blood and lymphatic vessels were highlighted by ulex europaeus agglutinin - 1 and human podoplanin immunoreactivities , respectively . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 6 highlighted 0 ###LEFT-WALL### 11 - 1 blood 2 and 2 and 4 vessels 2 and 5 were 3 lymphatic 4 vessels 5 were 6 highlighted 6 highlighted 7 by 7 by 10 agglutinin 8 ulex 10 agglutinin 9 europaeus 10 agglutinin 11 - 12 1 11 - 13 and 13 and 15 podoplanin 13 and 16 immunoreactivities 14 human 15 podoplanin 15 podoplanin 16 immunoreactivities 16 immunoreactivities 18 respectively 17 , 18 respectively 18 respectively 19 . actinic [elastosis] was identified by the lysozyme coating of elastic fibres . 0 ###LEFT-WALL### 1 actinic 0 ###LEFT-WALL### 4 identified 0 ###LEFT-WALL### 12 . 1 actinic 3 was 3 was 4 identified 4 identified 5 by 5 by 8 coating 6 the 8 coating 7 lysozyme 8 coating 8 coating 9 of 9 of 11 fibres 10 elastic 11 fibres the epidermis was explored using the cd44 variant 3 and ki67 immunolabellings . 0 ###LEFT-WALL### 2 epidermis 0 ###LEFT-WALL### 4 explored 0 ###LEFT-WALL### 13 . 1 the 2 epidermis 2 epidermis 3 was 3 was 4 explored 4 explored 5 using 5 using 12 immunolabellings 6 the 12 immunolabellings 7 cd44 12 immunolabellings 8 variant 9 3 8 variant 10 and 10 and 11 ki67 10 and 12 immunolabellings biplot analyses were performed . 0 ###LEFT-WALL### 2 analyses 0 ###LEFT-WALL### 4 performed 0 ###LEFT-WALL### 5 . 1 biplot 2 analyses 2 analyses 3 were 3 were 4 performed immunohistochemistry revealed a prominent gender effect in young adults . 0 ###LEFT-WALL### 1 immunohistochemistry 0 ###LEFT-WALL### 2 revealed 0 ###LEFT-WALL### 10 . 1 immunohistochemistry 2 revealed 2 revealed 6 effect 2 revealed 7 in 3 a 4 prominent 3 a 6 effect 4 prominent 5 gender 5 gender 6 effect 7 in 9 adults 8 young 9 adults both factor xiiia+ dermal dendrocytes and the microvasculature size decreased with scalp ageing . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 14 . 1 both 5 dendrocytes 2 factor 5 dendrocytes 3 xiiia+ 5 dendrocytes 4 dermal 5 dendrocytes 5 dendrocytes 6 and 6 and 9 size 6 and 10 decreased 7 the 9 size 8 microvasculature 9 size 10 decreased 11 with 11 with 13 ageing 12 scalp 13 ageing alopecia changes mimicked stress - induced premature senescence . 0 ###LEFT-WALL### 1 alopecia 0 ###LEFT-WALL### 2 changes 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 9 . 1 alopecia 2 changes 2 changes 4 stress 3 mimicked 4 stress 5 - 8 senescence 6 induced 8 senescence 7 premature 8 senescence aging is associated with a tissue degeneration phenotype marked by a loss of tissue regenerative capacity . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 3 associated 0 ###LEFT-WALL### 17 . 1 aging 2 is 2 is 3 associated 3 associated 4 with 4 with 8 phenotype 5 a 6 tissue 5 a 8 phenotype 6 tissue 8 phenotype 7 degeneration 8 phenotype 8 phenotype 9 marked 9 marked 10 by 10 by 12 loss 11 a 12 loss 12 loss 13 of 13 of 16 capacity 14 tissue 16 capacity 15 regenerative 16 capacity regenerative capacity is dictated by environmental and genetic factors that govern the balance between damage and repair . 0 ###LEFT-WALL### 2 capacity 0 ###LEFT-WALL### 4 dictated 0 ###LEFT-WALL### 18 . 1 regenerative 2 capacity 2 capacity 3 is 3 is 4 dictated 4 dictated 5 by 4 dictated 14 between 5 by 9 factors 6 environmental 7 and 7 and 8 genetic 7 and 9 factors 9 factors 10 that 9 factors 11 govern 10 that 11 govern 11 govern 13 balance 12 the 13 balance 14 between 16 and 15 damage 16 and 16 and 17 repair the age - associated changes in the ability of tissues to replace lost or damaged cells is [partly] the cause of many age - related diseases such as alzheimer 's disease , cardiovascular disease , type ii diabetes , and sarcopenia . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 25 related 0 ###LEFT-WALL### 35 , 0 ###LEFT-WALL### 42 . 1 the 2 age 2 age 14 or 2 age 25 related 3 - 14 or 4 associated 5 changes 5 changes 6 in 5 changes 14 or 6 in 8 ability 7 the 8 ability 8 ability 9 of 8 ability 13 lost 9 of 10 tissues 10 tissues 11 to 10 tissues 12 replace 11 to 12 replace 14 or 16 cells 14 or 17 is 14 or 23 age 14 or 24 - 15 damaged 16 cells 17 is 20 cause 17 is 23 age 19 the 20 cause 20 cause 21 of 21 of 22 many 25 related 26 diseases 26 diseases 28 as 26 diseases 34 disease 27 such 28 as 28 as 31 disease 29 alzheimer 30 's 30 's 31 disease 32 , 34 disease 33 cardiovascular 34 disease 34 disease 35 , 35 , 36 type 36 type 37 ii 36 type 40 and 38 diabetes 40 and 39 , 40 and 40 and 41 sarcopenia a well [-] established marker of the aging process is the length of the protective cap at the ends of chromosomes , called telomeres . 0 ###LEFT-WALL### 5 marker 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 25 . 1 a 5 marker 2 well 4 established 4 established 5 marker 5 marker 6 of 5 marker 22 , 6 of 9 process 7 the 9 process 8 aging 9 process 10 is 12 length 10 is 22 , 11 the 12 length 12 length 13 of 13 of 16 cap 14 the 16 cap 15 protective 16 cap 16 cap 17 at 16 cap 20 of 17 at 19 ends 18 the 19 ends 20 of 21 chromosomes 22 , 23 called 22 , 24 telomeres telomeres shorten with each cell division and with increasing chronological age and short telomeres have been associated with a range of age - related diseases . 0 ###LEFT-WALL### 1 telomeres 0 ###LEFT-WALL### 2 shorten 0 ###LEFT-WALL### 12 and 1 telomeres 2 shorten 2 shorten 7 and 3 with 6 division 3 with 7 and 4 each 6 division 5 cell 6 division 7 and 8 with 8 with 9 increasing 9 increasing 11 age 10 chronological 11 age 12 and 14 telomeres 12 and 17 associated 13 short 14 telomeres 14 telomeres 15 have 15 have 16 been 16 been 17 associated 17 associated 18 with 18 with 20 range 19 a 20 range 20 range 21 of 21 of 22 age 22 age 25 diseases 23 - 25 diseases 24 related 25 diseases 25 diseases 26 . several studies have shown that chronic exposure to exercise ( i.e [.] , exercise training ) is associated with telomere length maintenance ; however , recent evidence points out several controversial issues concerning tissue - specific telomere length responses . 0 ###LEFT-WALL### 1 several 0 ###LEFT-WALL### 23 ; 0 ###LEFT-WALL### 40 . 1 several 2 studies 1 several 4 shown 1 several 18 associated 2 studies 3 have 3 have 4 shown 4 shown 5 that 5 that 7 exposure 5 that 17 is 6 chronic 7 exposure 7 exposure 8 to 7 exposure 17 is 8 to 9 exercise 9 exercise 11 i.e 10 ( 11 i.e 11 i.e 15 training 11 i.e 16 ) 13 , 15 training 14 exercise 15 training 15 training 16 ) 18 associated 19 with 18 associated 22 maintenance 19 with 21 length 20 telomere 21 length 23 ; 27 evidence 23 ; 28 points 23 ; 35 - 24 however 25 , 24 however 27 evidence 26 recent 27 evidence 27 evidence 28 points 28 points 29 out 28 points 34 tissue 30 several 34 tissue 31 controversial 34 tissue 32 issues 34 tissue 33 concerning 34 tissue 35 - 39 responses 36 specific 39 responses 37 telomere 39 responses 38 length 39 responses the goals of the review are to familiarize the reader with the current telomere dogma , review the literature exploring the interactions of exercise with telomere phenotypes , discuss the mechanistic research relating telomere dynamics to exercise stimuli , and finally propose future directions for work related to telomeres and physiological stress . 0 ###LEFT-WALL### 2 goals 0 ###LEFT-WALL### 16 , 1 the 2 goals 2 goals 3 of 2 goals 6 are 3 of 5 review 4 the 5 review 6 are 7 to 6 are 8 familiarize 7 to 8 familiarize 8 familiarize 10 reader 8 familiarize 11 with 9 the 10 reader 11 with 15 dogma 12 the 15 dogma 13 current 15 dogma 14 telomere 15 dogma 16 , 17 review 16 , 28 , 17 review 19 literature 18 the 19 literature 19 literature 20 exploring 19 literature 27 phenotypes 20 exploring 22 interactions 20 exploring 25 with 20 exploring 27 phenotypes 21 the 22 interactions 22 interactions 23 of 23 of 24 exercise 25 with 26 telomere 28 , 29 discuss 29 discuss 32 research 29 discuss 45 for 30 the 32 research 31 mechanistic 32 research 32 research 33 relating 32 research 36 to 32 research 40 and 33 relating 35 dynamics 34 telomere 35 dynamics 36 to 40 and 37 exercise 38 stimuli 37 exercise 40 and 39 , 40 and 40 and 42 propose 41 finally 42 propose 42 propose 44 directions 43 future 44 directions 45 for 46 work 46 work 47 related 47 related 48 to 48 to 50 and 49 telomeres 50 and 50 and 52 stress 50 and 53 . 51 physiological 52 stress reactive oxygen species ( ros ) , a redox signal , are produced by various enzymatic reactions and chemical processes , which are essential for many physiological functions and act as second messengers . 0 ###LEFT-WALL### 3 species 0 ###LEFT-WALL### 13 produced 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 34 . 1 reactive 3 species 2 oxygen 3 species 3 species 5 ros 3 species 10 signal 3 species 12 are 4 ( 5 ros 5 ros 6 ) 7 , 10 signal 8 a 9 redox 8 a 10 signal 9 redox 10 signal 10 signal 11 , 12 are 13 produced 13 produced 14 by 14 by 18 and 15 various 17 reactions 16 enzymatic 17 reactions 17 reactions 18 and 18 and 20 processes 18 and 21 , 19 chemical 20 processes 21 , 22 which 21 , 23 are 22 which 23 are 23 are 24 essential 24 essential 25 for 24 essential 31 as 25 for 29 and 26 many 28 functions 27 physiological 28 functions 28 functions 29 and 29 and 30 act 31 as 33 messengers 32 second 33 messengers however , accumulating evidence has implicated the pathogenesis of several human diseases including neurodegenerative disorders related to increased oxidative stress . 0 ###LEFT-WALL### 4 evidence 0 ###LEFT-WALL### 6 implicated 0 ###LEFT-WALL### 16 related 0 ###LEFT-WALL### 21 . 1 however 2 , 1 however 4 evidence 3 accumulating 4 evidence 4 evidence 5 has 5 has 6 implicated 6 implicated 8 pathogenesis 7 the 8 pathogenesis 8 pathogenesis 9 of 9 of 12 diseases 10 several 12 diseases 11 human 12 diseases 13 including 15 disorders 13 including 16 related 14 neurodegenerative 15 disorders 16 related 17 to 17 to 20 stress 18 increased 20 stress 19 oxidative 20 stress under pathological conditions , increasing ros production can regulate the expression of diverse inflammatory mediators during brain injury . 0 ###LEFT-WALL### 5 increasing 0 ###LEFT-WALL### 9 regulate 0 ###LEFT-WALL### 19 . 1 under 3 conditions 1 under 4 , 1 under 5 increasing 2 pathological 3 conditions 5 increasing 7 production 5 increasing 8 can 6 ros 7 production 8 can 9 regulate 9 regulate 11 expression 9 regulate 16 during 10 the 11 expression 11 expression 12 of 12 of 15 mediators 13 diverse 15 mediators 14 inflammatory 15 mediators 16 during 18 injury 17 brain 18 injury elevated levels of several proinflammatory factors including cytokines , peptides , pathogenic structures , and peroxidants in the central nervous system ( cns ) have been detected in patients with neurodegenerative diseases such as alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 27 detected 0 ###LEFT-WALL### 41 . 1 elevated 2 levels 2 levels 3 of 2 levels 15 and 3 of 6 factors 4 several 6 factors 5 proinflammatory 6 factors 6 factors 7 including 6 factors 10 peptides 7 including 8 cytokines 9 , 10 peptides 10 peptides 13 structures 10 peptides 14 , 11 , 13 structures 12 pathogenic 13 structures 13 structures 14 , 15 and 16 peroxidants 15 and 17 in 15 and 25 have 17 in 21 system 18 the 21 system 19 central 21 system 20 nervous 21 system 21 system 23 cns 22 ( 23 cns 23 cns 24 ) 25 have 26 been 26 been 27 detected 27 detected 28 in 27 detected 30 with 28 in 29 patients 30 with 32 diseases 31 neurodegenerative 32 diseases 32 diseases 34 as 32 diseases 39 ad 33 such 34 as 34 as 37 disease 35 alzheimer 36 's 36 's 37 disease 38 ( 39 ad 39 ad 40 ) these proinflammatory factors act as potent stimuli in brain inflammation through upregulation of diverse inflammatory genes , including matrix metalloproteinases ( mmps ) , cytosolic phospholipase a2 ( cpla2 ) , cyclooxygenase - 2 ( cox - 2 ) , and adhesion molecules . 0 ###LEFT-WALL### 3 factors 0 ###LEFT-WALL### 4 act 1 these 3 factors 2 proinflammatory 3 factors 3 factors 4 act 4 act 5 as 4 act 18 including 5 as 7 stimuli 6 potent 7 stimuli 7 stimuli 8 in 7 stimuli 11 through 7 stimuli 13 of 8 in 10 inflammation 9 brain 10 inflammation 11 through 12 upregulation 13 of 16 genes 14 diverse 16 genes 15 inflammatory 16 genes 17 , 18 including 18 including 20 metalloproteinases 18 including 44 . 19 matrix 20 metalloproteinases 20 metalloproteinases 22 mmps 20 metalloproteinases 27 a2 21 ( 22 mmps 22 mmps 23 ) 24 , 27 a2 25 cytosolic 26 phospholipase 26 phospholipase 27 a2 27 a2 29 cpla2 27 a2 32 cyclooxygenase 27 a2 34 2 27 a2 44 . 28 ( 29 cpla2 29 cpla2 30 ) 31 , 32 cyclooxygenase 32 cyclooxygenase 33 - 33 - 34 2 34 2 43 molecules 34 2 44 . 35 ( 43 molecules 36 cox 38 2 36 cox 41 and 37 - 38 2 38 2 39 ) 40 , 41 and 41 and 42 adhesion 41 and 43 molecules 43 molecules 44 . to date , the intracellular signaling mechanisms underlying the expression of target proteins regulated by these factors are elusive . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 date 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 20 . 1 to 2 date 3 , 7 mechanisms 3 , 18 are 4 the 7 mechanisms 5 intracellular 7 mechanisms 6 signaling 7 mechanisms 7 mechanisms 8 underlying 7 mechanisms 18 are 8 underlying 10 expression 9 the 10 expression 10 expression 11 of 11 of 13 proteins 12 target 13 proteins 13 proteins 14 regulated 14 regulated 15 by 15 by 17 factors 16 these 17 factors 18 are 19 elusive in this review , we discuss the mechanisms underlying the intracellular signaling pathways , especially ros , involved in the expression of several inflammatory proteins induced by proinflammatory factors in brain resident cells . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 discuss 0 ###LEFT-WALL### 34 . 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 6 discuss 6 discuss 8 mechanisms 7 the 8 mechanisms 8 mechanisms 9 underlying 8 mechanisms 18 involved 8 mechanisms 22 of 9 underlying 13 pathways 10 the 13 pathways 11 intracellular 13 pathways 12 signaling 13 pathways 13 pathways 16 ros 14 , 15 especially 14 , 16 ros 16 ros 17 , 18 involved 19 in 19 in 21 expression 20 the 21 expression 22 of 25 proteins 23 several 25 proteins 24 inflammatory 25 proteins 25 proteins 26 induced 26 induced 27 by 27 by 29 factors 28 proinflammatory 29 factors 29 factors 30 in 30 in 33 cells 31 brain 33 cells 32 resident 33 cells understanding redox signaling transduction mechanisms involved in the expression of target proteins and genes may provide useful therapeutic strategies for brain injury , inflammation , and neurodegenerative diseases . 0 ###LEFT-WALL### 1 understanding 0 ###LEFT-WALL### 16 provide 0 ###LEFT-WALL### 29 . 1 understanding 2 redox 1 understanding 7 in 1 understanding 15 may 2 redox 3 signaling 2 redox 6 involved 3 signaling 5 mechanisms 4 transduction 5 mechanisms 7 in 13 and 8 the 9 expression 9 expression 10 of 9 expression 13 and 10 of 12 proteins 11 target 12 proteins 13 and 14 genes 15 may 16 provide 16 provide 19 strategies 16 provide 20 for 17 useful 19 strategies 18 therapeutic 19 strategies 20 for 26 and 21 brain 22 injury 22 injury 23 , 23 , 24 inflammation 23 , 26 and 25 , 26 and 26 and 28 diseases 27 neurodegenerative 28 diseases an extensive body of evidence indicates that oxidative stress and inflammation play a central role in the degenerative changes of systemic tissues in aging . 0 ###LEFT-WALL### 3 body 0 ###LEFT-WALL### 6 indicates 0 ###LEFT-WALL### 25 . 1 an 2 extensive 1 an 3 body 2 extensive 3 body 3 body 4 of 3 body 6 indicates 4 of 5 evidence 6 indicates 7 that 7 that 10 and 7 that 12 play 8 oxidative 9 stress 9 stress 10 and 10 and 11 inflammation 10 and 12 play 12 play 15 role 12 play 16 in 12 play 23 in 13 a 14 central 13 a 15 role 14 central 15 role 16 in 19 changes 17 the 19 changes 18 degenerative 19 changes 19 changes 20 of 20 of 22 tissues 21 systemic 22 tissues 23 in 24 aging however a comparatively limited amount of data is available to verify whether these processes also contribute to normal aging within the brain . 0 ###LEFT-WALL### 7 data 0 ###LEFT-WALL### 11 verify 0 ###LEFT-WALL### 23 . 1 however 7 data 2 a 5 amount 3 comparatively 4 limited 4 limited 5 amount 5 amount 6 of 5 amount 7 data 6 of 7 data 7 data 8 is 8 is 9 available 9 available 10 to 10 to 11 verify 11 verify 12 whether 11 verify 19 aging 12 whether 14 processes 12 whether 16 contribute 13 these 14 processes 14 processes 16 contribute 15 also 16 contribute 16 contribute 18 normal 17 to 18 normal 19 aging 20 within 20 within 22 brain 21 the 22 brain high levels of oxidative damage results in key cellular changes including a reduction in available nicotinamide adenine dinucleotide ( nad [(] [+] [ )( (, an essential molecule required for a number of vital cellular processes including dna repair , immune signaling and epigenetic processing . 0 ###LEFT-WALL### 43 and 0 ###LEFT-WALL### 46 . 1 high 2 levels 2 levels 3 of 2 levels 25 (, 3 of 6 results 4 oxidative 5 damage 5 damage 6 results 6 results 7 in 6 results 14 in 7 in 10 changes 8 key 10 changes 9 cellular 10 changes 10 changes 11 including 11 including 13 reduction 12 a 13 reduction 14 in 18 dinucleotide 15 available 16 nicotinamide 16 nicotinamide 18 dinucleotide 17 adenine 18 dinucleotide 18 dinucleotide 20 nad 19 ( 20 nad 20 nad 24 )( 25 (, 28 molecule 25 (, 40 , 26 an 27 essential 26 an 28 molecule 27 essential 28 molecule 28 molecule 29 required 28 molecule 30 for 28 molecule 37 including 30 for 36 processes 31 a 32 number 32 number 33 of 32 number 36 processes 33 of 36 processes 34 vital 36 processes 35 cellular 36 processes 37 including 39 repair 38 dna 39 repair 40 , 42 signaling 40 , 43 and 41 immune 42 signaling 43 and 45 processing 44 epigenetic 45 processing in this study we quantified changes in [ nad [(] h ) ] [and] markers of inflammation and oxidative damage ( f2 - isoprostanes , 8 - ohdg , total antioxidant capacity ) in the cerebrospinal fluid ( csf ) of healthy humans across a wide age range ( 24 - 91 years ) . 0 ###LEFT-WALL### 20 damage 0 ###LEFT-WALL### 24 isoprostanes 1 in 3 study 1 in 13 ] 1 in 20 damage 2 this 3 study 3 study 4 we 3 study 7 in 3 study 9 nad 4 we 5 quantified 5 quantified 6 changes 5 quantified 7 in 8 [ 9 nad 9 nad 11 h 9 nad 12 ) 15 markers 16 of 15 markers 18 and 16 of 17 inflammation 18 and 19 oxidative 18 and 20 damage 20 damage 22 f2 20 damage 24 isoprostanes 21 ( 22 f2 22 f2 23 - 24 isoprostanes 27 - 24 isoprostanes 34 in 24 isoprostanes 44 across 25 , 27 - 26 8 27 - 27 - 28 ohdg 27 - 33 ) 28 ohdg 32 capacity 29 , 32 capacity 30 total 31 antioxidant 31 antioxidant 32 capacity 32 capacity 33 ) 34 in 37 fluid 35 the 37 fluid 36 cerebrospinal 37 fluid 37 fluid 39 csf 37 fluid 41 of 38 ( 39 csf 39 csf 40 ) 41 of 43 humans 42 healthy 43 humans 44 across 48 range 45 a 46 wide 45 a 48 range 46 wide 48 range 47 age 48 range 48 range 50 24 49 ( 50 24 50 24 53 years 50 24 55 . 51 - 53 years 52 91 53 years 53 years 54 ) csf was collected from consenting patients who required a spinal tap for the administration of anesthetic . 0 ###LEFT-WALL### 1 csf 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 17 . 1 csf 2 was 2 was 3 collected 3 collected 4 from 4 from 6 patients 5 consenting 6 patients 6 patients 7 who 6 patients 8 required 7 who 8 required 8 required 11 tap 9 a 10 spinal 9 a 11 tap 10 spinal 11 tap 11 tap 12 for 12 for 14 administration 13 the 14 administration 14 administration 15 of 15 of 16 anesthetic csf of participants aged >45 years was found to contain increased levels of lipid peroxidation ( f2 - isoprostanes ) ( p = 0.04 ) and inflammation ( il - 6 ) ( p = 0.00 ) and decreased levels of both total antioxidant capacity ( p = 0.00 ) and nad [(] h ) ( p = 0.05 ) , compared to their younger counterparts . 0 ###LEFT-WALL### 1 csf 0 ###LEFT-WALL### 38 and 1 csf 2 of 1 csf 38 and 2 of 6 years 3 participants 4 aged 4 aged 5 >45 5 >45 6 years 7 was 8 found 7 was 38 and 8 found 9 to 9 to 10 contain 10 contain 26 and 10 contain 35 = 11 increased 12 levels 12 levels 13 of 12 levels 26 and 13 of 15 peroxidation 14 lipid 15 peroxidation 15 peroxidation 18 - 15 peroxidation 23 = 16 ( 18 - 17 f2 18 - 18 - 19 isoprostanes 18 - 20 ) 21 ( 23 = 22 p 23 = 23 = 24 0.04 23 = 25 ) 26 and 27 inflammation 26 and 29 il 26 and 31 6 28 ( 29 il 29 il 30 - 30 - 31 6 31 6 32 ) 33 ( 35 = 34 p 35 = 35 = 36 0.00 35 = 37 ) 38 and 39 decreased 38 and 51 and 40 levels 41 of 40 levels 51 and 41 of 45 capacity 42 both 43 total 43 total 44 antioxidant 44 antioxidant 45 capacity 45 capacity 48 = 46 ( 48 = 47 p 48 = 48 = 49 0.00 48 = 50 ) 51 and 52 nad 51 and 55 ) 51 and 58 = 51 and 62 compared 52 nad 54 h 56 ( 58 = 57 p 58 = 58 = 59 0.05 58 = 60 ) 61 , 62 compared 62 compared 63 to 62 compared 67 . 63 to 66 counterparts 64 their 66 counterparts 65 younger 66 counterparts a positive association was also observed between plasma [ nad [(] h ) []] and csf nad [(] h [ )(levels ( p = 0.03 ) . 0 ###LEFT-WALL### 3 association 0 ###LEFT-WALL### 6 observed 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 27 . 1 a 2 positive 1 a 3 association 2 positive 3 association 3 association 4 was 4 was 6 observed 5 also 6 observed 6 observed 7 between 7 between 8 plasma 8 plasma 10 nad 9 [ 10 nad 10 nad 12 h 10 nad 13 ) 15 and 17 nad 15 and 21 )(levels 16 csf 17 nad 17 nad 19 h 17 nad 21 )(levels 21 )(levels 24 = 22 ( 24 = 23 p 24 = 24 = 25 0.03 24 = 26 ) further analysis of the data identified a relationship between alcohol intake and csf [ nad [(] h ) ] and markers of inflammation . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 6 identified 0 ###LEFT-WALL### 24 . 1 further 2 analysis 2 analysis 3 of 2 analysis 6 identified 3 of 5 data 4 the 5 data 6 identified 8 relationship 6 identified 9 between 7 a 8 relationship 9 between 20 and 10 alcohol 11 intake 11 intake 12 and 12 and 13 csf 12 and 19 ] 12 and 20 and 13 csf 15 nad 14 [ 15 nad 15 nad 17 h 15 nad 18 ) 20 and 21 markers 20 and 22 of 22 of 23 inflammation the csf of participants who consumed >1 standard drink of alcohol per day contained lower levels of nad [(] h [ )(compared to those who consumed no alcohol ( p<0.05 ) . 0 ###LEFT-WALL### 2 csf 0 ###LEFT-WALL### 14 contained 0 ###LEFT-WALL### 32 . 1 the 2 csf 2 csf 3 of 2 csf 5 who 2 csf 6 consumed 2 csf 14 contained 3 of 4 participants 5 who 6 consumed 6 consumed 9 drink 7 >1 9 drink 8 standard 9 drink 9 drink 10 of 10 of 11 alcohol 11 alcohol 12 per 12 per 13 day 14 contained 16 levels 15 lower 16 levels 16 levels 17 of 16 levels 22 )(compared 16 levels 25 who 16 levels 26 consumed 17 of 18 nad 18 nad 20 h 22 )(compared 23 to 23 to 24 those 25 who 26 consumed 26 consumed 28 alcohol 27 no 28 alcohol 28 alcohol 30 p<0.05 29 ( 30 p<0.05 30 p<0.05 31 ) an increase in csf il - 6 [was] observed in participants who reported drinking >0 - 1 ( p<0.05 ) and >1 ( p<0.05 ) standard alcoholic drinks per day compared to those who did not drink alcohol . 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 39 . 1 an 2 increase 2 increase 3 in 2 increase 14 drinking 2 increase 21 and 3 in 5 il 4 csf 5 il 6 - 9 observed 7 6 9 observed 9 observed 10 in 9 observed 14 drinking 10 in 11 participants 11 participants 12 who 11 participants 13 reported 12 who 13 reported 14 drinking 15 >0 15 >0 17 1 16 - 17 1 17 1 19 p<0.05 17 1 20 ) 18 ( 19 p<0.05 19 p<0.05 20 ) 21 and 28 drinks 21 and 32 to 22 >1 24 p<0.05 22 >1 25 ) 22 >1 28 drinks 23 ( 24 p<0.05 24 p<0.05 25 ) 26 standard 28 drinks 27 alcoholic 28 drinks 28 drinks 29 per 28 drinks 31 compared 29 per 30 day 32 to 33 those 33 those 34 who 33 those 35 did 34 who 35 did 35 did 36 not 35 did 37 drink 37 drink 38 alcohol [taken] together these data suggest a progressive age associated increase in oxidative damage , inflammation [and] reduced [ nad [(] h ) ] in the brain which may be exacerbated by alcohol intake . 0 ###LEFT-WALL### 4 data 0 ###LEFT-WALL### 5 suggest 0 ###LEFT-WALL### 34 . 2 together 4 data 3 these 4 data 4 data 5 suggest 5 suggest 8 age 5 suggest 10 increase 6 a 8 age 7 progressive 8 age 8 age 9 associated 10 increase 11 in 10 increase 24 in 11 in 13 damage 12 oxidative 13 damage 13 damage 15 inflammation 14 , 15 inflammation 15 inflammation 17 reduced 15 inflammation 19 nad 15 inflammation 23 ] 18 [ 19 nad 19 nad 21 h 19 nad 22 ) 24 in 26 brain 25 the 26 brain 26 brain 27 which 26 brain 28 may 27 which 28 may 28 may 29 be 29 be 30 exacerbated 30 exacerbated 31 by 31 by 33 intake 32 alcohol 33 intake objective : to describe different end criteria for reaching maximal oxygen uptake ( vo2max ) during a continuous graded exercise test on the treadmill , [and] to explore the manner by which different end criteria have an impact on the magnitude of the vo2max result . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 describe 3 to 4 describe 4 describe 7 criteria 4 describe 8 for 5 different 6 end 6 end 7 criteria 8 for 9 reaching 9 reaching 12 uptake 9 reaching 16 during 9 reaching 22 on 10 maximal 12 uptake 11 oxygen 12 uptake 12 uptake 14 vo2max 13 ( 14 vo2max 14 vo2max 15 ) 16 during 21 test 17 a 21 test 18 continuous 20 exercise 19 graded 20 exercise 20 exercise 21 test 22 on 24 treadmill 23 the 24 treadmill 24 treadmill 27 to 25 , 27 to 27 to 28 explore 27 to 46 . 28 explore 30 manner 29 the 30 manner 30 manner 31 by 30 manner 39 on 31 by 32 which 31 by 35 criteria 31 by 36 have 33 different 34 end 34 end 35 criteria 35 criteria 36 have 36 have 38 impact 37 an 38 impact 39 on 41 magnitude 40 the 41 magnitude 41 magnitude 42 of 42 of 45 result 43 the 45 result 44 vo2max 45 result methods : a sample of 861 individuals ( 390 women ) aged 20 - 85 years performed an exercise test on a treadmill until exhaustion . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 - 1 methods 2 : 2 : 4 sample 3 a 4 sample 4 sample 5 of 4 sample 12 aged 5 of 7 individuals 6 861 7 individuals 7 individuals 10 women 8 ( 10 women 9 390 10 women 10 women 11 ) 12 aged 13 20 14 - 16 years 14 - 17 performed 14 - 26 . 15 85 16 years 16 years 17 performed 17 performed 20 test 17 performed 21 on 17 performed 24 until 18 an 19 exercise 18 an 20 test 19 exercise 20 test 21 on 23 treadmill 22 a 23 treadmill 24 until 25 exhaustion results : eight hundred and four healthy participants ( 93 % ) fulfilled the exercise test until voluntary exhaustion . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 8 participants 2 : 13 fulfilled 2 : 20 . 3 eight 4 hundred 4 hundred 5 and 5 and 6 four 6 four 8 participants 7 healthy 8 participants 8 participants 11 % 8 participants 13 fulfilled 9 ( 11 % 10 93 11 % 11 % 12 ) 13 fulfilled 16 test 13 fulfilled 17 until 14 the 16 test 15 exercise 16 test 17 until 19 exhaustion 18 voluntary 19 exhaustion there were no sex - related differences in hrmax , rer , or borg scale rating , whereas blood [lactate] concentration was 18 % lower in women ( p<0.001 ) . 0 ###LEFT-WALL### 21 concentration 0 ###LEFT-WALL### 31 . 1 there 21 concentration 2 were 4 sex 2 were 16 rating 2 were 17 , 2 were 21 concentration 3 no 4 sex 5 - 6 related 6 related 7 differences 6 related 8 in 6 related 16 rating 8 in 13 or 9 hrmax 10 , 10 , 11 rer 10 , 13 or 12 , 13 or 13 or 15 scale 14 borg 15 scale 18 whereas 19 blood 18 whereas 21 concentration 21 concentration 22 was 22 was 24 % 22 was 25 lower 22 was 26 in 23 18 24 % 26 in 27 women 27 women 29 p<0.001 28 ( 29 p<0.001 29 p<0.001 30 ) forty - two percent of the participants achieved a plateau in vo2 ; these individuals had 5 % higher ventilation ( p = 0.033 ) , 4 % higher rer ( p<0.001 ) , and 5 % higher blood [lactate] concentration ( p = 0.047 ) compared with participants who did not reach a vo2 plateau . 0 ###LEFT-WALL### 4 percent 0 ###LEFT-WALL### 13 ; 0 ###LEFT-WALL### 57 . 1 forty 2 - 2 - 3 two 2 - 4 percent 4 percent 5 of 4 percent 8 achieved 5 of 7 participants 6 the 7 participants 8 achieved 10 plateau 9 a 10 plateau 10 plateau 11 in 11 in 12 vo2 13 ; 15 individuals 13 ; 16 had 13 ; 35 and 14 these 15 individuals 15 individuals 16 had 16 had 20 ventilation 17 5 18 % 18 % 20 ventilation 19 higher 20 ventilation 20 ventilation 23 = 20 ventilation 30 rer 21 ( 23 = 22 p 23 = 23 = 24 0.033 23 = 25 ) 26 , 30 rer 27 4 30 rer 28 % 30 rer 29 higher 30 rer 30 rer 32 p<0.001 30 rer 34 , 31 ( 32 p<0.001 32 p<0.001 33 ) 35 and 41 concentration 35 and 47 compared 36 5 41 concentration 37 % 39 blood 38 higher 39 blood 39 blood 41 concentration 41 concentration 44 = 41 concentration 47 compared 42 ( 44 = 43 p 44 = 44 = 45 0.047 44 = 46 ) 47 compared 48 with 48 with 49 participants 49 participants 50 who 49 participants 51 did 50 who 51 did 51 did 52 not 51 did 53 reach 53 reach 56 plateau 54 a 56 plateau 55 vo2 56 plateau when using rer ≥1.15 or blood lactate concentration ≥8.0 mmol•l ( - 1 ) , vo2max was 4 % ( p = 0.012 [ )(and 10 % [greater] ( p<0.001 ) , respectively . 0 ###LEFT-WALL### 5 or 0 ###LEFT-WALL### 7 lactate 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 34 . 1 when 2 using 1 when 5 or 2 using 3 rer 4 ≥1.15 5 or 5 or 6 blood 5 or 7 lactate 7 lactate 10 mmol•l 8 concentration 10 mmol•l 9 ≥8.0 10 mmol•l 10 mmol•l 13 1 11 ( 13 1 12 - 13 1 13 1 14 ) 15 , 16 vo2max 15 , 17 was 16 vo2max 17 was 17 was 19 % 17 was 33 respectively 18 4 19 % 19 % 27 % 20 ( 27 % 21 p 22 = 22 = 25 )(and 23 0.012 25 )(and 25 )(and 26 10 26 10 27 % 27 % 30 p<0.001 27 % 32 , 29 ( 30 p<0.001 30 p<0.001 31 ) a blood [lactate] concentration ≥8.0 mmol•l ( - 1 ) excluded 63 % of the participants in the 50 - 85 - [year] - old cohort . 0 ###LEFT-WALL### 6 mmol•l 0 ###LEFT-WALL### 24 - 0 ###LEFT-WALL### 27 . 1 a 6 mmol•l 2 blood 6 mmol•l 4 concentration 6 mmol•l 5 ≥8.0 6 mmol•l 6 mmol•l 9 1 6 mmol•l 11 excluded 7 ( 9 1 8 - 9 1 9 1 10 ) 11 excluded 13 % 11 excluded 17 in 11 excluded 22 - 12 63 13 % 13 % 14 of 14 of 16 participants 15 the 16 participants 17 in 19 50 18 the 19 50 20 - 21 85 21 85 22 - 22 - 24 - 24 - 26 cohort 25 old 26 cohort conclusions : a range of typical end criteria are presented in a random sample of subjects aged 20 - 85 years . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 1 conclusions 2 : 2 : 4 range 3 a 4 range 4 range 5 of 5 of 21 years 6 typical 7 end 7 end 8 criteria 8 criteria 9 are 9 are 10 presented 10 presented 11 in 11 in 14 sample 12 a 13 random 12 a 14 sample 13 random 14 sample 14 sample 15 of 15 of 16 subjects 16 subjects 17 aged 17 aged 19 - 18 20 19 - 19 - 20 85 20 85 21 years the choice of end criteria will have an impact on the number of the participants as well as the vo2max outcome . 0 ###LEFT-WALL### 2 choice 0 ###LEFT-WALL### 7 have 0 ###LEFT-WALL### 22 . 1 the 2 choice 2 choice 3 of 2 choice 6 will 3 of 5 criteria 4 end 5 criteria 6 will 7 have 7 have 9 impact 7 have 10 on 8 an 9 impact 10 on 15 participants 11 the 12 number 12 number 13 of 12 number 15 participants 13 of 15 participants 14 the 15 participants 15 participants 18 as 16 as 17 well 17 well 18 as 18 as 21 outcome 19 the 21 outcome 20 vo2max 21 outcome suggestions for new recommendations are given . 0 ###LEFT-WALL### 1 suggestions 0 ###LEFT-WALL### 6 given 0 ###LEFT-WALL### 7 . 1 suggestions 2 for 1 suggestions 5 are 2 for 4 recommendations 3 new 4 recommendations 5 are 6 given for a better understanding of the maintenance of immune mechanisms [to] bordetella [pertussis] ( [bp] [ )(in relation to age , [we] investigated the dynamic range of specific [b] cell responses in various age - groups at different time points after a laboratory confirmed pertussis infection . 1 for 4 understanding 1 for 12 bordetella 2 a 4 understanding 3 better 4 understanding 4 understanding 5 of 4 understanding 8 of 5 of 7 maintenance 6 the 7 maintenance 8 of 10 mechanisms 9 immune 10 mechanisms 12 bordetella 19 to 12 bordetella 23 investigated 14 ( 19 to 17 )(in 18 relation 18 relation 19 to 19 to 20 age 19 to 21 , 23 investigated 26 range 23 investigated 32 in 24 the 26 range 25 dynamic 26 range 26 range 27 of 27 of 31 responses 28 specific 30 cell 30 cell 31 responses 32 in 34 age 33 various 34 age 34 age 36 groups 35 - 36 groups 36 groups 37 at 36 groups 40 points 36 groups 44 confirmed 36 groups 47 . 37 at 39 time 38 different 39 time 40 points 41 after 40 points 44 confirmed 41 after 43 laboratory 42 a 43 laboratory 44 confirmed 46 infection 45 pertussis 46 infection blood samples were obtained in a dutch cross sectional observational study from symptomatic pertussis cases . 0 ###LEFT-WALL### 2 samples 0 ###LEFT-WALL### 4 obtained 0 ###LEFT-WALL### 16 . 1 blood 2 samples 2 samples 3 were 3 were 4 obtained 4 obtained 5 in 5 in 8 cross 6 a 7 dutch 6 a 8 cross 7 dutch 8 cross 8 cross 11 study 8 cross 15 cases 9 sectional 11 study 10 observational 11 study 11 study 12 from 11 study 15 cases 12 from 14 pertussis 13 symptomatic 14 pertussis lymphocyte subpopulations were phenotyped by flowcytometry before and after culture . 0 ###LEFT-WALL### 2 subpopulations 0 ###LEFT-WALL### 4 phenotyped 0 ###LEFT-WALL### 11 . 1 lymphocyte 2 subpopulations 2 subpopulations 3 were 3 were 4 phenotyped 4 phenotyped 5 by 5 by 6 flowcytometry 6 flowcytometry 8 and 7 before 8 and 8 and 9 after 9 after 10 culture memory b ( bmem ) cells were differentiated into igg antibody secreting cells ( asc ) by polyclonal stimulation and detected by an elispot assay specific for pertussis antigens pertussis toxin ( ptx ) , filamentous haemagglutinin ( fha ) and pertactin ( prn ) . 0 ###LEFT-WALL### 41 and 0 ###LEFT-WALL### 46 . 1 memory 2 b 1 memory 4 bmem 1 memory 6 cells 3 ( 4 bmem 4 bmem 5 ) 6 cells 20 and 6 cells 41 and 7 were 8 differentiated 7 were 20 and 8 differentiated 9 into 8 differentiated 17 by 9 into 13 cells 10 igg 11 antibody 11 antibody 13 cells 12 secreting 13 cells 13 cells 15 asc 14 ( 15 asc 15 asc 16 ) 17 by 19 stimulation 18 polyclonal 19 stimulation 20 and 21 detected 20 and 31 toxin 21 detected 22 by 21 detected 29 antigens 22 by 25 assay 23 an 25 assay 24 elispot 25 assay 25 assay 26 specific 26 specific 27 for 27 for 28 pertussis 30 pertussis 31 toxin 31 toxin 33 ptx 31 toxin 37 haemagglutinin 32 ( 33 ptx 33 ptx 34 ) 35 , 37 haemagglutinin 36 filamentous 37 haemagglutinin 37 haemagglutinin 39 fha 37 haemagglutinin 40 ) 38 ( 39 fha 39 fha 40 ) 41 and 42 pertactin 41 and 44 prn 43 ( 44 prn 44 prn 45 ) [bp] antigen specific igg concentrations in plasma were determined using multiplex technology . 0 ###LEFT-WALL### 5 concentrations 0 ###LEFT-WALL### 8 were 0 ###LEFT-WALL### 13 . 2 antigen 5 concentrations 3 specific 5 concentrations 4 igg 5 concentrations 5 concentrations 6 in 5 concentrations 8 were 6 in 7 plasma 8 were 9 determined 9 determined 10 using 10 using 12 technology 11 multiplex 12 technology the majority of subjects having experienced a clinical pertussis episode demonstrated high levels of both bp specific igg and bmem cell levels within the first 6 weeks after diagnosis . 0 ###LEFT-WALL### 4 subjects 0 ###LEFT-WALL### 11 demonstrated 0 ###LEFT-WALL### 30 . 1 the 2 majority 2 majority 3 of 2 majority 4 subjects 3 of 4 subjects 4 subjects 5 having 4 subjects 11 demonstrated 5 having 6 experienced 6 experienced 10 episode 7 a 8 clinical 7 a 10 episode 8 clinical 9 pertussis 9 pertussis 10 episode 11 demonstrated 13 levels 11 demonstrated 23 within 12 high 13 levels 13 levels 14 of 14 of 19 and 15 both 19 and 16 bp 18 igg 17 specific 18 igg 18 igg 19 and 19 and 22 levels 20 bmem 21 cell 21 cell 22 levels 23 within 25 first 24 the 25 first 25 first 28 after 26 6 27 weeks 27 weeks 28 after 28 after 29 diagnosis significantly lower levels were observed thereafter . 0 ###LEFT-WALL### 3 levels 0 ###LEFT-WALL### 5 observed 0 ###LEFT-WALL### 7 . 1 significantly 2 lower 2 lower 3 levels 3 levels 4 were 4 were 5 observed 5 observed 6 thereafter waning of cellular and humoral immunity to maintenance levels occurred within 9 months after antigen encounter . 0 ###LEFT-WALL### 1 waning 0 ###LEFT-WALL### 10 occurred 0 ###LEFT-WALL### 17 . 1 waning 2 of 1 waning 10 occurred 2 of 6 immunity 3 cellular 4 and 4 and 5 humoral 4 and 6 immunity 6 immunity 7 to 7 to 9 levels 8 maintenance 9 levels 10 occurred 11 within 11 within 12 9 12 9 13 months 12 9 16 encounter 13 months 14 after 13 months 16 encounter 14 after 15 antigen age was found to determine the maximum but not base - line frequencies of bmem cell populations ; higher levels of bmem cells specific for ptx and fha were reached in adults [and] ( pre - [ )(elderly compared to [under] [-] fours and schoolchildren in the first 6 weeks after bp exposure , [whereas] not in later phases . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 11 - 1 age 2 was 2 was 3 found 3 found 4 to 3 found 10 base 4 to 5 determine 5 determine 7 maximum 5 determine 8 but 6 the 7 maximum 8 but 9 not 11 - 13 frequencies 11 - 18 ; 12 line 13 frequencies 13 frequencies 14 of 14 of 17 populations 15 bmem 17 populations 16 cell 17 populations 18 ; 27 and 18 ; 30 reached 19 higher 20 levels 20 levels 21 of 20 levels 27 and 21 of 23 cells 22 bmem 23 cells 23 cells 24 specific 24 specific 25 for 25 for 26 ptx 27 and 28 fha 27 and 29 were 29 were 30 reached 30 reached 31 in 30 reached 36 - 31 in 32 adults 34 ( 36 - 35 pre 36 - 36 - 44 and 38 )(elderly 39 compared 38 )(elderly 40 to 38 )(elderly 44 and 40 to 43 fours 44 and 45 schoolchildren 44 and 46 in 44 and 51 after 46 in 48 first 47 the 48 first 49 6 50 weeks 50 weeks 51 after 51 after 53 exposure 52 bp 53 exposure 53 exposure 57 in 54 , 56 not 54 , 57 in 57 in 59 phases 57 in 60 . 58 later 59 phases this age effect was less obvious for specific igg levels . 0 ###LEFT-WALL### 3 effect 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 11 . 1 this 3 effect 2 age 3 effect 3 effect 4 was 4 was 6 obvious 5 less 6 obvious 6 obvious 7 for 7 for 10 levels 8 specific 10 levels 9 igg 10 levels nonetheless , subjects ' levels of specific bmem cells and specific igg were weakly correlated . 0 ###LEFT-WALL### 5 levels 0 ###LEFT-WALL### 15 correlated 0 ###LEFT-WALL### 16 . 1 nonetheless 2 , 1 nonetheless 5 levels 3 subjects 4 ' 4 ' 5 levels 5 levels 6 of 5 levels 13 were 6 of 10 and 7 specific 9 cells 8 bmem 9 cells 9 cells 10 and 10 and 12 igg 11 specific 12 igg 13 were 14 weakly 13 were 15 correlated this is the first study to show that both age and closeness to last bp encounter impacts the size of bp specific bmem [cell] and plasma igg levels . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 29 . 1 this 2 is 2 is 5 study 2 is 6 to 3 the 4 first 3 the 5 study 6 to 7 show 7 show 11 and 7 show 13 to 7 show 19 size 7 show 28 levels 8 that 11 and 9 both 11 and 10 age 11 and 11 and 12 closeness 13 to 17 impacts 14 last 17 impacts 15 bp 17 impacts 16 encounter 17 impacts 18 the 19 size 19 size 20 of 19 size 28 levels 20 of 25 and 21 bp 23 bmem 22 specific 23 bmem 23 bmem 25 and 25 and 27 igg 26 plasma 27 igg during the dna damage response ( ddr ) , ubiquitination plays an important role in the recruitment and regulation of repair proteins . 0 ###LEFT-WALL### 10 ubiquitination 0 ###LEFT-WALL### 11 plays 0 ###LEFT-WALL### 23 . 1 during 5 response 1 during 9 , 1 during 10 ubiquitination 2 the 5 response 3 dna 5 response 4 damage 5 response 5 response 7 ddr 6 ( 7 ddr 7 ddr 8 ) 10 ubiquitination 11 plays 11 plays 14 role 11 plays 15 in 12 an 13 important 12 an 14 role 13 important 14 role 15 in 18 and 16 the 17 recruitment 17 recruitment 18 and 18 and 19 regulation 18 and 20 of 20 of 22 proteins 21 repair 22 proteins however , little is known about elimination of the ubiquitination signal after repair is completed . 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 5 known 12 after 6 about 7 elimination 7 elimination 8 of 8 of 11 signal 9 the 11 signal 10 ubiquitination 11 signal 12 after 13 repair 12 after 15 completed 13 repair 14 is 14 is 15 completed here we show that the ubiquitin - specific protease 5 ( usp5 ) , a deubiquitinating enzyme , is involved in the elimination of the ubiquitin signal from damaged sites and is required for efficient dna double - strand break [(] dsb ) repair . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 45 . 1 here 2 we 2 we 3 show 3 show 4 that 3 show 6 ubiquitin 3 show 31 and 5 the 6 ubiquitin 6 ubiquitin 9 protease 6 ubiquitin 17 enzyme 6 ubiquitin 31 and 7 - 9 protease 8 specific 9 protease 9 protease 10 5 9 protease 12 usp5 9 protease 13 ) 11 ( 12 usp5 12 usp5 13 ) 14 , 17 enzyme 15 a 17 enzyme 16 deubiquitinating 17 enzyme 17 enzyme 18 , 19 is 20 involved 19 is 31 and 20 involved 21 in 20 involved 28 from 21 in 23 elimination 22 the 23 elimination 23 elimination 24 of 24 of 27 signal 25 the 27 signal 26 ubiquitin 27 signal 28 from 30 sites 29 damaged 30 sites 31 and 32 is 31 and 34 for 31 and 44 repair 32 is 33 required 34 for 36 dna 35 efficient 36 dna 37 double 42 dsb 37 double 44 repair 38 - 42 dsb 39 strand 40 break 40 break 42 dsb 42 dsb 43 ) depletion of usp5 sensitizes cells to dna damaging agents , produces dsbs , causes delayed disappearance [of] γh2ax foci after bleocin treatment , and influences dsb repair efficiency in the homologous recombination pathway but not in the [non] [-] homologous end joining pathway . 0 ###LEFT-WALL### 1 depletion 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 44 . 1 depletion 2 of 1 depletion 10 , 2 of 3 usp5 4 sensitizes 5 cells 4 sensitizes 6 to 4 sensitizes 10 , 6 to 7 dna 7 dna 8 damaging 8 damaging 9 agents 10 , 13 , 10 , 20 after 10 , 34 but 11 produces 12 dsbs 11 produces 13 , 13 , 14 causes 14 causes 19 foci 15 delayed 19 foci 16 disappearance 18 γh2ax 18 γh2ax 19 foci 20 after 24 and 21 bleocin 22 treatment 22 treatment 24 and 23 , 24 and 24 and 28 efficiency 25 influences 27 repair 26 dsb 27 repair 27 repair 28 efficiency 29 in 33 pathway 29 in 34 but 30 the 33 pathway 31 homologous 32 recombination 32 recombination 33 pathway 34 but 35 not 34 but 36 in 36 in 43 pathway 37 the 43 pathway 40 homologous 43 pathway 41 end 42 joining 42 joining 43 pathway usp5 co [-] localizes to dsbs induced by laser micro - irradiation in a rad18 - dependent manner . 0 ###LEFT-WALL### 2 co 0 ###LEFT-WALL### 4 localizes 0 ###LEFT-WALL### 19 . 1 usp5 2 co 2 co 4 localizes 4 localizes 5 to 4 localizes 8 by 5 to 6 dsbs 6 dsbs 7 induced 8 by 18 manner 9 laser 18 manner 10 micro 12 irradiation 10 micro 17 dependent 11 - 12 irradiation 12 irradiation 13 in 12 irradiation 16 - 13 in 15 rad18 14 a 15 rad18 17 dependent 18 manner importantly , polyubiquitin chains at sites of dna damage remained for longer periods in usp5 - depleted cells . 0 ###LEFT-WALL### 4 chains 0 ###LEFT-WALL### 10 remained 0 ###LEFT-WALL### 16 - 1 importantly 2 , 1 importantly 4 chains 3 polyubiquitin 4 chains 4 chains 5 at 4 chains 10 remained 5 at 6 sites 6 sites 7 of 7 of 9 damage 8 dna 9 damage 10 remained 11 for 10 remained 14 in 11 for 13 periods 12 longer 13 periods 14 in 15 usp5 16 - 18 cells 16 - 19 . 17 depleted 18 cells our results show that disassembly of polyubiquitin chains by usp5 at sites of damage is important for efficient dsb repair . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 21 . 1 our 2 results 2 results 3 show 3 show 5 disassembly 3 show 15 is 4 that 5 disassembly 5 disassembly 6 of 5 disassembly 15 is 6 of 8 chains 7 polyubiquitin 8 chains 8 chains 9 by 9 by 10 usp5 10 usp5 11 at 11 at 12 sites 12 sites 13 of 13 of 14 damage 15 is 16 important 16 important 17 for 17 for 20 repair 18 efficient 20 repair 19 dsb 20 repair obesity is a risk factor for chronic kidney disease , and its prevalence among the elderly is increasing . 0 ###LEFT-WALL### 1 obesity 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 19 . 1 obesity 2 is 2 is 5 factor 3 a 5 factor 4 risk 5 factor 5 factor 6 for 6 for 9 disease 7 chronic 8 kidney 8 kidney 9 disease 10 , 11 and 11 and 13 prevalence 11 and 17 is 12 its 13 prevalence 13 prevalence 14 among 13 prevalence 17 is 14 among 16 elderly 15 the 16 elderly 17 is 18 increasing we investigated the effects of changes in body fat [percentage] ( bfp ) on the longitudinal changes in the estimated glomerular filtration rate ( egfr ) in the elderly . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 investigated 0 ###LEFT-WALL### 30 . 1 we 2 investigated 2 investigated 4 effects 2 investigated 7 in 2 investigated 14 on 2 investigated 27 in 3 the 4 effects 4 effects 5 of 5 of 6 changes 7 in 9 fat 8 body 9 fat 9 fat 12 bfp 11 ( 12 bfp 12 bfp 13 ) 14 on 17 changes 15 the 17 changes 16 longitudinal 17 changes 17 changes 18 in 18 in 23 rate 19 the 23 rate 20 estimated 22 filtration 21 glomerular 22 filtration 22 filtration 23 rate 23 rate 25 egfr 24 ( 25 egfr 25 egfr 26 ) 27 in 29 elderly 28 the 29 elderly this prospective cohort study included 390 participants aged >65 years who underwent bioelectrical impedance analysis at baseline and follow - up as a part of the korean longitudinal study on health and aging . 0 ###LEFT-WALL### 3 cohort 0 ###LEFT-WALL### 8 aged 0 ###LEFT-WALL### 20 - 1 this 3 cohort 2 prospective 3 cohort 3 cohort 4 study 3 cohort 5 included 3 cohort 8 aged 4 study 5 included 5 included 7 participants 6 390 7 participants 8 aged 10 years 9 >65 10 years 10 years 11 who 10 years 18 and 11 who 18 and 12 underwent 15 analysis 12 underwent 16 at 12 underwent 18 and 13 bioelectrical 14 impedance 14 impedance 15 analysis 16 at 17 baseline 18 and 19 follow 20 - 21 up 20 - 34 . 21 up 22 as 21 up 29 study 21 up 30 on 22 as 27 korean 23 a 24 part 24 part 25 of 24 part 27 korean 25 of 27 korean 26 the 27 korean 28 longitudinal 29 study 30 on 33 aging 31 health 32 and 32 and 33 aging after a median follow - up period of 5.3 years , bfp was significantly higher than that at the start point ( p<0.05 ) . 0 ###LEFT-WALL### 4 follow 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 25 . 1 after 3 median 1 after 4 follow 2 a 3 median 4 follow 6 up 5 - 6 up 6 up 7 period 6 up 11 , 7 period 8 of 8 of 10 years 9 5.3 10 years 11 , 12 bfp 11 , 13 was 12 bfp 13 was 13 was 14 significantly 13 was 15 higher 15 higher 16 than 15 higher 18 at 16 than 17 that 18 at 21 point 19 the 21 point 20 start 21 point 21 point 23 p<0.05 22 ( 23 p<0.05 23 p<0.05 24 ) participants who had the largest increase in bfp had the highest bmi and waist circumference ( wc ) ( p<0.001 ) . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 9 had 0 ###LEFT-WALL### 22 . 1 participants 2 who 1 participants 3 had 1 participants 9 had 2 who 3 had 3 had 6 increase 3 had 7 in 4 the 5 largest 4 the 6 increase 7 in 8 bfp 9 had 13 and 10 the 11 highest 10 the 13 and 12 bmi 13 and 13 and 15 circumference 13 and 17 wc 13 and 20 p<0.001 14 waist 15 circumference 16 ( 17 wc 17 wc 18 ) 19 ( 20 p<0.001 20 p<0.001 21 ) the highest tertile had the highest white blood cell count and erythrocyte sedimentation rate , [incidence] of rapid progression , and decline in egfr >25 % ( p≤0.017 , p = 0.025 , p = 0.005 , respectively ) . 0 ###LEFT-WALL### 3 tertile 0 ###LEFT-WALL### 4 had 0 ###LEFT-WALL### 40 . 1 the 2 highest 1 the 3 tertile 3 tertile 4 had 4 had 21 and 4 had 35 = 4 had 38 respectively 5 the 6 highest 5 the 10 count 7 white 10 count 8 blood 9 cell 9 cell 10 count 10 count 11 and 11 and 14 rate 11 and 17 of 11 and 21 and 12 erythrocyte 14 rate 13 sedimentation 14 rate 15 , 17 of 17 of 19 progression 17 of 20 , 18 rapid 19 progression 21 and 22 decline 21 and 23 in 21 and 28 p≤0.017 21 and 31 = 23 in 26 % 24 egfr 25 >25 25 >25 26 % 27 ( 28 p≤0.017 28 p≤0.017 29 , 29 , 31 = 30 p 31 = 31 = 32 0.025 31 = 33 , 33 , 35 = 34 p 35 = 35 = 36 0.005 35 = 37 , 37 , 38 respectively 38 respectively 39 ) the lowest tertile had the lowest [triglyceride] and highest high - density lipoprotein levels ( p<0.05 ) . 0 ###LEFT-WALL### 3 tertile 0 ###LEFT-WALL### 4 had 0 ###LEFT-WALL### 18 . 1 the 2 lowest 1 the 3 tertile 3 tertile 4 had 4 had 14 levels 5 the 8 and 5 the 14 levels 6 lowest 8 and 8 and 9 highest 10 high 11 - 10 high 12 density 12 density 14 levels 13 lipoprotein 14 levels 14 levels 16 p<0.05 15 ( 16 p<0.05 16 p<0.05 17 ) the adjusted decline rate in egfr was correlated with a change in bfp ( p = 0.039 ) , but not with that in bmi or wc . 0 ###LEFT-WALL### 4 rate 0 ###LEFT-WALL### 8 correlated 0 ###LEFT-WALL### 28 . 1 the 4 rate 2 adjusted 3 decline 3 decline 4 rate 4 rate 5 in 4 rate 7 was 5 in 6 egfr 7 was 8 correlated 8 correlated 9 with 9 with 11 change 10 a 11 change 11 change 20 but 12 in 13 bfp 12 in 20 but 13 bfp 16 = 14 ( 16 = 15 p 16 = 16 = 17 0.039 16 = 18 ) 19 , 20 but 20 but 21 not 20 but 22 with 22 with 26 or 23 that 24 in 23 that 26 or 24 in 25 bmi 26 or 27 wc the highest tertile had a 4.875 [-] fold increase in the risk for rapid progression to a decline in egfr [(] 95 % ci : [1.366] - 17.397 [ )(and [a] 4.931 - fold decrease in the risk to a decline in egfr>25 % [(] 95 % ci : 1.617 - 15.037 [ )(, when compared with the lowest tertile . 1 the 2 highest 1 the 3 tertile 3 tertile 4 had 4 had 9 increase 5 a 9 increase 6 4.875 9 increase 8 fold 9 increase 9 increase 10 in 9 increase 13 for 10 in 12 risk 11 the 12 risk 13 for 15 progression 14 rapid 15 progression 15 progression 16 to 15 progression 24 ci 15 progression 25 : 16 to 18 decline 17 a 18 decline 18 decline 19 in 19 in 20 egfr 20 egfr 22 95 23 % 24 ci 24 ci 25 : 25 : 33 - 25 : 36 in 27 - 33 - 28 17.397 30 )(and 30 )(and 32 4.931 30 )(and 33 - 33 - 35 decrease 34 fold 35 decrease 36 in 38 risk 37 the 38 risk 38 risk 39 to 38 risk 48 ci 38 risk 49 : 39 to 41 decline 40 a 41 decline 41 decline 42 in 42 in 44 % 43 egfr>25 44 % 46 95 48 ci 47 % 48 ci 48 ci 49 : 49 : 51 - 49 : 55 when 50 1.617 51 - 51 - 52 15.037 54 )(, 55 when 55 when 56 compared 55 when 61 . 56 compared 57 with 56 compared 60 tertile 57 with 59 lowest 58 the 59 lowest in subgroup analysis , the incidence of renal outcomes was significantly increased according to the increase in bfp in patients with lower egfr ( p≤0.010 ) . 0 ###LEFT-WALL### 6 incidence 0 ###LEFT-WALL### 12 increased 0 ###LEFT-WALL### 27 . 1 in 3 analysis 1 in 4 , 1 in 6 incidence 2 subgroup 3 analysis 5 the 6 incidence 6 incidence 7 of 6 incidence 10 was 7 of 9 outcomes 8 renal 9 outcomes 10 was 12 increased 11 significantly 12 increased 12 increased 14 to 12 increased 17 in 12 increased 19 in 12 increased 21 with 13 according 14 to 14 to 16 increase 15 the 16 increase 17 in 18 bfp 19 in 20 patients 21 with 23 egfr 22 lower 23 egfr 23 egfr 25 p≤0.010 24 ( 25 p≤0.010 25 p≤0.010 26 ) a change in bfp may be associated with inflammation and dyslipidemia development , and longitudinal changes in body fat are related to a decrease in egfr in the elderly . 0 ###LEFT-WALL### 2 change 0 ###LEFT-WALL### 7 associated 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 30 . 1 a 2 change 2 change 3 in 2 change 5 may 3 in 4 bfp 5 may 6 be 6 be 7 associated 7 associated 8 with 8 with 10 and 9 inflammation 10 and 10 and 12 development 11 dyslipidemia 12 development 13 , 14 and 14 and 16 changes 14 and 21 related 15 longitudinal 16 changes 16 changes 17 in 16 changes 20 are 17 in 19 fat 18 body 19 fat 20 are 21 related 21 related 22 to 21 related 25 in 21 related 27 in 22 to 24 decrease 23 a 24 decrease 25 in 26 egfr 27 in 29 elderly 28 the 29 elderly several aspects of chronologic and biologic aging in the human choroid are reviewed from the literature . 0 ###LEFT-WALL### 2 aspects 0 ###LEFT-WALL### 13 reviewed 0 ###LEFT-WALL### 17 . 1 several 2 aspects 2 aspects 3 of 2 aspects 12 are 3 of 5 and 4 chronologic 5 and 5 and 6 biologic 5 and 7 aging 7 aging 8 in 8 in 11 choroid 9 the 11 choroid 10 human 11 choroid 12 are 13 reviewed 13 reviewed 14 from 14 from 16 literature 15 the 16 literature they often reveal methodological problems for age - dependent changes of the following parameters : choroidal thickness , choroidal pigmentation , choroidal vasculature and blood flow , and choroidal innervation . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 3 reveal 0 ###LEFT-WALL### 15 : 1 they 3 reveal 2 often 3 reveal 3 reveal 5 problems 4 methodological 5 problems 5 problems 6 for 5 problems 10 changes 6 for 7 age 8 - 10 changes 9 dependent 10 changes 10 changes 11 of 10 changes 15 : 11 of 14 parameters 12 the 13 following 12 the 14 parameters 15 : 28 and 15 : 31 . 16 choroidal 17 thickness 17 thickness 18 , 18 , 20 pigmentation 18 , 21 , 19 choroidal 20 pigmentation 21 , 23 vasculature 21 , 24 and 22 choroidal 23 vasculature 24 and 26 flow 24 and 28 and 25 blood 26 flow 27 , 28 and 28 and 30 innervation 29 choroidal 30 innervation on reinterpreting some data of studies concerning bruch 's membrane , changes observed at different age points seem more likely to be nonlinear . 0 ###LEFT-WALL### 12 changes 0 ###LEFT-WALL### 18 seem 0 ###LEFT-WALL### 24 . 1 on 2 reinterpreting 1 on 11 , 1 on 12 changes 2 reinterpreting 4 data 3 some 4 data 4 data 5 of 5 of 6 studies 6 studies 7 concerning 7 concerning 10 membrane 8 bruch 9 's 9 's 10 membrane 12 changes 13 observed 12 changes 14 at 12 changes 18 seem 14 at 17 points 15 different 16 age 16 age 17 points 18 seem 20 likely 19 more 20 likely 20 likely 21 to 20 likely 22 be 21 to 22 be 22 be 23 nonlinear concluding from the data presented so far , chronologic aging should not be used as a factor for physiological changes in the human choroid . 0 ###LEFT-WALL### 13 be 0 ###LEFT-WALL### 25 . 1 concluding 2 from 1 concluding 10 aging 1 concluding 11 should 2 from 4 data 3 the 4 data 4 data 5 presented 5 presented 7 far 5 presented 8 , 5 presented 9 chronologic 6 so 7 far 11 should 12 not 11 should 13 be 13 be 14 used 14 used 15 as 14 used 21 in 15 as 17 factor 16 a 17 factor 17 factor 18 for 18 for 20 changes 19 physiological 20 changes 21 in 24 choroid 22 the 24 choroid 23 human 24 choroid longitudinal study designs are necessary to further establish the impact of age . 0 ###LEFT-WALL### 3 designs 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 13 . 1 longitudinal 2 study 2 study 3 designs 3 designs 4 are 4 are 5 necessary 5 necessary 6 to 5 necessary 8 establish 6 to 8 establish 7 further 8 establish 8 establish 10 impact 9 the 10 impact 10 impact 11 of 11 of 12 age meanwhile , a more biologic oriented model of aging processes in the choroid should be established , including specified conditions ( e.g [.] , light exposure and refractory state ) . 0 ###LEFT-WALL### 7 model 0 ###LEFT-WALL### 16 established 0 ###LEFT-WALL### 31 . 1 meanwhile 2 , 1 meanwhile 7 model 3 a 7 model 4 more 5 biologic 5 biologic 7 model 6 oriented 7 model 7 model 8 of 7 model 14 should 8 of 9 aging 9 aging 10 processes 9 aging 11 in 11 in 13 choroid 12 the 13 choroid 14 should 15 be 15 be 16 established 16 established 18 including 17 , 18 including 18 including 20 conditions 18 including 30 ) 19 specified 20 conditions 20 conditions 27 and 21 ( 27 and 22 e.g 24 , 24 , 26 exposure 24 , 27 and 25 light 26 exposure 27 and 29 state 27 and 30 ) 28 refractory 29 state this would help to define more individual strategies for prevention and early stages of a certain defined disease . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 3 help 0 ###LEFT-WALL### 19 . 1 this 2 would 2 would 3 help 3 help 4 to 3 help 5 define 4 to 5 define 5 define 8 strategies 6 more 8 strategies 7 individual 8 strategies 8 strategies 9 for 9 for 11 and 10 prevention 11 and 11 and 13 stages 11 and 14 of 12 early 13 stages 14 of 18 disease 15 a 16 certain 15 a 18 disease 16 certain 18 disease 17 defined 18 disease background : age - related decrease in bone marrow erythropoietic capacity is often accompanied by the telomere length shortening in peripheral white blood cells . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 related 1 background 2 : 2 : 3 age 4 - 5 related 5 related 6 decrease 5 related 7 in 5 related 25 . 7 in 9 marrow 8 bone 9 marrow 9 marrow 11 capacity 9 marrow 19 shortening 10 erythropoietic 11 capacity 11 capacity 12 is 12 is 13 often 12 is 14 accompanied 14 accompanied 15 by 15 by 18 length 16 the 18 length 17 telomere 18 length 18 length 19 shortening 19 shortening 20 in 20 in 24 cells 21 peripheral 22 white 22 white 24 cells 23 blood 24 cells however , limited and conflicting data hamper the conclusive opinion regarding this relationship . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 7 hamper 0 ###LEFT-WALL### 14 . 1 however 2 , 1 however 4 and 3 limited 4 and 4 and 6 data 4 and 7 hamper 5 conflicting 6 data 7 hamper 10 opinion 8 the 10 opinion 9 conclusive 10 opinion 10 opinion 11 regarding 11 regarding 13 relationship 12 this 13 relationship therefore , the aim of this study was to assess an association between telomere length and peripheral blood cell count parameters in the polish elderly population . 0 ###LEFT-WALL### 4 aim 0 ###LEFT-WALL### 27 . 1 therefore 2 , 1 therefore 4 aim 3 the 4 aim 4 aim 5 of 4 aim 8 was 5 of 7 study 6 this 7 study 8 was 9 to 8 was 10 assess 9 to 10 assess 10 assess 16 and 10 assess 20 count 11 an 12 association 12 association 13 between 12 association 16 and 13 between 15 length 14 telomere 15 length 16 and 19 cell 16 and 20 count 17 peripheral 19 cell 18 blood 19 cell 20 count 21 parameters 20 count 22 in 22 in 26 population 23 the 26 population 24 polish 26 population 25 elderly 26 population material and methods : the substudy included 1573 of 4981 subjects aged 65 years [or] over , participants of the population - based polsenior study . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 material 2 and 2 and 3 methods 4 : 6 substudy 4 : 23 based 4 : 26 . 5 the 6 substudy 6 substudy 7 included 6 substudy 8 1573 6 substudy 16 over 6 substudy 18 participants 6 substudy 23 based 8 1573 9 of 8 1573 12 aged 9 of 11 subjects 10 4981 11 subjects 12 aged 14 years 12 aged 16 over 13 65 14 years 17 , 18 participants 18 participants 19 of 18 participants 22 - 19 of 21 population 20 the 21 population 23 based 25 study 24 polsenior 25 study high - molecular - weight dna was isolated from blood mononuclear cells . 0 ###LEFT-WALL### 6 dna 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 13 . 1 high 2 - 1 high 5 weight 3 molecular 4 - 3 molecular 5 weight 5 weight 6 dna 6 dna 7 was 7 was 8 isolated 8 isolated 9 from 9 from 12 cells 10 blood 12 cells 11 mononuclear 12 cells telomere length ( tl ) was measured by qrt - pcr as abundance of telomere [template] versus a single gene copy encoding acidic ribosomal phosphoprotein p0 . 0 ###LEFT-WALL### 2 length 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 27 . 1 telomere 2 length 2 length 4 tl 2 length 6 was 3 ( 4 tl 4 tl 5 ) 6 was 7 measured 7 measured 8 by 7 measured 12 as 8 by 11 pcr 9 qrt 11 pcr 10 - 11 pcr 12 as 13 abundance 13 abundance 14 of 14 of 15 telomere 15 telomere 17 versus 17 versus 21 copy 18 a 19 single 18 a 21 copy 19 single 20 gene 20 gene 21 copy 21 copy 22 encoding 22 encoding 26 p0 23 acidic 25 phosphoprotein 24 ribosomal 25 phosphoprotein 25 phosphoprotein 26 p0 results : only white blood [count] ( wbc ) was significantly different in tl tertile subgroups in all subjects ( p = 0.02 ) [and] in men ( p = 0.01 ) , but not in women . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 white 2 : 10 was 2 : 38 . 3 only 4 white 4 white 10 was 5 blood 8 wbc 5 blood 10 was 7 ( 8 wbc 8 wbc 9 ) 10 was 11 significantly 10 was 12 different 12 different 13 in 12 different 17 in 12 different 34 but 13 in 16 subgroups 14 tl 16 subgroups 15 tertile 16 subgroups 17 in 19 subjects 18 all 19 subjects 19 subjects 22 = 20 ( 22 = 21 p 22 = 22 = 23 0.02 22 = 24 ) 26 in 27 men 26 in 34 but 27 men 30 = 28 ( 30 = 29 p 30 = 30 = 31 0.01 30 = 32 ) 33 , 34 but 34 but 35 not 34 but 36 in 36 in 37 women merely [in] men significant but weak positive correlations were found between tl and wbc ( r = 0.11 , p < 0.05 ) and rbc ( r = 0.08 , p < 0.05 ) . 0 ###LEFT-WALL### 8 correlations 0 ###LEFT-WALL### 10 found 0 ###LEFT-WALL### 35 . 1 merely 3 men 1 merely 8 correlations 4 significant 5 but 5 but 6 weak 5 but 8 correlations 7 positive 8 correlations 8 correlations 9 were 9 were 10 found 10 found 11 between 10 found 32 < 11 between 24 and 12 tl 13 and 13 and 14 wbc 13 and 17 = 13 and 21 < 13 and 24 and 15 ( 17 = 16 r 17 = 17 = 18 0.11 17 = 19 , 19 , 21 < 20 p 21 < 21 < 22 0.05 21 < 23 ) 24 and 25 rbc 25 rbc 28 = 26 ( 28 = 27 r 28 = 28 = 29 0.08 28 = 30 , 31 p 32 < 32 < 33 0.05 32 < 34 ) the multiple regression analysis models confirmed a weak , independent contribution of tl to both rbc and wbc . 0 ###LEFT-WALL### 5 models 0 ###LEFT-WALL### 6 confirmed 0 ###LEFT-WALL### 19 . 1 the 5 models 2 multiple 5 models 3 regression 5 models 4 analysis 5 models 5 models 6 confirmed 6 confirmed 11 contribution 6 confirmed 14 to 7 a 8 weak 7 a 11 contribution 8 weak 9 , 8 weak 11 contribution 10 independent 11 contribution 11 contribution 12 of 12 of 13 tl 14 to 17 and 15 both 17 and 16 rbc 17 and 17 and 18 wbc conclusions : in the elderly , telomere shortening limits hematopoiesis capacity to a very limited extent . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 1 conclusions 2 : 2 : 3 in 3 in 7 telomere 4 the 7 telomere 5 elderly 6 , 5 elderly 7 telomere 7 telomere 8 shortening 7 telomere 9 limits 8 shortening 9 limits 9 limits 11 capacity 9 limits 12 to 10 hematopoiesis 11 capacity 12 to 16 extent 13 a 14 very 13 a 16 extent 14 very 15 limited 15 limited 16 extent in the industrialized part of the world , an increasing number of people live the old age without too many restrictions due to illness or physiological impairment . 0 ###LEFT-WALL### 13 people 0 ###LEFT-WALL### 14 live 0 ###LEFT-WALL### 28 . 1 in 4 part 1 in 8 , 1 in 13 people 2 the 4 part 3 industrialized 4 part 4 part 5 of 5 of 7 world 6 the 7 world 9 an 11 number 10 increasing 11 number 11 number 12 of 11 number 13 people 12 of 13 people 13 people 14 live 14 live 17 age 14 live 23 to 15 the 17 age 16 old 17 age 17 age 18 without 18 without 21 restrictions 19 too 20 many 20 many 21 restrictions 22 due 23 to 23 to 25 or 24 illness 25 or 25 or 27 impairment 26 physiological 27 impairment this group is known as the young [elderly] . 0 ###LEFT-WALL### 2 group 0 ###LEFT-WALL### 4 known 0 ###LEFT-WALL### 9 . 1 this 2 group 2 group 3 is 3 is 4 known 4 known 5 as 5 as 7 young 6 the 7 young on the contrary , a consistent part of seniors develops a greater number of medical conditions and become more and more dependent , these are the old [elderly] . 0 ###LEFT-WALL### 24 these 0 ###LEFT-WALL### 25 are 0 ###LEFT-WALL### 29 . 1 on 3 contrary 1 on 23 , 1 on 24 these 2 the 3 contrary 3 contrary 9 seniors 4 , 9 seniors 5 a 7 part 6 consistent 7 part 7 part 8 of 7 part 9 seniors 8 of 9 seniors 9 seniors 17 and 9 seniors 23 , 10 develops 16 conditions 10 develops 17 and 11 a 13 number 12 greater 13 number 13 number 14 of 13 number 16 conditions 14 of 16 conditions 15 medical 16 conditions 17 and 18 become 18 become 20 and 18 become 22 dependent 19 more 20 and 20 and 21 more 24 these 25 are 25 are 27 old 26 the 27 old the first cause [of] tooth lost in industrialized [word] is periodontitis that generally strikes people older than 40 years and determines serious detriment of the stomatognatic organ . 0 ###LEFT-WALL### 5 tooth 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 28 . 1 the 5 tooth 2 first 3 cause 3 cause 5 tooth 5 tooth 6 lost 5 tooth 8 industrialized 5 tooth 10 is 6 lost 7 in 10 is 11 periodontitis 11 periodontitis 20 and 12 that 13 generally 13 generally 14 strikes 14 strikes 15 people 14 strikes 20 and 15 people 16 older 16 older 17 than 17 than 19 years 18 40 19 years 20 and 21 determines 20 and 23 detriment 22 serious 23 detriment 23 detriment 24 of 24 of 27 organ 25 the 27 organ 26 stomatognatic 27 organ smoking and stress are risk factors for periodontitis that are common and shared between young , adult , and older age . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 22 . 1 smoking 2 and 2 and 3 stress 2 and 4 are 4 are 12 and 5 risk 6 factors 5 risk 12 and 6 factors 7 for 7 for 8 periodontitis 8 periodontitis 9 that 8 periodontitis 10 are 9 that 10 are 10 are 11 common 12 and 13 shared 12 and 14 between 14 between 19 and 15 young 16 , 16 , 17 adult 16 , 19 and 18 , 19 and 19 and 21 age 20 older 21 age diabetes mellitus , obesity , and osteoporosis are very frequent pathological situations in older age . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 8 are 0 ###LEFT-WALL### 16 . 1 diabetes 2 mellitus 2 mellitus 3 , 3 , 4 obesity 3 , 6 and 5 , 6 and 6 and 7 osteoporosis 6 and 8 are 8 are 12 situations 9 very 10 frequent 10 frequent 12 situations 11 pathological 12 situations 12 situations 13 in 13 in 15 age 14 older 15 age they have been identified as cofactors in the progression of periodontitis . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 4 identified 0 ###LEFT-WALL### 12 . 1 they 2 have 2 have 3 been 3 been 4 identified 4 identified 5 as 4 identified 7 in 5 as 6 cofactors 7 in 9 progression 8 the 9 progression 9 progression 10 of 10 of 11 periodontitis many dental associations recognize the importance of continued research on oral fluids diagnostics and welcome the development [of] rapid point - of [-] care tests providing accurate measurements of clinically validated biomarkers . 0 ###LEFT-WALL### 3 associations 0 ###LEFT-WALL### 14 and 1 many 3 associations 2 dental 3 associations 3 associations 14 and 4 recognize 6 importance 4 recognize 10 on 4 recognize 14 and 5 the 6 importance 6 importance 7 of 7 of 9 research 8 continued 9 research 10 on 13 diagnostics 11 oral 12 fluids 12 fluids 13 diagnostics 14 and 15 welcome 15 welcome 20 point 16 the 20 point 17 development 20 point 19 rapid 20 point 20 point 22 of 21 - 22 of 22 of 25 tests 22 of 33 . 24 care 25 tests 25 tests 26 providing 25 tests 29 of 26 providing 28 measurements 27 accurate 28 measurements 29 of 32 biomarkers 30 clinically 31 validated 31 validated 32 biomarkers at present , well - studied molecules associated with host response factors and with derived tissue destruction mediators have been proposed as diagnostic biomarkers for periodontitis detected in the oral fluids . 0 ###LEFT-WALL### 18 mediators 0 ###LEFT-WALL### 20 been 0 ###LEFT-WALL### 32 . 1 at 7 molecules 1 at 18 mediators 2 present 4 well 2 present 7 molecules 3 , 4 well 4 well 5 - 6 studied 7 molecules 7 molecules 8 associated 8 associated 13 and 9 with 12 factors 9 with 13 and 10 host 11 response 11 response 12 factors 13 and 14 with 14 with 16 tissue 15 derived 16 tissue 17 destruction 18 mediators 18 mediators 19 have 19 have 20 been 20 been 24 biomarkers 21 proposed 24 biomarkers 22 as 23 diagnostic 23 diagnostic 24 biomarkers 24 biomarkers 25 for 25 for 26 periodontitis 26 periodontitis 27 detected 27 detected 28 in 28 in 31 fluids 29 the 31 fluids 30 oral 31 fluids background : this study investigated the clinical efficacy of electroacupuncture ( ea ) in inhibiting upper - extremity spasticity in chronic stroke patients , and also in mapping a unique preliminary acupoint - selection protocol . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 36 . 2 : 4 study 2 : 5 investigated 3 this 4 study 4 study 5 investigated 5 investigated 8 efficacy 5 investigated 14 in 6 the 8 efficacy 7 clinical 8 efficacy 8 efficacy 9 of 8 efficacy 12 ea 9 of 10 electroacupuncture 11 ( 12 ea 12 ea 13 ) 14 in 15 inhibiting 15 inhibiting 19 spasticity 16 upper 17 - 16 upper 18 extremity 18 extremity 19 spasticity 19 spasticity 25 and 20 in 23 patients 20 in 25 and 21 chronic 22 stroke 22 stroke 23 patients 24 , 25 and 25 and 26 also 25 and 27 in 27 in 28 mapping 28 mapping 35 protocol 29 a 35 protocol 30 unique 35 protocol 31 preliminary 35 protocol 32 acupoint 33 - 32 acupoint 35 protocol 34 selection 35 protocol methods : fifteen patients were divided into two groups : patients in the control group ( n=6 ) received minimal acupuncture ( ma ) , and those in the experimental group ( n=9 ) received ea . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 2 : 4 patients 2 : 6 divided 2 : 10 : 3 fifteen 4 patients 4 patients 5 were 5 were 6 divided 6 divided 7 into 7 into 9 groups 8 two 9 groups 10 : 26 and 10 : 35 received 11 patients 12 in 11 patients 26 and 12 in 15 group 13 the 15 group 14 control 15 group 15 group 21 acupuncture 16 ( 21 acupuncture 17 n=6 18 ) 17 n=6 21 acupuncture 19 received 21 acupuncture 20 minimal 21 acupuncture 21 acupuncture 23 ma 21 acupuncture 25 , 22 ( 23 ma 23 ma 24 ) 26 and 27 those 26 and 28 in 26 and 35 received 28 in 31 group 29 the 31 group 30 experimental 31 group 31 group 33 n=9 32 ( 33 n=9 33 n=9 34 ) 35 received 36 ea four acupoints , which include neiguan ( pc6 ) , shaohai ( ht3 ) , zeqian [(] [ex] - ue , a32 ) , and shounizhu ( ex - ue ) , were treated near the motor points of the muscles for elbow flexion , forearm pronation , and finger flexion . 0 ###LEFT-WALL### 2 acupoints 0 ###LEFT-WALL### 49 and 0 ###LEFT-WALL### 52 . 1 four 2 acupoints 2 acupoints 4 which 2 acupoints 11 shaohai 2 acupoints 49 and 3 , 4 which 4 which 5 include 4 which 9 ) 5 include 6 neiguan 6 neiguan 8 pc6 7 ( 8 pc6 8 pc6 9 ) 10 , 11 shaohai 11 shaohai 13 ht3 11 shaohai 25 and 11 shaohai 32 , 12 ( 13 ht3 13 ht3 14 ) 15 , 25 and 16 zeqian 20 ue 16 zeqian 25 and 19 - 20 ue 20 ue 22 a32 20 ue 24 , 21 , 22 a32 22 a32 23 ) 25 and 30 ue 25 and 32 , 26 shounizhu 28 ex 27 ( 28 ex 28 ex 29 - 28 ex 30 ue 29 - 30 ue 30 ue 31 ) 33 were 34 treated 33 were 49 and 34 treated 35 near 35 near 38 points 36 the 38 points 37 motor 38 points 38 points 39 of 39 of 41 muscles 40 the 41 muscles 41 muscles 42 for 42 for 44 flexion 43 elbow 44 flexion 44 flexion 47 pronation 45 , 47 pronation 46 forearm 47 pronation 47 pronation 48 , 48 , 49 and 49 and 50 finger 49 and 51 flexion both groups were treated for twelve sessions , 20 minutes per session , for 6 weeks ( two sessions per week ) . 0 ###LEFT-WALL### 2 groups 0 ###LEFT-WALL### 4 treated 0 ###LEFT-WALL### 23 . 1 both 2 groups 2 groups 3 were 3 were 4 treated 4 treated 5 for 5 for 7 sessions 6 twelve 7 sessions 7 sessions 10 minutes 7 sessions 14 for 8 , 10 minutes 9 20 10 minutes 10 minutes 11 per 10 minutes 13 , 11 per 12 session 13 , 14 for 14 for 16 weeks 14 for 22 ) 15 6 16 weeks 16 weeks 19 sessions 17 ( 19 sessions 18 two 19 sessions 19 sessions 20 per 19 sessions 22 ) 20 per 21 week the outcome measures in this study included angle of muscle reaction ( r1 ) , passive range of motion ( r2 ) , and dynamic component ( r2 - r1 ) . 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 32 . 1 the 3 measures 2 outcome 3 measures 3 measures 4 in 3 measures 24 and 4 in 8 angle 5 this 8 angle 6 study 7 included 7 included 8 angle 8 angle 9 of 9 of 11 reaction 10 muscle 11 reaction 11 reaction 13 r1 11 reaction 17 range 12 ( 13 r1 13 r1 14 ) 15 , 17 range 16 passive 17 range 17 range 18 of 17 range 21 r2 17 range 23 , 18 of 19 motion 20 ( 21 r2 21 r2 22 ) 24 and 26 component 24 and 28 r2 25 dynamic 26 component 27 ( 28 r2 28 r2 30 r1 28 r2 31 ) 29 - 30 r1 30 r1 31 ) results : in the experimental group , the r2 - r1 of the elbow joint was significantly decreased at 1 ( p=0.0079 ) , 3 ( p=0.0013 [ )(, and 6 weeks ( p=0.0149 ) after treatment compared with pretreatment levels ( p<0.05 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 45 . 1 results 2 : 2 : 3 in 3 in 6 group 4 the 6 group 5 experimental 6 group 7 , 9 r2 7 , 10 - 8 the 9 r2 10 - 11 r1 10 - 18 decreased 11 r1 12 of 11 r1 16 was 12 of 15 joint 13 the 15 joint 14 elbow 15 joint 16 was 17 significantly 16 was 18 decreased 18 decreased 19 at 18 decreased 36 after 19 at 20 1 20 1 22 p=0.0079 20 1 25 3 21 ( 22 p=0.0079 22 p=0.0079 23 ) 24 , 25 3 25 3 30 and 25 3 35 ) 26 ( 30 and 27 p=0.0013 30 and 29 )(, 30 and 30 and 32 weeks 30 and 34 p=0.0149 30 and 35 ) 31 6 32 weeks 33 ( 34 p=0.0149 34 p=0.0149 35 ) 36 after 37 treatment 36 after 38 compared 37 treatment 38 compared 38 compared 39 with 39 with 41 levels 40 pretreatment 41 levels 41 levels 43 p<0.05 42 ( 43 p<0.05 43 p<0.05 44 ) the [between] [-] group difference in the r2 - r1 of the elbow joint after the 6 - week treatment was statistically significant . 0 ###LEFT-WALL### 5 difference 0 ###LEFT-WALL### 21 was 0 ###LEFT-WALL### 24 . 1 the 5 difference 4 group 5 difference 5 difference 6 in 5 difference 21 was 6 in 20 treatment 7 the 20 treatment 8 r2 10 r1 8 r2 20 treatment 9 - 10 r1 10 r1 11 of 10 r1 18 - 11 of 13 elbow 12 the 13 elbow 13 elbow 14 joint 14 joint 15 after 15 after 17 6 16 the 17 6 19 week 20 treatment 21 was 22 statistically 21 was 23 significant conclusion : combining the 6 - week ea and standard rehabilitation treatment reduced the spasticity of the elbow for chronic stroke survivors . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 9 and 2 : 13 reduced 2 : 23 . 3 combining 5 6 3 combining 6 - 3 combining 9 and 4 the 5 6 7 week 8 ea 8 ea 9 and 9 and 12 treatment 9 and 13 reduced 10 standard 11 rehabilitation 11 rehabilitation 12 treatment 13 reduced 15 spasticity 14 the 15 spasticity 15 spasticity 16 of 16 of 18 elbow 17 the 18 elbow 18 elbow 19 for 19 for 22 survivors 20 chronic 21 stroke 21 stroke 22 survivors however , no significant effect was observed in the spasticity of the wrist joints . 0 ###LEFT-WALL### 5 effect 0 ###LEFT-WALL### 7 observed 0 ###LEFT-WALL### 15 . 1 however 2 , 1 however 5 effect 3 no 5 effect 4 significant 5 effect 5 effect 6 was 6 was 7 observed 7 observed 8 in 8 in 10 spasticity 9 the 10 spasticity 10 spasticity 11 of 11 of 14 joints 12 the 14 joints 13 wrist 14 joints the choice of acupoints and the frequency of ea have to be taken into account to achieve a positive treatment effect . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 10 have 0 ###LEFT-WALL### 22 . 1 the 2 choice 2 choice 3 of 2 choice 5 and 3 of 4 acupoints 5 and 7 frequency 5 and 8 of 5 and 10 have 6 the 7 frequency 8 of 9 ea 10 have 11 to 10 have 13 taken 11 to 12 be 12 be 13 taken 13 taken 15 account 13 taken 16 to 14 into 15 account 16 to 17 achieve 17 achieve 21 effect 18 a 19 positive 18 a 21 effect 19 positive 20 treatment 20 treatment 21 effect the correlation between acupoints and motor points provides a model of acupoint selection to improve spasticity . 0 ###LEFT-WALL### 2 correlation 0 ###LEFT-WALL### 8 provides 0 ###LEFT-WALL### 17 . 1 the 2 correlation 2 correlation 3 between 2 correlation 8 provides 3 between 5 and 4 acupoints 5 and 5 and 7 points 6 motor 7 points 8 provides 10 model 8 provides 14 to 9 a 10 model 10 model 11 of 11 of 13 selection 12 acupoint 13 selection 14 to 15 improve 15 improve 16 spasticity purpose : to describe 1 - year clinical results of intravitreal ranibizumab treatment in patients with choroidal neovascularization secondary to exudative age - related macular degeneration ( amd ) and to evaluate whether early treatment is a predictive value [for] prognosis of the disease . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 24 related 0 ###LEFT-WALL### 30 and 0 ###LEFT-WALL### 45 . 1 purpose 2 : 2 : 3 to 2 : 4 describe 3 to 4 describe 4 describe 5 1 5 1 9 results 6 - 9 results 7 year 9 results 8 clinical 9 results 9 results 10 of 9 results 14 in 9 results 23 - 10 of 13 treatment 11 intravitreal 13 treatment 12 ranibizumab 13 treatment 14 in 15 patients 15 patients 16 with 15 patients 19 secondary 16 with 18 neovascularization 17 choroidal 18 neovascularization 19 secondary 20 to 20 to 22 age 21 exudative 22 age 23 - 24 related 24 related 26 degeneration 24 related 29 ) 25 macular 26 degeneration 26 degeneration 28 amd 27 ( 28 amd 28 amd 29 ) 30 and 31 to 30 and 36 is 31 to 32 evaluate 31 to 36 is 32 evaluate 33 whether 32 evaluate 35 treatment 33 whether 34 early 36 is 41 prognosis 37 a 38 predictive 37 a 41 prognosis 38 predictive 39 value 39 value 41 prognosis 41 prognosis 42 of 42 of 44 disease 43 the 44 disease materials and methods : clinical records were retrospectively reviewed of 104 eyes that underwent intravitreal ranibizumab therapy for exudative amd . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 21 . 1 materials 2 and 2 and 3 methods 4 : 6 records 4 : 9 reviewed 5 clinical 6 records 6 records 7 were 7 were 8 retrospectively 7 were 9 reviewed 9 reviewed 10 of 9 reviewed 18 for 10 of 12 eyes 11 104 12 eyes 12 eyes 13 that 12 eyes 14 underwent 13 that 14 underwent 14 underwent 17 therapy 15 intravitreal 17 therapy 16 ranibizumab 17 therapy 18 for 20 amd 19 exudative 20 amd patients were divided into two groups according to their symptom duration : group 1 , < 1 month [;] and group 2 , 1 - 3 months . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 3 divided 0 ###LEFT-WALL### 12 : 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 11 duration 9 their 11 duration 10 symptom 11 duration 12 : 13 group 13 group 14 1 14 1 20 and 14 1 27 months 15 , 20 and 16 < 17 1 17 1 18 month 18 month 20 and 20 and 21 group 20 and 23 , 21 group 22 2 23 , 27 months 24 1 25 - 25 - 26 3 25 - 27 months 27 months 28 . after three monthly injections , patients were examined monthly , and subsequent injections were performed as needed . 0 ###LEFT-WALL### 6 patients 0 ###LEFT-WALL### 8 examined 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 18 . 1 after 4 injections 1 after 5 , 1 after 6 patients 2 three 4 injections 3 monthly 4 injections 6 patients 7 were 7 were 8 examined 8 examined 9 monthly 10 , 11 and 11 and 13 injections 11 and 17 needed 12 subsequent 13 injections 13 injections 14 were 14 were 15 performed 15 performed 16 as 16 as 17 needed results : there were 43 female ( 48.9 % ) [and] 45 males ( 51.1 % ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 there 2 : 4 were 2 : 18 . 3 there 4 were 4 were 13 males 5 43 13 males 6 female 9 % 6 female 13 males 7 ( 9 % 8 48.9 9 % 9 % 10 ) 12 45 13 males 13 males 16 % 14 ( 16 % 15 51.1 16 % 16 % 17 ) [the] follow - up time was 13.7±1.9 ( 12 - 19 ) months . 0 ###LEFT-WALL### 2 follow 0 ###LEFT-WALL### 3 - 3 - 5 time 3 - 6 was 3 - 14 . 4 up 5 time 5 time 6 was 6 was 13 months 7 13.7±1.9 10 - 7 13.7±1.9 13 months 8 ( 10 - 9 12 10 - 10 - 11 19 10 - 12 ) the mean logarithm of minimum angle [of] resolution best [-] corrected visual acuity ( bcva ) improved significantly , from 0.45±0.639 at baseline to 0.08±0.267 at 12 months in group 1 , and from 1.06±0.687 at baseline to 0.75±0.563 at 12 months in group 2 . 0 ###LEFT-WALL### 3 logarithm 0 ###LEFT-WALL### 17 improved 1 the 3 logarithm 2 mean 3 logarithm 3 logarithm 4 of 3 logarithm 17 improved 4 of 13 acuity 5 minimum 6 angle 6 angle 13 acuity 8 resolution 13 acuity 9 best 11 corrected 11 corrected 13 acuity 12 visual 13 acuity 13 acuity 15 bcva 14 ( 15 bcva 15 bcva 16 ) 17 improved 18 significantly 17 improved 20 from 19 , 20 from 20 from 21 0.45±0.639 20 from 46 . 21 0.45±0.639 22 at 21 0.45±0.639 24 to 21 0.45±0.639 25 0.08±0.267 22 at 23 baseline 24 to 25 0.08±0.267 25 0.08±0.267 26 at 25 0.08±0.267 36 at 26 at 28 months 27 12 28 months 28 months 33 and 29 in 30 group 29 in 33 and 30 group 31 1 32 , 33 and 33 and 34 from 34 from 35 1.06±0.687 36 at 37 baseline 37 baseline 38 to 37 baseline 40 at 38 to 39 0.75±0.563 40 at 42 months 41 12 42 months 42 months 43 in 43 in 44 group 44 group 45 2 the increase in bcva was statistically significant in group 1 ( p=0.009 ) . 0 ###LEFT-WALL### 2 increase 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 14 . 1 the 2 increase 2 increase 3 in 2 increase 5 was 3 in 4 bcva 5 was 7 significant 6 statistically 7 significant 7 significant 8 in 8 in 9 group 9 group 10 1 9 group 12 p=0.009 11 ( 12 p=0.009 12 p=0.009 13 ) the mean central retinal thickness ( crt ) decreased significantly , from 355.13±119.93 [μm] at baseline to 250.85±45.48 [μm] at 12 months in group 1 , and from 371.88±91.047 [μm] at baseline to 268.61±53.51 [μm] at 12 months in group 2 . 0 ###LEFT-WALL### 5 thickness 0 ###LEFT-WALL### 9 decreased 1 the 5 thickness 2 mean 5 thickness 3 central 5 thickness 4 retinal 5 thickness 5 thickness 7 crt 5 thickness 9 decreased 6 ( 7 crt 7 crt 8 ) 9 decreased 10 significantly 9 decreased 12 from 11 , 12 from 12 from 13 355.13±119.93 12 from 42 . 13 355.13±119.93 15 at 15 at 16 baseline 16 baseline 17 to 16 baseline 20 at 16 baseline 27 and 17 to 18 250.85±45.48 20 at 22 months 21 12 22 months 23 in 24 group 23 in 27 and 24 group 25 1 26 , 27 and 27 and 28 from 28 from 29 371.88±91.047 29 371.88±91.047 31 at 29 371.88±91.047 33 to 31 at 32 baseline 33 to 34 268.61±53.51 34 268.61±53.51 36 at 34 268.61±53.51 39 in 36 at 38 months 37 12 38 months 39 in 40 group 40 group 41 2 the decrease in crt was statistically significant in group 1 ( p=0.001 ) . 0 ###LEFT-WALL### 2 decrease 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 14 . 1 the 2 decrease 2 decrease 3 in 2 decrease 5 was 3 in 4 crt 5 was 7 significant 6 statistically 7 significant 7 significant 8 in 8 in 9 group 9 group 10 1 9 group 12 p=0.001 11 ( 12 p=0.001 12 p=0.001 13 ) conclusion : intravitreal ranibizumab therapy was effective in significantly increasing mean bvca and reducing crt . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 . 2 : 5 therapy 2 : 6 was 3 intravitreal 5 therapy 4 ranibizumab 5 therapy 5 therapy 6 was 6 was 7 effective 7 effective 8 in 8 in 13 and 9 significantly 10 increasing 10 increasing 11 mean 11 mean 12 bvca 12 bvca 13 and 13 and 15 crt 14 reducing 15 crt shorter duration of amd , as measured by the subjective duration of visual symptoms , is associated with better visual outcome [after] treatment . 0 ###LEFT-WALL### 2 duration 0 ###LEFT-WALL### 17 associated 0 ###LEFT-WALL### 24 . 1 shorter 2 duration 2 duration 3 of 2 duration 16 is 3 of 4 amd 4 amd 7 measured 5 , 7 measured 6 as 7 measured 7 measured 8 by 7 measured 15 , 8 by 11 duration 9 the 11 duration 10 subjective 11 duration 11 duration 12 of 12 of 14 symptoms 13 visual 14 symptoms 16 is 17 associated 17 associated 18 with 18 with 23 treatment 19 better 21 outcome 20 visual 21 outcome 21 outcome 23 treatment this study aimed to evaluate the effectiveness of an innovative exercise program on muscle strength , balance , and gait kinematics in elderly [community] - dwellers . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 aimed 0 ###LEFT-WALL### 27 . 1 this 2 study 2 study 3 aimed 3 aimed 4 to 3 aimed 13 on 3 aimed 22 in 4 to 5 evaluate 5 evaluate 7 effectiveness 6 the 7 effectiveness 7 effectiveness 8 of 8 of 12 program 9 an 12 program 10 innovative 11 exercise 11 exercise 12 program 13 on 19 and 14 muscle 15 strength 15 strength 16 , 16 , 17 balance 16 , 19 and 18 , 19 and 19 and 21 kinematics 20 gait 21 kinematics 22 in 26 dwellers 23 elderly 25 - 23 elderly 26 dwellers the exercise program included strength and balance training and [the] 8 - form tai chi chuan . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 17 . 1 the 5 strength 2 exercise 3 program 3 program 4 included 4 included 5 strength 5 strength 6 and 6 and 8 training 7 balance 8 training 9 and 11 8 9 and 12 - 11 8 12 - 12 - 13 form 13 form 16 chuan 14 tai 15 chi 15 chi 16 chuan the measurements were carried out at baseline and 12 weeks , and consisted of four physical performance tests , joint isokinetic strength tests , [and] three - dimensional gait analysis . 0 ###LEFT-WALL### 2 measurements 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 27 - 0 ###LEFT-WALL### 31 . 1 the 2 measurements 2 measurements 12 and 3 were 4 carried 3 were 12 and 4 carried 5 out 4 carried 6 at 6 at 8 and 7 baseline 8 and 8 and 10 weeks 9 12 10 weeks 11 , 12 and 12 and 19 , 13 consisted 14 of 13 consisted 19 , 14 of 18 tests 15 four 18 tests 16 physical 17 performance 17 performance 18 tests 19 , 20 joint 20 joint 23 tests 21 isokinetic 22 strength 22 strength 23 tests 23 tests 26 three 24 , 26 three 26 three 27 - 27 - 30 analysis 28 dimensional 29 gait 29 gait 30 analysis fifty - six community - dwelling older adults aged 60 - 80 years old were randomly assigned to an intervention or control group . 0 ###LEFT-WALL### 1 fifty 0 ###LEFT-WALL### 2 - 2 - 4 community 2 - 5 - 2 - 24 . 3 six 4 community 5 - 6 dwelling 5 - 15 were 6 dwelling 15 were 7 older 8 adults 8 adults 9 aged 8 adults 15 were 9 aged 11 - 9 aged 14 old 10 60 11 - 11 - 12 80 12 80 13 years 13 years 14 old 15 were 17 assigned 16 randomly 17 assigned 17 assigned 18 to 18 to 21 or 19 an 20 intervention 20 intervention 21 or 21 or 23 group 22 control 23 group after 12 weeks , the intervention group showed a 17.6 % improvement in the timed up [and] [go] test , accompanied by a 54.7 % increase in the 30 - second chair stand test score . 0 ###LEFT-WALL### 7 group 0 ###LEFT-WALL### 8 showed 0 ###LEFT-WALL### 30 - 1 after 3 weeks 1 after 4 , 1 after 7 group 2 12 3 weeks 5 the 7 group 6 intervention 7 group 7 group 8 showed 8 showed 12 improvement 8 showed 13 in 8 showed 21 accompanied 9 a 12 improvement 10 17.6 11 % 11 % 12 improvement 13 in 19 test 14 the 19 test 15 timed 19 test 16 up 19 test 20 , 21 accompanied 21 accompanied 22 by 21 accompanied 27 in 21 accompanied 30 - 22 by 26 increase 23 a 26 increase 24 54.7 25 % 25 % 26 increase 27 in 29 30 28 the 29 30 30 - 35 score 30 - 36 . 31 second 35 score 32 chair 34 test 33 stand 34 test 34 test 35 score significant increases in the score of star excursion balance tests , and the strength of the extensor and flexor muscles at knee [and] ankle joints were also observed . 0 ###LEFT-WALL### 1 significant 0 ###LEFT-WALL### 2 increases 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 29 . 1 significant 2 increases 2 increases 3 in 3 in 10 tests 4 the 5 score 5 score 6 of 5 score 10 tests 6 of 10 tests 7 star 9 balance 8 excursion 9 balance 9 balance 10 tests 11 , 12 and 12 and 18 and 12 and 28 observed 13 the 14 strength 14 strength 15 of 14 strength 18 and 15 of 17 extensor 16 the 17 extensor 18 and 20 muscles 18 and 21 at 18 and 26 were 19 flexor 20 muscles 21 at 25 joints 22 knee 25 joints 24 ankle 25 joints 26 were 28 observed 27 also 28 observed in addition , the intervention group walked at a faster speed with a longer step length , shorter support phase , and a greater sagittal plane range of motion at the hip and ankle joints . 0 ###LEFT-WALL### 6 group 0 ###LEFT-WALL### 7 walked 0 ###LEFT-WALL### 36 . 1 in 2 addition 1 in 3 , 1 in 6 group 4 the 6 group 5 intervention 6 group 6 group 7 walked 7 walked 8 at 7 walked 30 at 8 at 22 and 9 a 11 speed 10 faster 11 speed 11 speed 12 with 11 speed 17 , 12 with 16 length 13 a 16 length 14 longer 15 step 15 step 16 length 17 , 20 phase 17 , 22 and 18 shorter 19 support 19 support 20 phase 21 , 22 and 22 and 27 range 22 and 28 of 23 a 27 range 24 greater 26 plane 25 sagittal 26 plane 26 plane 27 range 28 of 29 motion 30 at 33 and 31 the 32 hip 32 hip 33 and 33 and 35 joints 34 ankle 35 joints no statistical improvements were seen in the control group . 0 ###LEFT-WALL### 3 improvements 0 ###LEFT-WALL### 5 seen 0 ###LEFT-WALL### 10 . 1 no 3 improvements 2 statistical 3 improvements 3 improvements 4 were 4 were 5 seen 5 seen 6 in 6 in 9 group 7 the 9 group 8 control 9 group this study provided an effective , evidence - based [falls] prevention program that can be implemented in community settings to improve physical fitness and reduce fall risks among community [-] dwelling older adults . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 provided 0 ###LEFT-WALL### 34 . 1 this 2 study 2 study 3 provided 3 provided 12 program 4 an 5 effective 4 an 12 program 5 effective 7 evidence 5 effective 11 prevention 6 , 7 evidence 7 evidence 8 - 9 based 11 prevention 11 prevention 12 program 12 program 13 that 12 program 25 reduce 13 that 14 can 14 can 24 and 15 be 16 implemented 15 be 24 and 16 implemented 17 in 16 implemented 20 to 17 in 19 settings 18 community 19 settings 20 to 21 improve 21 improve 23 fitness 22 physical 23 fitness 24 and 25 reduce 25 reduce 27 risks 26 fall 27 risks 27 risks 28 among 28 among 33 adults 29 community 31 dwelling 31 dwelling 33 adults 32 older 33 adults the star excursion balance test could be a sensitive measure of physical performance for fall risk assessment in older people . 0 ###LEFT-WALL### 5 test 0 ###LEFT-WALL### 7 be 0 ###LEFT-WALL### 21 . 1 the 5 test 2 star 5 test 3 excursion 5 test 4 balance 5 test 5 test 6 could 6 could 7 be 7 be 13 performance 8 a 9 sensitive 8 a 10 measure 9 sensitive 10 measure 10 measure 11 of 10 measure 13 performance 11 of 13 performance 12 physical 13 performance 13 performance 14 for 14 for 17 assessment 15 fall 17 assessment 16 risk 17 assessment 17 assessment 18 in 18 in 20 people 19 older 20 people objective : the interaction between dementia and nutritional state is very complex and [not] yet fully understood . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 4 interaction 2 : 13 and 2 : 18 . 3 the 4 interaction 4 interaction 5 between 4 interaction 13 and 5 between 7 and 6 dementia 7 and 7 and 9 state 8 nutritional 9 state 10 is 12 complex 10 is 13 and 11 very 12 complex 13 and 17 understood 15 yet 17 understood 16 fully 17 understood the aim of the present study was to assess the interaction between cognitive impairment and nutritional state in a cohort of residential elderly in relationship [with] functional condition of patients and their load of assistance in long - term [-] care facilities of the national association of third age structures ( anaste ) calabria . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 55 . 1 the 2 aim 2 aim 3 of 2 aim 15 and 3 of 5 present 4 the 5 present 5 present 6 study 5 present 9 assess 6 study 7 was 7 was 8 to 7 was 9 assess 8 to 9 assess 9 assess 11 interaction 9 assess 12 between 10 the 11 interaction 12 between 14 impairment 13 cognitive 14 impairment 15 and 17 state 15 and 18 in 16 nutritional 17 state 18 in 20 cohort 19 a 20 cohort 20 cohort 21 of 20 cohort 34 of 21 of 31 and 22 residential 23 elderly 22 residential 31 and 23 elderly 24 in 24 in 28 condition 25 relationship 28 condition 27 functional 28 condition 28 condition 29 of 29 of 30 patients 31 and 33 load 32 their 33 load 34 of 35 assistance 35 assistance 36 in 35 assistance 43 of 36 in 42 facilities 37 long 38 - 37 long 42 facilities 39 term 41 care 41 care 42 facilities 43 of 46 association 44 the 46 association 45 national 46 association 46 association 47 of 47 of 54 calabria 48 third 49 age 49 age 50 structures 50 structures 52 anaste 51 ( 52 anaste 52 anaste 53 ) 52 anaste 54 calabria methods : one hundred seventy - four subjects ( 122 female and 52 male ) were admitted to the long - term - care anaste calabria study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 1 methods 2 : 2 : 5 seventy 3 one 4 hundred 4 hundred 5 seventy 5 seventy 8 subjects 6 - 8 subjects 7 four 8 subjects 8 subjects 10 122 8 subjects 28 . 9 ( 10 122 10 122 12 and 10 122 16 were 10 122 17 admitted 10 122 28 . 11 female 12 and 12 and 14 male 12 and 15 ) 12 and 16 were 13 52 14 male 17 admitted 18 to 18 to 22 term 19 the 22 term 20 long 21 - 20 long 22 term 22 term 27 study 23 - 27 study 24 care 27 study 25 anaste 26 calabria 26 calabria 27 study 27 study 28 . all patients underwent multidimensional geriatric assessment . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 3 underwent 0 ###LEFT-WALL### 7 . 1 all 2 patients 2 patients 3 underwent 3 underwent 6 assessment 4 multidimensional 6 assessment 5 geriatric 6 assessment nutritional [state] was assessed with the mini nutritional assessment ( mna ) , whereas cognitive performance was evaluated by the mini - mental state examination ( mmse ) . 0 ###LEFT-WALL### 1 nutritional 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 29 . 1 nutritional 3 was 3 was 4 assessed 4 assessed 5 with 4 assessed 14 whereas 5 with 11 mna 6 the 11 mna 7 mini 8 nutritional 8 nutritional 9 assessment 9 assessment 11 mna 10 ( 11 mna 11 mna 12 ) 13 , 14 whereas 14 whereas 16 performance 14 whereas 18 evaluated 14 whereas 28 ) 15 cognitive 16 performance 16 performance 17 was 17 was 18 evaluated 18 evaluated 19 by 19 by 21 mini 20 the 21 mini 21 mini 25 examination 22 - 25 examination 23 mental 24 state 24 state 25 examination 25 examination 27 mmse 25 examination 28 ) 26 ( 27 mmse 27 mmse 28 ) the functional state was assessed by barthel index ( bi ) and activity daily living ( adl ) . 0 ###LEFT-WALL### 3 state 0 ###LEFT-WALL### 5 assessed 0 ###LEFT-WALL### 19 . 1 the 3 state 2 functional 3 state 3 state 4 was 4 was 5 assessed 5 assessed 6 by 6 by 12 and 7 barthel 8 index 8 index 10 bi 9 ( 10 bi 10 bi 11 ) 10 bi 12 and 12 and 17 adl 13 activity 14 daily 14 daily 15 living 15 living 17 adl 16 ( 17 adl 17 adl 18 ) the following nutritional biochemical parameters were also evaluated : albumin , cholesterol , iron , and hemoglobin . 0 ###LEFT-WALL### 5 parameters 0 ###LEFT-WALL### 8 evaluated 0 ###LEFT-WALL### 9 : 0 ###LEFT-WALL### 18 . 1 the 2 following 1 the 5 parameters 3 nutritional 5 parameters 4 biochemical 5 parameters 5 parameters 6 were 6 were 7 also 6 were 8 evaluated 9 : 16 and 10 albumin 11 , 11 , 12 cholesterol 11 , 13 , 13 , 14 iron 13 , 16 and 15 , 16 and 16 and 17 hemoglobin all patients were reassessed 180 days later . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 4 reassessed 0 ###LEFT-WALL### 8 . 1 all 2 patients 2 patients 3 were 3 were 4 reassessed 4 reassessed 7 later 5 180 6 days 6 days 7 later results : [a] severe cognitive impairment in mmse performance was displayed in 49.7 % patients , while 39.8 % showed a moderate deficit ; 6.9 % had a slight deficit ; and 3.4 % evidenced no cognitive impairment . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 ; 0 ###LEFT-WALL### 39 . 1 results 2 : 2 : 6 impairment 4 severe 6 impairment 5 cognitive 6 impairment 6 impairment 7 in 6 impairment 11 displayed 7 in 8 mmse 8 mmse 9 performance 8 mmse 10 was 9 performance 10 was 11 displayed 12 in 11 displayed 17 while 12 in 15 patients 13 49.7 15 patients 14 % 15 patients 16 , 17 while 17 while 19 % 17 while 20 showed 17 while 24 ; 18 39.8 19 % 19 % 20 showed 20 showed 23 deficit 21 a 22 moderate 21 a 23 deficit 22 moderate 23 deficit 24 ; 26 % 24 ; 27 had 24 ; 31 ; 25 6.9 26 % 26 % 27 had 27 had 30 deficit 28 a 30 deficit 29 slight 30 deficit 31 ; 32 and 32 and 34 % 32 and 35 evidenced 33 3.4 34 % 34 % 35 evidenced 35 evidenced 38 impairment 36 no 38 impairment 37 cognitive 38 impairment in mna , 30 % of patients exhibited an impairment [of] nutritional state ; 56 % were at risk of malnutrition ; and 14 % showed no nutritional problems . 0 ###LEFT-WALL### 5 % 0 ###LEFT-WALL### 8 exhibited 0 ###LEFT-WALL### 14 ; 0 ###LEFT-WALL### 30 . 1 in 2 mna 1 in 3 , 1 in 5 % 4 30 5 % 5 % 6 of 5 % 8 exhibited 6 of 7 patients 8 exhibited 13 state 9 an 10 impairment 9 an 13 state 10 impairment 13 state 12 nutritional 13 state 14 ; 16 % 14 ; 17 were 14 ; 22 ; 15 56 16 % 16 % 17 were 17 were 18 at 18 at 19 risk 19 risk 20 of 20 of 21 malnutrition 22 ; 23 and 23 and 25 % 23 and 26 showed 24 14 25 % 25 % 26 showed 26 showed 29 problems 27 no 29 problems 28 nutritional 29 problems malnutrition was present in 42 % of patients with severe cognitive impairment , but only 4 % [of] malnourished patients [showed] moderate cognitive deficit . 0 ###LEFT-WALL### 1 malnutrition 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 25 . 1 malnutrition 2 was 2 was 14 but 3 present 4 in 3 present 14 but 4 in 6 % 5 42 6 % 6 % 7 of 7 of 8 patients 8 patients 9 with 9 with 12 impairment 10 severe 12 impairment 11 cognitive 12 impairment 13 , 14 but 14 but 15 only 14 but 24 deficit 16 4 17 % 17 % 24 deficit 19 malnourished 20 patients 20 patients 24 deficit 22 moderate 24 deficit 23 cognitive 24 deficit the statistical analysis displayed a significant correlation between mna and mmse ( p<0.001 ) , as did mmse correlated with activity daily living ( p<0.001 ) and bi ( p<0.05 ) . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 4 displayed 0 ###LEFT-WALL### 32 . 1 the 3 analysis 2 statistical 3 analysis 3 analysis 4 displayed 4 displayed 7 correlation 4 displayed 8 between 4 displayed 16 as 5 a 7 correlation 6 significant 7 correlation 8 between 10 and 9 mna 10 and 10 and 11 mmse 10 and 15 , 11 mmse 13 p<0.001 12 ( 13 p<0.001 13 p<0.001 14 ) 16 as 17 did 17 did 27 and 18 mmse 19 correlated 18 mmse 20 with 18 mmse 27 and 20 with 23 living 21 activity 22 daily 22 daily 23 living 23 living 25 p<0.001 24 ( 25 p<0.001 25 p<0.001 26 ) 27 and 28 bi 28 bi 30 p<0.05 29 ( 30 p<0.05 30 p<0.05 31 ) mna correlated with bi ( p<0.001 ) and albumin ( p<0.001 ) . 0 ###LEFT-WALL### 1 mna 0 ###LEFT-WALL### 2 correlated 0 ###LEFT-WALL### 13 . 1 mna 2 correlated 2 correlated 3 with 3 with 8 and 4 bi 6 p<0.001 4 bi 8 and 5 ( 6 p<0.001 6 p<0.001 7 ) 8 and 9 albumin 8 and 11 p<0.001 10 ( 11 p<0.001 11 p<0.001 12 ) [the] follow - up [showed] a strong correlation between cognitive deterioration and worsening [of] nutritional state ( p<0.005 ) as well as with the functional state ( p<0.05 ) and mortality ( p<0.01 ) . 0 ###LEFT-WALL### 2 follow 0 ###LEFT-WALL### 35 . 2 follow 4 up 2 follow 20 as 3 - 4 up 4 up 8 correlation 4 up 19 ) 6 a 7 strong 6 a 8 correlation 7 strong 8 correlation 8 correlation 9 between 8 correlation 18 p<0.005 9 between 12 and 10 cognitive 11 deterioration 11 deterioration 12 and 12 and 16 state 13 worsening 16 state 15 nutritional 16 state 17 ( 18 p<0.005 18 p<0.005 19 ) 20 as 30 and 21 well 22 as 21 well 30 and 22 as 23 with 23 with 26 state 24 the 26 state 25 functional 26 state 26 state 28 p<0.05 27 ( 28 p<0.05 28 p<0.05 29 ) 30 and 31 mortality 30 and 33 p<0.01 32 ( 33 p<0.01 33 p<0.01 34 ) conclusion : the present study clearly shows that malnutrition may play an important role in the progression of cognitive loss . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 5 study 2 : 7 shows 2 : 21 . 3 the 5 study 4 present 5 study 5 study 7 shows 6 clearly 7 shows 7 shows 8 that 8 that 9 malnutrition 8 that 11 play 9 malnutrition 10 may 10 may 11 play 11 play 14 role 11 play 15 in 12 an 13 important 12 an 14 role 13 important 14 role 15 in 17 progression 16 the 17 progression 17 progression 18 of 18 of 20 loss 19 cognitive 20 loss background : more hiv - infected women are reaching older age and menopause , but there is limited information on cervical squamous intraepithelial lesions ( sils ) on these women . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 hiv 2 : 5 - 3 more 4 hiv 5 - 7 women 5 - 8 are 5 - 14 , 5 - 31 . 6 infected 7 women 7 women 8 are 8 are 9 reaching 9 reaching 12 and 10 older 11 age 11 age 12 and 12 and 13 menopause 14 , 15 but 14 , 17 is 15 but 16 there 15 but 17 is 17 is 19 information 18 limited 19 information 19 information 20 on 19 information 28 on 20 on 24 lesions 21 cervical 24 lesions 22 squamous 24 lesions 23 intraepithelial 24 lesions 24 lesions 26 sils 25 ( 26 sils 26 sils 27 ) 28 on 30 women 29 these 30 women methods : to assess the effect of haart and menopause on sils in hiv - infected women , we reviewed the results of papanicolaou ( pap ) tests obtained between 1991 and 2011 on 245 women . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 29 obtained 0 ###LEFT-WALL### 37 . 1 methods 2 : 2 : 3 to 2 : 4 assess 3 to 4 assess 4 assess 6 effect 4 assess 11 on 4 assess 13 in 5 the 6 effect 6 effect 7 of 7 of 9 and 8 haart 9 and 9 and 10 menopause 11 on 12 sils 13 in 14 hiv 14 hiv 17 women 15 - 17 women 16 infected 17 women 17 women 18 , 18 , 19 we 18 , 20 reviewed 19 we 20 reviewed 20 reviewed 22 results 21 the 22 results 22 results 23 of 22 results 28 tests 22 results 29 obtained 23 of 24 papanicolaou 24 papanicolaou 26 pap 25 ( 26 pap 26 pap 27 ) 28 tests 29 obtained 29 obtained 30 between 29 obtained 34 on 30 between 32 and 31 1991 32 and 32 and 33 2011 34 on 36 women 35 245 36 women progression to sils was determined by comparing pap test results . 0 ###LEFT-WALL### 1 progression 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 11 . 1 progression 2 to 1 progression 4 was 2 to 3 sils 4 was 5 determined 5 determined 6 by 6 by 7 comparing 7 comparing 10 results 8 pap 10 results 9 test 10 results the association of haart and transition [to] menopause on sils was assessed using survival analysis . 0 ###LEFT-WALL### 2 association 0 ###LEFT-WALL### 12 assessed 0 ###LEFT-WALL### 16 . 1 the 2 association 2 association 3 of 2 association 11 was 3 of 5 and 4 haart 5 and 5 and 8 menopause 5 and 9 on 6 transition 8 menopause 9 on 10 sils 11 was 12 assessed 12 assessed 13 using 13 using 15 analysis 14 survival 15 analysis results : women receiving haart had a 52 % reduced risk in the progression to sils compared to women receiving any other antiretroviral regimen or no regimen ( ci : 0.33 - 0.70 , p = 0.0001 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 39 . 2 : 3 women 2 : 6 had 2 : 30 : 3 women 4 receiving 3 women 6 had 4 receiving 5 haart 6 had 11 risk 7 a 11 risk 8 52 9 % 9 % 10 reduced 10 reduced 11 risk 11 risk 12 in 11 risk 15 to 12 in 14 progression 13 the 14 progression 15 to 25 or 16 sils 17 compared 16 sils 20 receiving 16 sils 25 or 17 compared 18 to 18 to 19 women 20 receiving 24 regimen 21 any 22 other 22 other 24 regimen 23 antiretroviral 24 regimen 25 or 27 regimen 25 or 29 ci 26 no 27 regimen 28 ( 29 ci 29 ci 30 : 30 : 31 0.33 31 0.33 33 0.70 32 - 33 0.70 33 0.70 36 = 33 0.70 38 ) 34 , 36 = 35 p 36 = 36 = 37 0.0001 36 = 38 ) a greater increase of cd4 [(] [+] [ )(cell counts was associated with a greater reduction on the risk of progression to sils . 0 ###LEFT-WALL### 3 increase 0 ###LEFT-WALL### 12 associated 0 ###LEFT-WALL### 24 . 1 a 3 increase 2 greater 3 increase 3 increase 4 of 3 increase 11 was 4 of 10 counts 5 cd4 10 counts 9 )(cell 10 counts 11 was 12 associated 12 associated 13 with 12 associated 17 on 12 associated 22 to 13 with 16 reduction 14 a 16 reduction 15 greater 16 reduction 17 on 19 risk 18 the 19 risk 19 risk 20 of 20 of 21 progression 22 to 23 sils menopausal women had a 70 % higher risk of progression to sils than premenopausal women [(] ci : 1.11 - 2.62 , p < 0.0001 ) , adjusting for hiv medications , cd4 [(] [+] ) count , duration of hiv infection , moderation effect [of] menopause by age , prior iv drug use , and smoking . 0 ###LEFT-WALL### 2 women 0 ###LEFT-WALL### 3 had 1 menopausal 2 women 2 women 3 had 3 had 8 risk 3 had 11 to 3 had 13 than 4 a 8 risk 5 70 6 % 6 % 8 risk 7 higher 8 risk 8 risk 9 of 9 of 10 progression 11 to 12 sils 13 than 17 ci 13 than 18 : 14 premenopausal 15 women 15 women 17 ci 17 ci 18 : 18 : 24 < 18 : 28 adjusting 19 1.11 20 - 20 - 21 2.62 20 - 24 < 22 , 24 < 23 p 24 < 24 < 25 0.0001 24 < 26 ) 27 , 28 adjusting 28 adjusting 29 for 28 adjusting 37 count 29 for 31 medications 30 hiv 31 medications 31 medications 33 cd4 32 , 33 cd4 33 cd4 36 ) 37 count 39 duration 37 count 47 menopause 38 , 39 duration 39 duration 40 of 39 duration 43 , 40 of 42 infection 41 hiv 42 infection 43 , 47 menopause 44 moderation 45 effect 45 effect 47 menopause 47 menopause 48 by 47 menopause 58 . 48 by 56 and 49 age 50 , 50 , 54 use 50 , 56 and 51 prior 53 drug 52 iv 53 drug 53 drug 54 use 55 , 56 and 56 and 57 smoking conclusion : haart had a positive long - term effect on the progression to sils . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 haart 2 : 4 had 2 : 16 . 3 haart 4 had 4 had 10 effect 4 had 11 on 4 had 14 to 5 a 6 positive 5 a 10 effect 6 positive 9 term 7 long 8 - 7 long 9 term 9 term 10 effect 11 on 13 progression 12 the 13 progression 14 to 15 sils however , being younger [and] [menopausal] increases the risk of progression . 0 ###LEFT-WALL### 3 being 0 ###LEFT-WALL### 7 increases 0 ###LEFT-WALL### 12 . 1 however 2 , 1 however 3 being 3 being 4 younger 3 being 7 increases 7 increases 9 risk 8 the 9 risk 9 risk 10 of 10 of 11 progression community - acquired pneumonia ( cap ) remains a leading cause of morbidity and mortality among the infectious diseases . 0 ###LEFT-WALL### 1 community 0 ###LEFT-WALL### 8 remains 0 ###LEFT-WALL### 20 . 1 community 4 pneumonia 1 community 8 remains 2 - 4 pneumonia 3 acquired 4 pneumonia 4 pneumonia 6 cap 4 pneumonia 7 ) 5 ( 6 cap 6 cap 7 ) 8 remains 11 cause 8 remains 16 among 9 a 11 cause 10 leading 11 cause 11 cause 12 of 12 of 14 and 13 morbidity 14 and 14 and 15 mortality 16 among 19 diseases 17 the 19 diseases 18 infectious 19 diseases despite the implementation of national pneumococcal polyvalent vaccine - based immunisation strategies targeted at high - risk groups , streptococcus pneumoniae ( the pneumococcus ) remains the most common cause of cap . 0 ###LEFT-WALL### 12 strategies 0 ###LEFT-WALL### 13 targeted 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 33 . 1 despite 3 implementation 1 despite 9 - 1 despite 12 strategies 2 the 3 implementation 3 implementation 4 of 4 of 8 vaccine 5 national 8 vaccine 6 pneumococcal 8 vaccine 7 polyvalent 8 vaccine 10 based 11 immunisation 11 immunisation 12 strategies 12 strategies 13 targeted 13 targeted 14 at 13 targeted 18 groups 14 at 17 risk 15 high 16 - 15 high 17 risk 19 , 21 pneumoniae 19 , 26 remains 20 streptococcus 21 pneumoniae 21 pneumoniae 24 pneumococcus 21 pneumoniae 26 remains 22 ( 24 pneumococcus 23 the 24 pneumococcus 24 pneumococcus 25 ) 26 remains 28 most 26 remains 29 common 27 the 28 most 29 common 30 cause 30 cause 31 of 31 of 32 cap notwithstanding the hiv pandemic , major challenges confronting the control of cap include the range of bacterial and viral pathogens causing this condition , the ever [-] increasing problem of antibiotic resistance worldwide , and increased vulnerability associated with steadily aging populations in developed countries . 0 ###LEFT-WALL### 7 challenges 0 ###LEFT-WALL### 13 include 1 notwithstanding 3 hiv 1 notwithstanding 7 challenges 2 the 3 hiv 4 pandemic 5 , 4 pandemic 6 major 6 major 7 challenges 7 challenges 8 confronting 7 challenges 13 include 8 confronting 10 control 9 the 10 control 10 control 11 of 11 of 12 cap 13 include 15 range 14 the 15 range 15 range 16 of 15 range 29 problem 16 of 18 and 17 bacterial 18 and 18 and 20 pathogens 19 viral 20 pathogens 20 pathogens 21 causing 21 causing 23 condition 22 this 23 condition 24 , 29 problem 25 the 29 problem 26 ever 28 increasing 28 increasing 29 problem 29 problem 30 of 29 problem 41 aging 29 problem 46 . 30 of 32 resistance 31 antibiotic 32 resistance 32 resistance 35 and 32 resistance 39 with 33 worldwide 35 and 34 , 35 and 35 and 37 vulnerability 35 and 38 associated 36 increased 37 vulnerability 38 associated 39 with 40 steadily 41 aging 41 aging 42 populations 42 populations 43 in 43 in 45 countries 44 developed 45 countries these and other risk factors , as well as diagnostic strategies , are covered in the first section of this review . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 14 covered 0 ###LEFT-WALL### 22 . 1 these 2 and 2 and 5 factors 2 and 9 as 2 and 13 are 3 other 5 factors 4 risk 5 factors 6 , 9 as 7 as 8 well 8 well 9 as 9 as 11 strategies 9 as 12 , 10 diagnostic 11 strategies 13 are 14 covered 14 covered 15 in 15 in 18 section 16 the 18 section 17 first 18 section 18 section 19 of 19 of 21 review 20 this 21 review thereafter , the review is focused on the pneumococcus , specifically the major virulence factors of this microbial pathogen and their role in triggering overexuberant inflammatory responses which contribute to the immunopathogenesis of invasive disease . 0 ###LEFT-WALL### 4 review 0 ###LEFT-WALL### 6 focused 1 thereafter 2 , 1 thereafter 4 review 3 the 4 review 4 review 5 is 5 is 6 focused 6 focused 7 on 7 on 9 pneumococcus 8 the 9 pneumococcus 9 pneumococcus 15 factors 10 , 11 specifically 10 , 15 factors 12 the 15 factors 13 major 15 factors 14 virulence 15 factors 15 factors 16 of 15 factors 23 in 15 factors 28 which 15 factors 29 contribute 15 factors 36 . 16 of 20 and 17 this 19 pathogen 18 microbial 19 pathogen 19 pathogen 20 and 20 and 22 role 21 their 22 role 23 in 24 triggering 24 triggering 27 responses 25 overexuberant 27 responses 26 inflammatory 27 responses 28 which 29 contribute 29 contribute 30 to 30 to 32 immunopathogenesis 31 the 32 immunopathogenesis 32 immunopathogenesis 33 of 33 of 35 disease 34 invasive 35 disease the final section of the review is devoted to a consideration of pharmacological , anti - inflammatory strategies with adjunctive potential in the antimicrobial chemotherapy of cap . 0 ###LEFT-WALL### 3 section 0 ###LEFT-WALL### 8 devoted 0 ###LEFT-WALL### 28 . 1 the 3 section 2 final 3 section 3 section 4 of 3 section 7 is 4 of 6 review 5 the 6 review 7 is 8 devoted 8 devoted 9 to 8 devoted 19 with 8 devoted 22 in 9 to 11 consideration 10 a 11 consideration 11 consideration 12 of 12 of 18 strategies 13 pharmacological 14 , 13 pharmacological 18 strategies 15 anti 16 - 15 anti 18 strategies 17 inflammatory 18 strategies 19 with 21 potential 20 adjunctive 21 potential 22 in 25 chemotherapy 23 the 25 chemotherapy 24 antimicrobial 25 chemotherapy 25 chemotherapy 26 of 26 of 27 cap this is focused on macrolides , corticosteroids , and statins with respect to their modes of anti - inflammatory action , current status , and limitations . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 27 . 1 this 2 is 2 is 9 and 3 focused 4 on 3 focused 9 and 4 on 5 macrolides 5 macrolides 7 corticosteroids 6 , 7 corticosteroids 7 corticosteroids 8 , 9 and 10 statins 9 and 11 with 9 and 13 to 11 with 12 respect 13 to 25 and 14 their 15 modes 15 modes 16 of 15 modes 25 and 16 of 20 action 17 anti 18 - 17 anti 20 action 19 inflammatory 20 action 20 action 23 status 21 , 23 status 22 current 23 status 23 status 24 , 25 and 26 limitations in the domain of working memory ( wm ) , a sigmoid - shaped relationship between wm [load] and brain activation patterns has been demonstrated in younger adults . 0 ###LEFT-WALL### 15 relationship 0 ###LEFT-WALL### 25 demonstrated 0 ###LEFT-WALL### 29 . 1 in 3 domain 1 in 10 , 1 in 15 relationship 2 the 3 domain 3 domain 4 of 4 of 5 working 5 working 6 memory 6 memory 8 wm 7 ( 8 wm 8 wm 9 ) 11 a 15 relationship 12 sigmoid 13 - 12 sigmoid 15 relationship 14 shaped 15 relationship 15 relationship 16 between 15 relationship 23 has 16 between 19 and 17 wm 19 and 19 and 22 patterns 20 brain 22 patterns 21 activation 22 patterns 23 has 24 been 24 been 25 demonstrated 25 demonstrated 26 in 26 in 28 adults 27 younger 28 adults it has been suggested that age - related alterations of this pattern [are] associated with changes in neural efficiency and capacity . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 4 suggested 0 ###LEFT-WALL### 22 . 1 it 2 has 2 has 3 been 3 been 4 suggested 4 suggested 5 that 5 that 6 age 5 that 14 associated 6 age 14 associated 7 - 8 related 8 related 9 alterations 8 related 14 associated 9 alterations 10 of 10 of 12 pattern 11 this 12 pattern 14 associated 15 with 15 with 16 changes 16 changes 17 in 17 in 20 and 18 neural 19 efficiency 19 efficiency 20 and 20 and 21 capacity at the same time , wm training studies have shown that some older adults are able to increase their wm performance through training . 0 ###LEFT-WALL### 8 studies 0 ###LEFT-WALL### 18 increase 0 ###LEFT-WALL### 24 . 1 at 4 time 1 at 5 , 1 at 8 studies 2 the 3 same 2 the 4 time 6 wm 7 training 7 training 8 studies 8 studies 9 have 9 have 10 shown 10 shown 11 that 11 that 14 adults 11 that 15 are 12 some 14 adults 13 older 14 adults 14 adults 15 are 15 are 16 able 16 able 17 to 17 to 18 increase 18 increase 21 performance 18 increase 22 through 19 their 21 performance 20 wm 21 performance 22 through 23 training in this study , functional magnetic resonance imaging during an [n] [-] back wm task at different wm load levels was applied to compare blood oxygen level - dependent ( bold ) responses between younger and older participants and to predict gains in wm performance after a subsequent [12] - session wm training procedure in older adults . 0 ###LEFT-WALL### 7 resonance 0 ###LEFT-WALL### 39 and 0 ###LEFT-WALL### 58 . 1 in 3 study 1 in 4 , 1 in 7 resonance 2 this 3 study 5 functional 7 resonance 6 magnetic 7 resonance 7 resonance 8 imaging 7 resonance 21 was 8 imaging 9 during 8 imaging 16 at 8 imaging 20 levels 9 during 15 task 10 an 15 task 13 back 15 task 14 wm 15 task 16 at 18 wm 17 different 18 wm 19 load 20 levels 21 was 22 applied 22 applied 23 to 23 to 39 and 24 compare 33 responses 24 compare 39 and 25 blood 26 oxygen 26 oxygen 33 responses 27 level 28 - 27 level 33 responses 29 dependent 31 bold 29 dependent 32 ) 29 dependent 33 responses 30 ( 31 bold 31 bold 32 ) 33 responses 34 between 34 between 38 participants 35 younger 36 and 36 and 37 older 36 and 38 participants 39 and 40 to 39 and 41 predict 40 to 41 predict 41 predict 42 gains 41 predict 46 after 42 gains 43 in 43 in 45 performance 44 wm 45 performance 46 after 52 wm 47 a 48 subsequent 47 a 52 wm 48 subsequent 50 - 48 subsequent 52 wm 51 session 52 wm 52 wm 53 training 52 wm 55 in 53 training 54 procedure 55 in 57 adults 56 older 57 adults we show that increased neural efficiency and capacity , as reflected by more " youth [-] like " brain response patterns in regions of interest of the frontoparietal wm network , were associated with better behavioral training outcome beyond the effects of age , sex , education , gray matter volume , and baseline wm performance . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 4 increased 0 ###LEFT-WALL### 11 reflected 1 we 2 show 3 that 4 increased 4 increased 7 and 4 increased 10 as 5 neural 6 efficiency 6 efficiency 7 and 7 and 8 capacity 9 , 10 as 10 as 11 reflected 11 reflected 12 by 12 by 15 youth 13 more 14 " 13 more 15 youth 15 youth 17 like 17 like 18 " 17 like 19 brain 19 brain 20 response 19 brain 21 patterns 20 response 21 patterns 21 patterns 22 in 22 in 23 regions 23 regions 24 of 23 regions 26 of 23 regions 29 wm 23 regions 31 , 24 of 25 interest 26 of 28 frontoparietal 27 the 28 frontoparietal 29 wm 31 , 30 network 31 , 31 , 32 were 31 , 39 beyond 32 were 33 associated 33 associated 34 with 34 with 38 outcome 35 better 37 training 36 behavioral 37 training 37 training 38 outcome 39 beyond 41 effects 40 the 41 effects 41 effects 42 of 42 of 53 and 43 age 44 , 44 , 45 sex 44 , 46 , 46 , 47 education 46 , 48 , 48 , 51 volume 48 , 53 and 49 gray 51 volume 50 matter 51 volume 52 , 53 and 53 and 56 performance 53 and 57 . 54 baseline 56 performance 55 wm 56 performance furthermore , at low difficulty levels , decreases in bold [response] were found after wm training . 0 ###LEFT-WALL### 8 decreases 0 ###LEFT-WALL### 13 found 0 ###LEFT-WALL### 17 . 1 furthermore 2 , 1 furthermore 8 decreases 2 , 3 at 3 at 6 levels 3 at 7 , 3 at 8 decreases 4 low 5 difficulty 5 difficulty 6 levels 8 decreases 9 in 8 decreases 12 were 9 in 10 bold 12 were 13 found 13 found 14 after 14 after 16 training 15 wm 16 training results indicate that both neural efficiency ( i.e [.] , decreased activation at comparable performance levels [ )(and capacity ( i.e [.] , increasing activation with increasing wm [load] [ )(of a wm - related network predict plasticity of the wm system , whereas wm training may specifically increase neural efficiency in older adults . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 10 , 1 results 2 indicate 2 indicate 6 efficiency 3 that 6 efficiency 4 both 5 neural 5 neural 6 efficiency 6 efficiency 8 i.e 7 ( 8 i.e 8 i.e 10 , 10 , 18 )(and 11 decreased 12 activation 12 activation 13 at 12 activation 18 )(and 13 at 16 levels 14 comparable 16 levels 15 performance 16 levels 18 )(and 19 capacity 18 )(and 21 i.e 18 )(and 24 increasing 20 ( 21 i.e 21 i.e 23 , 23 , 24 increasing 24 increasing 25 activation 25 activation 26 with 26 with 27 increasing 27 increasing 28 wm 27 increasing 37 predict 28 wm 31 )(of 28 wm 37 predict 31 )(of 33 wm 32 a 33 wm 34 - 35 related 35 related 36 network 35 related 37 predict 37 predict 38 plasticity 37 predict 44 whereas 38 plasticity 39 of 39 of 42 system 40 the 42 system 41 wm 42 system 43 , 44 whereas 44 whereas 46 training 44 whereas 49 increase 44 whereas 55 . 45 wm 46 training 46 training 47 may 47 may 49 increase 48 specifically 49 increase 49 increase 51 efficiency 50 neural 51 efficiency 51 efficiency 52 in 52 in 54 adults 53 older 54 adults hematopoietic cell transplantation ( hct ) provides a life - prolonging or potentially curative treatment option for patients with hematologic malignancies . 0 ###LEFT-WALL### 3 transplantation 0 ###LEFT-WALL### 7 provides 0 ###LEFT-WALL### 10 - 1 hematopoietic 2 cell 2 cell 3 transplantation 3 transplantation 5 hct 3 transplantation 7 provides 4 ( 5 hct 5 hct 6 ) 7 provides 9 life 8 a 9 life 10 - 12 or 10 - 16 option 10 - 22 . 11 prolonging 12 or 12 or 15 treatment 12 or 16 option 13 potentially 14 curative 14 curative 15 treatment 16 option 17 for 16 option 19 with 17 for 18 patients 19 with 21 malignancies 20 hematologic 21 malignancies given the high transplant - related morbidity , these treatment strategies were initially restricted to younger patients , but [are] increasingly being used in older adults . 0 ###LEFT-WALL### 11 strategies 0 ###LEFT-WALL### 14 restricted 1 given 4 transplant 1 given 5 - 1 given 11 strategies 2 the 4 transplant 3 high 4 transplant 5 - 6 related 6 related 7 morbidity 6 related 8 , 6 related 11 strategies 9 these 11 strategies 10 treatment 11 strategies 11 strategies 12 were 12 were 13 initially 12 were 14 restricted 14 restricted 15 to 15 to 17 patients 16 younger 17 patients 17 patients 19 but 18 , 19 but 19 but 22 being 19 but 27 . 21 increasingly 22 being 22 being 23 used 23 used 24 in 24 in 26 adults 25 older 26 adults the incidence of most hematologic malignancies increases with age ; with the aging of the population , the number of potential older candidates for hct increases . 0 ###LEFT-WALL### 2 incidence 0 ###LEFT-WALL### 7 increases 0 ###LEFT-WALL### 10 ; 0 ###LEFT-WALL### 27 . 1 the 2 incidence 2 incidence 3 of 2 incidence 7 increases 3 of 6 malignancies 4 most 5 hematologic 5 hematologic 6 malignancies 7 increases 8 with 8 with 9 age 10 ; 19 number 10 ; 26 increases 11 with 13 aging 11 with 17 , 11 with 19 number 12 the 13 aging 13 aging 14 of 14 of 16 population 15 the 16 population 18 the 19 number 19 number 20 of 19 number 26 increases 20 of 23 candidates 21 potential 23 candidates 22 older 23 candidates 23 candidates 24 for 24 for 25 hct autologous hct [(] auto - hct [ )(in older patients may confer a slightly increased risk of specific toxicities ( such as cardiac toxicities and mucositis ) and have modestly lower effectiveness ( in the case of lymphoma ) . 0 ###LEFT-WALL### 4 auto 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 29 have 0 ###LEFT-WALL### 40 . 1 autologous 2 hct 2 hct 4 auto 5 - 6 hct 5 - 28 and 6 hct 8 )(in 6 hct 28 and 8 )(in 10 patients 9 older 10 patients 11 may 12 confer 11 may 28 and 12 confer 16 risk 13 a 16 risk 14 slightly 15 increased 15 increased 16 risk 16 risk 17 of 17 of 19 toxicities 18 specific 19 toxicities 19 toxicities 22 as 20 ( 22 as 21 such 22 as 22 as 25 and 22 as 27 ) 23 cardiac 24 toxicities 24 toxicities 25 and 25 and 26 mucositis 28 and 29 have 29 have 32 effectiveness 30 modestly 31 lower 31 lower 32 effectiveness 32 effectiveness 34 in 33 ( 34 in 34 in 36 case 34 in 39 ) 35 the 36 case 36 case 37 of 37 of 38 lymphoma however , auto [-] hct remains a feasible , safe , and effective therapy for selected older adults with multiple myeloma and lymphoma . 0 ###LEFT-WALL### 5 hct 0 ###LEFT-WALL### 6 remains 0 ###LEFT-WALL### 24 . 1 however 2 , 1 however 5 hct 3 auto 5 hct 5 hct 6 remains 6 remains 14 therapy 6 remains 15 for 6 remains 19 with 7 a 8 feasible 7 a 10 safe 8 feasible 9 , 8 feasible 10 safe 10 safe 12 and 11 , 12 and 12 and 13 effective 12 and 14 therapy 15 for 18 adults 16 selected 18 adults 17 older 18 adults 19 with 22 and 20 multiple 21 myeloma 21 myeloma 22 and 22 and 23 lymphoma similarly , allogeneic transplant [(] allo - hct ) is a potential therapeutic option for selected older adults , although fewer data exist on allo - hct in older patients . 0 ###LEFT-WALL### 6 allo 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 31 . 1 similarly 2 , 1 similarly 6 allo 3 allogeneic 4 transplant 4 transplant 6 allo 6 allo 8 hct 6 allo 10 is 7 - 8 hct 8 hct 9 ) 10 is 14 option 11 a 12 potential 11 a 14 option 12 potential 14 option 13 therapeutic 14 option 14 option 15 for 15 for 18 adults 16 selected 18 adults 17 older 18 adults 19 , 22 data 19 , 23 exist 19 , 26 - 20 although 21 fewer 20 although 22 data 22 data 23 exist 23 exist 24 on 24 on 25 allo 26 - 27 hct 27 hct 28 in 28 in 30 patients 29 older 30 patients based on currently available data , age alone is not the best predictor of toxicity and outcomes ; rather , the comorbidities and functional status of the older patient are likely better predictors of toxicity than chronologic age in both the autologous and allogeneic setting . 0 ###LEFT-WALL### 7 age 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 18 ; 0 ###LEFT-WALL### 46 . 1 based 2 on 1 based 6 , 1 based 7 age 2 on 5 data 3 currently 4 available 4 available 5 data 7 age 9 is 8 alone 9 is 9 is 10 not 9 is 13 predictor 11 the 12 best 11 the 13 predictor 13 predictor 14 of 14 of 16 and 15 toxicity 16 and 16 and 17 outcomes 18 ; 23 and 18 ; 30 are 19 rather 20 , 19 rather 23 and 21 the 22 comorbidities 22 comorbidities 23 and 23 and 25 status 23 and 26 of 23 and 30 are 24 functional 25 status 26 of 29 patient 27 the 29 patient 28 older 29 patient 30 are 33 predictors 30 are 36 than 31 likely 33 predictors 32 better 33 predictors 33 predictors 34 of 34 of 35 toxicity 36 than 38 age 36 than 39 in 37 chronologic 38 age 39 in 40 both 40 both 41 the 40 both 45 setting 41 the 45 setting 42 autologous 43 and 43 and 44 allogeneic 43 and 45 setting a comprehensive geriatric assessment [(] cga [ )(in older adults being considered for either an auto - hct or allo - hct may identify additional problems or geriatric syndromes , which may not be detected during the standard pretransplant evaluation . 0 ###LEFT-WALL### 27 or 0 ###LEFT-WALL### 41 . 1 a 6 cga 2 comprehensive 4 assessment 3 geriatric 4 assessment 4 assessment 6 cga 6 cga 8 )(in 6 cga 27 or 8 )(in 10 adults 9 older 10 adults 10 adults 11 being 10 adults 22 hct 10 adults 24 identify 11 being 12 considered 12 considered 13 for 12 considered 16 auto 13 for 14 either 15 an 16 auto 16 auto 19 or 17 - 19 or 18 hct 19 or 19 or 20 allo 19 or 21 - 22 hct 23 may 23 may 24 identify 24 identify 26 problems 25 additional 26 problems 27 or 29 syndromes 27 or 30 , 27 or 31 which 27 or 32 may 28 geriatric 29 syndromes 31 which 32 may 32 may 33 not 32 may 34 be 34 be 35 detected 35 detected 36 during 36 during 40 evaluation 37 the 40 evaluation 38 standard 39 pretransplant 39 pretransplant 40 evaluation further research is needed to establish the utility of cga in predicting toxicity and to evaluate the quality of survival in older adults undergoing hct . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 26 . 1 further 2 research 2 research 3 is 3 is 14 and 4 needed 5 to 4 needed 6 establish 4 needed 14 and 5 to 6 establish 6 establish 8 utility 6 establish 11 in 7 the 8 utility 8 utility 9 of 9 of 10 cga 11 in 12 predicting 12 predicting 13 toxicity 14 and 15 to 14 and 16 evaluate 14 and 21 in 15 to 16 evaluate 16 evaluate 18 quality 17 the 18 quality 18 quality 19 of 19 of 20 survival 21 in 23 adults 22 older 23 adults 23 adults 24 undergoing 24 undergoing 25 hct lipofuscin , an aging marker in the retinal pigment epithelium ( rpe ) associated with the development of age - related macular degeneration , is primarily characterized by its fluorescence . 0 ###LEFT-WALL### 1 lipofuscin 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 31 . 1 lipofuscin 5 marker 1 lipofuscin 24 , 2 , 5 marker 3 an 5 marker 4 aging 5 marker 5 marker 6 in 5 marker 14 associated 5 marker 20 - 6 in 10 epithelium 7 the 10 epithelium 8 retinal 9 pigment 9 pigment 10 epithelium 10 epithelium 12 rpe 11 ( 12 rpe 12 rpe 13 ) 14 associated 15 with 15 with 17 development 16 the 17 development 17 development 18 of 18 of 19 age 21 related 23 degeneration 21 related 24 , 22 macular 23 degeneration 24 , 25 is 25 is 27 characterized 26 primarily 27 characterized 27 characterized 28 by 28 by 30 fluorescence 29 its 30 fluorescence the most abundant component of rpe lipofuscin is n - retinylidene - n - retinylethanolamine ( a2e ) but its exact composition is not known due to the complexity of the rpe extract . 0 ###LEFT-WALL### 4 component 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 10 - 0 ###LEFT-WALL### 34 . 1 the 4 component 2 most 3 abundant 3 abundant 4 component 4 component 5 of 4 component 8 is 5 of 7 lipofuscin 6 rpe 7 lipofuscin 8 is 9 n 10 - 11 retinylidene 10 - 19 but 11 retinylidene 14 - 12 - 14 - 13 n 14 - 14 - 15 retinylethanolamine 14 - 18 ) 15 retinylethanolamine 17 a2e 16 ( 17 a2e 17 a2e 18 ) 19 but 22 composition 19 but 23 is 20 its 22 composition 21 exact 22 composition 22 composition 23 is 23 is 24 not 23 is 26 due 24 not 25 known 26 due 27 to 27 to 29 complexity 28 the 29 complexity 29 complexity 30 of 30 of 33 extract 31 the 33 extract 32 rpe 33 extract in this study , we utilized maldi imaging to find potential molecules responsible for lipofuscin fluorescence in rpe tissue from abca4 [(] - [/] - [ )( sv129 , and c57bl6/j mice aged 2 and 6 months . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 utilized 0 ###LEFT-WALL### 23 - 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 utilized 6 utilized 7 maldi 7 maldi 8 imaging 7 maldi 13 responsible 7 maldi 20 from 8 imaging 9 to 8 imaging 12 molecules 9 to 11 potential 10 find 11 potential 13 responsible 14 for 13 responsible 17 in 14 for 16 fluorescence 15 lipofuscin 16 fluorescence 17 in 19 tissue 18 rpe 19 tissue 20 from 21 abca4 23 - 25 - 23 - 33 aged 23 - 38 . 25 - 30 and 28 sv129 30 and 29 , 30 and 30 and 32 mice 30 and 33 aged 31 c57bl6/j 32 mice 33 aged 37 months 34 2 35 and 35 and 36 6 35 and 37 months to assert relationships [,] the individual images in the maldi imaging datasets were correlated with lipofuscin fluorescence recorded from the same tissues following proper registration . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 18 recorded 0 ###LEFT-WALL### 26 . 1 to 2 assert 2 assert 3 relationships 2 assert 14 correlated 3 relationships 6 individual 3 relationships 7 images 3 relationships 13 were 5 the 6 individual 6 individual 7 images 7 images 8 in 8 in 10 maldi 9 the 10 maldi 10 maldi 11 imaging 11 imaging 12 datasets 13 were 14 correlated 14 correlated 15 with 15 with 17 fluorescence 15 with 18 recorded 16 lipofuscin 17 fluorescence 18 recorded 19 from 19 from 22 tissues 20 the 21 same 20 the 22 tissues 22 tissues 23 following 23 following 25 registration 24 proper 25 registration spatial correlation information , which is usually lost in bioanalytics , pinpointed a relatively small number of potential lipofuscin components . 0 ###LEFT-WALL### 3 information 0 ###LEFT-WALL### 12 pinpointed 0 ###LEFT-WALL### 21 . 1 spatial 2 correlation 2 correlation 3 information 3 information 5 which 3 information 12 pinpointed 4 , 5 which 5 which 6 is 5 which 11 , 6 is 8 lost 7 usually 8 lost 8 lost 9 in 9 in 10 bioanalytics 12 pinpointed 20 components 13 a 14 relatively 13 a 16 number 14 relatively 15 small 15 small 16 number 16 number 17 of 16 number 20 components 17 of 20 components 18 potential 20 components 19 lipofuscin 20 components the comparison of four samples in each condition further limited the possibility of false positives and provided various new , age - and strain - specific targets . 0 ###LEFT-WALL### 2 comparison 0 ###LEFT-WALL### 10 limited 0 ###LEFT-WALL### 28 . 1 the 2 comparison 2 comparison 3 of 2 comparison 10 limited 3 of 5 samples 4 four 5 samples 5 samples 6 in 6 in 8 condition 7 each 8 condition 9 further 10 limited 10 limited 12 possibility 11 the 12 possibility 12 possibility 13 of 13 of 16 and 14 false 15 positives 15 positives 16 and 16 and 27 targets 17 provided 27 targets 18 various 27 targets 19 new 23 and 19 new 27 targets 20 , 23 and 21 age 23 and 22 - 23 and 23 and 24 strain 23 and 25 - 26 specific 27 targets validating the usefulness of the fluorescence - enhanced imaging strategy , many known [adducts] of a2e were identified in the short list of lipofuscin components . 0 ###LEFT-WALL### 12 many 0 ###LEFT-WALL### 18 identified 0 ###LEFT-WALL### 26 . 1 validating 3 usefulness 1 validating 11 , 1 validating 12 many 2 the 3 usefulness 3 usefulness 4 of 4 of 6 fluorescence 5 the 6 fluorescence 6 fluorescence 10 strategy 7 - 10 strategy 8 enhanced 10 strategy 9 imaging 10 strategy 10 strategy 11 , 12 many 13 known 12 many 15 of 12 many 17 were 15 of 16 a2e 17 were 18 identified 18 identified 19 in 19 in 22 list 20 the 22 list 21 short 22 list 22 list 23 of 23 of 25 components 24 lipofuscin 25 components these results provided evidence that mass spectrometric imaging can be utilized as a tool to begin to identify the molecular substructure of clinically - relevant diagnostic information . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 provided 0 ###LEFT-WALL### 24 - 0 ###LEFT-WALL### 28 . 1 these 2 results 2 results 3 provided 3 provided 4 evidence 4 evidence 5 that 5 that 8 imaging 5 that 11 utilized 6 mass 8 imaging 7 spectrometric 8 imaging 8 imaging 9 can 9 can 10 be 10 be 11 utilized 11 utilized 12 as 11 utilized 23 clinically 12 as 14 tool 13 a 14 tool 14 tool 15 to 14 tool 22 of 15 to 16 begin 16 begin 17 to 16 begin 18 identify 17 to 18 identify 18 identify 21 substructure 19 the 21 substructure 20 molecular 21 substructure 21 substructure 22 of 24 - 27 information 25 relevant 27 information 26 diagnostic 27 information both increases and decreases in resting state functional connectivity have been previously observed within the motor network during aging . 0 ###LEFT-WALL### 1 both 0 ###LEFT-WALL### 13 observed 0 ###LEFT-WALL### 20 . 1 both 3 and 1 both 10 have 2 increases 3 and 3 and 4 decreases 3 and 9 connectivity 4 decreases 5 in 5 in 6 resting 7 state 9 connectivity 8 functional 9 connectivity 10 have 11 been 11 been 12 previously 11 been 13 observed 13 observed 14 within 13 observed 18 during 14 within 17 network 15 the 17 network 16 motor 17 network 18 during 19 aging moreover , the relationship between altered functional connectivity and age - related declines in bimanual coordination remains unclear . 0 ###LEFT-WALL### 4 relationship 0 ###LEFT-WALL### 17 remains 0 ###LEFT-WALL### 19 . 1 moreover 2 , 1 moreover 4 relationship 3 the 4 relationship 4 relationship 5 between 4 relationship 17 remains 5 between 9 and 6 altered 8 connectivity 7 functional 8 connectivity 8 connectivity 9 and 9 and 10 age 11 - 12 related 12 related 13 declines 12 related 14 in 12 related 17 remains 14 in 16 coordination 15 bimanual 16 coordination 17 remains 18 unclear here , we explored the developmental dynamics of the resting brain within a task [-] specific motor network in a sample of 128 healthy participants , aged 18 - 80 years . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 explored 0 ###LEFT-WALL### 29 - 0 ###LEFT-WALL### 32 . 1 here 2 , 1 here 3 we 3 we 4 explored 4 explored 7 dynamics 4 explored 12 within 4 explored 19 in 5 the 7 dynamics 6 developmental 7 dynamics 7 dynamics 8 of 8 of 11 brain 9 the 11 brain 10 resting 11 brain 12 within 18 network 13 a 18 network 14 task 18 network 16 specific 17 motor 17 motor 18 network 19 in 21 sample 20 a 21 sample 21 sample 22 of 22 of 25 participants 23 128 25 participants 24 healthy 25 participants 25 participants 27 aged 26 , 27 aged 27 aged 28 18 27 aged 29 - 29 - 31 years 30 80 31 years we found that age - related increases in functional connectivity between interhemispheric dorsal and ventral premotor areas were associated with poorer performance on a novel bimanual visuomotor task . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 5 - 1 we 2 found 2 found 4 age 3 that 4 age 5 - 7 increases 5 - 19 associated 5 - 29 . 6 related 7 increases 7 increases 8 in 7 increases 11 between 7 increases 18 were 8 in 10 connectivity 9 functional 10 connectivity 11 between 17 areas 12 interhemispheric 17 areas 13 dorsal 14 and 14 and 15 ventral 14 and 17 areas 16 premotor 17 areas 18 were 19 associated 19 associated 20 with 20 with 22 performance 21 poorer 22 performance 22 performance 23 on 23 on 28 task 24 a 25 novel 24 a 28 task 25 novel 27 visuomotor 26 bimanual 27 visuomotor 27 visuomotor 28 task additionally , a control analysis performed on the default mode network confirmed that our age - related increases in functional connectivity were specific to the motor system . 0 ###LEFT-WALL### 5 analysis 0 ###LEFT-WALL### 12 confirmed 0 ###LEFT-WALL### 28 . 1 additionally 2 , 1 additionally 5 analysis 3 a 4 control 3 a 5 analysis 4 control 5 analysis 5 analysis 6 performed 5 analysis 12 confirmed 6 performed 7 on 7 on 11 network 8 the 11 network 9 default 11 network 10 mode 11 network 12 confirmed 13 that 13 that 15 age 13 that 22 were 14 our 15 age 15 age 22 were 16 - 17 related 17 related 18 increases 17 related 19 in 17 related 22 were 19 in 21 connectivity 20 functional 21 connectivity 22 were 23 specific 23 specific 24 to 24 to 27 system 25 the 27 system 26 motor 27 system our findings suggest that increases in functional connectivity within the resting state motor network with aging reflect a loss of functional specialization that may not only occur in the active brain but also in the resting brain . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 38 . 1 our 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 5 increases 4 that 17 reflect 5 increases 6 in 5 increases 9 within 6 in 8 connectivity 7 functional 8 connectivity 9 within 14 network 10 the 14 network 11 resting 14 network 12 state 14 network 13 motor 14 network 14 network 15 with 15 with 16 aging 17 reflect 19 loss 17 reflect 32 but 18 a 19 loss 19 loss 20 of 20 of 22 specialization 21 functional 22 specialization 22 specialization 23 that 22 specialization 24 may 23 that 24 may 24 may 25 not 24 may 27 occur 26 only 27 occur 28 in 31 brain 28 in 32 but 29 the 31 brain 30 active 31 brain 32 but 33 also 32 but 34 in 34 in 37 brain 35 the 37 brain 36 resting 37 brain objective : to test whether red blood [cell] ( rbc ) levels of marine omega - 3 fatty acids measured in the women 's health initiative memory study were related to mri brain volumes measured 8 years later . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 test 2 : 30 related 2 : 39 . 3 to 4 test 4 test 5 whether 4 test 17 3 4 test 30 related 5 whether 7 blood 5 whether 12 levels 6 red 7 blood 7 blood 10 rbc 7 blood 12 levels 9 ( 10 rbc 10 rbc 11 ) 13 of 15 omega 13 of 16 - 13 of 17 3 14 marine 15 omega 17 3 19 acids 17 3 20 measured 17 3 21 in 17 3 30 related 18 fatty 19 acids 19 acids 20 measured 21 in 26 initiative 22 the 23 women 23 women 24 's 24 's 26 initiative 25 health 26 initiative 26 initiative 28 study 26 initiative 29 were 27 memory 28 study 28 study 29 were 30 related 31 to 30 related 38 later 31 to 34 volumes 32 mri 33 brain 33 brain 34 volumes 34 volumes 35 measured 36 8 37 years 37 years 38 later methods : rbc eicosapentaenoic acid ( epa ) , docosahexaenoic acid ( dha ) , and mri brain volumes were assessed in 1,111 postmenopausal women from the women 's health initiative memory study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 29 's 0 ###LEFT-WALL### 34 . 1 methods 2 : 2 : 11 acid 3 rbc 11 acid 4 eicosapentaenoic 11 acid 5 acid 7 epa 5 acid 9 , 5 acid 11 acid 6 ( 7 epa 7 epa 8 ) 10 docosahexaenoic 11 acid 11 acid 13 dha 12 ( 13 dha 13 dha 14 ) 15 , 16 and 16 and 17 mri 16 and 29 's 17 mri 18 brain 17 mri 21 assessed 17 mri 29 's 18 brain 19 volumes 18 brain 20 were 18 brain 21 assessed 19 volumes 20 were 21 assessed 22 in 22 in 25 women 23 1,111 25 women 24 postmenopausal 25 women 25 women 26 from 26 from 28 women 27 the 28 women 29 's 33 study 30 health 31 initiative 31 initiative 32 memory 32 memory 33 study the endpoints were total brain volume and anatomical regions . 0 ###LEFT-WALL### 2 endpoints 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 10 . 1 the 2 endpoints 2 endpoints 3 were 3 were 7 and 4 total 5 brain 5 brain 6 volume 6 volume 7 and 7 and 9 regions 8 anatomical 9 regions linear mixed models included multiple imputations of fatty acids and were adjusted for hormone therapy , time since randomization , demographics , intracranial volume , and cardiovascular disease risk factors . 0 ###LEFT-WALL### 1 linear 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 31 . 1 linear 2 mixed 1 linear 10 and 3 models 6 imputations 3 models 10 and 4 included 6 imputations 5 multiple 6 imputations 6 imputations 7 of 7 of 9 acids 8 fatty 9 acids 10 and 11 were 10 and 18 since 11 were 16 , 12 adjusted 13 for 12 adjusted 16 , 13 for 15 therapy 14 hormone 15 therapy 16 , 17 time 18 since 26 and 18 since 29 risk 19 randomization 20 , 20 , 21 demographics 20 , 22 , 22 , 24 volume 22 , 26 and 23 intracranial 24 volume 25 , 26 and 26 and 28 disease 26 and 29 risk 27 cardiovascular 28 disease 29 risk 30 factors results : in fully adjusted models , a 1 sd greater rbc epa [+] dha ( omega - 3 index ) level was correlated with 2.1 [cm] ( 3 ) larger brain volume ( p = 0.048 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 39 . 1 results 2 : 2 : 3 in 3 in 6 models 4 fully 5 adjusted 5 adjusted 6 models 7 , 22 level 7 , 24 correlated 8 a 22 level 9 1 10 sd 10 sd 22 level 11 greater 22 level 12 rbc 13 epa 13 epa 15 dha 15 dha 17 omega 15 dha 22 level 16 ( 17 omega 17 omega 19 3 17 omega 20 index 17 omega 21 ) 18 - 19 3 19 3 20 index 22 level 23 was 23 was 24 correlated 24 correlated 25 with 24 correlated 36 = 25 with 26 2.1 25 with 33 volume 26 2.1 29 3 28 ( 29 3 29 3 30 ) 31 larger 32 brain 32 brain 33 volume 34 ( 36 = 35 p 36 = 36 = 37 0.048 36 = 38 ) dha was [marginally] correlated ( p = 0.063 ) with total brain volume while epa was less so ( p = 0.11 ) . 0 ###LEFT-WALL### 1 dha 0 ###LEFT-WALL### 4 correlated 0 ###LEFT-WALL### 24 . 1 dha 2 was 2 was 4 correlated 4 correlated 7 = 4 correlated 10 with 4 correlated 14 while 4 correlated 21 = 5 ( 7 = 6 p 7 = 7 = 8 0.063 7 = 9 ) 10 with 13 volume 11 total 12 brain 12 brain 13 volume 14 while 15 epa 14 while 16 was 15 epa 16 was 16 was 17 less 16 was 18 so 19 ( 21 = 20 p 21 = 21 = 22 0.11 21 = 23 ) there were no correlations between ischemic lesion volumes and epa , dha , or epa + dha . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 1 there 2 were 2 were 4 correlations 3 no 4 correlations 4 correlations 5 between 5 between 9 and 6 ischemic 7 lesion 7 lesion 8 volumes 8 volumes 9 and 9 and 10 epa 9 and 16 + 11 , 16 + 12 dha 14 or 13 , 14 or 14 or 15 epa 14 or 16 + 16 + 17 dha 16 + 18 . a 1 sd greater omega - 3 index was correlated with greater hippocampal volume ( 50 [mm] ( 3 ) , p = 0.036 ) in fully adjusted models . 0 ###LEFT-WALL### 5 omega 0 ###LEFT-WALL### 10 correlated 0 ###LEFT-WALL### 30 . 1 a 5 omega 2 1 3 sd 3 sd 5 omega 4 greater 5 omega 5 omega 7 3 5 omega 8 index 5 omega 9 was 6 - 7 3 7 3 8 index 9 was 10 correlated 10 correlated 11 with 10 correlated 23 = 10 correlated 26 in 11 with 14 volume 12 greater 14 volume 13 hippocampal 14 volume 14 volume 16 50 15 ( 16 50 16 50 19 3 16 50 21 , 18 ( 19 3 19 3 20 ) 21 , 23 = 22 p 23 = 23 = 24 0.036 23 = 25 ) 26 in 29 models 27 fully 28 adjusted 28 adjusted 29 models comparing the fourth quartile vs the first quartile of the omega - 3 index confirmed greater hippocampal volume ( 159 [mm] ( 3 ) , p = 0.034 ) . 0 ###LEFT-WALL### 13 3 0 ###LEFT-WALL### 14 index 0 ###LEFT-WALL### 30 . 1 comparing 4 quartile 1 comparing 12 - 1 comparing 13 3 2 the 3 fourth 2 the 4 quartile 4 quartile 5 vs 4 quartile 9 of 5 vs 8 quartile 6 the 8 quartile 7 first 8 quartile 9 of 11 omega 10 the 11 omega 13 3 14 index 14 index 18 volume 15 confirmed 18 volume 16 greater 18 volume 17 hippocampal 18 volume 18 volume 20 159 18 volume 27 = 19 ( 20 159 20 159 23 3 20 159 25 , 22 ( 23 3 23 3 24 ) 25 , 27 = 26 p 27 = 27 = 28 0.034 27 = 29 ) conclusion : a higher omega - 3 index was correlated with larger total normal brain volume and hippocampal volume in postmenopausal women measured 8 years later . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 5 omega 2 : 23 measured 2 : 27 . 3 a 5 omega 4 higher 5 omega 5 omega 7 3 5 omega 8 index 5 omega 9 was 6 - 7 3 7 3 8 index 9 was 10 correlated 10 correlated 11 with 11 with 17 and 11 with 23 measured 12 larger 15 brain 13 total 15 brain 14 normal 15 brain 15 brain 16 volume 16 volume 17 and 17 and 19 volume 17 and 20 in 18 hippocampal 19 volume 20 in 22 women 21 postmenopausal 22 women 23 measured 26 later 24 8 25 years 25 years 26 later while normal aging results in overall brain atrophy , lower omega - 3 index may signal increased risk of hippocampal atrophy . 0 ###LEFT-WALL### 3 aging 0 ###LEFT-WALL### 16 signal 0 ###LEFT-WALL### 22 . 1 while 2 normal 1 while 3 aging 3 aging 4 results 3 aging 15 may 4 results 5 in 4 results 13 3 4 results 14 index 5 in 8 atrophy 6 overall 7 brain 7 brain 8 atrophy 8 atrophy 11 omega 9 , 11 omega 10 lower 11 omega 11 omega 12 - 13 3 14 index 15 may 16 signal 16 signal 18 risk 17 increased 18 risk 18 risk 19 of 19 of 21 atrophy 20 hippocampal 21 atrophy future studies should examine whether maintaining higher rbc epa [+] dha levels slows the rate of hippocampal or overall brain atrophy . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 examine 0 ###LEFT-WALL### 22 . 1 future 2 studies 2 studies 3 should 3 should 4 examine 4 examine 5 whether 5 whether 6 maintaining 5 whether 13 slows 6 maintaining 7 higher 6 maintaining 11 dha 6 maintaining 12 levels 6 maintaining 13 slows 8 rbc 9 epa 9 epa 11 dha 11 dha 12 levels 13 slows 15 rate 14 the 15 rate 15 rate 16 of 16 of 18 or 17 hippocampal 18 or 18 or 21 atrophy 19 overall 21 atrophy 20 brain 21 atrophy de novo methylation of cpg islands is seen in many cancers , but the general rules governing this process are not known . 0 ###LEFT-WALL### 3 methylation 0 ###LEFT-WALL### 8 seen 0 ###LEFT-WALL### 13 but 0 ###LEFT-WALL### 23 . 1 de 2 novo 2 novo 3 methylation 3 methylation 4 of 3 methylation 7 is 4 of 6 islands 5 cpg 6 islands 7 is 8 seen 8 seen 9 in 9 in 11 cancers 10 many 11 cancers 12 , 13 but 13 but 16 rules 13 but 22 known 14 the 16 rules 15 general 16 rules 16 rules 17 governing 16 rules 20 are 17 governing 19 process 18 this 19 process 20 are 21 not 20 are 22 known by analyzing dna from tumors , as well as normal tissues , and by utilizing a range of published data , we have identified a universal set of tumor targets , each with its own " coefficient " of methylation that is largely correlated with its inherent relative ability to recruit polycomb . 0 ###LEFT-WALL### 22 we 0 ###LEFT-WALL### 31 , 0 ###LEFT-WALL### 53 . 1 by 2 analyzing 1 by 13 and 2 analyzing 3 dna 3 dna 4 from 3 dna 9 as 4 from 5 tumors 6 , 9 as 7 as 8 well 8 well 9 as 9 as 11 tissues 9 as 12 , 10 normal 11 tissues 12 , 13 and 13 and 14 by 13 and 21 , 13 and 22 we 14 by 15 utilizing 15 utilizing 17 range 16 a 17 range 17 range 18 of 18 of 20 data 19 published 20 data 22 we 31 , 23 have 24 identified 23 have 31 , 24 identified 27 set 25 a 27 set 26 universal 27 set 27 set 28 of 28 of 30 targets 29 tumor 30 targets 31 , 51 recruit 32 each 33 with 32 each 39 of 32 each 44 correlated 33 with 37 coefficient 34 its 35 own 34 its 37 coefficient 35 own 36 " 37 coefficient 38 " 39 of 40 methylation 41 that 42 is 42 is 44 correlated 43 largely 44 correlated 44 correlated 45 with 44 correlated 50 to 45 with 49 ability 46 its 49 ability 47 inherent 49 ability 48 relative 49 ability 50 to 51 recruit 51 recruit 52 polycomb this pattern is initially formed by a slow process [of] de novo methylation that occurs during aging and then undergoes expansion early in tumorigenesis , where we hypothesize that it may act as an inhibitor of development - associated gene activation . 0 ###LEFT-WALL### 2 pattern 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 42 . 1 this 2 pattern 2 pattern 3 is 3 is 18 and 4 initially 5 formed 5 formed 6 by 5 formed 12 novo 5 formed 13 methylation 5 formed 18 and 6 by 9 process 7 a 9 process 8 slow 9 process 11 de 12 novo 13 methylation 14 that 13 methylation 15 occurs 14 that 15 occurs 15 occurs 16 during 16 during 17 aging 18 and 20 undergoes 18 and 41 activation 19 then 20 undergoes 20 undergoes 21 expansion 20 undergoes 22 early 20 undergoes 23 in 23 in 24 tumorigenesis 24 tumorigenesis 26 where 25 , 26 where 26 where 27 we 26 where 28 hypothesize 26 where 38 - 27 we 28 hypothesize 28 hypothesize 29 that 29 that 30 it 29 that 32 act 30 it 31 may 31 may 32 act 32 act 33 as 33 as 35 inhibitor 34 an 35 inhibitor 35 inhibitor 36 of 36 of 37 development 39 associated 40 gene 40 gene 41 activation background : several measures of medication exposure are associated with adverse outcomes in older people . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 measures 2 : 9 associated 2 : 16 . 3 several 4 measures 4 measures 5 of 4 measures 8 are 5 of 7 exposure 6 medication 7 exposure 8 are 9 associated 9 associated 10 with 9 associated 13 in 10 with 12 outcomes 11 adverse 12 outcomes 13 in 15 people 14 older 15 people exposure [to] and the clinical outcomes of these measures in robust [versus] frail older inpatients are not known . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 18 known 0 ###LEFT-WALL### 19 . 1 exposure 3 and 3 and 6 outcomes 3 and 7 of 3 and 16 are 4 the 6 outcomes 5 clinical 6 outcomes 7 of 9 measures 8 these 9 measures 9 measures 10 in 10 in 15 inpatients 11 robust 15 inpatients 13 frail 15 inpatients 14 older 15 inpatients 16 are 17 not 16 are 18 known methods : patients ≥60 years of age admitted with a fall to a tertiary referral teaching hospital in sydney were recruited and frailty was assessed . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 5 years 2 : 21 recruited 2 : 22 and 2 : 26 . 3 patients 5 years 4 ≥60 5 years 5 years 6 of 5 years 8 admitted 5 years 12 to 5 years 20 were 6 of 7 age 8 admitted 9 with 9 with 11 fall 10 a 11 fall 12 to 17 hospital 13 a 14 tertiary 13 a 17 hospital 14 tertiary 15 referral 15 referral 16 teaching 16 teaching 17 hospital 17 hospital 18 in 18 in 19 sydney 20 were 21 recruited 22 and 23 frailty 22 and 25 assessed 23 frailty 24 was 24 was 25 assessed data were collected at admission , discharge , and 2 months after admission . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 14 . 1 data 2 were 2 were 3 collected 3 collected 9 and 4 at 5 admission 4 at 9 and 5 admission 7 discharge 6 , 7 discharge 7 discharge 8 , 8 , 9 and 9 and 12 after 10 2 11 months 11 months 12 after 12 after 13 admission results : a total of 204 patients were recruited ( mean age 80.5 ± 8.3 years ) , with 101 [robust] and 103 frail . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 total 3 a 4 total 4 total 5 of 5 of 6 204 6 204 7 patients 6 204 8 were 6 204 9 recruited 6 204 16 years 6 204 19 with 7 patients 8 were 10 ( 16 years 11 mean 12 age 12 age 16 years 13 80.5 16 years 14 ± 16 years 15 8.3 16 years 16 years 17 ) 18 , 19 with 19 with 22 and 19 with 24 frail 19 with 25 . 20 101 22 and 22 and 23 103 on admission , compared with the robust , frail participants had significantly higher mean ± sd number [of] frids [(] frail 3.4 ± 2.2 vs [.] robust 1.6 ± 1.5 , p < 0.0001 [ )( total number of medications ( 9.8 ± 4.3 vs [.] 4.4 ± 3.3 , p < 0.0001 [ )(, [and] ddi exposure ( 35 vs [.] 5 % , p = 0.001 ) . 0 ###LEFT-WALL### 10 participants 0 ###LEFT-WALL### 11 had 1 on 2 admission 1 on 8 , 1 on 10 participants 2 admission 4 compared 3 , 4 compared 4 compared 5 with 4 compared 8 , 5 with 7 robust 6 the 7 robust 9 frail 10 participants 10 participants 11 had 11 had 16 sd 11 had 17 number 12 significantly 13 higher 13 higher 15 ± 14 mean 15 ± 15 ± 16 sd 17 number 23 ± 19 frids 23 ± 21 frail 23 ± 22 3.4 23 ± 23 ± 24 2.2 23 ± 25 vs 23 ± 33 < 25 vs 29 ± 27 robust 29 ± 28 1.6 29 ± 29 ± 30 1.5 31 , 33 < 32 p 33 < 33 < 40 medications 34 0.0001 38 number 37 total 38 number 38 number 39 of 38 number 40 medications 39 of 40 medications 40 medications 43 ± 40 medications 52 < 41 ( 43 ± 42 9.8 43 ± 43 ± 44 4.3 43 ± 45 vs 43 ± 50 , 45 vs 48 ± 47 4.4 48 ± 48 ± 49 3.3 51 p 52 < 52 < 53 0.0001 53 0.0001 58 exposure 55 )(, 58 exposure 57 ddi 58 exposure 58 exposure 60 35 58 exposure 70 . 59 ( 60 35 60 35 61 vs 60 35 67 = 60 35 70 . 61 vs 64 % 63 5 64 % 65 , 67 = 66 p 67 = 67 = 68 0.001 67 = 69 ) number of frids on discharge was significantly associated with recurrent [falls] [ odds [ratio] ( or ) 1.7 [(] 95 % confidence [interval] [ ci []] 1.3 - 2.1 ) ] , which were most likely to occur with 1.5 frids in the frail and 2.5 frids in the robust . 0 ###LEFT-WALL### 1 number 0 ###LEFT-WALL### 8 associated 0 ###LEFT-WALL### 32 , 0 ###LEFT-WALL### 38 occur 0 ###LEFT-WALL### 51 . 1 number 2 of 1 number 6 was 2 of 3 frids 3 frids 4 on 4 on 5 discharge 6 was 8 associated 7 significantly 8 associated 8 associated 9 with 9 with 22 confidence 10 recurrent 13 odds 10 recurrent 17 ) 10 recurrent 22 confidence 12 [ 13 odds 13 odds 16 or 13 odds 17 ) 15 ( 16 or 16 or 17 ) 18 1.7 22 confidence 20 95 21 % 21 % 22 confidence 22 confidence 25 ci 24 [ 25 ci 25 ci 27 1.3 25 ci 29 2.1 25 ci 31 ] 28 - 29 2.1 29 2.1 30 ) 32 , 33 which 32 , 34 were 33 which 34 were 34 were 36 likely 35 most 36 likely 36 likely 37 to 37 to 38 occur 38 occur 39 with 39 with 45 and 40 1.5 41 frids 41 frids 42 in 41 frids 45 and 42 in 44 frail 43 the 44 frail 45 and 47 frids 46 2.5 47 frids 47 frids 48 in 48 in 50 robust 49 the 50 robust number of medications on discharge was also associated with recurrent [falls] [[] or 1.2 ( 1.0 - 1.3 ) ] , but ddis were not . 0 ###LEFT-WALL### 1 number 0 ###LEFT-WALL### 8 associated 0 ###LEFT-WALL### 22 but 0 ###LEFT-WALL### 26 . 1 number 2 of 1 number 6 was 2 of 3 medications 3 medications 4 on 4 on 5 discharge 6 was 7 also 6 was 8 associated 8 associated 9 with 9 with 13 or 10 recurrent 13 or 13 or 14 1.2 13 or 16 1.0 15 ( 16 1.0 16 1.0 18 1.3 16 1.0 20 ] 17 - 18 1.3 18 1.3 19 ) 21 , 22 but 22 but 23 ddis 22 but 24 were 23 ddis 24 were 24 were 25 not conclusion : exposure to frids and other measures of high - risk medication exposures [is] common in older people admitted [with] falls , especially the frail . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 1 conclusion 2 : 2 : 3 exposure 3 exposure 4 to 3 exposure 9 of 4 to 6 and 5 frids 6 and 6 and 8 measures 7 other 8 measures 9 of 12 risk 10 high 11 - 10 high 12 risk 12 risk 14 exposures 12 risk 22 falls 12 risk 26 frail 13 medication 14 exposures 14 exposures 16 common 14 exposures 20 admitted 16 common 17 in 17 in 19 people 18 older 19 people 20 admitted 22 falls 23 , 24 especially 23 , 26 frail 25 the 26 frail 26 frail 27 . number of frids and [to] a lesser extent total number of medicines at discharge were associated [with] recurrent [falls] . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 16 associated 0 ###LEFT-WALL### 20 . 1 number 2 of 1 number 4 and 2 of 3 frids 4 and 10 number 4 and 11 of 4 and 15 were 6 a 10 number 7 lesser 8 extent 8 extent 10 number 9 total 10 number 11 of 12 medicines 12 medicines 13 at 13 at 14 discharge 15 were 16 associated 16 associated 18 recurrent there have been few reports on the development of metabolic disorders , especially when they are considered as a cluster . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 3 been 1 there 2 have 2 have 3 been 3 been 5 reports 3 been 6 on 3 been 14 when 4 few 5 reports 6 on 8 development 7 the 8 development 8 development 9 of 9 of 11 disorders 10 metabolic 11 disorders 12 , 13 especially 12 , 14 when 14 when 15 they 14 when 17 considered 14 when 21 . 15 they 16 are 16 are 17 considered 17 considered 18 as 18 as 20 cluster 19 a 20 cluster the purpose of this study was to describe risk profiles for metabolic [syndrome] ( mets ) [in] elderly dwellers in beijing , and to find their transition patterns over time . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 31 . 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 29 over 7 to 23 and 8 describe 10 profiles 8 describe 20 in 8 describe 23 and 9 risk 10 profiles 10 profiles 11 for 11 for 19 dwellers 12 metabolic 15 mets 12 metabolic 19 dwellers 14 ( 15 mets 15 mets 16 ) 18 elderly 19 dwellers 20 in 21 beijing 22 , 23 and 23 and 24 to 23 and 25 find 24 to 25 find 25 find 27 transition 25 find 28 patterns 26 their 27 transition 29 over 30 time data were derived from beijing longitudinal study of aging , a community - based cohort study hosted by xuanwu [hospital] . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 14 based 0 ###LEFT-WALL### 21 . 1 data 2 were 2 were 3 derived 3 derived 4 from 4 from 5 beijing 5 beijing 7 study 5 beijing 14 based 6 longitudinal 7 study 7 study 8 of 7 study 12 community 7 study 14 based 8 of 9 aging 10 , 12 community 11 a 12 community 12 community 13 - 14 based 16 study 15 cohort 16 study 16 study 17 hosted 16 study 18 by 18 by 19 xuanwu there were 3,257 elderly people aged 55 years or [over] recruited in 1992 . 0 ###LEFT-WALL### 5 people 0 ###LEFT-WALL### 9 or 0 ###LEFT-WALL### 14 . 1 there 5 people 2 were 3 3,257 2 were 4 elderly 2 were 5 people 5 people 9 or 6 aged 8 years 6 aged 9 or 7 55 8 years 9 or 11 recruited 9 or 12 in 12 in 13 1992 mets was assessed for the years 1992 , 2000 , [and] 2009 . 0 ###LEFT-WALL### 1 mets 0 ###LEFT-WALL### 3 assessed 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 13 . 1 mets 2 was 2 was 3 assessed 3 assessed 4 for 4 for 6 years 5 the 6 years 6 years 7 1992 8 , 9 2000 8 , 10 , 10 , 12 2009 finally , 363 subjects with complete information for components of mets in the three years were included in the study . 0 ###LEFT-WALL### 4 subjects 0 ###LEFT-WALL### 17 included 0 ###LEFT-WALL### 21 . 1 finally 2 , 1 finally 4 subjects 3 363 4 subjects 4 subjects 5 with 4 subjects 16 were 5 with 7 information 6 complete 7 information 7 information 8 for 8 for 9 components 9 components 10 of 10 of 11 mets 11 mets 12 in 12 in 15 years 13 the 14 three 14 three 15 years 16 were 17 included 17 included 18 in 18 in 20 study 19 the 20 study the criteria of mets recommended by the joint interim statement criteria were adopted . 0 ###LEFT-WALL### 2 criteria 0 ###LEFT-WALL### 5 recommended 0 ###LEFT-WALL### 14 . 1 the 2 criteria 2 criteria 3 of 2 criteria 5 recommended 3 of 4 mets 5 recommended 6 by 5 recommended 11 criteria 5 recommended 13 adopted 6 by 8 joint 7 the 8 joint 9 interim 11 criteria 10 statement 11 criteria 11 criteria 12 were 12 were 13 adopted latent transition analysis was used to calculate the transition probabilities between adjacent visits . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 14 . 1 latent 2 transition 2 transition 3 analysis 3 analysis 4 was 4 was 5 used 5 used 6 to 5 used 7 calculate 6 to 7 calculate 7 calculate 10 probabilities 7 calculate 11 between 8 the 10 probabilities 9 transition 10 probabilities 11 between 13 visits 12 adjacent 13 visits a risk typology consisting of four time [-] invariant groups was detected based on the components of mets for all subjects . 0 ###LEFT-WALL### 3 typology 0 ###LEFT-WALL### 13 based 0 ###LEFT-WALL### 22 . 1 a 3 typology 2 risk 3 typology 3 typology 4 consisting 3 typology 12 detected 3 typology 13 based 4 consisting 5 of 5 of 6 four 6 four 7 time 6 four 11 was 7 time 9 invariant 7 time 10 groups 7 time 11 was 9 invariant 10 groups 13 based 14 on 13 based 19 for 13 based 21 subjects 14 on 16 components 15 the 16 components 16 components 17 of 17 of 18 mets 19 for 20 all low mets risk group , bp risk group , bp - hdl risk group , and bp - fpg - tg risk group were found . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 25 found 0 ###LEFT-WALL### 26 . 1 low 4 group 2 mets 4 group 3 risk 4 group 4 group 5 , 5 , 8 group 5 , 9 , 6 bp 8 group 7 risk 8 group 9 , 14 group 9 , 16 and 10 bp 12 hdl 11 - 12 hdl 12 hdl 14 group 13 risk 14 group 15 , 16 and 16 and 23 group 16 and 24 were 17 bp 19 fpg 18 - 19 fpg 19 fpg 20 - 19 fpg 21 tg 21 tg 23 group 22 risk 23 group 24 were 25 found the probability of staying at the same status was higher at the two intervals across 18 years . 0 ###LEFT-WALL### 2 probability 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 18 . 1 the 2 probability 2 probability 3 of 2 probability 9 was 3 of 4 staying 4 staying 5 at 5 at 8 status 6 the 7 same 7 same 8 status 9 was 10 higher 10 higher 11 at 10 higher 15 across 11 at 14 intervals 12 the 13 two 13 two 14 intervals 15 across 17 years 16 18 17 years four latent groups were extracted based on three assessments for the components of mets , together with their transition patterns . 0 ###LEFT-WALL### 1 four 0 ###LEFT-WALL### 6 based 1 four 3 groups 1 four 4 were 1 four 5 extracted 1 four 6 based 2 latent 3 groups 3 groups 4 were 6 based 7 on 6 based 9 assessments 7 on 8 three 9 assessments 10 for 10 for 12 components 11 the 12 components 12 components 13 of 13 of 14 mets 14 mets 17 with 15 , 17 with 16 together 17 with 17 with 20 patterns 17 with 21 . 18 their 20 patterns 19 transition 20 patterns findings suggested various trajectories for mets components . 0 ###LEFT-WALL### 1 findings 0 ###LEFT-WALL### 2 suggested 0 ###LEFT-WALL### 8 . 1 findings 2 suggested 2 suggested 4 trajectories 3 various 4 trajectories 4 trajectories 5 for 5 for 7 components 6 mets 7 components different combinations of intervention strategy might be needed for mets risk groups . 0 ###LEFT-WALL### 2 combinations 0 ###LEFT-WALL### 8 needed 0 ###LEFT-WALL### 13 . 1 different 2 combinations 2 combinations 3 of 2 combinations 6 might 3 of 5 strategy 4 intervention 5 strategy 6 might 7 be 7 be 8 needed 8 needed 9 for 9 for 12 groups 10 mets 12 groups 11 risk 12 groups objective : this study aims to investigate the influence of socio - demographic , health , and municipal characteristics on trends in loneliness among community [-] dwelling elderly people . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 4 study 2 : 5 aims 3 this 4 study 4 study 5 aims 5 aims 6 to 5 aims 20 on 6 to 7 investigate 7 investigate 9 influence 8 the 9 influence 9 influence 10 of 10 of 17 and 11 socio 12 - 11 socio 15 health 13 demographic 14 , 13 demographic 15 health 15 health 17 and 16 , 17 and 17 and 19 characteristics 18 municipal 19 characteristics 20 on 21 trends 21 trends 22 in 22 in 23 loneliness 23 loneliness 24 among 24 among 29 people 25 community 27 dwelling 27 dwelling 29 people 28 elderly 29 people method : data were gathered from 4,868 and 4,773 [non] - institutionalized elderly people aged 65 years [and] above in a health survey in 2005 and 2010 , respectively . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 3 data 2 : 5 gathered 3 data 4 were 4 were 5 gathered 5 gathered 6 from 5 gathered 29 respectively 6 from 8 and 7 4,868 8 and 8 and 9 4,773 8 and 14 people 11 - 14 people 12 institutionalized 14 people 13 elderly 14 people 14 people 15 aged 14 people 28 , 15 aged 19 above 15 aged 20 in 15 aged 24 in 16 65 17 years 17 years 19 above 20 in 23 survey 21 a 23 survey 22 health 23 survey 24 in 26 and 25 2005 26 and 26 and 27 2010 crude and adjusted multilevel models were analyzed to study the independent associations of study [year] and socio - demographic , health , and municipal characteristics with loneliness . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 9 study 0 ###LEFT-WALL### 28 . 1 crude 2 and 2 and 4 multilevel 2 and 5 models 2 and 8 to 2 and 9 study 3 adjusted 4 multilevel 5 models 6 were 6 were 7 analyzed 7 analyzed 8 to 9 study 23 and 9 study 26 with 10 the 23 and 11 independent 12 associations 12 associations 13 of 12 associations 16 and 13 of 14 study 16 and 19 demographic 16 and 21 health 16 and 23 and 17 socio 18 - 17 socio 19 demographic 20 , 21 health 21 health 22 , 22 , 23 and 23 and 25 characteristics 24 municipal 25 characteristics 26 with 27 loneliness results : overall and across municipalities , loneliness estimates did not significantly differ between 2005 and 2010 . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 18 . 1 results 2 : 2 : 3 overall 4 and 9 estimates 4 and 13 differ 5 across 6 municipalities 5 across 7 , 5 across 9 estimates 8 loneliness 9 estimates 9 estimates 10 did 10 did 11 not 10 did 13 differ 12 significantly 13 differ 13 differ 14 between 14 between 16 and 15 2005 16 and 16 and 17 2010 however , among the sub - [group] with activity limitations , loneliness was higher in 2010 compared with 2005 . 0 ###LEFT-WALL### 12 loneliness 0 ###LEFT-WALL### 13 was 0 ###LEFT-WALL### 20 . 1 however 12 loneliness 2 , 3 among 3 among 5 sub 3 among 11 , 3 among 12 loneliness 4 the 5 sub 5 sub 8 with 6 - 8 with 8 with 10 limitations 8 with 11 , 9 activity 10 limitations 12 loneliness 13 was 13 was 14 higher 14 higher 15 in 15 in 16 2010 16 2010 17 compared 17 compared 18 with 18 with 19 2005 discussion : this study indicates a constant trend in loneliness in the total population and across sub [-] groups with the exception of participants with one or more activity limitations , where loneliness increased . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 indicates 2 : 35 . 3 this 4 study 4 study 5 indicates 5 indicates 8 trend 5 indicates 32 where 6 a 7 constant 6 a 8 trend 7 constant 8 trend 8 trend 15 and 8 trend 23 of 9 in 10 loneliness 9 in 15 and 10 loneliness 11 in 11 in 14 population 12 the 14 population 13 total 14 population 15 and 16 across 16 across 19 groups 17 sub 19 groups 19 groups 20 with 20 with 22 exception 21 the 22 exception 23 of 27 or 24 participants 25 with 24 participants 27 or 25 with 26 one 27 or 30 limitations 27 or 31 , 28 more 30 limitations 29 activity 30 limitations 32 where 33 loneliness 32 where 34 increased 33 loneliness 34 increased individual socio - demographic and health characteristics were explanatory factors for variation in loneliness over time , whereas municipal characteristics were not . 0 ###LEFT-WALL### 4 demographic 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 21 were 0 ###LEFT-WALL### 23 . 1 individual 4 demographic 2 socio 3 - 2 socio 4 demographic 5 and 7 characteristics 5 and 8 were 6 health 7 characteristics 7 characteristics 8 were 8 were 10 factors 8 were 18 whereas 9 explanatory 10 factors 10 factors 11 for 10 factors 13 in 11 for 12 variation 13 in 14 loneliness 14 loneliness 15 over 15 over 16 time 17 , 18 whereas 18 whereas 19 municipal 19 municipal 21 were 20 characteristics 21 were 21 were 22 not bacopa [monnieri] ( l [.] , bm ) is a traditional ayurvedic medicinal herb recognised for its efficacy in relieving acute pain and inflammation , as related to selective inhibition of cyclo - oxygenase - 2 ( cox - 2 ) enzyme and consequent reduction in cox - 2 - mediated prostanoid mediators . 0 ###LEFT-WALL### 1 bacopa 0 ###LEFT-WALL### 9 is 1 bacopa 4 l 1 bacopa 7 bm 1 bacopa 9 is 3 ( 4 l 4 l 6 , 6 , 7 bm 7 bm 8 ) 9 is 12 ayurvedic 9 is 16 for 10 a 11 traditional 10 a 12 ayurvedic 11 traditional 12 ayurvedic 12 ayurvedic 14 herb 12 ayurvedic 15 recognised 13 medicinal 14 herb 14 herb 15 recognised 16 for 18 efficacy 17 its 18 efficacy 18 efficacy 19 in 18 efficacy 28 to 19 in 20 relieving 20 relieving 23 and 21 acute 22 pain 22 pain 23 and 23 and 24 inflammation 23 and 25 , 25 , 27 related 26 as 27 related 28 to 30 inhibition 29 selective 30 inhibition 30 inhibition 31 of 31 of 43 and 32 cyclo 35 - 32 cyclo 41 ) 32 cyclo 42 enzyme 33 - 35 - 34 oxygenase 35 - 35 - 38 cox 35 - 41 ) 36 2 38 cox 37 ( 38 cox 38 cox 40 2 39 - 40 2 40 2 41 ) 42 enzyme 43 and 43 and 45 reduction 43 and 50 - 44 consequent 45 reduction 45 reduction 46 in 46 in 47 cox 48 - 50 - 49 2 50 - 50 - 53 mediators 50 - 54 . 51 mediated 53 mediators 52 prostanoid 53 mediators bm is also associated with cognitive enhancing ( nootropic ) activity including improving memory free recall , observed after prolonged intake ( >3 months ) . 0 ###LEFT-WALL### 1 bm 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 26 . 1 bm 2 is 2 is 3 also 2 is 4 associated 4 associated 5 with 4 associated 18 observed 5 with 7 enhancing 6 cognitive 7 enhancing 7 enhancing 11 activity 8 ( 11 activity 9 nootropic 10 ) 9 nootropic 11 activity 11 activity 12 including 11 activity 17 , 12 including 16 recall 13 improving 14 memory 14 memory 16 recall 15 free 16 recall 17 , 18 observed 18 observed 19 after 18 observed 25 ) 19 after 21 intake 20 prolonged 21 intake 21 intake 24 months 22 ( 24 months 23 >3 24 months 24 months 25 ) it is likely that the time frame required to exert an effect in the brain reflects regulation by bm of chronic inflammation and oxidative stress associated with aging and chronic diseases , and other polypharmacological effects . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 37 . 1 it 2 is 2 is 3 likely 3 likely 4 that 4 that 7 frame 4 that 16 reflects 5 the 7 frame 6 time 7 frame 7 frame 8 required 7 frame 13 in 7 frame 16 reflects 8 required 9 to 8 required 10 exert 9 to 10 exert 10 exert 12 effect 11 an 12 effect 13 in 15 brain 14 the 15 brain 16 reflects 17 regulation 17 regulation 18 by 18 by 19 bm 19 bm 20 of 20 of 22 inflammation 21 chronic 22 inflammation 23 and 25 stress 23 and 26 associated 24 oxidative 25 stress 25 stress 26 associated 26 associated 27 with 27 with 33 and 28 aging 29 and 29 and 31 diseases 29 and 32 , 29 and 33 and 30 chronic 31 diseases 33 and 36 effects 34 other 36 effects 35 polypharmacological 36 effects we report down - regulation by bm of no and tnf - α in stimulated raw 246.7 macrophages and [of] ifn - [γ] in stimulated human blood cells . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 report 1 we 2 report 2 report 10 and 2 report 13 α 3 down 4 - 3 down 10 and 5 regulation 6 by 5 regulation 10 and 6 by 7 bm 7 bm 8 of 8 of 9 no 10 and 11 tnf 10 and 12 - 10 and 13 α 13 α 14 in 13 α 24 in 14 in 19 and 15 stimulated 18 macrophages 16 raw 17 246.7 16 raw 18 macrophages 18 macrophages 19 and 19 and 21 ifn 22 - 24 in 24 in 28 cells 24 in 29 . 25 stimulated 28 cells 26 human 28 cells 27 blood 28 cells furthermore , in human blood cells , il - 10 [was] slightly elevated indicating polarisation towards a regulatory [t] cell phenotype . 0 ###LEFT-WALL### 10 10 0 ###LEFT-WALL### 13 elevated 0 ###LEFT-WALL### 22 . 1 furthermore 2 , 1 furthermore 10 10 2 , 3 in 3 in 6 cells 3 in 9 - 3 in 10 10 4 human 6 cells 5 blood 6 cells 6 cells 8 il 7 , 8 il 8 il 9 - 10 10 13 elevated 12 slightly 13 elevated 13 elevated 15 polarisation 13 elevated 16 towards 14 indicating 15 polarisation 16 towards 21 phenotype 17 a 18 regulatory 17 a 21 phenotype 18 regulatory 20 cell 20 cell 21 phenotype these results provide further supportive evidence to justify the clinical evaluation of bm for managing diseases involving chronic systemic and brain inflammation driven by the innate immune system . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 provide 0 ###LEFT-WALL### 29 . 1 these 2 results 2 results 3 provide 3 provide 4 further 3 provide 6 evidence 3 provide 7 to 3 provide 14 for 5 supportive 6 evidence 7 to 8 justify 8 justify 11 evaluation 9 the 11 evaluation 10 clinical 11 evaluation 11 evaluation 12 of 12 of 13 bm 14 for 16 diseases 15 managing 16 diseases 16 diseases 17 involving 16 diseases 23 driven 17 involving 22 inflammation 18 chronic 22 inflammation 19 systemic 20 and 20 and 21 brain 20 and 22 inflammation 23 driven 24 by 24 by 28 system 25 the 28 system 26 innate 28 system 27 immune 28 system none although highly effective , warfarin use is complicated by its unpredictable narrow therapeutic window , genetic heterogeneity in [pharmacokinetic] response , numerous food and drug interactions , and the need [for] regular international normalized ratio ( inr ) monitoring . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 25 and 0 ###LEFT-WALL### 41 . 1 none 7 use 1 none 8 is 1 none 25 and 2 although 7 use 3 highly 4 effective 4 effective 5 , 4 effective 6 warfarin 6 warfarin 7 use 7 use 8 is 9 complicated 10 by 9 complicated 24 food 9 complicated 25 and 10 by 15 window 11 its 15 window 12 unpredictable 15 window 13 narrow 15 window 14 therapeutic 15 window 15 window 18 heterogeneity 16 , 18 heterogeneity 17 genetic 18 heterogeneity 18 heterogeneity 21 response 18 heterogeneity 22 , 19 in 21 response 23 numerous 24 food 25 and 26 drug 26 drug 40 monitoring 27 interactions 29 and 28 , 29 and 29 and 36 ratio 29 and 38 inr 29 and 40 monitoring 30 the 36 ratio 31 need 35 normalized 33 regular 34 international 34 international 35 normalized 35 normalized 36 ratio 37 ( 38 inr 38 inr 39 ) currently , several novel oral anticoagulant ( noac ) drugs ( dabigatran , rivaroxaban , apixaban ) are available on the market as alternatives to warfarin . 0 ###LEFT-WALL### 10 drugs 0 ###LEFT-WALL### 18 are 0 ###LEFT-WALL### 27 . 1 currently 2 , 1 currently 10 drugs 3 several 10 drugs 4 novel 10 drugs 5 oral 10 drugs 6 anticoagulant 8 noac 6 anticoagulant 9 ) 6 anticoagulant 10 drugs 7 ( 8 noac 8 noac 9 ) 10 drugs 16 apixaban 10 drugs 18 are 11 ( 16 apixaban 12 dabigatran 13 , 12 dabigatran 16 apixaban 14 rivaroxaban 15 , 14 rivaroxaban 16 apixaban 16 apixaban 17 ) 18 are 19 available 19 available 20 on 19 available 23 as 19 available 25 to 20 on 22 market 21 the 22 market 23 as 24 alternatives 25 to 26 warfarin these agents all feature more predictable pharmacodynamic and pharmacokinetic properties than warfarin . 0 ###LEFT-WALL### 2 agents 0 ###LEFT-WALL### 4 feature 0 ###LEFT-WALL### 13 . 1 these 2 agents 2 agents 4 feature 3 all 4 feature 4 feature 10 properties 4 feature 11 than 5 more 6 predictable 6 predictable 10 properties 7 pharmacodynamic 8 and 8 and 9 pharmacokinetic 8 and 10 properties 11 than 12 warfarin however , there are other considerations regarding the use of noacs that must be taken into account during management of therapy . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 22 . 1 however 2 , 1 however 3 there 3 there 4 are 4 are 6 considerations 5 other 6 considerations 6 considerations 7 regarding 6 considerations 10 of 7 regarding 9 use 8 the 9 use 10 of 11 noacs 11 noacs 12 that 11 noacs 13 must 12 that 13 must 13 must 14 be 14 be 15 taken 15 taken 17 account 15 taken 18 during 16 into 17 account 18 during 19 management 19 management 20 of 20 of 21 therapy in contrast to warfarin , most noacs need dosage adjustments in renal impairment and [are] contraindicated in severe liver impairment , and there are no specific antidotes for treating noac - related over [-] anticoagulation . 0 ###LEFT-WALL### 7 noacs 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 22 and 1 in 2 contrast 1 in 5 , 1 in 7 noacs 2 contrast 3 to 3 to 4 warfarin 6 most 7 noacs 7 noacs 14 and 8 need 10 adjustments 8 need 11 in 8 need 14 and 9 dosage 10 adjustments 11 in 13 impairment 12 renal 13 impairment 14 and 16 contraindicated 16 contraindicated 17 in 16 contraindicated 20 impairment 17 in 19 liver 18 severe 19 liver 21 , 22 and 22 and 23 there 22 and 24 are 23 there 24 are 24 are 27 antidotes 25 no 27 antidotes 26 specific 27 antidotes 27 antidotes 28 for 28 for 29 treating 29 treating 30 noac 30 noac 32 related 31 - 32 related 32 related 33 over 32 related 36 . 33 over 35 anticoagulation the more frequent dosing needed for noacs may reduce adherence [,] especially [in] elderly patients with polypharmacy . 0 ###LEFT-WALL### 4 dosing 0 ###LEFT-WALL### 9 reduce 0 ###LEFT-WALL### 18 . 1 the 4 dosing 2 more 3 frequent 3 frequent 4 dosing 4 dosing 5 needed 4 dosing 8 may 5 needed 6 for 6 for 7 noacs 8 may 9 reduce 9 reduce 15 patients 9 reduce 16 with 10 adherence 15 patients 12 especially 14 elderly 14 elderly 15 patients 16 with 17 polypharmacy furthermore , noacs , especially dabigatran , are not as well tolerated as warfarin in patients with gastrointestinal diseases . 0 ###LEFT-WALL### 3 noacs 0 ###LEFT-WALL### 12 tolerated 0 ###LEFT-WALL### 20 . 1 furthermore 2 , 1 furthermore 3 noacs 3 noacs 6 dabigatran 3 noacs 8 are 4 , 6 dabigatran 5 especially 6 dabigatran 6 dabigatran 7 , 8 are 9 not 8 are 10 as 8 are 12 tolerated 10 as 11 well 12 tolerated 13 as 12 tolerated 15 in 12 tolerated 17 with 13 as 14 warfarin 15 in 16 patients 17 with 19 diseases 18 gastrointestinal 19 diseases overall , the availability of the noacs has expanded the treatment armamentarium , but they are not without risk . 0 ###LEFT-WALL### 4 availability 0 ###LEFT-WALL### 9 expanded 0 ###LEFT-WALL### 14 but 0 ###LEFT-WALL### 20 . 1 overall 2 , 1 overall 4 availability 3 the 4 availability 4 availability 5 of 4 availability 8 has 5 of 7 noacs 6 the 7 noacs 8 has 9 expanded 9 expanded 12 armamentarium 10 the 12 armamentarium 11 treatment 12 armamentarium 13 , 14 but 14 but 15 they 14 but 16 are 15 they 16 are 16 are 17 not 16 are 18 without 18 without 19 risk cellular and organ metabolism affects organismal lifespan . 0 ###LEFT-WALL### 1 cellular 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 8 . 2 and 4 metabolism 2 and 5 affects 3 organ 4 metabolism 4 metabolism 5 affects 5 affects 7 lifespan 6 organismal 7 lifespan aging is characterized by increased risks for metabolic disorders , with age - associated degenerative diseases exhibiting varying degrees of mitochondrial dysfunction . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 3 characterized 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 23 . 1 aging 2 is 2 is 3 characterized 3 characterized 4 by 4 by 6 risks 5 increased 6 risks 6 risks 7 for 6 risks 11 with 7 for 9 disorders 8 metabolic 9 disorders 10 , 11 with 11 with 12 age 11 with 13 - 13 - 16 diseases 14 associated 16 diseases 15 degenerative 16 diseases 16 diseases 17 exhibiting 17 exhibiting 22 dysfunction 18 varying 19 degrees 19 degrees 20 of 19 degrees 22 dysfunction 20 of 22 dysfunction 21 mitochondrial 22 dysfunction the traditional view of the role of mitochondria generated reactive oxygen species ( ros ) in cellular aging , assumed to be causative and simply detrimental for a long time now , is in need of reassessment . 0 ###LEFT-WALL### 3 view 0 ###LEFT-WALL### 33 is 0 ###LEFT-WALL### 38 . 1 the 3 view 2 traditional 3 view 3 view 4 of 3 view 7 of 3 view 16 in 3 view 33 is 4 of 6 role 5 the 6 role 7 of 12 species 8 mitochondria 12 species 9 generated 11 oxygen 10 reactive 11 oxygen 11 oxygen 12 species 12 species 14 ros 13 ( 14 ros 14 ros 15 ) 16 in 18 aging 17 cellular 18 aging 18 aging 20 assumed 19 , 20 assumed 20 assumed 21 to 20 assumed 32 , 21 to 22 be 22 be 24 and 23 causative 24 and 24 and 25 simply 24 and 26 detrimental 26 detrimental 27 for 26 detrimental 31 now 27 for 30 time 28 a 29 long 28 a 30 time 29 long 30 time 33 is 34 in 34 in 35 need 35 need 36 of 36 of 37 reassessment while there is little doubt that high levels of ros are detrimental , mounting evidence points toward a lifespan extension effect exerted by mild to moderate ros elevation . 0 ###LEFT-WALL### 5 doubt 0 ###LEFT-WALL### 29 . 1 while 2 there 1 while 3 is 1 while 5 doubt 2 there 3 is 3 is 4 little 5 doubt 7 high 5 doubt 8 levels 5 doubt 11 are 6 that 7 high 8 levels 9 of 8 levels 11 are 9 of 10 ros 11 are 14 mounting 12 detrimental 13 , 12 detrimental 14 mounting 14 mounting 15 evidence 14 mounting 23 by 14 mounting 24 mild 15 evidence 16 points 16 points 17 toward 17 toward 21 effect 18 a 21 effect 19 lifespan 20 extension 20 extension 21 effect 21 effect 22 exerted 22 exerted 23 by 24 mild 25 to 25 to 28 elevation 26 moderate 28 elevation 27 ros 28 elevation dietary caloric restriction , inhibition of insulin - like growth factor [-] i signaling , and inhibition of the nutrient - [sensing] mechanistic target of rapamycin are robust longevity - promoting interventions . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 27 are 1 dietary 3 restriction 2 caloric 3 restriction 3 restriction 4 , 4 , 5 inhibition 4 , 16 and 5 inhibition 6 of 6 of 7 insulin 7 insulin 9 like 8 - 9 like 9 like 11 factor 9 like 15 , 10 growth 11 factor 11 factor 13 i 11 factor 14 signaling 16 and 17 inhibition 16 and 18 of 16 and 27 are 18 of 24 target 19 the 24 target 20 nutrient 21 - 20 nutrient 24 target 23 mechanistic 24 target 24 target 25 of 25 of 26 rapamycin 27 are 29 longevity 27 are 31 promoting 28 robust 29 longevity 30 - 31 promoting 31 promoting 32 interventions 31 promoting 33 . all of these appear to elicit mitochondrial retrograde signaling processes ( defined as signaling from the mitochondria to the rest of the cell , for example , the mitochondrial unfolded protein response , or upr ( mt ) ) . 0 ###LEFT-WALL### 3 these 0 ###LEFT-WALL### 4 appear 0 ###LEFT-WALL### 40 . 1 all 2 of 1 all 3 these 2 of 3 these 3 these 4 appear 4 appear 5 to 4 appear 6 elicit 5 to 6 elicit 6 elicit 10 processes 6 elicit 12 defined 7 mitochondrial 10 processes 8 retrograde 10 processes 9 signaling 10 processes 11 ( 12 defined 12 defined 13 as 12 defined 15 from 12 defined 39 ) 13 as 14 signaling 15 from 17 mitochondria 16 the 17 mitochondria 17 mitochondria 18 to 17 mitochondria 21 of 17 mitochondria 26 example 18 to 20 rest 19 the 20 rest 21 of 23 cell 22 the 23 cell 24 , 26 example 25 for 26 example 26 example 27 , 26 example 34 or 26 example 39 ) 28 the 32 response 29 mitochondrial 31 protein 30 unfolded 31 protein 31 protein 32 response 32 response 34 or 33 , 34 or 34 or 35 upr 34 or 37 mt 36 ( 37 mt 37 mt 38 ) the effects of mitochondrial retrograde signaling may even spread to other cells/tissues in a noncell autonomous manner by yet unidentified signaling mediators . 0 ###LEFT-WALL### 2 effects 0 ###LEFT-WALL### 9 spread 0 ###LEFT-WALL### 23 . 1 the 2 effects 2 effects 3 of 2 effects 7 may 3 of 6 signaling 4 mitochondrial 6 signaling 5 retrograde 6 signaling 7 may 9 spread 8 even 9 spread 9 spread 10 to 9 spread 13 in 9 spread 18 by 10 to 12 cells/tissues 11 other 12 cells/tissues 13 in 17 manner 14 a 15 noncell 14 a 17 manner 15 noncell 17 manner 16 autonomous 17 manner 18 by 22 mediators 19 yet 20 unidentified 20 unidentified 22 mediators 21 signaling 22 mediators multiple recent publications support the notion that [an] evolutionarily conserved , mitochondria - initiated signaling is central to the genetic and epigenetic regulation of cellular aging and organismal lifespan . 0 ###LEFT-WALL### 3 publications 0 ###LEFT-WALL### 4 support 0 ###LEFT-WALL### 13 - 1 multiple 3 publications 2 recent 3 publications 3 publications 4 support 4 support 6 notion 5 the 6 notion 6 notion 10 conserved 7 that 9 evolutionarily 9 evolutionarily 10 conserved 10 conserved 11 , 10 conserved 12 mitochondria 13 - 15 signaling 13 - 16 is 13 - 30 . 14 initiated 15 signaling 15 signaling 16 is 16 is 17 central 17 central 18 to 18 to 27 and 19 the 23 regulation 20 genetic 21 and 21 and 22 epigenetic 21 and 23 regulation 23 regulation 24 of 23 regulation 27 and 24 of 26 aging 25 cellular 26 aging 27 and 29 lifespan 28 organismal 29 lifespan none background : whether the association between body mass index [(] bmi [ )(and all - cause mortality for older adults is the same as for younger adults is unclear . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 29 is 0 ###LEFT-WALL### 31 . 1 none 2 background 1 none 3 : 1 none 29 is 2 background 3 : 3 : 4 whether 3 : 25 as 4 whether 6 association 4 whether 22 is 5 the 6 association 6 association 7 between 6 association 22 is 7 between 18 mortality 8 body 9 mass 9 mass 10 index 10 index 18 mortality 12 bmi 14 )(and 14 )(and 15 all 14 )(and 16 - 14 )(and 18 mortality 17 cause 18 mortality 18 mortality 19 for 19 for 21 adults 20 older 21 adults 22 is 24 same 23 the 24 same 25 as 26 for 26 for 28 adults 27 younger 28 adults 29 is 30 unclear objective : the objective was to determine the association between bmi and all - cause mortality risk in adults ≥65 [y] of age . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 determine 0 ###LEFT-WALL### 24 . 2 : 4 objective 2 : 5 was 3 the 4 objective 4 objective 5 was 5 was 6 to 6 to 7 determine 7 determine 12 and 7 determine 15 cause 8 the 9 association 9 association 10 between 9 association 12 and 10 between 11 bmi 12 and 13 all 12 and 14 - 12 and 15 cause 15 cause 17 risk 16 mortality 17 risk 17 risk 18 in 18 in 20 ≥65 19 adults 20 ≥65 20 ≥65 22 of 22 of 23 age results : thirty - two studies met the inclusion criteria ; these studies included 197,940 individuals with an average follow - up [of] 12 [y] . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 studies 2 : 7 met 2 : 11 ; 3 thirty 4 - 4 - 5 two 4 - 6 studies 6 studies 7 met 7 met 10 criteria 8 the 10 criteria 9 inclusion 10 criteria 11 ; 13 studies 11 ; 14 included 11 ; 21 - 12 these 13 studies 13 studies 14 included 14 included 15 197,940 15 197,940 16 individuals 15 197,940 20 follow 16 individuals 17 with 16 individuals 20 follow 17 with 19 average 18 an 19 average 21 - 22 up 21 - 26 . 22 up 24 12 mortality risk began to increase for bmi >33.0 [ bmi of 33.0 - 33.9 ; hr ( 95 % ci ) : 1.08 ( 1.00 , 1.15 ) ] . 0 ###LEFT-WALL### 2 risk 0 ###LEFT-WALL### 3 began 0 ###LEFT-WALL### 15 ; 0 ###LEFT-WALL### 30 . 1 mortality 2 risk 2 risk 3 began 3 began 4 to 3 began 6 for 4 to 5 increase 6 for 8 >33.0 7 bmi 8 >33.0 8 >33.0 10 bmi 9 [ 10 bmi 10 bmi 11 of 10 bmi 15 ; 11 of 13 - 12 33.0 13 - 13 - 14 33.9 15 ; 16 hr 15 ; 22 : 16 hr 20 ci 16 hr 22 : 17 ( 20 ci 18 95 20 ci 19 % 20 ci 20 ci 21 ) 22 : 23 1.08 23 1.08 25 1.00 24 ( 25 1.00 25 1.00 27 1.15 25 1.00 29 ] 26 , 27 1.15 27 1.15 28 ) self - reported anthropometric measurements , adjustment for intermediary factors , and exclusion of early deaths or preexisting disease did not markedly alter the associations , although there was [a] slight attenuation of the association [in] never - smokers . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 29 was 0 ###LEFT-WALL### 38 - 0 ###LEFT-WALL### 40 . 1 self 5 measurements 1 self 12 and 2 - 5 measurements 3 reported 5 measurements 4 anthropometric 5 measurements 5 measurements 7 adjustment 5 measurements 11 , 6 , 7 adjustment 7 adjustment 8 for 7 adjustment 11 , 8 for 10 factors 9 intermediary 10 factors 12 and 13 exclusion 12 and 14 of 12 and 20 did 14 of 17 or 15 early 16 deaths 16 deaths 17 or 17 or 19 disease 18 preexisting 19 disease 20 did 21 not 20 did 23 alter 22 markedly 23 alter 23 alter 25 associations 23 alter 27 although 24 the 25 associations 26 , 27 although 27 although 28 there 28 there 29 was 29 was 32 attenuation 29 was 37 never 31 slight 32 attenuation 32 attenuation 33 of 33 of 35 association 34 the 35 association 38 - 39 smokers conclusions : for older populations , being overweight was not found to be associated with an increased risk of mortality ; however , there was an increased risk for those at the lower end of the recommended bmi range for adults . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 42 . 2 : 7 being 2 : 11 found 2 : 21 ; 3 for 5 populations 3 for 6 , 3 for 7 being 4 older 5 populations 7 being 8 overweight 7 being 9 was 9 was 10 not 9 was 11 found 11 found 12 to 11 found 15 with 12 to 13 be 13 be 14 associated 15 with 18 risk 16 an 18 risk 17 increased 18 risk 18 risk 19 of 19 of 20 mortality 21 ; 24 there 21 ; 25 was 22 however 23 , 22 however 24 there 24 there 25 was 25 was 28 risk 26 an 28 risk 27 increased 28 risk 28 risk 29 for 28 risk 35 of 29 for 30 those 30 those 31 at 31 at 34 end 32 the 34 end 33 lower 34 end 35 of 39 range 36 the 39 range 37 recommended 39 range 38 bmi 39 range 39 range 40 for 40 for 41 adults because the risk of mortality increased in older people with a bmi < 23.0 , it would seem appropriate to monitor weight status in this group to address any modifiable causes of weight loss promptly with due consideration of individual comorbidities . 0 ###LEFT-WALL### 16 it 0 ###LEFT-WALL### 21 monitor 0 ###LEFT-WALL### 42 . 1 because 3 risk 1 because 13 < 1 because 15 , 1 because 16 it 2 the 3 risk 3 risk 4 of 3 risk 7 in 3 risk 13 < 4 of 5 mortality 5 mortality 6 increased 7 in 9 people 8 older 9 people 9 people 10 with 10 with 12 bmi 11 a 12 bmi 13 < 14 23.0 16 it 17 would 17 would 18 seem 18 seem 19 appropriate 19 appropriate 20 to 19 appropriate 21 monitor 20 to 21 monitor 21 monitor 23 status 21 monitor 24 in 21 monitor 27 to 22 weight 23 status 24 in 26 group 25 this 26 group 27 to 28 address 28 address 31 causes 28 address 35 promptly 28 address 36 with 29 any 31 causes 30 modifiable 31 causes 31 causes 32 of 32 of 34 loss 33 weight 34 loss 36 with 38 consideration 37 due 38 consideration 38 consideration 39 of 39 of 41 comorbidities 40 individual 41 comorbidities background : excess weight is a major threat to public health . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 weight 2 : 5 is 2 : 12 . 3 excess 4 weight 4 weight 5 is 5 is 8 threat 6 a 7 major 6 a 8 threat 7 major 8 threat 8 threat 9 to 9 to 11 health 10 public 11 health an addiction [-] [like] tendency toward certain foods may contribute to overeating . 0 ###LEFT-WALL### 5 tendency 0 ###LEFT-WALL### 10 contribute 0 ###LEFT-WALL### 13 . 1 an 2 addiction 1 an 5 tendency 2 addiction 5 tendency 5 tendency 6 toward 5 tendency 9 may 6 toward 8 foods 7 certain 8 foods 9 may 10 contribute 10 contribute 11 to 11 to 12 overeating objective : we aimed to describe the prevalence and associated characteristics in relation to a food - addiction scale [in] middle - aged and older women . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 9 and 2 : 17 - 3 we 4 aimed 4 aimed 5 to 5 to 9 and 6 describe 8 prevalence 6 describe 9 and 7 the 8 prevalence 9 and 10 associated 9 and 11 characteristics 11 characteristics 14 to 12 in 13 relation 13 relation 14 to 14 to 16 food 15 a 16 food 17 - 21 middle 17 - 22 - 17 - 27 . 18 addiction 21 middle 19 scale 21 middle 22 - 26 women 23 aged 24 and 24 and 25 older 24 and 26 women design : we examined the prevalence and associated characteristics of a food - addiction scale measure in a cross - sectional analysis of 134,175 women participating in 2 ongoing prospective cohort studies of us nurses . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 36 . 2 : 3 we 2 : 4 examined 2 : 20 - 3 we 4 examined 4 examined 16 measure 4 examined 17 in 5 the 16 measure 6 prevalence 7 and 7 and 9 characteristics 7 and 13 - 7 and 16 measure 8 associated 9 characteristics 9 characteristics 10 of 10 of 12 food 11 a 12 food 14 addiction 16 measure 15 scale 16 measure 17 in 19 cross 18 a 19 cross 20 - 22 analysis 21 sectional 22 analysis 22 analysis 23 of 22 analysis 27 in 23 of 25 women 24 134,175 25 women 25 women 26 participating 27 in 32 studies 28 2 32 studies 29 ongoing 31 cohort 30 prospective 31 cohort 31 cohort 32 studies 32 studies 33 of 33 of 35 nurses 34 us 35 nurses results : overall , 7839 ( 5.8 % ) of the women surveyed met the criteria for food addiction measured by using the modified yale food addiction scale . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 3 overall 3 overall 5 7839 3 overall 10 of 4 , 5 7839 5 7839 8 % 5 7839 9 ) 6 ( 8 % 7 5.8 8 % 8 % 9 ) 10 of 12 women 11 the 12 women 12 women 13 surveyed 12 women 14 met 12 women 16 criteria 12 women 20 measured 15 the 16 criteria 16 criteria 17 for 16 criteria 20 measured 17 for 19 addiction 18 food 19 addiction 20 measured 21 by 21 by 22 using 22 using 28 scale 23 the 28 scale 24 modified 28 scale 25 yale 26 food 26 food 27 addiction 27 addiction 28 scale the prevalence of food addiction was 8.4 % in the younger cohort of women aged 45 - 64 [y] and 2.7 % in the older cohort of women aged 62 - 88 y . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 31 - 0 ###LEFT-WALL### 34 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 6 was 3 of 5 addiction 4 food 5 addiction 6 was 22 % 7 8.4 8 % 7 8.4 20 and 8 % 9 in 8 % 13 of 8 % 15 aged 9 in 12 cohort 10 the 12 cohort 11 younger 12 cohort 13 of 14 women 15 aged 17 - 16 45 17 - 17 - 18 64 20 and 21 2.7 20 and 22 % 22 % 23 in 23 in 26 cohort 24 the 26 cohort 25 older 26 cohort 26 cohort 27 of 27 of 28 women 28 women 29 aged 29 aged 30 62 30 62 31 - 31 - 32 88 32 88 33 y several other demographic characteristics and other factors were associated with the food - addiction [measure] in both cohorts of women . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 9 associated 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 21 . 1 several 2 other 2 other 4 characteristics 3 demographic 4 characteristics 4 characteristics 5 and 5 and 7 factors 5 and 8 were 6 other 7 factors 8 were 9 associated 9 associated 10 with 10 with 12 food 11 the 12 food 13 - 14 addiction 14 addiction 16 in 14 addiction 19 of 16 in 18 cohorts 17 both 18 cohorts 19 of 20 women conclusions : to our knowledge , for the first time in a large , us - based population of women , we documented the prevalence of food addiction by using a novel measurement scale [in] middle - aged and older women . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 42 . 2 : 22 we 2 : 23 documented 2 : 37 - 3 to 5 knowledge 3 to 22 we 4 our 5 knowledge 5 knowledge 7 for 6 , 7 for 7 for 10 time 7 for 21 , 8 the 9 first 8 the 10 time 10 time 11 in 10 time 19 of 11 in 18 population 12 a 13 large 12 a 18 population 13 large 15 us 13 large 18 population 14 , 15 us 15 us 16 - 17 based 18 population 19 of 20 women 22 we 23 documented 23 documented 25 prevalence 24 the 25 prevalence 25 prevalence 26 of 25 prevalence 29 by 26 of 28 addiction 27 food 28 addiction 29 by 30 using 30 using 36 middle 31 a 36 middle 32 novel 33 measurement 33 measurement 36 middle 34 scale 36 middle 37 - 41 women 38 aged 39 and 39 and 40 older 39 and 41 women the results may provide insight into the strong association between behavioral attributes of food consumption and the development of obesity . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 4 provide 0 ###LEFT-WALL### 21 . 1 the 2 results 2 results 3 may 3 may 4 provide 4 provide 5 insight 4 provide 6 into 4 provide 10 between 6 into 9 association 7 the 9 association 8 strong 9 association 10 between 12 attributes 11 behavioral 12 attributes 12 attributes 13 of 13 of 16 and 14 food 15 consumption 15 consumption 16 and 16 and 18 development 16 and 19 of 17 the 18 development 19 of 20 obesity current housing shortage in italy is forcing a growing number of individuals to use as living environment spaces that were originally devoted to other purposes . 0 ###LEFT-WALL### 1 current 0 ###LEFT-WALL### 14 use 0 ###LEFT-WALL### 26 . 1 current 2 housing 1 current 4 in 1 current 6 is 2 housing 3 shortage 4 in 5 italy 6 is 7 forcing 7 forcing 12 individuals 7 forcing 13 to 8 a 10 number 9 growing 10 number 10 number 11 of 10 number 12 individuals 11 of 12 individuals 13 to 14 use 14 use 18 spaces 15 as 16 living 16 living 18 spaces 17 environment 18 spaces 18 spaces 19 that 18 spaces 20 were 19 that 20 were 20 were 21 originally 20 were 22 devoted 22 devoted 23 to 23 to 25 purposes 24 other 25 purposes among such spaces , semi - basements hold a particular relevance because of their specific characteristics and their effects on human health . 0 ###LEFT-WALL### 7 basements 0 ###LEFT-WALL### 8 hold 0 ###LEFT-WALL### 23 . 1 among 3 spaces 1 among 4 , 1 among 7 basements 2 such 3 spaces 5 semi 6 - 5 semi 7 basements 7 basements 8 hold 8 hold 11 relevance 8 hold 12 because 8 hold 20 on 9 a 10 particular 9 a 11 relevance 10 particular 11 relevance 12 because 13 of 13 of 17 and 14 their 16 characteristics 15 specific 16 characteristics 16 characteristics 17 and 17 and 19 effects 18 their 19 effects 20 on 22 health 21 human 22 health the authors analyse the relatively scarce legislation about this topic at both national and regional level . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 3 analyse 0 ###LEFT-WALL### 17 . 1 the 2 authors 2 authors 3 analyse 3 analyse 7 legislation 3 analyse 8 about 3 analyse 11 at 4 the 7 legislation 5 relatively 6 scarce 6 scarce 7 legislation 8 about 10 topic 9 this 10 topic 11 at 14 and 12 both 14 and 13 national 14 and 14 and 16 level 15 regional 16 level the local building codes of the ten most populous cities of italy are reviewed , assessing whether the use of semi - basements as living spaces is allowed and , if so , [which] restrictions and requirements are imposed . 0 ###LEFT-WALL### 4 codes 0 ###LEFT-WALL### 13 are 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 40 . 1 the 4 codes 2 local 4 codes 3 building 4 codes 4 codes 5 of 4 codes 13 are 5 of 10 cities 6 the 7 ten 7 ten 10 cities 8 most 9 populous 9 populous 10 cities 10 cities 11 of 11 of 12 italy 13 are 14 reviewed 15 , 16 assessing 15 , 28 allowed 15 , 29 and 16 assessing 17 whether 16 assessing 27 is 17 whether 19 use 17 whether 26 spaces 18 the 19 use 19 use 20 of 19 use 25 living 19 use 26 spaces 20 of 23 basements 21 semi 22 - 21 semi 23 basements 24 as 25 living 27 is 28 allowed 29 and 30 , 29 and 36 and 29 and 39 imposed 30 , 32 so 31 if 32 so 32 so 33 , 32 so 36 and 35 restrictions 36 and 36 and 37 requirements 36 and 38 are 38 are 39 imposed the authors conclude that , on one hand , further research is strongly needed to estimate the amount of exposed population and their health risk , on the other the existing legislation on the topic is often discretionary and deeply unhomogeneous across the country . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 3 conclude 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 45 . 1 the 2 authors 2 authors 3 conclude 3 conclude 4 that 3 conclude 6 on 5 , 6 on 6 on 8 hand 6 on 9 , 7 one 8 hand 9 , 11 research 9 , 16 estimate 9 , 26 , 10 further 11 research 11 research 12 is 12 is 14 needed 13 strongly 14 needed 14 needed 15 to 15 to 16 estimate 16 estimate 22 and 17 the 18 amount 18 amount 19 of 18 amount 21 population 19 of 21 population 20 exposed 21 population 21 population 22 and 22 and 25 risk 23 their 25 risk 24 health 25 risk 26 , 27 on 26 , 36 is 27 on 29 other 27 on 36 is 28 the 29 other 30 the 32 legislation 31 existing 32 legislation 32 legislation 33 on 32 legislation 36 is 33 on 35 topic 34 the 35 topic 36 is 37 often 36 is 39 and 38 discretionary 39 and 39 and 41 unhomogeneous 40 deeply 41 unhomogeneous 41 unhomogeneous 42 across 42 across 44 country 43 the 44 country background : diffusion tensor imaging can evaluate white matter [function] in human brain . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 . 1 background 2 : 2 : 3 diffusion 3 diffusion 5 imaging 3 diffusion 7 evaluate 4 tensor 5 imaging 5 imaging 6 can 6 can 7 evaluate 7 evaluate 9 matter 7 evaluate 11 in 8 white 9 matter 11 in 13 brain 12 human 13 brain fractional anisotropy is the most important parameter . 0 ###LEFT-WALL### 2 anisotropy 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 8 . 1 fractional 2 anisotropy 2 anisotropy 3 is 3 is 7 parameter 4 the 7 parameter 5 most 6 important 6 important 7 parameter this study aimed to find regional reduction of fractional anisotropy ( fa ) with aging in the whole brain and the changing rules of anisotropy with aging . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 aimed 0 ###LEFT-WALL### 28 . 1 this 2 study 2 study 3 aimed 3 aimed 4 to 3 aimed 5 find 4 to 5 find 5 find 7 reduction 5 find 19 brain 5 find 20 and 6 regional 7 reduction 7 reduction 8 of 7 reduction 14 with 8 of 10 anisotropy 9 fractional 10 anisotropy 10 anisotropy 12 fa 11 ( 12 fa 12 fa 13 ) 14 with 15 aging 15 aging 16 in 16 in 18 whole 17 the 18 whole 20 and 22 changing 20 and 23 rules 21 the 22 changing 23 rules 24 of 23 rules 26 with 24 of 25 anisotropy 26 with 27 aging methods : fifty volunteers from 20 to 75 years old were divided into five consecutive age groups ; a young group and four senior groups . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 4 volunteers 2 : 12 divided 2 : 18 ; 3 fifty 4 volunteers 4 volunteers 7 to 4 volunteers 10 old 4 volunteers 11 were 5 from 7 to 6 20 7 to 7 to 8 75 8 75 9 years 9 years 10 old 11 were 12 divided 12 divided 13 into 13 into 17 groups 14 five 17 groups 15 consecutive 17 groups 16 age 17 groups 18 ; 22 and 19 a 20 young 19 a 21 group 20 young 21 group 21 group 22 and 22 and 25 groups 23 four 25 groups 24 senior 25 groups fa values were calculated with diffusion tensor imaging ( dti ) studio software . 0 ###LEFT-WALL### 2 values 0 ###LEFT-WALL### 4 calculated 0 ###LEFT-WALL### 14 . 1 fa 2 values 2 values 3 were 3 were 4 calculated 4 calculated 5 with 5 with 8 imaging 5 with 13 software 6 diffusion 8 imaging 7 tensor 8 imaging 8 imaging 10 dti 9 ( 10 dti 10 dti 11 ) 12 studio 13 software the difference of fa between the young group and the four senior groups were analyzed by analysis of voxel - level height [threshold] in statistic parametric mapping ( spm ) , and the regions with decreased fa were obtained . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 15 analyzed 0 ###LEFT-WALL### 32 and 0 ###LEFT-WALL### 40 . 1 the 2 difference 2 difference 3 of 2 difference 9 and 3 of 4 fa 4 fa 5 between 5 between 8 group 6 the 8 group 7 young 8 group 9 and 13 groups 9 and 14 were 10 the 11 four 11 four 13 groups 12 senior 13 groups 14 were 15 analyzed 15 analyzed 16 by 16 by 17 analysis 17 analysis 18 of 17 analysis 22 height 18 of 19 voxel 20 - 22 height 21 level 22 height 22 height 24 in 22 height 31 , 24 in 27 mapping 25 statistic 26 parametric 26 parametric 27 mapping 27 mapping 29 spm 28 ( 29 spm 29 spm 30 ) 32 and 34 regions 32 and 39 obtained 33 the 34 regions 34 regions 35 with 34 regions 38 were 35 with 37 fa 36 decreased 37 fa 38 were 39 obtained the fa values of these regions were then extracted using an in - house developed program , and a multiple linear regression model was built to assess the influence of age and sex on the fa values of these regions . 0 ###LEFT-WALL### 3 values 0 ###LEFT-WALL### 9 extracted 0 ###LEFT-WALL### 13 - 1 the 3 values 2 fa 3 values 3 values 4 of 3 values 7 were 4 of 6 regions 5 these 6 regions 7 were 8 then 7 were 9 extracted 9 extracted 10 using 10 using 12 in 11 an 12 in 13 - 16 program 13 - 18 and 13 - 32 and 13 - 41 . 14 house 15 developed 15 developed 16 program 17 , 18 and 18 and 23 model 18 and 25 built 19 a 23 model 20 multiple 22 regression 21 linear 22 regression 22 regression 23 model 23 model 24 was 24 was 25 built 25 built 26 to 26 to 32 and 27 assess 29 influence 27 assess 32 and 28 the 29 influence 29 influence 30 of 30 of 31 age 32 and 33 sex 32 and 34 on 34 on 37 values 35 the 37 values 36 fa 37 values 37 values 38 of 38 of 40 regions 39 these 40 regions results : eight regions , including frontal lobe , postcentral gyrus , optic radiation , hippocampus , cerebella hemisphere , corona [radiate] , corpus callosum and internal capsule , were found to have decreased fa . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 26 and 2 : 31 found 2 : 36 . 3 eight 4 regions 4 regions 5 , 5 , 8 lobe 5 , 9 , 6 including 8 lobe 7 frontal 8 lobe 9 , 11 gyrus 9 , 12 , 10 postcentral 11 gyrus 12 , 14 radiation 12 , 15 , 13 optic 14 radiation 15 , 16 hippocampus 15 , 17 , 17 , 19 hemisphere 17 , 20 , 18 cerebella 19 hemisphere 20 , 21 corona 20 , 23 , 23 , 25 callosum 23 , 26 and 24 corpus 25 callosum 26 and 28 capsule 26 and 29 , 26 and 30 were 27 internal 28 capsule 30 were 31 found 31 found 32 to 32 to 33 have 33 have 34 decreased 34 decreased 35 fa there was a strong negative correlation between age and the fa in the frontal lobe , postcentral gyrus , optic radiation , hippocampus , and cerebella hemisphere , while a weaker negative correlation in the corona [radiate] , corpus callosum , and internal capsule was found . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 47 . 1 there 2 was 2 was 6 correlation 2 was 12 in 2 was 29 while 3 a 4 strong 3 a 6 correlation 4 strong 6 correlation 5 negative 6 correlation 6 correlation 7 between 7 between 9 and 8 age 9 and 9 and 11 fa 10 the 11 fa 12 in 15 lobe 13 the 15 lobe 14 frontal 15 lobe 15 lobe 18 gyrus 15 lobe 21 radiation 15 lobe 25 and 16 , 18 gyrus 17 postcentral 18 gyrus 18 gyrus 19 , 19 , 21 radiation 20 optic 21 radiation 21 radiation 22 , 22 , 25 and 23 hippocampus 25 and 24 , 25 and 25 and 27 hemisphere 25 and 28 , 26 cerebella 27 hemisphere 29 while 33 correlation 29 while 46 found 30 a 33 correlation 31 weaker 33 correlation 32 negative 33 correlation 33 correlation 34 in 33 correlation 45 was 34 in 42 and 35 the 36 corona 36 corona 38 , 38 , 40 callosum 38 , 42 and 39 corpus 40 callosum 41 , 42 and 42 and 44 capsule 43 internal 44 capsule 45 was 46 found the fa reduction in the frontal lobe , postcentral gyrus , optic radiation , hippocampus and cerebella hemisphere were found earlier than in the corona [radiate] , corpus callosum and internal capsule . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 20 found 0 ###LEFT-WALL### 33 . 1 the 3 reduction 2 fa 3 reduction 3 reduction 4 in 3 reduction 8 , 4 in 7 lobe 5 the 7 lobe 6 frontal 7 lobe 8 , 10 gyrus 8 , 11 , 9 postcentral 10 gyrus 11 , 13 radiation 11 , 14 , 12 optic 13 radiation 14 , 15 hippocampus 14 , 16 and 16 and 18 hemisphere 16 and 19 were 17 cerebella 18 hemisphere 19 were 20 found 20 found 21 earlier 20 found 22 than 22 than 23 in 23 in 30 and 24 the 25 corona 25 corona 27 , 27 , 29 callosum 27 , 30 and 28 corpus 29 callosum 30 and 32 capsule 31 internal 32 capsule there was no correlation between sex and fa in these regions . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 12 . 1 there 2 was 2 was 4 correlation 3 no 4 correlation 4 correlation 5 between 5 between 7 and 6 sex 7 and 7 and 8 fa 7 and 9 in 9 in 11 regions 10 these 11 regions conclusions : the fa in the subcortical white matter area reduces earlier than that in deep white matter . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 1 conclusions 2 : 2 : 4 fa 2 : 5 in 2 : 15 in 3 the 4 fa 5 in 9 matter 6 the 9 matter 7 subcortical 9 matter 8 white 9 matter 9 matter 10 area 9 matter 11 reduces 10 area 11 reduces 11 reduces 12 earlier 11 reduces 13 than 13 than 14 that 15 in 18 matter 16 deep 17 white 17 white 18 matter the areas with decreased fa continuously enlarge [with] aging . 0 ###LEFT-WALL### 2 areas 0 ###LEFT-WALL### 7 enlarge 0 ###LEFT-WALL### 10 . 1 the 2 areas 2 areas 3 with 2 areas 7 enlarge 3 with 5 fa 4 decreased 5 fa 6 continuously 7 enlarge 7 enlarge 9 aging the fas in these regions have a strong negative correlation with age . 0 ###LEFT-WALL### 2 fas 0 ###LEFT-WALL### 6 have 0 ###LEFT-WALL### 13 . 1 the 2 fas 2 fas 3 in 2 fas 6 have 3 in 5 regions 4 these 5 regions 6 have 10 correlation 6 have 11 with 7 a 8 strong 7 a 10 correlation 8 strong 10 correlation 9 negative 10 correlation 11 with 12 age purpose of the study : to describe key adaptive challenges and leadership behaviors to implement culture change for person [-] directed care . 0 ###LEFT-WALL### 4 study 0 ###LEFT-WALL### 5 : 1 purpose 2 of 2 of 3 the 3 the 4 study 5 : 6 to 5 : 7 describe 5 : 11 and 5 : 23 . 6 to 7 describe 7 describe 10 challenges 8 key 10 challenges 9 adaptive 10 challenges 11 and 13 behaviors 11 and 16 culture 12 leadership 13 behaviors 13 behaviors 14 to 13 behaviors 15 implement 13 behaviors 16 culture 14 to 15 implement 16 culture 17 change 17 change 18 for 18 for 22 care 19 person 21 directed 21 directed 22 care design and methods : the study design was a qualitative , observational study of nursing home staff perceptions of the implementation of culture change in each of 3 nursing homes . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 design 2 and 2 and 3 methods 4 : 7 design 4 : 8 was 4 : 31 . 5 the 7 design 6 study 7 design 7 design 8 was 8 was 13 study 9 a 10 qualitative 9 a 13 study 10 qualitative 11 , 10 qualitative 13 study 12 observational 13 study 13 study 14 of 13 study 19 of 13 study 29 nursing 14 of 15 nursing 15 nursing 18 perceptions 16 home 18 perceptions 17 staff 18 perceptions 19 of 21 implementation 20 the 21 implementation 21 implementation 22 of 21 implementation 25 in 21 implementation 27 of 22 of 24 change 23 culture 24 change 25 in 26 each 27 of 28 3 29 nursing 30 homes we conducted 7 focus groups of licensed [and] unlicensed nursing staff , medical care providers , and administrators . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 conducted 0 ###LEFT-WALL### 19 . 1 we 2 conducted 2 conducted 5 groups 3 7 5 groups 4 focus 5 groups 5 groups 6 of 6 of 17 and 7 licensed 10 nursing 9 unlicensed 10 nursing 10 nursing 11 staff 11 staff 12 , 12 , 15 providers 12 , 17 and 13 medical 15 providers 14 care 15 providers 16 , 17 and 17 and 18 administrators questions explored perceptions of facilitators and barriers to culture change . 0 ###LEFT-WALL### 1 questions 0 ###LEFT-WALL### 2 explored 0 ###LEFT-WALL### 11 . 1 questions 2 explored 2 explored 3 perceptions 2 explored 8 to 3 perceptions 4 of 4 of 6 and 5 facilitators 6 and 6 and 7 barriers 8 to 9 culture 9 culture 10 change using a template organizing style of analysis with immersion/crystallization , themes of barriers and facilitators were coded for adaptive challenges and leadership . 0 ###LEFT-WALL### 11 themes 0 ###LEFT-WALL### 17 coded 0 ###LEFT-WALL### 23 . 1 using 3 template 1 using 10 , 1 using 11 themes 2 a 3 template 3 template 4 organizing 4 organizing 5 style 4 organizing 8 with 5 style 6 of 6 of 7 analysis 8 with 9 immersion/crystallization 11 themes 12 of 11 themes 16 were 12 of 14 and 13 barriers 14 and 14 and 15 facilitators 16 were 17 coded 17 coded 18 for 18 for 21 and 19 adaptive 20 challenges 20 challenges 21 and 21 and 22 leadership results : six key themes emerged , including relationships , standards and expectations , motivation and vision , workload , respect of personhood , and physical environment . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 5 themes 2 : 6 emerged 2 : 10 , 3 six 5 themes 4 key 5 themes 5 themes 6 emerged 6 emerged 8 including 7 , 8 including 8 including 9 relationships 8 including 10 , 10 , 16 and 10 , 19 workload 10 , 20 , 11 standards 12 and 12 and 13 expectations 12 and 14 , 14 , 15 motivation 14 , 16 and 16 and 17 vision 16 and 18 , 16 and 19 workload 20 , 25 and 21 respect 22 of 21 respect 25 and 22 of 23 personhood 24 , 25 and 25 and 27 environment 26 physical 27 environment within each theme , participants identified barriers that were adaptive challenges and facilitators that were examples of adaptive leadership . 0 ###LEFT-WALL### 5 participants 0 ###LEFT-WALL### 6 identified 0 ###LEFT-WALL### 20 . 1 within 3 theme 1 within 4 , 1 within 5 participants 2 each 3 theme 5 participants 6 identified 6 identified 7 barriers 7 barriers 8 that 7 barriers 9 were 8 that 9 were 9 were 12 and 10 adaptive 11 challenges 11 challenges 12 and 12 and 13 facilitators 12 and 14 that 12 and 15 were 14 that 15 were 15 were 16 examples 16 examples 17 of 17 of 19 leadership 18 adaptive 19 leadership commonly identified challenges were [how] to provide person [-] directed care in the context of extant rules or policies or how to develop staff motivated to provide person - directed care . 0 ###LEFT-WALL### 3 challenges 0 ###LEFT-WALL### 29 - 0 ###LEFT-WALL### 32 . 1 commonly 3 challenges 2 identified 3 challenges 3 challenges 4 were 4 were 6 to 4 were 7 provide 6 to 7 provide 7 provide 11 care 7 provide 12 in 8 person 10 directed 10 directed 11 care 12 in 14 context 13 the 14 context 14 context 15 of 15 of 18 or 16 extant 17 rules 17 rules 18 or 18 or 28 person 19 policies 20 or 20 or 21 how 20 or 22 to 20 or 27 provide 20 or 28 person 22 to 23 develop 23 develop 24 staff 24 staff 25 motivated 25 motivated 26 to 25 motivated 27 provide 26 to 27 provide 29 - 31 care 30 directed 31 care implications : implementing culture change requires the recognition of adaptive challenges for which there are no technical solutions , but which require reframing of norms and expectations , and the development of novel and flexible solutions . 0 ###LEFT-WALL### 1 implications 0 ###LEFT-WALL### 2 : 2 : 3 implementing 2 : 6 requires 2 : 20 but 2 : 37 . 3 implementing 5 change 3 implementing 6 requires 4 culture 5 change 6 requires 8 recognition 7 the 8 recognition 8 recognition 9 of 9 of 11 challenges 9 of 14 there 9 of 15 are 10 adaptive 11 challenges 11 challenges 12 for 12 for 13 which 14 there 15 are 15 are 18 solutions 16 no 18 solutions 17 technical 18 solutions 19 , 20 but 20 but 21 which 20 but 22 require 21 which 22 require 22 require 29 and 23 reframing 24 of 23 reframing 26 and 24 of 25 norms 26 and 27 expectations 26 and 28 , 26 and 29 and 29 and 31 development 29 and 32 of 30 the 31 development 32 of 36 solutions 33 novel 34 and 34 and 35 flexible 34 and 36 solutions managers and administrators seeking to implement person - directed care will need to consider the role of adaptive leadership to address these adaptive challenges . 0 ###LEFT-WALL### 7 person 0 ###LEFT-WALL### 8 - 1 managers 2 and 2 and 4 seeking 2 and 5 to 2 and 6 implement 2 and 7 person 3 administrators 4 seeking 5 to 6 implement 8 - 10 care 8 - 12 need 8 - 25 . 9 directed 10 care 10 care 11 will 11 will 12 need 12 need 13 to 12 need 14 consider 13 to 14 consider 14 consider 16 role 14 consider 20 to 14 consider 21 address 15 the 16 role 16 role 17 of 17 of 19 leadership 18 adaptive 19 leadership 20 to 21 address 21 address 24 challenges 22 these 24 challenges 23 adaptive 24 challenges increasing evidence underscores the health benefits of tai chi ( tc ) , although there is limited evidence of benefits among racial and ethnic minorities . 0 ###LEFT-WALL### 1 increasing 0 ###LEFT-WALL### 16 is 0 ###LEFT-WALL### 26 . 1 increasing 2 evidence 1 increasing 3 underscores 3 underscores 6 benefits 3 underscores 14 although 4 the 6 benefits 5 health 6 benefits 6 benefits 7 of 6 benefits 11 tc 7 of 9 chi 8 tai 9 chi 10 ( 11 tc 11 tc 12 ) 13 , 14 although 14 although 15 there 15 there 16 is 16 is 18 evidence 17 limited 18 evidence 18 evidence 19 of 19 of 20 benefits 20 benefits 21 among 21 among 25 minorities 22 racial 23 and 23 and 24 ethnic 23 and 25 minorities this study investigated the impact of psychosocial status on balance among 23 latino seniors after a [twice] - a - [week] [,] 12 - week tc exercise program . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 investigated 0 ###LEFT-WALL### 29 . 1 this 2 study 2 study 3 investigated 3 investigated 5 impact 3 investigated 9 on 3 investigated 11 among 3 investigated 15 after 4 the 5 impact 5 impact 6 of 6 of 8 status 7 psychosocial 8 status 9 on 10 balance 11 among 14 seniors 12 23 14 seniors 13 latino 14 seniors 15 after 28 program 16 a 28 program 18 - 20 - 19 a 20 - 20 - 23 12 20 - 24 - 20 - 27 exercise 25 week 27 exercise 26 tc 27 exercise 27 exercise 28 program functional status was measured at baseline , immediately [after] , and three months following the tc exercise program , using the timed up and go test and tinetti falls efficacy scale . 0 ###LEFT-WALL### 2 status 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 11 and 1 functional 2 status 2 status 3 was 3 was 4 measured 4 measured 5 at 4 measured 8 immediately 5 at 6 baseline 7 , 8 immediately 8 immediately 10 , 11 and 13 months 11 and 18 program 12 three 13 months 13 months 14 following 13 months 18 program 14 following 17 exercise 15 the 17 exercise 16 tc 17 exercise 18 program 20 using 19 , 20 using 20 using 31 scale 20 using 32 . 21 the 31 scale 22 timed 23 up 23 up 24 and 24 and 25 go 25 go 26 test 26 test 27 and 27 and 28 tinetti 28 tinetti 29 falls 29 falls 30 efficacy 30 efficacy 31 scale psychosocial status was measured at baseline by the center for epidemiologic studies depression scale and norbeck social support questionnaire . 0 ###LEFT-WALL### 2 status 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 20 . 1 psychosocial 2 status 2 status 3 was 3 was 4 measured 4 measured 5 at 4 measured 7 by 4 measured 10 for 5 at 6 baseline 7 by 9 center 8 the 9 center 10 for 19 questionnaire 11 epidemiologic 12 studies 12 studies 13 depression 13 depression 14 scale 14 scale 15 and 15 and 16 norbeck 16 norbeck 17 social 17 social 18 support 18 support 19 questionnaire both measures of functional status improved and were sustained after three months of tc . 0 ###LEFT-WALL### 2 measures 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 15 . 1 both 2 measures 2 measures 3 of 2 measures 7 and 3 of 5 status 4 functional 5 status 6 improved 7 and 7 and 8 were 8 were 9 sustained 9 sustained 10 after 10 after 12 months 11 three 12 months 12 months 13 of 13 of 14 tc greater improvement was significantly related to a higher level of baseline social support . 0 ###LEFT-WALL### 2 improvement 0 ###LEFT-WALL### 5 related 0 ###LEFT-WALL### 14 . 1 greater 2 improvement 2 improvement 3 was 3 was 5 related 4 significantly 5 related 5 related 6 to 6 to 9 level 7 a 9 level 8 higher 9 level 9 level 10 of 10 of 13 support 11 baseline 13 support 12 social 13 support more depressed seniors reported less fear of falling after tc . 0 ###LEFT-WALL### 3 seniors 0 ###LEFT-WALL### 4 reported 0 ###LEFT-WALL### 11 . 1 more 2 depressed 2 depressed 3 seniors 3 seniors 4 reported 4 reported 6 fear 5 less 6 fear 6 fear 7 of 7 of 8 falling 8 falling 9 after 9 after 10 tc depression and social support are important moderators of functional improvement after tc among latino seniors . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 5 are 0 ###LEFT-WALL### 16 . 1 depression 2 and 2 and 4 support 2 and 5 are 3 social 4 support 5 are 7 moderators 6 important 7 moderators 7 moderators 8 of 8 of 10 improvement 9 functional 10 improvement 10 improvement 11 after 11 after 12 tc 12 tc 13 among 13 among 15 seniors 14 latino 15 seniors regular physical activity and exercise ( pa&e ) reduces cognitive aging , [may] delay dementia onset , and [for] persons with dementia , may slow progression and improve quality of life . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 32 . 1 regular 3 activity 2 physical 3 activity 3 activity 4 and 4 and 5 exercise 4 and 7 pa&e 4 and 23 , 6 ( 7 pa&e 7 pa&e 8 ) 9 reduces 18 and 9 reduces 21 with 9 reduces 23 , 10 cognitive 11 aging 10 cognitive 12 , 12 , 16 onset 12 , 18 and 14 delay 16 onset 15 dementia 16 onset 17 , 18 and 18 and 20 persons 21 with 22 dementia 23 , 24 may 24 may 27 and 25 slow 26 progression 25 slow 27 and 27 and 28 improve 27 and 29 quality 29 quality 30 of 30 of 31 life memory clinic patients and caregivers described their pa&e and completed the older persons ' attitudes toward physical activity and exercise questionnaire ( opapaeq ) . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 25 . 1 memory 3 patients 2 clinic 3 patients 3 patients 4 and 4 and 5 caregivers 4 and 9 and 6 described 8 pa&e 6 described 9 and 7 their 8 pa&e 9 and 10 completed 10 completed 19 and 11 the 13 persons 12 older 13 persons 13 persons 14 ' 14 ' 19 and 15 attitudes 16 toward 16 toward 17 physical 17 physical 18 activity 18 activity 19 and 19 and 23 opapaeq 20 exercise 21 questionnaire 21 questionnaire 23 opapaeq 22 ( 23 opapaeq 23 opapaeq 24 ) caregivers and patients differed in their pa&e attitudes : patients were less likely to believe in the importance of pa&e for health [promotion] . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 4 differed 0 ###LEFT-WALL### 9 : 1 caregivers 2 and 2 and 3 patients 2 and 4 differed 4 differed 5 in 5 in 8 attitudes 6 their 8 attitudes 7 pa&e 8 attitudes 9 : 10 patients 9 : 11 were 9 : 24 . 10 patients 11 were 11 were 13 likely 12 less 13 likely 13 likely 14 to 13 likely 16 in 14 to 15 believe 16 in 18 importance 17 the 18 importance 18 importance 19 of 19 of 20 pa&e 20 pa&e 21 for 21 for 22 health pa&e attitudes were explored as predictors of self [-] reported exercise habits . 0 ###LEFT-WALL### 2 attitudes 0 ###LEFT-WALL### 4 explored 0 ###LEFT-WALL### 13 . 1 pa&e 2 attitudes 2 attitudes 3 were 3 were 4 explored 4 explored 5 as 5 as 6 predictors 6 predictors 7 of 7 of 12 habits 8 self 10 reported 10 reported 11 exercise 11 exercise 12 habits methods : data came from a longitudinal study tracking physical and cognitive function of 93 women with fms and included the most recent symptoms , activity levels , and fitness assessments . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 1 methods 2 : 2 : 29 and 3 data 19 and 3 data 29 and 4 came 5 from 4 came 19 and 5 from 11 and 6 a 7 longitudinal 6 a 8 study 7 longitudinal 8 study 8 study 9 tracking 8 study 11 and 9 tracking 10 physical 11 and 13 function 11 and 14 of 11 and 17 with 12 cognitive 13 function 14 of 16 women 15 93 16 women 17 with 18 fms 19 and 20 included 20 included 24 symptoms 21 the 24 symptoms 22 most 23 recent 23 recent 24 symptoms 24 symptoms 27 levels 25 , 27 levels 26 activity 27 levels 27 levels 28 , 29 and 31 assessments 30 fitness 31 assessments results : most women performed below criterion [-] referenced fitness standards for all measures . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 . 1 results 2 : 2 : 4 women 2 : 6 below 3 most 4 women 4 women 5 performed 6 below 11 standards 7 criterion 9 referenced 9 referenced 10 fitness 10 fitness 11 standards 11 standards 12 for 12 for 14 measures 13 all 14 measures nearly 90 % percent of those < 70 years scored below the standard for lower body strength . 0 ###LEFT-WALL### 4 percent 0 ###LEFT-WALL### 10 scored 0 ###LEFT-WALL### 18 . 1 nearly 2 90 2 90 4 percent 3 % 4 percent 4 percent 5 of 4 percent 10 scored 5 of 9 years 6 those 8 70 7 < 8 70 8 70 9 years 10 scored 11 below 11 below 13 standard 12 the 13 standard 13 standard 14 for 14 for 17 strength 15 lower 16 body 16 body 17 strength only ~20 [%] of respondents < 70 years old met the criteria for aerobic endurance . 0 ###LEFT-WALL### 1 only 0 ###LEFT-WALL### 10 met 0 ###LEFT-WALL### 16 . 1 only 2 ~20 2 ~20 4 of 2 ~20 10 met 4 of 5 respondents 5 respondents 9 old 6 < 7 70 7 70 8 years 8 years 9 old 10 met 12 criteria 11 the 12 criteria 12 criteria 13 for 13 for 15 endurance 14 aerobic 15 endurance a third of those aged over 70 met the standard in agility and dynamic balance . 0 ###LEFT-WALL### 2 third 0 ###LEFT-WALL### 8 met 0 ###LEFT-WALL### 16 . 1 a 2 third 2 third 3 of 2 third 5 aged 2 third 8 met 3 of 4 those 5 aged 6 over 6 over 7 70 8 met 10 standard 8 met 11 in 9 the 10 standard 11 in 13 and 12 agility 13 and 13 and 15 balance 14 dynamic 15 balance physical activity was positively associated with fitness performance , while pain and depression symptoms were negatively associated . 0 ###LEFT-WALL### 2 activity 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 18 . 1 physical 2 activity 2 activity 3 was 3 was 4 positively 3 was 5 associated 5 associated 6 with 6 with 8 performance 7 fitness 8 performance 9 , 14 symptoms 9 , 17 associated 10 while 12 and 10 while 14 symptoms 11 pain 12 and 12 and 13 depression 14 symptoms 15 were 15 were 17 associated 16 negatively 17 associated discussion : high proportions of women with fms do not meet fitness standards recommended for maintaining physical independence in late life , indicating a risk for disability . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 2 : 4 proportions 2 : 11 meet 3 high 4 proportions 4 proportions 5 of 4 proportions 9 do 5 of 6 women 6 women 7 with 7 with 8 fms 9 do 10 not 9 do 11 meet 11 meet 13 standards 12 fitness 13 standards 13 standards 14 recommended 13 standards 15 for 13 standards 19 in 15 for 16 maintaining 16 maintaining 18 independence 17 physical 18 independence 19 in 21 life 20 late 21 life 21 life 23 indicating 22 , 23 indicating 23 indicating 25 risk 23 indicating 28 . 24 a 25 risk 25 risk 26 for 26 for 27 disability regular fitness assessments and targeted exercise interventions are warranted . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 9 warranted 0 ###LEFT-WALL### 10 . 1 regular 2 fitness 2 fitness 3 assessments 3 assessments 4 and 4 and 7 interventions 4 and 8 are 5 targeted 6 exercise 6 exercise 7 interventions 8 are 9 warranted this study compared [sit] to stand ( sts [ )(performance between older adults in a nine [-] week training program focusing on core stability exercises to enhance balance and postural control ( eb ) versus standard balance ( sb ) exercises . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 41 exercises 0 ###LEFT-WALL### 42 . 1 this 2 study 2 study 3 compared 2 study 10 )(performance 2 study 41 exercises 3 compared 5 to 5 to 6 stand 7 ( 10 )(performance 8 sts 10 )(performance 10 )(performance 11 between 10 )(performance 14 in 10 )(performance 22 on 10 )(performance 40 ) 11 between 13 adults 12 older 13 adults 14 in 20 program 15 a 20 program 16 nine 18 week 18 week 19 training 19 training 20 program 20 program 21 focusing 22 on 25 exercises 23 core 24 stability 24 stability 25 exercises 25 exercises 26 to 25 exercises 27 enhance 25 exercises 35 versus 26 to 27 enhance 27 enhance 29 and 28 balance 29 and 29 and 31 control 29 and 33 eb 30 postural 31 control 32 ( 33 eb 33 eb 34 ) 35 versus 37 balance 36 standard 37 balance 37 balance 39 sb 38 ( 39 sb 39 sb 40 ) repetitions in 30 s ( stsreps [ )(and kinematic performance ( vertical and horizontal momentum , and margin of stability ) were measured pre and postintervention in 23 older adults with at least one fall risk factor . 0 ###LEFT-WALL### 1 repetitions 0 ###LEFT-WALL### 22 were 0 ###LEFT-WALL### 38 . 1 repetitions 2 in 1 repetitions 8 )(and 1 repetitions 22 were 2 in 4 s 3 30 4 s 5 ( 8 )(and 6 stsreps 8 )(and 8 )(and 10 performance 8 )(and 17 and 8 )(and 21 ) 9 kinematic 10 performance 11 ( 17 and 12 vertical 13 and 13 and 15 momentum 13 and 17 and 14 horizontal 15 momentum 16 , 17 and 17 and 18 margin 17 and 19 of 17 and 21 ) 19 of 20 stability 22 were 25 and 22 were 27 in 23 measured 24 pre 24 pre 25 and 25 and 26 postintervention 27 in 30 adults 28 23 30 adults 29 older 30 adults 30 adults 31 with 31 with 37 factor 32 at 33 least 33 least 34 one 34 one 37 factor 35 fall 37 factor 36 risk 37 factor although both groups combined improved stsreps [(] p = . 001 [ )(and vertical momentum ( [.] 008 ) , a [significant] [between] - group difference was observed for completers [only] ( mancova of posttest group differences , with [pretest] scores as covariates [;] p = [.] 04 [ )( 0 ###LEFT-WALL### 3 groups 0 ###LEFT-WALL### 5 improved 0 ###LEFT-WALL### 10 . 1 although 2 both 1 although 3 groups 3 groups 4 combined 3 groups 5 improved 5 improved 6 stsreps 6 stsreps 8 p 6 stsreps 9 = 8 p 9 = 10 . 11 001 10 . 13 )(and 13 )(and 15 momentum 14 vertical 15 momentum 15 momentum 18 008 15 momentum 24 - 15 momentum 27 was 16 ( 18 008 18 008 19 ) 20 , 24 - 21 a 24 - 24 - 26 difference 25 group 26 difference 27 was 28 observed 28 observed 29 for 28 observed 39 with 29 for 30 completers 30 completers 33 mancova 32 ( 33 mancova 33 mancova 34 of 33 mancova 38 , 34 of 37 differences 35 posttest 37 differences 36 group 37 differences 38 , 39 with 39 with 41 scores 39 with 50 )( 41 scores 42 as 41 scores 46 = 42 as 43 covariates 45 p 46 = 46 = 48 04 eb demonstrated a greater [but] nonsignificant improvement in vertical momentum ( p = [.] 095 ) . 0 ###LEFT-WALL### 1 eb 0 ###LEFT-WALL### 2 demonstrated 0 ###LEFT-WALL### 17 . 1 eb 2 demonstrated 2 demonstrated 7 improvement 2 demonstrated 8 in 3 a 7 improvement 4 greater 7 improvement 6 nonsignificant 7 improvement 8 in 10 momentum 9 vertical 10 momentum 10 momentum 13 = 11 ( 13 = 12 p 13 = 13 = 15 095 13 = 16 ) in conclusion , core stability training added to sb did not result in sts reps improvement . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 12 result 0 ###LEFT-WALL### 17 . 1 in 2 conclusion 2 conclusion 10 did 3 , 7 added 4 core 6 training 5 stability 6 training 6 training 7 added 7 added 8 to 7 added 10 did 8 to 9 sb 10 did 11 not 10 did 12 result 12 result 13 in 13 in 16 improvement 14 sts 16 improvement 15 reps 16 improvement compliance may modify these results and future larger sample studies should evaluate the impact of core stability training on sts biomechanics . 0 ###LEFT-WALL### 1 compliance 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 22 . 1 compliance 2 may 2 may 6 and 3 modify 5 results 3 modify 6 and 4 these 5 results 6 and 12 evaluate 7 future 9 sample 8 larger 9 sample 9 sample 10 studies 10 studies 11 should 11 should 12 evaluate 12 evaluate 14 impact 12 evaluate 21 biomechanics 13 the 14 impact 14 impact 15 of 14 impact 21 biomechanics 15 of 18 training 16 core 18 training 17 stability 18 training 18 training 19 on 19 on 20 sts introduction : the [march] 11 , 2011 disaster was unparalleled in the disaster history of japan . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 17 . 1 introduction 2 : 2 : 5 11 3 the 5 11 6 , 8 disaster 6 , 9 was 7 2011 8 disaster 8 disaster 9 was 9 was 10 unparalleled 10 unparalleled 11 in 11 in 14 history 12 the 14 history 13 disaster 14 history 14 history 15 of 15 of 16 japan there is still enormous effort required in order for japan to recover from the damage , [not] only financially , but psychosocially . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 23 . 1 there 2 is 2 is 3 still 2 is 5 effort 3 still 4 enormous 4 enormous 5 effort 5 effort 6 required 6 required 7 in 6 required 9 for 6 required 22 psychosocially 7 in 8 order 9 for 10 japan 10 japan 11 to 10 japan 21 but 11 to 12 recover 12 recover 13 from 12 recover 19 financially 12 recover 21 but 13 from 15 damage 14 the 15 damage 16 , 18 only 16 , 19 financially 19 financially 20 , this paper is a review of the studies that have been undertaken since this disaster , [from] after the march 11th disaster in 2011 to the end of 2012 , and will provide an overview of the disaster - health research literature published during this period . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 3 is 1 this 2 paper 2 paper 3 is 3 is 5 review 4 a 5 review 5 review 6 of 6 of 8 studies 7 the 8 studies 8 studies 9 that 8 studies 10 have 9 that 10 have 10 have 11 been 11 been 12 undertaken 12 undertaken 13 since 12 undertaken 18 after 13 since 15 disaster 14 this 15 disaster 16 , 18 after 18 after 31 and 18 after 33 provide 18 after 47 . 19 the 22 disaster 20 march 22 disaster 21 11th 22 disaster 22 disaster 23 in 22 disaster 28 of 22 disaster 31 and 23 in 24 2011 24 2011 25 to 25 to 27 end 26 the 27 end 28 of 29 2012 30 , 31 and 31 and 32 will 31 and 33 provide 33 provide 35 overview 34 an 35 overview 35 overview 36 of 36 of 38 disaster 37 the 38 disaster 38 disaster 42 literature 39 - 42 literature 40 health 41 research 41 research 42 literature 42 literature 43 published 42 literature 47 . 43 published 44 during 44 during 46 period 45 this 46 period methods : the japanese database ichushi ver . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 . 1 methods 2 : 2 : 7 ver 3 the 5 database 4 japanese 5 database 5 database 7 ver 6 ichushi 7 ver this database is the most frequently used database in japanese health - sciences research . 0 ###LEFT-WALL### 2 database 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 15 . 1 this 2 database 2 database 3 is 3 is 8 database 4 the 5 most 5 most 6 frequently 6 frequently 7 used 7 used 8 database 8 database 9 in 9 in 11 health 10 japanese 11 health 12 - 14 research 13 sciences 14 research the keywords used in the search were " higashi nihon dai - shinsai " ( the great east japan earthquake ) . 0 ###LEFT-WALL### 2 keywords 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 22 . 1 the 2 keywords 2 keywords 3 used 2 keywords 7 were 3 used 4 in 4 in 6 search 5 the 6 search 7 were 8 " 7 were 11 dai 9 higashi 10 nihon 10 nihon 11 dai 11 dai 13 shinsai 12 - 13 shinsai 13 shinsai 14 " 13 shinsai 20 earthquake 13 shinsai 21 ) 15 ( 20 earthquake 16 the 20 earthquake 17 great 18 east 18 east 19 japan 19 japan 20 earthquake 20 earthquake 21 ) results : a total of 5,889 articles were found . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 . 1 results 2 : 2 : 4 total 3 a 4 total 4 total 5 of 5 of 6 5,889 6 5,889 7 articles 6 5,889 9 found 7 articles 8 were 8 were 9 found within this selection , 163 articles were categorized as original research ( gencho ronbun ) . 0 ###LEFT-WALL### 6 articles 0 ###LEFT-WALL### 8 categorized 0 ###LEFT-WALL### 16 . 1 within 3 selection 1 within 4 , 1 within 6 articles 2 this 3 selection 5 163 6 articles 6 articles 7 were 7 were 8 categorized 8 categorized 9 as 9 as 11 research 10 original 11 research 11 research 14 ronbun 12 ( 14 ronbun 13 gencho 14 ronbun 14 ronbun 15 ) the articles [were] then sorted and the top four key categories were as [follows] [:] medicine ( n = 98 ) , mental health ( n = 18 ) , nursing ( n = 13 ) , and disaster management ( n = 10 ) . 0 ###LEFT-WALL### 38 and 0 ###LEFT-WALL### 46 . 1 the 2 articles 2 articles 5 sorted 2 articles 6 and 4 then 5 sorted 6 and 8 top 6 and 11 categories 6 and 12 were 6 and 38 and 7 the 8 top 9 four 11 categories 10 key 11 categories 11 categories 12 were 12 were 13 as 13 as 16 medicine 16 medicine 19 = 16 medicine 24 health 16 medicine 31 nursing 17 ( 19 = 18 n 19 = 19 = 20 98 19 = 21 ) 22 , 24 health 23 mental 24 health 24 health 27 = 24 health 30 , 25 ( 27 = 26 n 27 = 27 = 28 18 27 = 29 ) 30 , 31 nursing 31 nursing 34 = 31 nursing 37 , 32 ( 34 = 33 n 34 = 34 = 35 13 34 = 36 ) 38 and 40 management 38 and 43 = 39 disaster 40 management 41 ( 43 = 42 n 43 = 43 = 44 10 43 = 45 ) additional categories were : nutrition ( n = 4 ) , public health ( n = 3 ) , radiology , preparedness , and pharmacology ( n = 2 for each category ) . 0 ###LEFT-WALL### 1 additional 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 34 . 1 additional 2 categories 1 additional 3 were 1 additional 4 : 2 categories 3 were 4 : 5 nutrition 5 nutrition 8 = 5 nutrition 13 health 6 ( 8 = 7 n 8 = 8 = 9 4 8 = 10 ) 11 , 13 health 12 public 13 health 13 health 16 = 13 health 24 and 13 health 33 ) 14 ( 16 = 15 n 16 = 16 = 17 3 16 = 18 ) 19 , 24 and 20 radiology 21 , 21 , 22 preparedness 21 , 24 and 23 , 24 and 24 and 25 pharmacology 24 and 28 = 24 and 33 ) 26 ( 28 = 27 n 28 = 28 = 29 2 29 2 30 for 30 for 32 category 31 each 32 category nine articles appeared with only one category label and were grouped as " others . " 0 ###LEFT-WALL### 2 articles 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 15 . 1 nine 2 articles 2 articles 9 and 3 appeared 4 with 3 appeared 9 and 4 with 8 label 5 only 6 one 6 one 8 label 7 category 8 label 9 and 10 were 10 were 11 grouped 11 grouped 12 as 12 as 13 " 12 as 14 others 15 . 16 " conclusion : this review provides the current status of disaster - health research following the great east japan earthquake . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 review 2 : 5 provides 2 : 11 - 2 : 20 . 3 this 4 review 4 review 5 provides 5 provides 8 status 6 the 8 status 7 current 8 status 8 status 9 of 9 of 10 disaster 11 - 13 research 12 health 13 research 13 research 14 following 14 following 19 earthquake 15 the 19 earthquake 16 great 17 east 17 east 18 japan 18 japan 19 earthquake the research focus over the selected period was greatly directed towards medical considerations , especially vascular conditions and renal dialysis . 0 ###LEFT-WALL### 3 focus 0 ###LEFT-WALL### 10 directed 0 ###LEFT-WALL### 21 . 1 the 3 focus 2 research 3 focus 3 focus 4 over 3 focus 8 was 4 over 7 period 5 the 7 period 6 selected 7 period 8 was 9 greatly 8 was 10 directed 10 directed 11 towards 11 towards 18 and 12 medical 13 considerations 13 considerations 14 , 14 , 17 conditions 14 , 18 and 15 especially 16 vascular 16 vascular 17 conditions 18 and 20 dialysis 19 renal 20 dialysis considering the compounding factors of the cold temperatures at the time of the disaster , the geography , the extensive dislocation of the population , and the demographics of an aging community , it is noteworthy that the immediate and acute impact of the march 11th disaster was substantial compared with other events and their studies on the impact of disaster on chronic and long - term illness . 0 ###LEFT-WALL### 1 considering 0 ###LEFT-WALL### 48 was 0 ###LEFT-WALL### 69 . 1 considering 4 factors 1 considering 9 at 1 considering 42 impact 1 considering 48 was 2 the 4 factors 3 compounding 4 factors 4 factors 5 of 5 of 8 temperatures 6 the 8 temperatures 7 cold 8 temperatures 9 at 11 time 10 the 11 time 11 time 12 of 11 time 34 it 11 time 35 is 12 of 26 and 13 the 14 disaster 14 disaster 15 , 15 , 17 geography 15 , 18 , 16 the 17 geography 18 , 21 dislocation 18 , 26 and 19 the 21 dislocation 20 extensive 21 dislocation 21 dislocation 22 of 22 of 24 population 23 the 24 population 25 , 26 and 26 and 28 demographics 27 the 28 demographics 29 of 32 community 29 of 33 , 29 of 34 it 30 an 32 community 31 aging 32 community 34 it 35 is 35 is 36 noteworthy 37 that 42 impact 38 the 39 immediate 39 immediate 40 and 40 and 41 acute 40 and 42 impact 42 impact 43 of 43 of 47 disaster 44 the 47 disaster 45 march 46 11th 45 march 47 disaster 48 was 54 and 48 was 57 on 48 was 62 on 49 substantial 50 compared 49 substantial 54 and 50 compared 51 with 51 with 53 events 52 other 53 events 54 and 56 studies 55 their 56 studies 57 on 59 impact 58 the 59 impact 59 impact 60 of 60 of 61 disaster 62 on 64 and 63 chronic 64 and 64 and 68 illness 65 long 66 - 65 long 67 term 67 term 68 illness the complexity of damage caused by the earthquake event and the associated nuclear power plant event , which possibly affected people more psychologically than physically , might also need to be investigated with respect to long term objectives for improving disaster preparedness and management . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 37 term 0 ###LEFT-WALL### 45 . 1 the 2 complexity 2 complexity 3 of 2 complexity 10 and 3 of 4 damage 4 damage 5 caused 5 caused 6 by 6 by 9 event 7 the 9 event 8 earthquake 9 event 10 and 16 event 10 and 17 , 10 and 18 which 10 and 26 , 10 and 37 term 11 the 16 event 12 associated 14 power 13 nuclear 14 power 14 power 16 event 15 plant 16 event 18 which 26 , 19 possibly 20 affected 20 affected 21 people 20 affected 22 more 20 affected 23 psychologically 20 affected 24 than 20 affected 26 , 24 than 25 physically 26 , 27 might 27 might 29 need 28 also 29 need 29 need 30 to 29 need 32 investigated 30 to 31 be 31 be 32 investigated 32 investigated 33 with 32 investigated 35 to 33 with 34 respect 35 to 36 long 37 term 38 objectives 37 term 43 and 38 objectives 39 for 39 for 40 improving 40 improving 41 disaster 42 preparedness 43 and 43 and 44 management purpose of review : chronic kidney disease ( ckd ) has generally been characterized functionally as a glomerular filtration rate ( gfr ) less than 60 ml/min/1.73 m² , without accounting for cause [,] signs of structural damage , or relative risk of sequelae . 0 ###LEFT-WALL### 3 review 0 ###LEFT-WALL### 4 : 1 purpose 2 of 2 of 3 review 4 : 5 chronic 5 chronic 7 disease 5 chronic 13 been 5 chronic 14 characterized 6 kidney 7 disease 7 disease 9 ckd 7 disease 11 has 8 ( 9 ckd 9 ckd 10 ) 11 has 13 been 12 generally 13 been 14 characterized 15 functionally 14 characterized 16 as 14 characterized 24 less 14 characterized 25 than 14 characterized 30 without 16 as 20 rate 17 a 20 rate 18 glomerular 19 filtration 19 filtration 20 rate 20 rate 22 gfr 21 ( 22 gfr 22 gfr 23 ) 25 than 28 m² 26 60 28 m² 27 ml/min/1.73 28 m² 29 , 30 without 30 without 31 accounting 30 without 45 . 31 accounting 32 for 32 for 35 signs 33 cause 35 signs 35 signs 36 of 36 of 40 or 37 structural 38 damage 38 damage 40 or 39 , 40 or 40 or 42 risk 40 or 43 of 41 relative 42 risk 43 of 44 sequelae recently released guidelines define ckd as abnormalities of kidney structure or function , present for more than 3 months . 0 ###LEFT-WALL### 3 guidelines 0 ###LEFT-WALL### 11 or 0 ###LEFT-WALL### 20 . 1 recently 3 guidelines 2 released 3 guidelines 3 guidelines 11 or 4 define 5 ckd 4 define 11 or 5 ckd 6 as 6 as 7 abnormalities 7 abnormalities 8 of 8 of 10 structure 9 kidney 10 structure 11 or 13 , 11 or 15 for 12 function 13 , 13 , 14 present 15 for 19 months 16 more 17 than 17 than 18 3 18 3 19 months we review the recent literature about ckd and its implications for renal surgery . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 14 . 1 we 2 review 2 review 5 literature 2 review 6 about 3 the 5 literature 4 recent 5 literature 6 about 8 and 7 ckd 8 and 8 and 10 implications 8 and 11 for 9 its 10 implications 11 for 13 surgery 12 renal 13 surgery recent findings : most estimates of gfr are based on serum creatinine , after adjusting for age , race , sex , [and/or] body mass . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 26 . 1 recent 2 findings 3 : 5 estimates 3 : 9 based 3 : 22 , 4 most 5 estimates 5 estimates 6 of 5 estimates 8 are 6 of 7 gfr 8 are 9 based 9 based 10 on 9 based 14 after 10 on 12 creatinine 11 serum 12 creatinine 13 , 14 after 14 after 15 adjusting 14 after 22 , 15 adjusting 16 for 16 for 17 age 17 age 19 race 18 , 19 race 19 race 21 sex 19 race 22 , 20 , 21 sex 21 sex 22 , 22 , 25 mass 24 body 25 mass recent research indicates that many individuals have gfr values less than 60 ml/min/1.73 m² without other manifestations of ckd . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 3 indicates 0 ###LEFT-WALL### 20 . 1 recent 2 research 2 research 3 indicates 3 indicates 4 that 4 that 6 individuals 4 that 7 have 5 many 6 individuals 6 individuals 7 have 7 have 9 values 7 have 10 less 7 have 11 than 8 gfr 9 values 11 than 14 m² 11 than 15 without 12 60 14 m² 13 ml/min/1.73 14 m² 15 without 17 manifestations 16 other 17 manifestations 17 manifestations 18 of 18 of 19 ckd nephron loss due to normal aging or renal surgery ( ckd - s ) may have lower likelihood of ckd progression , and may infer better survival , compared to individuals with the same degree of ckd due to medical causes . 0 ###LEFT-WALL### 2 loss 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 42 . 1 nephron 2 loss 2 loss 3 due 2 loss 13 s 2 loss 23 and 3 due 4 to 4 to 7 or 5 normal 6 aging 5 normal 7 or 7 or 9 surgery 7 or 11 ckd 8 renal 9 surgery 10 ( 11 ckd 11 ckd 12 - 12 - 13 s 13 s 14 ) 15 may 16 have 15 may 23 and 16 have 17 lower 16 have 18 likelihood 18 likelihood 19 of 19 of 21 progression 20 ckd 21 progression 22 , 23 and 23 and 28 , 23 and 32 with 23 and 39 to 24 may 25 infer 24 may 28 , 25 infer 27 survival 26 better 27 survival 28 , 29 compared 29 compared 30 to 30 to 31 individuals 32 with 37 ckd 33 the 34 same 34 same 35 degree 35 degree 36 of 35 degree 37 ckd 36 of 37 ckd 38 due 39 to 39 to 41 causes 40 medical 41 causes patients with mild and moderate ckd due to surgical nephron loss may benefit from an alternative measurement method [of] renal function such as cystatin - c - derived or directly measured gfr . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 13 benefit 0 ###LEFT-WALL### 25 - 1 patients 2 with 1 patients 12 may 2 with 6 ckd 3 mild 4 and 4 and 5 moderate 4 and 6 ckd 6 ckd 7 due 7 due 8 to 8 to 11 loss 9 surgical 10 nephron 10 nephron 11 loss 12 may 13 benefit 13 benefit 14 from 14 from 21 function 15 an 21 function 16 alternative 21 function 17 measurement 18 method 18 method 21 function 20 renal 21 function 21 function 23 as 22 such 23 as 23 as 24 cystatin 25 - 26 c 25 - 27 - 25 - 33 . 26 c 27 - 27 - 29 or 28 derived 29 or 29 or 31 measured 30 directly 31 measured 31 measured 32 gfr summary : ckd includes a diverse group of individuals with reduced gfr from a variety of causes . 0 ###LEFT-WALL### 1 summary 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 2 : 3 ckd 2 : 4 includes 3 ckd 4 includes 4 includes 9 individuals 4 includes 10 with 4 includes 13 from 5 a 6 diverse 5 a 7 group 6 diverse 7 group 7 group 8 of 7 group 9 individuals 8 of 9 individuals 10 with 12 gfr 11 reduced 12 gfr 13 from 15 variety 14 a 15 variety 15 variety 16 of 16 of 17 causes classification of ckd according to gfr , albuminuria , and cause , may improve the management of patients with reduced gfr , as some causes ( e.g [.] , nephrectomy and aging ) appear to be associated with a relatively low risk of progression . 0 ###LEFT-WALL### 1 classification 0 ###LEFT-WALL### 14 improve 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 36 be 0 ###LEFT-WALL### 45 . 1 classification 2 of 1 classification 13 may 2 of 4 according 3 ckd 4 according 4 according 5 to 5 to 6 gfr 6 gfr 10 and 7 , 10 and 8 albuminuria 10 and 9 , 10 and 10 and 11 cause 10 and 12 , 13 may 14 improve 14 improve 16 management 14 improve 19 with 15 the 16 management 16 management 17 of 17 of 18 patients 19 with 21 gfr 20 reduced 21 gfr 22 , 36 be 23 as 25 causes 23 as 34 appear 24 some 25 causes 25 causes 27 e.g 25 causes 31 and 25 causes 34 appear 26 ( 27 e.g 27 e.g 29 , 29 , 31 and 30 nephrectomy 31 and 31 and 32 aging 31 and 33 ) 34 appear 35 to 35 to 36 be 36 be 37 associated 37 associated 38 with 38 with 42 risk 39 a 42 risk 40 relatively 41 low 41 low 42 risk 42 risk 43 of 43 of 44 progression prevention of skin aging and its treatment is an emerging field for development of new formulations in cosmetics . 0 ###LEFT-WALL### 1 prevention 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 19 . 1 prevention 2 of 1 prevention 8 is 2 of 5 and 3 skin 4 aging 3 skin 5 and 5 and 7 treatment 6 its 7 treatment 8 is 11 field 9 an 11 field 10 emerging 11 field 11 field 12 for 12 for 13 development 13 development 14 of 14 of 16 formulations 15 new 16 formulations 16 formulations 17 in 17 in 18 cosmetics accordingly , plant extracts with antioxidant properties are beneficial cosmetic ingredients for this purpose . 0 ###LEFT-WALL### 4 extracts 0 ###LEFT-WALL### 8 are 0 ###LEFT-WALL### 15 . 