 8 previously 9 published 10 and 13 indels 10 and 14 in 11 novel 13 indels 12 exonic 13 indels 14 in 15 fus 16 in 19 cohort 17 an 18 extensive 17 an 19 cohort 18 extensive 19 cohort 19 cohort 20 of 20 of 24 and 21 630 23 patients 22 als 23 patients 23 patients 24 and 24 and 26 controls 25 1063 26 controls we detected indels in fus exons 5 , 6 , 12 , and [14] with similar frequencies in patients ( 0.95 % ) and controls ( 0.75 % ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 detected 0 ###LEFT-WALL### 30 . 1 we 2 detected 2 detected 3 indels 2 detected 13 and 4 in 6 exons 4 in 13 and 5 fus 6 exons 6 exons 7 5 6 exons 9 6 6 exons 11 12 8 , 9 6 9 6 10 , 10 , 11 12 11 12 12 , 12 , 13 and 13 and 15 with 15 with 24 and 16 similar 17 frequencies 17 frequencies 18 in 17 frequencies 24 and 18 in 19 patients 19 patients 22 % 20 ( 22 % 21 0.95 22 % 22 % 23 ) 24 and 25 controls 24 and 28 % 26 ( 28 % 27 0.75 28 % 28 % 29 ) exonic indels in [poly] glycine tracts were also observed with similar frequencies . 0 ###LEFT-WALL### 2 indels 0 ###LEFT-WALL### 9 observed 0 ###LEFT-WALL### 13 . 1 exonic 2 indels 2 indels 3 in 2 indels 7 were 3 in 6 tracts 5 glycine 6 tracts 7 were 8 also 7 were 9 observed 9 observed 10 with 10 with 12 frequencies 11 similar 12 frequencies the largest indel ( p.gly138_tyr143del ) was observed in 1 control . 0 ###LEFT-WALL### 3 indel 0 ###LEFT-WALL### 8 observed 0 ###LEFT-WALL### 12 . 1 the 2 largest 1 the 3 indel 3 indel 5 p.gly138_tyr143del 3 indel 7 was 4 ( 5 p.gly138_tyr143del 5 p.gly138_tyr143del 6 ) 7 was 8 observed 8 observed 9 in 9 in 11 control 10 1 11 control in 1 patient , a 3 base pair deletion in exon 14 ( p.gly475del ) was identified , however in vitro studies did not reveal abnormal localization of p.gly475del mutant fus . 0 ###LEFT-WALL### 9 deletion 0 ###LEFT-WALL### 17 identified 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 32 . 1 in 3 patient 1 in 4 , 1 in 9 deletion 2 1 3 patient 5 a 9 deletion 6 3 8 pair 7 base 8 pair 8 pair 9 deletion 9 deletion 10 in 9 deletion 14 p.gly475del 9 deletion 16 was 10 in 11 exon 11 exon 12 14 13 ( 14 p.gly475del 14 p.gly475del 15 ) 16 was 17 identified 18 , 22 studies 18 , 25 reveal 19 however 22 studies 20 in 21 vitro 21 vitro 22 studies 22 studies 23 did 23 did 24 not 23 did 25 reveal 25 reveal 27 localization 26 abnormal 27 localization 27 localization 28 of 28 of 31 fus 29 p.gly475del 30 mutant 30 mutant 31 fus these findings suggest that not all exonic indels in fus cause disease . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 13 . 1 these 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 8 indels 4 that 11 cause 5 not 6 all 6 all 8 indels 7 exonic 8 indels 8 indels 9 in 9 in 10 fus 11 cause 12 disease subjects underwent magnetic resonance imaging ( mri ) . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 2 underwent 0 ###LEFT-WALL### 9 . 1 subjects 2 underwent 2 underwent 5 imaging 3 magnetic 4 resonance 4 resonance 5 imaging 5 imaging 7 mri 6 ( 7 mri 7 mri 8 ) patterns of wm were assessed using voxel - based morphometry . 0 ###LEFT-WALL### 1 patterns 0 ###LEFT-WALL### 5 assessed 0 ###LEFT-WALL### 11 . 1 patterns 2 of 1 patterns 4 were 2 of 3 wm 4 were 5 assessed 5 assessed 6 using 6 using 10 morphometry 7 voxel 8 - 7 voxel 10 morphometry 9 based 10 morphometry compared with healthy controls , load patients had a selective parahippocampal wm loss , while eoad patients experienced a more widespread pattern of posterior wm atrophy . 0 ###LEFT-WALL### 7 patients 0 ###LEFT-WALL### 8 had 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 27 . 1 compared 2 with 1 compared 5 , 1 compared 7 patients 2 with 4 controls 3 healthy 4 controls 6 load 7 patients 7 patients 8 had 8 had 13 loss 9 a 10 selective 9 a 13 loss 10 selective 13 loss 11 parahippocampal 13 loss 12 wm 13 loss 14 , 17 patients 14 , 18 experienced 15 while 16 eoad 15 while 17 patients 17 patients 18 experienced 18 experienced 22 pattern 19 a 22 pattern 20 more 21 widespread 21 widespread 22 pattern 22 pattern 23 of 23 of 26 atrophy 24 posterior 26 atrophy 25 wm 26 atrophy the distinct regional distribution of wm atrophy reflected the topography of gray matter ( gm ) [loss] . 0 ###LEFT-WALL### 4 distribution 0 ###LEFT-WALL### 8 reflected 0 ###LEFT-WALL### 18 . 1 the 4 distribution 2 distinct 4 distribution 3 regional 4 distribution 4 distribution 5 of 4 distribution 8 reflected 5 of 7 atrophy 6 wm 7 atrophy 8 reflected 10 topography 9 the 10 topography 10 topography 11 of 11 of 13 matter 12 gray 13 matter 13 matter 15 gm 14 ( 15 gm 15 gm 16 ) apoe ε4 status was associated with a greater parahippocampal wm loss in both ad groups . 0 ###LEFT-WALL### 3 status 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 16 . 1 apoe 3 status 2 ε4 3 status 3 status 4 was 4 was 5 associated 5 associated 6 with 5 associated 12 in 6 with 11 loss 7 a 11 loss 8 greater 11 loss 9 parahippocampal 11 loss 10 wm 11 loss 12 in 15 groups 13 both 15 groups 14 ad 15 groups the greater wm atrophy in eoad than load fits with the evidence that eoad is a more aggressive form of the disease . 0 ###LEFT-WALL### 3 wm 0 ###LEFT-WALL### 4 atrophy 0 ###LEFT-WALL### 23 . 1 the 3 wm 2 greater 3 wm 3 wm 4 atrophy 4 atrophy 5 in 4 atrophy 7 than 5 in 6 eoad 7 than 8 load 7 than 9 fits 7 than 20 of 8 load 9 fits 9 fits 10 with 10 with 12 evidence 11 the 12 evidence 12 evidence 13 that 13 that 14 eoad 13 that 15 is 14 eoad 15 is 15 is 19 form 16 a 19 form 17 more 18 aggressive 18 aggressive 19 form 20 of 22 disease 21 the 22 disease the apoe ε4 effect on wm damage in ad is restricted to specific wm regions and does not seem to be related to age [of] [onset] . 0 ###LEFT-WALL### 4 effect 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 27 . 1 the 4 effect 2 apoe 4 effect 3 ε4 4 effect 4 effect 5 on 4 effect 16 and 5 on 7 damage 6 wm 7 damage 7 damage 8 in 8 in 9 ad 10 is 11 restricted 10 is 16 and 11 restricted 12 to 12 to 15 regions 13 specific 15 regions 14 wm 15 regions 16 and 17 does 17 does 18 not 17 does 19 seem 19 seem 20 to 19 seem 23 to 19 seem 24 age 20 to 21 be 21 be 22 related 23 to 24 age this study examines whether midlife change in episodic memory predicts hippocampal volume in old age . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 examines 0 ###LEFT-WALL### 16 . 1 this 2 study 2 study 3 examines 3 examines 4 whether 4 whether 6 change 4 whether 10 predicts 5 midlife 6 change 6 change 7 in 6 change 10 predicts 7 in 9 memory 8 episodic 9 memory 10 predicts 12 volume 10 predicts 13 in 11 hippocampal 12 volume 13 in 15 age 14 old 15 age from the seattle longitudinal study we retrospectively identified 84 healthy , cognitively normal individuals , age 52 to 87 , whose episodic memory had reliably declined ( n = 33 ) , improved ( n = 28 ) or remained stable ( n = 23 ) over a 14 [-] year period in midlife ( age 43 - 63 ) . 0 ###LEFT-WALL### 16 age 0 ###LEFT-WALL### 39 or 1 from 5 study 1 from 16 age 2 the 5 study 3 seattle 4 longitudinal 4 longitudinal 5 study 5 study 6 we 5 study 8 identified 6 we 8 identified 7 retrospectively 8 identified 9 84 16 age 10 healthy 14 individuals 10 healthy 15 , 10 healthy 16 age 11 , 14 individuals 12 cognitively 13 normal 13 normal 14 individuals 14 individuals 15 , 16 age 18 to 16 age 21 whose 16 age 39 or 17 52 18 to 18 to 19 87 20 , 21 whose 21 whose 23 memory 21 whose 32 , 22 episodic 23 memory 23 memory 24 had 24 had 26 declined 25 reliably 26 declined 26 declined 29 = 27 ( 29 = 28 n 29 = 29 = 30 33 29 = 31 ) 33 improved 36 = 33 improved 39 or 34 ( 36 = 35 n 36 = 36 = 37 28 36 = 38 ) 39 or 40 remained 40 remained 41 stable 41 stable 44 = 41 stable 47 over 41 stable 53 in 42 ( 44 = 43 n 44 = 44 = 45 23 44 = 46 ) 47 over 52 period 48 a 52 period 49 14 51 year 51 year 52 period 53 in 54 midlife 54 midlife 56 age 55 ( 56 age 56 age 57 43 56 age 59 63 56 age 61 . 58 - 59 63 59 63 60 ) midlife memory improvement was associated with 13 % larger hippocampal volume ( p < 0.01 ) in old age ( age 66 - 87 ) , compared with old age individuals whose midlife episodic memory had either declined or remained stable during midlife . 0 ###LEFT-WALL### 3 improvement 0 ###LEFT-WALL### 26 , 0 ###LEFT-WALL### 44 . 1 midlife 2 memory 2 memory 3 improvement 3 improvement 26 , 4 was 5 associated 4 was 26 , 5 associated 6 with 5 associated 14 < 5 associated 17 in 6 with 8 % 6 with 11 volume 7 13 8 % 9 larger 11 volume 10 hippocampal 11 volume 12 ( 14 < 13 p 14 < 14 < 15 0.01 14 < 16 ) 17 in 19 age 18 old 19 age 19 age 21 age 20 ( 21 age 21 age 22 66 21 age 24 87 21 age 25 ) 23 - 24 87 24 87 25 ) 26 , 27 compared 27 compared 28 with 27 compared 42 during 28 with 30 age 29 old 30 age 30 age 31 individuals 30 age 41 stable 31 individuals 32 whose 31 individuals 33 midlife 31 individuals 40 remained 31 individuals 41 stable 32 whose 33 midlife 33 midlife 39 or 34 episodic 35 memory 35 memory 36 had 36 had 38 declined 36 had 39 or 37 either 38 declined 39 or 40 remained 42 during 43 midlife midlife memory change did not predict total hippocampal volume for those currently in late middle age ( age 52 - 65 ) . 0 ###LEFT-WALL### 3 change 0 ###LEFT-WALL### 6 predict 0 ###LEFT-WALL### 23 . 1 midlife 3 change 2 memory 3 change 3 change 4 did 4 did 5 not 4 did 6 predict 6 predict 9 volume 6 predict 12 currently 6 predict 13 in 7 total 9 volume 8 hippocampal 9 volume 9 volume 10 for 10 for 11 those 13 in 16 age 14 late 15 middle 15 middle 16 age 16 age 18 age 17 ( 18 age 18 age 20 - 18 age 22 ) 19 52 20 - 20 - 21 65 the pattern of findings was not modified by gender , apolipoprotein ε4 status , education or current memory performance . 0 ###LEFT-WALL### 2 pattern 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 20 . 1 the 2 pattern 2 pattern 3 of 2 pattern 5 was 3 of 4 findings 5 was 6 not 5 was 8 by 6 not 7 modified 8 by 16 or 9 gender 10 , 10 , 13 status 10 , 14 , 11 apolipoprotein 13 status 12 ε4 13 status 14 , 15 education 14 , 16 or 16 or 19 performance 17 current 18 memory 18 memory 19 performance change in midlife memory scores over 14 years , but not any single assessment , predicted hippocampal volumes in old age , emphasizing the importance of longitudinal data in examining brain - cognition relationships . 0 ###LEFT-WALL### 1 change 0 ###LEFT-WALL### 5 scores 0 ###LEFT-WALL### 16 predicted 1 change 2 in 1 change 5 scores 2 in 4 memory 3 midlife 4 memory 5 scores 10 but 6 over 7 14 7 14 8 years 8 years 10 but 9 , 10 but 10 but 11 not 10 but 14 assessment 12 any 14 assessment 13 single 14 assessment 15 , 16 predicted 16 predicted 18 volumes 16 predicted 19 in 16 predicted 35 . 17 hippocampal 18 volumes 19 in 21 age 20 old 21 age 21 age 23 emphasizing 21 age 34 relationships 22 , 23 emphasizing 23 emphasizing 25 importance 23 emphasizing 29 in 23 emphasizing 32 - 24 the 25 importance 25 importance 26 of 26 of 28 data 27 longitudinal 28 data 29 in 30 examining 30 examining 31 brain 32 - 34 relationships 33 cognition 34 relationships 34 relationships 35 . these findings suggest that improvement in memory in midlife is associated with sparing of hippocampal volume in later life . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 20 . 1 these 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 5 improvement 4 that 11 associated 5 improvement 6 in 5 improvement 10 is 6 in 7 memory 7 memory 8 in 8 in 9 midlife 10 is 11 associated 11 associated 12 with 11 associated 17 in 12 with 13 sparing 13 sparing 14 of 14 of 16 volume 15 hippocampal 16 volume 17 in 19 life 18 later 19 life prion diseases associated with the conversion of the cellular prion protein ( prp [(] c [ )( (to the misfolded isoform ( [prp] ( sc [ )( (, affect the central nervous system ( cns [ )(of humans and animals . 0 ###LEFT-WALL### 2 diseases 0 ###LEFT-WALL### 28 (, 1 prion 2 diseases 2 diseases 28 (, 3 associated 4 with 3 associated 28 (, 4 with 6 conversion 4 with 18 (to 5 the 6 conversion 6 conversion 7 of 6 conversion 13 prp 7 of 11 protein 8 the 11 protein 9 cellular 10 prion 10 prion 11 protein 12 ( 13 prp 13 prp 15 c 13 prp 17 )( 18 (to 21 isoform 19 the 21 isoform 20 misfolded 21 isoform 22 ( 25 sc 22 ( 28 (, 24 ( 25 sc 25 sc 27 )( 28 (, 29 affect 29 affect 33 system 30 the 33 system 31 central 33 system 32 nervous 33 system 33 system 35 cns 34 ( 35 cns 35 cns 37 )(of 35 cns 41 . 37 )(of 39 and 38 humans 39 and 39 and 40 animals resveratrol , an activator of class [iii] histone deacetylase sirt1 , is important in attenuating cellular injury and oxidative stress . 0 ###LEFT-WALL### 1 resveratrol 0 ###LEFT-WALL### 12 is 0 ###LEFT-WALL### 21 . 1 resveratrol 4 activator 1 resveratrol 12 is 2 , 4 activator 3 an 4 activator 4 activator 5 of 4 activator 11 , 5 of 10 sirt1 6 class 9 deacetylase 8 histone 9 deacetylase 9 deacetylase 10 sirt1 12 is 20 stress 13 important 14 in 13 important 18 and 14 in 15 attenuating 15 attenuating 17 injury 16 cellular 17 injury 18 and 19 oxidative 18 and 20 stress the present study investigated the effects of sirt1 activation on prion protein - mediated neuronal cell death and examined its possible signals in intracellular apoptotic pathways . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 investigated 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 27 . 1 the 3 study 2 present 3 study 3 study 4 investigated 4 investigated 6 effects 4 investigated 10 on 5 the 6 effects 6 effects 7 of 7 of 9 activation 8 sirt1 9 activation 10 on 12 protein 11 prion 12 protein 13 - 18 and 14 mediated 17 death 14 mediated 18 and 15 neuronal 16 cell 16 cell 17 death 18 and 19 examined 19 examined 22 signals 19 examined 23 in 20 its 22 signals 21 possible 22 signals 23 in 26 pathways 24 intracellular 26 pathways 25 apoptotic 26 pathways resveratrol treatment significantly increased both sirt1 protein expression and sirt1 activity and protected neuronal cells against prp ( 106 - 126 ) - induced cell death . 0 ###LEFT-WALL### 2 treatment 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 23 - 1 resveratrol 2 treatment 2 treatment 12 and 3 significantly 4 increased 4 increased 11 activity 4 increased 12 and 5 both 9 and 6 sirt1 8 expression 7 protein 8 expression 8 expression 9 and 9 and 10 sirt1 9 and 11 activity 12 and 13 protected 13 protected 15 cells 14 neuronal 15 cells 15 cells 16 against 15 cells 20 - 16 against 17 prp 18 ( 20 - 19 106 20 - 20 - 21 126 20 - 22 ) 23 - 26 death 23 - 27 . 24 induced 25 cell 25 cell 26 death resveratrol - mediated sirt1 activation decreased the acetylation of p53 and p65 induced by prion protein and sirt1 inhibitor . 0 ###LEFT-WALL### 5 activation 0 ###LEFT-WALL### 6 decreased 0 ###LEFT-WALL### 20 . 1 resveratrol 2 - 1 resveratrol 5 activation 3 mediated 5 activation 4 sirt1 5 activation 5 activation 6 decreased 6 decreased 8 acetylation 6 decreased 14 by 7 the 8 acetylation 8 acetylation 9 of 9 of 11 and 10 p53 11 and 11 and 12 p65 11 and 13 induced 14 by 17 and 15 prion 16 protein 16 protein 17 and 17 and 19 inhibitor 18 sirt1 19 inhibitor sirt1 activation also inhibited prp ( 106 - 126 ) - mediated p38 mitogen - activating protein [kinase] ( mapk ) activation and caspase [-] 3 cleavage , and increased the expression of anti - apoptotic bcl - xl protein . 0 ###LEFT-WALL### 2 activation 0 ###LEFT-WALL### 29 and 0 ###LEFT-WALL### 41 . 1 sirt1 2 activation 2 activation 29 and 3 also 4 inhibited 4 inhibited 5 prp 4 inhibited 29 and 5 prp 7 106 6 ( 7 106 7 106 9 126 7 106 23 and 7 106 28 , 8 - 9 126 9 126 10 ) 11 - 23 and 12 mediated 22 activation 13 p38 22 activation 14 mitogen 17 protein 14 mitogen 22 activation 15 - 17 protein 16 activating 17 protein 17 protein 20 mapk 17 protein 21 ) 19 ( 20 mapk 20 mapk 21 ) 22 activation 23 and 23 and 27 cleavage 23 and 28 , 24 caspase 27 cleavage 26 3 27 cleavage 29 and 30 increased 30 increased 32 expression 31 the 32 expression 32 expression 33 of 33 of 40 protein 34 anti 37 bcl 34 anti 39 xl 35 - 37 bcl 36 apoptotic 37 bcl 37 bcl 38 - 39 xl 40 protein furthermore , sirt1 overexpression by using [adenoviral] [vector] protected neuronal cells against prp ( 106 - 126 ) . 0 ###LEFT-WALL### 4 overexpression 0 ###LEFT-WALL### 9 protected 0 ###LEFT-WALL### 19 . 1 furthermore 2 , 1 furthermore 4 overexpression 3 sirt1 4 overexpression 4 overexpression 5 by 4 overexpression 9 protected 5 by 6 using 9 protected 11 cells 10 neuronal 11 cells 11 cells 12 against 12 against 13 prp 13 prp 16 - 14 ( 16 - 15 106 16 - 16 - 17 126 16 - 18 ) these results indicate that resveratrol inhibits prp ( 106 - 126 ) - induced neuronal cell death by regulating sirt1 activity and sirt - related signaling , and suggest that prion - related disease may be attenuated by sirt1 activation or by intake of sirt1 - activating molecules . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 28 and 1 these 2 results 2 results 28 and 3 indicate 4 that 3 indicate 28 and 4 that 5 resveratrol 4 that 6 inhibits 5 resveratrol 6 inhibits 6 inhibits 7 prp 6 inhibits 10 - 6 inhibits 24 - 8 ( 10 - 9 106 10 - 10 - 11 126 10 - 12 ) 13 - 24 - 14 induced 16 cell 15 neuronal 16 cell 16 cell 17 death 17 death 18 by 17 death 24 - 18 by 19 regulating 19 regulating 22 and 20 sirt1 21 activity 21 activity 22 and 22 and 23 sirt 24 - 26 signaling 24 - 27 , 25 related 26 signaling 28 and 29 suggest 29 suggest 30 that 30 that 31 prion 30 that 37 attenuated 31 prion 35 may 32 - 33 related 33 related 34 disease 33 related 35 may 35 may 36 be 36 be 37 attenuated 37 attenuated 41 or 38 by 40 activation 38 by 41 or 39 sirt1 40 activation 41 or 42 by 42 by 43 intake 43 intake 44 of 44 of 45 sirt1 45 sirt1 47 activating 46 - 47 activating 47 activating 48 molecules 47 activating 49 . objective : to determine age - specific serum anti - müllerian [hormone] ( amh ) values for women presenting to u.s . fertility clinics . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 determine 2 : 22 . 2 : 25 . 3 to 4 determine 4 determine 5 age 4 determine 16 values 5 age 11 müllerian 5 age 16 values 6 - 11 müllerian 7 specific 8 serum 8 serum 11 müllerian 9 anti 10 - 9 anti 11 müllerian 11 müllerian 14 amh 11 müllerian 15 ) 13 ( 14 amh 14 amh 15 ) 16 values 17 for 16 values 19 presenting 17 for 18 women 19 presenting 20 to 20 to 21 u.s 22 . 24 clinics 23 fertility 24 clinics design : retrospective study . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 . 1 design 2 : 2 : 4 study 3 retrospective 4 study setting : single clinical reference laboratory . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 2 : 6 laboratory 2 : 7 . 3 single 5 reference 4 clinical 5 reference 5 reference 6 laboratory patient ( s ) : a total of 17,120 women of reproductive age ranging from 24 to 50 years old . 0 ###LEFT-WALL### 1 patient 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 21 . 1 patient 3 s 1 patient 5 : 2 ( 3 s 3 s 4 ) 5 : 7 total 6 a 7 total 7 total 8 of 8 of 10 women 9 17,120 10 women 10 women 11 of 10 women 15 from 11 of 13 age 12 reproductive 13 age 13 age 14 ranging 15 from 17 to 16 24 17 to 17 to 18 50 17 to 20 old 18 50 19 years 19 years 20 old intervention ( s ) : none . 0 ###LEFT-WALL### 1 intervention 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 7 . 1 intervention 3 s 1 intervention 5 : 2 ( 3 s 3 s 4 ) 5 : 6 none main outcome measure ( s ) : determination of single - year median and mean amh values with sds . 0 ###LEFT-WALL### 3 measure 0 ###LEFT-WALL### 7 : 0 ###LEFT-WALL### 20 . 1 main 2 outcome 2 outcome 3 measure 3 measure 5 s 3 measure 7 : 4 ( 5 s 5 s 6 ) 7 : 8 determination 8 determination 9 of 9 of 17 values 10 single 11 - 10 single 17 values 12 year 17 values 13 median 14 and 14 and 15 mean 14 and 17 values 16 amh 17 values 17 values 18 with 18 with 19 sds result ( s ) : single - year [-] specific median , mean , and sd values are summarized in table 1 . 0 ###LEFT-WALL### 1 result 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 7 - 1 result 3 s 1 result 5 : 2 ( 3 s 3 s 4 ) 5 : 6 single 7 - 13 mean 7 - 15 and 7 - 23 . 8 year 13 mean 10 specific 13 mean 11 median 12 , 11 median 13 mean 14 , 15 and 15 and 17 values 15 and 19 summarized 16 sd 17 values 17 values 18 are 18 are 19 summarized 19 summarized 20 in 20 in 21 table 21 table 22 1 both median and mean amh values decreased steadily in a manner highly correlated with advancing age . 0 ###LEFT-WALL### 6 values 0 ###LEFT-WALL### 7 decreased 0 ###LEFT-WALL### 17 . 1 both 6 values 2 median 3 and 3 and 4 mean 3 and 6 values 5 amh 6 values 6 values 7 decreased 7 decreased 8 steadily 7 decreased 9 in 7 decreased 14 with 9 in 11 manner 10 a 11 manner 11 manner 13 correlated 12 highly 13 correlated 14 with 15 advancing 15 advancing 16 age the average yearly decrease in the median serum amh value was 0.2 ng/ml/year through age 35 and then diminished to 0.1 ng/ml/year after age 35 . 0 ###LEFT-WALL### 4 decrease 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 26 . 1 the 4 decrease 2 average 4 decrease 3 yearly 4 decrease 4 decrease 5 in 4 decrease 17 and 5 in 10 value 6 the 10 value 7 median 8 serum 8 serum 10 value 9 amh 10 value 11 was 13 ng/ml/year 11 was 17 and 12 0.2 13 ng/ml/year 13 ng/ml/year 14 through 14 through 15 age 15 age 16 35 17 and 19 diminished 17 and 20 to 17 and 23 after 18 then 19 diminished 20 to 22 ng/ml/year 21 0.1 22 ng/ml/year 23 after 24 age 24 age 25 35 the rate of [decline] in mean amh values was 0.2 ng/ml/year through age 40 and then diminished to 0.1 ng/ml/year thereafter . 0 ###LEFT-WALL### 2 rate 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 22 . 1 the 2 rate 2 rate 3 of 2 rate 15 and 3 of 5 in 5 in 8 values 6 mean 8 values 7 amh 8 values 9 was 11 ng/ml/year 9 was 15 and 10 0.2 11 ng/ml/year 11 ng/ml/year 12 through 12 through 13 age 13 age 14 40 15 and 17 diminished 15 and 18 to 15 and 21 thereafter 16 then 17 diminished 18 to 20 ng/ml/year 19 0.1 20 ng/ml/year conclusion ( s ) : median and mean amh levels decreased steadily with increasing age from 24 to 50 years of age . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 23 . 1 conclusion 3 s 1 conclusion 5 : 2 ( 3 s 3 s 4 ) 5 : 6 median 7 and 10 levels 7 and 11 decreased 8 mean 10 levels 9 amh 10 levels 10 levels 11 decreased 11 decreased 12 steadily 11 decreased 13 with 11 decreased 16 from 13 with 14 increasing 14 increasing 15 age 16 from 20 years 17 24 18 to 18 to 19 50 18 to 20 years 20 years 21 of 21 of 22 age such data may be of value to physicians and their patients who are considering reproductive options . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 4 be 0 ###LEFT-WALL### 17 . 1 such 2 data 2 data 3 may 3 may 4 be 4 be 5 of 4 be 7 to 5 of 6 value 7 to 9 and 8 physicians 9 and 9 and 11 patients 9 and 12 who 9 and 13 are 10 their 11 patients 12 who 13 are 13 are 14 considering 14 considering 16 options 15 reproductive 16 options th17 cells , which produce il - 17 and il - 22 , promote autoimmunity in mice and have been implicated in the pathogenesis of autoimmune/inflammatory diseases in humans . 0 ###LEFT-WALL### 2 cells 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 30 . 1 th17 2 cells 2 cells 4 which 2 cells 18 and 3 , 4 which 4 which 5 produce 4 which 13 , 5 produce 6 il 6 il 10 il 7 - 10 il 8 17 9 and 9 and 10 il 10 il 12 22 10 il 13 , 11 - 12 22 12 22 13 , 14 promote 15 autoimmunity 14 promote 16 in 14 promote 18 and 16 in 17 mice 18 and 19 have 19 have 20 been 20 been 21 implicated 21 implicated 22 in 21 implicated 28 in 22 in 24 pathogenesis 23 the 24 pathogenesis 24 pathogenesis 25 of 25 of 27 diseases 26 autoimmune/inflammatory 27 diseases 28 in 29 humans however , the th17 immune response in the aging process is still not clear . 0 ###LEFT-WALL### 6 response 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 15 . 1 however 2 , 1 however 6 response 3 the 6 response 4 th17 6 response 5 immune 6 response 6 response 7 in 6 response 11 is 7 in 10 process 8 the 10 process 9 aging 10 process 11 is 12 still 11 is 13 not 11 is 14 clear in the present study , we found that the induction of il - 17 - producing cd4 [(] [+] ) t [cells] was significantly increased in aged individuals compared with young healthy ones . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 found 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 34 . 1 in 4 study 1 in 5 , 1 in 6 we 2 the 4 study 3 present 4 study 6 we 7 found 7 found 8 that 7 found 10 induction 9 the 10 induction 10 induction 11 of 11 of 12 il 13 - 14 17 13 - 15 - 14 17 15 - 15 - 21 t 16 producing 17 cd4 16 producing 20 ) 16 producing 21 t 21 t 23 was 23 was 24 significantly 23 was 25 increased 25 increased 26 in 26 in 28 individuals 27 aged 28 individuals 28 individuals 29 compared 29 compared 30 with 30 with 33 ones 31 young 33 ones 32 healthy 33 ones the mrna expression of il - 17 , il - 17f , il - 22 , and rorc2 was also significantly increased in aged people . 0 ###LEFT-WALL### 3 expression 0 ###LEFT-WALL### 22 increased 0 ###LEFT-WALL### 26 . 1 the 3 expression 2 mrna 3 expression 3 expression 4 of 3 expression 19 was 4 of 17 and 5 il 7 17 5 il 17 and 6 - 7 17 7 17 9 il 7 17 16 , 8 , 9 il 9 il 11 17f 9 il 13 il 9 il 16 , 10 - 11 17f 11 17f 12 , 12 , 13 il 13 il 15 22 13 il 16 , 14 - 15 22 15 22 16 , 16 , 17 and 17 and 18 rorc2 19 was 22 increased 20 also 22 increased 21 significantly 22 increased 22 increased 23 in 23 in 25 people 24 aged 25 people similar to humans , th17 cells as well as mrnas encoding il - 17 , il - 22 and rorγt were dramatically elevated in naïve [t] cells from aged mouse compared [to] young ones . 0 ###LEFT-WALL### 20 rorγt 0 ###LEFT-WALL### 23 elevated 0 ###LEFT-WALL### 35 . 1 similar 2 to 1 similar 15 , 1 similar 20 rorγt 2 to 3 humans 3 humans 6 cells 3 humans 14 17 4 , 6 cells 5 th17 6 cells 6 cells 9 as 6 cells 13 - 7 as 8 well 8 well 9 as 9 as 10 mrnas 10 mrnas 11 encoding 11 encoding 12 il 13 - 14 17 14 17 15 , 16 il 17 - 16 il 20 rorγt 18 22 19 and 19 and 20 rorγt 20 rorγt 21 were 21 were 23 elevated 22 dramatically 23 elevated 23 elevated 24 in 24 in 27 cells 25 naïve 27 cells 27 cells 28 from 28 from 34 ones 29 aged 30 mouse 30 mouse 31 compared 31 compared 34 ones 33 young 34 ones in addition , cd44 positive il - 17 - producing cd4 [(] [+] ) [t] cells were significantly higher in aged mice , suggesting that memory t cells are an important source of il - 17 production . 0 ###LEFT-WALL### 1 in 0 ###LEFT-WALL### 17 were 0 ###LEFT-WALL### 35 - 1 in 2 addition 1 in 17 were 2 addition 6 il 3 , 6 il 4 cd44 6 il 5 positive 6 il 6 il 8 17 6 il 10 producing 6 il 14 ) 7 - 8 17 8 17 9 - 9 - 10 producing 10 producing 11 cd4 10 producing 14 ) 16 cells 17 were 17 were 18 significantly 17 were 19 higher 19 higher 20 in 19 higher 24 suggesting 20 in 22 mice 21 aged 22 mice 23 , 24 suggesting 24 suggesting 25 that 24 suggesting 35 - 25 that 28 cells 25 that 29 are 26 memory 27 t 26 memory 28 cells 28 cells 29 are 29 are 32 source 30 an 31 important 30 an 32 source 31 important 32 source 32 source 33 of 33 of 34 il 35 - 37 production 35 - 38 . 36 17 37 production furthermore , the percentage [of] il - 17 - producing cd4 [(] [+] [ )(t cells generated in co - culture with dendritic cells from either aged or young mice did not show significant differences , suggesting that dendritic cells do not play a primary role in the elevation of th17 cytokines in aged mouse cells [.] 1 furthermore 2 , 1 furthermore 6 il 3 the 6 il 4 percentage 6 il 6 il 8 17 6 il 10 producing 6 il 17 generated 7 - 8 17 8 17 9 - 9 - 10 producing 10 producing 16 cells 11 cd4 15 )(t 11 cd4 16 cells 17 generated 18 in 17 generated 22 with 17 generated 25 from 17 generated 28 or 18 in 21 culture 19 co 20 - 19 co 21 culture 22 with 24 cells 23 dendritic 24 cells 25 from 26 either 27 aged 28 or 28 or 29 young 28 or 30 mice 28 or 33 show 28 or 37 suggesting 30 mice 31 did 31 did 32 not 31 did 33 show 33 show 35 differences 34 significant 35 differences 36 , 37 suggesting 37 suggesting 38 that 38 that 40 cells 38 that 43 play 39 dendritic 40 cells 40 cells 41 do 41 do 42 not 41 do 43 play 43 play 46 role 44 a 46 role 45 primary 46 role 46 role 47 in 46 role 50 of 47 in 49 elevation 48 the 49 elevation 50 of 52 cytokines 51 th17 52 cytokines 52 cytokines 53 in 53 in 56 cells 54 aged 55 mouse 55 mouse 56 cells importantly , [transfer] of cd4 [(] [+] )cd45rb ( hi ) cells from aged mice induced more severe colitis in rag ( [-] [/] [-] [ )(mice compared to cells from young mice , taken together , these results suggest that [th17] immune responses are elevated in aging humans and mice and may contribute to the increased development of inflammatory disorders in the elderly [.] 1 importantly 2 , 1 importantly 12 cells 4 of 8 )cd45rb 4 of 12 cells 5 cd4 8 )cd45rb 9 ( 10 hi 10 hi 11 ) 10 hi 12 cells 12 cells 13 from 12 cells 16 induced 13 from 15 mice 14 aged 15 mice 16 induced 19 colitis 16 induced 20 in 17 more 19 colitis 18 severe 19 colitis 20 in 21 rag 21 rag 27 )(mice 22 ( 27 )(mice 27 )(mice 28 compared 27 )(mice 31 from 27 )(mice 35 taken 27 )(mice 37 , 28 compared 29 to 29 to 30 cells 31 from 33 mice 32 young 33 mice 34 , 35 taken 35 taken 36 together 35 taken 37 , 37 , 40 suggest 38 these 39 results 39 results 40 suggest 40 suggest 52 and 41 that 43 immune 43 immune 44 responses 44 responses 45 are 45 are 52 and 46 elevated 47 in 46 elevated 50 and 46 elevated 52 and 47 in 48 aging 49 humans 50 and 50 and 51 mice 52 and 53 may 53 may 54 contribute 54 contribute 55 to 54 contribute 62 in 55 to 58 development 56 the 58 development 57 increased 58 development 58 development 59 of 59 of 61 disorders 60 inflammatory 61 disorders 62 in 64 elderly 63 the 64 elderly studies addressing immunosenescence in the immune system have expanded to focus on the innate as well as the adaptive responses . 0 ###LEFT-WALL### 1 studies 0 ###LEFT-WALL### 9 expanded 0 ###LEFT-WALL### 21 . 1 studies 2 addressing 1 studies 8 have 2 addressing 3 immunosenescence 2 addressing 4 in 4 in 7 system 5 the 7 system 6 immune 7 system 8 have 9 expanded 9 expanded 10 to 9 expanded 17 as 10 to 11 focus 11 focus 12 on 12 on 14 innate 13 the 14 innate 15 as 16 well 16 well 17 as 17 as 20 responses 18 the 20 responses 19 adaptive 20 responses in particular , aging results in alterations in the function of toll - like receptors ( tlrs ) , the first described pattern recognition receptor family of the innate immune system . 0 ###LEFT-WALL### 21 first 0 ###LEFT-WALL### 22 described 0 ###LEFT-WALL### 32 . 1 in 2 particular 2 particular 21 first 3 , 4 aging 4 aging 5 results 4 aging 8 in 4 aging 14 like 4 aging 19 , 4 aging 21 first 5 results 6 in 6 in 7 alterations 8 in 10 function 9 the 10 function 10 function 11 of 11 of 12 toll 13 - 14 like 14 like 15 receptors 14 like 19 , 15 receptors 17 tlrs 16 ( 17 tlrs 17 tlrs 18 ) 20 the 21 first 21 first 22 described 22 described 26 family 23 pattern 26 family 24 recognition 25 receptor 25 receptor 26 family 26 family 27 of 27 of 31 system 28 the 31 system 29 innate 31 system 30 immune 31 system recent studies [have] begun to elucidate the consequences of aging on tlr function in human cohorts and add to existing findings performed in animal models . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 26 . 1 recent 2 studies 2 studies 4 begun 2 studies 11 on 2 studies 17 and 4 begun 5 to 5 to 6 elucidate 6 elucidate 8 consequences 7 the 8 consequences 8 consequences 9 of 9 of 10 aging 11 on 12 tlr 13 function 14 in 13 function 17 and 14 in 16 cohorts 15 human 16 cohorts 17 and 18 add 17 and 19 to 17 and 21 findings 19 to 20 existing 21 findings 22 performed 21 findings 23 in 23 in 25 models 24 animal 25 models in general , these studies show that human tlr function is impaired in the context of aging , and in addition there is evidence for inappropriate persistence of tlr activation in specific systems . 0 ###LEFT-WALL### 5 studies 0 ###LEFT-WALL### 6 show 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 34 . 1 in 2 general 2 general 3 , 2 general 5 studies 4 these 5 studies 5 studies 6 show 6 show 10 function 6 show 12 impaired 7 that 10 function 8 human 10 function 9 tlr 10 function 10 function 11 is 11 is 12 impaired 12 impaired 13 in 13 in 15 context 14 the 15 context 15 context 16 of 16 of 17 aging 18 , 19 and 19 and 22 there 19 and 23 is 20 in 21 addition 20 in 22 there 22 there 23 is 23 is 24 evidence 23 is 25 for 23 is 31 in 25 for 27 persistence 26 inappropriate 27 persistence 27 persistence 28 of 28 of 30 activation 29 tlr 30 activation 31 in 33 systems 32 specific 33 systems these findings are consistent with an overarching theme of age - associated dysregulation of tlr signaling that likely contributes to the increased morbidity and mortality from infectious diseases found in geriatric patients . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 11 - 1 these 2 findings 2 findings 3 are 3 are 4 consistent 4 consistent 5 with 5 with 8 theme 6 an 8 theme 7 overarching 8 theme 8 theme 9 of 9 of 10 age 11 - 13 dysregulation 11 - 19 contributes 11 - 24 and 11 - 33 . 12 associated 13 dysregulation 13 dysregulation 14 of 13 dysregulation 16 signaling 13 dysregulation 19 contributes 14 of 15 tlr 17 that 18 likely 18 likely 19 contributes 19 contributes 20 to 20 to 23 morbidity 21 the 23 morbidity 22 increased 23 morbidity 24 and 25 mortality 24 and 29 found 25 mortality 26 from 25 mortality 29 found 26 from 28 diseases 27 infectious 28 diseases 29 found 30 in 29 found 32 patients 31 geriatric 32 patients the abundance of a selection of transcript species involved in inflammation , immunosenescence and stress response was compared between pbmc of 35 geriatric patients with hip [fracture] in acute phase [(] days 2 - 4 after hospitalization ) or convalescence phase ( days 7 - 10 ) and 28 healthy aged controls . 0 ###LEFT-WALL### 2 abundance 0 ###LEFT-WALL### 18 compared 1 the 2 abundance 2 abundance 3 of 2 abundance 6 of 2 abundance 17 was 3 of 5 selection 4 a 5 selection 6 of 14 and 7 transcript 8 species 8 species 9 involved 8 species 10 in 8 species 12 , 10 in 11 inflammation 12 , 13 immunosenescence 12 , 14 and 14 and 16 response 15 stress 16 response 17 was 18 compared 18 compared 19 between 18 compared 25 with 19 between 20 pbmc 20 pbmc 21 of 21 of 24 patients 22 35 24 patients 23 geriatric 24 patients 25 with 39 or 26 hip 28 in 26 hip 39 or 28 in 32 days 29 acute 30 phase 30 phase 32 days 32 days 33 2 32 days 35 4 34 - 35 4 35 4 36 after 35 4 38 ) 36 after 37 hospitalization 39 or 41 phase 39 or 48 and 40 convalescence 41 phase 42 ( 48 and 43 days 44 7 43 days 46 10 43 days 48 and 45 - 46 10 46 10 47 ) 48 and 52 controls 48 and 53 . 49 28 52 controls 50 healthy 52 controls 51 aged 52 controls twenty - nine differentially abundant transcripts were identified in acute phase [versus] healthy ageing . 0 ###LEFT-WALL### 6 transcripts 0 ###LEFT-WALL### 8 identified 0 ###LEFT-WALL### 15 . 1 twenty 2 - 2 - 3 nine 2 - 6 transcripts 4 differentially 5 abundant 5 abundant 6 transcripts 6 transcripts 7 were 7 were 8 identified 8 identified 9 in 9 in 14 ageing 10 acute 11 phase 11 phase 14 ageing 13 healthy 14 ageing twelve of these transcripts remained differentially abundant in convalescence [phase] , and 22 were similarly differentially abundant in acute phase [of] geriatric infectious diseases . 0 ###LEFT-WALL### 1 twelve 0 ###LEFT-WALL### 5 remained 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 25 . 1 twelve 2 of 1 twelve 5 remained 2 of 4 transcripts 3 these 4 transcripts 5 remained 6 differentially 5 remained 7 abundant 7 abundant 8 in 8 in 9 convalescence 11 , 12 and 12 and 13 22 12 and 14 were 13 22 14 were 14 were 15 similarly 14 were 16 differentially 14 were 17 abundant 17 abundant 18 in 18 in 24 diseases 19 acute 20 phase 20 phase 24 diseases 22 geriatric 24 diseases 23 infectious 24 diseases seven of these 22 transcripts were previously identified as differentially abundant in pbmc of healthy aged [versus] healthy young controls , with further alteration for cd28 , cd69 , lck , ctsd , hmox1 , and tnfrsf1a [in] acute phase [after] geriatric hip fracture and infectious diseases . 0 ###LEFT-WALL### 1 seven 0 ###LEFT-WALL### 8 identified 0 ###LEFT-WALL### 27 , 0 ###LEFT-WALL### 48 . 1 seven 2 of 1 seven 6 were 2 of 5 transcripts 3 these 4 22 4 22 5 transcripts 6 were 8 identified 7 previously 8 identified 8 identified 10 differentially 8 identified 11 abundant 9 as 10 differentially 11 abundant 12 in 12 in 13 pbmc 13 pbmc 14 of 14 of 20 controls 15 healthy 20 controls 16 aged 20 controls 18 healthy 20 controls 19 young 20 controls 20 controls 22 with 21 , 22 with 22 with 24 alteration 22 with 25 for 22 with 27 , 23 further 24 alteration 25 for 26 cd28 27 , 45 and 28 cd69 29 , 29 , 30 lck 29 , 36 and 30 lck 32 ctsd 31 , 32 ctsd 32 ctsd 34 hmox1 32 ctsd 35 , 33 , 34 hmox1 34 hmox1 35 , 36 and 44 fracture 36 and 45 and 37 tnfrsf1a 43 hip 39 acute 40 phase 40 phase 43 hip 42 geriatric 43 hip 43 hip 44 fracture 45 and 47 diseases 46 infectious 47 diseases the next question is whether these alterations are common to other geriatric diseases [and/or] [preexist] before the clinical onset of the diseases . 0 ###LEFT-WALL### 3 question 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 23 . 1 the 2 next 1 the 3 question 3 question 4 is 4 is 5 whether 5 whether 7 alterations 5 whether 8 are 6 these 7 alterations 7 alterations 8 are 8 are 9 common 9 common 10 to 9 common 16 before 10 to 13 diseases 11 other 13 diseases 12 geriatric 13 diseases 16 before 19 onset 17 the 19 onset 18 clinical 19 onset 19 onset 20 of 20 of 22 diseases 21 the 22 diseases study objectives : during sleep deprivation ( sd ) , failures to respond ( fr ) increase across a variety of tasks . 0 ###LEFT-WALL### 2 objectives 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 23 . 1 study 2 objectives 2 objectives 3 : 3 : 4 during 4 during 6 deprivation 5 sleep 6 deprivation 6 deprivation 8 sd 7 ( 8 sd 8 sd 9 ) 10 , 11 failures 10 , 17 increase 11 failures 12 to 11 failures 13 respond 11 failures 15 fr 11 failures 17 increase 12 to 13 respond 14 ( 15 fr 15 fr 16 ) 17 increase 18 across 18 across 20 variety 19 a 20 variety 20 variety 21 of 21 of 22 tasks this is the first systematic investigation of neural [correlates] [of] fr during sd . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 14 . 1 this 2 is 2 is 6 investigation 3 the 4 first 3 the 6 investigation 5 systematic 6 investigation 6 investigation 7 of 7 of 11 fr 8 neural 11 fr 11 fr 12 during 12 during 13 sd we use multivariate analysis to model neural activation separately for fr and responses ( r ) at each trial phase . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 use 0 ###LEFT-WALL### 21 . 1 we 2 use 2 use 4 analysis 2 use 5 to 2 use 6 model 3 multivariate 4 analysis 5 to 6 model 6 model 8 activation 6 model 9 separately 6 model 10 for 6 model 17 at 7 neural 8 activation 10 for 12 and 11 fr 12 and 12 and 13 responses 12 and 15 r 14 ( 15 r 15 r 16 ) 17 at 20 phase 18 each 20 phase 19 trial 20 phase setting : in two experiments a delayed letter recognition task was performed in a 1.5 t scanner at 9:30 am after two nights of total sd . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 2 : 10 task 2 : 12 performed 3 in 5 experiments 3 in 10 task 4 two 5 experiments 6 a 10 task 7 delayed 8 letter 8 letter 9 recognition 9 recognition 10 task 10 task 11 was 11 was 12 performed 12 performed 13 in 13 in 17 scanner 14 a 17 scanner 15 1.5 16 t 16 t 17 scanner 17 scanner 18 at 17 scanner 21 after 17 scanner 24 of 18 at 20 am 19 9:30 20 am 21 after 23 nights 22 two 23 nights 24 of 26 sd 25 total 26 sd participants were continuously monitored in the laboratory . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 4 monitored 0 ###LEFT-WALL### 8 . 1 participants 2 were 2 were 4 monitored 3 continuously 4 monitored 4 monitored 5 in 5 in 7 laboratory 6 the 7 laboratory participants : healthy young adults from two sd experiments ( combined n=37 [;] aged 25.55 ± 3.86 years ) . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 1 participants 2 : 2 : 5 adults 3 healthy 5 adults 4 young 5 adults 5 adults 6 from 6 from 9 experiments 7 two 9 experiments 8 sd 9 experiments 9 experiments 18 years 10 ( 18 years 11 combined 18 years 12 n=37 18 years 14 aged 18 years 15 25.55 18 years 16 ± 18 years 17 3.86 18 years 18 years 19 ) materials and methods : multivariate linear modeling ( mlm ) was used to find networks of activation that differed between fr and r . at each of three trial phases - encoding , retention , and test - two networks were expressed . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 materials 2 and 2 and 3 methods 4 : 7 modeling 4 : 12 used 4 : 24 . 4 : 43 . 5 multivariate 7 modeling 6 linear 7 modeling 7 modeling 9 mlm 7 modeling 11 was 8 ( 9 mlm 9 mlm 10 ) 11 was 12 used 12 used 13 to 12 used 14 find 13 to 14 find 14 find 15 networks 14 find 20 between 15 networks 16 of 15 networks 18 that 15 networks 19 differed 16 of 17 activation 18 that 19 differed 20 between 22 and 21 fr 22 and 22 and 23 r 24 . 25 at 24 . 41 were 25 at 30 phases 25 at 41 were 26 each 27 of 26 each 30 phases 27 of 30 phases 28 three 29 trial 29 trial 30 phases 30 phases 36 and 31 - 36 and 32 encoding 33 , 33 , 34 retention 33 , 36 and 35 , 36 and 36 and 37 test 36 and 38 - 39 two 40 networks 40 networks 41 were 41 were 42 expressed in the encoding phase , the second network was seen during fr and was not seen during r . this network constituted widespread deactivations ( ∼26,000 voxels [ )(of fronto - parietal and thalamic areas concomitant with activation of extrastriate [cortex] and hippocampus . 0 ###LEFT-WALL### 8 network 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 19 . 1 in 4 phase 1 in 5 , 1 in 8 network 2 the 4 phase 3 encoding 4 phase 6 the 8 network 7 second 8 network 8 network 13 and 9 was 10 seen 9 was 13 and 10 seen 11 during 11 during 12 fr 13 and 14 was 13 and 17 during 14 was 15 not 14 was 16 seen 17 during 18 r 19 . 21 network 19 . 22 constituted 20 this 21 network 21 network 22 constituted 22 constituted 24 deactivations 23 widespread 24 deactivations 24 deactivations 27 voxels 24 deactivations 35 areas 25 ( 27 voxels 26 ∼26,000 27 voxels 27 voxels 29 )(of 27 voxels 31 - 29 )(of 30 fronto 31 - 35 areas 32 parietal 33 and 33 and 34 thalamic 33 and 35 areas 35 areas 36 concomitant 35 areas 39 of 35 areas 44 . 36 concomitant 37 with 37 with 38 activation 39 of 42 and 40 extrastriate 42 and 42 and 43 hippocampus conclusions : fr were most associated with neural disruptions occurring at the encoding phase when subjects must attend [to] and encode items . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 23 . 2 : 3 fr 2 : 4 were 3 fr 4 were 4 were 5 most 4 were 7 with 4 were 10 occurring 5 most 6 associated 7 with 9 disruptions 8 neural 9 disruptions 10 occurring 11 at 10 occurring 15 when 11 at 14 phase 12 the 14 phase 13 encoding 14 phase 15 when 16 subjects 15 when 20 and 16 subjects 17 must 17 must 20 and 18 attend 20 and 20 and 21 encode 21 encode 22 items further , expression of this fr - related [encoding] - phase network made the largest independent contribution to predicting vulnerability to overall sd - related impairment . 0 ###LEFT-WALL### 3 expression 0 ###LEFT-WALL### 13 made 0 ###LEFT-WALL### 25 related 0 ###LEFT-WALL### 27 . 1 further 2 , 1 further 3 expression 3 expression 4 of 3 expression 13 made 4 of 12 network 5 this 12 network 6 fr 8 related 6 fr 12 network 7 - 8 related 8 related 10 - 11 phase 12 network 13 made 17 contribution 13 made 18 to 13 made 21 to 14 the 15 largest 14 the 17 contribution 16 independent 17 contribution 18 to 19 predicting 19 predicting 20 vulnerability 21 to 23 sd 22 overall 23 sd 24 - 25 related 25 related 26 impairment perception of visual motion declines during healthy aging , and evidence suggests that this reflects decreases in cortical gaba inhibition that increase neural noise and motion bandwidths . 0 ###LEFT-WALL### 1 perception 0 ###LEFT-WALL### 12 suggests 0 ###LEFT-WALL### 25 and 0 ###LEFT-WALL### 28 . 