1 accordingly 2 , 1 accordingly 4 extracts 3 plant 4 extracts 4 extracts 5 with 4 extracts 8 are 5 with 7 properties 6 antioxidant 7 properties 8 are 11 ingredients 9 beneficial 11 ingredients 10 cosmetic 11 ingredients 11 ingredients 12 for 12 for 14 purpose 13 this 14 purpose this study was aimed at developing a stable and easily manufactured emulgel including green tea extract and rose oil that is effective on the barrier function and hydration of the skin . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 32 . 1 this 2 study 2 study 9 and 3 was 4 aimed 3 was 9 and 4 aimed 5 at 5 at 6 developing 6 developing 8 stable 7 a 8 stable 9 and 11 manufactured 10 easily 11 manufactured 11 manufactured 12 emulgel 11 manufactured 23 on 12 emulgel 13 including 12 emulgel 20 that 12 emulgel 21 is 13 including 17 and 14 green 15 tea 15 tea 16 extract 16 extract 17 and 17 and 19 oil 18 rose 19 oil 20 that 21 is 21 is 22 effective 23 on 27 and 24 the 26 function 25 barrier 26 function 26 function 27 and 27 and 28 hydration 27 and 29 of 29 of 31 skin 30 the 31 skin an emulgel formulation containing 20 % green tea extract and 5 % rose oil was designed as a result of pre - formulation studies . 0 ###LEFT-WALL### 3 formulation 0 ###LEFT-WALL### 16 designed 0 ###LEFT-WALL### 22 - 0 ###LEFT-WALL### 25 . 1 an 3 formulation 2 emulgel 3 formulation 3 formulation 4 containing 3 formulation 15 was 4 containing 10 and 5 20 6 % 6 % 9 extract 7 green 8 tea 8 tea 9 extract 9 extract 10 and 10 and 14 oil 11 5 12 % 12 % 13 rose 13 rose 14 oil 15 was 16 designed 16 designed 17 as 17 as 19 result 18 a 19 result 19 result 20 of 20 of 21 pre 22 - 23 formulation 22 - 24 studies 23 formulation 24 studies physicochemical characterization , in vitro stability studies , in vivo water content of the stratum corneum and transepidermal water loss studies were carried out afterwards . 0 ###LEFT-WALL### 2 characterization 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 26 . 1 physicochemical 2 characterization 3 , 6 stability 3 , 7 studies 3 , 8 , 4 in 5 vitro 5 vitro 6 stability 6 stability 7 studies 8 , 11 water 8 , 17 and 9 in 10 vivo 10 vivo 11 water 11 water 12 content 12 content 13 of 13 of 16 corneum 14 the 16 corneum 15 stratum 16 corneum 17 and 21 studies 17 and 23 carried 18 transepidermal 19 water 19 water 21 studies 20 loss 21 studies 21 studies 22 were 22 were 23 carried 23 carried 24 out 23 carried 25 afterwards in vivo studies on ten female subjects were evaluated by using [non] - invasive skin bioengineering techniques . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 9 evaluated 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 18 . 1 in 2 vivo 2 vivo 3 studies 3 studies 4 on 3 studies 8 were 4 on 7 subjects 5 ten 7 subjects 6 female 7 subjects 8 were 9 evaluated 9 evaluated 10 by 10 by 11 using 13 - 15 skin 14 invasive 15 skin 15 skin 16 bioengineering 16 bioengineering 17 techniques finally , a cosmetically acceptable , stable and effective emulgel formulation for skin barrier function with good hydrating properties was obtained for skin hydration , protection and anti - aging purposes . 0 ###LEFT-WALL### 15 function 0 ###LEFT-WALL### 21 obtained 0 ###LEFT-WALL### 32 . 1 finally 2 , 1 finally 15 function 3 a 4 cosmetically 3 a 15 function 4 cosmetically 5 acceptable 5 acceptable 6 , 5 acceptable 15 function 7 stable 8 and 8 and 11 formulation 8 and 12 for 8 and 15 function 9 effective 10 emulgel 10 emulgel 11 formulation 12 for 13 skin 14 barrier 15 function 15 function 16 with 15 function 20 was 16 with 19 properties 17 good 19 properties 18 hydrating 19 properties 20 was 21 obtained 21 obtained 22 for 22 for 27 and 23 skin 26 protection 24 hydration 25 , 24 hydration 26 protection 26 protection 27 and 27 and 31 purposes 28 anti 29 - 28 anti 31 purposes 30 aging 31 purposes background : the quality and outcomes framework in the united kingdom ( uk ) national health service previously highlighted case finding of depression amongst patients with diabetes or coronary heart disease . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 32 . 1 background 2 : 2 : 4 quality 3 the 4 quality 5 and 17 service 5 and 19 highlighted 6 outcomes 7 framework 7 framework 8 in 7 framework 15 national 8 in 11 kingdom 9 the 11 kingdom 10 united 11 kingdom 11 kingdom 13 uk 12 ( 13 uk 13 uk 14 ) 15 national 16 health 16 health 17 service 17 service 19 highlighted 18 previously 19 highlighted 19 highlighted 21 finding 19 highlighted 24 amongst 19 highlighted 26 with 20 case 21 finding 21 finding 22 of 22 of 23 depression 24 amongst 25 patients 26 with 28 or 27 diabetes 28 or 28 or 31 disease 29 coronary 31 disease 30 heart 31 disease however , depression in older people remains [under] - recognized . 0 ###LEFT-WALL### 3 depression 0 ###LEFT-WALL### 7 remains 1 however 2 , 1 however 3 depression 3 depression 4 in 3 depression 7 remains 4 in 6 people 5 older 6 people 7 remains 10 recognized 9 - 10 recognized 10 recognized 11 . comprehensive data for analyses of the association of depression in older age with other health and functional measures , and demographic factors from community populations within england , are lacking . 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 29 are 0 ###LEFT-WALL### 31 . 1 comprehensive 2 data 2 data 3 for 2 data 16 and 3 for 4 analyses 4 analyses 5 of 5 of 7 association 6 the 7 association 7 association 8 of 8 of 9 depression 9 depression 10 in 10 in 12 age 11 older 12 age 12 age 13 with 13 with 15 health 14 other 15 health 16 and 18 measures 16 and 20 and 17 functional 18 measures 19 , 20 and 20 and 22 factors 20 and 28 , 20 and 29 are 21 demographic 22 factors 22 factors 23 from 23 from 25 populations 24 community 25 populations 25 populations 26 within 26 within 27 england 29 are 30 lacking methods : secondary analyses [of] cross - sectional baseline survey data from the england arm of a randomised controlled trial of health risk [appraisal] for older people in europe ; pro - age study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 ; 0 ###LEFT-WALL### 35 . 1 methods 2 : 2 : 3 secondary 3 secondary 4 analyses 3 secondary 6 cross 3 secondary 11 data 4 analyses 6 cross 7 - 11 data 8 sectional 11 data 9 baseline 10 survey 10 survey 11 data 11 data 12 from 11 data 16 of 11 data 21 of 11 data 30 ; 12 from 15 arm 13 the 15 arm 14 england 15 arm 16 of 20 trial 17 a 20 trial 18 randomised 20 trial 19 controlled 20 trial 21 of 23 risk 22 health 23 risk 23 risk 25 for 23 risk 28 in 25 for 27 people 26 older 27 people 28 in 29 europe 30 ; 34 study 31 pro 33 age 32 - 33 age 33 age 34 study data [from] 1085 community - dwelling [non] - disabled people aged 65 years or more from three group practices in suburban london contributed to this study . 0 ###LEFT-WALL### 4 community 0 ###LEFT-WALL### 5 - 1 data 4 community 3 1085 4 community 5 - 10 people 5 - 23 contributed 5 - 27 . 6 dwelling 8 - 6 dwelling 10 people 9 disabled 10 people 10 people 11 aged 10 people 14 or 10 people 23 contributed 11 aged 12 65 13 years 14 or 14 or 15 more 14 or 16 from 14 or 20 in 16 from 19 practices 17 three 19 practices 18 group 19 practices 20 in 22 london 21 suburban 22 london 23 contributed 24 to 24 to 26 study 25 this 26 study depressed [mood] was ascertained from the 5 - item mental health inventory screening test . 0 ###LEFT-WALL### 1 depressed 0 ###LEFT-WALL### 4 ascertained 0 ###LEFT-WALL### 8 - 1 depressed 3 was 3 was 4 ascertained 4 ascertained 5 from 5 from 7 5 6 the 7 5 8 - 14 test 8 - 15 . 9 item 14 test 10 mental 11 health 11 health 12 inventory 12 inventory 13 screening 13 screening 14 test exploratory multivariable logistic regression was used to identify the strongest associations [of] depressed mood with a previous diagnosis of a specified physical/mental health condition , health and functional measures , and demographic factors . 0 ###LEFT-WALL### 4 regression 0 ###LEFT-WALL### 6 used 0 ###LEFT-WALL### 34 . 1 exploratory 4 regression 2 multivariable 4 regression 3 logistic 4 regression 4 regression 5 was 5 was 6 used 6 used 7 to 6 used 8 identify 7 to 8 identify 8 identify 14 mood 8 identify 15 with 9 the 10 strongest 9 the 14 mood 11 associations 14 mood 13 depressed 14 mood 15 with 31 and 16 a 18 diagnosis 17 previous 18 diagnosis 18 diagnosis 19 of 18 diagnosis 25 , 19 of 24 condition 20 a 24 condition 21 specified 24 condition 22 physical/mental 24 condition 23 health 24 condition 25 , 26 health 25 , 27 and 27 and 29 measures 27 and 30 , 27 and 31 and 28 functional 29 measures 31 and 33 factors 32 demographic 33 factors results : depressed [mood] [occurred] in 14 % ( 155/1085 ) of participants . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 . 1 results 2 : 2 : 3 depressed 3 depressed 6 in 3 depressed 12 of 6 in 8 % 7 14 8 % 8 % 10 155/1085 9 ( 10 155/1085 10 155/1085 11 ) 12 of 13 participants a subgroup analyses on those without a previous diagnosis of depression also indicated that within this group , poor vision ( or 2.51 [;] p = 0.002 ) was amongst the strongest independent factors associated with depressed [mood] . 0 ###LEFT-WALL### 2 subgroup 0 ###LEFT-WALL### 3 analyses 0 ###LEFT-WALL### 39 . 1 a 2 subgroup 2 subgroup 3 analyses 3 analyses 4 on 3 analyses 6 without 3 analyses 14 that 4 on 5 those 6 without 9 diagnosis 7 a 9 diagnosis 8 previous 9 diagnosis 9 diagnosis 10 of 10 of 11 depression 11 depression 13 indicated 12 also 13 indicated 14 that 20 vision 14 that 29 was 15 within 17 group 15 within 18 , 15 within 20 vision 16 this 17 group 19 poor 20 vision 20 vision 22 or 20 vision 29 was 21 ( 22 or 22 or 26 = 22 or 28 ) 23 2.51 26 = 25 p 26 = 26 = 27 0.002 29 was 30 amongst 29 was 37 depressed 30 amongst 33 independent 31 the 32 strongest 31 the 33 independent 33 independent 34 factors 33 independent 36 with 34 factors 35 associated 35 associated 36 with conclusions : previous case - finding strategies in primary care focussed on heart disease and diabetes but health - related conditions other than coronary heart disease and diabetes are also associated with an increased risk for depression . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 38 . 2 : 4 case 2 : 5 - 2 : 17 but 3 previous 4 case 5 - 7 strategies 6 finding 7 strategies 7 strategies 8 in 8 in 10 care 9 primary 10 care 10 care 11 focussed 10 care 12 on 12 on 15 and 13 heart 14 disease 14 disease 15 and 15 and 16 diabetes 17 but 18 health 17 but 31 associated 18 health 31 associated 19 - 20 related 20 related 21 conditions 20 related 23 than 20 related 31 associated 22 other 23 than 23 than 25 heart 24 coronary 25 heart 25 heart 27 and 25 heart 29 are 26 disease 27 and 27 and 28 diabetes 27 and 29 are 30 also 31 associated 31 associated 32 with 31 associated 36 for 32 with 35 risk 33 an 35 risk 34 increased 35 risk 36 for 37 depression complex issues of multi - morbidity occur within aging populations . 0 ###LEFT-WALL### 2 issues 0 ###LEFT-WALL### 7 occur 0 ###LEFT-WALL### 11 . 1 complex 2 issues 2 issues 3 of 2 issues 7 occur 3 of 6 morbidity 4 multi 5 - 4 multi 6 morbidity 7 occur 8 within 8 within 10 populations 9 aging 10 populations from the health and functional factors investigated , amongst the strongest factors associated with depressed mood [was] poor vision . 0 ###LEFT-WALL### 12 factors 0 ###LEFT-WALL### 13 associated 0 ###LEFT-WALL### 20 . 1 from 4 and 1 from 8 , 1 from 12 factors 2 the 3 health 3 health 4 and 4 and 6 factors 4 and 7 investigated 5 functional 6 factors 9 amongst 11 strongest 9 amongst 12 factors 10 the 11 strongest 12 factors 13 associated 13 associated 14 with 14 with 19 vision 15 depressed 16 mood 16 mood 19 vision 18 poor 19 vision consideration to case finding for depressed mood [among] older people with visual impairment might be justified . 0 ###LEFT-WALL### 1 consideration 0 ###LEFT-WALL### 16 justified 0 ###LEFT-WALL### 17 . 1 consideration 2 to 1 consideration 14 might 2 to 4 finding 3 case 4 finding 4 finding 5 for 5 for 10 people 6 depressed 7 mood 7 mood 10 people 9 older 10 people 10 people 11 with 11 with 13 impairment 12 visual 13 impairment 14 might 15 be 15 be 16 justified twin studies are an incomparable source of investigation to shed light on genetic and [non] [-] genetic components of neurodegenerative diseases , as alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 30 . 1 twin 2 studies 2 studies 3 are 3 are 6 source 3 are 23 as 4 an 6 source 5 incomparable 6 source 6 source 7 of 6 source 11 light 7 of 8 investigation 8 investigation 9 to 8 investigation 10 shed 9 to 10 shed 11 light 12 on 12 on 14 and 13 genetic 14 and 14 and 18 components 14 and 19 of 17 genetic 18 components 19 of 21 diseases 20 neurodegenerative 21 diseases 22 , 23 as 23 as 26 disease 23 as 29 ) 24 alzheimer 25 's 25 's 26 disease 26 disease 28 ad 27 ( 28 ad 28 ad 29 ) detailed clinicopathologic correlations using twin longitudinal data and post - [mortem] examinations are mostly missing . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 10 - 1 detailed 3 correlations 1 detailed 8 and 2 clinicopathologic 3 correlations 3 correlations 4 using 4 using 7 data 5 twin 7 data 6 longitudinal 7 data 8 and 9 post 10 - 12 examinations 10 - 13 are 10 - 16 . 12 examinations 13 are 13 are 15 missing 14 mostly 15 missing we describe clinical and pathologic findings of seven [monozygotic] ( mz ) and dizygotic ( dz ) twin pairs . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 describe 0 ###LEFT-WALL### 20 . 1 we 2 describe 2 describe 13 and 3 clinical 4 and 4 and 6 findings 4 and 7 of 4 and 13 and 5 pathologic 6 findings 7 of 8 seven 8 seven 11 mz 10 ( 11 mz 11 mz 12 ) 13 and 19 pairs 14 dizygotic 16 dz 14 dizygotic 18 twin 15 ( 16 dz 16 dz 17 ) 18 twin 19 pairs our findings show good agreement between clinical and pathologic diagnoses in the majority of the twin pairs , with greater neuropathologic concordance in mz than dz twins . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 28 . 1 our 2 findings 2 findings 3 show 3 show 5 agreement 3 show 19 with 3 show 25 than 4 good 5 agreement 5 agreement 6 between 6 between 8 and 7 clinical 8 and 8 and 10 diagnoses 8 and 18 , 9 pathologic 10 diagnoses 10 diagnoses 11 in 11 in 17 pairs 12 the 13 majority 13 majority 14 of 13 majority 17 pairs 14 of 17 pairs 15 the 17 pairs 16 twin 17 pairs 19 with 22 concordance 20 greater 22 concordance 21 neuropathologic 22 concordance 22 concordance 23 in 23 in 24 mz 25 than 27 twins 26 dz 27 twins greater neuropathologic concordance was found for β - amyloid than tau pathology within the pairs . 0 ###LEFT-WALL### 3 concordance 0 ###LEFT-WALL### 5 found 0 ###LEFT-WALL### 16 . 1 greater 3 concordance 2 neuropathologic 3 concordance 3 concordance 4 was 4 was 5 found 5 found 6 for 5 found 10 than 5 found 13 within 6 for 9 amyloid 7 β 8 - 7 β 9 amyloid 10 than 12 pathology 11 tau 12 pathology 13 within 15 pairs 14 the 15 pairs apoe4 was associated with higher β - amyloid and earlier dementia onset , and importantly , higher frequency of other co - occurring brain pathologies , regardless of the zygosity . 0 ###LEFT-WALL### 1 apoe4 0 ###LEFT-WALL### 3 associated 0 ###LEFT-WALL### 31 . 1 apoe4 2 was 2 was 3 associated 3 associated 4 with 3 associated 28 of 4 with 18 frequency 5 higher 8 amyloid 6 β 7 - 6 β 8 amyloid 8 amyloid 9 and 9 and 12 onset 9 and 14 and 10 earlier 12 onset 11 dementia 12 onset 13 , 14 and 14 and 15 importantly 14 and 17 higher 14 and 18 frequency 15 importantly 16 , 18 frequency 19 of 18 frequency 25 pathologies 19 of 21 co 20 other 21 co 22 - 25 pathologies 23 occurring 24 brain 24 brain 25 pathologies 25 pathologies 26 , 27 regardless 28 of 28 of 30 zygosity 29 the 30 zygosity dementia onset , dementia duration , [difference] between twins in age at dementia [onset] and at death , did not correlate with ad pathology . 0 ###LEFT-WALL### 2 onset 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 25 . 1 dementia 2 onset 3 , 5 duration 3 , 21 correlate 4 dementia 5 duration 5 duration 8 between 5 duration 19 did 6 , 8 between 8 between 9 twins 8 between 18 , 9 twins 10 in 10 in 11 age 11 age 15 and 12 at 13 dementia 12 at 15 and 15 and 16 at 16 at 17 death 19 did 20 not 19 did 21 correlate 21 correlate 22 with 22 with 24 pathology 23 ad 24 pathology these clinicopathologic correlations of older identical and fraternal twins support the relevance of genetic factors in ad , but not their sufficiency to determine the pathology , and consequently the disease , even in monozygotic twins . 0 ###LEFT-WALL### 3 correlations 0 ###LEFT-WALL### 10 support 0 ###LEFT-WALL### 37 . 1 these 3 correlations 2 clinicopathologic 3 correlations 3 correlations 4 of 3 correlations 10 support 4 of 9 twins 5 older 9 twins 6 identical 7 and 7 and 8 fraternal 7 and 9 twins 10 support 19 but 10 support 23 to 11 the 12 relevance 12 relevance 13 of 12 relevance 16 in 12 relevance 19 but 13 of 15 factors 14 genetic 15 factors 16 in 17 ad 18 , 19 but 19 but 20 not 19 but 22 sufficiency 21 their 22 sufficiency 23 to 24 determine 24 determine 28 and 24 determine 33 even 25 the 26 pathology 26 pathology 28 and 27 , 28 and 28 and 29 consequently 28 and 31 disease 28 and 32 , 30 the 31 disease 33 even 34 in 34 in 36 twins 35 monozygotic 36 twins it is the interaction among genetic [and] [non] - genetic risks which plays a major role in influencing , or probably determining , the degeneration of those brain circuits associated with pathology and cognitive deficits in ad . 1 it 2 is 2 is 4 interaction 3 the 4 interaction 4 interaction 5 among 4 interaction 12 which 4 interaction 13 plays 5 among 11 risks 6 genetic 9 - 6 genetic 11 risks 10 genetic 11 risks 12 which 13 plays 13 plays 20 or 14 a 16 role 15 major 16 role 16 role 17 in 16 role 20 or 17 in 18 influencing 19 , 20 or 20 or 21 probably 20 or 35 deficits 20 or 38 . 22 determining 23 , 23 , 25 degeneration 23 , 33 and 24 the 25 degeneration 25 degeneration 26 of 26 of 29 circuits 27 those 29 circuits 28 brain 29 circuits 29 circuits 30 associated 29 circuits 31 with 31 with 32 pathology 33 and 34 cognitive 33 and 35 deficits 35 deficits 36 in 36 in 37 ad aim : a number of studies have shown that the maximum movement velocity of the lower limbs is a critical determinant of gait speed in elderly adults . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 6 studies 2 : 8 shown 3 a 4 number 4 number 5 of 4 number 6 studies 5 of 6 studies 6 studies 7 have 7 have 8 shown 8 shown 9 that 9 that 13 velocity 9 that 18 is 10 the 13 velocity 11 maximum 12 movement 12 movement 13 velocity 13 velocity 14 of 13 velocity 18 is 14 of 17 limbs 15 the 17 limbs 16 lower 17 limbs 18 is 21 determinant 19 a 20 critical 19 a 21 determinant 20 critical 21 determinant 21 determinant 22 of 22 of 24 speed 23 gait 24 speed 24 speed 25 in 25 in 27 adults 26 elderly 27 adults however , it is still unclear whether gait speed is associated with the movement velocity of the lower limbs or the movement velocity itself . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 25 . 1 however 2 , 1 however 3 it 3 it 4 is 4 is 5 still 4 is 6 unclear 6 unclear 7 whether 7 whether 9 speed 7 whether 11 associated 8 gait 9 speed 9 speed 10 is 10 is 11 associated 11 associated 12 with 11 associated 24 itself 12 with 20 or 13 the 15 velocity 14 movement 15 velocity 15 velocity 16 of 15 velocity 20 or 16 of 19 limbs 17 the 19 limbs 18 lower 19 limbs 20 or 23 velocity 21 the 23 velocity 22 movement 23 velocity therefore , we measured the movement velocity of upper limbs that would not have a direct effect [on] gait , and examined the relationship between the movement velocity and gait speed . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 32 . 1 therefore 2 , 1 therefore 3 we 3 we 21 and 4 measured 7 velocity 4 measured 21 and 5 the 7 velocity 6 movement 7 velocity 7 velocity 8 of 7 velocity 11 that 7 velocity 12 would 8 of 10 limbs 9 upper 10 limbs 11 that 12 would 12 would 13 not 12 would 14 have 14 have 19 gait 15 a 19 gait 16 direct 17 effect 17 effect 19 gait 20 , 21 and 21 and 22 examined 21 and 25 between 22 examined 24 relationship 23 the 24 relationship 25 between 29 and 26 the 28 velocity 27 movement 28 velocity 28 velocity 29 and 29 and 31 speed 30 gait 31 speed methods : a total of 76 community [-] dwelling adults aged older than 60 years ( mean age 73.3 years ) participated in the study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 4 total 2 : 11 aged 2 : 13 than 3 a 4 total 4 total 5 of 4 total 11 aged 5 of 10 adults 6 76 10 adults 7 community 9 dwelling 9 dwelling 10 adults 11 aged 12 older 12 older 13 than 13 than 15 years 13 than 22 participated 14 60 15 years 15 years 20 years 15 years 22 participated 16 ( 20 years 17 mean 18 age 18 age 20 years 19 73.3 20 years 20 years 21 ) 22 participated 23 in 23 in 25 study 24 the 25 study we measured the movement velocity of the upper limbs , maximum gait speed , quadriceps strength , trunk muscle endurance and skeletal muscle mass index . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 measured 0 ###LEFT-WALL### 26 . 1 we 2 measured 2 measured 5 velocity 3 the 5 velocity 4 movement 5 velocity 5 velocity 6 of 6 of 21 and 7 the 9 limbs 8 upper 9 limbs 9 limbs 10 , 10 , 13 speed 10 , 14 , 11 maximum 13 speed 12 gait 13 speed 14 , 16 strength 14 , 17 , 15 quadriceps 16 strength 17 , 20 endurance 17 , 21 and 18 trunk 20 endurance 19 muscle 20 endurance 21 and 25 index 22 skeletal 23 muscle 23 muscle 25 index 24 mass 25 index results : a significant correlation was found between the movement velocity of the upper limbs and maximum gait speed ( r=0.47 ; p<0.01 [ )( 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 correlation 2 : 7 found 2 : 22 ; 2 : 25 )( 3 a 4 significant 3 a 5 correlation 4 significant 5 correlation 5 correlation 6 was 6 was 7 found 7 found 8 between 8 between 16 and 9 the 11 velocity 10 movement 11 velocity 11 velocity 12 of 11 velocity 16 and 12 of 15 limbs 13 the 15 limbs 14 upper 15 limbs 16 and 19 speed 16 and 21 r=0.47 17 maximum 19 speed 18 gait 19 speed 20 ( 21 r=0.47 21 r=0.47 22 ; 22 ; 23 p<0.01 in a stepwise multiple regression analysis using maximum gait speed as a dependent variable , age , movement velocity of the upper limbs , body mass index and quadriceps strength were selected as independent variables [(] r ( 2 )=0.55 , p<0.001 ) . 0 ###LEFT-WALL### 28 and 0 ###LEFT-WALL### 31 were 0 ###LEFT-WALL### 44 . 1 in 6 analysis 1 in 28 and 2 a 3 stepwise 2 a 6 analysis 3 stepwise 5 regression 4 multiple 5 regression 5 regression 6 analysis 6 analysis 7 using 6 analysis 20 of 7 using 10 speed 7 using 11 as 8 maximum 10 speed 9 gait 10 speed 11 as 19 velocity 12 a 13 dependent 12 a 19 velocity 13 dependent 19 velocity 14 variable 16 age 14 variable 17 , 14 variable 19 velocity 15 , 16 age 16 age 17 , 18 movement 19 velocity 20 of 22 upper 21 the 22 upper 23 limbs 24 , 24 , 27 index 24 , 28 and 25 body 26 mass 26 mass 27 index 28 and 30 strength 28 and 31 were 29 quadriceps 30 strength 31 were 35 variables 32 selected 35 variables 33 as 34 independent 34 independent 35 variables 35 variables 37 r 35 variables 42 p<0.001 38 ( 42 p<0.001 39 2 42 p<0.001 40 )=0.55 41 , 40 )=0.55 42 p<0.001 42 p<0.001 43 ) conclusions : the movement velocity of the upper limbs is a significant determinant of maximum gait speed , suggesting that the ability to move any region rapidly might be a critical factor in maximum gait speed . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 2 : 5 velocity 2 : 10 is 2 : 18 , 3 the 5 velocity 4 movement 5 velocity 5 velocity 6 of 5 velocity 10 is 6 of 9 limbs 7 the 9 limbs 8 upper 9 limbs 10 is 13 determinant 11 a 12 significant 11 a 13 determinant 12 significant 13 determinant 13 determinant 14 of 14 of 17 speed 15 maximum 17 speed 16 gait 17 speed 18 , 19 suggesting 18 , 29 be 19 suggesting 20 that 19 suggesting 29 be 20 that 22 ability 20 that 28 might 21 the 22 ability 22 ability 23 to 22 ability 24 move 22 ability 28 might 23 to 24 move 24 move 26 region 24 move 27 rapidly 25 any 26 region 29 be 32 factor 30 a 31 critical 30 a 32 factor 31 critical 32 factor 32 factor 33 in 33 in 36 speed 34 maximum 36 speed 35 gait 36 speed aim : bioelectrical impedance analysis has been reported to have high reliability and accuracy in assessing body composition . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 1 aim 2 : 2 : 4 impedance 3 bioelectrical 4 impedance 4 impedance 5 analysis 4 impedance 16 assessing 5 analysis 6 has 6 has 7 been 7 been 8 reported 8 reported 9 to 8 reported 10 have 9 to 10 have 10 have 13 and 10 have 15 in 11 high 12 reliability 12 reliability 13 and 13 and 14 accuracy 15 in 16 assessing 16 assessing 18 composition 17 body 18 composition however , equations for estimating appendicular skeletal muscle mass [are] population - specific , and few have been developed for older japanese adults . 0 ###LEFT-WALL### 3 equations 0 ###LEFT-WALL### 9 mass 0 ###LEFT-WALL### 12 - 1 however 2 , 1 however 3 equations 3 equations 4 for 3 equations 9 mass 4 for 5 estimating 5 estimating 8 muscle 6 appendicular 8 muscle 7 skeletal 8 muscle 9 mass 11 population 12 - 15 and 12 - 19 developed 12 - 24 . 13 specific 15 and 14 , 15 and 15 and 16 few 15 and 17 have 17 have 18 been 18 been 19 developed 19 developed 20 for 20 for 23 adults 21 older 23 adults 22 japanese 23 adults thus , the purpose of the present study was to develop and validate an estimate equation for appendicular skeletal muscle mass using bioelectrical impedance analysis . 0 ###LEFT-WALL### 4 purpose 0 ###LEFT-WALL### 26 . 1 thus 2 , 1 thus 4 purpose 3 the 4 purpose 4 purpose 5 of 4 purpose 9 was 5 of 8 study 6 the 8 study 7 present 8 study 9 was 10 to 9 was 12 and 10 to 12 and 11 develop 12 and 12 and 13 validate 13 validate 16 equation 14 an 16 equation 15 estimate 16 equation 16 equation 17 for 17 for 25 analysis 18 appendicular 20 muscle 19 skeletal 20 muscle 20 muscle 25 analysis 21 mass 25 analysis 22 using 25 analysis 23 bioelectrical 24 impedance 24 impedance 25 analysis methods : a total of 250 older adults aged 65 years and older participated in this study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 total 2 : 14 participated 2 : 18 . 3 a 4 total 4 total 5 of 4 total 9 aged 4 total 14 participated 5 of 8 adults 6 250 8 adults 7 older 8 adults 9 aged 12 and 10 65 11 years 11 years 12 and 12 and 13 older 14 participated 15 in 15 in 17 study 16 this 17 study appendicular skeletal muscle [mass] was measured using dual - energy x - ray absorptiometry , and bioelectrical resistance was measured using a multifrequency bioelectrical impedance analyzer . 0 ###LEFT-WALL### 3 muscle 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 27 . 1 appendicular 3 muscle 2 skeletal 3 muscle 3 muscle 5 was 5 was 6 measured 6 measured 7 using 7 using 10 energy 8 dual 9 - 8 dual 10 energy 10 energy 11 x 12 - 13 ray 12 - 16 and 13 ray 14 absorptiometry 15 , 16 and 16 and 18 resistance 16 and 20 measured 17 bioelectrical 18 resistance 18 resistance 19 was 19 was 20 measured 20 measured 21 using 21 using 26 analyzer 22 a 26 analyzer 23 multifrequency 26 analyzer 24 bioelectrical 25 impedance 25 impedance 26 analyzer multiple regression analysis was applied to derive sex - specific estimation formulae using bioelectrical impedance analysis , and a bland - altman analysis was used to test agreement . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 5 applied 0 ###LEFT-WALL### 21 - 0 ###LEFT-WALL### 29 . 1 multiple 2 regression 2 regression 3 analysis 3 analysis 4 was 4 was 5 applied 5 applied 6 to 6 to 7 derive 7 derive 8 sex 8 sex 12 formulae 9 - 12 formulae 10 specific 11 estimation 11 estimation 12 formulae 12 formulae 13 using 12 formulae 21 - 13 using 18 and 14 bioelectrical 16 analysis 15 impedance 16 analysis 16 analysis 18 and 17 , 18 and 18 and 20 bland 19 a 20 bland 21 - 23 analysis 21 - 25 used 22 altman 23 analysis 23 analysis 24 was 24 was 25 used 25 used 26 to 25 used 27 test 26 to 27 test 27 test 28 agreement results : the cross - validation results showed that the slopes and intercepts of the regression lines were approximately one and zero , respectively , and the coefficients of determination and standard errors of the estimate of the newly developed equations were similar between the two groups . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 - 1 results 2 : 2 : 4 cross 3 the 4 cross 5 - 7 results 5 - 21 and 5 - 26 and 5 - 48 . 6 validation 7 results 7 results 12 and 7 results 14 of 7 results 21 and 8 showed 9 that 8 showed 11 slopes 8 showed 12 and 10 the 11 slopes 12 and 13 intercepts 14 of 17 lines 15 the 17 lines 16 regression 17 lines 18 were 20 one 18 were 21 and 19 approximately 20 one 21 and 22 zero 22 zero 24 respectively 23 , 24 respectively 24 respectively 25 , 25 , 26 and 26 and 28 coefficients 26 and 42 were 27 the 28 coefficients 28 coefficients 29 of 28 coefficients 37 of 28 coefficients 42 were 29 of 31 and 30 determination 31 and 31 and 33 errors 31 and 34 of 32 standard 33 errors 34 of 36 estimate 35 the 36 estimate 37 of 41 equations 38 the 41 equations 39 newly 40 developed 40 developed 41 equations 42 were 43 similar 43 similar 44 between 44 between 47 groups 45 the 46 two 46 two 47 groups thus , the single sex [-] specific equations were developed using all participants [as] follows . 0 ###LEFT-WALL### 5 sex 0 ###LEFT-WALL### 15 follows 0 ###LEFT-WALL### 16 . 1 thus 2 , 1 thus 5 sex 3 the 5 sex 4 single 5 sex 5 sex 8 equations 5 sex 9 were 5 sex 10 developed 5 sex 15 follows 7 specific 8 equations 8 equations 9 were 10 developed 11 using 11 using 13 participants 12 all 13 participants men : appendicular skeletal muscle mass=0.197 × ( impedance [index] ) +0.179 × ( weight ) - 0.019 ( r [(] [2] ) [=0.87] , standard error of the estimate=0.98 [kg] ) . 0 ###LEFT-WALL### 1 men 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 1 men 2 : 2 : 13 × 3 appendicular 13 × 4 skeletal 13 × 5 muscle 13 × 6 mass=0.197 13 × 7 × 9 impedance 7 × 12 +0.179 8 ( 9 impedance 9 impedance 11 ) 12 +0.179 13 × 13 × 15 weight 13 × 18 0.019 13 × 27 error 14 ( 15 weight 15 weight 16 ) 17 - 18 0.019 18 0.019 20 r 18 0.019 23 ) 19 ( 20 r 20 r 23 ) 25 , 27 error 26 standard 27 error 27 error 28 of 27 error 32 ) 28 of 30 estimate=0.98 29 the 30 estimate=0.98 women : appendicular skeletal muscle mass=0.221 × ( impedance index [ )(+0.117 × ( weight ) +0.881 ( r [(] [2] ) =0.89 , standard error of the estimate=0.81 [kg] ) . 0 ###LEFT-WALL### 1 women 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 1 women 2 : 2 : 7 × 3 appendicular 5 muscle 4 skeletal 5 muscle 5 muscle 7 × 6 mass=0.221 7 × 7 × 23 =0.89 8 ( 23 =0.89 9 impedance 12 )(+0.117 10 index 12 )(+0.117 12 )(+0.117 23 =0.89 13 × 15 weight 13 × 23 =0.89 14 ( 15 weight 15 weight 16 ) 17 +0.881 19 r 17 +0.881 22 ) 17 +0.881 23 =0.89 18 ( 19 r 19 r 22 ) 23 =0.89 26 error 23 =0.89 31 ) 24 , 26 error 25 standard 26 error 26 error 27 of 26 error 31 ) 27 of 29 estimate=0.81 28 the 29 estimate=0.81 conclusion : these new equations offer a valid option for assessing appendicular skeletal muscle [mass] in older japanese adults . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 2 : 5 equations 2 : 6 offer 3 these 5 equations 4 new 5 equations 5 equations 6 offer 6 offer 9 option 7 a 8 valid 7 a 9 option 8 valid 9 option 9 option 10 for 10 for 11 assessing 11 assessing 14 muscle 11 assessing 16 in 12 appendicular 14 muscle 13 skeletal 14 muscle 16 in 19 adults 17 older 19 adults 18 japanese 19 adults aim : it is important to assess not only the total skeletal muscle mass , but also the intracellular and extracellular compartments of skeletal muscle to examine the actual relationship between skeletal muscle mass and physical functions . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 3 it 2 : 4 is 2 : 38 . 3 it 4 is 4 is 5 important 5 important 6 to 5 important 7 assess 6 to 7 assess 7 assess 17 also 8 not 9 only 9 only 17 also 10 the 14 mass 11 total 13 muscle 12 skeletal 13 muscle 13 muscle 14 mass 14 mass 17 also 15 , 17 also 16 but 17 also 17 also 37 functions 18 the 19 intracellular 19 intracellular 20 and 20 and 21 extracellular 20 and 22 compartments 20 and 34 mass 20 and 35 and 22 compartments 23 of 22 compartments 26 to 22 compartments 27 examine 22 compartments 34 mass 23 of 25 muscle 24 skeletal 25 muscle 26 to 27 examine 27 examine 30 relationship 27 examine 31 between 28 the 30 relationship 29 actual 30 relationship 31 between 33 muscle 32 skeletal 33 muscle 35 and 36 physical 35 and 37 functions segmental bioelectrical impedance spectroscopy is a unique tool [with] [which] to assess intracellular and extracellular water in the limbs . 0 ###LEFT-WALL### 4 spectroscopy 0 ###LEFT-WALL### 12 assess 0 ###LEFT-WALL### 20 . 1 segmental 3 impedance 2 bioelectrical 3 impedance 3 impedance 4 spectroscopy 4 spectroscopy 5 is 5 is 8 tool 5 is 11 to 6 a 8 tool 7 unique 8 tool 11 to 12 assess 12 assess 16 water 13 intracellular 14 and 14 and 15 extracellular 14 and 16 water 16 water 17 in 17 in 19 limbs 18 the 19 limbs the aim of the present study was to examine the application of segmental bioelectrical impedance spectroscopy to the assessment of skeletal muscle [mass] in the elderly . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 27 . 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 11 application 9 examine 17 to 9 examine 24 in 10 the 11 application 11 application 12 of 12 of 16 spectroscopy 13 segmental 15 impedance 14 bioelectrical 15 impedance 15 impedance 16 spectroscopy 17 to 19 assessment 18 the 19 assessment 19 assessment 20 of 20 of 22 muscle 21 skeletal 22 muscle 24 in 26 elderly 25 the 26 elderly methods : a total of 73 healthy elderly men and 20 elderly men requiring care and using an ambulatory day - care service of the public long - term care insurance system participated in the present study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 38 . 1 methods 2 : 2 : 4 total 3 a 4 total 4 total 5 of 4 total 14 requiring 5 of 10 and 6 73 9 men 7 healthy 9 men 8 elderly 9 men 9 men 10 and 10 and 13 men 11 20 13 men 12 elderly 13 men 14 requiring 15 care 16 and 23 service 16 and 33 participated 17 using 20 day 17 using 21 - 17 using 23 service 18 an 20 day 19 ambulatory 20 day 22 care 23 service 23 service 24 of 23 service 33 participated 24 of 32 system 25 the 32 system 26 public 29 term 27 long 28 - 27 long 29 term 29 term 30 care 30 care 32 system 31 insurance 32 system 33 participated 34 in 34 in 37 study 35 the 37 study 36 present 37 study the intracellular and extracellular water in the upper and lower legs were assessed by segmental bioelectrical impedance spectroscopy . 0 ###LEFT-WALL### 11 legs 0 ###LEFT-WALL### 13 assessed 0 ###LEFT-WALL### 19 . 1 the 5 water 2 intracellular 3 and 3 and 4 extracellular 3 and 5 water 5 water 6 in 5 water 9 and 6 in 8 upper 7 the 8 upper 9 and 10 lower 9 and 11 legs 11 legs 12 were 12 were 13 assessed 13 assessed 14 by 14 by 18 spectroscopy 15 segmental 17 impedance 16 bioelectrical 17 impedance 17 impedance 18 spectroscopy the gait speed , grip strength and maximal isometric knee extension strength were measured . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 13 were 0 ###LEFT-WALL### 15 . 1 the 3 speed 2 gait 3 speed 3 speed 4 , 4 , 6 strength 4 , 7 and 5 grip 6 strength 7 and 12 strength 7 and 13 were 8 maximal 10 knee 9 isometric 10 knee 10 knee 12 strength 11 extension 12 strength 13 were 14 measured results : the elderly requiring care had significantly lower intracellular water than did healthy elderly in the upper and lower legs . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 5 requiring 3 the 5 requiring 4 elderly 5 requiring 5 requiring 6 care 5 requiring 7 had 6 care 7 had 7 had 9 lower 8 significantly 9 lower 9 lower 11 water 9 lower 12 than 10 intracellular 11 water 12 than 13 did 13 did 21 legs 14 healthy 21 legs 15 elderly 16 in 15 elderly 19 and 16 in 18 upper 17 the 18 upper 19 and 20 lower 19 and 21 legs a significant relative expansion of extracellular water against total water was observed in the elderly requiring care . 0 ###LEFT-WALL### 17 care 0 ###LEFT-WALL### 18 . 1 a 2 significant 1 a 17 care 2 significant 4 expansion 3 relative 4 expansion 4 expansion 5 of 4 expansion 11 was 5 of 7 water 6 extracellular 7 water 7 water 8 against 8 against 10 water 9 total 10 water 11 was 12 observed 12 observed 13 in 13 in 16 requiring 14 the 16 requiring 15 elderly 16 requiring receiver operating characteristic curves showed that the area under the curve for the intracellular water index was similar to that for muscle strength in the discrimination of elderly requiring care . 0 ###LEFT-WALL### 1 receiver 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 31 . 1 receiver 2 operating 1 receiver 5 showed 2 operating 4 curves 3 characteristic 4 curves 5 showed 6 that 6 that 8 area 6 that 17 was 7 the 8 area 8 area 9 under 8 area 12 for 8 area 17 was 9 under 11 curve 10 the 11 curve 12 for 16 index 13 the 16 index 14 intracellular 15 water 15 water 16 index 17 was 18 similar 18 similar 19 to 18 similar 21 for 19 to 20 that 21 for 23 strength 22 muscle 23 strength 23 strength 24 in 23 strength 27 of 24 in 26 discrimination 25 the 26 discrimination 27 of 30 care 28 elderly 30 care 29 requiring 30 care conclusions : the elderly requiring care had a relative expansion of extracellular water in the legs , which could have masked actual muscle atrophy . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 6 care 2 : 7 had 2 : 17 , 3 the 6 care 4 elderly 6 care 5 requiring 6 care 6 care 7 had 7 had 10 expansion 7 had 14 in 8 a 10 expansion 9 relative 10 expansion 10 expansion 11 of 11 of 13 water 12 extracellular 13 water 14 in 16 legs 15 the 16 legs 17 , 18 which 17 , 21 masked 18 which 19 could 19 could 20 have 20 have 21 masked 21 masked 24 atrophy 22 actual 23 muscle 23 muscle 24 atrophy segmental bioelectrical impedance spectroscopy would be useful for the assessment of skeletal muscle cell mass [and] sarcopenia in the elderly . 0 ###LEFT-WALL### 4 spectroscopy 0 ###LEFT-WALL### 6 be 0 ###LEFT-WALL### 21 . 1 segmental 4 spectroscopy 2 bioelectrical 3 impedance 3 impedance 4 spectroscopy 4 spectroscopy 5 would 5 would 6 be 6 be 7 useful 7 useful 8 for 7 useful 18 in 8 for 10 assessment 9 the 10 assessment 10 assessment 11 of 11 of 17 sarcopenia 12 skeletal 17 sarcopenia 13 muscle 17 sarcopenia 14 cell 17 sarcopenia 15 mass 17 sarcopenia 18 in 20 elderly 19 the 20 elderly aim : sarcopenia causes a decline in physical performance and decreased quality of life . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 . 1 aim 2 : 2 : 3 sarcopenia 3 sarcopenia 10 and 4 causes 6 decline 4 causes 7 in 4 causes 10 and 5 a 6 decline 7 in 9 performance 8 physical 9 performance 10 and 11 decreased 10 and 12 quality 12 quality 13 of 13 of 14 life however , there is little evidence for effective treatments . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 10 . 1 however 2 , 1 however 3 there 3 there 4 is 4 is 6 evidence 5 little 6 evidence 6 evidence 7 for 7 for 9 treatments 8 effective 9 treatments because of the similarities between osteoporosis and sarcopenia , alfacalcidol used for osteoporosis might be beneficial for low muscle mass . 0 ###LEFT-WALL### 20 mass 0 ###LEFT-WALL### 21 . 1 because 10 alfacalcidol 1 because 15 be 1 because 20 mass 2 of 4 similarities 2 of 9 , 2 of 10 alfacalcidol 3 the 4 similarities 4 similarities 5 between 5 between 7 and 6 osteoporosis 7 and 7 and 8 sarcopenia 10 alfacalcidol 11 used 10 alfacalcidol 14 might 11 used 12 for 12 for 13 osteoporosis 14 might 15 be 15 be 16 beneficial 16 beneficial 17 for 17 for 19 muscle 18 low 19 muscle therefore , we investigated the effect of alfacalcidol on muscle mass [in] patients with low muscle mass . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 investigated 0 ###LEFT-WALL### 18 . 1 therefore 2 , 1 therefore 3 we 3 we 4 investigated 4 investigated 6 effect 4 investigated 9 on 5 the 6 effect 6 effect 7 of 7 of 8 alfacalcidol 9 on 10 muscle 10 muscle 13 patients 10 muscle 17 mass 11 mass 13 patients 13 patients 14 with 13 patients 17 mass 14 with 16 muscle 15 low 16 muscle methods : in this retrospective cohort analysis , patients from an osteoporosis database were divided into two groups : alfacalcidol - treated patients ( vitamin d [group] [;] n = 156 ) and a control group [without] drug treatment ( n = 233 ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 45 . 1 methods 2 : 2 : 3 in 3 in 7 analysis 4 this 7 analysis 5 retrospective 6 cohort 6 cohort 7 analysis 8 , 9 patients 8 , 15 divided 8 , 19 : 9 patients 10 from 9 patients 14 were 10 from 13 database 11 an 13 database 12 osteoporosis 13 database 14 were 15 divided 15 divided 16 into 16 into 18 groups 17 two 18 groups 19 : 20 alfacalcidol 19 : 33 and 20 alfacalcidol 23 patients 21 - 23 patients 22 treated 23 patients 23 patients 25 vitamin 23 patients 32 ) 24 ( 25 vitamin 25 vitamin 26 d 25 vitamin 30 = 25 vitamin 32 ) 29 n 30 = 30 = 31 156 33 and 36 group 33 and 38 drug 34 a 35 control 34 a 36 group 35 control 36 group 36 group 38 drug 38 drug 39 treatment 39 treatment 42 = 40 ( 42 = 41 n 42 = 42 = 43 233 42 = 44 ) muscle [mass] was evaluated in terms of the skeletal muscle index ( smi [;] [kg/m] ( 2 ) ) obtained from dual - energy x - ray absorptiometry measurements that were taken at the start and end of [a] 1 - year period . 0 ###LEFT-WALL### 1 muscle 0 ###LEFT-WALL### 4 evaluated 1 muscle 3 was 3 was 4 evaluated 4 evaluated 5 in 5 in 6 terms 6 terms 7 of 7 of 10 muscle 8 the 10 muscle 9 skeletal 10 muscle 10 muscle 11 index 10 muscle 20 obtained 11 index 13 smi 11 index 20 obtained 12 ( 13 smi 13 smi 17 2 13 smi 19 ) 16 ( 17 2 17 2 18 ) 20 obtained 21 from 21 from 29 measurements 22 dual 24 energy 22 dual 26 - 22 dual 27 ray 23 - 24 energy 24 energy 25 x 24 energy 26 - 27 ray 29 measurements 28 absorptiometry 29 measurements 29 measurements 30 that 29 measurements 31 were 30 that 31 were 31 were 32 taken 32 taken 33 at 33 at 36 and 34 the 35 start 35 start 36 and 36 and 37 end 36 and 38 of 36 and 43 period 38 of 40 1 41 - 43 period 42 year 43 period 43 period 44 . low muscle [mass] was determined using specific smi cut - offs for japanese individuals . 0 ###LEFT-WALL### 2 muscle 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 10 - 0 ###LEFT-WALL### 15 . 1 low 2 muscle 2 muscle 4 was 4 was 5 determined 5 determined 6 using 6 using 8 smi 7 specific 8 smi 8 smi 9 cut 10 - 11 offs 11 offs 12 for 12 for 14 individuals 13 japanese 14 individuals results : both the vitamin d group ( mean age 73.7 ± 9.8 years ) and the control group ( mean age 72.3 ± 11.9 years ) were primarily women ( n = 141 , 90.4 % [;] n = 189 , 81.1 % , respectively ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 48 . 2 : 3 both 2 : 16 and 3 both 4 the 3 both 7 group 4 the 7 group 5 vitamin 6 d 5 vitamin 7 group 7 group 14 years 8 ( 14 years 9 mean 10 age 10 age 14 years 11 73.7 14 years 12 ± 14 years 13 9.8 14 years 14 years 15 ) 16 and 19 group 16 and 28 were 17 the 19 group 18 control 19 group 19 group 26 years 19 group 28 were 20 ( 26 years 21 mean 22 age 22 age 24 ± 23 72.3 24 ± 24 ± 26 years 25 11.9 26 years 26 years 27 ) 28 were 29 primarily 28 were 30 women 28 were 46 respectively 30 women 33 = 30 women 37 % 30 women 44 % 31 ( 33 = 32 n 33 = 33 = 34 141 33 = 35 , 35 , 37 % 36 90.4 37 % 37 % 40 = 37 % 42 , 39 n 40 = 40 = 41 189 40 = 42 , 42 , 44 % 43 81.1 44 % 44 % 45 , 45 , 46 respectively 46 respectively 47 ) low muscle [mass] [was] identified in 32.7 % ( n = 51 ) of the vitamin d group and 32.2 % ( n = 75 [ )(of the control group . 0 ###LEFT-WALL### 1 low 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 31 . 1 low 2 muscle 2 muscle 5 identified 2 muscle 14 of 5 identified 6 in 6 in 8 % 7 32.7 8 % 8 % 11 = 9 ( 11 = 10 n 11 = 11 = 12 51 11 = 13 ) 14 of 18 group 15 the 18 group 16 vitamin 17 d 16 vitamin 18 group 19 and 21 % 19 and 30 group 20 32.2 21 % 21 % 24 = 21 % 30 group 22 ( 24 = 23 n 24 = 24 = 25 75 25 75 27 )(of 27 )(of 29 control 28 the 29 control the mean appendicular smi in the vitamin d group did not change significantly over the 1 - year period . 0 ###LEFT-WALL### 4 smi 0 ###LEFT-WALL### 12 change 0 ###LEFT-WALL### 17 - 0 ###LEFT-WALL### 20 . 1 the 4 smi 2 mean 4 smi 3 appendicular 4 smi 4 smi 5 in 4 smi 10 did 5 in 9 group 6 the 9 group 7 vitamin 8 d 7 vitamin 9 group 10 did 11 not 10 did 12 change 12 change 13 significantly 12 change 14 over 14 over 16 1 15 the 16 1 17 - 19 period 18 year 19 period the change was significant among the patients with low muscle mass [(] 5.30 [kg/m] ( 2 [ )(vs 5.49 kg/m ( 2 ) ) . 0 ###LEFT-WALL### 2 change 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 25 . 1 the 2 change 2 change 3 was 3 was 4 significant 4 significant 5 among 4 significant 8 with 5 among 7 patients 6 the 7 patients 8 with 11 mass 9 low 11 mass 10 muscle 11 mass 11 mass 13 5.30 11 mass 16 2 15 ( 16 2 16 2 18 )(vs 16 2 22 2 16 2 24 ) 18 )(vs 20 kg/m 19 5.49 20 kg/m 21 ( 22 2 22 2 23 ) the mean appendicular smi in the control group decreased significantly over the 1 - year period ( 6.09 kg / [m] ( 2 [ )(vs 5.99 kg/m ( 2 ) ) . 0 ###LEFT-WALL### 4 smi 0 ###LEFT-WALL### 9 decreased 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 32 . 1 the 4 smi 2 mean 4 smi 3 appendicular 4 smi 4 smi 5 in 4 smi 9 decreased 5 in 8 group 6 the 8 group 7 control 8 group 9 decreased 10 significantly 9 decreased 11 over 11 over 13 1 12 the 13 1 14 - 16 period 15 year 16 period 16 period 20 / 17 ( 20 / 18 6.09 19 kg 19 kg 20 / 20 / 23 2 20 / 31 ) 22 ( 23 2 23 2 25 )(vs 23 2 29 2 23 2 30 ) 25 )(vs 27 kg/m 26 5.99 27 kg/m 28 ( 29 2 29 2 30 ) the change in the patients with low muscle [mass] was not significant . 0 ###LEFT-WALL### 2 change 0 ###LEFT-WALL### 10 was 0 ###LEFT-WALL### 13 . 1 the 2 change 2 change 3 in 2 change 10 was 3 in 5 patients 4 the 5 patients 5 patients 6 with 6 with 8 muscle 7 low 8 muscle 10 was 11 not 10 was 12 significant conclusions : the vitamin d group maintained muscle mass , and the smi increased in patients with low muscle mass . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 9 mass 2 : 11 and 2 : 21 . 3 the 9 mass 4 vitamin 5 d 4 vitamin 7 maintained 6 group 7 maintained 7 maintained 8 muscle 8 muscle 9 mass 10 , 11 and 11 and 13 smi 11 and 20 mass 12 the 13 smi 13 smi 14 increased 13 smi 20 mass 14 increased 15 in 14 increased 17 with 15 in 16 patients 17 with 19 muscle 18 low 19 muscle thus , the use of alfacalcidol might be effective in osteoporotic patients with low muscle [mass] . 0 ###LEFT-WALL### 4 use 0 ###LEFT-WALL### 8 be 0 ###LEFT-WALL### 17 . 1 thus 2 , 1 thus 4 use 3 the 4 use 4 use 5 of 4 use 7 might 5 of 6 alfacalcidol 7 might 8 be 8 be 9 effective 9 effective 10 in 9 effective 13 with 10 in 12 patients 11 osteoporotic 12 patients 13 with 15 muscle 14 low 15 muscle aims : our aim was to clarify the association between type 2 diabetes and the risk of low muscle mass in older adults . 0 ###LEFT-WALL### 1 aims 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 4 aim 2 : 20 mass 3 our 4 aim 4 aim 5 was 5 was 6 to 5 was 7 clarify 6 to 7 clarify 7 clarify 9 association 7 clarify 10 between 8 the 9 association 10 between 11 type 11 type 12 2 11 type 14 and 11 type 20 mass 13 diabetes 14 and 14 and 16 risk 14 and 17 of 14 and 20 mass 15 the 16 risk 17 of 19 muscle 18 low 19 muscle 20 mass 21 in 21 in 23 adults 22 older 23 adults methods : in the present study , 414 adults aged 65 years or older ( 144 patients with type 2 diabetes and 270 control participants ) were included . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 8 414 2 : 27 were 3 in 6 study 3 in 7 , 3 in 8 414 4 the 6 study 5 present 6 study 8 414 9 adults 8 414 10 aged 8 414 22 and 8 414 27 were 9 adults 10 aged 10 aged 13 or 11 65 12 years 12 years 13 or 13 or 14 older 15 ( 22 and 16 144 17 patients 17 patients 18 with 17 patients 22 and 18 with 21 diabetes 19 type 21 diabetes 20 2 21 diabetes 22 and 25 participants 22 and 26 ) 23 270 25 participants 24 control 25 participants 27 were 28 included body composition was measured by dual - energy x - ray absorptiometry . 0 ###LEFT-WALL### 2 composition 0 ###LEFT-WALL### 10 - 0 ###LEFT-WALL### 13 . 1 body 2 composition 2 composition 3 was 3 was 4 measured 4 measured 5 by 5 by 8 energy 6 dual 7 - 6 dual 8 energy 8 energy 9 x 9 x 10 - 10 - 11 ray 11 ray 12 absorptiometry results : older men with type 2 diabetes showed significantly lower appendicular skeletal muscle mass than those without diabetes [(] 19.5 ± 3.5 kg vs 21.0 ± 2.8 kg , p < 0.001 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 than 0 ###LEFT-WALL### 35 . 1 results 2 : 2 : 4 men 3 older 4 men 4 men 5 with 4 men 8 diabetes 4 men 15 mass 5 with 6 type 6 type 7 2 8 diabetes 9 showed 9 showed 14 muscle 9 showed 15 mass 10 significantly 11 lower 11 lower 14 muscle 12 appendicular 14 muscle 13 skeletal 14 muscle 16 than 17 those 16 than 22 ± 17 those 18 without 17 those 22 ± 18 without 19 diabetes 19 diabetes 21 19.5 22 ± 24 kg 23 3.5 24 kg 24 kg 25 vs 25 vs 27 ± 26 21.0 27 ± 27 ± 32 < 28 2.8 29 kg 29 kg 32 < 30 , 32 < 31 p 32 < 32 < 33 0.001 32 < 34 ) the prevalence of low muscle [mass] was consistently higher in older men with diabetes than those without diabetes defined by asm/ht ( 2 ) ( 57.6 % vs 41.5 % , p = 0.040 ) , asm/wt ( 23.7 % vs 12.3 % , p = 0.046 ) and tsm/wt ( 49.2 % vs 20.0 % , p < 0.001 ) . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 62 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 7 was 3 of 5 muscle 4 low 5 muscle 7 was 9 higher 8 consistently 9 higher 9 higher 10 in 9 higher 15 than 9 higher 59 < 10 in 12 men 11 older 12 men 12 men 13 with 13 with 14 diabetes 15 than 49 and 16 those 17 without 16 those 49 and 17 without 18 diabetes 18 diabetes 19 defined 18 diabetes 20 by 18 diabetes 27 % 20 by 21 asm/ht 21 asm/ht 23 2 22 ( 23 2 23 2 24 ) 25 ( 27 % 26 57.6 27 % 27 % 28 vs 27 % 48 ) 28 vs 30 % 29 41.5 30 % 30 % 33 = 30 % 37 asm/wt 31 , 33 = 32 p 33 = 33 = 34 0.040 33 = 35 ) 36 , 37 asm/wt 37 asm/wt 40 % 37 asm/wt 46 = 37 asm/wt 48 ) 38 ( 40 % 39 23.7 40 % 40 % 41 vs 40 % 44 , 41 vs 43 % 42 12.3 43 % 44 , 46 = 45 p 46 = 46 = 47 0.046 49 and 50 tsm/wt 49 and 53 % 51 ( 53 % 52 49.2 53 % 53 % 54 vs 53 % 57 , 54 vs 56 % 55 20.0 56 % 58 p 59 < 59 < 60 0.001 59 < 61 ) in older women with diabetes , the prevalence of low muscle [mass] was higher than those without diabetes by asm/wt ( 25.9 % vs 15.0 % , p = 0.044 ) and tsm/wt ( 32.9 % vs 20.0 % , p = 0.030 ) , but not by asm/ht ( 2 ) ( 7.1 % vs 8.6 % , p = 0.685 ) . 0 ###LEFT-WALL### 8 prevalence 0 ###LEFT-WALL### 13 was 0 ###LEFT-WALL### 64 . 1 in 3 women 1 in 6 , 1 in 8 prevalence 2 older 3 women 3 women 4 with 4 with 5 diabetes 7 the 8 prevalence 8 prevalence 9 of 8 prevalence 13 was 9 of 11 muscle 10 low 11 muscle 13 was 14 higher 14 higher 15 than 14 higher 46 but 14 higher 48 by 15 than 16 those 15 than 19 by 16 those 17 without 17 without 18 diabetes 19 by 32 and 20 asm/wt 23 % 20 asm/wt 32 and 21 ( 23 % 22 25.9 23 % 23 % 24 vs 23 % 31 ) 24 vs 26 % 25 15.0 26 % 26 % 29 = 27 , 29 = 28 p 29 = 29 = 30 0.044 29 = 31 ) 32 and 33 tsm/wt 32 and 36 % 34 ( 36 % 35 32.9 36 % 36 % 37 vs 36 % 45 , 37 vs 39 % 38 20.0 39 % 39 % 42 = 40 , 42 = 41 p 42 = 42 = 43 0.030 42 = 44 ) 46 but 47 not 48 by 49 asm/ht 49 asm/ht 51 2 49 asm/ht 55 % 50 ( 51 2 51 2 52 ) 53 ( 55 % 54 7.1 55 % 55 % 56 vs 55 % 63 ) 56 vs 58 % 57 8.6 58 % 58 % 61 = 59 , 61 = 60 p 61 = 61 = 62 0.685 61 = 63 ) the risk of low muscle [mass] was approximately two [-] to fourfold higher in older adults with type 2 diabetes , even after adjusting for age , body mass index , current smoking and other risk factors . 0 ###LEFT-WALL### 2 risk 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 38 . 1 the 2 risk 2 risk 3 of 2 risk 7 was 3 of 5 muscle 4 low 5 muscle 7 was 13 higher 8 approximately 9 two 9 two 11 to 11 to 12 fourfold 11 to 13 higher 13 higher 14 in 14 in 16 adults 15 older 16 adults 16 adults 17 with 17 with 20 diabetes 18 type 20 diabetes 19 2 20 diabetes 21 , 22 even 22 even 23 after 22 even 25 for 23 after 24 adjusting 25 for 34 and 26 age 27 , 27 , 30 index 27 , 31 , 28 body 30 index 29 mass 30 index 31 , 33 smoking 31 , 34 and 32 current 33 smoking 34 and 35 other 34 and 36 risk 34 and 37 factors 36 risk 37 factors conclusions : in korean older adults , type 2 diabetes is associated with low muscle [mass] . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 17 . 1 conclusions 2 : 2 : 3 in 3 in 6 adults 4 korean 6 adults 5 older 6 adults 7 , 8 type 7 , 12 associated 8 type 9 2 8 type 10 diabetes 8 type 11 is 8 type 12 associated 10 diabetes 11 is 12 associated 13 with 13 with 15 muscle 14 low 15 muscle aim : to examine whether arterial stiffness , measured by the cardio - ankle vascular index ( cavi ) , is associated with skeletal muscle [mass] [index] ( smi ) in japanese community [-] dwelling older adults . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 38 . 1 aim 2 : 2 : 3 to 2 : 4 examine 3 to 4 examine 4 examine 5 whether 5 whether 7 stiffness 5 whether 22 associated 6 arterial 7 stiffness 7 stiffness 9 measured 7 stiffness 21 is 8 , 9 measured 9 measured 10 by 9 measured 20 , 10 by 16 index 11 the 16 index 12 cardio 13 - 12 cardio 14 ankle 14 ankle 16 index 15 vascular 16 index 16 index 18 cavi 17 ( 18 cavi 18 cavi 19 ) 21 is 22 associated 22 associated 23 with 22 associated 31 in 23 with 25 muscle 24 skeletal 25 muscle 25 muscle 29 smi 28 ( 29 smi 29 smi 30 ) 31 in 37 adults 32 japanese 37 adults 33 community 35 dwelling 35 dwelling 37 adults 36 older 37 adults absolute smi was dichotomized according to the first quintile , which determined low ( n = 35 ) and normal ( n = 140 ) smi . 0 ###LEFT-WALL### 2 smi 0 ###LEFT-WALL### 4 dichotomized 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 27 . 1 absolute 2 smi 2 smi 3 was 3 was 4 dichotomized 4 dichotomized 6 to 5 according 6 to 6 to 9 quintile 7 the 9 quintile 8 first 9 quintile 10 , 11 which 10 , 12 determined 11 which 12 determined 12 determined 26 smi 13 low 16 = 13 low 19 and 14 ( 16 = 15 n 16 = 16 = 17 35 16 = 18 ) 19 and 20 normal 19 and 26 smi 20 normal 23 = 21 ( 23 = 22 n 23 = 23 = 24 140 23 = 25 ) results : participants with low smi were older ( p = 0.01 ) , had more polypharmacy ( p = 0.01 ) , [a] lower bmi ( p < 0.001 ) , and fat mass index ( p = 0.02 ) , and had a greater risk of malnutrition ( p < 0.001 ) than the normal group . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 59 . 2 : 3 participants 2 : 14 , 3 participants 4 with 3 participants 14 , 4 with 6 smi 5 low 6 smi 7 were 8 older 7 were 14 , 8 older 11 = 9 ( 11 = 10 p 11 = 11 = 12 0.01 11 = 13 ) 14 , 23 , 14 , 52 < 14 , 55 than 15 had 17 polypharmacy 15 had 23 , 16 more 17 polypharmacy 17 polypharmacy 20 = 18 ( 20 = 19 p 20 = 20 = 21 0.01 20 = 22 ) 23 , 43 and 25 lower 33 and 25 lower 43 and 26 bmi 29 < 26 bmi 33 and 27 ( 29 < 28 p 29 < 29 < 30 0.001 29 < 31 ) 32 , 33 and 33 and 36 index 33 and 39 = 34 fat 35 mass 35 mass 36 index 37 ( 39 = 38 p 39 = 39 = 40 0.02 39 = 41 ) 42 , 43 and 43 and 44 had 44 had 47 risk 45 a 47 risk 46 greater 47 risk 47 risk 48 of 48 of 49 malnutrition 50 ( 52 < 51 p 52 < 52 < 53 0.001 52 < 54 ) 55 than 58 group 56 the 58 group 57 normal 58 group additionally , they showed poorer physical performance ( gs and sw , p = 0.007 and 0.01 , respectively ) than the normal group . 0 ###LEFT-WALL### 3 they 0 ###LEFT-WALL### 4 showed 0 ###LEFT-WALL### 25 . 1 additionally 2 , 1 additionally 3 they 3 they 4 showed 4 showed 7 performance 4 showed 16 and 4 showed 19 respectively 4 showed 21 than 5 poorer 7 performance 6 physical 7 performance 7 performance 11 sw 7 performance 14 = 8 ( 11 sw 9 gs 10 and 10 and 11 sw 11 sw 12 , 12 , 14 = 13 p 14 = 14 = 15 0.007 16 and 17 0.01 18 , 19 respectively 19 respectively 20 ) 21 than 24 group 22 the 24 group 23 normal 24 group furthermore , cavi was associated with smi even after adjustments ( or 1.82 , 95 % ci 1.14 - 2.90 , p = 0.01 ) . 0 ###LEFT-WALL### 3 cavi 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 26 . 1 furthermore 2 , 1 furthermore 3 cavi 3 cavi 4 was 4 was 5 associated 5 associated 6 with 5 associated 8 even 6 with 7 smi 8 even 9 after 8 even 23 = 9 after 10 adjustments 10 adjustments 12 or 11 ( 12 or 12 or 13 1.82 12 or 17 ci 12 or 19 - 14 , 17 ci 15 95 17 ci 16 % 17 ci 17 ci 18 1.14 17 ci 19 - 20 2.90 23 = 21 , 23 = 22 p 23 = 23 = 24 0.01 23 = 25 ) conclusions : our data showed that arterial stiffness is associated with low smi in community [-] dwelling older adults , even when adjusting by multiple factors , showing a close interaction of vascular aging and muscle mass decline . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 38 decline 0 ###LEFT-WALL### 39 . 2 : 4 data 2 : 5 showed 3 our 4 data 4 data 5 showed 5 showed 6 that 6 that 8 stiffness 6 that 10 associated 7 arterial 8 stiffness 8 stiffness 9 is 9 is 10 associated 10 associated 11 with 10 associated 14 in 11 with 13 smi 12 low 13 smi 14 in 19 adults 15 community 17 dwelling 17 dwelling 19 adults 18 older 19 adults 19 adults 28 showing 20 , 21 even 20 , 22 when 22 when 23 adjusting 22 when 27 , 22 when 28 showing 23 adjusting 24 by 24 by 26 factors 25 multiple 26 factors 28 showing 30 close 29 a 30 close 30 close 35 and 30 close 38 decline 31 interaction 32 of 31 interaction 35 and 32 of 34 aging 33 vascular 34 aging 35 and 37 mass 35 and 38 decline 36 muscle 37 mass aim : to develop a simple screening test to identify older adults at high risk for sarcopenia . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 10 identify 0 ###LEFT-WALL### 18 . 1 aim 2 : 2 : 3 to 2 : 4 develop 3 to 4 develop 4 develop 8 test 4 develop 9 to 5 a 6 simple 5 a 8 test 6 simple 8 test 7 screening 8 test 9 to 10 identify 10 identify 12 adults 10 identify 13 at 11 older 12 adults 13 at 15 risk 14 high 15 risk 15 risk 16 for 16 for 17 sarcopenia methods : we studied 1971 functionally [independent] , community - dwelling adults aged 65 years or older randomly [selected] from the resident register of kashiwa city , chiba , japan . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 studied 2 : 8 , 2 : 10 - 3 we 4 studied 4 studied 5 1971 4 studied 6 functionally 8 , 9 community 10 - 26 city 10 - 27 , 10 - 31 . 11 dwelling 26 city 12 adults 15 years 13 aged 15 years 14 65 15 years 15 years 16 or 16 or 17 older 16 or 26 city 17 older 18 randomly 17 older 20 from 20 from 23 register 21 the 23 register 22 resident 23 register 23 register 24 of 24 of 25 kashiwa 27 , 28 chiba 27 , 29 , 29 , 30 japan data [collection] was carried out between september and november 2012 . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 4 carried 0 ###LEFT-WALL### 11 . 1 data 3 was 3 was 4 carried 4 carried 5 out 4 carried 6 between 6 between 8 and 7 september 8 and 8 and 9 november 9 november 10 2012 sarcopenia [was] defined based on low muscle mass measured by bioimpedance analysis and either low muscle strength characterized by handgrip or low physical performance characterized by slow gait speed . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 21 or 0 ###LEFT-WALL### 30 . 1 sarcopenia 3 defined 1 sarcopenia 4 based 1 sarcopenia 10 by 1 sarcopenia 13 and 4 based 5 on 4 based 9 measured 5 on 7 muscle 6 low 7 muscle 8 mass 9 measured 10 by 12 analysis 11 bioimpedance 12 analysis 13 and 15 low 13 and 21 or 14 either 15 low 16 muscle 17 strength 16 muscle 19 by 16 muscle 21 or 17 strength 18 characterized 19 by 20 handgrip 21 or 22 low 22 low 24 performance 23 physical 24 performance 24 performance 25 characterized 25 characterized 26 by 26 by 29 speed 27 slow 28 gait 28 gait 29 speed results : the prevalence of sarcopenia was 14.2 % in men and 22.1 % in women . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 prevalence 2 : 7 was 2 : 17 . 3 the 4 prevalence 4 prevalence 5 of 4 prevalence 7 was 5 of 6 sarcopenia 7 was 9 % 8 14.2 9 % 9 % 10 in 10 in 12 and 11 men 12 and 12 and 16 women 13 22.1 15 in 14 % 15 in 15 in 16 women after the variable selection procedure , the final model to estimate the probability of sarcopenia included three variables : age , grip strength and calf circumference . 0 ###LEFT-WALL### 9 model 0 ###LEFT-WALL### 19 : 0 ###LEFT-WALL### 27 . 1 after 5 procedure 1 after 6 , 1 after 9 model 2 the 5 procedure 3 variable 5 procedure 4 selection 5 procedure 7 the 9 model 8 final 9 model 9 model 10 to 9 model 16 included 9 model 19 : 10 to 11 estimate 11 estimate 13 probability 11 estimate 16 included 12 the 13 probability 13 probability 14 of 13 probability 16 included 14 of 15 sarcopenia 16 included 18 variables 17 three 18 variables 19 : 24 and 20 age 21 , 21 , 23 strength 21 , 24 and 22 grip 23 strength 24 and 26 circumference 25 calf 26 circumference the area under the receiver operating characteristic curve , a measure of discrimination , of the final model was 0.939 with 95 % confidence [interval] ( ci ) of 0.918 - 0.958 for men , and [0.909] with 95 % ci of 0.887 - 0.931 for women . 0 ###LEFT-WALL### 2 area 0 ###LEFT-WALL### 19 was 0 ###LEFT-WALL### 31 - 0 ###LEFT-WALL### 48 . 1 the 2 area 2 area 3 under 2 area 15 of 2 area 19 was 3 under 8 curve 4 the 8 curve 5 receiver 6 operating 6 operating 8 curve 7 characteristic 8 curve 8 curve 13 discrimination 9 , 13 discrimination 10 a 11 measure 11 measure 12 of 11 measure 13 discrimination 12 of 13 discrimination 13 discrimination 14 , 15 of 18 model 16 the 18 model 17 final 18 model 19 was 20 0.939 20 0.939 21 with 20 0.939 29 of 21 with 24 confidence 22 95 24 confidence 23 % 24 confidence 24 confidence 27 ci 26 ( 27 ci 27 ci 28 ) 29 of 30 0.918 31 - 32 0.958 32 0.958 36 and 32 0.958 42 of 33 for 34 men 33 for 36 and 35 , 36 and 36 and 38 with 38 with 41 ci 39 95 41 ci 40 % 41 ci 42 of 44 - 43 0.887 44 - 44 - 45 0.931 44 - 46 for 46 for 47 women we created a score chart for each sex based on the final model . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 created 0 ###LEFT-WALL### 14 . 1 we 2 created 2 created 5 chart 3 a 5 chart 4 score 5 chart 5 chart 6 for 6 for 8 sex 7 each 8 sex 8 sex 9 based 9 based 10 on 10 on 13 model 11 the 13 model 12 final 13 model when the sum of sensitivity and specificity was maximized , sensitivity , specificity , and positive and negative predictive values for sarcopenia were 84.9 % , 88.2 % , 54.4 % , [and] 97.2 % for men , 75.5 % , 92.0 % , 72.8 % , [and] 93.0 % for women , respectively . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 23 were 0 ###LEFT-WALL### 55 . 1 when 3 sum 1 when 9 maximized 1 when 15 and 2 the 3 sum 3 sum 4 of 3 sum 8 was 4 of 6 and 5 sensitivity 6 and 6 and 7 specificity 8 was 9 maximized 9 maximized 10 , 11 sensitivity 12 , 12 , 13 specificity 12 , 15 and 14 , 15 and 15 and 20 values 15 and 21 for 15 and 23 were 16 positive 17 and 17 and 18 negative 17 and 20 values 19 predictive 20 values 21 for 22 sarcopenia 23 were 25 % 23 were 54 respectively 24 84.9 25 % 25 % 28 % 25 % 31 % 25 % 35 % 26 , 28 % 27 88.2 28 % 28 % 29 , 29 , 31 % 30 54.4 31 % 31 % 32 , 32 , 35 % 34 97.2 35 % 35 % 36 for 35 % 53 , 36 for 37 men 37 men 40 % 37 men 43 % 37 men 46 % 38 , 40 % 39 75.5 40 % 40 % 41 , 41 , 43 % 42 92.0 43 % 43 % 44 , 44 , 46 % 45 72.8 46 % 46 % 50 % 46 % 53 , 47 , 50 % 49 93.0 50 % 50 % 51 for 50 % 53 , 51 for 52 women conclusions : the presence of sarcopenia could be detected using three easily obtainable variables with high accuracy . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 presence 2 : 9 detected 2 : 18 . 3 the 4 presence 4 presence 5 of 4 presence 7 could 5 of 6 sarcopenia 7 could 8 be 8 be 9 detected 9 detected 10 using 10 using 14 variables 10 using 15 with 11 three 14 variables 12 easily 13 obtainable 13 obtainable 14 variables 15 with 17 accuracy 16 high 17 accuracy the screening test we developed could help identify functionally independent older adults with sarcopenia who are good candidates for intervention . 0 ###LEFT-WALL### 3 test 0 ###LEFT-WALL### 7 help 0 ###LEFT-WALL### 21 . 1 the 3 test 2 screening 3 test 3 test 4 we 3 test 5 developed 3 test 6 could 4 we 5 developed 6 could 7 help 7 help 8 identify 8 identify 12 adults 9 functionally 10 independent 10 independent 12 adults 11 older 12 adults 12 adults 13 with 12 adults 15 who 12 adults 16 are 13 with 14 sarcopenia 15 who 16 are 16 are 18 candidates 17 good 18 candidates 18 candidates 19 for 19 for 20 intervention aim : the present study aimed to evaluate age - related changes in skeletal muscle mass among community [-] dwelling middle [-] aged and elderly japanese . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 5 study 2 : 6 aimed 2 : 10 - 2 : 27 . 3 the 5 study 4 present 5 study 5 study 6 aimed 6 aimed 7 to 7 to 8 evaluate 8 evaluate 9 age 10 - 12 changes 10 - 16 mass 11 related 12 changes 12 changes 13 in 12 changes 16 mass 13 in 15 muscle 14 skeletal 15 muscle 16 mass 17 among 17 among 26 japanese 18 community 26 japanese 20 dwelling 26 japanese 21 middle 26 japanese 23 aged 24 and 24 and 25 elderly 24 and 26 japanese methods : [this] 12 - year longitudinal study of a community - dwelling population in japan included 15,948 examinations of 1962 men and 1990 women . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 26 . 1 methods 2 : 2 : 4 12 4 12 8 study 5 - 8 study 6 year 8 study 7 longitudinal 8 study 8 study 9 of 8 study 12 - 9 of 11 community 10 a 11 community 12 - 14 population 12 - 17 included 13 dwelling 14 population 14 population 15 in 14 population 17 included 15 in 16 japan 17 included 23 and 18 15,948 19 examinations 19 examinations 20 of 19 examinations 23 and 20 of 22 men 21 1962 22 men 23 and 25 women 24 1990 25 women we assessed appendicular muscle [mass] ( amm ) using dual [x] - ray absorptiometry and calculated the skeletal muscle index ( smi ) using the amm divided by height squared ( [kg] / [m] ( 2 ) ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 39 . 1 we 15 and 2 assessed 4 muscle 2 assessed 9 using 2 assessed 15 and 3 appendicular 4 muscle 4 muscle 7 amm 6 ( 7 amm 7 amm 8 ) 9 using 14 absorptiometry 10 dual 12 - 10 dual 13 ray 13 ray 14 absorptiometry 15 and 16 calculated 16 calculated 20 index 16 calculated 24 using 17 the 20 index 18 skeletal 19 muscle 19 muscle 20 index 20 index 22 smi 21 ( 22 smi 22 smi 23 ) 24 using 26 amm 24 using 28 by 25 the 26 amm 26 amm 27 divided 28 by 29 height 29 height 30 squared 29 height 33 / 31 ( 33 / 33 / 36 2 33 / 38 ) 35 ( 36 2 36 2 37 ) low muscle [mass] was defined as muscle mass minus two standard deviations below the mean for young healthy adults . 0 ###LEFT-WALL### 2 muscle 0 ###LEFT-WALL### 5 defined 0 ###LEFT-WALL### 20 . 1 low 2 muscle 2 muscle 4 was 4 was 5 defined 5 defined 6 as 6 as 12 deviations 7 muscle 12 deviations 8 mass 9 minus 9 minus 12 deviations 10 two 11 standard 11 standard 12 deviations 12 deviations 13 below 12 deviations 16 for 13 below 15 mean 14 the 15 mean 16 for 19 adults 17 young 19 adults 18 healthy 19 adults leg extension power ( watts ) was measured as an index of muscle [function] . 0 ###LEFT-WALL### 3 power 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 15 . 1 leg 3 power 2 extension 3 power 3 power 5 watts 3 power 7 was 4 ( 5 watts 5 watts 6 ) 7 was 8 measured 8 measured 9 as 9 as 11 index 10 an 11 index 11 index 12 of 12 of 13 muscle longitudinal data of skeletal muscle mass were analyzed using a general linear [mixed] - effect model . 0 ###LEFT-WALL### 1 longitudinal 0 ###LEFT-WALL### 8 analyzed 0 ###LEFT-WALL### 17 . 1 longitudinal 2 data 1 longitudinal 6 mass 1 longitudinal 7 were 2 data 3 of 2 data 6 mass 3 of 5 muscle 4 skeletal 5 muscle 7 were 8 analyzed 8 analyzed 9 using 9 using 16 model 10 a 11 general 10 a 16 model 11 general 15 effect 12 linear 14 - 12 linear 15 effect 15 effect 16 model results : the prevalence of low muscle [mass] at the first wave of examinations was 27.1 % in men and 16.4 % in women . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 4 prevalence 2 : 15 was 3 the 4 prevalence 4 prevalence 5 of 4 prevalence 15 was 5 of 7 muscle 6 low 7 muscle 7 muscle 9 at 9 at 12 wave 10 the 12 wave 11 first 12 wave 12 wave 13 of 13 of 14 examinations 15 was 17 % 16 27.1 17 % 17 % 18 in 18 in 20 and 19 men 20 and 20 and 24 women 21 16.4 23 in 22 % 23 in 23 in 24 women longitudinal analysis showed that skeletal muscle mass decreased with aging during the 12 - year study period except in middle [-] aged men , and to a greater extent in elderly men ( p [for] [trend] , < 0.001 ) . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 41 . 1 longitudinal 2 analysis 2 analysis 3 showed 3 showed 7 mass 3 showed 8 decreased 4 that 7 mass 5 skeletal 6 muscle 6 muscle 7 mass 7 mass 8 decreased 8 decreased 9 with 8 decreased 25 and 8 decreased 30 in 9 with 10 aging 11 during 13 12 11 during 25 and 12 the 13 12 13 12 17 period 14 - 17 period 15 year 16 study 16 study 17 period 17 period 18 except 17 period 24 , 18 except 19 in 19 in 23 men 20 middle 22 aged 22 aged 23 men 25 and 26 to 26 to 29 extent 27 a 29 extent 28 greater 29 extent 30 in 32 men 31 elderly 32 men 32 men 34 p 32 men 39 0.001 33 ( 34 p 34 p 37 , 37 , 39 0.001 38 < 39 0.001 39 0.001 40 ) skeletal muscle [mass] decreased slightly , but significantly , in women . 0 ###LEFT-WALL### 2 muscle 0 ###LEFT-WALL### 4 decreased 0 ###LEFT-WALL### 12 . 1 skeletal 2 muscle 2 muscle 4 decreased 4 decreased 5 slightly 4 decreased 7 but 4 decreased 10 in 6 , 7 but 7 but 8 significantly 7 but 9 , 10 in 11 women although a cross - sectional analysis showed that smi did not differ with age in women , leg extension power per leg muscle mass and grip strength per arm muscle mass as indices of muscle quality were significantly lower in older women ( p [for] [trend] , < 0.001 for both ) . 0 ###LEFT-WALL### 6 analysis 0 ###LEFT-WALL### 7 showed 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 53 . 1 although 3 cross 1 although 4 - 1 although 6 analysis 2 a 3 cross 5 sectional 6 analysis 6 analysis 7 showed 7 showed 8 that 8 that 9 smi 8 that 12 differ 9 smi 10 did 10 did 11 not 10 did 12 differ 12 differ 13 with 12 differ 15 in 13 with 14 age 15 in 16 women 17 , 25 and 17 , 37 were 18 leg 19 extension 19 extension 20 power 20 power 21 per 20 power 25 and 21 per 24 mass 22 leg 24 mass 23 muscle 24 mass 25 and 27 strength 25 and 37 were 26 grip 27 strength 27 strength 28 per 27 strength 32 as 27 strength 34 of 28 per 31 mass 29 arm 31 mass 30 muscle 31 mass 32 as 33 indices 34 of 36 quality 35 muscle 36 quality 37 were 39 lower 38 significantly 39 lower 39 lower 40 in 40 in 42 women 41 older 42 women 42 women 44 p 42 women 49 0.001 43 ( 44 p 44 p 47 , 47 , 49 0.001 48 < 49 0.001 49 0.001 50 for 49 0.001 52 ) 50 for 51 both conclusion : age - related decreases in muscle [mass] were trivial , especially in women , but the quality of muscle decreased with aging in both sexes . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 28 . 1 conclusion 2 : 2 : 3 age 4 - 6 decreases 4 - 10 were 4 - 17 but 5 related 6 decreases 6 decreases 7 in 6 decreases 10 were 7 in 8 muscle 10 were 11 trivial 11 trivial 14 in 12 , 13 especially 12 , 14 in 14 in 15 women 14 in 16 , 16 , 17 but 17 but 19 quality 17 but 22 decreased 18 the 19 quality 19 quality 20 of 19 quality 22 decreased 20 of 21 muscle 22 decreased 23 with 23 with 24 aging 24 aging 25 in 25 in 27 sexes 26 both 27 sexes aims : studies about sarcopenia in asia [are] fewer , and started later than in europe and america . 0 ###LEFT-WALL### 1 aims 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 19 . 1 aims 2 : 2 : 11 and 3 studies 4 about 3 studies 6 in 3 studies 9 fewer 3 studies 11 and 4 about 5 sarcopenia 6 in 7 asia 10 , 11 and 11 and 12 started 11 and 13 later 11 and 14 than 14 than 15 in 15 in 17 and 16 europe 17 and 17 and 18 america we attempted to examine the decline in muscle [mass] , grip strength and gait speed in a cohort of older chinese prospectively over 4 years . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 attempted 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 26 . 1 we 2 attempted 2 attempted 3 to 2 attempted 4 examine 3 to 4 examine 4 examine 6 decline 4 examine 7 in 5 the 6 decline 7 in 8 muscle 10 , 13 and 10 , 15 speed 11 grip 12 strength 12 strength 13 and 13 and 14 gait 13 and 15 speed 15 speed 16 in 15 speed 22 prospectively 15 speed 23 over 16 in 18 cohort 17 a 18 cohort 18 cohort 19 of 19 of 21 chinese 20 older 21 chinese 23 over 25 years 24 4 25 years methods : we recruited 4000 [community] - living chinese older than 64 years , and measured their appendicular skeletal mass ( asm ) by dual - energy x - ray absorptiometry , grip strength , and gait speed at baseline and after 2 years . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 45 . 2 : 3 we 2 : 15 and 2 : 32 , 3 we 15 and 4 recruited 5 4000 4 recruited 15 and 5 4000 8 living 7 - 8 living 8 living 9 chinese 8 living 14 , 9 chinese 10 older 10 older 11 than 11 than 13 years 12 64 13 years 15 and 16 measured 15 and 24 by 16 measured 20 mass 17 their 20 mass 18 appendicular 20 mass 19 skeletal 20 mass 20 mass 22 asm 21 ( 22 asm 22 asm 23 ) 24 by 31 absorptiometry 25 dual 27 energy 25 dual 30 ray 26 - 27 energy 27 energy 28 x 27 energy 29 - 30 ray 31 absorptiometry 32 , 36 and 32 , 38 speed 33 grip 34 strength 34 strength 36 and 35 , 36 and 36 and 37 gait 36 and 38 speed 38 speed 41 and 39 at 40 baseline 39 at 41 and 41 and 42 after 42 after 44 years 43 2 44 years muscle mass and gait speed were additionally measured after 4 years . 0 ###LEFT-WALL### 2 mass 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 12 . 1 muscle 2 mass 3 and 5 speed 3 and 6 were 4 gait 5 speed 5 speed 6 were 6 were 7 additionally 6 were 8 measured 8 measured 9 after 9 after 11 years 10 4 11 years results : after 4 years , 3018 participants completed all the measurements . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 13 . 1 results 2 : 2 : 3 after 3 after 5 years 4 4 5 years 6 , 8 participants 6 , 9 completed 7 3018 8 participants 8 participants 9 completed 9 completed 10 all 10 all 11 the 10 all 12 measurements 11 the 12 measurements muscle [mass] was [relatively] preserved in comparison with grip strength and gait speed . 0 ###LEFT-WALL### 1 muscle 0 ###LEFT-WALL### 5 preserved 0 ###LEFT-WALL### 14 . 1 muscle 3 was 3 was 5 preserved 5 preserved 6 in 5 preserved 8 with 6 in 7 comparison 8 with 11 and 9 grip 10 strength 10 strength 11 and 11 and 13 speed 12 gait 13 speed the percentage loss of asm in 4 years was - 1.59 % [and] - 2.02 % in men and women , respectively . 0 ###LEFT-WALL### 3 loss 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 23 . 1 the 3 loss 2 percentage 3 loss 3 loss 4 of 3 loss 9 was 4 of 5 asm 5 asm 6 in 6 in 8 years 7 4 8 years 9 was 12 % 9 was 22 respectively 10 - 11 1.59 11 1.59 12 % 12 % 19 and 14 - 19 and 15 2.02 17 in 16 % 17 in 17 in 18 men 18 men 19 and 19 and 20 women 19 and 21 , the percentage decline in gait speed after 4 years was - 8.2 % in men and - 9.0 % in women . 0 ###LEFT-WALL### 3 decline 0 ###LEFT-WALL### 10 was 0 ###LEFT-WALL### 22 . 1 the 3 decline 2 percentage 3 decline 3 decline 4 in 3 decline 10 was 4 in 6 speed 5 gait 6 speed 6 speed 7 after 7 after 9 years 8 4 9 years 10 was 13 % 11 - 12 8.2 12 8.2 13 % 13 % 14 in 14 in 16 and 15 men 16 and 16 and 21 women 17 - 18 9.0 18 9.0 20 in 19 % 20 in 20 in 21 women however , the decline in grip strength was more rapid , particularly in women , which was - 10.0 % in 2 years and less [so] in men , - 3.85 % in 2 years . 0 ###LEFT-WALL### 4 decline 0 ###LEFT-WALL### 8 was 0 ###LEFT-WALL### 15 , 1 however 2 , 1 however 4 decline 3 the 4 decline 4 decline 5 in 4 decline 8 was 5 in 7 strength 6 grip 7 strength 8 was 9 more 8 was 10 rapid 10 rapid 13 in 11 , 12 particularly 11 , 13 in 13 in 14 women 13 in 15 , 15 , 16 which 15 , 17 was 16 which 17 was 17 was 28 men 18 - 19 10.0 19 10.0 21 in 20 % 21 in 21 in 28 men 22 2 27 in 23 years 24 and 24 and 25 less 24 and 27 in 27 in 28 men 28 men 32 % 29 , 32 % 30 - 31 3.85 31 3.85 32 % 32 % 33 in 32 % 36 . 33 in 35 years 34 2 35 years conclusion : compared with black people and white people , the [older] chinese have less muscle mass , weaker grip strength and slower gait speed . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 3 compared 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 26 . 1 conclusion 2 : 2 : 3 compared 3 compared 4 with 4 with 7 and 5 black 6 people 6 people 7 and 7 and 9 people 8 white 9 people 10 , 13 chinese 10 , 17 mass 10 , 18 , 11 the 13 chinese 13 chinese 14 have 14 have 16 muscle 14 have 17 mass 15 less 16 muscle 18 , 22 and 18 , 25 speed 19 weaker 20 grip 20 grip 21 strength 21 strength 22 and 22 and 24 gait 22 and 25 speed 23 slower 24 gait although the rate of loss of asm was modest , the decline in gait speed was rapid and the decline in grip strength was particularly fast in older chinese women . 0 ###LEFT-WALL### 12 decline 0 ###LEFT-WALL### 16 was 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 31 . 1 although 3 rate 1 although 8 was 1 although 10 , 1 although 12 decline 2 the 3 rate 3 rate 4 of 3 rate 8 was 4 of 5 loss 5 loss 6 of 6 of 7 asm 8 was 9 modest 11 the 12 decline 12 decline 13 in 12 decline 16 was 13 in 15 speed 14 gait 15 speed 16 was 17 rapid 18 and 20 decline 18 and 24 was 19 the 20 decline 20 decline 21 in 20 decline 24 was 21 in 23 strength 22 grip 23 strength 24 was 26 fast 25 particularly 26 fast 26 fast 27 in 27 in 30 women 28 older 30 women 29 chinese 30 women methods : using the whole community sampling method , a total of 285 men and 264 women aged over 65 years were randomly sampled ( response rate [=] 50 [%] ) from tianliao district , southern taiwan , in 2012 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 41 . 1 methods 2 : 2 : 3 using 3 using 6 community 4 the 6 community 5 whole 6 community 6 community 7 sampling 7 sampling 8 method 9 , 15 and 10 a 11 total 11 total 12 of 11 total 15 and 12 of 14 men 13 285 14 men 15 and 17 women 16 264 17 women 17 women 18 aged 18 aged 19 over 18 aged 32 from 18 aged 39 in 19 over 20 65 20 65 21 years 20 65 22 were 20 65 24 sampled 20 65 27 rate 21 years 22 were 22 were 23 randomly 25 ( 27 rate 26 response 27 rate 27 rate 29 50 27 rate 31 ) 32 from 34 district 33 tianliao 34 district 34 district 37 taiwan 35 , 37 taiwan 36 southern 37 taiwan 37 taiwan 38 , 39 in 40 2012 participants were interviewed by trained investigators to complete a validated structural questionnaire . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 3 interviewed 0 ###LEFT-WALL### 13 . 1 participants 2 were 2 were 3 interviewed 3 interviewed 4 by 3 interviewed 7 to 4 by 6 investigators 5 trained 6 investigators 7 to 8 complete 8 complete 12 questionnaire 9 a 12 questionnaire 10 validated 12 questionnaire 11 structural 12 questionnaire body composition was measured by bioelectrical impedance analysis , and skeletal muscle mass was estimated by janssen 's equation . 0 ###LEFT-WALL### 1 body 0 ###LEFT-WALL### 15 estimated 0 ###LEFT-WALL### 20 . 1 body 2 composition 1 body 3 was 1 body 4 measured 1 body 14 was 2 composition 3 was 4 measured 5 by 5 by 10 and 6 bioelectrical 7 impedance 7 impedance 8 analysis 8 analysis 10 and 9 , 10 and 10 and 13 mass 11 skeletal 12 muscle 12 muscle 13 mass 14 was 15 estimated 15 estimated 16 by 16 by 19 equation 17 janssen 18 's 18 's 19 equation the mini - nutritional assessment ( mna ) score , short portable mental status questionnaire , grip strength , gait speed and short physical performance battery ( sppb ) were obtained by the standard procedures . 0 ###LEFT-WALL### 9 score 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 36 . 1 the 9 score 2 mini 7 mna 2 mini 9 score 3 - 7 mna 4 nutritional 5 assessment 5 assessment 7 mna 6 ( 7 mna 7 mna 8 ) 10 , 22 and 10 , 31 obtained 11 short 12 portable 12 portable 13 mental 13 mental 14 status 14 status 15 questionnaire 15 questionnaire 16 , 16 , 18 strength 16 , 19 , 17 grip 18 strength 19 , 21 speed 19 , 22 and 20 gait 21 speed 22 and 26 battery 22 and 28 sppb 22 and 30 were 23 short 26 battery 24 physical 25 performance 25 performance 26 battery 27 ( 28 sppb 28 sppb 29 ) 30 were 31 obtained 31 obtained 32 by 32 by 35 procedures 33 the 35 procedures 34 standard 35 procedures sarcopenia and severe sarcopenia were defined according to the 2010 consensus of the report of the european working group on sarcopenia in older people . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 6 defined 0 ###LEFT-WALL### 25 . 1 sarcopenia 2 and 2 and 4 sarcopenia 2 and 5 were 3 severe 4 sarcopenia 5 were 6 defined 6 defined 8 to 6 defined 20 on 7 according 8 to 8 to 11 consensus 9 the 11 consensus 10 2010 11 consensus 11 consensus 12 of 11 consensus 15 of 12 of 14 report 13 the 14 report 15 of 19 group 16 the 17 european 17 european 19 group 18 working 19 group 20 on 24 people 21 sarcopenia 22 in 21 sarcopenia 24 people 22 in 23 older results : of the 549 study participants , 39 ( 7.1 % ) were classified as having sarcopenia and 31 ( 5.6 % ) [participants] were classified as having severe sarcopenia . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 2 : 9 39 2 : 14 were 2 : 19 and 3 of 7 participants 3 of 8 , 3 of 9 39 4 the 5 549 5 549 7 participants 6 study 7 participants 9 39 12 % 9 39 14 were 10 ( 12 % 11 7.1 12 % 12 % 13 ) 14 were 15 classified 15 classified 16 as 16 as 18 sarcopenia 17 having 18 sarcopenia 19 and 20 31 19 and 27 classified 20 31 23 % 20 31 26 were 21 ( 23 % 22 5.6 23 % 23 % 24 ) 26 were 27 classified 27 classified 28 as 28 as 31 sarcopenia 29 having 31 sarcopenia 30 severe 31 sarcopenia using multiple logistic regression models , the age , sex , working status , waist circumference , body mass index , hypertensive history , mna and sppb score were independently associated with different stages of sarcopenia . 0 ###LEFT-WALL### 26 and 0 ###LEFT-WALL### 31 associated 0 ###LEFT-WALL### 37 . 1 using 5 models 1 using 6 , 1 using 26 and 2 multiple 4 regression 3 logistic 4 regression 4 regression 5 models 7 the 8 age 8 age 9 , 9 , 10 sex 9 , 11 , 11 , 13 status 11 , 14 , 12 working 13 status 14 , 16 circumference 14 , 17 , 15 waist 16 circumference 17 , 20 index 17 , 21 , 18 body 20 index 19 mass 20 index 21 , 23 history 21 , 24 , 22 hypertensive 23 history 24 , 25 mna 24 , 26 and 26 and 28 score 26 and 29 were 27 sppb 28 score 29 were 31 associated 30 independently 31 associated 31 associated 32 with 32 with 34 stages 33 different 34 stages 34 stages 35 of 35 of 36 sarcopenia conclusions : approximately one - fifth of community [-] dwelling older adults were facing the threat of sarcopenia in southern taiwan . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 22 . 1 conclusions 2 : 2 : 4 one 3 approximately 4 one 5 - 6 fifth 5 - 13 were 6 fifth 7 of 6 fifth 13 were 7 of 12 adults 8 community 10 dwelling 10 dwelling 12 adults 11 older 12 adults 13 were 14 facing 14 facing 16 threat 15 the 16 threat 16 threat 17 of 17 of 18 sarcopenia 18 sarcopenia 19 in 19 in 21 taiwan 20 southern 21 taiwan the older age , female sex , lower body mass index , higher waist circumference , a history [of] hypertension , lower mna or sppb score and not working regularly were associated factors for either sarcopenia or severe sarcopenia . 0 ###LEFT-WALL### 24 or 0 ###LEFT-WALL### 26 score 0 ###LEFT-WALL### 27 and 0 ###LEFT-WALL### 40 . 1 the 3 age 2 older 3 age 3 age 4 , 4 , 6 sex 4 , 7 , 5 female 6 sex 7 , 11 index 7 , 12 , 8 lower 9 body 9 body 11 index 10 mass 11 index 12 , 15 circumference 12 , 16 , 13 higher 14 waist 14 waist 15 circumference 16 , 20 hypertension 16 , 21 , 17 a 18 history 17 a 20 hypertension 18 history 20 hypertension 21 , 23 mna 21 , 24 or 22 lower 23 mna 24 or 25 sppb 24 or 26 score 27 and 28 not 27 and 29 working 27 and 31 were 29 working 30 regularly 29 working 31 were 31 were 33 factors 31 were 34 for 32 associated 33 factors 34 for 39 sarcopenia 35 either 39 sarcopenia 36 sarcopenia 37 or 37 or 38 severe 37 or 39 sarcopenia aim : to define quadriceps strength cut - off points for both sexes to be used in the working diagnosis of sarcopenia in older asian people , and to [investigate] the age - related declines of sarcopenia - related variables and correlations between those variables among community - dwelling older adults . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 7 cut 0 ###LEFT-WALL### 8 - 1 aim 2 : 2 : 3 to 2 : 4 define 3 to 4 define 4 define 5 quadriceps 5 quadriceps 6 strength 5 quadriceps 7 cut 6 strength 7 cut 8 - 13 sexes 9 off 10 points 9 off 13 sexes 11 for 12 both 11 for 13 sexes 13 sexes 14 to 13 sexes 21 of 13 sexes 22 sarcopenia 14 to 15 be 15 be 16 used 16 used 17 in 17 in 20 diagnosis 18 the 20 diagnosis 19 working 20 diagnosis 20 diagnosis 21 of 22 sarcopenia 28 and 23 in 26 people 23 in 28 and 24 older 25 asian 25 asian 26 people 27 , 28 and 28 and 29 to 29 to 41 and 31 the 40 variables 32 age 40 variables 33 - 34 related 34 related 35 declines 34 related 38 - 34 related 39 related 35 declines 36 of 36 of 37 sarcopenia 39 related 40 variables 40 variables 41 and 41 and 42 correlations 41 and 43 between 41 and 51 adults 43 between 45 variables 44 those 45 variables 45 variables 46 among 46 among 47 community 48 - 51 adults 49 dwelling 51 adults 50 older 51 adults 51 adults 52 . methods : the present 3 - year prospective study was a part of the bangkok longitudinal study by siriraj hospital for older men and women . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 - 1 methods 2 : 2 : 4 present 3 the 4 present 4 present 5 3 6 - 9 study 6 - 10 was 6 - 26 . 7 year 9 study 8 prospective 9 study 9 study 10 was 10 was 24 and 11 a 24 and 12 part 13 of 12 part 21 for 12 part 24 and 13 of 17 study 14 the 17 study 15 bangkok 16 longitudinal 16 longitudinal 17 study 17 study 18 by 18 by 20 hospital 19 siriraj 20 hospital 21 for 23 men 22 older 23 men 24 and 25 women data on 2149 participants aged ≥ 60 years were included in this analysis . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 5 aged 0 ###LEFT-WALL### 14 . 1 data 2 on 1 data 5 aged 2 on 4 participants 3 2149 4 participants 5 aged 6 ≥ 6 ≥ 8 years 6 ≥ 9 were 6 ≥ 10 included 7 60 8 years 8 years 9 were 10 included 11 in 11 in 13 analysis 12 this 13 analysis results : the quadriceps strength cut - off points , identified based on mobility decline over 2 years [of] follow up , were 18.0 kg for men and 16.0 kg for women . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 4 quadriceps 2 : 15 decline 3 the 4 quadriceps 4 quadriceps 5 strength 4 quadriceps 12 based 4 quadriceps 15 decline 5 strength 6 cut 5 strength 11 identified 5 strength 12 based 6 cut 8 off 7 - 8 off 8 off 9 points 8 off 10 , 12 based 13 on 13 on 14 mobility 15 decline 16 over 16 over 30 kg 17 2 18 years 17 2 28 and 18 years 22 , 20 follow 21 up 20 follow 22 , 22 , 23 were 22 , 26 for 23 were 25 kg 24 18.0 25 kg 26 for 27 men 28 and 29 16.0 28 and 30 kg 30 kg 31 for 31 for 32 women when these cut [-] off points were applied to the whole population aged ≥ 60 years ( n = 950 ) , the low quadriceps strength group had poorer results on all clinical variables when compared with the normal quadriceps strength group . 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 43 . 1 when 2 these 1 when 3 cut 1 when 22 , 2 these 3 cut 3 cut 5 off 3 cut 6 points 7 were 8 applied 7 were 22 , 8 applied 9 to 8 applied 14 ≥ 9 to 12 population 10 the 12 population 11 whole 12 population 12 population 13 aged 14 ≥ 19 = 15 60 16 years 16 years 19 = 17 ( 19 = 18 n 19 = 19 = 20 950 19 = 21 ) 22 , 42 group 23 the 27 group 24 low 26 strength 25 quadriceps 26 strength 26 strength 27 group 27 group 28 had 28 had 30 results 28 had 35 when 28 had 42 group 29 poorer 30 results 30 results 31 on 31 on 34 variables 32 all 34 variables 33 clinical 34 variables 35 when 36 compared 36 compared 37 with 37 with 40 quadriceps 37 with 41 strength 38 the 40 quadriceps 39 normal 40 quadriceps although nearly all of the sarcopenia - related variables declined over 2 years [of] follow up in both older men and women , more significant differences between age groups were seen in older women . 0 ###LEFT-WALL### 15 follow 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 35 . 1 although 3 all 1 although 15 follow 2 nearly 3 all 3 all 4 of 4 of 6 sarcopenia 5 the 6 sarcopenia 7 - 8 related 8 related 9 variables 8 related 11 over 8 related 15 follow 9 variables 10 declined 11 over 13 years 12 2 13 years 15 follow 16 up 15 follow 17 in 17 in 21 and 18 both 21 and 19 older 20 men 20 men 21 and 21 and 22 women 23 , 26 differences 23 , 31 seen 24 more 26 differences 25 significant 26 differences 26 differences 27 between 26 differences 30 were 27 between 29 groups 28 age 29 groups 30 were 31 seen 31 seen 32 in 32 in 34 women 33 older 34 women quadriceps strength had the highest degree [of] correlation with total lean [body] mass in all age groups ( r = 0.550 - 0.584 , p < 0.001 ) , followed by the 6 [-] min walk test in all age groups ( r = 0.449 - 0.516 , p < 0.001 ) . 0 ###LEFT-WALL### 2 strength 0 ###LEFT-WALL### 3 had 1 quadriceps 2 strength 2 strength 3 had 3 had 8 correlation 3 had 9 with 3 had 13 mass 4 the 5 highest 4 the 8 correlation 6 degree 8 correlation 9 with 11 lean 10 total 11 lean 13 mass 14 in 13 mass 31 by 13 mass 38 in 14 in 16 age 15 all 16 age 16 age 17 groups 16 age 30 followed 17 groups 20 = 17 groups 30 followed 18 ( 20 = 19 r 20 = 20 = 21 0.550 21 0.550 23 0.584 22 - 23 0.584 23 0.584 26 < 23 0.584 29 , 24 , 26 < 25 p 26 < 26 < 27 0.001 26 < 28 ) 31 by 37 test 32 the 37 test 33 6 35 min 35 min 37 test 36 walk 37 test 38 in 41 groups 39 all 41 groups 40 age 41 groups 41 groups 44 = 42 ( 44 = 43 r 44 = 44 = 45 0.449 45 0.449 47 0.516 46 - 47 0.516 47 0.516 50 < 47 0.516 53 . 48 , 50 < 49 p 50 < 50 < 51 0.001 50 < 52 ) conclusions : the quadriceps strength cut - off points of 18.0 kg for older men and 16.0 kg [for] older women would be useful as a muscle strength measurement for use in any diagnostic algorithm ; for example [,] sarcopenia diagnosis in older asian people . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 - 1 conclusions 2 : 2 : 5 strength 3 the 5 strength 4 quadriceps 5 strength 5 strength 6 cut 7 - 8 off 7 - 23 be 7 - 36 ; 7 - 40 sarcopenia 7 - 46 . 8 off 23 be 9 points 10 of 9 points 13 for 9 points 22 would 10 of 12 kg 11 18.0 12 kg 13 for 21 women 14 older 21 women 15 men 16 and 16 and 20 older 16 and 21 women 17 16.0 18 kg 18 kg 20 older 22 would 23 be 23 be 24 useful 24 useful 25 as 24 useful 30 for 24 useful 32 in 25 as 29 measurement 26 a 27 muscle 26 a 29 measurement 27 muscle 29 measurement 28 strength 29 measurement 30 for 31 use 32 in 35 algorithm 33 any 35 algorithm 34 diagnostic 35 algorithm 36 ; 40 sarcopenia 37 for 38 example 38 example 40 sarcopenia 40 sarcopenia 41 diagnosis 41 diagnosis 42 in 42 in 45 people 43 older 44 asian 44 asian 45 people aim : to develop cut - off points of muscle mass , gait speed and handgrip strength ; [and] to examine the prevalence of sarcopenia , and the relationship between sarcopenia stages and functional limitations and disability by using these cut - off points . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 - 1 aim 2 : 2 : 3 to 2 : 5 cut 3 to 4 develop 6 - 11 mass 6 - 12 , 6 - 45 . 7 off 8 points 7 off 11 mass 8 points 9 of 9 of 10 muscle 12 , 15 and 12 , 18 ; 13 gait 14 speed 14 speed 15 and 15 and 17 strength 16 handgrip 17 strength 18 ; 20 to 18 ; 21 examine 20 to 21 examine 21 examine 23 prevalence 21 examine 30 between 21 examine 43 off 22 the 23 prevalence 23 prevalence 24 of 24 of 27 and 25 sarcopenia 27 and 26 , 27 and 27 and 29 relationship 28 the 29 relationship 30 between 36 and 31 sarcopenia 32 stages 32 stages 33 and 33 and 35 limitations 33 and 36 and 34 functional 35 limitations 36 and 37 disability 36 and 42 - 37 disability 38 by 37 disability 41 cut 38 by 39 using 39 using 40 these 43 off 44 points methods : we pooled individual participant data of 2867 community [-] dwelling older adults from five cohort studies . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 2 : 3 we 2 : 4 pooled 3 we 4 pooled 4 pooled 7 data 5 individual 6 participant 6 participant 7 data 7 data 8 of 7 data 15 from 8 of 14 adults 9 2867 14 adults 10 community 12 dwelling 12 dwelling 14 adults 13 older 14 adults 15 from 18 studies 16 five 18 studies 17 cohort 18 studies we defined the cut - off point of a muscle mass index ( asm/ht ( 2 ) ) as the values of two standard deviations below the sex [-] specific means of a young population [or] as the 20th percentile of the sex - specific distribution in our study population . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 defined 0 ###LEFT-WALL### 5 - 1 we 2 defined 2 defined 4 cut 3 the 4 cut 5 - 11 mass 6 off 7 point 6 off 11 mass 7 point 8 of 8 of 10 muscle 9 a 10 muscle 11 mass 12 index 11 mass 19 as 12 index 14 asm/ht 13 ( 14 asm/ht 14 asm/ht 16 2 14 asm/ht 18 ) 15 ( 16 2 16 2 17 ) 19 as 21 values 20 the 21 values 21 values 22 of 21 values 32 of 22 of 25 deviations 23 two 25 deviations 24 standard 25 deviations 25 deviations 26 below 26 below 31 means 27 the 31 means 28 sex 31 means 30 specific 31 means 32 of 40 percentile 33 a 34 young 33 a 40 percentile 34 young 35 population 35 population 37 as 37 as 39 20th 38 the 39 20th 40 percentile 41 of 41 of 43 sex 42 the 43 sex 43 sex 46 distribution 44 - 46 distribution 45 specific 46 distribution 46 distribution 47 in 46 distribution 51 . 47 in 50 population 48 our 50 population 49 study 50 population the gait speed and handgrip strength cut - off points were defined as the 20th percentile of their population distributions . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 12 defined 0 ###LEFT-WALL### 21 . 1 the 3 speed 2 gait 3 speed 3 speed 4 and 4 and 7 cut 4 and 8 - 4 and 9 off 4 and 11 were 5 handgrip 7 cut 6 strength 7 cut 9 off 10 points 11 were 12 defined 12 defined 13 as 13 as 16 percentile 14 the 16 percentile 15 20th 16 percentile 16 percentile 17 of 17 of 20 distributions 18 their 20 distributions 19 population 20 distributions we also measured functional limitations , using the short physical performance battery , and the number of activities of daily living and instrumental activities of daily living difficulties . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 measured 1 we 3 measured 2 also 3 measured 3 measured 5 limitations 3 measured 7 using 4 functional 5 limitations 6 , 7 using 7 using 22 and 7 using 29 . 8 the 12 battery 9 short 10 physical 10 physical 11 performance 11 performance 12 battery 12 battery 14 and 13 , 14 and 14 and 16 number 14 and 19 of 14 and 22 and 15 the 16 number 16 number 17 of 17 of 18 activities 19 of 21 living 20 daily 21 living 22 and 24 activities 22 and 25 of 23 instrumental 24 activities 25 of 28 difficulties 26 daily 27 living 27 living 28 difficulties results : we identified the cut - off points of asm/ht ( 2 ) , gait speed and handgrip strength . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 identified 2 : 15 , 2 : 21 . 3 we 4 identified 4 identified 6 cut 5 the 6 cut 6 cut 8 off 7 - 8 off 8 off 9 points 8 off 14 ) 9 points 10 of 10 of 11 asm/ht 11 asm/ht 13 2 12 ( 13 2 13 2 14 ) 15 , 18 and 16 gait 17 speed 17 speed 18 and 18 and 20 strength 19 handgrip 20 strength by applying these cut - off points to our study population , the prevalence of sarcopenia varied from 3.9 % ( 2.5 % in women and 5.4 % in men ) to 7.3 % ( 6.5 % in women and 8.2 % in men ) . 0 ###LEFT-WALL### 14 prevalence 0 ###LEFT-WALL### 17 varied 0 ###LEFT-WALL### 46 . 1 by 2 applying 1 by 14 prevalence 2 applying 3 these 4 cut 6 off 4 cut 12 , 4 cut 14 prevalence 5 - 6 off 6 off 7 points 6 off 12 , 7 points 8 to 8 to 11 population 9 our 11 population 10 study 11 population 13 the 14 prevalence 14 prevalence 15 of 14 prevalence 17 varied 15 of 16 sarcopenia 17 varied 18 from 17 varied 32 to 18 from 20 % 19 3.9 20 % 20 % 26 and 21 ( 26 and 22 2.5 24 in 23 % 24 in 24 in 25 women 25 women 26 and 26 and 30 men 26 and 31 ) 27 5.4 29 in 28 % 29 in 29 in 30 men 32 to 34 % 33 7.3 34 % 34 % 40 and 35 ( 40 and 36 6.5 38 in 37 % 38 in 38 in 39 women 39 women 40 and 40 and 44 men 40 and 45 ) 41 8.2 43 in 42 % 43 in 43 in 44 men a higher sarcopenia stage was independently associated with a lower summary performance score , as well as more activities of daily living and instrumental activities of daily living difficulties ( p < 0.05 for all ) . 0 ###LEFT-WALL### 4 stage 0 ###LEFT-WALL### 7 associated 0 ###LEFT-WALL### 37 . 1 a 4 stage 2 higher 4 stage 3 sarcopenia 4 stage 4 stage 5 was 5 was 7 associated 6 independently 7 associated 7 associated 8 with 8 with 13 score 9 a 13 score 10 lower 11 summary 11 summary 12 performance 12 performance 13 score 13 score 15 as 14 , 15 as 15 as 23 and 15 as 36 ) 16 well 17 as 16 well 23 and 17 as 19 activities 18 more 19 activities 19 activities 20 of 20 of 22 living 21 daily 22 living 23 and 25 activities 23 and 26 of 23 and 34 for 24 instrumental 25 activities 26 of 29 difficulties 27 daily 28 living 28 living 29 difficulties 29 difficulties 32 < 30 ( 32 < 31 p 32 < 32 < 33 0.05 34 for 35 all conclusions : the prevalence of sarcopenia in community [-] dwelling older adults is comparable with those in other populations . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 prevalence 2 : 13 is 2 : 20 . 3 the 4 prevalence 4 prevalence 5 of 4 prevalence 13 is 5 of 6 sarcopenia 6 sarcopenia 7 in 7 in 12 adults 8 community 10 dwelling 10 dwelling 12 adults 11 older 12 adults 13 is 14 comparable 14 comparable 15 with 14 comparable 17 in 15 with 16 those 17 in 19 populations 18 other 19 populations a dose [-] response relationship exists between sarcopenia stages and functional limitations/disability . 0 ###LEFT-WALL### 5 relationship 0 ###LEFT-WALL### 6 exists 0 ###LEFT-WALL### 13 . 1 a 5 relationship 2 dose 5 relationship 4 response 5 relationship 5 relationship 6 exists 6 exists 7 between 7 between 10 and 8 sarcopenia 9 stages 9 stages 10 and 10 and 12 limitations/disability 11 functional 12 limitations/disability the european working group on sarcopenia in older people consensus definition using these cut [-] off points is suitable for determining sarcopenia cases in the elderly population of taiwan . 0 ###LEFT-WALL### 2 european 0 ###LEFT-WALL### 18 is 0 ###LEFT-WALL### 30 . 1 the 2 european 2 european 4 group 2 european 14 cut 2 european 18 is 3 working 4 group 4 group 5 on 4 group 7 in 4 group 12 using 4 group 14 cut 5 on 6 sarcopenia 7 in 11 definition 8 older 9 people 9 people 11 definition 10 consensus 11 definition 12 using 13 these 14 cut 16 off 16 off 17 points 18 is 19 suitable 19 suitable 20 for 19 suitable 24 in 20 for 21 determining 21 determining 23 cases 22 sarcopenia 23 cases 24 in 27 population 25 the 27 population 26 elderly 27 population 27 population 28 of 28 of 29 taiwan aim : several operative definitions and screening methods for sarcopenia have been proposed in previous studies ; however , the opinions of researchers still differ . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 6 and 2 : 13 proposed 2 : 17 ; 2 : 25 differ 2 : 26 . 3 several 5 definitions 4 operative 5 definitions 5 definitions 6 and 6 and 8 methods 6 and 9 for 6 and 11 have 7 screening 8 methods 9 for 10 sarcopenia 11 have 12 been 12 been 13 proposed 13 proposed 14 in 14 in 16 studies 15 previous 16 studies 17 ; 21 opinions 18 however 19 , 18 however 21 opinions 20 the 21 opinions 21 opinions 22 of 21 opinions 25 differ 22 of 23 researchers 24 still 25 differ we compared the prevalence of sarcopenia using two different algorithms : ( [i] [ )(the european working group on sarcopenia in older people ( ewgsop ) - suggested algorithm using gait speed as the first step [;] and [(] ii ) the muscle mass and strength algorithm . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 compared 0 ###LEFT-WALL### 28 suggested 0 ###LEFT-WALL### 48 . 1 we 2 compared 2 compared 4 prevalence 3 the 4 prevalence 4 prevalence 5 of 5 of 6 sarcopenia 6 sarcopenia 7 using 6 sarcopenia 11 : 6 sarcopenia 18 group 7 using 10 algorithms 7 using 11 : 8 two 10 algorithms 9 different 10 algorithms 12 ( 18 group 15 )(the 18 group 16 european 17 working 17 working 18 group 18 group 19 on 18 group 25 ewgsop 18 group 27 - 19 on 20 sarcopenia 20 sarcopenia 21 in 21 in 23 people 22 older 23 people 24 ( 25 ewgsop 25 ewgsop 26 ) 27 - 28 suggested 28 suggested 32 speed 28 suggested 33 as 29 algorithm 32 speed 30 using 31 gait 31 gait 32 speed 33 as 38 and 34 the 35 first 34 the 36 step 36 step 38 and 38 and 47 algorithm 40 ii 41 ) 40 ii 47 algorithm 42 the 44 mass 43 muscle 44 mass 44 mass 45 and 45 and 46 strength 45 and 47 algorithm methods : a population - based , cross - sectional survey [of] adults aged over 65 years [was] carried out . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 1 methods 2 : 2 : 4 population 3 a 4 population 4 population 6 based 5 - 6 based 6 based 7 , 7 , 8 cross 7 , 9 - 9 - 13 adults 9 - 19 carried 9 - 21 . 10 sectional 13 adults 11 survey 13 adults 13 adults 14 aged 13 adults 19 carried 14 aged 15 over 15 over 17 years 16 65 17 years 19 carried 20 out data on a total of 4811 participants were available for analysis . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 8 were 0 ###LEFT-WALL### 12 . 1 data 2 on 1 data 8 were 2 on 4 total 3 a 4 total 4 total 5 of 5 of 7 participants 6 4811 7 participants 8 were 9 available 9 available 10 for 10 for 11 analysis gait speed , grip strength and appendicular skeletal muscle mass were assessed to determine sarcopenia . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 12 assessed 0 ###LEFT-WALL### 16 . 1 gait 2 speed 2 speed 3 , 3 , 5 strength 3 , 6 and 4 grip 5 strength 6 and 10 mass 6 and 11 were 7 appendicular 9 muscle 8 skeletal 9 muscle 9 muscle 10 mass 11 were 12 assessed 12 assessed 13 to 13 to 14 determine 14 determine 15 sarcopenia appendicular skeletal muscle [mass] was estimated from bioimpedance analysis measurements and expressed as skeletal muscle mass index . 0 ###LEFT-WALL### 3 muscle 0 ###LEFT-WALL### 6 estimated 0 ###LEFT-WALL### 18 . 1 appendicular 3 muscle 2 skeletal 3 muscle 3 muscle 5 was 5 was 6 estimated 6 estimated 7 from 7 from 11 and 8 bioimpedance 10 measurements 9 analysis 10 measurements 10 measurements 11 and 11 and 17 index 12 expressed 15 muscle 13 as 14 skeletal 14 skeletal 15 muscle 15 muscle 17 index 16 mass 17 index grip strength and skeletal muscle mass index were considered to be low if they fell below the threshold of the lowest 20 % of values measured in a subset of healthy subjects . 0 ###LEFT-WALL### 11 be 0 ###LEFT-WALL### 33 . 1 grip 2 strength 2 strength 3 and 3 and 7 index 3 and 8 were 4 skeletal 5 muscle 5 muscle 7 index 6 mass 7 index 8 were 9 considered 9 considered 10 to 10 to 11 be 11 be 12 low 12 low 13 if 12 low 16 below 12 low 27 in 13 if 14 they 13 if 15 fell 14 they 15 fell 16 below 18 threshold 17 the 18 threshold 18 threshold 19 of 18 threshold 26 measured 19 of 23 % 20 the 21 lowest 20 the 23 % 22 20 23 % 23 % 24 of 24 of 25 values 27 in 29 subset 28 a 29 subset 29 subset 30 of 30 of 32 subjects 31 healthy 32 subjects we compared the prevalence rates of sarcopenia determined by the two algorithms . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 compared 0 ###LEFT-WALL### 13 . 1 we 2 compared 2 compared 5 rates 3 the 5 rates 4 prevalence 5 rates 5 rates 6 of 6 of 7 sarcopenia 7 sarcopenia 8 determined 8 determined 9 by 9 by 12 algorithms 10 the 11 two 11 two 12 algorithms results : the prevalence rate of sarcopenia in a representative sample of older japanese adults was 8.2 % for men and 6.8 % [for] women based on the ewgsop algorithm . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 rate 2 : 16 was 2 : 31 . 3 the 5 rate 4 prevalence 5 rate 5 rate 6 of 5 rate 16 was 6 of 7 sarcopenia 7 sarcopenia 8 in 8 in 11 sample 9 a 11 sample 10 representative 11 sample 11 sample 12 of 12 of 15 adults 13 older 15 adults 14 japanese 15 adults 16 was 18 % 17 8.2 18 % 18 % 19 for 18 % 26 based 19 for 21 and 20 men 21 and 21 and 25 women 22 6.8 23 % 23 % 25 women 26 based 27 on 27 on 30 algorithm 28 the 30 algorithm 29 ewgsop 30 algorithm the two algorithms identified the same participants as sarcopenic , the only difference being the ewgsop algorithm classified an additional seven participants ( 0.15 % ) into sarcopenia compared with the muscle mass and strength algorithm . 0 ###LEFT-WALL### 3 algorithms 0 ###LEFT-WALL### 4 identified 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 37 . 1 the 2 two 2 two 3 algorithms 3 algorithms 4 identified 4 identified 7 participants 4 identified 8 as 5 the 6 same 6 same 7 participants 8 as 9 sarcopenic 10 , 13 difference 10 , 18 classified 11 the 12 only 11 the 13 difference 13 difference 14 being 13 difference 18 classified 14 being 17 algorithm 15 the 17 algorithm 16 ewgsop 17 algorithm 18 classified 22 participants 18 classified 27 into 19 an 20 additional 20 additional 21 seven 21 seven 22 participants 22 participants 25 % 23 ( 25 % 24 0.15 25 % 25 % 26 ) 27 into 28 sarcopenia 28 sarcopenia 29 compared 29 compared 30 with 30 with 34 and 31 the 33 mass 32 muscle 33 mass 33 mass 34 and 34 and 36 algorithm 35 strength 36 algorithm conclusion : it is debatable whether inclusion of gait speed is necessary when screening for sarcopenia in community [-] dwelling older adults . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 it 2 : 4 is 2 : 23 . 3 it 4 is 4 is 5 debatable 5 debatable 6 whether 6 whether 7 inclusion 6 whether 11 is 7 inclusion 8 of 7 inclusion 11 is 8 of 10 speed 9 gait 10 speed 11 is 12 necessary 12 necessary 13 when 13 when 14 screening 14 screening 15 for 14 screening 17 in 14 screening 22 adults 15 for 16 sarcopenia 17 in 20 dwelling 18 community 20 dwelling 21 older 22 adults future research should examine the necessity of including gait speed in algorithms and the validity of cut [-] off values . 0 ###LEFT-WALL### 1 future 0 ###LEFT-WALL### 17 cut 0 ###LEFT-WALL### 21 . 1 future 2 research 1 future 16 of 1 future 17 cut 2 research 3 should 3 should 4 examine 4 examine 6 necessity 4 examine 11 in 5 the 6 necessity 6 necessity 7 of 7 of 8 including 8 including 10 speed 9 gait 10 speed 11 in 13 and 12 algorithms 13 and 13 and 15 validity 13 and 16 of 14 the 15 validity 17 cut 19 off 17 cut 20 values aim : sarcopenia is a well - recognized geriatric syndrome , which is associated with a variety of adverse outcomes . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 3 sarcopenia 2 : 4 is 2 : 7 - 3 sarcopenia 4 is 4 is 6 well 5 a 6 well 7 - 10 syndrome 7 - 11 , 7 - 21 . 8 recognized 10 syndrome 9 geriatric 10 syndrome 11 , 12 which 11 , 14 associated 12 which 13 is 13 is 14 associated 14 associated 15 with 15 with 17 variety 16 a 17 variety 17 variety 18 of 18 of 20 outcomes 19 adverse 20 outcomes the present study aimed to evaluate the prevalence of sarcopenia and its associative clinical characteristics in taiwan . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 aimed 0 ###LEFT-WALL### 18 . 1 the 3 study 2 present 3 study 3 study 4 aimed 4 aimed 5 to 4 aimed 6 evaluate 5 to 6 evaluate 6 evaluate 11 and 6 evaluate 16 in 7 the 11 and 8 prevalence 9 of 8 prevalence 11 and 9 of 10 sarcopenia 11 and 15 characteristics 12 its 15 characteristics 13 associative 15 characteristics 14 clinical 15 characteristics 16 in 17 taiwan methods : data of the [i] [-] lan longitudinal aging study ( ilas ) were retrieved for this study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 2 : 3 data 2 : 16 retrieved 3 data 4 of 3 data 15 were 4 of 13 ilas 5 the 13 ilas 8 lan 9 longitudinal 9 longitudinal 10 aging 10 aging 11 study 11 study 13 ilas 12 ( 13 ilas 13 ilas 14 ) 15 were 16 retrieved 16 retrieved 17 for 17 for 19 study 18 this 19 study sarcopenia was defined according to the european working group on sarcopenia in older people criteria , and comparisons of demographic characteristics , physical performance , body composition , cardiometabolic profiles and functionality indicators were carried out . 0 ###LEFT-WALL### 1 sarcopenia 0 ###LEFT-WALL### 3 defined 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 37 . 1 sarcopenia 2 was 2 was 3 defined 3 defined 5 to 4 according 5 to 5 to 17 and 6 the 7 european 7 european 9 group 8 working 9 group 9 group 10 on 9 group 12 in 9 group 17 and 10 on 11 sarcopenia 12 in 15 criteria 13 older 14 people 14 people 15 criteria 16 , 17 and 17 and 18 comparisons 17 and 19 of 19 of 21 characteristics 20 demographic 21 characteristics 21 characteristics 24 performance 22 , 24 performance 23 physical 24 performance 24 performance 25 , 25 , 31 and 25 , 35 carried 26 body 27 composition 27 composition 28 , 28 , 30 profiles 28 , 31 and 29 cardiometabolic 30 profiles 31 and 33 indicators 31 and 34 were 32 functionality 33 indicators 34 were 35 carried 35 carried 36 out results : overall , data of 1008 participants ( mean age 65.2 ± 9.3 years , male 50.6 [%] ) were retrieved for analysis . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 25 . 1 results 2 : 2 : 3 overall 4 , 5 data 4 , 22 retrieved 5 data 6 of 5 data 21 were 6 of 8 participants 7 1008 8 participants 8 participants 15 years 9 ( 15 years 10 mean 11 age 11 age 15 years 12 65.2 13 ± 13 ± 15 years 14 9.3 15 years 15 years 17 male 15 years 20 ) 16 , 17 male 17 male 18 50.6 17 male 20 ) 21 were 22 retrieved 22 retrieved 23 for 23 for 24 analysis the cut [-] off value of relative appendicular skeletal muscle was 7.0 kg / [m] ( 2 ) for men and 5.9 kg / [m] ( 2 ) for women . 0 ###LEFT-WALL### 2 cut 0 ###LEFT-WALL### 11 was 0 ###LEFT-WALL### 31 . 1 the 2 cut 2 cut 4 off 2 cut 6 of 2 cut 11 was 4 off 5 value 6 of 10 muscle 7 relative 10 muscle 8 appendicular 10 muscle 9 skeletal 10 muscle 11 was 14 / 11 was 19 for 11 was 29 for 12 7.0 13 kg 13 kg 14 / 14 / 17 2 16 ( 17 2 17 2 18 ) 19 for 21 and 20 men 21 and 21 and 24 / 21 and 27 2 22 5.9 23 kg 23 kg 24 / 26 ( 27 2 27 2 28 ) 29 for 30 women sarcopenia was significantly related to low body mass index [,] smaller waist circumference [,] poor nutrition and poor cognition . 0 ###LEFT-WALL### 1 sarcopenia 0 ###LEFT-WALL### 4 related 0 ###LEFT-WALL### 20 . 1 sarcopenia 2 was 2 was 4 related 3 significantly 4 related 4 related 5 to 5 to 17 and 6 low 7 body 7 body 9 index 8 mass 9 index 9 index 16 nutrition 11 smaller 12 waist 12 waist 13 circumference 13 circumference 16 nutrition 15 poor 16 nutrition 16 nutrition 17 and 17 and 19 cognition 18 poor 19 cognition the mean carotid intima - media thickness and cardiometabolic parameters showed no statistically significant findings . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 11 showed 0 ###LEFT-WALL### 16 . 1 the 7 thickness 2 mean 7 thickness 3 carotid 6 media 4 intima 5 - 4 intima 6 media 6 media 7 thickness 7 thickness 8 and 8 and 10 parameters 8 and 11 showed 9 cardiometabolic 10 parameters 11 showed 15 findings 12 no 15 findings 13 statistically 14 significant 14 significant 15 findings conclusions : the present paper showed the epidemiology of sarcopenia , and the strong connection to functionality indicators . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 5 paper 2 : 6 showed 2 : 19 . 3 the 5 paper 4 present 5 paper 5 paper 6 showed 6 showed 8 epidemiology 6 showed 12 and 6 showed 16 to 7 the 8 epidemiology 8 epidemiology 9 of 9 of 10 sarcopenia 11 , 12 and 12 and 15 connection 13 the 15 connection 14 strong 15 connection 16 to 18 indicators 17 functionality 18 indicators however , sarcopenia was not associated with cardiometabolic [risk] or carotid intima media thickness in the present study . 0 ###LEFT-WALL### 3 sarcopenia 0 ###LEFT-WALL### 6 associated 0 ###LEFT-WALL### 19 . 1 however 2 , 1 however 3 sarcopenia 3 sarcopenia 4 was 4 was 5 not 4 was 6 associated 6 associated 7 with 7 with 14 thickness 8 cardiometabolic 10 or 10 or 11 carotid 10 or 13 media 12 intima 13 media 13 media 14 thickness 14 thickness 15 in 15 in 18 study 16 the 18 study 17 present 18 study aim : sarcopenia and sarcopenic obesity are significant associative factors for functional impairment related to aging . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 17 . 1 aim 2 : 2 : 3 sarcopenia 4 and 6 obesity 4 and 7 are 5 sarcopenic 6 obesity 6 obesity 7 are 7 are 10 factors 8 significant 10 factors 9 associative 10 factors 10 factors 11 for 11 for 13 impairment 12 functional 13 impairment 13 impairment 14 related 13 impairment 15 to 15 to 16 aging the main aim of the present study was to investigate the prevalence of sarcopenia and sarcopenic obesity , and their associations with functional status among men aged 80 years and older in beijing . 0 ###LEFT-WALL### 3 aim 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 34 . 1 the 2 main 1 the 3 aim 3 aim 4 of 3 aim 8 was 4 of 7 study 5 the 7 study 6 present 7 study 8 was 9 to 8 was 10 investigate 9 to 10 investigate 10 investigate 12 prevalence 11 the 12 prevalence 12 prevalence 13 of 13 of 14 sarcopenia 15 and 19 and 15 and 27 aged 16 sarcopenic 17 obesity 17 obesity 19 and 18 , 19 and 19 and 21 associations 19 and 22 with 19 and 27 aged 20 their 21 associations 22 with 24 status 23 functional 24 status 24 status 25 among 25 among 26 men 27 aged 30 and 28 80 29 years 29 years 30 and 30 and 31 older 30 and 32 in 32 in 33 beijing methods : a total of 75 young healthy volunteers , and 101 older men aged 80 years and older participated in the present study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 11 and 2 : 20 participated 2 : 25 . 3 a 4 total 4 total 5 of 4 total 11 and 5 of 9 volunteers 6 75 9 volunteers 7 young 9 volunteers 8 healthy 9 volunteers 10 , 11 and 11 and 14 men 11 and 15 aged 11 and 20 participated 12 101 14 men 13 older 14 men 15 aged 18 and 16 80 17 years 17 years 18 and 18 and 19 older 20 participated 21 in 21 in 24 study 22 the 24 study 23 present 24 study demographic characteristics , anthropometry , skeletal muscle [mass] measured by [dual] x - ray absorptiometry ( dxa ) , 6 - m gait speed and handgrip strength were collected . 0 ###LEFT-WALL### 2 characteristics 0 ###LEFT-WALL### 14 ray 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 30 . 1 demographic 2 characteristics 2 characteristics 4 anthropometry 2 characteristics 7 muscle 2 characteristics 14 ray 3 , 4 anthropometry 4 anthropometry 5 , 5 , 7 muscle 6 skeletal 7 muscle 7 muscle 9 measured 7 muscle 13 - 9 measured 10 by 10 by 12 x 14 ray 15 absorptiometry 15 absorptiometry 17 dxa 16 ( 17 dxa 17 dxa 18 ) 19 , 20 6 19 , 28 were 20 6 21 - 21 - 22 m 21 - 23 gait 23 gait 24 speed 24 speed 25 and 25 and 27 strength 25 and 28 were 26 handgrip 27 strength 28 were 29 collected relative appendicular skeletal muscle index [(] rasm [ )(and percentage skeletal muscle index ( smi ) were obtained . 0 ###LEFT-WALL### 9 )(and 0 ###LEFT-WALL### 17 were 0 ###LEFT-WALL### 19 . 1 relative 4 muscle 2 appendicular 4 muscle 3 skeletal 4 muscle 4 muscle 7 rasm 5 index 7 rasm 7 rasm 9 )(and 9 )(and 13 index 9 )(and 15 smi 9 )(and 17 were 10 percentage 13 index 11 skeletal 12 muscle 12 muscle 13 index 14 ( 15 smi 15 smi 16 ) 17 were 18 obtained results : overall , the prevalence of sarcopenia was 45.7 % by using rasm . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 15 . 1 results 2 : 2 : 3 overall 4 , 6 prevalence 4 , 9 was 5 the 6 prevalence 6 prevalence 7 of 6 prevalence 9 was 7 of 8 sarcopenia 9 was 11 % 10 45.7 11 % 11 % 12 by 12 by 13 using 13 using 14 rasm by the weight - adjusted skeletal muscle index definition ( smi ) , the prevalence of sarcopenia was 53.2 % . 0 ###LEFT-WALL### 15 prevalence 0 ###LEFT-WALL### 18 was 0 ###LEFT-WALL### 21 . 1 by 3 weight 1 by 13 , 1 by 15 prevalence 2 the 3 weight 3 weight 9 definition 4 - 9 definition 5 adjusted 7 muscle 6 skeletal 7 muscle 7 muscle 9 definition 8 index 9 definition 9 definition 11 smi 9 definition 13 , 10 ( 11 smi 11 smi 12 ) 14 the 15 prevalence 15 prevalence 16 of 15 prevalence 18 was 16 of 17 sarcopenia 18 was 20 % 19 53.2 20 % the prevalence of sarcopenic obesity was lower by using rasm than smi ( 4.9 % vs 11.5 % , p < 0.05 ) . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 24 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 6 was 3 of 5 obesity 4 sarcopenic 5 obesity 6 was 7 lower 7 lower 8 by 8 by 9 using 9 using 10 rasm 9 using 11 than 9 using 21 < 11 than 12 smi 12 smi 15 % 13 ( 15 % 14 4.9 15 % 15 % 16 vs 15 % 19 , 16 vs 18 % 17 11.5 18 % 19 , 21 < 20 p 21 < 21 < 22 0.05 21 < 23 ) when we compared the sarcopenia prevalence ( [%] [ )(in obese participants , it was also remarkably lower by using rasm ( 40.0 % ) than smi ( 95.0 % ) . 0 ###LEFT-WALL### 14 it 0 ###LEFT-WALL### 15 was 0 ###LEFT-WALL### 32 . 1 when 2 we 1 when 3 compared 1 when 13 , 1 when 14 it 2 we 3 compared 3 compared 6 prevalence 3 compared 10 )(in 4 the 6 prevalence 5 sarcopenia 6 prevalence 7 ( 10 )(in 10 )(in 12 participants 10 )(in 13 , 11 obese 12 participants 14 it 15 was 15 was 16 also 15 was 17 remarkably 15 was 18 lower 18 lower 19 by 19 by 20 using 20 using 21 rasm 20 using 26 than 21 rasm 24 % 22 ( 24 % 23 40.0 24 % 24 % 25 ) 26 than 27 smi 27 smi 30 % 28 ( 30 % 29 95.0 30 % 30 % 31 ) multiple linear regression analyses showed that thigh skeletal muscle mass was positively correlated with gait speed independently [(] β [=] 0.221 , p = 0.011 ) , and total body fat ( β [=] - 0.216 , p = 0.002 [ )( age ( β [=] - 0.524 , [p] = 0.000 [ )( negatively correlated with gait speed independently . 0 ###LEFT-WALL### 1 multiple 0 ###LEFT-WALL### 5 showed 1 multiple 3 regression 1 multiple 4 analyses 1 multiple 5 showed 2 linear 3 regression 3 regression 4 analyses 5 showed 10 mass 5 showed 13 correlated 6 that 10 mass 7 thigh 9 muscle 8 skeletal 9 muscle 9 muscle 10 mass 10 mass 11 was 11 was 12 positively 11 was 13 correlated 13 correlated 14 with 14 with 16 speed 15 gait 16 speed 16 speed 28 and 17 independently 19 β 19 β 24 = 19 β 28 and 21 0.221 24 = 22 , 24 = 23 p 24 = 24 = 25 0.011 24 = 26 ) 27 , 28 and 28 and 29 total 29 total 39 = 30 body 31 fat 31 fat 33 β 32 ( 33 β 33 β 36 0.216 33 β 37 , 35 - 36 0.216 36 0.216 37 , 37 , 39 = 38 p 39 = 39 = 40 0.002 40 0.002 52 0.000 43 age 45 β 43 age 48 0.524 44 ( 45 β 45 β 47 - 47 - 48 0.524 48 0.524 49 , 49 , 52 0.000 51 = 52 0.000 52 0.000 56 correlated 52 0.000 61 . 55 negatively 56 correlated 56 correlated 57 with 56 correlated 60 independently 57 with 59 speed 58 gait 59 speed conclusions : the prevalence of sarcopenia is high either based on rasm or smi among chinese men aged 80 years and older . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 prevalence 2 : 10 based 2 : 13 or 2 : 23 . 3 the 4 prevalence 4 prevalence 5 of 4 prevalence 7 is 5 of 6 sarcopenia 7 is 8 high 7 is 10 based 9 either 10 based 10 based 11 on 11 on 12 rasm 13 or 14 smi 13 or 18 aged 14 smi 15 among 14 smi 18 aged 15 among 17 men 16 chinese 17 men 18 aged 21 and 19 80 20 years 20 years 21 and 21 and 22 older functional limitations were significantly associated with older age , skeletal muscle mass and total body fat . 0 ###LEFT-WALL### 2 limitations 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 17 . 1 functional 2 limitations 2 limitations 3 were 3 were 4 significantly 3 were 5 associated 5 associated 6 with 5 associated 16 fat 6 with 13 and 7 older 8 age 8 age 9 , 9 , 12 mass 9 , 13 and 10 skeletal 11 muscle 11 muscle 12 mass 13 and 15 body 14 total 15 body aim : the age - dependent loss of skeletal muscle [mass] is highly concerning in diverse aging populations . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 - 1 aim 2 : 2 : 4 age 3 the 4 age 5 - 7 loss 5 - 12 is 5 - 19 . 6 dependent 7 loss 7 loss 8 of 7 loss 12 is 8 of 10 muscle 9 skeletal 10 muscle 12 is 14 concerning 13 highly 14 concerning 14 concerning 15 in 14 concerning 18 populations 15 in 17 aging 16 diverse 17 aging however , age - dependent changes in muscle [mass] and the visceral fat area have not been well documented in asian populations . 0 ###LEFT-WALL### 3 age 0 ###LEFT-WALL### 4 - 1 however 2 , 1 however 3 age 4 - 6 changes 4 - 17 been 4 - 23 . 5 dependent 6 changes 6 changes 7 in 6 changes 15 have 7 in 10 and 8 muscle 10 and 10 and 14 area 11 the 14 area 12 visceral 14 area 13 fat 14 area 15 have 16 not 15 have 17 been 17 been 18 well 18 well 19 documented 19 documented 20 in 20 in 22 populations 21 asian 22 populations the aim of the present study was to evaluate the age - dependent changes in skeletal muscle mass [and] the visceral fat area in japanese adults from 40 to 79 years - [of] - age . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 32 - 0 ###LEFT-WALL### 36 . 1 the 2 aim 2 aim 3 of 2 aim 7 was 3 of 6 study 4 the 6 study 5 present 6 study 7 was 8 to 7 was 9 evaluate 8 to 9 evaluate 9 evaluate 11 age 10 the 11 age 12 - 14 changes 12 - 18 mass 13 dependent 14 changes 14 changes 15 in 14 changes 18 mass 15 in 17 muscle 16 skeletal 17 muscle 18 mass 23 area 18 mass 24 in 18 mass 29 to 20 the 23 area 21 visceral 22 fat 22 fat 23 area 24 in 26 adults 25 japanese 26 adults 27 from 29 to 28 40 29 to 29 to 30 79 30 79 31 years 31 years 32 - 32 - 34 - 34 - 35 age methods : this was a cross - sectional study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 this 2 : 4 was 2 : 7 - 2 : 10 . 3 this 4 was 4 was 6 cross 5 a 6 cross 7 - 9 study 8 sectional 9 study healthy [men] ( n = 16,379 ) and women ( n = 21,660 ) aged 40 - 79 years participated in the present study . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 15 aged 0 ###LEFT-WALL### 25 . 1 healthy 5 = 1 healthy 8 and 3 ( 5 = 4 n 5 = 5 = 6 16,379 5 = 7 ) 8 and 9 women 8 and 12 = 8 and 15 aged 10 ( 12 = 11 n 12 = 12 = 13 21,660 12 = 14 ) 15 aged 17 - 16 40 17 - 17 - 18 79 18 79 19 years 19 years 20 participated 20 participated 21 in 21 in 24 study 22 the 24 study 23 present 24 study the skeletal muscle mass and visceral fat area were measured in the study participants by bioelectrical impedance . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 9 were 0 ###LEFT-WALL### 18 . 1 the 4 mass 2 skeletal 3 muscle 3 muscle 4 mass 4 mass 5 and 5 and 8 area 5 and 9 were 6 visceral 8 area 7 fat 8 area 9 were 10 measured 10 measured 11 in 10 measured 15 by 11 in 14 participants 12 the 14 participants 13 study 14 participants 15 by 17 impedance 16 bioelectrical 17 impedance the muscle mass data were converted into the skeletal muscle mass index ( smi ) by dividing the weight by the height squared ( [kg] / [m] ( 2 ) ) . 0 ###LEFT-WALL### 4 data 0 ###LEFT-WALL### 6 converted 0 ###LEFT-WALL### 32 . 1 the 4 data 2 muscle 4 data 3 mass 4 data 4 data 5 were 5 were 6 converted 6 converted 7 into 6 converted 16 by 6 converted 20 by 7 into 12 index 8 the 12 index 9 skeletal 10 muscle 10 muscle 12 index 11 mass 12 index 12 index 14 smi 13 ( 14 smi 14 smi 15 ) 16 by 17 dividing 17 dividing 19 weight 18 the 19 weight 20 by 22 height 21 the 22 height 22 height 23 squared 22 height 26 / 24 ( 26 / 26 / 29 2 26 / 31 ) 28 ( 29 2 29 2 30 ) results : the smi showed an age - dependent decrease in both sexes . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 smi 2 : 5 showed 2 : 8 - 2 : 14 . 3 the 4 smi 4 smi 5 showed 5 showed 7 age 6 an 7 age 8 - 10 decrease 9 dependent 10 decrease 10 decrease 11 in 11 in 13 sexes 12 both 13 sexes between 40 and 79 years , the total smi decreased by 10.8 % in men and by 6.4 % in women . 0 ###LEFT-WALL### 9 smi 0 ###LEFT-WALL### 10 decreased 0 ###LEFT-WALL### 22 . 1 between 5 years 1 between 6 , 1 between 9 smi 2 40 3 and 3 and 4 79 3 and 5 years 7 the 8 total 8 total 9 smi 9 smi 10 decreased 10 decreased 11 by 10 decreased 20 in 11 by 13 % 12 10.8 13 % 13 % 16 and 14 in 15 men 14 in 16 and 16 and 17 by 17 by 19 % 18 6.4 19 % 20 in 21 women the arm smi decreased by 12.6 % in men and 4.1 % in women , and the leg smi decreased by 10.1 % in men and by 7.1 % in women in the same period . 0 ###LEFT-WALL### 3 smi 0 ###LEFT-WALL### 4 decreased 0 ###LEFT-WALL### 36 . 1 the 3 smi 2 arm 3 smi 3 smi 4 decreased 4 decreased 5 by 4 decreased 8 in 4 decreased 32 in 5 by 7 % 6 12.6 7 % 8 in 16 and 9 men 10 and 10 and 14 women 10 and 16 and 11 4.1 13 in 12 % 13 in 13 in 14 women 15 , 16 and 16 and 18 leg 16 and 19 smi 16 and 20 decreased 17 the 18 leg 19 smi 20 decreased 20 decreased 26 and 21 by 25 men 21 by 26 and 22 10.1 24 in 23 % 24 in 24 in 25 men 26 and 27 by 27 by 31 women 28 7.1 30 in 29 % 30 in 30 in 31 women 32 in 35 period 33 the 34 same 33 the 35 period in contrast , the visceral fat area showed an age [-] dependent increase in both sexes . 0 ###LEFT-WALL### 7 area 0 ###LEFT-WALL### 8 showed 0 ###LEFT-WALL### 17 . 1 in 2 contrast 1 in 3 , 1 in 7 area 4 the 7 area 5 visceral 7 area 6 fat 7 area 7 area 8 showed 8 showed 13 increase 8 showed 14 in 9 an 10 age 9 an 13 increase 10 age 12 dependent 12 dependent 13 increase 14 in 16 sexes 15 both 16 sexes the visceral fat area increased by 42.9 % in men and by 65.3 % in women . 0 ###LEFT-WALL### 4 area 0 ###LEFT-WALL### 5 increased 0 ###LEFT-WALL### 17 . 1 the 4 area 2 visceral 4 area 3 fat 4 area 4 area 5 increased 5 increased 6 by 5 increased 15 in 6 by 8 % 7 42.9 8 % 8 % 11 and 9 in 10 men 9 in 11 and 11 and 12 by 12 by 14 % 13 65.3 14 % 15 in 16 women the multiple regression analysis showed that the smi was negatively associated with visceral obesity in both sexes . 0 ###LEFT-WALL### 4 analysis 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 18 . 1 the 4 analysis 2 multiple 4 analysis 3 regression 4 analysis 4 analysis 5 showed 5 showed 6 that 6 that 8 smi 6 that 11 associated 7 the 8 smi 8 smi 9 was 9 was 10 negatively 9 was 11 associated 11 associated 12 with 12 with 14 obesity 13 visceral 14 obesity 14 obesity 15 in 15 in 17 sexes 16 both 17 sexes conclusions : in japanese adults , sex - specific changes in skeletal muscle [mass] are more prominent in the arm than in the leg . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 in 2 : 15 are 2 : 25 . 3 in 5 adults 3 in 15 are 4 japanese 5 adults 5 adults 7 sex 6 , 7 sex 7 sex 8 - 9 specific 10 changes 10 changes 11 in 10 changes 15 are 11 in 13 muscle 12 skeletal 13 muscle 15 are 17 prominent 16 more 17 prominent 17 prominent 18 in 17 prominent 21 than 18 in 20 arm 19 the 20 arm 21 than 22 in 22 in 24 leg 23 the 24 leg furthermore , the age [-] dependent increases in visceral adipose tissue might lead to loss of skeletal muscle mass . 0 ###LEFT-WALL### 7 increases 0 ###LEFT-WALL### 19 mass 0 ###LEFT-WALL### 20 . 1 furthermore 2 , 1 furthermore 7 increases 3 the 7 increases 4 age 7 increases 6 dependent 7 increases 7 increases 8 in 7 increases 19 mass 8 in 10 adipose 9 visceral 10 adipose 10 adipose 11 tissue 10 adipose 13 lead 11 tissue 12 might 12 might 13 lead 13 lead 14 to 14 to 15 loss 15 loss 16 of 16 of 18 muscle 17 skeletal 18 muscle background : decreased ability of muscles to respond to anabolic stimuli is part of the underlying mechanism for muscle loss with aging . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 ability 2 : 12 is 2 : 23 . 3 decreased 4 ability 4 ability 5 of 4 ability 7 to 4 ability 8 respond 4 ability 12 is 5 of 6 muscles 7 to 8 respond 8 respond 9 to 9 to 11 stimuli 10 anabolic 11 stimuli 12 is 13 part 13 part 14 of 14 of 17 mechanism 15 the 17 mechanism 16 underlying 17 mechanism 17 mechanism 18 for 18 for 20 loss 19 muscle 20 loss 20 loss 21 with 21 with 22 aging previous studies suggest that substantial amounts of essential amino acids ( eaa ) , whey protein and leucine are beneficial for stimulation of acute muscle protein synthesis in older adults . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 31 . 1 previous 2 studies 2 studies 3 suggest 3 suggest 4 that 4 that 17 and 4 that 19 are 5 substantial 6 amounts 6 amounts 7 of 6 amounts 14 , 7 of 10 acids 8 essential 10 acids 9 amino 10 acids 10 acids 12 eaa 11 ( 12 eaa 12 eaa 13 ) 14 , 16 protein 14 , 17 and 15 whey 16 protein 17 and 18 leucine 17 and 19 are 19 are 20 beneficial 20 beneficial 21 for 20 beneficial 28 in 21 for 22 stimulation 22 stimulation 23 of 23 of 27 synthesis 24 acute 25 muscle 25 muscle 27 synthesis 26 protein 27 synthesis 28 in 30 adults 29 older 30 adults however , these studies supplied only proteins , and no bolus studies have been done with dairy products or supplements that contained also fat and carbohydrates besides proteins . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 5 supplied 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 29 . 1 however 2 , 1 however 4 studies 3 these 4 studies 4 studies 5 supplied 5 supplied 6 only 5 supplied 7 proteins 8 , 9 and 9 and 12 studies 9 and 19 or 10 no 12 studies 11 bolus 12 studies 12 studies 19 or 13 have 14 been 13 have 19 or 14 been 15 done 15 done 16 with 16 with 18 products 17 dairy 18 products 19 or 20 supplements 20 supplements 25 and 20 supplements 27 besides 21 that 22 contained 21 that 25 and 22 contained 23 also 22 contained 24 fat 25 and 26 carbohydrates 27 besides 28 proteins the aim of this study was to evaluate whether a specifically designed nutritional supplement in older adults stimulates muscle protein synthesis acutely to a greater extent than a conventional dairy product . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 32 . 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 9 whether 9 whether 14 supplement 9 whether 18 stimulates 10 a 14 supplement 11 specifically 12 designed 12 designed 14 supplement 13 nutritional 14 supplement 14 supplement 15 in 14 supplement 18 stimulates 15 in 17 adults 16 older 17 adults 18 stimulates 21 synthesis 18 stimulates 22 acutely 18 stimulates 23 to 18 stimulates 27 than 19 muscle 21 synthesis 20 protein 21 synthesis 23 to 26 extent 24 a 26 extent 25 greater 26 extent 27 than 31 product 28 a 29 conventional 28 a 31 product 29 conventional 30 dairy 30 dairy 31 product moreover , the combined effect with resistance exercise was studied by using a unilateral resistance exercise protocol . 0 ###LEFT-WALL### 5 effect 0 ###LEFT-WALL### 10 studied 0 ###LEFT-WALL### 18 . 1 moreover 2 , 1 moreover 5 effect 3 the 5 effect 4 combined 5 effect 5 effect 6 with 5 effect 9 was 6 with 8 exercise 7 resistance 8 exercise 9 was 10 studied 10 studied 11 by 11 by 12 using 12 using 17 protocol 13 a 17 protocol 14 unilateral 15 resistance 15 resistance 17 protocol 16 exercise 17 protocol methods : utilizing [a] randomized , controlled , double blind study design , healthy older adults received a single bolus of a high whey protein , leucine - enriched supplement [(] exp [:] 20 g whey protein , 3 g total leucine , 150 kcal [;] [n] = [9] [ )( an iso - caloric milk protein control ( control [:] 6 g milk protein [;] n = 10 ) , immediately after unilateral resistance exercise . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 , 1 methods 2 : 2 : 3 utilizing 3 utilizing 5 randomized 6 , 9 double 6 , 13 , 7 controlled 8 , 7 controlled 9 double 9 double 12 design 10 blind 12 design 11 study 12 design 13 , 16 adults 13 , 17 received 14 healthy 16 adults 15 older 16 adults 16 adults 17 received 17 received 19 single 18 a 19 single 19 single 20 bolus 19 single 29 enriched 20 bolus 21 of 20 bolus 27 leucine 20 bolus 29 enriched 21 of 25 protein 22 a 25 protein 23 high 25 protein 24 whey 25 protein 26 , 27 leucine 27 leucine 28 - 29 enriched 37 protein 30 supplement 36 whey 32 exp 36 whey 34 20 35 g 35 g 36 whey 36 whey 37 protein 37 protein 42 leucine 37 protein 48 = 38 , 42 leucine 39 3 40 g 40 g 42 leucine 41 total 42 leucine 42 leucine 43 , 44 150 45 kcal 45 kcal 48 = 48 = 58 control 52 an 58 control 53 iso 54 - 53 iso 57 protein 55 caloric 57 protein 56 milk 57 protein 57 protein 58 control 58 control 65 protein 59 ( 65 protein 60 control 65 protein 62 6 63 g 63 g 64 milk 64 milk 65 protein 65 protein 68 = 65 protein 73 after 65 protein 77 . 67 n 68 = 68 = 69 10 68 = 70 ) 71 , 72 immediately 71 , 73 after 73 after 76 exercise 73 after 77 . 74 unilateral 76 exercise 75 resistance 76 exercise postprandial mixed muscle protein fractional synthesis rate ( fsr ) was measured over 4 h using a tracer infusion protocol with l - [[] ring [-] ¹³c₆ ] - phenylalanine and regular blood and muscle sampling . 0 ###LEFT-WALL### 4 protein 0 ###LEFT-WALL### 11 was 1 postprandial 2 mixed 2 mixed 4 protein 3 muscle 4 protein 4 protein 6 synthesis 4 protein 7 rate 4 protein 9 fsr 4 protein 11 was 5 fractional 6 synthesis 6 synthesis 7 rate 8 ( 9 fsr 9 fsr 10 ) 11 was 12 measured 12 measured 13 over 12 measured 16 using 13 over 15 h 14 4 15 h 16 using 20 protocol 17 a 20 protocol 18 tracer 20 protocol 19 infusion 20 protocol 20 protocol 21 with 20 protocol 27 ¹³c₆ 20 protocol 34 and 21 with 22 l 23 - 27 ¹³c₆ 25 ring 27 ¹³c₆ 27 ¹³c₆ 28 ] 29 - 34 and 30 phenylalanine 31 and 31 and 33 blood 31 and 34 and 32 regular 33 blood 34 and 36 sampling 34 and 37 . 35 muscle 36 sampling results : fsr [was] significantly higher overall after exp ( 0.0780 ± 0.0070%/h ) vs control ( 0.0574 ± 0.0066%/h ( emm ± se ) ) ( p = 0.049 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 1 results 2 : 2 : 3 fsr 3 fsr 6 higher 3 fsr 15 vs 5 significantly 6 higher 6 higher 7 overall 6 higher 8 after 8 after 9 exp 9 exp 13 0.0070%/h 10 ( 13 0.0070%/h 11 0.0780 12 ± 12 ± 13 0.0070%/h 13 0.0070%/h 14 ) 15 vs 16 control 16 control 20 0.0066%/h 16 control 29 = 17 ( 20 0.0066%/h 18 0.0574 20 0.0066%/h 19 ± 20 0.0066%/h 20 0.0066%/h 24 se 20 0.0066%/h 26 ) 21 ( 24 se 22 emm 24 se 23 ± 24 se 24 se 25 ) 27 ( 29 = 28 p 29 = 29 = 30 0.049 29 = 31 ) no interaction between treatment and exercise was observed ( p = 0.519 ) . 0 ###LEFT-WALL### 2 interaction 0 ###LEFT-WALL### 8 observed 0 ###LEFT-WALL### 14 . 1 no 2 interaction 2 interaction 3 between 2 interaction 7 was 3 between 5 and 4 treatment 5 and 5 and 6 exercise 7 was 8 observed 8 observed 11 = 9 ( 11 = 10 p 11 = 11 = 12 0.519 11 = 13 ) higher postprandial concentrations of eaa and leucine are possible mediating factors for the fsr response , while plasma insulin [increase] did not dictate the fsr response . 0 ###LEFT-WALL### 3 concentrations 0 ###LEFT-WALL### 8 are 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 27 . 1 higher 3 concentrations 2 postprandial 3 concentrations 3 concentrations 4 of 3 concentrations 8 are 4 of 6 and 5 eaa 6 and 6 and 7 leucine 8 are 11 factors 9 possible 11 factors 10 mediating 11 factors 11 factors 12 for 12 for 15 response 13 the 15 response 14 fsr 15 response 16 , 19 insulin 16 , 23 dictate 17 while 18 plasma 17 while 19 insulin 19 insulin 21 did 21 did 22 not 21 did 23 dictate 23 dictate 26 response 24 the 26 response 25 fsr 26 response moreover , when the protein intake from the supplements was expressed [per] [kg] leg lean [mass] ( llm ) , a significant correlation was observed with resting postprandial fsr ( r = 0.48 , p = 0.038 ) . 0 ###LEFT-WALL### 23 correlation 0 ###LEFT-WALL### 25 observed 0 ###LEFT-WALL### 39 . 1 moreover 2 , 1 moreover 23 correlation 2 , 3 when 3 when 6 intake 3 when 11 expressed 3 when 20 , 3 when 23 correlation 4 the 6 intake 5 protein 6 intake 6 intake 7 from 6 intake 10 was 7 from 9 supplements 8 the 9 supplements 10 was 11 expressed 11 expressed 15 lean 11 expressed 20 , 14 leg 15 lean 15 lean 18 llm 17 ( 18 llm 18 llm 19 ) 21 a 22 significant 21 a 23 correlation 22 significant 23 correlation 23 correlation 24 was 24 was 25 observed 25 observed 26 with 26 with 29 fsr 27 resting 29 fsr 28 postprandial 29 fsr 29 fsr 32 = 29 fsr 36 = 30 ( 32 = 31 r 32 = 32 = 33 0.48 34 , 36 = 35 p 36 = 36 = 37 0.038 36 = 38 ) conclusions : ingestion of a high whey protein , leucine - enriched [supplement] resulted in a larger overall postprandial muscle protein synthesis rate in healthy older subjects compared with a conventional dairy product . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 ingestion 2 : 23 rate 2 : 34 . 3 ingestion 4 of 3 ingestion 12 enriched 3 ingestion 14 resulted 4 of 8 protein 5 a 6 high 5 a 8 protein 6 high 7 whey 7 whey 8 protein 8 protein 10 leucine 9 , 10 leucine 10 leucine 11 - 14 resulted 15 in 15 in 18 overall 16 a 18 overall 17 larger 18 overall 18 overall 22 synthesis 18 overall 23 rate 19 postprandial 20 muscle 20 muscle 21 protein 21 protein 22 synthesis 22 synthesis 23 rate 23 rate 24 in 24 in 27 subjects 25 healthy 27 subjects 26 older 27 subjects 27 subjects 28 compared 27 subjects 29 with 29 with 33 product 30 a 31 conventional 30 a 33 product 31 conventional 32 dairy 32 dairy 33 product this acute effect is promising for long - term effects on parameters of muscle mass , strength and function in sarcopenic older people , which requires further study . 0 ###LEFT-WALL### 3 effect 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 8 - 1 this 2 acute 2 acute 3 effect 3 effect 4 is 4 is 5 promising 5 promising 6 for 6 for 7 long 8 - 10 effects 8 - 15 mass 8 - 16 , 8 - 29 . 9 term 10 effects 10 effects 11 on 10 effects 13 of 10 effects 15 mass 11 on 12 parameters 13 of 14 muscle 16 , 18 and 16 , 24 , 17 strength 18 and 18 and 19 function 18 and 20 in 20 in 23 people 21 sarcopenic 23 people 22 older 23 people 24 , 25 which 24 , 26 requires 25 which 26 requires 26 requires 28 study 27 further 28 study trial registration : this trial is registered in the dutch trial register under number ntr1823 . 0 ###LEFT-WALL### 2 registration 0 ###LEFT-WALL### 3 : 1 trial 2 registration 3 : 5 trial 3 : 7 registered 3 : 16 . 4 this 5 trial 5 trial 6 is 6 is 7 registered 7 registered 8 in 7 registered 13 under 8 in 12 register 9 the 10 dutch 10 dutch 12 register 11 trial 12 register 13 under 15 ntr1823 14 number 15 ntr1823 many children experience pre - school or early childhood wheezing . 0 ###LEFT-WALL### 2 children 0 ###LEFT-WALL### 3 experience 0 ###LEFT-WALL### 11 . 1 many 2 children 2 children 3 experience 3 experience 7 or 4 pre 5 - 4 pre 6 school 6 school 7 or 7 or 9 childhood 7 or 10 wheezing 8 early 9 childhood in a significant proportion symptoms disappear as the child grows , but [others] have persistent and troublesome asthma which can be life - long . 0 ###LEFT-WALL### 5 symptoms 0 ###LEFT-WALL### 14 have 1 in 4 proportion 1 in 5 symptoms 2 a 4 proportion 3 significant 4 proportion 5 symptoms 6 disappear 6 disappear 7 as 7 as 9 child 7 as 12 but 8 the 9 child 9 child 12 but 10 grows 12 but 11 , 12 but 12 but 14 have 14 have 18 asthma 14 have 24 long 15 persistent 16 and 16 and 17 troublesome 16 and 18 asthma 18 asthma 19 which 18 asthma 20 can 19 which 20 can 20 can 21 be 21 be 22 life 23 - 24 long 24 long 25 . tools to predict course [of] disease in young children are a priority for families and clinicians . 0 ###LEFT-WALL### 1 tools 0 ###LEFT-WALL### 10 are 0 ###LEFT-WALL### 17 . 1 tools 2 to 1 tools 4 course 1 tools 10 are 2 to 3 predict 3 predict 4 course 4 course 6 disease 4 course 7 in 7 in 9 children 8 young 9 children 10 are 12 priority 11 a 12 priority 12 priority 13 for 13 for 15 and 14 families 15 and 15 and 16 clinicians this review summarizes evidence from several longitudinal population - based birth - cohort studies that have identified risk factors for persistence and remission of childhood asthma . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 summarizes 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 27 . 1 this 2 review 2 review 3 summarizes 3 summarizes 4 evidence 3 summarizes 5 from 5 from 8 population 6 several 8 population 7 longitudinal 8 population 8 population 11 birth 9 - 11 birth 10 based 11 birth 11 birth 12 - 12 - 14 studies 13 cohort 14 studies 14 studies 15 that 14 studies 16 have 15 that 16 have 16 have 17 identified 17 identified 19 factors 17 identified 20 for 18 risk 19 factors 20 for 22 and 21 persistence 22 and 22 and 23 remission 22 and 24 of 24 of 26 asthma 25 childhood 26 asthma these factors include clinical characteristics , environmental and other exposures , familial factors , biomarkers of allergic inflammation , measurements of lung function [and] airway responsiveness , and genetic variants . 0 ###LEFT-WALL### 2 factors 0 ###LEFT-WALL### 3 include 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 31 . 1 these 2 factors 2 factors 3 include 3 include 5 characteristics 4 clinical 5 characteristics 6 , 8 and 6 , 19 , 7 environmental 8 and 8 and 10 exposures 8 and 13 factors 9 other 10 exposures 11 , 13 factors 12 familial 13 factors 13 factors 15 biomarkers 13 factors 19 , 14 , 15 biomarkers 15 biomarkers 16 of 15 biomarkers 19 , 16 of 18 inflammation 17 allergic 18 inflammation 19 , 28 and 20 measurements 21 of 20 measurements 28 and 21 of 26 responsiveness 22 lung 25 airway 23 function 25 airway 25 airway 26 responsiveness 27 , 28 and 28 and 30 variants 29 genetic 30 variants this review also introduces the concept of polygenic risk and genetic risk scores , and describes results from a recent study that suggests promise for the use of genetic information in predicting the course of childhood asthma . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 4 introduces 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 38 . 1 this 2 review 2 review 4 introduces 3 also 4 introduces 4 introduces 6 concept 5 the 6 concept 6 concept 7 of 7 of 9 risk 8 polygenic 9 risk 10 and 12 risk 10 and 15 and 11 genetic 12 risk 12 risk 15 and 13 scores 15 and 14 , 15 and 15 and 16 describes 15 and 17 results 17 results 18 from 17 results 22 that 17 results 24 promise 18 from 21 study 19 a 20 recent 19 a 21 study 20 recent 21 study 22 that 23 suggests 23 suggests 24 promise 24 promise 25 for 24 promise 31 in 25 for 27 use 26 the 27 use 27 use 28 of 28 of 30 information 29 genetic 30 information 31 in 32 predicting 32 predicting 34 course 33 the 34 course 34 course 35 of 35 of 37 asthma 36 childhood 37 asthma we conclude with a discussion of implications and future directions . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 conclude 0 ###LEFT-WALL### 11 . 1 we 2 conclude 2 conclude 3 with 2 conclude 10 directions 3 with 5 discussion 4 a 5 discussion 5 discussion 6 of 6 of 8 and 7 implications 8 and 8 and 9 future in the central nervous system , cholinergic and dopaminergic ( da ) neurons are among the cells most susceptible to the deleterious effects of age . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 14 are 0 ###LEFT-WALL### 26 . 1 in 5 system 1 in 6 , 1 in 8 and 2 the 5 system 3 central 5 system 4 nervous 5 system 7 cholinergic 8 and 8 and 13 neurons 8 and 14 are 9 dopaminergic 11 da 9 dopaminergic 12 ) 9 dopaminergic 13 neurons 10 ( 11 da 11 da 12 ) 14 are 15 among 15 among 17 cells 16 the 17 cells 17 cells 19 susceptible 18 most 19 susceptible 19 susceptible 20 to 20 to 23 effects 21 the 23 effects 22 deleterious 23 effects 23 effects 24 of 24 of 25 age thus , the basal forebrain cholinergic system is known to undergo moderate neurodegenerative changes during normal aging as well as severe atrophy in alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 7 system 0 ###LEFT-WALL### 9 known 0 ###LEFT-WALL### 30 . 1 thus 2 , 1 thus 7 system 3 the 7 system 4 basal 7 system 5 forebrain 7 system 6 cholinergic 7 system 7 system 8 is 8 is 9 known 9 known 10 to 9 known 20 as 10 to 11 undergo 11 undergo 14 changes 12 moderate 14 changes 13 neurodegenerative 14 changes 14 changes 15 during 15 during 17 aging 16 normal 17 aging 18 as 19 well 19 well 20 as 20 as 22 atrophy 21 severe 22 atrophy 22 atrophy 23 in 22 atrophy 28 ad 23 in 26 disease 24 alzheimer 25 's 25 's 26 disease 27 ( 28 ad 28 ad 29 ) parkinson 's disease ( pd ) , [a] degeneration of nigro - striatal da neurons is the most conspicuous reflection of the vulnerability of da neurons to age . 0 ###LEFT-WALL### 1 parkinson 0 ###LEFT-WALL### 2 's 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 29 . 1 parkinson 2 's 2 's 3 disease 3 disease 5 pd 4 ( 5 pd 5 pd 6 ) 7 , 9 degeneration 7 , 16 is 9 degeneration 10 of 9 degeneration 16 is 10 of 15 neurons 11 nigro 12 - 11 nigro 15 neurons 13 striatal 15 neurons 14 da 15 neurons 16 is 20 reflection 17 the 20 reflection 18 most 19 conspicuous 19 conspicuous 20 reflection 20 reflection 21 of 20 reflection 27 to 20 reflection 28 age 21 of 23 vulnerability 22 the 23 vulnerability 23 vulnerability 24 of 24 of 26 neurons 25 da 26 neurons 27 to 28 age overall , there is growing evidence that a progressive decline in cognitive [function] and central da activity represents basic features of normal aging both in humans and laboratory rodents . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 30 . 1 overall 2 , 1 overall 3 there 3 there 4 is 4 is 6 evidence 5 growing 6 evidence 6 evidence 7 that 6 evidence 18 represents 6 evidence 21 of 7 that 10 decline 7 that 18 represents 8 a 10 decline 9 progressive 10 decline 10 decline 11 in 10 decline 18 represents 11 in 17 activity 12 cognitive 14 and 14 and 15 central 14 and 17 activity 16 da 17 activity 18 represents 20 features 19 basic 20 features 21 of 27 and 22 normal 23 aging 22 normal 25 in 22 normal 27 and 23 aging 24 both 25 in 26 humans 27 and 29 rodents 28 laboratory 29 rodents spontaneous or environmental neurotoxin - mediated exacerbation of these processes contributes to the symptoms of ad and pd , respectively . 0 ###LEFT-WALL### 2 or 0 ###LEFT-WALL### 5 - 1 spontaneous 2 or 2 or 4 neurotoxin 3 environmental 4 neurotoxin 5 - 7 exacerbation 5 - 11 contributes 6 mediated 7 exacerbation 7 exacerbation 8 of 7 exacerbation 11 contributes 8 of 10 processes 9 these 10 processes 11 contributes 12 to 11 contributes 20 respectively 12 to 14 symptoms 13 the 14 symptoms 14 symptoms 15 of 15 of 18 pd 16 ad 17 and 17 and 18 pd 19 , 20 respectively 20 respectively 21 . in this context , neurotrophic factors that can prevent [or] delay the decline [in] cognitive function and central da activity are of clinical interest . 0 ###LEFT-WALL### 6 factors 0 ###LEFT-WALL### 21 are 0 ###LEFT-WALL### 25 . 1 in 3 context 1 in 4 , 1 in 6 factors 2 this 3 context 5 neurotrophic 6 factors 6 factors 7 that 6 factors 8 can 6 factors 21 are 7 that 8 can 8 can 9 prevent 9 prevent 20 activity 11 delay 20 activity 12 the 16 function 13 decline 16 function 15 cognitive 16 function 16 function 17 and 17 and 19 da 17 and 20 activity 18 central 19 da 21 are 22 of 22 of 24 interest 23 clinical 24 interest among them , insulin - like growth factor i and glial cell line - derived neurotrophic factor [are] emerging as powerful neuroprotective molecules . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 15 derived 0 ###LEFT-WALL### 24 . 1 among 2 them 1 among 3 , 1 among 10 and 4 insulin 5 - 4 insulin 10 and 6 like 8 factor 6 like 10 and 7 growth 8 factor 9 i 10 and 10 and 13 line 10 and 14 - 10 and 15 derived 11 glial 12 cell 12 cell 13 line 15 derived 17 factor 16 neurotrophic 17 factor 17 factor 19 emerging 19 emerging 20 as 20 as 23 molecules 21 powerful 23 molecules 22 neuroprotective 23 molecules this article discusses the experimental evidence supporting the neuroprotective relevance of these and related factors in the aging brain . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 discusses 0 ###LEFT-WALL### 20 . 1 this 2 article 2 article 3 discusses 3 discusses 6 evidence 3 discusses 16 in 4 the 6 evidence 5 experimental 6 evidence 6 evidence 7 supporting 7 supporting 10 relevance 8 the 10 relevance 9 neuroprotective 10 relevance 10 relevance 11 of 11 of 13 and 12 these 13 and 13 and 15 factors 14 related 15 factors 16 in 19 brain 17 the 19 brain 18 aging 19 brain the availability of induced pluripotent stem cells offers a new promise for the treatment of pathologies associated with the loss of specific cell types [as] for instance , nigral da neurons ( in pd ) or basal forebrain cholinergic neurons ( bfcn ) in the early stages of ad . 0 ###LEFT-WALL### 2 availability 0 ###LEFT-WALL### 8 offers 0 ###LEFT-WALL### 50 . 1 the 2 availability 2 availability 3 of 2 availability 8 offers 3 of 7 cells 4 induced 6 stem 5 pluripotent 6 stem 6 stem 7 cells 8 offers 11 promise 8 offers 31 neurons 8 offers 36 or 8 offers 44 in 9 a 11 promise 10 new 11 promise 11 promise 12 for 11 promise 15 of 12 for 14 treatment 13 the 14 treatment 15 of 16 pathologies 16 pathologies 17 associated 17 associated 18 with 18 with 20 loss 18 with 27 instance 18 with 29 nigral 19 the 20 loss 20 loss 21 of 21 of 24 types 22 specific 23 cell 23 cell 24 types 26 for 27 instance 27 instance 28 , 30 da 31 neurons 31 neurons 33 in 32 ( 33 in 33 in 34 pd 33 in 35 ) 36 or 40 neurons 37 basal 38 forebrain 38 forebrain 40 neurons 39 cholinergic 40 neurons 40 neurons 42 bfcn 41 ( 42 bfcn 42 bfcn 43 ) 44 in 47 stages 45 the 47 stages 46 early 47 stages 47 stages 48 of 48 of 49 ad recent studies documenting the use of cell reprogramming for the generation of multipotent neuronal precursors as well as functional bfcn and da neurons are reviewed . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 25 reviewed 0 ###LEFT-WALL### 26 . 1 recent 2 studies 2 studies 3 documenting 2 studies 24 are 3 documenting 5 use 3 documenting 9 for 3 documenting 17 well 3 documenting 18 as 4 the 5 use 5 use 6 of 6 of 8 reprogramming 7 cell 8 reprogramming 9 for 11 generation 10 the 11 generation 11 generation 12 of 12 of 15 precursors 13 multipotent 15 precursors 14 neuronal 15 precursors 16 as 17 well 18 as 22 da 18 as 23 neurons 19 functional 22 da 20 bfcn 21 and 21 and 22 da 22 da 23 neurons 24 are 25 reviewed community - based organizations ( cbos ) serving persons living with hiv or aids face the challenge of an aging population with more chronic diseases . 0 ###LEFT-WALL### 13 or 0 ###LEFT-WALL### 15 face 0 ###LEFT-WALL### 26 . 1 community 4 organizations 1 community 8 serving 1 community 10 living 1 community 13 or 2 - 4 organizations 3 based 4 organizations 4 organizations 6 cbos 4 organizations 7 ) 5 ( 6 cbos 6 cbos 7 ) 8 serving 9 persons 10 living 11 with 11 with 12 hiv 13 or 14 aids 13 or 15 face 15 face 17 challenge 15 face 22 with 16 the 17 challenge 17 challenge 18 of 18 of 21 population 19 an 21 population 20 aging 21 population 22 with 25 diseases 23 more 25 diseases 24 chronic 25 diseases this study assessed cancer programming needs of aids service organizations ( asos ) in new york , new jersey , and connecticut by conducting a community needs assessment . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 assessed 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 29 . 1 this 2 study 2 study 3 assessed 3 assessed 6 needs 3 assessed 9 service 4 cancer 6 needs 5 programming 6 needs 6 needs 7 of 6 needs 9 service 7 of 8 aids 9 service 10 organizations 9 service 14 in 10 organizations 12 asos 11 ( 12 asos 12 asos 13 ) 14 in 16 york 15 new 16 york 16 york 19 jersey 17 , 19 jersey 18 new 19 jersey 19 jersey 20 , 21 and 22 connecticut 21 and 27 needs 22 connecticut 23 by 22 connecticut 27 needs 23 by 24 conducting 24 conducting 26 community 25 a 26 community 27 needs 28 assessment [sixty] [(] 58 % [ )(of 103 organizations completed the survey . 0 ###LEFT-WALL### 4 % 0 ###LEFT-WALL### 9 completed 0 ###LEFT-WALL### 12 . 3 58 4 % 4 % 6 )(of 4 % 9 completed 6 )(of 8 organizations 7 103 8 organizations 9 completed 11 survey 10 the 11 survey asos conduct activities most related to early steps along the cancer care [continuum] , but they also express great interest in expanding cancer - focused programming into new areas . 0 ###LEFT-WALL### 3 activities 0 ###LEFT-WALL### 5 related 0 ###LEFT-WALL### 15 but 1 asos 3 activities 2 conduct 3 activities 4 most 5 related 5 related 6 to 5 related 9 along 5 related 14 , 6 to 8 steps 7 early 8 steps 9 along 12 care 10 the 12 care 11 cancer 12 care 14 , 15 but 15 but 16 they 15 but 18 express 16 they 18 express 17 also 18 express 18 express 20 interest 18 express 21 in 19 great 20 interest 21 in 22 expanding 22 expanding 23 cancer 23 cancer 26 programming 24 - 26 programming 25 focused 26 programming 26 programming 27 into 26 programming 30 . 27 into 29 areas 28 new 29 areas asos have resources or capacities in assisting hiv+ clients with mental health or substance abuse problems , but there exists a need for funding in undertaking [or] expanding cancer - focused programs . 0 ###LEFT-WALL### 1 asos 0 ###LEFT-WALL### 2 have 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 33 . 1 asos 2 have 2 have 4 or 2 have 6 in 2 have 15 abuse 3 resources 4 or 4 or 5 capacities 6 in 7 assisting 7 assisting 9 clients 7 assisting 10 with 8 hiv+ 9 clients 10 with 13 or 11 mental 12 health 12 health 13 or 13 or 14 substance 15 abuse 16 problems 17 , 18 but 17 , 20 exists 17 , 30 - 18 but 19 there 18 but 20 exists 20 exists 22 need 21 a 22 need 22 need 23 for 23 for 24 funding 24 funding 25 in 25 in 29 cancer 26 undertaking 28 expanding 28 expanding 29 cancer 30 - 32 programs 31 focused 32 programs asos are receptive to collaborating with researchers on disseminating cancer prevention and control knowledge in their settings . 0 ###LEFT-WALL### 1 asos 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 18 . 1 asos 2 are 2 are 3 receptive 3 receptive 4 to 3 receptive 6 with 3 receptive 8 on 3 receptive 15 in 4 to 5 collaborating 6 with 7 researchers 8 on 9 disseminating 9 disseminating 12 and 10 cancer 11 prevention 11 prevention 12 and 12 and 14 knowledge 13 control 14 knowledge 15 in 17 settings 16 their 17 settings community - academic research partnerships enable resonant training and technical assistance methods to be explored that will enhance the abilities of asos to bring cancer - related programming to their clients . 0 ###LEFT-WALL### 1 community 0 ###LEFT-WALL### 27 related 0 ###LEFT-WALL### 32 . 1 community 4 research 1 community 27 related 2 - 4 research 3 academic 4 research 4 research 5 partnerships 4 research 18 enhance 4 research 26 - 5 partnerships 6 enable 6 enable 9 and 6 enable 13 to 6 enable 18 enhance 7 resonant 8 training 8 training 9 and 9 and 12 methods 10 technical 12 methods 11 assistance 12 methods 13 to 14 be 14 be 15 explored 16 that 17 will 17 will 18 enhance 18 enhance 20 abilities 18 enhance 23 to 19 the 20 abilities 20 abilities 21 of 21 of 22 asos 23 to 24 bring 24 bring 25 cancer 27 related 28 programming 27 related 29 to 29 to 31 clients 30 their 31 clients a hypothesis has been suggested , according to which destruction of the body that occurs during senescence and carcinogenesis is likely to be regulated by the atavistic mechanism of apical dominance described by plant physiologists . 0 ###LEFT-WALL### 2 hypothesis 0 ###LEFT-WALL### 4 been 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 24 regulated 0 ###LEFT-WALL### 36 . 1 a 2 hypothesis 2 hypothesis 3 has 3 has 4 been 4 been 5 suggested 6 , 23 be 7 according 8 to 7 according 20 is 8 to 9 which 8 to 10 destruction 8 to 14 that 8 to 15 occurs 9 which 10 destruction 10 destruction 11 of 11 of 13 body 12 the 13 body 14 that 15 occurs 15 occurs 16 during 16 during 18 and 17 senescence 18 and 18 and 19 carcinogenesis 20 is 21 likely 21 likely 22 to 22 to 23 be 23 be 24 regulated 24 regulated 25 by 25 by 28 mechanism 26 the 28 mechanism 27 atavistic 28 mechanism 28 mechanism 29 of 29 of 31 dominance 30 apical 31 dominance 31 dominance 32 described 32 described 33 by 33 by 35 physiologists 34 plant 35 physiologists this mechanism is inherited from the first on earth multicellular animals that behaved the mode of life attached to benthos and to underwater objects and probably were modular sessile invertebrates . 0 ###LEFT-WALL### 2 mechanism 0 ###LEFT-WALL### 25 and 0 ###LEFT-WALL### 31 . 1 this 2 mechanism 2 mechanism 25 and 3 is 4 inherited 3 is 25 and 4 inherited 5 from 4 inherited 8 on 5 from 7 first 6 the 7 first 8 on 9 earth 9 earth 11 animals 9 earth 18 attached 10 multicellular 11 animals 11 animals 12 that 11 animals 13 behaved 11 animals 18 attached 12 that 13 behaved 13 behaved 15 mode 14 the 15 mode 15 mode 16 of 16 of 17 life 18 attached 21 and 19 to 20 benthos 19 to 21 and 21 and 22 to 22 to 24 objects 23 underwater 24 objects 25 and 27 were 26 probably 27 were 27 were 30 invertebrates 28 modular 29 sessile 29 sessile 30 invertebrates delirium is a common condition , and is associated with adverse outcomes , including increased morbidity , increased mortality , and increased health services utilization . 0 ###LEFT-WALL### 1 delirium 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 26 . 1 delirium 7 and 2 is 5 condition 2 is 7 and 3 a 5 condition 4 common 5 condition 6 , 7 and 7 and 8 is 8 is 21 and 9 associated 10 with 9 associated 21 and 10 with 12 outcomes 11 adverse 12 outcomes 12 outcomes 14 including 13 , 14 including 14 including 16 morbidity 14 including 20 , 15 increased 16 morbidity 16 morbidity 19 mortality 17 , 19 mortality 18 increased 19 mortality 19 mortality 20 , 21 and 22 increased 21 and 25 utilization 22 increased 24 services 23 health 24 services however , no medications against delirium have yet been approved . 0 ###LEFT-WALL### 4 medications 0 ###LEFT-WALL### 10 approved 0 ###LEFT-WALL### 11 . 1 however 2 , 1 however 4 medications 3 no 4 medications 4 medications 5 against 4 medications 7 have 5 against 6 delirium 7 have 9 been 8 yet 9 been 9 been 10 approved thus , delirium is still unexplored not only in the psychiatric field , but also in all medical services . 0 ###LEFT-WALL### 3 delirium 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 20 . 1 thus 2 , 1 thus 3 delirium 3 delirium 4 is 4 is 5 still 4 is 7 not 4 is 8 only 5 still 6 unexplored 8 only 14 but 9 in 12 field 9 in 14 but 10 the 12 field 11 psychiatric 12 field 13 , 14 but 14 but 15 also 14 but 16 in 16 in 19 services 17 all 19 services 18 medical 19 services in the review , delirium etiologies , prediction , diagnosis , prevention , and treatment are outlined . 0 ###LEFT-WALL### 1 in 0 ###LEFT-WALL### 16 are 0 ###LEFT-WALL### 18 . 1 in 3 review 1 in 16 are 2 the 3 review 3 review 6 etiologies 4 , 6 etiologies 5 delirium 6 etiologies 6 etiologies 7 , 8 prediction 9 , 9 , 10 diagnosis 9 , 11 , 11 , 12 prevention 11 , 14 and 13 , 14 and 14 and 15 treatment 14 and 16 are 16 are 17 outlined especially , future strategies of prediction and prevention , and the evaluation of antipsychotics from a safety perspective , are presented . 0 ###LEFT-WALL### 4 strategies 0 ###LEFT-WALL### 21 presented 0 ###LEFT-WALL### 22 . 1 especially 2 , 1 especially 4 strategies 3 future 4 strategies 4 strategies 5 of 4 strategies 20 are 5 of 10 and 6 prediction 7 and 7 and 8 prevention 7 and 10 and 9 , 10 and 10 and 12 evaluation 10 and 19 , 11 the 12 evaluation 12 evaluation 13 of 13 of 14 antipsychotics 14 antipsychotics 15 from 15 from 18 perspective 16 a 18 perspective 17 safety 18 perspective 20 are 21 presented on the basis of such points , a treatment algorithm is proposed . 0 ###LEFT-WALL### 10 algorithm 0 ###LEFT-WALL### 12 proposed 0 ###LEFT-WALL### 13 . 1 on 3 basis 1 on 7 , 1 on 10 algorithm 2 the 3 basis 3 basis 4 of 4 of 6 points 5 such 6 points 8 a 9 treatment 8 a 10 algorithm 9 treatment 10 algorithm 10 algorithm 11 is 11 is 12 proposed in alzheimer 's disease ( ad ) [patients] , depression is not rare . 0 ###LEFT-WALL### 10 depression 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 14 . 1 in 4 disease 1 in 9 , 1 in 10 depression 2 alzheimer 3 's 3 's 4 disease 4 disease 6 ad 5 ( 6 ad 6 ad 7 ) 10 depression 11 is 11 is 12 not 11 is 13 rare the prevalence of major depressive episodes has been reported to be within the range of 20 - 25 % in ad patients , despite there being no association between the severity of ad and prevalence of comorbid depressive symptoms or diagnosed depression . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 9 reported 0 ###LEFT-WALL### 43 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 7 has 3 of 6 episodes 4 major 6 episodes 5 depressive 6 episodes 7 has 8 been 8 been 9 reported 9 reported 10 to 9 reported 24 despite 9 reported 29 between 10 to 11 be 11 be 12 within 12 within 14 range 13 the 14 range 14 range 15 of 15 of 16 20 16 20 19 % 17 - 19 % 18 25 19 % 19 % 20 in 19 % 23 , 20 in 22 patients 21 ad 22 patients 24 despite 26 being 25 there 26 being 26 being 28 association 27 no 28 association 29 between 31 severity 30 the 31 severity 31 severity 32 of 31 severity 36 of 32 of 34 and 33 ad 34 and 34 and 35 prevalence 36 of 40 or 37 comorbid 39 symptoms 38 depressive 39 symptoms 39 symptoms 40 or 40 or 42 depression 41 diagnosed 42 depression depression in ad patients is associated with greater impairment of the quality of life and an increased caregiver burden . 0 ###LEFT-WALL### 1 depression 0 ###LEFT-WALL### 6 associated 0 ###LEFT-WALL### 20 . 1 depression 2 in 1 depression 5 is 2 in 4 patients 3 ad 4 patients 5 is 6 associated 6 associated 7 with 7 with 9 impairment 8 greater 9 impairment 9 impairment 10 of 10 of 12 quality 11 the 12 quality 12 quality 13 of 13 of 15 and 14 life 15 and 15 and 19 burden 16 an 19 burden 17 increased 19 burden 18 caregiver 19 burden as well as earlier placement in a nursing home [,] bio - psycho - social factors are also associated with the manifestation of depression in ad patients , and biological factors , such as the brain pathology , may be the main influence . 0 ###LEFT-WALL### 16 factors 0 ###LEFT-WALL### 19 associated 0 ###LEFT-WALL### 29 and 0 ###LEFT-WALL### 44 . 1 as 2 well 1 as 16 factors 3 as 5 placement 3 as 16 factors 4 earlier 5 placement 6 in 11 bio 6 in 12 - 6 in 16 factors 7 a 8 nursing 7 a 11 bio 8 nursing 11 bio 9 home 11 bio 13 psycho 14 - 13 psycho 16 factors 15 social 16 factors 16 factors 17 are 17 are 18 also 17 are 19 associated 19 associated 20 with 19 associated 25 in 20 with 22 manifestation 21 the 22 manifestation 22 manifestation 23 of 23 of 24 depression 25 in 27 patients 26 ad 27 patients 28 , 29 and 29 and 31 factors 29 and 40 be 30 biological 31 factors 31 factors 34 as 31 factors 39 may 32 , 34 as 33 such 34 as 34 as 37 pathology 34 as 38 , 35 the 37 pathology 36 brain 37 pathology 39 may 40 be 40 be 43 influence 41 the 42 main 41 the 43 influence depressive mood , loss of interest , and anxiety are among the most marked symptoms of depression in ad patients . 0 ###LEFT-WALL### 2 mood 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 21 . 1 depressive 2 mood 3 , 8 and 3 , 10 are 4 loss 5 of 4 loss 8 and 5 of 6 interest 7 , 8 and 8 and 9 anxiety 8 and 10 are 10 are 11 among 10 are 18 in 11 among 15 symptoms 12 the 13 most 13 most 15 symptoms 14 marked 15 symptoms 15 symptoms 16 of 16 of 17 depression 18 in 20 patients 19 ad 20 patients in comparison with major depressive disorder , in depression in ad , psychomotor retardation is more prominent , while , in major depressive disorder , somatic anxiety is more marked . 0 ###LEFT-WALL### 1 in 0 ###LEFT-WALL### 15 is 1 in 2 comparison 1 in 15 is 2 comparison 3 with 3 with 6 disorder 4 major 6 disorder 5 depressive 6 disorder 6 disorder 8 in 7 , 8 in 8 in 9 depression 8 in 12 , 9 depression 10 in 10 in 11 ad 13 psychomotor 14 retardation 14 retardation 15 is 15 is 17 prominent 16 more 17 prominent 17 prominent 19 while 18 , 19 while 19 while 27 anxiety 19 while 28 is 19 while 31 . 20 , 21 in 21 in 24 disorder 21 in 25 , 21 in 27 anxiety 22 major 23 depressive 23 depressive 24 disorder 26 somatic 27 anxiety 27 anxiety 28 is 28 is 30 marked 29 more 30 marked in the treatment of depression in ad , [non] [-] pharmacological and pharmacological therapies are applied . 0 ###LEFT-WALL### 14 therapies 0 ###LEFT-WALL### 16 applied 0 ###LEFT-WALL### 17 . 1 in 3 treatment 1 in 8 , 1 in 14 therapies 2 the 3 treatment 3 treatment 4 of 4 of 5 depression 5 depression 6 in 6 in 7 ad 11 pharmacological 12 and 12 and 13 pharmacological 12 and 14 therapies 14 therapies 15 are 15 are 16 applied basically , support and encouragement are required . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 7 required 0 ###LEFT-WALL### 8 . 1 basically 2 , 1 basically 4 and 3 support 4 and 4 and 5 encouragement 4 and 6 are 6 are 7 required in addition , psychosocial interventions , such as validation , reminiscence , physical exercise , and interventions for caregivers of those with dementia have been reported to be useful . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 26 reported 0 ###LEFT-WALL### 30 . 1 in 2 addition 1 in 10 , 1 in 16 and 2 addition 5 interventions 2 addition 8 as 3 , 5 interventions 4 psychosocial 5 interventions 5 interventions 6 , 6 , 8 as 7 such 8 as 8 as 9 validation 8 as 10 , 11 reminiscence 12 , 12 , 14 exercise 12 , 16 and 13 physical 14 exercise 15 , 16 and 16 and 17 interventions 16 and 18 for 16 and 20 of 16 and 24 have 18 for 19 caregivers 20 of 21 those 21 those 22 with 22 with 23 dementia 24 have 25 been 25 been 26 reported 26 reported 27 to 26 reported 28 be 27 to 28 be 28 be 29 useful the results of rct with antidepressants are inconsistent . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 7 are 0 ###LEFT-WALL### 9 . 1 the 2 results 2 results 3 of 2 results 7 are 3 of 4 rct 4 rct 5 with 5 with 6 antidepressants 7 are 8 inconsistent as the efficacy [of] cholinesterase inhibitor for depression in ad has been reported , it is reasonable to initially provide treatment with cholinesterase inhibitors rather than antidepressant therapy . 0 ###LEFT-WALL### 15 it 0 ###LEFT-WALL### 20 provide 0 ###LEFT-WALL### 29 . 1 as 6 inhibitor 1 as 13 reported 1 as 14 , 1 as 15 it 2 the 6 inhibitor 3 efficacy 6 inhibitor 5 cholinesterase 6 inhibitor 6 inhibitor 7 for 6 inhibitor 11 has 7 for 8 depression 8 depression 9 in 9 in 10 ad 11 has 12 been 12 been 13 reported 15 it 16 is 16 is 17 reasonable 17 reasonable 18 to 17 reasonable 20 provide 18 to 20 provide 19 initially 20 provide 20 provide 21 treatment 20 provide 26 than 21 treatment 22 with 22 with 24 inhibitors 23 cholinesterase 24 inhibitors 25 rather 26 than 26 than 28 therapy 27 antidepressant 28 therapy none none recent studies have demonstrated relationships between the disturbance of circadian rhythm and the development of lifestyle - related diseases . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 6 demonstrated 0 ###LEFT-WALL### 20 related 1 none 3 recent 1 none 4 studies 1 none 5 have 2 none 3 recent 3 recent 4 studies 5 have 6 demonstrated 6 demonstrated 7 relationships 6 demonstrated 8 between 8 between 10 disturbance 9 the 10 disturbance 10 disturbance 11 of 11 of 14 and 12 circadian 13 rhythm 13 rhythm 14 and 14 and 16 development 14 and 17 of 15 the 16 development 17 of 18 lifestyle 19 - 20 related 20 related 21 diseases 20 related 22 . first , epidemiological studies showed that rotating shift workers are more likely to develop obesity , hypertension , type 2 diabetes , coronary heart disease , and cancers than day shift employees . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 33 . 1 first 2 , 1 first 4 studies 3 epidemiological 4 studies 4 studies 5 showed 5 showed 9 workers 5 showed 10 are 6 that 7 rotating 7 rotating 8 shift 8 shift 9 workers 9 workers 10 are 10 are 12 likely 11 more 12 likely 12 likely 13 to 12 likely 14 develop 13 to 14 develop 14 develop 27 and 14 develop 29 than 15 obesity 16 , 16 , 17 hypertension 16 , 18 , 18 , 21 diabetes 18 , 22 , 19 type 21 diabetes 20 2 21 diabetes 22 , 25 disease 22 , 27 and 23 coronary 24 heart 24 heart 25 disease 26 , 27 and 27 and 28 cancers 29 than 32 employees 30 day 31 shift 31 shift 32 employees in addition , mice with their circadian rhythm chronically impaired by alteration of the light - dark cycle also develop such diseases . 0 ###LEFT-WALL### 4 mice 0 ###LEFT-WALL### 20 develop 0 ###LEFT-WALL### 23 . 1 in 2 addition 1 in 3 , 1 in 4 mice 4 mice 5 with 4 mice 11 by 4 mice 20 develop 5 with 8 rhythm 6 their 8 rhythm 7 circadian 8 rhythm 8 rhythm 10 impaired 9 chronically 10 impaired 11 by 12 alteration 12 alteration 13 of 13 of 18 cycle 14 the 18 cycle 15 light 16 - 15 light 18 cycle 17 dark 18 cycle 19 also 20 develop 20 develop 22 diseases 21 such 22 diseases furthermore , both the [genotypes] [and] genetic modifications of the clock genes are associated with the development of lifestyle - related diseases in humans and mice , respectively . 0 ###LEFT-WALL### 3 both 0 ###LEFT-WALL### 14 associated 0 ###LEFT-WALL### 29 . 1 furthermore 2 , 1 furthermore 3 both 3 both 4 the 3 both 8 modifications 3 both 13 are 4 the 8 modifications 7 genetic 8 modifications 8 modifications 9 of 9 of 12 genes 10 the 12 genes 11 clock 12 genes 13 are 14 associated 14 associated 15 with 14 associated 28 respectively 15 with 17 development 16 the 17 development 17 development 18 of 18 of 19 lifestyle 19 lifestyle 22 diseases 20 - 22 diseases 21 related 22 diseases 22 diseases 23 in 22 diseases 27 , 23 in 25 and 24 humans 25 and 25 and 26 mice finally , circadian clocks in peripheral tissues are impaired in both patients with type 2 diabetes and obese diabetic mice , probably [not] due to metabolic abnormalities , but to the lifestyle , aging , [and/or] genetic factors . 0 ###LEFT-WALL### 4 clocks 0 ###LEFT-WALL### 9 impaired 0 ###LEFT-WALL### 35 , 0 ###LEFT-WALL### 39 . 1 finally 2 , 1 finally 4 clocks 3 circadian 4 clocks 4 clocks 5 in 4 clocks 8 are 5 in 7 tissues 6 peripheral 7 tissues 8 are 9 impaired 9 impaired 10 in 9 impaired 13 with 9 impaired 25 to 10 in 12 patients 11 both 12 patients 13 with 17 and 14 type 16 diabetes 15 2 16 diabetes 16 diabetes 17 and 17 and 20 mice 18 obese 19 diabetic 19 diabetic 20 mice 21 , 22 probably 21 , 25 to 24 due 25 to 25 to 27 abnormalities 25 to 35 , 26 metabolic 27 abnormalities 27 abnormalities 29 but 28 , 29 but 29 but 30 to 29 but 35 , 30 to 32 lifestyle 31 the 32 lifestyle 32 lifestyle 34 aging 33 , 34 aging 34 aging 35 , 35 , 38 factors 37 genetic 38 factors thus , disturbance of the circadian rhythm is an important cause of lifestyle - related diseases , and therefore the circadian clocks are attractive therapeutic targets for preventing [and] treating these conditions . 0 ###LEFT-WALL### 3 disturbance 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 33 . 1 thus 2 , 1 thus 3 disturbance 3 disturbance 4 of 3 disturbance 8 is 4 of 7 rhythm 5 the 7 rhythm 6 circadian 7 rhythm 8 is 11 cause 9 an 10 important 9 an 11 cause 10 important 11 cause 11 cause 12 of 12 of 13 lifestyle 13 lifestyle 16 diseases 14 - 16 diseases 15 related 16 diseases 16 diseases 17 , 17 , 18 and 18 and 19 therefore 18 and 22 clocks 18 and 23 are 20 the 22 clocks 21 circadian 22 clocks 22 clocks 23 are 23 are 26 targets 24 attractive 26 targets 25 therapeutic 26 targets 26 targets 27 for 26 targets 30 treating 27 for 28 preventing 30 treating 32 conditions 31 these 32 conditions mitochondria [are] considered to have originated from the symbiotic invasion of bacteria with aerobic atp production into pro [-] eukaryotic cells about two billion years ago . 0 ###LEFT-WALL### 1 mitochondria 0 ###LEFT-WALL### 6 originated 0 ###LEFT-WALL### 27 . 1 mitochondria 3 considered 1 mitochondria 4 to 1 mitochondria 5 have 1 mitochondria 6 originated 4 to 5 have 6 originated 7 from 6 originated 17 into 6 originated 22 about 7 from 10 invasion 8 the 10 invasion 9 symbiotic 10 invasion 10 invasion 11 of 11 of 12 bacteria 12 bacteria 13 with 13 with 16 production 14 aerobic 16 production 15 atp 16 production 17 into 21 cells 18 pro 21 cells 20 eukaryotic 21 cells 22 about 26 ago 23 two 24 billion 24 billion 25 years 25 years 26 ago for this evolutionary reason , mitochondria [have] maintained their own genome . 0 ###LEFT-WALL### 6 mitochondria 0 ###LEFT-WALL### 8 maintained 0 ###LEFT-WALL### 12 . 1 for 4 reason 1 for 5 , 1 for 6 mitochondria 2 this 3 evolutionary 3 evolutionary 4 reason 6 mitochondria 8 maintained 8 maintained 11 genome 9 their 10 own 9 their 11 genome mitochondrial dna is circular and is inherited maternally . 0 ###LEFT-WALL### 2 dna 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 9 . 1 mitochondrial 2 dna 2 dna 5 and 3 is 4 circular 3 is 5 and 5 and 6 is 6 is 7 inherited 7 inherited 8 maternally thus , mitochondrial dna has characteristics different from nuclear dna . 0 ###LEFT-WALL### 4 dna 0 ###LEFT-WALL### 5 has 0 ###LEFT-WALL### 11 . 1 thus 2 , 1 thus 4 dna 3 mitochondrial 4 dna 4 dna 5 has 5 has 6 characteristics 6 characteristics 7 different 7 different 8 from 8 from 10 dna 9 nuclear 10 dna human mitochondrial dna is small , about 16.5 kbp in length , and encodes only two rrnas , 22 trnas , and 13 proteins . 0 ###LEFT-WALL### 3 dna 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 25 . 1 human 3 dna 2 mitochondrial 3 dna 3 dna 13 and 4 is 5 small 4 is 13 and 5 small 7 about 6 , 7 about 7 about 9 kbp 7 about 12 , 8 16.5 9 kbp 9 kbp 10 in 10 in 11 length 12 , 13 and 13 and 14 encodes 13 and 22 and 15 only 16 two 16 two 22 and 17 rrnas 18 , 18 , 20 trnas 18 , 22 and 19 22 20 trnas 21 , 22 and 22 and 24 proteins 23 13 24 proteins however , the mitochondrial genome is essential for normal integrity of the mitochondrial electron transfer system ( or respiratory chain ) . 0 ###LEFT-WALL### 5 genome 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 22 . 1 however 2 , 1 however 5 genome 3 the 5 genome 4 mitochondrial 5 genome 5 genome 6 is 6 is 7 essential 7 essential 8 for 8 for 10 integrity 9 normal 10 integrity 10 integrity 11 of 11 of 18 or 12 the 16 system 13 mitochondrial 14 electron 14 electron 16 system 15 transfer 16 system 16 system 18 or 17 ( 18 or 18 or 20 chain 18 or 21 ) 19 respiratory 20 chain the electron transfer system is not only responsible for about 90 % of cellular atp production but is also closely linked to the metabolism of fatty acids , amino acids , and nucleic acids . 0 ###LEFT-WALL### 4 system 0 ###LEFT-WALL### 17 but 0 ###LEFT-WALL### 35 . 1 the 4 system 2 electron 4 system 3 transfer 4 system 4 system 17 but 5 is 6 not 5 is 7 only 5 is 8 responsible 5 is 17 but 8 responsible 9 for 9 for 12 % 10 about 11 90 11 90 12 % 12 % 13 of 13 of 16 production 14 cellular 16 production 15 atp 16 production 17 but 18 is 18 is 21 linked 19 also 21 linked 20 closely 21 linked 21 linked 22 to 22 to 24 metabolism 23 the 24 metabolism 24 metabolism 25 of 25 of 32 and 26 fatty 27 acids 27 acids 28 , 28 , 30 acids 28 , 32 and 29 amino 30 acids 31 , 32 and 32 and 34 acids 33 nucleic 34 acids in addition , its lack of integrity can cause overproduction of reactive oxygen species . 0 ###LEFT-WALL### 5 lack 0 ###LEFT-WALL### 9 cause 0 ###LEFT-WALL### 15 . 1 in 2 addition 1 in 3 , 1 in 5 lack 4 its 5 lack 5 lack 6 of 5 lack 8 can 6 of 7 integrity 8 can 9 cause 9 cause 10 overproduction 10 overproduction 11 of 11 of 14 species 12 reactive 13 oxygen 13 oxygen 14 species therefore , mutations of the mitochondrial genome are currently believed to be involved in many common diseases as well as classical mitochondrial neuromyopathies . 0 ###LEFT-WALL### 3 mutations 0 ###LEFT-WALL### 10 believed 0 ###LEFT-WALL### 24 . 1 therefore 2 , 1 therefore 3 mutations 3 mutations 4 of 3 mutations 8 are 4 of 7 genome 5 the 7 genome 6 mitochondrial 7 genome 8 are 9 currently 8 are 10 believed 10 believed 11 to 10 believed 13 involved 11 to 12 be 12 be 13 involved 13 involved 14 in 14 in 17 diseases 15 many 17 diseases 16 common 17 diseases 17 diseases 20 as 18 as 19 well 19 well 20 as 20 as 23 neuromyopathies 21 classical 23 neuromyopathies 22 mitochondrial 23 neuromyopathies accordingly , more researchers have begun to take an interest in the association of mitochondrial dna polymorphisms with aging and common diseases such as cancer , diabetes , neurodegeneration , and so on . 0 ###LEFT-WALL### 4 researchers 0 ###LEFT-WALL### 8 take 0 ###LEFT-WALL### 34 . 1 accordingly 2 , 1 accordingly 4 researchers 3 more 4 researchers 4 researchers 5 have 5 have 6 begun 6 begun 7 to 7 to 8 take 8 take 10 interest 9 an 10 interest 10 interest 11 in 11 in 20 and 12 the 13 association 13 association 14 of 13 association 20 and 14 of 17 polymorphisms 15 mitochondrial 17 polymorphisms 16 dna 17 polymorphisms 17 polymorphisms 18 with 18 with 19 aging 20 and 22 diseases 20 and 24 as 21 common 22 diseases 23 such 24 as 24 as 31 and 25 cancer 26 , 26 , 27 diabetes 26 , 28 , 28 , 29 neurodegeneration 28 , 31 and 30 , 31 and 31 and 33 on 32 so 33 on none the generation of viable sperm proceeds through a series of coordinated steps , including germ cell self - renewal , meiotic recombination , and terminal differentiation into functional spermatozoa . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 12 coordinated 0 ###LEFT-WALL### 14 , 1 none 3 generation 1 none 11 of 1 none 12 coordinated 2 the 3 generation 3 generation 4 of 3 generation 7 proceeds 4 of 6 sperm 5 viable 6 sperm 7 proceeds 8 through 8 through 10 series 9 a 10 series 10 series 11 of 12 coordinated 13 steps 14 , 18 self 14 , 19 - 15 including 18 self 16 germ 18 self 17 cell 18 self 19 - 25 and 19 - 31 . 20 renewal 21 , 21 , 23 recombination 21 , 25 and 22 meiotic 23 recombination 24 , 25 and 25 and 27 differentiation 25 and 28 into 26 terminal 27 differentiation 28 into 30 spermatozoa 29 functional 30 spermatozoa the p53 family of transcription factors , including p53 , p63 , and p73 , are critical for many physiological processes , including female fertility , but little is known about their functions in spermatogenesis . 0 ###LEFT-WALL### 3 family 0 ###LEFT-WALL### 30 known 0 ###LEFT-WALL### 36 . 1 the 3 family 2 p53 3 family 3 family 4 of 3 family 6 factors 3 family 16 are 3 family 29 is 4 of 5 transcription 6 factors 8 including 6 factors 13 and 6 factors 16 are 7 , 8 including 8 including 9 p53 8 including 10 , 10 , 13 and 11 p63 13 and 12 , 13 and 13 and 14 p73 13 and 15 , 16 are 27 but 17 critical 18 for 17 critical 23 including 17 critical 27 but 18 for 21 processes 19 many 21 processes 20 physiological 21 processes 22 , 23 including 23 including 25 fertility 23 including 26 , 24 female 25 fertility 27 but 28 little 29 is 30 known 30 known 31 about 30 known 34 in 31 about 33 functions 32 their 33 functions 34 in 35 spermatogenesis here , we report that deficiency of the tap73 isoform , but not p53 or δnp73 , results in male infertility because of severe impairment of spermatogenesis . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 report 0 ###LEFT-WALL### 28 . 1 here 2 , 1 here 3 we 3 we 4 report 4 report 5 that 5 that 6 deficiency 5 that 18 results 6 deficiency 7 of 6 deficiency 18 results 7 of 10 isoform 8 the 10 isoform 9 tap73 10 isoform 10 isoform 12 but 11 , 12 but 12 but 13 not 12 but 15 or 12 but 17 , 14 p53 15 or 15 or 16 δnp73 18 results 19 in 18 results 22 because 19 in 21 infertility 20 male 21 infertility 22 because 23 of 23 of 25 impairment 24 severe 25 impairment 25 impairment 26 of 26 of 27 spermatogenesis mice lacking tap73 exhibited increased dna damage and cell death in spermatogonia , disorganized apical ectoplasmic specialization , malformed spermatids , and marked hyperspermia . 0 ###LEFT-WALL### 1 mice 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 25 . 1 mice 2 lacking 1 mice 4 exhibited 1 mice 13 , 2 lacking 3 tap73 5 increased 8 and 5 increased 11 in 5 increased 13 , 6 dna 7 damage 7 damage 8 and 8 and 10 death 9 cell 10 death 11 in 12 spermatogonia 13 , 22 and 14 disorganized 17 specialization 14 disorganized 22 and 15 apical 17 specialization 16 ectoplasmic 17 specialization 17 specialization 20 spermatids 18 , 20 spermatids 19 malformed 20 spermatids 20 spermatids 21 , 22 and 23 marked 23 marked 24 hyperspermia we demonstrated that tap73 regulates the mrna levels of crucial genes involved in germ stem/progenitor cells ( cdkn2b ) , spermatid maturation/spermiogenesis ( metalloproteinase and serine proteinase inhibitors ) , and steroidogenesis ( cyp21a2 and progesterone receptor ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 demonstrated 0 ###LEFT-WALL### 39 . 1 we 2 demonstrated 2 demonstrated 3 that 3 that 4 tap73 3 that 5 regulates 4 tap73 5 regulates 5 regulates 8 levels 5 regulates 13 in 6 the 8 levels 7 mrna 8 levels 8 levels 9 of 9 of 11 genes 10 crucial 11 genes 11 genes 12 involved 13 in 16 cells 14 germ 15 stem/progenitor 15 stem/progenitor 16 cells 16 cells 18 cdkn2b 16 cells 22 maturation/spermiogenesis 17 ( 18 cdkn2b 18 cdkn2b 19 ) 20 , 22 maturation/spermiogenesis 21 spermatid 22 maturation/spermiogenesis 22 maturation/spermiogenesis 31 and 22 maturation/spermiogenesis 38 ) 23 ( 31 and 24 metalloproteinase 25 and 25 and 28 inhibitors 25 and 29 ) 25 and 31 and 26 serine 28 inhibitors 27 proteinase 28 inhibitors 30 , 31 and 31 and 32 steroidogenesis 31 and 35 and 31 and 38 ) 33 ( 35 and 34 cyp21a2 35 and 35 and 37 receptor 35 and 38 ) 36 progesterone 37 receptor these alterations of testicular histology and gene expression patterns were specific to tap73 null mice and not features of mice lacking p53 . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 10 were 0 ###LEFT-WALL### 23 . 1 these 2 alterations 2 alterations 3 of 2 alterations 6 and 3 of 5 histology 4 testicular 5 histology 6 and 9 patterns 6 and 10 were 7 gene 9 patterns 8 expression 9 patterns 10 were 16 and 11 specific 12 to 11 specific 16 and 12 to 15 mice 13 tap73 15 mice 14 null 15 mice 16 and 17 not 16 and 18 features 18 features 19 of 19 of 20 mice 20 mice 21 lacking 21 lacking 22 p53 our work provides previously [unidentified] in vivo evidence that tap73 has a unique role in spermatogenesis that ensures the maintenance of mitotic cells and normal spermiogenesis . 0 ###LEFT-WALL### 2 work 0 ###LEFT-WALL### 3 provides 0 ###LEFT-WALL### 27 . 1 our 2 work 2 work 3 provides 3 provides 4 previously 3 provides 7 vivo 3 provides 8 evidence 6 in 7 vivo 8 evidence 9 that 8 evidence 18 ensures 9 that 10 tap73 9 that 18 ensures 10 tap73 11 has 11 has 14 role 12 a 14 role 13 unique 14 role 14 role 15 in 15 in 16 spermatogenesis 17 that 18 ensures 18 ensures 20 maintenance 19 the 20 maintenance 20 maintenance 21 of 21 of 24 and 22 mitotic 23 cells 23 cells 24 and 24 and 26 spermiogenesis 25 normal 26 spermiogenesis these results may have implications for the diagnosis and management of human male infertility . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 4 have 0 ###LEFT-WALL### 15 . 1 these 2 results 2 results 3 may 3 may 4 have 4 have 5 implications 5 implications 6 for 6 for 9 and 7 the 8 diagnosis 8 diagnosis 9 and 9 and 10 management 9 and 11 of 11 of 14 infertility 12 human 14 infertility 13 male 14 infertility the melanocyte stem cells of the hair follicle provide an attractive system for the study of the stem cells . 0 ###LEFT-WALL### 4 cells 0 ###LEFT-WALL### 9 provide 0 ###LEFT-WALL### 20 . 1 the 4 cells 2 melanocyte 4 cells 3 stem 4 cells 4 cells 5 of 4 cells 9 provide 5 of 8 follicle 6 the 8 follicle 7 hair 8 follicle 9 provide 12 system 10 an 11 attractive 10 an 12 system 11 attractive 12 system 12 system 13 for 13 for 15 study 14 the 15 study 15 study 16 of 16 of 19 cells 17 the 19 cells 18 stem 19 cells successful regeneration of a functional organ relies on the organized and timely orchestration of molecular events among distinct stem/progenitor cell populations . 0 ###LEFT-WALL### 2 regeneration 0 ###LEFT-WALL### 7 relies 0 ###LEFT-WALL### 22 . 1 successful 2 regeneration 2 regeneration 3 of 2 regeneration 7 relies 3 of 6 organ 4 a 5 functional 4 a 6 organ 5 functional 6 organ 7 relies 8 on 7 relies 17 among 8 on 13 orchestration 9 the 13 orchestration 10 organized 11 and 11 and 12 timely 11 and 13 orchestration 13 orchestration 14 of 14 of 16 events 15 molecular 16 events 17 among 21 populations 18 distinct 19 stem/progenitor 19 stem/progenitor 20 cell 20 cell 21 populations the stem cells are regulated by communication with their [specialized] microenvironment known as the niche . 0 ###LEFT-WALL### 3 cells 0 ###LEFT-WALL### 5 regulated 0 ###LEFT-WALL### 16 . 1 the 3 cells 2 stem 3 cells 3 cells 4 are 4 are 5 regulated 5 regulated 6 by 5 regulated 8 with 6 by 7 communication 8 with 11 microenvironment 9 their 11 microenvironment 11 microenvironment 12 known 12 known 13 as 13 as 15 niche 14 the 15 niche despite remarkable progress in understanding stem cell [-] intrinsic behavior , the molecular nature of the extrinsic factors provided to the stem cells by the niche microenvironment remains poorly understood . 0 ###LEFT-WALL### 14 nature 0 ###LEFT-WALL### 19 provided 0 ###LEFT-WALL### 31 . 1 despite 3 progress 1 despite 11 , 1 despite 14 nature 2 remarkable 3 progress 3 progress 4 in 4 in 5 understanding 5 understanding 10 behavior 6 stem 10 behavior 7 cell 10 behavior 9 intrinsic 10 behavior 12 the 14 nature 13 molecular 14 nature 14 nature 15 of 14 nature 19 provided 15 of 18 factors 16 the 18 factors 17 extrinsic 18 factors 19 provided 20 to 20 to 23 cells 21 the 23 cells 22 stem 23 cells 23 cells 24 by 24 by 28 remains 25 the 28 remains 26 niche 27 microenvironment 27 microenvironment 28 remains 28 remains 30 understood 29 poorly 30 understood in this regard , the bulge niche of the mammalian hair follicle offers an excellent model for study . 0 ###LEFT-WALL### 7 niche 0 ###LEFT-WALL### 13 offers 0 ###LEFT-WALL### 19 . 1 in 3 regard 1 in 4 , 1 in 7 niche 2 this 3 regard 5 the 7 niche 6 bulge 7 niche 7 niche 8 of 7 niche 13 offers 8 of 12 follicle 9 the 12 follicle 10 mammalian 11 hair 11 hair 12 follicle 13 offers 16 model 14 an 15 excellent 14 an 16 model 15 excellent 16 model 16 model 17 for 17 for 18 study it holds two resident populations of scs : epidermal stem cells and melanocyte stem cells . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 holds 0 ###LEFT-WALL### 8 : 0 ###LEFT-WALL### 16 . 1 it 2 holds 2 holds 5 populations 3 two 5 populations 4 resident 5 populations 5 populations 6 of 6 of 7 scs 8 : 12 and 9 epidermal 10 stem 10 stem 11 cells 11 cells 12 and 12 and 15 cells 13 melanocyte 14 stem 14 stem 15 cells while their behavior is tightly coordinated , very little of the crosstalk involved is known . 0 ###LEFT-WALL### 9 little 0 ###LEFT-WALL### 15 known 0 ###LEFT-WALL### 16 . 1 while 3 behavior 1 while 6 coordinated 1 while 7 , 1 while 9 little 2 their 3 behavior 3 behavior 4 is 4 is 6 coordinated 5 tightly 6 coordinated 6 coordinated 7 , 8 very 9 little 9 little 10 of 9 little 14 is 10 of 12 crosstalk 11 the 12 crosstalk 12 crosstalk 13 involved 14 is 15 known this review summarized the recent development in trying to understand the regulation of melanocyte and melanocyte stem cells . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 summarized 0 ###LEFT-WALL### 19 . 1 this 2 review 2 review 3 summarized 3 summarized 6 development 3 summarized 7 in 4 the 6 development 5 recent 6 development 7 in 18 cells 8 trying 9 to 8 trying 15 and 9 to 10 understand 10 understand 12 regulation 11 the 12 regulation 12 regulation 13 of 13 of 14 melanocyte 15 and 16 melanocyte 15 and 17 stem 17 stem 18 cells a better understanding of the normal regulation and behaviors of the melanocytes and the melanocyte stem cells will help to improve the clinical applications in regenerative medicine , cancer therapy , and aging . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 34 . 1 a 3 understanding 2 better 3 understanding 3 understanding 4 of 3 understanding 8 and 4 of 7 regulation 5 the 7 regulation 6 normal 7 regulation 8 and 9 behaviors 8 and 10 of 10 of 13 and 11 the 12 melanocytes 12 melanocytes 13 and 13 and 15 melanocyte 13 and 17 cells 13 and 19 help 14 the 15 melanocyte 16 stem 17 cells 17 cells 18 will 18 will 19 help 19 help 20 to 19 help 21 improve 20 to 21 improve 21 improve 24 applications 21 improve 25 in 22 the 24 applications 23 clinical 24 applications 25 in 32 and 26 regenerative 27 medicine 27 medicine 28 , 28 , 30 therapy 28 , 32 and 29 cancer 30 therapy 31 , 32 and 32 and 33 aging background : lipofuscin - like pigments ( lflp ) [are] considered a hallmark of aging . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 lipofuscin 2 : 11 considered 2 : 16 . 3 lipofuscin 5 like 3 lipofuscin 11 considered 4 - 5 like 5 like 6 pigments 5 like 9 ) 6 pigments 8 lflp 7 ( 8 lflp 8 lflp 9 ) 11 considered 13 hallmark 12 a 13 hallmark 13 hallmark 14 of 14 of 15 aging the intracellular lflp formation rate is negatively correlated with the life expectancy [of] cell . 0 ###LEFT-WALL### 5 rate 0 ###LEFT-WALL### 8 correlated 0 ###LEFT-WALL### 15 . 1 the 5 rate 2 intracellular 5 rate 3 lflp 5 rate 4 formation 5 rate 5 rate 6 is 6 is 8 correlated 7 negatively 8 correlated 8 correlated 9 with 9 with 14 cell 10 the 14 cell 11 life 14 cell 12 expectancy 14 cell in food quality , increase [of] lflp not only affects the appearance but also causes loss of nutritional value . 0 ###LEFT-WALL### 7 lflp 0 ###LEFT-WALL### 14 also 0 ###LEFT-WALL### 20 . 1 in 3 quality 1 in 4 , 1 in 7 lflp 2 food 3 quality 5 increase 7 lflp 7 lflp 14 also 8 not 9 only 9 only 14 also 10 affects 12 appearance 10 affects 14 also 11 the 12 appearance 13 but 14 also 14 also 15 causes 15 causes 16 loss 16 loss 17 of 17 of 19 value 18 nutritional 19 value results : the accumulation of lflp increased during storage of all walnuts . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 . 1 results 2 : 2 : 4 accumulation 3 the 4 accumulation 4 accumulation 5 of 4 accumulation 7 increased 5 of 6 lflp 7 increased 8 during 8 during 9 storage 9 storage 10 of 10 of 12 walnuts 11 all 12 walnuts lflp fluorescent intensities of [walnuts] with 4 % , 6 % , 12 % and 16 % moisture at the end of storage were 8.1 , 4.8 , 4.3 and 2.8 times [those] at the beginning , respectively . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 24 were 0 ###LEFT-WALL### 39 . 1 lflp 3 intensities 2 fluorescent 3 intensities 3 intensities 4 of 3 intensities 15 and 4 of 6 with 6 with 8 % 6 with 14 % 7 4 8 % 8 % 11 % 9 , 11 % 10 6 11 % 11 % 12 , 13 12 14 % 15 and 18 moisture 15 and 19 at 15 and 24 were 16 16 17 % 17 % 18 moisture 19 at 21 end 20 the 21 end 21 end 22 of 22 of 23 storage 24 were 25 8.1 24 were 38 respectively 25 8.1 27 4.8 25 8.1 32 times 26 , 27 4.8 27 4.8 28 , 28 , 32 times 29 4.3 30 and 30 and 31 2.8 30 and 32 times 32 times 34 at 32 times 37 , 34 at 36 beginning 35 the 36 beginning the lflp accumulation of walnuts with high moisture was found to be negatively correlated with soluble [sugars] and 1,1 [-] diphenyl - 2 - picrylhydrazyl ( dpph ) radical quenching rate , but positively correlated with the content of hydroxymethylfuraldehyde ( hmf ) . 0 ###LEFT-WALL### 2 lflp 0 ###LEFT-WALL### 33 but 0 ###LEFT-WALL### 44 . 1 the 2 lflp 2 lflp 3 accumulation 2 lflp 10 found 2 lflp 33 but 3 accumulation 4 of 3 accumulation 9 was 4 of 5 walnuts 5 walnuts 6 with 6 with 8 moisture 7 high 8 moisture 9 was 10 found 10 found 11 to 11 to 12 be 12 be 13 negatively 12 be 14 correlated 14 correlated 15 with 15 with 18 and 15 with 30 quenching 16 soluble 18 and 18 and 21 diphenyl 18 and 24 - 19 1,1 21 diphenyl 22 - 24 - 23 2 24 - 24 - 25 picrylhydrazyl 24 - 28 ) 25 picrylhydrazyl 27 dpph 26 ( 27 dpph 27 dpph 28 ) 29 radical 30 quenching 31 rate 33 but 32 , 33 but 33 but 35 correlated 34 positively 35 correlated 35 correlated 36 with 36 with 38 content 37 the 38 content 38 content 39 of 39 of 40 hydroxymethylfuraldehyde 40 hydroxymethylfuraldehyde 42 hmf 41 ( 42 hmf 42 hmf 43 ) while the lflp accumulation of walnuts with low moisture had a strong positive correlation with anisidine value , it exhibited high negative correlations with acid phosphatase activity , dpph [(] [•] ) quenching rate [and] tocopherol content . 0 ###LEFT-WALL### 4 accumulation 0 ###LEFT-WALL### 10 had 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 38 . 1 while 3 lflp 1 while 4 accumulation 2 the 3 lflp 4 accumulation 5 of 4 accumulation 7 with 4 accumulation 10 had 5 of 6 walnuts 7 with 9 moisture 8 low 9 moisture 10 had 14 correlation 11 a 14 correlation 12 strong 14 correlation 13 positive 14 correlation 14 correlation 15 with 15 with 17 value 16 anisidine 17 value 18 , 19 it 18 , 20 exhibited 19 it 20 exhibited 20 exhibited 23 correlations 20 exhibited 24 with 21 high 23 correlations 22 negative 23 correlations 24 with 27 activity 24 with 33 quenching 25 acid 27 activity 26 phosphatase 27 activity 27 activity 29 dpph 28 , 29 dpph 29 dpph 32 ) 33 quenching 37 content 34 rate 36 tocopherol 36 tocopherol 37 content conclusion : in walnuts with low initial moisture , lipoxidation products increased markedly during storage and these products might provide the source for lflp accumulation . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 20 provide 0 ###LEFT-WALL### 26 . 1 conclusion 2 : 2 : 3 in 2 : 5 with 3 in 4 walnuts 5 with 8 moisture 6 low 8 moisture 7 initial 8 moisture 9 , 11 products 9 , 12 increased 10 lipoxidation 11 products 11 products 12 increased 12 increased 13 markedly 12 increased 14 during 14 during 16 and 15 storage 16 and 16 and 17 these 16 and 18 products 16 and 20 provide 18 products 19 might 19 might 20 provide 20 provide 22 source 20 provide 23 for 21 the 22 source 23 for 25 accumulation 24 lflp 25 accumulation on the other hand , in walnuts with high initial moisture , reducing [sugars] derived from the hydrolysis [of] soluble [sugars] might play an important role in initiating the maillard - like reaction , leading to lflp accumulation . 0 ###LEFT-WALL### 13 reducing 0 ###LEFT-WALL### 23 play 0 ###LEFT-WALL### 39 . 1 on 4 hand 1 on 13 reducing 2 the 3 other 3 other 4 hand 4 hand 6 in 5 , 6 in 6 in 7 walnuts 6 in 12 , 7 walnuts 8 with 8 with 11 moisture 9 high 11 moisture 10 initial 11 moisture 13 reducing 15 derived 13 reducing 22 might 15 derived 16 from 15 derived 20 soluble 16 from 18 hydrolysis 17 the 18 hydrolysis 22 might 23 play 23 play 26 role 24 an 25 important 24 an 26 role 25 important 26 role 26 role 27 in 26 role 35 leading 27 in 28 initiating 28 initiating 30 maillard 28 initiating 32 like 29 the 30 maillard 31 - 32 like 32 like 33 reaction 32 like 34 , 35 leading 36 to 36 to 38 accumulation 37 lflp 38 accumulation cellular senescence is a stress response that [accompanies] stable exit from the cell cycle . 0 ###LEFT-WALL### 2 senescence 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 15 . 1 cellular 2 senescence 2 senescence 3 is 3 is 10 exit 4 a 5 stress 4 a 10 exit 5 stress 10 exit 6 response 10 exit 7 that 9 stable 9 stable 10 exit 10 exit 11 from 11 from 14 cycle 12 the 14 cycle 13 cell 14 cycle classically , senescence , particularly in human cells , involves the p53 and p16/rb pathways , and often both of these tumor suppressor pathways need to be abrogated to bypass senescence . 0 ###LEFT-WALL### 3 senescence 0 ###LEFT-WALL### 10 involves 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 32 . 1 classically 2 , 1 classically 3 senescence 3 senescence 6 in 3 senescence 10 involves 4 , 5 particularly 4 , 6 in 6 in 8 cells 6 in 9 , 7 human 8 cells 10 involves 15 pathways 11 the 15 pathways 12 p53 13 and 13 and 14 p16/rb 13 and 15 pathways 16 , 17 and 17 and 19 both 17 and 25 need 18 often 19 both 19 both 20 of 19 both 25 need 20 of 24 pathways 21 these 24 pathways 22 tumor 24 pathways 23 suppressor 24 pathways 25 need 26 to 25 need 29 to 25 need 30 bypass 26 to 27 be 27 be 28 abrogated 29 to 30 bypass 30 bypass 31 senescence in parallel , a number of effector mechanisms of senescence have been identified and characterized . 0 ###LEFT-WALL### 2 parallel 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 16 . 1 in 2 parallel 3 , 8 mechanisms 3 , 12 been 4 a 5 number 5 number 6 of 5 number 8 mechanisms 6 of 8 mechanisms 7 effector 8 mechanisms 8 mechanisms 9 of 8 mechanisms 11 have 9 of 10 senescence 11 have 12 been 12 been 14 and 13 identified 14 and 14 and 15 characterized these studies suggest that senescence is a collective phenotype of these multiple effectors , and their intensity and combination can be different depending on triggers and cell types , conferring a complex and diverse nature to senescence . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 38 . 1 these 2 studies 2 studies 3 suggest 3 suggest 4 that 4 that 5 senescence 4 that 6 is 5 senescence 6 is 6 is 9 phenotype 7 a 8 collective 7 a 9 phenotype 8 collective 9 phenotype 9 phenotype 10 of 10 of 13 effectors 11 these 13 effectors 12 multiple 13 effectors 14 , 15 and 15 and 18 and 15 and 21 be 16 their 17 intensity 17 intensity 18 and 18 and 19 combination 18 and 20 can 20 can 21 be 21 be 23 depending 21 be 36 to 22 different 23 depending 23 depending 24 on 24 on 33 and 25 triggers 26 and 26 and 28 types 26 and 29 , 26 and 30 conferring 26 and 33 and 27 cell 28 types 30 conferring 32 complex 31 a 32 complex 33 and 35 nature 34 diverse 35 nature 36 to 37 senescence series of studies on senescence - associated secretory phenotype [(] sasp ) in particular have revealed various layers of functionality of senescent cells in vivo . 0 ###LEFT-WALL### 1 series 0 ###LEFT-WALL### 16 revealed 0 ###LEFT-WALL### 26 . 1 series 2 of 1 series 15 have 2 of 3 studies 3 studies 4 on 3 studies 14 particular 4 on 5 senescence 5 senescence 11 sasp 6 - 11 sasp 7 associated 9 phenotype 8 secretory 9 phenotype 9 phenotype 11 sasp 11 sasp 12 ) 13 in 14 particular 15 have 16 revealed 16 revealed 18 layers 16 revealed 25 vivo 17 various 18 layers 18 layers 19 of 19 of 20 functionality 20 functionality 21 of 21 of 23 cells 22 senescent 23 cells 24 in 25 vivo here we discuss some key features of senescence effectors and attempt to functionally link them when it is possible . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 20 . 1 here 2 we 2 we 10 and 3 discuss 6 features 3 discuss 10 and 4 some 6 features 5 key 6 features 6 features 7 of 7 of 9 effectors 8 senescence 9 effectors 10 and 11 attempt 11 attempt 12 to 11 attempt 14 link 12 to 14 link 13 functionally 14 link 14 link 15 them 14 link 16 when 16 when 17 it 16 when 18 is 17 it 18 is 18 is 19 possible none the aim of the study was to investigate the differences in anticipatory postural adjustments ( apas ) between young and older adults and its effect on subsequent control of posture . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 9 investigate 0 ###LEFT-WALL### 32 . 1 none 3 aim 1 none 8 to 1 none 9 investigate 2 the 3 aim 3 aim 4 of 3 aim 7 was 4 of 6 study 5 the 6 study 7 was 8 to 9 investigate 11 differences 9 investigate 12 in 9 investigate 19 between 9 investigate 27 on 10 the 11 differences 12 in 15 adjustments 13 anticipatory 15 adjustments 14 postural 15 adjustments 15 adjustments 17 apas 16 ( 17 apas 17 apas 18 ) 19 between 24 and 20 young 21 and 21 and 22 older 21 and 23 adults 23 adults 24 and 24 and 26 effect 25 its 26 effect 27 on 29 control 28 subsequent 29 control 29 control 30 of 30 of 31 posture ten healthy older adults and thirteen healthy young adults were exposed to predictable external perturbations using the pendulum impact paradigm . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 11 exposed 0 ###LEFT-WALL### 21 . 1 ten 4 adults 2 healthy 4 adults 3 older 4 adults 4 adults 5 and 5 and 9 adults 5 and 10 were 6 thirteen 9 adults 7 healthy 9 adults 8 young 9 adults 10 were 11 exposed 11 exposed 12 to 12 to 15 perturbations 13 predictable 15 perturbations 14 external 15 perturbations 15 perturbations 16 using 16 using 20 paradigm 17 the 20 paradigm 18 pendulum 20 paradigm 19 impact 20 paradigm electromyographic activity of the trunk and leg muscles , the center of pressure ( cop ) , and center [of] mass ( com ) displacements in the anterior - posterior direction were recorded and analyzed during the anticipatory and compensatory postural adjustments ( cpas ) phases of postural control . 0 ###LEFT-WALL### 2 activity 0 ###LEFT-WALL### 34 and 0 ###LEFT-WALL### 50 . 1 electromyographic 2 activity 2 activity 3 of 2 activity 34 and 3 of 6 and 4 the 5 trunk 5 trunk 6 and 6 and 25 displacements 7 leg 8 muscles 8 muscles 9 , 9 , 11 center 9 , 18 and 10 the 11 center 11 center 12 of 12 of 13 pressure 13 pressure 15 cop 14 ( 15 cop 15 cop 16 ) 17 , 18 and 18 and 21 mass 18 and 23 com 18 and 25 displacements 19 center 21 mass 22 ( 23 com 23 com 24 ) 25 displacements 26 in 26 in 31 direction 27 the 31 direction 28 anterior 29 - 28 anterior 31 direction 30 posterior 31 direction 32 were 33 recorded 32 were 34 and 34 and 35 analyzed 34 and 36 during 34 and 46 phases 36 during 42 adjustments 37 the 42 adjustments 38 anticipatory 39 and 39 and 40 compensatory 39 and 42 adjustments 41 postural 42 adjustments 42 adjustments 44 cpas 43 ( 44 cpas 44 cpas 45 ) 46 phases 47 of 47 of 49 control 48 postural 49 control the effect of aging was seen as delayed anticipatory muscle activity and larger compensatory muscle responses in older adults as compared to young adults . 0 ###LEFT-WALL### 2 effect 0 ###LEFT-WALL### 8 delayed 0 ###LEFT-WALL### 25 . 1 the 2 effect 2 effect 3 of 2 effect 5 was 3 of 4 aging 5 was 6 seen 6 seen 7 as 7 as 8 delayed 8 delayed 12 and 8 delayed 22 to 9 anticipatory 10 muscle 10 muscle 11 activity 11 activity 12 and 12 and 16 responses 12 and 17 in 12 and 21 compared 13 larger 15 muscle 14 compensatory 15 muscle 15 muscle 16 responses 17 in 19 adults 18 older 19 adults 20 as 21 compared 22 to 24 adults 23 young 24 adults moreover , in spite of such larger reactive responses , older adults were still more unstable , exhibiting larger cop and com peak displacements after the perturbation than young adults when exposed to similar postural disturbances . 0 ###LEFT-WALL### 12 adults 0 ###LEFT-WALL### 13 were 1 moreover 12 adults 2 , 3 in 3 in 4 spite 3 in 10 , 3 in 12 adults 4 spite 5 of 5 of 9 responses 6 such 9 responses 7 larger 9 responses 8 reactive 9 responses 11 older 12 adults 12 adults 13 were 13 were 14 still 13 were 15 more 13 were 16 unstable 16 unstable 18 exhibiting 17 , 18 exhibiting 18 exhibiting 24 displacements 18 exhibiting 25 after 18 exhibiting 28 than 18 exhibiting 31 when 18 exhibiting 37 . 19 larger 24 displacements 20 cop 21 and 21 and 22 com 22 com 24 displacements 23 peak 24 displacements 25 after 27 perturbation 26 the 27 perturbation 28 than 30 adults 29 young 30 adults 31 when 32 exposed 32 exposed 33 to 33 to 36 disturbances 34 similar 36 disturbances 35 postural 36 disturbances nonetheless , while apas are impaired in older adults , the ability to recruit muscles anticipatorily is largely preserved ; however , due to their smaller magnitudes and delayed onsets , it is likely that their effectiveness in reducing the magnitude of cpas is smaller . 0 ###LEFT-WALL### 12 ability 0 ###LEFT-WALL### 19 preserved 0 ###LEFT-WALL### 20 ; 0 ###LEFT-WALL### 46 . 1 nonetheless 2 , 1 nonetheless 12 ability 2 , 3 while 3 while 4 apas 3 while 6 impaired 3 while 10 , 3 while 12 ability 4 apas 5 are 5 are 6 impaired 6 impaired 7 in 7 in 9 adults 8 older 9 adults 11 the 12 ability 12 ability 13 to 12 ability 14 recruit 12 ability 17 is 13 to 14 recruit 14 recruit 15 muscles 14 recruit 16 anticipatorily 17 is 19 preserved 18 largely 19 preserved 20 ; 32 it 20 ; 33 is 21 however 32 it 22 , 24 to 23 due 24 to 24 to 28 and 24 to 31 , 24 to 32 it 25 their 27 magnitudes 26 smaller 27 magnitudes 27 magnitudes 28 and 28 and 30 onsets 28 and 31 , 29 delayed 30 onsets 32 it 33 is 33 is 34 likely 34 likely 35 that 35 that 37 effectiveness 35 that 44 is 36 their 37 effectiveness 37 effectiveness 38 in 37 effectiveness 42 of 37 effectiveness 44 is 38 in 39 reducing 39 reducing 41 magnitude 40 the 41 magnitude 42 of 43 cpas 44 is 45 smaller the outcome of the study lends support toward investigating the ways of improving anticipatory postural control in people with balance impairments due to aging or neurological disorders . 0 ###LEFT-WALL### 2 outcome 0 ###LEFT-WALL### 6 lends 0 ###LEFT-WALL### 28 . 1 the 2 outcome 2 outcome 3 of 2 outcome 6 lends 3 of 5 study 4 the 5 study 6 lends 25 or 7 support 8 toward 7 support 12 of 7 support 25 or 8 toward 9 investigating 9 investigating 11 ways 10 the 11 ways 12 of 13 improving 13 improving 16 control 13 improving 17 in 13 improving 19 with 14 anticipatory 16 control 15 postural 16 control 17 in 18 people 19 with 21 impairments 20 balance 21 impairments 21 impairments 22 due 22 due 23 to 23 to 24 aging 25 or 27 disorders 26 neurological 27 disorders objective : biomarkers for alzheimer disease ( ad ) can detect the disease pathology in asymptomatic subjects and individuals with mild cognitive impairment ( mci ) , but their cognitive prognosis remains uncertain . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 but 0 ###LEFT-WALL### 34 . 1 objective 2 : 2 : 18 and 3 biomarkers 4 for 3 biomarkers 18 and 4 for 5 alzheimer 5 alzheimer 6 disease 5 alzheimer 11 detect 6 disease 8 ad 6 disease 10 can 7 ( 8 ad 8 ad 9 ) 10 can 11 detect 11 detect 14 pathology 12 the 14 pathology 13 disease 14 pathology 14 pathology 15 in 15 in 17 subjects 16 asymptomatic 17 subjects 18 and 19 individuals 18 and 20 with 20 with 23 impairment 21 mild 23 impairment 22 cognitive 23 impairment 23 impairment 25 mci 24 ( 25 mci 25 mci 26 ) 27 , 28 but 28 but 31 prognosis 28 but 32 remains 29 their 31 prognosis 30 cognitive 31 prognosis 31 prognosis 32 remains 32 remains 33 uncertain we aimed to determine the prognostic value of β - amyloid imaging , alone [and] in combination [with] memory performance , hippocampal atrophy , and apolipoprotein e ε4 status in nondemented , older individuals . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 10 - 1 we 2 aimed 2 aimed 3 to 2 aimed 7 value 3 to 4 determine 4 determine 6 prognostic 5 the 6 prognostic 7 value 8 of 8 of 9 β 10 - 11 amyloid 10 - 32 , 10 - 35 . 11 amyloid 12 imaging 12 imaging 14 alone 13 , 14 alone 14 alone 16 in 14 alone 32 , 16 in 19 memory 17 combination 19 memory 19 memory 25 and 19 memory 30 in 19 memory 31 nondemented 20 performance 21 , 21 , 23 atrophy 21 , 25 and 22 hippocampal 23 atrophy 24 , 25 and 25 and 26 apolipoprotein 25 and 28 ε4 26 apolipoprotein 27 e 28 ε4 29 status 28 ε4 30 in 32 , 34 individuals 33 older 34 individuals methods : a total of 183 healthy individuals ( [age] = 72.0 ± 7.26 years ) and 87 participants with mci ( age = 73.7 ± [8.27] ) in the australian imaging , biomarkers , and lifestyle study of ageing were studied . 1 methods 2 : 2 : 17 and 2 : 29 in 3 a 4 total 4 total 5 of 4 total 17 and 5 of 8 individuals 6 183 8 individuals 7 healthy 8 individuals 8 individuals 15 years 9 ( 15 years 11 = 12 72.0 12 72.0 15 years 13 ± 15 years 14 7.26 15 years 15 years 16 ) 17 and 19 participants 17 and 20 with 18 87 19 participants 20 with 21 mci 21 mci 23 age 22 ( 23 age 23 age 25 73.7 23 age 26 ± 23 age 28 ) 24 = 25 73.7 25 73.7 26 ± 29 in 32 imaging 30 the 31 australian 31 australian 32 imaging 32 imaging 36 and 33 , 36 and 34 biomarkers 36 and 35 , 36 and 36 and 37 lifestyle 36 and 38 study 36 and 41 were 36 and 42 studied 36 and 43 . 38 study 39 of 38 study 41 were 39 of 40 ageing clinical reclassification was performed after 3 years , blind to biomarker findings [.] β - amyloid imaging was considered positive [if] [the] ( 11 ) [c] - pittsburgh compound b cortical to reference ratio was ≥1.5 . 0 ###LEFT-WALL### 11 biomarker 1 clinical 2 reclassification 2 reclassification 3 was 3 was 4 performed 4 performed 5 after 4 performed 8 , 4 performed 9 blind 5 after 7 years 6 3 7 years 9 blind 10 to 10 to 11 biomarker 11 biomarker 16 amyloid 12 findings 16 amyloid 14 β 15 - 14 β 16 amyloid 16 amyloid 17 imaging 16 amyloid 18 was 16 amyloid 19 considered 16 amyloid 24 11 16 amyloid 28 pittsburgh 17 imaging 18 was 19 considered 20 positive 23 ( 24 11 24 11 25 ) 27 - 28 pittsburgh 28 pittsburgh 29 compound 28 pittsburgh 36 ≥1.5 28 pittsburgh 37 . 29 compound 30 b 29 compound 31 cortical 29 compound 35 was 31 cortical 32 to 31 cortical 33 reference 32 to 33 reference 33 reference 34 ratio 35 was 36 ≥1.5 results : thirteen percent of healthy persons progressed ( [15] to mci , 8 to dementia ) , and 59 % of the [mci] cohort progressed to probable ad . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 percent 2 : 8 progressed 2 : 19 and 2 : 30 . 3 thirteen 4 percent 4 percent 5 of 4 percent 8 progressed 5 of 7 persons 6 healthy 7 persons 8 progressed 11 to 9 ( 11 to 11 to 12 mci 11 to 18 , 12 mci 14 8 13 , 14 8 14 8 15 to 14 8 17 ) 15 to 16 dementia 18 , 19 and 19 and 21 % 19 and 26 progressed 20 59 21 % 21 % 22 of 21 % 26 progressed 22 of 25 cohort 23 the 25 cohort 26 progressed 27 to 27 to 29 ad 28 probable 29 ad multivariate analysis showed β - amyloid imaging as the single variable most strongly associated with progression . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 17 . 1 multivariate 2 analysis 2 analysis 3 showed 3 showed 4 β 5 - 6 amyloid 5 - 14 associated 6 amyloid 7 imaging 6 amyloid 14 associated 7 imaging 8 as 7 imaging 12 most 8 as 11 variable 9 the 11 variable 10 single 11 variable 13 strongly 14 associated 14 associated 15 with 15 with 16 progression almost all [amnestic] mci subjects ( [z] score ≤ - 1.5 ) with a positive amyloid [scan] developed ad ( or = ∞ ; ppv = 86 % , 95 % ci = 72 - 95 ; npv = 100 % , 95 % ci = 80 - 100 ) . 0 ###LEFT-WALL### 23 ∞ 0 ###LEFT-WALL### 24 ; 0 ###LEFT-WALL### 51 . 1 almost 2 all 2 all 4 mci 2 all 5 subjects 2 all 22 = 4 mci 5 subjects 5 subjects 10 - 5 subjects 13 with 6 ( 10 - 8 score 9 ≤ 9 ≤ 10 - 10 - 11 1.5 10 - 12 ) 13 with 16 amyloid 13 with 21 or 14 a 16 amyloid 15 positive 16 amyloid 16 amyloid 18 developed 19 ad 21 or 20 ( 21 or 22 = 23 ∞ 24 ; 25 ppv 24 ; 26 = 24 ; 37 ; 25 ppv 26 = 26 = 28 % 27 86 28 % 28 % 32 ci 29 , 32 ci 30 95 32 ci 31 % 32 ci 32 ci 35 - 32 ci 37 ; 33 = 34 72 34 72 35 - 35 - 36 95 37 ; 38 npv 37 ; 39 = 38 npv 39 = 39 = 41 % 40 100 41 % 41 % 45 ci 42 , 45 ci 43 95 45 ci 44 % 45 ci 45 ci 48 - 45 ci 50 ) 46 = 47 80 47 80 48 - 48 - 49 100 hippocampal atrophy and ε4 status did not add further predictive value . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 8 add 0 ###LEFT-WALL### 12 . 1 hippocampal 2 atrophy 2 atrophy 3 and 3 and 5 status 3 and 6 did 4 ε4 5 status 6 did 7 not 6 did 8 add 8 add 11 value 9 further 11 value 10 predictive 11 value interpretation : subtle memory impairment with a positive β - amyloid [scan] identifies healthy individuals at high risk for mci or ad . 0 ###LEFT-WALL### 1 interpretation 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 5 impairment 2 : 13 identifies 3 subtle 4 memory 4 memory 5 impairment 5 impairment 6 with 5 impairment 13 identifies 6 with 11 amyloid 7 a 11 amyloid 8 positive 11 amyloid 9 β 10 - 9 β 11 amyloid 13 identifies 21 or 14 healthy 15 individuals 15 individuals 16 at 15 individuals 21 or 16 at 18 risk 17 high 18 risk 18 risk 19 for 19 for 20 mci 21 or 22 ad clearly amnestic patients with a positive amyloid [scan] have prodromal ad and a poor prognosis for dementia within 3 years . 0 ###LEFT-WALL### 3 patients 0 ###LEFT-WALL### 9 have 0 ###LEFT-WALL### 21 . 1 clearly 3 patients 2 amnestic 3 patients 3 patients 4 with 3 patients 9 have 4 with 7 amyloid 5 a 6 positive 5 a 7 amyloid 6 positive 7 amyloid 9 have 12 and 9 have 18 within 10 prodromal 11 ad 11 ad 12 and 12 and 15 prognosis 12 and 16 for 13 a 14 poor 13 a 15 prognosis 14 poor 15 prognosis 16 for 17 dementia 18 within 20 years 19 3 20 years elevated serum cholesterol concentrations in mid - life increase risk for alzheimer 's disease ( ad ) in later life . 0 ###LEFT-WALL### 4 concentrations 0 ###LEFT-WALL### 9 increase 0 ###LEFT-WALL### 21 . 1 elevated 2 serum 2 serum 4 concentrations 3 cholesterol 4 concentrations 4 concentrations 5 in 4 concentrations 9 increase 5 in 8 life 6 mid 7 - 6 mid 8 life 9 increase 10 risk 9 increase 18 in 10 risk 11 for 11 for 14 disease 12 alzheimer 13 's 13 's 14 disease 14 disease 16 ad 15 ( 16 ad 16 ad 17 ) 18 in 20 life 19 later 20 life however , lower concentrations of cholesterol - carrying high density lipoprotein ( hdl ) and its principal apolipoprotein a1 ( apoa1 ) correlate with increased risk for ad . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 23 correlate 0 ###LEFT-WALL### 29 . 1 however 2 , 1 however 15 and 3 lower 4 concentrations 4 concentrations 5 of 4 concentrations 15 and 5 of 6 cholesterol 6 cholesterol 8 carrying 7 - 8 carrying 8 carrying 11 lipoprotein 8 carrying 14 ) 9 high 10 density 10 density 11 lipoprotein 11 lipoprotein 13 hdl 12 ( 13 hdl 13 hdl 14 ) 15 and 19 a1 15 and 21 apoa1 15 and 23 correlate 16 its 18 apolipoprotein 17 principal 18 apolipoprotein 18 apolipoprotein 19 a1 20 ( 21 apoa1 21 apoa1 22 ) 23 correlate 24 with 23 correlate 27 for 24 with 26 risk 25 increased 26 risk 27 for 28 ad as hdl transports oxocarotenoids , which are scavengers of peroxynitrite , we have investigated the hypothesis that lower hdl and oxocarotenoid concentrations during ad may render hdl susceptible to nitration and oxidation and in turn reduce the efficiency of reverse cholesterol transport ( rct ) from lipid [-] laden cells . 0 ###LEFT-WALL### 12 we 0 ###LEFT-WALL### 14 investigated 0 ###LEFT-WALL### 51 . 1 as 2 hdl 1 as 3 transports 1 as 11 , 1 as 12 we 2 hdl 3 transports 3 transports 4 oxocarotenoids 4 oxocarotenoids 6 which 5 , 6 which 6 which 7 are 6 which 11 , 7 are 8 scavengers 8 scavengers 9 of 9 of 10 peroxynitrite 12 we 13 have 13 have 14 investigated 14 investigated 16 hypothesis 15 the 16 hypothesis 16 hypothesis 17 that 17 that 20 and 17 that 33 and 18 lower 19 hdl 19 hdl 20 and 20 and 22 concentrations 20 and 23 during 20 and 25 may 21 oxocarotenoid 22 concentrations 23 during 24 ad 25 may 33 and 26 render 27 hdl 26 render 28 susceptible 26 render 29 to 26 render 33 and 29 to 31 and 30 nitration 31 and 31 and 32 oxidation 33 and 36 reduce 33 and 38 efficiency 34 in 35 turn 35 turn 36 reduce 37 the 38 efficiency 38 efficiency 39 of 38 efficiency 46 from 39 of 42 transport 40 reverse 42 transport 41 cholesterol 42 transport 42 transport 44 rct 43 ( 44 rct 44 rct 45 ) 46 from 50 cells 47 lipid 50 cells 49 laden 50 cells hdl concentration in the plasma from ad plus patients was significantly lower compared to ad or control subject hdl levels . 0 ###LEFT-WALL### 2 concentration 0 ###LEFT-WALL### 13 compared 0 ###LEFT-WALL### 21 . 1 hdl 2 concentration 2 concentration 3 in 2 concentration 6 from 2 concentration 10 was 3 in 5 plasma 4 the 5 plasma 6 from 9 patients 7 ad 8 plus 8 plus 9 patients 10 was 12 lower 10 was 13 compared 11 significantly 12 lower 13 compared 14 to 14 to 16 or 15 ad 16 or 16 or 20 levels 17 control 18 subject 18 subject 20 levels 19 hdl 20 levels similarly , lutein , lycopene , and zeaxanthin concentrations were significantly lower in ad plus patients compared to those in control subjects or ad patients , and oxocarotenoid concentrations correlated with mini - mental state examination scores . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 10 were 0 ###LEFT-WALL### 38 . 1 similarly 2 , 1 similarly 7 and 3 lutein 4 , 4 , 5 lycopene 4 , 7 and 6 , 7 and 7 and 9 concentrations 7 and 10 were 8 zeaxanthin 9 concentrations 10 were 11 significantly 10 were 12 lower 12 lower 13 in 13 in 15 plus 14 ad 15 plus 15 plus 16 patients 15 plus 17 compared 16 patients 17 compared 17 compared 18 to 18 to 27 and 19 those 20 in 19 those 23 or 20 in 22 subjects 21 control 22 subjects 23 or 24 ad 23 or 25 patients 25 patients 27 and 26 , 27 and 27 and 29 concentrations 27 and 30 correlated 27 and 36 examination 27 and 37 scores 28 oxocarotenoid 29 concentrations 30 correlated 31 with 30 correlated 33 - 30 correlated 34 mental 31 with 32 mini 35 state 36 examination 36 examination 37 scores at equivalent concentrations of apoa1 , hdl isolated from all subjects irrespective of diagnosis was equally effective at mediating rct . 0 ###LEFT-WALL### 7 hdl 0 ###LEFT-WALL### 15 was 0 ###LEFT-WALL### 21 . 1 at 3 concentrations 1 at 6 , 1 at 7 hdl 2 equivalent 3 concentrations 3 concentrations 4 of 4 of 5 apoa1 7 hdl 8 isolated 7 hdl 15 was 8 isolated 9 from 8 isolated 13 of 9 from 11 subjects 10 all 11 subjects 12 irrespective 13 of 13 of 14 diagnosis 15 was 16 equally 15 was 17 effective 17 effective 18 at 18 at 19 mediating 19 mediating 20 rct hdl concentration is lower in ad plus patients ' plasma and thus capacity for rct is compromised . 0 ###LEFT-WALL### 1 hdl 0 ###LEFT-WALL### 17 compromised 0 ###LEFT-WALL### 18 . 1 hdl 2 concentration 1 hdl 16 is 1 hdl 17 compromised 2 concentration 3 is 3 is 4 lower 4 lower 5 in 4 lower 11 and 4 lower 14 for 5 in 7 plus 6 ad 7 plus 8 patients 9 ' 9 ' 10 plasma 10 plasma 11 and 11 and 12 thus 11 and 13 capacity 14 for 15 rct 15 rct 16 is in contrast , hdl from patients with ad - only was not different in concentration , modifications , or function from hdl of healthy age - matched donors . 0 ###LEFT-WALL### 2 contrast 0 ###LEFT-WALL### 11 was 0 ###LEFT-WALL### 26 - 1 in 2 contrast 2 contrast 4 hdl 2 contrast 11 was 3 , 4 hdl 4 hdl 5 from 4 hdl 9 - 5 from 6 patients 6 patients 7 with 7 with 8 ad 10 only 11 was 11 was 12 not 11 was 13 different 13 different 14 in 14 in 19 or 15 concentration 16 , 16 , 17 modifications 16 , 19 or 18 , 19 or 19 or 20 function 19 or 21 from 19 or 23 of 21 from 22 hdl 23 of 25 age 24 healthy 25 age 26 - 28 donors 26 - 29 . 27 matched 28 donors the relative importance of elevating hdl alone compared with elevating carotenoids alone or elevating both to reduce risk for dementia should be investigated in patients with early signs of dementia . 0 ###LEFT-WALL### 22 be 0 ###LEFT-WALL### 31 . 1 the 3 importance 2 relative 3 importance 3 importance 4 of 3 importance 8 compared 3 importance 16 to 3 importance 17 reduce 3 importance 19 for 3 importance 21 should 4 of 5 elevating 5 elevating 6 hdl 7 alone 8 compared 8 compared 9 with 8 compared 13 or 9 with 10 elevating 10 elevating 11 carotenoids 12 alone 13 or 13 or 14 elevating 15 both 16 to 16 to 17 reduce 17 reduce 18 risk 19 for 20 dementia 21 should 22 be 22 be 23 investigated 23 investigated 24 in 23 investigated 26 with 24 in 25 patients 26 with 28 signs 27 early 28 signs 28 signs 29 of 29 of 30 dementia previous studies have shown that alzheimer 's disease ( ad ) is associated with a reduced risk of cancer . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 shown 0 ###LEFT-WALL### 20 . 1 previous 2 studies 2 studies 3 have 3 have 4 shown 4 shown 5 that 5 that 8 disease 5 that 13 associated 6 alzheimer 7 's 7 's 8 disease 8 disease 10 ad 8 disease 12 is 9 ( 10 ad 10 ad 11 ) 12 is 13 associated 13 associated 14 with 14 with 17 risk 15 a 17 risk 16 reduced 17 risk 17 risk 18 of 18 of 19 cancer however , most studies exclude those with undiagnosed dementia . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 5 exclude 0 ###LEFT-WALL### 10 . 1 however 2 , 1 however 4 studies 3 most 4 studies 4 studies 5 exclude 5 exclude 6 those 5 exclude 7 with 7 with 9 dementia 8 undiagnosed 9 dementia the only way to overcome this methodological issue is to examine all the participants or to screen the population for symptoms of dementia with a validated instrument and confirm any suspected dementia patients with a clinical examination ( i.e [.] , a [two] - phase investigation method ) . 0 ###LEFT-WALL### 3 way 0 ###LEFT-WALL### 49 . 1 the 2 only 1 the 3 way 3 way 4 to 3 way 5 overcome 3 way 9 is 4 to 5 overcome 5 overcome 8 issue 6 this 8 issue 7 methodological 8 issue 9 is 10 to 9 is 15 or 10 to 15 or 11 examine 12 all 11 examine 15 or 12 all 13 the 12 all 14 participants 13 the 14 participants 15 or 16 to 15 or 28 and 15 or 34 with 16 to 28 and 17 screen 19 population 17 screen 20 for 17 screen 28 and 18 the 19 population 20 for 21 symptoms 21 symptoms 22 of 22 of 23 dementia 23 dementia 24 with 24 with 27 instrument 25 a 27 instrument 26 validated 27 instrument 28 and 29 confirm 29 confirm 30 any 29 confirm 31 suspected 30 any 31 suspected 31 suspected 33 patients 32 dementia 33 patients 34 with 37 examination 35 a 37 examination 36 clinical 37 examination 37 examination 39 i.e 37 examination 44 - 38 ( 39 i.e 39 i.e 41 , 41 , 44 - 42 a 44 - 44 - 47 method 44 - 48 ) 45 phase 46 investigation 46 investigation 47 method we used this methodology to estimate [whether] cancer - specific mortality is associated with ad and other types of dementia in a prospective population - based study ( nedices ) involving 5,278 elderly people . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 used 0 ###LEFT-WALL### 9 - 1 we 2 used 2 used 4 methodology 2 used 5 to 2 used 6 estimate 3 this 4 methodology 5 to 6 estimate 6 estimate 8 cancer 9 - 11 mortality 9 - 13 associated 9 - 35 . 10 specific 11 mortality 11 mortality 12 is 12 is 13 associated 13 associated 14 with 14 with 16 and 15 ad 16 and 16 and 18 types 16 and 19 of 16 and 31 involving 17 other 18 types 19 of 20 dementia 20 dementia 21 in 20 dementia 27 study 21 in 24 population 22 a 24 population 23 prospective 24 population 25 - 27 study 26 based 27 study 27 study 29 nedices 27 study 30 ) 28 ( 29 nedices 29 nedices 30 ) 31 involving 34 people 32 5,278 34 people 33 elderly 34 people community - dwelling subjects [with] [and] without dementia were identified and followed for a median of 12.5 years [,] after which the death certificates of those who deceased were examined . 0 ###LEFT-WALL### 3 dwelling 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 31 . 1 community 2 - 1 community 3 dwelling 3 dwelling 4 subjects 3 dwelling 11 and 4 subjects 7 without 7 without 8 dementia 9 were 10 identified 9 were 11 and 11 and 12 followed 11 and 13 for 13 for 15 median 14 a 15 median 15 median 16 of 15 median 20 after 15 median 30 examined 16 of 18 years 17 12.5 18 years 20 after 21 which 21 which 24 certificates 21 which 30 examined 22 the 24 certificates 23 death 24 certificates 24 certificates 25 of 24 certificates 27 who 24 certificates 28 deceased 24 certificates 29 were 25 of 26 those 27 who 28 deceased 29 were 30 examined a total of 1,976 ( 47.1 % ) died , including 277 who had possible or probable ad and 126 [with] [non] - ad dementia . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 9 died 1 a 2 total 2 total 3 of 2 total 9 died 3 of 4 1,976 4 1,976 7 % 5 ( 7 % 6 47.1 7 % 7 % 8 ) 9 died 11 including 10 , 11 including 11 including 12 277 11 including 26 . 12 277 13 who 12 277 14 had 13 who 14 had 14 had 16 or 14 had 19 and 15 possible 16 or 16 or 17 probable 18 ad 19 and 19 and 25 dementia 20 126 24 ad 23 - 24 ad 24 ad 25 dementia cancer was reported significantly less often in those with possible or probable ad ( 5.8 % ) or [non] [-] ad dementia ( 6.3 % ) than in those without dementia ( 26.5 % ) . 0 ###LEFT-WALL### 1 cancer 0 ###LEFT-WALL### 3 reported 0 ###LEFT-WALL### 36 . 1 cancer 2 was 2 was 3 reported 3 reported 6 often 3 reported 7 in 3 reported 27 than 3 reported 30 without 4 significantly 5 less 5 less 6 often 7 in 18 or 8 those 9 with 8 those 18 or 9 with 13 ad 10 possible 11 or 11 or 12 probable 11 or 13 ad 13 ad 16 % 14 ( 16 % 15 5.8 16 % 16 % 17 ) 18 or 22 dementia 18 or 25 % 21 ad 22 dementia 23 ( 25 % 24 6.3 25 % 25 % 26 ) 27 than 28 in 28 in 29 those 30 without 31 dementia 31 dementia 34 % 32 ( 34 % 33 26.5 34 % 34 % 35 ) in an unadjusted cox model , hazard ratio ( hr [ )(of cancer - specific mortality in participants with ad [=] 0.45 ( p = 0.002 ) and hr in participants with [non] [-] ad dementia = 0.62 ( p = 0.179 ) when compared to the [non] [-] demented group [.] 0 ###LEFT-WALL### 7 hazard 1 in 5 model 1 in 6 , 1 in 7 hazard 2 an 5 model 3 unadjusted 5 model 4 cox 5 model 7 hazard 8 ratio 7 hazard 17 in 8 ratio 14 - 9 ( 14 - 10 hr 12 )(of 10 hr 14 - 12 )(of 13 cancer 14 - 16 mortality 15 specific 16 mortality 17 in 18 participants 18 participants 19 with 19 with 28 and 20 ad 25 = 20 ad 28 and 22 0.45 25 = 23 ( 25 = 24 p 25 = 25 = 26 0.002 25 = 27 ) 28 and 29 hr 28 and 30 in 28 and 32 with 28 and 36 dementia 28 and 37 = 30 in 31 participants 32 with 35 ad 36 dementia 37 = 37 = 41 = 37 = 44 when 38 0.62 41 = 39 ( 41 = 40 p 41 = 41 = 42 0.179 41 = 43 ) 44 when 45 compared 45 compared 46 to 46 to 51 group 47 the 51 group 50 demented 51 group in a cox model that adjusted for a variety of demographic factors and co - morbidities , hrs of cancer - specific mortality in participants with ad = 0.50 ( p = 0.028 ) [and] 0.97 ( p = 0.942 ) in [non] [-] ad dementia . 0 ###LEFT-WALL### 23 mortality 0 ###LEFT-WALL### 47 . 1 in 4 model 1 in 23 mortality 2 a 4 model 3 cox 4 model 4 model 5 that 4 model 6 adjusted 4 model 10 of 5 that 6 adjusted 6 adjusted 7 for 7 for 9 variety 8 a 9 variety 10 of 13 and 11 demographic 12 factors 12 factors 13 and 13 and 14 co 13 and 16 morbidities 15 - 16 morbidities 16 morbidities 18 hrs 16 morbidities 21 - 17 , 18 hrs 18 hrs 19 of 18 hrs 21 - 19 of 20 cancer 22 specific 23 mortality 23 mortality 24 in 23 mortality 26 with 23 mortality 28 = 24 in 25 participants 26 with 27 ad 28 = 29 0.50 28 = 42 in 29 0.50 32 = 29 0.50 39 = 30 ( 32 = 31 p 32 = 32 = 33 0.028 32 = 34 ) 36 0.97 39 = 37 ( 39 = 38 p 39 = 39 = 40 0.942 39 = 41 ) 42 in 46 dementia 45 ad 46 dementia this study provides further evidence of an inverse association between cancer and ad . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 provides 0 ###LEFT-WALL### 14 . 1 this 2 study 2 study 3 provides 3 provides 5 evidence 3 provides 10 between 4 further 5 evidence 5 evidence 6 of 6 of 9 association 7 an 8 inverse 7 an 9 association 8 inverse 9 association 10 between 12 and 11 cancer 12 and 12 and 13 ad in the past two decades research has highlighted [how] implicit memory processes are spared in degenerative disorders , such as alzheimer 's disease ( ad ) , which are characterized by the early onset of explicit memory deficits . 0 ###LEFT-WALL### 12 processes 0 ###LEFT-WALL### 27 , 0 ###LEFT-WALL### 39 . 1 in 5 decades 1 in 12 processes 2 the 3 past 2 the 4 two 4 two 5 decades 5 decades 6 research 5 decades 8 highlighted 6 research 7 has 7 has 8 highlighted 8 highlighted 11 memory 10 implicit 11 memory 12 processes 13 are 13 are 14 spared 14 spared 15 in 14 spared 20 as 15 in 17 disorders 16 degenerative 17 disorders 18 , 20 as 19 such 20 as 20 as 23 disease 20 as 27 , 21 alzheimer 22 's 22 's 23 disease 23 disease 25 ad 24 ( 25 ad 25 ad 26 ) 27 , 28 which 27 , 30 characterized 28 which 29 are 29 are 30 characterized 30 characterized 31 by 31 by 34 onset 32 the 34 onset 33 early 34 onset 34 onset 35 of 35 of 38 deficits 36 explicit 37 memory 37 memory 38 deficits however , according to recent studies , there may be dissociations among different types of implicit memory . 0 ###LEFT-WALL### 8 there 0 ###LEFT-WALL### 10 be 0 ###LEFT-WALL### 18 . 1 however 2 , 1 however 8 there 2 , 4 to 3 according 4 to 4 to 6 studies 4 to 7 , 4 to 8 there 5 recent 6 studies 8 there 9 may 9 may 10 be 10 be 11 dissociations 11 dissociations 12 among 12 among 17 memory 13 different 14 types 14 types 15 of 14 types 17 memory 15 of 17 memory 16 implicit 17 memory although several studies have shown selective sparing of lexical priming in ad , it is not completely clear what happens to other types of implicit memory processes , such as visuo - perceptual priming . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 5 shown 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 35 . 1 although 2 several 1 although 3 studies 3 studies 4 have 4 have 5 shown 5 shown 7 sparing 5 shown 11 in 6 selective 7 sparing 7 sparing 8 of 8 of 10 priming 9 lexical 10 priming 11 in 12 ad 13 , 14 it 13 , 15 is 13 , 32 - 14 it 15 is 15 is 16 not 15 is 18 clear 17 completely 18 clear 18 clear 19 what 19 what 20 happens 20 happens 21 to 20 happens 30 as 21 to 27 processes 22 other 23 types 23 types 24 of 23 types 27 processes 24 of 27 processes 25 implicit 26 memory 26 memory 27 processes 28 , 30 as 29 such 30 as 30 as 31 visuo 30 as 32 - 32 - 34 priming 33 perceptual 34 priming the present study examines the possibility that the visuo - perceptual priming effect is spared in ad . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 examines 0 ###LEFT-WALL### 18 . 1 the 3 study 2 present 3 study 3 study 4 examines 4 examines 6 possibility 5 the 6 possibility 6 possibility 7 that 7 that 13 effect 7 that 15 spared 8 the 13 effect 9 visuo 10 - 9 visuo 12 priming 11 perceptual 12 priming 12 priming 13 effect 13 effect 14 is 14 is 15 spared 15 spared 16 in 16 in 17 ad we tested two groups of participants , i.e . [,] a group of ad patients and a group of healthy age - matched controls , using a visuo - perceptual priming task . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 tested 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 9 . 1 we 2 tested 2 tested 4 groups 3 two 4 groups 4 groups 5 of 5 of 6 participants 7 , 8 i.e 9 . 16 and 9 . 32 task 9 . 33 . 11 a 12 group 12 group 13 of 12 group 16 and 13 of 15 patients 14 ad 15 patients 16 and 18 group 16 and 19 of 16 and 26 using 16 and 32 task 17 a 18 group 19 of 21 age 20 healthy 21 age 21 age 24 controls 22 - 24 controls 23 matched 24 controls 24 controls 25 , 26 using 31 priming 27 a 31 priming 28 visuo 29 - 28 visuo 31 priming 30 perceptual 31 priming the task required the identification of [fragmented] pictures . 0 ###LEFT-WALL### 2 task 0 ###LEFT-WALL### 3 required 0 ###LEFT-WALL### 9 . 1 the 2 task 2 task 3 required 3 required 5 identification 4 the 5 identification 5 identification 6 of 6 of 8 pictures results showed a deficient priming effect in ad patients when it was measured by an identification of fragmented pictures task . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 showed 0 ###LEFT-WALL### 21 . 1 results 2 showed 2 showed 6 effect 2 showed 7 in 2 showed 10 when 3 a 6 effect 4 deficient 5 priming 5 priming 6 effect 7 in 9 patients 8 ad 9 patients 10 when 11 it 10 when 12 was 11 it 12 was 12 was 13 measured 13 measured 14 by 14 by 20 task 15 an 20 task 16 identification 17 of 16 identification 19 pictures 17 of 18 fragmented 19 pictures 20 task we discuss our results in light of the current hypothesis of [a] functional segregation in priming processes . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 discuss 0 ###LEFT-WALL### 18 . 1 we 2 discuss 2 discuss 4 results 2 discuss 5 in 2 discuss 15 in 3 our 4 results 5 in 6 light 6 light 7 of 7 of 10 hypothesis 8 the 10 hypothesis 9 current 10 hypothesis 10 hypothesis 11 of 11 of 14 segregation 13 functional 14 segregation 15 in 16 priming 16 priming 17 processes background/objectives : low blood levels of 25 - hydroxyvitamin d ( 25ohd ) have been associated with cardiometabolic disease but results are inconsistent . 0 ###LEFT-WALL### 1 background/objectives 0 ###LEFT-WALL### 2 : 2 : 5 levels 2 : 16 associated 2 : 20 but 2 : 24 . 3 low 4 blood 4 blood 5 levels 5 levels 6 of 5 levels 14 have 6 of 7 25 7 25 9 hydroxyvitamin 8 - 9 hydroxyvitamin 9 hydroxyvitamin 10 d 9 hydroxyvitamin 12 25ohd 9 hydroxyvitamin 13 ) 11 ( 12 25ohd 12 25ohd 13 ) 14 have 15 been 15 been 16 associated 16 associated 17 with 17 with 19 disease 18 cardiometabolic 19 disease 20 but 21 results 20 but 22 are 21 results 22 are 22 are 23 inconsistent the objective of the study was to investigate the association of 25ohd [with] metabolic [syndrome] in a population at increased risk for diabetes . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 24 . 1 the 2 objective 2 objective 3 of 2 objective 6 was 3 of 5 study 4 the 5 study 6 was 7 to 6 was 14 metabolic 7 to 8 investigate 8 investigate 10 association 9 the 10 association 10 association 11 of 11 of 12 25ohd 14 metabolic 16 in 14 metabolic 19 at 16 in 18 population 17 a 18 population 19 at 21 risk 20 increased 21 risk 21 risk 22 for 22 for 23 diabetes subjects/methods : using baseline data from the placebo and lifestyle intervention arms of the diabetes prevention program ( n=2000 ) , multivariable logistic regression models were used to estimate the odds [of] prevalent metabolic syndrome and each of its individual components across 25ohd tertiles . 0 ###LEFT-WALL### 1 subjects/methods 0 ###LEFT-WALL### 2 : 1 subjects/methods 2 : 2 : 3 using 3 using 5 data 3 using 6 from 4 baseline 5 data 6 from 9 and 7 the 8 placebo 8 placebo 9 and 9 and 12 arms 9 and 13 of 10 lifestyle 11 intervention 11 intervention 12 arms 13 of 17 program 14 the 17 program 15 diabetes 16 prevention 16 prevention 17 program 17 program 19 n=2000 17 program 24 regression 18 ( 19 n=2000 19 n=2000 20 ) 21 , 24 regression 22 multivariable 23 logistic 23 logistic 24 regression 24 regression 25 models 24 regression 29 estimate 24 regression 45 . 25 models 26 were 26 were 27 used 27 used 28 to 27 used 29 estimate 28 to 29 estimate 29 estimate 44 tertiles 30 the 35 syndrome 31 odds 35 syndrome 33 prevalent 35 syndrome 34 metabolic 35 syndrome 35 syndrome 36 and 36 and 37 each 36 and 38 of 36 and 42 across 36 and 44 tertiles 38 of 41 components 39 its 41 components 40 individual 41 components 42 across 43 25ohd multivariable linear regression was used to estimate the adjusted mean difference of insulin secretion and sensitivity across the same 25ohd tertiles . 0 ###LEFT-WALL### 1 multivariable 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 22 . 1 multivariable 3 regression 1 multivariable 4 was 1 multivariable 5 used 2 linear 3 regression 3 regression 4 was 5 used 6 to 5 used 7 estimate 6 to 7 estimate 7 estimate 11 difference 7 estimate 21 tertiles 8 the 11 difference 9 adjusted 11 difference 10 mean 11 difference 11 difference 12 of 11 difference 21 tertiles 12 of 15 and 13 insulin 14 secretion 14 secretion 15 and 15 and 16 sensitivity 15 and 17 across 17 across 20 25ohd 18 the 19 same 19 same 20 25ohd in participants free of metabolic syndrome [at] baseline ( n=546 ) , incident metabolic syndrome [in] [the] first 2 years [of] follow - up was assessed using discrete - time proportional hazards regression to test its association with 25ohd concentration . 0 ###LEFT-WALL### 20 years 0 ###LEFT-WALL### 22 follow 0 ###LEFT-WALL### 23 - 0 ###LEFT-WALL### 41 . 1 in 2 participants 1 in 20 years 3 free 4 of 3 free 12 , 3 free 20 years 4 of 8 baseline 5 metabolic 6 syndrome 6 syndrome 8 baseline 8 baseline 10 n=546 9 ( 10 n=546 10 n=546 11 ) 13 incident 20 years 14 metabolic 15 syndrome 15 syndrome 20 years 18 first 20 years 19 2 20 years 20 years 22 follow 23 - 24 up 23 - 25 was 23 - 29 - 24 up 25 was 25 was 27 using 25 was 28 discrete 26 assessed 27 using 29 - 30 time 30 time 33 regression 31 proportional 32 hazards 32 hazards 33 regression 33 regression 34 to 33 regression 35 test 34 to 35 test 35 test 37 association 35 test 38 with 36 its 37 association 38 with 39 25ohd 38 with 40 concentration results : after multivariate adjustment , participants in the highest tertile of 25ohd had lower odds of prevalent metabolic syndrome [(] odds ratio=0.62 ; 95 % confidence interval [(] ci )=0.45 - 0.84 ) , smaller waist circumference , higher high - density lipoprotein and lower fasting plasma glucose compared with participants in the lowest tertile of 25ohd . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 59 . 1 results 2 : 2 : 3 after 3 after 5 adjustment 4 multivariate 5 adjustment 6 , 23 ratio=0.62 6 , 24 ; 7 participants 8 in 7 participants 12 of 7 participants 14 had 8 in 11 tertile 9 the 10 highest 9 the 11 tertile 12 of 13 25ohd 14 had 16 odds 14 had 23 ratio=0.62 15 lower 16 odds 16 odds 17 of 17 of 22 odds 18 prevalent 20 syndrome 19 metabolic 20 syndrome 20 syndrome 22 odds 24 ; 38 circumference 24 ; 39 , 25 95 38 circumference 26 % 27 confidence 27 confidence 28 interval 28 interval 38 circumference 30 ci 38 circumference 31 )=0.45 33 0.84 31 )=0.45 35 , 31 )=0.45 37 waist 32 - 33 0.84 33 0.84 34 ) 36 smaller 37 waist 37 waist 38 circumference 39 , 41 high 39 , 42 - 40 higher 41 high 42 - 45 and 43 density 44 lipoprotein 44 lipoprotein 45 and 45 and 49 glucose 45 and 50 compared 45 and 53 in 46 lower 48 plasma 47 fasting 48 plasma 48 plasma 49 glucose 50 compared 51 with 51 with 52 participants 53 in 56 tertile 54 the 55 lowest 54 the 56 tertile 56 tertile 57 of 57 of 58 25ohd higher plasma 25ohd concentration was associated with greater insulin sensitivity and lower insulin secretion . 0 ###LEFT-WALL### 3 25ohd 0 ###LEFT-WALL### 6 associated 0 ###LEFT-WALL### 15 . 1 higher 2 plasma 2 plasma 3 25ohd 3 25ohd 4 concentration 3 25ohd 5 was 3 25ohd 6 associated 4 concentration 5 was 6 associated 7 with 7 with 14 secretion 8 greater 9 insulin 9 insulin 14 secretion 10 sensitivity 11 and 11 and 12 lower 11 and 13 insulin 13 insulin 14 secretion after multivariate adjustment , there was a nonsignificant lower risk of [metabolic] [syndrome] in the highest tertile of 25ohd ( hazard ratio=0.79 ; 95 % ci=0.48 - 1.32 ) compared with the lowest tertile . 0 ###LEFT-WALL### 5 there 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 23 ; 0 ###LEFT-WALL### 34 tertile 0 ###LEFT-WALL### 35 . 1 after 3 adjustment 1 after 4 , 1 after 5 there 2 multivariate 3 adjustment 5 there 6 was 6 was 10 risk 7 a 10 risk 8 nonsignificant 10 risk 9 lower 10 risk 10 risk 11 of 10 risk 18 of 10 risk 22 ratio=0.79 11 of 14 in 14 in 17 tertile 15 the 16 highest 15 the 17 tertile 18 of 19 25ohd 20 ( 22 ratio=0.79 21 hazard 22 ratio=0.79 22 ratio=0.79 23 ; 23 ; 25 % 24 95 25 % 25 % 26 ci=0.48 25 % 30 compared 25 % 34 tertile 26 ci=0.48 28 1.32 26 ci=0.48 30 compared 27 - 28 1.32 28 1.32 29 ) 30 compared 31 with 31 with 33 lowest 32 the 33 lowest conclusions : in a population at increased risk for diabetes , higher plasma 25ohd concentration was inversely associated with [prevalent] metabolic [syndrome] and [nonsignificantly] [with] incident metabolic syndrome . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 , 1 conclusions 2 : 2 : 3 in 2 : 6 at 3 in 5 population 4 a 5 population 6 at 8 risk 7 increased 8 risk 8 risk 9 for 9 for 10 diabetes 11 , 14 25ohd 11 , 18 associated 12 higher 14 25ohd 13 plasma 14 25ohd 14 25ohd 15 concentration 14 25ohd 16 was 14 25ohd 18 associated 15 concentration 16 was 17 inversely 18 associated 18 associated 19 with 19 with 23 and 21 metabolic 23 and 23 and 28 syndrome 23 and 29 . 26 incident 28 syndrome 27 metabolic 28 syndrome the closing of hospitals has exacerbated challenges for older adults in accessing healthcare , especially [those] living in economically underserved settings . 0 ###LEFT-WALL### 2 closing 0 ###LEFT-WALL### 6 exacerbated 1 the 2 closing 2 closing 3 of 2 closing 5 has 3 of 4 hospitals 5 has 6 exacerbated 6 exacerbated 7 challenges 6 exacerbated 8 for 6 exacerbated 11 in 8 for 10 adults 9 older 10 adults 11 in 12 accessing 12 accessing 13 healthcare 13 healthcare 17 living 14 , 17 living 15 especially 17 living 17 living 18 in 17 living 22 . 18 in 21 settings 19 economically 20 underserved 20 underserved 21 settings through focus groups and a community - engaged approach , our study examined and documented the emergent health needs of older adults following the closing of a local hospital in an economically disadvantaged community . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 35 . 1 through 2 focus 2 focus 3 groups 3 groups 4 and 4 and 6 community 5 a 6 community 7 - 9 approach 7 - 10 , 8 engaged 9 approach 10 , 12 study 10 , 14 and 11 our 12 study 12 study 14 and 13 examined 14 and 14 and 15 documented 14 and 19 needs 16 the 19 needs 17 emergent 18 health 18 health 19 needs 19 needs 20 of 20 of 22 adults 21 older 22 adults 22 adults 23 following 22 adults 30 in 23 following 25 closing 24 the 25 closing 25 closing 26 of 26 of 29 hospital 27 a 29 hospital 28 local 29 hospital 30 in 34 community 31 an 32 economically 31 an 34 community 32 economically 33 disadvantaged 33 disadvantaged 34 community focus groups were reconvened to assess progress and health needs over time . 0 ###LEFT-WALL### 2 groups 0 ###LEFT-WALL### 4 reconvened 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 13 . 1 focus 2 groups 2 groups 3 were 3 were 4 reconvened 4 reconvened 5 to 5 to 6 assess 6 assess 7 progress 8 and 9 health 8 and 10 needs 9 health 10 needs 10 needs 11 over 11 over 12 time analyses of the focus groups ( n=37 , mean age 77 , 84 % female ) illustrated the impact of the closure and the emergence of the following dominant themes : perceptions of the hospital system , including feelings of abandonment and social isolation ; transportation challenges in accessing health care resources ; [and] lack of knowledge and literacy regarding available health care and obtaining health services . 0 ###LEFT-WALL### 1 analyses 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 68 . 1 analyses 2 of 1 analyses 5 groups 1 analyses 9 mean 1 analyses 10 age 2 of 4 focus 3 the 4 focus 5 groups 7 n=37 5 groups 9 mean 6 ( 7 n=37 7 n=37 8 , 10 age 11 77 12 , 30 themes 12 , 31 : 13 84 14 % 14 % 30 themes 15 female 16 ) 15 female 30 themes 17 illustrated 30 themes 18 the 19 impact 19 impact 20 of 19 impact 23 and 20 of 22 closure 21 the 22 closure 23 and 25 emergence 23 and 26 of 23 and 30 themes 24 the 25 emergence 26 of 29 dominant 27 the 28 following 27 the 29 dominant 31 : 42 and 31 : 45 ; 31 : 47 challenges 31 : 53 ; 32 perceptions 33 of 32 perceptions 37 , 33 of 36 system 34 the 36 system 35 hospital 36 system 37 , 39 feelings 37 , 42 and 38 including 39 feelings 39 feelings 40 of 40 of 41 abandonment 42 and 44 isolation 43 social 44 isolation 45 ; 46 transportation 46 transportation 47 challenges 47 challenges 48 in 47 challenges 52 resources 48 in 50 health 49 accessing 50 health 51 care 52 resources 53 ; 58 and 55 lack 56 of 55 lack 58 and 56 of 57 knowledge 58 and 59 literacy 58 and 60 regarding 60 regarding 64 and 61 available 62 health 62 health 63 care 63 care 64 and 64 and 67 services 65 obtaining 67 services 66 health 67 services discussion sessions with hospital administrators and participants afforded an opportunity for sharing data and additional assessment . 