1 perception 2 of 1 perception 12 suggests 2 of 5 declines 3 visual 4 motion 4 motion 5 declines 5 declines 6 during 6 during 10 and 7 healthy 8 aging 7 healthy 10 and 9 , 10 and 10 and 11 evidence 12 suggests 13 that 13 that 14 this 13 that 15 reflects 14 this 15 reflects 15 reflects 16 decreases 16 decreases 17 in 16 decreases 21 that 16 decreases 22 increase 17 in 20 inhibition 18 cortical 20 inhibition 19 gaba 20 inhibition 21 that 22 increase 22 increase 24 noise 23 neural 24 noise 25 and 26 motion 25 and 27 bandwidths 26 motion 27 bandwidths this is supported by neurophysiological data on motion perception in senescent monkeys . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 3 supported 0 ###LEFT-WALL### 13 . 1 this 2 is 2 is 3 supported 3 supported 4 by 3 supported 7 on 3 supported 10 in 4 by 6 data 5 neurophysiological 6 data 7 on 9 perception 8 motion 9 perception 10 in 12 monkeys 11 senescent 12 monkeys much less is known about deficits in higher level form vision . 0 ###LEFT-WALL### 2 less 0 ###LEFT-WALL### 4 known 0 ###LEFT-WALL### 12 . 1 much 2 less 2 less 3 is 3 is 4 known 4 known 5 about 4 known 7 in 5 about 6 deficits 7 in 11 vision 8 higher 9 level 9 level 11 vision 10 form 11 vision for example , face perception of frontal views remains relatively constant from adolescence through age 70 with a modest decline thereafter . 0 ###LEFT-WALL### 5 perception 0 ###LEFT-WALL### 9 remains 0 ###LEFT-WALL### 22 . 1 for 2 example 2 example 3 , 2 example 5 perception 4 face 5 perception 5 perception 6 of 5 perception 9 remains 6 of 8 views 7 frontal 8 views 9 remains 11 constant 10 relatively 11 constant 11 constant 12 from 11 constant 14 through 11 constant 17 with 11 constant 21 thereafter 12 from 13 adolescence 14 through 15 age 15 age 16 70 17 with 20 decline 18 a 19 modest 18 a 20 decline 19 modest 20 decline however , we have shown recently that the elderly have a specific deficit in face matching when a transformation must be made between frontal and left or right side views . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 22 made 0 ###LEFT-WALL### 31 . 1 however 2 , 1 however 3 we 3 we 4 have 4 have 5 shown 5 shown 6 recently 5 shown 7 that 7 that 9 elderly 7 that 10 have 8 the 9 elderly 9 elderly 10 have 10 have 13 deficit 10 have 22 made 11 a 12 specific 11 a 13 deficit 12 specific 13 deficit 13 deficit 14 in 13 deficit 17 when 14 in 16 matching 15 face 16 matching 17 when 19 transformation 17 when 21 be 18 a 19 transformation 19 transformation 20 must 20 must 21 be 22 made 23 between 23 between 30 views 24 frontal 25 and 25 and 27 or 25 and 29 side 26 left 27 or 27 or 28 right 29 side 30 views here we use face view adaptation to demonstrate that this deficit results from significant broadening of cortical bandwidths for face orientation along with increased internal noise . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 use 0 ###LEFT-WALL### 27 . 1 here 2 we 2 we 3 use 3 use 6 adaptation 3 use 7 to 3 use 8 demonstrate 4 face 6 adaptation 5 view 6 adaptation 7 to 8 demonstrate 8 demonstrate 9 that 9 that 11 deficit 9 that 12 results 10 this 11 deficit 11 deficit 12 results 12 results 13 from 13 from 15 broadening 14 significant 15 broadening 15 broadening 16 of 16 of 18 bandwidths 17 cortical 18 bandwidths 18 bandwidths 19 for 19 for 21 orientation 20 face 21 orientation 21 orientation 23 with 22 along 23 with 23 with 26 noise 24 increased 26 noise 25 internal 26 noise a neural model shows that these bandwidths increase by a factor of 1.74 between age 26 and age 67 years . 0 ###LEFT-WALL### 3 model 0 ###LEFT-WALL### 4 shows 0 ###LEFT-WALL### 21 . 1 a 3 model 2 neural 3 model 3 model 4 shows 4 shows 5 that 5 that 7 bandwidths 5 that 17 and 6 these 7 bandwidths 7 bandwidths 17 and 8 increase 9 by 8 increase 14 between 8 increase 17 and 9 by 11 factor 10 a 11 factor 11 factor 12 of 12 of 13 1.74 14 between 15 age 15 age 16 26 17 and 18 age 17 and 20 years 19 67 20 years this is similar to the increase reported for motion bandwidths in senescent monkeys . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 14 . 1 this 2 is 2 is 3 similar 3 similar 4 to 4 to 6 increase 5 the 6 increase 6 increase 7 reported 7 reported 8 for 7 reported 11 in 8 for 10 bandwidths 9 motion 10 bandwidths 11 in 13 monkeys 12 senescent 13 monkeys furthermore , the neural model demonstrates that head orientation bandwidth increases can arise from decreased cortical inhibition . 0 ###LEFT-WALL### 5 model 0 ###LEFT-WALL### 6 demonstrates 0 ###LEFT-WALL### 18 . 1 furthermore 2 , 1 furthermore 5 model 3 the 5 model 4 neural 5 model 5 model 6 demonstrates 6 demonstrates 7 that 7 that 11 increases 7 that 13 arise 8 head 11 increases 9 orientation 11 increases 10 bandwidth 11 increases 11 increases 12 can 12 can 13 arise 13 arise 14 from 14 from 17 inhibition 15 decreased 17 inhibition 16 cortical 17 inhibition thus , high levels of form vision degrade in parallel [with] higher levels of motion perception and likely result from similar causes . 0 ###LEFT-WALL### 4 levels 0 ###LEFT-WALL### 8 degrade 0 ###LEFT-WALL### 23 . 1 thus 2 , 1 thus 4 levels 3 high 4 levels 4 levels 5 of 4 levels 8 degrade 5 of 7 vision 6 form 7 vision 8 degrade 9 in 8 degrade 17 and 9 in 13 levels 10 parallel 13 levels 12 higher 13 levels 13 levels 14 of 14 of 15 motion 16 perception 17 and 17 and 19 result 17 and 20 from 18 likely 19 result 20 from 22 causes 21 similar 22 causes background : in february 2009 the improving maternity services in australia - the report of the maternity services review ( msr ) was released , with the personal stories of women making up 407 of the more than 900 submissions received . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 42 . 2 : 9 services 2 : 23 was 2 : 25 , 3 in 4 february 3 in 9 services 4 february 5 2009 6 the 9 services 7 improving 8 maternity 8 maternity 9 services 9 services 10 in 9 services 23 was 10 in 11 australia 11 australia 14 report 12 - 14 report 13 the 14 report 14 report 15 of 14 report 22 ) 15 of 21 msr 16 the 21 msr 17 maternity 18 services 18 services 19 review 19 review 21 msr 20 ( 21 msr 23 was 24 released 25 , 34 407 25 , 41 received 26 with 29 stories 26 with 32 making 26 with 34 407 27 the 29 stories 28 personal 29 stories 29 stories 30 of 30 of 31 women 32 making 33 up 34 407 35 of 34 407 41 received 35 of 40 submissions 36 the 39 900 37 more 38 than 38 than 39 900 39 900 40 submissions a significant proportion ( 53 % [ )(of the women [were] said to have had personal experience with homebirth . 0 ###LEFT-WALL### 3 proportion 0 ###LEFT-WALL### 12 said 1 a 2 significant 1 a 3 proportion 2 significant 3 proportion 4 ( 12 said 5 53 6 % 6 % 8 )(of 6 % 12 said 8 )(of 10 women 9 the 10 women 12 said 13 to 12 said 20 . 13 to 14 have 14 have 15 had 15 had 17 experience 15 had 18 with 16 personal 17 experience 18 with 19 homebirth little information is provided on what was said about homebirth in these submissions and the decision by the msr not to include homebirth in the funding and insurance reforms being proposed is at odds with the apparent demand for this option of care . 0 ###LEFT-WALL### 1 little 0 ###LEFT-WALL### 22 include 0 ###LEFT-WALL### 27 and 0 ###LEFT-WALL### 44 . 1 little 3 is 1 little 5 on 1 little 21 to 2 information 3 is 3 is 4 provided 5 on 6 what 6 what 7 was 7 was 8 said 8 said 9 about 9 about 14 and 10 homebirth 11 in 10 homebirth 14 and 11 in 13 submissions 12 these 13 submissions 14 and 16 decision 15 the 16 decision 16 decision 17 by 17 by 19 msr 18 the 19 msr 20 not 21 to 21 to 22 include 22 include 23 homebirth 22 include 24 in 24 in 26 funding 25 the 26 funding 27 and 29 reforms 27 and 43 care 28 insurance 29 reforms 29 reforms 30 being 29 reforms 42 of 29 reforms 43 care 30 being 31 proposed 30 being 32 is 32 is 33 at 33 at 34 odds 34 odds 35 with 34 odds 42 of 35 with 38 demand 36 the 38 demand 37 apparent 38 demand 38 demand 39 for 39 for 41 option 40 this 41 option method : data for this study comprised 832 submissions to the msr that are publicly available on the commonwealth of australia department of health and aging website . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 3 data 2 : 7 comprised 3 data 4 for 3 data 7 comprised 4 for 6 study 5 this 6 study 7 comprised 9 submissions 7 comprised 10 to 8 832 9 submissions 10 to 12 msr 11 the 12 msr 12 msr 13 that 12 msr 14 are 13 that 14 are 14 are 15 publicly 14 are 16 available 16 available 17 on 17 on 22 department 18 the 22 department 19 commonwealth 20 of 19 commonwealth 22 department 20 of 21 australia 22 department 23 of 23 of 25 and 24 health 25 and 25 and 27 website 26 aging 27 website all 832 submissions were downloaded , coded and then entered into nvivo . 0 ###LEFT-WALL### 3 submissions 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 13 . 1 all 2 832 2 832 3 submissions 3 submissions 6 , 4 were 5 downloaded 4 were 6 , 6 , 8 and 6 , 11 into 7 coded 8 and 8 and 10 entered 9 then 10 entered 11 into 12 nvivo content analysis was used to analyse the data that related to homebirth . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 4 used 0 ###LEFT-WALL### 10 related 1 content 2 analysis 2 analysis 3 was 3 was 4 used 4 used 5 to 4 used 10 related 5 to 6 analyse 6 analyse 8 data 7 the 8 data 9 that 10 related 10 related 11 to 10 related 13 . 11 to 12 homebirth findings : 450 of the submissions were from consumers of maternity services ( 54 % ) . 0 ###LEFT-WALL### 1 findings 0 ###LEFT-WALL### 2 : 2 : 3 450 2 : 7 were 2 : 17 . 3 450 4 of 3 450 7 were 4 of 6 submissions 5 the 6 submissions 7 were 8 from 8 from 9 consumers 9 consumers 10 of 10 of 12 services 11 maternity 12 services 12 services 15 % 13 ( 15 % 14 54 15 % 15 % 16 ) four hundred and seventy [(] 60 % [ )(of the submissions mentioned homebirth . 0 ###LEFT-WALL### 4 seventy 0 ###LEFT-WALL### 13 homebirth 0 ###LEFT-WALL### 14 . 1 four 2 hundred 2 hundred 3 and 3 and 4 seventy 4 seventy 7 % 4 seventy 12 mentioned 4 seventy 13 homebirth 6 60 7 % 7 % 9 )(of 7 % 12 mentioned 9 )(of 11 submissions 10 the 11 submissions overall there were 715 references to home birth in the submissions . 0 ###LEFT-WALL### 1 overall 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 12 . 1 overall 2 there 1 overall 3 were 3 were 5 references 4 715 5 references 5 references 6 to 6 to 8 birth 7 home 8 birth 8 birth 9 in 9 in 11 submissions 10 the 11 submissions the submissions mentioning homebirth most commonly discussed the ['] benefits ['] and ['] barriers ' in accessing this option of care . 0 ###LEFT-WALL### 2 submissions 0 ###LEFT-WALL### 7 discussed 0 ###LEFT-WALL### 22 . 1 the 2 submissions 2 submissions 3 mentioning 2 submissions 7 discussed 3 mentioning 4 homebirth 3 mentioning 5 most 6 commonly 7 discussed 7 discussed 15 ' 7 discussed 16 in 8 the 14 barriers 10 benefits 12 and 12 and 14 barriers 14 barriers 15 ' 16 in 17 accessing 17 accessing 19 option 18 this 19 option 19 option 20 of 20 of 21 care benefits to the baby , mother and family were described , along with the benefits obtained from having a midwife at the birth , receiving continuity of care and [having] a good birth experience . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 10 described 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 35 . 1 benefits 2 to 1 benefits 7 and 2 to 6 mother 3 the 6 mother 4 baby 5 , 4 baby 6 mother 7 and 8 family 7 and 9 were 9 were 10 described 10 described 13 with 11 , 13 with 12 along 13 with 13 with 15 benefits 13 with 24 , 14 the 15 benefits 15 benefits 16 obtained 16 obtained 17 from 16 obtained 21 at 17 from 18 having 18 having 20 midwife 19 a 20 midwife 21 at 23 birth 22 the 23 birth 24 , 29 and 25 receiving 26 continuity 26 continuity 27 of 26 continuity 29 and 27 of 28 care 29 and 34 experience 31 a 34 experience 32 good 33 birth 33 birth 34 experience barriers were described as not having access to a midwife , no funding , no insurance and lack of clinical privileging for midwives . 0 ###LEFT-WALL### 1 barriers 0 ###LEFT-WALL### 6 having 0 ###LEFT-WALL### 24 . 1 barriers 2 were 2 were 3 described 3 described 4 as 4 as 5 not 5 not 6 having 6 having 7 access 6 having 8 to 8 to 17 and 9 a 10 midwife 10 midwife 11 , 11 , 13 funding 11 , 14 , 12 no 13 funding 14 , 16 insurance 14 , 17 and 15 no 16 insurance 17 and 18 lack 17 and 19 of 19 of 21 privileging 20 clinical 21 privileging 21 privileging 22 for 22 for 23 midwives conclusion : many positive recommendations have come from the msr , however the decision to exclude homebirth from these reforms is perplexing considering the large number of submissions describing the benefits [of] and barriers to homebirth in australia . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 39 . 1 conclusion 2 : 2 : 3 many 3 many 5 recommendations 3 many 7 come 3 many 8 from 4 positive 5 recommendations 5 recommendations 6 have 6 have 7 come 8 from 10 msr 9 the 10 msr 11 , 14 decision 11 , 21 is 12 however 14 decision 13 the 14 decision 14 decision 15 to 14 decision 16 exclude 14 decision 21 is 15 to 16 exclude 16 exclude 17 homebirth 17 homebirth 18 from 18 from 20 reforms 19 these 20 reforms 21 is 22 perplexing 21 is 35 to 22 perplexing 23 considering 22 perplexing 27 of 23 considering 26 number 24 the 26 number 25 large 26 number 27 of 33 and 28 submissions 29 describing 28 submissions 33 and 29 describing 31 benefits 30 the 31 benefits 33 and 34 barriers 35 to 36 homebirth 36 homebirth 37 in 37 in 38 australia a concerning number of submissions discuss having had or [having] considered an unattended birth at home due to these barriers . 0 ###LEFT-WALL### 3 number 0 ###LEFT-WALL### 9 or 0 ###LEFT-WALL### 21 . 1 a 3 number 2 concerning 3 number 3 number 4 of 3 number 6 discuss 4 of 5 submissions 6 discuss 7 having 7 having 9 or 8 had 9 or 9 or 11 considered 9 or 15 at 9 or 18 to 11 considered 14 birth 12 an 13 unattended 12 an 14 birth 13 unattended 14 birth 15 at 16 home 17 due 18 to 18 to 20 barriers 19 these 20 barriers overall there is the belief that not enabling access to funded , insured homebirth in australia is a violation of human rights . 0 ###LEFT-WALL### 1 overall 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 23 . 1 overall 2 there 1 overall 3 is 3 is 5 belief 4 the 5 belief 5 belief 6 that 6 that 7 not 6 that 8 enabling 6 that 17 is 8 enabling 9 access 8 enabling 10 to 8 enabling 12 , 8 enabling 17 is 10 to 12 , 11 funded 12 , 12 , 13 insured 12 , 14 homebirth 14 homebirth 15 in 15 in 16 australia 17 is 19 violation 18 a 19 violation 19 violation 20 of 20 of 22 rights 21 human 22 rights it appears that homebirth was considered by the msr as ['] too hot to handle ['] [and] by dismissing it as a minority issue the government sought to avoided dealing with homebirth as a ['] sensitive and controversial issue . ['] 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 40 . 1 it 2 appears 2 appears 3 that 3 that 4 homebirth 3 that 6 considered 4 homebirth 5 was 5 was 6 considered 6 considered 7 by 6 considered 13 hot 6 considered 14 to 6 considered 15 handle 7 by 9 msr 8 the 9 msr 10 as 12 too 12 too 13 hot 14 to 15 handle 15 handle 18 by 15 handle 21 as 15 handle 26 government 18 by 19 dismissing 19 dismissing 20 it 21 as 24 issue 22 a 24 issue 23 minority 24 issue 25 the 26 government 26 government 27 sought 26 government 31 with 27 sought 28 to 28 to 30 dealing 29 avoided 30 dealing 31 with 32 homebirth 32 homebirth 33 as 33 as 39 issue 34 a 39 issue 36 sensitive 37 and 37 and 38 controversial 37 and 39 issue objective : to study how functional connectivity of neonate eeg during sleep is assessed by different interdependence indices and to analyze its dependence on conceptional ( ca ) , gestational ( ga ) [and/or] chronological age ( cra ) . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 19 and 2 : 40 . 3 to 19 and 4 study 5 how 4 study 19 and 5 how 7 connectivity 5 how 14 assessed 6 functional 7 connectivity 7 connectivity 8 of 7 connectivity 13 is 8 of 10 eeg 9 neonate 10 eeg 10 eeg 11 during 11 during 12 sleep 13 is 14 assessed 14 assessed 15 by 15 by 18 indices 16 different 17 interdependence 17 interdependence 18 indices 19 and 20 to 19 and 21 analyze 19 and 24 on 20 to 21 analyze 21 analyze 23 dependence 22 its 23 dependence 24 on 36 age 25 conceptional 27 ca 25 conceptional 29 , 25 conceptional 36 age 26 ( 27 ca 27 ca 28 ) 30 gestational 32 ga 30 gestational 36 age 31 ( 32 ga 32 ga 33 ) 35 chronological 36 age 36 age 38 cra 37 ( 38 cra 38 cra 39 ) eeg functional connectivity was assessed by means of the coherence function ( its magnitude ( msc ) and its imaginary part ( imc [ )( )(and a measure of phase synchronization called phase lag index [(] pli ) . 0 ###LEFT-WALL### 3 connectivity 0 ###LEFT-WALL### 5 assessed 0 ###LEFT-WALL### 39 . 1 eeg 3 connectivity 2 functional 3 connectivity 3 connectivity 4 was 4 was 5 assessed 5 assessed 6 by 6 by 18 and 7 means 8 of 7 means 18 and 8 of 11 function 9 the 11 function 10 coherence 11 function 11 function 14 magnitude 12 ( 14 magnitude 13 its 14 magnitude 14 magnitude 16 msc 14 magnitude 17 ) 15 ( 16 msc 16 msc 17 ) 18 and 21 part 18 and 26 )(and 19 its 21 part 20 imaginary 21 part 22 ( 26 )(and 23 imc 26 )(and 26 )(and 31 synchronization 26 )(and 32 called 26 )(and 38 ) 27 a 28 measure 28 measure 29 of 28 measure 31 synchronization 29 of 31 synchronization 30 phase 31 synchronization 32 called 37 pli 33 phase 37 pli 34 lag 37 pli 35 index 37 pli results : [inter] - hemispheric connectivity : [(] a [ )( as in the beta band , the msc of the st group was greater than that of the pt group for the temporal region [;] [(] [b] [ )(during qs in the delta band , both pli and imc of the st group were different to those of the pt group for the frontopolar and central [regions] , whereas st - jt differences were only found for pli . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 - 2 : 7 : 4 - 6 connectivity 5 hemispheric 6 connectivity 7 : 12 as 7 : 17 , 9 a 12 as 12 as 13 in 13 in 16 band 14 the 16 band 15 beta 16 band 17 , 19 msc 17 , 24 was 18 the 19 msc 19 msc 20 of 19 msc 24 was 20 of 23 group 21 the 23 group 22 st 23 group 24 was 25 greater 25 greater 26 than 26 than 27 that 27 that 28 of 28 of 31 group 29 the 31 group 30 pt 31 group 31 group 32 for 31 group 40 )(during 31 group 42 in 32 for 35 region 33 the 35 region 34 temporal 35 region 40 )(during 41 qs 42 in 44 delta 43 the 44 delta 44 delta 49 and 44 delta 55 were 45 band 46 , 46 , 48 pli 46 , 49 and 47 both 48 pli 49 and 50 imc 49 and 51 of 49 and 55 were 51 of 54 group 52 the 54 group 53 st 54 group 55 were 66 and 56 different 57 to 56 different 66 and 57 to 58 those 58 those 59 of 59 of 62 group 60 the 62 group 61 pt 62 group 62 group 63 for 63 for 65 frontopolar 64 the 65 frontopolar 66 and 67 central 67 central 70 whereas 69 , 70 whereas 70 whereas 74 differences 70 whereas 77 found 70 whereas 80 . 71 st 73 jt 72 - 73 jt 73 jt 74 differences 74 differences 75 were 75 were 77 found 76 only 77 found 77 found 78 for 78 for 79 pli conclusions : eeg [inter] - and [intra] - hemispheric functional connectivity in neonates during sleep changes with the ca and cra in delta and beta bands . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 27 . 1 conclusions 2 : 2 : 3 eeg 5 - 6 and 6 and 8 - 6 and 11 connectivity 6 and 16 changes 9 hemispheric 11 connectivity 10 functional 11 connectivity 11 connectivity 12 in 11 connectivity 16 changes 12 in 13 neonates 13 neonates 14 during 14 during 15 sleep 16 changes 17 with 17 with 20 and 18 the 19 ca 19 ca 20 and 20 and 21 cra 20 and 22 in 22 in 24 and 23 delta 24 and 24 and 26 bands 25 beta 26 bands significance : the neonate's brain development during the first weeks of life can be traced from changes in the characteristics of eeg functional connectivity . 0 ###LEFT-WALL### 1 significance 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 6 development 2 : 15 traced 3 the 6 development 4 neonate's 6 development 5 brain 6 development 6 development 7 during 6 development 11 of 6 development 13 can 7 during 10 weeks 8 the 9 first 8 the 10 weeks 11 of 12 life 13 can 14 be 14 be 15 traced 15 traced 16 from 15 traced 18 in 16 from 17 changes 18 in 20 characteristics 19 the 20 characteristics 20 characteristics 21 of 21 of 24 connectivity 22 eeg 24 connectivity 23 functional 24 connectivity decreased cerebral blood flow and blood - brain barrier disruption are features of alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 7 - 1 decreased 4 flow 1 decreased 5 and 2 cerebral 3 blood 3 blood 4 flow 5 and 6 blood 7 - 10 disruption 7 - 11 are 7 - 20 . 8 brain 10 disruption 9 barrier 10 disruption 10 disruption 11 are 11 are 12 features 12 features 13 of 13 of 16 disease 14 alzheimer 15 's 15 's 16 disease 16 disease 18 ad 17 ( 18 ad 18 ad 19 ) the plasma kallikrein [-] kinin system modulates cerebrovascular tone through release [of] vasoactive bradykinin ( bk ) . 0 ###LEFT-WALL### 6 system 0 ###LEFT-WALL### 7 modulates 0 ###LEFT-WALL### 18 . 1 the 6 system 2 plasma 6 system 3 kallikrein 6 system 5 kinin 6 system 6 system 7 modulates 7 modulates 9 tone 7 modulates 10 through 8 cerebrovascular 9 tone 10 through 14 bradykinin 11 release 14 bradykinin 13 vasoactive 14 bradykinin 14 bradykinin 16 bk 15 ( 16 bk 16 bk 17 ) cerebroventricular infusion of aβ1 [-] 40 enhances bk [release] , suggesting that the activity of this system may be elevated in ad . 0 ###LEFT-WALL### 2 infusion 0 ###LEFT-WALL### 7 enhances 1 cerebroventricular 2 infusion 2 infusion 3 of 2 infusion 7 enhances 3 of 4 aβ1 4 aβ1 6 40 7 enhances 8 bk 8 bk 11 suggesting 10 , 11 suggesting 11 suggesting 12 that 11 suggesting 23 . 12 that 14 activity 12 that 20 elevated 13 the 14 activity 14 activity 15 of 14 activity 18 may 15 of 17 system 16 this 17 system 18 may 19 be 19 be 20 elevated 20 elevated 21 in 21 in 22 ad we investigated the profile of the activating protease of this system , plasma kallikrein ( pk ) , in frontal and temporal brain tissue from postmortem confirmed cases of ad , vascular dementia ( vad ) , and controls . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 investigated 0 ###LEFT-WALL### 40 . 1 we 2 investigated 2 investigated 4 profile 2 investigated 19 in 2 investigated 25 from 3 the 4 profile 4 profile 5 of 4 profile 9 of 5 of 8 protease 6 the 8 protease 7 activating 8 protease 9 of 11 system 10 this 11 system 11 system 14 kallikrein 12 , 14 kallikrein 13 plasma 14 kallikrein 14 kallikrein 16 pk 14 kallikrein 18 , 15 ( 16 pk 16 pk 17 ) 19 in 24 tissue 20 frontal 21 and 21 and 22 temporal 21 and 24 tissue 23 brain 24 tissue 25 from 28 cases 26 postmortem 27 confirmed 27 confirmed 28 cases 28 cases 29 of 29 of 38 and 30 ad 33 dementia 30 ad 38 and 31 , 33 dementia 32 vascular 33 dementia 33 dementia 35 vad 33 dementia 36 ) 34 ( 35 vad 35 vad 36 ) 37 , 38 and 38 and 39 controls measurements of neuron specific enolase messenger ribonucleic acid ( mrna ) and protein were used to adjust for neuronal loss . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 15 used 0 ###LEFT-WALL### 21 . 1 measurements 2 of 1 measurements 12 and 2 of 8 acid 3 neuron 8 acid 4 specific 5 enolase 5 enolase 8 acid 6 messenger 8 acid 7 ribonucleic 8 acid 8 acid 10 mrna 9 ( 10 mrna 10 mrna 11 ) 12 and 13 protein 12 and 14 were 14 were 15 used 15 used 16 to 15 used 17 adjust 16 to 17 adjust 17 adjust 18 for 18 for 20 loss 19 neuronal 20 loss adjusted pk mrna was significantly increased in the frontal cortex in ad , and the frontal and temporal cortex in vad . 0 ###LEFT-WALL### 3 mrna 0 ###LEFT-WALL### 6 increased 0 ###LEFT-WALL### 22 . 1 adjusted 3 mrna 2 pk 3 mrna 3 mrna 4 was 4 was 5 significantly 4 was 6 increased 6 increased 7 in 6 increased 20 in 7 in 14 and 8 the 10 cortex 9 frontal 10 cortex 10 cortex 11 in 10 cortex 14 and 11 in 12 ad 13 , 14 and 14 and 19 cortex 15 the 19 cortex 16 frontal 17 and 17 and 18 temporal 17 and 19 cortex 20 in 21 vad similar trends were seen for pk protein level in ad and vad . 0 ###LEFT-WALL### 2 trends 0 ###LEFT-WALL### 4 seen 0 ###LEFT-WALL### 13 . 1 similar 2 trends 2 trends 3 were 3 were 4 seen 4 seen 5 for 4 seen 9 in 5 for 8 level 6 pk 8 level 7 protein 8 level 9 in 11 and 10 ad 11 and 11 and 12 vad pk activity was significantly increased in the frontal and temporal cortex in ad . 0 ###LEFT-WALL### 2 activity 0 ###LEFT-WALL### 5 increased 0 ###LEFT-WALL### 14 . 1 pk 2 activity 2 activity 3 was 3 was 5 increased 4 significantly 5 increased 5 increased 6 in 5 increased 12 in 6 in 11 cortex 7 the 11 cortex 8 frontal 9 and 9 and 10 temporal 9 and 11 cortex 12 in 13 ad increased pk activity in ad is likely to contribute to increased bk [release] and may thereby influence cerebral blood flow and vascular permeability . 0 ###LEFT-WALL### 3 activity 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 24 . 1 increased 3 activity 2 pk 3 activity 3 activity 4 in 3 activity 6 is 4 in 5 ad 6 is 23 permeability 7 likely 8 to 7 likely 9 contribute 7 likely 10 to 7 likely 21 and 8 to 9 contribute 10 to 14 and 11 increased 12 bk 11 increased 14 and 14 and 15 may 14 and 20 flow 15 may 17 influence 16 thereby 17 influence 17 influence 19 blood 18 cerebral 19 blood 21 and 22 vascular 21 and 23 permeability mutations in the optn gene are well known to be associated with the development of glaucoma . 0 ###LEFT-WALL### 1 mutations 0 ###LEFT-WALL### 8 known 0 ###LEFT-WALL### 17 . 1 mutations 2 in 1 mutations 6 are 2 in 5 gene 3 the 5 gene 4 optn 5 gene 6 are 7 well 6 are 8 known 8 known 9 to 8 known 11 associated 9 to 10 be 10 be 11 associated 11 associated 12 with 12 with 14 development 13 the 14 development 14 development 15 of 15 of 16 glaucoma recently , unique variations in the same gene have been reported in familial and sporadic japanese cases of amyotrophic lateral sclerosis ( als ) . 0 ###LEFT-WALL### 4 variations 0 ###LEFT-WALL### 11 reported 0 ###LEFT-WALL### 25 . 1 recently 2 , 1 recently 4 variations 3 unique 4 variations 4 variations 5 in 4 variations 9 have 5 in 8 gene 6 the 7 same 7 same 8 gene 9 have 10 been 10 been 11 reported 11 reported 12 in 12 in 17 cases 13 familial 14 and 14 and 15 sporadic 14 and 17 cases 16 japanese 17 cases 17 cases 18 of 18 of 21 sclerosis 19 amyotrophic 21 sclerosis 20 lateral 21 sclerosis 21 sclerosis 23 als 22 ( 23 als 23 als 24 ) we set out to evaluate the frequency of optn mutations in a sample of our familial and sporadic als cohorts . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 set 0 ###LEFT-WALL### 21 . 1 we 2 set 2 set 3 out 2 set 4 to 4 to 5 evaluate 5 evaluate 7 frequency 5 evaluate 11 in 6 the 7 frequency 7 frequency 8 of 8 of 10 mutations 9 optn 10 mutations 11 in 13 sample 12 a 13 sample 13 sample 14 of 14 of 20 cohorts 15 our 20 cohorts 16 familial 17 and 17 and 18 sporadic 17 and 20 cohorts 19 als 20 cohorts all coding exons of the optn gene were amplified and sequenced in 95 unrelated familial als ( fals ) and 95 sporadic als ( sals ) cases of european descent . 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 31 . 1 all 2 coding 1 all 10 and 1 all 20 and 2 coding 3 exons 3 exons 4 of 4 of 7 gene 5 the 7 gene 6 optn 7 gene 8 were 9 amplified 8 were 10 and 10 and 11 sequenced 10 and 12 in 10 and 18 fals 13 95 18 fals 14 unrelated 18 fals 15 familial 18 fals 16 als 18 fals 17 ( 18 fals 18 fals 19 ) 20 and 27 cases 20 and 28 of 21 95 27 cases 22 sporadic 27 cases 23 als 25 sals 24 ( 25 sals 25 sals 26 ) 25 sals 27 cases 28 of 30 descent 29 european 30 descent two variants were newly identified in 2 individual fals cases . 0 ###LEFT-WALL### 2 variants 0 ###LEFT-WALL### 5 identified 0 ###LEFT-WALL### 11 . 1 two 2 variants 2 variants 3 were 3 were 5 identified 4 newly 5 identified 5 identified 6 in 6 in 10 cases 7 2 10 cases 8 individual 10 cases 9 fals 10 cases unique variations in the optn gene are rare in fals cases and were not identified in any sals patients , all of european descent . 0 ###LEFT-WALL### 2 variations 0 ###LEFT-WALL### 7 are 1 unique 2 variations 2 variations 3 in 2 variations 7 are 3 in 6 gene 4 the 6 gene 5 optn 6 gene 7 are 8 rare 8 rare 9 in 9 in 10 fals 10 fals 12 and 11 cases 12 and 12 and 13 were 12 and 16 in 13 were 14 not 13 were 15 identified 16 in 19 patients 17 any 19 patients 18 sals 19 patients 19 patients 24 descent 20 , 24 descent 21 all 22 of 21 all 24 descent 22 of 24 descent 23 european 24 descent 24 descent 25 . because of population aging in our geographical and social setting and progress in preventing premature death , there is [an] ever - increasing prevalence of chronic diseases , in this case diabetes . 0 ###LEFT-WALL### 4 aging 0 ###LEFT-WALL### 19 is 0 ###LEFT-WALL### 33 . 1 because 2 of 1 because 4 aging 2 of 3 population 4 aging 5 in 4 aging 18 there 4 aging 19 is 5 in 11 and 6 our 10 setting 7 geographical 8 and 8 and 9 social 8 and 10 setting 10 setting 11 and 11 and 12 progress 11 and 17 , 12 progress 13 in 13 in 14 preventing 14 preventing 16 death 15 premature 16 death 19 is 21 ever 19 is 23 increasing 19 is 29 in 22 - 23 increasing 23 increasing 24 prevalence 23 increasing 28 , 24 prevalence 25 of 25 of 27 diseases 26 chronic 27 diseases 29 in 32 diabetes 30 this 32 diabetes 31 case 32 diabetes in our environment , the dietary changes and sedentariness that have led to the spectacular rise in obesity have increased the prevalence of diabetes . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 20 increased 0 ###LEFT-WALL### 25 . 1 in 3 environment 1 in 4 , 1 in 8 and 2 our 3 environment 5 the 7 changes 6 dietary 7 changes 7 changes 8 and 8 and 9 sedentariness 8 and 10 that 8 and 11 have 8 and 19 have 10 that 11 have 11 have 12 led 12 led 13 to 12 led 17 in 13 to 16 rise 14 the 16 rise 15 spectacular 16 rise 17 in 18 obesity 19 have 20 increased 20 increased 22 prevalence 21 the 22 prevalence 22 prevalence 23 of 23 of 24 diabetes our health system is reasonably well prepared to manage acute disease but neither health professionals nor referral circuits - [nor] probably [patients] - are prepared for the new scenario . 0 ###LEFT-WALL### 3 system 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 12 but 0 ###LEFT-WALL### 30 . 1 our 3 system 2 health 3 system 3 system 4 is 4 is 6 well 4 is 7 prepared 5 reasonably 6 well 7 prepared 8 to 7 prepared 9 manage 8 to 9 manage 9 manage 11 disease 10 acute 11 disease 12 but 16 nor 12 but 24 are 13 neither 16 nor 14 health 15 professionals 15 professionals 16 nor 16 nor 18 circuits 16 nor 24 are 17 referral 18 circuits 19 - 21 probably 21 probably 23 - 21 probably 24 are 24 are 25 prepared 25 prepared 26 for 26 for 29 scenario 27 the 29 scenario 28 new 29 scenario consequently , we should prepare ourselves for the management of chronic disease , encourage patient participation in decision [-] making and promote a new , less paternalistic , paradigm of the doctor - patient relationship . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 33 - 1 consequently 2 , 1 consequently 3 we 3 we 13 , 4 should 5 prepare 4 should 13 , 5 prepare 6 ourselves 5 prepare 7 for 7 for 9 management 8 the 9 management 9 management 10 of 10 of 12 disease 11 chronic 12 disease 13 , 21 and 14 encourage 16 participation 14 encourage 17 in 14 encourage 21 and 15 patient 16 participation 17 in 20 making 18 decision 20 making 21 and 22 promote 22 promote 29 paradigm 23 a 24 new 23 a 29 paradigm 24 new 25 , 24 new 29 paradigm 26 less 27 paternalistic 27 paternalistic 28 , 27 paternalistic 29 paradigm 29 paradigm 30 of 30 of 32 doctor 31 the 32 doctor 33 - 35 relationship 33 - 36 . 34 patient 35 relationship the experiences initiated by the university of stanford , or in spain by the national patients ' forum , could serve as models . 0 ###LEFT-WALL### 2 experiences 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 24 . 1 the 2 experiences 2 experiences 19 , 3 initiated 10 or 3 initiated 13 by 3 initiated 19 , 4 by 6 university 4 by 10 or 5 the 6 university 6 university 7 of 7 of 8 stanford 9 , 10 or 10 or 11 in 11 in 12 spain 13 by 18 forum 14 the 16 patients 15 national 16 patients 16 patients 17 ' 17 ' 18 forum 19 , 20 could 20 could 21 serve 21 serve 22 as 22 as 23 models in the next few years , the figure of the expert patient will undoubtedly be highly useful . 0 ###LEFT-WALL### 8 figure 0 ###LEFT-WALL### 15 be 0 ###LEFT-WALL### 18 . 1 in 5 years 1 in 6 , 1 in 8 figure 2 the 3 next 2 the 4 few 4 few 5 years 7 the 8 figure 8 figure 9 of 8 figure 13 will 9 of 12 patient 10 the 12 patient 11 expert 12 patient 13 will 15 be 14 undoubtedly 15 be 15 be 16 highly 15 be 17 useful in general , physicians and patients place a great deal of faith in the contribution of new treatments and technologies to the relief or management of disease . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 7 place 0 ###LEFT-WALL### 28 . 1 in 2 general 2 general 3 , 2 general 5 and 4 physicians 5 and 5 and 6 patients 5 and 7 place 7 place 10 deal 7 place 13 in 8 a 9 great 8 a 10 deal 9 great 10 deal 10 deal 11 of 11 of 12 faith 13 in 24 or 14 the 15 contribution 15 contribution 16 of 15 contribution 24 or 16 of 19 and 17 new 18 treatments 18 treatments 19 and 19 and 20 technologies 19 and 21 to 21 to 23 relief 22 the 23 relief 24 or 25 management 24 or 26 of 26 of 27 disease to deny this in the [xxi] century would be ridiculous , but all the possibilities of these treatments and technologies only show positive results in suitably educated patients . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 9 be 0 ###LEFT-WALL### 12 but 0 ###LEFT-WALL### 29 . 1 to 2 deny 1 to 8 would 2 deny 3 this 2 deny 4 in 4 in 7 century 5 the 7 century 8 would 9 be 9 be 10 ridiculous 11 , 12 but 12 but 13 all 12 but 22 show 13 all 14 the 13 all 15 possibilities 13 all 22 show 14 the 15 possibilities 15 possibilities 16 of 16 of 19 and 17 these 18 treatments 18 treatments 19 and 19 and 20 technologies 21 only 22 show 22 show 24 results 22 show 25 in 23 positive 24 results 25 in 28 patients 26 suitably 27 educated 27 educated 28 patients this is a task that should never be forgotten . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 10 . 1 this 2 is 2 is 4 task 3 a 4 task 4 task 5 that 4 task 6 should 5 that 6 should 6 should 8 be 7 never 8 be 8 be 9 forgotten in this article , we describe a detailed method for automatically generating tetrahedral meshes from 3 d images having multiple region labels . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 describe 0 ###LEFT-WALL### 23 . 1 in 3 article 1 in 4 , 1 in 5 we 2 this 3 article 5 we 6 describe 6 describe 9 method 7 a 8 detailed 7 a 9 method 8 detailed 9 method 9 method 10 for 10 for 12 generating 11 automatically 12 generating 12 generating 14 meshes 12 generating 15 from 13 tetrahedral 14 meshes 15 from 18 images 16 3 17 d 17 d 18 images 18 images 19 having 19 having 22 labels 20 multiple 21 region 21 region 22 labels an adaptively sized tetrahedral mesh modeling approach is [described] that is capable of producing meshes conforming precisely to the voxelized regions in the image . 0 ###LEFT-WALL### 7 approach 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 25 . 1 an 7 approach 2 adaptively 3 sized 3 sized 6 modeling 4 tetrahedral 6 modeling 5 mesh 6 modeling 6 modeling 7 approach 7 approach 8 is 8 is 11 is 8 is 12 capable 10 that 11 is 12 capable 13 of 13 of 14 producing 14 producing 15 meshes 15 meshes 16 conforming 15 meshes 22 in 16 conforming 17 precisely 16 conforming 18 to 18 to 21 regions 19 the 21 regions 20 voxelized 21 regions 22 in 24 image 23 the 24 image efficient tetrahedral mesh improvement is then performed minimizing an energy function containing three terms : a smoothing term to remove the voxelization , a fidelity term to maintain continuity with the image data , and a novel elasticity term to prevent the tetrahedra from becoming flattened or inverted as the mesh deforms while allowing the voxelization to be removed entirely . 0 ###LEFT-WALL### 4 improvement 0 ###LEFT-WALL### 5 is 1 efficient 4 improvement 2 tetrahedral 4 improvement 3 mesh 4 improvement 4 improvement 5 is 5 is 6 then 5 is 8 minimizing 7 performed 8 minimizing 8 minimizing 11 function 8 minimizing 20 remove 9 an 11 function 10 energy 11 function 11 function 12 containing 11 function 14 terms 11 function 15 : 12 containing 13 three 12 containing 14 terms 15 : 18 term 15 : 19 to 16 a 18 term 17 smoothing 18 term 19 to 20 remove 20 remove 22 voxelization 21 the 22 voxelization 22 voxelization 26 term 23 , 26 term 24 a 26 term 25 fidelity 26 term 26 term 27 to 26 term 28 maintain 26 term 61 . 27 to 28 maintain 28 maintain 29 continuity 28 maintain 30 with 30 with 35 and 31 the 33 data 32 image 33 data 33 data 35 and 34 , 35 and 35 and 39 term 35 and 40 to 35 and 47 or 36 a 39 term 37 novel 39 term 38 elasticity 39 term 40 to 47 or 41 prevent 43 tetrahedra 41 prevent 47 or 42 the 43 tetrahedra 43 tetrahedra 44 from 44 from 45 becoming 45 becoming 46 flattened 47 or 48 inverted 47 or 52 deforms 49 as 51 mesh 49 as 52 deforms 50 the 51 mesh 51 mesh 52 deforms 52 deforms 53 while 52 deforms 57 to 53 while 54 allowing 54 allowing 56 voxelization 55 the 56 voxelization 57 to 58 be 58 be 59 removed 59 removed 60 entirely the meshing algorithm is applied to structural mr image data that has been automatically segmented into 56 neuroanatomical sub [-] divisions as well as on two other examples . 0 ###LEFT-WALL### 3 algorithm 0 ###LEFT-WALL### 5 applied 0 ###LEFT-WALL### 29 . 1 the 3 algorithm 2 meshing 3 algorithm 3 algorithm 4 is 4 is 5 applied 5 applied 6 to 5 applied 24 as 6 to 10 data 7 structural 9 image 8 mr 9 image 9 image 10 data 10 data 11 that 10 data 12 has 11 that 12 has 12 has 13 been 13 been 14 automatically 13 been 15 segmented 15 segmented 16 into 16 into 21 divisions 17 56 21 divisions 18 neuroanatomical 19 sub 19 sub 21 divisions 21 divisions 22 as 22 as 23 well 24 as 25 on 25 on 28 examples 26 two 27 other 27 other 28 examples the resulting tetrahedral representation has several desirable properties such as tetrahedra with dihedral angles away from 0 and 180 degrees , smoothness , and a high resolution . 0 ###LEFT-WALL### 4 representation 0 ###LEFT-WALL### 5 has 0 ###LEFT-WALL### 28 . 1 the 4 representation 2 resulting 4 representation 3 tetrahedral 4 representation 4 representation 5 has 5 has 8 properties 5 has 15 away 5 has 16 from 6 several 8 properties 7 desirable 8 properties 8 properties 10 as 8 properties 12 with 9 such 10 as 10 as 11 tetrahedra 12 with 14 angles 13 dihedral 14 angles 16 from 24 and 17 0 18 and 18 and 19 180 18 and 20 degrees 20 degrees 21 , 21 , 22 smoothness 21 , 24 and 23 , 24 and 24 and 27 resolution 25 a 27 resolution 26 high 27 resolution tetrahedral modeling via the approach described here has applications in modeling brain structure in normal as well as diseased brain in human [and] [non] - human data and facilitates examination of 3 d object deformations resulting from neurological illness ( e.g [.] alzheimer 's disease ) , development , [and/or] aging . 0 ###LEFT-WALL### 2 modeling 0 ###LEFT-WALL### 28 and 0 ###LEFT-WALL### 52 . 1 tetrahedral 2 modeling 2 modeling 3 via 2 modeling 28 and 3 via 5 approach 4 the 5 approach 5 approach 6 described 6 described 7 here 8 has 9 applications 8 has 28 and 9 applications 10 in 9 applications 14 in 10 in 13 structure 11 modeling 13 structure 12 brain 13 structure 14 in 20 brain 15 normal 20 brain 16 as 17 well 17 well 19 diseased 18 as 19 diseased 19 diseased 20 brain 20 brain 21 in 21 in 27 data 22 human 25 - 22 human 27 data 26 human 27 data 28 and 29 facilitates 29 facilitates 30 examination 30 examination 31 of 31 of 35 deformations 32 3 33 d 33 d 35 deformations 34 object 35 deformations 35 deformations 36 resulting 35 deformations 37 from 35 deformations 51 aging 37 from 39 illness 38 neurological 39 illness 39 illness 45 disease 39 illness 48 development 40 ( 45 disease 41 e.g 43 alzheimer 43 alzheimer 44 's 44 's 45 disease 45 disease 46 ) 47 , 48 development 48 development 49 , resting state fmri studies have found that cognitive decline in aging is associated with alterations in functional connectivity of distributed neural systems in the brain . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 6 found 0 ###LEFT-WALL### 26 . 1 resting 2 state 2 state 4 studies 3 fmri 4 studies 4 studies 5 have 5 have 6 found 6 found 9 decline 6 found 13 associated 7 that 9 decline 8 cognitive 9 decline 9 decline 10 in 9 decline 12 is 10 in 11 aging 12 is 13 associated 13 associated 14 with 13 associated 16 in 14 with 15 alterations 16 in 18 connectivity 17 functional 18 connectivity 18 connectivity 19 of 19 of 22 systems 20 distributed 22 systems 21 neural 22 systems 22 systems 23 in 23 in 25 brain 24 the 25 brain while functional connections have been shown to rely on the underlying structural connectivity , direct structural connections have been studied in only a few distributed cortical systems so far . 0 ###LEFT-WALL### 17 connections 0 ###LEFT-WALL### 20 studied 0 ###LEFT-WALL### 30 . 1 while 3 connections 1 while 6 shown 1 while 14 , 1 while 17 connections 2 functional 3 connections 3 connections 4 have 4 have 5 been 5 been 6 shown 6 shown 7 to 6 shown 13 connectivity 7 to 8 rely 8 rely 9 on 9 on 11 underlying 10 the 11 underlying 12 structural 13 connectivity 15 direct 17 connections 16 structural 17 connections 17 connections 18 have 18 have 19 been 19 been 20 studied 20 studied 21 in 20 studied 29 far 21 in 27 systems 22 only 24 few 23 a 24 few 24 few 27 systems 25 distributed 27 systems 26 cortical 27 systems 28 so 29 far it is well known that subcortical nuclei have structural connections to the entire cortex . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 15 . 1 it 2 is 2 is 3 well 2 is 5 that 3 well 4 known 5 that 7 nuclei 5 that 8 have 6 subcortical 7 nuclei 7 nuclei 8 have 8 have 10 connections 8 have 11 to 9 structural 10 connections 11 to 14 cortex 12 the 14 cortex 13 entire 14 cortex we hypothesized that structural subcortico - cortical connections may provide integral routes for communication between cortical resting state networks , and that changes in the integrity of these connections have a role in cognitive aging . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 hypothesized 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 30 have 0 ###LEFT-WALL### 36 . 1 we 2 hypothesized 2 hypothesized 5 subcortico 3 that 4 structural 4 structural 5 subcortico 6 - 8 connections 6 - 10 provide 7 cortical 8 connections 8 connections 9 may 9 may 10 provide 10 provide 12 routes 10 provide 13 for 11 integral 12 routes 13 for 23 changes 14 communication 15 between 14 communication 21 and 15 between 19 networks 16 cortical 18 state 17 resting 18 state 18 state 19 networks 20 , 21 and 21 and 22 that 21 and 23 changes 23 changes 24 in 23 changes 27 of 23 changes 30 have 24 in 26 integrity 25 the 26 integrity 27 of 29 connections 28 these 29 connections 30 have 32 role 31 a 32 role 32 role 33 in 33 in 35 aging 34 cognitive 35 aging we combined anatomical mri , diffusion tensor mri , and resting state fmri in 100 [healthy] elderly to identify fiber bundles connecting cortical resting state networks to subcortical nuclei . 1 we 2 combined 2 combined 4 mri 3 anatomical 4 mri 4 mri 20 fiber 5 , 20 fiber 6 diffusion 20 fiber 7 tensor 20 fiber 8 mri 10 and 9 , 10 and 10 and 13 fmri 10 and 14 in 10 and 17 elderly 10 and 20 fiber 11 resting 13 fmri 12 state 13 fmri 14 in 15 100 17 elderly 18 to 17 elderly 19 identify 18 to 19 identify 20 fiber 21 bundles 20 fiber 25 state 20 fiber 30 . 21 bundles 22 connecting 21 bundles 25 state 22 connecting 24 resting 23 cortical 24 resting 25 state 26 networks 25 state 27 to 27 to 29 nuclei 28 subcortical 29 nuclei in identified tracts , white matter fiber bundle integrity measures were compared to composite cognitive measures on executive [function] , processing speed , and memory performance . 0 ###LEFT-WALL### 10 measures 0 ###LEFT-WALL### 12 compared 0 ###LEFT-WALL### 27 . 1 in 3 tracts 1 in 4 , 1 in 10 measures 2 identified 3 tracts 5 white 6 matter 6 matter 10 measures 7 fiber 10 measures 8 bundle 10 measures 9 integrity 10 measures 10 measures 11 were 11 were 12 compared 12 compared 13 to 12 compared 17 on 13 to 16 measures 14 composite 16 measures 15 cognitive 16 measures 17 on 24 and 18 executive 20 , 20 , 22 speed 20 , 24 and 21 processing 22 speed 23 , 24 and 24 and 26 performance 25 memory 26 performance the integrity ( fa values ) [in] selected fiber bundles correlated strongly with cognitive measures on executive function [and] processing speed . 0 ###LEFT-WALL### 2 integrity 0 ###LEFT-WALL### 8 selected 0 ###LEFT-WALL### 22 . 1 the 2 integrity 2 integrity 5 values 2 integrity 8 selected 3 ( 5 values 4 fa 5 values 5 values 6 ) 8 selected 10 bundles 9 fiber 10 bundles 10 bundles 11 correlated 11 correlated 12 strongly 11 correlated 13 with 11 correlated 16 on 13 with 15 measures 14 cognitive 15 measures 16 on 21 speed 17 executive 18 function 18 function 21 speed 20 processing 21 speed correlation was most pronounced between executive function [and] fiber bundles connecting the putamen to the dorsal attention network ( r=0.73 , p<0.001 ) . 0 ###LEFT-WALL### 1 correlation 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 24 . 1 correlation 2 was 2 was 3 most 3 most 4 pronounced 3 most 11 connecting 4 pronounced 5 between 5 between 10 bundles 6 executive 10 bundles 7 function 10 bundles 9 fiber 10 bundles 11 connecting 13 putamen 12 the 13 putamen 13 putamen 14 to 14 to 18 network 15 the 18 network 16 dorsal 17 attention 17 attention 18 network 18 network 20 r=0.73 18 network 22 p<0.001 19 ( 20 r=0.73 20 r=0.73 21 , 21 , 22 p<0.001 22 p<0.001 23 ) multiple studies have attempted to establish a discriminant limit ( generally 10 mg/l ) above which urinary ghb concentrations can be considered consistent with ghb/gbl consumption . 0 ###LEFT-WALL### 1 multiple 0 ###LEFT-WALL### 22 considered 0 ###LEFT-WALL### 27 . 1 multiple 2 studies 1 multiple 3 have 1 multiple 4 attempted 1 multiple 15 above 1 multiple 21 be 2 studies 3 have 4 attempted 5 to 5 to 6 establish 6 establish 9 limit 7 a 8 discriminant 7 a 9 limit 8 discriminant 9 limit 9 limit 13 mg/l 10 ( 11 generally 10 ( 13 mg/l 12 10 13 mg/l 13 mg/l 14 ) 15 above 16 which 15 above 18 ghb 15 above 19 concentrations 15 above 20 can 16 which 18 ghb 17 urinary 18 ghb 19 concentrations 20 can 21 be 22 considered 22 considered 23 consistent 23 consistent 24 with 24 with 26 consumption 25 ghb/gbl 26 consumption to supplement the currently available data , a rapid gas chromatography - mass spectrometry method was developed and validated for the analysis of ghb ( following acidic conversion to gbl ) [and] used to analyze urine samples collected from 1126 women ( [mean] = 0.84 mg/l , median = 0.68 mg/l [,] range [=] 0.00 - 5.5 mg/l ) . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 supplement 0 ###LEFT-WALL### 7 , 1 to 2 supplement 2 supplement 6 data 3 the 6 data 4 currently 5 available 5 available 6 data 7 , 15 method 7 , 16 was 8 a 15 method 9 rapid 10 gas 10 gas 13 mass 11 chromatography 12 - 11 chromatography 13 mass 13 mass 15 method 14 spectrometry 15 method 15 method 16 was 16 was 18 and 17 developed 18 and 18 and 19 validated 18 and 20 for 20 for 22 analysis 21 the 22 analysis 22 analysis 23 of 22 analysis 33 used 23 of 24 ghb 24 ghb 28 conversion 25 ( 28 conversion 26 following 28 conversion 27 acidic 28 conversion 28 conversion 29 to 28 conversion 31 ) 29 to 30 gbl 33 used 34 to 33 used 35 analyze 34 to 35 analyze 35 analyze 37 samples 35 analyze 38 collected 36 urine 37 samples 37 samples 38 collected 38 collected 39 from 38 collected 41 women 39 from 40 1126 41 women 46 mg/l 41 women 53 range 42 ( 46 mg/l 44 = 45 0.84 45 0.84 46 mg/l 46 mg/l 47 , 47 , 53 range 48 median 53 range 49 = 50 0.68 50 0.68 51 mg/l 51 mg/l 53 range 53 range 55 0.00 53 range 58 mg/l 53 range 60 . 56 - 58 mg/l 57 5.5 58 mg/l 58 mg/l 59 ) ghb concentrations were shown to be independent of urinary ph ( within the range 4.6 - 9.3 ) , age ( within the range 18 - 35 years [ )( body mass index ( within the range 13.8 - 36.3 ) , and race . 0 ###LEFT-WALL### 6 be 0 ###LEFT-WALL### 45 . 1 ghb 2 concentrations 2 concentrations 3 were 3 were 4 shown 4 shown 5 to 5 to 6 be 6 be 43 and 7 independent 8 of 7 independent 43 and 8 of 10 ph 9 urinary 10 ph 10 ph 12 within 10 ph 20 age 11 ( 12 within 12 within 14 range 12 within 18 ) 13 the 14 range 14 range 16 - 15 4.6 16 - 16 - 17 9.3 19 , 20 age 20 age 22 within 20 age 42 , 21 ( 22 within 22 within 33 index 22 within 42 , 23 the 33 index 24 range 33 index 25 18 26 - 26 - 27 35 26 - 28 years 28 years 33 index 31 body 33 index 32 mass 33 index 33 index 35 within 34 ( 35 within 35 within 37 range 35 within 41 ) 36 the 37 range 37 range 39 - 38 13.8 39 - 39 - 40 36.3 43 and 44 race adjusting ghb concentrations with respect to urinary specific gravity had little effect on the mean value ( 0.91 mg/l ) and range ( 0.0 - 7.76 mg/l ) , although a statistically significant trend of increasing ghb concentration with specific gravity could be observed . 0 ###LEFT-WALL### 1 adjusting 0 ###LEFT-WALL### 10 had 0 ###LEFT-WALL### 45 . 1 adjusting 3 concentrations 1 adjusting 4 with 1 adjusting 6 to 1 adjusting 10 had 2 ghb 3 concentrations 4 with 5 respect 6 to 9 gravity 7 urinary 9 gravity 8 specific 9 gravity 10 had 21 and 10 had 30 although 11 little 21 and 12 effect 13 on 12 effect 21 and 13 on 16 value 14 the 16 value 15 mean 16 value 16 value 19 mg/l 17 ( 19 mg/l 18 0.91 19 mg/l 19 mg/l 20 ) 21 and 22 range 21 and 24 0.0 23 ( 24 0.0 24 0.0 27 mg/l 24 0.0 29 , 25 - 27 mg/l 26 7.76 27 mg/l 27 mg/l 28 ) 30 although 34 trend 30 although 44 observed 31 a 32 statistically 31 a 34 trend 32 statistically 33 significant 33 significant 34 trend 34 trend 35 of 34 trend 42 could 35 of 36 increasing 36 increasing 38 concentration 36 increasing 39 with 37 ghb 38 concentration 39 with 41 gravity 40 specific 41 gravity 42 could 43 be 43 be 44 observed our results can be taken to offer further support for the 10 mg/l discriminant limit for ghb administration in antemortem urine samples . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 7 offer 0 ###LEFT-WALL### 23 . 1 our 2 results 2 results 3 can 3 can 4 be 4 be 5 taken 5 taken 6 to 6 to 7 offer 7 offer 9 support 7 offer 18 administration 7 offer 19 in 8 further 9 support 9 support 10 for 9 support 16 for 10 for 15 limit 11 the 15 limit 12 10 13 mg/l 13 mg/l 14 discriminant 14 discriminant 15 limit 16 for 17 ghb 19 in 22 samples 20 antemortem 21 urine 21 urine 22 samples practice effects ( pe ) have been gaining interest as an early marker of pathological cognitive decline [among] older adults , [with] cognitively compromised individuals exhibiting diminished or absent pe , presumably due to reduced ability to learn . 0 ###LEFT-WALL### 2 effects 0 ###LEFT-WALL### 7 been 0 ###LEFT-WALL### 21 , 1 practice 2 effects 2 effects 4 pe 2 effects 6 have 3 ( 4 pe 4 pe 5 ) 6 have 7 been 7 been 9 interest 8 gaining 9 interest 9 interest 10 as 10 as 13 marker 11 an 12 early 11 an 13 marker 12 early 13 marker 13 marker 14 of 14 of 20 adults 15 pathological 17 decline 16 cognitive 17 decline 17 decline 20 adults 19 older 20 adults 21 , 28 or 23 cognitively 24 compromised 24 compromised 27 diminished 24 compromised 28 or 25 individuals 27 diminished 26 exhibiting 27 diminished 28 or 29 absent 29 absent 30 pe 30 pe 33 due 31 , 33 due 32 presumably 33 due 33 due 34 to 33 due 39 . 34 to 36 ability 35 reduced 36 ability 36 ability 37 to 36 ability 38 learn 37 to 38 learn however , the opposite pattern has also been observed , with mci participants showing larger pes than controls . 0 ###LEFT-WALL### 5 pattern 0 ###LEFT-WALL### 9 observed 1 however 2 , 1 however 5 pattern 3 the 5 pattern 4 opposite 5 pattern 5 pattern 6 has 6 has 8 been 7 also 8 been 8 been 9 observed 9 observed 11 with 10 , 11 with 11 with 12 mci 11 with 13 participants 11 with 19 . 13 participants 14 showing 14 showing 16 pes 14 showing 17 than 15 larger 16 pes 17 than 18 controls in this prospective cohort study , we examined the possibility that individuals [with] incipient cognitive decline may be more " thrown " by task novelty , which may inflate pe due to diminished performance during the first exposure to the task . 0 ###LEFT-WALL### 7 we 0 ###LEFT-WALL### 8 examined 0 ###LEFT-WALL### 26 , 0 ###LEFT-WALL### 42 . 1 in 5 study 1 in 6 , 1 in 7 we 2 this 5 study 3 prospective 4 cohort 4 cohort 5 study 7 we 8 examined 8 examined 10 possibility 8 examined 23 by 9 the 10 possibility 10 possibility 16 decline 10 possibility 18 be 10 possibility 21 thrown 11 that 16 decline 12 individuals 16 decline 14 incipient 16 decline 15 cognitive 16 decline 16 decline 17 may 17 may 18 be 18 be 19 more 19 more 20 " 21 thrown 22 " 23 by 25 novelty 24 task 25 novelty 26 , 27 which 26 , 29 inflate 27 which 28 may 28 may 29 inflate 29 inflate 30 pe 29 inflate 32 to 29 inflate 39 to 31 due 32 to 32 to 34 performance 33 diminished 34 performance 34 performance 35 during 35 during 38 exposure 36 the 37 first 36 the 38 exposure 39 to 41 task 40 the 41 task we assessed novelty effect ( ne ) and learning ( lrn ) on a motor task in 50 community [-] dwelling independent older adults who expressed a concern about their cognition . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 assessed 0 ###LEFT-WALL### 32 . 1 we 2 assessed 2 assessed 3 novelty 2 assessed 17 in 2 assessed 29 about 3 novelty 8 and 3 novelty 16 task 4 effect 6 ne 4 effect 8 and 5 ( 6 ne 6 ne 7 ) 8 and 9 learning 8 and 13 on 8 and 16 task 9 learning 11 lrn 10 ( 11 lrn 11 lrn 12 ) 13 on 15 motor 14 a 15 motor 17 in 24 adults 18 50 24 adults 19 community 21 dwelling 21 dwelling 24 adults 22 independent 24 adults 23 older 24 adults 24 adults 25 who 24 adults 26 expressed 25 who 26 expressed 26 expressed 28 concern 27 a 28 concern 29 about 31 cognition 30 their 31 cognition results showed that larger ne was associated with greater cognitive decline 17 months later , reliably classifying participants into decliners and nondecliners . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 showed 1 results 2 showed 2 showed 3 that 3 that 5 ne 3 that 7 associated 4 larger 5 ne 5 ne 6 was 6 was 7 associated 7 associated 8 with 8 with 11 decline 9 greater 11 decline 10 cognitive 11 decline 11 decline 12 17 11 decline 14 later 11 decline 17 classifying 13 months 14 later 15 , 17 classifying 16 reliably 17 classifying 17 classifying 18 participants 17 classifying 19 into 17 classifying 23 . 19 into 21 and 20 decliners 21 and 21 and 22 nondecliners lrn did not independently explain any variance in future cognitive change , but moderated the relationship between ne and decline and correlated with the level of cognition at baseline and follow - up . 0 ###LEFT-WALL### 1 lrn 0 ###LEFT-WALL### 13 but 1 lrn 13 but 2 did 3 not 2 did 5 explain 2 did 13 but 4 independently 5 explain 5 explain 7 variance 5 explain 8 in 6 any 7 variance 8 in 11 change 9 future 11 change 10 cognitive 11 change 12 , 13 but 13 but 19 and 14 moderated 16 relationship 14 moderated 17 between 14 moderated 19 and 15 the 16 relationship 17 between 18 ne 19 and 21 and 20 decline 21 and 21 and 30 and 22 correlated 23 with 22 correlated 28 at 22 correlated 30 and 23 with 25 level 24 the 25 level 25 level 26 of 26 of 27 cognition 28 at 29 baseline 30 and 31 follow 31 follow 33 up 32 - 33 up 33 up 34 . these findings highlight the differing contributions of ne and lrn to pe , and demonstrate that ne may be sensitive to depletion of cognitive reserve among individuals who are on the verge of exhibiting a reliable cognitive decline . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 39 . 1 these 2 findings 2 findings 14 and 3 highlight 6 contributions 3 highlight 11 to 3 highlight 14 and 4 the 6 contributions 5 differing 6 contributions 6 contributions 7 of 7 of 10 lrn 8 ne 9 and 9 and 10 lrn 11 to 12 pe 13 , 14 and 14 and 15 demonstrate 14 and 21 to 14 and 26 among 14 and 32 verge 15 demonstrate 16 that 16 that 17 ne 16 that 19 be 17 ne 18 may 18 may 19 be 19 be 20 sensitive 21 to 22 depletion 22 depletion 23 of 23 of 25 reserve 24 cognitive 25 reserve 26 among 27 individuals 27 individuals 28 who 27 individuals 29 are 28 who 29 are 29 are 30 on 31 the 32 verge 32 verge 33 of 33 of 34 exhibiting 34 exhibiting 38 decline 35 a 36 reliable 35 a 38 decline 36 reliable 38 decline 37 cognitive 38 decline background : social engagement and depression are important outcomes for residents with dementia in long - term care . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 2 : 5 and 2 : 7 are 3 social 4 engagement 4 engagement 5 and 5 and 6 depression 5 and 7 are 7 are 9 outcomes 8 important 9 outcomes 9 outcomes 10 for 9 outcomes 12 with 10 for 11 residents 12 with 13 dementia 13 dementia 14 in 14 in 18 care 15 long 16 - 15 long 17 term 17 term 18 care however , it is still largely unclear which differences in social engagement and depression exist in residents of various long - term care settings and how these differences may be explained . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 31 explained 0 ###LEFT-WALL### 32 . 1 however 2 , 1 however 3 it 3 it 4 is 4 is 5 still 4 is 7 unclear 6 largely 7 unclear 7 unclear 8 which 8 which 9 differences 9 differences 10 in 9 differences 15 exist 10 in 13 and 11 social 12 engagement 12 engagement 13 and 13 and 14 depression 15 exist 16 in 16 in 17 residents 17 residents 18 of 18 of 23 care 19 various 22 term 20 long 21 - 20 long 22 term 22 term 23 care 24 settings 25 and 25 and 26 how 25 and 28 differences 25 and 30 be 25 and 31 explained 27 these 28 differences 28 differences 29 may 29 may 30 be this study investigated the relationship between social engagement and depressive symptoms in long - term care dementia units , and studied whether differences in social engagement and depressive symptoms between units can be ascribed to the composition of the resident population or to differences in type [of] care setting . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 50 . 1 this 2 study 2 study 20 and 3 investigated 5 relationship 3 investigated 6 between 3 investigated 20 and 4 the 5 relationship 6 between 9 and 7 social 8 engagement 8 engagement 9 and 9 and 11 symptoms 9 and 12 in 10 depressive 11 symptoms 12 in 18 units 13 long 14 - 13 long 18 units 15 term 16 care 16 care 18 units 17 dementia 18 units 19 , 20 and 20 and 21 studied 20 and 45 in 21 studied 22 whether 22 whether 27 and 22 whether 34 ascribed 23 differences 24 in 23 differences 27 and 24 in 26 engagement 25 social 26 engagement 27 and 29 symptoms 27 and 30 between 27 and 32 can 28 depressive 29 symptoms 30 between 31 units 32 can 33 be 33 be 34 ascribed 34 ascribed 42 or 35 to 37 composition 35 to 42 or 36 the 37 composition 37 composition 38 of 38 of 41 population 39 the 41 population 40 resident 41 population 42 or 43 to 43 to 44 differences 45 in 48 care 46 type 48 care 48 care 49 setting methods : thirty - seven long - term care units for residents with dementia in nursing - and residential homes in the netherlands participated in the study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 28 . 1 methods 2 : 2 : 3 thirty 3 thirty 10 units 4 - 10 units 5 seven 10 units 6 long 7 - 6 long 10 units 8 term 9 care 9 care 10 units 10 units 11 for 10 units 17 - 11 for 12 residents 12 residents 13 with 12 residents 15 in 13 with 14 dementia 15 in 16 nursing 17 - 18 and 18 and 20 homes 18 and 24 participated 19 residential 20 homes 20 homes 21 in 20 homes 24 participated 21 in 23 netherlands 22 the 23 netherlands 24 participated 25 in 25 in 27 study 26 the 27 study social engagement and depressive symptoms were measured for 502 residents with the minimum data set of the resident assessment instrument . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 7 measured 0 ###LEFT-WALL### 21 . 1 social 2 engagement 2 engagement 3 and 3 and 5 symptoms 3 and 6 were 4 depressive 5 symptoms 6 were 7 measured 7 measured 8 for 7 measured 11 with 8 for 10 residents 9 502 10 residents 11 with 15 set 12 the 15 set 13 minimum 14 data 14 data 15 set 15 set 16 of 16 of 20 instrument 17 the 20 instrument 18 resident 19 assessment 19 assessment 20 instrument results were analyzed using multilevel analysis . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 3 analyzed 0 ###LEFT-WALL### 7 . 1 results 2 were 2 were 3 analyzed 3 analyzed 4 using 4 using 6 analysis 5 multilevel 6 analysis results : residents of psychogeriatric units in nursing homes experienced low social engagement . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 residents 2 : 10 experienced 2 : 14 . 3 residents 4 of 3 residents 10 experienced 4 of 6 units 5 psychogeriatric 6 units 6 units 7 in 7 in 8 nursing 8 nursing 9 homes 10 experienced 13 engagement 11 low 13 engagement 12 social 13 engagement depressive symptoms were most often found in residents of psychogeriatric units in residential homes . 0 ###LEFT-WALL### 2 symptoms 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 15 . 1 depressive 2 symptoms 2 symptoms 3 were 3 were 4 most 4 most 6 found 5 often 6 found 6 found 7 in 6 found 12 in 7 in 8 residents 8 residents 9 of 9 of 11 units 10 psychogeriatric 11 units 12 in 14 homes 13 residential 14 homes multilevel analyses showed that social engagement and depressive symptoms correlated [moderately] on the level of the units . 0 ###LEFT-WALL### 2 analyses 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 18 . 1 multilevel 2 analyses 2 analyses 3 showed 3 showed 6 engagement 3 showed 7 and 4 that 5 social 5 social 6 engagement 7 and 9 symptoms 8 depressive 9 symptoms 9 symptoms 10 correlated 10 correlated 12 on 12 on 14 level 13 the 14 level 14 level 15 of 15 of 17 units 16 the 17 units this correlation disappeared when the characteristics of residents were taken into account . 0 ###LEFT-WALL### 2 correlation 0 ###LEFT-WALL### 3 disappeared 0 ###LEFT-WALL### 13 . 1 this 2 correlation 2 correlation 3 disappeared 3 disappeared 4 when 4 when 6 characteristics 4 when 10 taken 5 the 6 characteristics 6 characteristics 7 of 6 characteristics 9 were 7 of 8 residents 9 were 10 taken 10 taken 12 account 11 into 12 account conclusions : social engagement and depressive symptoms are [influenced] not only by individual characteristics but also by the type of care setting in which residents live . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 27 . 1 conclusions 2 : 2 : 4 engagement 3 social 4 engagement 5 and 7 symptoms 5 and 8 are 6 depressive 7 symptoms 7 symptoms 8 are 8 are 10 not 8 are 11 only 8 are 12 by 12 by 14 characteristics 13 individual 14 characteristics 14 characteristics 15 but 14 characteristics 17 by 15 but 16 also 17 by 21 care 17 by 25 residents 17 by 26 live 18 the 19 type 19 type 20 of 19 type 21 care 20 of 21 care 21 care 22 setting 21 care 23 in 23 in 24 which 25 residents 26 live however , in this study social engagement and depressive symptoms were not strongly related to each other , implying that separate interventions are needed to improve both outcomes . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 14 related 1 however 2 , 1 however 8 and 3 in 5 study 3 in 8 and 4 this 5 study 6 social 7 engagement 7 engagement 8 and 8 and 10 symptoms 8 and 11 were 9 depressive 10 symptoms 11 were 12 not 11 were 13 strongly 11 were 14 related 14 related 15 to 14 related 19 implying 15 to 17 other 16 each 17 other 18 , 19 implying 19 implying 22 interventions 19 implying 24 needed 19 implying 29 . 20 that 21 separate 21 separate 22 interventions 22 interventions 23 are 23 are 24 needed 24 needed 25 to 25 to 26 improve 26 improve 28 outcomes 27 both 28 outcomes in long - [lived] mammals , females that experience poor environmental conditions early in life may delay primiparity . 0 ###LEFT-WALL### 7 females 0 ###LEFT-WALL### 17 delay 0 ###LEFT-WALL### 19 . 1 in 5 mammals 1 in 6 , 1 in 7 females 2 long 3 - 2 long 5 mammals 7 females 8 that 7 females 9 experience 7 females 16 may 8 that 9 experience 9 experience 12 conditions 10 poor 12 conditions 11 environmental 12 conditions 12 conditions 13 early 13 early 14 in 14 in 15 life 16 may 17 delay 17 delay 18 primiparity in female bovids , annual horn growth increments may provide a record of age - specific reproduction and body growth . 0 ###LEFT-WALL### 8 increments 0 ###LEFT-WALL### 10 provide 0 ###LEFT-WALL### 15 - 1 in 3 bovids 1 in 4 , 1 in 8 increments 2 female 3 bovids 5 annual 6 horn 6 horn 8 increments 7 growth 8 increments 8 increments 9 may 9 may 10 provide 10 provide 12 record 11 a 12 record 12 record 13 of 13 of 14 age 15 - 18 and 15 - 21 . 16 specific 17 reproduction 17 reproduction 18 and 18 and 20 growth 19 body 20 growth horn length , however , may also be a criterion used by hunters in selecting animals to harvest , possibly leading to artificial selection . 0 ###LEFT-WALL### 2 length 0 ###LEFT-WALL### 8 be 1 horn 2 length 2 length 6 may 3 , 4 however 4 however 5 , 4 however 6 may 6 may 8 be 7 also 8 be 8 be 10 criterion 9 a 10 criterion 10 criterion 11 used 10 criterion 17 to 10 criterion 18 harvest 10 criterion 21 leading 11 used 12 by 11 used 14 in 12 by 13 hunters 14 in 15 selecting 15 selecting 16 animals 17 to 18 harvest 19 , 21 leading 20 possibly 21 leading 21 leading 22 to 21 leading 25 . 22 to 24 selection 23 artificial 24 selection we also compared the risk of [harvest] to reproductive status and horn length . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 14 . 1 we 11 and 2 also 3 compared 3 compared 5 risk 3 compared 11 and 4 the 5 risk 5 risk 6 of 6 of 8 to 8 to 10 status 9 reproductive 10 status 11 and 12 horn 12 horn 13 length females with strong early horn growth attained primiparity at an earlier age than [those] with weak early growth . 0 ###LEFT-WALL### 1 females 0 ###LEFT-WALL### 7 attained 0 ###LEFT-WALL### 19 . 1 females 2 with 1 females 7 attained 2 with 6 growth 3 strong 4 early 4 early 5 horn 5 horn 6 growth 7 attained 8 primiparity 7 attained 9 at 7 attained 13 than 7 attained 15 with 9 at 12 age 10 an 12 age 11 earlier 12 age 15 with 18 growth 16 weak 18 growth 17 early 18 growth horn length did not affect hunter selection , but we found a strong hunter preference for nonlactating females . 0 ###LEFT-WALL### 2 length 0 ###LEFT-WALL### 5 affect 0 ###LEFT-WALL### 9 but 0 ###LEFT-WALL### 19 . 1 horn 2 length 2 length 3 did 3 did 4 not 3 did 5 affect 5 affect 7 selection 6 hunter 7 selection 8 , 9 but 9 but 10 we 9 but 11 found 10 we 11 found 11 found 14 hunter 11 found 15 preference 12 a 13 strong 12 a 14 hunter 13 strong 14 hunter 15 preference 16 for 16 for 18 females 17 nonlactating 18 females moderate sport harvests are unlikely to affect the evolution of phenotypic traits and reproductive strategies [in] female chamois . 0 ###LEFT-WALL### 3 harvests 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 19 . 1 moderate 3 harvests 2 sport 3 harvests 3 harvests 4 are 4 are 5 unlikely 5 unlikely 6 to 5 unlikely 7 affect 6 to 7 affect 7 affect 9 evolution 8 the 9 evolution 9 evolution 10 of 10 of 13 and 11 phenotypic 12 traits 12 traits 13 and 13 and 18 chamois 14 reproductive 15 strategies 15 strategies 18 chamois 17 female 18 chamois a policy of penalizing hunters that harvest lactating females , however , may increase the harvest of 2 - [year] - old females , which have high reproductive potential . 0 ###LEFT-WALL### 2 policy 0 ###LEFT-WALL### 21 - 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 30 . 1 a 2 policy 2 policy 3 of 2 policy 13 may 3 of 4 penalizing 4 penalizing 5 hunters 5 hunters 6 that 5 hunters 7 harvest 6 that 7 harvest 7 harvest 9 females 8 lactating 9 females 10 , 11 however 11 however 12 , 11 however 13 may 13 may 14 increase 14 increase 16 harvest 15 the 16 harvest 16 harvest 17 of 17 of 19 - 18 2 19 - 19 - 21 - 21 - 23 females 22 old 23 females 24 , 25 which 24 , 26 have 25 which 26 have 26 have 29 potential 27 high 29 potential 28 reproductive 29 potential alzheimer 's disease is the most common form of dementia . 0 ###LEFT-WALL### 3 disease 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 11 . 1 alzheimer 2 's 2 's 3 disease 3 disease 4 is 4 is 8 form 5 the 6 most 6 most 8 form 7 common 8 form 8 form 9 of 9 of 10 dementia alzheimer 's disease will be responsible for an enormous burden on the individual and the society , as with the aging of the population , the incidence and the prevalence will grow . 0 ###LEFT-WALL### 3 disease 0 ###LEFT-WALL### 5 be 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 33 . 1 alzheimer 2 's 2 's 3 disease 3 disease 4 will 4 will 5 be 5 be 6 responsible 6 responsible 7 for 6 responsible 11 on 7 for 10 burden 8 an 10 burden 9 enormous 10 burden 11 on 14 and 12 the 13 individual 13 individual 14 and 14 and 16 society 14 and 18 as 15 the 16 society 17 , 18 as 18 as 19 with 18 as 25 , 19 with 21 aging 20 the 21 aging 21 aging 22 of 22 of 24 population 23 the 24 population 25 , 27 incidence 25 , 28 and 26 the 27 incidence 28 and 30 prevalence 28 and 32 grow 29 the 30 prevalence 30 prevalence 31 will 31 will 32 grow presently , the drugs used in alzheimer 's disease are only effective symptomatically and [improve] functioning . 0 ###LEFT-WALL### 4 drugs 0 ###LEFT-WALL### 10 are 0 ###LEFT-WALL### 17 . 1 presently 2 , 1 presently 4 drugs 3 the 4 drugs 4 drugs 5 used 4 drugs 10 are 5 used 6 in 6 in 9 disease 7 alzheimer 8 's 8 's 9 disease 10 are 11 only 10 are 14 and 12 effective 13 symptomatically 12 effective 14 and 14 and 16 functioning they do not halt the progression of the disease . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 4 halt 0 ###LEFT-WALL### 10 . 1 they 2 do 2 do 3 not 2 do 4 halt 4 halt 6 progression 5 the 6 progression 6 progression 7 of 7 of 9 disease 8 the 9 disease with the recent advances in our understanding of the pathogenesis of this disease , there have been tremendous advances in the clinical trials of compounds that can modify the disease process . 0 ###LEFT-WALL### 15 there 0 ###LEFT-WALL### 17 been 0 ###LEFT-WALL### 32 . 1 with 4 advances 1 with 5 in 1 with 14 , 1 with 15 there 2 the 4 advances 3 recent 4 advances 5 in 7 understanding 6 our 7 understanding 7 understanding 8 of 7 understanding 11 of 8 of 10 pathogenesis 9 the 10 pathogenesis 11 of 13 disease 12 this 13 disease 15 there 16 have 16 have 17 been 17 been 19 advances 18 tremendous 19 advances 19 advances 20 in 20 in 23 trials 21 the 23 trials 22 clinical 23 trials 23 trials 24 of 24 of 25 compounds 25 compounds 26 that 25 compounds 27 can 26 that 27 can 27 can 28 modify 28 modify 31 process 29 the 31 process 30 disease 31 process numerous therapeutic interventions and neuroprotective approaches are also in trial phase . 0 ###LEFT-WALL### 11 phase 0 ###LEFT-WALL### 12 . 1 numerous 3 interventions 2 therapeutic 3 interventions 3 interventions 4 and 4 and 5 neuroprotective 4 and 6 approaches 4 and 9 in 4 and 11 phase 6 approaches 7 are 7 are 8 also 7 are 9 in 10 trial 11 phase it seems that [in] near [future] some of these compounds may be found effective and safe for use in this disease there by reducing the incidence of this disease in years to come , thereby lessen the burden due to it . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 34 , 0 ###LEFT-WALL### 42 . 1 it 2 seems 2 seems 5 near 2 seems 15 and 3 that 5 near 5 near 7 some 7 some 8 of 7 some 10 compounds 7 some 13 found 8 of 9 these 10 compounds 11 may 11 may 12 be 12 be 13 found 14 effective 15 and 15 and 16 safe 16 safe 17 for 16 safe 19 in 16 safe 22 there 16 safe 23 by 16 safe 32 to 17 for 18 use 19 in 21 disease 20 this 21 disease 23 by 24 reducing 24 reducing 26 incidence 24 reducing 30 in 25 the 26 incidence 26 incidence 27 of 27 of 29 disease 28 this 29 disease 30 in 31 years 32 to 34 , 33 come 34 , 34 , 36 lessen 35 thereby 36 lessen 36 lessen 38 burden 36 lessen 40 to 37 the 38 burden 39 due 40 to 40 to 41 it in this article various compounds that can modify the course of the disease are discussed . 0 ###LEFT-WALL### 1 in 0 ###LEFT-WALL### 14 are 0 ###LEFT-WALL### 16 . 1 in 3 article 1 in 14 are 2 this 3 article 4 various 5 compounds 5 compounds 6 that 5 compounds 7 can 5 compounds 14 are 6 that 7 can 7 can 8 modify 8 modify 10 course 9 the 10 course 10 course 11 of 11 of 13 disease 12 the 13 disease 14 are 15 discussed some recent patents and inventions for the treatment of alzheimer 's disease have also been discussed . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 16 discussed 0 ###LEFT-WALL### 17 . 1 some 3 patents 2 recent 3 patents 3 patents 4 and 4 and 5 inventions 4 and 6 for 4 and 13 have 6 for 8 treatment 7 the 8 treatment 8 treatment 9 of 9 of 12 disease 10 alzheimer 11 's 11 's 12 disease 13 have 15 been 14 also 15 been 15 been 16 discussed this study was conducted to develop and validate the health enhancement lifestyle profile ( help ) , a self - report measure for examining various aspects of health - related lifestyle in older adults . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 30 related 1 this 2 study 2 study 3 was 3 was 4 conducted 4 conducted 5 to 5 to 7 and 6 develop 7 and 7 and 8 validate 8 validate 22 measure 9 the 22 measure 10 health 11 enhancement 11 enhancement 12 lifestyle 12 lifestyle 13 profile 13 profile 15 help 13 profile 19 self 13 profile 22 measure 14 ( 15 help 15 help 16 ) 17 , 19 self 18 a 19 self 19 self 20 - 21 report 22 measure 22 measure 23 for 23 for 24 examining 24 examining 26 aspects 25 various 26 aspects 26 aspects 27 of 27 of 28 health 29 - 30 related 30 related 31 lifestyle 30 related 32 in 30 related 35 . 32 in 34 adults 33 older 34 adults data derived from 253 community [-] dwelling older adults were analyzed through the rasch measurement model . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 11 analyzed 0 ###LEFT-WALL### 17 . 1 data 2 derived 1 data 3 from 1 data 10 were 3 from 9 adults 4 253 9 adults 5 community 7 dwelling 7 dwelling 9 adults 8 older 9 adults 10 were 11 analyzed 11 analyzed 12 through 12 through 16 model 13 the 16 model 14 rasch 15 measurement 15 measurement 16 model unidimensionality and data [-] model fit of help were largely supported through the analyses of principal components of residuals , fit statistics , local dependency , and differential item functioning . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 31 . 1 unidimensionality 2 and 2 and 6 fit 2 and 7 of 2 and 9 were 3 data 5 model 5 model 6 fit 7 of 8 help 9 were 20 , 10 largely 11 supported 11 supported 12 through 11 supported 17 components 11 supported 20 , 12 through 14 analyses 13 the 14 analyses 14 analyses 15 of 15 of 16 principal 17 components 18 of 18 of 19 residuals 20 , 21 fit 21 fit 27 and 22 statistics 23 , 23 , 25 dependency 23 , 27 and 24 local 25 dependency 26 , 27 and 27 and 29 item 27 and 30 functioning 28 differential 29 item the item hierarchy formed through logits provided an expected pattern of healthy lifestyle behaviors . 0 ###LEFT-WALL### 3 hierarchy 0 ###LEFT-WALL### 7 provided 0 ###LEFT-WALL### 15 . 1 the 3 hierarchy 2 item 3 hierarchy 3 hierarchy 4 formed 3 hierarchy 7 provided 4 formed 5 through 5 through 6 logits 7 provided 10 pattern 8 an 10 pattern 9 expected 10 pattern 10 pattern 11 of 11 of 14 behaviors 12 healthy 13 lifestyle 13 lifestyle 14 behaviors acceptable to good person separation and reliability statistics supported the clinical applicability and consistency of the help scores . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 9 supported 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 19 . 1 acceptable 2 to 1 acceptable 6 and 2 to 5 separation 3 good 4 person 4 person 5 separation 6 and 8 statistics 6 and 9 supported 7 reliability 8 statistics 9 supported 12 applicability 10 the 12 applicability 11 clinical 12 applicability 13 and 14 consistency 13 and 18 scores 14 consistency 15 of 14 consistency 18 scores 15 of 17 help 16 the 17 help finally , analysis of the rating scale structure confirmed the functioning of the 0 - to 5 - point rating scale [used] . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 9 confirmed 0 ###LEFT-WALL### 18 - 0 ###LEFT-WALL### 23 . 1 finally 2 , 1 finally 3 analysis 3 analysis 4 of 3 analysis 9 confirmed 4 of 8 structure 5 the 8 structure 6 rating 8 structure 7 scale 8 structure 9 confirmed 11 functioning 10 the 11 functioning 11 functioning 12 of 12 of 14 0 13 the 14 0 14 0 16 to 15 - 16 to 16 to 17 5 16 to 18 - 18 - 21 scale 19 point 20 rating 20 rating 21 scale help can assist in monitoring lifestyle risk factors and measuring the outcome of services aimed at promoting healthy lifestyles among older adults . 0 ###LEFT-WALL### 1 help 0 ###LEFT-WALL### 3 assist 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 23 . 1 help 2 can 2 can 3 assist 3 assist 4 in 4 in 5 monitoring 5 monitoring 8 factors 6 lifestyle 8 factors 7 risk 8 factors 9 and 10 measuring 9 and 15 aimed 10 measuring 12 outcome 10 measuring 15 aimed 11 the 12 outcome 12 outcome 13 of 13 of 14 services 15 aimed 16 at 15 aimed 20 among 16 at 17 promoting 17 promoting 19 lifestyles 18 healthy 19 lifestyles 20 among 22 adults 21 older 22 adults soft tissue analysis plays an increasing [,] strategic role in the recognition of facial alterations , but there are scanty [three] - dimensional reference data during normal growth , development and aging . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 4 plays 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 33 . 1 soft 3 analysis 2 tissue 3 analysis 3 analysis 4 plays 4 plays 9 role 5 an 9 role 6 increasing 9 role 8 strategic 9 role 9 role 10 in 10 in 12 recognition 11 the 12 recognition 12 recognition 13 of 13 of 15 alterations 14 facial 15 alterations 16 , 17 but 16 , 19 are 17 but 18 there 17 but 19 are 19 are 25 data 20 scanty 22 - 20 scanty 24 reference 23 dimensional 24 reference 24 reference 25 data 25 data 26 during 26 during 31 and 27 normal 28 growth 28 growth 29 , 29 , 30 development 29 , 31 and 31 and 32 aging in the current study , 532 male and 386 female healthy subjects aged 4 to 73 years were analyzed using a [non] [-] invasive , computerized electromagnetic digitizer , and normal dimensions of mouth and lips were obtained in the three - dimensional space . 1 in 3 current 1 in 8 and 2 the 3 current 4 study 5 , 5 , 7 male 5 , 8 and 6 532 7 male 8 and 12 subjects 8 and 18 were 9 386 12 subjects 10 female 12 subjects 11 healthy 12 subjects 12 subjects 13 aged 12 subjects 15 to 13 aged 14 4 15 to 17 years 16 73 17 years 18 were 19 analyzed 19 analyzed 20 using 20 using 30 and 21 a 28 digitizer 24 invasive 25 , 24 invasive 28 digitizer 26 computerized 28 digitizer 27 electromagnetic 28 digitizer 28 digitizer 30 and 29 , 30 and 30 and 31 normal 30 and 32 dimensions 30 and 37 were 30 and 38 obtained 32 dimensions 33 of 32 dimensions 37 were 33 of 35 and 34 mouth 35 and 35 and 36 lips 38 obtained 39 in 39 in 41 three 40 the 41 three 41 three 44 space 42 - 44 space 43 dimensional 44 space 44 space 45 . labial thickness and curvature were also assessed in a selected group of 40 men and women , equally divided into young ( age 21 - 30 yr , mean 25 yr ) [and] old persons ( age 45 - 65 yr , mean 55 yr ) . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 7 assessed 1 labial 2 thickness 2 thickness 3 and 3 and 4 curvature 3 and 5 were 5 were 7 assessed 6 also 7 assessed 7 assessed 8 in 8 in 15 and 9 a 11 group 10 selected 11 group 11 group 12 of 11 group 15 and 12 of 14 men 13 40 14 men 15 and 16 women 15 and 19 divided 17 , 19 divided 18 equally 19 divided 19 divided 20 into 19 divided 47 . 20 into 35 persons 21 young 23 age 21 young 34 old 22 ( 23 age 23 age 24 21 23 age 29 mean 23 age 32 ) 24 21 27 yr 24 21 29 mean 25 - 27 yr 26 30 27 yr 27 yr 28 , 29 mean 31 yr 30 25 31 yr 34 old 35 persons 35 persons 37 age 36 ( 37 age 37 age 38 45 37 age 43 mean 37 age 46 ) 38 45 41 yr 38 45 43 mean 39 - 41 yr 40 65 41 yr 41 yr 42 , 43 mean 45 yr 44 55 45 yr lip vermilion area to volume , and vermilion height to cutaneous lip height ratios decreased with age in both sexes . 0 ###LEFT-WALL### 1 lip 0 ###LEFT-WALL### 21 . 1 lip 3 area 1 lip 4 to 1 lip 10 to 2 vermilion 3 area 4 to 7 and 5 volume 7 and 6 , 7 and 7 and 9 height 8 vermilion 9 height 10 to 14 ratios 11 cutaneous 13 height 12 lip 13 height 13 height 14 ratios 14 ratios 15 decreased 15 decreased 16 with 15 decreased 18 in 16 with 17 age 18 in 20 sexes 19 both 20 sexes on average , the lips were thicker in men and in young persons than in women and in old persons . 0 ###LEFT-WALL### 5 lips 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 21 . 1 on 2 average 2 average 3 , 2 average 5 lips 4 the 5 lips 5 lips 6 were 6 were 7 thicker 7 thicker 10 and 7 thicker 14 than 8 in 9 men 8 in 10 and 10 and 11 in 11 in 13 persons 12 young 13 persons 14 than 17 and 15 in 16 women 15 in 17 and 17 and 18 in 18 in 20 persons 19 old 20 persons mean labial curvature was larger in young men than in the other groups , and it was more variable [in] young than in old persons . 0 ###LEFT-WALL### 1 mean 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 26 . 1 mean 3 curvature 1 mean 4 was 2 labial 3 curvature 3 curvature 4 was 4 was 5 larger 5 larger 6 in 5 larger 9 than 6 in 8 men 7 young 8 men 9 than 10 in 10 in 13 groups 11 the 12 other 12 other 13 groups 14 , 15 and 15 and 16 it 15 and 17 was 16 it 17 was 17 was 19 variable 18 more 19 variable 19 variable 21 young 19 variable 22 than 22 than 23 in 23 in 25 persons 24 old 25 persons data collected in the present investigation can be used as a data base for the quantitative description of human lip morphology during normal growth , development and aging . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 9 used 0 ###LEFT-WALL### 29 . 1 data 2 collected 1 data 7 can 2 collected 3 in 3 in 6 investigation 4 the 6 investigation 5 present 6 investigation 7 can 8 be 8 be 9 used 9 used 10 as 10 as 13 base 11 a 12 data 11 a 13 base 12 data 13 base 13 base 14 for 14 for 17 description 15 the 17 description 16 quantitative 17 description 17 description 18 of 17 description 22 during 18 of 21 morphology 19 human 20 lip 20 lip 21 morphology 22 during 27 and 23 normal 24 growth 24 growth 25 , 25 , 26 development 25 , 27 and 27 and 28 aging tissues and organs change over time , regulated by intrinsic ( genetic ) determinants and environmental ( and microenvironmental ) adaptation . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 22 . 1 tissues 2 and 2 and 3 organs 2 and 7 , 4 change 5 over 4 change 7 , 5 over 6 time 7 , 8 regulated 7 , 9 by 9 by 21 adaptation 10 intrinsic 18 and 10 intrinsic 21 adaptation 11 ( 18 and 12 genetic 13 ) 12 genetic 14 determinants 14 determinants 15 and 15 and 16 environmental 15 and 18 and 17 ( 18 and 18 and 19 microenvironmental 18 and 20 ) brain changes [during] [lifetime] are especially critical , as the brain is the effector of cognition and the vast majority of neurons live throughout the life of the individual . 0 ###LEFT-WALL### 2 changes 0 ###LEFT-WALL### 5 are 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 30 . 1 brain 2 changes 2 changes 5 are 5 are 7 critical 6 especially 7 critical 8 , 23 live 9 as 11 brain 9 as 12 is 9 as 23 live 10 the 11 brain 11 brain 12 is 12 is 14 effector 13 the 14 effector 14 effector 15 of 15 of 17 and 16 cognition 17 and 17 and 20 majority 17 and 21 of 18 the 20 majority 19 vast 20 majority 21 of 22 neurons 23 live 24 throughout 24 throughout 26 life 25 the 26 life 26 life 27 of 27 of 29 individual 28 the 29 individual in addition , brain aging mechanisms are especially critical for disease vulnerability , given the aging - related prevalence of pathologies that include neurodegenerative diseases . 0 ###LEFT-WALL### 6 mechanisms 0 ###LEFT-WALL### 7 are 0 ###LEFT-WALL### 18 related 1 in 2 addition 1 in 3 , 1 in 6 mechanisms 4 brain 5 aging 5 aging 6 mechanisms 6 mechanisms 7 are 7 are 9 critical 8 especially 9 critical 9 critical 10 for 10 for 12 vulnerability 11 disease 12 vulnerability 12 vulnerability 14 given 13 , 14 given 14 given 16 aging 14 given 17 - 15 the 16 aging 17 - 18 related 18 related 19 prevalence 18 related 26 . 19 prevalence 20 of 20 of 21 pathologies 21 pathologies 22 that 21 pathologies 23 include 22 that 23 include 23 include 25 diseases 24 neurodegenerative 25 diseases altogether , the present [synopsis] of recent studies at the molecular , cellular , and functional levels emphasizes the idea that the normal aging brain should be viewed as an example of adaptation and plasticity rather than as an obligatory decline . 0 ###LEFT-WALL### 4 present 0 ###LEFT-WALL### 18 emphasizes 0 ###LEFT-WALL### 42 . 1 altogether 2 , 1 altogether 4 present 3 the 4 present 4 present 6 of 4 present 18 emphasizes 6 of 8 studies 7 recent 8 studies 8 studies 9 at 9 at 17 levels 10 the 17 levels 11 molecular 12 , 11 molecular 17 levels 13 cellular 15 and 14 , 15 and 15 and 16 functional 15 and 17 levels 18 emphasizes 20 idea 18 emphasizes 28 viewed 19 the 20 idea 20 idea 21 that 20 idea 27 be 21 that 25 brain 21 that 26 should 22 the 25 brain 23 normal 25 brain 24 aging 25 brain 25 brain 26 should 27 be 28 viewed 28 viewed 29 as 28 viewed 37 than 29 as 34 and 30 an 31 example 31 example 32 of 31 example 34 and 32 of 33 adaptation 34 and 35 plasticity 36 rather 37 than 37 than 38 as 38 as 41 decline 39 an 40 obligatory 39 an 41 decline 40 obligatory 41 decline vitamin d [,] is a secosteroid which , in its active form 1,25 - [(] oh )2 - vitamin d3 , has hormone activities . 0 ###LEFT-WALL### 1 vitamin 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 25 . 1 vitamin 2 d 1 vitamin 4 is 4 is 6 secosteroid 5 a 6 secosteroid 6 secosteroid 7 which 6 secosteroid 22 has 7 which 9 in 7 which 22 has 8 , 9 in 9 in 12 form 9 in 21 , 10 its 12 form 11 active 12 form 12 form 13 1,25 12 form 17 )2 14 - 17 )2 16 oh 17 )2 17 )2 20 d3 17 )2 21 , 18 - 20 d3 19 vitamin 20 d3 20 d3 21 , 22 has 24 activities 23 hormone 24 activities most cells and tissues in the human body have vitamin d receptors that stimulate the nuclear transcription of various genes to alter [cellular] function . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 9 have 0 ###LEFT-WALL### 25 . 1 most 2 cells 2 cells 3 and 3 and 4 tissues 3 and 5 in 3 and 9 have 5 in 8 body 6 the 8 body 7 human 8 body 9 have 12 receptors 9 have 21 to 9 have 24 function 10 vitamin 11 d 10 vitamin 12 receptors 12 receptors 13 that 12 receptors 14 stimulate 13 that 14 stimulate 14 stimulate 17 transcription 15 the 17 transcription 16 nuclear 17 transcription 17 transcription 18 of 18 of 20 genes 19 various 20 genes 21 to 22 alter vitamin d [,] appears to have an effect on numerous disease states and disorders , including osteoporosis , chronic musculoskeletal pain , diabetes ( types 1 and 2 ) , multiple sclerosis , cardiovascular disease , and cancers of the breast , prostate , and colon . 0 ###LEFT-WALL### 1 vitamin 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 33 , 0 ###LEFT-WALL### 47 . 1 vitamin 2 d 1 vitamin 13 and 4 appears 5 to 4 appears 6 have 4 appears 13 and 5 to 6 have 6 have 8 effect 6 have 9 on 7 an 8 effect 9 on 12 states 10 numerous 11 disease 11 disease 12 states 13 and 14 disorders 13 and 16 including 13 and 21 pain 15 , 16 including 16 including 17 osteoporosis 16 including 18 , 19 chronic 21 pain 20 musculoskeletal 21 pain 21 pain 23 diabetes 21 pain 32 sclerosis 22 , 23 diabetes 23 diabetes 25 types 23 diabetes 29 ) 24 ( 25 types 25 types 27 and 25 types 29 ) 26 1 27 and 27 and 28 2 30 , 32 sclerosis 31 multiple 32 sclerosis 32 sclerosis 33 , 33 , 37 and 34 cardiovascular 35 disease 35 disease 37 and 36 , 37 and 37 and 38 cancers 37 and 39 of 39 of 45 and 40 the 41 breast 41 breast 42 , 42 , 43 prostate 42 , 45 and 44 , 45 and 45 and 46 colon according to many researchers there is currently a worldwide vitamin d deficiency in various populations , including infants , pregnant and lactating women , and the elderly . 