0 ###LEFT-WALL### 2 sessions 0 ###LEFT-WALL### 8 afforded 0 ###LEFT-WALL### 17 . 1 discussion 2 sessions 2 sessions 3 with 2 sessions 8 afforded 3 with 6 and 4 hospital 5 administrators 5 administrators 6 and 6 and 7 participants 8 afforded 10 opportunity 9 an 10 opportunity 10 opportunity 11 for 11 for 12 sharing 12 sharing 14 and 13 data 14 and 14 and 16 assessment 15 additional 16 assessment the data and relationships developed with community participants and health system representatives resulted in the production of an information resource about access to health services , tailored for older adults . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 5 developed 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 31 . 1 the 2 data 2 data 3 and 3 and 4 relationships 3 and 5 developed 5 developed 6 with 6 with 8 participants 7 community 8 participants 9 and 12 representatives 9 and 26 , 10 health 12 representatives 11 system 12 representatives 12 representatives 26 , 13 resulted 14 in 13 resulted 21 about 13 resulted 23 to 13 resulted 26 , 14 in 16 production 15 the 16 production 16 production 17 of 17 of 20 resource 18 an 19 information 18 an 20 resource 19 information 20 resource 21 about 22 access 23 to 25 services 24 health 25 services 26 , 27 tailored 26 , 28 for 28 for 30 adults 29 older 30 adults unlabelled : vascular dementia ( vad ) is a leading cause of dementia in the elderly together with alzheimer 's disease with limited treatment options . 0 ###LEFT-WALL### 1 unlabelled 0 ###LEFT-WALL### 2 : 2 : 4 dementia 2 : 8 is 2 : 26 . 3 vascular 4 dementia 4 dementia 6 vad 4 dementia 8 is 5 ( 6 vad 6 vad 7 ) 8 is 11 cause 8 is 14 in 8 is 18 with 8 is 22 with 9 a 11 cause 10 leading 11 cause 11 cause 12 of 12 of 13 dementia 14 in 16 elderly 15 the 16 elderly 17 together 18 with 18 with 21 disease 19 alzheimer 20 's 20 's 21 disease 22 with 25 options 23 limited 24 treatment 24 treatment 25 options poor understanding of the pathophysiology underlying vad is hindering the development of new therapies . 0 ###LEFT-WALL### 2 understanding 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 15 . 1 poor 2 understanding 2 understanding 3 of 2 understanding 8 is 3 of 5 pathophysiology 4 the 5 pathophysiology 5 pathophysiology 6 underlying 6 underlying 7 vad 8 is 9 hindering 9 hindering 11 development 10 the 11 development 11 development 12 of 12 of 14 therapies 13 new 14 therapies hence , to unravel its underlying molecular pathology , an itraq - 2 d - lc - ms/ms strategy was used for quantitative analysis of pooled lysates from brodmann area 21 of pathologically confirmed cases of vad and matched [non] - neurological controls . 0 ###LEFT-WALL### 18 ms/ms 0 ###LEFT-WALL### 26 pooled 0 ###LEFT-WALL### 41 - 0 ###LEFT-WALL### 44 . 1 hence 2 , 1 hence 18 ms/ms 3 to 4 unravel 3 to 17 - 3 to 18 ms/ms 4 unravel 8 pathology 5 its 8 pathology 6 underlying 8 pathology 7 molecular 8 pathology 8 pathology 11 itraq 8 pathology 16 lc 9 , 11 itraq 10 an 11 itraq 11 itraq 14 d 11 itraq 15 - 12 - 14 d 13 2 14 d 14 d 15 - 15 - 16 lc 16 lc 17 - 18 ms/ms 19 strategy 18 ms/ms 25 of 18 ms/ms 26 pooled 19 strategy 20 was 20 was 21 used 21 used 22 for 22 for 24 analysis 23 quantitative 24 analysis 24 analysis 25 of 26 pooled 27 lysates 27 lysates 28 from 27 lysates 32 of 28 from 30 area 29 brodmann 30 area 30 area 31 21 32 of 38 and 33 pathologically 34 confirmed 34 confirmed 35 cases 34 confirmed 38 and 35 cases 36 of 36 of 37 vad 38 and 39 matched 41 - 43 controls 42 neurological 43 controls a total of 144 differentially expressed proteins out of 2281 confidently identified proteins ( false discovery rate=0.3 [%] ) were shortlisted for bioinformatics analysis . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 6 expressed 0 ###LEFT-WALL### 25 . 1 a 2 total 2 total 3 of 2 total 6 expressed 3 of 4 144 5 differentially 6 expressed 6 expressed 7 proteins 6 expressed 9 of 8 out 9 of 9 of 10 2281 10 2281 12 identified 10 2281 13 proteins 10 2281 20 were 10 2281 21 shortlisted 11 confidently 12 identified 13 proteins 17 rate=0.3 13 proteins 20 were 14 ( 17 rate=0.3 15 false 17 rate=0.3 16 discovery 17 rate=0.3 17 rate=0.3 19 ) 21 shortlisted 22 for 22 for 24 analysis 23 bioinformatics 24 analysis western blot analysis of selected proteins using samples from individual patients ( n=10 per group ) showed statistically significant increases in the abundance of sod1 and ncam and reduced atp5a in vad . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 28 and 0 ###LEFT-WALL### 33 . 1 western 2 blot 2 blot 3 analysis 3 analysis 4 of 3 analysis 7 using 3 analysis 13 n=10 3 analysis 28 and 4 of 6 proteins 5 selected 6 proteins 7 using 8 samples 8 samples 9 from 9 from 11 patients 10 individual 11 patients 12 ( 13 n=10 13 n=10 14 per 13 n=10 16 ) 14 per 15 group 17 showed 20 increases 17 showed 21 in 17 showed 28 and 18 statistically 19 significant 19 significant 20 increases 21 in 23 abundance 22 the 23 abundance 23 abundance 24 of 24 of 27 ncam 25 sod1 26 and 26 and 27 ncam 28 and 29 reduced 29 reduced 30 atp5a 30 atp5a 31 in 31 in 32 vad this suggested a state of hypometabolism and vascular insufficiency along with an inflammatory condition during vad . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 suggested 0 ###LEFT-WALL### 17 . 1 this 2 suggested 2 suggested 4 state 2 suggested 11 with 2 suggested 15 during 3 a 4 state 4 state 5 of 5 of 7 and 6 hypometabolism 7 and 7 and 9 insufficiency 8 vascular 9 insufficiency 10 along 11 with 11 with 14 condition 12 an 13 inflammatory 12 an 14 condition 13 inflammatory 14 condition 15 during 16 vad elevation of sod1 and increasing trend for iron - storage proteins ( ftl , fth1 ) may be [indicative] of an oxidative imbalance that is accompanied by an aberrant iron metabolism . 0 ###LEFT-WALL### 10 storage 0 ###LEFT-WALL### 32 . 1 elevation 10 storage 2 of 4 and 2 of 10 storage 3 sod1 4 and 4 and 6 trend 5 increasing 6 trend 7 for 8 iron 7 for 9 - 7 for 10 storage 10 storage 11 proteins 10 storage 18 be 10 storage 20 of 10 storage 26 accompanied 11 proteins 13 ftl 11 proteins 17 may 12 ( 13 ftl 13 ftl 15 fth1 13 ftl 16 ) 14 , 15 fth1 15 fth1 16 ) 17 may 18 be 20 of 23 imbalance 21 an 23 imbalance 22 oxidative 23 imbalance 24 that 25 is 25 is 26 accompanied 26 accompanied 27 by 26 accompanied 31 metabolism 27 by 30 iron 28 an 29 aberrant 28 an 30 iron 29 aberrant 30 iron the synaptic proteins did not exhibit a generalized decrease in abundance ( e.g [.] syntaxin ) in the vad subjects . 0 ###LEFT-WALL### 3 proteins 0 ###LEFT-WALL### 6 exhibit 0 ###LEFT-WALL### 21 . 1 the 3 proteins 2 synaptic 3 proteins 3 proteins 4 did 4 did 5 not 4 did 6 exhibit 6 exhibit 9 decrease 6 exhibit 10 in 6 exhibit 17 in 7 a 9 decrease 8 generalized 9 decrease 10 in 11 abundance 11 abundance 15 syntaxin 12 ( 15 syntaxin 13 e.g 15 syntaxin 15 syntaxin 16 ) 17 in 20 subjects 18 the 20 subjects 19 vad 20 subjects this reported proteome offers a reference data set for future basic or translational studies on vad . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 reported 0 ###LEFT-WALL### 17 . 1 this 2 reported 2 reported 3 proteome 2 reported 4 offers 3 proteome 4 offers 4 offers 6 reference 4 offers 8 set 4 offers 15 on 5 a 6 reference 7 data 8 set 8 set 9 for 9 for 14 studies 10 future 14 studies 11 basic 12 or 12 or 13 translational 12 or 14 studies 15 on 16 vad biological significance : our study is the first quantitative clinical proteomic study where itraq - 2 d - lc - ms/ms strategy has been used to identify the differential proteome in the vad cortex by comparing vad and matched control subjects . 0 ###LEFT-WALL### 2 significance 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 42 . 1 biological 2 significance 3 : 5 study 3 : 6 is 4 our 5 study 5 study 6 is 6 is 12 study 6 is 13 where 6 is 26 to 7 the 12 study 8 first 9 quantitative 9 quantitative 12 study 10 clinical 12 study 11 proteomic 12 study 13 where 22 strategy 13 where 24 been 14 itraq 18 - 14 itraq 22 strategy 15 - 18 - 16 2 17 d 17 d 18 - 18 - 19 lc 18 - 20 - 21 ms/ms 22 strategy 22 strategy 23 has 23 has 24 been 24 been 25 used 26 to 38 and 27 identify 29 differential 27 identify 38 and 28 the 29 differential 29 differential 30 proteome 30 proteome 31 in 30 proteome 35 by 31 in 34 cortex 32 the 34 cortex 33 vad 34 cortex 35 by 36 comparing 36 comparing 37 vad 38 and 39 matched 39 matched 41 subjects 40 control 41 subjects we generate testable hypothesis about the involvement of various proteins in the vascular and parenchymal events during the evolution of vad that finally leads to malfunction and demise of brain cells . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 generate 0 ###LEFT-WALL### 32 . 1 we 2 generate 2 generate 14 and 2 generate 17 during 2 generate 25 to 3 testable 4 hypothesis 4 hypothesis 5 about 4 hypothesis 8 of 4 hypothesis 14 and 5 about 7 involvement 6 the 7 involvement 8 of 10 proteins 9 various 10 proteins 10 proteins 11 in 11 in 13 vascular 12 the 13 vascular 14 and 16 events 15 parenchymal 16 events 17 during 19 evolution 18 the 19 evolution 19 evolution 20 of 20 of 21 vad 21 vad 22 that 21 vad 24 leads 22 that 24 leads 23 finally 24 leads 25 to 27 and 26 malfunction 27 and 27 and 28 demise 27 and 29 of 29 of 31 cells 30 brain 31 cells this study also establishes quantitative proteomics as a complementary approach and viable alternative to existing neurochemical , electron microscopic and neuroimaging techniques that are traditionally being used to understand the molecular pathology of vad . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 27 used 0 ###LEFT-WALL### 35 . 1 this 2 study 2 study 4 establishes 3 also 4 establishes 4 establishes 6 proteomics 4 establishes 7 as 5 quantitative 6 proteomics 7 as 11 and 8 a 10 approach 9 complementary 10 approach 10 approach 11 and 11 and 13 alternative 11 and 14 to 11 and 26 being 12 viable 13 alternative 14 to 15 existing 15 existing 22 techniques 16 neurochemical 17 , 16 neurochemical 18 electron 18 electron 22 techniques 19 microscopic 20 and 20 and 21 neuroimaging 20 and 22 techniques 22 techniques 23 that 22 techniques 24 are 23 that 24 are 25 traditionally 26 being 26 being 27 used 27 used 28 to 28 to 29 understand 29 understand 32 pathology 30 the 32 pathology 31 molecular 32 pathology 32 pathology 33 of 33 of 34 vad our study could inspire fellow researchers to initiate similar retrospective studies targeting various ethnicities , age - groups or sub - types of vad using brain samples available from brain banks across the world . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 4 inspire 0 ###LEFT-WALL### 17 - 1 our 2 study 2 study 3 could 3 could 4 inspire 4 inspire 6 researchers 4 inspire 7 to 5 fellow 6 researchers 7 to 8 initiate 8 initiate 11 studies 9 similar 11 studies 10 retrospective 11 studies 11 studies 12 targeting 12 targeting 14 ethnicities 13 various 14 ethnicities 14 ethnicities 16 age 15 , 16 age 16 age 17 - 17 - 19 or 17 - 21 - 17 - 35 . 18 groups 19 or 19 or 20 sub 21 - 24 vad 22 types 23 of 22 types 24 vad 23 of 24 vad 24 vad 25 using 24 vad 28 available 25 using 27 samples 26 brain 27 samples 28 available 29 from 29 from 31 banks 30 brain 31 banks 31 banks 32 across 32 across 34 world 33 the 34 world meta - analysis of these studies in the future may be able to shortlist candidate proteins or pathways for rationale exploration of therapeutic targets or biomarkers for vad . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 25 or 0 ###LEFT-WALL### 29 . 1 meta 2 - 1 meta 3 analysis 3 analysis 4 of 3 analysis 10 may 4 of 6 studies 5 these 6 studies 6 studies 7 in 7 in 9 future 8 the 9 future 10 may 25 or 11 be 12 able 11 be 25 or 12 able 13 to 12 able 14 shortlist 13 to 14 shortlist 14 shortlist 17 or 15 candidate 16 proteins 16 proteins 17 or 17 or 18 pathways 17 or 19 for 17 or 22 of 19 for 21 exploration 20 rationale 21 exploration 22 of 24 targets 23 therapeutic 24 targets 25 or 26 biomarkers 26 biomarkers 27 for 27 for 28 vad we enrolled 1772 subjects who underwent pulmonary function test [before] preoperative examination in our study . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 enrolled 0 ###LEFT-WALL### 16 . 1 we 2 enrolled 2 enrolled 4 subjects 3 1772 4 subjects 4 subjects 5 who 4 subjects 6 underwent 5 who 6 underwent 6 underwent 12 examination 6 underwent 13 in 7 pulmonary 8 function 8 function 12 examination 9 test 12 examination 11 preoperative 12 examination 13 in 15 study 14 our 15 study pre - bronchodilator forced expiratory volume in one second ( fev1 ) , vital capacity ( vc ) and forced vital capacity ( fvc ) were measured as primary data . 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 26 were 0 ###LEFT-WALL### 31 . 1 pre 6 volume 1 pre 19 and 2 - 6 volume 3 bronchodilator 4 forced 4 forced 6 volume 5 expiratory 6 volume 6 volume 7 in 6 volume 18 ) 7 in 9 second 8 one 9 second 9 second 11 fev1 9 second 15 capacity 10 ( 11 fev1 11 fev1 12 ) 13 , 15 capacity 14 vital 15 capacity 15 capacity 17 vc 15 capacity 18 ) 16 ( 17 vc 17 vc 18 ) 19 and 22 capacity 19 and 24 fvc 19 and 26 were 20 forced 22 capacity 21 vital 22 capacity 23 ( 24 fvc 24 fvc 25 ) 26 were 27 measured 27 measured 28 as 28 as 30 data 29 primary 30 data according to the numerical relationship between vcmax and fvc , two groups were divided : vcmax>fvc and vcmax=fvc . 0 ###LEFT-WALL### 12 groups 0 ###LEFT-WALL### 14 divided 0 ###LEFT-WALL### 15 : 1 according 2 to 2 to 5 relationship 2 to 10 , 2 to 12 groups 3 the 5 relationship 4 numerical 5 relationship 5 relationship 6 between 6 between 8 and 7 vcmax 8 and 8 and 9 fvc 11 two 12 groups 12 groups 13 were 13 were 14 divided 15 : 18 vcmax=fvc 15 : 19 . 16 vcmax>fvc 17 and 17 and 18 vcmax=fvc age , gender , height , weight , bmi and fev1/fvc , fev1%pred , fev1/vcmax were compared between the two groups . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 22 . 1 age 2 , 2 , 3 gender 2 , 4 , 4 , 5 height 4 , 6 , 6 , 7 weight 6 , 8 , 8 , 9 bmi 8 , 10 and 10 and 11 fev1/fvc 12 , 15 fev1/vcmax 12 , 17 compared 13 fev1%pred 14 , 13 fev1%pred 15 fev1/vcmax 15 fev1/vcmax 16 were 16 were 17 compared 17 compared 18 between 18 between 21 groups 19 the 20 two 20 two 21 groups using multivariate logistic regression , factors related to classification of vcmax=fvc or vcmax>fvc were estimated . 0 ###LEFT-WALL### 6 factors 0 ###LEFT-WALL### 15 estimated 0 ###LEFT-WALL### 16 . 1 using 4 regression 1 using 5 , 1 using 6 factors 2 multivariate 4 regression 3 logistic 4 regression 6 factors 7 related 6 factors 8 to 6 factors 14 were 8 to 9 classification 9 classification 10 of 10 of 12 or 11 vcmax=fvc 12 or 12 or 13 vcmax>fvc 14 were 15 estimated of the 1772 spirometric results analyzed , 614 ( 34.65 % ) with vcmax=fvc [and] 1158 ( 65.35 % ) [with] vcmax>fvc were identified . 0 ###LEFT-WALL### 22 vcmax>fvc 0 ###LEFT-WALL### 24 identified 0 ###LEFT-WALL### 25 . 1 of 5 results 1 of 22 vcmax>fvc 2 the 3 1772 3 1772 5 results 4 spirometric 5 results 5 results 6 analyzed 5 results 8 614 7 , 8 614 8 614 11 % 8 614 12 ) 9 ( 11 % 10 34.65 11 % 11 % 12 ) 13 with 14 vcmax=fvc 13 with 22 vcmax>fvc 14 vcmax=fvc 16 1158 14 vcmax=fvc 19 % 17 ( 19 % 18 65.35 19 % 19 % 20 ) 22 vcmax>fvc 23 were 23 were 24 identified compared to vcmax=fvc group , subjects in vcmax>fvc group [have] older age ( 95%ci [ 1.50 , 3.99 ] , p<0.001 ) , lower fev1%pred ( 95%ci [ - 12.22 , - 8.07 ] , p<0.001 ) and lower fev1/vcmax ( 95%ci [ - 0.07 , - 0.05 ] , p<0.001 ) , parameters such as height , weight , bmi , fev1/fvc showed no statistical significance . 0 ###LEFT-WALL### 58 , 0 ###LEFT-WALL### 60 , 0 ###LEFT-WALL### 68 . 1 compared 2 to 1 compared 38 and 1 compared 54 parameters 1 compared 56 as 1 compared 58 , 2 to 3 vcmax=fvc 4 group 5 , 5 , 6 subjects 5 , 38 and 6 subjects 7 in 7 in 12 age 8 vcmax>fvc 9 group 9 group 12 age 11 older 12 age 12 age 25 fev1%pred 13 ( 25 fev1%pred 14 95%ci 16 1.50 14 95%ci 23 , 14 95%ci 25 fev1%pred 15 [ 16 1.50 16 1.50 18 3.99 16 1.50 21 p<0.001 16 1.50 23 , 17 , 18 3.99 18 3.99 19 ] 20 , 21 p<0.001 21 p<0.001 22 ) 24 lower 25 fev1%pred 25 fev1%pred 27 95%ci 25 fev1%pred 36 p<0.001 25 fev1%pred 37 ) 26 ( 27 95%ci 27 95%ci 30 12.22 27 95%ci 33 8.07 27 95%ci 35 , 28 [ 30 12.22 29 - 30 12.22 30 12.22 31 , 31 , 33 8.07 32 - 33 8.07 33 8.07 34 ] 35 , 36 p<0.001 36 p<0.001 37 ) 38 and 39 lower 40 fev1/vcmax 42 95%ci 40 fev1/vcmax 54 parameters 41 ( 42 95%ci 42 95%ci 45 0.07 42 95%ci 48 0.05 42 95%ci 51 p<0.001 42 95%ci 53 , 43 [ 45 0.07 44 - 45 0.07 45 0.07 46 , 46 , 48 0.05 47 - 48 0.05 48 0.05 49 ] 50 , 51 p<0.001 51 p<0.001 52 ) 55 such 56 as 56 as 57 height 58 , 59 weight 60 , 61 bmi 60 , 62 , 62 , 63 fev1/fvc 62 , 64 showed 63 fev1/fvc 64 showed 64 showed 67 significance 65 no 67 significance 66 statistical 67 significance we made a conclusion that people with older age and lower fev1%pred tend to have a smaller fvc than vc in pre - bronchdilator spirometry . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 made 0 ###LEFT-WALL### 26 . 1 we 2 made 2 made 4 conclusion 3 a 4 conclusion 4 conclusion 5 that 5 that 10 and 5 that 13 tend 6 people 7 with 6 people 10 and 7 with 9 age 8 older 9 age 10 and 12 fev1%pred 10 and 13 tend 11 lower 12 fev1%pred 13 tend 14 to 13 tend 15 have 14 to 15 have 15 have 18 fvc 15 have 19 than 15 have 21 in 16 a 18 fvc 17 smaller 18 fvc 19 than 20 vc 21 in 25 spirometry 22 pre 23 - 22 pre 24 bronchdilator 24 bronchdilator 25 spirometry background : the aim of this study was to determine whether [eyebrow] and eyelash whitening is an effective parameter in age estimation . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 aim 2 : 16 is 2 : 23 . 3 the 4 aim 4 aim 5 of 4 aim 15 whitening 4 aim 16 is 5 of 6 this 7 study 8 was 8 was 9 to 9 to 10 determine 10 determine 13 and 10 determine 15 whitening 11 whether 13 and 13 and 14 eyelash 13 and 15 whitening 16 is 19 parameter 16 is 20 in 17 an 18 effective 17 an 19 parameter 18 effective 19 parameter 20 in 22 estimation 21 age 22 estimation material and methods : we evaluated 1545 patients . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 material 2 and 2 and 3 methods 4 : 5 we 4 : 6 evaluated 4 : 9 . 5 we 6 evaluated 6 evaluated 8 patients 7 1545 8 patients level of whitening was categorized as level 0 : no whitening , level 1 : 1 - 3 strands , level 2 : 3 - 10 strands , level 3 : 10 strands - 2/3 whitening , level 4 : >3/4 whitening . 0 ###LEFT-WALL### 1 level 0 ###LEFT-WALL### 5 categorized 0 ###LEFT-WALL### 9 : 1 level 2 of 1 level 4 was 2 of 3 whitening 4 was 5 categorized 5 categorized 6 as 6 as 7 level 7 level 8 0 9 : 13 level 9 : 15 : 9 : 23 : 9 : 31 : 10 no 13 level 11 whitening 12 , 11 whitening 13 level 13 level 14 1 13 level 15 : 15 : 19 strands 16 1 17 - 17 - 18 3 17 - 19 strands 19 strands 21 level 20 , 21 level 21 level 22 2 21 level 23 : 23 : 24 3 24 3 27 strands 25 - 27 strands 26 10 27 strands 27 strands 29 level 27 strands 31 : 28 , 29 level 29 level 30 3 29 level 31 : 31 : 33 strands 31 : 38 level 31 : 40 : 31 : 41 >3/4 31 : 43 . 32 10 33 strands 33 strands 35 2/3 33 strands 38 level 34 - 35 2/3 35 2/3 36 whitening 35 2/3 37 , 38 level 39 4 40 : 41 >3/4 41 >3/4 42 whitening results : mean age was 42.39 ± 20.01 . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 3 mean 0 ###LEFT-WALL### 9 . 1 results 2 : 2 : 3 mean 3 mean 4 age 3 mean 5 was 4 age 5 was 5 was 7 ± 6 42.39 7 ± 7 ± 8 20.01 while there was no eyebrow whitening in 87 % of the subjects , level 4 whitening of eyebrows was observed in 0,8 % of the subjects . 0 ###LEFT-WALL### 14 level 0 ###LEFT-WALL### 20 observed 0 ###LEFT-WALL### 27 . 1 while 2 there 1 while 3 was 1 while 13 , 1 while 14 level 2 there 3 was 3 was 6 whitening 4 no 6 whitening 5 eyebrow 6 whitening 6 whitening 7 in 6 whitening 10 of 7 in 9 % 8 87 9 % 10 of 12 subjects 11 the 12 subjects 14 level 15 4 14 level 16 whitening 14 level 17 of 14 level 19 was 17 of 18 eyebrows 19 was 20 observed 20 observed 21 in 21 in 23 % 22 0,8 23 % 23 % 24 of 24 of 26 subjects 25 the 26 subjects there was no eyelash whitening in 97,7 % of the subjects and no level 4 eyelash whitening was detected in any subject . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 23 . 1 there 2 was 2 was 4 eyelash 3 no 4 eyelash 4 eyelash 5 whitening 4 eyelash 6 in 4 eyelash 9 of 6 in 8 % 7 97,7 8 % 9 of 11 subjects 10 the 11 subjects 12 and 16 eyelash 12 and 19 detected 13 no 16 eyelash 14 level 16 eyelash 15 4 16 eyelash 16 eyelash 17 whitening 16 eyelash 18 was 18 was 19 detected 19 detected 20 in 19 detected 22 subject 20 in 21 any men had significantly more level 1 , 2 , 3 , and 4 eyebrow whitening compared with women . 0 ###LEFT-WALL### 1 men 0 ###LEFT-WALL### 2 had 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 19 . 1 men 2 had 2 had 4 more 2 had 5 level 3 significantly 4 more 5 level 6 1 7 , 8 2 7 , 9 , 9 , 10 3 9 , 12 and 11 , 12 and 12 and 15 whitening 12 and 16 compared 13 4 15 whitening 14 eyebrow 15 whitening 15 whitening 16 compared 16 compared 17 with 17 with 18 women there was no gender difference in terms of eyelash whitening level . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 12 . 1 there 2 was 2 was 5 difference 3 no 5 difference 4 gender 5 difference 5 difference 6 in 5 difference 8 of 6 in 7 terms 8 of 11 level 9 eyelash 10 whitening 10 whitening 11 level there was no eyebrow and eyelash whitening in subjects age 1 - 40 years ; whitening began in the 41 - 50 years age group and increased with age in other groups . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 15 ; 0 ###LEFT-WALL### 33 . 1 there 2 was 2 was 5 and 3 no 4 eyebrow 4 eyebrow 5 and 5 and 6 eyelash 5 and 7 whitening 7 whitening 8 in 8 in 10 age 9 subjects 10 age 10 age 11 1 10 age 14 years 12 - 14 years 13 40 14 years 14 years 15 ; 15 ; 16 whitening 15 ; 17 began 15 ; 21 - 16 whitening 17 began 17 began 18 in 18 in 20 41 19 the 20 41 21 - 22 50 21 - 26 and 22 50 23 years 22 50 24 age 22 50 26 and 23 years 24 age 25 group 26 and 26 and 27 increased 27 increased 28 with 27 increased 30 in 28 with 29 age 30 in 32 groups 31 other 32 groups mean age was 39.59 ± 19.63 years in subjects with no eyebrow whitening ; 59 years in level 1 , 61 years in level 2 , 63 years in level 3 , and 69 years in level 4 eyebrow whitening . 0 ###LEFT-WALL### 1 mean 0 ###LEFT-WALL### 14 ; 0 ###LEFT-WALL### 41 . 1 mean 2 age 1 mean 3 was 2 age 3 was 3 was 7 years 3 was 8 in 4 39.59 7 years 5 ± 7 years 6 19.63 7 years 8 in 9 subjects 9 subjects 10 with 9 subjects 13 whitening 10 with 12 eyebrow 11 no 12 eyebrow 14 ; 33 and 15 59 16 years 16 years 17 in 16 years 20 , 17 in 18 level 18 level 19 1 20 , 22 years 20 , 33 and 21 61 22 years 22 years 23 in 23 in 24 level 24 level 25 2 24 level 28 years 26 , 28 years 27 63 28 years 28 years 29 in 28 years 32 , 29 in 30 level 30 level 31 3 32 , 33 and 33 and 35 years 33 and 36 in 34 69 35 years 36 in 40 whitening 37 level 39 eyebrow 38 4 39 eyebrow 39 eyebrow 40 whitening mean age was 41.85 ± 19.87 in subjects with no eyelash whitening ; and 63.57 ± 10.75 in those with whitening . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 13 ; 0 ###LEFT-WALL### 22 . 1 mean 2 age 2 age 3 was 3 was 8 subjects 4 41.85 8 subjects 5 ± 8 subjects 6 19.87 7 in 7 in 8 subjects 8 subjects 9 with 8 subjects 12 whitening 9 with 11 eyelash 10 no 11 eyelash 13 ; 14 and 14 and 15 63.57 14 and 16 ± 15 63.57 16 ± 16 ± 17 10.75 17 10.75 18 in 18 in 19 those 19 those 20 with 20 with 21 whitening conclusions : particularly after 41 - 50 years of age , level [of] eyebrow and eyelash whitening may be among a useful age estimation parameter . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 1 conclusions 2 : 2 : 3 particularly 2 : 4 after 2 : 20 among 4 after 8 years 5 41 6 - 6 - 7 50 6 - 8 years 8 years 9 of 8 years 17 whitening 8 years 19 be 9 of 15 and 10 age 11 , 11 , 14 eyebrow 11 , 15 and 12 level 14 eyebrow 15 and 16 eyelash 17 whitening 18 may 18 may 19 be 20 among 25 parameter 21 a 25 parameter 22 useful 23 age 23 age 25 parameter 24 estimation 25 parameter objective : this study aims to evaluate associations between variations in genes involved in the metabolism of environmental chemicals and steroid hormones and risk of [menopause] in smokers . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 4 study 2 : 5 aims 3 this 4 study 4 study 5 aims 5 aims 6 to 5 aims 14 in 6 to 7 evaluate 7 evaluate 8 associations 7 evaluate 9 between 7 evaluate 11 in 9 between 10 variations 11 in 12 genes 12 genes 13 involved 14 in 16 metabolism 15 the 16 metabolism 16 metabolism 17 of 16 metabolism 25 of 17 of 23 and 18 environmental 19 chemicals 19 chemicals 20 and 20 and 22 hormones 20 and 23 and 21 steroid 22 hormones 23 and 24 risk 25 of 27 in 27 in 28 smokers methods : survival analysis was performed on 410 eligible participants from the penn ovarian aging study ( ongoing for 14 years ) , a cohort study of late - reproductive - age women . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 1 methods 2 : 2 : 3 survival 3 survival 4 analysis 3 survival 5 was 3 survival 6 performed 4 analysis 5 was 6 performed 7 on 7 on 10 participants 8 410 10 participants 9 eligible 10 participants 10 participants 11 from 11 from 16 study 12 the 16 study 13 penn 14 ovarian 14 ovarian 15 aging 15 aging 16 study 16 study 18 ongoing 16 study 26 study 17 ( 18 ongoing 18 ongoing 19 for 18 ongoing 22 ) 19 for 21 years 20 14 21 years 23 , 26 study 24 a 26 study 25 cohort 26 study 26 study 27 of 26 study 34 . 27 of 33 women 28 late 29 - 28 late 32 age 30 reproductive 31 - 30 reproductive 32 age 32 age 33 women single nucleotide polymorphisms at the following loci were studied : comt val158met , cyp1b1*4 asn452ser , cyp1b1*3 leu432val , and cyp3a4*1b . 0 ###LEFT-WALL### 3 polymorphisms 0 ###LEFT-WALL### 9 studied 0 ###LEFT-WALL### 10 : 1 single 2 nucleotide 2 nucleotide 3 polymorphisms 3 polymorphisms 4 at 3 polymorphisms 8 were 4 at 7 loci 5 the 6 following 5 the 7 loci 8 were 9 studied 10 : 20 and 10 : 22 . 11 comt 12 val158met 12 val158met 13 , 13 , 15 asn452ser 13 , 16 , 14 cyp1b1*4 15 asn452ser 16 , 18 leu432val 16 , 20 and 17 cyp1b1*3 18 leu432val 19 , 20 and 20 and 21 cyp3a4*1b results : significant interactions between smoking and single nucleotide polymorphisms were observed in european - american carriers of cyp3a4*1b and cyp1b1*3 , supporting a greater risk of menopause entry compared with those not carrying these alleles . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 2 : 14 european 2 : 15 - 3 significant 4 interactions 4 interactions 5 between 4 interactions 7 and 5 between 6 smoking 7 and 9 nucleotide 7 and 10 polymorphisms 7 and 13 in 7 and 14 european 8 single 9 nucleotide 10 polymorphisms 11 were 11 were 12 observed 12 observed 13 in 15 - 20 and 15 - 22 , 16 american 17 carriers 17 carriers 18 of 17 carriers 20 and 18 of 19 cyp3a4*1b 20 and 21 cyp1b1*3 22 , 23 supporting 22 , 30 compared 23 supporting 26 risk 23 supporting 30 compared 24 a 26 risk 25 greater 26 risk 26 risk 27 of 27 of 29 entry 28 menopause 29 entry 30 compared 31 with 31 with 32 those 31 with 33 not 31 with 34 carrying 34 carrying 36 alleles 35 these 36 alleles among cyp1b1*3 carriers , smokers had a greater risk of menopause entry than nonsmokers ( adjusted hazard [ratio] [ hr ] , 2.26 ; 95 % ci , 1.4 - 3.67 [;] median time to menopause [,] 10.42 and 11.07 [y] , respectively ) . 0 ###LEFT-WALL### 5 smokers 0 ###LEFT-WALL### 6 had 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 45 . 1 among 3 carriers 1 among 4 , 1 among 5 smokers 2 cyp1b1*3 3 carriers 5 smokers 6 had 6 had 9 risk 6 had 13 than 7 a 9 risk 8 greater 9 risk 9 risk 10 of 10 of 12 entry 11 menopause 12 entry 13 than 14 nonsmokers 14 nonsmokers 17 hazard 15 ( 17 hazard 16 adjusted 17 hazard 17 hazard 20 hr 17 hazard 21 ] 19 [ 20 hr 20 hr 21 ] 22 , 23 2.26 22 , 24 ; 24 ; 27 ci 24 ; 28 , 25 95 27 ci 26 % 27 ci 28 , 29 1.4 28 , 30 - 30 - 31 3.67 31 3.67 33 median 33 median 34 time 33 median 35 to 33 median 43 respectively 35 to 36 menopause 36 menopause 39 and 38 10.42 39 and 39 and 40 11.07 42 , 43 respectively 43 respectively 44 ) no association between smoking and menopause [was] identified in cyp1b1 wild types . 0 ###LEFT-WALL### 2 association 0 ###LEFT-WALL### 12 types 0 ###LEFT-WALL### 13 . 1 no 2 association 2 association 3 between 2 association 12 types 3 between 5 and 4 smoking 5 and 5 and 6 menopause 5 and 8 identified 8 identified 9 in 8 identified 11 wild 9 in 10 cyp1b1 among cyp3a4*1b carriers , smokers were at greater risk for menopause entry than nonsmokers ( adjusted hr , 15.1 ; 95 % ci , 3.31 - 69.2 [;] median time to menopause [,] 11.36 and 13.91 [y] , respectively ) . 0 ###LEFT-WALL### 5 smokers 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 41 . 1 among 3 carriers 1 among 4 , 1 among 5 smokers 2 cyp3a4*1b 3 carriers 5 smokers 6 were 6 were 7 at 6 were 13 than 7 at 9 risk 8 greater 9 risk 9 risk 10 for 10 for 12 entry 11 menopause 12 entry 13 than 14 nonsmokers 14 nonsmokers 17 hr 15 ( 17 hr 16 adjusted 17 hr 17 hr 18 , 18 , 19 15.1 18 , 20 ; 20 ; 23 ci 20 ; 24 , 21 95 23 ci 22 % 23 ci 24 , 25 3.31 24 , 26 - 26 - 27 69.2 27 69.2 29 median 29 median 30 time 29 median 31 to 29 median 39 respectively 31 to 32 menopause 32 menopause 35 and 34 11.36 35 and 35 and 36 13.91 38 , 39 respectively 39 respectively 40 ) risk of menopause entry in cyp3a4 [wild] types who smoked was far lower ( adjusted [hr] , 1.59 ; 95 % ci , 1.03 - 2.44 [ )( 0 ###LEFT-WALL### 1 risk 0 ###LEFT-WALL### 11 was 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 28 )( 1 risk 2 of 1 risk 5 in 1 risk 11 was 2 of 4 entry 3 menopause 4 entry 5 in 8 types 6 cyp3a4 8 types 8 types 9 who 8 types 10 smoked 9 who 10 smoked 11 was 12 far 11 was 13 lower 13 lower 15 adjusted 14 ( 15 adjusted 15 adjusted 17 , 17 , 18 1.59 17 , 19 ; 19 ; 22 ci 19 ; 23 , 20 95 22 ci 21 % 22 ci 23 , 24 1.03 23 , 25 - 24 1.03 25 - 25 - 26 2.44 heavily smoking cyp1b1*3 carriers [(] adjusted hr , 3.0 ; 95 % ci , 1.54 - 5.84 ; median time to menopause , 10.41 [y] ) and heavily smoking cyp3a4*1b carriers ( adjusted hr , 17.79 [;] 95 % ci , 3.21 - 98.65 [;] median time to menopause , 5.09 [y] [ )( the greatest risk of menopause entry . 0 ###LEFT-WALL### 2 smoking 0 ###LEFT-WALL### 6 adjusted 0 ###LEFT-WALL### 8 , 1 heavily 2 smoking 2 smoking 4 carriers 2 smoking 6 adjusted 3 cyp1b1*3 4 carriers 6 adjusted 7 hr 8 , 9 3.0 8 , 10 ; 10 ; 13 ci 10 ; 14 , 11 95 13 ci 12 % 13 ci 14 , 15 1.54 14 , 16 - 14 , 18 ; 15 1.54 16 - 16 - 17 5.84 18 ; 27 and 19 median 20 time 20 time 21 to 20 time 27 and 21 to 22 menopause 22 menopause 24 10.41 23 , 24 10.41 24 10.41 26 ) 27 and 31 carriers 27 and 33 adjusted 28 heavily 29 smoking 29 smoking 31 carriers 30 cyp3a4*1b 31 carriers 32 ( 33 adjusted 33 adjusted 43 - 34 hr 40 ci 35 , 40 ci 36 17.79 40 ci 38 95 40 ci 39 % 40 ci 40 ci 41 , 41 , 43 - 42 3.21 43 - 43 - 47 time 44 98.65 46 median 46 median 47 time 47 time 48 to 48 to 49 menopause 49 menopause 51 5.09 50 , 51 5.09 51 5.09 56 greatest 51 5.09 57 risk 51 5.09 58 of 51 5.09 61 . 55 the 56 greatest 56 greatest 57 risk 58 of 60 entry 59 menopause 60 entry conclusions : our finding that the risk of menopause entry in european [-] american smokers varies depending on [genetic] [background] represents a novel gene - environment interaction in reproductive aging . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 finding 2 : 21 represents 2 : 25 - 2 : 31 . 3 our 4 finding 4 finding 5 that 4 finding 18 on 4 finding 21 represents 5 that 7 risk 5 that 16 varies 6 the 7 risk 7 risk 8 of 7 risk 16 varies 8 of 10 entry 9 menopause 10 entry 10 entry 11 in 11 in 15 smokers 12 european 15 smokers 14 american 15 smokers 16 varies 17 depending 16 varies 18 on 21 represents 24 gene 22 a 24 gene 23 novel 24 gene 25 - 27 interaction 26 environment 27 interaction 27 interaction 28 in 28 in 30 aging 29 reproductive 30 aging current pathogenic theories for alzheimer disease ( ad ) and aging favor the notion that lesions and their constituent proteins are the initiators of disease due to toxicity . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 12 favor 0 ###LEFT-WALL### 29 . 1 current 3 theories 2 pathogenic 3 theories 3 theories 4 for 3 theories 10 and 4 for 6 disease 5 alzheimer 6 disease 6 disease 8 ad 7 ( 8 ad 8 ad 9 ) 10 and 11 aging 10 and 12 favor 12 favor 14 notion 12 favor 27 to 13 the 14 notion 14 notion 15 that 15 that 17 and 15 that 21 are 16 lesions 17 and 17 and 20 proteins 17 and 21 are 18 their 20 proteins 19 constituent 20 proteins 21 are 23 initiators 22 the 23 initiators 23 initiators 24 of 24 of 25 disease 26 due 27 to 27 to 28 toxicity whether this is because structural pathology is traditionally viewed as deleterious , and whether this , in turn , is a fundamental misinterpretation of the relationship between pathology and pathogenesis across the spectrum of chronic diseases , remains to be determined . 0 ###LEFT-WALL### 15 this 0 ###LEFT-WALL### 20 is 0 ###LEFT-WALL### 41 determined 0 ###LEFT-WALL### 42 . 1 whether 2 this 1 whether 3 is 1 whether 15 this 2 this 3 is 3 is 4 because 4 because 6 pathology 4 because 9 viewed 5 structural 6 pathology 6 pathology 7 is 7 is 9 viewed 8 traditionally 9 viewed 9 viewed 10 as 10 as 13 and 11 deleterious 13 and 12 , 13 and 13 and 14 whether 15 this 20 is 16 , 18 turn 17 in 18 turn 18 turn 19 , 18 turn 20 is 20 is 29 and 21 a 23 misinterpretation 22 fundamental 23 misinterpretation 23 misinterpretation 24 of 23 misinterpretation 27 between 23 misinterpretation 29 and 24 of 26 relationship 25 the 26 relationship 27 between 28 pathology 29 and 30 pathogenesis 30 pathogenesis 31 across 31 across 33 spectrum 32 the 33 spectrum 33 spectrum 34 of 34 of 36 diseases 35 chronic 36 diseases 37 , 41 determined 38 remains 39 to 38 remains 40 be 38 remains 41 determined 39 to 40 be as more and more detailed information about the biochemical constituents of ad lesions becomes available , it may also be argued that just as much knowledge of cellular physiology as pathophysiology has been gained . 0 ###LEFT-WALL### 17 it 0 ###LEFT-WALL### 21 argued 0 ###LEFT-WALL### 35 . 1 as 6 information 1 as 14 becomes 1 as 16 , 1 as 17 it 2 more 3 and 3 and 4 more 3 and 6 information 5 detailed 6 information 6 information 7 about 6 information 14 becomes 7 about 10 constituents 8 the 10 constituents 9 biochemical 10 constituents 10 constituents 11 of 11 of 13 lesions 12 ad 13 lesions 14 becomes 15 available 17 it 18 may 18 may 20 be 19 also 20 be 20 be 21 argued 21 argued 22 that 22 that 26 knowledge 22 that 34 gained 23 just 24 as 24 as 25 much 25 much 26 knowledge 26 knowledge 27 of 26 knowledge 32 has 27 of 29 physiology 28 cellular 29 physiology 29 physiology 30 as 30 as 31 pathophysiology 32 has 33 been 33 been 34 gained indeed , essentially all major proteins in ad lesions are derived from molecular cascades , which are in turn highly conserved across cells , tissues , and species . 0 ###LEFT-WALL### 6 proteins 0 ###LEFT-WALL### 11 derived 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 29 . 1 indeed 2 , 1 indeed 6 proteins 3 essentially 6 proteins 4 all 6 proteins 5 major 6 proteins 6 proteins 7 in 6 proteins 10 are 7 in 9 lesions 8 ad 9 lesions 10 are 11 derived 11 derived 12 from 12 from 14 cascades 13 molecular 14 cascades 14 cascades 16 which 15 , 16 which 16 which 17 are 16 which 24 , 17 are 21 conserved 18 in 19 turn 19 turn 21 conserved 20 highly 21 conserved 21 conserved 22 across 22 across 23 cells 24 , 27 and 25 tissues 27 and 26 , 27 and 27 and 28 species moreover , the lesions themselves are observed in the [cognitively] intact , and sometimes in large numbers , while major consensus criteria indicate that an extent of pathology is normal with advanced age . 0 ###LEFT-WALL### 4 lesions 0 ###LEFT-WALL### 7 observed 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 34 . 1 moreover 2 , 1 moreover 4 lesions 3 the 4 lesions 4 lesions 6 are 5 themselves 6 are 6 are 7 observed 7 observed 8 in 8 in 11 intact 9 the 11 intact 12 , 13 and 13 and 14 sometimes 13 and 22 criteria 13 and 23 indicate 15 in 17 numbers 15 in 18 , 15 in 22 criteria 16 large 17 numbers 19 while 21 consensus 19 while 22 criteria 20 major 21 consensus 22 criteria 23 indicate 23 indicate 24 that 24 that 26 extent 24 that 29 is 25 an 26 extent 26 extent 27 of 26 extent 29 is 27 of 28 pathology 29 is 30 normal 30 normal 31 with 31 with 33 age 32 advanced 33 age as the medical science community continues to pursue lesion targeting for therapeutic purposes , the notion that ad pathology is indicative of an active host response or environmental adaptation , and therefore a poor target , is becoming clearer . 0 ###LEFT-WALL### 16 notion 0 ###LEFT-WALL### 37 is 0 ###LEFT-WALL### 40 . 1 as 5 community 1 as 6 continues 1 as 14 , 1 as 16 notion 2 the 5 community 3 medical 4 science 4 science 5 community 5 community 6 continues 6 continues 7 to 6 continues 8 pursue 7 to 8 pursue 8 pursue 10 targeting 9 lesion 10 targeting 10 targeting 11 for 11 for 13 purposes 12 therapeutic 13 purposes 15 the 16 notion 16 notion 17 that 16 notion 37 is 17 that 19 pathology 17 that 20 is 18 ad 19 pathology 19 pathology 20 is 20 is 31 and 21 indicative 22 of 21 indicative 27 or 22 of 26 response 23 an 24 active 23 an 26 response 24 active 25 host 25 host 26 response 27 or 29 adaptation 27 or 30 , 27 or 31 and 28 environmental 29 adaptation 31 and 32 therefore 31 and 35 target 31 and 36 , 33 a 34 poor 33 a 35 target 34 poor 35 target 37 is 38 becoming 38 becoming 39 clearer as aged individuals are frequently exposed to short - term disuse caused by disease or musculoskeletal injury , it is important to understand how short - term disuse and subsequent retraining affect lower limb mechanical muscle function . 0 ###LEFT-WALL### 37 function 0 ###LEFT-WALL### 38 . 1 as 3 individuals 1 as 6 exposed 1 as 37 function 2 aged 3 individuals 3 individuals 4 are 4 are 5 frequently 4 are 6 exposed 6 exposed 7 to 6 exposed 21 important 7 to 11 disuse 8 short 9 - 8 short 11 disuse 10 term 11 disuse 11 disuse 12 caused 11 disuse 13 by 13 by 15 or 14 disease 15 or 15 or 17 injury 15 or 18 , 15 or 19 it 15 or 20 is 16 musculoskeletal 17 injury 19 it 20 is 21 important 22 to 22 to 23 understand 23 understand 24 how 24 how 29 and 24 how 32 affect 25 short 26 - 25 short 28 disuse 27 term 28 disuse 28 disuse 29 and 29 and 31 retraining 29 and 32 affect 30 subsequent 31 retraining 32 affect 33 lower 32 affect 36 muscle 34 limb 36 muscle 35 mechanical 36 muscle the purpose of the present study was , therefore , to investigate the effect of 4 days of lower limb disuse followed by 7 days of active recovery on mechanical muscle [function] of the knee extensors in young ( 24.3±0.9 years , n=11 ) and old ( 67.2±1.0 years , n=11 ) recreationally active healthy males . 0 ###LEFT-WALL### 45 and 0 ###LEFT-WALL### 57 . 1 the 2 purpose 2 purpose 3 of 2 purpose 45 and 3 of 5 present 4 the 5 present 5 present 6 study 5 present 7 was 5 present 11 to 6 study 7 was 7 was 9 therefore 8 , 9 therefore 9 therefore 10 , 10 , 11 to 11 to 12 investigate 11 to 44 ) 12 investigate 14 effect 12 investigate 23 by 12 investigate 29 on 12 investigate 37 in 13 the 14 effect 14 effect 15 of 15 of 17 days 16 4 17 days 17 days 18 of 18 of 21 disuse 19 lower 20 limb 20 limb 21 disuse 21 disuse 22 followed 23 by 25 days 24 7 25 days 25 days 26 of 26 of 28 recovery 27 active 28 recovery 29 on 31 muscle 30 mechanical 31 muscle 31 muscle 33 of 33 of 36 extensors 34 the 36 extensors 35 knee 36 extensors 37 in 43 n=11 38 young 41 years 38 young 42 , 38 young 43 n=11 39 ( 41 years 40 24.3±0.9 41 years 41 years 42 , 45 and 56 males 46 old 49 years 46 old 50 , 46 old 56 males 47 ( 49 years 48 67.2±1.0 49 years 49 years 50 , 51 n=11 52 ) 51 n=11 56 males 53 recreationally 54 active 54 active 56 males 55 healthy 56 males slow and moderate dynamic muscle strength were assessed using isokinetic dynamometry ( 60 and 180 ° s ( - 1 ) , respectively ) along with isometric muscle strength and rapid muscle force capacity examined as contractile rate of force development ( rfd ) , impulse , and relative rfd ( rrfd ) during the initial phase of contraction ( 100 m [s] time interval relative [to] onset [of] contraction ) . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 72 . 1 slow 2 and 2 and 3 moderate 3 moderate 5 muscle 4 dynamic 5 muscle 5 muscle 6 strength 5 muscle 7 were 5 muscle 8 assessed 5 muscle 9 using 6 strength 7 were 9 using 11 dynamometry 9 using 23 respectively 9 using 26 with 9 using 54 during 10 isokinetic 11 dynamometry 11 dynamometry 14 and 12 ( 14 and 13 60 14 and 14 and 15 180 14 and 20 1 14 and 22 , 15 180 16 ° 16 ° 17 s 18 ( 20 1 19 - 20 1 20 1 21 ) 22 , 23 respectively 23 respectively 24 ) 25 along 26 with 26 with 30 and 27 isometric 28 muscle 28 muscle 29 strength 29 strength 30 and 30 and 38 rate 30 and 39 of 31 rapid 32 muscle 32 muscle 35 examined 33 force 34 capacity 34 capacity 35 examined 35 examined 38 rate 36 as 37 contractile 37 contractile 38 rate 39 of 41 development 40 force 41 development 41 development 43 rfd 41 development 48 and 42 ( 43 rfd 43 rfd 44 ) 45 , 48 and 46 impulse 48 and 47 , 48 and 48 and 50 rfd 48 and 52 rrfd 48 and 53 ) 49 relative 50 rfd 51 ( 52 rrfd 52 rrfd 53 ) 54 during 57 phase 55 the 57 phase 56 initial 57 phase 57 phase 58 of 58 of 59 contraction 59 contraction 70 contraction 60 ( 70 contraction 61 100 62 m 62 m 65 interval 64 time 65 interval 65 interval 66 relative 66 relative 70 contraction 68 onset 70 contraction 70 contraction 71 ) prior to disuse , marked age - related differences ( p<0.05 ) were observed in isometric and dynamic muscle strength ( ~35 [%] ) as well as in rfd and impulse ( ~39 [%] ) . 0 ###LEFT-WALL### 14 observed 1 prior 2 to 1 prior 9 differences 1 prior 13 were 1 prior 14 observed 2 to 3 disuse 3 disuse 6 age 4 , 6 age 5 marked 6 age 6 age 7 - 8 related 9 differences 9 differences 11 p<0.05 9 differences 13 were 10 ( 11 p<0.05 11 p<0.05 12 ) 14 observed 15 in 14 observed 26 well 14 observed 27 as 14 observed 36 . 15 in 17 and 16 isometric 17 and 17 and 20 strength 17 and 22 ~35 18 dynamic 19 muscle 19 muscle 20 strength 21 ( 22 ~35 22 ~35 24 ) 25 as 26 well 27 as 28 in 28 in 31 impulse 29 rfd 30 and 30 and 31 impulse 31 impulse 33 ~39 32 ( 33 ~39 33 ~39 35 ) following recovery , all measures of mechanical muscle [function] were restored in young individuals compared to pre - disuse values , while isometric , slow and moderate dynamic muscle strength remained suppressed ( p<0.05 ) in old individuals ( ~8 [%] ) along with a tendency to suppressed rfd100 ( p=0.068 ) . 0 ###LEFT-WALL### 5 measures 0 ###LEFT-WALL### 11 restored 0 ###LEFT-WALL### 18 - 1 following 2 recovery 1 following 3 , 1 following 5 measures 4 all 5 measures 5 measures 6 of 5 measures 10 were 6 of 8 muscle 7 mechanical 8 muscle 10 were 11 restored 11 restored 12 in 11 restored 16 to 12 in 14 individuals 13 young 14 individuals 14 individuals 15 compared 16 to 17 pre 18 - 20 values 18 - 26 and 18 - 53 . 19 disuse 20 values 20 values 26 and 21 , 22 while 22 while 23 isometric 22 while 24 , 22 while 25 slow 25 slow 26 and 26 and 27 moderate 27 moderate 29 muscle 27 moderate 36 in 27 moderate 44 with 28 dynamic 29 muscle 29 muscle 30 strength 29 muscle 31 remained 29 muscle 32 suppressed 29 muscle 34 p<0.05 30 strength 31 remained 33 ( 34 p<0.05 34 p<0.05 35 ) 36 in 38 individuals 37 old 38 individuals 38 individuals 40 ~8 39 ( 40 ~8 40 ~8 42 ) 43 along 44 with 44 with 46 tendency 45 a 46 tendency 46 tendency 47 to 47 to 49 rfd100 48 suppressed 49 rfd100 49 rfd100 51 p=0.068 50 ( 51 p=0.068 51 p=0.068 52 ) in conclusion , 4 days of lower limb disuse led to marked [decrements] in knee extensor mechanical muscle function in both young and old individuals , yet with greater [decrements] observed [in] moderate dynamic strength and rapid muscle force capacity in old individuals . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 44 . 1 in 2 conclusion 3 , 4 4 3 , 19 function 4 4 5 days 4 4 11 to 4 4 12 marked 4 4 14 in 4 4 19 function 5 days 6 of 5 days 10 led 6 of 9 disuse 7 lower 9 disuse 8 limb 9 disuse 10 led 11 to 14 in 18 muscle 15 knee 18 muscle 16 extensor 18 muscle 17 mechanical 18 muscle 19 function 20 in 19 function 27 yet 19 function 28 with 20 in 23 and 21 both 23 and 22 young 23 and 23 and 25 individuals 23 and 26 , 24 old 25 individuals 28 with 36 and 29 greater 35 strength 31 observed 35 strength 33 moderate 35 strength 34 dynamic 35 strength 35 strength 36 and 36 and 40 capacity 36 and 41 in 37 rapid 38 muscle 38 muscle 39 force 39 force 40 capacity 41 in 43 individuals 42 old 43 individuals while 7 days of recovery - including free ambulation , one test session and a single session of strength training - was sufficient to restore mechanical muscle function in young individuals , old individuals appeared to have an impaired ability to fully recover as evidenced by suppressed values of isometric and dynamic muscle strength and rapid muscle force capacity . 0 ###LEFT-WALL### 3 days 0 ###LEFT-WALL### 32 , 0 ###LEFT-WALL### 60 . 1 while 2 7 1 while 3 days 3 days 7 including 3 days 22 was 3 days 28 function 4 of 5 recovery 4 of 6 - 4 of 7 including 7 including 8 free 7 including 9 ambulation 7 including 22 was 9 ambulation 14 and 10 , 14 and 11 one 13 session 12 test 13 session 13 session 14 and 14 and 17 session 14 and 21 - 15 a 16 single 15 a 17 session 16 single 17 session 17 session 18 of 18 of 20 training 19 strength 20 training 22 was 23 sufficient 23 sufficient 24 to 24 to 25 restore 25 restore 27 muscle 26 mechanical 27 muscle 28 function 29 in 29 in 31 individuals 30 young 31 individuals 32 , 34 individuals 32 , 45 evidenced 33 old 34 individuals 34 individuals 35 appeared 35 appeared 36 to 35 appeared 41 to 35 appeared 43 recover 36 to 37 have 37 have 40 ability 38 an 40 ability 39 impaired 40 ability 41 to 43 recover 42 fully 43 recover 43 recover 44 as 44 as 45 evidenced 45 evidenced 46 by 45 evidenced 55 and 46 by 48 values 47 suppressed 48 values 48 values 49 of 49 of 53 muscle 50 isometric 51 and 51 and 52 dynamic 51 and 53 muscle 54 strength 55 and 55 and 59 capacity 56 rapid 57 muscle 57 muscle 58 force 58 force 59 capacity the nuclear pore complex ( npc ) is a massive molecular machine embedded in the nuclear envelope and controlling traffic [into] and out of the cell nucleus . 0 ###LEFT-WALL### 4 complex 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 28 . 1 the 4 complex 2 nuclear 3 pore 3 pore 4 complex 4 complex 6 npc 4 complex 8 is 5 ( 6 npc 6 npc 7 ) 8 is 12 machine 8 is 22 and 9 a 10 massive 9 a 12 machine 10 massive 12 machine 11 molecular 12 machine 12 machine 13 embedded 14 in 18 and 14 in 22 and 15 the 17 envelope 16 nuclear 17 envelope 17 envelope 18 and 18 and 20 traffic 19 controlling 20 traffic 22 and 24 of 23 out 24 of 24 of 27 nucleus 25 the 27 nucleus 26 cell 27 nucleus here , we describe some of the outstanding research questions concerning the npc , its assembly and functions . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 describe 0 ###LEFT-WALL### 19 . 1 here 2 , 1 here 3 we 3 we 4 describe 4 describe 17 and 5 some 6 of 5 some 14 , 6 of 10 questions 7 the 10 questions 8 outstanding 9 research 9 research 10 questions 10 questions 11 concerning 11 concerning 13 npc 12 the 13 npc 14 , 16 assembly 14 , 17 and 15 its 16 assembly 17 and 18 functions we also discuss recent findings that link the npc and its immediate surroundings to the process of cellular aging . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 discuss 0 ###LEFT-WALL### 20 . 1 we 3 discuss 2 also 3 discuss 3 discuss 5 findings 4 recent 5 findings 5 findings 6 that 5 findings 7 link 6 that 7 link 7 link 10 and 7 link 14 to 8 the 9 npc 9 npc 10 and 10 and 13 surroundings 11 its 13 surroundings 12 immediate 13 surroundings 14 to 16 process 15 the 16 process 16 process 17 of 17 of 19 aging 18 cellular 19 aging scaffold and barrier nucleoporins are two major types of protein building blocks that make up the npc . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 5 are 0 ###LEFT-WALL### 18 . 1 scaffold 2 and 2 and 4 nucleoporins 2 and 5 are 3 barrier 4 nucleoporins 5 are 12 blocks 6 two 8 types 7 major 8 types 8 types 9 of 8 types 12 blocks 9 of 12 blocks 10 protein 11 building 11 building 12 blocks 12 blocks 13 that 12 blocks 14 make 13 that 14 make 14 make 15 up 14 make 17 npc 16 the 17 npc surprisingly , these two groups of nucleoporins differ dramatically in their turnover rates . 0 ###LEFT-WALL### 5 groups 0 ###LEFT-WALL### 8 differ 0 ###LEFT-WALL### 14 . 1 surprisingly 2 , 1 surprisingly 5 groups 3 these 4 two 4 two 5 groups 5 groups 6 of 5 groups 8 differ 6 of 7 nucleoporins 8 differ 9 dramatically 8 differ 10 in 10 in 13 rates 11 their 13 rates 12 turnover 13 rates recent work identifies some of the scaffold nucleoporins as the most extremely long - [lived] proteins in rat brain . 0 ###LEFT-WALL### 2 work 0 ###LEFT-WALL### 3 identifies 0 ###LEFT-WALL### 20 . 1 recent 2 work 2 work 3 identifies 3 identifies 4 some 4 some 5 of 4 some 9 as 5 of 8 nucleoporins 6 the 8 nucleoporins 7 scaffold 8 nucleoporins 9 as 16 proteins 10 the 16 proteins 11 most 12 extremely 12 extremely 13 long 13 long 14 - 13 long 16 proteins 16 proteins 17 in 17 in 19 brain 18 rat 19 brain some of the consequences of these findings and new open questions arising from them are discussed . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 16 discussed 0 ###LEFT-WALL### 17 . 1 some 2 of 1 some 8 and 2 of 4 consequences 3 the 4 consequences 4 consequences 5 of 5 of 7 findings 6 these 7 findings 8 and 11 questions 8 and 12 arising 8 and 15 are 9 new 11 questions 10 open 11 questions 12 arising 13 from 13 from 14 them 15 are 16 discussed we also consider the evidence for a perturbed permeability barrier in nuclei from old cells and the alteration of nuclear transport pathways under stress conditions . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 consider 0 ###LEFT-WALL### 26 . 1 we 3 consider 2 also 3 consider 3 consider 5 evidence 3 consider 6 for 3 consider 11 in 3 consider 23 under 4 the 5 evidence 6 for 10 barrier 7 a 10 barrier 8 perturbed 9 permeability 9 permeability 10 barrier 11 in 12 nuclei 12 nuclei 13 from 12 nuclei 19 of 13 from 16 and 14 old 15 cells 15 cells 16 and 16 and 18 alteration 17 the 18 alteration 19 of 22 pathways 20 nuclear 21 transport 21 transport 22 pathways 23 under 25 conditions 24 stress 25 conditions finally , we describe the connection between premature aging syndromes and the nuclear lamina , a filamentous protein network which underlies the nuclear envelope . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 describe 1 finally 2 , 1 finally 3 we 3 we 4 describe 4 describe 6 connection 4 describe 7 between 5 the 6 connection 7 between 11 and 8 premature 10 syndromes 9 aging 10 syndromes 10 syndromes 11 and 11 and 14 lamina 11 and 19 network 12 the 14 lamina 13 nuclear 14 lamina 15 , 19 network 16 a 17 filamentous 16 a 19 network 17 filamentous 18 protein 18 protein 19 network 19 network 20 which 19 network 21 underlies 19 network 25 . 20 which 21 underlies 21 underlies 24 envelope 22 the 24 envelope 23 nuclear 24 envelope maximizing fat loss while preserving lean tissue [mass] and function is a central goal of modern obesity treatments . 0 ###LEFT-WALL### 1 maximizing 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 19 . 1 maximizing 3 loss 1 maximizing 4 while 1 maximizing 11 is 2 fat 3 loss 4 while 5 preserving 5 preserving 9 and 6 lean 7 tissue 7 tissue 9 and 9 and 10 function 11 is 14 goal 12 a 13 central 12 a 14 goal 13 central 14 goal 14 goal 15 of 15 of 18 treatments 16 modern 17 obesity 17 obesity 18 treatments a widely cited rule guiding expected loss of lean tissue as fat - free mass [(] ffm ) states that approximately one - fourth of weight loss will be ffm ( i.e [.] δffm/δweight = ∼0.25 ) , with the remaining three [-] fourths being fat mass . 0 ###LEFT-WALL### 4 rule 0 ###LEFT-WALL### 19 states 0 ###LEFT-WALL### 23 - 0 ###LEFT-WALL### 48 . 1 a 4 rule 2 widely 3 cited 3 cited 4 rule 4 rule 5 guiding 4 rule 8 of 4 rule 19 states 5 guiding 7 loss 6 expected 7 loss 8 of 10 tissue 9 lean 10 tissue 10 tissue 11 as 11 as 12 fat 12 fat 17 ffm 13 - 17 ffm 14 free 15 mass 15 mass 17 ffm 17 ffm 18 ) 19 states 22 one 20 that 21 approximately 21 approximately 22 one 23 - 44 fourths 23 - 47 mass 24 fourth 44 fourths 25 of 26 weight 25 of 38 , 25 of 44 fourths 26 weight 27 loss 26 weight 29 be 27 loss 28 will 28 will 29 be 29 be 30 ffm 30 ffm 32 i.e 31 ( 32 i.e 32 i.e 34 δffm/δweight 32 i.e 36 ∼0.25 32 i.e 37 ) 34 δffm/δweight 35 = 35 = 36 ∼0.25 39 with 41 remaining 39 with 44 fourths 40 the 41 remaining 42 three 44 fourths 44 fourths 45 being 44 fourths 47 mass 45 being 46 fat this review examines the dynamic relationships between ffm , fat mass and weight changes that follow induction of negative energy balance with hypocaloric dieting [and/or] exercise . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 examines 0 ###LEFT-WALL### 27 . 1 this 2 review 2 review 3 examines 3 examines 6 relationships 4 the 6 relationships 5 dynamic 6 relationships 6 relationships 7 between 6 relationships 15 that 6 relationships 16 follow 7 between 12 and 8 ffm 9 , 9 , 11 mass 9 , 12 and 10 fat 11 mass 12 and 14 changes 13 weight 14 changes 15 that 16 follow 16 follow 17 induction 17 induction 18 of 18 of 21 balance 19 negative 20 energy 20 energy 21 balance 21 balance 22 with 22 with 26 exercise 23 hypocaloric 26 exercise 24 dieting 26 exercise historical developments in the field are traced with the ['] quarter ffm rule ['] used as a framework to examine evolving concepts on obesity tissue , excess weight and what is often cited as ['] forbes ' rule ['] . 0 ###LEFT-WALL### 2 developments 0 ###LEFT-WALL### 40 . 1 historical 2 developments 2 developments 3 in 2 developments 6 are 3 in 5 field 4 the 5 field 6 are 7 traced 7 traced 8 with 7 traced 19 to 8 with 13 rule 8 with 15 used 9 the 13 rule 11 quarter 12 ffm 12 ffm 13 rule 15 used 16 as 16 as 18 framework 17 a 18 framework 19 to 20 examine 20 examine 21 evolving 20 examine 33 cited 21 evolving 29 and 21 evolving 31 is 22 concepts 23 on 22 concepts 26 , 23 on 25 tissue 24 obesity 25 tissue 26 , 28 weight 26 , 29 and 27 excess 28 weight 29 and 30 what 31 is 33 cited 32 often 33 cited 33 cited 34 as 34 as 38 rule 36 forbes 37 ' 37 ' 38 rule temporal effects in the fractional contribution of ffm to changes in body weight are examined as [are] lean tissue moderating effects such as ageing , inactivity and exercise that frequently accompany structured low - calorie diet weight loss protocols . 0 ###LEFT-WALL### 2 effects 0 ###LEFT-WALL### 14 are 0 ###LEFT-WALL### 40 . 1 temporal 2 effects 2 effects 3 in 2 effects 14 are 3 in 6 contribution 4 the 6 contribution 5 fractional 6 contribution 6 contribution 7 of 7 of 8 ffm 8 ffm 9 to 9 to 10 changes 10 changes 11 in 11 in 13 weight 12 body 13 weight 14 are 21 effects 14 are 23 as 15 examined 21 effects 16 as 18 lean 18 lean 21 effects 19 tissue 20 moderating 20 moderating 21 effects 22 such 23 as 23 as 27 and 24 ageing 25 , 25 , 26 inactivity 25 , 27 and 27 and 28 exercise 27 and 29 that 27 and 31 accompany 29 that 31 accompany 30 frequently 31 accompany 31 accompany 39 protocols 32 structured 35 calorie 33 low 34 - 33 low 35 calorie 35 calorie 39 protocols 36 diet 38 loss 37 weight 38 loss 38 loss 39 protocols losses of lean tissue with dieting typically tend to be small , raising questions about study design , power and applied measurement method reliability . 0 ###LEFT-WALL### 1 losses 0 ###LEFT-WALL### 8 tend 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 25 . 1 losses 2 of 1 losses 5 with 1 losses 8 tend 2 of 4 tissue 3 lean 4 tissue 5 with 6 dieting 7 typically 8 tend 8 tend 9 to 8 tend 10 be 9 to 10 be 10 be 11 small 11 small 13 raising 12 , 13 raising 13 raising 14 questions 13 raising 18 , 14 questions 15 about 15 about 17 design 16 study 17 design 18 , 20 and 19 power 20 and 20 and 24 reliability 21 applied 22 measurement 22 measurement 24 reliability 23 method 24 reliability our review elicits important questions related to the fractional loss of lean tissues with dieting and provides a foundation for future research on this topic . mirnas are small [non] - coding rnas that play an important role in numerous physiological processes . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 elicits 0 ###LEFT-WALL### 26 . 1 our 2 review 2 review 3 elicits 3 elicits 5 questions 3 elicits 20 for 3 elicits 23 on 4 important 5 questions 5 questions 16 and 6 related 7 to 6 related 14 with 6 related 16 and 7 to 10 loss 8 the 10 loss 9 fractional 10 loss 10 loss 11 of 11 of 13 tissues 12 lean 13 tissues 14 with 15 dieting 16 and 17 provides 16 and 19 foundation 18 a 19 foundation 20 for 22 research 21 future 22 research 23 on 25 topic 24 this 25 topic 26 . 27 mirnas 26 . 28 are 27 mirnas 28 are 28 are 29 small 29 small 32 coding 31 - 32 coding 32 coding 33 rnas 32 coding 39 in 32 coding 43 . 33 rnas 34 that 33 rnas 35 play 34 that 35 play 35 play 38 role 36 an 38 role 37 important 38 role 39 in 42 processes 40 numerous 42 processes 41 physiological 42 processes common single nucleotide polymorphisms ( snps ) in pre - mirnas may change their property through altering mirnas expression [and/or] maturation , resulting in diverse functional consequences . 0 ###LEFT-WALL### 2 single 0 ###LEFT-WALL### 10 - 1 common 2 single 2 single 4 polymorphisms 2 single 8 in 3 nucleotide 4 polymorphisms 4 polymorphisms 6 snps 5 ( 6 snps 6 snps 7 ) 8 in 9 pre 10 - 11 mirnas 10 - 13 change 11 mirnas 12 may 12 may 13 change 13 change 15 property 13 change 16 through 14 their 15 property 16 through 21 maturation 17 altering 21 maturation 18 mirnas 21 maturation 19 expression 21 maturation 21 maturation 23 resulting 22 , 23 resulting 23 resulting 24 in 23 resulting 28 . 24 in 27 consequences 25 diverse 27 consequences 26 functional 27 consequences to date , the role of genetic variants in pre - mirnas on coronary artery disease ( cad ) risk remains poorly understood . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 date 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 24 . 1 to 2 date 3 , 5 role 3 , 21 remains 4 the 5 role 5 role 6 of 5 role 21 remains 6 of 8 variants 7 genetic 8 variants 8 variants 9 in 9 in 20 risk 10 pre 12 mirnas 10 pre 20 risk 11 - 12 mirnas 12 mirnas 13 on 12 mirnas 18 cad 12 mirnas 19 ) 13 on 16 disease 14 coronary 15 artery 15 artery 16 disease 17 ( 18 cad 18 cad 19 ) 21 remains 22 poorly 21 remains 23 understood here we aimed to evaluate the influence of three common snps in pre - mirnas ( mir - 146a rs2910164 g>c , mir - 196a2 rs11614913 c>t , mir - 499 rs3746444 t>c ) on individual susceptibility to cad in a chinese population of 295 cad patients and 283 controls . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 aimed 0 ###LEFT-WALL### 51 . 1 here 2 we 2 we 3 aimed 3 aimed 4 to 3 aimed 12 in 3 aimed 35 on 4 to 5 evaluate 5 evaluate 7 influence 6 the 7 influence 7 influence 8 of 8 of 11 snps 9 three 11 snps 10 common 11 snps 12 in 15 mirnas 13 pre 14 - 13 pre 15 mirnas 15 mirnas 29 mir 16 ( 29 mir 17 mir 21 g>c 17 mir 28 , 17 mir 29 mir 18 - 21 g>c 19 146a 21 g>c 20 rs2910164 21 g>c 21 g>c 27 c>t 21 g>c 28 , 22 , 27 c>t 23 mir 24 - 23 mir 27 c>t 25 196a2 27 c>t 26 rs11614913 27 c>t 27 c>t 28 , 29 mir 33 t>c 29 mir 34 ) 30 - 33 t>c 31 499 32 rs3746444 32 rs3746444 33 t>c 33 t>c 34 ) 35 on 48 and 36 individual 37 susceptibility 37 susceptibility 38 to 37 susceptibility 44 of 37 susceptibility 48 and 38 to 39 cad 39 cad 40 in 40 in 43 population 41 a 42 chinese 41 a 43 population 42 chinese 43 population 44 of 47 patients 45 295 47 patients 46 cad 47 patients 48 and 50 controls 49 283 50 controls genotyping was performed using polymerase chain reaction - based restriction fragment length polymorphism [(] pcr - rflp ) method . 0 ###LEFT-WALL### 1 genotyping 0 ###LEFT-WALL### 3 performed 0 ###LEFT-WALL### 8 - 1 genotyping 2 was 2 was 3 performed 3 performed 4 using 4 using 7 reaction 5 polymerase 7 reaction 6 chain 7 reaction 8 - 19 method 8 - 20 . 9 based 10 restriction 10 restriction 19 method 11 fragment 19 method 12 length 19 method 13 polymorphism 19 method 15 pcr 17 rflp 16 - 17 rflp 17 rflp 18 ) 17 rflp 19 method as we [used] further genotype association models , we found a similar trend of the association [in] recessive model ( or=1.86 , 95 % ci=1.09 - 3.19 , p=0.023 ) . 0 ###LEFT-WALL### 9 we 0 ###LEFT-WALL### 10 found 0 ###LEFT-WALL### 31 . 1 as 2 we 1 as 5 genotype 1 as 8 , 1 as 9 we 2 we 5 genotype 4 further 5 genotype 5 genotype 7 models 6 association 7 models 9 we 10 found 10 found 13 trend 10 found 25 ci=1.09 11 a 13 trend 12 similar 13 trend 13 trend 14 of 13 trend 21 or=1.86 14 of 19 model 15 the 19 model 16 association 19 model 18 recessive 19 model 20 ( 21 or=1.86 21 or=1.86 22 , 23 95 25 ci=1.09 24 % 25 ci=1.09 25 ci=1.09 27 3.19 26 - 27 3.19 27 3.19 29 p=0.023 27 3.19 30 ) 28 , 29 p=0.023 29 p=0.023 30 ) we also found that [the] genotypes [of] mir - 146a rs2910164 were associated with its mature mirna expression by analyzing 23 pbmc samples from cad patients . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 found 0 ###LEFT-WALL### 27 . 1 we 3 found 2 also 3 found 3 found 4 that 3 found 6 genotypes 4 that 6 genotypes 6 genotypes 10 146a 8 mir 9 - 8 mir 10 146a 10 146a 11 rs2910164 10 146a 20 analyzing 11 rs2910164 12 were 12 were 13 associated 13 associated 14 with 14 with 18 expression 14 with 19 by 15 its 18 expression 16 mature 18 expression 17 mirna 18 expression 19 by 20 analyzing 20 analyzing 23 samples 20 analyzing 24 from 21 23 23 samples 22 pbmc 23 samples 24 from 26 patients 25 cad 26 patients individuals carrying rs11614913 gc [or] cc genotypes showed 3.2 - fold higher expression compared to [gg] genotype carriers ( p<0.05 ) . 0 ###LEFT-WALL### 1 individuals 0 ###LEFT-WALL### 8 showed 0 ###LEFT-WALL### 10 - 1 individuals 2 carrying 1 individuals 4 gc 1 individuals 7 genotypes 1 individuals 8 showed 2 carrying 3 rs11614913 4 gc 6 cc 4 gc 7 genotypes 8 showed 9 3.2 10 - 11 fold 10 - 22 . 11 fold 13 expression 12 higher 13 expression 13 expression 14 compared 13 expression 15 to 13 expression 17 genotype 15 to 17 genotype 17 genotype 18 carriers 18 carriers 20 p<0.05 19 ( 20 p<0.05 20 p<0.05 21 ) we observed no association of the other two snps in mir - 196a2 ( rs11614913 ) and mir - 499 ( rs3746444 ) with the cad incidence . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 observed 0 ###LEFT-WALL### 28 . 1 we 2 observed 2 observed 4 association 2 observed 24 with 3 no 4 association 4 association 5 of 4 association 20 499 5 of 17 and 6 the 7 other 7 other 8 two 8 two 9 snps 9 snps 10 in 9 snps 17 and 10 in 13 196a2 11 mir 12 - 11 mir 13 196a2 13 196a2 15 rs11614913 14 ( 15 rs11614913 15 rs11614913 16 ) 17 and 18 mir 19 - 20 499 20 499 22 rs3746444 20 499 23 ) 21 ( 22 rs3746444 22 rs3746444 23 ) 24 with 27 incidence 25 the 27 incidence 26 cad 27 incidence our data provide the first evidence that the mir - 146a rs2910164 polymorphism is associated with increased risk of cad in chinese han population , which may be through influencing the expression levels of the mirna . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 37 . 1 our 2 data 2 data 3 provide 3 provide 6 evidence 4 the 5 first 4 the 6 evidence 6 evidence 7 that 7 that 13 polymorphism 7 that 15 associated 8 the 13 polymorphism 9 mir 10 - 9 mir 13 polymorphism 11 146a 13 polymorphism 12 rs2910164 13 polymorphism 13 polymorphism 14 is 14 is 15 associated 15 associated 16 with 15 associated 21 in 16 with 18 risk 17 increased 18 risk 18 risk 19 of 19 of 20 cad 21 in 24 population 22 chinese 24 population 23 han 24 population 25 , 26 which 25 , 28 be 26 which 27 may 27 may 28 be 28 be 29 through 29 through 30 influencing 30 influencing 33 levels 31 the 33 levels 32 expression 33 levels 33 levels 34 of 34 of 36 mirna 35 the 36 mirna aims : we sought to identify the determinants of orthostatic hypotension ( oh ) among patients referred to the transient ischaemic attack ( tia ) [clinic] . 0 ###LEFT-WALL### 1 aims 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 sought 2 : 27 . 3 we 4 sought 4 sought 5 to 4 sought 6 identify 5 to 6 identify 6 identify 8 determinants 6 identify 15 among 7 the 8 determinants 8 determinants 9 of 9 of 11 hypotension 10 orthostatic 11 hypotension 11 hypotension 13 oh 12 ( 13 oh 13 oh 14 ) 15 among 16 patients 16 patients 17 referred 16 patients 24 tia 17 referred 18 to 18 to 22 attack 19 the 22 attack 20 transient 22 attack 21 ischaemic 22 attack 23 ( 24 tia 24 tia 25 ) methods : we conducted a retrospective analysis of prospectively collected data on patients who attended the tia clinic in a uk hospital between january 2006 and september 2009 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 3 we 2 : 4 conducted 3 we 4 conducted 4 conducted 7 analysis 4 conducted 12 on 4 conducted 19 in 5 a 7 analysis 6 retrospective 7 analysis 7 analysis 8 of 8 of 11 data 9 prospectively 10 collected 10 collected 11 data 12 on 13 patients 13 patients 14 who 13 patients 15 attended 14 who 15 attended 15 attended 18 clinic 16 the 18 clinic 17 tia 18 clinic 19 in 26 and 20 a 22 hospital 21 uk 22 hospital 22 hospital 23 between 22 hospital 26 and 23 between 24 january 24 january 25 2006 26 and 27 september 27 september 28 2009 each patient had their supine and standing or sitting blood pressure measured . 0 ###LEFT-WALL### 2 patient 0 ###LEFT-WALL### 3 had 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 13 . 1 each 2 patient 2 patient 3 had 3 had 5 supine 4 their 5 supine 6 and 8 or 6 and 10 blood 7 standing 8 or 8 or 9 sitting 8 or 10 blood 10 blood 11 pressure 11 pressure 12 measured logistic regression was used to estimate the univariate and multivariate odds of oh for the subgroups of patients based on their diagnosis . 0 ###LEFT-WALL### 1 logistic 0 ###LEFT-WALL### 6 estimate 0 ###LEFT-WALL### 23 . 1 logistic 3 was 1 logistic 5 to 2 regression 3 was 3 was 4 used 5 to 6 estimate 6 estimate 11 odds 7 the 11 odds 8 univariate 9 and 9 and 10 multivariate 9 and 11 odds 11 odds 12 of 12 of 13 oh 13 oh 14 for 13 oh 17 of 14 for 16 subgroups 15 the 16 subgroups 17 of 18 patients 18 patients 19 based 19 based 20 on 20 on 22 diagnosis 21 their 22 diagnosis a 10 % significance level for the univariate analysis was used to identify variables in the multivariate model . 0 ###LEFT-WALL### 4 significance 0 ###LEFT-WALL### 11 used 0 ###LEFT-WALL### 19 . 1 a 4 significance 2 10 3 % 3 % 4 significance 4 significance 5 level 4 significance 10 was 5 level 6 for 6 for 9 analysis 7 the 9 analysis 8 univariate 9 analysis 10 was 11 used 11 used 12 to 11 used 13 identify 12 to 13 identify 13 identify 14 variables 13 identify 15 in 15 in 18 model 16 the 18 model 17 multivariate 18 model results : a total of 3222 patients were studied of whom 1131 had a tia [,] 665 [a] stroke and 1426 had other diagnoses . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 25 . 1 results 2 : 2 : 4 total 3 a 4 total 4 total 5 of 4 total 11 whom 4 total 19 stroke 5 of 6 3222 6 3222 7 patients 6 3222 10 of 7 patients 8 were 8 were 9 studied 9 studied 10 of 11 whom 12 1131 11 whom 13 had 12 1131 13 had 13 had 15 tia 13 had 19 stroke 14 a 15 tia 15 tia 17 665 20 and 21 1426 20 and 22 had 21 1426 22 had 22 had 24 diagnoses 23 other 24 diagnoses the prevalence of either systolic or diastolic oh in the tia , stroke and patients with other diagnoses was [similar] being 22 % ( n = 251 ) , 24 % ( n = 162 [ )(and 20 % ( n = 292 ) , respectively . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 19 was 0 ###LEFT-WALL### 47 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 19 was 3 of 14 and 4 either 6 or 5 systolic 6 or 6 or 7 diastolic 6 or 8 oh 8 oh 9 in 8 oh 12 , 9 in 11 tia 10 the 11 tia 12 , 13 stroke 12 , 14 and 14 and 15 patients 14 and 16 with 16 with 18 diagnoses 17 other 18 diagnoses 19 was 21 being 21 being 23 % 21 being 46 respectively 22 22 23 % 23 % 26 = 23 % 31 % 24 ( 26 = 25 n 26 = 26 = 27 251 26 = 28 ) 29 , 31 % 30 24 31 % 31 % 34 = 31 % 42 = 31 % 45 , 32 ( 34 = 33 n 34 = 34 = 39 % 35 162 37 )(and 37 )(and 38 20 37 )(and 39 % 40 ( 42 = 41 n 42 = 42 = 43 292 42 = 44 ) in patients with other diagnoses , age ( 1.04 , 1.02 - 1.05 ) and diabetes ( 1.47 , 1.04 - 2.09 ) were associated with oh [,] [whereas] male gender was ( 0.76 , 0.58 - 1.00 ) not associated with oh . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 41 associated 0 ###LEFT-WALL### 44 . 1 in 2 patients 2 patients 3 with 2 patients 15 and 3 with 5 diagnoses 4 other 5 diagnoses 5 diagnoses 7 age 5 diagnoses 12 - 6 , 7 age 7 age 9 1.04 7 age 10 , 8 ( 9 1.04 9 1.04 10 , 10 , 12 - 11 1.02 12 - 12 - 13 1.05 12 - 14 ) 15 and 16 diabetes 15 and 18 1.47 15 and 21 - 15 and 24 were 17 ( 18 1.47 18 1.47 19 , 19 , 21 - 20 1.04 21 - 21 - 22 2.09 21 - 23 ) 24 were 25 associated 25 associated 26 with 26 with 27 oh 26 with 40 not 26 with 41 associated 27 oh 31 gender 27 oh 32 was 27 oh 34 0.76 27 oh 37 - 30 male 31 gender 31 gender 32 was 33 ( 34 0.76 34 0.76 35 , 35 , 37 - 36 0.58 37 - 37 - 38 1.00 37 - 39 ) 41 associated 42 with 42 with 43 oh conclusion : orthostatic hypotension is prevalent among patients presenting to tia [clinic] . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 . 1 conclusion 2 : 2 : 3 orthostatic 3 orthostatic 4 hypotension 3 orthostatic 9 presenting 4 hypotension 5 is 5 is 6 prevalent 6 prevalent 7 among 7 among 8 patients 8 patients 9 presenting 9 presenting 10 to 10 to 11 tia previous history of vascular disease ( prior tia/stroke/pvd ) appears to be a significant associate of oh in this patient population . 0 ###LEFT-WALL### 2 history 0 ###LEFT-WALL### 10 appears 0 ###LEFT-WALL### 22 . 1 previous 2 history 2 history 3 of 2 history 10 appears 3 of 5 disease 4 vascular 5 disease 5 disease 8 tia/stroke/pvd 6 ( 8 tia/stroke/pvd 7 prior 8 tia/stroke/pvd 8 tia/stroke/pvd 9 ) 10 appears 11 to 10 appears 12 be 11 to 12 be 12 be 15 associate 13 a 14 significant 13 a 15 associate 14 significant 15 associate 15 associate 16 of 15 associate 18 in 16 of 17 oh 18 in 21 population 19 this 21 population 20 patient 21 population aim : vascular calcification ( vc ) is common among patients with chronic kidney disease ( ckd ) due to the strong prevalence of cardiovascular and ckd - related risk factors such as diabetes mellitus ( dm ) , hypertension and phosphate retention . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 44 . 2 : 3 vascular 2 : 8 is 2 : 29 related 3 vascular 8 is 4 calcification 6 vc 4 calcification 8 is 5 ( 6 vc 6 vc 7 ) 8 is 9 common 9 common 10 among 9 common 12 with 9 common 20 to 10 among 11 patients 12 with 15 disease 13 chronic 15 disease 14 kidney 15 disease 15 disease 17 ckd 16 ( 17 ckd 17 ckd 18 ) 19 due 20 to 20 to 23 prevalence 21 the 23 prevalence 22 strong 23 prevalence 23 prevalence 24 of 24 of 26 and 25 cardiovascular 26 and 26 and 27 ckd 28 - 29 related 29 related 41 and 30 risk 31 factors 31 factors 33 as 31 factors 39 , 32 such 33 as 33 as 35 mellitus 34 diabetes 35 mellitus 35 mellitus 37 dm 36 ( 37 dm 37 dm 38 ) 39 , 40 hypertension 39 , 41 and 41 and 43 retention 42 phosphate 43 retention kidney transplantation improves kidney function [and] abnormal mineral metabolism at the same time . 0 ###LEFT-WALL### 2 transplantation 0 ###LEFT-WALL### 3 improves 0 ###LEFT-WALL### 14 . 1 kidney 2 transplantation 2 transplantation 3 improves 3 improves 9 metabolism 3 improves 10 at 4 kidney 9 metabolism 5 function 9 metabolism 7 abnormal 8 mineral 8 mineral 9 metabolism 10 at 13 time 11 the 12 same 12 same 13 time it remains unclear whether kidney transplantation favourably impacts vc in the long - term . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 remains 0 ###LEFT-WALL### 15 . 1 it 2 remains 2 remains 3 unclear 3 unclear 4 whether 4 whether 6 transplantation 4 whether 8 impacts 5 kidney 6 transplantation 6 transplantation 8 impacts 7 favourably 8 impacts 8 impacts 9 vc 8 impacts 10 in 10 in 14 term 11 the 14 term 12 long 13 - 12 long 14 term methods : the present study examined vc in 132 kidney transplant [(] kt [ )(recipients who had been transplanted for longer than one year . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 5 study 2 : 6 examined 3 the 5 study 4 present 5 study 5 study 6 examined 6 examined 7 vc 6 examined 24 year 7 vc 8 in 7 vc 16 who 7 vc 17 had 8 in 15 )(recipients 9 132 15 )(recipients 10 kidney 11 transplant 11 transplant 15 )(recipients 13 kt 15 )(recipients 16 who 17 had 17 had 18 been 18 been 19 transplanted 19 transplanted 20 for 19 transplanted 22 than 20 for 21 longer 23 one 24 year the severity of vc was compared to 129 ckd stages 5 - 5 d patients on a kidney transplant ( kt ) waiting list . 0 ###LEFT-WALL### 2 severity 0 ###LEFT-WALL### 6 compared 0 ###LEFT-WALL### 25 . 1 the 2 severity 2 severity 3 of 2 severity 5 was 3 of 4 vc 5 was 6 compared 6 compared 7 to 7 to 10 stages 8 129 10 stages 9 ckd 10 stages 10 stages 15 patients 10 stages 24 list 11 5 12 - 12 - 13 5 12 - 14 d 14 d 15 patients 15 patients 16 on 15 patients 23 waiting 15 patients 24 list 16 on 19 transplant 17 a 19 transplant 18 kidney 19 transplant 19 transplant 21 kt 20 ( 21 kt 21 kt 22 ) results : the median kt vintage was 88 months . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 vintage 2 : 7 was 2 : 10 . 3 the 6 vintage 4 median 6 vintage 5 kt 6 vintage 6 vintage 7 was 7 was 9 months 8 88 9 months the prevalence of vc among kt and ckd patients were 54.5 [%] and 62.8 % , respectively , ( p = 0.2 ) . 0 ###LEFT-WALL### 9 patients 0 ###LEFT-WALL### 10 were 0 ###LEFT-WALL### 24 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 7 and 3 of 4 vc 4 vc 5 among 5 among 6 kt 7 and 8 ckd 7 and 9 patients 9 patients 10 were 10 were 15 % 10 were 17 respectively 10 were 21 = 11 54.5 13 and 13 and 14 62.8 13 and 15 % 16 , 17 respectively 17 respectively 18 , 19 ( 21 = 20 p 21 = 21 = 22 0.2 21 = 23 ) there were no differences in age , gender , body mass index [(] bmi ) , the prevalence of dm or cvd between the two groups . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 27 . 1 there 2 were 2 were 4 differences 2 were 5 in 3 no 4 differences 5 in 6 age 6 age 8 gender 7 , 8 gender 8 gender 14 bmi 8 gender 16 , 9 , 14 bmi 10 body 11 mass 11 mass 14 bmi 12 index 14 bmi 14 bmi 15 ) 16 , 18 prevalence 16 , 26 groups 17 the 18 prevalence 18 prevalence 19 of 18 prevalence 26 groups 19 of 21 or 20 dm 21 or 21 or 22 cvd 22 cvd 23 between 23 between 25 two 24 the 25 two among patients with calcification , a more severe degree was observed in kt recipients ( p = 0.01 ) . 0 ###LEFT-WALL### 9 degree 0 ###LEFT-WALL### 11 observed 0 ###LEFT-WALL### 20 . 1 among 2 patients 1 among 5 , 1 among 9 degree 2 patients 3 with 3 with 4 calcification 6 a 9 degree 7 more 8 severe 8 severe 9 degree 9 degree 10 was 10 was 11 observed 11 observed 12 in 12 in 14 recipients 13 kt 14 recipients 14 recipients 17 = 15 ( 17 = 16 p 17 = 17 = 18 0.01 17 = 19 ) aging , dm , cvd and dialysis vintage were associated with significant vc in both groups . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 10 associated 0 ###LEFT-WALL### 17 . 1 aging 2 , 1 aging 6 and 3 dm 5 cvd 4 , 5 cvd 5 cvd 6 and 6 and 8 vintage 6 and 9 were 7 dialysis 8 vintage 9 were 10 associated 10 associated 11 with 10 associated 14 in 11 with 13 vc 12 significant 13 vc 14 in 16 groups 15 both 16 groups the degree of vc in kt recipients was more pronounced than that in ckd patients among those who experienced prolonged dialysis vintage ( >2 years ) ( p = 0.04 ) . 0 ###LEFT-WALL### 4 vc 0 ###LEFT-WALL### 10 pronounced 0 ###LEFT-WALL### 32 . 1 the 2 degree 2 degree 3 of 2 degree 4 vc 3 of 4 vc 4 vc 5 in 4 vc 8 was 5 in 7 recipients 6 kt 7 recipients 8 was 9 more 8 was 10 pronounced 10 pronounced 11 than 10 pronounced 13 in 10 pronounced 16 among 11 than 12 that 13 in 15 patients 14 ckd 15 patients 16 among 17 those 17 those 18 who 17 those 19 experienced 18 who 19 experienced 19 experienced 22 vintage 20 prolonged 21 dialysis 21 dialysis 22 vintage 22 vintage 25 years 22 vintage 29 = 23 ( 25 years 24 >2 25 years 25 years 26 ) 27 ( 29 = 28 p 29 = 29 = 30 0.04 29 = 31 ) among kt recipients , the severity of vc increased with the length of time after transplantation and became more substantial after 5 years . 0 ###LEFT-WALL### 6 severity 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 24 . 1 among 3 recipients 1 among 4 , 1 among 6 severity 2 kt 3 recipients 5 the 6 severity 6 severity 7 of 6 severity 17 and 7 of 8 vc 9 increased 10 with 9 increased 15 after 9 increased 17 and 10 with 12 length 11 the 12 length 12 length 13 of 13 of 14 time 15 after 16 transplantation 17 and 18 became 18 became 20 substantial 19 more 20 substantial 20 substantial 21 after 21 after 23 years 22 5 23 years conclusions : long - term kt recipients demonstrated a more severe degree of vc compared to matched ckd stages 5 - 5 d patients . 0 ###LEFT-WALL### 24 patients 0 ###LEFT-WALL### 25 . 1 conclusions 2 : 2 : 7 recipients 3 long 4 - 3 long 5 term 5 term 7 recipients 6 kt 7 recipients 7 recipients 8 demonstrated 7 recipients 14 vc 7 recipients 15 compared 9 a 12 degree 10 more 11 severe 11 severe 12 degree 12 degree 13 of 12 degree 14 vc 13 of 14 vc 14 vc 15 compared 15 compared 16 to 15 compared 21 - 16 to 19 stages 17 matched 19 stages 18 ckd 19 stages 20 5 21 - 21 - 22 5 22 5 23 d 23 d 24 patients the severity of vc became [more] pronounced among those with longer transplant vintage and was in part influenced by past dialysis experience . 0 ###LEFT-WALL### 2 severity 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 23 . 1 the 2 severity 2 severity 3 of 2 severity 14 and 3 of 4 vc 5 became 7 pronounced 5 became 14 and 7 pronounced 8 among 7 pronounced 10 with 8 among 9 those 10 with 13 vintage 11 longer 12 transplant 12 transplant 13 vintage 14 and 15 was 14 and 19 by 15 was 17 part 15 was 18 influenced 16 in 17 part 19 by 22 experience 20 past 21 dialysis 21 dialysis 22 experience this study aimed to determine what factors were associated with achieving adequate hearing aid self [-] efficacy . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 aimed 0 ###LEFT-WALL### 18 . 1 this 2 study 2 study 3 aimed 3 aimed 4 to 3 aimed 5 determine 4 to 5 determine 5 determine 6 what 5 determine 10 with 6 what 7 factors 7 factors 8 were 8 were 9 associated 10 with 17 efficacy 11 achieving 14 aid 12 adequate 13 hearing 13 hearing 14 aid 14 aid 17 efficacy 15 self 17 efficacy design : a retrospective research design was employed wherein hearing aid self [-] efficacy was the primary outcome . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 2 : 18 outcome 3 a 4 retrospective 3 a 18 outcome 4 retrospective 5 research 5 research 6 design 6 design 7 was 7 was 8 employed 8 employed 9 wherein 9 wherein 14 efficacy 9 wherein 15 was 10 hearing 11 aid 11 aid 14 efficacy 12 self 14 efficacy 14 efficacy 15 was 15 was 17 primary 16 the 17 primary explanatory variables included personal demographics , visual disability , and experiences related to participants ' hearing ability and hearing aids . 0 ###LEFT-WALL### 2 variables 0 ###LEFT-WALL### 3 included 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 21 . 1 explanatory 2 variables 2 variables 3 included 3 included 5 demographics 4 personal 5 demographics 5 demographics 8 disability 6 , 8 disability 7 visual 8 disability 8 disability 9 , 10 and 11 experiences 10 and 12 related 11 experiences 12 related 12 related 13 to 13 to 18 and 14 participants 15 ' 15 ' 17 ability 16 hearing 17 ability 17 ability 18 and 18 and 20 aids 19 hearing 20 aids study sample : a total of 307 older adults with hearing impairment participated in the study ( 147 [non] hearing aid owners and 160 hearing aid owners ) . 0 ###LEFT-WALL### 2 sample 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 29 . 1 study 2 sample 3 : 5 total 4 a 5 total 5 total 6 of 6 of 9 adults 7 307 9 adults 8 older 9 adults 9 adults 10 with 9 adults 14 in 9 adults 23 and 10 with 11 hearing 11 hearing 12 impairment 11 hearing 13 participated 12 impairment 13 participated 14 in 16 study 15 the 16 study 17 ( 23 and 18 147 22 owners 20 hearing 22 owners 21 aid 22 owners 22 owners 23 and 23 and 27 owners 23 and 28 ) 24 160 27 owners 25 hearing 27 owners 26 aid 27 owners results : [non] - hearing aid owners were more likely to report adequate hearing aid self [-] efficacy if they reported no visual disability , had experienced hearing loss for longer , reported more positive support from [a] significant [other] , and [were] [not] anxious about wearing hearing aids . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 - 4 - 5 hearing 5 hearing 8 were 6 aid 7 owners 7 owners 8 were 8 were 9 more 8 were 10 likely 10 likely 11 to 10 likely 19 if 11 to 12 report 12 report 18 efficacy 13 adequate 14 hearing 14 hearing 18 efficacy 15 aid 18 efficacy 16 self 18 efficacy 19 if 20 they 19 if 27 experienced 20 they 25 , 21 reported 24 disability 21 reported 25 , 22 no 24 disability 23 visual 24 disability 25 , 26 had 26 had 27 experienced 27 experienced 29 loss 27 experienced 37 from 28 hearing 29 loss 29 loss 30 for 30 for 36 support 31 longer 32 , 31 longer 36 support 33 reported 36 support 34 more 35 positive 35 positive 36 support 37 from 42 and 39 significant 42 and 41 , 42 and 42 and 45 anxious 42 and 50 . 45 anxious 46 about 46 about 47 wearing 47 wearing 49 aids 48 hearing 49 aids hearing aid owners were more likely to report adequate hearing aid self [-] efficacy if they had had a positive hearing aid experience and no visual disability . 0 ###LEFT-WALL### 3 owners 0 ###LEFT-WALL### 8 report 0 ###LEFT-WALL### 28 . 1 hearing 2 aid 2 aid 3 owners 3 owners 4 were 4 were 6 likely 5 more 6 likely 6 likely 7 to 7 to 8 report 8 report 14 efficacy 8 report 15 if 9 adequate 14 efficacy 10 hearing 11 aid 11 aid 12 self 12 self 14 efficacy 15 if 16 they 15 if 18 had 16 they 17 had 17 had 18 had 18 had 21 hearing 18 had 22 aid 19 a 20 positive 19 a 21 hearing 20 positive 21 hearing 22 aid 24 and 23 experience 24 and 24 and 27 disability 25 no 27 disability 26 visual 27 disability conclusions : more research is needed to develop and evaluate intervention approaches that promote optimal levels of hearing aid self [-] efficacy among older adults with hearing impairment . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 29 . 2 : 4 research 2 : 6 needed 3 more 4 research 4 research 5 is 5 is 6 needed 6 needed 7 to 7 to 9 and 8 develop 9 and 9 and 10 evaluate 10 evaluate 12 approaches 11 intervention 12 approaches 12 approaches 13 that 12 approaches 14 promote 13 that 14 promote 14 promote 16 levels 14 promote 23 among 14 promote 26 with 15 optimal 16 levels 16 levels 17 of 17 of 18 hearing 18 hearing 22 efficacy 19 aid 22 efficacy 20 self 22 efficacy 23 among 25 adults 24 older 25 adults 26 with 27 hearing 27 hearing 28 impairment objective : the acceptable noise level ( anl ) , a measure of noise tolerance , has been proposed as a predictor for successful hearing aid use . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 6 level 2 : 19 proposed 3 the 6 level 4 acceptable 5 noise 5 noise 6 level 6 level 8 anl 6 level 15 tolerance 6 level 17 has 7 ( 8 anl 8 anl 9 ) 10 , 15 tolerance 11 a 12 measure 12 measure 13 of 12 measure 15 tolerance 13 of 15 tolerance 14 noise 15 tolerance 15 tolerance 16 , 17 has 18 been 18 been 19 proposed 19 proposed 20 as 20 as 22 predictor 21 a 22 predictor 22 predictor 23 for 23 for 27 use 24 successful 25 hearing 25 hearing 27 use 26 aid 27 use the aims of this study were to obtain normative data , and to evaluate the clinical feasibility and predictive value of an australian version of the anl test in an older population . 0 ###LEFT-WALL### 2 aims 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 33 . 1 the 2 aims 2 aims 3 of 2 aims 12 and 3 of 5 study 4 this 5 study 6 were 7 to 6 were 8 obtain 6 were 12 and 7 to 8 obtain 8 obtain 10 data 9 normative 10 data 11 , 12 and 12 and 13 to 12 and 28 test 12 and 29 in 13 to 14 evaluate 14 evaluate 18 and 15 the 17 feasibility 16 clinical 17 feasibility 17 feasibility 18 and 18 and 20 value 18 and 25 of 19 predictive 20 value 20 value 21 of 21 of 24 version 22 an 23 australian 22 an 24 version 23 australian 24 version 25 of 27 anl 26 the 27 anl 29 in 32 population 30 an 32 population 31 older 32 population design : repeated anl measurements were presented diotically using earphones . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 2 : 5 measurements 2 : 7 presented 2 : 11 . 3 repeated 5 measurements 4 anl 5 measurements 5 measurements 6 were 6 were 7 presented 7 presented 8 diotically 7 presented 9 using 9 using 10 earphones all participants provided demographic information and hearing aid owners were asked about their aid use . 0 ###LEFT-WALL### 2 participants 0 ###LEFT-WALL### 3 provided 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 16 . 1 all 2 participants 2 participants 3 provided 3 provided 5 information 4 demographic 5 information 6 and 9 owners 6 and 11 asked 7 hearing 9 owners 8 aid 9 owners 9 owners 10 were 10 were 11 asked 11 asked 12 about 12 about 15 use 13 their 15 use 14 aid 15 use study sample : a total of 290 older adults were assessed ; 166 participants had a hearing impairment [and] 96 owned a hearing aid . 0 ###LEFT-WALL### 2 sample 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 21 owned 0 ###LEFT-WALL### 25 . 1 study 2 sample 3 : 5 total 3 : 11 assessed 3 : 12 ; 3 : 15 had 4 a 5 total 5 total 6 of 5 total 10 were 6 of 9 adults 7 290 9 adults 8 older 9 adults 10 were 11 assessed 12 ; 13 166 14 participants 15 had 15 had 17 hearing 16 a 17 hearing 17 hearing 18 impairment 17 hearing 21 owned 18 impairment 20 96 18 impairment 21 owned 21 owned 24 aid 22 a 24 aid 23 hearing 24 aid results : the mean anl was lower than previously reported . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 mean 2 : 10 reported 2 : 11 . 3 the 4 mean 4 mean 5 anl 4 mean 7 lower 4 mean 10 reported 5 anl 6 was 6 was 7 lower 7 lower 8 than 9 previously 10 reported while age and gender had no effect on anl , a significant , [but] weak , correlation was found between anl and hearing loss . 0 ###LEFT-WALL### 17 correlation 0 ###LEFT-WALL### 19 found 0 ###LEFT-WALL### 25 . 1 while 3 and 1 while 5 had 1 while 10 , 1 while 17 correlation 2 age 3 and 3 and 4 gender 3 and 5 had 5 had 7 effect 5 had 8 on 6 no 7 effect 8 on 9 anl 11 a 12 significant 11 a 17 correlation 12 significant 13 , 12 significant 17 correlation 15 weak 16 , 15 weak 17 correlation 17 correlation 18 was 18 was 19 found 19 found 20 between 20 between 22 and 21 anl 22 and 22 and 24 loss 23 hearing 24 loss the test - [retest] reliability showed the results were clinically unreliable . 0 ###LEFT-WALL### 2 test 0 ###LEFT-WALL### 3 - 1 the 2 test 3 - 5 reliability 3 - 6 showed 3 - 12 . 5 reliability 6 showed 6 showed 8 results 6 showed 9 were 7 the 8 results 8 results 9 were 9 were 10 clinically 9 were 11 unreliable in addition , the anl did not predict hours or pattern of hearing aid use . 0 ###LEFT-WALL### 5 anl 0 ###LEFT-WALL### 8 predict 0 ###LEFT-WALL### 16 . 1 in 2 addition 1 in 3 , 1 in 5 anl 4 the 5 anl 5 anl 6 did 6 did 7 not 6 did 8 predict 8 predict 10 or 8 predict 14 aid 9 hours 10 or 10 or 11 pattern 10 or 12 of 10 or 14 aid 12 of 13 hearing 14 aid 15 use conclusions : while the australian anl test showed several similar characteristics to previous versions of the test , low test - retest reliability raised questions about its clinical value as a predictor for long - term hearing aid use . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 40 . 1 conclusions 2 : 2 : 3 while 2 : 12 to 3 while 7 test 3 while 8 showed 4 the 7 test 5 australian 7 test 6 anl 7 test 7 test 8 showed 8 showed 11 characteristics 9 several 11 characteristics 10 similar 11 characteristics 12 to 14 versions 13 previous 14 versions 14 versions 15 of 15 of 17 test 16 the 17 test 18 , 20 test 18 , 21 - 19 low 20 test 21 - 22 retest 22 retest 25 questions 22 retest 26 about 22 retest 30 as 23 reliability 24 raised 24 raised 25 questions 26 about 29 value 27 its 29 value 28 clinical 29 value 30 as 32 predictor 31 a 32 predictor 32 predictor 33 for 33 for 39 use 34 long 35 - 34 long 36 term 36 term 37 hearing 37 hearing 39 use 38 aid 39 use objective : to examine associations [between] audiological and [non] - audiological factors and successful hearing aid use in older adults . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 21 . 1 objective 2 : 2 : 3 to 2 : 7 audiological 3 to 4 examine 4 examine 5 associations 8 and 10 - 8 and 16 aid 10 - 13 and 11 audiological 12 factors 12 factors 13 and 13 and 15 hearing 13 and 16 aid 14 successful 15 hearing 16 aid 17 use 16 aid 18 in 18 in 20 adults 19 older 20 adults design : in a retrospective study , audiological factors , attitudinal beliefs ( as [derived] from the health belief model ) , client demographics , psychological factors , and age - related factors were evaluated . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 36 . 1 design 2 : 2 : 3 in 3 in 6 study 4 a 6 study 5 retrospective 6 study 6 study 9 factors 7 , 9 factors 8 audiological 9 factors 9 factors 12 beliefs 9 factors 22 , 10 , 12 beliefs 11 attitudinal 12 beliefs 12 beliefs 14 as 12 beliefs 22 , 13 ( 14 as 14 as 16 from 14 as 21 ) 16 from 20 model 17 the 20 model 18 health 20 model 19 belief 20 model 22 , 29 and 22 , 34 were 23 client 24 demographics 24 demographics 25 , 25 , 27 factors 25 , 29 and 26 psychological 27 factors 28 , 29 and 29 and 30 age 29 and 34 were 31 - 32 related 32 related 33 factors 32 related 34 were 34 were 35 evaluated study sample : participants included 160 individuals , 60 years or older , with unilateral or bilateral hearing impairment ( hi ) , fitted with hearing aids for the first time in the previous two years . 0 ###LEFT-WALL### 2 sample 0 ###LEFT-WALL### 3 : 1 study 2 sample 2 sample 3 : 3 : 4 participants 4 participants 5 included 5 included 11 or 6 160 7 individuals 7 individuals 8 , 8 , 10 years 8 , 11 or 9 60 10 years 11 or 12 older 12 older 14 with 13 , 14 with 14 with 19 impairment 14 with 37 . 15 unilateral 16 or 16 or 18 hearing 16 or 19 impairment 17 bilateral 18 hearing 19 impairment 21 hi 19 impairment 24 fitted 20 ( 21 hi 21 hi 22 ) 23 , 24 fitted 24 fitted 25 with 24 fitted 37 . 25 with 27 aids 26 hearing 27 aids 27 aids 28 for 28 for 31 time 29 the 30 first 29 the 31 time 31 time 32 in 32 in 36 years 33 the 36 years 34 previous 36 years 35 two 36 years participants were assigned to either an unsuccessful hearing aid owner group ( n=75 ) [or] a successful hearing aid owner group ( n=85 ) based on their self - reported hearing aid use and benefit . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 3 assigned 0 ###LEFT-WALL### 30 reported 0 ###LEFT-WALL### 36 . 1 participants 2 were 2 were 3 assigned 3 assigned 4 to 3 assigned 11 group 3 assigned 26 on 4 to 5 either 6 an 7 unsuccessful 6 an 11 group 7 unsuccessful 11 group 8 hearing 9 aid 9 aid 11 group 10 owner 11 group 11 group 13 n=75 11 group 25 based 12 ( 13 n=75 13 n=75 14 ) 16 a 21 group 17 successful 18 hearing 18 hearing 19 aid 19 aid 21 group 20 owner 21 group 21 group 23 n=85 21 group 25 based 22 ( 23 n=85 23 n=85 24 ) 26 on 28 self 27 their 28 self 29 - 30 reported 30 reported 34 and 31 hearing 32 aid 32 aid 33 use 33 use 34 and 34 and 35 benefit conclusions : these findings highlight the importance of addressing [non] - audiological factors in order to assist older adults achieve success with hearing aids . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 findings 2 : 5 highlight 2 : 11 - 2 : 25 . 3 these 4 findings 4 findings 5 highlight 5 highlight 7 importance 6 the 7 importance 7 importance 8 of 8 of 9 addressing 11 - 13 factors 11 - 20 achieve 12 audiological 13 factors 13 factors 14 in 13 factors 20 achieve 14 in 15 order 15 order 16 to 15 order 17 assist 16 to 17 assist 17 assist 19 adults 18 older 19 adults 20 achieve 21 success 20 achieve 22 with 22 with 23 hearing 23 hearing 24 aids objective : the aim of this study was to analyse the content , design , and readability of printed hearing aid user guides to determine their suitability for older adults , who are the main users of hearing aids . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 40 . 2 : 4 aim 2 : 19 printed 2 : 31 , 2 : 33 are 3 the 4 aim 4 aim 5 of 4 aim 7 study 4 aim 18 of 4 aim 19 printed 5 of 6 this 7 study 8 was 8 was 9 to 8 was 10 analyse 9 to 10 analyse 10 analyse 16 and 11 the 16 and 12 content 13 , 12 content 14 design 14 design 16 and 15 , 16 and 16 and 17 readability 16 and 18 of 19 printed 23 guides 19 printed 24 to 20 hearing 23 guides 21 aid 22 user 22 user 23 guides 24 to 25 determine 25 determine 27 suitability 25 determine 28 for 26 their 27 suitability 28 for 30 adults 29 older 30 adults 31 , 32 who 31 , 33 are 32 who 33 are 33 are 36 users 33 are 37 of 34 the 36 users 35 main 36 users 37 of 38 hearing 38 hearing 39 aids design : hearing aid user guides were assessed using four readability formulae and a standardized tool to assess content and design ( sam - suitability assessment of materials ) . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 1 design 2 : 2 : 3 hearing 3 hearing 4 aid 4 aid 6 guides 4 aid 18 assess 5 user 6 guides 6 guides 7 were 7 were 8 assessed 8 assessed 9 using 9 using 13 and 9 using 17 to 9 using 18 assess 10 four 11 readability 11 readability 12 formulae 12 formulae 13 and 13 and 16 tool 14 a 16 tool 15 standardized 16 tool 17 to 18 assess 18 assess 20 and 19 content 20 and 20 and 21 design 20 and 23 sam 22 ( 23 sam 23 sam 26 assessment 23 sam 30 . 24 - 26 assessment 25 suitability 26 assessment 26 assessment 27 of 26 assessment 29 ) 27 of 28 materials study sample : a sample of 36 hearing aid user guides ( four user guides from nine different hearing aid manufacturers ) were analysed . 0 ###LEFT-WALL### 2 sample 0 ###LEFT-WALL### 3 : 1 study 2 sample 2 sample 3 : 3 : 5 sample 4 a 5 sample 5 sample 6 of 6 of 7 36 7 36 8 hearing 8 hearing 11 guides 8 hearing 24 analysed 9 aid 11 guides 10 user 11 guides 11 guides 15 guides 11 guides 23 were 12 ( 15 guides 13 four 15 guides 14 user 15 guides 15 guides 16 from 15 guides 22 ) 16 from 21 manufacturers 17 nine 21 manufacturers 18 different 19 hearing 19 hearing 20 aid 20 aid 21 manufacturers 23 were 24 analysed 24 analysed 25 . results : sixty nine percent of user guides were [rated] ['] not suitable ['] and 31 % were rated ['] adequate ['] for their suitability . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 percent 2 : 9 were 2 : 15 and 2 : 26 . 3 sixty 4 nine 4 nine 5 percent 5 percent 6 of 5 percent 9 were 6 of 8 guides 7 user 8 guides 9 were 12 not 9 were 13 suitable 15 and 17 % 15 and 19 rated 16 31 17 % 17 % 18 were 18 were 19 rated 19 rated 21 adequate 21 adequate 23 for 23 for 25 suitability 24 their 25 suitability many scored poorly for scope , vocabulary , aspects of layout [and] typography , and learning stimulation and motivation . 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 20 . 1 many 2 scored 1 many 6 , 2 scored 3 poorly 2 scored 4 for 4 for 5 scope 6 , 7 vocabulary 6 , 8 , 8 , 9 aspects 8 , 15 and 9 aspects 10 of 10 of 13 typography 11 layout 13 typography 14 , 15 and 15 and 17 stimulation 15 and 18 and 16 learning 17 stimulation 18 and 19 motivation the mean reading grade level for all user guides was grade 9.6 which is too high for older adults . 0 ###LEFT-WALL### 2 mean 0 ###LEFT-WALL### 10 was 0 ###LEFT-WALL### 20 . 1 the 2 mean 2 mean 3 reading 2 mean 10 was 3 reading 4 grade 3 reading 5 level 3 reading 6 for 6 for 9 guides 7 all 9 guides 8 user 9 guides 10 was 11 grade 11 grade 12 9.6 11 grade 13 which 11 grade 14 is 13 which 14 is 14 is 15 too 14 is 16 high 16 high 17 for 17 for 19 adults 18 older 19 adults conclusion : the content , design , and readability of hearing aid user guides are not optimal for older adults and thus [may] serve as a barrier to successful hearing aid outcomes for this population . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 36 . 1 conclusion 2 : 2 : 4 content 3 the 4 content 4 content 6 design 5 , 6 design 6 design 7 , 8 and 9 readability 8 and 15 are 9 readability 10 of 9 readability 15 are 10 of 11 hearing 11 hearing 14 guides 12 aid 14 guides 13 user 14 guides 15 are 16 not 15 are 21 and 15 are 25 as 15 are 28 to 17 optimal 18 for 17 optimal 21 and 18 for 20 adults 19 older 20 adults 21 and 22 thus 21 and 24 serve 25 as 27 barrier 26 a 27 barrier 28 to 32 outcomes 29 successful 32 outcomes 30 hearing 32 outcomes 31 aid 32 outcomes 32 outcomes 33 for 33 for 35 population 34 this 35 population objectives : to review the current status of dental curricula on elder care , and the current curricula regarding elder care , and it 's effect on altering practitioner behaviors while addressing the needs of a growing north american elder population . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 's 0 ###LEFT-WALL### 42 . 2 : 3 to 2 : 4 review 2 : 15 and 3 to 4 review 4 review 7 status 5 the 7 status 6 current 7 status 7 status 8 of 8 of 10 curricula 9 dental 10 curricula 10 curricula 11 on 11 on 13 care 12 elder 13 care 14 , 15 and 15 and 18 curricula 15 and 25 's 16 the 18 curricula 17 current 18 curricula 18 curricula 19 regarding 18 curricula 25 's 19 regarding 23 and 20 elder 21 care 21 care 23 and 22 , 23 and 23 and 24 it 25 's 26 effect 25 's 27 on 25 's 31 while 27 on 28 altering 28 altering 30 behaviors 29 practitioner 30 behaviors 31 while 32 addressing 32 addressing 34 needs 33 the 34 needs 34 needs 35 of 35 of 41 population 36 a 41 population 37 growing 39 american 38 north 39 american 39 american 41 population 40 elder 41 population background : an impending crisis is looming over the oral [healthcare] of our aging population . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 . 2 : 5 crisis 2 : 6 is 3 an 4 impending 4 impending 5 crisis 5 crisis 6 is 6 is 7 looming 7 looming 8 over 8 over 10 oral 9 the 10 oral 10 oral 12 of 12 of 14 aging 13 our 14 aging 14 aging 15 population at the same moment that life expectancy is being extended through increasingly complex healthcare improvements , the numbers of trained dental providers capable and interested in delivering the needed care is failing to grow at an adequate rate . 0 ###LEFT-WALL### 13 complex 1 at 4 moment 1 at 13 complex 2 the 3 same 2 the 4 moment 4 moment 5 that 5 that 7 expectancy 5 that 10 extended 6 life 7 expectancy 7 expectancy 8 is 8 is 9 being 9 being 10 extended 10 extended 11 through 12 increasingly 13 complex 13 complex 15 improvements 14 healthcare 15 improvements 15 improvements 22 providers 16 , 22 providers 17 the 18 numbers 18 numbers 19 of 18 numbers 22 providers 19 of 22 providers 20 trained 22 providers 21 dental 22 providers 22 providers 24 and 22 providers 30 care 22 providers 31 is 22 providers 32 failing 22 providers 39 . 23 capable 24 and 24 and 25 interested 25 interested 26 in 26 in 27 delivering 28 the 30 care 29 needed 30 care 30 care 31 is 32 failing 33 to 32 failing 34 grow 33 to 34 grow 34 grow 35 at 35 at 38 rate 36 an 38 rate 37 adequate 38 rate discussion : the skills necessary to manage these increasingly complex patients require an interprofessional approach capable of delivering care to sicker patients , in a variety of living accommodations , while managing a variety of care givers . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 38 . 2 : 4 skills 2 : 12 require 3 the 4 skills 4 skills 5 necessary 4 skills 12 require 5 necessary 6 to 5 necessary 7 manage 6 to 7 manage 7 manage 11 patients 8 these 11 patients 9 increasingly 10 complex 10 complex 11 patients 12 require 15 approach 12 require 37 givers 13 an 14 interprofessional 13 an 15 approach 14 interprofessional 15 approach 15 approach 16 capable 15 approach 37 givers 16 capable 17 of 17 of 18 delivering 18 delivering 19 care 18 delivering 20 to 18 delivering 31 while 20 to 22 patients 21 sicker 22 patients 22 patients 24 in 23 , 24 in 24 in 26 variety 24 in 30 , 25 a 26 variety 26 variety 27 of 27 of 29 accommodations 28 living 29 accommodations 31 while 32 managing 32 managing 34 variety 33 a 34 variety 34 variety 35 of 35 of 36 care the dental skills necessary to [treat] these elderly are modifications of skills students routinely learn in dental school . 0 ###LEFT-WALL### 3 skills 0 ###LEFT-WALL### 9 are 0 ###LEFT-WALL### 19 . 1 the 3 skills 2 dental 3 skills 3 skills 4 necessary 3 skills 9 are 4 necessary 5 to 5 to 8 elderly 7 these 8 elderly 9 are 10 modifications 9 are 16 in 10 modifications 11 of 10 modifications 13 students 10 modifications 15 learn 11 of 12 skills 13 students 15 learn 14 routinely 15 learn 16 in 18 school 17 dental 18 school as a matter of fact , the skills students acquire to treat an adult patient population may be contrary to the basic skills necessary to manage the elderly dependent adult patient . 0 ###LEFT-WALL### 8 skills 0 ###LEFT-WALL### 26 manage 0 ###LEFT-WALL### 32 . 1 as 3 matter 1 as 6 , 1 as 8 skills 2 a 3 matter 3 matter 4 of 4 of 5 fact 7 the 8 skills 8 skills 9 students 8 skills 10 acquire 8 skills 17 may 9 students 10 acquire 10 acquire 11 to 11 to 12 treat 12 treat 16 population 13 an 16 population 14 adult 15 patient 15 patient 16 population 17 may 18 be 18 be 19 contrary 19 contrary 20 to 20 to 23 skills 21 the 23 skills 22 basic 23 skills 23 skills 24 necessary 24 necessary 25 to 24 necessary 26 manage 25 to 26 manage 26 manage 31 patient 27 the 31 patient 28 elderly 31 patient 29 dependent 30 adult 30 adult 31 patient teaching students the nuance differences needed to properly diagnose and care for this population is a difficult task that must be taught in a contextual environment . 0 ###LEFT-WALL### 1 teaching 0 ###LEFT-WALL### 15 is 0 ###LEFT-WALL### 27 . 1 teaching 2 students 1 teaching 4 nuance 1 teaching 10 and 1 teaching 12 for 1 teaching 15 is 3 the 4 nuance 4 nuance 5 differences 4 nuance 9 diagnose 5 differences 6 needed 6 needed 7 to 6 needed 9 diagnose 7 to 9 diagnose 8 properly 9 diagnose 10 and 11 care 12 for 14 population 13 this 14 population 15 is 18 task 16 a 17 difficult 16 a 18 task 17 difficult 18 task 18 task 19 that 18 task 20 must 19 that 20 must 20 must 21 be 21 be 22 taught 22 taught 23 in 23 in 26 environment 24 a 25 contextual 24 a 26 environment 25 contextual 26 environment conclusion : significant changes in the teaching of dental management of the elderly are critical within much of the education community . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 changes 2 : 14 are 2 : 22 . 3 significant 4 changes 4 changes 5 in 4 changes 14 are 5 in 7 teaching 6 the 7 teaching 7 teaching 8 of 8 of 10 management 9 dental 10 management 10 management 11 of 11 of 13 elderly 12 the 13 elderly 14 are 15 critical 15 critical 16 within 16 within 17 much 17 much 18 of 18 of 21 community 19 the 21 community 20 education 21 community just as teaching students to care for the pediatric population as general dentists , the clinical education must involve a sufficient number of quality experiences to address issues of both competency , that of the graduate to perform [care] independently , and attitudes , the [actually] willingness to treat the elderly . 0 ###LEFT-WALL### 17 education 0 ###LEFT-WALL### 19 involve 1 just 2 as 1 just 5 to 1 just 7 for 1 just 14 , 1 just 17 education 2 as 4 students 3 teaching 4 students 5 to 6 care 7 for 10 population 8 the 10 population 9 pediatric 10 population 10 population 11 as 11 as 13 dentists 12 general 13 dentists 15 the 17 education 16 clinical 17 education 17 education 18 must 18 must 19 involve 19 involve 25 experiences 19 involve 26 to 20 a 22 number 21 sufficient 22 number 22 number 23 of 22 number 25 experiences 23 of 25 experiences 24 quality 25 experiences 26 to 27 address 27 address 28 issues 28 issues 29 of 29 of 42 and 30 both 42 and 31 competency 32 , 32 , 33 that 32 , 42 and 33 that 34 of 34 of 36 graduate 35 the 36 graduate 36 graduate 37 to 36 graduate 38 perform 37 to 38 perform 38 perform 40 independently 41 , 42 and 42 and 43 attitudes 42 and 44 , 42 and 47 willingness 44 , 47 willingness 45 the 47 willingness 47 willingness 48 to 47 willingness 49 treat 47 willingness 52 . 48 to 49 treat 49 treat 51 elderly 50 the 51 elderly objective : this paper reviews potential age - associated risk factors for satisfactory oral function [and] oral disease to inform the development of care pathways for the older person . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 7 age 2 : 8 - 3 this 7 age 4 paper 7 age 5 reviews 6 potential 6 potential 7 age 8 - 10 risk 8 - 11 factors 9 associated 10 risk 10 risk 11 factors 11 factors 12 for 11 factors 19 to 11 factors 25 pathways 11 factors 26 for 12 for 18 disease 13 satisfactory 18 disease 14 oral 18 disease 15 function 17 oral 17 oral 18 disease 19 to 20 inform 20 inform 22 development 20 inform 23 of 21 the 22 development 23 of 24 care 26 for 29 person 27 the 29 person 28 older 29 person background : alterations in dental status or both physical and biological change associated with age can impact on oral disease and oral function . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 impact 0 ###LEFT-WALL### 24 . 2 : 7 or 3 alterations 4 in 3 alterations 7 or 4 in 6 status 5 dental 6 status 7 or 8 both 7 or 12 change 7 or 17 impact 9 physical 10 and 10 and 11 biological 10 and 12 change 12 change 13 associated 12 change 14 with 12 change 16 can 14 with 15 age 16 can 17 impact 17 impact 18 on 18 on 21 and 19 oral 20 disease 20 disease 21 and 21 and 23 function 22 oral 23 function materials and methods : older people tend to have fewer teeth and some are edentulous . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 materials 2 and 2 and 3 methods 4 : 6 people 4 : 7 tend 4 : 12 and 4 : 16 . 5 older 6 people 6 people 7 tend 7 tend 8 to 7 tend 9 have 8 to 9 have 9 have 11 teeth 10 fewer 11 teeth 12 and 13 some 12 and 14 are 13 some 14 are 14 are 15 edentulous physical and biological changes in bodily function [with] age can also affect oral health care either directly or indirectly . 0 ###LEFT-WALL### 4 changes 0 ###LEFT-WALL### 12 affect 0 ###LEFT-WALL### 20 . 1 physical 2 and 2 and 3 biological 2 and 4 changes 4 changes 5 in 4 changes 10 can 5 in 9 age 6 bodily 7 function 7 function 9 age 10 can 12 affect 11 also 12 affect 12 affect 15 care 12 affect 16 either 12 affect 18 or 13 oral 14 health 14 health 15 care 17 directly 18 or 18 or 19 indirectly results : reductions in chewing ability impact on the foods people choose to eat because of perceived difficulty with chewing , with a potentially deleterious [affect] [on] dietary quality . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 1 results 2 : 2 : 3 reductions 3 reductions 4 in 3 reductions 19 with 4 in 5 chewing 5 chewing 7 impact 6 ability 7 impact 7 impact 8 on 8 on 10 foods 9 the 10 foods 10 foods 11 people 10 foods 14 eat 11 people 12 choose 12 choose 13 to 12 choose 14 eat 13 to 14 eat 14 eat 16 of 15 because 16 of 16 of 18 difficulty 17 perceived 18 difficulty 19 with 20 chewing 20 chewing 22 with 21 , 22 with 22 with 29 quality 22 with 30 . 23 a 29 quality 24 potentially 25 deleterious 25 deleterious 29 quality 28 dietary 29 quality this is worse in people with xerostomia where [chewing] and swallowing are impaired anyway . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 15 . 1 this 2 is 2 is 3 worse 3 worse 4 in 4 in 5 people 5 people 6 with 5 people 13 impaired 6 with 7 xerostomia 7 xerostomia 10 and 7 xerostomia 12 are 8 where 10 and 10 and 11 swallowing 10 and 12 are 13 impaired 14 anyway change in the cell - mediated inflammatory response impacts on gingival and periodontal disease manifestation and progression . 0 ###LEFT-WALL### 1 change 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 18 . 1 change 2 in 2 in 4 cell 3 the 4 cell 5 - 9 impacts 6 mediated 8 response 7 inflammatory 8 response 8 response 9 impacts 9 impacts 10 on 10 on 16 and 11 gingival 12 and 12 and 15 manifestation 12 and 16 and 13 periodontal 14 disease 14 disease 15 manifestation 16 and 17 progression sarcopenia makes the physical act of toothbrushing more challenging . 0 ###LEFT-WALL### 1 sarcopenia 0 ###LEFT-WALL### 2 makes 0 ###LEFT-WALL### 10 . 1 sarcopenia 2 makes 2 makes 5 act 2 makes 9 challenging 3 the 5 act 4 physical 5 act 5 act 6 of 6 of 7 toothbrushing 8 more 9 challenging caries remains a clinical problem that affects both the crowns and the roots of teeth . 0 ###LEFT-WALL### 1 caries 0 ###LEFT-WALL### 2 remains 0 ###LEFT-WALL### 16 . 1 caries 2 remains 2 remains 5 problem 3 a 4 clinical 3 a 5 problem 4 clinical 5 problem 5 problem 6 that 5 problem 7 affects 6 that 7 affects 7 affects 11 and 8 both 11 and 9 the 10 crowns 10 crowns 11 and 11 and 13 roots 11 and 14 of 12 the 13 roots 14 of 15 teeth coronal lesions tend to be around existing restorations where there is no evidence base about care/prevention . 0 ###LEFT-WALL### 2 lesions 0 ###LEFT-WALL### 3 tend 0 ###LEFT-WALL### 17 . 1 coronal 2 lesions 2 lesions 3 tend 3 tend 4 to 3 tend 5 be 4 to 5 be 5 be 6 around 5 be 14 base 6 around 8 restorations 7 existing 8 restorations 8 restorations 9 where 9 where 10 there 9 where 11 is 10 there 11 is 11 is 13 evidence 12 no 13 evidence 14 base 15 about 15 about 16 care/prevention conclusion : the physical and clinical changes that occur with ageing require an altered pattern of care for older people which is adjusted to their disease risk and encourage diversity of foods consumption . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 2 : 5 and 2 : 12 require 3 the 4 physical 4 physical 5 and 5 and 7 changes 5 and 8 that 5 and 9 occur 5 and 12 require 6 clinical 7 changes 8 that 9 occur 9 occur 10 with 10 with 11 ageing 12 require 15 pattern 13 an 15 pattern 14 altered 15 pattern 15 pattern 16 of 15 pattern 21 which 15 pattern 22 is 16 of 17 care 17 care 18 for 18 for 20 people 19 older 20 people 21 which 22 is 22 is 28 and 23 adjusted 24 to 23 adjusted 28 and 24 to 27 risk 25 their 27 risk 26 disease 27 risk 28 and 29 encourage 29 encourage 30 diversity 30 diversity 31 of 31 of 33 consumption 32 foods 33 consumption this article presents a brief introduction to the medical aspects of ageing and age - related diseases , and to some geriatric syndromes , followed by a discussion on their impact on general and oral healthcare provision to community [-] dwelling older people . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 44 . 1 this 2 article 2 article 24 , 3 presents 6 introduction 3 presents 19 and 3 presents 24 , 4 a 6 introduction 5 brief 6 introduction 7 to 13 and 7 to 19 and 8 the 10 aspects 9 medical 10 aspects 10 aspects 11 of 10 aspects 13 and 11 of 12 ageing 13 and 14 age 13 and 17 diseases 15 - 17 diseases 16 related 17 diseases 17 diseases 18 , 18 , 19 and 19 and 20 to 20 to 23 syndromes 21 some 23 syndromes 22 geriatric 23 syndromes 24 , 25 followed 24 , 26 by 24 , 29 on 26 by 28 discussion 27 a 28 discussion 29 on 31 impact 30 their 31 impact 31 impact 32 on 31 impact 38 to 32 on 37 provision 33 general 34 and 34 and 35 oral 34 and 37 provision 36 healthcare 37 provision 38 to 43 people 39 community 41 dwelling 41 dwelling 43 people 42 older 43 people recent investigations suggest that inflammation constitutes a biological foundation of ageing and the onset of age - related diseases . 0 ###LEFT-WALL### 2 investigations 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 18 related 1 recent 2 investigations 2 investigations 3 suggest 3 suggest 5 inflammation 3 suggest 6 constitutes 4 that 5 inflammation 5 inflammation 6 constitutes 6 constitutes 9 foundation 7 a 8 biological 7 a 9 foundation 8 biological 9 foundation 9 foundation 10 of 9 foundation 15 of 10 of 12 and 11 ageing 12 and 12 and 14 onset 13 the 14 onset 15 of 16 age 17 - 18 related 18 related 19 diseases 18 related 20 . multimorbidity and polypharmacy , together with alterations in pharmacokinetics and pharmacodynamics , make older people at risk of adverse medication reactions . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 13 make 0 ###LEFT-WALL### 22 . 1 multimorbidity 2 and 2 and 3 polypharmacy 2 and 6 with 2 and 13 make 4 , 6 with 5 together 6 with 6 with 7 alterations 6 with 12 , 7 alterations 8 in 8 in 10 and 9 pharmacokinetics 10 and 10 and 11 pharmacodynamics 13 make 15 people 13 make 16 at 14 older 15 people 16 at 17 risk 17 risk 18 of 18 of 21 reactions 19 adverse 20 medication 20 medication 21 reactions a side effect of several medications is causing xerostomia and hyposalivation , and both the type and number of medications used are relevant . 0 ###LEFT-WALL### 3 effect 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 24 . 1 a 3 effect 2 side 3 effect 3 effect 4 of 3 effect 7 is 4 of 6 medications 5 several 6 medications 7 is 8 causing 8 causing 10 and 9 xerostomia 10 and 10 and 11 hyposalivation 12 , 13 and 13 and 17 and 13 and 22 are 14 both 17 and 15 the 16 type 16 type 17 and 17 and 18 number 17 and 19 of 17 and 22 are 19 of 20 medications 20 medications 21 used 22 are 23 relevant new options of general healthcare provision to community [-] dwelling older people are the use of mobility aids and assistive technology devices , domiciliary health care , respite care and telecare . 0 ###LEFT-WALL### 2 options 0 ###LEFT-WALL### 13 are 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 32 . 1 new 2 options 2 options 3 of 2 options 13 are 3 of 6 provision 4 general 6 provision 5 healthcare 6 provision 6 provision 7 to 7 to 12 people 8 community 10 dwelling 10 dwelling 12 people 11 older 12 people 13 are 19 and 14 the 19 and 15 use 16 of 15 use 19 and 16 of 18 aids 17 mobility 18 aids 19 and 22 devices 20 assistive 21 technology 21 technology 22 devices 23 , 30 and 24 domiciliary 26 care 25 health 26 care 26 care 27 , 27 , 29 care 27 , 30 and 28 respite 29 care 30 and 31 telecare their oral health status may be jeopardised by frailty , disability , care dependency and limited access to professional oral health care . 0 ###LEFT-WALL### 4 status 0 ###LEFT-WALL### 7 jeopardised 0 ###LEFT-WALL### 23 . 1 their 4 status 2 oral 4 status 3 health 4 status 4 status 5 may 5 may 6 be 6 be 7 jeopardised 7 jeopardised 8 by 7 jeopardised 18 to 8 by 15 and 9 frailty 10 , 10 , 11 disability 10 , 12 , 12 , 14 dependency 12 , 15 and 13 care 14 dependency 15 and 17 access 16 limited 17 access 18 to 22 care 19 professional 22 care 20 oral 22 care 21 health 22 care recommendations for improvement are the following : better integrating oral health care into general health care , developing and implementing an oral healthcare guideline , providing customised oral hygiene care aids , domiciliary oral healthcare provision , visiting dental hygienists [and/or] nurses , oral hygiene telecare , [easily] and safely accessible dental offices , transforming dentistry into medical oral health care and upgrading dentists to oral physicians . 0 ###LEFT-WALL### 1 recommendations 0 ###LEFT-WALL### 7 : 1 recommendations 2 for 1 recommendations 4 are 2 for 3 improvement 4 are 6 following 5 the 6 following 7 : 12 care 7 : 17 , 8 better 10 oral 9 integrating 10 oral 10 oral 11 health 11 health 12 care 12 care 13 into 13 into 16 care 14 general 16 care 15 health 16 care 17 , 19 and 18 developing 19 and 19 and 20 implementing 19 and 24 guideline 19 and 27 customised 21 an 22 oral 21 an 24 guideline 22 oral 24 guideline 23 healthcare 24 guideline 24 guideline 26 providing 24 guideline 27 customised 25 , 26 providing 27 customised 29 hygiene 28 oral 29 hygiene 29 hygiene 30 care 29 hygiene 31 aids 29 hygiene 36 provision 29 hygiene 38 visiting 30 care 31 aids 32 , 36 provision 33 domiciliary 36 provision 34 oral 36 provision 35 healthcare 36 provision 36 provision 37 , 37 , 38 visiting 38 visiting 49 and 39 dental 42 nurses 40 hygienists 42 nurses 42 nurses 43 , 43 , 46 telecare 43 , 49 and 44 oral 46 telecare 45 hygiene 46 telecare 47 , 49 and 49 and 53 offices 49 and 54 , 49 and 55 transforming 50 safely 51 accessible 51 accessible 53 offices 52 dental 53 offices 55 transforming 56 dentistry 56 dentistry 57 into 57 into 62 and 58 medical 61 care 59 oral 61 care 60 health 61 care 61 care 62 and 62 and 64 dentists 62 and 68 . 63 upgrading 64 dentists 64 dentists 65 to 65 to 67 physicians 66 oral 67 physicians in case oral healthcare providers do not take the responsibility of persuading society of the importance of adequate oral health , weakened oral health of community [-] dwelling older people will become a potential new geriatric syndrome . 0 ###LEFT-WALL### 24 health 0 ###LEFT-WALL### 32 become 0 ###LEFT-WALL### 38 . 1 in 2 case 2 case 5 providers 2 case 21 , 2 case 24 health 3 oral 5 providers 4 healthcare 5 providers 5 providers 6 do 6 do 7 not 6 do 21 , 8 take 10 responsibility 8 take 21 , 9 the 10 responsibility 10 responsibility 11 of 11 of 12 persuading 12 persuading 13 society 13 society 14 of 14 of 16 importance 15 the 16 importance 16 importance 17 of 17 of 20 health 18 adequate 20 health 19 oral 20 health 21 , 22 weakened 22 weakened 23 oral 24 health 25 of 24 health 31 will 25 of 30 people 26 community 28 dwelling 28 dwelling 30 people 29 older 30 people 31 will 32 become 32 become 37 syndrome 33 a 37 syndrome 34 potential 37 syndrome 35 new 37 syndrome 36 geriatric 37 syndrome objective : to evaluate the combined effects of material type , surface treatment , and thermocycling on the bond strength of orthodontic brackets to materials used for the fabrication of provisional crowns . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 3 to 2 : 4 evaluate 2 : 11 , 3 to 4 evaluate 4 evaluate 7 effects 4 evaluate 10 type 5 the 7 effects 6 combined 7 effects 7 effects 8 of 7 effects 10 type 8 of 9 material 11 , 15 and 12 surface 13 treatment 13 treatment 15 and 14 , 15 and 15 and 16 thermocycling 16 thermocycling 17 on 17 on 20 strength 18 the 20 strength 19 bond 20 strength 20 strength 21 of 21 of 23 brackets 22 orthodontic 23 brackets 23 brackets 24 to 23 brackets 26 used 23 brackets 27 for 23 brackets 30 of 24 to 25 materials 27 for 29 fabrication 28 the 29 fabrication 30 of 32 crowns 31 provisional 32 crowns materials and methods : four materials were included in this study ( protemp , trim plus , trim ii , and superpont c+b ) . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 25 . 1 materials 2 and 2 and 3 methods 4 : 6 materials 4 : 8 included 5 four 6 materials 6 materials 7 were 7 were 8 included 8 included 9 in 9 in 11 study 10 this 11 study 11 study 21 and 12 ( 21 and 13 protemp 14 , 14 , 16 plus 14 , 17 , 15 trim 16 plus 17 , 18 trim 17 , 21 and 18 trim 19 ii 20 , 21 and 21 and 23 c+b 21 and 24 ) 22 superpont 23 c+b sixty cylindrical specimens ( 1 × [3] cm ) were prepared from each material and equally divided into three groups . 0 ###LEFT-WALL### 3 specimens 0 ###LEFT-WALL### 10 were 0 ###LEFT-WALL### 21 . 1 sixty 3 specimens 2 cylindrical 3 specimens 3 specimens 8 cm 3 specimens 10 were 4 ( 8 cm 5 1 8 cm 6 × 8 cm 8 cm 9 ) 10 were 15 and 11 prepared 12 from 11 prepared 15 and 12 from 14 material 13 each 14 material 15 and 17 divided 15 and 18 into 16 equally 17 divided 18 into 20 groups 19 three 20 groups the first group was ground with silica carbide paper , the second was polished with pumice , and the last group was sandblasted with 50 - µm aluminum oxide particles . 0 ###LEFT-WALL### 3 group 0 ###LEFT-WALL### 5 ground 0 ###LEFT-WALL### 10 , 1 the 3 group 2 first 3 group 3 group 4 was 4 was 5 ground 5 ground 6 with 6 with 9 paper 7 silica 8 carbide 8 carbide 9 paper 10 , 12 second 10 , 13 was 10 , 18 and 11 the 12 second 12 second 13 was 13 was 14 polished 14 polished 15 with 15 with 16 pumice 17 , 18 and 18 and 21 group 18 and 23 sandblasted 19 the 20 last 19 the 21 group 21 group 22 was 22 was 23 sandblasted 23 sandblasted 24 with 24 with 25 50 25 50 30 particles 26 - 30 particles 27 µm 28 aluminum 28 aluminum 30 particles 29 oxide 30 particles 30 particles 31 . stainless - steel maxillary central incisor brackets ( victory series , 3 m ) were bonded to the provisional material specimens with transbond xt light - cured composite resin , and half of the specimens from each group were thermocycled 500 times in 5 °c and 55 °c water baths . 0 ###LEFT-WALL### 3 steel 0 ###LEFT-WALL### 16 bonded 0 ###LEFT-WALL### 31 and 1 stainless 2 - 1 stainless 3 steel 3 steel 7 brackets 3 steel 15 were 3 steel 16 bonded 4 maxillary 6 incisor 5 central 6 incisor 6 incisor 7 brackets 7 brackets 10 series 7 brackets 15 were 8 ( 10 series 9 victory 10 series 10 series 13 m 10 series 14 ) 11 , 13 m 12 3 13 m 13 m 14 ) 16 bonded 17 to 16 bonded 22 with 17 to 21 specimens 18 the 21 specimens 19 provisional 20 material 20 material 21 specimens 22 with 25 light 23 transbond 24 xt 24 xt 25 light 25 light 29 resin 26 - 29 resin 27 cured 28 composite 28 composite 29 resin 29 resin 30 , 31 and 32 half 31 and 39 were 32 half 33 of 32 half 36 from 32 half 39 were 33 of 35 specimens 34 the 35 specimens 36 from 38 group 37 each 38 group 39 were 46 and 40 thermocycled 42 times 41 500 42 times 42 times 43 in 42 times 46 and 43 in 45 °c 44 5 45 °c 46 and 50 baths 46 and 51 . 47 55 48 °c 48 °c 50 baths 49 water 50 baths then the brackets were debonded with [shear] testing , and the results were statistically analyzed by three - way analysis of variance and tukey 's multiple - comparison tests at α = 0.05 . 0 ###LEFT-WALL### 3 brackets 0 ###LEFT-WALL### 5 debonded 0 ###LEFT-WALL### 10 and 1 then 3 brackets 2 the 3 brackets 3 brackets 4 were 4 were 5 debonded 5 debonded 6 with 6 with 8 testing 9 , 10 and 10 and 12 results 10 and 15 analyzed 11 the 12 results 12 results 13 were 13 were 15 analyzed 14 statistically 15 analyzed 15 analyzed 16 by 16 by 17 three 17 three 23 and 18 - 23 and 19 way 20 analysis 20 analysis 21 of 20 analysis 23 and 21 of 22 variance 23 and 26 multiple 23 and 27 - 23 and 28 comparison 23 and 32 = 23 and 34 . 24 tukey 25 's 25 's 26 multiple 28 comparison 29 tests 29 tests 30 at 29 tests 32 = 30 at 31 α 32 = 33 0.05 adhesive remnant index ( ari ) was also identified . 0 ###LEFT-WALL### 5 ari 0 ###LEFT-WALL### 9 identified 0 ###LEFT-WALL### 10 . 1 adhesive 2 remnant 2 remnant 3 index 3 index 5 ari 4 ( 5 ari 5 ari 6 ) 5 ari 7 was 7 was 8 also 7 was 9 identified results : before and after thermocycling , protemp materials showed the highest shear bond strength with orthodontic brackets ( 10.3 and 13.1 mpa , respectively ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 9 materials 2 : 10 showed 2 : 27 . 3 before 4 and 4 and 5 after 4 and 7 , 4 and 9 materials 5 after 6 thermocycling 8 protemp 9 materials 9 materials 10 showed 10 showed 12 highest 10 showed 13 shear 11 the 12 highest 12 highest 13 shear 13 shear 15 strength 13 shear 16 with 13 shear 25 respectively 14 bond 15 strength 16 with 18 brackets 17 orthodontic 18 brackets 18 brackets 23 mpa 19 ( 23 mpa 20 10.3 21 and 21 and 22 13.1 21 and 23 mpa 23 mpa 24 , 24 , 25 respectively 25 respectively 26 ) the statistical analysis indicated an interaction among the three independent variables ( p < [.] 05 [ )(and statistically significant differences in bond strength among provisional materials ( p < [.] 001 ) , surface treatments ( p < [.] 001 ) , and thermocycling [(] p < . 05 [ )( 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 4 indicated 0 ###LEFT-WALL### 44 and 0 ###LEFT-WALL### 49 . 1 the 3 analysis 2 statistical 3 analysis 3 analysis 4 indicated 4 indicated 18 )(and 5 an 6 interaction 6 interaction 7 among 6 interaction 18 )(and 7 among 11 variables 8 the 9 three 9 three 11 variables 10 independent 11 variables 11 variables 14 < 12 ( 14 < 13 p 14 < 14 < 16 05 18 )(and 21 differences 18 )(and 43 , 19 statistically 20 significant 20 significant 21 differences 21 differences 22 in 22 in 24 strength 23 bond 24 strength 24 strength 25 among 25 among 27 materials 26 provisional 27 materials 27 materials 30 < 27 materials 36 treatments 28 ( 30 < 29 p 30 < 30 < 32 001 30 < 33 ) 34 , 36 treatments 35 surface 36 treatments 36 treatments 39 < 36 treatments 43 , 37 ( 39 < 38 p 39 < 39 < 41 001 39 < 42 ) 43 , 44 and 44 and 45 thermocycling 44 and 48 < 45 thermocycling 47 p 45 thermocycling 48 < 49 . 50 05 49 . 52 )( according to the ari , most groups demonstrated adhesive failure . 0 ###LEFT-WALL### 7 groups 0 ###LEFT-WALL### 8 demonstrated 0 ###LEFT-WALL### 11 . 1 according 2 to 2 to 4 ari 2 to 5 , 2 to 7 groups 3 the 4 ari 6 most 7 groups 7 groups 8 demonstrated 8 demonstrated 10 failure 9 adhesive 10 failure conclusions : the provisional material type , surface treatment , and artificial aging have a significant effect on bond strength . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 6 type 2 : 7 , 2 : 21 . 3 the 6 type 4 provisional 5 material 5 material 6 type 7 , 11 and 7 , 14 have 8 surface 9 treatment 9 treatment 11 and 10 , 11 and 11 and 12 artificial 11 and 13 aging 11 and 14 have 14 have 17 effect 14 have 18 on 15 a 16 significant 15 a 17 effect 16 significant 17 effect 18 on 20 strength 19 bond 20 strength sandblasting treatment exerts a beneficial effect on [shear] bond strength . 0 ###LEFT-WALL### 1 sandblasting 0 ###LEFT-WALL### 3 exerts 0 ###LEFT-WALL### 11 . 1 sandblasting 2 treatment 1 sandblasting 3 exerts 3 exerts 6 effect 3 exerts 7 on 4 a 5 beneficial 4 a 6 effect 5 beneficial 6 effect 7 on 10 strength 9 bond 10 strength the " guidelines for psychological practice with older adults " are intended to assist psychologists in evaluating their own readiness for working with older adults and in seeking and using appropriate education and training to increase their knowledge , skills , and experience relevant to this area of practice . 0 ###LEFT-WALL### 9 adults 0 ###LEFT-WALL### 12 intended 0 ###LEFT-WALL### 39 , 0 ###LEFT-WALL### 50 . 1 the 2 " 1 the 9 adults 3 guidelines 4 for 3 guidelines 6 practice 4 for 5 psychological 6 practice 7 with 7 with 8 older 8 older 9 adults 9 adults 10 " 9 adults 11 are 11 are 12 intended 12 intended 13 to 12 intended 14 assist 13 to 14 assist 14 assist 15 psychologists 15 psychologists 16 in 15 psychologists 21 for 16 in 17 evaluating 17 evaluating 20 readiness 18 their 19 own 18 their 20 readiness 21 for 22 working 22 working 26 and 22 working 35 to 22 working 38 knowledge 23 with 25 adults 23 with 26 and 24 older 25 adults 26 and 27 in 27 in 33 and 28 seeking 29 and 29 and 32 education 29 and 33 and 30 using 32 education 31 appropriate 32 education 33 and 34 training 35 to 36 increase 37 their 38 knowledge 39 , 42 and 40 skills 42 and 41 , 42 and 42 and 43 experience 43 experience 44 relevant 43 experience 48 of 44 relevant 45 to 45 to 47 area 46 this 47 area 48 of 49 practice the specific goals of these professional practice guidelines are to provide practitioners with [(] a [ )( frame of reference for engaging in clinical work with older adults and [(] [b] [ )(basic information and further references in the areas of attitudes [,] general aspects of aging , clinical issues , assessment , intervention , consultation , professional issues , and continuing education and training relative to work with this group . 0 ###LEFT-WALL### 3 goals 0 ###LEFT-WALL### 9 are 1 the 3 goals 2 specific 3 goals 3 goals 4 of 3 goals 9 are 4 of 8 guidelines 5 these 8 guidelines 6 professional 7 practice 7 practice 8 guidelines 9 are 10 to 9 are 13 with 10 to 11 provide 11 provide 12 practitioners 13 with 18 frame 13 with 21 for 15 a 18 frame 18 frame 19 of 19 of 20 reference 21 for 29 and 22 engaging 23 in 22 engaging 29 and 23 in 25 work 24 clinical 25 work 25 work 26 with 26 with 28 adults 27 older 28 adults 29 and 37 references 29 and 38 in 33 )(basic 34 information 34 information 35 and 35 and 36 further 35 and 37 references 38 in 40 areas 39 the 40 areas 40 areas 41 of 41 of 52 assessment 42 attitudes 52 assessment 44 general 51 , 44 general 52 assessment 45 aspects 46 of 46 of 47 aging 47 aging 50 issues 48 , 50 issues 49 clinical 50 issues 50 issues 51 , 52 assessment 64 and 53 , 64 and 54 intervention 55 , 55 , 56 consultation 55 , 57 , 57 , 59 issues 57 , 61 and 58 professional 59 issues 60 , 61 and 61 and 63 education 61 and 64 and 62 continuing 63 education 64 and 65 training 64 and 66 relative 64 and 72 . 66 relative 67 to 66 relative 68 work 67 to 68 work 68 work 69 with 69 with 71 group 70 this 71 group the guidelines [recognize] and [appreciate] that there are numerous methods and pathways whereby psychologists may gain expertise [and/or] [seek] training in working with older adults . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 8 are 0 ###LEFT-WALL### 26 . 1 the 2 guidelines 2 guidelines 4 and 4 and 6 that 4 and 7 there 4 and 8 are 8 are 11 and 8 are 13 whereby 8 are 21 in 9 numerous 10 methods 10 methods 11 and 11 and 12 pathways 13 whereby 14 psychologists 13 whereby 16 gain 14 psychologists 15 may 15 may 16 gain 16 gain 20 training 17 expertise 20 training 21 in 22 working 22 working 23 with 23 with 25 adults 24 older 25 adults this document is designed to offer recommendations on those areas of awareness , knowledge , and clinical skills considered as applicable to this work , rather than prescribing specific training methods to be followed . 0 ###LEFT-WALL### 2 document 0 ###LEFT-WALL### 4 designed 0 ###LEFT-WALL### 35 . 1 this 2 document 2 document 3 is 3 is 4 designed 4 designed 5 to 4 designed 6 offer 5 to 6 offer 6 offer 7 recommendations 6 offer 8 on 6 offer 27 than 6 offer 32 to 8 on 10 areas 9 those 10 areas 10 areas 11 of 10 areas 16 and 11 of 12 awareness 13 , 16 and 14 knowledge 16 and 15 , 16 and 16 and 18 skills 16 and 19 considered 16 and 25 , 17 clinical 18 skills 19 considered 21 applicable 20 as 21 applicable 21 applicable 22 to 22 to 24 work 23 this 24 work 26 rather 27 than 27 than 28 prescribing 28 prescribing 31 methods 29 specific 30 training 30 training 31 methods 32 to 33 be 33 be 34 followed the guidelines also recognize that some psychologists will specialize in the provision of services to older adults and may therefore seek more extensive training consistent with practicing within the formally recognized specialty of professional geropsychology ( apa , 2010c ) . 0 ###LEFT-WALL### 2 guidelines 0 ###LEFT-WALL### 21 seek 0 ###LEFT-WALL### 41 . 1 the 2 guidelines 2 guidelines 18 and 3 also 4 recognize 4 recognize 5 that 4 recognize 18 and 5 that 7 psychologists 5 that 9 specialize 6 some 7 psychologists 7 psychologists 8 will 8 will 9 specialize 9 specialize 10 in 10 in 12 provision 11 the 12 provision 12 provision 13 of 13 of 14 services 14 services 15 to 15 to 17 adults 16 older 17 adults 18 and 19 may 19 may 21 seek 20 therefore 21 seek 21 seek 24 training 22 more 23 extensive 23 extensive 24 training 24 training 25 consistent 24 training 33 of 25 consistent 26 with 26 with 27 practicing 27 practicing 28 within 28 within 32 specialty 29 the 32 specialty 30 formally 31 recognized 31 recognized 32 specialty 33 of 37 apa 34 professional 35 geropsychology 35 geropsychology 37 apa 36 ( 37 apa 37 apa 39 2010c 38 , 39 2010c 39 2010c 40 ) objectives : we examined neighborhood [-] level foreclosure rates and their association [with] onset of depressive symptoms in older adults . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 examined 2 : 21 . 3 we 4 examined 4 examined 10 and 4 examined 18 in 5 neighborhood 7 level 7 level 8 foreclosure 8 foreclosure 9 rates 9 rates 10 and 10 and 14 onset 10 and 15 of 11 their 14 onset 12 association 14 onset 15 of 17 symptoms 16 depressive 17 symptoms 18 in 20 adults 19 older 20 adults methods : we linked data from the national social life , health , and aging project ( 2005 - 2006 and 2010 - 2011 waves ) , a longitudinal , nationally representative survey , to data on zip code - level foreclosure rates , and predicted the onset of depressive symptoms using logit - linked regression . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 57 . 2 : 3 we 2 : 4 linked 2 : 34 , 3 we 4 linked 4 linked 14 and 4 linked 19 - 5 data 6 from 5 data 14 and 6 from 10 life 7 the 10 life 8 national 9 social 9 social 10 life 10 life 12 health 11 , 12 health 12 health 13 , 14 and 16 project 15 aging 16 project 17 ( 19 - 18 2005 19 - 19 - 21 and 19 - 34 , 20 2006 21 and 21 and 22 2010 21 and 25 waves 21 and 33 survey 23 - 25 waves 24 2011 25 waves 25 waves 26 ) 27 , 33 survey 28 a 29 longitudinal 28 a 33 survey 29 longitudinal 30 , 29 longitudinal 33 survey 31 nationally 32 representative 32 representative 33 survey 33 survey 34 , 34 , 42 foreclosure 34 , 45 and 35 to 36 data 35 to 40 - 35 to 42 foreclosure 36 data 37 on 37 on 39 code 38 zip 39 code 41 level 42 foreclosure 42 foreclosure 45 and 43 rates 45 and 44 , 45 and 45 and 46 predicted 45 and 48 onset 47 the 48 onset 48 onset 49 of 49 of 51 symptoms 50 depressive 51 symptoms 51 symptoms 52 using 52 using 56 regression 53 logit 54 - 53 logit 56 regression 55 linked 56 regression results : multiple stages of the foreclosure process predicted the onset of depressive symptoms , with adjustment for demographic characteristics and changes in household assets , neighborhood poverty , and visible neighborhood disorder . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 2 : 4 stages 2 : 9 predicted 2 : 26 , 3 multiple 4 stages 4 stages 5 of 4 stages 9 predicted 5 of 8 process 6 the 8 process 7 foreclosure 8 process 9 predicted 11 onset 10 the 11 onset 11 onset 12 of 11 onset 16 with 12 of 14 symptoms 13 depressive 14 symptoms 15 , 16 with 16 with 17 adjustment 16 with 26 , 17 adjustment 18 for 17 adjustment 23 in 18 for 21 and 19 demographic 20 characteristics 20 characteristics 21 and 21 and 22 changes 23 in 25 assets 24 household 25 assets 26 , 30 and 27 neighborhood 28 poverty 28 poverty 30 and 29 , 30 and 30 and 33 disorder 31 visible 32 neighborhood 32 neighborhood 33 disorder a large increase in properties going to auction was [suggestive] of such an association ( or [=] 1.45 ; 95 % ci = 0.96 , 2.19 ) . 0 ###LEFT-WALL### 3 increase 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 19 ; 0 ###LEFT-WALL### 28 . 1 a 3 increase 2 large 3 increase 3 increase 4 in 3 increase 6 going 3 increase 9 was 4 in 5 properties 6 going 7 to 7 to 8 auction 9 was 11 of 11 of 14 association 12 such 13 an 13 an 14 association 14 association 16 or 15 ( 16 or 16 or 18 1.45 16 or 19 ; 19 ; 22 ci 19 ; 23 = 20 95 22 ci 21 % 22 ci 22 ci 23 = 23 = 24 0.96 24 0.96 26 2.19 25 , 26 2.19 26 2.19 27 ) age , fewer years of education , and functional limitations also were predictive . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 2 , 0 ###LEFT-WALL### 14 . 2 , 8 and 2 , 12 were 3 fewer 4 years 4 years 5 of 4 years 8 and 5 of 6 education 7 , 8 and 8 and 10 limitations 8 and 12 were 9 functional 10 limitations 11 also 12 were 12 were 13 predictive conclusions : increases in neighborhood [-] level foreclosure represent an important risk factor for depression in older adults . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 increases 2 : 9 represent 2 : 19 . 3 increases 4 in 3 increases 9 represent 4 in 8 foreclosure 5 neighborhood 8 foreclosure 7 level 8 foreclosure 9 represent 13 factor 9 represent 16 in 10 an 11 important 10 an 13 factor 11 important 13 factor 12 risk 13 factor 13 factor 14 for 14 for 15 depression 16 in 18 adults 17 older 18 adults these results accord with previous studies suggesting that the effects of economic crises are typically first experienced through deficits in emotional well - being . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 23 - 0 ###LEFT-WALL### 25 . 1 these 2 results 2 results 3 accord 3 accord 4 with 3 accord 19 deficits 4 with 6 studies 5 previous 6 studies 6 studies 7 suggesting 7 suggesting 8 that 8 that 10 effects 8 that 17 experienced 9 the 10 effects 10 effects 11 of 10 effects 14 are 11 of 13 crises 12 economic 13 crises 14 are 17 experienced 15 typically 17 experienced 16 first 17 experienced 18 through 19 deficits 19 deficits 20 in 20 in 22 well 21 emotional 22 well 23 - 24 being consuming a high - fat diet may result in behavioral deficits similar to those observed in aging animals . 0 ###LEFT-WALL### 1 consuming 0 ###LEFT-WALL### 8 result 0 ###LEFT-WALL### 19 . 1 consuming 6 diet 1 consuming 7 may 2 a 3 high 2 a 6 diet 3 high 4 - 3 high 6 diet 5 fat 6 diet 7 may 8 result 8 result 9 in 9 in 11 deficits 10 behavioral 11 deficits 11 deficits 12 similar 12 similar 13 to 13 to 14 those 14 those 15 observed 15 observed 16 in 16 in 17 aging 17 aging 18 animals it has been demonstrated that blueberry supplementation can allay age - related behavioral deficits . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 4 demonstrated 0 ###LEFT-WALL### 12 related 1 it 2 has 2 has 3 been 3 been 4 demonstrated 4 demonstrated 5 that 5 that 7 supplementation 5 that 9 allay 6 blueberry 7 supplementation 7 supplementation 8 can 8 can 9 allay 9 allay 10 age 11 - 12 related 12 related 14 deficits 12 related 15 . 13 behavioral 14 deficits to determine if supplementation of a high - fat diet with blueberries offers protection against putative high - fat diet - related declines , 9 [-] month - old c57bl/6 mice were maintained on low - fat ( 10 % fat calories ) [or] high - fat ( 60 % fat calories ) diets [with] and [without] 4 % freeze - dried blueberry powder . 0 ###LEFT-WALL### 1 to 1 to 2 determine 2 determine 3 if 3 if 4 supplementation 3 if 13 offers 4 supplementation 5 of 4 supplementation 13 offers 5 of 10 diet 6 a 10 diet 7 high 8 - 7 high 10 diet 9 fat 10 diet 10 diet 11 with 11 with 12 blueberries 13 offers 14 protection 13 offers 15 against 15 against 23 declines 16 putative 23 declines 17 high 20 diet 17 high 21 - 17 high 23 declines 18 - 20 diet 19 fat 20 diet 20 diet 21 - 22 related 23 declines 23 declines 28 - 24 , 28 - 25 9 27 month 27 month 28 - 28 - 30 c57bl/6 29 old 30 c57bl/6 30 c57bl/6 31 mice 30 c57bl/6 32 were 30 c57bl/6 33 maintained 31 mice 32 were 33 maintained 34 on 34 on 45 high 35 low 37 fat 35 low 45 high 36 - 37 fat 37 fat 42 calories 37 fat 43 ) 38 ( 42 calories 39 10 40 % 40 % 42 calories 41 fat 42 calories 42 calories 43 ) 45 high 56 and 46 - 56 and 47 fat 52 calories 47 fat 54 diets 48 ( 52 calories 49 60 52 calories 50 % 52 calories 51 fat 52 calories 52 calories 53 ) 54 diets 56 and 56 and 60 freeze 56 and 64 powder 56 and 65 . 58 4 60 freeze 59 % 60 freeze 61 - 64 powder 62 dried 63 blueberry 63 blueberry 64 powder 64 powder 65 . novel object recognition memory was impaired by the high - fat diet ; after 4 months on the high - fat diet , mice spent 50 % of their time on the novel object in the testing trial [,] performing no greater than chance performance . 0 ###LEFT-WALL### 4 memory 0 ###LEFT-WALL### 6 impaired 0 ###LEFT-WALL### 13 ; 0 ###LEFT-WALL### 46 . 1 novel 4 memory 2 object 3 recognition 3 recognition 4 memory 4 memory 5 was 5 was 6 impaired 6 impaired 7 by 7 by 12 diet 8 the 12 diet 9 high 10 - 9 high 12 diet 11 fat 12 diet 13 ; 24 mice 13 ; 25 spent 14 after 16 months 14 after 22 diet 14 after 23 , 14 after 24 mice 15 4 16 months 16 months 17 on 16 months 22 diet 17 on 21 fat 18 the 21 fat 19 high 20 - 19 high 21 fat 24 mice 25 spent 25 spent 27 % 25 spent 31 on 25 spent 35 in 26 50 27 % 27 % 28 of 28 of 30 time 29 their 30 time 31 on 34 object 32 the 34 object 33 novel 34 object 35 in 38 trial 36 the 38 trial 37 testing 38 trial 38 trial 40 performing 38 trial 42 greater 41 no 42 greater 42 greater 43 than 43 than 45 performance 44 chance 45 performance blueberry supplementation prevented recognition memory deficits after 4 months on the diets , as mice on this diet spent 67 % of their time on the novel object . 0 ###LEFT-WALL### 2 supplementation 0 ###LEFT-WALL### 3 prevented 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 29 . 1 blueberry 2 supplementation 2 supplementation 3 prevented 3 prevented 6 deficits 3 prevented 7 after 3 prevented 10 on 4 recognition 6 deficits 5 memory 6 deficits 7 after 9 months 8 4 9 months 10 on 12 diets 11 the 12 diets 13 , 21 % 13 , 28 object 14 as 15 mice 14 as 21 % 15 mice 16 on 15 mice 19 spent 16 on 18 diet 17 this 18 diet 20 67 21 % 21 % 22 of 21 % 28 object 22 of 24 time 23 their 24 time 24 time 25 on 25 on 27 novel 26 the 27 novel after 5 months on the diets , mice consuming the high - fat diet passed through the platform location less often than mice on low - fat diets during probe trials on days 2 and 3 of morris water maze testing , whereas mice consuming the high - fat blueberry diet passed through the platform location as often as mice on the low - fat diets . 0 ###LEFT-WALL### 3 months 0 ###LEFT-WALL### 15 passed 0 ###LEFT-WALL### 22 than 0 ###LEFT-WALL### 52 passed 0 ###LEFT-WALL### 67 . 1 after 2 5 1 after 3 months 3 months 8 mice 3 months 14 diet 3 months 15 passed 4 on 6 diets 4 on 7 , 4 on 8 mice 5 the 6 diets 8 mice 9 consuming 8 mice 14 diet 9 consuming 13 fat 10 the 13 fat 11 high 12 - 11 high 13 fat 15 passed 16 through 15 passed 21 often 16 through 19 location 17 the 19 location 18 platform 19 location 20 less 21 often 22 than 23 mice 22 than 39 water 23 mice 24 on 23 mice 39 water 24 on 28 diets 25 low 26 - 25 low 27 fat 27 fat 28 diets 28 diets 29 during 28 diets 37 of 29 during 31 trials 30 probe 31 trials 31 trials 32 on 32 on 33 days 33 days 35 and 34 2 35 and 35 and 36 3 37 of 38 morris 39 water 41 testing 39 water 43 whereas 40 maze 41 testing 42 , 43 whereas 43 whereas 44 mice 44 mice 45 consuming 44 mice 52 passed 45 consuming 51 diet 46 the 51 diet 47 high 48 - 47 high 50 blueberry 49 fat 50 blueberry 50 blueberry 51 diet 52 passed 53 through 52 passed 58 often 52 passed 59 as 53 through 56 location 54 the 56 location 55 platform 56 location 57 as 58 often 59 as 60 mice 60 mice 61 on 61 on 66 diets 62 the 66 diets 63 low 64 - 63 low 65 fat 65 fat 66 diets this study is a first step in determining if incorporating more nutrient - dense foods into a high - fat diet can allay cognitive dysfunction . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 26 . 1 this 2 study 2 study 3 is 3 is 6 step 4 a 6 step 5 first 6 step 6 step 7 in 7 in 8 determining 8 determining 9 if 9 if 10 incorporating 9 if 23 allay 10 incorporating 15 foods 10 incorporating 16 into 10 incorporating 22 can 11 more 12 nutrient 12 nutrient 13 - 12 nutrient 15 foods 14 dense 15 foods 16 into 21 diet 17 a 18 high 17 a 21 diet 18 high 19 - 18 high 21 diet 20 fat 21 diet 22 can 23 allay 23 allay 25 dysfunction 24 cognitive 25 dysfunction none none none oxidative stress has been advanced as one of the major causes of damage to dna and other macromolecules . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 8 advanced 2 none 3 none 3 none 4 oxidative 4 oxidative 5 stress 4 oxidative 7 been 4 oxidative 8 advanced 5 stress 6 has 6 has 7 been 8 advanced 9 as 8 advanced 22 . 9 as 19 and 10 one 11 of 10 one 19 and 11 of 14 causes 12 the 14 causes 13 major 14 causes 14 causes 15 of 15 of 16 damage 16 damage 17 to 17 to 18 dna 19 and 21 macromolecules 20 other 21 macromolecules although physical exercise may also increase oxidative stress , an important role has been recognized for regular exercise in improving the overall functionality of the body , as indicated by an increase in maximal aerobic uptake ( [(] v [ 2max] ) , and in resistance to cell damage . 0 ###LEFT-WALL### 12 role 0 ###LEFT-WALL### 15 recognized 0 ###LEFT-WALL### 49 damage 1 although 3 exercise 1 although 6 increase 1 although 9 , 1 although 12 role 2 physical 3 exercise 3 exercise 4 may 4 may 6 increase 5 also 6 increase 6 increase 8 stress 7 oxidative 8 stress 10 an 11 important 10 an 12 role 11 important 12 role 12 role 13 has 13 has 14 been 14 been 15 recognized 15 recognized 16 for 15 recognized 19 in 15 recognized 46 resistance 16 for 18 exercise 17 regular 18 exercise 19 in 20 improving 20 improving 23 functionality 20 improving 30 by 20 improving 43 , 21 the 23 functionality 22 overall 23 functionality 23 functionality 24 of 23 functionality 29 indicated 24 of 26 body 25 the 26 body 27 , 29 indicated 28 as 29 indicated 30 by 32 increase 31 an 32 increase 33 in 36 uptake 33 in 43 , 34 maximal 36 uptake 35 aerobic 36 uptake 36 uptake 39 v 37 ( 39 v 39 v 41 2max] 42 ) 43 , 43 , 44 and 44 and 45 in 46 resistance 48 cell 47 to 48 cell the aims of this study were 1 [ )(to evaluate the association between dna damage in human lymphocytes and age [and] 2 ) to evaluate the association between dna damage in human lymphocytes and [(] [(] v )o2max . 0 ###LEFT-WALL### 2 aims 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 39 . 1 the 2 aims 2 aims 3 of 2 aims 6 were 3 of 5 study 4 this 5 study 6 were 7 1 6 were 9 )(to 6 were 13 between 9 )(to 10 evaluate 10 evaluate 12 association 11 the 12 association 13 between 19 and 14 dna 15 damage 15 damage 16 in 15 damage 19 and 16 in 18 lymphocytes 17 human 18 lymphocytes 19 and 20 age 19 and 23 ) 19 and 24 to 19 and 25 evaluate 20 age 22 2 24 to 25 evaluate 25 evaluate 34 and 25 evaluate 38 )o2max 26 the 27 association 27 association 28 between 27 association 34 and 28 between 30 damage 29 dna 30 damage 30 damage 31 in 31 in 33 lymphocytes 32 human 33 lymphocytes 34 and 37 v 34 and 38 )o2max the sample was composed of 36 healthy and nonsmoking males , aged from 20 to 84 years . 0 ###LEFT-WALL### 2 sample 0 ###LEFT-WALL### 4 composed 0 ###LEFT-WALL### 18 . 1 the 2 sample 2 sample 3 was 3 was 4 composed 4 composed 5 of 4 composed 11 , 4 composed 12 aged 5 of 10 males 6 36 10 males 7 healthy 8 and 8 and 9 nonsmoking 8 and 10 males 12 aged 13 from 13 from 17 years 14 20 15 to 15 to 16 84 15 to 17 years [(] [(] v [ 2max] was evaluated through the bruce protocol with direct measurement of oxygen consumption . 0 ###LEFT-WALL### 3 v 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 17 consumption 3 v 5 2max] 5 2max] 6 was 6 was 7 evaluated 6 was 11 protocol 7 evaluated 10 bruce 8 through 10 bruce 9 the 10 bruce 11 protocol 13 direct 12 with 13 direct 13 direct 14 measurement 14 measurement 16 oxygen 15 of 16 oxygen the comet assay was used to evaluate the dna damage , strand breaks and formamidopyrimidine dna glycosylase ( fpg ) - sensitive sites . 0 ###LEFT-WALL### 3 assay 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 21 - 1 the 3 assay 2 comet 3 assay 3 assay 4 was 4 was 5 used 5 used 6 to 5 used 7 evaluate 6 to 7 evaluate 7 evaluate 10 damage 8 the 10 damage 9 dna 10 damage 10 damage 14 and 11 , 14 and 12 strand 13 breaks 13 breaks 14 and 14 and 17 glycosylase 14 and 19 fpg 14 and 21 - 15 formamidopyrimidine 17 glycosylase 16 dna 17 glycosylase 18 ( 19 fpg 19 fpg 20 ) 21 - 23 sites 21 - 24 . 22 sensitive 23 sites we found a positive correlation of age with dna strand breaks but not with fpg - sensitive sites . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 16 - 1 we 2 found 2 found 5 correlation 3 a 4 positive 3 a 5 correlation 4 positive 5 correlation 5 correlation 6 of 6 of 7 age 7 age 12 but 8 with 11 breaks 8 with 12 but 9 dna 11 breaks 10 strand 11 breaks 12 but 13 not 12 but 14 with 14 with 15 fpg 16 - 18 sites 16 - 19 . 17 sensitive 18 sites [(] ( v [ 2max] was significantly inversely related with dna strand breaks , but this relation disappeared when adjusted for age . 0 ###LEFT-WALL### 2 ( 0 ###LEFT-WALL### 8 inversely 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 22 age 2 ( 8 inversely 3 v 5 2max] 5 2max] 6 was 5 2max] 8 inversely 7 significantly 8 inversely 8 inversely 9 related 8 inversely 13 breaks 9 related 12 strand 10 with 12 strand 11 dna 12 strand 13 breaks 14 , 14 , 16 this 14 , 17 relation 15 but 16 this 16 this 17 relation 17 relation 18 disappeared 18 disappeared 19 when 19 when 20 adjusted 20 adjusted 21 for a significantly positive relation between [(] [(] [v] )o2max and fpg - sensitive sites was verified . 0 ###LEFT-WALL### 4 relation 0 ###LEFT-WALL### 16 verified 0 ###LEFT-WALL### 17 . 1 a 4 relation 2 significantly 3 positive 3 positive 4 relation 4 relation 5 between 4 relation 15 was 5 between 14 sites 9 )o2max 10 and 10 and 11 fpg 10 and 12 - 10 and 14 sites 13 sensitive 14 sites 15 was 16 verified background : positive affective well - being ( i.e [.] , feelings of happiness and enjoyment ) has been associated with longer survival and reduced incidence of serious illness . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 - 1 background 2 : 2 : 5 well 3 positive 5 well 4 affective 5 well 6 - 7 being 6 - 20 associated 6 - 30 . 7 being 12 feelings 7 being 18 has 8 ( 12 feelings 9 i.e 11 , 9 i.e 12 feelings 12 feelings 13 of 12 feelings 17 ) 13 of 15 and 14 happiness 15 and 15 and 16 enjoyment 18 has 19 been 19 been 20 associated 20 associated 21 with 21 with 24 and 22 longer 23 survival 23 survival 24 and 24 and 26 incidence 24 and 27 of 25 reduced 26 incidence 27 of 29 illness 28 serious 29 illness our objective was to discover whether enjoyment of life also predicted a reduced risk of functional impairment over an 8 [-] year period in a large population sample . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 29 . 1 our 2 objective 2 objective 3 was 3 was 4 to 3 was 5 discover 4 to 5 discover 5 discover 6 whether 5 discover 24 in 6 whether 7 enjoyment 6 whether 11 predicted 7 enjoyment 8 of 7 enjoyment 11 predicted 8 of 9 life 10 also 11 predicted 11 predicted 14 risk 11 predicted 18 over 12 a 14 risk 13 reduced 14 risk 14 risk 15 of 15 of 17 impairment 16 functional 17 impairment 18 over 23 period 19 an 23 period 20 8 22 year 22 year 23 period 24 in 28 sample 25 a 28 sample 26 large 27 population 27 population 28 sample methods : we carried out a prospective analysis involving 3199 men and women aged 60 years or older from the english longitudinal study of ageing . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 3 we 2 : 4 carried 3 we 4 carried 4 carried 5 out 4 carried 12 and 4 carried 17 or 4 carried 19 from 6 a 8 analysis 7 prospective 8 analysis 8 analysis 9 involving 8 analysis 12 and 9 involving 11 men 10 3199 11 men 12 and 13 women 12 and 14 aged 14 aged 15 60 16 years 17 or 17 or 18 older 19 from 23 study 20 the 21 english 21 english 23 study 22 longitudinal 23 study 23 study 24 of 24 of 25 ageing enjoyment of life was assessed [by] [questionnaire] . 0 ###LEFT-WALL### 1 enjoyment 0 ###LEFT-WALL### 5 assessed 0 ###LEFT-WALL### 8 . 1 enjoyment 2 of 1 enjoyment 4 was 2 of 3 life 4 was 5 assessed outcomes were impairment in 2 or more activities of daily living and changes in gait speed on a [walking] test . 0 ###LEFT-WALL### 1 outcomes 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 21 . 1 outcomes 12 and 2 were 8 activities 2 were 12 and 3 impairment 4 in 3 impairment 6 or 4 in 5 2 6 or 7 more 6 or 8 activities 8 activities 9 of 9 of 11 living 10 daily 11 living 12 and 13 changes 13 changes 14 in 13 changes 16 speed 13 changes 17 on 15 gait 16 speed 17 on 20 test 18 a 20 test covariates included sociodemographic factors , baseline health , depressive symptoms , impairment of mobility and health behaviours . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 18 . 1 covariates 2 included 2 included 4 factors 3 sociodemographic 4 factors 4 factors 5 , 5 , 7 health 5 , 8 , 6 baseline 7 health 8 , 10 symptoms 8 , 11 , 9 depressive 10 symptoms 11 , 12 impairment 11 , 15 and 12 impairment 13 of 13 of 14 mobility 15 and 17 behaviours 16 health 17 behaviours results : two or more impaired activities of daily living developed among 4.4 % , 11.7 [%] and 16.8 % of participants in the high , medium and low enjoyment - of [-] life tertiles , respectively . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 38 . 2 : 3 two 2 : 4 or 4 or 5 more 4 or 28 and 5 more 28 and 6 impaired 7 activities 6 impaired 28 and 7 activities 8 of 7 activities 11 developed 8 of 10 living 9 daily 10 living 11 developed 12 among 11 developed 27 medium 12 among 14 % 13 4.4 14 % 14 % 20 % 15 , 20 % 16 11.7 18 and 18 and 19 16.8 18 and 20 % 20 % 21 of 20 % 23 in 20 % 26 , 21 of 22 participants 23 in 25 high 24 the 25 high 28 and 29 low 29 low 30 enjoyment 29 low 37 respectively 30 enjoyment 32 of 31 - 32 of 32 of 35 tertiles 32 of 36 , 34 life 35 tertiles after adjustment for covariates , the odds of impaired activities of daily living developing were 1.83 ( 95 % confidence interval 1.13 - 2.96 ) in the low compared with high tertile . 0 ###LEFT-WALL### 7 odds 0 ###LEFT-WALL### 15 were 0 ###LEFT-WALL### 33 . 1 after 2 adjustment 1 after 7 odds 3 for 4 covariates 3 for 5 , 3 for 7 odds 6 the 7 odds 7 odds 8 of 7 odds 15 were 8 of 10 activities 9 impaired 10 activities 10 activities 11 of 10 activities 14 developing 11 of 13 living 12 daily 13 living 15 were 16 1.83 15 were 26 in 16 1.83 21 interval 17 ( 21 interval 18 95 19 % 19 % 21 interval 20 confidence 21 interval 21 interval 23 - 21 interval 25 ) 22 1.13 23 - 23 - 24 2.96 26 in 28 low 27 the 28 low 28 low 29 compared 29 compared 30 with 30 with 32 tertile 31 high 32 tertile gait speed after 8 years was also related to baseline enjoyment of life after adjustment for gait speed and other covariates at baseline ( p < 0.001 ) . 0 ###LEFT-WALL### 2 speed 0 ###LEFT-WALL### 8 related 0 ###LEFT-WALL### 29 . 1 gait 2 speed 2 speed 3 after 2 speed 6 was 3 after 5 years 4 8 5 years 6 was 7 also 6 was 8 related 8 related 9 to 8 related 14 after 8 related 22 at 9 to 11 enjoyment 10 baseline 11 enjoyment 11 enjoyment 12 of 12 of 13 life 14 after 15 adjustment 14 after 21 covariates 15 adjustment 16 for 15 adjustment 21 covariates 16 for 19 and 17 gait 18 speed 18 speed 19 and 19 and 20 other 22 at 23 baseline 23 baseline 26 < 24 ( 26 < 25 p 26 < 26 < 27 0.001 26 < 28 ) we obtained similar results when we limited analyses to participants younger than 70 years at baseline . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 obtained 0 ###LEFT-WALL### 17 . 1 we 2 obtained 2 obtained 4 results 3 similar 4 results 4 results 5 when 5 when 6 we 5 when 7 limited 6 we 7 limited 7 limited 8 analyses 7 limited 9 to 7 limited 15 at 9 to 10 participants 10 participants 11 younger 11 younger 12 than 12 than 14 years 13 70 14 years 15 at 16 baseline interpretation : this is an observational study , so causal conclusions cannot be drawn . 0 ###LEFT-WALL### 1 interpretation 0 ###LEFT-WALL### 2 : 2 : 3 this 2 : 4 is 2 : 9 so 2 : 15 . 3 this 4 is 4 is 7 study 4 is 9 so 5 an 6 observational 5 an 7 study 6 observational 7 study 8 , 9 so 9 so 11 conclusions 9 so 14 drawn 10 causal 11 conclusions 11 conclusions 12 cannot 12 cannot 13 be 13 be 14 drawn but our results provide evidence that reduced enjoyment of life may be related to the future disability and mobility of older people . 0 ###LEFT-WALL### 1 but 0 ###LEFT-WALL### 23 . 1 but 3 results 1 but 4 provide 2 our 3 results 3 results 4 provide 4 provide 5 evidence 5 evidence 6 that 6 that 8 enjoyment 6 that 13 related 7 reduced 8 enjoyment 8 enjoyment 9 of 8 enjoyment 11 may 9 of 10 life 11 may 12 be 12 be 13 related 13 related 14 to 14 to 18 and 15 the 17 disability 16 future 17 disability 17 disability 18 and 18 and 19 mobility 18 and 20 of 20 of 22 people 21 older 22 people [none] none [in] caring for older people , geriatricians have always adopted a multi - domain approach , and this article reflects on the diverse aspects covered by journals in general medicine , geriatric medicine and gerontology in 2013 . 0 ###LEFT-WALL### 9 geriatricians 0 ###LEFT-WALL### 12 adopted 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 40 . 2 none 9 geriatricians 4 caring 5 for 4 caring 8 , 4 caring 9 geriatricians 5 for 7 people 6 older 7 people 9 geriatricians 10 have 10 have 12 adopted 11 always 12 adopted 12 adopted 17 approach 13 a 14 multi 13 a 17 approach 14 multi 15 - 14 multi 16 domain 16 domain 17 approach 18 , 19 and 19 and 21 article 19 and 22 reflects 20 this 21 article 21 article 22 reflects 22 reflects 23 on 22 reflects 26 aspects 23 on 25 diverse 24 the 25 diverse 26 aspects 27 covered 27 covered 28 by 27 covered 30 in 27 covered 38 in 28 by 29 journals 30 in 36 and 31 general 32 medicine 32 medicine 33 , 33 , 35 medicine 33 , 36 and 34 geriatric 35 medicine 36 and 37 gerontology 38 in 39 2013 topics were selected that represented developing or controversial areas that are important to care of increasingly frail older people . 0 ###LEFT-WALL### 1 topics 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 20 . 1 topics 2 were 2 were 9 areas 3 selected 6 developing 4 that 5 represented 5 represented 6 developing 6 developing 7 or 7 or 8 controversial 7 or 9 areas 9 areas 10 that 9 areas 11 are 10 that 11 are 11 are 12 important 12 important 13 to 13 to 14 care 14 care 15 of 15 of 19 people 16 increasingly 17 frail 17 frail 19 people 18 older 19 people these include the increasing use of single physical performance measures in assessment , optimal body mass index , assessment of frailty and sarcopenia , dementia , diabetes treatment goals , end - of [-] life care , management of complexity and design of health and social services to meet complexity . 0 ###LEFT-WALL### 1 these 0 ###LEFT-WALL### 2 include 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 51 . 1 these 2 include 2 include 5 use 3 the 5 use 4 increasing 5 use 5 use 6 of 6 of 10 measures 7 single 10 measures 8 physical 9 performance 9 performance 10 measures 10 measures 11 in 11 in 12 assessment 13 , 17 index 13 , 18 , 14 optimal 15 body 15 body 16 mass 16 mass 17 index 18 , 22 and 18 , 37 , 19 assessment 20 of 19 assessment 22 and 20 of 21 frailty 22 and 31 end 22 and 33 of 23 sarcopenia 24 , 23 sarcopenia 31 end 25 dementia 29 goals 25 dementia 31 end 26 , 29 goals 27 diabetes 28 treatment 28 treatment 29 goals 29 goals 30 , 32 - 33 of 33 of 36 care 33 of 37 , 35 life 36 care 37 , 41 and 38 management 39 of 38 management 41 and 39 of 40 complexity 41 and 42 design 42 design 43 of 43 of 45 and 44 health 45 and 45 and 47 services 45 and 48 to 46 social 47 services 48 to 50 complexity 49 meet 50 complexity the increasingly important role of patient and carer engagement in management of disease and syndromes is highlighted . 0 ###LEFT-WALL### 4 role 0 ###LEFT-WALL### 17 highlighted 0 ###LEFT-WALL### 18 . 1 the 4 role 2 increasingly 3 important 3 important 4 role 4 role 5 of 4 role 16 is 5 of 9 engagement 6 patient 7 and 7 and 8 carer 7 and 9 engagement 9 engagement 10 in 10 in 11 management 11 management 12 of 12 of 14 and 13 disease 14 and 14 and 15 syndromes 16 is 17 highlighted in particular , two eloquent articles from prominent physicians who have been experiencing the ageing process and demands of being a dementia carer provide a timely reminder of what the reality is in grappling with the inexorable decline that occurs with ageing , and caregiving as the central core to what medicine is all about . 0 ###LEFT-WALL### 6 articles 0 ###LEFT-WALL### 24 provide 0 ###LEFT-WALL### 56 . 1 in 2 particular 2 particular 3 , 2 particular 6 articles 4 two 6 articles 5 eloquent 6 articles 6 articles 7 from 6 articles 13 experiencing 6 articles 19 of 6 articles 24 provide 7 from 9 physicians 8 prominent 9 physicians 9 physicians 10 who 9 physicians 11 have 10 who 11 have 11 have 12 been 13 experiencing 17 and 14 the 16 process 15 ageing 16 process 16 process 17 and 17 and 18 demands 19 of 20 being 20 being 23 carer 21 a 22 dementia 21 a 23 carer 22 dementia 23 carer 24 provide 27 reminder 25 a 27 reminder 26 timely 27 reminder 27 reminder 28 of 27 reminder 33 in 27 reminder 39 that 27 reminder 40 occurs 28 of 29 what 29 what 31 reality 29 what 32 is 30 the 31 reality 31 reality 32 is 33 in 34 grappling 34 grappling 35 with 35 with 38 decline 36 the 38 decline 37 inexorable 38 decline 39 that 40 occurs 40 occurs 41 with 41 with 44 and 42 ageing 44 and 43 , 44 and 44 and 45 caregiving 44 and 46 as 44 and 50 to 46 as 49 core 47 the 49 core 48 central 49 core 50 to 51 what 50 to 52 medicine 50 to 53 is 52 medicine 53 is 53 is 54 all 53 is 55 about looking towards the future , the potential of robotic technology , modifying the physical and social living environment in improving quality of care and quality of life is described . 0 ###LEFT-WALL### 12 modifying 0 ###LEFT-WALL### 29 described 0 ###LEFT-WALL### 30 . 1 looking 2 towards 1 looking 11 , 1 looking 12 modifying 2 towards 4 future 3 the 4 future 4 future 7 potential 5 , 7 potential 6 the 7 potential 7 potential 8 of 7 potential 11 , 8 of 10 technology 9 robotic 10 technology 12 modifying 18 environment 12 modifying 19 in 12 modifying 28 is 13 the 18 environment 14 physical 15 and 15 and 16 social 15 and 18 environment 17 living 18 environment 19 in 24 and 20 improving 21 quality 21 quality 22 of 21 quality 24 and 22 of 23 care 24 and 25 quality 24 and 26 of 26 of 27 life 28 is 29 described fermentation of natural products is emerging as an important processing method and is attracting a lot of attention because it may have the advantage of having a new biological function . 0 ###LEFT-WALL### 1 fermentation 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 31 . 1 fermentation 2 of 1 fermentation 12 and 2 of 4 products 3 natural 4 products 5 is 6 emerging 5 is 12 and 6 emerging 7 as 7 as 11 method 8 an 11 method 9 important 11 method 10 processing 11 method 12 and 13 is 12 and 24 advantage 13 is 14 attracting 14 attracting 18 attention 15 a 16 lot 16 lot 17 of 16 lot 18 attention 17 of 18 attention 18 attention 19 because 18 attention 22 have 19 because 20 it 20 it 21 may 21 may 22 have 23 the 24 advantage 24 advantage 25 of 25 of 26 having 26 having 30 function 27 a 30 function 28 new 30 function 29 biological 30 function in this study , fruits of opuntia ficus - indica were enzymatically hydrolyzed and then fermented with two species of yeast . 0 ###LEFT-WALL### 10 indica 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 22 . 1 in 3 study 1 in 10 indica 2 this 3 study 3 study 5 fruits 4 , 5 fruits 5 fruits 6 of 5 fruits 9 - 6 of 8 ficus 7 opuntia 8 ficus 10 indica 14 and 11 were 13 hydrolyzed 11 were 14 and 12 enzymatically 13 hydrolyzed 14 and 16 fermented 14 and 17 with 15 then 16 fermented 17 with 19 species 18 two 19 species 19 species 20 of 20 of 21 yeast [we] identified novel prominent markers in enzymatically hydrolyzed [o] [.] ficus - indica ( eo ) and fermented o . ficus - indica ( fo ) samples by using an ultra - performance liquid chromatography/quadrupole time - [of] - flight mass spectrometry . 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 20 . 0 ###LEFT-WALL### 43 . 2 identified 5 markers 2 identified 17 and 3 novel 5 markers 4 prominent 5 markers 5 markers 6 in 6 in 11 ficus 7 enzymatically 8 hydrolyzed 8 hydrolyzed 11 ficus 11 ficus 13 indica 12 - 13 indica 13 indica 15 eo 13 indica 16 ) 14 ( 15 eo 15 eo 16 ) 17 and 18 fermented 17 and 19 o 20 . 21 ficus 20 . 27 samples 21 ficus 23 indica 21 ficus 27 samples 22 - 23 indica 23 indica 25 fo 23 indica 26 ) 24 ( 25 fo 25 fo 26 ) 27 samples 28 by 27 samples 42 spectrometry 28 by 29 using 29 using 40 flight 30 an 40 flight 31 ultra 36 time 31 ultra 39 - 31 ultra 40 flight 32 - 36 time 33 performance 36 time 34 liquid 36 time 35 chromatography/quadrupole 36 time 36 time 37 - 41 mass 42 spectrometry we also evaluated the effect of eo and fo on photoaging of skin cells exposed to ultraviolet radiation . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 evaluated 0 ###LEFT-WALL### 19 . 1 we 3 evaluated 2 also 3 evaluated 3 evaluated 5 effect 3 evaluated 10 on 3 evaluated 16 to 4 the 5 effect 5 effect 6 of 6 of 9 fo 7 eo 8 and 8 and 9 fo 10 on 11 photoaging 11 photoaging 12 of 12 of 14 cells 13 skin 14 cells 14 cells 15 exposed 16 to 18 radiation 17 ultraviolet 18 radiation we identified the major fermented metabolite in the fo as ferulic acid . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 identified 0 ###LEFT-WALL### 13 . 1 we 2 identified 2 identified 4 major 3 the 4 major 4 major 5 fermented 5 fermented 6 metabolite 6 metabolite 7 in 6 metabolite 10 as 7 in 9 fo 8 the 9 fo 10 as 12 acid 11 ferulic 12 acid [our] in vitro study indicated that fo significantly enhanced the concentration of pro [-] collagen type 1 than the eo , by increasing the tgf - β1 production . 0 ###LEFT-WALL### 4 study 0 ###LEFT-WALL### 5 indicated 0 ###LEFT-WALL### 18 than 0 ###LEFT-WALL### 29 . 2 in 3 vitro 3 vitro 4 study 4 study 5 indicated 5 indicated 6 that 6 that 7 fo 6 that 9 enhanced 7 fo 9 enhanced 8 significantly 9 enhanced 9 enhanced 11 concentration 10 the 11 concentration 11 concentration 12 of 12 of 16 type 13 pro 16 type 15 collagen 16 type 16 type 17 1 18 than 20 eo 18 than 27 β1 19 the 20 eo 20 eo 22 by 20 eo 27 β1 21 , 22 by 22 by 23 increasing 22 by 26 - 23 increasing 25 tgf 24 the 25 tgf 27 β1 28 production to observe the efficacy of [intra] [-] arterial chemotherapy with subcutaneously implanted pump [for] soft tissue sarcoma in extremities and cancerous ulcer . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 observe 0 ###LEFT-WALL### 23 . 1 to 2 observe 2 observe 4 efficacy 3 the 4 efficacy 4 efficacy 5 of 5 of 20 and 8 arterial 9 chemotherapy 9 chemotherapy 10 with 9 chemotherapy 20 and 10 with 17 sarcoma 11 subcutaneously 12 implanted 12 implanted 13 pump 13 pump 17 sarcoma 15 soft 16 tissue 16 tissue 17 sarcoma 17 sarcoma 18 in 18 in 19 extremities 20 and 22 ulcer 21 cancerous 22 ulcer the pathological types of studied cases include 9 cases with skin squamous cell carcinoma , 6 cases with synovial sarcoma , 5 cases with malignant fibrous histiocytoma , 3 cases with liposarcoma , 3 cases with osteosarcoma , 2 cases with malignant melanoma , 2 cases with epidermoid sarcoma , and 1 case with protuberans . 0 ###LEFT-WALL### 3 types 0 ###LEFT-WALL### 7 include 0 ###LEFT-WALL### 56 . 1 the 3 types 2 pathological 3 types 3 types 4 of 3 types 7 include 4 of 6 cases 5 studied 6 cases 7 include 9 cases 7 include 10 with 7 include 54 with 8 9 9 cases 10 with 14 carcinoma 10 with 51 and 11 skin 14 carcinoma 12 squamous 13 cell 13 cell 14 carcinoma 14 carcinoma 17 cases 14 carcinoma 23 cases 15 , 17 cases 16 6 17 cases 17 cases 18 with 17 cases 21 , 18 with 20 sarcoma 19 synovial 20 sarcoma 21 , 23 cases 22 5 23 cases 23 cases 24 with 23 cases 30 cases 23 cases 38 , 24 with 27 histiocytoma 25 malignant 27 histiocytoma 26 fibrous 27 histiocytoma 28 , 30 cases 29 3 30 cases 30 cases 31 with 30 cases 35 cases 30 cases 38 , 31 with 32 liposarcoma 33 , 35 cases 34 3 35 cases 35 cases 36 with 35 cases 38 , 36 with 37 osteosarcoma 39 2 40 cases 40 cases 41 with 40 cases 44 , 41 with 43 melanoma 42 malignant 43 melanoma 44 , 46 cases 44 , 51 and 45 2 46 cases 46 cases 47 with 47 with 49 sarcoma 48 epidermoid 49 sarcoma 50 , 51 and 51 and 53 case 52 1 53 case 54 with 55 protuberans the main symptoms of cancerous ulcer were pain , infection and hemorrhage ; all the studied patients were administrated with cisplatin and doxorubicin by [intra] [-] arterial chemotherapy pump , and the patients with squamous cell carcinoma were additionally applied with bleomycin and patients with malignant melanoma [were] additionally applied with dacarbazine . 0 ###LEFT-WALL### 3 symptoms 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 9 , 1 the 3 symptoms 2 main 3 symptoms 3 symptoms 4 of 3 symptoms 7 were 4 of 6 ulcer 5 cancerous 6 ulcer 7 were 8 pain 9 , 11 and 9 , 13 ; 10 infection 11 and 11 and 12 hemorrhage 11 and 13 ; 13 ; 17 patients 13 ; 22 and 14 all 17 patients 15 the 17 patients 16 studied 17 patients 17 patients 18 were 18 were 19 administrated 19 administrated 20 with 20 with 21 cisplatin 22 and 31 and 23 doxorubicin 24 by 23 doxorubicin 31 and 24 by 29 pump 27 arterial 28 chemotherapy 28 chemotherapy 29 pump 30 , 31 and 31 and 33 patients 31 and 34 with 31 and 38 were 32 the 33 patients 34 with 37 carcinoma 35 squamous 37 carcinoma 36 cell 37 carcinoma 38 were 40 applied 39 additionally 40 applied 40 applied 41 with 41 with 43 and 42 bleomycin 43 and 43 and 44 patients 43 and 53 . 44 patients 45 with 44 patients 50 applied 45 with 47 melanoma 46 malignant 47 melanoma 49 additionally 50 applied 50 applied 51 with 51 with 52 dacarbazine the chemotherapy efficiency was observed after [at] 3 cycles of [intra] [-] arterial chemotherapy . 0 ###LEFT-WALL### 3 efficiency 0 ###LEFT-WALL### 5 observed 0 ###LEFT-WALL### 15 . 1 the 3 efficiency 2 chemotherapy 3 efficiency 3 efficiency 4 was 4 was 5 observed 5 observed 6 after 6 after 9 cycles 8 3 9 cycles 9 cycles 10 of 10 of 14 chemotherapy 13 arterial 14 chemotherapy [the] total remission rate of pain ( [rr] [ )( 87 % , and total remission rate of ulcer cicatrization ( [rr] [ )( 71 % , with ulcer cicatrizing spontaneously in 9 cases and obvious homeostasis in 5 cases with bleeding ulcers . 0 ###LEFT-WALL### 2 total 2 total 14 and 3 remission 4 rate 4 rate 5 of 4 rate 14 and 5 of 6 pain 6 pain 12 % 7 ( 12 % 11 87 12 % 12 % 13 , 13 , 14 and 14 and 17 rate 15 total 16 remission 16 remission 17 rate 17 rate 18 of 17 rate 28 with 18 of 20 cicatrization 19 ulcer 20 cicatrization 20 cicatrization 26 % 21 ( 26 % 25 71 26 % 26 % 27 , 28 with 35 and 29 ulcer 30 cicatrizing 29 ulcer 35 and 30 cicatrizing 31 spontaneously 30 cicatrizing 32 in 30 cicatrizing 34 cases 32 in 33 9 35 and 37 homeostasis 35 and 44 . 36 obvious 37 homeostasis 37 homeostasis 38 in 38 in 40 cases 39 5 40 cases 40 cases 41 with 41 with 43 ulcers 42 bleeding 43 ulcers the subcutaneous [intra] - arterial targeting chemotherapy could be applied to treat refractory sarcoma and cancerous ulcer in extremities to significantly increase the chemotherapeutic concentration at tumor area so as to effectively constrain the tumor rupture induced main symptoms including pain , infection and bleeding , which would help to make a decreased blood supplied and well defined tumor boundary to finally decrease the recurrence rate . 0 ###LEFT-WALL### 7 chemotherapy 0 ###LEFT-WALL### 10 applied 1 the 7 chemotherapy 2 subcutaneous 4 - 2 subcutaneous 7 chemotherapy 5 arterial 7 chemotherapy 6 targeting 7 chemotherapy 7 chemotherapy 8 could 8 could 9 be 9 be 10 applied 10 applied 11 to 10 applied 31 to 11 to 12 treat 12 treat 28 area 13 refractory 28 area 14 sarcoma 15 and 15 and 17 ulcer 15 and 18 in 15 and 28 area 16 cancerous 17 ulcer 18 in 19 extremities 19 extremities 20 to 19 extremities 26 at 20 to 22 increase 21 significantly 22 increase 22 increase 25 concentration 22 increase 26 at 23 the 25 concentration 24 chemotherapeutic 25 concentration 27 tumor 28 area 29 so 30 as 30 as 31 to 31 to 33 constrain 32 effectively 33 constrain 33 constrain 44 and 34 the 44 and 35 tumor 37 induced 36 rupture 37 induced 37 induced 39 symptoms 38 main 39 symptoms 39 symptoms 41 pain 40 including 41 pain 41 pain 42 , 42 , 43 infection 42 , 44 and 44 and 45 bleeding 44 and 47 which 46 , 47 which 47 which 48 would 47 which 67 . 48 would 49 help 49 help 50 to 49 help 51 make 50 to 51 make 51 make 60 boundary 51 make 61 to 52 a 60 boundary 53 decreased 54 blood 54 blood 55 supplied 54 blood 56 and 56 and 57 well 56 and 58 defined 56 and 60 boundary 59 tumor 60 boundary 61 to 63 decrease 62 finally 63 decrease 63 decrease 66 rate 64 the 66 rate 65 recurrence 66 rate independently of their age , individuals produce weak logical responses when they solve the wason selection task . 0 ###LEFT-WALL### 6 individuals 0 ###LEFT-WALL### 7 produce 0 ###LEFT-WALL### 18 . 1 independently 2 of 1 independently 5 , 1 independently 6 individuals 2 of 4 age 3 their 4 age 6 individuals 7 produce 7 produce 10 responses 8 weak 10 responses 9 logical 10 responses 10 responses 11 when 11 when 12 they 11 when 13 solve 12 they 13 solve 13 solve 17 task 14 the 17 task 15 wason 17 task 16 selection 17 task many studies describe conditional reasoning , focusing [on] [intra] - individual and general processes . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 describe 0 ###LEFT-WALL### 10 - 1 many 2 studies 2 studies 3 describe 3 describe 5 reasoning 4 conditional 5 reasoning 5 reasoning 7 focusing 6 , 7 focusing 7 focusing 10 - 10 - 14 processes 10 - 15 . 11 individual 12 and 12 and 13 general 12 and 14 processes the role of meaning attributed to the situation or the linguistic interpretation of the rules have nevertheless been stressed by pragmatic studies . 0 ###LEFT-WALL### 9 or 0 ###LEFT-WALL### 19 stressed 0 ###LEFT-WALL### 23 . 1 the 2 role 2 role 3 of 2 role 9 or 3 of 4 meaning 4 meaning 5 attributed 5 attributed 6 to 6 to 8 situation 7 the 8 situation 9 or 12 interpretation 9 or 13 of 9 or 16 have 10 the 12 interpretation 11 linguistic 12 interpretation 13 of 15 rules 14 the 15 rules 16 have 18 been 17 nevertheless 18 been 18 been 19 stressed 19 stressed 20 by 20 by 22 studies 21 pragmatic 22 studies few scattered studies show the role of collective situations , of subjects ' prior knowledge [and] of objects in solving the selection task . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 4 show 1 few 3 studies 2 scattered 3 studies 3 studies 4 show 4 show 6 role 5 the 6 role 6 role 7 of 7 of 9 situations 8 collective 9 situations 9 situations 11 of 10 , 11 of 11 of 15 knowledge 11 of 24 . 12 subjects 13 ' 13 ' 15 knowledge 14 prior 15 knowledge 15 knowledge 17 of 17 of 18 objects 18 objects 19 in 19 in 20 solving 20 solving 23 task 21 the 23 task 22 selection 23 task this paper goes back to the questions raised by the selection task and attempts to place past results into a cultural - historical theoretical framework , which defines a complex and evolving cognitive system , where human beings rely on social exchanges , equip themselves with cultural instruments , create intellectual tools , and give meaning to their experiences . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 60 . 1 this 2 paper 2 paper 13 and 3 goes 4 back 3 goes 5 to 3 goes 13 and 5 to 7 questions 6 the 7 questions 7 questions 8 raised 8 raised 9 by 9 by 12 task 10 the 12 task 11 selection 12 task 13 and 14 attempts 13 and 15 to 13 and 56 meaning 15 to 16 place 16 place 18 results 16 place 36 where 17 past 18 results 18 results 19 into 19 into 25 framework 20 a 21 cultural 20 a 25 framework 21 cultural 22 - 21 cultural 25 framework 23 historical 25 framework 24 theoretical 25 framework 25 framework 27 which 26 , 27 which 27 which 28 defines 27 which 35 , 28 defines 31 and 29 a 30 complex 30 complex 31 and 31 and 34 system 31 and 35 , 32 evolving 34 system 33 cognitive 34 system 36 where 38 beings 36 where 43 , 37 human 38 beings 38 beings 43 , 39 rely 40 on 39 rely 43 , 40 on 42 exchanges 41 social 42 exchanges 43 , 49 , 44 equip 45 themselves 44 equip 46 with 44 equip 49 , 46 with 48 instruments 47 cultural 48 instruments 49 , 54 and 50 create 52 tools 50 create 54 and 51 intellectual 52 tools 53 , 54 and 54 and 55 give 56 meaning 57 to 57 to 59 experiences 58 their 59 experiences taking into account such a system is necessary to shed light upon the possibilities for the development of human thinking processes in order to solve selection tasks . 0 ###LEFT-WALL### 1 taking 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 28 . 1 taking 3 account 1 taking 6 system 1 taking 7 is 2 into 3 account 4 such 5 a 5 a 6 system 7 is 8 necessary 8 necessary 9 to 8 necessary 10 shed 9 to 10 shed 10 shed 11 light 10 shed 12 upon 10 shed 22 in 12 upon 14 possibilities 13 the 14 possibilities 14 possibilities 15 for 14 possibilities 18 of 15 for 17 development 16 the 17 development 18 of 21 processes 19 human 20 thinking 20 thinking 21 processes 22 in 23 order 23 order 24 to 23 order 25 solve 24 to 25 solve 25 solve 27 tasks 26 selection 27 tasks while it is often reported that muscular coactivation increases with age , the mechanical impact of antagonist muscles , i.e [.] , the antagonist torque , remains to be assessed . 0 ###LEFT-WALL### 15 impact 0 ###LEFT-WALL### 30 assessed 0 ###LEFT-WALL### 31 . 1 while 2 it 1 while 3 is 1 while 15 impact 2 it 3 is 3 is 4 often 3 is 9 increases 5 reported 8 coactivation 6 that 7 muscular 7 muscular 8 coactivation 8 coactivation 9 increases 10 with 11 age 10 with 12 , 10 with 15 impact 13 the 15 impact 14 mechanical 15 impact 15 impact 16 of 15 impact 27 remains 16 of 18 muscles 17 antagonist 18 muscles 18 muscles 20 i.e 18 muscles 25 torque 19 , 20 i.e 20 i.e 22 , 22 , 25 torque 23 the 25 torque 24 antagonist 25 torque 25 torque 26 , 27 remains 28 to 28 to 29 be 29 be 30 assessed the aim of this study was to determine if the mechanical impact of the antagonist muscles may contribute to the age - related [decline] in the resultant torque during maximal voluntary contraction in knee flexion ( kf ) and knee extension ( ke ) . 0 ###LEFT-WALL### 8 determine 1 the 2 aim 2 aim 3 of 2 aim 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 8 determine 7 to 8 determine 8 determine 9 if 8 determine 19 to 8 determine 45 . 9 if 12 impact 9 if 18 contribute 10 the 12 impact 11 mechanical 12 impact 12 impact 13 of 12 impact 17 may 13 of 16 muscles 14 the 16 muscles 15 antagonist 16 muscles 17 may 18 contribute 19 to 21 age 20 the 21 age 21 age 23 related 22 - 23 related 23 related 25 in 23 related 44 ) 25 in 28 torque 26 the 28 torque 27 resultant 28 torque 28 torque 29 during 28 torque 43 ke 29 during 39 and 30 maximal 31 voluntary 31 voluntary 32 contraction 32 contraction 33 in 32 contraction 39 and 33 in 35 flexion 34 knee 35 flexion 35 flexion 37 kf 36 ( 37 kf 37 kf 38 ) 39 and 41 extension 40 knee 41 extension 42 ( 43 ke 43 ke 44 ) eight young ( 19 - 28 years old ) and [eight] older [(] 62 - 81 years old ) healthy males participated in neuromuscular testing . 0 ###LEFT-WALL### 21 males 0 ###LEFT-WALL### 22 participated 0 ###LEFT-WALL### 26 . 1 eight 17 years 2 young 5 - 2 young 10 and 3 ( 5 - 4 19 5 - 5 - 6 28 5 - 9 ) 6 28 8 old 7 years 8 old 10 and 12 older 10 and 17 years 12 older 15 - 14 62 15 - 15 - 16 81 17 years 21 males 18 old 19 ) 18 old 21 males 20 healthy 21 males 21 males 22 participated 22 participated 23 in 23 in 25 testing 24 neuromuscular 25 testing maximal resultant torque was simultaneously recorded with the electromyographic activity of quadriceps and hamstring muscles . 0 ###LEFT-WALL### 3 torque 0 ###LEFT-WALL### 6 recorded 0 ###LEFT-WALL### 16 . 1 maximal 3 torque 2 resultant 3 torque 3 torque 4 was 4 was 6 recorded 5 simultaneously 6 recorded 6 recorded 7 with 7 with 10 activity 8 the 10 activity 9 electromyographic 10 activity 10 activity 11 of 11 of 13 and 12 quadriceps 13 and 13 and 15 muscles 14 hamstring 15 muscles the torque recorded in the antagonist muscles was estimated using a biofeedback technique . 0 ###LEFT-WALL### 2 torque 0 ###LEFT-WALL### 9 estimated 0 ###LEFT-WALL### 14 . 1 the 2 torque 2 torque 3 recorded 2 torque 8 was 3 recorded 4 in 4 in 7 muscles 5 the 7 muscles 6 antagonist 7 muscles 8 was 9 estimated 9 estimated 10 using 10 using 13 technique 11 a 12 biofeedback 11 a 13 technique 12 biofeedback 13 technique resultant torques significantly decreased with age in both kf ( - 41 % , p < 0.005 ) and ke ( - 35 % , p < 0.01 ) . 0 ###LEFT-WALL### 2 torques 0 ###LEFT-WALL### 4 decreased 0 ###LEFT-WALL### 30 . 1 resultant 2 torques 2 torques 4 decreased 3 significantly 4 decreased 4 decreased 5 with 4 decreased 7 in 5 with 6 age 7 in 19 and 8 both 19 and 9 kf 13 % 9 kf 19 and 10 ( 13 % 11 - 12 41 12 41 13 % 13 % 16 < 13 % 18 ) 14 , 16 < 15 p 16 < 16 < 17 0.005 19 and 20 ke 20 ke 24 % 21 ( 24 % 22 - 23 35 23 35 24 % 24 % 27 < 24 % 29 ) 25 , 27 < 26 p 27 < 27 < 28 0.01 27 < 29 ) agonist and antagonist torques were significantly reduced in kf ( - 44 % , p < 0.05 [;] - 57 % , p < 0.05 ) [and] in ke ( - 37 % , p < 0.01 [;] - 50 % , p < 0.05 ) . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 7 reduced 0 ###LEFT-WALL### 47 . 1 agonist 2 and 2 and 4 torques 2 and 5 were 3 antagonist 4 torques 5 were 7 reduced 6 significantly 7 reduced 7 reduced 8 in 7 reduced 16 < 7 reduced 28 in 8 in 9 kf 9 kf 13 % 10 ( 13 % 11 - 12 44 12 44 13 % 13 % 14 , 15 p 16 < 16 < 21 % 17 0.05 19 - 19 - 20 57 19 - 21 % 21 % 24 < 22 , 24 < 23 p 24 < 24 < 25 0.05 24 < 26 ) 28 in 29 ke 29 ke 33 % 30 ( 33 % 31 - 32 37 32 37 33 % 33 % 36 < 33 % 46 ) 34 , 36 < 35 p 36 < 36 < 41 % 37 0.01 39 - 39 - 40 50 39 - 41 % 41 % 44 < 42 , 44 < 43 p 44 < 44 < 45 0.05 44 < 46 ) the torque elicited by double twitch stimulation ( - 37 % , p < 0.01 ) and the activation level ( - 12 % , p < 0.05 [ )(of quadriceps was significantly lower in older men compared to young men . 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 42 . 1 the 2 torque 2 torque 3 elicited 2 torque 17 and 3 elicited 4 by 3 elicited 14 < 4 by 7 stimulation 5 double 6 twitch 6 twitch 7 stimulation 7 stimulation 11 % 8 ( 11 % 9 - 10 37 10 37 11 % 11 % 12 , 12 , 14 < 13 p 14 < 14 < 15 0.01 14 < 16 ) 17 and 19 activation 17 and 20 level 17 and 32 was 18 the 19 activation 20 level 24 % 20 level 27 < 20 level 32 was 21 ( 24 % 22 - 23 12 23 12 24 % 24 % 25 , 25 , 27 < 26 p 27 < 27 < 28 0.05 28 0.05 30 )(of 30 )(of 31 quadriceps 32 was 34 lower 32 was 35 in 33 significantly 34 lower 35 in 37 men 36 older 37 men 37 men 38 compared 38 compared 39 to 39 to 41 men 40 young 41 men this study showed that antagonist torques were not responsible for age - related declines in kf and ke resultant torques . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 13 related 1 this 2 study 2 study 3 showed 3 showed 4 that 4 that 6 torques 4 that 7 were 5 antagonist 6 torques 6 torques 7 were 7 were 8 not 7 were 9 responsible 8 not 9 responsible 9 responsible 10 for 10 for 11 age 12 - 13 related 13 related 14 declines 13 related 15 in 13 related 21 . 15 in 17 and 16 kf 17 and 17 and 20 torques 18 ke 20 torques 19 resultant 20 torques therefore , decreased resultant torques with age , [in] particular in ke , can primarily be explained by impairments of the peripheral factors ( excitation - contraction coupling ) as well as by decreased neural agonist activation . 0 ###LEFT-WALL### 5 torques 0 ###LEFT-WALL### 17 explained 0 ###LEFT-WALL### 38 . 1 therefore 2 , 1 therefore 5 torques 3 decreased 5 torques 4 resultant 5 torques 5 torques 6 with 5 torques 14 can 6 with 7 age 7 age 10 particular 8 , 10 particular 10 particular 11 in 10 particular 13 , 11 in 12 ke 14 can 16 be 15 primarily 16 be 16 be 17 explained 17 explained 18 by 17 explained 31 well 17 explained 32 as 18 by 19 impairments 19 impairments 20 of 20 of 23 factors 21 the 23 factors 22 peripheral 23 factors 23 factors 26 - 24 ( 26 - 25 excitation 26 - 26 - 28 coupling 26 - 29 ) 27 contraction 28 coupling 30 as 31 well 32 as 33 by 33 by 37 activation 34 decreased 36 agonist 35 neural 36 agonist 36 agonist 37 activation background : testosterone replacement therapy ( trt ) is a widely accepted form of treatment worldwide for aging men with late - onset hypogonadism syndrome . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 - 1 background 2 : 2 : 4 replacement 2 : 21 late 3 testosterone 4 replacement 4 replacement 5 therapy 4 replacement 20 with 5 therapy 7 trt 5 therapy 9 is 6 ( 7 trt 7 trt 8 ) 9 is 13 form 10 a 13 form 11 widely 12 accepted 12 accepted 13 form 13 form 14 of 14 of 15 treatment 15 treatment 16 worldwide 16 worldwide 17 for 17 for 18 aging 18 aging 19 men 18 aging 20 with 22 - 25 syndrome 22 - 26 . 23 onset 24 hypogonadism 24 hypogonadism 25 syndrome urologists have been concerned about the possibility of trt causing prostate cancer . 0 ###LEFT-WALL### 1 urologists 0 ###LEFT-WALL### 3 been 0 ###LEFT-WALL### 13 . 1 urologists 2 have 2 have 3 been 3 been 4 concerned 4 concerned 5 about 5 about 7 possibility 6 the 7 possibility 7 possibility 8 of 8 of 9 trt 9 trt 10 causing 10 causing 12 cancer 11 prostate 12 cancer the aim of this study was to assess the relationship between trt and prostate cancer . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 16 . 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 assess 7 to 8 assess 8 assess 10 relationship 8 assess 11 between 9 the 10 relationship 11 between 13 and 12 trt 13 and 13 and 15 cancer 14 prostate 15 cancer methods : a literature review [was] performed to identify all published , randomized controlled trials ( rcts ) of testosterone treatment for hypogonadism . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 1 methods 2 : 2 : 5 review 3 a 4 literature 3 a 5 review 4 literature 5 review 5 review 7 performed 5 review 19 of 7 performed 8 to 8 to 12 , 9 identify 10 all 9 identify 12 , 10 all 11 published 12 , 13 randomized 13 randomized 15 trials 14 controlled 15 trials 15 trials 17 rcts 16 ( 17 rcts 17 rcts 18 ) 19 of 21 treatment 20 testosterone 21 treatment 21 treatment 22 for 22 for 23 hypogonadism the search included the medline , embase and the cochrane controlled trials register databases . 0 ###LEFT-WALL### 2 search 0 ###LEFT-WALL### 3 included 0 ###LEFT-WALL### 15 . 1 the 2 search 2 search 3 included 3 included 8 and 4 the 5 medline 5 medline 6 , 6 , 7 embase 6 , 8 and 8 and 14 databases 9 the 14 databases 10 cochrane 11 controlled 11 controlled 12 trials 12 trials 13 register 13 register 14 databases fixed - effect [model] was chosen for homogeneous studies ; otherwise , a random - effect model was used . 0 ###LEFT-WALL### 3 effect 0 ###LEFT-WALL### 6 chosen 0 ###LEFT-WALL### 10 ; 0 ###LEFT-WALL### 20 . 1 fixed 2 - 1 fixed 3 effect 3 effect 5 was 5 was 6 chosen 6 chosen 7 for 7 for 9 studies 8 homogeneous 9 studies 10 ; 17 model 10 ; 19 used 11 otherwise 12 , 11 otherwise 17 model 13 a 14 random 13 a 17 model 14 random 15 - 14 random 16 effect 16 effect 17 model 17 model 18 was 18 was 19 used inconsistency was quantified by using the i2 statistic , which tests the proportion of heterogeneity across studies . 0 ###LEFT-WALL### 1 inconsistency 0 ###LEFT-WALL### 3 quantified 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 18 . 1 inconsistency 2 was 2 was 3 quantified 3 quantified 4 by 4 by 5 using 5 using 8 statistic 6 the 8 statistic 7 i2 8 statistic 9 , 10 which 9 , 11 tests 10 which 11 tests 11 tests 13 proportion 11 tests 16 across 12 the 13 proportion 13 proportion 14 of 14 of 15 heterogeneity 16 across 17 studies results : results of 22 rcts involving a total of 2351 patients were analyzed . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 . 2 : 3 results 2 : 13 were 3 results 4 of 3 results 13 were 4 of 6 rcts 5 22 6 rcts 6 rcts 7 involving 7 involving 9 total 8 a 9 total 9 total 10 of 10 of 12 patients 11 2351 12 patients 13 were 14 analyzed eleven rcts were short - term [(] < 12 months [ )(and 11 were long - term ( 12 - 36 months ) comparisons of trt with a placebo ; trt was administered transdermally [,] orally [or] by injection . 0 ###LEFT-WALL### 2 rcts 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 40 . 1 eleven 2 rcts 2 rcts 3 were 3 were 4 short 5 - 6 term 5 - 12 )(and 5 - 16 - 6 term 9 12 6 term 10 months 8 < 9 12 12 )(and 13 11 12 )(and 14 were 13 11 14 were 14 were 15 long 16 - 17 term 16 - 30 ; 17 term 24 comparisons 17 term 27 with 18 ( 20 - 19 12 20 - 20 - 22 months 20 - 23 ) 20 - 24 comparisons 21 36 22 months 24 comparisons 25 of 25 of 26 trt 27 with 29 placebo 28 a 29 placebo 30 ; 31 trt 30 ; 33 administered 31 trt 32 was 32 was 33 administered 33 administered 34 transdermally 33 administered 36 orally 33 administered 38 by 38 by 39 injection respective or and 95 % ci values for injection , transdermal administration and oral administration [of] long - term trt were [as] follows : prostate cancer : 2.09 ( 0.18 - 24.73 ) , 3.06 ( 0.12 - 76.70 [ )(and 0.19 ( 0.01 - 4.03 ) [;] [biopsy] : 2.09 ( 0.18 - 24.73 ) , 3.65 ( 0.88 - 15.20 [ )(and 0.97 ( 0.13 - 7.03 ) ; and prostate nodule : 3.13 ( 0.12 - 80.68 ) , 1.00 ( 0.06 - 16.41 ) and 0.97 ( 0.13 - 7.03 [ )( 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 10 , 1 respective 2 or 2 or 3 and 3 and 7 values 3 and 8 for 4 95 7 values 5 % 7 values 6 ci 7 values 8 for 9 injection 10 , 13 and 10 , 18 - 11 transdermal 12 administration 12 administration 13 and 13 and 15 administration 13 and 17 long 14 oral 15 administration 18 - 19 term 18 - 23 follows 18 - 24 : 19 term 20 trt 19 term 21 were 19 term 23 follows 20 trt 21 were 24 : 26 cancer 24 : 27 : 25 prostate 26 cancer 27 : 28 2.09 27 : 38 - 28 2.09 30 0.18 29 ( 30 0.18 30 0.18 32 24.73 30 0.18 35 3.06 30 0.18 38 - 31 - 32 24.73 32 24.73 33 ) 34 , 35 3.06 35 3.06 37 0.12 35 3.06 38 - 36 ( 37 0.12 37 0.12 38 - 38 - 39 76.70 38 - 41 )(and 38 - 50 : 41 )(and 42 0.19 42 0.19 45 - 43 ( 45 - 44 0.01 45 - 45 - 46 4.03 45 - 47 ) 50 : 51 2.09 50 : 61 - 51 2.09 53 0.18 52 ( 53 0.18 53 0.18 55 24.73 53 0.18 58 3.65 53 0.18 61 - 54 - 55 24.73 55 24.73 56 ) 57 , 58 3.65 58 3.65 60 0.88 58 3.65 61 - 59 ( 60 0.88 60 0.88 61 - 61 - 62 15.20 61 - 64 )(and 61 - 71 ; 64 )(and 65 0.97 65 0.97 68 - 66 ( 68 - 67 0.13 68 - 68 - 69 7.03 68 - 70 ) 71 ; 72 and 71 ; 75 : 71 ; 82 , 72 and 74 nodule 73 prostate 74 nodule 74 nodule 75 : 75 : 76 3.13 76 3.13 78 0.12 77 ( 78 0.12 78 0.12 80 80.68 78 0.12 82 , 79 - 80 80.68 80 80.68 81 ) 82 , 83 1.00 82 , 89 and 83 1.00 86 - 84 ( 86 - 85 0.06 86 - 86 - 87 16.41 86 - 88 ) 89 and 90 0.97 90 0.97 93 - 91 ( 93 - 92 0.13 93 - 93 - 94 7.03 93 - 96 )( though for some routes of administration and some end points , the or associated with testosterone administration were >1 indicating increased risk , none of these reached or even approached statistical significance ( all p>0.10 ) , which was consistent with the results of subgroup analyses and sensitivity analysis . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 9 end 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 50 . 1 though 7 and 2 for 3 some 2 for 7 and 4 routes 5 of 4 routes 7 and 5 of 6 administration 7 and 8 some 7 and 9 end 9 end 10 points 11 , 13 or 11 , 21 increased 11 , 23 , 12 the 13 or 13 or 14 associated 13 or 15 with 13 or 21 increased 15 with 16 testosterone 16 testosterone 17 administration 16 testosterone 20 indicating 17 administration 18 were 18 were 19 >1 19 >1 20 indicating 21 increased 22 risk 23 , 28 or 23 , 37 , 24 none 25 of 24 none 27 reached 24 none 28 or 25 of 26 these 28 or 32 significance 28 or 35 p>0.10 29 even 32 significance 30 approached 32 significance 31 statistical 32 significance 33 ( 35 p>0.10 34 all 35 p>0.10 35 p>0.10 36 ) 37 , 38 which 37 , 39 was 38 which 39 was 39 was 40 consistent 40 consistent 41 with 41 with 47 and 41 with 49 analysis 42 the 43 results 43 results 44 of 43 results 47 and 44 of 46 analyses 45 subgroup 46 analyses 47 and 48 sensitivity besides , sensitivity analysis indicated that short - term trt was more likely to increase psa levels than treatment [with] placebo ( p<0.00001 ) . 0 ###LEFT-WALL### 4 analysis 0 ###LEFT-WALL### 5 indicated 0 ###LEFT-WALL### 25 . 1 besides 2 , 1 besides 4 analysis 3 sensitivity 4 analysis 4 analysis 5 indicated 5 indicated 9 term 6 that 9 term 7 short 8 - 7 short 9 term 9 term 10 trt 9 term 17 levels 9 term 23 p<0.00001 10 trt 11 was 11 was 13 likely 12 more 13 likely 13 likely 14 to 13 likely 17 levels 14 to 15 increase 16 psa 17 levels 17 levels 18 than 18 than 21 placebo 19 treatment 21 placebo 22 ( 23 p<0.00001 23 p<0.00001 24 ) conclusions : this meta - analysis shows that regardless of the administration method , trt is the short - term safety and does not promote prostate cancer development or progression but long - term data are warranted with justifiable end points . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 42 . 2 : 7 shows 2 : 33 - 3 this 4 meta 4 meta 5 - 4 meta 6 analysis 6 analysis 7 shows 7 shows 8 that 7 shows 22 and 8 that 15 trt 8 that 22 and 9 regardless 10 of 10 of 13 method 10 of 14 , 10 of 15 trt 11 the 13 method 12 administration 13 method 15 trt 22 and 16 is 21 safety 16 is 22 and 17 the 21 safety 18 short 19 - 18 short 20 term 20 term 21 safety 22 and 23 does 23 does 24 not 23 does 31 but 25 promote 29 or 25 promote 31 but 26 prostate 28 development 27 cancer 28 development 28 development 29 or 29 or 30 progression 31 but 32 long 33 - 35 data 33 - 37 warranted 34 term 35 data 35 data 36 are 36 are 37 warranted 37 warranted 38 with 38 with 41 points 39 justifiable 40 end 40 end 41 points background : anatomical studies show that facial fat is partitioned into distinct compartments , with the nasolabial fat pad in a superficial compartment and the deep medial cheek fat in a deep compartment . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 studies 2 : 5 show 2 : 14 , 2 : 34 . 3 anatomical 4 studies 4 studies 5 show 5 show 6 that 6 that 8 fat 6 that 10 partitioned 7 facial 8 fat 8 fat 9 is 9 is 10 partitioned 10 partitioned 11 into 11 into 13 compartments 12 distinct 13 compartments 14 , 19 pad 15 with 18 fat 15 with 19 pad 16 the 18 fat 17 nasolabial 18 fat 19 pad 20 in 19 pad 29 fat 19 pad 30 in 20 in 24 and 21 a 23 compartment 22 superficial 23 compartment 23 compartment 24 and 24 and 28 cheek 25 the 28 cheek 26 deep 28 cheek 27 medial 28 cheek 30 in 33 compartment 31 a 32 deep 31 a 33 compartment 32 deep 33 compartment gross morphologic differences may exist between these fat depots , but this has never been established at the cellular level . 0 ###LEFT-WALL### 3 differences 0 ###LEFT-WALL### 5 exist 0 ###LEFT-WALL### 11 but 0 ###LEFT-WALL### 21 . 1 gross 3 differences 2 morphologic 3 differences 3 differences 4 may 4 may 5 exist 5 exist 6 between 6 between 9 depots 7 these 9 depots 8 fat 9 depots 10 , 11 but 11 but 12 this 11 but 16 established 12 this 13 has 13 has 15 been 14 never 15 been 15 been 16 established 16 established 17 at 17 at 20 level 18 the 20 level 19 cellular 20 level methods : adipose tissue specimens from nasolabial fat and deep medial cheek fat pads were obtained from 63 cadaveric specimens ( 38 female and 25 male cadavers ) aged 47 to 101 years ( mean , 71 years ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 and 1 methods 2 : 2 : 5 specimens 3 adipose 4 tissue 4 tissue 5 specimens 5 specimens 6 from 6 from 8 fat 7 nasolabial 8 fat 9 and 14 pads 9 and 16 obtained 10 deep 13 fat 11 medial 13 fat 12 cheek 13 fat 13 fat 14 pads 14 pads 15 were 15 were 16 obtained 16 obtained 17 from 17 from 20 specimens 18 63 20 specimens 19 cadaveric 20 specimens 20 specimens 33 years 21 ( 33 years 22 38 33 years 23 female 24 and 24 and 27 cadavers 24 and 28 ) 24 and 29 aged 24 and 33 years 25 25 27 cadavers 26 male 27 cadavers 29 aged 31 to 30 47 31 to 31 to 32 101 33 years 38 years 33 years 40 . 34 ( 38 years 35 mean 36 , 35 mean 38 years 37 71 38 years 38 years 39 ) thirty - seven cadavers had a normal body mass index ( ≤25 [kg/m] ) and 26 cadavers had a high body mass index ( >25 [kg/m] ) . 0 ###LEFT-WALL### 4 cadavers 0 ###LEFT-WALL### 5 had 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 28 . 1 thirty 2 - 2 - 3 seven 2 - 4 cadavers 4 cadavers 5 had 5 had 10 index 6 a 7 normal 6 a 10 index 7 normal 8 body 8 body 10 index 9 mass 10 index 10 index 12 ≤25 11 ( 12 ≤25 12 ≤25 14 ) 15 and 17 cadavers 15 and 18 had 16 26 17 cadavers 17 cadavers 18 had 18 had 23 index 19 a 20 high 19 a 23 index 20 high 21 body 21 body 22 mass 22 mass 23 index 23 index 25 >25 24 ( 25 >25 25 >25 27 ) cross - sectional areas of individual adipocytes were calculated digitally and averaged from histologic sections of the adipose tissue samples . 0 ###LEFT-WALL### 4 areas 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 21 . 1 cross 2 - 1 cross 4 areas 3 sectional 4 areas 4 areas 5 of 4 areas 11 and 5 of 7 adipocytes 6 individual 7 adipocytes 8 were 9 calculated 8 were 11 and 9 calculated 10 digitally 11 and 12 averaged 11 and 13 from 11 and 20 samples 13 from 15 sections 14 histologic 15 sections 15 sections 16 of 16 of 18 adipose 17 the 18 adipose 19 tissue 20 samples results : the average adipocyte size of nasolabial fat is significantly ( p < 0.0001 ) larger than that of deep medial cheek fat . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 size 2 : 10 is 2 : 25 . 3 the 6 size 4 average 6 size 5 adipocyte 6 size 6 size 7 of 6 size 10 is 7 of 9 fat 8 nasolabial 9 fat 10 is 11 significantly 10 is 14 < 10 is 17 larger 12 ( 14 < 13 p 14 < 14 < 15 0.0001 14 < 16 ) 17 larger 18 than 18 than 19 that 18 than 20 of 20 of 24 fat 21 deep 23 cheek 22 medial 23 cheek 23 cheek 24 fat the average adipocyte size in both [nasolabial] and deep medial cheek fat is significantly ( p < 0.0001 ) larger in subjects with high compared [with] low body mass index . 0 ###LEFT-WALL### 30 index 0 ###LEFT-WALL### 31 . 1 the 4 size 2 average 4 size 3 adipocyte 4 size 4 size 5 in 4 size 8 and 5 in 6 both 8 and 11 cheek 8 and 12 fat 8 and 23 with 8 and 24 high 9 deep 11 cheek 10 medial 11 cheek 12 fat 13 is 13 is 14 significantly 13 is 17 < 13 is 20 larger 15 ( 17 < 16 p 17 < 17 < 18 0.0001 17 < 19 ) 20 larger 21 in 20 larger 23 with 21 in 22 subjects 24 high 25 compared 25 compared 29 mass 27 low 29 mass 28 body 29 mass 29 mass 30 index although the overall average adipocyte size is significantly ( p < 0.0001 ) larger in female than in male subjects , this sexual dimorphism is lost in the nasolabial fat depots of overweight subjects and in the deep medial cheek depots of normal - weight subjects . 0 ###LEFT-WALL### 24 dimorphism 0 ###LEFT-WALL### 26 lost 0 ###LEFT-WALL### 47 . 1 although 3 overall 1 although 21 , 1 although 24 dimorphism 2 the 3 overall 3 overall 6 size 3 overall 15 in 3 overall 16 female 4 average 6 size 5 adipocyte 6 size 6 size 7 is 7 is 8 significantly 7 is 11 < 7 is 14 larger 9 ( 11 < 10 p 11 < 11 < 12 0.0001 11 < 13 ) 14 larger 15 in 16 female 17 than 16 female 18 in 18 in 20 subjects 19 male 20 subjects 22 this 23 sexual 23 sexual 24 dimorphism 24 dimorphism 25 is 25 is 26 lost 26 lost 35 and 27 in 31 depots 27 in 35 and 28 the 31 depots 29 nasolabial 31 depots 30 fat 31 depots 31 depots 32 of 32 of 34 subjects 33 overweight 34 subjects 35 and 36 in 36 in 41 depots 37 the 41 depots 38 deep 41 depots 39 medial 40 cheek 40 cheek 41 depots 41 depots 42 of 42 of 46 subjects 43 normal 44 - 43 normal 45 weight 45 weight 46 subjects conclusions : the significantly smaller adipocyte size in deep medial cheek fat relative to nasolabial fat in elderly subjects supports the theory that deep and superficial facial fat pads are morphologically different . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 and 0 ###LEFT-WALL### 33 . 1 conclusions 2 : 2 : 7 size 3 the 7 size 4 significantly 5 smaller 5 smaller 6 adipocyte 6 adipocyte 7 size 7 size 8 in 7 size 12 fat 7 size 20 supports 8 in 11 cheek 9 deep 11 cheek 10 medial 11 cheek 12 fat 13 relative 12 fat 20 supports 13 relative 14 to 14 to 16 fat 15 nasolabial 16 fat 16 fat 17 in 17 in 19 subjects 18 elderly 19 subjects 20 supports 22 theory 20 supports 24 deep 21 the 22 theory 23 that 24 deep 25 and 29 pads 25 and 30 are 26 superficial 29 pads 27 facial 29 pads 28 fat 29 pads 29 pads 30 are 30 are 32 different 31 morphologically 32 different future investigation of the metabolic and structural properties of these fat compartments will help us understand the different patterns of volumetric facial aging . 0 ###LEFT-WALL### 2 investigation 0 ###LEFT-WALL### 24 . 1 future 2 investigation 2 investigation 3 of 2 investigation 9 of 2 investigation 13 will 3 of 8 properties 4 the 8 properties 5 metabolic 6 and 6 and 7 structural 6 and 8 properties 9 of 12 compartments 10 these 12 compartments 11 fat 12 compartments 13 will 14 help 14 help 15 us 14 help 16 understand 16 understand 19 patterns 17 the 19 patterns 18 different 19 patterns 19 patterns 20 of 20 of 23 aging 21 volumetric 23 aging 22 facial 23 aging standing balance is an important motor task . 0 ###LEFT-WALL### 1 standing 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 8 . 1 standing 2 balance 1 standing 3 is 3 is 7 task 4 an 5 important 4 an 7 task 5 important 6 motor 6 motor 7 task postural instability associated with age typically arises from deterioration of peripheral sensory systems . 0 ###LEFT-WALL### 2 instability 0 ###LEFT-WALL### 7 arises 0 ###LEFT-WALL### 14 . 1 postural 2 instability 2 instability 3 associated 2 instability 7 arises 3 associated 4 with 4 with 5 age 6 typically 7 arises 7 arises 8 from 8 from 9 deterioration 9 deterioration 10 of 10 of 13 systems 11 peripheral 13 systems 12 sensory 13 systems the modified clinical test of sensory integration for balance and the tandem test have been used to screen [for] balance . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 16 used 0 ###LEFT-WALL### 21 . 1 the 4 test 2 modified 4 test 3 clinical 4 test 4 test 5 of 4 test 10 and 5 of 7 integration 6 sensory 7 integration 7 integration 8 for 8 for 9 balance 10 and 13 test 10 and 14 have 11 the 13 test 12 tandem 13 test 14 have 15 been 15 been 16 used 16 used 17 to 16 used 18 screen 17 to 18 screen 18 screen 20 balance timed tests present some limitations , whereas quantification of the motions of the center of pressure ( cop ) with portable and inexpensive equipment may help to improve the sensitivity of these tests and give the possibility of widespread use . 0 ###LEFT-WALL### 2 tests 0 ###LEFT-WALL### 26 help 0 ###LEFT-WALL### 41 . 1 timed 2 tests 2 tests 3 present 3 present 5 limitations 3 present 7 whereas 4 some 5 limitations 6 , 7 whereas 7 whereas 8 quantification 8 quantification 9 of 8 quantification 25 may 9 of 11 motions 10 the 11 motions 11 motions 12 of 12 of 14 center 13 the 14 center 14 center 15 of 14 center 20 with 15 of 16 pressure 16 pressure 18 cop 17 ( 18 cop 18 cop 19 ) 20 with 24 equipment 21 portable 22 and 22 and 23 inexpensive 22 and 24 equipment 25 may 26 help 26 help 27 to 26 help 34 and 27 to 34 and 28 improve 30 sensitivity 28 improve 34 and 29 the 30 sensitivity 30 sensitivity 31 of 31 of 33 tests 32 these 33 tests 34 and 35 give 34 and 37 possibility 36 the 37 possibility 37 possibility 38 of 38 of 40 use 39 widespread 40 use this study determines the validity and reliability of the wii balance board ( wii bb ) to quantify cop motions during the mentioned tests . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 determines 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 25 . 1 this 2 study 2 study 3 determines 3 determines 5 validity 4 the 5 validity 6 and 7 reliability 6 and 20 motions 7 reliability 8 of 7 reliability 17 to 7 reliability 18 quantify 7 reliability 20 motions 8 of 12 board 9 the 12 board 10 wii 11 balance 11 balance 12 board 12 board 15 bb 13 ( 15 bb 14 wii 15 bb 15 bb 16 ) 17 to 18 quantify 18 quantify 19 cop 20 motions 21 during 21 during 24 tests 22 the 24 tests 23 mentioned 24 tests thirty - seven older adults completed three repetitions of five balance conditions : eyes open , eyes closed , eyes open on a compliant surface , eyes closed on a compliant surface , and tandem stance , all performed on a force plate and a wii bb simultaneously . 0 ###LEFT-WALL### 5 adults 0 ###LEFT-WALL### 6 completed 0 ###LEFT-WALL### 19 , 1 thirty 2 - 2 - 3 seven 2 - 5 adults 4 older 5 adults 5 adults 6 completed 6 completed 8 repetitions 7 three 8 repetitions 8 repetitions 9 of 9 of 12 conditions 10 five 12 conditions 11 balance 12 conditions 12 conditions 13 : 12 conditions 17 eyes 13 : 14 eyes 13 : 15 open 14 eyes 15 open 16 , 17 eyes 17 eyes 18 closed 17 eyes 19 , 19 , 20 eyes 19 , 21 open 20 eyes 21 open 21 open 22 on 22 on 34 and 23 a 24 compliant 23 a 25 surface 24 compliant 25 surface 25 surface 26 , 26 , 27 eyes 26 , 34 and 27 eyes 28 closed 28 closed 29 on 29 on 32 surface 30 a 32 surface 31 compliant 32 surface 33 , 34 and 34 and 36 stance 34 and 39 performed 35 tandem 36 stance 37 , 39 performed 38 all 39 performed 39 performed 40 on 39 performed 48 simultaneously 39 performed 49 . 40 on 44 and 41 a 42 force 41 a 43 plate 42 force 43 plate 43 plate 44 and 44 and 47 bb 45 a 47 bb 46 wii 47 bb twenty participants repeated the trials for reliability purposes . 0 ###LEFT-WALL### 2 participants 0 ###LEFT-WALL### 3 repeated 0 ###LEFT-WALL### 9 . 1 twenty 2 participants 2 participants 3 repeated 3 repeated 5 trials 4 the 5 trials 5 trials 6 for 6 for 8 purposes 7 reliability 8 purposes cop displacement was the main outcome measure . 0 ###LEFT-WALL### 2 displacement 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 8 . 1 cop 2 displacement 2 displacement 3 was 3 was 7 measure 4 the 5 main 4 the 7 measure 6 outcome 7 measure regression analysis indicated that the wii bb has excellent concurrent validity , and bland - altman plots showed good agreement between devices with small mean differences and no relationship between the difference and the mean . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 3 indicated 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 36 . 1 regression 2 analysis 2 analysis 3 indicated 3 indicated 4 that 4 that 7 bb 4 that 8 has 5 the 7 bb 6 wii 7 bb 7 bb 8 has 8 has 11 validity 9 excellent 11 validity 10 concurrent 11 validity 12 , 13 and 13 and 17 plots 13 and 18 showed 14 bland 15 - 14 bland 17 plots 16 altman 17 plots 17 plots 18 showed 18 showed 20 agreement 18 showed 27 and 18 showed 30 between 19 good 20 agreement 20 agreement 21 between 20 agreement 23 with 21 between 22 devices 23 with 26 differences 24 small 26 differences 25 mean 26 differences 27 and 29 relationship 28 no 29 relationship 30 between 33 and 31 the 32 difference 32 difference 33 and 33 and 35 mean 34 the 35 mean intraclass correlation coefficients ( iccs ) indicated modest - [to] [-] excellent [test] - [retest] reliability ( icc=0.64 - 0.85 ) . 0 ###LEFT-WALL### 3 coefficients 0 ###LEFT-WALL### 7 indicated 0 ###LEFT-WALL### 22 . 1 intraclass 3 coefficients 2 correlation 3 coefficients 3 coefficients 5 iccs 3 coefficients 7 indicated 4 ( 5 iccs 5 iccs 6 ) 7 indicated 16 reliability 8 modest 9 - 8 modest 16 reliability 12 excellent 14 - 12 excellent 16 reliability 16 reliability 18 icc=0.64 16 reliability 20 0.85 17 ( 18 icc=0.64 18 icc=0.64 19 - 19 - 20 0.85 20 0.85 21 ) standard error of measurement and minimal detectable change were similar for both devices , except the ['] eyes closed ['] condition , with greater standard error of measurement for the wii bb . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 9 were 0 ###LEFT-WALL### 33 . 1 standard 2 error 2 error 3 of 2 error 5 and 3 of 4 measurement 5 and 8 change 5 and 9 were 6 minimal 8 change 7 detectable 8 change 9 were 10 similar 10 similar 11 for 10 similar 15 except 10 similar 23 with 11 for 13 devices 12 both 13 devices 14 , 15 except 15 except 21 condition 15 except 22 , 16 the 21 condition 18 eyes 19 closed 19 closed 21 condition 23 with 26 error 24 greater 26 error 25 standard 26 error 26 error 27 of 26 error 29 for 27 of 28 measurement 29 for 32 bb 30 the 32 bb 31 wii 32 bb in conclusion , the wii bb is shown to be a valid and reliable method to quantify cop displacement in older adults . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 23 . 1 in 2 conclusion 3 , 6 bb 3 , 8 shown 4 the 6 bb 5 wii 6 bb 6 bb 7 is 7 is 8 shown 8 shown 9 to 8 shown 16 to 9 to 10 be 10 be 15 method 11 a 15 method 12 valid 13 and 13 and 14 reliable 13 and 15 method 16 to 17 quantify 17 quantify 19 displacement 17 quantify 20 in 18 cop 19 displacement 20 in 22 adults 21 older 22 adults objective : to investigate cardiac structural changes in elderly patients with obstructive sleep apnoea - hypopnoea syndrome [(] osahs ) and the impact [on] left [ventricular] systolic and diastolic function . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 2 : 3 to 2 : 4 investigate 3 to 4 investigate 4 investigate 28 and 5 cardiac 7 changes 6 structural 7 changes 7 changes 8 in 7 changes 11 with 7 changes 21 and 8 in 10 patients 9 elderly 10 patients 11 with 14 apnoea 12 obstructive 13 sleep 13 sleep 14 apnoea 14 apnoea 19 osahs 15 - 19 osahs 16 hypopnoea 17 syndrome 17 syndrome 19 osahs 19 osahs 20 ) 21 and 23 impact 21 and 25 left 21 and 28 and 22 the 23 impact 25 left 27 systolic 28 and 30 function 29 diastolic 30 function methods : the study enrolled elderly patients with osahs and age - matched healthy control subjects . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 enrolled 2 : 12 - 3 the 4 study 4 study 5 enrolled 5 enrolled 7 patients 6 elderly 7 patients 7 patients 8 with 8 with 10 and 9 osahs 10 and 10 and 11 age 12 - 16 subjects 12 - 17 . 13 matched 15 control 14 healthy 15 control 15 control 16 subjects cardiac structure , left [ventricular] diastolic function and left [ventricular] systolic function were measured using a doppler ultrasound scanner and compared between the two groups . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 26 . 1 cardiac 2 structure 2 structure 3 , 3 , 7 function 3 , 8 and 4 left 7 function 6 diastolic 7 function 8 and 12 function 8 and 20 and 9 left 12 function 11 systolic 12 function 13 were 14 measured 13 were 20 and 14 measured 15 using 15 using 19 scanner 16 a 19 scanner 17 doppler 19 scanner 18 ultrasound 19 scanner 20 and 21 compared 20 and 22 between 22 between 25 groups 23 the 24 two 24 two 25 groups results : the study included 136 patients with osahs and 50 healthy control subjects . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 included 2 : 15 . 3 the 4 study 4 study 5 included 5 included 10 and 6 136 10 and 7 patients 8 with 7 patients 10 and 8 with 9 osahs 10 and 14 subjects 11 50 14 subjects 12 healthy 13 control 13 control 14 subjects there were significant differences in the echocardiography indicators that reflect cardiac structure , including interventricular septum , left ventricle posterior wall thickness , and left [ventricular] mass and mass index between the two groups . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 1 there 2 were 2 were 4 differences 3 significant 4 differences 4 differences 5 in 4 differences 9 that 4 differences 10 reflect 5 in 8 indicators 6 the 8 indicators 7 echocardiography 8 indicators 9 that 10 reflect 10 reflect 12 structure 10 reflect 14 including 11 cardiac 12 structure 13 , 14 including 14 including 28 and 14 including 35 . 15 interventricular 16 septum 16 septum 17 , 17 , 22 thickness 17 , 24 and 18 left 21 wall 19 ventricle 20 posterior 20 posterior 21 wall 21 wall 22 thickness 23 , 24 and 24 and 27 mass 24 and 28 and 25 left 27 mass 28 and 30 index 28 and 31 between 29 mass 30 index 31 between 34 groups 32 the 33 two 33 two 34 groups there were significant differences between the two groups in the [ventricular] septal early diastolic myocardial peak velocity/late diastolic myocardial peak velocity ( em/am ) , mitral annulus em/am , and left ventricle posterior wall em/am . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 36 . 1 there 2 were 2 were 4 differences 3 significant 4 differences 4 differences 5 between 4 differences 9 in 5 between 8 groups 6 the 7 two 7 two 8 groups 9 in 21 velocity 10 the 21 velocity 12 septal 16 peak 13 early 16 peak 14 diastolic 16 peak 15 myocardial 16 peak 16 peak 21 velocity 17 velocity/late 20 peak 18 diastolic 20 peak 19 myocardial 20 peak 20 peak 21 velocity 21 velocity 23 em/am 22 ( 23 em/am 23 em/am 24 ) 25 , 30 and 25 , 34 wall 26 mitral 27 annulus 27 annulus 28 em/am 28 em/am 30 and 29 , 30 and 30 and 33 posterior 30 and 34 wall 31 left 32 ventricle 32 ventricle 33 posterior 34 wall 35 em/am there were also significant differences in the indicators of interventricular septum , mitral annulus and left [ventricular] posterior wall systolic peak velocity between the two groups . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 27 . 1 there 2 were 2 were 3 also 2 were 5 differences 4 significant 5 differences 5 differences 6 in 5 differences 9 of 6 in 8 indicators 7 the 8 indicators 9 of 11 septum 10 interventricular 11 septum 12 , 15 and 12 , 19 wall 13 mitral 14 annulus 14 annulus 15 and 15 and 18 posterior 15 and 19 wall 16 left 18 posterior 19 wall 22 velocity 20 systolic 21 peak 21 peak 22 velocity 22 velocity 23 between 23 between 26 groups 24 the 25 two 25 two 26 groups conclusion : elderly patients with osahs demonstrated cardiac structural changes and their left [ventricular] diastolic and systolic functions were significantly diminished . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 22 . 1 conclusion 2 : 2 : 4 patients 3 elderly 4 patients 4 patients 5 with 5 with 10 changes 6 osahs 7 demonstrated 7 demonstrated 10 changes 8 cardiac 10 changes 9 structural 10 changes 11 and 18 functions 11 and 21 diminished 12 their 18 functions 13 left 18 functions 15 diastolic 16 and 16 and 17 systolic 16 and 18 functions 18 functions 19 were 19 were 21 diminished 20 significantly 21 diminished behavioral symptoms are common in all types of dementia and often result in significant caregiver stress and illness , institutionalization of the patient , and reduced quality of life for the patient and caregiver . 0 ###LEFT-WALL### 2 symptoms 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 35 . 1 behavioral 2 symptoms 2 symptoms 3 are 3 are 10 and 4 common 5 in 4 common 10 and 5 in 9 dementia 6 all 7 types 7 types 8 of 7 types 9 dementia 8 of 9 dementia 10 and 11 often 10 and 12 result 12 result 13 in 13 in 25 and 14 significant 16 stress 15 caregiver 16 stress 16 stress 17 and 17 and 18 illness 17 and 20 institutionalization 17 and 25 and 19 , 20 institutionalization 20 institutionalization 21 of 20 institutionalization 24 , 21 of 23 patient 22 the 23 patient 24 , 25 and 25 and 27 quality 25 and 28 of 25 and 30 for 26 reduced 27 quality 28 of 29 life 30 for 33 and 31 the 32 patient 32 patient 33 and 33 and 34 caregiver health care practitioners often lack the expertise or time to adequately assess behavioral symptoms or counsel caregivers about interventions . 0 ###LEFT-WALL### 3 practitioners 0 ###LEFT-WALL### 5 lack 0 ###LEFT-WALL### 8 or 0 ###LEFT-WALL### 20 . 1 health 3 practitioners 2 care 3 practitioners 3 practitioners 5 lack 4 often 5 lack 5 lack 7 expertise 6 the 7 expertise 8 or 9 time 8 or 17 caregivers 9 time 10 to 9 time 15 or 9 time 17 caregivers 10 to 15 or 11 adequately 12 assess 12 assess 14 symptoms 12 assess 15 or 13 behavioral 14 symptoms 15 or 16 counsel 17 caregivers 18 about 18 about 19 interventions our goal was to implement a specialty clinic managed by advanced practice nurses to assess and manage behavioral symptoms associated with dementia . 0 ###LEFT-WALL### 2 goal 0 ###LEFT-WALL### 23 . 1 our 2 goal 2 goal 3 was 3 was 4 to 3 was 16 and 4 to 16 and 5 implement 8 clinic 5 implement 16 and 6 a 8 clinic 7 specialty 8 clinic 8 clinic 9 managed 9 managed 10 by 10 by 13 nurses 11 advanced 12 practice 12 practice 13 nurses 13 nurses 14 to 13 nurses 15 assess 14 to 15 assess 16 and 17 manage 17 manage 19 symptoms 18 behavioral 19 symptoms 19 symptoms 20 associated 20 associated 21 with 21 with 22 dementia the clinic evaluations consisted of an assessment of the patient by the nurse practitioner during the time that the family caregiver [(] [s] [ )(was interviewed by the clinical nurse specialist and focused on an assessment of the cognitive and functional abilities of the patient , identification of triggers for the problematic behaviors , and assessment of caregiver coping . 0 ###LEFT-WALL### 3 evaluations 0 ###LEFT-WALL### 32 and 0 ###LEFT-WALL### 46 , 0 ###LEFT-WALL### 60 . 1 the 3 evaluations 2 clinic 3 evaluations 3 evaluations 32 and 4 consisted 5 of 4 consisted 32 and 5 of 7 assessment 6 an 7 assessment 7 assessment 8 of 7 assessment 11 by 7 assessment 15 during 8 of 10 patient 9 the 10 patient 11 by 14 practitioner 12 the 14 practitioner 13 nurse 14 practitioner 15 during 17 time 16 the 17 time 17 time 18 that 17 time 26 interviewed 18 that 20 family 18 that 26 interviewed 19 the 20 family 20 family 21 caregiver 20 family 25 )(was 20 family 26 interviewed 21 caregiver 25 )(was 26 interviewed 27 by 27 by 31 specialist 28 the 31 specialist 29 clinical 30 nurse 30 nurse 31 specialist 32 and 33 focused 32 and 34 on 34 on 36 assessment 35 an 36 assessment 36 assessment 37 of 37 of 40 and 38 the 39 cognitive 39 cognitive 40 and 40 and 42 abilities 41 functional 42 abilities 42 abilities 43 of 43 of 45 patient 44 the 45 patient 46 , 55 and 47 identification 48 of 47 identification 55 and 48 of 49 triggers 49 triggers 50 for 50 for 53 behaviors 51 the 53 behaviors 52 problematic 53 behaviors 54 , 55 and 55 and 56 assessment 55 and 57 of 57 of 58 caregiver 58 caregiver 59 coping we evaluated 66 dyads since implementation in february 2010 . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 evaluated 0 ###LEFT-WALL### 10 . 1 we 2 evaluated 2 evaluated 4 dyads 2 evaluated 5 since 2 evaluated 7 in 3 66 4 dyads 5 since 6 implementation 7 in 8 february 8 february 9 2010 the patients were primarily female , caucasian , 74.3 years of age with alzheimer 's disease . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 17 . 1 the 2 patients 2 patients 3 were 3 were 4 primarily 3 were 10 years 5 female 7 caucasian 5 female 8 , 5 female 10 years 6 , 7 caucasian 7 caucasian 8 , 9 74.3 10 years 10 years 11 of 11 of 12 age 12 age 13 with 13 with 16 disease 14 alzheimer 15 's 15 's 16 disease the majority of caregivers [were] spouses ( n = 44 ) followed by adult children ( n = 20 ) and [then] siblings ( n = 2 ) . 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 29 . 1 the 2 majority 2 majority 3 of 2 majority 21 and 3 of 4 caregivers 4 caregivers 6 spouses 4 caregivers 12 followed 6 spouses 9 = 6 spouses 12 followed 7 ( 9 = 8 n 9 = 9 = 10 44 9 = 11 ) 12 followed 13 by 13 by 15 children 14 adult 15 children 15 children 18 = 16 ( 18 = 17 n 18 = 18 = 19 20 18 = 20 ) 21 and 23 siblings 21 and 26 = 24 ( 26 = 25 n 26 = 26 = 27 2 26 = 28 ) targeted interventions were developed and caregiver counseling , support , and education were an integral part of the consultation and included written information , video instruction , and internet resources . 0 ###LEFT-WALL### 2 interventions 0 ###LEFT-WALL### 4 developed 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 31 . 1 targeted 2 interventions 2 interventions 3 were 3 were 4 developed 5 and 11 and 5 and 20 and 6 caregiver 7 counseling 7 counseling 8 , 8 , 9 support 8 , 11 and 10 , 11 and 11 and 12 education 11 and 20 and 13 were 19 consultation 13 were 20 and 14 an 16 part 15 integral 16 part 16 part 17 of 16 part 19 consultation 17 of 19 consultation 18 the 19 consultation 20 and 21 included 20 and 28 and 22 written 23 information 23 information 24 , 24 , 26 instruction 24 , 28 and 25 video 26 instruction 27 , 28 and 28 and 30 resources 29 internet 30 resources evaluations indicated caregivers and referring providers found the appointment helpful in managing behavioral symptoms and caregiver stress . 0 ###LEFT-WALL### 1 evaluations 0 ###LEFT-WALL### 2 indicated 0 ###LEFT-WALL### 17 stress 1 evaluations 2 indicated 2 indicated 4 and 2 indicated 7 found 3 caregivers 4 and 4 and 6 providers 4 and 7 found 5 referring 6 providers 7 found 15 and 7 found 17 stress 8 the 9 appointment 9 appointment 10 helpful 9 appointment 15 and 10 helpful 11 in 11 in 12 managing 12 managing 14 symptoms 13 behavioral 14 symptoms 15 and 16 caregiver 15 and 17 stress 17 stress 18 . importance : hospitalized older adults often lack decisional capacity , but outside of the intensive care unit and end - [of] - life care settings , little is known about the frequency of decision making by family members or other surrogates or its implications for hospital care . 0 ###LEFT-WALL### 1 importance 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 48 . 2 : 5 adults 2 : 7 lack 2 : 22 - 2 : 26 , 3 hospitalized 5 adults 4 older 5 adults 5 adults 7 lack 6 often 7 lack 7 lack 9 capacity 7 lack 11 but 8 decisional 9 capacity 10 , 11 but 11 but 13 of 11 but 20 - 12 outside 13 of 13 of 18 and 14 the 17 unit 15 intensive 16 care 16 care 17 unit 17 unit 18 and 18 and 19 end 22 - 25 settings 23 life 25 settings 24 care 25 settings 26 , 27 little 26 , 29 known 27 little 28 is 28 is 29 known 29 known 30 about 29 known 36 by 29 known 45 for 30 about 32 frequency 31 the 32 frequency 32 frequency 33 of 33 of 35 making 34 decision 35 making 36 by 42 or 37 family 38 members 38 members 39 or 39 or 41 surrogates 39 or 42 or 40 other 41 surrogates 42 or 44 implications 43 its 44 implications 45 for 47 care 46 hospital 47 care objective : to describe the scope of surrogate decision making , the hospital course , and outcomes for older adults . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 describe 2 : 21 . 3 to 4 describe 4 describe 6 scope 4 describe 18 for 5 the 6 scope 6 scope 7 of 7 of 16 and 8 surrogate 9 decision 9 decision 10 making 9 decision 11 , 11 , 14 course 11 , 16 and 12 the 14 course 13 hospital 14 course 15 , 16 and 16 and 17 outcomes 18 for 20 adults 19 older 20 adults design , setting , and participants : prospective , observational study conducted in medicine and medical intensive care unit services of 2 hospitals in 1 midwestern city in 1083 hospitalized older adults identified by their physicians as requiring major medical decisions . 0 ###LEFT-WALL### 6 participants 0 ###LEFT-WALL### 7 : 0 ###LEFT-WALL### 42 . 1 design 3 setting 2 , 3 setting 3 setting 4 , 3 setting 5 and 5 and 6 participants 6 participants 7 : 7 : 11 study 7 : 13 in 7 : 28 in 8 prospective 9 , 8 prospective 11 study 10 observational 11 study 11 study 12 conducted 13 in 15 and 14 medicine 15 and 15 and 20 services 15 and 21 of 16 medical 18 care 17 intensive 18 care 18 care 20 services 19 unit 20 services 21 of 23 hospitals 22 2 23 hospitals 23 hospitals 24 in 24 in 27 city 25 1 27 city 26 midwestern 27 city 28 in 29 1083 29 1083 30 hospitalized 29 1083 32 adults 29 1083 33 identified 29 1083 34 by 29 1083 37 as 31 older 32 adults 32 adults 33 identified 34 by 36 physicians 35 their 36 physicians 37 as 41 decisions 38 requiring 41 decisions 39 major 41 decisions 40 medical 41 decisions main outcomes and measures : clinical characteristics , hospital outcomes , nature of major medical decisions , and surrogate involvement . 0 ###LEFT-WALL### 4 measures 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 21 . 1 main 2 outcomes 2 outcomes 3 and 3 and 4 measures 4 measures 5 : 5 : 7 characteristics 6 clinical 7 characteristics 7 characteristics 10 outcomes 8 , 10 outcomes 9 hospital 10 outcomes 10 outcomes 11 , 11 , 18 and 12 nature 13 of 12 nature 18 and 13 of 16 decisions 14 major 16 decisions 15 medical 16 decisions 17 , 18 and 18 and 20 involvement 19 surrogate 20 involvement results : according to physician reports , at 48 hours of hospitalization , 47.4 % ( 95 % ci , 44.4 % - 50.4 % ) of older adults required at least some surrogate involvement [,] including 23.0 % ( 20.6 % - 25.6 % ) with all decisions made by a surrogate . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 1 results 2 : 2 : 4 to 3 according 4 to 4 to 6 reports 5 physician 6 reports 6 reports 8 at 7 , 8 at 8 at 10 hours 8 at 54 . 9 48 10 hours 10 hours 11 of 10 hours 35 involvement 10 hours 50 made 11 of 12 hospitalization 12 hospitalization 15 % 12 hospitalization 25 % 13 , 15 % 14 47.4 15 % 15 % 19 ci 15 % 23 - 16 ( 19 ci 17 95 19 ci 18 % 19 ci 19 ci 22 % 19 ci 23 - 20 , 22 % 21 44.4 22 % 22 % 23 - 23 - 25 % 24 50.4 25 % 25 % 26 ) 27 of 29 adults 27 of 35 involvement 28 older 29 adults 29 adults 30 required 31 at 32 least 32 least 35 involvement 33 some 35 involvement 34 surrogate 35 involvement 35 involvement 37 including 35 involvement 47 with 35 involvement 50 made 37 including 39 % 38 23.0 39 % 39 % 42 % 40 ( 42 % 41 20.6 42 % 42 % 45 % 42 % 46 ) 43 - 45 % 44 25.6 45 % 45 % 46 ) 47 with 49 decisions 48 all 49 decisions 50 made 51 by 50 made 53 surrogate 52 a 53 surrogate among patients who required a surrogate for at least 1 decision within 48 hours , 57.2 % required decisions about life - sustaining care ( mostly addressing code status ) , 48.6 % about procedures and operations , and 46.9 % [about] discharge planning . 0 ###LEFT-WALL### 17 % 0 ###LEFT-WALL### 18 required 0 ###LEFT-WALL### 39 and 0 ###LEFT-WALL### 45 . 1 among 2 patients 1 among 15 , 1 among 17 % 2 patients 3 who 2 patients 4 required 3 who 4 required 4 required 6 surrogate 4 required 7 for 4 required 12 within 5 a 6 surrogate 7 for 11 decision 8 at 9 least 9 least 10 1 10 1 11 decision 12 within 14 hours 13 48 14 hours 16 57.2 17 % 17 % 18 required 18 required 19 decisions 18 required 20 about 18 required 23 sustaining 20 about 21 life 22 - 23 sustaining 23 sustaining 24 care 23 sustaining 38 , 24 care 27 addressing 24 care 33 % 25 ( 27 addressing 26 mostly 27 addressing 27 addressing 29 status 27 addressing 30 ) 28 code 29 status 31 , 33 % 32 48.6 33 % 33 % 34 about 33 % 38 , 34 about 36 and 35 procedures 36 and 36 and 37 operations 38 , 39 and 39 and 41 % 39 and 43 discharge 40 46.9 41 % 41 % 43 discharge 43 discharge 44 planning patients who needed a surrogate experienced a more complex hospital course with greater use of ventilators [(] 2.5 % of patients who made decisions and 13.2 % of patients who required any surrogate decisions [;] p < .001[!] [ )( artificial nutrition [(] 1.7 % of patients and 14.4 % of surrogates [;] p < .001[!] [ )( [and] length of stay ( median , 6 days for patients and 7 days for surrogates [;] p < .001[!] ) . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 6 experienced 1 patients 2 who 1 patients 3 needed 1 patients 6 experienced 2 who 3 needed 3 needed 5 surrogate 4 a 5 surrogate 6 experienced 11 course 7 a 11 course 8 more 9 complex 9 complex 10 hospital 10 hospital 11 course 11 course 12 with 11 course 15 of 12 with 14 use 13 greater 14 use 15 of 27 % 16 ventilators 25 and 18 2.5 19 % 18 2.5 25 and 19 % 20 of 19 % 22 who 19 % 23 made 20 of 21 patients 22 who 23 made 23 made 24 decisions 25 and 26 13.2 26 13.2 27 % 27 % 28 of 27 % 37 < 28 of 29 patients 29 patients 30 who 29 patients 31 required 30 who 31 required 31 required 34 decisions 32 any 34 decisions 33 surrogate 34 decisions 36 p 37 < 37 < 42 nutrition 38 .001[!] 42 nutrition 41 artificial 42 nutrition 42 nutrition 48 and 44 1.7 45 % 44 1.7 48 and 45 % 46 of 46 of 47 patients 48 and 49 14.4 49 14.4 50 % 50 % 51 of 50 % 55 < 51 of 52 surrogates 52 surrogates 54 p 55 < 60 length 56 .001[!] 60 length 60 length 61 of 61 of 62 stay 62 stay 70 and 63 ( 70 and 64 median 65 , 65 , 67 days 65 , 70 and 66 6 67 days 67 days 68 for 68 for 69 patients 70 and 72 days 70 and 73 for 70 and 77 < 70 and 80 . 71 7 72 days 73 for 74 surrogates 76 p 77 < 77 < 78 .001[!] 77 < 79 ) they were more likely to be discharged to an extended [-] care facility ( 21.2 % with patient decisions and 40.9 % [with] surrogate decisions [;] p < .001[!] ) and had higher hospital mortality ( 0.0 % patients and 5.9 % surrogates ; p < .001[!] [ )( 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 32 had 0 ###LEFT-WALL### 44 ; 0 ###LEFT-WALL### 49 )( 1 they 31 and 2 were 5 to 2 were 7 discharged 2 were 31 and 3 more 4 likely 4 likely 5 to 5 to 6 be 6 be 7 discharged 7 discharged 8 to 8 to 13 facility 9 an 13 facility 10 extended 12 care 12 care 13 facility 13 facility 16 % 14 ( 16 % 15 21.2 16 % 16 % 17 with 16 % 30 ) 17 with 20 and 18 patient 19 decisions 19 decisions 20 and 20 and 25 decisions 20 and 28 < 21 40.9 25 decisions 22 % 24 surrogate 24 surrogate 25 decisions 27 p 28 < 28 < 29 .001[!] 31 and 32 had 32 had 35 mortality 33 higher 34 hospital 34 hospital 35 mortality 35 mortality 40 and 36 ( 40 and 37 0.0 38 % 38 % 39 patients 39 patients 40 and 40 and 43 surrogates 40 and 44 ; 41 5.9 43 surrogates 42 % 43 surrogates 44 ; 45 p 44 ; 46 < 45 p 46 < 46 < 47 .001[!] most surrogates were daughters ( 58.9 % ) , sons ( 25.0 % ) , [or] spouses ( 20.6 % ) . 0 ###LEFT-WALL### 2 surrogates 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 22 . 1 most 2 surrogates 2 surrogates 3 were 3 were 4 daughters 4 daughters 7 % 4 daughters 10 sons 4 daughters 17 spouses 5 ( 7 % 6 58.9 7 % 7 % 8 ) 9 , 10 sons 10 sons 13 % 10 sons 15 , 11 ( 13 % 12 25.0 13 % 13 % 14 ) 15 , 17 spouses 17 spouses 20 % 17 spouses 21 ) 18 ( 20 % 19 20.6 20 % 20 % 21 ) overall , only 7.4 % had a living will and 25.0 % had a health care representative document in the medical record . 0 ###LEFT-WALL### 1 overall 0 ###LEFT-WALL### 2 , 0 ###LEFT-WALL### 23 . 2 , 12 % 2 , 13 had 3 only 4 7.4 4 7.4 5 % 4 7.4 10 and 5 % 6 had 6 had 9 will 7 a 9 will 8 living 9 will 10 and 11 25.0 10 and 12 % 12 % 13 had 13 had 18 document 14 a 15 health 14 a 18 document 15 health 18 document 16 care 18 document 17 representative 18 document 18 document 19 in 19 in 22 record 20 the 22 record 21 medical 22 record conclusions and relevance : surrogate decision making occurs for nearly half of hospitalized older adults and includes both complete decision making by the surrogate and joint decision making by the patient and surrogate . 0 ###LEFT-WALL### 3 relevance 0 ###LEFT-WALL### 4 : 1 conclusions 2 and 2 and 3 relevance 4 : 5 surrogate 4 : 13 hospitalized 4 : 16 and 4 : 34 . 5 surrogate 7 making 5 surrogate 12 of 5 surrogate 13 hospitalized 6 decision 7 making 7 making 8 occurs 8 occurs 9 for 9 for 11 half 10 nearly 11 half 11 half 12 of 13 hospitalized 15 adults 14 older 15 adults 16 and 17 includes 16 and 19 complete 17 includes 19 complete 18 both 19 complete 19 complete 25 and 20 decision 21 making 20 decision 25 and 21 making 22 by 21 making 24 surrogate 23 the 24 surrogate 25 and 27 decision 25 and 28 making 26 joint 27 decision 28 making 29 by 28 making 32 and 30 the 31 patient 31 patient 32 and 32 and 33 surrogate surrogates commonly face a broad range of decisions in the intensive care unit and the hospital ward setting . 0 ###LEFT-WALL### 1 surrogates 0 ###LEFT-WALL### 3 face 0 ###LEFT-WALL### 19 . 1 surrogates 3 face 2 commonly 3 face 3 face 6 range 3 face 9 in 4 a 5 broad 4 a 6 range 5 broad 6 range 6 range 7 of 7 of 8 decisions 9 in 14 and 10 the 13 unit 11 intensive 12 care 12 care 13 unit 13 unit 14 and 14 and 17 ward 14 and 18 setting 15 the 17 ward 16 hospital 17 ward hospital functions should be redesigned to account for the large and growing role of surrogates [,] supporting them [as] they make health care decisions . 0 ###LEFT-WALL### 4 be 0 ###LEFT-WALL### 25 . 1 hospital 2 functions 2 functions 3 should 3 should 4 be 4 be 5 redesigned 5 redesigned 6 to 5 redesigned 8 for 6 to 7 account 8 for 11 and 9 the 10 large 10 large 11 and 11 and 13 role 11 and 14 of 11 and 20 they 11 and 21 make 12 growing 13 role 14 of 15 surrogates 15 surrogates 17 supporting 17 supporting 18 them 20 they 21 make 21 make 23 care 21 make 24 decisions 22 health 23 care microglia , the immune cells of the central nervous system [,] have long been a subject of study in the alzheimer 's disease ( ad ) [field] due to their dramatic responses to the pathophysiology of the disease . 0 ###LEFT-WALL### 5 cells 0 ###LEFT-WALL### 14 been 0 ###LEFT-WALL### 39 . 1 microglia 2 , 1 microglia 5 cells 3 the 5 cells 4 immune 5 cells 5 cells 6 of 5 cells 12 have 6 of 10 system 7 the 10 system 8 central 10 system 9 nervous 10 system 12 have 14 been 13 long 14 been 14 been 16 subject 14 been 19 in 14 been 29 to 15 a 16 subject 16 subject 17 of 17 of 18 study 19 in 23 disease 20 the 21 alzheimer 21 alzheimer 22 's 22 's 23 disease 23 disease 25 ad 24 ( 25 ad 25 ad 26 ) 28 due 29 to 29 to 32 responses 30 their 32 responses 31 dramatic 32 responses 32 responses 33 to 32 responses 36 of 33 to 35 pathophysiology 34 the 35 pathophysiology 36 of 38 disease 37 the 38 disease with several large - scale genetic studies in the past year implicating microglial molecules in ad , the potential significance of these cells has become more prominent than ever before . 0 ###LEFT-WALL### 20 significance 0 ###LEFT-WALL### 25 become 0 ###LEFT-WALL### 31 . 1 with 7 studies 1 with 17 , 1 with 20 significance 2 several 7 studies 3 large 4 - 3 large 5 scale 5 scale 7 studies 6 genetic 7 studies 7 studies 8 in 7 studies 12 implicating 8 in 11 year 9 the 11 year 10 past 11 year 12 implicating 14 molecules 12 implicating 15 in 13 microglial 14 molecules 15 in 16 ad 18 the 20 significance 19 potential 20 significance 20 significance 21 of 20 significance 24 has 21 of 23 cells 22 these 23 cells 24 has 25 become 25 become 27 prominent 26 more 27 prominent 27 prominent 29 ever 27 prominent 30 before 28 than 29 ever as a disease that is tightly linked to aging , it is perhaps not entirely surprising that microglia of the ad brain share some phenotypes with aging microglia . 0 ###LEFT-WALL### 11 it 0 ###LEFT-WALL### 12 is 0 ###LEFT-WALL### 29 . 1 as 3 disease 1 as 10 , 1 as 11 it 2 a 3 disease 3 disease 7 linked 3 disease 8 to 4 that 5 is 5 is 7 linked 6 tightly 7 linked 8 to 9 aging 11 it 12 is 12 is 14 not 12 is 16 surprising 13 perhaps 14 not 15 entirely 16 surprising 16 surprising 18 microglia 16 surprising 26 with 17 that 18 microglia 18 microglia 19 of 18 microglia 24 some 18 microglia 25 phenotypes 19 of 23 share 20 the 23 share 21 ad 22 brain 22 brain 23 share 24 some 25 phenotypes 26 with 27 aging 27 aging 28 microglia yet the relative impacts of both conditions on microglia are less frequently considered in concert . 0 ###LEFT-WALL### 1 yet 0 ###LEFT-WALL### 13 considered 0 ###LEFT-WALL### 16 . 1 yet 4 impacts 2 the 4 impacts 3 relative 4 impacts 4 impacts 5 of 4 impacts 10 are 5 of 7 conditions 6 both 7 conditions 7 conditions 8 on 8 on 9 microglia 10 are 13 considered 11 less 12 frequently 12 frequently 13 considered 13 considered 15 concert 14 in 15 concert furthermore , microglial " activation " and " neuroinflammation " are commonly analyzed in studies of neurodegeneration but are somewhat ill - defined concepts [that] in fact encompass multiple cellular processes . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 13 analyzed 0 ###LEFT-WALL### 18 but 0 ###LEFT-WALL### 32 . 1 furthermore 2 , 1 furthermore 7 and 3 microglial 4 " 3 microglial 5 activation 5 activation 6 " 5 activation 7 and 7 and 8 " 7 and 9 neuroinflammation 7 and 11 are 9 neuroinflammation 10 " 11 are 13 analyzed 12 commonly 13 analyzed 13 analyzed 14 in 14 in 15 studies 15 studies 16 of 16 of 17 neurodegeneration 18 but 19 are 18 but 28 encompass 19 are 24 concepts 19 are 28 encompass 20 somewhat 21 ill 21 ill 22 - 21 ill 24 concepts 23 defined 24 concepts 26 in 27 fact 27 fact 28 encompass 28 encompass 31 processes 29 multiple 31 processes 30 cellular 31 processes in this review , we have enumerated six distinct functions of microglia and discuss the specific effects of both aging and ad . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 23 . 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 13 and 6 have 7 enumerated 6 have 13 and 7 enumerated 10 functions 8 six 10 functions 9 distinct 10 functions 10 functions 11 of 11 of 12 microglia 13 and 14 discuss 14 discuss 21 and 15 the 17 effects 16 specific 17 effects 17 effects 18 of 17 effects 21 and 18 of 19 both 19 both 20 aging 21 and 22 ad by calling attention to the commonalities of these two states , we hope to inspire new approaches for dissecting microglial mechanisms . 0 ###LEFT-WALL### 12 we 0 ###LEFT-WALL### 13 hope 0 ###LEFT-WALL### 22 . 1 by 2 calling 1 by 11 , 1 by 12 we 2 calling 3 attention 2 calling 4 to 4 to 6 commonalities 5 the 6 commonalities 6 commonalities 7 of 7 of 10 states 8 these 9 two 9 two 10 states 12 we 13 hope 13 hope 14 to 13 hope 15 inspire 14 to 15 inspire 15 inspire 17 approaches 16 new 17 approaches 17 approaches 18 for 18 for 19 dissecting 19 dissecting 21 mechanisms 20 microglial 21 mechanisms the aim of this study was to evaluate the impact of risk factors of erectile dysfunction ( ed ) after transurethral resection of the prostate ( turp ) in men with lower urinary tract symptoms caused by bladder outlet obstruction secondary to benign prostatic hyperplasia . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 46 . 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 impact 8 evaluate 20 after 8 evaluate 29 in 8 evaluate 31 with 8 evaluate 37 by 9 the 10 impact 10 impact 11 of 11 of 13 factors 12 risk 13 factors 13 factors 14 of 14 of 16 dysfunction 15 erectile 16 dysfunction 16 dysfunction 18 ed 17 ( 18 ed 18 ed 19 ) 20 after 22 resection 21 transurethral 22 resection 22 resection 23 of 22 resection 27 turp 23 of 25 prostate 24 the 25 prostate 26 ( 27 turp 27 turp 28 ) 29 in 30 men 31 with 35 symptoms 32 lower 34 tract 33 urinary 34 tract 34 tract 35 symptoms 35 symptoms 36 caused 37 by 40 obstruction 38 bladder 40 obstruction 39 outlet 40 obstruction 40 obstruction 41 secondary 41 secondary 42 to 42 to 45 hyperplasia 43 benign 45 hyperplasia 44 prostatic 45 hyperplasia the study was conducted prospectively on 178 consecutive patients ( normal iief - 5 before surgery , ≥ 22 ) who underwent turp . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 4 conducted 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 24 . 1 the 2 study 2 study 3 was 3 was 4 conducted 4 conducted 5 prospectively 4 conducted 6 on 6 on 9 patients 7 178 9 patients 8 consecutive 9 patients 9 patients 12 iief 10 ( 12 iief 11 normal 12 iief 12 iief 13 - 13 - 14 5 14 5 15 before 14 5 21 who 14 5 22 underwent 15 before 16 surgery 16 surgery 18 ≥ 17 , 18 ≥ 18 ≥ 19 22 18 ≥ 20 ) 21 who 22 underwent 22 underwent 23 turp patients were assessed before surgery and at 12 months . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 3 assessed 0 ###LEFT-WALL### 10 . 1 patients 2 were 2 were 3 assessed 3 assessed 6 and 4 before 5 surgery 4 before 6 and 6 and 7 at 7 at 9 months 8 12 9 months at 12 months , the iief - 5 score significantly decreased from24 to 18 ( p<0.0001 ) . 0 ###LEFT-WALL### 8 5 0 ###LEFT-WALL### 9 score 0 ###LEFT-WALL### 18 . 1 at 3 months 1 at 8 5 2 12 3 months 3 months 6 iief 4 , 6 iief 5 the 6 iief 6 iief 7 - 8 5 9 score 9 score 12 from24 9 score 13 to 10 significantly 11 decreased 11 decreased 12 from24 13 to 14 18 14 18 16 p<0.0001 15 ( 16 p<0.0001 16 p<0.0001 17 ) no statistical associations were found between hypertension [,] diabetes , dyslipidemia and capsular perforation and the development of ed after turp . 0 ###LEFT-WALL### 3 associations 0 ###LEFT-WALL### 5 found 0 ###LEFT-WALL### 22 . 1 no 3 associations 2 statistical 3 associations 3 associations 4 were 4 were 5 found 5 found 6 between 5 found 20 after 6 between 15 and 7 hypertension 9 diabetes 9 diabetes 10 , 10 , 11 dyslipidemia 10 , 12 and 12 and 14 perforation 12 and 15 and 13 capsular 14 perforation 15 and 17 development 15 and 18 of 16 the 17 development 18 of 19 ed 20 after 21 turp operating time , duration of catheterization , and bmi did not determine a significant decrease of the iief - 5 score after turp . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 12 determine 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 24 . 1 operating 2 time 1 operating 3 , 1 operating 8 and 4 duration 5 of 4 duration 8 and 5 of 6 catheterization 7 , 8 and 8 and 9 bmi 8 and 10 did 10 did 11 not 10 did 12 determine 12 determine 15 decrease 13 a 14 significant 13 a 15 decrease 14 significant 15 decrease 15 decrease 16 of 16 of 18 iief 17 the 18 iief 19 - 20 5 19 - 21 score 20 5 21 score 21 score 22 after 22 after 23 turp on univariable and multivariable linear regression analysis , age was the only risk factor associated with newly [-] reported ed 12 months after turp ( p<0.0001 ) . 0 ###LEFT-WALL### 9 age 0 ###LEFT-WALL### 10 was 0 ###LEFT-WALL### 28 . 1 on 7 analysis 1 on 8 , 1 on 9 age 2 univariable 3 and 3 and 4 multivariable 3 and 7 analysis 5 linear 7 analysis 6 regression 7 analysis 9 age 10 was 10 was 14 factor 11 the 12 only 11 the 14 factor 13 risk 14 factor 14 factor 15 associated 14 factor 26 p<0.0001 15 associated 16 with 16 with 20 ed 17 newly 19 reported 19 reported 20 ed 20 ed 21 12 20 ed 23 after 22 months 23 after 23 after 24 turp 25 ( 26 p<0.0001 26 p<0.0001 27 ) on univariable andmultivariable logistic regression analysis , patients older than 65 yr had an higher risk of developing ed after turp ( p<0.0001 ) and they developed a lower iief - 5 score ( p<0.0001 ) at followup when compared with those ≤ 65 yr . 0 ###LEFT-WALL### 8 patients 0 ###LEFT-WALL### 13 had 1 on 6 analysis 1 on 7 , 1 on 8 patients 2 univariable 4 logistic 3 andmultivariable 4 logistic 4 logistic 6 analysis 5 regression 6 analysis 8 patients 9 older 8 patients 13 had 9 older 10 than 10 than 12 yr 11 65 12 yr 13 had 16 risk 14 an 16 risk 15 higher 16 risk 16 risk 17 of 17 of 18 developing 18 developing 19 ed 18 developing 20 after 18 developing 41 with 20 after 25 and 20 after 27 developed 21 turp 23 p<0.0001 21 turp 25 and 22 ( 23 p<0.0001 23 p<0.0001 24 ) 25 and 26 they 25 and 27 developed 27 developed 30 iief 27 developed 37 at 27 developed 39 when 28 a 30 iief 29 lower 30 iief 30 iief 32 5 30 iief 33 score 30 iief 35 p<0.0001 31 - 32 5 32 5 33 score 34 ( 35 p<0.0001 35 p<0.0001 36 ) 37 at 38 followup 39 when 40 compared 41 with 43 ≤ 41 with 45 yr 42 those 43 ≤ 44 65 45 yr 45 yr 46 . these results suggest that age of patients represents an independent risk factor of ed at 12 months follow - up after turp . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 1 these 2 results 2 results 3 suggest 3 suggest 4 that 4 that 5 age 4 that 8 represents 5 age 6 of 5 age 8 represents 6 of 7 patients 8 represents 12 factor 8 represents 15 at 9 an 12 factor 10 independent 12 factor 11 risk 12 factor 12 factor 13 of 13 of 14 ed 15 at 16 12 16 12 17 months 16 12 18 follow 16 12 20 up 17 months 18 follow 19 - 20 up 20 up 21 after 20 up 23 . 21 after 22 turp objective : to understand and examine the relation between postural response latencies obtained during postural perturbations and representative measures of balance during standing ( sway variables ) [and] walking ( trunk motion ) . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 2 : 3 to 2 : 5 and 3 to 5 and 4 understand 5 and 5 and 6 examine 5 and 9 between 5 and 14 during 5 and 19 measures 6 examine 8 relation 7 the 8 relation 9 between 12 latencies 10 postural 11 response 11 response 12 latencies 12 latencies 13 obtained 14 during 17 and 15 postural 16 perturbations 16 perturbations 17 and 17 and 18 representative 19 measures 20 of 20 of 21 balance 21 balance 22 during 21 balance 29 walking 21 balance 32 motion 22 during 23 standing 23 standing 26 variables 24 ( 26 variables 25 sway 26 variables 26 variables 27 ) 30 ( 32 motion 31 trunk 32 motion 32 motion 33 ) design : [cross] [-] sectional . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 . 1 design 2 : 2 : 5 sectional setting : university medical center . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 2 : 5 center 2 : 6 . 3 university 5 center 4 medical 5 center participants : persons with multiple sclerosis [(] [ms] [ )(( n=40 ) were compared with similar aged control subjects ( n=20 ) . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 3 persons 2 : 14 compared 3 persons 4 with 3 persons 13 were 4 with 6 sclerosis 5 multiple 6 sclerosis 6 sclerosis 11 n=40 10 )(( 11 n=40 11 n=40 12 ) 13 were 14 compared 14 compared 15 with 15 with 19 subjects 16 similar 18 control 17 aged 18 control 18 control 19 subjects 19 subjects 21 n=20 20 ( 21 n=20 21 n=20 22 ) there were 20 subjects with [ms] [in] the normal [walking] velocity group and 20 subjects with [ms] who had slow walking velocity based on a timed 25 [-] foot walk ( t25fw ) of < 5 seconds . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 38 . 1 there 2 were 2 were 4 subjects 3 20 4 subjects 4 subjects 5 with 5 with 11 velocity 5 with 22 velocity 5 with 23 based 8 the 11 velocity 9 normal 11 velocity 11 velocity 13 and 11 velocity 19 had 11 velocity 21 walking 12 group 13 and 13 and 15 subjects 13 and 16 with 13 and 19 had 14 20 15 subjects 16 with 18 who 19 had 20 slow 22 velocity 23 based 23 based 24 on 23 based 37 seconds 24 on 30 walk 25 a 30 walk 26 timed 30 walk 27 25 29 foot 29 foot 30 walk 30 walk 32 t25fw 30 walk 34 of 31 ( 32 t25fw 32 t25fw 33 ) 34 of 36 5 35 < 36 5 interventions : none . 0 ###LEFT-WALL### 1 interventions 0 ###LEFT-WALL### 2 : 2 : 3 none 2 : 4 . main outcome measures : postural response latency , sway variables , trunk motion variables . 0 ###LEFT-WALL### 3 measures 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 15 . 1 main 2 outcome 2 outcome 3 measures 3 measures 4 : 4 : 7 latency 5 postural 6 response 6 response 7 latency 7 latency 10 variables 8 , 10 variables 9 sway 10 variables 10 variables 11 , 11 , 14 variables 12 trunk 14 variables 13 motion 14 variables results : we found that subjects with [ms] [with] both slow or normal walking velocities had significantly longer postural response latencies than the healthy control group . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 group 0 ###LEFT-WALL### 27 . 2 : 3 we 2 : 4 found 3 we 4 found 4 found 5 that 4 found 16 had 5 that 6 subjects 6 subjects 7 with 6 subjects 12 or 7 with 10 both 11 slow 12 or 12 or 13 normal 12 or 14 walking 15 velocities 16 had 16 had 21 latencies 16 had 22 than 16 had 26 group 17 significantly 18 longer 18 longer 21 latencies 19 postural 21 latencies 20 response 21 latencies 22 than 25 control 23 the 25 control 24 healthy 25 control postural response latency was not correlated with the t25fw . 0 ###LEFT-WALL### 3 latency 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 10 . 1 postural 2 response 2 response 3 latency 3 latency 4 was 4 was 5 not 4 was 7 with 5 not 6 correlated 7 with 9 t25fw 8 the 9 t25fw postural response latency was significantly correlated with center [of] pressure sway variables during quiet standing ( root mean square [:] ρ=.334 , p=.04 ; range : ρ=.385 , p=.017 ; mean velocity : ρ=.337 , p=.038 ; total sway area : ρ=.393 , p=.015 ) . 0 ###LEFT-WALL### 1 postural 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 41 : 0 ###LEFT-WALL### 46 . 1 postural 4 was 1 postural 7 with 1 postural 13 during 2 response 3 latency 3 latency 4 was 4 was 5 significantly 4 was 6 correlated 7 with 12 variables 8 center 10 pressure 10 pressure 12 variables 11 sway 12 variables 13 during 15 standing 14 quiet 15 standing 15 standing 21 ρ=.334 16 ( 21 ρ=.334 17 root 19 square 18 mean 19 square 19 square 21 ρ=.334 21 ρ=.334 22 , 22 , 23 p=.04 22 , 24 ; 24 ; 25 range 24 ; 26 : 26 : 27 ρ=.385 26 : 30 ; 27 ρ=.385 29 p=.017 28 , 29 p=.017 29 p=.017 30 ; 30 ; 32 velocity 30 ; 33 : 30 ; 37 ; 31 mean 32 velocity 32 velocity 33 : 33 : 34 ρ=.337 34 ρ=.337 36 p=.038 35 , 36 p=.038 36 p=.038 37 ; 37 ; 40 area 38 total 40 area 39 sway 40 area 40 area 41 : 41 : 42 ρ=.393 42 ρ=.393 44 p=.015 43 , 44 p=.015 44 p=.015 45 ) postural response latency was also significantly correlated with motion of the trunk [during] walking ( sagittal plane range of motion : ρ=.316 , p=.05 ; sd [of] transverse plane range of motion : ρ= - [.] 43 , p=.006 ) . 0 ###LEFT-WALL### 3 latency 0 ###LEFT-WALL### 7 correlated 0 ###LEFT-WALL### 21 : 1 postural 2 response 2 response 3 latency 3 latency 4 was 4 was 5 also 4 was 7 correlated 6 significantly 7 correlated 7 correlated 8 with 8 with 9 motion 9 motion 10 of 9 motion 18 range 10 of 12 trunk 11 the 12 trunk 12 trunk 14 walking 15 ( 18 range 16 sagittal 17 plane 17 plane 18 range 18 range 19 of 18 range 21 : 19 of 20 motion 21 : 24 p=.05 21 : 25 ; 21 : 41 . 22 ρ=.316 23 , 22 ρ=.316 24 p=.05 25 ; 30 range 25 ; 33 : 26 sd 30 range 28 transverse 29 plane 29 plane 30 range 30 range 31 of 30 range 33 : 31 of 32 motion 33 : 34 ρ= 34 ρ= 37 43 35 - 37 43 37 43 39 p=.006 37 43 40 ) 38 , 39 p=.006 39 p=.006 40 ) conclusions : these findings clearly indicate that slow postural responses to external perturbations in patients [with] [ms] contribute to disturbances in balance control during both standing [and] walking . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 findings 2 : 6 indicate 2 : 29 . 3 these 4 findings 4 findings 6 indicate 5 clearly 6 indicate 6 indicate 7 that 7 that 10 responses 7 that 18 contribute 8 slow 10 responses 9 postural 10 responses 10 responses 11 to 10 responses 18 contribute 11 to 13 perturbations 12 external 13 perturbations 13 perturbations 14 in 14 in 15 patients 18 contribute 19 to 18 contribute 21 in 19 to 20 disturbances 21 in 23 control 22 balance 23 control 23 control 24 during 23 control 28 walking 24 during 25 both 25 both 26 standing design : [walking] trials were collected for 110 participants ( 1.70 ± [0.09] m , 80 ± 14 [kg] ) . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 2 : 4 trials 2 : 5 were 2 : 21 . 4 trials 5 were 5 were 6 collected 6 collected 7 for 7 for 9 participants 8 110 9 participants 9 participants 14 m 9 participants 17 ± 10 ( 14 m 11 1.70 14 m 12 ± 14 m 14 m 15 , 15 , 17 ± 16 80 17 ± 17 ± 18 14 17 ± 20 ) there were 29 younger asymptomatic subjects ( 29 ± 4 years [ )(and 81 older participants ( 59 ± 9 years ) , that included 27 asymptomatic subjects and 28 and 26 patients with moderate and severe medial knee oa . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 41 . 1 there 2 were 2 were 6 subjects 3 29 6 subjects 4 younger 6 subjects 5 asymptomatic 6 subjects 6 subjects 13 )(and 7 ( 13 )(and 8 29 11 years 9 ± 11 years 10 4 11 years 11 years 13 )(and 13 )(and 16 participants 13 )(and 21 years 13 )(and 23 , 14 81 16 participants 15 older 16 participants 17 ( 21 years 18 59 21 years 19 ± 21 years 20 9 21 years 21 years 22 ) 23 , 24 that 23 , 25 included 24 that 25 included 25 included 29 and 25 included 34 with 26 27 29 and 27 asymptomatic 28 subjects 28 subjects 29 and 29 and 33 patients 30 28 31 and 31 and 32 26 31 and 33 patients 34 with 40 oa 35 moderate 36 and 36 and 37 severe 36 and 40 oa 38 medial 40 oa 39 knee 40 oa discrete variables characterizing sagittal - plane knee function [were] [compared] [among] [the] four groups using anovas . 0 ###LEFT-WALL### 8 function 0 ###LEFT-WALL### 14 groups 0 ###LEFT-WALL### 17 . 1 discrete 2 variables 2 variables 8 function 3 characterizing 8 function 4 sagittal 5 - 4 sagittal 6 plane 6 plane 8 function 7 knee 8 function 8 function 13 four 8 function 14 groups 14 groups 15 using 15 using 16 anovas results : during the heel [-] strike portion of the gait cycle at preferred [walking] speed , the knee was less extended and the shank less inclined in the three older groups compared to the younger asymptomatic group . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 39 . 1 results 2 : 2 : 3 during 2 : 13 at 3 during 8 portion 4 the 8 portion 5 heel 7 strike 7 strike 8 portion 8 portion 9 of 9 of 12 cycle 10 the 12 cycle 11 gait 12 cycle 13 at 16 speed 14 preferred 16 speed 17 , 19 knee 17 , 20 was 17 , 23 and 18 the 19 knee 19 knee 20 was 20 was 22 extended 21 less 22 extended 23 and 25 shank 23 and 33 compared 24 the 25 shank 25 shank 26 less 25 shank 27 inclined 25 shank 33 compared 26 less 27 inclined 27 inclined 28 in 28 in 32 groups 29 the 30 three 30 three 32 groups 31 older 32 groups 33 compared 34 to 34 to 38 group 35 the 38 group 36 younger 38 group 37 asymptomatic 38 group there were similar differences between the severe oa group and the older asymptomatic and moderate oa groups . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 18 . 1 there 2 were 2 were 4 differences 2 were 5 between 3 similar 4 differences 5 between 10 and 6 the 9 group 7 severe 9 group 8 oa 9 group 9 group 10 and 10 and 17 groups 11 the 17 groups 12 older 17 groups 13 asymptomatic 14 and 14 and 15 moderate 14 and 17 groups 16 oa 17 groups both oa groups also had the femur less posterior relative to the tibia and smaller extension moment than the younger group . 0 ###LEFT-WALL### 3 groups 0 ###LEFT-WALL### 5 had 0 ###LEFT-WALL### 22 . 1 both 3 groups 2 oa 3 groups 3 groups 5 had 4 also 5 had 5 had 17 moment 5 had 18 than 6 the 17 moment 7 femur 17 moment 8 less 9 posterior 9 posterior 16 extension 10 relative 11 to 10 relative 14 and 11 to 13 tibia 12 the 13 tibia 14 and 15 smaller 14 and 16 extension 16 extension 17 moment 18 than 21 group 19 the 21 group 20 younger 21 group [during] terminal stance , the severe oa group had the knee less [extended] and smaller knee extension moment than the younger asymptomatic and older moderate oa groups . 0 ###LEFT-WALL### 3 stance 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 28 . 2 terminal 3 stance 4 , 8 group 4 , 9 had 5 the 8 group 6 severe 8 group 7 oa 8 group 8 group 9 had 9 had 18 moment 9 had 19 than 10 the 18 moment 11 knee 17 extension 12 less 14 and 14 and 15 smaller 14 and 16 knee 16 knee 17 extension 17 extension 18 moment 19 than 27 groups 20 the 27 groups 21 younger 25 moderate 22 asymptomatic 23 and 23 and 24 older 23 and 25 moderate 25 moderate 27 groups 26 oa 27 groups conclusions : the differences in knee function , particularly those [during] heel - strike which were associated with both age and disease severity , could form a basis for looking at mechanical risk factors for initiation and progression of knee oa on a prospective basis . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 8 , 1 conclusions 2 : 2 : 4 differences 2 : 5 in 3 the 4 differences 5 in 7 function 6 knee 7 function 8 , 10 those 8 , 12 heel 8 , 13 - 9 particularly 10 those 10 those 12 heel 13 - 14 strike 14 strike 15 which 14 strike 24 , 15 which 24 , 16 were 17 associated 16 were 24 , 17 associated 18 with 18 with 21 and 19 both 21 and 20 age 21 and 21 and 23 severity 22 disease 23 severity 24 , 25 could 25 could 26 form 26 form 28 basis 26 form 31 at 27 a 28 basis 28 basis 29 for 29 for 30 looking 31 at 37 and 32 mechanical 34 factors 33 risk 34 factors 34 factors 35 for 34 factors 37 and 35 for 36 initiation 37 and 38 progression 37 and 46 . 38 progression 39 of 39 of 41 oa 40 knee 41 oa 41 oa 42 on 42 on 45 basis 43 a 45 basis 44 prospective 45 basis many frail older adults are thin , weak , and undernourished ; this component of frailty remains a critical concern in the geriatric field . 0 ###LEFT-WALL### 4 adults 0 ###LEFT-WALL### 5 are 0 ###LEFT-WALL### 12 ; 0 ###LEFT-WALL### 25 . 1 many 4 adults 2 frail 4 adults 3 older 4 adults 4 adults 5 are 5 are 10 and 6 thin 7 , 7 , 8 weak 7 , 10 and 9 , 10 and 10 and 11 undernourished 12 ; 14 component 12 ; 17 remains 13 this 14 component 14 component 15 of 14 component 17 remains 15 of 16 frailty 17 remains 20 concern 17 remains 21 in 18 a 20 concern 19 critical 20 concern 21 in 24 field 22 the 24 field 23 geriatric 24 field however , there is also strong evidence that excessive adiposity contributes to frailty by reducing the ability of older adults to perform physical activities and increasing metabolic instability . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 29 . 1 however 2 , 1 however 3 there 3 there 4 is 4 is 5 also 4 is 7 evidence 4 is 14 by 6 strong 7 evidence 7 evidence 8 that 7 evidence 11 contributes 8 that 10 adiposity 8 that 11 contributes 9 excessive 10 adiposity 10 adiposity 11 contributes 11 contributes 12 to 12 to 13 frailty 14 by 15 reducing 15 reducing 17 ability 16 the 17 ability 17 ability 18 of 17 ability 21 to 17 ability 22 perform 18 of 20 adults 19 older 20 adults 21 to 22 perform 22 perform 25 and 23 physical 24 activities 24 activities 25 and 25 and 28 instability 26 increasing 28 instability 27 metabolic 28 instability our scoping review explores the impact of being obese on physical frailty in older adults by summarizing the state of the science for both clinical markers of physical [function] and biomarkers for potential underlying causes of obesity - related decline . 0 ###LEFT-WALL### 3 review 0 ###LEFT-WALL### 4 explores 0 ###LEFT-WALL### 38 - 1 our 3 review 2 scoping 3 review 3 review 4 explores 4 explores 6 impact 4 explores 10 on 4 explores 13 in 4 explores 16 by 5 the 6 impact 6 impact 7 of 7 of 8 being 8 being 9 obese 10 on 12 frailty 11 physical 12 frailty 13 in 15 adults 14 older 15 adults 16 by 17 summarizing 17 summarizing 19 state 18 the 19 state 19 state 20 of 19 state 27 of 20 of 22 science 21 the 22 science 22 science 23 for 23 for 26 markers 24 both 26 markers 25 clinical 26 markers 27 of 30 and 28 physical 30 and 30 and 31 biomarkers 31 biomarkers 32 for 32 for 33 potential 33 potential 34 underlying 33 potential 36 of 34 underlying 35 causes 36 of 37 obesity 38 - 40 decline 38 - 41 . 39 related 40 decline our initial search yielded 212 articles ; exclusion [of] cross - sectional and observational studies , cell culture and animal studies , disease - specific interventions , and articles published before 2001 led to a final result of 21 articles . 0 ###LEFT-WALL### 6 articles 0 ###LEFT-WALL### 7 ; 0 ###LEFT-WALL### 41 . 1 our 6 articles 2 initial 6 articles 3 search 4 yielded 4 yielded 6 articles 5 212 6 articles 7 ; 10 cross 7 ; 11 - 8 exclusion 10 cross 11 - 28 and 11 - 33 led 12 sectional 13 and 13 and 14 observational 13 and 15 studies 15 studies 16 , 16 , 18 culture 16 , 19 and 17 cell 18 culture 19 and 21 studies 19 and 23 disease 19 and 28 and 20 animal 21 studies 22 , 23 disease 23 disease 26 interventions 23 disease 27 , 24 - 26 interventions 25 specific 26 interventions 26 interventions 27 , 27 , 28 and 28 and 29 articles 28 and 30 published 28 and 31 before 28 and 33 led 31 before 32 2001 33 led 34 to 33 led 40 articles 34 to 37 result 35 a 36 final 35 a 37 result 36 final 37 result 37 result 38 of 38 of 39 21 findings of these trials included the following major points . 0 ###LEFT-WALL### 1 findings 0 ###LEFT-WALL### 5 included 0 ###LEFT-WALL### 10 . 1 findings 2 of 1 findings 5 included 2 of 4 trials 3 these 4 trials 5 included 9 points 6 the 7 following 6 the 9 points 8 major 9 points the literature consistently confirmed benefits of lifestyle interventions to [physical] function [assessed] at the clinical level . 0 ###LEFT-WALL### 2 literature 0 ###LEFT-WALL### 4 confirmed 0 ###LEFT-WALL### 17 . 1 the 2 literature 2 literature 4 confirmed 3 consistently 4 confirmed 4 confirmed 5 benefits 4 confirmed 9 to 5 benefits 6 of 6 of 8 interventions 7 lifestyle 8 interventions 9 to 11 function 11 function 13 at 13 at 16 level 14 the 16 level 15 clinical 16 level generally speaking , weight loss alone produced a greater effect than exercise alone , and the best outcomes were achieved with a combination of weight loss and exercise , especially exercise programs that combined aerobic , resistance , and flexibility training . 0 ###LEFT-WALL### 5 loss 0 ###LEFT-WALL### 7 produced 0 ###LEFT-WALL### 29 , 0 ###LEFT-WALL### 42 . 1 generally 5 loss 2 speaking 3 , 2 speaking 5 loss 4 weight 5 loss 5 loss 7 produced 6 alone 7 produced 7 produced 10 effect 7 produced 11 than 8 a 10 effect 9 greater 10 effect 11 than 12 exercise 11 than 20 achieved 12 exercise 18 outcomes 12 exercise 19 were 12 exercise 20 achieved 13 alone 15 and 14 , 15 and 15 and 17 best 15 and 18 outcomes 16 the 17 best 18 outcomes 19 were 20 achieved 21 with 21 with 27 and 22 a 23 combination 23 combination 24 of 23 combination 27 and 24 of 26 loss 25 weight 26 loss 27 and 28 exercise 27 and 29 , 29 , 31 exercise 29 , 36 , 30 especially 31 exercise 31 exercise 32 programs 32 programs 33 that 32 programs 34 combined 33 that 34 combined 34 combined 35 aerobic 36 , 41 training 37 resistance 39 and 38 , 39 and 39 and 40 flexibility 39 and 41 training weight loss interventions tended to reduce markers of inflammation and/or oxidative damage when more [robust] weight reduction was achieved and maintained over time , whereas exercise did not change markers of inflammation . 0 ###LEFT-WALL### 3 interventions 0 ###LEFT-WALL### 4 tended 1 weight 3 interventions 2 loss 3 interventions 3 interventions 4 tended 4 tended 5 to 4 tended 18 was 5 to 6 reduce 6 reduce 7 markers 6 reduce 10 and/or 7 markers 8 of 8 of 9 inflammation 10 and/or 12 damage 11 oxidative 12 damage 12 damage 13 when 12 damage 18 was 13 when 14 more 13 when 16 weight 14 more 16 weight 16 weight 17 reduction 18 was 20 and 19 achieved 20 and 20 and 21 maintained 20 and 22 over 20 and 25 whereas 22 over 23 time 24 , 25 whereas 25 whereas 26 exercise 25 whereas 29 change 25 whereas 33 . 26 exercise 27 did 27 did 28 not 27 did 29 change 29 change 30 markers 30 markers 31 of 31 of 32 inflammation however , participation in a chronic exercise program did reduce the oxidative stress induced by an acute bout of exercise . 0 ###LEFT-WALL### 3 participation 0 ###LEFT-WALL### 10 reduce 0 ###LEFT-WALL### 21 . 1 however 2 , 1 however 3 participation 3 participation 4 in 3 participation 9 did 4 in 8 program 5 a 6 chronic 5 a 8 program 6 chronic 7 exercise 7 exercise 8 program 9 did 10 reduce 10 reduce 13 stress 11 the 13 stress 12 oxidative 13 stress 13 stress 14 induced 14 induced 15 by 15 by 18 bout 16 an 17 acute 16 an 18 bout 17 acute 18 bout 18 bout 19 of 19 of 20 exercise weight loss interventions consistently reduced lipid accumulation in the muscle ; however , in response to exercise , 3 studies showed an increase and 2 a decrease in muscle lipid infiltration . 0 ###LEFT-WALL### 3 interventions 0 ###LEFT-WALL### 5 reduced 0 ###LEFT-WALL### 11 ; 0 ###LEFT-WALL### 32 . 1 weight 2 loss 2 loss 3 interventions 3 interventions 5 reduced 4 consistently 5 reduced 5 reduced 7 accumulation 5 reduced 8 in 6 lipid 7 accumulation 8 in 10 muscle 9 the 10 muscle 11 ; 20 studies 11 ; 21 showed 12 however 20 studies 13 , 16 to 14 in 15 response 15 response 16 to 16 to 17 exercise 16 to 18 , 16 to 20 studies 19 3 20 studies 20 studies 21 showed 21 showed 23 increase 21 showed 24 and 21 showed 28 in 22 an 23 increase 24 and 25 2 24 and 27 decrease 26 a 27 decrease 28 in 31 infiltration 29 muscle 31 infiltration 30 lipid 31 infiltration in summary , this scoping review identified strong clinical evidence that weight reduction [and/or] exercise interventions can improve physical function [and] biomarkers of physical dysfunction among overweight/obese older adults , supporting the suggestion that excessive adiposity contributes to physical frailty . 0 ###LEFT-WALL### 18 improve 1 in 10 evidence 1 in 18 improve 2 summary 3 , 2 summary 10 evidence 4 this 5 scoping 5 scoping 10 evidence 6 review 7 identified 7 identified 10 evidence 8 strong 9 clinical 9 clinical 10 evidence 10 evidence 11 that 11 that 16 interventions 11 that 17 can 12 weight 13 reduction 13 reduction 15 exercise 15 exercise 16 interventions 16 interventions 17 can 18 improve 22 biomarkers 18 improve 26 among 19 physical 20 function 20 function 22 biomarkers 22 biomarkers 23 of 23 of 25 dysfunction 24 physical 25 dysfunction 26 among 29 adults 27 overweight/obese 29 adults 28 older 29 adults 29 adults 31 supporting 30 , 31 supporting 31 supporting 33 suggestion 31 supporting 38 to 31 supporting 41 . 32 the 33 suggestion 33 suggestion 34 that 34 that 36 adiposity 34 that 37 contributes 35 excessive 36 adiposity 36 adiposity 37 contributes 38 to 40 frailty 39 physical 40 frailty however , the evidence also suggests a complexity of metabolic influences , both [systemically] and [within] muscle , which has not been elucidated to date . 0 ###LEFT-WALL### 4 evidence 0 ###LEFT-WALL### 6 suggests 0 ###LEFT-WALL### 26 . 1 however 2 , 1 however 4 evidence 3 the 4 evidence 4 evidence 6 suggests 5 also 6 suggests 6 suggests 8 complexity 7 a 8 complexity 8 complexity 9 of 8 complexity 19 which 8 complexity 20 has 9 of 11 influences 10 metabolic 11 influences 11 influences 15 and 12 , 15 and 13 both 15 and 15 and 17 muscle 15 and 18 , 19 which 20 has 20 has 21 not 20 has 22 been 22 been 23 elucidated 23 elucidated 25 date 24 to 25 date considerable further study is needed to examine the mechanisms by which lifestyle interventions influence physical frailty before the net impact of such interventions can be fully understood . 0 ###LEFT-WALL### 25 be 0 ###LEFT-WALL### 28 . 1 considerable 3 study 1 considerable 7 examine 1 considerable 24 can 2 further 3 study 3 study 4 is 4 is 5 needed 5 needed 6 to 6 to 7 examine 7 examine 9 mechanisms 8 the 9 mechanisms 9 mechanisms 10 by 10 by 11 which 10 by 12 lifestyle 10 by 13 interventions 10 by 14 influence 11 which 12 lifestyle 13 interventions 14 influence 14 influence 16 frailty 14 influence 17 before 15 physical 16 frailty 17 before 20 impact 18 the 20 impact 19 net 20 impact 20 impact 21 of 21 of 23 interventions 22 such 23 interventions 24 can 25 be 25 be 26 fully 25 be 27 understood bronchial asthma is one of the most common chronic diseases worldwide , [and] by definition not expected to recover with aging . 0 ###LEFT-WALL### 2 asthma 0 ###LEFT-WALL### 3 is 1 bronchial 2 asthma 2 asthma 3 is 3 is 4 one 3 is 11 worldwide 3 is 14 by 4 one 5 of 5 of 10 diseases 6 the 7 most 7 most 10 diseases 8 common 10 diseases 9 chronic 10 diseases 12 , 14 by 14 by 15 definition 14 by 22 . 15 definition 16 not 16 not 17 expected 17 expected 18 to 17 expected 19 recover 18 to 19 recover 19 recover 20 with 20 with 21 aging however , the concept that asthma can affect older individuals has been largely denied in the past . 0 ###LEFT-WALL### 4 concept 0 ###LEFT-WALL### 14 denied 0 ###LEFT-WALL### 18 . 1 however 2 , 1 however 4 concept 3 the 4 concept 4 concept 5 that 4 concept 11 has 5 that 6 asthma 5 that 8 affect 6 asthma 7 can 7 can 8 affect 8 affect 10 individuals 9 older 10 individuals 11 has 12 been 12 been 14 denied 13 largely 14 denied 14 denied 15 in 15 in 17 past 16 the 17 past in clinical practice , asthma that occurs in the most advanced ages is often diagnosed as copd , thus leading to undertreatment or improper treatment . 0 ###LEFT-WALL### 5 asthma 0 ###LEFT-WALL### 15 diagnosed 1 in 3 practice 1 in 4 , 1 in 5 asthma 2 clinical 3 practice 5 asthma 6 that 5 asthma 7 occurs 5 asthma 13 is 6 that 7 occurs 7 occurs 8 in 8 in 12 ages 9 the 10 most 10 most 12 ages 11 advanced 12 ages 13 is 14 often 13 is 15 diagnosed 15 diagnosed 16 as 16 as 17 copd 17 copd 20 leading 18 , 20 leading 19 thus 20 leading 20 leading 21 to 20 leading 26 . 21 to 23 or 22 undertreatment 23 or 23 or 25 treatment 24 improper 25 treatment the heterogeneity of clinical and functional presentation of geriatric asthma , including the partial loss of reversibility [and] of the allergic component , contributes to this misconception . 0 ###LEFT-WALL### 2 heterogeneity 0 ###LEFT-WALL### 24 contributes 0 ###LEFT-WALL### 28 . 1 the 2 heterogeneity 2 heterogeneity 3 of 2 heterogeneity 12 including 2 heterogeneity 24 contributes 3 of 7 presentation 4 clinical 5 and 5 and 6 functional 5 and 7 presentation 7 presentation 8 of 8 of 10 asthma 9 geriatric 10 asthma 11 , 12 including 12 including 15 loss 12 including 23 , 13 the 15 loss 14 partial 15 loss 15 loss 16 of 16 of 17 reversibility 17 reversibility 19 of 19 of 22 component 20 the 22 component 21 allergic 22 component 24 contributes 25 to 25 to 27 misconception 26 this 27 misconception a large body of evidence has accumulated demonstrating that the prevalence of asthma in the most advanced ages is similar to that in younger ages . 0 ###LEFT-WALL### 3 body 0 ###LEFT-WALL### 7 accumulated 0 ###LEFT-WALL### 26 . 1 a 2 large 1 a 3 body 2 large 3 body 3 body 4 of 3 body 6 has 4 of 5 evidence 6 has 7 accumulated 7 accumulated 8 demonstrating 8 demonstrating 9 that 8 demonstrating 19 is 8 demonstrating 20 similar 9 that 11 prevalence 9 that 19 is 10 the 11 prevalence 11 prevalence 12 of 11 prevalence 19 is 12 of 13 asthma 13 asthma 14 in 14 in 18 ages 15 the 16 most 16 most 18 ages 17 advanced 18 ages 20 similar 21 to 20 similar 23 in 21 to 22 that 23 in 25 ages 24 younger 25 ages the frequent coexistence of comorbid conditions in older patients compared to younger asthmatics , together with age - associated changes of the human lung , may render the management of [asthma] a complicated task . 0 ###LEFT-WALL### 3 coexistence 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 35 . 1 the 3 coexistence 2 frequent 3 coexistence 3 coexistence 4 of 3 coexistence 10 compared 3 coexistence 25 , 4 of 6 conditions 5 comorbid 6 conditions 6 conditions 7 in 7 in 9 patients 8 older 9 patients 10 compared 11 to 10 compared 16 with 11 to 13 asthmatics 12 younger 13 asthmatics 14 , 16 with 15 together 16 with 16 with 17 age 16 with 18 - 19 associated 20 changes 19 associated 25 , 20 changes 21 of 21 of 24 lung 22 the 24 lung 23 human 24 lung 25 , 26 may 26 may 27 render 27 render 29 management 28 the 29 management 29 management 30 of 30 of 34 task 32 a 33 complicated 32 a 34 task 33 complicated 34 task the article addresses the main issues related to the diagnosis and treatment of asthma in the geriatric age . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 addresses 0 ###LEFT-WALL### 19 . 1 the 2 article 2 article 3 addresses 3 addresses 6 issues 3 addresses 8 to 3 addresses 15 in 4 the 6 issues 5 main 6 issues 6 issues 7 related 8 to 11 and 9 the 10 diagnosis 10 diagnosis 11 and 11 and 12 treatment 11 and 13 of 13 of 14 asthma 15 in 18 age 16 the 18 age 17 geriatric 18 age this article investigates the causal relationship between the number of biological children and mental health of elderly europeans . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 investigates 0 ###LEFT-WALL### 19 . 1 this 2 article 2 article 3 investigates 3 investigates 6 relationship 3 investigates 7 between 4 the 6 relationship 5 causal 6 relationship 7 between 13 and 8 the 9 number 9 number 10 of 9 number 12 children 10 of 12 children 11 biological 12 children 12 children 13 and 13 and 15 health 13 and 16 of 14 mental 15 health 16 of 18 europeans 17 elderly 18 europeans specifically , we ask whether additional children improve or threaten parents ' mental health status . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 ask 0 ###LEFT-WALL### 16 . 1 specifically 2 , 1 specifically 3 we 3 we 4 ask 4 ask 5 whether 5 whether 7 children 5 whether 9 or 6 additional 7 children 7 children 9 or 8 improve 9 or 9 or 10 threaten 9 or 15 status 10 threaten 14 health 11 parents 12 ' 12 ' 14 health 13 mental 14 health the identification of causal effects draws on two natural experiments that exogenously increase the number of children : multiple births and the sex composition of the first two children . 0 ###LEFT-WALL### 2 identification 0 ###LEFT-WALL### 6 draws 0 ###LEFT-WALL### 18 : 0 ###LEFT-WALL### 30 . 1 the 2 identification 2 identification 3 of 2 identification 6 draws 3 of 5 effects 4 causal 5 effects 6 draws 7 on 6 draws 10 experiments 6 draws 13 increase 7 on 8 two 9 natural 10 experiments 10 experiments 13 increase 11 that 12 exogenously 12 exogenously 13 increase 13 increase 17 children 14 the 15 number 15 number 16 of 15 number 17 children 16 of 17 children 18 : 21 and 19 multiple 20 births 20 births 21 and 21 and 24 composition 21 and 25 of 22 the 24 composition 23 sex 24 composition 25 of 29 children 26 the 27 first 26 the 28 two 28 two 29 children this setup allows us to identify the effect of expected and desired as well as the effect of unexpected additional children on mental health . 0 ###LEFT-WALL### 2 setup 0 ###LEFT-WALL### 3 allows 0 ###LEFT-WALL### 25 . 1 this 2 setup 2 setup 3 allows 3 allows 4 us 3 allows 5 to 3 allows 6 identify 5 to 6 identify 6 identify 8 effect 7 the 8 effect 8 effect 9 of 9 of 11 and 10 expected 11 and 11 and 12 desired 11 and 15 as 11 and 22 on 13 as 14 well 14 well 15 as 15 as 17 effect 16 the 17 effect 17 effect 18 of 18 of 21 children 19 unexpected 21 children 20 additional 21 children 22 on 24 health 23 mental 24 health for women , we find conflicting evidence regarding the effect of additional children on mental health , and we only find a negative effect of having additional children on mental health using multiple birth at the second pregnancy [as] instrument . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 find 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 26 having 0 ###LEFT-WALL### 41 . 1 for 2 women 1 for 3 , 1 for 4 we 4 we 5 find 5 find 7 evidence 5 find 8 regarding 6 conflicting 7 evidence 8 regarding 10 effect 8 regarding 14 on 9 the 10 effect 10 effect 11 of 11 of 13 children 12 additional 13 children 14 on 16 health 15 mental 16 health 17 , 18 and 18 and 19 we 18 and 21 find 19 we 21 find 20 only 21 find 21 find 23 negative 21 find 24 effect 22 a 23 negative 24 effect 25 of 25 of 26 having 26 having 28 children 26 having 29 on 27 additional 28 children 29 on 31 health 30 mental 31 health 31 health 32 using 32 using 34 birth 33 multiple 34 birth 34 birth 35 at 35 at 40 instrument 36 the 37 second 36 the 40 instrument 38 pregnancy 40 instrument thus , it takes a rare and somewhat particular situation to uncover the negative effect . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 4 takes 0 ###LEFT-WALL### 16 . 1 thus 2 , 1 thus 3 it 3 it 4 takes 4 takes 10 situation 4 takes 11 to 5 a 10 situation 6 rare 7 and 7 and 9 particular 7 and 10 situation 8 somewhat 9 particular 11 to 12 uncover 12 uncover 15 effect 13 the 15 effect 14 negative 15 effect there is no evidence for a causal effect of additional children on the probability to suffer from depression for elder men . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 22 . 1 there 2 is 2 is 4 evidence 2 is 5 for 2 is 12 on 2 is 15 to 3 no 4 evidence 5 for 8 effect 6 a 7 causal 6 a 8 effect 7 causal 8 effect 8 effect 9 of 9 of 11 children 10 additional 11 children 12 on 14 probability 13 the 14 probability 15 to 16 suffer 16 suffer 17 from 17 from 18 depression 18 depression 19 for 19 for 21 men 20 elder 21 men age - related changes in testosterone are believed to be a key component of the processes that contribute to cognitive aging in men . 0 ###LEFT-WALL### 4 changes 0 ###LEFT-WALL### 8 believed 0 ###LEFT-WALL### 24 . 1 age 2 - 1 age 4 changes 3 related 4 changes 4 changes 5 in 4 changes 7 are 5 in 6 testosterone 7 are 8 believed 8 believed 9 to 8 believed 10 be 9 to 10 be 10 be 13 component 11 a 13 component 12 key 13 component 13 component 14 of 13 component 22 in 14 of 16 processes 15 the 16 processes 16 processes 17 that 16 processes 18 contribute 17 that 18 contribute 18 contribute 19 to 19 to 21 aging 20 cognitive 21 aging 22 in 23 men the apoe - ε4 allele may interact with testosterone and moderate the hormone 's association with cognition . 0 ###LEFT-WALL### 2 apoe 0 ###LEFT-WALL### 3 - 1 the 2 apoe 3 - 5 allele 3 - 10 and 3 - 18 . 4 ε4 5 allele 5 allele 6 may 6 may 10 and 7 interact 8 with 7 interact 10 and 8 with 9 testosterone 10 and 11 moderate 11 moderate 15 association 11 moderate 16 with 12 the 13 hormone 13 hormone 14 's 14 's 15 association 16 with 17 cognition the goals of the present study were to examine the degree to which free testosterone is associated with episodic memory in a community - based sample of middle - aged men , and [examine] the potential interaction between free testosterone and the apoe - ε4 allele . 1 the 2 goals 2 goals 3 of 2 goals 7 were 3 of 6 study 4 the 6 study 5 present 6 study 7 were 8 to 7 were 18 with 8 to 9 examine 9 examine 11 degree 9 examine 17 associated 10 the 11 degree 11 degree 12 to 11 degree 17 associated 12 to 13 which 12 to 15 testosterone 12 to 16 is 14 free 15 testosterone 15 testosterone 16 is 18 with 20 memory 18 with 26 sample 19 episodic 20 memory 20 memory 21 in 20 memory 25 based 21 in 23 community 22 a 23 community 24 - 25 based 26 sample 27 of 27 of 28 middle 28 middle 37 interaction 29 - 37 interaction 30 aged 31 men 31 men 33 and 32 , 33 and 33 and 36 potential 33 and 37 interaction 35 the 36 potential 37 interaction 38 between 37 interaction 46 allele 37 interaction 47 . 38 between 41 and 39 free 40 testosterone 40 testosterone 41 and 41 and 43 apoe 42 the 43 apoe 44 - 46 allele 45 ε4 46 allele 46 allele 47 . data were used from 717 participants in the vietnam era twin study of aging . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 3 used 0 ###LEFT-WALL### 15 . 1 data 2 were 2 were 3 used 3 used 4 from 3 used 7 in 4 from 6 participants 5 717 6 participants 7 in 12 study 8 the 12 study 9 vietnam 10 era 10 era 11 twin 11 twin 12 study 12 study 13 of 13 of 14 aging average age was 55.4 years ( standard deviation [=] 2.5 ) . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 12 . 1 average 2 age 2 age 3 was 3 was 5 years 4 55.4 5 years 5 years 8 deviation 6 ( 8 deviation 7 standard 8 deviation 8 deviation 10 2.5 8 deviation 11 ) significant positive associations were observed between free testosterone level and verbal episodic memory , as well as a significant interaction between free testosterone and apoe - ε4 status . 0 ###LEFT-WALL### 3 associations 0 ###LEFT-WALL### 5 observed 0 ###LEFT-WALL### 26 - 0 ###LEFT-WALL### 27 ε4 0 ###LEFT-WALL### 29 . 1 significant 3 associations 2 positive 3 associations 3 associations 4 were 4 were 5 observed 5 observed 6 between 5 observed 15 as 6 between 10 and 7 free 9 level 8 testosterone 9 level 9 level 10 and 10 and 13 memory 11 verbal 13 memory 12 episodic 13 memory 14 , 15 as 15 as 16 well 15 as 26 - 16 well 17 as 16 well 21 between 17 as 20 interaction 18 a 20 interaction 19 significant 20 interaction 21 between 24 and 22 free 23 testosterone 23 testosterone 24 and 24 and 25 apoe 26 - 27 ε4 27 ε4 28 status in ε4 carriers free testosterone was positively associated with verbal episodic memory performance ( story recall ) , whereas no association was observed in ε4 noncarriers . 0 ###LEFT-WALL### 5 testosterone 0 ###LEFT-WALL### 23 observed 0 ###LEFT-WALL### 27 . 1 in 3 carriers 1 in 5 testosterone 2 ε4 3 carriers 4 free 5 testosterone 5 testosterone 6 was 6 was 7 positively 6 was 8 associated 8 associated 9 with 8 associated 19 whereas 9 with 13 performance 10 verbal 13 performance 11 episodic 13 performance 12 memory 13 performance 13 performance 16 recall 14 ( 16 recall 15 story 16 recall 16 recall 17 ) 18 , 19 whereas 19 whereas 21 association 20 no 21 association 21 association 22 was 22 was 23 observed 23 observed 24 in 24 in 26 noncarriers 25 ε4 26 noncarriers results support the hypothesis [that] apoe - ε4 status increases susceptibility to other risk factors , such as low testosterone , which may ultimately contribute to cognitive decline [or] dementia . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 support 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 8 ε4 1 results 2 support 2 support 6 apoe 3 the 6 apoe 4 hypothesis 6 apoe 7 - 8 ε4 8 ε4 10 increases 9 status 10 increases 10 increases 11 susceptibility 10 increases 15 factors 10 increases 20 testosterone 11 susceptibility 12 to 11 susceptibility 15 factors 12 to 14 risk 13 other 14 risk 16 , 20 testosterone 17 such 20 testosterone 18 as 19 low 19 low 20 testosterone 20 testosterone 22 which 20 testosterone 31 . 21 , 22 which 22 which 23 may 22 which 31 . 23 may 25 contribute 24 ultimately 25 contribute 25 contribute 26 to 26 to 30 dementia 27 cognitive 30 dementia 28 decline 30 dementia [none] targeted inhibition of met/ron signaling by tyrosine kinase inhibitor bms - 777607 for cancer treatment is currently under clinical trials . 0 ###LEFT-WALL### 3 inhibition 0 ###LEFT-WALL### 17 is 0 ###LEFT-WALL### 22 . 2 targeted 3 inhibition 3 inhibition 4 of 3 inhibition 17 is 4 of 5 met/ron 5 met/ron 6 signaling 6 signaling 7 by 6 signaling 13 777607 7 by 11 bms 8 tyrosine 11 bms 9 kinase 11 bms 10 inhibitor 11 bms 12 - 13 777607 13 777607 14 for 14 for 16 treatment 15 cancer 16 treatment 17 is 18 currently 17 is 19 under 19 under 21 trials 20 clinical 21 trials we have previously shown that bms [-] 777607 induces chemoresistance in vitro by causing polyploidy , which hampers therapeutic efficacy . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 4 shown 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 21 . 1 we 2 have 2 have 4 shown 3 previously 4 shown 4 shown 5 that 5 that 6 bms 5 that 9 induces 6 bms 8 777607 6 bms 9 induces 9 induces 10 chemoresistance 9 induces 12 vitro 9 induces 13 by 11 in 12 vitro 13 by 14 causing 14 causing 15 polyploidy 16 , 17 which 16 , 18 hampers 17 which 18 hampers 18 hampers 20 efficacy 19 therapeutic 20 efficacy here , we studied polyploidy - associated senescence induced by bms - 777607 in breast cancer cells and its prevention by mtor inhibitor azd8055 , leading to increased chemosensitivity . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 studied 1 here 2 , 1 here 3 we 3 we 4 studied 4 studied 8 senescence 4 studied 21 by 5 polyploidy 6 - 5 polyploidy 8 senescence 7 associated 8 senescence 8 senescence 9 induced 9 induced 10 by 10 by 18 and 11 bms 15 breast 12 - 13 777607 13 777607 14 in 14 in 15 breast 15 breast 17 cells 16 cancer 17 cells 17 cells 18 and 18 and 20 prevention 19 its 20 prevention 21 by 24 azd8055 22 mtor 23 inhibitor 23 inhibitor 24 azd8055 24 azd8055 26 leading 25 , 26 leading 26 leading 27 to 26 leading 30 . 27 to 29 chemosensitivity 28 increased 29 chemosensitivity in breast cancer t - 47d and zr - 75 - 1 cells , bms - 777607 induced phenotypic changes including enlarged cellular size , flattened morphology , increased dna content , and activity of senescence - associated β - galactosidase . 0 ###LEFT-WALL### 28 , 0 ###LEFT-WALL### 37 - 1 in 3 cancer 1 in 25 , 1 in 28 , 2 breast 3 cancer 3 cancer 4 t 3 cancer 7 and 3 cancer 15 bms 5 - 7 and 6 47d 7 and 7 and 8 zr 7 and 14 , 8 zr 10 75 9 - 10 75 10 75 13 cells 10 75 14 , 11 - 13 cells 12 1 13 cells 13 cells 14 , 14 , 15 bms 15 bms 20 changes 15 bms 25 , 16 - 20 changes 17 777607 20 changes 18 induced 20 changes 19 phenotypic 20 changes 20 changes 21 including 20 changes 25 , 21 including 24 size 22 enlarged 24 size 23 cellular 24 size 26 flattened 27 morphology 26 flattened 28 , 28 , 29 increased 29 increased 33 and 30 dna 31 content 31 content 33 and 32 , 33 and 33 and 34 activity 33 and 35 of 35 of 36 senescence 37 - 39 β 38 associated 39 β 39 β 41 galactosidase 40 - 41 galactosidase 41 galactosidase 42 . these changes were accompanied by increased p21/waf1 expression and decreased retinoblastoma ser ( 780 ) phosphorylation , indicating that bms [-] 777607 induces not only polyploidy but also senescence . 1 these 2 changes 2 changes 3 were 3 were 4 accompanied 4 accompanied 5 by 5 by 9 and 6 increased 8 expression 6 increased 9 and 7 p21/waf1 8 expression 9 and 10 decreased 9 and 16 phosphorylation 10 decreased 12 ser 11 retinoblastoma 12 ser 12 ser 14 780 13 ( 14 780 14 780 15 ) 16 phosphorylation 18 indicating 17 , 18 indicating 18 indicating 19 that 18 indicating 30 . 19 that 20 bms 19 that 23 induces 20 bms 22 777607 20 bms 23 induces 23 induces 28 also 24 not 25 only 25 only 28 also 26 polyploidy 28 also 27 but 28 also 28 also 29 senescence the appearance of senescence was associated with polyploidy in which β - galactosidase is exclusively expressed in polyploid cells . 0 ###LEFT-WALL### 2 appearance 0 ###LEFT-WALL### 6 associated 0 ###LEFT-WALL### 20 . 1 the 2 appearance 2 appearance 3 of 2 appearance 5 was 3 of 4 senescence 5 was 6 associated 6 associated 7 with 7 with 8 polyploidy 8 polyploidy 9 in 9 in 10 which 9 in 13 galactosidase 9 in 16 expressed 11 β 12 - 11 β 13 galactosidase 13 galactosidase 14 is 14 is 15 exclusively 14 is 16 expressed 16 expressed 17 in 17 in 19 cells 18 polyploid 19 cells survivin expression was increased in polyploid/senescent cells as analyzed by western blotting . 0 ###LEFT-WALL### 2 expression 0 ###LEFT-WALL### 9 analyzed 0 ###LEFT-WALL### 13 . 1 survivin 2 expression 2 expression 3 was 3 was 4 increased 4 increased 5 in 4 increased 8 as 5 in 7 cells 6 polyploid/senescent 7 cells 8 as 9 analyzed 9 analyzed 10 by 9 analyzed 12 blotting 10 by 11 western increased survivin accumulated both in the nucleus and cytoplasm and dissociated with condensed dna and mitotic spindle at the metaphase . 0 ###LEFT-WALL### 2 survivin 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 21 . 1 increased 2 survivin 2 survivin 10 and 3 accumulated 4 both 3 accumulated 5 in 3 accumulated 10 and 5 in 8 and 6 the 7 nucleus 7 nucleus 8 and 8 and 9 cytoplasm 10 and 11 dissociated 10 and 12 with 10 and 18 at 12 with 15 and 13 condensed 14 dna 14 dna 15 and 15 and 17 spindle 16 mitotic 17 spindle 18 at 20 metaphase 19 the 20 metaphase abnormal accumulation of survivin also rendered polyploid/senescent cells insensitive to cytotoxic activities of ym155 , a dna damaging agent with a suppressive effect on survivin gene transcription . 0 ###LEFT-WALL### 2 accumulation 0 ###LEFT-WALL### 6 rendered 1 abnormal 2 accumulation 2 accumulation 3 of 2 accumulation 6 rendered 3 of 4 survivin 5 also 6 rendered 6 rendered 8 cells 7 polyploid/senescent 8 cells 8 cells 9 insensitive 9 insensitive 10 to 10 to 12 activities 11 cytotoxic 12 activities 12 activities 13 of 13 of 14 ym155 14 ym155 17 dna 15 , 17 dna 16 a 17 dna 17 dna 18 damaging 17 dna 28 . 18 damaging 19 agent 18 damaging 20 with 18 damaging 24 on 20 with 23 effect 21 a 22 suppressive 21 a 23 effect 22 suppressive 23 effect 24 on 27 transcription 25 survivin 27 transcription 26 gene 27 transcription azd8055 , a specific mtor inhibitor , effectively prevented bms - 777607 - induced polyploidy and senescence and restored survivin expression and its nuclear localization to normal levels . 0 ###LEFT-WALL### 1 azd8055 0 ###LEFT-WALL### 9 prevented 0 ###LEFT-WALL### 13 - 1 azd8055 6 inhibitor 1 azd8055 9 prevented 2 , 6 inhibitor 3 a 6 inhibitor 4 specific 5 mtor 5 mtor 6 inhibitor 6 inhibitor 7 , 8 effectively 9 prevented 9 prevented 10 bms 10 bms 12 777607 11 - 12 777607 12 777607 13 - 13 - 22 and 13 - 29 . 14 induced 15 polyploidy 15 polyploidy 16 and 16 and 17 senescence 16 and 18 and 18 and 21 expression 18 and 22 and 19 restored 20 survivin 20 survivin 21 expression 22 and 25 localization 22 and 26 to 23 its 25 localization 24 nuclear 25 localization 26 to 28 levels 27 normal 28 levels although a synergism was not observed , bms - 777607 plus azd8055 increased cancer cell sensitivity toward different cytotoxic chemotherapeutics . 0 ###LEFT-WALL### 10 777607 0 ###LEFT-WALL### 13 increased 0 ###LEFT-WALL### 21 . 1 although 3 synergism 1 although 4 was 1 although 10 777607 2 a 3 synergism 3 synergism 4 was 4 was 5 not 4 was 8 bms 5 not 6 observed 6 observed 7 , 9 - 10 777607 10 777607 11 plus 10 777607 13 increased 11 plus 12 azd8055 13 increased 16 sensitivity 13 increased 17 toward 14 cancer 16 sensitivity 15 cell 16 sensitivity 17 toward 20 chemotherapeutics 18 different 20 chemotherapeutics 19 cytotoxic 20 chemotherapeutics in conclusion , bms - 777607 - induced chemoresistance is associated with cell polyploidy and senescence . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 1 in 2 conclusion 3 , 4 bms 3 , 5 - 5 - 6 777607 5 - 7 - 5 - 17 . 6 777607 7 - 7 - 9 chemoresistance 8 induced 9 chemoresistance 9 chemoresistance 10 is 10 is 11 associated 11 associated 12 with 12 with 15 and 13 cell 14 polyploidy 14 polyploidy 15 and 15 and 16 senescence inhibition of mtor signaling by azd8055 prevents bms - 777607 - induced polyploidy/senescence and increases breast cancer cell chemosensitivity . 0 ###LEFT-WALL### 1 inhibition 0 ###LEFT-WALL### 7 prevents 0 ###LEFT-WALL### 9 - 0 ###LEFT-WALL### 16 breast 0 ###LEFT-WALL### 20 . 1 inhibition 2 of 1 inhibition 4 signaling 1 inhibition 7 prevents 2 of 3 mtor 4 signaling 5 by 5 by 6 azd8055 7 prevents 8 bms 9 - 10 777607 9 - 11 - 10 777607 11 - 11 - 14 and 12 induced 13 polyploidy/senescence 13 polyploidy/senescence 14 and 14 and 15 increases 14 and 16 breast 16 breast 19 chemosensitivity 17 cancer 19 chemosensitivity 18 cell 19 chemosensitivity isolated populations have advantages for genetic studies of longevity from decreased haplotype diversity and long - range linkage disequilibrium . 0 ###LEFT-WALL### 2 populations 0 ###LEFT-WALL### 3 have 0 ###LEFT-WALL### 20 . 1 isolated 2 populations 2 populations 3 have 3 have 4 advantages 4 advantages 5 for 4 advantages 8 of 5 for 7 studies 6 genetic 7 studies 8 of 14 and 9 longevity 10 from 9 longevity 14 and 10 from 13 diversity 11 decreased 12 haplotype 12 haplotype 13 diversity 14 and 19 disequilibrium 15 long 16 - 15 long 17 range 17 range 18 linkage 18 linkage 19 disequilibrium this permits smaller sample sizes without loss of power , among other utilities . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 permits 1 this 2 permits 2 permits 5 sizes 2 permits 6 without 3 smaller 4 sample 4 sample 5 sizes 6 without 7 loss 7 loss 8 of 8 of 9 power 9 power 11 among 10 , 11 among 11 among 13 utilities 11 among 14 . 12 other 13 utilities little is known about the genome of the okinawans , a potential population [isolate] , recognized for longevity . 0 ###LEFT-WALL### 1 little 0 ###LEFT-WALL### 3 known 0 ###LEFT-WALL### 19 . 1 little 2 is 2 is 3 known 3 known 4 about 4 about 6 genome 5 the 6 genome 6 genome 7 of 6 genome 16 recognized 7 of 9 okinawans 8 the 9 okinawans 9 okinawans 13 population 10 , 13 population 11 a 12 potential 11 a 13 population 12 potential 13 population 13 population 15 , 16 recognized 17 for 17 for 18 longevity therefore , we assessed genetic diversity , structure , and admixture in okinawans , and compared this with caucasians , chinese , japanese , and africans from hapmap ii , genotyped on the same affymetrix genechip human mapping 500 k array . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 15 and 1 therefore 2 , 1 therefore 3 we 3 we 15 and 4 assessed 6 diversity 4 assessed 15 and 5 genetic 6 diversity 6 diversity 10 and 7 , 10 and 8 structure 10 and 9 , 10 and 10 and 11 admixture 10 and 12 in 10 and 14 , 12 in 13 okinawans 15 and 16 compared 15 and 27 from 15 and 31 genotyped 16 compared 17 this 16 compared 18 with 18 with 25 and 19 caucasians 20 , 20 , 23 japanese 20 , 25 and 21 chinese 22 , 21 chinese 23 japanese 24 , 25 and 25 and 26 africans 27 from 28 hapmap 28 hapmap 29 ii 30 , 31 genotyped 31 genotyped 32 on 31 genotyped 42 . 32 on 41 array 33 the 34 same 34 same 41 array 35 affymetrix 36 genechip 36 genechip 37 human 37 human 38 mapping 38 mapping 41 array 39 500 40 k 40 k 41 array principal component analysis , haplotype coverage , and linkage disequilibrium decay revealed a distinct okinawan genome - more homogeneity , less haplotype diversity , and longer range linkage disequilibrium . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 12 revealed 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 30 . 1 principal 3 analysis 2 component 3 analysis 3 analysis 4 , 4 , 6 coverage 4 , 8 and 5 haplotype 6 coverage 7 , 8 and 8 and 11 decay 8 and 12 revealed 9 linkage 11 decay 10 disequilibrium 11 decay 12 revealed 16 genome 13 a 14 distinct 13 a 16 genome 14 distinct 16 genome 15 okinawan 16 genome 16 genome 19 homogeneity 17 - 19 homogeneity 18 more 19 homogeneity 19 homogeneity 20 , 20 , 25 and 21 less 22 haplotype 22 haplotype 23 diversity 23 diversity 25 and 24 , 25 and 25 and 29 disequilibrium 26 longer 29 disequilibrium 27 range 29 disequilibrium 28 linkage 29 disequilibrium population structure and admixture analyses utilizing 52 global reference populations from the human genome diversity cell line panel demonstrated that okinawans clustered almost exclusively with east asians . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 19 demonstrated 0 ###LEFT-WALL### 28 . 1 population 2 structure 2 structure 3 and 3 and 5 analyses 3 and 6 utilizing 3 and 19 demonstrated 4 admixture 5 analyses 6 utilizing 10 populations 6 utilizing 11 from 7 52 10 populations 8 global 10 populations 9 reference 10 populations 11 from 18 panel 12 the 18 panel 13 human 14 genome 14 genome 15 diversity 15 diversity 16 cell 16 cell 17 line 17 line 18 panel 19 demonstrated 20 that 20 that 21 okinawans 20 that 22 clustered 21 okinawans 22 clustered 22 clustered 23 almost 22 clustered 25 with 23 almost 24 exclusively 25 with 27 asians 26 east 27 asians sibling relative risk ( λs ) [analysis] revealed that siblings of okinawan centenarians have 3.11 times ( females [ )(and 3.77 times ( males ) more likelihood of centenarianism . 0 ###LEFT-WALL### 3 risk 0 ###LEFT-WALL### 8 revealed 0 ###LEFT-WALL### 30 . 1 sibling 2 relative 2 relative 3 risk 3 risk 5 λs 3 risk 8 revealed 4 ( 5 λs 5 λs 6 ) 8 revealed 9 that 9 that 10 siblings 9 that 29 centenarianism 10 siblings 11 of 10 siblings 29 centenarianism 11 of 12 okinawan 12 okinawan 13 centenarians 12 okinawan 28 of 13 centenarians 14 have 14 have 16 times 14 have 26 more 14 have 27 likelihood 15 3.11 16 times 16 times 20 )(and 17 ( 20 )(and 18 females 20 )(and 20 )(and 22 times 20 )(and 24 males 20 )(and 25 ) 21 3.77 22 times 23 ( 24 males 24 males 25 ) 27 likelihood 28 of these findings suggest that okinawans are genetically distinct and share several characteristics of a population isolate , which are prone to develop extreme [phenotypes] ( eg , longevity ) from genetic [drift] , natural selection , and population bottlenecks . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 40 . 1 these 2 findings 2 findings 9 and 3 suggest 4 that 3 suggest 9 and 4 that 5 okinawans 4 that 6 are 5 okinawans 6 are 6 are 7 genetically 6 are 8 distinct 9 and 10 share 9 and 30 from 10 share 11 several 11 several 12 characteristics 11 several 16 isolate 11 several 18 which 12 characteristics 13 of 12 characteristics 16 isolate 13 of 15 population 14 a 15 population 17 , 18 which 18 which 19 are 18 which 29 ) 19 are 20 prone 20 prone 21 to 21 to 22 develop 22 develop 28 longevity 23 extreme 26 eg 23 extreme 28 longevity 25 ( 26 eg 26 eg 27 , 30 from 37 and 31 genetic 33 , 31 genetic 35 selection 34 natural 35 selection 35 selection 37 and 36 , 37 and 37 and 39 bottlenecks 38 population 39 bottlenecks these data support further exploration of genetic influence on longevity in the okinawans . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 support 0 ###LEFT-WALL### 14 . 1 these 2 data 2 data 3 support 3 support 5 exploration 3 support 9 on 3 support 11 in 4 further 5 exploration 5 exploration 6 of 6 of 8 influence 7 genetic 8 influence 9 on 10 longevity 11 in 13 okinawans 12 the 13 okinawans background : few longitudinal studies compare changes in instrumental activities of daily living ( iadls ) among stroke [-] free adults to prospectively document iadl changes among adults [who] experience stroke . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 few 2 : 18 stroke 2 : 32 . 3 few 5 studies 3 few 17 among 3 few 18 stroke 4 longitudinal 5 studies 5 studies 6 compare 6 compare 7 changes 6 compare 17 among 7 changes 8 in 7 changes 15 iadls 8 in 10 activities 9 instrumental 10 activities 10 activities 11 of 11 of 13 living 12 daily 13 living 14 ( 15 iadls 15 iadls 16 ) 18 stroke 21 adults 20 free 21 adults 21 adults 22 to 21 adults 31 stroke 22 to 24 document 23 prospectively 24 document 24 document 26 changes 24 document 31 stroke 25 iadl 26 changes 26 changes 27 among 26 changes 31 stroke 27 among 30 experience 28 adults 30 experience we contrast annual declines in iadl independence for older individuals who remain [stroke] free to those for individuals [who] experienced [stroke] . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 contrast 0 ###LEFT-WALL### 22 . 1 we 2 contrast 2 contrast 4 declines 2 contrast 5 in 2 contrast 8 for 3 annual 4 declines 5 in 7 independence 6 iadl 7 independence 8 for 10 individuals 9 older 10 individuals 10 individuals 11 who 10 individuals 12 remain 11 who 12 remain 12 remain 14 free 12 remain 15 to 12 remain 17 for 15 to 16 those 17 for 18 individuals 18 individuals 20 experienced we also assess whether these patterns differ by sex , race , or southern birthplace . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 assess 0 ###LEFT-WALL### 16 . 1 we 3 assess 2 also 3 assess 3 assess 4 whether 4 whether 6 patterns 4 whether 7 differ 5 these 6 patterns 6 patterns 7 differ 7 differ 8 by 8 by 13 or 9 sex 10 , 10 , 11 race 10 , 13 or 12 , 13 or 13 or 15 birthplace 14 southern 15 birthplace methods : health and retirement study participants who were stroke free in 1998 ( n = 17,741 ) were followed through 2010 ( average [follow] - up = 8.9 years ) for self [-] [or] proxy - reported stroke . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 and 2 : 20 followed 2 : 37 - 3 health 4 and 4 and 6 study 4 and 7 participants 4 and 10 stroke 4 and 19 were 5 retirement 6 study 7 participants 8 who 7 participants 9 were 7 participants 10 stroke 8 who 9 were 10 stroke 11 free 10 stroke 12 in 12 in 13 1998 13 1998 16 = 14 ( 16 = 15 n 16 = 16 = 17 17,741 16 = 18 ) 19 were 20 followed 20 followed 21 through 21 through 22 2010 22 2010 24 average 23 ( 24 average 24 average 27 up 24 average 32 for 24 average 37 - 26 - 27 up 27 up 30 years 27 up 31 ) 28 = 29 8.9 29 8.9 30 years 32 for 36 proxy 33 self 36 proxy 37 - 39 stroke 37 - 40 . 38 reported 39 stroke we used logistic regressions to compare annual changes in odds of [self] - reported independence in six iadls among those who remained [stroke] free throughout follow - up ( n = 15,888 ) , those who survived a stroke ( n = 1,412 ) , and those who had a stroke and did not survive to participate in another interview ( n = 442 ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 used 0 ###LEFT-WALL### 14 reported 0 ###LEFT-WALL### 34 , 0 ###LEFT-WALL### 66 . 1 we 2 used 2 used 4 regressions 3 logistic 4 regressions 4 regressions 5 to 4 regressions 11 of 5 to 6 compare 6 compare 8 changes 6 compare 9 in 7 annual 8 changes 9 in 10 odds 10 odds 11 of 13 - 14 reported 14 reported 15 independence 14 reported 34 , 15 independence 16 in 15 independence 28 up 16 in 17 six 16 in 18 iadls 16 in 26 follow 18 iadls 19 among 18 iadls 24 free 18 iadls 26 follow 19 among 20 those 20 those 21 who 20 those 22 remained 21 who 22 remained 24 free 25 throughout 27 - 28 up 28 up 31 = 28 up 34 , 29 ( 31 = 30 n 31 = 31 = 32 15,888 31 = 33 ) 34 , 35 those 34 , 60 interview 35 those 36 who 35 those 46 and 35 those 60 interview 36 who 46 and 37 survived 39 stroke 37 survived 46 and 38 a 39 stroke 39 stroke 42 = 40 ( 42 = 41 n 42 = 42 = 43 1,412 42 = 44 ) 45 , 46 and 46 and 57 participate 47 those 48 who 47 those 52 and 47 those 55 survive 48 who 52 and 49 had 51 stroke 49 had 52 and 50 a 51 stroke 52 and 53 did 53 did 54 not 55 survive 56 to 56 to 57 participate 57 participate 58 in 58 in 59 another 60 interview 63 = 61 ( 63 = 62 n 63 = 63 = 64 442 63 = 65 ) we present models adjusted for demographic and socioeconomic covariates and also stratified on sex , race , and southern birthplace . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 21 . 1 we 10 and 2 present 3 models 2 present 10 and 3 models 4 adjusted 4 adjusted 5 for 5 for 9 covariates 6 demographic 7 and 7 and 8 socioeconomic 7 and 9 covariates 10 and 12 stratified 10 and 13 on 11 also 12 stratified 13 on 18 and 14 sex 15 , 15 , 16 race 15 , 18 and 17 , 18 and 18 and 20 birthplace 19 southern 20 birthplace results : compared with similar cohort members who remained stroke free , participants who developed stroke [had] faster declines in iadl independence and lower probability of iadl independence prior to stroke . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 23 and 2 : 32 . 3 compared 4 with 3 compared 23 and 4 with 7 members 5 similar 6 cohort 6 cohort 7 members 7 members 8 who 7 members 9 remained 8 who 9 remained 9 remained 13 participants 9 remained 20 in 10 stroke 13 participants 11 free 12 , 11 free 13 participants 13 participants 14 who 13 participants 15 developed 14 who 15 developed 15 developed 19 declines 16 stroke 19 declines 18 faster 19 declines 20 in 22 independence 21 iadl 22 independence 23 and 24 lower 24 lower 25 probability 25 probability 26 of 25 probability 29 prior 26 of 28 independence 27 iadl 28 independence 29 prior 30 to 29 prior 31 stroke 30 to 31 stroke [after] stroke , independence declined at an annual rate similar to those who did not have [stroke] . 0 ###LEFT-WALL### 2 stroke 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 18 . 3 , 4 independence 3 , 5 declined 4 independence 5 declined 5 declined 6 at 6 at 9 rate 7 an 8 annual 7 an 9 rate 8 annual 9 rate 9 rate 10 similar 10 similar 11 to 11 to 12 those 12 those 13 who 12 those 14 did 13 who 14 did 14 did 15 not 14 did 16 have the black - white disparity in iadl independence narrowed poststroke . 0 ###LEFT-WALL### 5 disparity 0 ###LEFT-WALL### 9 narrowed 0 ###LEFT-WALL### 11 . 1 the 5 disparity 2 black 3 - 2 black 5 disparity 4 white 5 disparity 5 disparity 6 in 5 disparity 9 narrowed 6 in 8 independence 7 iadl 8 independence 9 narrowed 10 poststroke conclusion : racial differences in iadl independence are apparent long before [stroke] [onset] . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 differences 2 : 8 are 2 : 14 . 3 racial 4 differences 4 differences 5 in 4 differences 8 are 5 in 7 independence 6 iadl 7 independence 8 are 9 apparent 9 apparent 10 long 9 apparent 11 before poststroke differences in iadl independence largely reflect prestroke disparities . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 7 reflect 0 ###LEFT-WALL### 10 . 1 poststroke 2 differences 2 differences 3 in 2 differences 7 reflect 3 in 5 independence 4 iadl 5 independence 6 largely 7 reflect 7 reflect 9 disparities 8 prestroke 9 disparities objective : to investigate functionally important transcripts in single human oocytes with the use of nanostring technology and determine whether observed differences are biologically meaningful . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 18 and 2 : 26 . 3 to 18 and 4 investigate 5 functionally 4 investigate 7 transcripts 4 investigate 8 in 4 investigate 12 with 4 investigate 18 and 6 important 7 transcripts 8 in 11 oocytes 9 single 11 oocytes 10 human 11 oocytes 12 with 14 use 13 the 14 use 14 use 15 of 15 of 17 technology 16 nanostring 17 technology 18 and 19 determine 19 determine 20 whether 20 whether 22 differences 20 whether 23 are 21 observed 22 differences 22 differences 23 are 23 are 24 biologically 23 are 25 meaningful design : analysis of human oocytes with the use of nanostring and immunoblotting . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 . 1 design 2 : 2 : 3 analysis 3 analysis 4 of 3 analysis 10 of 4 of 6 oocytes 5 human 6 oocytes 6 oocytes 7 with 7 with 9 use 8 the 9 use 10 of 12 and 11 nanostring 12 and 12 and 13 immunoblotting setting : university - affiliated reproductive medicine unit . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 1 setting 2 : 2 : 3 university 4 - 8 unit 4 - 9 . 5 affiliated 7 medicine 6 reproductive 7 medicine 7 medicine 8 unit patients : women undergoing in vitro fertilization . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 . 1 patients 2 : 2 : 3 women 3 women 4 undergoing 4 undergoing 6 vitro 4 undergoing 7 fertilization 5 in 6 vitro intervention : human oocytes were analyzed with the use of nanostring or immunoblotting . 0 ###LEFT-WALL### 1 intervention 0 ###LEFT-WALL### 2 : 2 : 4 oocytes 2 : 6 analyzed 2 : 14 . 3 human 4 oocytes 4 oocytes 5 were 5 were 6 analyzed 6 analyzed 7 with 7 with 12 or 8 the 9 use 9 use 10 of 9 use 12 or 10 of 11 nanostring 12 or 13 immunoblotting main outcome measures : the abundance of transcripts for ten functionally important genes - aurka , aurkc , bub1 , bub1b ( encoding bubr1 ) , cdk1 , chek1 , fyn , mos , map2k1 , and wee2 - and six functionally dispensable genes were analyzed with the use of nanostring . 0 ###LEFT-WALL### 3 measures 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 52 . 1 main 2 outcome 2 outcome 3 measures 4 : 37 and 4 : 40 and 5 the 6 abundance 6 abundance 7 of 6 abundance 26 , 7 of 8 transcripts 8 transcripts 9 for 8 transcripts 17 aurkc 9 for 13 genes 10 ten 13 genes 11 functionally 12 important 12 important 13 genes 13 genes 15 aurka 14 - 15 aurka 15 aurka 16 , 16 , 17 aurkc 17 aurkc 19 bub1 17 aurkc 25 ) 18 , 19 bub1 19 bub1 21 bub1b 19 bub1 25 ) 20 , 21 bub1b 21 bub1b 23 encoding 21 bub1b 25 ) 22 ( 23 encoding 23 encoding 24 bubr1 23 encoding 25 ) 26 , 27 cdk1 26 , 28 , 28 , 29 chek1 28 , 37 and 29 chek1 31 fyn 30 , 31 fyn 31 fyn 33 mos 31 fyn 36 , 32 , 33 mos 33 mos 35 map2k1 33 mos 36 , 34 , 35 map2k1 35 map2k1 36 , 37 and 38 wee2 39 - 40 and 40 and 44 genes 40 and 46 analyzed 41 six 44 genes 42 functionally 43 dispensable 43 dispensable 44 genes 44 genes 45 were 45 were 46 analyzed 46 analyzed 47 with 47 with 49 use 48 the 49 use 49 use 50 of 50 of 51 nanostring bubr1 protein levels in oocytes from younger and older women were compared with the use of immunoblotting . 0 ###LEFT-WALL### 3 levels 0 ###LEFT-WALL### 12 compared 0 ###LEFT-WALL### 18 . 1 bubr1 3 levels 2 protein 3 levels 3 levels 4 in 3 levels 11 were 4 in 5 oocytes 5 oocytes 6 from 6 from 10 women 7 younger 8 and 8 and 9 older 8 and 10 women 11 were 12 compared 12 compared 13 with 13 with 15 use 14 the 15 use 15 use 16 of 16 of 17 immunoblotting result ( s ) : all ten functional genes but none of the six dispensable genes were detectable with the use of nanostring in single oocytes . 0 ###LEFT-WALL### 1 result 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 10 but 0 ###LEFT-WALL### 27 . 1 result 3 s 1 result 5 : 2 ( 3 s 3 s 4 ) 5 : 9 genes 6 all 7 ten 7 ten 9 genes 8 functional 9 genes 10 but 16 genes 10 but 17 were 11 none 12 of 11 none 16 genes 12 of 16 genes 13 the 14 six 14 six 16 genes 15 dispensable 16 genes 16 genes 17 were 17 were 18 detectable 18 detectable 19 with 18 detectable 24 in 19 with 21 use 20 the 21 use 21 use 22 of 22 of 23 nanostring 24 in 26 oocytes 25 single 26 oocytes there [was] 3 - to 5 - fold variation in bub1 , bub1b , and cdk1 transcript abundance among individual oocytes from a single patient . 0 ###LEFT-WALL### 3 3 0 ###LEFT-WALL### 8 fold 0 ###LEFT-WALL### 26 . 1 there 3 3 3 3 5 to 3 3 8 fold 4 - 5 to 5 to 6 5 5 to 7 - 8 fold 15 and 8 fold 22 from 9 variation 10 in 9 variation 12 , 10 in 11 bub1 12 , 13 bub1b 12 , 15 and 14 , 15 and 15 and 18 abundance 16 cdk1 17 transcript 17 transcript 18 abundance 18 abundance 19 among 19 among 21 oocytes 20 individual 21 oocytes 22 from 25 patient 23 a 25 patient 24 single 25 patient transcripts for these three genes - all players within the spindle assembly checkpoint surveillance mechanism for preventing aneuploidy - were reduced in the same oocyte from an older patient . 0 ###LEFT-WALL### 1 transcripts 0 ###LEFT-WALL### 21 reduced 0 ###LEFT-WALL### 30 . 1 transcripts 2 for 1 transcripts 8 players 1 transcripts 20 were 2 for 5 genes 3 these 4 three 4 three 5 genes 6 - 8 players 7 all 8 players 8 players 9 within 8 players 16 for 8 players 19 - 9 within 15 mechanism 10 the 15 mechanism 11 spindle 15 mechanism 12 assembly 15 mechanism 13 checkpoint 15 mechanism 14 surveillance 15 mechanism 16 for 17 preventing 17 preventing 18 aneuploidy 20 were 21 reduced 21 reduced 22 in 21 reduced 25 oocyte 22 in 24 same 23 the 24 same 25 oocyte 26 from 26 from 29 patient 27 an 29 patient 28 older 29 patient mean bub1b transcripts were reduced by 1.5 - fold with aging and associated with marked reductions in bubr1 protein levels . 0 ###LEFT-WALL### 1 mean 0 ###LEFT-WALL### 8 - 1 mean 3 transcripts 1 mean 5 reduced 2 bub1b 3 transcripts 3 transcripts 4 were 4 were 5 reduced 5 reduced 6 by 6 by 7 1.5 8 - 12 and 8 - 21 . 9 fold 10 with 9 fold 12 and 10 with 11 aging 12 and 13 associated 13 associated 14 with 13 associated 17 in 14 with 16 reductions 15 marked 16 reductions 17 in 20 levels 18 bubr1 20 levels 19 protein 20 levels conclusion ( s ) : the abundance of functionally important transcripts exhibit marked oocyte - [to] - oocyte heterogeneity to a degree that is sufficient to affect protein expression . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 15 - 0 ###LEFT-WALL### 30 . 1 conclusion 3 s 1 conclusion 5 : 2 ( 3 s 3 s 4 ) 5 : 7 abundance 6 the 7 abundance 7 abundance 8 of 8 of 14 oocyte 9 functionally 10 important 10 important 11 transcripts 11 transcripts 12 exhibit 12 exhibit 13 marked 13 marked 14 oocyte 15 - 17 - 15 - 18 oocyte 17 - 18 oocyte 18 oocyte 19 heterogeneity 18 oocyte 20 to 18 oocyte 26 to 20 to 22 degree 21 a 22 degree 22 degree 23 that 22 degree 24 is 23 that 24 is 24 is 25 sufficient 26 to 27 affect 27 affect 29 expression 28 protein 29 expression observed variations in transcript abundance are therefore likely to be biologically meaningful , especially if multiple genes within the same pathway are simultaneously affected . 0 ###LEFT-WALL### 2 variations 0 ###LEFT-WALL### 6 are 1 observed 2 variations 2 variations 3 in 2 variations 6 are 3 in 5 abundance 4 transcript 5 abundance 6 are 7 therefore 6 are 8 likely 8 likely 9 to 8 likely 10 be 9 to 10 be 10 be 12 meaningful 11 biologically 12 meaningful 12 meaningful 15 if 13 , 14 especially 13 , 15 if 15 if 17 genes 15 if 24 affected 15 if 25 . 16 multiple 17 genes 17 genes 18 within 17 genes 22 are 18 within 21 pathway 19 the 20 same 19 the 21 pathway 22 are 24 affected 23 simultaneously 24 affected vasohibin 1 , an endothelium - derived negative feedback [regulator] of angiogenesis , is induced by fibroblast growth factor 2 ( fgf - 2 ) and vascular endothelial growth factor a ( vegf - a ) . 0 ###LEFT-WALL### 1 vasohibin 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 37 . 1 vasohibin 2 1 1 vasohibin 5 endothelium 1 vasohibin 13 , 3 , 5 endothelium 4 an 5 endothelium 5 endothelium 6 - 7 derived 9 feedback 7 derived 13 , 8 negative 9 feedback 9 feedback 11 of 11 of 12 angiogenesis 13 , 14 is 14 is 15 induced 15 induced 16 by 16 by 19 factor 17 fibroblast 19 factor 18 growth 19 factor 19 factor 20 2 19 factor 26 and 21 ( 26 and 22 fgf 24 2 22 fgf 26 and 23 - 24 2 24 2 25 ) 26 and 30 factor 26 and 34 - 26 and 36 ) 27 vascular 29 growth 28 endothelial 29 growth 29 growth 30 factor 30 factor 31 a 32 ( 34 - 33 vegf 34 - 34 - 35 a 34 - 36 ) in this study , we retrospectively evaluated immunoreactivity of fgf - 2 and vegf - a as well as microvessel density ( mvd ) determined by expression of vasohibin 1 and cd34 ( mvd - cd34 ) and correlated the findings with clinical outcomes of 181 patients with hepatocellular carcinoma ( hcc ) . 0 ###LEFT-WALL### 38 and 0 ###LEFT-WALL### 54 . 1 in 2 this 1 in 38 and 3 study 11 - 3 study 31 and 3 study 38 and 4 , 11 - 5 we 7 evaluated 6 retrospectively 7 evaluated 7 evaluated 8 immunoreactivity 7 evaluated 11 - 8 immunoreactivity 9 of 8 immunoreactivity 11 - 9 of 10 fgf 11 - 14 vegf 11 - 24 ) 12 2 13 and 13 and 14 vegf 14 vegf 21 density 15 - 21 density 16 a 21 density 17 as 18 well 18 well 20 microvessel 19 as 20 microvessel 20 microvessel 21 density 21 density 23 mvd 21 density 24 ) 22 ( 23 mvd 23 mvd 24 ) 25 determined 26 by 25 determined 31 and 26 by 27 expression 27 expression 28 of 28 of 29 vasohibin 29 vasohibin 30 1 31 and 32 cd34 32 cd34 34 mvd 33 ( 34 mvd 34 mvd 36 cd34 34 mvd 37 ) 35 - 36 cd34 36 cd34 37 ) 38 and 39 correlated 39 correlated 41 findings 40 the 41 findings 41 findings 42 with 41 findings 45 of 42 with 44 outcomes 43 clinical 44 outcomes 45 of 47 patients 46 181 47 patients 47 patients 48 with 48 with 50 carcinoma 49 hepatocellular 50 carcinoma 50 carcinoma 52 hcc 51 ( 52 hcc 52 hcc 53 ) double immunostaining of an endothelial marker [cd34] and vasohibin 1 with ki - 67 was also performed to assess angiogenic activity of endothelial cells in hcc . 0 ###LEFT-WALL### 1 double 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 27 . 1 double 2 immunostaining 1 double 11 with 2 immunostaining 3 of 3 of 8 and 4 an 6 marker 5 endothelial 6 marker 6 marker 8 and 8 and 9 vasohibin 9 vasohibin 10 1 11 with 12 ki 13 - 14 67 13 - 17 performed 14 67 15 was 15 was 16 also 15 was 17 performed 17 performed 18 to 17 performed 25 in 18 to 19 assess 19 assess 21 activity 20 angiogenic 21 activity 21 activity 22 of 22 of 24 cells 23 endothelial 24 cells 25 in 26 hcc the ratio of ki - 67 - positive endothelial cells in vasohibin 1 - positive vessels ( 22 % ) was significantly higher than that of cd34 - positive vessels ( 9 % , p < [.] 001 ) , suggesting the correlation between vasohibin 1 and neovascularization in endothelial cells of hcc . 0 ###LEFT-WALL### 2 ratio 0 ###LEFT-WALL### 21 was 0 ###LEFT-WALL### 54 . 1 the 2 ratio 2 ratio 3 of 2 ratio 21 was 3 of 4 ki 4 ki 6 67 4 ki 10 cells 5 - 6 67 6 67 7 - 7 - 10 cells 8 positive 10 cells 9 endothelial 10 cells 10 cells 11 in 10 cells 20 ) 11 in 12 vasohibin 12 vasohibin 13 1 12 vasohibin 16 vessels 14 - 16 vessels 15 positive 16 vessels 16 vessels 19 % 16 vessels 20 ) 17 ( 19 % 18 22 19 % 19 % 20 ) 21 was 22 significantly 21 was 23 higher 23 higher 24 than 23 higher 49 in 24 than 47 and 25 that 26 of 25 that 41 suggesting 25 that 47 and 26 of 27 cd34 27 cd34 30 vessels 28 - 30 vessels 29 positive 30 vessels 30 vessels 33 % 30 vessels 40 , 31 ( 33 % 32 9 33 % 33 % 36 < 33 % 40 , 34 , 36 < 35 p 36 < 36 < 38 001 36 < 39 ) 41 suggesting 43 correlation 41 suggesting 44 between 42 the 43 correlation 44 between 45 vasohibin 45 vasohibin 46 1 47 and 48 neovascularization 49 in 51 cells 50 endothelial 51 cells 51 cells 52 of 52 of 53 hcc mvd - cd34 decreased , but the ratio of mvd determined by expression of vasohibin 1 to mvd - cd34 ( vasohibin 1/cd34 ) increased significantly according to histologic grade . 0 ###LEFT-WALL### 1 mvd 0 ###LEFT-WALL### 25 increased 0 ###LEFT-WALL### 31 . 1 mvd 3 cd34 1 mvd 25 increased 2 - 3 cd34 3 cd34 4 decreased 3 cd34 24 ) 4 decreased 6 but 5 , 6 but 6 but 8 ratio 6 but 24 ) 7 the 8 ratio 8 ratio 9 of 9 of 10 mvd 10 mvd 11 determined 10 mvd 14 of 10 mvd 20 cd34 11 determined 12 by 12 by 13 expression 14 of 15 vasohibin 15 vasohibin 16 1 15 vasohibin 17 to 17 to 18 mvd 19 - 20 cd34 20 cd34 23 1/cd34 20 cd34 24 ) 21 ( 23 1/cd34 22 vasohibin 23 1/cd34 23 1/cd34 24 ) 25 increased 26 significantly 25 increased 28 to 27 according 28 to 28 to 30 grade 29 histologic 30 grade vasohibin 1 was significantly correlated with the status of fgf - 2 ( p = [.] 007 ) but not with that of vegf [-] a ( p = [.] 055 ) . 0 ###LEFT-WALL### 1 vasohibin 0 ###LEFT-WALL### 5 correlated 0 ###LEFT-WALL### 33 . 1 vasohibin 2 1 1 vasohibin 3 was 3 was 5 correlated 4 significantly 5 correlated 5 correlated 19 but 6 with 8 status 6 with 19 but 7 the 8 status 8 status 9 of 8 status 12 2 9 of 10 fgf 11 - 12 2 12 2 15 = 12 2 18 ) 13 ( 15 = 14 p 15 = 15 = 17 007 15 = 18 ) 19 but 20 not 19 but 21 with 21 with 22 that 22 that 23 of 23 of 24 vegf 24 vegf 29 = 26 a 29 = 27 ( 29 = 28 p 29 = 29 = 31 055 29 = 32 ) in addition , vasohibin 1/cd34 in hcc patients was an independent marker [of] poor prognosis , as determined by multivariate analysis ( risk ratio [,] 1.973 ; 95 % confidence interval , 1.049 - 3.711 ; p = . 035 [ )( 0 ###LEFT-WALL### 5 1/cd34 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 18 determined 0 ###LEFT-WALL### 27 ; 0 ###LEFT-WALL### 39 . 1 in 2 addition 1 in 3 , 1 in 5 1/cd34 4 vasohibin 5 1/cd34 5 1/cd34 6 in 5 1/cd34 9 was 6 in 8 patients 7 hcc 8 patients 9 was 15 prognosis 9 was 17 as 10 an 15 prognosis 11 independent 15 prognosis 12 marker 15 prognosis 14 poor 15 prognosis 16 , 17 as 17 as 18 determined 18 determined 19 by 18 determined 27 ; 19 by 21 analysis 20 multivariate 21 analysis 21 analysis 24 ratio 22 ( 24 ratio 23 risk 24 ratio 24 ratio 26 1.973 24 ratio 27 ; 27 ; 31 interval 27 ; 32 , 28 95 31 interval 29 % 30 confidence 30 confidence 31 interval 32 , 33 1.049 32 , 34 - 32 , 36 ; 33 1.049 34 - 34 - 35 3.711 36 ; 37 p 36 ; 38 = 37 p 38 = 39 . 40 035 39 . 42 )( vasohibin 1/cd34 could identify the proliferative vessels and could be a useful biomarker for predicting the clinical outcome of hcc patients . 0 ###LEFT-WALL### 2 1/cd34 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 22 . 1 vasohibin 2 1/cd34 2 1/cd34 8 and 3 could 4 identify 3 could 8 and 4 identify 7 vessels 5 the 7 vessels 6 proliferative 7 vessels 8 and 9 could 8 and 14 for 8 and 21 patients 9 could 10 be 10 be 13 biomarker 11 a 13 biomarker 12 useful 13 biomarker 14 for 15 predicting 15 predicting 18 outcome 16 the 18 outcome 17 clinical 18 outcome 18 outcome 19 of 19 of 20 hcc recent research has shown that personality traits continue to develop throughout the life span , but most profound changes are typically found during young adulthood . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 4 shown 0 ###LEFT-WALL### 26 . 1 recent 2 research 2 research 3 has 3 has 4 shown 4 shown 5 that 4 shown 6 personality 4 shown 23 during 6 personality 7 traits 6 personality 22 found 7 traits 16 but 8 continue 9 to 8 continue 10 develop 8 continue 16 but 9 to 10 develop 10 develop 11 throughout 11 throughout 14 span 12 the 14 span 13 life 14 span 15 , 16 but 16 but 22 found 17 most 19 changes 18 profound 19 changes 19 changes 20 are 20 are 22 found 21 typically 22 found 23 during 25 adulthood 24 young 25 adulthood increasing evidence suggests that life events play a significant role in many of these changes . 0 ###LEFT-WALL### 1 increasing 0 ###LEFT-WALL### 3 suggests 0 ###LEFT-WALL### 16 . 1 increasing 2 evidence 1 increasing 3 suggests 3 suggests 4 that 4 that 6 events 4 that 7 play 5 life 6 events 6 events 7 play 7 play 10 role 7 play 11 in 8 a 9 significant 8 a 10 role 9 significant 10 role 11 in 15 changes 12 many 13 of 12 many 15 changes 13 of 15 changes 14 these 15 changes the present longitudinal study examined the role of work , education , social , and health - related life events in the development of the big five traits among young finns . 0 ###LEFT-WALL### 4 study 0 ###LEFT-WALL### 5 examined 0 ###LEFT-WALL### 18 related 0 ###LEFT-WALL### 32 . 1 the 4 study 2 present 4 study 3 longitudinal 4 study 4 study 5 examined 5 examined 15 and 6 the 7 role 7 role 8 of 7 role 10 , 8 of 9 work 10 , 11 education 10 , 12 , 12 , 13 social 12 , 15 and 14 , 15 and 15 and 16 health 17 - 18 related 18 related 20 events 18 related 29 among 19 life 20 events 20 events 21 in 21 in 23 development 22 the 23 development 23 development 24 of 24 of 28 traits 25 the 28 traits 26 big 27 five 27 five 28 traits 29 among 31 finns 30 young 31 finns participants were originally recruited in 2004 through elementary schools in a middle - sized finnish city . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 4 recruited 0 ###LEFT-WALL### 13 - 1 participants 2 were 2 were 4 recruited 3 originally 4 recruited 4 recruited 5 in 4 recruited 7 through 4 recruited 10 in 5 in 6 2004 7 through 9 schools 8 elementary 9 schools 10 in 12 middle 11 a 12 middle 13 - 16 city 13 - 17 . 14 sized 16 city 15 finnish 16 city participants ' big five traits and life events were measured via self [-] reports at ages 20 and 23 ( ns = 597 and 588 , respectively ) . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 9 were 0 ###LEFT-WALL### 29 . 1 participants 2 ' 2 ' 5 traits 3 big 4 five 4 five 5 traits 5 traits 6 and 6 and 8 events 6 and 9 were 7 life 8 events 9 were 10 measured 10 measured 11 via 10 measured 15 at 10 measured 27 respectively 11 via 14 reports 12 self 14 reports 15 at 16 ages 16 ages 18 and 16 ages 21 ns 17 20 18 and 18 and 19 23 20 ( 21 ns 21 ns 24 and 21 ns 26 , 22 = 23 597 23 597 24 and 24 and 25 588 26 , 27 respectively 27 respectively 28 ) entering work life , beginning a relationship , and studying in university predicted increases in conscientiousness , trying drugs predicted increases in neuroticism , and onset of a chronic disease predicted increases in neuroticism and conscientiousness between ages 20 and 23 . 0 ###LEFT-WALL### 1 entering 0 ###LEFT-WALL### 32 increases 0 ###LEFT-WALL### 42 . 1 entering 3 life 1 entering 5 beginning 1 entering 32 increases 2 work 3 life 4 , 5 beginning 5 beginning 9 and 5 beginning 15 in 5 beginning 17 , 6 a 7 relationship 7 relationship 9 and 8 , 9 and 9 and 10 studying 9 and 11 in 11 in 14 increases 12 university 13 predicted 13 predicted 14 increases 15 in 16 conscientiousness 17 , 31 predicted 18 trying 19 drugs 18 trying 20 predicted 20 predicted 21 increases 20 predicted 31 predicted 21 increases 22 in 21 increases 27 of 21 increases 31 predicted 22 in 25 and 23 neuroticism 25 and 24 , 25 and 25 and 26 onset 27 of 30 disease 28 a 30 disease 29 chronic 30 disease 31 predicted 32 increases 32 increases 33 in 32 increases 37 between 33 in 36 conscientiousness 34 neuroticism 35 and 35 and 36 conscientiousness 37 between 38 ages 38 ages 40 and 39 20 40 and 40 and 41 23 the results suggest that mature life transitions relate to stronger increases in conscientiousness in young adulthood , and that [non] - normative life choices and events may predict increases in neuroticism . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 21 - 0 ###LEFT-WALL### 32 . 1 the 2 results 2 results 3 suggest 3 suggest 4 that 4 that 7 transitions 4 that 8 relate 5 mature 6 life 6 life 7 transitions 8 relate 9 to 9 to 11 increases 10 stronger 11 increases 11 increases 12 in 12 in 13 conscientiousness 13 conscientiousness 14 in 14 in 18 and 15 young 16 adulthood 16 adulthood 18 and 17 , 18 and 18 and 19 that 21 - 23 life 21 - 29 increases 22 normative 23 life 23 life 25 and 23 life 28 predict 23 life 29 increases 24 choices 25 and 25 and 26 events 25 and 27 may 27 may 28 predict 29 increases 30 in 30 in 31 neuroticism private residential care facilities ( rcfs ) fill the gap between independent community living and institutional settings for seniors . 0 ###LEFT-WALL### 4 facilities 0 ###LEFT-WALL### 8 fill 0 ###LEFT-WALL### 20 . 1 private 2 residential 2 residential 3 care 3 care 4 facilities 4 facilities 6 rcfs 4 facilities 8 fill 5 ( 6 rcfs 6 rcfs 7 ) 8 fill 10 gap 8 fill 11 between 9 the 10 gap 11 between 17 settings 12 independent 17 settings 13 community 14 living 14 living 15 and 15 and 16 institutional 15 and 17 settings 17 settings 18 for 18 for 19 seniors there are marked differences between rcfs which make them difficult to compare . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 13 . 1 there 2 are 2 are 4 differences 3 marked 4 differences 4 differences 5 between 5 between 6 rcfs 6 rcfs 7 which 6 rcfs 8 make 7 which 8 make 8 make 9 them 8 make 10 difficult 10 difficult 11 to 10 difficult 12 compare 11 to 12 compare to address this issue , the objective of this study was to develop and validate a classification of rcfs based on their physical and organizational environments . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 address 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 27 . 1 to 2 address 2 address 4 issue 3 this 4 issue 5 , 7 objective 5 , 20 based 6 the 7 objective 7 objective 8 of 7 objective 11 was 8 of 10 study 9 this 10 study 11 was 12 to 11 was 20 based 12 to 14 and 13 develop 14 and 14 and 15 validate 15 validate 17 classification 16 a 17 classification 17 classification 18 of 18 of 19 rcfs 20 based 21 on 21 on 26 environments 22 their 26 environments 23 physical 24 and 24 and 25 organizational 24 and 26 environments rcf owners across quebec were invited to complete a questionnaire that described the setting 's physical and organizational environment . 0 ###LEFT-WALL### 2 owners 0 ###LEFT-WALL### 6 invited 0 ###LEFT-WALL### 20 . 1 rcf 2 owners 2 owners 3 across 2 owners 5 were 3 across 4 quebec 5 were 6 invited 6 invited 7 to 6 invited 8 complete 7 to 8 complete 8 complete 10 questionnaire 9 a 10 questionnaire 10 questionnaire 11 that 10 questionnaire 12 described 11 that 12 described 12 described 19 environment 13 the 14 setting 14 setting 15 's 15 's 19 environment 16 physical 17 and 17 and 18 organizational 17 and 19 environment different combinations of cluster analysis methods and statistical parameters were used to identify plausible classifications . 0 ###LEFT-WALL### 2 combinations 0 ###LEFT-WALL### 11 used 0 ###LEFT-WALL### 16 . 1 different 2 combinations 2 combinations 3 of 2 combinations 10 were 3 of 7 and 4 cluster 6 methods 5 analysis 6 methods 6 methods 7 and 7 and 9 parameters 8 statistical 9 parameters 10 were 11 used 11 used 12 to 11 used 13 identify 12 to 13 identify 13 identify 15 classifications 14 plausible 15 classifications the final choice was made by an expert committee . 0 ###LEFT-WALL### 3 choice 0 ###LEFT-WALL### 5 made 0 ###LEFT-WALL### 10 . 1 the 3 choice 2 final 3 choice 3 choice 4 was 4 was 5 made 5 made 6 by 6 by 9 committee 7 an 8 expert 7 an 9 committee 8 expert 9 committee overall , 552 owners returned the questionnaire . 0 ###LEFT-WALL### 4 owners 0 ###LEFT-WALL### 5 returned 0 ###LEFT-WALL### 8 . 1 overall 2 , 1 overall 4 owners 3 552 4 owners 4 owners 5 returned 5 returned 7 questionnaire 6 the 7 questionnaire three plausible classifications were submitted to the committee . 0 ###LEFT-WALL### 3 classifications 0 ###LEFT-WALL### 5 submitted 0 ###LEFT-WALL### 9 . 1 three 3 classifications 2 plausible 3 classifications 3 classifications 4 were 4 were 5 submitted 5 submitted 6 to 6 to 8 committee 7 the 8 committee the selected classification included five clusters that differed with regard to admission criteria , services offered and recreational activities . 0 ###LEFT-WALL### 3 classification 0 ###LEFT-WALL### 4 included 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 20 . 1 the 3 classification 2 selected 3 classification 3 classification 4 included 4 included 6 clusters 5 five 6 clusters 6 clusters 7 that 6 clusters 8 differed 7 that 8 differed 8 differed 9 with 8 differed 11 to 9 with 10 regard 11 to 13 criteria 12 admission 13 criteria 14 , 17 and 15 services 16 offered 15 services 17 and 17 and 19 activities 18 recreational 19 activities this classification could help health professionals select the rcf that best responds to older adults ' needs . 0 ###LEFT-WALL### 2 classification 0 ###LEFT-WALL### 4 help 0 ###LEFT-WALL### 18 . 1 this 2 classification 2 classification 3 could 3 could 4 help 4 help 6 professionals 4 help 7 select 5 health 6 professionals 7 select 9 rcf 8 the 9 rcf 9 rcf 10 that 9 rcf 12 responds 10 that 12 responds 11 best 12 responds 12 responds 13 to 13 to 17 needs 14 older 15 adults 15 adults 16 ' 16 ' 17 needs medial temporal lobe [(] mtl )/memory and frontal lobe ( fl )/executive functions indexes are used to measure changes related to cognitive aging . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 20 related 0 ###LEFT-WALL### 24 . 1 medial 3 lobe 2 temporal 3 lobe 3 lobe 6 )/memory 5 mtl 6 )/memory 6 )/memory 7 and 7 and 9 lobe 8 frontal 9 lobe 10 ( 20 related 11 fl 12 )/executive 12 )/executive 13 functions 13 functions 14 indexes 13 functions 18 measure 13 functions 20 related 14 indexes 15 are 15 are 16 used 16 used 17 to 16 used 18 measure 17 to 18 measure 18 measure 19 changes 20 related 21 to 21 to 23 aging 22 cognitive 23 aging these indexes are based on composite scores of neuropsychological tests validated in english - speaking populations , and their use in aging research is growing in popularity . 0 ###LEFT-WALL### 2 indexes 0 ###LEFT-WALL### 4 based 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 28 . 1 these 2 indexes 2 indexes 3 are 3 are 4 based 4 based 5 on 4 based 12 in 5 on 10 tests 6 composite 7 scores 7 scores 8 of 7 scores 10 tests 8 of 10 tests 9 neuropsychological 10 tests 10 tests 11 validated 12 in 13 english 13 english 16 populations 14 - 16 populations 15 speaking 16 populations 16 populations 17 , 17 , 18 and 18 and 20 use 18 and 24 is 19 their 20 use 20 use 21 in 20 use 24 is 21 in 22 aging 22 aging 23 research 24 is 25 growing 25 growing 26 in 26 in 27 popularity this study aimed at validating the mtl/memory and fl/executive functions indexes in french - speaking adults . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 17 . 1 this 2 study 2 study 3 aimed 2 study 8 and 3 aimed 4 at 4 at 5 validating 5 validating 7 mtl/memory 6 the 7 mtl/memory 8 and 11 indexes 8 and 12 in 9 fl/executive 11 indexes 10 functions 11 indexes 12 in 16 adults 13 french 14 - 13 french 16 adults 15 speaking 16 adults ninety - eight healthy participants ( 32 young and 66 older adults ) were tested on eight neuropsychological tests , three associated with mtl/memory functions and five associated with fl/executive functions . 0 ###LEFT-WALL### 1 ninety 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 32 . 2 - 5 participants 2 - 20 , 3 eight 5 participants 4 healthy 5 participants 5 participants 7 32 6 ( 7 32 7 32 9 and 7 32 14 were 7 32 15 tested 7 32 20 , 8 young 9 and 9 and 12 adults 9 and 13 ) 9 and 14 were 10 66 12 adults 11 older 12 adults 15 tested 16 on 16 on 19 tests 17 eight 19 tests 18 neuropsychological 19 tests 20 , 21 three 20 , 22 associated 20 , 26 and 21 three 22 associated 22 associated 23 with 23 with 25 functions 24 mtl/memory 25 functions 26 and 27 five 26 and 28 associated 27 five 28 associated 28 associated 29 with 29 with 31 functions 30 fl/executive 31 functions factor analysis indicated that residual scores [independent] of age and associated with mtl/memory functions grouped under one factor , and residual scores associated with fl/executive functions grouped under another factor . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 31 . 1 factor 6 scores 1 factor 10 and 2 analysis 3 indicated 3 indicated 6 scores 4 that 5 residual 5 residual 6 scores 6 scores 8 of 8 of 9 age 10 and 11 associated 11 associated 12 with 11 associated 14 functions 12 with 13 mtl/memory 14 functions 15 grouped 14 functions 16 under 16 under 18 factor 17 one 18 factor 19 , 20 and 20 and 22 scores 20 and 27 grouped 21 residual 22 scores 22 scores 23 associated 23 associated 24 with 24 with 26 functions 24 with 27 grouped 25 fl/executive 26 functions 27 grouped 28 under 28 under 30 factor 29 another 30 factor bootstrapping analysis with 1,000 resamples confirmed stability for seven neuropsychological tests . 0 ###LEFT-WALL### 1 bootstrapping 0 ###LEFT-WALL### 5 resamples 0 ###LEFT-WALL### 12 . 1 bootstrapping 2 analysis 1 bootstrapping 3 with 1 bootstrapping 5 resamples 3 with 4 1,000 5 resamples 7 stability 6 confirmed 7 stability 7 stability 8 for 8 for 11 tests 9 seven 11 tests 10 neuropsychological 11 tests this study provides the first validation of the mtl/memory and fl/executive functions composite scores in french - speaking adults , which may be used to assess cognitive changes in aging research . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 provides 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 26 assess 0 ###LEFT-WALL### 32 . 1 this 2 study 2 study 3 provides 3 provides 6 validation 3 provides 15 in 3 provides 18 speaking 4 the 6 validation 5 first 6 validation 6 validation 7 of 7 of 10 and 8 the 9 mtl/memory 9 mtl/memory 10 and 10 and 14 scores 11 fl/executive 14 scores 12 functions 14 scores 13 composite 14 scores 15 in 16 french 17 - 18 speaking 18 speaking 19 adults 18 speaking 20 , 20 , 21 which 20 , 24 used 21 which 22 may 22 may 23 be 23 be 24 used 24 used 25 to 25 to 26 assess 26 assess 28 changes 26 assess 29 in 27 cognitive 28 changes 29 in 30 aging 30 aging 31 research mitochondrial dna ( mtdna ) mutations are causatively associated with photo [-] ageing and [are] used as biomarkers of uv exposure . 0 ###LEFT-WALL### 6 mutations 0 ###LEFT-WALL### 7 are 0 ###LEFT-WALL### 22 . 1 mitochondrial 2 dna 2 dna 4 mtdna 2 dna 6 mutations 3 ( 4 mtdna 4 mtdna 5 ) 6 mutations 7 are 7 are 14 and 8 causatively 9 associated 9 associated 10 with 9 associated 14 and 10 with 13 ageing 11 photo 13 ageing 14 and 16 used 14 and 17 as 17 as 18 biomarkers 18 biomarkers 19 of 19 of 21 exposure 20 uv 21 exposure the most prominent mitochondrial mutation is the common deletion ( cd ) , which is induced in many tissues by oxidative stress . 0 ###LEFT-WALL### 5 mutation 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 23 . 1 the 2 most 2 most 5 mutation 3 prominent 5 mutation 4 mitochondrial 5 mutation 5 mutation 6 is 6 is 9 deletion 7 the 9 deletion 8 common 9 deletion 9 deletion 11 cd 10 ( 11 cd 11 cd 12 ) 13 , 14 which 13 , 16 induced 14 which 15 is 15 is 16 induced 16 induced 17 in 16 induced 20 by 17 in 19 tissues 18 many 19 tissues 20 by 22 stress 21 oxidative 22 stress more photo [-] specific mutations might be cc to tt tandem transitions which arise from uv - induced cyclobutane pyrimidine dimers . 0 ###LEFT-WALL### 5 mutations 0 ###LEFT-WALL### 7 be 0 ###LEFT-WALL### 17 - 0 ###LEFT-WALL### 22 . 1 more 5 mutations 2 photo 5 mutations 4 specific 5 mutations 5 mutations 6 might 6 might 7 be 7 be 8 cc 7 be 9 to 9 to 12 transitions 10 tt 12 transitions 11 tandem 12 transitions 12 transitions 13 which 12 transitions 14 arise 13 which 14 arise 14 arise 15 from 15 from 16 uv 17 - 21 dimers 18 induced 19 cyclobutane 19 cyclobutane 21 dimers 20 pyrimidine 21 dimers as nucleotide excision repair is absent in mitochondria , this dna damage can presumably not be repaired resulting in high mitochondrial mutation levels . 0 ###LEFT-WALL### 12 damage 0 ###LEFT-WALL### 16 be 0 ###LEFT-WALL### 24 . 1 as 4 repair 1 as 5 is 1 as 9 , 1 as 12 damage 2 nucleotide 4 repair 3 excision 4 repair 4 repair 5 is 5 is 6 absent 6 absent 7 in 7 in 8 mitochondria 10 this 12 damage 11 dna 12 damage 12 damage 13 can 13 can 15 not 13 can 16 be 14 presumably 15 not 16 be 18 resulting 17 repaired 18 resulting 18 resulting 19 in 19 in 23 levels 20 high 22 mutation 21 mitochondrial 22 mutation 22 mutation 23 levels here , we analysed levels of the cd , a mitochondrial and a chromosomal tandem transition in epidermis and dermis [from] exposed and less uv - exposed skin . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 analysed 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 29 . 1 here 2 , 1 here 3 we 3 we 4 analysed 4 analysed 5 levels 5 levels 6 of 6 of 8 cd 7 the 8 cd 9 , 25 uv 9 , 26 - 10 a 25 uv 11 mitochondrial 12 and 12 and 16 transition 12 and 17 in 12 and 19 and 13 a 14 chromosomal 13 a 16 transition 14 chromosomal 15 tandem 15 tandem 16 transition 17 in 18 epidermis 19 and 20 dermis 19 and 22 exposed 19 and 23 and 23 and 24 less 23 and 25 uv 26 - 28 skin 27 exposed 28 skin [we] also analysed mtdna copy number , for which changes as a result of oxidative stress have been described in different experimental settings . 0 ###LEFT-WALL### 6 number 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 24 . 2 also 3 analysed 3 analysed 4 mtdna 4 mtdna 6 number 5 copy 6 number 7 , 8 for 7 , 19 described 8 for 9 which 9 which 10 changes 10 changes 11 as 10 changes 17 have 11 as 13 result 12 a 13 result 13 result 14 of 14 of 16 stress 15 oxidative 16 stress 17 have 18 been 18 been 19 described 19 described 20 in 20 in 23 settings 21 different 23 settings 22 experimental 23 settings whereas mitochondrial tandem transition levels were surprisingly low with no discernible correlation with uv exposure , mtdna copy number and cd were significantly increased in uv - exposed samples . 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 24 increased 1 whereas 5 levels 1 whereas 6 were 1 whereas 20 and 2 mitochondrial 4 transition 3 tandem 4 transition 4 transition 5 levels 5 levels 6 were 6 were 8 low 7 surprisingly 8 low 8 low 9 with 9 with 12 correlation 9 with 13 with 10 no 12 correlation 11 discernible 12 correlation 13 with 14 uv 15 exposure 16 , 16 , 19 number 16 , 20 and 17 mtdna 18 copy 18 copy 19 number 20 and 21 cd 20 and 22 were 22 were 24 increased 23 significantly 24 increased 24 increased 25 in 25 in 26 uv 26 uv 29 samples 27 - 29 samples 28 exposed 29 samples 29 samples 30 . background : most neuropsychological batteries , especially those most often used , are unsuitable for the assessment of patients with severe dementia . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 5 batteries 2 : 13 are 2 : 23 . 3 most 4 neuropsychological 4 neuropsychological 5 batteries 5 batteries 8 those 5 batteries 13 are 6 , 7 especially 6 , 8 those 8 those 11 used 8 those 12 , 9 most 10 often 10 often 11 used 13 are 14 unsuitable 14 unsuitable 15 for 14 unsuitable 20 with 15 for 17 assessment 16 the 17 assessment 17 assessment 18 of 18 of 19 patients 20 with 22 dementia 21 severe 22 dementia the severe impairment battery ( sib ) was developed for the evaluation of preserved cognitive functions in these patients . 0 ###LEFT-WALL### 6 sib 0 ###LEFT-WALL### 9 developed 0 ###LEFT-WALL### 20 . 1 the 6 sib 2 severe 3 impairment 3 impairment 4 battery 4 battery 6 sib 5 ( 6 sib 6 sib 7 ) 6 sib 8 was 8 was 9 developed 9 developed 10 for 9 developed 17 in 10 for 12 evaluation 11 the 12 evaluation 12 evaluation 13 of 13 of 16 functions 14 preserved 16 functions 15 cognitive 16 functions 17 in 19 patients 18 these 19 patients the aim of this study was to formulate a greek version of the sib and to conduct a first assessment of its use of patients with mild , moderate , or severe alzheimer 's disease ( ad ) , compared to the mini - mental state examination ( mmse ) . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 34 's 0 ###LEFT-WALL### 51 . 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 formulate 7 to 8 formulate 8 formulate 11 version 9 a 10 greek 9 a 11 version 10 greek 11 version 11 version 12 of 12 of 14 sib 13 the 14 sib 15 and 16 to 15 and 34 's 16 to 17 conduct 16 to 34 's 17 conduct 20 assessment 18 a 20 assessment 19 first 20 assessment 20 assessment 21 of 21 of 23 use 22 its 23 use 23 use 24 of 24 of 25 patients 25 patients 26 with 26 with 33 alzheimer 27 mild 28 , 28 , 29 moderate 28 , 31 or 30 , 31 or 31 or 32 severe 31 or 33 alzheimer 34 's 35 disease 34 's 40 compared 35 disease 37 ad 36 ( 37 ad 37 ad 38 ) 39 , 40 compared 40 compared 41 to 40 compared 50 ) 41 to 43 mini 42 the 43 mini 43 mini 49 mmse 44 - 49 mmse 45 mental 46 state 46 state 47 examination 47 examination 49 mmse 48 ( 49 mmse 49 mmse 50 ) methods : a convenience sample of 42 dementia patients according to dsm - iv - tr criteria and 23 healthy participants was selected . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 5 sample 2 : 22 was 2 : 24 . 3 a 5 sample 4 convenience 5 sample 5 sample 6 of 5 sample 22 was 6 of 18 and 7 42 9 patients 8 dementia 9 patients 9 patients 10 according 9 patients 18 and 10 according 11 to 10 according 17 criteria 11 to 12 dsm 12 dsm 14 iv 13 - 14 iv 14 iv 15 - 16 tr 17 criteria 18 and 21 participants 19 23 21 participants 20 healthy 21 participants 22 was 23 selected patients were assessed twice using a greek translation of the sib and the greek version of mmse . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 3 assessed 0 ###LEFT-WALL### 18 . 1 patients 2 were 2 were 3 assessed 3 assessed 4 twice 3 assessed 5 using 5 using 12 and 6 a 8 translation 7 greek 8 translation 8 translation 9 of 8 translation 12 and 9 of 11 sib 10 the 11 sib 12 and 15 version 12 and 16 of 13 the 15 version 14 greek 15 version 16 of 17 mmse patients were divided into three severity groups based [on] grouped by clinical dementia rating ( cdr ) score and the sib and mmse scores were compared . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 18 score 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 27 . 1 patients 2 were 2 were 3 divided 3 divided 4 into 4 into 5 three 5 three 7 groups 5 three 18 score 6 severity 7 groups 7 groups 8 based 7 groups 10 grouped 7 groups 18 score 10 grouped 11 by 11 by 16 cdr 12 clinical 13 dementia 13 dementia 14 rating 14 rating 16 cdr 15 ( 16 cdr 16 cdr 17 ) 19 and 22 and 19 and 26 compared 20 the 21 sib 21 sib 22 and 22 and 24 scores 22 and 25 were 23 mmse 24 scores 25 were 26 compared results : the validity of the sib was confirmed by evaluating the correlation coefficients between the sib and greek - mmse , grouped by cdr , which were found to be significant . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 4 validity 2 : 9 confirmed 2 : 18 and 2 : 26 , 3 the 4 validity 4 validity 5 of 4 validity 8 was 5 of 7 sib 6 the 7 sib 8 was 9 confirmed 9 confirmed 10 by 10 by 11 evaluating 11 evaluating 14 coefficients 12 the 14 coefficients 13 correlation 14 coefficients 14 coefficients 15 between 15 between 17 sib 16 the 17 sib 18 and 19 greek 18 and 23 grouped 19 greek 21 mmse 19 greek 23 grouped 20 - 21 mmse 21 mmse 22 , 23 grouped 24 by 24 by 25 cdr 26 , 27 which 26 , 29 found 27 which 28 were 28 were 29 found 29 found 30 to 30 to 31 be 31 be 32 significant cronbach 's α for the total sib score and each subscale score showed high significance , and the item [-] total correlation for each subscale was also acceptable . 0 ###LEFT-WALL### 3 α 0 ###LEFT-WALL### 13 showed 0 ###LEFT-WALL### 29 . 1 cronbach 2 's 2 's 3 α 3 α 4 for 3 α 13 showed 4 for 9 and 5 the 8 score 6 total 8 score 7 sib 8 score 8 score 9 and 9 and 12 score 10 each 11 subscale 11 subscale 12 score 13 showed 17 and 13 showed 23 for 13 showed 25 subscale 13 showed 26 was 14 high 15 significance 15 significance 17 and 16 , 17 and 17 and 22 correlation 18 the 22 correlation 19 item 22 correlation 21 total 22 correlation 23 for 24 each 25 subscale 26 was 26 was 27 also 26 was 28 acceptable the test - retest [correlation] for the total sib score and subscale scores were significant . 0 ###LEFT-WALL### 2 test 0 ###LEFT-WALL### 3 - 1 the 2 test 3 - 4 retest 3 - 11 and 3 - 16 . 4 retest 6 for 6 for 10 score 7 the 10 score 8 total 10 score 9 sib 10 score 11 and 13 scores 11 and 14 were 12 subscale 13 scores 13 scores 14 were 14 were 15 significant the total sib score and subscale scores were examined according to cdr . 0 ###LEFT-WALL### 4 score 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 13 . 1 the 4 score 2 total 4 score 3 sib 4 score 5 and 7 scores 5 and 9 examined 6 subscale 7 scores 7 scores 8 were 8 were 9 examined 9 examined 11 to 10 according 11 to 11 to 12 cdr conclusion : the greek sib is reliable and valid in differentiating patients with moderate or severe dementia , whereas mmse loses sensitivity due to a floor and ceiling effect . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 5 sib 2 : 6 is 2 : 30 . 3 the 5 sib 4 greek 5 sib 5 sib 6 is 6 is 8 and 7 reliable 8 and 8 and 9 valid 9 valid 10 in 9 valid 24 to 10 in 11 differentiating 11 differentiating 12 patients 11 differentiating 19 whereas 12 patients 13 with 13 with 15 or 14 moderate 15 or 15 or 17 dementia 15 or 18 , 16 severe 17 dementia 19 whereas 20 mmse 19 whereas 21 loses 20 mmse 21 loses 21 loses 22 sensitivity 23 due 24 to 24 to 27 and 25 a 26 floor 26 floor 27 and 27 and 29 effect 28 ceiling 29 effect introduction : late - onset hypogonadism may impair quality of life and contribute to metabolic and cardiovascular comorbidity in aging men . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 6 hypogonadism 2 : 12 and 3 late 4 - 3 late 5 onset 5 onset 6 hypogonadism 6 hypogonadism 7 may 7 may 12 and 8 impair 9 quality 8 impair 12 and 9 quality 10 of 10 of 11 life 12 and 13 contribute 12 and 14 to 12 and 21 men 14 to 18 comorbidity 15 metabolic 16 and 16 and 17 cardiovascular 16 and 18 comorbidity 18 comorbidity 19 in 19 in 20 aging testosterone replacement therapy is effective in treating hypogonadism . 0 ###LEFT-WALL### 3 therapy 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 9 . 1 testosterone 3 therapy 2 replacement 3 therapy 3 therapy 4 is 4 is 5 effective 5 effective 6 in 6 in 7 treating 7 treating 8 hypogonadism however , for the millions of men with a history of prostate cancer , exogenous testosterone has long been considered contraindicated , even though little data in such men are available . 0 ###LEFT-WALL### 26 data 0 ###LEFT-WALL### 30 are 0 ###LEFT-WALL### 32 . 1 however 16 testosterone 1 however 20 considered 1 however 26 data 2 , 3 for 3 for 5 millions 3 for 14 , 3 for 16 testosterone 4 the 5 millions 5 millions 6 of 6 of 7 men 7 men 8 with 8 with 10 history 9 a 10 history 10 history 11 of 11 of 13 cancer 12 prostate 13 cancer 15 exogenous 16 testosterone 16 testosterone 17 has 17 has 19 been 18 long 19 been 19 been 20 considered 21 contraindicated 22 , 21 contraindicated 26 data 23 even 24 though 24 though 25 little 24 though 26 data 26 data 27 in 26 data 30 are 27 in 29 men 28 such 29 men 30 are 31 available clarification of this safety issue could allow treatment to be considered for a sizeable segment of the aging male population . 0 ###LEFT-WALL### 1 clarification 0 ###LEFT-WALL### 7 allow 0 ###LEFT-WALL### 21 . 1 clarification 2 of 1 clarification 6 could 2 of 5 issue 3 this 5 issue 4 safety 5 issue 6 could 7 allow 7 allow 8 treatment 7 allow 9 to 7 allow 11 considered 9 to 10 be 10 be 11 considered 11 considered 12 for 12 for 15 segment 13 a 14 sizeable 13 a 15 segment 14 sizeable 15 segment 15 segment 16 of 16 of 20 population 17 the 20 population 18 aging 20 population 19 male 20 population aim : the aim of this study is to examine population - based utilization and impact of testosterone replacement therapy in men with prostate cancer . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 26 . 1 aim 2 : 2 : 4 aim 3 the 4 aim 4 aim 5 of 4 aim 7 study 4 aim 10 examine 5 of 6 this 7 study 8 is 8 is 9 to 8 is 10 examine 9 to 10 examine 10 examine 11 population 12 - 15 and 13 based 14 utilization 14 utilization 15 and 15 and 16 impact 15 and 17 of 17 of 20 therapy 18 testosterone 19 replacement 19 replacement 20 therapy 20 therapy 21 in 21 in 22 men 22 men 23 with 23 with 25 cancer 24 prostate 25 cancer methods : using linked surveillance , epidemiology , and end results - medicare data , we identified 149,354 men diagnosed with prostate cancer from 1992 to 2007 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 16 we 2 : 17 identified 2 : 28 . 3 using 5 surveillance 3 using 12 - 3 using 15 , 3 using 16 we 4 linked 5 surveillance 6 , 12 - 7 epidemiology 9 and 8 , 9 and 9 and 11 results 9 and 12 - 10 end 11 results 12 - 14 data 12 - 15 , 13 medicare 14 data 16 we 17 identified 17 identified 19 men 17 identified 21 with 17 identified 26 to 18 149,354 19 men 19 men 20 diagnosed 21 with 23 cancer 22 prostate 23 cancer 24 from 26 to 25 1992 26 to 26 to 27 2007 of those , 1181 ( 0.79 % ) men received exogenous testosterone following their cancer diagnosis . 0 ###LEFT-WALL### 9 men 0 ###LEFT-WALL### 10 received 0 ###LEFT-WALL### 17 . 1 of 2 those 1 of 9 men 2 those 4 1181 3 , 4 1181 4 1181 7 % 4 1181 8 ) 5 ( 7 % 6 0.79 7 % 7 % 8 ) 9 men 10 received 10 received 12 testosterone 11 exogenous 12 testosterone 12 testosterone 13 following 13 following 16 diagnosis 14 their 16 diagnosis 15 cancer 16 diagnosis we used propensity scoring analysis to examine the effect of testosterone replacement on the use of salvage hormone therapy and overall and prostate cancer - specific mortality . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 used 1 we 2 used 2 used 5 analysis 2 used 6 to 2 used 7 examine 3 propensity 4 scoring 4 scoring 5 analysis 6 to 7 examine 7 examine 9 effect 7 examine 13 on 8 the 9 effect 9 effect 10 of 10 of 12 replacement 11 testosterone 12 replacement 13 on 15 use 14 the 15 use 15 use 16 of 16 of 22 and 17 salvage 19 therapy 18 hormone 19 therapy 19 therapy 20 and 20 and 21 overall 20 and 22 and 22 and 24 cancer 22 and 27 mortality 23 prostate 24 cancer 25 - 27 mortality 26 specific 27 mortality 27 mortality 28 . main outcome measures : we assessed overall mortality , cancer - specific mortality , and the use of salvage hormone therapy . 0 ###LEFT-WALL### 3 measures 0 ###LEFT-WALL### 4 : 1 main 2 outcome 2 outcome 3 measures 4 : 5 we 4 : 6 assessed 4 : 11 - 4 : 22 . 5 we 6 assessed 6 assessed 8 mortality 7 overall 8 mortality 8 mortality 10 cancer 9 , 10 cancer 10 cancer 11 - 11 - 15 and 12 specific 13 mortality 13 mortality 15 and 14 , 15 and 15 and 17 use 15 and 18 of 16 the 17 use 18 of 21 therapy 19 salvage 21 therapy 20 hormone 21 therapy results : following prostate cancer diagnosis , testosterone replacement was directly related to income and educational status and inversely related to age ( [all] p < 0.001 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 29 . 1 results 2 : 2 : 3 following 3 following 6 diagnosis 4 prostate 5 cancer 5 cancer 6 diagnosis 7 , 9 replacement 7 , 18 and 8 testosterone 9 replacement 9 replacement 10 was 10 was 18 and 11 directly 12 related 12 related 13 to 12 related 18 and 13 to 15 and 14 income 15 and 15 and 17 status 16 educational 17 status 18 and 20 related 19 inversely 20 related 20 related 21 to 20 related 26 < 21 to 22 age 23 ( 26 < 25 p 26 < 26 < 27 0.001 26 < 28 ) men undergoing radical prostatectomy and men with well - differentiated tumors were more likely to receive testosterone ( [all] p < 0.001 ) . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 9 - 0 ###LEFT-WALL### 24 . 1 men 2 undergoing 1 men 5 and 2 undergoing 4 prostatectomy 3 radical 4 prostatectomy 5 and 6 men 5 and 7 with 7 with 8 well 9 - 10 differentiated 9 - 12 were 10 differentiated 12 were 11 tumors 12 were 12 were 14 likely 13 more 14 likely 14 likely 15 to 14 likely 16 receive 15 to 16 receive 16 receive 17 testosterone 16 receive 21 < 18 ( 21 < 20 p 21 < 21 < 22 0.001 21 < 23 ) on adjusted analysis , testosterone replacement therapy was not associated with overall [or] cancer - specific mortality or [with] the use of salvage hormone therapy . 0 ###LEFT-WALL### 7 therapy 0 ###LEFT-WALL### 8 was 0 ###LEFT-WALL### 15 - 0 ###LEFT-WALL### 26 . 1 on 3 analysis 1 on 4 , 1 on 7 therapy 2 adjusted 3 analysis 5 testosterone 6 replacement 6 replacement 7 therapy 7 therapy 8 was 8 was 9 not 8 was 11 with 9 not 10 associated 11 with 14 cancer 12 overall 14 cancer 15 - 18 or 16 specific 17 mortality 17 mortality 18 or 18 or 21 use 18 or 22 of 20 the 21 use 22 of 25 therapy 23 salvage 25 therapy 24 hormone 25 therapy conclusions : in this population - based observational study of testosterone replacement therapy in men with a history of prostate cancer , treatment was not associated with increased overall [or] cancer - specific mortality . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 , 1 conclusions 2 : 2 : 3 in 3 in 5 population 4 this 5 population 5 population 9 study 6 - 9 study 7 based 9 study 8 observational 9 study 9 study 10 of 9 study 22 , 10 of 13 therapy 11 testosterone 13 therapy 12 replacement 13 therapy 13 therapy 14 in 13 therapy 16 with 13 therapy 19 of 14 in 15 men 16 with 18 history 17 a 18 history 19 of 21 cancer 20 prostate 21 cancer 22 , 23 treatment 22 , 26 associated 23 treatment 24 was 24 was 25 not 24 was 26 associated 26 associated 27 with 27 with 31 cancer 28 increased 31 cancer 29 overall 31 cancer 31 cancer 34 mortality 32 - 34 mortality 33 specific 34 mortality 34 mortality 35 . these findings suggest testosterone replacement therapy may be considered in men with a history of prostate cancer , but confirmatory prospective studies are needed . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 19 but 0 ###LEFT-WALL### 25 . 1 these 2 findings 2 findings 3 suggest 3 suggest 6 therapy 3 suggest 9 considered 4 testosterone 5 replacement 5 replacement 6 therapy 6 therapy 7 may 7 may 8 be 8 be 9 considered 9 considered 10 in 9 considered 12 with 10 in 11 men 12 with 14 history 13 a 14 history 14 history 15 of 15 of 17 cancer 16 prostate 17 cancer 18 , 19 but 19 but 22 studies 19 but 23 are 20 confirmatory 22 studies 21 prospective 22 studies 22 studies 23 are 23 are 24 needed many older listeners report difficulties in understanding speech in noisy situations . 0 ###LEFT-WALL### 3 listeners 0 ###LEFT-WALL### 4 report 0 ###LEFT-WALL### 12 . 1 many 3 listeners 2 older 3 listeners 3 listeners 4 report 4 report 5 difficulties 4 report 6 in 6 in 7 understanding 7 understanding 8 speech 7 understanding 9 in 9 in 11 situations 10 noisy 11 situations working memory and other cognitive skills may modulate older listeners ' ability to use context information to alleviate the effects of noise on spoken - word recognition . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 8 modulate 1 working 2 memory 2 memory 3 and 3 and 6 skills 3 and 7 may 4 other 6 skills 5 cognitive 6 skills 7 may 8 modulate 8 modulate 12 ability 9 older 10 listeners 10 listeners 11 ' 11 ' 12 ability 12 ability 13 to 12 ability 24 spoken 12 ability 27 recognition 13 to 16 information 14 use 16 information 15 context 16 information 16 information 17 to 16 information 23 on 17 to 18 alleviate 18 alleviate 20 effects 18 alleviate 23 on 19 the 20 effects 20 effects 21 of 21 of 22 noise 25 - 27 recognition 26 word 27 recognition 27 recognition 28 . in the present study , we investigated whether verbal working memory predicts older adults ' ability to immediately use context information in the recognition of words embedded in sentences , presented in different listening conditions . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 investigated 0 ###LEFT-WALL### 36 . 1 in 4 study 1 in 5 , 1 in 6 we 2 the 4 study 3 present 4 study 6 we 7 investigated 7 investigated 8 whether 7 investigated 22 in 7 investigated 28 in 7 investigated 32 in 8 whether 11 memory 8 whether 12 predicts 9 verbal 11 memory 10 working 11 memory 11 memory 12 predicts 12 predicts 16 ability 13 older 14 adults 14 adults 15 ' 15 ' 16 ability 16 ability 17 to 16 ability 19 use 17 to 19 use 18 immediately 19 use 19 use 21 information 20 context 21 information 22 in 24 recognition 23 the 24 recognition 24 recognition 25 of 25 of 26 words 26 words 27 embedded 28 in 30 , 29 sentences 30 , 30 , 31 presented 32 in 35 conditions 33 different 35 conditions 34 listening 35 conditions in a phoneme - [monitoring] task , older adults were asked to detect as fast and as accurately as possible target phonemes in sentences spoken by a target speaker . 0 ###LEFT-WALL### 6 task 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 30 . 1 in 3 phoneme 1 in 4 - 1 in 6 task 2 a 3 phoneme 7 , 9 adults 7 , 11 asked 8 older 9 adults 9 adults 10 were 10 were 11 asked 11 asked 12 to 11 asked 13 detect 12 to 13 detect 13 detect 16 and 13 detect 19 as 13 detect 23 in 13 detect 29 speaker 14 as 15 fast 15 fast 16 and 16 and 18 accurately 17 as 18 accurately 19 as 22 phonemes 20 possible 21 target 21 target 22 phonemes 23 in 24 sentences 24 sentences 25 spoken 25 spoken 26 by 26 by 28 target 27 a 28 target target speech was presented without noise , with fluctuating speech - shaped noise , or with competing speech from a single distractor speaker . 0 ###LEFT-WALL### 2 speech 0 ###LEFT-WALL### 4 presented 0 ###LEFT-WALL### 24 . 1 target 2 speech 2 speech 3 was 3 was 4 presented 4 presented 15 or 5 without 6 noise 5 without 15 or 6 noise 8 with 7 , 8 with 8 with 10 speech 8 with 14 , 9 fluctuating 10 speech 10 speech 13 noise 11 - 13 noise 12 shaped 13 noise 13 noise 14 , 14 , 15 or 15 or 16 with 16 with 18 speech 17 competing 18 speech 18 speech 19 from 19 from 23 speaker 20 a 23 speaker 21 single 23 speaker 22 distractor 23 speaker the gradient measure of contextual probability ( derived from a separate offline rating study ) affected the speed of recognition . 0 ###LEFT-WALL### 3 measure 0 ###LEFT-WALL### 16 affected 0 ###LEFT-WALL### 21 . 1 the 3 measure 2 gradient 3 measure 3 measure 4 of 3 measure 16 affected 4 of 6 probability 5 contextual 6 probability 6 probability 8 derived 7 ( 8 derived 8 derived 9 from 8 derived 15 ) 9 from 14 study 10 a 11 separate 10 a 14 study 11 separate 13 rating 12 offline 13 rating 13 rating 14 study 16 affected 18 speed 17 the 18 speed 18 speed 19 of 19 of 20 recognition contextual facilitation was modulated by older listeners ' verbal working memory ( measured with a [backward] digit span task ) and age across listening conditions . 0 ###LEFT-WALL### 2 facilitation 0 ###LEFT-WALL### 4 modulated 0 ###LEFT-WALL### 26 . 1 contextual 2 facilitation 2 facilitation 3 was 3 was 4 modulated 4 modulated 5 by 4 modulated 23 across 5 by 21 and 6 older 7 listeners 7 listeners 8 ' 8 ' 9 verbal 9 verbal 10 working 9 verbal 21 and 10 working 11 memory 11 memory 13 measured 12 ( 13 measured 13 measured 14 with 13 measured 20 ) 14 with 19 task 15 a 19 task 17 digit 19 task 18 span 19 task 21 and 22 age 23 across 25 conditions 24 listening 25 conditions working memory and age , as well as hearing loss , were also the most consistent predictors of overall listening performance . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 12 were 0 ###LEFT-WALL### 22 . 1 working 2 memory 2 memory 3 and 3 and 4 age 3 and 8 as 3 and 12 were 5 , 8 as 6 as 7 well 7 well 8 as 8 as 9 hearing 8 as 11 , 9 hearing 10 loss 12 were 13 also 12 were 17 predictors 14 the 15 most 15 most 17 predictors 16 consistent 17 predictors 17 predictors 18 of 18 of 21 performance 19 overall 20 listening 20 listening 21 performance older listeners ' immediate benefit from context in spoken [-] word recognition thus relates to their ability to [keep] [and] update a semantic representation of the sentence content in working memory . 0 ###LEFT-WALL### 5 benefit 0 ###LEFT-WALL### 21 update 0 ###LEFT-WALL### 32 . 1 older 2 listeners 2 listeners 3 ' 3 ' 5 benefit 4 immediate 5 benefit 5 benefit 6 from 5 benefit 14 relates 6 from 7 context 7 context 8 in 8 in 12 recognition 9 spoken 11 word 11 word 12 recognition 13 thus 14 relates 14 relates 15 to 14 relates 18 to 15 to 17 ability 16 their 17 ability 18 to 21 update 21 update 24 representation 21 update 29 in 22 a 23 semantic 22 a 24 representation 23 semantic 24 representation 24 representation 25 of 25 of 28 content 26 the 28 content 27 sentence 28 content 29 in 30 working 30 working 31 memory purpose : the american society of clinical oncology ( asco ) published a study in 2007 that anticipated a shortage of oncologists by 2020 . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 2 : 5 society 2 : 12 published 2 : 25 . 3 the 4 american 4 american 5 society 5 society 6 of 5 society 12 published 6 of 10 asco 7 clinical 8 oncology 8 oncology 10 asco 9 ( 10 asco 10 asco 11 ) 12 published 14 study 13 a 14 study 14 study 15 in 14 study 17 that 14 study 18 anticipated 15 in 16 2007 17 that 18 anticipated 18 anticipated 20 shortage 18 anticipated 23 by 19 a 20 shortage 20 shortage 21 of 21 of 22 oncologists 23 by 24 2020 [this] study aims to update and better assess the market for chemotherapy and radiation therapy and the impact of health reform on capacity of and demand for oncologists and radiation oncologists . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 32 . 2 study 3 aims 2 study 6 and 3 aims 4 to 3 aims 5 update 4 to 5 update 6 and 8 assess 7 better 8 assess 8 assess 10 market 8 assess 31 oncologists 9 the 10 market 10 market 11 for 10 market 31 oncologists 11 for 25 and 12 chemotherapy 13 and 13 and 14 radiation 13 and 16 and 13 and 24 of 13 and 25 and 15 therapy 16 and 16 and 18 impact 16 and 19 of 16 and 21 reform 17 the 18 impact 19 of 20 health 21 reform 22 on 22 on 23 capacity 23 capacity 24 of 25 and 26 demand 25 and 27 for 27 for 29 and 28 oncologists 29 and 29 and 30 radiation methods : the supply of oncologists and radiation oncologists , by age , sex , and specialty , was projected through 2025 with an input - output model . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 4 supply 2 : 20 projected 2 : 26 - 3 the 4 supply 4 supply 5 of 4 supply 16 and 4 supply 19 was 5 of 7 and 6 oncologists 7 and 7 and 9 oncologists 7 and 11 by 8 radiation 9 oncologists 10 , 11 by 11 by 12 age 11 by 13 , 13 , 16 and 14 sex 16 and 15 , 16 and 16 and 17 specialty 16 and 18 , 19 was 20 projected 20 projected 21 through 21 through 22 2025 22 2025 23 with 23 with 25 input 24 an 25 input 26 - 28 model 27 output 28 model the medical expenditure panel survey , commercial claims , and medicare claims were analyzed to determine patterns of use by patient characteristics such as age , sex , health insurance coverage , cancer site , physician specialty , and service type . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 14 analyzed 0 ###LEFT-WALL### 42 . 1 the 5 survey 2 medical 3 expenditure 3 expenditure 4 panel 4 panel 5 survey 5 survey 6 , 6 , 8 claims 6 , 10 and 7 commercial 8 claims 9 , 10 and 10 and 12 claims 10 and 13 were 11 medicare 12 claims 13 were 14 analyzed 14 analyzed 15 to 15 to 16 determine 16 determine 17 patterns 16 determine 24 as 17 patterns 18 of 17 patterns 20 by 18 of 19 use 20 by 22 characteristics 21 patient 22 characteristics 23 such 24 as 24 as 39 and 25 age 26 , 26 , 27 sex 26 , 28 , 28 , 31 coverage 28 , 32 , 29 health 31 coverage 30 insurance 31 coverage 32 , 34 site 32 , 35 , 33 cancer 34 site 35 , 37 specialty 35 , 39 and 36 physician 37 specialty 38 , 39 and 39 and 41 type 40 service 41 type patterns of use were then applied to the projected prevalence of cancer , using data from the seer program of the national cancer institute . 0 ###LEFT-WALL### 1 patterns 0 ###LEFT-WALL### 6 applied 1 patterns 2 of 1 patterns 4 were 2 of 3 use 4 were 5 then 4 were 6 applied 6 applied 7 to 7 to 10 prevalence 8 the 10 prevalence 9 projected 10 prevalence 10 prevalence 11 of 11 of 12 cancer 12 cancer 14 using 13 , 14 using 14 using 15 data 14 using 25 . 15 data 16 from 15 data 20 of 16 from 19 program 17 the 19 program 18 seer 19 program 20 of 24 institute 21 the 24 institute 22 national 23 cancer 23 cancer 24 institute results : beginning in 2012 , 16,347 oncologists and radiation oncologists were active and supplying 15,190 full - time equivalents ( ftes [ )(of patient care . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 , 1 results 2 : 2 : 3 beginning 2 : 4 in 4 in 5 2012 6 , 9 and 6 , 12 were 7 16,347 8 oncologists 8 oncologists 9 and 9 and 11 oncologists 9 and 12 were 10 radiation 11 oncologists 12 were 14 and 13 active 14 and 14 and 20 equivalents 14 and 22 ftes 15 supplying 20 equivalents 16 15,190 20 equivalents 17 full 18 - 17 full 20 equivalents 19 time 20 equivalents 21 ( 22 ftes 22 ftes 24 )(of 22 ftes 27 . 24 )(of 26 care 25 patient 26 care without consideration of the affordable care act ( aca ) , overall demand for oncologist services is projected to grow 40 % ( 21,255 ftes ) , whereas supply may grow only 25 % ( 18,997 ftes ) , generating a shortage of 2,258 ftes in 2025 . 0 ###LEFT-WALL### 13 demand 0 ###LEFT-WALL### 31 grow 1 without 2 consideration 1 without 11 , 1 without 13 demand 2 consideration 3 of 2 consideration 9 aca 3 of 7 act 4 the 7 act 5 affordable 6 care 6 care 7 act 8 ( 9 aca 9 aca 10 ) 12 overall 13 demand 13 demand 14 for 13 demand 17 is 14 for 16 services 15 oncologist 16 services 17 is 18 projected 18 projected 19 to 19 to 20 grow 20 grow 22 % 20 grow 28 whereas 21 40 22 % 22 % 25 ftes 23 ( 25 ftes 24 21,255 25 ftes 25 ftes 26 ) 27 , 28 whereas 28 whereas 29 supply 29 supply 30 may 30 may 31 grow 31 grow 34 % 31 grow 40 generating 32 only 33 25 33 25 34 % 34 % 37 ftes 35 ( 37 ftes 36 18,997 37 ftes 37 ftes 38 ) 39 , 40 generating 40 generating 42 shortage 40 generating 46 in 40 generating 48 . 41 a 42 shortage 42 shortage 43 of 43 of 45 ftes 44 2,258 45 ftes 46 in 47 2025 when fully implemented , the aca could increase the demand for oncologists and radiation oncologists by 500,000 visits per year , increasing the shortage to 2,393 ftes in 2025 . 0 ###LEFT-WALL### 6 aca 0 ###LEFT-WALL### 8 increase 1 when 3 implemented 1 when 4 , 1 when 6 aca 2 fully 3 implemented 5 the 6 aca 6 aca 7 could 7 could 8 increase 8 increase 10 demand 8 increase 11 for 8 increase 16 by 8 increase 22 increasing 9 the 10 demand 11 for 13 and 12 oncologists 13 and 13 and 15 oncologists 14 radiation 15 oncologists 16 by 18 visits 17 500,000 18 visits 18 visits 19 per 19 per 20 year 21 , 22 increasing 22 increasing 24 shortage 22 increasing 30 . 23 the 24 shortage 24 shortage 25 to 24 shortage 28 in 25 to 27 ftes 26 2,393 27 ftes 28 in 29 2025 conclusion : anticipated shortages are largely consistent with the projections of the asco 2007 workforce study but somewhat more delayed . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 shortages 2 : 5 are 2 : 17 but 2 : 21 . 3 anticipated 4 shortages 4 shortages 5 are 5 are 7 consistent 6 largely 7 consistent 7 consistent 8 with 8 with 10 projections 9 the 10 projections 10 projections 11 of 11 of 16 study 12 the 16 study 13 asco 14 2007 13 asco 16 study 15 workforce 16 study 17 but 19 more 17 but 20 delayed 18 somewhat 19 more 19 more 20 delayed the aca may modestly exacerbate the shortage . 0 ###LEFT-WALL### 2 aca 0 ###LEFT-WALL### 5 exacerbate 0 ###LEFT-WALL### 8 . 1 the 2 aca 2 aca 3 may 3 may 5 exacerbate 4 modestly 5 exacerbate 5 exacerbate 7 shortage 6 the 7 shortage unless oncologist productivity can be enhanced , the anticipated shortage will strain the ability to provide quality cancer care . 0 ###LEFT-WALL### 10 shortage 0 ###LEFT-WALL### 12 strain 0 ###LEFT-WALL### 20 . 1 unless 3 productivity 1 unless 6 enhanced 1 unless 10 shortage 2 oncologist 3 productivity 3 productivity 4 can 4 can 5 be 5 be 6 enhanced 6 enhanced 7 , 8 the 10 shortage 9 anticipated 10 shortage 10 shortage 11 will 11 will 12 strain 12 strain 14 ability 13 the 14 ability 14 ability 15 to 14 ability 16 provide 15 to 16 provide 16 provide 19 care 17 quality 19 care 18 cancer 19 care mild cognitive impairment ( mci ) can be considered as an intermediate stage between normal cognitive aging and dementia . 0 ###LEFT-WALL### 3 impairment 0 ###LEFT-WALL### 9 considered 0 ###LEFT-WALL### 20 . 1 mild 3 impairment 2 cognitive 3 impairment 3 impairment 5 mci 3 impairment 7 can 4 ( 5 mci 5 mci 6 ) 7 can 8 be 8 be 9 considered 9 considered 10 as 9 considered 14 between 10 as 13 stage 11 an 12 intermediate 11 an 13 stage 12 intermediate 13 stage 14 between 18 and 15 normal 17 aging 16 cognitive 17 aging 17 aging 18 and 18 and 19 dementia its screening is extremely important because within a year in 15 - 20 % of cases dementia can evolve . 0 ###LEFT-WALL### 2 screening 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 20 . 1 its 2 screening 2 screening 3 is 3 is 5 important 4 extremely 5 important 5 important 6 because 6 because 17 dementia 6 because 19 evolve 7 within 9 year 7 within 17 dementia 8 a 9 year 9 year 10 in 10 in 14 % 11 15 12 - 12 - 13 20 12 - 14 % 14 % 15 of 15 of 16 cases 17 dementia 18 can 18 can 19 evolve in hungary , the most widely used screening tool for both dementia and mci is the mini mental state examination ( mmse ) , which is often criticized for its poor screening sensitivity of mild dementia [and] mci . 0 ###LEFT-WALL### 9 tool 0 ###LEFT-WALL### 13 and 1 in 8 screening 1 in 9 tool 2 hungary 7 used 2 hungary 8 screening 3 , 7 used 4 the 5 most 5 most 6 widely 6 widely 7 used 9 tool 10 for 9 tool 12 dementia 10 for 11 both 13 and 14 mci 13 and 15 is 14 mci 15 is 15 is 22 mmse 16 the 22 mmse 17 mini 18 mental 18 mental 19 state 19 state 20 examination 20 examination 22 mmse 21 ( 22 mmse 22 mmse 23 ) 22 mmse 25 which 24 , 25 which 25 which 26 is 25 which 39 . 26 is 27 often 26 is 28 criticized 28 criticized 29 for 29 for 33 sensitivity 30 its 33 sensitivity 31 poor 33 sensitivity 32 screening 33 sensitivity 33 sensitivity 34 of 34 of 36 dementia 35 mild 36 dementia 36 dementia 38 mci to eliminate this problem , the montreal cognitive assessment ( moca ) was developed , especially for screening mci . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 eliminate 0 ###LEFT-WALL### 5 , 1 to 2 eliminate 2 eliminate 4 problem 3 this 4 problem 5 , 9 assessment 5 , 14 developed 6 the 9 assessment 7 montreal 8 cognitive 8 cognitive 9 assessment 9 assessment 11 moca 9 assessment 13 was 10 ( 11 moca 11 moca 12 ) 13 was 14 developed 14 developed 17 for 15 , 16 especially 15 , 17 for 17 for 18 screening 17 for 20 . 18 screening 19 mci our study presents the first results with the hungarian translation of moca . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 presents 0 ###LEFT-WALL### 13 . 1 our 2 study 2 study 3 presents 3 presents 6 results 3 presents 7 with 4 the 6 results 5 first 6 results 7 with 10 translation 8 the 10 translation 9 hungarian 10 translation 10 translation 11 of 11 of 12 moca we used beck depression inventory ( bdi ) for controlling depression . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 used 0 ###LEFT-WALL### 12 . 1 we 2 used 2 used 7 bdi 2 used 9 for 3 beck 4 depression 4 depression 5 inventory 5 inventory 7 bdi 6 ( 7 bdi 7 bdi 8 ) 9 for 10 controlling 10 controlling 11 depression in moca the cutoff score between healthy and [mci] persons was 24 out of 30 . 0 ###LEFT-WALL### 5 score 0 ###LEFT-WALL### 11 was 0 ###LEFT-WALL### 16 . 1 in 2 moca 1 in 5 score 3 the 5 score 4 cutoff 5 score 5 score 6 between 5 score 11 was 6 between 8 and 7 healthy 8 and 8 and 10 persons 11 was 12 24 12 24 14 of 13 out 14 of 14 of 15 30 moca was more sensitive in detecting mci than mmse and its inner consistency was also slightly higher . 0 ###LEFT-WALL### 1 moca 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 18 . 1 moca 2 was 2 was 4 sensitive 3 more 4 sensitive 4 sensitive 5 in 5 in 6 detecting 6 detecting 7 mci 6 detecting 8 than 8 than 9 mmse 10 and 13 consistency 10 and 14 was 11 its 13 consistency 12 inner 13 consistency 13 consistency 14 was 14 was 15 also 14 was 17 higher 16 slightly 17 higher specificity of the tests to detect mci was similar . 0 ###LEFT-WALL### 1 specificity 0 ###LEFT-WALL### 8 was 0 ###LEFT-WALL### 10 . 1 specificity 2 of 1 specificity 5 to 1 specificity 6 detect 1 specificity 8 was 2 of 4 tests 3 the 4 tests 5 to 6 detect 6 detect 7 mci 8 was 9 similar the results on bdi were not related to either moca or mmse . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 13 . 1 the 2 results 2 results 3 on 2 results 5 were 3 on 4 bdi 5 were 6 not 5 were 8 to 6 not 7 related 8 to 11 or 9 either 11 or 10 moca 11 or 11 or 12 mmse our results [suggest] that moca can be a useful tool to detect [cognitive] decline . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 14 decline 0 ###LEFT-WALL### 15 . 1 our 2 results 2 results 4 that 2 results 12 detect 2 results 14 decline 4 that 5 moca 4 that 12 detect 5 moca 6 can 6 can 7 be 7 be 10 tool 8 a 10 tool 9 useful 10 tool 11 to 12 detect alzheimer 's disease ( ad ) and depression ( de ) are common psychiatric disorders strongly intertwined with one another . 0 ###LEFT-WALL### 1 alzheimer 0 ###LEFT-WALL### 2 's 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 21 . 1 alzheimer 2 's 2 's 3 disease 3 disease 5 ad 4 ( 5 ad 5 ad 6 ) 7 and 8 depression 7 and 12 are 8 depression 10 de 8 depression 12 are 9 ( 10 de 10 de 11 ) 12 are 15 disorders 13 common 15 disorders 14 psychiatric 15 disorders 15 disorders 17 intertwined 16 strongly 17 intertwined 17 intertwined 18 with 18 with 20 another 19 one 20 another nevertheless , etiology and early diagnosis of the disorders are still elusive . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 10 are 0 ###LEFT-WALL### 13 . 1 nevertheless 2 , 1 nevertheless 4 and 3 etiology 4 and 4 and 6 diagnosis 4 and 7 of 4 and 10 are 5 early 6 diagnosis 7 of 9 disorders 8 the 9 disorders 10 are 11 still 10 are 12 elusive 11 still 12 elusive several genetic variations have been suggested to associate with ad and de , particularly in genes involved in the serotonergic system such as the serotonin transporter ( sert/slc6a4 ) , responsible for the removal from the synaptic cleft , and the monoamine - oxidase - a [(] maoa ) , responsible for the presynaptic degradation of serotonin . 0 ###LEFT-WALL### 3 variations 0 ###LEFT-WALL### 8 associate 1 several 3 variations 2 genetic 3 variations 3 variations 4 have 4 have 5 been 5 been 6 suggested 6 suggested 7 to 7 to 8 associate 8 associate 9 with 8 associate 14 particularly 9 with 11 and 10 ad 11 and 11 and 12 de 11 and 13 , 14 particularly 15 in 15 in 16 genes 16 genes 17 involved 16 genes 23 as 16 genes 31 responsible 17 involved 18 in 18 in 21 system 19 the 21 system 20 serotonergic 21 system 22 such 23 as 23 as 26 transporter 24 the 26 transporter 25 serotonin 26 transporter 26 transporter 28 sert/slc6a4 27 ( 28 sert/slc6a4 28 sert/slc6a4 29 ) 30 , 31 responsible 31 responsible 32 for 31 responsible 35 from 31 responsible 58 . 32 for 34 removal 33 the 34 removal 35 from 40 and 36 the 38 cleft 37 synaptic 38 cleft 38 cleft 40 and 39 , 40 and 40 and 42 monoamine 40 and 44 oxidase 41 the 42 monoamine 43 - 44 oxidase 44 oxidase 48 maoa 44 oxidase 51 responsible 44 oxidase 58 . 45 - 48 maoa 46 a 48 maoa 48 maoa 49 ) 50 , 51 responsible 51 responsible 52 for 51 responsible 58 . 52 for 55 degradation 53 the 55 degradation 54 presynaptic 55 degradation 55 degradation 56 of 56 of 57 serotonin here , we attempt to characterize this pleiotropic effect for the triallelic sert gene - linked polymorphic region [(] 5httlpr ) and for the maoa - uvntr , in participants in the vienna - transdanube - aging ( vita ) - study . 1 here 2 , 1 here 3 we 3 we 4 attempt 4 attempt 5 to 4 attempt 6 characterize 5 to 6 characterize 6 characterize 9 effect 7 this 9 effect 8 pleiotropic 9 effect 9 effect 22 and 10 for 14 gene 10 for 22 and 11 the 14 gene 12 triallelic 14 gene 13 sert 14 gene 14 gene 20 5httlpr 15 - 20 5httlpr 16 linked 18 region 17 polymorphic 18 region 18 region 20 5httlpr 20 5httlpr 21 ) 22 and 23 for 23 for 37 aging 24 the 37 aging 25 maoa 27 uvntr 25 maoa 37 aging 26 - 27 uvntr 27 uvntr 29 in 27 uvntr 35 transdanube 27 uvntr 36 - 28 , 29 in 29 in 30 participants 29 in 34 - 30 participants 31 in 31 in 33 vienna 32 the 33 vienna 34 - 35 transdanube 35 transdanube 36 - 37 aging 39 vita 37 aging 42 study 38 ( 39 vita 39 vita 40 ) 41 - 42 study 42 study 43 . the vita - study is a community - based longitudinal study following a birth cohort ( 75 years old at baseline examination , n = 606 ) from vienna for a period of 90 months with a regular [follow] - up interval of 30 months . 0 ###LEFT-WALL### 2 vita 0 ###LEFT-WALL### 3 - 1 the 2 vita 3 - 4 study 3 - 5 is 3 - 46 . 4 study 5 is 5 is 7 community 5 is 25 = 5 is 28 from 6 a 7 community 7 community 11 study 8 - 11 study 9 based 11 study 10 longitudinal 11 study 11 study 12 following 11 study 19 old 11 study 23 , 12 following 15 cohort 13 a 15 cohort 14 birth 15 cohort 16 ( 19 old 17 75 18 years 18 years 19 old 19 old 20 at 19 old 23 , 20 at 22 examination 21 baseline 22 examination 24 n 25 = 25 = 26 606 25 = 27 ) 28 from 29 vienna 29 vienna 30 for 29 vienna 33 of 30 for 32 period 31 a 32 period 33 of 35 months 34 90 35 months 35 months 36 with 36 with 42 interval 37 a 38 regular 37 a 42 interval 38 regular 40 - 38 regular 42 interval 41 up 42 interval 42 interval 43 of 43 of 45 months 44 30 45 months our main finding [,] confirming previous reports , is that [the] 5httlpr s - allele is a risk allele for de ( [or] = 1.55 ci 95 % [1.03] - 2.32 [ )(and its carriers [had] a steeper [increase] in sgds sum score . 0 ###LEFT-WALL### 2 main 0 ###LEFT-WALL### 7 reports 0 ###LEFT-WALL### 8 , 1 our 2 main 3 finding 5 confirming 3 finding 6 previous 3 finding 7 reports 8 , 12 5httlpr 8 , 14 - 9 is 10 that 9 is 12 5httlpr 12 5httlpr 13 s 14 - 15 allele 14 - 16 is 15 allele 16 is 16 is 19 allele 16 is 20 for 17 a 19 allele 18 risk 19 allele 20 for 21 de 21 de 33 )(and 22 ( 33 )(and 24 = 25 1.55 25 1.55 26 ci 26 ci 30 - 26 ci 33 )(and 27 95 28 % 27 95 30 - 30 - 31 2.32 33 )(and 43 score 33 )(and 44 . 34 its 43 score 35 carriers 43 score 37 a 40 in 38 steeper 40 in 40 in 42 sum 41 sgds 42 sum 42 sum 43 score no association to ad was found . 0 ###LEFT-WALL### 2 association 0 ###LEFT-WALL### 6 found 0 ###LEFT-WALL### 7 . 1 no 2 association 2 association 3 to 2 association 5 was 3 to 4 ad 5 was 6 found maoa - uvntr did not associate with either ad or de . 0 ###LEFT-WALL### 3 uvntr 0 ###LEFT-WALL### 6 associate 0 ###LEFT-WALL### 12 . 1 maoa 2 - 1 maoa 3 uvntr 3 uvntr 4 did 4 did 5 not 4 did 6 associate 6 associate 7 with 7 with 10 or 8 either 10 or 9 ad 10 or 10 or 11 de however , in ad maoa - uvntr s - allele carriers a steeper increase of hamd and stai1 sum scores ( p < 0.05 ) was observed . 0 ###LEFT-WALL### 7 uvntr 0 ###LEFT-WALL### 27 observed 0 ###LEFT-WALL### 28 . 1 however 2 , 1 however 7 uvntr 2 , 3 in 3 in 5 maoa 3 in 6 - 3 in 7 uvntr 4 ad 5 maoa 7 uvntr 8 s 7 uvntr 11 carriers 7 uvntr 26 was 9 - 11 carriers 10 allele 11 carriers 11 carriers 14 increase 11 carriers 20 scores 11 carriers 25 ) 12 a 14 increase 13 steeper 14 increase 14 increase 15 of 14 increase 20 scores 15 of 17 and 16 hamd 17 and 17 and 19 sum 18 stai1 19 sum 20 scores 23 < 21 ( 23 < 22 p 23 < 23 < 24 0.05 23 < 25 ) 26 was 27 observed although the vita - study [cohort] is rather small with low power to detect gene alterations , the uniqueness of this very thoroughly investigated and homogenous cohort strengthens the results through exceptional data collection . 0 ###LEFT-WALL### 5 study 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 35 . 1 although 3 vita 1 although 4 - 1 although 5 study 2 the 3 vita 5 study 7 is 7 is 8 rather 7 is 9 small 9 small 10 with 9 small 13 to 9 small 14 detect 10 with 12 power 11 low 12 power 13 to 14 detect 14 detect 16 alterations 15 gene 16 alterations 17 , 19 uniqueness 17 , 28 strengthens 18 the 19 uniqueness 19 uniqueness 20 of 19 uniqueness 28 strengthens 20 of 25 and 21 this 24 investigated 21 this 25 and 22 very 23 thoroughly 23 thoroughly 24 investigated 25 and 27 cohort 26 homogenous 27 cohort 28 strengthens 34 collection 29 the 34 collection 30 results 34 collection 31 through 33 data 32 exceptional 33 data 33 data 34 collection still , reinvestigation in a larger cohort similar to this , as well as a meta - analysis , is important to confirm these results . 0 ###LEFT-WALL### 3 reinvestigation 0 ###LEFT-WALL### 23 confirm 0 ###LEFT-WALL### 26 . 1 still 2 , 1 still 3 reinvestigation 3 reinvestigation 4 in 3 reinvestigation 20 is 4 in 7 cohort 5 a 7 cohort 6 larger 7 cohort 7 cohort 8 similar 8 similar 9 to 8 similar 14 as 9 to 10 this 11 , 14 as 12 as 13 well 13 well 14 as 14 as 18 analysis 14 as 19 , 15 a 16 meta 15 a 18 analysis 16 meta 17 - 16 meta 18 analysis 20 is 21 important 21 important 22 to 21 important 23 confirm 22 to 23 confirm 23 confirm 25 results 24 these 25 results previous studies suggest that dairy intake may be associated with reduced bone and muscle loss with aging , but there are limited data in the very old . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 28 . 1 previous 2 studies 2 studies 3 suggest 3 suggest 5 dairy 3 suggest 12 bone 4 that 5 dairy 5 dairy 6 intake 5 dairy 10 with 5 dairy 11 reduced 6 intake 7 may 7 may 8 be 8 be 9 associated 9 associated 10 with 13 and 15 loss 13 and 21 are 14 muscle 15 loss 15 loss 19 but 15 loss 21 are 16 with 17 aging 16 with 19 but 18 , 19 but 19 but 20 there 21 are 23 data 22 limited 23 data 23 data 24 in 24 in 27 old 25 the 26 very 25 the 27 old assessments included dairy consumption ( milk , yogurt , and cheese ) by a validated food frequency questionnaire , 15 % tibia bone mass , area and volumetric bone mineral density ( vbmd ) by peripheral quantitative computed tomography ( pqct [ )(, and appendicular bone and skeletal muscle mass by dual - energy x - ray absorptiometry ( dxa ) . 0 ###LEFT-WALL### 1 assessments 0 ###LEFT-WALL### 2 included 0 ###LEFT-WALL### 62 . 1 assessments 2 included 2 included 4 consumption 2 included 13 by 2 included 35 by 3 dairy 4 consumption 4 consumption 6 milk 4 consumption 10 and 5 ( 6 milk 6 milk 7 , 7 , 10 and 8 yogurt 10 and 9 , 10 and 10 and 11 cheese 10 and 12 ) 13 by 27 and 14 a 18 questionnaire 15 validated 16 food 16 food 18 questionnaire 17 frequency 18 questionnaire 18 questionnaire 19 , 19 , 24 mass 19 , 25 , 20 15 21 % 21 % 24 mass 22 tibia 23 bone 23 bone 24 mass 25 , 26 area 25 , 27 and 27 and 31 density 27 and 33 vbmd 28 volumetric 30 mineral 29 bone 30 mineral 30 mineral 31 density 32 ( 33 vbmd 33 vbmd 34 ) 35 by 39 tomography 36 peripheral 39 tomography 37 quantitative 39 tomography 38 computed 39 tomography 39 tomography 47 and 40 ( 47 and 41 pqct 44 and 43 )(, 44 and 44 and 46 bone 44 and 47 and 45 appendicular 46 bone 47 and 50 mass 47 and 51 by 47 and 61 ) 48 skeletal 50 mass 49 muscle 50 mass 51 by 54 energy 52 dual 53 - 52 dual 54 energy 54 energy 55 x 54 energy 58 absorptiometry 56 - 58 absorptiometry 57 ray 58 absorptiometry 58 absorptiometry 60 dxa 58 absorptiometry 61 ) 59 ( 60 dxa 60 dxa 61 ) women were categorized according to tertiles of dairy intake : first tertile ( ≤ 1.5 servings/d ) , second tertile ( 1.5 to 2.2 servings/d [ )(and third tertile ( ≥ 2.2 servings/d ) . 0 ###LEFT-WALL### 1 women 0 ###LEFT-WALL### 3 categorized 0 ###LEFT-WALL### 10 : 0 ###LEFT-WALL### 35 . 1 women 2 were 2 were 3 categorized 3 categorized 5 to 4 according 5 to 5 to 6 tertiles 6 tertiles 7 of 7 of 9 intake 8 dairy 9 intake 10 : 12 tertile 11 first 12 tertile 12 tertile 16 servings/d 12 tertile 20 tertile 13 ( 16 servings/d 14 ≤ 16 servings/d 15 1.5 16 servings/d 16 servings/d 17 ) 18 , 20 tertile 19 second 20 tertile 20 tertile 22 1.5 20 tertile 34 ) 21 ( 22 1.5 22 1.5 23 to 22 1.5 34 ) 23 to 27 )(and 24 2.2 25 servings/d 25 servings/d 27 )(and 27 )(and 29 tertile 27 )(and 33 servings/d 28 third 29 tertile 30 ( 33 servings/d 31 ≥ 33 servings/d 32 2.2 33 servings/d 33 servings/d 34 ) controlling for confounding factors , pqct assessment at the 15 % tibia showed that compared with those in the first tertile of dairy intake [,] women in the third tertile had 5.7 % greater total bone mass ( p = 0.005 [ )(, [principally] because of an increase [in] cortical and subcortical bone mass ( 5.9 % , p = 0.050 ) , resulting in a 6.2 % increase in total vbmd ( p = 0.013 [ )( 1 controlling 2 for 1 controlling 4 factors 1 controlling 5 , 1 controlling 6 pqct 2 for 3 confounding 6 pqct 7 assessment 6 pqct 13 showed 6 pqct 15 compared 7 assessment 8 at 7 assessment 13 showed 8 at 12 tibia 9 the 12 tibia 10 15 11 % 11 % 12 tibia 13 showed 14 that 15 compared 16 with 15 compared 18 in 16 with 17 those 18 in 21 tertile 19 the 21 tertile 20 first 21 tertile 21 tertile 22 of 22 of 26 women 23 dairy 24 intake 24 intake 26 women 26 women 27 in 26 women 30 tertile 26 women 37 mass 27 in 29 third 28 the 29 third 30 tertile 31 had 31 had 36 bone 31 had 37 mass 32 5.7 33 % 33 % 36 bone 34 greater 36 bone 35 total 36 bone 37 mass 40 = 37 mass 46 of 38 ( 40 = 39 p 40 = 40 = 41 0.005 40 = 43 )(, 45 because 46 of 46 of 54 mass 47 an 54 mass 48 increase 53 bone 50 cortical 51 and 51 and 52 subcortical 51 and 53 bone 53 bone 54 mass 54 mass 57 % 54 mass 60 = 54 mass 64 resulting 55 ( 57 % 56 5.9 57 % 57 % 58 , 59 p 60 = 60 = 61 0.050 60 = 62 ) 63 , 64 resulting 64 resulting 65 in 64 resulting 70 in 65 in 69 increase 66 a 69 increase 67 6.2 68 % 68 % 69 increase 70 in 72 vbmd 71 total 72 vbmd 72 vbmd 75 = 73 ( 75 = 74 p 75 = 75 = 76 0.013 75 = 78 )( trabecular but not cortical and subcortical vbmd was also higher ( 7.8 % , p = 0.044 ) . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 19 . 1 trabecular 2 but 1 trabecular 5 and 2 but 3 not 3 not 4 cortical 5 and 6 subcortical 5 and 7 vbmd 5 and 8 was 5 and 13 % 5 and 16 = 7 vbmd 8 was 8 was 9 also 8 was 10 higher 11 ( 13 % 12 7.8 13 % 13 % 14 , 14 , 16 = 15 p 16 = 16 = 17 0.044 16 = 18 ) dxa assessment showed that women in the third tertile [of] dairy intake [had] greater appendicular bone mass ( 7.1 % , p = 0.007 ) and skeletal muscle mass ( 3.3 % , p = 0.014 ) compared with tertile 1 . 0 ###LEFT-WALL### 2 assessment 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 42 . 1 dxa 2 assessment 2 assessment 3 showed 3 showed 4 that 4 that 26 and 4 that 38 compared 5 women 6 in 5 women 26 and 6 in 17 mass 7 the 8 third 7 the 17 mass 9 tertile 11 dairy 11 dairy 17 mass 12 intake 17 mass 14 greater 16 bone 15 appendicular 16 bone 16 bone 17 mass 17 mass 20 % 17 mass 23 = 18 ( 20 % 19 7.1 20 % 20 % 21 , 21 , 23 = 22 p 23 = 23 = 24 0.007 23 = 25 ) 26 and 29 mass 26 and 32 % 26 and 35 = 26 and 38 compared 27 skeletal 28 muscle 28 muscle 29 mass 30 ( 32 % 31 3.3 32 % 32 % 33 , 33 , 35 = 34 p 35 = 35 = 36 0.014 35 = 37 ) 38 compared 39 with 39 with 40 tertile 40 tertile 41 1 the associations with bone measures were dependent on dairy protein and calcium intakes , whereas the association with appendicular muscle [mass] was not totally dependent on dairy protein intake . 0 ###LEFT-WALL### 2 associations 0 ###LEFT-WALL### 6 were 1 the 2 associations 2 associations 3 with 2 associations 6 were 3 with 5 measures 4 bone 5 measures 6 were 7 dependent 7 dependent 8 on 7 dependent 15 whereas 8 on 11 and 9 dairy 10 protein 10 protein 11 and 11 and 13 intakes 12 calcium 13 intakes 14 , 15 whereas 15 whereas 17 association 15 whereas 22 was 15 whereas 30 . 16 the 17 association 17 association 18 with 17 association 22 was 18 with 20 muscle 19 appendicular 20 muscle 22 was 23 not 22 was 25 dependent 24 totally 25 dependent 25 dependent 26 on 26 on 29 intake 27 dairy 29 intake 28 protein 29 intake our results suggest a positive association of dairy intake with appendicular bone mineralization and muscle mass in elderly women . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 20 . 1 our 2 results 2 results 3 suggest 3 suggest 6 association 3 suggest 10 with 3 suggest 17 in 4 a 5 positive 4 a 6 association 5 positive 6 association 6 association 7 of 7 of 9 intake 8 dairy 9 intake 10 with 14 and 11 appendicular 12 bone 12 bone 13 mineralization 13 mineralization 14 and 14 and 16 mass 15 muscle 16 mass 17 in 19 women 18 elderly 19 women because many fractures in this age group are of the appendicular skeleton often associated [with] [falls] , dairy intake may be a modifiable lifestyle factor contributing to healthy aging . 0 ###LEFT-WALL### 19 intake 0 ###LEFT-WALL### 21 be 0 ###LEFT-WALL### 30 . 1 because 3 fractures 1 because 8 are 1 because 19 intake 2 many 3 fractures 3 fractures 4 in 3 fractures 8 are 4 in 7 group 5 this 7 group 6 age 7 group 8 are 9 of 9 of 12 skeleton 10 the 12 skeleton 11 appendicular 12 skeleton 13 often 14 associated 14 associated 17 , 14 associated 19 intake 18 dairy 19 intake 19 intake 20 may 20 may 21 be 21 be 25 factor 22 a 23 modifiable 22 a 25 factor 23 modifiable 24 lifestyle 24 lifestyle 25 factor 25 factor 26 contributing 26 contributing 27 to 27 to 29 aging 28 healthy 29 aging skeletal muscle can synthesize testosterone and 5α - dihydrotestosterone ( dht ) from dehydroepiandrosterone ( dhea ) via steroidogenic enzymes in vitro , but hormone levels and steroidogenic enzyme expression decline with aging . 0 ###LEFT-WALL### 2 muscle 0 ###LEFT-WALL### 24 but 0 ###LEFT-WALL### 34 . 1 skeletal 2 muscle 2 muscle 3 can 3 can 4 synthesize 4 synthesize 6 and 4 synthesize 13 from 4 synthesize 18 via 4 synthesize 22 vitro 5 testosterone 6 and 6 and 9 dihydrotestosterone 6 and 11 dht 7 5α 8 - 7 5α 9 dihydrotestosterone 10 ( 11 dht 11 dht 12 ) 13 from 14 dehydroepiandrosterone 14 dehydroepiandrosterone 16 dhea 15 ( 16 dhea 16 dhea 17 ) 18 via 20 enzymes 19 steroidogenic 20 enzymes 21 in 22 vitro 23 , 24 but 24 but 27 and 24 but 31 decline 25 hormone 26 levels 26 levels 27 and 27 and 30 expression 27 and 31 decline 28 steroidogenic 30 expression 29 enzyme 30 expression 31 decline 32 with 32 with 33 aging resistance exercise has been shown to increase in plasma sex steroid hormone levels . 0 ###LEFT-WALL### 2 exercise 0 ###LEFT-WALL### 5 shown 0 ###LEFT-WALL### 14 . 1 resistance 2 exercise 2 exercise 3 has 3 has 4 been 4 been 5 shown 5 shown 6 to 6 to 7 increase 7 increase 8 in 8 in 13 levels 9 plasma 13 levels 10 sex 13 levels 11 steroid 13 levels 12 hormone 13 levels however , it remains unclear whether resistance training can restore impaired steroidogenic enzyme expressions in older individuals . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 4 remains 0 ###LEFT-WALL### 18 . 1 however 2 , 1 however 3 it 3 it 4 remains 4 remains 5 unclear 5 unclear 6 whether 6 whether 8 training 6 whether 10 restore 7 resistance 8 training 8 training 9 can 9 can 10 restore 10 restore 14 expressions 10 restore 15 in 11 impaired 13 enzyme 12 steroidogenic 13 enzyme 13 enzyme 14 expressions 15 in 17 individuals 16 older 17 individuals six young and 13 older men were recruited , and muscle [biopsies] were taken from the vastus lateralis [at] basal state . 0 ###LEFT-WALL### 1 six 0 ###LEFT-WALL### 14 taken 0 ###LEFT-WALL### 22 . 1 six 3 and 1 six 10 and 1 six 13 were 2 young 3 and 3 and 6 men 3 and 10 and 4 13 6 men 5 older 6 men 7 were 8 recruited 7 were 10 and 9 , 10 and 10 and 11 muscle 13 were 14 taken 14 taken 15 from 15 from 21 state 16 the 21 state 17 vastus 21 state 18 lateralis 21 state 20 basal 21 state the same group of older subjects underwent resistance training involving knee extension and flexion exercises for 12 wk , and post - training biopsies were performed 4 - 5 d after the last exercise session . 0 ###LEFT-WALL### 6 subjects 0 ###LEFT-WALL### 7 underwent 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 36 . 1 the 2 same 2 same 3 group 3 group 4 of 3 group 6 subjects 4 of 6 subjects 5 older 6 subjects 6 subjects 7 underwent 7 underwent 9 training 8 resistance 9 training 9 training 10 involving 10 involving 12 extension 11 knee 12 extension 13 and 14 flexion 13 and 26 performed 14 flexion 20 and 14 flexion 25 were 14 flexion 26 performed 15 exercises 16 for 15 exercises 20 and 16 for 18 wk 17 12 18 wk 19 , 20 and 20 and 21 post 20 and 22 - 20 and 23 training 20 and 24 biopsies 20 and 25 were 23 training 24 biopsies 26 performed 28 - 26 performed 31 after 27 4 28 - 28 - 29 5 29 5 30 d 30 d 31 after 31 after 35 session 32 the 35 session 33 last 34 exercise 34 exercise 35 session muscular sex steroid hormone levels and sex steroidgenesis - related enzyme expressions were significantly lower in older subjects than younger ones at baseline , but 12 wk of resistance training significantly restored hormone levels ( dhea : 432±26 at baseline , 682±31 [pg/μg] protein , dht : 6.2±0.9 at baseline , 9.8±1.4 [pg/μg] protein ) . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 10 related 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 56 . 1 muscular 4 hormone 2 sex 4 hormone 3 steroid 4 hormone 4 hormone 5 levels 5 levels 6 and 6 and 8 steroidgenesis 6 and 9 - 7 sex 8 steroidgenesis 9 - 10 related 10 related 11 enzyme 10 related 24 , 11 enzyme 12 expressions 11 enzyme 15 lower 12 expressions 13 were 13 were 15 lower 14 significantly 15 lower 15 lower 16 in 15 lower 19 than 16 in 18 subjects 17 older 18 subjects 19 than 21 ones 19 than 22 at 20 younger 21 ones 22 at 23 baseline 24 , 30 training 24 , 32 restored 24 , 37 : 25 but 27 wk 25 but 30 training 26 12 27 wk 27 wk 28 of 28 of 29 resistance 30 training 32 restored 31 significantly 32 restored 32 restored 34 levels 33 hormone 34 levels 34 levels 36 dhea 35 ( 36 dhea 36 dhea 37 : 37 : 38 432±26 37 : 47 : 38 432±26 39 at 38 432±26 47 : 39 at 40 baseline 40 baseline 44 protein 41 , 44 protein 42 682±31 44 protein 44 protein 45 , 46 dht 47 : 47 : 48 6.2±0.9 48 6.2±0.9 49 at 49 at 50 baseline 50 baseline 54 protein 51 , 54 protein 52 9.8±1.4 54 protein 54 protein 55 ) furthermore , the steroidogenesis - related enzymes such as 3β - hydroxysteroid [dehydrogenase] ( hsd ) , 17β - hsd , and 5α - reductase expressions were significantly restored by resistance training . 0 ###LEFT-WALL### 4 steroidogenesis 0 ###LEFT-WALL### 18 17β 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 33 . 1 furthermore 2 , 1 furthermore 4 steroidogenesis 3 the 4 steroidogenesis 4 steroidogenesis 18 17β 5 - 6 related 6 related 7 enzymes 6 related 18 17β 7 enzymes 9 as 8 such 9 as 9 as 10 3β 10 3β 12 hydroxysteroid 11 - 12 hydroxysteroid 12 hydroxysteroid 15 hsd 12 hydroxysteroid 17 , 14 ( 15 hsd 15 hsd 16 ) 19 - 22 and 19 - 29 restored 20 hsd 22 and 21 , 22 and 22 and 26 expressions 22 and 27 were 23 5α 24 - 23 5α 25 reductase 25 reductase 26 expressions 27 were 29 restored 28 significantly 29 restored 29 restored 30 by 30 by 32 training 31 resistance 32 training we conclude progressive resistance training restores age - related declines in sex steroidogenic enzyme and muscle sex steroid hormone levels in older men . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 conclude 0 ###LEFT-WALL### 9 related 0 ###LEFT-WALL### 24 . 1 we 2 conclude 2 conclude 5 training 2 conclude 6 restores 3 progressive 4 resistance 4 resistance 5 training 5 training 6 restores 6 restores 7 age 8 - 9 related 9 related 10 declines 10 declines 11 in 10 declines 15 and 10 declines 17 sex 11 in 12 sex 13 steroidogenic 14 enzyme 14 enzyme 15 and 15 and 16 muscle 15 and 17 sex 17 sex 20 levels 17 sex 21 in 18 steroid 20 levels 19 hormone 20 levels 21 in 23 men 22 older 23 men we compared the effect of age - and sex - related differences in haemodynamics , blood volume ( bv ) and left [ventricular] ( lv ) size and mass on resting muscle sympathetic nerve activity ( msna ) in healthy , normotensive adults . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 11 related 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 44 . 1 we 8 and 2 compared 4 effect 2 compared 8 and 3 the 4 effect 4 effect 5 of 5 of 6 age 7 - 8 and 8 and 9 sex 10 - 11 related 11 related 12 differences 11 related 20 ) 12 differences 13 in 13 in 14 haemodynamics 14 haemodynamics 17 volume 15 , 17 volume 16 blood 17 volume 17 volume 19 bv 17 volume 20 ) 18 ( 19 bv 19 bv 20 ) 21 and 28 and 21 and 32 muscle 22 left 25 lv 22 left 27 size 24 ( 25 lv 25 lv 26 ) 27 size 28 and 28 and 29 mass 28 and 30 on 28 and 32 muscle 30 on 31 resting 32 muscle 35 activity 32 muscle 39 in 33 sympathetic 34 nerve 34 nerve 35 activity 35 activity 37 msna 36 ( 37 msna 37 msna 38 ) 39 in 43 adults 40 healthy 41 , 40 healthy 43 adults 42 normotensive 43 adults twenty young men ( 19 - 47 years old [ )(and 20 young women ( 21 - 46 years old ) [as] well as 15 older men ( 62 - 80 years old ) and 15 older women ( 60 - 82 years old ) were studied . 0 ###LEFT-WALL### 3 men 0 ###LEFT-WALL### 48 . 1 twenty 3 men 2 young 3 men 3 men 6 - 3 men 46 were 4 ( 6 - 5 19 6 - 6 - 35 and 6 - 45 ) 7 47 8 years 8 years 11 )(and 8 years 23 well 8 years 24 as 8 years 35 and 9 old 11 )(and 11 )(and 14 women 11 )(and 20 old 11 )(and 23 well 12 20 14 women 13 young 14 women 15 ( 20 old 16 21 17 - 17 - 18 46 17 - 19 years 19 years 20 old 20 old 21 ) 24 as 27 men 25 15 27 men 26 older 27 men 27 men 29 62 28 ( 29 62 29 62 33 old 29 62 34 ) 30 - 31 80 31 80 32 years 32 years 33 old 35 and 38 women 35 and 40 60 35 and 44 old 36 15 38 women 37 older 38 women 39 ( 40 60 40 60 41 - 41 - 44 old 42 82 43 years 43 years 44 old 44 old 45 ) 46 were 47 studied cardiac [output] ( acetylene rebreathing [ )(, total peripheral resistance , forearm vascular resistance ( fvr [;] venous occlusion plethysmography ) and msna were measured during supine rest . 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 24 were 0 ###LEFT-WALL### 29 . 1 cardiac 4 acetylene 1 cardiac 22 and 3 ( 4 acetylene 4 acetylene 5 rebreathing 4 acetylene 10 resistance 4 acetylene 21 ) 7 )(, 10 resistance 8 total 10 resistance 9 peripheral 10 resistance 10 resistance 14 resistance 10 resistance 21 ) 11 , 14 resistance 12 forearm 14 resistance 13 vascular 14 resistance 14 resistance 20 plethysmography 14 resistance 21 ) 15 ( 20 plethysmography 16 fvr 20 plethysmography 18 venous 19 occlusion 19 occlusion 20 plethysmography 20 plethysmography 21 ) 22 and 23 msna 22 and 24 were 24 were 25 measured 25 measured 26 during 26 during 28 rest 27 supine 28 rest blood volume [was] calculated ( co rebreathing ) , [and] [lv] mass , end - diastolic ( lvedv [ )(and end - systolic volumes ( lvesv ) were measured using magnetic resonance imaging . 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 15 - 0 ###LEFT-WALL### 34 . 1 blood 2 volume 1 blood 9 , 2 volume 4 calculated 2 volume 6 co 5 ( 6 co 6 co 7 rebreathing 6 co 8 ) 9 , 13 , 12 mass 13 , 13 , 14 end 15 - 24 volumes 15 - 28 were 16 diastolic 20 )(and 16 diastolic 22 - 16 diastolic 24 volumes 17 ( 20 )(and 18 lvedv 20 )(and 20 )(and 21 end 20 )(and 22 - 23 systolic 24 volumes 24 volumes 26 lvesv 24 volumes 28 were 25 ( 26 lvesv 26 lvesv 27 ) 28 were 29 measured 29 measured 30 using 30 using 33 imaging 31 magnetic 32 resonance 32 resonance 33 imaging cardiac index [(] p < 0.001 [and] p = 0.016 ) , bv [(] both p < 0.001 [ )(, [lv] mass ( p < 0.001 and p = 0.002 [ )( lvedv ( p < 0.001 [and] p = 0.002 [ )( lvesv ( [both] p < 0.001 ) were lower in the older [and] female groups , respectively . 0 ###LEFT-WALL### 2 index 0 ###LEFT-WALL### 5 < 0 ###LEFT-WALL### 12 , 1 cardiac 2 index 2 index 4 p 2 index 5 < 5 < 6 0.001 6 0.001 9 = 8 p 9 = 9 = 10 0.016 9 = 11 ) 12 , 15 both 12 , 17 < 12 , 20 )(, 13 bv 15 both 15 both 17 < 16 p 17 < 17 < 18 0.001 20 )(, 22 mass 20 )(, 27 and 22 mass 25 < 23 ( 25 < 24 p 25 < 25 < 26 0.001 27 and 28 p 27 and 29 = 28 p 29 = 29 = 33 lvedv 30 0.002 33 lvedv 33 lvedv 36 < 33 lvedv 40 = 34 ( 36 < 35 p 36 < 36 < 37 0.001 39 p 40 = 40 = 41 0.002 41 0.002 44 lvesv 41 0.002 51 were 44 lvesv 48 < 44 lvesv 51 were 45 ( 48 < 47 p 48 < 48 < 49 0.001 48 < 50 ) 51 were 52 lower 51 were 53 in 51 were 60 respectively 53 in 58 groups 54 the 58 groups 55 older 57 female 57 female 58 groups 59 , 60 respectively 60 respectively 61 . total peripheral resistance was significantly higher [in] [the] older ( p < 0.001 ) and female groups ( p = 0.014 ) , but fvr [was] increased in the female groups ( p = 0.048 ) only ( age , p = 0.089 [ )( 0 ###LEFT-WALL### 3 resistance 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 45 )( 1 total 3 resistance 2 peripheral 3 resistance 3 resistance 4 was 4 was 6 higher 4 was 9 older 5 significantly 6 higher 9 older 12 < 10 ( 12 < 11 p 12 < 12 < 13 0.001 12 < 14 ) 15 and 17 groups 15 and 42 = 16 female 17 groups 17 groups 20 = 17 groups 24 but 17 groups 42 = 18 ( 20 = 19 p 20 = 20 = 21 0.014 20 = 22 ) 23 , 24 but 24 but 25 fvr 24 but 40 , 25 fvr 27 increased 25 fvr 39 age 27 increased 28 in 27 increased 37 only 28 in 31 groups 29 the 31 groups 30 female 31 groups 31 groups 34 = 32 ( 34 = 33 p 34 = 34 = 35 0.048 34 = 36 ) 38 ( 39 age 39 age 40 , 41 p 42 = 42 = 43 0.089 the msna was greater in the older groups ( p < 0.001 ) [only] ( sex , p = 0.228 ) . 0 ###LEFT-WALL### 2 msna 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 22 . 1 the 2 msna 2 msna 3 was 3 was 4 greater 4 greater 5 in 5 in 8 groups 6 the 8 groups 7 older 8 groups 8 groups 11 < 8 groups 16 sex 8 groups 19 = 9 ( 11 < 10 p 11 < 11 < 12 0.001 11 < 13 ) 15 ( 16 sex 16 sex 17 , 17 , 19 = 18 p 19 = 19 = 20 0.228 19 = 21 ) increased msna was shown to correlate with a decrease in bv ( p = 0.004 ) in men only when adjusted for age ( women , p = 0.133 ) . 0 ###LEFT-WALL### 2 msna 0 ###LEFT-WALL### 4 shown 0 ###LEFT-WALL### 31 . 1 increased 2 msna 2 msna 3 was 3 was 4 shown 4 shown 5 to 4 shown 20 when 4 shown 28 = 5 to 6 correlate 6 correlate 7 with 6 correlate 10 in 6 correlate 17 in 6 correlate 19 only 7 with 9 decrease 8 a 9 decrease 10 in 11 bv 11 bv 14 = 12 ( 14 = 13 p 14 = 14 = 15 0.004 14 = 16 ) 17 in 18 men 20 when 21 adjusted 21 adjusted 22 for 22 for 23 age 23 age 25 women 24 ( 25 women 25 women 26 , 26 , 28 = 27 p 28 = 28 = 29 0.133 28 = 30 ) there was a positive relation between msna and fvr ( p = 0.020 ) in men but not women ( p = 0.422 ) . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 25 . 1 there 2 was 2 was 5 relation 3 a 4 positive 3 a 5 relation 4 positive 5 relation 5 relation 6 between 5 relation 15 in 6 between 8 and 7 msna 8 and 8 and 9 fvr 8 and 12 = 10 ( 12 = 11 p 12 = 12 = 13 0.020 12 = 14 ) 15 in 16 men 16 men 17 but 17 but 18 not 17 but 19 women 19 women 22 = 20 ( 22 = 21 p 22 = 22 = 23 0.422 22 = 24 ) there were no significant relations between msna and [lv] mass , lvedv or lvesv . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 15 . 1 there 2 were 2 were 5 relations 3 no 5 relations 4 significant 5 relations 5 relations 6 between 6 between 13 or 7 msna 8 and 8 and 10 mass 8 and 11 , 11 , 12 lvedv 11 , 13 or 13 or 14 lvesv the findings suggest that the increase in resting msna with age may be related to the decline in bv in men only , but it is unknown whether sex differences in sympathetic adrenergic vasoconstriction occur independently of these changes . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 24 but 0 ###LEFT-WALL### 40 . 1 the 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 6 increase 4 that 14 related 5 the 6 increase 6 increase 7 in 6 increase 9 msna 6 increase 13 be 6 increase 14 related 7 in 8 resting 9 msna 10 with 9 msna 12 may 10 with 11 age 12 may 13 be 14 related 15 to 14 related 18 in 14 related 20 in 14 related 22 only 15 to 17 decline 16 the 17 decline 18 in 19 bv 20 in 21 men 23 , 24 but 24 but 25 it 24 but 26 is 25 it 26 is 26 is 27 unknown 27 unknown 28 whether 28 whether 30 differences 28 whether 35 occur 29 sex 30 differences 30 differences 31 in 30 differences 35 occur 31 in 34 vasoconstriction 32 sympathetic 34 vasoconstriction 33 adrenergic 34 vasoconstriction 35 occur 36 independently 36 independently 37 of 37 of 39 changes 38 these 39 changes autism is a lifelong neurodevelopmental disorder , with a known impact on quality of life . 0 ###LEFT-WALL### 1 autism 0 ###LEFT-WALL### 2 is 1 autism 2 is 2 is 6 disorder 3 a 4 lifelong 3 a 6 disorder 4 lifelong 6 disorder 5 neurodevelopmental 6 disorder 6 disorder 8 with 7 , 8 with 8 with 11 impact 8 with 16 . 9 a 11 impact 10 known 11 impact 11 impact 12 on 12 on 13 quality 13 quality 14 of 14 of 15 life yet the developmental trajectory of quality of life is not well understood . 0 ###LEFT-WALL### 1 yet 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 13 . 1 yet 4 trajectory 2 the 4 trajectory 3 developmental 4 trajectory 4 trajectory 5 of 4 trajectory 9 is 5 of 6 quality 6 quality 7 of 7 of 8 life 9 is 10 not 9 is 11 well 11 well 12 understood first , the effect of age on quality of life was studied with a meta - analysis . 0 ###LEFT-WALL### 4 effect 0 ###LEFT-WALL### 12 studied 0 ###LEFT-WALL### 18 . 1 first 2 , 1 first 4 effect 3 the 4 effect 4 effect 5 of 4 effect 11 was 5 of 6 age 6 age 7 on 7 on 8 quality 8 quality 9 of 9 of 10 life 11 was 12 studied 12 studied 13 with 13 with 17 analysis 14 a 15 meta 14 a 17 analysis 15 meta 16 - 15 meta 17 analysis our meta - analysis included 10 studies ( published between 2004 and 2012 ) with a combined sample size of 486 people with autism and 17,776 controls . 0 ###LEFT-WALL### 4 analysis 0 ###LEFT-WALL### 5 included 0 ###LEFT-WALL### 28 . 1 our 4 analysis 2 meta 3 - 2 meta 4 analysis 4 analysis 5 included 5 included 7 studies 5 included 9 published 5 included 15 with 5 included 23 with 6 10 7 studies 8 ( 9 published 9 published 10 between 9 published 14 ) 10 between 12 and 11 2004 12 and 12 and 13 2012 15 with 19 size 16 a 19 size 17 combined 18 sample 18 sample 19 size 19 size 20 of 20 of 22 people 21 486 22 people 23 with 25 and 24 autism 25 and 25 and 27 controls 26 17,776 27 controls second , as there were no studies on quality of life of the elderly with autism , we conducted an empirical study on quality of life of the elderly ( age range 53 - 83 ) with autism ( n = 24 ) and without autism ( n = 24 ) . 0 ###LEFT-WALL### 18 we 0 ###LEFT-WALL### 19 conducted 0 ###LEFT-WALL### 52 . 1 second 18 we 2 , 3 as 3 as 4 there 3 as 5 were 3 as 17 , 3 as 18 we 4 there 5 were 5 were 7 studies 6 no 7 studies 7 studies 8 on 7 studies 10 of 7 studies 15 with 8 on 9 quality 10 of 11 life 11 life 12 of 12 of 14 elderly 13 the 14 elderly 15 with 16 autism 18 we 19 conducted 19 conducted 22 study 19 conducted 23 on 19 conducted 44 and 19 conducted 49 = 20 an 21 empirical 20 an 22 study 21 empirical 22 study 23 on 24 quality 24 quality 25 of 24 quality 32 range 25 of 26 life 26 life 27 of 27 of 29 elderly 28 the 29 elderly 30 ( 32 range 31 age 32 range 32 range 34 - 32 range 36 ) 33 53 34 - 34 - 35 83 37 with 38 autism 37 with 44 and 38 autism 41 = 39 ( 41 = 40 n 41 = 41 = 42 24 41 = 43 ) 44 and 45 without 45 without 46 autism 47 ( 49 = 48 n 49 = 49 = 50 24 49 = 51 ) the meta - analysis showed that quality of life is lower for people with autism compared to people without autism , and that the mean effect is large ( cohen 's d = - 0.96 ) . 0 ###LEFT-WALL### 4 analysis 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 37 . 1 the 4 analysis 2 meta 3 - 2 meta 4 analysis 4 analysis 5 showed 5 showed 6 that 6 that 7 quality 6 that 10 is 7 quality 8 of 7 quality 10 is 8 of 9 life 10 is 11 lower 10 is 12 for 10 is 14 with 12 for 13 people 14 with 22 and 14 with 28 large 15 autism 16 compared 15 autism 19 without 15 autism 22 and 16 compared 17 to 17 to 18 people 19 without 20 autism 21 , 22 and 22 and 23 that 22 and 26 effect 22 and 27 is 24 the 26 effect 25 mean 26 effect 26 effect 27 is 28 large 34 - 29 ( 34 - 30 cohen 31 's 31 's 33 = 32 d 33 = 33 = 34 - 34 - 35 0.96 34 - 36 ) age did not have an effect on quality of life . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 4 have 0 ###LEFT-WALL### 11 . 1 age 2 did 2 did 3 not 2 did 4 have 4 have 6 effect 4 have 7 on 5 an 6 effect 7 on 8 quality 8 quality 9 of 9 of 10 life the study concerning the elderly with autism showed that the difference in quality of life is similar in the elderly . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 8 showed 0 ###LEFT-WALL### 21 . 1 the 2 study 2 study 3 concerning 2 study 8 showed 3 concerning 5 elderly 3 concerning 6 with 4 the 5 elderly 6 with 7 autism 8 showed 9 that 9 that 11 difference 9 that 16 is 10 the 11 difference 11 difference 12 in 11 difference 16 is 12 in 13 quality 13 quality 14 of 14 of 15 life 16 is 17 similar 17 similar 18 in 18 in 20 elderly 19 the 20 elderly age , iq and symptom severity did not predict quality of life in this sample . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 9 predict 0 ###LEFT-WALL### 16 . 1 age 2 , 2 , 3 iq 2 , 4 and 4 and 6 severity 4 and 7 did 5 symptom 6 severity 7 did 8 not 7 did 9 predict 9 predict 10 quality 9 predict 13 in 10 quality 11 of 11 of 12 life 13 in 15 sample 14 this 15 sample across the lifespan , people with autism experience a much lower quality of life compared to people without autism . 0 ###LEFT-WALL### 5 people 0 ###LEFT-WALL### 8 experience 0 ###LEFT-WALL### 20 . 1 across 3 lifespan 1 across 4 , 1 across 5 people 2 the 3 lifespan 5 people 6 with 5 people 8 experience 6 with 7 autism 8 experience 12 quality 9 a 10 much 9 a 12 quality 10 much 11 lower 11 lower 12 quality 12 quality 13 of 12 quality 15 compared 13 of 14 life 15 compared 16 to 15 compared 18 without 16 to 17 people 18 without 19 autism hence , the quality of life seemed to be [independent] of someone 's age . 0 ###LEFT-WALL### 4 quality 0 ###LEFT-WALL### 7 seemed 0 ###LEFT-WALL### 15 . 1 hence 2 , 1 hence 4 quality 3 the 4 quality 4 quality 5 of 4 quality 7 seemed 5 of 6 life 7 seemed 8 to 7 seemed 9 be 8 to 9 be 9 be 11 of 11 of 14 age 12 someone 13 's 13 's 14 age the current study demonstrates the first surface modification for poly ( dimethylsiloxane ) ( pdms ) microfluidic networks that displays a long shelf life as well [as] extended hemocompatibility . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 28 extended 0 ###LEFT-WALL### 30 . 1 the 3 study 2 current 3 study 3 study 4 demonstrates 4 demonstrates 8 modification 4 demonstrates 9 for 5 the 6 first 5 the 8 modification 7 surface 8 modification 9 for 18 networks 10 poly 18 networks 11 ( 12 dimethylsiloxane 12 dimethylsiloxane 13 ) 12 dimethylsiloxane 18 networks 14 ( 15 pdms 15 pdms 16 ) 15 pdms 18 networks 17 microfluidic 18 networks 18 networks 19 that 18 networks 20 displays 18 networks 28 extended 19 that 20 displays 20 displays 24 life 20 displays 26 well 21 a 24 life 22 long 23 shelf 23 shelf 24 life 25 as 26 well 28 extended 29 hemocompatibility uncoated pdms microchannel networks rapidly adsorb high levels of fibrinogen in blood contacting applications . 0 ###LEFT-WALL### 4 networks 0 ###LEFT-WALL### 6 adsorb 0 ###LEFT-WALL### 15 . 1 uncoated 4 networks 2 pdms 4 networks 3 microchannel 4 networks 4 networks 6 adsorb 5 rapidly 6 adsorb 6 adsorb 8 levels 6 adsorb 11 in 7 high 8 levels 8 levels 9 of 9 of 10 fibrinogen 11 in 12 blood 12 blood 13 contacting 13 contacting 14 applications fibrinogen adsorption initiates platelet activation , and causes a rapid increase in pressure across microchannel networks , rendering them useless for long term applications . 0 ###LEFT-WALL### 2 adsorption 0 ###LEFT-WALL### 7 and 1 fibrinogen 2 adsorption 2 adsorption 7 and 3 initiates 5 activation 3 initiates 7 and 4 platelet 5 activation 6 , 7 and 7 and 8 causes 7 and 12 in 7 and 14 across 8 causes 11 increase 9 a 10 rapid 9 a 11 increase 10 rapid 11 increase 12 in 13 pressure 14 across 16 networks 15 microchannel 16 networks 16 networks 18 rendering 17 , 18 rendering 18 rendering 19 them 18 rendering 20 useless 18 rendering 25 . 20 useless 21 for 21 for 24 applications 22 long 23 term 23 term 24 applications here , we describe the modification of sealed pdms microchannels using an oxygen plasma pretreatment [and] poly ( ethylene glycol ) [grafting] approach . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 describe 0 ###LEFT-WALL### 24 . 1 here 2 , 1 here 3 we 3 we 4 describe 4 describe 6 modification 5 the 6 modification 6 modification 7 of 7 of 9 pdms 8 sealed 9 pdms 9 pdms 10 microchannels 9 pdms 23 approach 10 microchannels 11 using 10 microchannels 20 glycol 10 microchannels 23 approach 11 using 15 pretreatment 11 using 17 poly 12 an 13 oxygen 12 an 15 pretreatment 13 oxygen 15 pretreatment 14 plasma 15 pretreatment 18 ( 20 glycol 19 ethylene 20 glycol 20 glycol 21 ) we present results regarding the testing of the coated microchannels after extended periods of aging and blood exposure . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 19 . 1 we 16 and 2 present 3 results 2 present 11 after 2 present 16 and 3 results 4 regarding 4 regarding 6 testing 5 the 6 testing 6 testing 7 of 7 of 10 microchannels 8 the 10 microchannels 9 coated 10 microchannels 11 after 13 periods 12 extended 13 periods 13 periods 14 of 14 of 15 aging 16 and 17 blood 16 and 18 exposure our peg - grafted channels showed significantly reduced fibrinogen adsorption and platelet adhesion up to 28 days after application , highlighting the stability and functionality of the coating over time . 0 ###LEFT-WALL### 2 peg 0 ###LEFT-WALL### 3 - 1 our 2 peg 3 - 5 channels 3 - 6 showed 4 grafted 5 channels 5 channels 6 showed 6 showed 10 adsorption 6 showed 11 and 6 showed 18 after 6 showed 21 highlighting 7 significantly 8 reduced 8 reduced 10 adsorption 9 fibrinogen 10 adsorption 11 and 13 adhesion 12 platelet 13 adhesion 13 adhesion 14 up 14 up 15 to 15 to 17 days 16 28 17 days 18 after 19 application 20 , 21 highlighting 21 highlighting 24 and 21 highlighting 29 over 21 highlighting 31 . 22 the 24 and 23 stability 24 and 24 and 25 functionality 24 and 26 of 26 of 28 coating 27 the 28 coating 29 over 30 time our coated microchannel networks also displayed a significant reduction in the coagulation response under whole blood flow . 0 ###LEFT-WALL### 4 networks 0 ###LEFT-WALL### 6 displayed 0 ###LEFT-WALL### 18 . 1 our 4 networks 2 coated 4 networks 3 microchannel 4 networks 4 networks 6 displayed 5 also 6 displayed 6 displayed 9 reduction 6 displayed 10 in 6 displayed 14 under 7 a 8 significant 7 a 9 reduction 8 significant 9 reduction 10 in 13 response 11 the 13 response 12 coagulation 13 response 14 under 17 flow 15 whole 16 blood 16 blood 17 flow further , pressure across coated microchannel networks took over 16 times longer to double than the uncoated controls . 0 ###LEFT-WALL### 3 pressure 0 ###LEFT-WALL### 8 took 0 ###LEFT-WALL### 19 . 1 further 2 , 1 further 3 pressure 3 pressure 4 across 3 pressure 8 took 4 across 7 networks 5 coated 7 networks 6 microchannel 7 networks 8 took 11 times 9 over 10 16 10 16 11 times 11 times 12 longer 12 longer 13 to 12 longer 15 than 13 to 14 double 15 than 18 controls 16 the 18 controls 17 uncoated 18 controls collectively , our data implies the potential for a coating platform for microfluidic devices in [many] blood - contacting applications . 0 ###LEFT-WALL### 4 data 0 ###LEFT-WALL### 5 implies 1 collectively 2 , 1 collectively 4 data 3 our 4 data 4 data 5 implies 5 implies 7 potential 5 implies 15 in 6 the 7 potential 7 potential 8 for 7 potential 12 for 8 for 11 platform 9 a 11 platform 10 coating 11 platform 12 for 14 devices 13 microfluidic 14 devices 15 in 17 blood 17 blood 19 contacting 18 - 19 contacting 19 contacting 20 applications 19 contacting 21 . background : senile entropion is [a] common pathology of the aging lid . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 entropion 2 : 5 is 2 : 13 . 3 senile 4 entropion 4 entropion 5 is 5 is 8 pathology 7 common 8 pathology 8 pathology 9 of 9 of 12 lid 10 the 12 lid 11 aging 12 lid chronic irritation of the conjunctiva [and/or] cornea is bothersome to the patients and may cause severe complications . 0 ###LEFT-WALL### 2 irritation 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 18 . 1 chronic 2 irritation 2 irritation 3 of 2 irritation 13 and 3 of 7 cornea 4 the 7 cornea 5 conjunctiva 7 cornea 8 is 9 bothersome 8 is 13 and 9 bothersome 10 to 10 to 12 patients 11 the 12 patients 13 and 14 may 14 may 15 cause 15 cause 17 complications 16 severe 17 complications surgical intervention is typically required . 0 ###LEFT-WALL### 2 intervention 0 ###LEFT-WALL### 5 required 0 ###LEFT-WALL### 6 . 1 surgical 2 intervention 2 intervention 3 is 3 is 5 required 4 typically 5 required we present data from a postoperative telephone interview of 38 patients undergoing 43 entropion repairs , which were performed as transverse blepharotomy according to wies in the modification of collin . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 present 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 31 . 1 we 2 present 2 present 3 data 3 data 4 from 3 data 9 of 4 from 8 interview 5 a 8 interview 6 postoperative 8 interview 7 telephone 8 interview 9 of 11 patients 10 38 11 patients 11 patients 12 undergoing 12 undergoing 15 repairs 13 43 15 repairs 14 entropion 15 repairs 16 , 17 which 16 , 18 were 17 which 18 were 18 were 22 blepharotomy 18 were 24 to 18 were 26 in 19 performed 22 blepharotomy 20 as 21 transverse 21 transverse 22 blepharotomy 23 according 24 to 24 to 25 wies 26 in 28 modification 27 the 28 modification 28 modification 29 of 29 of 30 collin patients and methods : in a retrospective study 43 surgeries were evaluated . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 patients 2 and 2 and 3 methods 4 : 5 in 4 : 11 were 4 : 13 . 5 in 8 study 5 in 11 were 6 a 7 retrospective 6 a 8 study 7 retrospective 8 study 9 43 10 surgeries 10 surgeries 11 were 11 were 12 evaluated mean follow - up time was 34 ( 6 - 96 ) months . 0 ###LEFT-WALL### 2 follow 0 ###LEFT-WALL### 3 - 1 mean 2 follow 3 - 5 time 3 - 6 was 3 - 14 . 4 up 5 time 5 time 6 was 6 was 13 months 7 34 13 months 8 ( 10 - 9 6 10 - 10 - 11 96 10 - 12 ) 10 - 13 months patient satisfaction , complications and symptoms after surgery and frequency of repeated surgery were evaluated by sending a questionnaire [with] subsequent telephone survey . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 15 evaluated 0 ###LEFT-WALL### 24 . 1 patient 2 satisfaction 2 satisfaction 3 , 3 , 4 complications 3 , 5 and 5 and 6 symptoms 5 and 7 after 5 and 9 and 7 after 8 surgery 9 and 10 frequency 9 and 11 of 9 and 14 were 11 of 13 surgery 12 repeated 13 surgery 14 were 15 evaluated 15 evaluated 16 by 16 by 17 sending 17 sending 23 survey 18 a 23 survey 19 questionnaire 23 survey 21 subsequent 22 telephone 22 telephone 23 survey results : the transverse blepharotomy was successful in 31 cases ( 91.2 % ) as a primary surgical intervention . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 blepharotomy 2 : 6 was 2 : 20 . 3 the 5 blepharotomy 4 transverse 5 blepharotomy 5 blepharotomy 6 was 6 was 7 successful 7 successful 8 in 7 successful 15 as 8 in 10 cases 9 31 10 cases 10 cases 13 % 11 ( 13 % 12 91.2 13 % 13 % 14 ) 15 as 19 intervention 16 a 17 primary 16 a 19 intervention 17 primary 19 intervention 18 surgical 19 intervention in recurrencies , a successful result was obtained in 8 lids ( 88.9 % ) . 0 ###LEFT-WALL### 6 result 0 ###LEFT-WALL### 8 obtained 0 ###LEFT-WALL### 16 . 1 in 2 recurrencies 1 in 3 , 1 in 6 result 4 a 5 successful 4 a 6 result 5 successful 6 result 6 result 7 was 7 was 8 obtained 8 obtained 9 in 9 in 11 lids 10 8 11 lids 11 lids 14 % 12 ( 14 % 13 88.9 14 % 14 % 15 ) conclusion : although being a historically " old " surgical technique to treat involutional entropion , horizontal blepharotomy according to wies proved successful in the vast majority of our patients . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 22 proved 0 ###LEFT-WALL### 31 . 1 conclusion 2 : 2 : 3 although 3 although 19 according 4 being 11 technique 4 being 12 to 4 being 16 , 4 being 19 according 5 a 6 historically 5 a 11 technique 6 historically 7 " 6 historically 8 old 8 old 9 " 8 old 11 technique 10 surgical 11 technique 12 to 13 treat 13 treat 15 entropion 14 involutional 15 entropion 17 horizontal 19 according 18 blepharotomy 19 according 19 according 20 to 19 according 22 proved 20 to 21 wies 22 proved 23 successful 23 successful 24 in 24 in 30 patients 25 the 27 majority 26 vast 27 majority 27 majority 28 of 27 majority 30 patients 28 of 30 patients 29 our 30 patients the overall success rate in our series was 90.7 % and rose to 91.2 % in cases of primary surgery . 0 ###LEFT-WALL### 4 rate 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 21 . 1 the 4 rate 2 overall 3 success 3 success 4 rate 4 rate 5 in 4 rate 11 and 5 in 7 series 6 our 7 series 8 was 10 % 8 was 11 and 9 90.7 10 % 11 and 12 rose 11 and 13 to 11 and 16 in 13 to 15 % 14 91.2 15 % 16 in 17 cases 17 cases 18 of 18 of 20 surgery 19 primary 20 surgery even in recurrent disease , 88.9 % of surgeries resulted in sustained correction of the lid [malposition] . 0 ###LEFT-WALL### 7 % 0 ###LEFT-WALL### 10 resulted 0 ###LEFT-WALL### 18 . 1 even 2 in 1 even 5 , 1 even 7 % 2 in 4 disease 3 recurrent 4 disease 6 88.9 7 % 7 % 8 of 7 % 10 resulted 8 of 9 surgeries 10 resulted 11 in 11 in 13 correction 12 sustained 13 correction 13 correction 14 of 14 of 16 lid 15 the 16 lid the authors studied the nuclear magnetic resonance films and the expression of mmp - 1 and [timp] - 1 in disk specimens ' of patients who had undergone operations for lumbar disk herniation . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 3 studied 0 ###LEFT-WALL### 34 . 1 the 2 authors 2 authors 3 studied 3 studied 9 and 3 studied 30 for 4 the 8 films 5 nuclear 8 films 6 magnetic 7 resonance 7 resonance 8 films 8 films 9 and 9 and 11 expression 9 and 12 of 10 the 11 expression 12 of 13 mmp 13 mmp 16 and 13 mmp 20 in 13 mmp 24 of 14 - 15 1 15 1 16 and 16 and 19 1 18 - 19 1 20 in 23 ' 21 disk 22 specimens 22 specimens 23 ' 24 of 25 patients 25 patients 26 who 25 patients 27 had 26 who 27 had 27 had 28 undergone 28 undergone 29 operations 30 for 33 herniation 31 lumbar 33 herniation 32 disk 33 herniation forty - one lumbar disk patients were evaluated imaging for degenerative changes and their disk specimens immunohistochemical expression of mmp - 1 and [timp] - 1 . 0 ###LEFT-WALL### 1 forty 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 27 . 2 - 5 disk 3 one 5 disk 4 lumbar 5 disk 5 disk 6 patients 5 disk 7 were 5 disk 8 evaluated 5 disk 9 imaging 5 disk 19 of 6 patients 7 were 9 imaging 10 for 9 imaging 18 expression 10 for 13 and 11 degenerative 12 changes 12 changes 13 and 13 and 16 specimens 14 their 16 specimens 15 disk 16 specimens 17 immunohistochemical 18 expression 19 of 20 mmp 20 mmp 23 and 21 - 22 1 22 1 23 and 23 and 26 1 25 - 26 1 the degree of degenerative changes was based on magnetic resonance imaging films . 0 ###LEFT-WALL### 2 degree 0 ###LEFT-WALL### 7 based 0 ###LEFT-WALL### 13 . 1 the 2 degree 2 degree 3 of 2 degree 6 was 3 of 5 changes 4 degenerative 5 changes 6 was 7 based 7 based 8 on 8 on 10 resonance 9 magnetic 10 resonance 10 resonance 11 imaging 11 imaging 12 films sections of disk immunostained [for] mmp - 1 and [timp] - 1 were evaluated semiquantitatively . 0 ###LEFT-WALL### 1 sections 0 ###LEFT-WALL### 14 evaluated 0 ###LEFT-WALL### 16 . 1 sections 2 of 1 sections 13 were 2 of 6 mmp 3 disk 4 immunostained 4 immunostained 6 mmp 6 mmp 9 and 7 - 8 1 8 1 9 and 9 and 12 1 11 - 12 1 13 were 14 evaluated 14 evaluated 15 semiquantitatively patients were categorized in three age groups : < 30 years , from 30 to 60 years , and >60 years of age . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 3 categorized 0 ###LEFT-WALL### 8 : 0 ###LEFT-WALL### 24 . 1 patients 2 were 2 were 3 categorized 3 categorized 4 in 4 in 7 groups 5 three 7 groups 6 age 7 groups 8 : 19 and 9 < 10 30 10 30 11 years 11 years 12 , 12 , 17 years 12 , 19 and 13 from 15 to 14 30 15 to 15 to 16 60 15 to 17 years 18 , 19 and 19 and 21 years 20 >60 21 years 21 years 22 of 22 of 23 age the expressions of mmp - 1 and [timp] - 1 were related to patients ' age and degree of degenerative changes . 0 ###LEFT-WALL### 2 expressions 0 ###LEFT-WALL### 12 related 0 ###LEFT-WALL### 22 . 1 the 2 expressions 2 expressions 3 of 2 expressions 11 were 3 of 4 mmp 4 mmp 7 and 5 - 6 1 6 1 7 and 7 and 10 1 9 - 10 1 11 were 12 related 12 related 13 to 13 to 17 and 14 patients 15 ' 15 ' 16 age 16 age 17 and 17 and 18 degree 17 and 19 of 19 of 21 changes 20 degenerative 21 changes there were statistical differences in the expression of mmp - 1 and timp - 1 between the age and degree of degenerative changes groups . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 10 - 0 ###LEFT-WALL### 25 . 1 there 2 were 2 were 4 differences 3 statistical 4 differences 4 differences 5 in 5 in 7 expression 6 the 7 expression 7 expression 8 of 8 of 9 mmp 10 - 11 1 10 - 12 and 12 and 15 1 12 and 24 groups 13 timp 14 - 13 timp 15 1 15 1 16 between 15 1 21 of 15 1 24 groups 16 between 19 and 17 the 18 age 18 age 19 and 19 and 20 degree 21 of 23 changes 22 degenerative 23 changes with the degree of degenerative changes , the expression of mmp - 1 and [timp] - 1 increased [obviously] . 0 ###LEFT-WALL### 9 expression 0 ###LEFT-WALL### 18 increased 0 ###LEFT-WALL### 20 . 1 with 6 changes 1 with 7 , 1 with 9 expression 2 the 3 degree 3 degree 4 of 3 degree 6 changes 4 of 6 changes 5 degenerative 6 changes 8 the 9 expression 9 expression 10 of 9 expression 18 increased 10 of 11 mmp 11 mmp 14 and 12 - 13 1 13 1 14 and 14 and 17 1 16 - 17 1 but in old age group , the expression of mmp - 1/timp - 1 was higher than the young groups . 0 ###LEFT-WALL### 5 group 0 ###LEFT-WALL### 13 - 1 but 2 in 1 but 5 group 2 in 4 age 3 old 4 age 5 group 11 - 6 , 11 - 7 the 8 expression 8 expression 9 of 8 expression 11 - 9 of 10 mmp 11 - 12 1/timp 11 - 13 - 13 - 14 1 13 - 15 was 13 - 21 . 14 1 15 was 15 was 16 higher 16 higher 17 than 17 than 20 groups 18 the 20 groups 19 young 20 groups the expressions of mmp - 1 and [timp] - 1 were strongly correlated to the age and the degree of the degenerative changes . 0 ###LEFT-WALL### 2 expressions 0 ###LEFT-WALL### 13 correlated 0 ###LEFT-WALL### 24 . 1 the 2 expressions 2 expressions 3 of 2 expressions 11 were 3 of 4 mmp 4 mmp 7 and 5 - 6 1 6 1 7 and 7 and 10 1 9 - 10 1 11 were 13 correlated 12 strongly 13 correlated 13 correlated 14 to 14 to 17 and 15 the 16 age 16 age 17 and 17 and 19 degree 17 and 20 of 18 the 19 degree 20 of 23 changes 21 the 23 changes 22 degenerative 23 changes an important finding in this study is [the] [unbalance] of the expression of mmp - 1 and [timp] - 1 along with the growth of the age . 0 ###LEFT-WALL### 3 finding 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 28 . 1 an 2 important 1 an 3 finding 2 important 3 finding 3 finding 4 in 3 finding 7 is 4 in 6 study 5 this 6 study 7 is 10 of 7 is 22 with 10 of 12 expression 11 the 12 expression 12 expression 13 of 13 of 14 mmp 14 mmp 17 and 15 - 16 1 16 1 17 and 17 and 20 1 19 - 20 1 21 along 22 with 22 with 24 growth 23 the 24 growth 24 growth 25 of 25 of 27 age 26 the 27 age numerical and spatial representations are tightly linked , i.e . , when doing a binary classification judgment on arabic digits , participants are faster to respond with their left/right hand to small/large numbers , respectively [(] spatial - numerical association of response codes , snarc effect , dehaene et al . in [j] exp psychol [gen] 122:371 - 396 , 1993 ) . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 7 linked 0 ###LEFT-WALL### 10 . 1 numerical 2 and 2 and 3 spatial 2 and 4 representations 2 and 5 are 2 and 7 linked 4 representations 5 are 6 tightly 7 linked 7 linked 8 , 7 linked 9 i.e 10 . 22 participants 11 , 12 when 12 when 13 doing 12 when 21 , 12 when 22 participants 13 doing 17 judgment 14 a 17 judgment 15 binary 16 classification 16 classification 17 judgment 17 judgment 18 on 18 on 20 digits 19 arabic 20 digits 22 participants 23 are 23 are 24 faster 24 faster 25 to 24 faster 27 with 25 to 26 respond 27 with 30 hand 27 with 31 to 28 their 30 hand 29 left/right 30 hand 31 to 33 numbers 32 small/large 33 numbers 33 numbers 38 - 34 , 35 respectively 34 , 38 - 37 spatial 38 - 38 - 46 effect 39 numerical 46 effect 40 association 41 of 40 association 46 effect 41 of 45 snarc 42 response 43 codes 43 codes 45 snarc 44 , 45 snarc 46 effect 57 122:371 47 , 57 122:371 48 dehaene 50 al 49 et 50 al 50 al 51 . 50 al 52 in 50 al 55 psychol 52 in 54 exp 55 psychol 57 122:371 57 122:371 59 396 57 122:371 61 1993 57 122:371 63 . 58 - 59 396 59 396 60 , 60 , 61 1993 61 1993 62 ) to understand the underlying mechanisms of the well - established snarc effect , it seems essential to explore the considerable [inter] - individual variability characterizing it . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 understand 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 15 seems 0 ###LEFT-WALL### 27 . 1 to 2 understand 2 understand 5 mechanisms 3 the 5 mechanisms 4 underlying 5 mechanisms 5 mechanisms 6 of 5 mechanisms 12 effect 6 of 8 well 7 the 8 well 9 - 12 effect 10 established 12 effect 11 snarc 12 effect 12 effect 13 , 13 , 14 it 13 , 15 seems 14 it 15 seems 15 seems 16 essential 16 essential 17 to 17 to 18 explore 18 explore 24 variability 19 the 24 variability 20 considerable 22 - 20 considerable 23 individual 23 individual 24 variability 24 variability 25 characterizing 25 characterizing 26 it the present study assesses the respective roles of inhibition , age , working memory ( wm ) and response speed . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 assesses 0 ###LEFT-WALL### 21 . 1 the 3 study 2 present 3 study 3 study 4 assesses 4 assesses 18 and 4 assesses 20 speed 5 the 7 roles 6 respective 7 roles 7 roles 8 of 7 roles 18 and 8 of 9 inhibition 9 inhibition 11 age 9 inhibition 13 working 10 , 11 age 11 age 12 , 12 , 13 working 13 working 14 memory 13 working 17 ) 14 memory 16 wm 15 ( 16 wm 16 wm 17 ) 18 and 19 response 18 and 20 speed whereas these [non] - numerical factors have been proposed as potentially important factors to explain individual differences in snarc effects , none ( except response speed ) has so [far] been explored directly . 0 ###LEFT-WALL### 6 factors 0 ###LEFT-WALL### 9 proposed 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 34 . 1 whereas 2 these 1 whereas 4 - 1 whereas 6 factors 5 numerical 6 factors 6 factors 7 have 7 have 8 been 8 been 9 proposed 9 proposed 10 as 9 proposed 14 to 10 as 13 factors 11 potentially 12 important 12 important 13 factors 14 to 15 explain 15 explain 17 differences 15 explain 18 in 16 individual 17 differences 18 in 20 effects 19 snarc 20 effects 21 , 22 none 21 , 32 explored 22 none 24 except 22 none 28 has 23 ( 24 except 24 except 26 speed 24 except 27 ) 25 response 26 speed 28 has 31 been 29 so 31 been 31 been 32 explored 32 explored 33 directly confirming our hypotheses , the results show that the snarc effect was stronger in participants that had weaker inhibition abilities ( as assessed by the stroop task ) , were relatively older and had longer response times . 0 ###LEFT-WALL### 33 and 0 ###LEFT-WALL### 38 . 1 confirming 3 hypotheses 1 confirming 29 , 1 confirming 33 and 2 our 3 hypotheses 3 hypotheses 7 show 4 , 7 show 5 the 7 show 6 results 7 show 7 show 8 that 7 show 23 assessed 7 show 28 ) 8 that 11 effect 8 that 17 had 9 the 11 effect 10 snarc 11 effect 11 effect 12 was 12 was 13 stronger 13 stronger 14 in 14 in 15 participants 16 that 17 had 17 had 20 abilities 17 had 22 as 18 weaker 19 inhibition 19 inhibition 20 abilities 21 ( 22 as 22 as 23 assessed 23 assessed 24 by 24 by 27 task 25 the 27 task 26 stroop 27 task 30 were 31 relatively 30 were 32 older 30 were 33 and 33 and 34 had 34 had 37 times 35 longer 36 response 36 response 37 times interestingly , whereas a significant part of the age influence was mediated by cognitive inhibition , age also directly impacted the snarc effect . 0 ###LEFT-WALL### 10 influence 0 ###LEFT-WALL### 12 mediated 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 24 . 1 interestingly 2 , 1 interestingly 10 influence 3 whereas 9 age 3 whereas 10 influence 4 a 5 significant 4 a 6 part 5 significant 6 part 6 part 7 of 6 part 9 age 7 of 9 age 8 the 9 age 10 influence 11 was 11 was 12 mediated 12 mediated 13 by 13 by 15 inhibition 14 cognitive 15 inhibition 16 , 17 age 16 , 20 impacted 17 age 20 impacted 18 also 20 impacted 19 directly 20 impacted 20 impacted 23 effect 21 the 23 effect 22 snarc 23 effect similarly , cognitive inhibition abilities explained [inter] - individual variability [in] number - space associations over and above the factors age , wm capacity and response speed . 0 ###LEFT-WALL### 5 abilities 0 ###LEFT-WALL### 6 explained 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 28 . 1 similarly 2 , 1 similarly 5 abilities 3 cognitive 4 inhibition 4 inhibition 5 abilities 5 abilities 6 explained 8 - 12 number 8 - 13 - 9 individual 10 variability 10 variability 12 number 13 - 14 space 13 - 17 and 14 space 15 associations 14 space 16 over 17 and 25 and 17 and 27 speed 18 above 20 factors 18 above 25 and 19 the 20 factors 21 age 22 , 22 , 24 capacity 22 , 25 and 23 wm 24 capacity 25 and 26 response 25 and 27 speed [taken] together our results provide new insights into the nature of number [-] space associations by describing how these are influenced by the [non] [-] numerical factors age and inhibition . 0 ###LEFT-WALL### 4 results 0 ###LEFT-WALL### 5 provide 0 ###LEFT-WALL### 31 . 2 together 4 results 3 our 4 results 4 results 5 provide 5 provide 7 insights 5 provide 16 by 5 provide 22 by 6 new 7 insights 7 insights 8 into 7 insights 11 of 8 into 10 nature 9 the 10 nature 11 of 15 associations 12 number 14 space 14 space 15 associations 16 by 17 describing 17 describing 18 how 18 how 19 these 18 how 21 influenced 19 these 20 are 20 are 21 influenced 22 by 29 and 23 the 28 age 26 numerical 27 factors 27 factors 28 age 28 age 29 and 29 and 30 inhibition calcium ( ca ( 2+ ) ) is an universal second messenger that regulates the most important activities of all eukaryotic cells . 0 ###LEFT-WALL### 1 calcium 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 23 . 1 calcium 3 ca 1 calcium 8 is 2 ( 3 ca 3 ca 5 2+ 3 ca 7 ) 4 ( 5 2+ 5 2+ 6 ) 8 is 12 messenger 9 an 12 messenger 10 universal 12 messenger 11 second 12 messenger 12 messenger 13 that 12 messenger 14 regulates 13 that 14 regulates 14 regulates 18 activities 15 the 16 most 16 most 18 activities 17 important 18 activities 18 activities 19 of 19 of 22 cells 20 all 22 cells 21 eukaryotic 22 cells it is of critical importance to neurons as it [participates] in the transmission of the depolarizing signal and contributes to synaptic activity . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 23 . 1 it 2 is 2 is 3 of 2 is 6 to 3 of 5 importance 4 critical 5 importance 6 to 18 and 7 neurons 8 as 7 neurons 11 in 7 neurons 18 and 8 as 9 it 11 in 13 transmission 12 the 13 transmission 13 transmission 14 of 14 of 17 signal 15 the 17 signal 16 depolarizing 17 signal 18 and 19 contributes 19 contributes 20 to 20 to 22 activity 21 synaptic 22 activity neurons have thus developed extensive and intricate ca ( 2+ ) signaling pathways to couple the ca ( 2+ ) signal to their biochemical machinery . 0 ###LEFT-WALL### 1 neurons 0 ###LEFT-WALL### 4 developed 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 26 . 1 neurons 2 have 2 have 4 developed 3 thus 4 developed 4 developed 5 extensive 6 and 13 pathways 6 and 21 signal 7 intricate 13 pathways 8 ca 10 2+ 8 ca 13 pathways 9 ( 10 2+ 10 2+ 11 ) 12 signaling 13 pathways 13 pathways 14 to 13 pathways 15 couple 13 pathways 21 signal 14 to 15 couple 15 couple 17 ca 16 the 17 ca 17 ca 19 2+ 18 ( 19 2+ 19 2+ 20 ) 21 signal 22 to 22 to 25 machinery 23 their 25 machinery 24 biochemical 25 machinery ca ( 2+ ) [influx] into neurons [occurs] through plasma membrane receptors and voltage - dependent ion channels . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 15 - 1 ca 3 2+ 1 ca 6 into 1 ca 9 through 1 ca 13 and 2 ( 3 2+ 3 2+ 4 ) 6 into 7 neurons 9 through 12 receptors 10 plasma 12 receptors 11 membrane 12 receptors 13 and 14 voltage 15 - 18 channels 15 - 19 . 16 dependent 17 ion 17 ion 18 channels the release of ca ( 2+ [ )(from the intracellular stores , such as the endoplasmic reticulum , [by] intracellular channels also contributes to the elevation of cytosolic ca ( 2+ ) . 0 ###LEFT-WALL### 2 release 0 ###LEFT-WALL### 23 contributes 0 ###LEFT-WALL### 33 . 1 the 2 release 2 release 3 of 2 release 14 as 2 release 23 contributes 3 of 4 ca 4 ca 6 2+ 5 ( 6 2+ 6 2+ 8 )(from 6 2+ 12 , 8 )(from 11 stores 9 the 11 stores 10 intracellular 11 stores 13 such 14 as 14 as 21 channels 15 the 21 channels 16 endoplasmic 21 channels 17 reticulum 18 , 17 reticulum 21 channels 20 intracellular 21 channels 22 also 23 contributes 23 contributes 24 to 24 to 26 elevation 25 the 26 elevation 26 elevation 27 of 27 of 29 ca 28 cytosolic 29 ca 29 ca 31 2+ 30 ( 31 2+ 31 2+ 32 ) inside the cell , ca ( 2+ ) is controlled by the buffering action of cytosolic [ca] ( 2+ ) - binding proteins and by its uptake and release by mitochondria . 0 ###LEFT-WALL### 5 ca 0 ###LEFT-WALL### 10 controlled 0 ###LEFT-WALL### 32 . 1 inside 3 cell 1 inside 4 , 1 inside 5 ca 2 the 3 cell 5 ca 7 2+ 5 ca 9 is 6 ( 7 2+ 7 2+ 8 ) 9 is 10 controlled 10 controlled 24 and 10 controlled 30 by 11 by 14 action 11 by 24 and 12 the 14 action 13 buffering 14 action 14 action 15 of 15 of 23 proteins 16 cytosolic 19 2+ 16 cytosolic 21 - 16 cytosolic 23 proteins 18 ( 19 2+ 19 2+ 20 ) 22 binding 23 proteins 24 and 25 by 25 by 28 and 26 its 27 uptake 27 uptake 28 and 28 and 29 release 30 by 31 mitochondria the uptake of ca ( 2+ ) in the mitochondrial matrix stimulates the citric acid cycle , thus enhancing atp production and the removal of ca ( 2+ ) from the cytosol by the atp - driven pumps in the endoplasmic reticulum and the plasma membrane . 0 ###LEFT-WALL### 2 uptake 0 ###LEFT-WALL### 38 pumps 0 ###LEFT-WALL### 47 . 1 the 2 uptake 2 uptake 3 of 2 uptake 8 in 2 uptake 12 stimulates 3 of 4 ca 4 ca 6 2+ 5 ( 6 2+ 6 2+ 7 ) 8 in 11 matrix 9 the 11 matrix 10 mitochondrial 11 matrix 12 stimulates 16 cycle 12 stimulates 18 thus 13 the 16 cycle 14 citric 16 cycle 15 acid 16 cycle 17 , 18 thus 18 thus 19 enhancing 19 enhancing 22 and 19 enhancing 38 pumps 20 atp 21 production 21 production 22 and 22 and 24 removal 22 and 36 - 22 and 37 driven 23 the 24 removal 24 removal 25 of 24 removal 30 from 24 removal 33 by 25 of 26 ca 26 ca 28 2+ 27 ( 28 2+ 28 2+ 29 ) 30 from 32 cytosol 31 the 32 cytosol 33 by 35 atp 34 the 35 atp 38 pumps 39 in 39 in 46 membrane 40 the 46 membrane 41 endoplasmic 46 membrane 42 reticulum 43 and 43 and 45 plasma 43 and 46 membrane 44 the 45 plasma a na [(] [+] )/ca ( 2+ ) exchanger in the plasma membrane also participates in the control of neuronal ca ( 2+ ) . 0 ###LEFT-WALL### 9 exchanger 0 ###LEFT-WALL### 15 participates 0 ###LEFT-WALL### 25 . 1 a 9 exchanger 2 na 9 exchanger 5 )/ca 7 2+ 5 )/ca 9 exchanger 6 ( 7 2+ 7 2+ 8 ) 9 exchanger 10 in 9 exchanger 15 participates 10 in 13 membrane 11 the 13 membrane 12 plasma 13 membrane 14 also 15 participates 15 participates 16 in 16 in 18 control 17 the 18 control 18 control 19 of 19 of 21 ca 20 neuronal 21 ca 21 ca 23 2+ 22 ( 23 2+ 23 2+ 24 ) the impaired ability of neurons to maintain an adequate energy level may impact ca ( 2+ ) signaling : this occurs during aging and in neurodegenerative disease processes . 0 ###LEFT-WALL### 3 ability 0 ###LEFT-WALL### 13 impact 0 ###LEFT-WALL### 19 : 0 ###LEFT-WALL### 29 . 1 the 3 ability 2 impaired 3 ability 3 ability 4 of 3 ability 6 to 3 ability 7 maintain 3 ability 12 may 4 of 5 neurons 6 to 7 maintain 7 maintain 11 level 8 an 9 adequate 8 an 11 level 9 adequate 10 energy 10 energy 11 level 12 may 13 impact 13 impact 18 signaling 14 ca 16 2+ 14 ca 18 signaling 15 ( 16 2+ 16 2+ 17 ) 19 : 20 this 19 : 21 occurs 20 this 21 occurs 21 occurs 24 and 22 during 23 aging 22 during 24 and 24 and 25 in 25 in 28 processes 26 neurodegenerative 27 disease 27 disease 28 processes the focus of this review is on neuronal ca ( 2+ ) signaling and its involvement in synaptic signaling processes , neuronal energy metabolism , and neurotransmission . 0 ###LEFT-WALL### 2 focus 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 28 . 1 the 2 focus 2 focus 3 of 2 focus 6 is 3 of 5 review 4 this 5 review 6 is 7 on 6 is 17 in 7 on 14 and 8 neuronal 13 signaling 9 ca 11 2+ 9 ca 13 signaling 10 ( 11 2+ 11 2+ 12 ) 13 signaling 14 and 14 and 16 involvement 15 its 16 involvement 17 in 26 and 18 synaptic 19 signaling 18 synaptic 21 , 19 signaling 20 processes 21 , 24 metabolism 21 , 26 and 22 neuronal 23 energy 23 energy 24 metabolism 25 , 26 and 26 and 27 neurotransmission the contribution of altered ca ( 2+ ) signaling in the most important neurological disorders will then be considered . 0 ###LEFT-WALL### 2 contribution 0 ###LEFT-WALL### 19 considered 0 ###LEFT-WALL### 20 . 1 the 2 contribution 2 contribution 3 of 2 contribution 9 signaling 2 contribution 16 will 3 of 5 ca 4 altered 5 ca 5 ca 7 2+ 6 ( 7 2+ 7 2+ 8 ) 9 signaling 10 in 10 in 15 disorders 11 the 12 most 12 most 15 disorders 13 important 15 disorders 14 neurological 15 disorders 16 will 18 be 17 then 18 be 18 be 19 considered objective : the veterans aging cohort study ( vacs ) index is predictive of mortality and combines age , traditional hiv biomarkers ( hiv - 1 plasma rna and current cd4 count ) , and [non] [-] hiv biomarkers ( indicators [of] renal and liver function , anemia , and hepatitis c coinfection ) . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 11 index 3 the 11 index 4 veterans 5 aging 5 aging 6 cohort 6 cohort 7 study 7 study 9 vacs 8 ( 9 vacs 9 vacs 10 ) 9 vacs 11 index 11 index 12 is 12 is 22 biomarkers 13 predictive 14 of 13 predictive 16 and 14 of 15 mortality 16 and 18 age 16 and 19 , 16 and 22 biomarkers 17 combines 18 age 20 traditional 22 biomarkers 21 hiv 22 biomarkers 22 biomarkers 25 - 23 ( 25 - 24 hiv 25 - 25 - 35 and 26 1 28 rna 27 plasma 28 rna 28 rna 29 and 29 and 32 count 29 and 33 ) 29 and 35 and 30 current 32 count 31 cd4 32 count 34 , 35 and 35 and 39 biomarkers 35 and 46 function 38 hiv 39 biomarkers 40 ( 46 function 41 indicators 46 function 43 renal 44 and 44 and 45 liver 44 and 46 function 46 function 53 coinfection 46 function 55 . 47 , 53 coinfection 48 anemia 50 and 49 , 50 and 50 and 51 hepatitis 50 and 53 coinfection 51 hepatitis 52 c 53 coinfection 54 ) we examined the association between the vacs index and hiv - associated neurocognitive impairment ( nci ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 18 . 1 we 2 examined 2 examined 4 association 2 examined 5 between 3 the 4 association 5 between 9 and 6 the 8 index 7 vacs 8 index 8 index 9 and 9 and 10 hiv 10 hiv 14 impairment 11 - 14 impairment 12 associated 14 impairment 13 neurocognitive 14 impairment 14 impairment 16 nci 14 impairment 17 ) 15 ( 16 nci 16 nci 17 ) design and methods : participants included 601 hiv - infected adults enrolled in cohort studies at the university of california , san diego , hiv neurobehavioral research program ( ages : 18 - 76 years ; 88 % male ; 63 % white ; median current cd4 = 364 cells/mm ; 63 % on antiretroviral therapy [;] aids = 64 % [ )( 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 59 = 0 ###LEFT-WALL### 63 )( 1 design 2 and 2 and 3 methods 4 : 8 hiv 4 : 9 - 4 : 43 white 4 : 44 ; 5 participants 6 included 6 included 8 hiv 7 601 8 hiv 9 - 11 adults 9 - 31 : 10 infected 11 adults 11 adults 12 enrolled 11 adults 23 diego 12 enrolled 13 in 13 in 15 studies 14 cohort 15 studies 15 studies 16 at 16 at 18 university 17 the 18 university 18 university 19 of 19 of 20 california 21 , 23 diego 22 san 23 diego 23 diego 28 program 23 diego 31 : 24 , 28 program 25 hiv 26 neurobehavioral 26 neurobehavioral 27 research 27 research 28 program 28 program 30 ages 28 program 31 : 29 ( 30 ages 30 ages 31 : 31 : 32 18 31 : 36 ; 32 18 35 years 33 - 35 years 34 76 35 years 35 years 36 ; 36 ; 39 male 36 ; 40 ; 37 88 38 % 38 % 39 male 40 ; 42 % 41 63 42 % 42 % 43 white 44 ; 47 cd4 44 ; 48 = 44 ; 51 ; 45 median 47 cd4 46 current 47 cd4 47 cd4 48 = 48 = 50 cells/mm 49 364 50 cells/mm 51 ; 53 % 52 63 53 % 53 % 54 on 53 % 59 = 54 on 58 aids 55 antiretroviral 56 therapy 56 therapy 58 aids 59 = 61 % 60 64 61 % biomarkers used in calculating the vacs index were measured in prospectively collected blood samples using conventional laboratory methods . 0 ###LEFT-WALL### 1 biomarkers 0 ###LEFT-WALL### 8 were 0 ###LEFT-WALL### 19 . 1 biomarkers 2 used 1 biomarkers 3 in 1 biomarkers 8 were 3 in 4 calculating 4 calculating 7 index 5 the 7 index 6 vacs 7 index 8 were 9 measured 9 measured 10 in 9 measured 15 using 10 in 14 samples 11 prospectively 12 collected 12 collected 14 samples 13 blood 14 samples 15 using 18 methods 16 conventional 17 laboratory 17 laboratory 18 methods nci was defined using global and seven domain deficit scores . 0 ###LEFT-WALL### 1 nci 0 ###LEFT-WALL### 3 defined 0 ###LEFT-WALL### 11 . 1 nci 2 was 2 was 3 defined 3 defined 4 using 4 using 6 and 5 global 6 and 6 and 10 scores 7 seven 10 scores 8 domain 10 scores 9 deficit 10 scores results : higher vacs index scores were associated with concurrent risk for global nci [ p < 0.001 ; odds ratio [=] 1.21 , confidence [interval] ( ci ) : 1.12 to 1.32 []] , even when adjusting for psychiatric comorbidities . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 ; 0 ###LEFT-WALL### 42 . 1 results 2 : 2 : 4 vacs 3 higher 4 vacs 4 vacs 5 index 4 vacs 8 associated 5 index 6 scores 5 index 7 were 5 index 8 associated 6 scores 7 were 8 associated 9 with 8 associated 12 for 9 with 11 risk 10 concurrent 11 risk 12 for 14 nci 13 global 14 nci 14 nci 17 < 15 [ 17 < 16 p 17 < 17 < 18 0.001 17 < 19 ; 19 ; 21 ratio 19 ; 30 : 19 ; 35 , 20 odds 21 ratio 21 ratio 23 1.21 21 ratio 25 confidence 21 ratio 30 : 24 , 25 confidence 25 confidence 28 ci 25 confidence 29 ) 27 ( 28 ci 28 ci 29 ) 30 : 32 to 31 1.12 32 to 32 to 33 1.32 35 , 36 even 36 even 37 when 36 even 39 for 37 when 38 adjusting 39 for 41 comorbidities 40 psychiatric 41 comorbidities this relation was statistically significant for most cognitive domains in adjusted models . 0 ###LEFT-WALL### 2 relation 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 13 . 1 this 2 relation 2 relation 3 was 3 was 4 statistically 3 was 5 significant 5 significant 6 for 5 significant 10 in 6 for 9 domains 7 most 8 cognitive 8 cognitive 9 domains 10 in 12 models 11 adjusted 12 models furthermore , the vacs index predicted concurrent nci beyond nadir cd4 and estimated duration of infection . 0 ###LEFT-WALL### 5 index 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 17 . 1 furthermore 2 , 1 furthermore 5 index 3 the 5 index 4 vacs 5 index 5 index 12 and 6 predicted 8 nci 6 predicted 9 beyond 6 predicted 12 and 7 concurrent 8 nci 9 beyond 11 cd4 10 nadir 11 cd4 12 and 13 estimated 13 estimated 14 duration 14 duration 15 of 15 of 16 infection older age , lower hemoglobin , and lower cd4 counts were the vacs components most strongly linked to nci . 0 ###LEFT-WALL### 10 counts 0 ###LEFT-WALL### 11 were 0 ###LEFT-WALL### 20 . 1 older 2 age 2 age 3 , 3 , 5 hemoglobin 3 , 7 and 4 lower 5 hemoglobin 6 , 7 and 7 and 8 lower 7 and 10 counts 9 cd4 10 counts 10 counts 11 were 11 were 14 components 11 were 18 to 12 the 14 components 13 vacs 14 components 14 components 17 linked 15 most 16 strongly 16 strongly 17 linked 18 to 19 nci conclusions : the findings extend previous research on the potential usefulness of the vacs index in predicting hiv - associated outcomes to include nci . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 4 findings 2 : 5 extend 2 : 19 - 3 the 4 findings 4 findings 5 extend 5 extend 7 research 5 extend 8 on 5 extend 16 in 6 previous 7 research 8 on 11 usefulness 9 the 11 usefulness 10 potential 11 usefulness 11 usefulness 12 of 12 of 15 index 13 the 15 index 14 vacs 15 index 16 in 17 predicting 17 predicting 18 hiv 19 - 21 outcomes 20 associated 21 outcomes 21 outcomes 22 to 21 outcomes 23 include 22 to 23 include 23 include 24 nci although the effect size was relatively small , our findings suggest that demographic information , hiv - disease factors , and common comorbidities might each play important roles in the clinical manifestation of cognitive impairment among hiv - infected individuals . 0 ###LEFT-WALL### 10 findings 0 ###LEFT-WALL### 11 suggest 1 although 4 size 1 although 5 was 1 although 8 , 1 although 10 findings 2 the 4 size 3 effect 4 size 4 size 5 was 5 was 6 relatively 5 was 7 small 9 our 10 findings 10 findings 11 suggest 11 suggest 21 and 11 suggest 26 play 12 that 13 demographic 13 demographic 14 information 14 information 15 , 15 , 16 hiv 15 , 21 and 16 hiv 19 factors 17 - 19 factors 18 disease 19 factors 19 factors 20 , 20 , 21 and 21 and 23 comorbidities 21 and 24 might 22 common 23 comorbidities 24 might 26 play 25 each 26 play 26 play 28 roles 26 play 36 among 27 important 28 roles 28 roles 29 in 29 in 32 manifestation 30 the 32 manifestation 31 clinical 32 manifestation 32 manifestation 33 of 33 of 35 impairment 34 cognitive 35 impairment 36 among 37 hiv 37 hiv 40 individuals 38 - 40 individuals 39 infected 40 individuals 40 individuals 41 . additional research is needed to determine if a [more] sensitive and specific index can be developed . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 4 needed 0 ###LEFT-WALL### 17 . 1 additional 2 research 2 research 3 is 3 is 4 needed 4 needed 5 to 5 to 6 determine 6 determine 7 if 7 if 13 index 7 if 16 developed 8 a 13 index 10 sensitive 11 and 11 and 12 specific 11 and 13 index 13 index 14 can 14 can 15 be 15 be 16 developed background : osteoarthritis ( oa ) is a common problem [in] [elderly] , but it is not an inevitable feature of ageing . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 3 osteoarthritis 2 : 7 is 2 : 14 but 3 osteoarthritis 5 oa 3 osteoarthritis 7 is 4 ( 5 oa 5 oa 6 ) 7 is 10 problem 8 a 9 common 8 a 10 problem 9 common 10 problem 13 , 14 but 14 but 15 it 14 but 16 is 15 it 16 is 16 is 17 not 16 is 20 feature 18 an 19 inevitable 18 an 20 feature 19 inevitable 20 feature 20 feature 21 of 21 of 22 ageing about 80 - 90 % of individuals of both sexes have radiographic evidence of oa by the time they reach an age of 65 . 0 ###LEFT-WALL### 5 % 0 ###LEFT-WALL### 11 have 0 ###LEFT-WALL### 25 . 1 about 2 80 2 80 3 - 3 - 4 90 3 - 5 % 5 % 6 of 5 % 8 of 5 % 11 have 6 of 7 individuals 8 of 10 sexes 9 both 10 sexes 11 have 13 evidence 12 radiographic 13 evidence 13 evidence 14 of 14 of 15 oa 15 oa 16 by 15 oa 23 of 16 by 18 time 17 the 18 time 18 time 19 they 18 time 20 reach 19 they 20 reach 20 reach 22 age 21 an 22 age 23 of 24 65 but not all of them have the symptoms like pain and decreased joint motion . 0 ###LEFT-WALL### 2 not 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 15 . 1 but 2 not 2 not 5 them 2 not 6 have 3 all 4 of 3 all 5 them 4 of 5 them 5 them 6 have 6 have 8 symptoms 6 have 11 and 7 the 8 symptoms 9 like 10 pain 9 like 11 and 11 and 12 decreased 11 and 14 motion 13 joint 14 motion objective : the objective of the present study was conducted to find out whether the osteoarthritic changes in human articular cartilage are similar to the ageing process [or] [not] . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 4 objective 2 : 10 conducted 2 : 30 . 3 the 4 objective 4 objective 5 of 4 objective 9 was 5 of 8 study 6 the 8 study 7 present 8 study 9 was 10 conducted 10 conducted 11 to 11 to 13 out 12 find 13 out 13 out 14 whether 14 whether 17 changes 14 whether 22 are 15 the 17 changes 16 osteoarthritic 17 changes 17 changes 18 in 17 changes 22 are 18 in 21 cartilage 19 human 21 cartilage 20 articular 21 cartilage 22 are 23 similar 23 similar 24 to 24 to 27 process 25 the 27 process 26 ageing 27 process methods : femoral articular cartilage specimens obtained from 13 osteoarthritic patients ( 52 - 80 years ) undergoing total knee replacement and 9 cadavers of same age group [(] 50 - 80 years ) ( control ) were processed and studied [under] electron microscope . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 40 and 2 : 45 . 3 femoral 5 cartilage 4 articular 5 cartilage 5 cartilage 6 specimens 6 specimens 7 obtained 6 specimens 18 undergoing 6 specimens 22 and 7 obtained 8 from 7 obtained 14 - 8 from 11 patients 9 13 11 patients 10 osteoarthritic 11 patients 12 ( 14 - 13 52 14 - 14 - 16 years 14 - 17 ) 15 80 16 years 18 undergoing 21 replacement 19 total 20 knee 20 knee 21 replacement 22 and 24 cadavers 22 and 40 and 23 9 24 cadavers 24 cadavers 25 of 25 of 26 same 26 same 27 age 26 same 39 processed 27 age 28 group 27 age 38 were 27 age 39 processed 28 group 30 50 28 group 33 years 28 group 36 control 28 group 38 were 31 - 33 years 32 80 33 years 33 years 34 ) 35 ( 36 control 36 control 37 ) 40 and 44 microscope 41 studied 43 electron 43 electron 44 microscope the ultrastructure of the cartilage from the two groups was compared with each other . 0 ###LEFT-WALL### 2 ultrastructure 0 ###LEFT-WALL### 11 compared 0 ###LEFT-WALL### 15 . 1 the 2 ultrastructure 2 ultrastructure 3 of 2 ultrastructure 10 was 3 of 5 cartilage 4 the 5 cartilage 5 cartilage 6 from 6 from 9 groups 7 the 8 two 8 two 9 groups 10 was 11 compared 11 compared 12 with 12 with 14 other 13 each 14 other results : under the electron microscope , articular cartilage from control [group] had chondrocytes having a secretary cell characteristic with prominent nucleus and well developed organelles . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 having 0 ###LEFT-WALL### 27 . 2 : 9 cartilage 2 : 13 had 3 under 6 microscope 3 under 7 , 3 under 9 cartilage 4 the 6 microscope 5 electron 6 microscope 8 articular 9 cartilage 9 cartilage 10 from 9 cartilage 13 had 10 from 11 control 13 had 14 chondrocytes 14 chondrocytes 15 having 15 having 26 organelles 16 a 18 cell 17 secretary 18 cell 18 cell 19 characteristic 18 cell 23 and 19 characteristic 20 with 20 with 22 nucleus 21 prominent 22 nucleus 23 and 24 well 23 and 26 organelles 25 developed 26 organelles in osteoarthritic cartilage , degenerating or necrotic chondrocytes were found . 0 ###LEFT-WALL### 8 chondrocytes 0 ###LEFT-WALL### 10 found 0 ###LEFT-WALL### 11 . 1 in 3 cartilage 1 in 4 , 1 in 8 chondrocytes 2 osteoarthritic 3 cartilage 5 degenerating 6 or 6 or 7 necrotic 6 or 8 chondrocytes 8 chondrocytes 9 were 9 were 10 found nuclei of these chondrocytes appeared lobulated or indented . 0 ###LEFT-WALL### 1 nuclei 0 ###LEFT-WALL### 7 or 0 ###LEFT-WALL### 9 . 1 nuclei 2 of 1 nuclei 7 or 2 of 4 chondrocytes 3 these 4 chondrocytes 5 appeared 6 lobulated 5 appeared 7 or 7 or 8 indented chondrocytes below the fibrillated surface had dilated [and] irregular [endoplasmic] [reticulum] . 0 ###LEFT-WALL### 1 chondrocytes 0 ###LEFT-WALL### 7 dilated 0 ###LEFT-WALL### 12 . 1 chondrocytes 2 below 1 chondrocytes 6 had 2 below 5 surface 3 the 5 surface 4 fibrillated 5 surface 6 had 7 dilated 7 dilated 9 irregular electron dense lipid deposits in the extracellular matrix as well as intracytoplasmic glycogen deposits were much increased in osteoarthritic cartilage as compared to the control group . 0 ###LEFT-WALL### 4 deposits 0 ###LEFT-WALL### 17 increased 0 ###LEFT-WALL### 27 . 1 electron 4 deposits 2 dense 3 lipid 3 lipid 4 deposits 4 deposits 5 in 4 deposits 11 as 4 deposits 17 increased 5 in 8 matrix 6 the 8 matrix 7 extracellular 8 matrix 9 as 10 well 10 well 11 as 11 as 13 glycogen 12 intracytoplasmic 13 glycogen 13 glycogen 14 deposits 13 glycogen 15 were 14 deposits 15 were 15 were 16 much 17 increased 18 in 17 increased 23 to 18 in 20 cartilage 19 osteoarthritic 20 cartilage 20 cartilage 22 compared 21 as 22 compared 23 to 26 group 24 the 26 group 25 control 26 group amount of perinuclear intracytoplasmic fine filaments was also increased in the chondrocytes of osteoarthritic cartilage . 0 ###LEFT-WALL### 1 amount 0 ###LEFT-WALL### 9 increased 0 ###LEFT-WALL### 16 . 1 amount 2 of 1 amount 7 was 2 of 6 filaments 3 perinuclear 6 filaments 4 intracytoplasmic 6 filaments 5 fine 6 filaments 7 was 9 increased 8 also 9 increased 9 increased 10 in 10 in 12 chondrocytes 11 the 12 chondrocytes 12 chondrocytes 13 of 13 of 15 cartilage 14 osteoarthritic 15 cartilage conclusion : ultrastructural findings of the osteoarthritic articular cartilage were much different from the ageing [non] - osteoarthritic cartilage . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 findings 2 : 10 were 2 : 17 - 3 ultrastructural 4 findings 4 findings 5 of 4 findings 10 were 5 of 9 cartilage 6 the 9 cartilage 7 osteoarthritic 9 cartilage 8 articular 9 cartilage 10 were 12 different 11 much 12 different 12 different 13 from 13 from 15 ageing 14 the 15 ageing 17 - 19 cartilage 17 - 20 . 18 osteoarthritic 19 cartilage hence , oa should be considered a specific process and not [simply] an inevitable feature of ageing . 0 ###LEFT-WALL### 3 oa 0 ###LEFT-WALL### 6 considered 0 ###LEFT-WALL### 18 . 1 hence 2 , 1 hence 3 oa 3 oa 4 should 4 should 5 be 5 be 6 considered 6 considered 10 and 7 a 8 specific 7 a 9 process 8 specific 9 process 9 process 10 and 10 and 11 not 10 and 15 feature 13 an 14 inevitable 13 an 15 feature 14 inevitable 15 feature 15 feature 16 of 16 of 17 ageing phytomedicine has been successfully used in dermatology [horizon] for thousands of years . 0 ###LEFT-WALL### 1 phytomedicine 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 13 . 1 phytomedicine 2 has 2 has 3 been 3 been 5 used 4 successfully 5 used 5 used 6 in 6 in 7 dermatology 7 dermatology 9 for 9 for 10 thousands 10 thousands 11 of 11 of 12 years jojoba ( simmondsia chinensis ) is a long [-] [lived] , drought resistant , perennial plant with interesting economic value as it is processed for liquid wax production . 0 ###LEFT-WALL### 1 jojoba 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 29 . 1 jojoba 4 chinensis 1 jojoba 6 is 2 ( 4 chinensis 3 simmondsia 4 chinensis 4 chinensis 5 ) 6 is 16 plant 7 a 8 long 7 a 16 plant 8 long 11 , 8 long 16 plant 12 drought 15 perennial 13 resistant 14 , 13 resistant 15 perennial 15 perennial 16 plant 16 plant 17 with 16 plant 25 for 17 with 18 interesting 18 interesting 20 value 19 economic 20 value 20 value 24 processed 21 as 22 it 21 as 24 processed 22 it 23 is 23 is 24 processed 25 for 28 production 26 liquid 27 wax 27 wax 28 production the jojoba plant produces esters of long - chain alcohols and fatty acids ( [waxes] [ )(as a seed lipid energy reserve . 0 ###LEFT-WALL### 3 plant 0 ###LEFT-WALL### 4 produces 1 the 3 plant 2 jojoba 3 plant 3 plant 4 produces 4 produces 5 esters 4 produces 17 )(as 5 esters 6 of 6 of 11 and 7 long 8 - 7 long 9 chain 9 chain 10 alcohols 10 alcohols 11 and 11 and 13 acids 12 fatty 13 acids 14 ( 17 )(as 17 )(as 22 reserve 17 )(as 23 . 18 a 22 reserve 19 seed 22 reserve 20 lipid 22 reserve 21 energy 22 reserve the liquid wax is an important substrate for a variety of industrial applications and is used in skin treatment preparations . 0 ###LEFT-WALL### 3 wax 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 21 . 1 the 3 wax 2 liquid 3 wax 3 wax 14 and 4 is 7 substrate 4 is 14 and 5 an 6 important 5 an 7 substrate 6 important 7 substrate 7 substrate 8 for 8 for 10 variety 9 a 10 variety 10 variety 11 of 11 of 13 applications 12 industrial 13 applications 14 and 15 is 15 is 16 used 16 used 17 in 17 in 20 preparations 18 skin 20 preparations 19 treatment 20 preparations the oil from the jojoba plant is the main biological source of wax esters and has a multitude of potential applications . 0 ###LEFT-WALL### 2 oil 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 22 . 1 the 2 oil 2 oil 3 from 2 oil 15 and 3 from 6 plant 4 the 6 plant 5 jojoba 6 plant 7 is 11 source 7 is 15 and 8 the 9 main 8 the 11 source 10 biological 11 source 11 source 12 of 12 of 14 esters 13 wax 14 esters 15 and 16 has 15 and 21 applications 17 a 18 multitude 18 multitude 19 of 18 multitude 21 applications 19 of 21 applications 20 potential 21 applications the review [of] literatures suggest that jojoba has anti - inflammatory effect and it can be used on a variety of skin conditions including skin infections , skin aging , as well as wound healing . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 8 has 1 the 2 review 2 review 4 literatures 2 review 7 jojoba 2 review 8 has 4 literatures 5 suggest 5 suggest 6 that 5 suggest 7 jojoba 8 has 13 and 8 has 17 used 9 anti 10 - 9 anti 12 effect 11 inflammatory 12 effect 12 effect 13 and 13 and 14 it 13 and 15 can 13 and 16 be 15 can 16 be 17 used 18 on 18 on 20 variety 19 a 20 variety 20 variety 21 of 21 of 23 conditions 22 skin 23 conditions 23 conditions 24 including 23 conditions 31 as 24 including 26 infections 25 skin 26 infections 26 infections 28 skin 27 , 28 skin 28 skin 29 aging 28 skin 30 , 31 as 32 well 32 well 35 healing 33 as 34 wound 33 as 35 healing 34 wound 35 healing 35 healing 36 . moreover , jojoba has been shown to play a role in cosmetics formulas such as sunscreens and moisturizers and also enhances the absorption of topical drugs . 0 ###LEFT-WALL### 3 jojoba 0 ###LEFT-WALL### 6 shown 0 ###LEFT-WALL### 27 . 1 moreover 2 , 1 moreover 3 jojoba 3 jojoba 4 has 4 has 5 been 5 been 6 shown 6 shown 7 to 6 shown 13 formulas 7 to 8 play 8 play 10 role 8 play 11 in 9 a 10 role 11 in 12 cosmetics 13 formulas 15 as 13 formulas 24 of 14 such 15 as 15 as 17 and 16 sunscreens 17 and 17 and 19 and 18 moisturizers 19 and 19 and 21 enhances 19 and 23 absorption 20 also 21 enhances 22 the 23 absorption 24 of 26 drugs 25 topical 26 drugs the intention of the review is to summarize the data regarding the uses of jojoba in dermatology for readers and researchers . 0 ###LEFT-WALL### 2 intention 0 ###LEFT-WALL### 22 . 1 the 2 intention 2 intention 3 of 2 intention 6 is 3 of 5 review 4 the 5 review 6 is 7 to 6 is 8 summarize 7 to 8 summarize 8 summarize 10 data 8 summarize 16 in 9 the 10 data 10 data 11 regarding 10 data 14 of 11 regarding 13 uses 12 the 13 uses 14 of 15 jojoba 16 in 17 dermatology 17 dermatology 18 for 18 for 20 and 19 readers 20 and 20 and 21 researchers promotion of home medical care is absolutely necessary in japan [where] is a rapidly aging society . 0 ###LEFT-WALL### 1 promotion 0 ###LEFT-WALL### 12 is 0 ###LEFT-WALL### 17 . 1 promotion 2 of 1 promotion 8 necessary 1 promotion 12 is 2 of 3 home 3 home 5 care 3 home 6 is 4 medical 5 care 5 care 6 is 7 absolutely 8 necessary 8 necessary 9 in 9 in 10 japan 12 is 16 society 13 a 16 society 14 rapidly 15 aging 15 aging 16 society in home medical care settings , triadic communications among the doctor , patient and the family are common . 0 ###LEFT-WALL### 8 communications 0 ###LEFT-WALL### 17 are 0 ###LEFT-WALL### 19 . 1 in 5 settings 1 in 6 , 1 in 8 communications 2 home 5 settings 3 medical 4 care 4 care 5 settings 7 triadic 8 communications 8 communications 9 among 8 communications 17 are 9 among 14 and 10 the 11 doctor 11 doctor 12 , 12 , 13 patient 12 , 14 and 14 and 16 family 15 the 16 family 17 are 18 common and " communications just between the doctor and the patient without the family " ( doctor - patient communication without family , " dpc without family " ) is considered important for the patient to frankly communicate with the doctor without consideration for the family . 0 ###LEFT-WALL### 1 and 0 ###LEFT-WALL### 37 communicate 0 ###LEFT-WALL### 46 . 1 and 2 " 1 and 19 communication 1 and 30 considered 3 communications 4 just 3 communications 8 and 4 just 5 between 5 between 7 doctor 6 the 7 doctor 8 and 10 patient 8 and 16 doctor 8 and 19 communication 9 the 10 patient 10 patient 11 without 11 without 13 family 12 the 13 family 13 family 14 " 15 ( 16 doctor 16 doctor 17 - 18 patient 19 communication 19 communication 20 without 19 communication 29 is 20 without 21 family 21 family 24 dpc 22 , 23 " 22 , 24 dpc 24 dpc 25 without 24 dpc 28 ) 25 without 26 family 26 family 27 " 29 is 30 considered 30 considered 31 important 31 important 32 for 31 important 35 to 32 for 34 patient 33 the 34 patient 35 to 37 communicate 36 frankly 37 communicate 37 communicate 38 with 37 communicate 41 without 38 with 40 doctor 39 the 40 doctor 41 without 42 consideration 42 consideration 43 for 43 for 45 family 44 the 45 family however , the circumstances associated with dpc without family are unclear . 0 ###LEFT-WALL### 4 circumstances 0 ###LEFT-WALL### 10 are 0 ###LEFT-WALL### 12 . 1 however 2 , 1 however 4 circumstances 3 the 4 circumstances 4 circumstances 5 associated 4 circumstances 10 are 5 associated 6 with 5 associated 8 without 6 with 7 dpc 8 without 9 family 10 are 11 unclear therefore , to identify the factors of the occurrence of dpc without family , we conducted a cross - sectional mail - in survey targeting 271 families of japanese patients who had previously received home medical care . 0 ###LEFT-WALL### 15 we 0 ###LEFT-WALL### 16 conducted 0 ###LEFT-WALL### 22 - 0 ###LEFT-WALL### 38 . 1 therefore 2 , 1 therefore 15 we 3 to 4 identify 3 to 14 , 3 to 15 we 4 identify 6 factors 4 identify 12 without 5 the 6 factors 6 factors 7 of 7 of 9 occurrence 8 the 9 occurrence 9 occurrence 10 of 10 of 11 dpc 12 without 13 family 15 we 16 conducted 16 conducted 18 cross 17 a 18 cross 18 cross 21 mail 19 - 21 mail 20 sectional 21 mail 21 mail 22 - 22 - 30 patients 22 - 35 home 23 in 27 families 23 in 30 patients 24 survey 27 families 25 targeting 27 families 26 271 27 families 27 families 28 of 28 of 29 japanese 30 patients 31 who 30 patients 32 had 30 patients 35 home 31 who 32 had 32 had 34 received 33 previously 34 received 35 home 37 care 36 medical 37 care among 227 respondents ( 83.8 % ) , we eventually analyzed data from 143 , excluding families of patients with severe hearing or cognitive impairment and severe verbal communication dysfunction . 0 ###LEFT-WALL### 9 we 0 ###LEFT-WALL### 11 analyzed 1 among 3 respondents 1 among 8 , 1 among 9 we 2 227 3 respondents 3 respondents 6 % 4 ( 6 % 5 83.8 6 % 6 % 7 ) 9 we 11 analyzed 10 eventually 11 analyzed 11 analyzed 12 data 11 analyzed 13 from 11 analyzed 16 excluding 13 from 14 143 15 , 16 excluding 16 excluding 17 families 16 excluding 20 with 16 excluding 31 . 17 families 18 of 18 of 19 patients 20 with 26 and 21 severe 22 hearing 21 severe 23 or 23 or 25 impairment 23 or 26 and 24 cognitive 25 impairment 26 and 30 dysfunction 27 severe 30 dysfunction 28 verbal 30 dysfunction 29 communication 30 dysfunction dpc without family occurred in 26.6 % ( n = 38 [ )(of the families analyzed . 0 ###LEFT-WALL### 1 dpc 0 ###LEFT-WALL### 4 occurred 0 ###LEFT-WALL### 17 . 1 dpc 2 without 1 dpc 4 occurred 2 without 3 family 4 occurred 5 in 5 in 7 % 6 26.6 7 % 7 % 10 = 8 ( 10 = 9 n 10 = 10 = 11 38 11 38 13 )(of 13 )(of 15 families 14 the 15 families 15 families 16 analyzed a multivariable logistic regression analysis was performed using a model including primary disease , daily activity , duration of home medical care , interval between doctor visits , duration of doctor 's stay [,] existence of another room , and spouse as primary caregiver . 0 ###LEFT-WALL### 5 analysis 0 ###LEFT-WALL### 7 performed 0 ###LEFT-WALL### 28 , 0 ###LEFT-WALL### 45 . 1 a 5 analysis 2 multivariable 4 regression 3 logistic 4 regression 4 regression 5 analysis 5 analysis 6 was 6 was 7 performed 7 performed 8 using 8 using 10 model 9 a 10 model 10 model 11 including 11 including 13 disease 12 primary 13 disease 13 disease 16 activity 13 disease 18 duration 13 disease 24 interval 14 , 16 activity 15 daily 16 activity 16 activity 17 , 17 , 18 duration 18 duration 19 of 18 duration 23 , 19 of 22 care 20 home 22 care 21 medical 22 care 23 , 24 interval 24 interval 25 between 24 interval 28 , 25 between 27 visits 26 doctor 27 visits 28 , 29 duration 28 , 32 's 29 duration 30 of 29 duration 32 's 30 of 31 doctor 32 's 35 existence 32 's 42 as 33 stay 35 existence 35 existence 36 of 36 of 40 and 37 another 38 room 38 room 40 and 39 , 40 and 40 and 41 spouse 42 as 44 caregiver 43 primary 44 caregiver as a result , dpc without family was significantly associated with malignant tumor as primary disease ( or , 3.165 ; 95 % ci , 1.180 - 8.486 ; p = 0.022 [ )( 0 ###LEFT-WALL### 5 dpc 0 ###LEFT-WALL### 10 associated 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 34 )( 1 as 3 result 1 as 4 , 1 as 5 dpc 2 a 3 result 5 dpc 6 without 5 dpc 8 was 6 without 7 family 8 was 9 significantly 8 was 10 associated 10 associated 11 with 11 with 16 disease 12 malignant 13 tumor 13 tumor 16 disease 14 as 15 primary 15 primary 16 disease 16 disease 18 or 17 ( 18 or 18 or 19 , 19 , 20 3.165 19 , 21 ; 21 ; 24 ci 21 ; 25 , 22 95 24 ci 23 % 24 ci 25 , 26 1.180 25 , 27 - 25 , 29 ; 26 1.180 27 - 27 - 28 8.486 29 ; 30 p 29 ; 31 = 30 p 31 = 31 = 32 0.022 in conclusion , the visiting doctors should bear in mind that the background factor of the occurrence of dpc without family is patient ['s] malignant tumors . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 27 . 1 in 2 conclusion 3 , 6 doctors 3 , 8 bear 4 the 6 doctors 5 visiting 6 doctors 6 doctors 7 should 7 should 8 bear 8 bear 10 mind 8 bear 11 that 9 in 10 mind 11 that 14 factor 11 that 22 is 12 the 14 factor 13 background 14 factor 14 factor 15 of 14 factor 18 of 14 factor 20 without 14 factor 22 is 15 of 17 occurrence 16 the 17 occurrence 18 of 19 dpc 20 without 21 family 22 is 26 tumors 23 patient 26 tumors 25 malignant 26 tumors post - operative cognitive dysfunction ( pocd ) is associated with increased cost of care , morbidity , and mortality . 0 ###LEFT-WALL### 1 post 0 ###LEFT-WALL### 10 associated 0 ###LEFT-WALL### 21 . 1 post 5 dysfunction 1 post 9 is 2 - 5 dysfunction 3 operative 5 dysfunction 4 cognitive 5 dysfunction 5 dysfunction 7 pocd 5 dysfunction 8 ) 6 ( 7 pocd 7 pocd 8 ) 9 is 10 associated 10 associated 11 with 11 with 13 cost 12 increased 13 cost 13 cost 14 of 14 of 19 and 15 care 16 , 16 , 17 morbidity 16 , 19 and 18 , 19 and 19 and 20 mortality however , its pathogenesis remains largely to be determined . 0 ###LEFT-WALL### 5 remains 0 ###LEFT-WALL### 9 determined 1 however 2 , 1 however 5 remains 3 its 5 remains 4 pathogenesis 5 remains 5 remains 7 to 5 remains 8 be 5 remains 9 determined 6 largely 7 to 7 to 8 be 9 determined 10 . specifically , it is unknown why elderly patients are more likely to develop pocd and whether pocd is dependent on general anesthesia . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 23 . 1 specifically 2 , 1 specifically 3 it 3 it 4 is 4 is 5 unknown 5 unknown 6 why 6 why 8 patients 6 why 9 are 7 elderly 8 patients 8 patients 9 are 9 are 12 to 9 are 19 dependent 10 more 11 likely 11 likely 12 to 12 to 13 develop 13 develop 15 and 14 pocd 15 and 15 and 16 whether 15 and 17 pocd 15 and 18 is 17 pocd 18 is 19 dependent 20 on 20 on 22 anesthesia 21 general 22 anesthesia we therefore set out to investigate the effects of peripheral surgery on the cognition and alzheimer - related neuropathology in mice with different ages . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 set 0 ###LEFT-WALL### 18 related 0 ###LEFT-WALL### 25 . 1 we 3 set 2 therefore 3 set 3 set 4 out 3 set 5 to 5 to 6 investigate 6 investigate 8 effects 6 investigate 12 on 7 the 8 effects 8 effects 9 of 9 of 11 surgery 10 peripheral 11 surgery 12 on 15 and 13 the 14 cognition 14 cognition 15 and 15 and 16 alzheimer 17 - 18 related 18 related 19 neuropathology 18 related 20 in 18 related 22 with 20 in 21 mice 22 with 24 ages 23 different 24 ages abdominal surgery under local anesthesia was established in the mice . 0 ###LEFT-WALL### 2 surgery 0 ###LEFT-WALL### 7 established 0 ###LEFT-WALL### 11 . 1 abdominal 2 surgery 2 surgery 3 under 2 surgery 6 was 3 under 5 anesthesia 4 local 5 anesthesia 6 was 7 established 7 established 8 in 8 in 10 mice 9 the 10 mice the aβ accumulation likely resulted from elevation of beta - site amyloid precursor protein cleaving enzyme and phosphorylated eukaryotic translation initiation factor 2α . [γ] - secretase inhibitor compound e ameliorated the surgery - induced brain aβ accumulation and cognitive impairment in the 18 month - old mice . 0 ###LEFT-WALL### 3 accumulation 0 ###LEFT-WALL### 5 resulted 0 ###LEFT-WALL### 10 - 0 ###LEFT-WALL### 24 . 1 the 3 accumulation 2 aβ 3 accumulation 3 accumulation 5 resulted 4 likely 5 resulted 5 resulted 6 from 6 from 7 elevation 7 elevation 8 of 8 of 9 beta 10 - 17 and 10 - 22 factor 11 site 14 protein 12 amyloid 14 protein 13 precursor 14 protein 14 protein 15 cleaving 14 protein 17 and 15 cleaving 16 enzyme 17 and 21 initiation 17 and 22 factor 18 phosphorylated 20 translation 19 eukaryotic 20 translation 20 translation 21 initiation 22 factor 23 2α 24 . 29 compound 24 . 31 ameliorated 26 - 27 secretase 27 secretase 29 compound 28 inhibitor 29 compound 29 compound 30 e 29 compound 31 ameliorated 31 ameliorated 33 surgery 32 the 33 surgery 33 surgery 39 and 34 - 39 and 35 induced 36 brain 36 brain 38 accumulation 37 aβ 38 accumulation 38 accumulation 39 and 39 and 41 impairment 39 and 42 in 39 and 48 mice 39 and 49 . 40 cognitive 41 impairment 42 in 45 month 43 the 45 month 44 18 45 month 46 - 48 mice 47 old 48 mice 48 mice 49 . these data suggested that the peripheral surgery was able to induce cognitive impairment independent of general anesthesia , and that the combination of peripheral surgery with aging - or alzheimer gene mutation - associated aβ accumulation was needed for the pocd to occur . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 suggested 0 ###LEFT-WALL### 38 needed 1 these 2 data 2 data 3 suggested 3 suggested 4 that 4 that 7 surgery 4 that 38 needed 5 the 7 surgery 6 peripheral 7 surgery 7 surgery 8 was 8 was 9 able 9 able 10 to 9 able 11 induce 10 to 11 induce 11 induce 13 impairment 12 cognitive 13 impairment 14 independent 15 of 14 independent 19 and 15 of 17 anesthesia 16 general 17 anesthesia 18 , 19 and 19 and 20 that 19 and 35 aβ 21 the 22 combination 22 combination 23 of 22 combination 29 or 23 of 25 surgery 24 peripheral 25 surgery 25 surgery 26 with 26 with 27 aging 28 - 29 or 29 or 32 mutation 29 or 33 - 29 or 34 associated 30 alzheimer 31 gene 31 gene 32 mutation 34 associated 35 aβ 35 aβ 36 accumulation 35 aβ 37 was 35 aβ 38 needed 36 accumulation 37 was 38 needed 39 for 38 needed 42 to 38 needed 44 . 39 for 41 pocd 40 the 41 pocd 42 to 43 occur these findings would likely promote more research to investigate the pathogenesis of pocd . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 5 promote 0 ###LEFT-WALL### 14 . 1 these 2 findings 2 findings 3 would 3 would 5 promote 4 likely 5 promote 5 promote 7 research 5 promote 8 to 6 more 7 research 8 to 9 investigate 9 investigate 11 pathogenesis 10 the 11 pathogenesis 11 pathogenesis 12 of 12 of 13 pocd forehead cooling activates the sympathetic nervous system and can trigger angina pectoris in susceptible individuals . 0 ###LEFT-WALL### 1 forehead 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 16 . 1 forehead 2 cooling 1 forehead 8 and 3 activates 7 system 3 activates 8 and 4 the 7 system 5 sympathetic 7 system 6 nervous 7 system 8 and 9 can 9 can 10 trigger 10 trigger 12 pectoris 10 trigger 13 in 11 angina 12 pectoris 13 in 15 individuals 14 susceptible 15 individuals however , the effect of forehead cooling on coronary blood flow velocity ( cbv ) is not well understood . 0 ###LEFT-WALL### 4 effect 0 ###LEFT-WALL### 16 is 0 ###LEFT-WALL### 20 . 1 however 2 , 1 however 4 effect 3 the 4 effect 4 effect 5 of 4 effect 16 is 5 of 7 cooling 6 forehead 7 cooling 7 cooling 8 on 7 cooling 14 cbv 8 on 12 velocity 9 coronary 10 blood 10 blood 12 velocity 11 flow 12 velocity 13 ( 14 cbv 14 cbv 15 ) 16 is 17 not 16 is 18 well 18 well 19 understood in this human experiment , we tested the hypotheses that forehead cooling reduces cbv ( i.e [.] , coronary vasoconstriction ) and that this vasoconstrictor effect would be enhanced under systemic β - adrenergic blockade . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 tested 0 ###LEFT-WALL### 33 - 1 in 4 experiment 1 in 5 , 1 in 6 we 2 this 4 experiment 3 human 4 experiment 6 we 7 tested 7 tested 9 hypotheses 7 tested 30 under 8 the 9 hypotheses 9 hypotheses 22 and 10 that 12 cooling 10 that 13 reduces 10 that 22 and 11 forehead 12 cooling 12 cooling 13 reduces 13 reduces 14 cbv 14 cbv 20 vasoconstriction 15 ( 20 vasoconstriction 16 i.e 18 , 16 i.e 19 coronary 19 coronary 20 vasoconstriction 20 vasoconstriction 21 ) 22 and 23 that 23 that 26 effect 23 that 29 enhanced 24 this 26 effect 25 vasoconstrictor 26 effect 26 effect 27 would 27 would 28 be 28 be 29 enhanced 30 under 32 β 31 systemic 32 β 33 - 35 blockade 33 - 36 . 34 adrenergic 35 blockade a total of 30 healthy subjects ( age range , 23 - 79 years ) underwent doppler echocardiography [evaluation] of cbv in response to 60 s of forehead cooling ( 1 [°c] ice bag [on] forehead ) . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 16 underwent 0 ###LEFT-WALL### 38 . 1 a 2 total 2 total 3 of 2 total 16 underwent 3 of 6 subjects 4 30 6 subjects 5 healthy 6 subjects 6 subjects 9 range 6 subjects 14 years 7 ( 9 range 8 age 9 range 9 range 10 , 10 , 14 years 11 23 12 - 12 - 13 79 12 - 14 years 14 years 15 ) 16 underwent 18 echocardiography 16 underwent 23 response 16 underwent 24 to 17 doppler 18 echocardiography 18 echocardiography 20 of 20 of 21 cbv 22 in 23 response 24 to 26 s 25 60 26 s 26 s 27 of 27 of 29 cooling 28 forehead 29 cooling 29 cooling 36 forehead 30 ( 36 forehead 31 1 36 forehead 33 ice 36 forehead 34 bag 36 forehead 36 forehead 37 ) a subset of subjects ( n = 10 ) also underwent the procedures after an intravenous infusion of propranolol . 0 ###LEFT-WALL### 2 subset 0 ###LEFT-WALL### 11 underwent 0 ###LEFT-WALL### 20 . 1 a 2 subset 2 subset 3 of 2 subset 11 underwent 3 of 4 subjects 4 subjects 7 = 5 ( 7 = 6 n 7 = 7 = 8 10 7 = 9 ) 10 also 11 underwent 11 underwent 13 procedures 11 underwent 14 after 12 the 13 procedures 14 after 17 infusion 15 an 16 intravenous 15 an 17 infusion 16 intravenous 17 infusion 17 infusion 18 of 18 of 19 propranolol rate pressure [product] ( rpp ) was used as an index of myocardial oxygen demand . 0 ###LEFT-WALL### 2 pressure 0 ###LEFT-WALL### 8 used 0 ###LEFT-WALL### 16 . 1 rate 2 pressure 2 pressure 5 rpp 2 pressure 7 was 4 ( 5 rpp 5 rpp 6 ) 7 was 8 used 8 used 9 as 9 as 11 index 10 an 11 index 11 index 12 of 12 of 15 demand 13 myocardial 14 oxygen 14 oxygen 15 demand consistent with our first hypothesis , forehead cooling reduced cbv from 19.5 ± 0.7 to 17.5 ± 0.8 cm/s ( p < 0.001 ) , whereas mean arterial pressure increased by 11 ± 2 mmhg ( p < 0.001 ) . 0 ###LEFT-WALL### 10 cbv 0 ###LEFT-WALL### 13 ± 1 consistent 2 with 1 consistent 6 , 1 consistent 10 cbv 2 with 5 hypothesis 3 our 5 hypothesis 4 first 5 hypothesis 7 forehead 8 cooling 8 cooling 10 cbv 9 reduced 10 cbv 10 cbv 11 from 10 cbv 13 ± 11 from 12 19.5 13 ± 19 cm/s 13 ± 22 < 13 ± 26 whereas 14 0.7 15 to 15 to 16 17.5 15 to 19 cm/s 17 ± 19 cm/s 18 0.8 19 cm/s 20 ( 22 < 21 p 22 < 22 < 23 0.001 22 < 24 ) 25 , 26 whereas 26 whereas 29 pressure 26 whereas 30 increased 26 whereas 41 . 27 mean 29 pressure 28 arterial 29 pressure 29 pressure 30 increased 30 increased 31 by 30 increased 38 < 31 by 33 ± 32 11 33 ± 34 2 35 mmhg 35 mmhg 38 < 36 ( 38 < 37 p 38 < 38 < 39 0.001 38 < 40 ) consistent with our second hypothesis , forehead cooling reduced cbv under propranolol despite a significant rise in rpp . 0 ###LEFT-WALL### 8 cooling 0 ###LEFT-WALL### 9 reduced 0 ###LEFT-WALL### 19 . 1 consistent 2 with 1 consistent 6 , 1 consistent 8 cooling 2 with 5 hypothesis 3 our 5 hypothesis 4 second 5 hypothesis 7 forehead 8 cooling 8 cooling 9 reduced 9 reduced 10 cbv 9 reduced 11 under 9 reduced 13 despite 9 reduced 17 in 11 under 12 propranolol 13 despite 16 rise 14 a 15 significant 14 a 16 rise 15 significant 16 rise 17 in 18 rpp the current studies indicate that forehead cooling elicits a sympathetically mediated pressor response and a reduction in cbv , and this effect is augmented under β - blockade . 0 ###LEFT-WALL### 2 current 0 ###LEFT-WALL### 8 elicits 0 ###LEFT-WALL### 29 . 1 the 2 current 2 current 7 cooling 2 current 8 elicits 3 studies 4 indicate 4 indicate 6 forehead 4 indicate 7 cooling 5 that 6 forehead 6 forehead 7 cooling 8 elicits 14 and 9 a 13 response 10 sympathetically 11 mediated 11 mediated 12 pressor 12 pressor 13 response 13 response 14 and 14 and 28 blockade 15 a 16 reduction 16 reduction 17 in 16 reduction 20 and 17 in 18 cbv 19 , 20 and 20 and 21 this 20 and 22 effect 20 and 25 under 20 and 28 blockade 22 effect 23 is 23 is 24 augmented 24 augmented 25 under 26 β 27 - 26 β 28 blockade the results are consistent with sympathetic activation of β - receptor coronary vasodilation in humans , as [has] [been] demonstrated in animals . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 23 . 1 the 2 results 2 results 3 are 3 are 4 consistent 4 consistent 5 with 4 consistent 21 in 5 with 7 activation 6 sympathetic 7 activation 7 activation 8 of 8 of 13 vasodilation 9 β 10 - 9 β 11 receptor 11 receptor 13 vasodilation 12 coronary 13 vasodilation 13 vasodilation 14 in 13 vasodilation 20 demonstrated 14 in 15 humans 16 , 20 demonstrated 17 as 20 demonstrated 21 in 22 animals septal systolic motion is towards the left ventricle ( lv ) in healthy hearts . 0 ###LEFT-WALL### 3 motion 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 15 . 1 septal 3 motion 2 systolic 3 motion 3 motion 4 is 4 is 5 towards 4 is 12 in 5 towards 8 ventricle 6 the 8 ventricle 7 left 8 ventricle 8 ventricle 10 lv 9 ( 10 lv 10 lv 11 ) 12 in 14 hearts 13 healthy 14 hearts patients with pulmonary regurgitation ( pr ) and right [ventricular] ( rv ) volume overload [have] systolic septal motion toward the rv . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 15 overload 0 ###LEFT-WALL### 23 . 1 patients 2 with 1 patients 8 and 2 with 4 regurgitation 3 pulmonary 4 regurgitation 4 regurgitation 6 pr 5 ( 6 pr 6 pr 7 ) 8 and 14 volume 8 and 15 overload 9 right 12 rv 9 right 14 volume 11 ( 12 rv 12 rv 13 ) 15 overload 19 motion 15 overload 20 toward 17 systolic 19 motion 18 septal 19 motion 20 toward 22 rv 21 the 22 rv this may affect the longitudinal contribution from atrioventricular plane displacement ( avpd ) and septal and lateral contribution to stroke volume ( sv ) . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 3 affect 0 ###LEFT-WALL### 25 . 1 this 2 may 2 may 3 affect 3 affect 14 and 3 affect 19 to 4 the 6 contribution 5 longitudinal 6 contribution 6 contribution 7 from 6 contribution 14 and 7 from 10 displacement 8 atrioventricular 9 plane 9 plane 10 displacement 10 displacement 12 avpd 11 ( 12 avpd 12 avpd 13 ) 14 and 18 contribution 15 septal 16 and 16 and 17 lateral 16 and 18 contribution 19 to 20 stroke 20 stroke 21 volume 21 volume 23 sv 22 ( 23 sv 23 sv 24 ) the study aimed to quantify these contributions to sv in patients with pr . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 aimed 0 ###LEFT-WALL### 14 . 1 the 2 study 2 study 3 aimed 3 aimed 4 to 3 aimed 5 quantify 4 to 5 quantify 5 quantify 7 contributions 5 quantify 8 to 5 quantify 10 in 5 quantify 12 with 6 these 7 contributions 8 to 9 sv 10 in 11 patients 12 with 13 pr cardiac magnetic resonance imaging was used for assessment of cardiac volumes . 0 ###LEFT-WALL### 4 imaging 0 ###LEFT-WALL### 6 used 0 ###LEFT-WALL### 12 . 1 cardiac 3 resonance 2 magnetic 3 resonance 3 resonance 4 imaging 4 imaging 5 was 5 was 6 used 6 used 7 for 7 for 8 assessment 8 assessment 9 of 9 of 11 volumes 10 cardiac 11 volumes patients [(] n = 30 ; age 9 - 59 yr ) with pr due to surgically corrected tetralogy of fallot and 54 healthy controls ( age 10 - 66 yr ) were studied . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 4 = 0 ###LEFT-WALL### 6 ; 0 ###LEFT-WALL### 35 . 1 patients 4 = 3 n 4 = 4 = 5 30 6 ; 7 age 6 ; 22 and 7 age 8 9 7 age 13 with 8 9 11 yr 9 - 11 yr 10 59 11 yr 11 yr 12 ) 13 with 14 pr 14 pr 15 due 14 pr 20 of 15 due 16 to 16 to 19 tetralogy 17 surgically 18 corrected 18 corrected 19 tetralogy 20 of 21 fallot 22 and 25 controls 22 and 34 studied 23 54 25 controls 24 healthy 25 controls 25 controls 27 age 25 controls 31 yr 25 controls 33 were 26 ( 27 age 27 age 28 10 27 age 29 - 29 - 31 yr 30 66 31 yr 31 yr 32 ) 33 were 34 studied longitudinal [contribution] to rvsv was [47] ± 2 % ( means ± se ) in patients with pr and 79 ± 1 % in controls ( p < 0.001 ) . 0 ###LEFT-WALL### 7 ± 0 ###LEFT-WALL### 31 . 1 longitudinal 3 to 1 longitudinal 5 was 3 to 4 rvsv 5 was 7 ± 7 ± 9 % 7 ± 15 in 7 ± 28 < 8 2 9 % 9 % 13 se 10 ( 13 se 11 means 13 se 12 ± 13 se 13 se 14 ) 15 in 19 and 16 patients 17 with 16 patients 19 and 17 with 18 pr 19 and 25 controls 20 79 25 controls 21 ± 25 controls 22 1 24 in 23 % 24 in 24 in 25 controls 26 ( 28 < 27 p 28 < 28 < 29 0.001 28 < 30 ) lateral contribution [to] rvsv and lvsv was 40 ± 1 and 62 ± 2 % in patients and 31 ± 1 and 36 ± 1 % in controls ( p < 0.001 for both [ )( 0 ###LEFT-WALL### 6 lvsv 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 36 )( 1 lateral 2 contribution 2 contribution 6 lvsv 4 rvsv 5 and 5 and 6 lvsv 6 lvsv 7 was 7 was 18 and 8 40 18 and 9 ± 10 1 9 ± 11 and 11 and 17 patients 11 and 18 and 12 62 17 patients 13 ± 17 patients 14 2 16 in 15 % 16 in 16 in 17 patients 18 and 20 ± 19 31 20 ± 20 ± 21 1 22 and 23 36 22 and 24 ± 23 36 24 ± 24 ± 26 % 25 1 26 % 26 % 27 in 26 % 33 for 27 in 28 controls 28 controls 31 < 29 ( 31 < 30 p 31 < 31 < 32 0.001 33 for 34 both septal motion contributed to rvsv by 8 ± 1 % in patients and by 7 ± 1 % to lvsv in controls ( p < 0.001 ) . 