0 ###LEFT-WALL### 5 there 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 28 . 1 according 2 to 2 to 4 researchers 2 to 5 there 3 many 4 researchers 5 there 6 is 6 is 7 currently 6 is 12 deficiency 6 is 13 in 8 a 12 deficiency 9 worldwide 10 vitamin 10 vitamin 11 d 10 vitamin 12 deficiency 13 in 15 populations 14 various 15 populations 15 populations 17 including 16 , 17 including 17 including 18 infants 17 including 19 , 19 , 25 and 20 pregnant 21 and 21 and 23 women 21 and 25 and 22 lactating 23 women 24 , 25 and 25 and 27 elderly 26 the 27 elderly the prevalence of vitamin d [,] insufficiency in the general german population is high . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 13 is 0 ###LEFT-WALL### 15 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 13 is 3 of 7 insufficiency 4 vitamin 5 d 4 vitamin 7 insufficiency 7 insufficiency 8 in 8 in 12 population 9 the 12 population 10 general 11 german 11 german 12 population 13 is 14 high vitamin d in the food supply is limited and most often inadequate to prevent deficiencies . 0 ###LEFT-WALL### 1 vitamin 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 16 . 1 vitamin 2 d 1 vitamin 3 in 1 vitamin 7 is 3 in 6 supply 4 the 6 supply 5 food 6 supply 7 is 9 and 8 limited 9 and 9 and 11 often 9 and 12 inadequate 9 and 13 to 9 and 14 prevent 10 most 11 often 13 to 14 prevent 14 prevent 15 deficiencies supplemental vitamin d is [likely] necessary to avoid deficiency , especially in winter months . 0 ###LEFT-WALL### 2 vitamin 0 ###LEFT-WALL### 4 is 1 supplemental 2 vitamin 2 vitamin 3 d 2 vitamin 4 is 4 is 6 necessary 6 necessary 7 to 6 necessary 8 avoid 7 to 8 avoid 8 avoid 9 deficiency 9 deficiency 12 in 10 , 11 especially 10 , 12 in 12 in 14 months 12 in 15 . 13 winter 14 months the estimated cost saving effect of improving vitamin d status in germany might be up to 37.5 billion euros annually . 0 ###LEFT-WALL### 3 cost 0 ###LEFT-WALL### 14 be 0 ###LEFT-WALL### 21 . 1 the 3 cost 2 estimated 3 cost 3 cost 4 saving 3 cost 13 might 4 saving 5 effect 5 effect 6 of 6 of 7 improving 7 improving 10 status 7 improving 11 in 8 vitamin 9 d 8 vitamin 10 status 11 in 12 germany 13 might 14 be 14 be 15 up 15 up 16 to 15 up 20 annually 16 to 19 euros 17 37.5 18 billion 18 billion 19 euros the heat shock factor ( hsf ) , a protein evolutionarily conserved from yeasts [to] human , regulates the expression of a set of proteins called heat shock proteins ( hsps ) , many of which function as molecular [chaperones] . 0 ###LEFT-WALL### 4 factor 0 ###LEFT-WALL### 18 regulates 0 ###LEFT-WALL### 33 , 0 ###LEFT-WALL### 41 . 1 the 4 factor 2 heat 4 factor 3 shock 4 factor 4 factor 6 hsf 4 factor 10 protein 4 factor 18 regulates 5 ( 6 hsf 6 hsf 7 ) 8 , 10 protein 9 a 10 protein 10 protein 12 conserved 10 protein 17 , 11 evolutionarily 12 conserved 12 conserved 13 from 12 conserved 16 human 13 from 14 yeasts 18 regulates 20 expression 19 the 20 expression 20 expression 21 of 20 expression 24 of 21 of 23 set 22 a 23 set 24 of 25 proteins 25 proteins 26 called 26 called 29 proteins 27 heat 29 proteins 28 shock 29 proteins 29 proteins 31 hsps 30 ( 31 hsps 31 hsps 32 ) 33 , 34 many 33 , 37 function 34 many 35 of 34 many 37 function 35 of 36 which 37 function 38 as 38 as 39 molecular in saccharomyces cerevisiae , the hsf binds to the 5 ['] upstream region of ygr146c and activates its transcription . 0 ###LEFT-WALL### 6 hsf 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 20 . 1 in 3 cerevisiae 1 in 4 , 1 in 6 hsf 2 saccharomyces 3 cerevisiae 5 the 6 hsf 6 hsf 16 and 7 binds 8 to 7 binds 16 and 8 to 13 region 9 the 13 region 10 5 13 region 12 upstream 13 region 13 region 14 of 14 of 15 ygr146c 16 and 17 activates 17 activates 19 transcription 18 its 19 transcription ygr146c encodes a functional homolog of ecl1 [(] [+] [ )(, ecl2 [(] [+] ) , and ecl3 ( [+] [ )(of schizosaccharomyces pombe . 0 ###LEFT-WALL### 1 ygr146c 0 ###LEFT-WALL### 2 encodes 1 ygr146c 2 encodes 2 encodes 17 and 3 a 4 functional 3 a 5 homolog 4 functional 5 homolog 5 homolog 6 of 5 homolog 17 and 6 of 7 ecl1 7 ecl1 12 ecl2 11 )(, 12 ecl2 12 ecl2 15 ) 16 , 17 and 17 and 18 ecl3 17 and 22 )(of 19 ( 22 )(of 22 )(of 24 pombe 22 )(of 25 . 23 schizosaccharomyces 24 pombe at present , these ecl1 family genes , which are extenders of chronological lifespan , have been identified only in fungi groups . 0 ###LEFT-WALL### 7 genes 0 ###LEFT-WALL### 18 identified 0 ###LEFT-WALL### 23 . 1 at 2 present 2 present 3 , 2 present 7 genes 4 these 7 genes 5 ecl1 7 genes 6 family 7 genes 7 genes 9 which 7 genes 16 have 8 , 9 which 9 which 10 are 9 which 15 , 10 are 11 extenders 11 extenders 12 of 12 of 14 lifespan 13 chronological 14 lifespan 16 have 17 been 17 been 18 identified 18 identified 19 only 19 only 20 in 20 in 22 groups 21 fungi 22 groups based on chip analysis , we identified that hsf1 binds to the upstream dna region of ecl2 [(] [+] ) [after] heat shock in s . pombe . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 identified 0 ###LEFT-WALL### 26 . 0 ###LEFT-WALL### 27 pombe 0 ###LEFT-WALL### 28 . 1 based 2 on 1 based 5 , 1 based 6 we 2 on 4 analysis 3 chip 4 analysis 6 we 7 identified 7 identified 9 hsf1 8 that 9 hsf1 9 hsf1 10 binds 9 hsf1 23 shock 10 binds 11 to 10 binds 16 of 10 binds 23 shock 11 to 15 region 12 the 15 region 13 upstream 15 region 14 dna 15 region 16 of 22 heat 17 ecl2 20 ) 17 ecl2 22 heat 23 shock 24 in 24 in 25 s 26 . 27 pombe in caenorhabditis elegans , heat shock factor hsf - 1 is known to regulate aging and required for the elongation [of] longevity [by] dietary restriction . 0 ###LEFT-WALL### 10 1 0 ###LEFT-WALL### 12 known 0 ###LEFT-WALL### 26 . 1 in 3 elegans 1 in 10 1 2 caenorhabditis 3 elegans 3 elegans 8 hsf 4 , 8 hsf 5 heat 6 shock 6 shock 8 hsf 7 factor 8 hsf 8 hsf 9 - 10 1 11 is 11 is 12 known 12 known 13 to 12 known 16 and 13 to 16 and 14 regulate 15 aging 14 regulate 16 and 16 and 17 required 16 and 18 for 18 for 25 restriction 19 the 25 restriction 20 elongation 22 longevity 22 longevity 25 restriction 24 dietary 25 restriction we found that heat shock factor hsf1 extends chronological lifespan of s . pombe when overexpressed . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 13 . 0 ###LEFT-WALL### 14 pombe 0 ###LEFT-WALL### 17 . 1 we 2 found 2 found 3 that 3 that 7 hsf1 3 that 8 extends 4 heat 6 factor 5 shock 6 factor 6 factor 7 hsf1 7 hsf1 8 extends 8 extends 10 lifespan 9 chronological 10 lifespan 10 lifespan 11 of 11 of 12 s 13 . 14 pombe 14 pombe 15 when 15 when 16 overexpressed moreover , we show that the extension of chronological lifespan by the overproduction of hsf1 mainly depends on ecl2 ( [+] [ )(among ecl1 family genes . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 show 1 moreover 2 , 1 moreover 3 we 3 we 4 show 4 show 5 that 5 that 7 extension 5 that 17 depends 6 the 7 extension 7 extension 8 of 7 extension 17 depends 8 of 10 lifespan 9 chronological 10 lifespan 10 lifespan 11 by 11 by 13 overproduction 12 the 13 overproduction 13 overproduction 14 of 14 of 15 hsf1 16 mainly 17 depends 17 depends 18 on 18 on 19 ecl2 19 ecl2 23 )(among 20 ( 23 )(among 23 )(among 26 genes 23 )(among 27 . 24 ecl1 26 genes 25 family 26 genes [from] these results , we suggest that hsf is a conserved regulator of lifespan , at least in yeast and nematode , and ecl1 family genes such as ygr146c and ecl2 [(] [+] ) are the direct targets of hsf1 and [mediate] lifespan extension by hsf1 . 0 ###LEFT-WALL### 3 results 0 ###LEFT-WALL### 4 , 2 these 3 results 4 , 9 is 4 , 15 , 5 we 6 suggest 6 suggest 7 that 7 that 8 hsf 7 that 9 is 9 is 12 regulator 9 is 13 of 10 a 12 regulator 11 conserved 12 regulator 13 of 14 lifespan 15 , 26 genes 16 at 17 least 17 least 26 genes 18 in 23 and 18 in 26 genes 19 yeast 20 and 20 and 21 nematode 20 and 23 and 22 , 23 and 23 and 24 ecl1 25 family 26 genes 26 genes 28 as 26 genes 35 are 27 such 28 as 28 as 30 and 29 ygr146c 30 and 30 and 31 ecl2 30 and 34 ) 35 are 38 targets 36 the 38 targets 37 direct 38 targets 38 targets 39 of 39 of 41 and 40 hsf1 41 and 41 and 44 extension 41 and 47 . 43 lifespan 44 extension 44 extension 45 by 45 by 46 hsf1 background : cognitive impairment of the elderly contributes to morbidity , loss of quality of life , and impairment of work ability in aging western societies . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 2 : 4 impairment 2 : 8 contributes 3 cognitive 4 impairment 4 impairment 5 of 4 impairment 8 contributes 5 of 7 elderly 6 the 7 elderly 8 contributes 9 to 8 contributes 23 in 9 to 18 and 10 morbidity 11 , 11 , 12 loss 11 , 18 and 12 loss 13 of 12 loss 15 of 13 of 14 quality 15 of 16 life 17 , 18 and 18 and 19 impairment 18 and 20 of 20 of 22 ability 21 work 22 ability 23 in 24 aging 24 aging 26 societies 25 western 26 societies thus strategies to maintain [cognitive] function at an advanced age imply a great challenge to occupational medicine . 0 ###LEFT-WALL### 2 strategies 0 ###LEFT-WALL### 11 imply 0 ###LEFT-WALL### 18 . 1 thus 2 strategies 2 strategies 3 to 2 strategies 6 function 2 strategies 11 imply 3 to 4 maintain 4 maintain 6 function 6 function 7 at 7 at 10 age 8 an 9 advanced 8 an 10 age 9 advanced 10 age 11 imply 14 challenge 11 imply 15 to 12 a 13 great 12 a 14 challenge 13 great 14 challenge 15 to 17 medicine 16 occupational 17 medicine aim : to study whether intensive endurance exercise training is associated with better cognitive performance and increases brain - derived neurotrophic [factor] ( bdnf ) and insulin - like growth [factor] ( igf ) . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 study 2 : 35 . 3 to 4 study 4 study 5 whether 5 whether 9 training 5 whether 11 associated 6 intensive 7 endurance 7 endurance 8 exercise 8 exercise 9 training 9 training 10 is 10 is 11 associated 11 associated 12 with 11 associated 29 like 12 with 26 and 13 better 15 performance 14 cognitive 15 performance 15 performance 16 and 16 and 18 brain 16 and 19 - 16 and 20 derived 16 and 24 bdnf 16 and 26 and 17 increases 18 brain 20 derived 21 neurotrophic 23 ( 24 bdnf 24 bdnf 25 ) 26 and 27 insulin 28 - 29 like 29 like 30 growth 29 like 34 ) 30 growth 33 igf 32 ( 33 igf 33 igf 34 ) methods : active elderly marathon runners or bicyclists older than 60 years were recruited and matched with an inactive control group according to age , sex , and education years . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 2 : 28 and 3 active 6 runners 4 elderly 6 runners 5 marathon 6 runners 6 runners 7 or 7 or 8 bicyclists 7 or 9 older 7 or 12 years 7 or 15 and 7 or 28 and 9 older 10 than 10 than 11 60 12 years 15 and 13 were 14 recruited 13 were 15 and 15 and 16 matched 15 and 17 with 15 and 23 to 17 with 21 group 18 an 21 group 19 inactive 21 group 20 control 21 group 22 according 23 to 23 to 24 age 24 age 26 sex 25 , 26 sex 26 sex 27 , 27 , 28 and 28 and 30 years 29 education 30 years after exclusion of various diseases according to the study protocol 56 athletes and 58 controls could be selected for follow - up studies . 0 ###LEFT-WALL### 11 56 0 ###LEFT-WALL### 20 follow 0 ###LEFT-WALL### 21 - 1 after 2 exclusion 1 after 11 56 2 exclusion 3 of 3 of 5 diseases 4 various 5 diseases 6 according 7 to 7 to 10 protocol 7 to 11 56 8 the 10 protocol 9 study 10 protocol 11 56 13 and 11 56 19 for 11 56 20 follow 12 athletes 13 and 13 and 15 controls 13 and 16 could 14 58 15 controls 16 could 17 be 17 be 18 selected 18 selected 19 for 21 - 23 studies 21 - 24 . 22 up 23 studies the influence [of] endurance training [on] cognitive function was assessed by the use of the vienna neuropsychological test battery and the cerad test battery . 0 ###LEFT-WALL### 8 function 0 ###LEFT-WALL### 10 assessed 0 ###LEFT-WALL### 25 . 1 the 8 function 2 influence 8 function 4 endurance 8 function 5 training 8 function 7 cognitive 8 function 8 function 9 was 9 was 10 assessed 10 assessed 11 by 11 by 13 use 12 the 13 use 13 use 14 of 14 of 20 and 15 the 19 battery 16 vienna 17 neuropsychological 17 neuropsychological 18 test 18 test 19 battery 19 battery 20 and 20 and 24 battery 21 the 24 battery 22 cerad 24 battery 23 test 24 battery other relevant outcomes were the levels of bdnf , igf - 1 , apo e4 carrier state , and self - ratings . 0 ###LEFT-WALL### 3 outcomes 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 21 - 0 ###LEFT-WALL### 23 . 1 other 3 outcomes 2 relevant 3 outcomes 3 outcomes 4 were 4 were 6 levels 5 the 6 levels 6 levels 7 of 7 of 19 and 8 bdnf 9 , 9 , 17 state 9 , 19 and 10 igf 12 1 10 igf 17 state 11 - 12 1 12 1 13 , 14 apo 17 state 15 e4 16 carrier 16 carrier 17 state 18 , 19 and 19 and 20 self 21 - 22 ratings results : the elderly marathon group performed better only in one specific cognitive task ( the five point test , p = 0.04 ) and almost significantly better in one additional test ( the nai stroop test , p = 0.08 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 43 . 1 results 2 : 2 : 6 group 3 the 6 group 4 elderly 5 marathon 5 marathon 6 group 6 group 7 performed 6 group 18 point 7 performed 8 better 7 performed 9 only 7 performed 10 in 10 in 14 task 11 one 14 task 12 specific 14 task 13 cognitive 14 task 15 ( 18 point 16 the 18 point 17 five 18 point 18 point 25 and 18 point 42 ) 19 test 22 = 19 test 25 and 20 , 22 = 21 p 22 = 22 = 23 0.04 22 = 24 ) 25 and 27 significantly 25 and 28 better 26 almost 27 significantly 28 better 29 in 28 better 40 = 29 in 32 test 30 one 32 test 31 additional 32 test 32 test 37 test 33 ( 37 test 34 the 37 test 35 nai 36 stroop 36 stroop 37 test 37 test 38 , 39 p 40 = 40 = 41 0.08 40 = 42 ) neither bdnf nor igf - 1 was related to the duration of daily exercise and no differences in the basal levels of these humoral growth factors in the exercise and the control cohort were found . 0 ###LEFT-WALL### 3 nor 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 36 . 1 neither 3 nor 2 bdnf 3 nor 3 nor 4 igf 5 - 6 1 5 - 8 related 5 - 15 and 6 1 7 was 7 was 8 related 8 related 9 to 9 to 11 duration 10 the 11 duration 11 duration 12 of 12 of 14 exercise 13 daily 14 exercise 15 and 17 differences 15 and 35 found 16 no 17 differences 17 differences 18 in 17 differences 22 of 17 differences 34 were 18 in 21 levels 19 the 21 levels 20 basal 21 levels 22 of 30 and 23 these 26 factors 24 humoral 25 growth 25 growth 26 factors 26 factors 27 in 26 factors 30 and 27 in 29 exercise 28 the 29 exercise 30 and 33 cohort 31 the 33 cohort 32 control 33 cohort 34 were 35 found interestingly , we also found significantly decreased bdnf levels in subjects with alzheimer 's disease in the family in spite of the maintained normal cognitive performance ( p = 0.01 ) . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 5 found 0 ###LEFT-WALL### 32 . 1 interestingly 2 , 1 interestingly 3 we 3 we 5 found 4 also 5 found 5 found 6 significantly 5 found 8 bdnf 5 found 9 levels 7 decreased 8 bdnf 8 bdnf 9 levels 9 levels 10 in 9 levels 11 subjects 9 levels 12 with 9 levels 16 in 12 with 15 disease 13 alzheimer 14 's 14 's 15 disease 16 in 18 family 17 the 18 family 18 family 19 in 18 family 21 of 19 in 20 spite 21 of 26 performance 22 the 26 performance 23 maintained 26 performance 24 normal 26 performance 25 cognitive 26 performance 26 performance 29 = 27 ( 29 = 28 p 29 = 29 = 30 0.01 29 = 31 ) conclusion : these results suggest that extensive endurance exercise training might be beneficial for maintaining cognitive function [in] elderly persons . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 4 results 2 : 5 suggest 3 these 4 results 4 results 5 suggest 5 suggest 8 endurance 6 that 7 extensive 7 extensive 8 endurance 8 endurance 10 training 8 endurance 15 maintaining 9 exercise 10 training 10 training 11 might 11 might 12 be 12 be 13 beneficial 13 beneficial 14 for 14 for 15 maintaining 15 maintaining 20 persons 16 cognitive 17 function 17 function 20 persons 19 elderly 20 persons our data demonstrate that beneficial endurance training effects are not linked to the upregulation of the examined neurotrophins . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 demonstrate 0 ###LEFT-WALL### 19 . 1 our 2 data 2 data 3 demonstrate 3 demonstrate 8 effects 3 demonstrate 9 are 4 that 5 beneficial 5 beneficial 6 endurance 6 endurance 8 effects 7 training 8 effects 8 effects 9 are 9 are 10 not 9 are 12 to 10 not 11 linked 12 to 14 upregulation 13 the 14 upregulation 14 upregulation 15 of 15 of 18 neurotrophins 16 the 18 neurotrophins 17 examined 18 neurotrophins since we found reduced bdnf - levels in subjects with a positive family history of alzheimer 's disease , we speculate that bdnf [-] reduction might precede cognitive impairment . 0 ###LEFT-WALL### 20 we 0 ###LEFT-WALL### 21 speculate 0 ###LEFT-WALL### 30 . 1 since 2 we 1 since 3 found 1 since 19 , 1 since 20 we 2 we 3 found 3 found 5 bdnf 4 reduced 5 bdnf 5 bdnf 7 levels 6 - 7 levels 7 levels 8 in 7 levels 10 with 7 levels 19 , 8 in 9 subjects 10 with 14 history 11 a 12 positive 11 a 14 history 12 positive 13 family 13 family 14 history 14 history 15 of 15 of 18 disease 16 alzheimer 17 's 17 's 18 disease 20 we 21 speculate 21 speculate 22 that 22 that 25 reduction 22 that 27 precede 23 bdnf 25 reduction 25 reduction 26 might 26 might 27 precede 27 precede 29 impairment 28 cognitive 29 impairment unlabelled : the sodium - potassium - 2 chloride bumetanide - sensitive transporter [(] nkcc2 ) , a protein coded by gene slc12a1 , allows salt reabsorption in the thick ascending [loop] of henle ( talh ) . 0 ###LEFT-WALL### 1 unlabelled 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 - 1 unlabelled 2 : 2 : 4 sodium 3 the 4 sodium 4 sodium 6 potassium 5 - 6 potassium 6 potassium 7 - 7 - 10 bumetanide 7 - 25 allows 7 - 38 . 8 2 9 chloride 9 chloride 10 bumetanide 10 bumetanide 15 nkcc2 10 bumetanide 19 protein 10 bumetanide 25 allows 11 - 15 nkcc2 12 sensitive 13 transporter 13 transporter 15 nkcc2 15 nkcc2 16 ) 17 , 19 protein 18 a 19 protein 19 protein 20 coded 19 protein 24 , 20 coded 21 by 21 by 23 slc12a1 22 gene 23 slc12a1 25 allows 26 salt 25 allows 27 reabsorption 25 allows 28 in 28 in 31 ascending 29 the 31 ascending 30 thick 31 ascending 31 ascending 33 of 31 ascending 36 talh 33 of 34 henle 35 ( 36 talh 36 talh 37 ) the functional and clinical exploration of the talh can be carried out using the chaimowitz 's test , which is based on the exploration of the tubular response to [an] [acute] overload of a hypotonic sodium chloride solution . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 11 carried 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 39 . 1 the 2 functional 2 functional 3 and 3 and 5 exploration 3 and 6 of 3 and 9 can 4 clinical 5 exploration 6 of 8 talh 7 the 8 talh 9 can 10 be 10 be 11 carried 11 carried 12 out 11 carried 13 using 13 using 17 test 14 the 15 chaimowitz 15 chaimowitz 16 's 16 's 17 test 18 , 19 which 18 , 21 based 19 which 20 is 20 is 21 based 21 based 22 on 22 on 24 exploration 23 the 24 exploration 24 exploration 25 of 24 exploration 33 of 25 of 28 response 26 the 28 response 27 tubular 28 response 28 response 29 to 28 response 32 overload 29 to 32 overload 33 of 38 solution 34 a 35 hypotonic 34 a 38 solution 35 hypotonic 36 sodium 36 sodium 37 chloride 37 chloride 38 solution since this segment is normally responsible for the generation of free water clearance , its function can be assessed via the calculation of such clearance from the parameters obtained during this test . 0 ###LEFT-WALL### 16 function 0 ###LEFT-WALL### 19 assessed 0 ###LEFT-WALL### 33 . 1 since 3 segment 1 since 4 is 1 since 14 , 1 since 16 function 2 this 3 segment 3 segment 4 is 4 is 5 normally 4 is 6 responsible 6 responsible 7 for 7 for 9 generation 8 the 9 generation 9 generation 10 of 10 of 13 clearance 11 free 12 water 12 water 13 clearance 15 its 16 function 16 function 17 can 17 can 18 be 18 be 19 assessed 19 assessed 20 via 20 via 22 calculation 21 the 22 calculation 22 calculation 23 of 23 of 25 clearance 24 such 25 clearance 25 clearance 26 from 26 from 28 parameters 27 the 28 parameters 28 parameters 29 obtained 29 obtained 30 during 30 during 32 test 31 this 32 test by applying the chaimowitz 's test , the presence of incompetence for sodium reabsorption in talh in healthy old people was documented . 0 ###LEFT-WALL### 9 presence 0 ###LEFT-WALL### 22 documented 0 ###LEFT-WALL### 23 . 1 by 2 applying 1 by 7 , 1 by 9 presence 2 applying 6 test 3 the 4 chaimowitz 4 chaimowitz 5 's 5 's 6 test 8 the 9 presence 9 presence 10 of 9 presence 21 was 10 of 11 incompetence 11 incompetence 12 for 12 for 14 reabsorption 13 sodium 14 reabsorption 14 reabsorption 15 in 15 in 16 talh 16 talh 17 in 17 in 20 people 18 healthy 20 people 19 old 20 people 21 was 22 documented additionally , it was documented that in water - restricted old rats , a situation that normally induces an increase in the number of nkcc2 in young rats is absent in old ones . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 5 documented 0 ###LEFT-WALL### 34 . 1 additionally 2 , 1 additionally 3 it 3 it 4 was 4 was 5 documented 5 documented 6 that 6 that 15 situation 6 that 29 is 7 in 8 water 7 in 13 , 7 in 15 situation 8 water 12 rats 9 - 12 rats 10 restricted 12 rats 11 old 12 rats 12 rats 13 , 14 a 15 situation 15 situation 16 that 15 situation 18 induces 15 situation 29 is 16 that 18 induces 17 normally 18 induces 18 induces 20 increase 18 induces 21 in 18 induces 26 in 19 an 20 increase 21 in 25 nkcc2 22 the 23 number 23 number 24 of 23 number 25 nkcc2 24 of 25 nkcc2 26 in 28 rats 27 young 28 rats 29 is 30 absent 30 absent 31 in 31 in 33 ones 32 old 33 ones in the clinical setting , the increased urinary sodium loss usually found in healthy old people predisposes them to dehydration , hypotension and [or] hyponatremia when they are on low - sodium [diet] or under treatment with diuretics . 0 ###LEFT-WALL### 10 loss 0 ###LEFT-WALL### 17 predisposes 0 ###LEFT-WALL### 39 . 1 in 4 setting 1 in 5 , 1 in 10 loss 2 the 4 setting 3 clinical 4 setting 6 the 10 loss 7 increased 9 sodium 8 urinary 9 sodium 9 sodium 10 loss 10 loss 12 found 10 loss 17 predisposes 11 usually 12 found 12 found 13 in 13 in 16 people 14 healthy 16 people 15 old 16 people 17 predisposes 18 them 17 predisposes 19 to 17 predisposes 26 when 17 predisposes 34 or 17 predisposes 37 with 19 to 23 and 20 dehydration 21 , 21 , 22 hypotension 21 , 23 and 23 and 25 hyponatremia 26 when 27 they 26 when 28 are 27 they 28 are 29 on 32 sodium 29 on 34 or 30 low 31 - 30 low 32 sodium 34 or 35 under 35 under 36 treatment 37 with 38 diuretics these are commonly found in elderly people with geriatric syndromes such as delirium , gait disorders and incontinence . 0 ###LEFT-WALL### 1 these 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 19 . 1 these 2 are 2 are 4 found 3 commonly 4 found 4 found 5 in 4 found 8 with 5 in 7 people 6 elderly 7 people 8 with 10 syndromes 9 geriatric 10 syndromes 10 syndromes 12 as 11 such 12 as 12 as 17 and 13 delirium 14 , 14 , 16 disorders 14 , 17 and 15 gait 16 disorders 17 and 18 incontinence conclusion : the nkcc2 transporter decrease in the thick ascending [loop] of henle secondary to the ageing could explain the reduced sodium reabsorption of this segment in the healthy elderly and its potential clinical consequences of dehydration and serum sodium abnormalities . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 6 decrease 2 : 19 explain 2 : 42 . 3 the 6 decrease 4 nkcc2 6 decrease 5 transporter 6 decrease 6 decrease 7 in 6 decrease 18 could 7 in 10 ascending 8 the 10 ascending 9 thick 10 ascending 10 ascending 12 of 10 ascending 14 secondary 12 of 13 henle 14 secondary 15 to 15 to 17 ageing 16 the 17 ageing 18 could 19 explain 19 explain 23 reabsorption 19 explain 27 in 20 the 23 reabsorption 21 reduced 22 sodium 22 sodium 23 reabsorption 23 reabsorption 24 of 24 of 26 segment 25 this 26 segment 27 in 41 abnormalities 28 the 41 abnormalities 29 healthy 41 abnormalities 30 elderly 31 and 31 and 35 consequences 31 and 36 of 31 and 38 and 32 its 35 consequences 33 potential 35 consequences 34 clinical 35 consequences 36 of 37 dehydration 38 and 39 serum 38 and 41 abnormalities 40 sodium 41 abnormalities with aging of society , clarification of the relationship between qol and abnormal posture in the elderly may allow improvement of qol through any preventive methods and training . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 19 allow 0 ###LEFT-WALL### 29 . 1 with 2 aging 1 with 12 and 3 of 4 society 3 of 5 , 3 of 12 and 6 clarification 7 of 6 clarification 12 and 7 of 9 relationship 8 the 9 relationship 9 relationship 10 between 10 between 11 qol 12 and 14 posture 12 and 15 in 12 and 18 may 13 abnormal 14 posture 15 in 17 elderly 16 the 17 elderly 18 may 19 allow 19 allow 27 and 20 improvement 21 of 20 improvement 27 and 21 of 22 qol 22 qol 23 through 23 through 26 methods 24 any 26 methods 25 preventive 26 methods 27 and 28 training however , sagittal balance has not been studied widely and most studies have focused on postmenopausal patients with osteoporosis . 0 ###LEFT-WALL### 4 balance 0 ###LEFT-WALL### 8 studied 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 20 . 1 however 2 , 1 however 4 balance 3 sagittal 4 balance 4 balance 5 has 5 has 6 not 5 has 7 been 7 been 8 studied 8 studied 9 widely 10 and 12 studies 10 and 14 focused 11 most 12 studies 12 studies 13 have 13 have 14 focused 14 focused 15 on 14 focused 18 with 15 on 17 patients 16 postmenopausal 17 patients 18 with 19 osteoporosis in this report , we provide the first evaluation of the simultaneous effects of degenerative changes [on] radiograph , spinal range of motion ( rom ) , sagittal balance , and back muscle strength , and examine the influence of these effects on qol of the middle - aged and elderly male subjects . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 36 and 1 in 3 report 1 in 4 , 1 in 5 we 2 this 3 report 5 we 36 and 6 provide 9 evaluation 6 provide 36 and 7 the 8 first 7 the 9 evaluation 9 evaluation 10 of 9 evaluation 13 effects 9 evaluation 18 radiograph 9 evaluation 21 range 10 of 12 simultaneous 11 the 12 simultaneous 13 effects 14 of 13 effects 18 radiograph 14 of 16 changes 15 degenerative 16 changes 19 , 21 range 20 spinal 21 range 21 range 22 of 21 range 25 rom 21 range 31 and 21 range 35 , 22 of 23 motion 24 ( 25 rom 25 rom 26 ) 27 , 31 and 28 sagittal 29 balance 29 balance 31 and 30 , 31 and 31 and 34 strength 31 and 35 , 32 back 34 strength 33 muscle 34 strength 35 , 36 and 36 and 37 examine 37 examine 39 influence 37 examine 43 on 38 the 39 influence 39 influence 40 of 40 of 42 effects 41 these 42 effects 43 on 44 qol 44 qol 45 of 45 of 47 middle 46 the 47 middle 47 middle 53 subjects 48 - 53 subjects 49 aged 50 and 50 and 51 elderly 50 and 52 male 52 male 53 subjects 53 subjects 54 . the subjects were 100 japanese males who underwent a basic health checkup . 0 ###LEFT-WALL### 2 subjects 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 13 . 1 the 2 subjects 2 subjects 3 were 3 were 6 males 4 100 6 males 5 japanese 6 males 6 males 7 who 6 males 8 underwent 7 who 8 underwent 8 underwent 12 checkup 9 a 10 basic 9 a 12 checkup 10 basic 11 health 11 health 12 checkup lumbar lateral [radiograph] , sagittal balance and spinal mobility determined with spinalmouse ( [®] [ )(and back muscle strength were measured . 0 ###LEFT-WALL### 6 balance 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 22 . 1 lumbar 6 balance 2 lateral 4 , 2 lateral 6 balance 5 sagittal 6 balance 7 and 9 mobility 7 and 10 determined 8 spinal 9 mobility 9 mobility 10 determined 10 determined 11 with 10 determined 19 strength 10 determined 21 measured 11 with 16 )(and 12 spinalmouse 16 )(and 13 ( 16 )(and 16 )(and 17 back 18 muscle 19 strength 19 strength 20 were 20 were 21 measured the thoracic/lumbar angle ratio [(] [t/l] ratio [ )(was used as an index of sagittal balance . 0 ###LEFT-WALL### 7 ratio 0 ###LEFT-WALL### 10 used 0 ###LEFT-WALL### 17 . 1 the 7 ratio 2 thoracic/lumbar 3 angle 3 angle 7 ratio 4 ratio 7 ratio 7 ratio 9 )(was 9 )(was 10 used 10 used 11 as 11 as 13 index 12 an 13 index 13 index 14 of 14 of 16 balance 15 sagittal 16 balance sf - 36 physical component summary ( pcs ) scores showed a significant negative correlation with age ( r = - 0.377 ) [,] osteophyte [score] ( r = - 0.246 [ )( t/l ratio ( r = - 0.214 [ )(, [and] [a] significant positive correlation with lumbar lordosis angle ( r = 0.271 ) , [thoracic] rom ( r = 0.282 ) , and back muscle strength ( r = 0.549 [ )( 0 ###LEFT-WALL### 10 scores 0 ###LEFT-WALL### 11 showed 1 sf 2 - 1 sf 10 scores 3 36 10 scores 4 physical 5 component 5 component 10 scores 6 summary 8 pcs 6 summary 9 ) 6 summary 10 scores 7 ( 8 pcs 8 pcs 9 ) 10 scores 11 showed 11 showed 14 negative 11 showed 15 correlation 11 showed 16 with 12 a 14 negative 13 significant 14 negative 16 with 17 age 16 with 25 osteophyte 18 ( 21 - 19 r 20 = 20 = 21 - 21 - 22 0.377 21 - 23 ) 21 - 25 osteophyte 25 osteophyte 29 = 27 ( 29 = 28 r 29 = 29 = 30 - 30 - 34 t/l 30 - 35 ratio 31 0.246 34 t/l 35 ratio 47 correlation 36 ( 39 - 37 r 38 = 38 = 39 - 39 - 40 0.214 39 - 42 )(, 39 - 47 correlation 45 significant 47 correlation 46 positive 47 correlation 47 correlation 48 with 47 correlation 57 , 48 with 51 angle 49 lumbar 50 lordosis 50 lordosis 51 angle 51 angle 54 = 52 ( 54 = 53 r 54 = 54 = 55 0.271 54 = 56 ) 57 , 59 rom 57 , 66 and 59 rom 62 = 60 ( 62 = 61 r 62 = 62 = 63 0.282 62 = 64 ) 65 , 66 and 66 and 67 back 66 and 68 muscle 68 muscle 69 strength 69 strength 72 = 70 ( 72 = 71 r 72 = 72 = 73 0.549 72 = 75 )( multiple regression analysis indicated that thoracic spinal rom ( r = 0.254 , p < 0.01 ) and back muscle strength ( r = 0.488 , p < 0.0001 ) were significantly associated with sf - 36 pcs [(] r ( 2 [ )(= 0.403 ) . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 4 indicated 0 ###LEFT-WALL### 18 and 1 multiple 2 regression 2 regression 3 analysis 3 analysis 4 indicated 4 indicated 8 rom 5 that 6 thoracic 6 thoracic 8 rom 7 spinal 8 rom 8 rom 11 = 8 rom 15 < 9 ( 11 = 10 r 11 = 11 = 12 0.254 11 = 13 , 13 , 15 < 14 p 15 < 15 < 16 0.01 15 < 17 ) 18 and 21 strength 18 and 33 associated 19 back 20 muscle 20 muscle 21 strength 21 strength 24 = 21 strength 28 < 21 strength 31 were 22 ( 24 = 23 r 24 = 24 = 25 0.488 24 = 26 , 27 p 28 < 28 < 29 0.0001 28 < 30 ) 31 were 32 significantly 31 were 33 associated 33 associated 34 with 34 with 35 sf 35 sf 38 pcs 36 - 38 pcs 37 36 38 pcs 38 pcs 44 )(= 38 pcs 47 . 40 r 44 )(= 41 ( 44 )(= 42 2 44 )(= 44 )(= 45 0.403 44 )(= 46 ) in conclusion , qol of the middle - aged and elderly male subjects [was] related to sagittal balance , lumbar lordosis angle , spinal rom , and back muscle strength . 0 ###LEFT-WALL### 27 and 0 ###LEFT-WALL### 29 muscle 0 ###LEFT-WALL### 31 . 1 in 2 conclusion 2 conclusion 3 , 3 , 4 qol 3 , 27 and 4 qol 5 of 5 of 7 middle 6 the 7 middle 7 middle 13 subjects 8 - 13 subjects 9 aged 10 and 10 and 11 elderly 10 and 13 subjects 12 male 13 subjects 13 subjects 15 related 13 subjects 21 lordosis 13 subjects 22 angle 13 subjects 25 rom 13 subjects 26 , 15 related 16 to 15 related 19 , 15 related 20 lumbar 16 to 18 balance 17 sagittal 18 balance 21 lordosis 22 angle 23 , 25 rom 24 spinal 25 rom 25 rom 26 , 27 and 28 back 27 and 29 muscle 29 muscle 30 strength exercise including muscle strength and spinal rom may be able to influence these primary factors related to qol . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 19 . 1 exercise 2 including 1 exercise 5 and 2 including 4 strength 3 muscle 4 strength 5 and 6 spinal 5 and 7 rom 5 and 12 influence 7 rom 8 may 8 may 9 be 9 be 10 able 10 able 11 to 10 able 12 influence 11 to 12 influence 12 influence 15 factors 12 influence 17 to 13 these 15 factors 14 primary 15 factors 15 factors 16 related 17 to 18 qol back muscle strength and thoracic rom impact on improvement of qol in the middle - aged and the elderly . 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 20 . 1 back 3 strength 2 muscle 3 strength 3 strength 4 and 4 and 7 impact 4 and 15 - 4 and 16 aged 4 and 17 and 5 thoracic 7 impact 6 rom 7 impact 7 impact 8 on 7 impact 10 of 8 on 9 improvement 10 of 11 qol 11 qol 12 in 12 in 14 middle 13 the 14 middle 17 and 19 elderly 18 the 19 elderly excessive or misplaced tissue iron now is recognized to pose a substantial health risk for an extensive array [of] endocrinological , gastrointestinal , infectious , neoplasmic , neurodegenerative , obstetric , ophthalmic , orthopedic , pulmonary and vascular diseases . 0 ###LEFT-WALL### 2 or 0 ###LEFT-WALL### 8 recognized 0 ###LEFT-WALL### 40 . 1 excessive 2 or 2 or 4 tissue 2 or 5 iron 2 or 7 is 2 or 8 recognized 3 misplaced 4 tissue 5 iron 7 is 6 now 7 is 8 recognized 9 to 8 recognized 15 for 8 recognized 39 diseases 9 to 10 pose 10 pose 14 risk 11 a 14 risk 12 substantial 14 risk 13 health 14 risk 15 for 18 array 16 an 17 extensive 16 an 18 array 17 extensive 18 array 20 endocrinological 21 , 21 , 22 gastrointestinal 21 , 23 , 23 , 24 infectious 23 , 25 , 25 , 26 neoplasmic 25 , 27 , 27 , 28 neurodegenerative 27 , 29 , 29 , 30 obstetric 29 , 31 , 31 , 32 ophthalmic 31 , 33 , 33 , 34 orthopedic 33 , 35 , 35 , 36 pulmonary 35 , 37 and 37 and 38 vascular 37 and 39 diseases ingested , injected , inhaled and decompartmentalized iron contributes [not] only to disease , but also to aging and mortality . 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 21 . 1 ingested 2 , 1 ingested 4 , 3 injected 4 , 4 , 5 inhaled 6 and 8 iron 6 and 9 contributes 7 decompartmentalized 8 iron 8 iron 9 contributes 9 contributes 11 only 11 only 15 but 12 to 13 disease 12 to 15 but 14 , 15 but 15 but 16 also 15 but 17 to 17 to 19 and 18 aging 19 and 19 and 20 mortality iron is dangerous by catalyzing free radical formation and by serving as an essential nutrient for microbial and neoplasmic cell invaders . 0 ###LEFT-WALL### 1 iron 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 22 . 1 iron 2 is 2 is 3 dangerous 3 dangerous 9 and 3 dangerous 12 as 4 by 5 catalyzing 4 by 9 and 5 catalyzing 8 formation 6 free 8 formation 7 radical 8 formation 9 and 10 by 10 by 11 serving 12 as 15 nutrient 13 an 14 essential 13 an 15 nutrient 14 essential 15 nutrient 15 nutrient 16 for 16 for 21 invaders 17 microbial 18 and 18 and 19 neoplasmic 18 and 20 cell 20 cell 21 invaders our body cells exhibit wide variation in sensitivity to iron toxicity . 0 ###LEFT-WALL### 3 cells 0 ###LEFT-WALL### 4 exhibit 0 ###LEFT-WALL### 12 . 1 our 3 cells 2 body 3 cells 3 cells 4 exhibit 4 exhibit 6 variation 4 exhibit 7 in 5 wide 6 variation 7 in 8 sensitivity 8 sensitivity 9 to 8 sensitivity 10 iron 9 to 10 iron 10 iron 11 toxicity efficacy of our iron withholding defense system is modulated by numerous environmental , behavioral and genetic factors . 0 ###LEFT-WALL### 1 efficacy 0 ###LEFT-WALL### 9 modulated 0 ###LEFT-WALL### 18 . 1 efficacy 2 of 1 efficacy 8 is 2 of 7 system 3 our 7 system 4 iron 7 system 5 withholding 7 system 6 defense 7 system 8 is 9 modulated 9 modulated 10 by 10 by 17 factors 11 numerous 17 factors 12 environmental 13 , 13 , 14 behavioral 13 , 15 and 15 and 16 genetic 15 and 17 factors a notable variety of methods for prevention and therapy of iron toxicity are now becoming available . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 13 are 0 ###LEFT-WALL### 17 . 1 a 2 notable 1 a 3 variety 2 notable 3 variety 3 variety 4 of 3 variety 8 and 4 of 5 methods 5 methods 6 for 6 for 7 prevention 8 and 9 therapy 8 and 10 of 8 and 13 are 10 of 12 toxicity 11 iron 12 toxicity 13 are 14 now 13 are 15 becoming 15 becoming 16 available background : as microbial agents have been associated with late adverse effects related to fillers antibiotic treatment has been envisaged . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 17 treatment 2 : 20 envisaged 2 : 21 . 3 as 5 agents 3 as 8 associated 3 as 17 treatment 4 microbial 5 agents 5 agents 6 have 6 have 7 been 7 been 8 associated 8 associated 9 with 9 with 12 effects 10 late 12 effects 11 adverse 12 effects 12 effects 13 related 13 related 14 to 14 to 15 fillers 16 antibiotic 17 treatment 17 treatment 18 has 18 has 19 been 19 been 20 envisaged objective : to determine whether biomaterials favor bacterial growth [and/or] [attract] bacteria . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 determine 2 : 13 . 3 to 4 determine 4 determine 5 whether 5 whether 6 biomaterials 5 whether 7 favor 6 biomaterials 7 favor 7 favor 12 bacteria 8 bacterial 9 growth 9 growth 12 bacteria methods : hyaluronic acid , semi - permanent fillers , such as calcium hydroxylapatite , and permanent fillers , such as polyalkylimide/polyacrylamide , were used . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 26 . 1 methods 2 : 2 : 4 acid 3 hyaluronic 4 acid 4 acid 9 fillers 5 , 9 fillers 6 semi 7 - 6 semi 9 fillers 8 permanent 9 fillers 9 fillers 12 as 9 fillers 15 , 10 , 12 as 11 such 12 as 12 as 14 hydroxylapatite 12 as 15 , 13 calcium 14 hydroxylapatite 16 and 18 fillers 16 and 25 used 17 permanent 18 fillers 18 fillers 21 as 18 fillers 24 were 19 , 21 as 20 such 21 as 21 as 22 polyalkylimide/polyacrylamide 21 as 23 , 24 were 25 used experiments were performed with escherichia coli , strain hvh - u47 . 0 ###LEFT-WALL### 1 experiments 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 10 - 1 experiments 7 , 2 were 3 performed 2 were 7 , 3 performed 4 with 4 with 6 coli 5 escherichia 6 coli 7 , 8 strain 8 strain 9 hvh 10 - 11 u47 10 - 12 . bacteria were transferred to sven - gard agar to test mobility . 0 ###LEFT-WALL### 1 bacteria 0 ###LEFT-WALL### 3 transferred 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 12 . 1 bacteria 2 were 2 were 3 transferred 3 transferred 4 to 4 to 5 sven 6 - 8 agar 7 gard 8 agar 8 agar 9 to 9 to 11 mobility 10 test 11 mobility striae of this bacterial strain with a macfarland 1 turbulence pattern were seeded from a spot of inoculated biomaterial using müller - hinton medium . 0 ###LEFT-WALL### 1 striae 0 ###LEFT-WALL### 13 seeded 0 ###LEFT-WALL### 22 - 1 striae 2 of 1 striae 6 with 1 striae 13 seeded 2 of 5 strain 3 this 4 bacterial 4 bacterial 5 strain 6 with 8 macfarland 7 a 8 macfarland 8 macfarland 11 pattern 8 macfarland 12 were 9 1 11 pattern 10 turbulence 11 pattern 11 pattern 12 were 13 seeded 14 from 13 seeded 21 müller 14 from 16 spot 15 a 16 spot 16 spot 17 of 17 of 20 using 18 inoculated 20 using 19 biomaterial 20 using 22 - 24 medium 22 - 25 . 23 hinton 24 medium the chemoattractive properties of the biomaterials were analyzed 10 days after inoculation . 0 ###LEFT-WALL### 3 properties 0 ###LEFT-WALL### 8 analyzed 0 ###LEFT-WALL### 13 . 1 the 3 properties 2 chemoattractive 3 properties 3 properties 4 of 3 properties 7 were 4 of 6 biomaterials 5 the 6 biomaterials 7 were 8 analyzed 8 analyzed 11 after 9 10 10 days 10 days 11 after 11 after 12 inoculation bacterial growth over the biomaterial and in [-] depth growth were assessed as well . 0 ###LEFT-WALL### 2 growth 0 ###LEFT-WALL### 12 assessed 0 ###LEFT-WALL### 15 . 1 bacterial 2 growth 2 growth 6 and 2 growth 11 were 3 over 5 biomaterial 3 over 6 and 4 the 5 biomaterial 6 and 7 in 7 in 10 growth 9 depth 10 growth 11 were 12 assessed 12 assessed 13 as 13 as 14 well results : semi - permanent fillers did not stimulate bacterial growth but they allowed bacterial colonization over the filler . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 fillers 2 : 9 stimulate 2 : 12 but 2 : 20 . 3 semi 4 - 3 semi 6 fillers 5 permanent 6 fillers 6 fillers 7 did 7 did 8 not 7 did 9 stimulate 9 stimulate 11 growth 10 bacterial 11 growth 12 but 13 they 12 but 14 allowed 13 they 14 allowed 14 allowed 16 colonization 14 allowed 17 over 15 bacterial 16 colonization 17 over 19 filler 18 the 19 filler permanent acrylic compounds neither presented chemoattractant properties nor showed bacterial growth over the biomaterial . 0 ###LEFT-WALL### 3 compounds 0 ###LEFT-WALL### 8 nor 0 ###LEFT-WALL### 15 . 1 permanent 2 acrylic 2 acrylic 3 compounds 3 compounds 8 nor 4 neither 8 nor 5 presented 7 properties 5 presented 8 nor 6 chemoattractant 7 properties 8 nor 9 showed 9 showed 11 growth 9 showed 12 over 10 bacterial 11 growth 12 over 14 biomaterial 13 the 14 biomaterial similar results were obtained when performing in [-] depth cultures . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 4 obtained 0 ###LEFT-WALL### 11 . 1 similar 2 results 2 results 3 were 3 were 4 obtained 4 obtained 5 when 5 when 6 performing 6 performing 7 in 7 in 10 cultures 9 depth 10 cultures conclusions : permanent and semi - permanent fillers did not facilitate bacterial growth when flagellated [e] . coli hvh - u47 was used . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 2 : 4 and 2 : 11 facilitate 3 permanent 4 and 4 and 8 fillers 4 and 9 did 5 semi 6 - 5 semi 8 fillers 7 permanent 8 fillers 9 did 10 not 9 did 11 facilitate 11 facilitate 13 growth 11 facilitate 14 when 12 bacterial 13 growth 14 when 15 flagellated 17 . 19 hvh 17 . 20 - 18 coli 19 hvh 20 - 21 u47 20 - 23 used 20 - 24 . 21 u47 22 was 22 was 23 used our results do not argue in favor of antibiotics as the mainstay of therapy in late granulomas related to permanent fillers . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 5 argue 0 ###LEFT-WALL### 22 . 1 our 2 results 2 results 3 do 3 do 4 not 3 do 5 argue 5 argue 6 in 5 argue 10 as 6 in 7 favor 7 favor 8 of 8 of 9 antibiotics 10 as 12 mainstay 11 the 12 mainstay 12 mainstay 13 of 13 of 14 therapy 14 therapy 15 in 15 in 17 granulomas 16 late 17 granulomas 17 granulomas 18 related 18 related 19 to 19 to 21 fillers 20 permanent 21 fillers in the case of resorbable/semi - permanent fillers , more studies are needed before recommending antibiotic therapy . 0 ###LEFT-WALL### 11 studies 0 ###LEFT-WALL### 13 needed 0 ###LEFT-WALL### 18 . 1 in 3 case 1 in 9 , 1 in 11 studies 2 the 3 case 3 case 4 of 4 of 5 resorbable/semi 5 resorbable/semi 8 fillers 6 - 8 fillers 7 permanent 8 fillers 8 fillers 9 , 10 more 11 studies 11 studies 12 are 12 are 13 needed 13 needed 14 before 14 before 15 recommending 15 recommending 17 therapy 16 antibiotic 17 therapy breast cancer is the most prevalent women 's cancer , with an age [-] adjusted incidence of 122.9 [per] 100,000 us women . 0 ###LEFT-WALL### 2 cancer 0 ###LEFT-WALL### 3 is 1 breast 2 cancer 2 cancer 3 is 3 is 9 cancer 4 the 7 women 5 most 6 prevalent 6 prevalent 7 women 7 women 8 's 8 's 9 cancer 9 cancer 11 with 10 , 11 with 11 with 16 incidence 11 with 22 women 11 with 23 . 12 an 13 age 12 an 16 incidence 13 age 15 adjusted 15 adjusted 16 incidence 16 incidence 17 of 17 of 18 122.9 20 100,000 22 women 21 us 22 women cadmium , a ubiquitous carcinogenic pollutant with multiple biological effects , has been reported to be associated with breast cancer in one us regional case - control study . 0 ###LEFT-WALL### 1 cadmium 0 ###LEFT-WALL### 14 reported 0 ###LEFT-WALL### 26 - 1 cadmium 6 pollutant 1 cadmium 12 has 2 , 6 pollutant 3 a 6 pollutant 4 ubiquitous 6 pollutant 5 carcinogenic 6 pollutant 6 pollutant 7 with 6 pollutant 11 , 7 with 10 effects 8 multiple 10 effects 9 biological 10 effects 12 has 13 been 13 been 14 reported 14 reported 15 to 14 reported 17 associated 15 to 16 be 16 be 17 associated 17 associated 18 with 17 associated 21 in 18 with 20 cancer 19 breast 20 cancer 21 in 25 case 22 one 25 case 23 us 25 case 24 regional 25 case 26 - 27 control 26 - 29 . 27 control 28 study we examined the association of breast cancer with urinary cadmium ( ucd ) , in a case - control sample of women living on long island ( li [ )(, ny [(] 100 [with] breast cancer [and] 98 without [ )( a region with an especially high rate of breast cancer [(] 142.7 [per] [100,000] in suffolk county [ )(and in a representative sample of us women ( nhanes 1999 - 2008 , 92 with breast cancer [and] 2,884 [without] ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 1 we 2 examined 2 examined 4 association 2 examined 8 with 3 the 4 association 4 association 5 of 5 of 7 cancer 6 breast 7 cancer 8 with 10 cadmium 8 with 20 sample 9 urinary 10 cadmium 10 cadmium 12 ucd 10 cadmium 15 in 11 ( 12 ucd 12 ucd 13 ) 14 , 15 in 15 in 17 case 15 in 18 - 16 a 17 case 19 control 20 sample 20 sample 21 of 20 sample 23 living 21 of 22 women 23 living 24 on 24 on 36 cancer 25 long 26 island 26 island 28 li 26 island 36 cancer 27 ( 28 li 28 li 30 )(, 31 ny 36 cancer 33 100 35 breast 35 breast 36 cancer 36 cancer 38 98 36 cancer 39 without 36 cancer 44 with 39 without 43 region 42 a 43 region 44 with 48 rate 45 an 46 especially 45 an 48 rate 46 especially 47 high 47 high 48 rate 48 rate 49 of 49 of 51 cancer 50 breast 51 cancer 51 cancer 53 142.7 51 cancer 60 )(and 56 in 58 county 56 in 60 )(and 57 suffolk 58 county 60 )(and 61 in 61 in 64 sample 62 a 64 sample 63 representative 64 sample 64 sample 65 of 65 of 67 women 66 us 67 women 67 women 69 nhanes 67 women 72 2008 68 ( 69 nhanes 69 nhanes 70 1999 69 nhanes 71 - 71 - 72 2008 72 2008 74 92 72 2008 82 . 73 , 74 92 74 92 75 with 74 92 81 ) 75 with 77 cancer 76 breast 77 cancer 77 cancer 79 2,884 in a multivariable logistic model , both samples showed a significant trend for increased odds of breast cancer across increasing ucd quartiles ( nhanes , p=0.039 and li , p=0.023 ) . 0 ###LEFT-WALL### 8 samples 0 ###LEFT-WALL### 9 showed 0 ###LEFT-WALL### 32 . 1 in 5 model 1 in 6 , 1 in 8 samples 2 a 5 model 3 multivariable 4 logistic 4 logistic 5 model 7 both 8 samples 8 samples 9 showed 9 showed 12 trend 9 showed 26 p=0.039 9 showed 27 and 10 a 12 trend 11 significant 12 trend 12 trend 13 for 12 trend 16 of 13 for 15 odds 14 increased 15 odds 16 of 18 cancer 17 breast 18 cancer 18 cancer 19 across 19 across 22 quartiles 20 increasing 22 quartiles 21 ucd 22 quartiles 22 quartiles 24 nhanes 23 ( 24 nhanes 24 nhanes 25 , 27 and 28 li 28 li 30 p=0.023 29 , 30 p=0.023 30 p=0.023 31 ) compared to those in the lowest quartile , li women in the highest quartile had increased risk for breast cancer ( or=2.69 ; 95 % ci=1.07 , 6.78 ) and us women in the two highest quartiles had increased risk ( or=2.50 [;] 95 % ci=1.11 , 5.63 and [or=2.22] [;] 95 % ci=.89 , 5.52 , respectively ) . 0 ###LEFT-WALL### 9 li 0 ###LEFT-WALL### 15 had 0 ###LEFT-WALL### 23 ; 0 ###LEFT-WALL### 60 . 1 compared 2 to 1 compared 4 in 1 compared 8 , 1 compared 9 li 2 to 3 those 4 in 7 quartile 5 the 6 lowest 5 the 7 quartile 9 li 10 women 9 li 14 quartile 9 li 15 had 10 women 11 in 10 women 14 quartile 11 in 13 highest 12 the 13 highest 15 had 17 risk 16 increased 17 risk 17 risk 18 for 17 risk 22 or=2.69 18 for 20 cancer 19 breast 20 cancer 21 ( 22 or=2.69 22 or=2.69 23 ; 23 ; 32 women 23 ; 39 increased 24 95 32 women 25 % 32 women 26 ci=1.07 28 6.78 26 ci=1.07 30 and 27 , 28 6.78 28 6.78 29 ) 30 and 31 us 30 and 32 women 32 women 33 in 32 women 38 had 33 in 37 quartiles 34 the 35 two 35 two 36 highest 35 two 37 quartiles 38 had 39 increased 39 increased 40 risk 39 increased 58 respectively 40 risk 46 ci=1.11 41 ( 46 ci=1.11 42 or=2.50 44 95 42 or=2.50 46 ci=1.11 45 % 46 ci=1.11 46 ci=1.11 54 ci=.89 46 ci=1.11 57 , 47 , 54 ci=.89 48 5.63 49 and 49 and 52 95 49 and 54 ci=.89 53 % 54 ci=.89 54 ci=.89 56 5.52 54 ci=.89 57 , 55 , 56 5.52 56 5.52 57 , 57 , 58 respectively 58 respectively 59 ) further research is warranted on the impact of environmental cadmium on breast cancer risk in specific populations and on identifying the underlying molecular mechanisms . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 4 warranted 0 ###LEFT-WALL### 25 . 1 further 2 research 2 research 3 is 3 is 4 warranted 4 warranted 5 on 4 warranted 11 on 5 on 7 impact 6 the 7 impact 7 impact 8 of 8 of 10 cadmium 9 environmental 10 cadmium 11 on 14 risk 12 breast 14 risk 13 cancer 14 risk 14 risk 18 and 15 in 17 populations 15 in 18 and 16 specific 17 populations 18 and 19 on 19 on 20 identifying 20 identifying 24 mechanisms 21 the 24 mechanisms 22 underlying 24 mechanisms 23 molecular 24 mechanisms several cohort studies have shown that vascular risk factors including hypertension , hypercholesterolaemia , diabetes mellitus , smoking , obesity and lack of physical exercise in midlife and to a lesser extent in late life , are associated with an increased risk of dementia . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 5 shown 0 ###LEFT-WALL### 45 . 1 several 3 studies 2 cohort 3 studies 3 studies 4 have 4 have 5 shown 5 shown 11 hypertension 5 shown 18 smoking 5 shown 21 and 5 shown 38 associated 6 that 11 hypertension 7 vascular 9 factors 8 risk 9 factors 9 factors 11 hypertension 10 including 11 hypertension 11 hypertension 13 hypercholesterolaemia 11 hypertension 16 mellitus 12 , 13 hypercholesterolaemia 13 hypercholesterolaemia 14 , 14 , 16 mellitus 15 diabetes 16 mellitus 16 mellitus 17 , 17 , 18 smoking 18 smoking 19 , 20 obesity 21 and 21 and 22 lack 21 and 36 , 21 and 37 are 22 lack 23 of 23 of 25 exercise 24 physical 25 exercise 25 exercise 28 and 25 exercise 33 in 26 in 27 midlife 26 in 28 and 28 and 29 to 29 to 32 extent 30 a 31 lesser 30 a 32 extent 31 lesser 32 extent 33 in 35 life 34 late 35 life 37 are 38 associated 38 associated 39 with 39 with 42 risk 40 an 42 risk 41 increased 42 risk 42 risk 43 of 43 of 44 dementia the results from randomised controlled clinical trials on treatment of these risk factors are not conclusive for the effect on cognitive decline [and] dementia . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 14 are 0 ###LEFT-WALL### 25 . 1 the 2 results 2 results 3 from 2 results 8 on 2 results 14 are 3 from 7 trials 4 randomised 7 trials 5 controlled 7 trials 6 clinical 7 trials 8 on 9 treatment 9 treatment 10 of 10 of 13 factors 11 these 13 factors 12 risk 13 factors 14 are 15 not 14 are 16 conclusive 16 conclusive 17 for 16 conclusive 20 on 17 for 19 effect 18 the 19 effect 20 on 24 dementia 21 cognitive 22 decline 22 decline 24 dementia studies investigating the effect of a multi - component intervention aimed at vascular risk factors to prevent or slow down cognitive decline and dementia will hopefully give the answer as to whether such an intervention is efficacious . 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 27 give 0 ###LEFT-WALL### 38 . 1 studies 2 investigating 1 studies 5 of 1 studies 23 and 2 investigating 4 effect 3 the 4 effect 5 of 18 or 6 a 7 multi 6 a 10 intervention 7 multi 8 - 7 multi 9 component 9 component 10 intervention 10 intervention 11 aimed 10 intervention 18 or 11 aimed 12 at 12 at 15 factors 13 vascular 15 factors 14 risk 15 factors 15 factors 16 to 15 factors 17 prevent 16 to 17 prevent 18 or 22 decline 19 slow 22 decline 20 down 22 decline 21 cognitive 22 decline 23 and 24 dementia 23 and 25 will 25 will 27 give 26 hopefully 27 give 27 give 29 answer 27 give 31 to 28 the 29 answer 30 as 31 to 31 to 32 whether 32 whether 35 intervention 32 whether 36 is 33 such 34 an 34 an 35 intervention 35 intervention 36 is 36 is 37 efficacious this requires large clinical trials in an elderly population [with] long follow - up and several competing risks , making it difficult from an organisational and methodological point of view . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 requires 0 ###LEFT-WALL### 13 - 1 this 2 requires 2 requires 5 trials 2 requires 12 follow 3 large 5 trials 4 clinical 5 trials 5 trials 6 in 6 in 9 population 7 an 8 elderly 7 an 9 population 8 elderly 9 population 11 long 12 follow 13 - 15 and 13 - 31 . 14 up 15 and 15 and 18 risks 15 and 19 , 15 and 20 making 15 and 29 of 16 several 18 risks 17 competing 18 risks 20 making 21 it 20 making 22 difficult 22 difficult 23 from 23 from 28 point 24 an 28 point 25 organisational 26 and 26 and 27 methodological 26 and 28 point 29 of 30 view major challenges for future studies are to select the optimal population , set the optimal treatment targets and select clinically relevant outcome parameters . 0 ###LEFT-WALL### 2 challenges 0 ###LEFT-WALL### 24 . 1 major 2 challenges 2 challenges 3 for 2 challenges 6 are 3 for 5 studies 4 future 5 studies 6 are 7 to 6 are 12 , 7 to 12 , 8 select 11 population 8 select 12 , 9 the 11 population 10 optimal 11 population 12 , 13 set 12 , 18 and 14 the 18 and 15 optimal 16 treatment 16 treatment 17 targets 17 targets 18 and 18 and 23 parameters 19 select 22 outcome 20 clinically 21 relevant 21 relevant 22 outcome 22 outcome 23 parameters none purpose : to assess the effect of ageing on in vivo human ciliary muscle morphology and contractility during accommodation . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 15 muscle 0 ###LEFT-WALL### 21 . 1 none 2 purpose 1 none 5 assess 1 none 15 muscle 2 purpose 3 : 3 : 4 to 3 : 5 assess 4 to 5 assess 5 assess 7 effect 5 assess 10 on 6 the 7 effect 7 effect 8 of 8 of 9 ageing 10 on 14 ciliary 11 in 12 vivo 12 vivo 13 human 13 human 14 ciliary 15 muscle 17 and 15 muscle 19 during 16 morphology 17 and 17 and 18 contractility 19 during 20 accommodation methods : seventy - nine subjects , aged 19 - 70 years were recruited . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 1 methods 2 : 2 : 6 subjects 3 seventy 4 - 4 - 5 nine 4 - 6 subjects 6 subjects 8 aged 7 , 8 aged 8 aged 10 - 8 aged 15 . 9 19 10 - 10 - 11 70 11 70 12 years 12 years 13 were 13 were 14 recruited high - resolution images were acquired of nasal and temporal ciliary muscle in the relaxed state , and at stimulus vergence levels of - 4 and - 8 d , using anterior segment optical coherence tomography ( as - oct ) . 0 ###LEFT-WALL### 4 images 0 ###LEFT-WALL### 6 acquired 0 ###LEFT-WALL### 42 . 1 high 2 - 1 high 3 resolution 3 resolution 4 images 4 images 5 were 5 were 6 acquired 6 acquired 7 of 6 acquired 18 and 6 acquired 31 using 7 of 12 muscle 8 nasal 9 and 9 and 10 temporal 9 and 12 muscle 11 ciliary 12 muscle 13 in 16 state 13 in 18 and 14 the 16 state 15 relaxed 16 state 17 , 18 and 18 and 19 at 19 at 22 levels 20 stimulus 21 vergence 21 vergence 22 levels 22 levels 23 of 23 of 29 d 24 - 26 and 25 4 26 and 26 and 28 8 26 and 29 d 27 - 28 8 30 , 31 using 31 using 36 tomography 31 using 41 ) 32 anterior 33 segment 33 segment 36 tomography 34 optical 36 tomography 35 coherence 36 tomography 36 tomography 40 oct 37 ( 40 oct 38 as 40 oct 39 - 40 oct 40 oct 41 ) objective refractions and axial lengths were also recorded . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 8 recorded 0 ###LEFT-WALL### 9 . 1 objective 2 refractions 2 refractions 3 and 3 and 5 lengths 3 and 6 were 4 axial 5 lengths 6 were 7 also 6 were 8 recorded linear regression analysis was performed to determine the effect of age on nasal and temporal ciliary muscle morphologic characteristics . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 5 performed 0 ###LEFT-WALL### 20 . 1 linear 2 regression 2 regression 3 analysis 3 analysis 4 was 4 was 5 performed 5 performed 6 to 6 to 7 determine 7 determine 9 effect 7 determine 12 on 8 the 9 effect 9 effect 10 of 10 of 11 age 12 on 14 and 13 nasal 14 and 14 and 19 characteristics 15 temporal 16 ciliary 16 ciliary 19 characteristics 17 muscle 19 characteristics 18 morphologic 19 characteristics results : ciliary muscle anterior length decreased significantly with age both nasally ( r = 0.461 , p = 0.001 ) [and] temporally ( r = 0.619 , p < 0.001 ) in emmetropic eyes . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 36 . 1 results 2 : 2 : 4 muscle 3 ciliary 4 muscle 4 muscle 6 length 4 muscle 7 decreased 5 anterior 6 length 6 length 7 decreased 7 decreased 8 significantly 7 decreased 9 with 7 decreased 12 nasally 7 decreased 15 = 7 decreased 19 = 7 decreased 23 temporally 7 decreased 26 = 7 decreased 30 < 7 decreased 33 in 9 with 10 age 9 with 11 both 13 ( 15 = 14 r 15 = 15 = 16 0.461 15 = 17 , 17 , 19 = 18 p 19 = 19 = 20 0.001 19 = 21 ) 24 ( 26 = 25 r 26 = 26 = 27 0.619 26 = 28 , 28 , 30 < 29 p 30 < 30 < 31 0.001 30 < 32 ) 33 in 35 eyes 34 emmetropic 35 eyes during accommodation , changes to ciliary muscle thickness and length remained constant throughout life . 0 ###LEFT-WALL### 4 changes 0 ###LEFT-WALL### 11 remained 0 ###LEFT-WALL### 15 . 1 during 2 accommodation 1 during 3 , 1 during 4 changes 4 changes 5 to 4 changes 11 remained 5 to 9 and 6 ciliary 8 thickness 7 muscle 8 thickness 8 thickness 9 and 9 and 10 length 11 remained 12 constant 12 constant 13 throughout 13 throughout 14 life conclusions : the human ciliary muscle undergoes age - dependent changes in morphology that suggest an antero - [inwards] displacement of muscle mass , particularly in emmetropic eyes . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 6 muscle 2 : 7 undergoes 3 the 6 muscle 4 human 5 ciliary 5 ciliary 6 muscle 6 muscle 7 undergoes 7 undergoes 8 age 7 undergoes 25 particularly 8 age 11 changes 9 - 11 changes 10 dependent 11 changes 11 changes 12 in 11 changes 14 that 11 changes 15 suggest 11 changes 24 , 12 in 13 morphology 14 that 15 suggest 15 suggest 20 displacement 15 suggest 23 mass 16 an 17 antero 16 an 20 displacement 17 antero 18 - 17 antero 20 displacement 20 displacement 21 of 21 of 22 muscle 25 particularly 26 in 26 in 28 eyes 27 emmetropic 28 eyes however , the morphologic changes observed appear not to affect the ability of the muscle to contract during accommodation , even in established presbyopes , thus supporting a lenticular model of presbyopia development . 0 ###LEFT-WALL### 5 changes 0 ###LEFT-WALL### 7 appear 0 ###LEFT-WALL### 34 . 1 however 2 , 1 however 5 changes 3 the 5 changes 4 morphologic 5 changes 5 changes 6 observed 5 changes 7 appear 7 appear 9 to 8 not 9 to 9 to 10 affect 10 affect 12 ability 11 the 12 ability 12 ability 13 of 12 ability 16 to 12 ability 17 contract 12 ability 27 supporting 13 of 15 muscle 14 the 15 muscle 16 to 17 contract 17 contract 18 during 18 during 19 accommodation 19 accommodation 21 even 20 , 21 even 21 even 22 in 21 even 25 , 22 in 24 presbyopes 23 established 24 presbyopes 26 thus 27 supporting 27 supporting 30 model 28 a 29 lenticular 28 a 30 model 29 lenticular 30 model 30 model 31 of 31 of 33 development 32 presbyopia 33 development purpose : to assess the effect of [cataract] on the evaluation of macular pigment optical density ( mpod ) in aged patients . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 assess 2 : 23 . 3 to 4 assess 4 assess 6 effect 4 assess 20 in 5 the 6 effect 6 effect 7 of 7 of 9 on 9 on 11 evaluation 10 the 11 evaluation 11 evaluation 12 of 12 of 16 density 13 macular 14 pigment 14 pigment 16 density 15 optical 16 density 16 density 18 mpod 17 ( 18 mpod 18 mpod 19 ) 20 in 22 patients 21 aged 22 patients methods : mpod was prospectively measured using autofluorescence spectrometry before and after cataract surgery . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 mpod 2 : 4 was 2 : 15 . 3 mpod 4 was 4 was 5 prospectively 4 was 6 measured 6 measured 7 using 7 using 8 autofluorescence 8 autofluorescence 9 spectrometry 9 spectrometry 11 and 10 before 11 and 11 and 12 after 12 after 14 surgery 13 cataract 14 surgery the lens opacities classification system iii was used to grade the cataracts at baseline . 0 ###LEFT-WALL### 5 system 0 ###LEFT-WALL### 8 used 0 ###LEFT-WALL### 15 . 1 the 5 system 2 lens 3 opacities 3 opacities 4 classification 4 classification 5 system 5 system 6 iii 5 system 7 was 7 was 8 used 8 used 9 to 8 used 10 grade 9 to 10 grade 10 grade 12 cataracts 10 grade 13 at 11 the 12 cataracts 13 at 14 baseline results : forty - five eyes of 41 subjects , who had no ocular disorders or fundus autofluorescence abnormalities except for age - related nuclear cataract , were included . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 30 . 1 results 2 : 2 : 6 eyes 3 forty 4 - 4 - 5 five 4 - 6 eyes 6 eyes 7 of 7 of 9 subjects 8 41 9 subjects 10 , 11 who 10 , 27 , 11 who 27 , 12 had 26 cataract 12 had 27 , 13 no 26 cataract 14 ocular 15 disorders 15 disorders 16 or 16 or 19 abnormalities 16 or 23 - 16 or 24 related 16 or 26 cataract 17 fundus 18 autofluorescence 18 autofluorescence 19 abnormalities 19 abnormalities 20 except 20 except 21 for 21 for 22 age 24 related 25 nuclear 27 , 28 were 28 were 29 included preoperative mpod was 0.350 ± 0.117 density [unit] ( du ) . 0 ###LEFT-WALL### 2 mpod 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 12 . 1 preoperative 2 mpod 2 mpod 3 was 3 was 7 density 4 0.350 7 density 5 ± 7 density 6 0.117 7 density 7 density 10 du 9 ( 10 du 10 du 11 ) regression analysis showed that a higher nuclear color score correlated with lower mpod ( t = - 2.90 , p = 0.0063 ) . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 24 . 1 regression 2 analysis 2 analysis 3 showed 3 showed 4 that 4 that 9 score 4 that 10 correlated 5 a 9 score 6 higher 8 color 7 nuclear 8 color 8 color 9 score 9 score 10 correlated 10 correlated 11 with 10 correlated 21 = 11 with 13 mpod 12 lower 13 mpod 13 mpod 16 = 14 ( 16 = 15 t 16 = 16 = 17 - 17 - 18 2.90 17 - 21 = 19 , 21 = 20 p 21 = 21 = 22 0.0063 21 = 23 ) the preoperative mpod prediction formula [was] mpod = 0.545 - 0.069 × nuclear color score . 0 ###LEFT-WALL### 15 score 0 ###LEFT-WALL### 16 . 1 the 15 score 2 preoperative 15 score 3 mpod 15 score 4 prediction 12 × 5 formula 12 × 7 mpod 10 - 7 mpod 12 × 8 = 9 0.545 9 0.545 10 - 10 - 11 0.069 12 × 15 score 13 nuclear 14 color 14 color 15 score a higher nuclear color score correlated significantly with failure to measure the mpod ( χ ( 2 ) = 5.08 , p = 0.0242 ) . 0 ###LEFT-WALL### 5 score 0 ###LEFT-WALL### 19 = 0 ###LEFT-WALL### 26 . 1 a 5 score 2 higher 4 color 3 nuclear 4 color 4 color 5 score 5 score 6 correlated 5 score 19 = 6 correlated 7 significantly 6 correlated 8 with 8 with 9 failure 9 failure 10 to 9 failure 11 measure 10 to 11 measure 11 measure 13 mpod 12 the 13 mpod 13 mpod 15 χ 14 ( 15 χ 15 χ 17 2 15 χ 18 ) 16 ( 17 2 17 2 18 ) 19 = 20 5.08 20 5.08 23 = 21 , 23 = 22 p 23 = 23 = 24 0.0242 23 = 25 ) the mean postoperative mpod was 0.600 du ( 95 % confidence [interval] [ ci ] , 0.562 - 0.637 ) , which was significantly ( p < 0.0001 ) higher than the preoperative level of 0.350 du ( 95 % ci , 0.313 - 0.388 ) . 0 ###LEFT-WALL### 4 mpod 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 47 . 1 the 4 mpod 2 mean 4 mpod 3 postoperative 4 mpod 4 mpod 5 was 5 was 7 du 6 0.600 7 du 7 du 11 confidence 7 du 18 - 8 ( 11 confidence 9 95 10 % 10 % 11 confidence 11 confidence 14 ci 11 confidence 16 , 13 [ 14 ci 14 ci 15 ] 16 , 18 - 17 0.562 18 - 18 - 19 0.637 18 - 20 ) 21 , 22 which 21 , 23 was 22 which 23 was 23 was 24 significantly 23 was 27 < 23 was 30 higher 23 was 31 than 23 was 44 - 25 ( 27 < 26 p 27 < 27 < 28 0.0001 27 < 29 ) 31 than 34 level 32 the 34 level 33 preoperative 34 level 34 level 35 of 34 level 41 ci 35 of 37 du 36 0.350 37 du 38 ( 41 ci 39 95 41 ci 40 % 41 ci 41 ci 42 , 42 , 44 - 43 0.313 44 - 44 - 45 0.388 44 - 46 ) regression analysis showed that higher preoperative mpod correlated with higher postoperative mpod ( t = 2.91 , p = 0.0061 ) . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 22 . 1 regression 2 analysis 2 analysis 3 showed 3 showed 4 that 4 that 7 mpod 4 that 8 correlated 5 higher 7 mpod 6 preoperative 7 mpod 7 mpod 8 correlated 8 correlated 9 with 8 correlated 19 = 9 with 12 mpod 10 higher 12 mpod 11 postoperative 12 mpod 12 mpod 15 = 13 ( 15 = 14 t 15 = 15 = 16 2.91 15 = 17 , 17 , 19 = 18 p 19 = 19 = 20 0.0061 19 = 21 ) conclusions : cataract , especially its nuclear component , affects mpod measured by autofluorescence spectrometry . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 cataract 2 : 10 affects 2 : 16 . 3 cataract 8 component 3 cataract 10 affects 4 , 5 especially 4 , 8 component 6 its 8 component 7 nuclear 8 component 8 component 9 , 10 affects 11 mpod 11 mpod 12 measured 12 measured 13 by 12 measured 15 spectrometry 13 by 14 autofluorescence care should be taken when using this method in eyes with age - related macular maculopathy and age - related macular degeneration and in older patients who may develop these diseases . 0 ###LEFT-WALL### 1 care 0 ###LEFT-WALL### 4 taken 0 ###LEFT-WALL### 32 . 1 care 2 should 2 should 3 be 3 be 4 taken 4 taken 5 when 4 taken 9 in 5 when 6 using 6 using 8 method 7 this 8 method 9 in 10 eyes 10 eyes 23 and 11 with 22 degeneration 11 with 23 and 12 age 22 degeneration 13 - 14 related 14 related 17 and 14 related 19 - 14 related 20 related 15 macular 16 maculopathy 16 maculopathy 17 and 17 and 18 age 20 related 22 degeneration 21 macular 22 degeneration 23 and 24 in 24 in 26 patients 25 older 26 patients 26 patients 27 who 26 patients 28 may 27 who 28 may 28 may 29 develop 29 develop 31 diseases 30 these 31 diseases [none] none objectives : older adults tend to exhibit the correspondence bias to a greater extent than young adults . 0 ###LEFT-WALL### 3 objectives 0 ###LEFT-WALL### 4 : 2 none 3 objectives 4 : 6 adults 4 : 7 tend 4 : 20 . 5 older 6 adults 6 adults 7 tend 7 tend 8 to 7 tend 9 exhibit 8 to 9 exhibit 9 exhibit 12 bias 9 exhibit 13 to 9 exhibit 17 than 10 the 12 bias 11 correspondence 12 bias 13 to 16 extent 14 a 16 extent 15 greater 16 extent 17 than 19 adults 18 young 19 adults the current study examined whether these age differences are a function of the degree to which an individual subscribes to a lay theory of attitude - behavior consistency . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 examined 0 ###LEFT-WALL### 26 - 0 ###LEFT-WALL### 29 . 1 the 3 study 2 current 3 study 3 study 4 examined 4 examined 5 whether 5 whether 8 differences 5 whether 9 are 6 these 8 differences 7 age 8 differences 8 differences 9 are 9 are 11 function 10 a 11 function 11 function 12 of 12 of 14 degree 13 the 14 degree 14 degree 15 to 15 to 16 which 15 to 18 individual 15 to 19 subscribes 17 an 18 individual 18 individual 19 subscribes 19 subscribes 20 to 20 to 23 theory 21 a 23 theory 22 lay 23 theory 23 theory 24 of 24 of 25 attitude 26 - 28 consistency 27 behavior 28 consistency methods : first , participants responded to questions regarding their beliefs about attitude - behavior consistency . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 17 . 1 methods 2 : 2 : 3 first 4 , 5 participants 4 , 6 responded 4 , 14 - 5 participants 6 responded 6 responded 7 to 6 responded 12 about 7 to 8 questions 8 questions 9 regarding 9 regarding 11 beliefs 10 their 11 beliefs 12 about 13 attitude 14 - 16 consistency 15 behavior 16 consistency approximately 2 weeks later , 144 ( 67 young adults and 77 older adults ) [participants] completed the correspondence bias task . 0 ###LEFT-WALL### 3 weeks 0 ###LEFT-WALL### 21 task 0 ###LEFT-WALL### 22 . 1 approximately 2 2 2 2 3 weeks 3 weeks 6 144 3 weeks 17 completed 3 weeks 21 task 4 later 5 , 4 later 6 144 6 144 11 and 6 144 17 completed 7 ( 11 and 8 67 10 adults 9 young 10 adults 10 adults 11 and 11 and 14 adults 11 and 15 ) 12 77 14 adults 13 older 14 adults 17 completed 20 bias 18 the 20 bias 19 correspondence 20 bias results : as expected , older adults were more biased than young adults . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 7 adults 2 : 10 biased 2 : 14 . 3 as 4 expected 3 as 5 , 3 as 7 adults 4 expected 5 , 6 older 7 adults 7 adults 8 were 8 were 9 more 8 were 10 biased 10 biased 11 than 11 than 13 adults 12 young 13 adults analyses revealed that the degree to which an individual holds attitude - behavior consistency beliefs in the dishonesty domain accounted for age - related differences in the correspondence bias . 0 ###LEFT-WALL### 1 analyses 0 ###LEFT-WALL### 2 revealed 0 ###LEFT-WALL### 30 . 1 analyses 2 revealed 2 revealed 3 that 3 that 5 degree 3 that 24 related 4 the 5 degree 5 degree 6 to 5 degree 24 related 6 to 7 which 6 to 9 individual 6 to 10 holds 8 an 9 individual 9 individual 10 holds 10 holds 11 attitude 11 attitude 14 consistency 12 - 14 consistency 13 behavior 14 consistency 14 consistency 15 beliefs 14 consistency 22 age 14 consistency 23 - 15 beliefs 16 in 15 beliefs 22 age 16 in 19 domain 17 the 19 domain 18 dishonesty 19 domain 19 domain 21 for 20 accounted 21 for 24 related 25 differences 24 related 26 in 26 in 29 bias 27 the 29 bias 28 correspondence 29 bias discussion : the results of this study suggest that age differences in the correspondence bias task are in part driven by older adults holding stronger attitude - behavior consistency beliefs than young adults . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 2 : 4 results 2 : 8 suggest 2 : 27 - 3 the 4 results 4 results 5 of 4 results 8 suggest 5 of 7 study 6 this 7 study 8 suggest 10 age 8 suggest 21 by 9 that 10 age 10 age 11 differences 10 age 17 are 10 age 20 driven 11 differences 12 in 11 differences 17 are 12 in 16 task 13 the 16 task 14 correspondence 16 task 15 bias 16 task 17 are 19 part 18 in 19 part 21 by 23 adults 22 older 23 adults 23 adults 24 holding 24 holding 26 attitude 25 stronger 26 attitude 27 - 33 adults 27 - 34 . 28 behavior 33 adults 29 consistency 33 adults 30 beliefs 33 adults 31 than 32 young 32 young 33 adults in 129 community - dwelling older adults , [feedback] regarding qualification for an insurance discount ( based on a visual speed of processing test [;] useful field of view [ )(was examined as a prospective predictor of change in self - reported driving ability , driving avoidance , and driving exposure over 3 months , along with physical , visual , health , and cognitive variables . 0 ###LEFT-WALL### 3 community 0 ###LEFT-WALL### 4 - 1 in 3 community 2 129 3 community 4 - 7 adults 4 - 15 discount 5 dwelling 7 adults 6 older 7 adults 7 adults 10 regarding 7 adults 15 discount 8 , 10 regarding 10 regarding 11 qualification 10 regarding 12 for 12 for 14 insurance 13 an 14 insurance 15 discount 17 based 15 discount 24 test 16 ( 17 based 17 based 18 on 18 on 21 speed 19 a 20 visual 19 a 21 speed 20 visual 21 speed 21 speed 22 of 22 of 23 processing 24 test 27 field 24 test 31 )(was 24 test 32 examined 24 test 33 as 26 useful 27 field 27 field 28 of 27 field 31 )(was 28 of 29 view 33 as 36 predictor 34 a 35 prospective 34 a 36 predictor 35 prospective 36 predictor 36 predictor 37 of 36 predictor 39 in 37 of 38 change 39 in 49 and 40 self 47 avoidance 41 - 42 reported 42 reported 44 ability 42 reported 45 , 42 reported 46 driving 43 driving 44 ability 46 driving 47 avoidance 47 avoidance 49 and 48 , 49 and 49 and 51 exposure 49 and 57 with 50 driving 51 exposure 51 exposure 52 over 52 over 54 months 53 3 54 months 55 , 57 with 56 along 57 with 57 with 64 and 57 with 67 . 58 physical 59 , 59 , 60 visual 59 , 61 , 61 , 62 health 61 , 64 and 63 , 64 and 64 and 66 variables 65 cognitive 66 variables female gender ( [p] = [.] 03 ) was a significant predictor of subsequent lower self [-] rated driving ability . 0 ###LEFT-WALL### 2 gender 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 21 . 1 female 2 gender 2 gender 7 03 2 gender 9 was 3 ( 7 03 5 = 7 03 7 03 8 ) 9 was 12 predictor 10 a 11 significant 10 a 12 predictor 11 significant 12 predictor 12 predictor 13 of 13 of 20 ability 14 subsequent 16 self 15 lower 16 self 16 self 18 rated 18 rated 20 ability 19 driving 20 ability overall , the findings of this study provide support for the role of feedback in the self - monitoring of older adults ' driving behavior through avoidance of challenging driving situations but not through driving exposure or self - rated driving ability . 0 ###LEFT-WALL### 4 findings 0 ###LEFT-WALL### 8 provide 0 ###LEFT-WALL### 18 - 0 ###LEFT-WALL### 43 . 1 overall 2 , 1 overall 4 findings 3 the 4 findings 4 findings 5 of 4 findings 8 provide 5 of 7 study 6 this 7 study 8 provide 9 support 8 provide 10 for 8 provide 15 in 10 for 12 role 11 the 12 role 12 role 13 of 13 of 14 feedback 15 in 17 self 16 the 17 self 18 - 37 or 19 monitoring 20 of 19 monitoring 32 but 20 of 24 driving 21 older 22 adults 22 adults 23 ' 23 ' 24 driving 24 driving 25 behavior 24 driving 26 through 26 through 27 avoidance 27 avoidance 28 of 28 of 29 challenging 29 challenging 31 situations 30 driving 31 situations 32 but 33 not 32 but 34 through 32 but 36 exposure 35 driving 36 exposure 36 exposure 37 or 37 or 38 self 37 or 39 - 37 or 40 rated 37 or 41 driving 41 driving 42 ability evidence suggests that there are aging [-] related changes in corticospinal stimulus - response curve characteristics in later life . 0 ###LEFT-WALL### 5 are 1 evidence 2 suggests 2 suggests 3 that 2 suggests 5 are 3 that 4 there 5 are 9 changes 5 are 10 in 6 aging 9 changes 8 related 9 changes 10 in 12 stimulus 11 corticospinal 12 stimulus 12 stimulus 16 characteristics 13 - 16 characteristics 14 response 16 characteristics 15 curve 16 characteristics 16 characteristics 17 in 16 characteristics 20 . 17 in 19 life 18 later 19 life however , there is also limited evidence that these changes may only be evident in postmenopausal women and not in men . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 22 . 1 however 2 , 1 however 3 there 3 there 4 is 4 is 5 also 4 is 7 evidence 6 limited 7 evidence 7 evidence 8 that 8 that 10 changes 8 that 13 be 9 these 10 changes 10 changes 11 may 11 may 13 be 12 only 13 be 13 be 14 evident 14 evident 18 and 15 in 17 women 15 in 18 and 16 postmenopausal 17 women 18 and 19 not 18 and 20 in 20 in 21 men this study compared corticospinal stimulus - response curves from a group of young men [ 19.8 ± 1.6 [yr] ( range 17 - 23 yr ) ] and a group of old men [ n = 18 , aged 64.1 ± 5.0 [yr] ( range 55 - 73 yr ) ] . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 compared 0 ###LEFT-WALL### 28 and 0 ###LEFT-WALL### 52 . 1 this 2 study 2 study 3 compared 3 compared 5 stimulus 4 corticospinal 5 stimulus 5 stimulus 8 curves 6 - 8 curves 7 response 8 curves 8 curves 9 from 8 curves 27 ] 9 from 11 group 10 a 11 group 11 group 12 of 12 of 14 men 13 young 14 men 14 men 17 ± 15 [ 17 ± 16 19.8 17 ± 17 ± 18 1.6 17 ± 21 range 17 ± 27 ] 20 ( 21 range 21 range 22 17 21 range 25 yr 21 range 27 ] 23 - 25 yr 24 23 25 yr 25 yr 26 ) 28 and 33 men 28 and 39 aged 29 a 30 group 30 group 31 of 30 group 33 men 31 of 33 men 32 old 33 men 33 men 36 = 33 men 39 aged 34 [ 36 = 35 n 36 = 36 = 37 18 36 = 38 , 39 aged 41 ± 40 64.1 41 ± 41 ± 42 5.0 41 ± 45 range 44 ( 45 range 45 range 46 55 45 range 49 yr 45 range 51 ] 47 - 49 yr 48 73 49 yr 49 yr 50 ) transcranial magnetic stimulation [(] tms [ )(over the contralateral motor cortex was used to evoke motor potentials at a range of stimulus intensities in the first dorsal interosseous muscle of each hand separately . 0 ###LEFT-WALL### 5 tms 0 ###LEFT-WALL### 13 used 0 ###LEFT-WALL### 34 . 1 transcranial 5 tms 2 magnetic 3 stimulation 3 stimulation 5 tms 5 tms 7 )(over 5 tms 12 was 7 )(over 11 cortex 8 the 11 cortex 9 contralateral 10 motor 10 motor 11 cortex 12 was 13 used 13 used 14 to 13 used 15 evoke 14 to 15 evoke 15 evoke 17 potentials 15 evoke 18 at 15 evoke 24 in 15 evoke 33 separately 16 motor 17 potentials 18 at 20 range 19 a 20 range 20 range 21 of 21 of 23 intensities 22 stimulus 23 intensities 24 in 29 muscle 25 the 26 first 25 the 29 muscle 27 dorsal 29 muscle 28 interosseous 29 muscle 29 muscle 30 of 30 of 32 hand 31 each 32 hand there was no effect of age group or hemisphere ( i.e [.] , left [vs] . right motor cortex [ )( motor evoked potential ( mep ) amplitude or any other stimulus - response characteristic . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 16 . 1 there 2 was 2 was 4 effect 3 no 4 effect 4 effect 5 of 5 of 8 or 6 age 7 group 7 group 8 or 8 or 9 hemisphere 8 or 11 i.e 10 ( 11 i.e 11 i.e 13 , 13 , 14 left 16 . 17 right 16 . 18 motor 16 . 33 - 16 . 36 . 17 right 18 motor 18 motor 29 or 19 cortex 23 evoked 22 motor 23 evoked 23 evoked 28 amplitude 24 potential 26 mep 24 potential 27 ) 24 potential 28 amplitude 25 ( 26 mep 26 mep 27 ) 28 amplitude 29 or 29 or 32 stimulus 30 any 31 other 31 other 32 stimulus 33 - 35 characteristic 34 response 35 characteristic mep variability was strongly modulated by resting [motor] [threshold] but not by age . 0 ###LEFT-WALL### 2 variability 0 ###LEFT-WALL### 5 modulated 0 ###LEFT-WALL### 14 . 1 mep 2 variability 2 variability 3 was 3 was 4 strongly 3 was 5 modulated 5 modulated 10 but 6 by 7 resting 6 by 10 but 10 but 11 not 10 but 12 by 12 by 13 age m - wave ( but not f - wave [ )(amplitude was reduced in old men , but expressing mep amplitude as a ratio of m - wave amplitude did not reveal any age - related differences in cortically evoked stimulus - response characteristics . 0 ###LEFT-WALL### 1 m 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 5 but 1 m 2 - 2 - 3 wave 4 ( 5 but 5 but 6 not 5 but 7 f 5 but 8 - 7 f 8 - 8 - 11 )(amplitude 9 wave 11 )(amplitude 11 )(amplitude 12 was 12 was 13 reduced 13 reduced 14 in 13 reduced 18 but 13 reduced 35 - 14 in 16 men 15 old 16 men 17 , 18 but 18 but 19 expressing 18 but 27 - 19 expressing 21 amplitude 20 mep 21 amplitude 21 amplitude 22 as 21 amplitude 25 of 22 as 24 ratio 23 a 24 ratio 25 of 26 m 27 - 35 - 28 wave 29 amplitude 29 amplitude 30 did 30 did 31 not 30 did 32 reveal 32 reveal 34 age 32 reveal 35 - 33 any 34 age 34 age 35 - 35 - 37 differences 35 - 45 . 36 related 37 differences 37 differences 38 in 38 in 41 stimulus 39 cortically 40 evoked 40 evoked 41 stimulus 41 stimulus 44 characteristics 42 - 44 characteristics 43 response 44 characteristics 44 characteristics 45 . we conclude that male corticospinal stimulus - response characteristics are not altered by advancing age and that previously reported age - related changes in motor cortical excitability assessed with tms are likely due to changes inherent in the female participants only . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 21 - 0 ###LEFT-WALL### 42 . 1 we 16 and 2 conclude 6 stimulus 2 conclude 13 by 2 conclude 16 and 3 that 4 male 4 male 6 stimulus 5 corticospinal 6 stimulus 6 stimulus 12 altered 7 - 12 altered 8 response 9 characteristics 9 characteristics 10 are 10 are 11 not 11 not 12 altered 13 by 14 advancing 14 advancing 15 age 16 and 19 reported 16 and 20 age 17 that 18 previously 18 previously 19 reported 21 - 23 changes 21 - 31 are 22 related 23 changes 23 changes 24 in 23 changes 31 are 24 in 27 excitability 25 motor 27 excitability 26 cortical 27 excitability 27 excitability 28 assessed 28 assessed 29 with 29 with 30 tms 31 are 32 likely 32 likely 34 to 33 due 34 to 34 to 35 changes 35 changes 36 inherent 36 inherent 37 in 36 inherent 41 only 37 in 40 participants 38 the 40 participants 39 female 40 participants future studies are warranted to fully elucidate the relationship [between] , and functional significance [of] , changes in circulating neuroactive sex hormones and motor function in later life . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 warranted 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 29 . 1 future 2 studies 2 studies 3 are 3 are 4 warranted 4 warranted 5 to 5 to 7 elucidate 6 fully 7 elucidate 7 elucidate 9 relationship 8 the 9 relationship 11 , 12 and 12 and 23 and 12 and 25 function 13 functional 14 significance 14 significance 16 , 16 , 17 changes 16 , 23 and 17 changes 18 in 18 in 19 circulating 19 circulating 22 hormones 20 neuroactive 21 sex 21 sex 22 hormones 23 and 24 motor 23 and 25 function 25 function 26 in 26 in 28 life 27 later 28 life the mechanical properties of the aorta [affect] cardiac function [and] are related to cardiovascular morbidity/mortality . 0 ###LEFT-WALL### 3 properties 0 ###LEFT-WALL### 12 related 0 ###LEFT-WALL### 16 . 1 the 3 properties 2 mechanical 3 properties 3 properties 4 of 3 properties 11 are 4 of 9 function 5 the 9 function 6 aorta 9 function 8 cardiac 9 function 11 are 12 related 12 related 13 to 13 to 15 morbidity/mortality 14 cardiovascular 15 morbidity/mortality this study was designed to evaluate the isotropic ( mainly elastin , elastin ( [iso] [ )( )(and anisotropic ( mainly collagen , collagen ( ani ) ) material parameters within the human aorta in vivo . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 4 designed 0 ###LEFT-WALL### 37 . 1 this 2 study 2 study 3 was 3 was 4 designed 4 designed 5 to 4 designed 6 evaluate 5 to 6 evaluate 6 evaluate 18 )(and 6 evaluate 31 within 6 evaluate 36 vivo 7 the 18 )(and 8 isotropic 11 elastin 8 isotropic 12 , 8 isotropic 13 elastin 9 ( 10 mainly 9 ( 11 elastin 11 elastin 12 , 13 elastin 18 )(and 14 ( 18 )(and 18 )(and 30 parameters 19 anisotropic 22 collagen 19 anisotropic 23 , 19 anisotropic 29 material 20 ( 21 mainly 20 ( 22 collagen 22 collagen 23 , 24 collagen 26 ani 24 collagen 28 ) 24 collagen 29 material 25 ( 26 ani 26 ani 27 ) 29 material 30 parameters 31 within 34 aorta 32 the 34 aorta 33 human 34 aorta 35 in 36 vivo thirty healthy men and women in three different age categories ( 23 - 30 , 41 - 54 , and 67 - 72 yr ) were included . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 28 . 1 thirty 3 men 2 healthy 3 men 3 men 4 and 4 and 5 women 4 and 6 in 6 in 10 categories 7 three 10 categories 8 different 9 age 9 age 10 categories 10 categories 13 - 10 categories 17 - 11 ( 13 - 12 23 13 - 13 - 14 30 13 - 15 , 15 , 17 - 16 41 17 - 17 - 18 54 17 - 19 , 20 and 21 67 20 and 27 included 21 67 24 yr 21 67 26 were 22 - 24 yr 23 72 24 yr 24 yr 25 ) 26 were 27 included a novel mechanical model was used to identify the mechanical properties and the strain field with aid of simultaneously recorded pressure and radius in the abdominal aorta . 0 ###LEFT-WALL### 4 model 0 ###LEFT-WALL### 6 used 0 ###LEFT-WALL### 28 . 1 a 2 novel 1 a 4 model 2 novel 4 model 3 mechanical 4 model 4 model 5 was 5 was 6 used 6 used 7 to 6 used 8 identify 7 to 8 identify 8 identify 12 and 8 identify 16 with 9 the 12 and 10 mechanical 11 properties 11 properties 12 and 12 and 15 field 13 the 15 field 14 strain 15 field 16 with 17 aid 17 aid 18 of 17 aid 24 in 18 of 22 and 19 simultaneously 20 recorded 20 recorded 21 pressure 21 pressure 22 and 22 and 23 radius 24 in 27 aorta 25 the 27 aorta 26 abdominal 27 aorta the magnitudes of the material parameters relating to both the stiffness of elastin ( iso ) and collagen ( ani ) were in agreement [with] earlier in vitro [studies] . 0 ###LEFT-WALL### 2 magnitudes 0 ###LEFT-WALL### 22 were 0 ###LEFT-WALL### 30 . 1 the 2 magnitudes 2 magnitudes 3 of 2 magnitudes 7 relating 2 magnitudes 22 were 3 of 6 parameters 4 the 6 parameters 5 material 6 parameters 7 relating 8 to 8 to 17 and 9 both 17 and 10 the 11 stiffness 11 stiffness 12 of 11 stiffness 17 and 12 of 13 elastin 13 elastin 15 iso 14 ( 15 iso 15 iso 16 ) 17 and 18 collagen 17 and 20 ani 19 ( 20 ani 20 ani 21 ) 22 were 23 in 22 were 26 earlier 22 were 28 vitro 23 in 24 agreement 27 in 28 vitro the load [-] bearing fraction attributed to collagen ( ani ) oscillated from 10 to 30 % between diastolic and systolic pressures during the cardiac cycle . 0 ###LEFT-WALL### 5 fraction 0 ###LEFT-WALL### 12 oscillated 0 ###LEFT-WALL### 27 . 1 the 5 fraction 2 load 4 bearing 4 bearing 5 fraction 5 fraction 6 attributed 5 fraction 7 to 5 fraction 12 oscillated 7 to 8 collagen 8 collagen 10 ani 9 ( 10 ani 10 ani 11 ) 12 oscillated 13 from 12 oscillated 18 between 13 from 17 % 14 10 15 to 15 to 16 30 15 to 17 % 18 between 22 pressures 19 diastolic 20 and 20 and 21 systolic 20 and 22 pressures 22 pressures 23 during 23 during 26 cycle 24 the 26 cycle 25 cardiac 26 cycle with age , stiffness of elastin ( iso ) increased in men , despite the decrease in elastin content that has been found due to elastolysis . 0 ###LEFT-WALL### 20 that 0 ###LEFT-WALL### 23 found 0 ###LEFT-WALL### 27 . 1 with 2 age 1 with 20 that 2 age 4 stiffness 3 , 4 stiffness 4 stiffness 5 of 4 stiffness 8 iso 4 stiffness 9 ) 5 of 6 elastin 7 ( 8 iso 8 iso 9 ) 10 increased 11 in 10 increased 13 , 10 increased 20 that 11 in 12 men 14 despite 16 decrease 14 despite 20 that 15 the 16 decrease 17 in 19 content 17 in 20 that 18 elastin 19 content 20 that 21 has 21 has 22 been 22 been 23 found 23 found 25 to 24 due 25 to 25 to 26 elastolysis furthermore , an increase in stiffness of collagen ( ani ) at high physiological pressure was found . 0 ###LEFT-WALL### 4 increase 0 ###LEFT-WALL### 17 found 0 ###LEFT-WALL### 18 . 1 furthermore 2 , 1 furthermore 4 increase 3 an 4 increase 4 increase 5 in 4 increase 16 was 5 in 6 stiffness 6 stiffness 7 of 6 stiffness 12 at 7 of 8 collagen 8 collagen 10 ani 9 ( 10 ani 10 ani 11 ) 12 at 15 pressure 13 high 15 pressure 14 physiological 15 pressure 16 was 17 found this might be due to increased glycation , as well as changed isoforms of collagen in the aortic wall with age . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 3 be 1 this 2 might 2 might 3 be 3 be 5 to 4 due 5 to 5 to 7 glycation 6 increased 7 glycation 7 glycation 11 as 8 , 11 as 9 as 10 well 10 well 11 as 11 as 13 isoforms 11 as 22 . 12 changed 13 isoforms 13 isoforms 14 of 14 of 15 collagen 15 collagen 16 in 16 in 19 wall 17 the 19 wall 18 aortic 19 wall 19 wall 20 with 20 with 21 age a marked sex difference was observed , with [a] much less age - related effect , both on elastin ( iso ) and collagen ( ani ) stiffness in women . 0 ###LEFT-WALL### 4 difference 0 ###LEFT-WALL### 6 observed 0 ###LEFT-WALL### 14 related 1 a 4 difference 2 marked 3 sex 3 sex 4 difference 4 difference 5 was 5 was 6 observed 6 observed 8 with 7 , 8 with 8 with 12 age 8 with 13 - 10 much 11 less 11 less 12 age 13 - 14 related 14 related 23 and 14 related 29 in 14 related 31 . 15 effect 16 , 16 , 17 both 16 , 23 and 17 both 18 on 18 on 19 elastin 19 elastin 21 iso 20 ( 21 iso 21 iso 22 ) 23 and 28 stiffness 24 collagen 26 ani 24 collagen 27 ) 24 collagen 28 stiffness 25 ( 26 ani 26 ani 27 ) 29 in 30 women possible factors of importance could be the effect of sex hormones , as well as differing collagen isoforms , between the sexes . 0 ###LEFT-WALL### 2 factors 0 ###LEFT-WALL### 6 be 0 ###LEFT-WALL### 23 . 1 possible 2 factors 2 factors 3 of 2 factors 5 could 3 of 4 importance 5 could 6 be 6 be 8 effect 7 the 8 effect 8 effect 9 of 8 effect 20 between 9 of 11 hormones 10 sex 11 hormones 11 hormones 13 as 12 , 13 as 13 as 18 isoforms 13 as 19 , 14 well 18 isoforms 15 as 16 differing 16 differing 17 collagen 17 collagen 18 isoforms 20 between 22 sexes 21 the 22 sexes chronic obstructive pulmonary disease ( [copd] [ )(and ageing may contribute to malnutrition . 0 ###LEFT-WALL### 8 )(and 0 ###LEFT-WALL### 11 contribute 0 ###LEFT-WALL### 14 . 1 chronic 4 disease 2 obstructive 4 disease 3 pulmonary 4 disease 4 disease 8 )(and 5 ( 8 )(and 8 )(and 9 ageing 8 )(and 10 may 10 may 11 contribute 11 contribute 12 to 12 to 13 malnutrition we aimed to explore whether copd and ageing determine malnutrition in different manners . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 aimed 0 ###LEFT-WALL### 14 . 1 we 2 aimed 2 aimed 3 to 2 aimed 4 explore 3 to 4 explore 4 explore 5 whether 5 whether 7 and 5 whether 9 determine 6 copd 7 and 7 and 8 ageing 7 and 9 determine 9 determine 10 malnutrition 9 determine 11 in 11 in 13 manners 12 different 13 manners nutritional status was evaluated using the mini nutritional assessment® ( mna ) questionnaire . 0 ###LEFT-WALL### 2 status 0 ###LEFT-WALL### 4 evaluated 0 ###LEFT-WALL### 14 . 1 nutritional 2 status 2 status 3 was 3 was 4 evaluated 4 evaluated 5 using 5 using 13 questionnaire 6 the 13 questionnaire 7 mini 8 nutritional 8 nutritional 13 questionnaire 9 assessment® 11 mna 9 assessment® 13 questionnaire 10 ( 11 mna 11 mna 12 ) from the mna , three scores exploring the domains of the nutritional status were calculated : body composition , energy intake and body functionality scores . 0 ###LEFT-WALL### 6 scores 0 ###LEFT-WALL### 15 calculated 0 ###LEFT-WALL### 16 : 1 from 3 mna 1 from 4 , 1 from 6 scores 2 the 3 mna 5 three 6 scores 6 scores 7 exploring 6 scores 10 of 6 scores 14 were 7 exploring 9 domains 8 the 9 domains 10 of 13 status 11 the 13 status 12 nutritional 13 status 14 were 15 calculated 16 : 22 and 16 : 26 . 