0 ###LEFT-WALL### 2 motion 0 ###LEFT-WALL### 3 contributed 0 ###LEFT-WALL### 28 . 1 septal 2 motion 2 motion 3 contributed 3 contributed 13 and 3 contributed 18 % 3 contributed 25 < 4 to 5 rvsv 4 to 13 and 5 rvsv 6 by 6 by 12 patients 7 8 12 patients 8 ± 12 patients 9 1 11 in 10 % 11 in 11 in 12 patients 13 and 14 by 14 by 16 ± 15 7 16 ± 17 1 18 % 18 % 19 to 18 % 21 in 19 to 20 lvsv 21 in 22 controls 23 ( 25 < 24 p 25 < 25 < 26 0.001 25 < 27 ) pr patients have decreased longitudinal [contribution] to rvsv and increased lateral pumping , resulting in larger outer volume changes and septal motion towards the rv . 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 26 . 1 pr 2 patients 2 patients 9 and 2 patients 12 pumping 2 patients 13 , 3 have 4 decreased 3 have 9 and 4 decreased 5 longitudinal 5 longitudinal 7 to 7 to 8 rvsv 9 and 10 increased 10 increased 11 lateral 13 , 14 resulting 13 , 20 and 14 resulting 15 in 15 in 19 changes 16 larger 18 volume 17 outer 18 volume 18 volume 19 changes 20 and 22 motion 20 and 23 towards 21 septal 22 motion 23 towards 25 rv 24 the 25 rv the changes in rv pumping physiology may be explained by rv remodeling resulting in lower systolic inflow of blood into the right atrium in relation to sv . 0 ###LEFT-WALL### 2 changes 0 ###LEFT-WALL### 9 explained 0 ###LEFT-WALL### 28 . 1 the 2 changes 2 changes 3 in 2 changes 5 pumping 2 changes 7 may 3 in 4 rv 5 pumping 6 physiology 7 may 8 be 8 be 9 explained 9 explained 10 by 9 explained 20 into 9 explained 24 in 9 explained 26 to 10 by 11 rv 11 rv 12 remodeling 11 rv 14 in 11 rv 18 of 12 remodeling 13 resulting 14 in 17 inflow 15 lower 17 inflow 16 systolic 17 inflow 18 of 19 blood 20 into 23 atrium 21 the 23 atrium 22 right 23 atrium 24 in 25 relation 26 to 27 sv this avoids the development of pendulum volume between the caval veins and right atrium , which would occur in pr patients if longitudinal contribution [to] sv was preserved . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 avoids 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 29 . 1 this 2 avoids 2 avoids 4 development 2 avoids 8 between 3 the 4 development 4 development 5 of 5 of 7 volume 6 pendulum 7 volume 8 between 12 and 9 the 11 veins 10 caval 11 veins 11 veins 12 and 12 and 14 atrium 13 right 14 atrium 15 , 16 which 15 , 18 occur 16 which 17 would 17 would 18 occur 18 occur 19 in 18 occur 22 if 19 in 21 patients 20 pr 21 patients 22 if 26 sv 22 if 28 preserved 23 longitudinal 24 contribution 24 contribution 26 sv 26 sv 27 was 27 was 28 preserved decreased avpd suggests that tricuspid annular excursion , a marker of rv [function] , is less valid in these patients . 0 ###LEFT-WALL### 2 avpd 0 ###LEFT-WALL### 3 suggests 0 ###LEFT-WALL### 21 . 1 decreased 2 avpd 2 avpd 3 suggests 3 suggests 7 excursion 3 suggests 15 is 4 that 7 excursion 5 tricuspid 7 excursion 6 annular 7 excursion 7 excursion 10 marker 7 excursion 15 is 8 , 10 marker 9 a 10 marker 10 marker 11 of 10 marker 14 , 11 of 12 rv 15 is 17 valid 16 less 17 valid 17 valid 18 in 18 in 20 patients 19 these 20 patients to increase our understanding of psoriasis , we used high - throughput complementary dna sequencing ( rna - seq ) to assay the transcriptomes of lesional psoriatic and normal skin . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 increase 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 22 assay 0 ###LEFT-WALL### 31 . 1 to 2 increase 2 increase 4 understanding 3 our 4 understanding 4 understanding 5 of 5 of 6 psoriasis 7 , 8 we 7 , 9 used 8 we 9 used 9 used 15 sequencing 9 used 21 to 10 high 11 - 10 high 15 sequencing 12 throughput 15 sequencing 13 complementary 15 sequencing 14 dna 15 sequencing 15 sequencing 17 rna 16 ( 17 rna 17 rna 19 seq 17 rna 20 ) 18 - 19 seq 19 seq 20 ) 21 to 22 assay 22 assay 24 transcriptomes 23 the 24 transcriptomes 24 transcriptomes 25 of 25 of 30 skin 26 lesional 30 skin 27 psoriatic 28 and 28 and 29 normal 28 and 30 skin we sequenced polyadenylated rna - derived complementary dnas from 92 [psoriatic] and 82 normal punch biopsies , generating an average of ∼38 [million] single - end 80 [-] [bp] reads per sample . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 sequenced 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 16 biopsies 1 we 2 sequenced 2 sequenced 4 rna 3 polyadenylated 4 rna 5 - 8 dnas 6 derived 8 dnas 7 complementary 8 dnas 8 dnas 12 and 8 dnas 15 punch 8 dnas 16 biopsies 9 from 12 and 10 92 12 and 12 and 13 82 14 normal 15 punch 15 punch 16 biopsies 16 biopsies 18 generating 17 , 18 generating 18 generating 20 average 18 generating 33 . 19 an 20 average 20 average 21 of 20 average 31 per 21 of 22 ∼38 22 ∼38 26 end 22 ∼38 30 reads 24 single 25 - 24 single 26 end 26 end 27 80 26 end 30 reads 31 per 32 sample comparison of 42 samples examined by both rna - seq and microarray revealed marked differences in sensitivity , with transcripts identified only by rna - seq having much lower expression than those also identified [by] microarray . 0 ###LEFT-WALL### 1 comparison 0 ###LEFT-WALL### 5 examined 1 comparison 2 of 1 comparison 5 examined 2 of 4 samples 3 42 4 samples 5 examined 6 by 5 examined 8 rna 5 examined 14 marked 6 by 7 both 8 rna 14 marked 9 - 13 revealed 10 seq 11 and 11 and 12 microarray 11 and 13 revealed 13 revealed 14 marked 14 marked 15 differences 15 differences 16 in 15 differences 19 with 16 in 17 sensitivity 18 , 19 with 19 with 20 transcripts 19 with 37 . 20 transcripts 21 identified 21 identified 22 only 21 identified 23 by 23 by 24 rna 24 rna 26 seq 25 - 26 seq 26 seq 27 having 26 seq 37 . 27 having 30 expression 27 having 31 than 28 much 30 expression 29 lower 30 expression 31 than 32 those 31 than 34 identified 31 than 36 microarray 32 those 34 identified 33 also 34 identified rna - seq identified many more differentially expressed transcripts enriched in immune system processes . 0 ###LEFT-WALL### 3 seq 0 ###LEFT-WALL### 4 identified 0 ###LEFT-WALL### 15 . 1 rna 2 - 1 rna 3 seq 3 seq 4 identified 4 identified 9 transcripts 4 identified 11 in 5 many 6 more 6 more 9 transcripts 7 differentially 8 expressed 8 expressed 9 transcripts 9 transcripts 10 enriched 11 in 14 processes 12 immune 13 system 13 system 14 processes weighted gene coexpression network analysis ( wgcna ) revealed multiple modules of coordinately expressed epidermal differentiation genes , overlapping significantly with genes regulated by the long noncoding rna tincr , its target gene , staufen - 1 ( stau1 ) , the p63 target gene znf750 , and its target klf4 . 0 ###LEFT-WALL### 5 analysis 0 ###LEFT-WALL### 9 revealed 1 weighted 5 analysis 2 gene 5 analysis 3 coexpression 4 network 4 network 5 analysis 5 analysis 7 wgcna 5 analysis 9 revealed 6 ( 7 wgcna 7 wgcna 8 ) 9 revealed 11 modules 9 revealed 35 staufen 10 multiple 11 modules 11 modules 12 of 11 modules 35 staufen 12 of 17 genes 13 coordinately 14 expressed 14 expressed 16 differentiation 15 epidermal 16 differentiation 16 differentiation 17 genes 17 genes 19 overlapping 18 , 19 overlapping 19 overlapping 20 significantly 19 overlapping 21 with 19 overlapping 34 , 21 with 22 genes 21 with 29 tincr 22 genes 23 regulated 22 genes 24 by 24 by 27 noncoding 25 the 27 noncoding 26 long 27 noncoding 28 rna 29 tincr 29 tincr 33 gene 30 , 33 gene 31 its 33 gene 32 target 33 gene 33 gene 34 , 35 staufen 37 1 36 - 37 1 37 1 39 stau1 37 1 48 and 38 ( 39 stau1 39 stau1 40 ) 41 , 48 and 42 the 45 gene 43 p63 45 gene 44 target 45 gene 45 gene 46 znf750 46 znf750 48 and 47 , 48 and 48 and 51 klf4 48 and 52 . 49 its 50 target 50 target 51 klf4 other coordinately expressed modules were enriched for lymphoid [and/or] myeloid signature transcripts and genes induced by il - 17 in keratinocytes . 0 ###LEFT-WALL### 4 modules 0 ###LEFT-WALL### 6 enriched 0 ###LEFT-WALL### 22 . 1 other 4 modules 2 coordinately 3 expressed 3 expressed 4 modules 4 modules 5 were 5 were 6 enriched 6 enriched 7 for 6 enriched 16 by 7 for 13 and 8 lymphoid 11 signature 10 myeloid 11 signature 11 signature 12 transcripts 12 transcripts 13 and 13 and 14 genes 13 and 15 induced 16 by 21 keratinocytes 17 il 21 keratinocytes 18 - 19 17 19 17 20 in 20 in 21 keratinocytes dermally expressed genes were significantly downregulated [in] [psoriatic] [biopsies] , most likely because of expansion of the epidermal compartment . 0 ###LEFT-WALL### 3 genes 0 ###LEFT-WALL### 6 downregulated 0 ###LEFT-WALL### 20 . 1 dermally 2 expressed 2 expressed 3 genes 3 genes 4 were 4 were 5 significantly 4 were 6 downregulated 6 downregulated 10 , 6 downregulated 12 likely 11 most 12 likely 12 likely 13 because 13 because 14 of 14 of 15 expansion 15 expansion 16 of 16 of 19 compartment 17 the 19 compartment 18 epidermal 19 compartment these results show the power of wgcna to elucidate gene regulatory circuits in psoriasis , and emphasize the influence of tissue architecture in both differential expression and coexpression analysis . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 30 . 1 these 2 results 2 results 3 show 3 show 5 power 3 show 8 to 4 the 5 power 5 power 6 of 6 of 7 wgcna 8 to 16 and 9 elucidate 12 circuits 9 elucidate 13 in 9 elucidate 16 and 10 gene 12 circuits 11 regulatory 12 circuits 13 in 14 psoriasis 15 , 16 and 16 and 17 emphasize 16 and 23 in 16 and 29 analysis 17 emphasize 19 influence 18 the 19 influence 19 influence 20 of 20 of 22 architecture 21 tissue 22 architecture 23 in 27 and 24 both 27 and 25 differential 26 expression 26 expression 27 and 27 and 28 coexpression [none] coronary heart disease ( chd ) is the leading cause of morbidity and mortality in the western world . 0 ###LEFT-WALL### 4 disease 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 20 . 2 coronary 3 heart 3 heart 4 disease 4 disease 6 chd 4 disease 8 is 5 ( 6 chd 6 chd 7 ) 8 is 11 cause 8 is 16 in 9 the 11 cause 10 leading 11 cause 11 cause 12 of 12 of 14 and 13 morbidity 14 and 14 and 15 mortality 16 in 19 world 17 the 19 world 18 western 19 world primary and secondary prevention strategies have improved tremendously . 0 ###LEFT-WALL### 5 strategies 0 ###LEFT-WALL### 7 improved 0 ###LEFT-WALL### 9 . 1 primary 2 and 2 and 3 secondary 2 and 4 prevention 4 prevention 5 strategies 5 strategies 6 have 6 have 7 improved 7 improved 8 tremendously conventional risk factors are identified and treated with intensive pharmacotherapy . 0 ###LEFT-WALL### 3 factors 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 11 . 1 conventional 3 factors 2 risk 3 factors 3 factors 4 are 4 are 6 and 5 identified 6 and 6 and 7 treated 6 and 8 with 8 with 10 pharmacotherapy 9 intensive 10 pharmacotherapy despite these measures , the incidence of chd is on the rise in developed countries . 0 ###LEFT-WALL### 6 incidence 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 16 . 1 despite 3 measures 1 despite 4 , 1 despite 6 incidence 2 these 3 measures 5 the 6 incidence 6 incidence 7 of 6 incidence 9 is 7 of 8 chd 9 is 10 on 9 is 13 in 10 on 12 rise 11 the 12 rise 13 in 15 countries 14 developed 15 countries arterial stiffness has been identified as an independent risk factor for the development of chd , both in the general population and in those with established chd . 0 ###LEFT-WALL### 2 stiffness 0 ###LEFT-WALL### 5 identified 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 28 . 1 arterial 2 stiffness 2 stiffness 3 has 3 has 4 been 4 been 5 identified 5 identified 6 as 6 as 10 factor 7 an 10 factor 8 independent 10 factor 9 risk 10 factor 10 factor 11 for 10 factor 14 of 11 for 13 development 12 the 13 development 14 of 15 chd 16 , 17 both 17 both 22 and 18 in 21 population 18 in 22 and 19 the 21 population 20 general 21 population 22 and 23 in 23 in 24 those 24 those 25 with 25 with 27 chd 26 established 27 chd this review examines the association of arterial stiffness with cardiovascular disease . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 examines 0 ###LEFT-WALL### 12 . 1 this 2 review 2 review 3 examines 3 examines 5 association 3 examines 9 with 4 the 5 association 5 association 6 of 6 of 8 stiffness 7 arterial 8 stiffness 9 with 11 disease 10 cardiovascular 11 disease the protein deacetylase sirt1 regulates various pathways in metabolism , aging and cancer . 0 ###LEFT-WALL### 4 sirt1 0 ###LEFT-WALL### 5 regulates 0 ###LEFT-WALL### 14 . 1 the 3 deacetylase 2 protein 3 deacetylase 3 deacetylase 4 sirt1 4 sirt1 5 regulates 5 regulates 7 pathways 5 regulates 8 in 6 various 7 pathways 8 in 12 and 9 metabolism 10 , 10 , 11 aging 10 , 12 and 12 and 13 cancer however , the role of sirt1 in skin cancer remains unclear . 0 ###LEFT-WALL### 4 role 0 ###LEFT-WALL### 10 remains 0 ###LEFT-WALL### 12 . 1 however 2 , 1 however 4 role 3 the 4 role 4 role 5 of 4 role 10 remains 5 of 6 sirt1 6 sirt1 7 in 7 in 9 cancer 8 skin 9 cancer 10 remains 11 unclear here , using mice with targeted deletions of sirt1 in their epidermis in both resistant b6 and sensitive skh1 hairless backgrounds , we show that the role of sirt1 in skin cancer development induced by ultraviolet [b] ( uvb ) radiation is dependent on its gene dose . 0 ###LEFT-WALL### 23 we 0 ###LEFT-WALL### 24 show 0 ###LEFT-WALL### 48 . 1 here 23 we 2 , 3 using 3 using 4 mice 3 using 13 in 3 using 22 , 3 using 23 we 4 mice 5 with 4 mice 8 of 4 mice 10 in 5 with 7 deletions 6 targeted 7 deletions 8 of 9 sirt1 10 in 12 epidermis 11 their 12 epidermis 13 in 21 backgrounds 14 both 17 and 15 resistant 16 b6 16 b6 17 and 17 and 19 skh1 17 and 21 backgrounds 18 sensitive 19 skh1 20 hairless 21 backgrounds 23 we 24 show 24 show 25 that 24 show 27 role 24 show 42 is 26 the 27 role 27 role 28 of 27 role 30 in 27 role 34 induced 27 role 42 is 28 of 29 sirt1 30 in 33 development 31 skin 33 development 32 cancer 33 development 34 induced 35 by 35 by 41 radiation 36 ultraviolet 39 uvb 36 ultraviolet 41 radiation 38 ( 39 uvb 39 uvb 40 ) 42 is 43 dependent 43 dependent 44 on 44 on 47 dose 45 its 47 dose 46 gene 47 dose keratinocyte - specific heterozygous deletion of sirt1 promotes uvb - induced skin tumorigenesis , whereas homozygous deletion of sirt1 suppresses skin tumor development but sensitizes the b6 mice to chronic solar injury . 0 ###LEFT-WALL### 5 deletion 0 ###LEFT-WALL### 8 promotes 0 ###LEFT-WALL### 33 . 1 keratinocyte 2 - 1 keratinocyte 5 deletion 3 specific 5 deletion 4 heterozygous 5 deletion 5 deletion 6 of 5 deletion 8 promotes 6 of 7 sirt1 8 promotes 9 uvb 8 promotes 15 whereas 9 uvb 13 tumorigenesis 10 - 13 tumorigenesis 11 induced 12 skin 12 skin 13 tumorigenesis 13 tumorigenesis 14 , 15 whereas 17 deletion 15 whereas 24 but 16 homozygous 17 deletion 17 deletion 18 of 17 deletion 24 but 18 of 19 sirt1 20 suppresses 23 development 20 suppresses 24 but 21 skin 23 development 22 tumor 23 development 24 but 25 sensitizes 25 sensitizes 28 mice 25 sensitizes 29 to 26 the 28 mice 27 b6 28 mice 29 to 32 injury 30 chronic 32 injury 31 solar 32 injury in mouse skin , sirt1 is haploinsufficient for uvb - induced dna damage repair and expression of xeroderma pigmentosum c ( xpc ) , a protein critical for repairing uvb - induced dna damage . 0 ###LEFT-WALL### 5 sirt1 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 10 - 0 ###LEFT-WALL### 35 . 1 in 3 skin 1 in 4 , 1 in 5 sirt1 2 mouse 3 skin 5 sirt1 6 is 6 is 7 haploinsufficient 7 haploinsufficient 8 for 8 for 9 uvb 10 - 15 and 10 - 32 induced 11 induced 13 damage 12 dna 13 damage 13 damage 14 repair 14 repair 15 and 15 and 16 expression 15 and 17 of 15 and 32 induced 17 of 19 pigmentosum 18 xeroderma 19 pigmentosum 19 pigmentosum 20 c 19 pigmentosum 22 xpc 19 pigmentosum 26 protein 21 ( 22 xpc 22 xpc 23 ) 24 , 26 protein 25 a 26 protein 26 protein 27 critical 26 protein 31 - 27 critical 28 for 28 for 29 repairing 29 repairing 30 uvb 32 induced 34 damage 33 dna 34 damage as compared with normal human skin , downregulation of sirt1 is in parallel [with] downregulation of xpc in human cutaneous squamous cell carcinoma at both the protein and mrna levels . 0 ###LEFT-WALL### 8 downregulation 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 31 . 1 as 2 compared 1 as 7 , 1 as 8 downregulation 2 compared 3 with 3 with 6 skin 4 normal 6 skin 5 human 6 skin 8 downregulation 9 of 8 downregulation 11 is 9 of 10 sirt1 11 is 12 in 12 in 15 downregulation 13 parallel 15 downregulation 15 downregulation 16 of 16 of 17 xpc 17 xpc 18 in 18 in 23 carcinoma 19 human 23 carcinoma 20 cutaneous 22 cell 21 squamous 22 cell 22 cell 23 carcinoma 23 carcinoma 24 at 24 at 28 and 25 both 28 and 26 the 27 protein 27 protein 28 and 28 and 30 levels 29 mrna 30 levels in contrast , homozygous sirt1 deletion in mouse skin augments p53 acetylation and expression of its transcriptional target noxa , and sensitizes the epidermis to uvb - induced apoptosis in vivo , while heterozygous sirt1 deletion has no such effect . 0 ###LEFT-WALL### 2 contrast 0 ###LEFT-WALL### 28 induced 0 ###LEFT-WALL### 32 , 0 ###LEFT-WALL### 41 . 1 in 2 contrast 2 contrast 6 deletion 2 contrast 28 induced 3 , 6 deletion 4 homozygous 6 deletion 5 sirt1 6 deletion 6 deletion 7 in 6 deletion 27 - 7 in 9 skin 8 mouse 9 skin 9 skin 21 and 10 augments 13 and 10 augments 21 and 11 p53 12 acetylation 12 acetylation 13 and 13 and 14 expression 13 and 20 , 14 expression 15 of 15 of 19 noxa 16 its 18 target 17 transcriptional 18 target 18 target 19 noxa 21 and 22 sensitizes 21 and 24 epidermis 21 and 25 to 23 the 24 epidermis 25 to 26 uvb 28 induced 29 apoptosis 28 induced 31 vivo 30 in 31 vivo 32 , 36 deletion 32 , 37 has 33 while 34 heterozygous 33 while 36 deletion 35 sirt1 36 deletion 36 deletion 37 has 37 has 40 effect 38 no 39 such 39 such 40 effect the gene dosage [-] dependent function of sirt1 in dna repair and cell survival is consistent with the dual roles of sirt1 in uvb - induced skin tumorigenesis . 0 ###LEFT-WALL### 6 function 0 ###LEFT-WALL### 15 is 1 the 6 function 2 gene 6 function 3 dosage 6 function 5 dependent 6 function 6 function 7 of 6 function 9 in 6 function 15 is 7 of 8 sirt1 9 in 12 and 10 dna 11 repair 11 repair 12 and 12 and 14 survival 13 cell 14 survival 15 is 16 consistent 16 consistent 17 with 17 with 20 roles 18 the 20 roles 19 dual 20 roles 20 roles 21 of 21 of 22 sirt1 22 sirt1 23 in 23 in 24 uvb 24 uvb 28 tumorigenesis 25 - 28 tumorigenesis 26 induced 27 skin 27 skin 28 tumorigenesis 28 tumorigenesis 29 . our results reveal the gene dosage [-] dependent in [vivo] functions of sirt1 in skin tumorigenesis and may shed light on the role of sirt1 in epithelial cancer induced by dna damage . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 33 . 1 our 2 results 2 results 17 and 3 reveal 6 dosage 3 reveal 9 in 3 reveal 17 and 4 the 6 dosage 5 gene 6 dosage 6 dosage 8 dependent 9 in 11 functions 11 functions 12 of 12 of 13 sirt1 13 sirt1 14 in 14 in 16 tumorigenesis 15 skin 16 tumorigenesis 17 and 18 may 18 may 19 shed 19 shed 20 light 19 shed 21 on 19 shed 26 in 21 on 23 role 22 the 23 role 23 role 24 of 24 of 25 sirt1 26 in 28 cancer 27 epithelial 28 cancer 28 cancer 29 induced 28 cancer 30 by 30 by 32 damage 31 dna 32 damage influenza virus and streptococcus pneumoniae are two major pathogens that lead to significant morbidity and mortality in the elderly . 0 ###LEFT-WALL### 5 pneumoniae 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 20 . 1 influenza 2 virus 2 virus 3 and 3 and 4 streptococcus 3 and 5 pneumoniae 5 pneumoniae 6 are 6 are 9 pathogens 7 two 9 pathogens 8 major 9 pathogens 9 pathogens 10 that 9 pathogens 11 lead 10 that 11 lead 11 lead 12 to 11 lead 17 in 12 to 15 and 13 significant 14 morbidity 14 morbidity 15 and 15 and 16 mortality 17 in 19 elderly 18 the 19 elderly since both pathogens enter the host via the mucosa , especially the upper respiratory tract ( urt ) , it is essential to elicit pathogen [-] specific secretory iga ( siga ) [antibody] ( ab ) responses at mucosal surfaces for defense of the elderly . 0 ###LEFT-WALL### 20 it 0 ###LEFT-WALL### 24 elicit 0 ###LEFT-WALL### 46 . 1 since 3 pathogens 1 since 4 enter 1 since 20 it 2 both 3 pathogens 3 pathogens 4 enter 4 enter 6 host 5 the 6 host 6 host 7 via 7 via 9 mucosa 8 the 9 mucosa 9 mucosa 15 tract 10 , 11 especially 10 , 15 tract 12 the 15 tract 13 upper 15 tract 14 respiratory 15 tract 15 tract 17 urt 15 tract 19 , 16 ( 17 urt 17 urt 18 ) 20 it 21 is 21 is 22 essential 22 essential 23 to 22 essential 24 elicit 23 to 24 elicit 24 elicit 37 responses 24 elicit 41 for 25 pathogen 37 responses 27 specific 37 responses 28 secretory 37 responses 29 iga 31 siga 29 iga 35 ab 29 iga 37 responses 30 ( 31 siga 31 siga 32 ) 34 ( 35 ab 35 ab 36 ) 37 responses 38 at 38 at 40 surfaces 39 mucosal 40 surfaces 41 for 42 defense 42 defense 43 of 43 of 45 elderly 44 the 45 elderly however , as aging occurs , alterations in the mucosal immune system of older individuals result in a failure to induce siga abs for protection from these infections . 0 ###LEFT-WALL### 7 alterations 0 ###LEFT-WALL### 16 result 0 ###LEFT-WALL### 29 . 1 however 2 , 1 however 7 alterations 2 , 3 as 3 as 4 aging 3 as 5 occurs 3 as 6 , 3 as 7 alterations 4 aging 5 occurs 7 alterations 8 in 7 alterations 16 result 8 in 12 system 9 the 12 system 10 mucosal 12 system 11 immune 12 system 12 system 13 of 13 of 15 individuals 14 older 15 individuals 16 result 17 in 17 in 19 failure 18 a 19 failure 19 failure 20 to 19 failure 21 induce 20 to 21 induce 21 induce 23 abs 22 siga 23 abs 23 abs 24 for 24 for 25 protection 25 protection 26 from 26 from 28 infections 27 these 28 infections to overcome mucosal immunosenescence , we have developed a mucosal dendritic cell targeting [,] novel double adjuvant system which we show to be an attractive and effective immunological modulator . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 overcome 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 23 be 0 ###LEFT-WALL### 30 . 1 to 2 overcome 2 overcome 4 immunosenescence 3 mucosal 4 immunosenescence 5 , 6 we 5 , 8 developed 6 we 7 have 7 have 8 developed 8 developed 18 system 8 developed 22 to 9 a 10 mucosal 9 a 18 system 10 mucosal 12 cell 11 dendritic 12 cell 12 cell 16 double 13 targeting 16 double 15 novel 16 double 16 double 18 system 17 adjuvant 18 system 18 system 19 which 18 system 21 show 19 which 20 we 19 which 21 show 20 we 21 show 22 to 23 be 23 be 29 modulator 24 an 29 modulator 25 attractive 26 and 26 and 27 effective 26 and 29 modulator 28 immunological 29 modulator this system induces a more balanced th1 - and th2 - type cytokine response which supports both mucosal siga and systemic igg1 and igg2a ab responses . 0 ###LEFT-WALL### 2 system 0 ###LEFT-WALL### 3 induces 0 ###LEFT-WALL### 27 . 1 this 2 system 2 system 3 induces 3 induces 14 response 4 a 14 response 5 more 6 balanced 6 balanced 12 type 7 th1 9 and 8 - 9 and 9 and 10 th2 9 and 11 - 9 and 12 type 12 type 14 response 13 cytokine 14 response 14 response 15 which 14 response 16 supports 15 which 16 supports 16 supports 20 and 17 both 19 siga 18 mucosal 19 siga 19 siga 20 and 20 and 26 responses 21 systemic 26 responses 22 igg1 23 and 23 and 24 igg2a 24 igg2a 25 ab 25 ab 26 responses thus , adaptation of this adjuvant system to nasal vaccines for influenza virus and s [.] pneumoniae could successfully provide protection by supporting pathogen [-] specific siga ab responses in the urt in the mouse model of aging . 0 ###LEFT-WALL### 17 pneumoniae 0 ###LEFT-WALL### 20 provide 0 ###LEFT-WALL### 39 . 1 thus 2 , 1 thus 17 pneumoniae 3 adaptation 4 of 3 adaptation 14 and 4 of 7 system 5 this 7 system 6 adjuvant 7 system 7 system 8 to 7 system 11 for 8 to 10 vaccines 9 nasal 10 vaccines 11 for 13 virus 12 influenza 13 virus 14 and 15 s 14 and 17 pneumoniae 17 pneumoniae 18 could 18 could 20 provide 19 successfully 20 provide 20 provide 21 protection 20 provide 30 in 21 protection 22 by 22 by 23 supporting 23 supporting 29 responses 24 pathogen 29 responses 26 specific 29 responses 27 siga 28 ab 28 ab 29 responses 30 in 32 urt 31 the 32 urt 32 urt 33 in 32 urt 37 of 33 in 36 model 34 the 36 model 35 mouse 36 model 37 of 38 aging in summary , a double adjuvant system is considered to be an attractive and potentially important strategy for the future development of mucosal vaccines for the elderly . 0 ###LEFT-WALL### 2 summary 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 28 . 1 in 2 summary 3 , 7 system 3 , 9 considered 4 a 5 double 4 a 7 system 5 double 7 system 6 adjuvant 7 system 7 system 8 is 8 is 9 considered 9 considered 10 to 9 considered 11 be 10 to 11 be 11 be 21 development 12 an 21 development 13 attractive 14 and 14 and 17 strategy 14 and 18 for 14 and 21 development 15 potentially 16 important 16 important 17 strategy 18 for 20 future 19 the 20 future 21 development 22 of 22 of 24 vaccines 23 mucosal 24 vaccines 24 vaccines 25 for 25 for 27 elderly 26 the 27 elderly background : androgen [receptor] ( ar ) signalling contributes to male predominance in hepatocellular carcinoma ( hcc ) , which is more pronounced in hbv - endemic areas . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 8 signalling 2 : 9 contributes 3 androgen 8 signalling 5 ( 6 ar 6 ar 7 ) 6 ar 8 signalling 8 signalling 9 contributes 9 contributes 10 to 9 contributes 13 in 9 contributes 28 areas 10 to 12 predominance 11 male 12 predominance 13 in 15 carcinoma 14 hepatocellular 15 carcinoma 15 carcinoma 17 hcc 15 carcinoma 20 which 16 ( 17 hcc 17 hcc 18 ) 19 , 20 which 20 which 21 is 20 which 26 - 21 is 22 more 21 is 23 pronounced 23 pronounced 24 in 24 in 25 hbv 27 endemic 28 areas cell [cycle] - related kinase [(] ccrk ) is essential for ar - induced hepatocarcinogenesis but its molecular function in hbv - associated hcc remains obscure . 0 ###LEFT-WALL### 1 cell 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 22 - 1 cell 7 ccrk 1 cell 9 is 3 - 7 ccrk 4 related 5 kinase 5 kinase 7 ccrk 7 ccrk 8 ) 9 is 10 essential 10 essential 11 for 11 for 12 ar 12 ar 15 hepatocarcinogenesis 13 - 15 hepatocarcinogenesis 14 induced 15 hepatocarcinogenesis 15 hepatocarcinogenesis 16 but 15 hepatocarcinogenesis 22 - 16 but 19 function 17 its 19 function 18 molecular 19 function 19 function 20 in 20 in 21 hbv 22 - 24 hcc 22 - 25 remains 22 - 27 . 23 associated 24 hcc 24 hcc 25 remains 25 remains 26 obscure objective : to determine the molecular function of ccrk in hbv - associated hcc . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 determine 2 : 12 - 3 to 4 determine 4 determine 7 function 4 determine 10 in 5 the 7 function 6 molecular 7 function 7 function 8 of 8 of 9 ccrk 10 in 11 hbv 12 - 14 hcc 12 - 15 . 13 associated 14 hcc design : transcriptional regulation was assessed by chromatin immunoprecipitation , promoter mutation and luciferase reporter assays . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 2 : 4 regulation 2 : 6 assessed 3 transcriptional 4 regulation 4 regulation 5 was 5 was 6 assessed 6 assessed 7 by 7 by 13 and 8 chromatin 9 immunoprecipitation 9 immunoprecipitation 10 , 10 , 12 mutation 10 , 13 and 11 promoter 12 mutation 13 and 16 assays 14 luciferase 16 assays 15 reporter 16 assays hepatocellular proliferation and tumourigenesis were examined by colony formation , soft agar assays and using hbv x protein ( hbx ) transgenic mice with low - dose exposure to diethylnitrosamine . 0 ###LEFT-WALL### 2 proliferation 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 31 . 1 hepatocellular 2 proliferation 3 and 4 tumourigenesis 3 and 6 examined 4 tumourigenesis 5 were 5 were 6 examined 6 examined 7 by 6 examined 24 with 6 examined 29 to 7 by 23 mice 8 colony 23 mice 9 formation 10 , 10 , 13 assays 10 , 14 and 11 soft 12 agar 12 agar 13 assays 14 and 18 protein 14 and 20 hbx 14 and 23 mice 15 using 18 protein 16 hbv 17 x 16 hbv 18 protein 19 ( 20 hbx 20 hbx 21 ) 22 transgenic 23 mice 24 with 28 exposure 25 low 26 - 25 low 27 dose 27 dose 28 exposure 29 to 30 diethylnitrosamine protein expressions were examined in clinical samples and correlated with patient survival by log - rank mantel - cox test . 0 ###LEFT-WALL### 2 expressions 0 ###LEFT-WALL### 14 log 0 ###LEFT-WALL### 15 - 1 protein 2 expressions 2 expressions 8 and 2 expressions 14 log 3 were 4 examined 3 were 8 and 4 examined 5 in 5 in 7 samples 6 clinical 7 samples 8 and 9 correlated 8 and 13 by 9 correlated 10 with 10 with 12 survival 11 patient 12 survival 15 - 16 rank 15 - 18 - 16 rank 17 mantel 18 - 20 test 18 - 21 . 19 cox 20 test results : overexpression of ccrk , but not its kinase - defective mutant , activated β - catenin/t cell factor signalling through phosphorylation of glycogen synthase [kinase] - 3β ( gsk - 3β ) at ser9 , led to upregulation of ar transcriptional activity and , subsequently , expression of hbx . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 not 0 ###LEFT-WALL### 52 . 1 results 2 : 2 : 3 overexpression 3 overexpression 4 of 4 of 5 ccrk 6 , 8 not 7 but 8 not 8 not 10 kinase 8 not 38 led 9 its 10 kinase 10 kinase 16 β 10 kinase 38 led 11 - 16 β 12 defective 16 β 13 mutant 14 , 13 mutant 16 β 15 activated 16 β 16 β 23 phosphorylation 16 β 37 , 17 - 23 phosphorylation 18 catenin/t 19 cell 19 cell 23 phosphorylation 20 factor 23 phosphorylation 21 signalling 23 phosphorylation 22 through 23 phosphorylation 23 phosphorylation 24 of 23 phosphorylation 29 3β 23 phosphorylation 37 , 24 of 26 synthase 25 glycogen 26 synthase 28 - 29 3β 29 3β 32 - 29 3β 35 at 29 3β 37 , 30 ( 32 - 31 gsk 32 - 32 - 33 3β 32 - 34 ) 35 at 36 ser9 38 led 39 to 38 led 45 and 39 to 40 upregulation 40 upregulation 41 of 41 of 42 ar 43 transcriptional 44 activity 44 activity 45 and 45 and 47 subsequently 45 and 49 expression 46 , 47 subsequently 47 subsequently 48 , 49 expression 50 of 50 of 51 hbx the viral transactivator in turn induced ccrk expression through enhanced ar signalling , thus [forming] [a] [positive] [regulatory] loop . 0 ###LEFT-WALL### 3 transactivator 0 ###LEFT-WALL### 6 induced 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 20 . 1 the 3 transactivator 2 viral 3 transactivator 3 transactivator 6 induced 4 in 5 turn 5 turn 6 induced 6 induced 8 expression 6 induced 9 through 7 ccrk 8 expression 9 through 11 ar 10 enhanced 11 ar 11 ar 12 signalling 13 , 19 loop 14 thus 19 loop rna interference silencing of ccrk , which suppressed the ccrk/gsk - 3β/β - catenin/ar regulatory [loop] , significantly suppressed hbx - induced hepatocellular proliferation ( p=0.001 ) and transformation ( p<0.001 ) and remarkably reduced >80 % diethylnitrosamine - mediated hepatocarcinogenesis in hbx transgenic mice . 0 ###LEFT-WALL### 33 and 1 rna 3 silencing 2 interference 3 silencing 3 silencing 4 of 3 silencing 28 and 4 of 5 ccrk 5 ccrk 7 which 6 , 7 which 7 which 8 suppressed 7 which 27 ) 8 suppressed 24 proliferation 9 the 24 proliferation 10 ccrk/gsk 12 3β/β 10 ccrk/gsk 20 hbx 10 ccrk/gsk 22 induced 11 - 12 3β/β 12 3β/β 13 - 13 - 20 hbx 14 catenin/ar 20 hbx 15 regulatory 17 , 15 regulatory 20 hbx 18 significantly 19 suppressed 19 suppressed 20 hbx 20 hbx 21 - 22 induced 24 proliferation 23 hepatocellular 24 proliferation 24 proliferation 26 p=0.001 25 ( 26 p=0.001 26 p=0.001 27 ) 28 and 29 transformation 28 and 31 p<0.001 28 and 33 and 30 ( 31 p<0.001 31 p<0.001 32 ) 33 and 38 diethylnitrosamine 33 and 41 hepatocarcinogenesis 34 remarkably 35 reduced 35 reduced 36 >80 36 >80 38 diethylnitrosamine 37 % 38 diethylnitrosamine 39 - 41 hepatocarcinogenesis 40 mediated 41 hepatocarcinogenesis 41 hepatocarcinogenesis 42 in 41 hepatocarcinogenesis 46 . 42 in 45 mice 43 hbx 45 mice 44 transgenic 45 mice finally , patients with hbv - associated hcc with concordant overexpression of ccrk , gsk - 3β phosphorylation at ser9 , active dephosphorylated β - catenin and ar phosphorylation at ser81 had poorer overall ( hr=31.26 , p<0.0001 ) and disease - free ( hr=3.60 , p<0.01 ) survival rates . 0 ###LEFT-WALL### 3 patients 0 ###LEFT-WALL### 17 3β 1 finally 2 , 1 finally 3 patients 3 patients 4 with 3 patients 8 hcc 3 patients 17 3β 4 with 5 hbv 6 - 8 hcc 7 associated 8 hcc 8 hcc 9 with 8 hcc 16 - 9 with 11 overexpression 10 concordant 11 overexpression 11 overexpression 12 of 12 of 15 gsk 13 ccrk 15 gsk 14 , 15 gsk 17 3β 18 phosphorylation 17 3β 42 - 18 phosphorylation 19 at 18 phosphorylation 33 poorer 19 at 27 and 20 ser9 21 , 21 , 26 catenin 21 , 27 and 22 active 26 catenin 23 dephosphorylated 26 catenin 24 β 25 - 24 β 26 catenin 27 and 28 ar 27 and 29 phosphorylation 27 and 32 had 29 phosphorylation 30 at 29 phosphorylation 32 had 30 at 31 ser81 33 poorer 34 overall 35 ( 42 - 36 hr=31.26 38 p<0.0001 36 hr=31.26 40 and 37 , 38 p<0.0001 38 p<0.0001 39 ) 40 and 41 disease 40 and 42 - 42 - 50 rates 42 - 51 . 43 free 45 hr=3.60 43 free 46 , 43 free 49 survival 44 ( 45 hr=3.60 45 hr=3.60 46 , 47 p<0.01 48 ) 47 p<0.01 49 survival 49 survival 50 rates conclusions : our findings highlight the critical role of ccrk in a self - reinforcing circuitry that regulates hbv - associated hepatocarcinogenesis . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 findings 2 : 5 highlight 2 : 20 - 2 : 23 . 3 our 4 findings 4 findings 5 highlight 5 highlight 8 role 5 highlight 11 in 6 the 8 role 7 critical 8 role 8 role 9 of 9 of 10 ccrk 11 in 13 self 12 a 13 self 13 self 15 reinforcing 14 - 15 reinforcing 15 reinforcing 16 circuitry 15 reinforcing 20 - 16 circuitry 17 that 16 circuitry 18 regulates 17 that 18 regulates 18 regulates 19 hbv 20 - 22 hepatocarcinogenesis 21 associated 22 hepatocarcinogenesis further characterisation of this intricate viral - host signalling may provide new prognostic biomarkers and therapeutic targets for hcc treatment . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 21 . 1 further 2 characterisation 2 characterisation 3 of 2 characterisation 15 and 3 of 8 host 4 this 8 host 5 intricate 8 host 6 viral 7 - 6 viral 8 host 8 host 9 signalling 8 host 11 provide 9 signalling 10 may 10 may 11 provide 11 provide 14 biomarkers 12 new 14 biomarkers 13 prognostic 14 biomarkers 15 and 17 targets 15 and 18 for 16 therapeutic 17 targets 18 for 20 treatment 19 hcc 20 treatment although research has consistently demonstrated that accuracy on a variety of memory tasks decreases as delay increases , relatively little research has been conducted to quantify this relationship across development in humans or directly compare rates of forgetting between humans and monkeys . 0 ###LEFT-WALL### 21 research 0 ###LEFT-WALL### 33 or 0 ###LEFT-WALL### 43 . 1 although 2 research 1 although 5 demonstrated 1 although 21 research 2 research 3 has 3 has 5 demonstrated 4 consistently 5 demonstrated 5 demonstrated 6 that 6 that 7 accuracy 6 that 13 tasks 7 accuracy 8 on 7 accuracy 13 tasks 8 on 10 variety 9 a 10 variety 10 variety 11 of 11 of 12 memory 13 tasks 14 decreases 15 as 16 delay 15 as 17 increases 15 as 18 , 15 as 21 research 16 delay 17 increases 19 relatively 20 little 20 little 21 research 21 research 22 has 22 has 23 been 23 been 33 or 24 conducted 25 to 24 conducted 29 across 24 conducted 33 or 25 to 26 quantify 26 quantify 28 relationship 27 this 28 relationship 29 across 30 development 30 development 31 in 31 in 32 humans 33 or 35 compare 34 directly 35 compare 35 compare 36 rates 35 compare 39 between 36 rates 37 of 37 of 38 forgetting 39 between 41 and 40 humans 41 and 41 and 42 monkeys this study utilized [a] delayed matching - [to] - sample [(] dmts ) task to compare the relative contributions of proactive interference and attention on the rate of forgetting in monkeys and children . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 5 delayed 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 16 compare 0 ###LEFT-WALL### 34 . 1 this 2 study 2 study 3 utilized 2 study 5 delayed 5 delayed 6 matching 7 - 9 - 7 - 14 task 9 - 10 sample 12 dmts 13 ) 12 dmts 14 task 14 task 15 to 15 to 16 compare 16 compare 23 and 17 the 19 contributions 18 relative 19 contributions 19 contributions 20 of 19 contributions 23 and 20 of 22 interference 21 proactive 22 interference 23 and 24 attention 23 and 30 in 24 attention 25 on 25 on 27 rate 26 the 27 rate 27 rate 28 of 28 of 29 forgetting 30 in 32 and 31 monkeys 32 and 32 and 33 children the performance of 1125 children from four to fourteen years of age and 10 adult rhesus monkeys was compared . 0 ###LEFT-WALL### 2 performance 0 ###LEFT-WALL### 19 compared 0 ###LEFT-WALL### 20 . 1 the 2 performance 2 performance 3 of 2 performance 6 from 2 performance 18 was 3 of 5 children 4 1125 5 children 6 from 13 and 7 four 8 to 8 to 9 fourteen 8 to 10 years 10 years 11 of 10 years 13 and 11 of 12 age 13 and 17 monkeys 14 10 17 monkeys 15 adult 17 monkeys 16 rhesus 17 monkeys 18 was 19 compared for this dmts task , a shape was displayed on the center one of three press - plates . 0 ###LEFT-WALL### 7 shape 0 ###LEFT-WALL### 9 displayed 0 ###LEFT-WALL### 17 - 1 for 4 task 1 for 5 , 1 for 7 shape 2 this 4 task 3 dmts 4 task 6 a 7 shape 7 shape 8 was 8 was 9 displayed 9 displayed 10 on 10 on 12 center 11 the 12 center 12 center 13 one 12 center 14 of 14 of 16 press 15 three 16 press 17 - 18 plates 17 - 19 . after a delay , the subjects were required to match the original shape with one of three choice shapes to receive a banana [-] flavored food pellet for monkeys , or a nickel for children . 0 ###LEFT-WALL### 6 subjects 0 ###LEFT-WALL### 36 . 1 after 3 delay 1 after 4 , 1 after 6 subjects 2 a 3 delay 5 the 6 subjects 6 subjects 7 were 7 were 8 required 8 required 9 to 8 required 14 with 8 required 20 to 8 required 21 receive 9 to 10 match 10 match 13 shape 11 the 13 shape 12 original 13 shape 14 with 15 one 15 one 16 of 16 of 19 shapes 17 three 19 shapes 18 choice 19 shapes 20 to 21 receive 21 receive 27 pellet 22 a 23 banana 22 a 27 pellet 23 banana 27 pellet 25 flavored 26 food 26 food 27 pellet 27 pellet 28 for 27 pellet 34 for 28 for 31 or 29 monkeys 31 or 30 , 31 or 31 or 33 nickel 32 a 33 nickel 34 for 35 children a modified power function provided an excellent fit for the data for monkeys and children . 0 ###LEFT-WALL### 4 function 0 ###LEFT-WALL### 5 provided 0 ###LEFT-WALL### 16 . 1 a 4 function 2 modified 3 power 3 power 4 function 4 function 5 provided 5 provided 8 fit 6 an 7 excellent 6 an 8 fit 7 excellent 8 fit 8 fit 9 for 9 for 11 data 10 the 11 data 11 data 12 for 12 for 14 and 13 monkeys 14 and 14 and 15 children the forgetting rates in children decreased with age , and the forgetting rates for monkeys were most comparable to those of younger children . 0 ###LEFT-WALL### 2 forgetting 0 ###LEFT-WALL### 3 rates 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 24 . 1 the 2 forgetting 2 forgetting 3 rates 3 rates 4 in 4 in 5 children 5 children 6 decreased 6 decreased 7 with 7 with 8 age 9 , 10 and 10 and 13 rates 10 and 16 were 11 the 13 rates 12 forgetting 13 rates 13 rates 14 for 13 rates 16 were 14 for 15 monkeys 16 were 18 comparable 17 most 18 comparable 18 comparable 19 to 19 to 20 those 20 those 21 of 21 of 23 children 22 younger 23 children the data also suggest that proactive interference did not significantly contribute to the forgetting rates for monkeys or younger children . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 4 suggest 0 ###LEFT-WALL### 21 . 1 the 2 data 2 data 4 suggest 3 also 4 suggest 4 suggest 5 that 5 that 7 interference 5 that 11 contribute 6 proactive 7 interference 7 interference 8 did 8 did 9 not 8 did 11 contribute 10 significantly 11 contribute 11 contribute 12 to 12 to 15 rates 13 the 15 rates 14 forgetting 15 rates 15 rates 16 for 16 for 18 or 17 monkeys 18 or 18 or 20 children 19 younger 20 children further , the monkeys appeared to attend to the task at a level similar to that of younger children as evidenced by the similarities in response latencies . 0 ###LEFT-WALL### 4 monkeys 0 ###LEFT-WALL### 5 appeared 0 ###LEFT-WALL### 28 . 1 further 2 , 1 further 4 monkeys 3 the 4 monkeys 4 monkeys 5 appeared 5 appeared 6 to 5 appeared 21 evidenced 6 to 7 attend 7 attend 8 to 7 attend 11 at 7 attend 20 as 8 to 10 task 9 the 10 task 11 at 13 level 12 a 13 level 13 level 14 similar 13 level 17 of 14 similar 15 to 15 to 16 that 17 of 19 children 18 younger 19 children 20 as 21 evidenced 21 evidenced 22 by 21 evidenced 26 response 21 evidenced 27 latencies 22 by 24 similarities 23 the 24 similarities 25 in 26 response the results from this study indicate that the rate of forgetting in monkeys , as well as the mechanisms underlying this rate , appears to share more similarities with that of younger children than of older children . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 6 indicate 0 ###LEFT-WALL### 38 . 1 the 2 results 2 results 3 from 2 results 6 indicate 3 from 5 study 4 this 5 study 6 indicate 7 that 7 that 9 rate 7 that 24 appears 8 the 9 rate 9 rate 10 of 9 rate 12 in 9 rate 24 appears 10 of 11 forgetting 12 in 13 monkeys 13 monkeys 15 as 14 , 15 as 15 as 16 well 15 as 23 , 16 well 17 as 16 well 20 underlying 17 as 19 mechanisms 18 the 19 mechanisms 20 underlying 22 rate 21 this 22 rate 24 appears 25 to 24 appears 26 share 25 to 26 share 26 share 28 similarities 26 share 34 than 27 more 28 similarities 28 similarities 29 with 28 similarities 31 of 29 with 30 that 31 of 33 children 32 younger 33 children 34 than 35 of 35 of 37 children 36 older 37 children the objective of the study was to measure the costs of implementing the enhancefitness program to elderly residents of south florida . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 22 . 1 the 2 objective 2 objective 3 of 2 objective 6 was 3 of 5 study 4 the 5 study 6 was 7 to 6 was 8 measure 7 to 8 measure 8 measure 10 costs 9 the 10 costs 10 costs 11 of 11 of 12 implementing 12 implementing 15 program 12 implementing 16 to 13 the 15 program 14 enhancefitness 15 program 16 to 18 residents 17 elderly 18 residents 18 residents 19 of 19 of 21 florida 20 south 21 florida the health foundation of south florida 's healthy aging regional collaborative implemented enhancefitness as part of their initiative to make evidence - based healthy aging programs available to south florida seniors . 0 ###LEFT-WALL### 3 foundation 0 ###LEFT-WALL### 12 implemented 1 the 3 foundation 2 health 3 foundation 3 foundation 4 of 3 foundation 12 implemented 4 of 11 collaborative 5 south 6 florida 6 florida 7 's 7 's 11 collaborative 8 healthy 9 aging 9 aging 10 regional 10 regional 11 collaborative 12 implemented 13 enhancefitness 13 enhancefitness 14 as 13 enhancefitness 19 to 13 enhancefitness 20 make 13 enhancefitness 26 programs 14 as 18 initiative 15 part 16 of 15 part 18 initiative 16 of 18 initiative 17 their 18 initiative 19 to 20 make 20 make 21 evidence 22 - 26 programs 23 based 26 programs 24 healthy 26 programs 25 aging 26 programs 26 programs 27 available 26 programs 32 . 27 available 28 to 28 to 31 seniors 29 south 30 florida 30 florida 31 seniors cost data were collected from agencies participating in the delivery of enhancefitness classes in south florida . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 4 collected 0 ###LEFT-WALL### 17 . 1 cost 2 data 2 data 3 were 3 were 4 collected 4 collected 5 from 4 collected 8 in 4 collected 14 in 5 from 6 agencies 6 agencies 7 participating 8 in 10 delivery 9 the 10 delivery 10 delivery 11 of 11 of 13 classes 12 enhancefitness 13 classes 14 in 16 florida 15 south 16 florida cost questionnaires were [e] - mailed to program coordinators from agencies participating in the delivery of enhancefitness classes . 0 ###LEFT-WALL### 2 questionnaires 0 ###LEFT-WALL### 3 were 1 cost 2 questionnaires 2 questionnaires 3 were 3 were 6 mailed 5 - 6 mailed 6 mailed 7 to 6 mailed 19 . 7 to 8 program 8 program 9 coordinators 8 program 10 from 10 from 11 agencies 11 agencies 12 participating 12 participating 13 in 13 in 15 delivery 14 the 15 delivery 15 delivery 16 of 16 of 18 classes 17 enhancefitness 18 classes program coordinators worked with accounting staff to complete the questionnaires . 0 ###LEFT-WALL### 1 program 0 ###LEFT-WALL### 11 . 1 program 2 coordinators 1 program 7 to 1 program 8 complete 2 coordinators 3 worked 3 worked 4 with 4 with 6 staff 5 accounting 6 staff 7 to 8 complete 8 complete 10 questionnaires 9 the 10 questionnaires questionnaires were returned via [e] [-] mail . 0 ###LEFT-WALL### 1 questionnaires 0 ###LEFT-WALL### 3 returned 0 ###LEFT-WALL### 8 . 1 questionnaires 2 were 2 were 3 returned 3 returned 4 via 4 via 7 mail costs were presented from the perspective of participating agencies . 0 ###LEFT-WALL### 1 costs 0 ###LEFT-WALL### 3 presented 0 ###LEFT-WALL### 10 . 1 costs 2 were 2 were 3 presented 3 presented 4 from 4 from 6 perspective 5 the 6 perspective 6 perspective 7 of 7 of 9 agencies 8 participating 9 agencies total costs were divided by the number of classes being offered by each agency to determine cost per class per month . 0 ###LEFT-WALL### 2 costs 0 ###LEFT-WALL### 11 offered 0 ###LEFT-WALL### 22 . 1 total 2 costs 2 costs 3 were 3 were 4 divided 4 divided 5 by 5 by 9 classes 6 the 7 number 7 number 8 of 7 number 9 classes 8 of 9 classes 9 classes 10 being 10 being 11 offered 11 offered 12 by 11 offered 15 to 12 by 14 agency 13 each 14 agency 15 to 16 determine 16 determine 17 cost 17 cost 18 per 17 cost 20 per 18 per 19 class 20 per 21 month average monthly costs per class were $ 1,713 during the first year of implementation and $ 873 during the second year of implementation . 0 ###LEFT-WALL### 3 costs 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 24 . 1 average 2 monthly 2 monthly 3 costs 3 costs 4 per 3 costs 6 were 4 per 5 class 6 were 7 $ 6 were 9 during 6 were 18 during 7 $ 8 1,713 9 during 12 year 10 the 12 year 11 first 12 year 12 year 13 of 13 of 15 and 14 implementation 15 and 15 and 16 $ 16 $ 17 873 18 during 21 year 19 the 21 year 20 second 21 year 21 year 22 of 22 of 23 implementation the cost measurements , combined with information from the literature on cost savings attributable to enhancefitness participation , suggest that enhancefitness has the potential to generate a net societal cost savings among program participants . 0 ###LEFT-WALL### 3 measurements 0 ###LEFT-WALL### 26 generate 0 ###LEFT-WALL### 35 . 1 the 3 measurements 2 cost 3 measurements 3 measurements 5 combined 3 measurements 19 suggest 4 , 5 combined 5 combined 6 with 5 combined 18 , 6 with 7 information 7 information 8 from 7 information 14 attributable 8 from 10 literature 9 the 10 literature 10 literature 11 on 11 on 13 savings 12 cost 13 savings 14 attributable 15 to 15 to 17 participation 16 enhancefitness 17 participation 19 suggest 20 that 20 that 21 enhancefitness 20 that 22 has 21 enhancefitness 22 has 22 has 24 potential 22 has 25 to 23 the 24 potential 25 to 26 generate 26 generate 31 savings 26 generate 32 among 27 a 31 savings 28 net 31 savings 29 societal 30 cost 30 cost 31 savings 32 among 34 participants 33 program 34 participants the results are useful for community agencies considering implementing enhancefitness for their populations . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 14 . 1 the 2 results 2 results 3 are 3 are 4 useful 4 useful 5 for 5 for 7 agencies 6 community 7 agencies 7 agencies 8 considering 8 considering 9 implementing 9 implementing 10 enhancefitness 10 enhancefitness 11 for 11 for 13 populations 12 their 13 populations purpose : to provide information on the five - times - sit - [to] - stand ( ftsts ) and timed - up - and - go ( tug [ )(tests in persons with injection - related venous ulcers ( vu+ [ )(and persons without venous ulcers ( vu - ) . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 2 : 12 sit 2 : 13 - 3 to 4 provide 3 to 11 - 3 to 12 sit 4 provide 5 information 4 provide 6 on 6 on 8 five 7 the 8 five 8 five 10 times 9 - 10 times 10 times 11 - 13 - 15 - 13 - 22 - 13 - 25 and 15 - 20 and 16 stand 18 ftsts 17 ( 18 ftsts 18 ftsts 19 ) 18 ftsts 20 and 20 and 21 timed 22 - 23 up 24 - 25 and 25 and 26 - 26 - 27 go 27 go 36 - 28 ( 36 - 29 tug 31 )(tests 31 )(tests 32 in 31 )(tests 34 with 31 )(tests 36 - 32 in 33 persons 34 with 35 injection 36 - 39 ulcers 37 related 39 ulcers 38 venous 39 ulcers 39 ulcers 43 )(and 40 ( 43 )(and 41 vu+ 43 )(and 43 )(and 44 persons 43 )(and 51 ) 43 )(and 52 . 44 persons 45 without 45 without 47 ulcers 46 venous 47 ulcers 47 ulcers 49 vu 48 ( 49 vu 49 vu 50 - target audience : this continuing education activity is intended for physicians and nurses with an interest in skin and wound care . 0 ###LEFT-WALL### 2 audience 0 ###LEFT-WALL### 3 : 1 target 2 audience 3 : 7 activity 3 : 19 and 3 : 22 . 4 this 5 continuing 5 continuing 6 education 6 education 7 activity 7 activity 19 and 8 is 9 intended 8 is 19 and 9 intended 10 for 9 intended 14 with 9 intended 17 in 10 for 12 and 11 physicians 12 and 12 and 13 nurses 14 with 16 interest 15 an 16 interest 17 in 18 skin 19 and 20 wound 19 and 21 care objectives : after participating in this educational activity , the participant should be better able [to] : abstract : none objective : to examine functional mobility using five - times - sit - to [-] stand ( ftsts ) and timed - up - and - [go] ( tug ) tests in persons with injection [-] related venous ulcers ( vu+ ) and compare these findings to persons without venous ulcers ( vu [-] [ )( 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 9 , 1 objectives 2 : 2 : 3 after 3 after 4 participating 4 participating 5 in 5 in 8 activity 6 this 8 activity 7 educational 8 activity 9 , 11 participant 9 , 17 : 10 the 11 participant 11 participant 12 should 12 should 13 be 13 be 14 better 13 be 15 able 17 : 18 abstract 17 : 19 : 17 : 29 - 19 : 20 none 19 : 24 examine 20 none 21 objective 20 none 23 to 20 none 24 examine 21 objective 22 : 22 : 23 to 24 examine 26 mobility 25 functional 26 mobility 26 mobility 27 using 27 using 28 five 29 - 30 times 29 - 31 - 31 - 32 sit 31 - 42 - 32 sit 34 to 33 - 34 to 34 to 41 timed 34 to 42 - 36 stand 38 ftsts 37 ( 38 ftsts 38 ftsts 39 ) 38 ftsts 40 and 40 and 41 timed 42 - 43 up 42 - 45 and 44 - 45 and 45 and 46 - 45 and 51 tests 48 ( 49 tug 49 tug 50 ) 49 tug 51 tests 51 tests 52 in 51 tests 63 and 52 in 53 persons 53 persons 54 with 54 with 55 injection 57 related 59 ulcers 57 related 63 and 58 venous 59 ulcers 59 ulcers 61 vu+ 60 ( 61 vu+ 61 vu+ 62 ) 63 and 64 compare 63 and 69 without 64 compare 66 findings 64 compare 67 to 65 these 66 findings 67 to 68 persons 69 without 71 ulcers 70 venous 71 ulcers 71 ulcers 73 vu 72 ( 73 vu 73 vu 76 )( design : cross - sectional , comparative design . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 9 . 1 design 2 : 2 : 3 cross 4 - 8 design 5 sectional 6 , 5 sectional 8 design 7 comparative 8 design setting : outpatient clinic.particpants : participants ( n = 61 ) were 31 persons vu+ and 30 persons vu - ; 57.4 % men ; mean age , 54 years ; 93 % african american . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 : 1 setting 2 : 2 : 4 clinic.particpants 3 outpatient 4 clinic.particpants 5 : 6 participants 5 : 12 were 5 : 21 ; 5 : 36 . 6 participants 9 = 6 participants 12 were 7 ( 9 = 8 n 9 = 9 = 10 61 9 = 11 ) 12 were 16 and 13 31 16 and 14 persons 15 vu+ 15 vu+ 16 and 16 and 19 vu 16 and 20 - 17 30 18 persons 18 persons 19 vu 21 ; 24 men 21 ; 25 ; 22 57.4 24 men 23 % 24 men 25 ; 26 mean 25 ; 31 ; 26 mean 27 age 27 age 30 years 28 , 30 years 29 54 30 years 30 years 31 ; 31 ; 35 american 32 93 33 % 33 % 34 african 34 african 35 american main outcome measures : five - times - sit - to [-] stand , tug , physical activity , quality of life , comorbidities , [falls] , and body mass index . 0 ###LEFT-WALL### 3 measures 0 ###LEFT-WALL### 4 : 1 main 2 outcome 2 outcome 3 measures 4 : 5 five 4 : 9 sit 5 five 7 times 5 five 9 sit 6 - 7 times 7 times 8 - 9 sit 11 to 10 - 11 to 11 to 13 stand 11 to 32 . 13 stand 28 and 14 , 28 and 15 tug 18 activity 15 tug 28 and 16 , 18 activity 17 physical 18 activity 18 activity 20 quality 18 activity 27 , 19 , 20 quality 20 quality 21 of 20 quality 25 , 21 of 22 life 22 life 24 comorbidities 23 , 24 comorbidities 24 comorbidities 25 , 27 , 28 and 28 and 31 index 28 and 32 . 29 body 31 index 30 mass 31 index results : participants vu+ were 36.8 % slower on completion of the tug test ( p = [.] 012 [ )(and 26.5 % slower on completion of the ftsts test ( p = [.] 081 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 participants 2 : 4 vu+ 2 : 37 . 3 participants 4 vu+ 4 vu+ 5 were 4 vu+ 23 % 4 vu+ 24 slower 4 vu+ 25 on 4 vu+ 33 = 5 were 7 % 5 were 8 slower 6 36.8 7 % 8 slower 9 on 8 slower 17 = 9 on 10 completion 10 completion 11 of 11 of 14 test 12 the 14 test 13 tug 14 test 15 ( 17 = 16 p 17 = 17 = 21 )(and 19 012 21 )(and 21 )(and 22 26.5 22 26.5 23 % 25 on 26 completion 26 completion 27 of 27 of 30 test 28 the 30 test 29 ftsts 30 test 31 ( 33 = 32 p 33 = 33 = 35 081 33 = 36 ) five - times - sit - [to] - stand and tug were strongly correlated with each other , r = 0.93 , 0.87 , p < [.] 001 for vu - and vu+ , respectively . 0 ###LEFT-WALL### 1 five 0 ###LEFT-WALL### 5 sit 0 ###LEFT-WALL### 6 - 1 five 3 times 1 five 5 sit 2 - 3 times 3 times 4 - 6 - 8 - 6 - 14 correlated 6 - 36 . 8 - 10 and 9 stand 10 and 10 and 11 tug 10 and 12 were 12 were 13 strongly 12 were 14 correlated 14 correlated 15 with 14 correlated 20 = 14 correlated 35 respectively 15 with 17 other 16 each 17 other 18 , 20 = 19 r 20 = 20 = 21 0.93 21 0.93 23 0.87 22 , 23 0.87 23 0.87 26 < 23 0.87 34 , 24 , 26 < 25 p 26 < 26 < 28 001 28 001 29 for 29 for 32 and 30 vu 32 and 31 - 32 and 32 and 33 vu+ test - retest reliabilities for the ftsts and tug tests were high ( intraclass correlation coefficient = 0.89 - 0.94 ) for the vu+ and vu - . 0 ###LEFT-WALL### 1 test 0 ###LEFT-WALL### 2 - 2 - 3 retest 2 - 28 . 3 retest 4 reliabilities 3 retest 5 for 3 retest 22 for 5 for 8 and 6 the 7 ftsts 7 ftsts 8 and 8 and 9 tug 8 and 10 tests 8 and 11 were 8 and 16 coefficient 10 tests 11 were 11 were 12 high 13 ( 16 coefficient 14 intraclass 16 coefficient 15 correlation 16 coefficient 16 coefficient 19 - 16 coefficient 21 ) 17 = 18 0.89 18 0.89 19 - 19 - 20 0.94 22 for 25 and 23 the 24 vu+ 24 vu+ 25 and 25 and 26 vu 25 and 27 - within each group , correlations of ftsts and tug were similar for each of the variables examined . 0 ###LEFT-WALL### 5 correlations 0 ###LEFT-WALL### 10 were 0 ###LEFT-WALL### 18 . 1 within 3 group 1 within 4 , 1 within 5 correlations 2 each 3 group 5 correlations 6 of 5 correlations 10 were 6 of 9 tug 7 ftsts 8 and 8 and 9 tug 10 were 11 similar 11 similar 12 for 12 for 16 variables 13 each 14 of 13 each 16 variables 14 of 16 variables 15 the 16 variables 16 variables 17 examined across groups , correlations showed that the time to complete ftsts and tug increased as a function of comorbidities in the vu+ group ; the correlations in the vu [-] group were not significantly different from zero . 0 ###LEFT-WALL### 4 correlations 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 24 ; 0 ###LEFT-WALL### 32 were 0 ###LEFT-WALL### 38 . 1 across 2 groups 1 across 3 , 1 across 4 correlations 4 correlations 5 showed 5 showed 6 that 6 that 8 time 6 that 19 comorbidities 7 the 8 time 8 time 9 to 8 time 18 of 8 time 19 comorbidities 9 to 10 complete 10 complete 13 tug 10 complete 15 as 11 ftsts 12 and 12 and 13 tug 13 tug 14 increased 15 as 17 function 16 a 17 function 17 function 18 of 19 comorbidities 20 in 20 in 23 group 21 the 23 group 22 vu+ 23 group 24 ; 26 correlations 25 the 26 correlations 26 correlations 27 in 26 correlations 32 were 27 in 31 group 28 the 31 group 29 vu 31 group 32 were 33 not 32 were 34 significantly 32 were 35 different 35 different 36 from 36 from 37 zero conclusions : the vu+ group exhibited poorer physical performance than the vu - group . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 - 1 conclusions 2 : 2 : 9 performance 2 : 10 than 3 the 9 performance 4 vu+ 6 exhibited 5 group 6 exhibited 6 exhibited 9 performance 7 poorer 9 performance 8 physical 9 performance 10 than 12 vu 11 the 12 vu 13 - 14 group 13 - 15 . the high correlation between ftsts and tug and the similarity of correlations with other variables suggest that these physical performance measures may be interchangeable in their ability to predict physical functioning in these clinical groups despite differences in test demands . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 29 predict 0 ###LEFT-WALL### 41 . 1 the 3 correlation 2 high 3 correlation 3 correlation 4 between 3 correlation 8 and 4 between 7 tug 5 ftsts 6 and 6 and 7 tug 8 and 10 similarity 8 and 11 of 8 and 16 suggest 9 the 10 similarity 11 of 12 correlations 12 correlations 13 with 13 with 15 variables 14 other 15 variables 16 suggest 17 that 17 that 21 measures 17 that 23 be 18 these 21 measures 19 physical 20 performance 20 performance 21 measures 21 measures 22 may 22 may 23 be 23 be 24 interchangeable 24 interchangeable 25 in 24 interchangeable 28 to 25 in 27 ability 26 their 27 ability 28 to 29 predict 29 predict 31 functioning 29 predict 32 in 29 predict 36 despite 29 predict 38 in 30 physical 31 functioning 32 in 35 groups 33 these 35 groups 34 clinical 35 groups 36 despite 37 differences 38 in 40 demands 39 test 40 demands clinicians need [easy] - [to] - perform reliable clinical tests such as ftsts and tug to assess mobility of aging injection users with venous ulcers . 0 ###LEFT-WALL### 1 clinicians 0 ###LEFT-WALL### 2 need 0 ###LEFT-WALL### 4 - 1 clinicians 2 need 4 - 6 - 4 - 17 assess 4 - 26 . 6 - 7 perform 7 perform 10 tests 7 perform 16 to 8 reliable 10 tests 9 clinical 10 tests 10 tests 12 as 11 such 12 as 12 as 14 and 13 ftsts 14 and 14 and 15 tug 16 to 17 assess 17 assess 18 mobility 17 assess 23 with 18 mobility 19 of 19 of 20 aging 20 aging 22 users 21 injection 22 users 23 with 25 ulcers 24 venous 25 ulcers none [introduction] : we performed a comparative analysis of telomerase activity ( ta ) in patients with myeloproliferative neoplasm ( mpn ) and myelodysplastic syndrome ( mds ) . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 3 : 3 : 4 we 3 : 5 performed 3 : 29 . 4 we 5 performed 5 performed 8 analysis 5 performed 15 in 6 a 7 comparative 6 a 8 analysis 7 comparative 8 analysis 8 analysis 9 of 8 analysis 13 ta 9 of 11 activity 10 telomerase 11 activity 12 ( 13 ta 13 ta 14 ) 15 in 23 and 16 patients 17 with 16 patients 23 and 17 with 19 neoplasm 18 myeloproliferative 19 neoplasm 19 neoplasm 21 mpn 20 ( 21 mpn 21 mpn 22 ) 23 and 25 syndrome 23 and 27 mds 24 myelodysplastic 25 syndrome 26 ( 27 mds 27 mds 28 ) the relationships between ta and known prognostic factors were also analyzed . 0 ###LEFT-WALL### 2 relationships 0 ###LEFT-WALL### 11 analyzed 0 ###LEFT-WALL### 12 . 1 the 2 relationships 2 relationships 3 between 2 relationships 9 were 3 between 5 and 4 ta 5 and 5 and 8 factors 6 known 8 factors 7 prognostic 8 factors 9 were 11 analyzed 10 also 11 analyzed materials and methods : a telomeric repeat amplification protocol was performed with bone marrow hematopoietic cells from 96 normal controls , 44 mpns , and 40 mdss . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 materials 2 and 2 and 3 methods 4 : 8 amplification 4 : 11 performed 4 : 28 . 5 a 6 telomeric 5 a 8 amplification 6 telomeric 7 repeat 7 repeat 8 amplification 8 amplification 9 protocol 8 amplification 10 was 8 amplification 11 performed 9 protocol 10 was 11 performed 12 with 11 performed 17 from 12 with 16 cells 13 bone 16 cells 14 marrow 16 cells 15 hematopoietic 16 cells 17 from 25 and 18 96 20 controls 19 normal 20 controls 20 controls 21 , 21 , 23 mpns 21 , 25 and 22 44 23 mpns 24 , 25 and 25 and 27 mdss 26 40 27 mdss result : ta ( measured as molecules/reaction ) showed no correlation with age in the control group [(] r ( 2 )=0.0057 , p=0.464 ) . 0 ###LEFT-WALL### 1 result 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 3 ta 2 : 9 showed 3 ta 5 measured 3 ta 9 showed 4 ( 5 measured 5 measured 6 as 5 measured 8 ) 6 as 7 molecules/reaction 9 showed 11 correlation 9 showed 17 group 10 no 11 correlation 11 correlation 12 with 11 correlation 14 in 12 with 13 age 14 in 16 control 15 the 16 control 17 group 19 r 17 group 22 )=0.0057 17 group 24 p=0.464 20 ( 22 )=0.0057 21 2 22 )=0.0057 22 )=0.0057 23 , 23 , 24 p=0.464 24 p=0.464 25 ) mpn showed elevated ta compared with controls ( 15,537.57 vs [.] 7775.44 , p=0.020 ) . 0 ###LEFT-WALL### 1 mpn 0 ###LEFT-WALL### 2 showed 0 ###LEFT-WALL### 16 . 1 mpn 2 showed 2 showed 4 ta 3 elevated 4 ta 4 ta 5 compared 5 compared 6 with 6 with 7 controls 7 controls 9 15,537.57 7 controls 14 p=0.020 8 ( 9 15,537.57 9 15,537.57 10 vs 9 15,537.57 13 , 10 vs 12 7775.44 13 , 14 p=0.020 14 p=0.020 15 ) patients with essential thrombocythemia showed markedly elevated ta ( 22,688.56 , p=0.030 ) , particularly in cases with extreme thrombocytosis versus those without extreme thrombocytosis ( 34,522.19 vs [.] 9375.71 , p=0.041 ) . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 34 . 1 patients 2 with 1 patients 5 showed 2 with 4 thrombocythemia 3 essential 4 thrombocythemia 5 showed 8 ta 5 showed 15 particularly 5 showed 18 with 6 markedly 7 elevated 7 elevated 8 ta 8 ta 10 22,688.56 9 ( 10 22,688.56 10 22,688.56 12 p=0.030 10 22,688.56 14 , 11 , 12 p=0.030 12 p=0.030 13 ) 15 particularly 16 in 16 in 17 cases 18 with 20 thrombocytosis 19 extreme 20 thrombocytosis 20 thrombocytosis 21 versus 20 thrombocytosis 27 34,522.19 20 thrombocytosis 32 p=0.041 21 versus 22 those 22 those 23 without 23 without 25 thrombocytosis 24 extreme 25 thrombocytosis 26 ( 27 34,522.19 27 34,522.19 28 vs 27 34,522.19 31 , 28 vs 30 9375.71 31 , 32 p=0.041 32 p=0.041 33 ) mds patients showed a ta value of 7578.50 . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 9 . 1 mds 2 patients 2 patients 3 showed 3 showed 6 value 4 a 6 value 5 ta 6 value 6 value 7 of 7 of 8 7578.50 conclusion : there was no association between age and ta in bone marrow hematopoietic cells . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 . 2 : 3 there 2 : 4 was 3 there 4 was 4 was 6 association 4 was 7 between 4 was 11 in 5 no 6 association 7 between 9 and 8 age 9 and 9 and 10 ta 11 in 15 cells 12 bone 15 cells 13 marrow 15 cells 14 hematopoietic 15 cells ta was elevated in mpn but [borderline] in mds , probably because of differences in the nature of the diseases . 0 ###LEFT-WALL### 1 ta 0 ###LEFT-WALL### 3 elevated 1 ta 2 was 2 was 3 elevated 3 elevated 4 in 3 elevated 6 but 3 elevated 12 because 4 in 5 mpn 6 but 8 in 8 in 9 mds 10 , 11 probably 10 , 12 because 12 because 13 of 12 because 21 . 13 of 14 differences 14 differences 15 in 15 in 17 nature 16 the 17 nature 17 nature 18 of 18 of 20 diseases 19 the 20 diseases elevated ta in patients with essential thrombocythemia , especially those with extreme thrombocytosis , suggests that an anti - telomerase strategy could be beneficial in the prevention of thrombotic complications . 0 ###LEFT-WALL### 2 ta 0 ###LEFT-WALL### 15 suggests 0 ###LEFT-WALL### 31 . 1 elevated 2 ta 2 ta 3 in 2 ta 15 suggests 3 in 4 patients 4 patients 5 with 5 with 7 thrombocythemia 6 essential 7 thrombocythemia 7 thrombocythemia 10 those 8 , 9 especially 8 , 10 those 10 those 11 with 10 those 14 , 11 with 13 thrombocytosis 12 extreme 13 thrombocytosis 15 suggests 16 that 16 that 21 strategy 16 that 23 be 17 an 18 anti 17 an 21 strategy 18 anti 19 - 18 anti 20 telomerase 20 telomerase 21 strategy 21 strategy 22 could 22 could 23 be 23 be 24 beneficial 24 beneficial 25 in 25 in 27 prevention 26 the 27 prevention 27 prevention 28 of 28 of 30 complications 29 thrombotic 30 complications objective : prehabilitation [consists] in providing a repetitive physical exercise before surgery to improve the postoperative recovery course . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 1 objective 2 : 2 : 3 prehabilitation 3 prehabilitation 5 in 5 in 6 providing 6 providing 10 exercise 6 providing 11 before 6 providing 13 to 7 a 8 repetitive 7 a 10 exercise 8 repetitive 10 exercise 9 physical 10 exercise 11 before 12 surgery 13 to 14 improve 14 improve 18 course 15 the 18 course 16 postoperative 17 recovery 17 recovery 18 course this review aims to evaluate the feasibility and the expected benefits of prehabilitation on the postoperative recovery course and the reduction of the postoperative morbidity . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 26 . 1 this 2 review 2 review 3 aims 3 aims 4 to 3 aims 5 evaluate 4 to 5 evaluate 5 evaluate 8 and 5 evaluate 14 on 6 the 7 feasibility 7 feasibility 8 and 8 and 11 benefits 8 and 12 of 9 the 11 benefits 10 expected 11 benefits 12 of 13 prehabilitation 14 on 19 and 15 the 18 course 16 postoperative 17 recovery 17 recovery 18 course 18 course 19 and 19 and 21 reduction 19 and 22 of 20 the 21 reduction 22 of 25 morbidity 23 the 25 morbidity 24 postoperative 25 morbidity data sources : data research has focused on english - language articles in the medline database , published from 1989 to 2013 . 0 ###LEFT-WALL### 2 sources 0 ###LEFT-WALL### 3 : 1 data 2 sources 3 : 4 data 3 : 18 published 3 : 23 . 4 data 5 research 4 data 7 focused 4 data 18 published 5 research 6 has 6 has 7 focused 7 focused 8 on 8 on 9 english 9 english 12 articles 10 - 12 articles 11 language 12 articles 12 articles 13 in 12 articles 17 , 13 in 16 database 14 the 16 database 15 medline 16 database 18 published 21 to 19 from 21 to 20 1989 21 to 21 to 22 2013 keywords [,] used separately or [in] combination , were : prehabilitation , functional capacity , postoperative morbidity , physical activity . 0 ###LEFT-WALL### 5 or 0 ###LEFT-WALL### 9 were 0 ###LEFT-WALL### 10 : 0 ###LEFT-WALL### 21 . 1 keywords 3 used 1 keywords 5 or 3 used 4 separately 5 or 7 combination 5 or 8 , 5 or 9 were 10 : 11 prehabilitation 10 : 18 , 11 prehabilitation 14 capacity 11 prehabilitation 17 morbidity 12 , 14 capacity 13 functional 14 capacity 14 capacity 15 , 15 , 17 morbidity 16 postoperative 17 morbidity 17 morbidity 18 , 18 , 20 activity 19 physical 20 activity study selection : selected articles were original articles , clinical cases , review articles and meta - analysis . 0 ###LEFT-WALL### 2 selection 0 ###LEFT-WALL### 3 : 1 study 2 selection 3 : 5 articles 3 : 6 were 3 : 9 , 3 : 19 . 4 selected 5 articles 5 articles 6 were 6 were 8 articles 7 original 8 articles 9 , 15 and 10 clinical 11 cases 11 cases 12 , 12 , 14 articles 12 , 15 and 13 review 14 articles 15 and 18 analysis 16 meta 17 - 16 meta 18 analysis data extraction : articles were analyzed for feasibility , benefits and limitations of preoperative physical preparation techniques . 0 ###LEFT-WALL### 2 extraction 0 ###LEFT-WALL### 3 : 1 data 2 extraction 3 : 4 articles 3 : 6 analyzed 3 : 18 . 4 articles 5 were 5 were 6 analyzed 6 analyzed 7 for 7 for 11 and 8 feasibility 9 , 9 , 10 benefits 9 , 11 and 11 and 12 limitations 11 and 13 of 13 of 17 techniques 14 preoperative 16 preparation 15 physical 16 preparation 16 preparation 17 techniques data synthesis : poor preoperative functional status is associated with increased postoperative morbidity . 0 ###LEFT-WALL### 2 synthesis 0 ###LEFT-WALL### 3 : 1 data 2 synthesis 3 : 7 status 3 : 9 associated 3 : 14 . 4 poor 7 status 5 preoperative 7 status 6 functional 7 status 7 status 8 is 8 is 9 associated 9 associated 10 with 10 with 13 morbidity 11 increased 13 morbidity 12 postoperative 13 morbidity elderly are more prone [to] postoperative complications . 0 ###LEFT-WALL### 1 elderly 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 8 . 1 elderly 2 are 2 are 7 complications 3 more 4 prone 4 prone 7 complications 6 postoperative 7 complications the improvement of preoperative physical status of these patients is possible and may reduce morbidity and allow faster recovery after major surgery . 0 ###LEFT-WALL### 2 improvement 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 23 . 1 the 2 improvement 2 improvement 3 of 2 improvement 7 of 2 improvement 12 and 3 of 6 status 4 preoperative 6 status 5 physical 6 status 7 of 9 patients 8 these 9 patients 10 is 11 possible 10 is 12 and 12 and 13 may 13 may 16 and 14 reduce 15 morbidity 14 reduce 16 and 16 and 17 allow 17 allow 19 recovery 17 allow 20 after 18 faster 19 recovery 20 after 22 surgery 21 major 22 surgery in order to improve efficiency , the training program must provide endurance and muscle reinforcement exercises , whose intensity must be adapted to the patient 's baseline physical abilities . 0 ###LEFT-WALL### 9 program 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 30 . 1 in 2 order 1 in 6 , 1 in 9 program 2 order 3 to 2 order 4 improve 3 to 4 improve 4 improve 5 efficiency 7 the 9 program 8 training 9 program 9 program 10 must 10 must 13 and 11 provide 12 endurance 11 provide 13 and 13 and 14 muscle 14 muscle 16 exercises 15 reinforcement 16 exercises 17 , 18 whose 17 , 22 adapted 18 whose 19 intensity 19 intensity 20 must 20 must 21 be 21 be 22 adapted 22 adapted 23 to 23 to 29 abilities 24 the 25 patient 25 patient 26 's 26 's 29 abilities 27 baseline 29 abilities 28 physical 29 abilities an average of three sessions per week over a period of six to eight weeks before surgery seemed [a] good compromise between feasibility and effectiveness . 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 26 . 1 an 2 average 2 average 3 of 2 average 24 and 3 of 5 sessions 4 three 5 sessions 5 sessions 6 per 5 sessions 8 over 6 per 7 week 8 over 10 period 9 a 10 period 10 period 11 of 10 period 15 weeks 10 period 21 compromise 11 of 13 to 12 six 13 to 13 to 14 eight 15 weeks 16 before 15 weeks 17 surgery 15 weeks 18 seemed 15 weeks 21 compromise 17 surgery 18 seemed 18 seemed 20 good 21 compromise 22 between 22 between 23 feasibility 24 and 25 effectiveness conclusion : the effectiveness of prehabilitation has been demonstrated in cardiovascular surgery and probably in abdominal surgery . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 effectiveness 2 : 9 demonstrated 2 : 18 . 3 the 4 effectiveness 4 effectiveness 5 of 4 effectiveness 7 has 5 of 6 prehabilitation 7 has 8 been 8 been 9 demonstrated 9 demonstrated 13 and 10 in 12 surgery 10 in 13 and 11 cardiovascular 12 surgery 13 and 14 probably 13 and 15 in 15 in 17 surgery 16 abdominal 17 surgery prehabilitation must be integrated into the overall patient medical management , and must be associated with preoperative refeeding and postoperative rehabilitation protocols . 0 ###LEFT-WALL### 1 prehabilitation 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 23 . 1 prehabilitation 12 and 2 must 3 be 2 must 12 and 3 be 4 integrated 4 integrated 5 into 5 into 10 management 6 the 10 management 7 overall 10 management 8 patient 10 management 9 medical 10 management 11 , 12 and 12 and 13 must 12 and 22 protocols 13 must 14 be 14 be 15 associated 15 associated 16 with 16 with 21 rehabilitation 17 preoperative 21 rehabilitation 18 refeeding 19 and 19 and 20 postoperative 19 and 21 rehabilitation by optimizing all stages of the surgical patient management , from diagnosis to recovery , [prognosis] of high - risk surgical patients could be improved . 0 ###LEFT-WALL### 22 patients 0 ###LEFT-WALL### 25 improved 0 ###LEFT-WALL### 26 . 1 by 2 optimizing 1 by 22 patients 2 optimizing 4 stages 3 all 4 stages 4 stages 5 of 5 of 9 management 6 the 9 management 7 surgical 9 management 8 patient 9 management 9 management 11 from 9 management 17 of 10 , 11 from 11 from 12 diagnosis 11 from 15 , 12 diagnosis 13 to 13 to 14 recovery 17 of 20 risk 18 high 19 - 18 high 20 risk 21 surgical 22 patients 22 patients 23 could 23 could 24 be 24 be 25 improved background : corpora amylacea ( ca ) are glycoproteinaceous ( [predominantly] glial and extracellular ) inclusions that accumulate in normal aging brain [and] , to a greater extent , in alzheimer disease ( ad ) . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 amylacea 2 : 8 are 2 : 36 . 3 corpora 4 amylacea 4 amylacea 6 ca 4 amylacea 8 are 5 ( 6 ca 6 ca 7 ) 8 are 16 inclusions 8 are 19 in 8 are 30 in 9 glycoproteinaceous 13 and 9 glycoproteinaceous 16 inclusions 10 ( 13 and 12 glial 13 and 13 and 14 extracellular 13 and 15 ) 16 inclusions 17 that 16 inclusions 18 accumulate 17 that 18 accumulate 19 in 22 brain 20 normal 22 brain 21 aging 22 brain 22 brain 25 to 24 , 25 to 25 to 28 extent 25 to 29 , 26 a 28 extent 27 greater 28 extent 29 , 30 in 30 in 32 disease 30 in 35 ) 31 alzheimer 32 disease 32 disease 34 ad 33 ( 34 ad 34 ad 35 ) previous pharmacological evidence suggested that up - regulation of endogenous heme oxygenase - 1 ( ho - 1 ) in astrocytes promotes transformation of normal mitochondria to ca - like inclusions . 0 ###LEFT-WALL### 3 evidence 0 ###LEFT-WALL### 4 suggested 1 previous 3 evidence 2 pharmacological 3 evidence 3 evidence 4 suggested 4 suggested 5 that 5 that 8 regulation 5 that 22 promotes 6 up 7 - 6 up 8 regulation 8 regulation 9 of 8 regulation 20 in 8 regulation 22 promotes 9 of 12 oxygenase 10 endogenous 12 oxygenase 11 heme 12 oxygenase 12 oxygenase 14 1 12 oxygenase 18 1 13 - 14 1 14 1 16 ho 14 1 17 - 15 ( 16 ho 16 ho 17 - 17 - 18 1 18 1 19 ) 20 in 21 astrocytes 22 promotes 23 transformation 22 promotes 27 to 22 promotes 30 like 23 transformation 24 of 24 of 26 mitochondria 25 normal 26 mitochondria 27 to 28 ca 29 - 30 like 30 like 31 inclusions 30 like 32 . here , we determined whether 1 [ )(hmox1 transfection fosters the accumulation of ca [-] like inclusions in cultured rat astroglia [;] 2 [ )(the hmox1 transgene promotes ca formation in the brains of aging gfap.hmox1 mice [;] and 3 [ )(brain mitochondrial damage and ca biogenesis are augmented in persons with mild cognitive impairment ( mci ) , a harbinger of ad . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 determined 1 here 2 , 1 here 3 we 3 we 4 determined 4 determined 5 whether 4 determined 16 like 5 whether 9 transfection 5 whether 10 fosters 6 1 9 transfection 8 )(hmox1 9 transfection 9 transfection 10 fosters 10 fosters 12 accumulation 11 the 12 accumulation 12 accumulation 13 of 13 of 14 ca 16 like 17 inclusions 17 inclusions 18 in 17 inclusions 27 transgene 17 inclusions 28 promotes 18 in 21 astroglia 19 cultured 20 rat 20 rat 21 astroglia 21 astroglia 23 2 25 )(the 27 transgene 26 hmox1 27 transgene 27 transgene 28 promotes 28 promotes 30 formation 28 promotes 31 in 29 ca 30 formation 31 in 39 and 32 the 33 brains 33 brains 34 of 33 brains 39 and 34 of 37 mice 35 aging 37 mice 36 gfap.hmox1 37 mice 39 and 42 )(brain 39 and 45 and 39 and 49 augmented 40 3 42 )(brain 43 mitochondrial 44 damage 44 damage 45 and 45 and 46 ca 45 and 47 biogenesis 45 and 48 are 45 and 49 augmented 47 biogenesis 48 are 49 augmented 50 in 49 augmented 52 with 50 in 51 persons 52 with 55 impairment 53 mild 55 impairment 54 cognitive 55 impairment 55 impairment 57 mci 55 impairment 61 harbinger 56 ( 57 mci 57 mci 58 ) 59 , 61 harbinger 60 a 61 harbinger 61 harbinger 62 of 61 harbinger 64 . 62 of 63 ad results : hmox1 transfection induced cytoplasmic vacuolation and the accumulation of pas+ inclusions in cultured astroglia . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 17 . 1 results 2 : 2 : 7 vacuolation 3 hmox1 5 induced 4 transfection 5 induced 5 induced 7 vacuolation 6 cytoplasmic 7 vacuolation 8 and 10 accumulation 8 and 13 inclusions 9 the 10 accumulation 10 accumulation 11 of 10 accumulation 13 inclusions 11 of 12 pas+ 13 inclusions 14 in 14 in 16 astroglia 15 cultured 16 astroglia numerous ca - like inclusions stained with pas and immunoreactive for ho - 1 , ub and mnsod were observed in the brains of gfap.hmox1 mice , but were rarely encountered in age - matched , wt controls . 0 ###LEFT-WALL### 2 ca 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 39 . 1 numerous 2 ca 3 - 17 and 3 - 28 but 3 - 36 , 4 like 9 and 4 like 15 , 4 like 17 and 5 inclusions 6 stained 5 inclusions 9 and 6 stained 7 with 7 with 8 pas 9 and 10 immunoreactive 9 and 11 for 9 and 14 1 11 for 12 ho 13 - 14 1 14 1 15 , 16 ub 17 and 17 and 18 mnsod 17 and 28 but 19 were 20 observed 19 were 28 but 20 observed 21 in 21 in 23 brains 22 the 23 brains 23 brains 24 of 24 of 26 mice 25 gfap.hmox1 26 mice 27 , 28 but 28 but 29 were 29 were 31 encountered 30 rarely 31 encountered 31 encountered 32 in 32 in 33 age 33 age 35 matched 34 - 35 matched 35 matched 36 , 36 , 38 controls 37 wt 38 controls numbers of ho - 1 - positive ca were significantly increased in certain hippocampal strata of mci subjects relative to nci preparations . 0 ###LEFT-WALL### 1 numbers 0 ###LEFT-WALL### 11 increased 0 ###LEFT-WALL### 23 . 1 numbers 2 of 1 numbers 8 ca 1 numbers 9 were 1 numbers 11 increased 2 of 3 ho 3 ho 5 1 4 - 5 1 5 1 6 - 7 positive 8 ca 8 ca 9 were 10 significantly 11 increased 11 increased 12 in 11 increased 18 subjects 12 in 15 strata 13 certain 15 strata 14 hippocampal 15 strata 15 strata 16 of 16 of 17 mci 18 subjects 19 relative 19 relative 20 to 20 to 22 preparations 21 nci 22 preparations mnsod and ub proteins co - localized to ca in both the control and [mci] specimens . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 5 co 1 mnsod 2 and 2 and 4 proteins 2 and 5 co 3 ub 4 proteins 5 co 7 localized 6 - 7 localized 7 localized 8 to 7 localized 10 in 7 localized 17 . 8 to 9 ca 10 in 14 and 11 both 14 and 12 the 13 control 13 control 14 and 14 and 16 specimens conclusions : ho - 1 promotes mitochondrial damage and ca biogenesis in astrocyte cultures and in the intact aging brain . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 1 conclusions 2 : 2 : 3 ho 3 ho 5 1 3 ho 6 promotes 4 - 5 1 5 1 6 promotes 6 promotes 9 and 6 promotes 15 and 7 mitochondrial 8 damage 8 damage 9 and 9 and 11 biogenesis 10 ca 11 biogenesis 12 in 14 cultures 12 in 15 and 13 astrocyte 14 cultures 15 and 16 in 16 in 20 brain 17 the 20 brain 18 intact 20 brain 19 aging 20 brain ca formation is enhanced in the [mci] hippocampus and thus occurs relatively early in the pathogenesis of ad . 0 ###LEFT-WALL### 2 formation 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 19 . 1 ca 2 formation 2 formation 9 and 3 is 4 enhanced 3 is 9 and 4 enhanced 5 in 5 in 8 hippocampus 6 the 8 hippocampus 9 and 11 occurs 9 and 13 early 9 and 14 in 10 thus 11 occurs 12 relatively 13 early 14 in 16 pathogenesis 15 the 16 pathogenesis 16 pathogenesis 17 of 17 of 18 ad glial ho - 1 suppression may attenuate bioenergetic failure and slow disease progression in ad and other neurodegenerative conditions featuring accelerated accumulation of ca . 0 ###LEFT-WALL### 2 ho 0 ###LEFT-WALL### 3 - 1 glial 2 ho 3 - 5 suppression 3 - 10 and 3 - 25 . 4 1 5 suppression 5 suppression 6 may 6 may 10 and 7 attenuate 9 failure 7 attenuate 10 and 8 bioenergetic 9 failure 10 and 11 slow 11 slow 13 progression 11 slow 14 in 12 disease 13 progression 14 in 16 and 15 ad 16 and 16 and 19 conditions 17 other 19 conditions 18 neurodegenerative 19 conditions 19 conditions 20 featuring 19 conditions 23 of 20 featuring 22 accumulation 21 accelerated 22 accumulation 23 of 24 ca whereas cigarette smoking ( cs [ )(and dysregulated complement are thought to play central roles in age - related macular degeneration ( amd ) , their exact roles are unknown . 0 ###LEFT-WALL### 28 roles 0 ###LEFT-WALL### 29 are 0 ###LEFT-WALL### 31 . 1 whereas 3 smoking 1 whereas 25 , 1 whereas 28 roles 2 cigarette 3 smoking 3 smoking 18 - 4 ( 18 - 5 cs 7 )(and 7 )(and 9 complement 7 )(and 10 are 8 dysregulated 9 complement 10 are 11 thought 11 thought 12 to 11 thought 17 age 11 thought 18 - 12 to 13 play 13 play 15 roles 13 play 16 in 14 central 15 roles 17 age 18 - 18 - 21 degeneration 18 - 25 , 19 related 21 degeneration 20 macular 21 degeneration 21 degeneration 23 amd 22 ( 23 amd 23 amd 24 ) 26 their 28 roles 27 exact 28 roles 28 roles 29 are 29 are 30 unknown the aim of this study was to determine if cs activates [complement] [and] [if] the antioxidant transcription factor nrf2 modulates this response . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 23 . 1 the 2 aim 2 aim 3 of 2 aim 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 8 determine 7 to 8 determine 8 determine 9 if 8 determine 19 nrf2 8 determine 20 modulates 9 if 10 cs 9 if 11 activates 10 cs 11 activates 11 activates 18 factor 15 the 18 factor 16 antioxidant 17 transcription 17 transcription 18 factor 19 nrf2 20 modulates 20 modulates 22 response 21 this 22 response in amd specimens , nrf2 immunolabeling was strong in the cytoplasm , with scattered nuclear labeling of macular retinal pigmented epithelial ( rpe ) cells that appeared normal , but was decreased [and] without nuclear labeling in dysmorphic cells overlying drusen , a hallmark amd lesion . 0 ###LEFT-WALL### 6 immunolabeling 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 42 , 0 ###LEFT-WALL### 47 . 1 in 3 specimens 1 in 4 , 1 in 6 immunolabeling 2 amd 3 specimens 5 nrf2 6 immunolabeling 6 immunolabeling 7 was 7 was 8 strong 8 strong 9 in 9 in 11 cytoplasm 10 the 11 cytoplasm 11 cytoplasm 13 with 12 , 13 with 13 with 16 labeling 13 with 42 , 14 scattered 16 labeling 15 nuclear 16 labeling 16 labeling 17 of 16 labeling 32 decreased 17 of 25 cells 18 macular 25 cells 19 retinal 25 cells 20 pigmented 25 cells 21 epithelial 23 rpe 21 epithelial 25 cells 22 ( 23 rpe 23 rpe 24 ) 25 cells 26 that 25 cells 31 was 26 that 30 but 27 appeared 28 normal 27 appeared 30 but 29 , 30 but 30 but 31 was 32 decreased 34 without 32 decreased 41 drusen 34 without 36 labeling 35 nuclear 36 labeling 36 labeling 37 in 37 in 39 cells 38 dysmorphic 39 cells 39 cells 40 overlying 42 , 46 lesion 43 a 46 lesion 44 hallmark 46 lesion 45 amd 46 lesion cigarette smoke extract ( cse ) induced nrf2 nuclear translocation in rpe cells with increased antioxidant and complement gene expression . 0 ###LEFT-WALL### 3 extract 0 ###LEFT-WALL### 7 induced 0 ###LEFT-WALL### 21 . 1 cigarette 2 smoke 2 smoke 3 extract 3 extract 5 cse 3 extract 7 induced 4 ( 5 cse 5 cse 6 ) 7 induced 10 translocation 7 induced 14 with 8 nrf2 10 translocation 9 nuclear 10 translocation 10 translocation 11 in 11 in 13 cells 12 rpe 13 cells 14 with 17 and 15 increased 16 antioxidant 16 antioxidant 17 and 17 and 20 expression 18 complement 20 expression 19 gene 20 expression whereas cfh protein was not altered by cse , the cell membrane regulator proteins cd46 , cd55 , and cd59 were decreased , and c3a and c3b , but not ic3b , were increased compared [to] controls . 0 ###LEFT-WALL### 3 protein 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 38 . 1 whereas 2 cfh 1 whereas 3 protein 3 protein 4 was 4 was 5 not 4 was 7 by 5 not 6 altered 7 by 8 cse 8 cse 15 cd46 9 , 15 cd46 10 the 14 proteins 11 cell 12 membrane 12 membrane 14 proteins 13 regulator 14 proteins 14 proteins 15 cd46 15 cd46 16 , 16 , 19 and 16 , 21 were 16 , 24 and 17 cd55 19 and 18 , 19 and 19 and 20 cd59 19 and 21 were 21 were 22 decreased 23 , 24 and 24 and 26 and 24 and 33 were 25 c3a 26 and 26 and 27 c3b 26 and 29 but 26 and 33 were 28 , 29 but 29 but 30 not 29 but 31 ic3b 29 but 32 , 33 were 37 controls 34 increased 37 controls 35 compared 37 controls c5b [-] 9 was increased by cse , but at sublytic levels , only after addition of normal human serum . 0 ###LEFT-WALL### 1 c5b 0 ###LEFT-WALL### 5 increased 0 ###LEFT-WALL### 21 . 1 c5b 3 9 1 c5b 4 was 4 was 5 increased 5 increased 6 by 5 increased 14 only 6 by 7 cse 7 cse 9 but 8 , 9 but 9 but 10 at 9 but 13 , 10 at 12 levels 11 sublytic 12 levels 14 only 15 after 15 after 16 addition 16 addition 17 of 17 of 20 serum 18 normal 20 serum 19 human 20 serum nrf2 knockdown enhanced the increase in c3a and c3b from cse , but not ic3b , c5a , or c5b - 9 . 0 ###LEFT-WALL### 19 or 0 ###LEFT-WALL### 21 - 1 nrf2 15 ic3b 2 knockdown 15 ic3b 3 enhanced 15 ic3b 4 the 5 increase 5 increase 6 in 5 increase 8 and 6 in 7 c3a 8 and 9 c3b 8 and 12 , 8 and 13 but 8 and 15 ic3b 9 c3b 10 from 10 from 11 cse 13 but 14 not 15 ic3b 16 , 16 , 17 c5a 16 , 19 or 18 , 19 or 19 or 20 c5b 21 - 22 9 21 - 23 . cse also increased il [-] 1b expression and secretion after c3a generation and was reduced by a c3ar antagonist . 0 ###LEFT-WALL### 1 cse 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 20 . 1 cse 13 and 2 also 3 increased 3 increased 8 and 3 increased 10 after 3 increased 13 and 4 il 7 expression 6 1b 7 expression 7 expression 8 and 8 and 9 secretion 10 after 12 generation 11 c3a 12 generation 13 and 14 was 14 was 15 reduced 15 reduced 16 by 16 by 19 antagonist 17 a 19 antagonist 18 c3ar 19 antagonist in contrast , the nrf2 activator cddo - im restored complement gene expression in rpe cells exposed to cse . 0 ###LEFT-WALL### 9 im 0 ###LEFT-WALL### 10 restored 0 ###LEFT-WALL### 20 . 1 in 2 contrast 1 in 9 im 2 contrast 7 cddo 3 , 7 cddo 4 the 7 cddo 5 nrf2 7 cddo 6 activator 7 cddo 7 cddo 8 - 9 im 10 restored 10 restored 13 expression 10 restored 14 in 10 restored 18 to 11 complement 13 expression 12 gene 13 expression 14 in 16 cells 15 rpe 16 cells 16 cells 17 exposed 18 to 19 cse we provide evidence of altered nrf2 in human amd and that cse induces a proinflammatory environment specifically by generating c3a and c3b , and nrf2 deficiency magnifies this specific complement response . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 provide 0 ###LEFT-WALL### 32 . 1 we 2 provide 2 provide 3 evidence 2 provide 7 in 3 evidence 4 of 4 of 6 nrf2 5 altered 6 nrf2 7 in 10 and 8 human 9 amd 9 amd 10 and 10 and 11 that 10 and 12 cse 10 and 19 generating 12 cse 13 induces 13 induces 16 environment 13 induces 17 specifically 13 induces 18 by 14 a 15 proinflammatory 14 a 16 environment 15 proinflammatory 16 environment 18 by 19 generating 19 generating 24 and 20 c3a 21 and 21 and 22 c3b 21 and 24 and 23 , 24 and 24 and 25 nrf2 24 and 26 deficiency 24 and 27 magnifies 26 deficiency 27 magnifies 27 magnifies 31 response 28 this 31 response 29 specific 30 complement 30 complement 31 response type 2 diabetes ( t2d ) is a major risk factor for late - onset alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 3 diabetes 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 22 . 1 type 2 2 1 type 3 diabetes 3 diabetes 5 t2d 3 diabetes 7 is 4 ( 5 t2d 5 t2d 6 ) 7 is 11 factor 8 a 11 factor 9 major 11 factor 10 risk 11 factor 11 factor 12 for 11 factor 20 ad 12 for 18 disease 13 late 14 - 13 late 15 onset 15 onset 16 alzheimer 16 alzheimer 17 's 17 's 18 disease 19 ( 20 ad 20 ad 21 ) a variety of metabolic changes related to t2d ( e.g [.] hyperinsulinemia , hyperglycemia , and elevated branched - chain amino acids [ )(have been proposed as mechanistic links , but the basis for this association remains unknown . 0 ###LEFT-WALL### 2 variety 0 ###LEFT-WALL### 18 branched 0 ###LEFT-WALL### 19 - 1 a 2 variety 2 variety 3 of 2 variety 18 branched 3 of 5 changes 4 metabolic 5 changes 5 changes 16 and 6 related 7 to 6 related 16 and 7 to 8 t2d 8 t2d 12 hyperinsulinemia 9 ( 12 hyperinsulinemia 10 e.g 12 hyperinsulinemia 12 hyperinsulinemia 14 hyperglycemia 12 hyperinsulinemia 15 , 13 , 14 hyperglycemia 14 hyperglycemia 15 , 16 and 17 elevated 19 - 22 acids 19 - 26 proposed 19 - 31 but 19 - 39 . 20 chain 22 acids 21 amino 22 acids 22 acids 24 )(have 24 )(have 25 been 25 been 26 proposed 26 proposed 27 as 27 as 29 links 28 mechanistic 29 links 30 , 31 but 31 but 33 basis 31 but 37 remains 32 the 33 basis 33 basis 34 for 33 basis 37 remains 34 for 36 association 35 this 36 association 37 remains 38 unknown retromer - dependent trafficking is implicated in the pathogenesis of ad , and two key retromer proteins , vps35 and vps26 , are deficient in the hippocampal formation of ad patients . 0 ###LEFT-WALL### 1 retromer 0 ###LEFT-WALL### 2 - 2 - 4 trafficking 2 - 6 implicated 2 - 13 and 2 - 32 . 3 dependent 4 trafficking 4 trafficking 5 is 5 is 6 implicated 6 implicated 7 in 7 in 9 pathogenesis 8 the 9 pathogenesis 9 pathogenesis 10 of 10 of 11 ad 12 , 13 and 13 and 17 proteins 13 and 23 are 14 two 17 proteins 15 key 16 retromer 16 retromer 17 proteins 17 proteins 20 and 17 proteins 23 are 18 , 20 and 19 vps35 20 and 20 and 21 vps26 20 and 22 , 23 are 24 deficient 24 deficient 25 in 25 in 28 formation 26 the 28 formation 27 hippocampal 28 formation 28 formation 29 of 29 of 31 patients 30 ad 31 patients we characterized vps35 levels in five different mouse models of t2d/obesity to identify specific metabolic factors that could affect retromer levels in the brain . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 characterized 0 ###LEFT-WALL### 25 . 1 we 2 characterized 2 characterized 4 levels 2 characterized 5 in 2 characterized 12 to 3 vps35 4 levels 5 in 9 models 6 five 9 models 7 different 8 mouse 8 mouse 9 models 9 models 10 of 10 of 11 t2d/obesity 12 to 13 identify 13 identify 16 factors 13 identify 22 in 14 specific 16 factors 15 metabolic 16 factors 16 factors 17 that 16 factors 18 could 17 that 18 could 18 could 19 affect 19 affect 21 levels 20 retromer 21 levels 22 in 24 brain 23 the 24 brain mouse models in which hyperleucinemia was present displayed hippocampus - selective retromer deficiency . 0 ###LEFT-WALL### 2 models 0 ###LEFT-WALL### 8 displayed 0 ###LEFT-WALL### 10 - 1 mouse 2 models 2 models 3 in 2 models 8 displayed 3 in 4 which 3 in 5 hyperleucinemia 3 in 6 was 5 hyperleucinemia 6 was 6 was 7 present 8 displayed 9 hippocampus 10 - 13 deficiency 10 - 14 . 11 selective 13 deficiency 12 retromer 13 deficiency wild - type lean mice fed a high leucine diet also developed hippocampal - selective retromer deficiency , and neuronal - like cells grown in high ambient leucine had reduced retromer complex proteins . 0 ###LEFT-WALL### 5 mice 0 ###LEFT-WALL### 6 fed 0 ###LEFT-WALL### 34 . 1 wild 2 - 1 wild 4 lean 3 type 4 lean 4 lean 5 mice 5 mice 6 fed 6 fed 10 diet 6 fed 22 like 7 a 10 diet 8 high 9 leucine 9 leucine 10 diet 10 diet 12 developed 10 diet 19 and 11 also 12 developed 12 developed 13 hippocampal 14 - 19 and 15 selective 17 deficiency 16 retromer 17 deficiency 17 deficiency 19 and 18 , 19 and 19 and 20 neuronal 19 and 21 - 22 like 23 cells 23 cells 24 grown 23 cells 28 leucine 23 cells 32 complex 24 grown 25 in 26 high 28 leucine 27 ambient 28 leucine 28 leucine 29 had 29 had 31 retromer 29 had 32 complex 30 reduced 31 retromer 32 complex 33 proteins our results suggest that hyperleucinemia may account , [in] part , for the association of insulin resistance/t2 [d] with ad . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 8 , 1 our 2 results 2 results 8 , 3 suggest 4 that 3 suggest 8 , 4 that 5 hyperleucinemia 4 that 7 account 5 hyperleucinemia 6 may 6 may 7 account 8 , 10 part 10 part 12 for 11 , 12 for 12 for 14 association 12 for 21 . 13 the 14 association 14 association 15 of 15 of 16 insulin 16 insulin 17 resistance/t2 17 resistance/t2 19 with 19 with 20 ad beta oscillations are involved [in] movement and have previously been linked to levels of the inhibitory neurotransmitter gaba . 0 ###LEFT-WALL### 2 oscillations 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 19 . 1 beta 2 oscillations 2 oscillations 3 are 3 are 7 and 4 involved 6 movement 4 involved 7 and 7 and 8 have 8 have 10 been 9 previously 10 been 10 been 11 linked 11 linked 12 to 12 to 13 levels 13 levels 14 of 14 of 18 gaba 15 the 17 neurotransmitter 16 inhibitory 17 neurotransmitter 17 neurotransmitter 18 gaba we examined changes in beta oscillations during rest and movement [in] primary motor cortex ( m1 ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 18 . 1 we 2 examined 2 examined 3 changes 2 examined 4 in 2 examined 7 during 4 in 6 oscillations 5 beta 6 oscillations 7 during 9 and 8 rest 9 and 9 and 14 cortex 9 and 16 m1 10 movement 14 cortex 12 primary 13 motor 13 motor 14 cortex 15 ( 16 m1 16 m1 17 ) amplitude and frequency of beta power at rest and movement - related beta desynchronization ( mrbd ) were measured during a simple unimanual grip task and their relationship with age was explored in a group of healthy participants . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 18 were 0 ###LEFT-WALL### 26 and 0 ###LEFT-WALL### 39 . 1 amplitude 2 and 2 and 3 frequency 2 and 4 of 2 and 7 at 2 and 18 were 4 of 6 power 5 beta 6 power 7 at 9 and 8 rest 9 and 9 and 10 movement 11 - 12 related 12 related 14 desynchronization 12 related 18 were 13 beta 14 desynchronization 14 desynchronization 16 mrbd 15 ( 16 mrbd 16 mrbd 17 ) 18 were 19 measured 19 measured 20 during 20 during 25 task 21 a 22 simple 21 a 25 task 22 simple 24 grip 23 unimanual 24 grip 24 grip 25 task 26 and 28 relationship 26 and 32 explored 27 their 28 relationship 28 relationship 29 with 28 relationship 31 was 29 with 30 age 31 was 32 explored 32 explored 33 in 33 in 35 group 34 a 35 group 35 group 36 of 36 of 38 participants 37 healthy 38 participants we were able to show that at rest , increasing age was associated with greater baseline beta power in m1 contralateral to the active hand , with a similar [(] [non] - significant ) trend in ipsilateral m1 . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 were 1 we 2 were 2 were 3 able 3 able 4 to 3 able 5 show 4 to 5 show 5 show 6 that 6 that 11 age 6 that 13 associated 7 at 8 rest 7 at 9 , 7 at 11 age 10 increasing 11 age 11 age 12 was 12 was 13 associated 13 associated 14 with 13 associated 21 contralateral 14 with 18 power 15 greater 18 power 16 baseline 18 power 17 beta 18 power 18 power 19 in 19 in 20 m1 21 contralateral 22 to 21 contralateral 27 with 22 to 25 hand 23 the 25 hand 24 active 25 hand 26 , 27 with 27 with 35 trend 27 with 39 . 28 a 29 similar 28 a 35 trend 29 similar 32 - 29 similar 35 trend 33 significant 34 ) 33 significant 35 trend 35 trend 36 in 36 in 38 m1 37 ipsilateral 38 m1 during movement , increasing age was associated with increased mrbd amplitude in ipsilateral m1 and reduced frequency ( in contralateral and ipsilateral m1 ) . 0 ###LEFT-WALL### 4 increasing 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 25 . 1 during 2 movement 1 during 3 , 1 during 4 increasing 4 increasing 5 age 4 increasing 15 and 6 was 7 associated 6 was 15 and 7 associated 8 with 7 associated 12 in 8 with 11 amplitude 9 increased 11 amplitude 10 mrbd 11 amplitude 12 in 14 m1 13 ipsilateral 14 m1 15 and 16 reduced 15 and 19 in 16 reduced 17 frequency 18 ( 19 in 19 in 23 m1 19 in 24 ) 20 contralateral 21 and 21 and 22 ipsilateral 21 and 23 m1 these findings would be consistent with greater gabaergic inhibitory activity within motor cortices of older subjects . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 4 be 0 ###LEFT-WALL### 17 . 1 these 2 findings 2 findings 3 would 3 would 4 be 4 be 5 consistent 5 consistent 6 with 5 consistent 11 within 6 with 8 gabaergic 6 with 10 activity 7 greater 8 gabaergic 9 inhibitory 10 activity 11 within 13 cortices 12 motor 13 cortices 13 cortices 14 of 14 of 16 subjects 15 older 16 subjects these oscillatory parameters have the potential to reveal changes in the excitatory - inhibitory balance in m1 which in turn may be a useful marker of plasticity in the brain , both in healthy ageing and disease . 0 ###LEFT-WALL### 3 parameters 0 ###LEFT-WALL### 4 have 0 ###LEFT-WALL### 31 , 0 ###LEFT-WALL### 38 . 1 these 3 parameters 2 oscillatory 3 parameters 3 parameters 4 have 4 have 6 potential 4 have 7 to 5 the 6 potential 7 to 8 reveal 8 reveal 9 changes 9 changes 10 in 9 changes 15 balance 10 in 12 excitatory 11 the 12 excitatory 13 - 15 balance 14 inhibitory 15 balance 15 balance 16 in 15 balance 18 which 15 balance 21 may 15 balance 31 , 16 in 17 m1 18 which 20 turn 18 which 21 may 19 in 20 turn 21 may 22 be 22 be 25 marker 23 a 25 marker 24 useful 25 marker 25 marker 26 of 26 of 27 plasticity 27 plasticity 28 in 28 in 30 brain 29 the 30 brain 31 , 36 and 32 both 33 in 32 both 36 and 33 in 35 ageing 34 healthy 35 ageing 36 and 37 disease amyloid β - protein ( aβ ) aggregation is considered to be a critical step in the neurodegeneration of alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 8 aggregation 0 ###LEFT-WALL### 10 considered 0 ###LEFT-WALL### 26 . 1 amyloid 8 aggregation 2 β 4 protein 2 β 7 ) 2 β 8 aggregation 3 - 4 protein 4 protein 6 aβ 4 protein 7 ) 5 ( 6 aβ 6 aβ 7 ) 8 aggregation 9 is 9 is 10 considered 10 considered 11 to 10 considered 12 be 11 to 12 be 12 be 15 step 13 a 14 critical 13 a 15 step 14 critical 15 step 15 step 16 in 15 step 19 of 16 in 18 neurodegeneration 17 the 18 neurodegeneration 19 of 22 disease 20 alzheimer 21 's 21 's 22 disease 22 disease 24 ad 23 ( 24 ad 24 ad 25 ) in addition to aβ , many proteins aggregate into the amyloid state , in which they form elongated fibers with spines comprising stranded β - sheets . 0 ###LEFT-WALL### 2 addition 0 ###LEFT-WALL### 18 elongated 0 ###LEFT-WALL### 25 - 0 ###LEFT-WALL### 27 . 1 in 2 addition 2 addition 3 to 2 addition 14 in 2 addition 18 elongated 3 to 4 aβ 4 aβ 6 many 5 , 6 many 6 many 7 proteins 6 many 8 aggregate 6 many 9 into 6 many 13 , 7 proteins 8 aggregate 9 into 12 state 10 the 12 state 11 amyloid 12 state 14 in 15 which 14 in 16 they 14 in 17 form 16 they 17 form 18 elongated 19 fibers 18 elongated 20 with 20 with 21 spines 21 spines 22 comprising 22 comprising 24 β 23 stranded 24 β 25 - 26 sheets however , the cross [-] seeding effects of other protein aggregates on aβ aggregation pathways are not completely clear . 0 ###LEFT-WALL### 4 cross 0 ###LEFT-WALL### 11 aggregates 0 ###LEFT-WALL### 20 . 1 however 2 , 1 however 4 cross 3 the 4 cross 4 cross 6 seeding 4 cross 8 of 4 cross 11 aggregates 6 seeding 7 effects 8 of 10 protein 9 other 10 protein 11 aggregates 12 on 12 on 13 aβ 13 aβ 15 pathways 13 aβ 19 clear 14 aggregation 15 pathways 15 pathways 16 are 16 are 17 not 16 are 19 clear 18 completely 19 clear to investigate the cross - seeding effects of exogenous and human [non] - cns amyloidogenic proteins on aβ aggregation pathways , we examined whether and how sonicated fibrils of casein , fibroin , sericin , actin , and islet amyloid polypeptide affected aβ40 and aβ42 aggregation pathways using the thioflavin t assay and electron microscopy . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 investigate 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 56 . 1 to 2 investigate 2 investigate 4 cross 3 the 4 cross 5 - 22 we 5 - 23 examined 5 - 31 , 5 - 42 affected 6 seeding 7 effects 6 seeding 21 , 6 seeding 22 we 7 effects 8 of 8 of 10 and 9 exogenous 10 and 10 and 11 human 10 and 16 proteins 13 - 16 proteins 14 cns 16 proteins 15 amyloidogenic 16 proteins 16 proteins 17 on 16 proteins 21 , 17 on 20 pathways 18 aβ 20 pathways 19 aggregation 20 pathways 22 we 23 examined 23 examined 25 and 23 examined 27 sonicated 24 whether 25 and 25 and 26 how 25 and 27 sonicated 27 sonicated 28 fibrils 28 fibrils 29 of 29 of 30 casein 31 , 38 and 32 fibroin 33 , 33 , 34 sericin 33 , 35 , 35 , 36 actin 35 , 38 and 37 , 38 and 38 and 39 islet 38 and 41 polypeptide 38 and 42 affected 40 amyloid 41 polypeptide 41 polypeptide 42 affected 42 affected 55 microscopy 43 aβ40 44 and 44 and 47 pathways 44 and 48 using 44 and 55 microscopy 45 aβ42 46 aggregation 46 aggregation 47 pathways 48 using 53 and 49 the 52 assay 50 thioflavin 51 t 50 thioflavin 52 assay 52 assay 53 and 53 and 54 electron interestingly , the fibrillar seeds of all amyloidogenic proteins functioned as seeds . 0 ###LEFT-WALL### 5 seeds 0 ###LEFT-WALL### 10 functioned 0 ###LEFT-WALL### 13 . 1 interestingly 2 , 1 interestingly 5 seeds 3 the 5 seeds 4 fibrillar 5 seeds 5 seeds 6 of 5 seeds 10 functioned 6 of 9 proteins 7 all 9 proteins 8 amyloidogenic 9 proteins 10 functioned 11 as 11 as 12 seeds the cross - seeding effect of actin was stronger but that of fibroin was weaker than that of other proteins . 0 ###LEFT-WALL### 2 cross 0 ###LEFT-WALL### 3 - 1 the 2 cross 3 - 4 seeding 3 - 8 was 3 - 10 but 3 - 21 . 4 seeding 5 effect 4 seeding 8 was 5 effect 6 of 6 of 7 actin 8 was 9 stronger 10 but 11 that 10 but 14 was 11 that 12 of 11 that 14 was 12 of 13 fibroin 14 was 15 weaker 15 weaker 16 than 16 than 17 that 16 than 18 of 18 of 20 proteins 19 other 20 proteins furthermore , our nuclear magnetic resonance spectroscopic studies identified the binding sites of aβ with the amyloidogenic proteins . 0 ###LEFT-WALL### 8 studies 0 ###LEFT-WALL### 9 identified 0 ###LEFT-WALL### 19 . 1 furthermore 2 , 1 furthermore 8 studies 3 our 8 studies 4 nuclear 6 resonance 5 magnetic 6 resonance 6 resonance 8 studies 7 spectroscopic 8 studies 8 studies 9 identified 9 identified 12 sites 9 identified 15 with 10 the 12 sites 11 binding 12 sites 12 sites 13 of 13 of 14 aβ 15 with 18 proteins 16 the 18 proteins 17 amyloidogenic 18 proteins our results indicate that the amyloidogenic proteins , including those contained in foods and cosmetics , contribute to aβ aggregation by binding to aβ , suggesting their possible roles in the propagation of aβ amyloidosis . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 indicate 1 our 2 results 2 results 3 indicate 3 indicate 4 that 4 that 7 proteins 4 that 17 contribute 5 the 7 proteins 6 amyloidogenic 7 proteins 7 proteins 9 including 7 proteins 17 contribute 8 , 9 including 9 including 14 and 9 including 16 , 10 those 11 contained 10 those 14 and 11 contained 12 in 12 in 13 foods 14 and 15 cosmetics 17 contribute 18 to 17 contribute 21 by 18 to 20 aggregation 19 aβ 20 aggregation 21 by 22 binding 22 binding 23 to 23 to 24 aβ 24 aβ 26 suggesting 25 , 26 suggesting 26 suggesting 29 roles 26 suggesting 30 in 26 suggesting 36 . 27 their 29 roles 28 possible 29 roles 30 in 32 propagation 31 the 32 propagation 32 propagation 33 of 33 of 35 amyloidosis 34 aβ 35 amyloidosis nk cells represent an important component of the innate immune response against infection and tumors . 0 ###LEFT-WALL### 2 cells 0 ###LEFT-WALL### 3 represent 0 ###LEFT-WALL### 16 . 1 nk 2 cells 2 cells 3 represent 3 represent 6 component 3 represent 12 against 4 an 5 important 4 an 6 component 5 important 6 component 6 component 7 of 7 of 11 response 8 the 11 response 9 innate 11 response 10 immune 11 response 12 against 14 and 13 infection 14 and 14 and 15 tumors age - associated changes in nk [cell] [phenotype] have [been] previously reported that can be [responsible] of functional nk cell deficiency . 0 ###LEFT-WALL### 4 changes 0 ###LEFT-WALL### 12 reported 0 ###LEFT-WALL### 22 . 1 age 2 - 1 age 4 changes 3 associated 4 changes 4 changes 5 in 4 changes 9 have 5 in 6 nk 9 have 12 reported 11 previously 12 reported 12 reported 13 that 12 reported 15 be 13 that 14 can 14 can 15 be 15 be 17 of 17 of 21 deficiency 18 functional 20 cell 19 nk 20 cell 20 cell 21 deficiency our results show that [cmv] seropositivity in young individuals does not significantly affect peripheral blood nk cell percentage [and] nk cell subsets defined by the use of cd56 and cd16 markers . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 32 . 1 our 2 results 2 results 3 show 3 show 4 that 4 that 6 seropositivity 4 that 13 affect 6 seropositivity 7 in 6 seropositivity 10 does 7 in 9 individuals 8 young 9 individuals 10 does 11 not 10 does 13 affect 12 significantly 13 affect 13 affect 22 subsets 13 affect 24 by 14 peripheral 22 subsets 15 blood 17 cell 16 nk 17 cell 17 cell 21 cell 18 percentage 21 cell 20 nk 21 cell 21 cell 22 subsets 22 subsets 23 defined 24 by 26 use 25 the 26 use 26 use 27 of 27 of 29 and 28 cd56 29 and 29 and 31 markers 30 cd16 31 markers in contrast a significant increase in the percentage of nk cells is observed in elderly donors , all of them are [cmv] seropositive , when compared with young [cmv] seropositive subjects . 0 ###LEFT-WALL### 5 increase 0 ###LEFT-WALL### 13 observed 0 ###LEFT-WALL### 17 , 1 in 2 contrast 1 in 5 increase 3 a 4 significant 3 a 5 increase 4 significant 5 increase 5 increase 6 in 5 increase 12 is 6 in 8 percentage 7 the 8 percentage 8 percentage 9 of 9 of 11 cells 10 nk 11 cells 12 is 13 observed 13 observed 14 in 14 in 16 donors 15 elderly 16 donors 17 , 20 them 17 , 21 are 18 all 19 of 18 all 20 them 19 of 20 them 20 them 21 are 21 are 23 seropositive 23 seropositive 25 when 24 , 25 when 25 when 26 compared 25 when 32 . 26 compared 27 with 27 with 31 subjects 28 young 31 subjects 30 seropositive 31 subjects a decrease in the percentage of cd56bright nk cells , either fully immature cd16 negative or cd16+ and an increase in the cd56 - cd16+ subset are also found in the elderly . 0 ###LEFT-WALL### 16 or 0 ###LEFT-WALL### 29 found 0 ###LEFT-WALL### 33 . 1 a 2 decrease 2 decrease 3 in 2 decrease 6 of 2 decrease 10 , 3 in 5 percentage 4 the 5 percentage 6 of 9 cells 7 cd56bright 8 nk 8 nk 9 cells 10 , 15 negative 10 , 16 or 11 either 15 negative 12 fully 13 immature 13 immature 15 negative 14 cd16 15 negative 16 or 26 subset 16 or 27 are 17 cd16+ 18 and 18 and 20 increase 18 and 24 - 18 and 26 subset 19 an 20 increase 20 increase 21 in 21 in 23 cd56 22 the 23 cd56 25 cd16+ 26 subset 27 are 28 also 27 are 29 found 29 found 30 in 30 in 32 elderly 31 the 32 elderly [cmv] seropositivity [either] in healthy young or elderly individuals is associated to the expression of cd94/nkg2c dimers and high expression of [cd57on] the cd56dimcd16+ nk cell subset . 0 ###LEFT-WALL### 2 seropositivity 0 ###LEFT-WALL### 11 associated 0 ###LEFT-WALL### 28 . 2 seropositivity 4 in 2 seropositivity 10 is 4 in 9 individuals 5 healthy 6 young 5 healthy 7 or 7 or 8 elderly 7 or 9 individuals 10 is 11 associated 11 associated 12 to 12 to 18 and 13 the 14 expression 14 expression 15 of 14 expression 18 and 15 of 17 dimers 16 cd94/nkg2c 17 dimers 18 and 20 expression 18 and 21 of 19 high 20 expression 21 of 27 subset 23 the 27 subset 24 cd56dimcd16+ 27 subset 25 nk 27 subset 26 cell 27 subset cd56 - cd16+ nk cells , which are expanded in the elderly , show a decreased expression of granzymes a and [b] [and] an increased expression of cd94/nkg2c and cd57 in cmv seropositive young donors when compared with cmv seronegative young individuals . 0 ###LEFT-WALL### 5 cells 0 ###LEFT-WALL### 14 show 0 ###LEFT-WALL### 43 . 1 cd56 2 - 1 cd56 5 cells 3 cd16+ 5 cells 4 nk 5 cells 5 cells 7 which 5 cells 14 show 6 , 7 which 7 which 8 are 7 which 13 , 8 are 9 expanded 9 expanded 10 in 10 in 12 elderly 11 the 12 elderly 14 show 17 expression 14 show 29 and 14 show 36 when 15 a 17 expression 16 decreased 17 expression 17 expression 18 of 17 expression 27 of 18 of 21 and 19 granzymes 20 a 19 granzymes 21 and 21 and 26 expression 24 an 26 expression 25 increased 26 expression 27 of 28 cd94/nkg2c 29 and 30 cd57 29 and 35 donors 30 cd57 31 in 31 in 32 cmv 33 seropositive 35 donors 34 young 35 donors 36 when 37 compared 37 compared 38 with 38 with 39 cmv 38 with 42 individuals 40 seronegative 42 individuals 41 young 42 individuals these results indicate that [cmv] and age have a different effect [on] nk cell phenotype and emphasize the relevance of including the determination of cmv serostatus in those studies addressed to analyze the immune response in the elderly . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 39 . 1 these 2 results 2 results 16 and 3 indicate 6 and 3 indicate 8 have 3 indicate 16 and 4 that 6 and 6 and 7 age 6 and 8 have 8 have 15 phenotype 9 a 15 phenotype 10 different 11 effect 11 effect 14 cell 13 nk 14 cell 14 cell 15 phenotype 16 and 17 emphasize 16 and 26 serostatus 17 emphasize 19 relevance 18 the 19 relevance 19 relevance 20 of 20 of 21 including 21 including 23 determination 22 the 23 determination 23 determination 24 of 24 of 25 cmv 26 serostatus 27 in 26 serostatus 36 in 27 in 29 studies 28 those 29 studies 29 studies 30 addressed 30 addressed 31 to 31 to 32 analyze 32 analyze 35 response 33 the 35 response 34 immune 35 response 36 in 38 elderly 37 the 38 elderly background aims : flap [necrosis] is the most commonly encountered outcome influencing the effect of operations in clinical practice . 0 ###LEFT-WALL### 2 aims 0 ###LEFT-WALL### 3 : 1 background 2 aims 3 : 4 flap 3 : 6 is 3 : 20 . 4 flap 6 is 6 is 12 influencing 6 is 14 effect 7 the 8 most 8 most 12 influencing 9 commonly 10 encountered 10 encountered 11 outcome 11 outcome 12 influencing 13 the 14 effect 14 effect 15 of 15 of 16 operations 16 operations 17 in 17 in 19 practice 18 clinical 19 practice the advent of cytotherapy and regenerative medicine with stem cells , especially adipose - derived stem cell therapy , appears to be a promising approach in providing multi - lineage differentiating cells . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 22 be 0 ###LEFT-WALL### 33 . 1 the 2 advent 2 advent 3 of 2 advent 5 and 3 of 4 cytotherapy 5 and 7 medicine 5 and 8 with 6 regenerative 7 medicine 8 with 10 cells 9 stem 10 cells 11 , 13 adipose 11 , 20 appears 12 especially 13 adipose 13 adipose 18 therapy 13 adipose 20 appears 14 - 18 therapy 15 derived 16 stem 16 stem 18 therapy 17 cell 18 therapy 18 therapy 19 , 20 appears 21 to 21 to 22 be 22 be 25 approach 22 be 26 in 23 a 24 promising 23 a 25 approach 24 promising 25 approach 26 in 27 providing 27 providing 30 lineage 28 multi 29 - 28 multi 30 lineage 30 lineage 31 differentiating 31 differentiating 32 cells however , autologous stem cells are limited in both [quantity] and quality in aging individuals . 0 ###LEFT-WALL### 5 cells 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 16 . 1 however 2 , 1 however 5 cells 3 autologous 4 stem 4 stem 5 cells 5 cells 6 are 6 are 7 limited 7 limited 8 in 7 limited 13 in 8 in 11 and 9 both 11 and 11 and 12 quality 13 in 14 aging 14 aging 15 individuals hence , xenogenic stem cell therapy was used in this study . 0 ###LEFT-WALL### 6 therapy 0 ###LEFT-WALL### 8 used 0 ###LEFT-WALL### 12 . 1 hence 2 , 1 hence 6 therapy 3 xenogenic 4 stem 4 stem 6 therapy 5 cell 6 therapy 6 therapy 7 was 7 was 8 used 8 used 9 in 9 in 11 study 10 this 11 study methods : random pattern flaps ( 6 cm × 2 [cm] ) were prepared in a rabbit model transplanted either with 4 × 10 ( 5 ) human adipose - derived stem cells at five sites or equal volumes of dulbecco 's modified eagle 's medium . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 47 . 2 : 5 flaps 2 : 13 were 2 : 30 - 2 : 37 or 3 random 4 pattern 4 pattern 5 flaps 5 flaps 9 × 5 flaps 13 were 6 ( 9 × 7 6 8 cm 8 cm 9 × 9 × 10 2 9 × 12 ) 13 were 14 prepared 14 prepared 15 in 14 prepared 21 with 15 in 18 model 16 a 18 model 17 rabbit 18 model 18 model 19 transplanted 19 transplanted 20 either 21 with 23 × 21 with 29 adipose 22 4 23 × 23 × 24 10 23 × 26 5 25 ( 26 5 26 5 27 ) 28 human 29 adipose 30 - 31 derived 30 - 32 stem 31 derived 32 stem 32 stem 33 cells 33 cells 34 at 34 at 36 sites 35 five 36 sites 37 or 41 dulbecco 37 or 42 's 38 equal 39 volumes 39 volumes 40 of 39 volumes 41 dulbecco 40 of 41 dulbecco 41 dulbecco 42 's 42 's 43 modified 43 modified 46 medium 44 eagle 45 's 45 's 46 medium at 7 days after operation , the viability of the flaps from both groups was evaluated . 0 ###LEFT-WALL### 8 viability 0 ###LEFT-WALL### 16 evaluated 0 ###LEFT-WALL### 17 . 1 at 3 days 1 at 6 , 1 at 8 viability 2 7 3 days 3 days 4 after 4 after 5 operation 7 the 8 viability 8 viability 9 of 8 viability 15 was 9 of 11 flaps 10 the 11 flaps 11 flaps 12 from 12 from 14 groups 13 both 14 groups 15 was 16 evaluated we determined the numbers of locally infiltrating t [cells] , whereas the cd4/cd8 ratio [,] interferon , interleukin ( il ) - 2 , il - 4 and il - 10 in the serum were determined to evaluate the immunological response of the rabbit . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 determined 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 45 . 1 we 2 determined 2 determined 4 numbers 3 the 4 numbers 4 numbers 5 of 5 of 7 infiltrating 6 locally 7 infiltrating 7 infiltrating 8 t 10 , 31 10 10 , 35 were 11 whereas 16 interferon 11 whereas 31 10 12 the 16 interferon 13 cd4/cd8 14 ratio 14 ratio 16 interferon 16 interferon 18 interleukin 16 interferon 25 il 17 , 18 interleukin 18 interleukin 20 il 18 interleukin 23 2 18 interleukin 24 , 19 ( 20 il 20 il 21 ) 22 - 23 2 23 2 24 , 24 , 25 il 25 il 29 il 25 il 30 - 26 - 29 il 27 4 28 and 28 and 29 il 29 il 30 - 31 10 32 in 31 10 35 were 32 in 34 serum 33 the 34 serum 35 were 36 determined 36 determined 37 to 36 determined 38 evaluate 37 to 38 evaluate 38 evaluate 41 response 39 the 41 response 40 immunological 41 response 41 response 42 of 42 of 44 rabbit 43 the 44 rabbit moreover , dil labeling was administrated to trace the homing of the transplanted stem cells . 0 ###LEFT-WALL### 4 labeling 0 ###LEFT-WALL### 6 administrated 0 ###LEFT-WALL### 16 . 1 moreover 2 , 1 moreover 4 labeling 3 dil 4 labeling 4 labeling 5 was 5 was 6 administrated 6 administrated 7 to 7 to 8 trace 8 trace 10 homing 9 the 10 homing 10 homing 11 of 11 of 15 cells 12 the 15 cells 13 transplanted 14 stem 14 stem 15 cells results : both the survival areas and the capillary number of the flaps that were injected with human adipose - derived stem cells significantly increased as compared with the control group ( p < 0.05 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 27 compared 0 ###LEFT-WALL### 37 . 1 results 2 : 2 : 3 both 3 both 4 the 3 both 6 areas 4 the 6 areas 5 survival 6 areas 7 and 10 number 7 and 25 increased 8 the 10 number 9 capillary 10 number 10 number 11 of 10 number 14 that 10 number 15 were 10 number 22 stem 11 of 13 flaps 12 the 13 flaps 14 that 15 were 15 were 16 injected 16 injected 17 with 16 injected 20 - 16 injected 21 derived 17 with 19 adipose 18 human 19 adipose 23 cells 25 increased 24 significantly 25 increased 25 increased 26 as 26 as 27 compared 27 compared 28 with 27 compared 34 < 28 with 31 group 29 the 31 group 30 control 31 group 32 ( 34 < 33 p 34 < 34 < 35 0.05 34 < 36 ) additionally , no significant difference in the immune response was detected between the groups . 0 ###LEFT-WALL### 5 difference 0 ###LEFT-WALL### 11 detected 0 ###LEFT-WALL### 15 . 1 additionally 2 , 1 additionally 5 difference 3 no 5 difference 4 significant 5 difference 5 difference 6 in 5 difference 10 was 6 in 9 response 7 the 9 response 8 immune 9 response 10 was 11 detected 11 detected 12 between 12 between 14 groups 13 the 14 groups dil - labeled stem cells were found to participate in the formation of tubular structures , which were further shown to be cd31+ , [although] not [predominantly] . 0 ###LEFT-WALL### 5 cells 0 ###LEFT-WALL### 7 found 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 28 . 1 dil 2 - 1 dil 5 cells 3 labeled 4 stem 4 stem 5 cells 5 cells 6 were 6 were 7 found 7 found 8 to 8 to 9 participate 9 participate 10 in 10 in 12 formation 11 the 12 formation 12 formation 13 of 13 of 15 structures 14 tubular 15 structures 16 , 17 which 16 , 20 shown 16 , 24 , 17 which 18 were 18 were 20 shown 19 further 20 shown 20 shown 21 to 21 to 22 be 22 be 23 cd31+ 24 , 26 not conclusions : human adipose - derived stem cells could be used therapeutically to improve the viability of random pattern flaps without detection of serious immune rejection of stem cells . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 10 be 0 ###LEFT-WALL### 30 . 1 conclusions 2 : 2 : 4 adipose 3 human 4 adipose 5 - 10 be 6 derived 7 stem 7 stem 8 cells 8 cells 9 could 9 could 10 be 10 be 11 used 11 used 13 to 11 used 14 improve 12 therapeutically 13 to 13 to 14 improve 14 improve 16 viability 15 the 16 viability 16 viability 17 of 16 viability 21 without 16 viability 23 of 17 of 20 flaps 18 random 19 pattern 19 pattern 20 flaps 21 without 22 detection 23 of 26 rejection 24 serious 26 rejection 25 immune 26 rejection 26 rejection 27 of 27 of 29 cells 28 stem 29 cells the yam tuber is a traditional chinese medicine used in long - term treatment as a juvenescent substance . 0 ###LEFT-WALL### 3 tuber 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 19 . 1 the 3 tuber 2 yam 3 tuber 3 tuber 4 is 4 is 8 medicine 5 a 6 traditional 5 a 8 medicine 6 traditional 8 medicine 7 chinese 8 medicine 8 medicine 9 used 9 used 10 in 9 used 15 as 10 in 14 treatment 11 long 12 - 11 long 13 term 13 term 14 treatment 15 as 18 substance 16 a 18 substance 17 juvenescent 18 substance the purified yam tuber 's major water - soluble protein , dioscorin , and its protease hydrolysates have been reported to have several biological activities . 0 ###LEFT-WALL### 7 water 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 26 . 1 the 4 tuber 2 purified 3 yam 3 yam 4 tuber 4 tuber 5 's 5 's 7 water 6 major 7 water 8 - 10 protein 8 - 11 , 9 soluble 10 protein 11 , 12 dioscorin 11 , 14 and 13 , 14 and 14 and 17 hydrolysates 14 and 20 reported 15 its 17 hydrolysates 16 protease 17 hydrolysates 17 hydrolysates 18 have 18 have 19 been 19 been 20 reported 20 reported 21 to 20 reported 22 have 21 to 22 have 22 have 25 activities 23 several 25 activities 24 biological 25 activities in this study , d - galactose ( gal ) was subcutaneously injected into the dorsal necks of balb/c mice daily for 10 weeks ( gal [group] ) to induce oxidative stress . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 13 injected 0 ###LEFT-WALL### 33 . 1 in 2 this 1 in 3 study 3 study 6 - 3 study 11 was 4 , 6 - 5 d 6 - 6 - 7 galactose 6 - 10 ) 7 galactose 9 gal 8 ( 9 gal 9 gal 10 ) 11 was 12 subcutaneously 11 was 13 injected 13 injected 14 into 13 injected 29 to 14 into 17 necks 15 the 17 necks 16 dorsal 17 necks 17 necks 18 of 18 of 20 mice 19 balb/c 20 mice 20 mice 21 daily 20 mice 26 gal 21 daily 22 for 22 for 24 weeks 23 10 24 weeks 25 ( 26 gal 26 gal 28 ) 29 to 30 induce 30 induce 32 stress 31 oxidative 32 stress by the fifth week , 20 or 80 [mg] [dioscorin/kg] [was] orally administered daily combined with a daily gal injection until the end of the study . 0 ###LEFT-WALL### 7 or 0 ###LEFT-WALL### 15 combined 0 ###LEFT-WALL### 27 . 1 by 4 week 1 by 5 , 1 by 7 or 2 the 3 fifth 2 the 4 week 6 20 7 or 7 or 8 80 7 or 13 administered 7 or 15 combined 12 orally 13 administered 14 daily 15 combined 15 combined 16 with 15 combined 21 until 16 with 20 injection 17 a 20 injection 18 daily 20 injection 19 gal 20 injection 21 until 23 end 22 the 23 end 23 end 24 of 24 of 26 study 25 the 26 study the plasma malondialdehyde ( mda ) level and advanced glycation end - products obtained after dioscorin oral administrations were lower compared to the gal group . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 11 end 0 ###LEFT-WALL### 12 - 1 the 7 level 2 plasma 7 level 3 malondialdehyde 5 mda 3 malondialdehyde 6 ) 3 malondialdehyde 7 level 4 ( 5 mda 5 mda 6 ) 7 level 8 and 8 and 10 glycation 8 and 11 end 9 advanced 10 glycation 12 - 13 products 12 - 25 group 12 - 26 . 13 products 14 obtained 13 products 25 group 14 obtained 15 after 14 obtained 22 to 15 after 18 administrations 15 after 21 compared 16 dioscorin 18 administrations 17 oral 18 administrations 18 administrations 19 were 19 were 20 lower 19 were 21 compared 22 to 24 gal 23 the 24 gal in addition , the latency and swimming distance in the mice that received dioscorin administration were significantly improved compared to the gal group in the morris water maze . 0 ###LEFT-WALL### 23 group 0 ###LEFT-WALL### 29 . 1 in 6 and 1 in 23 group 2 addition 3 , 3 , 5 latency 3 , 6 and 4 the 5 latency 6 and 8 distance 6 and 9 in 6 and 18 improved 6 and 20 to 7 swimming 8 distance 9 in 11 mice 10 the 11 mice 11 mice 12 that 11 mice 13 received 12 that 13 received 13 received 14 dioscorin 14 dioscorin 15 administration 14 dioscorin 16 were 15 administration 16 were 17 significantly 18 improved 18 improved 19 compared 20 to 22 gal 21 the 22 gal 23 group 24 in 24 in 28 maze 25 the 28 maze 26 morris 28 maze 27 water 28 maze dioscorin administration resulted in higher gsh levels and oxygen radical antioxidant capacity ( orac ) activity and lower mda and inducible nitric oxide synthase ( inos ) levels in the brain compared to mice in the gal group . 0 ###LEFT-WALL### 2 administration 0 ###LEFT-WALL### 3 resulted 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 39 . 1 dioscorin 2 administration 2 administration 3 resulted 3 resulted 4 in 4 in 17 and 5 higher 7 levels 6 gsh 7 levels 7 levels 8 and 8 and 12 capacity 8 and 14 orac 8 and 16 activity 9 oxygen 12 capacity 10 radical 12 capacity 11 antioxidant 12 capacity 13 ( 14 orac 14 orac 15 ) 16 activity 17 and 17 and 19 mda 18 lower 19 mda 20 and 24 synthase 20 and 28 levels 21 inducible 24 synthase 22 nitric 23 oxide 23 oxide 24 synthase 24 synthase 26 inos 24 synthase 28 levels 25 ( 26 inos 26 inos 27 ) 28 levels 29 in 28 levels 33 to 28 levels 35 in 29 in 31 brain 30 the 31 brain 31 brain 32 compared 33 to 34 mice 35 in 38 group 36 the 38 group 37 gal 38 group these elevated antioxidant activities following oral administration of yam dioscorin in vivo may reflect traditional juvenescent uses with the potential for anti - aging treatments . 0 ###LEFT-WALL### 4 activities 0 ###LEFT-WALL### 14 reflect 0 ###LEFT-WALL### 26 . 1 these 4 activities 2 elevated 4 activities 3 antioxidant 4 activities 4 activities 5 following 4 activities 13 may 5 following 7 administration 6 oral 7 administration 7 administration 8 of 8 of 10 dioscorin 9 yam 10 dioscorin 11 in 12 vivo 12 vivo 13 may 13 may 14 reflect 14 reflect 17 uses 15 traditional 17 uses 16 juvenescent 17 uses 17 uses 18 with 17 uses 21 for 18 with 20 potential 19 the 20 potential 21 for 25 treatments 22 anti 23 - 22 anti 25 treatments 24 aging 25 treatments the ability of the human immune system to repel infections is drastically diminished with age . 0 ###LEFT-WALL### 2 ability 0 ###LEFT-WALL### 13 diminished 0 ###LEFT-WALL### 16 . 1 the 2 ability 2 ability 3 of 2 ability 8 to 2 ability 9 repel 2 ability 11 is 3 of 7 system 4 the 7 system 5 human 7 system 6 immune 7 system 8 to 9 repel 9 repel 10 infections 11 is 13 diminished 12 drastically 13 diminished 13 diminished 14 with 14 with 15 age elderly individuals are more susceptible to new threats and [are] less able to control endogenous infections . 0 ###LEFT-WALL### 2 individuals 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 17 . 1 elderly 2 individuals 2 individuals 3 are 3 are 4 more 3 are 9 and 5 susceptible 6 to 5 susceptible 9 and 6 to 8 threats 7 new 8 threats 9 and 12 able 9 and 13 to 9 and 14 control 11 less 12 able 13 to 14 control 14 control 16 infections 15 endogenous 16 infections the thymus , which is the sole source of new [t] cells , has been proposed as a target for regenerative efforts to improve immune competence , as thymic activity is dramatically reduced after puberty . 0 ###LEFT-WALL### 2 thymus 0 ###LEFT-WALL### 16 proposed 0 ###LEFT-WALL### 36 . 1 the 2 thymus 2 thymus 4 which 2 thymus 14 has 3 , 4 which 4 which 5 is 4 which 13 , 5 is 8 source 6 the 8 source 7 sole 8 source 8 source 9 of 9 of 12 cells 10 new 12 cells 14 has 15 been 15 been 16 proposed 16 proposed 17 as 16 proposed 34 after 17 as 19 target 18 a 19 target 19 target 20 for 19 target 33 reduced 20 for 22 efforts 21 regenerative 22 efforts 22 efforts 23 to 22 efforts 24 improve 23 to 24 improve 24 improve 26 competence 25 immune 26 competence 27 , 33 reduced 28 as 30 activity 28 as 33 reduced 29 thymic 30 activity 30 activity 31 is 31 is 33 reduced 32 dramatically 33 reduced 34 after 35 puberty in this review , we review the role of the thymus in the maintenance of [t] cell homeostasis throughout life and contrast the differences in mice and humans . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 29 . 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 21 and 6 review 8 role 6 review 12 in 6 review 19 throughout 6 review 21 and 7 the 8 role 8 role 9 of 9 of 11 thymus 10 the 11 thymus 12 in 14 maintenance 13 the 14 maintenance 14 maintenance 15 of 15 of 18 homeostasis 17 cell 18 homeostasis 19 throughout 20 life 21 and 22 contrast 22 contrast 24 differences 22 contrast 25 in 23 the 24 differences 25 in 27 and 26 mice 27 and 27 and 28 humans we propose that in humans , lack of thymic [t] cell generation does not [explain] a decline in [t] cell receptor diversity nor [would] thymic rejuvenation restore diversity . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 propose 0 ###LEFT-WALL### 14 not 0 ###LEFT-WALL### 29 . 1 we 2 propose 2 propose 3 that 3 that 7 lack 3 that 13 does 4 in 5 humans 4 in 6 , 4 in 7 lack 7 lack 8 of 7 lack 13 does 8 of 12 generation 9 thymic 11 cell 11 cell 12 generation 14 not 23 nor 14 not 27 restore 16 a 17 decline 17 decline 18 in 17 decline 23 nor 18 in 22 diversity 20 cell 21 receptor 21 receptor 22 diversity 23 nor 26 rejuvenation 23 nor 27 restore 25 thymic 26 rejuvenation 27 restore 28 diversity initial studies using next generation sequencing are beginning to establish lower boundaries of t cell receptor diversity . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 7 are 0 ###LEFT-WALL### 18 . 1 initial 2 studies 2 studies 3 using 2 studies 7 are 3 using 4 next 3 using 6 sequencing 5 generation 6 sequencing 7 are 8 beginning 8 beginning 9 to 8 beginning 17 diversity 9 to 10 establish 10 establish 12 boundaries 11 lower 12 boundaries 12 boundaries 13 of 13 of 14 t 15 cell 17 diversity 16 receptor 17 diversity with increasing sequencing depth and the development of new statistical models , we are now in the position to test this model and to assess the impact of age on t cell diversity and clonality . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 29 age 0 ###LEFT-WALL### 36 . 1 with 2 increasing 1 with 5 and 3 sequencing 4 depth 4 depth 5 and 5 and 7 development 5 and 12 , 5 and 13 we 5 and 14 are 5 and 29 age 6 the 7 development 7 development 8 of 8 of 11 models 9 new 11 models 10 statistical 11 models 13 we 14 are 14 are 15 now 14 are 16 in 16 in 18 position 17 the 18 position 18 position 19 to 18 position 28 of 19 to 23 and 20 test 22 model 20 test 23 and 21 this 22 model 23 and 24 to 23 and 25 assess 24 to 25 assess 25 assess 27 impact 26 the 27 impact 27 impact 28 of 29 age 30 on 29 age 34 and 30 on 31 t 32 cell 33 diversity 33 diversity 34 and 34 and 35 clonality chronic [cytomegalovirus] ( cmv ) infection may contribute significantly to t - cell immunosenescence , chronic inflammation , and adverse health outcomes in older adults . 0 ###LEFT-WALL### 6 infection 0 ###LEFT-WALL### 8 contribute 0 ###LEFT-WALL### 12 - 1 chronic 4 cmv 1 chronic 6 infection 3 ( 4 cmv 4 cmv 5 ) 6 infection 7 may 7 may 8 contribute 8 contribute 9 significantly 8 contribute 10 to 10 to 11 t 12 - 19 and 12 - 26 . 13 cell 14 immunosenescence 14 immunosenescence 15 , 15 , 17 inflammation 15 , 19 and 16 chronic 17 inflammation 18 , 19 and 19 and 22 outcomes 19 and 23 in 20 adverse 21 health 21 health 22 outcomes 23 in 25 adults 24 older 25 adults recent studies suggest detectable [cmv] dna in peripheral monocytes as a better indicator for this persistent viral infection than anti - [cmv] igg serology . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 25 . 1 recent 2 studies 2 studies 3 suggest 3 suggest 6 dna 3 suggest 10 as 3 suggest 19 than 4 detectable 6 dna 6 dna 7 in 7 in 9 monocytes 8 peripheral 9 monocytes 10 as 13 indicator 11 a 13 indicator 12 better 13 indicator 13 indicator 14 for 14 for 18 infection 15 this 16 persistent 16 persistent 18 infection 17 viral 18 infection 19 than 24 serology 20 anti 21 - 20 anti 24 serology 23 igg 24 serology here , we conducted longitudinal comparisons of anti - [cmv] igg titers , [cmv] dna in the peripheral [monocytes] , serum il - 6 levels , and [cmv] pp65 ( nlv ) - specific cd8 ( [+] [ )(t - cell frequencies in fifteen community - dwelling older women with twelve year follow - up . 1 here 2 , 1 here 3 we 3 we 4 conducted 4 conducted 6 comparisons 5 longitudinal 6 comparisons 6 comparisons 7 of 7 of 15 dna 8 anti 12 titers 8 anti 15 dna 9 - 12 titers 11 igg 12 titers 12 titers 13 , 15 dna 16 in 16 in 22 il 17 the 21 serum 18 peripheral 20 , 18 peripheral 21 serum 21 serum 22 il 22 il 33 - 23 - 33 - 24 6 25 levels 25 levels 27 and 26 , 27 and 27 and 29 pp65 27 and 31 nlv 27 and 33 - 30 ( 31 nlv 31 nlv 32 ) 33 - 42 frequencies 34 specific 41 cell 35 cd8 39 )(t 35 cd8 41 cell 36 ( 39 )(t 39 )(t 40 - 41 cell 42 frequencies 42 frequencies 43 in 42 frequencies 47 dwelling 43 in 45 community 44 fifteen 45 community 46 - 47 dwelling 47 dwelling 49 women 47 dwelling 53 follow 47 dwelling 56 . 48 older 49 women 49 women 50 with 49 women 53 follow 50 with 52 year 51 twelve 52 year 53 follow 55 up 54 - 55 up 55 up 56 . the results showed that anti - [cmv] igg titers did not change over twelve years . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 16 . 1 the 2 results 2 results 3 showed 3 showed 8 igg 3 showed 9 titers 3 showed 12 change 4 that 5 anti 5 anti 6 - 5 anti 8 igg 9 titers 10 did 10 did 11 not 10 did 12 change 12 change 13 over 13 over 15 years 14 twelve 15 years women with detectable [cmv] dna had significantly higher [il] - 6 levels than those [without] , both at baseline ( 3.06±0.58 vs 1.19±0.37pg/ml , [respectively] , p<.001 ) and at the [follow] [-] up ( 3.23±0.66 versus 0.98±0.37pg/ml , [respectively] , p<.001 ) . 0 ###LEFT-WALL### 1 women 0 ###LEFT-WALL### 6 had 0 ###LEFT-WALL### 44 . 1 women 2 with 1 women 6 had 2 with 5 dna 3 detectable 5 dna 6 had 12 levels 6 had 13 than 7 significantly 8 higher 8 higher 10 - 8 higher 12 levels 11 6 12 levels 13 than 14 those 14 those 17 both 16 , 17 both 17 both 29 and 17 both 43 ) 18 at 19 baseline 18 at 29 and 19 baseline 21 3.06±0.58 19 baseline 27 p<.001 20 ( 21 3.06±0.58 21 3.06±0.58 22 vs 21 3.06±0.58 24 , 22 vs 23 1.19±0.37pg/ml 26 , 27 p<.001 27 p<.001 28 ) 29 and 30 at 30 at 42 p<.001 31 the 42 p<.001 34 up 36 3.23±0.66 34 up 41 , 34 up 42 p<.001 35 ( 36 3.23±0.66 36 3.23±0.66 37 versus 36 3.23±0.66 39 , 37 versus 38 0.98±0.37pg/ml in addition [,] cmv pp65 ( nlv ) - specific cd8 [(] [+] [ )(t cells were detected only in women who had cmv dna with similar frequencies at both time points . 0 ###LEFT-WALL### 11 cd8 0 ###LEFT-WALL### 18 detected 0 ###LEFT-WALL### 33 . 1 in 2 addition 1 in 11 cd8 2 addition 4 cmv 5 pp65 7 nlv 5 pp65 9 - 5 pp65 11 cd8 6 ( 7 nlv 7 nlv 8 ) 10 specific 11 cd8 11 cd8 15 )(t 11 cd8 16 cells 11 cd8 17 were 11 cd8 18 detected 16 cells 17 were 18 detected 19 only 18 detected 25 dna 18 detected 26 with 18 detected 29 at 19 only 20 in 20 in 21 women 21 women 22 who 21 women 23 had 22 who 23 had 23 had 24 cmv 26 with 28 frequencies 27 similar 28 frequencies 29 at 32 points 30 both 32 points 31 time 32 points these findings indicate that anti - [cmv] igg serology is neither sensitive to change nor useful for monitoring chronic [cmv] infection over time . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 24 . 1 these 2 findings 2 findings 3 indicate 3 indicate 4 that 4 that 9 serology 4 that 10 is 5 anti 6 - 5 anti 9 serology 8 igg 9 serology 9 serology 10 is 10 is 15 nor 11 neither 15 nor 12 sensitive 13 to 12 sensitive 15 nor 13 to 14 change 15 nor 16 useful 16 useful 17 for 17 for 18 monitoring 18 monitoring 21 infection 18 monitoring 22 over 19 chronic 21 infection 22 over 23 time they also provide a basis for further investigation into chronic [cmv] infection as defined by detectable [cmv] dna in the peripheral monocytes and its impact on immunity and health in the elderly . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 3 provide 0 ###LEFT-WALL### 33 . 1 they 3 provide 2 also 3 provide 3 provide 5 basis 3 provide 15 by 3 provide 19 in 4 a 5 basis 5 basis 6 for 5 basis 9 into 5 basis 14 defined 6 for 8 investigation 7 further 8 investigation 9 into 12 infection 10 chronic 12 infection 13 as 14 defined 15 by 18 dna 16 detectable 18 dna 19 in 28 and 20 the 22 monocytes 21 peripheral 22 monocytes 22 monocytes 23 and 23 and 25 impact 23 and 26 on 23 and 28 and 24 its 25 impact 26 on 27 immunity 28 and 29 health 28 and 30 in 30 in 32 elderly 31 the 32 elderly dna topoisomerases pass dna strands through each other [,] a function essential for all dna metabolic processes that [create] supercoils or entanglements of dna . 0 ###LEFT-WALL### 2 topoisomerases 0 ###LEFT-WALL### 3 pass 0 ###LEFT-WALL### 25 . 1 dna 2 topoisomerases 2 topoisomerases 3 pass 3 pass 5 strands 3 pass 11 function 3 pass 21 or 4 dna 5 strands 5 strands 6 through 6 through 8 other 7 each 8 other 10 a 11 function 11 function 12 essential 11 function 18 that 11 function 20 supercoils 12 essential 13 for 13 for 17 processes 14 all 17 processes 15 dna 17 processes 16 metabolic 17 processes 18 that 20 supercoils 21 or 22 entanglements 22 entanglements 23 of 23 of 24 dna topoisomerases play an ambivalent role in nuclear genome maintenance : deficiency compromises gene transcription , replication and chromosome segregation , while the inherent dna - cleavage activity of the enzymes endangers dna integrity . 0 ###LEFT-WALL### 1 topoisomerases 0 ###LEFT-WALL### 2 play 0 ###LEFT-WALL### 10 : 0 ###LEFT-WALL### 34 . 1 topoisomerases 2 play 2 play 5 role 2 play 6 in 3 an 4 ambivalent 3 an 5 role 4 ambivalent 5 role 6 in 9 maintenance 7 nuclear 8 genome 8 genome 9 maintenance 10 : 17 and 10 : 20 , 11 deficiency 14 transcription 12 compromises 14 transcription 13 gene 14 transcription 14 transcription 15 , 15 , 16 replication 15 , 17 and 17 and 19 segregation 18 chromosome 19 segregation 20 , 27 activity 20 , 31 endangers 21 while 24 dna 21 while 25 - 21 while 27 activity 22 the 24 dna 23 inherent 24 dna 26 cleavage 27 activity 27 activity 28 of 27 activity 31 endangers 28 of 30 enzymes 29 the 30 enzymes 31 endangers 33 integrity 32 dna 33 integrity indeed , many dna [-] damaging agents act through enhancing topoisomerase dna [cleavage] . 0 ###LEFT-WALL### 4 dna 0 ###LEFT-WALL### 8 act 0 ###LEFT-WALL### 14 . 1 indeed 2 , 1 indeed 4 dna 3 many 4 dna 4 dna 6 damaging 4 dna 8 act 6 damaging 7 agents 8 act 9 through 9 through 10 enhancing 10 enhancing 12 dna 11 topoisomerase 12 dna mitochondrial dna ( mtdna ) clearly requires topoisomerase activity for transcription and replication , because it is a closed [,] double - stranded dna molecule . 0 ###LEFT-WALL### 2 dna 0 ###LEFT-WALL### 7 requires 1 mitochondrial 2 dna 2 dna 4 mtdna 2 dna 7 requires 3 ( 4 mtdna 4 mtdna 5 ) 6 clearly 7 requires 7 requires 9 activity 7 requires 10 for 7 requires 15 because 8 topoisomerase 9 activity 10 for 12 and 11 transcription 12 and 12 and 13 replication 14 , 15 because 15 because 16 it 15 because 17 is 15 because 26 . 16 it 17 is 17 is 25 molecule 18 a 25 molecule 19 closed 25 molecule 21 double 22 - 21 double 25 molecule 23 stranded 25 molecule 24 dna 25 molecule three topoisomerases have so [far] been found in mammalian mitochondria [(] i , iiβ , iiiα ) , but their precise role in mtdna metabolism , mitochondrial maintenance and respiratory function remains mostly unclear . 0 ###LEFT-WALL### 2 topoisomerases 0 ###LEFT-WALL### 7 found 0 ###LEFT-WALL### 19 but 0 ###LEFT-WALL### 35 . 1 three 2 topoisomerases 2 topoisomerases 3 have 3 have 6 been 4 so 6 been 6 been 7 found 7 found 8 in 8 in 10 mitochondria 9 mammalian 10 mitochondria 10 mitochondria 12 i 10 mitochondria 14 iiβ 13 , 14 iiβ 14 iiβ 16 iiiα 14 iiβ 17 ) 15 , 16 iiiα 16 iiiα 17 ) 18 , 19 but 19 but 22 role 19 but 32 remains 20 their 22 role 21 precise 22 role 22 role 23 in 22 role 32 remains 23 in 29 and 24 mtdna 25 metabolism 25 metabolism 26 , 26 , 28 maintenance 26 , 29 and 27 mitochondrial 28 maintenance 29 and 31 function 30 respiratory 31 function 32 remains 34 unclear 33 mostly 34 unclear it is [a] [reasonable] surmise that these enzymes exhibit similar ambiguity with respect to genome maintenance and gene transcription as their nuclear counterparts . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 5 surmise 0 ###LEFT-WALL### 24 . 1 it 2 is 2 is 5 surmise 5 surmise 6 that 6 that 8 enzymes 6 that 9 exhibit 7 these 8 enzymes 8 enzymes 9 exhibit 9 exhibit 11 ambiguity 9 exhibit 12 with 9 exhibit 14 to 10 similar 11 ambiguity 12 with 13 respect 14 to 17 and 15 genome 16 maintenance 16 maintenance 17 and 17 and 19 transcription 17 and 20 as 18 gene 19 transcription 20 as 23 counterparts 21 their 23 counterparts 22 nuclear 23 counterparts here , we review what is known about the physiological roles of mitochondrial topoisomerases and draft three scenarios of how these enzymes possibly contribute to ageing - related mtdna attrition and respiratory chain dysfunction . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 28 related 0 ###LEFT-WALL### 35 . 1 here 2 , 1 here 3 we 3 we 15 and 4 review 5 what 4 review 15 and 5 what 6 is 6 is 7 known 7 known 8 about 8 about 11 roles 9 the 11 roles 10 physiological 11 roles 11 roles 12 of 12 of 14 topoisomerases 13 mitochondrial 14 topoisomerases 15 and 16 draft 15 and 25 to 16 draft 18 scenarios 17 three 18 scenarios 18 scenarios 19 of 19 of 20 how 20 how 22 enzymes 20 how 24 contribute 21 these 22 enzymes 22 enzymes 24 contribute 23 possibly 24 contribute 25 to 26 ageing 27 - 28 related 28 related 31 and 29 mtdna 30 attrition 30 attrition 31 and 31 and 34 dysfunction 32 respiratory 34 dysfunction 33 chain 34 dysfunction these scenarios are : mtdna attrition by exogenously stimulated topoisomerase dna cleavage [,] unbalancing of mitochondrial and nuclear transcription by direct effects on mitochondrial transcription , and contributions to enhanced mtdna entanglement and recombination . 0 ###LEFT-WALL### 2 scenarios 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 5 mtdna 0 ###LEFT-WALL### 35 . 1 these 2 scenarios 2 scenarios 3 are 4 : 5 mtdna 5 mtdna 6 attrition 5 mtdna 7 by 7 by 14 unbalancing 8 exogenously 9 stimulated 9 stimulated 10 topoisomerase 10 topoisomerase 12 cleavage 11 dna 12 cleavage 12 cleavage 14 unbalancing 14 unbalancing 15 of 15 of 27 and 16 mitochondrial 17 and 17 and 18 nuclear 17 and 19 transcription 19 transcription 20 by 19 transcription 27 and 20 by 22 effects 21 direct 22 effects 22 effects 23 on 23 on 25 transcription 24 mitochondrial 25 transcription 26 , 27 and 27 and 28 contributions 27 and 29 to 29 to 33 and 30 enhanced 31 mtdna 31 mtdna 32 entanglement 32 entanglement 33 and 33 and 34 recombination aging significantly decreases the influenza vaccine [-] specific response as we and others have previously shown . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 3 decreases 0 ###LEFT-WALL### 17 . 1 aging 3 decreases 2 significantly 3 decreases 3 decreases 9 response 3 decreases 10 as 4 the 9 response 5 influenza 9 response 6 vaccine 9 response 8 specific 9 response 10 as 16 shown 11 we 12 and 12 and 13 others 12 and 14 have 14 have 16 shown 15 previously 16 shown based on our previous data in aged mice , we hypothesize that the inflammatory status of the individual and [of] [b] cells [themselves] [would] impact b cell function . 0 ###LEFT-WALL### 10 we 0 ###LEFT-WALL### 11 hypothesize 0 ###LEFT-WALL### 29 . 1 based 2 on 1 based 6 in 1 based 9 , 1 based 10 we 2 on 5 data 3 our 4 previous 3 our 5 data 6 in 8 mice 7 aged 8 mice 10 we 11 hypothesize 11 hypothesize 12 that 12 that 19 and 12 that 28 function 13 the 15 status 14 inflammatory 15 status 15 status 16 of 15 status 19 and 16 of 18 individual 17 the 18 individual 19 and 27 cell 19 and 28 function 22 cells 27 cell 25 impact 26 b 25 impact 27 cell we [here] show that the ability to generate a vaccine [-] specific antibody response is negatively correlated with levels of serum tnf - α . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 25 . 1 we 3 show 3 show 4 that 4 that 6 ability 4 that 17 correlated 5 the 6 ability 6 ability 7 to 6 ability 8 generate 6 ability 15 is 7 to 8 generate 8 generate 14 response 9 a 10 vaccine 9 a 14 response 10 vaccine 14 response 12 specific 13 antibody 13 antibody 14 response 15 is 16 negatively 15 is 17 correlated 17 correlated 18 with 17 correlated 23 - 17 correlated 24 α 18 with 19 levels 19 levels 20 of 20 of 22 tnf 21 serum 22 tnf moreover , human unstimulated [b] cells from elderly [make] higher levels of tnf [-] α than those from young individuals , and these positively correlate with serum tnf - α levels . 0 ###LEFT-WALL### 6 cells 0 ###LEFT-WALL### 15 α 0 ###LEFT-WALL### 32 . 1 moreover 2 , 1 moreover 6 cells 3 human 6 cells 4 unstimulated 6 cells 6 cells 7 from 6 cells 12 of 6 cells 15 α 7 from 11 levels 8 elderly 11 levels 10 higher 11 levels 12 of 13 tnf 15 α 16 than 16 than 17 those 16 than 30 α 16 than 31 levels 17 those 18 from 17 those 25 correlate 18 from 22 and 19 young 20 individuals 20 individuals 22 and 21 , 22 and 22 and 23 these 24 positively 25 correlate 25 correlate 26 with 26 with 27 serum 28 tnf 29 - 28 tnf 30 α these all negatively correlate with b cell function [,] measured by activation - induced cytidine deaminase , the enzyme of class switch recombination and somatic hypermutation . 0 ###LEFT-WALL### 1 these 0 ###LEFT-WALL### 4 correlate 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 27 . 1 these 4 correlate 2 all 4 correlate 3 negatively 4 correlate 4 correlate 5 with 4 correlate 11 by 5 with 6 b 5 with 10 measured 7 cell 8 function 8 function 10 measured 11 by 12 activation 12 activation 16 deaminase 13 - 16 deaminase 14 induced 15 cytidine 15 cytidine 16 deaminase 16 deaminase 17 , 17 , 24 and 18 the 19 enzyme 19 enzyme 20 of 19 enzyme 24 and 20 of 23 recombination 21 class 23 recombination 22 switch 23 recombination 24 and 26 hypermutation 25 somatic 26 hypermutation only memory b cells ( either igm [or] switched ) , but not naïve [b] cells , make appreciable levels of tnf - α and more [in] elderly as compared [to] young individuals . 0 ###LEFT-WALL### 1 only 0 ###LEFT-WALL### 18 make 0 ###LEFT-WALL### 23 - 1 only 4 cells 2 memory 3 b 2 memory 4 cells 4 cells 7 igm 4 cells 12 but 4 cells 18 make 5 ( 7 igm 6 either 7 igm 7 igm 9 switched 7 igm 10 ) 11 , 12 but 12 but 13 not 12 but 16 cells 12 but 17 , 13 not 14 naïve 14 naïve 16 cells 18 make 20 levels 19 appreciable 20 levels 20 levels 21 of 21 of 22 tnf 23 - 25 and 23 - 34 . 24 α 25 and 25 and 33 individuals 26 more 28 elderly 28 elderly 33 individuals 29 as 30 compared 30 compared 33 individuals 32 young 33 individuals finally , an anti - tnf - α antibody can increase the response in cultured [b] cells from the elderly , suggesting that tnf - α secreted by memory b cells affects igm memory b cells and naïve [b] cells in an autocrine [and/or] paracrine manner . 0 ###LEFT-WALL### 9 antibody 0 ###LEFT-WALL### 11 increase 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 47 . 1 finally 2 , 1 finally 9 antibody 3 an 4 anti 3 an 9 antibody 4 anti 6 tnf 4 anti 7 - 4 anti 8 α 5 - 6 tnf 6 tnf 7 - 8 α 9 antibody 9 antibody 10 can 10 can 11 increase 11 increase 13 response 11 increase 14 in 11 increase 18 from 12 the 13 response 14 in 17 cells 15 cultured 17 cells 18 from 20 elderly 19 the 20 elderly 21 , 26 α 21 , 32 affects 22 suggesting 24 tnf 22 suggesting 25 - 22 suggesting 26 α 23 that 24 tnf 26 α 27 secreted 26 α 32 affects 27 secreted 28 by 28 by 31 cells 29 memory 30 b 29 memory 31 cells 32 affects 37 and 32 affects 41 in 33 igm 36 cells 34 memory 35 b 34 memory 36 cells 36 cells 37 and 37 and 40 cells 38 naïve 40 cells 41 in 46 manner 42 an 46 manner 43 autocrine 46 manner 45 paracrine 46 manner our results show an additional mechanism [for] reduced [b] cell function in the elderly and [propose] [b] cell - derived tnf - α as another predictive biomarker of in [vivo] and in [vitro] b cell responses . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 37 . 1 our 2 results 2 results 3 show 3 show 11 function 3 show 36 responses 4 an 5 additional 4 an 11 function 5 additional 6 mechanism 6 mechanism 11 function 8 reduced 10 cell 10 cell 11 function 11 function 12 in 11 function 23 α 12 in 15 and 13 the 14 elderly 14 elderly 15 and 15 and 18 cell 15 and 21 tnf 19 - 21 tnf 20 derived 21 tnf 21 tnf 22 - 23 α 24 as 24 as 27 biomarker 25 another 27 biomarker 26 predictive 27 biomarker 27 biomarker 28 of 28 of 31 and 29 in 31 and 31 and 32 in 31 and 34 b 35 cell 36 responses aging leads to reduced immunity , especially adaptive responses . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 2 leads 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 10 . 1 aging 2 leads 2 leads 3 to 3 to 5 immunity 4 reduced 5 immunity 6 , 9 responses 7 especially 8 adaptive 8 adaptive 9 responses a key deficiency is the poor ability [to] mount robust antibody response . 0 ###LEFT-WALL### 3 deficiency 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 13 . 1 a 3 deficiency 2 key 3 deficiency 3 deficiency 4 is 4 is 12 response 5 the 12 response 6 poor 7 ability 7 ability 12 response 9 mount 12 response 10 robust 11 antibody 11 antibody 12 response although intrinsic alterations in b cells with age are in part responsible , impaired cd4 t cell help makes a major contribution to the poor antibody response . 0 ###LEFT-WALL### 6 cells 0 ###LEFT-WALL### 9 are 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 28 . 1 although 3 alterations 1 although 6 cells 2 intrinsic 3 alterations 3 alterations 4 in 4 in 5 b 6 cells 7 with 6 cells 9 are 7 with 8 age 9 are 11 part 9 are 12 responsible 10 in 11 part 13 , 18 help 13 , 19 makes 14 impaired 17 cell 15 cd4 16 t 15 cd4 17 cell 17 cell 18 help 18 help 19 makes 19 makes 22 contribution 19 makes 23 to 20 a 21 major 20 a 22 contribution 21 major 22 contribution 23 to 27 response 24 the 27 response 25 poor 26 antibody 26 antibody 27 response other cd4 effector responses and memory generation are also impaired . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 10 impaired 0 ###LEFT-WALL### 11 . 1 other 4 responses 2 cd4 4 responses 3 effector 4 responses 4 responses 5 and 5 and 7 generation 5 and 8 are 6 memory 7 generation 8 are 9 also 8 are 10 impaired we find delayed [and] reduced development of cd4 t follicular help ( tfh ) cells in aged mice in response to influenza infection with reduction of long - [lived] plasma cells . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 find 0 ###LEFT-WALL### 32 . 1 we 2 find 2 find 6 development 2 find 15 cells 2 find 16 in 2 find 21 to 2 find 24 with 3 delayed 6 development 5 reduced 6 development 6 development 7 of 7 of 11 help 8 cd4 9 t 8 cd4 11 help 10 follicular 11 help 11 help 13 tfh 12 ( 13 tfh 13 tfh 14 ) 16 in 18 mice 17 aged 18 mice 19 in 20 response 20 response 21 to 21 to 23 infection 22 influenza 23 infection 24 with 25 reduction 25 reduction 26 of 26 of 31 cells 27 long 28 - 27 long 30 plasma 30 plasma 31 cells when we examine cd4 subsets we also find a shift towards th1 and cytotoxic cd4 ( thctl ) responses . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 8 find 0 ###LEFT-WALL### 20 . 1 when 2 we 1 when 3 examine 1 when 6 we 2 we 3 examine 3 examine 5 subsets 4 cd4 5 subsets 6 we 8 find 7 also 8 find 8 find 10 shift 8 find 19 responses 9 a 10 shift 10 shift 11 towards 11 towards 13 and 12 th1 13 and 13 and 15 cd4 13 and 17 thctl 14 cytotoxic 15 cd4 16 ( 17 thctl 17 thctl 18 ) we summarize strategies to circumvent the cd4 t cell defect in aged , including adjuvants and proinflammatory cytokines . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 summarize 0 ###LEFT-WALL### 19 . 1 we 2 summarize 2 summarize 3 strategies 2 summarize 4 to 2 summarize 11 in 4 to 5 circumvent 5 circumvent 10 defect 6 the 10 defect 7 cd4 8 t 7 cd4 10 defect 9 cell 10 defect 11 in 16 and 12 aged 13 , 12 aged 15 adjuvants 14 including 15 adjuvants 15 adjuvants 16 and 16 and 18 cytokines 17 proinflammatory 18 cytokines we find that we can strongly enhance responses of aged naïve cd4 t cells by using toll - like receptor [(] tlr ) activated dendritic cells [(] [dc] [ )(as apc in vivo and that this leads to improved germinal center b cells and igg antibody responses . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 find 0 ###LEFT-WALL### 48 . 1 we 2 find 2 find 3 that 3 that 4 we 3 that 7 enhance 4 we 5 can 5 can 7 enhance 6 strongly 7 enhance 7 enhance 34 and 8 responses 9 of 8 responses 34 and 9 of 12 cd4 10 aged 12 cd4 11 naïve 12 cd4 12 cd4 13 t 12 cd4 14 cells 12 cd4 24 activated 14 cells 15 by 14 cells 24 activated 15 by 16 using 16 using 17 toll 17 toll 19 like 18 - 19 like 19 like 22 tlr 19 like 23 ) 20 receptor 22 tlr 24 activated 26 cells 24 activated 30 )(as 24 activated 33 vivo 25 dendritic 26 cells 30 )(as 31 apc 32 in 33 vivo 34 and 35 that 34 and 36 this 34 and 37 leads 36 this 37 leads 37 leads 38 to 38 to 47 responses 39 improved 47 responses 40 germinal 41 center 41 center 42 b 41 center 43 cells 43 cells 44 and 44 and 45 igg 44 and 47 responses 46 antibody 47 responses the enhanced response of aged naïve cd4 t cells is dependent on il - 6 produced [by] [the] dc . 0 ###LEFT-WALL### 3 response 0 ###LEFT-WALL### 10 is 1 the 3 response 2 enhanced 3 response 3 response 4 of 3 response 10 is 4 of 9 cells 5 aged 9 cells 6 naïve 9 cells 7 cd4 8 t 7 cd4 9 cells 10 is 11 dependent 11 dependent 12 on 12 on 13 il 13 il 19 dc 14 - 19 dc 15 6 19 dc 16 produced 19 dc 19 dc 20 . the ability of injured axons to regenerate declines with age , yet the mechanisms that regulate axon regeneration in response to age are not known . 0 ###LEFT-WALL### 2 ability 0 ###LEFT-WALL### 8 declines 0 ###LEFT-WALL### 25 known 0 ###LEFT-WALL### 26 . 1 the 2 ability 2 ability 3 of 2 ability 6 to 2 ability 7 regenerate 2 ability 8 declines 3 of 5 axons 4 injured 5 axons 6 to 7 regenerate 8 declines 9 with 8 declines 12 yet 9 with 10 age 11 , 12 yet 12 yet 14 mechanisms 13 the 14 mechanisms 14 mechanisms 15 that 14 mechanisms 16 regulate 14 mechanisms 23 are 15 that 16 regulate 16 regulate 18 regeneration 16 regulate 21 to 17 axon 18 regeneration 19 in 20 response 20 response 21 to 21 to 22 age 23 are 24 not 23 are 25 known here we show that axon regeneration in aging [c.] elegans motor neurons is inhibited by the conserved insulin/igf1 receptor daf - 2 . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 21 - 1 here 2 we 2 we 3 show 3 show 4 that 4 that 6 regeneration 4 that 14 inhibited 5 axon 6 regeneration 6 regeneration 7 in 6 regeneration 13 is 7 in 8 aging 8 aging 12 neurons 10 elegans 12 neurons 11 motor 12 neurons 13 is 14 inhibited 14 inhibited 15 by 15 by 20 daf 16 the 19 receptor 17 conserved 19 receptor 18 insulin/igf1 19 receptor 19 receptor 20 daf 21 - 22 2 21 - 23 . daf - 2 ['s] [function] in regeneration is mediated by intrinsic neuronal activity of the forkhead transcription factor daf - 16/foxo . 0 ###LEFT-WALL### 7 regeneration 0 ###LEFT-WALL### 9 mediated 0 ###LEFT-WALL### 20 - 1 daf 7 regeneration 2 - 3 2 3 2 6 in 6 in 7 regeneration 7 regeneration 8 is 8 is 9 mediated 9 mediated 10 by 10 by 13 activity 11 intrinsic 13 activity 12 neuronal 13 activity 13 activity 14 of 14 of 19 daf 15 the 19 daf 16 forkhead 17 transcription 17 transcription 19 daf 18 factor 19 daf 20 - 21 16/foxo 20 - 22 . daf [-] 16 regulates regeneration independently of lifespan , indicating that neuronal aging is an intrinsic , neuron - specific , and genetically regulated process . 0 ###LEFT-WALL### 1 daf 0 ###LEFT-WALL### 4 regulates 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 26 . 1 daf 3 16 1 daf 4 regulates 4 regulates 5 regeneration 4 regulates 6 independently 6 independently 7 of 7 of 8 lifespan 8 lifespan 10 indicating 9 , 10 indicating 10 indicating 13 aging 10 indicating 14 is 10 indicating 19 - 11 that 13 aging 12 neuronal 13 aging 13 aging 14 is 14 is 18 neuron 15 an 16 intrinsic 15 an 18 neuron 16 intrinsic 17 , 16 intrinsic 18 neuron 19 - 22 and 20 specific 22 and 21 , 22 and 22 and 25 process 23 genetically 24 regulated 24 regulated 25 process in addition , we found that daf - 18/pten inhibits regeneration independently of age and foxo signaling via the tor pathway . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 found 0 ###LEFT-WALL### 8 - 1 in 2 addition 1 in 3 , 1 in 4 we 4 we 5 found 5 found 6 that 5 found 7 daf 8 - 9 18/pten 8 - 10 inhibits 8 - 22 . 9 18/pten 10 inhibits 10 inhibits 11 regeneration 10 inhibits 12 independently 10 inhibits 18 via 12 independently 13 of 13 of 15 and 14 age 15 and 15 and 16 foxo 15 and 17 signaling 18 via 21 pathway 19 the 21 pathway 20 tor 21 pathway finally , dlk - 1 , a conserved regulator of regeneration , is downregulated by insulin/igf1 signaling , bound by daf - 16 in neurons , and required for both daf - 16 - and daf - 18 - mediated regeneration . 0 ###LEFT-WALL### 3 dlk 0 ###LEFT-WALL### 14 downregulated 0 ###LEFT-WALL### 42 . 1 finally 2 , 1 finally 3 dlk 3 dlk 5 1 3 dlk 13 is 4 - 5 1 5 1 9 regulator 5 1 12 , 6 , 9 regulator 7 a 9 regulator 8 conserved 9 regulator 9 regulator 10 of 9 regulator 12 , 10 of 11 regeneration 13 is 14 downregulated 14 downregulated 15 by 15 by 16 insulin/igf1 16 insulin/igf1 17 signaling 17 signaling 19 bound 17 signaling 37 - 17 signaling 41 regeneration 18 , 19 bound 19 bound 20 by 19 bound 22 - 20 by 21 daf 22 - 37 - 23 16 24 in 24 in 27 and 25 neurons 27 and 26 , 27 and 27 and 28 required 28 required 29 for 28 required 35 and 28 required 37 - 29 for 30 both 31 daf 33 16 31 daf 35 and 32 - 33 16 33 16 34 - 35 and 36 daf 35 and 37 - 37 - 38 18 37 - 39 - 40 mediated 41 regeneration together , our data establish that insulin signaling specifically inhibits regeneration in aging adult neurons and that this mechanism is independent of pten and tor . 0 ###LEFT-WALL### 4 data 0 ###LEFT-WALL### 5 establish 0 ###LEFT-WALL### 26 . 1 together 2 , 1 together 4 data 3 our 4 data 4 data 5 establish 5 establish 16 and 6 that 7 insulin 6 that 10 inhibits 6 that 16 and 7 insulin 8 signaling 7 insulin 10 inhibits 9 specifically 10 inhibits 10 inhibits 11 regeneration 11 regeneration 12 in 12 in 13 aging 13 aging 15 neurons 14 adult 15 neurons 16 and 17 that 17 that 19 mechanism 17 that 20 is 18 this 19 mechanism 19 mechanism 20 is 20 is 24 and 21 independent 22 of 21 independent 24 and 22 of 23 pten 24 and 25 tor objectives : to compare the prevalence of elder abuse using a multilevel approach that takes into account the characteristics of participants as well as socioeconomic indicators at city [and] country level . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 2 : 3 to 2 : 4 compare 3 to 4 compare 4 compare 6 prevalence 4 compare 23 well 4 compare 24 as 5 the 6 prevalence 6 prevalence 7 of 6 prevalence 10 using 6 prevalence 14 that 6 prevalence 15 takes 7 of 9 abuse 8 elder 9 abuse 10 using 13 approach 11 a 12 multilevel 11 a 13 approach 12 multilevel 13 approach 14 that 15 takes 15 takes 17 account 15 takes 19 characteristics 16 into 17 account 18 the 19 characteristics 19 characteristics 20 of 20 of 21 participants 22 as 23 well 24 as 26 indicators 25 socioeconomic 26 indicators 26 indicators 27 at 27 at 31 level 28 city 31 level 30 country 31 level methods : in 2009 , the project on abuse [of] elderly in europe ( abuel ) was conducted in seven cities ( stuttgart , germany ; ancona , italy ; kaunas , lithuania , stockholm , sweden ; porto , portugal ; granada , spain ; athens , greece ) comprising 4467 individuals aged 60 - 84 years . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 7 project 2 : 18 conducted 2 : 24 , 2 : 59 . 3 in 4 2009 3 in 5 , 3 in 7 project 6 the 7 project 7 project 8 on 7 project 11 elderly 7 project 15 abuel 7 project 17 was 8 on 9 abuse 11 elderly 12 in 12 in 13 europe 14 ( 15 abuel 15 abuel 16 ) 17 was 18 conducted 18 conducted 19 in 19 in 21 cities 20 seven 21 cities 21 cities 23 stuttgart 22 ( 23 stuttgart 23 stuttgart 24 , 24 , 25 germany 24 , 26 ; 26 ; 27 ancona 26 ; 28 , 28 , 29 italy 28 , 30 ; 30 ; 31 kaunas 30 ; 32 , 32 , 33 lithuania 32 , 34 , 34 , 35 stockholm 34 , 36 , 36 , 37 sweden 36 , 38 ; 38 ; 39 porto 38 ; 40 , 40 , 41 portugal 40 , 42 ; 42 ; 43 granada 42 ; 44 , 44 , 45 spain 44 , 46 ; 46 ; 51 comprising 46 ; 54 aged 47 athens 48 , 47 athens 51 comprising 48 , 49 greece 49 greece 50 ) 49 greece 51 comprising 51 comprising 53 individuals 51 comprising 54 aged 52 4467 53 individuals 54 aged 58 years 55 60 56 - 56 - 57 84 56 - 58 years we used [a] 3 - level hierarchical structure of data : 1 [ )(characteristics of participants ; 2 [ )(mean [of] tertiary education of each city [;] and 3 [ )(country inequality indicator ( gini [coefficient] ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 used 0 ###LEFT-WALL### 11 : 0 ###LEFT-WALL### 38 . 1 we 2 used 2 used 4 3 4 3 8 structure 5 - 8 structure 6 level 8 structure 7 hierarchical 8 structure 8 structure 9 of 8 structure 11 : 9 of 10 data 11 : 14 )(characteristics 11 : 17 ; 12 1 14 )(characteristics 14 )(characteristics 15 of 15 of 16 participants 17 ; 18 2 17 ; 20 )(mean 18 2 20 )(mean 20 )(mean 23 education 22 tertiary 23 education 23 education 24 of 23 education 35 gini 24 of 28 and 25 each 26 city 26 city 28 and 28 and 33 indicator 29 3 32 inequality 31 )(country 32 inequality 32 inequality 33 indicator 34 ( 35 gini 35 gini 37 ) multilevel logistic regression was used and proportional changes in intraclass correlation coefficient ( icc ) were inspected to [assert] explained variance between models . 0 ###LEFT-WALL### 3 regression 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 24 . 1 multilevel 2 logistic 2 logistic 3 regression 3 regression 4 was 4 was 5 used 6 and 8 changes 6 and 17 inspected 7 proportional 8 changes 8 changes 9 in 8 changes 14 icc 8 changes 16 were 9 in 12 coefficient 10 intraclass 11 correlation 11 correlation 12 coefficient 13 ( 14 icc 14 icc 15 ) 16 were 17 inspected 17 inspected 18 to 17 inspected 22 between 18 to 21 variance 20 explained 21 variance 22 between 23 models results : the prevalence of elder abuse showed large variations across sites . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 prevalence 2 : 8 showed 2 : 13 . 3 the 4 prevalence 4 prevalence 5 of 4 prevalence 8 showed 5 of 7 abuse 6 elder 7 abuse 8 showed 10 variations 8 showed 11 across 9 large 10 variations 11 across 12 sites adding tertiary education to the regression model reduced the country level variance for psychological abuse ( icc=3.4 [%] ) , with no significant decrease in the explained variance for the other types of abuse . 0 ###LEFT-WALL### 1 adding 0 ###LEFT-WALL### 8 reduced 1 adding 3 education 1 adding 4 to 1 adding 8 reduced 2 tertiary 3 education 4 to 7 model 5 the 7 model 6 regression 7 model 8 reduced 12 variance 8 reduced 21 with 9 the 12 variance 10 country 11 level 11 level 12 variance 12 variance 13 for 13 for 15 abuse 14 psychological 15 abuse 15 abuse 17 icc=3.4 16 ( 17 icc=3.4 17 icc=3.4 19 ) 20 , 21 with 21 with 24 decrease 21 with 35 . 22 no 24 decrease 23 significant 24 decrease 24 decrease 25 in 24 decrease 29 for 25 in 28 variance 26 the 28 variance 27 explained 28 variance 29 for 34 abuse 30 the 31 other 31 other 32 types 32 types 33 of 32 types 34 abuse 33 of 34 abuse when the gini coefficient was considered , the highest drop in icc was observed for financial abuse ( from 9.5 % to 4.3 % ) . 0 ###LEFT-WALL### 10 drop 0 ###LEFT-WALL### 14 observed 0 ###LEFT-WALL### 26 . 1 when 4 coefficient 1 when 6 considered 1 when 7 , 1 when 10 drop 2 the 4 coefficient 3 gini 4 coefficient 4 coefficient 5 was 5 was 6 considered 8 the 9 highest 8 the 10 drop 10 drop 11 in 10 drop 13 was 11 in 12 icc 13 was 14 observed 14 observed 15 for 15 for 17 abuse 16 financial 17 abuse 17 abuse 19 from 18 ( 19 from 19 from 21 % 19 from 25 ) 20 9.5 21 % 21 % 22 to 22 to 24 % 23 4.3 24 % conclusion : there is a societal and community level dimension that adds information to individual variability in explaining country differences in elder abuse , highlighting underlying socioeconomic inequalities leading to such behavior . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 there 2 : 4 is 3 there 4 is 4 is 10 dimension 4 is 14 to 4 is 17 in 5 a 10 dimension 6 societal 7 and 7 and 8 community 7 and 9 level 9 level 10 dimension 10 dimension 11 that 10 dimension 12 adds 11 that 12 adds 12 adds 13 information 14 to 16 variability 15 individual 16 variability 17 in 18 explaining 18 explaining 20 differences 18 explaining 21 in 19 country 20 differences 21 in 23 abuse 22 elder 23 abuse 23 abuse 28 inequalities 24 , 28 inequalities 25 highlighting 28 inequalities 26 underlying 28 inequalities 27 socioeconomic 28 inequalities 28 inequalities 29 leading 28 inequalities 33 . 29 leading 30 to 30 to 32 behavior 31 such 32 behavior older adults commonly report muscle fatigue , which may be associated with [reduced] walking ability . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 4 report 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 16 . 1 older 2 adults 2 adults 4 report 3 commonly 4 report 4 report 6 fatigue 5 muscle 6 fatigue 7 , 8 which 7 , 11 associated 8 which 9 may 9 may 10 be 10 be 11 associated 11 associated 12 with 12 with 14 walking 14 walking 15 ability elderly may have insufficient awareness of the balance threat caused by muscle fatigue . 0 ###LEFT-WALL### 1 elderly 0 ###LEFT-WALL### 3 have 0 ###LEFT-WALL### 14 . 1 elderly 2 may 2 may 3 have 3 have 5 awareness 4 insufficient 5 awareness 5 awareness 6 of 6 of 9 threat 7 the 9 threat 8 balance 9 threat 9 threat 10 caused 10 caused 11 by 11 by 13 fatigue 12 muscle 13 fatigue the aim of this study was to analyze the interaction effects of aging and leg muscle fatigue on gait parameters in walking and obstacle crossing . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 16 muscle 0 ###LEFT-WALL### 26 . 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 analyze 7 to 8 analyze 8 analyze 10 interaction 9 the 10 interaction 10 interaction 14 and 10 interaction 16 muscle 11 effects 12 of 11 effects 14 and 12 of 13 aging 14 and 15 leg 14 and 16 muscle 16 muscle 17 fatigue 16 muscle 18 on 18 on 23 and 19 gait 20 parameters 20 parameters 21 in 20 parameters 23 and 21 in 22 walking 23 and 25 crossing 24 obstacle 25 crossing one hundred and twenty men , who were divided in six groups according to their age ( 20 - 29 years , 30 - 39 years , 40 - 49 years , 50 - 59 years , 60 - 69 years , above 70 years ) , participated in this study . 0 ###LEFT-WALL### 5 men 0 ###LEFT-WALL### 48 participated 0 ###LEFT-WALL### 52 . 1 one 2 hundred 2 hundred 3 and 3 and 4 twenty 4 twenty 5 men 5 men 7 who 5 men 21 years 5 men 48 participated 6 , 7 who 7 who 8 were 7 who 19 - 8 were 9 divided 9 divided 10 in 9 divided 14 to 10 in 12 groups 11 six 12 groups 13 according 14 to 14 to 16 age 15 their 16 age 16 age 18 20 17 ( 18 20 18 20 19 - 19 - 21 years 20 29 21 years 21 years 26 years 21 years 34 - 21 years 47 , 22 , 26 years 23 30 24 - 24 - 25 39 24 - 26 years 26 years 31 years 26 years 32 , 27 , 31 years 28 40 29 - 29 - 30 49 29 - 31 years 31 years 32 , 32 , 34 - 33 50 34 - 34 - 35 59 34 - 43 above 34 - 46 ) 35 59 36 years 36 years 39 - 37 , 39 - 38 60 39 - 39 - 41 years 39 - 42 , 40 69 41 years 42 , 43 above 43 above 45 years 43 above 46 ) 44 70 45 years 48 participated 49 in 49 in 51 study 50 this 51 study participants performed three trials of unobstructed level ground walking and obstacle crossing [during] walking before and after quadriceps muscle fatigue . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 performed 0 ###LEFT-WALL### 21 . 1 participants 2 performed 2 performed 4 trials 3 three 4 trials 4 trials 5 of 4 trials 10 and 4 trials 19 muscle 5 of 7 level 6 unobstructed 7 level 8 ground 9 walking 8 ground 10 and 10 and 12 crossing 10 and 14 walking 10 and 16 and 10 and 19 muscle 11 obstacle 12 crossing 15 before 16 and 16 and 17 after 17 after 18 quadriceps 19 muscle 20 fatigue to induce fatigue , participants performed [a] repeated sit - to [-] stand [task] from a chair with arms across the chest to a pre - determined cadence ( 30 cycles/min ) using a metronome . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 induce 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 36 . 1 to 2 induce 2 induce 3 fatigue 4 , 5 participants 4 , 9 sit 5 participants 6 performed 5 participants 8 repeated 5 participants 9 sit 9 sit 11 to 9 sit 33 using 10 - 11 to 11 to 13 stand 11 to 32 ) 13 stand 15 from 13 stand 18 with 13 stand 20 across 15 from 17 chair 16 a 17 chair 18 with 19 arms 20 across 22 chest 21 the 22 chest 22 chest 23 to 23 to 28 cadence 24 a 25 pre 24 a 28 cadence 25 pre 26 - 25 pre 28 cadence 27 determined 28 cadence 28 cadence 31 cycles/min 29 ( 31 cycles/min 30 30 31 cycles/min 31 cycles/min 32 ) 33 using 35 metronome 34 a 35 metronome spatial - temporal gait parameters ( stride length , duration , and speed , step width , and trailing and leading heel - clearance ) were analyzed , and compared by two - way anova ( group and fatigue ) . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 41 . 1 spatial 5 parameters 1 spatial 12 and 2 - 5 parameters 3 temporal 5 parameters 4 gait 5 parameters 5 parameters 8 length 5 parameters 11 , 6 ( 8 length 7 stride 8 length 8 length 10 duration 8 length 11 , 9 , 10 duration 10 duration 11 , 12 and 13 speed 14 , 20 and 14 , 29 and 15 step 16 width 16 width 18 and 17 , 18 and 18 and 19 trailing 18 and 20 and 20 and 22 heel 20 and 24 clearance 20 and 29 and 21 leading 22 heel 23 - 24 clearance 24 clearance 25 ) 26 were 27 analyzed 26 were 29 and 28 , 29 and 29 and 30 compared 29 and 31 by 31 by 32 two 32 two 35 anova 33 - 35 anova 34 way 35 anova 35 anova 38 and 35 anova 40 ) 36 ( 38 and 37 group 38 and 38 and 39 fatigue 38 and 40 ) the results confirmed our hypothesis , showing age - related effects of leg muscles fatigue in both gait conditions . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 confirmed 0 ###LEFT-WALL### 10 related 1 the 2 results 2 results 3 confirmed 3 confirmed 5 hypothesis 4 our 5 hypothesis 5 hypothesis 7 showing 6 , 7 showing 7 showing 8 age 7 showing 9 - 9 - 10 related 10 related 11 effects 10 related 16 in 10 related 20 . 11 effects 12 of 12 of 15 fatigue 13 leg 15 fatigue 14 muscles 15 fatigue 16 in 19 conditions 17 both 19 conditions 18 gait 19 conditions from 40 years old , participants modulated spatial - temporal and vertical impulses in both tasks more in response to fatigue than younger participants , apparently to improve balance and safety . 0 ###LEFT-WALL### 6 participants 0 ###LEFT-WALL### 7 modulated 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 32 . 1 from 3 years 1 from 6 participants 2 40 3 years 4 old 5 , 4 old 6 participants 6 participants 7 modulated 7 modulated 13 impulses 7 modulated 17 more 7 modulated 19 response 7 modulated 20 to 7 modulated 22 than 8 spatial 9 - 8 spatial 13 impulses 10 temporal 11 and 11 and 12 vertical 11 and 13 impulses 13 impulses 14 in 14 in 16 tasks 15 both 16 tasks 18 in 19 response 20 to 21 fatigue 22 than 24 participants 23 younger 24 participants 25 , 27 to 25 , 28 improve 26 apparently 27 to 27 to 28 improve 28 improve 30 and 29 balance 30 and 30 and 31 safety leg muscle fatigue caused age - dependent changes in both unobstructed level ground walking and obstacle crossing during walking , [which] appeared to reflect an attempt to maintain balance and safety , probably to counteract adverse fatigue effects . 0 ###LEFT-WALL### 3 fatigue 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 24 reflect 0 ###LEFT-WALL### 39 . 1 leg 2 muscle 2 muscle 3 fatigue 3 fatigue 4 caused 4 caused 5 age 6 - 15 and 7 dependent 8 changes 8 changes 9 in 8 changes 15 and 9 in 13 ground 10 both 11 unobstructed 11 unobstructed 13 ground 12 level 13 ground 13 ground 14 walking 15 and 17 crossing 15 and 18 during 16 obstacle 17 crossing 18 during 20 , 19 walking 20 , 20 , 22 appeared 22 appeared 23 to 23 to 24 reflect 24 reflect 26 attempt 25 an 26 attempt 26 attempt 27 to 26 attempt 35 counteract 27 to 28 maintain 28 maintain 30 and 28 maintain 34 to 29 balance 30 and 30 and 31 safety 30 and 32 , 33 probably 34 to 34 to 35 counteract 35 counteract 38 effects 36 adverse 38 effects 37 fatigue 38 effects [synapse] [number] is the best indicator of cognitive impairment in alzheimer 's disease ( ad ) , yet the respective contributions of aβ and tau , particularly human wild - type tau , to synapse loss remain undefined . 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 39 . 3 is 6 indicator 3 is 13 disease 4 the 5 best 4 the 6 indicator 6 indicator 7 of 7 of 9 impairment 8 cognitive 9 impairment 10 in 11 alzheimer 11 alzheimer 12 's 12 's 13 disease 13 disease 15 ad 14 ( 15 ad 15 ad 16 ) 17 , 18 yet 17 , 33 , 18 yet 24 and 19 the 21 contributions 20 respective 21 contributions 21 contributions 22 of 21 contributions 24 and 22 of 23 aβ 24 and 25 tau 24 and 28 human 24 and 33 , 26 , 28 human 27 particularly 28 human 28 human 29 wild 28 human 30 - 31 type 32 tau 31 type 33 , 33 , 34 to 33 , 37 remain 34 to 35 synapse 35 synapse 36 loss 37 remain 38 undefined here , we sought to elucidate the aβ - dependent changes in wild - type human tau that [trigger] synapse loss and cognitive decline in ad by generating two novel transgenic mouse models . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 sought 0 ###LEFT-WALL### 9 - 1 here 2 , 1 here 3 we 3 we 4 sought 4 sought 5 to 4 sought 6 elucidate 5 to 6 elucidate 6 elucidate 8 aβ 7 the 8 aβ 9 - 11 changes 9 - 24 decline 9 - 34 . 10 dependent 11 changes 11 changes 12 in 11 changes 18 that 11 changes 20 synapse 11 changes 24 decline 12 in 17 tau 13 wild 14 - 13 wild 15 type 15 type 16 human 16 human 17 tau 18 that 20 synapse 20 synapse 22 and 21 loss 22 and 22 and 23 cognitive 24 decline 25 in 24 decline 27 by 25 in 26 ad 27 by 28 generating 28 generating 33 models 29 two 33 models 30 novel 33 models 31 transgenic 32 mouse 32 mouse 33 models the first overexpresses floxed human app with swedish and london mutations under the thy1 promoter , and recapitulates important features of early ad , including accumulation of soluble aβ and oligomers , but no plaque formation . 0 ###LEFT-WALL### 2 first 0 ###LEFT-WALL### 17 and 1 the 2 first 2 first 17 and 3 overexpresses 6 app 3 overexpresses 17 and 4 floxed 5 human 5 human 6 app 6 app 7 with 7 with 9 and 8 swedish 9 and 9 and 11 mutations 9 and 12 under 10 london 11 mutations 12 under 15 promoter 13 the 15 promoter 14 thy1 15 promoter 16 , 17 and 17 and 18 recapitulates 18 recapitulates 20 features 18 recapitulates 25 including 19 important 20 features 20 features 21 of 21 of 23 ad 22 early 23 ad 24 , 25 including 25 including 26 accumulation 25 including 33 but 25 including 37 . 26 accumulation 27 of 27 of 30 and 28 soluble 29 aβ 29 aβ 30 and 30 and 31 oligomers 32 , 33 but 33 but 36 formation 33 but 37 . 34 no 36 formation 35 plaque 36 formation transgene [excision] via cre - recombinase reverses [cognitive] decline , even at 18 - months of age . 0 ###LEFT-WALL### 7 reverses 0 ###LEFT-WALL### 10 , 1 transgene 7 reverses 3 via 4 cre 3 via 5 - 3 via 7 reverses 6 recombinase 7 reverses 7 reverses 10 , 9 decline 10 , 10 , 11 even 11 even 12 at 12 at 13 18 13 18 15 months 14 - 15 months 15 months 16 of 15 months 18 . 16 of 17 age secondly , we generated a human wild - type tau - overexpressing mouse . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 generated 0 ###LEFT-WALL### 14 . 1 secondly 2 , 1 secondly 3 we 3 we 4 generated 4 generated 13 mouse 5 a 6 human 5 a 13 mouse 6 human 13 mouse 7 wild 10 tau 7 wild 13 mouse 8 - 10 tau 9 type 10 tau 10 tau 11 - 12 overexpressing 13 mouse crossing of the two animals accelerates cognitive impairment , causes enhanced accumulation and aggregation of tau , and results in reduction of dendritic spines compared to single transgenic htau or happ mice . 0 ###LEFT-WALL### 1 crossing 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 27 single 0 ###LEFT-WALL### 33 . 1 crossing 2 of 1 crossing 9 , 2 of 5 animals 3 the 4 two 4 two 5 animals 6 accelerates 8 impairment 6 accelerates 9 , 7 cognitive 8 impairment 9 , 10 causes 10 causes 12 accumulation 11 enhanced 12 accumulation 13 and 14 aggregation 13 and 25 compared 14 aggregation 15 of 14 aggregation 25 compared 15 of 18 and 16 tau 18 and 17 , 18 and 18 and 19 results 18 and 22 of 19 results 20 in 20 in 21 reduction 22 of 24 spines 23 dendritic 24 spines 25 compared 26 to 26 to 27 single 27 single 32 mice 28 transgenic 32 mice 29 htau 30 or 30 or 31 happ 30 or 32 mice these results suggest that aβ - dependent acceleration of wild - type human tau pathology is a critical component of the lasting changes to dendritic spines and cognitive impairment found in ad . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 33 . 1 these 2 results 2 results 3 suggest 3 suggest 5 aβ 4 that 5 aβ 6 - 8 acceleration 6 - 16 is 6 - 27 and 7 dependent 8 acceleration 8 acceleration 9 of 8 acceleration 16 is 9 of 15 pathology 10 wild 11 - 10 wild 15 pathology 12 type 13 human 13 human 14 tau 14 tau 15 pathology 16 is 19 component 17 a 19 component 18 critical 19 component 19 component 20 of 19 component 24 to 20 of 23 changes 21 the 23 changes 22 lasting 23 changes 24 to 26 spines 25 dendritic 26 spines 27 and 29 impairment 27 and 30 found 28 cognitive 29 impairment 29 impairment 30 found 30 found 31 in 30 found 32 ad fasting has been practiced for millennia , but , only recently , studies have shed light on its role in adaptive cellular responses that reduce oxidative damage and inflammation , optimize energy metabolism , and bolster cellular protection . 0 ###LEFT-WALL### 1 fasting 0 ###LEFT-WALL### 4 practiced 0 ###LEFT-WALL### 8 but 0 ###LEFT-WALL### 39 . 1 fasting 2 has 2 has 3 been 3 been 4 practiced 4 practiced 5 for 5 for 6 millennia 7 , 8 but 8 but 9 , 8 but 10 only 8 but 13 studies 8 but 15 shed 11 recently 12 , 11 recently 13 studies 13 studies 14 have 14 have 15 shed 15 shed 16 light 15 shed 20 in 16 light 17 on 17 on 19 role 18 its 19 role 20 in 23 responses 21 adaptive 23 responses 22 cellular 23 responses 23 responses 24 that 23 responses 30 , 24 that 30 , 25 reduce 28 and 25 reduce 30 , 26 oxidative 27 damage 27 damage 28 and 28 and 29 inflammation 30 , 35 and 31 optimize 33 metabolism 31 optimize 35 and 32 energy 33 metabolism 34 , 35 and 35 and 36 bolster 36 bolster 38 protection 37 cellular 38 protection in lower eukaryotes , chronic fasting extends longevity , in part [,] by reprogramming metabolic and stress resistance pathways . 0 ###LEFT-WALL### 6 fasting 0 ###LEFT-WALL### 7 extends 1 in 3 eukaryotes 1 in 4 , 1 in 6 fasting 2 lower 3 eukaryotes 5 chronic 6 fasting 6 fasting 7 extends 7 extends 8 longevity 8 longevity 13 by 9 , 11 part 9 , 13 by 10 in 11 part 13 by 14 reprogramming 13 by 20 . 14 reprogramming 16 and 15 metabolic 16 and 16 and 19 pathways 17 stress 19 pathways 18 resistance 19 pathways in rodents intermittent or periodic fasting protects against diabetes , cancers , heart disease , and neurodegeneration , while in humans it helps reduce obesity , hypertension , asthma , and rheumatoid arthritis . 0 ###LEFT-WALL### 2 rodents 0 ###LEFT-WALL### 24 reduce 0 ###LEFT-WALL### 26 , 0 ###LEFT-WALL### 34 . 1 in 2 rodents 2 rodents 6 fasting 2 rodents 7 protects 2 rodents 24 reduce 3 intermittent 4 or 4 or 5 periodic 4 or 6 fasting 6 fasting 7 protects 7 protects 8 against 7 protects 19 while 8 against 9 diabetes 9 diabetes 16 and 10 , 16 and 11 cancers 12 , 12 , 14 disease 12 , 16 and 13 heart 14 disease 15 , 16 and 16 and 17 neurodegeneration 16 and 18 , 19 while 22 it 19 while 23 helps 20 in 21 humans 20 in 22 it 22 it 23 helps 24 reduce 25 obesity 26 , 27 hypertension 26 , 28 , 28 , 31 and 29 asthma 31 and 30 , 31 and 31 and 33 arthritis 32 rheumatoid 33 arthritis thus , fasting has the potential to delay aging and help [prevent] and treat diseases while minimizing the side effects caused by chronic dietary interventions . 0 ###LEFT-WALL### 3 fasting 0 ###LEFT-WALL### 4 has 0 ###LEFT-WALL### 26 . 1 thus 2 , 1 thus 3 fasting 3 fasting 4 has 4 has 6 potential 4 has 7 to 4 has 16 while 5 the 6 potential 7 to 13 and 8 delay 9 aging 8 delay 10 and 10 and 11 help 10 and 13 and 13 and 15 diseases 14 treat 15 diseases 16 while 17 minimizing 17 minimizing 20 effects 18 the 20 effects 19 side 20 effects 20 effects 21 caused 20 effects 22 by 22 by 25 interventions 23 chronic 25 interventions 24 dietary 25 interventions the single - nucleotide polymorphisms ( snps ) rs6700125 and rs6690993 in fggy ( flj10986 ) were recently reported to be a susceptibility factor for sporadic amyotrophic lateral sclerosis ( sals ) in caucasian populations in genome [-] wide association studies . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 19 reported 0 ###LEFT-WALL### 42 . 1 the 9 rs6700125 2 single 5 polymorphisms 2 single 8 ) 2 single 9 rs6700125 3 - 5 polymorphisms 4 nucleotide 5 polymorphisms 5 polymorphisms 7 snps 5 polymorphisms 8 ) 6 ( 7 snps 7 snps 8 ) 9 rs6700125 10 and 10 and 11 rs6690993 10 and 12 in 10 and 17 were 12 in 13 fggy 13 fggy 15 flj10986 14 ( 15 flj10986 15 flj10986 16 ) 17 were 18 recently 17 were 19 reported 19 reported 20 to 19 reported 21 be 20 to 21 be 21 be 24 factor 21 be 33 in 22 a 24 factor 23 susceptibility 24 factor 24 factor 25 for 24 factor 31 sals 25 for 29 sclerosis 26 sporadic 29 sclerosis 27 amyotrophic 29 sclerosis 28 lateral 29 sclerosis 30 ( 31 sals 31 sals 32 ) 33 in 35 populations 34 caucasian 35 populations 35 populations 36 in 36 in 41 studies 37 genome 41 studies 39 wide 40 association 40 association 41 studies however , no such association was observed in other independent [genome] - wide association studies or replication studies in a european cohort or 2 small sample sizes of chinese patients . 0 ###LEFT-WALL### 5 association 0 ###LEFT-WALL### 7 observed 0 ###LEFT-WALL### 31 . 1 however 2 , 1 however 5 association 3 no 4 such 4 such 5 association 5 association 6 was 6 was 7 observed 7 observed 8 in 8 in 16 or 9 other 15 studies 10 independent 12 - 10 independent 15 studies 13 wide 14 association 14 association 15 studies 15 studies 16 or 16 or 18 studies 16 or 19 in 17 replication 18 studies 19 in 23 or 20 a 22 cohort 21 european 22 cohort 22 cohort 23 or 23 or 27 sizes 23 or 28 of 24 2 27 sizes 25 small 26 sample 26 sample 27 sizes 28 of 30 patients 29 chinese 30 patients we performed a large case - control study in a cohort consisting of 963 sals cases and 1039 control subjects to examine the association between the 2 reported snps in fggy and amyotrophic lateral sclerosisin chinese patients . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 performed 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 22 examine 0 ###LEFT-WALL### 38 . 1 we 2 performed 2 performed 5 case 3 a 4 large 3 a 5 case 4 large 5 case 6 - 7 control 7 control 8 study 7 control 9 in 7 control 21 to 9 in 11 cohort 10 a 11 cohort 11 cohort 12 consisting 12 consisting 13 of 13 of 17 and 14 963 16 cases 15 sals 16 cases 16 cases 17 and 17 and 20 subjects 18 1039 20 subjects 19 control 20 subjects 21 to 22 examine 22 examine 24 association 22 examine 28 reported 23 the 24 association 24 association 25 between 24 association 28 reported 25 between 27 2 26 the 27 2 28 reported 32 and 29 snps 30 in 29 snps 32 and 30 in 31 fggy 32 and 37 patients 33 amyotrophic 35 sclerosisin 34 lateral 35 sclerosisin 35 sclerosisin 37 patients 36 chinese 37 patients our results did not find the snp rs6690993 in fggy is associated with chinese sals and cannot confirm that this fggy snp modulates the risk for sals in the chinese population . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 32 . 1 our 2 results 2 results 16 and 3 did 4 not 3 did 5 find 3 did 16 and 5 find 7 snp 5 find 12 associated 6 the 7 snp 7 snp 8 rs6690993 7 snp 11 is 7 snp 12 associated 8 rs6690993 9 in 8 rs6690993 11 is 9 in 10 fggy 12 associated 13 with 12 associated 15 sals 13 with 14 chinese 16 and 17 cannot 17 cannot 18 confirm 18 confirm 19 that 19 that 22 snp 19 that 23 modulates 20 this 22 snp 21 fggy 22 snp 22 snp 23 modulates 23 modulates 25 risk 23 modulates 28 in 24 the 25 risk 25 risk 26 for 26 for 27 sals 28 in 31 population 29 the 31 population 30 chinese 31 population growing evidence suggests that parkinson 's disease ( pd ) [patients] have a lower risk for most types of cancer except for melanoma , which has a modest positive association with pd . 0 ###LEFT-WALL### 1 growing 0 ###LEFT-WALL### 3 suggests 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 33 . 1 growing 2 evidence 1 growing 3 suggests 3 suggests 4 that 4 that 7 disease 4 that 12 have 5 parkinson 6 's 6 's 7 disease 7 disease 9 pd 8 ( 9 pd 9 pd 10 ) 12 have 15 risk 12 have 21 except 13 a 15 risk 14 lower 15 risk 15 risk 16 for 16 for 18 types 17 most 18 types 18 types 19 of 19 of 20 cancer 21 except 22 for 22 for 23 melanoma 24 , 25 which 24 , 26 has 25 which 26 has 26 has 30 association 27 a 30 association 28 modest 30 association 29 positive 30 association 30 association 31 with 31 with 32 pd pigmentation genes have been hypothesized to contribute to this association . 0 ###LEFT-WALL### 2 genes 0 ###LEFT-WALL### 5 hypothesized 0 ###LEFT-WALL### 11 . 1 pigmentation 2 genes 2 genes 3 have 3 have 4 been 4 been 5 hypothesized 5 hypothesized 6 to 6 to 7 contribute 7 contribute 8 to 8 to 10 association 9 this 10 association we therefore examined whether genetic susceptibility [loci] for pigmentation or melanoma was associated with pd risk in 2 large independent datasets . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 examined 0 ###LEFT-WALL### 22 . 1 we 3 examined 2 therefore 3 examined 3 examined 4 whether 3 examined 14 with 4 whether 6 susceptibility 4 whether 13 associated 5 genetic 6 susceptibility 6 susceptibility 8 for 6 susceptibility 12 was 8 for 10 or 9 pigmentation 10 or 10 or 11 melanoma 12 was 13 associated 14 with 16 risk 15 pd 16 risk 16 risk 17 in 17 in 21 datasets 18 2 21 datasets 19 large 21 datasets 20 independent 21 datasets in the parkinson 's genes and environment ( page ) study , we examined 11 single - nucleotide polymorphisms ( snps ) identified from previous genome - wide association studies ( gwas ) of pigmentation or melanoma in relation to pd among 808 pd cases and 1623 controls [;] [furthermore] , we also examined the colors of hair , eye , or skin and melanoma in relation to pd . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 11 study 0 ###LEFT-WALL### 12 , 1 in 4 's 1 in 6 and 2 the 3 parkinson 3 parkinson 4 's 5 genes 6 and 6 and 9 page 6 and 10 ) 6 and 11 study 7 environment 9 page 8 ( 9 page 9 page 10 ) 12 , 13 we 12 , 14 examined 12 , 17 - 13 we 14 examined 14 examined 16 single 15 11 16 single 17 - 18 nucleotide 18 nucleotide 19 polymorphisms 18 nucleotide 23 identified 19 polymorphisms 21 snps 19 polymorphisms 23 identified 20 ( 21 snps 21 snps 22 ) 23 identified 24 from 24 from 26 genome 25 previous 26 genome 26 genome 30 studies 26 genome 34 of 27 - 30 studies 28 wide 30 studies 29 association 30 studies 30 studies 32 gwas 30 studies 33 ) 31 ( 32 gwas 32 gwas 33 ) 34 of 46 and 35 pigmentation 36 or 36 or 37 melanoma 36 or 38 in 36 or 40 to 36 or 46 and 38 in 39 relation 40 to 41 pd 41 pd 42 among 42 among 45 cases 43 808 45 cases 44 pd 45 cases 46 and 48 controls 46 and 51 , 46 and 52 we 46 and 54 examined 46 and 57 of 47 1623 48 controls 52 we 54 examined 53 also 54 examined 54 examined 56 colors 55 the 56 colors 57 of 64 and 58 hair 59 , 59 , 60 eye 59 , 62 or 61 , 62 or 62 or 63 skin 62 or 64 and 64 and 65 melanoma 64 and 70 . 65 melanoma 66 in 66 in 67 relation 67 relation 68 to 68 to 69 pd in the international parkinson 's disease genomic consortium ( ipdgc ) , we examined a broader selection of 360 pigmentation or melanoma gwas snps in relation to pd among 5,333 pd cases and 12,019 controls . 0 ###LEFT-WALL### 4 parkinson 0 ###LEFT-WALL### 5 's 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 36 . 1 in 3 international 1 in 4 parkinson 2 the 3 international 4 parkinson 5 's 5 's 8 consortium 6 disease 7 genomic 7 genomic 8 consortium 8 consortium 10 ipdgc 9 ( 10 ipdgc 10 ipdgc 11 ) 12 , 13 we 12 , 14 examined 13 we 14 examined 14 examined 21 or 14 examined 27 to 15 a 17 selection 16 broader 17 selection 17 selection 18 of 17 selection 21 or 18 of 20 pigmentation 19 360 20 pigmentation 21 or 24 snps 22 melanoma 24 snps 23 gwas 24 snps 25 in 26 relation 26 relation 27 to 27 to 28 pd 28 pd 29 among 29 among 33 and 30 5,333 32 cases 31 pd 32 cases 32 cases 33 and 33 and 35 controls 34 12,019 35 controls all participants were [non] - hispanic whites . 0 ###LEFT-WALL### 2 participants 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 5 - 1 all 2 participants 2 participants 3 were 5 - 7 whites 5 - 8 . 6 hispanic 7 whites as expected , in the page study , most snps were associated with 1 [or] more pigmentation phenotypes . 0 ###LEFT-WALL### 10 snps 0 ###LEFT-WALL### 12 associated 0 ###LEFT-WALL### 19 . 1 as 2 expected 1 as 10 snps 2 expected 3 , 3 , 4 in 4 in 7 study 4 in 8 , 4 in 10 snps 5 the 7 study 6 page 7 study 9 most 10 snps 10 snps 11 were 11 were 12 associated 12 associated 13 with 13 with 14 1 14 1 17 pigmentation 14 1 18 phenotypes 16 more 17 pigmentation 17 pigmentation 18 phenotypes however , neither [these] snps [nor] pigmentation phenotypes were associated with pd risk after bonferroni correction with the exception of rs4911414 at the asip gene ( p = [.] 001 ) . 0 ###LEFT-WALL### 5 snps 0 ###LEFT-WALL### 10 associated 0 ###LEFT-WALL### 32 . 1 however 2 , 1 however 5 snps 3 neither 5 snps 5 snps 7 pigmentation 5 snps 8 phenotypes 5 snps 9 were 7 pigmentation 8 phenotypes 9 were 10 associated 10 associated 11 with 10 associated 14 after 10 associated 17 with 10 associated 22 at 11 with 13 risk 12 pd 13 risk 14 after 16 correction 15 bonferroni 16 correction 17 with 19 exception 18 the 19 exception 19 exception 20 of 20 of 21 rs4911414 22 at 25 gene 23 the 25 gene 24 asip 25 gene 25 gene 28 = 26 ( 28 = 27 p 28 = 28 = 30 001 28 = 31 ) a total of 18 pd cases ( 2.2 % ) and 26 controls ( 1.6 % ) had a diagnosis of melanoma with an odds ratio of 1.3 ( 95 % confidence interval [:] 0.7 - 2.4 ) . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 18 had 0 ###LEFT-WALL### 39 . 1 a 2 total 2 total 3 of 2 total 11 and 3 of 6 cases 4 18 6 cases 5 pd 6 cases 6 cases 9 % 7 ( 9 % 8 2.2 9 % 9 % 10 ) 11 and 13 controls 11 and 16 % 11 and 18 had 12 26 13 controls 14 ( 16 % 15 1.6 16 % 16 % 17 ) 18 had 20 diagnosis 19 a 20 diagnosis 20 diagnosis 21 of 20 diagnosis 23 with 20 diagnosis 27 of 20 diagnosis 33 interval 21 of 22 melanoma 23 with 26 ratio 24 an 26 ratio 25 odds 26 ratio 27 of 28 1.3 29 ( 33 interval 30 95 31 % 31 % 32 confidence 32 confidence 33 interval 33 interval 36 - 33 interval 38 ) 35 0.7 36 - 36 - 37 2.4 in the ipdgc analysis , none of the 360 snps , including rs4911414 , were associated with pd risk after adjusting for multiple comparisons . 0 ###LEFT-WALL### 4 analysis 0 ###LEFT-WALL### 16 associated 0 ###LEFT-WALL### 25 . 1 in 3 ipdgc 1 in 4 analysis 2 the 3 ipdgc 4 analysis 6 none 4 analysis 15 were 5 , 6 none 6 none 7 of 6 none 14 , 7 of 10 snps 8 the 9 360 9 360 10 snps 10 snps 12 including 11 , 12 including 12 including 13 rs4911414 12 including 14 , 15 were 16 associated 16 associated 17 with 16 associated 22 for 17 with 19 risk 18 pd 19 risk 19 risk 20 after 20 after 21 adjusting 22 for 24 comparisons 23 multiple 24 comparisons in conclusion , we did not find significant associations between gwas snps of pigmentation or melanoma and the risk for pd . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 22 . 1 in 2 conclusion 3 , 4 we 3 , 7 find 4 we 5 did 5 did 6 not 5 did 7 find 7 find 9 associations 7 find 10 between 7 find 20 for 8 significant 9 associations 10 between 17 and 11 gwas 12 snps 12 snps 13 of 12 snps 15 or 13 of 14 pigmentation 15 or 16 melanoma 15 or 17 and 17 and 19 risk 18 the 19 risk 20 for 21 pd tissue homeostasis and regenerative capacity rely on rare populations of somatic stem cells endowed with the potential [to] self - [renew] and differentiate . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 24 . 1 tissue 2 homeostasis 2 homeostasis 3 and 3 and 5 capacity 3 and 22 and 4 regenerative 5 capacity 6 rely 7 on 6 rely 22 and 7 on 9 populations 8 rare 9 populations 9 populations 10 of 10 of 13 cells 11 somatic 12 stem 12 stem 13 cells 13 cells 14 endowed 14 endowed 15 with 15 with 19 self 16 the 19 self 17 potential 19 self 20 - 22 and 22 and 23 differentiate during aging , many tissues show a decline in regenerative potential coupled with a loss [of] stem cell function . 0 ###LEFT-WALL### 5 tissues 0 ###LEFT-WALL### 6 show 0 ###LEFT-WALL### 20 . 1 during 2 aging 1 during 3 , 1 during 5 tissues 4 many 5 tissues 5 tissues 6 show 6 show 8 decline 6 show 9 in 7 a 8 decline 9 in 11 potential 10 regenerative 11 potential 11 potential 12 coupled 12 coupled 13 with 13 with 19 function 14 a 15 loss 14 a 19 function 15 loss 19 function 17 stem 19 function 18 cell 19 function cells including somatic stem cells have evolved a series of checks and balances to sense and repair cellular damage to maximize tissue function . 0 ###LEFT-WALL### 1 cells 0 ###LEFT-WALL### 7 evolved 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 24 . 1 cells 2 including 1 cells 6 have 2 including 5 cells 3 somatic 4 stem 4 stem 5 cells 6 have 7 evolved 7 evolved 9 series 8 a 9 series 9 series 10 of 10 of 11 checks 12 and 13 balances 12 and 23 function 13 balances 14 to 13 balances 23 function 14 to 16 and 15 sense 16 and 16 and 19 damage 16 and 20 to 16 and 21 maximize 17 repair 19 damage 18 cellular 19 damage 20 to 21 maximize 21 maximize 22 tissue however , during aging the mechanisms that [protect] [normal] [cell] function begin to fail . 0 ###LEFT-WALL### 6 mechanisms 0 ###LEFT-WALL### 12 begin 0 ###LEFT-WALL### 15 . 1 however 2 , 1 however 6 mechanisms 3 during 4 aging 3 during 6 mechanisms 5 the 6 mechanisms 6 mechanisms 7 that 6 mechanisms 11 function 6 mechanisms 12 begin 7 that 11 function 12 begin 13 to 12 begin 14 fail 13 to 14 fail in this review , we will discuss how common cellular mechanisms that maintain tissue fidelity and organismal lifespan impact somatic stem cell function . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 7 discuss 0 ###LEFT-WALL### 24 . 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 6 will 6 will 7 discuss 7 discuss 8 how 8 how 11 mechanisms 8 how 23 function 9 common 11 mechanisms 10 cellular 11 mechanisms 11 mechanisms 12 that 11 mechanisms 13 maintain 11 mechanisms 23 function 12 that 13 maintain 13 maintain 16 and 14 tissue 15 fidelity 15 fidelity 16 and 16 and 22 cell 17 organismal 18 lifespan 18 lifespan 22 cell 19 impact 22 cell 20 somatic 21 stem 21 stem 22 cell we will highlight context - dependent changes and commonalities that define aging , by focusing on three age - sensitive stem cell compartments : blood , neural , and muscle . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 highlight 0 ###LEFT-WALL### 24 : 0 ###LEFT-WALL### 31 . 1 we 2 will 2 will 3 highlight 3 highlight 4 context 3 highlight 14 by 3 highlight 16 on 4 context 8 and 5 - 8 and 6 dependent 7 changes 7 changes 8 and 8 and 9 commonalities 8 and 10 that 8 and 11 define 8 and 13 , 10 that 11 define 11 define 12 aging 14 by 15 focusing 16 on 18 age 17 three 18 age 18 age 23 compartments 19 - 23 compartments 20 sensitive 21 stem 21 stem 23 compartments 22 cell 23 compartments 23 compartments 24 : 24 : 29 and 25 blood 26 , 26 , 27 neural 26 , 29 and 28 , 29 and 29 and 30 muscle understanding the interaction between extrinsic regulators and intrinsic effectors that operate within different stem cell compartments is likely to have important implications for identifying strategies to improve health span [and] treat age - related degenerative diseases . 0 ###LEFT-WALL### 1 understanding 0 ###LEFT-WALL### 29 span 0 ###LEFT-WALL### 34 related 0 ###LEFT-WALL### 37 . 1 understanding 17 is 2 the 3 interaction 3 interaction 4 between 3 interaction 12 within 3 interaction 17 is 4 between 7 and 5 extrinsic 6 regulators 6 regulators 7 and 7 and 9 effectors 7 and 10 that 7 and 11 operate 8 intrinsic 9 effectors 10 that 11 operate 12 within 16 compartments 13 different 14 stem 14 stem 15 cell 15 cell 16 compartments 17 is 18 likely 18 likely 19 to 19 to 20 have 20 have 22 implications 20 have 23 for 20 have 26 to 20 have 29 span 21 important 22 implications 23 for 24 identifying 24 identifying 25 strategies 26 to 27 improve 27 improve 28 health 29 span 32 age 31 treat 32 age 33 - 34 related 34 related 36 diseases 35 degenerative 36 diseases as stem cells ( scs ) [in] adult organs continue to be identified and characterized , it becomes clear that their survival , quiescence , and activation depend on specific signals in their microenvironment , or niche . 0 ###LEFT-WALL### 9 organs 0 ###LEFT-WALL### 10 continue 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 38 . 1 as 3 cells 1 as 9 organs 2 stem 3 cells 4 ( 5 scs 5 scs 6 ) 5 scs 9 organs 8 adult 9 organs 9 organs 10 continue 10 continue 11 to 10 continue 14 and 11 to 14 and 12 be 13 identified 12 be 14 and 14 and 15 characterized 16 , 17 it 16 , 18 becomes 17 it 18 becomes 18 becomes 19 clear 19 clear 20 that 20 that 26 and 20 that 36 or 21 their 22 survival 22 survival 23 , 23 , 24 quiescence 23 , 26 and 25 , 26 and 26 and 27 activation 26 and 36 or 28 depend 29 on 28 depend 32 in 28 depend 36 or 29 on 31 signals 30 specific 31 signals 32 in 34 microenvironment 33 their 34 microenvironment 35 , 36 or 36 or 37 niche although adult scs of diverse tissues differ by their developmental origin , cycling activity , and regenerative capacity , there appear to be conserved similarities regarding the cellular and molecular components of the sc niche . 0 ###LEFT-WALL### 20 there 0 ###LEFT-WALL### 21 appear 0 ###LEFT-WALL### 36 . 1 although 3 scs 1 although 7 differ 1 although 12 , 1 although 20 there 2 adult 3 scs 3 scs 4 of 3 scs 7 differ 4 of 6 tissues 5 diverse 6 tissues 7 differ 8 by 8 by 11 origin 9 their 11 origin 10 developmental 11 origin 12 , 13 cycling 13 cycling 16 and 13 cycling 19 , 13 cycling 20 there 14 activity 16 and 15 , 16 and 16 and 18 capacity 17 regenerative 18 capacity 20 there 21 appear 21 appear 22 to 21 appear 23 be 22 to 23 be 23 be 25 similarities 24 conserved 25 similarities 25 similarities 26 regarding 26 regarding 31 components 27 the 28 cellular 28 cellular 29 and 29 and 30 molecular 29 and 31 components 31 components 32 of 32 of 35 niche 33 the 35 niche 34 sc 35 niche interestingly , many organs house both slow - cycling and fast - cycling sc populations , which rely on the coexistence of quiescent and inductive niches for proper regulation . 0 ###LEFT-WALL### 4 organs 0 ###LEFT-WALL### 5 house 0 ###LEFT-WALL### 12 - 1 interestingly 2 , 1 interestingly 4 organs 3 many 4 organs 4 organs 5 house 5 house 6 both 5 house 10 and 7 slow 8 - 7 slow 9 cycling 9 cycling 10 and 10 and 11 fast 12 - 15 populations 12 - 16 , 12 - 30 . 13 cycling 15 populations 14 sc 15 populations 16 , 17 which 16 , 18 rely 17 which 18 rely 18 rely 19 on 19 on 21 coexistence 20 the 21 coexistence 21 coexistence 22 of 21 coexistence 27 for 22 of 26 niches 23 quiescent 24 and 24 and 25 inductive 24 and 26 niches 27 for 29 regulation 28 proper 29 regulation in this review we present a general definition of adult sc niches in the most studied mammalian systems . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 present 0 ###LEFT-WALL### 19 . 1 in 3 review 1 in 4 we 2 this 3 review 4 we 5 present 5 present 8 definition 5 present 13 in 6 a 7 general 6 a 8 definition 7 general 8 definition 8 definition 9 of 9 of 12 niches 10 adult 12 niches 11 sc 12 niches 13 in 18 systems 14 the 15 most 15 most 18 systems 16 studied 18 systems 17 mammalian 18 systems we further focus on dissecting their cellular organization and on highlighting recently identified key molecular regulators . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 further 0 ###LEFT-WALL### 17 . 1 we 2 further 2 further 3 focus 3 focus 9 and 4 on 5 dissecting 4 on 9 and 5 dissecting 8 organization 6 their 8 organization 7 cellular 8 organization 9 and 10 on 10 on 11 highlighting 11 highlighting 16 regulators 12 recently 13 identified 13 identified 14 key 14 key 16 regulators 15 molecular 16 regulators finally , we detail the potential involvement of the sc niche in tissue degeneration , with a particular emphasis on aging and cancer . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 detail 1 finally 2 , 1 finally 3 we 3 we 4 detail 4 detail 7 involvement 5 the 7 involvement 6 potential 7 involvement 7 involvement 8 of 7 involvement 16 with 8 of 11 niche 9 the 11 niche 10 sc 11 niche 11 niche 12 in 12 in 14 degeneration 13 tissue 14 degeneration 15 , 16 with 16 with 22 and 16 with 24 . 17 a 18 particular 17 a 19 emphasis 18 particular 19 emphasis 19 emphasis 20 on 19 emphasis 22 and 20 on 21 aging 22 and 23 cancer the formation of the hippocampus is generated during embryonic development , but most neurons within the structure are produced after birth . 0 ###LEFT-WALL### 2 formation 0 ###LEFT-WALL### 7 generated 0 ###LEFT-WALL### 12 but 0 ###LEFT-WALL### 22 . 1 the 2 formation 2 formation 3 of 2 formation 6 is 3 of 5 hippocampus 4 the 5 hippocampus 6 is 7 generated 7 generated 8 during 8 during 10 development 9 embryonic 10 development 11 , 12 but 12 but 14 neurons 12 but 19 produced 13 most 14 neurons 14 neurons 15 within 14 neurons 18 are 15 within 17 structure 16 the 17 structure 18 are 19 produced 19 produced 20 after 20 after 21 birth the hippocampus is a primary region of neurogenesis within the adult mammalian brain . 0 ###LEFT-WALL### 2 hippocampus 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 14 . 1 the 2 hippocampus 2 hippocampus 3 is 3 is 6 region 4 a 5 primary 4 a 6 region 5 primary 6 region 6 region 7 of 7 of 8 neurogenesis 8 neurogenesis 9 within 9 within 13 brain 10 the 13 brain 11 adult 13 brain 12 mammalian 13 brain adult - born neurons have to integrate into the established neural circuitry throughout life . 0 ###LEFT-WALL### 4 neurons 0 ###LEFT-WALL### 5 have 0 ###LEFT-WALL### 15 . 1 adult 2 - 1 adult 4 neurons 3 born 4 neurons 4 neurons 5 have 5 have 6 to 5 have 7 integrate 6 to 7 integrate 7 integrate 8 into 7 integrate 13 throughout 7 integrate 14 life 8 into 12 circuitry 9 the 12 circuitry 10 established 12 circuitry 11 neural 12 circuitry although the function of neurogenesis in the adult hippocampus , particularly in humans , remains unclear , experimental data suggest that adult - born neurons are involved in some forms of memory , as well as in diseases . 0 ###LEFT-WALL### 19 data 0 ###LEFT-WALL### 20 suggest 0 ###LEFT-WALL### 23 - 1 although 3 function 1 although 15 remains 1 although 19 data 2 the 3 function 3 function 4 of 3 function 15 remains 4 of 5 neurogenesis 5 neurogenesis 6 in 6 in 9 hippocampus 7 the 9 hippocampus 8 adult 9 hippocampus 9 hippocampus 12 in 10 , 11 particularly 10 , 12 in 12 in 13 humans 12 in 14 , 16 unclear 17 , 16 unclear 19 data 18 experimental 19 data 19 data 20 suggest 20 suggest 22 adult 21 that 22 adult 23 - 25 neurons 23 - 27 involved 24 born 25 neurons 25 neurons 26 are 26 are 27 involved 27 involved 28 in 28 in 30 forms 29 some 30 forms 30 forms 31 of 30 forms 34 as 31 of 32 memory 33 , 34 as 34 as 35 well 34 as 39 . 35 well 36 as 36 as 37 in 37 in 38 diseases adult hippocampal neurogenesis [is] dynamic , [responding] to physiological and pathological stimuli that may promote brain function or contribute to diseases such as epilepsy . 0 ###LEFT-WALL### 5 dynamic 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 25 . 1 adult 5 dynamic 2 hippocampal 3 neurogenesis 3 neurogenesis 5 dynamic 6 , 18 or 8 to 12 stimuli 8 to 18 or 9 physiological 10 and 10 and 11 pathological 10 and 12 stimuli 12 stimuli 13 that 12 stimuli 15 promote 13 that 14 may 14 may 15 promote 15 promote 16 brain 17 function 18 or 18 or 19 contribute 19 contribute 20 to 19 contribute 23 as 20 to 21 diseases 22 such 23 as 23 as 24 epilepsy here , we review some of the mechanisms and signaling pathways involved in the development of the hippocampus , as well as in adult neurogenesis . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 review 1 here 2 , 1 here 3 we 3 we 4 review 4 review 9 and 5 some 6 of 5 some 9 and 6 of 8 mechanisms 7 the 8 mechanisms 9 and 11 pathways 9 and 12 involved 10 signaling 11 pathways 12 involved 13 in 13 in 15 development 14 the 15 development 15 development 16 of 16 of 18 hippocampus 17 the 18 hippocampus 18 hippocampus 20 as 19 , 20 as 20 as 21 well 20 as 26 . 21 well 22 as 22 as 23 in 23 in 25 neurogenesis 24 adult 25 neurogenesis we discuss some recent findings suggesting heterogeneity within the hippocampal stem cell pool and the regulation of activation of quiescent stem cells . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 discuss 0 ###LEFT-WALL### 23 . 1 we 2 discuss 2 discuss 5 findings 2 discuss 8 within 3 some 5 findings 4 recent 5 findings 5 findings 6 suggesting 6 suggesting 7 heterogeneity 8 within 14 and 9 the 13 pool 10 hippocampal 11 stem 11 stem 13 pool 12 cell 13 pool 13 pool 14 and 14 and 16 regulation 14 and 17 of 15 the 16 regulation 17 of 18 activation 18 activation 19 of 19 of 22 cells 20 quiescent 21 stem 21 stem 22 cells finally , we discuss some of the issues relating neurogenesis to pathophysiology and aging . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 discuss 0 ###LEFT-WALL### 15 . 1 finally 2 , 1 finally 3 we 3 we 4 discuss 4 discuss 10 neurogenesis 4 discuss 11 to 5 some 6 of 5 some 10 neurogenesis 6 of 10 neurogenesis 7 the 10 neurogenesis 8 issues 9 relating 9 relating 10 neurogenesis 11 to 13 and 12 pathophysiology 13 and 13 and 14 aging hematopoietic development and homeostasis are based on hematopoietic stem cells ( hscs ) , a pool of ancestor cells characterized by the unique combination of self [-] renewal and multilineage potential . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 6 based 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 32 . 1 hematopoietic 2 development 2 development 3 and 3 and 4 homeostasis 3 and 5 are 5 are 6 based 6 based 7 on 7 on 10 cells 8 hematopoietic 9 stem 9 stem 10 cells 10 cells 12 hscs 11 ( 12 hscs 12 hscs 13 ) 14 , 16 pool 14 , 20 characterized 15 a 16 pool 16 pool 17 of 16 pool 20 characterized 17 of 19 cells 18 ancestor 19 cells 20 characterized 21 by 20 characterized 31 potential 21 by 24 combination 22 the 24 combination 23 unique 24 combination 24 combination 25 of 25 of 29 and 26 self 28 renewal 28 renewal 29 and 29 and 30 multilineage these two opposing forces are finely orchestrated by several regulatory mechanisms , comprising both extrinsic and intrinsic factors . 0 ###LEFT-WALL### 2 two 0 ###LEFT-WALL### 7 orchestrated 1 these 2 two 2 two 3 opposing 2 two 5 are 3 opposing 4 forces 5 are 6 finely 5 are 7 orchestrated 7 orchestrated 8 by 7 orchestrated 13 comprising 8 by 11 mechanisms 9 several 11 mechanisms 10 regulatory 11 mechanisms 12 , 13 comprising 13 comprising 18 factors 13 comprising 19 . 14 both 18 factors 15 extrinsic 16 and 16 and 17 intrinsic 16 and 18 factors over the past decades , several studies have contributed to dissect the key role of niche factors , signaling transduction pathways , and transcription factors in hsc development and maintenance . 0 ###LEFT-WALL### 7 studies 0 ###LEFT-WALL### 9 contributed 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 31 . 1 over 4 decades 1 over 5 , 1 over 7 studies 2 the 4 decades 3 past 4 decades 6 several 7 studies 7 studies 8 have 8 have 9 contributed 9 contributed 10 to 9 contributed 19 signaling 10 to 11 dissect 11 dissect 14 role 12 the 14 role 13 key 14 role 14 role 15 of 15 of 17 factors 16 niche 17 factors 18 , 19 signaling 19 signaling 21 pathways 19 signaling 22 , 20 transduction 21 pathways 22 , 23 and 23 and 24 transcription 23 and 25 factors 24 transcription 25 factors 25 factors 26 in 25 factors 29 and 27 hsc 28 development 28 development 29 and 29 and 30 maintenance accumulating evidence , however , suggests that a higher level of intrinsic regulation exists ; epigenetic marks , by controlling chromatin accessibility , directly shape hsc developmental cascades , including their emergence during embryonic development , maintenance of self [-] renewal , lineage commitment , and aging . 0 ###LEFT-WALL### 1 accumulating 0 ###LEFT-WALL### 6 suggests 0 ###LEFT-WALL### 15 ; 0 ###LEFT-WALL### 48 . 1 accumulating 2 evidence 1 accumulating 4 however 1 accumulating 6 suggests 3 , 4 however 4 however 5 , 6 suggests 7 that 7 that 10 level 7 that 14 exists 8 a 10 level 9 higher 10 level 10 level 11 of 10 level 14 exists 11 of 13 regulation 12 intrinsic 13 regulation 15 ; 17 marks 15 ; 25 shape 15 ; 42 , 16 epigenetic 17 marks 17 marks 19 by 17 marks 25 shape 18 , 19 by 19 by 20 controlling 19 by 23 , 20 controlling 22 accessibility 21 chromatin 22 accessibility 24 directly 25 shape 25 shape 28 cascades 25 shape 30 including 26 hsc 28 cascades 27 developmental 28 cascades 29 , 30 including 30 including 32 emergence 30 including 33 during 30 including 42 , 31 their 32 emergence 33 during 35 development 34 embryonic 35 development 35 development 37 maintenance 36 , 37 maintenance 37 maintenance 38 of 37 maintenance 42 , 38 of 41 renewal 39 self 41 renewal 42 , 46 and 43 lineage 44 commitment 44 commitment 46 and 45 , 46 and 46 and 47 aging in addition , aberrant epigenetic marks have been found in several hematological malignancies , consistent with clinical findings that mutations targeting epigenetic regulators promote leukemogenesis . 0 ###LEFT-WALL### 6 marks 0 ###LEFT-WALL### 9 found 1 in 2 addition 1 in 3 , 1 in 6 marks 4 aberrant 6 marks 5 epigenetic 6 marks 6 marks 7 have 7 have 8 been 8 been 9 found 9 found 10 in 10 in 13 malignancies 11 several 13 malignancies 12 hematological 13 malignancies 13 malignancies 15 consistent 14 , 15 consistent 15 consistent 16 with 15 consistent 26 . 16 with 18 findings 17 clinical 18 findings 18 findings 19 that 19 that 20 mutations 19 that 24 promote 20 mutations 21 targeting 20 mutations 24 promote 21 targeting 23 regulators 22 epigenetic 23 regulators 24 promote 25 leukemogenesis in this review , we will focus on both normal and malignant hematopoiesis , covering recent findings that illuminate the epigenetic life of hscs . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 7 focus 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 6 will 6 will 7 focus 7 focus 8 on 8 on 13 hematopoiesis 9 both 13 hematopoiesis 10 normal 11 and 11 and 12 malignant 11 and 13 hematopoiesis 13 hematopoiesis 15 covering 14 , 15 covering 15 covering 17 findings 15 covering 25 . 16 recent 17 findings 17 findings 18 that 17 findings 19 illuminate 18 that 19 illuminate 19 illuminate 22 life 20 the 22 life 21 epigenetic 22 life 22 life 23 of 23 of 24 hscs the aim was to study time trends in prevalence of disability in adl and survival among men and women 78 years and older comparing two cohorts . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 27 . 1 the 2 aim 2 aim 3 was 3 was 4 to 4 to 7 trends 5 study 7 trends 6 time 7 trends 7 trends 8 in 7 trends 10 of 8 in 9 prevalence 10 of 11 disability 11 disability 12 in 11 disability 16 among 12 in 14 and 13 adl 14 and 14 and 15 survival 16 among 22 and 17 men 18 and 18 and 21 years 18 and 22 and 19 women 21 years 20 78 21 years 22 and 26 cohorts 23 older 26 cohorts 24 comparing 26 cohorts 25 two 26 cohorts the study was a time trend study based on two population - based community cohorts , the nordanstig project ( np ) , collected 1995 - 1998 and the swedish national study on aging and care in nordanstig ( snac - n ) , collected 2001 - 2003 . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 49 . 1 the 2 study 2 study 3 was 3 was 28 and 4 a 7 study 5 time 6 trend 6 trend 7 study 7 study 8 based 7 study 9 on 7 study 28 and 9 on 10 two 10 two 11 population 10 two 24 collected 11 population 15 cohorts 11 population 24 collected 12 - 15 cohorts 13 based 14 community 14 community 15 cohorts 15 cohorts 19 project 15 cohorts 23 , 16 , 19 project 17 the 19 project 18 nordanstig 19 project 19 project 21 np 19 project 23 , 20 ( 21 np 21 np 22 ) 24 collected 26 - 25 1995 26 - 26 - 27 1998 28 and 32 study 28 and 33 on 29 the 32 study 30 swedish 32 study 31 national 32 study 33 on 36 care 34 aging 35 and 35 and 36 care 36 care 37 in 36 care 45 collected 37 in 38 nordanstig 38 nordanstig 40 snac 39 ( 40 snac 40 snac 42 n 40 snac 44 , 41 - 42 n 42 n 43 ) 45 collected 47 - 46 2001 47 - 47 - 48 2003 the participants were people aged 78 years and older from the np cohort ( n=303 ) and from the snac [-] n cohort ( n=406 ) . 0 ###LEFT-WALL### 2 participants 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 27 . 1 the 2 participants 2 participants 3 were 3 were 4 people 4 people 5 aged 5 aged 8 and 6 78 7 years 7 years 8 and 8 and 9 older 9 older 17 and 10 from 13 cohort 10 from 17 and 11 the 13 cohort 12 np 13 cohort 13 cohort 15 n=303 14 ( 15 n=303 15 n=303 16 ) 17 and 18 from 18 from 23 cohort 19 the 23 cohort 20 snac 22 n 20 snac 23 cohort 23 cohort 25 n=406 24 ( 25 n=406 25 n=406 26 ) all were clinically examined by physicians and nurses using standardized protocols . 0 ###LEFT-WALL### 1 all 0 ###LEFT-WALL### 4 examined 0 ###LEFT-WALL### 12 . 1 all 2 were 2 were 3 clinically 2 were 4 examined 4 examined 5 by 5 by 7 and 6 physicians 7 and 7 and 8 nurses 7 and 9 using 9 using 11 protocols 10 standardized 11 protocols disability was defined as a need for assistance in one or more adl activities . 0 ###LEFT-WALL### 1 disability 0 ###LEFT-WALL### 3 defined 0 ###LEFT-WALL### 15 . 1 disability 2 was 2 was 3 defined 3 defined 4 as 3 defined 9 in 4 as 6 need 5 a 6 need 6 need 7 for 7 for 8 assistance 9 in 11 or 10 one 11 or 11 or 14 activities 12 more 14 activities 13 adl 14 activities the prevalence of disability and survival were compared using logistic and cox models . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 8 compared 0 ###LEFT-WALL### 14 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 7 were 3 of 5 and 4 disability 5 and 5 and 6 survival 7 were 8 compared 8 compared 9 using 9 using 13 models 10 logistic 11 and 11 and 12 cox 11 and 13 models the prevalence of adl disability was stable for men , while women became more disabled in adl during the time period , or 2.36 ( 1.12 - 4.94 ) . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 30 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 6 was 3 of 5 disability 4 adl 5 disability 6 was 7 stable 7 stable 8 for 7 stable 11 while 8 for 9 men 10 , 11 while 11 while 12 women 11 while 13 became 11 while 29 ) 12 women 13 became 13 became 15 disabled 14 more 15 disabled 15 disabled 16 in 16 in 17 adl 17 adl 18 during 17 adl 23 or 18 during 21 period 19 the 21 period 20 time 21 period 22 , 23 or 23 or 24 2.36 23 or 27 - 23 or 29 ) 25 ( 27 - 26 1.12 27 - 27 - 28 4.94 27 - 29 ) there was no significant difference in survival time between the cohorts in either adl disabled persons or [non] [-] disabled persons . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 22 . 1 there 2 was 2 was 5 difference 2 was 12 in 3 no 5 difference 4 significant 5 difference 5 difference 6 in 6 in 8 time 7 survival 8 time 8 time 9 between 9 between 11 cohorts 10 the 11 cohorts 12 in 17 or 13 either 17 or 14 adl 15 disabled 15 disabled 16 persons 16 persons 17 or 17 or 21 persons 20 disabled 21 persons there was a tendency for increased survival for [non] [-] disabled persons in snac - n compared with np , [although] not significant ; this was particularly true for women . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 15 - 1 there 2 was 2 was 4 tendency 3 a 4 tendency 4 tendency 5 for 4 tendency 8 for 5 for 7 survival 6 increased 7 survival 8 for 12 persons 11 disabled 12 persons 12 persons 13 in 13 in 14 snac 15 - 16 n 15 - 17 compared 15 - 24 ; 15 - 31 . 16 n 17 compared 17 compared 18 with 18 with 19 np 19 np 23 significant 20 , 22 not 20 , 23 significant 22 not 23 significant 23 significant 24 ; 24 ; 25 this 24 ; 26 was 25 this 26 was 26 was 27 particularly 26 was 28 true 28 true 29 for 29 for 30 women in general , women survived longer than men did regardless of whether they were adl disabled [or] [not] . 0 ###LEFT-WALL### 4 women 0 ###LEFT-WALL### 5 survived 0 ###LEFT-WALL### 19 . 1 in 2 general 2 general 3 , 2 general 4 women 4 women 5 survived 5 survived 6 longer 5 survived 7 than 7 than 9 did 8 men 9 did 9 did 11 of 10 regardless 11 of 11 of 12 whether 12 whether 13 they 12 whether 14 were 13 they 14 were 14 were 15 adl 15 adl 16 disabled the time trends for adl disability found in the study show that adl disability had increased in women but not in men . 0 ###LEFT-WALL### 3 trends 0 ###LEFT-WALL### 7 found 0 ###LEFT-WALL### 23 . 1 the 2 time 2 time 3 trends 3 trends 4 for 3 trends 7 found 4 for 6 disability 5 adl 6 disability 7 found 8 in 7 found 11 show 9 the 11 show 10 study 11 show 11 show 12 that 11 show 16 increased 12 that 14 disability 12 that 16 increased 13 adl 14 disability 14 disability 15 had 15 had 16 increased 16 increased 19 but 17 in 18 women 17 in 19 but 19 but 20 not 19 but 21 in 21 in 22 men more studies are needed to identify risk factors for adl disability with a view to preventing it in time . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 needed 0 ###LEFT-WALL### 20 . 1 more 2 studies 2 studies 3 are 3 are 4 needed 4 needed 5 to 5 to 6 identify 6 identify 8 factors 6 identify 12 with 6 identify 15 to 7 risk 8 factors 8 factors 9 for 9 for 11 disability 10 adl 11 disability 12 with 14 view 13 a 14 view 15 to 16 preventing 16 preventing 17 it 16 preventing 18 in 18 in 19 time recent studies in mice have identified single molecules that can delay multiple diseases of aging and extend lifespan . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 19 . 1 recent 2 studies 2 studies 3 in 2 studies 16 and 3 in 4 mice 5 have 6 identified 5 have 16 and 6 identified 8 molecules 7 single 8 molecules 8 molecules 9 that 8 molecules 15 aging 9 that 10 can 10 can 11 delay 11 delay 13 diseases 12 multiple 13 diseases 13 diseases 14 of 14 of 15 aging 16 and 17 extend 17 extend 18 lifespan in theory , such molecules could prevent dozens of diseases simultaneously , potentially extending healthy years of life . 0 ###LEFT-WALL### 5 molecules 0 ###LEFT-WALL### 7 prevent 1 in 2 theory 1 in 3 , 1 in 5 molecules 4 such 5 molecules 5 molecules 6 could 6 could 7 prevent 7 prevent 10 diseases 7 prevent 11 simultaneously 7 prevent 14 extending 8 dozens 9 of 8 dozens 10 diseases 9 of 10 diseases 12 , 14 extending 13 potentially 14 extending 14 extending 16 years 14 extending 19 . 15 healthy 16 years 16 years 17 of 17 of 18 life in this review , we discuss recent advances , controversies , opportunities , and challenges surrounding the development of sirt1 activators , molecules with the potential to delay aging and age - related diseases . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 discuss 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 35 . 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 6 discuss 6 discuss 8 advances 7 recent 8 advances 9 , 14 and 9 , 33 related 10 controversies 11 , 11 , 12 opportunities 11 , 14 and 13 , 14 and 14 and 15 challenges 14 and 33 related 15 challenges 16 surrounding 15 challenges 19 of 16 surrounding 18 development 17 the 18 development 19 of 21 activators 20 sirt1 21 activators 21 activators 30 and 22 , 30 and 23 molecules 24 with 23 molecules 29 aging 23 molecules 30 and 24 with 26 potential 25 the 26 potential 26 potential 27 to 26 potential 28 delay 27 to 28 delay 30 and 31 age 30 and 32 - 33 related 34 diseases sirtuins comprise a family of nad⁺ - dependent deacylases that are central to the body 's response to diet and exercise . 0 ###LEFT-WALL### 1 sirtuins 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 22 . 1 sirtuins 20 and 2 comprise 4 family 2 comprise 13 to 2 comprise 18 to 2 comprise 20 and 3 a 4 family 4 family 5 of 5 of 9 deacylases 6 nad⁺ 7 - 6 nad⁺ 9 deacylases 8 dependent 9 deacylases 9 deacylases 10 that 9 deacylases 11 are 10 that 11 are 11 are 12 central 13 to 17 response 14 the 15 body 15 body 16 's 16 's 17 response 18 to 19 diet 20 and 21 exercise new studies indicate that both natural and synthetic sirtuin activating compounds ( stacs ) work via a common allosteric mechanism to stimulate sirtuin activity , thereby conferring broad health benefits in rodents , primates , and possibly humans . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 22 stimulate 0 ###LEFT-WALL### 39 . 1 new 2 studies 2 studies 3 indicate 3 indicate 4 that 4 that 7 and 4 that 15 work 5 both 7 and 6 natural 7 and 7 and 9 sirtuin 7 and 10 activating 7 and 15 work 8 synthetic 9 sirtuin 10 activating 11 compounds 11 compounds 13 stacs 12 ( 13 stacs 13 stacs 14 ) 15 work 16 via 15 work 21 to 16 via 20 mechanism 17 a 18 common 17 a 20 mechanism 18 common 20 mechanism 19 allosteric 20 mechanism 21 to 22 stimulate 22 stimulate 36 and 23 sirtuin 24 activity 24 activity 25 , 25 , 30 benefits 25 , 36 and 26 thereby 27 conferring 27 conferring 28 broad 28 broad 30 benefits 29 health 30 benefits 30 benefits 31 in 31 in 32 rodents 32 rodents 34 primates 33 , 34 primates 34 primates 35 , 35 , 36 and 36 and 37 possibly 36 and 38 humans the fact that two [-] thirds of people in the usa who consume multiple dietary supplements consume resveratrol , a sirt1 activator , underscores the importance of understanding the biochemical mechanism , physiological effects , and safety of stacs . 0 ###LEFT-WALL### 2 fact 0 ###LEFT-WALL### 24 underscores 0 ###LEFT-WALL### 40 . 1 the 2 fact 2 fact 3 that 2 fact 24 underscores 3 that 6 thirds 3 that 17 consume 4 two 6 thirds 6 thirds 7 of 6 thirds 17 consume 7 of 8 people 8 people 9 in 8 people 12 who 8 people 13 consume 9 in 11 usa 10 the 11 usa 12 who 13 consume 13 consume 16 supplements 14 multiple 16 supplements 15 dietary 16 supplements 17 consume 18 resveratrol 18 resveratrol 22 activator 19 , 22 activator 20 a 22 activator 21 sirt1 22 activator 22 activator 23 , 24 underscores 36 and 25 the 26 importance 26 importance 27 of 26 importance 32 , 27 of 28 understanding 28 understanding 31 mechanism 29 the 31 mechanism 30 biochemical 31 mechanism 32 , 34 effects 32 , 36 and 33 physiological 34 effects 35 , 36 and 36 and 37 safety 36 and 38 of 38 of 39 stacs long - term care ( ltc ) facilities house individuals with diverse combinations of cognitive and physical impairments , and the practice of seated qigong eliminates common exercise barriers . 0 ###LEFT-WALL### 8 facilities 0 ###LEFT-WALL### 9 house 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 30 . 1 long 4 care 1 long 7 ) 1 long 8 facilities 2 - 4 care 3 term 4 care 4 care 6 ltc 4 care 7 ) 5 ( 6 ltc 6 ltc 7 ) 8 facilities 9 house 9 house 10 individuals 10 individuals 11 with 10 individuals 14 of 11 with 13 combinations 12 diverse 13 combinations 14 of 18 impairments 15 cognitive 16 and 16 and 17 physical 16 and 18 impairments 19 , 20 and 20 and 22 practice 20 and 26 eliminates 21 the 22 practice 22 practice 23 of 22 practice 26 eliminates 23 of 25 qigong 24 seated 25 qigong 26 eliminates 29 barriers 27 common 29 barriers 28 exercise 29 barriers this study hypothesized : 1 [ )(a single session would lower blood pressure ( bp ) and improve quality of life ( qol ) in a generalized ltc population , and [2] [ )(these responses would be attenuated with chronic ( weekly ) seated qigong practice [.] 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 4 : 1 this 2 study 2 study 3 hypothesized 2 study 4 : 4 : 5 1 5 1 9 session 5 1 17 and 7 )(a 9 session 8 single 9 session 9 session 10 would 10 would 17 and 11 lower 13 pressure 11 lower 17 and 12 blood 13 pressure 13 pressure 15 bp 14 ( 15 bp 15 bp 16 ) 17 and 18 improve 17 and 25 in 18 improve 19 quality 19 quality 20 of 19 quality 23 qol 20 of 21 life 22 ( 23 qol 23 qol 24 ) 25 in 31 and 26 a 29 population 27 generalized 29 population 28 ltc 29 population 29 population 31 and 30 , 31 and 31 and 34 )(these 31 and 35 responses 31 and 37 be 31 and 38 attenuated 31 and 39 with 35 responses 36 would 36 would 37 be 39 with 46 practice 40 chronic 42 weekly 40 chronic 43 ) 40 chronic 46 practice 41 ( 42 weekly 42 weekly 43 ) 44 seated 46 practice 45 qigong 46 practice ten residents ( 6 female [;] 86 ± 7 years ) participated in 1x/week seated qigong sessions for 10 - weeks . 0 ###LEFT-WALL### 2 residents 0 ###LEFT-WALL### 12 participated 0 ###LEFT-WALL### 20 - 0 ###LEFT-WALL### 22 . 1 ten 2 residents 2 residents 10 years 2 residents 12 participated 3 ( 10 years 4 6 10 years 5 female 10 years 7 86 10 years 8 ± 10 years 9 7 10 years 10 years 11 ) 12 participated 13 in 13 in 17 sessions 14 1x/week 17 sessions 15 seated 16 qigong 16 qigong 17 sessions 17 sessions 18 for 18 for 19 10 20 - 21 weeks bp and qol were assessed pre - and post - [session] at baseline and following 5 - [and] 10 - weeks of qigong . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 24 . 1 bp 2 and 2 and 3 qol 2 and 8 and 4 were 6 pre 4 were 8 and 5 assessed 6 pre 7 - 8 and 8 and 9 post 8 and 12 at 8 and 21 weeks 10 - 12 at 12 at 14 and 12 at 20 - 13 baseline 14 and 14 and 15 following 14 and 19 10 15 following 16 5 17 - 19 10 19 10 20 - 21 weeks 22 of 22 of 23 qigong systolic bp was significantly reduced immediately post - session [after] 10 - weeks of qigong ( p = 0.03 ) , yet unchanged at baseline and after 5 - weeks [(] all p > 0.05 ) . 0 ###LEFT-WALL### 1 systolic 0 ###LEFT-WALL### 5 reduced 0 ###LEFT-WALL### 37 . 1 systolic 2 bp 1 systolic 3 was 1 systolic 5 reduced 2 bp 3 was 3 was 4 significantly 5 reduced 6 immediately 5 reduced 7 post 7 post 9 session 7 post 13 weeks 8 - 9 session 9 session 11 10 9 session 12 - 12 - 13 weeks 13 weeks 14 of 13 weeks 36 ) 14 of 15 qigong 15 qigong 18 = 15 qigong 23 unchanged 16 ( 18 = 17 p 18 = 18 = 19 0.03 18 = 20 ) 21 , 23 unchanged 22 yet 23 unchanged 23 unchanged 26 and 23 unchanged 36 ) 24 at 25 baseline 24 at 26 and 26 and 27 after 27 after 28 5 28 5 30 weeks 29 - 30 weeks 30 weeks 32 all 30 weeks 34 > 30 weeks 36 ) 32 all 34 > 33 p 34 > 34 > 35 0.05 diastolic bp and qol remained unchanged ( p > 0.05 ) . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 5 remained 0 ###LEFT-WALL### 12 . 1 diastolic 2 bp 2 bp 3 and 3 and 4 qol 3 and 5 remained 5 remained 6 unchanged 6 unchanged 9 > 7 ( 9 > 8 p 9 > 9 > 10 0.05 9 > 11 ) a session of seated qigong elicits a hypotensive response with exposure , supporting the notion that repeated sessions may provide advantageous health benefits . 0 ###LEFT-WALL### 2 session 0 ###LEFT-WALL### 6 elicits 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 24 . 1 a 2 session 2 session 3 of 2 session 6 elicits 3 of 5 qigong 4 seated 5 qigong 6 elicits 9 response 6 elicits 10 with 7 a 8 hypotensive 7 a 9 response 8 hypotensive 9 response 10 with 11 exposure 12 , 13 supporting 12 , 20 provide 13 supporting 15 notion 13 supporting 19 may 14 the 15 notion 15 notion 16 that 15 notion 17 repeated 16 that 17 repeated 17 repeated 18 sessions 19 may 20 provide 20 provide 23 benefits 21 advantageous 22 health 22 health 23 benefits complementary and alternative medicine ( cam ) is a group of [non] - traditional medical practices that includes natural products , manipulations , and mind and body medicine . 0 ###LEFT-WALL### 26 and 0 ###LEFT-WALL### 29 . 1 complementary 2 and 2 and 3 alternative 2 and 4 medicine 2 and 11 of 2 and 16 practices 2 and 24 and 4 medicine 6 cam 4 medicine 8 is 5 ( 6 cam 6 cam 7 ) 8 is 10 group 9 a 10 group 10 group 11 of 13 - 16 practices 14 traditional 16 practices 15 medical 16 practices 16 practices 17 that 16 practices 18 includes 16 practices 23 , 17 that 18 includes 18 includes 20 products 19 natural 20 products 20 products 22 manipulations 21 , 22 manipulations 22 manipulations 23 , 24 and 25 mind 24 and 26 and 26 and 28 medicine 27 body 28 medicine cam use has grown and become popular among patients . 0 ###LEFT-WALL### 2 use 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 10 . 1 cam 2 use 2 use 3 has 3 has 5 and 4 grown 5 and 5 and 6 become 6 become 7 popular 7 popular 8 among 8 among 9 patients in dermatology , honey , green tea , and vitamin c have been used as topical treatments for a variety of diseases . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 14 used 0 ###LEFT-WALL### 23 . 1 in 2 dermatology 1 in 3 , 1 in 9 and 4 honey 5 , 5 , 7 tea 5 , 9 and 6 green 7 tea 8 , 9 and 9 and 10 vitamin 9 and 12 have 10 vitamin 11 c 12 have 13 been 13 been 14 used 14 used 15 as 15 as 17 treatments 16 topical 17 treatments 17 treatments 18 for 17 treatments 21 of 18 for 20 variety 19 a 20 variety 21 of 22 diseases we performed a systematic review to explore the cutaneous effects of each of these three products . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 performed 0 ###LEFT-WALL### 17 . 1 we 2 performed 2 performed 5 review 2 performed 6 to 3 a 4 systematic 3 a 5 review 4 systematic 5 review 6 to 7 explore 7 explore 10 effects 8 the 10 effects 9 cutaneous 10 effects 10 effects 11 of 11 of 16 products 12 each 13 of 12 each 16 products 13 of 16 products 14 these 15 three 15 three 16 products honey 's unique antibacterial , anti - inflammatory , and antioxidant properties were shown to contribute to wound healing , especially in ulcers and burns . 0 ###LEFT-WALL### 12 properties 0 ###LEFT-WALL### 14 shown 1 honey 2 's 2 's 12 properties 3 unique 12 properties 4 antibacterial 5 , 4 antibacterial 12 properties 6 anti 7 - 6 anti 12 properties 8 inflammatory 10 and 9 , 10 and 10 and 11 antioxidant 10 and 12 properties 12 properties 13 were 13 were 14 shown 14 shown 15 to 14 shown 17 to 15 to 16 contribute 17 to 18 wound 18 wound 19 healing 19 healing 22 in 20 , 21 especially 20 , 22 in 22 in 24 and 22 in 26 . 23 ulcers 24 and 24 and 25 burns green tea , among many health benefits , demonstrated protection from ultraviolet - induced events , such as photoimmunosuppression and skin cancer growth . 0 ###LEFT-WALL### 1 green 0 ###LEFT-WALL### 24 . 1 green 2 tea 1 green 18 as 2 tea 4 among 2 tea 10 protection 3 , 4 among 4 among 7 benefits 4 among 8 , 5 many 7 benefits 6 health 7 benefits 8 , 10 protection 9 demonstrated 10 protection 10 protection 11 from 10 protection 16 , 11 from 15 events 12 ultraviolet 13 - 12 ultraviolet 15 events 14 induced 15 events 17 such 18 as 18 as 20 and 19 photoimmunosuppression 20 and 20 and 23 growth 21 skin 23 growth 22 cancer 23 growth vitamin c , known for its antioxidant properties and key role in collagen production , has been shown to produce positive effects on skin hyperpigmentation and aging . 0 ###LEFT-WALL### 1 vitamin 0 ###LEFT-WALL### 18 shown 0 ###LEFT-WALL### 28 . 1 vitamin 2 c 1 vitamin 4 known 1 vitamin 16 has 3 , 4 known 4 known 5 for 4 known 12 in 4 known 15 , 5 for 9 and 6 its 8 properties 7 antioxidant 8 properties 8 properties 9 and 9 and 11 role 10 key 11 role 12 in 14 production 13 collagen 14 production 16 has 17 been 17 been 18 shown 18 shown 19 to 19 to 20 produce 20 produce 22 effects 20 produce 23 on 21 positive 22 effects 23 on 26 and 24 skin 25 hyperpigmentation 25 hyperpigmentation 26 and 26 and 27 aging future large well - designed clinical trials are needed in order to further investigate the potential of these agents as dermatological therapies . 0 ###LEFT-WALL### 3 well 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 23 . 1 future 3 well 2 large 3 well 4 - 7 trials 4 - 9 needed 5 designed 7 trials 6 clinical 7 trials 7 trials 8 are 8 are 9 needed 9 needed 10 in 9 needed 20 as 10 in 11 order 11 order 12 to 11 order 14 investigate 12 to 14 investigate 13 further 14 investigate 14 investigate 16 potential 15 the 16 potential 16 potential 17 of 17 of 19 agents 18 these 19 agents 20 as 22 therapies 21 dermatological 22 therapies background : adverse early life conditions such as perceived low quality of parental bonding increase vulnerability to stress and psychopathology in adulthood . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 1 background 2 : 2 : 6 conditions 3 adverse 6 conditions 4 early 5 life 5 life 6 conditions 6 conditions 8 as 6 conditions 12 of 6 conditions 21 in 7 such 8 as 8 as 11 quality 9 perceived 10 low 10 low 11 quality 12 of 16 vulnerability 13 parental 15 increase 14 bonding 15 increase 15 increase 16 vulnerability 16 vulnerability 17 to 17 to 19 and 18 stress 19 and 19 and 20 psychopathology 21 in 22 adulthood however [,] the mechanisms by which perceptions of parental bonding translate into vulnerability are unclear [and] remain sparsely investigated in healthy populations . 0 ###LEFT-WALL### 17 remain 0 ###LEFT-WALL### 23 . 1 however 4 mechanisms 1 however 14 are 1 however 17 remain 3 the 4 mechanisms 4 mechanisms 5 by 4 mechanisms 14 are 5 by 6 which 5 by 7 perceptions 5 by 11 translate 7 perceptions 8 of 7 perceptions 11 translate 8 of 10 bonding 9 parental 10 bonding 11 translate 12 into 12 into 13 vulnerability 14 are 15 unclear 17 remain 19 investigated 17 remain 20 in 18 sparsely 19 investigated 20 in 22 populations 21 healthy 22 populations we proposed a model , in which the personality trait harm avoidance would mediate effects of recollected parental bonding during the first sixteen years of life on measures of perceived stress and mental distress severity in adulthood . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 proposed 1 we 2 proposed 2 proposed 4 model 3 a 4 model 4 model 6 in 5 , 6 in 6 in 7 which 6 in 12 avoidance 6 in 14 mediate 6 in 38 . 8 the 10 trait 9 personality 10 trait 10 trait 12 avoidance 11 harm 12 avoidance 12 avoidance 13 would 13 would 14 mediate 14 mediate 15 effects 14 mediate 20 during 15 effects 16 of 16 of 19 bonding 17 recollected 19 bonding 18 parental 19 bonding 20 during 32 and 21 the 22 first 21 the 23 sixteen 23 sixteen 24 years 24 years 25 of 24 years 32 and 25 of 26 life 26 life 27 on 27 on 28 measures 28 measures 29 of 29 of 31 stress 30 perceived 31 stress 32 and 35 severity 33 mental 34 distress 34 distress 35 severity 35 severity 36 in 36 in 37 adulthood method : five [-] hundred - eighteen adults ( 65.1 % women ) , aged 18 - 53years , completed questionnaires of parental bonding , perceived stress , trait harm avoidance , and severity of mental distress . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 38 . 1 method 2 : 2 : 5 hundred 3 five 5 hundred 5 hundred 8 adults 5 hundred 18 53years 6 - 8 adults 7 eighteen 8 adults 8 adults 12 women 8 adults 15 aged 8 adults 17 - 9 ( 12 women 10 65.1 12 women 11 % 12 women 12 women 13 ) 14 , 15 aged 15 aged 16 18 15 aged 17 - 17 - 18 53years 18 53years 19 , 19 , 33 and 20 completed 21 questionnaires 21 questionnaires 22 of 21 questionnaires 25 , 22 of 24 bonding 23 parental 24 bonding 25 , 27 stress 25 , 28 , 26 perceived 27 stress 28 , 31 avoidance 28 , 33 and 29 trait 31 avoidance 30 harm 31 avoidance 32 , 33 and 33 and 34 severity 33 and 35 of 35 of 37 distress 36 mental 37 distress direct and indirect effects mediated through trait harm avoidance were examined in a structural equation model . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 11 examined 0 ###LEFT-WALL### 17 . 1 direct 2 and 2 and 4 effects 2 and 5 mediated 2 and 6 through 2 and 10 were 3 indirect 4 effects 6 through 9 avoidance 7 trait 9 avoidance 8 harm 9 avoidance 10 were 11 examined 11 examined 12 in 12 in 16 model 13 a 14 structural 13 a 16 model 14 structural 15 equation 15 equation 16 model results : under the causal assumptions of our proposed model , indirect effects of trait harm avoidance mediated the relationship between parental overprotection and severity of mental distress , while significantly attenuating the direct effects of parental care on severity of mental distress . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 , 1 results 2 : 2 : 3 under 3 under 6 assumptions 4 the 6 assumptions 5 causal 6 assumptions 6 assumptions 7 of 7 of 10 model 8 our 10 model 9 proposed 10 model 11 , 13 effects 11 , 18 mediated 12 indirect 13 effects 13 effects 14 of 13 effects 18 mediated 14 of 17 avoidance 15 trait 17 avoidance 16 harm 17 avoidance 18 mediated 20 relationship 18 mediated 21 between 18 mediated 30 while 19 the 20 relationship 21 between 24 and 22 parental 23 overprotection 23 overprotection 24 and 24 and 25 severity 24 and 26 of 26 of 28 distress 27 mental 28 distress 29 , 30 while 30 while 32 attenuating 30 while 44 . 31 significantly 32 attenuating 32 attenuating 35 effects 32 attenuating 39 on 33 the 35 effects 34 direct 35 effects 35 effects 36 of 36 of 38 care 37 parental 38 care 39 on 40 severity 40 severity 41 of 41 of 43 distress 42 mental 43 distress moreover , indirect effects of trait harm avoidance significantly attenuated the direct effects of parental overprotection and care on perceived stress . 0 ###LEFT-WALL### 4 effects 0 ###LEFT-WALL### 10 attenuated 0 ###LEFT-WALL### 22 . 1 moreover 2 , 1 moreover 4 effects 3 indirect 4 effects 4 effects 5 of 4 effects 10 attenuated 5 of 8 avoidance 6 trait 8 avoidance 7 harm 8 avoidance 9 significantly 10 attenuated 10 attenuated 13 effects 10 attenuated 19 on 11 the 13 effects 12 direct 13 effects 13 effects 14 of 14 of 17 and 15 parental 16 overprotection 16 overprotection 17 and 17 and 18 care 19 on 21 stress 20 perceived 21 stress conclusion : in this large sample of mentally healthy adults , recollected parental bonding was significantly associated with levels of perceived stress and severity of mental distress . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 28 . 1 conclusion 2 : 2 : 3 in 3 in 6 sample 4 this 6 sample 5 large 6 sample 6 sample 7 of 7 of 10 adults 8 mentally 9 healthy 9 healthy 10 adults 11 , 14 bonding 11 , 17 associated 12 recollected 14 bonding 13 parental 14 bonding 14 bonding 15 was 15 was 17 associated 16 significantly 17 associated 17 associated 18 with 18 with 19 levels 19 levels 20 of 20 of 23 and 21 perceived 22 stress 22 stress 23 and 23 and 24 severity 23 and 25 of 25 of 27 distress 26 mental 27 distress the results from our proposed model further suggest that trait harm avoidance may be a developmental link , by which the quality of recollected parental bonding in childhood translates into adult vulnerability to stress and mental distress . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 8 suggest 1 the 2 results 2 results 3 from 2 results 8 suggest 3 from 6 model 4 our 6 model 5 proposed 6 model 7 further 8 suggest 8 suggest 10 trait 9 that 10 trait 10 trait 12 avoidance 10 trait 14 be 10 trait 19 by 11 harm 12 avoidance 12 avoidance 13 may 13 may 14 be 14 be 17 link 15 a 17 link 16 developmental 17 link 18 , 19 by 19 by 20 which 19 by 22 quality 19 by 29 translates 19 by 38 . 21 the 22 quality 22 quality 23 of 22 quality 29 translates 23 of 26 bonding 24 recollected 26 bonding 25 parental 26 bonding 26 bonding 27 in 27 in 28 childhood 29 translates 30 into 30 into 35 and 31 adult 32 vulnerability 32 vulnerability 33 to 32 vulnerability 35 and 33 to 34 stress 35 and 37 distress 36 mental 37 distress none the morphological and histological changes related to testicular aging are : volume decrease , arteriolar sclerosis , degeneration of leydig cells and sertoli , depletion of germ cells and thickening of the tunica albuginea testis . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 12 : 0 ###LEFT-WALL### 18 , 1 none 6 changes 1 none 11 are 1 none 12 : 2 the 6 changes 3 morphological 4 and 4 and 5 histological 4 and 6 changes 6 changes 7 related 6 changes 11 are 7 related 8 to 8 to 10 aging 9 testicular 10 aging 12 : 14 decrease 13 volume 14 decrease 14 decrease 17 sclerosis 15 , 17 sclerosis 16 arteriolar 17 sclerosis 17 sclerosis 18 , 18 , 23 and 19 degeneration 20 of 19 degeneration 23 and 20 of 22 cells 21 leydig 22 cells 23 and 24 sertoli 23 and 25 , 23 and 30 and 25 , 30 and 26 depletion 27 of 26 depletion 30 and 27 of 29 cells 28 germ 29 cells 30 and 31 thickening 30 and 37 . 31 thickening 32 of 32 of 36 testis 33 the 36 testis 34 tunica 36 testis 35 albuginea 36 testis the participation [in] testicular androgen decline in aging is related to the decrease in the number of leydig cells associated with alterations in the functioning of the hypothalamic - pituitary axis sperm volume , concentration and total number , motility and morphology of sperm decrease with aging male . 0 ###LEFT-WALL### 6 decline 0 ###LEFT-WALL### 29 - 1 the 6 decline 2 participation 6 decline 4 testicular 5 androgen 5 androgen 6 decline 6 decline 7 in 6 decline 9 is 7 in 8 aging 9 is 10 related 10 related 11 to 11 to 13 decrease 12 the 13 decrease 13 decrease 14 in 13 decrease 19 cells 13 decrease 20 associated 13 decrease 26 of 14 in 16 number 15 the 16 number 16 number 17 of 17 of 18 leydig 19 cells 20 associated 20 associated 21 with 20 associated 23 in 21 with 22 alterations 23 in 25 functioning 24 the 25 functioning 26 of 28 hypothalamic 27 the 28 hypothalamic 29 - 41 and 29 - 45 decrease 29 - 49 . 30 pituitary 31 axis 31 axis 33 volume 32 sperm 33 volume 33 volume 34 , 34 , 35 concentration 34 , 36 and 36 and 38 number 36 and 39 , 37 total 38 number 39 , 40 motility 39 , 41 and 41 and 42 morphology 41 and 43 of 41 and 45 decrease 43 of 44 sperm 45 decrease 46 with 46 with 47 aging 46 with 48 male the interindividual variability of sperm parameters , the variability of methodologies for data [collection] and selection of patients must be careful in interpreting the published results . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 20 be 0 ###LEFT-WALL### 27 . 1 the 3 variability 2 interindividual 3 variability 3 variability 4 of 3 variability 7 , 4 of 6 parameters 5 sperm 6 parameters 7 , 9 variability 7 , 15 and 8 the 9 variability 9 variability 10 of 10 of 11 methodologies 11 methodologies 12 for 12 for 13 data 15 and 16 selection 15 and 17 of 15 and 19 must 17 of 18 patients 19 must 20 be 20 be 21 careful 21 careful 22 in 22 in 23 interpreting 23 interpreting 26 results 24 the 26 results 25 published 26 results overall , the quality of sperm decreases progressively with age , without any age limit that can be individualized . 0 ###LEFT-WALL### 4 quality 0 ###LEFT-WALL### 7 decreases 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 20 . 1 overall 2 , 1 overall 4 quality 3 the 4 quality 4 quality 5 of 4 quality 7 decreases 5 of 6 sperm 7 decreases 8 progressively 7 decreases 9 with 9 with 10 age 11 , 12 without 11 , 18 be 12 without 15 limit 12 without 18 be 13 any 15 limit 14 age 15 limit 16 that 17 can 17 can 18 be 18 be 19 individualized alterations of spermatogenesis do [not] [seem] significantly compromising fertility in the elderly . 0 ###LEFT-WALL### 1 alterations 0 ###LEFT-WALL### 4 do 0 ###LEFT-WALL### 13 . 1 alterations 2 of 1 alterations 4 do 2 of 3 spermatogenesis 4 do 9 fertility 4 do 10 in 7 significantly 8 compromising 8 compromising 9 fertility 10 in 12 elderly 11 the 12 elderly the clinical impact of testicular aging implies androgen production decrease and diseases associated with aging . 0 ###LEFT-WALL### 3 impact 0 ###LEFT-WALL### 7 implies 0 ###LEFT-WALL### 16 . 1 the 3 impact 2 clinical 3 impact 3 impact 4 of 3 impact 7 implies 4 of 6 aging 5 testicular 6 aging 7 implies 11 and 7 implies 13 associated 8 androgen 10 decrease 9 production 10 decrease 10 decrease 11 and 11 and 12 diseases 11 and 13 associated 13 associated 14 with 14 with 15 aging cardiovascular ( cv ) risk factors [,] such as hypertension [,] diabetes , and hyperlipidemia are associated with cognitive impairment and risk of dementia in older adults . 0 ###LEFT-WALL### 5 risk 0 ###LEFT-WALL### 17 associated 0 ###LEFT-WALL### 28 . 1 cardiovascular 3 cv 1 cardiovascular 4 ) 1 cardiovascular 5 risk 2 ( 3 cv 3 cv 4 ) 5 risk 6 factors 5 risk 16 are 5 risk 17 associated 6 factors 9 as 6 factors 16 are 8 such 9 as 9 as 14 and 10 hypertension 12 diabetes 12 diabetes 14 and 13 , 14 and 14 and 15 hyperlipidemia 17 associated 18 with 17 associated 25 in 18 with 21 and 19 cognitive 20 impairment 20 impairment 21 and 21 and 22 risk 21 and 23 of 23 of 24 dementia 25 in 27 adults 26 older 27 adults however , the mechanisms linking them are not clear . 0 ###LEFT-WALL### 4 mechanisms 0 ###LEFT-WALL### 7 are 0 ###LEFT-WALL### 10 . 1 however 2 , 1 however 4 mechanisms 3 the 4 mechanisms 4 mechanisms 5 linking 4 mechanisms 7 are 5 linking 6 them 7 are 8 not 7 are 9 clear 8 not 9 clear this study aims to investigate the association between aggregate cv risk , assessed by the framingham general cardiovascular risk profile , and functional brain activation in a group [of] community - dwelling older adults . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 31 - 0 ###LEFT-WALL### 35 . 1 this 2 study 2 study 3 aims 3 aims 4 to 3 aims 5 investigate 4 to 5 investigate 5 investigate 7 association 5 investigate 13 assessed 6 the 7 association 7 association 8 between 8 between 11 risk 9 aggregate 11 risk 10 cv 11 risk 12 , 13 assessed 13 assessed 14 by 13 assessed 26 in 13 assessed 31 - 14 by 22 and 15 the 20 profile 16 framingham 17 general 17 general 20 profile 18 cardiovascular 20 profile 19 risk 20 profile 20 profile 22 and 21 , 22 and 22 and 25 activation 23 functional 24 brain 24 brain 25 activation 26 in 30 community 27 a 30 community 28 group 30 community 31 - 34 adults 32 dwelling 34 adults 33 older 34 adults sixty participants [(] mean age : 64.6 years [ )(from the brain health study , a [nested] study of the baltimore experience corps trial , underwent functional magnetic resonance imaging using the flanker task . 0 ###LEFT-WALL### 2 participants 0 ###LEFT-WALL### 4 mean 0 ###LEFT-WALL### 6 : 1 sixty 2 participants 2 participants 4 mean 4 mean 5 age 6 : 8 years 6 : 34 task 6 : 35 . 7 64.6 8 years 8 years 14 study 8 years 26 underwent 8 years 34 task 10 )(from 13 health 10 )(from 14 study 11 the 13 health 12 brain 13 health 14 study 18 study 14 study 26 underwent 15 , 18 study 16 a 18 study 18 study 19 of 18 study 25 , 19 of 24 trial 20 the 24 trial 21 baltimore 22 experience 22 experience 23 corps 23 corps 24 trial 26 underwent 30 imaging 26 underwent 31 using 27 functional 30 imaging 28 magnetic 30 imaging 29 resonance 30 imaging 31 using 33 flanker 32 the 33 flanker we found that participants with higher cv risk had [greater] task - related activation in the left inferior parietal region , and this increased activation was associated with poorer task performance . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 32 . 1 we 2 found 2 found 3 that 2 found 4 participants 2 found 5 with 5 with 7 cv 6 higher 7 cv 7 cv 8 risk 7 cv 9 had 7 cv 14 activation 8 risk 9 had 9 had 11 task 12 - 14 activation 13 related 14 activation 14 activation 15 in 14 activation 21 , 15 in 20 region 16 the 20 region 17 left 20 region 18 inferior 20 region 19 parietal 20 region 22 and 25 activation 22 and 27 associated 23 this 25 activation 24 increased 25 activation 25 activation 26 was 26 was 27 associated 27 associated 28 with 28 with 31 performance 29 poorer 31 performance 30 task 31 performance our results provide insights into the neural systems underlying the relationship between cv risk and executive function . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 provide 0 ###LEFT-WALL### 18 . 1 our 2 results 2 results 3 provide 3 provide 4 insights 3 provide 5 into 5 into 8 systems 6 the 8 systems 7 neural 8 systems 8 systems 9 underlying 9 underlying 11 relationship 9 underlying 12 between 10 the 11 relationship 12 between 15 and 13 cv 14 risk 14 risk 15 and 15 and 17 function 16 executive 17 function increased activation of the inferior parietal region may offer a pathway through which cv risk increases risk for cognitive impairment . 0 ###LEFT-WALL### 2 activation 0 ###LEFT-WALL### 9 offer 0 ###LEFT-WALL### 21 . 1 increased 2 activation 2 activation 3 of 2 activation 8 may 3 of 7 region 4 the 7 region 5 inferior 7 region 6 parietal 7 region 8 may 9 offer 9 offer 11 pathway 10 a 11 pathway 11 pathway 12 through 12 through 13 which 12 through 15 risk 12 through 16 increases 14 cv 15 risk 15 risk 16 increases 16 increases 17 risk 17 risk 18 for 18 for 20 impairment 19 cognitive 20 impairment trem and trem - like receptors are a structurally similar protein family encoded by genes clustered on chromosome 6p21.11 . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 7 are 0 ###LEFT-WALL### 20 . 1 trem 2 and 2 and 3 trem 2 and 4 - 2 and 5 like 2 and 7 are 5 like 6 receptors 7 are 19 6p21.11 8 a 9 structurally 8 a 19 6p21.11 9 structurally 10 similar 10 similar 11 protein 11 protein 12 family 12 family 13 encoded 12 family 14 by 12 family 16 clustered 14 by 15 genes 16 clustered 17 on 17 on 19 6p21.11 18 chromosome 19 6p21.11 recent studies have identified a rare coding variant ( p.r47h ) in trem2 that confers a high risk for alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 identified 0 ###LEFT-WALL### 26 . 1 recent 2 studies 2 studies 3 have 3 have 4 identified 4 identified 8 variant 4 identified 12 in 5 a 8 variant 6 rare 8 variant 7 coding 8 variant 8 variant 10 p.r47h 9 ( 10 p.r47h 10 p.r47h 11 ) 12 in 13 trem2 13 trem2 14 that 13 trem2 15 confers 14 that 15 confers 15 confers 18 risk 16 a 18 risk 17 high 18 risk 18 risk 19 for 19 for 22 disease 20 alzheimer 21 's 21 's 22 disease 22 disease 24 ad 23 ( 24 ad 24 ad 25 ) in addition , common single nucleotide polymorphisms in this genomic region are associated with cerebrospinal fluid biomarkers for ad and a common intergenic variant found near the treml2 gene has been identified to be protective for ad . 0 ###LEFT-WALL### 7 polymorphisms 0 ###LEFT-WALL### 13 associated 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 34 be 0 ###LEFT-WALL### 38 . 1 in 2 addition 1 in 3 , 1 in 7 polymorphisms 4 common 6 nucleotide 5 single 6 nucleotide 6 nucleotide 7 polymorphisms 7 polymorphisms 8 in 7 polymorphisms 12 are 8 in 11 region 9 this 11 region 10 genomic 11 region 12 are 13 associated 13 associated 14 with 14 with 17 biomarkers 14 with 18 for 15 cerebrospinal 16 fluid 16 fluid 17 biomarkers 18 for 19 ad 20 and 24 variant 20 and 32 identified 21 a 24 variant 22 common 24 variant 23 intergenic 24 variant 24 variant 25 found 24 variant 30 has 25 found 26 near 26 near 29 gene 27 the 29 gene 28 treml2 29 gene 30 has 31 been 31 been 32 identified 32 identified 33 to 33 to 34 be 34 be 35 protective 35 protective 36 for 36 for 37 ad however , little is known about the functional variant underlying the latter association or its relationship with the p.r47h . 0 ###LEFT-WALL### 3 little 0 ###LEFT-WALL### 5 known 0 ###LEFT-WALL### 20 . 1 however 2 , 1 however 3 little 3 little 4 is 4 is 5 known 5 known 6 about 5 known 17 with 6 about 14 or 7 the 9 variant 8 functional 9 variant 9 variant 10 underlying 9 variant 14 or 10 underlying 13 association 11 the 13 association 12 latter 13 association 14 or 16 relationship 15 its 16 relationship 17 with 19 p.r47h 18 the 19 p.r47h additionally , we demonstrate that the protective role of treml2 in ad is [independent] of the role of trem2 [gene] as a risk factor for ad . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 demonstrate 0 ###LEFT-WALL### 27 . 1 additionally 2 , 1 additionally 3 we 3 we 4 demonstrate 4 demonstrate 5 that 5 that 8 role 5 that 13 is 6 the 8 role 7 protective 8 role 8 role 9 of 8 role 13 is 9 of 10 treml2 10 treml2 11 in 11 in 12 ad 13 is 15 of 13 is 21 as 15 of 17 role 16 the 17 role 17 role 18 of 18 of 19 trem2 21 as 24 factor 22 a 24 factor 23 risk 24 factor 24 factor 25 for 25 for 26 ad exposure to chronic stressors is associated with accelerated biological aging as indicated by reduced leukocyte telomere length ( ltl ) . 0 ###LEFT-WALL### 1 exposure 0 ###LEFT-WALL### 6 associated 0 ###LEFT-WALL### 21 . 1 exposure 2 to 1 exposure 5 is 2 to 4 stressors 3 chronic 4 stressors 5 is 6 associated 6 associated 7 with 6 associated 13 by 7 with 10 aging 8 accelerated 10 aging 9 biological 10 aging 10 aging 12 indicated 11 as 12 indicated 13 by 17 length 14 reduced 17 length 15 leukocyte 17 length 16 telomere 17 length 17 length 19 ltl 18 ( 19 ltl 19 ltl 20 ) this impact could be because of chronic overactivation of the body 's physiological stress systems . 0 ###LEFT-WALL### 2 impact 0 ###LEFT-WALL### 4 be 0 ###LEFT-WALL### 16 . 1 this 2 impact 2 impact 3 could 3 could 4 be 4 be 6 of 5 because 6 of 6 of 8 overactivation 7 chronic 8 overactivation 8 overactivation 9 of 9 of 15 systems 10 the 11 body 11 body 12 's 12 's 15 systems 13 physiological 14 stress 14 stress 15 systems this study examined the associations between ltl and the immune system , hypothalamic - pituitary - adrenal axis and autonomic nervous system . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 examined 0 ###LEFT-WALL### 23 . 1 this 2 study 2 study 3 examined 3 examined 5 associations 3 examined 6 between 4 the 5 associations 6 between 19 and 7 ltl 8 and 8 and 11 system 8 and 12 , 9 the 11 system 10 immune 11 system 12 , 18 axis 12 , 19 and 13 hypothalamic 14 - 13 hypothalamic 18 axis 15 pituitary 16 - 15 pituitary 18 axis 17 adrenal 18 axis 19 and 22 system 20 autonomic 22 system 21 nervous 22 system ltl was assessed in 2936 adults from the netherlands study of depression and anxiety . 0 ###LEFT-WALL### 1 ltl 0 ###LEFT-WALL### 3 assessed 0 ###LEFT-WALL### 15 . 1 ltl 2 was 2 was 3 assessed 3 assessed 4 in 4 in 6 adults 5 2936 6 adults 6 adults 7 from 7 from 10 study 8 the 10 study 9 netherlands 10 study 10 study 11 of 11 of 13 and 12 depression 13 and 13 and 14 anxiety linear regression analyses were performed and adjusted for sociodemographic , lifestyle and clinical factors . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 15 . 1 linear 2 regression 2 regression 3 analyses 3 analyses 6 and 3 analyses 8 for 3 analyses 12 and 4 were 5 performed 4 were 6 and 6 and 7 adjusted 8 for 11 lifestyle 9 sociodemographic 10 , 9 sociodemographic 11 lifestyle 12 and 14 factors 13 clinical 14 factors shorter ltl was significantly associated with higher [c] - reactive protein , interleukin - 6 , area under the curve with respect to increase , and heart rate . 0 ###LEFT-WALL### 2 ltl 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 29 . 1 shorter 2 ltl 2 ltl 3 was 3 was 5 associated 4 significantly 5 associated 5 associated 6 with 6 with 11 protein 7 higher 9 - 7 higher 11 protein 10 reactive 11 protein 11 protein 13 interleukin 12 , 13 interleukin 13 interleukin 15 6 13 interleukin 16 , 14 - 15 6 15 6 16 , 16 , 26 and 17 area 18 under 17 area 26 and 18 under 20 curve 19 the 20 curve 20 curve 21 with 21 with 22 respect 22 respect 23 to 22 respect 24 increase 23 to 24 increase 25 , 26 and 26 and 28 rate 27 heart 28 rate a cumulative index score was calculated [based] on the number of [highest] tertiles of these 4 stress markers . 0 ###LEFT-WALL### 4 score 0 ###LEFT-WALL### 6 calculated 0 ###LEFT-WALL### 19 . 1 a 2 cumulative 1 a 4 score 2 cumulative 3 index 3 index 4 score 4 score 5 was 5 was 6 calculated 6 calculated 8 on 8 on 10 number 9 the 10 number 10 number 11 of 11 of 13 tertiles 13 tertiles 14 of 14 of 18 markers 15 these 16 4 16 4 18 markers 17 stress 18 markers ltl demonstrated a significant gradient within subjects ranging from having zero ( 5528 base pairs ) to having 4 elevated stress markers ( 5371 base pairs , p [for] [trend] = 0.002 ) , corresponding to a difference of 10 years of accelerated biological aging . 0 ###LEFT-WALL### 1 ltl 0 ###LEFT-WALL### 2 demonstrated 0 ###LEFT-WALL### 46 . 1 ltl 2 demonstrated 2 demonstrated 5 gradient 3 a 5 gradient 4 significant 5 gradient 5 gradient 6 within 5 gradient 8 ranging 6 within 7 subjects 8 ranging 9 from 8 ranging 17 to 9 from 10 having 10 having 11 zero 11 zero 15 pairs 12 ( 15 pairs 13 5528 15 pairs 14 base 15 pairs 15 pairs 16 ) 17 to 18 having 18 having 19 4 18 having 21 stress 19 4 20 elevated 21 stress 22 markers 21 stress 35 corresponding 22 markers 26 pairs 23 ( 26 pairs 24 5371 26 pairs 25 base 26 pairs 26 pairs 31 = 26 pairs 34 , 27 , 31 = 28 p 31 = 31 = 32 0.002 31 = 33 ) 35 corresponding 36 to 36 to 38 difference 37 a 38 difference 38 difference 39 of 39 of 41 years 40 10 41 years 41 years 42 of 42 of 45 aging 43 accelerated 45 aging 44 biological 45 aging contrary to the expectations , shorter ltl was also associated with longer pre - ejection period , indicating lower sympathetic tone . 0 ###LEFT-WALL### 7 ltl 0 ###LEFT-WALL### 10 associated 0 ###LEFT-WALL### 22 . 1 contrary 2 to 1 contrary 5 , 1 contrary 7 ltl 2 to 4 expectations 3 the 4 expectations 6 shorter 7 ltl 7 ltl 8 was 8 was 10 associated 9 also 10 associated 10 associated 11 with 11 with 13 pre 11 with 18 indicating 12 longer 13 pre 13 pre 16 period 14 - 16 period 15 ejection 16 period 16 period 17 , 18 indicating 21 tone 19 lower 21 tone 20 sympathetic 21 tone this large - scale study showed that inflammation , high awakening cortisol response , and increased heart rate are associated with shorter ltl , especially when they are dysregulated cumulatively . 0 ###LEFT-WALL### 5 study 0 ###LEFT-WALL### 6 showed 1 this 5 study 2 large 3 - 2 large 4 scale 4 scale 5 study 5 study 6 showed 6 showed 7 that 7 that 15 and 7 that 20 associated 8 inflammation 9 , 9 , 13 response 9 , 15 and 10 high 11 awakening 11 awakening 12 cortisol 12 cortisol 13 response 14 , 15 and 15 and 18 rate 15 and 19 are 16 increased 17 heart 17 heart 18 rate 19 are 20 associated 20 associated 21 with 20 associated 26 when 21 with 23 ltl 22 shorter 23 ltl 24 , 25 especially 24 , 26 when 26 when 27 they 26 when 29 dysregulated 26 when 31 . 27 they 28 are 28 are 29 dysregulated 29 dysregulated 30 cumulatively gv1001 is a 16 [-] amino - acid vaccine peptide derived from the human telomerase reverse transcriptase sequence . 0 ###LEFT-WALL### 1 gv1001 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 19 . 1 gv1001 2 is 2 is 10 peptide 3 a 10 peptide 4 16 10 peptide 6 amino 7 - 6 amino 9 vaccine 8 acid 9 vaccine 9 vaccine 10 peptide 10 peptide 11 derived 10 peptide 12 from 12 from 18 sequence 13 the 18 sequence 14 human 15 telomerase 15 telomerase 18 sequence 16 reverse 18 sequence 17 transcriptase 18 sequence we investigated the effects of gv1001 against β - amyloid ( aβ ) oligomer - induced neurotoxicity in rat neural stem cells ( nscs ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 investigated 0 ###LEFT-WALL### 26 . 1 we 2 investigated 2 investigated 4 effects 2 investigated 7 against 2 investigated 18 in 3 the 4 effects 4 effects 5 of 5 of 6 gv1001 7 against 17 neurotoxicity 8 β 9 - 8 β 17 neurotoxicity 10 amyloid 12 aβ 10 amyloid 17 neurotoxicity 11 ( 12 aβ 12 aβ 13 ) 14 oligomer 15 - 14 oligomer 17 neurotoxicity 16 induced 17 neurotoxicity 18 in 22 cells 19 rat 22 cells 20 neural 21 stem 21 stem 22 cells 22 cells 24 nscs 23 ( 24 nscs 24 nscs 25 ) primary culture nscs were treated with several concentrations of gv1001 [and/or] aβ₂₅₋₃₅ oligomer for 48 hours . 0 ###LEFT-WALL### 2 culture 0 ###LEFT-WALL### 5 treated 0 ###LEFT-WALL### 17 . 1 primary 2 culture 2 culture 3 nscs 2 culture 4 were 2 culture 5 treated 3 nscs 4 were 5 treated 6 with 6 with 8 concentrations 6 with 13 oligomer 7 several 8 concentrations 8 concentrations 9 of 9 of 12 aβ₂₅₋₃₅ 10 gv1001 12 aβ₂₅₋₃₅ 13 oligomer 14 for 14 for 16 hours 15 48 16 hours gv1001 protected nscs against the aβ₂₅₋₃₅ oligomer in a concentration - dependent manner . 0 ###LEFT-WALL### 1 gv1001 0 ###LEFT-WALL### 2 protected 0 ###LEFT-WALL### 11 - 0 ###LEFT-WALL### 14 . 1 gv1001 2 protected 2 protected 3 nscs 2 protected 4 against 4 against 6 aβ₂₅₋₃₅ 5 the 6 aβ₂₅₋₃₅ 6 aβ₂₅₋₃₅ 7 oligomer 7 oligomer 8 in 8 in 10 concentration 9 a 10 concentration 11 - 13 manner 12 dependent 13 manner aβ₂₅₋₃₅ concentration dependently decreased viability , proliferation , and mobilization of nscs and gv1001 treatment restored the cells to wild - type levels . 0 ###LEFT-WALL### 2 concentration 0 ###LEFT-WALL### 4 decreased 0 ###LEFT-WALL### 24 . 1 aβ₂₅₋₃₅ 2 concentration 2 concentration 4 decreased 3 dependently 4 decreased 4 decreased 9 and 5 viability 6 , 6 , 7 proliferation 6 , 9 and 8 , 9 and 9 and 10 mobilization 9 and 11 of 9 and 15 treatment 9 and 16 restored 11 of 14 gv1001 12 nscs 13 and 13 and 14 gv1001 15 treatment 16 restored 16 restored 18 cells 16 restored 19 to 17 the 18 cells 19 to 23 levels 20 wild 21 - 20 wild 22 type 22 type 23 levels aβ₂₅₋₃₅ increased free radical levels in rat nscs while combined treatment with gv1001 significantly reduced these levels . 0 ###LEFT-WALL### 1 aβ₂₅₋₃₅ 0 ###LEFT-WALL### 5 levels 0 ###LEFT-WALL### 18 . 1 aβ₂₅₋₃₅ 2 increased 1 aβ₂₅₋₃₅ 5 levels 2 increased 3 free 2 increased 4 radical 5 levels 6 in 5 levels 9 while 6 in 8 nscs 7 rat 8 nscs 9 while 11 treatment 9 while 15 reduced 10 combined 11 treatment 11 treatment 12 with 11 treatment 15 reduced 12 with 13 gv1001 14 significantly 15 reduced 15 reduced 17 levels 16 these 17 levels in addition , gv1001 treatment of aβ₂₅₋₃₅ - injured nscs increased the expression level of survival - related proteins , including mitochondria - associated survival proteins , and decreased the levels of death and inflammation - related proteins , including mitochondria - associated death proteins . 0 ###LEFT-WALL### 5 treatment 0 ###LEFT-WALL### 11 increased 0 ###LEFT-WALL### 46 . 1 in 2 addition 1 in 3 , 1 in 5 treatment 4 gv1001 5 treatment 5 treatment 6 of 5 treatment 11 increased 6 of 10 nscs 7 aβ₂₅₋₃₅ 8 - 7 aβ₂₅₋₃₅ 10 nscs 9 injured 10 nscs 11 increased 28 and 12 the 14 level 13 expression 14 level 14 level 15 of 14 level 21 including 14 level 28 and 15 of 16 survival 17 - 18 related 18 related 19 proteins 18 related 20 , 18 related 21 including 21 including 22 mitochondria 22 mitochondria 26 proteins 23 - 26 proteins 24 associated 25 survival 25 survival 26 proteins 26 proteins 27 , 28 and 45 proteins 29 decreased 45 proteins 30 the 31 levels 31 levels 32 of 31 levels 34 and 32 of 33 death 34 and 35 inflammation 34 and 44 death 35 inflammation 43 associated 36 - 37 related 37 related 38 proteins 37 related 40 including 37 related 42 - 37 related 43 associated 39 , 40 including 40 including 41 mitochondria 40 including 42 - 44 death 45 proteins together , these results suggest that gv1001 possesses neuroprotective effects against aβ₂₅₋₃₅ oligomer in nscs and that these effects [are] mediated through mimicking the extra - telomeric functions of human telomerase reverse transcriptase , including the induction of cellular proliferation , anti - apoptotic effects , mitochondrial stabilization , and anti - aging and anti - oxidant effects . 0 ###LEFT-WALL### 4 results 0 ###LEFT-WALL### 5 suggest 1 together 2 , 1 together 4 results 3 these 4 results 4 results 5 suggest 5 suggest 16 and 6 that 7 gv1001 6 that 8 possesses 6 that 16 and 7 gv1001 8 possesses 8 possesses 10 effects 8 possesses 14 in 9 neuroprotective 10 effects 10 effects 11 against 11 against 13 oligomer 12 aβ₂₅₋₃₅ 13 oligomer 14 in 15 nscs 16 and 17 that 17 that 19 effects 17 that 21 mediated 18 these 19 effects 19 effects 21 mediated 21 mediated 22 through 21 mediated 28 functions 22 through 23 mimicking 24 the 28 functions 25 extra 26 - 25 extra 28 functions 27 telomeric 28 functions 28 functions 29 of 28 functions 38 of 29 of 33 transcriptase 30 human 33 transcriptase 31 telomerase 32 reverse 32 reverse 33 transcriptase 33 transcriptase 35 including 34 , 35 including 35 including 37 induction 36 the 37 induction 38 of 40 proliferation 39 cellular 40 proliferation 40 proliferation 50 and 41 , 50 and 42 anti 43 - 42 anti 45 effects 44 apoptotic 45 effects 45 effects 46 , 46 , 48 stabilization 46 , 50 and 47 mitochondrial 48 stabilization 49 , 50 and 50 and 51 anti 50 and 54 and 50 and 59 . 52 - 54 and 53 aging 54 and 54 and 55 anti 54 and 56 - 54 and 57 oxidant 54 and 58 effects 54 and 59 . 57 oxidant 58 effects mutations in c9orf72 , sod1 , tardbp , and fus genes account for approximately two - third [of] familial cases [and] 5 % of sporadic amyotrophic lateral sclerosis ( als ) cases . 0 ###LEFT-WALL### 11 genes 0 ###LEFT-WALL### 12 account 0 ###LEFT-WALL### 16 - 0 ###LEFT-WALL### 32 cases 0 ###LEFT-WALL### 33 . 1 mutations 2 in 1 mutations 9 and 2 in 3 c9orf72 3 c9orf72 5 sod1 3 c9orf72 7 tardbp 4 , 5 sod1 5 sod1 6 , 6 , 7 tardbp 7 tardbp 8 , 9 and 10 fus 10 fus 11 genes 11 genes 12 account 12 account 13 for 13 for 15 two 14 approximately 15 two 16 - 20 cases 17 third 20 cases 19 familial 20 cases 20 cases 23 % 20 cases 32 cases 22 5 23 % 23 % 24 of 23 % 32 cases 24 of 28 sclerosis 25 sporadic 28 sclerosis 26 amyotrophic 28 sclerosis 27 lateral 28 sclerosis 28 sclerosis 30 als 29 ( 30 als 30 als 31 ) we present the first case of an als patient carrying [a] de novo nonsense mutation in exon 14 of the fus gene ( c.1483c>t ; p.r495x [ )(with an apparently familial als . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 present 0 ###LEFT-WALL### 25 ; 0 ###LEFT-WALL### 26 p.r495x 0 ###LEFT-WALL### 33 . 1 we 2 present 2 present 5 case 2 present 16 in 3 the 5 case 4 first 5 case 5 case 6 of 6 of 9 patient 7 an 9 patient 8 als 9 patient 9 patient 10 carrying 10 carrying 13 novo 10 carrying 15 mutation 12 de 13 novo 14 nonsense 15 mutation 16 in 17 exon 17 exon 18 14 17 exon 19 of 19 of 22 gene 20 the 22 gene 21 fus 22 gene 22 gene 24 c.1483c>t 23 ( 24 c.1483c>t 24 c.1483c>t 25 ; 25 ; 26 p.r495x 26 p.r495x 28 )(with 28 )(with 32 als 29 an 32 als 30 apparently 31 familial 31 familial 32 als this mutation causes a phenotype characterized by a young age [at] onset , a rapid course ( < 24 months ) , and a bulbar onset with early respiratory involvement with a predominant lower motor neuron disease . 0 ###LEFT-WALL### 2 mutation 0 ###LEFT-WALL### 3 causes 0 ###LEFT-WALL### 38 . 1 this 2 mutation 2 mutation 3 causes 3 causes 23 and 3 causes 27 with 3 causes 31 with 4 a 5 phenotype 5 phenotype 6 characterized 5 phenotype 23 and 6 characterized 7 by 7 by 12 onset 8 a 9 young 8 a 12 onset 9 young 10 age 10 age 12 onset 12 onset 16 course 13 , 16 course 14 a 15 rapid 14 a 16 course 15 rapid 16 course 16 course 20 months 16 course 22 , 17 ( 20 months 18 < 19 24 19 24 20 months 20 months 21 ) 23 and 26 onset 24 a 25 bulbar 24 a 26 onset 25 bulbar 26 onset 27 with 30 involvement 28 early 30 involvement 29 respiratory 30 involvement 31 with 37 disease 32 a 37 disease 33 predominant 35 motor 34 lower 35 motor 35 motor 37 disease 36 neuron 37 disease de novo mutations could account for a sizable number of apparently sporadic als patients carrying mutations of als - related genes . 0 ###LEFT-WALL### 3 mutations 0 ###LEFT-WALL### 5 account 0 ###LEFT-WALL### 20 related 0 ###LEFT-WALL### 22 . 1 de 2 novo 2 novo 3 mutations 3 mutations 4 could 4 could 5 account 5 account 6 for 6 for 14 patients 7 a 8 sizable 7 a 9 number 8 sizable 9 number 9 number 10 of 9 number 14 patients 10 of 14 patients 11 apparently 12 sporadic 12 sporadic 14 patients 13 als 14 patients 14 patients 15 carrying 14 patients 17 of 15 carrying 16 mutations 17 of 18 als 19 - 20 related 20 related 21 genes amyotrophic lateral sclerosis ( als ) is a fatal neurodegenerative disorder involving the progressive degeneration of motor neurons in the brain and spinal cord . 0 ###LEFT-WALL### 3 sclerosis 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 25 . 1 amyotrophic 3 sclerosis 2 lateral 3 sclerosis 3 sclerosis 5 als 3 sclerosis 7 is 4 ( 5 als 5 als 6 ) 7 is 11 disorder 8 a 11 disorder 9 fatal 11 disorder 10 neurodegenerative 11 disorder 11 disorder 12 involving 12 involving 15 degeneration 12 involving 19 in 13 the 15 degeneration 14 progressive 15 degeneration 15 degeneration 16 of 16 of 18 neurons 17 motor 18 neurons 19 in 22 and 20 the 21 brain 21 brain 22 and 22 and 24 cord 23 spinal 24 cord mitochondrial dysfunction plays a key role in als disease progression and has been observed in several als cellular and animal models . 0 ###LEFT-WALL### 2 dysfunction 0 ###LEFT-WALL### 14 observed 0 ###LEFT-WALL### 22 . 1 mitochondrial 2 dysfunction 2 dysfunction 11 and 3 plays 6 role 3 plays 7 in 3 plays 11 and 4 a 6 role 5 key 6 role 7 in 10 progression 8 als 9 disease 9 disease 10 progression 11 and 12 has 12 has 13 been 13 been 14 observed 14 observed 15 in 15 in 21 models 16 several 21 models 17 als 21 models 18 cellular 19 and 19 and 20 animal 19 and 21 models here , we show that fibroblasts isolated from als cases with a cu/zn superoxide dismutase ( sod1 ) i113t mutation recapitulate these mitochondrial defects . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 show 0 ###LEFT-WALL### 25 . 1 here 2 , 1 here 3 we 3 we 4 show 4 show 5 that 5 that 6 fibroblasts 5 that 21 recapitulate 6 fibroblasts 7 isolated 6 fibroblasts 21 recapitulate 7 isolated 8 from 7 isolated 11 with 8 from 10 cases 9 als 10 cases 11 with 15 dismutase 11 with 20 mutation 12 a 15 dismutase 13 cu/zn 15 dismutase 14 superoxide 15 dismutase 15 dismutase 17 sod1 16 ( 17 sod1 17 sod1 18 ) 19 i113t 20 mutation 21 recapitulate 24 defects 22 these 24 defects 23 mitochondrial 24 defects using a novel technique , which measures mitochondrial respiration and glycolytic flux simultaneously in living cells , we have shown that sod1 mutation causes a reduction in mitochondrial respiration and an increase in glycolytic flux . 0 ###LEFT-WALL### 18 we 0 ###LEFT-WALL### 20 shown 0 ###LEFT-WALL### 36 . 1 using 4 technique 1 using 17 , 1 using 18 we 2 a 4 technique 3 novel 4 technique 4 technique 6 which 5 , 6 which 6 which 7 measures 6 which 17 , 7 measures 10 and 7 measures 13 simultaneously 7 measures 14 in 8 mitochondrial 9 respiration 9 respiration 10 and 10 and 12 flux 11 glycolytic 12 flux 14 in 16 cells 15 living 16 cells 18 we 19 have 19 have 20 shown 20 shown 21 that 21 that 23 mutation 21 that 24 causes 22 sod1 23 mutation 23 mutation 24 causes 24 causes 26 reduction 24 causes 27 in 24 causes 33 in 25 a 26 reduction 27 in 30 and 28 mitochondrial 29 respiration 29 respiration 30 and 30 and 32 increase 31 an 32 increase 33 in 35 flux 34 glycolytic 35 flux this causes a reduction in adenosine triphosphate produced by oxidative phosphorylation and an increase in adenosine triphosphate produced by glycolysis . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 causes 0 ###LEFT-WALL### 21 . 1 this 2 causes 2 causes 4 reduction 2 causes 5 in 3 a 4 reduction 5 in 7 triphosphate 6 adenosine 7 triphosphate 7 triphosphate 8 produced 7 triphosphate 18 produced 8 produced 9 by 8 produced 15 in 8 produced 17 triphosphate 9 by 12 and 10 oxidative 11 phosphorylation 11 phosphorylation 12 and 12 and 14 increase 13 an 14 increase 15 in 16 adenosine 18 produced 19 by 19 by 20 glycolysis switching the energy source from glucose to galactose caused uncoupling of mitochondria with increased proton leak [in] sod1 ( i113t ) fibroblasts . 0 ###LEFT-WALL### 1 switching 0 ###LEFT-WALL### 9 caused 0 ###LEFT-WALL### 23 . 1 switching 4 source 1 switching 5 from 1 switching 7 to 1 switching 9 caused 2 the 4 source 3 energy 4 source 5 from 6 glucose 7 to 8 galactose 9 caused 10 uncoupling 9 caused 13 with 10 uncoupling 11 of 11 of 12 mitochondria 13 with 22 fibroblasts 14 increased 15 proton 15 proton 22 fibroblasts 16 leak 22 fibroblasts 18 sod1 20 i113t 18 sod1 22 fibroblasts 19 ( 20 i113t 20 i113t 21 ) assessment of the contribution of fatty acid oxidation to total respiration , suggested that fatty acid oxidation is reduced in sod1 als fibroblasts , an effect which can be mimicked by starving the control cells of glucose . 0 ###LEFT-WALL### 1 assessment 0 ###LEFT-WALL### 19 reduced 1 assessment 2 of 1 assessment 9 to 1 assessment 10 total 1 assessment 18 is 2 of 4 contribution 3 the 4 contribution 4 contribution 5 of 5 of 8 oxidation 6 fatty 8 oxidation 7 acid 8 oxidation 9 to 10 total 10 total 11 respiration 12 , 13 suggested 13 suggested 17 oxidation 13 suggested 18 is 14 that 15 fatty 15 fatty 16 acid 16 acid 17 oxidation 18 is 19 reduced 19 reduced 20 in 20 in 23 fibroblasts 21 sod1 22 als 22 als 23 fibroblasts 23 fibroblasts 26 effect 24 , 26 effect 25 an 26 effect 26 effect 27 which 26 effect 28 can 26 effect 38 . 27 which 28 can 28 can 29 be 29 be 30 mimicked 30 mimicked 31 by 31 by 32 starving 32 starving 35 cells 33 the 35 cells 34 control 35 cells 35 cells 36 of 36 of 37 glucose these results highlight the importance of understanding the interplay between the major metabolic pathways , which has the potential to lead to strategies to correct the metabolic dysregulation observed in als cases . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 highlight 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 33 . 1 these 2 results 2 results 3 highlight 3 highlight 5 importance 3 highlight 10 between 4 the 5 importance 5 importance 6 of 6 of 7 understanding 7 understanding 9 interplay 8 the 9 interplay 10 between 14 pathways 11 the 14 pathways 12 major 14 pathways 13 metabolic 14 pathways 15 , 16 which 15 , 17 has 16 which 17 has 17 has 19 potential 17 has 25 correct 18 the 19 potential 19 potential 20 to 19 potential 24 to 20 to 21 lead 21 lead 22 to 21 lead 24 to 22 to 23 strategies 25 correct 28 dysregulation 25 correct 30 in 26 the 28 dysregulation 27 metabolic 28 dysregulation 28 dysregulation 29 observed 30 in 32 cases 31 als 32 cases previous studies have suggested a link between sleep disordered breathing ( sdb ) and dementia risk . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 suggested 0 ###LEFT-WALL### 17 . 1 previous 2 studies 2 studies 3 have 3 have 4 suggested 4 suggested 14 and 5 a 6 link 6 link 7 between 6 link 14 and 7 between 8 sleep 8 sleep 9 disordered 8 sleep 10 breathing 8 sleep 12 sdb 11 ( 12 sdb 12 sdb 13 ) 14 and 16 risk 15 dementia 16 risk in the present study , we analyzed the relationship between sdb severity , cerebrospinal fluid ( csf ) alzheimer 's disease - biomarkers , and the apoe alleles . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 analyzed 0 ###LEFT-WALL### 29 . 1 in 4 study 1 in 5 , 1 in 6 we 2 the 4 study 3 present 4 study 6 we 7 analyzed 7 analyzed 25 and 8 the 9 relationship 9 relationship 10 between 9 relationship 25 and 10 between 12 severity 11 sdb 12 severity 12 severity 21 disease 13 , 21 disease 14 cerebrospinal 19 alzheimer 15 fluid 17 csf 15 fluid 19 alzheimer 16 ( 17 csf 17 csf 18 ) 19 alzheimer 20 's 20 's 21 disease 21 disease 23 biomarkers 21 disease 24 , 22 - 23 biomarkers 23 biomarkers 24 , 25 and 28 alleles 26 the 28 alleles 27 apoe 28 alleles a total of 95 cognitively normal elderly participants were analyzed for sdb severity , csf measures of phosphorylated [-] tau ( p - tau ) , total - tau ( t - tau ) , and amyloid beta 42 ( aβ - 42 ) , as well as apoe allele status . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 10 analyzed 0 ###LEFT-WALL### 14 , 1 a 2 total 2 total 3 of 2 total 9 were 3 of 8 participants 4 95 8 participants 5 cognitively 6 normal 6 normal 8 participants 7 elderly 8 participants 9 were 10 analyzed 10 analyzed 11 for 11 for 13 severity 12 sdb 13 severity 14 , 36 and 15 csf 16 measures 16 measures 17 of 16 measures 36 and 17 of 20 tau 18 phosphorylated 20 tau 20 tau 23 - 20 tau 29 tau 21 ( 23 - 22 p 23 - 23 - 24 tau 23 - 25 ) 26 , 29 tau 27 total 28 - 27 total 29 tau 29 tau 32 - 29 tau 34 ) 30 ( 32 - 31 t 32 - 32 - 33 tau 32 - 34 ) 35 , 36 and 36 and 38 beta 36 and 41 aβ 36 and 46 as 37 amyloid 38 beta 38 beta 39 42 40 ( 41 aβ 41 aβ 43 42 41 aβ 45 , 42 - 43 42 43 42 44 ) 45 , 46 as 46 as 47 well 46 as 52 . 47 well 48 as 48 as 51 status 49 apoe 51 status 50 allele 51 status in apoe3+ subjects , significant differences were found between sleep groups for [p] - tau [(] f [ df2 ] = 4.3 , p = 0.017 ) , and [t] - tau [(] f [ df2 ] = 3.3 , p = 0.043 ) . 0 ###LEFT-WALL### 6 differences 0 ###LEFT-WALL### 21 = 0 ###LEFT-WALL### 29 and 0 ###LEFT-WALL### 45 . 1 in 3 subjects 1 in 4 , 1 in 6 differences 2 apoe3+ 3 subjects 5 significant 6 differences 6 differences 7 were 7 were 8 found 8 found 9 between 8 found 12 for 9 between 11 groups 10 sleep 11 groups 12 for 14 - 14 - 15 tau 15 tau 17 f 15 tau 19 df2 15 tau 21 = 18 [ 19 df2 19 df2 20 ] 21 = 22 4.3 22 4.3 25 = 23 , 25 = 24 p 25 = 25 = 26 0.017 25 = 27 ) 28 , 29 and 29 and 31 - 29 and 38 = 31 - 32 tau 32 tau 34 f 32 tau 36 df2 32 tau 38 = 35 [ 36 df2 36 df2 37 ] 38 = 39 3.3 39 3.3 42 = 40 , 42 = 41 p 42 = 42 = 43 0.043 42 = 44 ) additionally , among apoe3+ subjects , the apnea [and/or] hypopnea with 4 % o2 - desaturation [index] [was] positively correlated with [p] [-] tau ( r = 0.30 , p = 0.023 ) , t - tau ( r = 0.31 , p = 0.021 ) , and aβ - 42 ( r = 0.31 , p = 0.021 ) . 0 ###LEFT-WALL### 8 apnea 0 ###LEFT-WALL### 10 hypopnea 0 ###LEFT-WALL### 15 - 0 ###LEFT-WALL### 61 . 1 additionally 2 , 1 additionally 8 apnea 3 among 5 subjects 3 among 6 , 3 among 8 apnea 4 apoe3+ 5 subjects 7 the 8 apnea 8 apnea 10 hypopnea 10 hypopnea 11 with 11 with 12 4 11 with 14 o2 13 % 14 o2 15 - 48 and 16 desaturation 20 correlated 16 desaturation 21 with 16 desaturation 48 and 19 positively 20 correlated 21 with 24 tau 24 tau 27 = 24 tau 31 = 24 tau 36 - 25 ( 27 = 26 r 27 = 27 = 28 0.30 29 , 31 = 30 p 31 = 31 = 32 0.023 31 = 33 ) 34 , 36 - 35 t 36 - 36 - 37 tau 36 - 46 ) 37 tau 40 = 38 ( 40 = 39 r 40 = 40 = 41 0.31 41 0.31 44 = 42 , 44 = 43 p 44 = 44 = 45 0.021 44 = 46 ) 47 , 48 and 48 and 49 aβ 48 and 60 ) 49 aβ 51 42 50 - 51 42 51 42 54 = 51 42 58 = 51 42 60 ) 52 ( 54 = 53 r 54 = 54 = 55 0.31 54 = 56 , 57 p 58 = 58 = 59 0.021 in apoe2+ subjects , the apnea [and/or] hypopnea with 4 % o2 - desaturation index was correlated with lower levels of csf aβ - 42 ( r = - 0.71 , p = 0.004 ) , similarly to apoe4+ subjects where there was also a trend toward lower csf aβ - 42 levels . 0 ###LEFT-WALL### 3 subjects 0 ###LEFT-WALL### 4 , 1 in 3 subjects 2 apoe2+ 3 subjects 4 , 6 apnea 4 , 8 hypopnea 5 the 6 apnea 6 apnea 8 hypopnea 8 hypopnea 9 with 9 with 12 o2 10 4 12 o2 11 % 12 o2 12 o2 24 - 13 - 24 - 14 desaturation 15 index 14 desaturation 16 was 14 desaturation 17 correlated 14 desaturation 18 with 14 desaturation 24 - 15 index 16 was 18 with 20 levels 19 lower 20 levels 20 levels 21 of 21 of 23 aβ 22 csf 23 aβ 24 - 25 42 25 42 28 = 26 ( 28 = 27 r 28 = 28 = 30 0.71 29 - 30 0.71 30 0.71 33 = 30 0.71 38 to 31 , 33 = 32 p 33 = 33 = 34 0.004 33 = 35 ) 36 , 38 to 37 similarly 38 to 38 to 39 apoe4+ 39 apoe4+ 40 subjects 39 apoe4+ 41 where 39 apoe4+ 47 toward 41 where 42 there 41 where 43 was 42 there 43 was 43 was 44 also 43 was 46 trend 45 a 46 trend 47 toward 50 aβ 48 lower 50 aβ 49 csf 50 aβ 50 aβ 53 levels 51 - 53 levels 52 42 53 levels 53 levels 54 . our observations suggest that there is an association between sdb and csf alzheimer 's disease - biomarkers in cognitively normal elderly individuals . 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 23 . 1 our 2 observations 2 observations 3 suggest 3 suggest 4 that 4 that 5 there 4 that 6 is 6 is 8 association 6 is 17 biomarkers 7 an 8 association 8 association 9 between 9 between 11 and 10 sdb 11 and 11 and 15 disease 11 and 16 - 12 csf 13 alzheimer 13 alzheimer 14 's 14 's 15 disease 17 biomarkers 18 in 18 in 22 individuals 19 cognitively 20 normal 20 normal 22 individuals 21 elderly 22 individuals existing therapies for sdb such as continuous positive airway pressure could delay the onset to mild cognitive impairment or dementia in normal elderly individuals . 0 ###LEFT-WALL### 2 therapies 0 ###LEFT-WALL### 12 delay 0 ###LEFT-WALL### 25 . 1 existing 2 therapies 2 therapies 3 for 2 therapies 6 as 2 therapies 11 could 3 for 4 sdb 5 such 6 as 6 as 10 pressure 7 continuous 10 pressure 8 positive 10 pressure 9 airway 10 pressure 11 could 12 delay 12 delay 14 onset 12 delay 15 to 12 delay 21 in 13 the 14 onset 15 to 19 or 16 mild 18 impairment 17 cognitive 18 impairment 18 impairment 19 or 19 or 20 dementia 21 in 24 individuals 22 normal 24 individuals 23 elderly 24 individuals the h63d variant of the hemochromatosis ( hfe ) [gene] , when expressed in carriers of the apolipoprotein e4 allele , is implicated as a risk factor for earlier onset [of] alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 3 variant 0 ###LEFT-WALL### 23 implicated 0 ###LEFT-WALL### 38 . 1 the 3 variant 2 h63d 3 variant 3 variant 4 of 3 variant 8 hfe 3 variant 22 is 4 of 6 hemochromatosis 5 the 6 hemochromatosis 7 ( 8 hfe 8 hfe 9 ) 11 , 12 when 12 when 13 expressed 12 when 21 , 12 when 22 is 13 expressed 14 in 14 in 15 carriers 15 carriers 16 of 16 of 20 allele 17 the 20 allele 18 apolipoprotein 20 allele 19 e4 20 allele 22 is 23 implicated 23 implicated 24 as 23 implicated 28 for 24 as 27 factor 25 a 27 factor 26 risk 27 factor 28 for 34 disease 29 earlier 30 onset 30 onset 32 alzheimer 32 alzheimer 33 's 33 's 34 disease 34 disease 36 ad 35 ( 36 ad 36 ad 37 ) we tested the hypothesis that like expression of apolipoprotein e4 , expression of h63d - hfe disrupts cholesterol metabolism contributing to an increase in neurodegeneration and memory deficits . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 tested 0 ###LEFT-WALL### 29 . 1 we 2 tested 2 tested 4 hypothesis 3 the 4 hypothesis 4 hypothesis 5 that 5 that 16 hfe 5 that 17 disrupts 6 like 7 expression 6 like 16 hfe 7 expression 8 of 8 of 10 e4 9 apolipoprotein 10 e4 10 e4 12 expression 11 , 12 expression 12 expression 13 of 12 expression 15 - 13 of 14 h63d 16 hfe 17 disrupts 17 disrupts 19 metabolism 17 disrupts 21 to 17 disrupts 24 in 18 cholesterol 19 metabolism 19 metabolism 20 contributing 21 to 23 increase 22 an 23 increase 24 in 26 and 25 neurodegeneration 26 and 26 and 28 deficits 27 memory 28 deficits analysis of sh - sy5y human neuroblastoma cells transfected to stably express either wild type - ( wt ) or h63d - hfe indicated about a 50 % reduction in cholesterol content in cells expressing h63d - hfe . 0 ###LEFT-WALL### 20 or 0 ###LEFT-WALL### 22 - 1 analysis 2 of 1 analysis 20 or 2 of 3 sh 3 sh 7 neuroblastoma 3 sh 18 wt 4 - 7 neuroblastoma 5 sy5y 7 neuroblastoma 6 human 7 neuroblastoma 7 neuroblastoma 8 cells 7 neuroblastoma 9 transfected 7 neuroblastoma 16 - 8 cells 9 transfected 9 transfected 10 to 10 to 12 express 11 stably 12 express 12 express 15 type 13 either 15 type 14 wild 15 type 17 ( 18 wt 18 wt 19 ) 20 or 21 h63d 22 - 23 hfe 23 hfe 24 indicated 23 hfe 32 content 24 indicated 25 about 24 indicated 30 in 25 about 29 reduction 26 a 29 reduction 27 50 28 % 28 % 29 reduction 30 in 31 cholesterol 32 content 33 in 33 in 34 cells 34 cells 35 expressing 35 expressing 38 hfe 36 h63d 38 hfe 37 - 38 hfe 38 hfe 39 . this was accompanied by a significant decrease in expression of 3 - hydroxy - 3 - methyl - glutaryl - coa reductase , and a significant increase in expression of cholesterol 24 - hydroxylase . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 33 - 0 ###LEFT-WALL### 35 . 1 this 2 was 2 was 3 accompanied 3 accompanied 4 by 3 accompanied 8 in 3 accompanied 28 in 4 by 7 decrease 5 a 6 significant 5 a 7 decrease 6 significant 7 decrease 8 in 24 and 9 expression 10 of 9 expression 24 and 10 of 11 3 11 3 19 glutaryl 12 - 19 glutaryl 13 hydroxy 16 - 13 hydroxy 19 glutaryl 14 - 16 - 15 3 16 - 16 - 17 methyl 16 - 18 - 19 glutaryl 22 reductase 19 glutaryl 23 , 20 - 22 reductase 21 coa 22 reductase 22 reductase 23 , 23 , 24 and 24 and 27 increase 25 a 27 increase 26 significant 27 increase 28 in 29 expression 29 expression 30 of 30 of 31 cholesterol 31 cholesterol 32 24 32 24 33 - 33 - 34 hydroxylase consistent with these studies , h67d - hfe ( orthologous to human h63d - hfe ) knock - in mice , showed a greater age dependent decline in brain cholesterol than wt - hfe animals and changes in expression of proteins regulating cholesterol metabolism . 0 ###LEFT-WALL### 17 knock 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 45 . 1 consistent 2 with 1 consistent 16 ) 1 consistent 17 knock 2 with 4 studies 2 with 8 hfe 3 these 4 studies 4 studies 6 h67d 5 , 6 h67d 6 h67d 7 - 8 hfe 10 orthologous 9 ( 10 orthologous 10 orthologous 11 to 10 orthologous 16 ) 11 to 15 hfe 12 human 15 hfe 13 h63d 15 hfe 14 - 15 hfe 17 knock 19 in 18 - 19 in 19 in 20 mice 19 in 21 , 21 , 36 and 22 showed 27 decline 22 showed 28 in 22 showed 30 cholesterol 22 showed 31 than 22 showed 36 and 23 a 27 decline 24 greater 25 age 25 age 27 decline 26 dependent 27 decline 28 in 29 brain 31 than 35 animals 32 wt 34 hfe 33 - 34 hfe 34 hfe 35 animals 36 and 37 changes 37 changes 38 in 38 in 39 expression 39 expression 40 of 39 expression 42 regulating 40 of 41 proteins 42 regulating 44 metabolism 43 cholesterol 44 metabolism brains of aged h67d - hfe mice also exhibited a significant decrease in expression of synapse proteins and a significant increase in caspase - 3 expression relative to wt - hfe controls . 0 ###LEFT-WALL### 1 brains 0 ###LEFT-WALL### 16 synapse 0 ###LEFT-WALL### 24 - 0 ###LEFT-WALL### 32 controls 0 ###LEFT-WALL### 33 . 1 brains 2 of 1 brains 7 mice 1 brains 15 of 1 brains 16 synapse 2 of 6 hfe 3 aged 6 hfe 4 h67d 6 hfe 5 - 6 hfe 7 mice 9 exhibited 8 also 9 exhibited 9 exhibited 12 decrease 9 exhibited 13 in 10 a 11 significant 10 a 12 decrease 11 significant 12 decrease 13 in 14 expression 14 expression 15 of 16 synapse 18 and 16 synapse 22 in 17 proteins 18 and 18 and 21 increase 19 a 20 significant 19 a 21 increase 20 significant 21 increase 22 in 23 caspase 24 - 25 3 25 3 26 expression 25 3 32 controls 26 expression 27 relative 26 expression 32 controls 27 relative 28 to 28 to 31 hfe 29 wt 31 hfe 30 - 31 hfe h67d - hfe mice also had a greater reduction in brain volume and poorer recognition and spatial memory than wt - hfe mice , symptoms associated with ad . 0 ###LEFT-WALL### 4 mice 0 ###LEFT-WALL### 6 had 1 h67d 3 hfe 2 - 3 hfe 3 hfe 4 mice 4 mice 6 had 5 also 6 had 6 had 16 and 6 had 19 than 7 a 9 reduction 8 greater 9 reduction 9 reduction 10 in 9 reduction 13 and 10 in 12 volume 11 brain 12 volume 13 and 15 recognition 13 and 16 and 14 poorer 15 recognition 16 and 18 memory 17 spatial 18 memory 19 than 23 mice 20 wt 22 hfe 21 - 22 hfe 22 hfe 23 mice 23 mice 25 symptoms 24 , 25 symptoms 25 symptoms 26 associated 25 symptoms 29 . 26 associated 27 with 27 with 28 ad these results indicate that the alterations in cholesterol metabolism associated with expression of h63d - hfe may contribute to the development of ad . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 24 . 1 these 2 results 2 results 3 indicate 3 indicate 4 that 4 that 6 alterations 4 that 18 contribute 5 the 6 alterations 6 alterations 7 in 6 alterations 10 associated 6 alterations 17 may 7 in 9 metabolism 8 cholesterol 9 metabolism 10 associated 11 with 11 with 12 expression 12 expression 13 of 13 of 16 hfe 14 h63d 16 hfe 15 - 16 hfe 17 may 18 contribute 18 contribute 19 to 19 to 21 development 20 the 21 development 21 development 22 of 22 of 23 ad dna damage checkpoints are important [tumor] - suppressor mechanisms that halt cell cycle progression to allow time for dna repair , or induce senescence and apoptosis to remove damaged cells permanently . 0 ###LEFT-WALL### 3 checkpoints 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 7 - 1 dna 3 checkpoints 2 damage 3 checkpoints 3 checkpoints 4 are 4 are 5 important 7 - 9 mechanisms 7 - 22 or 7 - 25 and 7 - 32 . 8 suppressor 9 mechanisms 9 mechanisms 10 that 9 mechanisms 11 halt 9 mechanisms 22 or 10 that 11 halt 11 halt 14 progression 11 halt 15 to 12 cell 14 progression 13 cycle 14 progression 15 to 16 allow 16 allow 17 time 16 allow 18 for 18 for 19 dna 20 repair 22 or 21 , 22 or 22 or 23 induce 22 or 24 senescence 25 and 26 apoptosis 25 and 29 damaged 26 apoptosis 27 to 26 apoptosis 28 remove 26 apoptosis 29 damaged 27 to 28 remove 29 damaged 30 cells 29 damaged 31 permanently [non] - cell - autonomous dna damage responses activate the innate immune system in multiple metazoan species . 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 4 - 2 - 3 cell 4 - 8 responses 4 - 9 activate 4 - 18 . 5 autonomous 8 responses 6 dna 8 responses 7 damage 8 responses 8 responses 9 activate 9 activate 13 system 9 activate 14 in 10 the 13 system 11 innate 13 system 12 immune 13 system 14 in 17 species 15 multiple 17 species 16 metazoan 17 species these responses [not] only enable clearance of damaged cells and contribute to tissue remodeling and regeneration but can also result in chronic inflammation and tissue damage . 0 ###LEFT-WALL### 2 responses 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 27 . 1 these 2 responses 2 responses 10 and 4 only 5 enable 5 enable 6 clearance 5 enable 10 and 6 clearance 7 of 7 of 9 cells 8 damaged 9 cells 10 and 17 but 10 and 26 damage 11 contribute 12 to 11 contribute 17 but 12 to 15 and 13 tissue 14 remodeling 14 remodeling 15 and 15 and 16 regeneration 17 but 18 can 18 can 20 result 19 also 20 result 20 result 21 in 21 in 24 and 22 chronic 23 inflammation 23 inflammation 24 and 24 and 25 tissue germline dna damage - induced systemic stress resistance ( gdisr ) is mediated by an ancestral innate immune response and results in organismal adjustments to the presence of damaged cells . 0 ###LEFT-WALL### 3 damage 0 ###LEFT-WALL### 13 mediated 0 ###LEFT-WALL### 31 . 1 germline 2 dna 2 dna 3 damage 3 damage 8 resistance 3 damage 12 is 4 - 8 resistance 5 induced 7 stress 6 systemic 7 stress 7 stress 8 resistance 8 resistance 10 gdisr 8 resistance 11 ) 9 ( 10 gdisr 10 gdisr 11 ) 12 is 13 mediated 13 mediated 14 by 14 by 20 and 15 an 19 response 16 ancestral 19 response 17 innate 19 response 18 immune 19 response 19 response 20 and 20 and 21 results 20 and 22 in 20 and 25 to 22 in 24 adjustments 23 organismal 24 adjustments 25 to 27 presence 26 the 27 presence 27 presence 28 of 28 of 30 cells 29 damaged 30 cells we discuss gdisr as an organismal dna damage checkpoint mechanism through which elevated somatic endurance can extend reproductive lifespan when germ cells require extended time for restoring genome stability . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 discuss 0 ###LEFT-WALL### 30 . 1 we 2 discuss 2 discuss 3 gdisr 3 gdisr 4 as 3 gdisr 11 through 4 as 10 mechanism 5 an 6 organismal 5 an 10 mechanism 6 organismal 10 mechanism 7 dna 8 damage 8 damage 10 mechanism 9 checkpoint 10 mechanism 11 through 12 which 11 through 15 endurance 11 through 17 extend 13 elevated 15 endurance 14 somatic 15 endurance 15 endurance 16 can 16 can 17 extend 17 extend 19 lifespan 18 reproductive 19 lifespan 19 lifespan 20 when 19 lifespan 26 for 20 when 22 cells 20 when 23 require 21 germ 22 cells 22 cells 23 require 23 require 25 time 24 extended 25 time 26 for 27 restoring 27 restoring 29 stability 28 genome 29 stability genome - wide association studies have revealed numerous risk loci associated with diverse diseases . 0 ###LEFT-WALL### 5 studies 0 ###LEFT-WALL### 7 revealed 0 ###LEFT-WALL### 15 . 1 genome 2 - 1 genome 5 studies 3 wide 4 association 4 association 5 studies 5 studies 6 have 6 have 7 revealed 7 revealed 10 loci 8 numerous 10 loci 9 risk 10 loci 10 loci 11 associated 11 associated 12 with 12 with 14 diseases 13 diverse 14 diseases however , identification of disease [-] causing variants within association loci remains a major challenge . 0 ###LEFT-WALL### 3 identification 0 ###LEFT-WALL### 12 remains 0 ###LEFT-WALL### 16 . 1 however 2 , 1 however 3 identification 3 identification 4 of 3 identification 12 remains 4 of 5 disease 5 disease 7 causing 7 causing 8 variants 7 causing 9 within 9 within 11 loci 10 association 11 loci 12 remains 15 challenge 13 a 14 major 13 a 15 challenge 14 major 15 challenge divergence in gene expression due to cis - regulatory variants in noncoding regions is central to disease susceptibility . 0 ###LEFT-WALL### 1 divergence 0 ###LEFT-WALL### 14 is 0 ###LEFT-WALL### 19 . 1 divergence 2 in 1 divergence 14 is 2 in 4 expression 3 gene 4 expression 4 expression 6 to 5 due 6 to 6 to 10 variants 7 cis 8 - 7 cis 10 variants 9 regulatory 10 variants 10 variants 11 in 11 in 13 regions 12 noncoding 13 regions 14 is 15 central 15 central 16 to 16 to 18 susceptibility 17 disease 18 susceptibility we show that integrative computational analysis of phylogenetic conservation with a complexity assessment of co - occurring transcription factor binding sites ( tfbs ) can identify cis - regulatory variants and elucidate their mechanistic role in disease . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 show 0 ###LEFT-WALL### 38 . 1 we 2 show 2 show 6 analysis 2 show 31 and 3 that 6 analysis 4 integrative 6 analysis 5 computational 6 analysis 6 analysis 7 of 6 analysis 21 sites 6 analysis 25 can 7 of 9 conservation 8 phylogenetic 9 conservation 9 conservation 10 with 10 with 13 assessment 11 a 13 assessment 12 complexity 13 assessment 13 assessment 14 of 14 of 15 co 16 - 21 sites 17 occurring 18 transcription 18 transcription 20 binding 19 factor 20 binding 20 binding 21 sites 21 sites 23 tfbs 21 sites 24 ) 22 ( 23 tfbs 23 tfbs 24 ) 25 can 31 and 26 identify 30 variants 26 identify 31 and 27 cis 28 - 27 cis 30 variants 29 regulatory 30 variants 31 and 32 elucidate 32 elucidate 35 role 33 their 35 role 34 mechanistic 35 role 35 role 36 in 36 in 37 disease analysis of established type 2 diabetes risk loci revealed a striking clustering of distinct homeobox tfbs . 0 ###LEFT-WALL### 1 analysis 0 ###LEFT-WALL### 9 revealed 0 ###LEFT-WALL### 17 . 1 analysis 2 of 1 analysis 9 revealed 2 of 8 loci 3 established 4 type 4 type 8 loci 5 2 8 loci 6 diabetes 8 loci 7 risk 8 loci 9 revealed 12 clustering 10 a 11 striking 10 a 12 clustering 11 striking 12 clustering 12 clustering 13 of 13 of 16 tfbs 14 distinct 15 homeobox 15 homeobox 16 tfbs we identified the prrx1 homeobox factor as a repressor of pparg2 expression in adipose cells and demonstrate its adverse effect on lipid metabolism and systemic insulin sensitivity , dependent on the rs4684847 risk allele that triggers prrx1 binding . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 16 and 1 we 16 and 2 identified 6 factor 2 identified 16 and 3 the 6 factor 4 prrx1 5 homeobox 5 homeobox 6 factor 6 factor 7 as 7 as 9 repressor 8 a 9 repressor 9 repressor 10 of 10 of 12 expression 11 pparg2 12 expression 12 expression 13 in 13 in 15 cells 14 adipose 15 cells 16 and 17 demonstrate 17 demonstrate 20 effect 17 demonstrate 21 on 18 its 20 effect 19 adverse 20 effect 21 on 24 and 22 lipid 23 metabolism 23 metabolism 24 and 24 and 27 sensitivity 24 and 29 dependent 25 systemic 26 insulin 26 insulin 27 sensitivity 28 , 29 dependent 29 dependent 30 on 29 dependent 39 . 30 on 34 allele 31 the 34 allele 32 rs4684847 34 allele 33 risk 34 allele 34 allele 35 that 34 allele 36 triggers 35 that 36 triggers 36 triggers 37 prrx1 37 prrx1 38 binding thus , cross - species conservation analysis at the level of co - occurring tfbs provides a valuable contribution to the translation of genetic association signals to disease - related molecular mechanisms . 0 ###LEFT-WALL### 3 cross 0 ###LEFT-WALL### 4 - 1 thus 2 , 1 thus 3 cross 4 - 7 analysis 4 - 16 provides 4 - 30 related 4 - 33 . 5 species 7 analysis 6 conservation 7 analysis 7 analysis 8 at 7 analysis 11 of 7 analysis 16 provides 8 at 10 level 9 the 10 level 11 of 15 tfbs 12 co 13 - 12 co 15 tfbs 14 occurring 15 tfbs 16 provides 19 contribution 16 provides 20 to 16 provides 27 to 17 a 18 valuable 17 a 19 contribution 18 valuable 19 contribution 20 to 22 translation 21 the 22 translation 22 translation 23 of 23 of 26 signals 24 genetic 25 association 25 association 26 signals 27 to 28 disease 29 - 30 related 30 related 32 mechanisms 31 molecular 32 mechanisms background : although epidemiologic studies have shown associations between sedentary behavior and mortality , few have focused on older women with adequate minority representation and few have controlled for both physical activity and functional status . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 36 . 2 : 15 few 2 : 17 focused 2 : 25 and 3 although 5 studies 3 although 7 shown 3 although 15 few 4 epidemiologic 5 studies 5 studies 6 have 6 have 7 shown 7 shown 8 associations 9 between 12 and 9 between 14 , 9 between 15 few 10 sedentary 11 behavior 11 behavior 12 and 12 and 13 mortality 15 few 16 have 16 have 17 focused 17 focused 18 on 17 focused 21 with 18 on 20 women 19 older 20 women 21 with 24 representation 22 adequate 23 minority 23 minority 24 representation 25 and 26 few 25 and 28 controlled 26 few 27 have 27 have 28 controlled 28 controlled 29 for 28 controlled 33 and 29 for 30 both 31 physical 32 activity 32 activity 33 and 33 and 35 status 34 functional 35 status purpose : the objective of this study was to determine the relationship between sedentary time and total [;] cardiovascular disease ( cvd ) [;] coronary heart disease ( chd ) [;] and cancer mortality in a prospective , multiethnic cohort of postmenopausal women . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 2 : 4 objective 2 : 8 was 2 : 44 . 3 the 4 objective 4 objective 5 of 4 objective 8 was 5 of 7 study 6 this 7 study 8 was 9 to 8 was 35 in 9 to 10 determine 10 determine 32 and 11 the 12 relationship 12 relationship 13 between 12 relationship 32 and 13 between 27 disease 14 sedentary 15 time 15 time 16 and 16 and 20 disease 16 and 22 cvd 16 and 27 disease 17 total 20 disease 19 cardiovascular 20 disease 21 ( 22 cvd 22 cvd 23 ) 25 coronary 26 heart 26 heart 27 disease 27 disease 29 chd 28 ( 29 chd 29 chd 30 ) 32 and 34 mortality 33 cancer 34 mortality 35 in 40 cohort 36 a 40 cohort 37 prospective 38 , 37 prospective 40 cohort 39 multiethnic 40 cohort 40 cohort 41 of 41 of 43 women 42 postmenopausal 43 women methods : the study population included 92,234 women aged 50 - 79 years at baseline ( 1993 - 1998 ) who participated in the women 's health initiative observational study through september 2010 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 1 methods 2 : 2 : 4 study 3 the 4 study 4 study 5 population 4 study 6 included 5 population 6 included 6 included 8 women 7 92,234 8 women 8 women 9 aged 8 women 13 years 9 aged 10 50 11 - 13 years 12 79 13 years 13 years 14 at 13 years 21 who 13 years 22 participated 13 years 34 . 14 at 15 baseline 15 baseline 18 - 16 ( 18 - 17 1993 18 - 18 - 19 1998 18 - 20 ) 21 who 22 participated 22 participated 23 in 22 participated 31 through 23 in 30 study 24 the 25 women 25 women 26 's 26 's 30 study 27 health 28 initiative 28 initiative 29 observational 29 observational 30 study 31 through 32 september 32 september 33 2010 self - reported sedentary time was assessed [by] [questionnaire] and examined in 4 categories ( ≤4 , >4 - 8 , ≥8 - 11 , >11 hours ) . 0 ###LEFT-WALL### 1 self 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 29 . 1 self 6 was 2 - 3 reported 3 reported 5 time 3 reported 6 was 4 sedentary 5 time 6 was 10 and 7 assessed 10 and 10 and 11 examined 11 examined 12 in 11 examined 14 categories 11 examined 18 >4 12 in 13 4 14 categories 16 ≤4 14 categories 18 >4 15 ( 16 ≤4 16 ≤4 17 , 18 >4 20 8 19 - 20 8 20 8 22 ≥8 20 8 27 hours 21 , 22 ≥8 22 ≥8 24 11 22 ≥8 25 , 23 - 24 11 24 11 25 , 25 , 27 hours 26 >11 27 hours 27 hours 28 ) mortality risks were examined using cox proportional hazard models adjusting for confounders . 0 ###LEFT-WALL### 2 risks 0 ###LEFT-WALL### 4 examined 0 ###LEFT-WALL### 13 . 1 mortality 2 risks 2 risks 3 were 3 were 4 examined 4 examined 5 using 5 using 9 models 5 using 11 for 6 cox 9 models 7 proportional 8 hazard 8 hazard 9 models 9 models 10 adjusting 11 for 12 confounders models were also stratified by age , race/ethnicity , body mass index , physical activity , physical function , and chronic disease to examine possible effect modification . 0 ###LEFT-WALL### 1 models 0 ###LEFT-WALL### 4 stratified 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 28 . 1 models 2 were 2 were 4 stratified 3 also 4 stratified 4 stratified 5 by 5 by 6 age 7 , 20 and 8 race/ethnicity 9 , 9 , 12 index 9 , 13 , 10 body 12 index 11 mass 12 index 13 , 15 activity 13 , 16 , 14 physical 15 activity 16 , 18 function 16 , 20 and 17 physical 18 function 19 , 20 and 20 and 22 disease 20 and 23 to 20 and 24 examine 21 chronic 22 disease 23 to 24 examine 24 examine 27 modification 25 possible 26 effect 26 effect 27 modification analyses were conducted in 2012 - 2013 . 0 ###LEFT-WALL### 1 analyses 0 ###LEFT-WALL### 3 conducted 0 ###LEFT-WALL### 8 . 1 analyses 2 were 2 were 3 conducted 3 conducted 4 in 4 in 6 - 5 2012 6 - 6 - 7 2013 results : the mean follow - up period was 12 years . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 mean 2 : 5 follow 2 : 6 - 3 the 4 mean 4 mean 5 follow 6 - 8 period 6 - 9 was 6 - 12 . 7 up 8 period 8 period 9 was 9 was 11 years 10 12 11 years compared with women who reported the least sedentary time , women reporting the highest sedentary time had increased risk of all - cause mortality in the multivariate model ( hr=1.12 , 95 % ci=1.05 , 1.21 ) . 0 ###LEFT-WALL### 23 cause 0 ###LEFT-WALL### 38 . 1 compared 2 with 1 compared 9 time 1 compared 22 - 1 compared 23 cause 2 with 3 women 3 women 4 who 3 women 5 reported 4 who 5 reported 5 reported 7 least 6 the 7 least 8 sedentary 9 time 9 time 11 women 10 , 11 women 11 women 12 reporting 11 women 20 of 11 women 22 - 12 reporting 16 time 12 reporting 18 increased 13 the 14 highest 13 the 16 time 15 sedentary 16 time 16 time 17 had 17 had 18 increased 18 increased 19 risk 20 of 21 all 23 cause 24 mortality 23 cause 25 in 25 in 28 model 26 the 28 model 27 multivariate 28 model 28 model 30 hr=1.12 29 ( 30 hr=1.12 30 hr=1.12 34 ci=1.05 30 hr=1.12 37 ) 31 , 34 ci=1.05 32 95 34 ci=1.05 33 % 34 ci=1.05 34 ci=1.05 36 1.21 34 ci=1.05 37 ) 35 , 36 1.21 36 1.21 37 ) results comparing the highest [versus] lowest categories for cvd , chd , and cancer mortality were [as] follows : hr=1.13 , 95 % ci=0.99 , 1.29 ; hr=1.27 , 95 % ci=1.04 , 1.55 ; [and] hr=1.21 , 95 % ci=1.07 , 1.37 [,] [respectively] . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 18 follows 0 ###LEFT-WALL### 19 : 0 ###LEFT-WALL### 46 . 1 results 2 comparing 1 results 7 categories 1 results 16 were 1 results 18 follows 2 comparing 6 lowest 3 the 4 highest 3 the 6 lowest 7 categories 8 for 7 categories 16 were 8 for 13 and 9 cvd 10 , 10 , 11 chd 10 , 13 and 12 , 13 and 13 and 15 mortality 14 cancer 15 mortality 19 : 20 hr=1.13 19 : 21 , 19 : 35 ; 21 , 24 ci=0.99 21 , 25 , 22 95 24 ci=0.99 23 % 24 ci=0.99 25 , 26 1.29 25 , 27 ; 27 ; 28 hr=1.27 27 ; 29 , 29 , 32 ci=1.04 29 , 33 , 30 95 32 ci=1.04 31 % 32 ci=1.04 33 , 34 1.55 35 ; 37 hr=1.21 35 ; 38 , 38 , 41 ci=1.07 38 , 42 , 39 95 41 ci=1.07 40 % 41 ci=1.07 42 , 43 1.37 for all mortality outcomes , there were significant linear tests [for] [trend] . 0 ###LEFT-WALL### 6 there 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 13 . 1 for 4 outcomes 1 for 5 , 1 for 6 there 2 all 4 outcomes 3 mortality 4 outcomes 6 there 7 were 7 were 10 tests 8 significant 10 tests 9 linear 10 tests conclusions : there was a linear relationship between greater amounts of sedentary time and mortality risk after controlling for multiple potential confounders . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 3 there 2 : 4 was 3 there 4 was 4 was 7 relationship 5 a 6 linear 5 a 7 relationship 6 linear 7 relationship 7 relationship 8 between 7 relationship 11 of 8 between 10 amounts 9 greater 10 amounts 11 of 14 and 12 sedentary 13 time 13 time 14 and 14 and 16 risk 14 and 17 after 14 and 19 for 15 mortality 16 risk 17 after 18 controlling 19 for 22 confounders 20 multiple 22 confounders 21 potential 22 confounders background : leukocyte telomere length ( ltl ) is an indicator of general systemic aging , with shorter ltl being associated with several chronic diseases of aging and earlier mortality . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 2 : 5 length 2 : 9 is 2 : 16 , 3 leukocyte 5 length 4 telomere 5 length 5 length 7 ltl 5 length 9 is 6 ( 7 ltl 7 ltl 8 ) 9 is 11 indicator 10 an 11 indicator 11 indicator 12 of 12 of 15 aging 13 general 15 aging 14 systemic 15 aging 16 , 20 being 16 , 21 associated 17 with 19 ltl 17 with 20 being 18 shorter 19 ltl 20 being 21 associated 21 associated 22 with 22 with 28 and 23 several 25 diseases 24 chronic 25 diseases 25 diseases 26 of 25 diseases 28 and 26 of 27 aging 28 and 30 mortality 29 earlier 30 mortality identifying factors related to ltl among african americans may yield insights into mechanisms underlying racial disparities in health . 0 ###LEFT-WALL### 1 identifying 0 ###LEFT-WALL### 10 yield 0 ###LEFT-WALL### 19 . 1 identifying 2 factors 1 identifying 6 among 1 identifying 9 may 2 factors 3 related 3 related 4 to 4 to 5 ltl 6 among 8 americans 7 african 8 americans 9 may 10 yield 10 yield 11 insights 10 yield 12 into 12 into 13 mechanisms 13 mechanisms 14 underlying 14 underlying 16 disparities 14 underlying 17 in 15 racial 16 disparities 17 in 18 health purpose : to test whether the combination of more frequent reports of racial discrimination and holding a greater implicit anti - black racial bias is associated with shorter ltl among african [-] american men . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 35 . 2 : 3 to 2 : 4 test 3 to 4 test 4 test 5 whether 5 whether 7 combination 5 whether 26 associated 6 the 7 combination 7 combination 8 of 7 combination 26 associated 8 of 11 reports 9 more 10 frequent 10 frequent 11 reports 11 reports 12 of 12 of 15 and 13 racial 14 discrimination 14 discrimination 15 and 15 and 16 holding 15 and 24 bias 15 and 25 is 17 a 24 bias 18 greater 24 bias 19 implicit 24 bias 20 anti 21 - 20 anti 24 bias 22 black 24 bias 23 racial 24 bias 24 bias 25 is 26 associated 27 with 26 associated 30 among 27 with 29 ltl 28 shorter 29 ltl 30 among 34 men 31 african 34 men 33 american 34 men methods : cross - sectional study of a community sample of 92 [african] - american men aged between 30 and 50 years . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 23 . 1 methods 2 : 2 : 3 cross 3 cross 6 study 4 - 6 study 5 sectional 6 study 6 study 7 of 6 study 11 of 6 study 14 - 7 of 10 sample 8 a 10 sample 9 community 10 sample 11 of 12 92 14 - 16 men 14 - 17 aged 15 american 16 men 16 men 17 aged 17 aged 22 years 18 between 20 and 19 30 20 and 20 and 21 50 20 and 22 years participants were recruited from february to may 2010 . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 3 recruited 0 ###LEFT-WALL### 9 . 1 participants 2 were 2 were 3 recruited 3 recruited 4 from 3 recruited 6 to 4 from 5 february 6 to 7 may 7 may 8 2010 ordinary least squares regressions were used to examine ltl in [kilobase] pairs in relation to racial discrimination and implicit racial bias . 0 ###LEFT-WALL### 1 ordinary 0 ###LEFT-WALL### 8 examine 0 ###LEFT-WALL### 22 . 1 ordinary 2 least 1 ordinary 5 were 1 ordinary 7 to 3 squares 4 regressions 4 regressions 5 were 5 were 6 used 7 to 8 examine 8 examine 9 ltl 8 examine 10 in 8 examine 15 to 10 in 12 pairs 13 in 14 relation 14 relation 15 to 15 to 18 and 16 racial 17 discrimination 17 discrimination 18 and 18 and 21 bias 19 implicit 21 bias 20 racial 21 bias data analysis was completed in july 2013 . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 4 completed 0 ###LEFT-WALL### 8 . 1 data 2 analysis 2 analysis 3 was 3 was 4 completed 4 completed 5 in 5 in 6 july 6 july 7 2013 results : after controlling for chronologic age and socioeconomic and health - related characteristics , the interaction between racial discrimination and implicit racial bias was significantly associated with ltl ( b= - 0.10 , se=0.04 , p=0.02 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 39 . 1 results 2 : 2 : 3 after 2 : 18 between 3 after 4 controlling 4 controlling 5 for 4 controlling 17 interaction 5 for 10 and 6 chronologic 7 age 7 age 8 and 8 and 9 socioeconomic 8 and 10 and 10 and 11 health 10 and 14 characteristics 12 - 14 characteristics 13 related 14 characteristics 14 characteristics 15 , 16 the 17 interaction 18 between 21 and 19 racial 20 discrimination 20 discrimination 21 and 21 and 22 implicit 21 and 24 bias 21 and 25 was 21 and 27 associated 21 and 35 se=0.04 23 racial 24 bias 24 bias 25 was 26 significantly 27 associated 27 associated 28 with 28 with 29 ltl 28 with 33 0.10 29 ltl 31 b= 30 ( 31 b= 31 b= 32 - 34 , 35 se=0.04 35 se=0.04 37 p=0.02 35 se=0.04 38 ) 36 , 37 p=0.02 37 p=0.02 38 ) those demonstrating a stronger implicit anti - black bias and reporting higher levels of racial discrimination had the shortest ltl . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 17 had 0 ###LEFT-WALL### 21 . 1 those 2 demonstrating 1 those 10 and 2 demonstrating 9 bias 3 a 9 bias 4 stronger 9 bias 5 implicit 9 bias 6 anti 7 - 6 anti 9 bias 8 black 9 bias 10 and 13 levels 10 and 14 of 10 and 17 had 11 reporting 13 levels 12 higher 13 levels 14 of 16 discrimination 15 racial 16 discrimination 17 had 20 ltl 18 the 19 shortest 18 the 20 ltl household income - [to] - poverty [threshold] [ratio] was also associated with ltl ( b=0.05 , se=0.02 , p<0.01 ) . 0 ###LEFT-WALL### 2 income 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 21 . 1 household 2 income 3 - 5 - 3 - 11 associated 5 - 6 poverty 6 poverty 9 was 9 was 10 also 9 was 11 associated 11 associated 12 with 12 with 13 ltl 13 ltl 19 p<0.01 14 ( 19 p<0.01 15 b=0.05 17 se=0.02 15 b=0.05 18 , 15 b=0.05 19 p<0.01 16 , 17 se=0.02 17 se=0.02 18 , 19 p<0.01 20 ) conclusions : results suggest that multiple levels of racism , including interpersonal experiences of racial discrimination and the internalization of negative racial bias , operate jointly to accelerate biological aging among african [-] american men . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 suggest 2 : 24 , 2 : 36 . 3 results 4 suggest 4 suggest 7 levels 4 suggest 11 including 5 that 6 multiple 6 multiple 7 levels 7 levels 8 of 8 of 9 racism 10 , 11 including 11 including 13 experiences 11 including 24 , 12 interpersonal 13 experiences 13 experiences 14 of 14 of 17 and 15 racial 16 discrimination 16 discrimination 17 and 17 and 19 internalization 17 and 20 of 18 the 19 internalization 20 of 23 bias 21 negative 23 bias 22 racial 23 bias 24 , 25 operate 25 operate 27 to 25 operate 31 among 26 jointly 27 to 27 to 28 accelerate 28 accelerate 30 aging 29 biological 30 aging 31 among 35 men 32 african 35 men 34 american 35 men societal efforts to address racial discrimination in concert with efforts to promote positive [in] - group racial attitudes may protect against premature biological aging in this population . 0 ###LEFT-WALL### 2 efforts 0 ###LEFT-WALL### 20 protect 0 ###LEFT-WALL### 28 . 1 societal 2 efforts 2 efforts 3 to 2 efforts 4 address 2 efforts 19 may 3 to 4 address 4 address 6 discrimination 4 address 9 with 5 racial 6 discrimination 6 discrimination 8 concert 7 in 8 concert 9 with 10 efforts 10 efforts 11 to 10 efforts 12 promote 11 to 12 promote 12 promote 18 attitudes 13 positive 15 - 13 positive 16 group 16 group 18 attitudes 17 racial 18 attitudes 19 may 20 protect 20 protect 21 against 20 protect 25 in 20 protect 27 population 21 against 24 aging 22 premature 24 aging 23 biological 24 aging 25 in 26 this none background : although cerebral small - vessel disease has been implicated in the development of alzheimer 's disease ( ad ) , the cerebral microcirculation is difficult to visualize directly in vivo . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 18 's 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 34 . 1 none 2 background 1 none 3 : 1 none 18 's 2 background 3 : 3 : 4 although 4 although 9 disease 4 although 12 implicated 5 cerebral 8 vessel 6 small 7 - 6 small 8 vessel 8 vessel 9 disease 9 disease 10 has 10 has 11 been 11 been 12 implicated 12 implicated 13 in 13 in 15 development 14 the 15 development 15 development 16 of 16 of 17 alzheimer 18 's 19 disease 19 disease 21 ad 20 ( 21 ad 21 ad 22 ) 23 , 26 microcirculation 23 , 27 is 24 the 26 microcirculation 25 cerebral 26 microcirculation 26 microcirculation 27 is 27 is 28 difficult 28 difficult 29 to 28 difficult 30 visualize 29 to 30 visualize 30 visualize 31 directly 30 visualize 33 vivo 32 in 33 vivo because the retina provides a noninvasive window to assess the microcirculation , we determined whether quantitatively measured retinal microvascular parameters are associated with ad . 0 ###LEFT-WALL### 13 we 0 ###LEFT-WALL### 14 determined 0 ###LEFT-WALL### 25 . 1 because 3 retina 1 because 4 provides 1 because 13 we 2 the 3 retina 3 retina 4 provides 4 provides 7 window 5 a 6 noninvasive 5 a 7 window 6 noninvasive 7 window 8 to 9 assess 8 to 12 , 8 to 13 we 9 assess 11 microcirculation 10 the 11 microcirculation 13 we 14 determined 14 determined 20 parameters 14 determined 22 associated 15 whether 16 quantitatively 15 whether 20 parameters 17 measured 20 parameters 18 retinal 20 parameters 19 microvascular 20 parameters 20 parameters 21 are 21 are 22 associated 22 associated 23 with 23 with 24 ad methods : we conducted a case - control study ( case:control matching ≈ 1:2 ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 conducted 2 : 16 . 3 we 4 conducted 4 conducted 6 case 5 a 6 case 6 case 9 study 7 - 9 study 8 control 9 study 9 study 11 case:control 9 study 15 ) 10 ( 11 case:control 11 case:control 12 matching 11 case:control 15 ) 12 matching 13 ≈ 13 ≈ 14 1:2 retinal photographs were analyzed using a computer program , and a spectrum of quantitative retinal microvascular parameters ( caliber , fractal dimension , tortuosity , and bifurcation ) were measured . 0 ###LEFT-WALL### 2 photographs 0 ###LEFT-WALL### 4 analyzed 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 31 . 1 retinal 2 photographs 2 photographs 3 were 3 were 4 analyzed 4 analyzed 5 using 5 using 8 program 6 a 8 program 7 computer 8 program 9 , 10 and 10 and 12 spectrum 10 and 29 were 11 a 12 spectrum 12 spectrum 13 of 12 spectrum 29 were 13 of 17 parameters 14 quantitative 17 parameters 15 retinal 17 parameters 16 microvascular 17 parameters 17 parameters 26 and 18 ( 26 and 19 caliber 20 , 20 , 22 dimension 20 , 23 , 21 fractal 22 dimension 23 , 24 tortuosity 23 , 26 and 25 , 26 and 26 and 27 bifurcation 26 and 28 ) 29 were 30 measured logistic regression models [were] used to compute the odds ratio ( or ) and 95 % confidence interval for ad adjusting for age , gender , ethnicity , smoking , hypertension , diabetes , hypercholesterolemia , and history of myocardial infarction . 0 ###LEFT-WALL### 37 and 0 ###LEFT-WALL### 42 . 1 logistic 3 models 2 regression 3 models 3 models 5 used 3 models 14 and 5 used 6 to 5 used 7 compute 6 to 7 compute 7 compute 10 ratio 8 the 10 ratio 9 odds 10 ratio 10 ratio 12 or 11 ( 12 or 12 or 13 ) 14 and 18 interval 14 and 19 for 14 and 21 adjusting 14 and 24 , 15 95 16 % 16 % 18 interval 17 confidence 18 interval 19 for 20 ad 21 adjusting 22 for 22 for 23 age 24 , 25 gender 24 , 26 , 26 , 27 ethnicity 26 , 28 , 28 , 29 smoking 28 , 30 , 30 , 31 hypertension 30 , 32 , 32 , 33 diabetes 32 , 34 , 34 , 35 hypercholesterolemia 34 , 37 and 36 , 37 and 37 and 38 history 38 history 39 of 39 of 41 infarction 40 myocardial 41 infarction results : we included 136 demented patients with ad and 290 age - gender - race - matched controls . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 2 : 3 we 2 : 4 included 2 : 13 - 3 we 4 included 4 included 7 patients 4 included 8 with 5 136 7 patients 6 demented 7 patients 8 with 10 and 9 ad 10 and 10 and 12 age 11 290 12 age 13 - 14 gender 13 - 18 matched 14 gender 16 race 14 gender 18 matched 15 - 16 race 16 race 17 - 18 matched 19 controls these associations still persisted when only ad cases without a history of cerebrovascular disease were included . 0 ###LEFT-WALL### 2 associations 0 ###LEFT-WALL### 4 persisted 0 ###LEFT-WALL### 17 . 1 these 2 associations 2 associations 4 persisted 3 still 4 persisted 4 persisted 5 when 5 when 6 only 5 when 16 included 6 only 8 cases 7 ad 8 cases 8 cases 9 without 8 cases 15 were 9 without 11 history 10 a 11 history 11 history 12 of 12 of 14 disease 13 cerebrovascular 14 disease 15 were 16 included conclusions : patients with ad have altered microvascular [network] in the retina ( narrower retinal venules and [a] sparser and more tortuous retinal vessels ) compared with matched nondemented controls . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 patients 2 : 7 altered 3 patients 4 with 3 patients 6 have 4 with 5 ad 6 have 7 altered 7 altered 8 microvascular 8 microvascular 10 in 10 in 12 retina 11 the 12 retina 12 retina 17 and 13 ( 17 and 14 narrower 16 venules 15 retinal 16 venules 16 venules 17 and 17 and 24 vessels 17 and 25 ) 17 and 26 compared 17 and 31 . 19 sparser 20 and 20 and 21 more 20 and 24 vessels 22 tortuous 24 vessels 23 retinal 24 vessels 26 compared 27 with 27 with 30 controls 28 matched 30 controls 29 nondemented 30 controls these changes in retinal microvasculature may reflect similar pathophysiological processes in cerebral microvasculature in the brains of patients with ad . 0 ###LEFT-WALL### 2 changes 0 ###LEFT-WALL### 7 reflect 0 ###LEFT-WALL### 21 . 1 these 2 changes 2 changes 3 in 2 changes 6 may 3 in 5 microvasculature 4 retinal 5 microvasculature 6 may 7 reflect 7 reflect 10 processes 7 reflect 11 in 7 reflect 14 in 7 reflect 19 with 8 similar 10 processes 9 pathophysiological 10 processes 11 in 13 microvasculature 12 cerebral 13 microvasculature 14 in 16 brains 15 the 16 brains 16 brains 17 of 17 of 18 patients 19 with 20 ad background : white matter hyperintensity ( wmh ) , a common radiographic finding associated with stroke risk and outcome , has been linked to matrix metalloproteinase ( mmp ) activity and increased levels of oxidative stress in nonstroke populations . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 5 hyperintensity 2 : 31 and 2 : 40 . 3 white 4 matter 4 matter 5 hyperintensity 5 hyperintensity 7 wmh 5 hyperintensity 13 finding 5 hyperintensity 21 has 6 ( 7 wmh 7 wmh 8 ) 9 , 13 finding 10 a 13 finding 11 common 13 finding 12 radiographic 13 finding 13 finding 14 associated 13 finding 15 with 13 finding 20 , 15 with 18 and 16 stroke 17 risk 17 risk 18 and 18 and 19 outcome 21 has 22 been 22 been 31 and 23 linked 24 to 23 linked 30 activity 23 linked 31 and 24 to 26 metalloproteinase 25 matrix 26 metalloproteinase 26 metalloproteinase 28 mmp 27 ( 28 mmp 28 mmp 29 ) 31 and 32 increased 32 increased 33 levels 32 increased 37 in 33 levels 34 of 34 of 36 stress 35 oxidative 36 stress 37 in 39 populations 38 nonstroke 39 populations we sought to determine whether wmh severity is associated with plasma levels of mmps and oxidative stress ( f2 - isoprostane ) in subjects with acute ischemic stroke [(] ais ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 sought 0 ###LEFT-WALL### 4 determine 0 ###LEFT-WALL### 32 . 1 we 2 sought 2 sought 3 to 2 sought 4 determine 3 to 4 determine 4 determine 5 whether 4 determine 10 with 4 determine 23 in 4 determine 31 ) 5 whether 7 severity 5 whether 9 associated 6 wmh 7 severity 7 severity 8 is 8 is 9 associated 10 with 12 levels 11 plasma 12 levels 12 levels 13 of 12 levels 21 isoprostane 13 of 15 and 14 mmps 15 and 15 and 17 stress 15 and 19 f2 16 oxidative 17 stress 18 ( 19 f2 19 f2 20 - 20 - 21 isoprostane 21 isoprostane 22 ) 23 in 24 subjects 24 subjects 25 with 25 with 30 ais 26 acute 28 stroke 27 ischemic 28 stroke 28 stroke 30 ais methods : we measured plasma biomarker levels at baseline and 48 hours in consecutive ais subjects . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 2 : 3 we 2 : 4 measured 3 we 4 measured 4 measured 7 levels 4 measured 8 at 4 measured 13 in 5 plasma 6 biomarker 6 biomarker 7 levels 8 at 10 and 9 baseline 10 and 10 and 12 hours 11 48 12 hours 13 in 16 subjects 14 consecutive 16 subjects 15 ais 16 subjects white matter hyperintensity volume ( wmhv ) was quantified on admission magnetic resonance imaging using a validated semiautomated protocol , and spearman correlation coefficients were derived for all measured biomarkers . 0 ###LEFT-WALL### 1 white 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 31 . 1 white 2 matter 2 matter 4 volume 2 matter 14 imaging 3 hyperintensity 4 volume 4 volume 6 wmhv 4 volume 8 was 5 ( 6 wmhv 6 wmhv 7 ) 8 was 9 quantified 9 quantified 10 on 10 on 13 resonance 11 admission 13 resonance 12 magnetic 13 resonance 13 resonance 14 imaging 14 imaging 15 using 15 using 19 protocol 16 a 19 protocol 17 validated 19 protocol 18 semiautomated 19 protocol 20 , 21 and 21 and 22 spearman 21 and 29 measured 22 spearman 24 coefficients 22 spearman 27 for 22 spearman 29 measured 23 correlation 24 coefficients 24 coefficients 25 were 25 were 26 derived 26 derived 27 for 28 all 29 measured 29 measured 30 biomarkers results : we enrolled 405 ais subjects ( mean age 70±15 years ; 58 % male ; [median] wmhv 3.4 cm3 , interquartile range 1.4 - 9.5 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 3 we 2 : 4 enrolled 2 : 13 ; 2 : 17 ; 3 we 4 enrolled 4 enrolled 7 subjects 5 405 7 subjects 6 ais 7 subjects 7 subjects 12 years 8 ( 12 years 9 mean 10 age 10 age 12 years 11 70±15 12 years 12 years 13 ; 13 ; 16 male 14 58 15 % 15 % 16 male 17 ; 20 3.4 17 ; 21 cm3 19 wmhv 20 3.4 20 3.4 21 cm3 21 cm3 26 - 22 , 26 - 23 interquartile 24 range 24 range 25 1.4 24 range 26 - 26 - 27 9.5 26 - 28 ) wmhv and age [were] strongly correlated ( ρ=.57 , p<.0001 ) . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 12 . 1 wmhv 2 and 2 and 3 age 2 and 6 correlated 2 and 8 ρ=.57 2 and 10 p<.0001 5 strongly 6 correlated 7 ( 8 ρ=.57 8 ρ=.57 9 , 9 , 10 p<.0001 10 p<.0001 11 ) wmhv and mmp - 2 levels were correlated at baseline ( ρ=.23 , p<.0001 ) and at 48 hours poststroke ( ρ=.19 , p=.002 ) . 0 ###LEFT-WALL### 1 wmhv 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 26 . 2 and 6 levels 2 and 8 correlated 3 mmp 4 - 3 mmp 6 levels 5 2 6 levels 6 levels 7 were 7 were 8 correlated 8 correlated 16 and 9 at 10 baseline 9 at 16 and 10 baseline 12 ρ=.23 11 ( 12 ρ=.23 12 ρ=.23 14 p<.0001 12 ρ=.23 15 ) 13 , 14 p<.0001 14 p<.0001 15 ) 16 and 17 at 17 at 20 poststroke 18 48 19 hours 19 hours 20 poststroke 20 poststroke 22 ρ=.19 20 poststroke 24 p=.002 21 ( 22 ρ=.19 22 ρ=.19 23 , 23 , 24 p=.002 24 p=.002 25 ) in multivariate analysis , 48 - hour mmp - 2 levels were independently associated with wmhv ( β=.12 , p=.04 ) . 0 ###LEFT-WALL### 11 levels 0 ###LEFT-WALL### 14 associated 0 ###LEFT-WALL### 22 . 1 in 3 analysis 1 in 9 - 1 in 11 levels 2 multivariate 3 analysis 3 analysis 6 - 4 , 6 - 5 48 6 - 6 - 8 mmp 6 - 9 - 7 hour 8 mmp 10 2 11 levels 11 levels 12 were 12 were 13 independently 12 were 14 associated 14 associated 15 with 15 with 16 wmhv 16 wmhv 18 β=.12 17 ( 18 β=.12 18 β=.12 20 p=.04 18 β=.12 21 ) 19 , 20 p=.04 20 p=.04 21 ) mmp - 9 and f2 - isioprostane levels did not correlate with wmhv . 0 ###LEFT-WALL### 1 mmp 0 ###LEFT-WALL### 2 - 2 - 3 9 2 - 4 and 2 - 14 . 4 and 8 levels 4 and 11 correlate 5 f2 6 - 5 f2 8 levels 7 isioprostane 8 levels 8 levels 9 did 9 did 10 not 9 did 11 correlate 11 correlate 12 with 12 with 13 wmhv conclusions : in ais patients , mmp - 2 levels are associated with the pre - existing burden of wmh . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 - 1 conclusions 2 : 2 : 5 patients 3 in 5 patients 4 ais 5 patients 5 patients 7 mmp 6 , 7 mmp 7 mmp 8 - 8 - 10 levels 8 - 12 associated 8 - 21 . 9 2 10 levels 10 levels 11 are 11 are 12 associated 12 associated 13 with 13 with 18 burden 14 the 18 burden 15 pre 16 - 15 pre 18 burden 17 existing 18 burden 18 burden 19 of 19 of 20 wmh if validated , these findings may further elucidate the role of mmp - 2 in pathophysiology of chronic cerebrovascular injury , such as wmh , and in brain susceptibility to acute ischemia . 0 ###LEFT-WALL### 5 findings 0 ###LEFT-WALL### 8 elucidate 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 33 . 1 if 2 validated 1 if 3 , 1 if 5 findings 4 these 5 findings 5 findings 6 may 6 may 8 elucidate 7 further 8 elucidate 8 elucidate 10 role 9 the 10 role 10 role 11 of 11 of 12 mmp 13 - 14 2 14 2 26 and 15 in 16 pathophysiology 15 in 26 and 16 pathophysiology 17 of 17 of 20 injury 18 chronic 20 injury 19 cerebrovascular 20 injury 20 injury 23 as 21 , 23 as 22 such 23 as 23 as 24 wmh 23 as 25 , 25 , 26 and 26 and 27 in 27 in 29 susceptibility 28 brain 29 susceptibility 29 susceptibility 30 to 30 to 32 ischemia 31 acute 32 ischemia context : high rates of complementary and alternative medicine ( cam ) utilization among older adults are of interest because studies suggest relationships among cam , self - care , and healthy lifestyle . 0 ###LEFT-WALL### 1 context 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 2 : 4 rates 2 : 17 are 2 : 26 , 3 high 4 rates 4 rates 5 of 4 rates 14 among 4 rates 17 are 5 of 13 utilization 6 complementary 7 and 7 and 9 medicine 7 and 11 cam 7 and 13 utilization 8 alternative 9 medicine 10 ( 11 cam 11 cam 12 ) 14 among 16 adults 15 older 16 adults 17 are 18 of 17 are 20 because 18 of 19 interest 20 because 21 studies 20 because 22 suggest 21 studies 22 suggest 22 suggest 23 relationships 22 suggest 24 among 24 among 25 cam 26 , 27 self 26 , 28 - 28 - 31 and 29 care 31 and 30 , 31 and 31 and 33 lifestyle 32 healthy 33 lifestyle these potential relationships are of particular interest because of the contribution of self [-] care in maintaining physical , emotional , and spiritual health as key strategies to successful aging . 0 ###LEFT-WALL### 3 relationships 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 31 . 1 these 3 relationships 2 potential 3 relationships 3 relationships 4 are 4 are 5 of 4 are 9 of 4 are 25 as 4 are 28 to 5 of 7 interest 6 particular 7 interest 8 because 9 of 9 of 11 contribution 10 the 11 contribution 11 contribution 12 of 11 contribution 16 in 12 of 15 care 13 self 15 care 16 in 17 maintaining 17 maintaining 24 health 18 physical 19 , 18 physical 24 health 20 emotional 22 and 21 , 22 and 22 and 23 spiritual 22 and 24 health 25 as 27 strategies 26 key 27 strategies 28 to 30 aging 29 successful 30 aging naturopathic medicine ( nm ) is a type of primary care cam used by older adults , yet little is known about older adults ' use of nm or its role in healthy aging . 0 ###LEFT-WALL### 2 medicine 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 21 known 0 ###LEFT-WALL### 35 . 1 naturopathic 2 medicine 2 medicine 4 nm 2 medicine 6 is 3 ( 4 nm 4 nm 5 ) 6 is 11 care 6 is 18 yet 7 a 8 type 8 type 9 of 8 type 11 care 9 of 11 care 10 primary 11 care 11 care 12 cam 11 care 13 used 12 cam 13 used 13 used 14 by 14 by 16 adults 15 older 16 adults 17 , 18 yet 18 yet 19 little 19 little 20 is 20 is 21 known 21 known 22 about 21 known 32 in 22 about 26 use 23 older 24 adults 24 adults 25 ' 25 ' 26 use 26 use 27 of 27 of 29 or 28 nm 29 or 29 or 31 role 30 its 31 role 32 in 34 aging 33 healthy 34 aging objectives : we sought to examine perceptions about , [and] utilization [of] , nm and the experience of addressing health and wellness as part of the aging process . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 3 we 2 : 4 sought 2 : 9 , 2 : 13 , 3 we 4 sought 4 sought 5 to 4 sought 6 examine 5 to 6 examine 6 examine 7 perceptions 6 examine 8 about 9 , 11 utilization 13 , 21 and 14 nm 15 and 15 and 17 experience 15 and 18 of 15 and 21 and 16 the 17 experience 18 of 19 addressing 19 addressing 20 health 21 and 22 wellness 21 and 23 as 23 as 24 part 24 part 25 of 25 of 28 process 26 the 28 process 27 aging 28 process design : phenomenology - based qualitative inquiry . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 8 . 1 design 2 : 2 : 3 phenomenology 4 - 7 inquiry 5 based 7 inquiry 6 qualitative 7 inquiry setting : a total of 13 community [-] based clinics affiliated with a naturopathic medical school . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 1 setting 2 : 2 : 4 total 3 a 4 total 4 total 5 of 5 of 10 clinics 6 13 10 clinics 7 community 9 based 9 based 10 clinics 10 clinics 11 affiliated 11 affiliated 12 with 12 with 16 school 13 a 14 naturopathic 13 a 16 school 14 naturopathic 16 school 15 medical 16 school participants : a total of 47 adults aged 58 - 100 years . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 2 : 4 total 2 : 8 aged 2 : 13 . 3 a 4 total 4 total 5 of 4 total 8 aged 5 of 7 adults 6 47 7 adults 8 aged 12 years 9 58 10 - 10 - 11 100 10 - 12 years methods : qualitative analysis of semi - structured focus groups with quantitative analysis of clinical administrative data . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 1 methods 2 : 2 : 4 analysis 3 qualitative 4 analysis 4 analysis 5 of 5 of 10 groups 6 semi 7 - 6 semi 9 focus 8 structured 9 focus 9 focus 10 groups 10 groups 11 with 10 groups 14 of 11 with 13 analysis 12 quantitative 13 analysis 14 of 17 data 15 clinical 17 data 16 administrative 17 data results : over 2543 older adults used nm services affiliated with a natural academic clinic in seattle in 2011 for diagnoses consistent with primary care : fatigue , anxiety , diabetes , diarrhea , and depression , in rank order . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 10 affiliated 0 ###LEFT-WALL### 26 : 1 results 2 : 2 : 3 over 2 : 10 affiliated 3 over 6 adults 4 2543 6 adults 5 older 6 adults 6 adults 7 used 6 adults 8 nm 6 adults 9 services 8 nm 9 services 10 affiliated 11 with 10 affiliated 16 in 11 with 15 clinic 12 a 13 natural 12 a 15 clinic 13 natural 15 clinic 14 academic 15 clinic 16 in 17 seattle 17 seattle 18 in 18 in 19 2011 19 2011 20 for 19 2011 22 consistent 20 for 21 diagnoses 22 consistent 23 with 23 with 25 care 24 primary 25 care 26 : 27 fatigue 26 : 32 , 27 fatigue 29 anxiety 27 fatigue 31 diabetes 28 , 29 anxiety 29 anxiety 30 , 30 , 31 diabetes 31 diabetes 32 , 32 , 35 and 33 diarrhea 35 and 34 , 35 and 35 and 36 depression 35 and 38 in 37 , 38 in 38 in 40 order 38 in 41 . 39 rank 40 order participants reported they sought nm because it offered a different system of care aligned with their values . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 reported 0 ###LEFT-WALL### 18 . 1 participants 2 reported 2 reported 3 they 2 reported 4 sought 3 they 4 sought 4 sought 5 nm 4 sought 6 because 6 because 7 it 6 because 8 offered 7 it 8 offered 8 offered 11 system 9 a 11 system 10 different 11 system 11 system 12 of 12 of 13 care 13 care 14 aligned 14 aligned 15 with 15 with 17 values 16 their 17 values themes included ( 1 [ )(feeling heard , ( 2 ) [a] focus on health education including prevention and self - care , [and] ( 3 ) feeling supported . 0 ###LEFT-WALL### 1 themes 0 ###LEFT-WALL### 13 focus 0 ###LEFT-WALL### 30 . 1 themes 2 included 1 themes 6 )(feeling 1 themes 10 2 1 themes 13 focus 3 ( 6 )(feeling 4 1 6 )(feeling 6 )(feeling 7 heard 6 )(feeling 8 , 9 ( 10 2 10 2 11 ) 13 focus 14 on 14 on 16 education 15 health 16 education 16 education 17 including 16 education 28 feeling 17 including 19 and 18 prevention 19 and 19 and 20 self 19 and 22 care 19 and 26 3 21 - 22 care 22 care 23 , 25 ( 26 3 26 3 27 ) 28 feeling 29 supported themes further distilled into optimal descriptive characteristics of patient - centered providers that may best support older adults ' healthy aging . 0 ###LEFT-WALL### 1 themes 0 ###LEFT-WALL### 16 support 0 ###LEFT-WALL### 22 . 1 themes 3 distilled 1 themes 16 support 2 further 3 distilled 3 distilled 4 into 4 into 7 characteristics 5 optimal 7 characteristics 6 descriptive 7 characteristics 7 characteristics 8 of 8 of 12 providers 9 patient 10 - 9 patient 12 providers 11 centered 12 providers 12 providers 13 that 12 providers 15 best 13 that 14 may 14 may 15 best 16 support 21 aging 17 older 18 adults 18 adults 19 ' 19 ' 21 aging 20 healthy 21 aging a final theme described barriers to further utilization . 0 ###LEFT-WALL### 3 theme 0 ###LEFT-WALL### 4 described 0 ###LEFT-WALL### 9 . 1 a 2 final 1 a 3 theme 2 final 3 theme 3 theme 4 described 4 described 5 barriers 4 described 6 to 6 to 7 further 7 further 8 utilization several lines of inquiry point to overlapping molecular mechanisms between late - onset alzheimer disease ( ad ) and age - related macular degeneration ( amd ) . 0 ###LEFT-WALL### 2 lines 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 22 related 0 ###LEFT-WALL### 28 . 1 several 2 lines 2 lines 3 of 2 lines 19 and 3 of 4 inquiry 5 point 6 to 5 point 10 between 5 point 19 and 6 to 9 mechanisms 7 overlapping 9 mechanisms 8 molecular 9 mechanisms 10 between 15 disease 11 late 12 - 11 late 13 onset 13 onset 15 disease 14 alzheimer 15 disease 15 disease 17 ad 16 ( 17 ad 17 ad 18 ) 19 and 20 age 21 - 22 related 22 related 24 degeneration 23 macular 24 degeneration 24 degeneration 26 amd 25 ( 26 amd 26 amd 27 ) we evaluated summarized results from large [genome] - wide association studies for ad and amd to test the hypothesis that ad susceptibility loci are also associated with amd . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 evaluated 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 29 . 1 we 2 evaluated 2 evaluated 4 results 3 summarized 4 results 4 results 5 from 5 from 11 studies 6 large 8 - 6 large 10 association 9 wide 10 association 10 association 11 studies 11 studies 12 for 12 for 13 ad 14 and 15 amd 14 and 26 associated 15 amd 16 to 15 amd 24 are 15 amd 26 associated 16 to 17 test 17 test 19 hypothesis 18 the 19 hypothesis 19 hypothesis 20 that 20 that 23 loci 20 that 24 are 21 ad 22 susceptibility 22 susceptibility 23 loci 23 loci 24 are 24 are 25 also 26 associated 27 with 27 with 28 amd next , we evaluated association [of] amd with genes in ad - related pathways identified by canonical pathway analysis of ad - associated genes . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 evaluated 0 ###LEFT-WALL### 25 . 1 next 2 , 1 next 3 we 3 we 4 evaluated 4 evaluated 7 amd 4 evaluated 23 associated 5 association 7 amd 7 amd 8 with 7 amd 10 in 7 amd 23 associated 8 with 9 genes 10 in 11 ad 12 - 13 related 13 related 14 pathways 13 related 22 - 13 related 23 associated 14 pathways 15 identified 14 pathways 20 of 15 identified 16 by 16 by 19 analysis 17 canonical 18 pathway 18 pathway 19 analysis 20 of 21 ad 23 associated 24 genes significant associations were observed with multiple previously identified amd risk loci and 2 novel genes [:] hgs ( peak snp rs8070488 , maf = 0.23 [,] [or] = 0.91 , p = 7.52 × 10 ( - 5 [ )( (, which plays a role in the clathrin - mediated endocytosis signaling pathway , and tnf ( peak snp rs2071590 , maf = 0.34 [,] [or] = 0.89 , p = 1.17 × 10 ( - 5 ) [ )(, which is a member of the atherosclerosis signaling and the lxr/rxr activation pathways . 0 ###LEFT-WALL### 1 significant 0 ###LEFT-WALL### 4 observed 1 significant 2 associations 1 significant 3 were 1 significant 4 observed 2 associations 3 were 4 observed 5 with 5 with 9 amd 5 with 12 and 6 multiple 9 amd 7 previously 8 identified 8 identified 9 amd 10 risk 11 loci 11 loci 12 and 12 and 15 genes 12 and 23 maf 12 and 24 = 13 2 15 genes 14 novel 15 genes 17 hgs 21 rs8070488 17 hgs 23 maf 18 ( 21 rs8070488 19 peak 21 rs8070488 20 snp 21 rs8070488 21 rs8070488 22 , 23 maf 24 = 24 = 28 = 24 = 32 = 25 0.23 28 = 28 = 29 0.91 28 = 30 , 31 p 32 = 32 = 34 × 33 7.52 34 × 34 × 35 10 34 × 38 5 34 × 42 which 36 ( 38 5 37 - 38 5 38 5 40 )( 41 (, 42 which 42 which 43 plays 43 plays 55 and 44 a 45 role 45 role 46 in 45 role 55 and 46 in 48 clathrin 47 the 48 clathrin 48 clathrin 53 pathway 49 - 53 pathway 50 mediated 51 endocytosis 51 endocytosis 53 pathway 52 signaling 53 pathway 53 pathway 54 , 55 and 56 tnf 55 and 61 , 55 and 62 maf 55 and 63 = 55 and 67 = 56 tnf 60 rs2071590 57 ( 60 rs2071590 58 peak 60 rs2071590 59 snp 60 rs2071590 60 rs2071590 61 , 62 maf 63 = 64 0.34 67 = 67 = 68 0.89 68 0.89 71 = 69 , 71 = 70 p 71 = 71 = 73 × 72 1.17 73 × 73 × 74 10 73 × 77 5 73 × 81 which 75 ( 77 5 76 - 77 5 77 5 78 ) 80 )(, 81 which 81 which 82 is 82 is 89 and 83 a 84 member 84 member 85 of 84 member 89 and 85 of 88 signaling 86 the 88 signaling 87 atherosclerosis 88 signaling 89 and 93 pathways 89 and 94 . 90 the 93 pathways 91 lxr/rxr 92 activation 92 activation 93 pathways our results suggest that amd and ad share genetic mechanisms . 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 that 4 that 6 and 4 that 8 share 5 amd 6 and 6 and 7 ad 8 share 10 mechanisms 9 genetic 10 mechanisms introduction and objectives : the present study aimed to compare elderly and young female voices in habitual and high intensity . 0 ###LEFT-WALL### 3 objectives 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 21 . 1 introduction 2 and 2 and 3 objectives 3 objectives 4 : 4 : 7 study 4 : 16 in 5 the 7 study 6 present 7 study 7 study 8 aimed 8 aimed 9 to 9 to 10 compare 10 compare 15 voices 11 elderly 12 and 12 and 13 young 12 and 15 voices 14 female 15 voices 16 in 18 and 17 habitual 18 and 18 and 20 intensity 19 high 20 intensity the effect [of] increased intensity on the acoustic and perceptual parameters was assessed . 0 ###LEFT-WALL### 5 intensity 0 ###LEFT-WALL### 13 assessed 0 ###LEFT-WALL### 14 . 1 the 5 intensity 2 effect 4 increased 4 increased 5 intensity 5 intensity 6 on 5 intensity 12 was 6 on 9 and 7 the 8 acoustic 8 acoustic 9 and 9 and 11 parameters 10 perceptual 11 parameters 12 was 13 assessed methods : sound pressure level , fundamental frequency , jitter , shimmer , and harmonic [to] noise ratio were obtained at habitual and high intensity voice in a group of 30 elderly women and 30 young women . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 38 . 1 methods 2 : 2 : 5 level 3 sound 4 pressure 4 pressure 5 level 6 , 8 frequency 6 , 9 , 7 fundamental 8 frequency 9 , 10 jitter 9 , 11 , 11 , 14 and 11 , 20 obtained 12 shimmer 14 and 13 , 14 and 14 and 18 ratio 14 and 19 were 15 harmonic 18 ratio 17 noise 18 ratio 19 were 20 obtained 20 obtained 21 at 20 obtained 27 in 21 at 23 and 22 habitual 23 and 23 and 26 voice 24 high 25 intensity 25 intensity 26 voice 27 in 34 and 28 a 29 group 29 group 30 of 29 group 34 and 30 of 33 women 31 30 33 women 32 elderly 33 women 34 and 37 women 35 30 37 women 36 young 37 women perceptual assessment was also performed . 0 ###LEFT-WALL### 2 assessment 0 ###LEFT-WALL### 5 performed 0 ###LEFT-WALL### 6 . 1 perceptual 2 assessment 2 assessment 3 was 3 was 5 performed 4 also 5 performed results : both groups demonstrated an increase in sound pressure level and fundamental frequency [from] habitual voice [to] high intensity voice . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 4 groups 2 : 5 demonstrated 3 both 4 groups 4 groups 5 demonstrated 5 demonstrated 7 increase 6 an 7 increase 7 increase 8 in 8 in 12 and 9 sound 10 pressure 10 pressure 11 level 11 level 12 and 12 and 21 voice 13 fundamental 14 frequency 14 frequency 21 voice 16 habitual 17 voice 17 voice 21 voice 19 high 20 intensity 20 intensity 21 voice no differences were found between groups in any acoustic variables on samples recorded with habitual intensity level . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 18 . 1 no 2 differences 2 differences 3 were 3 were 4 found 4 found 5 between 4 found 7 in 4 found 11 on 4 found 14 with 5 between 6 groups 7 in 10 variables 8 any 10 variables 9 acoustic 10 variables 11 on 12 samples 12 samples 13 recorded 14 with 17 level 15 habitual 16 intensity 16 intensity 17 level no significant differences between groups were found in habitual intensity level for pitch , hoarseness , roughness , and breathiness . 0 ###LEFT-WALL### 3 differences 0 ###LEFT-WALL### 7 found 0 ###LEFT-WALL### 21 . 1 no 3 differences 2 significant 3 differences 3 differences 4 between 3 differences 6 were 4 between 5 groups 6 were 7 found 7 found 8 in 7 found 12 for 8 in 11 level 9 habitual 10 intensity 10 intensity 11 level 12 for 19 and 13 pitch 14 , 14 , 15 hoarseness 14 , 16 , 16 , 17 roughness 16 , 19 and 18 , 19 and 19 and 20 breathiness asthenia and instability obtained significant higher values in elderly than young participants , whereas [,] the elderly demonstrated lower values for perceived tension and loudness than young subjects . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 18 demonstrated 0 ###LEFT-WALL### 29 . 1 asthenia 2 and 2 and 3 instability 2 and 4 obtained 4 obtained 7 values 4 obtained 8 in 4 obtained 14 whereas 5 significant 7 values 6 higher 7 values 8 in 12 participants 9 elderly 12 participants 10 than 11 young 11 young 12 participants 13 , 14 whereas 14 whereas 17 elderly 16 the 17 elderly 17 elderly 18 demonstrated 18 demonstrated 20 values 18 demonstrated 21 for 18 demonstrated 26 than 19 lower 20 values 21 for 24 and 22 perceived 23 tension 23 tension 24 and 24 and 25 loudness 26 than 28 subjects 27 young 28 subjects conclusions : acoustic and perceptual measures do not demonstrate evident differences between elderly and young speakers in habitual intensity level . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 21 . 1 conclusions 2 : 2 : 3 acoustic 4 and 6 measures 4 and 9 demonstrate 5 perceptual 6 measures 6 measures 7 do 7 do 8 not 7 do 9 demonstrate 9 demonstrate 11 differences 9 demonstrate 17 in 10 evident 11 differences 11 differences 12 between 12 between 16 speakers 13 elderly 14 and 14 and 15 young 14 and 16 speakers 17 in 20 level 18 habitual 19 intensity 19 intensity 20 level the parameters analyzed may lack the sensitivity necessary to detect differences in subjects with normal voices . 0 ###LEFT-WALL### 2 parameters 0 ###LEFT-WALL### 5 lack 0 ###LEFT-WALL### 17 . 1 the 2 parameters 2 parameters 3 analyzed 2 parameters 4 may 4 may 5 lack 5 lack 7 sensitivity 6 the 7 sensitivity 7 sensitivity 8 necessary 8 necessary 9 to 8 necessary 10 detect 9 to 10 detect 10 detect 11 differences 10 detect 12 in 10 detect 14 with 12 in 13 subjects 14 with 16 voices 15 normal 16 voices phonation with high intensity highlights differences [between] groups , especially in perceptual parameters . 0 ###LEFT-WALL### 1 phonation 0 ###LEFT-WALL### 8 groups 1 phonation 2 with 1 phonation 8 groups 2 with 6 differences 3 high 4 intensity 4 intensity 6 differences 5 highlights 6 differences 8 groups 11 in 9 , 10 especially 9 , 11 in 11 in 13 parameters 11 in 14 . 12 perceptual 13 parameters therefore , [high] [intensity] should be included to compare elderly and young voice . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 14 . 1 therefore 2 , 1 therefore 11 and 5 should 6 be 5 should 11 and 6 be 7 included 7 included 8 to 7 included 10 elderly 8 to 9 compare 11 and 13 voice 12 young 13 voice none the main aim of this study was to investigate the risk factors and consequence of ltcfs - acquired infections in taiwan through [a] 16 - month follow - up . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 28 follow 1 none 4 aim 1 none 8 was 1 none 28 follow 2 the 4 aim 3 main 4 aim 4 aim 5 of 4 aim 8 was 5 of 7 study 6 this 7 study 8 was 9 to 9 to 10 investigate 10 investigate 27 month 11 the 27 month 12 risk 27 month 13 factors 14 and 14 and 15 consequence 14 and 16 of 14 and 27 month 16 of 17 ltcfs 17 ltcfs 20 infections 18 - 20 infections 19 acquired 20 infections 20 infections 21 in 20 infections 26 - 21 in 22 taiwan 22 taiwan 23 through 23 through 25 16 28 follow 30 up 29 - 30 up 30 up 31 . this prospective cohort study invited residents of 10 private ltcfs in taipei for study . 0 ###LEFT-WALL### 4 study 0 ###LEFT-WALL### 5 invited 0 ###LEFT-WALL### 15 . 1 this 2 prospective 2 prospective 3 cohort 3 cohort 4 study 4 study 5 invited 5 invited 6 residents 5 invited 11 in 6 residents 7 of 7 of 10 ltcfs 8 10 10 ltcfs 9 private 10 ltcfs 11 in 12 taipei 12 taipei 13 for 13 for 14 study for each participant , karnofsky performance scale ( kps ) , use of feeding tube [and/or] urinary catheters , serum levels of albumin , total cholesterol , complete blood count , occurrence of ltcf - acquired infections , all - cause mortality were recorded . 0 ###LEFT-WALL### 25 total 0 ###LEFT-WALL### 27 , 0 ###LEFT-WALL### 45 . 1 for 3 participant 1 for 25 total 2 each 3 participant 3 participant 9 kps 3 participant 12 use 4 , 9 kps 5 karnofsky 6 performance 6 performance 7 scale 7 scale 9 kps 8 ( 9 kps 9 kps 10 ) 9 kps 11 , 11 , 12 use 12 use 13 of 12 use 24 , 13 of 14 feeding 14 feeding 18 catheters 15 tube 18 catheters 17 urinary 18 catheters 18 catheters 21 levels 19 , 21 levels 20 serum 21 levels 21 levels 22 of 21 levels 24 , 22 of 23 albumin 25 total 26 cholesterol 27 , 30 count 27 , 31 , 28 complete 29 blood 29 blood 30 count 31 , 32 occurrence 31 , 44 recorded 32 occurrence 33 of 32 occurrence 43 were 33 of 42 mortality 34 ltcf 37 infections 34 ltcf 39 all 34 ltcf 42 mortality 35 - 37 infections 36 acquired 37 infections 37 infections 38 , 38 , 39 all 39 all 40 - 41 cause 42 mortality 43 were 44 recorded overall , a total of 198 ltcf residents entered the study for a total of 67,395 resident - days , and 156 participants ( 79.8±9.7 years , 51.3 % males ) complete [the] follow - up with a total of 67,395 resident - days . 0 ###LEFT-WALL### 4 total 0 ###LEFT-WALL### 9 entered 0 ###LEFT-WALL### 21 and 1 overall 2 , 1 overall 4 total 3 a 4 total 4 total 5 of 4 total 9 entered 5 of 8 residents 6 198 8 residents 7 ltcf 8 residents 9 entered 11 study 10 the 11 study 11 study 12 for 11 study 15 of 12 for 14 total 13 a 14 total 15 of 19 days 16 67,395 19 days 17 resident 18 - 17 resident 19 days 20 , 21 and 21 and 22 156 21 and 34 follow 22 156 23 participants 22 156 32 complete 22 156 34 follow 23 participants 26 years 23 participants 30 males 23 participants 32 complete 24 ( 26 years 25 79.8±9.7 26 years 26 years 27 , 27 , 30 males 28 51.3 30 males 29 % 30 males 30 males 31 ) 34 follow 36 up 35 - 36 up 36 up 37 with 36 up 45 . 37 with 39 total 38 a 39 total 39 total 40 of 40 of 44 days 41 67,395 44 days 42 resident 43 - 42 resident 44 days during the study period , 360 ltcf - acquired infections occurred , and the incidence was estimated to be 5.34 episodes per 1000 resident - days . 0 ###LEFT-WALL### 10 infections 0 ###LEFT-WALL### 11 occurred 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 19 be 1 during 4 period 1 during 10 infections 2 the 4 period 3 study 4 period 4 period 7 ltcf 5 , 7 ltcf 6 360 7 ltcf 7 ltcf 8 - 9 acquired 10 infections 10 infections 11 occurred 12 , 13 and 13 and 15 incidence 13 and 17 estimated 14 the 15 incidence 15 incidence 16 was 16 was 17 estimated 17 estimated 18 to 18 to 19 be 19 be 21 episodes 20 5.34 21 episodes 21 episodes 22 per 21 episodes 26 days 22 per 24 resident 23 1000 24 resident 25 - 26 days 26 days 27 . subjects with ltcf - acquired infections were more likely to die than those without infections . 0 ###LEFT-WALL### 6 infections 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 16 . 1 subjects 6 infections 2 with 3 ltcf 2 with 4 - 2 with 6 infections 5 acquired 6 infections 6 infections 7 were 7 were 9 likely 8 more 9 likely 9 likely 10 to 9 likely 11 die 10 to 11 die 11 die 12 than 11 die 14 without 12 than 13 those 14 without 15 infections besides , subjects with lymphopenia and long - term use of feeding tube [and/or] urinary catheters were significant risk factors for ltcf - acquired infections . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 17 were 0 ###LEFT-WALL### 23 - 0 ###LEFT-WALL### 26 . 1 besides 2 , 1 besides 6 and 3 subjects 4 with 3 subjects 6 and 4 with 5 lymphopenia 6 and 10 use 6 and 11 of 6 and 17 were 7 long 8 - 7 long 9 term 9 term 10 use 11 of 12 feeding 12 feeding 16 catheters 13 tube 16 catheters 15 urinary 16 catheters 17 were 20 factors 18 significant 20 factors 19 risk 20 factors 20 factors 21 for 21 for 22 ltcf 23 - 25 infections 24 acquired 25 infections however , poorer functional status and occurrence of lower respiratory tract infections were significant predictive factors for all - cause mortality . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 13 were 0 ###LEFT-WALL### 19 - 1 however 2 , 1 however 6 and 3 poorer 5 status 4 functional 5 status 5 status 6 and 6 and 7 occurrence 6 and 8 of 6 and 13 were 8 of 12 infections 9 lower 11 tract 10 respiratory 11 tract 11 tract 12 infections 13 were 16 factors 14 significant 16 factors 15 predictive 16 factors 16 factors 17 for 17 for 18 all 19 - 20 cause 19 - 22 . 20 cause 21 mortality in conclusion , the period prevalence of ltcf [-] acquired infections was higher in taiwan than previous reports , but the incidence was similar . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 25 . 1 in 2 conclusion 3 , 6 prevalence 3 , 12 was 3 , 20 but 4 the 6 prevalence 5 period 6 prevalence 6 prevalence 7 of 6 prevalence 12 was 7 of 11 infections 8 ltcf 10 acquired 10 acquired 11 infections 12 was 13 higher 13 higher 14 in 13 higher 16 than 14 in 15 taiwan 16 than 18 reports 17 previous 18 reports 19 , 20 but 20 but 22 incidence 20 but 23 was 21 the 22 incidence 22 incidence 23 was 23 was 24 similar in addition to traditional risk factors , lymphopenia , a surrogate indicator for immunosenescence , was a significant risk factor for ltcf - acquired infections . 0 ###LEFT-WALL### 8 lymphopenia 0 ###LEFT-WALL### 16 was 0 ###LEFT-WALL### 23 - 1 in 2 addition 1 in 7 , 1 in 8 lymphopenia 2 addition 3 to 3 to 6 factors 4 traditional 6 factors 5 risk 6 factors 8 lymphopenia 12 indicator 8 lymphopenia 16 was 9 , 12 indicator 10 a 12 indicator 11 surrogate 12 indicator 12 indicator 13 for 12 indicator 15 , 13 for 14 immunosenescence 16 was 20 factor 17 a 18 significant 17 a 20 factor 18 significant 20 factor 19 risk 20 factor 20 factor 21 for 21 for 22 ltcf 23 - 25 infections 23 - 26 . 24 acquired 25 infections in recent years there has been a large expansion in our understanding of sirt6 biology including its structure , regulation , biochemical activity , and biological roles . 0 ###LEFT-WALL### 4 there 0 ###LEFT-WALL### 6 been 0 ###LEFT-WALL### 28 . 1 in 3 years 1 in 4 there 2 recent 3 years 4 there 5 has 5 has 6 been 6 been 9 expansion 7 a 9 expansion 8 large 9 expansion 9 expansion 10 in 10 in 12 understanding 11 our 12 understanding 12 understanding 13 of 13 of 25 and 14 sirt6 15 biology 15 biology 16 including 15 biology 25 and 16 including 18 structure 17 its 18 structure 18 structure 20 regulation 18 structure 23 activity 19 , 20 regulation 20 regulation 21 , 21 , 23 activity 22 biochemical 23 activity 23 activity 24 , 24 , 25 and 25 and 27 roles 26 biological 27 roles sirt6 functions as an adp - ribosylase and nad [(] [+] ) - dependent deacylase of both acetyl groups and long - chain fatty - acyl groups . 0 ###LEFT-WALL### 1 sirt6 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 28 . 1 sirt6 2 functions 2 functions 3 as 3 as 5 adp 4 an 5 adp 5 adp 8 and 6 - 8 and 7 ribosylase 8 and 8 and 9 nad 8 and 12 ) 13 - 15 deacylase 14 dependent 15 deacylase 15 deacylase 16 of 16 of 20 and 17 both 19 groups 18 acetyl 19 groups 19 groups 20 and 20 and 23 chain 20 and 26 acyl 20 and 27 groups 21 long 22 - 21 long 23 chain 24 fatty 25 - 24 fatty 26 acyl 26 acyl 27 groups through these functions sirt6 impacts upon cellular homeostasis by regulating dna repair , telomere maintenance , and glucose and lipid metabolism , thus affecting diseases such diabetes , obesity , heart disease , and cancer . 0 ###LEFT-WALL### 4 sirt6 0 ###LEFT-WALL### 5 impacts 0 ###LEFT-WALL### 36 . 1 through 3 functions 1 through 4 sirt6 2 these 3 functions 4 sirt6 5 impacts 5 impacts 6 upon 5 impacts 34 and 6 upon 19 and 7 cellular 8 homeostasis 8 homeostasis 9 by 8 homeostasis 13 , 9 by 10 regulating 10 regulating 12 repair 11 dna 12 repair 13 , 15 maintenance 13 , 17 and 14 telomere 15 maintenance 16 , 17 and 17 and 18 glucose 17 and 19 and 19 and 21 metabolism 19 and 22 , 19 and 24 affecting 20 lipid 21 metabolism 23 thus 24 affecting 24 affecting 25 diseases 26 such 27 diabetes 27 diabetes 28 , 28 , 29 obesity 28 , 30 , 30 , 32 disease 30 , 34 and 31 heart 32 disease 33 , 34 and 34 and 35 cancer such roles may contribute to the overall longevity and health of the organism . 0 ###LEFT-WALL### 2 roles 0 ###LEFT-WALL### 4 contribute 0 ###LEFT-WALL### 14 . 1 such 2 roles 2 roles 3 may 3 may 4 contribute 4 contribute 5 to 5 to 9 and 6 the 8 longevity 7 overall 8 longevity 8 longevity 9 and 9 and 10 health 9 and 11 of 11 of 13 organism 12 the 13 organism until recently , the known functions of sirt6 were largely restricted to the chromatin . 0 ###LEFT-WALL### 6 functions 0 ###LEFT-WALL### 11 restricted 0 ###LEFT-WALL### 15 . 1 until 2 recently 1 until 3 , 1 until 6 functions 4 the 6 functions 5 known 6 functions 6 functions 7 of 6 functions 9 were 7 of 8 sirt6 9 were 11 restricted 10 largely 11 restricted 11 restricted 12 to 12 to 14 chromatin 13 the 14 chromatin in this article we seek to describe [and] expand this knowledge with recent advances in understanding the mechanisms of sirt6 action and their implications for human biology and disease . 0 ###LEFT-WALL### 9 expand 0 ###LEFT-WALL### 30 . 1 in 3 article 1 in 9 expand 2 this 3 article 3 article 4 we 3 article 7 describe 4 we 5 seek 5 seek 6 to 5 seek 7 describe 6 to 7 describe 9 expand 11 knowledge 9 expand 12 with 9 expand 15 in 10 this 11 knowledge 12 with 14 advances 13 recent 14 advances 15 in 16 understanding 16 understanding 18 mechanisms 16 understanding 25 for 17 the 18 mechanisms 18 mechanisms 19 of 19 of 22 and 20 sirt6 21 action 21 action 22 and 22 and 24 implications 23 their 24 implications 25 for 28 and 26 human 27 biology 27 biology 28 and 28 and 29 disease until recently , cardiorespiratory fitness ( crf ) has been overlooked as a potential modifier of the inverse association between obesity and mortality ( [the] so [-] called obesity paradox ) , observed in patients [with] known or suspected cardiovascular ( cv ) disease . 0 ###LEFT-WALL### 5 fitness 0 ###LEFT-WALL### 11 overlooked 1 until 2 recently 1 until 3 , 1 until 5 fitness 4 cardiorespiratory 5 fitness 5 fitness 7 crf 5 fitness 9 has 6 ( 7 crf 7 crf 8 ) 9 has 10 been 10 been 11 overlooked 11 overlooked 12 as 12 as 15 modifier 13 a 14 potential 13 a 15 modifier 14 potential 15 modifier 15 modifier 16 of 16 of 19 association 17 the 19 association 18 inverse 19 association 19 association 20 between 20 between 22 and 21 obesity 22 and 22 and 23 mortality 22 and 28 called 22 and 33 observed 24 ( 28 called 26 so 28 called 28 called 30 paradox 28 called 31 ) 29 obesity 30 paradox 32 , 33 observed 33 observed 34 in 33 observed 45 . 34 in 38 or 35 patients 37 known 35 patients 38 or 38 or 44 disease 39 suspected 44 disease 40 cardiovascular 42 cv 40 cardiovascular 43 ) 40 cardiovascular 44 disease 41 ( 42 cv 42 cv 43 ) evidence from five observational cohort studies of 30,104 patients ( 87 % [male] ) with cv disease indicates that crf significantly alters the obesity paradox . 0 ###LEFT-WALL### 1 evidence 0 ###LEFT-WALL### 22 alters 0 ###LEFT-WALL### 26 . 1 evidence 2 from 1 evidence 7 of 1 evidence 15 with 1 evidence 22 alters 2 from 6 studies 3 five 5 cohort 4 observational 5 cohort 5 cohort 6 studies 7 of 9 patients 8 30,104 9 patients 9 patients 12 % 10 ( 12 % 11 87 12 % 12 % 14 ) 15 with 16 cv 16 cv 17 disease 16 cv 18 indicates 17 disease 18 indicates 18 indicates 20 crf 18 indicates 21 significantly 19 that 20 crf 22 alters 25 paradox 23 the 25 paradox 24 obesity 25 paradox there is general agreement across studies that the obesity paradox persists among patients with low [crf] , regardless of whether adiposity is assessed by body mass index [,] waist circumference [,] [or] percentage body fat . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 1 there 2 is 2 is 4 agreement 2 is 15 low 3 general 4 agreement 4 agreement 5 across 5 across 6 studies 6 studies 7 that 6 studies 14 with 7 that 10 paradox 7 that 11 persists 8 the 10 paradox 9 obesity 10 paradox 10 paradox 11 persists 11 persists 12 among 11 persists 14 with 12 among 13 patients 15 low 19 of 17 , 19 of 18 regardless 19 of 19 of 20 whether 19 of 36 . 20 whether 21 adiposity 20 whether 23 assessed 21 adiposity 22 is 22 is 23 assessed 23 assessed 24 by 24 by 35 fat 25 body 35 fat 26 mass 30 circumference 27 index 30 circumference 29 waist 30 circumference 30 circumference 33 percentage 33 percentage 35 fat 34 body 35 fat however , among patients with high crf , risk of all - cause mortality is [lowest] for the overweight category in some , but not all , studies , suggesting that higher levels of fitness may modify the relationship between body fatness and survival in patients manifesting an obesity paradox . 0 ###LEFT-WALL### 14 mortality 0 ###LEFT-WALL### 15 is 0 ###LEFT-WALL### 51 . 1 however 2 , 1 however 14 mortality 2 , 3 among 3 among 4 patients 3 among 12 - 3 among 14 mortality 4 patients 5 with 4 patients 9 risk 5 with 7 crf 6 high 7 crf 8 , 9 risk 9 risk 10 of 9 risk 12 - 10 of 11 all 13 cause 14 mortality 14 mortality 15 is 15 is 17 for 15 is 40 between 15 is 45 in 17 for 20 category 18 the 20 category 19 overweight 20 category 20 category 21 in 20 category 30 suggesting 21 in 22 some 22 some 24 but 22 some 28 studies 23 , 24 but 24 but 25 not 24 but 26 all 24 but 27 , 27 , 28 studies 28 studies 29 , 30 suggesting 31 that 31 that 33 levels 31 that 37 modify 32 higher 33 levels 33 levels 34 of 33 levels 36 may 34 of 35 fitness 36 may 37 modify 37 modify 39 relationship 38 the 39 relationship 40 between 43 and 41 body 42 fatness 42 fatness 43 and 43 and 44 survival 45 in 46 patients 46 patients 47 manifesting 47 manifesting 50 paradox 48 an 50 paradox 49 obesity 50 paradox further study is needed to better characterize the joint contribution of crf and obesity on mortality in diverse populations . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 4 needed 0 ###LEFT-WALL### 20 . 1 further 2 study 2 study 3 is 3 is 4 needed 4 needed 5 to 4 needed 15 on 4 needed 17 in 5 to 7 characterize 6 better 7 characterize 7 characterize 10 contribution 8 the 10 contribution 9 joint 10 contribution 10 contribution 11 of 11 of 13 and 12 crf 13 and 13 and 14 obesity 15 on 16 mortality 17 in 19 populations 18 diverse 19 populations objectives : to examine whether patients with newly diagnosed cancer respond differently to supplemental coverage than the general medicare population . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 examine 2 : 21 . 3 to 4 examine 4 examine 5 whether 4 examine 20 population 5 whether 6 patients 5 whether 11 respond 6 patients 7 with 6 patients 11 respond 7 with 10 cancer 8 newly 9 diagnosed 9 diagnosed 10 cancer 11 respond 12 differently 11 respond 16 than 12 differently 13 to 13 to 15 coverage 14 supplemental 15 coverage 17 the 20 population 18 general 20 population 19 medicare 20 population methods : a cohort of newly diagnosed cancer patients ( n = 1,799 ) from the 1997 - 2007 medicare current beneficiary survey and a noncancer cohort ( n = 9,726 ) were identified and matched by [panel] [year] . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 24 and 2 : 33 were 2 : 40 . 3 a 4 cohort 4 cohort 5 of 4 cohort 15 from 4 cohort 24 and 5 of 9 patients 6 newly 7 diagnosed 7 diagnosed 8 cancer 8 cancer 9 patients 9 patients 12 = 10 ( 12 = 11 n 12 = 12 = 13 1,799 12 = 14 ) 15 from 23 survey 16 the 18 - 17 1997 18 - 18 - 19 2007 18 - 23 survey 20 medicare 21 current 21 current 22 beneficiary 22 beneficiary 23 survey 24 and 27 cohort 24 and 30 = 24 and 33 were 25 a 26 noncancer 25 a 27 cohort 26 noncancer 27 cohort 28 ( 30 = 29 n 30 = 30 = 31 9,726 30 = 32 ) 33 were 35 and 34 identified 35 and 35 and 36 matched 35 and 37 by two - year total medical care spending was estimated by using generalized linear models with gamma distribution and log link - including endogeneity - corrected models . 0 ###LEFT-WALL### 1 two 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 20 link 2 - 7 spending 2 - 9 estimated 3 year 7 spending 4 total 6 care 5 medical 6 care 6 care 7 spending 7 spending 8 was 8 was 9 estimated 9 estimated 10 by 10 by 11 using 11 using 14 models 11 using 15 with 12 generalized 14 models 13 linear 14 models 15 with 16 gamma 16 gamma 18 and 16 gamma 20 link 17 distribution 18 and 18 and 19 log 18 and 20 link 20 link 22 including 21 - 22 including 22 including 23 endogeneity 22 including 27 . 23 endogeneity 26 models 24 - 26 models 25 corrected 26 models 26 models 27 . interactions between cancer and type of insurance allowed testing for differential effects of a cancer diagnosis . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 17 . 1 interactions 2 between 1 interactions 4 and 2 between 3 cancer 4 and 5 type 4 and 6 of 4 and 8 allowed 6 of 7 insurance 8 allowed 9 testing 9 testing 10 for 10 for 12 effects 11 differential 12 effects 12 effects 13 of 13 of 16 diagnosis 14 a 15 cancer 14 a 16 diagnosis 15 cancer 16 diagnosis results : the cancer cohort spent an adjusted $ 15,605 more over 2 years than did the noncancer comparison group . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 5 cohort 2 : 6 spent 3 the 5 cohort 4 cancer 5 cohort 5 cohort 6 spent 6 spent 9 $ 6 spent 11 more 6 spent 12 over 6 spent 15 than 7 an 9 $ 8 adjusted 9 $ 9 $ 10 15,605 12 over 14 years 13 2 14 years 15 than 16 did 16 did 20 group 17 the 20 group 18 noncancer 19 comparison 19 comparison 20 group relative to those without supplemental coverage , beneficiaries with employer [-] sponsored insurance , other private with prescription drug coverage , and public coverage had significantly higher total spending ( $ 3,510 , $ 2,823 , and $ 4,065 , respectively , for main models ) . 0 ###LEFT-WALL### 24 coverage 0 ###LEFT-WALL### 25 had 0 ###LEFT-WALL### 47 . 1 relative 2 to 1 relative 4 without 1 relative 14 , 1 relative 24 coverage 2 to 3 those 4 without 6 coverage 5 supplemental 6 coverage 6 coverage 8 beneficiaries 7 , 8 beneficiaries 8 beneficiaries 9 with 8 beneficiaries 14 , 9 with 13 insurance 10 employer 12 sponsored 12 sponsored 13 insurance 15 other 24 coverage 16 private 17 with 16 private 22 and 17 with 20 coverage 18 prescription 20 coverage 19 drug 20 coverage 21 , 22 and 22 and 23 public 22 and 24 coverage 24 coverage 25 had 25 had 29 spending 25 had 41 respectively 25 had 43 for 26 significantly 27 higher 27 higher 29 spending 28 total 29 spending 29 spending 37 and 30 ( 37 and 31 $ 32 3,510 31 $ 34 $ 31 $ 37 and 33 , 34 $ 34 $ 35 2,823 34 $ 36 , 37 and 38 $ 37 and 40 , 38 $ 39 4,065 42 , 43 for 43 for 45 models 43 for 46 ) 44 main 45 models for beneficiaries with cancer , supplemental insurance effects were similar in magnitude yet negative , suggesting little net effect of supplemental insurance for cancer patients . 0 ###LEFT-WALL### 8 effects 0 ###LEFT-WALL### 9 were 1 for 2 beneficiaries 1 for 5 , 1 for 8 effects 2 beneficiaries 3 with 3 with 4 cancer 6 supplemental 7 insurance 7 insurance 8 effects 8 effects 9 were 9 were 13 yet 10 similar 11 in 10 similar 13 yet 11 in 12 magnitude 13 yet 14 negative 14 negative 16 suggesting 15 , 16 suggesting 16 suggesting 19 effect 16 suggesting 26 . 17 little 19 effect 18 net 19 effect 19 effect 20 of 20 of 22 insurance 21 supplemental 22 insurance 22 insurance 23 for 23 for 25 patients 24 cancer 25 patients the endogeneity - corrected models produced implausibly large main effects of supplemental insurance , but the cancer × insurance interactions were similar in both models . 0 ###LEFT-WALL### 2 endogeneity 0 ###LEFT-WALL### 3 - 1 the 2 endogeneity 3 - 5 models 3 - 6 produced 3 - 15 but 3 - 26 . 4 corrected 5 models 5 models 6 produced 6 produced 10 effects 7 implausibly 8 large 8 large 9 main 9 main 10 effects 10 effects 11 of 11 of 13 insurance 12 supplemental 13 insurance 14 , 15 but 15 but 20 interactions 15 but 21 were 16 the 20 interactions 17 cancer 20 interactions 18 × 20 interactions 19 insurance 20 interactions 20 interactions 21 were 21 were 22 similar 22 similar 23 in 23 in 25 models 24 both 25 models conclusions : medicare beneficiaries with cancer [are] less responsive to the presence and type of supplemental insurance than are beneficiaries without cancer . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 beneficiaries 2 : 19 are 2 : 23 . 3 medicare 4 beneficiaries 4 beneficiaries 5 with 4 beneficiaries 9 responsive 4 beneficiaries 19 are 5 with 6 cancer 8 less 9 responsive 9 responsive 10 to 9 responsive 18 than 10 to 13 and 11 the 12 presence 12 presence 13 and 13 and 14 type 13 and 15 of 15 of 17 insurance 16 supplemental 17 insurance 19 are 20 beneficiaries 19 are 21 without 21 without 22 cancer proposed restrictions on the availability of supplemental insurance intended to reduce medicare spending would be unlikely to limit expenditures by beneficiaries with cancer , but would shift the financial burden to those beneficiaries . 0 ###LEFT-WALL### 2 restrictions 0 ###LEFT-WALL### 27 shift 0 ###LEFT-WALL### 34 . 1 proposed 2 restrictions 2 restrictions 3 on 2 restrictions 9 intended 3 on 5 availability 4 the 5 availability 5 availability 6 of 6 of 8 insurance 7 supplemental 8 insurance 9 intended 10 to 9 intended 25 but 10 to 11 reduce 11 reduce 12 medicare 13 spending 25 but 14 would 15 be 14 would 25 but 15 be 16 unlikely 16 unlikely 17 to 16 unlikely 18 limit 17 to 18 limit 18 limit 19 expenditures 18 limit 20 by 18 limit 22 with 20 by 21 beneficiaries 22 with 23 cancer 24 , 25 but 25 but 26 would 26 would 27 shift 27 shift 30 burden 27 shift 31 to 28 the 30 burden 29 financial 30 burden 31 to 33 beneficiaries 32 those 33 beneficiaries policymakers should consider welfare effects associated with coverage restrictions . 0 ###LEFT-WALL### 1 policymakers 0 ###LEFT-WALL### 3 consider 0 ###LEFT-WALL### 10 . 1 policymakers 2 should 2 should 3 consider 3 consider 4 welfare 3 consider 5 effects 5 effects 6 associated 6 associated 7 with 7 with 9 restrictions 8 coverage 9 restrictions disturbances in both circadian rhythms and oxidative stress systems have been implicated in the pathophysiology of bipolar disorder ( bd ) , yet no studies have investigated the relationship between these systems in bd . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 27 investigated 0 ###LEFT-WALL### 35 . 1 disturbances 2 in 1 disturbances 6 and 2 in 5 rhythms 3 both 5 rhythms 4 circadian 5 rhythms 6 and 9 systems 6 and 10 have 7 oxidative 8 stress 8 stress 9 systems 10 have 11 been 11 been 12 implicated 12 implicated 13 in 12 implicated 23 yet 13 in 15 pathophysiology 14 the 15 pathophysiology 15 pathophysiology 16 of 16 of 18 disorder 17 bipolar 18 disorder 18 disorder 20 bd 19 ( 20 bd 20 bd 21 ) 22 , 23 yet 23 yet 25 studies 24 no 25 studies 25 studies 26 have 26 have 27 investigated 27 investigated 29 relationship 27 investigated 30 between 28 the 29 relationship 30 between 32 systems 31 these 32 systems 32 systems 33 in 33 in 34 bd we studied the impact of circadian rhythm disruption on lipid damage in 52 depressed or euthymic bd females , while controlling for age , severity of depressive symptoms and number of psychotropic medications , compared to 30 healthy controls . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 studied 1 we 2 studied 2 studied 4 impact 2 studied 9 on 2 studied 20 while 3 the 4 impact 4 impact 5 of 5 of 8 disruption 6 circadian 8 disruption 7 rhythm 8 disruption 9 on 11 damage 10 lipid 11 damage 11 damage 12 in 12 in 18 females 13 52 18 females 14 depressed 15 or 15 or 16 euthymic 15 or 18 females 17 bd 18 females 19 , 20 while 20 while 21 controlling 20 while 35 compared 20 while 40 . 21 controlling 22 for 21 controlling 29 and 21 controlling 35 compared 22 for 23 age 24 , 29 and 25 severity 26 of 25 severity 29 and 26 of 28 symptoms 27 depressive 28 symptoms 29 and 30 number 29 and 31 of 29 and 34 , 31 of 33 medications 32 psychotropic 33 medications 35 compared 36 to 36 to 39 controls 37 30 39 controls 38 healthy 39 controls circadian rhythm disruption was determined by a self - report measure [(] biological rhythm interview of assessment in neuropsychiatry ; brian [ )(, which measures behaviours such as sleep , eating patterns , social rhythms and general activity . 0 ###LEFT-WALL### 1 circadian 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 9 - 1 circadian 4 was 2 rhythm 3 disruption 3 disruption 4 was 4 was 5 determined 5 determined 6 by 6 by 8 self 7 a 8 self 9 - 15 interview 9 - 20 ; 10 report 11 measure 11 measure 15 interview 13 biological 14 rhythm 14 rhythm 15 interview 15 interview 16 of 16 of 17 assessment 17 assessment 18 in 18 in 19 neuropsychiatry 20 ; 21 brian 20 ; 23 )(, 23 )(, 24 which 23 )(, 25 measures 23 )(, 33 , 24 which 25 measures 25 measures 26 behaviours 25 measures 31 eating 26 behaviours 28 as 27 such 28 as 28 as 29 sleep 30 , 31 eating 31 eating 32 patterns 31 eating 33 , 33 , 36 and 34 social 35 rhythms 35 rhythms 36 and 36 and 38 activity 36 and 39 . 37 general 38 activity malondialdehyde ( mda ) levels were measured as a proxy of lipid peroxidation . 0 ###LEFT-WALL### 5 levels 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 14 . 1 malondialdehyde 3 mda 2 ( 3 mda 3 mda 4 ) 3 mda 5 levels 5 levels 6 were 6 were 7 measured 7 measured 8 as 8 as 10 proxy 9 a 10 proxy 10 proxy 11 of 11 of 13 peroxidation 12 lipid 13 peroxidation we also measured the activity of total and extracellular superoxide dismutase ( sod ) [,] [catalase] ( cat ) and glutathione s - transferase ( gst ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 measured 0 ###LEFT-WALL### 28 . 1 we 3 measured 2 also 3 measured 3 measured 5 activity 4 the 5 activity 5 activity 6 of 6 of 20 and 7 total 8 and 8 and 11 dismutase 8 and 13 sod 8 and 18 cat 8 and 20 and 9 extracellular 10 superoxide 10 superoxide 11 dismutase 12 ( 13 sod 13 sod 14 ) 17 ( 18 cat 18 cat 19 ) 20 and 21 glutathione 20 and 24 transferase 21 glutathione 22 s 23 - 24 transferase 24 transferase 26 gst 24 transferase 27 ) 25 ( 26 gst 26 gst 27 ) multiple linear regressions showed that circadian rhythm disturbance was independently associated with increased lipid peroxidation in females with bd ( p < 0.05 ) . 0 ###LEFT-WALL### 3 regressions 0 ###LEFT-WALL### 4 showed 0 ###LEFT-WALL### 25 . 1 multiple 3 regressions 2 linear 3 regressions 3 regressions 4 showed 4 showed 5 that 5 that 8 disturbance 5 that 11 associated 6 circadian 7 rhythm 7 rhythm 8 disturbance 8 disturbance 9 was 9 was 11 associated 10 independently 11 associated 11 associated 12 with 11 associated 16 in 12 with 15 peroxidation 13 increased 14 lipid 14 lipid 15 peroxidation 16 in 17 females 17 females 18 with 18 with 19 bd 19 bd 22 < 20 ( 22 < 21 p 22 < 22 < 23 0.05 22 < 24 ) we found decreased extracellular sod ( p < 0.05 ) , but no differences in total sod , cat or gst activity between bipolar females and controls . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 28 . 1 we 2 found 2 found 5 sod 2 found 19 cat 2 found 20 or 3 decreased 5 sod 4 extracellular 5 sod 5 sod 8 < 5 sod 12 but 6 ( 8 < 7 p 8 < 8 < 9 0.05 8 < 10 ) 11 , 12 but 12 but 14 differences 12 but 18 , 13 no 14 differences 14 differences 15 in 15 in 17 sod 16 total 17 sod 20 or 21 gst 20 or 22 activity 22 activity 23 between 23 between 26 and 24 bipolar 25 females 25 females 26 and 26 and 27 controls circadian rhythms were not associated with lipid peroxidation in healthy controls , where aging was the only significant predictor . 0 ###LEFT-WALL### 2 rhythms 0 ###LEFT-WALL### 3 were 1 circadian 2 rhythms 2 rhythms 3 were 3 were 4 not 3 were 6 with 3 were 9 in 4 not 5 associated 6 with 8 peroxidation 7 lipid 8 peroxidation 9 in 11 controls 10 healthy 11 controls 11 controls 13 where 12 , 13 where 13 where 14 aging 13 where 15 was 13 where 20 . 14 aging 15 was 15 was 19 predictor 16 the 17 only 16 the 19 predictor 18 significant 19 predictor these results suggest an interaction between the circadian system and redox metabolism , in that greater disruption in daily rhythms was associated with increased lipid peroxidation in bd only . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 1 these 2 results 2 results 3 suggest 3 suggest 5 interaction 3 suggest 6 between 3 suggest 15 that 4 an 5 interaction 6 between 10 and 7 the 9 system 8 circadian 9 system 9 system 10 and 10 and 12 metabolism 11 redox 12 metabolism 13 , 15 that 14 in 15 that 15 that 17 disruption 15 that 22 associated 15 that 30 . 16 greater 17 disruption 17 disruption 18 in 17 disruption 21 was 18 in 20 rhythms 19 daily 20 rhythms 21 was 22 associated 22 associated 23 with 22 associated 27 in 22 associated 29 only 23 with 26 peroxidation 24 increased 25 lipid 25 lipid 26 peroxidation 27 in 28 bd antioxidant enzymes have been shown to follow a circadian pattern of expression , and it is possible that disturbance of sleep and daily rhythms experienced in bd may result in decreased antioxidant defence and therefore increased lipid peroxidation . 0 ###LEFT-WALL### 2 enzymes 0 ###LEFT-WALL### 5 shown 0 ###LEFT-WALL### 39 . 1 antioxidant 2 enzymes 2 enzymes 3 have 3 have 4 been 4 been 5 shown 5 shown 6 to 5 shown 16 is 6 to 7 follow 6 to 16 is 7 follow 14 and 8 a 10 pattern 9 circadian 10 pattern 10 pattern 11 of 10 pattern 14 and 11 of 12 expression 13 , 14 and 14 and 15 it 16 is 24 rhythms 17 possible 24 rhythms 18 that 19 disturbance 19 disturbance 20 of 19 disturbance 22 and 20 of 21 sleep 22 and 23 daily 22 and 24 rhythms 24 rhythms 25 experienced 25 experienced 26 in 26 in 27 bd 27 bd 34 and 28 may 29 result 28 may 34 and 29 result 30 in 30 in 33 defence 31 decreased 33 defence 32 antioxidant 33 defence 34 and 36 increased 34 and 38 peroxidation 35 therefore 36 increased 37 lipid 38 peroxidation this study provides a basis for further investigation of the links between oxidative stress and circadian rhythms in the neurobiology of bd . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 provides 0 ###LEFT-WALL### 23 . 1 this 2 study 2 study 3 provides 3 provides 5 basis 3 provides 6 for 3 provides 12 between 3 provides 18 in 4 a 5 basis 6 for 8 investigation 7 further 8 investigation 8 investigation 9 of 9 of 11 links 10 the 11 links 12 between 15 and 13 oxidative 14 stress 14 stress 15 and 15 and 17 rhythms 16 circadian 17 rhythms 18 in 20 neurobiology 19 the 20 neurobiology 20 neurobiology 21 of 21 of 22 bd background : flow - mediated dilation ( fmd ) following reactive hyperaemia can use different time - point measures for baseline [diameter] . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 12 hyperaemia 2 : 14 use 2 : 17 - 2 : 23 . 3 flow 6 dilation 3 flow 10 following 4 - 6 dilation 5 mediated 6 dilation 6 dilation 8 fmd 6 dilation 9 ) 7 ( 8 fmd 8 fmd 9 ) 10 following 12 hyperaemia 11 reactive 12 hyperaemia 12 hyperaemia 13 can 13 can 14 use 14 use 16 time 15 different 16 time 17 - 18 point 18 point 19 measures 19 measures 20 for 20 for 21 baseline the aim of this study is to compare preocclusion , occlusion and postocclusion baseline brachial artery measurements on the calculation of peak fmd . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 24 . 1 the 2 aim 2 aim 3 of 2 aim 6 is 3 of 5 study 4 this 5 study 6 is 7 to 6 is 8 compare 7 to 8 compare 8 compare 12 and 8 compare 18 on 9 preocclusion 10 , 10 , 11 occlusion 10 , 12 and 12 and 17 measurements 13 postocclusion 17 measurements 14 baseline 17 measurements 15 brachial 16 artery 16 artery 17 measurements 18 on 20 calculation 19 the 20 calculation 20 calculation 21 of 21 of 23 fmd 22 peak 23 fmd study design : ultrasound imaging of the brachial artery following reactive hyperaemia was conducted in 418 children and 533 adults . 0 ###LEFT-WALL### 2 design 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 21 . 1 study 2 design 3 : 5 imaging 3 : 14 conducted 4 ultrasound 5 imaging 5 imaging 6 of 5 imaging 10 following 5 imaging 13 was 6 of 9 artery 7 the 9 artery 8 brachial 9 artery 10 following 12 hyperaemia 11 reactive 12 hyperaemia 13 was 14 conducted 14 conducted 15 in 15 in 18 and 16 418 17 children 17 children 18 and 18 and 20 adults 19 533 20 adults baseline brachial artery measures were a 10 - s average before ( preocclusion ) , during [(] occlusion ) [and] [after] ( postocclusion ) [hyperaemia] . 0 ###LEFT-WALL### 4 measures 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 26 . 1 baseline 4 measures 2 brachial 3 artery 3 artery 4 measures 4 measures 5 were 5 were 10 average 6 a 10 average 7 10 8 - 8 - 9 s 8 - 10 average 10 average 11 before 10 average 13 preocclusion 10 average 16 during 10 average 23 postocclusion 12 ( 13 preocclusion 13 preocclusion 14 ) 15 , 16 during 16 during 18 occlusion 16 during 19 ) 22 ( 23 postocclusion 23 postocclusion 24 ) peak fmd was defined as the greatest percent change from baseline to the peak brachial artery diameter following reactive hyperaemia . 0 ###LEFT-WALL### 2 fmd 0 ###LEFT-WALL### 9 change 0 ###LEFT-WALL### 21 . 1 peak 2 fmd 2 fmd 3 was 3 was 4 defined 4 defined 5 as 5 as 7 greatest 6 the 7 greatest 7 greatest 8 percent 7 greatest 9 change 8 percent 9 change 9 change 10 from 10 from 11 baseline 11 baseline 12 to 11 baseline 18 following 12 to 17 diameter 13 the 17 diameter 14 peak 17 diameter 15 brachial 16 artery 16 artery 17 diameter 18 following 20 hyperaemia 19 reactive 20 hyperaemia peak fmd values were not significantly different when calculated from preocclusion , occlusion or postocclusion baselines in children ( 6·77 ± 5·78 , 6·93 ± 4·03 versus 7·85 ± 3·62 % , p = 0·208 ) or adults ( 6·07 ± 5·53 , 6·14 ± 3·94 versus 6·62 ± 3·70 % , p = 0·266 ) . 0 ###LEFT-WALL### 37 or 0 ###LEFT-WALL### 57 . 1 peak 2 fmd 2 fmd 7 different 2 fmd 12 , 3 values 4 were 4 were 5 not 5 not 6 significantly 6 significantly 7 different 7 different 8 when 7 different 10 from 8 when 9 calculated 10 from 11 preocclusion 12 , 13 occlusion 12 , 14 or 14 or 16 baselines 14 or 22 5·78 14 or 37 or 15 postocclusion 16 baselines 16 baselines 17 in 17 in 18 children 19 ( 22 5·78 20 6·77 21 ± 21 ± 22 5·78 22 5·78 26 4·03 22 5·78 36 ) 23 , 26 4·03 24 6·93 25 ± 25 ± 26 4·03 26 4·03 27 versus 26 4·03 34 = 26 4·03 36 ) 27 versus 31 % 28 7·85 30 3·62 29 ± 30 3·62 30 3·62 31 % 32 , 34 = 33 p 34 = 34 = 35 0·208 37 or 38 adults 37 or 42 5·53 37 or 46 3·94 39 ( 42 5·53 40 6·07 42 5·53 41 ± 42 5·53 42 5·53 43 , 43 , 46 3·94 44 6·14 46 3·94 45 ± 46 3·94 46 3·94 47 versus 46 3·94 54 = 46 3·94 56 ) 47 versus 51 % 48 6·62 50 3·70 49 ± 50 3·70 50 3·70 51 % 52 , 54 = 53 p 54 = 54 = 55 0·266 conclusion : we found no difference in fmd regardless of the baseline brachial artery diameter used in children and adults . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 found 2 : 21 . 3 we 4 found 4 found 6 difference 4 found 7 in 4 found 10 of 5 no 6 difference 7 in 8 fmd 9 regardless 10 of 10 of 15 diameter 11 the 15 diameter 12 baseline 15 diameter 13 brachial 14 artery 14 artery 15 diameter 15 diameter 16 used 16 used 17 in 17 in 19 and 18 children 19 and 19 and 20 adults therefore , compilation of data and comparison of results from studies utilizing different measures of baseline [brachial] [diameter] may be able to be conducted . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 25 . 1 therefore 2 , 1 therefore 6 and 3 compilation 4 of 3 compilation 6 and 4 of 5 data 6 and 7 comparison 6 and 15 of 6 and 19 may 7 comparison 8 of 8 of 9 results 9 results 10 from 9 results 12 utilizing 10 from 11 studies 12 utilizing 14 measures 13 different 14 measures 15 of 16 baseline 19 may 20 be 20 be 21 able 21 able 22 to 21 able 23 be 22 to 23 be 23 be 24 conducted context : sarcopenia is thought to be associated with mitochondrial ( mito ) loss . 0 ###LEFT-WALL### 1 context 0 ###LEFT-WALL### 2 : 2 : 3 sarcopenia 2 : 5 thought 2 : 15 . 3 sarcopenia 4 is 4 is 5 thought 5 thought 6 to 6 to 7 be 7 be 8 associated 8 associated 9 with 9 with 14 loss 10 mitochondrial 12 mito 10 mitochondrial 14 loss 11 ( 12 mito 12 mito 13 ) it is unclear whether the decrease in mito content is consequent to aging per se or to decreased physical activity . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 21 . 1 it 2 is 2 is 3 unclear 3 unclear 4 whether 4 whether 6 decrease 4 whether 10 is 5 the 6 decrease 6 decrease 7 in 6 decrease 10 is 7 in 9 content 8 mito 9 content 10 is 11 consequent 11 consequent 16 or 12 to 13 aging 12 to 16 or 13 aging 15 se 14 per 15 se 16 or 17 to 17 to 20 activity 18 decreased 20 activity 19 physical 20 activity objectives : the objective of the study was to examine the influence of fitness on mito content and function and to assess whether exercise could improve mito function in older adults . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 4 objective 2 : 8 was 2 : 32 . 3 the 4 objective 4 objective 5 of 4 objective 8 was 5 of 7 study 6 the 7 study 8 was 9 to 9 to 18 and 10 examine 12 influence 10 examine 15 on 10 examine 18 and 11 the 12 influence 12 influence 13 of 13 of 14 fitness 15 on 17 content 16 mito 17 content 18 and 20 and 19 function 20 and 20 and 21 to 20 and 28 function 21 to 22 assess 22 assess 23 whether 23 whether 24 exercise 23 whether 26 improve 24 exercise 25 could 25 could 26 improve 26 improve 27 mito 28 function 29 in 29 in 31 adults 30 older 31 adults peak oxygen uptake was measured by graded exercise [test] . 0 ###LEFT-WALL### 3 uptake 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 10 . 1 peak 3 uptake 2 oxygen 3 uptake 3 uptake 4 was 4 was 5 measured 5 measured 6 by 6 by 8 exercise 7 graded 8 exercise results : peak oxygen uptake was strongly correlated with mitovd in 80 60 - to 80 [-] year - old adults . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 oxygen 2 : 8 correlated 2 : 19 - 2 : 22 . 3 peak 4 oxygen 4 oxygen 5 uptake 4 oxygen 6 was 4 oxygen 8 correlated 5 uptake 6 was 6 was 7 strongly 8 correlated 9 with 8 correlated 15 to 9 with 10 mitovd 9 with 13 60 10 mitovd 11 in 11 in 12 80 14 - 15 to 15 to 18 year 15 to 19 - 16 80 18 year 19 - 21 adults 20 old 21 adults comparison of [chronically] endurance - trained older adults vs s revealed differences in mitovd , atpmax , and some electron transport chain protein complexes . 0 ###LEFT-WALL### 8 adults 0 ###LEFT-WALL### 11 revealed 0 ###LEFT-WALL### 25 . 1 comparison 8 adults 2 of 4 endurance 2 of 5 - 2 of 8 adults 6 trained 8 adults 7 older 8 adults 8 adults 9 vs 8 adults 11 revealed 9 vs 10 s 11 revealed 12 differences 11 revealed 13 in 13 in 18 and 14 mitovd 15 , 15 , 16 atpmax 15 , 18 and 17 , 18 and 18 and 24 complexes 19 some 24 complexes 20 electron 24 complexes 21 transport 22 chain 22 chain 24 complexes 23 protein 24 complexes finally , exercise intervention confirmed that s subjects are able to recover mitovd , atpmax , and specific transcription factors . 0 ###LEFT-WALL### 4 intervention 0 ###LEFT-WALL### 9 are 0 ###LEFT-WALL### 21 . 1 finally 2 , 1 finally 4 intervention 3 exercise 4 intervention 4 intervention 5 confirmed 4 intervention 6 that 4 intervention 8 subjects 4 intervention 9 are 6 that 7 s 6 that 8 subjects 7 s 8 subjects 9 are 20 factors 10 able 11 to 10 able 12 recover 10 able 17 and 11 to 12 recover 12 recover 13 mitovd 13 mitovd 15 atpmax 14 , 15 atpmax 15 atpmax 16 , 16 , 17 and 17 and 18 specific 17 and 19 transcription 19 transcription 20 factors none reactive oxygen species ( ros ) are chemically reactive molecules with impaired electrons that make them unstable and able to react easily with a great variety of molecules . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 13 impaired 0 ###LEFT-WALL### 30 . 1 none 4 species 1 none 12 with 1 none 13 impaired 2 reactive 4 species 3 oxygen 4 species 4 species 6 ros 4 species 8 are 5 ( 6 ros 6 ros 7 ) 8 are 9 chemically 8 are 11 molecules 8 are 12 with 10 reactive 11 molecules 13 impaired 14 electrons 14 electrons 15 that 14 electrons 16 make 15 that 16 make 16 make 17 them 16 make 19 and 18 unstable 19 and 19 and 20 able 20 able 21 to 20 able 22 react 21 to 22 react 22 react 23 easily 22 react 24 with 24 with 27 variety 25 a 26 great 25 a 27 variety 26 great 27 variety 27 variety 28 of 28 of 29 molecules the main targets of ros are dna , proteins , and membrane phospholipids . 0 ###LEFT-WALL### 3 targets 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 14 . 1 the 2 main 1 the 3 targets 3 targets 4 of 3 targets 6 are 4 of 5 ros 6 are 11 and 7 dna 8 , 8 , 9 proteins 8 , 11 and 10 , 11 and 11 and 13 phospholipids 12 membrane 13 phospholipids in the skin , ros are able to affect the production of collagen and elastin , the main components of the extracellular matrix ( ecm ) . 0 ###LEFT-WALL### 5 ros 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 27 . 1 in 3 skin 1 in 4 , 1 in 5 ros 2 the 3 skin 5 ros 6 are 6 are 7 able 7 able 8 to 7 able 9 affect 8 to 9 affect 9 affect 11 production 10 the 11 production 11 production 12 of 11 production 19 components 12 of 14 and 13 collagen 14 and 14 and 15 elastin 16 , 19 components 17 the 19 components 18 main 19 components 19 components 20 of 19 components 26 ) 20 of 23 matrix 21 the 23 matrix 22 extracellular 23 matrix 23 matrix 25 ecm 24 ( 25 ecm 25 ecm 26 ) this action contributes to the skin 's aging . 0 ###LEFT-WALL### 2 action 0 ###LEFT-WALL### 3 contributes 0 ###LEFT-WALL### 9 . 1 this 2 action 2 action 3 contributes 3 contributes 4 to 4 to 8 aging 5 the 6 skin 6 skin 7 's 7 's 8 aging n - acetylcysteine ( nac ) is an acetylated cysteine residue with excellent anti - oxidant activity that boosts glutathione ( gsh ) levels . 0 ###LEFT-WALL### 1 n 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 25 . 1 n 2 - 2 - 5 nac 3 acetylcysteine 5 nac 4 ( 5 nac 5 nac 6 ) 5 nac 7 is 7 is 11 residue 8 an 11 residue 9 acetylated 10 cysteine 10 cysteine 11 residue 11 residue 12 with 12 with 17 activity 13 excellent 17 activity 14 anti 15 - 14 anti 17 activity 16 oxidant 17 activity 17 activity 18 that 17 activity 19 boosts 18 that 19 boosts 19 boosts 24 levels 20 glutathione 22 gsh 20 glutathione 23 ) 20 glutathione 24 levels 21 ( 22 gsh 22 gsh 23 ) this study evaluates the effect of a solution of nac and amino acids , which is used in aesthetic medicine as an [intra] [-] dermal injective treatment , on fibroblast behavior . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 evaluates 0 ###LEFT-WALL### 32 . 1 this 2 study 2 study 3 evaluates 3 evaluates 11 and 3 evaluates 29 on 4 the 11 and 5 effect 6 of 5 effect 11 and 6 of 8 solution 7 a 8 solution 8 solution 9 of 9 of 10 nac 11 and 13 acids 11 and 15 which 12 amino 13 acids 14 , 15 which 15 which 16 is 15 which 28 , 16 is 17 used 17 used 18 in 17 used 21 as 18 in 20 medicine 19 aesthetic 20 medicine 21 as 27 treatment 22 an 27 treatment 25 dermal 27 treatment 26 injective 27 treatment 29 on 31 behavior 30 fibroblast 31 behavior to this aim , the expression levels of some ecm - related genes ( has1 , hyal1 eln , elane , mmp2 , mmp3 , mmp13 , col1a1 , col3a1 ) were analyzed on cultured dermal fibroblasts using real - time reverse transcription polymerase chain reaction ( rt - pcr ) . 0 ###LEFT-WALL### 3 aim 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 52 . 1 to 2 this 1 to 3 aim 4 , 7 levels 4 , 33 analyzed 5 the 7 levels 6 expression 7 levels 7 levels 8 of 7 levels 20 elane 7 levels 32 were 8 of 10 ecm 9 some 10 ecm 10 ecm 13 genes 11 - 13 genes 12 related 13 genes 13 genes 15 has1 13 genes 16 , 14 ( 15 has1 15 has1 16 , 16 , 20 elane 17 hyal1 18 eln 18 eln 20 elane 19 , 20 elane 20 elane 21 , 20 elane 22 mmp2 20 elane 26 mmp13 20 elane 28 col1a1 20 elane 31 ) 21 , 22 mmp2 22 mmp2 24 mmp3 22 mmp2 25 , 23 , 24 mmp3 24 mmp3 25 , 25 , 26 mmp13 26 mmp13 27 , 27 , 28 col1a1 28 col1a1 30 col3a1 28 col1a1 31 ) 29 , 30 col3a1 30 col3a1 31 ) 32 were 33 analyzed 33 analyzed 34 on 33 analyzed 38 using 34 on 37 fibroblasts 35 cultured 37 fibroblasts 36 dermal 37 fibroblasts 38 using 46 reaction 39 real 40 - 39 real 46 reaction 41 time 42 reverse 42 reverse 43 transcription 43 transcription 46 reaction 44 polymerase 45 chain 45 chain 46 reaction 46 reaction 48 rt 47 ( 48 rt 48 rt 50 pcr 48 rt 51 ) 49 - 50 pcr 50 pcr 51 ) all but two collagen genes were up - regulated after 24 hr of treatment . 0 ###LEFT-WALL### 5 genes 0 ###LEFT-WALL### 6 were 1 all 2 but 2 but 3 two 3 two 5 genes 4 collagen 5 genes 5 genes 6 were 6 were 7 up 7 up 9 regulated 8 - 9 regulated 9 regulated 10 after 9 regulated 15 . 10 after 12 hr 11 24 12 hr 12 hr 13 of 13 of 14 treatment local [intra] - pocket drug delivery devices can provide an effective concentration of the antimicrobial agent at the site of action with avoidance of undesirable side effects . 0 ###LEFT-WALL### 7 devices 0 ###LEFT-WALL### 9 provide 0 ###LEFT-WALL### 28 . 1 local 3 - 1 local 4 pocket 4 pocket 5 drug 5 drug 7 devices 6 delivery 7 devices 7 devices 8 can 8 can 9 provide 9 provide 12 concentration 9 provide 17 at 9 provide 22 with 10 an 11 effective 10 an 12 concentration 11 effective 12 concentration 12 concentration 13 of 13 of 16 agent 14 the 16 agent 15 antimicrobial 16 agent 17 at 19 site 18 the 19 site 19 site 20 of 20 of 21 action 22 with 23 avoidance 23 avoidance 24 of 24 of 27 effects 25 undesirable 26 side 26 side 27 effects this study explored the application of chitosan - alginate and chitosan - pectin polyelectrolyte complex ( pec ) films as drug release regulators for tetracycline hcl ( tc ) to treat periodontal pockets . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 explored 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 34 . 1 this 2 study 2 study 3 explored 3 explored 5 application 4 the 5 application 5 application 6 of 6 of 7 chitosan 8 - 10 and 8 - 14 polyelectrolyte 9 alginate 10 and 10 and 13 pectin 10 and 14 polyelectrolyte 11 chitosan 12 - 11 chitosan 13 pectin 14 polyelectrolyte 19 films 14 polyelectrolyte 20 as 15 complex 17 pec 15 complex 19 films 16 ( 17 pec 17 pec 18 ) 20 as 23 regulators 21 drug 22 release 22 release 23 regulators 23 regulators 24 for 23 regulators 30 to 24 for 26 hcl 25 tetracycline 26 hcl 26 hcl 28 tc 27 ( 28 tc 28 tc 29 ) 30 to 33 pockets 31 treat 33 pockets 32 periodontal 33 pockets periodontal films with 1:1 tc:pec [ratio] were prepared using 1:1 chitosan ( ch ) to sodium alginate ( a [ )(or 1:3 ch to pectin ( p ) . 0 ###LEFT-WALL### 21 )(or 0 ###LEFT-WALL### 29 . 1 periodontal 2 films 2 films 3 with 2 films 21 )(or 3 with 4 1:1 4 1:1 5 tc:pec 4 1:1 7 were 4 1:1 8 prepared 4 1:1 19 a 5 tc:pec 7 were 8 prepared 9 using 9 using 11 chitosan 9 using 15 to 10 1:1 11 chitosan 11 chitosan 13 ch 12 ( 13 ch 13 ch 14 ) 15 to 17 alginate 16 sodium 17 alginate 18 ( 19 a 21 )(or 23 ch 21 )(or 24 to 22 1:3 23 ch 24 to 25 pectin 25 pectin 27 p 26 ( 27 p 27 p 28 ) the scanning electron microscope showed acceptable film [appearance] and differential scanning calorimetry analysis confirmed complex formation . 0 ###LEFT-WALL### 4 microscope 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 17 . 1 the 4 microscope 2 scanning 3 electron 3 electron 4 microscope 4 microscope 5 showed 5 showed 7 film 6 acceptable 7 film 9 and 13 analysis 9 and 14 confirmed 10 differential 11 scanning 11 scanning 13 analysis 12 calorimetry 13 analysis 13 analysis 14 confirmed 14 confirmed 16 formation 15 complex 16 formation [the] in vitro release studies for both films showed a burst drug release , followed by prolonged [release] for 70 h . 0 ###LEFT-WALL### 5 studies 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 22 . 2 in 3 vitro 3 vitro 5 studies 4 release 5 studies 5 studies 6 for 5 studies 14 , 6 for 8 films 7 both 8 films 9 showed 13 release 9 showed 14 , 10 a 13 release 11 burst 13 release 12 drug 13 release 14 , 15 followed 15 followed 16 by 15 followed 17 prolonged 17 prolonged 19 for 19 for 21 h 20 70 21 h a prolonged antibacterial activity of both films against staphylococcus aureus atcc 6538 was observed over a period of 21 days . 0 ###LEFT-WALL### 4 activity 0 ###LEFT-WALL### 7 films 0 ###LEFT-WALL### 14 observed 1 a 4 activity 2 prolonged 4 activity 3 antibacterial 4 activity 4 activity 5 of 4 activity 7 films 5 of 6 both 7 films 8 against 8 against 9 staphylococcus 10 aureus 11 atcc 10 aureus 13 was 10 aureus 14 observed 11 atcc 12 6538 11 atcc 13 was 14 observed 15 over 14 observed 21 . 15 over 17 period 16 a 17 period 17 period 18 of 18 of 20 days 19 21 20 days aging studies indicated that the five months storage period [in] freezer did not significantly influence the drug release profile or the antibacterial activity of both films . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 3 indicated 0 ###LEFT-WALL### 20 or 0 ###LEFT-WALL### 27 . 1 aging 2 studies 1 aging 3 indicated 3 indicated 4 that 4 that 11 freezer 4 that 15 influence 5 the 11 freezer 6 five 7 months 7 months 9 period 8 storage 9 period 9 period 11 freezer 11 freezer 12 did 12 did 13 not 12 did 15 influence 14 significantly 15 influence 15 influence 19 profile 16 the 19 profile 17 drug 19 profile 18 release 19 profile 20 or 23 activity 20 or 26 films 21 the 23 activity 22 antibacterial 23 activity 23 activity 24 of 23 activity 26 films 24 of 25 both clinical [evaluation] showed a significant reduction in pocket depth ( p < 0.0001 ) to their normal values ( ≤3 [mm] ) . 0 ###LEFT-WALL### 1 clinical 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 23 . 1 clinical 3 showed 3 showed 6 reduction 3 showed 7 in 3 showed 15 to 4 a 5 significant 4 a 6 reduction 5 significant 6 reduction 7 in 9 depth 8 pocket 9 depth 9 depth 12 < 10 ( 12 < 11 p 12 < 12 < 13 0.0001 12 < 14 ) 15 to 18 values 16 their 18 values 17 normal 18 values 18 values 20 ≤3 19 ( 20 ≤3 20 ≤3 22 ) pec films could be exploited as a prolonged drug release devices for treatment of periodontal pockets . 0 ###LEFT-WALL### 1 pec 0 ###LEFT-WALL### 5 exploited 0 ###LEFT-WALL### 17 . 1 pec 2 films 1 pec 4 be 1 pec 5 exploited 2 films 3 could 3 could 4 be 5 exploited 6 as 5 exploited 11 devices 6 as 9 drug 7 a 9 drug 8 prolonged 9 drug 10 release 11 devices 11 devices 12 for 12 for 13 treatment 13 treatment 14 of 14 of 16 pockets 15 periodontal 16 pockets objectives : to examine differences in a proxy measure of muscle quality across the adult life span and explore potential mechanisms of muscle quality change through identification of cross [-] sectional [correlates] [of] muscle quality . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 36 . 2 : 3 to 2 : 18 and 3 to 18 and 4 examine 5 differences 4 examine 18 and 5 differences 6 in 5 differences 10 of 5 differences 13 across 6 in 9 measure 7 a 9 measure 8 proxy 9 measure 10 of 12 quality 11 muscle 12 quality 13 across 17 span 14 the 17 span 15 adult 17 span 16 life 17 span 18 and 19 explore 18 and 26 through 19 explore 21 mechanisms 20 potential 21 mechanisms 21 mechanisms 22 of 22 of 25 change 23 muscle 25 change 24 quality 25 change 26 through 27 identification 27 identification 28 of 28 of 35 quality 29 cross 35 quality 31 sectional 34 muscle 34 muscle 35 quality design : cross - sectional study . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 7 . 1 design 2 : 2 : 3 cross 4 - 6 study 5 sectional 6 study setting : baltimore longitudinal study of aging . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 . 1 setting 2 : 2 : 5 study 3 baltimore 4 longitudinal 4 longitudinal 5 study 5 study 6 of 6 of 7 aging participants : seven hundred eighty - six individuals with a mean age of 66.3 ( range 26 - 96 ) ( n = 786 ) . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 1 participants 2 : 2 : 5 eighty 3 seven 4 hundred 4 hundred 5 eighty 5 eighty 8 individuals 6 - 8 individuals 7 six 8 individuals 8 individuals 9 with 8 individuals 13 of 8 individuals 25 ) 9 with 12 age 10 a 12 age 11 mean 12 age 13 of 14 66.3 14 66.3 16 range 15 ( 16 range 16 range 17 26 16 range 19 96 16 range 23 = 16 range 25 ) 18 - 19 96 19 96 20 ) 21 ( 23 = 22 n 23 = 23 = 24 786 23 = 25 ) a sensitivity analysis was conducted in a subset of participants matched according to sex , muscle mass , and body size . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 5 conducted 0 ###LEFT-WALL### 22 . 1 a 3 analysis 2 sensitivity 3 analysis 3 analysis 4 was 4 was 5 conducted 5 conducted 6 in 5 conducted 13 to 6 in 8 subset 7 a 8 subset 8 subset 9 of 9 of 10 participants 10 participants 11 matched 12 according 13 to 13 to 19 and 14 sex 15 , 15 , 17 mass 15 , 19 and 16 muscle 17 mass 18 , 19 and 19 and 21 size 20 body 21 size measurements : muscle quality was operationalized as the ratio of knee [-] extension strength ( isokinetic dynamometry ) to thigh muscle [cross] - sectional area ( computed tomography ) . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 2 : 4 quality 2 : 6 operationalized 2 : 30 . 3 muscle 4 quality 4 quality 5 was 5 was 6 operationalized 6 operationalized 7 as 7 as 9 ratio 8 the 9 ratio 9 ratio 10 of 9 ratio 19 to 9 ratio 25 area 10 of 14 strength 11 knee 13 extension 13 extension 14 strength 14 strength 17 dynamometry 15 ( 17 dynamometry 16 isokinetic 17 dynamometry 17 dynamometry 18 ) 19 to 21 muscle 20 thigh 21 muscle 23 - 25 area 24 sectional 25 area 25 area 28 tomography 25 area 29 ) 26 ( 28 tomography 27 computed 28 tomography 28 tomography 29 ) differences in muscle strength , muscle area , and muscle quality ratio with age [were] evaluated , and the association between the muscle quality ratio and measures reflecting domains of cognitive function , motor control , peripheral nerve function , adiposity , glucose homeostasis , and inflammation were assessed through multivariate regression analyses . 0 ###LEFT-WALL### 9 and 1 differences 2 in 1 differences 9 and 2 in 4 strength 3 muscle 4 strength 4 strength 7 area 5 , 7 area 6 muscle 7 area 7 area 8 , 9 and 12 ratio 9 and 13 with 10 muscle 12 ratio 11 quality 12 ratio 13 with 18 and 14 age 16 evaluated 14 age 18 and 17 , 18 and 18 and 20 association 18 and 28 reflecting 19 the 20 association 20 association 21 between 21 between 26 and 22 the 25 ratio 23 muscle 25 ratio 24 quality 25 ratio 25 ratio 26 and 26 and 27 measures 28 reflecting 29 domains 29 domains 30 of 30 of 38 nerve 31 cognitive 36 , 31 cognitive 38 nerve 32 function 35 control 33 , 35 control 34 motor 35 control 35 control 36 , 37 peripheral 38 nerve 38 nerve 43 glucose 39 function 41 adiposity 40 , 41 adiposity 41 adiposity 42 , 42 , 43 glucose 43 glucose 46 and 43 glucose 48 were 43 glucose 49 assessed 43 glucose 54 . 44 homeostasis 46 and 45 , 46 and 46 and 47 inflammation 46 and 48 were 49 assessed 50 through 50 through 53 analyses 51 multivariate 53 analyses 52 regression 53 analyses results : a linear relationship between age and muscle quality ratio was observed , suggesting a gradual decline in muscle quality over the adult life course . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 relationship 2 : 13 observed 3 a 4 linear 3 a 5 relationship 4 linear 5 relationship 5 relationship 6 between 5 relationship 12 was 6 between 8 and 7 age 8 and 8 and 11 ratio 9 muscle 11 ratio 10 quality 11 ratio 12 was 13 observed 13 observed 15 suggesting 14 , 15 suggesting 15 suggesting 18 decline 15 suggesting 19 in 15 suggesting 22 over 15 suggesting 27 . 16 a 17 gradual 16 a 18 decline 17 gradual 18 decline 19 in 21 quality 20 muscle 21 quality 22 over 26 course 23 the 26 course 24 adult 26 course 25 life 26 course associations were observed between muscle quality [ratio] and measures of adiposity , as well as peroneal nerve motor conduction velocity , finger tapping speed , and memory performance ( p < [.] 01 ) . 0 ###LEFT-WALL### 1 associations 0 ###LEFT-WALL### 3 observed 1 associations 2 were 2 were 3 observed 3 observed 4 between 3 observed 15 as 4 between 8 and 5 muscle 6 quality 6 quality 8 and 8 and 9 measures 8 and 10 of 10 of 11 adiposity 12 , 15 as 13 as 14 well 14 well 15 as 15 as 20 velocity 15 as 35 . 16 peroneal 20 velocity 17 nerve 18 motor 18 motor 19 conduction 19 conduction 20 velocity 20 velocity 26 and 21 , 26 and 22 finger 23 tapping 23 tapping 24 speed 24 speed 26 and 25 , 26 and 26 and 28 performance 26 and 31 < 26 and 34 ) 27 memory 28 performance 29 ( 31 < 30 p 31 < 31 < 33 01 the association [between] muscle quality ratio and nerve conduction velocity was maintained after adjustment for anthropometric measurements ( p < [.] 05 ) . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 12 maintained 0 ###LEFT-WALL### 24 . 1 the 6 ratio 2 association 6 ratio 4 muscle 6 ratio 5 quality 6 ratio 6 ratio 7 and 7 and 8 nerve 9 conduction 10 velocity 9 conduction 11 was 9 conduction 12 maintained 10 velocity 11 was 12 maintained 13 after 12 maintained 23 ) 13 after 14 adjustment 14 adjustment 15 for 15 for 17 measurements 16 anthropometric 17 measurements 17 measurements 20 < 18 ( 20 < 19 p 20 < 20 < 22 05 conclusion : muscle quality declines progressively with age over the adult life span and is affected by obesity and neurological factors . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 4 quality 2 : 14 and 3 muscle 4 quality 4 quality 14 and 5 declines 6 progressively 5 declines 7 with 5 declines 9 over 5 declines 14 and 7 with 8 age 9 over 13 span 10 the 13 span 11 adult 12 life 12 life 13 span 14 and 15 is 14 and 17 by 15 is 16 affected 17 by 19 and 18 obesity 19 and 19 and 21 factors 20 neurological 21 factors studies are needed to clarify the mechanisms of these associations and their implications for functional outcomes . 0 ###LEFT-WALL### 1 studies 0 ###LEFT-WALL### 3 needed 0 ###LEFT-WALL### 17 . 1 studies 2 are 2 are 3 needed 3 needed 4 to 4 to 5 clarify 5 clarify 7 mechanisms 6 the 7 mechanisms 7 mechanisms 8 of 8 of 11 and 9 these 10 associations 10 associations 11 and 11 and 13 implications 11 and 14 for 12 their 13 implications 14 for 16 outcomes 15 functional 16 outcomes the discrimination of interaural phase differences ( ipds ) requires accurate binaural temporal processing and has been used as a measure of sensitivity to temporal [envelope] and temporal fine structure ( tfs ) . 0 ###LEFT-WALL### 2 discrimination 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 34 . 1 the 2 discrimination 2 discrimination 3 of 2 discrimination 8 ipds 2 discrimination 15 and 3 of 6 differences 4 interaural 5 phase 5 phase 6 differences 7 ( 8 ipds 8 ipds 9 ) 10 requires 14 processing 10 requires 15 and 11 accurate 14 processing 12 binaural 14 processing 13 temporal 14 processing 15 and 16 has 15 and 19 as 16 has 17 been 17 been 18 used 19 as 23 sensitivity 20 a 21 measure 21 measure 22 of 21 measure 23 sensitivity 22 of 23 sensitivity 23 sensitivity 24 to 23 sensitivity 32 tfs 24 to 30 structure 25 temporal 27 and 27 and 28 temporal 27 and 30 structure 29 fine 30 structure 31 ( 32 tfs 32 tfs 33 ) previous studies found that tfs - ipd discrimination declined with age and with sensorineural hearing loss ( snhl ) , but age and snhl have often been confounded . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 found 0 ###LEFT-WALL### 21 but 0 ###LEFT-WALL### 29 . 1 previous 2 studies 2 studies 3 found 3 found 4 that 4 that 8 discrimination 4 that 9 declined 5 tfs 7 ipd 6 - 7 ipd 7 ipd 8 discrimination 8 discrimination 9 declined 9 declined 12 and 10 with 11 age 10 with 12 and 12 and 13 with 13 with 16 loss 14 sensorineural 15 hearing 15 hearing 16 loss 16 loss 18 snhl 17 ( 18 snhl 18 snhl 19 ) 20 , 21 but 21 but 23 and 21 but 28 confounded 22 age 23 and 23 and 24 snhl 23 and 25 have 25 have 27 been 26 often 27 been 27 been 28 confounded the aim of this study was to determine the independent contributions of age and snhl to tfs and envelope ipd discrimination by using a sample of adults with a wide range of ages and snhl . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 36 . 1 the 2 aim 2 aim 3 of 2 aim 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 8 determine 7 to 8 determine 8 determine 11 contributions 8 determine 16 to 8 determine 22 by 8 determine 28 with 9 the 11 contributions 10 independent 11 contributions 11 contributions 12 of 12 of 14 and 13 age 14 and 14 and 15 snhl 16 to 18 and 17 tfs 18 and 18 and 21 discrimination 19 envelope 21 discrimination 20 ipd 21 discrimination 22 by 23 using 23 using 25 sample 24 a 25 sample 25 sample 26 of 26 of 27 adults 28 with 31 range 29 a 30 wide 29 a 31 range 30 wide 31 range 31 range 32 of 32 of 34 and 33 ages 34 and 34 and 35 snhl a [two] - interval , two - alternative forced [-] choice procedure was used to measure ipd discrimination thresholds for 20 - [hz] amplitude - modulated tones with carrier frequencies of 250 or 500 hz when the ipd was in either the stimulus envelope or tfs . 0 ###LEFT-WALL### 1 a 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 47 . 1 a 3 - 3 - 4 interval 5 , 6 two 5 , 7 - 7 - 11 choice 8 alternative 9 forced 9 forced 11 choice 11 choice 12 procedure 11 choice 26 modulated 12 procedure 13 was 13 was 14 used 14 used 15 to 14 used 26 modulated 15 to 16 measure 16 measure 17 ipd 18 discrimination 19 thresholds 19 thresholds 20 for 19 thresholds 24 amplitude 19 thresholds 26 modulated 20 for 21 20 22 - 24 amplitude 24 amplitude 25 - 26 modulated 27 tones 27 tones 28 with 28 with 30 frequencies 29 carrier 30 frequencies 30 frequencies 31 of 30 frequencies 36 when 31 of 35 hz 32 250 33 or 33 or 34 500 33 or 35 hz 36 when 38 ipd 36 when 39 was 37 the 38 ipd 38 ipd 39 was 39 was 40 in 40 in 45 or 41 either 45 or 42 the 44 envelope 43 stimulus 44 envelope 44 envelope 45 or 45 or 46 tfs there were positive correlations between absolute thresholds and tfs - ipd thresholds , but not envelope [-] ipd thresholds , when age was accounted for . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 26 . 1 there 2 were 2 were 4 correlations 2 were 5 between 3 positive 4 correlations 5 between 8 and 6 absolute 7 thresholds 7 thresholds 8 and 8 and 9 tfs 8 and 21 when 9 tfs 12 thresholds 10 - 12 thresholds 11 ipd 12 thresholds 12 thresholds 14 but 12 thresholds 20 , 13 , 14 but 14 but 15 not 14 but 19 thresholds 14 but 20 , 16 envelope 19 thresholds 18 ipd 19 thresholds 21 when 22 age 21 when 25 for 22 age 23 was 23 was 25 for 24 accounted 25 for this supports the idea that snhl affects tfs processing independently to age . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 supports 0 ###LEFT-WALL### 13 . 1 this 2 supports 2 supports 4 idea 3 the 4 idea 4 idea 5 that 4 idea 9 processing 4 idea 11 to 5 that 6 snhl 5 that 7 affects 6 snhl 7 affects 7 affects 8 tfs 8 tfs 9 processing 9 processing 10 independently 11 to 12 age age was positively correlated with envelope [-] ipd thresholds at both carrier frequencies and tfs - ipd thresholds at 500 hz , when absolute thresholds were accounted for . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 4 correlated 0 ###LEFT-WALL### 29 . 1 age 2 was 2 was 3 positively 2 was 4 correlated 4 correlated 5 with 4 correlated 23 when 5 with 9 thresholds 6 envelope 9 thresholds 8 ipd 9 thresholds 9 thresholds 10 at 10 at 14 and 11 both 14 and 12 carrier 13 frequencies 13 frequencies 14 and 14 and 15 tfs 15 tfs 18 thresholds 16 - 18 thresholds 17 ipd 18 thresholds 18 thresholds 19 at 18 thresholds 22 , 19 at 21 hz 20 500 21 hz 23 when 25 thresholds 23 when 28 for 24 absolute 25 thresholds 25 thresholds 26 were 26 were 28 for 27 accounted 28 for these results suggest that age negatively affects the binaural processing of envelope [and] tfs at some frequencies independently of snhl . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 21 . 1 these 2 results 2 results 3 suggest 3 suggest 4 that 4 that 5 age 4 that 7 affects 5 age 7 affects 6 negatively 7 affects 7 affects 10 processing 7 affects 15 at 7 affects 18 independently 8 the 10 processing 9 binaural 10 processing 10 processing 11 of 11 of 14 tfs 12 envelope 14 tfs 15 at 17 frequencies 16 some 17 frequencies 18 independently 19 of 19 of 20 snhl objective : to investigate the effectiveness of recent social therapeutic interventions to reduce loneliness in older people . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 13 reduce 0 ###LEFT-WALL### 18 . 1 objective 2 : 2 : 3 to 2 : 4 investigate 3 to 4 investigate 4 investigate 6 effectiveness 4 investigate 12 to 5 the 6 effectiveness 6 effectiveness 7 of 7 of 11 interventions 8 recent 11 interventions 9 social 11 interventions 10 therapeutic 11 interventions 12 to 13 reduce 13 reduce 14 loneliness 13 reduce 15 in 15 in 17 people 16 older 17 people method : to examine this matter , a literature review , using seven databases , was undertaken using search terms relating to the themes of ageing , loneliness and social support . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 32 . 1 method 2 : 2 : 3 to 2 : 4 examine 3 to 4 examine 4 examine 6 matter 4 examine 17 undertaken 5 this 6 matter 6 matter 10 review 6 matter 16 was 7 , 10 review 8 a 10 review 9 literature 10 review 10 review 12 using 10 review 15 , 11 , 12 using 12 using 14 databases 12 using 15 , 13 seven 14 databases 16 was 17 undertaken 17 undertaken 18 using 18 using 20 terms 18 using 22 to 19 search 20 terms 20 terms 21 relating 22 to 29 and 23 the 24 themes 24 themes 25 of 24 themes 27 , 25 of 26 ageing 27 , 28 loneliness 27 , 29 and 29 and 31 support 30 social 31 support a total of 17 relevant studies relating to loneliness interventions were analysed . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 12 analysed 0 ###LEFT-WALL### 13 . 1 a 2 total 2 total 3 of 2 total 11 were 3 of 6 studies 4 17 6 studies 5 relevant 6 studies 6 studies 7 relating 7 relating 8 to 8 to 10 interventions 9 loneliness 10 interventions 11 were 12 analysed results : three studies reporting on new technologies and one on a group work intervention identified significant reductions in loneliness . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 21 . 1 results 2 : 2 : 4 studies 3 three 4 studies 4 studies 5 reporting 5 reporting 6 on 6 on 8 technologies 7 new 8 technologies 9 and 10 one 9 and 16 identified 10 one 11 on 10 one 16 identified 11 on 15 intervention 12 a 15 intervention 13 group 15 intervention 14 work 15 intervention 16 identified 18 reductions 16 identified 19 in 17 significant 18 reductions 19 in 20 loneliness conclusion : further research into interventions using new technologies to reduce loneliness in older people is recommended . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 research 2 : 17 recommended 2 : 18 . 3 further 4 research 4 research 5 into 4 research 7 using 4 research 16 is 5 into 6 interventions 7 using 9 technologies 7 using 10 to 7 using 11 reduce 8 new 9 technologies 10 to 11 reduce 11 reduce 12 loneliness 11 reduce 13 in 13 in 15 people 14 older 15 people 16 is 17 recommended significance : impairment of the ubiquitin - proteasome [system] ( ups ) has been implicated in the pathogenesis of a wide variety of neurodegenerative disorders , including alzheimer 's , parkinson 's , and huntington 's diseases . 0 ###LEFT-WALL### 1 significance 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 38 . 2 : 3 impairment 2 : 15 implicated 3 impairment 4 of 3 impairment 8 proteasome 3 impairment 13 has 4 of 6 ubiquitin 5 the 6 ubiquitin 7 - 8 proteasome 8 proteasome 11 ups 8 proteasome 12 ) 10 ( 11 ups 11 ups 12 ) 13 has 14 been 14 been 15 implicated 15 implicated 16 in 16 in 18 pathogenesis 17 the 18 pathogenesis 18 pathogenesis 19 of 19 of 34 and 20 a 21 wide 20 a 22 variety 21 wide 22 variety 22 variety 23 of 22 variety 34 and 23 of 25 disorders 24 neurodegenerative 25 disorders 25 disorders 27 including 25 disorders 32 's 26 , 27 including 27 including 29 's 27 including 30 , 28 alzheimer 29 's 30 , 32 's 31 parkinson 32 's 32 's 33 , 34 and 37 diseases 35 huntington 36 's 36 's 37 diseases the most significant risk factor for the development of these disorders is aging , which is associated with a progressive decline in ups activity and the accumulation of oxidatively modified proteins . 0 ###LEFT-WALL### 5 factor 0 ###LEFT-WALL### 12 is 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 32 . 1 the 5 factor 2 most 3 significant 3 significant 5 factor 4 risk 5 factor 5 factor 6 for 5 factor 12 is 6 for 8 development 7 the 8 development 8 development 9 of 9 of 11 disorders 10 these 11 disorders 12 is 13 aging 14 , 15 which 14 , 17 associated 15 which 16 is 16 is 17 associated 17 associated 18 with 17 associated 22 in 18 with 21 decline 19 a 20 progressive 19 a 21 decline 20 progressive 21 decline 22 in 25 and 23 ups 24 activity 24 activity 25 and 25 and 27 accumulation 25 and 28 of 26 the 27 accumulation 28 of 31 proteins 29 oxidatively 30 modified 30 modified 31 proteins to date , no therapies have been developed that [can] specifically up - regulate this system . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 date 0 ###LEFT-WALL### 3 , 1 to 2 date 3 , 5 therapies 3 , 8 developed 3 , 13 - 4 no 5 therapies 5 therapies 6 have 6 have 7 been 7 been 8 developed 8 developed 11 specifically 8 developed 12 up 9 that 11 specifically 13 - 14 regulate 13 - 17 . 14 regulate 16 system 15 this 16 system recent advances : in the neurodegenerative brain , dysfunction of the ups has been associated with the deposition of ubiquitinated protein aggregates and widespread disruption of the proteostasis network . 0 ###LEFT-WALL### 2 advances 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 30 . 1 recent 2 advances 3 : 9 dysfunction 3 : 15 associated 4 in 7 brain 4 in 8 , 4 in 9 dysfunction 5 the 7 brain 6 neurodegenerative 7 brain 9 dysfunction 10 of 9 dysfunction 13 has 10 of 12 ups 11 the 12 ups 13 has 14 been 14 been 15 associated 15 associated 16 with 16 with 23 and 17 the 18 deposition 18 deposition 19 of 18 deposition 23 and 19 of 22 aggregates 20 ubiquitinated 21 protein 21 protein 22 aggregates 23 and 25 disruption 24 widespread 25 disruption 25 disruption 26 of 26 of 29 network 27 the 29 network 28 proteostasis 29 network recent research has identified further evidence of impairment in substrate ubiquitination and proteasomal degradation , which could contribute to the loss of cellular proteostasis in neurodegenerative disease . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 4 identified 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 28 . 1 recent 2 research 2 research 3 has 3 has 4 identified 4 identified 6 evidence 4 identified 9 in 5 further 6 evidence 6 evidence 7 of 7 of 8 impairment 9 in 12 and 10 substrate 11 ubiquitination 11 ubiquitination 12 and 12 and 14 degradation 13 proteasomal 14 degradation 15 , 16 which 15 , 18 contribute 16 which 17 could 17 could 18 contribute 18 contribute 19 to 18 contribute 25 in 19 to 21 loss 20 the 21 loss 21 loss 22 of 22 of 24 proteostasis 23 cellular 24 proteostasis 25 in 27 disease 26 neurodegenerative 27 disease novel strategies for activation of the ups by genetic manipulation and treatment with synthetic compounds have also recently been identified . 0 ###LEFT-WALL### 2 strategies 0 ###LEFT-WALL### 20 identified 0 ###LEFT-WALL### 21 . 1 novel 2 strategies 2 strategies 3 for 2 strategies 5 of 2 strategies 16 have 3 for 4 activation 5 of 7 ups 6 the 7 ups 7 ups 8 by 7 ups 13 with 8 by 11 and 9 genetic 10 manipulation 10 manipulation 11 and 11 and 12 treatment 13 with 15 compounds 14 synthetic 15 compounds 16 have 19 been 17 also 19 been 18 recently 19 been 19 been 20 identified critical issues : here , we discuss the specific roles of the ups in the healthy central nervous system and establish how dysfunctional components can contribute to neurotoxicity in the context of disease . 0 ###LEFT-WALL### 2 issues 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 34 . 1 critical 2 issues 2 issues 3 : 3 : 4 here 5 , 6 we 5 , 20 and 6 we 20 and 7 discuss 10 roles 7 discuss 14 in 7 discuss 20 and 8 the 10 roles 9 specific 10 roles 10 roles 11 of 11 of 13 ups 12 the 13 ups 14 in 19 system 15 the 19 system 16 healthy 19 system 17 central 19 system 18 nervous 19 system 20 and 21 establish 20 and 27 to 20 and 29 in 21 establish 22 how 22 how 24 components 22 how 26 contribute 23 dysfunctional 24 components 24 components 25 can 25 can 26 contribute 27 to 28 neurotoxicity 29 in 31 context 30 the 31 context 31 context 32 of 32 of 33 disease future directions : knowledge of the ups components that are specifically [or] preferentially involved in neurodegenerative disease will be critical in the development of targeted therapies which aim at limiting the accumulation of misfolded proteins without gross disturbance of this major proteolytic pathway . 0 ###LEFT-WALL### 2 directions 0 ###LEFT-WALL### 3 : 1 future 2 directions 3 : 4 knowledge 3 : 34 misfolded 3 : 44 . 4 knowledge 5 of 4 knowledge 34 misfolded 5 of 8 components 6 the 8 components 7 ups 8 components 8 components 9 that 8 components 10 are 9 that 10 are 10 are 11 specifically 10 are 14 involved 13 preferentially 14 involved 14 involved 15 in 15 in 17 disease 16 neurodegenerative 17 disease 17 disease 18 will 17 disease 33 of 18 will 19 be 19 be 20 critical 20 critical 21 in 20 critical 29 at 20 critical 33 of 21 in 23 development 22 the 23 development 23 development 24 of 24 of 26 therapies 25 targeted 26 therapies 26 therapies 27 which 26 therapies 28 aim 27 which 28 aim 29 at 30 limiting 30 limiting 32 accumulation 31 the 32 accumulation 34 misfolded 35 proteins 34 misfolded 36 without 36 without 38 disturbance 37 gross 38 disturbance 38 disturbance 39 of 39 of 43 pathway 40 this 43 pathway 41 major 43 pathway 42 proteolytic 43 pathway introduction : population aging is a worldwide phenomenon . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 2 : 3 population 2 : 5 is 2 : 9 . 3 population 4 aging 3 population 5 is 5 is 8 phenomenon 6 a 7 worldwide 6 a 8 phenomenon 7 worldwide 8 phenomenon as a response , the world health organization ( who ) introduced the concept of ['] age - friendliness ['] in 2006 . 0 ###LEFT-WALL### 10 who 0 ###LEFT-WALL### 12 introduced 0 ###LEFT-WALL### 18 - 0 ###LEFT-WALL### 23 . 1 as 3 response 1 as 4 , 1 as 10 who 2 a 3 response 5 the 10 who 6 world 7 health 7 health 8 organization 8 organization 10 who 9 ( 10 who 10 who 11 ) 10 who 12 introduced 12 introduced 14 concept 13 the 14 concept 14 concept 15 of 15 of 17 age 18 - 19 friendliness 19 friendliness 21 in 21 in 22 2006 age - friendliness is defined in terms of a range of domains , such as housing , opportunities for participation , and transportation . 0 ###LEFT-WALL### 3 friendliness 0 ###LEFT-WALL### 5 defined 0 ###LEFT-WALL### 24 . 1 age 2 - 1 age 3 friendliness 3 friendliness 4 is 4 is 5 defined 5 defined 6 in 6 in 7 terms 7 terms 8 of 8 of 22 and 9 a 10 range 10 range 11 of 10 range 22 and 11 of 12 domains 12 domains 15 as 12 domains 18 opportunities 13 , 15 as 14 such 15 as 15 as 16 housing 15 as 17 , 17 , 18 opportunities 18 opportunities 19 for 18 opportunities 21 , 19 for 20 participation 21 , 22 and 22 and 23 transportation communities that accommodate the needs of older adults in these domains will , it is thought , promote healthy , active aging . 0 ###LEFT-WALL### 1 communities 0 ###LEFT-WALL### 18 promote 0 ###LEFT-WALL### 23 . 1 communities 2 that 1 communities 3 accommodate 1 communities 12 will 2 that 3 accommodate 3 accommodate 5 needs 3 accommodate 9 in 4 the 5 needs 5 needs 6 of 6 of 8 adults 7 older 8 adults 9 in 11 domains 10 these 11 domains 12 will 18 promote 13 , 16 thought 14 it 15 is 15 is 16 thought 16 thought 17 , 16 thought 18 promote 18 promote 22 aging 19 healthy 20 , 19 healthy 22 aging 21 active 22 aging the purpose of the present study was to examine communities ' age - friendliness and its relationship to health - related outcomes in a rural context . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 21 related 0 ###LEFT-WALL### 27 . 1 the 2 purpose 2 purpose 3 of 2 purpose 21 related 3 of 5 present 4 the 5 present 5 present 6 study 5 present 9 examine 5 present 15 and 6 study 7 was 7 was 8 to 7 was 9 examine 8 to 9 examine 9 examine 12 age 10 communities 11 ' 11 ' 12 age 13 - 15 and 14 friendliness 15 and 15 and 17 relationship 15 and 18 to 15 and 20 - 16 its 17 relationship 18 to 19 health 21 related 22 outcomes 22 outcomes 23 in 23 in 26 context 24 a 26 context 25 rural 26 context methods : the study included 29 communities located in manitoba , a mid - western canadian province , that are part of the province of manitoba 's age - friendly manitoba initiative . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 4 study 2 : 5 included 2 : 29 - 3 the 4 study 4 study 5 included 5 included 7 communities 6 29 7 communities 7 communities 8 located 7 communities 9 in 7 communities 19 that 7 communities 20 are 7 communities 22 of 9 in 10 manitoba 10 manitoba 17 province 11 , 17 province 12 a 17 province 13 mid 14 - 13 mid 15 western 15 western 16 canadian 16 canadian 17 province 17 province 18 , 19 that 20 are 20 are 21 part 22 of 24 province 23 the 24 province 24 province 25 of 25 of 28 age 26 manitoba 27 's 27 's 28 age 29 - 32 initiative 30 friendly 31 manitoba 31 manitoba 32 initiative as part of a needs assessment process in these communities , 593 individuals , including seniors and younger adults , completed an age - friendly survey . 0 ###LEFT-WALL### 7 process 0 ###LEFT-WALL### 21 completed 1 as 2 part 1 as 7 process 2 part 3 of 3 of 6 assessment 4 a 6 assessment 5 needs 6 assessment 7 process 8 in 7 process 13 individuals 7 process 21 completed 8 in 10 communities 9 these 10 communities 11 , 13 individuals 12 593 13 individuals 13 individuals 15 including 13 individuals 20 , 14 , 15 including 15 including 17 and 15 including 20 , 16 seniors 17 and 17 and 19 adults 18 younger 19 adults 21 completed 23 age 22 an 23 age 23 age 26 survey 24 - 26 survey 25 friendly 26 survey 26 survey 27 . the survey was designed to measure a variety of features in seven domains ( the physical environment , housing options , the social environment , opportunities for participation , community supports and healthcare services , transportation options , and communication and information ) , as well as containing measures of life satisfaction and self - perceived health . 0 ###LEFT-WALL### 2 survey 0 ###LEFT-WALL### 4 designed 1 the 2 survey 2 survey 3 was 3 was 4 designed 4 designed 5 to 4 designed 6 measure 5 to 6 measure 6 measure 8 variety 6 measure 11 in 6 measure 45 as 7 a 8 variety 8 variety 9 of 9 of 10 features 11 in 13 domains 12 seven 13 domains 13 domains 17 environment 13 domains 19 housing 13 domains 24 environment 13 domains 26 opportunities 14 ( 17 environment 15 the 17 environment 16 physical 17 environment 17 environment 18 , 18 , 19 housing 19 housing 20 options 19 housing 21 , 21 , 24 environment 22 the 24 environment 23 social 24 environment 24 environment 25 , 25 , 26 opportunities 26 opportunities 27 for 26 opportunities 41 and 26 opportunities 44 , 27 for 32 and 28 participation 29 , 29 , 31 supports 29 , 32 and 30 community 31 supports 32 and 34 services 33 healthcare 34 services 35 , 41 and 36 transportation 37 options 37 options 39 and 38 , 39 and 39 and 40 communication 39 and 41 and 41 and 42 information 41 and 43 ) 45 as 53 and 46 well 47 as 46 well 53 and 47 as 49 measures 48 containing 49 measures 49 measures 50 of 50 of 52 satisfaction 51 life 52 satisfaction 53 and 54 self 53 and 55 - 53 and 57 health 55 - 57 health 56 perceived 57 health 57 health 58 . community characteristics were derived from census data . 0 ###LEFT-WALL### 2 characteristics 0 ###LEFT-WALL### 4 derived 0 ###LEFT-WALL### 8 . 1 community 2 characteristics 2 characteristics 3 were 3 were 4 derived 4 derived 5 from 5 from 7 data 6 census 7 data moreover , communities were categorized [on] [a] [rural] - urban [continuum] . 0 ###LEFT-WALL### 3 communities 0 ###LEFT-WALL### 5 categorized 0 ###LEFT-WALL### 12 . 1 moreover 2 , 1 moreover 3 communities 3 communities 4 were 4 were 5 categorized 5 categorized 9 - 5 categorized 10 urban results : multi - level regressions indicated that an overall age - friendly index was positively related to [both] life satisfaction ( b=0.019 , p<0.0001 ) and self - perceived health ( b=0.013 , p<0.01 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 - 0 ###LEFT-WALL### 37 . 1 results 2 : 2 : 27 and 3 multi 12 - 3 multi 27 and 4 - 12 - 5 level 6 regressions 6 regressions 7 indicated 7 indicated 8 that 8 that 11 age 8 that 12 - 9 an 10 overall 9 an 11 age 10 overall 11 age 11 age 12 - 12 - 13 friendly 12 - 26 ) 13 friendly 14 index 13 friendly 15 was 13 friendly 17 related 14 index 15 was 16 positively 17 related 17 related 18 to 18 to 21 satisfaction 20 life 21 satisfaction 21 satisfaction 23 b=0.019 21 satisfaction 25 p<0.0001 22 ( 23 b=0.019 23 b=0.019 24 , 24 , 25 p<0.0001 25 p<0.0001 26 ) 27 and 28 self 29 - 31 health 30 perceived 31 health 31 health 35 p<0.01 32 ( 35 p<0.01 33 b=0.013 34 , 33 b=0.013 35 p<0.01 35 p<0.01 36 ) when examining more specifically each of the seven age - friendly domains , all but housing was positively related to life satisfaction . 0 ###LEFT-WALL### 14 all 0 ###LEFT-WALL### 19 related 0 ###LEFT-WALL### 23 . 1 when 2 examining 1 when 13 , 1 when 14 all 2 examining 4 specifically 2 examining 5 each 3 more 4 specifically 5 each 6 of 6 of 9 age 7 the 9 age 8 seven 9 age 9 age 12 domains 10 - 12 domains 11 friendly 12 domains 12 domains 13 , 14 all 15 but 14 all 17 was 15 but 16 housing 17 was 19 related 18 positively 19 related 19 related 20 to 20 to 22 satisfaction 21 life 22 satisfaction results were not as consistent for self [-] perceived health , with significant relationships emerging only for the physical environment , social environment , opportunities for participation , and transportation options . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 32 . 1 results 2 were 2 were 3 not 2 were 5 consistent 4 as 5 consistent 5 consistent 6 for 5 consistent 12 with 6 for 10 health 7 self 9 perceived 9 perceived 10 health 11 , 12 with 12 with 14 relationships 12 with 17 for 12 with 21 , 13 significant 14 relationships 14 relationships 15 emerging 15 emerging 16 only 17 for 20 environment 18 the 20 environment 19 physical 20 environment 21 , 23 environment 21 , 24 , 22 social 23 environment 24 , 29 and 25 opportunities 26 for 25 opportunities 29 and 26 for 27 participation 28 , 29 and 29 and 31 options 30 transportation 31 options a subsequent analysis for seniors versus younger participants , respectively , indicated that significant relationships between age - friendly domains and life satisfaction and self - perceived health were restricted primarily to seniors . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 12 indicated 0 ###LEFT-WALL### 34 . 1 a 2 subsequent 1 a 3 analysis 2 subsequent 3 analysis 3 analysis 4 for 3 analysis 12 indicated 4 for 5 seniors 5 seniors 6 versus 6 versus 8 participants 7 younger 8 participants 9 , 10 respectively 10 respectively 11 , 10 respectively 12 indicated 12 indicated 13 that 13 that 15 relationships 13 that 27 perceived 14 significant 15 relationships 15 relationships 16 between 15 relationships 27 perceived 16 between 17 age 17 age 24 and 18 - 24 and 19 friendly 20 domains 20 domains 21 and 21 and 23 satisfaction 21 and 24 and 22 life 23 satisfaction 24 and 25 self 24 and 26 - 27 perceived 28 health 27 perceived 30 restricted 28 health 29 were 29 were 30 restricted 30 restricted 31 primarily 31 primarily 32 to 32 to 33 seniors none of the community characteristics were related to life satisfaction and self - perceived health , nor was degree [of] rurality . 0 ###LEFT-WALL### 5 characteristics 0 ###LEFT-WALL### 17 nor 0 ###LEFT-WALL### 22 . 1 none 2 of 1 none 5 characteristics 2 of 5 characteristics 3 the 5 characteristics 4 community 5 characteristics 5 characteristics 6 were 6 were 17 nor 7 related 8 to 7 related 17 nor 8 to 11 and 9 life 10 satisfaction 10 satisfaction 11 and 11 and 12 self 11 and 15 health 13 - 15 health 14 perceived 15 health 15 health 16 , 17 nor 18 was 18 was 21 rurality 19 degree 21 rurality conclusions : the concept of age - friendliness has been garnering considerable attention from policy - makers as a way to promote healthy aging . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 - 1 conclusions 2 : 2 : 4 concept 3 the 4 concept 4 concept 5 of 5 of 6 age 7 - 8 friendliness 7 - 10 been 7 - 16 - 7 - 25 . 8 friendliness 9 has 9 has 10 been 10 been 11 garnering 11 garnering 13 attention 11 garnering 14 from 12 considerable 13 attention 14 from 15 policy 16 - 17 makers 17 makers 18 as 18 as 20 way 19 a 20 way 20 way 21 to 20 way 22 promote 21 to 22 promote 22 promote 24 aging 23 healthy 24 aging for example , in canada , several provinces have launched age - friendly initiatives . 0 ###LEFT-WALL### 8 provinces 0 ###LEFT-WALL### 10 launched 0 ###LEFT-WALL### 12 - 1 for 2 example 2 example 3 , 2 example 8 provinces 3 , 4 in 4 in 5 canada 4 in 6 , 4 in 8 provinces 7 several 8 provinces 8 provinces 9 have 9 have 10 launched 10 launched 11 age 12 - 14 initiatives 12 - 15 . 13 friendly 14 initiatives although causality cannot be inferred from the present , cross - sectional study , the findings are encouraging as they show that age - friendliness is associated with enhanced life satisfaction and self - perceived health in a rural context . 0 ###LEFT-WALL### 16 findings 0 ###LEFT-WALL### 17 are 0 ###LEFT-WALL### 24 - 1 although 2 causality 1 although 4 be 1 although 16 findings 2 causality 3 cannot 3 cannot 4 be 4 be 5 inferred 6 from 10 cross 6 from 16 findings 7 the 10 cross 8 present 9 , 8 present 10 cross 10 cross 13 study 11 - 13 study 12 sectional 13 study 13 study 14 , 15 the 16 findings 16 findings 17 are 17 are 18 encouraging 18 encouraging 19 as 19 as 21 show 20 they 21 show 21 show 23 age 22 that 23 age 24 - 25 friendliness 24 - 27 associated 24 - 34 - 24 - 41 . 25 friendliness 26 is 26 is 27 associated 27 associated 28 with 28 with 32 and 29 enhanced 30 life 30 life 31 satisfaction 31 satisfaction 32 and 32 and 33 self 34 - 36 health 35 perceived 36 health 36 health 37 in 37 in 40 context 38 a 39 rural 38 a 40 context 39 rural 40 context the study further supports the notion that [a] wide range of domains within the community environment are important in older adults ' lives and need to be considered . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 4 supports 0 ###LEFT-WALL### 29 . 1 the 2 study 2 study 4 supports 3 further 4 supports 4 supports 6 notion 4 supports 26 to 5 the 6 notion 6 notion 7 that 7 that 10 range 7 that 17 are 9 wide 10 range 10 range 11 of 10 range 17 are 11 of 12 domains 12 domains 13 within 13 within 16 environment 14 the 16 environment 15 community 16 environment 17 are 24 and 18 important 19 in 18 important 24 and 19 in 23 lives 20 older 21 adults 21 adults 22 ' 22 ' 23 lives 24 and 25 need 26 to 27 be 27 be 28 considered public policy initiatives , such as the province of manitoba 's age - friendly initiative , may thus be one approach to enhancing healthy aging in rural settings . 0 ###LEFT-WALL### 3 initiatives 0 ###LEFT-WALL### 19 be 0 ###LEFT-WALL### 29 . 1 public 3 initiatives 2 policy 3 initiatives 3 initiatives 6 as 3 initiatives 15 initiative 3 initiatives 17 may 4 , 6 as 5 such 6 as 6 as 8 province 6 as 13 - 7 the 8 province 8 province 9 of 9 of 12 age 10 manitoba 11 's 11 's 12 age 13 - 15 initiative 14 friendly 15 initiative 15 initiative 16 , 17 may 19 be 18 thus 19 be 19 be 21 approach 19 be 22 to 19 be 26 in 20 one 21 approach 22 to 23 enhancing 23 enhancing 25 aging 24 healthy 25 aging 26 in 28 settings 27 rural 28 settings objective : this study aims to evaluate the influence of hot chemical etching on short - and long - term [shear] bond strength ( sbs ) of zirconia to resin . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 aims 2 : 31 . 3 this 4 study 4 study 5 aims 5 aims 6 to 5 aims 7 evaluate 6 to 7 evaluate 7 evaluate 9 influence 7 evaluate 29 to 8 the 9 influence 9 influence 10 of 10 of 13 etching 11 hot 13 etching 12 chemical 13 etching 13 etching 14 on 13 etching 27 of 14 on 17 and 15 short 17 and 16 - 17 and 17 and 23 strength 17 and 25 sbs 18 long 19 - 18 long 23 strength 20 term 22 bond 22 bond 23 strength 24 ( 25 sbs 25 sbs 26 ) 27 of 28 zirconia 29 to 30 resin eighty composite cylinders were bonded to pretreated ceramic slices using a bis - gma - based resin cement . 0 ###LEFT-WALL### 3 cylinders 0 ###LEFT-WALL### 5 bonded 0 ###LEFT-WALL### 19 . 1 eighty 3 cylinders 2 composite 3 cylinders 3 cylinders 4 were 4 were 5 bonded 5 bonded 6 to 6 to 9 slices 7 pretreated 9 slices 8 ceramic 9 slices 9 slices 10 using 9 slices 16 based 10 using 12 bis 10 using 16 based 11 a 12 bis 12 bis 14 gma 13 - 14 gma 14 gma 15 - 16 based 18 cement 17 resin 18 cement specimens in each group were divided into two fractions : the first half received 24 h water storage , and the second half received 40 d water storage . 0 ###LEFT-WALL### 1 specimens 0 ###LEFT-WALL### 6 divided 0 ###LEFT-WALL### 10 : 0 ###LEFT-WALL### 29 . 1 specimens 2 in 1 specimens 5 were 2 in 4 group 3 each 4 group 5 were 6 divided 6 divided 7 into 7 into 9 fractions 8 two 9 fractions 10 : 13 half 10 : 14 received 10 : 20 and 11 the 12 first 11 the 13 half 13 half 14 received 14 received 18 storage 15 24 16 h 16 h 18 storage 17 water 18 storage 19 , 20 and 20 and 23 half 20 and 24 received 21 the 22 second 21 the 23 half 23 half 24 received 24 received 28 storage 25 40 26 d 26 d 27 water 27 water 28 storage then , sbs tests were conducted . 0 ###LEFT-WALL### 4 tests 0 ###LEFT-WALL### 6 conducted 0 ###LEFT-WALL### 7 . 1 then 2 , 1 then 4 tests 3 sbs 4 tests 4 tests 5 were 5 were 6 conducted morphological analysis of sandblasted alumina and hot chemical - etched zirconia surfaces were performed by scanning electron microscopy ( sem ) . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 14 performed 0 ###LEFT-WALL### 22 . 1 morphological 2 analysis 2 analysis 3 of 2 analysis 12 surfaces 2 analysis 13 were 2 analysis 14 performed 3 of 11 zirconia 4 sandblasted 11 zirconia 5 alumina 6 and 6 and 7 hot 6 and 11 zirconia 8 chemical 9 - 8 chemical 11 zirconia 10 etched 11 zirconia 12 surfaces 13 were 14 performed 15 by 15 by 16 scanning 16 scanning 18 microscopy 17 electron 18 microscopy 18 microscopy 20 sem 19 ( 20 sem 20 sem 21 ) results : group e displayed the highest sbs before artificial aging , and no statistical difference was found among the other groups . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 group 2 : 5 displayed 2 : 23 . 3 group 4 e 3 group 5 displayed 5 displayed 7 highest 5 displayed 19 among 6 the 7 highest 7 highest 8 sbs 7 highest 18 found 8 sbs 9 before 8 sbs 17 was 9 before 13 and 10 artificial 11 aging 10 artificial 13 and 12 , 13 and 13 and 16 difference 14 no 16 difference 15 statistical 16 difference 17 was 18 found 19 among 22 groups 20 the 21 other 21 other 22 groups after 40 d water storage , groups a , [b] , and [e] [showed] significantly higher sbs than groups [c] and d ..y sbs increased significantly after artificial aging in groups a and [b] [.] no significant variations were found before and after artificial aging in the other groups [.] 0 ###LEFT-WALL### 4 water 0 ###LEFT-WALL### 11 , 1 after 3 d 1 after 4 water 2 40 3 d 4 water 5 storage 5 storage 7 groups 6 , 7 groups 7 groups 8 a 7 groups 9 , 11 , 12 and 11 , 19 groups 11 , 21 and 12 and 15 significantly 12 and 17 sbs 16 higher 17 sbs 17 sbs 19 groups 18 than 19 groups 21 and 22 d 21 and 23 ..y 22 d 23 ..y 23 ..y 33 and 24 sbs 25 increased 24 sbs 33 and 25 increased 26 significantly 25 increased 27 after 25 increased 30 in 27 after 29 aging 28 artificial 29 aging 30 in 31 groups 31 groups 32 a 33 and 38 variations 33 and 39 were 36 no 38 variations 37 significant 38 variations 39 were 40 found 40 found 42 and 41 before 42 and 42 and 43 after 43 after 45 aging 44 artificial 45 aging 45 aging 46 in 46 in 49 groups 47 the 48 other 48 other 49 groups conclusion : the experimental hot chemical etching solution provides enhanced bonding for zirconia than sandblasting , and the bond strengths remain stable after artificial aging . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 8 solution 2 : 9 provides 2 : 14 than 2 : 26 . 3 the 8 solution 4 experimental 6 chemical 5 hot 6 chemical 6 chemical 8 solution 7 etching 8 solution 8 solution 9 provides 9 provides 11 bonding 9 provides 14 than 10 enhanced 11 bonding 11 bonding 12 for 12 for 13 zirconia 14 than 20 strengths 14 than 21 remain 15 sandblasting 17 and 16 , 17 and 17 and 19 bond 17 and 20 strengths 18 the 19 bond 20 strengths 21 remain 21 remain 22 stable 22 stable 23 after 23 after 25 aging 24 artificial 25 aging aging alters a broad spectrum of physiological , endocrine , and behavioral rhythms , and the close relationship between age [-] associated disease and disrupted circadian rhythms has been shown . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 2 alters 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 31 . 1 aging 2 alters 2 alters 5 spectrum 3 a 5 spectrum 4 broad 5 spectrum 5 spectrum 6 of 6 of 13 rhythms 7 physiological 8 , 8 , 9 endocrine 8 , 11 and 10 , 11 and 11 and 12 behavioral 11 and 13 rhythms 14 , 15 and 15 and 18 relationship 15 and 30 shown 16 the 18 relationship 17 close 18 relationship 18 relationship 19 between 18 relationship 24 and 18 relationship 28 has 19 between 20 age 22 associated 23 disease 22 associated 24 and 24 and 25 disrupted 24 and 27 rhythms 26 circadian 27 rhythms 28 has 29 been 29 been 30 shown circadian rhythms are regulated by a set of clock genes and mutations in clock genes result in short life in animal models . 0 ###LEFT-WALL### 2 rhythms 0 ###LEFT-WALL### 4 regulated 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 23 . 1 circadian 2 rhythms 2 rhythms 3 are 3 are 4 regulated 4 regulated 5 by 5 by 7 set 6 a 7 set 7 set 8 of 8 of 10 genes 9 clock 10 genes 11 and 12 mutations 11 and 16 result 12 mutations 13 in 12 mutations 16 result 13 in 15 genes 14 clock 15 genes 16 result 17 in 16 result 20 in 17 in 19 life 18 short 19 life 20 in 22 models 21 animal 22 models the sirtuin family is involved in the regulation of many physiological functions , including gene transcription , energy metabolism , cell senescence and oxidative stress , and has recently been associated with regulation of circadian clock gene expression . 0 ###LEFT-WALL### 3 family 0 ###LEFT-WALL### 27 and 0 ###LEFT-WALL### 39 . 1 the 3 family 2 sirtuin 3 family 3 family 27 and 4 is 5 involved 4 is 27 and 5 involved 6 in 6 in 8 regulation 7 the 8 regulation 8 regulation 9 of 8 regulation 23 and 9 of 12 functions 10 many 12 functions 11 physiological 12 functions 12 functions 14 including 13 , 14 including 14 including 16 transcription 14 including 17 , 15 gene 16 transcription 17 , 23 and 18 energy 19 metabolism 19 metabolism 20 , 20 , 22 senescence 20 , 23 and 21 cell 22 senescence 23 and 25 stress 23 and 26 , 24 oxidative 25 stress 27 and 28 has 27 and 32 with 28 has 30 been 29 recently 30 been 30 been 31 associated 32 with 33 regulation 33 regulation 34 of 34 of 38 expression 35 circadian 36 clock 36 clock 37 gene 37 gene 38 expression impaired circadian rhythmicity is related to a decrease of no production with aging , suggesting the important role of no for age - associated diseases . 0 ###LEFT-WALL### 3 rhythmicity 0 ###LEFT-WALL### 5 related 0 ###LEFT-WALL### 23 - 1 impaired 3 rhythmicity 2 circadian 3 rhythmicity 3 rhythmicity 4 is 4 is 5 related 5 related 6 to 5 related 12 with 6 to 8 decrease 7 a 8 decrease 8 decrease 9 of 9 of 11 production 10 no 11 production 12 with 13 aging 13 aging 15 suggesting 14 , 15 suggesting 15 suggesting 18 role 15 suggesting 23 - 16 the 18 role 17 important 18 role 18 role 19 of 19 of 20 no 20 no 21 for 21 for 22 age 23 - 25 diseases 23 - 26 . 24 associated 25 diseases furthermore , senescence decreases the ability of cells to transmit circadian signals to their clocks . 0 ###LEFT-WALL### 3 senescence 0 ###LEFT-WALL### 4 decreases 0 ###LEFT-WALL### 16 . 1 furthermore 2 , 1 furthermore 3 senescence 3 senescence 4 decreases 4 decreases 6 ability 5 the 6 ability 6 ability 7 of 6 ability 9 to 6 ability 10 transmit 7 of 8 cells 9 to 10 transmit 10 transmit 12 signals 10 transmit 13 to 11 circadian 12 signals 13 to 15 clocks 14 their 15 clocks the study of clinical and laboratory features of patients with occluded main arteries of lower extremities included morphological characteristics of peripheral blood platelets in patients of different age in the acute period of the disease and after surgical treatment . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 17 included 0 ###LEFT-WALL### 40 . 1 the 2 study 2 study 3 of 2 study 8 of 2 study 17 included 3 of 5 and 4 clinical 5 and 5 and 7 features 6 laboratory 7 features 8 of 9 patients 9 patients 10 with 9 patients 14 of 10 with 13 arteries 11 occluded 12 main 12 main 13 arteries 14 of 16 extremities 15 lower 16 extremities 17 included 19 characteristics 17 included 24 in 18 morphological 19 characteristics 19 characteristics 20 of 20 of 23 platelets 21 peripheral 22 blood 22 blood 23 platelets 24 in 25 patients 25 patients 26 of 26 of 28 age 27 different 28 age 28 age 36 and 29 in 32 period 29 in 36 and 30 the 32 period 31 acute 32 period 32 period 33 of 33 of 35 disease 34 the 35 disease 36 and 37 after 37 after 39 treatment 38 surgical 39 treatment the results were subjected to correlation analysis versus standard hemostatic parameters . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 4 subjected 0 ###LEFT-WALL### 12 . 1 the 2 results 2 results 3 were 3 were 4 subjected 4 subjected 5 to 5 to 7 analysis 6 correlation 7 analysis 7 analysis 8 versus 8 versus 11 parameters 9 standard 11 parameters 10 hemostatic 11 parameters mean cell volume and enhanced anisocytosis proved the most informative morphological indicators . 0 ###LEFT-WALL### 1 mean 0 ###LEFT-WALL### 13 . 1 mean 4 and 1 mean 7 proved 2 cell 3 volume 3 volume 4 and 4 and 6 anisocytosis 4 and 7 proved 5 enhanced 6 anisocytosis 7 proved 12 indicators 8 the 9 most 9 most 12 indicators 10 informative 12 indicators 11 morphological 12 indicators the mean platelet volume was increased in all patients before and after surgery especially in the elder age group . 0 ###LEFT-WALL### 4 volume 0 ###LEFT-WALL### 6 increased 0 ###LEFT-WALL### 20 . 1 the 4 volume 2 mean 4 volume 3 platelet 4 volume 4 volume 5 was 5 was 6 increased 6 increased 7 in 6 increased 14 especially 7 in 9 patients 8 all 9 patients 9 patients 11 and 10 before 11 and 11 and 12 after 12 after 13 surgery 14 especially 15 in 15 in 19 group 16 the 19 group 17 elder 19 group 18 age 19 group it reflected persistent activation of thrombocytopoiesis as confirmed by the studies of hemostasis . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 reflected 0 ###LEFT-WALL### 14 . 1 it 2 reflected 2 reflected 4 activation 2 reflected 9 by 3 persistent 4 activation 4 activation 5 of 4 activation 8 confirmed 5 of 6 thrombocytopoiesis 7 as 8 confirmed 9 by 11 studies 10 the 11 studies 11 studies 12 of 12 of 13 hemostasis therefore , these parameters may be used for additional testing in diagnostics of the risk of ischemic complications and repeated thrombosis . 0 ###LEFT-WALL### 4 parameters 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 22 . 1 therefore 2 , 1 therefore 4 parameters 3 these 4 parameters 4 parameters 19 and 5 may 6 be 5 may 19 and 6 be 7 used 7 used 8 for 7 used 11 in 8 for 10 testing 9 additional 10 testing 11 in 12 diagnostics 12 diagnostics 13 of 13 of 15 risk 14 the 15 risk 15 risk 16 of 16 of 18 complications 17 ischemic 18 complications 19 and 20 repeated 19 and 21 thrombosis the timely prescription of auxiliary corrective therapy increases effectiveness of the treatment and the quality of life in the patients with occluded main arteries of lower extremities . 0 ###LEFT-WALL### 3 prescription 0 ###LEFT-WALL### 8 increases 0 ###LEFT-WALL### 28 . 1 the 3 prescription 2 timely 3 prescription 3 prescription 4 of 3 prescription 8 increases 4 of 7 therapy 5 auxiliary 6 corrective 6 corrective 7 therapy 8 increases 9 effectiveness 8 increases 18 in 8 increases 21 with 9 effectiveness 10 of 10 of 13 and 11 the 12 treatment 12 treatment 13 and 13 and 15 quality 13 and 16 of 14 the 15 quality 16 of 17 life 18 in 20 patients 19 the 20 patients 21 with 24 arteries 22 occluded 23 main 23 main 24 arteries 24 arteries 25 of 25 of 27 extremities 26 lower 27 extremities since more than 3 decades now , music with seniors ( or younger persons ) , [either] as an educational or recreational activity , [but] also [as] [a] therapeutically [approach] has progressed . 0 ###LEFT-WALL### 8 music 0 ###LEFT-WALL### 32 progressed 0 ###LEFT-WALL### 33 . 1 since 5 decades 1 since 8 music 2 more 3 than 3 than 4 3 4 3 5 decades 6 now 7 , 6 now 8 music 8 music 9 with 8 music 31 has 9 with 12 or 10 seniors 12 or 11 ( 12 or 12 or 14 persons 12 or 15 ) 12 or 18 as 13 younger 14 persons 16 , 18 as 18 as 23 activity 18 as 24 , 19 an 23 activity 20 educational 21 or 21 or 22 recreational 21 or 23 activity 26 also 31 has 29 therapeutically 31 has 31 has 32 progressed even nowadays , in the medical field , more and more studies prove its efficiency as complementary therapy with no known side - effects . 0 ###LEFT-WALL### 1 even 0 ###LEFT-WALL### 8 , 1 even 2 nowadays 1 even 4 in 3 , 4 in 4 in 7 field 4 in 8 , 5 the 7 field 6 medical 7 field 8 , 12 studies 8 , 13 prove 8 , 23 - 9 more 10 and 10 and 11 more 10 and 12 studies 12 studies 13 prove 13 prove 15 efficiency 13 prove 16 as 13 prove 19 with 14 its 15 efficiency 16 as 18 therapy 17 complementary 18 therapy 19 with 22 side 20 no 22 side 21 known 22 side 23 - 24 effects 23 - 25 . the areas where music therapy has a positive outcome , reach from pulmonary disorders to a lot of neurological chronic diseases , including aphasia , dementia or parkinson . 0 ###LEFT-WALL### 27 or 0 ###LEFT-WALL### 29 . 1 the 2 areas 2 areas 3 where 2 areas 10 , 3 where 5 therapy 3 where 6 has 4 music 5 therapy 5 therapy 6 has 6 has 9 outcome 7 a 8 positive 7 a 9 outcome 8 positive 9 outcome 10 , 11 reach 10 , 22 , 11 reach 12 from 12 from 14 disorders 13 pulmonary 14 disorders 14 disorders 15 to 15 to 21 diseases 16 a 17 lot 17 lot 18 of 17 lot 21 diseases 18 of 21 diseases 19 neurological 21 diseases 20 chronic 21 diseases 22 , 24 aphasia 22 , 25 , 23 including 24 aphasia 25 , 26 dementia 25 , 27 or 27 or 28 parkinson and at the end of life , music therapy has found a remarkable place for expressing or supporting strong emotional feelings . 0 ###LEFT-WALL### 1 and 0 ###LEFT-WALL### 22 . 1 and 9 therapy 1 and 11 found 2 at 4 end 2 at 7 , 2 at 9 therapy 3 the 4 end 4 end 5 of 5 of 6 life 8 music 9 therapy 9 therapy 10 has 10 has 11 found 11 found 17 or 12 a 14 place 13 remarkable 14 place 14 place 15 for 14 place 17 or 15 for 16 expressing 17 or 21 feelings 18 supporting 21 feelings 19 strong 21 feelings 20 emotional 21 feelings [evidence] - based results on physiological and hormonal changes will also be reviewed . 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 13 reviewed 0 ###LEFT-WALL### 14 . 2 - 4 results 3 based 4 results 4 results 5 on 4 results 10 will 5 on 9 changes 6 physiological 7 and 7 and 8 hormonal 7 and 9 changes 10 will 12 be 11 also 12 be 12 be 13 reviewed [none] as the older adult population grows and becomes more diverse , more of its members are turning to complementary and alternative medicine ( cam ) . 0 ###LEFT-WALL### 6 population 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 27 . 2 as 6 population 3 the 6 population 4 older 5 adult 5 adult 6 population 6 population 8 and 7 grows 8 and 8 and 9 becomes 9 becomes 11 diverse 10 more 11 diverse 12 , 16 members 12 , 17 are 13 more 14 of 13 more 16 members 14 of 16 members 15 its 16 members 16 members 17 are 17 are 18 turning 18 turning 19 to 19 to 23 medicine 20 complementary 21 and 21 and 22 alternative 21 and 23 medicine 23 medicine 25 cam 24 ( 25 cam 25 cam 26 ) there are mixed findings regarding racial and ethnic differences in the use of cam . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 15 . 1 there 2 are 2 are 4 findings 3 mixed 4 findings 4 findings 5 regarding 4 findings 13 of 5 regarding 9 differences 5 regarding 10 in 6 racial 7 and 7 and 8 ethnic 7 and 9 differences 10 in 12 use 11 the 12 use 13 of 14 cam this article explores racial and ethnic differences in use of a category of cam known as mind - body techniques ( mbt ) among senior center participants with symptoms of depression . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 explores 0 ###LEFT-WALL### 32 . 1 this 2 article 2 article 3 explores 3 explores 7 differences 3 explores 16 as 3 explores 24 among 3 explores 28 with 4 racial 5 and 5 and 6 ethnic 5 and 7 differences 7 differences 8 in 7 differences 10 of 7 differences 13 of 7 differences 15 known 8 in 9 use 10 of 12 category 11 a 12 category 13 of 14 cam 16 as 17 mind 17 mind 20 techniques 18 - 20 techniques 19 body 20 techniques 20 techniques 22 mbt 20 techniques 23 ) 21 ( 22 mbt 22 mbt 23 ) 24 among 27 participants 25 senior 27 participants 26 center 27 participants 28 with 29 symptoms 29 symptoms 30 of 30 of 31 depression it also examines the relationship between use of mbt and depression severity . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 examines 0 ###LEFT-WALL### 13 . 1 it 3 examines 2 also 3 examines 3 examines 5 relationship 3 examines 6 between 4 the 5 relationship 6 between 7 use 7 use 8 of 8 of 10 and 9 mbt 10 and 10 and 12 severity 11 depression 12 severity a cross [-] sectional survey was conducted with a representative sample of senior center participants in new york city , from which a subsample of those with depressive symptoms was drawn . 0 ###LEFT-WALL### 5 survey 0 ###LEFT-WALL### 7 conducted 1 a 5 survey 2 cross 5 survey 4 sectional 5 survey 5 survey 6 was 6 was 7 conducted 7 conducted 8 with 7 conducted 16 in 8 with 11 sample 9 a 10 representative 9 a 11 sample 10 representative 11 sample 11 sample 12 of 12 of 15 participants 13 senior 14 center 14 center 15 participants 16 in 19 city 17 new 18 york 18 york 19 city 19 city 21 from 20 , 21 from 21 from 22 which 21 from 24 subsample 21 from 31 drawn 21 from 32 . 23 a 24 subsample 24 subsample 25 of 24 subsample 30 was 25 of 26 those 26 those 27 with 27 with 29 symptoms 28 depressive 29 symptoms 30 was 31 drawn racial and ethnic differences in mbt use were identified , [as] was a significant negative relationship between mbt use and depression severity . 0 ###LEFT-WALL### 4 differences 0 ###LEFT-WALL### 9 identified 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 12 was 0 ###LEFT-WALL### 23 . 1 racial 2 and 2 and 3 ethnic 2 and 4 differences 4 differences 5 in 4 differences 8 were 5 in 7 use 6 mbt 7 use 8 were 9 identified 10 , 12 was 12 was 16 relationship 12 was 17 between 13 a 14 significant 13 a 16 relationship 14 significant 16 relationship 15 negative 16 relationship 17 between 20 and 18 mbt 19 use 19 use 20 and 20 and 22 severity 21 depression 22 severity african american elders were more likely to have used mbt than other racial or ethnic groups . 0 ###LEFT-WALL### 3 elders 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 17 . 1 african 2 american 2 american 3 elders 3 elders 4 were 4 were 6 likely 5 more 6 likely 6 likely 7 to 6 likely 9 used 7 to 8 have 8 have 9 used 9 used 10 mbt 9 used 11 than 11 than 16 groups 12 other 16 groups 13 racial 14 or 14 or 15 ethnic 14 or 16 groups when controlling for race or ethnicity , health status , and barriers to medical care , predictors of depression severity included health status , experiencing barriers to medical care , and hispanic identity . 0 ###LEFT-WALL### 20 severity 0 ###LEFT-WALL### 21 included 1 when 2 controlling 1 when 20 severity 2 controlling 3 for 2 controlling 17 predictors 3 for 11 and 4 race 5 or 5 or 6 ethnicity 5 or 9 status 5 or 11 and 7 , 9 status 8 health 9 status 9 status 10 , 10 , 11 and 11 and 12 barriers 11 and 16 , 12 barriers 13 to 13 to 15 care 14 medical 15 care 17 predictors 18 of 18 of 19 depression 20 severity 21 included 21 included 23 status 21 included 25 experiencing 22 health 23 status 24 , 25 experiencing 25 experiencing 26 barriers 25 experiencing 27 to 25 experiencing 34 . 27 to 31 and 28 medical 29 care 29 care 31 and 30 , 31 and 31 and 33 identity 32 hispanic 33 identity findings suggest that being female or younger is associated with [a] higher likelihood of using cam . 0 ###LEFT-WALL### 1 findings 0 ###LEFT-WALL### 2 suggest 0 ###LEFT-WALL### 17 . 1 findings 2 suggest 2 suggest 3 that 3 that 4 being 3 that 9 associated 4 being 6 or 4 being 8 is 5 female 6 or 6 or 7 younger 8 is 9 associated 9 associated 10 with 10 with 13 likelihood 12 higher 13 likelihood 13 likelihood 14 of 14 of 15 using 15 using 16 cam contrary to some prior research , education level was not associated with use of mbt . 0 ###LEFT-WALL### 8 level 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 16 . 1 contrary 2 to 1 contrary 6 , 1 contrary 8 level 2 to 5 research 3 some 5 research 4 prior 5 research 7 education 8 level 8 level 9 was 9 was 10 not 9 was 12 with 10 not 11 associated 12 with 13 use 13 use 14 of 14 of 15 mbt type 2 diabetes mellitus ( t2dm ) is associated with an increased risk of macrovascular disease . 0 ###LEFT-WALL### 4 mellitus 0 ###LEFT-WALL### 9 associated 0 ###LEFT-WALL### 17 . 1 type 2 2 1 type 4 mellitus 3 diabetes 4 mellitus 4 mellitus 6 t2dm 4 mellitus 8 is 5 ( 6 t2dm 6 t2dm 7 ) 8 is 9 associated 9 associated 10 with 10 with 13 risk 11 an 13 risk 12 increased 13 risk 13 risk 14 of 14 of 16 disease 15 macrovascular 16 disease epidemiological studies suggest that plant polyphenol resveratrol ( rev ) is associated with reduced risk of cardiovascular diseases . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 19 . 1 epidemiological 2 studies 2 studies 3 suggest 3 suggest 4 that 4 that 7 resveratrol 4 that 12 associated 5 plant 7 resveratrol 6 polyphenol 7 resveratrol 7 resveratrol 9 rev 7 resveratrol 11 is 8 ( 9 rev 9 rev 10 ) 11 is 12 associated 12 associated 13 with 13 with 15 risk 14 reduced 15 risk 15 risk 16 of 16 of 18 diseases 17 cardiovascular 18 diseases since chronic inflammatory and endotheliar cell activation play a critical role in vascular aging and atherogenesis , we evaluated whether rev can inhibit inflammatory - induced vascular injury in t2dm . 0 ###LEFT-WALL### 8 play 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 31 . 1 since 7 activation 1 since 8 play 2 chronic 6 cell 3 inflammatory 4 and 4 and 5 endotheliar 4 and 6 cell 6 cell 7 activation 8 play 11 role 8 play 12 in 9 a 11 role 10 critical 11 role 12 in 15 and 13 vascular 14 aging 13 vascular 15 and 15 and 16 atherogenesis 17 , 18 we 17 , 19 evaluated 18 we 19 evaluated 19 evaluated 20 whether 19 evaluated 29 in 20 whether 21 rev 20 whether 23 inhibit 21 rev 22 can 22 can 23 inhibit 23 inhibit 28 injury 24 inflammatory 25 - 24 inflammatory 28 injury 26 induced 28 injury 27 vascular 28 injury 29 in 30 t2dm we found that rev ( 50 mg/kg/d ) can regulate glucose and lipid metabolism , improve insulin resistance and vascular permeability , and protect against the foam cells and cholesterol crystals formation in arterial vessel walls of t2dm rats . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 40 . 1 we 2 found 2 found 3 that 3 that 4 rev 3 that 10 regulate 4 rev 7 mg/kg/d 4 rev 9 can 5 ( 7 mg/kg/d 6 50 7 mg/kg/d 7 mg/kg/d 8 ) 9 can 10 regulate 10 regulate 12 and 11 glucose 12 and 12 and 14 metabolism 13 lipid 14 metabolism 15 , 23 and 16 improve 19 and 16 improve 23 and 17 insulin 18 resistance 18 resistance 19 and 19 and 21 permeability 19 and 22 , 20 vascular 21 permeability 23 and 24 protect 24 protect 25 against 24 protect 32 formation 25 against 29 and 26 the 28 cells 27 foam 28 cells 28 cells 29 and 29 and 31 crystals 30 cholesterol 31 crystals 32 formation 33 in 32 formation 37 of 33 in 36 walls 34 arterial 35 vessel 35 vessel 36 walls 37 of 39 rats 38 t2dm 39 rats [the] protective effects of rev were consistent with the decrease in nuclear translocation of nuclear factor kappa b ( nf - kappa b ) and there down - regulation of interleukin - 1 beta ( il - 1β ) and interleukin - 6 ( il - 6 ) levers in blood and tumor necrosis factor - alpha ( tnf - α ) , intercellular adhesion molecule - 1 ( icam - 1 ) , and monocyte chemoattractant protein - 1 ( mcp - 1 ) expressions in vascular wall . 0 ###LEFT-WALL### 2 protective 0 ###LEFT-WALL### 6 were 2 protective 6 were 3 effects 4 of 3 effects 6 were 4 of 5 rev 6 were 7 consistent 7 consistent 8 with 8 with 10 decrease 9 the 10 decrease 10 decrease 11 in 11 in 13 translocation 12 nuclear 13 translocation 13 translocation 14 of 14 of 17 kappa 15 nuclear 17 kappa 16 factor 17 kappa 17 kappa 18 b 17 kappa 28 - 19 ( 28 - 20 nf 22 kappa 20 nf 25 and 21 - 22 kappa 22 kappa 23 b 22 kappa 24 ) 25 and 27 down 25 and 28 - 26 there 27 down 28 - 40 and 29 regulation 30 of 29 regulation 40 and 30 of 31 interleukin 31 interleukin 34 beta 32 - 34 beta 33 1 34 beta 34 beta 36 il 34 beta 39 ) 35 ( 36 il 36 il 38 1β 36 il 39 ) 37 - 38 1β 38 1β 39 ) 40 and 41 interleukin 40 and 42 - 40 and 45 il 40 and 49 levers 43 6 45 il 44 ( 45 il 45 il 46 - 45 il 47 6 45 il 49 levers 46 - 47 6 47 6 48 ) 49 levers 50 in 50 in 57 alpha 51 blood 52 and 52 and 55 factor 52 and 56 - 52 and 57 alpha 53 tumor 55 factor 54 necrosis 55 factor 57 alpha 59 tnf 57 alpha 61 α 57 alpha 67 - 58 ( 59 tnf 59 tnf 60 - 60 - 61 α 61 α 62 ) 63 , 67 - 64 intercellular 65 adhesion 65 adhesion 66 molecule 66 molecule 67 - 67 - 68 1 68 1 78 protein 69 ( 78 protein 70 icam 72 1 70 icam 75 and 71 - 72 1 72 1 73 ) 74 , 75 and 75 and 76 monocyte 75 and 78 protein 77 chemoattractant 78 protein 78 protein 80 1 78 protein 90 . 79 - 80 1 80 1 86 expressions 80 1 90 . 81 ( 86 expressions 82 mcp 84 1 82 mcp 86 expressions 83 - 84 1 84 1 85 ) 86 expressions 87 in 86 expressions 90 . 87 in 89 wall 88 vascular 89 wall in addition , rev ( 10 and 100 nmol/l ) treatment protected cultured endothelial cells against increases in the expression of tnf - α , icam - 1 , and mcp - 1 mrna and protein induced by high glucose via inhibiting nuclear translocation of nf - kappa b p65 . 0 ###LEFT-WALL### 11 treatment 0 ###LEFT-WALL### 12 protected 1 in 2 addition 1 in 10 ) 1 in 11 treatment 2 addition 4 rev 3 , 4 rev 4 rev 9 nmol/l 4 rev 10 ) 5 ( 9 nmol/l 6 10 7 and 7 and 8 100 7 and 9 nmol/l 9 nmol/l 10 ) 11 treatment 12 protected 12 protected 15 cells 13 cultured 15 cells 14 endothelial 15 cells 15 cells 16 against 15 cells 18 in 15 cells 21 of 16 against 17 increases 18 in 20 expression 19 the 20 expression 21 of 22 tnf 22 tnf 24 α 22 tnf 30 and 22 tnf 35 and 23 - 24 α 24 α 25 , 25 , 30 and 26 icam 28 1 26 icam 30 and 27 - 28 1 28 1 29 , 30 and 31 mcp 30 and 32 - 32 - 35 and 33 1 34 mrna 34 mrna 35 and 35 and 36 protein 35 and 50 p65 35 and 51 . 36 protein 37 induced 37 induced 38 by 37 induced 41 via 38 by 40 glucose 39 high 40 glucose 41 via 44 translocation 42 inhibiting 44 translocation 43 nuclear 44 translocation 44 translocation 45 of 45 of 46 nf 47 - 50 p65 48 kappa 49 b 48 kappa 50 p65 50 p65 51 . the specific nf - kappa b inhibitor pyrrolidine dithiocarbamate - ( pdtc - [ )(or small interfering rna directed against nf - kappa b p65 - mediated downregulation of nf - kappa b p65 was further enhanced by rev ( 100 nmol/l ) in the human endothelial cell line ez.hy926 . 0 ###LEFT-WALL### 3 nf 0 ###LEFT-WALL### 27 mediated 0 ###LEFT-WALL### 31 - 1 the 3 nf 2 specific 3 nf 3 nf 9 dithiocarbamate 3 nf 15 )(or 3 nf 27 mediated 4 - 9 dithiocarbamate 5 kappa 6 b 5 kappa 7 inhibitor 7 inhibitor 8 pyrrolidine 8 pyrrolidine 9 dithiocarbamate 9 dithiocarbamate 10 - 11 ( 15 )(or 12 pdtc 15 )(or 13 - 15 )(or 15 )(or 18 rna 15 )(or 25 p65 15 )(or 26 - 16 small 18 rna 17 interfering 18 rna 18 rna 19 directed 19 directed 20 against 20 against 21 nf 22 - 25 p65 23 kappa 24 b 23 kappa 25 p65 25 p65 26 - 27 mediated 28 downregulation 28 downregulation 29 of 29 of 30 nf 31 - 34 p65 31 - 37 enhanced 31 - 51 . 32 kappa 33 b 32 kappa 34 p65 34 p65 35 was 35 was 36 further 35 was 37 enhanced 37 enhanced 38 by 37 enhanced 44 in 38 by 39 rev 39 rev 42 nmol/l 40 ( 42 nmol/l 41 100 42 nmol/l 42 nmol/l 43 ) 44 in 50 ez.hy926 45 the 49 line 46 human 48 cell 47 endothelial 48 cell 48 cell 49 line 49 line 50 ez.hy926 in conclusion , these observations suggest that chronic treatment of t2dm rats with rev attenuates the inflammatory injury of the vascular wall and the effects are associated with down - regulation of the nf [-] kappa b signal pathway . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 40 . 1 in 2 conclusion 3 , 5 observations 3 , 6 suggest 3 , 23 and 4 these 5 observations 5 observations 6 suggest 6 suggest 7 that 7 that 9 treatment 7 that 15 attenuates 8 chronic 9 treatment 9 treatment 10 of 9 treatment 15 attenuates 10 of 11 t2dm 11 t2dm 12 rats 12 rats 13 with 13 with 14 rev 15 attenuates 18 injury 16 the 18 injury 17 inflammatory 18 injury 18 injury 19 of 19 of 22 wall 20 the 22 wall 21 vascular 22 wall 23 and 25 effects 23 and 27 associated 24 the 25 effects 25 effects 26 are 26 are 27 associated 27 associated 28 with 28 with 31 regulation 29 down 30 - 29 down 31 regulation 31 regulation 32 of 32 of 39 pathway 33 the 39 pathway 34 nf 38 signal 36 kappa 37 b 36 kappa 38 signal 38 signal 39 pathway executive cognitive functions play a critical role in [falls] risk — a pressing health care issue in seniors . 0 ###LEFT-WALL### 3 functions 0 ###LEFT-WALL### 4 play 1 executive 3 functions 2 cognitive 3 functions 3 functions 4 play 4 play 7 role 4 play 8 in 5 a 6 critical 5 a 7 role 6 critical 7 role 8 in 10 risk 10 risk 16 issue 11 — 16 issue 12 a 13 pressing 12 a 16 issue 13 pressing 14 health 14 health 16 issue 15 care 16 issue 16 issue 17 in 16 issue 19 . 17 in 18 seniors in particular , intact attentional processing is integral for safe mobility and navigation . 0 ###LEFT-WALL### 6 processing 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 14 . 1 in 2 particular 2 particular 3 , 2 particular 6 processing 4 intact 6 processing 5 attentional 6 processing 6 processing 7 is 7 is 8 integral 8 integral 9 for 9 for 12 and 10 safe 11 mobility 11 mobility 12 and 12 and 13 navigation however , the specific contribution of impaired visual – spatial attention [in] [falls] remains unclear . 0 ###LEFT-WALL### 5 contribution 0 ###LEFT-WALL### 14 remains 0 ###LEFT-WALL### 16 . 1 however 2 , 1 however 5 contribution 3 the 5 contribution 4 specific 5 contribution 5 contribution 6 of 5 contribution 14 remains 6 of 11 attention 7 impaired 11 attention 8 visual 9 – 8 visual 11 attention 10 spatial 11 attention 14 remains 15 unclear in this study , we examined the association between visual – spatial attention to task - irrelevant stimuli and [falls] risk in community [-] dwelling older adults . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 examined 0 ###LEFT-WALL### 28 . 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 examined 6 examined 8 association 6 examined 9 between 6 examined 22 in 7 the 8 association 9 between 19 and 10 visual 13 attention 10 visual 18 stimuli 11 – 13 attention 12 spatial 13 attention 13 attention 14 to 13 attention 15 task 13 attention 16 - 14 to 15 task 17 irrelevant 18 stimuli 18 stimuli 19 and 19 and 21 risk 22 in 27 adults 23 community 25 dwelling 25 dwelling 27 adults 26 older 27 adults participants completed a visual target discrimination task at fixation while task [-] irrelevant probes were presented in both visual fields . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 completed 0 ###LEFT-WALL### 21 . 1 participants 2 completed 2 completed 7 task 2 completed 8 at 2 completed 10 while 3 a 4 visual 3 a 7 task 4 visual 5 target 5 target 7 task 6 discrimination 7 task 8 at 9 fixation 10 while 14 probes 10 while 16 presented 11 task 14 probes 13 irrelevant 14 probes 14 probes 15 were 15 were 16 presented 16 presented 17 in 17 in 20 fields 18 both 20 fields 19 visual 20 fields we assessed attention to left and right peripheral probes using event - related potentials ( erps ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 assessed 0 ###LEFT-WALL### 13 related 1 we 2 assessed 2 assessed 3 attention 2 assessed 4 to 4 to 6 and 5 left 6 and 6 and 11 event 7 right 11 event 8 peripheral 9 probes 9 probes 11 event 10 using 11 event 12 - 13 related 13 related 14 potentials 13 related 18 . 14 potentials 16 erps 15 ( 16 erps 16 erps 17 ) [falls] risk was determined using the valid and reliable physiological profile assessment ( ppa ) . 0 ###LEFT-WALL### 2 risk 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 16 . 2 risk 3 was 3 was 4 determined 4 determined 5 using 5 using 14 ppa 6 the 14 ppa 7 valid 8 and 8 and 9 reliable 8 and 14 ppa 10 physiological 11 profile 11 profile 12 assessment 12 assessment 14 ppa 13 ( 14 ppa 14 ppa 15 ) we found a significantly positive association between reduced attentional facilitation , as measured by the n1 erp component , and [falls] risk . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 23 . 1 we 20 and 2 found 6 association 2 found 7 between 2 found 20 and 3 a 6 association 4 significantly 5 positive 5 positive 6 association 7 between 10 facilitation 8 reduced 10 facilitation 9 attentional 10 facilitation 10 facilitation 13 measured 11 , 13 measured 12 as 13 measured 13 measured 14 by 13 measured 19 , 14 by 18 component 15 the 18 component 16 n1 17 erp 17 erp 18 component 20 and 22 risk this relationship was specific to probes presented in the left visual field and measured at ipsilateral electrode sites . 0 ###LEFT-WALL### 2 relationship 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 19 . 1 this 2 relationship 2 relationship 3 was 3 was 13 and 4 specific 5 to 4 specific 13 and 5 to 6 probes 6 probes 7 presented 7 presented 8 in 8 in 12 field 9 the 12 field 10 left 12 field 11 visual 12 field 13 and 14 measured 14 measured 15 at 15 at 18 sites 16 ipsilateral 17 electrode 17 electrode 18 sites our results suggest that fallers exhibit reduced attention to the left side of visual space and provide evidence that impaired right hemispheric function [and/or] structure may contribute to falls . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 30 . 1 our 2 results 2 results 3 suggest 3 suggest 4 that 4 that 5 fallers 4 that 16 and 5 fallers 16 and 6 exhibit 8 attention 6 exhibit 9 to 6 exhibit 16 and 7 reduced 8 attention 9 to 12 side 10 the 12 side 11 left 12 side 12 side 13 of 13 of 15 space 14 visual 15 space 16 and 17 provide 17 provide 18 evidence 18 evidence 19 that 19 that 21 right 19 that 29 falls 20 impaired 21 right 21 right 25 structure 21 right 28 to 21 right 29 falls 22 hemispheric 23 function 23 function 25 structure 25 structure 26 may 26 may 27 contribute 27 contribute 28 to cardiac [hypertrophy] is a multifactorial disease characterized by multiple molecular alterations . 0 ###LEFT-WALL### 1 cardiac 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 12 . 1 cardiac 3 is 3 is 6 disease 4 a 5 multifactorial 4 a 6 disease 5 multifactorial 6 disease 6 disease 7 characterized 7 characterized 8 by 8 by 11 alterations 9 multiple 11 alterations 10 molecular 11 alterations one of these alterations is change in the activity of akt , which plays a central role in regulating a variety of cellular processes ranging from cell survival to aging . 0 ###LEFT-WALL### 1 one 0 ###LEFT-WALL### 6 change 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 31 . 1 one 2 of 1 one 5 is 2 of 4 alterations 3 these 4 alterations 5 is 6 change 6 change 7 in 6 change 9 activity 8 the 9 activity 9 activity 10 of 10 of 11 akt 12 , 13 which 12 , 14 plays 13 which 14 plays 14 plays 17 role 15 a 16 central 15 a 17 role 16 central 17 role 17 role 18 in 17 role 22 of 17 role 25 ranging 18 in 19 regulating 19 regulating 21 variety 20 a 21 variety 22 of 24 processes 23 cellular 24 processes 25 ranging 26 from 26 from 28 survival 27 cell 28 survival 28 survival 29 to 29 to 30 aging akt activation is mainly achieved by its binding to phosphatidylinositol ( 3,4,5 ) - triphosphate . 0 ###LEFT-WALL### 2 activation 0 ###LEFT-WALL### 5 achieved 0 ###LEFT-WALL### 16 . 1 akt 2 activation 2 activation 3 is 3 is 5 achieved 4 mainly 5 achieved 5 achieved 6 by 5 achieved 14 - 5 achieved 15 triphosphate 6 by 8 binding 7 its 8 binding 8 binding 9 to 9 to 10 phosphatidylinositol 10 phosphatidylinositol 12 3,4,5 11 ( 12 3,4,5 12 3,4,5 13 ) this results in a conformational change that exposes the kinase domain of akt for phosphorylation and activation by its upstream kinase , 3 - phosphoinositide - dependent protein kinase 1 , in the cell membrane . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 36 . 1 this 2 results 2 results 3 in 2 results 14 for 3 in 6 change 4 a 5 conformational 4 a 6 change 5 conformational 6 change 6 change 7 that 6 change 8 exposes 7 that 8 exposes 8 exposes 11 domain 9 the 11 domain 10 kinase 11 domain 11 domain 12 of 12 of 13 akt 14 for 16 and 15 phosphorylation 16 and 16 and 17 activation 17 activation 18 by 17 activation 32 in 18 by 21 kinase 19 its 21 kinase 20 upstream 21 kinase 21 kinase 23 3 21 kinase 25 phosphoinositide 22 , 23 3 23 3 24 - 24 - 25 phosphoinositide 25 phosphoinositide 29 kinase 25 phosphoinositide 31 , 26 - 29 kinase 27 dependent 28 protein 28 protein 29 kinase 29 kinase 30 1 29 kinase 31 , 32 in 35 membrane 33 the 35 membrane 34 cell 35 membrane recent studies have shown that sirtuin isoforms [,] silent information regulator ( sirt ) 1 , sirt3 , and sirt6 , play an essential role in the regulation of akt activation . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 32 . 1 recent 2 studies 2 studies 21 , 3 have 4 shown 3 have 21 , 4 shown 11 regulator 4 shown 15 1 4 shown 19 and 5 that 11 regulator 6 sirtuin 11 regulator 7 isoforms 11 regulator 9 silent 10 information 10 information 11 regulator 11 regulator 13 sirt 12 ( 13 sirt 13 sirt 14 ) 15 1 17 sirt3 16 , 17 sirt3 17 sirt3 18 , 18 , 19 and 19 and 20 sirt6 21 , 22 play 21 , 26 in 22 play 25 role 23 an 24 essential 23 an 25 role 24 essential 25 role 26 in 28 regulation 27 the 28 regulation 28 regulation 29 of 29 of 31 activation 30 akt 31 activation although sirt1 deacetylates akt to promote phosphatidylinositol ( 3,4,5 ) - triphosphate binding and activation , sirt3 controls reactive oxygen species - mediated akt activation , and sirt6 transcriptionally represses akt at the level of chromatin . 0 ###LEFT-WALL### 17 sirt3 0 ###LEFT-WALL### 18 controls 0 ###LEFT-WALL### 27 and 0 ###LEFT-WALL### 37 . 1 although 2 sirt1 1 although 3 deacetylates 1 although 17 sirt3 2 sirt1 3 deacetylates 3 deacetylates 4 akt 3 deacetylates 5 to 5 to 6 promote 6 promote 7 phosphatidylinositol 7 phosphatidylinositol 9 3,4,5 7 phosphatidylinositol 14 and 8 ( 9 3,4,5 9 3,4,5 10 ) 11 - 14 and 12 triphosphate 13 binding 12 triphosphate 14 and 14 and 15 activation 14 and 16 , 17 sirt3 18 controls 18 controls 21 species 19 reactive 20 oxygen 20 oxygen 21 species 21 species 25 activation 22 - 25 activation 23 mediated 25 activation 24 akt 25 activation 25 activation 26 , 27 and 28 sirt6 27 and 30 represses 28 sirt6 30 represses 29 transcriptionally 30 represses 30 represses 31 akt 30 represses 32 at 32 at 34 level 33 the 34 level 34 level 35 of 35 of 36 chromatin in the first part of this review , we discuss the mechanisms by which sirtuins regulate akt activation and how they influence other post - translational modifications of akt . 0 ###LEFT-WALL### 9 we 0 ###LEFT-WALL### 10 discuss 0 ###LEFT-WALL### 25 - 0 ###LEFT-WALL### 30 . 1 in 7 review 1 in 8 , 1 in 9 we 2 the 4 part 3 first 4 part 4 part 5 of 4 part 7 review 5 of 7 review 6 this 7 review 9 we 10 discuss 10 discuss 19 and 11 the 19 and 12 mechanisms 13 by 12 mechanisms 19 and 13 by 14 which 13 by 15 sirtuins 13 by 16 regulate 15 sirtuins 16 regulate 16 regulate 18 activation 17 akt 18 activation 19 and 20 how 19 and 21 they 19 and 22 influence 21 they 22 influence 22 influence 24 post 23 other 24 post 25 - 27 modifications 26 translational 27 modifications 27 modifications 28 of 28 of 29 akt in the latter part of the review , we summarize the implications of sirtuin - dependent regulation of akt signaling in the control of major cellular processes such as cellular growth , angiogenesis , apoptosis , autophagy , and aging , which are involved in the initiation and progression of several diseases . 0 ###LEFT-WALL### 9 we 0 ###LEFT-WALL### 53 . 1 in 4 part 1 in 8 , 1 in 9 we 2 the 4 part 3 latter 4 part 4 part 5 of 5 of 7 review 6 the 7 review 9 we 10 summarize 10 summarize 39 and 10 summarize 45 in 11 the 12 implications 12 implications 13 of 12 implications 39 and 13 of 14 sirtuin 14 sirtuin 17 regulation 15 - 17 regulation 16 dependent 17 regulation 17 regulation 18 of 17 regulation 33 angiogenesis 17 regulation 38 , 18 of 19 akt 19 akt 20 signaling 19 akt 21 in 19 akt 24 of 21 in 23 control 22 the 23 control 24 of 27 processes 25 major 27 processes 26 cellular 27 processes 27 processes 29 as 28 such 29 as 29 as 31 growth 30 cellular 31 growth 32 , 33 angiogenesis 33 angiogenesis 35 apoptosis 33 angiogenesis 38 , 34 , 35 apoptosis 35 apoptosis 37 autophagy 35 apoptosis 38 , 36 , 37 autophagy 37 autophagy 38 , 39 and 40 aging 39 and 41 , 39 and 42 which 39 and 43 are 42 which 43 are 43 are 44 involved 45 in 48 and 46 the 47 initiation 47 initiation 48 and 48 and 49 progression 49 progression 50 of 50 of 52 diseases 51 several 52 diseases background and purpose : vitamin d deficiency is associated with cognitive impairment in the elderly and with increased white matter t2 hyperintensities in elderly debilitated patients . 0 ###LEFT-WALL### 3 purpose 0 ###LEFT-WALL### 4 : 1 background 2 and 2 and 3 purpose 4 : 5 vitamin 4 : 9 associated 4 : 27 . 5 vitamin 6 d 5 vitamin 7 deficiency 5 vitamin 8 is 5 vitamin 9 associated 7 deficiency 8 is 9 associated 10 with 9 associated 16 and 9 associated 23 in 10 with 12 impairment 11 cognitive 12 impairment 13 in 15 elderly 13 in 16 and 14 the 15 elderly 16 and 17 with 17 with 22 hyperintensities 18 increased 19 white 19 white 22 hyperintensities 20 matter 22 hyperintensities 21 t2 22 hyperintensities 23 in 26 patients 24 elderly 26 patients 25 debilitated 26 patients we investigated the relationship between serum vitamin d and brain mr findings in adult outpatients . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 investigated 0 ###LEFT-WALL### 16 . 1 we 2 investigated 2 investigated 4 relationship 2 investigated 5 between 2 investigated 13 in 3 the 4 relationship 5 between 9 and 6 serum 7 vitamin 7 vitamin 8 d 7 vitamin 9 and 9 and 12 findings 10 brain 12 findings 11 mr 12 findings 13 in 15 outpatients 14 adult 15 outpatients materials and methods : brain mr studies of 56 patients ages 30 - 69 years were selected when vitamin d level had been obtained within 90 days of the mri . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 11 ages 0 ###LEFT-WALL### 31 . 1 materials 2 and 2 and 3 methods 2 and 5 brain 2 and 11 ages 3 methods 4 : 4 : 5 brain 5 brain 7 studies 6 mr 7 studies 7 studies 8 of 8 of 10 patients 9 56 10 patients 11 ages 13 - 11 ages 18 when 12 30 13 - 13 - 14 69 14 69 15 years 15 years 16 were 16 were 17 selected 18 when 21 level 18 when 24 obtained 19 vitamin 20 d 19 vitamin 21 level 21 level 22 had 22 had 23 been 23 been 24 obtained 24 obtained 25 within 25 within 27 days 26 90 27 days 27 days 28 of 28 of 30 mri 29 the 30 mri white matter t2 hyperintensities were characterized by size and location by two neuroradiologists . 0 ###LEFT-WALL### 4 hyperintensities 0 ###LEFT-WALL### 6 characterized 0 ###LEFT-WALL### 14 . 1 white 2 matter 2 matter 4 hyperintensities 3 t2 4 hyperintensities 4 hyperintensities 5 were 5 were 6 characterized 6 characterized 7 by 6 characterized 11 by 7 by 9 and 8 size 9 and 9 and 10 location 11 by 13 neuroradiologists 12 two 13 neuroradiologists manual volumetric analysis was assessed in patients more than 50 years of age . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 5 assessed 0 ###LEFT-WALL### 14 . 1 manual 3 analysis 2 volumetric 3 analysis 3 analysis 4 was 4 was 5 assessed 5 assessed 6 in 5 assessed 8 more 5 assessed 9 than 6 in 7 patients 9 than 11 years 10 50 11 years 11 years 12 of 12 of 13 age results : the entire cohort showed a significant negative relationship between serum 25 - hydroxyvitamin d and the number of confluent juxtacortical white matter t2 hyperintensities ( p = [.] 047 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 33 . 2 : 5 cohort 2 : 6 showed 3 the 5 cohort 4 entire 5 cohort 5 cohort 6 showed 6 showed 10 relationship 7 a 10 relationship 8 significant 10 relationship 9 negative 10 relationship 10 relationship 11 between 11 between 12 serum 12 serum 13 25 13 25 14 - 14 - 17 and 15 hydroxyvitamin 16 d 15 hydroxyvitamin 17 and 17 and 19 number 18 the 19 number 19 number 20 of 20 of 26 hyperintensities 21 confluent 24 matter 22 juxtacortical 24 matter 23 white 24 matter 24 matter 26 hyperintensities 25 t2 26 hyperintensities 26 hyperintensities 29 = 27 ( 29 = 28 p 29 = 29 = 31 047 29 = 32 ) atrophy was not significantly related to serum 25 - hydroxyvitamin d by radiologist visual analysis or by the bicaudate ratio . 0 ###LEFT-WALL### 1 atrophy 0 ###LEFT-WALL### 5 related 0 ###LEFT-WALL### 9 - 0 ###LEFT-WALL### 21 . 1 atrophy 2 was 2 was 3 not 2 was 5 related 4 significantly 5 related 5 related 6 to 6 to 7 serum 7 serum 8 25 9 - 10 hydroxyvitamin 10 hydroxyvitamin 11 d 10 hydroxyvitamin 16 or 12 by 15 analysis 12 by 16 or 13 radiologist 15 analysis 14 visual 15 analysis 16 or 17 by 17 by 20 ratio 18 the 20 ratio 19 bicaudate 20 ratio conclusions : we found a significant relationship between vitamin d and white matter t2 hyperintensities in independent adult outpatients , especially over the age of 50 years . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 found 3 we 4 found 4 found 7 relationship 4 found 8 between 4 found 16 in 5 a 7 relationship 6 significant 7 relationship 8 between 11 and 9 vitamin 10 d 9 vitamin 11 and 11 and 15 hyperintensities 12 white 13 matter 13 matter 15 hyperintensities 14 t2 15 hyperintensities 16 in 19 outpatients 17 independent 18 adult 18 adult 19 outpatients 19 outpatients 22 over 20 , 21 especially 20 , 22 over 22 over 24 age 22 over 28 . 23 the 24 age 24 age 25 of 25 of 27 years 26 50 27 years eccentric exercise can influence tendon mechanical properties and matrix protein synthesis . mrna for collagen and regulatory factors thereof are upregulated in animal tendons , independent of muscular contraction [type] , supporting the view that tendon , compared with skeletal muscle , is less sensitive to differences in type [and/or] amount [of] mechanical stimulus with regard to expression of collagen , regulatory factors for collagen , and cross - link regulators . 0 ###LEFT-WALL### 11 synthesis 0 ###LEFT-WALL### 12 . 1 eccentric 11 synthesis 2 exercise 7 properties 3 can 7 properties 4 influence 5 tendon 5 tendon 7 properties 6 mechanical 7 properties 7 properties 8 and 8 and 9 matrix 8 and 11 synthesis 10 protein 11 synthesis 12 . 13 mrna 12 . 21 upregulated 13 mrna 14 for 13 mrna 18 factors 13 mrna 20 are 13 mrna 21 upregulated 14 for 16 and 15 collagen 16 and 16 and 17 regulatory 18 factors 20 are 19 thereof 20 are 21 upregulated 22 in 21 upregulated 24 tendons 21 upregulated 32 supporting 22 in 23 animal 24 tendons 26 independent 25 , 26 independent 26 independent 27 of 26 independent 31 , 27 of 29 contraction 28 muscular 29 contraction 31 , 32 supporting 32 supporting 34 view 33 the 34 view 34 view 35 that 35 that 36 tendon 35 that 43 is 36 tendon 38 compared 36 tendon 43 is 37 , 38 compared 38 compared 39 with 38 compared 42 , 39 with 41 muscle 40 skeletal 41 muscle 43 is 45 sensitive 44 less 45 sensitive 45 sensitive 46 to 45 sensitive 48 in 45 sensitive 55 with 45 sensitive 57 to 46 to 47 differences 48 in 54 stimulus 49 type 51 amount 51 amount 54 stimulus 53 mechanical 54 stimulus 55 with 56 regard 57 to 67 and 58 expression 59 of 58 expression 67 and 59 of 63 factors 60 collagen 61 , 60 collagen 63 factors 62 regulatory 63 factors 63 factors 64 for 64 for 65 collagen 66 , 67 and 67 and 68 cross 67 and 71 regulators 69 - 71 regulators 70 link 71 regulators 71 regulators 72 . in overused [(] tendinopathic ) human tendon , eccentric exercise training has a beneficial effect , but the mechanism by which this is elicited is unknown , and slow concentric loading appears to have similar beneficial effects . 0 ###LEFT-WALL### 7 tendon 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 34 have 0 ###LEFT-WALL### 38 . 1 in 2 overused 2 overused 7 tendon 4 tendinopathic 5 ) 4 tendinopathic 7 tendon 6 human 7 tendon 8 , 11 training 8 , 12 has 8 , 16 , 9 eccentric 11 training 10 exercise 11 training 11 training 12 has 12 has 15 effect 13 a 14 beneficial 13 a 15 effect 14 beneficial 15 effect 16 , 17 but 16 , 32 appears 17 but 19 mechanism 17 but 25 is 18 the 19 mechanism 19 mechanism 20 by 19 mechanism 24 elicited 19 mechanism 25 is 20 by 21 which 20 by 22 this 20 by 23 is 22 this 23 is 25 is 28 and 25 is 30 concentric 26 unknown 28 and 27 , 28 and 28 and 29 slow 31 loading 32 appears 32 appears 33 to 33 to 34 have 34 have 37 effects 35 similar 37 effects 36 beneficial 37 effects it may be that tendinopathic regions , as long as they are subjected to a certain magnitude [of] load at a slow speed , independent of whether this is eccentric or concentric in nature , can reestablish their normal tendon fibril alignment and cell morphology . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 be 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 46 . 1 it 2 may 2 may 3 be 3 be 6 regions 4 that 5 tendinopathic 5 tendinopathic 6 regions 6 regions 9 long 7 , 9 long 8 as 9 long 9 long 10 as 9 long 14 to 9 long 24 , 10 as 11 they 10 as 12 are 10 as 13 subjected 11 they 12 are 14 to 19 load 15 a 19 load 16 certain 19 load 17 magnitude 19 load 19 load 20 at 20 at 23 speed 21 a 23 speed 22 slow 23 speed 24 , 43 and 25 independent 26 of 25 independent 43 and 26 of 27 whether 27 whether 28 this 27 whether 37 reestablish 28 this 35 , 29 is 31 or 29 is 35 , 30 eccentric 31 or 31 or 32 concentric 32 concentric 33 in 33 in 34 nature 35 , 36 can 36 can 37 reestablish 37 reestablish 42 alignment 38 their 42 alignment 39 normal 40 tendon 40 tendon 42 alignment 41 fibril 42 alignment 43 and 45 morphology 44 cell 45 morphology background and purpose : beyond the framingham stroke risk score [,] prediction [of] future stroke may improve with a genetic risk score ( grs ) based on single - nucleotide polymorphisms associated with [stroke] [and] its risk factors . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 26 based 0 ###LEFT-WALL### 39 . 1 background 2 and 2 and 3 purpose 2 and 4 : 2 and 16 may 3 purpose 4 : 4 : 5 beyond 5 beyond 15 stroke 6 the 15 stroke 7 framingham 8 stroke 8 stroke 9 risk 9 risk 12 prediction 10 score 12 prediction 12 prediction 15 stroke 14 future 15 stroke 16 may 17 improve 17 improve 18 with 18 with 22 score 18 with 26 based 19 a 20 genetic 19 a 22 score 20 genetic 22 score 21 risk 22 score 22 score 24 grs 23 ( 24 grs 24 grs 25 ) 26 based 27 on 26 based 33 with 27 on 31 polymorphisms 28 single 29 - 28 single 31 polymorphisms 30 nucleotide 31 polymorphisms 31 polymorphisms 32 associated 33 with 38 factors 36 its 38 factors 37 risk 38 factors methods : the study includes 4 population - based cohorts with 2047 first incident strokes from 22,720 initially stroke - free european origin participants aged ≥55 years , who were followed for up to 20 years . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 , 0 ###LEFT-WALL### 37 . 1 methods 2 : 2 : 7 population 3 the 7 population 4 study 5 includes 5 includes 7 population 6 4 7 population 7 population 10 cohorts 8 - 10 cohorts 9 based 10 cohorts 10 cohorts 11 with 10 cohorts 28 , 11 with 12 2047 12 2047 15 strokes 12 2047 19 stroke 12 2047 27 years 13 first 14 incident 14 incident 15 strokes 15 strokes 16 from 15 strokes 19 stroke 16 from 17 22,720 18 initially 19 stroke 20 - 27 years 21 free 27 years 22 european 25 aged 23 origin 25 aged 24 participants 25 aged 25 aged 27 years 26 ≥55 27 years 27 years 28 , 28 , 29 who 28 , 31 followed 29 who 30 were 30 were 31 followed 31 followed 32 for 32 for 36 years 33 up 34 to 34 to 35 20 35 20 36 years grss were constructed with 324 single - nucleotide polymorphisms implicated in stroke [and] 9 risk factors . 0 ###LEFT-WALL### 1 grss 0 ###LEFT-WALL### 3 constructed 0 ###LEFT-WALL### 17 . 1 grss 2 were 2 were 3 constructed 3 constructed 4 with 4 with 9 polymorphisms 5 324 8 nucleotide 6 single 7 - 6 single 8 nucleotide 8 nucleotide 9 polymorphisms 9 polymorphisms 10 implicated 9 polymorphisms 15 risk 9 polymorphisms 16 factors 10 implicated 11 in 11 in 12 stroke 12 stroke 14 9 15 risk 16 factors the association of the grs [to] first incident stroke was tested using cox regression ; the grs predictive properties were assessed with area under the curve statistics comparing the grs with age and sex , framingham stroke risk score models , and reclassification statistics . 0 ###LEFT-WALL### 2 association 0 ###LEFT-WALL### 11 tested 0 ###LEFT-WALL### 15 ; 0 ###LEFT-WALL### 45 . 1 the 2 association 2 association 3 of 2 association 10 was 3 of 9 stroke 4 the 9 stroke 5 grs 8 incident 7 first 8 incident 8 incident 9 stroke 10 was 11 tested 11 tested 12 using 12 using 14 regression 13 cox 14 regression 15 ; 17 grs 15 ; 21 assessed 16 the 17 grs 17 grs 19 properties 17 grs 20 were 17 grs 21 assessed 18 predictive 19 properties 19 properties 20 were 21 assessed 22 with 21 assessed 30 grs 21 assessed 31 with 22 with 23 area 22 with 27 statistics 23 area 24 under 24 under 26 curve 25 the 26 curve 27 statistics 28 comparing 29 the 30 grs 31 with 42 and 32 age 33 and 33 and 34 sex 33 and 40 models 33 and 42 and 35 , 40 models 36 framingham 37 stroke 37 stroke 40 models 38 risk 39 score 39 score 40 models 40 models 41 , 41 , 42 and 42 and 44 statistics 43 reclassification 44 statistics these analyses [were] performed per cohort and [in] a meta - analysis of pooled data . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 16 . 1 these 2 analyses 2 analyses 4 performed 2 analyses 5 per 2 analyses 7 and 5 per 6 cohort 7 and 12 analysis 7 and 13 of 9 a 10 meta 9 a 12 analysis 10 meta 11 - 10 meta 12 analysis 13 of 15 data 14 pooled 15 data replication was sought in a case - control study [of] ischemic stroke . 0 ###LEFT-WALL### 1 replication 0 ###LEFT-WALL### 3 sought 0 ###LEFT-WALL### 7 - 1 replication 2 was 2 was 3 sought 3 sought 4 in 4 in 6 case 5 a 6 case 7 - 12 stroke 7 - 13 . 8 control 12 stroke 9 study 12 stroke 11 ischemic 12 stroke results : in the meta - analysis , adding the grs to the framingham stroke risk score , age and sex model resulted in a significant improvement in discrimination [(] all stroke : δjoint area under the curve=0.016 , p=2.3×10 ( - 6 ) [;] ischemic stroke [:] [δjoint] [area] under the curve=0.021 , p=3.7×10 ( - 7 ) ) , [although] the overall area under the curve remained low . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 , 1 results 2 : 2 : 3 in 3 in 7 analysis 4 the 7 analysis 5 meta 6 - 5 meta 7 analysis 8 , 19 age 8 , 20 and 9 adding 11 grs 9 adding 18 , 9 adding 19 age 10 the 11 grs 11 grs 12 to 12 to 17 score 13 the 17 score 14 framingham 15 stroke 15 stroke 16 risk 16 risk 17 score 20 and 22 model 20 and 23 resulted 21 sex 22 model 22 model 23 resulted 23 resulted 24 in 24 in 35 area 25 a 26 significant 25 a 35 area 26 significant 27 improvement 27 improvement 28 in 27 improvement 31 all 27 improvement 32 stroke 27 improvement 33 : 28 in 29 discrimination 31 all 32 stroke 34 δjoint 35 area 35 area 36 under 36 under 47 stroke 37 the 47 stroke 38 curve=0.016 40 p=2.3×10 38 curve=0.016 47 stroke 39 , 40 p=2.3×10 40 p=2.3×10 43 6 40 p=2.3×10 44 ) 41 ( 43 6 42 - 43 6 43 6 44 ) 46 ischemic 47 stroke 47 stroke 51 under 51 under 53 curve=0.021 52 the 53 curve=0.021 53 curve=0.021 55 p=3.7×10 53 curve=0.021 64 overall 54 , 55 p=3.7×10 55 p=3.7×10 58 7 55 p=3.7×10 60 ) 56 ( 58 7 57 - 58 7 58 7 59 ) 61 , 64 overall 63 the 64 overall 64 overall 65 area 64 overall 69 remained 64 overall 71 . 65 area 66 under 65 area 69 remained 66 under 68 curve 67 the 68 curve 69 remained 70 low in all the studies , there was a highly significantly improved net reclassification index ( p<10 ( - 4 ) ) . 0 ###LEFT-WALL### 6 there 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 22 . 1 in 2 all 1 in 5 , 1 in 6 there 2 all 3 the 2 all 4 studies 3 the 4 studies 6 there 7 was 7 was 14 index 8 a 9 highly 8 a 14 index 9 highly 10 significantly 10 significantly 11 improved 11 improved 12 net 12 net 14 index 13 reclassification 14 index 14 index 16 p<10 15 ( 16 p<10 16 p<10 19 4 16 p<10 21 ) 17 ( 19 4 18 - 19 4 19 4 20 ) conclusions : the single - nucleotide polymorphisms associated [with] stroke and its risk factors result only in a small improvement in prediction of future stroke compared [with] [the] classical epidemiological risk factors [for] stroke . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 11 and 2 : 15 result 2 : 35 . 3 the 10 stroke 4 single 5 - 4 single 10 stroke 6 nucleotide 7 polymorphisms 7 polymorphisms 8 associated 8 associated 10 stroke 10 stroke 11 and 11 and 14 factors 11 and 15 result 12 its 14 factors 13 risk 14 factors 15 result 16 only 15 result 21 in 16 only 17 in 17 in 20 improvement 18 a 19 small 18 a 20 improvement 19 small 20 improvement 21 in 22 prediction 22 prediction 23 of 23 of 31 risk 24 future 25 stroke 25 stroke 26 compared 26 compared 31 risk 29 classical 31 risk 30 epidemiological 31 risk 31 risk 32 factors 31 risk 34 stroke 32 factors 34 stroke background and purpose : genome - wide association studies have revealed multiple common variants associated with known risk factors [for] [ischemic] stroke ( is ) . 0 ###LEFT-WALL### 3 purpose 0 ###LEFT-WALL### 4 : 1 background 2 and 2 and 3 purpose 4 : 5 genome 4 : 6 - 4 : 26 . 6 - 9 studies 6 - 10 have 7 wide 9 studies 8 association 9 studies 9 studies 10 have 10 have 14 variants 11 revealed 14 variants 12 multiple 14 variants 13 common 14 variants 14 variants 15 associated 14 variants 19 factors 14 variants 22 stroke 14 variants 24 is 15 associated 16 with 16 with 18 risk 17 known 18 risk 19 factors 22 stroke 23 ( 24 is 24 is 25 ) however , their aggregate effect on risk is uncertain . 0 ###LEFT-WALL### 5 effect 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 10 . 1 however 2 , 1 however 5 effect 3 their 5 effect 4 aggregate 5 effect 5 effect 6 on 5 effect 8 is 6 on 7 risk 8 is 9 uncertain we aimed to generate a multilocus genetic risk score ( grs ) for is based on genome [-] wide association studies data from clinical - based samples and to establish its external validity in prospective population - based cohorts . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 28 and 0 ###LEFT-WALL### 37 - 1 we 28 and 2 aimed 3 to 2 aimed 13 for 2 aimed 16 on 2 aimed 22 data 2 aimed 28 and 3 to 4 generate 4 generate 9 score 5 a 9 score 6 multilocus 9 score 7 genetic 9 score 8 risk 9 score 9 score 11 grs 10 ( 11 grs 11 grs 12 ) 13 for 14 is 14 is 15 based 16 on 21 studies 17 genome 21 studies 19 wide 20 association 20 association 21 studies 22 data 23 from 23 from 27 samples 24 clinical 25 - 24 clinical 27 samples 26 based 27 samples 28 and 29 to 28 and 30 establish 29 to 30 establish 30 establish 33 validity 30 establish 34 in 31 its 33 validity 32 external 33 validity 34 in 36 population 35 prospective 36 population 37 - 39 cohorts 37 - 40 . 38 based 39 cohorts methods : three thousand five hundred forty - eight [clinic] - based is cases and 6399 controls from the wellcome trust case control consortium 2 were used for derivation of the grs . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 4 thousand 2 : 27 used 3 three 4 thousand 4 thousand 7 forty 4 thousand 12 based 4 thousand 26 were 5 five 6 hundred 6 hundred 7 forty 7 forty 9 eight 7 forty 12 based 8 - 9 eight 9 eight 11 - 12 based 15 and 13 is 14 cases 14 cases 15 and 15 and 17 controls 15 and 18 from 16 6399 17 controls 18 from 24 consortium 19 the 24 consortium 20 wellcome 21 trust 21 trust 22 case 22 case 23 control 23 control 24 consortium 24 consortium 25 2 26 were 27 used 27 used 28 for 28 for 29 derivation 29 derivation 30 of 30 of 32 grs 31 the 32 grs subjects from the metastroke consortium served as a replication sample . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 6 served 0 ###LEFT-WALL### 11 . 1 subjects 2 from 1 subjects 6 served 2 from 5 consortium 3 the 5 consortium 4 metastroke 5 consortium 6 served 7 as 7 as 10 sample 8 a 10 sample 9 replication 10 sample the validation sample consisted of 22 751 participants from the cohorts for heart and aging research in genomic epidemiology consortium . 0 ###LEFT-WALL### 3 sample 0 ###LEFT-WALL### 4 consisted 0 ###LEFT-WALL### 21 . 1 the 3 sample 2 validation 3 sample 3 sample 4 consisted 4 consisted 5 of 5 of 8 participants 6 22 8 participants 7 751 8 participants 8 participants 9 from 9 from 14 and 10 the 11 cohorts 11 cohorts 12 for 11 cohorts 14 and 12 for 13 heart 14 and 16 research 15 aging 16 research 16 research 17 in 17 in 20 consortium 18 genomic 19 epidemiology 19 epidemiology 20 consortium we selected variants that had reached genome [-] wide significance in previous association studies on established risk factors for is . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 selected 0 ###LEFT-WALL### 21 . 1 we 2 selected 2 selected 3 variants 3 variants 4 that 3 variants 5 had 4 that 5 had 5 had 6 reached 6 reached 10 significance 6 reached 11 in 6 reached 15 on 7 genome 10 significance 9 wide 10 significance 11 in 14 studies 12 previous 13 association 13 association 14 studies 15 on 18 factors 16 established 18 factors 17 risk 18 factors 18 factors 19 for 19 for 20 is results : a combined grs for atrial fibrillation , coronary artery disease , hypertension , and systolic blood pressure significantly associated with is both in the case - control samples [and] in the prospective population - based studies . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 39 . 2 : 16 and 2 : 37 based 3 a 5 grs 4 combined 5 grs 5 grs 6 for 5 grs 9 , 6 for 8 fibrillation 7 atrial 8 fibrillation 9 , 12 disease 9 , 13 , 10 coronary 12 disease 11 artery 12 disease 13 , 14 hypertension 13 , 16 and 15 , 16 and 16 and 19 pressure 16 and 30 samples 16 and 37 based 17 systolic 18 blood 18 blood 19 pressure 19 pressure 21 associated 20 significantly 21 associated 21 associated 22 with 21 associated 25 in 22 with 23 is 22 with 24 both 25 in 27 case 26 the 27 case 28 - 30 samples 29 control 30 samples 30 samples 32 in 30 samples 36 - 32 in 35 population 33 the 35 population 34 prospective 35 population 37 based 38 studies subjects in the top quintile of the combined grs had >2 - fold increased risk of is compared with subjects in the lowest quintile . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 10 had 0 ###LEFT-WALL### 25 . 1 subjects 2 in 1 subjects 6 of 1 subjects 10 had 2 in 5 quintile 3 the 5 quintile 4 top 5 quintile 6 of 9 grs 7 the 9 grs 8 combined 9 grs 10 had 15 risk 11 >2 12 - 11 >2 13 fold 13 fold 14 increased 14 increased 15 risk 15 risk 16 of 16 of 17 is 17 is 18 compared 18 compared 19 with 18 compared 24 quintile 19 with 20 subjects 20 subjects 21 in 21 in 23 lowest 22 the 23 lowest addition of the combined grs to a simple model based on sex significantly improved the prediction of is in the combined clinic - based samples but not in the population - based studies , and there was no significant improvement in net reclassification . 0 ###LEFT-WALL### 1 addition 0 ###LEFT-WALL### 10 based 0 ###LEFT-WALL### 35 and 0 ###LEFT-WALL### 44 . 1 addition 2 of 1 addition 10 based 2 of 5 grs 3 the 5 grs 4 combined 5 grs 5 grs 6 to 6 to 9 model 7 a 9 model 8 simple 9 model 10 based 11 on 10 based 16 prediction 11 on 12 sex 12 sex 14 improved 13 significantly 14 improved 15 the 16 prediction 16 prediction 17 of 16 prediction 19 in 16 prediction 25 samples 17 of 18 is 19 in 22 clinic 20 the 22 clinic 21 combined 22 clinic 23 - 25 samples 24 based 25 samples 25 samples 26 but 25 samples 28 in 25 samples 33 studies 25 samples 34 , 26 but 27 not 28 in 30 population 29 the 30 population 31 - 33 studies 32 based 33 studies 33 studies 34 , 35 and 36 there 35 and 37 was 36 there 37 was 37 was 40 improvement 38 no 40 improvement 39 significant 40 improvement 40 improvement 41 in 41 in 43 reclassification 42 net 43 reclassification conclusions : a multilocus grs based on common variants for established cardiovascular risk factors was significantly associated with is both in clinic [-] based samples and in the general population . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 multilocus 2 : 17 associated 2 : 31 . 3 a 4 multilocus 4 multilocus 5 grs 4 multilocus 14 factors 4 multilocus 15 was 5 grs 6 based 5 grs 10 for 5 grs 14 factors 6 based 7 on 7 on 9 variants 8 common 9 variants 10 for 13 risk 11 established 13 risk 12 cardiovascular 13 risk 15 was 17 associated 16 significantly 17 associated 17 associated 18 with 17 associated 26 and 18 with 19 is 18 with 20 both 21 in 25 samples 21 in 26 and 22 clinic 24 based 24 based 25 samples 26 and 27 in 27 in 30 population 28 the 30 population 29 general 30 population however , the improvement in clinical risk prediction was found to be small . 0 ###LEFT-WALL### 4 improvement 0 ###LEFT-WALL### 10 found 0 ###LEFT-WALL### 14 . 1 however 2 , 1 however 4 improvement 3 the 4 improvement 4 improvement 5 in 4 improvement 9 was 5 in 8 prediction 6 clinical 8 prediction 7 risk 8 prediction 9 was 10 found 10 found 11 to 11 to 12 be 12 be 13 small [none] background : left [ventricular] ( lv ) diastolic dysfunction is often observed in healthy older subjects without structural heart disease , although its exact mechanisms have not been established . 0 ###LEFT-WALL### 2 background 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 30 established 0 ###LEFT-WALL### 31 . 3 : 10 dysfunction 3 : 13 observed 4 left 7 lv 4 left 10 dysfunction 6 ( 7 lv 7 lv 8 ) 9 diastolic 10 dysfunction 10 dysfunction 11 is 11 is 12 often 11 is 13 observed 13 observed 14 in 13 observed 23 although 14 in 17 subjects 15 healthy 17 subjects 16 older 17 subjects 17 subjects 18 without 18 without 21 disease 19 structural 20 heart 20 heart 21 disease 22 , 23 although 23 although 26 mechanisms 24 its 26 mechanisms 25 exact 26 mechanisms 26 mechanisms 27 have 27 have 28 not 27 have 29 been 29 been 30 established a decrease in the aorto - septal angle ( asa ) , an alteration of [lv] shape due to aortic elongation , is also frequently seen in elderly subjects . 0 ###LEFT-WALL### 2 decrease 0 ###LEFT-WALL### 26 seen 0 ###LEFT-WALL### 30 . 1 a 2 decrease 2 decrease 3 in 2 decrease 23 is 3 in 8 angle 4 the 8 angle 5 aorto 6 - 5 aorto 8 angle 7 septal 8 angle 8 angle 10 asa 8 angle 14 alteration 9 ( 10 asa 10 asa 11 ) 12 , 14 alteration 13 an 14 alteration 14 alteration 15 of 14 alteration 22 , 15 of 17 shape 17 shape 19 to 18 due 19 to 19 to 21 elongation 20 aortic 21 elongation 23 is 24 also 23 is 26 seen 25 frequently 26 seen 26 seen 27 in 27 in 29 subjects 28 elderly 29 subjects the objective of this study was to evaluate whether it can contribute to lv diastolic dysfunction in healthy subjects . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 20 . 1 the 2 objective 2 objective 3 of 2 objective 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 8 evaluate 7 to 8 evaluate 8 evaluate 9 whether 9 whether 10 it 9 whether 12 contribute 10 it 11 can 11 can 12 contribute 12 contribute 13 to 12 contribute 16 dysfunction 12 contribute 17 in 13 to 14 lv 15 diastolic 16 dysfunction 17 in 19 subjects 18 healthy 19 subjects methods : echocardiography was performed in 77 healthy subjects ( 42 men , mean age 43.2 ± 13.8 years ) to measure the asa , early diastolic transmitral flow velocity [(] e ) , isovolumic relaxation time ( irt ) , and early diastolic mitral annular velocity [(] [e] ['] [ )( 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 52 )( 2 : 3 echocardiography 2 : 22 measure 2 : 34 , 3 echocardiography 4 was 4 was 5 performed 5 performed 6 in 5 performed 21 to 6 in 9 subjects 7 77 9 subjects 8 healthy 9 subjects 9 subjects 12 men 9 subjects 19 years 10 ( 12 men 11 42 12 men 12 men 13 , 13 , 19 years 14 mean 15 age 15 age 19 years 16 43.2 17 ± 17 ± 19 years 18 13.8 19 years 19 years 20 ) 21 to 22 measure 22 measure 24 asa 23 the 24 asa 24 asa 30 velocity 25 , 30 velocity 26 early 29 flow 27 diastolic 29 flow 28 transmitral 29 flow 29 flow 30 velocity 30 velocity 32 e 30 velocity 33 ) 34 , 47 velocity 35 isovolumic 37 time 35 isovolumic 42 and 36 relaxation 37 time 37 time 39 irt 38 ( 39 irt 39 irt 40 ) 41 , 42 and 42 and 43 early 42 and 47 velocity 44 diastolic 47 velocity 45 mitral 47 velocity 46 annular 47 velocity the [lv] peak early diastolic longitudinal strain rate ( gsre ) was measured using a two [-] dimensional speckle tracking imaging technique . 0 ###LEFT-WALL### 8 rate 0 ###LEFT-WALL### 13 measured 0 ###LEFT-WALL### 23 . 1 the 8 rate 3 peak 8 rate 4 early 7 strain 5 diastolic 7 strain 6 longitudinal 7 strain 7 strain 8 rate 8 rate 10 gsre 8 rate 12 was 9 ( 10 gsre 10 gsre 11 ) 12 was 13 measured 13 measured 14 using 14 using 19 speckle 15 a 19 speckle 16 two 19 speckle 18 dimensional 19 speckle 19 speckle 20 tracking 20 tracking 22 technique 21 imaging 22 technique results : asa was significantly correlated with e ( r = 0.54 , p < 0.001 ) , irt ( r = - 0.41 , p < 0.001 ) [,] e ['] ( r = 0.57 , p < 0.001 ) , and gsre ( r = 0.63 , p < 0.001 ) [and] shown by stepwise multivariate analysis to be the strongest independent determinant of e , irt , and gsre , and one of the independent determinants [of] [e] ['] . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 83 . 2 : 3 asa 2 : 6 correlated 2 : 18 , 2 : 68 , 3 asa 4 was 4 was 6 correlated 5 significantly 6 correlated 6 correlated 7 with 6 correlated 11 = 6 correlated 15 < 7 with 8 e 9 ( 11 = 10 r 11 = 11 = 12 0.54 11 = 13 , 14 p 15 < 15 < 16 0.001 15 < 17 ) 18 , 43 and 19 irt 23 - 19 irt 43 and 20 ( 23 - 21 r 22 = 22 = 23 - 23 - 24 0.41 23 - 41 ) 24 0.41 27 < 24 0.41 35 = 24 0.41 39 < 25 , 27 < 26 p 27 < 27 < 28 0.001 27 < 29 ) 31 e 35 = 33 ( 35 = 34 r 35 = 35 = 36 0.57 35 = 37 , 38 p 39 < 39 < 40 0.001 42 , 43 and 43 and 44 gsre 43 and 68 , 44 gsre 47 = 44 gsre 55 shown 45 ( 47 = 46 r 47 = 47 = 48 0.63 48 0.63 51 < 49 , 51 < 50 p 51 < 51 < 52 0.001 51 < 53 ) 55 shown 56 by 55 shown 59 analysis 55 shown 60 to 56 by 58 multivariate 57 stepwise 58 multivariate 60 to 61 be 61 be 65 determinant 62 the 63 strongest 62 the 65 determinant 64 independent 65 determinant 65 determinant 66 of 66 of 67 e 68 , 74 and 69 irt 71 and 70 , 71 and 71 and 72 gsre 71 and 74 and 73 , 74 and 74 and 75 one 75 one 76 of 76 of 79 determinants 77 the 79 determinants 78 independent 79 determinants conclusions : the alteration of lv shape associated with reduced asa may be one of the causes of lv diastolic [dysfunction] independently of age in otherwise healthy subjects . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 be 0 ###LEFT-WALL### 29 . 2 : 4 alteration 3 the 4 alteration 4 alteration 5 of 4 alteration 7 shape 4 alteration 13 be 5 of 6 lv 7 shape 8 associated 7 shape 12 may 8 associated 9 with 9 with 11 asa 10 reduced 11 asa 12 may 13 be 13 be 14 one 14 one 15 of 14 one 18 of 14 one 20 diastolic 15 of 17 causes 16 the 17 causes 18 of 19 lv 20 diastolic 22 independently 20 diastolic 25 in 22 independently 23 of 23 of 24 age 25 in 28 subjects 26 otherwise 27 healthy 27 healthy 28 subjects background : the issue of ageing within the cohort of people with intellectual disabilities has been an increasing focus for research . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 4 issue 2 : 16 been 3 the 4 issue 4 issue 5 of 4 issue 15 has 5 of 6 ageing 6 ageing 7 within 7 within 9 cohort 8 the 9 cohort 9 cohort 10 of 10 of 11 people 11 people 12 with 12 with 14 disabilities 13 intellectual 14 disabilities 15 has 16 been 16 been 19 focus 17 an 19 focus 18 increasing 19 focus 19 focus 20 for 20 for 21 research however , [the] training needs of the staff who support them has not been [subject] of extensive examination . 0 ###LEFT-WALL### 4 training 0 ###LEFT-WALL### 14 been 0 ###LEFT-WALL### 19 . 1 however 2 , 1 however 4 training 4 training 5 needs 4 training 12 has 5 needs 6 of 5 needs 9 who 5 needs 10 support 6 of 8 staff 7 the 8 staff 9 who 10 support 10 support 11 them 12 has 13 not 12 has 14 been 14 been 16 of 16 of 18 examination 17 extensive 18 examination materials and methods : a multiround delphi project was conducted focusing upon the impact ageing issues have on the support provided by disability workers , and what training is required to address the identified areas . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 36 . 1 materials 2 and 2 and 3 methods 4 : 8 project 4 : 9 was 4 : 26 and 4 : 32 address 5 a 8 project 6 multiround 8 project 7 delphi 8 project 8 project 9 was 9 was 11 focusing 9 was 12 upon 9 was 18 on 9 was 22 by 10 conducted 11 focusing 12 upon 14 impact 13 the 14 impact 14 impact 16 issues 14 impact 17 have 15 ageing 16 issues 16 issues 17 have 18 on 20 support 19 the 20 support 20 support 21 provided 22 by 24 workers 23 disability 24 workers 25 , 26 and 26 and 27 what 26 and 30 required 28 training 29 is 29 is 30 required 30 required 31 to 31 to 32 address 32 address 35 areas 33 the 35 areas 34 identified 35 areas results : three rounds of the delphi identified twenty - six separate important issues . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 rounds 2 : 8 identified 2 : 15 . 3 three 4 rounds 4 rounds 5 of 4 rounds 8 identified 5 of 7 delphi 6 the 7 delphi 8 identified 10 - 8 identified 14 issues 9 twenty 10 - 10 - 11 six 12 separate 14 issues 13 important 14 issues a thematic analysis identified five main themes including generic training issues ; medical issues ; emerging ageing issues requiring changing support ; mental health issues [;] and quality of life . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 4 identified 0 ###LEFT-WALL### 12 ; 0 ###LEFT-WALL### 31 . 1 a 2 thematic 1 a 3 analysis 2 thematic 3 analysis 3 analysis 4 identified 4 identified 7 themes 5 five 7 themes 6 main 7 themes 7 themes 8 including 8 including 11 issues 9 generic 10 training 10 training 11 issues 12 ; 14 issues 12 ; 15 ; 13 medical 14 issues 15 ; 21 support 15 ; 22 ; 16 emerging 17 ageing 17 ageing 18 issues 18 issues 19 requiring 19 requiring 20 changing 20 changing 21 support 22 ; 27 and 23 mental 24 health 24 health 25 issues 25 issues 27 and 27 and 28 quality 27 and 29 of 29 of 30 life conclusions : the study identified a series of training priorities for staff assisting people ageing with an intellectual disability . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 identified 2 : 20 . 3 the 4 study 4 study 5 identified 5 identified 7 series 5 identified 11 for 5 identified 16 with 6 a 7 series 7 series 8 of 8 of 10 priorities 9 training 10 priorities 11 for 15 ageing 12 staff 13 assisting 13 assisting 15 ageing 14 people 15 ageing 16 with 19 disability 17 an 18 intellectual 17 an 19 disability 18 intellectual 19 disability it would appear possible for many training programmes to be developed and delivered with minimal cost impacts even within rural localities . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 appear 0 ###LEFT-WALL### 22 . 1 it 2 would 2 would 3 appear 3 appear 4 possible 4 possible 5 for 4 possible 9 to 4 possible 12 and 5 for 8 programmes 6 many 8 programmes 7 training 8 programmes 9 to 10 be 10 be 12 and 11 developed 12 and 12 and 13 delivered 12 and 14 with 12 and 18 even 14 with 16 cost 15 minimal 16 cost 17 impacts 18 even 18 even 19 within 19 within 21 localities 20 rural 21 localities purpose : the purpose of this study was to investigate age differences in the response of the spine and pelvis to simulated leg length inequalities ( llis ) . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 2 : 4 purpose 2 : 8 was 2 : 29 . 3 the 4 purpose 4 purpose 5 of 4 purpose 8 was 5 of 7 study 6 this 7 study 8 was 9 to 8 was 13 in 8 was 21 to 9 to 10 investigate 10 investigate 12 differences 11 age 12 differences 13 in 15 response 14 the 15 response 15 response 16 of 16 of 19 and 17 the 18 spine 18 spine 19 and 19 and 20 pelvis 21 to 25 inequalities 22 simulated 23 leg 23 leg 25 inequalities 24 length 25 inequalities 25 inequalities 27 llis 26 ( 27 llis 27 llis 28 ) methods : a total of 107 subjects , separated into three age groups ( group 1 : 20 - 39 years , group 2 : 40 - 59 years , group 3 [:] >60 years ) , were used to evaluate for any age effects in the response to llis . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 51 . 2 : 4 total 2 : 25 : 3 a 4 total 4 total 5 of 5 of 7 subjects 6 107 7 subjects 7 subjects 9 separated 8 , 9 separated 9 separated 10 into 9 separated 25 : 10 into 13 groups 11 three 13 groups 12 age 13 groups 13 groups 21 years 13 groups 23 group 14 ( 21 years 15 group 16 1 15 group 17 : 17 : 19 - 18 20 19 - 19 - 20 39 20 39 21 years 21 years 22 , 22 , 23 group 23 group 24 2 23 group 25 : 25 : 26 40 25 : 39 used 26 40 29 years 26 40 38 were 27 - 29 years 28 59 29 years 29 years 35 years 29 years 37 , 30 , 35 years 31 group 35 years 32 3 35 years 34 >60 35 years 35 years 36 ) 38 were 39 used 39 used 40 to 39 used 41 evaluate 40 to 41 evaluate 41 evaluate 42 for 41 evaluate 45 effects 42 for 44 age 43 any 44 age 45 effects 46 in 46 in 48 response 47 the 48 response 48 response 49 to 49 to 50 llis llis of +10 , +20 , and +30 [mm] were simulated with a simulation platform on both sides , and the respective changes of pelvic position [(] pelvic obliquity , pelvic torsion [ )(and spinal posture ( lateral deviation , surface rotation , kyphotic , and lordotic angles [ )(were measured with a rasterstereographic system . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 11 simulated 1 llis 2 of 1 llis 7 and 2 of 5 +20 3 +10 4 , 3 +10 5 +20 6 , 7 and 7 and 8 +30 7 and 10 were 10 were 11 simulated 11 simulated 12 with 12 with 15 platform 12 with 16 on 13 a 15 platform 14 simulation 15 platform 16 on 20 and 17 both 20 and 18 sides 20 and 19 , 20 and 20 and 23 changes 20 and 24 of 21 the 23 changes 22 respective 23 changes 24 of 34 )(and 25 pelvic 26 position 26 position 29 obliquity 28 pelvic 29 obliquity 29 obliquity 30 , 30 , 32 torsion 30 , 34 )(and 31 pelvic 32 torsion 34 )(and 36 posture 34 )(and 46 and 35 spinal 36 posture 37 ( 46 and 38 lateral 39 deviation 39 deviation 40 , 40 , 42 rotation 40 , 43 , 41 surface 42 rotation 43 , 44 kyphotic 43 , 46 and 45 , 46 and 46 and 47 lordotic 46 and 48 angles 46 and 50 )(were 46 and 51 measured 46 and 56 . 48 angles 50 )(were 51 measured 52 with 52 with 55 system 53 a 54 rasterstereographic 53 a 55 system 54 rasterstereographic 55 system results : in all three age groups an increase in lli led to significant changes in the pelvic position as measured by the parameters of pelvic obliquity and torsion . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 6 age 2 : 7 groups 3 in 5 three 3 in 6 age 4 all 5 three 6 age 7 groups 7 groups 28 and 8 an 9 increase 9 increase 10 in 9 increase 22 by 9 increase 28 and 10 in 11 lli 11 lli 12 led 11 lli 21 measured 12 led 13 to 12 led 20 as 13 to 15 changes 14 significant 15 changes 15 changes 16 in 16 in 19 position 17 the 19 position 18 pelvic 19 position 20 as 21 measured 22 by 24 parameters 23 the 24 parameters 24 parameters 25 of 25 of 27 obliquity 26 pelvic 27 obliquity 28 and 29 torsion no significant differences in the response of the pelvis to the llis were found between the age groups . 0 ###LEFT-WALL### 3 differences 0 ###LEFT-WALL### 14 found 0 ###LEFT-WALL### 19 . 1 no 3 differences 2 significant 3 differences 3 differences 4 in 3 differences 13 were 4 in 6 response 5 the 6 response 6 response 7 of 7 of 9 pelvis 8 the 9 pelvis 9 pelvis 10 to 10 to 12 llis 11 the 12 llis 13 were 14 found 14 found 15 between 15 between 18 groups 16 the 18 groups 17 age 18 groups in all age groups an increase in surface rotation and lateral deviation of the spine with increasing llis was found . 0 ###LEFT-WALL### 6 increase 0 ###LEFT-WALL### 20 found 0 ###LEFT-WALL### 21 . 1 in 4 groups 1 in 6 increase 2 all 4 groups 3 age 4 groups 5 an 6 increase 6 increase 7 in 6 increase 13 of 6 increase 16 with 6 increase 19 was 7 in 10 and 8 surface 9 rotation 9 rotation 10 and 10 and 12 deviation 11 lateral 12 deviation 13 of 15 spine 14 the 15 spine 16 with 17 increasing 17 increasing 18 llis 19 was 20 found however , none of these parameters responded significantly [different] between the three age groups . 0 ###LEFT-WALL### 6 parameters 0 ###LEFT-WALL### 7 responded 0 ###LEFT-WALL### 15 . 1 however 2 , 1 however 6 parameters 3 none 4 of 3 none 6 parameters 4 of 6 parameters 5 these 6 parameters 6 parameters 7 responded 7 responded 8 significantly 7 responded 10 between 10 between 14 groups 11 the 12 three 12 three 14 groups 13 age 14 groups conclusions : under static conditions , llis lead to significant changes of the pelvic position and spinal posture . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 7 llis 2 : 8 lead 2 : 19 . 3 under 5 conditions 3 under 6 , 3 under 7 llis 4 static 5 conditions 7 llis 8 lead 8 lead 9 to 9 to 11 changes 10 significant 11 changes 11 changes 12 of 12 of 16 and 13 the 15 position 14 pelvic 15 position 15 position 16 and 16 and 18 posture 17 spinal 18 posture despite all known age - related changes , no significant differences of the measured pelvic and spinal parameters in elderly patients as a response to the simulated llis occurred . 0 ###LEFT-WALL### 4 age 0 ###LEFT-WALL### 6 related 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 30 . 1 despite 2 all 1 despite 4 age 2 all 3 known 5 - 6 related 6 related 7 changes 8 , 11 differences 8 , 29 occurred 9 no 11 differences 10 significant 11 differences 11 differences 12 of 11 differences 22 as 11 differences 29 occurred 12 of 18 parameters 13 the 18 parameters 14 measured 18 parameters 15 pelvic 16 and 16 and 17 spinal 16 and 18 parameters 18 parameters 19 in 19 in 21 patients 20 elderly 21 patients 22 as 24 response 23 a 24 response 24 response 25 to 25 to 28 llis 26 the 28 llis 27 simulated 28 llis background : the xanthophylls [lutein] ( l [ )(and zeaxanthin ( z ) exist in relatively high concentration in multiple central nervous tissues ( e.g [.] [cortex] and neural retina ) . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 xanthophylls 2 : 14 exist 2 : 32 . 3 the 4 xanthophylls 4 xanthophylls 9 )(and 4 xanthophylls 14 exist 6 ( 9 )(and 7 l 9 )(and 9 )(and 10 zeaxanthin 9 )(and 12 z 9 )(and 13 ) 11 ( 12 z 12 z 13 ) 14 exist 15 in 14 exist 19 in 15 in 18 concentration 16 relatively 17 high 17 high 18 concentration 19 in 23 tissues 20 multiple 23 tissues 21 central 23 tissues 22 nervous 23 tissues 23 tissues 28 and 24 ( 28 and 25 e.g 28 and 28 and 30 retina 28 and 31 ) 29 neural 30 retina l + z [in] macula ( i.e [.] macular pigment , mp ) are thought to serve multiple functions , including protection and improvement of visual performance . 0 ###LEFT-WALL### 5 macula 0 ###LEFT-WALL### 14 are 0 ###LEFT-WALL### 28 . 1 l 2 + 2 + 3 z 2 + 5 macula 5 macula 10 pigment 5 macula 12 mp 5 macula 14 are 6 ( 10 pigment 7 i.e 10 pigment 9 macular 10 pigment 10 pigment 11 , 11 , 12 mp 12 mp 13 ) 14 are 23 and 15 thought 16 to 15 thought 20 , 16 to 19 functions 17 serve 19 functions 18 multiple 19 functions 20 , 22 protection 20 , 23 and 21 including 22 protection 23 and 24 improvement 23 and 25 of 25 of 27 performance 26 visual 27 performance also , l + z [in] [the] macula [are] related to l [+] z in the cortex . 0 ###LEFT-WALL### 8 macula 0 ###LEFT-WALL### 10 related 0 ###LEFT-WALL### 18 . 1 also 2 , 1 also 8 macula 3 l 4 + 4 + 5 z 4 + 8 macula 8 macula 10 related 10 related 11 to 10 related 14 z 10 related 15 in 11 to 12 l 15 in 17 cortex 16 the 17 cortex objective : to determine whether macular pigment optical density ( mpod , l + z [in] [the] macula ) is related to [cognitive] function in older adults . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 24 function 2 : 28 . 3 to 4 determine 4 determine 5 whether 4 determine 22 to 5 whether 9 density 5 whether 21 related 6 macular 7 pigment 7 pigment 9 density 8 optical 9 density 9 density 11 mpod 9 density 18 macula 9 density 20 is 10 ( 11 mpod 11 mpod 12 , 12 , 18 macula 13 l 14 + 14 + 15 z 14 + 18 macula 18 macula 19 ) 20 is 21 related 22 to 24 function 24 function 25 in 25 in 27 adults 26 older 27 adults methods : [participants] were older adults ( n = 108 , 77.6 ± 2.7 years ) sampled from the age - related maculopathy ancillary study of the health aging and body composition study ( memphis , tn , usa ) . 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 22 related 0 ###LEFT-WALL### 41 . 1 methods 2 : 2 : 4 were 4 were 6 adults 4 were 17 sampled 5 older 6 adults 6 adults 9 = 6 adults 15 years 7 ( 9 = 8 n 9 = 9 = 10 108 11 , 15 years 12 77.6 15 years 13 ± 15 years 14 2.7 15 years 15 years 16 ) 17 sampled 18 from 18 from 20 age 19 the 20 age 21 - 22 related 22 related 25 study 23 maculopathy 25 study 24 ancillary 25 study 25 study 26 of 26 of 30 and 27 the 29 aging 28 health 29 aging 29 aging 30 and 30 and 33 study 30 and 35 memphis 30 and 37 tn 31 body 32 composition 32 composition 33 study 34 ( 35 memphis 35 memphis 36 , 36 , 37 tn 37 tn 39 usa 37 tn 40 ) 38 , 39 usa 39 usa 40 ) serum carotenoids were measured using high performance liquid chromatography . 0 ###LEFT-WALL### 2 carotenoids 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 10 . 1 serum 2 carotenoids 2 carotenoids 3 were 3 were 4 measured 4 measured 5 using 5 using 9 chromatography 6 high 7 performance 7 performance 9 chromatography 8 liquid 9 chromatography mpod was assessed using heterochromatic flicker photometry . 0 ###LEFT-WALL### 1 mpod 0 ###LEFT-WALL### 3 assessed 0 ###LEFT-WALL### 8 . 1 mpod 2 was 2 was 3 assessed 3 assessed 4 using 4 using 7 photometry 5 heterochromatic 6 flicker 6 flicker 7 photometry eight cognitive tests designed to evaluate several cognitive domains including memory and processing speed were administered . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 16 administered 0 ###LEFT-WALL### 17 . 1 eight 3 tests 2 cognitive 3 tests 3 tests 4 designed 3 tests 12 and 4 designed 5 to 4 designed 6 evaluate 5 to 6 evaluate 6 evaluate 9 domains 7 several 9 domains 8 cognitive 9 domains 9 domains 10 including 10 including 11 memory 12 and 14 speed 12 and 15 were 13 processing 14 speed 15 were 16 administered partial correlation coefficients were computed to determine whether cognitive measures were related to serum l + z [and] mpod . 0 ###LEFT-WALL### 3 coefficients 0 ###LEFT-WALL### 5 computed 0 ###LEFT-WALL### 20 . 1 partial 2 correlation 2 correlation 3 coefficients 3 coefficients 4 were 4 were 5 computed 5 computed 6 to 6 to 7 determine 7 determine 8 whether 8 whether 10 measures 8 whether 12 related 9 cognitive 10 measures 10 measures 11 were 11 were 12 related 12 related 13 to 13 to 19 mpod 14 serum 19 mpod 15 l 16 + 16 + 17 z 16 + 19 mpod results : mpod levels were significantly associated with better global cognition , verbal learning and fluency , recall , processing speed and perceptual speed , whereas serum l [+] z was significantly related to only verbal fluency . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 33 related 0 ###LEFT-WALL### 38 . 1 results 2 : 2 : 3 mpod 3 mpod 4 levels 3 mpod 5 were 3 mpod 7 associated 3 mpod 14 learning 4 levels 5 were 5 were 6 significantly 7 associated 8 with 7 associated 12 , 7 associated 13 verbal 8 with 11 cognition 9 better 11 cognition 10 global 11 cognition 15 and 22 and 15 and 24 speed 16 fluency 17 , 17 , 18 recall 17 , 19 , 19 , 21 speed 19 , 22 and 20 processing 21 speed 22 and 23 perceptual 22 and 24 speed 24 speed 26 whereas 25 , 26 whereas 26 whereas 27 serum 27 serum 28 l 27 serum 30 z 27 serum 31 was 27 serum 33 related 30 z 31 was 31 was 32 significantly 33 related 34 to 34 to 37 fluency 35 only 36 verbal 36 verbal 37 fluency conclusion : mpod is related to [cognitive] function in older people . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 mpod 2 : 5 related 2 : 12 . 3 mpod 4 is 4 is 5 related 5 related 6 to 6 to 8 function 8 function 9 in 9 in 11 people 10 older 11 people its role as a potential biomarker [of] cognitive function deserves further study . 0 ###LEFT-WALL### 2 role 0 ###LEFT-WALL### 10 deserves 0 ###LEFT-WALL### 13 . 1 its 2 role 2 role 3 as 2 role 10 deserves 3 as 9 function 4 a 5 potential 4 a 9 function 5 potential 9 function 6 biomarker 9 function 8 cognitive 9 function 10 deserves 12 study 11 further 12 study neurodegenerative diseases , alzheimer 's disease ( ad [ )(and parkinson 's disease ( pd ) , constitute a major worldwide health problem . 0 ###LEFT-WALL### 2 diseases 0 ###LEFT-WALL### 18 constitute 0 ###LEFT-WALL### 24 . 1 neurodegenerative 2 diseases 2 diseases 6 disease 2 diseases 18 constitute 3 , 6 disease 4 alzheimer 5 's 5 's 6 disease 6 disease 10 )(and 6 disease 17 , 7 ( 10 )(and 8 ad 10 )(and 10 )(and 13 disease 10 )(and 15 pd 10 )(and 17 , 11 parkinson 12 's 12 's 13 disease 14 ( 15 pd 15 pd 16 ) 18 constitute 23 problem 19 a 20 major 19 a 23 problem 20 major 22 health 21 worldwide 22 health 22 health 23 problem several [hypothesis] have been put forth to elucidate the basis [of] onset and pathogenesis of ad and pd ; however , [till] date , none of these seems to clearly elucidate the complex pathoetiology of these disorders . 0 ###LEFT-WALL### 1 several 0 ###LEFT-WALL### 5 put 0 ###LEFT-WALL### 19 ; 0 ###LEFT-WALL### 38 . 1 several 3 have 3 have 4 been 4 been 5 put 5 put 6 forth 5 put 7 to 7 to 8 elucidate 8 elucidate 13 and 9 the 12 onset 10 basis 12 onset 12 onset 13 and 13 and 14 pathogenesis 13 and 15 of 15 of 17 and 16 ad 17 and 17 and 18 pd 19 ; 23 date 19 ; 24 , 20 however 21 , 20 however 23 date 24 , 25 none 24 , 28 seems 25 none 26 of 25 none 28 seems 26 of 27 these 28 seems 29 to 28 seems 31 elucidate 29 to 31 elucidate 30 clearly 31 elucidate 31 elucidate 34 pathoetiology 32 the 34 pathoetiology 33 complex 34 pathoetiology 34 pathoetiology 35 of 35 of 37 disorders 36 these 37 disorders notably , copper [dyshomeostasis] has been shown to underlie the pathophysiology of several neurodegenerative diseases including ad and pd . 0 ###LEFT-WALL### 3 copper 0 ###LEFT-WALL### 7 shown 1 notably 2 , 1 notably 3 copper 3 copper 5 has 5 has 6 been 6 been 7 shown 7 shown 8 to 8 to 9 underlie 9 underlie 11 pathophysiology 10 the 11 pathophysiology 11 pathophysiology 12 of 12 of 15 diseases 13 several 15 diseases 14 neurodegenerative 15 diseases 15 diseases 16 including 16 including 19 pd 17 ad 18 and 18 and 19 pd 19 pd 20 . numerous studies have concluded beyond doubt that imbalance in copper homeostatic mechanisms in conjunction with aging causes [an] acceleration in the copper toxicity elicited oxidative stress , which is detrimental to the central nervous system . 0 ###LEFT-WALL### 1 numerous 0 ###LEFT-WALL### 4 concluded 0 ###LEFT-WALL### 27 , 0 ###LEFT-WALL### 36 . 2 studies 3 have 3 have 4 concluded 4 concluded 5 beyond 4 concluded 20 in 5 beyond 6 doubt 6 doubt 7 that 7 that 8 imbalance 7 that 17 causes 8 imbalance 9 in 8 imbalance 15 with 8 imbalance 17 causes 9 in 12 mechanisms 10 copper 12 mechanisms 11 homeostatic 12 mechanisms 13 in 14 conjunction 14 conjunction 15 with 15 with 16 aging 17 causes 19 acceleration 20 in 26 stress 21 the 26 stress 22 copper 23 toxicity 23 toxicity 24 elicited 24 elicited 26 stress 25 oxidative 26 stress 27 , 28 which 27 , 29 is 28 which 29 is 29 is 30 detrimental 30 detrimental 31 to 31 to 35 system 32 the 35 system 33 central 35 system 34 nervous 35 system amyloid precursor protein and α - synuclein protein involved in ad and pd are copper binding proteins , respectively . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 15 copper 1 amyloid 2 precursor 2 precursor 3 protein 3 protein 4 and 4 and 8 protein 4 and 9 involved 4 and 14 are 5 α 6 - 5 α 8 protein 7 synuclein 8 protein 9 involved 10 in 10 in 13 pd 11 ad 12 and 12 and 13 pd 14 are 15 copper 15 copper 17 proteins 15 copper 19 respectively 16 binding 17 proteins 18 , 19 respectively 19 respectively 20 . in this review , we have discussed the possible association of copper metabolism proteins with ad and pd [along] with briefly outlining the expanding proportion of " copper interactome " in human biology . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 7 discussed 0 ###LEFT-WALL### 34 . 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 6 have 6 have 7 discussed 7 discussed 10 association 7 discussed 15 with 8 the 10 association 9 possible 10 association 10 association 11 of 11 of 14 proteins 12 copper 13 metabolism 13 metabolism 14 proteins 15 with 18 pd 16 ad 17 and 17 and 18 pd 18 pd 20 with 18 pd 26 of 20 with 22 outlining 21 briefly 22 outlining 22 outlining 25 proportion 23 the 25 proportion 24 expanding 25 proportion 26 of 27 " 26 of 28 copper 28 copper 29 interactome 29 interactome 30 " 29 interactome 31 in 31 in 33 biology 32 human 33 biology using network biology , we found that copper metabolism proteins , superoxide dismutase 1 and ceruloplasmin may represent direct and indirect link with ad and pd , respectively . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 11 , 1 using 3 biology 1 using 4 , 1 using 5 we 2 network 3 biology 5 we 11 , 6 found 7 that 6 found 10 proteins 6 found 11 , 8 copper 10 proteins 9 metabolism 10 proteins 11 , 18 represent 12 superoxide 13 dismutase 13 dismutase 14 1 13 dismutase 15 and 15 and 16 ceruloplasmin 15 and 17 may 17 may 18 represent 18 represent 20 and 18 represent 23 with 18 represent 28 respectively 19 direct 20 and 20 and 22 link 21 indirect 22 link 23 with 25 and 24 ad 25 and 25 and 26 pd 27 , 28 respectively 28 respectively 29 . liver injuries can be significant in vehicle crashes . 0 ###LEFT-WALL### 2 injuries 0 ###LEFT-WALL### 4 be 0 ###LEFT-WALL### 9 . 1 liver 2 injuries 2 injuries 3 can 3 can 4 be 4 be 5 significant 5 significant 6 in 6 in 8 crashes 7 vehicle 8 crashes in this study , the liver anatomy was quantified in both [adult] and pediatric populations as a function of gender and age . 0 ###LEFT-WALL### 7 anatomy 0 ###LEFT-WALL### 9 quantified 0 ###LEFT-WALL### 23 . 1 in 3 study 1 in 4 , 1 in 7 anatomy 2 this 3 study 5 the 7 anatomy 6 liver 7 anatomy 7 anatomy 8 was 8 was 9 quantified 9 quantified 10 in 9 quantified 16 as 10 in 13 and 11 both 13 and 13 and 15 populations 14 pediatric 15 populations 16 as 21 and 17 a 18 function 18 function 19 of 18 function 21 and 19 of 20 gender 21 and 22 age five anatomical liver measurements were determined using ct scans of 260 normal livers . 0 ###LEFT-WALL### 4 measurements 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 14 . 1 five 4 measurements 2 anatomical 3 liver 3 liver 4 measurements 4 measurements 5 were 5 were 7 using 6 determined 7 using 7 using 8 ct 7 using 9 scans 7 using 10 of 8 ct 9 scans 10 of 13 livers 11 260 13 livers 12 normal 13 livers these measurements include the area and volume , and the length , width , and girth of the liver ( irb hum00041441 ) . 0 ###LEFT-WALL### 2 measurements 0 ###LEFT-WALL### 3 include 0 ###LEFT-WALL### 24 . 1 these 2 measurements 2 measurements 3 include 3 include 15 and 4 the 15 and 5 area 6 and 6 and 7 volume 6 and 9 and 8 , 9 and 9 and 11 length 9 and 13 width 9 and 15 and 10 the 11 length 12 , 13 width 13 width 14 , 14 , 15 and 15 and 16 girth 15 and 17 of 17 of 19 liver 18 the 19 liver 19 liver 22 hum00041441 20 ( 22 hum00041441 21 irb 22 hum00041441 22 hum00041441 23 ) to characterize geometrical shape , an inscribed sphere and circumscribed ellipsoid were fitted on the measurements . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 characterize 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 17 . 1 to 2 characterize 2 characterize 4 shape 3 geometrical 4 shape 5 , 9 and 5 , 13 fitted 6 an 8 sphere 7 inscribed 8 sphere 8 sphere 9 and 9 and 11 ellipsoid 9 and 12 were 10 circumscribed 11 ellipsoid 12 were 13 fitted 13 fitted 14 on 14 on 16 measurements 15 the 16 measurements in the pediatric population the liver area and volume continuously increased with age . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 11 increased 0 ###LEFT-WALL### 14 . 1 in 4 population 1 in 8 and 2 the 4 population 3 pediatric 4 population 5 the 7 area 6 liver 7 area 7 area 8 and 8 and 9 volume 8 and 11 increased 10 continuously 11 increased 11 increased 12 with 12 with 13 age when normalized by patient weight , volume measurements show a decrease in volume with age , suggesting that the liver occupies a smaller proportion of the body with age . 0 ###LEFT-WALL### 8 measurements 0 ###LEFT-WALL### 9 show 1 when 2 normalized 1 when 6 , 1 when 8 measurements 2 normalized 3 by 3 by 5 weight 4 patient 5 weight 7 volume 8 measurements 8 measurements 9 show 9 show 11 decrease 9 show 12 in 9 show 14 with 10 a 11 decrease 12 in 13 volume 14 with 15 age 15 age 17 suggesting 16 , 17 suggesting 17 suggesting 18 that 17 suggesting 30 . 18 that 20 liver 18 that 21 occupies 19 the 20 liver 20 liver 21 occupies 21 occupies 24 proportion 21 occupies 28 with 22 a 24 proportion 23 smaller 24 proportion 24 proportion 25 of 25 of 27 body 26 the 27 body 28 with 29 age in the adult population , liver measurements varied with gender . 0 ###LEFT-WALL### 7 measurements 0 ###LEFT-WALL### 8 varied 0 ###LEFT-WALL### 11 . 1 in 4 population 1 in 5 , 1 in 7 measurements 2 the 4 population 3 adult 4 population 6 liver 7 measurements 7 measurements 8 varied 8 varied 9 with 9 with 10 gender the superior and inferior locations of the liver were also recorded with respect to the spine . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 11 recorded 0 ###LEFT-WALL### 17 . 1 the 2 superior 2 superior 3 and 3 and 5 locations 3 and 6 of 3 and 9 were 4 inferior 5 locations 6 of 8 liver 7 the 8 liver 9 were 10 also 9 were 11 recorded 11 recorded 12 with 11 recorded 14 to 12 with 13 respect 14 to 16 spine 15 the 16 spine the lower portion was at the l3 in small children and at l2 as children approached puberty . 0 ###LEFT-WALL### 3 portion 0 ###LEFT-WALL### 4 was 1 the 3 portion 2 lower 3 portion 3 portion 4 was 4 was 5 at 5 at 7 l3 6 the 7 l3 7 l3 11 and 8 in 10 children 8 in 11 and 9 small 10 children 11 and 12 at 12 at 13 l2 13 l2 16 approached 14 as 15 children 14 as 16 approached 15 children 16 approached 16 approached 17 puberty 16 approached 18 . it stayed in that area through the 60+ group , offering more ribcage protection . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 stayed 1 it 2 stayed 2 stayed 3 in 2 stayed 6 through 3 in 5 area 4 that 5 area 6 through 9 group 7 the 9 group 8 60+ 9 group 9 group 11 offering 10 , 11 offering 11 offering 13 ribcage 11 offering 14 protection 11 offering 15 . 12 more 13 ribcage liver injury patterns were also assessed in crash occupants . 0 ###LEFT-WALL### 3 patterns 0 ###LEFT-WALL### 6 assessed 0 ###LEFT-WALL### 10 . 1 liver 3 patterns 2 injury 3 patterns 3 patterns 4 were 4 were 6 assessed 5 also 6 assessed 6 assessed 7 in 7 in 9 occupants 8 crash 9 occupants seventy - two occupants [with] moderate to severe ( ais 2+ ) liver injuries were investigated . 0 ###LEFT-WALL### 4 occupants 0 ###LEFT-WALL### 16 investigated 0 ###LEFT-WALL### 17 . 1 seventy 2 - 2 - 3 two 2 - 4 occupants 4 occupants 6 moderate 4 occupants 15 were 6 moderate 7 to 7 to 14 injuries 8 severe 11 2+ 8 severe 13 liver 9 ( 11 2+ 10 ais 11 2+ 11 2+ 12 ) 13 liver 14 injuries 15 were 16 investigated a new methodology was presented and consisted of quantifying blood volumes . 0 ###LEFT-WALL### 3 methodology 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 12 . 1 a 2 new 1 a 3 methodology 2 new 3 methodology 3 methodology 4 was 4 was 6 and 5 presented 6 and 6 and 7 consisted 6 and 11 volumes 7 consisted 8 of 8 of 9 quantifying 9 quantifying 10 blood the results were compared to overall liver volume and injury scales . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 4 compared 0 ###LEFT-WALL### 12 . 1 the 2 results 2 results 3 were 3 were 4 compared 4 compared 5 to 5 to 9 and 6 overall 7 liver 7 liver 8 volume 8 volume 9 and 9 and 11 scales 10 injury 11 scales no clear distinction on the injury pattern was observed by age [group] . 0 ###LEFT-WALL### 3 distinction 0 ###LEFT-WALL### 9 observed 0 ###LEFT-WALL### 13 . 1 no 3 distinction 2 clear 3 distinction 3 distinction 4 on 3 distinction 8 was 4 on 7 pattern 5 the 7 pattern 6 injury 7 pattern 8 was 9 observed 9 observed 10 by 10 by 11 age liver injuries were more commonly associated with ais 2+ thoracic injuries in adults than in children . 0 ###LEFT-WALL### 2 injuries 0 ###LEFT-WALL### 6 associated 0 ###LEFT-WALL### 17 . 1 liver 2 injuries 2 injuries 3 were 3 were 4 more 3 were 6 associated 5 commonly 6 associated 6 associated 7 with 6 associated 14 than 7 with 11 injuries 8 ais 11 injuries 9 2+ 11 injuries 10 thoracic 11 injuries 11 injuries 12 in 12 in 13 adults 14 than 15 in 15 in 16 children most injuries occurred in the right lobe . 0 ###LEFT-WALL### 2 injuries 0 ###LEFT-WALL### 3 occurred 0 ###LEFT-WALL### 8 . 1 most 2 injuries 2 injuries 3 occurred 3 occurred 4 in 4 in 7 lobe 5 the 7 lobe 6 right 7 lobe glass polyalkenoate cements ( gpcs [ )(containing aluminum - free borate glasses having the general composition ag2o - na2o - cao - sro - zno - tio2 - b2o3 were evaluated in this work . 0 ###LEFT-WALL### 2 polyalkenoate 0 ###LEFT-WALL### 3 cements 0 ###LEFT-WALL### 24 - 1 glass 2 polyalkenoate 2 polyalkenoate 3 cements 3 cements 9 - 3 cements 23 sro 4 ( 9 - 5 gpcs 7 )(containing 5 gpcs 9 - 7 )(containing 8 aluminum 9 - 12 glasses 9 - 22 - 10 free 11 borate 11 borate 12 glasses 12 glasses 13 having 12 glasses 19 na2o 13 having 17 ag2o 14 the 16 composition 15 general 16 composition 16 composition 17 ag2o 18 - 19 na2o 19 na2o 21 cao 19 na2o 22 - 20 - 21 cao 21 cao 22 - 24 - 29 b2o3 24 - 31 evaluated 24 - 35 . 25 zno 26 - 25 zno 29 b2o3 26 - 27 tio2 27 tio2 28 - 27 tio2 29 b2o3 29 b2o3 30 were 30 were 31 evaluated 31 evaluated 32 in 32 in 34 work 33 this 34 work an initial screening study of sixteen compositions was used to identify regions of glass formation and cement compositions with promising rheological properties . 0 ###LEFT-WALL### 2 initial 0 ###LEFT-WALL### 9 used 0 ###LEFT-WALL### 23 . 1 an 2 initial 2 initial 3 screening 2 initial 8 was 3 screening 4 study 4 study 5 of 5 of 7 compositions 6 sixteen 7 compositions 8 was 9 used 9 used 10 to 9 used 16 and 10 to 16 and 11 identify 12 regions 11 identify 16 and 12 regions 13 of 13 of 15 formation 14 glass 15 formation 16 and 17 cement 17 cement 18 compositions 18 compositions 19 with 19 with 22 properties 20 promising 22 properties 21 rheological 22 properties the results of the screening study were used to develop four model borate glass compositions for further study . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 8 used 0 ###LEFT-WALL### 19 . 1 the 2 results 2 results 3 of 2 results 7 were 3 of 6 study 4 the 6 study 5 screening 6 study 7 were 8 used 8 used 9 to 8 used 10 develop 9 to 10 develop 10 develop 15 compositions 11 four 15 compositions 12 model 14 glass 13 borate 14 glass 14 glass 15 compositions 15 compositions 16 for 16 for 18 study 17 further 18 study a second round of rheological experiments was used to identify a preferred gpc formulation for each model glass composition . 0 ###LEFT-WALL### 3 round 0 ###LEFT-WALL### 8 used 0 ###LEFT-WALL### 20 . 1 a 3 round 2 second 3 round 3 round 4 of 3 round 7 was 4 of 6 experiments 5 rheological 6 experiments 7 was 8 used 8 used 9 to 8 used 10 identify 9 to 10 identify 10 identify 14 formulation 11 a 14 formulation 12 preferred 14 formulation 13 gpc 14 formulation 14 formulation 15 for 15 for 19 composition 16 each 19 composition 17 model 19 composition 18 glass 19 composition the model borate glasses containing higher levels of tio2 ( 7.5 mol [%] ) tended to have longer working times and shorter setting times . 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 25 . 1 the 4 glasses 2 model 4 glasses 3 borate 4 glasses 4 glasses 5 containing 4 glasses 19 working 4 glasses 21 and 5 containing 7 levels 5 containing 18 longer 6 higher 7 levels 7 levels 8 of 7 levels 15 tended 7 levels 16 to 7 levels 17 have 8 of 9 tio2 9 tio2 12 mol 10 ( 12 mol 11 7.5 12 mol 12 mol 14 ) 16 to 17 have 19 working 20 times 21 and 24 times 22 shorter 24 times 23 setting 24 times dissolution behavior of the four model gpc formulations was evaluated by measuring ion release profiles as a function of time . 0 ###LEFT-WALL### 2 behavior 0 ###LEFT-WALL### 10 evaluated 0 ###LEFT-WALL### 21 . 1 dissolution 2 behavior 2 behavior 3 of 2 behavior 9 was 3 of 8 formulations 4 the 5 four 5 four 8 formulations 6 model 8 formulations 7 gpc 8 formulations 9 was 10 evaluated 10 evaluated 11 by 11 by 12 measuring 12 measuring 15 profiles 12 measuring 16 as 13 ion 15 profiles 14 release 15 profiles 16 as 18 function 17 a 18 function 18 function 19 of 19 of 20 time all four gpc formulations showed evidence of incongruent dissolution behavior when considering the relative release profiles of sodium and boron , although the exact dissolution profile of the glass was presumably obscured by the polymeric cement matrix . 0 ###LEFT-WALL### 4 formulations 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 38 . 1 all 2 four 2 four 4 formulations 3 gpc 4 formulations 4 formulations 5 showed 5 showed 6 evidence 5 showed 11 when 5 showed 22 although 6 evidence 7 of 7 of 10 behavior 8 incongruent 10 behavior 9 dissolution 10 behavior 11 when 12 considering 12 considering 15 release 12 considering 16 profiles 13 the 15 release 14 relative 15 release 16 profiles 17 of 17 of 19 and 18 sodium 19 and 19 and 20 boron 19 and 21 , 22 although 26 profile 22 although 30 was 23 the 26 profile 24 exact 25 dissolution 25 dissolution 26 profile 26 profile 27 of 26 profile 30 was 27 of 29 glass 28 the 29 glass 30 was 31 presumably 30 was 33 by 31 presumably 32 obscured 33 by 37 matrix 34 the 37 matrix 35 polymeric 36 cement 36 cement 37 matrix compression testing was undertaken to evaluate cement strength over time during immersion in water . 0 ###LEFT-WALL### 2 testing 0 ###LEFT-WALL### 4 undertaken 0 ###LEFT-WALL### 15 . 1 compression 2 testing 2 testing 3 was 3 was 4 undertaken 4 undertaken 5 to 5 to 6 evaluate 6 evaluate 8 strength 6 evaluate 9 over 6 evaluate 11 during 6 evaluate 13 in 7 cement 8 strength 9 over 10 time 11 during 12 immersion 13 in 14 water [the] [cements] containing the borate glass with 7.5 mol % tio2 had the highest initial compressive strength , ranging between 20 and 30 mpa . 0 ###LEFT-WALL### 3 containing 0 ###LEFT-WALL### 12 had 3 containing 6 glass 3 containing 7 with 3 containing 12 had 4 the 6 glass 5 borate 6 glass 7 with 11 tio2 8 7.5 9 mol 9 mol 11 tio2 10 % 11 tio2 12 had 14 highest 12 had 15 initial 13 the 14 highest 15 initial 17 strength 15 initial 19 ranging 16 compressive 17 strength 18 , 19 ranging 19 ranging 20 between 19 ranging 24 mpa 19 ranging 25 . 20 between 22 and 21 20 22 and 22 and 23 30 no beneficial aging effect was observed - instead , the strength of all four model gpc formulations was found to degrade [with] time . 0 ###LEFT-WALL### 4 effect 0 ###LEFT-WALL### 6 observed 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 24 . 1 no 4 effect 2 beneficial 4 effect 3 aging 4 effect 4 effect 5 was 5 was 6 observed 6 observed 8 instead 7 - 8 instead 8 instead 9 , 9 , 11 strength 9 , 19 found 10 the 11 strength 11 strength 12 of 11 strength 18 was 12 of 17 formulations 13 all 17 formulations 14 four 15 model 15 model 17 formulations 16 gpc 17 formulations 18 was 19 found 19 found 20 to 20 to 21 degrade 21 degrade 23 time objectives : to examine whether polymorphisms in the rna granule component tudor domain - containing protein 7 ( tdrd7 ) [gene] are associated with susceptibility to age - related cataract [(] arc ) in a han chinese population . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 39 . 2 : 3 to 2 : 4 examine 3 to 4 examine 4 examine 5 whether 4 examine 24 with 5 whether 6 polymorphisms 5 whether 23 associated 6 polymorphisms 7 in 6 polymorphisms 15 containing 6 polymorphisms 22 are 7 in 13 domain 8 the 13 domain 9 rna 10 granule 10 granule 11 component 11 component 13 domain 12 tudor 13 domain 14 - 15 containing 15 containing 16 protein 15 containing 20 ) 16 protein 17 7 16 protein 19 tdrd7 18 ( 19 tdrd7 19 tdrd7 20 ) 22 are 23 associated 24 with 25 susceptibility 25 susceptibility 26 to 25 susceptibility 34 in 26 to 27 age 27 age 32 arc 28 - 32 arc 29 related 32 arc 30 cataract 32 arc 32 arc 33 ) 34 in 38 population 35 a 38 population 36 han 37 chinese 37 chinese 38 population methods : patients with arc , and age - , sex - and ethnically - matched healthy control subjects were enrolled in the study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 25 . 1 methods 2 : 2 : 3 patients 2 : 4 with 4 with 7 and 5 arc 7 and 6 , 7 and 7 and 8 age 7 and 9 - 7 and 11 sex 10 , 11 sex 11 sex 12 - 13 and 14 ethnically 13 and 15 - 13 and 21 enrolled 15 - 19 subjects 16 matched 18 control 17 healthy 18 control 18 control 19 subjects 19 subjects 20 were 20 were 21 enrolled 21 enrolled 22 in 22 in 24 study 23 the 24 study five single nucleotide polymorphisms ( snps ) within the tdrd7 gene , rs1462091 , rs11793735 , rs10981985 , rs2045732 and rs1462089 , were genotyped using a snapshot® multiplex kit . 0 ###LEFT-WALL### 1 five 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 30 . 1 five 22 , 2 single 4 polymorphisms 2 single 8 within 2 single 22 , 3 nucleotide 4 polymorphisms 4 polymorphisms 6 snps 5 ( 6 snps 6 snps 7 ) 8 within 20 and 9 the 11 gene 10 tdrd7 11 gene 11 gene 12 , 12 , 15 rs11793735 12 , 16 , 13 rs1462091 14 , 13 rs1462091 15 rs11793735 16 , 19 rs2045732 16 , 20 and 17 rs10981985 18 , 17 rs10981985 19 rs2045732 20 and 21 rs1462089 22 , 23 were 22 , 25 using 22 , 29 kit 23 were 24 genotyped 25 using 27 snapshot® 26 a 27 snapshot® 28 multiplex 29 kit results : the study included 271 control subjects and 218 patients with arc . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 . 2 : 4 study 2 : 5 included 3 the 4 study 4 study 5 included 5 included 9 and 5 included 12 with 6 271 8 subjects 7 control 8 subjects 8 subjects 9 and 9 and 11 patients 10 218 11 patients 12 with 13 arc the rs10981985 snp [was] associated with arc in dominant ( odds [ratio] [ or []] 0.561 , 95 % confidence [interval] [ ci ] 0.388 , 0.809 ) and allele dose ( or 0.619 , 95 % ci 0.455 , 0.841 ) genetic models . 0 ###LEFT-WALL### 29 and 0 ###LEFT-WALL### 35 , 0 ###LEFT-WALL### 45 . 1 the 2 rs10981985 2 rs10981985 3 snp 3 snp 5 associated 3 snp 29 and 5 associated 6 with 6 with 7 arc 6 with 25 0.388 7 arc 8 in 8 in 20 confidence 9 dominant 11 odds 9 dominant 17 , 9 dominant 20 confidence 10 ( 11 odds 11 odds 14 or 11 odds 17 , 13 [ 14 or 14 or 16 0.561 14 or 17 , 18 95 19 % 19 % 20 confidence 20 confidence 23 ci 22 [ 23 ci 23 ci 24 ] 25 0.388 27 0.809 26 , 27 0.809 27 0.809 28 ) 29 and 31 dose 29 and 33 or 30 allele 31 dose 32 ( 33 or 33 or 34 0.619 33 or 35 , 35 , 44 models 36 95 37 % 37 % 44 models 38 ci 39 0.455 38 ci 41 0.841 38 ci 44 models 40 , 41 0.841 41 0.841 42 ) 43 genetic 44 models the rs10981985 [a] allele frequency was lower in patients with cortical arc than in control subjects ( or 0.502 , 95 % ci 0.315 , 0.801 ) . 0 ###LEFT-WALL### 5 frequency 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 28 . 1 the 5 frequency 2 rs10981985 5 frequency 4 allele 5 frequency 5 frequency 6 was 6 was 7 lower 7 lower 8 in 7 lower 10 with 7 lower 13 than 8 in 9 patients 10 with 12 arc 11 cortical 12 arc 13 than 14 in 14 in 16 subjects 15 control 16 subjects 16 subjects 18 or 16 subjects 23 ci 17 ( 18 or 18 or 19 0.502 18 or 20 , 20 , 23 ci 21 95 23 ci 22 % 23 ci 23 ci 24 0.315 23 ci 26 0.801 23 ci 27 ) 25 , 26 0.801 26 0.801 27 ) the rs10981985 polymorphism was significantly associated with cortical arc in a dominant genetic model ( or 0.431 , 95 % ci 0.251 , 0.740 ) . 0 ###LEFT-WALL### 3 polymorphism 0 ###LEFT-WALL### 6 associated 0 ###LEFT-WALL### 26 . 1 the 3 polymorphism 2 rs10981985 3 polymorphism 3 polymorphism 4 was 4 was 6 associated 5 significantly 6 associated 6 associated 7 with 6 associated 10 in 7 with 9 arc 8 cortical 9 arc 10 in 14 model 11 a 12 dominant 11 a 14 model 12 dominant 14 model 13 genetic 14 model 14 model 16 or 14 model 21 ci 15 ( 16 or 16 or 17 0.431 16 or 18 , 18 , 21 ci 19 95 21 ci 20 % 21 ci 21 ci 22 0.251 21 ci 24 0.740 21 ci 25 ) 23 , 24 0.740 24 0.740 25 ) conclusions : the present study suggests [that] the rs10981985 [g] → a variant within the tdrd7 gene may protect against cortical arc in a han chinese population . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 5 study 2 : 6 suggests 2 : 28 . 3 the 5 study 4 present 5 study 5 study 6 suggests 6 suggests 9 rs10981985 8 the 9 rs10981985 9 rs10981985 11 → 9 rs10981985 19 protect 11 → 12 a 11 → 13 variant 11 → 18 may 13 variant 14 within 14 within 17 gene 15 the 17 gene 16 tdrd7 17 gene 18 may 19 protect 19 protect 20 against 19 protect 23 in 20 against 22 arc 21 cortical 22 arc 23 in 27 population 24 a 27 population 25 han 27 population 26 chinese 27 population background and aims : increasing evidence in the literature suggests a link between the brain [-] derived neurotrophic [factor] ( bdnf ) system and adult depression , supporting a role in the pathophysiology of the disease and response to therapy . 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 41 . 1 background 2 and 2 and 3 aims 4 : 5 increasing 4 : 10 suggests 5 increasing 6 evidence 5 increasing 10 suggests 6 evidence 7 in 7 in 9 literature 8 the 9 literature 10 suggests 12 link 10 suggests 13 between 10 suggests 31 in 11 a 12 link 13 between 24 and 14 the 23 system 15 brain 17 derived 17 derived 23 system 18 neurotrophic 21 bdnf 18 neurotrophic 22 ) 18 neurotrophic 23 system 20 ( 21 bdnf 21 bdnf 22 ) 23 system 24 and 24 and 26 depression 24 and 27 , 24 and 28 supporting 25 adult 26 depression 28 supporting 30 role 29 a 30 role 31 in 33 pathophysiology 32 the 33 pathophysiology 33 pathophysiology 34 of 34 of 37 and 35 the 36 disease 36 disease 37 and 37 and 38 response 37 and 39 to 39 to 40 therapy few studies have reported bdnf serum levels in elderly depressed subjects and their relationship with antidepressant therapy . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 reported 0 ###LEFT-WALL### 18 . 1 few 2 studies 2 studies 3 have 3 have 4 reported 4 reported 7 levels 4 reported 8 in 4 reported 15 with 5 bdnf 7 levels 6 serum 7 levels 8 in 12 and 9 elderly 11 subjects 10 depressed 11 subjects 11 subjects 12 and 12 and 14 relationship 13 their 14 relationship 15 with 17 therapy 16 antidepressant 17 therapy the aim of the study was to evaluate bdnf serum levels in naive elderly depressed patients [,] before and after antidepressant treatment . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 11 levels 0 ###LEFT-WALL### 23 . 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 evaluate 7 to 8 evaluate 8 evaluate 9 bdnf 9 bdnf 10 serum 9 bdnf 11 levels 10 serum 11 levels 11 levels 12 in 11 levels 19 and 12 in 16 patients 13 naive 16 patients 14 elderly 16 patients 15 depressed 16 patients 18 before 19 and 19 and 20 after 20 after 22 treatment 21 antidepressant 22 treatment methods : we enrolled n = 5 elderly naive patients affected by depression , according to the diagnostic and statistical manual of mental disorders - iv text revision criteria [for] major depressive episode . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 2 : 3 we 2 : 4 enrolled 2 : 25 - 3 we 4 enrolled 4 enrolled 6 = 4 enrolled 12 by 4 enrolled 16 to 5 n 6 = 6 = 7 5 7 5 10 patients 7 5 11 affected 8 elderly 10 patients 9 naive 10 patients 10 patients 11 affected 12 by 13 depression 14 , 16 to 15 according 16 to 16 to 21 manual 16 to 25 - 17 the 21 manual 18 diagnostic 19 and 19 and 20 statistical 20 statistical 21 manual 21 manual 22 of 22 of 24 disorders 23 mental 24 disorders 25 - 33 episode 26 iv 27 text 27 text 28 revision 28 revision 33 episode 29 criteria 32 depressive 31 major 32 depressive 32 depressive 33 episode bdnf serum levels were evaluated through elisa method . 0 ###LEFT-WALL### 3 levels 0 ###LEFT-WALL### 5 evaluated 0 ###LEFT-WALL### 9 . 1 bdnf 3 levels 2 serum 3 levels 3 levels 4 were 4 were 5 evaluated 5 evaluated 6 through 6 through 8 method 7 elisa 8 method cognitive functions were examined by mini mental state examination ( mmse ) and severity of depression was assessed by geriatric depression scale ( gds ) . 0 ###LEFT-WALL### 2 functions 0 ###LEFT-WALL### 4 examined 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 26 . 1 cognitive 2 functions 2 functions 3 were 3 were 4 examined 4 examined 5 by 5 by 11 mmse 6 mini 7 mental 7 mental 8 state 8 state 9 examination 9 examination 11 mmse 10 ( 11 mmse 11 mmse 12 ) 13 and 14 severity 13 and 18 assessed 14 severity 15 of 14 severity 17 was 15 of 16 depression 17 was 18 assessed 18 assessed 19 by 19 by 24 gds 20 geriatric 21 depression 21 depression 22 scale 22 scale 24 gds 23 ( 24 gds 24 gds 25 ) bdnf levels were measured at baseline ( t0 ) and after 2 months ( t2 ) [of] escitalopram . 0 ###LEFT-WALL### 2 levels 0 ###LEFT-WALL### 4 measured 0 ###LEFT-WALL### 19 . 1 bdnf 2 levels 2 levels 3 were 3 were 4 measured 4 measured 10 and 4 measured 18 escitalopram 5 at 6 baseline 5 at 10 and 6 baseline 8 t0 7 ( 8 t0 8 t0 9 ) 10 and 11 after 11 after 13 months 12 2 13 months 13 months 15 t2 14 ( 15 t2 15 t2 16 ) ten healthy elderly subjects were enrolled as a control group . 0 ###LEFT-WALL### 4 subjects 0 ###LEFT-WALL### 6 enrolled 0 ###LEFT-WALL### 11 . 1 ten 4 subjects 2 healthy 4 subjects 3 elderly 4 subjects 4 subjects 5 were 5 were 6 enrolled 6 enrolled 7 as 7 as 10 group 8 a 9 control 8 a 10 group 9 control 10 group results : the serum bdnf levels in patients ( t0 ) and controls were 11.5 ± 0.6 and 13.6 ± 3.4 ng / [ml] ( [m] ± sd ) , respectively . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 bdnf 2 : 6 levels 2 : 12 and 2 : 18 and 3 the 4 serum 4 serum 5 bdnf 5 bdnf 6 levels 6 levels 7 in 7 in 8 patients 8 patients 10 t0 9 ( 10 t0 10 t0 11 ) 12 and 13 controls 12 and 14 were 13 controls 14 were 14 were 16 ± 15 11.5 16 ± 16 ± 17 0.6 18 and 19 13.6 18 and 20 ± 19 13.6 20 ± 20 ± 23 / 20 ± 31 respectively 21 3.4 22 ng 22 ng 23 / 23 / 28 sd 25 ( 28 sd 27 ± 28 sd 28 sd 29 ) 30 , 31 respectively 31 respectively 32 . at t2 , the patients showed a significant improvement of depressive symptoms ( p < 0.05 ) , with a [not] significant increase of mmse . 0 ###LEFT-WALL### 5 patients 0 ###LEFT-WALL### 6 showed 1 at 2 t2 1 at 3 , 1 at 5 patients 4 the 5 patients 5 patients 6 showed 6 showed 9 improvement 7 a 8 significant 7 a 9 improvement 8 significant 9 improvement 9 improvement 10 of 10 of 12 symptoms 11 depressive 12 symptoms 12 symptoms 15 < 12 symptoms 19 with 13 ( 15 < 14 p 15 < 15 < 16 0.05 15 < 17 ) 18 , 19 with 19 with 23 increase 19 with 26 . 20 a 23 increase 22 significant 23 increase 23 increase 24 of 24 of 25 mmse the serum bdnf concentrations increased to 16.0 ± 2.7 ng/ml at t2 ( p < 0.05 ) , beyond the levels of bdnf in controls . 0 ###LEFT-WALL### 4 concentrations 0 ###LEFT-WALL### 8 ± 1 the 4 concentrations 2 serum 4 concentrations 3 bdnf 4 concentrations 4 concentrations 5 increased 4 concentrations 8 ± 5 increased 6 to 6 to 7 16.0 8 ± 10 ng/ml 8 ± 11 at 9 2.7 10 ng/ml 11 at 12 t2 12 t2 15 < 12 t2 19 beyond 13 ( 15 < 14 p 15 < 15 < 16 0.05 15 < 17 ) 18 , 19 beyond 19 beyond 21 levels 19 beyond 26 . 20 the 21 levels 21 levels 22 of 22 of 23 bdnf 23 bdnf 24 in 24 in 25 controls the increase in bdnf levels was significantly related to the improvement in gds scores of the patients ( r = 0.9 , p < 0.05 ) . 0 ###LEFT-WALL### 2 increase 0 ###LEFT-WALL### 8 related 0 ###LEFT-WALL### 27 . 1 the 2 increase 2 increase 3 in 2 increase 6 was 3 in 5 levels 4 bdnf 5 levels 6 was 8 related 7 significantly 8 related 8 related 9 to 8 related 12 in 9 to 11 improvement 10 the 11 improvement 12 in 14 scores 13 gds 14 scores 14 scores 15 of 15 of 17 patients 16 the 17 patients 17 patients 20 = 17 patients 24 < 18 ( 20 = 19 r 20 = 20 = 21 0.9 20 = 22 , 22 , 24 < 23 p 24 < 24 < 25 0.05 24 < 26 ) conclusions : serum bdnf levels may be considered as a marker of response [to] antidepressant treatment for depression in the elderly . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 1 conclusions 2 : 2 : 4 bdnf 3 serum 4 bdnf 4 bdnf 5 levels 4 bdnf 8 considered 5 levels 6 may 6 may 7 be 7 be 8 considered 8 considered 9 as 8 considered 17 for 8 considered 19 in 9 as 11 marker 10 a 11 marker 11 marker 12 of 12 of 16 treatment 13 response 15 antidepressant 15 antidepressant 16 treatment 17 for 18 depression 19 in 21 elderly 20 the 21 elderly variation in the apolipoprotein [e] ( apoe ) [genotype] is associated with cognitive decline [in] normal aging . 0 ###LEFT-WALL### 1 variation 0 ###LEFT-WALL### 11 associated 0 ###LEFT-WALL### 18 . 1 variation 2 in 1 variation 10 is 2 in 4 apolipoprotein 3 the 4 apolipoprotein 4 apolipoprotein 7 apoe 6 ( 7 apoe 7 apoe 8 ) 10 is 11 associated 11 associated 12 with 12 with 17 aging 13 cognitive 14 decline 14 decline 17 aging 16 normal 17 aging increased symptoms of depression are also associated with greater cognitive impairment and risk of dementia in old age . 0 ###LEFT-WALL### 2 symptoms 0 ###LEFT-WALL### 7 associated 0 ###LEFT-WALL### 19 . 1 increased 2 symptoms 2 symptoms 3 of 2 symptoms 5 are 3 of 4 depression 5 are 6 also 5 are 7 associated 7 associated 8 with 7 associated 16 in 8 with 12 and 9 greater 11 impairment 10 cognitive 11 impairment 11 impairment 12 and 12 and 13 risk 12 and 14 of 14 of 15 dementia 16 in 18 age 17 old 18 age unlike apoe , where the direction of the effect is [from] genotype to cognitive [decline] , the causal relationship [between] depressed mood and cognitive impairment is not known . 0 ###LEFT-WALL### 4 where 0 ###LEFT-WALL### 28 known 0 ###LEFT-WALL### 29 . 1 unlike 2 apoe 1 unlike 3 , 1 unlike 4 where 4 where 6 direction 4 where 12 genotype 4 where 26 is 5 the 6 direction 6 direction 7 of 6 direction 10 is 7 of 9 effect 8 the 9 effect 10 is 12 genotype 12 genotype 13 to 12 genotype 25 impairment 13 to 23 and 14 cognitive 16 , 16 , 22 mood 16 , 23 and 17 the 22 mood 18 causal 19 relationship 19 relationship 22 mood 21 depressed 22 mood 23 and 24 cognitive 26 is 27 not 26 is 28 known rather than being a reaction to worsening cognitive performance with age , depressive symptoms might be a risk factor for age - related cognitive decline . 0 ###LEFT-WALL### 14 symptoms 0 ###LEFT-WALL### 16 be 0 ###LEFT-WALL### 22 - 1 rather 2 than 2 than 3 being 2 than 12 , 2 than 14 symptoms 3 being 5 reaction 3 being 6 to 4 a 5 reaction 6 to 7 worsening 7 worsening 9 performance 7 worsening 10 with 8 cognitive 9 performance 10 with 11 age 13 depressive 14 symptoms 14 symptoms 15 might 15 might 16 be 16 be 19 factor 17 a 19 factor 18 risk 19 factor 19 factor 20 for 20 for 21 age 22 - 25 decline 22 - 26 . 23 related 25 decline 24 cognitive 25 decline the study by rajan and colleagues ( published in this issue of psychosomatic medicine ) speaks to this possibility and , importantly , considers the association between depressive symptoms and age [-] related cognitive decline in the context of apoe variation . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 42 . 1 the 2 study 2 study 3 by 2 study 8 published 2 study 20 and 3 by 5 and 4 rajan 5 and 5 and 6 colleagues 7 ( 8 published 8 published 9 in 8 published 15 ) 9 in 11 issue 10 this 11 issue 11 issue 12 of 12 of 14 medicine 13 psychosomatic 14 medicine 16 speaks 17 to 16 speaks 20 and 17 to 19 possibility 18 this 19 possibility 20 and 24 considers 20 and 27 between 20 and 36 in 21 , 22 importantly 22 importantly 23 , 22 importantly 24 considers 24 considers 26 association 25 the 26 association 27 between 30 and 28 depressive 29 symptoms 29 symptoms 30 and 30 and 35 decline 31 age 33 related 33 related 35 decline 34 cognitive 35 decline 36 in 38 context 37 the 38 context 38 context 39 of 39 of 41 variation 40 apoe 41 variation this editorial discusses these findings in relation to causal pathways and highlights [how] longitudinal studies of this nature will improve our understanding of the biological underpinnings of cognitive decline [and] classification of its risk in the general population . 0 ###LEFT-WALL### 2 editorial 0 ###LEFT-WALL### 20 improve 0 ###LEFT-WALL### 39 . 1 this 2 editorial 2 editorial 11 and 2 editorial 16 of 2 editorial 19 will 3 discusses 5 findings 3 discusses 11 and 4 these 5 findings 5 findings 8 to 6 in 7 relation 7 relation 8 to 8 to 10 pathways 9 causal 10 pathways 11 and 12 highlights 12 highlights 15 studies 14 longitudinal 15 studies 16 of 18 nature 17 this 18 nature 19 will 20 improve 20 improve 22 understanding 20 improve 35 in 21 our 22 understanding 22 understanding 23 of 22 understanding 27 of 23 of 26 underpinnings 24 the 26 underpinnings 25 biological 26 underpinnings 27 of 31 classification 28 cognitive 29 decline 29 decline 31 classification 31 classification 32 of 32 of 34 risk 33 its 34 risk 35 in 38 population 36 the 38 population 37 general 38 population the severity and frequency of childhood obesity has increased significantly over the past three to four decades . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 18 . 1 the 2 severity 2 severity 3 and 3 and 4 frequency 3 and 5 of 3 and 7 obesity 3 and 9 increased 5 of 6 childhood 7 obesity 8 has 8 has 9 increased 9 increased 10 significantly 9 increased 11 over 11 over 17 decades 12 the 13 past 12 the 15 to 14 three 15 to 15 to 16 four 15 to 17 decades the health effects [of] increased body mass index as a child may significantly impact obese youth as [they] age . 0 ###LEFT-WALL### 8 index 0 ###LEFT-WALL### 14 impact 0 ###LEFT-WALL### 20 . 1 the 8 index 2 health 5 increased 3 effects 5 increased 5 increased 8 index 6 body 8 index 7 mass 8 index 8 index 9 as 8 index 12 may 9 as 11 child 10 a 11 child 12 may 14 impact 13 significantly 14 impact 14 impact 16 youth 14 impact 17 as 15 obese 16 youth 17 as 19 age however , many of the long - term outcomes of childhood obesity have yet to be studied . 0 ###LEFT-WALL### 9 outcomes 0 ###LEFT-WALL### 13 have 0 ###LEFT-WALL### 18 . 1 however 2 , 1 however 9 outcomes 3 many 4 of 3 many 9 outcomes 4 of 9 outcomes 5 the 9 outcomes 6 long 7 - 6 long 8 term 8 term 9 outcomes 9 outcomes 10 of 9 outcomes 13 have 10 of 12 obesity 11 childhood 12 obesity 13 have 15 to 13 have 17 studied 14 yet 15 to 15 to 16 be 16 be 17 studied this article examines the currently available longitudinal data evaluating the effects of childhood obesity on adult outcomes . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 examines 0 ###LEFT-WALL### 18 . 1 this 2 article 2 article 3 examines 3 examines 8 data 4 the 8 data 5 currently 6 available 6 available 8 data 7 longitudinal 8 data 8 data 9 evaluating 9 evaluating 11 effects 9 evaluating 15 on 10 the 11 effects 11 effects 12 of 12 of 14 obesity 13 childhood 14 obesity 15 on 17 outcomes 16 adult 17 outcomes consequences of obesity include an increased risk of developing the metabolic syndrome , cardiovascular disease , type 2 diabetes and its associated retinal and renal complications , nonalcoholic fatty liver disease , obstructive sleep apnea , polycystic ovarian syndrome , infertility , asthma , orthopedic complications , psychiatric disease , and increased rates of cancer , among others . 0 ###LEFT-WALL### 1 consequences 0 ###LEFT-WALL### 4 include 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 59 . 1 consequences 2 of 1 consequences 4 include 2 of 3 obesity 4 include 7 risk 5 an 7 risk 6 increased 7 risk 7 risk 8 of 8 of 9 developing 9 developing 12 syndrome 10 the 12 syndrome 11 metabolic 12 syndrome 12 syndrome 15 disease 13 , 15 disease 14 cardiovascular 15 disease 15 disease 16 , 16 , 17 type 16 , 32 , 17 type 18 2 17 type 20 and 19 diabetes 20 and 20 and 26 complications 20 and 31 disease 21 its 26 complications 22 associated 26 complications 23 retinal 24 and 24 and 25 renal 24 and 26 complications 27 , 31 disease 28 nonalcoholic 30 liver 29 fatty 30 liver 30 liver 31 disease 31 disease 32 , 32 , 51 and 33 obstructive 34 sleep 34 sleep 35 apnea 35 apnea 36 , 36 , 39 syndrome 36 , 40 , 37 polycystic 39 syndrome 38 ovarian 39 syndrome 40 , 41 infertility 40 , 42 , 42 , 43 asthma 42 , 44 , 44 , 46 complications 44 , 47 , 45 orthopedic 46 complications 47 , 49 disease 47 , 51 and 48 psychiatric 49 disease 50 , 51 and 51 and 53 rates 51 and 56 , 51 and 57 among 52 increased 53 rates 53 rates 54 of 54 of 55 cancer 57 among 58 others these disorders can start as early as childhood , and such early onset increases the likelihood of early morbidity and mortality . 0 ###LEFT-WALL### 2 disorders 0 ###LEFT-WALL### 4 start 0 ###LEFT-WALL### 22 . 1 these 2 disorders 2 disorders 3 can 3 can 4 start 4 start 6 early 4 start 7 as 4 start 16 likelihood 5 as 6 early 7 as 10 and 8 childhood 10 and 9 , 10 and 10 and 14 increases 11 such 14 increases 12 early 13 onset 13 onset 14 increases 15 the 16 likelihood 16 likelihood 17 of 17 of 20 and 18 early 19 morbidity 19 morbidity 20 and 20 and 21 mortality being obese as a child also increases the likelihood of being obese as an adult , and obesity in adulthood also leads to obesity - related complications . 0 ###LEFT-WALL### 1 being 0 ###LEFT-WALL### 17 and 1 being 2 obese 1 being 7 increases 2 obese 3 as 2 obese 6 also 3 as 5 child 4 a 5 child 7 increases 9 likelihood 8 the 9 likelihood 9 likelihood 10 of 9 likelihood 13 as 10 of 11 being 11 being 12 obese 13 as 15 adult 14 an 15 adult 16 , 17 and 17 and 18 obesity 17 and 22 leads 18 obesity 19 in 18 obesity 22 leads 19 in 20 adulthood 21 also 22 leads 22 leads 23 to 23 to 24 obesity 24 obesity 27 complications 25 - 27 complications 26 related 27 complications 27 complications 28 . this review outlines the evidence for childhood obesity as a predictor of adult obesity and obesity - related disorders , thereby emphasizing the importance of early intervention to prevent the onset of obesity in childhood . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 outlines 0 ###LEFT-WALL### 36 . 1 this 2 review 2 review 3 outlines 3 outlines 5 evidence 3 outlines 6 for 3 outlines 9 as 3 outlines 28 to 4 the 5 evidence 6 for 8 obesity 7 childhood 8 obesity 9 as 15 and 10 a 11 predictor 11 predictor 12 of 11 predictor 15 and 12 of 14 obesity 13 adult 14 obesity 15 and 16 obesity 15 and 22 emphasizing 15 and 25 of 17 - 18 related 18 related 19 disorders 18 related 20 , 18 related 22 emphasizing 21 thereby 22 emphasizing 22 emphasizing 24 importance 23 the 24 importance 25 of 27 intervention 26 early 27 intervention 28 to 29 prevent 29 prevent 31 onset 29 prevent 34 in 30 the 31 onset 31 onset 32 of 32 of 33 obesity 34 in 35 childhood background : life expectancy , as well as the average age of patients undergoing solid organ transplantation , increases constantly . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 expectancy 2 : 19 increases 2 : 21 . 3 life 4 expectancy 4 expectancy 8 as 4 expectancy 19 increases 5 , 8 as 6 as 7 well 7 well 8 as 8 as 11 age 8 as 18 , 9 the 11 age 10 average 11 age 11 age 12 of 12 of 13 patients 13 patients 14 undergoing 14 undergoing 17 transplantation 15 solid 16 organ 16 organ 17 transplantation 19 increases 20 constantly consequently , immunosuppressive therapy is no longer limited to young organ recipients . 0 ###LEFT-WALL### 4 therapy 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 13 . 1 consequently 2 , 1 consequently 4 therapy 3 immunosuppressive 4 therapy 4 therapy 5 is 5 is 7 longer 5 is 8 limited 6 no 7 longer 8 limited 9 to 9 to 12 recipients 10 young 11 organ 11 organ 12 recipients objective : here , we investigate [how] different types of immunosuppressive therapy , namely the calcineurin inhibitors cyclosporin a and tacrolimus , as well as the mtor inhibitor rapamycin , affect the function of immune cells in young and elderly persons . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 42 . 2 : 5 we 2 : 30 , 3 here 4 , 3 here 5 we 5 we 30 , 6 investigate 12 therapy 6 investigate 25 as 6 investigate 30 , 8 different 9 types 9 types 10 of 9 types 12 therapy 10 of 12 therapy 11 immunosuppressive 12 therapy 12 therapy 14 namely 13 , 14 namely 14 namely 20 and 14 namely 22 , 15 the 20 and 16 calcineurin 18 cyclosporin 17 inhibitors 18 cyclosporin 18 cyclosporin 19 a 18 cyclosporin 20 and 20 and 21 tacrolimus 23 as 24 well 24 well 25 as 25 as 29 rapamycin 26 the 29 rapamycin 27 mtor 28 inhibitor 28 inhibitor 29 rapamycin 30 , 31 affect 30 , 37 in 31 affect 33 function 32 the 33 function 33 function 34 of 34 of 36 cells 35 immune 36 cells 37 in 41 persons 38 young 39 and 39 and 40 elderly 39 and 41 persons results : the inhibition [of] proliferation was dampened in pbmcs from elderly donors , especially after incubation [with] rapamycin . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 proliferation 2 : 8 dampened 3 the 6 proliferation 4 inhibition 6 proliferation 6 proliferation 7 was 7 was 8 dampened 8 dampened 9 in 9 in 10 pbmcs 10 pbmcs 11 from 11 from 13 donors 12 elderly 13 donors 13 donors 16 after 14 , 15 especially 14 , 16 after 16 after 19 rapamycin 16 after 20 . 17 incubation 19 rapamycin all three immunosuppressive drugs inhibited the production of il - 2 equally well , [whereas] the production of ifn - [γ] was less well inhibited by rapamycin . 0 ###LEFT-WALL### 4 drugs 0 ###LEFT-WALL### 5 inhibited 0 ###LEFT-WALL### 20 - 0 ###LEFT-WALL### 22 was 0 ###LEFT-WALL### 28 . 1 all 2 three 2 three 4 drugs 3 immunosuppressive 4 drugs 4 drugs 5 inhibited 5 inhibited 7 production 6 the 7 production 7 production 8 of 7 production 17 production 8 of 9 il 9 il 11 2 9 il 13 well 10 - 11 2 11 2 13 well 12 equally 13 well 14 , 17 production 16 the 17 production 17 production 18 of 17 production 20 - 18 of 19 ifn 20 - 22 was 22 was 24 well 22 was 26 by 23 less 24 well 24 well 25 inhibited 26 by 27 rapamycin both calcineurin inhibitors increased h2o2 concentrations after stimulation with pha and led to a shortening of telomeres in pbmcs from young and old individuals . 0 ###LEFT-WALL### 3 inhibitors 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 25 . 1 both 3 inhibitors 2 calcineurin 3 inhibitors 3 inhibitors 11 and 4 increased 6 concentrations 4 increased 7 after 4 increased 9 with 4 increased 11 and 5 h2o2 6 concentrations 7 after 8 stimulation 9 with 10 pha 11 and 12 led 11 and 13 to 11 and 18 in 13 to 15 shortening 14 a 15 shortening 15 shortening 16 of 16 of 17 telomeres 18 in 19 pbmcs 19 pbmcs 20 from 20 from 24 individuals 21 young 22 and 22 and 23 old 22 and 24 individuals rapamycin had only minor effects on h2o2 production and telomere length . 0 ###LEFT-WALL### 1 rapamycin 0 ###LEFT-WALL### 2 had 0 ###LEFT-WALL### 12 . 1 rapamycin 2 had 2 had 5 effects 2 had 6 on 3 only 4 minor 4 minor 5 effects 6 on 9 and 7 h2o2 8 production 8 production 9 and 9 and 11 length 10 telomere 11 length conclusion : our results demonstrate that the effects of immunosuppressive drugs on pbmcs differ between young and elderly persons . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 results 2 : 5 demonstrate 2 : 20 . 3 our 4 results 4 results 5 demonstrate 5 demonstrate 6 that 6 that 8 effects 6 that 14 differ 7 the 8 effects 8 effects 9 of 8 effects 14 differ 9 of 11 drugs 10 immunosuppressive 11 drugs 11 drugs 12 on 12 on 13 pbmcs 14 differ 15 between 15 between 19 persons 16 young 17 and 17 and 18 elderly 17 and 19 persons calcineurin inhibitors compared to rapamycin have a more pronounced prosenescence effect . 0 ###LEFT-WALL### 2 inhibitors 0 ###LEFT-WALL### 6 have 0 ###LEFT-WALL### 12 . 1 calcineurin 2 inhibitors 2 inhibitors 3 compared 2 inhibitors 6 have 3 compared 4 to 4 to 5 rapamycin 6 have 11 effect 7 a 11 effect 8 more 9 pronounced 9 pronounced 10 prosenescence 10 prosenescence 11 effect these data indicate that specific treatment regimens for the elderly might therefore be considered . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 15 . 1 these 2 data 2 data 3 indicate 3 indicate 4 that 4 that 7 regimens 4 that 14 considered 5 specific 6 treatment 6 treatment 7 regimens 7 regimens 8 for 7 regimens 11 might 8 for 10 elderly 9 the 10 elderly 11 might 13 be 12 therefore 13 be 13 be 14 considered arousing events are better remembered than mundane events . 0 ###LEFT-WALL### 2 events 0 ###LEFT-WALL### 5 remembered 0 ###LEFT-WALL### 9 . 1 arousing 2 events 2 events 3 are 3 are 4 better 3 are 5 remembered 5 remembered 6 than 6 than 8 events 7 mundane 8 events indeed , manipulation of [arousal] , [such] as by muscle tension , can influence memory even when it occurs shortly after learning . 0 ###LEFT-WALL### 3 manipulation 0 ###LEFT-WALL### 14 influence 0 ###LEFT-WALL### 23 . 1 indeed 2 , 1 indeed 3 manipulation 3 manipulation 4 of 3 manipulation 13 can 4 of 8 as 6 , 8 as 8 as 9 by 8 as 12 , 9 by 11 tension 10 muscle 11 tension 13 can 14 influence 14 influence 15 memory 14 influence 16 even 16 even 17 when 17 when 18 it 17 when 19 occurs 18 it 19 occurs 19 occurs 20 shortly 19 occurs 21 after 21 after 22 learning indeed , our founding study showed this approach can raise delayed memory performance in older adults to a level comparable to that of unaided young adults . 0 ###LEFT-WALL### 4 founding 0 ###LEFT-WALL### 6 showed 0 ###LEFT-WALL### 27 . 1 indeed 2 , 1 indeed 4 founding 3 our 4 founding 4 founding 5 study 4 founding 6 showed 6 showed 12 memory 6 showed 13 performance 7 this 12 memory 8 approach 11 delayed 9 can 11 delayed 10 raise 11 delayed 11 delayed 12 memory 13 performance 14 in 13 performance 17 to 13 performance 20 comparable 13 performance 23 of 14 in 16 adults 15 older 16 adults 17 to 19 level 18 a 19 level 20 comparable 21 to 21 to 22 that 23 of 26 adults 24 unaided 26 adults 25 young 26 adults yet , systematic studies , especially those investigating different modalities or types of memory , have not been done . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 18 been 0 ###LEFT-WALL### 20 . 1 yet 2 , 1 yet 4 studies 3 systematic 4 studies 4 studies 11 or 4 studies 16 have 5 , 6 especially 5 , 11 or 7 those 8 investigating 7 those 11 or 8 investigating 10 modalities 9 different 10 modalities 11 or 14 memory 11 or 15 , 12 types 13 of 12 types 14 memory 13 of 14 memory 16 have 17 not 16 have 18 been 18 been 19 done this study investigated the effects of a brief bout of isometric exercise via handgrip on narrative and visuospatial episodic memory in healthy elders . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 investigated 0 ###LEFT-WALL### 24 . 1 this 2 study 2 study 3 investigated 3 investigated 5 effects 3 investigated 13 via 3 investigated 15 on 4 the 5 effects 5 effects 6 of 6 of 9 bout 7 a 8 brief 7 a 9 bout 8 brief 9 bout 9 bout 10 of 10 of 12 exercise 11 isometric 12 exercise 13 via 14 handgrip 15 on 17 and 16 narrative 17 and 17 and 20 memory 17 and 21 in 18 visuospatial 20 memory 19 episodic 20 memory 21 in 23 elders 22 healthy 23 elders forty - seven participants completed the logical memory subtest of the wechsler memory scales iii ( lm ) and the benton visual retention test ( bvrt ) , followed alternately by no treatment and by moderately squeezing [a] sand - filled latex ball for 1 [-] min ( counterbalanced order and test forms ) . 0 ###LEFT-WALL### 4 participants 0 ###LEFT-WALL### 5 completed 1 forty 2 - 2 - 3 seven 2 - 4 participants 4 participants 5 completed 5 completed 19 and 5 completed 30 alternately 5 completed 34 and 6 the 9 subtest 7 logical 9 subtest 8 memory 9 subtest 9 subtest 10 of 9 subtest 19 and 10 of 14 scales 11 the 14 scales 12 wechsler 13 memory 13 memory 14 scales 14 scales 15 iii 14 scales 17 lm 16 ( 17 lm 17 lm 18 ) 19 and 26 bvrt 19 and 28 , 19 and 29 followed 20 the 26 bvrt 21 benton 22 visual 22 visual 23 retention 23 retention 24 test 24 test 26 bvrt 25 ( 26 bvrt 26 bvrt 27 ) 31 by 33 treatment 31 by 34 and 32 no 33 treatment 34 and 35 by 35 by 39 sand 36 moderately 37 squeezing 37 squeezing 39 sand 39 sand 43 ball 40 - 43 ball 41 filled 42 latex 42 latex 43 ball 43 ball 44 for 43 ball 51 and 43 ball 55 . 44 for 47 min 45 1 47 min 48 ( 51 and 49 counterbalanced 50 order 50 order 51 and 51 and 53 forms 51 and 54 ) 51 and 55 . 52 test 53 forms isometric exercise significantly increased both positive and negative [affect] ratings . 0 ###LEFT-WALL### 2 exercise 0 ###LEFT-WALL### 4 increased 0 ###LEFT-WALL### 11 . 1 isometric 2 exercise 2 exercise 4 increased 3 significantly 4 increased 4 increased 10 ratings 5 both 10 ratings 6 positive 7 and 7 and 8 negative 7 and 10 ratings retention was tested 2 weeks later . 0 ###LEFT-WALL### 1 retention 0 ###LEFT-WALL### 3 tested 0 ###LEFT-WALL### 7 . 1 retention 2 was 2 was 3 tested 3 tested 6 later 4 2 5 weeks 5 weeks 6 later delayed recall and recognition of lm was enhanced by arousal relative [to] control , [as] was recognition of the bvrt . 0 ###LEFT-WALL### 2 recall 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 21 . 1 delayed 2 recall 3 and 4 recognition 3 and 14 , 4 recognition 5 of 4 recognition 14 , 5 of 6 lm 7 was 8 enhanced 7 was 14 , 8 enhanced 9 by 9 by 13 control 10 arousal 13 control 11 relative 13 control 14 , 16 was 16 was 17 recognition 17 recognition 18 of 18 of 20 bvrt 19 the 20 bvrt the results extend past findings that muscle tension induced after learning modulates memory consolidation , extending findings in elders to suggest that a simple form of isometric exercise can have practical effects , such as aiding memory for stories and images . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 extend 0 ###LEFT-WALL### 42 . 1 the 2 results 2 results 3 extend 3 extend 4 past 3 extend 16 extending 3 extend 35 as 4 past 5 findings 5 findings 6 that 6 that 8 tension 6 that 12 modulates 7 muscle 8 tension 8 tension 9 induced 8 tension 12 modulates 9 induced 10 after 10 after 11 learning 12 modulates 14 consolidation 13 memory 14 consolidation 15 , 16 extending 16 extending 17 findings 16 extending 18 in 16 extending 20 to 16 extending 33 , 18 in 19 elders 20 to 21 suggest 21 suggest 22 that 22 that 25 form 22 that 30 have 23 a 24 simple 23 a 25 form 24 simple 25 form 25 form 26 of 25 form 29 can 26 of 28 exercise 27 isometric 28 exercise 29 can 30 have 30 have 32 effects 31 practical 32 effects 34 such 35 as 35 as 37 memory 36 aiding 37 memory 37 memory 38 for 38 for 40 and 39 stories 40 and 40 and 41 images none periods of deliberate fasting with restriction [of] solid food intake are practiced worldwide , mostly based on traditional , cultural or religious reasons . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 25 . 1 none 2 periods 1 none 12 are 1 none 15 , 2 periods 3 of 2 periods 12 are 3 of 5 fasting 4 deliberate 5 fasting 5 fasting 6 with 6 with 11 intake 7 restriction 11 intake 9 solid 10 food 10 food 11 intake 13 practiced 14 worldwide 13 practiced 15 , 15 , 17 based 15 , 18 on 16 mostly 17 based 18 on 24 reasons 19 traditional 20 , 20 , 21 cultural 20 , 22 or 22 or 23 religious 22 or 24 reasons there is large empirical and observational evidence that medically supervised modified fasting [(] fasting cure , 200 - 500 kcal nutritional intake per day ) with periods of 7 - 21 days is efficacious in the treatment of rheumatic diseases , chronic pain syndromes , hypertension , and metabolic syndrome . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 51 . 1 there 2 is 2 is 7 evidence 2 is 8 that 3 large 7 evidence 4 empirical 5 and 5 and 6 observational 5 and 7 evidence 8 that 12 fasting 8 that 33 is 9 medically 10 supervised 10 supervised 12 fasting 11 modified 12 fasting 12 fasting 14 fasting 12 fasting 28 of 12 fasting 33 is 14 fasting 15 cure 14 fasting 26 with 15 cure 17 200 16 , 17 200 17 200 22 intake 17 200 25 ) 18 - 22 intake 19 500 20 kcal 20 kcal 22 intake 21 nutritional 22 intake 22 intake 23 per 22 intake 25 ) 23 per 24 day 26 with 27 periods 28 of 32 days 29 7 30 - 30 - 31 21 30 - 32 days 33 is 34 efficacious 34 efficacious 35 in 35 in 48 and 36 the 37 treatment 37 treatment 38 of 37 treatment 41 , 38 of 40 diseases 39 rheumatic 40 diseases 41 , 44 syndromes 41 , 45 , 42 chronic 44 syndromes 43 pain 44 syndromes 45 , 46 hypertension 45 , 48 and 47 , 48 and 48 and 50 syndrome 49 metabolic 50 syndrome the beneficial effects of fasting followed by vegetarian diet [in] rheumatoid arthritis are confirmed by randomized controlled trials . 0 ###LEFT-WALL### 3 effects 0 ###LEFT-WALL### 14 confirmed 0 ###LEFT-WALL### 19 . 1 the 3 effects 2 beneficial 3 effects 3 effects 4 of 3 effects 6 followed 3 effects 13 are 4 of 5 fasting 6 followed 7 by 7 by 12 arthritis 8 vegetarian 12 arthritis 9 diet 12 arthritis 11 rheumatoid 12 arthritis 13 are 14 confirmed 14 confirmed 15 by 15 by 18 trials 16 randomized 18 trials 17 controlled 18 trials further beneficial effects of fasting are supported by observational data and abundant evidence from experimental research which found caloric restriction and intermittent fasting being associated with deceleration or prevention of most chronic degenerative and chronic inflammatory diseases . 0 ###LEFT-WALL### 3 effects 0 ###LEFT-WALL### 7 supported 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 38 . 1 further 3 effects 2 beneficial 3 effects 3 effects 4 of 3 effects 6 are 4 of 5 fasting 6 are 7 supported 7 supported 8 by 8 by 10 data 9 observational 10 data 11 and 13 evidence 11 and 25 associated 12 abundant 13 evidence 13 evidence 14 from 13 evidence 17 which 13 evidence 18 found 13 evidence 25 associated 14 from 16 research 15 experimental 16 research 17 which 18 found 18 found 21 and 19 caloric 20 restriction 20 restriction 21 and 21 and 22 intermittent 21 and 23 fasting 23 fasting 24 being 25 associated 26 with 26 with 28 or 27 deceleration 28 or 28 or 29 prevention 28 or 30 of 30 of 37 diseases 31 most 32 chronic 32 chronic 37 diseases 33 degenerative 34 and 34 and 35 chronic 34 and 37 diseases 36 inflammatory 37 diseases intermittent fasting may also be useful as an accompanying treatment during chemotherapy of cancer . 0 ###LEFT-WALL### 1 intermittent 0 ###LEFT-WALL### 5 be 0 ###LEFT-WALL### 15 . 1 intermittent 2 fasting 1 intermittent 3 may 3 may 5 be 4 also 5 be 5 be 6 useful 6 useful 7 as 6 useful 11 during 7 as 10 treatment 8 an 10 treatment 9 accompanying 10 treatment 11 during 12 chemotherapy 12 chemotherapy 13 of 13 of 14 cancer a further beneficial effect of fasting relates to improvements in sustainable lifestyle modification and adoption of a healthy diet , possibly mediated by fasting - induced mood enhancement . 0 ###LEFT-WALL### 4 effect 0 ###LEFT-WALL### 7 relates 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 29 . 1 a 4 effect 2 further 4 effect 3 beneficial 4 effect 4 effect 5 of 4 effect 7 relates 5 of 6 fasting 7 relates 8 to 7 relates 10 in 8 to 9 improvements 10 in 13 modification 11 sustainable 12 lifestyle 12 lifestyle 13 modification 14 and 15 adoption 14 and 26 induced 15 adoption 16 of 15 adoption 26 induced 16 of 19 diet 17 a 19 diet 18 healthy 19 diet 19 diet 22 mediated 20 , 21 possibly 20 , 22 mediated 22 mediated 23 by 22 mediated 25 - 23 by 24 fasting 26 induced 28 enhancement 27 mood 28 enhancement various identified mechanisms of fasting point to its potential health - promoting effects , e.g . , fasting - induced neuroendocrine activation and hormetic stress response , increased production of neurotrophic factors , reduced mitochondrial oxidative stress , general decrease of signals associated with aging , and promotion of autophagy . 0 ###LEFT-WALL### 3 mechanisms 0 ###LEFT-WALL### 6 point 0 ###LEFT-WALL### 16 . 1 various 3 mechanisms 2 identified 3 mechanisms 3 mechanisms 4 of 3 mechanisms 6 point 4 of 5 fasting 6 point 7 to 6 point 12 promoting 6 point 15 e.g 7 to 10 health 8 its 10 health 9 potential 10 health 11 - 12 promoting 12 promoting 13 effects 12 promoting 14 , 16 . 27 , 16 . 51 . 17 , 18 fasting 18 fasting 19 - 18 fasting 27 , 20 induced 23 and 20 induced 27 , 21 neuroendocrine 22 activation 22 activation 23 and 23 and 26 response 24 hormetic 26 response 25 stress 26 response 27 , 28 increased 28 increased 47 and 29 production 30 of 29 production 47 and 30 of 32 factors 31 neurotrophic 32 factors 32 factors 37 stress 33 , 37 stress 34 reduced 37 stress 35 mitochondrial 37 stress 36 oxidative 37 stress 37 stress 40 decrease 37 stress 46 , 38 , 40 decrease 39 general 40 decrease 40 decrease 41 of 40 decrease 46 , 41 of 42 signals 42 signals 43 associated 42 signals 44 with 44 with 45 aging 47 and 48 promotion 47 and 49 of 49 of 50 autophagy fasting therapy might contribute to the prevention and treatment of chronic diseases and should be further evaluated in controlled clinical trials and observational studies . 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 25 . 1 fasting 2 therapy 2 therapy 13 and 2 therapy 22 and 3 might 4 contribute 3 might 13 and 4 contribute 5 to 5 to 8 and 6 the 7 prevention 7 prevention 8 and 8 and 9 treatment 8 and 10 of 10 of 12 diseases 11 chronic 12 diseases 13 and 14 should 13 and 18 in 14 should 15 be 15 be 16 further 15 be 17 evaluated 18 in 21 trials 19 controlled 21 trials 20 clinical 21 trials 22 and 24 studies 23 observational 24 studies background : the relation of food insecurity ( inability to acquire nutritionally adequate and safe foods ) and chronic kidney disease ( ckd ) is unknown . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 27 . 1 background 2 : 2 : 4 relation 3 the 4 relation 4 relation 5 of 4 relation 9 inability 5 of 7 insecurity 6 food 7 insecurity 8 ( 9 inability 9 inability 10 to 9 inability 11 acquire 9 inability 17 ) 10 to 11 acquire 11 acquire 12 nutritionally 11 acquire 16 foods 13 adequate 14 and 14 and 15 safe 14 and 16 foods 18 and 21 disease 18 and 25 is 19 chronic 20 kidney 20 kidney 21 disease 21 disease 23 ckd 21 disease 25 is 22 ( 23 ckd 23 ckd 24 ) 25 is 26 unknown we examined whether food insecurity is associated with prevalent ckd among lower - income individuals in both the general us adult population and an urban population . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 27 . 1 we 2 examined 2 examined 3 whether 2 examined 16 in 3 whether 5 insecurity 3 whether 7 associated 4 food 5 insecurity 5 insecurity 6 is 6 is 7 associated 7 associated 8 with 7 associated 11 among 8 with 10 ckd 9 prevalent 10 ckd 11 among 15 individuals 12 lower 13 - 12 lower 14 income 14 income 15 individuals 16 in 23 and 17 both 23 and 18 the 22 population 19 general 21 adult 20 us 21 adult 21 adult 22 population 22 population 23 and 23 and 26 population 24 an 25 urban 24 an 26 population 25 urban 26 population methods : [we] conducted cross - sectional analyses of lower - income participants of the national health and nutrition examination survey ( nhanes ) 2003 - 2008 ( n = 9,126 ) and the healthy aging in neighborhoods of diversity across the life span ( handls ) study ( n = 1,239 ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 5 cross 2 : 6 - 2 : 54 . 4 conducted 5 cross 6 - 33 and 7 sectional 8 analyses 8 analyses 9 of 8 analyses 14 of 8 analyses 18 and 9 of 13 participants 10 lower 11 - 10 lower 12 income 12 income 13 participants 14 of 17 health 15 the 17 health 16 national 17 health 18 and 23 nhanes 18 and 30 = 18 and 33 and 19 nutrition 20 examination 20 examination 21 survey 21 survey 23 nhanes 22 ( 23 nhanes 23 nhanes 24 ) 25 2003 26 - 26 - 27 2008 26 - 30 = 28 ( 30 = 29 n 30 = 30 = 31 9,126 30 = 32 ) 33 and 36 aging 34 the 36 aging 35 healthy 36 aging 36 aging 37 in 36 aging 39 of 36 aging 41 across 37 in 38 neighborhoods 39 of 40 diversity 41 across 48 study 42 the 48 study 43 life 44 span 44 span 46 handls 45 ( 46 handls 46 handls 47 ) 46 handls 48 study 48 study 51 = 49 ( 51 = 50 n 51 = 51 = 52 1,239 51 = 53 ) food insecurity was defined based on questionnaires and ckd was defined by reduced estimated glomerular filtration [rate] or albuminuria ; adjustment was performed with multivariable logistic regression . 0 ###LEFT-WALL### 1 food 0 ###LEFT-WALL### 11 defined 0 ###LEFT-WALL### 20 ; 0 ###LEFT-WALL### 28 . 1 food 2 insecurity 1 food 3 was 1 food 4 defined 1 food 5 based 1 food 10 was 2 insecurity 3 was 5 based 6 on 6 on 8 and 7 questionnaires 8 and 8 and 9 ckd 10 was 11 defined 11 defined 12 by 12 by 18 or 13 reduced 16 filtration 14 estimated 16 filtration 15 glomerular 16 filtration 16 filtration 18 or 18 or 19 albuminuria 20 ; 21 adjustment 20 ; 23 performed 21 adjustment 22 was 22 was 23 performed 23 performed 24 with 24 with 27 regression 25 multivariable 27 regression 26 logistic 27 regression results : in nhanes , the age - adjusted prevalence of ckd was 20.3 , 17.6 , and 15.7 % for the high , marginal , and no food insecurity groups , respectively . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 - 1 results 2 : 2 : 4 nhanes 3 in 4 nhanes 4 nhanes 7 age 5 , 7 age 6 the 7 age 7 age 8 - 8 - 10 prevalence 8 - 13 was 8 - 15 , 8 - 18 and 9 adjusted 10 prevalence 10 prevalence 11 of 10 prevalence 13 was 11 of 12 ckd 13 was 14 20.3 15 , 16 17.6 17 , 18 and 18 and 20 % 18 and 31 groups 19 15.7 20 % 20 % 21 for 20 % 31 groups 21 for 27 and 22 the 23 high 23 high 24 , 24 , 25 marginal 24 , 27 and 26 , 27 and 27 and 30 insecurity 28 no 30 insecurity 29 food 30 insecurity 31 groups 33 respectively 32 , 33 respectively 33 respectively 34 . in handls , the age - adjusted ckd prevalence was 5.9 and 4.6 % for those [with] and without food insecurity , respectively [(] p = 0.33 ) . 0 ###LEFT-WALL### 9 prevalence 0 ###LEFT-WALL### 10 was 0 ###LEFT-WALL### 29 . 1 in 2 handls 1 in 9 prevalence 2 handls 5 age 3 , 5 age 4 the 5 age 5 age 6 - 7 adjusted 9 prevalence 8 ckd 9 prevalence 9 prevalence 10 was 10 was 14 % 11 5.9 12 and 12 and 13 4.6 12 and 14 % 14 % 18 and 15 for 16 those 15 for 18 and 18 and 19 without 19 without 21 insecurity 20 food 21 insecurity 21 insecurity 26 = 22 , 23 respectively 22 , 26 = 25 p 26 = 26 = 27 0.33 26 = 28 ) food insecurity was associated with a trend towards greater odds of ckd ( or = 1.46 , 95 % ci : 0.98 - 2.18 ) with no evidence of effect modification across diabetes , hypertension , or obesity subgroups . 0 ###LEFT-WALL### 1 food 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 40 . 1 food 2 insecurity 1 food 3 was 1 food 4 associated 2 insecurity 3 was 4 associated 5 with 4 associated 26 with 4 associated 32 across 5 with 7 trend 5 with 16 1.46 6 a 7 trend 7 trend 8 towards 7 trend 11 of 8 towards 10 odds 9 greater 10 odds 11 of 14 or 12 ckd 14 or 13 ( 14 or 15 = 16 1.46 16 1.46 19 % 17 , 19 % 18 95 19 % 19 % 20 ci 19 % 21 : 19 % 25 ) 20 ci 21 : 21 : 23 - 22 0.98 23 - 23 - 24 2.18 26 with 28 evidence 27 no 28 evidence 28 evidence 29 of 29 of 31 modification 30 effect 31 modification 32 across 37 or 33 diabetes 34 , 34 , 35 hypertension 34 , 37 or 36 , 37 or 37 or 39 subgroups 38 obesity 39 subgroups conclusion : food insecurity may contribute to disparities in kidney disease , especially among persons with diabetes or hypertension , and is worthy of further study . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 insecurity 2 : 21 and 2 : 27 . 3 food 4 insecurity 4 insecurity 21 and 5 may 6 contribute 5 may 21 and 6 contribute 7 to 6 contribute 9 in 7 to 8 disparities 9 in 11 disease 10 kidney 11 disease 11 disease 14 among 12 , 13 especially 12 , 14 among 14 among 15 persons 14 among 20 , 15 persons 16 with 16 with 18 or 17 diabetes 18 or 18 or 19 hypertension 20 , 21 and 21 and 22 is 22 is 23 worthy 23 worthy 24 of 24 of 26 study 25 further 26 study skin naturally changes with age , becoming more fragile . 0 ###LEFT-WALL### 1 skin 0 ###LEFT-WALL### 3 changes 1 skin 3 changes 2 naturally 3 changes 3 changes 4 with 4 with 5 age 5 age 7 becoming 6 , 7 becoming 7 becoming 9 fragile 7 becoming 10 . 8 more 9 fragile various stimuli can alter skin integrity . 0 ###LEFT-WALL### 2 stimuli 0 ###LEFT-WALL### 4 alter 0 ###LEFT-WALL### 7 . 1 various 2 stimuli 2 stimuli 3 can 3 can 4 alter 4 alter 6 integrity 5 skin 6 integrity the aim of this study was to evaluate whether sleep deprivation affects the integrity of dna in skin and exacerbates the effects of aging . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 25 . 1 the 2 aim 2 aim 3 of 2 aim 19 and 3 of 5 study 4 this 5 study 6 was 7 to 6 was 8 evaluate 6 was 19 and 7 to 8 evaluate 8 evaluate 9 whether 9 whether 11 deprivation 9 whether 12 affects 10 sleep 11 deprivation 11 deprivation 12 affects 12 affects 14 integrity 12 affects 17 in 13 the 14 integrity 14 integrity 15 of 15 of 16 dna 17 in 18 skin 19 and 20 exacerbates 19 and 22 effects 21 the 22 effects 22 effects 23 of 23 of 24 aging fifteen - month old female hairless mice underwent 72 h of paradoxical sleep deprivation or 15 days of chronic sleep [restriction] . 0 ###LEFT-WALL### 1 fifteen 0 ###LEFT-WALL### 2 - 2 - 7 mice 2 - 8 underwent 2 - 22 . 3 month 7 mice 4 old 5 female 5 female 7 mice 6 hairless 7 mice 7 mice 8 underwent 8 underwent 10 h 9 72 10 h 10 h 11 of 11 of 15 or 12 paradoxical 13 sleep 13 sleep 14 deprivation 14 deprivation 15 or 15 or 17 days 15 or 18 of 16 15 17 days 18 of 20 sleep 19 chronic 20 sleep punch [biopsies] of the skin were taken to evaluate dna damage by single cell gel [(] [comet] [ )( . 0 ###LEFT-WALL### 1 punch 0 ###LEFT-WALL### 7 taken 0 ###LEFT-WALL### 20 . 1 punch 3 of 1 punch 6 were 3 of 5 skin 4 the 5 skin 6 were 7 taken 7 taken 8 to 8 to 9 evaluate 9 evaluate 11 damage 9 evaluate 12 by 10 dna 11 damage 12 by 15 gel 13 single 14 cell 14 cell 15 gel neither paradoxical sleep deprivation nor sleep restriction increased genetic damage , measured by tail movement and tail intensity values . 0 ###LEFT-WALL### 5 nor 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 20 . 1 neither 5 nor 2 paradoxical 3 sleep 3 sleep 4 deprivation 4 deprivation 5 nor 5 nor 7 restriction 5 nor 11 , 6 sleep 7 restriction 8 increased 10 damage 8 increased 11 , 9 genetic 10 damage 11 , 12 measured 11 , 13 by 13 by 16 and 14 tail 15 movement 15 movement 16 and 16 and 19 values 17 tail 19 values 18 intensity 19 values taken together , the findings are consistent with the notion that aging overrides the effect of sleep loss on the genetic damage in elderly mice . 0 ###LEFT-WALL### 5 findings 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 26 . 1 taken 2 together 1 taken 3 , 1 taken 5 findings 4 the 5 findings 5 findings 6 are 6 are 7 consistent 7 consistent 8 with 7 consistent 23 in 8 with 10 notion 9 the 10 notion 10 notion 11 that 11 that 12 aging 11 that 13 overrides 12 aging 13 overrides 13 overrides 15 effect 13 overrides 19 on 14 the 15 effect 15 effect 16 of 16 of 18 loss 17 sleep 18 loss 19 on 22 damage 20 the 22 damage 21 genetic 22 damage 23 in 25 mice 24 elderly 25 mice there are now at least 14 distinct diseases linked to germ line mutations in the 21 genes that encode the connexin ( cx ) [family] of gap junction proteins . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 30 . 1 there 2 are 2 are 3 now 2 are 5 least 2 are 8 diseases 4 at 5 least 6 14 8 diseases 7 distinct 8 diseases 8 diseases 9 linked 9 linked 10 to 10 to 13 mutations 11 germ 13 mutations 12 line 13 mutations 13 mutations 14 in 13 mutations 26 of 14 in 17 genes 15 the 16 21 16 21 17 genes 17 genes 18 that 17 genes 19 encode 17 genes 23 cx 18 that 19 encode 19 encode 21 connexin 20 the 21 connexin 22 ( 23 cx 23 cx 24 ) 26 of 29 proteins 27 gap 29 proteins 28 junction 29 proteins this review focuses on the links between germ [-] line mutations in the gene encoding cx43 ( gja1 ) and the human disease termed oculodentodigital dysplasia ( oddd ) . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 focuses 0 ###LEFT-WALL### 30 . 1 this 2 review 2 review 3 focuses 3 focuses 4 on 3 focuses 7 between 4 on 6 links 5 the 6 links 7 between 11 mutations 8 germ 10 line 10 line 11 mutations 11 mutations 12 in 12 in 20 and 13 the 14 gene 14 gene 15 encoding 14 gene 20 and 15 encoding 16 cx43 16 cx43 18 gja1 17 ( 18 gja1 18 gja1 19 ) 20 and 26 dysplasia 20 and 28 oddd 21 the 26 dysplasia 22 human 26 dysplasia 23 disease 24 termed 24 termed 26 dysplasia 25 oculodentodigital 26 dysplasia 27 ( 28 oddd 28 oddd 29 ) this disease is clinically characterized by soft tissue fusion of the digits , abnormal craniofacial bone development , small eyes and loss of tooth enamel . 0 ###LEFT-WALL### 2 disease 0 ###LEFT-WALL### 5 characterized 0 ###LEFT-WALL### 26 . 1 this 2 disease 2 disease 3 is 3 is 5 characterized 4 clinically 5 characterized 5 characterized 6 by 6 by 9 fusion 7 soft 8 tissue 8 tissue 9 fusion 9 fusion 10 of 10 of 21 and 11 the 12 digits 12 digits 13 , 13 , 17 development 13 , 18 , 14 abnormal 16 bone 15 craniofacial 16 bone 16 bone 17 development 18 , 20 eyes 18 , 21 and 19 small 20 eyes 21 and 22 loss 21 and 23 of 23 of 25 enamel 24 tooth 25 enamel however , the disease is considerably more complex and somewhat degenerative as patients often suffer from other syndromic effects that include incontinence , glaucoma , skin diseases and neuropathies that become more pronounced during aging [.] 0 ###LEFT-WALL### 4 disease 0 ###LEFT-WALL### 5 is 1 however 2 , 1 however 4 disease 3 the 4 disease 4 disease 5 is 5 is 7 more 5 is 9 and 6 considerably 7 more 8 complex 9 and 9 and 11 degenerative 10 somewhat 11 degenerative 11 degenerative 12 as 12 as 13 patients 12 as 15 suffer 13 patients 15 suffer 14 often 15 suffer 15 suffer 16 from 15 suffer 34 during 16 from 19 effects 17 other 19 effects 18 syndromic 19 effects 19 effects 20 that 19 effects 33 pronounced 20 that 28 and 20 that 33 pronounced 21 include 22 incontinence 22 incontinence 23 , 23 , 24 glaucoma 23 , 25 , 25 , 27 diseases 25 , 28 and 26 skin 27 diseases 28 and 29 neuropathies 28 and 30 that 28 and 31 become 28 and 33 pronounced 30 that 31 become 31 become 32 more 34 during 35 aging the challenge continues to be understanding how distinct cx43 gene mutations cause such a diverse range of tissue phenotypes and [pathophysiological] changes [while] other cx43 - rich organs are relatively unaffected . 0 ###LEFT-WALL### 2 challenge 0 ###LEFT-WALL### 3 continues 0 ###LEFT-WALL### 26 - 1 the 2 challenge 2 challenge 3 continues 3 continues 4 to 3 continues 5 be 4 to 5 be 5 be 6 understanding 6 understanding 7 how 7 how 11 mutations 7 how 12 cause 8 distinct 11 mutations 9 cx43 10 gene 10 gene 11 mutations 11 mutations 12 cause 12 cause 16 range 13 such 14 a 14 a 16 range 15 diverse 16 range 16 range 17 of 16 range 20 and 17 of 18 tissue 19 phenotypes 20 and 20 and 22 changes 22 changes 25 cx43 24 other 25 cx43 26 - 27 rich 26 - 29 are 26 - 32 . 27 rich 29 are 28 organs 29 are 29 are 31 unaffected 30 relatively 31 unaffected this review will provide an overview of many of these studies and distill some themes and outstanding questions that need to be addressed in the coming years . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 28 . 1 this 2 review 2 review 3 will 3 will 12 and 4 provide 6 overview 4 provide 12 and 5 an 6 overview 6 overview 7 of 6 overview 9 of 7 of 8 many 9 of 11 studies 10 these 11 studies 12 and 13 distill 13 distill 16 and 14 some 16 and 15 themes 16 and 16 and 18 questions 16 and 19 that 16 and 20 need 17 outstanding 18 questions 19 that 20 need 20 need 21 to 20 need 23 addressed 21 to 22 be 22 be 23 addressed 23 addressed 24 in 24 in 27 years 25 the 27 years 26 coming 27 years dendritic cells ( dcs ) play an important role in both immunological tolerance and immunity as well as in pro [-] [and] anti - inflammatory responses . 0 ###LEFT-WALL### 2 cells 0 ###LEFT-WALL### 6 play 0 ###LEFT-WALL### 27 . 1 dendritic 2 cells 2 cells 4 dcs 2 cells 6 play 3 ( 4 dcs 4 dcs 5 ) 6 play 9 role 6 play 10 in 6 play 16 as 7 an 9 role 8 important 9 role 10 in 14 and 11 both 14 and 12 immunological 13 tolerance 13 tolerance 14 and 14 and 15 immunity 16 as 17 well 17 well 18 as 18 as 19 in 19 in 26 responses 20 pro 26 responses 23 anti 24 - 23 anti 26 responses 25 inflammatory 26 responses upon uptake of apoptotic cells and apoptotic bodies , dcs degrade self antigens from them and induce anti - inflammatory response [and] t regulatory ( treg ) cells resulting in the maintenance of tolerance to self antigens . 0 ###LEFT-WALL### 10 dcs 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 38 . 1 upon 6 and 1 upon 9 , 1 upon 10 dcs 2 uptake 3 of 2 uptake 6 and 3 of 5 cells 4 apoptotic 5 cells 6 and 8 bodies 7 apoptotic 8 bodies 10 dcs 16 and 11 degrade 13 antigens 11 degrade 16 and 12 self 13 antigens 13 antigens 14 from 14 from 15 them 16 and 17 induce 16 and 28 cells 17 induce 21 response 18 anti 19 - 18 anti 21 response 20 inflammatory 21 response 21 response 23 t 24 regulatory 26 treg 24 regulatory 28 cells 25 ( 26 treg 26 treg 27 ) 28 cells 29 resulting 28 cells 33 of 28 cells 35 to 29 resulting 30 in 30 in 32 maintenance 31 the 32 maintenance 33 of 34 tolerance 35 to 37 antigens 36 self 37 antigens ageing is characterized by progressive immunodeficiency , inflammation , and autoimmunity . 0 ###LEFT-WALL### 1 ageing 0 ###LEFT-WALL### 3 characterized 0 ###LEFT-WALL### 12 . 1 ageing 2 is 2 is 3 characterized 3 characterized 4 by 4 by 10 and 5 progressive 6 immunodeficiency 6 immunodeficiency 7 , 7 , 8 inflammation 7 , 10 and 9 , 10 and 10 and 11 autoimmunity in this paper we will review the role of dcs in inflammation and autoimmunity in human ageing and will highlight the observations that dcs from aged humans display impairment in their capacity to uptake apoptotic cells , and paradoxically induce proinflammatory [response] and increased reactivity to self antigen ( dna ) . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 52 . 1 in 3 paper 1 in 4 we 2 this 3 paper 4 we 5 will 5 will 18 and 6 review 8 role 6 review 11 in 6 review 18 and 7 the 8 role 8 role 9 of 9 of 10 dcs 11 in 13 and 12 inflammation 13 and 13 and 14 autoimmunity 13 and 15 in 15 in 17 ageing 16 human 17 ageing 18 and 19 will 18 and 33 to 18 and 45 reactivity 19 will 20 highlight 20 highlight 22 observations 21 the 22 observations 22 observations 23 that 22 observations 28 display 23 that 24 dcs 23 that 28 display 24 dcs 25 from 24 dcs 28 display 25 from 27 humans 26 aged 27 humans 28 display 29 impairment 29 impairment 30 in 30 in 32 capacity 31 their 32 capacity 33 to 38 and 34 uptake 36 cells 34 uptake 38 and 35 apoptotic 36 cells 37 , 38 and 38 and 43 and 39 paradoxically 40 induce 40 induce 41 proinflammatory 40 induce 43 and 43 and 44 increased 45 reactivity 46 to 45 reactivity 50 dna 46 to 48 antigen 47 self 48 antigen 49 ( 50 dna 50 dna 51 ) dna [from] aged is hypomethylated and hypomethylation is associated with increased immunogenecity of self dna . 0 ###LEFT-WALL### 1 dna 0 ###LEFT-WALL### 5 hypomethylated 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 16 . 1 dna 3 aged 1 dna 4 is 4 is 5 hypomethylated 6 and 7 hypomethylation 6 and 9 associated 7 hypomethylation 8 is 8 is 9 associated 9 associated 10 with 10 with 12 immunogenecity 11 increased 12 immunogenecity 12 immunogenecity 13 of 13 of 15 dna 14 self 15 dna age associated [decline] of the immune system continues to be a major health concern . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 8 continues 0 ###LEFT-WALL### 15 . 1 age 2 associated 1 age 4 of 1 age 8 continues 4 of 7 system 5 the 7 system 6 immune 7 system 8 continues 9 to 8 continues 10 be 9 to 10 be 10 be 14 concern 11 a 12 major 11 a 14 concern 12 major 13 health 13 health 14 concern all components of innate and adaptive immunity are adversely affected to lesser or greater extent by ageing resulting in an overall decline of immunocompetence . 0 ###LEFT-WALL### 2 components 0 ###LEFT-WALL### 10 affected 0 ###LEFT-WALL### 25 . 1 all 2 components 2 components 3 of 2 components 8 are 3 of 7 immunity 4 innate 5 and 5 and 6 adaptive 5 and 7 immunity 8 are 9 adversely 8 are 10 affected 10 affected 11 to 10 affected 16 by 11 to 15 extent 12 lesser 13 or 13 or 14 greater 13 or 15 extent 16 by 17 ageing 17 ageing 18 resulting 17 ageing 23 of 18 resulting 19 in 19 in 22 decline 20 an 21 overall 20 an 22 decline 21 overall 22 decline 23 of 24 immunocompetence as a result in the aged population , there is increased susceptibility to infection , poor responses to vaccination , and increased incidence of autoreactivity . 0 ###LEFT-WALL### 9 there 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 26 . 1 as 3 result 1 as 8 , 1 as 9 there 2 a 3 result 3 result 4 in 4 in 7 population 5 the 7 population 6 aged 7 population 9 there 10 is 10 is 12 susceptibility 11 increased 12 susceptibility 12 susceptibility 13 to 13 to 21 and 14 infection 15 , 15 , 17 responses 15 , 21 and 16 poor 17 responses 17 responses 18 to 18 to 19 vaccination 20 , 21 and 21 and 23 incidence 21 and 24 of 22 increased 23 incidence 24 of 25 autoreactivity there is an increasing focus on the role of t [cells] during ageing because of their impact on the overall immune responses . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 23 . 1 there 2 is 2 is 5 focus 2 is 6 on 2 is 12 during 2 is 15 of 3 an 5 focus 4 increasing 5 focus 6 on 8 role 7 the 8 role 8 role 9 of 9 of 10 t 12 during 13 ageing 14 because 15 of 15 of 17 impact 16 their 17 impact 17 impact 18 on 18 on 22 responses 19 the 22 responses 20 overall 22 responses 21 immune 22 responses a steady decline in the production of fresh naïve [t] cells , more restricted [t] cell receptor [(] tcr [ )(repertoire and weak activation of t cells are some of the effects of ageing . 0 ###LEFT-WALL### 27 cells 0 ###LEFT-WALL### 28 are 0 ###LEFT-WALL### 35 . 1 a 2 steady 1 a 3 decline 2 steady 3 decline 3 decline 4 in 3 decline 12 , 4 in 6 production 5 the 6 production 6 production 7 of 7 of 11 cells 8 fresh 11 cells 9 naïve 11 cells 12 , 21 )(repertoire 12 , 22 and 13 more 14 restricted 14 restricted 16 cell 16 cell 17 receptor 17 receptor 21 )(repertoire 19 tcr 21 )(repertoire 22 and 24 activation 22 and 25 of 22 and 27 cells 23 weak 24 activation 25 of 26 t 27 cells 28 are 28 are 32 effects 29 some 30 of 29 some 32 effects 30 of 32 effects 31 the 32 effects 32 effects 33 of 33 of 34 ageing in this review we summarize our present understanding of the effects of ageing on naïve cd4 t cells and potential approaches for therapeutic interventions to restore protective immunity in the aged population . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 33 . 1 in 3 review 1 in 4 we 2 this 3 review 4 we 19 and 5 summarize 8 understanding 5 summarize 14 on 5 summarize 19 and 6 our 8 understanding 7 present 8 understanding 8 understanding 9 of 9 of 11 effects 10 the 11 effects 11 effects 12 of 12 of 13 ageing 14 on 18 cells 15 naïve 18 cells 16 cd4 17 t 16 cd4 18 cells 19 and 26 restore 19 and 29 in 20 potential 21 approaches 21 approaches 22 for 21 approaches 25 to 22 for 24 interventions 23 therapeutic 24 interventions 25 to 26 restore 26 restore 28 immunity 27 protective 28 immunity 29 in 32 population 30 the 32 population 31 aged 32 population why does cancer risk increase as [we] age ? 0 ###LEFT-WALL### 1 why 0 ###LEFT-WALL### 9 ? 1 why 2 does 2 does 4 risk 2 does 5 increase 3 cancer 4 risk 5 increase 6 as 6 as 8 age frequently attributed to the multi - hit hypothesis and the time required to accumulate genomic mutations , this question is a matter of ongoing debate . 0 ###LEFT-WALL### 19 question 0 ###LEFT-WALL### 20 is 0 ###LEFT-WALL### 26 . 1 frequently 2 attributed 2 attributed 3 to 2 attributed 17 , 2 attributed 19 question 3 to 9 and 4 the 8 hypothesis 5 multi 6 - 5 multi 8 hypothesis 7 hit 8 hypothesis 8 hypothesis 9 and 9 and 11 time 9 and 12 required 10 the 11 time 12 required 13 to 12 required 14 accumulate 13 to 14 accumulate 14 accumulate 16 mutations 15 genomic 16 mutations 18 this 19 question 19 question 20 is 20 is 22 matter 21 a 22 matter 22 matter 23 of 23 of 25 debate 24 ongoing 25 debate here , we propose that the normal decline in oxidative metabolism during aging constitutes an early and important " hit " that drives tumorigenesis . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 propose 0 ###LEFT-WALL### 25 . 1 here 2 , 1 here 3 we 3 we 4 propose 4 propose 5 that 5 that 8 decline 5 that 14 constitutes 6 the 8 decline 7 normal 8 decline 8 decline 9 in 8 decline 14 constitutes 9 in 11 metabolism 10 oxidative 11 metabolism 11 metabolism 12 during 12 during 13 aging 14 constitutes 20 hit 15 an 20 hit 16 early 17 and 17 and 18 important 17 and 20 hit 18 important 19 " 20 hit 21 " 20 hit 22 that 20 hit 23 drives 22 that 23 drives 23 drives 24 tumorigenesis central to these metabolic changes are the sirtuins , a family of nad [(] [+] ) - dependent deacylases that have evolved as coordinators of physiological responses to nutrient intake and energetic demand . 0 ###LEFT-WALL### 1 central 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 17 - 0 ###LEFT-WALL### 34 . 1 central 2 to 1 central 6 are 2 to 5 changes 3 these 5 changes 4 metabolic 5 changes 6 are 8 sirtuins 7 the 8 sirtuins 8 sirtuins 11 family 9 , 11 family 10 a 11 family 11 family 12 of 11 family 16 ) 12 of 13 nad 17 - 19 deacylases 18 dependent 19 deacylases 19 deacylases 20 that 19 deacylases 21 have 20 that 21 have 21 have 22 evolved 22 evolved 23 as 22 evolved 28 to 22 evolved 33 demand 23 as 24 coordinators 24 coordinators 25 of 25 of 27 responses 26 physiological 27 responses 28 to 31 and 29 nutrient 30 intake 30 intake 31 and 31 and 32 energetic thus , the modulation of sirtuins might be a fruitful approach to reversing the age - related metabolic changes that could underlie tumorigenesis . 0 ###LEFT-WALL### 4 modulation 0 ###LEFT-WALL### 8 be 0 ###LEFT-WALL### 17 related 1 thus 2 , 1 thus 4 modulation 3 the 4 modulation 4 modulation 5 of 4 modulation 7 might 5 of 6 sirtuins 7 might 8 be 8 be 11 approach 9 a 10 fruitful 9 a 11 approach 10 fruitful 11 approach 11 approach 12 to 12 to 13 reversing 13 reversing 15 age 14 the 15 age 16 - 17 related 17 related 19 changes 17 related 24 . 18 metabolic 19 changes 19 changes 20 that 19 changes 21 could 20 that 21 could 21 could 22 underlie 22 underlie 23 tumorigenesis an important pathologic hallmark of alzheimer 's disease ( ad ) is neuroinflammation , a process characterized in ad by disproportionate activation of cells ( microglia and astrocytes , primarily [ )(of the [non] [-] specific innate immune system within the cns . 0 ###LEFT-WALL### 4 hallmark 0 ###LEFT-WALL### 12 is 1 an 4 hallmark 2 important 4 hallmark 3 pathologic 4 hallmark 4 hallmark 5 of 4 hallmark 12 is 5 of 8 disease 6 alzheimer 7 's 7 's 8 disease 8 disease 10 ad 9 ( 10 ad 10 ad 11 ) 12 is 13 neuroinflammation 13 neuroinflammation 16 process 14 , 16 process 15 a 16 process 16 process 17 characterized 16 process 27 and 16 process 43 . 17 characterized 18 in 17 characterized 20 by 18 in 19 ad 20 by 22 activation 21 disproportionate 22 activation 22 activation 23 of 23 of 24 cells 25 ( 27 and 26 microglia 27 and 27 and 28 astrocytes 27 and 32 )(of 27 and 43 . 29 , 30 primarily 29 , 32 )(of 32 )(of 39 system 32 )(of 43 . 33 the 39 system 36 specific 39 system 37 innate 39 system 38 immune 39 system 39 system 40 within 40 within 42 cns 41 the 42 cns while inflammation itself is not intrinsically detrimental , a delicate balance [of] pro - and anti - inflammatory signals must be maintained to ensure that long - term exaggerated responses do not damage the brain over time . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 22 maintained 0 ###LEFT-WALL### 27 - 0 ###LEFT-WALL### 38 . 1 while 2 inflammation 1 while 4 is 1 while 8 , 1 while 15 and 2 inflammation 4 is 3 itself 4 is 4 is 5 not 4 is 6 intrinsically 4 is 7 detrimental 5 not 6 intrinsically 9 a 10 delicate 9 a 13 pro 10 delicate 11 balance 11 balance 13 pro 13 pro 15 and 14 - 15 and 15 and 19 signals 15 and 20 must 16 anti 17 - 16 anti 19 signals 18 inflammatory 19 signals 20 must 21 be 21 be 22 maintained 22 maintained 23 to 22 maintained 26 long 23 to 24 ensure 24 ensure 25 that 27 - 30 responses 27 - 33 damage 28 term 29 exaggerated 29 exaggerated 30 responses 30 responses 31 do 31 do 32 not 31 do 33 damage 33 damage 35 brain 34 the 35 brain 35 brain 36 over 36 over 37 time [non] - steroidal anti - inflammatory drugs ( nsaids ) represent a broad class of powerful therapeutics that temper inflammation by inhibiting cyclooxygenase - mediated signaling pathways including prostaglandins , which are the principal mediators of cns neuroinflammation . 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 11 represent 2 - 7 drugs 3 steroidal 7 drugs 4 anti 5 - 4 anti 7 drugs 6 inflammatory 7 drugs 7 drugs 9 nsaids 7 drugs 11 represent 8 ( 9 nsaids 9 nsaids 10 ) 11 represent 14 class 11 represent 21 by 12 a 14 class 13 broad 14 class 14 class 15 of 15 of 17 therapeutics 16 powerful 17 therapeutics 17 therapeutics 18 that 17 therapeutics 19 temper 18 that 19 temper 19 temper 20 inflammation 21 by 22 inhibiting 22 inhibiting 23 cyclooxygenase 23 cyclooxygenase 27 pathways 24 - 27 pathways 25 mediated 27 pathways 26 signaling 27 pathways 27 pathways 28 including 27 pathways 39 . 28 including 29 prostaglandins 29 prostaglandins 31 which 30 , 31 which 31 which 32 are 31 which 39 . 32 are 35 mediators 33 the 35 mediators 34 principal 35 mediators 35 mediators 36 of 36 of 38 neuroinflammation 37 cns 38 neuroinflammation while historically used to treat discrete or systemic inflammatory conditions , epidemiologic evidence suggests that protracted nsaid use may delay ad [onset] , as well as decrease disease severity and rate of progression . 0 ###LEFT-WALL### 13 evidence 0 ###LEFT-WALL### 14 suggests 1 while 3 used 1 while 13 evidence 2 historically 3 used 4 to 5 treat 4 to 11 , 4 to 13 evidence 5 treat 10 conditions 6 discrete 7 or 7 or 8 systemic 7 or 10 conditions 9 inflammatory 10 conditions 12 epidemiologic 13 evidence 13 evidence 14 suggests 14 suggests 15 that 15 that 18 use 15 that 20 delay 16 protracted 18 use 17 nsaid 18 use 18 use 19 may 19 may 20 delay 20 delay 21 ad 20 delay 24 as 23 , 24 as 24 as 25 well 24 as 34 . 25 well 26 as 25 well 32 of 26 as 30 and 27 decrease 29 severity 28 disease 29 severity 29 severity 30 and 30 and 31 rate 32 of 33 progression unfortunately , clinical trials with nsaids have thus far yielded disappointing results , including premature discontinuation of a large - scale prevention trial due to unexpected cardiovascular side effects . 0 ###LEFT-WALL### 4 trials 0 ###LEFT-WALL### 7 have 1 unfortunately 2 , 1 unfortunately 4 trials 3 clinical 4 trials 4 trials 5 with 4 trials 7 have 5 with 6 nsaids 7 have 12 results 7 have 14 including 8 thus 9 far 9 far 12 results 10 yielded 12 results 11 disappointing 12 results 13 , 14 including 14 including 16 discontinuation 14 including 25 to 14 including 30 . 15 premature 16 discontinuation 16 discontinuation 17 of 17 of 23 trial 18 a 19 large 18 a 23 trial 19 large 20 - 19 large 21 scale 21 scale 22 prevention 22 prevention 23 trial 24 due 25 to 25 to 29 effects 26 unexpected 28 side 27 cardiovascular 28 side 28 side 29 effects here we review the literature and make the argument that more targeted exploitation of downstream prostaglandin signaling pathways may offer significant therapeutic benefits for ad while minimizing adverse side effects . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 31 . 1 here 2 we 2 we 6 and 3 review 5 literature 3 review 6 and 4 the 5 literature 6 and 7 make 7 make 9 argument 7 make 16 prostaglandin 8 the 9 argument 9 argument 10 that 10 that 11 more 10 that 12 targeted 11 more 12 targeted 12 targeted 13 exploitation 13 exploitation 14 of 14 of 15 downstream 16 prostaglandin 17 signaling 16 prostaglandin 18 pathways 16 prostaglandin 27 minimizing 18 pathways 19 may 19 may 20 offer 20 offer 23 benefits 20 offer 26 while 21 significant 23 benefits 22 therapeutic 23 benefits 23 benefits 24 for 24 for 25 ad 26 while 27 minimizing 27 minimizing 30 effects 28 adverse 29 side 29 side 30 effects directed strategies such as these may ultimately help to delay the deleterious consequences of brain aging and might someday lead to new therapies for ad and other chronic neurodegenerative diseases . 0 ###LEFT-WALL### 26 and 0 ###LEFT-WALL### 31 . 1 directed 2 strategies 2 strategies 4 as 2 strategies 17 and 2 strategies 26 and 3 such 4 as 4 as 5 these 6 may 8 help 6 may 17 and 7 ultimately 8 help 8 help 9 to 8 help 10 delay 9 to 10 delay 10 delay 13 consequences 11 the 13 consequences 12 deleterious 13 consequences 13 consequences 14 of 14 of 15 brain 15 brain 16 aging 17 and 18 might 17 and 21 to 18 might 20 lead 19 someday 20 lead 21 to 23 therapies 22 new 23 therapies 23 therapies 24 for 24 for 25 ad 26 and 30 diseases 27 other 30 diseases 28 chronic 30 diseases 29 neurodegenerative 30 diseases objective : examine the association between multiple psychological factors ( depressive symptoms , trait anxiety , perceived stress ) and subclinical atherosclerosis in older age . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 3 examine 0 ###LEFT-WALL### 26 . 1 objective 2 : 2 : 3 examine 3 examine 20 and 3 examine 23 in 4 the 5 association 5 association 6 between 5 association 20 and 6 between 9 factors 7 multiple 9 factors 8 psychological 9 factors 9 factors 12 symptoms 9 factors 15 anxiety 10 ( 12 symptoms 11 depressive 12 symptoms 12 symptoms 13 , 13 , 15 anxiety 14 trait 15 anxiety 15 anxiety 18 stress 15 anxiety 19 ) 16 , 18 stress 17 perceived 18 stress 18 stress 19 ) 20 and 22 atherosclerosis 21 subclinical 22 atherosclerosis 23 in 25 age 24 older 25 age method : this cross - sectional study included 1101 adults ages 65 - 84 from the chicago healthy aging study ( chas - 2007 - 2010 ) . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 - 1 method 2 : 2 : 4 cross 3 this 4 cross 5 - 7 study 5 - 8 included 5 - 28 . 6 sectional 7 study 7 study 8 included 8 included 10 adults 9 1101 10 adults 10 adults 11 ages 10 adults 15 from 11 ages 13 - 12 65 13 - 13 - 14 84 15 from 20 study 16 the 20 study 17 chicago 18 healthy 18 healthy 19 aging 19 aging 20 study 20 study 22 chas 21 ( 22 chas 22 chas 25 - 22 chas 27 ) 23 - 24 2007 24 2007 25 - 25 - 26 2010 previously validated self - report instruments were used to assess psychological factors . 0 ###LEFT-WALL### 3 self 0 ###LEFT-WALL### 4 - 1 previously 2 validated 2 validated 3 self 4 - 5 report 4 - 13 . 5 report 6 instruments 5 report 8 used 6 instruments 7 were 7 were 8 used 8 used 9 to 8 used 10 assess 9 to 10 assess 10 assess 12 factors 11 psychological 12 factors [non] - invasive methods were used to assess subclinical atherosclerosis in two regions of the body [,] i.e [.] , ankle [-] brachial blood pressure index ( abi ) and coronary artery calcification ( cac ) . 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 6 used 0 ###LEFT-WALL### 37 . 2 - 4 methods 3 invasive 4 methods 4 methods 5 were 5 were 6 used 6 used 7 to 7 to 8 assess 8 assess 33 calcification 9 subclinical 10 atherosclerosis 10 atherosclerosis 11 in 10 atherosclerosis 30 and 11 in 13 regions 12 two 13 regions 13 regions 14 of 14 of 26 index 15 the 26 index 16 body 25 pressure 18 i.e 20 , 18 i.e 21 ankle 21 ankle 25 pressure 23 brachial 24 blood 24 blood 25 pressure 25 pressure 26 index 26 index 28 abi 27 ( 28 abi 28 abi 29 ) 30 and 31 coronary 30 and 32 artery 32 artery 33 calcification 33 calcification 35 cac 34 ( 35 cac 35 cac 36 ) multivariate logistic regression was used to examine the association between each psychological measure and subclinical atherosclerosis , after the adjustment for socio - demographic factors , sleep quality , young adulthood/early middle age and late - life cvd risk status , and psychological ill - being as appropriate . 0 ###LEFT-WALL### 3 regression 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 49 . 1 multivariate 3 regression 2 logistic 3 regression 3 regression 4 was 4 was 5 used 5 used 6 to 5 used 7 examine 6 to 7 examine 7 examine 9 association 7 examine 10 between 8 the 9 association 10 between 13 measure 11 each 13 measure 12 psychological 13 measure 14 and 16 atherosclerosis 14 and 46 being 15 subclinical 16 atherosclerosis 16 atherosclerosis 18 after 16 atherosclerosis 28 quality 16 atherosclerosis 32 middle 17 , 18 after 18 after 20 adjustment 18 after 26 , 19 the 20 adjustment 20 adjustment 21 for 20 adjustment 25 factors 21 for 22 socio 23 - 25 factors 24 demographic 25 factors 25 factors 26 , 26 , 28 quality 27 sleep 28 quality 28 quality 29 , 30 young 32 middle 31 adulthood/early 32 middle 32 middle 34 and 32 middle 46 being 33 age 34 and 34 and 35 late 36 - 46 being 37 life 40 status 38 cvd 40 status 39 risk 40 status 40 status 42 and 41 , 42 and 42 and 44 ill 42 and 45 - 42 and 46 being 43 psychological 44 ill 46 being 48 appropriate 47 as 48 appropriate results : the burden of major cardiovascular disease risk factors did not significantly differ across tertiles of psychological factors . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 burden 2 : 14 differ 2 : 20 . 3 the 4 burden 4 burden 5 of 4 burden 11 did 5 of 10 factors 6 major 8 disease 7 cardiovascular 8 disease 8 disease 10 factors 9 risk 10 factors 11 did 12 not 11 did 14 differ 13 significantly 14 differ 14 differ 15 across 15 across 16 tertiles 16 tertiles 17 of 17 of 19 factors 18 psychological 19 factors in multivariate adjusted models , trait anxiety was associated with calcification : those in the second tertile were significantly more likely to have cac >0 compared to those in the lowest anxiety tertile [ or=1.68 [;] 95 % ci=1.09 - 2.58 ] , [but] no significant difference was observed for tertile iii of trait anxiety [ or=1.31 [;] 95 % ci=0.75 - 2.27 ] . 0 ###LEFT-WALL### 2 multivariate 0 ###LEFT-WALL### 3 adjusted 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 12 : 1 in 2 multivariate 2 multivariate 3 adjusted 3 adjusted 4 models 5 , 6 trait 6 trait 7 anxiety 6 trait 8 was 6 trait 9 associated 6 trait 10 with 6 trait 12 : 7 anxiety 8 was 10 with 11 calcification 12 : 13 those 12 : 19 significantly 12 : 22 to 13 those 14 in 13 those 17 tertile 13 those 18 were 14 in 16 second 15 the 16 second 17 tertile 18 were 20 more 21 likely 21 likely 22 to 22 to 23 have 23 have 25 >0 23 have 26 compared 24 cac 25 >0 26 compared 27 to 27 to 28 those 28 those 29 in 28 those 39 ci=1.09 29 in 33 tertile 30 the 31 lowest 30 the 33 tertile 32 anxiety 33 tertile 34 [ 39 ci=1.09 35 or=1.68 37 95 35 or=1.68 39 ci=1.09 38 % 39 ci=1.09 39 ci=1.09 41 2.58 39 ci=1.09 43 , 40 - 41 2.58 41 2.58 42 ] 43 , 49 observed 45 no 47 difference 46 significant 47 difference 47 difference 48 was 48 was 49 observed 49 observed 50 for 50 for 51 tertile 51 tertile 52 iii 51 tertile 53 of 51 tertile 61 ci=0.75 53 of 55 anxiety 54 trait 55 anxiety 56 [ 61 ci=0.75 57 or=1.31 59 95 57 or=1.31 61 ci=0.75 60 % 61 ci=0.75 61 ci=0.75 63 2.27 61 ci=0.75 65 . 62 - 63 2.27 63 2.27 64 ] no association was seen between psychological measures and abi . 0 ###LEFT-WALL### 2 association 0 ###LEFT-WALL### 4 seen 0 ###LEFT-WALL### 10 . 1 no 2 association 2 association 3 was 3 was 4 seen 4 seen 5 between 5 between 8 and 6 psychological 7 measures 7 measures 8 and 8 and 9 abi conclusion : of several psychological factors , only trait anxiety was significantly associated with cac . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 16 . 1 conclusion 2 : 2 : 3 of 3 of 6 factors 4 several 6 factors 5 psychological 6 factors 7 , 8 only 7 , 13 associated 8 only 10 anxiety 9 trait 10 anxiety 10 anxiety 11 was 11 was 12 significantly 11 was 13 associated 13 associated 14 with 14 with 15 cac aims : the macro - and microcirculation disease , in patients with type 2 diabetes mellitus ( t2dm ) , induces ischemic wounds of the lower limbs . 0 ###LEFT-WALL### 1 aims 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 28 . 1 aims 2 : 2 : 4 macro 3 the 4 macro 5 - 6 and 6 and 8 disease 6 and 21 induces 7 microcirculation 8 disease 8 disease 10 in 8 disease 21 induces 9 , 10 in 10 in 11 patients 10 in 20 , 11 patients 12 with 12 with 16 mellitus 13 type 16 mellitus 14 2 16 mellitus 15 diabetes 16 mellitus 16 mellitus 18 t2dm 17 ( 18 t2dm 18 t2dm 19 ) 21 induces 23 wounds 22 ischemic 23 wounds 23 wounds 24 of 24 of 27 limbs 25 the 27 limbs 26 lower 27 limbs we have tried to reduce the aggregation of red blood cells and to improve the o2 supply to the tissues and speed the healing of ulcers in t2dm patients . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 30 . 1 we 12 and 2 have 3 tried 2 have 12 and 3 tried 4 to 3 tried 5 reduce 4 to 5 reduce 5 reduce 7 aggregation 6 the 7 aggregation 7 aggregation 8 of 8 of 11 cells 9 red 10 blood 10 blood 11 cells 12 and 13 to 12 and 21 and 13 to 21 and 14 improve 17 supply 14 improve 18 to 14 improve 21 and 15 the 17 supply 16 o2 17 supply 18 to 20 tissues 19 the 20 tissues 21 and 22 speed 22 speed 24 healing 22 speed 27 in 23 the 24 healing 24 healing 25 of 25 of 26 ulcers 27 in 29 patients 28 t2dm 29 patients methods : we enrolled 25 obese subjects without glucose intolerance ( group a [;] [bmi] greater than 30 kg/m2 ) , 20 obese adults intolerant to glucose ( group b ) and two subgroups , groups [c] [and] d , with t2dm and with leg ulcers . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 47 . 2 : 3 we 2 : 4 enrolled 3 we 4 enrolled 4 enrolled 32 and 4 enrolled 43 and 5 25 7 subjects 6 obese 7 subjects 7 subjects 8 without 7 subjects 21 , 8 without 10 intolerance 9 glucose 10 intolerance 10 intolerance 12 group 11 ( 12 group 12 group 13 a 12 group 16 greater 12 group 20 ) 16 greater 17 than 17 than 19 kg/m2 18 30 19 kg/m2 21 , 24 adults 21 , 32 and 22 20 24 adults 23 obese 24 adults 24 adults 25 intolerant 25 intolerant 26 to 26 to 27 glucose 27 glucose 29 group 28 ( 29 group 29 group 30 b 29 group 31 ) 32 and 34 subgroups 32 and 36 groups 33 two 34 subgroups 35 , 36 groups 36 groups 39 d 36 groups 40 , 41 with 42 t2dm 41 with 43 and 43 and 44 with 44 with 46 ulcers 45 leg 46 ulcers the groups [a] [,] [b] [and] [c] were treated with pesf . 0 ###LEFT-WALL### 2 groups 0 ###LEFT-WALL### 9 treated 0 ###LEFT-WALL### 12 . 1 the 2 groups 2 groups 8 were 8 were 9 treated 9 treated 10 with 10 with 11 pesf body weight , o2 extraction , the capillary pulse , blood pressure and the surface of the ulcers were monitored . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 20 monitored 0 ###LEFT-WALL### 21 . 1 body 2 weight 2 weight 3 , 3 , 5 extraction 3 , 6 , 4 o2 5 extraction 6 , 9 pulse 6 , 10 , 7 the 9 pulse 8 capillary 9 pulse 10 , 12 pressure 10 , 13 and 11 blood 12 pressure 13 and 15 surface 13 and 16 of 13 and 19 were 14 the 15 surface 16 of 18 ulcers 17 the 18 ulcers 19 were 20 monitored conclusions : the technique pesf has affected the metabolic processes and the speed of wound healing ulcer in patients with t2dm . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 1 conclusions 2 : 2 : 4 technique 3 the 4 technique 4 technique 5 pesf 4 technique 7 affected 5 pesf 6 has 6 has 7 affected 7 affected 17 ulcer 8 the 17 ulcer 9 metabolic 10 processes 10 processes 11 and 11 and 13 speed 11 and 14 of 11 and 17 ulcer 12 the 13 speed 14 of 16 healing 15 wound 16 healing 17 ulcer 18 in 17 ulcer 20 with 18 in 19 patients 20 with 21 t2dm studies have shown differences in specific cognitive ability domains and risk of alzheimer 's disease between the men and women at later age . 0 ###LEFT-WALL### 1 studies 0 ###LEFT-WALL### 3 shown 0 ###LEFT-WALL### 24 . 1 studies 2 have 2 have 3 shown 3 shown 4 differences 3 shown 9 domains 3 shown 10 and 3 shown 16 between 3 shown 21 at 4 differences 5 in 5 in 8 ability 6 specific 8 ability 7 cognitive 8 ability 10 and 11 risk 11 risk 12 of 12 of 15 disease 13 alzheimer 14 's 14 's 15 disease 16 between 19 and 17 the 18 men 18 men 19 and 19 and 20 women 21 at 23 age 22 later 23 age further , the rate [of] cognitive decline with aging is also different between the sexes . 0 ###LEFT-WALL### 7 decline 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 16 . 1 further 2 , 1 further 7 decline 3 the 7 decline 4 rate 7 decline 6 cognitive 7 decline 7 decline 8 with 7 decline 10 is 8 with 9 aging 10 is 11 also 10 is 12 different 12 different 13 between 13 between 15 sexes 14 the 15 sexes understanding the biology of sex differences in cognitive function will not only provide insight into alzheimer 's disease prevention [,] but also is integral to the development [of] personalized , gender - specific medicine . 0 ###LEFT-WALL### 1 understanding 0 ###LEFT-WALL### 22 also 0 ###LEFT-WALL### 32 - 1 understanding 3 biology 1 understanding 7 in 1 understanding 22 also 2 the 3 biology 3 biology 4 of 4 of 6 differences 5 sex 6 differences 7 in 10 will 8 cognitive 9 function 9 function 10 will 11 not 12 only 12 only 22 also 13 provide 14 insight 13 provide 15 into 13 provide 22 also 15 into 19 prevention 16 alzheimer 17 's 17 's 19 prevention 18 disease 19 prevention 21 but 22 also 22 also 23 is 23 is 24 integral 24 integral 25 to 25 to 27 development 26 the 27 development 27 development 29 personalized 27 development 31 gender 30 , 31 gender 31 gender 32 - 32 - 34 medicine 32 - 35 . 33 specific 34 medicine aging is associated with increased circulating pro [-] inflammatory and lower anti - inflammatory cytokines . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 3 associated 0 ###LEFT-WALL### 16 . 1 aging 2 is 2 is 3 associated 3 associated 4 with 4 with 15 cytokines 5 increased 7 pro 6 circulating 7 pro 7 pro 15 cytokines 9 inflammatory 10 and 10 and 11 lower 10 and 15 cytokines 12 anti 13 - 12 anti 15 cytokines 14 inflammatory 15 cytokines exercise training , in addition to improving muscle function , reduces these circulating pro [-] inflammatory cytokines . 0 ###LEFT-WALL### 1 exercise 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 18 . 1 exercise 2 training 3 , 10 , 4 in 5 addition 4 in 10 , 5 addition 6 to 6 to 7 improving 7 improving 8 muscle 9 function 10 , 10 , 11 reduces 11 reduces 17 cytokines 12 these 17 cytokines 13 circulating 14 pro 14 pro 17 cytokines 16 inflammatory 17 cytokines yet , few studies have evaluated changes in the expression of cytokines within skeletal muscle after exercise training . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 6 evaluated 0 ###LEFT-WALL### 19 . 1 yet 2 , 1 yet 4 studies 3 few 4 studies 4 studies 5 have 5 have 6 evaluated 6 evaluated 7 changes 6 evaluated 8 in 6 evaluated 13 within 6 evaluated 16 after 8 in 10 expression 9 the 10 expression 10 expression 11 of 11 of 12 cytokines 13 within 15 muscle 14 skeletal 15 muscle 16 after 18 training 17 exercise 18 training protein expression of various cytokines was determined in muscle homogenates . 0 ###LEFT-WALL### 2 expression 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 11 . 1 protein 2 expression 2 expression 3 of 2 expression 6 was 3 of 5 cytokines 4 various 5 cytokines 6 was 7 determined 7 determined 8 in 8 in 10 homogenates 9 muscle 10 homogenates the expression of mcp - 1 , il - 8 and il - 6 ( which are traditionally classified [as] ['] [pro] - inflammatory ['] ) increased substantially after acute exercise . 0 ###LEFT-WALL### 2 expression 0 ###LEFT-WALL### 27 increased 0 ###LEFT-WALL### 32 . 1 the 2 expression 2 expression 3 of 2 expression 27 increased 3 of 4 mcp 4 mcp 6 1 4 mcp 8 il 5 - 6 1 6 1 7 , 7 , 8 il 8 il 12 il 8 il 26 ) 9 - 12 il 10 8 11 and 11 and 12 il 12 il 14 6 12 il 26 ) 13 - 14 6 14 6 16 which 14 6 26 ) 15 ( 16 which 16 which 17 are 16 which 26 ) 17 are 18 traditionally 17 are 19 classified 19 classified 23 - 19 classified 24 inflammatory 27 increased 28 substantially 27 increased 29 after 29 after 31 exercise 30 acute 31 exercise by contrast , the expression of the anti - inflammatory cytokines il - 4 , il - 10 and il - 13 increased only slightly ( [or] not at all ) after acute exercise . 0 ###LEFT-WALL### 22 13 0 ###LEFT-WALL### 23 increased 0 ###LEFT-WALL### 35 . 1 by 2 contrast 1 by 21 - 1 by 22 13 2 contrast 5 expression 2 contrast 16 il 3 , 5 expression 4 the 5 expression 5 expression 6 of 5 expression 15 , 6 of 12 il 7 the 11 cytokines 8 anti 9 - 8 anti 11 cytokines 10 inflammatory 11 cytokines 11 cytokines 12 il 12 il 14 4 13 - 14 4 14 4 15 , 15 , 16 il 16 il 20 il 16 il 21 - 17 - 20 il 18 10 19 and 19 and 20 il 20 il 21 - 22 13 23 increased 23 increased 24 only 23 increased 25 slightly 23 increased 29 at 23 increased 32 after 26 ( 28 not 26 ( 29 at 29 at 30 all 29 at 31 ) 32 after 34 exercise 33 acute 34 exercise these responses were not significantly different between young and elderly men , either before or after 12 weeks of exercise training . 0 ###LEFT-WALL### 2 responses 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 22 . 1 these 2 responses 2 responses 3 were 3 were 4 not 3 were 6 different 5 significantly 6 different 6 different 7 between 6 different 15 or 7 between 9 and 8 young 9 and 9 and 11 men 9 and 12 , 10 elderly 11 men 13 either 15 or 14 before 15 or 15 or 16 after 16 after 18 weeks 17 12 18 weeks 18 weeks 19 of 19 of 21 training 20 exercise 21 training however , compared with the young men , the expression [of] pro - inflammatory cytokines 2 h post exercise tended to be greater in the elderly men prior to training . 0 ###LEFT-WALL### 19 exercise 0 ###LEFT-WALL### 20 tended 0 ###LEFT-WALL### 31 . 1 however 2 , 1 however 19 exercise 3 compared 4 with 3 compared 13 - 3 compared 19 exercise 4 with 7 men 5 the 7 men 6 young 7 men 7 men 12 pro 8 , 12 pro 9 the 12 pro 10 expression 12 pro 12 pro 13 - 14 inflammatory 15 cytokines 15 cytokines 18 post 16 2 17 h 17 h 18 post 18 post 19 exercise 19 exercise 20 tended 20 tended 21 to 20 tended 22 be 21 to 22 be 22 be 23 greater 23 greater 24 in 23 greater 29 to 24 in 27 men 25 the 27 men 26 elderly 27 men 28 prior 29 to 29 to 30 training training attenuated this difference . 0 ###LEFT-WALL### 1 training 0 ###LEFT-WALL### 2 attenuated 0 ###LEFT-WALL### 5 . 1 training 2 attenuated 2 attenuated 4 difference 3 this 4 difference these data suggest that the inflammatory response to unaccustomed exercise increases with age . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 14 . 1 these 2 data 2 data 3 suggest 3 suggest 4 that 4 that 7 response 4 that 11 increases 5 the 7 response 6 inflammatory 7 response 7 response 8 to 7 response 11 increases 8 to 10 exercise 9 unaccustomed 10 exercise 11 increases 12 with 12 with 13 age furthermore , regular exercise training may help to normalize this inflammatory response , which could have important implications for muscle regeneration and adaptation in the elderly . 0 ###LEFT-WALL### 5 training 0 ###LEFT-WALL### 7 help 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 27 . 1 furthermore 2 , 1 furthermore 5 training 3 regular 4 exercise 4 exercise 5 training 5 training 6 may 6 may 7 help 7 help 8 to 7 help 9 normalize 8 to 9 normalize 9 normalize 12 response 10 this 12 response 11 inflammatory 12 response 13 , 14 which 13 , 16 have 14 which 15 could 15 could 16 have 16 have 18 implications 16 have 19 for 16 have 24 in 17 important 18 implications 19 for 22 and 20 muscle 21 regeneration 21 regeneration 22 and 22 and 23 adaptation 24 in 26 elderly 25 the 26 elderly the dual mechanisms [of] control [(] dmc ; braver , gray [,] & burgess , 2007 ) [framework] postulates a distinction between proactive and reactive modes of cognitive control . 0 ###LEFT-WALL### 3 mechanisms 0 ###LEFT-WALL### 5 control 0 ###LEFT-WALL### 8 ; 0 ###LEFT-WALL### 30 . 1 the 3 mechanisms 2 dual 3 mechanisms 3 mechanisms 5 control 5 control 7 dmc 8 ; 9 braver 8 ; 10 , 10 , 14 burgess 10 , 19 postulates 11 gray 13 & 13 & 14 burgess 14 burgess 16 2007 14 burgess 19 postulates 15 , 16 2007 16 2007 17 ) 19 postulates 21 distinction 19 postulates 22 between 20 a 21 distinction 22 between 26 modes 23 proactive 24 and 24 and 25 reactive 24 and 26 modes 26 modes 27 of 27 of 29 control 28 cognitive 29 control event - related brain potentials ( erps ) were used to examine age differences in the neural [correlates] of proactive and reactive control [for] task - switching . 0 ###LEFT-WALL### 1 event 0 ###LEFT-WALL### 10 used 1 event 10 used 2 - 3 related 3 related 4 brain 3 related 10 used 4 brain 5 potentials 4 brain 9 were 5 potentials 7 erps 5 potentials 9 were 6 ( 7 erps 7 erps 8 ) 10 used 11 to 10 used 12 examine 11 to 12 examine 12 examine 14 differences 12 examine 25 task 13 age 14 differences 14 differences 15 in 14 differences 19 of 14 differences 25 task 15 in 17 neural 16 the 17 neural 19 of 23 control 20 proactive 21 and 21 and 22 reactive 21 and 23 control 25 task 27 switching 26 - 27 switching 27 switching 28 . whereas proactive control is associated with brain activity for anticipatory task preparation , reactive control is accompanied by reduced preparatory activity , but increased activation during task execution . 0 ###LEFT-WALL### 15 control 0 ###LEFT-WALL### 23 but 0 ###LEFT-WALL### 29 . 1 whereas 3 control 1 whereas 5 associated 1 whereas 13 , 1 whereas 15 control 2 proactive 3 control 3 control 4 is 4 is 5 associated 5 associated 6 with 6 with 8 activity 7 brain 8 activity 8 activity 9 for 9 for 12 preparation 10 anticipatory 11 task 11 task 12 preparation 14 reactive 15 control 15 control 23 but 16 is 17 accompanied 16 is 23 but 17 accompanied 18 by 18 by 21 activity 19 reduced 21 activity 20 preparatory 21 activity 22 , 23 but 23 but 24 increased 24 increased 25 activation 24 increased 26 during 26 during 28 execution 27 task 28 execution switching between tasks was based on feedback - based transition cueing which places particularly high demands on mechanisms for cognitive control . 0 ###LEFT-WALL### 1 switching 0 ###LEFT-WALL### 5 based 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 22 . 1 switching 2 between 1 switching 4 was 2 between 3 tasks 4 was 5 based 5 based 6 on 6 on 7 feedback 8 - 11 cueing 9 based 10 transition 10 transition 11 cueing 11 cueing 12 which 11 cueing 13 places 12 which 13 places 13 places 16 demands 14 particularly 15 high 15 high 16 demands 16 demands 17 on 17 on 18 mechanisms 18 mechanisms 19 for 19 for 21 control 20 cognitive 21 control older adults maintained good performance accuracy at the expense of slower response times . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 3 maintained 0 ###LEFT-WALL### 14 . 1 older 2 adults 2 adults 3 maintained 3 maintained 6 accuracy 3 maintained 7 at 4 good 5 performance 5 performance 6 accuracy 7 at 9 expense 8 the 9 expense 9 expense 10 of 10 of 13 times 11 slower 12 response 12 response 13 times no age [-] related increase in behavioral switching costs was observed . 0 ###LEFT-WALL### 5 increase 0 ###LEFT-WALL### 11 observed 0 ###LEFT-WALL### 12 . 1 no 5 increase 2 age 4 related 4 related 5 increase 5 increase 6 in 5 increase 10 was 6 in 9 costs 7 behavioral 9 costs 8 switching 9 costs 10 was 11 observed the cue - locked erp ( p3a ) data revealed an age - related decrease in neural activity related to the processing of switch cues . 0 ###LEFT-WALL### 2 cue 0 ###LEFT-WALL### 19 related 1 the 2 cue 3 - 19 related 4 locked 9 data 5 erp 7 p3a 5 erp 9 data 6 ( 7 p3a 7 p3a 8 ) 9 data 10 revealed 10 revealed 12 age 10 revealed 19 related 11 an 12 age 12 age 19 related 13 - 14 related 14 related 15 decrease 14 related 16 in 14 related 19 related 16 in 18 activity 17 neural 18 activity 19 related 20 to 19 related 26 . 20 to 22 processing 21 the 22 processing 22 processing 23 of 23 of 25 cues 24 switch 25 cues in the target - locked erps , there was an increased frontal focus of the p3b in older adults . 0 ###LEFT-WALL### 8 there 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 20 . 1 in 3 target 1 in 7 , 1 in 8 there 2 the 3 target 3 target 6 erps 4 - 6 erps 5 locked 6 erps 6 erps 7 , 8 there 9 was 9 was 13 focus 10 an 13 focus 11 increased 13 focus 12 frontal 13 focus 13 focus 14 of 14 of 16 p3b 15 the 16 p3b 16 p3b 17 in 17 in 19 adults 18 older 19 adults these erp data indicate an age [-] related neural [under] - recruitment for proactive cognitive control and an age - related neural [over] - recruitment [for] reactive cognitive control . 0 ###LEFT-WALL### 3 data 0 ###LEFT-WALL### 4 indicate 0 ###LEFT-WALL### 21 related 0 ###LEFT-WALL### 30 . 1 these 3 data 2 erp 3 data 3 data 4 indicate 4 indicate 12 recruitment 5 an 6 age 5 an 12 recruitment 6 age 8 related 8 related 12 recruitment 9 neural 11 - 9 neural 12 recruitment 12 recruitment 13 for 13 for 17 and 14 proactive 16 control 15 cognitive 16 control 16 control 17 and 17 and 19 age 18 an 19 age 20 - 21 related 21 related 29 control 22 neural 24 - 22 neural 25 recruitment 25 recruitment 29 control 27 reactive 29 control 28 cognitive 29 control they are consistent with the idea that older adults may not fully implement task settings before target onset , [after] which they need to catch up on the omitted preparatory task settings . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 2 are 1 they 2 are 2 are 3 consistent 3 consistent 4 with 4 with 6 idea 4 with 16 before 5 the 6 idea 6 idea 7 that 7 that 9 adults 7 that 13 implement 8 older 9 adults 9 adults 10 may 10 may 11 not 10 may 13 implement 12 fully 13 implement 13 implement 15 settings 14 task 15 settings 16 before 18 onset 17 target 18 onset 18 onset 21 which 19 , 21 which 21 which 25 catch 21 which 33 . 22 they 23 need 23 need 24 to 23 need 25 catch 24 to 25 catch 25 catch 26 up 25 catch 27 on 27 on 32 settings 28 the 32 settings 29 omitted 31 task 30 preparatory 31 task 31 task 32 settings objective : to analyze the clinical and pathologic influencing factors of early recurrence in patients with histological [node] - negative ( pn0 [stage] ) esophageal squamous cell carcinoma after radical esophagectomy . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 2 : 3 to 2 : 4 analyze 3 to 4 analyze 4 analyze 10 factors 4 analyze 29 after 5 the 10 factors 6 clinical 7 and 7 and 8 pathologic 7 and 10 factors 9 influencing 10 factors 10 factors 11 of 10 factors 16 with 11 of 13 recurrence 12 early 13 recurrence 13 recurrence 14 in 14 in 15 patients 16 with 28 carcinoma 17 histological 19 - 17 histological 28 carcinoma 20 negative 22 pn0 20 negative 24 ) 20 negative 27 cell 21 ( 22 pn0 22 pn0 24 ) 25 esophageal 27 cell 26 squamous 27 cell 27 cell 28 carcinoma 29 after 31 esophagectomy 30 radical 31 esophagectomy methods : a retrospective study on 112 consecutive pn0 stage esophageal squamous cell carcinoma patients who underwent esophagectomy with lymphadenectomy by the same surgical team from january 2004 to december 2010 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 2 : 5 study 3 a 5 study 4 retrospective 5 study 5 study 6 on 5 study 18 esophagectomy 6 on 15 patients 7 112 15 patients 8 consecutive 10 stage 9 pn0 10 stage 10 stage 15 patients 11 esophageal 13 cell 12 squamous 13 cell 13 cell 15 patients 14 carcinoma 15 patients 15 patients 16 who 15 patients 17 underwent 16 who 17 underwent 18 esophagectomy 19 with 18 esophagectomy 29 to 19 with 20 lymphadenectomy 20 lymphadenectomy 21 by 21 by 25 team 22 the 23 same 23 same 25 team 24 surgical 25 team 25 team 26 from 26 from 27 january 27 january 28 2004 29 to 30 december 30 december 31 2010 there were 92 male and 20 female patients , aging from 36 to 80 years with a mean age of 60.3 years . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 1 there 2 were 2 were 5 and 3 92 5 and 4 male 5 and 5 and 8 patients 5 and 10 aging 6 20 8 patients 7 female 8 patients 9 , 10 aging 10 aging 15 years 10 aging 16 with 10 aging 23 . 11 from 13 to 12 36 13 to 13 to 14 80 13 to 15 years 16 with 19 age 17 a 19 age 18 mean 19 age 19 age 20 of 20 of 22 years 21 60.3 22 years the cox proportional hazards model was used to determine the independent risk factors for recurrence within 3 years after the operation . 0 ###LEFT-WALL### 2 cox 0 ###LEFT-WALL### 7 used 0 ###LEFT-WALL### 22 . 1 the 2 cox 2 cox 4 hazards 2 cox 5 model 2 cox 6 was 3 proportional 4 hazards 4 hazards 5 model 6 was 7 used 7 used 8 to 7 used 9 determine 8 to 9 determine 9 determine 13 factors 9 determine 14 for 9 determine 16 within 10 the 13 factors 11 independent 13 factors 12 risk 13 factors 14 for 15 recurrence 16 within 18 years 17 3 18 years 18 years 19 after 19 after 21 operation 20 the 21 operation results : recurrence was recognized in 45 patients ( 40.2 % ) within 3 years after operation . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 recurrence 2 : 5 recognized 2 : 18 . 3 recurrence 4 was 4 was 5 recognized 5 recognized 6 in 5 recognized 13 within 5 recognized 16 after 6 in 8 patients 7 45 8 patients 8 patients 11 % 9 ( 11 % 10 40.2 11 % 11 % 12 ) 13 within 15 years 14 3 15 years 16 after 17 operation the median time to tumor recurrence was 17.4 months . 0 ###LEFT-WALL### 3 time 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 10 . 1 the 3 time 2 median 3 time 3 time 4 to 3 time 7 was 4 to 6 recurrence 5 tumor 6 recurrence 7 was 9 months 8 17.4 9 months locoregional recurrence was found in 38 patients ( 33.9 % ) , [and] hematogenous metastasis in 7 patients ( 6.3 % ) . 0 ###LEFT-WALL### 2 recurrence 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 23 . 1 locoregional 2 recurrence 2 recurrence 3 was 3 was 4 found 4 found 5 in 5 in 7 patients 6 38 7 patients 7 patients 10 % 7 patients 15 metastasis 8 ( 10 % 9 33.9 10 % 10 % 11 ) 12 , 15 metastasis 14 hematogenous 15 metastasis 15 metastasis 16 in 15 metastasis 22 ) 16 in 18 patients 17 7 18 patients 18 patients 21 % 19 ( 21 % 20 6.3 21 % 21 % 22 ) recurrence closely correlated with tumor location [,] grade of differentiation , pt stage and pathologic stage ( χ ( 2 ) = 6.380 to 18.837 , p < 0.05 ) . 0 ###LEFT-WALL### 1 recurrence 0 ###LEFT-WALL### 3 correlated 0 ###LEFT-WALL### 31 . 1 recurrence 3 correlated 2 closely 3 correlated 3 correlated 4 with 3 correlated 24 to 3 correlated 28 < 4 with 14 and 5 tumor 8 grade 6 location 8 grade 8 grade 9 of 8 grade 11 , 9 of 10 differentiation 11 , 13 stage 11 , 14 and 12 pt 13 stage 14 and 16 stage 14 and 18 χ 15 pathologic 16 stage 17 ( 18 χ 18 χ 20 2 18 χ 21 ) 19 ( 20 2 20 2 21 ) 22 = 23 6.380 23 6.380 24 to 24 to 25 18.837 26 , 28 < 27 p 28 < 28 < 29 0.05 28 < 30 ) the cox multivariate analysis showed that tumor location ( [rr] = 1.092 , p = 0.049 ) and pt3 - 4a [stage] ( [rr] = 3.296 , p = 0.017 ) were independent risk factors for postoperative locoregional recurrence . 0 ###LEFT-WALL### 4 analysis 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 40 . 1 the 4 analysis 2 cox 4 analysis 3 multivariate 4 analysis 4 analysis 5 showed 5 showed 8 location 5 showed 15 = 6 that 8 location 7 tumor 8 location 8 location 12 1.092 9 ( 12 1.092 11 = 12 1.092 12 1.092 13 , 13 , 15 = 14 p 15 = 15 = 16 0.049 15 = 17 ) 18 and 21 4a 18 and 32 were 19 pt3 20 - 19 pt3 21 4a 21 4a 26 3.296 21 4a 32 were 23 ( 26 3.296 25 = 26 3.296 26 3.296 29 = 26 3.296 31 ) 27 , 29 = 28 p 29 = 29 = 30 0.017 29 = 31 ) 32 were 35 factors 33 independent 35 factors 34 risk 35 factors 35 factors 36 for 36 for 39 recurrence 37 postoperative 39 recurrence 38 locoregional 39 recurrence conclusions : the most common recurrence pattern of patients with pn0 esophageal squamous cell carcinoma would develop recurrence within 3 years after operation is locoregional recurrence . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 7 pattern 2 : 17 develop 2 : 27 . 3 the 7 pattern 4 most 5 common 5 common 6 recurrence 6 recurrence 7 pattern 7 pattern 8 of 7 pattern 16 would 8 of 9 patients 9 patients 10 with 10 with 15 carcinoma 11 pn0 15 carcinoma 12 esophageal 14 cell 13 squamous 14 cell 14 cell 15 carcinoma 16 would 17 develop 17 develop 18 recurrence 17 develop 19 within 17 develop 22 after 19 within 21 years 20 3 21 years 22 after 23 operation 22 after 24 is 23 operation 24 is 24 is 26 recurrence 25 locoregional 26 recurrence upper/middle thoracic location and pt3 - 4a [stage] are independent risk factors for locoregional recurrence of pn0 esophageal squamous cell carcinoma after operation . 0 ###LEFT-WALL### 3 location 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 24 . 1 upper/middle 3 location 2 thoracic 3 location 4 and 7 4a 4 and 9 are 5 pt3 6 - 5 pt3 7 4a 7 4a 9 are 9 are 12 factors 10 independent 12 factors 11 risk 12 factors 12 factors 13 for 12 factors 16 of 13 for 15 recurrence 14 locoregional 15 recurrence 16 of 21 carcinoma 17 pn0 21 carcinoma 18 esophageal 20 cell 19 squamous 20 cell 20 cell 21 carcinoma 21 carcinoma 22 after 22 after 23 operation objective : to analyze the clinical features , diagnosis and treatment of lung cancer associated paraneoplastic limbic encephalitis ( ple ) . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 analyze 2 : 22 . 3 to 4 analyze 4 analyze 10 and 4 analyze 15 associated 5 the 7 features 6 clinical 7 features 7 features 8 , 8 , 9 diagnosis 8 , 10 and 10 and 11 treatment 10 and 12 of 10 and 15 associated 12 of 14 cancer 13 lung 14 cancer 15 associated 18 encephalitis 16 paraneoplastic 18 encephalitis 17 limbic 18 encephalitis 18 encephalitis 20 ple 19 ( 20 ple 20 ple 21 ) methods : the clinical data of 7 cases of patients with lung cancer associated ple out of 8927 patients of lung cancer from january 2000 to may 2010 was analyzed retrospectively . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 2 : 5 data 2 : 30 analyzed 3 the 5 data 4 clinical 5 data 5 data 6 of 5 data 9 of 5 data 17 of 5 data 29 was 6 of 8 cases 7 7 8 cases 9 of 10 patients 10 patients 11 with 11 with 15 ple 12 lung 13 cancer 13 cancer 14 associated 14 associated 15 ple 16 out 17 of 17 of 19 patients 18 8927 19 patients 19 patients 20 of 19 patients 26 to 20 of 22 cancer 21 lung 22 cancer 22 cancer 23 from 23 from 24 january 24 january 25 2000 26 to 27 may 27 may 28 2010 29 was 30 analyzed 30 analyzed 31 retrospectively all the patients were male , aging from 41 to 54 years with a mean of 48 years . 0 ###LEFT-WALL### 1 all 0 ###LEFT-WALL### 4 were 1 all 2 the 1 all 3 patients 1 all 4 were 2 the 3 patients 4 were 5 male 5 male 7 aging 6 , 7 aging 7 aging 8 from 7 aging 13 with 7 aging 19 . 8 from 12 years 9 41 10 to 10 to 11 54 10 to 12 years 13 with 15 mean 14 a 15 mean 15 mean 16 of 16 of 18 years 17 48 18 years the data including history , physical examination , laboratory tests , diagnosis , treatment [and] [follow] - up were collected and analyzed . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 23 . 1 the 2 data 2 data 3 including 2 data 21 and 3 including 4 history 3 including 18 up 4 history 7 examination 4 history 10 tests 4 history 12 diagnosis 5 , 7 examination 6 physical 7 examination 7 examination 8 , 8 , 10 tests 9 laboratory 10 tests 10 tests 11 , 11 , 12 diagnosis 12 diagnosis 14 treatment 12 diagnosis 17 - 13 , 14 treatment 14 treatment 17 - 19 were 20 collected 19 were 21 and 21 and 22 analyzed results : all the 7 patients had smoking history . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 all 2 : 7 had 2 : 10 . 3 all 4 the 3 all 6 patients 3 all 7 had 4 the 5 7 5 7 6 patients 7 had 9 history 8 smoking 9 history all 7 patients had varying short - term memory loss , 6 had epilepsy , 4 had different degrees of mental disorders , and 2 [had] syndrome [of] inappropriate secretion [of] antidiuretic hormone . 0 ###LEFT-WALL### 3 patients 0 ###LEFT-WALL### 4 had 0 ###LEFT-WALL### 11 , 1 all 2 7 2 7 3 patients 3 patients 4 had 4 had 10 loss 5 varying 8 term 6 short 7 - 6 short 8 term 8 term 9 memory 9 memory 10 loss 11 , 12 6 11 , 13 had 11 , 15 , 12 6 13 had 13 had 14 epilepsy 15 , 16 4 15 , 17 had 16 4 17 had 17 had 19 degrees 18 different 19 degrees 19 degrees 20 of 20 of 24 and 21 mental 22 disorders 22 disorders 24 and 23 , 24 and 24 and 33 hormone 24 and 34 . 25 2 33 hormone 27 syndrome 33 hormone 29 inappropriate 30 secretion 30 secretion 33 hormone 32 antidiuretic 33 hormone malignancies were screened and detected by chest x - [ray] or ct scan , while the pathological diagnoses were obtained through [biopsy] or transbronchial needle aspiration through electronic bronchoscope ( 5/7 ) , [biopsy] of supraclavicular lymph nodes ( 1/7 ) and open pulmonary lobectomy ( 1/7 ) . 0 ###LEFT-WALL### 1 malignancies 0 ###LEFT-WALL### 42 and 0 ###LEFT-WALL### 49 . 1 malignancies 4 and 1 malignancies 42 and 2 were 3 screened 2 were 4 and 4 and 5 detected 4 and 6 by 6 by 11 or 7 chest 8 x 7 chest 11 or 9 - 11 or 11 or 12 ct 13 scan 15 while 13 scan 42 and 14 , 15 while 15 while 18 diagnoses 15 while 19 were 15 while 41 ) 16 the 18 diagnoses 17 pathological 18 diagnoses 18 diagnoses 19 were 19 were 26 aspiration 20 obtained 25 needle 21 through 23 or 23 or 24 transbronchial 23 or 25 needle 25 needle 26 aspiration 26 aspiration 27 through 26 aspiration 31 5/7 26 aspiration 35 of 27 through 29 bronchoscope 28 electronic 29 bronchoscope 30 ( 31 5/7 31 5/7 32 ) 33 , 35 of 35 of 38 nodes 35 of 41 ) 36 supraclavicular 37 lymph 37 lymph 38 nodes 38 nodes 40 1/7 39 ( 40 1/7 40 1/7 41 ) 42 and 43 open 42 and 45 lobectomy 44 pulmonary 45 lobectomy 45 lobectomy 47 1/7 46 ( 47 1/7 47 1/7 48 ) the pathological diagnosis included small cell lung cancer in 6 cases , adenocarcinoma of [lung] in 1 case . 0 ###LEFT-WALL### 3 diagnosis 0 ###LEFT-WALL### 4 included 1 the 3 diagnosis 2 pathological 3 diagnosis 3 diagnosis 4 included 4 included 8 cancer 4 included 9 in 5 small 6 cell 6 cell 8 cancer 7 lung 8 cancer 9 in 11 cases 10 6 11 cases 11 cases 13 adenocarcinoma 12 , 13 adenocarcinoma 13 adenocarcinoma 14 of 13 adenocarcinoma 19 . 14 of 16 in 16 in 18 case 17 1 18 case during [the] [follow] - up , 1 patient was lost , and the mean time of [follow] - up of the remaining 6 patients was about 11.5 months ( ranged from 4 to 21 months ) . 0 ###LEFT-WALL### 8 patient 0 ###LEFT-WALL### 10 lost 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 37 . 1 during 5 up 1 during 6 , 1 during 8 patient 4 - 5 up 7 1 8 patient 8 patient 9 was 9 was 10 lost 11 , 12 and 12 and 15 time 12 and 25 was 13 the 15 time 14 mean 15 time 15 time 16 of 15 time 20 of 15 time 25 was 16 of 19 up 18 - 19 up 20 of 24 patients 21 the 22 remaining 21 the 23 6 23 6 24 patients 25 was 28 months 26 about 27 11.5 27 11.5 28 months 28 months 30 ranged 29 ( 30 ranged 30 ranged 31 from 30 ranged 36 ) 31 from 35 months 32 4 33 to 33 to 34 21 33 to 35 months four patients received early immunosuppressive treatment in terms of corticosteroids , only slight relief of neurological symptoms was seen in 2 patients . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 3 received 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 23 . 1 four 2 patients 2 patients 3 received 3 received 6 treatment 3 received 7 in 4 early 6 treatment 5 immunosuppressive 6 treatment 7 in 8 terms 8 terms 9 of 9 of 10 corticosteroids 11 , 12 only 11 , 19 seen 12 only 14 relief 13 slight 14 relief 14 relief 15 of 14 relief 18 was 15 of 17 symptoms 16 neurological 17 symptoms 18 was 19 seen 19 seen 20 in 20 in 22 patients 21 2 22 patients [however] [,] [after] chemotherapy [(] [6/6] [ )(, radiation [(] 3/6 [ )(, or surgical removal of the tumor ( 1/6 ) , complete remission ( 3/6 , with negative anti - hu antibody [ )(or partial remission ( 3/6 , [2] [of] [whom] with positive anti - hu antibody [ )(of neurological symptoms were observed . 0 ###LEFT-WALL### 4 chemotherapy 0 ###LEFT-WALL### 8 )(, 8 )(, 14 or 9 radiation 11 3/6 9 radiation 14 or 13 )(, 14 or 14 or 16 removal 14 or 23 , 14 or 24 complete 15 surgical 16 removal 16 removal 17 of 17 of 19 tumor 18 the 19 tumor 19 tumor 21 1/6 20 ( 21 1/6 21 1/6 22 ) 24 complete 25 remission 24 complete 29 with 25 remission 27 3/6 26 ( 27 3/6 27 3/6 28 , 29 with 33 hu 29 with 36 )(or 30 negative 33 hu 31 anti 32 - 31 anti 33 hu 34 antibody 36 )(or 36 )(or 38 remission 36 )(or 40 3/6 36 )(or 45 with 37 partial 38 remission 39 ( 40 3/6 40 3/6 41 , 41 , 45 with 45 with 49 hu 45 with 57 . 46 positive 49 hu 47 anti 48 - 47 anti 49 hu 49 hu 50 antibody 49 hu 55 were 49 hu 56 observed 50 antibody 52 )(of 50 antibody 55 were 52 )(of 54 symptoms 53 neurological 54 symptoms conclusions : ple is a rare disease . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 ple 2 : 4 is 2 : 8 . 3 ple 4 is 4 is 7 disease 5 a 6 rare 5 a 7 disease 6 rare 7 disease in comparison with immunosuppressive therapy , chemotherapy , radiation or surgical removal of the tumor could provide better remission of the neurological symptoms . 0 ###LEFT-WALL### 10 or 0 ###LEFT-WALL### 17 provide 0 ###LEFT-WALL### 24 . 1 in 2 comparison 1 in 6 , 1 in 10 or 2 comparison 3 with 3 with 5 therapy 4 immunosuppressive 5 therapy 7 chemotherapy 8 , 8 , 9 radiation 8 , 10 or 10 or 12 removal 10 or 13 of 10 or 16 could 11 surgical 12 removal 13 of 15 tumor 14 the 15 tumor 16 could 17 provide 17 provide 19 remission 18 better 19 remission 19 remission 20 of 20 of 23 symptoms 21 the 23 symptoms 22 neurological 23 symptoms positive serum anti - hu [antibody] , poorer tumor stag , and together [with] poorer response to treatments seem to indicate a poorer prognosis . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 19 seem 0 ###LEFT-WALL### 25 . 1 positive 2 serum 2 serum 5 hu 3 anti 4 - 3 anti 5 hu 5 hu 7 , 7 , 10 stag 7 , 12 and 8 poorer 9 tumor 9 tumor 10 stag 11 , 12 and 12 and 16 response 12 and 17 to 12 and 19 seem 13 together 15 poorer 15 poorer 16 response 17 to 18 treatments 19 seem 20 to 19 seem 21 indicate 20 to 21 indicate 21 indicate 24 prognosis 22 a 24 prognosis 23 poorer 24 prognosis rationale and objectives : differentiating mild cognitive impairment ( mci ) and alzheimer disease ( ad ) [from] healthy aging remains challenging . 0 ###LEFT-WALL### 3 objectives 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 23 . 1 rationale 2 and 2 and 3 objectives 3 objectives 4 : 4 : 5 differentiating 5 differentiating 8 impairment 6 mild 8 impairment 7 cognitive 8 impairment 8 impairment 10 mci 9 ( 10 mci 10 mci 11 ) 12 and 20 aging 12 and 21 remains 13 alzheimer 14 disease 14 disease 16 ad 15 ( 16 ad 16 ad 17 ) 16 ad 20 aging 19 healthy 20 aging 20 aging 21 remains 21 remains 22 challenging this study aimed to explore the cerebral structural alterations of subjects with mci or ad as compared to healthy elderly based on the individual and collective effects of cerebral morphologic indices using univariate and multivariate analyses . 0 ###LEFT-WALL### 14 or 0 ###LEFT-WALL### 37 . 1 this 2 study 2 study 3 aimed 2 study 14 or 3 aimed 4 to 3 aimed 12 with 4 to 5 explore 5 explore 9 alterations 6 the 9 alterations 7 cerebral 9 alterations 8 structural 9 alterations 9 alterations 10 of 10 of 11 subjects 12 with 13 mci 14 or 15 ad 14 or 18 to 14 or 28 of 15 ad 17 compared 16 as 17 compared 18 to 27 effects 19 healthy 27 effects 20 elderly 21 based 20 elderly 25 and 21 based 22 on 22 on 24 individual 23 the 24 individual 25 and 26 collective 25 and 27 effects 28 of 31 indices 29 cerebral 31 indices 30 morphologic 31 indices 31 indices 32 using 32 using 34 and 33 univariate 34 and 34 and 36 analyses 35 multivariate 36 analyses materials and methods : t1 - weighted images ( t1wis ) were retrieved from alzheimer disease neuroimaging initiative database for 116 subjects who were categorized into groups of healthy aging , mci , and ad . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 36 . 1 materials 2 and 2 and 3 methods 3 methods 4 : 4 : 5 t1 6 - 8 images 6 - 25 categorized 7 weighted 8 images 8 images 10 t1wis 8 images 12 were 9 ( 10 t1wis 10 t1wis 11 ) 12 were 13 retrieved 13 retrieved 14 from 14 from 18 initiative 15 alzheimer 16 disease 16 disease 17 neuroimaging 17 neuroimaging 18 initiative 18 initiative 19 database 18 initiative 25 categorized 19 database 20 for 19 database 25 categorized 20 for 22 subjects 21 116 22 subjects 22 subjects 23 who 22 subjects 24 were 23 who 24 were 25 categorized 26 into 26 into 34 and 27 groups 28 of 27 groups 34 and 28 of 30 aging 29 healthy 30 aging 30 aging 32 mci 31 , 32 mci 32 mci 33 , 33 , 34 and 34 and 35 ad analysis of covariance ( ancova ) and multivariate analysis of covariance ( mancova ) were performed to explore the intergroup morphologic alterations indexed by surface area , curvature index , cortical thickness , and subjacent white matter volume with age and sex controlled as covariates , in 34 parcellated gyri regions of interest ( rois ) for both cerebral hemispheres based on the t1wi . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 16 performed 0 ###LEFT-WALL### 65 . 1 analysis 2 of 1 analysis 7 and 2 of 3 covariance 3 covariance 5 ancova 4 ( 5 ancova 5 ancova 6 ) 7 and 9 analysis 7 and 14 ) 7 and 15 were 8 multivariate 9 analysis 9 analysis 10 of 10 of 11 covariance 11 covariance 13 mancova 12 ( 13 mancova 13 mancova 14 ) 15 were 16 performed 16 performed 17 to 16 performed 24 by 17 to 18 explore 18 explore 20 intergroup 19 the 20 intergroup 20 intergroup 22 alterations 20 intergroup 23 indexed 21 morphologic 22 alterations 22 alterations 23 indexed 24 by 34 and 25 surface 26 area 26 area 27 , 27 , 29 index 27 , 30 , 28 curvature 29 index 30 , 32 thickness 30 , 34 and 31 cortical 32 thickness 33 , 34 and 34 and 38 volume 35 subjacent 38 volume 36 white 38 volume 37 matter 38 volume 38 volume 39 with 39 with 41 and 40 age 41 and 41 and 42 sex 41 and 43 controlled 43 controlled 44 as 43 controlled 57 for 44 as 45 covariates 45 covariates 47 in 46 , 47 in 47 in 51 regions 47 in 56 ) 48 34 51 regions 49 parcellated 51 regions 50 gyri 51 regions 51 regions 52 of 52 of 53 interest 53 interest 55 rois 54 ( 55 rois 55 rois 56 ) 57 for 60 hemispheres 58 both 60 hemispheres 59 cerebral 60 hemispheres 60 hemispheres 61 based 61 based 62 on 62 on 64 t1wi 63 the 64 t1wi statistical parameters were mapped on the anatomic images to facilitate visual inspection . 0 ###LEFT-WALL### 2 parameters 0 ###LEFT-WALL### 4 mapped 0 ###LEFT-WALL### 13 . 1 statistical 2 parameters 2 parameters 3 were 3 were 4 mapped 4 mapped 5 on 4 mapped 9 to 5 on 8 images 6 the 8 images 7 anatomic 8 images 9 to 10 facilitate 10 facilitate 12 inspection 11 visual 12 inspection results : global rather than [region] - specific structural alterations were revealed in groups of mci and ad relative to healthy elderly using mancova . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 10 alterations 2 : 12 revealed 3 global 10 alterations 4 rather 10 alterations 5 than 7 - 5 than 10 alterations 8 specific 10 alterations 9 structural 10 alterations 10 alterations 11 were 11 were 12 revealed 12 revealed 13 in 12 revealed 20 to 13 in 17 and 14 groups 15 of 14 groups 17 and 15 of 16 mci 17 and 19 relative 18 ad 19 relative 20 to 24 mancova 21 healthy 24 mancova 22 elderly 24 mancova 23 using 24 mancova ancova revealed that the cortical thickness decreased more prominently in entorhinal , temporal , and cingulate cortices and was positively correlated with patients ' cognitive performance in ad [group] but not in mci . 0 ###LEFT-WALL### 1 ancova 0 ###LEFT-WALL### 2 revealed 0 ###LEFT-WALL### 34 . 1 ancova 2 revealed 2 revealed 3 that 3 that 6 thickness 3 that 18 and 4 the 6 thickness 5 cortical 6 thickness 6 thickness 7 decreased 6 thickness 10 in 6 thickness 18 and 7 decreased 9 prominently 8 more 9 prominently 10 in 15 and 11 entorhinal 12 , 12 , 13 temporal 12 , 15 and 14 , 15 and 15 and 16 cingulate 17 cortices 18 and 18 and 19 was 19 was 21 correlated 20 positively 21 correlated 21 correlated 30 but 22 with 26 performance 22 with 30 but 23 patients 24 ' 24 ' 26 performance 25 cognitive 26 performance 26 performance 27 in 27 in 28 ad 30 but 31 not 30 but 32 in 32 in 33 mci the temporal lobe features marked atrophy of white matter during the disease dynamics . 0 ###LEFT-WALL### 4 features 0 ###LEFT-WALL### 5 marked 0 ###LEFT-WALL### 14 . 1 the 4 features 2 temporal 3 lobe 3 lobe 4 features 4 features 5 marked 5 marked 6 atrophy 5 marked 10 during 6 atrophy 7 of 7 of 9 matter 8 white 9 matter 10 during 13 dynamics 11 the 13 dynamics 12 disease 13 dynamics significant intercorrelations were observed among the morphologic indices with univariate analysis for given rois . 0 ###LEFT-WALL### 2 intercorrelations 0 ###LEFT-WALL### 4 observed 0 ###LEFT-WALL### 15 . 1 significant 2 intercorrelations 2 intercorrelations 3 were 3 were 4 observed 4 observed 5 among 4 observed 9 with 5 among 8 indices 6 the 8 indices 7 morphologic 8 indices 9 with 11 analysis 10 univariate 11 analysis 11 analysis 12 for 12 for 14 rois 13 given 14 rois conclusions : significant global structural alterations were identified in mci and [ad] based on mancova model with improved sensitivity . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 1 conclusions 2 : 2 : 3 significant 3 significant 6 alterations 3 significant 16 model 4 global 6 alterations 5 structural 6 alterations 6 alterations 11 and 6 alterations 16 model 7 were 8 identified 7 were 11 and 8 identified 9 in 9 in 10 mci 11 and 13 based 11 and 14 on 11 and 15 mancova 16 model 17 with 17 with 19 sensitivity 18 improved 19 sensitivity the intercorrelation among the morphologic indices may dampen the use [of] individual morphological parameter in featuring cerebral structural alterations . 0 ###LEFT-WALL### 2 intercorrelation 0 ###LEFT-WALL### 8 dampen 0 ###LEFT-WALL### 20 . 1 the 2 intercorrelation 2 intercorrelation 3 among 2 intercorrelation 7 may 3 among 6 indices 4 the 6 indices 5 morphologic 6 indices 7 may 8 dampen 8 dampen 14 parameter 8 dampen 15 in 9 the 14 parameter 10 use 14 parameter 12 individual 14 parameter 13 morphological 14 parameter 15 in 16 featuring 16 featuring 19 alterations 17 cerebral 19 alterations 18 structural 19 alterations decrease in cortical thickness is not reflective of the cognitive performance at the early stage of ad . 0 ###LEFT-WALL### 1 decrease 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 18 . 1 decrease 2 in 1 decrease 5 is 2 in 4 thickness 3 cortical 4 thickness 5 is 6 not 5 is 8 of 5 is 12 at 6 not 7 reflective 8 of 11 performance 9 the 11 performance 10 cognitive 11 performance 12 at 15 stage 13 the 15 stage 14 early 15 stage 15 stage 16 of 16 of 17 ad photoprotection of human skin by means of sunscreens or daily skin - care products is traditionally centered around the prevention of acute ( e.g [.] sunburn ) [and] chronic [(] e.g [.] skin cancer and photoaging ) skin damage that may result from exposure to ultraviolet rays ( uvb and uva ) . 1 photoprotection 4 skin 2 of 3 human 2 of 4 skin 4 skin 5 by 4 skin 7 of 4 skin 15 is 5 by 6 means 7 of 14 products 8 sunscreens 9 or 9 or 11 skin 9 or 12 - 9 or 13 care 10 daily 11 skin 13 care 14 products 15 is 17 centered 16 traditionally 17 centered 17 centered 18 around 18 around 20 prevention 19 the 20 prevention 20 prevention 21 of 21 of 33 skin 22 acute 26 sunburn 22 acute 31 e.g 23 ( 26 sunburn 24 e.g 26 sunburn 26 sunburn 27 ) 29 chronic 31 e.g 31 e.g 33 skin 33 skin 35 and 33 skin 38 skin 33 skin 43 from 34 cancer 35 and 35 and 36 photoaging 35 and 37 ) 35 and 38 skin 38 skin 39 damage 39 damage 40 that 39 damage 41 may 40 that 41 may 41 may 42 result 43 from 44 exposure 44 exposure 45 to 44 exposure 50 and 45 to 47 rays 46 ultraviolet 47 rays 48 ( 50 and 49 uvb 50 and 50 and 51 uva 50 and 52 ) 50 and 53 . within the last decade , however , it has been appreciated [that] wavelengths beyond the ultraviolet spectrum , in particular visible light and infrared radiation , contribute to skin damage in general and photoaging of human skin in particular . 0 ###LEFT-WALL### 13 wavelengths 0 ###LEFT-WALL### 27 contribute 0 ###LEFT-WALL### 40 . 1 within 4 decade 1 within 13 wavelengths 2 the 3 last 2 the 4 decade 4 decade 8 it 4 decade 11 appreciated 5 , 6 however 6 however 7 , 6 however 8 it 8 it 9 has 9 has 10 been 10 been 11 appreciated 13 wavelengths 14 beyond 13 wavelengths 27 contribute 14 beyond 17 spectrum 15 the 17 spectrum 16 ultraviolet 17 spectrum 17 spectrum 19 in 18 , 19 in 19 in 25 radiation 19 in 26 , 20 particular 25 radiation 21 visible 25 radiation 22 light 23 and 23 and 24 infrared 23 and 25 radiation 27 contribute 28 to 27 contribute 39 particular 28 to 33 and 29 skin 30 damage 30 damage 32 general 30 damage 33 and 31 in 32 general 33 and 34 photoaging 33 and 35 of 35 of 37 skin 36 human 37 skin 38 in 39 particular as a consequence , attempts have been made to develop skin care/sunscreen products that [not] only protect against uvb or uva radiation but provide photoprotection against visible light and infrared radiation as well . 0 ###LEFT-WALL### 5 attempts 0 ###LEFT-WALL### 8 made 0 ###LEFT-WALL### 34 . 1 as 3 consequence 1 as 4 , 1 as 5 attempts 2 a 3 consequence 5 attempts 6 have 6 have 7 been 7 been 8 made 8 made 9 to 8 made 33 well 9 to 23 but 10 develop 13 products 10 develop 23 but 11 skin 12 care/sunscreen 12 care/sunscreen 13 products 13 products 14 that 13 products 17 protect 14 that 17 protect 16 only 17 protect 17 protect 18 against 17 protect 22 radiation 18 against 20 or 19 uvb 20 or 20 or 21 uva 23 but 24 provide 24 provide 29 and 25 photoprotection 26 against 25 photoprotection 29 and 26 against 28 light 27 visible 28 light 29 and 31 radiation 30 infrared 31 radiation 32 as 33 well in this article , we will briefly review the current knowledge about the mechanisms responsible for visible light/infrared radiation - induced skin damage [and] then , based on this information , [discuss] [strategies] that have been successfully used or may be employed in the future to achieve photoprotection of human skin beyond ultraviolet radiation [.] 1 in 3 article 1 in 4 , 1 in 5 we 2 this 3 article 5 we 6 will 6 will 8 review 7 briefly 8 review 8 review 11 knowledge 9 the 11 knowledge 10 current 11 knowledge 11 knowledge 12 about 11 knowledge 15 responsible 12 about 14 mechanisms 13 the 14 mechanisms 15 responsible 16 for 16 for 19 radiation 17 visible 19 radiation 18 light/infrared 19 radiation 19 radiation 23 damage 19 radiation 27 based 20 - 23 damage 21 induced 22 skin 22 skin 23 damage 23 damage 25 then 23 damage 26 , 26 , 27 based 27 based 28 on 28 on 30 information 29 this 30 information 30 information 34 that 30 information 39 or 31 , 34 that 34 that 39 or 35 have 36 been 35 have 39 or 36 been 37 successfully 36 been 38 used 39 or 40 may 40 may 41 be 41 be 42 employed 42 employed 43 in 42 employed 46 to 42 employed 47 achieve 43 in 45 future 44 the 45 future 46 to 47 achieve 47 achieve 48 photoprotection 48 photoprotection 49 of 48 photoprotection 52 beyond 49 of 51 skin 50 human 51 skin 52 beyond 54 radiation 53 ultraviolet 54 radiation in this regard we will particularly focus on the use of topical antioxidants and the challenges that result from the task of showing their efficacy . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 7 focus 0 ###LEFT-WALL### 26 . 1 in 3 regard 1 in 4 we 2 this 3 regard 4 we 5 will 5 will 7 focus 6 particularly 7 focus 7 focus 8 on 8 on 10 use 9 the 10 use 10 use 11 of 11 of 14 and 12 topical 13 antioxidants 13 antioxidants 14 and 14 and 16 challenges 14 and 17 that 14 and 18 result 15 the 16 challenges 17 that 18 result 18 result 19 from 19 from 21 task 20 the 21 task 21 task 22 of 22 of 23 showing 23 showing 25 efficacy 24 their 25 efficacy treatment for hodgkin lymphoma ( hl ) is more aggressive in germany than in the united states ( us ) and differences in treatment may lead to differences in population level survival . 0 ###LEFT-WALL### 1 treatment 0 ###LEFT-WALL### 26 lead 0 ###LEFT-WALL### 33 . 1 treatment 2 for 1 treatment 8 is 2 for 4 lymphoma 3 hodgkin 4 lymphoma 4 lymphoma 6 hl 5 ( 6 hl 6 hl 7 ) 8 is 9 more 8 is 10 aggressive 10 aggressive 11 in 10 aggressive 13 than 11 in 12 germany 13 than 14 in 14 in 16 united 15 the 16 united 16 united 21 and 16 united 26 lead 17 states 19 us 17 states 21 and 18 ( 19 us 19 us 20 ) 21 and 22 differences 21 and 23 in 21 and 25 may 23 in 24 treatment 25 may 26 lead 26 lead 27 to 26 lead 29 in 27 to 28 differences 29 in 32 survival 30 population 31 level 31 level 32 survival patients diagnosed with hl in 11 german states in 1997 - 2006 were included in the analyses and were compared to similar analyses from patients in the surveillance , epidemiology , and end results database in the us . 0 ###LEFT-WALL### 32 and 0 ###LEFT-WALL### 39 . 1 patients 2 diagnosed 1 patients 5 in 1 patients 9 in 1 patients 32 and 2 diagnosed 3 with 3 with 4 hl 5 in 8 states 6 11 8 states 7 german 8 states 9 in 10 1997 10 1997 12 2006 11 - 12 2006 12 2006 18 and 12 2006 31 , 13 were 14 included 13 were 18 and 14 included 15 in 15 in 17 analyses 16 the 17 analyses 18 and 19 were 18 and 26 in 18 and 28 surveillance 19 were 20 compared 20 compared 21 to 21 to 23 analyses 22 similar 23 analyses 23 analyses 24 from 24 from 25 patients 27 the 28 surveillance 28 surveillance 30 epidemiology 29 , 30 epidemiology 30 epidemiology 31 , 32 and 35 database 32 and 36 in 33 end 35 database 34 results 35 database 36 in 38 us 37 the 38 us period analysis was used to calculate 5 - year relative survival for the time period of 2002 - 2006 [overall] and by gender , age and histology . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 4 used 1 period 2 analysis 2 analysis 3 was 3 was 4 used 4 used 5 to 4 used 6 calculate 5 to 6 calculate 6 calculate 7 5 7 5 11 survival 8 - 11 survival 9 year 11 survival 10 relative 11 survival 11 survival 21 and 11 survival 26 and 11 survival 28 . 12 for 15 period 12 for 21 and 13 the 15 period 14 time 15 period 15 period 16 of 16 of 18 - 17 2002 18 - 18 - 19 2006 21 and 22 by 22 by 23 gender 24 , 26 and 25 age 26 and 26 and 27 histology 26 and 28 . overall 5 - year relative survival for patients with hl in germany [was] 84·3 % , compared to 80·6 % for the us . 0 ###LEFT-WALL### 1 overall 0 ###LEFT-WALL### 17 compared 0 ###LEFT-WALL### 24 . 1 overall 2 5 1 overall 6 survival 1 overall 17 compared 3 - 6 survival 4 year 6 survival 5 relative 6 survival 6 survival 7 for 6 survival 16 , 7 for 8 patients 8 patients 9 with 9 with 10 hl 10 hl 11 in 11 in 15 % 12 germany 14 84·3 14 84·3 15 % 17 compared 18 to 17 compared 21 for 18 to 20 % 19 80·6 20 % 21 for 23 us 22 the 23 us survival was [highest] in patients aged 15 - 29 years at 97·9 % and decreased with age to 57·5 % at age 60 [+] survival for men and women , respectively , was 84·7 [%] and 84·1 [%] in germany and 78·2 [%] and 83·6 [%] in the us . 0 ###LEFT-WALL### 1 survival 0 ###LEFT-WALL### 2 was 1 survival 2 was 2 was 4 in 2 was 14 and 4 in 5 patients 6 aged 10 years 6 aged 11 at 6 aged 14 and 7 15 8 - 8 - 9 29 8 - 10 years 11 at 13 % 12 97·9 13 % 14 and 15 decreased 14 and 16 with 16 with 17 age 16 with 23 60 17 age 18 to 17 age 21 at 18 to 20 % 19 57·5 20 % 21 at 22 age 23 60 25 survival 23 60 33 was 25 survival 26 for 25 survival 33 was 26 for 28 and 27 men 28 and 28 and 29 women 30 , 31 respectively 31 respectively 32 , 31 respectively 33 was 33 was 36 and 33 was 39 in 34 84·7 36 and 36 and 37 84·1 39 in 44 and 40 germany 41 and 41 and 42 78·2 41 and 44 and 44 and 45 83·6 44 and 50 . 45 83·6 47 in 47 in 49 us 48 the 49 us survival of hl patients in the us was lower than in germany overall , but was comparable in older patients and in women . 0 ###LEFT-WALL### 1 survival 0 ###LEFT-WALL### 15 but 0 ###LEFT-WALL### 24 . 1 survival 2 of 1 survival 15 but 2 of 4 patients 3 hl 4 patients 4 patients 5 in 5 in 7 us 6 the 7 us 8 was 9 lower 8 was 15 but 9 lower 10 than 9 lower 13 overall 10 than 11 in 11 in 12 germany 14 , 15 but 15 but 16 was 16 was 17 comparable 17 comparable 21 and 18 in 20 patients 18 in 21 and 19 older 20 patients 21 and 22 in 22 in 23 women population - based studies with [longer] [follow] - up are still needed to examine effects of late toxicity on long term survival . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 12 needed 0 ###LEFT-WALL### 23 . 1 population 2 - 1 population 4 studies 3 based 4 studies 4 studies 5 with 4 studies 10 are 5 with 9 up 8 - 9 up 10 are 12 needed 11 still 12 needed 12 needed 13 to 13 to 14 examine 14 examine 15 effects 14 examine 19 on 15 effects 16 of 16 of 18 toxicity 17 late 18 toxicity 19 on 22 survival 20 long 21 term 21 term 22 survival part two of this review series evaluates the use of lasers and laser - like devices in dermatology based on published evidence and the collective experience of the senior authors . 0 ###LEFT-WALL### 1 part 0 ###LEFT-WALL### 7 evaluates 0 ###LEFT-WALL### 31 . 1 part 2 two 1 part 3 of 1 part 7 evaluates 3 of 6 series 4 this 6 series 5 review 6 series 7 evaluates 12 and 7 evaluates 15 like 8 the 9 use 9 use 10 of 9 use 12 and 10 of 11 lasers 12 and 13 laser 12 and 14 - 12 and 15 like 15 like 16 devices 15 like 17 in 15 like 20 on 17 in 18 dermatology 18 dermatology 19 based 20 on 23 and 21 published 22 evidence 22 evidence 23 and 23 and 26 experience 24 the 26 experience 25 collective 26 experience 26 experience 27 of 27 of 30 authors 28 the 30 authors 29 senior 30 authors dermatologists can laser - treat a wide range of dermatoses , including vascular , pigmentary , textural , benign proliferative and premalignant conditions . 0 ###LEFT-WALL### 3 laser 0 ###LEFT-WALL### 4 - 1 dermatologists 3 laser 2 can 3 laser 4 - 5 treat 5 treat 8 range 6 a 7 wide 6 a 8 range 7 wide 8 range 8 range 9 of 9 of 10 dermatoses 10 dermatoses 12 including 11 , 12 including 12 including 15 pigmentary 12 including 24 . 13 vascular 14 , 13 vascular 15 pigmentary 15 pigmentary 23 conditions 16 , 23 conditions 17 textural 18 , 17 textural 23 conditions 19 benign 23 conditions 20 proliferative 21 and 21 and 22 premalignant 21 and 23 conditions 23 conditions 24 . some of these conditions include vascular malformation , haemangioma , facial telangiectases , café - au - lait macules , naevi of ota , lentigines , acne scarring , rhytides , rhinophyma and miscellaneous skin lesions . 0 ###LEFT-WALL### 1 some 0 ###LEFT-WALL### 5 include 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 18 lait 0 ###LEFT-WALL### 37 . 1 some 2 of 1 some 5 include 2 of 4 conditions 3 these 4 conditions 5 include 7 malformation 6 vascular 7 malformation 8 , 14 café 8 , 15 - 9 haemangioma 12 telangiectases 9 haemangioma 14 café 10 , 12 telangiectases 11 facial 12 telangiectases 12 telangiectases 13 , 15 - 16 au 15 - 17 - 17 - 18 lait 18 lait 33 and 19 macules 20 , 20 , 21 naevi 20 , 24 , 21 naevi 22 of 22 of 23 ota 24 , 25 lentigines 24 , 26 , 26 , 28 scarring 26 , 29 , 27 acne 28 scarring 29 , 30 rhytides 29 , 31 , 31 , 32 rhinophyma 31 , 33 and 33 and 36 lesions 34 miscellaneous 35 skin 35 skin 36 lesions photodynamic therapy with lasers and [intense] pulsed light is addressed , with particular reference to actinic keratosis and actinic cheilitis . 0 ###LEFT-WALL### 2 therapy 0 ###LEFT-WALL### 10 addressed 1 photodynamic 2 therapy 2 therapy 3 with 2 therapy 9 is 3 with 5 and 4 lasers 5 and 5 and 7 pulsed 7 pulsed 8 light 9 is 10 addressed 10 addressed 12 with 11 , 12 with 12 with 14 reference 12 with 15 to 12 with 21 . 13 particular 14 reference 15 to 18 and 16 actinic 17 keratosis 17 keratosis 18 and 18 and 20 cheilitis 18 and 21 . 19 actinic 20 cheilitis a treatment algorithm for acne scarring based on scar morphology and severity is comprehensively outlined . 0 ###LEFT-WALL### 3 algorithm 0 ###LEFT-WALL### 15 outlined 0 ###LEFT-WALL### 16 . 1 a 2 treatment 1 a 3 algorithm 2 treatment 3 algorithm 3 algorithm 4 for 3 algorithm 7 based 3 algorithm 13 is 4 for 6 scarring 5 acne 6 scarring 7 based 8 on 8 on 11 and 9 scar 10 morphology 10 morphology 11 and 11 and 12 severity 13 is 14 comprehensively 13 is 15 outlined following from part one , the various devices are matched to the corresponding dermatological conditions with representative pictorial case vignettes illustrating likely clinical outcomes as well as limitations and potential complications of the various laser and light therapies . 0 ###LEFT-WALL### 8 devices 0 ###LEFT-WALL### 39 . 1 following 2 from 1 following 5 , 1 following 8 devices 2 from 3 part 3 part 4 one 6 the 8 devices 7 various 8 devices 8 devices 9 are 9 are 10 matched 10 matched 11 to 10 matched 16 with 10 matched 27 as 11 to 15 conditions 12 the 15 conditions 13 corresponding 15 conditions 14 dermatological 15 conditions 16 with 20 vignettes 16 with 21 illustrating 17 representative 19 case 18 pictorial 19 case 19 case 20 vignettes 21 illustrating 24 outcomes 22 likely 24 outcomes 23 clinical 24 outcomes 25 as 26 well 26 well 27 as 27 as 29 and 28 limitations 29 and 29 and 31 complications 29 and 32 of 30 potential 31 complications 32 of 36 and 33 the 35 laser 34 various 35 laser 35 laser 36 and 36 and 38 therapies 37 light 38 therapies aim : this study investigated the effects of ageing on the excitability of soleus homonymous ia afferents and corticospinal pathways during bipedal upright standing . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 investigated 2 : 25 . 3 this 4 study 4 study 5 investigated 5 investigated 7 effects 5 investigated 10 on 6 the 7 effects 7 effects 8 of 8 of 9 ageing 10 on 18 and 11 the 12 excitability 12 excitability 13 of 12 excitability 18 and 13 of 14 soleus 14 soleus 16 ia 14 soleus 17 afferents 15 homonymous 16 ia 16 ia 17 afferents 18 and 20 pathways 19 corticospinal 20 pathways 20 pathways 21 during 21 during 24 standing 22 bipedal 24 standing 23 upright 24 standing methods : the input - output relations for the hoffmann [(] h [ )(reflex and motor - evoked potential ( mep ) were computed for the soleus in response to electrical nerve stimulation and transcranial magnetic stimulation , respectively [,] [in] young ( n = 16 ) and elderly ( n = 16 ) [adults] . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 5 - 1 methods 2 : 2 : 4 input 3 the 4 input 5 - 15 and 6 output 7 relations 7 relations 8 for 7 relations 15 and 8 for 14 )(reflex 9 the 14 )(reflex 10 hoffmann 12 h 10 hoffmann 14 )(reflex 15 and 16 motor 15 and 17 - 15 and 19 potential 15 and 23 were 15 and 24 computed 15 and 25 for 18 evoked 19 potential 19 potential 21 mep 19 potential 23 were 20 ( 21 mep 21 mep 22 ) 25 for 37 stimulation 26 the 27 soleus 27 soleus 29 response 27 soleus 30 to 27 soleus 34 and 28 in 29 response 30 to 33 stimulation 31 electrical 33 stimulation 32 nerve 33 stimulation 34 and 35 transcranial 34 and 37 stimulation 36 magnetic 37 stimulation 37 stimulation 48 and 38 , 39 respectively 38 , 48 and 42 young 45 = 42 young 48 and 43 ( 45 = 44 n 45 = 45 = 46 16 45 = 47 ) 48 and 49 elderly 48 and 56 . 49 elderly 52 = 50 ( 52 = 51 n 52 = 52 = 53 16 52 = 54 ) in subsets of subjects , the input - output relations were compared between normal and supported upright standing , and corticomotoneuronal excitability was assessed during upright standing with [an] h - reflex conditioning method . 0 ###LEFT-WALL### 10 relations 0 ###LEFT-WALL### 12 compared 0 ###LEFT-WALL### 20 and 1 in 2 subsets 1 in 10 relations 2 subsets 3 of 2 subsets 7 input 3 of 4 subjects 5 , 7 input 6 the 7 input 7 input 8 - 9 output 10 relations 10 relations 11 were 11 were 12 compared 12 compared 13 between 13 between 15 and 14 normal 15 and 15 and 17 upright 15 and 18 standing 16 supported 17 upright 19 , 20 and 20 and 22 excitability 20 and 24 assessed 21 corticomotoneuronal 22 excitability 22 excitability 23 was 23 was 24 assessed 24 assessed 25 during 25 during 27 standing 26 upright 27 standing 27 standing 28 with 27 standing 34 method 28 with 30 h 31 - 34 method 32 reflex 34 method 33 conditioning 34 method 34 method 35 . for [the] h - reflex and mep threshold , maximal amplitude ( hmax , mepmax ) and the slope of the input - output relation ( hslope , mepslope ) were measured and normalized to the corresponding m - wave value . 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 33 and 0 ###LEFT-WALL### 39 - 1 for 3 h 1 for 4 - 1 for 17 and 5 reflex 6 and 6 and 8 threshold 6 and 11 amplitude 6 and 15 mepmax 6 and 17 and 7 mep 8 threshold 9 , 11 amplitude 10 maximal 11 amplitude 11 amplitude 13 hmax 11 amplitude 14 , 12 ( 13 hmax 13 hmax 14 , 14 , 15 mepmax 15 mepmax 16 ) 17 and 19 slope 17 and 20 of 17 and 33 and 18 the 19 slope 20 of 22 input 21 the 22 input 22 input 25 relation 22 input 29 mepslope 23 - 25 relation 24 output 25 relation 25 relation 27 hslope 25 relation 28 , 26 ( 27 hslope 27 hslope 28 , 28 , 29 mepslope 29 mepslope 30 ) 31 were 32 measured 31 were 33 and 33 and 34 normalized 33 and 35 to 33 and 38 m 35 to 37 corresponding 36 the 37 corresponding 39 - 41 value 39 - 42 . 40 wave 41 value the hslope /mslope and mepslope /mslope decreased and increased , respectively , from supported to normal standing for both age groups but more so in elderly adults . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 20 age 0 ###LEFT-WALL### 28 . 1 the 3 /mslope 2 hslope 3 /mslope 3 /mslope 4 and 4 and 5 mepslope 4 and 6 /mslope 4 and 13 from 4 and 14 supported 4 and 17 standing 4 and 20 age 6 /mslope 8 and 7 decreased 8 and 8 and 9 increased 8 and 11 respectively 8 and 13 from 10 , 11 respectively 11 respectively 12 , 14 supported 16 normal 15 to 16 normal 17 standing 18 for 18 for 19 both 20 age 22 but 20 age 24 so 20 age 25 in 21 groups 22 but 22 but 23 more 25 in 27 adults 26 elderly 27 adults furthermore , the conditioned [h] reflex was greater ( p < 0.05 ) in elderly [ 175.1 ( 34.3 [ )(% ] than [in] young adults [ 141.8 ( 29.8 [ )(% ] during normal standing . 0 ###LEFT-WALL### 6 reflex 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 37 . 1 furthermore 2 , 1 furthermore 6 reflex 3 the 6 reflex 4 conditioned 6 reflex 6 reflex 7 was 7 was 8 greater 8 greater 11 < 8 greater 14 in 8 greater 34 during 9 ( 11 < 10 p 11 < 11 < 12 0.05 11 < 13 ) 14 in 26 adults 15 elderly 17 175.1 15 elderly 26 adults 16 [ 17 175.1 17 175.1 21 )(% 17 175.1 22 ] 18 ( 21 )(% 19 34.3 21 )(% 21 )(% 22 ] 23 than 25 young 25 young 26 adults 26 adults 28 141.8 27 [ 28 141.8 28 141.8 32 )(% 28 141.8 33 ] 29 ( 32 )(% 30 29.8 32 )(% 32 )(% 33 ] 34 during 36 standing 35 normal 36 standing conclusion : this is the first study that clearly indicates lower efficacy of ia afferents to discharge spinal motor neurones accompanied by greater corticospinal excitability in elderly adults , suggesting an increased contribution of the descending drive in controlling soleus activity during upright standing with ageing . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 this 2 : 4 is 3 this 4 is 4 is 7 study 5 the 6 first 5 the 7 study 7 study 8 that 7 study 21 accompanied 8 that 10 indicates 9 clearly 10 indicates 10 indicates 12 efficacy 10 indicates 21 accompanied 11 lower 12 efficacy 12 efficacy 13 of 12 efficacy 15 afferents 13 of 14 ia 15 afferents 16 to 16 to 17 discharge 18 spinal 19 motor 19 motor 20 neurones 20 neurones 21 accompanied 21 accompanied 22 by 21 accompanied 26 in 21 accompanied 30 suggesting 22 by 25 excitability 23 greater 25 excitability 24 corticospinal 25 excitability 26 in 28 adults 27 elderly 28 adults 29 , 30 suggesting 30 suggesting 33 contribution 30 suggesting 38 in 30 suggesting 45 with 30 suggesting 47 . 31 an 33 contribution 32 increased 33 contribution 33 contribution 34 of 34 of 37 drive 35 the 37 drive 36 descending 37 drive 38 in 39 controlling 39 controlling 41 activity 40 soleus 41 activity 41 activity 42 during 42 during 44 standing 43 upright 44 standing 45 with 46 ageing design : prospective , double - blind , randomized and controlled , four - arm parallel design trial . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 19 . 1 design 2 : 2 : 3 prospective 4 , 5 double 4 , 6 - 6 - 7 blind 6 - 8 , 6 - 14 - 8 , 10 and 8 , 12 , 9 randomized 10 and 10 and 11 controlled 12 , 13 four 14 - 18 trial 15 arm 18 trial 16 parallel 18 trial 17 design 18 trial subjects : one hundred and four patients ( 84 women , 20 men , mean age 42.2 ± 13.3 years ) , with deep somatic hyperalgesia in one thigh , randomly assigned to one of 4 groups of 26 each . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 2 : 1 subjects 2 : 2 : 7 patients 3 one 4 hundred 4 hundred 5 and 5 and 6 four 6 four 7 patients 7 patients 10 women 7 patients 13 men 8 ( 10 women 9 84 10 women 10 women 11 , 11 , 13 men 12 20 13 men 13 men 20 years 13 men 23 with 13 men 41 . 14 , 20 years 15 mean 18 ± 16 age 18 ± 17 42.2 18 ± 18 ± 20 years 19 13.3 20 years 20 years 21 ) 22 , 23 with 23 with 26 hyperalgesia 23 with 41 . 24 deep 26 hyperalgesia 25 somatic 26 hyperalgesia 26 hyperalgesia 27 in 26 hyperalgesia 32 assigned 27 in 29 thigh 28 one 29 thigh 30 , 32 assigned 31 randomly 32 assigned 32 assigned 33 to 32 assigned 40 each 32 assigned 41 . 33 to 34 one 34 one 35 of 34 one 38 of 35 of 37 groups 36 4 37 groups 38 of 39 26 intervention : each group underwent one of the following plaster treatments on one thigh : diclofenac+heparin ; diclofenac ; heparin ; placebo , for 7 days , [renewing] [the] plaster every 24 hours . 0 ###LEFT-WALL### 1 intervention 0 ###LEFT-WALL### 2 : 2 : 4 group 2 : 5 underwent 2 : 15 : 3 each 4 group 4 group 5 underwent 5 underwent 6 one 6 one 7 of 7 of 11 treatments 8 the 9 following 8 the 11 treatments 10 plaster 11 treatments 11 treatments 12 on 12 on 14 thigh 13 one 14 thigh 15 : 16 diclofenac+heparin 15 : 17 ; 15 : 34 . 17 ; 18 diclofenac 17 ; 19 ; 19 ; 20 heparin 19 ; 21 ; 21 ; 22 placebo 21 ; 23 , 23 , 30 plaster 24 for 26 days 24 for 27 , 24 for 30 plaster 25 7 26 days 30 plaster 33 hours 31 every 32 24 32 24 33 hours outcome measures : before treatment ( day 1 ) [,] at day 4 and day 8 , assessment of [(] a [ )(pressure and electrical pain thresholds of vastus lateralis and overlying subcutis and skin [;] [and] ( [b] [ )(structure/thickness of subcutis and muscle with ultrasounds at the same level . 0 ###LEFT-WALL### 2 measures 0 ###LEFT-WALL### 3 : 1 outcome 2 measures 2 measures 3 : 3 : 4 before 3 : 11 at 4 before 5 treatment 5 treatment 7 day 6 ( 7 day 7 day 8 1 7 day 9 ) 11 at 14 and 12 day 13 4 12 day 14 and 14 and 15 day 14 and 17 , 14 and 24 and 14 and 26 pain 15 day 16 8 18 assessment 19 of 18 assessment 24 and 19 of 23 )(pressure 21 a 23 )(pressure 24 and 25 electrical 24 and 26 pain 26 pain 34 and 27 thresholds 28 of 27 thresholds 31 and 28 of 30 lateralis 29 vastus 30 lateralis 31 and 33 subcutis 31 and 34 and 32 overlying 33 subcutis 34 and 35 skin 34 and 44 and 38 ( 44 and 41 )(structure/thickness 42 of 41 )(structure/thickness 44 and 42 of 43 subcutis 44 and 45 muscle 44 and 52 . 45 muscle 46 with 46 with 47 ultrasounds 47 ultrasounds 48 at 48 at 51 level 49 the 50 same 49 the 51 level results : during treatment [,] in placebo and heparin , no significant threshold changes , except subcutis thresholds which increased slightly ( p < 0.02 ) [;] in diclofenac and diclofenac+heparin , significant increase in all thresholds ( 0.0001 < p < 0.04 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 1 results 2 : 2 : 3 during 3 during 4 treatment 4 treatment 6 in 4 treatment 16 except 6 in 8 and 7 placebo 8 and 8 and 9 heparin 8 and 14 changes 10 , 14 changes 11 no 14 changes 12 significant 13 threshold 13 threshold 14 changes 14 changes 15 , 16 except 18 thresholds 17 subcutis 18 thresholds 18 thresholds 19 which 18 thresholds 20 increased 19 which 20 increased 20 increased 21 slightly 20 increased 24 < 20 increased 28 in 22 ( 24 < 23 p 24 < 24 < 25 0.02 24 < 26 ) 28 in 30 and 29 diclofenac 30 and 30 and 31 diclofenac+heparin 30 and 34 increase 32 , 34 increase 33 significant 34 increase 34 increase 35 in 34 increase 40 < 34 increase 42 < 34 increase 45 . 35 in 37 thresholds 36 all 37 thresholds 38 ( 40 < 39 0.0001 40 < 40 < 42 < 41 p 42 < 42 < 43 0.04 42 < 44 ) electrical muscle pain thresholds increased significantly more in diclofenac+heparin than in diclofenac , heparin , and placebo ( 0.0001 < p < 0.04 ) . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 25 . 1 electrical 2 muscle 2 muscle 3 pain 3 pain 4 thresholds 4 thresholds 5 increased 4 thresholds 16 and 5 increased 7 more 5 increased 8 in 5 increased 10 than 6 significantly 7 more 8 in 9 diclofenac+heparin 10 than 11 in 11 in 14 heparin 12 diclofenac 13 , 12 diclofenac 14 heparin 15 , 16 and 16 and 17 placebo 16 and 20 < 16 and 22 < 18 ( 20 < 19 0.0001 20 < 20 < 22 < 21 p 22 < 22 < 23 0.04 22 < 24 ) in all groups : no edema and thickness changes at ultrasounds in muscle and subcutis . 0 ###LEFT-WALL### 1 in 0 ###LEFT-WALL### 3 groups 0 ###LEFT-WALL### 4 : 1 in 3 groups 2 all 3 groups 4 : 7 and 4 : 16 . 5 no 6 edema 6 edema 7 and 7 and 9 changes 7 and 10 at 8 thickness 9 changes 10 at 11 ultrasounds 11 ultrasounds 12 in 12 in 14 and 13 muscle 14 and 14 and 15 subcutis conclusions : topical diclofenac+heparin is significantly more effective than diclofenac alone in reducing muscle hyperalgesia in subjects without spontaneous pain , independently of the anti - edematous action of heparin . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 reducing 2 : 3 topical 3 topical 4 diclofenac+heparin 3 topical 13 reducing 4 diclofenac+heparin 5 is 5 is 8 effective 6 significantly 7 more 7 more 8 effective 8 effective 9 than 8 effective 11 alone 8 effective 12 in 9 than 10 diclofenac 12 in 13 reducing 13 reducing 14 muscle 14 muscle 15 hyperalgesia 15 hyperalgesia 16 in 15 hyperalgesia 18 without 15 hyperalgesia 22 independently 16 in 17 subjects 18 without 20 pain 19 spontaneous 20 pain 21 , 22 independently 22 independently 23 of 22 independently 31 . 23 of 28 action 24 the 28 action 25 anti 26 - 25 anti 28 action 27 edematous 28 action 28 action 29 of 29 of 30 heparin the results provide a rationale for the use of diclofenac+heparin also in algogenic conditions without evident signs of injury/edema/hematoma . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 provide 0 ###LEFT-WALL### 20 . 1 the 2 results 2 results 3 provide 3 provide 5 rationale 3 provide 11 also 3 provide 12 in 3 provide 15 without 4 a 5 rationale 5 rationale 6 for 6 for 8 use 7 the 8 use 8 use 9 of 9 of 10 diclofenac+heparin 12 in 14 conditions 13 algogenic 14 conditions 15 without 17 signs 16 evident 17 signs 17 signs 18 of 18 of 19 injury/edema/hematoma background : cerebral white matter hyperdensities ( wmh ) are frequently reported on brain magnetic resonance images ( mri ) of elderly people ; its significance is still under debate . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 ; 0 ###LEFT-WALL### 31 . 1 background 2 : 2 : 5 matter 3 cerebral 5 matter 4 white 5 matter 5 matter 6 hyperdensities 5 matter 10 are 5 matter 12 reported 5 matter 21 of 6 hyperdensities 8 wmh 6 hyperdensities 10 are 7 ( 8 wmh 8 wmh 9 ) 11 frequently 12 reported 12 reported 13 on 13 on 17 images 14 brain 17 images 15 magnetic 16 resonance 16 resonance 17 images 17 images 19 mri 18 ( 19 mri 19 mri 20 ) 21 of 23 people 22 elderly 23 people 24 ; 26 significance 24 ; 27 is 25 its 26 significance 26 significance 27 is 27 is 28 still 27 is 29 under 29 under 30 debate methods : wmh [subtypes] may correlate with vascular risk factors , such as aging , hypertension ( [htn] [ )(and diabetes mellitus ( dm ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 wmh 2 : 6 correlate 2 : 26 . 3 wmh 5 may 5 may 6 correlate 6 correlate 7 with 6 correlate 13 as 7 with 9 risk 7 with 10 factors 8 vascular 9 risk 11 , 13 as 12 such 13 as 13 as 20 )(and 13 as 25 ) 14 aging 15 , 15 , 16 hypertension 15 , 20 )(and 17 ( 20 )(and 20 )(and 22 mellitus 20 )(and 24 dm 21 diabetes 22 mellitus 23 ( 24 dm 24 dm 25 ) the suggested hypothesis was to find if any of the periventricular wmh ( pvwmh ) or the deep wmh ( dwmh ) would be significantly more correlated with the [above] vascular risk factors . 0 ###LEFT-WALL### 3 hypothesis 0 ###LEFT-WALL### 34 . 1 the 3 hypothesis 2 suggested 3 hypothesis 3 hypothesis 4 was 4 was 5 to 4 was 6 find 5 to 6 find 6 find 7 if 6 find 26 more 6 find 27 correlated 7 if 8 any 7 if 24 be 8 any 9 of 8 any 21 dwmh 8 any 23 would 9 of 16 or 10 the 14 pvwmh 11 periventricular 14 pvwmh 12 wmh 14 pvwmh 13 ( 14 pvwmh 14 pvwmh 15 ) 14 pvwmh 16 or 16 or 19 wmh 17 the 19 wmh 18 deep 19 wmh 20 ( 21 dwmh 21 dwmh 22 ) 23 would 24 be 25 significantly 26 more 26 more 27 correlated 27 correlated 28 with 28 with 33 factors 29 the 33 factors 31 vascular 33 factors 32 risk 33 factors according to the fazekas semiquantitative rating scale , we classified wmh into four [subtypes] : [(] 1 [ )(absence of wmh [,] ( 2 [ )(presence of dwml , ( 3 ) presence of pvwmh [,] ( 4 ) presence of both dwml and pvwml . 0 ###LEFT-WALL### 9 we 0 ###LEFT-WALL### 10 classified 0 ###LEFT-WALL### 15 : 0 ###LEFT-WALL### 46 . 1 according 2 to 2 to 7 scale 2 to 8 , 2 to 9 we 3 the 7 scale 4 fazekas 7 scale 5 semiquantitative 6 rating 6 rating 7 scale 9 we 10 classified 10 classified 11 wmh 10 classified 12 into 12 into 13 four 15 : 19 )(absence 17 1 19 )(absence 19 )(absence 20 of 20 of 33 presence 21 wmh 26 )(presence 21 wmh 31 3 21 wmh 33 presence 23 ( 26 )(presence 24 2 26 )(presence 26 )(presence 27 of 26 )(presence 29 , 27 of 28 dwml 30 ( 31 3 31 3 32 ) 33 presence 34 of 34 of 44 and 35 pvwmh 38 4 35 pvwmh 40 presence 37 ( 38 4 38 4 39 ) 40 presence 41 of 40 presence 44 and 41 of 43 dwml 42 both 43 dwml 44 and 45 pvwml the study was performed on 257 lebanese inpatients aged 40 years [and] above who underwent a brain mri , regardless of their underlying pathology and who were admitted to an internal medicine department in beirut . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 4 performed 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 36 . 1 the 2 study 2 study 3 was 3 was 4 performed 4 performed 5 on 5 on 8 inpatients 6 257 8 inpatients 7 lebanese 8 inpatients 8 inpatients 9 aged 8 inpatients 14 who 8 inpatients 15 underwent 9 aged 13 above 10 40 11 years 11 years 13 above 14 who 15 underwent 15 underwent 18 mri 16 a 18 mri 17 brain 18 mri 19 , 25 and 19 , 28 admitted 20 regardless 21 of 21 of 23 underlying 21 of 25 and 22 their 23 underlying 24 pathology 25 and 25 and 26 who 25 and 27 were 27 were 28 admitted 28 admitted 29 to 28 admitted 34 in 29 to 33 department 30 an 33 department 31 internal 32 medicine 32 medicine 33 department 34 in 35 beirut the study patients were categorized into five subgroups by age intervals of 10 years . 0 ###LEFT-WALL### 3 patients 0 ###LEFT-WALL### 5 categorized 0 ###LEFT-WALL### 15 . 1 the 3 patients 2 study 3 patients 3 patients 4 were 4 were 5 categorized 5 categorized 6 into 5 categorized 9 by 6 into 8 subgroups 7 five 8 subgroups 9 by 11 intervals 10 age 11 intervals 11 intervals 12 of 12 of 14 years 13 10 14 years results : mean age was 62 ; 54.1 % were females ; wmh were observed in 59.5 % of study population ; we found a linear correlation with wmh and aging with a clear shift for patients over age 60 , reaching 84 % in patients subgroup of 70 - 79 - year [-] old and 94 % patients subgroup over 80 - year [-] old . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 age 2 : 7 ; 3 mean 4 age 4 age 5 was 5 was 6 62 7 ; 9 % 7 ; 10 were 7 ; 12 ; 8 54.1 9 % 9 % 10 were 10 were 11 females 12 ; 13 wmh 12 ; 15 observed 12 ; 22 ; 13 wmh 14 were 14 were 15 observed 15 observed 16 in 16 in 18 % 17 59.5 18 % 18 % 19 of 19 of 21 population 20 study 21 population 22 ; 23 we 22 ; 24 found 23 we 24 found 24 found 27 correlation 24 found 28 with 25 a 27 correlation 26 linear 27 correlation 28 with 30 and 29 wmh 30 and 30 and 31 aging 30 and 41 , 30 and 42 reaching 31 aging 32 with 32 with 35 shift 33 a 34 clear 33 a 35 shift 34 clear 35 shift 35 shift 36 for 36 for 37 patients 37 patients 38 over 38 over 39 age 39 age 40 60 42 reaching 47 subgroup 43 84 45 in 44 % 45 in 45 in 47 subgroup 46 patients 47 subgroup 47 subgroup 48 of 48 of 50 - 49 70 50 - 50 - 51 79 50 - 56 and 52 - 56 and 53 year 55 old 55 old 56 and 56 and 60 subgroup 56 and 61 over 56 and 67 . 57 94 60 subgroup 58 % 59 patients 59 patients 60 subgroup 61 over 62 80 62 80 66 old 63 - 66 old 64 year 66 old 66 old 67 . pvwmh [was] found significantly more frequently and [in] linear correlation with aging and htn . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 15 . 1 pvwmh 3 found 1 pvwmh 7 and 3 found 4 significantly 3 found 6 frequently 5 more 6 frequently 7 and 10 correlation 7 and 11 with 7 and 13 and 9 linear 10 correlation 11 with 12 aging 13 and 14 htn wmh were also found more frequently among the dm individuals . 0 ###LEFT-WALL### 1 wmh 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 11 . 1 wmh 2 were 2 were 4 found 3 also 4 found 4 found 6 frequently 4 found 7 among 5 more 6 frequently 7 among 10 individuals 8 the 10 individuals 9 dm 10 individuals foxn1 [gene] belongs to the forkhead box gene family that comprises a diverse group of " winged - helix " transcription factors that have been implicated in a variety of biochemical and cellular processes , such as development , metabolism , aging and cancer . 0 ###LEFT-WALL### 1 foxn1 0 ###LEFT-WALL### 3 belongs 0 ###LEFT-WALL### 45 . 1 foxn1 3 belongs 3 belongs 4 to 4 to 9 family 5 the 9 family 6 forkhead 9 family 7 box 9 family 8 gene 9 family 9 family 10 that 9 family 11 comprises 10 that 11 comprises 11 comprises 22 factors 11 comprises 27 in 12 a 13 diverse 12 a 14 group 13 diverse 14 group 14 group 15 of 14 group 22 factors 15 of 16 " 15 of 22 factors 17 winged 18 - 17 winged 19 helix 19 helix 20 " 19 helix 21 transcription 21 transcription 22 factors 22 factors 23 that 22 factors 24 have 23 that 24 have 24 have 25 been 25 been 26 implicated 27 in 29 variety 28 a 29 variety 29 variety 30 of 30 of 43 and 31 biochemical 32 and 32 and 34 processes 32 and 35 , 32 and 37 as 32 and 42 aging 32 and 43 and 33 cellular 34 processes 36 such 37 as 37 as 38 development 38 development 40 metabolism 39 , 40 metabolism 40 metabolism 41 , 43 and 44 cancer these transcription factors share the common property of being developmentally regulated and of directing tissue - specific transcription and cell - fate decisions . 0 ###LEFT-WALL### 3 factors 0 ###LEFT-WALL### 4 share 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 24 . 1 these 3 factors 2 transcription 3 factors 3 factors 4 share 4 share 7 property 5 the 7 property 6 common 7 property 7 property 8 of 8 of 9 being 9 being 11 regulated 10 developmentally 11 regulated 12 and 19 and 12 and 22 fate 13 of 14 directing 13 of 16 - 13 of 19 and 14 directing 15 tissue 17 specific 18 transcription 18 transcription 19 and 19 and 20 cell 19 and 21 - 19 and 22 fate 22 fate 23 decisions foxn1 is selectively expressed in thymic and skin epithelial cells , where it acts through its molecular targets to regulate the balance between growth and differentiation . 0 ###LEFT-WALL### 1 foxn1 0 ###LEFT-WALL### 4 expressed 0 ###LEFT-WALL### 27 . 1 foxn1 2 is 2 is 3 selectively 2 is 4 expressed 4 expressed 5 in 4 expressed 12 where 5 in 7 and 6 thymic 7 and 7 and 10 cells 7 and 11 , 8 skin 10 cells 9 epithelial 10 cells 12 where 13 it 12 where 14 acts 13 it 14 acts 14 acts 15 through 14 acts 19 to 14 acts 23 between 15 through 18 targets 16 its 18 targets 17 molecular 18 targets 19 to 20 regulate 20 regulate 22 balance 21 the 22 balance 23 between 25 and 24 growth 25 and 25 and 26 differentiation in particular , foxn1 is required for thymic epithelial patterning and differentiation from the initial epithelial thymic anlage to a functional cortical and medullary thymic epithelial cells ( tecs ) meshwork necessary for the crosstalk with the lymphoid compartment . 0 ###LEFT-WALL### 4 foxn1 0 ###LEFT-WALL### 6 required 0 ###LEFT-WALL### 40 . 1 in 2 particular 2 particular 3 , 2 particular 4 foxn1 4 foxn1 5 is 5 is 6 required 6 required 7 for 6 required 13 from 7 for 11 and 8 thymic 10 patterning 9 epithelial 10 patterning 10 patterning 11 and 11 and 12 differentiation 13 from 18 anlage 14 the 18 anlage 15 initial 18 anlage 16 epithelial 18 anlage 17 thymic 18 anlage 18 anlage 19 to 19 to 31 meshwork 20 a 31 meshwork 21 functional 31 meshwork 22 cortical 23 and 23 and 27 cells 23 and 29 tecs 23 and 31 meshwork 24 medullary 27 cells 25 thymic 27 cells 26 epithelial 27 cells 28 ( 29 tecs 29 tecs 30 ) 31 meshwork 32 necessary 32 necessary 33 for 32 necessary 36 with 33 for 35 crosstalk 34 the 35 crosstalk 36 with 39 compartment 37 the 39 compartment 38 lymphoid 39 compartment a mutation in foxn1 generates alymphoid cystic thymic dysgenesis due to defective tecs , causing primary t - cell immunodeficiency , named nude/scid syndrome , and leads to a hairless " nude " phenotype in both mice and humans . 0 ###LEFT-WALL### 2 mutation 0 ###LEFT-WALL### 5 generates 0 ###LEFT-WALL### 18 - 0 ###LEFT-WALL### 40 . 1 a 2 mutation 2 mutation 3 in 2 mutation 5 generates 3 in 4 foxn1 5 generates 9 dysgenesis 5 generates 15 causing 6 alymphoid 9 dysgenesis 7 cystic 9 dysgenesis 8 thymic 9 dysgenesis 9 dysgenesis 11 to 10 due 11 to 11 to 13 tecs 12 defective 13 tecs 14 , 15 causing 15 causing 16 primary 15 causing 18 - 16 primary 17 t 18 - 26 and 19 cell 20 immunodeficiency 20 immunodeficiency 21 , 21 , 24 syndrome 21 , 26 and 22 named 24 syndrome 23 nude/scid 24 syndrome 25 , 26 and 26 and 27 leads 26 and 28 to 28 to 38 and 29 a 34 phenotype 30 hairless 31 " 30 hairless 32 nude 32 nude 33 " 32 nude 34 phenotype 34 phenotype 35 in 34 phenotype 38 and 35 in 37 mice 36 both 37 mice 38 and 39 humans this immune defect represents the first example of a severe combined immunodeficiencies ( scid ) phenotype [not] primarily related to an abnormality [intrinsic] of the hematopoietic cell , but rather to a peculiar alteration of the thymic epithelia cell . 0 ###LEFT-WALL### 3 defect 0 ###LEFT-WALL### 19 related 0 ###LEFT-WALL### 40 . 1 this 3 defect 2 immune 3 defect 3 defect 4 represents 4 represents 7 example 5 the 6 first 5 the 7 example 7 example 8 of 8 of 10 severe 9 a 10 severe 11 combined 12 immunodeficiencies 11 combined 16 phenotype 11 combined 19 related 12 immunodeficiencies 14 scid 12 immunodeficiencies 16 phenotype 13 ( 14 scid 14 scid 15 ) 18 primarily 19 related 19 related 29 but 20 to 22 abnormality 20 to 29 but 21 an 22 abnormality 22 abnormality 24 of 24 of 27 cell 25 the 27 cell 26 hematopoietic 27 cell 28 , 29 but 29 but 30 rather 29 but 31 to 31 to 34 alteration 32 a 34 alteration 33 peculiar 34 alteration 34 alteration 35 of 35 of 39 cell 36 the 39 cell 37 thymic 39 cell 38 epithelia 39 cell this review focuses on the key role of foxn1 in cell development and its clinical implication in humans . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 focuses 0 ###LEFT-WALL### 19 . 1 this 2 review 2 review 3 focuses 3 focuses 4 on 3 focuses 10 in 3 focuses 17 in 4 on 7 role 5 the 7 role 6 key 7 role 7 role 8 of 8 of 9 foxn1 10 in 13 and 11 cell 12 development 12 development 13 and 13 and 16 implication 14 its 16 implication 15 clinical 16 implication 17 in 18 humans atherosclerosis has been thought to be a disease of modern society , and its occurrence was closely related to contemporary diet [and] lifestyle . 0 ###LEFT-WALL### 1 atherosclerosis 0 ###LEFT-WALL### 4 thought 0 ###LEFT-WALL### 24 . 1 atherosclerosis 2 has 2 has 3 been 3 been 4 thought 4 thought 5 to 4 thought 8 disease 4 thought 18 related 5 to 6 be 7 a 8 disease 8 disease 9 of 8 disease 16 was 9 of 13 and 10 modern 11 society 11 society 13 and 12 , 13 and 13 and 15 occurrence 14 its 15 occurrence 16 was 18 related 17 closely 18 related 18 related 19 to 19 to 23 lifestyle 20 contemporary 21 diet 21 diet 23 lifestyle however , a series of investigations on ancient mummies by autopsy [and] ct [scan] concluded [that] atherosclerosis was commonly seen in ancient times . 0 ###LEFT-WALL### 4 series 0 ###LEFT-WALL### 20 seen 0 ###LEFT-WALL### 24 . 1 however 2 , 1 however 4 series 3 a 4 series 4 series 5 of 4 series 18 was 5 of 6 investigations 6 investigations 7 on 7 on 9 mummies 8 ancient 9 mummies 9 mummies 10 by 10 by 17 atherosclerosis 11 autopsy 15 concluded 13 ct 15 concluded 15 concluded 17 atherosclerosis 18 was 20 seen 19 commonly 20 seen 20 seen 21 in 21 in 23 times 22 ancient 23 times the presence of atherosclerosis in ancient human beings suggested that aging and genetic predisposition might be essential risk factors for atherosclerosis . 0 ###LEFT-WALL### 2 presence 0 ###LEFT-WALL### 9 suggested 0 ###LEFT-WALL### 22 . 1 the 2 presence 2 presence 3 of 2 presence 9 suggested 3 of 4 atherosclerosis 4 atherosclerosis 5 in 5 in 8 beings 6 ancient 8 beings 7 human 8 beings 9 suggested 12 and 9 suggested 16 be 10 that 11 aging 10 that 12 and 12 and 14 predisposition 12 and 15 might 13 genetic 14 predisposition 15 might 16 be 16 be 19 factors 17 essential 19 factors 18 risk 19 factors 19 factors 20 for 20 for 21 atherosclerosis vascular stiffness is regarded as a result of degenerative processes potentiated by aging , hypertension , and other risk factors . 0 ###LEFT-WALL### 2 stiffness 0 ###LEFT-WALL### 20 factors 0 ###LEFT-WALL### 21 . 1 vascular 2 stiffness 2 stiffness 3 is 3 is 4 regarded 4 regarded 5 as 5 as 7 result 6 a 7 result 7 result 8 of 8 of 17 and 9 degenerative 10 processes 10 processes 11 potentiated 10 processes 12 by 10 processes 14 , 12 by 13 aging 14 , 15 hypertension 14 , 17 and 16 , 17 and 17 and 18 other 17 and 19 risk 17 and 20 factors 19 risk 20 factors central hemodynamic changes are one of the serious sequels of high arterial stiffness , which gives [rise] to a chain of events as a higher postload on the left ventricle , its concentric hypertrophy [,] diastolic dysfunction and increases the overall risk of cardiovascular events . 0 ###LEFT-WALL### 3 changes 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 31 , 0 ###LEFT-WALL### 46 . 1 central 3 changes 2 hemodynamic 3 changes 3 changes 4 are 4 are 5 one 5 one 6 of 5 one 10 of 6 of 9 sequels 7 the 9 sequels 8 serious 9 sequels 10 of 13 stiffness 11 high 13 stiffness 12 arterial 13 stiffness 13 stiffness 15 which 14 , 15 which 15 which 16 gives 15 which 31 , 16 gives 18 to 16 gives 23 as 16 gives 27 on 18 to 20 chain 19 a 20 chain 20 chain 21 of 21 of 22 events 23 as 26 postload 24 a 26 postload 25 higher 26 postload 27 on 30 ventricle 28 the 30 ventricle 29 left 30 ventricle 31 , 33 concentric 31 , 38 and 32 its 33 concentric 33 concentric 38 and 34 hypertrophy 37 dysfunction 34 hypertrophy 38 and 36 diastolic 37 dysfunction 38 and 39 increases 38 and 42 risk 40 the 42 risk 41 overall 42 risk 42 risk 43 of 43 of 45 events 44 cardiovascular 45 events the purpose of the review is to discuss the mechanisms of vascular stiffness , focusing on the role of this condition in the development of chronic heart failure with retained ejection [fraction] and its pathogenetic treatment as a future target . 1 the 2 purpose 2 purpose 3 of 2 purpose 6 is 3 of 5 review 4 the 5 review 6 is 7 to 6 is 8 discuss 7 to 8 discuss 8 discuss 10 mechanisms 8 discuss 15 focusing 9 the 10 mechanisms 10 mechanisms 11 of 11 of 13 stiffness 12 vascular 13 stiffness 14 , 15 focusing 15 focusing 16 on 15 focusing 29 with 15 focusing 41 . 16 on 18 role 17 the 18 role 18 role 19 of 19 of 21 condition 20 this 21 condition 21 condition 22 in 21 condition 25 of 22 in 24 development 23 the 24 development 25 of 28 failure 26 chronic 27 heart 27 heart 28 failure 29 with 33 and 30 retained 31 ejection 31 ejection 33 and 33 and 36 treatment 33 and 37 as 34 its 36 treatment 35 pathogenetic 36 treatment 37 as 40 target 38 a 40 target 39 future 40 target none none the [allostatic] [load] [model] has been used to quantify the physiological costs of the body 's response to repeated stressful demands and may provide a useful , integrative perspective on the various correlates of late - life depressive symptoms . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 9 used 0 ###LEFT-WALL### 38 - 0 ###LEFT-WALL### 42 . 1 none 3 the 1 none 8 been 1 none 9 used 2 none 3 the 3 the 7 has 7 has 8 been 9 used 10 to 9 used 14 costs 10 to 11 quantify 11 quantify 13 physiological 12 the 13 physiological 14 costs 15 of 15 of 19 response 16 the 17 body 17 body 18 's 18 's 19 response 19 response 20 to 19 response 31 perspective 19 response 35 correlates 20 to 24 and 21 repeated 23 demands 21 repeated 24 and 22 stressful 23 demands 24 and 25 may 25 may 26 provide 27 a 31 perspective 28 useful 29 , 28 useful 31 perspective 30 integrative 31 perspective 31 perspective 32 on 31 perspective 35 correlates 32 on 34 various 33 the 34 various 35 correlates 37 late 36 of 37 late 38 - 41 symptoms 39 life 41 symptoms 40 depressive 41 symptoms we interviewed 125 rochester , ny adults , ranging in age from 67 to 94 years . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 interviewed 0 ###LEFT-WALL### 17 . 1 we 2 interviewed 2 interviewed 11 age 3 125 10 in 4 rochester 7 adults 4 rochester 9 ranging 5 , 7 adults 6 ny 7 adults 7 adults 8 , 9 ranging 10 in 10 in 11 age 11 age 12 from 12 from 16 years 13 67 14 to 14 to 15 94 14 to 16 years we employed an allostatic load score as a measure of multisystem dysfunction in hypothalamic – pituitary – adrenal axis [function] , immune function , anabolic activity , and cardiovascular activity . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 employed 0 ###LEFT-WALL### 31 . 1 we 2 employed 2 employed 6 score 2 employed 7 as 3 an 6 score 4 allostatic 5 load 5 load 6 score 7 as 12 dysfunction 8 a 9 measure 9 measure 10 of 9 measure 12 dysfunction 10 of 12 dysfunction 11 multisystem 12 dysfunction 12 dysfunction 13 in 13 in 28 and 14 hypothalamic 15 – 14 hypothalamic 19 axis 16 pituitary 17 – 16 pituitary 19 axis 18 adrenal 19 axis 19 axis 21 , 21 , 23 function 21 , 24 , 22 immune 23 function 24 , 26 activity 24 , 28 and 25 anabolic 26 activity 27 , 28 and 28 and 30 activity 29 cardiovascular 30 activity overall , affective , and somatic depressive symptom scores were computed using the 20 - item center for epidemiologic studies depression scale . 0 ###LEFT-WALL### 9 scores 0 ###LEFT-WALL### 11 computed 0 ###LEFT-WALL### 15 - 0 ###LEFT-WALL### 23 . 1 overall 2 , 1 overall 9 scores 3 affective 5 and 4 , 5 and 5 and 6 somatic 5 and 7 depressive 7 depressive 9 scores 8 symptom 9 scores 9 scores 10 were 10 were 11 computed 11 computed 12 using 12 using 14 20 13 the 14 20 15 - 17 center 16 item 17 center 17 center 18 for 18 for 22 scale 19 epidemiologic 20 studies 20 studies 21 depression 21 depression 22 scale multiple linear regression models were used to estimate associations between allostatic load scores and affective , somatic , and overall depressive symptoms . 0 ###LEFT-WALL### 4 models 0 ###LEFT-WALL### 6 used 0 ###LEFT-WALL### 23 . 1 multiple 4 models 2 linear 4 models 3 regression 4 models 4 models 5 were 5 were 6 used 6 used 7 to 6 used 8 estimate 7 to 8 estimate 8 estimate 9 associations 8 estimate 10 between 10 between 14 and 11 allostatic 12 load 12 load 13 scores 13 scores 14 and 14 and 22 symptoms 15 affective 16 , 15 affective 22 symptoms 17 somatic 19 and 18 , 19 and 19 and 20 overall 19 and 21 depressive 19 and 22 symptoms among our sample of mean age 76.1 years , the one - week prevalence of clinically significant depressive symptoms was 12.8 % . 0 ###LEFT-WALL### 14 prevalence 0 ###LEFT-WALL### 20 was 0 ###LEFT-WALL### 23 . 1 among 3 sample 1 among 14 prevalence 2 our 3 sample 3 sample 4 of 4 of 8 years 5 mean 6 age 6 age 8 years 7 76.1 8 years 8 years 11 one 9 , 11 one 10 the 11 one 11 one 12 - 13 week 14 prevalence 14 prevalence 15 of 14 prevalence 20 was 15 of 19 symptoms 16 clinically 17 significant 17 significant 19 symptoms 18 depressive 19 symptoms 20 was 22 % 21 12.8 22 % our results suggest that allostatic load measure is associated with late - life depressive symptoms . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 16 . 1 our 2 results 2 results 3 suggest 3 suggest 7 measure 3 suggest 9 associated 4 that 7 measure 5 allostatic 6 load 6 load 7 measure 7 measure 8 is 8 is 9 associated 9 associated 10 with 10 with 15 symptoms 11 late 12 - 11 late 13 life 13 life 15 symptoms 14 depressive 15 symptoms this association appears to be of clinical significance , as the magnitude of the effect size was comparable ( but opposite in direction ) to that of antidepressant use . 0 ###LEFT-WALL### 2 association 0 ###LEFT-WALL### 3 appears 0 ###LEFT-WALL### 30 . 1 this 2 association 2 association 3 appears 3 appears 4 to 3 appears 5 be 4 to 5 be 5 be 6 of 5 be 10 as 5 be 25 to 6 of 8 significance 7 clinical 8 significance 9 , 10 as 10 as 12 magnitude 10 as 24 ) 11 the 12 magnitude 12 magnitude 13 of 13 of 15 effect 14 the 15 effect 15 effect 16 size 15 effect 17 was 16 size 17 was 17 was 20 but 18 comparable 20 but 19 ( 20 but 20 but 21 opposite 21 opposite 22 in 22 in 23 direction 25 to 26 that 26 that 27 of 27 of 29 use 28 antidepressant 29 use future research should examine the [inter] [-] relationships of allostatic [load] , psychological stress , and late - life depressive symptoms . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 4 examine 0 ###LEFT-WALL### 22 . 1 future 2 research 2 research 3 should 3 should 4 examine 4 examine 16 and 5 the 16 and 8 relationships 9 of 8 relationships 16 and 9 of 14 stress 10 allostatic 12 , 10 allostatic 14 stress 13 psychological 14 stress 15 , 16 and 16 and 21 symptoms 17 late 18 - 17 late 21 symptoms 19 life 21 symptoms 20 depressive 21 symptoms vitamin d plays an important role in bone metabolism and maintaining bone health . 0 ###LEFT-WALL### 1 vitamin 0 ###LEFT-WALL### 3 plays 0 ###LEFT-WALL### 14 . 1 vitamin 2 d 1 vitamin 3 plays 3 plays 6 role 3 plays 7 in 4 an 5 important 4 an 6 role 5 important 6 role 7 in 10 and 8 bone 9 metabolism 9 metabolism 10 and 10 and 13 health 11 maintaining 13 health 12 bone 13 health recently , new evidence has revealed that vitamin d affects chronic diseases such as autoimmune diseases , cardiovascular diseases and certain cancers . 0 ###LEFT-WALL### 4 evidence 0 ###LEFT-WALL### 6 revealed 0 ###LEFT-WALL### 23 . 1 recently 2 , 1 recently 4 evidence 3 new 4 evidence 4 evidence 5 has 5 has 6 revealed 6 revealed 7 that 7 that 8 vitamin 7 that 10 affects 8 vitamin 9 d 8 vitamin 10 affects 10 affects 12 diseases 10 affects 14 as 11 chronic 12 diseases 13 such 14 as 14 as 20 and 15 autoimmune 16 diseases 16 diseases 17 , 17 , 19 diseases 17 , 20 and 18 cardiovascular 19 diseases 20 and 22 cancers 21 certain 22 cancers the aim of this study was to evaluate the vitamin d status and the prevalence of vitamin d deficiency in an urban korean population . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 25 . 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 13 and 8 evaluate 20 in 9 the 12 status 10 vitamin 11 d 10 vitamin 12 status 12 status 13 and 13 and 15 prevalence 13 and 16 of 14 the 15 prevalence 16 of 19 deficiency 17 vitamin 18 d 17 vitamin 19 deficiency 20 in 24 population 21 an 22 urban 21 an 24 population 22 urban 23 korean 23 korean 24 population this study included 8,976 participants ( 3,587 men and 5,389 women ) aged 50 [yr] and older . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 included 0 ###LEFT-WALL### 18 . 1 this 2 study 2 study 3 included 3 included 5 participants 3 included 16 and 4 8,976 5 participants 5 participants 9 and 6 ( 9 and 7 3,587 8 men 8 men 9 and 9 and 11 women 9 and 12 ) 10 5,389 11 women 13 aged 14 50 13 aged 16 and 16 and 17 older serum 25 ( oh )d level was measured by chemiluminescent microparticle [immunoassay] . 0 ###LEFT-WALL### 6 level 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 13 . 1 serum 2 25 1 serum 4 oh 3 ( 4 oh 4 oh 5 )d 4 oh 6 level 6 level 7 was 7 was 8 measured 8 measured 9 by 9 by 11 microparticle 10 chemiluminescent 11 microparticle the prevalence of vitamin d deficiency [ 25 ( oh )d < 20 ng / [ml] ] was 59.7 [%] and 86.5 % in men and women , respectively . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 18 was 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 18 was 3 of 6 deficiency 4 vitamin 5 d 4 vitamin 6 deficiency 6 deficiency 15 / 7 [ 15 / 8 25 10 oh 9 ( 10 oh 10 oh 11 )d 10 oh 15 / 12 < 13 20 13 20 14 ng 14 ng 15 / 15 / 17 ] 18 was 23 % 18 was 24 in 18 was 29 respectively 19 59.7 21 and 21 and 22 86.5 21 and 23 % 24 in 26 and 25 men 26 and 26 and 27 women 28 , 29 respectively 29 respectively 30 . the prevalence of vitamin d deficiency increased significantly with age in men , but not in women and it decreased from april to july [,] more prominently in men than in women . 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 33 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 18 and 3 of 6 deficiency 4 vitamin 5 d 4 vitamin 6 deficiency 6 deficiency 7 increased 6 deficiency 9 with 7 increased 8 significantly 9 with 10 age 10 age 14 but 11 in 12 men 11 in 14 but 13 , 14 but 14 but 15 not 14 but 16 in 16 in 17 women 18 and 19 it 18 and 20 decreased 20 decreased 21 from 20 decreased 23 to 20 decreased 27 prominently 20 decreased 28 in 20 decreased 30 than 21 from 22 april 23 to 24 july 26 more 27 prominently 28 in 29 men 30 than 31 in 31 in 32 women these results suggest that sun exposure , intake of vitamin d [supplement] , and regular physical activities is recommended in [an] urban koreans , especially in women . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 7 , 1 these 2 results 2 results 3 suggest 3 suggest 4 that 3 suggest 5 sun 5 sun 6 exposure 7 , 8 intake 7 , 19 recommended 8 intake 9 of 8 intake 18 is 9 of 14 and 10 vitamin 11 d 10 vitamin 14 and 13 , 14 and 14 and 17 activities 15 regular 17 activities 16 physical 17 activities 18 is 19 recommended 19 recommended 20 in 20 in 23 koreans 22 urban 23 koreans 23 koreans 26 in 24 , 25 especially 24 , 26 in 26 in 27 women 26 in 28 . blepharoplasty , the most common aesthetic eyelid procedure , sometimes involves a challenging patient subgroup : those who present [with] malar edema , malar bags , and festoons . 0 ###LEFT-WALL### 1 blepharoplasty 0 ###LEFT-WALL### 11 involves 0 ###LEFT-WALL### 16 : 0 ###LEFT-WALL### 29 . 1 blepharoplasty 8 procedure 1 blepharoplasty 11 involves 2 , 8 procedure 3 the 8 procedure 4 most 5 common 5 common 7 eyelid 6 aesthetic 7 eyelid 7 eyelid 8 procedure 8 procedure 9 , 10 sometimes 11 involves 11 involves 15 subgroup 12 a 13 challenging 12 a 15 subgroup 13 challenging 15 subgroup 14 patient 15 subgroup 16 : 17 those 17 those 18 who 17 those 27 and 18 who 27 and 19 present 25 bags 19 present 27 and 21 malar 25 bags 22 edema 23 , 22 edema 25 bags 24 malar 25 bags 26 , 27 and 27 and 28 festoons in this review article , the authors describe the relevant anatomy in [festoon] development , discuss the pathophysiological basis of this condition spectrum , outline clinical examination basics , summarize various surgical approaches for treatment and propose an algorithm for their application , and describe the most common postsurgical complications . 0 ###LEFT-WALL### 7 authors 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 51 . 1 in 4 article 1 in 5 , 1 in 7 authors 2 this 4 article 3 review 4 article 6 the 7 authors 7 authors 15 , 8 describe 11 anatomy 8 describe 12 in 8 describe 15 , 9 the 11 anatomy 10 relevant 11 anatomy 12 in 14 development 15 , 24 , 16 discuss 19 basis 16 discuss 24 , 17 the 19 basis 18 pathophysiological 19 basis 19 basis 20 of 20 of 23 spectrum 21 this 23 spectrum 22 condition 23 spectrum 24 , 29 , 25 outline 28 basics 25 outline 29 , 26 clinical 27 examination 27 examination 28 basics 29 , 36 and 30 summarize 33 approaches 30 summarize 36 and 31 various 33 approaches 32 surgical 33 approaches 33 approaches 34 for 34 for 35 treatment 36 and 44 and 37 propose 39 algorithm 37 propose 44 and 38 an 39 algorithm 39 algorithm 40 for 40 for 42 application 41 their 42 application 43 , 44 and 44 and 45 describe 45 describe 50 complications 46 the 47 most 47 most 50 complications 48 common 50 complications 49 postsurgical 50 complications objective : to test the hypothesis that the effect of antithrombotic medications on the risk of intracerebral hemorrhage ( ich ) varies according to the location of the hematoma . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 test 2 : 30 . 3 to 4 test 4 test 6 hypothesis 5 the 6 hypothesis 6 hypothesis 7 that 7 that 9 effect 7 that 22 varies 8 the 9 effect 9 effect 10 of 9 effect 16 of 9 effect 22 varies 10 of 12 medications 11 antithrombotic 12 medications 12 medications 13 on 13 on 15 risk 14 the 15 risk 16 of 18 hemorrhage 17 intracerebral 18 hemorrhage 18 hemorrhage 20 ich 19 ( 20 ich 20 ich 21 ) 22 varies 24 to 23 according 24 to 24 to 26 location 25 the 26 location 26 location 27 of 27 of 29 hematoma 28 the 29 hematoma methods : consecutive patients with ich were enrolled as part of the multicenter study on cerebral hemorrhage in italy ( much - italy ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 patients 2 : 8 enrolled 2 : 25 . 3 consecutive 4 patients 4 patients 5 with 4 patients 7 were 5 with 6 ich 7 were 8 enrolled 8 enrolled 9 as 8 enrolled 18 in 9 as 10 part 10 part 11 of 11 of 14 study 12 the 14 study 13 multicenter 14 study 14 study 15 on 15 on 17 hemorrhage 16 cerebral 17 hemorrhage 18 in 21 much 19 italy 21 much 20 ( 21 much 21 much 23 italy 22 - 23 italy 23 italy 24 ) multivariable logistic regression models served to examine whether risk factors for ich and location of the hematoma ( deep [vs] lobar ) [predict] treatment - specific ich subgroups ( antiplatelets - related ich and oral anticoagulants [ oacs ] - related ich ) . 0 ###LEFT-WALL### 1 multivariable 0 ###LEFT-WALL### 5 served 0 ###LEFT-WALL### 32 related 1 multivariable 3 regression 1 multivariable 4 models 1 multivariable 5 served 2 logistic 3 regression 3 regression 4 models 5 served 6 to 5 served 28 subgroups 6 to 7 examine 7 examine 8 whether 8 whether 9 risk 8 whether 10 factors 9 risk 10 factors 10 factors 11 for 10 factors 27 ich 11 for 13 and 12 ich 13 and 13 and 14 location 13 and 15 of 15 of 17 hematoma 16 the 17 hematoma 17 hematoma 24 treatment 18 ( 24 treatment 19 deep 24 treatment 21 lobar 22 ) 21 lobar 24 treatment 24 treatment 25 - 26 specific 27 ich 28 subgroups 30 antiplatelets 29 ( 30 antiplatelets 30 antiplatelets 31 - 31 - 32 related 32 related 34 and 32 related 44 . 33 ich 34 and 34 and 36 anticoagulants 34 and 38 oacs 34 and 42 ich 35 oral 36 anticoagulants 37 [ 38 oacs 38 oacs 39 ] 40 - 42 ich 41 related 42 ich 42 ich 43 ) results : a total of 870 ( 313 lobar ich , 557 deep ich ) subjects were included . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 1 results 2 : 2 : 4 total 3 a 4 total 4 total 5 of 4 total 16 subjects 4 total 17 were 4 total 18 included 5 of 6 870 6 870 10 ich 7 ( 10 ich 8 313 10 ich 9 lobar 10 ich 10 ich 14 ich 10 ich 15 ) 11 , 14 ich 12 557 14 ich 13 deep 14 ich 14 ich 15 ) 16 subjects 17 were of these , 223 ( 25.6 % ) were taking antiplatelets [and] 77 ( 8.8 % ) [oacs] at the time [of] stroke . 0 ###LEFT-WALL### 4 223 0 ###LEFT-WALL### 9 were 0 ###LEFT-WALL### 24 . 1 of 2 these 1 of 3 , 1 of 4 223 4 223 7 % 4 223 9 were 5 ( 7 % 6 25.6 7 % 7 % 8 ) 9 were 10 taking 10 taking 11 antiplatelets 10 taking 19 at 11 antiplatelets 13 77 11 antiplatelets 16 % 14 ( 16 % 15 8.8 16 % 16 % 17 ) 19 at 23 stroke 20 the 23 stroke 21 time 23 stroke the odds of antiplatelet - related ich increased with aging ( odds [ratio] [ or ] 1.05 [;] 95 % confidence [interval] [ ci ] 1.03 - 1.07 ) and hypertension ( or 1.86 ; 95 % ci 1.22 - 2.85 ) [but] had no relation with the anatomical location of ich . 0 ###LEFT-WALL### 30 and 0 ###LEFT-WALL### 35 ; 0 ###LEFT-WALL### 53 . 1 the 2 odds 2 odds 3 of 2 odds 30 and 3 of 4 antiplatelet 4 antiplatelet 7 ich 5 - 7 ich 6 related 7 ich 7 ich 8 increased 7 ich 29 ) 8 increased 9 with 8 increased 27 - 9 with 10 aging 9 with 21 confidence 10 aging 12 odds 11 ( 12 odds 12 odds 15 or 12 odds 16 ] 14 [ 15 or 15 or 16 ] 17 1.05 21 confidence 19 95 20 % 20 % 21 confidence 21 confidence 24 ci 23 [ 24 ci 24 ci 25 ] 26 1.03 27 - 27 - 28 1.07 30 and 31 hypertension 30 and 33 or 32 ( 33 or 33 or 34 1.86 33 or 35 ; 35 ; 38 ci 35 ; 44 had 36 95 38 ci 37 % 38 ci 38 ci 39 1.22 38 ci 41 2.85 38 ci 44 had 40 - 41 2.85 41 2.85 42 ) 44 had 46 relation 45 no 46 relation 46 relation 47 with 46 relation 51 of 47 with 50 location 48 the 50 location 49 anatomical 50 location 51 of 52 ich conversely , lobar location [of] [the] hematoma was associated with the subgroup of oac - related ich ( or 1.70 ; 95 % ci 1.03 - 2.81 ) [when] compared to the subgroup of patients taking no antithrombotic medications . 0 ###LEFT-WALL### 7 hematoma 0 ###LEFT-WALL### 9 associated 0 ###LEFT-WALL### 16 related 0 ###LEFT-WALL### 21 ; 0 ###LEFT-WALL### 40 . 1 conversely 2 , 1 conversely 7 hematoma 3 lobar 4 location 4 location 7 hematoma 7 hematoma 8 was 8 was 9 associated 9 associated 10 with 10 with 12 subgroup 11 the 12 subgroup 12 subgroup 13 of 13 of 14 oac 15 - 16 related 16 related 17 ich 16 related 21 ; 17 ich 19 or 18 ( 19 or 19 or 20 1.70 19 or 21 ; 21 ; 24 ci 21 ; 30 compared 22 95 24 ci 23 % 24 ci 24 ci 25 1.03 24 ci 27 2.81 24 ci 30 compared 26 - 27 2.81 27 2.81 28 ) 30 compared 31 to 31 to 33 subgroup 32 the 33 subgroup 33 subgroup 34 of 34 of 35 patients 35 patients 36 taking 36 taking 39 medications 37 no 39 medications 38 antithrombotic 39 medications within the subgroup of patients taking oacs , international normalized ratio [(] inr ) values were higher in those with lobar ich as compared to those with deep ich ( 2.8 ± 1.1 vs 2.2 ± 0.8 [;] p = 0.011 ) . 0 ###LEFT-WALL### 1 within 0 ###LEFT-WALL### 16 were 0 ###LEFT-WALL### 43 . 1 within 3 subgroup 1 within 16 were 2 the 3 subgroup 3 subgroup 4 of 4 of 5 patients 5 patients 6 taking 5 patients 13 inr 6 taking 7 oacs 8 , 13 inr 9 international 11 ratio 10 normalized 11 ratio 11 ratio 13 inr 13 inr 14 ) 15 values 16 were 16 were 17 higher 17 higher 18 in 17 higher 25 to 17 higher 27 with 18 in 19 those 19 those 20 with 20 with 22 ich 21 lobar 22 ich 22 ich 24 compared 23 as 24 compared 25 to 26 those 27 with 29 ich 28 deep 29 ich 29 ich 32 ± 30 ( 32 ± 31 2.8 32 ± 32 ± 33 1.1 32 ± 34 vs 32 ± 42 ) 34 vs 36 ± 35 2.2 36 ± 36 ± 40 = 37 0.8 40 = 39 p 40 = 40 = 41 0.011 40 = 42 ) the proportion of patients with lobar hematoma increased with increasing intensity [of] anticoagulation , with a ~2 - fold increased odds of lobar compared [to] deep ich ( odds 2.17 [;] p = 0.03 ) in those exposed to overanticoagulation ( inr values >3.0 ) . 0 ###LEFT-WALL### 2 proportion 0 ###LEFT-WALL### 8 increased 0 ###LEFT-WALL### 46 . 1 the 2 proportion 2 proportion 3 of 2 proportion 8 increased 3 of 4 patients 4 patients 5 with 5 with 7 hematoma 6 lobar 7 hematoma 8 increased 9 with 8 increased 13 anticoagulation 8 increased 15 with 8 increased 36 in 8 increased 39 to 9 with 10 increasing 11 intensity 13 anticoagulation 14 , 15 with 15 with 19 fold 15 with 21 odds 15 with 35 ) 16 a 19 fold 17 ~2 18 - 17 ~2 19 fold 19 fold 20 increased 21 odds 22 of 21 odds 29 odds 22 of 27 ich 23 lobar 27 ich 24 compared 27 ich 26 deep 27 ich 28 ( 29 odds 29 odds 33 = 29 odds 35 ) 30 2.17 33 = 32 p 33 = 33 = 34 0.03 33 = 35 ) 36 in 37 those 37 those 38 exposed 39 to 40 overanticoagulation 40 overanticoagulation 42 inr 41 ( 42 inr 42 inr 43 values 42 inr 44 >3.0 42 inr 45 ) 43 values 44 >3.0 conclusions : oacs , as opposed to antiplatelets , predispose to lobar location [of] brain hematomas according to a dose - response relationship . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 - 1 conclusions 2 : 2 : 3 oacs 2 : 7 to 2 : 11 to 2 : 18 to 3 oacs 6 opposed 4 , 6 opposed 5 as 6 opposed 7 to 9 , 8 antiplatelets 9 , 9 , 10 predispose 11 to 16 hematomas 12 lobar 15 brain 13 location 15 brain 15 brain 16 hematomas 17 according 18 to 18 to 20 dose 19 a 20 dose 21 - 23 relationship 21 - 24 . 22 response 23 relationship objective : to examine the association between alcohol consumption in midlife and subsequent cognitive decline . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 examine 2 : 16 . 