17 body 18 composition 18 composition 19 , 19 , 21 intake 19 , 22 and 20 energy 21 intake 22 and 25 scores 23 body 25 scores 24 functionality 25 scores global initiative for chronic obstructive lung disease ( gold ) stages were negatively correlated with five mna items exploring mobility [,] patient 's perception of own nutrition and health status , and arm and calf circumferences ( [lowest] spearman 's rho ( rs [ ] - 0.011 [;] [highest] p=0.039 ) . 1 global 2 initiative 1 global 11 stages 1 global 12 were 2 initiative 3 for 2 initiative 9 gold 2 initiative 11 stages 3 for 7 disease 4 chronic 5 obstructive 5 obstructive 6 lung 6 lung 7 disease 8 ( 9 gold 9 gold 10 ) 12 were 14 correlated 13 negatively 14 correlated 14 correlated 15 with 15 with 16 five 15 with 17 mna 17 mna 18 items 17 mna 26 own 18 items 19 exploring 18 items 26 own 19 exploring 20 mobility 20 mobility 22 patient 20 mobility 25 of 22 patient 23 's 23 's 24 perception 24 perception 25 of 26 own 34 and 27 nutrition 28 and 28 and 30 status 28 and 31 , 28 and 32 and 29 health 30 status 32 and 33 arm 32 and 34 and 34 and 36 circumferences 34 and 41 rho 35 calf 36 circumferences 37 ( 41 rho 39 spearman 40 's 40 's 41 rho 41 rho 43 rs 41 rho 51 ) 42 ( 43 rs 43 rs 49 [highest] 43 rs 51 ) 45 ] 49 [highest] 46 - 49 [highest] 49 [highest] 50 p=0.039 gold stages were independently correlated with body composition and body functionality scores ( model r2=0.073 ) . 0 ###LEFT-WALL### 2 stages 0 ###LEFT-WALL### 5 correlated 0 ###LEFT-WALL### 17 . 1 gold 2 stages 2 stages 3 were 3 were 5 correlated 4 independently 5 correlated 5 correlated 6 with 6 with 9 and 7 body 8 composition 8 composition 9 and 9 and 12 scores 9 and 15 r2=0.073 10 body 12 scores 11 functionality 12 scores 13 ( 15 r2=0.073 14 model 15 r2=0.073 15 r2=0.073 16 ) age was negatively correlated with four mna items exploring loss of appetite , fluid intake , mobility and autonomy in daily life ( [lowest] rs= - 0.013 ; [highest] p=0.030 [ )( 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 4 correlated 0 ###LEFT-WALL### 26 - 0 ###LEFT-WALL### 30 p=0.030 0 ###LEFT-WALL### 32 )( 1 age 2 was 2 was 3 negatively 2 was 4 correlated 4 correlated 5 with 4 correlated 20 in 5 with 8 items 6 four 8 items 7 mna 8 items 8 items 9 exploring 8 items 11 of 9 exploring 10 loss 11 of 18 and 12 appetite 13 , 13 , 15 intake 13 , 16 , 14 fluid 15 intake 16 , 17 mobility 16 , 18 and 18 and 19 autonomy 20 in 22 life 21 daily 22 life 22 life 25 rs= 23 ( 25 rs= 25 rs= 26 - 26 - 27 0.013 26 - 28 ; 28 ; 30 p=0.030 age was independently correlated with body functionality [score] ( model r2=0.037 ) . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 4 correlated 0 ###LEFT-WALL### 13 . 1 age 2 was 2 was 4 correlated 3 independently 4 correlated 4 correlated 5 with 5 with 7 functionality 6 body 7 functionality 7 functionality 11 r2=0.037 9 ( 11 r2=0.037 10 model 11 r2=0.037 11 r2=0.037 12 ) severe copd and ageing are independent and probably concurrent conditions leading to malnutrition . 0 ###LEFT-WALL### 2 copd 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 14 . 1 severe 2 copd 3 and 4 ageing 3 and 5 are 4 ageing 5 are 5 are 10 conditions 6 independent 7 and 7 and 8 probably 7 and 9 concurrent 7 and 10 conditions 10 conditions 11 leading 10 conditions 12 to 12 to 13 malnutrition the mna questionnaire allows a valuable insight into the complexity of components of nutritional status and may provide useful clues for treatment strategies . 0 ###LEFT-WALL### 3 questionnaire 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 24 . 1 the 3 questionnaire 2 mna 3 questionnaire 3 questionnaire 16 and 4 allows 7 insight 4 allows 8 into 4 allows 16 and 5 a 6 valuable 5 a 7 insight 6 valuable 7 insight 8 into 10 complexity 9 the 10 complexity 10 complexity 11 of 11 of 12 components 12 components 13 of 13 of 15 status 14 nutritional 15 status 16 and 17 may 17 may 18 provide 18 provide 20 clues 19 useful 20 clues 20 clues 21 for 21 for 23 strategies 22 treatment 23 strategies myocardial fat is often seen at cardiac computed tomography ( ct [ )(and magnetic resonance ( mr ) imaging of healthy adults and patients with myocardial diseases . 0 ###LEFT-WALL### 2 fat 0 ###LEFT-WALL### 5 seen 0 ###LEFT-WALL### 28 . 1 myocardial 2 fat 2 fat 3 is 3 is 5 seen 4 often 5 seen 5 seen 6 at 5 seen 25 with 6 at 19 imaging 7 cardiac 19 imaging 8 computed 19 imaging 9 tomography 13 )(and 9 tomography 19 imaging 10 ( 13 )(and 11 ct 13 )(and 13 )(and 15 resonance 13 )(and 17 mr 13 )(and 18 ) 14 magnetic 15 resonance 16 ( 17 mr 17 mr 18 ) 19 imaging 20 of 20 of 23 and 21 healthy 22 adults 22 adults 23 and 23 and 24 patients 25 with 27 diseases 26 myocardial 27 diseases physiologic myocardial fat develops with aging and is commonly seen at ct in the anterolateral right [ventricular] ( rv ) free wall and rv outflow tract with normal or thickened rv myocardium and a normal - sized rv in elderly patients . 0 ###LEFT-WALL### 3 fat 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 42 . 1 physiologic 3 fat 2 myocardial 3 fat 3 fat 7 and 4 develops 5 with 4 develops 7 and 5 with 6 aging 7 and 8 is 8 is 10 seen 9 commonly 10 seen 10 seen 11 at 10 seen 13 in 11 at 12 ct 13 in 23 and 14 the 22 wall 15 anterolateral 22 wall 16 right 19 rv 16 right 22 wall 18 ( 19 rv 19 rv 20 ) 21 free 22 wall 22 wall 23 and 23 and 26 tract 23 and 27 with 23 and 39 in 24 rv 26 tract 25 outflow 26 tract 27 with 33 and 28 normal 29 or 29 or 32 myocardium 29 or 33 and 30 thickened 32 myocardium 31 rv 32 myocardium 33 and 38 rv 34 a 38 rv 35 normal 36 - 35 normal 38 rv 37 sized 38 rv 39 in 41 patients 40 elderly 41 patients pathologic conditions with myocardial fat include healed myocardial infarction ( mi ) ; arrhythmogenic rv cardiomyopathy or dysplasia ( arvc ) [;] and others , such as cardiac lipoma , lipomatous [hypertrophy] of the interatrial septum , tuberous sclerosis complex , dilated cardiomyopathy , and cardiomyopathy with muscular dystrophy . 0 ###LEFT-WALL### 2 conditions 0 ###LEFT-WALL### 13 ; 1 pathologic 2 conditions 2 conditions 3 with 2 conditions 6 include 3 with 5 fat 4 myocardial 5 fat 6 include 9 infarction 7 healed 9 infarction 8 myocardial 9 infarction 9 infarction 11 mi 10 ( 11 mi 11 mi 12 ) 13 ; 23 and 14 arrhythmogenic 16 cardiomyopathy 15 rv 16 cardiomyopathy 16 cardiomyopathy 17 or 17 or 18 dysplasia 17 or 20 arvc 17 or 23 and 19 ( 20 arvc 20 arvc 21 ) 23 and 24 others 23 and 25 , 23 and 29 lipoma 25 , 29 lipoma 26 such 29 lipoma 27 as 28 cardiac 28 cardiac 29 lipoma 29 lipoma 45 and 29 lipoma 50 . 30 , 45 and 31 lipomatous 33 of 31 lipomatous 37 , 33 of 36 septum 34 the 36 septum 35 interatrial 36 septum 37 , 43 cardiomyopathy 37 , 45 and 38 tuberous 39 sclerosis 39 sclerosis 43 cardiomyopathy 40 complex 41 , 40 complex 43 cardiomyopathy 42 dilated 43 cardiomyopathy 44 , 45 and 45 and 46 cardiomyopathy 45 and 47 with 45 and 50 . 47 with 49 dystrophy 48 muscular 49 dystrophy in patients with healed mi , ct and mr imaging show fat in left [ventricular] myocardium that is of normal thickness or thin and follows the distribution of the coronary artery ; ct often depicts fat in mostly subendocardial regions . 0 ###LEFT-WALL### 17 that 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 32 ; 0 ###LEFT-WALL### 41 . 1 in 8 and 1 in 17 that 2 patients 3 with 2 patients 6 , 3 with 5 mi 4 healed 5 mi 6 , 7 ct 6 , 8 and 8 and 9 mr 8 and 10 imaging 10 imaging 12 fat 11 show 12 fat 13 in 16 myocardium 13 in 17 that 14 left 16 myocardium 17 that 24 and 18 is 19 of 18 is 24 and 19 of 22 or 20 normal 21 thickness 21 thickness 22 or 22 or 23 thin 24 and 25 follows 24 and 27 distribution 26 the 27 distribution 27 distribution 28 of 28 of 31 artery 29 the 31 artery 30 coronary 31 artery 32 ; 33 ct 32 ; 35 depicts 33 ct 35 depicts 34 often 35 depicts 35 depicts 36 fat 36 fat 37 in 37 in 40 regions 38 mostly 39 subendocardial 39 subendocardial 40 regions in patients with arvc , characteristic ct and mr imaging findings include a thin rv outflow tract and free wall caused by subepicardial fatty infiltration ; fat in the rv moderator band , trabeculae , and [ventricular] septum ; and rv enlargement and wall motion abnormality . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 12 include 0 ###LEFT-WALL### 26 ; 0 ###LEFT-WALL### 47 . 1 in 2 patients 1 in 5 , 1 in 8 and 2 patients 3 with 3 with 4 arvc 6 characteristic 7 ct 7 ct 8 and 8 and 9 mr 8 and 10 imaging 8 and 12 include 10 imaging 11 findings 12 include 18 and 12 include 22 by 13 a 14 thin 13 a 17 tract 14 thin 16 outflow 15 rv 16 outflow 16 outflow 17 tract 17 tract 18 and 18 and 20 wall 18 and 21 caused 19 free 20 wall 22 by 25 infiltration 23 subepicardial 25 infiltration 24 fatty 25 infiltration 26 ; 36 and 26 ; 39 ; 27 fat 28 in 27 fat 36 and 28 in 32 band 29 the 32 band 30 rv 32 band 31 moderator 32 band 32 band 34 trabeculae 33 , 34 trabeculae 34 trabeculae 35 , 35 , 36 and 36 and 38 septum 39 ; 40 and 40 and 43 and 40 and 45 motion 41 rv 42 enlargement 42 enlargement 43 and 43 and 44 wall 43 and 45 motion 45 motion 46 abnormality recognition of patient age , characteristic locations of myocardial fat , myocardial thickness , and [ventricular] size helps in differentiating physiologic and pathologic myocardial fat at cardiac imaging ; findings of wall motion abnormality and late gadolinium enhancement at mr imaging help narrow the diagnosis . 0 ###LEFT-WALL### 1 recognition 0 ###LEFT-WALL### 18 helps 0 ###LEFT-WALL### 29 ; 0 ###LEFT-WALL### 46 . 1 recognition 2 of 1 recognition 18 helps 2 of 15 and 3 patient 4 age 4 age 5 , 5 , 7 locations 5 , 15 and 6 characteristic 7 locations 7 locations 8 of 8 of 10 fat 9 myocardial 10 fat 10 fat 13 thickness 11 , 13 thickness 12 myocardial 13 thickness 13 thickness 14 , 14 , 15 and 15 and 17 size 18 helps 19 in 18 helps 26 at 19 in 25 fat 20 differentiating 25 fat 21 physiologic 22 and 22 and 23 pathologic 22 and 25 fat 24 myocardial 25 fat 26 at 28 imaging 27 cardiac 28 imaging 29 ; 35 and 30 findings 31 of 30 findings 35 and 31 of 34 abnormality 32 wall 33 motion 33 motion 34 abnormality 35 and 38 enhancement 35 and 39 at 35 and 41 imaging 35 and 43 narrow 36 late 38 enhancement 37 gadolinium 38 enhancement 39 at 40 mr 41 imaging 42 help 43 narrow 45 diagnosis 44 the 45 diagnosis introduction : the main goal of the current research was to study the relationship between holding negative aging stereotypes and cognitive performance in a cognitive stimulation program in an older adult group ( n=55 ) with mild cognitive impairment . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 study 0 ###LEFT-WALL### 40 . 2 : 5 goal 3 the 4 main 3 the 5 goal 5 goal 6 of 6 of 8 current 7 the 8 current 8 current 9 research 8 current 12 study 9 research 10 was 10 was 11 to 10 was 12 study 11 to 12 study 12 study 14 relationship 12 study 15 between 12 study 23 in 13 the 14 relationship 15 between 20 and 16 holding 18 aging 17 negative 18 aging 18 aging 19 stereotypes 19 stereotypes 20 and 20 and 22 performance 21 cognitive 22 performance 23 in 27 program 24 a 27 program 25 cognitive 27 program 26 stimulation 27 program 27 program 28 in 27 program 36 with 28 in 32 group 29 an 32 group 30 older 32 group 31 adult 32 group 32 group 34 n=55 33 ( 34 n=55 34 n=55 35 ) 36 with 39 impairment 37 mild 38 cognitive 38 cognitive 39 impairment material and methods : performance and stereotypes were contrasted before and after the cognitive stimulation program . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 material 2 and 2 and 3 methods 4 : 6 and 4 : 9 contrasted 4 : 17 . 5 performance 6 and 6 and 7 stereotypes 6 and 8 were 8 were 9 contrasted 9 contrasted 11 and 10 before 11 and 11 and 12 after 12 after 16 program 13 the 16 program 14 cognitive 15 stimulation 15 stimulation 16 program results : firstly , results showed a significant improvement in associative learning and verbal recall , as well as significant stereotypes score reduction after treatment . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 results 2 : 6 showed 2 : 16 , 2 : 26 . 3 firstly 4 , 3 firstly 5 results 5 results 6 showed 6 showed 9 improvement 7 a 9 improvement 8 significant 9 improvement 9 improvement 10 in 10 in 13 and 11 associative 12 learning 11 associative 13 and 13 and 15 recall 13 and 16 , 14 verbal 15 recall 16 , 21 stereotypes 16 , 22 score 17 as 18 well 17 as 21 stereotypes 19 as 20 significant 20 significant 21 stereotypes 21 stereotypes 22 score 22 score 23 reduction 23 reduction 24 after 24 after 25 treatment secondly , those who improved their associative learning performance had a higher stereotypes score before the program . 0 ###LEFT-WALL### 3 those 0 ###LEFT-WALL### 10 had 0 ###LEFT-WALL### 18 . 1 secondly 2 , 1 secondly 3 those 3 those 4 who 3 those 5 improved 3 those 10 had 4 who 5 improved 5 improved 9 performance 6 their 9 performance 7 associative 9 performance 8 learning 9 performance 10 had 14 score 10 had 15 before 11 a 14 score 12 higher 13 stereotypes 13 stereotypes 14 score 15 before 17 program 16 the 17 program even though , this group also reduced their stereotype score . 0 ###LEFT-WALL### 5 group 0 ###LEFT-WALL### 7 reduced 0 ###LEFT-WALL### 11 . 1 even 5 group 2 though 3 , 2 though 5 group 4 this 5 group 5 group 7 reduced 6 also 7 reduced 7 reduced 10 score 8 their 10 score 9 stereotype 10 score conclusions : these findings show that people who improve their cognitive performance also reduce their stereotypes score . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 findings 2 : 5 show 2 : 18 . 3 these 4 findings 4 findings 5 show 5 show 6 that 6 that 7 people 6 that 14 reduce 7 people 8 who 7 people 9 improve 7 people 14 reduce 8 who 9 improve 9 improve 12 performance 10 their 12 performance 11 cognitive 12 performance 13 also 14 reduce 14 reduce 17 score 15 their 17 score 16 stereotypes 17 score this relationship is very novel , because although the correlation [between] absence of stereotype and better cognitive performance has been found in the literature , a positive correlation between stereotype change and cognitive performance after a psychological treatment has not been observed before . 0 ###LEFT-WALL### 2 relationship 0 ###LEFT-WALL### 3 is 1 this 2 relationship 2 relationship 3 is 3 is 5 novel 4 very 5 novel 5 novel 7 because 6 , 7 because 7 because 28 correlation 7 because 42 observed 7 because 44 . 8 although 18 performance 8 although 21 found 8 although 25 , 8 although 28 correlation 9 the 12 absence 10 correlation 12 absence 12 absence 13 of 12 absence 15 and 13 of 14 stereotype 15 and 16 better 15 and 18 performance 17 cognitive 18 performance 18 performance 19 has 19 has 20 been 20 been 21 found 21 found 22 in 22 in 24 literature 23 the 24 literature 26 a 27 positive 26 a 28 correlation 27 positive 28 correlation 28 correlation 29 between 28 correlation 39 has 29 between 32 and 30 stereotype 31 change 31 change 32 and 32 and 34 performance 32 and 35 after 33 cognitive 34 performance 35 after 38 treatment 36 a 37 psychological 36 a 38 treatment 37 psychological 38 treatment 39 has 40 not 39 has 41 been 41 been 42 observed 42 observed 43 before the risk of [falls] from height on a construction site increases under conditions which degrade workers ' postural control . 0 ###LEFT-WALL### 2 risk 0 ###LEFT-WALL### 11 increases 0 ###LEFT-WALL### 20 . 1 the 2 risk 2 risk 3 of 2 risk 11 increases 3 of 5 from 5 from 6 height 6 height 7 on 7 on 10 site 8 a 9 construction 8 a 10 site 9 construction 10 site 11 increases 12 under 12 under 13 conditions 13 conditions 14 which 13 conditions 15 degrade 14 which 15 degrade 15 degrade 19 control 16 workers 17 ' 17 ' 19 control 18 postural 19 control at elevation , workers depend heavily on sensory information from their feet to maintain balance . 0 ###LEFT-WALL### 4 workers 0 ###LEFT-WALL### 5 depend 0 ###LEFT-WALL### 16 . 1 at 2 elevation 1 at 3 , 1 at 4 workers 4 workers 5 depend 5 depend 6 heavily 5 depend 7 on 5 depend 13 to 7 on 9 information 8 sensory 9 information 9 information 10 from 10 from 12 feet 11 their 12 feet 13 to 14 maintain 14 maintain 15 balance the study tested two hypotheses : " sensory enhancement " -- sub - sensory [(] undetectable ) random mechanical vibrations at the plantar surface of the feet can [improve] worker 's balance at elevation [;] and " sensory suppression " -- supra - sensory [(] detectable ) random mechanical vibrations can [have] [a] degrading effect on balance in the same experimental settings . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 tested 0 ###LEFT-WALL### 6 : 1 the 2 study 2 study 3 tested 3 tested 5 hypotheses 4 two 5 hypotheses 6 : 7 " 6 : 9 enhancement 6 : 13 - 8 sensory 9 enhancement 9 enhancement 10 " 9 enhancement 12 sub 11 -- 12 sub 12 sub 13 - 13 - 20 vibrations 14 sensory 20 vibrations 16 undetectable 17 ) 16 undetectable 20 vibrations 18 random 20 vibrations 19 mechanical 20 vibrations 20 vibrations 21 at 21 at 24 surface 22 the 24 surface 23 plantar 24 surface 24 surface 25 of 25 of 32 balance 26 the 30 worker 27 feet 30 worker 28 can 30 worker 30 worker 31 's 31 's 32 balance 32 balance 33 at 33 at 42 supra 34 elevation 36 and 36 and 37 " 36 and 39 suppression 36 and 41 -- 36 and 42 supra 38 sensory 39 suppression 39 suppression 40 " 42 supra 51 can 43 - 51 can 44 sensory 50 vibrations 46 detectable 47 ) 46 detectable 50 vibrations 48 random 50 vibrations 49 mechanical 50 vibrations 50 vibrations 51 can 51 can 54 degrading 51 can 63 . 54 degrading 55 effect 54 degrading 56 on 56 on 57 balance 57 balance 58 in 58 in 62 settings 59 the 60 same 59 the 62 settings 61 experimental 62 settings six young [(] age 20 - 35 ) and six aging ( age 45 - 60 ) construction workers were tested while standing in standard and semi - tandem postures on instrumented gel insoles . 0 ###LEFT-WALL### 1 six 0 ###LEFT-WALL### 4 age 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 35 . 1 six 4 age 2 young 4 age 4 age 5 20 5 20 7 35 6 - 7 35 7 35 8 ) 9 and 10 six 9 and 21 tested 10 six 11 aging 10 six 20 were 11 aging 15 - 11 aging 19 workers 12 ( 15 - 13 age 14 45 13 age 15 - 15 - 16 60 15 - 17 ) 18 construction 19 workers 20 were 21 tested 21 tested 22 while 21 tested 31 on 22 while 23 standing 23 standing 24 in 24 in 26 and 25 standard 26 and 26 and 30 postures 27 semi 28 - 27 semi 30 postures 29 tandem 30 postures 31 on 34 insoles 32 instrumented 33 gel 33 gel 34 insoles the insoles applied sub - or supra - sensory levels of random mechanical vibrations to the feet . 0 ###LEFT-WALL### 6 or 0 ###LEFT-WALL### 18 . 1 the 4 sub 2 insoles 3 applied 3 applied 4 sub 4 sub 6 or 5 - 6 or 6 or 10 levels 6 or 11 of 7 supra 8 - 7 supra 10 levels 9 sensory 10 levels 11 of 14 vibrations 12 random 14 vibrations 13 mechanical 14 vibrations 14 vibrations 15 to 15 to 17 feet 16 the 17 feet the tests were conducted in a [surround] [-] screen virtual reality system , which simulated a narrow plank at elevation on a construction site . 0 ###LEFT-WALL### 2 tests 0 ###LEFT-WALL### 4 conducted 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 25 . 1 the 2 tests 2 tests 3 were 3 were 4 conducted 4 conducted 5 in 5 in 12 system 6 a 12 system 9 screen 12 system 10 virtual 11 reality 11 reality 12 system 13 , 14 which 13 , 15 simulated 14 which 15 simulated 15 simulated 18 plank 15 simulated 19 at 15 simulated 21 on 16 a 17 narrow 16 a 18 plank 17 narrow 18 plank 19 at 20 elevation 21 on 24 site 22 a 23 construction 22 a 24 site 23 construction 24 site upper body kinematics [was] assessed [with] a motion - measurement system . 0 ###LEFT-WALL### 3 kinematics 0 ###LEFT-WALL### 5 assessed 0 ###LEFT-WALL### 9 - 1 upper 2 body 2 body 3 kinematics 3 kinematics 5 assessed 5 assessed 8 motion 7 a 8 motion 9 - 11 system 9 - 12 . 10 measurement 11 system postural stability effects were evaluated by conventional and statistical mechanics sway measures , as well as trunk angular displacement parameters . 0 ###LEFT-WALL### 1 postural 0 ###LEFT-WALL### 12 measures 1 postural 4 were 1 postural 6 by 2 stability 3 effects 3 effects 4 were 4 were 5 evaluated 6 by 10 mechanics 7 conventional 8 and 8 and 9 statistical 8 and 10 mechanics 10 mechanics 11 sway 10 mechanics 12 measures 11 sway 12 measures 12 measures 16 as 13 , 16 as 14 as 15 well 15 well 16 as 16 as 20 parameters 16 as 21 . 17 trunk 20 parameters 18 angular 19 displacement 19 displacement 20 parameters analysis of variance did not confirm the " sensory enhancement " hypothesis , but provided evidence for the " sensory suppression " hypothesis . 0 ###LEFT-WALL### 1 analysis 0 ###LEFT-WALL### 14 but 0 ###LEFT-WALL### 24 . 1 analysis 2 of 1 analysis 14 but 2 of 3 variance 4 did 5 not 4 did 6 confirm 4 did 14 but 6 confirm 12 hypothesis 7 the 8 " 7 the 12 hypothesis 9 sensory 10 enhancement 10 enhancement 11 " 10 enhancement 12 hypothesis 13 , 14 but 14 but 15 provided 15 provided 16 evidence 16 evidence 17 for 17 for 23 hypothesis 18 the 19 " 18 the 23 hypothesis 20 sensory 21 suppression 21 suppression 22 " 21 suppression 23 hypothesis the supra - sensory vibration had a destabilizing effect , which was considerably stronger in the semi - tandem posture and affected most of the sway variables . 0 ###LEFT-WALL### 5 vibration 0 ###LEFT-WALL### 6 had 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 28 . 1 the 5 vibration 2 supra 3 - 2 supra 5 vibration 4 sensory 5 vibration 5 vibration 6 had 6 had 9 effect 7 a 9 effect 8 destabilizing 9 effect 10 , 11 which 10 , 21 and 11 which 21 and 12 was 14 stronger 12 was 21 and 13 considerably 14 stronger 14 stronger 15 in 15 in 20 posture 16 the 20 posture 17 semi 18 - 17 semi 19 tandem 19 tandem 20 posture 21 and 22 affected 21 and 27 variables 23 most 24 of 23 most 27 variables 24 of 27 variables 25 the 27 variables 26 sway 27 variables sensory suppression associated with elevated vibration levels on a construction site may increase the danger of losing balance . 0 ###LEFT-WALL### 2 suppression 0 ###LEFT-WALL### 13 increase 0 ###LEFT-WALL### 19 . 1 sensory 2 suppression 2 suppression 3 associated 2 suppression 12 may 3 associated 4 with 3 associated 8 on 4 with 7 levels 5 elevated 6 vibration 6 vibration 7 levels 8 on 11 site 9 a 10 construction 9 a 11 site 10 construction 11 site 12 may 13 increase 13 increase 15 danger 14 the 15 danger 15 danger 16 of 16 of 18 balance 17 losing 18 balance construction workers at elevation , e.g [.] , on a beam or narrow plank might be at increased risk of fall if they can detect vibrations under their feet . 0 ###LEFT-WALL### 2 workers 0 ###LEFT-WALL### 16 be 0 ###LEFT-WALL### 30 . 1 construction 2 workers 2 workers 3 at 2 workers 9 on 2 workers 15 might 3 at 4 elevation 4 elevation 6 e.g 5 , 6 e.g 6 e.g 8 , 9 on 12 or 10 a 11 beam 11 beam 12 or 12 or 14 plank 13 narrow 14 plank 15 might 16 be 16 be 17 at 16 be 22 if 16 be 27 under 17 at 19 risk 18 increased 19 risk 19 risk 20 of 20 of 21 fall 22 if 23 they 22 if 25 detect 23 they 24 can 24 can 25 detect 25 detect 26 vibrations 27 under 29 feet 28 their 29 feet to reduce the possibility of losing balance , mechanical vibration to supporting structures used as walking/working surfaces should be minimized when performing construction tasks at elevation . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 reduce 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 19 be 0 ###LEFT-WALL### 27 . 1 to 2 reduce 2 reduce 4 possibility 3 the 4 possibility 4 possibility 5 of 5 of 7 balance 6 losing 7 balance 8 , 19 be 9 mechanical 10 vibration 10 vibration 11 to 10 vibration 14 used 10 vibration 18 should 11 to 12 supporting 12 supporting 13 structures 14 used 15 as 15 as 17 surfaces 16 walking/working 17 surfaces 18 should 19 be 19 be 20 minimized 20 minimized 21 when 21 when 22 performing 22 performing 24 tasks 22 performing 25 at 23 construction 24 tasks 25 at 26 elevation we show that ydr049 ( renamed vcp/cdc48 - associated mitochondrial stress - responsive -- vms1 ) , a member of an unstudied pan - eukaryotic protein family , translocates from the cytosol to mitochondria upon mitochondrial stress . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 28 , 0 ###LEFT-WALL### 38 . 1 we 28 , 2 show 4 ydr049 2 show 27 family 2 show 28 , 3 that 4 ydr049 4 ydr049 6 renamed 4 ydr049 11 stress 5 ( 6 renamed 6 renamed 7 vcp/cdc48 6 renamed 8 - 8 - 11 stress 9 associated 11 stress 10 mitochondrial 11 stress 11 stress 15 vms1 11 stress 19 member 11 stress 24 - 12 - 15 vms1 13 responsive 14 -- 13 responsive 15 vms1 15 vms1 16 ) 17 , 19 member 18 a 19 member 19 member 20 of 19 member 24 - 20 of 23 pan 21 an 23 pan 22 unstudied 23 pan 25 eukaryotic 27 family 26 protein 27 family 28 , 29 translocates 28 , 30 from 28 , 33 to 30 from 32 cytosol 31 the 32 cytosol 33 to 34 mitochondria 34 mitochondria 35 upon 35 upon 37 stress 36 mitochondrial 37 stress cells lacking vms1 show progressive mitochondrial failure , hypersensitivity to oxidative stress , and decreased chronological life span . 0 ###LEFT-WALL### 1 cells 0 ###LEFT-WALL### 4 show 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 19 . 1 cells 2 lacking 1 cells 4 show 2 lacking 3 vms1 4 show 7 failure 5 progressive 7 failure 6 mitochondrial 7 failure 8 , 14 and 9 hypersensitivity 10 to 9 hypersensitivity 14 and 10 to 12 stress 11 oxidative 12 stress 13 , 14 and 14 and 18 span 15 decreased 17 life 16 chronological 17 life 17 life 18 span both yeast and mammalian vms1 stably interact with cdc48/vcp/p97 , a component of the ubiquitin/proteasome system with a well - defined [role] in endoplasmic reticulum - associated protein degradation ( erad ) , wherein misfolded er proteins are degraded in the cytosol . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 7 interact 0 ###LEFT-WALL### 43 . 1 both 3 and 2 yeast 3 and 3 and 5 vms1 3 and 7 interact 4 mammalian 5 vms1 6 stably 7 interact 7 interact 8 with 7 interact 21 defined 7 interact 34 wherein 8 with 9 cdc48/vcp/p97 9 cdc48/vcp/p97 12 component 10 , 12 component 11 a 12 component 12 component 13 of 12 component 20 - 13 of 16 system 14 the 16 system 15 ubiquitin/proteasome 16 system 16 system 17 with 17 with 19 well 18 a 19 well 20 - 21 defined 21 defined 23 in 21 defined 33 , 23 in 29 degradation 24 endoplasmic 28 protein 25 reticulum 26 - 25 reticulum 28 protein 27 associated 28 protein 28 protein 29 degradation 29 degradation 31 erad 30 ( 31 erad 31 erad 32 ) 34 wherein 37 proteins 34 wherein 39 degraded 35 misfolded 37 proteins 36 er 37 proteins 37 proteins 38 are 38 are 39 degraded 39 degraded 40 in 40 in 42 cytosol 41 the 42 cytosol we show that oxidative stress triggers mitochondrial localization of cdc48 and this is dependent on vms1 . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 show 0 ###LEFT-WALL### 17 . 1 we 2 show 2 show 6 triggers 2 show 8 localization 2 show 13 is 3 that 4 oxidative 4 oxidative 5 stress 5 stress 6 triggers 7 mitochondrial 8 localization 8 localization 9 of 8 localization 13 is 9 of 11 and 10 cdc48 11 and 11 and 12 this 13 is 14 dependent 14 dependent 15 on 15 on 16 vms1 when this system is impaired by mutation of vms1 , ubiquitin - dependent mitochondrial protein degradation , mitochondrial respiratory function , and cell viability are compromised . 0 ###LEFT-WALL### 15 protein 0 ###LEFT-WALL### 26 compromised 0 ###LEFT-WALL### 27 . 1 when 3 system 1 when 5 impaired 1 when 15 protein 2 this 3 system 3 system 4 is 4 is 5 impaired 5 impaired 6 by 6 by 7 mutation 7 mutation 8 of 8 of 9 vms1 9 vms1 11 ubiquitin 10 , 11 ubiquitin 11 ubiquitin 12 - 13 dependent 15 protein 14 mitochondrial 15 protein 15 protein 22 and 15 protein 25 are 15 protein 26 compromised 16 degradation 17 , 17 , 20 function 17 , 22 and 18 mitochondrial 20 function 19 respiratory 20 function 21 , 22 and 22 and 24 viability 22 and 25 are 23 cell 24 viability we demonstrate that vms1 is a required component of an evolutionarily conserved system for mitochondrial protein degradation , which is necessary to maintain mitochondrial , cellular , and organismal viability . 1 we 2 demonstrate 2 demonstrate 3 that 3 that 4 vms1 3 that 5 is 4 vms1 5 is 5 is 8 component 6 a 8 component 7 required 8 component 8 component 9 of 8 component 19 which 9 of 13 system 10 an 13 system 11 evolutionarily 12 conserved 12 conserved 13 system 13 system 14 for 14 for 17 degradation 15 mitochondrial 17 degradation 16 protein 17 degradation 18 , 19 which 19 which 20 is 19 which 31 . 20 is 21 necessary 21 necessary 22 to 22 to 23 maintain 23 maintain 30 viability 24 mitochondrial 25 , 25 , 26 cellular 25 , 28 and 27 , 28 and 28 and 29 organismal 28 and 30 viability effects of heavy resistance exercise on serum testosterone and skeletal muscle androgen receptor ( ar ) concentrations were examined before and after a 21 [-] week resistance training period . 0 ###LEFT-WALL### 1 effects 0 ###LEFT-WALL### 5 exercise 0 ###LEFT-WALL### 30 . 1 effects 2 of 1 effects 5 exercise 2 of 4 resistance 3 heavy 4 resistance 5 exercise 6 on 6 on 7 serum 7 serum 17 concentrations 7 serum 18 were 7 serum 19 examined 8 testosterone 9 and 9 and 13 receptor 9 and 15 ar 9 and 17 concentrations 10 skeletal 11 muscle 11 muscle 13 receptor 12 androgen 13 receptor 14 ( 15 ar 15 ar 16 ) 17 concentrations 18 were 19 examined 21 and 20 before 21 and 21 and 22 after 22 after 27 resistance 23 a 27 resistance 24 21 26 week 26 week 27 resistance 27 resistance 28 training 28 training 29 period seven healthy untrained young adult men ( yt [ )(and ten controls ( yc [ )(as well as ten older men ( ot ) and eight controls ( oc ) volunteered as subjects . 0 ###LEFT-WALL### 6 men 0 ###LEFT-WALL### 31 volunteered 0 ###LEFT-WALL### 34 . 1 seven 6 men 2 healthy 5 adult 3 untrained 5 adult 4 young 5 adult 5 adult 6 men 6 men 10 )(and 6 men 31 volunteered 7 ( 10 )(and 8 yt 10 )(and 10 )(and 12 controls 10 )(and 25 and 10 )(and 30 ) 11 ten 12 controls 13 ( 25 and 14 yc 18 as 14 yc 25 and 16 )(as 17 well 17 well 18 as 18 as 21 men 19 ten 21 men 20 older 21 men 21 men 23 ot 22 ( 23 ot 23 ot 24 ) 25 and 27 controls 25 and 29 oc 25 and 30 ) 26 eight 27 controls 28 ( 29 oc 29 oc 30 ) 31 volunteered 32 as 32 as 33 subjects heavy resistance exercise bouts ( 5 × 10 rm leg presses ) were performed before and after the training period . 0 ###LEFT-WALL### 4 bouts 0 ###LEFT-WALL### 14 performed 0 ###LEFT-WALL### 21 . 1 heavy 2 resistance 2 resistance 3 exercise 3 exercise 4 bouts 4 bouts 11 presses 4 bouts 13 were 5 ( 11 presses 6 5 11 presses 7 × 10 leg 8 10 9 rm 9 rm 10 leg 10 leg 11 presses 11 presses 12 ) 13 were 14 performed 14 performed 16 and 15 before 16 and 16 and 17 after 17 after 20 period 18 the 20 period 19 training 20 period muscle [biopsies] were obtained before and 1 h and 48 h after the resistance exercise bouts from m.vastus lateralis ( vl ) to determine cross [-] sectional area of muscle fibers ( fcsa ) and ar mrna expression and protein concentrations . 0 ###LEFT-WALL### 1 muscle 0 ###LEFT-WALL### 4 obtained 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 24 determine 0 ###LEFT-WALL### 42 . 1 muscle 3 were 3 were 4 obtained 4 obtained 5 before 6 and 9 and 6 and 15 exercise 7 1 8 h 8 h 9 and 9 and 11 h 9 and 12 after 9 and 15 exercise 10 48 11 h 12 after 14 resistance 13 the 14 resistance 15 exercise 16 bouts 15 exercise 23 to 16 bouts 17 from 16 bouts 21 vl 17 from 19 lateralis 18 m.vastus 19 lateralis 20 ( 21 vl 21 vl 22 ) 23 to 24 determine 24 determine 35 and 24 determine 37 mrna 25 cross 28 area 27 sectional 28 area 28 area 29 of 28 area 35 and 29 of 31 fibers 30 muscle 31 fibers 31 fibers 33 fcsa 32 ( 33 fcsa 33 fcsa 34 ) 35 and 36 ar 35 and 37 mrna 37 mrna 39 and 38 expression 39 and 39 and 41 concentrations 40 protein 41 concentrations no changes were observed in yc and oc while resistance training led to significant increases in maximal strength of leg extensors ( 1 rm ) , fcsa and lean body mass in yt and ot . 0 ###LEFT-WALL### 2 changes 0 ###LEFT-WALL### 4 observed 1 no 2 changes 2 changes 3 were 3 were 4 observed 4 observed 5 in 4 observed 9 while 5 in 7 and 6 yc 7 and 7 and 8 oc 9 while 28 and 9 while 31 mass 10 resistance 11 training 11 training 12 led 11 training 26 , 12 led 13 to 12 led 16 in 13 to 15 increases 14 significant 15 increases 16 in 18 strength 17 maximal 18 strength 18 strength 19 of 18 strength 24 rm 19 of 21 extensors 20 leg 21 extensors 22 ( 24 rm 23 1 24 rm 24 rm 25 ) 26 , 27 fcsa 26 , 28 and 28 and 30 body 28 and 31 mass 29 lean 30 body 31 mass 32 in 32 in 35 ot 33 yt 34 and 34 and 35 ot 35 ot 36 . acute increases occurred in serum testosterone concentrations due to resistance exercises but basal testosterone remained unaltered . 0 ###LEFT-WALL### 2 increases 0 ###LEFT-WALL### 3 occurred 0 ###LEFT-WALL### 12 but 0 ###LEFT-WALL### 17 . 1 acute 2 increases 2 increases 3 occurred 3 occurred 4 in 3 occurred 9 to 4 in 7 concentrations 5 serum 7 concentrations 6 testosterone 7 concentrations 8 due 9 to 9 to 11 exercises 10 resistance 11 exercises 12 but 14 testosterone 12 but 15 remained 13 basal 14 testosterone 14 testosterone 15 remained 15 remained 16 unaltered mean ar mrna expression and protein concentration remained unchanged after heavy resistance exercise bouts compared to pre - values . 0 ###LEFT-WALL### 1 mean 1 mean 5 and 1 mean 8 remained 2 ar 3 mrna 3 mrna 4 expression 4 expression 5 and 5 and 7 concentration 5 and 8 remained 6 protein 7 concentration 8 remained 9 unchanged 9 unchanged 10 after 10 after 14 bouts 10 after 15 compared 11 heavy 12 resistance 12 resistance 14 bouts 13 exercise 14 bouts 14 bouts 15 compared 15 compared 16 to 16 to 17 pre 17 pre 19 values 18 - 19 values 19 values 20 . the individual pre - to post - training changes in resting ( pre - exercise ) ar protein concentration correlated with the changes in fcsa and lean body mass in the combined group of yt and ot . 0 ###LEFT-WALL### 2 individual 0 ###LEFT-WALL### 3 pre 0 ###LEFT-WALL### 7 - 1 the 2 individual 2 individual 3 pre 3 pre 5 to 4 - 5 to 5 to 6 post 5 to 7 - 7 - 8 training 7 - 9 changes 8 training 9 changes 9 changes 10 in 9 changes 19 concentration 9 changes 21 with 9 changes 30 in 10 in 11 resting 11 resting 14 - 12 ( 14 - 13 pre 14 - 14 - 15 exercise 14 - 16 ) 17 ar 19 concentration 18 protein 19 concentration 19 concentration 20 correlated 21 with 26 and 22 the 23 changes 23 changes 24 in 23 changes 26 and 24 in 25 fcsa 26 and 29 mass 27 lean 28 body 28 body 29 mass 30 in 33 group 31 the 33 group 32 combined 33 group 33 group 34 of 34 of 37 ot 35 yt 36 and 36 and 37 ot 37 ot 38 . similarly , it correlated with the changes in 1 rm in yt . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 4 correlated 0 ###LEFT-WALL### 13 . 1 similarly 2 , 1 similarly 3 it 3 it 4 correlated 4 correlated 5 with 4 correlated 8 in 4 correlated 11 in 5 with 7 changes 6 the 7 changes 8 in 10 rm 9 1 10 rm 11 in 12 yt although mean ar expression did not changed due to the resistance exercise training , the present findings suggest that the individual changes of ar protein concentration in skeletal muscle following resistance training may have an impact on training - induced muscular adaptations in both younger and older men . 0 ###LEFT-WALL### 17 findings 0 ###LEFT-WALL### 39 - 0 ###LEFT-WALL### 49 . 1 although 3 ar 1 although 17 findings 2 mean 3 ar 3 ar 4 expression 3 ar 5 did 4 expression 5 did 6 not 7 changed 6 not 17 findings 8 due 9 to 9 to 13 training 9 to 14 , 9 to 17 findings 10 the 13 training 11 resistance 12 exercise 12 exercise 13 training 15 the 17 findings 16 present 17 findings 17 findings 18 suggest 18 suggest 19 that 19 that 22 changes 19 that 34 have 20 the 22 changes 21 individual 22 changes 22 changes 23 of 22 changes 27 in 22 changes 33 may 23 of 26 concentration 24 ar 25 protein 25 protein 26 concentration 27 in 32 training 28 skeletal 29 muscle 29 muscle 30 following 30 following 32 training 31 resistance 32 training 33 may 34 have 34 have 36 impact 34 have 37 on 35 an 36 impact 37 on 38 training 39 - 42 adaptations 40 induced 42 adaptations 41 muscular 42 adaptations 42 adaptations 43 in 43 in 48 men 44 both 48 men 45 younger 46 and 46 and 47 older 46 and 48 men although we have made significant progress in understanding the regulation of the uvr - exposed epidermal - melanin [unit] , we know relatively little about how human hair follicle pigmentation is regulated . 0 ###LEFT-WALL### 21 we 0 ###LEFT-WALL### 22 know 0 ###LEFT-WALL### 33 . 1 although 2 we 1 although 4 made 1 although 21 we 2 we 3 have 3 have 4 made 4 made 6 progress 4 made 10 regulation 5 significant 6 progress 6 progress 7 in 7 in 8 understanding 9 the 10 regulation 10 regulation 11 of 11 of 13 uvr 12 the 13 uvr 13 uvr 18 melanin 14 - 18 melanin 15 exposed 18 melanin 16 epidermal 17 - 16 epidermal 18 melanin 18 melanin 20 , 21 we 22 know 22 know 24 little 22 know 25 about 23 relatively 24 little 25 about 26 how 26 how 30 pigmentation 26 how 32 regulated 27 human 30 pigmentation 28 hair 29 follicle 29 follicle 30 pigmentation 30 pigmentation 31 is 31 is 32 regulated progress has been hampered by gaps in our knowledge of the hair growth cycle 's controls , to which hair pigmentation appears tightly coupled . 0 ###LEFT-WALL### 1 progress 0 ###LEFT-WALL### 4 hampered 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 22 appears 0 ###LEFT-WALL### 25 . 1 progress 2 has 2 has 3 been 3 been 4 hampered 4 hampered 5 by 4 hampered 7 in 5 by 6 gaps 7 in 9 knowledge 8 our 9 knowledge 9 knowledge 10 of 10 of 16 controls 11 the 14 cycle 12 hair 14 cycle 13 growth 14 cycle 14 cycle 15 's 15 's 16 controls 17 , 18 to 17 , 22 appears 18 to 19 which 18 to 20 hair 19 which 20 hair 21 pigmentation 22 appears 22 appears 23 tightly 22 appears 24 coupled however , pigment cell researchers may have [overly] focused on the follicular melanocytes of the nocturnal and uvr - shy mouse as a proxy for human epidermal melanocytes . 0 ###LEFT-WALL### 5 researchers 0 ###LEFT-WALL### 9 focused 0 ###LEFT-WALL### 29 . 1 however 2 , 1 however 5 researchers 3 pigment 4 cell 4 cell 5 researchers 5 researchers 6 may 6 may 7 have 7 have 9 focused 9 focused 10 on 10 on 21 mouse 11 the 21 mouse 12 follicular 13 melanocytes 13 melanocytes 14 of 13 melanocytes 17 and 14 of 16 nocturnal 15 the 16 nocturnal 17 and 18 uvr 17 and 19 - 17 and 21 mouse 20 shy 21 mouse 21 mouse 22 as 22 as 24 proxy 23 a 24 proxy 24 proxy 25 for 25 for 28 melanocytes 26 human 28 melanocytes 27 epidermal 28 melanocytes here , i emphasize the epidermis - follicular melanocyte pluralism of human skin , as research models for vitiligo , alopecia areata and melanoma , personal care/cosmetics innovation . 0 ###LEFT-WALL### 3 i 0 ###LEFT-WALL### 4 emphasize 0 ###LEFT-WALL### 29 . 1 here 2 , 1 here 3 i 3 i 4 emphasize 4 emphasize 6 epidermis 4 emphasize 15 as 5 the 6 epidermis 6 epidermis 10 pluralism 7 - 10 pluralism 8 follicular 10 pluralism 9 melanocyte 10 pluralism 10 pluralism 11 of 10 pluralism 14 , 11 of 13 skin 12 human 13 skin 15 as 17 models 16 research 17 models 17 models 18 for 18 for 23 and 19 vitiligo 20 , 20 , 22 areata 20 , 23 and 21 alopecia 22 areata 23 and 28 innovation 24 melanoma 25 , 24 melanoma 28 innovation 26 personal 28 innovation 27 care/cosmetics 28 innovation further motivation could be in finding answers to [why] hair follicle and epidermal pigmentary units remain broadly distinct ? 0 ###LEFT-WALL### 2 motivation 0 ###LEFT-WALL### 4 be 0 ###LEFT-WALL### 19 ? 1 further 2 motivation 2 motivation 3 could 3 could 4 be 4 be 5 in 4 be 18 distinct 5 in 6 finding 6 finding 12 and 6 finding 16 remain 7 answers 8 to 7 answers 12 and 8 to 11 follicle 10 hair 11 follicle 12 and 15 units 12 and 16 remain 13 epidermal 15 units 14 pigmentary 15 units 16 remain 17 broadly why melanomas tend to originate from epidermal rather [than] follicular melanocytes ? 0 ###LEFT-WALL### 2 melanomas 0 ###LEFT-WALL### 3 tend 0 ###LEFT-WALL### 12 ? 1 why 2 melanomas 2 melanomas 3 tend 3 tend 4 to 3 tend 5 originate 4 to 5 originate 5 originate 6 from 6 from 11 melanocytes 7 epidermal 11 melanocytes 8 rather 10 follicular 10 follicular 11 melanocytes why multiple follicular melanocyte [sub] - populations exist ? 0 ###LEFT-WALL### 7 populations 0 ###LEFT-WALL### 8 exist 0 ###LEFT-WALL### 9 ? 1 why 7 populations 2 multiple 7 populations 3 follicular 7 populations 4 melanocyte 6 - 4 melanocyte 7 populations 7 populations 8 exist why follicular melanocytes are more sensitive to aging influences ? 0 ###LEFT-WALL### 3 melanocytes 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 10 ? 1 why 3 melanocytes 2 follicular 3 melanocytes 3 melanocytes 4 are 4 are 6 sensitive 5 more 6 sensitive 6 sensitive 7 to 7 to 8 aging 8 aging 9 influences in this perspective , i attempt to raise the status of the human hair follicle melanocyte and highlight some species - specific issues involved [which] the general reader of the pigmentation literature ( with its substantial mouse - based data ) may not fully appreciate . 0 ###LEFT-WALL### 5 i 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 21 - 0 ###LEFT-WALL### 45 appreciate 0 ###LEFT-WALL### 46 . 1 in 3 perspective 1 in 4 , 1 in 5 i 2 this 3 perspective 5 i 17 and 6 attempt 7 to 6 attempt 8 raise 6 attempt 17 and 7 to 8 raise 8 raise 10 status 9 the 10 status 10 status 11 of 11 of 16 melanocyte 12 the 16 melanocyte 13 human 16 melanocyte 14 hair 16 melanocyte 15 follicle 16 melanocyte 17 and 18 highlight 18 highlight 20 species 19 some 20 species 21 - 23 issues 21 - 24 involved 22 specific 23 issues 23 issues 24 involved 24 involved 28 reader 26 the 28 reader 27 general 28 reader 28 reader 29 of 29 of 31 pigmentation 30 the 31 pigmentation 31 pigmentation 32 literature 31 pigmentation 45 appreciate 32 literature 34 with 32 literature 40 data 32 literature 42 may 33 ( 34 with 34 with 37 mouse 34 with 38 - 35 its 37 mouse 36 substantial 37 mouse 38 - 40 data 39 based 40 data 40 data 41 ) 42 may 43 not 42 may 45 appreciate 44 fully 45 appreciate insulin resistance is a risk factor for various age - related diseases . 0 ###LEFT-WALL### 2 resistance 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 11 related 1 insulin 2 resistance 2 resistance 3 is 3 is 6 factor 4 a 6 factor 5 risk 6 factor 6 factor 7 for 7 for 9 age 8 various 9 age 10 - 11 related 11 related 12 diseases 11 related 13 . in the leiden longevity study , [we] recruited long - lived siblings and their offspring . 0 ###LEFT-WALL### 1 in 0 ###LEFT-WALL### 11 lived 0 ###LEFT-WALL### 16 . 1 in 5 study 1 in 11 lived 2 the 5 study 3 leiden 4 longevity 4 longevity 5 study 5 study 8 recruited 6 , 8 recruited 8 recruited 9 long 8 recruited 10 - 11 lived 13 and 12 siblings 13 and 13 and 15 offspring 14 their 15 offspring previously , we showed that , compared to controls , the offspring of long - [lived] siblings had a better glucose tolerance . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 showed 0 ###LEFT-WALL### 23 . 1 previously 2 , 1 previously 3 we 3 we 4 showed 4 showed 5 that 4 showed 7 compared 4 showed 12 offspring 4 showed 18 had 6 , 7 compared 7 compared 8 to 7 compared 10 , 8 to 9 controls 11 the 12 offspring 12 offspring 13 of 12 offspring 18 had 13 of 17 siblings 14 long 15 - 14 long 17 siblings 18 had 22 tolerance 19 a 22 tolerance 20 better 21 glucose 21 glucose 22 tolerance here , we compared groups of offspring from long - [lived] siblings and controls for the relation between insulin and glucose in nonfasted serum ( n = 1848 subjects ) and for quantitation of insulin action using a two [-] step hyperinsulinemic - euglycemic clamp ( n = 24 subjects ) . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 compared 0 ###LEFT-WALL### 52 . 1 here 2 , 1 here 3 we 3 we 4 compared 4 compared 5 groups 5 groups 6 of 6 of 7 offspring 7 offspring 8 from 8 from 13 and 9 long 10 - 9 long 12 siblings 12 siblings 13 and 13 and 14 controls 13 and 51 ) 14 controls 15 for 15 for 17 relation 16 the 17 relation 17 relation 31 and 18 between 20 and 18 between 31 and 19 insulin 20 and 20 and 21 glucose 20 and 30 ) 21 glucose 22 in 22 in 24 serum 23 nonfasted 24 serum 24 serum 27 = 25 ( 27 = 26 n 27 = 27 = 29 subjects 28 1848 29 subjects 31 and 32 for 32 for 33 quantitation 33 quantitation 34 of 34 of 36 action 35 insulin 36 action 36 action 37 using 37 using 45 clamp 38 a 45 clamp 39 two 41 step 41 step 45 clamp 42 hyperinsulinemic 43 - 42 hyperinsulinemic 45 clamp 44 euglycemic 45 clamp 45 clamp 48 = 46 ( 48 = 47 n 48 = 48 = 50 subjects 49 24 50 subjects groups of offspring and controls were similar with regard to sex distribution , age , and body mass index . 0 ###LEFT-WALL### 1 groups 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 20 . 1 groups 2 of 1 groups 6 were 2 of 4 and 3 offspring 4 and 4 and 5 controls 6 were 7 similar 7 similar 8 with 7 similar 10 to 7 similar 11 sex 8 with 9 regard 10 to 11 sex 11 sex 16 and 12 distribution 13 , 13 , 14 age 13 , 16 and 15 , 16 and 16 and 19 index 17 body 19 index 18 mass 19 index we observed a positive bi - phasic linear relationship between ln ( insulin ) levels and nonfasted glucose with a steeper slope from 10.7mu l ( - 1 ) insulin onwards in controls compared to offspring ( p = 0.02 ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 observed 0 ###LEFT-WALL### 42 . 1 we 2 observed 2 observed 9 relationship 2 observed 32 in 2 observed 35 to 3 a 9 relationship 4 positive 9 relationship 5 bi 6 - 5 bi 9 relationship 7 phasic 9 relationship 8 linear 9 relationship 9 relationship 10 between 9 relationship 16 and 10 between 11 ln 11 ln 13 insulin 12 ( 13 insulin 13 insulin 14 ) 15 levels 16 and 16 and 17 nonfasted 16 and 30 insulin 16 and 31 onwards 17 nonfasted 18 glucose 17 nonfasted 19 with 17 nonfasted 23 from 19 with 22 slope 20 a 22 slope 21 steeper 22 slope 23 from 24 10.7mu 24 10.7mu 25 l 24 10.7mu 28 1 26 ( 28 1 27 - 28 1 28 1 29 ) 32 in 33 controls 33 controls 34 compared 35 to 36 offspring 36 offspring 39 = 37 ( 39 = 38 p 39 = 39 = 40 0.02 39 = 41 ) during the clamp study , higher glucose infusion [rate] was required to maintain euglycemia during high - dose insulin infusion ( p = 0.036 ) in offspring , reflecting higher whole - body insulin sensitivity . 0 ###LEFT-WALL### 8 infusion 0 ###LEFT-WALL### 11 required 1 during 4 study 1 during 5 , 1 during 8 infusion 2 the 4 study 3 clamp 4 study 6 higher 7 glucose 7 glucose 8 infusion 8 infusion 10 was 10 was 11 required 11 required 12 to 12 to 13 maintain 13 maintain 14 euglycemia 13 maintain 15 during 13 maintain 26 in 13 maintain 29 reflecting 15 during 20 infusion 16 high 17 - 16 high 18 dose 18 dose 19 insulin 19 insulin 20 infusion 20 infusion 23 = 21 ( 23 = 22 p 23 = 23 = 24 0.036 23 = 25 ) 26 in 27 offspring 28 , 29 reflecting 29 reflecting 35 sensitivity 29 reflecting 36 . 30 higher 33 body 31 whole 32 - 31 whole 33 body 33 body 35 sensitivity 34 insulin 35 sensitivity after adjustment for sex , age , and fat mass , the insulin - mediated glucose disposal rate ( gdr ) was higher in offspring than controls [(] 42.5 ± 2.7 vs [.] 33.2 ± 2.7 micromol [kg] ( - 1 ) [min] ( - 1 [ )(, mean ± se , p = 0.025 ) . 1 after 2 adjustment 1 after 8 and 3 for 4 sex 3 for 5 , 3 for 8 and 6 age 8 and 7 , 8 and 8 and 10 mass 8 and 11 , 8 and 13 insulin 8 and 15 mediated 9 fat 10 mass 11 , 13 insulin 12 the 13 insulin 13 insulin 14 - 15 mediated 16 glucose 15 mediated 23 higher 15 mediated 24 in 15 mediated 26 than 16 glucose 18 rate 16 glucose 22 was 17 disposal 18 rate 18 rate 20 gdr 18 rate 22 was 19 ( 20 gdr 20 gdr 21 ) 24 in 25 offspring 26 than 30 ± 27 controls 30 ± 29 42.5 30 ± 30 ± 31 2.7 30 ± 32 vs 32 vs 37 micromol 34 33.2 37 micromol 35 ± 37 micromol 36 2.7 37 micromol 37 micromol 41 1 37 micromol 46 1 39 ( 41 1 40 - 41 1 41 1 42 ) 44 ( 46 1 45 - 46 1 46 1 51 se 46 1 57 . 48 )(, 51 se 49 mean 50 ± 50 ± 51 se 51 se 54 = 51 se 57 . 52 , 54 = 53 p 54 = 54 = 55 0.025 54 = 56 ) the insulin - mediated suppression of endogenous glucose production and lipolysis did not differ between groups ( [all] p > 0.05 ) . 0 ###LEFT-WALL### 2 insulin 0 ###LEFT-WALL### 3 - 1 the 2 insulin 3 - 10 and 3 - 23 . 4 mediated 5 suppression 4 mediated 10 and 5 suppression 6 of 6 of 9 production 7 endogenous 8 glucose 8 glucose 9 production 10 and 14 differ 11 lipolysis 12 did 12 did 13 not 12 did 14 differ 14 differ 15 between 15 between 16 groups 16 groups 20 > 17 ( 20 > 19 p 20 > 20 > 21 0.05 20 > 22 ) furthermore , gdr was significantly correlated with the mean age of death of the parents . 0 ###LEFT-WALL### 3 gdr 0 ###LEFT-WALL### 6 correlated 0 ###LEFT-WALL### 16 . 1 furthermore 2 , 1 furthermore 3 gdr 3 gdr 4 was 4 was 6 correlated 5 significantly 6 correlated 6 correlated 7 with 7 with 10 age 8 the 10 age 9 mean 10 age 10 age 11 of 11 of 12 death 12 death 13 of 13 of 15 parents 14 the 15 parents in conclusion , offspring from long - [lived] siblings are marked by enhanced peripheral glucose disposal . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 17 . 1 in 2 conclusion 3 , 4 offspring 3 , 11 marked 4 offspring 5 from 4 offspring 10 are 5 from 9 siblings 6 long 7 - 6 long 9 siblings 10 are 11 marked 11 marked 12 by 12 by 16 disposal 13 enhanced 15 glucose 14 peripheral 15 glucose 15 glucose 16 disposal future research will focus on identifying the underlying biomolecular mechanisms , with the aim to promote health in old age . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 4 focus 1 future 2 research 2 research 3 will 3 will 4 focus 4 focus 5 on 4 focus 10 mechanisms 4 focus 12 with 5 on 6 identifying 6 identifying 8 underlying 7 the 8 underlying 9 biomolecular 10 mechanisms 11 , 12 with 12 with 14 aim 12 with 21 . 13 the 14 aim 14 aim 15 to 14 aim 16 promote 15 to 16 promote 16 promote 17 health 16 promote 18 in 18 in 20 age 19 old 20 age [none] background : patient - reported outcomes ( pros ) are important assessment benchmarks after aesthetic procedures . 0 ###LEFT-WALL### 2 background 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 18 . 3 : 7 outcomes 3 : 11 are 4 patient 5 - 4 patient 7 outcomes 6 reported 7 outcomes 7 outcomes 9 pros 7 outcomes 11 are 8 ( 9 pros 9 pros 10 ) 11 are 14 benchmarks 12 important 13 assessment 13 assessment 14 benchmarks 14 benchmarks 15 after 15 after 17 procedures 16 aesthetic 17 procedures systematic studies of pros have not been conducted in the lower face . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 8 conducted 0 ###LEFT-WALL### 13 . 1 systematic 2 studies 2 studies 3 of 2 studies 5 have 3 of 4 pros 5 have 6 not 5 have 7 been 7 been 8 conducted 8 conducted 9 in 9 in 12 face 10 the 12 face 11 lower 12 face objective : to study satisfaction and other pros after treatment of the lower face with onabotulinumtoxina and a 24 [-] mg/ml smooth , cohesive hyaluronic acid ( ha ) gel filler , [alone] or [in] combination . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 2 : 3 to 2 : 4 study 3 to 4 study 4 study 34 or 5 satisfaction 6 and 6 and 8 pros 6 and 17 and 7 other 8 pros 8 pros 9 after 9 after 10 treatment 10 treatment 11 of 11 of 14 face 12 the 14 face 13 lower 14 face 14 face 15 with 15 with 16 onabotulinumtoxina 17 and 31 filler 17 and 34 or 18 a 31 filler 19 24 21 mg/ml 21 mg/ml 31 filler 22 smooth 26 acid 22 smooth 30 gel 23 , 26 acid 24 cohesive 26 acid 25 hyaluronic 26 acid 26 acid 28 ha 26 acid 29 ) 27 ( 28 ha 28 ha 29 ) 30 gel 31 filler 32 , 34 or 34 or 36 combination effectiveness outcomes [were] [investigator] - and participant - rated satisfaction and the participant self - perception of age ( spa ) and participant - rated look and feel of the lips and mouth ( laf ) questionnaires . 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 25 rated 0 ###LEFT-WALL### 38 . 1 effectiveness 2 outcomes 2 outcomes 6 and 5 - 6 and 6 and 7 participant 6 and 11 and 6 and 22 and 8 - 11 and 9 rated 10 satisfaction 10 satisfaction 11 and 11 and 14 self 11 and 16 perception 11 and 21 ) 12 the 13 participant 13 participant 14 self 15 - 16 perception 16 perception 17 of 16 perception 21 ) 17 of 20 spa 18 age 20 spa 19 ( 20 spa 22 and 23 participant 22 and 24 - 22 and 25 rated 25 rated 32 and 26 look 27 and 27 and 28 feel 27 and 29 of 27 and 32 and 29 of 31 lips 30 the 31 lips 32 and 37 questionnaires 33 mouth 35 laf 34 ( 35 laf 35 laf 36 ) 35 laf 37 questionnaires participants maintained a 14 [-] day diary to record severity of treatment site responses . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 maintained 0 ###LEFT-WALL### 15 . 1 participants 2 maintained 2 maintained 7 diary 2 maintained 8 to 3 a 7 diary 4 14 6 day 6 day 7 diary 8 to 9 record 9 record 10 severity 10 severity 11 of 11 of 14 responses 12 treatment 14 responses 13 site 14 responses results : all treatments resulted in significant improvements from baseline at all end points and on all pro measures . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 2 : 4 treatments 2 : 5 resulted 3 all 4 treatments 4 treatments 5 resulted 5 resulted 6 in 6 in 8 improvements 7 significant 8 improvements 8 improvements 9 from 9 from 10 baseline 10 baseline 15 and 11 at 14 points 11 at 15 and 12 all 14 points 13 end 14 points 15 and 16 on 16 on 19 measures 17 all 19 measures 18 pro 19 measures for all measures and most time points , the 24 - [mg/ml] cohesive gel treatment groups experienced greater improvements than onabotulinumtoxina alone . 0 ###LEFT-WALL### 15 treatment 0 ###LEFT-WALL### 16 groups 0 ###LEFT-WALL### 23 . 1 for 4 and 1 for 15 treatment 2 all 3 measures 3 measures 4 and 4 and 5 most 4 and 6 time 4 and 7 points 4 and 10 24 6 time 7 points 8 , 10 24 9 the 10 24 10 24 11 - 13 cohesive 14 gel 14 gel 15 treatment 15 treatment 16 groups 16 groups 19 improvements 16 groups 20 than 16 groups 22 alone 17 experienced 19 improvements 18 greater 19 improvements 20 than 21 onabotulinumtoxina participant - rated severity of treatment - related reactions was mainly mild and transient . 0 ###LEFT-WALL### 1 participant 0 ###LEFT-WALL### 10 was 0 ###LEFT-WALL### 15 . 1 participant 4 severity 1 participant 10 was 2 - 4 severity 3 rated 4 severity 4 severity 5 of 4 severity 7 - 5 of 6 treatment 7 - 8 related 8 related 9 reactions 8 related 10 was 10 was 11 mainly 10 was 13 and 12 mild 13 and 13 and 14 transient conclusion : onabotulinumtoxina and 24 [-] mg/ml cohesive ha gel treatments , used alone or [in] combination for lower face rejuvenation , [resulted] in significant improvement [in] [investigator] - and participant - reported outcomes . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 33 reported 0 ###LEFT-WALL### 35 . 1 conclusion 2 : 2 : 15 or 2 : 18 for 3 onabotulinumtoxina 4 and 4 and 11 treatments 4 and 12 , 4 and 13 used 4 and 15 or 5 24 7 mg/ml 7 mg/ml 11 treatments 8 cohesive 11 treatments 9 ha 10 gel 10 gel 11 treatments 13 used 14 alone 15 or 17 combination 18 for 21 rejuvenation 19 lower 21 rejuvenation 20 face 21 rejuvenation 21 rejuvenation 24 in 22 , 24 in 24 in 30 and 24 in 32 - 25 significant 26 improvement 26 improvement 30 and 29 - 30 and 30 and 31 participant 30 and 32 - 32 - 33 reported 33 reported 34 outcomes background : although studies show that botulinum toxin type a ( bonta ) can positively influence one 's first impression , little research has been conducted to measure the effect that bonta has on mental well - being . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 39 . 2 : 9 type 2 : 16 influence 2 : 21 , 2 : 28 measure 2 : 37 - 3 although 4 studies 3 although 5 show 3 although 9 type 4 studies 5 show 5 show 8 toxin 6 that 8 toxin 7 botulinum 8 toxin 9 type 10 a 9 type 12 bonta 9 type 14 can 11 ( 12 bonta 12 bonta 13 ) 14 can 16 influence 15 positively 16 influence 16 influence 20 impression 17 one 18 's 18 's 19 first 18 's 20 impression 21 , 23 research 21 , 26 conducted 22 little 23 research 23 research 24 has 24 has 25 been 25 been 26 conducted 26 conducted 27 to 27 to 28 measure 28 measure 30 effect 28 measure 34 on 29 the 30 effect 30 effect 32 bonta 30 effect 33 has 31 that 32 bonta 32 bonta 33 has 34 on 36 well 35 mental 36 well 37 - 38 being objective : to determine the effects [that] bonta injections for the treatment of facial wrinkles had on quality of life ( qol ) and self - esteem . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 determine 2 : 26 - 3 to 4 determine 4 determine 8 bonta 4 determine 17 on 5 the 6 effects 6 effects 8 bonta 8 bonta 9 injections 8 bonta 16 had 9 injections 10 for 9 injections 16 had 10 for 12 treatment 11 the 12 treatment 12 treatment 13 of 13 of 15 wrinkles 14 facial 15 wrinkles 17 on 24 and 18 quality 19 of 18 quality 24 and 19 of 20 life 20 life 22 qol 21 ( 22 qol 22 qol 23 ) 24 and 25 self 26 - 27 esteem 26 - 28 . methods and materials : one hundred participants received treatment with bonta or placebo saline in this double - blind randomized placebo - controlled survey . 0 ###LEFT-WALL### 3 materials 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 25 . 1 methods 2 and 2 and 3 materials 4 : 7 participants 4 : 8 received 4 : 18 - 4 : 22 - 5 one 6 hundred 6 hundred 7 participants 7 participants 8 received 8 received 9 treatment 8 received 10 with 10 with 12 or 11 bonta 12 or 12 or 14 saline 12 or 15 in 13 placebo 14 saline 15 in 17 double 16 this 17 double 18 - 21 placebo 19 blind 21 placebo 20 randomized 21 placebo 22 - 24 survey 23 controlled 24 survey all participants completed a health outcomes survey consisting of quality of life enjoyment and satisfaction questionnaire - short form and heatherton and polivy state self - esteem measurements before injection and 2 weeks and 3 months after injection . 0 ###LEFT-WALL### 2 participants 0 ###LEFT-WALL### 3 completed 0 ###LEFT-WALL### 17 - 0 ###LEFT-WALL### 39 . 1 all 2 participants 2 participants 3 completed 3 completed 14 and 4 a 5 health 4 a 14 and 5 health 6 outcomes 6 outcomes 7 survey 7 survey 8 consisting 8 consisting 9 of 9 of 10 quality 10 quality 11 of 11 of 12 life 13 enjoyment 14 and 14 and 16 questionnaire 15 satisfaction 16 questionnaire 17 - 22 and 17 - 27 esteem 18 short 19 form 19 form 20 and 20 and 21 heatherton 21 heatherton 22 and 22 and 25 self 22 and 26 - 22 and 27 esteem 23 polivy 24 state 24 state 25 self 27 esteem 28 measurements 27 esteem 29 before 27 esteem 37 after 29 before 34 and 30 injection 31 and 31 and 33 weeks 31 and 34 and 32 2 33 weeks 34 and 36 months 35 3 36 months 37 after 38 injection results : statistically significant improvements ( p<.05 ) in participants treated with bonta [were] observed in answers to qol questions regarding physical health , mood , household activities , overall life satisfaction , body satisfaction , self - consciousness , intellect , self - worth , appearance , comprehension , weight satisfaction , attractiveness , and sense of well - being . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 62 . 1 results 2 : 2 : 3 statistically 2 : 5 improvements 2 : 9 in 4 significant 5 improvements 5 improvements 7 p<.05 6 ( 7 p<.05 7 p<.05 8 ) 9 in 10 participants 10 participants 11 treated 10 participants 12 with 10 participants 16 in 12 with 13 bonta 13 bonta 15 observed 16 in 17 answers 17 answers 18 to 17 answers 21 regarding 18 to 20 questions 19 qol 20 questions 21 regarding 23 health 22 physical 23 health 24 , 25 mood 24 , 26 , 26 , 28 activities 26 , 29 , 27 household 28 activities 29 , 32 satisfaction 29 , 33 , 30 overall 31 life 31 life 32 satisfaction 33 , 35 satisfaction 33 , 36 , 34 body 35 satisfaction 36 , 37 self 36 , 38 - 38 - 39 consciousness 38 - 42 , 39 consciousness 41 intellect 40 , 41 intellect 41 intellect 42 , 42 , 43 self 42 , 44 - 44 - 61 being 45 worth 46 , 46 , 47 appearance 46 , 48 , 48 , 49 comprehension 48 , 50 , 50 , 52 satisfaction 50 , 53 , 51 weight 52 satisfaction 53 , 54 attractiveness 53 , 56 and 55 , 56 and 56 and 57 sense 56 and 60 - 56 and 61 being 57 sense 58 of 58 of 59 well increases in overall self [-] esteem and appearance - , social [-] , and performance - related self - esteem were observed in participants treated with bonta . 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 16 - 1 increases 2 in 1 increases 10 , 2 in 7 and 3 overall 4 self 4 self 6 esteem 6 esteem 7 and 7 and 8 appearance 7 and 9 - 10 , 11 social 10 , 14 and 13 , 14 and 14 and 15 performance 16 - 18 self 16 - 19 - 17 related 18 self 19 - 20 esteem 19 - 22 observed 19 - 28 . 20 esteem 21 were 21 were 22 observed 22 observed 23 in 22 observed 26 with 23 in 24 participants 24 participants 25 treated 26 with 27 bonta conclusion : our findings showed that bonta injections result in improvements in qol and self - esteem . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 2 : 4 findings 2 : 5 showed 2 : 16 - 3 our 4 findings 4 findings 5 showed 5 showed 6 that 6 that 8 injections 6 that 9 result 7 bonta 8 injections 8 injections 9 result 9 result 10 in 10 in 14 and 11 improvements 12 in 11 improvements 14 and 12 in 13 qol 14 and 15 self 16 - 17 esteem in addition , bonta - naïve participants demonstrate greater improvements in qol and self - esteem than participants previously exposed to bonta . 0 ###LEFT-WALL### 7 participants 0 ###LEFT-WALL### 8 demonstrate 0 ###LEFT-WALL### 23 . 1 in 2 addition 1 in 7 participants 2 addition 4 bonta 3 , 4 bonta 4 bonta 5 - 6 naïve 7 participants 7 participants 8 demonstrate 8 demonstrate 10 improvements 8 demonstrate 11 in 8 demonstrate 17 than 9 greater 10 improvements 11 in 16 esteem 12 qol 13 and 13 and 14 self 13 and 15 - 13 and 16 esteem 17 than 18 participants 17 than 21 to 18 participants 20 exposed 19 previously 20 exposed 21 to 22 bonta moreover , bonta - familiar participants demonstrated sustained improvement in qol and self - esteem relative to bonta - naïve participants , even when injected [with] [placebo] . 0 ###LEFT-WALL### 6 participants 0 ###LEFT-WALL### 7 demonstrated 0 ###LEFT-WALL### 28 . 1 moreover 6 participants 2 , 3 bonta 3 bonta 4 - 3 bonta 6 participants 5 familiar 6 participants 6 participants 7 demonstrated 7 demonstrated 12 and 7 demonstrated 23 even 8 sustained 9 improvement 9 improvement 10 in 9 improvement 12 and 10 in 11 qol 12 and 13 self 12 and 15 esteem 12 and 23 even 14 - 15 esteem 15 esteem 16 relative 15 esteem 21 participants 15 esteem 22 , 16 relative 17 to 17 to 18 bonta 19 - 21 participants 20 naïve 21 participants 21 participants 22 , 23 even 24 when 24 when 25 injected what is known and objective : the efficacy of sibutramine has been demonstrated in randomized trials in obese/overweight patients including those with type 2 diabetes mellitus ( t2dm ) . 0 ###LEFT-WALL### 5 objective 0 ###LEFT-WALL### 6 : 1 what 2 is 2 is 3 known 3 known 4 and 4 and 5 objective 6 : 8 efficacy 6 : 13 demonstrated 6 : 30 . 7 the 8 efficacy 8 efficacy 9 of 8 efficacy 11 has 9 of 10 sibutramine 11 has 12 been 12 been 13 demonstrated 13 demonstrated 14 in 13 demonstrated 17 in 14 in 16 trials 15 randomized 16 trials 17 in 19 patients 18 obese/overweight 19 patients 19 patients 20 including 20 including 21 those 20 including 22 with 22 with 23 type 22 with 26 mellitus 23 type 24 2 25 diabetes 26 mellitus 26 mellitus 28 t2dm 27 ( 28 t2dm 28 t2dm 29 ) our objective was to evaluate the effects of 1 - year treatment with sibutramine compared to placebo [on] body weight , glycaemic control , lipid profile , and inflammatory parameters in type 2 diabetic patients . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 36 . 1 our 2 objective 2 objective 3 was 3 was 4 to 3 was 5 evaluate 4 to 5 evaluate 5 evaluate 35 patients 6 the 7 effects 7 effects 8 of 7 effects 28 and 8 of 9 1 9 1 12 treatment 10 - 12 treatment 11 year 12 treatment 12 treatment 13 with 12 treatment 15 compared 12 treatment 26 profile 12 treatment 27 , 13 with 14 sibutramine 15 compared 16 to 16 to 20 weight 17 placebo 19 body 19 body 20 weight 20 weight 23 control 21 , 23 control 22 glycaemic 23 control 23 control 24 , 24 , 26 profile 25 lipid 26 profile 26 profile 27 , 27 , 28 and 28 and 30 parameters 28 and 31 in 28 and 35 patients 29 inflammatory 30 parameters 31 in 32 type 32 type 33 2 34 diabetic 35 patients methods : two hundred and forty - six patients with uncontrolled t2dm [ glycated haemoglobin ( hba ( 1c ) ) [>] 8·0 % ] in therapy with different oral hypoglycaemic agents or insulin were randomized to take 10 mg of sibutramine or placebo for 12 months . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 or 0 ###LEFT-WALL### 38 take 0 ###LEFT-WALL### 48 . 1 methods 2 : 2 : 6 forty 2 : 26 in 2 : 28 with 3 two 4 hundred 4 hundred 5 and 5 and 6 forty 6 forty 9 patients 7 - 9 patients 8 six 9 patients 9 patients 10 with 9 patients 25 ] 10 with 24 % 11 uncontrolled 23 8·0 12 t2dm 15 haemoglobin 12 t2dm 23 8·0 13 [ 15 haemoglobin 14 glycated 15 haemoglobin 15 haemoglobin 17 hba 15 haemoglobin 21 ) 16 ( 17 hba 17 hba 19 1c 17 hba 21 ) 18 ( 19 1c 19 1c 20 ) 23 8·0 24 % 26 in 27 therapy 28 with 32 agents 29 different 32 agents 30 oral 32 agents 31 hypoglycaemic 32 agents 33 or 34 insulin 33 or 36 randomized 34 insulin 35 were 35 were 36 randomized 36 randomized 37 to 37 to 38 take 38 take 40 mg 38 take 45 for 39 10 40 mg 40 mg 41 of 41 of 43 or 42 sibutramine 43 or 43 or 44 placebo 45 for 47 months 46 12 47 months results and discussion : we observed a decrease of body weight after 9 and 12 months in the group treated with sibutramine , but not in the control group . 0 ###LEFT-WALL### 3 discussion 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 29 group 0 ###LEFT-WALL### 30 . 1 results 2 and 2 and 3 discussion 4 : 5 we 4 : 6 observed 5 we 6 observed 6 observed 8 decrease 6 observed 12 after 7 a 8 decrease 8 decrease 9 of 9 of 11 weight 10 body 11 weight 12 after 14 and 13 9 14 and 14 and 15 12 15 12 16 months 16 months 24 but 16 months 29 group 17 in 19 group 17 in 24 but 18 the 19 group 19 group 20 treated 20 treated 21 with 21 with 22 sibutramine 23 , 24 but 24 but 25 not 24 but 26 in 26 in 28 control 27 the 28 control regarding glycaemic and lipid profile , although there are differences seen over time within each of the groups , we did not obtain any significant differences between the two groups . 0 ###LEFT-WALL### 20 we 0 ###LEFT-WALL### 23 obtain 0 ###LEFT-WALL### 31 . 1 regarding 3 and 1 regarding 7 although 1 regarding 19 , 1 regarding 20 we 2 glycaemic 3 and 3 and 5 profile 4 lipid 5 profile 6 , 7 although 7 although 8 there 7 although 9 are 7 although 19 , 8 there 9 are 9 are 10 differences 10 differences 11 seen 10 differences 14 within 11 seen 12 over 12 over 13 time 14 within 18 groups 15 each 16 of 15 each 18 groups 16 of 18 groups 17 the 18 groups 20 we 21 did 21 did 22 not 21 did 23 obtain 23 obtain 26 differences 23 obtain 27 between 24 any 26 differences 25 significant 26 differences 27 between 30 groups 28 the 29 two 29 two 30 groups both [placebo] and sibutramine gave a similar improvement of homa - ir , leptin , tnf - α , adn , and hs - crp . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 5 gave 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 26 . 1 both 3 and 3 and 4 sibutramine 3 and 5 gave 5 gave 8 improvement 6 a 8 improvement 7 similar 8 improvement 8 improvement 9 of 9 of 10 homa 10 homa 12 ir 11 - 12 ir 12 ir 14 leptin 12 ir 15 , 13 , 14 leptin 14 leptin 15 , 15 , 22 and 16 tnf 18 α 16 tnf 22 and 17 - 18 α 18 α 20 adn 18 α 21 , 19 , 20 adn 20 adn 21 , 22 and 25 crp 23 hs 25 crp 24 - 25 crp no vaspin variations were observed in either group . 0 ###LEFT-WALL### 3 variations 0 ###LEFT-WALL### 5 observed 0 ###LEFT-WALL### 9 . 1 no 3 variations 2 vaspin 3 variations 3 variations 4 were 4 were 5 observed 5 observed 6 in 6 in 8 group 7 either 8 group what is new and conclusion : sibutramine resulted in a decrease in body weight at 9 months and at 12 months that was not observed with [placebo] . 0 ###LEFT-WALL### 5 conclusion 0 ###LEFT-WALL### 6 : 1 what 2 is 2 is 3 new 3 new 4 and 4 and 5 conclusion 6 : 7 sibutramine 6 : 8 resulted 6 : 28 . 7 sibutramine 8 resulted 8 resulted 9 in 8 resulted 12 in 9 in 11 decrease 10 a 11 decrease 12 in 14 weight 13 body 14 weight 14 weight 18 and 15 at 17 months 15 at 18 and 16 9 17 months 18 and 19 at 19 at 21 months 20 12 21 months 21 months 22 that 21 months 26 with 22 that 23 was 23 was 24 not 23 was 25 observed 25 observed 26 with although there were differences seen over time within each of the groups , there were no significant differences between groups for any other parameter that we measured . 0 ###LEFT-WALL### 14 there 0 ###LEFT-WALL### 15 were 0 ###LEFT-WALL### 28 . 1 although 2 there 1 although 3 were 1 although 14 there 2 there 3 were 3 were 4 differences 5 seen 6 over 5 seen 8 within 5 seen 13 , 5 seen 14 there 6 over 7 time 8 within 12 groups 9 each 10 of 9 each 12 groups 10 of 12 groups 11 the 12 groups 14 there 15 were 15 were 18 differences 16 no 18 differences 17 significant 18 differences 18 differences 19 between 18 differences 21 for 19 between 20 groups 21 for 24 parameter 22 any 23 other 23 other 24 parameter 24 parameter 25 that 24 parameter 27 measured 25 that 26 we 25 that 27 measured 26 we 27 measured objective and background : amitriptyline is one of the most commonly used medications in migraine prophylaxis . 0 ###LEFT-WALL### 3 background 0 ###LEFT-WALL### 4 : 1 objective 2 and 2 and 3 background 4 : 5 amitriptyline 4 : 6 is 4 : 17 . 5 amitriptyline 6 is 6 is 7 one 7 one 8 of 8 of 13 medications 9 the 10 most 10 most 13 medications 11 commonly 12 used 12 used 13 medications 13 medications 14 in 14 in 16 prophylaxis 15 migraine 16 prophylaxis there have been relatively few placebo [-] controlled studies of amitriptyline in migraine prophylaxis or in treatment of chronic daily headache ( cdh ) . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 3 been 0 ###LEFT-WALL### 25 . 1 there 2 have 2 have 3 been 3 been 9 studies 4 relatively 5 few 5 few 9 studies 6 placebo 8 controlled 8 controlled 9 studies 9 studies 10 of 10 of 11 amitriptyline 11 amitriptyline 15 or 11 amitriptyline 18 of 12 in 14 prophylaxis 12 in 15 or 13 migraine 14 prophylaxis 15 or 16 in 16 in 17 treatment 18 of 21 headache 19 chronic 21 headache 20 daily 21 headache 21 headache 23 cdh 22 ( 23 cdh 23 cdh 24 ) this report deals with a large placebo [-] controlled trial of amitriptyline vs placebo [of] 20 weeks duration that included subjects [with] intermittent migraine ( im ) as well as cdh . 0 ###LEFT-WALL### 2 report 0 ###LEFT-WALL### 3 deals 0 ###LEFT-WALL### 32 . 1 this 2 report 2 report 3 deals 3 deals 4 with 3 deals 24 migraine 3 deals 30 as 4 with 10 trial 5 a 10 trial 6 large 7 placebo 7 placebo 10 trial 9 controlled 10 trial 10 trial 11 of 11 of 12 amitriptyline 12 amitriptyline 13 vs 13 vs 18 duration 14 placebo 18 duration 16 20 17 weeks 17 weeks 18 duration 19 that 24 migraine 20 included 21 subjects 21 subjects 24 migraine 23 intermittent 24 migraine 24 migraine 26 im 25 ( 26 im 26 im 27 ) 28 as 29 well 29 well 30 as 30 as 31 cdh the study was carried out between 1976 and 1979 ; however , results have never been fully reported . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 4 carried 0 ###LEFT-WALL### 10 ; 0 ###LEFT-WALL### 19 . 1 the 2 study 2 study 3 was 3 was 4 carried 4 carried 5 out 4 carried 6 between 6 between 8 and 7 1976 8 and 8 and 9 1979 10 ; 13 results 10 ; 18 reported 11 however 12 , 11 however 13 results 13 results 14 have 14 have 16 been 15 never 16 been 16 been 17 fully 16 been 18 reported methods : patients with a history [of] migraine as defined by the 1962 ad hoc committee report were recruited for this study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 patients 2 : 19 recruited 2 : 23 . 3 patients 4 with 3 patients 11 by 3 patients 18 were 4 with 8 migraine 5 a 6 history 5 a 8 migraine 6 history 8 migraine 8 migraine 10 defined 9 as 10 defined 11 by 17 report 12 the 17 report 13 1962 17 report 14 ad 15 hoc 15 hoc 16 committee 16 committee 17 report 18 were 19 recruited 19 recruited 20 for 20 for 22 study 21 this 22 study subjects had at least 2 headaches per month , and no limit was placed on the number of headaches per month that could be experienced . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 2 had 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 26 . 1 subjects 2 had 2 had 6 headaches 3 at 4 least 4 least 5 2 5 2 6 headaches 6 headaches 7 per 7 per 8 month 9 , 10 and 10 and 12 limit 10 and 14 placed 11 no 12 limit 12 limit 13 was 13 was 14 placed 14 placed 15 on 15 on 19 headaches 16 the 17 number 17 number 18 of 17 number 19 headaches 18 of 19 headaches 19 headaches 20 per 19 headaches 22 that 19 headaches 23 could 20 per 21 month 22 that 23 could 23 could 24 be 24 be 25 experienced the study format included a 4 [-] week baseline period ( period a ) in which all subjects received [placebo] in a dose of 2 pills per day for one week , 3 pills per day for one week and then 4 pills per day for 2 weeks . 0 ###LEFT-WALL### 3 format 0 ###LEFT-WALL### 4 included 0 ###LEFT-WALL### 49 . 1 the 3 format 2 study 3 format 3 format 4 included 4 included 40 and 5 a 10 period 6 4 8 week 8 week 10 period 9 baseline 10 period 10 period 12 period 10 period 15 in 10 period 24 of 10 period 32 , 11 ( 12 period 12 period 13 a 12 period 14 ) 15 in 16 which 15 in 18 subjects 15 in 19 received 17 all 18 subjects 18 subjects 19 received 19 received 21 in 21 in 23 dose 22 a 23 dose 24 of 26 pills 25 2 26 pills 26 pills 27 per 26 pills 29 for 27 per 28 day 29 for 31 week 30 one 31 week 32 , 34 pills 32 , 40 and 33 3 34 pills 34 pills 35 per 34 pills 37 for 35 per 36 day 37 for 39 week 38 one 39 week 40 and 41 then 40 and 43 pills 42 4 43 pills 43 pills 44 per 43 pills 46 for 44 per 45 day 46 for 48 weeks 47 2 48 weeks subjects with at least 2 migraine headaches in this period were then entered into period b and randomized into either amitriptyline or placebo tracks . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 11 were 0 ###LEFT-WALL### 25 . 1 subjects 2 with 1 subjects 11 were 2 with 7 headaches 3 at 4 least 4 least 5 2 5 2 7 headaches 6 migraine 7 headaches 7 headaches 8 in 8 in 10 period 9 this 10 period 11 were 17 and 12 then 13 entered 13 entered 14 into 13 entered 17 and 14 into 15 period 15 period 16 b 17 and 18 randomized 17 and 19 into 19 into 22 or 20 either 21 amitriptyline 21 amitriptyline 22 or 22 or 24 tracks 23 placebo 24 tracks medication consisted of identical tablets containing either 25 mg amitriptyline or placebo . 0 ###LEFT-WALL### 1 medication 0 ###LEFT-WALL### 2 consisted 0 ###LEFT-WALL### 13 . 1 medication 2 consisted 2 consisted 3 of 3 of 11 or 4 identical 5 tablets 5 tablets 6 containing 5 tablets 11 or 6 containing 10 amitriptyline 7 either 10 amitriptyline 8 25 9 mg 9 mg 10 amitriptyline 11 or 12 placebo period b was 4 weeks in duration with dose titration identical to period a . the dose could be reduced if necessary to reduce side effects . 0 ###LEFT-WALL### 1 period 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 15 . 0 ###LEFT-WALL### 27 . 1 period 2 b 1 period 3 was 3 was 5 weeks 3 was 6 in 3 was 8 with 4 4 5 weeks 6 in 7 duration 8 with 10 titration 9 dose 10 titration 10 titration 11 identical 11 identical 12 to 12 to 13 period 13 period 14 a 15 . 17 dose 15 . 20 reduced 16 the 17 dose 17 dose 18 could 18 could 19 be 19 be 20 reduced 20 reduced 22 necessary 20 reduced 23 to 21 if 22 necessary 23 to 24 reduce 24 reduce 26 effects 25 side 26 effects the minimum dose was one pill per day . 0 ###LEFT-WALL### 3 dose 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 9 . 1 the 3 dose 2 minimum 3 dose 3 dose 4 was 4 was 6 pill 5 one 6 pill 6 pill 7 per 7 per 8 day period c was a 12 [-] week maintenance or stabilization period in which the patient continued the dose established by [week] 8 with visits at weeks 12 , 16 , [and] 20 . 0 ###LEFT-WALL### 1 period 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 9 or 0 ###LEFT-WALL### 33 . 1 period 2 c 1 period 3 was 3 was 8 maintenance 4 a 8 maintenance 5 12 7 week 7 week 8 maintenance 9 or 11 period 9 or 19 established 10 stabilization 11 period 11 period 12 in 11 period 19 established 12 in 13 which 12 in 15 patient 12 in 16 continued 14 the 15 patient 15 patient 16 continued 16 continued 18 dose 17 the 18 dose 19 established 20 by 19 established 23 with 19 established 32 20 20 by 22 8 23 with 24 visits 24 visits 25 at 24 visits 29 16 25 at 26 weeks 26 weeks 27 12 28 , 29 16 29 16 30 , patients kept a headache calendar that was used for data [collection] . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 2 kept 0 ###LEFT-WALL### 12 . 1 patients 2 kept 2 kept 5 calendar 3 a 4 headache 3 a 5 calendar 4 headache 5 calendar 5 calendar 6 that 5 calendar 7 was 6 that 7 was 7 was 8 used 8 used 9 for 9 for 10 data headache frequency [(] per month [ )(, severity , and duration ( hours ) were the primary measurement parameters employed for data analysis . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 15 were 0 ###LEFT-WALL### 24 . 1 headache 2 frequency 2 frequency 4 per 2 frequency 7 )(, 4 per 5 month 7 )(, 8 severity 7 )(, 10 and 9 , 10 and 10 and 11 duration 10 and 13 hours 10 and 15 were 12 ( 13 hours 13 hours 14 ) 15 were 19 parameters 16 the 19 parameters 17 primary 18 measurement 18 measurement 19 parameters 19 parameters 20 employed 19 parameters 21 for 21 for 23 analysis 22 data 23 analysis results : for the entire group , 391 subjects were entered into period a , 338 were randomized into period b , 317 ( 81 % ) [subjects] completed the first post - randomization visit ( 8 weeks ) , 255 ( 65 % ) completed [week] 12 , 210 ( 54 % ) completed [week] 16 , and 186 ( 48 % ) completed [week] [20] . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 7 , 1 results 2 : 2 : 3 for 3 for 6 group 4 the 6 group 5 entire 6 group 7 , 9 subjects 7 , 11 entered 7 , 15 , 8 391 9 subjects 9 subjects 10 were 10 were 11 entered 11 entered 12 into 12 into 13 period 13 period 14 a 15 , 16 338 15 , 18 randomized 15 , 22 , 16 338 17 were 17 were 18 randomized 18 randomized 19 into 19 into 20 period 20 period 21 b 22 , 23 317 22 , 29 completed 22 , 33 - 23 317 26 % 23 317 29 completed 24 ( 26 % 25 81 26 % 26 % 27 ) 29 completed 32 post 30 the 31 first 30 the 32 post 33 - 35 visit 33 - 40 , 34 randomization 35 visit 35 visit 38 weeks 36 ( 38 weeks 37 8 38 weeks 38 weeks 39 ) 40 , 41 255 40 , 46 completed 40 , 49 , 41 255 44 % 41 255 46 completed 42 ( 44 % 43 65 44 % 44 % 45 ) 46 completed 48 12 49 , 50 210 49 , 55 completed 49 , 59 and 50 210 53 % 50 210 55 completed 51 ( 53 % 52 54 53 % 53 % 54 ) 55 completed 57 16 58 , 59 and 59 and 60 186 60 186 63 % 60 186 65 completed 61 ( 63 % 62 48 63 % 63 % 64 ) 65 completed 68 . using headache frequency and evaluating parameters of [(] [a] [ )(improvement , ( [b] [ )(no change , or [(] [c] ) worsening relative to baseline , there was a significant improvement in headache frequency for amitriptyline over placebo at 8 weeks ( p = [.] 018 ) but not at 12 , 16 [,] or 20 weeks . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 12 , 1 using 2 headache 2 headache 3 frequency 3 frequency 4 and 4 and 6 parameters 5 evaluating 6 parameters 6 parameters 7 of 7 of 11 )(improvement 12 , 17 change 12 , 19 or 13 ( 16 )(no 16 )(no 17 change 18 , 19 or 19 or 22 ) 19 or 28 there 23 worsening 24 relative 23 worsening 25 to 23 worsening 27 , 23 worsening 28 there 25 to 26 baseline 28 there 29 was 29 was 32 improvement 29 was 38 over 30 a 31 significant 30 a 32 improvement 31 significant 32 improvement 32 improvement 33 in 33 in 35 frequency 34 headache 35 frequency 35 frequency 36 for 36 for 37 amitriptyline 38 over 39 placebo 39 placebo 49 but 40 at 42 weeks 40 at 49 but 41 8 42 weeks 42 weeks 45 = 43 ( 45 = 44 p 45 = 45 = 47 018 45 = 48 ) 49 but 50 not 49 but 51 at 51 at 52 12 52 12 58 weeks 53 , 58 weeks 54 16 56 or 56 or 57 20 56 or 58 weeks 58 weeks 59 . there were no significant differences in headache severity or duration between amitriptyline and placebo groups [at] anytime during the study . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 21 . 1 there 2 were 2 were 5 differences 2 were 6 in 2 were 11 between 2 were 17 anytime 2 were 18 during 3 no 5 differences 4 significant 5 differences 6 in 9 or 7 headache 8 severity 8 severity 9 or 9 or 10 duration 11 between 13 and 12 amitriptyline 13 and 13 and 15 groups 14 placebo 15 groups 18 during 20 study 19 the 20 study within the study sample , there were 36 amitriptyline and 22 placebo subjects who had headaches ≥ 17 days / [month] that fit the current definition of cdh by the silberstein - lipton criteria . 0 ###LEFT-WALL### 6 there 0 ###LEFT-WALL### 7 were 1 within 4 sample 1 within 5 , 1 within 6 there 2 the 4 sample 3 study 4 sample 6 there 7 were 7 were 10 and 7 were 29 by 8 36 10 and 9 amitriptyline 10 and 10 and 13 subjects 10 and 14 who 10 and 15 had 11 22 13 subjects 12 placebo 13 subjects 14 who 15 had 15 had 16 headaches 15 had 17 ≥ 17 ≥ 20 / 18 17 19 days 19 days 20 / 20 / 22 that 20 / 23 fit 20 / 27 of 22 that 23 fit 23 fit 26 definition 24 the 26 definition 25 current 26 definition 27 of 28 cdh 29 by 31 silberstein 30 the 31 silberstein 31 silberstein 34 criteria 32 - 34 criteria 33 lipton 34 criteria 34 criteria 35 . these were analyzed separately as a subgroup for comparison of amitriptyline vs placebo using [a] metric [of] ( 1 ) no change or worsening [;] ( 2 ) up to a 50 % improvement [;] [and] ( 3 ) ≥ 50 % improvement in headache frequency . 0 ###LEFT-WALL### 1 these 0 ###LEFT-WALL### 29 up 0 ###LEFT-WALL### 47 . 1 these 2 were 2 were 3 analyzed 3 analyzed 4 separately 3 analyzed 5 as 3 analyzed 8 for 5 as 7 subgroup 6 a 7 subgroup 8 for 23 or 9 comparison 10 of 9 comparison 23 or 10 of 11 amitriptyline 11 amitriptyline 12 vs 12 vs 22 change 13 placebo 22 change 14 using 22 change 16 metric 19 1 16 metric 22 change 18 ( 19 1 19 1 20 ) 21 no 22 change 23 or 24 worsening 23 or 27 2 23 or 29 up 26 ( 27 2 27 2 28 ) 29 up 30 to 29 up 43 improvement 29 up 44 in 30 to 34 improvement 31 a 34 improvement 32 50 33 % 33 % 34 improvement 34 improvement 38 3 37 ( 38 3 38 3 39 ) 40 ≥ 43 improvement 41 50 42 % 42 % 43 improvement 44 in 46 frequency 45 headache 46 frequency amitriptyline was superior to [placebo] [in] number with improvement in frequency of ≥ 50 % at 8 weeks ( 25 % vs 5 % [ p = [.] 031 ] ) and at 16 weeks ( 46 % vs 9 % [ p = [.] 043 ] ) . 0 ###LEFT-WALL### 1 amitriptyline 0 ###LEFT-WALL### 7 number 0 ###LEFT-WALL### 49 . 1 amitriptyline 2 was 2 was 3 superior 3 superior 4 to 3 superior 7 number 4 to 7 number 7 number 8 with 7 number 32 and 8 with 9 improvement 8 with 15 % 9 improvement 10 in 10 in 11 frequency 11 frequency 12 of 12 of 13 ≥ 14 50 15 % 16 at 18 weeks 16 at 32 and 17 8 18 weeks 18 weeks 21 % 19 ( 21 % 20 25 21 % 21 % 22 vs 21 % 31 ) 22 vs 24 % 23 5 24 % 24 % 27 = 25 [ 27 = 26 p 27 = 27 = 29 031 27 = 30 ] 32 and 33 at 33 at 35 weeks 34 16 35 weeks 35 weeks 38 % 36 ( 38 % 37 46 38 % 38 % 39 vs 38 % 48 ) 39 vs 41 % 40 9 41 % 41 % 44 = 42 [ 44 = 43 p 44 = 44 = 46 043 44 = 47 ] there was a trend for amitriptyline to be superior to [placebo] at 12 and 20 weeks but this did not reach significance . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 17 but 0 ###LEFT-WALL### 23 . 1 there 2 was 2 was 4 trend 3 a 4 trend 4 trend 5 for 4 trend 12 at 5 for 6 amitriptyline 6 amitriptyline 7 to 6 amitriptyline 10 to 7 to 8 be 8 be 9 superior 9 superior 10 to 12 at 16 weeks 13 12 14 and 14 and 15 20 14 and 16 weeks 17 but 18 this 17 but 21 reach 18 this 19 did 19 did 20 not 19 did 21 reach 21 reach 22 significance conclusions : in this study , using headache frequency as the primary metric , for the entire group [,] amitriptyline was superior to placebo [in] migraine prophylaxis at 8 weeks but , because of a robust placebo response , not at subsequent time points . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 1 conclusions 2 : 2 : 3 in 2 : 7 using 3 in 5 study 4 this 5 study 6 , 7 using 7 using 9 frequency 7 using 45 . 8 headache 9 frequency 9 frequency 10 as 9 frequency 13 metric 10 as 12 primary 11 the 12 primary 13 metric 15 for 13 metric 33 because 14 , 15 for 15 for 18 group 15 for 32 , 16 the 18 group 17 entire 18 group 18 group 20 amitriptyline 18 group 31 but 20 amitriptyline 21 was 21 was 22 superior 22 superior 23 to 22 superior 28 at 22 superior 31 but 23 to 27 prophylaxis 24 placebo 27 prophylaxis 26 migraine 27 prophylaxis 28 at 30 weeks 29 8 30 weeks 33 because 34 of 34 of 38 response 35 a 38 response 36 robust 37 placebo 37 placebo 38 response 38 response 41 at 39 , 40 not 39 , 41 at 41 at 44 points 41 at 45 . 42 subsequent 44 points 43 time 44 points for the subgroup with cdh , amitriptyline was statistically significantly superior to placebo [at] 8 weeks and 16 weeks with a similar but nonsignificant trend at 12 and 20 weeks . 0 ###LEFT-WALL### 7 amitriptyline 0 ###LEFT-WALL### 8 was 0 ###LEFT-WALL### 31 . 1 for 3 subgroup 1 for 6 , 1 for 7 amitriptyline 2 the 3 subgroup 3 subgroup 4 with 4 with 5 cdh 7 amitriptyline 8 was 8 was 9 statistically 8 was 10 significantly 8 was 11 superior 11 superior 12 to 11 superior 20 with 12 to 17 and 13 placebo 16 weeks 15 8 16 weeks 16 weeks 17 and 17 and 19 weeks 18 16 19 weeks 20 with 25 trend 21 a 25 trend 22 similar 23 but 23 but 24 nonsignificant 23 but 25 trend 25 trend 26 at 26 at 30 weeks 27 12 28 and 28 and 29 20 28 and 30 weeks compared [with] placebo amitriptyline is effective in cdh . 0 ###LEFT-WALL### 4 amitriptyline 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 9 . 1 compared 3 placebo 3 placebo 4 amitriptyline 4 amitriptyline 5 is 5 is 6 effective 6 effective 7 in 7 in 8 cdh amitriptyline was also significantly effective in im compared intragroup to its own baseline [;] [however] , [placebo] was equally effective in the same analysis . 0 ###LEFT-WALL### 1 amitriptyline 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 25 . 1 amitriptyline 16 , 2 was 3 also 2 was 4 significantly 2 was 5 effective 2 was 16 , 5 effective 6 in 6 in 7 im 7 im 8 compared 8 compared 9 intragroup 9 intragroup 10 to 10 to 13 baseline 11 its 12 own 11 its 13 baseline 16 , 18 was 18 was 20 effective 19 equally 20 effective 20 effective 21 in 21 in 24 analysis 22 the 23 same 23 same 24 analysis the reason for the robust placebo response in the im group is not clear , but has been occasionally reported . 0 ###LEFT-WALL### 2 reason 0 ###LEFT-WALL### 16 but 0 ###LEFT-WALL### 21 . 1 the 2 reason 2 reason 3 for 2 reason 16 but 3 for 7 response 4 the 7 response 5 robust 6 placebo 6 placebo 7 response 7 response 8 in 8 in 11 group 9 the 11 group 10 im 11 group 12 is 13 not 12 is 14 clear 12 is 16 but 15 , 16 but 16 but 17 has 17 has 18 been 18 been 20 reported 19 occasionally 20 reported objectives : to identify existing projects supported by the national institute on aging ( nia ) that may relate to the recommendations for models of care ( mocs ) presented in the 2008 institute of medicine report , retooling for an aging america : building the healthcare workforce . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 49 . 2 : 3 to 2 : 4 identify 2 : 38 , 3 to 4 identify 4 identify 6 projects 5 existing 6 projects 6 projects 7 supported 7 supported 8 by 7 supported 20 to 8 by 11 institute 9 the 11 institute 10 national 11 institute 11 institute 12 on 11 institute 17 that 11 institute 18 may 12 on 15 nia 13 aging 15 nia 14 ( 15 nia 15 nia 16 ) 17 that 18 may 18 may 19 relate 20 to 22 recommendations 21 the 22 recommendations 22 recommendations 23 for 22 recommendations 30 presented 22 recommendations 35 of 23 for 24 models 24 models 25 of 25 of 26 care 26 care 28 mocs 27 ( 28 mocs 28 mocs 29 ) 30 presented 31 in 31 in 34 institute 32 the 34 institute 33 2008 34 institute 35 of 37 report 36 medicine 37 report 38 , 39 retooling 38 , 44 : 39 retooling 40 for 39 retooling 44 : 40 for 43 america 41 an 43 america 42 aging 43 america 44 : 45 building 45 building 48 workforce 46 the 48 workforce 47 healthcare 48 workforce design : cross - sectional analysis of nia 's grant portfolio . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 12 . 1 design 2 : 2 : 3 cross 4 - 6 analysis 5 sectional 6 analysis 6 analysis 7 of 7 of 11 portfolio 8 nia 9 's 9 's 11 portfolio 10 grant 11 portfolio setting : nia . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 . 