3 to 4 examine 4 examine 6 association 4 examine 7 between 4 examine 10 in 5 the 6 association 7 between 9 consumption 8 alcohol 9 consumption 10 in 12 and 11 midlife 12 and 12 and 15 decline 13 subsequent 15 decline 14 cognitive 15 decline methods : data are from 5,054 men and 2,099 women from the whitehall ii cohort study with a mean age of 56 years ( range 44 - 69 years ) at first cognitive assessment . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 35 . 2 : 3 data 2 : 4 are 2 : 8 and 3 data 4 are 4 are 5 from 5 from 7 men 6 5,054 7 men 8 and 10 women 8 and 16 study 9 2,099 10 women 10 women 11 from 10 women 16 study 11 from 15 cohort 12 the 15 cohort 13 whitehall 14 ii 13 whitehall 15 cohort 16 study 17 with 16 study 20 age 17 with 19 mean 18 a 19 mean 20 age 21 of 20 age 31 at 21 of 23 years 22 56 23 years 23 years 25 range 23 years 29 years 24 ( 25 range 25 range 26 44 25 range 27 - 27 - 29 years 28 69 29 years 29 years 30 ) 31 at 34 assessment 32 first 34 assessment 33 cognitive 34 assessment alcohol consumption was assessed 3 times in the 10 years preceding the first cognitive assessment ( 1997 - 1999 ) . 0 ###LEFT-WALL### 1 alcohol 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 21 . 1 alcohol 2 consumption 1 alcohol 3 was 1 alcohol 4 assessed 2 consumption 3 was 4 assessed 6 times 5 3 6 times 6 times 7 in 6 times 11 preceding 6 times 18 - 7 in 10 years 8 the 9 10 9 10 10 years 11 preceding 15 assessment 12 the 15 assessment 13 first 15 assessment 14 cognitive 15 assessment 16 ( 18 - 17 1997 18 - 18 - 19 1999 18 - 20 ) cognitive tests were repeated in 2002 - 2004 and 2007 - 2009 . 0 ###LEFT-WALL### 2 tests 0 ###LEFT-WALL### 4 repeated 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 13 . 1 cognitive 2 tests 2 tests 3 were 3 were 4 repeated 4 repeated 5 in 5 in 7 - 6 2002 7 - 7 - 8 2004 9 and 10 2007 9 and 11 - 10 2007 11 - 11 - 12 2009 the cognitive test battery included 4 tests assessing memory and executive function ; a global cognitive score summarized performances across these tests . 0 ###LEFT-WALL### 4 battery 0 ###LEFT-WALL### 5 included 0 ###LEFT-WALL### 13 ; 0 ###LEFT-WALL### 23 . 1 the 4 battery 2 cognitive 3 test 3 test 4 battery 4 battery 5 included 5 included 10 and 6 4 10 and 7 tests 8 assessing 7 tests 10 and 8 assessing 9 memory 10 and 12 function 11 executive 12 function 13 ; 17 score 13 ; 18 summarized 14 a 17 score 15 global 17 score 16 cognitive 17 score 17 score 18 summarized 18 summarized 19 performances 19 performances 20 across 20 across 22 tests 21 these 22 tests linear mixed models were used to assess the association between alcohol consumption and cognitive decline , expressed as [z] scores ( mean [=] 0 , sd = 1 [ )( 0 ###LEFT-WALL### 3 models 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 30 )( 1 linear 3 models 2 mixed 3 models 3 models 4 were 4 were 5 used 5 used 6 to 6 to 16 , 7 assess 9 association 7 assess 10 between 7 assess 16 , 8 the 9 association 10 between 13 and 11 alcohol 12 consumption 12 consumption 13 and 13 and 15 decline 14 cognitive 15 decline 16 , 17 expressed 17 expressed 18 as 18 as 20 scores 20 scores 22 mean 21 ( 22 mean 22 mean 24 0 22 mean 25 , 25 , 26 sd 25 , 27 = 26 sd 27 = 27 = 28 1 results : in men , there were no differences in cognitive decline [among] alcohol abstainers , quitters , and light or moderate alcohol drinkers ( < 20 g/d ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 there 2 : 7 were 2 : 16 , 2 : 30 . 3 in 4 men 3 in 5 , 3 in 6 there 6 there 7 were 7 were 9 differences 8 no 9 differences 9 differences 10 in 10 in 15 abstainers 11 cognitive 12 decline 12 decline 15 abstainers 14 alcohol 15 abstainers 16 , 19 and 17 quitters 19 and 18 , 19 and 19 and 24 drinkers 19 and 28 g/d 20 light 21 or 21 or 22 moderate 21 or 24 drinkers 23 alcohol 24 drinkers 25 ( 28 g/d 26 < 27 20 27 20 28 g/d 28 g/d 29 ) in [women] , compared with those drinking 0.1 to 9.9 g/d of alcohol , 10 - year abstainers showed faster decline in the global cognitive score ( - 0.21 [ - 0.37 , - 0.04 ] ) and executive function ( - 0.17 [ - 0.32 , - 0.01 ] ) . 0 ###LEFT-WALL### 38 and 0 ###LEFT-WALL### 52 . 1 in 4 compared 1 in 38 and 3 , 4 compared 4 compared 5 with 4 compared 37 ) 5 with 6 those 6 those 7 drinking 7 drinking 8 0.1 7 drinking 22 in 8 0.1 9 to 8 0.1 18 abstainers 8 0.1 21 decline 9 to 11 g/d 10 9.9 11 g/d 11 g/d 12 of 12 of 13 alcohol 13 alcohol 15 10 14 , 15 10 15 10 16 - 17 year 18 abstainers 18 abstainers 19 showed 19 showed 20 faster 19 showed 21 decline 22 in 26 score 23 the 26 score 24 global 26 score 25 cognitive 26 score 26 score 29 0.21 26 score 35 0.04 27 ( 29 0.21 28 - 29 0.21 29 0.21 32 0.37 29 0.21 33 , 30 [ 32 0.37 31 - 32 0.37 32 0.37 33 , 34 - 35 0.04 35 0.04 36 ] 38 and 40 function 38 and 43 0.17 39 executive 40 function 41 ( 43 0.17 42 - 43 0.17 43 0.17 46 0.32 43 0.17 49 0.01 43 0.17 51 ) 44 [ 46 0.32 45 - 46 0.32 46 0.32 47 , 47 , 49 0.01 48 - 49 0.01 49 0.01 50 ] conclusions : excessive alcohol consumption in men ( ≥36 [g/d] ) was associated with faster cognitive decline compared [with] light to moderate alcohol consumption . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 5 consumption 2 : 22 moderate 2 : 25 . 3 excessive 5 consumption 4 alcohol 5 consumption 5 consumption 6 in 5 consumption 12 was 6 in 7 men 7 men 9 ≥36 8 ( 9 ≥36 9 ≥36 11 ) 12 was 13 associated 13 associated 14 with 13 associated 21 to 14 with 20 light 15 faster 20 light 16 cognitive 20 light 17 decline 18 compared 18 compared 20 light 21 to 22 moderate 22 moderate 24 consumption 23 alcohol 24 consumption the posttranscriptional regulation of gene expression occurs through cis rna regulatory elements by the action of trans factors , which are represented by noncoding rnas ( especially micrornas [ )(and turnover - and translation - regulatory ( ttr ) rna - binding proteins ( rbps ) . 0 ###LEFT-WALL### 3 regulation 0 ###LEFT-WALL### 7 occurs 1 the 3 regulation 2 posttranscriptional 3 regulation 3 regulation 4 of 3 regulation 7 occurs 4 of 6 expression 5 gene 6 expression 7 occurs 8 through 7 occurs 13 by 7 occurs 42 binding 8 through 12 elements 9 cis 12 elements 10 rna 12 elements 11 regulatory 12 elements 13 by 15 action 14 the 15 action 15 action 16 of 16 of 18 factors 17 trans 18 factors 18 factors 20 which 19 , 20 which 20 which 21 are 20 which 41 - 21 are 22 represented 22 represented 23 by 23 by 24 noncoding 24 noncoding 25 rnas 25 rnas 33 and 26 ( 27 especially 26 ( 33 and 28 micrornas 30 )(and 30 )(and 31 turnover 30 )(and 33 and 32 - 33 and 33 and 34 translation 33 and 40 rna 33 and 41 - 35 - 40 rna 36 regulatory 38 ttr 36 regulatory 40 rna 37 ( 38 ttr 38 ttr 39 ) 40 rna 41 - 41 - 42 binding 42 binding 43 proteins 42 binding 47 . 43 proteins 45 rbps 44 ( 45 rbps 45 rbps 46 ) these multifactorial proteins are a group of heterogeneous rbps primarily implicated in controlling the decay and translation rates of target mrnas . 0 ###LEFT-WALL### 3 proteins 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 22 . 1 these 3 proteins 2 multifactorial 3 proteins 3 proteins 4 are 4 are 9 rbps 5 a 6 group 6 group 7 of 6 group 9 rbps 7 of 9 rbps 8 heterogeneous 9 rbps 9 rbps 11 implicated 9 rbps 12 in 9 rbps 19 of 10 primarily 11 implicated 12 in 13 controlling 13 controlling 16 and 14 the 16 and 15 decay 16 and 16 and 18 rates 17 translation 18 rates 19 of 21 mrnas 20 target 21 mrnas ttr - rbps usually shuttle [between] cellular compartments ( the nucleus and cytoplasm ) in response to various stimuli and undergo posttranslational modifications such as phosphorylation or methylation to ensure their proper subcellular localization and function . 0 ###LEFT-WALL### 3 rbps 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 37 . 1 ttr 2 - 1 ttr 3 rbps 3 rbps 20 and 4 usually 5 shuttle 5 shuttle 8 compartments 5 shuttle 17 to 5 shuttle 20 and 7 cellular 8 compartments 8 compartments 12 and 9 ( 12 and 10 the 11 nucleus 11 nucleus 12 and 12 and 13 cytoplasm 12 and 14 ) 15 in 16 response 16 response 17 to 17 to 19 stimuli 18 various 19 stimuli 20 and 21 undergo 20 and 25 as 21 undergo 23 modifications 22 posttranslational 23 modifications 24 such 25 as 25 as 35 and 26 phosphorylation 27 or 27 or 28 methylation 27 or 29 to 27 or 30 ensure 27 or 35 and 29 to 30 ensure 30 ensure 34 localization 31 their 34 localization 32 proper 34 localization 33 subcellular 34 localization 35 and 36 function ttr - rbps are emerging as key regulators of a wide variety of genes influencing kidney physiology and pathology . 0 ###LEFT-WALL### 3 rbps 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 20 . 1 ttr 2 - 1 ttr 3 rbps 3 rbps 4 are 4 are 5 emerging 5 emerging 6 as 6 as 8 regulators 7 key 8 regulators 8 regulators 9 of 9 of 18 and 10 a 11 wide 10 a 12 variety 11 wide 12 variety 12 variety 13 of 12 variety 15 influencing 12 variety 18 and 13 of 14 genes 15 influencing 17 physiology 16 kidney 17 physiology 18 and 19 pathology this review summarizes the current knowledge of ttr - rbps that influence renal metabolism . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 summarizes 0 ###LEFT-WALL### 9 - 0 ###LEFT-WALL### 15 . 1 this 2 review 2 review 3 summarizes 3 summarizes 6 knowledge 4 the 6 knowledge 5 current 6 knowledge 6 knowledge 7 of 7 of 8 ttr 9 - 10 rbps 10 rbps 11 that 10 rbps 12 influence 11 that 12 influence 12 influence 14 metabolism 13 renal 14 metabolism we will discuss the role of ttr - rbps as regulators of kidney ischemia , fibrosis and matrix remodeling , angiogenesis , membrane transport , immunity , vascular tone , hypertension , and acid - base balance as well as anemia , bone mineral disease , and vascular calcification . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 discuss 0 ###LEFT-WALL### 50 . 1 we 2 will 2 will 3 discuss 3 discuss 33 and 4 the 5 role 5 role 6 of 5 role 22 , 6 of 21 angiogenesis 7 ttr 17 and 7 ttr 21 angiogenesis 8 - 17 and 9 rbps 10 as 9 rbps 12 of 9 rbps 15 , 10 as 11 regulators 12 of 14 ischemia 13 kidney 14 ischemia 15 , 16 fibrosis 15 , 17 and 17 and 19 remodeling 17 and 20 , 18 matrix 19 remodeling 22 , 24 transport 22 , 25 , 23 membrane 24 transport 25 , 26 immunity 25 , 27 , 27 , 29 tone 27 , 30 , 28 vascular 29 tone 30 , 31 hypertension 30 , 33 and 32 , 33 and 33 and 37 balance 33 and 40 as 34 acid 35 - 34 acid 36 base 36 base 37 balance 38 as 39 well 39 well 40 as 40 as 47 and 41 anemia 42 , 42 , 45 disease 42 , 47 and 43 bone 45 disease 44 mineral 45 disease 46 , 47 and 47 and 49 calcification 48 vascular 49 calcification objectives : aortic geometry changes throughout life [are] not well defined . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 4 geometry 2 : 5 changes 2 : 12 . 3 aortic 4 geometry 4 geometry 5 changes 5 changes 6 throughout 6 throughout 7 life 7 life 9 not 9 not 11 defined 10 well 11 defined this investigation delineates aortic geometry across the adult age spectrum and determines the gender - related influence of aging on aortic morphometry . 0 ###LEFT-WALL### 2 investigation 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 16 related 1 this 2 investigation 2 investigation 11 and 3 delineates 5 geometry 3 delineates 6 across 3 delineates 11 and 4 aortic 5 geometry 6 across 10 spectrum 7 the 10 spectrum 8 adult 10 spectrum 9 age 10 spectrum 11 and 12 determines 12 determines 14 gender 13 the 14 gender 15 - 16 related 16 related 17 influence 16 related 23 . 17 influence 18 of 18 of 19 aging 19 aging 20 on 20 on 22 morphometry 21 aortic 22 morphometry methods : contrast - enhanced computed tomography [scans] of all aortic segments in 195 subjects ( 94 women , 101 men , average age 57 ± 20 years ) free of vascular disease were analysed . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 36 . 2 : 3 contrast 2 : 4 - 4 - 7 tomography 4 - 19 , 5 enhanced 7 tomography 6 computed 7 tomography 7 tomography 9 of 7 tomography 13 in 9 of 12 segments 10 all 12 segments 11 aortic 12 segments 13 in 15 subjects 14 195 15 subjects 15 subjects 18 women 16 ( 18 women 17 94 18 women 18 women 19 , 19 , 20 101 19 , 35 analysed 20 101 21 men 20 101 30 free 20 101 31 of 20 101 34 were 21 men 28 years 21 men 30 free 22 , 28 years 23 average 24 age 24 age 28 years 25 57 26 ± 26 ± 28 years 27 20 28 years 28 years 29 ) 31 of 33 disease 32 vascular 33 disease 34 were 35 analysed lengths and diameters of each aortic segment as well as width , height and tortuosity of the thoracic aorta were compared between both genders . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 21 compared 0 ###LEFT-WALL### 25 . 1 lengths 2 and 2 and 3 diameters 2 and 4 of 2 and 20 were 4 of 14 and 5 each 7 segment 6 aortic 7 segment 7 segment 10 as 7 segment 12 , 8 as 9 well 9 well 10 as 10 as 11 width 12 , 13 height 12 , 14 and 14 and 15 tortuosity 14 and 16 of 16 of 19 aorta 17 the 19 aorta 18 thoracic 19 aorta 20 were 21 compared 21 compared 22 between 22 between 24 genders 23 both 24 genders results : aortic diameters and lengths were larger in men than women ( p < 0.001 ) ; however , after adjustment for body surface area ( bsa ) , the ascending aorta and aortic arch revealed greater diameters in women than in men ( p = 0.001 and p = 0.011 , respectively ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 56 . 2 : 4 diameters 2 : 5 and 2 : 18 ; 3 aortic 4 diameters 5 and 6 lengths 5 and 7 were 6 lengths 7 were 7 were 8 larger 8 larger 9 in 8 larger 11 than 9 in 10 men 11 than 12 women 12 women 15 < 13 ( 15 < 14 p 15 < 15 < 16 0.001 15 < 17 ) 18 ; 34 and 18 ; 37 revealed 18 ; 49 and 19 however 34 and 20 , 21 after 21 after 22 adjustment 21 after 30 , 21 after 34 and 22 adjustment 23 for 23 for 26 area 24 body 26 area 25 surface 26 area 26 area 28 bsa 27 ( 28 bsa 28 bsa 29 ) 31 the 33 aorta 32 ascending 33 aorta 33 aorta 34 and 34 and 36 arch 34 and 37 revealed 35 aortic 36 arch 37 revealed 39 diameters 37 revealed 42 than 37 revealed 47 = 38 greater 39 diameters 39 diameters 40 in 40 in 41 women 42 than 43 in 43 in 44 men 45 ( 47 = 46 p 47 = 47 = 48 0.001 49 and 50 p 49 and 51 = 50 p 51 = 51 = 52 0.011 51 = 54 respectively 53 , 54 respectively 54 respectively 55 ) all aortic segment dimensions increased in a similar pattern with age for both genders , except the ascending aorta diameter , which increased +3.4 [%] ( p < 0.001 [ )(per decade in women and +2.6 [%] ( p < 0.001 ) per decade in men . 0 ###LEFT-WALL### 4 dimensions 0 ###LEFT-WALL### 24 +3.4 0 ###LEFT-WALL### 47 . 1 all 4 dimensions 2 aortic 3 segment 3 segment 4 dimensions 4 dimensions 5 increased 4 dimensions 6 in 4 dimensions 24 +3.4 6 in 9 pattern 7 a 8 similar 7 a 9 pattern 8 similar 9 pattern 9 pattern 10 with 10 with 11 age 11 age 12 for 11 age 22 which 11 age 23 increased 12 for 14 genders 13 both 14 genders 14 genders 16 except 15 , 16 except 16 except 20 diameter 16 except 21 , 17 the 20 diameter 18 ascending 19 aorta 19 aorta 20 diameter 22 which 23 increased 24 +3.4 28 < 26 ( 28 < 27 p 28 < 28 < 29 0.001 29 0.001 31 )(per 29 0.001 33 in 29 0.001 43 per 29 0.001 45 in 31 )(per 32 decade 33 in 35 and 34 women 35 and 35 and 36 +2.6 35 and 40 < 38 ( 40 < 39 p 40 < 40 < 41 0.001 40 < 42 ) 43 per 44 decade 45 in 46 men owing to more dynamic ascending aortic growth in women , absolute diameters were similar in both genders at an older age ( >70 years old : 3.4 ± 0.3 vs 3.5 ± 0.3 cm , p = 0.241 ) . 0 ###LEFT-WALL### 12 diameters 0 ###LEFT-WALL### 13 were 0 ###LEFT-WALL### 26 : 0 ###LEFT-WALL### 40 . 1 owing 2 to 1 owing 7 growth 1 owing 8 in 1 owing 10 , 1 owing 12 diameters 2 to 3 more 4 dynamic 5 ascending 5 ascending 7 growth 6 aortic 7 growth 8 in 9 women 11 absolute 12 diameters 12 diameters 13 were 13 were 14 similar 14 similar 15 in 14 similar 18 at 15 in 17 genders 16 both 17 genders 18 at 21 age 19 an 21 age 20 older 21 age 21 age 23 >70 22 ( 23 >70 23 >70 25 old 23 >70 26 : 24 years 25 old 26 : 27 3.4 26 : 28 ± 27 3.4 28 ± 28 ± 29 0.3 29 0.3 30 vs 30 vs 32 ± 31 3.5 32 ± 32 ± 37 = 33 0.3 34 cm 34 cm 37 = 35 , 37 = 36 p 37 = 37 = 38 0.241 37 = 39 ) conclusions : female gender is associated with smaller aortic dimensions , but only at a young age . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 gender 2 : 6 associated 2 : 18 . 3 female 4 gender 4 gender 5 is 5 is 6 associated 6 associated 12 but 7 with 10 dimensions 7 with 12 but 8 smaller 10 dimensions 9 aortic 10 dimensions 11 , 12 but 12 but 13 only 12 but 14 at 14 at 17 age 15 a 16 young 15 a 17 age 16 young 17 age the dynamics of aortic growth [throughout] life are greater in women than in men . 0 ###LEFT-WALL### 2 dynamics 0 ###LEFT-WALL### 8 are 0 ###LEFT-WALL### 15 . 1 the 2 dynamics 2 dynamics 3 of 2 dynamics 8 are 3 of 7 life 4 aortic 5 growth 5 growth 7 life 8 are 9 greater 9 greater 10 in 9 greater 12 than 10 in 11 women 12 than 13 in 13 in 14 men gender - related changes in aortic geometry provide a hypothesis for the predominance of aortic dissection in young male patients , which normalizes between genders with increasing age . 0 ###LEFT-WALL### 4 changes 0 ###LEFT-WALL### 8 provide 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 29 . 1 gender 2 - 1 gender 4 changes 3 related 4 changes 4 changes 5 in 4 changes 8 provide 5 in 7 geometry 6 aortic 7 geometry 8 provide 10 hypothesis 8 provide 11 for 8 provide 17 in 9 a 10 hypothesis 11 for 13 predominance 12 the 13 predominance 13 predominance 14 of 14 of 16 dissection 15 aortic 16 dissection 17 in 20 patients 18 young 19 male 19 male 20 patients 21 , 22 which 21 , 23 normalizes 22 which 23 normalizes 23 normalizes 24 between 23 normalizes 26 with 23 normalizes 28 age 24 between 25 genders 26 with 27 increasing ceftaroline fosamil is a parenteral cephalosporin indicated for the treatment of acute bacterial skin and skin structure infections and community - acquired bacterial pneumonia . 0 ###LEFT-WALL### 2 fosamil 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 21 - 0 ###LEFT-WALL### 25 . 1 ceftaroline 2 fosamil 2 fosamil 3 is 3 is 6 cephalosporin 4 a 6 cephalosporin 5 parenteral 6 cephalosporin 6 cephalosporin 7 indicated 6 cephalosporin 8 for 6 cephalosporin 11 of 8 for 10 treatment 9 the 10 treatment 11 of 19 and 12 acute 14 skin 13 bacterial 14 skin 14 skin 15 and 15 and 18 infections 15 and 19 and 16 skin 17 structure 17 structure 18 infections 19 and 20 community 21 - 24 pneumonia 22 acquired 24 pneumonia 23 bacterial 24 pneumonia ceftaroline , the active component of ceftaroline fosamil , exhibits broad - spectrum bactericidal activity against gram [-] positive organisms , including methicillin - resistant staphylococcus aureus and streptococcus pneumoniae , as well as common gram - negative pathogens . 0 ###LEFT-WALL### 1 ceftaroline 0 ###LEFT-WALL### 10 exhibits 0 ###LEFT-WALL### 31 , 0 ###LEFT-WALL### 40 . 1 ceftaroline 5 component 1 ceftaroline 10 exhibits 2 , 5 component 3 the 5 component 4 active 5 component 5 component 6 of 5 component 9 , 6 of 8 fosamil 7 ceftaroline 8 fosamil 10 exhibits 15 activity 10 exhibits 16 against 10 exhibits 22 including 11 broad 12 - 11 broad 13 spectrum 13 spectrum 15 activity 14 bactericidal 15 activity 16 against 20 organisms 17 gram 20 organisms 19 positive 20 organisms 21 , 22 including 22 including 23 methicillin 22 including 31 , 23 methicillin 28 and 24 - 28 and 25 resistant 27 aureus 26 staphylococcus 27 aureus 27 aureus 28 and 28 and 30 pneumoniae 28 and 31 , 29 streptococcus 30 pneumoniae 31 , 36 gram 31 , 37 - 32 as 33 well 33 well 35 common 34 as 35 common 35 common 36 gram 37 - 38 negative 38 negative 39 pathogens the objective of the studies presented herein was to establish the pharmacokinetic profile of ceftaroline in healthy subjects and special populations of interest , such as elderly subjects , subjects with renal impairment , or subjects [with] end - stage renal disease on intermittent hemodialysis . 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 40 stage 0 ###LEFT-WALL### 46 . 1 the 2 objective 2 objective 3 of 2 objective 19 and 3 of 5 studies 4 the 5 studies 5 studies 6 presented 5 studies 7 herein 5 studies 10 establish 7 herein 8 was 8 was 9 to 8 was 10 establish 9 to 10 establish 10 establish 13 profile 11 the 13 profile 12 pharmacokinetic 13 profile 13 profile 14 of 13 profile 16 in 14 of 15 ceftaroline 16 in 18 subjects 17 healthy 18 subjects 19 and 21 populations 19 and 40 stage 20 special 21 populations 21 populations 22 of 22 of 23 interest 23 interest 26 as 23 interest 35 or 24 , 26 as 25 such 26 as 26 as 28 subjects 26 as 29 , 27 elderly 28 subjects 29 , 35 or 30 subjects 31 with 30 subjects 35 or 31 with 33 impairment 32 renal 33 impairment 34 , 35 or 35 or 38 end 35 or 39 - 36 subjects 38 end 40 stage 42 disease 40 stage 43 on 41 renal 42 disease 43 on 45 hemodialysis 44 intermittent 45 hemodialysis the mean [half] - life of ceftaroline in healthy subjects was approximately 2.6 hours , and urinary excretion was the primary route of elimination . 0 ###LEFT-WALL### 5 life 0 ###LEFT-WALL### 11 was 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 25 . 1 the 5 life 2 mean 4 - 2 mean 5 life 5 life 6 of 5 life 11 was 6 of 7 ceftaroline 7 ceftaroline 8 in 8 in 10 subjects 9 healthy 10 subjects 11 was 14 hours 12 approximately 13 2.6 13 2.6 14 hours 15 , 16 and 16 and 18 excretion 16 and 19 was 17 urinary 18 excretion 18 excretion 19 was 19 was 22 route 20 the 22 route 21 primary 22 route 22 route 23 of 23 of 24 elimination ceftaroline cmax and auc values increased in proportion to dose increases within the range of 50 - 1000 mg , demonstrating an approximately linear pharmacokinetic profile following intravenous infusion . 0 ###LEFT-WALL### 5 values 0 ###LEFT-WALL### 10 dose 0 ###LEFT-WALL### 30 . 1 ceftaroline 2 cmax 2 cmax 3 and 3 and 4 auc 4 auc 5 values 5 values 6 increased 6 increased 7 in 6 increased 9 to 7 in 8 proportion 9 to 10 dose 10 dose 11 increases 11 increases 12 within 11 increases 27 following 12 within 14 range 13 the 14 range 14 range 15 of 14 range 21 demonstrating 15 of 16 50 16 50 19 mg 17 - 19 mg 18 1000 19 mg 19 mg 20 , 21 demonstrating 26 profile 22 an 26 profile 23 approximately 24 linear 24 linear 26 profile 25 pharmacokinetic 26 profile 27 following 29 infusion 28 intravenous 29 infusion the pharmacokinetic parameters of ceftaroline were modestly altered in elderly subjects compared with younger adults , which was attributed to decreased renal function [in] elderly subjects . 0 ###LEFT-WALL### 3 parameters 0 ###LEFT-WALL### 8 altered 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 27 . 1 the 3 parameters 2 pharmacokinetic 3 parameters 3 parameters 4 of 3 parameters 6 were 4 of 5 ceftaroline 6 were 8 altered 7 modestly 8 altered 8 altered 9 in 9 in 11 subjects 10 elderly 11 subjects 11 subjects 12 compared 12 compared 13 with 13 with 15 adults 14 younger 15 adults 16 , 17 which 16 , 19 attributed 17 which 18 was 18 was 19 attributed 19 attributed 20 to 20 to 26 subjects 21 decreased 23 function 22 renal 23 function 23 function 26 subjects 25 elderly 26 subjects ceftaroline pharmacokinetic parameters varied with different degrees of renal impairment , resulting in recommended dosage adjustments for patients [with] moderate to severe impairment . 0 ###LEFT-WALL### 3 parameters 0 ###LEFT-WALL### 20 moderate 0 ###LEFT-WALL### 24 . 1 ceftaroline 3 parameters 2 pharmacokinetic 3 parameters 3 parameters 4 varied 3 parameters 13 in 3 parameters 20 moderate 4 varied 5 with 4 varied 11 , 4 varied 12 resulting 5 with 10 impairment 6 different 7 degrees 7 degrees 8 of 7 degrees 10 impairment 8 of 10 impairment 9 renal 10 impairment 13 in 16 adjustments 14 recommended 15 dosage 15 dosage 16 adjustments 16 adjustments 17 for 17 for 18 patients 20 moderate 21 to 21 to 23 impairment 22 severe 23 impairment ceftaroline fosamil was generally well tolerated regardless of age or severity of renal impairment . 0 ###LEFT-WALL### 2 fosamil 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 15 . 1 ceftaroline 2 fosamil 2 fosamil 3 was 3 was 4 generally 3 was 5 well 5 well 6 tolerated 5 well 8 of 6 tolerated 7 regardless 8 of 10 or 9 age 10 or 10 or 11 severity 10 or 12 of 12 of 14 impairment 13 renal 14 impairment background the measurement of circulating anti - müllerian [hormone] ( amh ) has been applied to a wide array of clinical applications , mainly based on its ability to reflect the number of antral and pre - antral follicles present in the ovaries . 0 ###LEFT-WALL### 3 measurement 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 37 - 0 ###LEFT-WALL### 44 . 1 background 2 the 2 the 3 measurement 3 measurement 4 of 3 measurement 23 , 4 of 5 circulating 5 circulating 8 müllerian 6 anti 7 - 6 anti 8 müllerian 8 müllerian 11 amh 10 ( 11 amh 11 amh 12 ) 13 has 14 been 13 has 23 , 14 been 15 applied 15 applied 16 to 16 to 19 array 17 a 18 wide 17 a 19 array 18 wide 19 array 19 array 20 of 20 of 22 applications 21 clinical 22 applications 23 , 25 based 23 , 26 on 23 , 32 number 24 mainly 25 based 26 on 28 ability 27 its 28 ability 28 ability 29 to 28 ability 30 reflect 29 to 30 reflect 31 the 32 number 32 number 33 of 33 of 35 and 34 antral 35 and 35 and 36 pre 37 - 39 follicles 38 antral 39 follicles 39 follicles 40 present 40 present 41 in 41 in 43 ovaries 42 the 43 ovaries amh has been suggested to predict the ovarian response to hyperstimulation of the ovaries for ivf and the timing [of] menopause , [and] to indicate iatrogenic damage to the ovarian follicle reserve . 0 ###LEFT-WALL### 1 amh 0 ###LEFT-WALL### 4 suggested 1 amh 2 has 2 has 3 been 3 been 4 suggested 4 suggested 5 to 4 suggested 10 to 4 suggested 24 to 5 to 6 predict 6 predict 9 response 7 the 9 response 8 ovarian 9 response 10 to 17 and 11 hyperstimulation 12 of 11 hyperstimulation 17 and 12 of 14 ovaries 13 the 14 ovaries 14 ovaries 15 for 15 for 16 ivf 17 and 21 menopause 18 the 21 menopause 19 timing 21 menopause 22 , 24 to 24 to 25 indicate 24 to 33 . 25 indicate 27 damage 26 iatrogenic 27 damage 27 damage 28 to 28 to 32 reserve 29 the 32 reserve 30 ovarian 31 follicle 31 follicle 32 reserve it has also been proposed as a surrogate for antral follicle [count] ( afc ) in the diagnosis [of] polycystic ovary syndrome ( pcos ) . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 5 proposed 0 ###LEFT-WALL### 26 . 1 it 2 has 2 has 4 been 3 also 4 been 4 been 5 proposed 5 proposed 6 as 6 as 8 surrogate 7 a 8 surrogate 8 surrogate 9 for 8 surrogate 16 in 9 for 11 follicle 10 antral 11 follicle 11 follicle 14 afc 13 ( 14 afc 14 afc 15 ) 16 in 22 syndrome 17 the 22 syndrome 18 diagnosis 22 syndrome 20 polycystic 21 ovary 21 ovary 22 syndrome 22 syndrome 24 pcos 23 ( 24 pcos 24 pcos 25 ) methods this paper is a summary of presentations at a european society of human reproduction and embryology campus workshop on amh , with literature cited until september 2013 . 0 ###LEFT-WALL### 3 paper 0 ###LEFT-WALL### 4 is 1 methods 3 paper 2 this 3 paper 3 paper 4 is 4 is 6 summary 5 a 6 summary 6 summary 7 of 7 of 8 presentations 8 presentations 9 at 8 presentations 20 on 9 at 19 workshop 10 a 19 workshop 11 european 19 workshop 12 society 13 of 12 society 19 workshop 13 of 17 embryology 14 human 15 reproduction 15 reproduction 16 and 16 and 17 embryology 18 campus 19 workshop 20 on 21 amh 21 amh 23 with 22 , 23 with 23 with 24 literature 23 with 29 . 24 literature 25 cited 25 cited 26 until 26 until 27 september 27 september 28 2013 published peer - reviewed medical literature about amh was searched through medline and was subjected to systematic review and critical assessment by the panel of authors . 0 ###LEFT-WALL### 2 peer 0 ###LEFT-WALL### 3 - 1 published 2 peer 3 - 6 literature 3 - 13 and 3 - 27 . 4 reviewed 6 literature 5 medical 6 literature 6 literature 7 about 6 literature 13 and 7 about 8 amh 9 was 10 searched 9 was 13 and 10 searched 11 through 11 through 12 medline 13 and 14 was 14 was 15 subjected 15 subjected 16 to 15 subjected 22 by 16 to 19 and 17 systematic 18 review 18 review 19 and 19 and 21 assessment 20 critical 21 assessment 22 by 24 panel 23 the 24 panel 24 panel 25 of 25 of 26 authors results physiologically , recent data confirm that amh is a follicular gatekeeper limiting follicle growth initiation , and subsequently estradiol production from small antral follicles prior to selection . 0 ###LEFT-WALL### 2 physiologically 0 ###LEFT-WALL### 3 , 1 results 2 physiologically 3 , 5 data 3 , 6 confirm 4 recent 5 data 5 data 6 confirm 6 confirm 7 that 7 that 8 amh 7 that 9 is 8 amh 9 is 9 is 12 gatekeeper 10 a 11 follicular 10 a 12 gatekeeper 11 follicular 12 gatekeeper 12 gatekeeper 13 limiting 13 limiting 18 and 14 follicle 15 growth 15 growth 16 initiation 16 initiation 18 and 17 , 18 and 18 and 19 subsequently 18 and 21 production 18 and 29 . 20 estradiol 21 production 21 production 22 from 22 from 25 follicles 23 small 25 follicles 24 antral 25 follicles 25 follicles 26 prior 26 prior 27 to 27 to 28 selection amh assays continue to evolve and [technical] issues remain ; the absence of an international standard is a key issue . 0 ###LEFT-WALL### 1 amh 0 ###LEFT-WALL### 9 remain 0 ###LEFT-WALL### 10 ; 0 ###LEFT-WALL### 21 . 1 amh 2 assays 1 amh 8 issues 1 amh 9 remain 2 assays 6 and 3 continue 4 to 3 continue 5 evolve 3 continue 6 and 4 to 5 evolve 6 and 8 issues 10 ; 12 absence 10 ; 17 is 11 the 12 absence 12 absence 13 of 12 absence 17 is 13 of 16 standard 14 an 16 standard 15 international 16 standard 17 is 20 issue 18 a 20 issue 19 key 20 issue the dynamics of circulating amh levels throughout life can be split into several distinct phases , with a peak in the early 20 s before a decline to the menopause , with a strong and positive correlation [with] [non] - growing follicle recruitment . 0 ###LEFT-WALL### 2 dynamics 0 ###LEFT-WALL### 11 split 0 ###LEFT-WALL### 40 - 0 ###LEFT-WALL### 44 . 1 the 2 dynamics 2 dynamics 3 of 2 dynamics 5 amh 2 dynamics 6 levels 2 dynamics 9 can 3 of 4 circulating 5 amh 6 levels 6 levels 7 throughout 7 throughout 8 life 9 can 10 be 10 be 11 split 11 split 12 into 11 split 17 with 11 split 32 with 12 into 15 phases 13 several 15 phases 14 distinct 15 phases 16 , 17 with 17 with 19 peak 17 with 31 , 18 a 19 peak 19 peak 20 in 19 peak 25 before 20 in 22 early 21 the 22 early 23 20 24 s 24 s 25 before 25 before 27 decline 26 a 27 decline 27 decline 28 to 28 to 30 menopause 29 the 30 menopause 32 with 37 correlation 33 a 37 correlation 34 strong 35 and 35 and 36 positive 35 and 37 correlation 40 - 43 recruitment 41 growing 43 recruitment 42 follicle 43 recruitment there is a more complex rise during childhood and adolescence , which is likely to be more reflective of different stages of follicle development . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 25 . 1 there 2 is 2 is 6 rise 3 a 6 rise 4 more 5 complex 5 complex 6 rise 6 rise 7 during 6 rise 19 of 6 rise 22 of 7 during 9 and 8 childhood 9 and 9 and 10 adolescence 9 and 11 , 9 and 12 which 9 and 13 is 12 which 13 is 13 is 14 likely 14 likely 15 to 14 likely 16 be 15 to 16 be 16 be 18 reflective 17 more 18 reflective 19 of 21 stages 20 different 21 stages 22 of 24 development 23 follicle 24 development amh shows limited short - term variability , but the influence of states such as prolonged oral contraceptive use need to be considered in clinical assessment . 0 ###LEFT-WALL### 1 amh 0 ###LEFT-WALL### 2 shows 1 amh 2 shows 2 shows 7 variability 3 limited 6 term 4 short 5 - 4 short 6 term 6 term 7 variability 7 variability 9 but 8 , 9 but 9 but 11 influence 9 but 27 . 10 the 11 influence 11 influence 12 of 11 influence 21 to 11 influence 23 considered 12 of 13 states 13 states 15 as 14 such 15 as 15 as 20 need 16 prolonged 18 contraceptive 17 oral 18 contraceptive 18 contraceptive 19 use 19 use 20 need 21 to 22 be 22 be 23 considered 23 considered 24 in 24 in 26 assessment 25 clinical 26 assessment there are only very limited data on relationships between amh and natural fertility at different stages of reproductive life , and while it has a relationship to age at menopause [the] marked variability in this needs further exploration . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 39 . 1 there 2 are 2 are 11 and 3 only 5 limited 4 very 5 limited 5 limited 6 data 6 data 7 on 6 data 11 and 7 on 8 relationships 8 relationships 9 between 9 between 10 amh 11 and 13 fertility 11 and 14 at 11 and 17 of 12 natural 13 fertility 14 at 16 stages 15 different 16 stages 17 of 19 life 18 reproductive 19 life 20 , 21 and 21 and 36 needs 21 and 37 further 22 while 23 it 22 while 24 has 22 while 36 needs 23 it 24 has 24 has 26 relationship 25 a 26 relationship 26 relationship 27 to 27 to 28 age 28 age 29 at 29 at 33 variability 30 menopause 32 marked 32 marked 33 variability 33 variability 34 in 34 in 35 this 36 needs 37 further 37 further 38 exploration amh may be useful in assessing the need for fertility preservation strategies and detecting post - chemotherapy or surgical damage to the ovarian reserve . 0 ###LEFT-WALL### 1 amh 0 ###LEFT-WALL### 3 be 1 amh 2 may 2 may 3 be 3 be 15 post 4 useful 5 in 4 useful 9 for 4 useful 13 and 5 in 6 assessing 6 assessing 8 need 7 the 8 need 9 for 12 strategies 10 fertility 12 strategies 11 preservation 12 strategies 13 and 14 detecting 13 and 15 post 15 post 18 or 16 - 18 or 17 chemotherapy 18 or 18 or 20 damage 18 or 21 to 18 or 25 . 19 surgical 20 damage 21 to 24 reserve 22 the 24 reserve 23 ovarian 24 reserve long - term [follow] - up of patients to ascertain fully the value of post - cancer serum amh in predicting long - term ovarian function [is] [required] . 0 ###LEFT-WALL### 3 term 0 ###LEFT-WALL### 5 - 1 long 2 - 1 long 3 term 5 - 19 amh 5 - 22 long 5 - 23 - 6 up 19 amh 7 of 8 patients 7 of 19 amh 9 to 10 ascertain 9 to 16 - 9 to 19 amh 10 ascertain 11 fully 10 ascertain 13 value 12 the 13 value 13 value 14 of 14 of 15 post 17 cancer 19 amh 18 serum 19 amh 19 amh 20 in 19 amh 22 long 20 in 21 predicting 23 - 26 function 23 - 29 . 24 term 26 function 25 ovarian 26 function there is a linear relationship between amh and oocyte yield after ovarian stimulation , which is of value in predicting ovarian hyperstimulation . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 23 . 1 there 2 is 2 is 8 and 3 a 5 relationship 4 linear 5 relationship 5 relationship 6 between 5 relationship 8 and 6 between 7 amh 8 and 10 yield 8 and 11 after 9 oocyte 10 yield 11 after 13 stimulation 12 ovarian 13 stimulation 14 , 15 which 14 , 16 is 15 which 16 is 16 is 17 of 16 is 19 in 17 of 18 value 19 in 20 predicting 20 predicting 22 hyperstimulation 21 ovarian 22 hyperstimulation amh can also identify ['] poor responders ' , but it seems inappropriate at present to withhold ivf purely on this basis . 0 ###LEFT-WALL### 1 amh 0 ###LEFT-WALL### 4 identify 0 ###LEFT-WALL### 10 but 0 ###LEFT-WALL### 12 seems 0 ###LEFT-WALL### 23 . 1 amh 2 can 2 can 4 identify 3 also 4 identify 4 identify 8 ' 6 poor 7 responders 7 responders 8 ' 9 , 10 but 10 but 11 it 10 but 12 seems 11 it 12 seems 12 seems 13 inappropriate 13 inappropriate 16 to 13 inappropriate 17 withhold 14 at 15 present 15 present 16 to 16 to 17 withhold 17 withhold 18 ivf 17 withhold 19 purely 19 purely 20 on 20 on 22 basis 21 this 22 basis women with pcos show markedly raised amh levels , due to both the increased number of small antral follicles and intrinsic characteristics of those granulosa cells , and this may contribute to anovulation . 0 ###LEFT-WALL### 1 women 0 ###LEFT-WALL### 28 and 0 ###LEFT-WALL### 34 . 1 women 2 with 1 women 28 and 2 with 7 amh 3 pcos 7 amh 4 show 7 amh 5 markedly 6 raised 6 raised 7 amh 8 levels 11 to 8 levels 28 and 9 , 11 to 10 due 11 to 11 to 20 and 11 to 27 , 12 both 20 and 13 the 15 number 14 increased 15 number 15 number 16 of 15 number 20 and 16 of 19 follicles 17 small 19 follicles 18 antral 19 follicles 20 and 22 characteristics 20 and 23 of 21 intrinsic 22 characteristics 23 of 26 cells 24 those 26 cells 25 granulosa 26 cells 28 and 31 contribute 29 this 30 may 30 may 31 contribute 31 contribute 32 to 32 to 33 anovulation the value of amh in the diagnosis of pcos remains controversial , but it may replace afc in the future . 0 ###LEFT-WALL### 2 value 0 ###LEFT-WALL### 10 remains 0 ###LEFT-WALL### 13 but 0 ###LEFT-WALL### 21 . 1 the 2 value 2 value 3 of 2 value 5 in 2 value 10 remains 3 of 4 amh 5 in 7 diagnosis 6 the 7 diagnosis 7 diagnosis 8 of 8 of 9 pcos 10 remains 11 controversial 12 , 13 but 13 but 14 it 13 but 16 replace 14 it 15 may 15 may 16 replace 16 replace 17 afc 16 replace 18 in 18 in 20 future 19 the 20 future conclusions for the first time in female reproductive biology , it is possible to measure the submerged part of the iceberg of follicle growth , i.e . the intrinsic , so [-] [called] ['] acyclic ['] ovarian activity . 0 ###LEFT-WALL### 11 it 0 ###LEFT-WALL### 15 measure 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 26 i.e 0 ###LEFT-WALL### 27 . 1 conclusions 11 it 2 for 11 it 3 the 5 time 4 first 5 time 5 time 11 it 6 in 9 biology 6 in 10 , 6 in 11 it 7 female 9 biology 8 reproductive 9 biology 11 it 12 is 12 is 13 possible 13 possible 14 to 13 possible 15 measure 14 to 15 measure 15 measure 21 iceberg 16 the 18 part 17 submerged 18 part 18 part 19 of 18 part 21 iceberg 19 of 21 iceberg 20 the 21 iceberg 21 iceberg 22 of 22 of 24 growth 23 follicle 24 growth 25 , 26 i.e 27 . 38 activity 27 . 39 . 28 the 38 activity 29 intrinsic 30 , 29 intrinsic 38 activity 31 so 35 acyclic 35 acyclic 38 activity 37 ovarian 38 activity an international standard for amh and improved assay validity are urgently needed to maximize the clinical utility of this very promising biomarker [of] ovarian function in a large array of clinical situations , both in childhood and adulthood . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 12 needed 0 ###LEFT-WALL### 39 . 1 an 2 international 2 international 3 standard 2 international 6 and 3 standard 4 for 4 for 5 amh 6 and 9 validity 6 and 10 are 7 improved 8 assay 8 assay 9 validity 10 are 11 urgently 10 are 12 needed 12 needed 13 to 12 needed 26 in 13 to 14 maximize 14 maximize 17 utility 15 the 17 utility 16 clinical 17 utility 17 utility 18 of 18 of 25 function 19 this 25 function 20 very 21 promising 21 promising 25 function 22 biomarker 25 function 24 ovarian 25 function 26 in 37 and 27 a 29 array 28 large 29 array 29 array 30 of 29 array 33 , 30 of 32 situations 31 clinical 32 situations 33 , 34 both 33 , 37 and 34 both 35 in 35 in 36 childhood 37 and 38 adulthood aim : the indices of the second derivative of the finger photoplethysmogram ( sdptg ) denote stiffness of large arteries , peripheral vascular resistance and vascular aging . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 4 indices 2 : 16 denote 2 : 21 , 3 the 4 indices 4 indices 5 of 4 indices 14 sdptg 4 indices 16 denote 5 of 8 derivative 6 the 7 second 6 the 8 derivative 8 derivative 9 of 9 of 12 photoplethysmogram 10 the 12 photoplethysmogram 11 finger 12 photoplethysmogram 13 ( 14 sdptg 14 sdptg 15 ) 16 denote 17 stiffness 17 stiffness 18 of 18 of 20 arteries 19 large 20 arteries 21 , 25 and 22 peripheral 24 resistance 23 vascular 24 resistance 24 resistance 25 and 25 and 26 vascular 25 and 27 aging however , the association between the autonomic nervous activity and the sdptg indices has not yet been elucidated . 0 ###LEFT-WALL### 4 association 0 ###LEFT-WALL### 18 elucidated 0 ###LEFT-WALL### 19 . 1 however 2 , 1 however 4 association 3 the 4 association 4 association 5 between 4 association 14 has 5 between 10 and 6 the 9 activity 7 autonomic 9 activity 8 nervous 9 activity 9 activity 10 and 10 and 13 indices 11 the 13 indices 12 sdptg 13 indices 14 has 15 not 14 has 17 been 16 yet 17 been 17 been 18 elucidated methods : the sdptg and heart rate variability ( hrv ) were consecutively measured in the sitting position on the day before surgery in 168 patients 18 - 89 years of age . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 5 and 2 : 12 were 2 : 33 . 3 the 4 sdptg 4 sdptg 5 and 5 and 8 variability 5 and 10 hrv 5 and 12 were 6 heart 8 variability 7 rate 8 variability 9 ( 10 hrv 10 hrv 11 ) 12 were 13 consecutively 12 were 14 measured 14 measured 15 in 14 measured 24 in 15 in 18 position 16 the 18 position 17 sitting 18 position 18 position 19 on 18 position 22 before 19 on 21 day 20 the 21 day 22 before 23 surgery 24 in 30 years 25 168 26 patients 26 patients 30 years 27 18 28 - 28 - 29 89 28 - 30 years 30 years 31 of 31 of 32 age the relationships between the sdptg indices ( b/a , c/a , d/a and e/a ) and hrv indices ( power spectral analysis and time domain analysis parameters ) were analyzed . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 29 were 0 ###LEFT-WALL### 31 . 1 the 2 relationships 2 relationships 3 between 2 relationships 16 and 3 between 6 indices 4 the 6 indices 5 sdptg 6 indices 6 indices 10 c/a 7 ( 10 c/a 8 b/a 9 , 8 b/a 10 c/a 10 c/a 13 and 10 c/a 15 ) 11 , 13 and 12 d/a 13 and 13 and 14 e/a 13 and 15 ) 16 and 18 indices 16 and 23 and 16 and 29 were 17 hrv 18 indices 19 ( 23 and 20 power 22 analysis 21 spectral 22 analysis 22 analysis 23 and 23 and 27 parameters 23 and 28 ) 24 time 27 parameters 25 domain 27 parameters 26 analysis 27 parameters 29 were 30 analyzed the relationships between c/a and atherosclerosis - based conditions and risk factors for atherosclerosis were also evaluated . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 7 - 1 the 2 relationships 2 relationships 3 between 2 relationships 5 and 3 between 4 c/a 5 and 6 atherosclerosis 7 - 10 and 7 - 17 evaluated 7 - 18 . 8 based 9 conditions 9 conditions 10 and 10 and 12 factors 10 and 13 for 10 and 15 were 11 risk 12 factors 13 for 14 atherosclerosis 15 were 16 also 15 were 17 evaluated results : the sdptg index b/a was negatively associated and the d/a index was positively associated with the low - frequency ( lf ) ( r= - 0.44 and 0.42 , respectively [ )(and high - frequency ( hf ) components ( r= - 0.31 and 0.35 , respectively ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 sdptg 2 : 9 associated 2 : 10 and 2 : 51 . 3 the 4 sdptg 4 sdptg 6 b/a 4 sdptg 7 was 4 sdptg 9 associated 5 index 6 b/a 6 b/a 7 was 8 negatively 9 associated 10 and 13 index 10 and 16 associated 11 the 13 index 12 d/a 13 index 13 index 14 was 14 was 16 associated 15 positively 16 associated 16 associated 17 with 16 associated 49 respectively 17 with 21 frequency 18 the 21 frequency 19 low 20 - 19 low 21 frequency 21 frequency 23 lf 21 frequency 34 )(and 22 ( 23 lf 23 lf 24 ) 25 ( 34 )(and 26 r= 29 and 26 r= 34 )(and 27 - 28 0.44 28 0.44 29 and 29 and 30 0.42 31 , 32 respectively 31 , 34 )(and 34 )(and 41 components 34 )(and 43 r= 34 )(and 48 , 35 high 37 frequency 35 high 40 ) 35 high 41 components 36 - 37 frequency 37 frequency 39 hf 37 frequency 40 ) 38 ( 39 hf 39 hf 40 ) 42 ( 43 r= 43 r= 46 and 43 r= 48 , 44 - 45 0.31 45 0.31 46 and 46 and 47 0.35 48 , 49 respectively 49 respectively 50 ) the sdptg index c/a was also positively associated with the lf ( r=0.40 ) and hf ( r=0.44 ) components . 0 ###LEFT-WALL### 4 c/a 0 ###LEFT-WALL### 8 associated 0 ###LEFT-WALL### 21 . 1 the 4 c/a 2 sdptg 4 c/a 3 index 4 c/a 4 c/a 5 was 5 was 6 also 5 was 8 associated 7 positively 8 associated 8 associated 9 with 9 with 20 components 10 the 20 components 11 lf 13 r=0.40 11 lf 15 and 12 ( 13 r=0.40 13 r=0.40 14 ) 15 and 16 hf 15 and 20 components 16 hf 18 r=0.44 17 ( 18 r=0.44 18 r=0.44 19 ) a multivariate regression analysis showed that the lf , hf and heart rate were independent determinants of the c/a . 0 ###LEFT-WALL### 4 analysis 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 20 . 1 a 4 analysis 2 multivariate 3 regression 3 regression 4 analysis 4 analysis 5 showed 5 showed 6 that 6 that 11 and 6 that 14 were 7 the 10 hf 8 lf 10 hf 9 , 10 hf 10 hf 11 and 11 and 13 rate 11 and 14 were 12 heart 13 rate 14 were 16 determinants 15 independent 16 determinants 16 determinants 17 of 17 of 19 c/a 18 the 19 c/a furthermore , the c/a values were significantly lower in the patients with hypertension [,] diabetes mellitus and hyperlipidemia than in those without these diseases , and a reduced c/a was significantly associated with increased serum triglyceride and total cholesterol concentrations . 0 ###LEFT-WALL### 4 c/a 0 ###LEFT-WALL### 32 associated 0 ###LEFT-WALL### 41 . 1 furthermore 2 , 1 furthermore 4 c/a 3 the 4 c/a 4 c/a 5 values 4 c/a 6 were 4 c/a 30 was 5 values 6 were 6 were 7 significantly 6 were 8 lower 6 were 9 in 6 were 12 with 6 were 19 than 9 in 11 patients 10 the 11 patients 12 with 17 and 13 hypertension 15 diabetes 15 diabetes 16 mellitus 16 mellitus 17 and 17 and 18 hyperlipidemia 19 than 20 in 20 in 26 and 21 those 22 without 21 those 26 and 22 without 24 diseases 23 these 24 diseases 25 , 26 and 26 and 29 c/a 27 a 29 c/a 28 reduced 29 c/a 30 was 31 significantly 30 was 32 associated 32 associated 33 with 33 with 37 and 34 increased 35 serum 35 serum 36 triglyceride 36 triglyceride 37 and 37 and 40 concentrations 38 total 39 cholesterol 39 cholesterol 40 concentrations conclusions : these findings suggest that a decrease in c/a is associated with a reduced baroreflex response of the peripheral vasomotor activity and a decreased cardiac parasympathetic activity . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 findings 2 : 5 suggest 2 : 29 . 3 these 4 findings 4 findings 5 suggest 5 suggest 6 that 6 that 8 decrease 6 that 12 associated 7 a 8 decrease 8 decrease 9 in 8 decrease 11 is 9 in 10 c/a 11 is 12 associated 12 associated 13 with 13 with 17 response 14 a 17 response 15 reduced 17 response 16 baroreflex 17 response 17 response 18 of 18 of 23 and 19 the 22 activity 20 peripheral 21 vasomotor 21 vasomotor 22 activity 22 activity 23 and 23 and 28 activity 24 a 28 activity 25 decreased 28 activity 26 cardiac 28 activity 27 parasympathetic 28 activity furthermore , a decrease in c/a was found to be associated with atherosclerosis - based conditions , such as hypertension [,] diabetes mellitus and hyperlipidemia . 0 ###LEFT-WALL### 4 decrease 0 ###LEFT-WALL### 8 found 0 ###LEFT-WALL### 26 . 1 furthermore 2 , 1 furthermore 4 decrease 3 a 4 decrease 4 decrease 5 in 4 decrease 7 was 5 in 6 c/a 7 was 8 found 8 found 9 to 9 to 10 be 10 be 11 associated 11 associated 12 with 11 associated 19 as 12 with 13 atherosclerosis 13 atherosclerosis 16 conditions 14 - 16 conditions 15 based 16 conditions 16 conditions 17 , 18 such 19 as 19 as 24 and 20 hypertension 23 mellitus 22 diabetes 23 mellitus 23 mellitus 24 and 24 and 25 hyperlipidemia none sexual dysfunction ( sd ) is devastating to a man 's ego and its presence could defeat his purpose of masculinity . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 18 defeat 0 ###LEFT-WALL### 23 . 1 none 3 dysfunction 1 none 8 devastating 1 none 17 could 2 sexual 3 dysfunction 3 dysfunction 5 sd 3 dysfunction 7 is 4 ( 5 sd 5 sd 6 ) 7 is 8 devastating 8 devastating 9 to 9 to 14 and 10 a 11 man 11 man 12 's 12 's 13 ego 13 ego 14 and 14 and 16 presence 15 its 16 presence 17 could 18 defeat 18 defeat 20 purpose 19 his 20 purpose 20 purpose 21 of 21 of 22 masculinity a number of studies have explored and reported on existing comorbidities between sd and medical conditions for which urological problems are no exception . 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 24 . 1 a 2 number 2 number 3 of 2 number 7 and 2 number 14 and 3 of 4 studies 5 have 6 explored 5 have 7 and 7 and 8 reported 7 and 9 on 7 and 11 comorbidities 7 and 12 between 10 existing 11 comorbidities 12 between 13 sd 14 and 16 conditions 14 and 17 for 15 medical 16 conditions 17 for 18 which 17 for 20 problems 17 for 21 are 19 urological 20 problems 20 problems 21 are 21 are 23 exception 22 no 23 exception however , in ghana there is paucity of data exploring the epidemiological , etiological and health associations of medical conditions with sd . 0 ###LEFT-WALL### 5 there 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 23 . 1 however 2 , 1 however 5 there 3 in 4 ghana 3 in 5 there 5 there 6 is 6 is 7 paucity 7 paucity 8 of 7 paucity 18 of 7 paucity 21 with 8 of 15 and 9 data 10 exploring 9 data 13 , 10 exploring 12 epidemiological 11 the 12 epidemiological 13 , 14 etiological 13 , 15 and 15 and 17 associations 16 health 17 associations 18 of 20 conditions 19 medical 20 conditions 21 with 22 sd this study was therefore conducted to determine the prevalence , types and determinants of sd in a sample of ghanaian men with urological conditions . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 5 conducted 0 ###LEFT-WALL### 25 . 1 this 2 study 2 study 3 was 3 was 5 conducted 4 therefore 5 conducted 5 conducted 6 to 6 to 7 determine 7 determine 12 and 7 determine 16 in 7 determine 22 with 8 the 12 and 9 prevalence 10 , 10 , 11 types 10 , 12 and 12 and 13 determinants 12 and 14 of 14 of 15 sd 16 in 18 sample 17 a 18 sample 18 sample 19 of 19 of 21 men 20 ghanaian 21 men 22 with 24 conditions 23 urological 24 conditions this descriptive cross - sectional study was carried out between december 2012 and april 2013 at the urology clinic of the tamale teaching hospital in the northern region of ghana . 0 ###LEFT-WALL### 3 cross 0 ###LEFT-WALL### 4 - 1 this 2 descriptive 2 descriptive 3 cross 4 - 6 study 4 - 8 carried 4 - 31 . 5 sectional 6 study 6 study 7 was 7 was 8 carried 8 carried 9 out 8 carried 10 between 8 carried 16 at 8 carried 25 in 10 between 13 and 11 december 12 2012 11 december 13 and 13 and 14 april 14 april 15 2013 16 at 19 clinic 17 the 19 clinic 18 urology 19 clinic 19 clinic 20 of 20 of 24 hospital 21 the 24 hospital 22 tamale 23 teaching 23 teaching 24 hospital 25 in 28 region 26 the 28 region 27 northern 28 region 28 region 29 of 29 of 30 ghana a total of 200 participants were enrolled in the study . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 7 enrolled 0 ###LEFT-WALL### 11 . 1 a 2 total 2 total 3 of 2 total 6 were 3 of 5 participants 4 200 5 participants 6 were 7 enrolled 7 enrolled 8 in 8 in 10 study 9 the 10 study all participants were evaluated by using a semistructured questionnaire and the golombok rust inventory of sexual satisfaction questionnaire . 0 ###LEFT-WALL### 2 participants 0 ###LEFT-WALL### 4 evaluated 0 ###LEFT-WALL### 19 . 1 all 2 participants 2 participants 3 were 3 were 4 evaluated 4 evaluated 5 by 5 by 6 using 6 using 10 and 7 a 9 questionnaire 8 semistructured 9 questionnaire 9 questionnaire 10 and 10 and 18 questionnaire 11 the 18 questionnaire 12 golombok 13 rust 13 rust 14 inventory 14 inventory 15 of 14 inventory 18 questionnaire 15 of 17 satisfaction 16 sexual 17 satisfaction an overall response rate of 47.5 % was estimated after 69 patients refused to partake in the study ; 6 patients found the questionnaire too sensitive and refused to participate and 30 participants returned incomplete questionnaire . 0 ###LEFT-WALL### 4 rate 0 ###LEFT-WALL### 9 estimated 0 ###LEFT-WALL### 19 ; 0 ###LEFT-WALL### 37 . 1 an 2 overall 1 an 4 rate 2 overall 4 rate 3 response 4 rate 4 rate 5 of 4 rate 8 was 5 of 7 % 6 47.5 7 % 8 was 9 estimated 9 estimated 10 after 9 estimated 14 to 10 after 12 patients 10 after 13 refused 11 69 12 patients 12 patients 13 refused 14 to 15 partake 15 partake 16 in 16 in 18 study 17 the 18 study 19 ; 36 questionnaire 20 6 21 patients 21 patients 27 and 21 patients 31 and 22 found 24 questionnaire 22 found 25 too 22 found 26 sensitive 22 found 27 and 23 the 24 questionnaire 27 and 28 refused 28 refused 29 to 28 refused 30 participate 29 to 30 participate 31 and 33 participants 31 and 34 returned 32 30 33 participants 34 returned 36 questionnaire 35 incomplete 36 questionnaire the mean age of the participants was 36.5±13.8 years and ranged from 18 to 70 years . 0 ###LEFT-WALL### 3 age 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 17 . 1 the 3 age 2 mean 3 age 3 age 4 of 3 age 10 and 4 of 6 participants 5 the 6 participants 7 was 9 years 7 was 10 and 8 36.5±13.8 9 years 10 and 11 ranged 10 and 12 from 12 from 16 years 13 18 14 to 14 to 15 70 14 to 16 years the estimated prevalence of sd was 71.6 % . 0 ###LEFT-WALL### 3 prevalence 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 9 . 1 the 3 prevalence 2 estimated 3 prevalence 3 prevalence 4 of 3 prevalence 6 was 4 of 5 sd 6 was 8 % 7 71.6 8 % the prevalence of the various sd domains [was] [as] follows [:] [non] - sensuality ( 71.6 % ) , premature ejaculation ( 70.5 % ) , [non] - communication ( 69.5 % ) , impotence and infrequency ( 68.4 % ) , dissatisfaction ( 61.1 % ) and avoidance ( 57.9 % ) . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 10 follows 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 54 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 10 follows 3 of 7 domains 4 the 7 domains 5 various 7 domains 6 sd 7 domains 13 - 14 sensuality 13 - 34 , 14 sensuality 17 % 14 sensuality 21 ejaculation 14 sensuality 29 communication 15 ( 17 % 16 71.6 17 % 17 % 18 ) 19 , 21 ejaculation 20 premature 21 ejaculation 21 ejaculation 24 % 21 ejaculation 26 , 22 ( 24 % 23 70.5 24 % 24 % 25 ) 28 - 29 communication 29 communication 32 % 29 communication 33 ) 30 ( 32 % 31 69.5 32 % 32 % 33 ) 34 , 48 and 35 impotence 36 and 36 and 37 infrequency 36 and 40 % 36 and 43 dissatisfaction 36 and 48 and 38 ( 40 % 39 68.4 40 % 40 % 41 ) 42 , 43 dissatisfaction 43 dissatisfaction 46 % 43 dissatisfaction 47 ) 44 ( 46 % 45 61.1 46 % 46 % 47 ) 48 and 49 avoidance 48 and 52 % 50 ( 52 % 51 57.9 52 % 52 % 53 ) participants who were married , consumed alcoholic beverages , smoked cigarettes and aging males who had children were at a greater risk of developing sd . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 10 smoked 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 26 . 1 participants 2 who 1 participants 3 were 1 participants 8 beverages 1 participants 10 smoked 2 who 3 were 3 were 4 married 5 , 8 beverages 6 consumed 8 beverages 7 alcoholic 8 beverages 8 beverages 9 , 10 smoked 11 cigarettes 12 and 13 aging 12 and 18 were 13 aging 14 males 13 aging 18 were 14 males 15 who 14 males 16 had 15 who 16 had 16 had 17 children 18 were 19 at 19 at 22 risk 20 a 22 risk 21 greater 22 risk 22 risk 23 of 23 of 24 developing 24 developing 25 sd urologic patients have a high prevalence of sd that is dependent on marital status , alcohol consumption , smoking status and aged patients with children . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 3 have 0 ###LEFT-WALL### 26 . 1 urologic 2 patients 2 patients 3 have 3 have 6 prevalence 3 have 12 on 3 have 24 with 4 a 6 prevalence 5 high 6 prevalence 6 prevalence 7 of 6 prevalence 9 that 6 prevalence 10 is 7 of 8 sd 9 that 10 is 10 is 11 dependent 12 on 21 and 13 marital 14 status 14 status 15 , 15 , 17 consumption 15 , 18 , 16 alcohol 17 consumption 18 , 20 status 18 , 21 and 19 smoking 20 status 21 and 23 patients 22 aged 23 patients 24 with 25 children serotonin , or 5 - hydroxytryptamine ( 5 - ht ) , is found to be involved in many physiological or pathophysiological processes including cognitive function . 0 ###LEFT-WALL### 1 serotonin 0 ###LEFT-WALL### 3 or 0 ###LEFT-WALL### 27 . 2 , 3 or 3 or 4 5 3 or 5 - 4 5 5 - 5 - 6 hydroxytryptamine 6 hydroxytryptamine 8 5 6 hydroxytryptamine 13 is 7 ( 8 5 8 5 10 ht 8 5 12 , 9 - 10 ht 10 ht 11 ) 13 is 14 found 14 found 15 to 14 found 21 or 15 to 16 be 16 be 17 involved 17 involved 18 in 18 in 19 many 20 physiological 21 or 21 or 26 function 22 pathophysiological 23 processes 23 processes 26 function 24 including 26 function 25 cognitive 26 function seven distinct receptors ( 5 - ht1 - 7 ) , each with several subpopulations , have been identified for serotonin , which are different in terms of localization and downstream signaling . 0 ###LEFT-WALL### 3 receptors 0 ###LEFT-WALL### 19 identified 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 33 . 1 seven 3 receptors 2 distinct 3 receptors 3 receptors 6 - 3 receptors 17 have 4 ( 6 - 5 5 6 - 6 - 7 ht1 6 - 16 , 7 ht1 9 7 7 ht1 12 each 8 - 9 7 9 7 10 ) 11 , 12 each 12 each 13 with 12 each 16 , 13 with 15 subpopulations 14 several 15 subpopulations 17 have 18 been 18 been 19 identified 19 identified 20 for 20 for 21 serotonin 22 , 23 which 22 , 24 are 23 which 24 are 24 are 25 different 25 different 26 in 26 in 30 and 27 terms 28 of 27 terms 30 and 28 of 29 localization 30 and 32 signaling 31 downstream 32 signaling because of the development of selective agonists and antagonists for these receptors as well as transgenic animal models of cognitive disorders , our understanding of the role of serotonergic transmission in learning and memory has improved in recent years . 0 ###LEFT-WALL### 24 understanding 0 ###LEFT-WALL### 36 improved 0 ###LEFT-WALL### 40 . 1 because 2 of 1 because 24 understanding 2 of 8 and 3 the 4 development 4 development 5 of 4 development 8 and 5 of 7 agonists 6 selective 7 agonists 8 and 9 antagonists 8 and 10 for 10 for 12 receptors 11 these 12 receptors 13 as 18 models 13 as 22 , 13 as 24 understanding 14 well 18 models 15 as 16 transgenic 16 transgenic 17 animal 17 animal 18 models 18 models 19 of 19 of 21 disorders 20 cognitive 21 disorders 23 our 24 understanding 24 understanding 25 of 24 understanding 35 has 25 of 33 and 26 the 27 role 27 role 28 of 27 role 31 in 27 role 33 and 28 of 30 transmission 29 serotonergic 30 transmission 31 in 32 learning 33 and 34 memory 35 has 36 improved 36 improved 37 in 37 in 39 years 38 recent 39 years a large body of evidence indicates the interplay between serotonergic transmission and other neurotransmitters including acetylcholine , dopamine , [γ] - aminobutyric acid ( gaba ) [and] glutamate , in the neurobiological control of learning and memory . 0 ###LEFT-WALL### 3 body 0 ###LEFT-WALL### 6 indicates 0 ###LEFT-WALL### 38 . 1 a 3 body 2 large 3 body 3 body 4 of 3 body 6 indicates 4 of 5 evidence 6 indicates 16 acetylcholine 6 indicates 30 in 7 the 16 acetylcholine 8 interplay 9 between 8 interplay 12 and 9 between 11 transmission 10 serotonergic 11 transmission 12 and 14 neurotransmitters 12 and 16 acetylcholine 13 other 14 neurotransmitters 15 including 16 acetylcholine 16 acetylcholine 18 dopamine 16 acetylcholine 28 glutamate 17 , 18 dopamine 18 dopamine 19 , 21 - 28 glutamate 22 aminobutyric 28 glutamate 23 acid 25 gaba 23 acid 28 glutamate 24 ( 25 gaba 25 gaba 26 ) 28 glutamate 29 , 30 in 36 and 31 the 33 control 32 neurobiological 33 control 33 control 34 of 33 control 36 and 34 of 35 learning 36 and 37 memory in addition , there has been an alteration in the density of serotonergic receptors in aging and alzheimer 's disease , and serotonin modulators are found to alter the process of amyloidogenesis and exert cognitive - enhancing properties . 0 ###LEFT-WALL### 4 there 0 ###LEFT-WALL### 6 been 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 33 and 0 ###LEFT-WALL### 39 . 1 in 2 addition 1 in 3 , 1 in 4 there 4 there 5 has 5 has 6 been 6 been 8 alteration 7 an 8 alteration 8 alteration 9 in 8 alteration 12 of 9 in 11 density 10 the 11 density 12 of 14 receptors 13 serotonergic 14 receptors 14 receptors 15 in 15 in 16 aging 17 and 24 modulators 17 and 26 found 18 alzheimer 19 's 19 's 20 disease 20 disease 22 and 21 , 22 and 22 and 23 serotonin 22 and 24 modulators 24 modulators 25 are 25 are 26 found 26 found 27 to 27 to 33 and 28 alter 30 process 28 alter 33 and 29 the 30 process 30 process 31 of 31 of 32 amyloidogenesis 33 and 34 exert 34 exert 38 properties 35 cognitive 36 - 35 cognitive 38 properties 37 enhancing 38 properties here , we discuss the serotonin - induced modulation of various systems involved in mnesic function including cholinergic , dopaminergic , gabaergic , glutamatergic transmissions as well as amyloidogenesis and intracellular pathways . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 discuss 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 33 . 1 here 2 , 1 here 3 we 3 we 4 discuss 4 discuss 6 serotonin 5 the 6 serotonin 6 serotonin 9 modulation 7 - 9 modulation 8 induced 9 modulation 9 modulation 10 of 9 modulation 23 , 10 of 12 systems 11 various 12 systems 12 systems 13 involved 12 systems 14 in 14 in 22 gabaergic 15 mnesic 16 function 16 function 22 gabaergic 17 including 22 gabaergic 18 cholinergic 19 , 18 cholinergic 22 gabaergic 20 dopaminergic 21 , 20 dopaminergic 22 gabaergic 23 , 30 and 24 glutamatergic 25 transmissions 25 transmissions 28 as 25 transmissions 30 and 26 as 27 well 27 well 28 as 28 as 29 amyloidogenesis 30 and 32 pathways 31 intracellular 32 pathways none [the] [objective] of the present study was the comparative analysis of acoustic parameters of the voice in the subjects of different age groups . 0 ###LEFT-WALL### 7 study 0 ###LEFT-WALL### 8 was 0 ###LEFT-WALL### 25 . 1 none 4 of 1 none 7 study 4 of 7 study 5 the 7 study 6 present 7 study 7 study 8 was 8 was 11 analysis 9 the 11 analysis 10 comparative 11 analysis 11 analysis 12 of 12 of 14 parameters 13 acoustic 14 parameters 14 parameters 15 of 15 of 17 voice 16 the 17 voice 17 voice 18 in 17 voice 21 of 18 in 20 subjects 19 the 20 subjects 21 of 24 groups 22 different 23 age 23 age 24 groups the phonetographic analysis involved 85 relatively healthy subjects ( 40 men and 45 women ) divided into two age - matched groups . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 4 involved 0 ###LEFT-WALL### 20 - 0 ###LEFT-WALL### 23 . 1 the 3 analysis 2 phonetographic 3 analysis 3 analysis 4 involved 4 involved 8 subjects 5 85 8 subjects 6 relatively 7 healthy 7 healthy 8 subjects 8 subjects 12 and 9 ( 12 and 10 40 11 men 11 men 12 and 12 and 14 women 12 and 15 ) 12 and 16 divided 12 and 20 - 13 45 14 women 16 divided 17 into 17 into 19 age 18 two 19 age 20 - 22 groups 21 matched 22 groups group 1 included mature adults at the age of 43 - 59 years ( n=43 ) , group 2 was comprised of the aged and elderly persons ( 60 - 85 years , n=42 ) . 0 ###LEFT-WALL### 1 group 0 ###LEFT-WALL### 3 included 0 ###LEFT-WALL### 17 , 1 group 2 1 1 group 3 included 3 included 5 adults 3 included 6 at 4 mature 5 adults 6 at 8 age 7 the 8 age 8 age 9 of 8 age 15 n=43 9 of 13 years 10 43 11 - 11 - 12 59 11 - 13 years 14 ( 15 n=43 15 n=43 16 ) 17 , 18 group 17 , 21 comprised 18 group 19 2 18 group 20 was 20 was 21 comprised 21 comprised 22 of 22 of 25 and 23 the 24 aged 24 aged 25 and 25 and 27 persons 25 and 29 60 25 and 32 years 26 elderly 27 persons 28 ( 29 60 29 60 30 - 30 - 32 years 31 85 32 years 32 years 34 n=42 32 years 36 . 33 , 34 n=42 34 n=42 35 ) it was shown that the frequency of the primary tone decreases with age not only in women but also in men even though the decrease is less pronounced in the latter group . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 shown 0 ###LEFT-WALL### 33 . 1 it 2 was 2 was 3 shown 3 shown 4 that 4 that 6 frequency 4 that 11 decreases 5 the 6 frequency 6 frequency 7 of 6 frequency 11 decreases 7 of 10 tone 8 the 10 tone 9 primary 10 tone 11 decreases 12 with 11 decreases 17 women 11 decreases 20 in 12 with 13 age 12 with 14 not 12 with 16 in 15 only 16 in 17 women 18 but 18 but 19 also 20 in 21 men 21 men 22 even 22 even 23 though 22 even 29 in 23 though 25 decrease 23 though 26 is 24 the 25 decrease 25 decrease 26 is 26 is 28 pronounced 27 less 28 pronounced 29 in 32 group 30 the 32 group 31 latter 32 group the process of ageing is accompanied by the narrowing of the frequency and dynamic range of the voice , the increase of jitter , and the decrease in the strength of the voice . 0 ###LEFT-WALL### 2 process 0 ###LEFT-WALL### 6 accompanied 0 ###LEFT-WALL### 34 . 1 the 2 process 2 process 3 of 2 process 5 is 3 of 4 ageing 5 is 6 accompanied 6 accompanied 7 by 6 accompanied 28 in 7 by 9 narrowing 8 the 9 narrowing 9 narrowing 10 of 10 of 25 and 11 the 12 frequency 12 frequency 13 and 13 and 15 range 13 and 16 of 13 and 25 and 14 dynamic 15 range 16 of 18 voice 17 the 18 voice 18 voice 21 increase 19 , 21 increase 20 the 21 increase 21 increase 22 of 21 increase 24 , 22 of 23 jitter 25 and 27 decrease 26 the 27 decrease 28 in 30 strength 29 the 30 strength 30 strength 31 of 31 of 33 voice 32 the 33 voice as a result , the dyshonia severity index ( dsi ) shifts toward negative values . 0 ###LEFT-WALL### 8 index 0 ###LEFT-WALL### 12 shifts 0 ###LEFT-WALL### 16 . 1 as 3 result 1 as 4 , 1 as 8 index 2 a 3 result 5 the 8 index 6 dyshonia 8 index 7 severity 8 index 8 index 10 dsi 8 index 12 shifts 9 ( 10 dsi 10 dsi 11 ) 12 shifts 13 toward 13 toward 15 values 14 negative 15 values these changes are more pronounced in women compared with men . 0 ###LEFT-WALL### 2 changes 0 ###LEFT-WALL### 5 pronounced 0 ###LEFT-WALL### 11 . 1 these 2 changes 2 changes 3 are 3 are 4 more 3 are 5 pronounced 5 pronounced 6 in 6 in 7 women 7 women 8 compared 8 compared 9 with 9 with 10 men age - specific negative dynamics of maximum phonation time was not documented . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 13 . 2 - 5 dynamics 3 specific 5 dynamics 4 negative 5 dynamics 5 dynamics 6 of 6 of 8 phonation 7 maximum 8 phonation 8 phonation 9 time 8 phonation 10 was 9 time 10 was 10 was 11 not 11 not 12 documented background : data on the protein requirements of elderly adults are limited , because it is impractical to conduct repeated nitrogen balance protocols in these vulnerable humans . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 3 data 2 : 11 are 2 : 13 , 3 data 4 on 3 data 8 of 3 data 11 are 4 on 7 requirements 5 the 7 requirements 6 protein 7 requirements 8 of 10 adults 9 elderly 10 adults 11 are 12 limited 13 , 22 balance 14 because 15 it 14 because 19 conduct 14 because 22 balance 15 it 16 is 16 is 17 impractical 17 impractical 18 to 18 to 19 conduct 19 conduct 21 nitrogen 20 repeated 21 nitrogen 22 balance 23 protocols 22 balance 24 in 24 in 27 humans 25 these 27 humans 26 vulnerable 27 humans objective : this study was designed to determine the dietary protein requirement of elderly women by using the recently developed minimally invasive indicator amino acid oxidation ( iaao ) [technique] . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 2 : 4 study 2 : 6 designed 3 this 4 study 4 study 5 was 5 was 6 designed 6 designed 7 to 7 to 8 determine 8 determine 12 requirement 8 determine 16 by 9 the 12 requirement 10 dietary 11 protein 11 protein 12 requirement 12 requirement 13 of 13 of 15 women 14 elderly 15 women 16 by 17 using 17 using 26 oxidation 18 the 26 oxidation 19 recently 20 developed 20 developed 23 indicator 21 minimally 22 invasive 22 invasive 23 indicator 23 indicator 26 oxidation 24 amino 25 acid 25 acid 26 oxidation 26 oxidation 28 iaao 27 ( 28 iaao 28 iaao 29 ) design : six white women aged 80 - 87 [y] [ mean ± sem : 82 ± 1 [y] and body mass index ( in [kg] / [m²] ) 26 ± 2 ] completed a 3 - d protocol 7 times . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 42 . 2 : 5 women 2 : 6 aged 2 : 15 : 3 six 4 white 4 white 5 women 5 women 6 aged 6 aged 7 80 7 80 9 87 8 - 9 87 9 87 14 sem 9 87 15 : 11 [ 14 sem 12 mean 14 sem 13 ± 14 sem 14 sem 15 : 15 : 20 and 15 : 34 completed 16 82 17 ± 17 ± 18 1 17 ± 20 and 20 and 23 index 20 and 25 in 20 and 34 completed 21 body 23 index 22 mass 23 index 24 ( 25 in 25 in 31 ± 25 in 33 ] 27 / 29 ) 27 / 31 ± 30 26 31 ± 31 ± 32 2 34 completed 39 protocol 34 completed 41 times 35 a 39 protocol 36 3 37 - 37 - 38 d 37 - 39 protocol 40 7 41 times each woman consumed an adaptation diet for 2 d and on day 3 consumed a complete test diet with a crystalline amino acid mixture containing 1 of 7 protein intakes ( 0.1 , 0.3 , 0.6 , 0.9 , 1.2 , 1.5 , or 1.8 g · kg⁻¹ · d⁻¹ ) tested randomly . 0 ###LEFT-WALL### 2 woman 0 ###LEFT-WALL### 3 consumed 0 ###LEFT-WALL### 54 . 1 each 2 woman 2 woman 3 consumed 3 consumed 6 diet 4 an 5 adaptation 4 an 6 diet 5 adaptation 6 diet 6 diet 10 and 6 diet 13 3 6 diet 14 consumed 7 for 9 d 7 for 10 and 8 2 9 d 10 and 11 on 11 on 12 day 13 3 14 consumed 14 consumed 44 or 15 a 16 complete 15 a 18 diet 16 complete 17 test 17 test 18 diet 18 diet 19 with 18 diet 25 containing 18 diet 44 or 19 with 24 mixture 20 a 21 crystalline 20 a 24 mixture 21 crystalline 22 amino 22 amino 24 mixture 23 acid 24 mixture 25 containing 26 1 26 1 27 of 26 1 38 0.9 26 1 40 1.2 27 of 30 intakes 28 7 30 intakes 29 protein 30 intakes 30 intakes 32 0.1 30 intakes 34 0.3 31 ( 32 0.1 32 0.1 33 , 33 , 34 0.3 34 0.3 36 0.6 34 0.3 37 , 35 , 36 0.6 36 0.6 37 , 37 , 38 0.9 38 0.9 39 , 39 , 40 1.2 40 1.2 42 1.5 40 1.2 43 , 41 , 42 1.5 42 1.5 43 , 43 , 44 or 44 or 50 d⁻¹ 44 or 51 ) 44 or 52 tested 45 1.8 46 g 46 g 48 kg⁻¹ 47 · 48 kg⁻¹ 48 kg⁻¹ 50 d⁻¹ 49 · 50 d⁻¹ 52 tested 53 randomly a group - based protein requirement was assessed by using a nonlinear mixed model of protein intake and l - [ 1 - ¹³c ]phenylalanine oxidation . 0 ###LEFT-WALL### 2 group 0 ###LEFT-WALL### 3 - 1 a 2 group 3 - 5 protein 3 - 8 assessed 3 - 27 . 4 based 5 protein 5 protein 6 requirement 5 protein 7 was 5 protein 8 assessed 6 requirement 7 was 8 assessed 9 by 8 assessed 18 and 8 assessed 24 ¹³c 9 by 10 using 10 using 14 model 11 a 12 nonlinear 11 a 14 model 12 nonlinear 14 model 13 mixed 14 model 14 model 15 of 15 of 16 protein 17 intake 18 and 18 and 19 l 18 and 20 - 18 and 22 1 18 and 24 ¹³c 21 [ 22 1 22 1 23 - 24 ¹³c 26 oxidation 25 ]phenylalanine 26 oxidation the breakpoint , at which there was no further decline in the rate [of] appearance of ¹³c in the breath , was used as an index of the mean protein requirement . 0 ###LEFT-WALL### 2 breakpoint 0 ###LEFT-WALL### 23 used 0 ###LEFT-WALL### 32 . 1 the 2 breakpoint 2 breakpoint 4 at 2 breakpoint 22 was 3 , 4 at 4 at 5 which 4 at 6 there 4 at 7 was 4 at 21 , 6 there 7 was 7 was 10 decline 8 no 10 decline 9 further 10 decline 10 decline 11 in 11 in 15 appearance 12 the 15 appearance 13 rate 15 appearance 15 appearance 16 of 16 of 17 ¹³c 17 ¹³c 18 in 18 in 20 breath 19 the 20 breath 22 was 23 used 23 used 24 as 24 as 26 index 25 an 26 index 26 index 27 of 27 of 31 requirement 28 the 31 requirement 29 mean 30 protein 30 protein 31 requirement results : the mean protein requirement ( 95 % ci ) was 0.85 ( 0.60 , 1.09 [ )(g · kg⁻¹ · d⁻¹ . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 6 requirement 2 : 12 was 2 : 16 , 3 the 6 requirement 4 mean 5 protein 5 protein 6 requirement 6 requirement 10 ci 6 requirement 12 was 7 ( 10 ci 8 95 10 ci 9 % 10 ci 10 ci 11 ) 12 was 13 0.85 13 0.85 15 0.60 14 ( 15 0.60 15 0.60 16 , 16 , 19 )(g 16 , 20 · 17 1.09 19 )(g 19 )(g 20 · 20 · 23 d⁻¹ 21 kg⁻¹ 23 d⁻¹ 22 · 23 d⁻¹ this requirement is 29 % higher than the current estimated average requirement ( ear ) for adults of 0.66 g · kg⁻¹ · d⁻¹ based on the nitrogen balance technique , although the 95 % ci includes the current ear . 0 ###LEFT-WALL### 2 requirement 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 31 , 0 ###LEFT-WALL### 41 . 1 this 2 requirement 2 requirement 3 is 3 is 5 % 4 29 5 % 5 % 6 higher 5 % 18 of 6 higher 7 than 6 higher 16 for 7 than 12 requirement 8 the 12 requirement 9 current 12 requirement 10 estimated 11 average 11 average 12 requirement 12 requirement 14 ear 13 ( 14 ear 14 ear 15 ) 16 for 17 adults 18 of 23 · 19 0.66 20 g 20 g 22 kg⁻¹ 21 · 22 kg⁻¹ 22 kg⁻¹ 23 · 23 · 24 d⁻¹ 23 · 25 based 24 d⁻¹ 25 based 25 based 26 on 26 on 30 technique 27 the 30 technique 28 nitrogen 29 balance 29 balance 30 technique 31 , 36 ci 31 , 37 includes 32 although 35 % 32 although 36 ci 33 the 35 % 34 95 35 % 36 ci 37 includes 37 includes 40 ear 38 the 40 ear 39 current 40 ear conclusions : notwithstanding uncertainty about the validity of the use of the iaao technique to assess protein requirements , the results of this study with octogenarian women suggest that the current ear and rda for elderly women may be underestimated . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 41 . 2 : 21 results 2 : 28 suggest 3 notwithstanding 4 uncertainty 3 notwithstanding 19 , 3 notwithstanding 21 results 4 uncertainty 5 about 4 uncertainty 8 of 4 uncertainty 11 of 4 uncertainty 15 to 4 uncertainty 16 assess 5 about 7 validity 6 the 7 validity 8 of 10 use 9 the 10 use 11 of 14 technique 12 the 14 technique 13 iaao 14 technique 15 to 16 assess 16 assess 18 requirements 17 protein 18 requirements 20 the 21 results 21 results 22 of 21 results 28 suggest 22 of 24 study 23 this 24 study 24 study 25 with 25 with 27 women 26 octogenarian 27 women 28 suggest 29 that 29 that 34 rda 29 that 40 underestimated 30 the 31 current 31 current 34 rda 32 ear 33 and 33 and 34 rda 34 rda 35 for 34 rda 38 may 35 for 37 women 36 elderly 37 women 38 may 39 be 39 be 40 underestimated the limitations of this short - term [,] noninvasive method underscore the need for new research that uses alternative experimental designs and measuring physiologic , morphologic , and health - related outcomes . 0 ###LEFT-WALL### 2 limitations 0 ###LEFT-WALL### 11 underscore 0 ###LEFT-WALL### 33 . 1 the 2 limitations 2 limitations 3 of 2 limitations 11 underscore 3 of 10 method 4 this 10 method 5 short 6 - 5 short 7 term 7 term 10 method 9 noninvasive 10 method 11 underscore 22 and 12 the 22 and 13 need 14 for 13 need 22 and 14 for 16 research 15 new 16 research 16 research 17 that 16 research 18 uses 17 that 18 uses 18 uses 21 designs 19 alternative 21 designs 20 experimental 21 designs 22 and 32 outcomes 23 measuring 32 outcomes 24 physiologic 25 , 24 physiologic 32 outcomes 26 morphologic 28 and 27 , 28 and 28 and 29 health 28 and 30 - 28 and 31 related 28 and 32 outcomes wrn protein , defective in werner [syndrome] ( ws ) , a human segmental progeria , is a target of serine/threonine kinases involved in sensing dna damage . 0 ###LEFT-WALL### 2 protein 0 ###LEFT-WALL### 17 is 0 ###LEFT-WALL### 28 . 1 wrn 2 protein 2 protein 4 defective 2 protein 15 progeria 2 protein 17 is 3 , 4 defective 4 defective 5 in 4 defective 10 ) 5 in 6 werner 6 werner 9 ws 8 ( 9 ws 9 ws 10 ) 11 , 15 progeria 12 a 13 human 12 a 15 progeria 13 human 15 progeria 14 segmental 15 progeria 15 progeria 16 , 17 is 19 target 17 is 24 in 18 a 19 target 19 target 20 of 20 of 22 kinases 21 serine/threonine 22 kinases 22 kinases 23 involved 24 in 25 sensing 25 sensing 27 damage 26 dna 27 damage dna - pk phosphorylates wrn in response to dna double strand breaks ( dsbs ) . 0 ###LEFT-WALL### 3 pk 0 ###LEFT-WALL### 4 phosphorylates 0 ###LEFT-WALL### 16 . 1 dna 2 - 1 dna 3 pk 3 pk 4 phosphorylates 4 phosphorylates 5 wrn 4 phosphorylates 8 to 6 in 7 response 7 response 8 to 8 to 12 breaks 9 dna 12 breaks 10 double 11 strand 11 strand 12 breaks 12 breaks 14 dsbs 13 ( 14 dsbs 14 dsbs 15 ) however , the main phosphorylation sites and functional importance of the phosphorylation of wrn has remained unclear . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 16 remained 0 ###LEFT-WALL### 18 . 1 however 2 , 1 however 7 and 3 the 4 main 3 the 6 sites 5 phosphorylation 6 sites 6 sites 7 and 7 and 8 functional 7 and 9 importance 7 and 15 has 7 and 16 remained 9 importance 10 of 9 importance 13 of 9 importance 15 has 10 of 12 phosphorylation 11 the 12 phosphorylation 13 of 14 wrn 16 remained 17 unclear here , we identify ser - 440 and - 467 in wrn as major phosphorylation sites mediated by dna - pk.in [vitro] , dna - pk fails to phosphorylate a gst - wrn fragment with s440a [and/or] s467a substitution . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 identify 1 here 2 , 1 here 3 we 3 we 4 identify 4 identify 5 ser 5 ser 16 sites 6 - 16 sites 7 440 8 and 8 and 10 467 8 and 11 in 9 - 10 467 11 in 16 sites 12 wrn 16 sites 13 as 14 major 14 major 15 phosphorylation 15 phosphorylation 16 sites 16 sites 17 mediated 16 sites 26 pk 16 sites 27 fails 16 sites 40 . 17 mediated 18 by 18 by 19 dna 19 dna 24 dna 20 - 24 dna 21 pk.in 24 dna 23 , 24 dna 24 dna 25 - 26 pk 27 fails 27 fails 28 to 27 fails 35 with 28 to 29 phosphorylate 29 phosphorylate 34 fragment 30 a 34 fragment 31 gst 33 wrn 32 - 33 wrn 33 wrn 34 fragment 35 with 39 substitution 36 s440a 38 s467a 38 s467a 39 substitution in addition , full length wrn with the mutation expressed in 293 t cells was not phosphorylated in response to dsbs produced by bleomycin . 0 ###LEFT-WALL### 6 wrn 0 ###LEFT-WALL### 15 was 0 ###LEFT-WALL### 25 . 1 in 2 addition 1 in 3 , 1 in 6 wrn 4 full 6 wrn 5 length 6 wrn 6 wrn 7 with 6 wrn 15 was 7 with 9 mutation 8 the 9 mutation 9 mutation 10 expressed 10 expressed 11 in 11 in 14 cells 12 293 13 t 13 t 14 cells 15 was 16 not 15 was 20 to 16 not 17 phosphorylated 18 in 19 response 19 response 20 to 20 to 21 dsbs 21 dsbs 22 produced 22 produced 23 by 23 by 24 bleomycin accumulation of the mutant wrn at the site of laser [-] induced dsbs occurred with the same kinetics as wild type wrn in live hela cells . 0 ###LEFT-WALL### 1 accumulation 0 ###LEFT-WALL### 14 occurred 0 ###LEFT-WALL### 27 . 1 accumulation 2 of 1 accumulation 9 of 1 accumulation 14 occurred 2 of 5 wrn 3 the 4 mutant 4 mutant 5 wrn 5 wrn 6 at 6 at 8 site 7 the 8 site 9 of 13 dsbs 10 laser 12 induced 12 induced 13 dsbs 14 occurred 15 with 14 occurred 19 as 14 occurred 23 in 15 with 18 kinetics 16 the 17 same 17 same 18 kinetics 19 as 22 wrn 20 wild 21 type 21 type 22 wrn 23 in 26 cells 24 live 26 cells 25 hela 26 cells while the wild type wrn relocalized to the nucleoli after 24 hours recovery from etoposide - induced dsbs , the mutant wrn remained mostly in the nucleoplasm . 0 ###LEFT-WALL### 22 wrn 0 ###LEFT-WALL### 23 remained 0 ###LEFT-WALL### 28 . 1 while 5 wrn 1 while 19 , 1 while 22 wrn 2 the 5 wrn 3 wild 5 wrn 4 type 5 wrn 5 wrn 6 relocalized 6 relocalized 7 to 6 relocalized 10 after 6 relocalized 14 from 7 to 9 nucleoli 8 the 9 nucleoli 10 after 13 recovery 11 24 12 hours 12 hours 13 recovery 14 from 18 dsbs 15 etoposide 16 - 15 etoposide 18 dsbs 17 induced 18 dsbs 20 the 21 mutant 21 mutant 22 wrn 22 wrn 23 remained 23 remained 24 mostly 24 mostly 25 in 25 in 27 nucleoplasm 26 the 27 nucleoplasm consistent with this , ws cells expressing the mutants exhibited less dna repair efficiency and more sensitivity [to] etoposide , compared to those expressing wild [type] . 0 ###LEFT-WALL### 6 cells 0 ###LEFT-WALL### 10 exhibited 1 consistent 2 with 1 consistent 4 , 1 consistent 6 cells 2 with 3 this 5 ws 6 cells 6 cells 7 expressing 6 cells 10 exhibited 7 expressing 9 mutants 8 the 9 mutants 10 exhibited 17 sensitivity 11 less 17 sensitivity 12 dna 14 efficiency 13 repair 14 efficiency 14 efficiency 15 and 15 and 16 more 15 and 17 sensitivity 17 sensitivity 19 etoposide 19 etoposide 21 compared 20 , 21 compared 21 compared 22 to 21 compared 25 wild 21 compared 27 . 22 to 23 those 23 those 24 expressing our findings indicate that phosphorylation of ser - 440 and - 467 in wrn are important for relocalization of wrn to nucleoli , and that it is required for efficient dsb repair . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 33 . 1 our 2 findings 2 findings 3 indicate 3 indicate 5 phosphorylation 4 that 5 phosphorylation 5 phosphorylation 6 of 6 of 7 ser 8 - 10 and 9 440 10 and 10 and 12 467 10 and 17 for 10 and 19 of 11 - 12 467 12 467 13 in 13 in 14 wrn 14 wrn 15 are 15 are 16 important 17 for 18 relocalization 19 of 20 wrn 20 wrn 21 to 21 to 24 and 22 nucleoli 24 and 23 , 24 and 24 and 25 that 24 and 26 it 24 and 32 repair 26 it 27 is 27 is 28 required 28 required 29 for 29 for 31 dsb 30 efficient 31 dsb 31 dsb 32 repair background : genome - wide association studies ( gwas ) have discovered genetic variants that predispose individuals to asthma . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 1 background 2 : 2 : 3 genome 4 - 7 studies 4 - 12 discovered 4 - 20 . 5 wide 6 association 6 association 7 studies 7 studies 9 gwas 7 studies 11 have 8 ( 9 gwas 9 gwas 10 ) 11 have 12 discovered 12 discovered 14 variants 13 genetic 14 variants 14 variants 15 that 14 variants 16 predispose 15 that 16 predispose 16 predispose 17 individuals 16 predispose 18 to 18 to 19 asthma to integrate these new discoveries with emerging models of asthma pathobiology , we aimed to test how genetic discoveries relate to developmental and biological characteristics of asthma . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 integrate 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 16 test 0 ###LEFT-WALL### 28 . 1 to 2 integrate 2 integrate 5 discoveries 3 these 5 discoveries 4 new 5 discoveries 5 discoveries 6 with 5 discoveries 9 of 6 with 7 emerging 7 emerging 8 models 9 of 11 pathobiology 10 asthma 11 pathobiology 12 , 13 we 12 , 14 aimed 13 we 14 aimed 14 aimed 15 to 15 to 16 test 16 test 17 how 17 how 19 discoveries 17 how 20 relate 18 genetic 19 discoveries 19 discoveries 20 relate 20 relate 21 to 21 to 25 characteristics 22 developmental 23 and 23 and 24 biological 23 and 25 characteristics 25 characteristics 26 of 26 of 27 asthma methods : in this prospective longitudinal study , we investigated a multilocus profile of genetic risk derived from published gwas of asthma case status . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 25 . 1 methods 2 : 2 : 3 in 3 in 7 study 4 this 7 study 5 prospective 7 study 6 longitudinal 7 study 8 , 9 we 8 , 10 investigated 9 we 10 investigated 10 investigated 13 profile 10 investigated 18 from 11 a 13 profile 12 multilocus 13 profile 13 profile 14 of 14 of 16 risk 15 genetic 16 risk 16 risk 17 derived 18 from 20 gwas 19 published 20 gwas 20 gwas 21 of 21 of 24 status 22 asthma 23 case 23 case 24 status we then tested associations between this genetic risk score and developmental and biological characteristics of asthma in participants enrolled in a population - based long - running birth cohort , the dunedin multidisciplinary health and development study ( n=1037 ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 tested 0 ###LEFT-WALL### 26 - 1 we 3 tested 2 then 3 tested 3 tested 12 and 3 tested 19 enrolled 4 associations 5 between 4 associations 10 and 5 between 9 score 6 this 9 score 7 genetic 9 score 8 risk 9 score 10 and 11 developmental 10 and 12 and 12 and 14 characteristics 12 and 15 of 12 and 19 enrolled 13 biological 14 characteristics 15 of 16 asthma 16 asthma 17 in 17 in 18 participants 19 enrolled 20 in 19 enrolled 24 based 20 in 22 population 21 a 22 population 23 - 24 based 24 based 25 long 24 based 26 - 26 - 29 cohort 26 - 30 , 26 - 41 . 27 running 28 birth 28 birth 29 cohort 30 , 35 and 31 the 34 health 32 dunedin 33 multidisciplinary 33 multidisciplinary 34 health 34 health 35 and 35 and 37 study 35 and 39 n=1037 36 development 37 study 38 ( 39 n=1037 39 n=1037 40 ) we used data on asthma onset [,] asthma persistence , atopy , airway hyper - responsiveness , incompletely reversible airflow obstruction , and asthma - related school and work absenteeism and hospital admissions obtained during nine prospective assessments spanning the ages of 9 to 38 years . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 used 0 ###LEFT-WALL### 26 related 0 ###LEFT-WALL### 47 . 1 we 2 used 2 used 3 data 3 data 4 on 3 data 16 responsiveness 4 on 9 persistence 5 asthma 6 onset 6 onset 9 persistence 8 asthma 9 persistence 10 , 16 responsiveness 11 atopy 14 hyper 11 atopy 16 responsiveness 12 , 14 hyper 13 airway 14 hyper 14 hyper 15 - 16 responsiveness 23 and 16 responsiveness 25 - 17 , 23 and 18 incompletely 19 reversible 19 reversible 20 airflow 20 airflow 21 obstruction 21 obstruction 23 and 22 , 23 and 23 and 24 asthma 23 and 25 - 25 - 26 related 26 related 31 and 27 school 28 and 28 and 30 absenteeism 28 and 31 and 29 work 30 absenteeism 31 and 33 admissions 31 and 42 of 32 hospital 33 admissions 33 admissions 34 obtained 33 admissions 35 during 35 during 38 assessments 36 nine 38 assessments 37 prospective 38 assessments 38 assessments 39 spanning 39 spanning 41 ages 40 the 41 ages 42 of 46 years 43 9 44 to 44 to 45 38 44 to 46 years analyses included cohort members of european descent from whom genetic data had been obtained . 0 ###LEFT-WALL### 1 analyses 0 ###LEFT-WALL### 2 included 0 ###LEFT-WALL### 15 . 1 analyses 2 included 2 included 4 members 3 cohort 4 members 4 members 5 of 5 of 7 descent 6 european 7 descent 7 descent 8 from 8 from 9 whom 8 from 11 data 8 from 14 obtained 10 genetic 11 data 11 data 12 had 12 had 13 been 13 been 14 obtained findings : of the 880 cohort members included in our analysis , those at higher genetic risk developed asthma earlier in life than did those with lower genetic risk ( hazard [ratio] [ hr ] 1·12 , 95 % ci 1·01 - 1·26 ) . 0 ###LEFT-WALL### 1 findings 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 45 . 1 findings 2 : 2 : 3 of 2 : 9 in 3 of 7 members 4 the 5 880 5 880 7 members 6 cohort 7 members 7 members 8 included 9 in 11 analysis 10 our 11 analysis 12 , 13 those 12 , 18 developed 12 , 23 than 13 those 14 at 13 those 18 developed 14 at 17 risk 15 higher 17 risk 16 genetic 17 risk 18 developed 19 asthma 19 asthma 20 earlier 19 asthma 21 in 21 in 22 life 23 than 24 did 23 than 36 1·12 24 did 25 those 24 did 36 1·12 25 those 26 with 26 with 29 risk 27 lower 29 risk 28 genetic 29 risk 29 risk 31 hazard 30 ( 31 hazard 31 hazard 34 hr 31 hazard 35 ] 33 [ 34 hr 34 hr 35 ] 36 1·12 42 - 37 , 42 - 38 95 39 % 39 % 41 1·01 40 ci 41 1·01 41 1·01 42 - 42 - 43 1·26 42 - 44 ) of cohort members with childhood - onset asthma , those with higher genetic risk were more likely to develop life - course - persistent asthma than were those with a lower genetic risk ( relative risk [ rr []] 1·36 , 95 % ci 1·14 - 1·63 ) . 0 ###LEFT-WALL### 10 those 0 ###LEFT-WALL### 15 were 0 ###LEFT-WALL### 21 - 1 of 3 members 1 of 9 , 1 of 10 those 2 cohort 3 members 3 members 4 with 3 members 8 asthma 4 with 5 childhood 6 - 8 asthma 7 onset 8 asthma 8 asthma 9 , 10 those 11 with 10 those 15 were 11 with 14 risk 12 higher 14 risk 13 genetic 14 risk 15 were 17 likely 16 more 17 likely 17 likely 18 to 17 likely 19 develop 18 to 19 develop 19 develop 20 life 21 - 22 course 21 - 23 - 23 - 25 asthma 23 - 27 were 23 - 49 . 24 persistent 25 asthma 25 asthma 27 were 26 than 27 were 27 were 28 those 28 those 29 with 29 with 33 risk 30 a 33 risk 31 lower 33 risk 32 genetic 33 risk 33 risk 36 risk 33 risk 45 1·14 34 ( 36 risk 35 relative 36 risk 36 risk 40 1·36 36 risk 41 , 37 [ 40 1·36 38 rr 40 1·36 40 1·36 41 , 41 , 45 1·14 42 95 43 % 43 % 45 1·14 44 ci 45 1·14 45 1·14 47 1·63 45 1·14 48 ) 46 - 47 1·63 47 1·63 48 ) participants with asthma at higher genetic risk more often had atopy ( rr 1·07 , 1·01 - 1·14 ) , airway hyper - responsiveness ( rr 1·16 , 1·03 - 1·32 ) , and incompletely reversible airflow obstruction ( rr 1·28 , 1·04 - 1·57 ) than did those with a lower genetic risk . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 34 and 0 ###LEFT-WALL### 55 . 1 participants 2 with 1 participants 4 at 1 participants 10 had 2 with 3 asthma 4 at 7 risk 5 higher 7 risk 6 genetic 7 risk 8 more 9 often 9 often 10 had 10 had 24 responsiveness 11 atopy 22 hyper 11 atopy 24 responsiveness 12 ( 22 hyper 13 rr 22 hyper 14 1·07 15 , 14 1·07 21 airway 16 1·01 18 1·14 16 1·01 20 , 16 1·01 21 airway 17 - 18 1·14 18 1·14 19 ) 21 airway 22 hyper 22 hyper 23 - 24 responsiveness 27 1·16 24 responsiveness 29 1·03 25 ( 27 1·16 26 rr 27 1·16 27 1·16 28 , 28 , 29 1·03 29 1·03 31 1·32 29 1·03 33 , 30 - 31 1·32 31 1·32 32 ) 34 and 38 obstruction 34 and 48 did 35 incompletely 38 obstruction 36 reversible 38 obstruction 37 airflow 38 obstruction 38 obstruction 41 1·28 38 obstruction 45 1·57 38 obstruction 48 did 39 ( 41 1·28 40 rr 41 1·28 41 1·28 42 , 42 , 45 1·57 43 1·04 44 - 43 1·04 45 1·57 45 1·57 46 ) 47 than 48 did 48 did 49 those 48 did 50 with 50 with 54 risk 51 a 54 risk 52 lower 54 risk 53 genetic 54 risk they were also more likely to miss school or work ( incident rate ratio 1·38 , 1·02 - 1·86 ) and be admitted to hospital [(] hr 1·38 , 1·07 - 1·79 ) because of asthma . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 37 . 1 they 2 were 2 were 3 also 2 were 5 likely 4 more 5 likely 5 likely 6 to 5 likely 9 or 6 to 9 or 7 miss 8 school 7 miss 9 or 9 or 21 and 10 work 18 - 10 work 21 and 11 ( 18 - 12 incident 14 ratio 13 rate 14 ratio 14 ratio 17 1·02 15 1·38 16 , 15 1·38 17 1·02 17 1·02 18 - 18 - 19 1·86 18 - 20 ) 21 and 22 be 22 be 23 admitted 23 admitted 24 to 23 admitted 34 because 24 to 28 1·38 25 hospital 28 1·38 27 hr 28 1·38 28 1·38 32 1·79 29 , 32 1·79 30 1·07 31 - 30 1·07 32 1·79 32 1·79 33 ) 34 because 35 of 35 of 36 asthma genotypic information about asthma risk was [independent] of and additive to information derived from cohort members ' family histories of asthma . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 22 . 1 genotypic 2 information 2 information 3 about 2 information 9 and 3 about 4 asthma 4 asthma 5 risk 4 asthma 8 of 5 risk 6 was 6 was 8 of 9 and 10 additive 9 and 11 to 11 to 12 information 12 information 13 derived 13 derived 14 from 14 from 19 histories 15 cohort 16 members 16 members 17 ' 17 ' 19 histories 18 family 19 histories 19 histories 20 of 20 of 21 asthma interpretation : our findings confirm that gwas discoveries for asthma are associated with a childhood - onset phenotype . 0 ###LEFT-WALL### 1 interpretation 0 ###LEFT-WALL### 2 : 2 : 4 findings 2 : 5 confirm 2 : 16 - 3 our 4 findings 4 findings 5 confirm 5 confirm 6 that 6 that 8 discoveries 6 that 12 associated 7 gwas 8 discoveries 8 discoveries 9 for 8 discoveries 11 are 9 for 10 asthma 11 are 12 associated 12 associated 13 with 13 with 15 childhood 14 a 15 childhood 16 - 18 phenotype 16 - 19 . 17 onset 18 phenotype genetic risk assessments might be able to predict which childhood - onset asthma cases remit and which become life - course - persistent , who might develop impaired lung function , and the burden of asthma in terms of missed school and work and hospital admissions , [although] these predictions are not sufficiently sensitive or specific to support immediate clinical translation . 0 ###LEFT-WALL### 1 genetic 0 ###LEFT-WALL### 8 predict 0 ###LEFT-WALL### 11 - 1 genetic 5 be 1 genetic 7 to 2 risk 3 assessments 3 assessments 4 might 4 might 5 be 5 be 6 able 7 to 8 predict 8 predict 9 which 9 which 10 childhood 11 - 14 cases 11 - 16 and 11 - 20 - 12 onset 13 asthma 13 asthma 14 cases 14 cases 15 remit 16 and 17 which 16 and 18 become 17 which 18 become 18 become 19 life 20 - 21 course 21 course 23 persistent 21 course 25 who 22 - 23 persistent 23 persistent 24 , 24 , 25 who 25 who 26 might 26 might 27 develop 27 develop 32 and 27 develop 37 in 28 impaired 30 function 29 lung 30 function 30 function 32 and 31 , 32 and 32 and 34 burden 33 the 34 burden 34 burden 35 of 35 of 36 asthma 37 in 38 terms 38 terms 39 of 39 of 46 admissions 40 missed 41 school 41 school 42 and 42 and 43 work 42 and 44 and 44 and 45 hospital 44 and 46 admissions 46 admissions 55 or 47 , 55 or 49 these 50 predictions 50 predictions 51 are 51 are 52 not 52 not 53 sufficiently 53 sufficiently 54 sensitive 54 sensitive 55 or 55 or 56 specific 55 or 62 . 56 specific 57 to 57 to 58 support 58 support 61 translation 59 immediate 61 translation 60 clinical 61 translation funding : us national institute on aging and uk medical research council . 0 ###LEFT-WALL### 1 funding 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 . 1 funding 2 : 2 : 5 institute 3 us 4 national 4 national 5 institute 5 institute 6 on 6 on 8 and 7 aging 8 and 8 and 12 council 9 uk 10 medical 10 medical 11 research 11 research 12 council background : obesity is a complex multifactorial disease , which also has an impact on quality of life . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 obesity 2 : 4 is 2 : 9 , 2 : 19 . 3 obesity 4 is 4 is 8 disease 5 a 6 complex 5 a 8 disease 6 complex 8 disease 7 multifactorial 8 disease 9 , 10 which 9 , 12 has 10 which 12 has 11 also 12 has 12 has 14 impact 12 has 15 on 13 an 14 impact 15 on 16 quality 16 quality 17 of 17 of 18 life the aim of this paper is to identify the [correlates] [of] perceived health related quality of life in obese , overweight and normal weight italians older adults . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 14 related 0 ###LEFT-WALL### 28 . 1 the 2 aim 2 aim 3 of 2 aim 5 paper 2 aim 8 identify 2 aim 14 related 3 of 4 this 5 paper 6 is 6 is 7 to 6 is 8 identify 7 to 8 identify 8 identify 13 health 9 the 13 health 12 perceived 13 health 14 related 15 quality 15 quality 16 of 16 of 17 life 17 life 18 in 18 in 27 adults 19 obese 20 , 20 , 21 overweight 20 , 22 and 22 and 23 normal 22 and 24 weight 24 weight 25 italians 25 italians 27 adults 26 older 27 adults a protocol of questionnaires was constructed for data [collection] , and included domains such as physical activity , quality of life , socio - psychological aspects . 0 ###LEFT-WALL### 2 protocol 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 27 . 1 a 2 protocol 2 protocol 3 of 2 protocol 11 and 3 of 4 questionnaires 5 was 6 constructed 5 was 11 and 6 constructed 7 for 7 for 8 data 10 , 11 and 11 and 12 included 11 and 13 domains 13 domains 15 as 14 such 15 as 15 as 17 activity 16 physical 17 activity 17 activity 19 quality 18 , 19 quality 19 quality 20 of 19 quality 22 , 20 of 21 life 22 , 26 aspects 23 socio 24 - 23 socio 26 aspects 25 psychological 26 aspects the association of the latter variables with sf - 36 health survey physical component [(] pcs - 36 ) were evaluated in the whole sample . 0 ###LEFT-WALL### 2 association 0 ###LEFT-WALL### 21 evaluated 0 ###LEFT-WALL### 26 . 1 the 2 association 2 association 3 of 2 association 16 pcs 2 association 20 were 3 of 6 variables 4 the 6 variables 5 latter 6 variables 6 variables 7 with 7 with 8 sf 9 - 16 pcs 10 36 11 health 11 health 12 survey 12 survey 14 component 13 physical 14 component 14 component 16 pcs 16 pcs 18 36 16 pcs 19 ) 17 - 18 36 18 36 19 ) 20 were 21 evaluated 21 evaluated 22 in 22 in 25 sample 23 the 25 sample 24 whole 25 sample multiple linear regression models were used to assess the effect of independent variables on pcs - [36] and the physical subscales of sf - 36 . 0 ###LEFT-WALL### 4 models 0 ###LEFT-WALL### 6 used 1 multiple 3 regression 2 linear 3 regression 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 10 effect 8 assess 14 on 9 the 10 effect 10 effect 11 of 11 of 13 variables 12 independent 13 variables 14 on 18 and 15 pcs 18 and 16 - 18 and 18 and 21 subscales 19 the 21 subscales 20 physical 21 subscales 21 subscales 22 of 22 of 23 sf 23 sf 25 36 24 - 25 36 25 36 26 . results : pcs - 36 showed a lower score in the obese and overweight subjects than the normal weight group ( post - [hoc] test , p < 0.001 [and] p < 0.05 [respectively] ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 36 . 1 results 2 : 2 : 3 pcs 4 - 5 36 4 - 6 showed 5 36 6 showed 6 showed 9 score 6 showed 10 in 6 showed 16 than 7 a 9 score 8 lower 9 score 10 in 15 subjects 11 the 15 subjects 12 obese 13 and 13 and 14 overweight 13 and 15 subjects 16 than 20 group 16 than 25 test 17 the 20 group 18 normal 19 weight 19 weight 20 group 20 group 22 post 20 group 25 test 21 ( 22 post 22 post 23 - 25 test 28 < 25 test 32 < 26 , 28 < 27 p 28 < 28 < 29 0.001 31 p 32 < 32 < 33 0.05 32 < 35 ) age , [gender] ( male ) , body mass index , years of education , physical activity scale for the elderly ( pase ) total score , hospital anxiety and depression scale anxiety , hospital anxiety and depression scale depression , number of medications prescribed and number of diseases were included in the model . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 2 , 0 ###LEFT-WALL### 55 . 2 , 30 and 2 , 51 included 4 ( 5 male 5 male 6 ) 5 male 30 and 7 , 8 body 8 body 30 and 9 mass 10 index 10 index 11 , 11 , 12 years 11 , 15 , 12 years 13 of 13 of 14 education 15 , 26 score 15 , 27 , 16 physical 26 score 17 activity 18 scale 18 scale 19 for 18 scale 26 score 19 for 23 pase 20 the 23 pase 21 elderly 23 pase 22 ( 23 pase 23 pase 24 ) 25 total 26 score 27 , 29 anxiety 27 , 30 and 28 hospital 29 anxiety 30 and 42 number 30 and 43 of 30 and 50 were 31 depression 32 scale 32 scale 33 anxiety 33 anxiety 34 , 34 , 36 anxiety 34 , 37 and 35 hospital 36 anxiety 37 and 40 depression 37 and 41 , 37 and 42 number 38 depression 39 scale 39 scale 40 depression 43 of 46 and 44 medications 45 prescribed 44 medications 46 and 46 and 47 number 47 number 48 of 48 of 49 diseases 50 were 51 included 51 included 52 in 52 in 54 model 53 the 54 model negative and significant pcs - associated variables included depression ( p = 0.009 ) , bmi ( p = 0.001 ) , age in years ( p = 0.007 ) , whereas positive and significant pcs - associated independent variables were years of education ( p = 0.022 ) , physical activity ( p = 0.026 ) . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 6 associated 0 ###LEFT-WALL### 31 , 0 ###LEFT-WALL### 58 . 1 negative 2 and 2 and 4 pcs 2 and 5 - 2 and 6 associated 3 significant 4 pcs 6 associated 9 depression 7 variables 8 included 8 included 9 depression 9 depression 12 = 9 depression 16 bmi 10 ( 12 = 11 p 12 = 12 = 13 0.009 12 = 14 ) 15 , 16 bmi 16 bmi 19 = 16 bmi 23 age 16 bmi 30 ) 17 ( 19 = 18 p 19 = 19 = 20 0.001 19 = 21 ) 22 , 23 age 23 age 24 in 23 age 28 = 23 age 30 ) 24 in 25 years 26 ( 28 = 27 p 28 = 28 = 29 0.007 28 = 30 ) 31 , 40 variables 31 , 41 were 32 whereas 36 pcs 32 whereas 37 - 32 whereas 40 variables 33 positive 34 and 34 and 35 significant 34 and 36 pcs 38 associated 40 variables 39 independent 40 variables 40 variables 41 were 41 were 42 years 42 years 43 of 42 years 52 activity 43 of 44 education 44 education 47 = 45 ( 47 = 46 p 47 = 47 = 48 0.022 47 = 49 ) 50 , 52 activity 51 physical 52 activity 52 activity 55 = 52 activity 57 ) 53 ( 55 = 54 p 55 = 55 = 56 0.026 bmi was negatively associated with all the physical subscales of sf - 36 ( p < 0.05 ) . 0 ###LEFT-WALL### 1 bmi 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 19 . 1 bmi 2 was 2 was 3 negatively 2 was 4 associated 4 associated 5 with 5 with 6 all 6 all 7 the 6 all 9 subscales 7 the 9 subscales 8 physical 9 subscales 9 subscales 10 of 10 of 11 sf 11 sf 13 36 12 - 13 36 13 36 16 < 13 36 18 ) 14 ( 16 < 15 p 16 < 16 < 17 0.05 conclusions : research funding should be invested in the study of the benefits accruing from reducing obesity in the elderly . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 1 conclusions 2 : 2 : 3 research 3 research 4 funding 3 research 16 reducing 4 funding 5 should 5 should 6 be 6 be 7 invested 7 invested 8 in 7 invested 15 from 8 in 10 study 9 the 10 study 10 study 11 of 10 study 14 accruing 11 of 13 benefits 12 the 13 benefits 15 from 16 reducing 16 reducing 17 obesity 17 obesity 18 in 18 in 20 elderly 19 the 20 elderly synaptic impairment [rather] than neuronal loss may be the leading cause of cognitive dysfunction in brain aging . 0 ###LEFT-WALL### 2 impairment 0 ###LEFT-WALL### 4 than 0 ###LEFT-WALL### 18 . 1 synaptic 2 impairment 4 than 6 loss 4 than 8 be 5 neuronal 6 loss 6 loss 7 may 7 may 8 be 8 be 11 cause 9 the 11 cause 10 leading 11 cause 11 cause 12 of 12 of 14 dysfunction 13 cognitive 14 dysfunction 14 dysfunction 15 in 15 in 16 brain 16 brain 17 aging certain small rho - gtpases are involved in synaptic plasticity , and their dysfunction is associated with brain aging and neurodegeneration . 0 ###LEFT-WALL### 3 rho 0 ###LEFT-WALL### 4 - 1 certain 3 rho 2 small 3 rho 4 - 5 gtpases 4 - 7 involved 4 - 12 and 4 - 22 . 5 gtpases 6 are 6 are 7 involved 7 involved 8 in 8 in 10 plasticity 9 synaptic 10 plasticity 11 , 12 and 12 and 14 dysfunction 12 and 16 associated 13 their 14 dysfunction 14 dysfunction 15 is 15 is 16 associated 16 associated 17 with 17 with 20 and 18 brain 19 aging 18 brain 20 and 20 and 21 neurodegeneration rho - gtpases undergo prenylation by attachment of geranylgeranylpyrophosphate ( ggpp ) catalyzed by ggtase [-] i . 0 ###LEFT-WALL### 3 gtpases 0 ###LEFT-WALL### 4 undergo 0 ###LEFT-WALL### 18 . 1 rho 2 - 1 rho 3 gtpases 3 gtpases 4 undergo 4 undergo 5 prenylation 4 undergo 6 by 6 by 7 attachment 7 attachment 8 of 7 attachment 13 catalyzed 8 of 9 geranylgeranylpyrophosphate 9 geranylgeranylpyrophosphate 11 ggpp 10 ( 11 ggpp 11 ggpp 12 ) 13 catalyzed 14 by 14 by 15 ggtase 15 ggtase 17 i we examined age - related changes in the abundance of rho and rab proteins in membrane and cytosolic fractions as well as of ggtase - [i] in brain tissue of 3 - and 23 - [month] - old c57bl/6 mice . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 5 related 0 ###LEFT-WALL### 33 and 0 ###LEFT-WALL### 41 . 1 we 2 examined 2 examined 3 age 4 - 5 related 5 related 17 and 5 related 32 - 6 changes 7 in 6 changes 10 of 6 changes 12 and 7 in 9 abundance 8 the 9 abundance 10 of 11 rho 12 and 14 proteins 12 and 15 in 12 and 17 and 13 rab 14 proteins 15 in 16 membrane 17 and 19 fractions 17 and 20 as 18 cytosolic 19 fractions 20 as 21 well 21 well 22 as 22 as 23 of 23 of 24 ggtase 24 ggtase 27 in 25 - 27 in 27 in 29 tissue 27 in 32 - 28 brain 29 tissue 29 tissue 30 of 30 of 31 3 32 - 33 and 33 and 34 23 33 and 35 - 34 23 35 - 35 - 37 - 37 - 40 mice 38 old 40 mice 39 c57bl/6 40 mice we report a shift in the cellular localization of rho - gtpases toward reduced levels of membrane - associated and enhanced cytosolic levels of those proteins in aged mouse brain as compared with younger mice . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 report 0 ###LEFT-WALL### 36 . 1 we 2 report 2 report 4 shift 3 a 4 shift 4 shift 5 in 4 shift 9 of 4 shift 20 and 5 in 8 localization 6 the 8 localization 7 cellular 8 localization 9 of 10 rho 10 rho 12 gtpases 11 - 12 gtpases 12 gtpases 13 toward 12 gtpases 16 of 12 gtpases 18 - 13 toward 15 levels 14 reduced 15 levels 16 of 17 membrane 19 associated 20 and 20 and 21 enhanced 20 and 33 with 21 enhanced 23 levels 21 enhanced 27 in 22 cytosolic 23 levels 23 levels 24 of 24 of 26 proteins 25 those 26 proteins 27 in 30 brain 28 aged 29 mouse 29 mouse 30 brain 30 brain 32 compared 31 as 32 compared 33 with 35 mice 34 younger 35 mice the age - related reduction in membrane - associated rho proteins [was] associated with a reduction in ggtase - iβ levels that regulates binding of ggpp to rho - gtpases . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 9 associated 0 ###LEFT-WALL### 31 . 1 the 2 age 2 age 5 reduction 2 age 9 associated 3 - 5 reduction 4 related 5 reduction 5 reduction 6 in 5 reduction 8 - 6 in 7 membrane 9 associated 11 proteins 9 associated 14 with 10 rho 11 proteins 11 proteins 13 associated 14 with 16 reduction 14 with 30 gtpases 15 a 16 reduction 16 reduction 17 in 16 reduction 21 levels 17 in 18 ggtase 19 - 21 levels 20 iβ 21 levels 21 levels 22 that 21 levels 23 regulates 21 levels 29 - 22 that 23 regulates 23 regulates 24 binding 23 regulates 27 to 24 binding 25 of 25 of 26 ggpp 27 to 28 rho proteins prenylated by ggtase - ii were not reduced in aged brain indicating a specific targeting of ggtase - [i] in the aged brain . 0 ###LEFT-WALL### 1 proteins 0 ###LEFT-WALL### 2 prenylated 0 ###LEFT-WALL### 5 - 1 proteins 2 prenylated 2 prenylated 3 by 3 by 4 ggtase 5 - 6 ii 5 - 7 were 6 ii 7 were 7 were 8 not 7 were 10 in 7 were 21 in 8 not 9 reduced 10 in 12 brain 11 aged 12 brain 12 brain 13 indicating 13 indicating 16 targeting 14 a 15 specific 14 a 16 targeting 15 specific 16 targeting 16 targeting 17 of 17 of 18 ggtase 19 - 21 in 21 in 24 brain 21 in 25 . 22 the 24 brain 23 aged 24 brain inhibition of ggtase - i in vitro modeled the effects of aging we observed in vivo . 0 ###LEFT-WALL### 5 i 0 ###LEFT-WALL### 8 modeled 0 ###LEFT-WALL### 17 . 1 inhibition 5 i 2 of 3 ggtase 2 of 4 - 2 of 5 i 5 i 8 modeled 6 in 7 vitro 7 vitro 8 modeled 8 modeled 10 effects 9 the 10 effects 10 effects 11 of 10 effects 14 observed 11 of 12 aging 12 aging 13 we 14 observed 16 vivo 15 in 16 vivo we demonstrate for the first time a decrease in membrane - associated rho proteins in aged brain in association with down - regulation of ggtase - iβ . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 demonstrate 0 ###LEFT-WALL### 26 - 1 we 2 demonstrate 2 demonstrate 3 for 2 demonstrate 8 decrease 2 demonstrate 9 in 3 for 6 time 4 the 5 first 4 the 6 time 7 a 8 decrease 9 in 10 membrane 10 membrane 14 proteins 11 - 14 proteins 12 associated 14 proteins 13 rho 14 proteins 14 proteins 15 in 14 proteins 20 with 14 proteins 24 of 14 proteins 26 - 15 in 17 brain 16 aged 17 brain 17 brain 19 association 18 in 19 association 20 with 23 regulation 21 down 22 - 21 down 23 regulation 24 of 25 ggtase 26 - 27 iβ 26 - 28 . this down - regulation could be one of the mechanisms causing age - related weakening of synaptic plasticity . 0 ###LEFT-WALL### 4 regulation 0 ###LEFT-WALL### 6 be 0 ###LEFT-WALL### 14 related 1 this 4 regulation 2 down 3 - 2 down 4 regulation 4 regulation 5 could 5 could 6 be 6 be 7 one 7 one 8 of 8 of 10 mechanisms 9 the 10 mechanisms 10 mechanisms 11 causing 11 causing 12 age 13 - 14 related 14 related 15 weakening 14 related 19 . 15 weakening 16 of 16 of 18 plasticity 17 synaptic 18 plasticity during aging , a decline [in] stem cell function is observed in many tissues . 0 ###LEFT-WALL### 9 function 0 ###LEFT-WALL### 11 observed 0 ###LEFT-WALL### 15 . 1 during 2 aging 1 during 3 , 1 during 9 function 4 a 9 function 5 decline 9 function 7 stem 9 function 8 cell 9 function 9 function 10 is 10 is 11 observed 11 observed 12 in 12 in 14 tissues 13 many 14 tissues this decline is accompanied by complex changes of the chromatin structure among them changes in histone modifications and dna methylation which both affect transcription of a tissue [-] specific subset of genes . 0 ###LEFT-WALL### 2 decline 0 ###LEFT-WALL### 14 changes 0 ###LEFT-WALL### 33 . 1 this 2 decline 2 decline 3 is 3 is 4 accompanied 4 accompanied 5 by 5 by 7 changes 6 complex 7 changes 7 changes 8 of 7 changes 11 structure 7 changes 14 changes 8 of 10 chromatin 9 the 10 chromatin 11 structure 12 among 11 structure 14 changes 12 among 13 them 14 changes 15 in 15 in 18 and 16 histone 17 modifications 17 modifications 18 and 18 and 20 methylation 18 and 21 which 18 and 23 affect 19 dna 20 methylation 21 which 22 both 21 which 23 affect 22 both 23 affect 23 affect 24 transcription 24 transcription 25 of 25 of 30 subset 26 a 30 subset 27 tissue 30 subset 29 specific 30 subset 30 subset 31 of 31 of 32 genes a mechanistic understanding of these age [-] associated processes , their interrelations and environmental dependence is currently lacking . 0 ###LEFT-WALL### 3 understanding 0 ###LEFT-WALL### 16 is 0 ###LEFT-WALL### 19 . 1 a 2 mechanistic 1 a 3 understanding 2 mechanistic 3 understanding 3 understanding 4 of 3 understanding 16 is 4 of 13 and 5 these 9 processes 6 age 8 associated 8 associated 9 processes 9 processes 10 , 10 , 12 interrelations 10 , 13 and 11 their 12 interrelations 13 and 15 dependence 14 environmental 15 dependence 16 is 17 currently 16 is 18 lacking here , we discuss related questions on the molecular , cellular , and population level . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 discuss 0 ###LEFT-WALL### 16 . 1 here 2 , 1 here 3 we 3 we 4 discuss 4 discuss 6 questions 4 discuss 7 on 5 related 6 questions 7 on 13 and 8 the 9 molecular 9 molecular 10 , 10 , 11 cellular 10 , 13 and 12 , 13 and 13 and 15 level 14 population 15 level we combine an individual cell [-] based model of stem cell populations with a model of epigenetic regulation of transcription . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 combine 0 ###LEFT-WALL### 21 . 1 we 2 combine 2 combine 8 model 2 combine 13 with 3 an 4 individual 3 an 8 model 4 individual 5 cell 5 cell 7 based 7 based 8 model 8 model 9 of 9 of 12 populations 10 stem 12 populations 11 cell 12 populations 13 with 15 model 14 a 15 model 15 model 16 of 16 of 18 regulation 17 epigenetic 18 regulation 18 regulation 19 of 19 of 20 transcription the novel model enables to simulate age [-] related changes of trimethylation of lysine 4 at histone h3 and [of] dna methylation . 0 ###LEFT-WALL### 3 model 0 ###LEFT-WALL### 4 enables 0 ###LEFT-WALL### 23 . 1 the 3 model 2 novel 3 model 3 model 4 enables 4 enables 5 to 4 enables 10 changes 4 enables 16 at 5 to 6 simulate 6 simulate 7 age 7 age 9 related 10 changes 11 of 10 changes 13 of 11 of 12 trimethylation 13 of 14 lysine 14 lysine 15 4 16 at 22 methylation 17 histone 22 methylation 18 h3 19 and 19 and 21 dna 21 dna 22 methylation these changes entail expression changes of genes that induce age [-] related [phenotypes] ( arps ) of cells . 0 ###LEFT-WALL### 2 changes 0 ###LEFT-WALL### 3 entail 0 ###LEFT-WALL### 19 . 1 these 2 changes 2 changes 3 entail 3 entail 5 changes 4 expression 5 changes 5 changes 6 of 5 changes 17 of 6 of 7 genes 7 genes 8 that 7 genes 9 induce 8 that 9 induce 9 induce 10 age 10 age 12 related 10 age 15 arps 14 ( 15 arps 15 arps 16 ) 17 of 18 cells we compare age - related changes of regulatory states in quiescent stem cells occupying a niche with those observed in proliferating cells . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 compare 0 ###LEFT-WALL### 5 related 1 we 2 compare 2 compare 3 age 4 - 5 related 5 related 6 changes 5 related 10 in 5 related 17 with 5 related 23 . 6 changes 7 of 7 of 9 states 8 regulatory 9 states 10 in 13 cells 11 quiescent 12 stem 12 stem 13 cells 13 cells 14 occupying 14 occupying 16 niche 15 a 16 niche 17 with 18 those 17 with 20 in 18 those 19 observed 20 in 22 cells 21 proliferating 22 cells moreover , we analyze the impact of the activity of the involved epigenetic modifiers on these changes . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 analyze 0 ###LEFT-WALL### 18 . 1 moreover 2 , 1 moreover 3 we 3 we 4 analyze 4 analyze 6 impact 4 analyze 15 on 5 the 6 impact 6 impact 7 of 7 of 9 activity 8 the 9 activity 9 activity 10 of 10 of 14 modifiers 11 the 14 modifiers 12 involved 14 modifiers 13 epigenetic 14 modifiers 15 on 17 changes 16 these 17 changes we find that epigenetic aging strongly affects stem cell heterogeneity and that homing at stem cell niches retards epigenetic aging . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 find 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 21 . 1 we 2 find 2 find 5 aging 2 find 7 affects 3 that 5 aging 4 epigenetic 5 aging 5 aging 7 affects 6 strongly 7 affects 7 affects 10 heterogeneity 8 stem 10 heterogeneity 9 cell 10 heterogeneity 11 and 13 homing 11 and 18 retards 12 that 13 homing 13 homing 14 at 13 homing 18 retards 14 at 17 niches 15 stem 17 niches 16 cell 17 niches 18 retards 20 aging 19 epigenetic 20 aging our model provides a mechanistic explanation [how] increased stem cell proliferation can lead to progeroid [phenotypes] . 0 ###LEFT-WALL### 2 model 0 ###LEFT-WALL### 3 provides 0 ###LEFT-WALL### 17 . 1 our 2 model 2 model 3 provides 3 provides 13 lead 3 provides 14 to 4 a 5 mechanistic 4 a 13 lead 5 mechanistic 9 stem 6 explanation 8 increased 8 increased 9 stem 9 stem 10 cell 10 cell 13 lead 11 proliferation 13 lead 12 can 13 lead 14 to 15 progeroid adapting our model to properties observed for aged hematopoietic [stem] [cell] ( hsc ) clones , we predict that the hematopoietic arp activates young hscs and thereby retards aging of the entire hsc population . 0 ###LEFT-WALL### 17 we 0 ###LEFT-WALL### 26 and 0 ###LEFT-WALL### 35 . 1 adapting 3 model 1 adapting 16 , 1 adapting 17 we 2 our 3 model 3 model 4 to 4 to 5 properties 5 properties 6 observed 6 observed 7 for 7 for 15 clones 8 aged 15 clones 9 hematopoietic 13 hsc 9 hematopoietic 14 ) 9 hematopoietic 15 clones 12 ( 13 hsc 13 hsc 14 ) 17 we 26 and 18 predict 19 that 18 predict 26 and 19 that 22 arp 19 that 23 activates 20 the 22 arp 21 hematopoietic 22 arp 22 arp 23 activates 23 activates 24 young 23 activates 25 hscs 26 and 28 retards 26 and 29 aging 27 thereby 28 retards 29 aging 30 of 30 of 34 population 31 the 34 population 32 entire 34 population 33 hsc 34 population in addition , our model suggests that the experimentally observed high interindividual variance in hsc numbers originates in a variance of histone methyltransferase activity . 0 ###LEFT-WALL### 5 model 0 ###LEFT-WALL### 6 suggests 0 ###LEFT-WALL### 25 . 1 in 2 addition 1 in 3 , 1 in 5 model 4 our 5 model 5 model 6 suggests 6 suggests 7 that 7 that 11 high 7 that 17 originates 8 the 11 high 9 experimentally 10 observed 10 observed 11 high 11 high 13 variance 11 high 16 numbers 11 high 17 originates 12 interindividual 13 variance 13 variance 14 in 13 variance 16 numbers 14 in 15 hsc 17 originates 18 in 18 in 20 variance 19 a 20 variance 20 variance 21 of 21 of 24 activity 22 histone 24 activity 23 methyltransferase 24 activity this report provides estimates of the incidence of select risk factors for cardiovascular disease among members of the active component of the armed forces . 0 ###LEFT-WALL### 2 report 0 ###LEFT-WALL### 3 provides 0 ###LEFT-WALL### 25 . 1 this 2 report 2 report 3 provides 3 provides 4 estimates 3 provides 15 among 4 estimates 5 of 5 of 7 incidence 6 the 7 incidence 7 incidence 8 of 8 of 11 factors 9 select 11 factors 10 risk 11 factors 11 factors 12 for 12 for 14 disease 13 cardiovascular 14 disease 15 among 16 members 16 members 17 of 17 of 20 component 18 the 20 component 19 active 20 component 20 component 21 of 21 of 24 forces 22 the 24 forces 23 armed 24 forces the definitions of incident cases of each risk factor were based upon the documentation of relevant diagnostic codes in the electronic health records of service members . 0 ###LEFT-WALL### 2 definitions 0 ###LEFT-WALL### 11 based 0 ###LEFT-WALL### 27 . 1 the 2 definitions 2 definitions 3 of 2 definitions 10 were 3 of 5 cases 4 incident 5 cases 5 cases 6 of 6 of 9 factor 7 each 9 factor 8 risk 9 factor 10 were 11 based 11 based 12 upon 11 based 19 in 12 upon 14 documentation 13 the 14 documentation 14 documentation 15 of 15 of 18 codes 16 relevant 18 codes 17 diagnostic 18 codes 19 in 23 records 20 the 23 records 21 electronic 22 health 22 health 23 records 23 records 24 of 24 of 26 members 25 service 26 members numbers of service members with diagnoses of each of the factors were : hyperlipidemia ( n=300,340 ) , obesity ( n=235,407 ) , hypertension [(] n=230,564 ) , abnormal blood glucose level ( n=47,009 [ )(, and diabetes ( n=13,901 ) . 0 ###LEFT-WALL### 3 service 0 ###LEFT-WALL### 13 : 0 ###LEFT-WALL### 42 . 1 numbers 2 of 1 numbers 3 service 2 of 3 service 3 service 4 members 3 service 12 were 3 service 13 : 4 members 5 with 4 members 7 of 4 members 9 of 4 members 12 were 5 with 6 diagnoses 7 of 8 each 9 of 11 factors 10 the 11 factors 13 : 19 obesity 14 hyperlipidemia 16 n=300,340 14 hyperlipidemia 18 , 14 hyperlipidemia 19 obesity 15 ( 16 n=300,340 16 n=300,340 17 ) 19 obesity 21 n=235,407 19 obesity 26 n=230,564 19 obesity 32 level 20 ( 21 n=235,407 21 n=235,407 22 ) 23 , 26 n=230,564 24 hypertension 26 n=230,564 26 n=230,564 27 ) 28 , 32 level 29 abnormal 30 blood 30 blood 32 level 31 glucose 32 level 32 level 37 and 32 level 41 ) 33 ( 37 and 34 n=47,009 37 and 36 )(, 37 and 37 and 38 diabetes 37 and 40 n=13,901 37 and 41 ) 39 ( 40 n=13,901 40 n=13,901 41 ) incidence rates of all the risk factors of interest increased with advancing age . 0 ###LEFT-WALL### 2 rates 0 ###LEFT-WALL### 10 increased 0 ###LEFT-WALL### 14 . 1 incidence 2 rates 2 rates 3 of 2 rates 10 increased 3 of 4 all 4 all 5 the 4 all 7 factors 5 the 7 factors 6 risk 7 factors 7 factors 8 of 8 of 9 interest 10 increased 11 with 11 with 12 advancing 12 advancing 13 age rates of diagnoses of hypertension [and] obesity were higher among black , [non] - hispanic service members than among other racial/ethnic groups . 0 ###LEFT-WALL### 1 rates 0 ###LEFT-WALL### 8 were 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 23 . 1 rates 2 of 1 rates 8 were 2 of 3 diagnoses 3 diagnoses 4 of 4 of 7 obesity 5 hypertension 7 obesity 8 were 9 higher 9 higher 10 among 10 among 11 black 12 , 16 service 14 - 15 hispanic 15 hispanic 16 service 16 service 17 members 16 service 18 than 16 service 19 among 19 among 22 groups 20 other 22 groups 21 racial/ethnic 22 groups asian/pacific islanders had the highest rates of hyperlipidemia , abnormal blood glucose level , and diabetes . 0 ###LEFT-WALL### 2 islanders 0 ###LEFT-WALL### 3 had 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 17 . 1 asian/pacific 2 islanders 2 islanders 3 had 3 had 6 rates 4 the 5 highest 4 the 6 rates 6 rates 7 of 7 of 8 hyperlipidemia 9 , 15 and 10 abnormal 11 blood 11 blood 13 level 12 glucose 13 level 13 level 15 and 14 , 15 and 15 and 16 diabetes male service members had higher rates of hypertension [,] hyperlipidemia , and diabetes , but females had higher rates of obesity and abnormal blood glucose level . 0 ###LEFT-WALL### 3 members 0 ###LEFT-WALL### 4 had 0 ###LEFT-WALL### 15 but 0 ###LEFT-WALL### 26 level 0 ###LEFT-WALL### 27 . 1 male 3 members 2 service 3 members 3 members 4 had 4 had 6 rates 5 higher 6 rates 6 rates 7 of 7 of 12 and 8 hypertension 10 hyperlipidemia 10 hyperlipidemia 12 and 11 , 12 and 12 and 13 diabetes 12 and 14 , 15 but 16 females 15 but 17 had 16 females 17 had 17 had 19 rates 17 had 26 level 18 higher 19 rates 19 rates 20 of 20 of 22 and 21 obesity 22 and 22 and 25 glucose 23 abnormal 24 blood 24 blood 25 glucose of all active component service members included in this analysis ( n=3,297,786 ) , 18.5 percent ( n=611,185 ) were diagnosed with at least one of the risk factors during the ten - year surveillance period . 1 of 5 service 1 of 6 members 2 all 5 service 3 active 5 service 4 component 5 service 6 members 7 included 6 members 8 in 6 members 20 were 8 in 10 analysis 9 this 10 analysis 10 analysis 12 n=3,297,786 10 analysis 16 percent 11 ( 12 n=3,297,786 12 n=3,297,786 13 ) 14 , 16 percent 15 18.5 16 percent 16 percent 18 n=611,185 16 percent 19 ) 17 ( 18 n=611,185 18 n=611,185 19 ) 20 were 21 diagnosed 21 diagnosed 22 with 21 diagnosed 30 during 22 with 25 one 23 at 24 least 24 least 25 one 25 one 26 of 26 of 29 factors 27 the 29 factors 28 risk 29 factors 30 during 32 ten 31 the 32 ten 32 ten 36 period 33 - 36 period 34 year 36 period 35 surveillance 36 period 36 period 37 . bone marrow - mesenchymal stromal cells ( bm - mscs ) have immunosuppressive properties and have been used in cell therapies as immune regulators for the treatment of graft [-] versus [-] host disease . 0 ###LEFT-WALL### 2 marrow 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 35 . 1 bone 2 marrow 2 marrow 6 cells 2 marrow 10 mscs 2 marrow 15 and 3 - 6 cells 4 mesenchymal 6 cells 5 stromal 6 cells 6 cells 8 bm 6 cells 9 - 7 ( 8 bm 8 bm 9 - 9 - 10 mscs 10 mscs 11 ) 12 have 14 properties 12 have 15 and 13 immunosuppressive 14 properties 15 and 16 have 16 have 17 been 17 been 18 used 18 used 19 in 18 used 22 as 18 used 25 for 19 in 21 therapies 20 cell 21 therapies 22 as 24 regulators 23 immune 24 regulators 25 for 27 treatment 26 the 27 treatment 27 treatment 28 of 28 of 29 graft 29 graft 31 versus 31 versus 34 disease 33 host 34 disease we have previously characterized several biological properties of mscs from placenta ( pl ) and umbilical cord blood ( ucb ) , and compared them to those of bm - the gold standard . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 30 - 1 we 23 and 2 have 4 characterized 2 have 23 and 3 previously 4 characterized 4 characterized 7 properties 5 several 7 properties 6 biological 7 properties 7 properties 8 of 7 properties 20 ucb 8 of 15 and 9 mscs 10 from 9 mscs 15 and 10 from 11 placenta 11 placenta 13 pl 12 ( 13 pl 13 pl 14 ) 15 and 18 blood 16 umbilical 17 cord 17 cord 18 blood 19 ( 20 ucb 20 ucb 21 ) 22 , 23 and 23 and 24 compared 23 and 26 to 24 compared 25 them 26 to 27 those 27 those 28 of 28 of 29 bm 30 - 33 standard 30 - 34 . 31 the 33 standard 32 gold 33 standard in the present study , we have compared mscs from bm , ucb , and pl in terms of their immunosuppressive properties against lymphoid cell populations enriched for cd3 [(] [+] [ )(t cells . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 8 compared 0 ###LEFT-WALL### 35 . 1 in 4 study 1 in 5 , 1 in 6 we 2 the 4 study 3 present 4 study 6 we 7 have 7 have 8 compared 8 compared 15 and 9 mscs 10 from 9 mscs 15 and 10 from 13 ucb 11 bm 13 ucb 12 , 13 ucb 14 , 15 and 15 and 16 pl 15 and 17 in 15 and 23 against 17 in 18 terms 18 terms 19 of 19 of 22 properties 20 their 22 properties 21 immunosuppressive 22 properties 23 against 26 populations 24 lymphoid 25 cell 25 cell 26 populations 26 populations 27 enriched 26 populations 28 for 28 for 34 cells 29 cd3 33 )(t 29 cd3 34 cells our results confirm the immunosuppressive potential of bm - mscs , and demonstrate that mscs from ucb and [,] to a lesser extent pl , also have immunosuppressive potential . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 27 have 0 ###LEFT-WALL### 30 . 1 our 2 results 2 results 12 and 3 confirm 6 potential 3 confirm 12 and 4 the 6 potential 5 immunosuppressive 6 potential 6 potential 7 of 7 of 8 bm 8 bm 10 mscs 9 - 10 mscs 10 mscs 11 , 11 , 12 and 12 and 13 demonstrate 12 and 24 pl 13 demonstrate 15 mscs 14 that 15 mscs 15 mscs 18 and 16 from 17 ucb 16 from 18 and 18 and 20 to 20 to 23 extent 21 a 22 lesser 21 a 23 extent 22 lesser 23 extent 25 , 27 have 26 also 27 have 27 have 29 potential 28 immunosuppressive 29 potential in contrast to pl - mscs , bm - mscs and ucb - mscs significantly inhibited the proliferation of both cd4 ( [+] [ )(and cd8 [(] [+] ) activated t [cells] in a cell - cell contact - dependent manner . 1 in 2 contrast 1 in 8 bm 2 contrast 3 to 3 to 4 pl 4 pl 6 mscs 5 - 6 mscs 6 mscs 7 , 8 bm 13 - 8 bm 16 inhibited 9 - 13 - 10 mscs 11 and 11 and 12 ucb 11 and 13 - 13 - 14 mscs 15 significantly 16 inhibited 16 inhibited 18 proliferation 17 the 18 proliferation 18 proliferation 19 of 18 proliferation 25 )(and 18 proliferation 30 activated 19 of 20 both 21 cd4 25 )(and 22 ( 25 )(and 25 )(and 26 cd8 25 )(and 29 ) 25 )(and 30 activated 30 activated 31 t 30 activated 33 in 33 in 35 cell 34 a 35 cell 35 cell 38 contact 36 - 38 contact 37 cell 38 contact 38 contact 41 manner 38 contact 42 . 39 - 41 manner 40 dependent 41 manner 41 manner 42 . such a reduced proliferation in cell cocultures correlated [with] upregulation of programmed death [ligand] 1 on mscs and cytotoxic [t] lymphocyte - associated [ag] - 4 ( ctla - 4 ) on t [cells] , and increased production [of] interferon - [γ] , interleukin [-] 10 , and prostaglandin e2 . 0 ###LEFT-WALL### 4 proliferation 0 ###LEFT-WALL### 7 cocultures 1 such 2 a 2 a 4 proliferation 3 reduced 4 proliferation 4 proliferation 5 in 4 proliferation 7 cocultures 5 in 6 cell 7 cocultures 10 upregulation 7 cocultures 16 on 8 correlated 10 upregulation 10 upregulation 11 of 11 of 13 death 12 programmed 13 death 13 death 15 1 16 on 18 and 17 mscs 18 and 18 and 21 lymphocyte 18 and 22 - 18 and 23 associated 19 cytotoxic 21 lymphocyte 23 associated 29 - 23 associated 32 on 25 - 29 - 26 4 28 ctla 27 ( 28 ctla 28 ctla 29 - 29 - 30 4 29 - 31 ) 32 on 36 and 33 t 36 and 35 , 36 and 36 and 40 interferon 36 and 41 - 36 and 48 and 37 increased 38 production 38 production 40 interferon 43 , 48 and 44 interleukin 46 10 44 interleukin 48 and 47 , 48 and 48 and 50 e2 48 and 51 . 49 prostaglandin 50 e2 importantly , [and] in contrast to pl - mscs , both bm - mscs and ucb - mscs favored the generation of t - cell subsets displaying a regulatory phenotype cd4 [(] [+] )cd25 ( [+] )ctla - 4 [(] [+] ) . 0 ###LEFT-WALL### 18 mscs 0 ###LEFT-WALL### 19 favored 0 ###LEFT-WALL### 43 . 1 importantly 2 , 1 importantly 18 mscs 2 , 4 in 4 in 5 contrast 4 in 17 - 4 in 18 mscs 5 contrast 6 to 6 to 7 pl 7 pl 9 mscs 7 pl 16 ucb 8 - 9 mscs 9 mscs 12 bm 9 mscs 13 - 10 , 12 bm 11 both 12 bm 12 bm 13 - 13 - 16 ucb 14 mscs 15 and 15 and 16 ucb 16 ucb 17 - 18 mscs 19 favored 19 favored 21 generation 20 the 21 generation 21 generation 22 of 21 generation 26 subsets 22 of 23 t 24 - 26 subsets 25 cell 26 subsets 26 subsets 27 displaying 26 subsets 38 - 26 subsets 42 ) 27 displaying 34 )cd25 28 a 29 regulatory 28 a 34 )cd25 29 regulatory 30 phenotype 30 phenotype 34 )cd25 31 cd4 34 )cd25 35 ( 38 - 37 )ctla 38 - 38 - 39 4 38 - 42 ) our results indicate that , besides bm - mscs , ucb - mscs might be a potent and reliable candidate for future therapeutic applications . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 25 . 1 our 2 results 2 results 3 indicate 3 indicate 4 that 4 that 13 mscs 4 that 15 be 5 , 6 besides 6 besides 7 bm 6 besides 8 - 6 besides 13 mscs 9 mscs 11 ucb 10 , 11 ucb 11 ucb 12 - 11 ucb 13 mscs 13 mscs 14 might 14 might 15 be 15 be 20 candidate 16 a 20 candidate 17 potent 18 and 18 and 19 reliable 18 and 20 candidate 20 candidate 21 for 21 for 24 applications 22 future 24 applications 23 therapeutic 24 applications objectives : to examine associations between sarcopenia , obesity , and sarcopenic obesity and risk of cardiovascular disease ( cvd ) and all - cause mortality in older men . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 24 - 1 objectives 2 : 2 : 3 to 2 : 4 examine 3 to 4 examine 4 examine 5 associations 4 examine 6 between 6 between 22 and 7 sarcopenia 8 , 7 sarcopenia 9 obesity 9 obesity 11 and 10 , 11 and 11 and 13 obesity 11 and 14 and 12 sarcopenic 13 obesity 14 and 15 risk 14 and 16 of 14 and 20 cvd 14 and 22 and 16 of 18 disease 17 cardiovascular 18 disease 19 ( 20 cvd 20 cvd 21 ) 22 and 23 all 24 - 25 cause 24 - 30 . 25 cause 26 mortality 25 cause 27 in 27 in 29 men 28 older 29 men design : prospective cohort study . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 . 1 design 2 : 2 : 5 study 3 prospective 4 cohort 4 cohort 5 study setting : british regional heart study . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 . 1 setting 2 : 2 : 6 study 3 british 6 study 4 regional 5 heart 5 heart 6 study participants : men aged 60 - 79 years ( n = 4,252 ) . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 . 1 participants 2 : 2 : 3 men 3 men 4 aged 4 aged 11 = 5 60 6 - 6 - 7 79 6 - 8 years 8 years 11 = 9 ( 11 = 10 n 11 = 11 = 12 4,252 11 = 13 ) measurements : baseline waist circumference [(] wc [ )(and midarm muscle circumference ( mamc ) measurements were used to classify participants into four groups : sarcopenic , obese , sarcopenic obese , or optimal wc and mamc . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 2 : 16 measurements 2 : 18 used 2 : 25 : 3 baseline 7 wc 4 waist 5 circumference 5 circumference 7 wc 7 wc 9 )(and 9 )(and 12 circumference 9 )(and 14 mamc 9 )(and 16 measurements 10 midarm 12 circumference 11 muscle 12 circumference 13 ( 14 mamc 14 mamc 15 ) 16 measurements 17 were 17 were 18 used 18 used 19 to 18 used 20 classify 19 to 20 classify 20 classify 21 participants 20 classify 22 into 22 into 24 groups 23 four 24 groups 25 : 37 mamc 26 sarcopenic 27 , 26 sarcopenic 37 mamc 28 obese 29 , 28 obese 37 mamc 30 sarcopenic 37 mamc 31 obese 33 or 32 , 33 or 33 or 34 optimal 33 or 37 mamc 35 wc 36 and 36 and 37 mamc 37 mamc 38 . the cohort was followed for a mean of 11.3 years for cvd and all - cause mortality . 0 ###LEFT-WALL### 2 cohort 0 ###LEFT-WALL### 4 followed 0 ###LEFT-WALL### 15 - 1 the 2 cohort 2 cohort 3 was 3 was 4 followed 4 followed 5 for 4 followed 11 for 5 for 7 mean 6 a 7 mean 7 mean 8 of 8 of 10 years 9 11.3 10 years 11 for 13 and 12 cvd 13 and 13 and 14 all 15 - 16 cause 15 - 18 . 16 cause 17 mortality cox regression analyses assessed associations between sarcopenic obesity groups and all - cause mortality , cvd mortality , cvd events , and coronary heart disease ( chd ) events . 0 ###LEFT-WALL### 3 analyses 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 30 . 1 cox 3 analyses 2 regression 3 analyses 3 analyses 4 assessed 4 assessed 5 associations 4 assessed 13 cause 5 associations 6 between 5 associations 13 cause 6 between 10 and 7 sarcopenic 8 obesity 8 obesity 9 groups 9 groups 10 and 10 and 11 all 10 and 12 - 13 cause 29 events 14 mortality 15 , 15 , 17 mortality 15 , 18 , 16 cvd 17 mortality 18 , 20 events 18 , 22 and 19 cvd 20 events 21 , 22 and 22 and 25 disease 22 and 27 chd 22 and 29 events 23 coronary 24 heart 24 heart 25 disease 26 ( 27 chd 27 chd 28 ) results : there were 1,314 deaths , 518 cvd deaths , 852 cvd events , and 458 chd events during [follow] - up . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 3 there 2 : 4 were 2 : 7 , 3 there 4 were 4 were 6 deaths 5 1,314 6 deaths 7 , 16 and 8 518 10 deaths 9 cvd 10 deaths 10 deaths 11 , 11 , 14 events 11 , 16 and 12 852 14 events 13 cvd 14 events 15 , 16 and 16 and 19 events 16 and 20 during 17 458 19 events 18 chd 19 events 20 during 23 up 22 - 23 up [all] - cause mortality risk was significantly greater in sarcopenic [(] hr = 1.41 , 95 % ci = 1.22 - 1.63 [ )(and obese ( hr [=] 1.21 , 95 [%] [ci] = [1.03] - 1.42 ) men than in the optimal reference group [,] with the highest risk in sarcopenic obese [(] hr = 1.72 , 95 % ci = 1.35 - 2.18 ) , after adjustment for lifestyle characteristics . 2 - 4 mortality 3 cause 4 mortality 4 mortality 5 risk 4 mortality 6 was 4 mortality 8 greater 4 mortality 13 = 5 risk 6 was 7 significantly 8 greater 8 greater 9 in 9 in 12 hr 10 sarcopenic 12 hr 13 = 14 1.41 14 1.41 24 )(and 15 , 24 )(and 16 95 18 ci 17 % 18 ci 18 ci 21 - 18 ci 24 )(and 19 = 20 1.22 20 1.22 21 - 21 - 22 1.63 24 )(and 25 obese 24 )(and 27 hr 24 )(and 30 , 26 ( 27 hr 27 hr 29 1.21 27 hr 30 , 30 , 36 - 31 95 34 = 34 = 36 - 36 - 37 1.42 36 - 38 ) 36 - 39 men 39 men 40 than 39 men 41 in 39 men 45 group 41 in 44 reference 42 the 44 reference 43 optimal 44 reference 45 group 47 with 45 group 51 in 45 group 57 1.72 47 with 50 risk 48 the 49 highest 48 the 50 risk 51 in 55 hr 52 sarcopenic 55 hr 53 obese 55 hr 56 = 57 1.72 57 1.72 61 ci 57 1.72 68 after 58 , 61 ci 59 95 61 ci 60 % 61 ci 61 ci 64 - 61 ci 66 ) 62 = 63 1.35 63 1.35 64 - 64 - 65 2.18 67 , 68 after 68 after 69 adjustment 68 after 73 . 69 adjustment 70 for 70 for 72 characteristics 71 lifestyle 72 characteristics risk of cvd mortality was significantly greater in sarcopenic and obese but not sarcopenic obese men . 0 ###LEFT-WALL### 1 risk 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 17 . 1 risk 2 of 1 risk 5 was 2 of 4 mortality 3 cvd 4 mortality 5 was 7 greater 6 significantly 7 greater 7 greater 8 in 8 in 16 men 9 sarcopenic 10 and 10 and 12 but 10 and 16 men 11 obese 12 but 12 but 13 not 12 but 14 sarcopenic 13 not 14 sarcopenic 15 obese 16 men no association was seen between sarcopenic obesity groups and chd or cvd events . 0 ###LEFT-WALL### 2 association 0 ###LEFT-WALL### 4 seen 0 ###LEFT-WALL### 14 . 1 no 2 association 2 association 3 was 3 was 4 seen 4 seen 5 between 5 between 11 or 6 sarcopenic 7 obesity 7 obesity 8 groups 8 groups 9 and 9 and 10 chd 9 and 11 or 11 or 13 events 12 cvd 13 events conclusion : sarcopenia and central adiposity were associated with greater cardiovascular mortality and all - cause mortality . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 and 2 : 8 associated 2 : 15 - 3 sarcopenia 4 and 4 and 6 adiposity 4 and 7 were 5 central 6 adiposity 7 were 8 associated 8 associated 9 with 9 with 13 and 10 greater 12 mortality 11 cardiovascular 12 mortality 12 mortality 13 and 13 and 14 all 15 - 16 cause 15 - 18 . 16 cause 17 mortality sarcopenic obese men had the highest risk of all - cause mortality but not cvd mortality . 0 ###LEFT-WALL### 3 men 0 ###LEFT-WALL### 4 had 0 ###LEFT-WALL### 10 - 1 sarcopenic 3 men 2 obese 3 men 3 men 4 had 4 had 7 risk 5 the 6 highest 5 the 7 risk 7 risk 8 of 8 of 9 all 10 - 11 cause 10 - 17 . 11 cause 13 but 12 mortality 13 but 13 but 14 not 13 but 16 mortality 15 cvd 16 mortality efforts to promote healthy aging should focus on preventing obesity and maintaining muscle mass . 0 ###LEFT-WALL### 1 efforts 0 ###LEFT-WALL### 7 focus 0 ###LEFT-WALL### 15 . 1 efforts 2 to 1 efforts 3 promote 1 efforts 6 should 2 to 3 promote 3 promote 5 aging 4 healthy 5 aging 6 should 7 focus 7 focus 8 on 8 on 9 preventing 9 preventing 11 and 10 obesity 11 and 11 and 14 mass 12 maintaining 14 mass 13 muscle 14 mass actinomycosis is a chronic suppurative bacterial infection caused by actinomyces species . 0 ###LEFT-WALL### 1 actinomycosis 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 12 . 1 actinomycosis 2 is 2 is 7 infection 3 a 4 chronic 3 a 7 infection 4 chronic 7 infection 5 suppurative 7 infection 6 bacterial 7 infection 7 infection 8 caused 8 caused 9 by 9 by 11 species 10 actinomyces 11 species actinomyces [israelii] is the organism most commonly found in human disease . 0 ###LEFT-WALL### 1 actinomyces 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 12 . 1 actinomyces 3 is 3 is 5 organism 3 is 6 most 4 the 5 organism 6 most 8 found 7 commonly 8 found 8 found 9 in 9 in 11 disease 10 human 11 disease actinomycosis usually manifests with abscess formation , dense fibrosis , and draining sinuses . 0 ###LEFT-WALL### 1 actinomycosis 0 ###LEFT-WALL### 3 manifests 0 ###LEFT-WALL### 14 . 1 actinomycosis 3 manifests 2 usually 3 manifests 3 manifests 4 with 3 manifests 11 and 4 with 5 abscess 6 formation 7 , 7 , 9 fibrosis 7 , 11 and 8 dense 9 fibrosis 10 , 11 and 11 and 13 sinuses 12 draining 13 sinuses the disease is further characterized by the tendency to extensively spread beyond normal fascial and connective tissue planes . 0 ###LEFT-WALL### 2 disease 0 ###LEFT-WALL### 5 characterized 0 ###LEFT-WALL### 19 . 1 the 2 disease 2 disease 3 is 3 is 4 further 3 is 5 characterized 5 characterized 6 by 5 characterized 9 to 6 by 8 tendency 7 the 8 tendency 9 to 11 spread 10 extensively 11 spread 11 spread 12 beyond 12 beyond 18 planes 13 normal 17 tissue 14 fascial 15 and 15 and 16 connective 15 and 17 tissue 17 tissue 18 planes actinomycosis occurs most [commonly] in the cervicofacial region ( 50 % - 65 % ) , followed by the thoracic ( 15 % - 30 % ) [and] abdominopelvic ( 20 % ) regions , but rarely involves the central nervous system . 0 ###LEFT-WALL### 1 actinomycosis 0 ###LEFT-WALL### 36 but 0 ###LEFT-WALL### 43 . 1 actinomycosis 36 but 2 occurs 3 most 2 occurs 5 in 2 occurs 36 but 5 in 8 region 6 the 8 region 7 cervicofacial 8 region 8 region 11 % 8 region 14 % 8 region 17 followed 9 ( 11 % 10 50 11 % 11 % 12 - 12 - 14 % 13 65 14 % 14 % 15 ) 16 , 17 followed 17 followed 18 by 17 followed 35 , 18 by 34 regions 19 the 34 regions 20 thoracic 23 % 20 thoracic 34 regions 21 ( 23 % 22 15 23 % 23 % 26 % 23 % 27 ) 24 - 26 % 25 30 26 % 26 % 27 ) 29 abdominopelvic 32 % 29 abdominopelvic 34 regions 30 ( 32 % 31 20 32 % 32 % 33 ) 35 , 36 but 36 but 38 involves 37 rarely 38 involves 38 involves 42 system 39 the 42 system 40 central 42 system 41 nervous 42 system most cases of cervicofacial actinomycosis are odontogenic in origin . 0 ###LEFT-WALL### 2 cases 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 10 . 1 most 2 cases 2 cases 3 of 2 cases 6 are 3 of 5 actinomycosis 4 cervicofacial 5 actinomycosis 6 are 7 odontogenic 7 odontogenic 8 in 8 in 9 origin in the acute form , cervicofacial disease can manifest with soft - tissue swelling , a painful pyogenic abscess , or a mass lesion . 0 ###LEFT-WALL### 7 disease 0 ###LEFT-WALL### 9 manifest 0 ###LEFT-WALL### 25 . 1 in 4 form 1 in 5 , 1 in 7 disease 2 the 4 form 3 acute 4 form 6 cervicofacial 7 disease 7 disease 8 can 8 can 9 manifest 9 manifest 10 with 9 manifest 21 or 10 with 13 tissue 11 soft 12 - 11 soft 13 tissue 14 swelling 15 , 15 , 19 abscess 15 , 21 or 16 a 17 painful 16 a 19 abscess 17 painful 19 abscess 18 pyogenic 19 abscess 20 , 21 or 21 or 24 lesion 22 a 24 lesion 23 mass 24 lesion in the subacute to chronic form , a painless indurated mass can spread to the skin , leading to draining sinus tracts . 0 ###LEFT-WALL### 12 can 0 ###LEFT-WALL### 13 spread 1 in 3 subacute 1 in 7 , 1 in 12 can 2 the 3 subacute 3 subacute 4 to 4 to 6 form 5 chronic 6 form 8 a 9 painless 8 a 12 can 9 painless 11 mass 10 indurated 11 mass 11 mass 12 can 12 can 13 spread 13 spread 14 to 14 to 16 skin 15 the 16 skin 16 skin 18 leading 17 , 18 leading 18 leading 19 to 18 leading 23 . 19 to 20 draining 20 draining 22 tracts 21 sinus 22 tracts thoracic manifestations include parenchymal , bronchiectatic , and endobronchial actinomycosis . 0 ###LEFT-WALL### 2 manifestations 0 ###LEFT-WALL### 3 include 0 ###LEFT-WALL### 11 . 1 thoracic 2 manifestations 2 manifestations 3 include 3 include 10 actinomycosis 4 parenchymal 5 , 5 , 6 bronchiectatic 5 , 8 and 7 , 8 and 8 and 9 endobronchial 8 and 10 actinomycosis [at] computed tomography , pulmonary actinomycosis usually [appears] as chronic segmental airspace consolidation containing necrotic low - attenuation areas with peripheral enhancement . 0 ###LEFT-WALL### 16 low 0 ###LEFT-WALL### 17 - 0 ###LEFT-WALL### 23 . 2 computed 6 actinomycosis 3 tomography 4 , 3 tomography 6 actinomycosis 5 pulmonary 6 actinomycosis 6 actinomycosis 16 low 7 usually 10 chronic 9 as 10 chronic 10 chronic 13 consolidation 11 segmental 13 consolidation 12 airspace 13 consolidation 13 consolidation 16 low 14 containing 16 low 15 necrotic 16 low 17 - 19 areas 18 attenuation 19 areas 19 areas 20 with 20 with 22 enhancement 21 peripheral 22 enhancement abdominopelvic [actinomycosis] preferentially involves the ileocecal region , ovary , and fallopian tube . 0 ###LEFT-WALL### 1 abdominopelvic 0 ###LEFT-WALL### 4 involves 0 ###LEFT-WALL### 14 . 1 abdominopelvic 4 involves 3 preferentially 4 involves 4 involves 11 and 5 the 7 region 6 ileocecal 7 region 7 region 8 , 8 , 9 ovary 8 , 11 and 10 , 11 and 11 and 13 tube 12 fallopian 13 tube the imaging findings favoring abdominopelvic actinomycosis include strong enhancement in the solid portion of the mass after contrast material administration , small rim - enhancing abscesses within the mass , and extensive inflammatory extensions . 0 ###LEFT-WALL### 3 findings 0 ###LEFT-WALL### 7 include 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 35 . 1 the 3 findings 2 imaging 3 findings 3 findings 4 favoring 3 findings 7 include 4 favoring 6 actinomycosis 5 abdominopelvic 6 actinomycosis 7 include 9 enhancement 7 include 10 in 7 include 17 after 8 strong 9 enhancement 10 in 13 portion 11 the 13 portion 12 solid 13 portion 13 portion 14 of 14 of 16 mass 15 the 16 mass 17 after 20 administration 18 contrast 20 administration 19 material 20 administration 21 , 23 rim 21 , 24 - 22 small 23 rim 24 - 31 and 25 enhancing 26 abscesses 26 abscesses 27 within 26 abscesses 31 and 27 within 29 mass 28 the 29 mass 30 , 31 and 31 and 34 extensions 32 extensive 34 extensions 33 inflammatory 34 extensions actinomycosis in the central nervous system may produce brain abscess , meningitis , subdural empyema , actinomycetoma , and spinal and cranial epidural abscess . 0 ###LEFT-WALL### 1 actinomycosis 0 ###LEFT-WALL### 8 produce 0 ###LEFT-WALL### 25 . 1 actinomycosis 2 in 1 actinomycosis 7 may 2 in 6 system 3 the 6 system 4 central 6 system 5 nervous 6 system 7 may 8 produce 8 produce 19 and 9 brain 10 abscess 10 abscess 11 , 11 , 12 meningitis 11 , 13 , 13 , 17 actinomycetoma 13 , 19 and 14 subdural 17 actinomycetoma 15 empyema 16 , 15 empyema 17 actinomycetoma 18 , 19 and 19 and 24 abscess 20 spinal 21 and 21 and 22 cranial 21 and 24 abscess 23 epidural 24 abscess in general , actinomycosis responds well to antibiotic therapy , but long - [term] follow [-] up after treatment is needed because of frequent relapses . 0 ###LEFT-WALL### 4 actinomycosis 0 ###LEFT-WALL### 11 but 0 ###LEFT-WALL### 13 - 1 in 2 general 2 general 3 , 2 general 4 actinomycosis 4 actinomycosis 11 but 5 responds 6 well 5 responds 7 to 5 responds 11 but 7 to 9 therapy 8 antibiotic 9 therapy 10 , 11 but 11 but 12 long 13 - 15 follow 13 - 26 . 15 follow 17 up 15 follow 18 after 18 after 19 treatment 18 after 21 needed 19 treatment 20 is 20 is 21 needed 21 needed 23 of 22 because 23 of 23 of 25 relapses 24 frequent 25 relapses none objectives : to examine the association between plasma concentrations of antioxidative micronutrients and leukocyte telomere length ( ltl ) in elderly adults . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 16 telomere 0 ###LEFT-WALL### 24 . 1 none 2 objectives 1 none 5 examine 1 none 16 telomere 2 objectives 3 : 3 : 4 to 3 : 5 examine 4 to 5 examine 5 examine 7 association 5 examine 8 between 6 the 7 association 8 between 10 concentrations 9 plasma 10 concentrations 10 concentrations 11 of 11 of 14 and 12 antioxidative 13 micronutrients 13 micronutrients 14 and 14 and 15 leukocyte 16 telomere 17 length 16 telomere 21 in 17 length 19 ltl 18 ( 19 ltl 19 ltl 20 ) 21 in 23 adults 22 elderly 23 adults design : cross - sectional cohort study . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 8 . 1 design 2 : 2 : 3 cross 4 - 7 study 5 sectional 6 cohort 6 cohort 7 study setting : austrian stroke prevention study , a population - based cohort study on brain aging . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 2 : 6 study 2 : 11 based 2 : 17 . 3 austrian 6 study 4 stroke 5 prevention 5 prevention 6 study 6 study 9 population 6 study 11 based 7 , 9 population 8 a 9 population 9 population 10 - 11 based 13 study 11 based 14 on 12 cohort 13 study 14 on 15 brain 15 brain 16 aging participants : individuals with a mean age of 66 ± 7 ( n = 786 ; 58 % female [ )( 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 ; 0 ###LEFT-WALL### 21 )( 1 participants 2 : 2 : 3 individuals 3 individuals 4 with 3 individuals 8 of 4 with 7 age 5 a 6 mean 5 a 7 age 6 mean 7 age 8 of 10 ± 9 66 10 ± 10 ± 14 = 11 7 14 = 12 ( 14 = 13 n 14 = 14 = 15 786 16 ; 19 female 17 58 18 % 18 % 19 female vitamins and carotenoids were measured using high - performance liquid chromatography , advanced oxidation protein products using spectrophotometry , and telomere length using quantitative real - time polymerase chain reaction . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 13 advanced 0 ###LEFT-WALL### 31 . 1 vitamins 2 and 2 and 3 carotenoids 2 and 4 were 4 were 5 measured 5 measured 6 using 6 using 11 chromatography 7 high 8 - 7 high 9 performance 9 performance 11 chromatography 10 liquid 11 chromatography 12 , 13 advanced 13 advanced 16 products 13 advanced 17 using 14 oxidation 15 protein 15 protein 16 products 17 using 20 and 17 using 23 using 18 spectrophotometry 20 and 19 , 20 and 20 and 22 length 21 telomere 22 length 23 using 30 reaction 24 quantitative 30 reaction 25 real 26 - 25 real 30 reaction 27 time 30 reaction 28 polymerase 29 chain 29 chain 30 reaction results : multiple linear regression analyses with adjustment for age and sex demonstrated that higher lutein , zeaxanthin , and vitamin c concentrations were strongly associated with longer telomere length . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 11 and 2 : 31 . 3 multiple 5 regression 4 linear 5 regression 5 regression 6 analyses 6 analyses 7 with 6 analyses 11 and 7 with 8 adjustment 8 adjustment 9 for 9 for 10 age 11 and 12 sex 11 and 13 demonstrated 11 and 14 that 11 and 26 associated 14 that 20 and 14 that 26 associated 15 higher 16 lutein 16 lutein 17 , 17 , 18 zeaxanthin 17 , 20 and 19 , 20 and 20 and 21 vitamin 20 and 23 concentrations 20 and 24 were 20 and 26 associated 21 vitamin 22 c 23 concentrations 24 were 25 strongly 26 associated 26 associated 27 with 27 with 29 telomere 27 with 30 length 28 longer 29 telomere the associations were independent of body mass index [,] maximum oxygen uptake , and vascular risk factors and were not mediated by advanced oxidation protein products content . 0 ###LEFT-WALL### 2 associations 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 28 . 1 the 2 associations 2 associations 18 and 3 were 14 and 3 were 18 and 4 independent 5 of 4 independent 14 and 5 of 12 uptake 6 body 7 mass 7 mass 12 uptake 8 index 10 maximum 10 maximum 12 uptake 11 oxygen 12 uptake 13 , 14 and 14 and 17 factors 15 vascular 17 factors 16 risk 17 factors 18 and 19 were 18 and 22 by 18 and 27 content 19 were 20 not 19 were 21 mediated 22 by 26 products 23 advanced 26 products 24 oxidation 25 protein 25 protein 26 products conclusion : this study provides first evidence that higher lutein , zeaxanthin , and vitamin c concentrations in plasma are associated with longer ltl in normal elderly persons and suggest a protective role of these vitamins in telomere maintenance . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 provides 2 : 40 . 3 this 4 study 4 study 5 provides 5 provides 7 evidence 6 first 7 evidence 7 evidence 8 that 8 that 14 and 8 that 29 and 9 higher 10 lutein 10 lutein 11 , 11 , 12 zeaxanthin 11 , 14 and 13 , 14 and 14 and 17 concentrations 14 and 18 in 14 and 20 are 15 vitamin 16 c 15 vitamin 17 concentrations 18 in 19 plasma 20 are 29 and 21 associated 22 with 21 associated 25 in 21 associated 29 and 22 with 24 ltl 23 longer 24 ltl 25 in 28 persons 26 normal 28 persons 27 elderly 28 persons 29 and 30 suggest 30 suggest 33 role 30 suggest 37 in 31 a 32 protective 31 a 33 role 32 protective 33 role 33 role 34 of 34 of 36 vitamins 35 these 36 vitamins 37 in 39 maintenance 38 telomere 39 maintenance in this paper , we examine barriers to the integration of refugee doctors and nurses in canada and the united kingdom . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 examine 0 ###LEFT-WALL### 22 . 1 in 3 paper 1 in 4 , 1 in 5 we 2 this 3 paper 5 we 6 examine 6 examine 7 barriers 6 examine 8 to 6 examine 16 in 8 to 10 integration 9 the 10 integration 10 integration 11 of 11 of 14 and 12 refugee 13 doctors 13 doctors 14 and 14 and 15 nurses 16 in 18 and 17 canada 18 and 18 and 21 kingdom 19 the 21 kingdom 20 united 21 kingdom key obstacles impeding the integration of internationally trained health professionals are well documented , but less attention has been paid to the integration of refugee health professionals , particularly in canada . 0 ###LEFT-WALL### 2 obstacles 0 ###LEFT-WALL### 13 documented 0 ###LEFT-WALL### 15 but 1 key 2 obstacles 2 obstacles 3 impeding 2 obstacles 11 are 3 impeding 5 integration 4 the 5 integration 5 integration 6 of 6 of 10 professionals 7 internationally 8 trained 8 trained 9 health 9 health 10 professionals 11 are 12 well 11 are 13 documented 14 , 15 but 15 but 16 less 15 but 17 attention 15 but 20 paid 17 attention 18 has 18 has 19 been 19 been 20 paid 20 paid 21 to 20 paid 30 in 21 to 23 integration 22 the 23 integration 23 integration 24 of 24 of 27 professionals 25 refugee 26 health 26 health 27 professionals 28 , 29 particularly 28 , 30 in 30 in 31 canada 30 in 32 . based on documentary analysis and semi - structured interviews with 46 [canadian] and 34 uk stakeholders , our research shows that there are no simple solutions to mitigating the core obstacles that prohibit the professional integration of refugee doctors and nurses into host countries . 0 ###LEFT-WALL### 19 research 0 ###LEFT-WALL### 45 . 1 based 2 on 1 based 10 with 1 based 17 , 1 based 19 research 2 on 5 and 3 documentary 4 analysis 4 analysis 5 and 5 and 9 interviews 6 semi 7 - 6 semi 9 interviews 8 structured 9 interviews 10 with 16 stakeholders 11 46 13 and 13 and 14 34 13 and 16 stakeholders 15 uk 16 stakeholders 18 our 19 research 19 research 40 and 20 shows 21 that 20 shows 22 there 20 shows 23 are 20 shows 40 and 22 there 23 are 23 are 26 solutions 24 no 26 solutions 25 simple 26 solutions 26 solutions 27 to 26 solutions 32 that 26 solutions 33 prohibit 27 to 28 mitigating 28 mitigating 31 obstacles 29 the 31 obstacles 30 core 31 obstacles 32 that 33 prohibit 33 prohibit 36 integration 34 the 36 integration 35 professional 36 integration 36 integration 37 of 37 of 39 doctors 38 refugee 39 doctors 40 and 41 nurses 40 and 42 into 42 into 44 countries 43 host 44 countries the targeted approach adopted in parts of the uk does provide some promising practices for canada , which has yet to develop policies and initiatives specific to health professional refugees . 0 ###LEFT-WALL### 3 approach 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 22 develop 0 ###LEFT-WALL### 31 . 1 the 3 approach 2 targeted 3 approach 3 approach 4 adopted 3 approach 5 in 3 approach 7 of 3 approach 10 does 5 in 6 parts 7 of 9 uk 8 the 9 uk 10 does 11 provide 11 provide 14 practices 12 some 14 practices 13 promising 14 practices 14 practices 15 for 15 for 16 canada 17 , 18 which 17 , 19 has 18 which 19 has 19 has 20 yet 19 has 21 to 21 to 22 develop 22 develop 24 and 23 policies 24 and 24 and 25 initiatives 24 and 26 specific 26 specific 27 to 27 to 30 refugees 28 health 30 refugees 29 professional 30 refugees this study is intended to contribute to our understanding of how immigration and health human resources policies have shaped the economic integration of refugee healthcare professionals in the uk and canada in distinct ways . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 4 intended 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 35 . 1 this 2 study 2 study 3 is 3 is 4 intended 4 intended 5 to 4 intended 6 contribute 5 to 6 contribute 6 contribute 7 to 6 contribute 12 immigration 7 to 9 understanding 8 our 9 understanding 9 understanding 10 of 10 of 11 how 13 and 16 resources 13 and 19 shaped 14 health 16 resources 15 human 16 resources 16 resources 17 policies 16 resources 18 have 16 resources 19 shaped 17 policies 18 have 19 shaped 22 integration 19 shaped 27 in 19 shaped 32 in 20 the 22 integration 21 economic 22 integration 22 integration 23 of 23 of 26 professionals 24 refugee 26 professionals 25 healthcare 26 professionals 27 in 31 canada 28 the 31 canada 29 uk 30 and 30 and 31 canada 32 in 34 ways 33 distinct 34 ways context : in the last two decades , a color based concept of disease activity in peritoneal endometriosis has been in use in the clinical context , with red lesions being considered active and black or white lesions being interpreted as less active or dormant . 0 ###LEFT-WALL### 1 context 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 46 . 1 context 2 : 2 : 3 in 2 : 28 with 3 in 7 decades 4 the 5 last 4 the 6 two 6 two 7 decades 7 decades 12 concept 8 , 12 concept 9 a 12 concept 10 color 11 based 11 based 12 concept 12 concept 13 of 12 concept 15 activity 12 concept 20 been 12 concept 27 , 13 of 14 disease 15 activity 16 in 15 activity 19 has 16 in 18 endometriosis 17 peritoneal 18 endometriosis 19 has 20 been 20 been 21 in 20 been 23 in 21 in 22 use 23 in 26 context 24 the 26 context 25 clinical 26 context 28 with 30 lesions 28 with 39 being 29 red 30 lesions 30 lesions 31 being 31 being 32 considered 32 considered 34 and 32 considered 38 lesions 33 active 34 and 34 and 36 or 35 black 36 or 36 or 37 white 39 being 40 interpreted 40 interpreted 41 as 40 interpreted 44 or 41 as 42 less 43 active 44 or 44 or 45 dormant objective : our aim was to analyze 4 main color categories of peritoneal endometriosis ( black , white , red and brown ) in one single patient group using histomorphological and immunohistochemical methods . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 analyze 0 ###LEFT-WALL### 34 . 2 : 4 aim 2 : 5 was 3 our 4 aim 4 aim 5 was 5 was 6 to 6 to 7 analyze 7 analyze 10 color 7 analyze 24 in 7 analyze 29 using 8 4 10 color 9 main 10 color 10 color 11 categories 10 color 18 white 10 color 21 and 11 categories 12 of 11 categories 18 white 12 of 14 endometriosis 13 peritoneal 14 endometriosis 14 endometriosis 16 black 15 ( 16 black 16 black 17 , 19 , 21 and 20 red 21 and 21 and 22 brown 21 and 23 ) 24 in 28 group 25 one 28 group 26 single 28 group 27 patient 28 group 29 using 33 methods 30 histomorphological 31 and 31 and 32 immunohistochemical 31 and 33 methods design : 65 endometriosis lesions ( 30 black , 17 white , 11 brown , 7 red ) were resected from 47 premenopausal , nulliparous women which had not received exogenous hormones for at least six months prior to the operation . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 42 . 2 : 4 endometriosis 3 65 4 endometriosis 4 endometriosis 5 lesions 4 endometriosis 19 were 4 endometriosis 20 resected 5 lesions 8 black 5 lesions 17 red 5 lesions 19 were 6 ( 8 black 7 30 8 black 8 black 9 , 9 , 17 red 10 17 17 red 11 white 12 , 11 white 17 red 13 11 14 brown 14 brown 15 , 14 brown 17 red 16 7 17 red 17 red 18 ) 20 resected 21 from 20 resected 33 for 20 resected 39 to 21 from 26 women 22 47 26 women 23 premenopausal 24 , 23 premenopausal 26 women 25 nulliparous 26 women 26 women 27 which 26 women 28 had 27 which 28 had 28 had 29 not 28 had 30 received 30 received 32 hormones 31 exogenous 32 hormones 33 for 37 months 34 at 35 least 35 least 36 six 36 six 37 months 38 prior 39 to 39 to 41 operation 40 the 41 operation specimen workup , histomorphological analysis and immunohistochemical analysis were performed in a standardized manner . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 10 performed 0 ###LEFT-WALL### 15 . 1 specimen 2 workup 2 workup 3 , 3 , 5 analysis 3 , 6 and 4 histomorphological 5 analysis 6 and 8 analysis 6 and 9 were 7 immunohistochemical 8 analysis 9 were 10 performed 10 performed 11 in 11 in 14 manner 12 a 14 manner 13 standardized 14 manner results : the color categories showed a broad overlap in proliferative activity and hormone receptor expression . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 categories 2 : 6 showed 2 : 17 . 3 the 5 categories 4 color 5 categories 5 categories 6 showed 6 showed 8 broad 6 showed 9 overlap 6 showed 10 in 7 a 8 broad 10 in 13 and 11 proliferative 12 activity 12 activity 13 and 13 and 16 expression 14 hormone 16 expression 15 receptor 16 expression differences were found in lesion morphology . 0 ###LEFT-WALL### 1 differences 0 ###LEFT-WALL### 3 found 0 ###LEFT-WALL### 7 . 1 differences 2 were 2 were 3 found 3 found 4 in 4 in 6 morphology 5 lesion 6 morphology adjacent stromal reaction in particular showed a marked increase from red through brown and black to white lesions . 0 ###LEFT-WALL### 3 reaction 0 ###LEFT-WALL### 6 showed 0 ###LEFT-WALL### 19 . 1 adjacent 3 reaction 2 stromal 3 reaction 3 reaction 5 particular 3 reaction 6 showed 4 in 5 particular 6 showed 9 increase 6 showed 14 and 6 showed 16 to 7 a 9 increase 8 marked 9 increase 9 increase 10 from 10 from 13 brown 11 red 13 brown 12 through 13 brown 14 and 15 black 16 to 17 white 17 white 18 lesions differences were also seen in gland pattern [and] gland content . 0 ###LEFT-WALL### 1 differences 0 ###LEFT-WALL### 4 seen 0 ###LEFT-WALL### 11 . 1 differences 2 were 2 were 4 seen 3 also 4 seen 4 seen 5 in 5 in 10 content 6 gland 10 content 7 pattern 10 content 9 gland 10 content conclusions : lesion colors in peritoneal endometriosis seem to be determined by gland content and a varying adjacent stromal reaction and more likely reflect an aging process than different levels of disease activity . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 2 : 4 colors 2 : 8 seem 2 : 21 and 3 lesion 4 colors 4 colors 5 in 4 colors 8 seem 5 in 7 endometriosis 6 peritoneal 7 endometriosis 8 seem 9 to 8 seem 10 be 9 to 10 be 10 be 11 determined 11 determined 12 by 12 by 15 and 13 gland 14 content 14 content 15 and 15 and 20 reaction 16 a 20 reaction 17 varying 20 reaction 18 adjacent 20 reaction 19 stromal 20 reaction 21 and 22 more 21 and 24 reflect 22 more 24 reflect 23 likely 24 reflect 24 reflect 27 process 24 reflect 28 than 25 an 27 process 26 aging 27 process 28 than 30 levels 28 than 31 of 29 different 30 levels 31 of 33 activity 32 disease 33 activity objective : to evaluate [whether] the efficacy and safety of menatetrenone for the treatment of osteoporosis is noninferior [to] alfacalcidol in chinese postmenopausal women . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 3 to 2 : 4 evaluate 2 : 8 and 3 to 4 evaluate 4 evaluate 7 efficacy 6 the 7 efficacy 8 and 9 safety 8 and 17 is 9 safety 10 of 9 safety 17 is 10 of 11 menatetrenone 11 menatetrenone 12 for 12 for 14 treatment 13 the 14 treatment 14 treatment 15 of 15 of 16 osteoporosis 17 is 20 alfacalcidol 18 noninferior 20 alfacalcidol 20 alfacalcidol 21 in 21 in 24 women 22 chinese 24 women 23 postmenopausal 24 women method : this multicenter , randomized , double - blinded , double - dummy , noninferiority , positive drug - controlled clinical trial [was] conducted [in] five chinese sites . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 8 double 2 : 11 , 2 : 13 - 3 this 4 multicenter 4 multicenter 6 randomized 4 multicenter 7 , 4 multicenter 8 double 5 , 6 randomized 6 randomized 7 , 8 double 10 blinded 9 - 10 blinded 10 blinded 11 , 11 , 12 double 13 - 14 dummy 13 - 15 , 13 - 20 - 15 , 16 noninferiority 15 , 17 , 17 , 19 drug 18 positive 19 drug 20 - 29 sites 21 controlled 23 trial 22 clinical 23 trial 23 trial 25 conducted 25 conducted 29 sites 27 five 29 sites 28 chinese 29 sites eligible chinese women with postmenopausal osteoporosis ( n=236 ) were randomized to group m or group a and received menatetrenone 45 mg/day or alfacalcidol 0.5 [μg] / [day] , respectively , for 1 year . 0 ###LEFT-WALL### 23 or 0 ###LEFT-WALL### 35 . 1 eligible 3 women 2 chinese 3 women 3 women 4 with 3 women 18 and 3 women 23 or 4 with 6 osteoporosis 5 postmenopausal 6 osteoporosis 6 osteoporosis 8 n=236 7 ( 8 n=236 8 n=236 9 ) 10 were 11 randomized 10 were 18 and 11 randomized 12 to 12 to 15 or 13 group 14 m 13 group 15 or 15 or 16 group 16 group 17 a 18 and 19 received 18 and 22 mg/day 19 received 20 menatetrenone 21 45 22 mg/day 23 or 24 alfacalcidol 23 or 27 / 23 or 32 for 24 alfacalcidol 25 0.5 27 / 30 respectively 29 , 30 respectively 30 respectively 31 , 32 for 34 year 33 1 34 year additionally , all patients received calcium 500 [mg/day] . 0 ###LEFT-WALL### 4 patients 0 ###LEFT-WALL### 5 received 0 ###LEFT-WALL### 9 . 1 additionally 2 , 1 additionally 4 patients 3 all 4 patients 4 patients 5 received 5 received 6 calcium 6 calcium 7 500 posttreatment bone mineral density ( bmd ) , new fracture onsets , and serum osteocalcin ( oc ) and undercarboxylated oc ( ucoc ) levels were compared with the baseline value in patients of both groups . 0 ###LEFT-WALL### 2 bone 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 37 . 1 posttreatment 2 bone 2 bone 4 density 3 mineral 4 density 4 density 6 bmd 4 density 13 and 5 ( 6 bmd 6 bmd 7 ) 8 , 13 and 9 new 10 fracture 10 fracture 11 onsets 11 onsets 13 and 12 , 13 and 13 and 15 osteocalcin 13 and 17 oc 13 and 18 ) 14 serum 15 osteocalcin 16 ( 17 oc 17 oc 18 ) 19 and 25 levels 19 and 27 compared 20 undercarboxylated 25 levels 21 oc 23 ucoc 21 oc 25 levels 22 ( 23 ucoc 23 ucoc 24 ) 25 levels 26 were 26 were 27 compared 27 compared 28 with 27 compared 32 in 28 with 31 value 29 the 31 value 30 baseline 31 value 32 in 33 patients 33 patients 34 of 34 of 36 groups 35 both 36 groups results : a total of 213 patients ( 90.3 % ) completed the study . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 total 2 : 12 completed 2 : 15 . 3 a 4 total 4 total 5 of 4 total 12 completed 5 of 7 patients 6 213 7 patients 7 patients 10 % 8 ( 10 % 9 90.3 10 % 10 % 11 ) 12 completed 14 study 13 the 14 study after 1 year of treatment , bmd among patients in group m significantly increased from baseline by 1.2 % and 2.7 % at the lumbar spine and trochanter , respectively [(] p<0.001 ) [;] and the percentage increase of bmd in group a was 2.2 [%] and 1.8 % , respectively [(] p<0.001 ) . 0 ###LEFT-WALL### 7 bmd 0 ###LEFT-WALL### 14 increased 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 55 . 1 after 3 year 1 after 6 , 1 after 7 bmd 2 1 3 year 3 year 4 of 4 of 5 treatment 7 bmd 8 among 7 bmd 10 in 7 bmd 14 increased 8 among 9 patients 10 in 11 group 11 group 12 m 13 significantly 14 increased 14 increased 15 from 14 increased 17 by 15 from 16 baseline 17 by 19 % 18 1.2 19 % 20 and 22 % 20 and 44 was 21 2.7 22 % 22 % 23 at 22 % 44 was 23 at 35 and 24 the 26 spine 25 lumbar 26 spine 26 spine 27 and 27 and 28 trochanter 27 and 32 p<0.001 27 and 35 and 29 , 30 respectively 29 , 32 p<0.001 32 p<0.001 33 ) 35 and 38 increase 35 and 39 of 36 the 38 increase 37 percentage 38 increase 39 of 40 bmd 40 bmd 41 in 41 in 42 group 42 group 43 a 44 was 49 % 45 2.2 47 and 47 and 48 1.8 47 and 49 % 49 % 53 p<0.001 50 , 51 respectively 50 , 53 p<0.001 53 p<0.001 54 ) no difference was observed between groups . 0 ###LEFT-WALL### 2 difference 0 ###LEFT-WALL### 4 observed 0 ###LEFT-WALL### 7 . 1 no 2 difference 2 difference 3 was 3 was 4 observed 4 observed 5 between 5 between 6 groups there were no changes in femoral neck bmd in both groups . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 12 . 1 there 2 were 2 were 4 changes 3 no 4 changes 4 changes 5 in 5 in 8 bmd 6 femoral 7 neck 7 neck 8 bmd 8 bmd 9 in 9 in 11 groups 10 both 11 groups two patients ( 1.9 % , 2/108 [ )(in group m and four patients ( 3.8 % , 4/105 ) [in] [group] [a] had new fracture onsets ( p>0.05 ) . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 24 had 0 ###LEFT-WALL### 31 . 1 two 2 patients 2 patients 5 % 2 patients 7 2/108 2 patients 24 had 3 ( 5 % 4 1.9 5 % 5 % 6 , 6 , 7 2/108 7 2/108 9 )(in 7 2/108 20 ) 9 )(in 12 and 10 group 11 m 10 group 12 and 12 and 14 patients 12 and 17 % 12 and 19 4/105 13 four 14 patients 15 ( 17 % 16 3.8 17 % 17 % 18 , 18 , 19 4/105 19 4/105 20 ) 24 had 27 onsets 25 new 26 fracture 26 fracture 27 onsets 27 onsets 29 p>0.05 28 ( 29 p>0.05 29 p>0.05 30 ) in group m , oc and ucoc decreased from baseline by 38.7 [%] and 82.3 % , respectively [(] p<0.001 ) . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 8 decreased 0 ###LEFT-WALL### 22 . 1 in 2 group 1 in 6 and 3 m 4 , 4 , 5 oc 4 , 6 and 6 and 7 ucoc 6 and 8 decreased 8 decreased 9 from 8 decreased 11 by 9 from 10 baseline 11 by 16 % 12 38.7 14 and 14 and 15 82.3 14 and 16 % 16 % 20 p<0.001 17 , 18 respectively 17 , 20 p<0.001 20 p<0.001 21 ) in group a , oc and ucoc decreased by 25.8 [%] and 34.8 % , respectively [(] p<0.001 ) . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 8 decreased 0 ###LEFT-WALL### 20 . 1 in 2 group 1 in 4 , 1 in 6 and 2 group 3 a 5 oc 6 and 6 and 7 ucoc 6 and 8 decreased 8 decreased 9 by 9 by 14 % 10 25.8 12 and 12 and 13 34.8 12 and 14 % 14 % 18 p<0.001 15 , 16 respectively 15 , 18 p<0.001 18 p<0.001 19 ) decreases in serum oc and ucoc were more obvious in group m than in group a ( p<0.001 ) . 0 ###LEFT-WALL### 1 decreases 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 20 . 1 decreases 2 in 1 decreases 7 were 2 in 5 and 3 serum 4 oc 4 oc 5 and 5 and 6 ucoc 7 were 9 obvious 8 more 9 obvious 9 obvious 10 in 9 obvious 13 than 10 in 11 group 11 group 12 m 13 than 14 in 14 in 15 group 15 group 16 a 15 group 18 p<0.001 17 ( 18 p<0.001 18 p<0.001 19 ) the safety profile of menatetrenone was similar to alfacalcidol . 0 ###LEFT-WALL### 3 profile 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 10 . 1 the 3 profile 2 safety 3 profile 3 profile 4 of 3 profile 6 was 4 of 5 menatetrenone 6 was 7 similar 7 similar 8 to 8 to 9 alfacalcidol conclusion : menatetrenone is an effective and safe choice in the treatment of postmenopausal osteoporosis in chinese women . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 menatetrenone 2 : 4 is 2 : 19 . 3 menatetrenone 4 is 4 is 9 choice 5 an 9 choice 6 effective 7 and 7 and 8 safe 7 and 9 choice 9 choice 10 in 10 in 12 treatment 11 the 12 treatment 12 treatment 13 of 13 of 15 osteoporosis 14 postmenopausal 15 osteoporosis 15 osteoporosis 16 in 16 in 18 women 17 chinese 18 women background : executive function impairment ( in particular , mental flexibility [ )(in the elderly , and in patients with mild cognitive impairment ( mci ) , is strongly correlated with difficulties in performing complex [walking] tasks . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 38 . 2 : 5 impairment 2 : 30 correlated 3 executive 5 impairment 4 function 5 impairment 5 impairment 7 in 5 impairment 28 is 6 ( 7 in 7 in 11 flexibility 7 in 27 , 8 particular 9 , 8 particular 11 flexibility 10 mental 11 flexibility 11 flexibility 17 and 11 flexibility 20 with 11 flexibility 25 mci 13 )(in 15 elderly 13 )(in 17 and 14 the 15 elderly 16 , 17 and 17 and 18 in 18 in 19 patients 20 with 23 impairment 21 mild 23 impairment 22 cognitive 23 impairment 24 ( 25 mci 25 mci 26 ) 28 is 29 strongly 28 is 30 correlated 30 correlated 31 with 30 correlated 33 in 31 with 32 difficulties 33 in 37 tasks 34 performing 37 tasks 35 complex 37 tasks the aim of this study was to determine if the adaptation of a neuropsychological test ( the trail - making test ) , to evaluate executive functions during walking , can be an early detection tool for cognitive impairment . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 32 be 0 ###LEFT-WALL### 40 . 1 the 2 aim 2 aim 3 of 2 aim 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 8 determine 7 to 8 determine 8 determine 9 if 8 determine 28 during 9 if 11 adaptation 9 if 27 functions 10 the 11 adaptation 11 adaptation 12 of 11 adaptation 24 to 11 adaptation 25 evaluate 11 adaptation 27 functions 12 of 15 test 13 a 14 neuropsychological 13 a 15 test 14 neuropsychological 15 test 15 test 18 trail 16 ( 18 trail 17 the 18 trail 18 trail 20 making 18 trail 23 , 19 - 20 making 20 making 21 test 20 making 22 ) 24 to 25 evaluate 25 evaluate 26 executive 28 during 30 , 29 walking 30 , 30 , 31 can 31 can 32 be 32 be 36 tool 33 an 34 early 33 an 36 tool 34 early 35 detection 35 detection 36 tool 36 tool 37 for 37 for 39 impairment 38 cognitive 39 impairment all subjects then performed a spatial navigation , or a complex walking test ( the walking trail - making test : [ wtmt ] ) , and their spatiotemporal [walking] variables were analyzed using cluster analysis . 0 ###LEFT-WALL### 2 subjects 0 ###LEFT-WALL### 4 performed 0 ###LEFT-WALL### 27 and 0 ###LEFT-WALL### 37 . 1 all 2 subjects 2 subjects 4 performed 3 then 4 performed 4 performed 13 test 5 a 6 spatial 5 a 13 test 6 spatial 7 navigation 7 navigation 9 or 8 , 9 or 9 or 11 complex 9 or 12 walking 9 or 13 test 10 a 11 complex 13 test 18 - 14 ( 18 - 15 the 17 trail 16 walking 17 trail 17 trail 18 - 18 - 19 making 18 - 25 ) 19 making 20 test 19 making 21 : 19 making 23 wtmt 20 test 21 : 22 [ 23 wtmt 23 wtmt 24 ] 26 , 27 and 27 and 31 variables 27 and 33 analyzed 28 their 31 variables 29 spatiotemporal 31 variables 31 variables 32 were 32 were 33 analyzed 33 analyzed 34 using 34 using 36 analysis 35 cluster 36 analysis results : following evaluation of wtmt locomotor performance , cluster analysis revealed three groups that were distinctly different in age and cognitive abilities : a group of young subjects , a group of healthy older subjects , [mci] subjects with amnestic impairment , and a group of [mci] subjects with executive function impairment . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 , 1 results 2 : 2 : 3 following 3 following 4 evaluation 4 evaluation 5 of 5 of 8 performance 6 wtmt 7 locomotor 7 locomotor 8 performance 9 , 11 analysis 9 , 12 revealed 9 , 21 and 10 cluster 11 analysis 11 analysis 12 revealed 12 revealed 14 groups 13 three 14 groups 14 groups 15 that 14 groups 16 were 15 that 16 were 16 were 17 distinctly 16 were 18 different 18 different 19 in 19 in 20 age 21 and 23 abilities 21 and 24 : 22 cognitive 23 abilities 23 abilities 24 : 24 : 26 group 25 a 26 group 26 group 27 of 27 of 39 subjects 28 young 37 , 28 young 39 subjects 29 subjects 36 subjects 30 , 36 subjects 31 a 32 group 32 group 33 of 32 group 36 subjects 33 of 36 subjects 34 healthy 36 subjects 35 older 36 subjects 36 subjects 37 , 39 subjects 40 with 40 with 44 and 41 amnestic 42 impairment 42 impairment 44 and 43 , 44 and 44 and 46 group 44 and 54 . 45 a 46 group 46 group 47 of 47 of 49 subjects 49 subjects 50 with 50 with 53 impairment 51 executive 52 function 52 function 53 impairment the wtmt enabled early detection [,] ( ie , borderline mci [ )(of dysexecutive impairment , with 78 % sensitivity and 90 % specificity . 0 ###LEFT-WALL### 2 wtmt 0 ###LEFT-WALL### 3 enabled 0 ###LEFT-WALL### 25 . 1 the 2 wtmt 2 wtmt 3 enabled 3 enabled 5 detection 3 enabled 17 with 4 early 5 detection 5 detection 10 borderline 7 ( 10 borderline 8 ie 9 , 8 ie 10 borderline 10 borderline 11 mci 10 borderline 13 )(of 10 borderline 16 , 13 )(of 15 impairment 14 dysexecutive 15 impairment 17 with 21 and 18 78 19 % 19 % 20 sensitivity 20 sensitivity 21 and 21 and 24 specificity 22 90 23 % 23 % 24 specificity conclusion : the wtmt is of interest in that it can help provide early detection of dysexecutive cognitive impairment . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 wtmt 2 : 5 is 2 : 20 . 3 the 4 wtmt 4 wtmt 5 is 5 is 6 of 5 is 9 that 6 of 7 interest 8 in 9 that 9 that 10 it 9 that 13 provide 10 it 11 can 11 can 12 help 12 help 13 provide 13 provide 15 detection 14 early 15 detection 15 detection 16 of 16 of 19 impairment 17 dysexecutive 19 impairment 18 cognitive 19 impairment selenium is an essential trace element , which is incorporated as selenocysteine into at least 25 selenoproteins using a unique translational uga - recoding mechanism . 0 ###LEFT-WALL### 1 selenium 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 23 - 1 selenium 2 is 2 is 6 element 3 an 4 essential 3 an 6 element 4 essential 5 trace 5 trace 6 element 6 element 8 which 7 , 8 which 8 which 9 is 8 which 23 - 9 is 10 incorporated 10 incorporated 11 as 10 incorporated 13 into 10 incorporated 18 using 11 as 12 selenocysteine 13 into 17 selenoproteins 14 at 15 least 15 least 16 25 16 25 17 selenoproteins 18 using 22 uga 19 a 22 uga 20 unique 22 uga 21 translational 22 uga 23 - 25 mechanism 23 - 26 . 24 recoding 25 mechanism selenoproteins are important enzymes involved in antioxidant defense , redox homeostasis , and redox signaling pathways . 0 ###LEFT-WALL### 1 selenoproteins 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 17 . 1 selenoproteins 2 are 2 are 4 enzymes 2 are 6 in 2 are 15 signaling 3 important 4 enzymes 4 enzymes 5 involved 6 in 13 and 7 antioxidant 8 defense 8 defense 9 , 9 , 11 homeostasis 9 , 13 and 10 redox 11 homeostasis 12 , 13 and 13 and 14 redox 15 signaling 16 pathways selenium levels decline during aging , and its deficiency is associated with a marked increase in mortality for people over 60 years of age . 0 ###LEFT-WALL### 2 levels 0 ###LEFT-WALL### 3 decline 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 25 . 1 selenium 2 levels 2 levels 3 decline 3 decline 4 during 4 during 5 aging 6 , 7 and 7 and 9 deficiency 7 and 11 associated 8 its 9 deficiency 9 deficiency 10 is 10 is 11 associated 11 associated 12 with 11 associated 16 in 11 associated 20 over 12 with 15 increase 13 a 15 increase 14 marked 15 increase 16 in 17 mortality 17 mortality 18 for 18 for 19 people 20 over 22 years 21 60 22 years 22 years 23 of 23 of 24 age here , we investigate the relationship between selenium levels in the culture medium , selenoprotein expression , and replicative life span of human embryonic lung fibroblast wi - 38 cells . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 investigate 0 ###LEFT-WALL### 28 - 1 here 2 , 1 here 3 we 3 we 4 investigate 4 investigate 6 relationship 4 investigate 7 between 5 the 6 relationship 7 between 9 levels 8 selenium 9 levels 9 levels 10 in 9 levels 18 and 10 in 13 medium 11 the 13 medium 12 culture 13 medium 14 , 18 and 15 selenoprotein 16 expression 16 expression 18 and 17 , 18 and 18 and 21 span 18 and 22 of 18 and 28 - 19 replicative 21 span 20 life 21 span 22 of 27 wi 23 human 25 lung 24 embryonic 25 lung 25 lung 27 wi 26 fibroblast 27 wi 28 - 30 cells 28 - 31 . 29 38 30 cells selenium levels regulate the entry into replicative senescence and modify the cellular markers characteristic for senescent cells . 0 ###LEFT-WALL### 2 levels 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 18 . 1 selenium 2 levels 2 levels 9 and 3 regulate 5 entry 3 regulate 6 into 3 regulate 9 and 4 the 5 entry 6 into 8 senescence 7 replicative 8 senescence 9 and 10 modify 9 and 17 cells 10 modify 13 markers 11 the 13 markers 12 cellular 13 markers 13 markers 14 characteristic 14 characteristic 15 for 15 for 16 senescent whereas selenium supplementation extends the number of population doublings , its deficiency impairs the proliferative capacity of wi - 38 cells . 0 ###LEFT-WALL### 8 population 0 ###LEFT-WALL### 9 doublings 0 ###LEFT-WALL### 10 , 1 whereas 3 supplementation 1 whereas 4 extends 1 whereas 8 population 2 selenium 3 supplementation 3 supplementation 4 extends 5 the 6 number 6 number 7 of 6 number 8 population 7 of 8 population 8 population 9 doublings 10 , 12 deficiency 10 , 13 impairs 10 , 19 - 11 its 12 deficiency 12 deficiency 13 impairs 13 impairs 16 capacity 14 the 16 capacity 15 proliferative 16 capacity 16 capacity 17 of 17 of 18 wi 19 - 21 cells 19 - 22 . 20 38 21 cells we observe that the expression of several selenoproteins involved in antioxidant defense is specifically affected in response to cellular senescence . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 observe 0 ###LEFT-WALL### 21 . 1 we 2 observe 2 observe 3 that 3 that 5 expression 3 that 15 affected 4 the 5 expression 5 expression 6 of 5 expression 13 is 6 of 8 selenoproteins 7 several 8 selenoproteins 8 selenoproteins 9 involved 9 involved 10 in 10 in 12 defense 11 antioxidant 12 defense 13 is 14 specifically 13 is 15 affected 15 affected 18 to 16 in 17 response 17 response 18 to 18 to 20 senescence 19 cellular 20 senescence their expression is selectively controlled by the modulation of mrna levels and translational recoding efficiencies . 0 ###LEFT-WALL### 2 expression 0 ###LEFT-WALL### 5 controlled 0 ###LEFT-WALL### 16 . 1 their 2 expression 2 expression 3 is 3 is 4 selectively 3 is 5 controlled 5 controlled 6 by 6 by 8 modulation 7 the 8 modulation 8 modulation 9 of 9 of 12 and 10 mrna 11 levels 11 levels 12 and 12 and 13 translational 12 and 14 recoding 14 recoding 15 efficiencies our data provide novel mechanistic insights into how selenium impacts the replicative life span of mammalian cells by identifying several selenoproteins as new targets of senescence . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 provide 0 ###LEFT-WALL### 27 . 1 our 2 data 2 data 3 provide 3 provide 6 insights 3 provide 7 into 3 provide 18 by 4 novel 6 insights 5 mechanistic 6 insights 7 into 8 how 8 how 9 selenium 8 how 10 impacts 9 selenium 10 impacts 10 impacts 14 span 11 the 14 span 12 replicative 13 life 13 life 14 span 14 span 15 of 15 of 17 cells 16 mammalian 17 cells 18 by 19 identifying 19 identifying 21 selenoproteins 20 several 21 selenoproteins 21 selenoproteins 22 as 21 selenoproteins 25 of 22 as 24 targets 23 new 24 targets 25 of 26 senescence background : human leukocyte telomere length ( ltl ) decreases with age and shorter ltl has previously been associated with increased prospective mortality . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 6 length 2 : 10 decreases 2 : 13 and 2 : 24 . 3 human 6 length 4 leukocyte 6 length 5 telomere 6 length 6 length 8 ltl 6 length 10 decreases 7 ( 8 ltl 8 ltl 9 ) 10 decreases 11 with 11 with 12 age 13 and 15 ltl 13 and 19 associated 14 shorter 15 ltl 15 ltl 16 has 16 has 18 been 17 previously 18 been 18 been 19 associated 19 associated 20 with 20 with 23 mortality 21 increased 23 mortality 22 prospective 23 mortality however , it is not clear whether ltl merely marks the health status of an individual by its association with parameters of immune [function] , for example , or whether telomere shortening also contributes causally to lifespan variation in humans . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 37 lifespan 0 ###LEFT-WALL### 41 . 1 however 2 , 1 however 3 it 3 it 4 is 4 is 5 not 4 is 6 clear 6 clear 7 whether 6 clear 17 by 6 clear 36 to 7 whether 8 ltl 7 whether 10 marks 8 ltl 10 marks 9 merely 10 marks 10 marks 13 status 11 the 13 status 12 health 13 status 13 status 14 of 14 of 16 individual 15 an 16 individual 17 by 19 association 18 its 19 association 19 association 20 with 19 association 32 shortening 19 association 34 contributes 20 with 21 parameters 21 parameters 22 of 22 of 29 or 23 immune 29 or 25 , 27 example 25 , 29 or 26 for 27 example 27 example 28 , 29 or 30 whether 31 telomere 32 shortening 32 shortening 34 contributes 33 also 34 contributes 35 causally 36 to 36 to 37 lifespan 37 lifespan 38 variation 38 variation 39 in 39 in 40 humans methods : we measured ltl in 870 nonagenarian siblings ( mean age 93 years ) , 1580 of their offspring and 725 spouses [thereof] ( mean age 59 years ) from the leiden longevity study ( lls ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 measured 2 : 39 . 3 we 4 measured 4 measured 5 ltl 4 measured 6 in 6 in 9 siblings 7 870 9 siblings 8 nonagenarian 9 siblings 9 siblings 14 years 9 siblings 17 1580 10 ( 14 years 11 mean 14 years 12 age 14 years 13 93 14 years 14 years 15 ) 16 , 17 1580 17 1580 18 of 17 1580 31 from 17 1580 38 ) 18 of 21 and 19 their 20 offspring 20 offspring 21 and 21 and 23 spouses 21 and 29 years 22 725 23 spouses 25 ( 29 years 26 mean 29 years 27 age 29 years 28 59 29 years 29 years 30 ) 31 from 37 lls 32 the 37 lls 33 leiden 34 longevity 34 longevity 35 study 35 study 37 lls 36 ( 37 lls results : we found that shorter ltl is associated with increased prospective mortality in middle ( 30 - 80 years [;] hazard ratio ( hr )=0.75 , p=0.001 ) and highly advanced age ( ≥90 years [;] hr=0.92 , p=0.028 [ )(, and show that this association cannot be explained by the association of ltl with the immune - related markers insulin - like growth factor 1 to insulin - like growth factor binding protein 3 molar ratio , c - reactive protein , interleukin 6 , cytomegalovirus serostatus or white blood cell counts . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 found 2 : 3 we 3 we 4 found 4 found 7 ltl 4 found 9 associated 5 that 7 ltl 6 shorter 7 ltl 7 ltl 8 is 8 is 9 associated 9 associated 10 with 10 with 13 mortality 10 with 14 in 11 increased 13 mortality 12 prospective 13 mortality 14 in 15 middle 15 middle 18 - 16 ( 18 - 17 30 18 - 18 - 30 and 19 80 20 years 20 years 28 p=0.001 20 years 30 and 22 hazard 23 ratio 23 ratio 26 )=0.75 24 ( 26 )=0.75 25 hr 26 )=0.75 26 )=0.75 27 , 27 , 28 p=0.001 28 p=0.001 29 ) 30 and 33 age 30 and 38 hr=0.92 31 highly 32 advanced 32 advanced 33 age 34 ( 38 hr=0.92 35 ≥90 36 years 36 years 38 hr=0.92 38 hr=0.92 39 , 39 , 50 explained 40 p=0.028 43 and 42 )(, 43 and 43 and 44 show 43 and 45 that 43 and 49 be 43 and 50 explained 45 that 47 association 45 that 49 be 46 this 47 association 47 association 48 cannot 48 cannot 49 be 50 explained 51 by 51 by 53 association 52 the 53 association 53 association 54 of 53 association 64 like 54 of 55 ltl 55 ltl 56 with 55 ltl 62 insulin 56 with 58 immune 57 the 58 immune 59 - 62 insulin 60 related 62 insulin 61 markers 62 insulin 62 insulin 63 - 64 like 66 factor 65 growth 66 factor 66 factor 67 1 66 factor 68 to 68 to 69 insulin 69 insulin 71 like 69 insulin 81 - 70 - 71 like 71 like 78 ratio 71 like 79 , 72 growth 74 binding 73 factor 74 binding 74 binding 78 ratio 75 protein 78 ratio 76 3 77 molar 77 molar 78 ratio 79 , 81 - 80 c 81 - 81 - 83 protein 82 reactive 83 protein 83 protein 90 or 84 , 90 or 85 interleukin 86 6 85 interleukin 87 , 87 , 89 serostatus 87 , 90 or 88 cytomegalovirus 89 serostatus 90 or 91 white 90 or 93 cell 90 or 94 counts 90 or 95 . 92 blood 93 cell 93 cell 94 counts we found no difference in ltl between the middle - aged lls offspring and their spouses ( β=0.006 , p=0.932 ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 22 . 1 we 2 found 2 found 4 difference 2 found 5 in 2 found 7 between 3 no 4 difference 5 in 6 ltl 7 between 9 middle 8 the 9 middle 9 middle 14 and 9 middle 20 p=0.932 10 - 14 and 11 aged 13 offspring 12 lls 13 offspring 13 offspring 14 and 14 and 16 spouses 14 and 18 β=0.006 14 and 19 , 15 their 16 spouses 17 ( 18 β=0.006 18 β=0.006 19 , 19 , 20 p=0.932 20 p=0.932 21 ) [neither] did we observe an association of ltl - associated genetic variants with mortality in a prospective meta - analysis of multiple cohorts ( n=8165 ) . 0 ###LEFT-WALL### 2 did 0 ###LEFT-WALL### 27 . 2 did 3 we 2 did 4 observe 4 observe 6 association 5 an 6 association 6 association 7 of 7 of 8 ltl 8 ltl 12 variants 9 - 12 variants 10 associated 12 variants 11 genetic 12 variants 12 variants 13 with 12 variants 26 ) 13 with 14 mortality 14 mortality 15 in 15 in 20 analysis 16 a 17 prospective 16 a 20 analysis 17 prospective 20 analysis 18 meta 19 - 18 meta 20 analysis 20 analysis 21 of 21 of 23 cohorts 22 multiple 23 cohorts 23 cohorts 25 n=8165 24 ( 25 n=8165 25 n=8165 26 ) conclusions : we confirm ltl to be a marker of prospective mortality in middle [and] highly advanced age and additionally show that this association could not be explained by the association of ltl with various immune - related markers . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 40 . 2 : 3 we 2 : 4 confirm 3 we 4 confirm 4 confirm 5 ltl 4 confirm 6 to 6 to 19 and 7 be 9 marker 7 be 19 and 8 a 9 marker 9 marker 10 of 10 of 12 mortality 11 prospective 12 mortality 12 mortality 13 in 13 in 18 age 14 middle 18 age 16 highly 17 advanced 17 advanced 18 age 19 and 21 show 20 additionally 21 show 21 show 22 that 21 show 24 association 21 show 28 explained 23 this 24 association 24 association 25 could 25 could 26 not 25 could 27 be 27 be 28 explained 28 explained 29 by 29 by 31 association 30 the 31 association 31 association 32 of 32 of 33 ltl 33 ltl 34 with 34 with 39 markers 35 various 39 markers 36 immune 37 - 36 immune 39 markers 38 related 39 markers furthermore , the approaches performed here do not further support the hypothesis that ltl variation contributes to the genetic propensity for longevity . 0 ###LEFT-WALL### 4 approaches 0 ###LEFT-WALL### 10 support 0 ###LEFT-WALL### 23 . 1 furthermore 2 , 1 furthermore 4 approaches 3 the 4 approaches 4 approaches 5 performed 4 approaches 7 do 5 performed 6 here 7 do 8 not 7 do 10 support 9 further 10 support 10 support 12 hypothesis 11 the 12 hypothesis 12 hypothesis 13 that 13 that 15 variation 13 that 16 contributes 14 ltl 15 variation 15 variation 16 contributes 16 contributes 17 to 17 to 20 propensity 18 the 20 propensity 19 genetic 20 propensity 20 propensity 21 for 21 for 22 longevity advances in research methods , data collection and record keeping , and statistical software have substantially increased our ability to conduct rigorous research across the lifespan . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 17 increased 0 ###LEFT-WALL### 27 . 1 advances 2 in 1 advances 5 , 2 in 4 methods 3 research 4 methods 5 , 7 collection 5 , 8 and 6 data 7 collection 8 and 10 keeping 8 and 12 and 9 record 10 keeping 11 , 12 and 12 and 14 software 12 and 15 have 13 statistical 14 software 15 have 17 increased 16 substantially 17 increased 17 increased 19 ability 18 our 19 ability 19 ability 20 to 19 ability 21 conduct 20 to 21 conduct 21 conduct 23 research 22 rigorous 23 research 23 research 24 across 24 across 26 lifespan 25 the 26 lifespan in this article , we review a set of cutting - edge statistical methods that life [-] course researchers can use to rigorously address their research questions . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 review 0 ###LEFT-WALL### 28 . 1 in 3 article 1 in 4 , 1 in 5 we 2 this 3 article 5 we 6 review 6 review 8 set 7 a 8 set 8 set 9 of 8 set 15 that 8 set 21 use 9 of 14 methods 10 cutting 11 - 10 cutting 12 edge 12 edge 14 methods 13 statistical 14 methods 15 that 19 researchers 15 that 21 use 16 life 19 researchers 18 course 19 researchers 19 researchers 20 can 20 can 21 use 21 use 22 to 22 to 24 address 23 rigorously 24 address 24 address 27 questions 25 their 27 questions 26 research 27 questions for each technique , we describe the method , highlight the benefits and unique attributes of the strategy , [offer] a step - [by] - step guide on how to conduct the analysis , and illustrate the technique using data from the national institute of child health and human development study of early child care and youth development . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 59 . 1 for 3 technique 1 for 4 , 1 for 5 we 2 each 3 technique 5 we 9 , 6 describe 8 method 6 describe 9 , 7 the 8 method 9 , 10 highlight 9 , 51 study 10 highlight 27 guide 10 highlight 39 using 11 the 27 guide 12 benefits 13 and 13 and 15 attributes 13 and 25 - 13 and 26 step 14 unique 15 attributes 15 attributes 16 of 16 of 18 strategy 17 the 18 strategy 18 strategy 22 step 19 , 22 step 21 a 22 step 22 step 23 - 26 step 27 guide 27 guide 28 on 28 on 29 how 29 how 30 to 29 how 35 and 30 to 35 and 31 conduct 33 analysis 31 conduct 35 and 32 the 33 analysis 34 , 35 and 35 and 36 illustrate 36 illustrate 38 technique 37 the 38 technique 39 using 40 data 40 data 41 from 40 data 45 of 41 from 44 institute 42 the 44 institute 43 national 44 institute 45 of 48 and 46 child 47 health 47 health 48 and 48 and 50 development 49 human 50 development 51 study 52 of 52 of 56 and 53 early 54 child 54 child 55 care 55 care 56 and 56 and 58 development 57 youth 58 development in addition , we recommend a set of technical and empirical readings for each technique . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 recommend 0 ###LEFT-WALL### 16 . 1 in 2 addition 1 in 3 , 1 in 4 we 4 we 5 recommend 5 recommend 7 set 6 a 7 set 7 set 8 of 8 of 12 readings 9 technical 10 and 10 and 11 empirical 10 and 12 readings 12 readings 13 for 13 for 15 technique 14 each 15 technique our goal was not to address a substantive question of interest but instead to provide life - course researchers with a useful reference guide to cutting - edge statistical methods . 0 ###LEFT-WALL### 2 goal 0 ###LEFT-WALL### 17 - 0 ###LEFT-WALL### 31 . 1 our 2 goal 2 goal 3 was 3 was 4 not 3 was 5 to 3 was 6 address 5 to 6 address 6 address 9 question 6 address 12 but 7 a 9 question 8 substantive 9 question 9 question 10 of 10 of 11 interest 12 but 14 to 12 but 15 provide 13 instead 14 to 14 to 15 provide 15 provide 16 life 17 - 19 researchers 18 course 19 researchers 19 researchers 20 with 19 researchers 25 to 20 with 24 guide 21 a 24 guide 22 useful 23 reference 23 reference 24 guide 25 to 30 methods 26 cutting 27 - 26 cutting 28 edge 28 edge 30 methods 29 statistical 30 methods none studies suggest improvements of [neurocognitive] function among older adults who undergo aerobic exercise training . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 7 function 0 ###LEFT-WALL### 16 . 1 none 2 studies 1 none 5 of 1 none 7 function 2 studies 3 suggest 3 suggest 4 improvements 4 improvements 5 of 7 function 8 among 8 among 10 adults 9 older 10 adults 10 adults 11 who 10 adults 12 undergo 11 who 12 undergo 12 undergo 15 training 13 aerobic 14 exercise 14 exercise 15 training this study sought to examine the impact of an aerobic exercise intervention on verbal fluency in sedentary older adults . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 sought 0 ###LEFT-WALL### 20 . 1 this 2 study 2 study 3 sought 3 sought 4 to 3 sought 5 examine 4 to 5 examine 5 examine 7 impact 5 examine 13 on 5 examine 16 in 6 the 7 impact 7 impact 8 of 8 of 12 intervention 9 an 10 aerobic 9 an 12 intervention 10 aerobic 11 exercise 11 exercise 12 intervention 13 on 15 fluency 14 verbal 15 fluency 16 in 19 adults 17 sedentary 19 adults 18 older 19 adults twenty community - dwelling older adults were recruited and enrolled in either a spin exercise group or a control condition . 0 ###LEFT-WALL### 2 community 0 ###LEFT-WALL### 3 - 1 twenty 2 community 3 - 6 adults 3 - 9 and 3 - 21 . 4 dwelling 6 adults 5 older 6 adults 6 adults 9 and 7 were 8 recruited 7 were 9 and 9 and 10 enrolled 9 and 11 in 11 in 17 or 12 either 17 or 13 a 14 spin 13 a 16 group 14 spin 16 group 15 exercise 16 group 16 group 17 or 17 or 20 condition 18 a 19 control 18 a 20 condition 19 control 20 condition participants were evaluated with an estimated v02max test and [on] measures [of] letter , category , and switching verbal fluency both before and after a 12 [-] week intervention period . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 3 evaluated 0 ###LEFT-WALL### 31 . 1 participants 2 were 2 were 3 evaluated 3 evaluated 4 with 4 with 17 and 4 with 21 both 5 an 8 test 6 estimated 8 test 7 v02max 8 test 8 test 9 and 9 and 13 letter 9 and 14 , 11 measures 13 letter 14 , 15 category 14 , 17 and 16 , 17 and 17 and 20 fluency 18 switching 20 fluency 19 verbal 20 fluency 21 both 23 and 22 before 23 and 23 and 24 after 24 after 30 period 25 a 30 period 26 12 28 week 28 week 30 period 29 intervention 30 period spin exercise resulted in a significant improvement in category [(] semantic ) verbal fluency when compared with the control group ( 15 % vs [.] 2 % [increase] , respectively ; p = . 001 [ )( 0 ###LEFT-WALL### 2 exercise 0 ###LEFT-WALL### 3 resulted 0 ###LEFT-WALL### 31 ; 0 ###LEFT-WALL### 34 . 1 spin 2 exercise 2 exercise 3 resulted 3 resulted 4 in 3 resulted 15 when 4 in 7 improvement 5 a 7 improvement 6 significant 7 improvement 7 improvement 8 in 8 in 14 fluency 9 category 14 fluency 11 semantic 12 ) 11 semantic 14 fluency 13 verbal 14 fluency 15 when 16 compared 16 compared 17 with 16 compared 30 respectively 17 with 20 group 18 the 20 group 19 control 20 group 20 group 23 % 21 ( 23 % 22 15 23 % 23 % 24 vs 23 % 29 , 24 vs 27 % 26 2 27 % 31 ; 32 p 31 ; 33 = 32 p 33 = 34 . 35 001 34 . 37 )( spin exercise also resulted in a significant improvement in estimated v02max ( p = [.] 005 ) . 0 ###LEFT-WALL### 2 exercise 0 ###LEFT-WALL### 4 resulted 0 ###LEFT-WALL### 18 . 1 spin 2 exercise 2 exercise 4 resulted 3 also 4 resulted 4 resulted 5 in 4 resulted 9 in 5 in 8 improvement 6 a 7 significant 6 a 8 improvement 7 significant 8 improvement 9 in 11 v02max 10 estimated 11 v02max 11 v02max 14 = 12 ( 14 = 13 p 14 = 14 = 16 005 14 = 17 ) also important , the spin exercise group demonstrated a high level [of] adherence ( mean adherence [=] 82.5 [%] ) . 0 ###LEFT-WALL### 7 group 0 ###LEFT-WALL### 8 demonstrated 0 ###LEFT-WALL### 21 . 1 also 2 important 2 important 3 , 2 important 7 group 4 the 7 group 5 spin 7 group 6 exercise 7 group 7 group 8 demonstrated 8 demonstrated 13 adherence 9 a 10 high 9 a 13 adherence 10 high 13 adherence 11 level 13 adherence 13 adherence 16 adherence 14 ( 16 adherence 15 mean 16 adherence 16 adherence 18 82.5 16 adherence 20 ) spin exercise can be an effective mode of aerobic exercise to improve semantic fluency in previously sedentary older adults . 0 ###LEFT-WALL### 2 exercise 0 ###LEFT-WALL### 4 be 0 ###LEFT-WALL### 20 . 1 spin 2 exercise 2 exercise 3 can 3 can 4 be 4 be 7 mode 4 be 11 to 5 an 6 effective 5 an 7 mode 6 effective 7 mode 7 mode 8 of 8 of 10 exercise 9 aerobic 10 exercise 11 to 12 improve 12 improve 14 fluency 12 improve 15 in 13 semantic 14 fluency 15 in 19 adults 16 previously 17 sedentary 17 sedentary 19 adults 18 older 19 adults this study evaluates the separate effect and retention of 12 - week traditional [(] te ) and horse ( he ) exercise programs on physical function [in] healthy older participants ( 61 to 87 years old ) . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 evaluates 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 38 . 1 this 2 study 2 study 3 evaluates 3 evaluates 6 effect 4 the 6 effect 5 separate 6 effect 7 and 17 and 7 and 22 exercise 8 retention 9 of 8 retention 17 and 9 of 10 12 10 12 15 te 11 - 15 te 12 week 15 te 13 traditional 15 te 15 te 16 ) 17 and 18 horse 17 and 20 he 17 and 22 exercise 19 ( 20 he 20 he 21 ) 22 exercise 23 programs 22 exercise 24 on 24 on 30 participants 25 physical 26 function 26 function 30 participants 28 healthy 30 participants 29 older 30 participants 30 participants 36 old 31 ( 36 old 32 61 33 to 33 to 34 87 33 to 35 years 35 years 36 old 36 old 37 ) thirty - eight participants were randomly assigned to three groups : te ( n = 17 ) , he ( n = 10 ) , and control group ( n = 11 ) . 0 ###LEFT-WALL### 4 participants 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 11 : 1 thirty 2 - 2 - 3 eight 2 - 4 participants 4 participants 5 were 5 were 6 randomly 5 were 7 assigned 7 assigned 8 to 8 to 10 groups 9 three 10 groups 11 : 26 and 11 : 28 group 11 : 34 . 12 te 15 = 12 te 18 , 13 ( 15 = 14 n 15 = 15 = 16 17 15 = 17 ) 18 , 19 he 18 , 26 and 19 he 22 = 20 ( 22 = 21 n 22 = 22 = 23 10 22 = 24 ) 25 , 26 and 26 and 27 control 26 and 28 group 28 group 31 = 29 ( 31 = 30 n 31 = 31 = 32 11 31 = 33 ) te and he underwent a supervised exercise program ( 3 [day] / week ) . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 4 underwent 0 ###LEFT-WALL### 15 . 1 te 2 and 2 and 3 he 2 and 4 underwent 4 underwent 8 program 5 a 8 program 6 supervised 7 exercise 7 exercise 8 program 8 program 13 week 9 ( 13 week 10 3 13 week 12 / 13 week 13 week 14 ) maximal gait speed , muscle strength , and body balance were assessed at weeks 0 , 12 , [and] 16 . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 12 assessed 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 21 . 1 maximal 3 speed 2 gait 3 speed 3 speed 4 , 4 , 6 strength 4 , 8 and 5 muscle 6 strength 7 , 8 and 8 and 10 balance 8 and 11 were 9 body 10 balance 11 were 12 assessed 12 assessed 13 at 13 at 14 weeks 14 weeks 15 0 16 , 17 12 16 , 18 , 18 , 20 16 only te and he displayed significant improvements ( p < [.] 05 [ )(in knee extensor strength , and only he had faster gait speed . 0 ###LEFT-WALL### 1 only 0 ###LEFT-WALL### 22 had 0 ###LEFT-WALL### 26 . 1 only 3 and 2 te 3 and 3 and 4 he 3 and 5 displayed 3 and 7 improvements 3 and 15 knee 3 and 22 had 6 significant 7 improvements 7 improvements 10 < 7 improvements 15 knee 8 ( 10 < 9 p 10 < 10 < 14 )(in 12 05 14 )(in 15 knee 19 and 16 extensor 17 strength 17 strength 19 and 18 , 19 and 19 and 20 only 19 and 21 he 22 had 25 speed 23 faster 24 gait 24 gait 25 speed marginal balance improvements were found only in he in the medial - lateral direction . 0 ###LEFT-WALL### 3 improvements 0 ###LEFT-WALL### 5 found 0 ###LEFT-WALL### 15 . 1 marginal 2 balance 2 balance 3 improvements 3 improvements 4 were 4 were 5 found 5 found 6 only 5 found 9 in 6 only 7 in 7 in 8 he 9 in 14 direction 10 the 14 direction 11 medial 12 - 11 medial 14 direction 13 lateral 14 direction however , te showed larger improvements in handgrip than he . 0 ###LEFT-WALL### 3 te 0 ###LEFT-WALL### 4 showed 0 ###LEFT-WALL### 11 . 1 however 2 , 1 however 3 te 3 te 4 showed 4 showed 6 improvements 4 showed 7 in 4 showed 9 than 5 larger 6 improvements 7 in 8 handgrip 9 than 10 he the largest retention was in knee extensor strength but most of the exercise effects were lost in [the] follow - up . 0 ###LEFT-WALL### 3 retention 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 9 but 1 the 2 largest 1 the 3 retention 3 retention 4 was 4 was 5 in 5 in 8 strength 6 knee 8 strength 7 extensor 8 strength 9 but 10 most 9 but 19 follow 10 most 11 of 10 most 16 lost 10 most 19 follow 11 of 13 exercise 12 the 13 exercise 13 exercise 14 effects 13 exercise 15 were 14 effects 15 were 16 lost 17 in 19 follow 21 up 20 - 21 up 21 up 22 . besides te , exercise with a horse may be an alternative option to older adults , provided that they want to interact with the animal . 0 ###LEFT-WALL### 4 exercise 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 26 . 1 besides 2 te 1 besides 3 , 1 besides 4 exercise 4 exercise 5 with 4 exercise 16 , 5 with 7 horse 6 a 7 horse 8 may 9 be 8 may 16 , 9 be 12 option 10 an 11 alternative 10 an 12 option 11 alternative 12 option 12 option 13 to 13 to 15 adults 14 older 15 adults 16 , 17 provided 17 provided 18 that 18 that 19 they 18 that 20 want 19 they 20 want 20 want 21 to 20 want 22 interact 21 to 22 interact 22 interact 23 with 23 with 25 animal 24 the 25 animal unlabelled : limited data exist regarding metabolic risk factors for deaths from hepatocellular carcinoma ( hcc ) in aging individuals . 0 ###LEFT-WALL### 1 unlabelled 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 4 data 2 : 5 exist 3 limited 4 data 4 data 5 exist 5 exist 9 factors 6 regarding 9 factors 7 metabolic 9 factors 8 risk 9 factors 9 factors 10 for 10 for 11 deaths 11 deaths 12 from 11 deaths 18 in 12 from 14 carcinoma 13 hepatocellular 14 carcinoma 14 carcinoma 16 hcc 15 ( 16 hcc 16 hcc 17 ) 18 in 19 aging 19 aging 20 individuals we investigated the association between diabetes , dyslipidemia , and hcc mortality in those aged 40 years or more [(] middle - aged and elderly ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 investigated 0 ###LEFT-WALL### 27 . 1 we 2 investigated 2 investigated 10 and 3 the 4 association 4 association 5 between 4 association 7 , 5 between 6 diabetes 7 , 8 dyslipidemia 7 , 10 and 9 , 10 and 10 and 21 middle 10 and 24 and 11 hcc 12 mortality 12 mortality 13 in 12 mortality 18 or 13 in 17 years 14 those 17 years 15 aged 17 years 16 40 17 years 18 or 19 more 18 or 21 middle 22 - 24 and 23 aged 24 and 24 and 25 elderly 24 and 26 ) in this prospective cohort study based on nationwide health screening units , we consecutively followed middle [-] aged and elderly participants who had no chronic hepatitis b or [c] virus infection and received health screening from january 1 1998 to december 31 2008 . 0 ###LEFT-WALL### 13 we 0 ###LEFT-WALL### 44 . 1 in 5 study 1 in 13 we 2 this 3 prospective 3 prospective 4 cohort 4 cohort 5 study 6 based 7 on 6 based 12 , 6 based 13 we 7 on 9 health 8 nationwide 9 health 9 health 10 screening 10 screening 11 units 13 we 15 followed 14 consecutively 15 followed 15 followed 21 participants 16 middle 21 participants 18 aged 19 and 19 and 20 elderly 19 and 21 participants 21 participants 22 who 21 participants 23 had 22 who 23 had 23 had 32 and 24 no 32 and 25 chronic 26 hepatitis 26 hepatitis 27 b 26 hepatitis 28 or 28 or 31 infection 28 or 32 and 30 virus 31 infection 32 and 34 health 32 and 35 screening 33 received 34 health 35 screening 36 from 35 screening 39 1998 35 screening 40 to 36 from 37 january 37 january 38 1 40 to 41 december 41 december 42 31 41 december 43 2008 there were 235 deaths from hcc among 50,080 individuals , ascertained by validated death certificates and the national death registry . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 1 there 2 were 2 were 4 deaths 3 235 4 deaths 4 deaths 5 from 4 deaths 7 among 5 from 6 hcc 7 among 9 individuals 8 50,080 9 individuals 9 individuals 11 ascertained 10 , 11 ascertained 11 ascertained 12 by 11 ascertained 21 . 12 by 16 and 13 validated 14 death 14 death 15 certificates 15 certificates 16 and 16 and 20 registry 17 the 20 registry 18 national 20 registry 19 death 20 registry diabetes [(] adjusted hazard [ratio] [ hr ] , 3.38 ; 95 % confidence [interval] [ ci ] , 2.35 to 4.86 ) was positively associated with deaths from hcc . 0 ###LEFT-WALL### 1 diabetes 0 ###LEFT-WALL### 3 adjusted 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 31 . 1 diabetes 3 adjusted 3 adjusted 4 hazard 4 hazard 7 hr 6 [ 7 hr 7 hr 8 ] 9 , 10 3.38 9 , 11 ; 11 ; 14 confidence 11 ; 26 associated 12 95 13 % 13 % 14 confidence 14 confidence 17 ci 14 confidence 21 to 14 confidence 24 was 16 [ 17 ci 17 ci 18 ] 19 , 21 to 20 2.35 21 to 21 to 22 4.86 21 to 23 ) 24 was 26 associated 25 positively 26 associated 26 associated 27 with 26 associated 29 from 27 with 28 deaths 29 from 30 hcc however , hypertriglyceridemia ( hr , 0.38 [;] 95 % ci , 0.26 to 0.55 ) and hypercholesterolemia ( hr , 0.50 [;] 95 % ci , 0.37 to 0.67 ) were inversely associated with hcc mortality . 0 ###LEFT-WALL### 3 hypertriglyceridemia 0 ###LEFT-WALL### 34 associated 0 ###LEFT-WALL### 38 . 1 however 2 , 1 however 3 hypertriglyceridemia 3 hypertriglyceridemia 17 and 3 hypertriglyceridemia 32 were 4 ( 17 and 5 hr 11 ci 5 hr 17 and 6 , 11 ci 7 0.38 11 ci 9 95 11 ci 10 % 11 ci 11 ci 14 to 11 ci 16 ) 12 , 14 to 13 0.26 14 to 14 to 15 0.55 14 to 16 ) 17 and 18 hypercholesterolemia 17 and 20 hr 17 and 26 ci 17 and 29 to 17 and 31 ) 19 ( 20 hr 20 hr 21 , 21 , 26 ci 22 0.50 26 ci 24 95 26 ci 25 % 26 ci 26 ci 27 , 27 , 29 to 28 0.37 29 to 29 to 30 0.67 29 to 31 ) 32 were 34 associated 33 inversely 34 associated 34 associated 35 with 35 with 37 mortality 36 hcc 37 mortality the [above] significant associations remained in the lag time analyses , applied to check for reverse causation . 0 ###LEFT-WALL### 4 associations 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 18 . 1 the 4 associations 3 significant 4 associations 4 associations 11 , 5 remained 6 in 5 remained 11 , 6 in 10 analyses 7 the 10 analyses 8 lag 10 analyses 9 time 10 analyses 11 , 12 applied 11 , 13 to 11 , 15 for 13 to 14 check 15 for 17 causation 16 reverse 17 causation metabolic syndrome [,] [as] defined by the american heart association [/] national heart lung blood institute criteria [(] [hr] [,] [0.63] [;] [95] [%] [ci] [,] 0.46 to 0.86 [ )( by the international diabetes federation criteria ( hr , 0.62 [;] 95 % ci , 0.43 to 0.89 ) , [was] inversely associated [with] deaths from hcc , especially in men . 0 ###LEFT-WALL### 2 syndrome 0 ###LEFT-WALL### 5 defined 1 metabolic 2 syndrome 2 syndrome 5 defined 5 defined 6 by 5 defined 17 criteria 6 by 16 institute 7 the 16 institute 8 american 16 institute 9 heart 10 association 10 association 12 national 12 national 13 heart 13 heart 14 lung 14 lung 15 blood 15 blood 16 institute 17 criteria 27 0.46 17 criteria 28 to 28 to 29 0.86 29 0.86 32 by 29 0.86 39 hr 32 by 37 criteria 33 the 37 criteria 34 international 37 criteria 35 diabetes 36 federation 36 federation 37 criteria 38 ( 39 hr 39 hr 45 ci 39 hr 51 , 40 , 45 ci 41 0.62 45 ci 43 95 45 ci 44 % 45 ci 45 ci 48 to 45 ci 50 ) 46 , 48 to 47 0.43 48 to 48 to 49 0.89 48 to 50 ) 51 , 54 associated 53 inversely 54 associated 54 associated 56 deaths 54 associated 63 . 56 deaths 57 from 57 from 58 hcc 58 hcc 61 in 59 , 60 especially 59 , 61 in 61 in 62 men 61 in 63 . conclusion : middle - aged and elderly individuals , once having diabetes , deserve hcc surveillance to reduce hcc mortality . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 1 conclusion 2 : 2 : 3 middle 4 - 8 individuals 4 - 14 deserve 4 - 21 . 5 aged 6 and 6 and 7 elderly 6 and 8 individuals 8 individuals 11 having 8 individuals 14 deserve 9 , 11 having 10 once 11 having 11 having 12 diabetes 11 having 13 , 14 deserve 16 surveillance 14 deserve 17 to 15 hcc 16 surveillance 17 to 18 reduce 18 reduce 20 mortality 19 hcc 20 mortality more research is needed to elucidate [why] having baseline dyslipidemia relates to lower future hcc mortality . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 4 needed 0 ###LEFT-WALL### 17 . 1 more 2 research 2 research 3 is 3 is 4 needed 4 needed 5 to 5 to 6 elucidate 6 elucidate 9 baseline 8 having 9 baseline 9 baseline 10 dyslipidemia 9 baseline 11 relates 10 dyslipidemia 11 relates 11 relates 12 to 12 to 13 lower 13 lower 16 mortality 14 future 16 mortality 15 hcc 16 mortality background and purpose : lesioned brains of patients with stroke [may] change through the course of recovery ; however , little is known about their evolution in the chronic phase . 0 ###LEFT-WALL### 3 purpose 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 18 ; 0 ###LEFT-WALL### 31 . 1 background 2 and 2 and 3 purpose 3 purpose 4 : 4 : 6 brains 5 lesioned 6 brains 6 brains 7 of 7 of 8 patients 8 patients 9 with 8 patients 16 of 9 with 12 change 10 stroke 12 change 12 change 13 through 13 through 15 course 14 the 15 course 16 of 17 recovery 18 ; 21 little 18 ; 23 known 19 however 20 , 19 however 21 little 21 little 22 is 22 is 23 known 23 known 24 about 23 known 27 in 24 about 26 evolution 25 their 26 evolution 27 in 30 phase 28 the 30 phase 29 chronic 30 phase here , we aimed to quantify the extent of lesion volume change and brain atrophy in the chronic poststroke brain using magnetic resonance imaging . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 25 . 1 here 2 , 1 here 3 we 3 we 13 and 4 aimed 5 to 4 aimed 6 quantify 4 aimed 13 and 5 to 6 quantify 6 quantify 8 extent 7 the 8 extent 8 extent 9 of 9 of 12 change 10 lesion 11 volume 11 volume 12 change 13 and 14 brain 14 brain 15 atrophy 14 brain 16 in 14 brain 21 using 16 in 20 brain 17 the 20 brain 18 chronic 20 brain 19 poststroke 20 brain 21 using 24 imaging 22 magnetic 23 resonance 23 resonance 24 imaging methods : optimized t1 [-] weighted [scans] [were] collected more than once ( time between visits=2 months to 6 years ) in 56 patients ( age=36 - 90 years [;] time poststroke=3 months to 20 years ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 38 . 1 methods 2 : 2 : 4 t1 3 optimized 4 t1 4 t1 6 weighted 4 t1 9 collected 4 t1 14 time 9 collected 10 more 9 collected 11 than 9 collected 12 once 13 ( 14 time 14 time 15 between 14 time 37 ) 15 between 17 months 16 visits=2 17 months 17 months 29 years 17 months 31 time 18 to 20 years 18 to 21 ) 18 to 29 years 19 6 20 years 22 in 24 patients 22 in 29 years 23 56 24 patients 24 patients 26 age=36 25 ( 26 age=36 26 age=36 27 - 28 90 29 years 29 years 31 time 31 time 33 months 32 poststroke=3 33 months 33 months 34 to 34 to 36 years 35 20 36 years volumetric changes attributable to lesion growth and atrophy were quantified with automated procedures . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 10 quantified 0 ###LEFT-WALL### 14 . 1 volumetric 2 changes 2 changes 3 attributable 2 changes 7 and 3 attributable 4 to 3 attributable 5 lesion 4 to 5 lesion 5 lesion 6 growth 7 and 8 atrophy 7 and 9 were 9 were 10 quantified 10 quantified 11 with 11 with 13 procedures 12 automated 13 procedures we looked at [how] volumetric changes related to time between visits , using nonparametric statistics , after controlling for age , time poststroke , and brain and lesion size at the earlier time . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 looked 0 ###LEFT-WALL### 34 . 1 we 2 looked 2 looked 3 at 2 looked 8 to 2 looked 17 after 2 looked 30 at 3 at 6 changes 5 volumetric 6 changes 6 changes 7 related 8 to 9 time 9 time 10 between 9 time 13 using 10 between 11 visits 12 , 13 using 13 using 15 statistics 13 using 16 , 14 nonparametric 15 statistics 17 after 18 controlling 18 controlling 19 for 18 controlling 29 size 19 for 27 and 20 age 21 , 21 , 23 poststroke 21 , 25 and 22 time 23 poststroke 24 , 25 and 25 and 26 brain 25 and 27 and 27 and 28 lesion 30 at 33 time 31 the 33 time 32 earlier 33 time results : lesions expanded more in patients who had longer time - intervals between their imaging sessions ( partial rank correlation ρ=0.56 ; p<0.001 [ )( 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 )( 2 : 3 lesions 2 : 23 ; 3 lesions 4 expanded 3 lesions 6 in 3 lesions 8 who 3 lesions 9 had 4 expanded 5 more 6 in 7 patients 8 who 9 had 9 had 11 time 10 longer 11 time 11 time 13 intervals 12 - 13 intervals 13 intervals 14 between 13 intervals 22 ρ=0.56 13 intervals 23 ; 14 between 17 sessions 15 their 17 sessions 16 imaging 17 sessions 18 ( 22 ρ=0.56 19 partial 21 correlation 20 rank 21 correlation 21 correlation 22 ρ=0.56 22 ρ=0.56 23 ; 23 ; 24 p<0.001 the median rate of lesion growth was 1.59 [cm] ( 3 [ )(per year . 0 ###LEFT-WALL### 3 rate 0 ###LEFT-WALL### 7 was 1 the 3 rate 2 median 3 rate 3 rate 4 of 3 rate 7 was 4 of 6 growth 5 lesion 6 growth 7 was 8 1.59 8 1.59 11 3 10 ( 11 3 11 3 13 )(per 11 3 15 . 13 )(per 14 year across patients , the whole - brain atrophy rate was 0.95 % per year , with accelerated atrophy in the ipsilesional hemisphere . 0 ###LEFT-WALL### 9 rate 0 ###LEFT-WALL### 10 was 1 across 2 patients 1 across 3 , 1 across 9 rate 4 the 9 rate 5 whole 6 - 5 whole 7 brain 7 brain 9 rate 8 atrophy 9 rate 9 rate 10 was 10 was 12 % 11 0.95 12 % 12 % 13 per 12 % 16 with 13 per 14 year 15 , 16 with 16 with 18 atrophy 16 with 23 . 17 accelerated 18 atrophy 18 atrophy 19 in 19 in 22 hemisphere 20 the 22 hemisphere 21 ipsilesional 22 hemisphere conclusions : we show gradual lesion expansion many years [after] stroke , beyond that expected by normal aging and after controlling for other variables . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 show 3 we 4 show 4 show 7 expansion 5 gradual 6 lesion 6 lesion 7 expansion 7 expansion 9 years 7 expansion 11 stroke 8 many 9 years 9 years 11 stroke 11 stroke 13 beyond 12 , 13 beyond 13 beyond 14 that 13 beyond 25 . 14 that 15 expected 15 expected 19 and 16 by 18 aging 16 by 19 and 17 normal 18 aging 19 and 20 after 20 after 21 controlling 21 controlling 22 for 22 for 24 variables 23 other 24 variables future studies need to understand how structural reorganization enables long - term recovery even when the brain is shrinking . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 need 0 ###LEFT-WALL### 20 . 1 future 2 studies 2 studies 3 need 3 need 4 to 3 need 14 even 4 to 5 understand 5 understand 6 how 6 how 8 reorganization 6 how 9 enables 7 structural 8 reorganization 8 reorganization 9 enables 9 enables 13 recovery 10 long 11 - 10 long 12 term 12 term 13 recovery 14 even 15 when 15 when 17 brain 15 when 19 shrinking 16 the 17 brain 17 brain 18 is 18 is 19 shrinking background and purpose : cerebral autoregulation may be impaired in the early days after subarachnoid hemorrhage ( sah ) . 0 ###LEFT-WALL### 3 purpose 0 ###LEFT-WALL### 4 : 1 background 2 and 2 and 3 purpose 4 : 6 autoregulation 4 : 9 impaired 4 : 20 . 5 cerebral 6 autoregulation 6 autoregulation 7 may 7 may 8 be 8 be 9 impaired 9 impaired 10 in 9 impaired 14 after 10 in 13 days 11 the 13 days 12 early 13 days 14 after 16 hemorrhage 15 subarachnoid 16 hemorrhage 16 hemorrhage 18 sah 17 ( 18 sah 18 sah 19 ) the purpose of this study was to examine the relationship between cerebral autoregulation and angiographic vasospasm ( avsp ) and radiographic delayed cerebral ischemia ( dci ) in patients with sah . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 32 . 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 examine 7 to 8 examine 8 examine 10 relationship 8 examine 11 between 8 examine 28 in 9 the 10 relationship 11 between 20 and 12 cerebral 13 autoregulation 13 autoregulation 14 and 14 and 16 vasospasm 14 and 18 avsp 14 and 20 and 15 angiographic 16 vasospasm 17 ( 18 avsp 18 avsp 19 ) 20 and 24 ischemia 20 and 26 dci 21 radiographic 24 ischemia 22 delayed 24 ischemia 23 cerebral 24 ischemia 25 ( 26 dci 26 dci 27 ) 28 in 29 patients 29 patients 30 with 30 with 31 sah methods : sixty - eight patients ( 54±13 years ) with a diagnosis of nontraumatic sah [were] studied . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 1 methods 2 : 2 : 6 patients 2 : 11 with 3 sixty 4 - 4 - 5 eight 4 - 6 patients 6 patients 9 years 7 ( 9 years 8 54±13 9 years 9 years 10 ) 11 with 13 diagnosis 12 a 13 diagnosis 13 diagnosis 14 of 14 of 16 sah 15 nontraumatic 16 sah 16 sah 18 studied dynamic cerebral autoregulation was assessed using transfer function analysis ( [phase] and gain ) of the spontaneous blood pressure and blood flow velocity oscillations on days 2 to 4 post - sah . avsp was diagnosed using [a] 4 - vessel conventional angiogram . 0 ###LEFT-WALL### 3 autoregulation 0 ###LEFT-WALL### 33 . 1 dynamic 3 autoregulation 2 cerebral 3 autoregulation 3 autoregulation 4 was 4 was 6 using 5 assessed 6 using 6 using 12 and 6 using 18 blood 7 transfer 9 analysis 8 function 9 analysis 9 analysis 12 and 10 ( 12 and 12 and 13 gain 12 and 14 ) 12 and 15 of 12 and 18 blood 15 of 17 spontaneous 16 the 17 spontaneous 18 blood 32 sah 19 pressure 20 and 20 and 24 oscillations 20 and 31 - 20 and 32 sah 21 blood 24 oscillations 22 flow 24 oscillations 23 velocity 24 oscillations 24 oscillations 25 on 25 on 30 post 26 days 28 to 26 days 30 post 27 2 28 to 28 to 29 4 33 . 34 avsp 34 avsp 35 was 35 was 36 diagnosed 36 diagnosed 37 using 37 using 39 4 39 4 43 angiogram 40 - 43 angiogram 41 vessel 43 angiogram 42 conventional 43 angiogram 43 angiogram 44 . dci was diagnosed from ct . 0 ###LEFT-WALL### 1 dci 0 ###LEFT-WALL### 3 diagnosed 0 ###LEFT-WALL### 6 . 1 dci 2 was 2 was 3 diagnosed 3 diagnosed 4 from 4 from 5 ct decision tree models were used to identify optimal [cut] - [off] points for clinical and physiological predictors of avsp [and] dci . 0 ###LEFT-WALL### 3 models 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 22 . 1 decision 3 models 2 tree 3 models 3 models 4 were 4 were 5 used 5 used 6 to 5 used 7 identify 6 to 7 identify 7 identify 12 points 8 optimal 10 - 8 optimal 12 points 12 points 13 for 12 points 18 of 13 for 17 predictors 14 clinical 15 and 15 and 16 physiological 15 and 17 predictors 18 of 19 avsp 19 avsp 21 dci multivariate logistic regression models were used to develop and validate a risk scoring tool for each outcome . 0 ###LEFT-WALL### 4 models 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 18 . 1 multivariate 4 models 2 logistic 3 regression 3 regression 4 models 4 models 9 and 5 were 6 used 5 were 9 and 6 used 7 to 6 used 8 develop 7 to 8 develop 9 and 10 validate 9 and 14 tool 11 a 14 tool 12 risk 13 scoring 13 scoring 14 tool 14 tool 15 for 15 for 17 outcome 16 each 17 outcome results : sixty - two percent of patients developed avsp , and 19 % developed dci . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 percent 2 : 9 developed 2 : 12 and 2 : 17 . 3 sixty 4 - 4 - 5 two 4 - 6 percent 6 percent 7 of 6 percent 9 developed 7 of 8 patients 9 developed 10 avsp 11 , 12 and 12 and 14 % 12 and 15 developed 13 19 14 % 14 % 15 developed 15 developed 16 dci patients with avsp had higher transfer function gain [(] 1.06±0.33 versus 0.89±0.30 ; p=0.04 [ )(and patients with dci had lower transfer function phase [(] 17.5±39.6 versus 38.3±18.2 ; p=0.03 [ )(compared with those who did not develop either . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 4 had 0 ###LEFT-WALL### 13 ; 0 ###LEFT-WALL### 40 . 1 patients 2 with 1 patients 4 had 2 with 3 avsp 4 had 10 1.06±0.33 5 higher 6 transfer 6 transfer 10 1.06±0.33 7 function 10 1.06±0.33 8 gain 10 1.06±0.33 10 1.06±0.33 11 versus 11 versus 12 0.89±0.30 13 ; 16 )(and 13 ; 20 had 13 ; 29 ; 14 p=0.04 16 )(and 16 )(and 17 patients 16 )(and 18 with 16 )(and 20 had 18 with 19 dci 20 had 26 17.5±39.6 21 lower 22 transfer 22 transfer 23 function 23 function 26 17.5±39.6 24 phase 26 17.5±39.6 26 17.5±39.6 27 versus 27 versus 28 38.3±18.2 29 ; 30 p=0.03 29 ; 32 )(compared 30 p=0.03 32 )(compared 32 )(compared 33 with 32 )(compared 39 either 33 with 34 those 34 those 35 who 34 those 36 did 35 who 36 did 36 did 37 not 36 did 38 develop conclusions : dynamic cerebral autoregulation is impaired in the early days after sah . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 5 autoregulation 2 : 7 impaired 2 : 14 . 3 dynamic 5 autoregulation 4 cerebral 5 autoregulation 5 autoregulation 6 is 6 is 7 impaired 7 impaired 8 in 7 impaired 12 after 8 in 11 days 9 the 11 days 10 early 11 days 12 after 13 sah including autoregulation as part of the initial clinical and radiographic assessment may enhance our ability to identify patients at a high risk for developing secondary complications after sah . 0 ###LEFT-WALL### 1 including 0 ###LEFT-WALL### 13 enhance 0 ###LEFT-WALL### 29 . 1 including 2 autoregulation 1 including 3 as 1 including 12 may 3 as 11 assessment 4 part 5 of 4 part 11 assessment 5 of 11 assessment 6 the 11 assessment 7 initial 11 assessment 8 clinical 9 and 9 and 10 radiographic 9 and 11 assessment 12 may 13 enhance 13 enhance 15 ability 14 our 15 ability 15 ability 16 to 15 ability 17 identify 16 to 17 identify 17 identify 18 patients 17 identify 19 at 17 identify 23 for 19 at 22 risk 20 a 22 risk 21 high 22 risk 23 for 24 developing 24 developing 26 complications 24 developing 27 after 25 secondary 26 complications 27 after 28 sah importance : late - onset alzheimer disease ( load ) , defined as [onset] of symptoms after age 65 years , is the most common form of dementia . 0 ###LEFT-WALL### 1 importance 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 7 disease 2 : 22 is 3 late 4 - 3 late 5 onset 5 onset 7 disease 6 alzheimer 7 disease 7 disease 9 load 7 disease 12 defined 7 disease 22 is 8 ( 9 load 9 load 10 ) 11 , 12 defined 12 defined 13 as 12 defined 21 , 13 as 15 of 15 of 16 symptoms 16 symptoms 17 after 17 after 20 years 18 age 20 years 19 65 20 years 22 is 26 form 23 the 26 form 24 most 25 common 25 common 26 form 26 form 27 of 27 of 28 dementia few reports investigate incidence rates in large family - based studies in which the participants were selected for family history of load . 0 ###LEFT-WALL### 2 reports 0 ###LEFT-WALL### 3 investigate 0 ###LEFT-WALL### 9 - 0 ###LEFT-WALL### 23 . 1 few 2 reports 2 reports 3 investigate 3 investigate 5 rates 3 investigate 6 in 4 incidence 5 rates 6 in 8 family 7 large 8 family 9 - 11 studies 10 based 11 studies 11 studies 12 in 12 in 13 which 12 in 15 participants 12 in 17 selected 14 the 15 participants 15 participants 16 were 16 were 17 selected 17 selected 18 for 18 for 20 history 19 family 20 history 20 history 21 of 21 of 22 load objective : to determine the incidence rates of dementia and load in unaffected members in the national institute on aging genetics initiative for late - onset alzheimer disease/national cell repository for alzheimer disease ( nia - load/ncrad ) and estudio familiar de influencia genetica [en] alzheimer ( efiga ) family studies . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 52 . 2 : 3 to 2 : 4 determine 3 to 4 determine 4 determine 7 rates 4 determine 19 on 4 determine 23 for 5 the 7 rates 6 incidence 7 rates 7 rates 8 of 7 rates 12 in 8 of 10 and 9 dementia 10 and 10 and 11 load 12 in 14 members 13 unaffected 14 members 14 members 15 in 15 in 18 institute 16 the 18 institute 17 national 18 institute 19 on 22 initiative 20 aging 21 genetics 21 genetics 22 initiative 23 for 39 and 24 late 30 repository 24 late 39 and 25 - 30 repository 26 onset 30 repository 27 alzheimer 28 disease/national 28 disease/national 29 cell 29 cell 30 repository 30 repository 31 for 30 repository 38 ) 31 for 35 nia 32 alzheimer 33 disease 33 disease 35 nia 34 ( 35 nia 35 nia 37 load/ncrad 36 - 37 load/ncrad 37 load/ncrad 38 ) 39 and 51 studies 40 estudio 41 familiar 41 familiar 42 de 42 de 43 influencia 43 influencia 44 genetica 44 genetica 50 family 46 alzheimer 48 efiga 47 ( 48 efiga 48 efiga 49 ) 48 efiga 50 family 50 family 51 studies design , setting , and participants : families with 2 or more affected siblings who had a clinical or pathological diagnosis of load were recruited as a part of the nia - load/ncrad family study . 0 ###LEFT-WALL### 6 participants 0 ###LEFT-WALL### 7 : 0 ###LEFT-WALL### 36 . 1 design 3 setting 2 , 3 setting 3 setting 4 , 3 setting 5 and 5 and 6 participants 7 : 11 or 7 : 25 recruited 7 : 32 - 8 families 9 with 8 families 11 or 9 with 10 2 11 or 14 siblings 11 or 15 who 11 or 16 had 11 or 24 were 12 more 14 siblings 13 affected 14 siblings 15 who 16 had 16 had 21 diagnosis 17 a 21 diagnosis 18 clinical 19 or 19 or 20 pathological 19 or 21 diagnosis 21 diagnosis 22 of 22 of 23 load 24 were 25 recruited 25 recruited 26 as 26 as 28 part 27 a 28 part 28 part 29 of 29 of 31 nia 30 the 31 nia 32 - 35 study 33 load/ncrad 34 family 34 family 35 study a cohort of caribbean hispanics with familial load was recruited in a different study at the taub institute for research on alzheimer 's disease and the aging brain in new york and from clinics in the dominican republic as part of the efiga study . 0 ###LEFT-WALL### 2 cohort 0 ###LEFT-WALL### 10 recruited 0 ###LEFT-WALL### 45 . 1 a 2 cohort 2 cohort 3 of 2 cohort 9 was 3 of 5 hispanics 4 caribbean 5 hispanics 5 hispanics 6 with 6 with 8 load 7 familial 8 load 9 was 10 recruited 10 recruited 11 in 10 recruited 32 and 11 in 14 study 12 a 14 study 13 different 14 study 14 study 15 at 15 at 18 institute 16 the 18 institute 17 taub 18 institute 19 for 25 and 19 for 32 and 20 research 21 on 20 research 25 and 21 on 24 disease 22 alzheimer 23 's 23 's 24 disease 25 and 28 brain 25 and 29 in 26 the 28 brain 27 aging 28 brain 29 in 31 york 30 new 31 york 32 and 33 from 33 from 34 clinics 34 clinics 35 in 34 clinics 39 as 35 in 38 republic 36 the 38 republic 37 dominican 38 republic 39 as 44 study 40 part 41 of 40 part 44 study 41 of 44 study 42 the 44 study 43 efiga 44 study main outcomes and measures : age - specific incidence rates of load were estimated in the unaffected family members in the nia - load/ncrad and efiga data sets . 0 ###LEFT-WALL### 4 measures 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 29 . 1 main 2 outcomes 2 outcomes 3 and 3 and 4 measures 5 : 10 rates 5 : 14 estimated 5 : 23 - 6 age 7 - 6 age 10 rates 8 specific 9 incidence 9 incidence 10 rates 10 rates 11 of 10 rates 13 were 11 of 12 load 13 were 14 estimated 14 estimated 15 in 14 estimated 20 in 15 in 19 members 16 the 19 members 17 unaffected 18 family 18 family 19 members 20 in 22 nia 21 the 22 nia 23 - 27 data 23 - 28 sets 24 load/ncrad 25 and 25 and 26 efiga 26 efiga 27 data 27 data 28 sets we restricted analyses to families with [follow] - up and complete phenotype information , including 396 nia - load/ncrad and 242 efiga families . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 10 and 1 we 10 and 2 restricted 3 analyses 2 restricted 4 to 2 restricted 6 with 2 restricted 10 and 4 to 5 families 6 with 9 up 8 - 9 up 10 and 11 complete 10 and 15 including 11 complete 13 information 12 phenotype 13 information 14 , 15 including 15 including 17 nia 15 including 24 . 16 396 17 nia 17 nia 20 and 18 - 20 and 19 load/ncrad 20 and 20 and 23 families 20 and 24 . 21 242 23 families 22 efiga 23 families among the 943 at [-] risk family members in the nia - load/ncrad families , 126 ( 13.4 % ) developed dementia , of [whom] 109 ( 86.5 % ) met criteria for load . 0 ###LEFT-WALL### 22 dementia 0 ###LEFT-WALL### 31 met 0 ###LEFT-WALL### 35 . 1 among 3 943 1 among 22 dementia 2 the 3 943 3 943 4 at 3 943 14 families 3 943 16 126 4 at 8 members 6 risk 8 members 7 family 8 members 8 members 9 in 9 in 11 nia 10 the 11 nia 12 - 14 families 13 load/ncrad 14 families 14 families 15 , 15 , 16 126 16 126 19 % 16 126 20 ) 17 ( 19 % 18 13.4 19 % 19 % 20 ) 21 developed 22 dementia 22 dementia 24 of 22 dementia 31 met 23 , 24 of 24 of 26 109 24 of 30 ) 26 109 29 % 27 ( 29 % 28 86.5 29 % 29 % 30 ) 31 met 32 criteria 31 met 33 for 33 for 34 load among 683 at [-] risk family members in the efiga families , 174 ( 25.5 % ) developed dementia during the study period , of [whom] 145 ( 83.3 % ) had load . 0 ###LEFT-WALL### 7 members 0 ###LEFT-WALL### 32 had 0 ###LEFT-WALL### 34 . 1 among 2 683 1 among 7 members 2 683 3 at 3 at 6 family 5 risk 6 family 7 members 8 in 7 members 18 developed 7 members 32 had 8 in 11 families 9 the 11 families 10 efiga 11 families 11 families 13 174 12 , 13 174 13 174 16 % 13 174 17 ) 14 ( 16 % 15 25.5 16 % 16 % 17 ) 18 developed 19 dementia 19 dementia 20 during 20 during 23 period 21 the 23 period 22 study 23 period 23 period 25 of 24 , 25 of 25 of 27 145 25 of 31 ) 27 145 30 % 28 ( 30 % 29 83.3 30 % 30 % 31 ) 32 had 33 load incidence rates in the efiga families were slightly higher , at 0.03 and 0.02 , 0.06 and 0.05 , 0.10 and 0.08 , [and] 0.10 and 0.07 , respectively , in the same age groups . 0 ###LEFT-WALL### 2 rates 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 36 . 1 incidence 2 rates 2 rates 3 in 2 rates 7 were 3 in 6 families 4 the 6 families 5 efiga 6 families 7 were 9 higher 8 slightly 9 higher 9 higher 11 at 9 higher 29 respectively 9 higher 31 in 10 , 11 at 11 at 13 and 11 at 28 , 12 0.03 13 and 13 and 14 0.02 13 and 17 and 13 and 21 and 13 and 26 and 15 , 17 and 16 0.06 17 and 17 and 18 0.05 17 and 19 , 19 , 21 and 20 0.10 21 and 21 and 22 0.08 21 and 23 , 23 , 26 and 25 0.10 26 and 26 and 27 0.07 26 and 28 , 28 , 29 respectively 29 respectively 30 , 31 in 35 groups 32 the 33 same 32 the 35 groups 34 age 35 groups contrasting these results with the population - based estimates , the incidence was increased by 3 - fold for nia - load/ncrad families ( standardized incidence ratio [,] 3.44 ) and 2 - fold among the efiga compared with the nia - load/ncrad families ( 1.71 ) . 0 ###LEFT-WALL### 1 contrasting 0 ###LEFT-WALL### 17 - 0 ###LEFT-WALL### 48 . 1 contrasting 3 results 1 contrasting 4 with 1 contrasting 13 was 2 these 3 results 4 with 6 population 4 with 12 incidence 5 the 6 population 6 population 9 estimates 7 - 9 estimates 8 based 9 estimates 9 estimates 10 , 11 the 12 incidence 13 was 14 increased 14 increased 15 by 15 by 16 3 17 - 18 fold 17 - 31 and 18 fold 19 for 19 for 20 nia 20 nia 23 families 21 - 23 families 22 load/ncrad 23 families 23 families 27 ratio 23 families 30 ) 24 ( 27 ratio 25 standardized 26 incidence 26 incidence 27 ratio 27 ratio 29 3.44 27 ratio 30 ) 31 and 32 2 31 and 33 - 32 2 33 - 33 - 34 fold 34 fold 35 among 34 fold 39 with 35 among 37 efiga 36 the 37 efiga 37 efiga 38 compared 39 with 41 nia 40 the 41 nia 41 nia 44 families 42 - 44 families 43 load/ncrad 44 families 44 families 46 1.71 44 families 47 ) 45 ( 46 1.71 46 1.71 47 ) conclusions and relevance : the incidence rates for familial dementia and load in the nia - load/ncrad and efiga families are significantly higher than population - based estimates . 0 ###LEFT-WALL### 3 relevance 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 29 . 1 conclusions 2 and 2 and 3 relevance 3 relevance 4 : 4 : 7 rates 4 : 8 for 5 the 7 rates 6 incidence 7 rates 8 for 10 dementia 9 familial 10 dementia 11 and 12 load 11 and 27 based 12 load 13 in 12 load 27 based 13 in 15 nia 14 the 15 nia 15 nia 18 and 16 - 18 and 17 load/ncrad 18 and 18 and 19 efiga 18 and 20 families 18 and 21 are 18 and 26 - 20 families 21 are 21 are 22 significantly 21 are 23 higher 21 are 24 than 24 than 25 population 27 based 28 estimates the incidence rates in all groups increase with age . 0 ###LEFT-WALL### 3 rates 0 ###LEFT-WALL### 7 increase 0 ###LEFT-WALL### 10 . 1 the 3 rates 2 incidence 3 rates 3 rates 4 in 3 rates 7 increase 4 in 6 groups 5 all 6 groups 7 increase 8 with 8 with 9 age the higher incidence of load can be explained by segregation of alzheimer disease - related genes in these families or shared environmental risks . 0 ###LEFT-WALL### 3 incidence 0 ###LEFT-WALL### 8 explained 0 ###LEFT-WALL### 15 related 0 ###LEFT-WALL### 24 . 1 the 3 incidence 2 higher 3 incidence 3 incidence 4 of 3 incidence 6 can 4 of 5 load 6 can 7 be 7 be 8 explained 8 explained 9 by 9 by 10 segregation 10 segregation 11 of 11 of 13 disease 12 alzheimer 13 disease 14 - 15 related 15 related 16 genes 15 related 17 in 17 in 20 or 18 these 19 families 19 families 20 or 20 or 23 risks 21 shared 23 risks 22 environmental 23 risks previously , we reported on the anticancer effect of the diastereoisomeric compound mhy - 449 , a novel dihydro - benzofuro [ 4,5 - b ] [ 1,8 ] naphthyridin - 6 - one derivative , in hct116 human colon cancer cells . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 reported 0 ###LEFT-WALL### 31 - 1 previously 2 , 1 previously 3 we 3 we 4 reported 4 reported 5 on 4 reported 30 naphthyridin 5 on 8 effect 6 the 8 effect 7 anticancer 8 effect 8 effect 9 of 9 of 13 mhy 10 the 13 mhy 11 diastereoisomeric 13 mhy 12 compound 13 mhy 13 mhy 15 449 14 - 15 449 15 449 16 , 17 a 18 novel 17 a 30 naphthyridin 18 novel 30 naphthyridin 19 dihydro 21 benzofuro 19 dihydro 29 ] 19 dihydro 30 naphthyridin 20 - 21 benzofuro 21 benzofuro 24 - 21 benzofuro 28 1,8 21 benzofuro 29 ] 22 [ 24 - 23 4,5 24 - 24 - 25 b 24 - 26 ] 27 [ 28 1,8 28 1,8 29 ] 31 - 32 6 31 - 33 - 31 - 43 . 32 6 33 - 33 - 42 cells 34 one 37 in 35 derivative 36 , 35 derivative 37 in 37 in 40 colon 38 hct116 40 colon 39 human 40 colon 40 colon 41 cancer 41 cancer 42 cells in the current study , we investigated whether mhy [-] 449 has anticancer effect in prostate cancer cells , and if so , [what] the molecular mechanisms are . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 investigated 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 29 . 1 in 4 study 1 in 5 , 1 in 6 we 2 the 4 study 3 current 4 study 6 we 7 investigated 7 investigated 8 whether 7 investigated 15 in 8 whether 9 mhy 8 whether 12 has 9 mhy 11 449 9 mhy 12 has 12 has 14 effect 13 anticancer 14 effect 15 in 18 cells 16 prostate 18 cells 17 cancer 18 cells 19 , 20 and 20 and 27 mechanisms 20 and 28 are 21 if 22 so 22 so 23 , 22 so 27 mechanisms 25 the 27 mechanisms 26 molecular 27 mechanisms 27 mechanisms 28 are mhy - 449 treatment in androgen - independent and p53 - null pc3 cells resulted in inhibition of cell growth and induction of apoptosis in a concentration - dependent manner . 0 ###LEFT-WALL### 4 treatment 0 ###LEFT-WALL### 15 resulted 1 mhy 2 - 1 mhy 4 treatment 3 449 4 treatment 4 treatment 5 in 4 treatment 15 resulted 5 in 14 cells 6 androgen 9 and 6 androgen 14 cells 7 - 9 and 8 independent 9 and 9 and 10 p53 9 and 11 - 12 null 14 cells 13 pc3 14 cells 15 resulted 16 in 15 resulted 25 in 16 in 21 and 17 inhibition 18 of 17 inhibition 21 and 18 of 20 growth 19 cell 20 growth 21 and 22 induction 21 and 23 of 23 of 24 apoptosis 25 in 27 concentration 26 a 27 concentration 27 concentration 30 manner 28 - 30 manner 29 dependent 30 manner 30 manner 31 . however , mhy - 449 did not show any significant effects on the growth inhibition and apoptotic cell death in androgen - dependent and p53 - wt lncap cells . 0 ###LEFT-WALL### 5 449 0 ###LEFT-WALL### 8 show 0 ###LEFT-WALL### 30 . 1 however 5 449 2 , 3 mhy 3 mhy 4 - 3 mhy 5 449 5 449 6 did 6 did 7 not 6 did 8 show 8 show 11 effects 8 show 12 on 8 show 16 and 8 show 27 wt 9 any 11 effects 10 significant 11 effects 12 on 14 growth 13 the 14 growth 15 inhibition 16 and 16 and 19 death 16 and 20 in 16 and 24 and 16 and 27 wt 17 apoptotic 19 death 18 cell 19 death 20 in 21 androgen 22 - 24 and 23 dependent 24 and 24 and 25 p53 24 and 26 - 27 wt 29 cells 28 lncap 29 cells therefore , we used pc3 cells for further studies . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 used 0 ###LEFT-WALL### 10 . 1 therefore 2 , 1 therefore 3 we 3 we 4 used 4 used 6 cells 5 pc3 6 cells 6 cells 7 for 7 for 9 studies 8 further 9 studies the induction of apoptosis in pc3 cells was observed by decreased viability , dna fragmentation , [cleavage] [of] poly ( adp - ribose ) [polymerase] , activations of caspase - 3 , - 8 and - 9 , and alteration in the ratio of bax/bcl - 2 protein expression . 0 ###LEFT-WALL### 2 induction 0 ###LEFT-WALL### 9 observed 0 ###LEFT-WALL### 26 , 0 ###LEFT-WALL### 50 . 1 the 2 induction 2 induction 3 of 2 induction 8 was 3 of 4 apoptosis 4 apoptosis 5 in 5 in 7 cells 6 pc3 7 cells 8 was 9 observed 9 observed 10 by 9 observed 19 poly 9 observed 22 - 10 by 12 viability 11 decreased 12 viability 12 viability 15 fragmentation 13 , 15 fragmentation 14 dna 15 fragmentation 15 fragmentation 16 , 20 ( 22 - 21 adp 22 - 22 - 23 ribose 22 - 24 ) 26 , 39 and 26 , 46 - 27 activations 28 of 27 activations 39 and 28 of 29 caspase 29 caspase 31 3 29 caspase 35 and 30 - 31 3 31 3 32 , 32 , 35 and 33 - 35 and 34 8 35 and 35 and 37 9 35 and 38 , 36 - 37 9 39 and 40 alteration 39 and 41 in 39 and 44 of 41 in 43 ratio 42 the 43 ratio 44 of 45 bax/bcl 46 - 49 expression 47 2 49 expression 48 protein 49 expression in addition , mhy - 449 induced increase of late apoptosis and sub - g1 dna which were observed by flow cytometry analysis . 0 ###LEFT-WALL### 6 449 0 ###LEFT-WALL### 8 increase 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 24 . 1 in 2 addition 1 in 3 , 1 in 6 449 4 mhy 5 - 4 mhy 6 449 6 449 7 induced 6 449 8 increase 8 increase 10 late 8 increase 12 and 9 of 10 late 11 apoptosis 12 and 12 and 13 sub 14 - 16 dna 15 g1 16 dna 16 dna 17 which 16 dna 18 were 17 which 18 were 18 were 19 observed 19 observed 20 by 20 by 23 analysis 21 flow 22 cytometry 22 cytometry 23 analysis furthermore , mhy - 449 reduced the phosphorylation of akt and foxo1 and induced the translocation of foxo1 from cytoplasm to nucleus as shown by western blot analysis . 0 ###LEFT-WALL### 5 449 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 29 . 1 furthermore 2 , 1 furthermore 5 449 2 , 3 mhy 3 mhy 4 - 3 mhy 5 449 5 449 13 and 6 reduced 8 phosphorylation 6 reduced 13 and 7 the 8 phosphorylation 8 phosphorylation 9 of 9 of 11 and 10 akt 11 and 11 and 12 foxo1 13 and 14 induced 14 induced 16 translocation 14 induced 21 to 14 induced 25 by 15 the 16 translocation 16 translocation 17 of 17 of 18 foxo1 18 foxo1 19 from 19 from 20 cytoplasm 21 to 22 nucleus 22 nucleus 24 shown 23 as 24 shown 25 by 28 analysis 26 western 28 analysis 27 blot 28 analysis mhy - 449 treatment activated extracellular signal - regulated kinase [(] erk [ )(signaling in a concentration - dependent manner . 0 ###LEFT-WALL### 1 mhy 0 ###LEFT-WALL### 2 - 2 - 7 signal 2 - 8 - 2 - 21 . 3 449 4 treatment 4 treatment 5 activated 5 activated 7 signal 6 extracellular 7 signal 8 - 12 erk 8 - 18 - 9 regulated 10 kinase 10 kinase 12 erk 12 erk 14 )(signaling 14 )(signaling 15 in 15 in 17 concentration 16 a 17 concentration 18 - 20 manner 19 dependent 20 manner mhy - 449 - induced apoptosis [was] partially prevented by pretreatment with the erk inhibitor pd98059 suggesting involvement of erk in the mhy - 449 - induced apoptosis . 0 ###LEFT-WALL### 1 mhy 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 29 . 2 - 3 449 2 - 4 - 3 449 4 - 4 - 6 apoptosis 5 induced 6 apoptosis 6 apoptosis 9 prevented 6 apoptosis 19 of 6 apoptosis 27 induced 8 partially 9 prevented 9 prevented 10 by 9 prevented 12 with 10 by 11 pretreatment 12 with 15 inhibitor 12 with 16 pd98059 13 the 15 inhibitor 14 erk 15 inhibitor 16 pd98059 17 suggesting 17 suggesting 18 involvement 19 of 20 erk 20 erk 21 in 20 erk 25 449 21 in 23 mhy 22 the 23 mhy 24 - 25 449 25 449 26 - 27 induced 28 apoptosis taken together , these findings suggest that mhy - 449 induces apoptosis via downregulation of the akt/foxo1 and activation of erk in androgen - independent , p53 - null and pten - negative pc3 human prostate cancer cells . 0 ###LEFT-WALL### 5 findings 0 ###LEFT-WALL### 6 suggest 0 ###LEFT-WALL### 9 - 1 taken 2 together 1 taken 3 , 1 taken 5 findings 4 these 5 findings 5 findings 6 suggest 6 suggest 8 mhy 7 that 8 mhy 9 - 10 449 9 - 11 induces 9 - 39 . 10 449 11 induces 11 induces 12 apoptosis 11 induces 13 via 11 induces 22 in 13 via 14 downregulation 14 downregulation 15 of 14 downregulation 20 of 15 of 18 and 16 the 17 akt/foxo1 17 akt/foxo1 18 and 18 and 19 activation 20 of 21 erk 22 in 38 cells 23 androgen 27 p53 23 androgen 33 negative 24 - 27 p53 25 independent 26 , 25 independent 27 p53 27 p53 30 and 27 p53 32 - 28 - 30 and 29 null 30 and 30 and 31 pten 30 and 32 - 33 negative 37 cancer 34 pc3 36 prostate 35 human 36 prostate 36 prostate 37 cancer 37 cancer 38 cells [none] biomembranes shown to behave like elastic sheets , can also suffer plastic deformations . 0 ###LEFT-WALL### 2 biomembranes 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 15 . 2 biomembranes 3 shown 2 biomembranes 9 , 3 shown 4 to 4 to 5 behave 5 behave 6 like 6 like 7 elastic 8 sheets 9 , 9 , 10 can 9 , 14 deformations 10 can 12 suffer 11 also 12 suffer 13 plastic 14 deformations neutron scattering experiments on partially polymerised wrinkled membranes revealed that when a critical degree of polymerisation is crossed , the wrinkled membranes do not resume their spherical shapes . 0 ###LEFT-WALL### 1 neutron 0 ###LEFT-WALL### 9 revealed 0 ###LEFT-WALL### 29 . 1 neutron 2 scattering 1 neutron 9 revealed 2 scattering 3 experiments 2 scattering 4 on 4 on 8 membranes 5 partially 6 polymerised 6 polymerised 8 membranes 7 wrinkled 8 membranes 9 revealed 10 that 10 that 22 membranes 10 that 25 resume 11 when 16 polymerisation 11 when 18 crossed 11 when 19 , 11 when 22 membranes 12 a 14 degree 13 critical 14 degree 14 degree 15 of 14 degree 16 polymerisation 15 of 16 polymerisation 16 polymerisation 17 is 17 is 18 crossed 20 the 22 membranes 21 wrinkled 22 membranes 22 membranes 23 do 23 do 24 not 23 do 25 resume 25 resume 28 shapes 26 their 28 shapes 27 spherical 28 shapes instead they remain wrinkled [and] rigid while their [non] [-] polymerised counterparts resume their spherical floppy shapes . 0 ###LEFT-WALL### 2 they 0 ###LEFT-WALL### 3 remain 0 ###LEFT-WALL### 18 . 1 instead 2 they 2 they 3 remain 3 remain 4 wrinkled 4 wrinkled 6 rigid 6 rigid 7 while 7 while 12 counterparts 7 while 13 resume 8 their 12 counterparts 11 polymerised 12 counterparts 12 counterparts 13 resume 13 resume 17 shapes 14 their 17 shapes 15 spherical 17 shapes 16 floppy 17 shapes the yield stress of these membranes , measured for the first time via the fractal dimension , is intimately related to the degree of polymerisation [probably] through a 2 d disorder that quenches the lateral diffusion of the lipid molecules . 0 ###LEFT-WALL### 3 stress 0 ###LEFT-WALL### 20 related 0 ###LEFT-WALL### 41 . 1 the 3 stress 2 yield 3 stress 3 stress 4 of 3 stress 18 is 4 of 6 membranes 5 these 6 membranes 6 membranes 8 measured 7 , 8 measured 8 measured 9 for 8 measured 13 via 8 measured 17 , 9 for 12 time 10 the 11 first 10 the 12 time 13 via 16 dimension 14 the 16 dimension 15 fractal 16 dimension 18 is 20 related 19 intimately 20 related 20 related 21 to 20 related 27 through 21 to 25 polymerisation 22 the 23 degree 23 degree 24 of 23 degree 25 polymerisation 24 of 25 polymerisation 27 through 31 disorder 28 a 31 disorder 29 2 30 d 30 d 31 disorder 31 disorder 32 that 31 disorder 33 quenches 32 that 33 quenches 33 quenches 36 diffusion 34 the 36 diffusion 35 lateral 36 diffusion 36 diffusion 37 of 37 of 40 molecules 38 the 40 molecules 39 lipid 40 molecules this work might shed light on the physical reason behind the irreversible deformation of echinocytes , acanthocytes and malaria infected red blood cells . 0 ###LEFT-WALL### 2 work 0 ###LEFT-WALL### 4 shed 0 ###LEFT-WALL### 24 . 1 this 2 work 2 work 3 might 3 might 4 shed 4 shed 5 light 4 shed 6 on 4 shed 10 behind 6 on 9 reason 7 the 9 reason 8 physical 9 reason 10 behind 18 and 11 the 13 deformation 12 irreversible 13 deformation 13 deformation 14 of 13 deformation 16 , 14 of 15 echinocytes 16 , 17 acanthocytes 16 , 18 and 18 and 23 cells 19 malaria 23 cells 20 infected 21 red 21 red 22 blood 22 blood 23 cells objective : to validate recently proposed models of ovarian nongrowing follicle ( ngf ) decay associated with aging within the context of an independent data set . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 aging 0 ###LEFT-WALL### 27 . 2 : 3 to 2 : 4 validate 3 to 4 validate 4 validate 7 models 5 recently 6 proposed 6 proposed 7 models 7 models 8 of 8 of 10 nongrowing 9 ovarian 10 nongrowing 10 nongrowing 15 decay 10 nongrowing 18 aging 11 follicle 13 ngf 11 follicle 14 ) 11 follicle 15 decay 12 ( 13 ngf 13 ngf 14 ) 15 decay 16 associated 16 associated 17 with 17 with 18 aging 18 aging 19 within 19 within 21 context 20 the 21 context 21 context 22 of 22 of 26 set 23 an 24 independent 23 an 26 set 24 independent 25 data 25 data 26 set design : prospective investigation . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 . 1 design 2 : 2 : 4 investigation 3 prospective 4 investigation setting : academic medical center . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 2 : 5 center 2 : 6 . 3 academic 5 center 4 medical 5 center patient ( s ) : normal appearing ovaries collected from 52 women ( age 28 - 51 years ) undergoing oophorectomy for benign gynecologic indications . 0 ###LEFT-WALL### 1 patient 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 26 . 1 patient 3 s 1 patient 5 : 2 ( 3 s 3 s 4 ) 5 : 8 ovaries 6 normal 8 ovaries 7 appearing 8 ovaries 8 ovaries 9 collected 8 ovaries 10 from 8 ovaries 20 undergoing 10 from 12 women 11 52 12 women 12 women 14 age 12 women 18 years 13 ( 14 age 14 age 15 28 14 age 16 - 16 - 18 years 17 51 18 years 18 years 19 ) 20 undergoing 21 oophorectomy 20 undergoing 22 for 22 for 25 indications 23 benign 25 indications 24 gynecologic 25 indications intervention ( s ) : determining ovarian ngf counts with systematic random sampling rules and a validated fractionator/optical disector technique . 0 ###LEFT-WALL### 1 intervention 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 21 . 1 intervention 3 s 1 intervention 5 : 2 ( 3 s 3 s 4 ) 5 : 6 determining 6 determining 9 counts 7 ovarian 9 counts 8 ngf 9 counts 9 counts 10 with 10 with 15 and 11 systematic 14 rules 12 random 14 rules 13 sampling 14 rules 14 rules 15 and 15 and 20 technique 16 a 20 technique 17 validated 20 technique 18 fractionator/optical 20 technique 19 disector 20 technique the goodness - [of] - fit of predicted ngf counts based on the power and double gaussian models and those observed in the validation set was assessed with the calculation of the akaike information criterion and r ( 2 ) values . 0 ###LEFT-WALL### 2 goodness 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 42 . 1 the 2 goodness 3 - 5 - 3 - 21 observed 5 - 19 and 6 fit 7 of 6 fit 11 based 6 fit 15 and 7 of 10 counts 8 predicted 10 counts 9 ngf 10 counts 11 based 12 on 12 on 14 power 13 the 14 power 15 and 18 models 15 and 19 and 16 double 18 models 17 gaussian 18 models 19 and 20 those 19 and 21 observed 21 observed 22 in 21 observed 25 set 21 observed 27 assessed 22 in 24 validation 23 the 24 validation 25 set 26 was 26 was 27 assessed 27 assessed 28 with 28 with 30 calculation 28 with 41 values 29 the 30 calculation 30 calculation 31 of 31 of 36 and 32 the 35 criterion 33 akaike 35 criterion 34 information 35 criterion 35 criterion 36 and 36 and 37 r 36 and 39 2 38 ( 39 2 39 2 40 )