1 setting 2 : 2 : 3 nia participants : nia grantees . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 2 : 3 nia 2 : 4 grantees 2 : 5 . 3 nia 4 grantees measurements : nia 's grant portfolio was queried for the period 1999 to 2008 using a variety of search terms related to mocs . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 2 : 6 portfolio 2 : 8 queried 2 : 21 related 2 : 24 . 3 nia 4 's 4 's 6 portfolio 5 grant 6 portfolio 6 portfolio 7 was 7 was 8 queried 8 queried 9 for 8 queried 13 to 9 for 11 period 10 the 11 period 12 1999 13 to 13 to 14 2008 15 using 17 variety 15 using 21 related 16 a 17 variety 17 variety 18 of 18 of 20 terms 19 search 20 terms 21 related 22 to 22 to 23 mocs inclusion criteria were adherence to guiding principles for mocs ( comprehensive care , efficient care , older [person] as an active partner [ )(or focus on innovative feature ( [s] [ )(of mocs ( interdisciplinary care , care management , chronic disease self - management , pharmaceutical management , preventive home visits , proactive rehabilitation , transitional care ) . 0 ###LEFT-WALL### 2 criteria 0 ###LEFT-WALL### 3 were 1 inclusion 2 criteria 2 criteria 3 were 3 were 4 adherence 4 adherence 5 to 5 to 7 principles 6 guiding 7 principles 7 principles 8 for 7 principles 17 older 8 for 9 mocs 9 mocs 12 care 9 mocs 15 care 10 ( 12 care 11 comprehensive 12 care 12 care 13 , 13 , 15 care 14 efficient 15 care 15 care 16 , 17 older 19 as 17 older 26 on 19 as 24 )(or 20 an 22 partner 21 active 22 partner 22 partner 24 )(or 24 )(or 25 focus 26 on 38 care 27 innovative 37 , 27 innovative 38 care 28 feature 32 )(of 29 ( 32 )(of 32 )(of 33 mocs 32 )(of 37 , 33 mocs 36 care 34 ( 36 care 35 interdisciplinary 36 care 36 care 37 , 38 care 48 management 39 management 43 self 39 management 45 management 40 , 43 self 41 chronic 43 self 42 disease 43 self 43 self 44 - 44 - 45 management 45 management 46 , 46 , 48 management 47 pharmaceutical 48 management 48 management 58 care 48 management 60 . 49 , 58 care 50 preventive 56 , 50 preventive 58 care 51 home 52 visits 52 visits 55 rehabilitation 53 , 55 rehabilitation 54 proactive 55 rehabilitation 55 rehabilitation 56 , 57 transitional 58 care 58 care 59 ) exclusion criteria were lack of focus on an intervention and focus on informal caregivers . 0 ###LEFT-WALL### 2 criteria 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 15 . 1 exclusion 2 criteria 2 criteria 10 and 3 were 4 lack 3 were 10 and 4 lack 5 of 5 of 6 focus 6 focus 7 on 7 on 9 intervention 8 an 9 intervention 10 and 11 focus 11 focus 12 on 12 on 14 caregivers 13 informal 14 caregivers expert nia staff reviewed and validated projects . 0 ###LEFT-WALL### 3 staff 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 8 . 1 expert 2 nia 2 nia 3 staff 3 staff 5 and 4 reviewed 5 and 5 and 6 validated 5 and 7 projects results : one hundred thirty - five grants were identified . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 - 1 results 2 : 2 : 5 thirty 3 one 4 hundred 4 hundred 5 thirty 6 - 8 grants 6 - 10 identified 6 - 11 . 7 five 8 grants 8 grants 9 were 9 were 10 identified these grants represent fewer than 1 % of the approximate number of grants nia has funded over this [same] period of time ( ∼24,000 grants ) . 0 ###LEFT-WALL### 2 grants 0 ###LEFT-WALL### 3 represent 0 ###LEFT-WALL### 27 . 1 these 2 grants 2 grants 3 represent 3 represent 7 % 4 fewer 5 than 5 than 6 1 6 1 7 % 7 % 8 of 7 % 14 nia 7 % 16 funded 8 of 13 grants 9 the 11 number 10 approximate 11 number 11 number 12 of 11 number 13 grants 12 of 13 grants 14 nia 15 has 15 has 16 funded 16 funded 17 over 17 over 20 period 18 this 20 period 20 period 21 of 21 of 22 time 22 time 25 grants 23 ( 25 grants 24 ∼24,000 25 grants 25 grants 26 ) forty - four percent focused on components of comprehensive care [and] 34 % on active involvement of older adults . 0 ###LEFT-WALL### 4 percent 0 ###LEFT-WALL### 5 focused 0 ###LEFT-WALL### 20 . 1 forty 2 - 2 - 3 four 2 - 4 percent 4 percent 5 focused 5 focused 6 on 5 focused 13 % 5 focused 14 on 6 on 7 components 7 components 8 of 8 of 10 care 9 comprehensive 10 care 12 34 13 % 14 on 16 involvement 15 active 16 involvement 16 involvement 17 of 17 of 19 adults 18 older 19 adults approximately half specifically focused on innovative features of mocs , ranging from chronic disease [self] - management ( 32 % ) and proactive rehabilitation ( 26 % [ )(to preventive home visits ( 1 % ) and transitional care ( 1 % ) . 0 ###LEFT-WALL### 2 half 0 ###LEFT-WALL### 4 focused 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 44 . 1 approximately 2 half 2 half 4 focused 3 specifically 4 focused 4 focused 5 on 5 on 7 features 6 innovative 7 features 7 features 8 of 8 of 9 mocs 10 , 37 and 11 ranging 12 from 11 ranging 22 and 12 from 14 disease 13 chronic 14 disease 14 disease 17 management 16 - 17 management 17 management 20 % 17 management 21 ) 18 ( 20 % 19 32 20 % 20 % 21 ) 22 and 24 rehabilitation 22 and 27 % 22 and 37 and 23 proactive 24 rehabilitation 25 ( 27 % 26 26 27 % 27 % 29 )(to 27 % 36 ) 29 )(to 32 visits 30 preventive 31 home 31 home 32 visits 32 visits 35 % 33 ( 35 % 34 1 35 % 35 % 36 ) 37 and 39 care 37 and 42 % 38 transitional 39 care 40 ( 42 % 41 1 42 % 42 % 43 ) the majority of projects were investigator [-] initiated grants ( 46 % ) . 0 ###LEFT-WALL### 4 projects 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 14 . 1 the 2 majority 2 majority 3 of 2 majority 4 projects 3 of 4 projects 4 projects 5 were 5 were 9 grants 6 investigator 8 initiated 8 initiated 9 grants 9 grants 12 % 10 ( 12 % 11 46 12 % 12 % 13 ) conclusion : nia has supported the development of many interventions that include components of mocs related to recommendations from the iom report . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 report 0 ###LEFT-WALL### 23 . 2 : 3 nia 2 : 5 supported 3 nia 4 has 4 has 5 supported 5 supported 7 development 6 the 7 development 7 development 8 of 7 development 10 interventions 7 development 22 report 8 of 9 many 10 interventions 11 that 10 interventions 12 include 10 interventions 22 report 11 that 12 include 12 include 13 components 13 components 14 of 14 of 15 mocs 15 mocs 16 related 16 related 17 to 16 related 19 from 17 to 18 recommendations 19 from 21 iom 20 the 21 iom the challenge for the future will be determining which of the many components of comprehensive care systems are most effective for [which] subsets of the elderly population and assessing opportunities for enhanced collaboration between public and private aging research stakeholders . 0 ###LEFT-WALL### 7 be 0 ###LEFT-WALL### 28 and 0 ###LEFT-WALL### 41 . 1 the 2 challenge 2 challenge 3 for 2 challenge 6 will 3 for 5 future 4 the 5 future 6 will 7 be 7 be 8 determining 8 determining 9 which 9 which 10 of 9 which 18 are 10 of 13 components 11 the 12 many 12 many 13 components 13 components 14 of 14 of 17 systems 15 comprehensive 17 systems 16 care 17 systems 18 are 20 effective 19 most 20 effective 20 effective 21 for 21 for 23 subsets 23 subsets 24 of 24 of 27 population 25 the 27 population 26 elderly 27 population 28 and 29 assessing 28 and 40 stakeholders 29 assessing 30 opportunities 29 assessing 40 stakeholders 30 opportunities 31 for 30 opportunities 34 between 31 for 33 collaboration 32 enhanced 33 collaboration 34 between 39 research 35 public 36 and 36 and 37 private 36 and 38 aging 38 aging 39 research objective : the value [of] metabolic syndrome ( mets ) in childhood and adolescence and its stability into young adulthood have been questioned . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 24 . 1 objective 2 : 2 : 7 syndrome 2 : 11 in 3 the 7 syndrome 4 value 7 syndrome 6 metabolic 7 syndrome 7 syndrome 9 mets 8 ( 9 mets 9 mets 10 ) 11 in 12 childhood 13 and 15 and 13 and 23 questioned 14 adolescence 15 and 15 and 17 stability 15 and 18 into 15 and 21 have 16 its 17 stability 18 into 20 adulthood 19 young 20 adulthood 21 have 22 been 22 been 23 questioned this study compared the mets in late childhood ( mean age 13 ) versus a cluster score of the mets components as predictors of young [adult] ( mean age 22 ) cardiovascular risk . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 compared 0 ###LEFT-WALL### 34 . 1 this 2 study 2 study 3 compared 3 compared 5 mets 3 compared 22 as 4 the 5 mets 5 mets 6 in 5 mets 14 versus 6 in 8 childhood 7 late 8 childhood 8 childhood 11 age 9 ( 11 age 10 mean 11 age 11 age 12 13 11 age 13 ) 14 versus 17 score 15 a 17 score 16 cluster 17 score 17 score 18 of 18 of 21 components 19 the 21 components 20 mets 21 components 22 as 23 predictors 23 predictors 24 of 24 of 33 risk 25 young 29 age 25 young 33 risk 27 ( 29 age 28 mean 29 age 29 age 30 22 29 age 31 ) 32 cardiovascular 33 risk methods : anthropometrics , blood pressure , lipid profile , and insulin resistance ( insulin [clamp] ) were obtained in 265 individuals at mean ages 13 and 22 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 11 and 2 : 19 obtained 2 : 29 . 3 anthropometrics 4 , 3 anthropometrics 11 and 5 blood 6 pressure 6 pressure 7 , 7 , 9 profile 7 , 11 and 8 lipid 9 profile 10 , 11 and 11 and 13 resistance 11 and 15 insulin 11 and 18 were 12 insulin 13 resistance 14 ( 15 insulin 15 insulin 17 ) 18 were 19 obtained 19 obtained 20 in 20 in 22 individuals 21 265 22 individuals 22 individuals 23 at 23 at 25 ages 24 mean 25 ages 25 ages 27 and 26 13 27 and 27 and 28 22 the mets was defined dichotomously by current pediatric and adult criteria . 0 ###LEFT-WALL### 2 mets 0 ###LEFT-WALL### 4 defined 0 ###LEFT-WALL### 12 . 1 the 2 mets 2 mets 3 was 3 was 4 defined 4 defined 5 dichotomously 4 defined 6 by 6 by 11 criteria 7 current 11 criteria 8 pediatric 9 and 9 and 10 adult 9 and 11 criteria the mets cluster score used the average of [deviates] [of] the mets components standardized to their means and standard deviations at mean age 13 . 0 ###LEFT-WALL### 4 score 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 25 . 1 the 4 score 2 mets 3 cluster 3 cluster 4 score 4 score 5 used 5 used 7 average 5 used 15 to 5 used 21 at 6 the 7 average 7 average 8 of 8 of 13 components 11 the 13 components 12 mets 13 components 13 components 14 standardized 15 to 18 and 16 their 17 means 17 means 18 and 18 and 20 deviations 19 standard 20 deviations 21 at 23 age 22 mean 23 age 23 age 24 13 results : the mets was rarely present at mean age 13 and did not predict mets at mean age 22 but identified individuals who continued to have adverse levels of risk factors at mean age 22 . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 mets 2 : 12 and 2 : 37 . 3 the 4 mets 4 mets 12 and 5 was 6 rarely 5 was 7 present 5 was 12 and 7 present 8 at 8 at 10 age 9 mean 10 age 10 age 11 13 12 and 21 but 12 and 26 to 12 and 29 levels 13 did 14 not 13 did 15 predict 13 did 21 but 15 predict 16 mets 15 predict 17 at 17 at 19 age 18 mean 19 age 19 age 20 22 21 but 22 identified 22 identified 23 individuals 23 individuals 24 who 23 individuals 25 continued 24 who 25 continued 26 to 27 have 28 adverse 29 levels 29 levels 30 of 30 of 32 factors 31 risk 32 factors 32 factors 33 at 33 at 35 age 34 mean 35 age 35 age 36 22 in contrast to the standard mets definition [,] the mets cluster score tracked strongly and at mean age 22 was significantly higher in the individuals with mets at mean age 13 ( 0.78 ± 0.71 ) than those without mets at mean age 13 ( 0.09 ± 0.70 , p < 0.0001 ) . 0 ###LEFT-WALL### 2 contrast 0 ###LEFT-WALL### 20 was 1 in 2 contrast 2 contrast 15 and 2 contrast 20 was 3 to 7 definition 3 to 15 and 4 the 7 definition 5 standard 7 definition 6 mets 7 definition 7 definition 12 score 7 definition 13 tracked 9 the 12 score 10 mets 12 score 11 cluster 12 score 12 score 13 tracked 13 tracked 14 strongly 15 and 16 at 16 at 18 age 17 mean 18 age 18 age 19 22 20 was 21 significantly 20 was 22 higher 22 higher 23 in 22 higher 26 with 22 higher 28 at 22 higher 37 than 23 in 25 individuals 24 the 25 individuals 26 with 27 mets 28 at 30 age 29 mean 30 age 30 age 31 13 30 age 34 ± 32 ( 34 ± 33 0.78 34 ± 34 ± 35 0.71 34 ± 36 ) 37 than 38 those 37 than 39 without 39 without 40 mets 40 mets 41 at 40 mets 47 ± 41 at 43 age 42 mean 43 age 43 age 44 13 45 ( 47 ± 46 0.09 47 ± 47 ± 48 0.70 47 ± 51 < 47 ± 54 . 49 , 51 < 50 p 51 < 51 < 52 0.0001 51 < 53 ) conclusions : although the mets at mean age 13 , using the conventional definition , is not a reliable method for predicting the mets at mean age 22 , it does predict adverse levels of cardiovascular risk factors . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 30 it 2 : 32 predict 2 : 39 . 3 although 5 mets 3 although 16 is 3 although 29 , 3 although 30 it 4 the 5 mets 5 mets 6 at 5 mets 11 using 5 mets 16 is 6 at 8 age 7 mean 8 age 8 age 9 13 10 , 11 using 11 using 14 definition 11 using 15 , 12 the 14 definition 13 conventional 14 definition 16 is 17 not 16 is 20 method 18 a 19 reliable 18 a 20 method 19 reliable 20 method 20 method 21 for 21 for 22 predicting 22 predicting 24 mets 22 predicting 25 at 23 the 24 mets 25 at 27 age 26 mean 27 age 27 age 28 22 30 it 31 does 31 does 32 predict 32 predict 34 levels 33 adverse 34 levels 34 levels 35 of 35 of 38 factors 36 cardiovascular 38 factors 37 risk 38 factors a cluster score , using the mets components as continuous variables , is more reliable in predicting young adult risk from late childhood . 0 ###LEFT-WALL### 3 score 0 ###LEFT-WALL### 13 is 0 ###LEFT-WALL### 24 . 1 a 3 score 2 cluster 3 score 3 score 5 using 3 score 13 is 4 , 5 using 5 using 8 components 5 using 9 as 5 using 12 , 6 the 8 components 7 mets 8 components 9 as 11 variables 10 continuous 11 variables 13 is 15 reliable 14 more 15 reliable 15 reliable 16 in 16 in 17 predicting 17 predicting 20 risk 18 young 19 adult 19 adult 20 risk 20 risk 21 from 21 from 23 childhood 22 late 23 childhood none [data] from the advanced cognitive training for independent and vital elderly ( active ) trial ( n = 2,802 ) were analyzed to examine whether word list learning predicts future everyday functioning . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 23 analyzed 0 ###LEFT-WALL### 34 . 1 none 3 from 1 none 10 and 3 from 7 training 4 the 7 training 5 advanced 6 cognitive 6 cognitive 7 training 7 training 8 for 8 for 9 independent 10 and 16 trial 10 and 19 = 10 and 22 were 11 vital 12 elderly 12 elderly 14 active 13 ( 14 active 14 active 15 ) 14 active 16 trial 17 ( 19 = 18 n 19 = 19 = 20 2,802 19 = 21 ) 22 were 23 analyzed 23 analyzed 24 to 24 to 25 examine 25 examine 26 whether 26 whether 29 learning 26 whether 30 predicts 27 word 28 list 28 list 29 learning 29 learning 30 predicts 30 predicts 33 functioning 31 future 33 functioning 32 everyday 33 functioning associations between memory scores and everyday functioning outcomes remained significant across follow - up intervals spanning 5 years . 0 ###LEFT-WALL### 1 associations 0 ###LEFT-WALL### 12 follow 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 19 . 1 associations 2 between 1 associations 5 and 1 associations 11 across 1 associations 12 follow 2 between 3 memory 4 scores 5 and 5 and 8 outcomes 5 and 9 remained 6 everyday 8 outcomes 7 functioning 8 outcomes 9 remained 10 significant 10 significant 11 across 13 - 15 intervals 14 up 15 intervals 15 intervals 16 spanning 16 spanning 18 years 17 5 18 years hvlt total recall [score] was [consistently] the strongest predictor of each functional outcome . 0 ###LEFT-WALL### 3 recall 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 14 . 1 hvlt 3 recall 2 total 3 recall 3 recall 5 was 5 was 9 predictor 7 the 8 strongest 7 the 9 predictor 9 predictor 10 of 10 of 13 outcome 11 each 13 outcome 12 functional 13 outcome results suggest that verbal memory measures are uniquely associated with both current and future functioning and that specific verbal memory tests like the hvlt and avlt have important clinical utility in predicting future functional ability among older adults . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 suggest 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 39 . 1 results 2 suggest 2 suggest 3 that 3 that 6 measures 3 that 15 functioning 4 verbal 5 memory 5 memory 6 measures 6 measures 7 are 7 are 9 associated 8 uniquely 9 associated 9 associated 10 with 10 with 13 and 10 with 15 functioning 11 both 13 and 12 current 13 and 13 and 14 future 16 and 21 tests 16 and 27 have 17 that 18 specific 18 specific 20 memory 19 verbal 20 memory 20 memory 21 tests 21 tests 22 like 21 tests 27 have 22 like 26 avlt 23 the 26 avlt 24 hvlt 25 and 25 and 26 avlt 27 have 30 utility 27 have 31 in 28 important 30 utility 29 clinical 30 utility 31 in 32 predicting 32 predicting 35 ability 33 future 35 ability 34 functional 35 ability 35 ability 36 among 36 among 38 adults 37 older 38 adults objective : to determine the main social , functional and clinical characteristics of community [-] dwelling older outpatients living alone [and] to find correlates of frailty in this population . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 4 determine 0 ###LEFT-WALL### 30 . 1 objective 2 : 2 : 3 to 3 to 4 determine 4 determine 10 and 4 determine 27 in 5 the 6 main 5 the 7 social 7 social 8 , 8 , 9 functional 8 , 10 and 10 and 12 characteristics 10 and 13 of 10 and 22 to 10 and 24 correlates 10 and 25 of 11 clinical 12 characteristics 13 of 18 outpatients 14 community 16 dwelling 16 dwelling 18 outpatients 17 older 18 outpatients 18 outpatients 19 living 20 alone 22 to 22 to 23 find 23 find 24 correlates 25 of 26 frailty 27 in 29 population 28 this 29 population method : cross - sectional survey [of] 302 community - dwelling outpatients aged 65+ ( median age 82 years ) consecutively referred to a geriatric medicine clinic in italy from june to november 2009 . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 3 cross 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 22 referred 0 ###LEFT-WALL### 35 . 1 method 2 : 2 : 3 cross 4 - 9 community 4 - 10 - 5 sectional 6 survey 6 survey 9 community 8 302 9 community 10 - 12 outpatients 11 dwelling 12 outpatients 12 outpatients 14 65+ 12 outpatients 22 referred 13 aged 14 65+ 14 65+ 19 years 14 65+ 22 referred 15 ( 19 years 16 median 17 age 17 age 19 years 18 82 19 years 19 years 20 ) 21 consecutively 22 referred 22 referred 23 to 22 referred 28 in 23 to 27 clinic 24 a 25 geriatric 24 a 27 clinic 25 geriatric 26 medicine 26 medicine 27 clinic 28 in 29 italy 29 italy 30 from 29 italy 32 to 30 from 31 june 32 to 33 november 33 november 34 2009 participants underwent a comprehensive geriatric assessment including frailty status evaluated by means of the study of osteoporotic fractures ( sof ) [criteria] . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 underwent 0 ###LEFT-WALL### 23 . 1 participants 2 underwent 2 underwent 6 assessment 3 a 6 assessment 4 comprehensive 6 assessment 5 geriatric 6 assessment 6 assessment 7 including 6 assessment 10 evaluated 6 assessment 16 of 7 including 9 status 8 frailty 9 status 10 evaluated 11 by 11 by 12 means 12 means 13 of 13 of 15 study 14 the 15 study 16 of 18 fractures 17 osteoporotic 18 fractures 18 fractures 20 sof 19 ( 20 sof 20 sof 21 ) student 's [t] [-] test and the chi - squared test were used to compare subjects ' living alone ['] and ['] not living alone ['] as well as ['] frail ['] and ['] not frail ['] subjects among the participants living alone . 0 ###LEFT-WALL### 6 and 1 student 2 's 2 's 5 test 5 test 6 and 6 and 8 chi 6 and 9 - 6 and 11 test 6 and 12 were 6 and 13 used 6 and 18 living 7 the 8 chi 10 squared 11 test 11 test 12 were 13 used 14 to 13 used 15 compare 14 to 15 compare 15 compare 17 ' 16 subjects 17 ' 18 living 21 and 18 living 28 well 18 living 29 as 19 alone 21 and 21 and 23 not 21 and 25 alone 23 not 24 living 27 as 28 well 29 as 33 and 31 frail 33 and 33 and 35 not 33 and 38 subjects 33 and 44 . 35 not 36 frail 36 frail 38 subjects 38 subjects 39 among 39 among 41 participants 40 the 41 participants 41 participants 42 living 42 living 43 alone multiple logistic regression analyses were performed to find independent correlates [of] frailty among participants living alone . 0 ###LEFT-WALL### 3 regression 0 ###LEFT-WALL### 10 correlates 0 ###LEFT-WALL### 17 . 1 multiple 3 regression 2 logistic 3 regression 3 regression 4 analyses 3 regression 8 find 3 regression 10 correlates 4 analyses 5 were 5 were 6 performed 6 performed 7 to 7 to 8 find 8 find 9 independent 10 correlates 12 frailty 10 correlates 13 among 10 correlates 16 alone 13 among 14 participants 14 participants 15 living results : participants ' living alone ['] were 124 ( 41 % ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 living 2 : 8 were 2 : 14 . 3 participants 4 ' 4 ' 5 living 5 living 8 were 6 alone 8 were 8 were 9 124 9 124 12 % 10 ( 12 % 11 41 12 % 12 % 13 ) compared to subjects ' [not] living alone ['] ( n = 178 ) , they were older , received less assistance from informal and formal caregivers , had poorer living and financial conditions , a better cognitive status and functional self - sufficiency but [a] worse emotional status . 0 ###LEFT-WALL### 15 they 0 ###LEFT-WALL### 16 were 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 28 had 0 ###LEFT-WALL### 49 . 1 compared 2 to 1 compared 14 , 1 compared 15 they 2 to 6 living 3 subjects 4 ' 4 ' 6 living 6 living 7 alone 6 living 11 = 9 ( 11 = 10 n 11 = 11 = 12 178 11 = 13 ) 15 they 16 were 16 were 17 older 18 , 27 , 19 received 21 assistance 19 received 22 from 19 received 27 , 20 less 21 assistance 22 from 26 caregivers 23 informal 24 and 24 and 25 formal 24 and 26 caregivers 27 , 28 had 28 had 31 and 29 poorer 30 living 30 living 31 and 31 and 48 status 32 financial 33 conditions 33 conditions 34 , 34 , 43 sufficiency 34 , 44 but 35 a 43 sufficiency 36 better 38 status 37 cognitive 38 status 38 status 39 and 39 and 41 self 39 and 42 - 39 and 43 sufficiency 40 functional 41 self 44 but 46 worse 44 but 48 status 47 emotional 48 status one [-] third of them ( n = 41 ) were frail . 0 ###LEFT-WALL### 3 third 0 ###LEFT-WALL### 11 were 0 ###LEFT-WALL### 13 . 1 one 3 third 3 third 4 of 3 third 8 = 3 third 11 were 4 of 5 them 6 ( 8 = 7 n 8 = 8 = 9 41 8 = 10 ) 11 were 12 frail among frail elders ( n = 116 ) , subjects living alone also showed a higher prevalence of unexpected new diagnoses of dementia than those not living alone . 0 ###LEFT-WALL### 10 subjects 0 ###LEFT-WALL### 14 showed 0 ###LEFT-WALL### 29 . 1 among 3 elders 1 among 9 , 1 among 10 subjects 2 frail 3 elders 3 elders 6 = 4 ( 6 = 5 n 6 = 6 = 7 116 6 = 8 ) 10 subjects 11 living 10 subjects 14 showed 11 living 12 alone 13 also 14 showed 14 showed 17 prevalence 14 showed 24 than 15 a 17 prevalence 16 higher 17 prevalence 17 prevalence 18 of 18 of 21 diagnoses 19 unexpected 21 diagnoses 20 new 21 diagnoses 21 diagnoses 22 of 22 of 23 dementia 24 than 25 those 25 those 26 not 26 not 27 living 27 living 28 alone independent [correlates] of frailty among participants living alone were : having experienced a severe acute disease in the past year [(] odds ratio [[] or []] [303.9] [;] 95 [%] [confidence] [interval] [ ci []] 13 - 7091 [;] p < 0.001 [ )( dependence in the bathing badl ability ( or 62.74 [;] 95 % ci 12.17 - 323.32 [;] p < 0.001 [ )(, depression [(] or 10.43 [;] 95 % ci 2.31 - 47.13 [;] p = 0.002 [ )( incontinence ( or 3.98 [;] 95 % ci 1.01 - 15.66 [;] p = 0.048 ) . 0 ###LEFT-WALL### 1 independent 0 ###LEFT-WALL### 10 : 1 independent 3 of 1 independent 10 : 3 of 4 frailty 4 frailty 5 among 5 among 6 participants 6 participants 7 living 6 participants 9 were 7 living 8 alone 7 living 9 were 10 : 11 having 11 having 12 experienced 12 experienced 16 disease 13 a 16 disease 14 severe 16 disease 15 acute 16 disease 16 disease 17 in 17 in 25 or 18 the 23 ratio 19 past 22 odds 20 year 22 odds 22 odds 23 ratio 23 ratio 25 or 25 or 29 95 25 or 37 - 33 [ 37 - 34 ci 36 13 34 ci 37 - 37 - 38 7091 38 7091 41 < 40 p 41 < 41 < 45 dependence 42 0.001 45 dependence 45 dependence 46 in 46 in 50 ability 47 the 50 ability 48 bathing 50 ability 49 badl 50 ability 50 ability 59 - 51 ( 59 - 52 or 57 ci 53 62.74 57 ci 55 95 57 ci 56 % 57 ci 57 ci 58 12.17 57 ci 59 - 59 - 60 323.32 60 323.32 63 < 62 p 63 < 63 < 64 0.001 64 0.001 76 - 66 )(, 76 - 67 depression 74 ci 69 or 70 10.43 69 or 74 ci 72 95 74 ci 73 % 74 ci 74 ci 75 2.31 74 ci 76 - 76 - 77 47.13 77 47.13 80 = 79 p 80 = 80 = 84 incontinence 81 0.002 84 incontinence 84 incontinence 91 ci 84 incontinence 94 15.66 85 ( 91 ci 86 or 87 3.98 86 or 91 ci 89 95 91 ci 90 % 91 ci 91 ci 92 1.01 91 ci 93 - 93 - 94 15.66 94 15.66 97 = 94 15.66 100 . 96 p 97 = 97 = 98 0.048 97 = 99 ) conclusion : in older outpatients living alone , including those who were frail , we found a lower availability of personal assistance , significantly more social and financial vulnerability and a higher risk of depression . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 36 . 1 conclusion 2 : 2 : 3 in 2 : 7 alone 3 in 5 outpatients 4 older 5 outpatients 5 outpatients 6 living 7 alone 9 including 8 , 9 including 9 including 10 those 9 including 14 , 10 those 11 who 10 those 12 were 11 who 12 were 12 were 13 frail 14 , 15 we 14 , 16 found 14 , 23 , 15 we 16 found 16 found 19 availability 17 a 19 availability 18 lower 19 availability 19 availability 20 of 20 of 22 assistance 21 personal 22 assistance 23 , 30 and 24 significantly 25 more 25 more 29 vulnerability 26 social 27 and 27 and 28 financial 27 and 29 vulnerability 29 vulnerability 30 and 30 and 33 risk 30 and 34 of 31 a 33 risk 32 higher 33 risk 34 of 35 depression in frail elders there was also a higher prevalence of underdiagnosed dementia . 0 ###LEFT-WALL### 4 there 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 13 . 1 in 3 elders 1 in 4 there 2 frail 3 elders 4 there 5 was 5 was 6 also 5 was 9 prevalence 7 a 9 prevalence 8 higher 9 prevalence 9 prevalence 10 of 10 of 12 dementia 11 underdiagnosed 12 dementia in order to better recognise frail subjects in this specific population , four [independent] [correlates] of frailty were identified . 0 ###LEFT-WALL### 13 four 0 ###LEFT-WALL### 20 . 1 in 2 order 1 in 12 , 1 in 13 four 2 order 3 to 2 order 5 recognise 3 to 5 recognise 4 better 5 recognise 5 recognise 7 subjects 6 frail 7 subjects 7 subjects 8 in 8 in 11 population 9 this 11 population 10 specific 11 population 13 four 16 of 13 four 18 were 16 of 17 frailty 18 were 19 identified older adults have a disproportionally high rate of completed suicide as compared to the general population . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 3 have 0 ###LEFT-WALL### 17 . 1 older 2 adults 2 adults 3 have 3 have 7 rate 3 have 13 to 4 a 5 disproportionally 4 a 7 rate 5 disproportionally 6 high 6 high 7 rate 7 rate 8 of 8 of 10 suicide 9 completed 10 suicide 10 suicide 12 compared 11 as 12 compared 13 to 16 population 14 the 16 population 15 general 16 population whereas a large literature has focused on risk factors related to elder suicide , limited research exists on relationships between coping strategies with protective factors against suicide and suicidal ideation in this population . 0 ###LEFT-WALL### 16 research 0 ###LEFT-WALL### 17 exists 0 ###LEFT-WALL### 34 . 1 whereas 13 suicide 1 whereas 14 , 1 whereas 16 research 2 a 3 large 2 a 13 suicide 3 large 4 literature 4 literature 5 has 5 has 6 focused 6 focused 7 on 7 on 8 risk 8 risk 9 factors 8 risk 11 to 9 factors 10 related 10 related 11 to 12 elder 13 suicide 15 limited 16 research 16 research 17 exists 17 exists 18 on 17 exists 20 between 17 exists 26 against 17 exists 31 in 18 on 19 relationships 20 between 22 strategies 21 coping 22 strategies 22 strategies 23 with 23 with 25 factors 24 protective 25 factors 26 against 28 and 27 suicide 28 and 28 and 30 ideation 29 suicidal 30 ideation 31 in 33 population 32 this 33 population community - dwelling older adults ( n = 108 , mean age = 71.5 years , age range = 60 - 95 years ) completed the coping orientations to problems experienced scale , reasons for living inventory , and geriatric suicide ideation scale ( gsis ) . 0 ###LEFT-WALL### 5 adults 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 47 . 1 community 2 - 1 community 5 adults 3 dwelling 5 adults 4 older 5 adults 5 adults 8 = 5 adults 16 , 6 ( 8 = 7 n 8 = 8 = 9 108 8 = 10 , 11 mean 12 age 11 mean 13 = 11 mean 16 , 12 age 13 = 13 = 15 years 14 71.5 15 years 16 , 17 age 17 age 18 range 18 range 20 60 18 range 25 completed 18 range 34 reasons 19 = 20 60 20 60 23 years 20 60 25 completed 21 - 23 years 22 95 23 years 23 years 24 ) 25 completed 27 coping 26 the 27 coping 27 coping 28 orientations 27 coping 32 scale 28 orientations 29 to 28 orientations 32 scale 29 to 31 experienced 30 problems 31 experienced 33 , 34 reasons 34 reasons 35 for 34 reasons 46 ) 35 for 39 and 36 living 37 inventory 37 inventory 39 and 38 , 39 and 39 and 45 gsis 40 geriatric 41 suicide 41 suicide 42 ideation 42 ideation 43 scale 43 scale 45 gsis 44 ( 45 gsis 45 gsis 46 ) problem - and emotion - focused coping were associated positively with reasons for living and negatively [with] suicide ideation . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 20 . 1 problem 3 and 2 - 3 and 3 and 4 emotion 3 and 5 - 3 and 6 focused 3 and 7 coping 3 and 15 and 8 were 9 associated 8 were 15 and 9 associated 10 positively 9 associated 11 with 9 associated 13 for 11 with 12 reasons 13 for 14 living 15 and 18 suicide 15 and 19 ideation 16 negatively 18 suicide dysfunctional coping was associated positively with suicide ideation , but results did not support the hypothesized negative relationship with reasons for living . 0 ###LEFT-WALL### 1 dysfunctional 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 10 but 0 ###LEFT-WALL### 23 . 1 dysfunctional 2 coping 1 dysfunctional 3 was 3 was 4 associated 4 associated 5 positively 4 associated 6 with 6 with 8 ideation 7 suicide 8 ideation 9 , 10 but 10 but 11 results 10 but 14 support 11 results 12 did 12 did 13 not 12 did 14 support 14 support 18 relationship 14 support 19 with 14 support 21 for 15 the 18 relationship 16 hypothesized 18 relationship 17 negative 18 relationship 19 with 20 reasons 21 for 22 living thus , problem - and emotion - focused coping appear to be adaptive , whereas dysfunctional coping appears to be somewhat less related to resilience to suicidal ideation among community [-] dwelling older adults . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 10 appear 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 35 . 1 thus 2 , 1 thus 5 and 3 problem 5 and 4 - 5 and 5 and 6 emotion 5 and 7 - 5 and 8 focused 5 and 9 coping 5 and 10 appear 10 appear 11 to 10 appear 12 be 11 to 12 be 12 be 13 adaptive 14 , 22 less 14 , 23 related 15 whereas 17 coping 15 whereas 18 appears 15 whereas 22 less 16 dysfunctional 17 coping 17 coping 18 appears 18 appears 19 to 18 appears 20 be 19 to 20 be 21 somewhat 22 less 22 less 23 related 23 related 24 to 23 related 29 among 24 to 25 resilience 25 resilience 26 to 26 to 28 ideation 27 suicidal 28 ideation 29 among 34 adults 30 community 32 dwelling 32 dwelling 34 adults 33 older 34 adults implications of the study are that some coping strategies may serve as protective factors against suicide and that coping strategies should be evaluated as part of a thorough assessment of suicidal risk among older adults . 0 ###LEFT-WALL### 1 implications 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 36 . 1 implications 2 of 1 implications 5 are 2 of 4 study 3 the 4 study 5 are 6 that 6 that 9 strategies 6 that 11 serve 7 some 9 strategies 8 coping 9 strategies 9 strategies 10 may 10 may 11 serve 11 serve 12 as 11 serve 15 against 12 as 14 factors 13 protective 14 factors 15 against 16 suicide 17 and 20 strategies 17 and 23 evaluated 18 that 19 coping 19 coping 20 strategies 20 strategies 21 should 21 should 22 be 22 be 23 evaluated 23 evaluated 24 as 24 as 25 part 25 part 26 of 26 of 29 assessment 27 a 28 thorough 27 a 29 assessment 28 thorough 29 assessment 29 assessment 30 of 30 of 32 risk 31 suicidal 32 risk 32 risk 33 among 33 among 35 adults 34 older 35 adults the results also provide some evidence of convergent validity for the recently developed gsis . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 4 provide 0 ###LEFT-WALL### 15 . 1 the 2 results 2 results 4 provide 3 also 4 provide 4 provide 6 evidence 5 some 6 evidence 6 evidence 7 of 7 of 9 validity 8 convergent 9 validity 9 validity 10 for 10 for 14 gsis 11 the 14 gsis 12 recently 13 developed 13 developed 14 gsis objectives : older adults are a population vulnerable to the effects of alcohol , medication - [to] - alcohol interactions , and combining multiple medications . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 4 adults 2 : 5 are 2 : 18 - 2 : 26 . 3 older 4 adults 4 adults 5 are 5 are 7 population 6 a 7 population 7 population 8 vulnerable 7 population 12 of 8 vulnerable 9 to 9 to 11 effects 10 the 11 effects 12 of 13 alcohol 13 alcohol 15 medication 14 , 15 medication 15 medication 16 - 18 - 22 and 19 alcohol 20 interactions 20 interactions 22 and 21 , 22 and 22 and 25 medications 23 combining 25 medications 24 multiple 25 medications this study examines the effectiveness of a prevention program to increase older adults ' knowledge about these risks . 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 effectiveness 3 examines 10 to 4 the 5 effectiveness 5 effectiveness 6 of 6 of 9 program 7 a 8 prevention 7 a 9 program 8 prevention 9 program 10 to 11 increase 11 increase 15 knowledge 11 increase 16 about 12 older 13 adults 13 adults 14 ' 14 ' 15 knowledge 16 about 18 risks 17 these 18 risks methods : older adults ( n = 348 ) were asked to participate in a prevention program and to take a pre - and post - test measuring knowledge about the risks of taking multiple medications and of alcohol use as one ages [,] before and after participation . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 49 . 2 : 4 adults 2 : 18 and 2 : 37 and 3 older 4 adults 4 adults 7 = 4 adults 18 and 5 ( 7 = 6 n 7 = 7 = 8 348 7 = 9 ) 10 were 11 asked 10 were 18 and 11 asked 12 to 11 asked 13 participate 12 to 13 participate 13 participate 14 in 14 in 17 program 15 a 16 prevention 15 a 17 program 16 prevention 17 program 18 and 19 to 18 and 27 test 18 and 30 about 19 to 20 take 20 take 24 and 21 a 22 pre 22 pre 24 and 23 - 24 and 24 and 25 post 24 and 26 - 27 test 29 knowledge 28 measuring 29 knowledge 30 about 32 risks 31 the 32 risks 32 risks 33 of 33 of 34 taking 34 taking 36 medications 35 multiple 36 medications 37 and 40 use 37 and 43 ages 38 of 39 alcohol 38 of 40 use 40 use 41 as 40 use 43 ages 41 as 42 one 43 ages 46 and 45 before 46 and 46 and 47 after 47 after 48 participation a subsample of the group ( n = 60 ) was followed at 30 days after participation in the program and asked to complete a survey on how the program affected their attitudes and choices regarding their medications and alcohol use . 0 ###LEFT-WALL### 2 subsample 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 42 . 1 a 2 subsample 2 subsample 3 of 2 subsample 8 = 2 subsample 11 was 3 of 5 group 4 the 5 group 6 ( 8 = 7 n 8 = 8 = 9 60 8 = 10 ) 11 was 21 and 12 followed 13 at 12 followed 16 after 12 followed 18 in 12 followed 21 and 13 at 15 days 14 30 15 days 16 after 17 participation 18 in 20 program 19 the 20 program 21 and 22 asked 22 asked 23 to 22 asked 27 on 23 to 24 complete 24 complete 26 survey 25 a 26 survey 27 on 28 how 28 how 30 program 28 how 31 affected 29 the 30 program 30 program 31 affected 31 affected 39 and 32 their 39 and 33 attitudes 34 and 34 and 35 choices 34 and 36 regarding 34 and 39 and 36 regarding 38 medications 37 their 38 medications 39 and 41 use 40 alcohol 41 use results : results show a significant increase in knowledge about older adults ' risks related to their medication and alcohol use from pre - to post - test . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 3 results 2 : 4 show 2 : 15 related 2 : 27 - 3 results 4 show 4 show 7 increase 4 show 15 related 5 a 7 increase 6 significant 7 increase 7 increase 8 in 7 increase 15 related 8 in 9 knowledge 9 knowledge 10 about 10 about 14 risks 11 older 12 adults 12 adults 13 ' 13 ' 14 risks 15 related 16 to 15 related 22 from 15 related 25 to 15 related 27 - 16 to 19 and 17 their 18 medication 18 medication 19 and 19 and 21 use 20 alcohol 21 use 22 from 23 pre 24 - 25 to 25 to 26 post 25 to 27 - 27 - 28 test the group sampled at 30 days after program participation showed that the majority either agreed or strongly agreed that their attitudes had changed toward more awareness and increased understanding of the importance of knowing their risks related to medication use , medication interactions , multiple medications or polypharmacy , and alcohol . 0 ###LEFT-WALL### 27 and 0 ###LEFT-WALL### 37 related 0 ###LEFT-WALL### 52 . 1 the 2 group 2 group 3 sampled 2 group 27 and 3 sampled 4 at 4 at 6 days 5 30 6 days 6 days 13 majority 6 days 16 or 7 after 9 participation 7 after 10 showed 7 after 13 majority 8 program 9 participation 9 participation 10 showed 10 showed 11 that 12 the 13 majority 13 majority 16 or 14 either 15 agreed 15 agreed 16 or 16 or 18 agreed 16 or 24 toward 17 strongly 18 agreed 18 agreed 19 that 19 that 21 attitudes 19 that 23 changed 20 their 21 attitudes 21 attitudes 22 had 22 had 23 changed 24 toward 26 awareness 25 more 26 awareness 27 and 29 understanding 28 increased 29 understanding 29 understanding 30 of 30 of 32 importance 31 the 32 importance 32 importance 33 of 33 of 34 knowing 34 knowing 36 risks 34 knowing 37 related 35 their 36 risks 36 risks 37 related 37 related 38 to 38 to 50 and 39 medication 40 use 40 use 41 , 41 , 43 interactions 41 , 44 , 42 medication 43 interactions 44 , 46 medications 44 , 47 or 45 multiple 46 medications 47 or 48 polypharmacy 47 or 50 and 49 , 50 and 50 and 51 alcohol conclusion : as a result of this intervention , older adults gained knowledge about their own risks related to medication use , medication interactions , multiple medications or polypharmacy , and alcohol use . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 2 : 11 adults 2 : 12 gained 2 : 22 , 2 : 25 , 3 as 5 result 3 as 11 adults 4 a 5 result 6 of 8 intervention 6 of 9 , 6 of 11 adults 7 this 8 intervention 10 older 11 adults 11 adults 12 gained 12 gained 13 knowledge 12 gained 14 about 12 gained 19 to 14 about 17 risks 15 their 16 own 15 their 17 risks 17 risks 18 related 19 to 21 use 20 medication 21 use 22 , 24 interactions 23 medication 24 interactions 25 , 31 and 26 multiple 27 medications 27 medications 28 or 28 or 29 polypharmacy 28 or 31 and 30 , 31 and 31 and 33 use 32 alcohol 33 use further research is needed to replicate these findings and to determine how prevention education can reduce these risks for older adults . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 22 . 1 further 2 research 2 research 3 is 3 is 9 and 4 needed 5 to 4 needed 6 replicate 4 needed 9 and 5 to 6 replicate 6 replicate 8 findings 7 these 8 findings 9 and 10 to 9 and 11 determine 10 to 11 determine 11 determine 12 how 12 how 14 education 12 how 16 reduce 13 prevention 14 education 14 education 15 can 15 can 16 reduce 16 reduce 18 risks 17 these 18 risks 18 risks 19 for 19 for 21 adults 20 older 21 adults objectives : psychosocial stressors faced by patients with fragile [x] - associated tremor/ataxia [syndrome] ( fxtas ) and their caregivers have not been systematically explored . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 18 and 2 : 25 explored 2 : 26 . 3 psychosocial 4 stressors 4 stressors 5 faced 4 stressors 18 and 5 faced 6 by 5 faced 8 with 6 by 7 patients 8 with 13 tremor/ataxia 9 fragile 11 - 9 fragile 13 tremor/ataxia 12 associated 13 tremor/ataxia 13 tremor/ataxia 16 fxtas 15 ( 16 fxtas 16 fxtas 17 ) 18 and 20 caregivers 18 and 21 have 19 their 20 caregivers 21 have 22 not 21 have 23 been 23 been 25 explored 24 systematically 25 explored fxtas is a neurodegenerative disease occurring in approximately 45 % of elderly male carriers and 8 - 16 % [of] female carriers of the fragile [x] mental retardation one premutation . 0 ###LEFT-WALL### 1 fxtas 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 31 . 1 fxtas 2 is 2 is 5 disease 2 is 30 premutation 3 a 4 neurodegenerative 3 a 5 disease 4 neurodegenerative 5 disease 5 disease 6 occurring 5 disease 11 of 6 occurring 7 in 7 in 10 % 8 approximately 9 45 9 45 10 % 11 of 15 and 12 elderly 14 carriers 13 male 14 carriers 14 carriers 15 and 15 and 22 carriers 15 and 23 of 16 8 17 - 17 - 18 16 17 - 22 carriers 19 % 22 carriers 21 female 22 carriers 23 of 28 retardation 24 the 28 retardation 25 fragile 28 retardation 27 mental 28 retardation 29 one 30 premutation this study investigated the subjective needs of patients with fxtas and their family caregivers , by utilizing q - sort methodology . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 investigated 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 22 . 1 this 2 study 2 study 3 investigated 3 investigated 6 needs 3 investigated 9 with 4 the 6 needs 5 subjective 6 needs 6 needs 7 of 7 of 8 patients 9 with 10 fxtas 11 and 14 caregivers 11 and 20 sort 12 their 14 caregivers 13 family 14 caregivers 14 caregivers 16 by 14 caregivers 20 sort 15 , 16 by 16 by 17 utilizing 16 by 19 - 17 utilizing 18 q 20 sort 21 methodology method : patients with fxtas and their caregivers seen during january 2005 to june 2007 participated . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 17 . 1 method 2 : 2 : 3 patients 3 patients 4 with 4 with 5 fxtas 6 and 8 caregivers 6 and 16 participated 7 their 8 caregivers 8 caregivers 9 seen 8 caregivers 16 participated 9 seen 10 during 9 seen 13 to 10 during 11 january 11 january 12 2005 13 to 14 june 14 june 15 2007 the [q] [-] sort was composed of 17 ( eight formal and nine informal ) items , designed to explore emotional , informational , and instrumental needs of patients with fxtas and their caregivers . 0 ###LEFT-WALL### 4 sort 0 ###LEFT-WALL### 7 of 1 the 4 sort 4 sort 5 was 5 was 7 of 6 composed 7 of 7 of 8 17 8 17 10 eight 9 ( 10 eight 10 eight 12 and 10 eight 18 designed 10 eight 35 . 11 formal 12 and 12 and 16 items 12 and 17 , 12 and 18 designed 13 nine 16 items 14 informal 15 ) 14 informal 16 items 18 designed 19 to 18 designed 30 with 19 to 20 explore 20 explore 27 needs 21 emotional 22 , 21 emotional 27 needs 23 informational 25 and 24 , 25 and 25 and 26 instrumental 25 and 27 needs 27 needs 28 of 28 of 29 patients 30 with 32 and 31 fxtas 32 and 32 and 34 caregivers 33 their 34 caregivers item scores were generated from 1 [=] least important to 7 = most important . 0 ###LEFT-WALL### 1 item 0 ###LEFT-WALL### 12 = 0 ###LEFT-WALL### 15 . 1 item 2 scores 1 item 3 were 1 item 4 generated 1 item 12 = 2 scores 3 were 4 generated 5 from 5 from 6 1 6 1 9 important 8 least 9 important 9 important 10 to 10 to 11 7 12 = 14 important 13 most 14 important analysis included descriptive statistics for all the demographic and outcome variables . 0 ###LEFT-WALL### 1 analysis 0 ###LEFT-WALL### 2 included 0 ###LEFT-WALL### 12 . 1 analysis 2 included 2 included 4 statistics 3 descriptive 4 statistics 4 statistics 5 for 5 for 6 all 6 all 7 the 6 all 9 and 7 the 8 demographic 8 demographic 9 and 9 and 11 variables 10 outcome 11 variables generalized estimating equations were used to identify [which] of the need domains were perceived as most important by the participants . 0 ###LEFT-WALL### 2 estimating 0 ###LEFT-WALL### 14 perceived 0 ###LEFT-WALL### 21 . 1 generalized 2 estimating 2 estimating 3 equations 2 estimating 7 identify 2 estimating 9 of 2 estimating 13 were 3 equations 4 were 4 were 5 used 5 used 6 to 5 used 7 identify 6 to 7 identify 9 of 12 domains 10 the 12 domains 11 need 12 domains 13 were 14 perceived 14 perceived 15 as 15 as 16 most 16 most 17 important 17 important 18 by 18 by 20 participants 19 the 20 participants